399355,S000000,00100,0200,04/29/11 399355,S200000,00100,0100,301 E MILLER ST 399355,S200000,00200,0100,PRESCOTT 399355,S200000,00200,0200,KS 399355,S200000,00200,0300,66767-4103 399355,S200000,00300,0100,LINN 399355,S200000,00400,0100,PRESCOTT COUNTRY VIEW NURSING 399355,S200000,00400,0300,10/08/10 401311,S000000,00100,0200,04/13/11 401311,S200000,00100,0100,807 WILBRAHAM ROAD 401311,S200000,00200,0100,SPRINGFIELD 401311,S200000,00200,0200,MA 401311,S200000,00200,0300,01109-2067 401311,S200000,00300,0100,HAMPDEN 401311,S200000,00400,0100,LOOMIS SENIOR LIVING INC 401311,S200000,00400,0300,12/29/95 401669,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 401669,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 401669,A000000,00300,0000,0300EMPLOYEE BENEFITS 401669,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 401669,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 401669,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 401669,A000000,00700,0000,0700HOUSEKEEPING 401669,A000000,00800,0000,0800DIETARY 401669,A000000,00900,0000,0900NURSING ADMINISTRATION 401669,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 401669,A000000,01100,0000,1100PHARMACY 401669,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 401669,A000000,01300,0000,1300SOCIAL SERVICE 401669,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 401669,A000000,01500,0000,1350OTHER GENERAL SERVICES 401669,A000000,01600,0000,1600SKILLED NURSING FACILITY 401669,A000000,01800,0000,1800NURSING FACILITY 401669,A000000,01810,0000,1810ICF/MR 401669,A000000,01900,0000,1900OTHER LONG TERM CARE 401669,A000000,02100,0000,2100RADIOLOGY 401669,A000000,02200,0000,2200LABORATORY 401669,A000000,02300,0000,2300INTRAVENOUS THERAPY 401669,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 401669,A000000,02500,0000,2500PHYSICAL THERAPY 401669,A000000,02600,0000,2600OCCUPATIONAL THERAPY 401669,A000000,02700,0000,2700SPEECH PATHOLOGY 401669,A000000,02800,0000,2800ELECTROCARDIOLOGY 401669,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 401669,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 401669,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 401669,A000000,03200,0000,3200SUPPORT SURFACES 401669,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 401669,A000000,03400,0000,3400CLINIC 401669,A000000,03500,0000,3500RURAL HEALTH CLINIC 401669,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 401669,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 401669,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 401669,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 401669,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 401669,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 401669,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 401669,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 401669,A000000,04400,0000,4400DME RENTED - HHA 401669,A000000,04500,0000,4500DME SOLD - HHA 401669,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 401669,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 401669,A000000,04710,0000,4710TELEMEDICINE 401669,A000000,04800,0000,4800AMBULANCE 401669,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 401669,A000000,05000,0000,5000CORF 401669,A000000,05100,0000,4750OTHER REIMBURSABLE COST 401669,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 401669,A000000,05300,0000,5300INTEREST EXPENSE 401669,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 401669,A000000,05500,0000,5500HOSPICE 401669,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 401669,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 401669,A000000,05900,0000,5900BARBER & BEAUTY SHOP 401669,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 401669,A000000,06100,0000,6100NONPAID WORKERS 401669,A000000,06200,0000,6200PATIENTS LAUNDRY 401669,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 401669,A81000A,00100,0100,N 401669,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 401669,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 401669,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 401669,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 401669,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 401669,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 401669,B100000,00000,0800,0850PATIENT DAYS :DIETARY 401669,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 401669,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 401669,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 401669,E10A180,00301,0100,10/27/10 401669,E10A180,00302,0100,11/24/10 401669,E10A180,00303,0100,12/22/10 401669,E10A180,00304,0100,01/05/11 401669,E10A180,00305,0100,01/19/11 401669,S000000,00100,0200,05/11/11 401669,S200000,00100,0100,513 BELL STREET 401669,S200000,00200,0100,EDGEWOOD 401669,S200000,00200,0200,IA 401669,S200000,00200,0300,52042 401669,S200000,00300,0100,DELAWARE 401669,S200000,00300,0200,16 401669,S200000,00300,0201,99916 401669,S200000,00300,0300,R 401669,S200000,00400,0100,EDGEWOOD CONVALESCENT HOME 401669,S200000,00400,0200,165379 401669,S200000,00400,0300,02/01/98 401669,S200000,00400,0500,P 401669,S200000,01500,0100,Y 401669,S200000,01501,0200,Y 401669,S200000,01502,0200,N 401669,S200000,01503,0200,Y 401669,S200000,01504,0200,N 401669,S200000,01600,0100,N 401669,S200000,01700,0100,N 401669,S200000,01800,0100,N 401669,S200000,02200,0100,N 401669,S200000,02800,0100,N 401669,S200000,02900,0100,N 401669,S200000,03000,0100,N 401669,S200000,03100,0100,N 401669,S200000,03200,0100,N 401669,S200000,03300,0100,N 401669,S200000,03300,0200,N 401669,S200000,04100,0100,N 401669,S200000,04200,0100,N 401669,S200000,04300,0100,N 401669,S200000,04600,0100,N 401669,S200000,04700,0100,N 401669,S200000,04700,0200,N 401669,S200000,04900,0100,N 401669,S200000,05000,0100,N 401669,S200000,05100,0100,N 401669,S200000,05200,0100,N 401669,S200000,05300,0100,N 407367,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 407367,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 407367,A000000,00300,0000,0300EMPLOYEE BENEFITS 407367,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 407367,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 407367,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 407367,A000000,00700,0000,0700HOUSEKEEPING 407367,A000000,00800,0000,0800DIETARY 407367,A000000,00900,0000,0900NURSING ADMINISTRATION 407367,A000000,00901,0000,0901OTHER NURSING 407367,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 407367,A000000,01100,0000,1100PHARMACY 407367,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 407367,A000000,01300,0000,1300SOCIAL SERVICE 407367,A000000,01301,0000,1301ACTIVITIES 407367,A000000,01600,0000,1600SKILLED NURSING FACILITY 407367,A000000,01800,0000,1800NURSING FACILITY 407367,A000000,02100,0000,2100RADIOLOGY 407367,A000000,02200,0000,2200LABORATORY 407367,A000000,02300,0000,2300INTRAVENOUS THERAPY 407367,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 407367,A000000,02500,0000,2500PHYSICAL THERAPY 407367,A000000,02600,0000,2600OCCUPATIONAL THERAPY 407367,A000000,02700,0000,2700SPEECH PATHOLOGY 407367,A000000,02800,0000,2800ELECTROCARDIOLOGY 407367,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 407367,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 407367,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 407367,A000000,03200,0000,3200SUPPORT SURFACES 407367,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 407367,A000000,03301,0000,3051NUTRITIONAL THERAPY 407367,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 407367,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 407367,A000000,03400,0000,3400CLINIC 407367,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 407367,A000000,04800,0000,4800AMBULANCE 407367,A000000,05100,0000,4750OTHER REIMBURSABLE COST 407367,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 407367,A000000,05300,0000,5300INTEREST EXPENSE 407367,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 407367,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 407367,A000000,05900,0000,5900BARBER & BEAUTY SHOP 407367,A000000,06200,0000,6200PATIENTS LAUNDRY 407367,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 407367,A000000,06301,0000,6151DAY CARE REHAB SERVICES 407367,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 407367,A000000,06303,0000,6153DISTRICT OFFICE SPACE 407367,A81000A,00100,0100,Y 407367,A81000B,00100,0300,HOME OFFICE COSTS 407367,A81000B,00200,0300,LIABILITY INSURANCE 407367,A81000B,00300,0300,WORKERS COMPENSATION 407367,A81000B,00400,0300,PEOPLEFIRST REHAB - PT 407367,A81000B,00500,0300,PEOPLEFIRST REHAB - OT 407367,A81000B,00600,0300,PEOPLEFIRST REHAB - ST 407367,A81000C,00100,0100,B 407367,A81000C,00100,0400,KINDRED HEALTHCARE INC. 407367,A81000C,00100,0600,ADMINISTRATIVE SERVICES 407367,A81000C,00200,0100,B 407367,A81000C,00200,0400,CORNERSTONE INSURANCE CO 407367,A81000C,00200,0600,LIABILITY INSURANCE 407367,A81000C,00300,0600,WORKERS COMPENSATION 407367,A81000C,00400,0100,B 407367,A81000C,00400,0400,PEOPLEFIRST 407367,A81000C,00400,0600,THERAPY SERVICES 407367,A81000C,00500,0400,REHABILITATION 407367,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 407367,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 407367,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 407367,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 407367,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 407367,B100000,00000,0600,0650PATIENTS DAYS :LAUNDRY & LINEN 407367,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 407367,B100000,00000,0800,0850PATIENTS DAYS :DIETARY 407367,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 407367,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 407367,B100000,00000,1000,1050PATIENTS DAYS :CENTRAL SERVICES 407367,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 407367,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 407367,B100000,00000,1300,1330PATIENTS DAYS :SOCIAL SERVICE 407367,B100000,00000,1301,1331PATIENTS DAYS :ACTIVITIES 407367,E10A180,00301,0100,02/08/11 407367,G300000,02500,0000,OTHER 407367,S000000,00100,0200,05/24/11 407367,S200000,00100,0100,276 FOUNTAIN LANE 407367,S200000,00200,0100,KIMBERLING CITY 407367,S200000,00200,0200,MO 407367,S200000,00200,0300,65686 407367,S200000,00300,0100,STONE 407367,S200000,00300,0201,99926 407367,S200000,00300,0300,R 407367,S200000,00400,0100,265 TABLEROCK HEALTHCARE 407367,S200000,00400,0200,265288 407367,S200000,00400,0300,01/01/95 407367,S200000,00400,0500,P 407367,S200000,01500,0100,Y 407367,S200000,01501,0200,Y 407367,S200000,01502,0200,Y 407367,S200000,01503,0200,Y 407367,S200000,01504,0200,Y 407367,S200000,01505,0200,N 407367,S200000,01600,0100,N 407367,S200000,01700,0100,N 407367,S200000,01800,0100,N 407367,S200000,02200,0100,Y 407367,S200000,02800,0100,Y 407367,S200000,02900,0100,N 407367,S200000,03000,0100,N 407367,S200000,03100,0100,N 407367,S200000,03200,0100,N 407367,S200000,03300,0100,N 407367,S200000,03300,0200,N 407367,S200000,04100,0100,N 407367,S200000,04200,0100,N 407367,S200000,04300,0100,N 407367,S200000,04600,0100,N 407367,S200000,04700,0100,N 407367,S200000,04700,0200,N 407367,S200000,04900,0100,N 407367,S200000,05000,0100,N 407367,S200000,05100,0100,N 407367,S200000,05200,0100,N 407367,S200000,05300,0100,Y 407367,S200000,05300,0200,189003 407367,S200000,05400,0100,KINDRED HEALTHCARE INC. 407367,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 407367,S200000,05400,0300,52280 407367,S200000,05500,0100,680 SOUTH FOURTH STREET 407367,S200000,05600,0100,LOUISVILLE 407367,S200000,05600,0200,KY 407367,S200000,05600,0300,40202 408094,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 408094,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 408094,A000000,00300,0000,0300EMPLOYEE BENEFITS 408094,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 408094,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 408094,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 408094,A000000,00700,0000,0700HOUSEKEEPING 408094,A000000,00800,0000,0800DIETARY 408094,A000000,00900,0000,0900NURSING ADMINISTRATION 408094,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 408094,A000000,01100,0000,1100PHARMACY 408094,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 408094,A000000,01300,0000,1300SOCIAL SERVICE 408094,A000000,01500,0000,1350ACTIVITIES 408094,A000000,01600,0000,1600SKILLED NURSING FACILITY 408094,A000000,01800,0000,1800NURSING FACILITY 408094,A000000,01810,0000,1810ICF/MR 408094,A000000,01900,0000,1900OTHER LONG TERM CARE 408094,A000000,02100,0000,2100RADIOLOGY 408094,A000000,02200,0000,2200LABORATORY 408094,A000000,02300,0000,2300INTRAVENOUS THERAPY 408094,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 408094,A000000,02500,0000,2500PHYSICAL THERAPY 408094,A000000,02600,0000,2600OCCUPATIONAL THERAPY 408094,A000000,02700,0000,2700SPEECH PATHOLOGY 408094,A000000,02800,0000,2800ELECTROCARDIOLOGY 408094,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 408094,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 408094,A000000,03200,0000,3200SUPPORT SURFACES 408094,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 408094,A000000,03400,0000,3400CLINIC 408094,A000000,03500,0000,3500RURAL HEALTH CLINIC 408094,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 408094,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 408094,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 408094,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 408094,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 408094,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 408094,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 408094,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 408094,A000000,04400,0000,4400DME RENTED - HHA 408094,A000000,04500,0000,4500DME SOLD - HHA 408094,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 408094,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 408094,A000000,04710,0000,4710TELEMEDICINE 408094,A000000,04800,0000,4800AMBULANCE 408094,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 408094,A000000,05000,0000,5000CORF 408094,A000000,05100,0000,4750OTHER REIMBURSABLE COST 408094,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 408094,A000000,05300,0000,5300INTEREST EXPENSE 408094,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 408094,A000000,05500,0000,5500HOSPICE 408094,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 408094,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 408094,A000000,05900,0000,5900BARBER & BEAUTY SHOP 408094,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 408094,A000000,06100,0000,6100NONPAID WORKERS 408094,A000000,06200,0000,6200PATIENTS LAUNDRY 408094,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 408094,A000000,06301,0000,6151OLTC 408094,A81000A,00100,0100,Y 408094,A81000B,00100,0300,HOME OFFICE - MGT FEES 408094,A81000B,00200,0300,HOME OFFICE-BLDG 408094,A81000B,00300,0300,HOME OFFICE-EQUIP 408094,A81000C,00100,0100,B 408094,A81000C,00100,0400,EMERITUS SENIOR LIVING 408094,A81000C,00100,0600,MANAGEMENT COMPANY 408094,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 408094,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 408094,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 408094,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 408094,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 408094,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 408094,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 408094,B100000,00000,0800,0850PATIENT DAYS :DIETARY 408094,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 408094,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 408094,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 408094,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 408094,S000000,00100,0200,06/01/11 408094,S200000,00100,0100,311 SIMPSON ROAD 408094,S200000,00200,0100,ANDERSON 408094,S200000,00200,0200,SC 408094,S200000,00200,0300,29621-2157 408094,S200000,00300,0100,ANDERSON 408094,S200000,00300,0201,11340 408094,S200000,00300,0300,U 408094,S200000,00400,0100,ANDERSON PLACE 408094,S200000,00400,0200,425398 408094,S200000,00400,0300,10/08/10 408094,S200000,00400,0500,P 408094,S200000,00600,0200,425398 408094,S200000,00600,0300,10/08/10 408094,S200000,00600,0600,O 408094,S200000,01500,0100,Y 408094,S200000,01505,0000,CONTRACT SVCS 408094,S200000,01600,0100,N 408094,S200000,01700,0100,N 408094,S200000,01800,0100,N 408094,S200000,02200,0100,N 408094,S200000,02800,0100,N 408094,S200000,02900,0100,N 408094,S200000,03000,0100,N 408094,S200000,03100,0100,N 408094,S200000,03200,0100,N 408094,S200000,03300,0100,N 408094,S200000,03300,0200,N 408094,S200000,03500,0300,N 408094,S200000,04100,0100,N 408094,S200000,04200,0100,N 408094,S200000,04300,0100,N 408094,S200000,04600,0100,N 408094,S200000,04700,0100,N 408094,S200000,04700,0200,N 408094,S200000,04900,0100,N 408094,S200000,05000,0100,N 408094,S200000,05100,0100,N 408094,S200000,05200,0100,N 408094,S200000,05300,0100,Y 408094,S200000,05300,0200,99999 408094,S200000,05400,0100,EMERITUS SENIOR LIVING INC. 408094,S200000,05400,0200,NGS 408094,S200000,05400,0300,00454 408094,S200000,05500,0100,3131 ELLIOTT AVE STE 500 408094,S200000,05600,0100,SEATTLE 408094,S200000,05600,0200,WA 408094,S200000,05600,0300,98121 409516,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 409516,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 409516,A000000,00300,0000,0300EMPLOYEE BENEFITS 409516,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 409516,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 409516,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 409516,A000000,00700,0000,0700HOUSEKEEPING 409516,A000000,00800,0000,0800DIETARY 409516,A000000,00900,0000,0900NURSING ADMINISTRATION 409516,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 409516,A000000,01100,0000,1100PHARMACY 409516,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 409516,A000000,01300,0000,1300SOCIAL SERVICE 409516,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 409516,A000000,01500,0000,1350OTHER GENERAL SERVICES 409516,A000000,01600,0000,1600SKILLED NURSING FACILITY 409516,A000000,01800,0000,1800NURSING FACILITY 409516,A000000,01810,0000,1810ICF/MR 409516,A000000,01900,0000,1900OTHER LONG TERM CARE 409516,A000000,02100,0000,2100RADIOLOGY 409516,A000000,02200,0000,2200LABORATORY 409516,A000000,02300,0000,2300INTRAVENOUS THERAPY 409516,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 409516,A000000,02500,0000,2500PHYSICAL THERAPY 409516,A000000,02600,0000,2600OCCUPATIONAL THERAPY 409516,A000000,02700,0000,2700SPEECH PATHOLOGY 409516,A000000,02800,0000,2800ELECTROCARDIOLOGY 409516,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 409516,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 409516,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 409516,A000000,03200,0000,3200SUPPORT SURFACES 409516,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 409516,A000000,03400,0000,3400CLINIC 409516,A000000,03500,0000,3500RURAL HEALTH CLINIC 409516,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 409516,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 409516,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 409516,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 409516,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 409516,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 409516,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 409516,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 409516,A000000,04400,0000,4400DME RENTED - HHA 409516,A000000,04500,0000,4500DME SOLD - HHA 409516,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 409516,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 409516,A000000,04710,0000,4710TELEMEDICINE 409516,A000000,04800,0000,4800AMBULANCE 409516,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 409516,A000000,05000,0000,5000CORF 409516,A000000,05100,0000,4750OTHER REIMBURSABLE COST 409516,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 409516,A000000,05300,0000,5300INTEREST EXPENSE 409516,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 409516,A000000,05500,0000,5500HOSPICE 409516,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 409516,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 409516,A000000,05900,0000,5900BARBER & BEAUTY SHOP 409516,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 409516,A000000,06100,0000,6100NONPAID WORKERS 409516,A000000,06200,0000,6200PATIENTS LAUNDRY 409516,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 409516,A81000A,00100,0100,Y 409516,A81000B,00100,0300,H/O CAPITAL - BUILDINGS 409516,A81000B,00200,0300,H/O CAPITAL - EQUIPMENT 409516,A81000B,00300,0300,H/O CAPITAL - G & A 409516,A81000C,00100,0100,A 409516,A81000C,00100,0200,WILLIAM WEISBURG 409516,A81000C,00100,0400,SABER HEALTHCARE GROUP 409516,A81000C,00100,0600,HOME OFFICE 409516,A81000C,00200,0100,A 409516,A81000C,00200,0200,GEORGE REPCHICK 409516,A81000C,00200,0400,SABER HEALTHCARE GROUP 409516,A81000C,00200,0600,HOME OFFICE 409516,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 409516,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 409516,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 409516,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 409516,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 409516,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 409516,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 409516,B100000,00000,0800,0800MEALS SERVED :DIETARY 409516,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 409516,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 409516,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 409516,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 409516,S000000,00100,0200,06/13/11 409516,S200000,00100,0100,140 BRIMLEY DRIVE 409516,S200000,00200,0100,FREDERICKSBURG 409516,S200000,00200,0200,VA 409516,S200000,00200,0300,22406 409516,S200000,00300,0100,STAFFORD 409516,S200000,00300,0201,47894 409516,S200000,00300,0300,U 409516,S200000,00400,0100,STAFFORD HEALTHCARE GROUP INC. 409516,S200000,00400,0200,495407 409516,S200000,00400,0300,10/21/10 409516,S200000,00400,0500,P 409516,S200000,01500,0100,Y 409516,S200000,01501,0200,Y 409516,S200000,01600,0100,N 409516,S200000,01700,0100,N 409516,S200000,01800,0100,N 409516,S200000,02200,0100,N 409516,S200000,02800,0100,N 409516,S200000,02900,0100,N 409516,S200000,03000,0100,N 409516,S200000,03100,0100,N 409516,S200000,03200,0100,N 409516,S200000,03300,0100,N 409516,S200000,03300,0200,N 409516,S200000,04100,0100,N 409516,S200000,04200,0100,N 409516,S200000,04300,0100,N 409516,S200000,04600,0100,N 409516,S200000,04700,0100,N 409516,S200000,04700,0200,N 409516,S200000,04900,0100,N 409516,S200000,05000,0100,N 409516,S200000,05100,0100,N 409516,S200000,05200,0100,N 410737,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 410737,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 410737,A000000,00300,0000,0300EMPLOYEE BENEFITS 410737,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 410737,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 410737,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 410737,A000000,00700,0000,0700HOUSEKEEPING 410737,A000000,00800,0000,0800DIETARY 410737,A000000,00900,0000,0900NURSING ADMINISTRATION 410737,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 410737,A000000,01100,0000,1100PHARMACY 410737,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 410737,A000000,01300,0000,1300SOCIAL SERVICE 410737,A000000,01301,0000,1301ACTIVITIES ICE 410737,A000000,01600,0000,1600SKILLED NURSING FACILITY 410737,A000000,01800,0000,1800NURSING FACILITY 410737,A000000,02100,0000,2100RADIOLOGY 410737,A000000,02200,0000,2200LABORATORY 410737,A000000,02300,0000,2300INTRAVENOUS THERAPY 410737,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 410737,A000000,02500,0000,2500PHYSICAL THERAPY 410737,A000000,02600,0000,2600OCCUPATIONAL THERAPY 410737,A000000,02700,0000,2700SPEECH PATHOLOGY 410737,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 410737,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 410737,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 410737,A000000,03301,0000,3051MEDICAL EQUIPMENT RVICE COST CEN 410737,A000000,04800,0000,4800AMBULANCE 410737,A000000,05900,0000,5900BARBER & BEAUTY SHOP 410737,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 410737,A81000A,00100,0100,Y 410737,A81000B,00100,0300,HOME OFFICE CAPITAL 410737,A81000B,00200,0300,HOME OFFICE NONCAPITAL 410737,A81000B,00300,0300,PHYSICAL THERAPY 410737,A81000B,00400,0300,OCCUPATIONAL THERAPY 410737,A81000B,00500,0300,SPEECH THERAPY 410737,A81000C,00100,0100,A 410737,A81000C,00100,0200,DAYBREAK PARTNERS LLC 410737,A81000C,00100,0400,DAYBREAK VENTURE LLC 410737,A81000C,00100,0600,HOME OFFICE 410737,A81000C,00200,0100,B 410737,A81000C,00200,0200,DAYBREAK THERAPY INC 410737,A81000C,00200,0400,DAYBREAK PARTNERS LLC 410737,A81000C,00200,0600,THERAPY COMPANY 410737,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 410737,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 410737,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 410737,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 410737,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 410737,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 410737,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 410737,B100000,00000,0800,0800MEALS SERVED :DIETARY 410737,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 410737,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 410737,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 410737,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 410737,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 410737,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES ICE 410737,S000000,00100,0200,05/11/11 410737,S200000,00100,0100,902 EAST MAIN STREET 410737,S200000,00200,0100,SAN AUGUSTINE 410737,S200000,00200,0200,TX 410737,S200000,00200,0300,75972 410737,S200000,00300,0100,SAN AUGUSTINE 410737,S200000,00300,0200,67 410737,S200000,00300,0201,99945 410737,S200000,00300,0300,R 410737,S200000,00400,0100,TRINITY NURSING & REHABILITATION L. 410737,S200000,00400,0200,675846 410737,S200000,00400,0300,04/27/04 410737,S200000,00400,0500,P 410737,S200000,01500,0100,Y 410737,S200000,01501,0200,N 410737,S200000,01502,0200,N 410737,S200000,01503,0200,N 410737,S200000,01504,0200,N 410737,S200000,01600,0100,N 410737,S200000,01700,0100,N 410737,S200000,01800,0100,N 410737,S200000,02200,0100,Y 410737,S200000,02800,0100,N 410737,S200000,02900,0100,N 410737,S200000,03000,0100,N 410737,S200000,03100,0100,N 410737,S200000,03200,0100,N 410737,S200000,03300,0100,N 410737,S200000,03300,0200,N 410737,S200000,04100,0100,N 410737,S200000,04200,0100,N 410737,S200000,04300,0100,Y 410737,S200000,04600,0100,N 410737,S200000,04700,0100,N 410737,S200000,04700,0200,N 410737,S200000,04900,0100,N 410737,S200000,05000,0100,N 410737,S200000,05100,0100,N 410737,S200000,05200,0100,N 410944,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 410944,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 410944,A000000,00300,0000,0300EMPLOYEE BENEFITS 410944,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 410944,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 410944,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 410944,A000000,00700,0000,0700HOUSEKEEPING 410944,A000000,00800,0000,0800DIETARY 410944,A000000,00900,0000,0900NURSING ADMINISTRATION 410944,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 410944,A000000,01100,0000,1100PHARMACY 410944,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 410944,A000000,01300,0000,1300SOCIAL SERVICE 410944,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 410944,A000000,01500,0000,1350OTHER GENERAL SERVICES 410944,A000000,01600,0000,1600SKILLED NURSING FACILITY 410944,A000000,01800,0000,1800NURSING FACILITY 410944,A000000,01810,0000,1810ICF/MR 410944,A000000,01900,0000,1900OTHER LONG TERM CARE 410944,A000000,02100,0000,2100RADIOLOGY 410944,A000000,02200,0000,2200LABORATORY 410944,A000000,02300,0000,2300INTRAVENOUS THERAPY 410944,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 410944,A000000,02500,0000,2500PHYSICAL THERAPY 410944,A000000,02600,0000,2600OCCUPATIONAL THERAPY 410944,A000000,02700,0000,2700SPEECH PATHOLOGY 410944,A000000,02800,0000,2800ELECTROCARDIOLOGY 410944,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 410944,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 410944,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 410944,A000000,03200,0000,3200SUPPORT SURFACES 410944,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 410944,A000000,03400,0000,3400CLINIC 410944,A000000,03500,0000,3500RURAL HEALTH CLINIC 410944,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 410944,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 410944,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 410944,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 410944,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 410944,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 410944,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 410944,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 410944,A000000,04400,0000,4400DME RENTED - HHA 410944,A000000,04500,0000,4500DME SOLD - HHA 410944,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 410944,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 410944,A000000,04710,0000,4710TELEMEDICINE 410944,A000000,04800,0000,4800AMBULANCE 410944,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 410944,A000000,05000,0000,5000CORF 410944,A000000,05100,0000,4750OTHER REIMBURSABLE COST 410944,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 410944,A000000,05300,0000,5300INTEREST EXPENSE 410944,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 410944,A000000,05500,0000,5500HOSPICE 410944,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 410944,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 410944,A000000,05900,0000,5900BARBER & BEAUTY SHOP 410944,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 410944,A000000,06100,0000,6100NONPAID WORKERS 410944,A000000,06200,0000,6200PATIENTS LAUNDRY 410944,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 410944,A81000A,00100,0100,Y 410944,A81000B,00100,0300,RENT 410944,A81000C,00100,0100,A 410944,A81000C,00100,0200,BLUE RIDGE INVESTMENTS 410944,A81000C,00100,0400,BLUE RIDGE INVESTMENTS 410944,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 410944,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 410944,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 410944,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 410944,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 410944,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 410944,B100000,00000,0800,0850PATIENT DAYS :DIETARY 410944,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 410944,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 410944,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 410944,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 410944,E10A180,00301,0100,12/22/10 410944,E10A180,00302,0100,01/05/11 410944,E10A180,00303,0100,01/19/11 410944,G300000,02500,0000,VEHICLE USE INCOME 410944,S000000,00100,0200,05/31/11 410944,S200000,00100,0100,605 GREENWOOD DRIVE 410944,S200000,00200,0100,IOWA CITY 410944,S200000,00200,0200,IA 410944,S200000,00200,0300,52246 410944,S200000,00300,0100,JOHNSON 410944,S200000,00300,0200,1690 410944,S200000,00300,0201,26980 410944,S200000,00300,0300,U 410944,S200000,00400,0100,BRIARWOOD HEALTHCARE CENTER 410944,S200000,00400,0200,165172 410944,S200000,00400,0300,02/02/98 410944,S200000,00400,0500,P 410944,S200000,01500,0100,Y 410944,S200000,01501,0200,Y 410944,S200000,01502,0200,Y 410944,S200000,01503,0200,Y 410944,S200000,01504,0200,N 410944,S200000,01600,0100,N 410944,S200000,01700,0100,N 410944,S200000,01800,0100,N 410944,S200000,02200,0100,N 410944,S200000,02800,0100,N 410944,S200000,02900,0100,N 410944,S200000,03000,0100,N 410944,S200000,03100,0100,N 410944,S200000,03200,0100,N 410944,S200000,03300,0100,N 410944,S200000,03300,0200,N 410944,S200000,04100,0100,N 410944,S200000,04200,0100,N 410944,S200000,04300,0100,N 410944,S200000,04600,0100,N 410944,S200000,04700,0100,N 410944,S200000,04700,0200,N 410944,S200000,04900,0100,N 410944,S200000,05000,0100,N 410944,S200000,05100,0100,N 410944,S200000,05200,0100,N 411317,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 411317,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 411317,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 411317,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 411317,A000000,00300,0000,0300EMPLOYEE BENEFITS 411317,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 411317,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 411317,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 411317,A000000,00700,0000,0700HOUSEKEEPING 411317,A000000,00800,0000,0800DIETARY 411317,A000000,00801,0000,0801CAFETERIA 411317,A000000,00900,0000,0900NURSING ADMINISTRATION 411317,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 411317,A000000,01100,0000,1100PHARMACY 411317,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 411317,A000000,01300,0000,1300SOCIAL SERVICE 411317,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 411317,A000000,01500,0000,1350ACTIVITIES 411317,A000000,01600,0000,1600SKILLED NURSING FACILITY 411317,A000000,01810,0000,1810ICF/MR 411317,A000000,02200,0000,2200LABORATORY 411317,A000000,02500,0000,2500PHYSICAL THERAPY 411317,A000000,02600,0000,2600OCCUPATIONAL THERAPY 411317,A000000,02700,0000,2700SPEECH PATHOLOGY 411317,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 411317,A000000,03300,0000,3050ENTERALS 411317,A000000,03301,0000,3051OXYGEN 411317,A000000,03302,0000,3052OTHER ANCILLARY III 411317,A000000,03550,0000,3550FQHC 411317,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 411317,A000000,04710,0000,4710TELEMEDICINE 411317,A000000,04801,0000,4801AMBULANCE 411317,A000000,04802,0000,4802AMBULANCE 411317,A000000,04803,0000,4803AMBULANCE 411317,A000000,05000,0000,5000CORF I 411317,A000000,05001,0000,5001CMHC I 411317,A000000,05010,0000,5010CMHC 411317,A000000,05020,0000,5020OPT I 411317,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 411317,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 411317,A000000,05100,0000,4750OTHER REIMBURSABLE COST 411317,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 411317,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 411317,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 411317,A81000A,00100,0100,N 411317,B100000,00000,0100,0100SQUARE FEET 411317,B100000,00000,0101,0101SQUARE FEET 411317,B100000,00000,0200,0200DOLLAR VALUE 411317,B100000,00000,0201,0201SQUARE FEET 411317,B100000,00000,0300,0300GROSS SALARIES 411317,B100000,00000,0400,0400ACCUM. COST 411317,B100000,00000,0500,0500SQUARE FEET 411317,B100000,00000,0600,0600PATIENT DAYS 411317,B100000,00000,0700,0700SQUARE FEET 411317,B100000,00000,0800,0800MEALS SERVED 411317,B100000,00000,0801,0801MEALS SERVED 411317,B100000,00000,0900,0900PATIENT DAYS 411317,B100000,00000,1000,1000PATIENT DAYS 411317,B100000,00000,1100,1100PATIENT DAYS 411317,B100000,00000,1200,1200PATIENT DAYS 411317,B100000,00000,1300,1300PATIENT DAYS 411317,B100000,00000,1400,1400ASSIGNED T 411317,B100000,00000,1500,1350PATIENT DAYS 411317,S000000,00100,0200,05/31/11 411317,S200000,00100,0100,701 SOUTH MAIN STREET 411317,S200000,00200,0100,RISON 411317,S200000,00200,0200,AR 411317,S200000,00200,0300,71665 411317,S200000,00300,0100,CLEVELAND 411317,S200000,00300,0201,38220 411317,S200000,00300,0300,U 411317,S200000,00400,0100,GREEN HOUSE COTTAGES 411317,S200000,00400,0200,045377 411317,S200000,00400,0300,11/01/10 411317,S200000,00400,0500,P 411317,S200000,01500,0100,Y 411317,S200000,01501,0200,Y 411317,S200000,01502,0200,N 411317,S200000,01503,0200,Y 411317,S200000,01504,0200,N 411317,S200000,01505,0000,OTHER (SPECIFY) 411317,S200000,01505,0200,N 411317,S200000,01600,0100,N 411317,S200000,01700,0100,N 411317,S200000,01800,0100,N 411317,S200000,02200,0100,N 411317,S200000,02800,0100,N 411317,S200000,02900,0100,N 411317,S200000,03000,0100,N 411317,S200000,03100,0100,N 411317,S200000,03200,0100,N 411317,S200000,03300,0100,N 411317,S200000,03300,0200,N 411317,S200000,04200,0100,N 411317,S200000,04300,0100,N 411317,S200000,04600,0100,N 411317,S200000,04700,0100,N 411317,S200000,04900,0100,N 411317,S200000,05200,0100,N 411317,S200000,05300,0100,N 411508,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 411508,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 411508,A000000,00300,0000,0300EMPLOYEE BENEFITS 411508,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 411508,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 411508,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 411508,A000000,00700,0000,0700HOUSEKEEPING 411508,A000000,00800,0000,0800DIETARY 411508,A000000,00900,0000,0900NURSING ADMINISTRATION 411508,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 411508,A000000,01100,0000,1100PHARMACY 411508,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 411508,A000000,01300,0000,1300SOCIAL SERVICE 411508,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 411508,A000000,01500,0000,1350ACTIVITIES 411508,A000000,01600,0000,1600SKILLED NURSING FACILITY 411508,A000000,01800,0000,1800NURSING FACILITY 411508,A000000,01810,0000,1810ICF/MR 411508,A000000,01900,0000,1900OTHER LONG TERM CARE 411508,A000000,02100,0000,2100RADIOLOGY 411508,A000000,02200,0000,2200LABORATORY 411508,A000000,02300,0000,2300INTRAVENOUS THERAPY 411508,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 411508,A000000,02500,0000,2500PHYSICAL THERAPY 411508,A000000,02600,0000,2600OCCUPATIONAL THERAPY 411508,A000000,02700,0000,2700SPEECH PATHOLOGY 411508,A000000,02800,0000,2800ELECTROCARDIOLOGY 411508,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 411508,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 411508,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 411508,A000000,03200,0000,3200SUPPORT SURFACES 411508,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 411508,A000000,03400,0000,3400CLINIC 411508,A000000,03500,0000,3500RURAL HEALTH CLINIC 411508,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 411508,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 411508,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 411508,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 411508,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 411508,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 411508,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 411508,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 411508,A000000,04400,0000,4400DME RENTED - HHA 411508,A000000,04500,0000,4500DME SOLD - HHA 411508,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 411508,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 411508,A000000,04710,0000,4710TELEMEDICINE 411508,A000000,04800,0000,4800AMBULANCE 411508,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 411508,A000000,05000,0000,5000CORF 411508,A000000,05100,0000,4750OTHER REIMBURSABLE COST 411508,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 411508,A000000,05300,0000,5300INTEREST EXPENSE 411508,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 411508,A000000,05500,0000,5500HOSPICE 411508,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 411508,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 411508,A000000,05900,0000,5900BARBER & BEAUTY SHOP 411508,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 411508,A000000,06100,0000,6100NONPAID WORKERS 411508,A000000,06200,0000,6200PATIENTS LAUNDRY 411508,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 411508,A81000A,00100,0100,Y 411508,A81000B,00100,0300,HOME OFFICE COSTS 411508,A81000B,00200,0300,CAPITAL COSTS 411508,A81000C,00100,0100,A 411508,A81000C,00100,0200,MIKE HAMM 411508,A81000C,00100,0400,HAWKEYE HOME OFFICE LLC 411508,A81000C,00100,0600,MANAGEMENT 411508,A81000C,00200,0100,A 411508,A81000C,00200,0200,MIKE HAMM 411508,A81000C,00200,0400,LTC RESOURCES 411508,A81000C,00200,0600,QUALITY ASSURANCE 411508,A81000C,00300,0100,A 411508,A81000C,00300,0200,DOUG JOHNSON 411508,A81000C,00300,0400,LTC RESOURCES 411508,A81000C,00300,0600,QUALITY ASSURANCE 411508,A81000C,00400,0100,A 411508,A81000C,00400,0200,MIKE HAMM 411508,A81000C,00400,0400,PREMIER HEALTH SERVICES 411508,A81000C,00400,0600,THERAPY SERVICES 411508,A81000C,00500,0100,A 411508,A81000C,00500,0200,DOUG JOHNSON 411508,A81000C,00500,0400,PREMIER HEALTH SERVICES 411508,A81000C,00500,0600,THERAPY SERVICES 411508,A81000C,00600,0100,A 411508,A81000C,00600,0200,DOUG JOHNSON 411508,A81000C,00600,0400,MAXLINE 411508,A81000C,00600,0600,PURCHASING SERVICES 411508,A81000C,00700,0100,A 411508,A81000C,00700,0200,MICHELLE ELSESSER 411508,A81000C,00700,0400,LTC RESOURCES 411508,A81000C,00700,0600,QUALITY ASSURANCE 411508,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 411508,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 411508,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 411508,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 411508,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 411508,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 411508,B100000,00000,0800,0850PATIENT DAYS :DIETARY 411508,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 411508,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 411508,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 411508,E10A180,00301,0100,11/26/10 411508,E10A180,00302,0100,12/09/10 411508,E10A180,00303,0100,12/23/10 411508,G300000,02500,0000,VEHICLE USE 411508,G300000,02510,0000,PERSONAL PURCHASES 411508,G300000,02512,0000,MISCELLANEOUS 411508,S000000,00100,0200,05/31/11 411508,S200000,00100,0100,2241 N. WEST STREET 411508,S200000,00200,0100,CARROLL 411508,S200000,00200,0200,IA 411508,S200000,00200,0300,51401 411508,S200000,00300,0100,CARROLL 411508,S200000,00300,0200,16 411508,S200000,00300,0201,99916 411508,S200000,00300,0300,R 411508,S200000,00400,0100,CARROLL HEALTH CENTER 411508,S200000,00400,0200,165455 411508,S200000,00400,0300,04/15/02 411508,S200000,00400,0500,P 411508,S200000,01500,0100,Y 411508,S200000,01501,0200,Y 411508,S200000,01502,0200,N 411508,S200000,01503,0200,Y 411508,S200000,01504,0200,N 411508,S200000,01600,0100,N 411508,S200000,01700,0100,N 411508,S200000,01800,0100,N 411508,S200000,02200,0100,N 411508,S200000,02800,0100,N 411508,S200000,02900,0100,N 411508,S200000,03000,0100,N 411508,S200000,03100,0100,N 411508,S200000,03200,0100,N 411508,S200000,03300,0100,N 411508,S200000,03300,0200,N 411508,S200000,04100,0100,N 411508,S200000,04200,0100,N 411508,S200000,04300,0100,N 411508,S200000,04600,0100,N 411508,S200000,04700,0100,N 411508,S200000,04700,0200,N 411508,S200000,04900,0100,N 411508,S200000,05000,0100,N 411508,S200000,05100,0100,N 411508,S200000,05200,0100,N 411508,S200000,05300,0100,Y 411508,S200000,05300,0200,HO0178 411508,S200000,05400,0100,HAWKEYE HOME OFFICE LLC 411508,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 411508,S200000,05400,0300,05101 411508,S200000,05500,0100,6750 WESTOWN PARKWAY SUITE 100 411508,S200000,05600,0100,WEST DES MOINES 411508,S200000,05600,0200,IA 411508,S200000,05600,0300,50266 411620,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 411620,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 411620,A000000,00300,0000,0300EMPLOYEE BENEFITS 411620,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 411620,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 411620,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 411620,A000000,00700,0000,0700HOUSEKEEPING 411620,A000000,00800,0000,0800DIETARY 411620,A000000,00900,0000,0900NURSING ADMINISTRATION 411620,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 411620,A000000,01100,0000,1100PHARMACY 411620,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 411620,A000000,01300,0000,1300SOCIAL SERVICE 411620,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 411620,A000000,01500,0000,1350OTHER GENERAL SERVICES 411620,A000000,01600,0000,1600SKILLED NURSING FACILITY 411620,A000000,01800,0000,1800NURSING FACILITY 411620,A000000,01810,0000,1810ICF/MR 411620,A000000,01900,0000,1900OTHER LONG TERM CARE 411620,A000000,02100,0000,2100RADIOLOGY 411620,A000000,02200,0000,2200LABORATORY 411620,A000000,02300,0000,2300INTRAVENOUS THERAPY 411620,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 411620,A000000,02500,0000,2500PHYSICAL THERAPY 411620,A000000,02600,0000,2600OCCUPATIONAL THERAPY 411620,A000000,02700,0000,2700SPEECH PATHOLOGY 411620,A000000,02800,0000,2800ELECTROCARDIOLOGY 411620,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 411620,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 411620,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 411620,A000000,03200,0000,3200SUPPORT SURFACES 411620,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 411620,A000000,03400,0000,3400CLINIC 411620,A000000,03500,0000,3500RURAL HEALTH CLINIC 411620,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 411620,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 411620,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 411620,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 411620,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 411620,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 411620,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 411620,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 411620,A000000,04400,0000,4400DME RENTED - HHA 411620,A000000,04500,0000,4500DME SOLD - HHA 411620,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 411620,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 411620,A000000,04710,0000,4710TELEMEDICINE 411620,A000000,04800,0000,4800AMBULANCE 411620,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 411620,A000000,05000,0000,5000CORF 411620,A000000,05100,0000,4750OTHER REIMBURSABLE COST 411620,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 411620,A000000,05300,0000,5300INTEREST EXPENSE 411620,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 411620,A000000,05500,0000,5500HOSPICE 411620,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 411620,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 411620,A000000,05900,0000,5900BARBER & BEAUTY SHOP 411620,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 411620,A000000,06100,0000,6100NONPAID WORKERS 411620,A000000,06200,0000,6200PATIENTS LAUNDRY 411620,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 411620,A81000A,00100,0100,Y 411620,A81000B,00100,0300,ASSISTANT ADMINISTRATOR 411620,A81000B,00200,0300,RENT 411620,A81000C,00100,0100,A 411620,A81000C,00100,0200,JUDAH BIENSTOCK 411620,A81000C,00100,0400,JUDAH BIENSTOCK 411620,A81000C,00100,0600,OWNER 411620,A81000C,00200,0100,A 411620,A81000C,00200,0200,OAKLAND REALTY 411620,A81000C,00200,0400,OAKLAND REALTY 411620,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 411620,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 411620,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 411620,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 411620,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 411620,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 411620,B100000,00000,0800,0850PATIENT DAYS :DIETARY 411620,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 411620,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 411620,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 411620,G300000,02500,0000,BEAUTY & BARBER 411620,G300000,02510,0000,PERSONAL PURCHASES 411620,G300000,02511,0000,NURSE EXP REIMB 411620,S000000,00100,0200,05/27/11 411620,S200000,00100,0100,747 NORTH HIGHWAY 411620,S200000,00100,0300,459 411620,S200000,00200,0100,OAKLAND 411620,S200000,00200,0200,IA 411620,S200000,00200,0300,51560 411620,S200000,00300,0100,POTTAWATAMIE 411620,S200000,00300,0200,1630 411620,S200000,00300,0201,36540 411620,S200000,00300,0300,U 411620,S200000,00400,0100,OAKLAND MANOR 411620,S200000,00400,0200,165230 411620,S200000,00400,0300,07/01/94 411620,S200000,00400,0500,P 411620,S200000,01500,0100,Y 411620,S200000,01501,0200,Y 411620,S200000,01502,0200,Y 411620,S200000,01503,0200,N 411620,S200000,01504,0200,Y 411620,S200000,01600,0100,N 411620,S200000,01700,0100,N 411620,S200000,01800,0100,N 411620,S200000,02200,0100,N 411620,S200000,02800,0100,N 411620,S200000,02900,0100,N 411620,S200000,03000,0100,N 411620,S200000,03100,0100,N 411620,S200000,03200,0100,N 411620,S200000,03300,0100,N 411620,S200000,03300,0200,N 411620,S200000,04100,0100,N 411620,S200000,04200,0100,N 411620,S200000,04300,0100,N 411620,S200000,04600,0100,N 411620,S200000,04700,0100,N 411620,S200000,04700,0200,N 411620,S200000,04900,0100,N 411620,S200000,05000,0100,N 411620,S200000,05100,0100,N 411620,S200000,05200,0100,N 411620,S200000,05300,0100,N 412598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 412598,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 412598,A000000,00300,0000,0300EMPLOYEE BENEFITS 412598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 412598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 412598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 412598,A000000,00700,0000,0700HOUSEKEEPING 412598,A000000,00800,0000,0800DIETARY 412598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 412598,A000000,01300,0000,1300SOCIAL SERVICE 412598,A000000,01500,0000,1350RECREATION 412598,A000000,01600,0000,1600SKILLED NURSING FACILITY 412598,A000000,01800,0000,1800NURSING FACILITY 412598,A000000,01810,0000,1810ICF/MR 412598,A000000,01900,0000,1900OTHER LONG TERM CARE 412598,A000000,02100,0000,2100RADIOLOGY 412598,A000000,02200,0000,2200LABORATORY 412598,A000000,02300,0000,2300INTRAVENOUS THERAPY 412598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 412598,A000000,02500,0000,2500PHYSICAL THERAPY 412598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 412598,A000000,02700,0000,2700SPEECH PATHOLOGY 412598,A000000,02800,0000,2800ELECTROCARDIOLOGY 412598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 412598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 412598,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 412598,A000000,03200,0000,3200SUPPORT SURFACES 412598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 412598,A000000,03400,0000,3400CLINIC 412598,A000000,03500,0000,3500RURAL HEALTH CLINIC 412598,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 412598,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 412598,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 412598,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 412598,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 412598,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 412598,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 412598,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 412598,A000000,04400,0000,4400DME RENTED - HHA 412598,A000000,04500,0000,4500DME SOLD - HHA 412598,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 412598,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 412598,A000000,04710,0000,4710TELEMEDICINE 412598,A000000,04800,0000,4800AMBULANCE 412598,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 412598,A000000,05000,0000,5000CORF 412598,A000000,05100,0000,4750OTHER REIMBURSABLE COST 412598,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 412598,A000000,05300,0000,5300INTEREST EXPENSE 412598,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 412598,A000000,05500,0000,5500HOSPICE 412598,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 412598,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 412598,A000000,05900,0000,5900BARBER & BEAUTY SHOP 412598,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 412598,A000000,06100,0000,6100NONPAID WORKERS 412598,A000000,06200,0000,6200PATIENTS LAUNDRY 412598,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 412598,A81000A,00100,0100,Y 412598,A81000B,00100,0300,MANAGEMENT FEES 412598,A81000B,00200,0300,DIETICIAN 412598,A81000C,00100,0100,A 412598,A81000C,00100,0200,GARY BLAKE 412598,A81000C,00100,0400,CREATIVE SOLUTIONS IN HC 412598,A81000C,00100,0600,MANAGEMENT AND DIETARY 412598,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 412598,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 412598,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 412598,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 412598,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 412598,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 412598,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 412598,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 412598,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 412598,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 412598,B100000,00000,1500,1350RESIDENT DAYS :RECREATION 412598,S000000,00100,0200,05/31/11 412598,S200000,00100,0100,930 ROY RICHARD DR 412598,S200000,00200,0100,SCHERTZ 412598,S200000,00200,0200,TX 412598,S200000,00200,0300,78154 412598,S200000,00300,0100,GUADALUPE 412598,S200000,00300,0201,00045 412598,S200000,00300,0300,U 412598,S200000,00400,0100,SILVER TREE NURSING AND REHABILITATI 412598,S200000,00400,0200,676121 412598,S200000,00400,0300,11/01/10 412598,S200000,00400,0500,P 412598,S200000,01500,0100,Y 412598,S200000,01501,0200,Y 412598,S200000,01503,0200,Y 412598,S200000,01600,0100,N 412598,S200000,01700,0100,N 412598,S200000,01800,0100,N 412598,S200000,02200,0100,N 412598,S200000,02800,0100,N 412598,S200000,02900,0100,N 412598,S200000,03000,0100,N 412598,S200000,03100,0100,N 412598,S200000,03200,0100,N 412598,S200000,03300,0100,N 412598,S200000,03300,0200,N 412598,S200000,04100,0100,N 412598,S200000,04200,0100,N 412598,S200000,04300,0100,N 412598,S200000,04600,0100,N 412598,S200000,04700,0100,N 412598,S200000,04700,0200,N 412598,S200000,04900,0100,N 412598,S200000,05000,0100,N 412598,S200000,05100,0100,N 412598,S200000,05200,0100,N 412843,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 412843,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 412843,A000000,00300,0000,0300EMPLOYEE BENEFITS 412843,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 412843,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 412843,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 412843,A000000,00700,0000,0700HOUSEKEEPING 412843,A000000,00800,0000,0800DIETARY 412843,A000000,00900,0000,0900NURSING ADMINISTRATION 412843,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 412843,A000000,01100,0000,1100PHARMACY 412843,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 412843,A000000,01201,0000,1201 ACTIVITY SERVICE 412843,A000000,01300,0000,1300SOCIAL SERVICE 412843,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 412843,A000000,01500,0000,1350OTHER GENERAL SERVICES 412843,A000000,01600,0000,1600SKILLED NURSING FACILITY 412843,A000000,01800,0000,1800NURSING FACILITY 412843,A000000,01810,0000,1810ICF/MR 412843,A000000,01900,0000,1900OTHER LONG TERM CARE 412843,A000000,02100,0000,2100RADIOLOGY 412843,A000000,02200,0000,2200LABORATORY 412843,A000000,02300,0000,2300INTRAVENOUS THERAPY 412843,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 412843,A000000,02500,0000,2500PHYSICAL THERAPY 412843,A000000,02600,0000,2600OCCUPATIONAL THERAPY 412843,A000000,02700,0000,2700SPEECH PATHOLOGY 412843,A000000,02800,0000,2800ELECTROCARDIOLOGY 412843,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 412843,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 412843,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 412843,A000000,03200,0000,3200SUPPORT SURFACES 412843,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 412843,A000000,03400,0000,3400CLINIC 412843,A000000,03500,0000,3500RURAL HEALTH CLINIC 412843,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 412843,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 412843,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 412843,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 412843,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 412843,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 412843,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 412843,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 412843,A000000,04400,0000,4400DME RENTED - HHA 412843,A000000,04500,0000,4500DME SOLD - HHA 412843,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 412843,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 412843,A000000,04710,0000,4710TELEMEDICINE 412843,A000000,04800,0000,4800AMBULANCE 412843,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 412843,A000000,05000,0000,5000CORF 412843,A000000,05100,0000,4750OTHER REIMBURSABLE COST 412843,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 412843,A000000,05300,0000,5300INTEREST EXPENSE 412843,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 412843,A000000,05500,0000,5500HOSPICE 412843,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 412843,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 412843,A000000,05900,0000,5900BARBER & BEAUTY SHOP 412843,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 412843,A000000,06100,0000,6100NONPAID WORKERS 412843,A000000,06200,0000,6200PATIENTS LAUNDRY 412843,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 412843,A81000A,00100,0100,Y 412843,A81000B,00100,0300,ADMIN & GENERAL SALARIES 412843,A81000B,00200,0300,ADMINISTRATOR & ADMISSIONS SALARIES 412843,A81000B,00300,0300,NURSING ADMINISTRATION/DON 412843,A81000B,00400,0300,NURSIG DIRECT CARE-QA 412843,A81000C,00100,0100,B 412843,A81000C,00100,0400,PARAMOUNT HEALTH CARE CO 412843,A81000C,00100,0600,NURSING HOME ADMINISTRATI 412843,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 412843,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 412843,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 412843,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 412843,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 412843,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 412843,B100000,00000,0800,0800MEALS SERVED :DIETARY 412843,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 412843,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 412843,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 412843,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 412843,B100000,00000,1201,1201TIME SPENT : ACTIVITY SERVICE 412843,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 412843,S000000,00100,0200,05/31/11 412843,S200000,00100,0100,2101 FRATE BARKER ROAD 412843,S200000,00200,0100,AUSTIN 412843,S200000,00200,0200,TX 412843,S200000,00200,0300,78748 412843,S200000,00300,0100,TRAVIS 412843,S200000,00300,0200,0640 412843,S200000,00300,0201,12420 412843,S200000,00300,0300,U 412843,S200000,00400,0100,SOUTH OAKS REHABILITATION & HEALTHCA 412843,S200000,00400,0200,676267 412843,S200000,00400,0300,10/28/10 412843,S200000,00400,0500,P 412843,S200000,01500,0100,Y 412843,S200000,01501,0200,N 412843,S200000,01502,0200,Y 412843,S200000,01503,0200,N 412843,S200000,01504,0200,Y 412843,S200000,01600,0100,N 412843,S200000,01700,0100,N 412843,S200000,01800,0100,N 412843,S200000,02200,0100,N 412843,S200000,02800,0100,N 412843,S200000,02900,0100,N 412843,S200000,03000,0100,N 412843,S200000,03100,0100,N 412843,S200000,03200,0100,N 412843,S200000,03300,0100,N 412843,S200000,03300,0200,N 412843,S200000,04100,0100,N 412843,S200000,04200,0100,N 412843,S200000,04300,0100,N 412843,S200000,04600,0100,N 412843,S200000,04700,0100,N 412843,S200000,04700,0200,N 412843,S200000,04900,0100,N 412843,S200000,05000,0100,N 412843,S200000,05100,0100,N 412843,S200000,05200,0100,N 413049,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 413049,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 413049,A000000,00300,0000,0300EMPLOYEE BENEFITS 413049,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413049,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 413049,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413049,A000000,00700,0000,0700HOUSEKEEPING 413049,A000000,00800,0000,0800DIETARY 413049,A000000,00900,0000,0900NURSING ADMINISTRATION 413049,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413049,A000000,01100,0000,1100PHARMACY 413049,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413049,A000000,01300,0000,1300SOCIAL SERVICE 413049,A000000,01600,0000,1600SKILLED NURSING FACILITY 413049,A000000,01800,0000,1800NURSING FACILITY 413049,A000000,02100,0000,2100RADIOLOGY 413049,A000000,02200,0000,2200LABORATORY 413049,A000000,02300,0000,2300INTRAVENOUS THERAPY 413049,A000000,02500,0000,2500PHYSICAL THERAPY 413049,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413049,A000000,02700,0000,2700SPEECH PATHOLOGY 413049,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 413049,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413049,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413049,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 413049,A81000A,00100,0100,Y 413049,A81000B,00100,0300,CAPITAL RELATED CENTR OFFC COSTS 413049,A81000B,00200,0300,NON-CAPITAL RELATED CENTR OFFC COSTS 413049,A81000B,00300,0300,CONTRACTED PT COSTS 413049,A81000B,00400,0300,CONTRACTED OT COSTS 413049,A81000B,00500,0300,CONTRACTED ST COSTS 413049,A81000B,00600,0300,REMOVE RELATED PARTY RENT 413049,A81000B,00700,0300,ADD BACK ALLOWABLE BLDG DEPR 413049,A81000B,00800,0300,ADD BACK ALLOWABLE BLDG INT 413049,A81000B,00900,0300,ADD BACK EQUIP DEPR 413049,A81000B,01000,0300,REL PARTY ACTIVITIES CONTRACTOR 413049,A81000B,01100,0300,REL PARTY MEDICAL SUPPLIES 413049,A81000C,00100,0100,A 413049,A81000C,00100,0200,JOHN F. TAYLOR 413049,A81000C,00100,0400,REHAB PRO II LP 413049,A81000C,00100,0600,REL THERAPY CO 413049,A81000C,00200,0100,A 413049,A81000C,00200,0200,JIM FISHER 413049,A81000C,00200,0400,REHAB PRO II LP 413049,A81000C,00200,0600,REL THERAPY CO 413049,A81000C,00300,0100,A 413049,A81000C,00300,0200,PAULA PIERCE 413049,A81000C,00300,0400,REHAB PRO II LP 413049,A81000C,00300,0600,REL THERAPY CO 413049,A81000C,00400,0100,A 413049,A81000C,00400,0200,PAM PERPICH 413049,A81000C,00400,0400,REHAB PRO II LP 413049,A81000C,00400,0600,REL THERAPY CO 413049,A81000C,00500,0100,B 413049,A81000C,00500,0200,LIFETIME WELLNESS LP 413049,A81000C,00500,0600,REL ACTIVITIES CONTRACTOR 413049,A81000C,00600,0100,B 413049,A81000C,00600,0200,GBT MEDICAL SUPPLY LP 413049,A81000C,00600,0600,REL MEDICAL SUPPLY 413049,A81000C,00700,0100,A 413049,A81000C,00700,0200,JOHN F. TAYLOR 413049,A81000C,00700,0400,STONEGATE SENIOR CARE LP 413049,A81000C,00700,0600,REL MGMT CO 413049,A81000C,00800,0100,A 413049,A81000C,00800,0200,JIM FISHER 413049,A81000C,00800,0400,STONEGATE SENIOR CARE LP 413049,A81000C,00800,0600,REL MGMT CO 413049,A81000C,00900,0100,A 413049,A81000C,00900,0200,PAULA PIERCE 413049,A81000C,00900,0400,STONEGATE SENIOR CARE LP 413049,A81000C,00900,0600,REL MGMT CO 413049,A81000C,01000,0100,A 413049,A81000C,01000,0200,PAM PERPICH 413049,A81000C,01000,0400,STONEGATE SENIOR CARE LP 413049,A81000C,01000,0600,REL MGMT CO 413049,A81000C,01001,0100,B 413049,A81000C,01001,0200,JSC LAKE HIGHLANDS REALTY 413049,A81000C,01001,0600,REL PARTY LANDLORD 413049,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 413049,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 413049,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 413049,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 413049,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 413049,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 413049,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 413049,B100000,00000,0800,0850INPATIENT DAYS :DIETARY 413049,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 413049,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 413049,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 413049,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 413049,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 413049,S000000,00100,0200,06/01/11 413049,S200000,00100,0100,8615 LULLWATER DR 413049,S200000,00200,0100,DALLAS 413049,S200000,00200,0200,TX 413049,S200000,00200,0300,75238 413049,S200000,00300,0100,DALLAS 413049,S200000,00300,0200,1920 413049,S200000,00300,0201,19124 413049,S200000,00300,0300,U 413049,S200000,00400,0100,VILLAGES OF LAKE HIGHLANDS 413049,S200000,00400,0200,676268 413049,S200000,00400,0300,11/19/10 413049,S200000,00400,0500,P 413049,S200000,01500,0100,Y 413049,S200000,01501,0200,Y 413049,S200000,01502,0200,Y 413049,S200000,01503,0200,Y 413049,S200000,01504,0200,Y 413049,S200000,01600,0100,N 413049,S200000,01700,0100,N 413049,S200000,01800,0100,N 413049,S200000,02200,0100,N 413049,S200000,02800,0100,N 413049,S200000,02900,0100,N 413049,S200000,03000,0100,N 413049,S200000,03100,0100,N 413049,S200000,03200,0100,N 413049,S200000,03300,0100,N 413049,S200000,03300,0200,N 413049,S200000,04100,0100,N 413049,S200000,04200,0100,N 413049,S200000,04300,0100,N 413049,S200000,04600,0100,N 413049,S200000,04700,0100,N 413049,S200000,04700,0200,N 413049,S200000,04900,0100,N 413049,S200000,05000,0100,N 413049,S200000,05100,0100,N 413049,S200000,05200,0100,N 413110,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 413110,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 413110,A000000,00300,0000,0300EMPLOYEE BENEFITS 413110,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413110,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 413110,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413110,A000000,00700,0000,0700HOUSEKEEPING 413110,A000000,00800,0000,0800DIETARY 413110,A000000,00900,0000,0900NURSING ADMINISTRATION 413110,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413110,A000000,01100,0000,1100PHARMACY 413110,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413110,A000000,01300,0000,1300SOCIAL SERVICE 413110,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 413110,A000000,01500,0000,1350ACTIVITIES AL SERVICES 413110,A000000,01600,0000,1600SKILLED NURSING FACILITY 413110,A000000,01800,0000,1800NURSING FACILITY 413110,A000000,01810,0000,1810ICF/MR 413110,A000000,01900,0000,1900OTHER LONG TERM CARE 413110,A000000,02100,0000,2100RADIOLOGY 413110,A000000,02200,0000,2200LABORATORY 413110,A000000,02300,0000,2300INTRAVENOUS THERAPY 413110,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 413110,A000000,02500,0000,2500PHYSICAL THERAPY 413110,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413110,A000000,02700,0000,2700SPEECH PATHOLOGY 413110,A000000,02800,0000,2800ELECTROCARDIOLOGY 413110,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 413110,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413110,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 413110,A000000,03200,0000,3200SUPPORT SURFACES 413110,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 413110,A000000,03400,0000,3400CLINIC 413110,A000000,03500,0000,3500RURAL HEALTH CLINIC 413110,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 413110,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 413110,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 413110,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 413110,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 413110,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 413110,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 413110,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 413110,A000000,04400,0000,4400DME RENTED - HHA 413110,A000000,04500,0000,4500DME SOLD - HHA 413110,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 413110,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 413110,A000000,04800,0000,4800AMBULANCE 413110,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 413110,A000000,05000,0000,5000CORF 413110,A000000,05100,0000,4750OTHER REIMBURSABLE COST 413110,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 413110,A000000,05300,0000,5300INTEREST EXPENSE 413110,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 413110,A000000,05500,0000,5500HOSPICE 413110,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 413110,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 413110,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413110,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 413110,A000000,06100,0000,6100NONPAID WORKERS 413110,A000000,06200,0000,6200PATIENTS LAUNDRY 413110,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 413110,A81000A,00100,0100,Y 413110,A81000B,00100,0300,CAPITAL COSTS 413110,A81000B,00200,0300,BENEFITS 413110,A81000B,00300,0300,A&G SALARY 413110,A81000B,00400,0300,A&G OTHER 413110,A81000B,00500,0300,PLANT SALARY 413110,A81000B,00600,0300,PLANT OTHER 413110,A81000B,00700,0300,DIETARY SALARY 413110,A81000B,00800,0300,NURSING SALARY 413110,A81000B,00900,0300,MANAGEMENT FEES 413110,A81000C,00100,0100,B 413110,A81000C,00100,0200,TRILOGY HEALTHCARE 413110,A81000C,00100,0400,TRILOGY HEALTHCARE 413110,A81000C,00100,0600,MANAGEMENT 413110,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 413110,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 413110,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 413110,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 413110,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 413110,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 413110,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 413110,B100000,00000,0800,0800MEALS SERVED :DIETARY 413110,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 413110,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 413110,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 413110,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 413110,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 413110,S000000,00100,0200,05/27/11 413110,S200000,00100,0100,4114 NORTH STATE ROUTE 376 NW 413110,S200000,00200,0100,MCCONNELSVILLE 413110,S200000,00200,0200,OH 413110,S200000,00200,0300,43756 413110,S200000,00300,0100,MORGAN 413110,S200000,00300,0200,36 413110,S200000,00300,0201,99936 413110,S200000,00300,0300,R 413110,S200000,00400,0100,HIGHLAND OAKS - MC CONNELSVILLE 413110,S200000,00400,0200,365147 413110,S200000,00400,0300,01/01/67 413110,S200000,00400,0500,P 413110,S200000,00400,0600,P 413110,S200000,01500,0100,Y 413110,S200000,01501,0200,Y 413110,S200000,01502,0200,Y 413110,S200000,01600,0100,N 413110,S200000,01700,0100,N 413110,S200000,01800,0100,N 413110,S200000,02200,0100,N 413110,S200000,02800,0100,N 413110,S200000,02900,0100,N 413110,S200000,03000,0100,N 413110,S200000,03100,0100,Y 413110,S200000,03200,0100,N 413110,S200000,03300,0100,N 413110,S200000,03300,0200,N 413110,S200000,04100,0100,N 413110,S200000,04200,0100,N 413110,S200000,04300,0100,Y 413110,S200000,04600,0100,N 413110,S200000,04700,0100,N 413110,S200000,04700,0200,N 413110,S200000,04900,0100,N 413110,S200000,05000,0100,N 413110,S200000,05100,0100,N 413110,S200000,05200,0100,N 413120,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 413120,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 413120,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 413120,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 413120,A000000,00300,0000,0300EMPLOYEE BENEFITS 413120,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413120,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 413120,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413120,A000000,00700,0000,0700HOUSEKEEPING 413120,A000000,00800,0000,0800DIETARY 413120,A000000,00801,0000,0801CAFETERIA 413120,A000000,00900,0000,0900NURSING ADMINISTRATION 413120,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413120,A000000,01100,0000,1100PHARMACY 413120,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413120,A000000,01300,0000,1300SOCIAL SERVICE 413120,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 413120,A000000,01500,0000,1350ACTIVITIES 413120,A000000,01600,0000,1600SKILLED NURSING FACILITY 413120,A000000,01800,0000,1800NURSING FACILITY 413120,A000000,01900,0000,1900OTHER LONG TERM CARE 413120,A000000,02100,0000,2100RADIOLOGY 413120,A000000,02200,0000,2200LABORATORY 413120,A000000,02300,0000,2300INTRAVENOUS THERAPY 413120,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 413120,A000000,02500,0000,2500PHYSICAL THERAPY 413120,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413120,A000000,02700,0000,2700SPEECH PATHOLOGY 413120,A000000,02800,0000,2800ELECTROCARDIOLOGY 413120,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 413120,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413120,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 413120,A000000,03200,0000,3200SUPPORT SURFACES 413120,A000000,03300,0000,3050ENTERALS 413120,A000000,03301,0000,3051OXYGEN 413120,A000000,03302,0000,3052OTHER ANCILLARY III 413120,A000000,03400,0000,3400CLINIC 413120,A000000,03500,0000,3500RURAL HEALTH CLINIC 413120,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 413120,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 413120,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 413120,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 413120,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 413120,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 413120,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 413120,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 413120,A000000,04400,0000,4400DME RENTED - HHA 413120,A000000,04500,0000,4500DME SOLD - HHA 413120,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 413120,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 413120,A000000,04710,0000,4710TELEMEDICINE 413120,A000000,04800,0000,4800AMBULANCE 413120,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 413120,A000000,05000,0000,5000CORF 413120,A000000,05001,0000,5001CMHC I 413120,A000000,05020,0000,5020OPT I 413120,A000000,05100,0000,4750OTHER REIMBURSABLE COST 413120,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 413120,A000000,05300,0000,5300INTEREST EXPENSE 413120,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 413120,A000000,05500,0000,5500HOSPICE 413120,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 413120,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 413120,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 413120,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413120,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 413120,A000000,06100,0000,6100NONPAID WORKERS 413120,A000000,06200,0000,6200PATIENTS LAUNDRY 413120,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 413120,A81000A,00100,0100,Y 413120,A81000B,00100,0300,R/E TAX 413120,A81000B,00200,0300,LEASE/RENT 413120,A81000C,00100,0100,B 413120,A81000C,00100,0200,SUMSER HEALTH 413120,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 413120,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 413120,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 413120,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 413120,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 413120,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 413120,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 413120,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 413120,B100000,00000,0800,0800MEALS SERVED :DIETARY 413120,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 413120,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 413120,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 413120,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 413120,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 413120,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 413120,E10A180,00550,0100,05/31/11 413120,G300000,02500,0000, OTHER (SPECIFY) 413120,S000000,00100,0200,05/31/11 413120,S200000,00100,0100,836 34TH STREET NW 413120,S200000,00200,0100,CANTON 413120,S200000,00200,0200,OH 413120,S200000,00200,0300,44709 413120,S200000,00300,0100,STARK 413120,S200000,00300,0201,15940 413120,S200000,00300,0300,U 413120,S200000,00400,0100,STONE CROSSING MANAGEMENT LLC 413120,S200000,00400,0200,366095 413120,S200000,00400,0300,11/01/96 413120,S200000,00400,0500,P 413120,S200000,01500,0100,Y 413120,S200000,01501,0200,Y 413120,S200000,01502,0200,Y 413120,S200000,01503,0200,Y 413120,S200000,01504,0200,Y 413120,S200000,01505,0000,OTHER (SPECIFY) 413120,S200000,01600,0100,N 413120,S200000,01700,0100,N 413120,S200000,01800,0100,N 413120,S200000,02200,0100,N 413120,S200000,02800,0100,N 413120,S200000,02900,0100,N 413120,S200000,03000,0100,N 413120,S200000,03100,0100,N 413120,S200000,03200,0100,N 413120,S200000,03300,0100,N 413120,S200000,03300,0200,N 413120,S200000,03600,0100,N 413120,S200000,03600,0200,N 413120,S200000,04100,0100,N 413120,S200000,04200,0100,N 413120,S200000,04300,0100,N 413120,S200000,04600,0100,N 413120,S200000,04700,0100,N 413120,S200000,04700,0200,N 413120,S200000,04900,0100,N 413120,S200000,05000,0100,N 413120,S200000,05100,0100,N 413120,S200000,05200,0100,N 413120,S200000,05300,0100,N 413132,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 413132,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 413132,A000000,00300,0000,0300EMPLOYEE BENEFITS 413132,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413132,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 413132,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413132,A000000,00700,0000,0700HOUSEKEEPING 413132,A000000,00800,0000,0800DIETARY 413132,A000000,00900,0000,0900NURSING ADMINISTRATION 413132,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413132,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413132,A000000,01300,0000,1300SOCIAL SERVICE 413132,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 413132,A000000,01600,0000,1600SKILLED NURSING FACILITY 413132,A000000,01800,0000,1800NURSING FACILITY 413132,A000000,01810,0000,1810ICF/MR 413132,A000000,01900,0000,1900OTHER LONG TERM CARE 413132,A000000,02100,0000,2100RADIOLOGY 413132,A000000,02200,0000,2200LABORATORY 413132,A000000,02300,0000,2300INTRAVENOUS THERAPY 413132,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 413132,A000000,02500,0000,2500PHYSICAL THERAPY 413132,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413132,A000000,02700,0000,2700SPEECH PATHOLOGY 413132,A000000,02800,0000,2800ELECTROCARDIOLOGY 413132,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 413132,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413132,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 413132,A000000,03200,0000,3200SUPPORT SURFACES 413132,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 413132,A000000,03400,0000,3400CLINIC 413132,A000000,03500,0000,3500RURAL HEALTH CLINIC 413132,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 413132,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 413132,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 413132,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 413132,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 413132,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 413132,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 413132,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 413132,A000000,04400,0000,4400DME RENTED - HHA 413132,A000000,04500,0000,4500DME SOLD - HHA 413132,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 413132,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 413132,A000000,04710,0000,4710TELEMEDICINE 413132,A000000,04800,0000,4800AMBULANCE 413132,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 413132,A000000,05000,0000,5000CORF 413132,A000000,05100,0000,4750OTHER REIMBURSABLE COST 413132,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 413132,A000000,05300,0000,5300INTEREST EXPENSE 413132,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 413132,A000000,05500,0000,5500HOSPICE 413132,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 413132,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 413132,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413132,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 413132,A000000,06100,0000,6100NONPAID WORKERS 413132,A000000,06200,0000,6200PATIENTS LAUNDRY 413132,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 413132,A81000A,00100,0100,Y 413132,A81000B,00100,0300,HOME OFFICE COSTS 413132,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 413132,A81000C,00100,0100,B 413132,A81000C,00100,0200,OTTERBEIN HOMES-CORPORATE 413132,A81000C,00100,0400,OTTERBEIN HOMES-CORPORATE 413132,A81000C,00100,0600,HOME OFFICE 413132,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 413132,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 413132,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 413132,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 413132,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 413132,B100000,00000,0600,0650CENSUS :LAUNDRY & LINEN SERVIC 413132,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 413132,B100000,00000,0800,0800MEALS :DIETARY 413132,B100000,00000,0900,0950CENSUS :NURSING ADMINISTRATION 413132,B100000,00000,1000,1050CENSUS :CENTRAL SERVICES & SUP 413132,B100000,00000,1200,1250CENSUS :MEDICAL RECORDS & LIBR 413132,B100000,00000,1300,1330CENSUS :SOCIAL SERVICE 413132,B100000,00000,1500,1350CENSUS :OTHER GENERAL SERVICE 413132,S000000,00100,0200,05/26/11 413132,S200000,00100,0100,201 MARGE SCHOTT WAY 413132,S200000,00200,0100,MAINEVILLE 413132,S200000,00200,0200,OH 413132,S200000,00200,0300,45039 413132,S200000,00300,0100,WARREN 413132,S200000,00300,0200,1640 413132,S200000,00300,0201,17140 413132,S200000,00300,0300,U 413132,S200000,00400,0100,AVALON BY OTTERBEIN - MAINEVILLE 413132,S200000,00400,0200,366393 413132,S200000,00400,0300,10/07/10 413132,S200000,00400,0500,P 413132,S200000,01500,0100,Y 413132,S200000,01501,0200,Y 413132,S200000,01502,0200,Y 413132,S200000,01503,0200,N 413132,S200000,01504,0200,Y 413132,S200000,01600,0100,N 413132,S200000,01700,0100,N 413132,S200000,01800,0100,N 413132,S200000,02200,0100,N 413132,S200000,02800,0100,N 413132,S200000,02900,0100,N 413132,S200000,03000,0100,N 413132,S200000,03100,0100,N 413132,S200000,03200,0100,N 413132,S200000,03300,0100,N 413132,S200000,03300,0200,N 413132,S200000,04100,0100,N 413132,S200000,04200,0100,N 413132,S200000,04300,0100,Y 413132,S200000,04600,0100,N 413132,S200000,04700,0100,N 413132,S200000,04700,0200,N 413132,S200000,04900,0100,N 413132,S200000,05000,0100,N 413132,S200000,05100,0100,N 413132,S200000,05200,0100,N 413132,S200000,05300,0100,Y 413132,S200000,05300,0200,36HO92 413132,S200000,05400,0100,OTTERBEIN HOMES CORPORATE 413132,S200000,05400,0200,NATIONAL GOVERMENT SERVICES 413132,S200000,05400,0300,00332 413132,S200000,05500,0100,580 NORTH SATE ROUTE 741 413132,S200000,05600,0100,LEBANON 413132,S200000,05600,0200,OH 413132,S200000,05600,0300,45036-8913 413133,S000000,00100,0200,05/31/11 413133,S200000,00100,0100,4120 INTERCHANGE CORPORATE CENTER 413133,S200000,00200,0100,WARRENSVILLE HEIGHTS 413133,S200000,00200,0200,OH 413133,S200000,00200,0300,44128 413133,S200000,00300,0100,CUYAHOGA 413133,S200000,00400,0100,AVENUE CARE & REHAB. CENTER 413133,S200000,00400,0300,10/18/10 413258,S000000,00100,0200,06/29/11 413258,S200000,00100,0100,700 MOODY STREET 413258,S200000,00200,0100,GOSNELL 413258,S200000,00200,0200,AR 413258,S200000,00200,0300,72319 413258,S200000,00300,0100,MISSISSIPPI 413258,S200000,00400,0100,GOSNELL THERAPY AND LIVING CENTER 413258,S200000,00400,0300,11/29/10 413268,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 413268,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 413268,A000000,00300,0000,0300EMPLOYEE BENEFITS 413268,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413268,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 413268,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413268,A000000,00700,0000,0700HOUSEKEEPING 413268,A000000,00800,0000,0800DIETARY 413268,A000000,00900,0000,0900NURSING ADMINISTRATION 413268,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413268,A000000,01100,0000,1100PHARMACY 413268,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413268,A000000,01300,0000,1300SOCIAL SERVICE 413268,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 413268,A000000,01500,0000,1350OTHER GENERAL SERVICES 413268,A000000,01600,0000,1600SKILLED NURSING FACILITY 413268,A000000,01800,0000,1800NURSING FACILITY 413268,A000000,01810,0000,1810ICF/MR 413268,A000000,02200,0000,2200LABORATORY 413268,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 413268,A000000,02500,0000,2500PHYSICAL THERAPY 413268,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413268,A000000,02700,0000,2700SPEECH PATHOLOGY 413268,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 413268,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413268,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 413268,A000000,03550,0000,3550FQHC 413268,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 413268,A000000,04710,0000,4710TELEMEDICINE 413268,A000000,04801,0000,4801AMBULANCE 413268,A000000,04802,0000,4802AMBULANCE 413268,A000000,04803,0000,4803AMBULANCE 413268,A000000,05000,0000,5000CORF 413268,A000000,05010,0000,5010CMHC 413268,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 413268,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 413268,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 413268,A000000,05100,0000,4750OTHER REIMBURSABLE COST 413268,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 413268,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413268,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 413268,A81000A,00100,0100,Y 413268,A81000B,00100,0300,SIGNATURE HEALTHCARE LLC 413268,A81000C,00100,0100,B 413268,A81000C,00100,0200,SIGNATURE HEALTHCARE LLC 413268,B100000,00000,0100,0100SQUARE FEET 413268,B100000,00000,0200,0200SQUARE FEET 413268,B100000,00000,0300,0300GROSS SALARIES 413268,B100000,00000,0400,0400ACCUM COST 413268,B100000,00000,0500,0500SQUARE FEET 413268,B100000,00000,0600,0600PATIENT DAYS 413268,B100000,00000,0700,0700PATIENT DAYS 413268,B100000,00000,0800,0800PATIENT DAYS 413268,B100000,00000,0900,0900NURSING SALARIES 413268,B100000,00000,1000,1000PATIENT DAYS 413268,B100000,00000,1100,1100PATIENT DAYS 413268,B100000,00000,1200,1200PATIENT DAYS 413268,B100000,00000,1300,1300PATIENT DAYS 413268,B100000,00000,1400,1400ASSIGNED TIME 413268,B100000,00000,1500,1350PATIENT DAYS 413268,E10A180,00301,0100,12/31/10 413268,S000000,00100,0200,07/12/11 413268,S200000,00100,0100,215 HIGHLAND CIRCLE DRIVE 413268,S200000,00200,0100,PORTLAND 413268,S200000,00200,0200,TN 413268,S200000,00200,0300,37148 413268,S200000,00300,0100,SUMNER 413268,S200000,00300,0201,34980 413268,S200000,00300,0300,U 413268,S200000,00400,0100,THE BRIDGE AT HIGHLAND 413268,S200000,00400,0200,445306 413268,S200000,00400,0300,01/01/93 413268,S200000,00400,0500,P 413268,S200000,00600,0200,445036 413268,S200000,00600,0300,01/01/93 413268,S200000,00600,0600,P 413268,S200000,01500,0100,N 413268,S200000,01600,0100,Y 413268,S200000,01700,0100,N 413268,S200000,01800,0100,N 413268,S200000,02200,0100,N 413268,S200000,02800,0100,N 413268,S200000,02900,0100,N 413268,S200000,03000,0100,N 413268,S200000,03100,0100,N 413268,S200000,03200,0100,N 413268,S200000,03300,0100,N 413268,S200000,03300,0200,N 413268,S200000,04200,0100,N 413268,S200000,04300,0100,N 413268,S200000,04600,0100,N 413268,S200000,04700,0100,N 413268,S200000,04900,0100,N 413268,S200000,05200,0100,N 413777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 413777,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 413777,A000000,00300,0000,0300EMPLOYEE BENEFITS 413777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 413777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 413777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 413777,A000000,00700,0000,0700HOUSEKEEPING 413777,A000000,00800,0000,0800DIETARY 413777,A000000,00900,0000,0900NURSING ADMINISTRATION 413777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 413777,A000000,01100,0000,1100PHARMACY 413777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 413777,A000000,01300,0000,1300SOCIAL SERVICE 413777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 413777,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 413777,A000000,01600,0000,1600SKILLED NURSING FACILITY 413777,A000000,01800,0000,1800NURSING FACILITY 413777,A000000,01810,0000,1810ICF/MR 413777,A000000,01900,0000,1900OTHER LONG TERM CARE 413777,A000000,02100,0000,2100RADIOLOGY 413777,A000000,02200,0000,2200LABORATORY 413777,A000000,02300,0000,2300INTRAVENOUS THERAPY 413777,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 413777,A000000,02500,0000,2500PHYSICAL THERAPY 413777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 413777,A000000,02700,0000,2700SPEECH PATHOLOGY 413777,A000000,02800,0000,2800ELECTROCARDIOLOGY 413777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 413777,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 413777,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 413777,A000000,03200,0000,3200SUPPORT SURFACES 413777,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 413777,A000000,03400,0000,3400CLINIC 413777,A000000,03500,0000,3500RURAL HEALTH CLINIC 413777,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 413777,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 413777,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 413777,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 413777,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 413777,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 413777,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 413777,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 413777,A000000,04400,0000,4400DME RENTED - HHA 413777,A000000,04500,0000,4500DME SOLD - HHA 413777,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 413777,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 413777,A000000,04710,0000,4710TELEMEDICINE 413777,A000000,04800,0000,4800AMBULANCE 413777,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 413777,A000000,05000,0000,5000CORF 413777,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 413777,A000000,05300,0000,5300INTEREST EXPENSE 413777,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 413777,A000000,05500,0000,5500HOSPICE 413777,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 413777,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 413777,A000000,05900,0000,5900BARBER & BEAUTY SHOP 413777,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 413777,A000000,06100,0000,6100NONPAID WORKERS 413777,A000000,06200,0000,6200PATIENTS LAUNDRY 413777,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 413777,A81000A,00100,0100,Y 413777,A81000B,00100,0300,A & G COSTS RELATED TO MANAGEMENT 413777,A81000C,00100,0100,B 413777,A81000C,00100,0400,DIAMOND CARE HE 413777,A81000C,00100,0600,HEALTH CARE 413777,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 413777,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 413777,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 413777,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 413777,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 413777,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 413777,B100000,00000,0800,0800MEALS SERVED :DIETARY 413777,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 413777,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 413777,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 413777,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 413777,G300000,02502,0000,MISCELLANEOUS INCOME 413777,S000000,00100,0200,06/03/11 413777,S200000,00100,0100,161 WEST RODEO ROAD 413777,S200000,00200,0100,CASA GRANDE 413777,S200000,00200,0200,AZ 413777,S200000,00200,0300,85122 413777,S200000,00300,0100,PINAL 413777,S200000,00300,0200,03 413777,S200000,00300,0201,38060 413777,S200000,00300,0300,U 413777,S200000,00400,0100,OASIS PAVILLION NURSING & REHAB CTR 413777,S200000,00400,0200,035276 413777,S200000,00400,0300,10/04/10 413777,S200000,00400,0500,P 413777,S200000,01500,0100,Y 413777,S200000,01501,0200,Y 413777,S200000,01502,0200,Y 413777,S200000,01503,0200,Y 413777,S200000,01504,0200,Y 413777,S200000,01505,0000,OTHER (SPECIFY) 413777,S200000,01505,0200,N 413777,S200000,01600,0100,N 413777,S200000,01700,0100,N 413777,S200000,01800,0100,N 413777,S200000,02200,0100,N 413777,S200000,02800,0100,N 413777,S200000,02900,0100,N 413777,S200000,03000,0100,N 413777,S200000,03100,0100,N 413777,S200000,03200,0100,N 413777,S200000,03300,0100,N 413777,S200000,03300,0200,N 413777,S200000,03600,0100,N 413777,S200000,03600,0200,N 413777,S200000,04100,0100,N 413777,S200000,04200,0100,N 413777,S200000,04300,0100,N 413777,S200000,04600,0100,N 413777,S200000,04700,0100,N 413777,S200000,04700,0200,N 413777,S200000,04900,0100,N 413777,S200000,05000,0100,N 413777,S200000,05100,0100,N 413777,S200000,05200,0100,N 414225,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 414225,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 414225,A000000,00300,0000,0300EMPLOYEE BENEFITS 414225,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414225,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 414225,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414225,A000000,00700,0000,0700HOUSEKEEPING 414225,A000000,00800,0000,0800DIETARY 414225,A000000,00900,0000,0900NURSING ADMINISTRATION 414225,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414225,A000000,01100,0000,1100PHARMACY 414225,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414225,A000000,01300,0000,1300SOCIAL SERVICE 414225,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 414225,A000000,01500,0000,1350ACTIVITIES AL SERVICES 414225,A000000,01600,0000,1600SKILLED NURSING FACILITY 414225,A000000,01800,0000,1800NURSING FACILITY 414225,A000000,01810,0000,1810ICF/MR 414225,A000000,01900,0000,1900OTHER LONG TERM CARE 414225,A000000,02100,0000,2100RADIOLOGY 414225,A000000,02200,0000,2200LABORATORY 414225,A000000,02300,0000,2300INTRAVENOUS THERAPY 414225,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 414225,A000000,02500,0000,2500PHYSICAL THERAPY 414225,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414225,A000000,02700,0000,2700SPEECH PATHOLOGY 414225,A000000,02800,0000,2800ELECTROCARDIOLOGY 414225,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 414225,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414225,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 414225,A000000,03200,0000,3200SUPPORT SURFACES 414225,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414225,A000000,03400,0000,3400CLINIC 414225,A000000,03500,0000,3500RURAL HEALTH CLINIC 414225,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414225,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 414225,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 414225,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 414225,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 414225,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 414225,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 414225,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 414225,A000000,04400,0000,4400DME RENTED - HHA 414225,A000000,04500,0000,4500DME SOLD - HHA 414225,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 414225,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 414225,A000000,04800,0000,4800AMBULANCE 414225,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 414225,A000000,05000,0000,5000CORF 414225,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414225,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 414225,A000000,05300,0000,5300INTEREST EXPENSE 414225,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 414225,A000000,05500,0000,5500HOSPICE 414225,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414225,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 414225,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414225,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 414225,A000000,06100,0000,6100NONPAID WORKERS 414225,A000000,06200,0000,6200PATIENTS LAUNDRY 414225,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414225,A81000A,00100,0100,Y 414225,A81000B,00100,0300,CAPITAL COSTS 414225,A81000B,00200,0300,BENEFITS 414225,A81000B,00300,0300,A&G SALARY 414225,A81000B,00400,0300,A&G OTHER 414225,A81000B,00500,0300,PLANT SALARY 414225,A81000B,00600,0300,PLANT OTHER 414225,A81000B,00700,0300,DIETARY SALARY 414225,A81000B,00800,0300,NURSING SALARY 414225,A81000B,00900,0300,MANAGEMENT FEES 414225,A81000C,00100,0100,B 414225,A81000C,00100,0200,TRILOGY HEALTHCARE 414225,A81000C,00100,0400,TRILOGY HEALTHCARE 414225,A81000C,00100,0600,MANAGEMENT 414225,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 414225,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 414225,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 414225,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 414225,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 414225,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 414225,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 414225,B100000,00000,0800,0800MEALS SERVED :DIETARY 414225,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 414225,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 414225,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 414225,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 414225,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 414225,E10A180,00550,0100,05/27/11 414225,S000000,00100,0200,05/27/11 414225,S200000,00100,0100,2991 MAPLE AVENUE 414225,S200000,00200,0100,ZANESVILLE 414225,S200000,00200,0200,OH 414225,S200000,00200,0300,43701 414225,S200000,00300,0100,MUSKINGUM 414225,S200000,00300,0200,36 414225,S200000,00300,0201,99936 414225,S200000,00300,0300,R 414225,S200000,00400,0100,FOREST VIEW 414225,S200000,00400,0200,366051 414225,S200000,00400,0300,03/10/95 414225,S200000,00400,0500,P 414225,S200000,00400,0600,P 414225,S200000,01500,0100,Y 414225,S200000,01501,0200,Y 414225,S200000,01502,0200,Y 414225,S200000,01600,0100,N 414225,S200000,01700,0100,N 414225,S200000,01800,0100,N 414225,S200000,02200,0100,N 414225,S200000,02800,0100,N 414225,S200000,02900,0100,N 414225,S200000,03000,0100,N 414225,S200000,03100,0100,Y 414225,S200000,03200,0100,N 414225,S200000,03300,0100,N 414225,S200000,03300,0200,N 414225,S200000,04100,0100,N 414225,S200000,04200,0100,N 414225,S200000,04300,0100,Y 414225,S200000,04600,0100,N 414225,S200000,04700,0100,N 414225,S200000,04700,0200,N 414225,S200000,04900,0100,N 414225,S200000,05000,0100,N 414225,S200000,05100,0100,N 414225,S200000,05200,0100,N 414260,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 414260,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 414260,A000000,00300,0000,0300EMPLOYEE BENEFITS 414260,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414260,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 414260,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414260,A000000,00700,0000,0700HOUSEKEEPING 414260,A000000,00800,0000,0800DIETARY 414260,A000000,00900,0000,0900NURSING ADMINISTRATION 414260,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414260,A000000,01100,0000,1100PHARMACY 414260,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414260,A000000,01300,0000,1300SOCIAL SERVICE 414260,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 414260,A000000,01500,0000,1350ACTIVITIES 414260,A000000,01600,0000,1600SKILLED NURSING FACILITY 414260,A000000,01800,0000,1800NURSING FACILITY 414260,A000000,01810,0000,1810ICF/MR 414260,A000000,01900,0000,1900OTHER LONG TERM CARE 414260,A000000,02100,0000,2100RADIOLOGY 414260,A000000,02200,0000,2200LABORATORY 414260,A000000,02300,0000,2300INTRAVENOUS THERAPY 414260,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 414260,A000000,02500,0000,2500PHYSICAL THERAPY 414260,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414260,A000000,02700,0000,2700SPEECH PATHOLOGY 414260,A000000,02800,0000,2800ELECTROCARDIOLOGY 414260,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 414260,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414260,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 414260,A000000,03200,0000,3200SUPPORT SURFACES 414260,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414260,A000000,03400,0000,3400CLINIC 414260,A000000,03500,0000,3500RURAL HEALTH CLINIC 414260,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414260,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 414260,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 414260,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 414260,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 414260,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 414260,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 414260,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 414260,A000000,04400,0000,4400DME RENTED - HHA 414260,A000000,04500,0000,4500DME SOLD - HHA 414260,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 414260,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 414260,A000000,04710,0000,4710TELEMEDICINE 414260,A000000,04800,0000,4800AMBULANCE 414260,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 414260,A000000,05000,0000,5000CORF 414260,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414260,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 414260,A000000,05300,0000,5300INTEREST EXPENSE 414260,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 414260,A000000,05500,0000,5500HOSPICE 414260,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414260,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 414260,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414260,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 414260,A000000,06100,0000,6100NONPAID WORKERS 414260,A000000,06200,0000,6200PATIENTS LAUNDRY 414260,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414260,A81000A,00100,0100,Y 414260,A81000B,00100,0300,HOME OFFICE COSTS 414260,A81000B,00200,0300,CAPITAL COSTS 414260,A81000C,00100,0100,A 414260,A81000C,00100,0200,MIKE HAMM 414260,A81000C,00100,0400,HAWKEYE HOME OFFICE LLC 414260,A81000C,00100,0600,MANAGEMENT 414260,A81000C,00200,0100,A 414260,A81000C,00200,0200,MIKE HAMM 414260,A81000C,00200,0400,LTC RESOURCES 414260,A81000C,00200,0600,QUALITY ASSURANCE 414260,A81000C,00300,0100,A 414260,A81000C,00300,0200,DOUG JOHNSON 414260,A81000C,00300,0400,LTC RESOURCES 414260,A81000C,00300,0600,QUALITY ASSURANCE 414260,A81000C,00400,0100,A 414260,A81000C,00400,0200,MIKE HAMM 414260,A81000C,00400,0400,PREMIER HEALTH SERVICES 414260,A81000C,00400,0600,THERAPY SERVICES 414260,A81000C,00500,0100,A 414260,A81000C,00500,0200,DOUG JOHNSON 414260,A81000C,00500,0400,PREMIER HEALTH SERVICES 414260,A81000C,00500,0600,THERAPY SERVICES 414260,A81000C,00600,0100,A 414260,A81000C,00600,0200,DOUG JOHNSON 414260,A81000C,00600,0400,MAXLINE 414260,A81000C,00600,0600,PURCHASING SERVICES 414260,A81000C,00700,0100,A 414260,A81000C,00700,0200,MICHELLE ELSESSER 414260,A81000C,00700,0400,LTC RESOURCES 414260,A81000C,00700,0600,QUALITY ASSURANCE 414260,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 414260,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 414260,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 414260,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 414260,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 414260,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 414260,B100000,00000,0800,0850PATIENT DAYS :DIETARY 414260,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 414260,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 414260,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 414260,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 414260,G300000,02500,0000,VEHICLE USE 414260,G300000,02511,0000,PERSONAL PURCHASES 414260,G300000,02512,0000,UNIFORM SALES 414260,S000000,00100,0200,05/31/11 414260,S200000,00100,0100,2401 SOUTH SECOND STREET 414260,S200000,00200,0100,MARSHALLTOWN 414260,S200000,00200,0200,IA 414260,S200000,00200,0300,50158 414260,S200000,00300,0100,MARSHALL 414260,S200000,00300,0200,16 414260,S200000,00300,0201,99916 414260,S200000,00300,0300,R 414260,S200000,00400,0100,VILLA DEL SOL 414260,S200000,00400,0200,165451 414260,S200000,00400,0300,04/01/02 414260,S200000,00400,0500,P 414260,S200000,01500,0100,Y 414260,S200000,01501,0200,Y 414260,S200000,01502,0200,N 414260,S200000,01503,0200,Y 414260,S200000,01504,0200,Y 414260,S200000,01600,0100,N 414260,S200000,01700,0100,N 414260,S200000,01800,0100,N 414260,S200000,02200,0100,N 414260,S200000,02800,0100,N 414260,S200000,02900,0100,N 414260,S200000,03000,0100,N 414260,S200000,03100,0100,N 414260,S200000,03200,0100,N 414260,S200000,03300,0100,N 414260,S200000,03300,0200,N 414260,S200000,04100,0100,N 414260,S200000,04200,0100,N 414260,S200000,04300,0100,N 414260,S200000,04600,0100,N 414260,S200000,04700,0100,N 414260,S200000,04700,0200,N 414260,S200000,04900,0100,N 414260,S200000,05000,0100,N 414260,S200000,05100,0100,N 414260,S200000,05200,0100,N 414260,S200000,05300,0100,Y 414260,S200000,05300,0200,HO0178 414260,S200000,05400,0100,HAWKEYE HOME OFFICE LLC 414260,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICES 414260,S200000,05400,0300,05101 414260,S200000,05500,0100,6750 WESTOWN PARKWAY SUITE 100 414260,S200000,05600,0100,WEST DES MOINES 414260,S200000,05600,0200,IA 414260,S200000,05600,0300,50266 414365,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 414365,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 414365,A000000,00300,0000,0300EMPLOYEE BENEFITS 414365,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414365,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 414365,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414365,A000000,00700,0000,0700HOUSEKEEPING 414365,A000000,00800,0000,0800DIETARY 414365,A000000,00900,0000,0900NURSING ADMINISTRATION 414365,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414365,A000000,01100,0000,1100PHARMACY 414365,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414365,A000000,01300,0000,1300SOCIAL SERVICE 414365,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 414365,A000000,01500,0000,1350RECREATION 414365,A000000,01600,0000,1600SKILLED NURSING FACILITY 414365,A000000,01800,0000,1800NURSING FACILITY 414365,A000000,01810,0000,1810ICF/MR 414365,A000000,01900,0000,1900OTHER LONG TERM CARE 414365,A000000,02100,0000,2100RADIOLOGY 414365,A000000,02200,0000,2200LABORATORY 414365,A000000,02300,0000,2300INTRAVENOUS THERAPY 414365,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 414365,A000000,02500,0000,2500PHYSICAL THERAPY 414365,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414365,A000000,02700,0000,2700SPEECH PATHOLOGY 414365,A000000,02800,0000,2800ELECTROCARDIOLOGY 414365,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 414365,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414365,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 414365,A000000,03200,0000,3200SUPPORT SURFACES 414365,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414365,A000000,03400,0000,3400CLINIC 414365,A000000,03500,0000,3500RURAL HEALTH CLINIC 414365,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414365,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 414365,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 414365,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 414365,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 414365,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 414365,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 414365,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 414365,A000000,04400,0000,4400DME RENTED - HHA 414365,A000000,04500,0000,4500DME SOLD - HHA 414365,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 414365,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 414365,A000000,04710,0000,4710TELEMEDICINE 414365,A000000,04800,0000,4800AMBULANCE 414365,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 414365,A000000,05000,0000,5000CORF 414365,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414365,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 414365,A000000,05300,0000,5300INTEREST EXPENSE 414365,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 414365,A000000,05500,0000,5500HOSPICE 414365,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414365,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 414365,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414365,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 414365,A000000,06100,0000,6100NONPAID WORKERS 414365,A000000,06200,0000,6200PATIENTS LAUNDRY 414365,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414365,A81000A,00100,0100,Y 414365,A81000B,00100,0300,MANAGEMENT FEE 414365,A81000C,00100,0100,B 414365,A81000C,00100,0400,AURORA HEALTH MANAGEMENT 414365,A81000C,00100,0600,MANAGEMENT COMPANY 414365,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 414365,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 414365,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 414365,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 414365,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 414365,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 414365,B100000,00000,0800,0850PATIENT DAYS :DIETARY 414365,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 414365,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 414365,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 414365,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 414365,B100000,00000,1500,1350PATIENT DAYS :RECREATION 414365,G300000,02500,0000,QUALITY INCENTIVE PAYMENT 414365,G300000,02501,0000,VENDING MACHINE REVENUE 414365,S000000,00100,0200,05/26/11 414365,S200000,00100,0100,20 CHESTER ROAD 414365,S200000,00200,0100,DERRY 414365,S200000,00200,0200,NH 414365,S200000,00200,0300,03038 414365,S200000,00300,0100,ROCKINGHAM 414365,S200000,00300,0201,40484 414365,S200000,00300,0300,U 414365,S200000,00400,0100,AURORA SENIOR LIVING OF DERRY LLC 414365,S200000,00400,0200,305095 414365,S200000,00400,0300,07/18/03 414365,S200000,00400,0500,P 414365,S200000,01500,0100,Y 414365,S200000,01600,0100,N 414365,S200000,01700,0100,N 414365,S200000,01800,0100,N 414365,S200000,02200,0100,N 414365,S200000,02800,0100,N 414365,S200000,02900,0100,N 414365,S200000,03000,0100,N 414365,S200000,03100,0100,N 414365,S200000,03200,0100,N 414365,S200000,03300,0100,N 414365,S200000,03300,0200,N 414365,S200000,04100,0100,N 414365,S200000,04200,0100,N 414365,S200000,04300,0100,N 414365,S200000,04600,0100,N 414365,S200000,04700,0100,N 414365,S200000,04700,0200,N 414365,S200000,04900,0100,N 414365,S200000,05000,0100,N 414365,S200000,05100,0100,N 414365,S200000,05200,0100,N 414365,S200000,05300,0100,N 414690,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 414690,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 414690,A000000,00300,0000,0300EMPLOYEE BENEFITS 414690,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414690,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 414690,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414690,A000000,00700,0000,0700HOUSEKEEPING 414690,A000000,00800,0000,0800DIETARY 414690,A000000,00900,0000,0900NURSING ADMINISTRATION 414690,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414690,A000000,01100,0000,1100PHARMACY 414690,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414690,A000000,01300,0000,1300SOCIAL SERVICE 414690,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 414690,A000000,01500,0000,1350RECREATIONAL SERVICES 414690,A000000,01600,0000,1600SKILLED NURSING FACILITY 414690,A000000,01800,0000,1800NURSING FACILITY 414690,A000000,01810,0000,1810ICF/MR 414690,A000000,01900,0000,1900OTHER LONG TERM CARE 414690,A000000,02100,0000,2100RADIOLOGY 414690,A000000,02200,0000,2200LABORATORY 414690,A000000,02300,0000,2300INTRAVENOUS THERAPY 414690,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 414690,A000000,02500,0000,2500PHYSICAL THERAPY 414690,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414690,A000000,02700,0000,2700SPEECH PATHOLOGY 414690,A000000,02800,0000,2800ELECTROCARDIOLOGY 414690,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 414690,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414690,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 414690,A000000,03200,0000,3200SUPPORT SURFACES 414690,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414690,A000000,03400,0000,3400CLINIC 414690,A000000,03500,0000,3500RURAL HEALTH CLINIC 414690,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414690,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 414690,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 414690,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 414690,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 414690,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 414690,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 414690,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 414690,A000000,04400,0000,4400DME RENTED - HHA 414690,A000000,04500,0000,4500DME SOLD - HHA 414690,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 414690,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 414690,A000000,04710,0000,4710TELEMEDICINE 414690,A000000,04800,0000,4800AMBULANCE 414690,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 414690,A000000,05000,0000,5000CORF 414690,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414690,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 414690,A000000,05300,0000,5300INTEREST EXPENSE 414690,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 414690,A000000,05500,0000,5500HOSPICE 414690,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414690,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 414690,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414690,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 414690,A000000,06100,0000,6100NONPAID WORKERS 414690,A000000,06200,0000,6200PATIENTS LAUNDRY 414690,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414690,A81000A,00100,0100,Y 414690,A81000B,00100,0300,MANAGEMENT FEES 414690,A81000C,00100,0100,B 414690,A81000C,00100,0400,AURORA HEALTH MANAGEMENT 414690,A81000C,00100,0600,MANAGEMENT COMPANY 414690,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 414690,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 414690,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 414690,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 414690,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 414690,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 414690,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 414690,B100000,00000,0800,0850PATIENT DAYS :DIETARY 414690,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 414690,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 414690,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 414690,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 414690,G300000,02501,0000,TRANSPORTATION SERVICE 414690,G300000,02502,0000,MISCELLANEOUS INCOME 414690,S000000,00100,0200,05/26/11 414690,S200000,00100,0100,385 MAIN STREET 414690,S200000,00200,0100,CROMWELL 414690,S200000,00200,0200,CT 414690,S200000,00200,0300,06416 414690,S200000,00300,0100,MIDDLESEX 414690,S200000,00300,0201,25540 414690,S200000,00300,0300,U 414690,S200000,00400,0100,AURORA SENIOR LIVING OF CROMWELL LLC 414690,S200000,00400,0200,075263 414690,S200000,00400,0300,03/16/76 414690,S200000,00400,0500,P 414690,S200000,01500,0100,Y 414690,S200000,01502,0200,Y 414690,S200000,01600,0100,N 414690,S200000,01700,0100,N 414690,S200000,01800,0100,N 414690,S200000,02200,0100,N 414690,S200000,02800,0100,N 414690,S200000,02900,0100,N 414690,S200000,03000,0100,N 414690,S200000,03100,0100,N 414690,S200000,03200,0100,N 414690,S200000,03300,0100,N 414690,S200000,03300,0200,N 414690,S200000,04100,0100,N 414690,S200000,04200,0100,N 414690,S200000,04300,0100,N 414690,S200000,04600,0100,N 414690,S200000,04700,0100,N 414690,S200000,04700,0200,N 414690,S200000,04900,0100,N 414690,S200000,05000,0100,N 414690,S200000,05100,0100,N 414690,S200000,05200,0100,N 414690,S200000,05300,0100,N 414701,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 414701,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 414701,A000000,00300,0000,0300EMPLOYEE BENEFITS 414701,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414701,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 414701,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414701,A000000,00700,0000,0700HOUSEKEEPING 414701,A000000,00800,0000,0800DIETARY 414701,A000000,00900,0000,0900NURSING ADMINISTRATION 414701,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414701,A000000,01100,0000,1100PHARMACY 414701,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414701,A000000,01300,0000,1300SOCIAL SERVICE 414701,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 414701,A000000,01500,0000,1350RECREATIONAL SERVICES 414701,A000000,01600,0000,1600SKILLED NURSING FACILITY 414701,A000000,01800,0000,1800NURSING FACILITY 414701,A000000,01810,0000,1810ICF/MR 414701,A000000,01900,0000,1900OTHER LONG TERM CARE 414701,A000000,02100,0000,2100RADIOLOGY 414701,A000000,02200,0000,2200LABORATORY 414701,A000000,02300,0000,2300INTRAVENOUS THERAPY 414701,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 414701,A000000,02500,0000,2500PHYSICAL THERAPY 414701,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414701,A000000,02700,0000,2700SPEECH PATHOLOGY 414701,A000000,02800,0000,2800ELECTROCARDIOLOGY 414701,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 414701,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414701,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 414701,A000000,03200,0000,3200SUPPORT SURFACES 414701,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414701,A000000,03400,0000,3400CLINIC 414701,A000000,03500,0000,3500RURAL HEALTH CLINIC 414701,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414701,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 414701,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 414701,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 414701,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 414701,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 414701,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 414701,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 414701,A000000,04400,0000,4400DME RENTED - HHA 414701,A000000,04500,0000,4500DME SOLD - HHA 414701,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 414701,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 414701,A000000,04710,0000,4710TELEMEDICINE 414701,A000000,04800,0000,4800AMBULANCE 414701,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 414701,A000000,05000,0000,5000CORF 414701,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414701,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 414701,A000000,05300,0000,5300INTEREST EXPENSE 414701,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 414701,A000000,05500,0000,5500HOSPICE 414701,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414701,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 414701,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414701,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 414701,A000000,06100,0000,6100NONPAID WORKERS 414701,A000000,06200,0000,6200PATIENTS LAUNDRY 414701,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414701,A81000A,00100,0100,Y 414701,A81000B,00100,0300,MANAGEMENT FEE 414701,A81000C,00100,0100,B 414701,A81000C,00100,0400,AURORA HEALTH MANAGEMENT 414701,A81000C,00100,0600,MANAGEMENT COMPANY 414701,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 414701,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 414701,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 414701,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 414701,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 414701,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 414701,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 414701,B100000,00000,0800,0850PATIENT DAYS :DIETARY 414701,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 414701,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 414701,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 414701,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 414701,S000000,00100,0200,05/26/11 414701,S200000,00100,0100,2817 N. MAIN STREET 414701,S200000,00200,0100,WATERBURY 414701,S200000,00200,0200,CT 414701,S200000,00200,0300,06704 414701,S200000,00300,0100,NEW HAVEN 414701,S200000,00300,0201,35300 414701,S200000,00300,0300,U 414701,S200000,00400,0100,AURORA SENIOR LIVING OF BUCK HILL 414701,S200000,00400,0200,075418 414701,S200000,00400,0300,02/04/99 414701,S200000,00400,0500,P 414701,S200000,01500,0100,Y 414701,S200000,01502,0200,Y 414701,S200000,01600,0100,N 414701,S200000,01700,0100,N 414701,S200000,01800,0100,N 414701,S200000,02200,0100,N 414701,S200000,02800,0100,N 414701,S200000,02900,0100,N 414701,S200000,03000,0100,N 414701,S200000,03100,0100,N 414701,S200000,03200,0100,N 414701,S200000,03300,0100,N 414701,S200000,03300,0200,N 414701,S200000,04100,0100,N 414701,S200000,04200,0100,N 414701,S200000,04300,0100,N 414701,S200000,04600,0100,N 414701,S200000,04700,0100,N 414701,S200000,04700,0200,N 414701,S200000,04900,0100,N 414701,S200000,05000,0100,N 414701,S200000,05100,0100,N 414701,S200000,05200,0100,N 414701,S200000,05300,0100,N 414974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 414974,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 414974,A000000,00300,0000,0300EMPLOYEE BENEFITS 414974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 414974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414974,A000000,00700,0000,0700HOUSEKEEPING 414974,A000000,00800,0000,0800DIETARY 414974,A000000,00900,0000,0900NURSING ADMINISTRATION 414974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414974,A000000,01100,0000,1100PHARMACY 414974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414974,A000000,01300,0000,1300SOCIAL SERVICE 414974,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 414974,A000000,01500,0000,1350ACTIVITIES 414974,A000000,01600,0000,1600SKILLED NURSING FACILITY 414974,A000000,01810,0000,1810ICF/MR 414974,A000000,02200,0000,2200LABORATORY 414974,A000000,02500,0000,2500PHYSICAL THERAPY 414974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414974,A000000,02700,0000,2700SPEECH PATHOLOGY 414974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414974,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 414974,A000000,03550,0000,3550FQHC 414974,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 414974,A000000,04801,0000,4801AMBULANCE 414974,A000000,04802,0000,4802AMBULANCE 414974,A000000,04803,0000,4803AMBULANCE 414974,A000000,05000,0000,5000CORF 414974,A000000,05010,0000,5010CMHC 414974,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 414974,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 414974,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 414974,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 414974,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 414974,A81000A,00100,0100,Y 414974,A81000B,00100,0300,HOME OFFICE COSTS 414974,A81000C,00100,0100,G 414974,A81000C,00100,0200,DIAMOND CARE HE 414974,A81000C,00100,0600,HOME OFFICE 414974,B100000,00000,0100,0100SQUARE FEET 414974,B100000,00000,0200,0200SQUARE FEET 414974,B100000,00000,0300,0300GROSS SALARIES 414974,B100000,00000,0400,0400ACCUM COST 414974,B100000,00000,0500,0500SQUARE FEET 414974,B100000,00000,0600,0600PATIENT DAYS 414974,B100000,00000,0700,0700SQUARE FEET 414974,B100000,00000,0800,0800MEALS SERVED 414974,B100000,00000,0900,0900DIRECT NURSING 414974,B100000,00000,1000,1000COSTED REQUIS. 414974,B100000,00000,1100,1100COSTED REQUIS. 414974,B100000,00000,1200,1200ADMITS 414974,B100000,00000,1300,1300ADMITS 414974,B100000,00000,1400,1400ASSIGNED TIME 414974,B100000,00000,1500,1350PATIENT DAYS 414974,G300000,02501,0000,MISCELLANEOUS INCOME 414974,S000000,00100,0200,06/06/11 414974,S200000,00100,0100,2301 COLLINS DRIVE 414974,S200000,00200,0100,LAS VEGAS 414974,S200000,00200,0200,NM 414974,S200000,00200,0300,87701 414974,S200000,00300,0100,SAN MIGUEL 414974,S200000,00300,0201,99932 414974,S200000,00300,0300,R 414974,S200000,00400,0100,VIDA ENCANTADA NURSING & REHAB 414974,S200000,00400,0200,325065 414974,S200000,00400,0300,03/01/92 414974,S200000,00400,0500,P 414974,S200000,01500,0100,Y 414974,S200000,01501,0200,Y 414974,S200000,01502,0200,Y 414974,S200000,01503,0200,N 414974,S200000,01504,0200,N 414974,S200000,01505,0000,OTHER (SPECIFY) 414974,S200000,01505,0200,N 414974,S200000,01600,0100,N 414974,S200000,01700,0100,N 414974,S200000,01800,0100,N 414974,S200000,02200,0100,N 414974,S200000,02800,0100,N 414974,S200000,02900,0100,N 414974,S200000,03000,0100,N 414974,S200000,03100,0100,N 414974,S200000,03200,0100,N 414974,S200000,03300,0100,N 414974,S200000,03300,0200,N 414974,S200000,04200,0100,N 414974,S200000,04300,0100,N 414974,S200000,04600,0100,N 414974,S200000,04700,0100,N 414974,S200000,04900,0100,N 414974,S200000,05200,0100,N 414984,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 414984,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 414984,A000000,00300,0000,0300EMPLOYEE BENEFITS 414984,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 414984,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 414984,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 414984,A000000,00700,0000,0700HOUSEKEEPING 414984,A000000,00800,0000,0800DIETARY 414984,A000000,00900,0000,0900NURSING ADMINISTRATION 414984,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 414984,A000000,01100,0000,1100PHARMACY 414984,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 414984,A000000,01300,0000,1300SOCIAL SERVICE 414984,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 414984,A000000,01500,0000,1350OTHER GENERAL SERVICES 414984,A000000,01600,0000,1600SKILLED NURSING FACILITY 414984,A000000,01810,0000,1810ICF/MR 414984,A000000,02100,0000,2100RADIOLOGY 414984,A000000,02200,0000,2200LABORATORY 414984,A000000,02500,0000,2500PHYSICAL THERAPY 414984,A000000,02600,0000,2600OCCUPATIONAL THERAPY 414984,A000000,02700,0000,2700SPEECH PATHOLOGY 414984,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 414984,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 414984,A000000,03550,0000,3550FQHC 414984,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 414984,A000000,04710,0000,4710TELEMEDICINE 414984,A000000,04801,0000,4801AMBULANCE 414984,A000000,04802,0000,4802AMBULANCE 414984,A000000,04803,0000,4803AMBULANCE 414984,A000000,05000,0000,5000CORF 414984,A000000,05010,0000,5010CMHC 414984,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 414984,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 414984,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 414984,A000000,05100,0000,4750OTHER REIMBURSABLE COST 414984,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 414984,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 414984,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 414984,A81000A,00100,0100,Y 414984,A81000B,00100,0300,HOME OFFICE COSTS 414984,A81000B,00200,0300,COMPUTER SERVICES 414984,A81000B,00300,0300,PHARMACY COSTS 414984,A81000B,00400,0300,THERAPY COSTS 414984,A81000B,00500,0300,THERAPY COSTS 414984,A81000B,00600,0300,THERAPY COSTS 414984,A81000B,00700,0300,MEDICAL SUPPLIES 414984,A81000B,00800,0300,PHARMACY CONSULTANT 414984,A81000B,00900,0300,INTEREST ON CAPITAL LEASE 414984,A81000C,00100,0100,A 414984,A81000C,00100,0200,THOMAS D. SCOTT 414984,A81000C,00100,0400,PREFERRED CARE INC 414984,A81000C,00100,0600,HOME OFFICE 414984,A81000C,00200,0100,A 414984,A81000C,00200,0200,THOMAS D. SCOTT 414984,A81000C,00200,0400,PIN COMPUTING COMPANY 414984,A81000C,00200,0600,COMPUTER SERVICES 414984,A81000C,00300,0100,A 414984,A81000C,00300,0200,THOMAS D. SCOTT 414984,A81000C,00300,0400,LONE STAR PHARMACY 414984,A81000C,00300,0600,PHARMACY SERVICES 414984,A81000C,00400,0100,A 414984,A81000C,00400,0200,THOMAS D. SCOTT 414984,A81000C,00400,0400,RELIANT PRO REHAB 414984,A81000C,00400,0600,CONTRACT THERAPY SERVICES 414984,A81000C,00500,0100,A 414984,A81000C,00500,0200,THOMAS D. SCOTT 414984,A81000C,00500,0400,RELIANT PRO REHAB 414984,A81000C,00500,0600,CONTRACT THERAPY SERVICES 414984,A81000C,00600,0100,A 414984,A81000C,00600,0200,THOMAS D. SCOTT 414984,A81000C,00600,0400,RELIANT PRO REHAB 414984,A81000C,00600,0600,CONTRACT THERAPY SERVICES 414984,A81000C,00700,0100,A 414984,A81000C,00700,0200,THOMAS D. SCOTT 414984,A81000C,00700,0400,LONE STAR PHARMACY 414984,A81000C,00700,0600,PHARMACY SERVICES 414984,A81000C,00800,0100,A 414984,A81000C,00800,0200,THOMAS D. SCOTT 414984,A81000C,00800,0400,LONE STAR PHARMACY 414984,A81000C,00800,0600,PHARMACY SERVICES 414984,A81000C,00900,0100,A 414984,A81000C,00900,0200,THOMAS D. SCOTT 414984,A81000C,00900,0400,PIN LEASING COMPANY 414984,A81000C,00900,0600,EQUIPMENT LEASING 414984,B100000,00000,0100,0100SQUARE FEET 414984,B100000,00000,0200,0200SQUARE FEET 414984,B100000,00000,0300,0300GROSS SALARIES 414984,B100000,00000,0400,0400ACCUM COST 414984,B100000,00000,0500,0500SQUARE FEET 414984,B100000,00000,0600,0600PATIENT DAYS 414984,B100000,00000,0700,0700SQUARE FEET 414984,B100000,00000,0800,0800PATIENT DAYS 414984,B100000,00000,0900,0900PATIENT DAYS 414984,B100000,00000,1000,1000PATIENT DAYS 414984,B100000,00000,1100,1100PATIENT DAYS 414984,B100000,00000,1200,1200PATIENT DAYS 414984,B100000,00000,1300,1300PATIENT DAYS 414984,B100000,00000,1400,1400ASSIGNED TIME 414984,B100000,00000,1500,1350 414984,G300000,02500,0000,MISCELLANEOUS INCOME 414984,S000000,00100,0200,06/01/11 414984,S200000,00100,0100,7302 OAK MANOR DRIVE 414984,S200000,00200,0100,SAN ANTONIO 414984,S200000,00200,0200,TX 414984,S200000,00200,0300,78229 414984,S200000,00300,0100,BEXAR 414984,S200000,00300,0201,41700 414984,S200000,00300,0300,U 414984,S200000,00400,0100,OAK PARK NURSING & REHAB CENTER 414984,S200000,00400,0200,455789 414984,S200000,00400,0300,12/01/92 414984,S200000,00400,0500,P 414984,S200000,00400,0600,P 414984,S200000,01500,0100,Y 414984,S200000,01501,0200,Y 414984,S200000,01600,0100,N 414984,S200000,01700,0100,N 414984,S200000,01800,0100,N 414984,S200000,02200,0100,N 414984,S200000,02800,0100,N 414984,S200000,02900,0100,N 414984,S200000,03000,0100,N 414984,S200000,03100,0100,N 414984,S200000,03200,0100,N 414984,S200000,03300,0100,N 414984,S200000,03300,0200,N 414984,S200000,04200,0100,N 414984,S200000,04300,0100,N 414984,S200000,04600,0100,N 414984,S200000,04700,0100,N 414984,S200000,04900,0100,N 414984,S200000,05200,0100,N 414984,S200000,05300,0100,Y 414984,S200000,05300,0200,H56920 414984,S200000,05400,0100,PREFERRED CARE INC. 414984,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 414984,S200000,05400,0300,12001 414984,S200000,05500,0100,5420 W. PLANO PARKWAY 414984,S200000,05600,0100,PLANO 414984,S200000,05600,0200,TX 414984,S200000,05600,0300,75093 414993,S000000,00100,0200,05/31/11 414993,S200000,00100,0100,402 13TH AVE 414993,S200000,00200,0100,TWO HARBORS 414993,S200000,00200,0200,MN 414993,S200000,00200,0300,55616-1267 414993,S200000,00300,0100,LAKE 414993,S200000,00400,0100,ECUMEN SCENIC SHORES 414993,S200000,00400,0300,05/01/87 415090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415090,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415090,A000000,00300,0000,0300EMPLOYEE BENEFITS 415090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415090,A000000,00700,0000,0700HOUSEKEEPING 415090,A000000,00800,0000,0800DIETARY 415090,A000000,00900,0000,0900NURSING ADMINISTRATION 415090,A000000,01300,0000,1300SOCIAL SERVICE 415090,A000000,01600,0000,1600SKILLED NURSING FACILITY 415090,A000000,02100,0000,2100RADIOLOGY 415090,A000000,02200,0000,2200LABORATORY 415090,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415090,A000000,02500,0000,2500PHYSICAL THERAPY 415090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415090,A000000,02700,0000,2700SPEECH PATHOLOGY 415090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415090,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 415090,A000000,03200,0000,3200SUPPORT SURFACES 415090,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 415090,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415090,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 415090,A000000,06100,0000,6100NONPAID WORKERS 415090,A000000,06200,0000,6200PATIENTS LAUNDRY 415090,A000000,06300,0000,6150ASISTED LIVING 415090,A81000A,00100,0100,Y 415090,A81000B,00600,0300,MGMT FEE - A&G RELATED 415090,A81000C,00100,0100,B 415090,A81000C,00100,0400,MISSON HEALTH CARE LLC 415090,A81000C,00100,0600,HOME OFFICE 415090,A81000C,00200,0100,B 415090,A81000C,00200,0200,PAUL CONTRIS 415090,A81000C,00300,0100,B 415090,A81000C,00300,0200,TOM BOERBOOM 415090,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415090,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415090,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415090,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415090,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415090,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 415090,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415090,B100000,00000,0800,0800MEALS SERVED :DIETARY 415090,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 415090,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 415090,G300000,02500,0000,OTHER - SEE GROUPINGS 415090,S000000,00100,0200,05/19/11 415090,S200000,00100,0100,2000 WESLEYAN BLVD 415090,S200000,00200,0100,RAPID CITY 415090,S200000,00200,0200,SD 415090,S200000,00200,0300,57702-9340 415090,S200000,00300,0100,PENNINGTON 415090,S200000,00300,0200,6660 415090,S200000,00300,0201,39660 415090,S200000,00300,0300,U 415090,S200000,00400,0100,FOUNTAIN SPRINGS HEALTHCARE 415090,S200000,00400,0200,435110 415090,S200000,00400,0300,02/01/98 415090,S200000,00400,0500,P 415090,S200000,00400,0600,P 415090,S200000,01500,0100,Y 415090,S200000,01501,0200,N 415090,S200000,01502,0200,N 415090,S200000,01503,0200,N 415090,S200000,01504,0200,N 415090,S200000,01600,0100,N 415090,S200000,01700,0100,N 415090,S200000,01800,0100,N 415090,S200000,02200,0100,N 415090,S200000,02800,0100,N 415090,S200000,02900,0100,N 415090,S200000,03000,0100,N 415090,S200000,03100,0100,N 415090,S200000,03200,0100,N 415090,S200000,03300,0100,N 415090,S200000,03300,0200,N 415090,S200000,04100,0100,N 415090,S200000,04200,0100,N 415090,S200000,04300,0100,N 415090,S200000,04600,0100,N 415090,S200000,04700,0100,N 415090,S200000,04700,0200,N 415090,S200000,04900,0100,N 415090,S200000,05000,0100,N 415090,S200000,05100,0100,N 415090,S200000,05200,0100,N 415090,S200000,05300,0100,Y 415090,S200000,05300,0200,NA 415090,S200000,05400,0100,MISSION HEALTHCARE LLC 415090,S200000,05400,0200,NORIDIAN 415090,S200000,05400,0300,00320 415090,S200000,05500,0100,4420 VALLEY VIEW ROAD SUITE 201 415090,S200000,05600,0100,EDINA 415090,S200000,05600,0200,MN 415090,S200000,05600,0300,55424 415410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 415410,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 415410,A000000,00300,0000,0300EMPLOYEE BENEFITS 415410,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 415410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415410,A000000,00700,0000,0700HOUSEKEEPING 415410,A000000,00800,0000,0800DIETARY 415410,A000000,00900,0000,0900NURSING ADMINISTRATION 415410,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415410,A000000,01100,0000,1100PHARMACY 415410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415410,A000000,01300,0000,1300SOCIAL SERVICE 415410,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 415410,A000000,01500,0000,1350OTHER GENERAL SERVICES 415410,A000000,01600,0000,1600SKILLED NURSING FACILITY 415410,A000000,01810,0000,1810ICF/MR 415410,A000000,02100,0000,2100RADIOLOGY 415410,A000000,02200,0000,2200LABORATORY 415410,A000000,02500,0000,2500PHYSICAL THERAPY 415410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415410,A000000,02700,0000,2700SPEECH PATHOLOGY 415410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 415410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415410,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 415410,A000000,03550,0000,3550FQHC 415410,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 415410,A000000,04710,0000,4710TELEMEDICINE 415410,A000000,04801,0000,4801AMBULANCE 415410,A000000,04802,0000,4802AMBULANCE 415410,A000000,04803,0000,4803AMBULANCE 415410,A000000,05000,0000,5000CORF 415410,A000000,05010,0000,5010CMHC 415410,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 415410,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 415410,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 415410,A000000,05100,0000,4750OTHER REIMBURSABLE COST 415410,A000000,05300,0000,5300INTEREST EXPENSE 415410,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 415410,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415410,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 415410,A81000A,00100,0100,Y 415410,A81000B,00100,0300,MANAGEMENT FEES 415410,A81000C,00100,0100,A 415410,A81000C,00100,0200,TOM JOHNSON 415410,A81000C,00100,0400,HSMG 415410,A81000C,00100,0600,MANAGEMENT COMPANY 415410,B100000,00000,0100,0100SQUARE FEET 415410,B100000,00000,0200,0200SQUARE FEET 415410,B100000,00000,0300,0300GROSS SALARIES 415410,B100000,00000,0400,0400ACCUM COST 415410,B100000,00000,0500,0500SQUARE FEET 415410,B100000,00000,0600,0600PATIENT DAYS 415410,B100000,00000,0700,0700SQUARE FEET 415410,B100000,00000,0800,0800MEALS SERVED 415410,B100000,00000,0900,0900DIRECT NURSING HR 415410,B100000,00000,1000,1000PATIENT DAYS 415410,B100000,00000,1100,1100COSTED REQUIS. 415410,B100000,00000,1200,1200PATIENT DAYS 415410,B100000,00000,1300,1300PATIENT DAYS 415410,B100000,00000,1400,1400ASSIGNED TIME 415410,B100000,00000,1500,1350 415410,G300000,02500,0000,INSURANCE PREMIUMS 415410,G300000,02501,0000,MISCELLANEOUS INCOME 415410,G300000,02502,0000,BEAUTY & BARBER 415410,S000000,00100,0200,05/26/11 415410,S200000,00100,0100,261 NORTH STREET 415410,S200000,00200,0100,BRISTOL 415410,S200000,00200,0200,TN 415410,S200000,00200,0300,37625 415410,S200000,00300,0100,SULLIVAN 415410,S200000,00300,0201,28700 415410,S200000,00300,0300,U 415410,S200000,00400,0100,BRISTOL NURSING HOME 415410,S200000,00400,0200,445498 415410,S200000,00400,0300,11/17/09 415410,S200000,00400,0500,P 415410,S200000,01500,0100,Y 415410,S200000,01600,0100,N 415410,S200000,01700,0100,N 415410,S200000,01800,0100,N 415410,S200000,02200,0100,N 415410,S200000,02800,0100,N 415410,S200000,02900,0100,N 415410,S200000,03000,0100,N 415410,S200000,03100,0100,N 415410,S200000,03200,0100,N 415410,S200000,03300,0100,N 415410,S200000,03300,0200,N 415410,S200000,04200,0100,N 415410,S200000,04300,0100,N 415410,S200000,04600,0100,N 415410,S200000,04700,0100,N 415410,S200000,04900,0100,N 415410,S200000,05200,0100,N 415410,S200000,05300,0100,Y 415410,S200000,05300,0200,HO5555 415410,S200000,05400,0100,HEALTH SERVICES MANAGEMENT GROUP LL 415410,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 415410,S200000,05400,0300,05401 415410,S200000,05500,0100,485 CENTRAL AVENUE 415410,S200000,05600,0100,CLEVELAND 415410,S200000,05600,0200,TN 415410,S200000,05600,0300,37311 415474,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415474,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415474,A000000,00300,0000,0300EMPLOYEE BENEFITS 415474,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415474,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415474,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415474,A000000,00700,0000,0700HOUSEKEEPING 415474,A000000,00800,0000,0800DIETARY 415474,A000000,00900,0000,0900NURSING ADMINISTRATION 415474,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415474,A000000,01100,0000,1100PHARMACY 415474,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415474,A000000,01300,0000,1300SOCIAL SERVICE 415474,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 415474,A000000,01500,0000,1350OTHER GENERAL SERVICES 415474,A000000,01600,0000,1600SKILLED NURSING FACILITY 415474,A000000,01800,0000,1800NURSING FACILITY 415474,A000000,01810,0000,1810ICF/MR 415474,A000000,01900,0000,1900OTHER LONG TERM CARE 415474,A000000,02100,0000,2100RADIOLOGY 415474,A000000,02200,0000,2200LABORATORY 415474,A000000,02300,0000,2300INTRAVENOUS THERAPY 415474,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415474,A000000,02500,0000,2500PHYSICAL THERAPY 415474,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415474,A000000,02700,0000,2700SPEECH PATHOLOGY 415474,A000000,02800,0000,2800ELECTROCARDIOLOGY 415474,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415474,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415474,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 415474,A000000,03200,0000,3200SUPPORT SURFACES 415474,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 415474,A000000,03400,0000,3400CLINIC 415474,A000000,03500,0000,3500RURAL HEALTH CLINIC 415474,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 415474,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 415474,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 415474,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 415474,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 415474,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 415474,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 415474,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 415474,A000000,04400,0000,4400DME RENTED - HHA 415474,A000000,04500,0000,4500DME SOLD - HHA 415474,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 415474,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 415474,A000000,04710,0000,4710TELEMEDICINE 415474,A000000,04800,0000,4800AMBULANCE 415474,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 415474,A000000,05000,0000,5000CORF 415474,A000000,05100,0000,4750OTHER REIMBURSABLE COST 415474,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 415474,A000000,05300,0000,5300INTEREST EXPENSE 415474,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 415474,A000000,05500,0000,5500HOSPICE 415474,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 415474,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 415474,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415474,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 415474,A000000,06100,0000,6100NONPAID WORKERS 415474,A000000,06200,0000,6200PATIENTS LAUNDRY 415474,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 415474,A81000A,00100,0100,Y 415474,A81000B,00100,0300,CSO ALLOCATIONS 415474,A81000B,00200,0300,A/R MGMT SERVICES 415474,A81000B,00300,0300,BAS - PT 415474,A81000B,00400,0300,BAS - OT 415474,A81000B,00500,0300,BAS - ST 415474,A81000B,00600,0300,LEASE EXPENSE 415474,A81000C,00100,0100,B 415474,A81000C,00100,0200,STAN STUDER JR 415474,A81000C,00100,0400,TOUCHSTONE COMMUNITIES 415474,A81000C,00100,0600,CENTRAL OFFICE 415474,A81000C,00200,0100,B 415474,A81000C,00200,0200,STAN STUDER JR 415474,A81000C,00200,0400,TRIDENT HEALTH SERVICES 415474,A81000C,00200,0600,A/R MANAGEMENT 415474,A81000C,00300,0100,B 415474,A81000C,00300,0200,STAN STUDER JR 415474,A81000C,00300,0400,BROOKHAVEN MEDICAL CENTER 415474,A81000C,00300,0600,THERAPY SERVICES 415474,A81000C,00400,0100,B 415474,A81000C,00400,0200,STAN STUDER JR 415474,A81000C,00400,0400,BROOKHAVEN MEDICAL CENTER 415474,A81000C,00400,0600,THERAPY SERVICES 415474,A81000C,00500,0100,B 415474,A81000C,00500,0200,STAN STUDER JR 415474,A81000C,00500,0400,BROOKHAVEN MEDICAL CENTER 415474,A81000C,00500,0600,THERAPY SERVICES 415474,A81000C,00600,0100,B 415474,A81000C,00600,0200,STAN STUDER JR 415474,A81000C,00600,0400,TOUCHSTONE REALTY - GONZA 415474,A81000C,00600,0600,REAL ESTATE HOLDING CO 415474,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415474,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415474,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415474,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415474,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415474,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 415474,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415474,B100000,00000,0800,0800MEALS SERVED :DIETARY 415474,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 415474,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 415474,B100000,00000,1100,1150RESIDENT DAYS :PHARMACY 415474,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 415474,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 415474,S000000,00100,0200,06/01/11 415474,S200000,00100,0100,701 N SARAH DEWITT 415474,S200000,00200,0100,GONZALES 415474,S200000,00200,0200,TX 415474,S200000,00200,0300,78629 415474,S200000,00300,0100,GONZALES 415474,S200000,00300,0200,45 415474,S200000,00300,0201,99945 415474,S200000,00300,0300,R 415474,S200000,00400,0100,THE HEIGHTS OF GONZALES 415474,S200000,00400,0200,676138 415474,S200000,00400,0300,05/22/07 415474,S200000,00400,0500,P 415474,S200000,01500,0100,Y 415474,S200000,01501,0200,Y 415474,S200000,01600,0100,N 415474,S200000,01700,0100,N 415474,S200000,01800,0100,N 415474,S200000,02200,0100,N 415474,S200000,02800,0100,N 415474,S200000,02900,0100,N 415474,S200000,03000,0100,N 415474,S200000,03100,0100,N 415474,S200000,03200,0100,N 415474,S200000,03300,0100,N 415474,S200000,03300,0200,N 415474,S200000,04100,0100,N 415474,S200000,04200,0100,N 415474,S200000,04300,0100,N 415474,S200000,04600,0100,N 415474,S200000,04700,0100,N 415474,S200000,04700,0200,N 415474,S200000,04900,0100,N 415474,S200000,05000,0100,N 415474,S200000,05100,0100,N 415474,S200000,05200,0100,N 415552,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415552,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415552,A000000,00300,0000,0300EMPLOYEE BENEFITS 415552,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415552,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415552,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415552,A000000,00700,0000,0700HOUSEKEEPING 415552,A000000,00800,0000,0800DIETARY 415552,A000000,00900,0000,0900NURSING ADMINISTRATION 415552,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415552,A000000,01100,0000,1100PHARMACY 415552,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415552,A000000,01300,0000,1300SOCIAL SERVICE 415552,A000000,01600,0000,1600SKILLED NURSING FACILITY 415552,A000000,01800,0000,1800NURSING FACILITY 415552,A000000,01900,0000,1900OTHER LONG TERM CARE 415552,A000000,02100,0000,2100RADIOLOGY 415552,A000000,02200,0000,2200LABORATORY 415552,A000000,02300,0000,2300INTRAVENOUS THERAPY 415552,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415552,A000000,02500,0000,2500PHYSICAL THERAPY 415552,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415552,A000000,02700,0000,2700SPEECH PATHOLOGY 415552,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415552,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415552,A000000,03200,0000,3200SUPPORT SURFACES 415552,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 415552,A000000,04800,0000,4800AMBULANCE 415552,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 415552,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415552,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 415552,A81000A,00100,0100,Y 415552,A81000B,00100,0300,ADMINISTRATIVE SERVICES 415552,A81000B,00200,0300,HOME OFFICE CAPITAL 415552,A81000B,00300,0300,HOME OFFICE NON CAPITAL 415552,A81000B,00400,0300,EQUIPMENT RENTAL 415552,A81000B,00500,0300,DIETARY SUPPLEMENTALS 415552,A81000B,00600,0300,MEDICAL SUPPLIES 415552,A81000B,00700,0300,FOOD 415552,A81000B,00800,0300,DIETARY SUPPLIES 415552,A81000B,00900,0300,PLANT OP PURCHASED SVC- LABOR 415552,A81000B,01000,0300,PLANT OP PURCHASED SVC- SUPPLIES 415552,A81000B,01100,0300,HOUSEKEEPING PURCHASED SVC- LABOR 415552,A81000B,01200,0300,HOUSEKEEPING PURCHASED SVC- SUPPLIES 415552,A81000B,01300,0300,LAUNDRY PURCHASED SVC- LABOR 415552,A81000B,01400,0300,LAUNDRY PURCHASED SVC- SUPPLIES 415552,A81000B,01500,0300,DIETARY PURCHASED SVC- LABOR 415552,A81000B,01600,0300,OTHER SUPPLIES 415552,A81000B,01700,0300,LINEN & BEDDING 415552,A81000B,01800,0300,EQUIPMENT RENTAL 415552,A81000B,01900,0300,PRINTING SUPPLIES 415552,A81000B,02000,0300,OFFICE SUPPLIES 415552,A81000B,02100,0300,NON MEDICAL SUPPLIES 415552,A81000B,02200,0300,ADMINISTRATIVE SERVICES 415552,A81000C,00100,0100,B 415552,A81000C,00100,0400,SUN MAR MANAGEM 415552,A81000C,00100,0600,ADMINISTRATIVE 415552,A81000C,00200,0100,F 415552,A81000C,00200,0400,COMFORT CARE 415552,A81000C,00200,0600,EQUIPMENT RENTA 415552,A81000C,00300,0100,F 415552,A81000C,00300,0400,DIET RIGHT 415552,A81000C,00300,0600,DIETARY SUPPLEM 415552,A81000C,00400,0100,F 415552,A81000C,00400,0400,INTELEX 415552,A81000C,00400,0600,PURCHASED SERVI 415552,A81000C,00500,0100,F 415552,A81000C,00500,0400,DIRECT PRESS 415552,A81000C,00500,0600,PRINTING 415552,A81000C,00600,0100,F 415552,A81000C,00600,0400,OFFICE SMART 415552,A81000C,00600,0600,OFFICE SUPPLIES 415552,A81000C,00700,0100,F 415552,A81000C,00700,0400,PREMIER MEDICAL 415552,A81000C,00700,0600,AMBULANCE/MEDIC 415552,A81000C,00800,0100,F 415552,A81000C,00800,0400,SHRED PRO 415552,A81000C,00800,0600,ADMIN SERVICES 415552,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415552,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415552,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415552,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415552,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415552,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 415552,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415552,B100000,00000,0800,0800MEALS SERVED :DIETARY 415552,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 415552,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 415552,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 415552,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 415552,G300000,02500,0000,LEAVE/BEAUTY/OTHER REVENUE 415552,S000000,00100,0200,06/30/11 415552,S200000,00100,0100,4070 JURUPA AVE 415552,S200000,00200,0100,RIVERSIDE 415552,S200000,00200,0200,CA 415552,S200000,00200,0300,92506 415552,S200000,00300,0100,RIVERSIDE 415552,S200000,00300,0201,40140 415552,S200000,00300,0300,U 415552,S200000,00400,0100,COMMUNITY CARE AND REHAB CENTER 415552,S200000,00400,0200,055409 415552,S200000,00400,0300,01/01/99 415552,S200000,00400,0500,P 415552,S200000,01500,0100,Y 415552,S200000,01501,0200,Y 415552,S200000,01600,0100,N 415552,S200000,01700,0100,N 415552,S200000,01800,0100,N 415552,S200000,02200,0100,N 415552,S200000,02800,0100,N 415552,S200000,02900,0100,N 415552,S200000,03000,0100,N 415552,S200000,03100,0100,N 415552,S200000,03200,0100,N 415552,S200000,03300,0100,N 415552,S200000,03300,0200,N 415552,S200000,04100,0100,N 415552,S200000,04200,0100,N 415552,S200000,04300,0100,N 415552,S200000,04600,0100,N 415552,S200000,04700,0100,N 415552,S200000,04700,0200,N 415552,S200000,04900,0100,N 415552,S200000,05000,0100,N 415552,S200000,05100,0100,N 415552,S200000,05200,0100,N 415552,S200000,05300,0100,Y 415552,S200000,05300,0200,041810 415552,S200000,05400,0100,SUN MAR MANAGEMENT SERVICES 415552,S200000,05400,0200,PALMETTO GBA 415552,S200000,05400,0300,01001 415552,S200000,05500,0100,3050 SATURN ST ROOM 201 415552,S200000,05600,0100,BREA 415552,S200000,05600,0200,CA 415552,S200000,05600,0300,93821 415687,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415687,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415687,A000000,00300,0000,0300EMPLOYEE BENEFITS 415687,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415687,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415687,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415687,A000000,00700,0000,0700HOUSEKEEPING 415687,A000000,00800,0000,0800DIETARY 415687,A000000,00900,0000,0900NURSING ADMINISTRATION 415687,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415687,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415687,A000000,01300,0000,1300SOCIAL SERVICE 415687,A000000,01500,0000,1350ACTIVITIES 415687,A000000,01600,0000,1600SKILLED NURSING FACILITY 415687,A000000,01800,0000,1800NURSING FACILITY 415687,A000000,02100,0000,2100RADIOLOGY 415687,A000000,02200,0000,2200LABORATORY 415687,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415687,A000000,02500,0000,2500PHYSICAL THERAPY 415687,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415687,A000000,02700,0000,2700SPEECH PATHOLOGY 415687,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415687,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415687,A000000,03200,0000,3200SUPPORT SURFACES 415687,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 415687,A000000,04800,0000,4800AMBULANCE 415687,A000000,05300,0000,5300INTEREST EXPENSE 415687,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415687,A81000A,00100,0100,Y 415687,A81000B,00100,0300,REMOVE MANAGEMENT FEES 415687,A81000B,00200,0300,HOME OFFICE ALLOCATION 415687,A81000B,00300,0300,HOME OFFICE ALLOCATION 415687,A81000B,00400,0300,HOME OFFICE ALLOCATION 415687,A81000B,00500,0300,HOME OFFICE ALLOCATION 415687,A81000C,00100,0100,A 415687,A81000C,00100,0200,P FOGG JR 415687,A81000C,00100,0400,MARQUIS COMPANI 415687,A81000C,00100,0600,HOME OFFICE 415687,A81000C,00200,0100,A 415687,A81000C,00200,0200,P FOGG JR 415687,A81000C,00200,0400,CONSONUS REHAB 415687,A81000C,00200,0600,REHAB 415687,A81000C,00300,0100,A 415687,A81000C,00300,0200,P FOGG JR 415687,A81000C,00300,0400,CONSONUS PHARMA 415687,A81000C,00300,0600,PHARMACY 415687,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415687,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415687,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415687,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415687,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415687,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 415687,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415687,B100000,00000,0800,0850PATIENT DAYS :DIETARY 415687,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 415687,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 415687,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 415687,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 415687,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 415687,G300000,02500,0000,OTHER REVENUE 415687,S000000,00100,0200,06/01/11 415687,S200000,00100,0100,6351 N FORT APACHE ROAD 415687,S200000,00200,0100,LAS VEGAS 415687,S200000,00200,0200,NV 415687,S200000,00200,0300,89149 415687,S200000,00300,0100,CLARK 415687,S200000,00300,0201,29010 415687,S200000,00300,0300,U 415687,S200000,00400,0100,MARQUIS CARE AT CENTENNIAL HILLS 415687,S200000,00400,0200,295089 415687,S200000,00400,0300,11/09/10 415687,S200000,00400,0500,P 415687,S200000,01500,0100,Y 415687,S200000,01501,0200,Y 415687,S200000,01503,0200,Y 415687,S200000,01600,0100,N 415687,S200000,01700,0100,N 415687,S200000,01800,0100,N 415687,S200000,02200,0100,N 415687,S200000,02800,0100,N 415687,S200000,02900,0100,N 415687,S200000,03000,0100,N 415687,S200000,03100,0100,N 415687,S200000,03200,0100,N 415687,S200000,03300,0100,N 415687,S200000,03300,0200,N 415687,S200000,04100,0100,N 415687,S200000,04200,0100,N 415687,S200000,04300,0100,N 415687,S200000,04600,0100,N 415687,S200000,04700,0100,N 415687,S200000,04700,0200,N 415687,S200000,04900,0100,N 415687,S200000,05000,0100,N 415687,S200000,05100,0100,N 415687,S200000,05200,0100,N 415687,S200000,05300,0100,Y 415687,S200000,05300,0200,HB0445 415687,S200000,05400,0100,MARQUIS COMPANIES I INC 415687,S200000,05400,0200,NORIDIAN 415687,S200000,05400,0300,00325 415687,S200000,05500,0100,4560 SE INTERNATIONAL WAY STE 100 415687,S200000,05600,0100,MILWAUKIE 415687,S200000,05600,0200,OR 415687,S200000,05600,0300,97222 415860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415860,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415860,A000000,00300,0000,0300EMPLOYEE BENEFITS 415860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415860,A000000,00700,0000,0700HOUSEKEEPING 415860,A000000,00800,0000,0800DIETARY 415860,A000000,00900,0000,0900NURSING ADMINISTRATION 415860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415860,A000000,01300,0000,1300SOCIAL SERVICE 415860,A000000,01600,0000,1600SKILLED NURSING FACILITY 415860,A000000,01800,0000,1800NURSING FACILITY 415860,A000000,02100,0000,2100RADIOLOGY 415860,A000000,02200,0000,2200LABORATORY 415860,A000000,02500,0000,2500PHYSICAL THERAPY 415860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415860,A000000,02700,0000,2700SPEECH PATHOLOGY 415860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415860,A000000,04800,0000,4800AMBULANCE 415860,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 415860,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 415860,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415860,A81000A,00100,0100,Y 415860,A81000B,00100,0300,BUILDING DEPRECIATION 415860,A81000B,00200,0300,BUILDING INTEREST 415860,A81000C,00100,0100,A 415860,A81000C,00100,0200,INVESTORS 415860,A81000C,00100,0400,SNF AMMON 415860,A81000C,00100,0600,REAL ESTATE 415860,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415860,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415860,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415860,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415860,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415860,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 415860,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415860,B100000,00000,0800,0800MEALS SERVED :DIETARY 415860,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 415860,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 415860,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 415860,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 415860,S000000,00100,0200,06/03/11 415860,S200000,00100,0100,3909 SOUTH 25TH EAST 415860,S200000,00200,0100,AMMON 415860,S200000,00200,0200,ID 415860,S200000,00200,0300,83406 415860,S200000,00300,0100,BONNEVILLE 415860,S200000,00300,0201,26820 415860,S200000,00300,0300,U 415860,S200000,00400,0100,PROMONTORY POINT REHAB 415860,S200000,00400,0200,135137 415860,S200000,00400,0300,10/14/10 415860,S200000,00400,0500,P 415860,S200000,01500,0100,Y 415860,S200000,01501,0200,Y 415860,S200000,01502,0200,Y 415860,S200000,01503,0200,Y 415860,S200000,01504,0200,Y 415860,S200000,01505,0000,OTHER (SPECIFY) 415860,S200000,01505,0200,N 415860,S200000,01600,0100,N 415860,S200000,01700,0100,N 415860,S200000,01800,0100,N 415860,S200000,02200,0100,N 415860,S200000,02800,0100,N 415860,S200000,02900,0100,N 415860,S200000,03000,0100,N 415860,S200000,03100,0100,N 415860,S200000,03200,0100,N 415860,S200000,03300,0100,N 415860,S200000,03300,0200,N 415860,S200000,04100,0100,N 415860,S200000,04200,0100,N 415860,S200000,04300,0100,N 415860,S200000,04600,0100,N 415860,S200000,04700,0100,N 415860,S200000,04700,0200,N 415860,S200000,04900,0100,N 415860,S200000,05000,0100,N 415860,S200000,05100,0100,N 415860,S200000,05200,0100,N 415860,S200000,05300,0100,N 415886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415886,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415886,A000000,00300,0000,0300EMPLOYEE BENEFITS 415886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415886,A000000,00700,0000,0700HOUSEKEEPING 415886,A000000,00800,0000,0800DIETARY 415886,A000000,00900,0000,0900NURSING ADMINISTRATION 415886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415886,A000000,01300,0000,1300SOCIAL SERVICE 415886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 415886,A000000,01500,0000,1350OTHER GENERAL SERVICES 415886,A000000,01600,0000,1600SKILLED NURSING FACILITY 415886,A000000,01800,0000,1800NURSING FACILITY 415886,A000000,01900,0000,1900OTHER LONG TERM CARE 415886,A000000,02100,0000,2100RADIOLOGY 415886,A000000,02200,0000,2200LABORATORY 415886,A000000,02300,0000,2300INTRAVENOUS THERAPY 415886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415886,A000000,02500,0000,2500PHYSICAL THERAPY 415886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415886,A000000,02700,0000,2700SPEECH PATHOLOGY 415886,A000000,02800,0000,2800ELECTROCARDIOLOGY 415886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415886,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 415886,A000000,03200,0000,3200SUPPORT SURFACES 415886,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 415886,A000000,03400,0000,3400CLINIC 415886,A000000,03500,0000,3500RURAL HEALTH CLINIC 415886,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 415886,A000000,04800,0000,4800AMBULANCE 415886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 415886,A000000,05000,0000,5000CORF 415886,A000000,05100,0000,4750OTHER REIMBURSABLE COST 415886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 415886,A000000,05300,0000,5300INTEREST EXPENSE 415886,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 415886,A000000,05500,0000,5500HOSPICE 415886,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 415886,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 415886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415886,A000000,06200,0000,6200PATIENTS LAUNDRY 415886,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 415886,A81000A,00100,0100,Y 415886,A81000B,00100,0300,HOME OFFICE ALLOCATION 415886,A81000B,00200,0300,HOME OFFICE ALLOCATION 415886,A81000B,00300,0300,REHAB 415886,A81000B,00400,0300,REHAB 415886,A81000B,00500,0300,REHAB 415886,A81000B,00600,0300,PHARMACY IV THERAPY 415886,A81000B,00700,0300,MEDICAL SUPPLY 415886,A81000B,00800,0300,PHARMACY CONSULTANT 415886,A81000B,00900,0300,INTERNAL CONTRACT LABOR 415886,A81000B,01000,0300,BUS ALLOCATION 415886,A81000B,01100,0300,INTERNAL CONTRACT LABOR 415886,A81000C,00100,0100,B 415886,A81000C,00100,0400,NEHALEM CARE CENTER INC 415886,A81000C,00100,0600,OWNS PROVIDER 415886,A81000C,00200,0100,B 415886,A81000C,00200,0400,PRESTIGE CARE INC 415886,A81000C,00200,0600,OWNS NEHALEM CARE 415886,A81000C,00300,0100,A 415886,A81000C,00300,0200,RICK DELAMARTER 415886,A81000C,00300,0400,PRESTIGE CARE INC 415886,A81000C,00300,0600,HOME OFFICE 415886,A81000C,00400,0100,A 415886,A81000C,00400,0200,HAROLD DELAMARTER 415886,A81000C,00400,0400,PRESTIGE CARE INC 415886,A81000C,00400,0600,HOME OFFICE 415886,A81000C,00500,0100,A 415886,A81000C,00500,0200,GREG VISLOCKY 415886,A81000C,00500,0400,PRESTIGE CARE INC 415886,A81000C,00500,0600,HOME OFFICE 415886,A81000C,00600,0100,A 415886,A81000C,00600,0200,RICK DELAMARTER 415886,A81000C,00600,0400,CYPRESS VENTURES 415886,A81000C,00600,0600,PROPAC PHARMACY 415886,A81000C,00700,0100,A 415886,A81000C,00700,0200,HAROLD DELAMARTER 415886,A81000C,00700,0400,CYPRESS VENTURES 415886,A81000C,00700,0600,PROPAC PHARMACY 415886,A81000C,00800,0100,A 415886,A81000C,00800,0200,GREG VISLOCKY 415886,A81000C,00800,0400,CYPRESS VENTURES 415886,A81000C,00800,0600,PROPAC PHARMACY 415886,A81000C,00900,0100,G 415886,A81000C,00900,0400,AUGUSTA VENTURES 415886,A81000C,00900,0600,PREMERE REHAB COMPANY 415886,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 415886,A81000C,01001,0600,SEE ATTACHED RELATED 415886,A81000C,01002,0400,THE 10.10 EXCEPTION 415886,A81000C,01002,0600,PARTY RELATIONSHIPS 415886,A81000C,01003,0400,CRITERA 415886,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415886,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415886,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415886,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415886,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415886,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 415886,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415886,B100000,00000,0800,0850PATIENT DAYS :DIETARY 415886,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 415886,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 415886,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 415886,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 415886,G300000,02500,0000,OTHER INCOME 415886,S000000,00100,0200,06/16/11 415886,S200000,00100,0100,280 ROWE STREET 415886,S200000,00100,0300,PO BOX 45 415886,S200000,00200,0100,WHEELER 415886,S200000,00200,0200,OR 415886,S200000,00200,0300,97147 415886,S200000,00300,0100,TILLAMOOK 415886,S200000,00300,0200,38 415886,S200000,00300,0201,99938 415886,S200000,00300,0300,R 415886,S200000,00400,0100,NEHALEM VALLEY CARE CENTER 415886,S200000,00400,0200,385244 415886,S200000,00400,0300,05/01/94 415886,S200000,00400,0500,P 415886,S200000,01500,0100,Y 415886,S200000,01501,0200,Y 415886,S200000,01502,0200,N 415886,S200000,01600,0100,N 415886,S200000,01700,0100,N 415886,S200000,01800,0100,N 415886,S200000,02200,0100,N 415886,S200000,02800,0100,N 415886,S200000,02900,0100,N 415886,S200000,03000,0100,N 415886,S200000,03100,0100,N 415886,S200000,03200,0100,N 415886,S200000,03300,0100,N 415886,S200000,03300,0200,N 415886,S200000,04100,0100,N 415886,S200000,04200,0100,N 415886,S200000,04300,0100,N 415886,S200000,04600,0100,N 415886,S200000,04700,0100,N 415886,S200000,04700,0200,N 415886,S200000,04900,0100,N 415886,S200000,05000,0100,N 415886,S200000,05100,0100,N 415886,S200000,05200,0100,N 415886,S200000,05300,0100,Y 415886,S200000,05300,0200,HB0440 415886,S200000,05400,0100,PRESTIGE CARE INC 415886,S200000,05400,0200,NORDIAN 415886,S200000,05400,0300,00325 415886,S200000,05500,0100,7700 NE PARKWAY DRIVE 415886,S200000,05600,0100,VANCOUVER 415886,S200000,05600,0200,WA 415886,S200000,05600,0300,98662 415928,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 415928,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 415928,A000000,00300,0000,0300EMPLOYEE BENEFITS 415928,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415928,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 415928,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415928,A000000,00700,0000,0700HOUSEKEEPING 415928,A000000,00800,0000,0800DIETARY 415928,A000000,00900,0000,0900NURSING ADMINISTRATION 415928,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415928,A000000,01100,0000,1100PHARMACY 415928,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415928,A000000,01300,0000,1300SOCIAL SERVICE 415928,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 415928,A000000,01500,0000,1350OTHER GENERAL SERVICES 415928,A000000,01600,0000,1600SKILLED NURSING FACILITY 415928,A000000,01810,0000,1810ICF/MR 415928,A000000,02100,0000,2100RADIOLOGY 415928,A000000,02200,0000,2200LABORATORY 415928,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 415928,A000000,02500,0000,2500PHYSICAL THERAPY 415928,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415928,A000000,02700,0000,2700SPEECH PATHOLOGY 415928,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 415928,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415928,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 415928,A000000,03550,0000,3550FQHC 415928,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 415928,A000000,04710,0000,4710TELEMEDICINE 415928,A000000,04801,0000,4801AMBULANCE 415928,A000000,04802,0000,4802AMBULANCE 415928,A000000,04803,0000,4803AMBULANCE 415928,A000000,05000,0000,5000CORF 415928,A000000,05010,0000,5010CMHC 415928,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 415928,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 415928,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 415928,A000000,05100,0000,4750OTHER REIMBURSABLE COST 415928,A000000,05300,0000,5300INTEREST EXPENSE 415928,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 415928,A000000,05900,0000,5900BARBER & BEAUTY SHOP 415928,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 415928,A81000A,00100,0100,Y 415928,A81000B,00100,0300,MANAGEMENT FEES 415928,A81000C,00100,0100,B 415928,A81000C,00100,0200,ADCARE HEALTH SYSTEMS 415928,A81000C,00100,0600,MANAGEMENT COMPANY 415928,B100000,00000,0100,0100SQUARE FEET 415928,B100000,00000,0200,0200SQUARE FEET 415928,B100000,00000,0300,0300GROSS SALARIES 415928,B100000,00000,0400,0400ACCUM COST 415928,B100000,00000,0500,0500SQUARE FEET 415928,B100000,00000,0600,0600PATIENT DAYS 415928,B100000,00000,0700,0700SQUARE FEET 415928,B100000,00000,0800,0800MEALS SERVED 415928,B100000,00000,0900,0900PATIENT DAYS 415928,B100000,00000,1000,1000PATIENT DAYS 415928,B100000,00000,1100,1100COSTED REQUIS. 415928,B100000,00000,1200,1200PATIENT DAYS 415928,B100000,00000,1300,1300PATIENT DAYS 415928,B100000,00000,1400,1400ASSIGNED TIME 415928,B100000,00000,1500,1350 415928,G300000,02500,0000,GAIN ON ACQUISITION 415928,S000000,00100,0200,06/03/11 415928,S200000,00100,0100,513 PINE VIEW AVENUE 415928,S200000,00200,0100,GLENCOE 415928,S200000,00200,0200,AL 415928,S200000,00200,0300,35905 415928,S200000,00300,0100,ETOWAH 415928,S200000,00300,0201,23460 415928,S200000,00300,0300,U 415928,S200000,00400,0100,COOSA VALLEY HEALTH CARE 415928,S200000,00400,0200,015174 415928,S200000,00400,0300,10/03/06 415928,S200000,00400,0500,P 415928,S200000,01500,0100,Y 415928,S200000,01501,0200,Y 415928,S200000,01502,0200,N 415928,S200000,01503,0200,N 415928,S200000,01504,0200,N 415928,S200000,01600,0100,N 415928,S200000,01700,0100,N 415928,S200000,01800,0100,N 415928,S200000,02200,0100,N 415928,S200000,02800,0100,N 415928,S200000,02900,0100,N 415928,S200000,03000,0100,N 415928,S200000,03100,0100,N 415928,S200000,03200,0100,N 415928,S200000,03300,0100,N 415928,S200000,03300,0200,N 415928,S200000,04200,0100,N 415928,S200000,04300,0100,N 415928,S200000,04600,0100,N 415928,S200000,04700,0100,N 415928,S200000,04900,0100,N 415928,S200000,05200,0100,N 415928,S200000,05300,0100,Y 415928,S200000,05300,0200,HB0558 415928,S200000,05400,0100,ADCARE HEALTH SYSTEMS INC. 415928,S200000,05400,0200,CGS 415928,S200000,05400,0300,00332 415928,S200000,05500,0100,5057 TROY ROAD 415928,S200000,05600,0100,SPRINGFIELD 415928,S200000,05600,0200,OH 415928,S200000,05600,0300,45502 415955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 415955,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 415955,A000000,00300,0000,0300EMPLOYEE BENEFITS 415955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 415955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 415955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 415955,A000000,00700,0000,0700HOUSEKEEPING 415955,A000000,00800,0000,0800DIETARY 415955,A000000,00900,0000,0900NURSING ADMINISTRATION 415955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 415955,A000000,01100,0000,1100PHARMACY 415955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 415955,A000000,01300,0000,1300SOCIAL SERVICE 415955,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 415955,A000000,01500,0000,1350RECREATION 415955,A000000,01600,0000,1600SKILLED NURSING FACILITY 415955,A000000,01810,0000,1810ICF/MR 415955,A000000,02100,0000,2100RADIOLOGY 415955,A000000,02200,0000,2200LABORATORY 415955,A000000,02500,0000,2500PHYSICAL THERAPY 415955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 415955,A000000,02700,0000,2700SPEECH PATHOLOGY 415955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 415955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 415955,A000000,03550,0000,3550FQHC 415955,A000000,05000,0000,5000CORF 415955,A000000,05010,0000,5010CMHC 415955,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 415955,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 415955,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 415955,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 415955,A81000A,00100,0100,Y 415955,A81000B,00100,0300,RENT 415955,A81000B,00200,0300,INTEREST 415955,A81000B,00300,0300,CORPORATE FEES 415955,A81000B,00400,0300,CORPORATE MGMT 415955,A81000B,00500,0300,PSYCHIATRIST HARVEST 415955,A81000B,00600,0300,P/S - RN 415955,A81000B,00700,0300,P/S - LPN 415955,A81000B,00800,0300,PT SVCS ALLSTAR THER 415955,A81000B,00900,0300,OT SVCS ALLSTAR THER 415955,A81000B,01000,0300,ST SVCS ALLSTAR THER 415955,A81000B,01100,0300,BUILDING DEPREC 415955,A81000C,00100,0100,A 415955,A81000C,00100,0200,BRIAN FOLEY 415955,A81000C,00100,0400,SAYBROOK REALTY 415955,A81000C,00100,0600,REAL ESTATE REN 415955,A81000C,00200,0100,A 415955,A81000C,00200,0200,BRIAN FOLEY 415955,A81000C,00200,0400,APPLE HEALTH CA 415955,A81000C,00200,0600,CORP MGMT 415955,A81000C,00300,0100,A 415955,A81000C,00300,0200,BRIAN FOLEY 415955,A81000C,00300,0400,HEALTHPORT 415955,A81000C,00300,0600,NURSING POOLS 415955,A81000C,00400,0100,D 415955,A81000C,00400,0200,LISA WILSON FOL 415955,A81000C,00400,0400,ALLSTAR THERAPY 415955,A81000C,00400,0600,THERAPY SERVICE 415955,A81000C,00500,0100,D 415955,A81000C,00500,0200,MEGHAN FOLEY 415955,A81000C,00500,0400,HARVEST HEALTH 415955,A81000C,00500,0600,PSYCHIATRY 415955,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 415955,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 415955,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 415955,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 415955,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 415955,B100000,00000,0600,0650100% :LAUNDRY & LINEN SERVICE 415955,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 415955,B100000,00000,0800,0850100% :DIETARY 415955,B100000,00000,0900,0950100% :NURSING ADMINISTRATION 415955,B100000,00000,1300,1330100% :SOCIAL SERVICE 415955,B100000,00000,1500,1350100% :RECREATION 415955,G300000,02500,0000,MISC INCOME 415955,S000000,00100,0200,06/01/11 415955,S200000,00100,0100,1775 BOSTON POST ROAD 415955,S200000,00200,0100,OLD SAYBROOK 415955,S200000,00200,0200,CT 415955,S200000,00200,0300,06475 415955,S200000,00300,0100,NEW HAVEN 415955,S200000,00300,0201,35300 415955,S200000,00300,0300,U 415955,S200000,00400,0100,SAYBROOK HEALTH CARE 415955,S200000,00400,0200,075070 415955,S200000,00400,0300,10/01/09 415955,S200000,00400,0500,P 415955,S200000,01500,0100,Y 415955,S200000,01501,0200,Y 415955,S200000,01502,0200,Y 415955,S200000,01503,0200,Y 415955,S200000,01504,0200,Y 415955,S200000,01600,0100,N 415955,S200000,01700,0100,N 415955,S200000,01800,0100,N 415955,S200000,02200,0100,N 415955,S200000,02800,0100,N 415955,S200000,02900,0100,N 415955,S200000,03000,0100,N 415955,S200000,03100,0100,N 415955,S200000,03200,0100,N 415955,S200000,03300,0100,N 415955,S200000,03300,0200,N 415955,S200000,04100,0100,N 415955,S200000,04200,0100,N 415955,S200000,04300,0100,N 415955,S200000,04600,0100,N 415955,S200000,04700,0100,N 415955,S200000,04700,0200,N 415955,S200000,04900,0100,N 415955,S200000,05000,0100,N 415955,S200000,05100,0100,N 415955,S200000,05200,0100,N 415955,S200000,05300,0100,Y 415955,S200000,05300,0200,07-111 415955,S200000,05400,0100,APPLE HEALTH CARE INC 415955,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 415955,S200000,05400,0300,13101 415955,S200000,05500,0100,21 WATERVILLE ROAD 415955,S200000,05600,0100,AVON 415955,S200000,05600,0200,CT 415955,S200000,05600,0300,06001 416131,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 416131,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 416131,A000000,00300,0000,0300EMPLOYEE BENEFITS 416131,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416131,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 416131,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416131,A000000,00700,0000,0700HOUSEKEEPING 416131,A000000,00800,0000,0800DIETARY 416131,A000000,00900,0000,0900NURSING ADMINISTRATION 416131,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416131,A000000,01100,0000,1100PHARMACY 416131,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416131,A000000,01300,0000,1300SOCIAL SERVICE 416131,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 416131,A000000,01500,0000,1350RECREATION 416131,A000000,01600,0000,1600SKILLED NURSING FACILITY 416131,A000000,01810,0000,1810ICF/MR 416131,A000000,02100,0000,2100RADIOLOGY 416131,A000000,02200,0000,2200LABORATORY 416131,A000000,02300,0000,2300INTRAVENOUS THERAPY 416131,A000000,02500,0000,2500PHYSICAL THERAPY 416131,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416131,A000000,02700,0000,2700SPEECH PATHOLOGY 416131,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 416131,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416131,A000000,03200,0000,3200SUPPORT SURFACES 416131,A000000,03550,0000,3550FQHC 416131,A000000,05000,0000,5000CORF 416131,A000000,05010,0000,5010CMHC 416131,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 416131,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 416131,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 416131,A81000A,00100,0100,Y 416131,A81000B,00100,0300,RENT 416131,A81000B,00200,0300,INTEREST 416131,A81000B,00300,0300,CORP FEES 416131,A81000B,00400,0300,CORP MANAGEMENT 416131,A81000B,00500,0300,P/S-RN 416131,A81000B,00600,0300,P/S-LPN 416131,A81000B,00700,0300,PT SERVICE 416131,A81000B,00800,0300,OT SERVICE 416131,A81000B,00900,0300,ST SERVICE 416131,A81000B,01000,0300,DEPRECIATION @40LIFE 416131,A81000C,00100,0100,A 416131,A81000C,00100,0200,BRIAN J FOLEY 416131,A81000C,00100,0400,FOLEY EAST SHOR 416131,A81000C,00100,0600,REAL ESTATE REN 416131,A81000C,00200,0100,A 416131,A81000C,00200,0200,BRIAN J FOLEY 416131,A81000C,00200,0400,APPLE HEALTH CA 416131,A81000C,00200,0600,ACCT & MGT SERV 416131,A81000C,00300,0100,A 416131,A81000C,00300,0200,BRIAN J FOLEY 416131,A81000C,00300,0400,HEALTHPORT SERV 416131,A81000C,00300,0600,NURSING POOL 416131,A81000C,00400,0100,D 416131,A81000C,00400,0200,LISA WILSON FOL 416131,A81000C,00400,0400,ALLSTAR THERAPY 416131,A81000C,00400,0600,THERAPY SERVICE 416131,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 416131,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 416131,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 416131,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 416131,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 416131,B100000,00000,0600,0650100% :LAUNDRY & LINEN SERVICE 416131,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 416131,B100000,00000,0800,0850100% :DIETARY 416131,B100000,00000,0900,0950100% :NURSING ADMINISTRATION 416131,B100000,00000,1300,1330100% :SOCIAL SERVICE 416131,B100000,00000,1500,1350100% :RECREATION 416131,G300000,02500,0000,MISC INCOME 416131,S000000,00100,0200,06/01/11 416131,S200000,00100,0100,451 NORTH HIGH STREET 416131,S200000,00200,0100,EAST HAVEN 416131,S200000,00200,0200,CT 416131,S200000,00200,0300,06512 416131,S200000,00300,0100,NEW HAVEN 416131,S200000,00300,0201,5483 416131,S200000,00300,0300,U 416131,S200000,00400,0100,LAUREL WOODS HEALTH CARE 416131,S200000,00400,0200,075389 416131,S200000,00400,0300,01/01/09 416131,S200000,00400,0500,P 416131,S200000,01500,0100,Y 416131,S200000,01501,0200,Y 416131,S200000,01502,0200,Y 416131,S200000,01503,0200,Y 416131,S200000,01504,0200,Y 416131,S200000,01600,0100,N 416131,S200000,01700,0100,N 416131,S200000,01800,0100,N 416131,S200000,02200,0100,N 416131,S200000,02800,0100,N 416131,S200000,02900,0100,N 416131,S200000,03000,0100,N 416131,S200000,03100,0100,N 416131,S200000,03200,0100,N 416131,S200000,03300,0100,N 416131,S200000,03300,0200,N 416131,S200000,03600,0100,N 416131,S200000,03600,0200,N 416131,S200000,04100,0100,N 416131,S200000,04200,0100,N 416131,S200000,04300,0100,N 416131,S200000,04600,0100,N 416131,S200000,04700,0100,N 416131,S200000,04700,0200,N 416131,S200000,04900,0100,N 416131,S200000,05000,0100,N 416131,S200000,05100,0100,N 416131,S200000,05200,0100,N 416131,S200000,05300,0100,Y 416131,S200000,05300,0200,07-111 416131,S200000,05400,0100,APPLE HEALTH CARE INC 416131,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 416131,S200000,05400,0300,13101 416131,S200000,05500,0100,21 WATERVILLE ROAD 416131,S200000,05600,0100,AVON 416131,S200000,05600,0200,CT 416131,S200000,05600,0300,06001 416370,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 416370,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 416370,A000000,00300,0000,0300EMPLOYEE BENEFITS 416370,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416370,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 416370,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416370,A000000,00700,0000,0700HOUSEKEEPING 416370,A000000,00800,0000,0800DIETARY 416370,A000000,00900,0000,0900NURSING ADMINISTRATION 416370,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416370,A000000,01100,0000,1100PHARMACY 416370,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416370,A000000,01300,0000,1300SOCIAL SERVICE 416370,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 416370,A000000,01500,0000,1350OTHER GENERAL SERVICES 416370,A000000,01600,0000,1600SKILLED NURSING FACILITY 416370,A000000,01810,0000,1810ICF/MR 416370,A000000,02100,0000,2100RADIOLOGY 416370,A000000,02200,0000,2200LABORATORY 416370,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 416370,A000000,02500,0000,2500PHYSICAL THERAPY 416370,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416370,A000000,02700,0000,2700SPEECH PATHOLOGY 416370,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 416370,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416370,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 416370,A000000,03550,0000,3550FQHC 416370,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 416370,A000000,04710,0000,4710TELEMEDICINE 416370,A000000,04801,0000,4801AMBULANCE 416370,A000000,04802,0000,4802AMBULANCE 416370,A000000,04803,0000,4803AMBULANCE 416370,A000000,05000,0000,5000CORF 416370,A000000,05010,0000,5010CMHC 416370,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 416370,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 416370,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 416370,A000000,05100,0000,4750OTHER REIMBURSABLE COST 416370,A000000,05300,0000,5300INTEREST EXPENSE 416370,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 416370,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 416370,A81000A,00100,0100,Y 416370,A81000B,00100,0300,MANAGEMENT FEES 416370,A81000C,00100,0100,B 416370,A81000C,00100,0200,ADCARE HEALTH SYSTEMS 416370,A81000C,00100,0600,MANAGEMENT COMPANY 416370,B100000,00000,0100,0100SQUARE FEET 416370,B100000,00000,0200,0200SQUARE FEET 416370,B100000,00000,0300,0300GROSS SALARIES 416370,B100000,00000,0400,0400ACCUM COST 416370,B100000,00000,0500,0500SQUARE FEET 416370,B100000,00000,0600,0600PATIENT DAYS 416370,B100000,00000,0700,0700SQUARE FEET 416370,B100000,00000,0800,0800MEALS SERVED 416370,B100000,00000,0900,0900PATIENT DAYS 416370,B100000,00000,1000,1000PATIENT DAYS 416370,B100000,00000,1100,1100COSTED REQUIS. 416370,B100000,00000,1200,1200TIME SPENT 416370,B100000,00000,1300,1300PATIENT DAYS 416370,B100000,00000,1400,1400ASSIGNED TIME 416370,B100000,00000,1500,1350 416370,G300000,02500,0000,GAIN ON ACQUISITION 416370,S000000,00100,0200,06/03/11 416370,S200000,00100,0100,915 STEWART AVE 416370,S200000,00200,0100,ATTALLA 416370,S200000,00200,0200,AL 416370,S200000,00200,0300,35954 416370,S200000,00300,0100,ETOWAH 416370,S200000,00300,0201,23460 416370,S200000,00300,0300,U 416370,S200000,00400,0100,ATTALLA HEALTH CARE 416370,S200000,00400,0200,015203 416370,S200000,00400,0300,12/01/77 416370,S200000,00400,0500,P 416370,S200000,01500,0100,Y 416370,S200000,01501,0200,Y 416370,S200000,01502,0200,N 416370,S200000,01503,0200,N 416370,S200000,01504,0200,N 416370,S200000,01600,0100,N 416370,S200000,01700,0100,N 416370,S200000,01800,0100,N 416370,S200000,02200,0100,N 416370,S200000,02800,0100,N 416370,S200000,02900,0100,N 416370,S200000,03000,0100,N 416370,S200000,03100,0100,N 416370,S200000,03200,0100,N 416370,S200000,03300,0100,N 416370,S200000,03300,0200,N 416370,S200000,04200,0100,N 416370,S200000,04300,0100,N 416370,S200000,04600,0100,N 416370,S200000,04700,0100,N 416370,S200000,04900,0100,N 416370,S200000,05200,0100,N 416370,S200000,05300,0100,Y 416370,S200000,05300,0200,HB0558 416370,S200000,05400,0100,ADCARE HEALTH SYSTEMS 416370,S200000,05400,0200,CGS 416370,S200000,05400,0300,00332 416370,S200000,05500,0100,5057 TROY ROAD 416370,S200000,05600,0100,SPRINGFIELD 416370,S200000,05600,0200,OH 416370,S200000,05600,0300,45502 416486,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 416486,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 416486,A000000,00300,0000,0300EMPLOYEE BENEFITS 416486,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416486,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 416486,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416486,A000000,00700,0000,0700HOUSEKEEPING 416486,A000000,00800,0000,0800DIETARY 416486,A000000,00801,0000,0801CAFETERIA 416486,A000000,00900,0000,0900NURSING ADMINISTRATION 416486,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416486,A000000,01100,0000,1100PHARMACY 416486,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416486,A000000,01300,0000,1300SOCIAL SERVICE 416486,A000000,01600,0000,1600SKILLED NURSING FACILITY 416486,A000000,01800,0000,1800NURSING FACILITY 416486,A000000,01900,0000,1900OTHER LONG TERM CARE 416486,A000000,02100,0000,2100RADIOLOGY 416486,A000000,02200,0000,2200LABORATORY 416486,A000000,02300,0000,2300INTRAVENOUS THERAPY 416486,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 416486,A000000,02500,0000,2500PHYSICAL THERAPY 416486,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416486,A000000,02700,0000,2700SPEECH PATHOLOGY 416486,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 416486,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416486,A000000,03200,0000,3200SUPPORT SURFACES 416486,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 416486,A000000,04800,0000,4800AMBULANCE 416486,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 416486,A000000,05300,0000,5300INTEREST EXPENSE 416486,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 416486,A000000,05500,0000,5500HOSPICE 416486,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 416486,A000000,05900,0000,5900BARBER & BEAUTY SHOP 416486,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 416486,A81000A,00100,0100,Y 416486,A81000B,00100,0300,CAP RLTD HOME OFC COSTS 416486,A81000B,00200,0300,NON-CAP RLTD HOME OFC COSTS 416486,A81000B,00300,0300,RLTD PARTY LIABILITY INSUR 416486,A81000B,00400,0300,RLTD PARTY CONSULTING FEES 416486,A81000C,00100,0100,A 416486,A81000C,00100,0200,C. PULLEN 416486,A81000C,00100,0400,WESTCARE INC. 416486,A81000C,00100,0600,CENTRAL OFFICE 416486,A81000C,00200,0100,A 416486,A81000C,00200,0200,D. ADAMS 416486,A81000C,00200,0400,DRA ENTERPRISES 416486,A81000C,00200,0600,CENTRAL OFFICE 416486,A81000C,00300,0100,A 416486,A81000C,00300,0200,D. ADAMS 416486,A81000C,00300,0400,SHIMLA INSUR CO 416486,A81000C,00300,0600,INSUR COMPANY 416486,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 416486,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 416486,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 416486,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 416486,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 416486,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 416486,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 416486,B100000,00000,0800,0800MEALS SERVED :DIETARY 416486,B100000,00000,0801,0851FTE EMPLOYEES :CAFETERIA 416486,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 416486,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 416486,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 416486,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 416486,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 416486,G300000,02500,0000, BARBER & BEAUTY SHOP 416486,G300000,02501,0000, RELATED PARTY INTEREST 416486,G300000,02502,0000, RESIDENT TRANSPORTATION 416486,S000000,00100,0200,06/01/11 416486,S200000,00100,0100,13232 NORTH TATUM BLVD. 416486,S200000,00200,0100,PHOENIX 416486,S200000,00200,0200,AZ 416486,S200000,00200,0300,85032 416486,S200000,00300,0100,MARICOPA 416486,S200000,00300,0201,38060 416486,S200000,00300,0300,U 416486,S200000,00400,0100,PHOENIX MOUNTAIN CARE CENTER 416486,S200000,00400,0200,035072 416486,S200000,00400,0300,10/01/91 416486,S200000,00400,0500,P 416486,S200000,01500,0100,Y 416486,S200000,01501,0200,N 416486,S200000,01502,0200,N 416486,S200000,01503,0200,N 416486,S200000,01504,0200,N 416486,S200000,01505,0000,OTHER (SPECIFY) 416486,S200000,01505,0200,N 416486,S200000,01600,0100,N 416486,S200000,01700,0100,N 416486,S200000,01800,0100,N 416486,S200000,02200,0100,N 416486,S200000,02800,0100,N 416486,S200000,02900,0100,N 416486,S200000,03000,0100,N 416486,S200000,03100,0100,N 416486,S200000,03200,0100,N 416486,S200000,03300,0100,N 416486,S200000,03300,0200,N 416486,S200000,04100,0100,N 416486,S200000,04200,0100,N 416486,S200000,04300,0100,N 416486,S200000,04600,0100,N 416486,S200000,04700,0100,N 416486,S200000,04700,0200,N 416486,S200000,04900,0100,N 416486,S200000,05000,0100,N 416486,S200000,05100,0100,N 416486,S200000,05200,0100,N 416486,S200000,05300,0100,Y 416486,S200000,05300,0200,039002 416486,S200000,05400,0100,WESTCARE INC. 416486,S200000,05400,0200,WPS LEGACY 416486,S200000,05400,0300,52280 416486,S200000,05500,0100,13232 N. TATUM BLVD. 416486,S200000,05600,0100,PHOENIX 416486,S200000,05600,0200,AZ 416486,S200000,05600,0300,85032 416487,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 416487,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 416487,A000000,00300,0000,0300EMPLOYEE BENEFITS 416487,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416487,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 416487,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416487,A000000,00700,0000,0700HOUSEKEEPING 416487,A000000,00800,0000,0800DIETARY 416487,A000000,00900,0000,0900NURSING ADMINISTRATION 416487,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416487,A000000,01100,0000,1100PHARMACY 416487,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416487,A000000,01300,0000,1300SOCIAL SERVICE 416487,A000000,01500,0000,1350ACTIVITIES 416487,A000000,01600,0000,1600SKILLED NURSING FACILITY 416487,A000000,01800,0000,1800NURSING FACILITY 416487,A000000,01810,0000,1810ICF/MR 416487,A000000,01900,0000,1900OTHER LONG TERM CARE 416487,A000000,02100,0000,2100RADIOLOGY 416487,A000000,02200,0000,2200LABORATORY 416487,A000000,02300,0000,2300INTRAVENOUS THERAPY 416487,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 416487,A000000,02500,0000,2500PHYSICAL THERAPY 416487,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416487,A000000,02700,0000,2700SPEECH PATHOLOGY 416487,A000000,02800,0000,2800ELECTROCARDIOLOGY 416487,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 416487,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416487,A000000,03200,0000,3200SUPPORT SURFACES 416487,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 416487,A000000,03400,0000,3400CLINIC 416487,A000000,03500,0000,3500RURAL HEALTH CLINIC 416487,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 416487,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 416487,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 416487,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 416487,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 416487,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 416487,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 416487,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 416487,A000000,04400,0000,4400DME RENTED - HHA 416487,A000000,04500,0000,4500DME SOLD - HHA 416487,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 416487,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 416487,A000000,04710,0000,4710TELEMEDICINE 416487,A000000,04800,0000,4800AMBULANCE 416487,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 416487,A000000,05000,0000,5000CORF 416487,A000000,05100,0000,4750OTHER REIMBURSABLE COST 416487,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 416487,A000000,05300,0000,5300INTEREST EXPENSE 416487,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 416487,A000000,05500,0000,5500HOSPICE 416487,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 416487,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 416487,A000000,05900,0000,5900BARBER & BEAUTY SHOP 416487,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 416487,A000000,06100,0000,6100NONPAID WORKERS 416487,A000000,06200,0000,6200PATIENTS LAUNDRY 416487,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 416487,A000000,06301,0000,6151OLTC 416487,A81000A,00100,0100,Y 416487,A81000B,00100,0300,HOME OFFICE - MGT FEES 416487,A81000B,00200,0300,HOME OFFICE - BLDG 416487,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 416487,A81000C,00100,0100,B 416487,A81000C,00100,0400,EMERITUS SENIOR LIVING 416487,A81000C,00100,0600,MANAGEMENT COMPANY 416487,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 416487,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 416487,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 416487,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 416487,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 416487,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 416487,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 416487,B100000,00000,0800,0850PATIENT DAYS :DIETARY 416487,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 416487,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 416487,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 416487,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 416487,S000000,00100,0200,05/31/11 416487,S200000,00100,0100,6246 N 19TH AVENUE 416487,S200000,00200,0100,PHOENIX 416487,S200000,00200,0200,AZ 416487,S200000,00200,0300,85015-1511 416487,S200000,00300,0100,MARICOPA 416487,S200000,00300,0201,38060 416487,S200000,00300,0300,U 416487,S200000,00400,0100,CHRIS RIDGE PREMIER CARE AND REHAB 416487,S200000,00400,0200,035116 416487,S200000,00400,0300,09/01/06 416487,S200000,00400,0500,P 416487,S200000,01500,0100,Y 416487,S200000,01600,0100,N 416487,S200000,01700,0100,N 416487,S200000,01800,0100,N 416487,S200000,02200,0100,N 416487,S200000,02800,0100,N 416487,S200000,02900,0100,N 416487,S200000,03000,0100,N 416487,S200000,03100,0100,N 416487,S200000,03200,0100,N 416487,S200000,03300,0100,N 416487,S200000,03300,0200,N 416487,S200000,03600,0100,N 416487,S200000,03600,0200,N 416487,S200000,04100,0100,N 416487,S200000,04200,0100,N 416487,S200000,04300,0100,N 416487,S200000,04600,0100,N 416487,S200000,04700,0100,N 416487,S200000,04700,0200,N 416487,S200000,04900,0100,N 416487,S200000,05000,0100,N 416487,S200000,05100,0100,N 416487,S200000,05200,0100,N 416487,S200000,05300,0100,Y 416487,S200000,05300,0200,99999 416487,S200000,05400,0100,EMERITUS SENIOR LIVING INC 416487,S200000,05400,0200,NGS 416487,S200000,05400,0300,00454 416487,S200000,05500,0100,3131 ELLIOTT AVE STE 500 416487,S200000,05600,0100,SEATTLE 416487,S200000,05600,0200,WA 416487,S200000,05600,0300,98121 416495,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 416495,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 416495,A000000,00300,0000,0300EMPLOYEE BENEFITS 416495,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416495,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 416495,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416495,A000000,00700,0000,0700HOUSEKEEPING 416495,A000000,00800,0000,0800DIETARY 416495,A000000,00900,0000,0900NURSING ADMINISTRATION 416495,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416495,A000000,01100,0000,1100PHARMACY 416495,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416495,A000000,01300,0000,1300SOCIAL SERVICE 416495,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 416495,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 416495,A000000,01600,0000,1600SKILLED NURSING FACILITY 416495,A000000,01800,0000,1800NURSING FACILITY 416495,A000000,01810,0000,1810ICF/MR 416495,A000000,01900,0000,1900OTHER LONG TERM CARE 416495,A000000,02100,0000,2100RADIOLOGY 416495,A000000,02200,0000,2200LABORATORY 416495,A000000,02300,0000,2300INTRAVENOUS THERAPY 416495,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 416495,A000000,02500,0000,2500PHYSICAL THERAPY 416495,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416495,A000000,02700,0000,2700SPEECH PATHOLOGY 416495,A000000,02800,0000,2800ELECTROCARDIOLOGY 416495,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 416495,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416495,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 416495,A000000,03200,0000,3200SUPPORT SURFACES 416495,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 416495,A000000,03400,0000,3400CLINIC 416495,A000000,03500,0000,3500RURAL HEALTH CLINIC 416495,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 416495,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 416495,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 416495,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 416495,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 416495,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 416495,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 416495,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 416495,A000000,04400,0000,4400DME RENTED - HHA 416495,A000000,04500,0000,4500DME SOLD - HHA 416495,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 416495,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 416495,A000000,04710,0000,4710TELEMEDICINE 416495,A000000,04800,0000,4800AMBULANCE 416495,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 416495,A000000,05000,0000,5000CORF 416495,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 416495,A000000,05300,0000,5300INTEREST EXPENSE 416495,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 416495,A000000,05500,0000,5500HOSPICE 416495,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 416495,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 416495,A000000,05900,0000,5900BARBER & BEAUTY SHOP 416495,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 416495,A000000,06100,0000,6100NONPAID WORKERS 416495,A000000,06200,0000,6200PATIENTS LAUNDRY 416495,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 416495,A81000A,00100,0100,Y 416495,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 416495,A81000C,00100,0100,B 416495,A81000C,00100,0400,DIAMOND CARE HE 416495,A81000C,00100,0600,HEALTH CARE 416495,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 416495,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 416495,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 416495,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 416495,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 416495,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 416495,B100000,00000,0800,0800MEALS SERVED :DIETARY 416495,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 416495,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 416495,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 416495,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 416495,G300000,02501,0000,DAY CARE 416495,S000000,00100,0200,06/03/11 416495,S200000,00100,0100,3401 N. LOCKWOOD DRIVE 416495,S200000,00200,0100,LAKESIDE 416495,S200000,00200,0200,AZ 416495,S200000,00200,0300,85929 416495,S200000,00300,0100,NAVAJO 416495,S200000,00300,0200,03 416495,S200000,00300,0201,99903 416495,S200000,00300,0300,R 416495,S200000,00400,0100,SIERRA BLANCA REHABILITATION LLC 416495,S200000,00400,0200,035277 416495,S200000,00400,0300,11/02/10 416495,S200000,00400,0500,P 416495,S200000,01500,0100,Y 416495,S200000,01501,0200,Y 416495,S200000,01502,0200,Y 416495,S200000,01503,0200,Y 416495,S200000,01504,0200,Y 416495,S200000,01505,0000,OTHER (SPECIFY) 416495,S200000,01505,0200,N 416495,S200000,01600,0100,N 416495,S200000,01700,0100,N 416495,S200000,01800,0100,N 416495,S200000,02200,0100,N 416495,S200000,02800,0100,N 416495,S200000,02900,0100,N 416495,S200000,03000,0100,N 416495,S200000,03100,0100,N 416495,S200000,03200,0100,N 416495,S200000,03300,0100,N 416495,S200000,03300,0200,N 416495,S200000,03600,0100,N 416495,S200000,03600,0200,N 416495,S200000,04100,0100,N 416495,S200000,04200,0100,N 416495,S200000,04300,0100,N 416495,S200000,04600,0100,N 416495,S200000,04700,0100,N 416495,S200000,04700,0200,N 416495,S200000,04900,0100,N 416495,S200000,05000,0100,N 416495,S200000,05100,0100,N 416495,S200000,05200,0100,N 416495,S200000,05300,0100,Y 416517,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 416517,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 416517,A000000,00300,0000,0300EMPLOYEE BENEFITS 416517,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 416517,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 416517,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 416517,A000000,00700,0000,0700HOUSEKEEPING 416517,A000000,00800,0000,0800DIETARY 416517,A000000,00900,0000,0900NURSING ADMINISTRATION 416517,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 416517,A000000,01100,0000,1100PHARMACY 416517,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 416517,A000000,01300,0000,1300SOCIAL SERVICE 416517,A000000,01301,0000,1301ACTIVITIES 416517,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 416517,A000000,01500,0000,1350OTHER GENERAL SERVICES 416517,A000000,01600,0000,1600SKILLED NURSING FACILITY 416517,A000000,01810,0000,1810ICF/MR 416517,A000000,02200,0000,2200LABORATORY 416517,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 416517,A000000,02500,0000,2500PHYSICAL THERAPY 416517,A000000,02600,0000,2600OCCUPATIONAL THERAPY 416517,A000000,02700,0000,2700SPEECH PATHOLOGY 416517,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 416517,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 416517,A000000,03301,0000,3051ENTERAL THERPY 416517,A000000,03302,0000,3052PHYSICIAN FEES 416517,A000000,03303,0000,3053AMBULANCE 416517,A000000,03304,0000,3054OTHER THERAPY 416517,A000000,03550,0000,3550FQHC 416517,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 416517,A000000,04710,0000,4710TELEMEDICINE 416517,A000000,04801,0000,4801AMBULANCE 416517,A000000,04802,0000,4802AMBULANCE 416517,A000000,04803,0000,4803AMBULANCE 416517,A000000,05000,0000,5000CORF 416517,A000000,05010,0000,5010CMHC 416517,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 416517,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 416517,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 416517,A000000,05100,0000,4750OTHER REIMBURSABLE COST 416517,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 416517,A000000,05900,0000,5900BARBER & BEAUTY SHOP 416517,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 416517,A81000A,00100,0100,Y 416517,A81000B,00100,0300,ADJ AURORA CARES TO COST 416517,A81000B,00200,0300,ADJ AURORA CARES TO COST 416517,A81000B,00300,0300,ADJ AURORA CARES TO COST 416517,A81000B,00400,0300,ADJ AURORA CARES TO COST 416517,A81000B,00500,0300,ADJ PROPERTY CO TO COST 416517,A81000B,00600,0300,ADJ TARA PHARMACY TO COST 416517,A81000B,00800,0300,ADJ TARA THERAPY TO COST 416517,A81000B,00900,0300,ADJ TARA THERAPY TO COST 416517,A81000B,01000,0300,ADJ TARA THERAPY TO COST 416517,A81000B,01100,0300,ADJ RAIMAX HCS GRP TO COST 416517,A81000C,00100,0100,B 416517,A81000C,00100,0200,DTD HC LLC 416517,A81000C,00100,0400,AURORA CARES LLC 416517,A81000C,00100,0600,FINL ADM & QA SVCS TO FAC 416517,A81000C,00200,0100,B 416517,A81000C,00200,0200,D & N LLC 416517,A81000C,00200,0400,AURORA CARES LLC 416517,A81000C,00200,0600,FINL ADM & QA SVCS TO FAC 416517,A81000C,00300,0100,B 416517,A81000C,00300,0200,DTD HC LLC 416517,A81000C,00300,0400,AURORA HEALTHCARE LLC 416517,A81000C,00300,0600,LEASES BLDG & EQPT TO FAC 416517,A81000C,00400,0100,B 416517,A81000C,00400,0200,D & N LLC 416517,A81000C,00400,0400,AURORA HEALTHCARE LLC 416517,A81000C,00400,0600,LEASES BLDG & EQPT TO FAC 416517,A81000C,00500,0100,B 416517,A81000C,00500,0200,DTD HC LLC 416517,A81000C,00500,0400,TARA THERAPY LLC 416517,A81000C,00500,0600,PT ST OT SVCS TO FAC 416517,A81000C,00600,0100,B 416517,A81000C,00600,0200,D & N LLC 416517,A81000C,00600,0400,TARA THERAPY LLC 416517,A81000C,00600,0600,PT ST OT SVCS TO FAC 416517,A81000C,00700,0100,B 416517,A81000C,00700,0200,DTD HC LLC 416517,A81000C,00700,0400,TARA PHARMACY SE LLC 416517,A81000C,00700,0600,RX CONSULT & EE FLU VACC 416517,A81000C,00800,0100,B 416517,A81000C,00800,0200,D & N LLC 416517,A81000C,00800,0400,TARA PHARMACY SE LLC 416517,A81000C,00800,0600,RX CONSULT & EE FLU VACC 416517,A81000C,00900,0100,G 416517,A81000C,00900,0200,DNRM LLC 416517,A81000C,00900,0400,RAIMAX HCS GROUP LLC 416517,A81000C,00900,0600,PATIENT CARE SOFTWARE 416517,A81000C,01000,0100,B 416517,A81000C,01000,0200,DTD HC LLC 416517,A81000C,01000,0400,AIMWELL (JENA) PROP CO 416517,A81000C,01000,0600,LEASES BUILDING TO FAC 416517,A81000C,01100,0100,B 416517,A81000C,01100,0200,D & N LLC 416517,A81000C,01100,0400,AIMWELL (JENA) PROP CO 416517,A81000C,01100,0600,LEASES BUILDING TO FAC 416517,A81000C,03100,0000,COMMON OWNERSHIP OR CONTROL 416517,B100000,00000,0100,0100SQUARE FEET 416517,B100000,00000,0200,0200SQUARE FEET 416517,B100000,00000,0300,0300GROSS SALARIES 416517,B100000,00000,0400,0400ACCUM COST 416517,B100000,00000,0500,0500SQUARE FEET 416517,B100000,00000,0600,0600PATIENT DAYS 416517,B100000,00000,0700,0700SQUARE FEET 416517,B100000,00000,0800,0800MEALS SERVED 416517,B100000,00000,0900,0900PATIENT DAYS 416517,B100000,00000,1000,1000COSTED REQUIS. 416517,B100000,00000,1100,1100COSTED REQUIS. 416517,B100000,00000,1200,1200TIME SPENT 416517,B100000,00000,1300,1300PATIENT DAYS 416517,B100000,00000,1301,1301PATIENT DAYS 416517,B100000,00000,1400,1400ASSIGNED TIME 416517,B100000,00000,1500,1350 416517,S000000,00100,0200,06/01/11 416517,S200000,00100,0100,5877 AIMWELL ROAD 416517,S200000,00200,0100,JENA 416517,S200000,00200,0200,LA 416517,S200000,00200,0300,71342 416517,S200000,00300,0100,LASALLE 416517,S200000,00300,0201,99919 416517,S200000,00300,0300,R 416517,S200000,00400,0100,JENA NURSING & REHAB CENTER LLC 416517,S200000,00400,0200,195399 416517,S200000,00400,0300,01/01/97 416517,S200000,00400,0500,P 416517,S200000,01500,0100,Y 416517,S200000,01501,0200,Y 416517,S200000,01600,0100,N 416517,S200000,01700,0100,N 416517,S200000,01800,0100,N 416517,S200000,02200,0100,N 416517,S200000,02800,0100,N 416517,S200000,02900,0100,N 416517,S200000,03000,0100,N 416517,S200000,03100,0100,N 416517,S200000,03200,0100,N 416517,S200000,03300,0100,N 416517,S200000,03300,0200,N 416517,S200000,04200,0100,N 416517,S200000,04300,0100,N 416517,S200000,04600,0100,N 416517,S200000,04700,0100,N 416517,S200000,04900,0100,N 416517,S200000,05200,0100,N 416517,S200000,05300,0100,Y 417062,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417062,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417062,A000000,00300,0000,0300EMPLOYEE BENEFITS 417062,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417062,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417062,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417062,A000000,00700,0000,0700HOUSEKEEPING 417062,A000000,00800,0000,0800DIETARY 417062,A000000,00900,0000,0900NURSING ADMINISTRATION 417062,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417062,A000000,01100,0000,1100PHARMACY 417062,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417062,A000000,01300,0000,1300SOCIAL SERVICE 417062,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417062,A000000,01500,0000,1350ACTIVITIES 417062,A000000,01600,0000,1600SKILLED NURSING FACILITY 417062,A000000,01800,0000,1800NURSING FACILITY 417062,A000000,01900,0000,1900OTHER LONG TERM CARE 417062,A000000,02100,0000,2100RADIOLOGY 417062,A000000,02200,0000,2200LABORATORY 417062,A000000,02300,0000,2300INTRAVENOUS THERAPY 417062,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417062,A000000,02500,0000,2500PHYSICAL THERAPY 417062,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417062,A000000,02700,0000,2700SPEECH PATHOLOGY 417062,A000000,02800,0000,2800ELECTROCARDIOLOGY 417062,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417062,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417062,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417062,A000000,03200,0000,3200SUPPORT SURFACES 417062,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417062,A000000,03400,0000,3400CLINIC 417062,A000000,03500,0000,3500RURAL HEALTH CLINIC 417062,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417062,A000000,04800,0000,4800AMBULANCE 417062,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417062,A000000,05000,0000,5000CORF 417062,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417062,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417062,A000000,05300,0000,5300INTEREST EXPENSE 417062,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417062,A000000,05500,0000,5500HOSPICE 417062,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417062,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417062,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417062,A000000,06200,0000,6200PATIENTS LAUNDRY 417062,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417062,A81000A,00100,0100,N 417062,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417062,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417062,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417062,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417062,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417062,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417062,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417062,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417062,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417062,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417062,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 417062,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417062,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417062,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417062,G300000,02500,0000,OTHER INCOME 417062,S000000,00100,0200,05/31/11 417062,S200000,00100,0100,7445 SE 24TH STREET 417062,S200000,00200,0100,MERCER ISLAND 417062,S200000,00200,0200,WA 417062,S200000,00200,0300,98040 417062,S200000,00300,0100,KING 417062,S200000,00300,0200,7600 417062,S200000,00300,0201,42644 417062,S200000,00300,0300,U 417062,S200000,00400,0100,MERCER ISLAND CARE AND REHAB CENTER 417062,S200000,00400,0200,505052 417062,S200000,00400,0300,09/01/71 417062,S200000,00400,0500,P 417062,S200000,01500,0100,Y 417062,S200000,01501,0200,N 417062,S200000,01600,0100,N 417062,S200000,01700,0100,N 417062,S200000,01800,0100,N 417062,S200000,02200,0100,N 417062,S200000,02800,0100,N 417062,S200000,02900,0100,N 417062,S200000,03000,0100,N 417062,S200000,03100,0100,N 417062,S200000,03200,0100,N 417062,S200000,03300,0100,N 417062,S200000,03300,0200,N 417062,S200000,04100,0100,N 417062,S200000,04200,0100,N 417062,S200000,04300,0100,N 417062,S200000,04600,0100,N 417062,S200000,04700,0100,N 417062,S200000,04700,0200,N 417062,S200000,04900,0100,N 417062,S200000,05000,0100,N 417062,S200000,05100,0100,N 417062,S200000,05200,0100,N 417062,S200000,05300,0100,N 417070,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417070,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417070,A000000,00300,0000,0300EMPLOYEE BENEFITS 417070,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417070,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417070,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417070,A000000,00700,0000,0700HOUSEKEEPING 417070,A000000,00800,0000,0800DIETARY 417070,A000000,00900,0000,0900NURSING ADMINISTRATION 417070,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417070,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417070,A000000,01300,0000,1300SOCIAL SERVICE 417070,A000000,01600,0000,1600SKILLED NURSING FACILITY 417070,A000000,02100,0000,2100RADIOLOGY 417070,A000000,02200,0000,2200LABORATORY 417070,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417070,A000000,02500,0000,2500PHYSICAL THERAPY 417070,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417070,A000000,02700,0000,2700SPEECH PATHOLOGY 417070,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417070,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417070,A000000,03200,0000,3200SUPPORT SURFACES 417070,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417070,A81000A,00100,0100,Y 417070,A81000B,00100,0300,HOME OFFICE 417070,A81000B,00200,0300,PHY THERAPY 417070,A81000B,00300,0300,OCC THERAPY 417070,A81000B,00400,0300,SPEECH THERAPY 417070,A81000C,00100,0100,B 417070,A81000C,00100,0200,SKILLED HEALTHCARE GROUP 417070,A81000C,00100,0400,HALLMARK REHAB 417070,A81000C,00100,0600,THERAPY SVCS 417070,A81000C,00200,0100,B 417070,A81000C,00200,0200,SKILLED HEALTHCARE GROUP 417070,A81000C,00200,0400,SKILLED HEALTHCARE LLC 417070,A81000C,00200,0600,ADMINISTRATIVE SVCS 417070,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 417070,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 417070,B100000,00000,0300,0350PATIENT DAYS :EMPLOYEE BENEFITS 417070,B100000,00000,0400,0400PATIENT DAYS :ADMINISTRATIVE & 417070,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 417070,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417070,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 417070,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417070,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417070,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417070,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417070,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417070,S000000,00100,0200,07/26/11 417070,S200000,00100,0100,2353 23RD STREET 417070,S200000,00200,0100,EUREKA 417070,S200000,00200,0200,CA 417070,S200000,00200,0300,95501 417070,S200000,00300,0100,HUMBOLDT 417070,S200000,00300,0200,05 417070,S200000,00300,0201,99905 417070,S200000,00300,0300,R 417070,S200000,00400,0100,EUREKA HEALTHCARE AND REHAB 417070,S200000,00400,0200,055003 417070,S200000,00400,0300,01/01/67 417070,S200000,00400,0500,P 417070,S200000,01500,0100,Y 417070,S200000,01501,0200,Y 417070,S200000,01502,0200,N 417070,S200000,01503,0200,N 417070,S200000,01504,0200,Y 417070,S200000,01600,0100,N 417070,S200000,01700,0100,N 417070,S200000,01800,0100,N 417070,S200000,02200,0100,N 417070,S200000,02800,0100,N 417070,S200000,02900,0100,N 417070,S200000,03000,0100,N 417070,S200000,03100,0100,Y 417070,S200000,03200,0100,N 417070,S200000,03300,0100,N 417070,S200000,03300,0200,N 417070,S200000,04100,0100,N 417070,S200000,04200,0100,N 417070,S200000,04300,0100,N 417070,S200000,04600,0100,N 417070,S200000,04700,0100,N 417070,S200000,04700,0200,N 417070,S200000,04900,0100,N 417070,S200000,05000,0100,N 417070,S200000,05100,0100,N 417070,S200000,05200,0100,N 417071,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417071,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417071,A000000,00300,0000,0300EMPLOYEE BENEFITS 417071,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417071,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417071,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417071,A000000,00700,0000,0700HOUSEKEEPING 417071,A000000,00800,0000,0800DIETARY 417071,A000000,00900,0000,0900NURSING ADMINISTRATION 417071,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417071,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417071,A000000,01300,0000,1300SOCIAL SERVICE 417071,A000000,01600,0000,1600SKILLED NURSING FACILITY 417071,A000000,02100,0000,2100RADIOLOGY 417071,A000000,02200,0000,2200LABORATORY 417071,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417071,A000000,02500,0000,2500PHYSICAL THERAPY 417071,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417071,A000000,02700,0000,2700SPEECH PATHOLOGY 417071,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417071,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417071,A000000,03200,0000,3200SUPPORT SURFACES 417071,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417071,A81000A,00100,0100,Y 417071,A81000B,00100,0300,HOME OFFICE 417071,A81000B,00200,0300,PHY THERAPY 417071,A81000B,00300,0300,OCC THERAPY 417071,A81000B,00400,0300,SPEECH THERAPY 417071,A81000C,00100,0100,B 417071,A81000C,00100,0200,SKILLED HEALTHCARE GROUP 417071,A81000C,00100,0400,HALLMARK REHAB 417071,A81000C,00100,0600,THERAPY SVCS 417071,A81000C,00200,0100,B 417071,A81000C,00200,0200,SKILLED HEALTHCARE GROUP 417071,A81000C,00200,0400,SKILLED HEALTHCARE LLC 417071,A81000C,00200,0600,ADMINISTRATIVE SVCS 417071,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 417071,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 417071,B100000,00000,0300,0350PATIENT DAYS :EMPLOYEE BENEFITS 417071,B100000,00000,0400,0400PATIENT DAYS :ADMINISTRATIVE & 417071,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 417071,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417071,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 417071,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417071,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417071,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417071,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417071,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417071,S000000,00100,0200,07/26/11 417071,S200000,00100,0100,6400 PURDUE DRIVE 417071,S200000,00200,0100,EUREKA 417071,S200000,00200,0200,CA 417071,S200000,00200,0300,95501 417071,S200000,00300,0100,HUMBOLDT 417071,S200000,00300,0200,05 417071,S200000,00300,0201,99905 417071,S200000,00300,0300,R 417071,S200000,00400,0100,SEAVIEW HEALTHCARE AND REHAB 417071,S200000,00400,0200,055208 417071,S200000,00400,0300,01/01/67 417071,S200000,00400,0500,P 417071,S200000,01500,0100,Y 417071,S200000,01501,0200,Y 417071,S200000,01502,0200,N 417071,S200000,01503,0200,N 417071,S200000,01504,0200,Y 417071,S200000,01600,0100,N 417071,S200000,01700,0100,N 417071,S200000,01800,0100,N 417071,S200000,02200,0100,N 417071,S200000,02800,0100,N 417071,S200000,02900,0100,N 417071,S200000,03000,0100,N 417071,S200000,03100,0100,Y 417071,S200000,03200,0100,N 417071,S200000,03300,0100,N 417071,S200000,03300,0200,N 417071,S200000,04100,0100,N 417071,S200000,04200,0100,N 417071,S200000,04300,0100,N 417071,S200000,04600,0100,N 417071,S200000,04700,0100,N 417071,S200000,04700,0200,N 417071,S200000,04900,0100,N 417071,S200000,05000,0100,N 417071,S200000,05100,0100,N 417071,S200000,05200,0100,N 417072,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417072,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417072,A000000,00300,0000,0300EMPLOYEE BENEFITS 417072,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417072,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417072,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417072,A000000,00700,0000,0700HOUSEKEEPING 417072,A000000,00800,0000,0800DIETARY 417072,A000000,00900,0000,0900NURSING ADMINISTRATION 417072,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417072,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417072,A000000,01300,0000,1300SOCIAL SERVICE 417072,A000000,01600,0000,1600SKILLED NURSING FACILITY 417072,A000000,02100,0000,2100RADIOLOGY 417072,A000000,02200,0000,2200LABORATORY 417072,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417072,A000000,02500,0000,2500PHYSICAL THERAPY 417072,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417072,A000000,02700,0000,2700SPEECH PATHOLOGY 417072,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417072,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417072,A000000,03200,0000,3200SUPPORT SURFACES 417072,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417072,A81000A,00100,0100,Y 417072,A81000B,00100,0300,HOME OFFICE 417072,A81000B,00200,0300,PHY THERAPY 417072,A81000B,00300,0300,OCC THERAPY 417072,A81000B,00400,0300,SPEECH THERAPY 417072,A81000C,00100,0100,B 417072,A81000C,00100,0200,SKILLED HEALTHCARE GROUP 417072,A81000C,00100,0400,HALLMARK REHAB 417072,A81000C,00100,0600,THERAPY SVCS 417072,A81000C,00200,0100,B 417072,A81000C,00200,0200,SKILLED HEALTHCARE GROUP 417072,A81000C,00200,0400,SKILLED HEALTHCARE LLC 417072,A81000C,00200,0600,ADMINISTRATIVE SVCS 417072,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 417072,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 417072,B100000,00000,0300,0350PATIENT DAYS :EMPLOYEE BENEFITS 417072,B100000,00000,0400,0400PATIENT DAYS :ADMINISTRATIVE & 417072,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 417072,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417072,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 417072,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417072,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417072,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417072,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417072,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417072,S000000,00100,0200,07/26/11 417072,S200000,00100,0100,2353 23RD STREET 417072,S200000,00200,0100,EUREKA 417072,S200000,00200,0200,CA 417072,S200000,00200,0300,95501 417072,S200000,00300,0100,HUMBOLDT 417072,S200000,00300,0200,05 417072,S200000,00300,0201,99905 417072,S200000,00300,0300,R 417072,S200000,00400,0100,PACIFIC HEALTHCARE AND REHAB 417072,S200000,00400,0200,055334 417072,S200000,00400,0300,01/01/67 417072,S200000,00400,0500,P 417072,S200000,01500,0100,Y 417072,S200000,01501,0200,N 417072,S200000,01502,0200,N 417072,S200000,01503,0200,N 417072,S200000,01504,0200,Y 417072,S200000,01600,0100,N 417072,S200000,01700,0100,N 417072,S200000,01800,0100,N 417072,S200000,02200,0100,N 417072,S200000,02800,0100,N 417072,S200000,02900,0100,N 417072,S200000,03000,0100,N 417072,S200000,03100,0100,Y 417072,S200000,03200,0100,N 417072,S200000,03300,0100,N 417072,S200000,03300,0200,N 417072,S200000,04100,0100,N 417072,S200000,04200,0100,N 417072,S200000,04300,0100,N 417072,S200000,04600,0100,N 417072,S200000,04700,0100,N 417072,S200000,04700,0200,N 417072,S200000,04900,0100,N 417072,S200000,05000,0100,N 417072,S200000,05100,0100,N 417072,S200000,05200,0100,N 417081,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417081,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417081,A000000,00300,0000,0300EMPLOYEE BENEFITS 417081,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417081,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417081,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417081,A000000,00700,0000,0700HOUSEKEEPING 417081,A000000,00800,0000,0800DIETARY 417081,A000000,00900,0000,0900NURSING ADMINISTRATION 417081,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417081,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417081,A000000,01300,0000,1300SOCIAL SERVICE 417081,A000000,01600,0000,1600SKILLED NURSING FACILITY 417081,A000000,02100,0000,2100RADIOLOGY 417081,A000000,02200,0000,2200LABORATORY 417081,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417081,A000000,02500,0000,2500PHYSICAL THERAPY 417081,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417081,A000000,02700,0000,2700SPEECH PATHOLOGY 417081,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417081,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417081,A000000,03200,0000,3200SUPPORT SURFACES 417081,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417081,A81000A,00100,0100,Y 417081,A81000B,00100,0300,HOME OFFICE 417081,A81000B,00200,0300,PHY THERAPY 417081,A81000B,00300,0300,OCC THERAPY 417081,A81000B,00400,0300,SPEECH THERAPY 417081,A81000C,00100,0100,B 417081,A81000C,00100,0200,SKILLED HEALTHCARE GROUP 417081,A81000C,00100,0400,HALLMARK REHAB 417081,A81000C,00100,0600,THERAPY SVCS 417081,A81000C,00200,0100,B 417081,A81000C,00200,0200,SKILLED HEALTHCARE GROUP 417081,A81000C,00200,0400,SKILLED HEALTHCARE LLC 417081,A81000C,00200,0600,ADMINISTRATIVE SVCS 417081,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 417081,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 417081,B100000,00000,0300,0350PATIENT DAYS :EMPLOYEE BENEFITS 417081,B100000,00000,0400,0400PATIENT DAYS :ADMINISTRATIVE & 417081,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 417081,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417081,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 417081,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417081,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417081,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417081,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417081,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417081,S000000,00100,0200,07/26/11 417081,S200000,00100,0100,2885 HARRIS STREET 417081,S200000,00200,0100,EUREKA 417081,S200000,00200,0200,CA 417081,S200000,00200,0300,95503 417081,S200000,00300,0100,HUMBOLDT 417081,S200000,00300,0200,05 417081,S200000,00300,0201,99905 417081,S200000,00300,0300,R 417081,S200000,00400,0100,GRANADA HEALTHCARE & REHAB 417081,S200000,00400,0200,056300 417081,S200000,00400,0300,01/01/67 417081,S200000,00400,0500,P 417081,S200000,01500,0100,N 417081,S200000,01501,0200,N 417081,S200000,01502,0200,N 417081,S200000,01503,0200,N 417081,S200000,01504,0200,Y 417081,S200000,01600,0100,Y 417081,S200000,01700,0100,N 417081,S200000,01800,0100,N 417081,S200000,02200,0100,N 417081,S200000,02800,0100,N 417081,S200000,02900,0100,N 417081,S200000,03000,0100,N 417081,S200000,03100,0100,Y 417081,S200000,03200,0100,N 417081,S200000,03300,0100,N 417081,S200000,03300,0200,N 417081,S200000,04100,0100,N 417081,S200000,04200,0100,N 417081,S200000,04300,0100,N 417081,S200000,04600,0100,N 417081,S200000,04700,0100,N 417081,S200000,04700,0200,N 417081,S200000,04900,0100,N 417081,S200000,05000,0100,N 417081,S200000,05100,0100,N 417081,S200000,05200,0100,N 417083,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417083,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417083,A000000,00300,0000,0300EMPLOYEE BENEFITS 417083,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417083,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417083,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417083,A000000,00700,0000,0700HOUSEKEEPING 417083,A000000,00800,0000,0800DIETARY 417083,A000000,00900,0000,0900NURSING ADMINISTRATION 417083,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417083,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417083,A000000,01300,0000,1300SOCIAL SERVICE 417083,A000000,01600,0000,1600SKILLED NURSING FACILITY 417083,A000000,02100,0000,2100RADIOLOGY 417083,A000000,02200,0000,2200LABORATORY 417083,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417083,A000000,02500,0000,2500PHYSICAL THERAPY 417083,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417083,A000000,02700,0000,2700SPEECH PATHOLOGY 417083,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417083,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417083,A000000,03200,0000,3200SUPPORT SURFACES 417083,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417083,A81000A,00100,0100,Y 417083,A81000B,00100,0300,HOME OFFICE 417083,A81000B,00200,0300,PHY THERAPY 417083,A81000B,00300,0300,OCC THERAPY 417083,A81000B,00400,0300,SPEECH THERAPY 417083,A81000C,00100,0100,B 417083,A81000C,00100,0200,SKILLED HEALTHCARE GROUP 417083,A81000C,00100,0400,HALLMARK REHAB 417083,A81000C,00100,0600,THERAPY SVCS 417083,A81000C,00200,0100,B 417083,A81000C,00200,0200,SKILLED HEALTHCARE GROUP 417083,A81000C,00200,0400,SKILLED HEALTHCARE LLC 417083,A81000C,00200,0600,ADMINISTRATIVE SVCS 417083,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 417083,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 417083,B100000,00000,0300,0350PATIENT DAYS :EMPLOYEE BENEFITS 417083,B100000,00000,0400,0400PATIENT DAYS :ADMINISTRATIVE & 417083,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 417083,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417083,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 417083,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417083,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417083,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417083,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417083,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417083,S000000,00100,0200,07/26/11 417083,S200000,00100,0100,2321 NEWBURG ROAD 417083,S200000,00200,0100,FORTUNA 417083,S200000,00200,0200,CA 417083,S200000,00200,0300,95540 417083,S200000,00300,0100,HUMBOLDT 417083,S200000,00300,0200,05 417083,S200000,00300,0201,99905 417083,S200000,00300,0300,R 417083,S200000,00400,0100,ST LUKE HEALTHCARE & REHAB 417083,S200000,00400,0200,056361 417083,S200000,00400,0300,02/22/73 417083,S200000,00400,0500,P 417083,S200000,01500,0100,Y 417083,S200000,01501,0200,N 417083,S200000,01502,0200,N 417083,S200000,01503,0200,N 417083,S200000,01504,0200,Y 417083,S200000,01600,0100,N 417083,S200000,01700,0100,N 417083,S200000,01800,0100,N 417083,S200000,02200,0100,N 417083,S200000,02800,0100,N 417083,S200000,02900,0100,N 417083,S200000,03000,0100,N 417083,S200000,03100,0100,Y 417083,S200000,03200,0100,N 417083,S200000,03300,0100,N 417083,S200000,03300,0200,N 417083,S200000,04100,0100,N 417083,S200000,04200,0100,N 417083,S200000,04300,0100,N 417083,S200000,04600,0100,N 417083,S200000,04700,0100,N 417083,S200000,04700,0200,N 417083,S200000,04900,0100,N 417083,S200000,05000,0100,N 417083,S200000,05100,0100,N 417083,S200000,05200,0100,N 417099,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417099,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417099,A000000,00300,0000,0300EMPLOYEE BENEFITS 417099,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417099,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417099,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417099,A000000,00700,0000,0700HOUSEKEEPING 417099,A000000,00800,0000,0800DIETARY 417099,A000000,00900,0000,0900NURSING ADMINISTRATION 417099,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417099,A000000,01100,0000,1100PHARMACY 417099,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417099,A000000,01300,0000,1300SOCIAL SERVICE 417099,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417099,A000000,01500,0000,1350ACTIVITIES 417099,A000000,01600,0000,1600SKILLED NURSING FACILITY 417099,A000000,01800,0000,1800NURSING FACILITY 417099,A000000,01810,0000,1810ICF/MR 417099,A000000,01900,0000,1900OTHER LONG TERM CARE 417099,A000000,02100,0000,2100RADIOLOGY 417099,A000000,02200,0000,2200LABORATORY 417099,A000000,02300,0000,2300INTRAVENOUS THERAPY 417099,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417099,A000000,02500,0000,2500PHYSICAL THERAPY 417099,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417099,A000000,02700,0000,2700SPEECH PATHOLOGY 417099,A000000,02800,0000,2800ELECTROCARDIOLOGY 417099,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417099,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417099,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417099,A000000,03200,0000,3200SUPPORT SURFACES 417099,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417099,A000000,03400,0000,3400CLINIC 417099,A000000,03500,0000,3500RURAL HEALTH CLINIC 417099,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417099,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417099,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417099,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417099,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417099,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417099,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417099,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417099,A000000,04400,0000,4400DME RENTED - HHA 417099,A000000,04500,0000,4500DME SOLD - HHA 417099,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417099,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417099,A000000,04710,0000,4710TELEMEDICINE 417099,A000000,04800,0000,4800AMBULANCE 417099,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417099,A000000,05000,0000,5000CORF 417099,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417099,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417099,A000000,05300,0000,5300INTEREST EXPENSE 417099,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417099,A000000,05500,0000,5500HOSPICE 417099,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417099,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417099,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417099,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417099,A000000,06100,0000,6100NONPAID WORKERS 417099,A000000,06200,0000,6200PATIENTS LAUNDRY 417099,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417099,A81000A,00100,0100,N 417099,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417099,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417099,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417099,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417099,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417099,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417099,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417099,B100000,00000,0800,0800MEALS SERVED :DIETARY 417099,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417099,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417099,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417099,G300000,02500,0000,OTHER (SPECIFY) 417099,S000000,00100,0200,07/25/11 417099,S200000,00100,0100,824 S. GLADYS AVENUE 417099,S200000,00200,0100,SAN GABRIEL 417099,S200000,00200,0200,CA 417099,S200000,00200,0300,91776 417099,S200000,00300,0100,LOS ANGELES 417099,S200000,00300,0200,4480 417099,S200000,00300,0201,31084 417099,S200000,00300,0300,U 417099,S200000,00400,0100,MISSION LODGE SANITARIUM 417099,S200000,00400,0200,555863 417099,S200000,00400,0300,12/22/09 417099,S200000,00400,0500,P 417099,S200000,01500,0100,Y 417099,S200000,01501,0200,Y 417099,S200000,01600,0100,N 417099,S200000,01700,0100,N 417099,S200000,01800,0100,N 417099,S200000,02200,0100,Y 417099,S200000,02800,0100,N 417099,S200000,02900,0100,N 417099,S200000,03000,0100,N 417099,S200000,03100,0100,N 417099,S200000,03200,0100,N 417099,S200000,03300,0100,N 417099,S200000,03300,0200,N 417099,S200000,04100,0100,N 417099,S200000,04200,0100,N 417099,S200000,04300,0100,N 417099,S200000,04600,0100,N 417099,S200000,04700,0100,N 417099,S200000,04700,0200,N 417099,S200000,04900,0100,N 417099,S200000,05000,0100,N 417099,S200000,05100,0100,N 417099,S200000,05200,0100,N 417102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417102,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417102,A000000,00300,0000,0300EMPLOYEE BENEFITS 417102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417102,A000000,00700,0000,0700HOUSEKEEPING 417102,A000000,00800,0000,0800DIETARY 417102,A000000,00900,0000,0900NURSING ADMINISTRATION 417102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417102,A000000,01100,0000,1100PHARMACY 417102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417102,A000000,01300,0000,1300SOCIAL SERVICE 417102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417102,A000000,01500,0000,1350OTHER GENERAL SERVICES 417102,A000000,01600,0000,1600SKILLED NURSING FACILITY 417102,A000000,01800,0000,1800NURSING FACILITY 417102,A000000,01810,0000,1810ICF/MR 417102,A000000,01900,0000,1900OTHER LONG TERM CARE 417102,A000000,02100,0000,2100RADIOLOGY 417102,A000000,02200,0000,2200LABORATORY 417102,A000000,02300,0000,2300INTRAVENOUS THERAPY 417102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417102,A000000,02500,0000,2500PHYSICAL THERAPY 417102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417102,A000000,02700,0000,2700SPEECH PATHOLOGY 417102,A000000,02800,0000,2800ELECTROCARDIOLOGY 417102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417102,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417102,A000000,03200,0000,3200SUPPORT SURFACES 417102,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417102,A000000,03400,0000,3400CLINIC 417102,A000000,03500,0000,3500RURAL HEALTH CLINIC 417102,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417102,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417102,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417102,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417102,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417102,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417102,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417102,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417102,A000000,04400,0000,4400DME RENTED - HHA 417102,A000000,04500,0000,4500DME SOLD - HHA 417102,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417102,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417102,A000000,04710,0000,4710TELEMEDICINE 417102,A000000,04800,0000,4800AMBULANCE 417102,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417102,A000000,05000,0000,5000CORF 417102,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417102,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417102,A000000,05300,0000,5300INTEREST EXPENSE 417102,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417102,A000000,05500,0000,5500HOSPICE 417102,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417102,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417102,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417102,A000000,06100,0000,6100NONPAID WORKERS 417102,A000000,06200,0000,6200PATIENTS LAUNDRY 417102,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417102,A81000A,00100,0100,Y 417102,A81000B,00100,0300,WITT & JUCKETTE MGMT 417102,A81000C,00100,0100,D 417102,A81000C,00100,0200,JUCKETTE FAMILY 417102,A81000C,00100,0400,WITT & JUCKETTE CONSTRUCT 417102,A81000C,00100,0600,MANAGEMENT COMPANY 417102,B100000,00000,0100,0150BEDS :CAP REL COSTS - BLDGS & 417102,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417102,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417102,B100000,00000,0500,0550BEDS :PLANT OPERATION MAINT. 417102,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417102,B100000,00000,0700,0750BEDS :HOUSEKEEPING 417102,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417102,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417102,S000000,00100,0200,08/01/11 417102,S200000,00100,0100,225 W LAPERLA DRIVE 417102,S200000,00200,0100,CLARINDA 417102,S200000,00200,0200,IA 417102,S200000,00200,0300,51632 417102,S200000,00300,0100,PAGE 417102,S200000,00300,0200,16 417102,S200000,00300,0201,99916 417102,S200000,00300,0300,R 417102,S200000,00400,0100,CLARINDA CARE CENTER INC 417102,S200000,00400,0200,165489 417102,S200000,00400,0300,07/01/03 417102,S200000,00400,0500,P 417102,S200000,00400,0600,P 417102,S200000,01500,0100,Y 417102,S200000,01600,0100,N 417102,S200000,01700,0100,N 417102,S200000,01800,0100,N 417102,S200000,02200,0100,N 417102,S200000,02800,0100,Y 417102,S200000,02900,0100,N 417102,S200000,03000,0100,N 417102,S200000,03100,0100,N 417102,S200000,03200,0100,N 417102,S200000,03300,0100,N 417102,S200000,03300,0200,N 417102,S200000,04100,0100,N 417102,S200000,04200,0100,N 417102,S200000,04300,0100,N 417102,S200000,04600,0100,N 417102,S200000,04700,0100,N 417102,S200000,04700,0200,N 417102,S200000,04900,0100,N 417102,S200000,05000,0100,N 417102,S200000,05100,0100,N 417102,S200000,05200,0100,N 417102,S200000,05300,0100,Y 417102,S200000,05300,0200,H54330 417102,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES 417102,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICES 417102,S200000,05400,0300,05301 417102,S200000,05500,0100,HIGHWAY 36 EAST 417102,S200000,05600,0100,CHILLICOTHE 417102,S200000,05600,0200,MO 417102,S200000,05600,0300,64601 417119,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417119,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417119,A000000,00300,0000,0300EMPLOYEE BENEFITS 417119,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417119,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417119,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417119,A000000,00700,0000,0700HOUSEKEEPING 417119,A000000,00800,0000,0800DIETARY 417119,A000000,00900,0000,0900NURSING ADMINISTRATION 417119,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417119,A000000,01100,0000,1100PHARMACY 417119,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417119,A000000,01300,0000,1300SOCIAL SERVICE 417119,A000000,01500,0000,1350ACTIVITIES 417119,A000000,01600,0000,1600SKILLED NURSING FACILITY 417119,A000000,01800,0000,1800NURSING FACILITY 417119,A000000,01810,0000,1810ICF/MR 417119,A000000,01900,0000,1900OTHER LONG TERM CARE 417119,A000000,02100,0000,2100RADIOLOGY 417119,A000000,02200,0000,2200LABORATORY 417119,A000000,02300,0000,2300INTRAVENOUS THERAPY 417119,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417119,A000000,02500,0000,2500PHYSICAL THERAPY 417119,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417119,A000000,02700,0000,2700SPEECH PATHOLOGY 417119,A000000,02800,0000,2800ELECTROCARDIOLOGY 417119,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417119,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417119,A000000,03200,0000,3200SUPPORT SURFACES 417119,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417119,A000000,03400,0000,3400CLINIC 417119,A000000,03500,0000,3500RURAL HEALTH CLINIC 417119,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417119,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417119,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417119,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417119,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417119,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417119,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417119,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417119,A000000,04400,0000,4400DME RENTED - HHA 417119,A000000,04500,0000,4500DME SOLD - HHA 417119,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417119,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417119,A000000,04710,0000,4710TELEMEDICINE 417119,A000000,04800,0000,4800AMBULANCE 417119,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417119,A000000,05000,0000,5000CORF 417119,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417119,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417119,A000000,05300,0000,5300INTEREST EXPENSE 417119,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417119,A000000,05500,0000,5500HOSPICE 417119,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417119,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417119,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417119,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417119,A000000,06100,0000,6100NONPAID WORKERS 417119,A000000,06200,0000,6200PATIENTS LAUNDRY 417119,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417119,A000000,06301,0000,6151OLTC 417119,A81000A,00100,0100,Y 417119,A81000B,00100,0300,HOME OFFICE - MGT FEES 417119,A81000B,00200,0300,HOME OFFICE - BLDG 417119,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 417119,A81000C,00100,0100,B 417119,A81000C,00100,0400,EMERITUS SENIOR LIVING 417119,A81000C,00100,0600,MANAGEMENT COMPANY 417119,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417119,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417119,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417119,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417119,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417119,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417119,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417119,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417119,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417119,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417119,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417119,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417119,S000000,00100,0200,06/01/11 417119,S200000,00100,0100,1306 PELHAM ROAD 417119,S200000,00200,0100,GREENVILLE 417119,S200000,00200,0200,SC 417119,S200000,00200,0300,29615 417119,S200000,00300,0100,GREENVILLE COUNTY 417119,S200000,00300,0200,3160 417119,S200000,00300,0201,24860 417119,S200000,00300,0300,U 417119,S200000,00400,0100,EMERITUS AT GREENVILLE 417119,S200000,00400,0200,425373 417119,S200000,00400,0300,07/05/00 417119,S200000,00400,0500,P 417119,S200000,01500,0100,Y 417119,S200000,01600,0100,N 417119,S200000,01700,0100,N 417119,S200000,01800,0100,N 417119,S200000,02200,0100,N 417119,S200000,02800,0100,N 417119,S200000,02900,0100,N 417119,S200000,03000,0100,N 417119,S200000,03100,0100,N 417119,S200000,03200,0100,N 417119,S200000,03300,0100,N 417119,S200000,03300,0200,N 417119,S200000,03600,0100,N 417119,S200000,03600,0200,N 417119,S200000,04100,0100,N 417119,S200000,04200,0100,N 417119,S200000,04300,0100,N 417119,S200000,04600,0100,N 417119,S200000,04700,0100,N 417119,S200000,04700,0200,N 417119,S200000,04900,0100,N 417119,S200000,05000,0100,N 417119,S200000,05100,0100,N 417119,S200000,05200,0100,N 417119,S200000,05300,0100,Y 417119,S200000,05300,0200,999999 417119,S200000,05400,0100,EMERITUS SENIOR LIVING 417119,S200000,05400,0200,NGS 417119,S200000,05400,0300,00454 417119,S200000,05500,0100,3131 ELLIOTT AVE STE 500 417119,S200000,05600,0100,SEATTLE 417119,S200000,05600,0200,WA 417119,S200000,05600,0300,98121 417147,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417147,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417147,A000000,00300,0000,0300EMPLOYEE BENEFITS 417147,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417147,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417147,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417147,A000000,00700,0000,0700HOUSEKEEPING 417147,A000000,00800,0000,0800DIETARY 417147,A000000,00900,0000,0900NURSING ADMINISTRATION 417147,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417147,A000000,01100,0000,1100PHARMACY 417147,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417147,A000000,01300,0000,1300SOCIAL SERVICE 417147,A000000,01500,0000,1350ACTIVITIES 417147,A000000,01600,0000,1600SKILLED NURSING FACILITY 417147,A000000,01800,0000,1800NURSING FACILITY 417147,A000000,01810,0000,1810ICF/MR 417147,A000000,01900,0000,1900OTHER LONG TERM CARE 417147,A000000,02100,0000,2100RADIOLOGY 417147,A000000,02200,0000,2200LABORATORY 417147,A000000,02300,0000,2300INTRAVENOUS THERAPY 417147,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417147,A000000,02500,0000,2500PHYSICAL THERAPY 417147,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417147,A000000,02700,0000,2700SPEECH PATHOLOGY 417147,A000000,02800,0000,2800ELECTROCARDIOLOGY 417147,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417147,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417147,A000000,03200,0000,3200SUPPORT SURFACES 417147,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417147,A000000,03400,0000,3400CLINIC 417147,A000000,03500,0000,3500RURAL HEALTH CLINIC 417147,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417147,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417147,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417147,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417147,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417147,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417147,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417147,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417147,A000000,04400,0000,4400DME RENTED - HHA 417147,A000000,04500,0000,4500DME SOLD - HHA 417147,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417147,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417147,A000000,04710,0000,4710TELEMEDICINE 417147,A000000,04800,0000,4800AMBULANCE 417147,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417147,A000000,05000,0000,5000CORF 417147,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417147,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417147,A000000,05300,0000,5300INTEREST EXPENSE 417147,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417147,A000000,05500,0000,5500HOSPICE 417147,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417147,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417147,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417147,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417147,A000000,06100,0000,6100NONPAID WORKERS 417147,A000000,06200,0000,6200PATIENTS LAUNDRY 417147,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417147,A000000,06301,0000,6151OLTC 417147,A81000A,00100,0100,Y 417147,A81000B,00100,0300,HOME OFFICE - MGT FEES 417147,A81000B,00200,0300,HOME OFFICE - BLDG 417147,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 417147,A81000C,00100,0100,B 417147,A81000C,00100,0400,EMERITUS SENIOR LIVING 417147,A81000C,00100,0600,MANAGEMENT COMPANY 417147,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417147,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417147,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417147,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417147,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417147,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417147,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417147,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417147,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417147,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417147,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417147,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417147,S000000,00100,0200,06/01/11 417147,S200000,00100,0100,2500 S. ROSLYN STREET 417147,S200000,00200,0100,DENVER 417147,S200000,00200,0200,CO 417147,S200000,00200,0300,80231 417147,S200000,00300,0100,ARAPAHOE COUNTY 417147,S200000,00300,0200,2080 417147,S200000,00300,0201,19740 417147,S200000,00300,0300,U 417147,S200000,00400,0100,EMERITUS AT ROSLYN LONG TERM CARE 417147,S200000,00400,0200,065362 417147,S200000,00400,0300,09/01/97 417147,S200000,00400,0500,P 417147,S200000,01500,0100,Y 417147,S200000,01600,0100,N 417147,S200000,01700,0100,N 417147,S200000,01800,0100,N 417147,S200000,02200,0100,N 417147,S200000,02800,0100,N 417147,S200000,02900,0100,N 417147,S200000,03000,0100,N 417147,S200000,03100,0100,N 417147,S200000,03200,0100,N 417147,S200000,03300,0100,N 417147,S200000,03300,0200,N 417147,S200000,03600,0100,N 417147,S200000,03600,0200,N 417147,S200000,04100,0100,N 417147,S200000,04200,0100,N 417147,S200000,04300,0100,N 417147,S200000,04600,0100,N 417147,S200000,04700,0100,N 417147,S200000,04700,0200,N 417147,S200000,04900,0100,N 417147,S200000,05000,0100,N 417147,S200000,05100,0100,N 417147,S200000,05200,0100,N 417147,S200000,05300,0100,Y 417147,S200000,05300,0200,999999 417147,S200000,05400,0100,EMERITUS SENIOR LIVING 417147,S200000,05400,0200,NGS 417147,S200000,05400,0300,00454 417147,S200000,05500,0100,3131 ELLIOTT AVE STE 500 417147,S200000,05600,0100,SEATTLE 417147,S200000,05600,0200,WA 417147,S200000,05600,0300,98121 417148,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417148,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417148,A000000,00300,0000,0300EMPLOYEE BENEFITS 417148,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417148,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417148,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417148,A000000,00700,0000,0700HOUSEKEEPING 417148,A000000,00800,0000,0800DIETARY 417148,A000000,00900,0000,0900NURSING ADMINISTRATION 417148,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417148,A000000,01100,0000,1100PHARMACY 417148,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417148,A000000,01300,0000,1300SOCIAL SERVICE 417148,A000000,01500,0000,1350ACTIVITIES 417148,A000000,01600,0000,1600SKILLED NURSING FACILITY 417148,A000000,01800,0000,1800NURSING FACILITY 417148,A000000,01810,0000,1810ICF/MR 417148,A000000,01900,0000,1900OTHER LONG TERM CARE 417148,A000000,02100,0000,2100RADIOLOGY 417148,A000000,02200,0000,2200LABORATORY 417148,A000000,02300,0000,2300INTRAVENOUS THERAPY 417148,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417148,A000000,02500,0000,2500PHYSICAL THERAPY 417148,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417148,A000000,02700,0000,2700SPEECH PATHOLOGY 417148,A000000,02800,0000,2800ELECTROCARDIOLOGY 417148,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417148,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417148,A000000,03200,0000,3200SUPPORT SURFACES 417148,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417148,A000000,03400,0000,3400CLINIC 417148,A000000,03500,0000,3500RURAL HEALTH CLINIC 417148,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417148,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417148,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417148,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417148,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417148,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417148,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417148,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417148,A000000,04400,0000,4400DME RENTED - HHA 417148,A000000,04500,0000,4500DME SOLD - HHA 417148,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417148,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417148,A000000,04710,0000,4710TELEMEDICINE 417148,A000000,04800,0000,4800AMBULANCE 417148,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417148,A000000,05000,0000,5000CORF 417148,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417148,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417148,A000000,05300,0000,5300INTEREST EXPENSE 417148,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417148,A000000,05500,0000,5500HOSPICE 417148,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417148,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417148,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417148,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417148,A000000,06100,0000,6100NONPAID WORKERS 417148,A000000,06200,0000,6200PATIENTS LAUNDRY 417148,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417148,A000000,06301,0000,6151OLTC 417148,A81000A,00100,0100,Y 417148,A81000B,00100,0300,HOME OFFICE - MGT FEES 417148,A81000B,00200,0300,HOME OFFICE-BLDG 417148,A81000B,00300,0300,HOME OFFICE-EQUIP 417148,A81000C,00100,0100,B 417148,A81000C,00100,0400,EMERITUS SENIOR LIVING 417148,A81000C,00100,0600,MANAGEMENT COMPANY 417148,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417148,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417148,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417148,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417148,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417148,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417148,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417148,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417148,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417148,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417148,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417148,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417148,S000000,00100,0200,06/01/11 417148,S200000,00100,0100,1685 S. 21ST STREET 417148,S200000,00200,0100,COLORADO SPRINGS 417148,S200000,00200,0200,CO 417148,S200000,00200,0300,80904-4273 417148,S200000,00300,0100,EL PASO 417148,S200000,00300,0201,17820 417148,S200000,00300,0300,U 417148,S200000,00400,0100,EMERITUS AT BEAR CREEK 417148,S200000,00400,0200,065373 417148,S200000,00400,0300,12/02/99 417148,S200000,00400,0500,P 417148,S200000,01500,0100,Y 417148,S200000,01600,0100,N 417148,S200000,01700,0100,N 417148,S200000,01800,0100,N 417148,S200000,02200,0100,N 417148,S200000,02800,0100,N 417148,S200000,02900,0100,N 417148,S200000,03000,0100,N 417148,S200000,03100,0100,N 417148,S200000,03200,0100,N 417148,S200000,03300,0100,N 417148,S200000,03300,0200,N 417148,S200000,03600,0100,N 417148,S200000,03600,0200,N 417148,S200000,04100,0100,N 417148,S200000,04200,0100,N 417148,S200000,04300,0100,N 417148,S200000,04600,0100,N 417148,S200000,04700,0100,N 417148,S200000,04700,0200,N 417148,S200000,04900,0100,N 417148,S200000,05000,0100,N 417148,S200000,05100,0100,N 417148,S200000,05200,0100,N 417148,S200000,05300,0100,Y 417148,S200000,05300,0200,99999 417148,S200000,05400,0100,EMERITUS SENIOR LIVING INC 417148,S200000,05400,0200,NGS 417148,S200000,05400,0300,00454 417148,S200000,05500,0100,3131 ELLIOTT AVENUE STE 500 417148,S200000,05600,0100,SEATTLE 417148,S200000,05600,0200,WA 417148,S200000,05600,0300,98121 417149,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417149,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417149,A000000,00300,0000,0300EMPLOYEE BENEFITS 417149,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417149,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417149,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417149,A000000,00700,0000,0700HOUSEKEEPING 417149,A000000,00800,0000,0800DIETARY 417149,A000000,00900,0000,0900NURSING ADMINISTRATION 417149,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417149,A000000,01100,0000,1100PHARMACY 417149,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417149,A000000,01300,0000,1300SOCIAL SERVICE 417149,A000000,01500,0000,1350ACTIVITIES 417149,A000000,01600,0000,1600SKILLED NURSING FACILITY 417149,A000000,01800,0000,1800NURSING FACILITY 417149,A000000,01810,0000,1810ICF/MR 417149,A000000,01900,0000,1900OTHER LONG TERM CARE 417149,A000000,02100,0000,2100RADIOLOGY 417149,A000000,02200,0000,2200LABORATORY 417149,A000000,02300,0000,2300INTRAVENOUS THERAPY 417149,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417149,A000000,02500,0000,2500PHYSICAL THERAPY 417149,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417149,A000000,02700,0000,2700SPEECH PATHOLOGY 417149,A000000,02800,0000,2800ELECTROCARDIOLOGY 417149,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417149,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417149,A000000,03200,0000,3200SUPPORT SURFACES 417149,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417149,A000000,03400,0000,3400CLINIC 417149,A000000,03500,0000,3500RURAL HEALTH CLINIC 417149,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417149,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417149,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417149,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417149,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417149,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417149,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417149,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417149,A000000,04400,0000,4400DME RENTED - HHA 417149,A000000,04500,0000,4500DME SOLD - HHA 417149,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417149,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417149,A000000,04710,0000,4710TELEMEDICINE 417149,A000000,04800,0000,4800AMBULANCE 417149,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417149,A000000,05000,0000,5000CORF 417149,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417149,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417149,A000000,05300,0000,5300INTEREST EXPENSE 417149,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417149,A000000,05500,0000,5500HOSPICE 417149,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417149,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417149,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417149,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417149,A000000,06100,0000,6100NONPAID WORKERS 417149,A000000,06200,0000,6200PATIENTS LAUNDRY 417149,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417149,A000000,06301,0000,6151OLTC 417149,A81000A,00100,0100,Y 417149,A81000B,00100,0300,HOME OFFICE - MGT FEES 417149,A81000B,00200,0300,HOME OFFICE - BLDG 417149,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 417149,A81000C,00100,0100,B 417149,A81000C,00100,0400,EMERITUS SENIOR LIVING 417149,A81000C,00100,0600,MANAGEMENT COMPANY 417149,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417149,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417149,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417149,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417149,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417149,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417149,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417149,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417149,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417149,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417149,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417149,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417149,S000000,00100,0200,06/01/11 417149,S200000,00100,0100,12791 W. ALAMEDA PARKWAY 417149,S200000,00200,0100,LAKEWOOD 417149,S200000,00200,0200,CO 417149,S200000,00200,0300,80228 417149,S200000,00300,0100,JEFFERSON COUNTY 417149,S200000,00300,0200,2080 417149,S200000,00300,0201,19740 417149,S200000,00300,0300,U 417149,S200000,00400,0100,EMERITUS AT GREEN MT. LONG TERM CARE 417149,S200000,00400,0200,065374 417149,S200000,00400,0300,12/30/99 417149,S200000,00400,0500,P 417149,S200000,01500,0100,Y 417149,S200000,01600,0100,N 417149,S200000,01700,0100,N 417149,S200000,01800,0100,N 417149,S200000,02200,0100,N 417149,S200000,02800,0100,N 417149,S200000,02900,0100,N 417149,S200000,03000,0100,N 417149,S200000,03100,0100,N 417149,S200000,03200,0100,N 417149,S200000,03300,0100,N 417149,S200000,03300,0200,N 417149,S200000,03600,0100,N 417149,S200000,03600,0200,N 417149,S200000,04100,0100,N 417149,S200000,04200,0100,N 417149,S200000,04300,0100,N 417149,S200000,04600,0100,N 417149,S200000,04700,0100,N 417149,S200000,04700,0200,N 417149,S200000,04900,0100,N 417149,S200000,05000,0100,N 417149,S200000,05100,0100,N 417149,S200000,05200,0100,N 417149,S200000,05300,0100,Y 417149,S200000,05300,0200,999999 417149,S200000,05400,0100,EMERITUS SENIOR LIVING 417149,S200000,05400,0200,NGS 417149,S200000,05400,0300,00454 417149,S200000,05500,0100,3131 ELLIOTT AVE STE 500 417149,S200000,05600,0100,SEATTLE 417149,S200000,05600,0200,WA 417149,S200000,05600,0300,98121 417242,S000000,00100,0200,07/11/11 417242,S200000,00100,0100,27 AUERBACK PLACE 417242,S200000,00200,0100,GLEN CARBON 417242,S200000,00200,0200,IL 417242,S200000,00200,0300,62034-1596 417242,S200000,00400,0100,MERIDIAN VILLAGE ASSOCIATION 417242,S200000,00400,0300,11/03/10 417332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 417332,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 417332,A000000,00300,0000,0300EMPLOYEE BENEFITS 417332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 417332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417332,A000000,00700,0000,0700HOUSEKEEPING 417332,A000000,00800,0000,0800DIETARY 417332,A000000,00900,0000,0900NURSING ADMINISTRATION 417332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417332,A000000,01100,0000,1100PHARMACY 417332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417332,A000000,01300,0000,1300SOCIAL SERVICE 417332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 417332,A000000,01600,0000,1600SKILLED NURSING FACILITY 417332,A000000,01810,0000,1810ICF/MR 417332,A000000,02100,0000,2100RADIOLOGY 417332,A000000,02200,0000,2200LABORATORY 417332,A000000,02500,0000,2500PHYSICAL THERAPY 417332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417332,A000000,02700,0000,2700SPEECH PATHOLOGY 417332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417332,A000000,03550,0000,3550FQHC 417332,A000000,04801,0000,4801AMBULANCE 417332,A000000,04802,0000,4802AMBULANCE 417332,A000000,04803,0000,4803AMBULANCE 417332,A000000,05000,0000,5000CORF 417332,A000000,05010,0000,5010CMHC 417332,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 417332,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 417332,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 417332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417332,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417332,A81000A,00100,0100,Y 417332,A81000B,00100,0300,MANAGEMENT COSTS 417332,A81000B,00200,0300,PHYSICAL THERAPY COSTS 417332,A81000B,00300,0300,OCCUPATIONAL THERAPY COSTS 417332,A81000B,00400,0300,SPEECH THERAPY COSTS 417332,A81000B,00500,0300,RENT - BUILDING 417332,A81000B,00600,0300,DEPRECIATION - FURN FIX EQUI 417332,A81000B,00700,0300,DEPRECIATION - VEH SOFT 417332,A81000B,00800,0300,INTEREST 417332,A81000C,00100,0100,A 417332,A81000C,00100,0200,JOHN MONTGOMERY 417332,A81000C,00100,0400,PROVIDENCE HEALTHCARE 417332,A81000C,00100,0600,ADMINISTRATIVE SERVICES 417332,A81000C,00200,0100,A 417332,A81000C,00200,0200,JOHN MONTGOMERY 417332,A81000C,00200,0400,TOTAL WELLNESS 417332,A81000C,00200,0600,THERAPY PROVIDER 417332,A81000C,00300,0100,A 417332,A81000C,00300,0200,JOHN MONTGOMERY 417332,A81000C,00300,0400,ASHTON PLACE MANOR 417332,A81000C,00300,0600,REAL ESTATE LEASING 417332,B100000,00000,0100,0100SQUARE FEET 417332,B100000,00000,0200,0200SQUARE FEET 417332,B100000,00000,0300,0300GROSS SALARIES 417332,B100000,00000,0400,0400ACCUM COST 417332,B100000,00000,0500,0500SQUARE FEET 417332,B100000,00000,0600,0600PATIENT DAYS 417332,B100000,00000,0700,0700SQUARE FEET 417332,B100000,00000,0800,0800MEALS SERVED 417332,B100000,00000,0900,0900DIRECT NRSING HRS 417332,B100000,00000,1000,1000PATIENT DAYS 417332,B100000,00000,1100,1100PATIENT DAYS 417332,B100000,00000,1200,1200PATIENT DAYS 417332,B100000,00000,1300,1300PATIENT DAYS 417332,B100000,00000,1400,1400ASSIGNED TIME 417332,S000000,00100,0200,08/02/11 417332,S200000,00100,0100,318 STROZIER LANE 417332,S200000,00200,0100,BARLING 417332,S200000,00200,0200,AR 417332,S200000,00200,0300,72923 417332,S200000,00300,0100,SEBASTIAN 417332,S200000,00300,0201,22900 417332,S200000,00300,0300,U 417332,S200000,00400,0100,ASHTON PLACE 417332,S200000,00400,0200,045419 417332,S200000,00400,0300,11/28/06 417332,S200000,00400,0500,P 417332,S200000,01500,0100,Y 417332,S200000,01501,0200,Y 417332,S200000,01503,0200,Y 417332,S200000,01504,0200,Y 417332,S200000,01600,0100,N 417332,S200000,01700,0100,N 417332,S200000,01800,0100,N 417332,S200000,02200,0100,N 417332,S200000,02800,0100,N 417332,S200000,02900,0100,N 417332,S200000,03000,0100,N 417332,S200000,03100,0100,N 417332,S200000,03200,0100,N 417332,S200000,03300,0100,N 417332,S200000,03300,0200,N 417332,S200000,04200,0100,N 417332,S200000,04300,0100,N 417332,S200000,04600,0100,N 417332,S200000,04700,0100,N 417332,S200000,04900,0100,N 417332,S200000,05200,0100,N 417344,S000000,00100,0200,05/31/11 417344,S200000,00100,0100,500 BROOKSIDE DRIVE 417344,S200000,00200,0100,LITTLE ROCK 417344,S200000,00200,0200,AR 417344,S200000,00200,0300,72205 417344,S200000,00300,0100,PULASKI 417344,S200000,00400,0100,PRESBYTERIAN VILLAGE 417344,S200000,00400,0300,12/09/10 417646,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417646,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417646,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417646,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417646,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417646,A000000,00700,0000,0700HOUSEKEEPING 417646,A000000,00800,0000,0800DIETARY 417646,A000000,00900,0000,0900NURSING ADMINISTRATION 417646,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417646,A000000,01100,0000,1100PHARMACY 417646,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417646,A000000,01300,0000,1300SOCIAL SERVICE 417646,A000000,01600,0000,1600SKILLED NURSING FACILITY 417646,A000000,01800,0000,1800NURSING FACILITY 417646,A000000,01810,0000,1810ICF/MR 417646,A000000,01900,0000,1900OTHER LONG TERM CARE 417646,A000000,02100,0000,2100RADIOLOGY 417646,A000000,02200,0000,2200LABORATORY 417646,A000000,02300,0000,2300INTRAVENOUS THERAPY 417646,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417646,A000000,02500,0000,2500PHYSICAL THERAPY 417646,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417646,A000000,02700,0000,2700SPEECH PATHOLOGY 417646,A000000,02800,0000,2800ELECTROCARDIOLOGY 417646,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417646,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417646,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417646,A000000,03200,0000,3200SUPPORT SURFACES 417646,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417646,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 417646,A000000,03302,0000,3052MEDICAL EQUIPMENT 417646,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417646,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417646,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417646,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417646,A81000A,00100,0100,Y 417646,A81000B,00100,0300,HOME OFFICE A&G 417646,A81000B,00200,0300,HOME OFFICE CAPITAL 417646,A81000B,00300,0300,DIV OFFICE A&G 417646,A81000B,00400,0300,DIV OFFICE CAPITAL 417646,A81000B,00500,0300,INSURANCE 417646,A81000B,00600,0300,PHYSICAL THERAPY 417646,A81000B,00700,0300,OCCUPATIONAL THERAPY 417646,A81000B,00800,0300,SPEECH THERAPY 417646,A81000B,00900,0300,INTEREST & DEPR 417646,A81000C,00100,0100,B 417646,A81000C,00100,0400,EXTENDICARE HEALTH SERVIC 417646,A81000C,00100,0600,HOME OFFICE SERVICES 417646,A81000C,00200,0100,G 417646,A81000C,00200,0200,LAURIER 417646,A81000C,00200,0400,EXTENDICARE HEALTH SERVIC 417646,A81000C,00200,0600,INSURANCE 417646,A81000C,00300,0100,G 417646,A81000C,00300,0200,PROGRESSIVE STEP CORP 417646,A81000C,00300,0400,EXTENDICARE HEALTH SERVIC 417646,A81000C,00300,0600,THERAPY 417646,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417646,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417646,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417646,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417646,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417646,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417646,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417646,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 417646,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 417646,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417646,G300000,02500,0000,T18/T19 PRIOR YR SETT/OTHER REV 417646,S000000,00100,0200,08/01/11 417646,S200000,00100,0100,1420 E. DOUGLAS RD. 417646,S200000,00200,0100,MISHAWAKA 417646,S200000,00200,0200,IN 417646,S200000,00200,0300,46545 417646,S200000,00300,0100,ST. JOSEPH 417646,S200000,00300,0200,7800 417646,S200000,00300,0201,43780 417646,S200000,00300,0300,U 417646,S200000,00400,0100,MICHIANA HEALTH AND REHAB 417646,S200000,00400,0200,155784 417646,S200000,00400,0300,10/26/10 417646,S200000,00400,0500,P 417646,S200000,01500,0100,Y 417646,S200000,01501,0200,Y 417646,S200000,01504,0200,Y 417646,S200000,01600,0100,N 417646,S200000,01700,0100,N 417646,S200000,01800,0100,N 417646,S200000,02200,0100,N 417646,S200000,02800,0100,N 417646,S200000,02900,0100,N 417646,S200000,03000,0100,N 417646,S200000,03100,0100,N 417646,S200000,03200,0100,N 417646,S200000,03300,0100,N 417646,S200000,03300,0200,N 417646,S200000,04100,0100,N 417646,S200000,04200,0100,N 417646,S200000,04300,0100,N 417646,S200000,04600,0100,N 417646,S200000,04700,0100,N 417646,S200000,04700,0200,N 417646,S200000,04900,0100,N 417646,S200000,05000,0100,N 417646,S200000,05100,0100,N 417646,S200000,05200,0100,N 417646,S200000,05300,0100,Y 417646,S200000,05300,0200,901005 417646,S200000,05400,0100,EXTENDICARE HEALTH SERVICES INC 417646,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 417646,S200000,05400,0300,00450 417646,S200000,05500,0100,111 WEST MICHIGAN ST 417646,S200000,05600,0100,MILWAUKEE 417646,S200000,05600,0200,WI 417646,S200000,05600,0300,53203 417670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417670,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417670,A000000,00300,0000,0300EMPLOYEE BENEFITS 417670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417670,A000000,00700,0000,0700HOUSEKEEPING 417670,A000000,00800,0000,0800DIETARY 417670,A000000,00900,0000,0900NURSING ADMINISTRATION 417670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417670,A000000,01100,0000,1100PHARMACY 417670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417670,A000000,01300,0000,1300SOCIAL SERVICE 417670,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417670,A000000,01600,0000,1600SKILLED NURSING FACILITY 417670,A000000,01800,0000,1800NURSING FACILITY 417670,A000000,01810,0000,1810ICF/MR 417670,A000000,01900,0000,1900OTHER LONG TERM CARE 417670,A000000,02100,0000,2100RADIOLOGY 417670,A000000,02200,0000,2200LABORATORY 417670,A000000,02300,0000,2300INTRAVENOUS THERAPY 417670,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417670,A000000,02500,0000,2500PHYSICAL THERAPY 417670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417670,A000000,02700,0000,2700SPEECH PATHOLOGY 417670,A000000,02800,0000,2800ELECTROCARDIOLOGY 417670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417670,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417670,A000000,03200,0000,3200SUPPORT SURFACES 417670,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 417670,A000000,03400,0000,3400CLINIC 417670,A000000,03500,0000,3500RURAL HEALTH CLINIC 417670,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 417670,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417670,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417670,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417670,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417670,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417670,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417670,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417670,A000000,04400,0000,4400DME RENTED - HHA 417670,A000000,04500,0000,4500DME SOLD - HHA 417670,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417670,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417670,A000000,04710,0000,4710TELEMEDICINE 417670,A000000,04800,0000,4800AMBULANCE 417670,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417670,A000000,05000,0000,5000CORF 417670,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417670,A000000,05300,0000,5300INTEREST EXPENSE 417670,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417670,A000000,05500,0000,5500HOSPICE 417670,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417670,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417670,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417670,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417670,A000000,06100,0000,6100NONPAID WORKERS 417670,A000000,06200,0000,6200PATIENTS LAUNDRY 417670,A000000,06300,0000,6150DENTAL 417670,A000000,06301,0000,6151ADULT DAY CARE 417670,A81000A,00100,0100,Y 417670,A81000B,00100,0300,RENT 417670,A81000B,00200,0300,MORTGAGE INTEREST 417670,A81000B,00300,0300,DEPRECIATION 417670,A81000B,00400,0300,ADMIN EXPENSES 417670,A81000B,00500,0300,GAIN ON SWAP 417670,A81000C,00100,0100,A 417670,A81000C,00100,0200,JOSEPH F CARILL 417670,A81000C,00100,0400,JOPAL REALTY L 417670,A81000C,00100,0600,REALTY 417670,A81000C,00200,0100,A 417670,A81000C,00200,0200,ALEX SOLOVEY 417670,A81000C,00200,0400,JOPAL REALTY L 417670,A81000C,00200,0600,REALTY 417670,A81000C,00300,0100,A 417670,A81000C,00300,0200,PASQUALE DEBENE 417670,A81000C,00300,0400,JOPAL REALTY L 417670,A81000C,00300,0600,REALTY 417670,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417670,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417670,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417670,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417670,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417670,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 417670,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 417670,B100000,00000,0800,0800MEALS SERVED :DIETARY 417670,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 417670,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 417670,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 417670,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 417670,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 417670,G300000,02500,0000,BEAUTY SHOP 417670,G300000,02501,0000,GUEST MEALS 417670,S000000,00100,0200,08/17/11 417670,S200000,00100,0100,273 MORICHES ROAD 417670,S200000,00200,0100,ST. JAMES 417670,S200000,00200,0200,NY 417670,S200000,00200,0300,11780 417670,S200000,00300,0100,SUFFOLK 417670,S200000,00300,0200,8160 417670,S200000,00300,0201,35004 417670,S200000,00300,0300,U 417670,S200000,00400,0100,ST. JAMES PLAZA 417670,S200000,00400,0200,335739 417670,S200000,00400,0300,05/01/91 417670,S200000,00400,0500,P 417670,S200000,01500,0100,Y 417670,S200000,01600,0100,N 417670,S200000,01700,0100,N 417670,S200000,01800,0100,N 417670,S200000,02200,0100,N 417670,S200000,02800,0100,N 417670,S200000,02900,0100,N 417670,S200000,03000,0100,N 417670,S200000,03100,0100,N 417670,S200000,03200,0100,N 417670,S200000,03300,0100,N 417670,S200000,03300,0200,N 417670,S200000,04100,0100,N 417670,S200000,04200,0100,N 417670,S200000,04300,0100,N 417670,S200000,04600,0100,N 417670,S200000,04700,0100,N 417670,S200000,04700,0200,N 417670,S200000,04900,0100,N 417670,S200000,05000,0100,N 417670,S200000,05100,0100,N 417670,S200000,05200,0100,N 417670,S200000,05300,0100,Y 417725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417725,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417725,A000000,00300,0000,0300EMPLOYEE BENEFITS 417725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417725,A000000,00700,0000,0700HOUSEKEEPING 417725,A000000,00800,0000,0800DIETARY 417725,A000000,00900,0000,0900NURSING ADMINISTRATION 417725,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417725,A000000,01100,0000,1100PHARMACY 417725,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417725,A000000,01300,0000,1300SOCIAL SERVICE 417725,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417725,A000000,01500,0000,1350OTHER GENERAL SERVICES 417725,A000000,01600,0000,1600SKILLED NURSING FACILITY 417725,A000000,01800,0000,1800NURSING FACILITY 417725,A000000,01810,0000,1810ICF/MR 417725,A000000,01900,0000,1900OTHER LONG TERM CARE 417725,A000000,02100,0000,2100RADIOLOGY 417725,A000000,02200,0000,2200LABORATORY 417725,A000000,02300,0000,2300INTRAVENOUS THERAPY 417725,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417725,A000000,02500,0000,2500PHYSICAL THERAPY 417725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417725,A000000,02700,0000,2700SPEECH PATHOLOGY 417725,A000000,02800,0000,2800ELECTROCARDIOLOGY 417725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417725,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417725,A000000,03200,0000,3200SUPPORT SURFACES 417725,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417725,A000000,03400,0000,3400CLINIC 417725,A000000,03500,0000,3500RURAL HEALTH CLINIC 417725,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417725,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417725,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417725,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417725,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417725,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417725,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417725,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417725,A000000,04400,0000,4400DME RENTED - HHA 417725,A000000,04500,0000,4500DME SOLD - HHA 417725,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417725,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417725,A000000,04710,0000,4710TELEMEDICINE 417725,A000000,04800,0000,4800AMBULANCE 417725,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417725,A000000,05000,0000,5000CORF 417725,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417725,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417725,A000000,05300,0000,5300INTEREST EXPENSE 417725,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417725,A000000,05500,0000,5500HOSPICE 417725,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417725,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417725,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417725,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417725,A000000,06100,0000,6100NONPAID WORKERS 417725,A000000,06200,0000,6200PATIENTS LAUNDRY 417725,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417725,A81000A,00100,0100,Y 417725,A81000B,00100,0300,HOME OFFICE COSTS 417725,A81000C,00100,0100,B 417725,A81000C,00100,0400,DEACONESS LTC INC 417725,A81000C,00100,0600,MANAGEMENT 417725,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417725,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417725,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417725,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417725,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417725,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417725,B100000,00000,0800,0800MEALS SERVED :DIETARY 417725,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417725,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417725,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417725,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417725,G300000,02505,0000,MISC INCOME 417725,S000000,00100,0200,07/12/11 417725,S200000,00100,0100,2323 SWOPE PARKWAY 417725,S200000,00200,0100,KANSAS CITY 417725,S200000,00200,0200,MO 417725,S200000,00200,0300,64130 417725,S200000,00300,0100,JACKSON 417725,S200000,00300,0200,3760 417725,S200000,00300,0201,28140 417725,S200000,00300,0300,U 417725,S200000,00400,0100,SENIOR ESTATES 417725,S200000,00400,0200,265532 417725,S200000,00400,0300,04/01/93 417725,S200000,00400,0500,P 417725,S200000,01500,0100,Y 417725,S200000,01501,0200,Y 417725,S200000,01502,0200,N 417725,S200000,01503,0200,Y 417725,S200000,01504,0200,Y 417725,S200000,01600,0100,N 417725,S200000,01700,0100,N 417725,S200000,01800,0100,N 417725,S200000,02200,0100,N 417725,S200000,02800,0100,Y 417725,S200000,02900,0100,N 417725,S200000,03000,0100,N 417725,S200000,03100,0100,N 417725,S200000,03200,0100,N 417725,S200000,03300,0100,N 417725,S200000,03300,0200,N 417725,S200000,04100,0100,N 417725,S200000,04200,0100,N 417725,S200000,04300,0100,N 417725,S200000,04600,0100,N 417725,S200000,04700,0100,N 417725,S200000,04700,0200,N 417725,S200000,04900,0100,N 417725,S200000,05000,0100,N 417725,S200000,05100,0100,N 417725,S200000,05200,0100,N 417725,S200000,05300,0100,Y 417725,S200000,05300,0200,H52210 417725,S200000,05400,0100,DEACONESS LONG TERM CARE INC. 417725,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS INC. 417725,S200000,05400,0300,05301 417725,S200000,05500,0100,440 LAFAYETTE AVENUE SUITE 400 417725,S200000,05600,0100,CINNCINATI 417725,S200000,05600,0200,OH 417725,S200000,05600,0300,45220 417773,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417773,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417773,A000000,00300,0000,0300EMPLOYEE BENEFITS 417773,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417773,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417773,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417773,A000000,00700,0000,0700HOUSEKEEPING 417773,A000000,00800,0000,0800DIETARY 417773,A000000,00900,0000,0900NURSING ADMINISTRATION 417773,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417773,A000000,01100,0000,1100PHARMACY 417773,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417773,A000000,01300,0000,1300SOCIAL SERVICE 417773,A000000,01500,0000,1350ACTIVITIES 417773,A000000,01600,0000,1600SKILLED NURSING FACILITY 417773,A000000,01800,0000,1800NURSING FACILITY 417773,A000000,01810,0000,1810ICF/MR 417773,A000000,01900,0000,1900OTHER LONG TERM CARE 417773,A000000,02100,0000,2100RADIOLOGY 417773,A000000,02200,0000,2200LABORATORY 417773,A000000,02300,0000,2300INTRAVENOUS THERAPY 417773,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417773,A000000,02500,0000,2500PHYSICAL THERAPY 417773,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417773,A000000,02700,0000,2700SPEECH PATHOLOGY 417773,A000000,02800,0000,2800ELECTROCARDIOLOGY 417773,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417773,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417773,A000000,03200,0000,3200SUPPORT SURFACES 417773,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417773,A000000,03400,0000,3400CLINIC 417773,A000000,03500,0000,3500RURAL HEALTH CLINIC 417773,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417773,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417773,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417773,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417773,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417773,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417773,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417773,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417773,A000000,04400,0000,4400DME RENTED - HHA 417773,A000000,04500,0000,4500DME SOLD - HHA 417773,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417773,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417773,A000000,04710,0000,4710TELEMEDICINE 417773,A000000,04800,0000,4800AMBULANCE 417773,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417773,A000000,05000,0000,5000CORF 417773,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417773,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417773,A000000,05300,0000,5300INTEREST EXPENSE 417773,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417773,A000000,05500,0000,5500HOSPICE 417773,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417773,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417773,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417773,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417773,A000000,06100,0000,6100NONPAID WORKERS 417773,A000000,06200,0000,6200PATIENTS LAUNDRY 417773,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417773,A000000,06301,0000,6151OLTC 417773,A81000A,00100,0100,Y 417773,A81000B,00100,0300,HOME OFFICE - MGT FEES 417773,A81000B,00200,0300,HOME OFFICE - BLDG 417773,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 417773,A81000C,00100,0100,B 417773,A81000C,00100,0400,EMERITUS SENIOR LIVING 417773,A81000C,00100,0600,MANAGEMENT COMPANY 417773,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417773,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 417773,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417773,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417773,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417773,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417773,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417773,B100000,00000,0800,0850PATIENT DAYS :DIETARY 417773,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417773,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417773,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417773,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 417773,S000000,00100,0200,06/17/11 417773,S200000,00100,0100,76 S. 500E 417773,S200000,00200,0100,SALT LAKE CITY 417773,S200000,00200,0200,UT 417773,S200000,00200,0300,84102 417773,S200000,00300,0100,SALT LAKE COUNTY 417773,S200000,00300,0200,7160 417773,S200000,00300,0201,41620 417773,S200000,00300,0300,U 417773,S200000,00400,0100,EMERITUS AT SALT LAKE CITY 417773,S200000,00400,0200,465149 417773,S200000,00400,0300,06/27/00 417773,S200000,00400,0500,P 417773,S200000,01500,0100,Y 417773,S200000,01600,0100,N 417773,S200000,01700,0100,N 417773,S200000,01800,0100,N 417773,S200000,02200,0100,N 417773,S200000,02800,0100,N 417773,S200000,02900,0100,N 417773,S200000,03000,0100,N 417773,S200000,03100,0100,N 417773,S200000,03200,0100,N 417773,S200000,03300,0100,N 417773,S200000,03300,0200,N 417773,S200000,03600,0100,N 417773,S200000,03600,0200,N 417773,S200000,04100,0100,N 417773,S200000,04200,0100,N 417773,S200000,04300,0100,N 417773,S200000,04600,0100,N 417773,S200000,04700,0100,N 417773,S200000,04700,0200,N 417773,S200000,04900,0100,N 417773,S200000,05000,0100,N 417773,S200000,05100,0100,N 417773,S200000,05200,0100,N 417773,S200000,05300,0100,Y 417773,S200000,05300,0200,999999 417773,S200000,05400,0100,EMERITUS SENIOR LIVING 417773,S200000,05400,0200,NGS 417773,S200000,05400,0300,00454 417773,S200000,05500,0100,3131 ELLIOT AVE STE 500 417773,S200000,05600,0100,SEATTLE 417773,S200000,05600,0200,WA 417773,S200000,05600,0300,98121 417778,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417778,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417778,A000000,00300,0000,0300EMPLOYEE BENEFITS 417778,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417778,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417778,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417778,A000000,00700,0000,0700HOUSEKEEPING 417778,A000000,00800,0000,0800DIETARY 417778,A000000,00900,0000,0900NURSING ADMINISTRATION 417778,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417778,A000000,01100,0000,1100PHARMACY 417778,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417778,A000000,01300,0000,1300SOCIAL SERVICE 417778,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417778,A000000,01500,0000,1350OTHER GENERAL SERVICES 417778,A000000,01600,0000,1600SKILLED NURSING FACILITY 417778,A000000,01800,0000,1800NURSING FACILITY 417778,A000000,01810,0000,1810ICF/MR 417778,A000000,01900,0000,1900OTHER LONG TERM CARE 417778,A000000,02100,0000,2100RADIOLOGY 417778,A000000,02200,0000,2200LABORATORY 417778,A000000,02300,0000,2300INTRAVENOUS THERAPY 417778,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417778,A000000,02500,0000,2500PHYSICAL THERAPY 417778,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417778,A000000,02700,0000,2700SPEECH PATHOLOGY 417778,A000000,02800,0000,2800ELECTROCARDIOLOGY 417778,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417778,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417778,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417778,A000000,03200,0000,3200SUPPORT SURFACES 417778,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417778,A000000,03400,0000,3400CLINIC 417778,A000000,03500,0000,3500RURAL HEALTH CLINIC 417778,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417778,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417778,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417778,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417778,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417778,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417778,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417778,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417778,A000000,04400,0000,4400DME RENTED - HHA 417778,A000000,04500,0000,4500DME SOLD - HHA 417778,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417778,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417778,A000000,04710,0000,4710TELEMEDICINE 417778,A000000,04800,0000,4800AMBULANCE 417778,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417778,A000000,05000,0000,5000CORF 417778,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417778,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417778,A000000,05300,0000,5300INTEREST EXPENSE 417778,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417778,A000000,05500,0000,5500HOSPICE 417778,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417778,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417778,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417778,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417778,A000000,06100,0000,6100NONPAID WORKERS 417778,A000000,06200,0000,6200PATIENTS LAUNDRY 417778,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417778,A81000A,00100,0100,Y 417778,A81000B,00100,0300,HOME OFFICE COSTS 417778,A81000C,00100,0100,B 417778,A81000C,00100,0400,DEACONESS LTC INC 417778,A81000C,00100,0600,MANAGEMENT 417778,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417778,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417778,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417778,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417778,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417778,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417778,B100000,00000,0800,0800MEALS SERVED :DIETARY 417778,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417778,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417778,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417778,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417778,S000000,00100,0200,07/12/11 417778,S200000,00100,0100,1300 COUNTY FARM ROAD 417778,S200000,00200,0100,CASSVILLE 417778,S200000,00200,0200,MO 417778,S200000,00200,0300,65625 417778,S200000,00300,0100,BARRY 417778,S200000,00300,0200,26 417778,S200000,00300,0201,99926 417778,S200000,00300,0300,R 417778,S200000,00400,0100,BARRY COUNTY CARE CENTER 417778,S200000,00400,0200,265460 417778,S200000,00400,0300,01/01/91 417778,S200000,00400,0500,P 417778,S200000,01500,0100,Y 417778,S200000,01501,0200,N 417778,S200000,01502,0200,N 417778,S200000,01503,0200,N 417778,S200000,01504,0200,Y 417778,S200000,01600,0100,N 417778,S200000,01700,0100,N 417778,S200000,01800,0100,N 417778,S200000,02200,0100,N 417778,S200000,02800,0100,N 417778,S200000,02900,0100,N 417778,S200000,03000,0100,N 417778,S200000,03100,0100,N 417778,S200000,03200,0100,N 417778,S200000,03300,0100,N 417778,S200000,03300,0200,N 417778,S200000,04100,0100,N 417778,S200000,04200,0100,N 417778,S200000,04300,0100,N 417778,S200000,04600,0100,N 417778,S200000,04700,0100,N 417778,S200000,04700,0200,N 417778,S200000,04900,0100,N 417778,S200000,05000,0100,N 417778,S200000,05100,0100,N 417778,S200000,05200,0100,N 417778,S200000,05300,0100,Y 417778,S200000,05300,0200,H52210 417778,S200000,05400,0100,DEACONESS LONG TERM CARE INC. 417778,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS INC. 417778,S200000,05400,0300,05301 417778,S200000,05500,0100,440 LAFAYETTE AVENUE SUITE 400 417778,S200000,05600,0100,CINNCINATI 417778,S200000,05600,0200,OH 417778,S200000,05600,0300,45220 417779,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417779,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417779,A000000,00300,0000,0300EMPLOYEE BENEFITS 417779,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417779,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417779,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417779,A000000,00700,0000,0700HOUSEKEEPING 417779,A000000,00800,0000,0800DIETARY 417779,A000000,00900,0000,0900NURSING ADMINISTRATION 417779,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417779,A000000,01100,0000,1100PHARMACY 417779,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417779,A000000,01300,0000,1300SOCIAL SERVICE 417779,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417779,A000000,01500,0000,1350OTHER GENERAL SERVICES 417779,A000000,01600,0000,1600SKILLED NURSING FACILITY 417779,A000000,01800,0000,1800NURSING FACILITY 417779,A000000,01810,0000,1810ICF/MR 417779,A000000,01900,0000,1900OTHER LONG TERM CARE 417779,A000000,02100,0000,2100RADIOLOGY 417779,A000000,02200,0000,2200LABORATORY 417779,A000000,02300,0000,2300INTRAVENOUS THERAPY 417779,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417779,A000000,02500,0000,2500PHYSICAL THERAPY 417779,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417779,A000000,02700,0000,2700SPEECH PATHOLOGY 417779,A000000,02800,0000,2800ELECTROCARDIOLOGY 417779,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417779,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417779,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417779,A000000,03200,0000,3200SUPPORT SURFACES 417779,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417779,A000000,03400,0000,3400CLINIC 417779,A000000,03500,0000,3500RURAL HEALTH CLINIC 417779,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417779,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417779,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417779,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417779,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417779,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417779,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417779,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417779,A000000,04400,0000,4400DME RENTED - HHA 417779,A000000,04500,0000,4500DME SOLD - HHA 417779,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417779,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417779,A000000,04710,0000,4710TELEMEDICINE 417779,A000000,04800,0000,4800AMBULANCE 417779,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417779,A000000,05000,0000,5000CORF 417779,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417779,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417779,A000000,05300,0000,5300INTEREST EXPENSE 417779,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417779,A000000,05500,0000,5500HOSPICE 417779,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417779,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417779,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417779,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417779,A000000,06100,0000,6100NONPAID WORKERS 417779,A000000,06200,0000,6200PATIENTS LAUNDRY 417779,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417779,A81000A,00100,0100,Y 417779,A81000B,00100,0300,HOME OFFICE COSTS 417779,A81000C,00100,0100,B 417779,A81000C,00100,0400,DEACONESS LTC INC 417779,A81000C,00100,0600,MANAGEMENT 417779,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417779,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417779,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417779,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417779,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417779,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417779,B100000,00000,0800,0800MEALS SERVED :DIETARY 417779,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 417779,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417779,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417779,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417779,G300000,02500,0000,OTHER OPERATING REVENUE 417779,G300000,02505,0000,MISC INCOME 417779,S000000,00100,0200,07/12/11 417779,S200000,00100,0100,ROUTE 1 417779,S200000,00100,0300,28 417779,S200000,00200,0100,HUMANSVILLE 417779,S200000,00200,0200,MO 417779,S200000,00200,0300,65674 417779,S200000,00300,0100,POLK 417779,S200000,00300,0200,7920 417779,S200000,00300,0201,44180 417779,S200000,00300,0300,U 417779,S200000,00400,0100,BIG SPRINGS CARE CENTER 417779,S200000,00400,0200,265573 417779,S200000,00400,0300,06/30/94 417779,S200000,00400,0500,P 417779,S200000,01500,0100,Y 417779,S200000,01501,0200,Y 417779,S200000,01502,0200,N 417779,S200000,01503,0200,N 417779,S200000,01504,0200,Y 417779,S200000,01600,0100,N 417779,S200000,01700,0100,N 417779,S200000,01800,0100,N 417779,S200000,02200,0100,N 417779,S200000,02800,0100,Y 417779,S200000,02900,0100,N 417779,S200000,03000,0100,N 417779,S200000,03100,0100,N 417779,S200000,03200,0100,N 417779,S200000,03300,0100,N 417779,S200000,03300,0200,N 417779,S200000,04100,0100,N 417779,S200000,04200,0100,N 417779,S200000,04300,0100,N 417779,S200000,04600,0100,N 417779,S200000,04700,0100,N 417779,S200000,04700,0200,N 417779,S200000,04900,0100,N 417779,S200000,05000,0100,N 417779,S200000,05100,0100,N 417779,S200000,05200,0100,N 417779,S200000,05300,0100,Y 417779,S200000,05300,0200,H52210 417779,S200000,05400,0100,DEACONESS LONG TERM CARE INC. 417779,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS INC 417779,S200000,05400,0300,05301 417779,S200000,05500,0100,440 LAFAYETTE AVENUE SUITE 400 417779,S200000,05600,0100,CINNCINATI 417779,S200000,05600,0200,OH 417779,S200000,05600,0300,45220 417831,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417831,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417831,A000000,00300,0000,0300EMPLOYEE BENEFITS 417831,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417831,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417831,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417831,A000000,00700,0000,0700HOUSEKEEPING 417831,A000000,00800,0000,0800DIETARY 417831,A000000,00900,0000,0900NURSING ADMINISTRATION 417831,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417831,A000000,01100,0000,1100PHARMACY 417831,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417831,A000000,01300,0000,1300SOCIAL SERVICE 417831,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417831,A000000,01500,0000,1350OTHER GENERAL SERVICES 417831,A000000,01600,0000,1600SKILLED NURSING FACILITY 417831,A000000,01800,0000,1800NURSING FACILITY 417831,A000000,01810,0000,1810ICF/MR 417831,A000000,01900,0000,1900OTHER LONG TERM CARE 417831,A000000,02100,0000,2100RADIOLOGY 417831,A000000,02200,0000,2200LABORATORY 417831,A000000,02300,0000,2300INTRAVENOUS THERAPY 417831,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417831,A000000,02500,0000,2500PHYSICAL THERAPY 417831,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417831,A000000,02700,0000,2700SPEECH PATHOLOGY 417831,A000000,02800,0000,2800ELECTROCARDIOLOGY 417831,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417831,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417831,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417831,A000000,03200,0000,3200SUPPORT SURFACES 417831,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417831,A000000,03400,0000,3400CLINIC 417831,A000000,03500,0000,3500RURAL HEALTH CLINIC 417831,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417831,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417831,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417831,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417831,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417831,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417831,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417831,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417831,A000000,04400,0000,4400DME RENTED - HHA 417831,A000000,04500,0000,4500DME SOLD - HHA 417831,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417831,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417831,A000000,04710,0000,4710TELEMEDICINE 417831,A000000,04800,0000,4800AMBULANCE 417831,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417831,A000000,05000,0000,5000CORF 417831,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417831,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417831,A000000,05300,0000,5300INTEREST EXPENSE 417831,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417831,A000000,05500,0000,5500HOSPICE 417831,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417831,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417831,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417831,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417831,A000000,06100,0000,6100NONPAID WORKERS 417831,A000000,06200,0000,6200PATIENTS LAUNDRY 417831,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417831,A81000A,00100,0100,Y 417831,A81000B,00100,0300,MANAGEMENT FEES 417831,A81000C,00100,0100,B 417831,A81000C,00100,0200,GUARDIAN FOUNDATION 417831,A81000C,00100,0400,GUARDIAN FOUNDATION 417831,A81000C,00100,0600,HOME OFFICE 417831,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417831,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417831,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417831,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417831,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417831,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417831,B100000,00000,0800,0800MEALS SERVED :DIETARY 417831,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 417831,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417831,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417831,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417831,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 417831,G300000,02500,0000,OTHER (SPECIFY) 417831,S000000,00100,0200,08/29/11 417831,S200000,00100,0100,47 EAST MAIN STREET 417831,S200000,00200,0100,WEST BROOKFIELD 417831,S200000,00200,0200,MA 417831,S200000,00200,0300,01585 417831,S200000,00300,0100,WORCESTER 417831,S200000,00300,0201,49340 417831,S200000,00300,0300,U 417831,S200000,00400,0100,QUABOG ON THE COMMON 417831,S200000,00400,0200,225361 417831,S200000,00400,0300,10/01/89 417831,S200000,00400,0500,P 417831,S200000,01500,0100,Y 417831,S200000,01501,0200,Y 417831,S200000,01502,0200,Y 417831,S200000,01503,0200,Y 417831,S200000,01504,0200,N 417831,S200000,01600,0100,N 417831,S200000,01700,0100,N 417831,S200000,01800,0100,N 417831,S200000,02200,0100,N 417831,S200000,02800,0100,N 417831,S200000,02900,0100,N 417831,S200000,03000,0100,N 417831,S200000,03100,0100,N 417831,S200000,03200,0100,N 417831,S200000,03300,0100,N 417831,S200000,03300,0200,N 417831,S200000,04100,0100,N 417831,S200000,04200,0100,N 417831,S200000,04300,0100,N 417831,S200000,04600,0100,N 417831,S200000,04700,0100,N 417831,S200000,04700,0200,N 417831,S200000,04900,0100,N 417831,S200000,05000,0100,N 417831,S200000,05100,0100,N 417831,S200000,05200,0100,N 417831,S200000,05300,0100,Y 417831,S200000,05300,0200,119125 417831,S200000,05400,0100,GUARDIAN FOUNDATION & HEALTH SYSTEM 417831,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 417831,S200000,05400,0300,00951 417831,S200000,05500,0100,15 PIEDMONT CENTER SUITE 930 417831,S200000,05600,0100,ATLANTA 417831,S200000,05600,0200,GA 417831,S200000,05600,0300,30305 417832,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 417832,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 417832,A000000,00300,0000,0300EMPLOYEE BENEFITS 417832,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 417832,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 417832,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 417832,A000000,00700,0000,0700HOUSEKEEPING 417832,A000000,00800,0000,0800DIETARY 417832,A000000,00900,0000,0900NURSING ADMINISTRATION 417832,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 417832,A000000,01100,0000,1100PHARMACY 417832,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 417832,A000000,01300,0000,1300SOCIAL SERVICE 417832,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 417832,A000000,01500,0000,1350OTHER GENERAL SERVICES 417832,A000000,01600,0000,1600SKILLED NURSING FACILITY 417832,A000000,01800,0000,1800NURSING FACILITY 417832,A000000,01810,0000,1810ICF/MR 417832,A000000,01900,0000,1900OTHER LONG TERM CARE 417832,A000000,02100,0000,2100RADIOLOGY 417832,A000000,02200,0000,2200LABORATORY 417832,A000000,02300,0000,2300INTRAVENOUS THERAPY 417832,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 417832,A000000,02500,0000,2500PHYSICAL THERAPY 417832,A000000,02600,0000,2600OCCUPATIONAL THERAPY 417832,A000000,02700,0000,2700SPEECH PATHOLOGY 417832,A000000,02800,0000,2800ELECTROCARDIOLOGY 417832,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 417832,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 417832,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 417832,A000000,03200,0000,3200SUPPORT SURFACES 417832,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 417832,A000000,03400,0000,3400CLINIC 417832,A000000,03500,0000,3500RURAL HEALTH CLINIC 417832,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 417832,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 417832,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 417832,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 417832,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 417832,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 417832,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 417832,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 417832,A000000,04400,0000,4400DME RENTED - HHA 417832,A000000,04500,0000,4500DME SOLD - HHA 417832,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 417832,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 417832,A000000,04710,0000,4710TELEMEDICINE 417832,A000000,04800,0000,4800AMBULANCE 417832,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 417832,A000000,05000,0000,5000CORF 417832,A000000,05100,0000,4750OTHER REIMBURSABLE COST 417832,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 417832,A000000,05300,0000,5300INTEREST EXPENSE 417832,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 417832,A000000,05500,0000,5500HOSPICE 417832,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 417832,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 417832,A000000,05900,0000,5900BARBER & BEAUTY SHOP 417832,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 417832,A000000,06100,0000,6100NONPAID WORKERS 417832,A000000,06200,0000,6200PATIENTS LAUNDRY 417832,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 417832,A81000A,00100,0100,Y 417832,A81000B,00100,0300,MANAGEMENT FEES 417832,A81000C,00100,0100,B 417832,A81000C,00100,0200,GUARDIAN FOUNDATION 417832,A81000C,00100,0400,GUARDIAN FOUNDATION 417832,A81000C,00100,0600,HOME OFFICE 417832,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 417832,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 417832,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 417832,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 417832,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 417832,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 417832,B100000,00000,0800,0800MEALS SERVED :DIETARY 417832,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 417832,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 417832,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 417832,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 417832,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 417832,G300000,02500,0000,OTHER (SPECIFY) 417832,S000000,00100,0200,08/26/11 417832,S200000,00100,0100,255 LEBANON AVENUE 417832,S200000,00200,0100,PITTSFIELD 417832,S200000,00200,0200,MA 417832,S200000,00200,0300,01201 417832,S200000,00300,0100,BERKSHIRE 417832,S200000,00300,0201,38340 417832,S200000,00300,0300,U 417832,S200000,00400,0100,SPRINGSIDE OF PITTSFIELD 417832,S200000,00400,0200,225386 417832,S200000,00400,0300,01/01/02 417832,S200000,00400,0500,P 417832,S200000,01500,0100,Y 417832,S200000,01501,0200,Y 417832,S200000,01502,0200,Y 417832,S200000,01503,0200,Y 417832,S200000,01504,0200,Y 417832,S200000,01600,0100,N 417832,S200000,01700,0100,N 417832,S200000,01800,0100,N 417832,S200000,02200,0100,N 417832,S200000,02800,0100,N 417832,S200000,02900,0100,N 417832,S200000,03000,0100,N 417832,S200000,03100,0100,N 417832,S200000,03200,0100,N 417832,S200000,03300,0100,N 417832,S200000,03300,0200,N 417832,S200000,04100,0100,N 417832,S200000,04200,0100,N 417832,S200000,04300,0100,N 417832,S200000,04600,0100,N 417832,S200000,04700,0100,N 417832,S200000,04700,0200,N 417832,S200000,04900,0100,N 417832,S200000,05000,0100,N 417832,S200000,05100,0100,N 417832,S200000,05200,0100,N 417832,S200000,05300,0100,Y 417832,S200000,05300,0200,119125 417832,S200000,05400,0100,GUARDIAN FOUNDATION & HEALTH SYSTEM 417832,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 417832,S200000,05400,0300,00951 417832,S200000,05500,0100,15 PIEDMONT CENTER SUITE 930 417832,S200000,05600,0100,ATLANTA 417832,S200000,05600,0200,GA 417832,S200000,05600,0300,30305 418059,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418059,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418059,A000000,00300,0000,0300EMPLOYEE BENEFITS 418059,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418059,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418059,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418059,A000000,00700,0000,0700HOUSEKEEPING 418059,A000000,00800,0000,0800DIETARY 418059,A000000,00900,0000,0900NURSING ADMINISTRATION 418059,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418059,A000000,01100,0000,1100PHARMACY 418059,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418059,A000000,01300,0000,1300SOCIAL SERVICE 418059,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 418059,A000000,01500,0000,1350OTHER GENERAL SERVICES 418059,A000000,01600,0000,1600SKILLED NURSING FACILITY 418059,A000000,01800,0000,1800NURSING FACILITY 418059,A000000,01810,0000,1810ICF/MR 418059,A000000,01900,0000,1900OTHER LONG TERM CARE 418059,A000000,02100,0000,2100RADIOLOGY 418059,A000000,02200,0000,2200LABORATORY 418059,A000000,02300,0000,2300INTRAVENOUS THERAPY 418059,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418059,A000000,02500,0000,2500PHYSICAL THERAPY 418059,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418059,A000000,02700,0000,2700SPEECH PATHOLOGY 418059,A000000,02800,0000,2800ELECTROCARDIOLOGY 418059,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418059,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418059,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 418059,A000000,03200,0000,3200SUPPORT SURFACES 418059,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418059,A000000,03400,0000,3400CLINIC 418059,A000000,03500,0000,3500RURAL HEALTH CLINIC 418059,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418059,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 418059,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 418059,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 418059,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 418059,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 418059,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 418059,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 418059,A000000,04400,0000,4400DME RENTED - HHA 418059,A000000,04500,0000,4500DME SOLD - HHA 418059,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 418059,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 418059,A000000,04710,0000,4710TELEMEDICINE 418059,A000000,04800,0000,4800AMBULANCE 418059,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418059,A000000,05000,0000,5000CORF 418059,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418059,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418059,A000000,05300,0000,5300INTEREST EXPENSE 418059,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418059,A000000,05500,0000,5500HOSPICE 418059,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418059,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418059,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418059,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418059,A000000,06100,0000,6100NONPAID WORKERS 418059,A000000,06200,0000,6200PATIENTS LAUNDRY 418059,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418059,A81000A,00100,0100,Y 418059,A81000B,00100,0300,MANAGEMENT FEE 418059,A81000B,00200,0300,RENT 418059,A81000C,00100,0100,D 418059,A81000C,00100,0200,STRATEGIC MGMT GROUP 418059,A81000C,00100,0600,MANAGEMENT 418059,A81000C,00200,0100,D 418059,A81000C,00200,0200,K&K STRATEGIC PROPERTIES 418059,A81000C,00200,0600,REAL ESTATE 418059,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418059,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 418059,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 418059,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418059,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418059,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418059,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418059,B100000,00000,0800,0800MEALS SERVED :DIETARY 418059,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 418059,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 418059,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 418059,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 418059,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418059,S000000,00100,0200,07/06/11 418059,S200000,00100,0100,201 E THOMPSON 418059,S200000,00200,0100,DECATUR 418059,S200000,00200,0200,TX 418059,S200000,00200,0300,76234 418059,S200000,00300,0100,WISE 418059,S200000,00300,0201,23104 418059,S200000,00300,0300,U 418059,S200000,00400,0100,STRATEGIC CARE OF DECATUR 418059,S200000,00400,0200,676004 418059,S200000,00400,0300,07/10/06 418059,S200000,00400,0500,P 418059,S200000,01500,0100,Y 418059,S200000,01501,0200,Y 418059,S200000,01502,0200,N 418059,S200000,01503,0200,Y 418059,S200000,01504,0200,N 418059,S200000,01600,0100,N 418059,S200000,01700,0100,N 418059,S200000,01800,0100,N 418059,S200000,02200,0100,N 418059,S200000,02800,0100,N 418059,S200000,02900,0100,N 418059,S200000,03000,0100,N 418059,S200000,03100,0100,N 418059,S200000,03200,0100,N 418059,S200000,03300,0100,N 418059,S200000,03300,0200,N 418059,S200000,04100,0100,N 418059,S200000,04200,0100,N 418059,S200000,04300,0100,N 418059,S200000,04600,0100,N 418059,S200000,04700,0100,N 418059,S200000,04700,0200,N 418059,S200000,04900,0100,N 418059,S200000,05000,0100,N 418059,S200000,05100,0100,N 418059,S200000,05200,0100,N 418352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418352,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418352,A000000,00300,0000,0300EMPLOYEE BENEFITS 418352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418352,A000000,00700,0000,0700HOUSEKEEPING 418352,A000000,00800,0000,0800DIETARY 418352,A000000,00900,0000,0900NURSING ADMINISTRATION 418352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418352,A000000,01100,0000,1100PHARMACY 418352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418352,A000000,01300,0000,1300SOCIAL SERVICE 418352,A000000,01301,0000,1301ACTIVITIES 418352,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 418352,A000000,01500,0000,1350OTHER GENERAL SERVICES 418352,A000000,01600,0000,1600SKILLED NURSING FACILITY 418352,A000000,01800,0000,1800NURSING FACILITY 418352,A000000,01810,0000,1810ICF/MR 418352,A000000,01900,0000,1900OTHER LONG TERM CARE 418352,A000000,02100,0000,2100RADIOLOGY 418352,A000000,02200,0000,2200LABORATORY 418352,A000000,02300,0000,2300INTRAVENOUS THERAPY 418352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418352,A000000,02500,0000,2500PHYSICAL THERAPY 418352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418352,A000000,02700,0000,2700SPEECH PATHOLOGY 418352,A000000,02800,0000,2800ELECTROCARDIOLOGY 418352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 418352,A000000,03200,0000,3200SUPPORT SURFACES 418352,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418352,A000000,03400,0000,3400CLINIC 418352,A000000,03500,0000,3500RURAL HEALTH CLINIC 418352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418352,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 418352,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 418352,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 418352,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 418352,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 418352,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 418352,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 418352,A000000,04400,0000,4400DME RENTED - HHA 418352,A000000,04500,0000,4500DME SOLD - HHA 418352,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 418352,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 418352,A000000,04710,0000,4710TELEMEDICINE 418352,A000000,04800,0000,4800AMBULANCE 418352,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418352,A000000,05000,0000,5000CORF 418352,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418352,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418352,A000000,05300,0000,5300INTEREST EXPENSE 418352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418352,A000000,05500,0000,5500HOSPICE 418352,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418352,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418352,A000000,06100,0000,6100NONPAID WORKERS 418352,A000000,06200,0000,6200PATIENTS LAUNDRY 418352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418352,A81000A,00100,0100,Y 418352,A81000B,00100,0300,HOME OFFICE EXPENSE 418352,A81000C,00100,0100,B 418352,A81000C,00100,0200,KINNIC LONG TERM CARE 418352,A81000C,00100,0400,HEYDE HEALTH SYSTEM 418352,A81000C,00100,0600,HOME OFFICE 418352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 418352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418352,B100000,00000,0800,0800MEALS SERVED :DIETARY 418352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418352,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 418352,G300000,02500,0000,LEVEL I SCREENING REVENUE 418352,S000000,00100,0200,08/26/11 418352,S200000,00100,0100,1663 E. DIVISION STREET 418352,S200000,00200,0100,RIVER FALLS 418352,S200000,00200,0200,WI 418352,S200000,00200,0300,54022 418352,S200000,00300,0100,ST. CROIX 418352,S200000,00300,0200,5120 418352,S200000,00300,0201,33460 418352,S200000,00300,0300,U 418352,S200000,00400,0100,KINNIC LONG TERM CARE 418352,S200000,00400,0200,525513 418352,S200000,00400,0300,07/01/93 418352,S200000,00400,0500,P 418352,S200000,01500,0100,Y 418352,S200000,01501,0200,Y 418352,S200000,01600,0100,N 418352,S200000,01700,0100,N 418352,S200000,01800,0100,N 418352,S200000,02200,0100,N 418352,S200000,02800,0100,N 418352,S200000,02900,0100,N 418352,S200000,03000,0100,N 418352,S200000,03100,0100,N 418352,S200000,03200,0100,N 418352,S200000,03300,0100,N 418352,S200000,03300,0200,N 418352,S200000,04100,0100,N 418352,S200000,04200,0100,N 418352,S200000,04300,0100,N 418352,S200000,04600,0100,N 418352,S200000,04700,0100,N 418352,S200000,04700,0200,N 418352,S200000,04900,0100,N 418352,S200000,05000,0100,N 418352,S200000,05100,0100,N 418352,S200000,05200,0100,N 418506,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418506,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418506,A000000,00300,0000,0300EMPLOYEE BENEFITS 418506,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418506,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418506,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418506,A000000,00700,0000,0700HOUSEKEEPING 418506,A000000,00800,0000,0800DIETARY 418506,A000000,00900,0000,0900NURSING ADMINISTRATION 418506,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418506,A000000,01100,0000,1100PHARMACY 418506,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418506,A000000,01300,0000,1300SOCIAL SERVICE 418506,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 418506,A000000,01500,0000,1350RECREATION ACTIVITIES 418506,A000000,01600,0000,1600SKILLED NURSING FACILITY 418506,A000000,01810,0000,1810ICF/MR 418506,A000000,02100,0000,2100RADIOLOGY 418506,A000000,02500,0000,2500PHYSICAL THERAPY 418506,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418506,A000000,02700,0000,2700SPEECH PATHOLOGY 418506,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418506,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418506,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 418506,A000000,03301,0000,3051ENTERAL FEEDING 418506,A000000,03550,0000,3550FQHC 418506,A000000,05000,0000,5000CORF 418506,A000000,05010,0000,5010CMHC 418506,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 418506,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 418506,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 418506,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418506,A000000,06300,0000,6150ENTERSTOMAL THERAPY 418506,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 418506,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 418506,A000000,06312,0000,6153DIALYSIS 418506,A000000,06320,0000,6154APARTMENTS 418506,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 418506,A000000,06340,0000,6156CLOSED PATIENT AREAS 418506,A000000,06350,0000,6157O/P ADULT DAYCARE 418506,A000000,06360,0000,6158MARKETING 418506,A81000A,00100,0100,Y 418506,A81000B,00100,0300,RELATED PARTY CAPITAL COST 418506,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 418506,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 418506,A81000C,00100,0100,A 418506,A81000C,00100,0200,FUNDAMENTAL HOL 418506,A81000C,00100,0400,FAS AND FCC 418506,A81000C,00100,0600,SUPPORT SERVICE 418506,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 418506,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 418506,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418506,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 418506,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 418506,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 418506,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 418506,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 418506,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 418506,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 418506,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 418506,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 418506,S000000,00100,0200,08/04/11 418506,S200000,00100,0100,1109 NORTHWOOD DRIVE 418506,S200000,00200,0100,MARBLE FALLS 418506,S200000,00200,0200,TX 418506,S200000,00200,0300,78654 418506,S200000,00300,0100,BURNET 418506,S200000,00300,0201,45 418506,S200000,00300,0300,R 418506,S200000,00400,0100,NORTHWOOD HEALTH CARE CENTER 418506,S200000,00400,0200,455905 418506,S200000,00400,0300,10/01/90 418506,S200000,00400,0500,P 418506,S200000,00400,0600,O 418506,S200000,01500,0100,Y 418506,S200000,01501,0200,Y 418506,S200000,01503,0200,Y 418506,S200000,01504,0200,Y 418506,S200000,01600,0100,N 418506,S200000,01700,0100,N 418506,S200000,01800,0100,N 418506,S200000,01900,0100,LLC 418506,S200000,02200,0100,N 418506,S200000,02800,0100,N 418506,S200000,02900,0100,N 418506,S200000,03000,0100,N 418506,S200000,03100,0100,N 418506,S200000,03200,0100,N 418506,S200000,03300,0100,N 418506,S200000,03300,0200,N 418506,S200000,04100,0100,N 418506,S200000,04200,0100,N 418506,S200000,04300,0100,N 418506,S200000,04600,0100,N 418506,S200000,04700,0100,N 418506,S200000,04700,0200,N 418506,S200000,04900,0100,N 418506,S200000,05000,0100,N 418506,S200000,05100,0100,N 418506,S200000,05200,0100,N 418506,S200000,05300,0100,Y 418673,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418673,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418673,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418673,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418673,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418673,A000000,00700,0000,0700HOUSEKEEPING 418673,A000000,00800,0000,0800DIETARY 418673,A000000,00900,0000,0900NURSING ADMINISTRATION 418673,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418673,A000000,01100,0000,1100PHARMACY 418673,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418673,A000000,01300,0000,1300SOCIAL SERVICE 418673,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 418673,A000000,01500,0000,1350OTHER GENERAL SERVICES 418673,A000000,01600,0000,1600SKILLED NURSING FACILITY 418673,A000000,01800,0000,1800NURSING FACILITY 418673,A000000,01810,0000,1810ICF/MR 418673,A000000,01900,0000,1900OTHER LONG TERM CARE 418673,A000000,02100,0000,2100RADIOLOGY 418673,A000000,02200,0000,2200LABORATORY 418673,A000000,02300,0000,2300INTRAVENOUS THERAPY 418673,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418673,A000000,02500,0000,2500PHYSICAL THERAPY 418673,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418673,A000000,02700,0000,2700SPEECH PATHOLOGY 418673,A000000,02800,0000,2800ELECTROCARDIOLOGY 418673,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418673,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418673,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 418673,A000000,03200,0000,3200SUPPORT SURFACES 418673,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418673,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 418673,A000000,03302,0000,3052MEDICAL EQUIPMENT 418673,A000000,03303,0000,3053CLINIC 418673,A000000,03400,0000,3400CLINIC 418673,A000000,03500,0000,3500RURAL HEALTH CLINIC 418673,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418673,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 418673,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 418673,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 418673,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 418673,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 418673,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 418673,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 418673,A000000,04400,0000,4400DME RENTED - HHA 418673,A000000,04500,0000,4500DME SOLD - HHA 418673,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 418673,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 418673,A000000,04710,0000,4710TELEMEDICINE 418673,A000000,04800,0000,4800AMBULANCE 418673,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418673,A000000,05000,0000,5000CORF 418673,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418673,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418673,A000000,05300,0000,5300INTEREST EXPENSE 418673,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418673,A000000,05500,0000,5500HOSPICE 418673,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418673,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418673,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418673,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418673,A000000,06100,0000,6100NONPAID WORKERS 418673,A000000,06200,0000,6200PATIENTS LAUNDRY 418673,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418673,A81000A,00100,0100,Y 418673,A81000B,00100,0300,HOME OFFICE A&G 418673,A81000B,00200,0300,HOME OFFICE CAPITAL 418673,A81000B,00300,0300,DIV OFFICE A&G 418673,A81000B,00400,0300,DIV OFFICE CAPITAL 418673,A81000B,00500,0300,INSURANCE 418673,A81000B,00600,0300,PHYSICAL THERAPY 418673,A81000B,00700,0300,OCCUPATIONAL THERAPY 418673,A81000B,00800,0300,SPEECH THERAPY 418673,A81000B,00900,0300,REIT INTEREST & DEPREC 418673,A81000C,00100,0100,B 418673,A81000C,00100,0400,EHSI 418673,A81000C,00100,0600,HOME OFFICE SERVIES 418673,A81000C,00200,0100,G 418673,A81000C,00200,0200,LAURIER 418673,A81000C,00200,0400,EHSI 418673,A81000C,00200,0600,INSURANCE 418673,A81000C,00300,0100,G 418673,A81000C,00300,0200,PROGRESSIVE STEP CORP 418673,A81000C,00300,0400,EHSI 418673,A81000C,00300,0600,THERAPY 418673,A81000C,00400,0100,G 418673,A81000C,00400,0200,TC HOLDING LP-SAGINAW RE 418673,A81000C,00400,0400,EHSI 418673,A81000C,00400,0600,PROPERTY 418673,A81000C,03100,0000,100% OWNED BY EHSI 418673,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418673,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 418673,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418673,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418673,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418673,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418673,B100000,00000,0800,0850PATIENT DAYS :DIETARY 418673,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 418673,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 418673,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418673,G300000,02500,0000,T18/T19 PRIOR YR SETTLEMENT/OTHER 418673,S000000,00100,0200,09/28/11 418673,S200000,00100,0100,2160 NORTH CENTER ROAD 418673,S200000,00200,0100,SAGINAW 418673,S200000,00200,0200,MI 418673,S200000,00200,0300,48603 418673,S200000,00300,0100,SAGINAW 418673,S200000,00300,0200,6960 418673,S200000,00300,0201,40980 418673,S200000,00300,0300,U 418673,S200000,00400,0100,TENDERCARE SAGINAW 418673,S200000,00400,0200,235329 418673,S200000,00400,0300,01/01/69 418673,S200000,00400,0500,P 418673,S200000,01500,0100,Y 418673,S200000,01501,0200,Y 418673,S200000,01503,0200,Y 418673,S200000,01504,0200,Y 418673,S200000,01600,0100,N 418673,S200000,01700,0100,N 418673,S200000,01800,0100,N 418673,S200000,02200,0100,N 418673,S200000,02800,0100,N 418673,S200000,02900,0100,N 418673,S200000,03000,0100,N 418673,S200000,03100,0100,N 418673,S200000,03200,0100,N 418673,S200000,03300,0100,N 418673,S200000,03300,0200,N 418673,S200000,04100,0100,N 418673,S200000,04200,0100,N 418673,S200000,04300,0100,N 418673,S200000,04600,0100,N 418673,S200000,04700,0100,N 418673,S200000,04700,0200,N 418673,S200000,04900,0100,N 418673,S200000,05000,0100,N 418673,S200000,05100,0100,N 418673,S200000,05200,0100,N 418673,S200000,05300,0100,Y 418673,S200000,05300,0200,901005 418673,S200000,05400,0100,EXTENDICARE HEALTH SERVICES INC 418673,S200000,05400,0200,NATL GOVT SERVICES 418673,S200000,05400,0300,00450 418673,S200000,05500,0100,111 WEST MICHIGAN ST 418673,S200000,05600,0100,MILWAUKEE 418673,S200000,05600,0200,WI 418673,S200000,05600,0300,53203 418682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418682,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418682,A000000,00300,0000,0300EMPLOYEE BENEFITS 418682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418682,A000000,00700,0000,0700HOUSEKEEPING 418682,A000000,00800,0000,0800DIETARY 418682,A000000,00900,0000,0900NURSING ADMINISTRATION 418682,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418682,A000000,01100,0000,1100PHARMACY 418682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418682,A000000,01300,0000,1300SOCIAL SERVICE 418682,A000000,01500,0000,1350ACTIVITIES 418682,A000000,01600,0000,1600SKILLED NURSING FACILITY 418682,A000000,01800,0000,1800NURSING FACILITY 418682,A000000,01900,0000,1900OTHER LONG TERM CARE 418682,A000000,02100,0000,2100RADIOLOGY 418682,A000000,02200,0000,2200LABORATORY 418682,A000000,02300,0000,2300INTRAVENOUS THERAPY 418682,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418682,A000000,02500,0000,2500PHYSICAL THERAPY 418682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418682,A000000,02700,0000,2700SPEECH PATHOLOGY 418682,A000000,02800,0000,2800ELECTROCARDIOLOGY 418682,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418682,A000000,03200,0000,3200SUPPORT SURFACES 418682,A000000,03300,0000,3050COMPLEX MEDICAL SERVICES 418682,A000000,03400,0000,3400CLINIC 418682,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418682,A000000,04800,0000,4800AMBULANCE 418682,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418682,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418682,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418682,A000000,05300,0000,5300INTEREST EXPENSE 418682,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418682,A000000,05500,0000,5500HOSPICE 418682,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418682,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418682,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418682,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418682,A000000,06100,0000,6100NONPAID WORKERS 418682,A000000,06200,0000,6200PATIENTS LAUNDRY 418682,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418682,A81000A,00100,0100,Y 418682,A81000B,00100,0300,MANAGEMENT FEES 418682,A81000B,00200,0300,MANAGEMENT FEES 418682,A81000B,00300,0300,MANAGEMENT FEES 418682,A81000B,00400,0300,MANAGEMENT FEES 418682,A81000B,00500,0300,MANAGEMENT FEES 418682,A81000B,00600,0300,MANAGEMENT FEES 418682,A81000B,00700,0300,SUPPLIES 418682,A81000B,00800,0300,SUPPLIES 418682,A81000B,00900,0300,SUPPLIES 418682,A81000B,01000,0300,SUPPLIES 418682,A81000B,01100,0300,SUPPLIES 418682,A81000B,01200,0300,SUPPLIES 418682,A81000B,01300,0300,SUPPLIES 418682,A81000B,01400,0300,SUPPLIES 418682,A81000B,01500,0300,SUPPLIES 418682,A81000B,01600,0300,SUPPLIES 418682,A81000B,01700,0300,SUPPLIES 418682,A81000B,01800,0300,SUPPLIES 418682,A81000B,01900,0300,SUPPLIES 418682,A81000B,02000,0300,SUPPLIES 418682,A81000B,02100,0300,SUPPLIES 418682,A81000B,02200,0300,SUPPLIES 418682,A81000B,02300,0300,SUPPLIES 418682,A81000B,02400,0300,SUPPLIES 418682,A81000B,02500,0300,SUPPLIES 418682,A81000B,02600,0300,SUPPLIES 418682,A81000B,02700,0300,SUPPLIES 418682,A81000B,02800,0300,SUPPLIES 418682,A81000B,02900,0300,INSURANCE 418682,A81000C,00100,0100,A 418682,A81000C,00100,0200,MICHAEL H. MCBRIDE 418682,A81000C,00100,0400,HMR ADVANTAGE HEALTH SYST 418682,A81000C,00100,0600,HOME OFFICE 418682,A81000C,00200,0100,A 418682,A81000C,00200,0200,JOHN F. SWIFT 418682,A81000C,00200,0400,HMR ADVANTAGE HEALTH SYST 418682,A81000C,00200,0600,HOME OFFICE 418682,A81000C,00300,0100,A 418682,A81000C,00300,0200,WILLIAM H. WILLIAMSON 418682,A81000C,00300,0400,HMR ADVANTAGE HEALTH SYST 418682,A81000C,00300,0600,HOME OFFICE 418682,A81000C,00400,0100,A 418682,A81000C,00400,0200,MICHAEL H. MCBRIDE 418682,A81000C,00400,0400,GROVE MEDICAL INC. 418682,A81000C,00400,0600,SUPPLIER 418682,A81000C,00500,0100,A 418682,A81000C,00500,0200,MICHAEL H. MCBRIDE 418682,A81000C,00500,0400,CARDINAL HEALTH GROUP LL 418682,A81000C,00500,0600,RENT/OWNER OF FACILITY 418682,A81000C,00600,0100,A 418682,A81000C,00600,0200,MICHAEL H. MCBRIDE 418682,A81000C,00600,0400,ADVANTAGE REHAB. SYSTEMS 418682,A81000C,00600,0600,THERAPY 418682,A81000C,00700,0100,A 418682,A81000C,00700,0200,JOHN F. SWIFT 418682,A81000C,00700,0400,ADVANTAGE REHAB. SYSTEMS 418682,A81000C,00700,0600,THERAPY 418682,A81000C,00800,0100,A 418682,A81000C,00800,0200,WILLIAMS H. WILLIAMSON 418682,A81000C,00800,0400,ADVANTAGE REHAB. SYSTEMS 418682,A81000C,00800,0600,THERAPY 418682,A81000C,00900,0100,A 418682,A81000C,00900,0200,MICHAEL H. MCBRIDE 418682,A81000C,00900,0400,ADVANTAGE CAREER SERVICES 418682,A81000C,00900,0600,CNA TRAINING/ORIENTATIONS 418682,A81000C,01000,0100,A 418682,A81000C,01000,0200,JOHN F. SWIFT 418682,A81000C,01000,0400,ADVANTAGE CAREER SERVICES 418682,A81000C,01000,0600,CNA TRAINING/ORIENTATIONS 418682,A81000C,01001,0100,A 418682,A81000C,01001,0200,WILLIAM H. WILLIAMSON 418682,A81000C,01001,0400,ADVANTAGE CAREER SERVICES 418682,A81000C,01001,0600,CNA TRAINING/ORIENTATIONS 418682,A81000C,01002,0100,A 418682,A81000C,01002,0200,MICHAEL H. MCBRIDE 418682,A81000C,01002,0400,PROCARE RX INC. 418682,A81000C,01002,0600,PHARMACY 418682,A81000C,01003,0100,A 418682,A81000C,01003,0200,MICHAEL H. MCBRIDE 418682,A81000C,01003,0400,CRESCENT INDEMNITY 418682,A81000C,01003,0600,INSURANCE 418682,A81000C,01004,0100,A 418682,A81000C,01004,0200,JOHN F. SWIFT 418682,A81000C,01004,0400,CRESCENT INDEMNITY 418682,A81000C,01004,0600,INSURANCE 418682,A81000C,01005,0100,A 418682,A81000C,01005,0200,WILLIAM H. WILLIAMSON 418682,A81000C,01005,0400,CRESCENT INDEMNITY 418682,A81000C,01005,0600,INSURANCE 418682,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418682,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 418682,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 418682,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418682,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418682,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418682,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418682,B100000,00000,0800,0800MEALS SERVED :DIETARY 418682,B100000,00000,0900,0900NSG LABOR HOURS :NURSING ADMINIS 418682,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 418682,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 418682,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 418682,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418682,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 418682,G300000,02500,0000,GARNISHMENT & NFS CK FEES MISC. 418682,S000000,00100,0200,07/05/11 418682,S200000,00100,0100,716 EAST CEDAR ROCK ST. 418682,S200000,00200,0100,PICKENS 418682,S200000,00200,0200,SC 418682,S200000,00200,0300,29671 418682,S200000,00300,0100,PICKENS 418682,S200000,00300,0200,3160 418682,S200000,00300,0300,U 418682,S200000,00400,0100,LAUREL HILL LIVING CENTER LLC 418682,S200000,00400,0200,425084 418682,S200000,00400,0300,01/01/88 418682,S200000,00400,0500,P 418682,S200000,01500,0100,Y 418682,S200000,01501,0200,Y 418682,S200000,01502,0200,Y 418682,S200000,01503,0200,N 418682,S200000,01504,0200,Y 418682,S200000,01600,0100,N 418682,S200000,01700,0100,N 418682,S200000,01800,0100,N 418682,S200000,02200,0100,N 418682,S200000,02800,0100,Y 418682,S200000,02900,0100,N 418682,S200000,03000,0100,N 418682,S200000,03100,0100,N 418682,S200000,03200,0100,N 418682,S200000,03300,0100,N 418682,S200000,03300,0200,N 418682,S200000,04100,0100,N 418682,S200000,04200,0100,N 418682,S200000,04300,0100,N 418682,S200000,04600,0100,N 418682,S200000,04700,0100,N 418682,S200000,04700,0200,N 418682,S200000,04900,0100,N 418682,S200000,05000,0100,N 418682,S200000,05100,0100,N 418682,S200000,05200,0100,N 418682,S200000,05300,0100,Y 418682,S200000,05300,0200,42H032 418682,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 418682,S200000,05400,0200,PALMETTO GBA 418682,S200000,05400,0300,00380 418682,S200000,05500,0100,101 GRACE DRIVE 418682,S200000,05600,0100,EASLEY 418682,S200000,05600,0200,SC 418682,S200000,05600,0300,29640 418688,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418688,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 418688,A000000,00300,0000,0300EMPLOYEE BENEFITS 418688,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418688,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418688,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418688,A000000,00700,0000,0700HOUSEKEEPING 418688,A000000,00800,0000,0800DIETARY 418688,A000000,00900,0000,0900NURSING ADMINISTRATION 418688,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418688,A000000,01100,0000,1100PHARMACY 418688,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418688,A000000,01300,0000,1300SOCIAL SERVICE 418688,A000000,01500,0000,1350ACTIVITIES 418688,A000000,01600,0000,1600SKILLED NURSING FACILITY 418688,A000000,01800,0000,1800NURSING FACILITY 418688,A000000,01810,0000,1810ICF/MR 418688,A000000,01900,0000,1900OTHER LONG TERM CARE 418688,A000000,02100,0000,2100RADIOLOGY 418688,A000000,02200,0000,2200LABORATORY 418688,A000000,02300,0000,2300INTRAVENOUS THERAPY 418688,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418688,A000000,02500,0000,2500PHYSICAL THERAPY 418688,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418688,A000000,02700,0000,2700SPEECH PATHOLOGY 418688,A000000,02800,0000,2800ELECTROCARDIOLOGY 418688,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418688,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418688,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 418688,A000000,03200,0000,3200SUPPORT SURFACES 418688,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418688,A000000,03400,0000,3400CLINIC 418688,A000000,03500,0000,3500RURAL HEALTH CLINIC 418688,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418688,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 418688,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 418688,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 418688,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 418688,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 418688,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 418688,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 418688,A000000,04400,0000,4400DME RENTED - HHA 418688,A000000,04500,0000,4500DME SOLD - HHA 418688,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 418688,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 418688,A000000,04800,0000,4800AMBULANCE 418688,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418688,A000000,05000,0000,5000CORF 418688,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418688,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418688,A000000,05300,0000,5300INTEREST EXPENSE 418688,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418688,A000000,05500,0000,5500HOSPICE 418688,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418688,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418688,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418688,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418688,A000000,06100,0000,6100NONPAID WORKERS 418688,A000000,06200,0000,6200PATIENTS LAUNDRY 418688,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418688,A81000A,00100,0100,Y 418688,A81000B,00100,0300,MANAGEMENT FEES 418688,A81000B,00200,0300,MANAGEMENT FEES 418688,A81000B,00300,0300,MANAGEMENT FEES 418688,A81000B,00400,0300,SUPPLIES 418688,A81000B,00500,0300,SUPPLIES 418688,A81000B,00600,0300,SUPPLIES 418688,A81000B,00700,0300,SUPPLIES 418688,A81000B,00800,0300,SUPPLIES 418688,A81000B,00900,0300,SUPPLIES 418688,A81000B,01000,0300,INSURANCE 418688,A81000B,01100,0300,DRUGS-PVT 418688,A81000B,01200,0300,MINOR EQUIPMENT 418688,A81000B,01300,0300,THERAPY SERVICES 418688,A81000B,01400,0300,MINOR EQUIPMENT 418688,A81000B,01500,0300,PHARMACY CONSULTANT 418688,A81000B,01600,0300,OTHER EMP BENEFITS 418688,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 418688,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 418688,A81000B,01900,0300,DRUGS MEDICARE 418688,A81000B,02000,0300,OTC DRUGS 418688,A81000B,02100,0300,GLUCOSE SUPPLIES 418688,A81000B,02200,0300,DRUGS-MCD NON PDP 418688,A81000B,02300,0300,RENT 418688,A81000B,02400,0300,CHG-LOAN COSTS 418688,A81000B,02500,0300,CHG-ACCOUNTING FEES 418688,A81000B,02600,0300,CHG-TAXES 418688,A81000B,02700,0300,CHG-MORTGAGE INTEREST 418688,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 418688,A81000B,02900,0300,PHYSICAL THERAPY 418688,A81000C,00100,0100,A 418688,A81000C,00100,0200,MICHAEL H. MCBRIDE 418688,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 418688,A81000C,00100,0600,HOME OFFICE 418688,A81000C,00200,0100,A 418688,A81000C,00200,0200,JOHN SWIFT 418688,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 418688,A81000C,00200,0600,HOME OFFICE 418688,A81000C,00300,0100,A 418688,A81000C,00300,0200,BILL WILLIAMSON 418688,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 418688,A81000C,00300,0600,HOME OFFICE 418688,A81000C,00400,0100,A 418688,A81000C,00400,0200,MICHAEL H. MCBRIDE 418688,A81000C,00400,0400,GROVE MEDICAL INC 418688,A81000C,00400,0600,SUPPLIES 418688,A81000C,00500,0100,A 418688,A81000C,00500,0200,MICHAEL H. MCBRIDE 418688,A81000C,00500,0400,CARDINAL HEALTH GROUP 418688,A81000C,00500,0600,BUILDING LEASE 418688,A81000C,00600,0100,A 418688,A81000C,00600,0200,MICHAEL H. MCBRIDE 418688,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 418688,A81000C,00600,0600,THERAPY 418688,A81000C,00700,0100,A 418688,A81000C,00700,0200,JOHN SWIFT 418688,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 418688,A81000C,00700,0600,THERAPY 418688,A81000C,00800,0100,A 418688,A81000C,00800,0200,BILL WILLIAMSON 418688,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 418688,A81000C,00800,0600,THERAPY 418688,A81000C,00900,0100,A 418688,A81000C,00900,0200,MICHAEL H. MCBRIDGE 418688,A81000C,00900,0400,CRESCENT INDEMNITY INC. 418688,A81000C,00900,0600,INSURANCE 418688,A81000C,01000,0100,A 418688,A81000C,01000,0200,JOHN SWIFT 418688,A81000C,01000,0400,CRESCENT INDEMNITY INC 418688,A81000C,01000,0600,INSURANCE 418688,A81000C,01001,0100,A 418688,A81000C,01001,0200,BILL WILLIAMSON 418688,A81000C,01001,0400,CRESCENT INDEMNTIY INC 418688,A81000C,01001,0600,INSURANCE 418688,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418688,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 418688,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 418688,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418688,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418688,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418688,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418688,B100000,00000,0800,0800MEALS SERVED :DIETARY 418688,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 418688,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 418688,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 418688,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 418688,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418688,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 418688,G300000,02501,0000,GARNISHMENT FEE 418688,S000000,00100,0200,06/21/11 418688,S200000,00100,0100,1850 CRESTVIEW ROAD 418688,S200000,00200,0100,EASLEY 418688,S200000,00200,0200,SC 418688,S200000,00200,0300,29642 418688,S200000,00300,0100,PICKENS 418688,S200000,00300,0200,3160 418688,S200000,00300,0201,24860 418688,S200000,00300,0300,U 418688,S200000,00400,0100,BLUE RIDGE LIVING CENTER LLC 418688,S200000,00400,0200,425298 418688,S200000,00400,0300,07/01/93 418688,S200000,00400,0500,P 418688,S200000,01500,0100,Y 418688,S200000,01501,0200,Y 418688,S200000,01502,0200,N 418688,S200000,01503,0200,Y 418688,S200000,01504,0200,Y 418688,S200000,01600,0100,N 418688,S200000,01700,0100,N 418688,S200000,01800,0100,N 418688,S200000,02200,0100,N 418688,S200000,02800,0100,Y 418688,S200000,02900,0100,N 418688,S200000,03000,0100,N 418688,S200000,03100,0100,N 418688,S200000,03200,0100,N 418688,S200000,03300,0100,N 418688,S200000,03300,0200,N 418688,S200000,04100,0100,N 418688,S200000,04200,0100,N 418688,S200000,04300,0100,N 418688,S200000,04600,0100,N 418688,S200000,04700,0100,N 418688,S200000,04700,0200,N 418688,S200000,04900,0100,N 418688,S200000,05000,0100,N 418688,S200000,05100,0100,N 418688,S200000,05200,0100,N 418688,S200000,05300,0100,Y 418688,S200000,05300,0200,42HO32 418688,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 418688,S200000,05400,0200,PALMETTO GBA 418688,S200000,05400,0300, 00380 418688,S200000,05500,0100,101 GRACE DRIVE 418688,S200000,05600,0100,EASLEY 418688,S200000,05600,0200,SC 418688,S200000,05600,0300,29640 418706,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 418706,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 418706,A000000,00300,0000,0300EMPLOYEE BENEFITS 418706,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418706,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 418706,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418706,A000000,00700,0000,0700HOUSEKEEPING 418706,A000000,00800,0000,0800DIETARY 418706,A000000,00900,0000,0900NURSING ADMINISTRATION 418706,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418706,A000000,01100,0000,1100PHARMACY 418706,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418706,A000000,01300,0000,1300SOCIAL SERVICE 418706,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 418706,A000000,01500,0000,1350OTHER GENERAL SERVICES 418706,A000000,01600,0000,1600SKILLED NURSING FACILITY 418706,A000000,01810,0000,1810ICF/MR 418706,A000000,02100,0000,2100RADIOLOGY 418706,A000000,02200,0000,2200LABORATORY 418706,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418706,A000000,02500,0000,2500PHYSICAL THERAPY 418706,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418706,A000000,02700,0000,2700SPEECH PATHOLOGY 418706,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 418706,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418706,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418706,A000000,03550,0000,3550FQHC 418706,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418706,A000000,04710,0000,4710TELEMEDICINE 418706,A000000,04801,0000,4801AMBULANCE 418706,A000000,04802,0000,4802AMBULANCE 418706,A000000,04803,0000,4803AMBULANCE 418706,A000000,05000,0000,5000CORF 418706,A000000,05010,0000,5010CMHC 418706,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 418706,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 418706,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 418706,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418706,A000000,05300,0000,5300INTEREST EXPENSE 418706,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418706,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418706,A81000A,00100,0100,Y 418706,A81000B,00100,0300,MANAGEMENT FEES 418706,A81000C,00100,0100,B 418706,A81000C,00100,0200,ADCARE HEALTH SYSTEMS 418706,A81000C,00100,0600,MANAGEMENT COMPANY 418706,B100000,00000,0100,0100SQUARE FEET 418706,B100000,00000,0200,0200SQUARE FEET 418706,B100000,00000,0300,0300GROSS SALARIES 418706,B100000,00000,0400,0400ACCUM COST 418706,B100000,00000,0500,0500SQUARE FEET 418706,B100000,00000,0600,0600PATIENT DAYS 418706,B100000,00000,0700,0700SQUARE FEET 418706,B100000,00000,0800,0800MEALS SERVED 418706,B100000,00000,0900,0900PATIENT DAYS 418706,B100000,00000,1000,1000PATIENT DAYS 418706,B100000,00000,1100,1100COSTED REQUIS. 418706,B100000,00000,1200,1200PATIENT DAYS 418706,B100000,00000,1300,1300PATIENT DAYS 418706,B100000,00000,1400,1400ASSIGNED TIME 418706,B100000,00000,1500,1350 418706,E10A180,00550,0100,07/08/11 418706,S000000,00100,0200,05/27/11 418706,S200000,00100,0100,2801 FELTON DRIVE 418706,S200000,00200,0100,EAST POINT 418706,S200000,00200,0200,GA 418706,S200000,00200,0300,30344 418706,S200000,00300,0100,FULTON 418706,S200000,00300,0201,12060 418706,S200000,00300,0300,U 418706,S200000,00400,0100,BONTERRA NURSING CENTER 418706,S200000,00400,0200,115555 418706,S200000,00400,0300,03/01/03 418706,S200000,00400,0500,P 418706,S200000,01500,0100,Y 418706,S200000,01501,0200,Y 418706,S200000,01502,0200,Y 418706,S200000,01503,0200,N 418706,S200000,01504,0200,Y 418706,S200000,01600,0100,N 418706,S200000,01700,0100,N 418706,S200000,01800,0100,N 418706,S200000,02200,0100,Y 418706,S200000,02800,0100,N 418706,S200000,02900,0100,N 418706,S200000,03000,0100,N 418706,S200000,03100,0100,N 418706,S200000,03200,0100,N 418706,S200000,03300,0100,N 418706,S200000,03300,0200,N 418706,S200000,04200,0100,N 418706,S200000,04300,0100,N 418706,S200000,04600,0100,N 418706,S200000,04700,0100,N 418706,S200000,04900,0100,N 418706,S200000,05200,0100,N 418706,S200000,05300,0100,Y 418706,S200000,05300,0200,HB0558 418706,S200000,05400,0100,ADCARE HEALTH SYSTEMS 418706,S200000,05400,0200,CGS 418706,S200000,05400,0300,00332 418706,S200000,05500,0100,5057 TROY ROAD 418706,S200000,05600,0100,SPRINGFIELD 418706,S200000,05600,0200,OH 418706,S200000,05600,0300,45502 418708,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 418708,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 418708,A000000,00300,0000,0300EMPLOYEE BENEFITS 418708,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418708,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 418708,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418708,A000000,00700,0000,0700HOUSEKEEPING 418708,A000000,00800,0000,0800DIETARY 418708,A000000,00900,0000,0900NURSING ADMINISTRATION 418708,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 418708,A000000,01100,0000,1100PHARMACY 418708,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418708,A000000,01300,0000,1300SOCIAL SERVICE 418708,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 418708,A000000,01500,0000,1350OTHER GENERAL SERVICES 418708,A000000,01600,0000,1600SKILLED NURSING FACILITY 418708,A000000,01810,0000,1810ICF/MR 418708,A000000,02100,0000,2100RADIOLOGY 418708,A000000,02200,0000,2200LABORATORY 418708,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418708,A000000,02500,0000,2500PHYSICAL THERAPY 418708,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418708,A000000,02700,0000,2700SPEECH PATHOLOGY 418708,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 418708,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418708,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418708,A000000,03550,0000,3550FQHC 418708,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418708,A000000,04710,0000,4710TELEMEDICINE 418708,A000000,04801,0000,4801AMBULANCE 418708,A000000,04802,0000,4802AMBULANCE 418708,A000000,04803,0000,4803AMBULANCE 418708,A000000,05000,0000,5000CORF 418708,A000000,05010,0000,5010CMHC 418708,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 418708,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 418708,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 418708,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418708,A000000,05300,0000,5300INTEREST EXPENSE 418708,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418708,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418708,A81000A,00100,0100,Y 418708,A81000B,00100,0300,MANAGEMENT FEES 418708,A81000C,00100,0100,B 418708,A81000C,00100,0200,ADCARE HEALTH SYSTEMS 418708,A81000C,00100,0600,MANAGEMENT COMPANY 418708,B100000,00000,0100,0100SQUARE FEET 418708,B100000,00000,0200,0200SQUARE FEET 418708,B100000,00000,0300,0300GROSS SALARIES 418708,B100000,00000,0400,0400ACCUM COST 418708,B100000,00000,0500,0500SQUARE FEET 418708,B100000,00000,0600,0600PATIENT DAYS 418708,B100000,00000,0700,0700SQUARE FEET 418708,B100000,00000,0800,0800MEALS SERVED 418708,B100000,00000,0900,0900PATIENT DAYS 418708,B100000,00000,1000,1000PATIENT DAYS 418708,B100000,00000,1100,1100COSTED REQUIS. 418708,B100000,00000,1200,1200PATIENT DAYS 418708,B100000,00000,1300,1300PATIENT DAYS 418708,B100000,00000,1400,1400ASSIGNED TIME 418708,B100000,00000,1500,1350COSTED REQUIS. 418708,E10A180,00550,0100,07/08/11 418708,S000000,00100,0200,05/27/11 418708,S200000,00100,0100,2801 FELTON DRIVE 418708,S200000,00200,0100,EAST POINT 418708,S200000,00200,0200,GA 418708,S200000,00200,0300,30344 418708,S200000,00300,0100,FULTON 418708,S200000,00300,0201,12060 418708,S200000,00300,0300,U 418708,S200000,00400,0100,PARKVIEW MANOR NURSING 418708,S200000,00400,0200,115585 418708,S200000,00400,0300,03/01/03 418708,S200000,00400,0500,P 418708,S200000,01500,0100,Y 418708,S200000,01501,0200,N 418708,S200000,01502,0200,N 418708,S200000,01503,0200,N 418708,S200000,01504,0200,N 418708,S200000,01600,0100,N 418708,S200000,01700,0100,N 418708,S200000,01800,0100,N 418708,S200000,02200,0100,N 418708,S200000,02800,0100,N 418708,S200000,02900,0100,N 418708,S200000,03000,0100,N 418708,S200000,03100,0100,N 418708,S200000,03200,0100,N 418708,S200000,03300,0100,N 418708,S200000,03300,0200,N 418708,S200000,04200,0100,N 418708,S200000,04300,0100,N 418708,S200000,04600,0100,N 418708,S200000,04700,0100,N 418708,S200000,04900,0100,N 418708,S200000,05200,0100,N 418708,S200000,05300,0100,Y 418708,S200000,05300,0200,HB0558 418708,S200000,05400,0100,ADCARE HEALTH SYSTEMS 418708,S200000,05400,0200,CGS 418708,S200000,05400,0300,00332 418708,S200000,05500,0100,5057 TROY ROAD 418708,S200000,05600,0100,SPRINGFIELD 418708,S200000,05600,0200,OH 418708,S200000,05600,0300,45502 418893,S000000,00100,0200,06/02/11 418893,S200000,00100,0100,261 FRENCH STREET 418893,S200000,00200,0100,PESHTIGO 418893,S200000,00200,0200,WI 418893,S200000,00200,0300,54157-1217 418893,S200000,00400,0100,LILLIAN KERR HEALTHCARE CENTER 418893,S200000,00400,0300,03/11/96 418910,S000000,00100,0200,08/02/11 418910,S200000,00100,0100,400 OAK COURT STREET 418910,S200000,00200,0100,CLARKSVILLE 418910,S200000,00200,0200,AR 418910,S200000,00200,0300,72830 418910,S200000,00300,0100,JOHNSON 418910,S200000,00400,0100,CLARKSVILLE HEALTH AND REHAB 418910,S200000,00400,0300,01/16/01 418989,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 418989,A000000,00300,0000,0300EMPLOYEE BENEFITS 418989,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 418989,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 418989,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 418989,A000000,00700,0000,0700HOUSEKEEPING 418989,A000000,00800,0000,0800DIETARY 418989,A000000,00900,0000,0900NURSING ADMINISTRATION 418989,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 418989,A000000,01300,0000,1300SOCIAL SERVICE 418989,A000000,01600,0000,1600SKILLED NURSING FACILITY 418989,A000000,01800,0000,1800NURSING FACILITY 418989,A000000,01810,0000,1810ICF/MR 418989,A000000,01900,0000,1900OTHER LONG TERM CARE 418989,A000000,02100,0000,2100RADIOLOGY 418989,A000000,02200,0000,2200LABORATORY 418989,A000000,02300,0000,2300INTRAVENOUS THERAPY 418989,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 418989,A000000,02500,0000,2500PHYSICAL THERAPY 418989,A000000,02600,0000,2600OCCUPATIONAL THERAPY 418989,A000000,02700,0000,2700SPEECH PATHOLOGY 418989,A000000,02800,0000,2800ELECTROCARDIOLOGY 418989,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 418989,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 418989,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 418989,A000000,03200,0000,3200SUPPORT SURFACES 418989,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 418989,A000000,03400,0000,3400CLINIC 418989,A000000,03500,0000,3500RURAL HEALTH CLINIC 418989,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 418989,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 418989,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 418989,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 418989,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 418989,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 418989,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 418989,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 418989,A000000,04400,0000,4400DME RENTED - HHA 418989,A000000,04500,0000,4500DME SOLD - HHA 418989,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 418989,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 418989,A000000,04710,0000,4710TELEMEDICINE 418989,A000000,04800,0000,4800AMBULANCE 418989,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 418989,A000000,05000,0000,5000CORF 418989,A000000,05100,0000,4750OTHER REIMBURSABLE COST 418989,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 418989,A000000,05300,0000,5300INTEREST EXPENSE 418989,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 418989,A000000,05500,0000,5500HOSPICE 418989,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 418989,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 418989,A000000,05900,0000,5900BARBER & BEAUTY SHOP 418989,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 418989,A000000,06100,0000,6100NONPAID WORKERS 418989,A000000,06200,0000,6200PATIENTS LAUNDRY 418989,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 418989,A81000A,00100,0100,Y 418989,A81000B,00100,0300,ROYALTY FEES 418989,A81000C,00100,0100,B 418989,A81000C,00100,0200,TEXAS EXES 418989,A81000C,00100,0400,EX-STUDENT S ASSN OF UT 418989,A81000C,00100,0600,ROYALTY FEES 418989,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 418989,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 418989,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 418989,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 418989,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 418989,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 418989,B100000,00000,0800,0800MEALS SERVED :DIETARY 418989,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 418989,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 418989,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 418989,G300000,02500,0000,TRANSPORTATION 418989,G300000,02501,0000,MAINTENANCE 418989,G300000,02502,0000,GUEST ACCOMODATIONS 418989,G300000,02503,0000,CONCIERGE SERVICES 418989,G300000,02504,0000,MISCELLANEOUS REVENUE 418989,G300000,02505,0000,REVENUE FROM HOUSING 418989,G300000,02506,0000,MEDICAL SUPPLIES - IL 418989,S000000,00100,0200,07/26/11 418989,S200000,00100,0100,12001 LONGHORN PARKWAY 418989,S200000,00200,0100,AUSTIN 418989,S200000,00200,0200,TX 418989,S200000,00200,0300,78732 418989,S200000,00300,0100,TRAVIS 418989,S200000,00300,0200,0640 418989,S200000,00300,0201,12420 418989,S200000,00300,0300,U 418989,S200000,00400,0100,LONGHORN VILLAGE 418989,S200000,00400,0200,676266 418989,S200000,00400,0300,10/25/10 418989,S200000,00400,0500,P 418989,S200000,01500,0100,Y 418989,S200000,01501,0200,N 418989,S200000,01600,0100,N 418989,S200000,01700,0100,N 418989,S200000,01800,0100,N 418989,S200000,02200,0100,N 418989,S200000,02800,0100,N 418989,S200000,02900,0100,N 418989,S200000,03000,0100,N 418989,S200000,03100,0100,N 418989,S200000,03200,0100,N 418989,S200000,03300,0100,N 418989,S200000,03300,0200,N 418989,S200000,04100,0100,N 418989,S200000,04200,0100,N 418989,S200000,04300,0100,N 418989,S200000,04600,0100,N 418989,S200000,04700,0100,N 418989,S200000,04700,0200,N 418989,S200000,04900,0100,N 418989,S200000,05000,0100,N 418989,S200000,05100,0100,N 418989,S200000,05200,0100,N 419021,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419021,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419021,A000000,00300,0000,0300EMPLOYEE BENEFITS 419021,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419021,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419021,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419021,A000000,00700,0000,0700HOUSEKEEPING 419021,A000000,00800,0000,0800DIETARY 419021,A000000,00900,0000,0900NURSING ADMINISTRATION 419021,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419021,A000000,01100,0000,1100PHARMACY 419021,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419021,A000000,01300,0000,1300SOCIAL SERVICE 419021,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 419021,A000000,01500,0000,1350OTHER GENERAL SERVICES 419021,A000000,01600,0000,1600SKILLED NURSING FACILITY 419021,A000000,01800,0000,1800NURSING FACILITY 419021,A000000,01810,0000,1810ICF/MR 419021,A000000,01900,0000,1900OTHER LONG TERM CARE 419021,A000000,02100,0000,2100RADIOLOGY 419021,A000000,02200,0000,2200LABORATORY 419021,A000000,02300,0000,2300INTRAVENOUS THERAPY 419021,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419021,A000000,02500,0000,2500PHYSICAL THERAPY 419021,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419021,A000000,02700,0000,2700SPEECH PATHOLOGY 419021,A000000,02800,0000,2800ELECTROCARDIOLOGY 419021,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419021,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419021,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419021,A000000,03200,0000,3200SUPPORT SURFACES 419021,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 419021,A000000,03400,0000,3400CLINIC 419021,A000000,03500,0000,3500RURAL HEALTH CLINIC 419021,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 419021,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 419021,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 419021,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 419021,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 419021,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 419021,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 419021,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 419021,A000000,04400,0000,4400DME RENTED - HHA 419021,A000000,04500,0000,4500DME SOLD - HHA 419021,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 419021,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 419021,A000000,04710,0000,4710TELEMEDICINE 419021,A000000,04800,0000,4800AMBULANCE 419021,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 419021,A000000,05000,0000,5000CORF 419021,A000000,05100,0000,4750OTHER REIMBURSABLE COST 419021,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419021,A000000,05300,0000,5300INTEREST EXPENSE 419021,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419021,A000000,05500,0000,5500HOSPICE 419021,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 419021,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419021,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419021,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419021,A000000,06100,0000,6100NONPAID WORKERS 419021,A000000,06200,0000,6200PATIENTS LAUNDRY 419021,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 419021,A81000A,00100,0100,Y 419021,A81000B,00100,0300,MANAGEMENT FEES 419021,A81000C,00100,0100,D 419021,A81000C,00100,0200,GEORGE WAGNER III 419021,A81000C,00100,0400,SOVRAN MANAGEMENT 419021,A81000C,00100,0600,MANAGEMENT CO 419021,A81000C,00200,0100,D 419021,A81000C,00200,0200,MICHAEL MARSHALL 419021,A81000C,00200,0400,SOVRAN MANAGEMENT 419021,A81000C,00200,0600,MANAGEMENT CO 419021,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419021,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 419021,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419021,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419021,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419021,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 419021,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419021,B100000,00000,0800,0800MEALS SERVED :DIETARY 419021,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 419021,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 419021,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 419021,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 419021,S000000,00100,0200,08/01/11 419021,S200000,00100,0100,300 BLUE RIDGE STREET 419021,S200000,00200,0100,MARTINSVILLE 419021,S200000,00200,0200,VA 419021,S200000,00200,0300,24112 419021,S200000,00300,0100,HENRY 419021,S200000,00300,0200,49 419021,S200000,00300,0201,00049 419021,S200000,00300,0300,R 419021,S200000,00400,0100,BLUE RIDGE REHAB CENTER 419021,S200000,00400,0200,495281 419021,S200000,00400,0300,01/01/65 419021,S200000,00400,0500,P 419021,S200000,01500,0100,Y 419021,S200000,01600,0100,N 419021,S200000,01700,0100,N 419021,S200000,01800,0100,N 419021,S200000,02200,0100,N 419021,S200000,02800,0100,N 419021,S200000,02900,0100,N 419021,S200000,03000,0100,N 419021,S200000,03100,0100,N 419021,S200000,03200,0100,N 419021,S200000,03300,0100,N 419021,S200000,03300,0200,N 419021,S200000,04100,0100,N 419021,S200000,04200,0100,N 419021,S200000,04300,0100,Y 419021,S200000,04600,0100,N 419021,S200000,04700,0100,N 419021,S200000,04700,0200,N 419021,S200000,04900,0100,N 419021,S200000,05000,0100,N 419021,S200000,05100,0100,N 419021,S200000,05200,0100,N 419021,S200000,05300,0100,Y 419021,S200000,05300,0200,HB0039 419021,S200000,05400,0100,SOVRAN MANAGEMENT LLC 419021,S200000,05400,0200,WISCONIN PHYSICIANS SERVICE 419021,S200000,05400,0300,HB0039 419021,S200000,05500,0100,3073 HORSESHOE DR 419021,S200000,05600,0100,NAPLES 419021,S200000,05600,0200,FL 419021,S200000,05600,0300,34104 419056,S000000,00100,0200,08/31/11 419056,S200000,00100,0100,16 BEAL STREET 419056,S200000,00200,0100,MACHIAS 419056,S200000,00200,0200,ME 419056,S200000,00200,0300,04654-1002 419056,S200000,00400,0100,MARSHALL HEALTHCARE & REHAB CENTER 419056,S200000,00400,0300,01/01/93 419246,S000000,00100,0200,06/01/11 419246,S200000,00100,0100,3151 EDEN CT 419246,S200000,00200,0100,OSHKOSH 419246,S200000,00200,0200,WI 419246,S200000,00200,0300,54904 419246,S200000,00400,0100,EDEN REHAB SUITES AND GREEN HOUSE HM 419246,S200000,00400,0300,10/22/10 419451,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419451,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419451,A000000,00300,0000,0300EMPLOYEE BENEFITS 419451,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419451,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419451,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419451,A000000,00700,0000,0700HOUSEKEEPING 419451,A000000,00800,0000,0800DIETARY 419451,A000000,00900,0000,0900NURSING ADMINISTRATION 419451,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419451,A000000,01100,0000,1100PHARMACY 419451,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419451,A000000,01300,0000,1300SOCIAL SERVICE 419451,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 419451,A000000,01500,0000,1350ACTIVITIES 419451,A000000,01600,0000,1600SKILLED NURSING FACILITY 419451,A000000,01800,0000,1800NURSING FACILITY 419451,A000000,01810,0000,1810ICF/MR 419451,A000000,01900,0000,1900OTHER LONG TERM CARE 419451,A000000,02100,0000,2100RADIOLOGY 419451,A000000,02200,0000,2200LABORATORY 419451,A000000,02300,0000,2300INTRAVENOUS THERAPY 419451,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419451,A000000,02500,0000,2500PHYSICAL THERAPY 419451,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419451,A000000,02700,0000,2700SPEECH PATHOLOGY 419451,A000000,02800,0000,2800ELECTROCARDIOLOGY 419451,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419451,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419451,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419451,A000000,03200,0000,3200SUPPORT SURFACES 419451,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 419451,A000000,03400,0000,3400CLINIC 419451,A000000,03500,0000,3500RURAL HEALTH CLINIC 419451,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 419451,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 419451,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 419451,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 419451,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 419451,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 419451,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 419451,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 419451,A000000,04400,0000,4400DME RENTED - HHA 419451,A000000,04500,0000,4500DME SOLD - HHA 419451,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 419451,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 419451,A000000,04710,0000,4710TELEMEDICINE 419451,A000000,04800,0000,4800AMBULANCE 419451,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 419451,A000000,05000,0000,5000CORF 419451,A000000,05100,0000,4750OTHER REIMBURSABLE COST 419451,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419451,A000000,05300,0000,5300INTEREST EXPENSE 419451,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419451,A000000,05500,0000,5500HOSPICE 419451,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 419451,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419451,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419451,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419451,A000000,06100,0000,6100NONPAID WORKERS 419451,A000000,06200,0000,6200PATIENTS LAUNDRY 419451,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 419451,A81000A,00100,0100,N 419451,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419451,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419451,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419451,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419451,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419451,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419451,B100000,00000,0800,0800MEALS SERVED :DIETARY 419451,B100000,00000,0900,0950DIRECT NRSING SAL :NURSING ADMIN 419451,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 419451,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419451,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419451,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 419451,G300000,02500,0000,BEAUTY OTHER LATE FEES 419451,S000000,00100,0200,09/12/11 419451,S200000,00100,0100,965 NORTH BRIGHTON CIRCLE WEST 419451,S200000,00200,0100,CRYSTAL LAKE 419451,S200000,00200,0200,IL 419451,S200000,00200,0300,60012 419451,S200000,00300,0100,MCHENRY 419451,S200000,00300,0200,1600 419451,S200000,00300,0201,16974 419451,S200000,00300,0300,U 419451,S200000,00400,0100,FOUNTAINS AT CRYSTAL LAKE 419451,S200000,00400,0200,145612 419451,S200000,00400,0300,12/05/95 419451,S200000,00400,0500,P 419451,S200000,01500,0100,Y 419451,S200000,01501,0200,N 419451,S200000,01600,0100,N 419451,S200000,01700,0100,N 419451,S200000,01800,0100,N 419451,S200000,02200,0100,N 419451,S200000,02800,0100,N 419451,S200000,02900,0100,N 419451,S200000,03000,0100,N 419451,S200000,03100,0100,N 419451,S200000,03200,0100,N 419451,S200000,03300,0100,N 419451,S200000,03300,0200,N 419451,S200000,04100,0100,N 419451,S200000,04200,0100,N 419451,S200000,04300,0100,N 419451,S200000,04600,0100,N 419451,S200000,04700,0100,N 419451,S200000,04700,0200,N 419451,S200000,04900,0100,N 419451,S200000,05000,0100,N 419451,S200000,05100,0100,N 419451,S200000,05200,0100,N 419451,S200000,05300,0100,N 419458,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419458,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419458,A000000,00300,0000,0300EMPLOYEE BENEFITS 419458,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419458,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419458,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419458,A000000,00700,0000,0700HOUSEKEEPING 419458,A000000,00800,0000,0800DIETARY 419458,A000000,00900,0000,0900NURSING ADMINISTRATION 419458,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419458,A000000,01100,0000,1100PHARMACY 419458,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419458,A000000,01300,0000,1300SOCIAL SERVICE 419458,A000000,01600,0000,1600SKILLED NURSING FACILITY 419458,A000000,01800,0000,1800NURSING FACILITY 419458,A000000,02100,0000,2100RADIOLOGY 419458,A000000,02200,0000,2200LABORATORY 419458,A000000,02300,0000,2300INTRAVENOUS THERAPY 419458,A000000,02500,0000,2500PHYSICAL THERAPY 419458,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419458,A000000,02700,0000,2700SPEECH PATHOLOGY 419458,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419458,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419458,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419458,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 419458,A81000A,00100,0100,N 419458,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419458,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 419458,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419458,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419458,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419458,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 419458,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419458,B100000,00000,0800,0850INPATIENT DAYS :DIETARY 419458,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 419458,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 419458,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 419458,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 419458,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 419458,G300000,02500,0000,MISCELLANEOUS INCOME 419458,G300000,02501,0000,BEAUTY/BARBER 419458,G300000,02502,0000,GAIN ON SALE OF ASSET 419458,S000000,00100,0200,07/27/11 419458,S200000,00100,0100,1800 BROADWAY 419458,S200000,00200,0100,BALLINGER 419458,S200000,00200,0200,TX 419458,S200000,00200,0300,76821-2418 419458,S200000,00300,0100,RUNNELS 419458,S200000,00300,0200,45 419458,S200000,00300,0201,99945 419458,S200000,00300,0300,R 419458,S200000,00400,0100,RUNNELS COUNTY REHABILITATION 419458,S200000,00400,0200,675326 419458,S200000,00400,0300,01/01/00 419458,S200000,00400,0500,P 419458,S200000,01500,0100,Y 419458,S200000,01501,0200,N 419458,S200000,01502,0200,Y 419458,S200000,01504,0200,N 419458,S200000,01600,0100,N 419458,S200000,01700,0100,N 419458,S200000,01800,0100,N 419458,S200000,02200,0100,N 419458,S200000,02800,0100,N 419458,S200000,02900,0100,N 419458,S200000,03000,0100,N 419458,S200000,03100,0100,N 419458,S200000,03200,0100,N 419458,S200000,03300,0100,N 419458,S200000,03300,0200,N 419458,S200000,04100,0100,N 419458,S200000,04200,0100,N 419458,S200000,04300,0100,N 419458,S200000,04600,0100,N 419458,S200000,04700,0100,N 419458,S200000,04700,0200,N 419458,S200000,04900,0100,N 419458,S200000,05000,0100,N 419458,S200000,05100,0100,N 419458,S200000,05200,0100,N 419475,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419475,A000000,00300,0000,0300EMPLOYEE BENEFITS 419475,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419475,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419475,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419475,A000000,00700,0000,0700HOUSEKEEPING 419475,A000000,00800,0000,0800DIETARY 419475,A000000,00900,0000,0900NURSING ADMINISTRATION 419475,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419475,A000000,01300,0000,1300SOCIAL SERVICE 419475,A000000,01500,0000,1350RECREATION 419475,A000000,01600,0000,1600SKILLED NURSING FACILITY 419475,A000000,02100,0000,2100RADIOLOGY 419475,A000000,02200,0000,2200LABORATORY 419475,A000000,02300,0000,2300INTRAVENOUS THERAPY 419475,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419475,A000000,02500,0000,2500PHYSICAL THERAPY 419475,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419475,A000000,02700,0000,2700SPEECH PATHOLOGY 419475,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419475,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419475,A000000,03200,0000,3200SUPPORT SURFACES 419475,A000000,05300,0000,5300INTEREST EXPENSE 419475,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419475,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419475,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419475,A81000A,00100,0100,Y 419475,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 419475,A81000B,00200,0300,HOME OFFICE POOLED NON-CAPITAL 419475,A81000B,00300,0300,HOME OFFICE POOLED NON-CAPITAL 419475,A81000C,00100,0100,B 419475,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 419475,A81000C,00100,0600,HOME OFFICE 419475,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419475,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419475,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419475,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419475,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419475,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419475,B100000,00000,0800,0850PATIENT DAYS :DIETARY 419475,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 419475,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419475,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419475,B100000,00000,1500,1350PATIENT DAYS :RECREATION 419475,G300000,02500,0000,ACTIVITIES REVENUE 419475,S000000,00100,0200,09/23/11 419475,S200000,00100,0100,830 13TH STREET SOUTH 419475,S200000,00200,0100,HUMBOLDT 419475,S200000,00200,0200,IA 419475,S200000,00200,0300,50548 419475,S200000,00300,0100,HUMBOLDT 419475,S200000,00300,0200,16 419475,S200000,00300,0201,99916 419475,S200000,00300,0300,R 419475,S200000,00400,0100,HUMBOLDT QUALITY SOUTH 419475,S200000,00400,0200,165534 419475,S200000,00400,0300,03/01/04 419475,S200000,00400,0500,P 419475,S200000,00400,0600,O 419475,S200000,01500,0100,Y 419475,S200000,01501,0200,N 419475,S200000,01504,0200,N 419475,S200000,01600,0100,N 419475,S200000,01700,0100,N 419475,S200000,01800,0100,N 419475,S200000,02200,0100,N 419475,S200000,02800,0100,N 419475,S200000,02900,0100,N 419475,S200000,03000,0100,N 419475,S200000,03100,0100,N 419475,S200000,03200,0100,N 419475,S200000,03300,0100,N 419475,S200000,03300,0200,N 419475,S200000,04100,0100,N 419475,S200000,04200,0100,N 419475,S200000,04300,0100,N 419475,S200000,04600,0100,N 419475,S200000,04700,0100,N 419475,S200000,04700,0200,N 419475,S200000,04900,0100,N 419475,S200000,05000,0100,N 419475,S200000,05100,0100,N 419475,S200000,05200,0100,N 419475,S200000,05300,0100,Y 419475,S200000,05300,0200,169007 419475,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 419475,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES INS 419475,S200000,05400,0300,05101 419475,S200000,05500,0100,8350 HICKMAN RD STE 15 419475,S200000,05600,0100,CLIVE 419475,S200000,05600,0200,IA 419475,S200000,05600,0300,50325 419505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 419505,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 419505,A000000,00300,0000,0300EMPLOYEE BENEFITS 419505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 419505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419505,A000000,00700,0000,0700HOUSEKEEPING 419505,A000000,00800,0000,0800DIETARY 419505,A000000,00900,0000,0900NURSING ADMINISTRATION 419505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419505,A000000,01100,0000,1100PHARMACY 419505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419505,A000000,01300,0000,1300SOCIAL SERVICE 419505,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 419505,A000000,01500,0000,1350RECREATION 419505,A000000,01600,0000,1600SKILLED NURSING FACILITY 419505,A000000,01810,0000,1810ICF/MR 419505,A000000,02200,0000,2200LABORATORY 419505,A000000,02300,0000,2300INTRAVENOUS THERAPY 419505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419505,A000000,02500,0000,2500PHYSICAL THERAPY 419505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419505,A000000,02700,0000,2700SPEECH PATHOLOGY 419505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 419505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419505,A000000,03550,0000,3550FQHC 419505,A000000,04801,0000,4801AMBULANCE 419505,A000000,04802,0000,4802AMBULANCE 419505,A000000,04803,0000,4803AMBULANCE 419505,A000000,05000,0000,5000CORF 419505,A000000,05010,0000,5010CMHC 419505,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 419505,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 419505,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 419505,A81000A,00100,0100,Y 419505,A81000B,00100,0300,SEE ATTACHED 419505,A81000B,00200,0300,CAPITAL INTEREST 419505,A81000B,00300,0300,HOME OFFICE 419505,A81000B,00400,0300,HOME OFFICE 419505,A81000C,00100,0100,B 419505,A81000C,00100,0400,SEE ATTACHED 419505,A81000C,00100,0600,VARIOUS 419505,A81000C,00200,0100,B 419505,A81000C,00200,0400,GHC 419505,A81000C,00200,0600,LONG TERM CARE 419505,A81000C,00300,0100,B 419505,A81000C,00300,0400,GHC 419505,A81000C,00300,0600,LONG TERM CARE 419505,A81000C,00400,0100,B 419505,A81000C,00400,0400,GHC 419505,A81000C,00400,0600,LONG TERM CARE 419505,B100000,00000,0100,0100SQUARE FEET 419505,B100000,00000,0200,0200SQUARE FEET 419505,B100000,00000,0300,0300GROSS SALARIES 419505,B100000,00000,0400,0400ACCUM COST 419505,B100000,00000,0500,0500SQUARE FEET 419505,B100000,00000,0600,0600PATIENT DAYS 419505,B100000,00000,0700,0700SQUARE FEET 419505,B100000,00000,0800,0800MEALS SERVED 419505,B100000,00000,0900,0900NURSING SALARIES 419505,B100000,00000,1000,1000COSTED REQUIS 419505,B100000,00000,1100,1100COSTED REQUIS 419505,B100000,00000,1200,1200PATIENT DAYS 419505,B100000,00000,1300,1300PATIENT DAYS 419505,B100000,00000,1400,1400ASSIGNED TIME 419505,B100000,00000,1500,1350PATIENT DAYS 419505,S000000,00100,0200,09/12/11 419505,S200000,00100,0100,35 MARC DRIVE 419505,S200000,00200,0100,WALLINGFORD 419505,S200000,00200,0200,CT 419505,S200000,00200,0300,06492 419505,S200000,00300,0100,NEW HAVEN 419505,S200000,00300,0201,35300 419505,S200000,00300,0300,U 419505,S200000,00400,0100,SKYVIEW CENTER 419505,S200000,00400,0200,075057 419505,S200000,00400,0300,01/01/67 419505,S200000,00400,0500,P 419505,S200000,01500,0100,Y 419505,S200000,01501,0200,N 419505,S200000,01502,0200,N 419505,S200000,01503,0200,N 419505,S200000,01504,0200,N 419505,S200000,01600,0100,N 419505,S200000,01700,0100,N 419505,S200000,01800,0100,N 419505,S200000,02200,0100,Y 419505,S200000,02800,0100,N 419505,S200000,02900,0100,N 419505,S200000,03000,0100,N 419505,S200000,03100,0100,N 419505,S200000,03200,0100,N 419505,S200000,03300,0100,N 419505,S200000,03300,0200,N 419505,S200000,04200,0100,N 419505,S200000,04300,0100,N 419505,S200000,04600,0100,N 419505,S200000,04700,0100,N 419505,S200000,04900,0100,N 419505,S200000,05200,0100,N 419505,S200000,05300,0100,Y 419505,S200000,05300,0200,HB0067 419505,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 419505,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 419505,S200000,05400,0300,12001 419505,S200000,05500,0100,101 EAST STATE STREET 419505,S200000,05600,0100,KENNETT SQUARE 419505,S200000,05600,0200,PA 419505,S200000,05600,0300,19348 419545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419545,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419545,A000000,00300,0000,0300EMPLOYEE BENEFITS 419545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419545,A000000,00700,0000,0700HOUSEKEEPING 419545,A000000,00800,0000,0800DIETARY 419545,A000000,00900,0000,0900NURSING ADMINISTRATION 419545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419545,A000000,01100,0000,1100PHARMACY 419545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419545,A000000,01300,0000,1300SOCIAL SERVICE 419545,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 419545,A000000,01600,0000,1600SKILLED NURSING FACILITY 419545,A000000,01800,0000,1800NURSING FACILITY 419545,A000000,01900,0000,1900OTHER LONG TERM CARE 419545,A000000,02100,0000,2100RADIOLOGY 419545,A000000,02200,0000,2200LABORATORY 419545,A000000,02300,0000,2300INTRAVENOUS THERAPY 419545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419545,A000000,02500,0000,2500PHYSICAL THERAPY 419545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419545,A000000,02700,0000,2700SPEECH PATHOLOGY 419545,A000000,02800,0000,2800ELECTROCARDIOLOGY 419545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419545,A000000,03200,0000,3200SUPPORT SURFACES 419545,A000000,03300,0000,3050PEN & UROLOGICALS 419545,A000000,04800,0000,4800AMBULANCE 419545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 419545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419545,A000000,06300,0000,6150DENTAL 419545,A81000A,00100,0100,N 419545,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419545,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 419545,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419545,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419545,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419545,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419545,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419545,B100000,00000,0800,0800MEALS SERVED :DIETARY 419545,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 419545,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 419545,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 419545,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419545,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419545,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 419545,G300000,02501,0000,MISC INC 419545,G300000,02502,0000,GAIN ON SALE ASSETS 419545,S000000,00100,0200,08/29/11 419545,S200000,00100,0100,155 DEAN ST 419545,S200000,00200,0100,BROOKLYN 419545,S200000,00200,0200,NY 419545,S200000,00200,0300,11217 419545,S200000,00300,0100,KINGS 419545,S200000,00300,0201,35644 419545,S200000,00300,0300,U 419545,S200000,00400,0100,BISHOP MUGAVERO CENTER FOR GERIATRIC 419545,S200000,00400,0200,335847 419545,S200000,00400,0300,02/15/05 419545,S200000,00400,0500,P 419545,S200000,01500,0100,Y 419545,S200000,01501,0200,Y 419545,S200000,01503,0200,Y 419545,S200000,01600,0100,N 419545,S200000,01700,0100,N 419545,S200000,01800,0100,N 419545,S200000,02200,0100,N 419545,S200000,02800,0100,N 419545,S200000,02900,0100,N 419545,S200000,03000,0100,N 419545,S200000,03100,0100,N 419545,S200000,03200,0100,N 419545,S200000,03300,0100,N 419545,S200000,03300,0200,N 419545,S200000,04100,0100,N 419545,S200000,04200,0100,N 419545,S200000,04300,0100,N 419545,S200000,04600,0100,N 419545,S200000,04700,0100,N 419545,S200000,04700,0200,N 419545,S200000,04900,0100,N 419545,S200000,05000,0100,N 419545,S200000,05100,0100,N 419545,S200000,05200,0100,N 419545,S200000,05300,0100,N 419593,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 419593,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 419593,A000000,00300,0000,0300EMPLOYEE BENEFITS 419593,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419593,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 419593,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419593,A000000,00700,0000,0700HOUSEKEEPING 419593,A000000,00800,0000,0800DIETARY 419593,A000000,00900,0000,0900NURSING ADMINISTRATION 419593,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419593,A000000,01100,0000,1100PHARMACY 419593,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419593,A000000,01300,0000,1300SOCIAL SERVICE 419593,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 419593,A000000,01500,0000,1350RECRETION 419593,A000000,01600,0000,1600SKILLED NURSING FACILITY 419593,A000000,01810,0000,1810ICF/MR 419593,A000000,02100,0000,2100RADIOLOGY 419593,A000000,02200,0000,2200LABORATORY 419593,A000000,02300,0000,2300INTRAVENOUS THERAPY 419593,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419593,A000000,02500,0000,2500PHYSICAL THERAPY 419593,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419593,A000000,02700,0000,2700SPEECH PATHOLOGY 419593,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 419593,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419593,A000000,03550,0000,3550FQHC 419593,A000000,04801,0000,4801AMBULANCE 419593,A000000,04802,0000,4802AMBULANCE 419593,A000000,04803,0000,4803AMBULANCE 419593,A000000,05000,0000,5000CORF 419593,A000000,05010,0000,5010CMHC 419593,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 419593,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 419593,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 419593,A81000A,00100,0100,Y 419593,A81000B,00100,0300,SEE ATTACHED 419593,A81000B,00200,0300,HOME OFFICE INTEREST 419593,A81000B,00300,0300,HOME OFFICE A&G 419593,A81000B,00400,0300,HOME OFFICE 419593,A81000C,00100,0100,B 419593,A81000C,00100,0400,SEE ATTACHED 419593,A81000C,00100,0600,VARIOUS 419593,A81000C,00200,0100,B 419593,A81000C,00200,0400,GHC 419593,A81000C,00200,0600,LONG TERM CARE 419593,A81000C,00300,0100,B 419593,A81000C,00300,0400,GHC 419593,A81000C,00300,0600,LONG TERM CARE 419593,A81000C,00400,0100,B 419593,A81000C,00400,0400,GHC 419593,A81000C,00400,0600,LONG TERM CARE 419593,B100000,00000,0100,0100SQUARE FEET 419593,B100000,00000,0200,0200SQUARE FEET 419593,B100000,00000,0300,0300GROSS SALARIES 419593,B100000,00000,0400,0400ACCUM COST 419593,B100000,00000,0500,0500SQUARE FEET 419593,B100000,00000,0600,0600PATIENT DAYS 419593,B100000,00000,0700,0700SQUARE FEET 419593,B100000,00000,0800,0800MEALS SERVED 419593,B100000,00000,0900,0900NURSING SALARIES 419593,B100000,00000,1000,1000COSTED REQUIS 419593,B100000,00000,1100,1100COSTED REQUIS 419593,B100000,00000,1200,1200PATIENT DAYS 419593,B100000,00000,1300,1300PATIENT DAYS 419593,B100000,00000,1400,1400ASSIGNED TIME 419593,B100000,00000,1500,1350PATIENT DAYS 419593,G300000,02500,0000,BARBER AND BEAUTY 419593,S000000,00100,0200,09/12/11 419593,S200000,00100,0100,24 OLD ETNA ROAD 419593,S200000,00200,0100,LEBANON 419593,S200000,00200,0200,NH 419593,S200000,00200,0300,03766 419593,S200000,00300,0100,GRAFTON 419593,S200000,00300,0201,99930 419593,S200000,00300,0300,R 419593,S200000,00400,0100,LEBANON CENTER 419593,S200000,00400,0200,305050 419593,S200000,00400,0300,06/01/95 419593,S200000,00400,0500,P 419593,S200000,01500,0100,Y 419593,S200000,01501,0200,N 419593,S200000,01502,0200,N 419593,S200000,01503,0200,N 419593,S200000,01504,0200,N 419593,S200000,01600,0100,N 419593,S200000,01700,0100,N 419593,S200000,01800,0100,N 419593,S200000,02200,0100,Y 419593,S200000,02800,0100,N 419593,S200000,02900,0100,N 419593,S200000,03000,0100,N 419593,S200000,03100,0100,N 419593,S200000,03200,0100,N 419593,S200000,03300,0100,N 419593,S200000,03300,0200,N 419593,S200000,04200,0100,N 419593,S200000,04300,0100,N 419593,S200000,04600,0100,N 419593,S200000,04700,0100,N 419593,S200000,04900,0100,N 419593,S200000,05200,0100,N 419593,S200000,05300,0100,Y 419593,S200000,05300,0200,HB0067 419593,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 419593,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 419593,S200000,05400,0300,12001 419593,S200000,05500,0100,101 EAST STATE STREET 419593,S200000,05600,0100,KENNETT SQUARE 419593,S200000,05600,0200,PA 419593,S200000,05600,0300,19348 419686,S000000,00100,0200,10/06/11 419686,S200000,00100,0100,709 ARMSTRONG LANE 419686,S200000,00200,0100,EAST LIVERPOOL 419686,S200000,00200,0200,OH 419686,S200000,00200,0300,43920-1245 419686,S200000,00300,0100,COLUMBIANA 419686,S200000,00400,0100,ADKINS CARE CENTER #2 419686,S200000,00400,0300,02/25/05 419711,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419711,A000000,00300,0000,0300EMPLOYEE BENEFITS 419711,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419711,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419711,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419711,A000000,00700,0000,0700HOUSEKEEPING 419711,A000000,00800,0000,0800DIETARY 419711,A000000,00900,0000,0900NURSING ADMINISTRATION 419711,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419711,A000000,01300,0000,1300SOCIAL SERVICE 419711,A000000,01500,0000,1350RECREATION 419711,A000000,01600,0000,1600SKILLED NURSING FACILITY 419711,A000000,01900,0000,1900OTHER LONG TERM CARE 419711,A000000,02100,0000,2100RADIOLOGY 419711,A000000,02200,0000,2200LABORATORY 419711,A000000,02300,0000,2300INTRAVENOUS THERAPY 419711,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419711,A000000,02500,0000,2500PHYSICAL THERAPY 419711,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419711,A000000,02700,0000,2700SPEECH PATHOLOGY 419711,A000000,02800,0000,2800ELECTROCARDIOLOGY 419711,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419711,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419711,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419711,A000000,03200,0000,3200SUPPORT SURFACES 419711,A000000,03400,0000,3400CLINIC 419711,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 419711,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419711,A000000,05300,0000,5300INTEREST EXPENSE 419711,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419711,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419711,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419711,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419711,A000000,06100,0000,6100NONPAID WORKERS 419711,A000000,06200,0000,6200PATIENTS LAUNDRY 419711,A81000A,00100,0100,Y 419711,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 419711,A81000B,00200,0300,HOME OFFICE POOLED NON-CAPTIAL 419711,A81000C,00100,0100,B 419711,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 419711,A81000C,00100,0600,HOME OFFICE 419711,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419711,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419711,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419711,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419711,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419711,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419711,B100000,00000,0800,0850PATIENT DAYS :DIETARY 419711,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 419711,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419711,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419711,B100000,00000,1500,1350PATIENT DAYS :RECREATION 419711,G300000,02500,0000,ACTIVITIES REVENUE 419711,S000000,00100,0200,09/23/11 419711,S200000,00100,0100,144 CARTER STREET 419711,S200000,00200,0100,MITCHELLVILLE 419711,S200000,00200,0200,IA 419711,S200000,00200,0300,50169 419711,S200000,00300,0100,POLK 419711,S200000,00300,0200,2120 419711,S200000,00300,0201,19780 419711,S200000,00300,0300,U 419711,S200000,00400,0100,MITCHELL VILLAGE 419711,S200000,00400,0200,165264 419711,S200000,00400,0300,03/01/96 419711,S200000,00400,0500,P 419711,S200000,01500,0100,Y 419711,S200000,01501,0200,N 419711,S200000,01504,0200,N 419711,S200000,01600,0100,N 419711,S200000,01700,0100,N 419711,S200000,01800,0100,N 419711,S200000,02200,0100,N 419711,S200000,02800,0100,N 419711,S200000,02900,0100,N 419711,S200000,03000,0100,N 419711,S200000,03100,0100,N 419711,S200000,03200,0100,N 419711,S200000,03300,0100,N 419711,S200000,03300,0200,N 419711,S200000,04100,0100,N 419711,S200000,04200,0100,N 419711,S200000,04300,0100,N 419711,S200000,04600,0100,N 419711,S200000,04700,0100,N 419711,S200000,04700,0200,N 419711,S200000,04900,0100,N 419711,S200000,05000,0100,N 419711,S200000,05100,0100,N 419711,S200000,05200,0100,N 419711,S200000,05300,0100,Y 419711,S200000,05300,0200,169007 419711,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 419711,S200000,05400,0200,WISCONSIN PHYSCIANS SERVICE 419711,S200000,05400,0300,05101 419711,S200000,05500,0100,8350 HICKMAN RD STE 15 419711,S200000,05600,0100,CLIVE 419711,S200000,05600,0200,IA 419711,S200000,05600,0300,50325 419712,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419712,A000000,00300,0000,0300EMPLOYEE BENEFITS 419712,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419712,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419712,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419712,A000000,00700,0000,0700HOUSEKEEPING 419712,A000000,00800,0000,0800DIETARY 419712,A000000,00900,0000,0900NURSING ADMINISTRATION 419712,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419712,A000000,01300,0000,1300SOCIAL SERVICE 419712,A000000,01500,0000,1350RECREATION 419712,A000000,01600,0000,1600SKILLED NURSING FACILITY 419712,A000000,01900,0000,1900OTHER LONG TERM CARE 419712,A000000,02100,0000,2100RADIOLOGY 419712,A000000,02200,0000,2200LABORATORY 419712,A000000,02300,0000,2300INTRAVENOUS THERAPY 419712,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419712,A000000,02500,0000,2500PHYSICAL THERAPY 419712,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419712,A000000,02700,0000,2700SPEECH PATHOLOGY 419712,A000000,02800,0000,2800ELECTROCARDIOLOGY 419712,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419712,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419712,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419712,A000000,03200,0000,3200SUPPORT SURFACES 419712,A000000,03400,0000,3400CLINIC 419712,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 419712,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419712,A000000,05300,0000,5300INTEREST EXPENSE 419712,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419712,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419712,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419712,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419712,A000000,06100,0000,6100NONPAID WORKERS 419712,A000000,06200,0000,6200PATIENTS LAUNDRY 419712,A81000A,00100,0100,Y 419712,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 419712,A81000B,00200,0300,HOME OFFICE POOLED NON CAPITAL 419712,A81000C,00100,0100,B 419712,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 419712,A81000C,00100,0600,HOME OFFICE 419712,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419712,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419712,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419712,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419712,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419712,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419712,B100000,00000,0800,0850PATIENT DAYS :DIETARY 419712,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 419712,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419712,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419712,B100000,00000,1500,1350PATIENT DAYS :RECREATION 419712,G300000,02500,0000,SPECIAL PART B 419712,S000000,00100,0200,09/23/11 419712,S200000,00100,0100,2721 TENTH AVENUE NORTH 419712,S200000,00200,0100,FORT DODGE 419712,S200000,00200,0200,IA 419712,S200000,00200,0300,50501 419712,S200000,00300,0100,WEBSTER 419712,S200000,00300,0200,16 419712,S200000,00300,0201,99916 419712,S200000,00300,0300,R 419712,S200000,00400,0100,FORT DODGE VILLA 419712,S200000,00400,0200,165265 419712,S200000,00400,0300,01/01/96 419712,S200000,00400,0500,P 419712,S200000,01500,0100,Y 419712,S200000,01501,0200,Y 419712,S200000,01504,0200,Y 419712,S200000,01600,0100,N 419712,S200000,01700,0100,N 419712,S200000,01800,0100,N 419712,S200000,02200,0100,N 419712,S200000,02800,0100,N 419712,S200000,02900,0100,N 419712,S200000,03000,0100,N 419712,S200000,03100,0100,N 419712,S200000,03200,0100,N 419712,S200000,03300,0100,N 419712,S200000,03300,0200,N 419712,S200000,04100,0100,N 419712,S200000,04200,0100,N 419712,S200000,04300,0100,N 419712,S200000,04600,0100,N 419712,S200000,04700,0100,N 419712,S200000,04700,0200,N 419712,S200000,04900,0100,N 419712,S200000,05000,0100,N 419712,S200000,05100,0100,N 419712,S200000,05200,0100,N 419712,S200000,05300,0100,Y 419712,S200000,05300,0200,169007 419712,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 419712,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICES INS 419712,S200000,05400,0300, 05101 419712,S200000,05500,0100,8350 HICKMAN RD STE 15 419712,S200000,05600,0100,CLIVE 419712,S200000,05600,0200,IA 419712,S200000,05600,0300,50325 419713,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419713,A000000,00300,0000,0300EMPLOYEE BENEFITS 419713,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419713,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419713,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419713,A000000,00700,0000,0700HOUSEKEEPING 419713,A000000,00800,0000,0800DIETARY 419713,A000000,00900,0000,0900NURSING ADMINISTRATION 419713,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419713,A000000,01300,0000,1300SOCIAL SERVICE 419713,A000000,01500,0000,1350RECREATION 419713,A000000,01600,0000,1600SKILLED NURSING FACILITY 419713,A000000,01900,0000,1900OTHER LONG TERM CARE 419713,A000000,02100,0000,2100RADIOLOGY 419713,A000000,02200,0000,2200LABORATORY 419713,A000000,02300,0000,2300INTRAVENOUS THERAPY 419713,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419713,A000000,02500,0000,2500PHYSICAL THERAPY 419713,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419713,A000000,02700,0000,2700SPEECH PATHOLOGY 419713,A000000,02800,0000,2800ELECTROCARDIOLOGY 419713,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419713,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419713,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419713,A000000,03200,0000,3200SUPPORT SURFACES 419713,A000000,03400,0000,3400CLINIC 419713,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 419713,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419713,A000000,05300,0000,5300INTEREST EXPENSE 419713,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419713,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419713,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419713,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419713,A000000,06100,0000,6100NONPAID WORKERS 419713,A000000,06200,0000,6200PATIENTS LAUNDRY 419713,A81000A,00100,0100,Y 419713,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 419713,A81000B,00200,0300,HOME OFFICE POOLED NON-CAPITAL 419713,A81000C,00100,0100,B 419713,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 419713,A81000C,00100,0600,HOME OFFICE 419713,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419713,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419713,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419713,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419713,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419713,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419713,B100000,00000,0800,0850PATIENT DAYS :DIETARY 419713,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 419713,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419713,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419713,B100000,00000,1500,1350PATIENT DAYS :RECREATION 419713,G300000,02500,0000,ACTIVITIES REVENUE 419713,S000000,00100,0200,09/23/11 419713,S200000,00100,0100,411 EAST LANE STREET 419713,S200000,00200,0100,WINTERSET 419713,S200000,00200,0200,IA 419713,S200000,00200,0300,50273 419713,S200000,00300,0100,MADISON 419713,S200000,00300,0200,0016 419713,S200000,00300,0201,19780 419713,S200000,00300,0300,U 419713,S200000,00400,0100,WINTERSET CARE CENTER NORTH INC. 419713,S200000,00400,0200,165497 419713,S200000,00400,0300,10/01/03 419713,S200000,00400,0500,P 419713,S200000,01500,0100,Y 419713,S200000,01501,0200,N 419713,S200000,01504,0200,N 419713,S200000,01600,0100,N 419713,S200000,01700,0100,N 419713,S200000,01800,0100,N 419713,S200000,02200,0100,N 419713,S200000,02800,0100,N 419713,S200000,02900,0100,N 419713,S200000,03000,0100,N 419713,S200000,03100,0100,N 419713,S200000,03200,0100,N 419713,S200000,03300,0100,N 419713,S200000,03300,0200,N 419713,S200000,04100,0100,N 419713,S200000,04200,0100,N 419713,S200000,04300,0100,N 419713,S200000,04600,0100,N 419713,S200000,04700,0100,N 419713,S200000,04700,0200,N 419713,S200000,04900,0100,N 419713,S200000,05000,0100,N 419713,S200000,05100,0100,N 419713,S200000,05200,0100,N 419713,S200000,05300,0100,Y 419713,S200000,05300,0200,169007 419713,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 419713,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES INS 419713,S200000,05400,0300,05101 419713,S200000,05500,0100,8350 HICKMAN RD STE 15 419713,S200000,05600,0100,CLIVE 419713,S200000,05600,0200,IA 419713,S200000,05600,0300,50325 419714,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419714,A000000,00300,0000,0300EMPLOYEE BENEFITS 419714,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419714,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419714,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419714,A000000,00700,0000,0700HOUSEKEEPING 419714,A000000,00800,0000,0800DIETARY 419714,A000000,00900,0000,0900NURSING ADMINISTRATION 419714,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419714,A000000,01300,0000,1300SOCIAL SERVICE 419714,A000000,01500,0000,1350RECREATION 419714,A000000,01600,0000,1600SKILLED NURSING FACILITY 419714,A000000,02100,0000,2100RADIOLOGY 419714,A000000,02200,0000,2200LABORATORY 419714,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419714,A000000,02500,0000,2500PHYSICAL THERAPY 419714,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419714,A000000,02700,0000,2700SPEECH PATHOLOGY 419714,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419714,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419714,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419714,A000000,03200,0000,3200SUPPORT SURFACES 419714,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419714,A000000,05300,0000,5300INTEREST EXPENSE 419714,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419714,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419714,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419714,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 419714,A000000,06100,0000,6100NONPAID WORKERS 419714,A000000,06200,0000,6200PATIENTS LAUNDRY 419714,A81000A,00100,0100,Y 419714,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 419714,A81000B,00200,0300,HOME OFFICE POOLED NON-CAPITAL 419714,A81000C,00100,0100,B 419714,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 419714,A81000C,00100,0600,HOME OFFICE 419714,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419714,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419714,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419714,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419714,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 419714,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419714,B100000,00000,0800,0850PATIENT DAYS :DIETARY 419714,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 419714,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 419714,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 419714,B100000,00000,1500,1350PATIENT DAYS :RECREATION 419714,G300000,02500,0000,SEE TRIAL BALANCE 419714,S000000,00100,0200,09/23/11 419714,S200000,00100,0100,1111 11TH AVENUE NORTH 419714,S200000,00200,0100,HUMBOLDT 419714,S200000,00200,0200,IA 419714,S200000,00200,0300,50548 419714,S200000,00300,0100,HUMBOLDT 419714,S200000,00300,0200,16 419714,S200000,00300,0201,99916 419714,S200000,00300,0300,R 419714,S200000,00400,0100,HUMBOLDT CARE CENTERS INC 419714,S200000,00400,0200,165533 419714,S200000,00400,0300,03/01/04 419714,S200000,00400,0500,P 419714,S200000,00400,0600,O 419714,S200000,01500,0100,Y 419714,S200000,01501,0200,N 419714,S200000,01504,0200,Y 419714,S200000,01600,0100,N 419714,S200000,01700,0100,N 419714,S200000,01800,0100,N 419714,S200000,02200,0100,N 419714,S200000,02800,0100,N 419714,S200000,02900,0100,N 419714,S200000,03000,0100,N 419714,S200000,03100,0100,N 419714,S200000,03200,0100,N 419714,S200000,03300,0100,N 419714,S200000,03300,0200,N 419714,S200000,04100,0100,N 419714,S200000,04200,0100,N 419714,S200000,04300,0100,N 419714,S200000,04600,0100,N 419714,S200000,04700,0100,N 419714,S200000,04700,0200,N 419714,S200000,04900,0100,N 419714,S200000,05000,0100,N 419714,S200000,05100,0100,N 419714,S200000,05200,0100,N 419714,S200000,05300,0100,Y 419714,S200000,05300,0200,169007 419714,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 419714,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES INS 419714,S200000,05400,0300,05101 419714,S200000,05500,0100,8350 HICKMAN RD STE 15 419714,S200000,05600,0100,CLIVE 419714,S200000,05600,0200,IA 419714,S200000,05600,0300,50325 419729,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 419729,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 419729,A000000,00300,0000,0300EMPLOYEE BENEFITS 419729,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419729,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 419729,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419729,A000000,00700,0000,0700HOUSEKEEPING 419729,A000000,00800,0000,0800DIETARY 419729,A000000,00900,0000,0900NURSING ADMINISTRATION 419729,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419729,A000000,01100,0000,1100PHARMACY 419729,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419729,A000000,01300,0000,1300SOCIAL SERVICE 419729,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 419729,A000000,01500,0000,1350RECREATION 419729,A000000,01600,0000,1600SKILLED NURSING FACILITY 419729,A000000,01810,0000,1810ICF/MR 419729,A000000,02100,0000,2100RADIOLOGY 419729,A000000,02200,0000,2200LABORATORY 419729,A000000,02300,0000,2300INTRAVENOUS THERAPY 419729,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419729,A000000,02500,0000,2500PHYSICAL THERAPY 419729,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419729,A000000,02700,0000,2700SPEECH PATHOLOGY 419729,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 419729,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419729,A000000,03550,0000,3550FQHC 419729,A000000,04801,0000,4801AMBULANCE 419729,A000000,04802,0000,4802AMBULANCE 419729,A000000,04803,0000,4803AMBULANCE 419729,A000000,05000,0000,5000CORF 419729,A000000,05010,0000,5010CMHC 419729,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 419729,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 419729,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 419729,A81000A,00100,0100,Y 419729,A81000B,00100,0300,AS ATTACHED 419729,A81000B,00200,0300,HOME OFFICE INTEREST 419729,A81000B,00300,0300,HOME OFFICE A&G 419729,A81000B,00400,0300,HOME OFFICE CAP PIEC 419729,A81000C,00100,0100,B 419729,A81000C,00100,0400,AS ATTACHED 419729,A81000C,00100,0600,VARIOUS 419729,A81000C,00200,0100,B 419729,A81000C,00200,0400,GHC 419729,A81000C,00200,0600,LONG TERM CARE 419729,A81000C,00300,0100,B 419729,A81000C,00300,0400,GHC 419729,A81000C,00300,0600,LONG TERM CARE 419729,A81000C,00400,0100,B 419729,A81000C,00400,0400,GHC 419729,A81000C,00400,0600,LONG TERM CARE 419729,B100000,00000,0100,0100SQUARE FEET 419729,B100000,00000,0200,0200SQUARE FEET 419729,B100000,00000,0300,0300GROSS SALARIES 419729,B100000,00000,0400,0400ACCUM COST 419729,B100000,00000,0500,0500SQUARE FEET 419729,B100000,00000,0600,0600PATIENT DAYS 419729,B100000,00000,0700,0700SQUARE FEET 419729,B100000,00000,0800,0800MEALS SERVED 419729,B100000,00000,0900,0900NURSING SALARIES 419729,B100000,00000,1000,1000COSTED REQUIS 419729,B100000,00000,1100,1100COSTED REQUIS 419729,B100000,00000,1200,1200PATIENT DAYS 419729,B100000,00000,1300,1300PATIENT DAYS 419729,B100000,00000,1400,1400ASSIGNED TIME 419729,B100000,00000,1500,1350PATIENT DAYS 419729,G300000,02500,0000,BARBER & BEAUTY 419729,S000000,00100,0200,09/12/11 419729,S200000,00100,0100,239 PLEASANT STREET 419729,S200000,00200,0100,CONCORD 419729,S200000,00200,0200,NH 419729,S200000,00200,0300,03301 419729,S200000,00300,0100,MERRIMACK 419729,S200000,00300,0201,99930 419729,S200000,00300,0300,R 419729,S200000,00400,0100,PLEASANT VIEW CENTER 419729,S200000,00400,0200,305045 419729,S200000,00400,0300,06/01/94 419729,S200000,00400,0500,P 419729,S200000,01500,0100,Y 419729,S200000,01501,0200,N 419729,S200000,01502,0200,N 419729,S200000,01503,0200,N 419729,S200000,01504,0200,N 419729,S200000,01600,0100,N 419729,S200000,01700,0100,N 419729,S200000,01800,0100,N 419729,S200000,02200,0100,Y 419729,S200000,02800,0100,N 419729,S200000,02900,0100,N 419729,S200000,03000,0100,N 419729,S200000,03100,0100,N 419729,S200000,03200,0100,N 419729,S200000,03300,0100,N 419729,S200000,03300,0200,N 419729,S200000,04200,0100,N 419729,S200000,04300,0100,N 419729,S200000,04600,0100,N 419729,S200000,04700,0100,N 419729,S200000,04900,0100,N 419729,S200000,05200,0100,N 419729,S200000,05300,0100,Y 419729,S200000,05300,0200,HB0067 419729,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 419729,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 419729,S200000,05400,0300,12001 419729,S200000,05500,0100,101 EAST STATE STREET 419729,S200000,05600,0100,KENNETT SQUARE 419729,S200000,05600,0200,PA 419729,S200000,05600,0300,19348 419797,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419797,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419797,A000000,00300,0000,0300EMPLOYEE BENEFITS 419797,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419797,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419797,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419797,A000000,00700,0000,0700HOUSEKEEPING 419797,A000000,00800,0000,0800DIETARY 419797,A000000,00900,0000,0900NURSING ADMINISTRATION 419797,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419797,A000000,01100,0000,1100PHARMACY 419797,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419797,A000000,01300,0000,1300SOCIAL SERVICE 419797,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 419797,A000000,01600,0000,1600SKILLED NURSING FACILITY 419797,A000000,01810,0000,1810ICF/MR 419797,A000000,02200,0000,2200LABORATORY 419797,A000000,02500,0000,2500PHYSICAL THERAPY 419797,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419797,A000000,02700,0000,2700SPEECH PATHOLOGY 419797,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419797,A000000,03550,0000,3550FQHC 419797,A000000,05000,0000,5000CORF 419797,A000000,05010,0000,5010CMHC 419797,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 419797,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 419797,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 419797,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419797,A81000A,00100,0100,N 419797,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419797,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419797,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419797,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419797,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 419797,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 419797,B100000,00000,0800,0800MEALS SERVED :DIETARY 419797,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 419797,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 419797,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 419797,S000000,00100,0200,09/21/11 419797,S200000,00100,0100,402 SOUTH HARRISON STREET 419797,S200000,00100,0300,379 419797,S200000,00200,0100,COLFAX 419797,S200000,00200,0200,IL 419797,S200000,00200,0300,61728 419797,S200000,00300,0100,MCLEAN 419797,S200000,00300,0201,14060 419797,S200000,00300,0300,U 419797,S200000,00400,0100,ASTA CARE CENTER OF COLFAX 419797,S200000,00400,0200,145992 419797,S200000,00400,0300,03/01/00 419797,S200000,00400,0500,P 419797,S200000,01500,0100,Y 419797,S200000,01600,0100,N 419797,S200000,01700,0100,N 419797,S200000,01800,0100,N 419797,S200000,02200,0100,N 419797,S200000,02800,0100,N 419797,S200000,02900,0100,N 419797,S200000,03000,0100,N 419797,S200000,03100,0100,N 419797,S200000,03200,0100,N 419797,S200000,03300,0100,N 419797,S200000,03300,0200,N 419797,S200000,04100,0100,N 419797,S200000,04200,0100,N 419797,S200000,04300,0100,N 419797,S200000,04600,0100,N 419797,S200000,04700,0100,N 419797,S200000,04700,0200,N 419797,S200000,04900,0100,N 419797,S200000,05000,0100,N 419797,S200000,05100,0100,N 419797,S200000,05200,0100,N 419797,S200000,05300,0100,N 419880,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 419880,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 419880,A000000,00300,0000,0300EMPLOYEE BENEFITS 419880,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419880,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 419880,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419880,A000000,00700,0000,0700HOUSEKEEPING 419880,A000000,00800,0000,0800DIETARY 419880,A000000,00900,0000,0900NURSING ADMINISTRATION 419880,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419880,A000000,01100,0000,1100PHARMACY 419880,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419880,A000000,01300,0000,1300SOCIAL SERVICE 419880,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 419880,A000000,01500,0000,1350RECREATION 419880,A000000,01600,0000,1600SKILLED NURSING FACILITY 419880,A000000,01810,0000,1810ICF/MR 419880,A000000,02100,0000,2100RADIOLOGY 419880,A000000,02200,0000,2200LABORATORY 419880,A000000,02300,0000,2300INTRAVENOUS THERAPY 419880,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419880,A000000,02500,0000,2500PHYSICAL THERAPY 419880,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419880,A000000,02700,0000,2700SPEECH PATHOLOGY 419880,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419880,A000000,03550,0000,3550FQHC 419880,A000000,04801,0000,4801AMBULANCE 419880,A000000,04802,0000,4802AMBULANCE 419880,A000000,04803,0000,4803AMBULANCE 419880,A000000,05000,0000,5000CORF 419880,A000000,05010,0000,5010CMHC 419880,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 419880,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 419880,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 419880,A81000A,00100,0100,Y 419880,A81000B,00100,0300,SEE ATTACHED 419880,A81000B,00200,0300,HOME OFFICE INTEREST 419880,A81000B,00300,0300,HOME OFFICE A&G 419880,A81000B,00400,0300,HOME OFFICE CAP PIEC 419880,A81000C,00100,0100,B 419880,A81000C,00100,0400,SEE ATTACHED 419880,A81000C,00100,0600,VARIOUS 419880,A81000C,00200,0100,B 419880,A81000C,00200,0400,GHC 419880,A81000C,00200,0600,LONG TERM CARE 419880,A81000C,00300,0100,B 419880,A81000C,00300,0400,GHC 419880,A81000C,00300,0600,LONG TERM CARE 419880,A81000C,00400,0100,B 419880,A81000C,00400,0400,GHC 419880,A81000C,00400,0600,LONG TERM CARE 419880,B100000,00000,0100,0100SQUARE FEET 419880,B100000,00000,0200,0200SQUARE FEET 419880,B100000,00000,0300,0300GROSS SALARIES 419880,B100000,00000,0400,0400ACCUM COST 419880,B100000,00000,0500,0500SQUARE FEET 419880,B100000,00000,0600,0600PATIENT DAYS 419880,B100000,00000,0700,0700SQUARE FEET 419880,B100000,00000,0800,0800MEALS SERVED 419880,B100000,00000,0900,0900NURSING SALARIES 419880,B100000,00000,1000,1000COSTED REQUIS 419880,B100000,00000,1100,1100COSTED REQUIS 419880,B100000,00000,1200,1200PATIENT DAYS 419880,B100000,00000,1300,1300PATIENT DAYS 419880,B100000,00000,1400,1400ASSIGNED TIME 419880,B100000,00000,1500,1350PATIENT DAYS 419880,S000000,00100,0200,09/12/11 419880,S200000,00100,0100,7 BALDWIN STREET 419880,S200000,00200,0100,FRANKLIN 419880,S200000,00200,0200,NH 419880,S200000,00200,0300,03235 419880,S200000,00300,0100,MERRIMACK 419880,S200000,00300,0201,99930 419880,S200000,00300,0300,R 419880,S200000,00400,0100,MOUNTAIN RIDGE CENTER 419880,S200000,00400,0200,305075 419880,S200000,00400,0300,05/01/96 419880,S200000,00400,0500,P 419880,S200000,01500,0100,Y 419880,S200000,01501,0200,N 419880,S200000,01502,0200,N 419880,S200000,01503,0200,N 419880,S200000,01504,0200,N 419880,S200000,01600,0100,N 419880,S200000,01700,0100,N 419880,S200000,01800,0100,N 419880,S200000,02200,0100,Y 419880,S200000,02800,0100,N 419880,S200000,02900,0100,N 419880,S200000,03000,0100,N 419880,S200000,03100,0100,N 419880,S200000,03200,0100,N 419880,S200000,03300,0100,N 419880,S200000,03300,0200,N 419880,S200000,04200,0100,N 419880,S200000,04300,0100,N 419880,S200000,04600,0100,N 419880,S200000,04700,0100,N 419880,S200000,04900,0100,N 419880,S200000,05200,0100,N 419880,S200000,05300,0100,Y 419880,S200000,05300,0200,HB0067 419880,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 419880,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 419880,S200000,05400,0300,12001 419880,S200000,05500,0100,101 EAST STATE STREET 419880,S200000,05600,0100,KENNETT SQUARE 419880,S200000,05600,0200,PA 419880,S200000,05600,0300,19348 419891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 419891,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 419891,A000000,00300,0000,0300EMPLOYEE BENEFITS 419891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 419891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 419891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 419891,A000000,00700,0000,0700HOUSEKEEPING 419891,A000000,00800,0000,0800DIETARY 419891,A000000,00900,0000,0900NURSING ADMINISTRATION 419891,A000000,00901,0000,0901OTHER NURSING 419891,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 419891,A000000,01100,0000,1100PHARMACY 419891,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 419891,A000000,01300,0000,1300SOCIAL SERVICE 419891,A000000,01301,0000,1301ACTIVITIES 419891,A000000,01600,0000,1600SKILLED NURSING FACILITY 419891,A000000,01800,0000,1800NURSING FACILITY 419891,A000000,02100,0000,2100RADIOLOGY 419891,A000000,02200,0000,2200LABORATORY 419891,A000000,02300,0000,2300INTRAVENOUS THERAPY 419891,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 419891,A000000,02500,0000,2500PHYSICAL THERAPY 419891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 419891,A000000,02700,0000,2700SPEECH PATHOLOGY 419891,A000000,02800,0000,2800ELECTROCARDIOLOGY 419891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 419891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 419891,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 419891,A000000,03200,0000,3200SUPPORT SURFACES 419891,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 419891,A000000,03301,0000,3051NUTRITIONAL THERAPY 419891,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 419891,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 419891,A000000,03400,0000,3400CLINIC 419891,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 419891,A000000,04800,0000,4800AMBULANCE 419891,A000000,05100,0000,4750OTHER REIMBURSABLE COST 419891,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 419891,A000000,05300,0000,5300INTEREST EXPENSE 419891,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 419891,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 419891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 419891,A000000,06200,0000,6200PATIENTS LAUNDRY 419891,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 419891,A000000,06301,0000,6151DAY CARE REHAB SERVICES 419891,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 419891,A000000,06303,0000,6153DISTRICT OFFICE SPACE 419891,A81000A,00100,0100,Y 419891,A81000B,00100,0300,HOME OFFICE COSTS 419891,A81000B,00200,0300,LIABILITY INSURANCE 419891,A81000B,00300,0300,WORKERS COMPENSATION 419891,A81000B,00400,0300,PEOPLEFIRST REHAB - PT 419891,A81000B,00500,0300,PEOPLEFIRST REHAB - OT 419891,A81000B,00600,0300,PEOPLEFIRST REHAB - ST 419891,A81000C,00100,0100,B 419891,A81000C,00100,0400,KINDRED HEALTHCARE INC. 419891,A81000C,00100,0600,ADMINISTRATIVE SERVICES 419891,A81000C,00200,0100,B 419891,A81000C,00200,0400,CORNERSTONE INSURANCE CO 419891,A81000C,00200,0600,LIABILITY INSURANCE 419891,A81000C,00300,0600,WORKERS COMPENSATION 419891,A81000C,00400,0100,B 419891,A81000C,00400,0400,PEOPLEFIRST 419891,A81000C,00400,0600,THERAPY SERVICES 419891,A81000C,00500,0400,REHABILITATION 419891,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 419891,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 419891,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 419891,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 419891,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 419891,B100000,00000,0600,0650PATIENTS DAYS :LAUNDRY & LINEN 419891,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 419891,B100000,00000,0800,0850PATIENTS DAYS :DIETARY 419891,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 419891,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 419891,B100000,00000,1000,1050PATIENTS DAYS :CENTRAL SERVICES 419891,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 419891,B100000,00000,1300,1330PATIENTS DAYS :SOCIAL SERVICE 419891,B100000,00000,1301,1331PATIENTS DAYS :ACTIVITIES 419891,E10A180,00301,0100,02/18/11 419891,G300000,02500,0000,BARBER AND BEAUTY 419891,S000000,00100,0200,09/07/11 419891,S200000,00100,0100,509 MEADOWLARK LANE 419891,S200000,00200,0100,CRANE 419891,S200000,00200,0200,MO 419891,S200000,00200,0300,65633 419891,S200000,00300,0100,STONE 419891,S200000,00300,0201,99926 419891,S200000,00300,0300,R 419891,S200000,00400,0100,263 OZARK MOUNTAIN REGIONAL HEALTHCA 419891,S200000,00400,0200,265230 419891,S200000,00400,0300,01/01/95 419891,S200000,00400,0500,P 419891,S200000,01500,0100,N 419891,S200000,01501,0200,Y 419891,S200000,01502,0200,Y 419891,S200000,01503,0200,Y 419891,S200000,01504,0200,Y 419891,S200000,01600,0100,Y 419891,S200000,01700,0100,N 419891,S200000,01800,0100,N 419891,S200000,02200,0100,Y 419891,S200000,02800,0100,Y 419891,S200000,02900,0100,N 419891,S200000,03000,0100,N 419891,S200000,03100,0100,N 419891,S200000,03200,0100,N 419891,S200000,03300,0100,N 419891,S200000,03300,0200,N 419891,S200000,04100,0100,N 419891,S200000,04200,0100,N 419891,S200000,04300,0100,N 419891,S200000,04600,0100,N 419891,S200000,04700,0100,N 419891,S200000,04700,0200,N 419891,S200000,04900,0100,N 419891,S200000,05000,0100,N 419891,S200000,05100,0100,N 419891,S200000,05200,0100,N 419891,S200000,05300,0100,Y 419891,S200000,05300,0200,189003 419891,S200000,05400,0100,KINDRED HEALTHCARE INC. 419891,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 419891,S200000,05400,0300,52280 419891,S200000,05500,0100,680 SOUTH FOURTH STREET 419891,S200000,05600,0100,LOUISVILLE 419891,S200000,05600,0200,KY 419891,S200000,05600,0300,40202 420075,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420075,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420075,A000000,00300,0000,0300EMPLOYEE BENEFITS 420075,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420075,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420075,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420075,A000000,00700,0000,0700HOUSEKEEPING 420075,A000000,00800,0000,0800DIETARY 420075,A000000,01300,0000,1300SOCIAL SERVICE 420075,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 420075,A000000,01600,0000,1600SKILLED NURSING FACILITY 420075,A000000,01800,0000,1800NURSING FACILITY 420075,A000000,01900,0000,1900OTHER LONG TERM CARE 420075,A000000,02100,0000,2100RADIOLOGY 420075,A000000,02200,0000,2200LABORATORY 420075,A000000,02300,0000,2300INTRAVENOUS THERAPY 420075,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420075,A000000,02500,0000,2500PHYSICAL THERAPY 420075,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420075,A000000,02700,0000,2700SPEECH PATHOLOGY 420075,A000000,02800,0000,2800ELECTROCARDIOLOGY 420075,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420075,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420075,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420075,A000000,03200,0000,3200SUPPORT SURFACES 420075,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 420075,A000000,03400,0000,3400CLINIC 420075,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 420075,A000000,04800,0000,4800AMBULANCE 420075,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 420075,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 420075,A000000,05300,0000,5300INTEREST EXPENSE 420075,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420075,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 420075,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420075,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420075,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 420075,A000000,06100,0000,6100NONPAID WORKERS 420075,A000000,06200,0000,6200PATIENTS LAUNDRY 420075,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 420075,A81000A,00100,0100,Y 420075,A81000B,00100,0300,CAPITAL-BUILDINGS 420075,A81000B,00200,0300,CAPITAL-EQUIPMENT 420075,A81000B,00300,0300,NON-CAPITAL 420075,A81000C,00100,0100,B 420075,A81000C,00100,0200,ST. MARY S HOME 420075,A81000C,00100,0400,FELICIAN SERVIC 420075,A81000C,00100,0600,HOME OFFICE 420075,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420075,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420075,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420075,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420075,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420075,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420075,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420075,B100000,00000,0800,0800MEALS SERVED :DIETARY 420075,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420075,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 420075,G300000,02500,0000,SHC/SHV 420075,G300000,02501,0000,BED ASSESSMENT 420075,G300000,02502,0000,OTHER 420075,S000000,00100,0200,10/07/11 420075,S200000,00100,0100,1635 SOUTH 21ST STREET 420075,S200000,00200,0100,MANITOWOC 420075,S200000,00200,0200,WI 420075,S200000,00200,0300,54220 420075,S200000,00300,0100,MANITOWOC 420075,S200000,00300,0300,R 420075,S200000,00400,0100,ST. MARY S HOME FOR THE AGED 420075,S200000,00400,0200,525609 420075,S200000,00400,0300,12/01/96 420075,S200000,00400,0500,P 420075,S200000,01500,0100,Y 420075,S200000,01501,0200,Y 420075,S200000,01505,0000,OTHER (SPECIFY) 420075,S200000,01505,0200,Y 420075,S200000,01600,0100,N 420075,S200000,01700,0100,N 420075,S200000,01800,0100,N 420075,S200000,02200,0100,N 420075,S200000,02800,0100,Y 420075,S200000,02900,0100,N 420075,S200000,03000,0100,N 420075,S200000,03100,0100,N 420075,S200000,03200,0100,N 420075,S200000,03300,0100,N 420075,S200000,03300,0200,N 420075,S200000,04100,0100,N 420075,S200000,04200,0100,N 420075,S200000,04300,0100,N 420075,S200000,04600,0100,N 420075,S200000,04700,0100,N 420075,S200000,04700,0200,N 420075,S200000,04900,0100,N 420075,S200000,05000,0100,N 420075,S200000,05100,0100,N 420075,S200000,05200,0100,N 420075,S200000,05300,0100,N 420107,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420107,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420107,A000000,00300,0000,0300EMPLOYEE BENEFITS 420107,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420107,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420107,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420107,A000000,00700,0000,0700HOUSEKEEPING 420107,A000000,00800,0000,0800DIETARY 420107,A000000,00900,0000,0900NURSING ADMINISTRATION 420107,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420107,A000000,01100,0000,1100PHARMACY 420107,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420107,A000000,01300,0000,1300SOCIAL SERVICE 420107,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420107,A000000,01500,0000,1350RECREATION 420107,A000000,01600,0000,1600SKILLED NURSING FACILITY 420107,A000000,01810,0000,1810ICF/MR 420107,A000000,02100,0000,2100RADIOLOGY 420107,A000000,02200,0000,2200LABORATORY 420107,A000000,02300,0000,2300INTRAVENOUS THERAPY 420107,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420107,A000000,02500,0000,2500PHYSICAL THERAPY 420107,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420107,A000000,02700,0000,2700SPEECH PATHOLOGY 420107,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420107,A000000,03550,0000,3550FQHC 420107,A000000,04801,0000,4801AMBULANCE 420107,A000000,04802,0000,4802AMBULANCE 420107,A000000,04803,0000,4803AMBULANCE 420107,A000000,05000,0000,5000CORF 420107,A000000,05010,0000,5010CMHC 420107,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420107,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420107,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420107,A81000A,00100,0100,Y 420107,A81000B,00100,0300,SEE ATTACHED 420107,A81000B,00200,0300,HOME OFFICE INTEREST 420107,A81000B,00300,0300,HOME OFFICE ADMIN 420107,A81000B,00400,0300,HOME OFFICE CAPITAL 420107,A81000C,00100,0100,B 420107,A81000C,00100,0400,SEE ATTACHED 420107,A81000C,00100,0600,VARIOUS 420107,A81000C,00200,0100,B 420107,A81000C,00200,0400,GHC 420107,A81000C,00200,0600,LONG TERM CARE 420107,A81000C,00300,0100,B 420107,A81000C,00300,0400,GHC 420107,A81000C,00300,0600,LONG TERM CARE 420107,A81000C,00400,0100,B 420107,A81000C,00400,0400,GHC 420107,A81000C,00400,0600,LONG TERM CARE 420107,B100000,00000,0100,0100SQUARE FEET 420107,B100000,00000,0200,0200SQUARE FEET 420107,B100000,00000,0300,0300GROSS SALARIES 420107,B100000,00000,0400,0400ACCUM COST 420107,B100000,00000,0500,0500SQUARE FEET 420107,B100000,00000,0600,0600PATIENT DAYS 420107,B100000,00000,0700,0700SQUARE FEET 420107,B100000,00000,0800,0800MEALS SERVED 420107,B100000,00000,0900,0900NURSING SALARIES 420107,B100000,00000,1000,1000COSTED REQUIS 420107,B100000,00000,1100,1100COSTED REQUIS 420107,B100000,00000,1200,1200PATIENT DAYS 420107,B100000,00000,1300,1300PATIENT DAYS 420107,B100000,00000,1400,1400ASSIGNED TIME 420107,B100000,00000,1500,1350PATIENT DAYS 420107,S000000,00100,0200,09/12/11 420107,S200000,00100,0100,25 RIDGEWOOD ROAD 420107,S200000,00200,0100,BEDFORD 420107,S200000,00200,0200,NH 420107,S200000,00200,0300,03110 420107,S200000,00300,0100,HILLSBOROUGH 420107,S200000,00300,0201,31700 420107,S200000,00300,0300,U 420107,S200000,00400,0100,RIDGEWOOD CENTER 420107,S200000,00400,0200,305052 420107,S200000,00400,0300,05/01/95 420107,S200000,00400,0500,P 420107,S200000,01500,0100,Y 420107,S200000,01501,0200,N 420107,S200000,01502,0200,N 420107,S200000,01503,0200,N 420107,S200000,01504,0200,N 420107,S200000,01600,0100,N 420107,S200000,01700,0100,N 420107,S200000,01800,0100,N 420107,S200000,02200,0100,Y 420107,S200000,02800,0100,N 420107,S200000,02900,0100,N 420107,S200000,03000,0100,N 420107,S200000,03100,0100,N 420107,S200000,03200,0100,N 420107,S200000,03300,0100,N 420107,S200000,03300,0200,N 420107,S200000,04200,0100,N 420107,S200000,04300,0100,N 420107,S200000,04600,0100,N 420107,S200000,04700,0100,N 420107,S200000,04900,0100,N 420107,S200000,05200,0100,N 420107,S200000,05300,0100,Y 420107,S200000,05300,0200,HB0067 420107,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420107,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420107,S200000,05400,0300,12001 420107,S200000,05500,0100,101 EAST STATE STREET 420107,S200000,05600,0100,KENNETT SQUARE 420107,S200000,05600,0200,PA 420107,S200000,05600,0300,19348 420130,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420130,A000000,00300,0000,0300EMPLOYEE BENEFITS 420130,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420130,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420130,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420130,A000000,00700,0000,0700HOUSEKEEPING 420130,A000000,00800,0000,0800DIETARY 420130,A000000,00900,0000,0900NURSING ADMINISTRATION 420130,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420130,A000000,01300,0000,1300SOCIAL SERVICE 420130,A000000,01500,0000,1350RECREATION 420130,A000000,01600,0000,1600SKILLED NURSING FACILITY 420130,A000000,02100,0000,2100RADIOLOGY 420130,A000000,02200,0000,2200LABORATORY 420130,A000000,02300,0000,2300INTRAVENOUS THERAPY 420130,A000000,02500,0000,2500PHYSICAL THERAPY 420130,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420130,A000000,02700,0000,2700SPEECH PATHOLOGY 420130,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420130,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420130,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420130,A000000,06300,0000,6150JAIL MEALS 420130,A81000A,00100,0100,Y 420130,A81000B,00100,0300,HOME OFFICE POOLED CAPITAL 420130,A81000B,00200,0300,HOME OFFICE POOLED NON-CAPITAL 420130,A81000C,00100,0100,B 420130,A81000C,00100,0400,QUALITY HEALTH CARE SPEC 420130,A81000C,00100,0600,HOME OFFICE 420130,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420130,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420130,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420130,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420130,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420130,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420130,B100000,00000,0800,0850PATIENT DAYS :DIETARY 420130,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 420130,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420130,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420130,B100000,00000,1500,1350PATIENT DAYS :RECREATION 420130,G300000,02500,0000,SEE TRIAL BALANCE 420130,S000000,00100,0200,09/23/11 420130,S200000,00100,0100,715 SOUTH 2ND AVENUE 420130,S200000,00200,0100,WINTERSET 420130,S200000,00200,0200,IA 420130,S200000,00200,0300,50273 420130,S200000,00300,0100,MADISON 420130,S200000,00300,0200,0016 420130,S200000,00300,0201,19780 420130,S200000,00300,0300,U 420130,S200000,00400,0100,WINTERSET CARE CENTER SOUTH INC. 420130,S200000,00400,0200,165506 420130,S200000,00400,0300,10/01/03 420130,S200000,00400,0500,P 420130,S200000,01500,0100,Y 420130,S200000,01501,0200,N 420130,S200000,01504,0200,N 420130,S200000,01600,0100,N 420130,S200000,01700,0100,N 420130,S200000,01800,0100,N 420130,S200000,02200,0100,N 420130,S200000,02800,0100,N 420130,S200000,02900,0100,N 420130,S200000,03000,0100,N 420130,S200000,03100,0100,N 420130,S200000,03200,0100,N 420130,S200000,03300,0100,N 420130,S200000,03300,0200,N 420130,S200000,04100,0100,N 420130,S200000,04200,0100,N 420130,S200000,04300,0100,N 420130,S200000,04600,0100,N 420130,S200000,04700,0100,N 420130,S200000,04700,0200,N 420130,S200000,04900,0100,N 420130,S200000,05000,0100,N 420130,S200000,05100,0100,N 420130,S200000,05200,0100,N 420130,S200000,05300,0100,Y 420130,S200000,05300,0200,169007 420130,S200000,05400,0100,QUALITY HEALTH CARE SPECIALISTS 420130,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES INS 420130,S200000,05400,0300,05101 420130,S200000,05500,0100,8350 HICKMAN RD STE 15 420130,S200000,05600,0100,CLIVE 420130,S200000,05600,0200,IA 420130,S200000,05600,0300,50325 420155,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420155,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420155,A000000,00300,0000,0300EMPLOYEE BENEFITS 420155,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420155,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420155,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420155,A000000,00700,0000,0700HOUSEKEEPING 420155,A000000,00800,0000,0800DIETARY 420155,A000000,00900,0000,0900NURSING ADMINISTRATION 420155,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420155,A000000,01100,0000,1100PHARMACY 420155,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420155,A000000,01300,0000,1300SOCIAL SERVICE 420155,A000000,01500,0000,1350ACTIVITIES 420155,A000000,01600,0000,1600SKILLED NURSING FACILITY 420155,A000000,01800,0000,1800NURSING FACILITY 420155,A000000,01810,0000,1810ICF/MR 420155,A000000,01900,0000,1900OTHER LONG TERM CARE 420155,A000000,02100,0000,2100RADIOLOGY 420155,A000000,02200,0000,2200LABORATORY 420155,A000000,02300,0000,2300INTRAVENOUS THERAPY 420155,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420155,A000000,02500,0000,2500PHYSICAL THERAPY 420155,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420155,A000000,02700,0000,2700SPEECH PATHOLOGY 420155,A000000,02800,0000,2800ELECTROCARDIOLOGY 420155,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420155,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420155,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420155,A000000,03200,0000,3200SUPPORT SURFACES 420155,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 420155,A000000,03400,0000,3400CLINIC 420155,A000000,03500,0000,3500RURAL HEALTH CLINIC 420155,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 420155,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 420155,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 420155,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 420155,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 420155,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 420155,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 420155,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 420155,A000000,04400,0000,4400DME RENTED - HHA 420155,A000000,04500,0000,4500DME SOLD - HHA 420155,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 420155,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 420155,A000000,04800,0000,4800AMBULANCE 420155,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 420155,A000000,05000,0000,5000CORF 420155,A000000,05100,0000,4750OTHER REIMBURSABLE COST 420155,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 420155,A000000,05300,0000,5300INTEREST EXPENSE 420155,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420155,A000000,05500,0000,5500HOSPICE 420155,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 420155,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420155,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420155,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 420155,A000000,06100,0000,6100NONPAID WORKERS 420155,A000000,06200,0000,6200PATIENTS LAUNDRY 420155,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 420155,A81000A,00100,0100,Y 420155,A81000B,00100,0300,MANAGEMENT FEES 420155,A81000B,00200,0300,MANAGEMENT FEES 420155,A81000B,00300,0300,MANAGEMENT FEES 420155,A81000B,00400,0300,SUPPLIES 420155,A81000B,00500,0300,SUPPLIES 420155,A81000B,00600,0300,SUPPLIES 420155,A81000B,00700,0300,SUPPLIES 420155,A81000B,00800,0300,INSURANCE 420155,A81000B,00900,0300,HEPATITIS B VACCINE 420155,A81000B,01000,0300,DRUGS - PVT 420155,A81000B,01100,0300,DRUGS - MCD NON PDP 420155,A81000B,01200,0300,CNA ORIENTATION 420155,A81000B,01300,0300,THERAPY SERVICES 420155,A81000B,01400,0300,MINOR EQUIPMENT 420155,A81000B,01500,0300,PHARMACY CONSULTANT 420155,A81000B,01600,0300,OTHER EMP BENEFITS 420155,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 420155,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 420155,A81000B,01900,0300,DRUGS MEDICARE 420155,A81000B,02000,0300,OTC DRUGS 420155,A81000B,02100,0300,GLUCOSE SUPPLIES 420155,A81000B,02200,0300,DRUGS - GEN USE 420155,A81000B,02300,0300,RENT 420155,A81000B,02400,0300,CHG-LOAN COSTS 420155,A81000B,02500,0300,CHG-ACCOUNTING FEES 420155,A81000B,02600,0300,CHG-TAXES 420155,A81000B,02700,0300,CHG-MORTGAGE INTEREST 420155,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 420155,A81000B,02900,0300,PHYSICAL THERAPY 420155,A81000C,00100,0100,A 420155,A81000C,00100,0200,MICHAEL H. MCBRIDE 420155,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 420155,A81000C,00100,0600,HOME OFFICE 420155,A81000C,00200,0100,A 420155,A81000C,00200,0200,JOHN SWIFT 420155,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 420155,A81000C,00200,0600,HOME OFFICE 420155,A81000C,00300,0100,A 420155,A81000C,00300,0200,BILL WILLIAMSON 420155,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 420155,A81000C,00300,0600,HOME OFFICE 420155,A81000C,00400,0100,A 420155,A81000C,00400,0200,MICHAEL H. MCBRIDE 420155,A81000C,00400,0400,GROVE MEDICAL INC 420155,A81000C,00400,0600,SUPPLIES 420155,A81000C,00500,0100,A 420155,A81000C,00500,0200,MICHAEL H. MCBRIDE 420155,A81000C,00500,0400,CARDINAL HEALTH GROUP 420155,A81000C,00500,0600,BUILDING LEASE 420155,A81000C,00600,0100,A 420155,A81000C,00600,0200,MICHAEL H. MCBRIDE 420155,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 420155,A81000C,00600,0600,THERAPY 420155,A81000C,00700,0100,A 420155,A81000C,00700,0200,JOHN SWIFT 420155,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 420155,A81000C,00700,0600,THERAPY 420155,A81000C,00800,0100,A 420155,A81000C,00800,0200,BILL WILLIAMSON 420155,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 420155,A81000C,00800,0600,THERAPY 420155,A81000C,00900,0100,A 420155,A81000C,00900,0200,MICHAEL H. MCBRIDGE 420155,A81000C,00900,0400,CRESCENT INDEMNITY INC. 420155,A81000C,00900,0600,INSURANCE 420155,A81000C,01000,0100,A 420155,A81000C,01000,0200,JOHN SWIFT 420155,A81000C,01000,0400,CRESCENT INDEMNITY INC 420155,A81000C,01000,0600,INSURANCE 420155,A81000C,01001,0100,A 420155,A81000C,01001,0200,BILL WILLIAMSON 420155,A81000C,01001,0400,CRESCENT INDEMNTIY INC 420155,A81000C,01001,0600,INSURANCE 420155,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420155,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420155,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420155,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420155,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420155,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420155,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420155,B100000,00000,0800,0800MEALS SERVED :DIETARY 420155,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 420155,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 420155,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 420155,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420155,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420155,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 420155,E10A180,00550,0100,07/25/11 420155,G300000,02500,0000,NSF CHECK CHARGES 420155,G300000,02501,0000,GARNISHMENT FEE 420155,S000000,00100,0200,07/25/11 420155,S200000,00100,0100,721 WEST CURTIS STREET 420155,S200000,00200,0100,SIMPSONVILLE 420155,S200000,00200,0200,SC 420155,S200000,00200,0300,29681 420155,S200000,00300,0100,GREENVILLE 420155,S200000,00300,0201,24860 420155,S200000,00300,0300,U 420155,S200000,00400,0100,BRIARWOOD LIVING CENTER LLC 420155,S200000,00400,0200,425305 420155,S200000,00400,0300,04/01/94 420155,S200000,00400,0500,P 420155,S200000,01500,0100,Y 420155,S200000,01501,0200,Y 420155,S200000,01502,0200,N 420155,S200000,01503,0200,Y 420155,S200000,01504,0200,N 420155,S200000,01600,0100,N 420155,S200000,01700,0100,N 420155,S200000,01800,0100,N 420155,S200000,02200,0100,N 420155,S200000,02800,0100,Y 420155,S200000,02900,0100,N 420155,S200000,03000,0100,N 420155,S200000,03100,0100,N 420155,S200000,03200,0100,N 420155,S200000,03300,0100,N 420155,S200000,03300,0200,N 420155,S200000,04100,0100,N 420155,S200000,04200,0100,N 420155,S200000,04300,0100,N 420155,S200000,04600,0100,N 420155,S200000,04700,0100,N 420155,S200000,04700,0200,N 420155,S200000,04900,0100,N 420155,S200000,05000,0100,N 420155,S200000,05100,0100,N 420155,S200000,05200,0100,N 420155,S200000,05300,0100,Y 420155,S200000,05300,0200,42HO32 420155,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 420155,S200000,05400,0200,PALMETTO GBA 420155,S200000,05400,0300, 00380 420155,S200000,05500,0100,101 GRACE DRIVE 420155,S200000,05600,0100,EASLEY 420155,S200000,05600,0200,SC 420155,S200000,05600,0300,29640 420156,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420156,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420156,A000000,00300,0000,0300EMPLOYEE BENEFITS 420156,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420156,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420156,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420156,A000000,00700,0000,0700HOUSEKEEPING 420156,A000000,00800,0000,0800DIETARY 420156,A000000,00900,0000,0900NURSING ADMINISTRATION 420156,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420156,A000000,01100,0000,1100PHARMACY 420156,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420156,A000000,01300,0000,1300SOCIAL SERVICE 420156,A000000,01500,0000,1350ACTIVITIES 420156,A000000,01600,0000,1600SKILLED NURSING FACILITY 420156,A000000,01800,0000,1800NURSING FACILITY 420156,A000000,01810,0000,1810ICF/MR 420156,A000000,01900,0000,1900OTHER LONG TERM CARE 420156,A000000,02100,0000,2100RADIOLOGY 420156,A000000,02200,0000,2200LABORATORY 420156,A000000,02300,0000,2300INTRAVENOUS THERAPY 420156,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420156,A000000,02500,0000,2500PHYSICAL THERAPY 420156,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420156,A000000,02700,0000,2700SPEECH PATHOLOGY 420156,A000000,02800,0000,2800ELECTROCARDIOLOGY 420156,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420156,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420156,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420156,A000000,03200,0000,3200SUPPORT SURFACES 420156,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 420156,A000000,03400,0000,3400CLINIC 420156,A000000,03500,0000,3500RURAL HEALTH CLINIC 420156,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 420156,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 420156,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 420156,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 420156,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 420156,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 420156,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 420156,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 420156,A000000,04400,0000,4400DME RENTED - HHA 420156,A000000,04500,0000,4500DME SOLD - HHA 420156,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 420156,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 420156,A000000,04800,0000,4800AMBULANCE 420156,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 420156,A000000,05000,0000,5000CORF 420156,A000000,05100,0000,4750OTHER REIMBURSABLE COST 420156,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 420156,A000000,05300,0000,5300INTEREST EXPENSE 420156,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420156,A000000,05500,0000,5500HOSPICE 420156,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 420156,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420156,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420156,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 420156,A000000,06100,0000,6100NONPAID WORKERS 420156,A000000,06200,0000,6200PATIENTS LAUNDRY 420156,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 420156,A81000A,00100,0100,Y 420156,A81000B,00100,0300,MANAGEMENT FEES 420156,A81000B,00200,0300,MANAGEMENT FEES 420156,A81000B,00300,0300,MANAGEMENT FEES 420156,A81000B,00400,0300,SUPPLIES 420156,A81000B,00500,0300,SUPPLIES 420156,A81000B,00600,0300,SUPPLIES 420156,A81000B,00700,0300,SUPPLIES 420156,A81000B,00800,0300,SUPPLIES 420156,A81000B,00900,0300,SUPPLIES 420156,A81000B,01000,0300,SUPPLIES 420156,A81000B,01100,0300,INSURANCE 420156,A81000B,01200,0300,HISTORICAL COSTS 420156,A81000B,01300,0300,THERAPY SERVICES 420156,A81000B,01400,0300,THERAPY SERVICES 420156,A81000B,01500,0300,THERAPY SERVICES 420156,A81000B,01600,0300,PHARMACY CONSULTANT 420156,A81000B,01700,0300,OTHER EMP BENEFITS 420156,A81000B,01800,0300,MED SUPPLIES-BILLABLE 420156,A81000B,01900,0300,MED SUPPLIES-NONBILLABLE 420156,A81000B,02000,0300,DRUGS MEDICARE 420156,A81000B,02100,0300,OTC DRUGS 420156,A81000B,02200,0300,MCR A OTHER ANCILLARY 420156,A81000B,02300,0300,GLUCOSE SUPPLIES 420156,A81000B,02400,0300,DRUGS - PVT 420156,A81000B,02500,0300,DRUGS-MCD NON PDP 420156,A81000B,02600,0300,MINOR EQUIPMENT 420156,A81000B,02700,0300,RENT 420156,A81000B,02800,0300,PHP-LOAN COSTS 420156,A81000B,02900,0300,PHP-ACCOUNTING FEES 420156,A81000C,00100,0100,A 420156,A81000C,00100,0200,MICHAEL H. MCBRIDE 420156,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 420156,A81000C,00100,0600,HOME OFFICE 420156,A81000C,00200,0100,A 420156,A81000C,00200,0200,JOHN SWIFT 420156,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 420156,A81000C,00200,0600,HOME OFFICE 420156,A81000C,00300,0100,A 420156,A81000C,00300,0200,BILL WILLIAMSON 420156,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 420156,A81000C,00300,0600,HOME OFFICE 420156,A81000C,00400,0100,A 420156,A81000C,00400,0200,MICHAEL H. MCBRIDE 420156,A81000C,00400,0400,GROVE MEDICAL INC 420156,A81000C,00400,0600,SUPPLIES 420156,A81000C,00500,0100,A 420156,A81000C,00500,0200,MICHAEL H. MCBRIDE 420156,A81000C,00500,0400,PREFERRED HEALTH PROPERTI 420156,A81000C,00500,0600,BUILDING LEASE 420156,A81000C,00600,0100,A 420156,A81000C,00600,0200,MICHAEL H. MCBRIDE 420156,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 420156,A81000C,00600,0600,THERAPY 420156,A81000C,00700,0100,A 420156,A81000C,00700,0200,JOHN SWIFT 420156,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 420156,A81000C,00700,0600,THERAPY 420156,A81000C,00800,0100,A 420156,A81000C,00800,0200,BILL WILLIAMSON 420156,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 420156,A81000C,00800,0600,THERAPY 420156,A81000C,00900,0100,A 420156,A81000C,00900,0200,MICHAEL H. MCBRIDGE 420156,A81000C,00900,0400,CRESCENT INDEMNITY INC. 420156,A81000C,00900,0600,INSURANCE 420156,A81000C,01000,0100,A 420156,A81000C,01000,0200,JOHN SWIFT 420156,A81000C,01000,0400,CRESCENT INDEMNITY INC 420156,A81000C,01000,0600,INSURANCE 420156,A81000C,01001,0100,A 420156,A81000C,01001,0200,BILL WILLIAMSON 420156,A81000C,01001,0400,CRESCENT INDEMNTIY INC 420156,A81000C,01001,0600,INSURANCE 420156,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420156,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420156,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420156,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420156,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420156,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420156,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420156,B100000,00000,0800,0800MEALS SERVED :DIETARY 420156,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 420156,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 420156,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 420156,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420156,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420156,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 420156,S000000,00100,0200,06/24/11 420156,S200000,00100,0100,550 EAST GATE DRIVE 420156,S200000,00200,0100,NEW ELLENTON 420156,S200000,00200,0200,SC 420156,S200000,00200,0300,29803 420156,S200000,00300,0100,AIKEN 420156,S200000,00300,0200,0600 420156,S200000,00300,0201,12260 420156,S200000,00300,0300,U 420156,S200000,00400,0100,CARRIAGE HILLS LIVING CENTER LLC 420156,S200000,00400,0200,425311 420156,S200000,00400,0300,01/01/96 420156,S200000,00400,0500,P 420156,S200000,01500,0100,Y 420156,S200000,01501,0200,Y 420156,S200000,01502,0200,N 420156,S200000,01503,0200,Y 420156,S200000,01504,0200,Y 420156,S200000,01600,0100,N 420156,S200000,01700,0100,N 420156,S200000,01800,0100,N 420156,S200000,02200,0100,N 420156,S200000,02800,0100,Y 420156,S200000,02900,0100,N 420156,S200000,03000,0100,N 420156,S200000,03100,0100,N 420156,S200000,03200,0100,N 420156,S200000,03300,0100,N 420156,S200000,03300,0200,N 420156,S200000,04100,0100,N 420156,S200000,04200,0100,N 420156,S200000,04300,0100,N 420156,S200000,04600,0100,N 420156,S200000,04700,0100,N 420156,S200000,04700,0200,N 420156,S200000,04900,0100,N 420156,S200000,05000,0100,N 420156,S200000,05100,0100,N 420156,S200000,05200,0100,N 420156,S200000,05300,0100,Y 420156,S200000,05300,0200,42HO32 420156,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 420156,S200000,05400,0200,PALMETTO GBA 420156,S200000,05400,0300, 00380 420156,S200000,05500,0100,101 GRACE DRIVE 420156,S200000,05600,0100,EASLEY 420156,S200000,05600,0200,SC 420156,S200000,05600,0300,29640 420258,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420258,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420258,A000000,00300,0000,0300EMPLOYEE BENEFITS 420258,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420258,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420258,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420258,A000000,00700,0000,0700HOUSEKEEPING 420258,A000000,00800,0000,0800DIETARY 420258,A000000,00900,0000,0900NURSING ADMINISTRATION 420258,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420258,A000000,01100,0000,1100PHARMACY 420258,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420258,A000000,01300,0000,1300SOCIAL SERVICE 420258,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 420258,A000000,01500,0000,1350RECREATION 420258,A000000,01600,0000,1600SKILLED NURSING FACILITY 420258,A000000,01810,0000,1810ICF/MR 420258,A000000,02100,0000,2100RADIOLOGY 420258,A000000,02200,0000,2200LABORATORY 420258,A000000,02300,0000,2300INTRAVENOUS THERAPY 420258,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420258,A000000,02500,0000,2500PHYSICAL THERAPY 420258,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420258,A000000,02700,0000,2700SPEECH PATHOLOGY 420258,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420258,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420258,A000000,03550,0000,3550FQHC 420258,A000000,05000,0000,5000CORF 420258,A000000,05010,0000,5010CMHC 420258,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420258,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420258,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420258,A81000A,00100,0100,Y 420258,A81000B,00100,0300,SEE ATTACHED 420258,A81000B,00200,0300,HOME OFFICE INTEREST 420258,A81000B,00300,0300,HOME OFFICE A&G 420258,A81000B,00400,0300,HOME OFFICE CAP PIEC 420258,A81000C,00100,0100,B 420258,A81000C,00100,0400,SEE ATTACHED 420258,A81000C,00100,0600,VARIOUS 420258,A81000C,00200,0100,B 420258,A81000C,00200,0400,GHC 420258,A81000C,00200,0600,LONG TERM CARE 420258,A81000C,00300,0100,B 420258,A81000C,00300,0400,GHC 420258,A81000C,00300,0600,LONG TERM CARE 420258,A81000C,00400,0100,B 420258,A81000C,00400,0400,GHC 420258,A81000C,00400,0600,LONG TERM CARE 420258,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420258,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420258,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420258,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420258,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420258,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420258,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420258,B100000,00000,0800,0800MEALS SERVED :DIETARY 420258,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 420258,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 420258,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420258,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420258,B100000,00000,1500,1350PATIENT DAYS :RECREATION 420258,S000000,00100,0200,09/12/11 420258,S200000,00100,0100,32 HOSPITAL HILL ROAD 420258,S200000,00200,0100,GARDNER 420258,S200000,00200,0200,MA 420258,S200000,00200,0300,01440-2302 420258,S200000,00300,0100,WORCESTER 420258,S200000,00300,0201,49340 420258,S200000,00300,0300,U 420258,S200000,00400,0100,WACHUSETT MANOR 420258,S200000,00400,0200,225533 420258,S200000,00400,0300,09/17/97 420258,S200000,00400,0500,P 420258,S200000,01500,0100,Y 420258,S200000,01501,0200,N 420258,S200000,01502,0200,N 420258,S200000,01503,0200,N 420258,S200000,01504,0200,N 420258,S200000,01600,0100,N 420258,S200000,01700,0100,N 420258,S200000,01800,0100,N 420258,S200000,02200,0100,Y 420258,S200000,02800,0100,N 420258,S200000,02900,0100,N 420258,S200000,03000,0100,N 420258,S200000,03100,0100,N 420258,S200000,03200,0100,N 420258,S200000,03300,0100,N 420258,S200000,03300,0200,N 420258,S200000,04100,0100,N 420258,S200000,04200,0100,N 420258,S200000,04300,0100,N 420258,S200000,04600,0100,N 420258,S200000,04700,0100,N 420258,S200000,04700,0200,N 420258,S200000,04900,0100,N 420258,S200000,05000,0100,N 420258,S200000,05100,0100,N 420258,S200000,05200,0100,N 420258,S200000,05300,0100,Y 420258,S200000,05300,0200,HB0067 420258,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420258,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420258,S200000,05400,0300,12001 420258,S200000,05500,0100,101 EAST STATE STREET 420258,S200000,05600,0100,KENNETT SQUARE 420258,S200000,05600,0200,PA 420258,S200000,05600,0300,19348 420289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420289,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420289,A000000,00300,0000,0300EMPLOYEE BENEFITS 420289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420289,A000000,00700,0000,0700HOUSEKEEPING 420289,A000000,00800,0000,0800DIETARY 420289,A000000,00900,0000,0900NURSING ADMINISTRATION 420289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420289,A000000,01100,0000,1100PHARMACY 420289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420289,A000000,01300,0000,1300SOCIAL SERVICE 420289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420289,A000000,01500,0000,1350RECREATION 420289,A000000,01600,0000,1600SKILLED NURSING FACILITY 420289,A000000,01810,0000,1810ICF/MR 420289,A000000,02200,0000,2200LABORATORY 420289,A000000,02300,0000,2300INTRAVENOUS THERAPY 420289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420289,A000000,02500,0000,2500PHYSICAL THERAPY 420289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420289,A000000,02700,0000,2700SPEECH PATHOLOGY 420289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420289,A000000,03550,0000,3550FQHC 420289,A000000,04801,0000,4801AMBULANCE 420289,A000000,04802,0000,4802AMBULANCE 420289,A000000,04803,0000,4803AMBULANCE 420289,A000000,05000,0000,5000CORF 420289,A000000,05010,0000,5010CMHC 420289,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420289,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420289,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420289,A81000A,00100,0100,Y 420289,A81000B,00100,0300,SEE ATTACHED 420289,A81000B,00200,0300,CAPITAL INTEREST 420289,A81000B,00300,0300,HOME OFFICE 420289,A81000B,00400,0300,HOME OFFICE 420289,A81000C,00100,0100,B 420289,A81000C,00100,0400,SEE ATTACHED 420289,A81000C,00100,0600,VARIOUS 420289,A81000C,00200,0100,B 420289,A81000C,00200,0400,GHC 420289,A81000C,00200,0600,LONG TERM CARE 420289,A81000C,00300,0100,B 420289,A81000C,00300,0400,GHC 420289,A81000C,00300,0600,LONG TERM CARE 420289,A81000C,00400,0100,B 420289,A81000C,00400,0400,GHC 420289,A81000C,00400,0600,LONG TERM CARE 420289,B100000,00000,0100,0100SQUARE FEET 420289,B100000,00000,0200,0200SQUARE FEET 420289,B100000,00000,0300,0300GROSS SALARIES 420289,B100000,00000,0400,0400ACCUM COST 420289,B100000,00000,0500,0500SQUARE FEET 420289,B100000,00000,0600,0600PATIENT DAYS 420289,B100000,00000,0700,0700SQUARE FEET 420289,B100000,00000,0800,0800MEALS SERVED 420289,B100000,00000,0900,0900NURSING SALARIES 420289,B100000,00000,1000,1000COSTED REQUIS 420289,B100000,00000,1100,1100COSTED REQUIS 420289,B100000,00000,1200,1200PATIENT DAYS 420289,B100000,00000,1300,1300PATIENT DAYS 420289,B100000,00000,1400,1400ASSIGNED TIME 420289,B100000,00000,1500,1350PATIENT DAYS 420289,S000000,00100,0200,09/12/11 420289,S200000,00100,0100,93 MAIN STREET 420289,S200000,00200,0100,FRANCONIA 420289,S200000,00200,0200,NH 420289,S200000,00200,0300,03580 420289,S200000,00300,0100,GRAFTON 420289,S200000,00300,0201,99930 420289,S200000,00300,0300,R 420289,S200000,00400,0100,LAFAYETTE CENTER 420289,S200000,00400,0200,305077 420289,S200000,00400,0300,05/01/96 420289,S200000,00400,0500,P 420289,S200000,01500,0100,Y 420289,S200000,01501,0200,N 420289,S200000,01502,0200,N 420289,S200000,01503,0200,N 420289,S200000,01504,0200,N 420289,S200000,01600,0100,N 420289,S200000,01700,0100,N 420289,S200000,01800,0100,N 420289,S200000,02200,0100,Y 420289,S200000,02800,0100,N 420289,S200000,02900,0100,N 420289,S200000,03000,0100,N 420289,S200000,03100,0100,N 420289,S200000,03200,0100,N 420289,S200000,03300,0100,N 420289,S200000,03300,0200,N 420289,S200000,04200,0100,N 420289,S200000,04300,0100,N 420289,S200000,04600,0100,N 420289,S200000,04700,0100,N 420289,S200000,04900,0100,N 420289,S200000,05200,0100,N 420289,S200000,05300,0100,Y 420289,S200000,05300,0200,HB0067 420289,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420289,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420289,S200000,05400,0300,12001 420289,S200000,05500,0100,101 EAST STATE STREET 420289,S200000,05600,0100,KENNETT SQUARE 420289,S200000,05600,0200,PA 420289,S200000,05600,0300,19348 420312,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420312,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420312,A000000,00300,0000,0300EMPLOYEE BENEFITS 420312,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420312,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420312,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420312,A000000,00700,0000,0700HOUSEKEEPING 420312,A000000,00800,0000,0800DIETARY 420312,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420312,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420312,A000000,01300,0000,1300SOCIAL SERVICE 420312,A000000,01500,0000,1350ACTIVITIES 420312,A000000,01600,0000,1600SKILLED NURSING FACILITY 420312,A000000,02500,0000,2500PHYSICAL THERAPY 420312,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420312,A000000,02700,0000,2700SPEECH PATHOLOGY 420312,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420312,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420312,A000000,04800,0000,4800AMBULANCE 420312,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420312,A81000A,00100,0100,N 420312,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420312,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420312,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420312,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420312,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420312,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 420312,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420312,B100000,00000,0800,0800MEALS SERVED :DIETARY 420312,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 420312,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 420312,B100000,00000,1500,1350RESIDENT DAYS :ACTIVITIES 420312,G300000,02500,0000,OTHER INCOME 420312,S000000,00100,0200,09/30/11 420312,S200000,00100,0100,620 E. WOOD STREET 420312,S200000,00200,0100,CLEARWATER 420312,S200000,00200,0200,KS 420312,S200000,00200,0300,67026-9757 420312,S200000,00300,0100,SEDGWICK 420312,S200000,00300,0200,9040 420312,S200000,00300,0300,U 420312,S200000,00400,0100,CLEARWATER RETIREMENT COMM. INC. 420312,S200000,00400,0200,175454 420312,S200000,00400,0300,05/02/02 420312,S200000,00400,0500,P 420312,S200000,01500,0100,Y 420312,S200000,01501,0200,Y 420312,S200000,01600,0100,N 420312,S200000,01700,0100,N 420312,S200000,01800,0100,N 420312,S200000,02200,0100,N 420312,S200000,02800,0100,N 420312,S200000,02900,0100,N 420312,S200000,03000,0100,N 420312,S200000,03100,0100,N 420312,S200000,03200,0100,N 420312,S200000,03300,0100,N 420312,S200000,03300,0200,N 420312,S200000,04100,0100,N 420312,S200000,04200,0100,N 420312,S200000,04300,0100,N 420312,S200000,04600,0100,N 420312,S200000,04700,0100,N 420312,S200000,04700,0200,N 420312,S200000,04900,0100,N 420312,S200000,05000,0100,N 420312,S200000,05100,0100,N 420312,S200000,05200,0100,N 420312,S200000,05300,0100,N 420327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420327,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420327,A000000,00300,0000,0300EMPLOYEE BENEFITS 420327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420327,A000000,00700,0000,0700HOUSEKEEPING 420327,A000000,00800,0000,0800DIETARY 420327,A000000,00900,0000,0900NURSING ADMINISTRATION 420327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420327,A000000,01100,0000,1100PHARMACY 420327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420327,A000000,01300,0000,1300SOCIAL SERVICE 420327,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420327,A000000,01500,0000,1350RECREATION 420327,A000000,01600,0000,1600SKILLED NURSING FACILITY 420327,A000000,01810,0000,1810ICF/MR 420327,A000000,02100,0000,2100RADIOLOGY 420327,A000000,02200,0000,2200LABORATORY 420327,A000000,02300,0000,2300INTRAVENOUS THERAPY 420327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420327,A000000,02500,0000,2500PHYSICAL THERAPY 420327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420327,A000000,02700,0000,2700SPEECH PATHOLOGY 420327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420327,A000000,03550,0000,3550FQHC 420327,A000000,04801,0000,4801AMBULANCE 420327,A000000,04802,0000,4802AMBULANCE 420327,A000000,04803,0000,4803AMBULANCE 420327,A000000,05000,0000,5000CORF 420327,A000000,05010,0000,5010CMHC 420327,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420327,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420327,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420327,A81000A,00100,0100,Y 420327,A81000B,00100,0300,SEE ATTACHED 420327,A81000B,00200,0300,HOME OFFICE INTEREST 420327,A81000B,00300,0300,HOME OFFICE A&G 420327,A81000B,00400,0300,HOME OFFICE CAP PIEC 420327,A81000C,00100,0100,B 420327,A81000C,00100,0400,SEE ATTACHED 420327,A81000C,00100,0600,VARIOUS 420327,A81000C,00200,0100,B 420327,A81000C,00200,0400,GHC 420327,A81000C,00200,0600,LONG TERM CARE 420327,A81000C,00300,0100,B 420327,A81000C,00300,0400,GHC 420327,A81000C,00300,0600,LONG TERM CARE 420327,A81000C,00400,0100,B 420327,A81000C,00400,0400,GHC 420327,A81000C,00400,0600,LONG TERM CARE 420327,B100000,00000,0100,0100SQUARE FEET 420327,B100000,00000,0200,0200SQUARE FEET 420327,B100000,00000,0300,0300GROSS SALARIES 420327,B100000,00000,0400,0400ACCUM COST 420327,B100000,00000,0500,0500SQUARE FEET 420327,B100000,00000,0600,0600PATIENT DAYS 420327,B100000,00000,0700,0700SQUARE FEET 420327,B100000,00000,0800,0800MEALS SERVED 420327,B100000,00000,0900,0900NURSING SALARIES 420327,B100000,00000,1000,1000COSTED REQUIS 420327,B100000,00000,1100,1100COSTED REQUIS 420327,B100000,00000,1200,1200PATIENT DAYS 420327,B100000,00000,1300,1300PATIENT DAYS 420327,B100000,00000,1400,1400ASSIGNED TIME 420327,B100000,00000,1500,1350PATIENT DAYS 420327,S000000,00100,0200,09/12/11 420327,S200000,00100,0100,175 BLUEBERRY LANE 420327,S200000,00200,0100,LACONIA 420327,S200000,00200,0200,NH 420327,S200000,00200,0300,03246 420327,S200000,00300,0100,BELKNAP 420327,S200000,00300,0201,99930 420327,S200000,00300,0300,R 420327,S200000,00400,0100,LACONIA REHAB CENTER 420327,S200000,00400,0200,305040 420327,S200000,00400,0300,04/12/90 420327,S200000,00400,0500,P 420327,S200000,01500,0100,Y 420327,S200000,01501,0200,N 420327,S200000,01502,0200,N 420327,S200000,01503,0200,N 420327,S200000,01504,0200,N 420327,S200000,01600,0100,N 420327,S200000,01700,0100,N 420327,S200000,01800,0100,N 420327,S200000,02200,0100,Y 420327,S200000,02800,0100,N 420327,S200000,02900,0100,N 420327,S200000,03000,0100,N 420327,S200000,03100,0100,N 420327,S200000,03200,0100,N 420327,S200000,03300,0100,N 420327,S200000,03300,0200,N 420327,S200000,04200,0100,N 420327,S200000,04300,0100,N 420327,S200000,04600,0100,N 420327,S200000,04700,0100,N 420327,S200000,04900,0100,N 420327,S200000,05200,0100,N 420327,S200000,05300,0100,Y 420327,S200000,05300,0200,HB0067 420327,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420327,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420327,S200000,05400,0300,12001 420327,S200000,05500,0100,101 EAST STATE STREET 420327,S200000,05600,0100,KENNETT SQUARE 420327,S200000,05600,0200,PA 420327,S200000,05600,0300,19348 420359,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420359,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420359,A000000,00300,0000,0300EMPLOYEE BENEFITS 420359,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420359,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420359,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420359,A000000,00700,0000,0700HOUSEKEEPING 420359,A000000,00800,0000,0800DIETARY 420359,A000000,00900,0000,0900NURSING ADMINISTRATION 420359,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420359,A000000,01100,0000,1100PHARMACY 420359,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420359,A000000,01300,0000,1300SOCIAL SERVICE 420359,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420359,A000000,01500,0000,1350RECREATION 420359,A000000,01600,0000,1600SKILLED NURSING FACILITY 420359,A000000,01810,0000,1810ICF/MR 420359,A000000,02100,0000,2100RADIOLOGY 420359,A000000,02200,0000,2200LABORATORY 420359,A000000,02300,0000,2300INTRAVENOUS THERAPY 420359,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420359,A000000,02500,0000,2500PHYSICAL THERAPY 420359,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420359,A000000,02700,0000,2700SPEECH PATHOLOGY 420359,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420359,A000000,03550,0000,3550FQHC 420359,A000000,04801,0000,4801AMBULANCE 420359,A000000,04802,0000,4802AMBULANCE 420359,A000000,04803,0000,4803AMBULANCE 420359,A000000,05000,0000,5000CORF 420359,A000000,05010,0000,5010CMHC 420359,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420359,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420359,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420359,A81000A,00100,0100,Y 420359,A81000B,00100,0300,AS ATTACHED 420359,A81000B,00200,0300,HOME OFFICE INTEREST 420359,A81000B,00300,0300,HOME OFFICE A&G 420359,A81000B,00400,0300,HOME OFFICE CAP PIEC 420359,A81000C,00100,0100,B 420359,A81000C,00100,0400,AS ATTACHED 420359,A81000C,00100,0600,VARIOUS 420359,A81000C,00200,0100,B 420359,A81000C,00200,0400,GHC 420359,A81000C,00200,0600,LONG TERM CARE 420359,A81000C,00300,0100,B 420359,A81000C,00300,0400,GHC 420359,A81000C,00300,0600,LONG TERM CARE 420359,A81000C,00400,0100,B 420359,A81000C,00400,0400,GHC 420359,A81000C,00400,0600,LONG TERM CARE 420359,B100000,00000,0100,0100SQUARE FEET 420359,B100000,00000,0200,0200SQUARE FEET 420359,B100000,00000,0300,0300GROSS SALARIES 420359,B100000,00000,0400,0400ACCUM COST 420359,B100000,00000,0500,0500SQUARE FEET 420359,B100000,00000,0600,0600PATIENT DAYS 420359,B100000,00000,0700,0700SQUARE FEET 420359,B100000,00000,0800,0800MEALS SERVED 420359,B100000,00000,0900,0900NURSING SALARIES 420359,B100000,00000,1000,1000COSTED REQUIS 420359,B100000,00000,1100,1100COSTED REQUIS 420359,B100000,00000,1200,1200PATIENT DAYS 420359,B100000,00000,1300,1300PATIENT DAYS 420359,B100000,00000,1400,1400ASSIGNED TIME 420359,B100000,00000,1500,1350PATIENT DAYS 420359,G300000,02500,0000,INTEREST INCOME 420359,S000000,00100,0200,09/12/11 420359,S200000,00100,0100,677 COURT STREET 420359,S200000,00200,0100,KEENE 420359,S200000,00200,0200,NH 420359,S200000,00200,0300,03431 420359,S200000,00300,0100,CHESHIRE 420359,S200000,00300,0201,99930 420359,S200000,00300,0300,R 420359,S200000,00400,0100,KEENE CENTER 420359,S200000,00400,0200,305051 420359,S200000,00400,0300,06/01/95 420359,S200000,00400,0500,P 420359,S200000,01500,0100,Y 420359,S200000,01501,0200,N 420359,S200000,01502,0200,N 420359,S200000,01503,0200,N 420359,S200000,01504,0200,N 420359,S200000,01600,0100,N 420359,S200000,01700,0100,N 420359,S200000,01800,0100,N 420359,S200000,02200,0100,Y 420359,S200000,02800,0100,N 420359,S200000,02900,0100,N 420359,S200000,03000,0100,N 420359,S200000,03100,0100,N 420359,S200000,03200,0100,N 420359,S200000,03300,0100,N 420359,S200000,03300,0200,N 420359,S200000,04200,0100,N 420359,S200000,04300,0100,N 420359,S200000,04600,0100,N 420359,S200000,04700,0100,N 420359,S200000,04900,0100,N 420359,S200000,05200,0100,N 420359,S200000,05300,0100,Y 420359,S200000,05300,0200,HB0067 420359,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420359,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420359,S200000,05400,0300,12001 420359,S200000,05500,0100,101 EAST STATE STREET 420359,S200000,05600,0100,KENNETT SQUARE 420359,S200000,05600,0200,PA 420359,S200000,05600,0300,19348 420360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420360,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420360,A000000,00300,0000,0300EMPLOYEE BENEFITS 420360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420360,A000000,00700,0000,0700HOUSEKEEPING 420360,A000000,00800,0000,0800DIETARY 420360,A000000,00900,0000,0900NURSING ADMINISTRATION 420360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420360,A000000,01100,0000,1100PHARMACY 420360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420360,A000000,01300,0000,1300SOCIAL SERVICE 420360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420360,A000000,01500,0000,1350RECREATION 420360,A000000,01600,0000,1600SKILLED NURSING FACILITY 420360,A000000,01810,0000,1810ICF/MR 420360,A000000,02100,0000,2100RADIOLOGY 420360,A000000,02200,0000,2200LABORATORY 420360,A000000,02300,0000,2300INTRAVENOUS THERAPY 420360,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420360,A000000,02500,0000,2500PHYSICAL THERAPY 420360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420360,A000000,02700,0000,2700SPEECH PATHOLOGY 420360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 420360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420360,A000000,03550,0000,3550FQHC 420360,A000000,04801,0000,4801AMBULANCE 420360,A000000,04802,0000,4802AMBULANCE 420360,A000000,04803,0000,4803AMBULANCE 420360,A000000,05000,0000,5000CORF 420360,A000000,05010,0000,5010CMHC 420360,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420360,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420360,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420360,A81000A,00100,0100,Y 420360,A81000B,00100,0300,SEE ATTACHED 420360,A81000B,00200,0300,HOME OFFICE ADMIN 420360,A81000B,00300,0300,HOME OFFICE CAPITAL 420360,A81000C,00100,0100,B 420360,A81000C,00100,0400,SEE ATTACHED 420360,A81000C,00100,0600,VARIOUS 420360,A81000C,00200,0100,B 420360,A81000C,00200,0400,GHC 420360,A81000C,00200,0600,LONG TERM CARE 420360,A81000C,00300,0100,B 420360,A81000C,00300,0400,GHC 420360,A81000C,00300,0600,LONG TERM CARE 420360,B100000,00000,0100,0100SQUARE FEET 420360,B100000,00000,0200,0200SQUARE FEET 420360,B100000,00000,0300,0300GROSS SALARIES 420360,B100000,00000,0400,0400ACCUM COST 420360,B100000,00000,0500,0500SQUARE FEET 420360,B100000,00000,0600,0600PATIENT DAYS 420360,B100000,00000,0700,0700SQUARE FEET 420360,B100000,00000,0800,0800MEALS SERVED 420360,B100000,00000,0900,0900NURSING SALARIES 420360,B100000,00000,1000,1000COSTED REQUIS 420360,B100000,00000,1100,1100COSTED REQUIS 420360,B100000,00000,1200,1200PATIENT DAYS 420360,B100000,00000,1300,1300PATIENT DAYS 420360,B100000,00000,1400,1400ASSIGNED TIME 420360,B100000,00000,1500,1350PATIENT DAYS 420360,S000000,00100,0200,09/12/11 420360,S200000,00100,0100,3000 BALFOUR CIRCLE 420360,S200000,00200,0100,PHOENIXVILLE 420360,S200000,00200,0200,PA 420360,S200000,00200,0300,19460 420360,S200000,00300,0100,MONTGOMERY 420360,S200000,00300,0201,37964 420360,S200000,00300,0300,U 420360,S200000,00400,0100,GENESIS HEALTHCARE @ SPRING MILL 420360,S200000,00400,0200,396126 420360,S200000,00400,0300,12/09/09 420360,S200000,00400,0500,P 420360,S200000,01500,0100,Y 420360,S200000,01501,0200,N 420360,S200000,01502,0200,N 420360,S200000,01503,0200,N 420360,S200000,01504,0200,N 420360,S200000,01600,0100,N 420360,S200000,01700,0100,N 420360,S200000,01800,0100,N 420360,S200000,02200,0100,Y 420360,S200000,02800,0100,N 420360,S200000,02900,0100,N 420360,S200000,03000,0100,N 420360,S200000,03100,0100,N 420360,S200000,03200,0100,N 420360,S200000,03300,0100,N 420360,S200000,03300,0200,N 420360,S200000,04200,0100,N 420360,S200000,04300,0100,N 420360,S200000,04600,0100,N 420360,S200000,04700,0100,N 420360,S200000,04900,0100,N 420360,S200000,05200,0100,N 420360,S200000,05300,0100,Y 420360,S200000,05300,0200,HB0067 420360,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420360,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420360,S200000,05400,0300,12001 420360,S200000,05500,0100,101 EAST STATE STREET 420360,S200000,05600,0100,KENNETT SQUARE 420360,S200000,05600,0200,PA 420360,S200000,05600,0300,19348 420408,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420408,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420408,A000000,00300,0000,0300EMPLOYEE BENEFITS 420408,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420408,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420408,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420408,A000000,00700,0000,0700HOUSEKEEPING 420408,A000000,00800,0000,0800DIETARY 420408,A000000,00900,0000,0900NURSING ADMINISTRATION 420408,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420408,A000000,01100,0000,1100PHARMACY 420408,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420408,A000000,01300,0000,1300SOCIAL SERVICE 420408,A000000,01600,0000,1600SKILLED NURSING FACILITY 420408,A000000,01800,0000,1800NURSING FACILITY 420408,A000000,01900,0000,1900OTHER LONG TERM CARE 420408,A000000,02100,0000,2100RADIOLOGY 420408,A000000,02200,0000,2200LABORATORY 420408,A000000,02300,0000,2300INTRAVENOUS THERAPY 420408,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420408,A000000,02500,0000,2500PHYSICAL THERAPY 420408,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420408,A000000,02700,0000,2700SPEECH PATHOLOGY 420408,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420408,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420408,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420408,A000000,03200,0000,3200SUPPORT SURFACES 420408,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 420408,A000000,04800,0000,4800AMBULANCE 420408,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420408,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420408,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420408,A81000A,00100,0100,Y 420408,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES 420408,A81000B,00200,0300,LEASE BUILDING 420408,A81000B,00300,0300,ALLOWABLE HOME OFFICE 420408,A81000B,00400,0300,PHARMACY CONSULTING FEES 420408,A81000B,00500,0300,PHARMACY OTC SUPPLIES 420408,A81000B,00600,0300,ADMIN PURCHASED SERVICES 420408,A81000B,00700,0300,ANCILL SUPP-MEDICAL MATERIALS 420408,A81000B,00800,0300,ANCILLARY SUPPLIES-ENTERALS 420408,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 420408,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 420408,A81000B,01100,0300,PHARMACEUTICALS-SOC 420408,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 420408,A81000B,01300,0300,I.V. THERAPY SUPPLIES 420408,A81000C,00100,0100,C 420408,A81000C,00100,0400,PACIFIC WEST PH 420408,A81000C,00100,0600,PHARMACY 420408,A81000C,00200,0100,C 420408,A81000C,00200,0400,EMERALD DISTRIB 420408,A81000C,00200,0600,DISTRIBUTORSHIP 420408,A81000C,00300,0100,F 420408,A81000C,00300,0400,HORIZON WEST HE 420408,A81000C,00300,0600,HOME OFFICE 420408,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420408,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420408,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420408,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420408,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420408,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 420408,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420408,B100000,00000,0800,0800MEALS SERVED :DIETARY 420408,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 420408,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 420408,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 420408,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 420408,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420408,G300000,02500,0000, OTHER (SPECIFY) 420408,S000000,00100,0200,10/28/11 420408,S200000,00100,0100,12225 SHALE RIDGE LANE 420408,S200000,00200,0100,AUBURN 420408,S200000,00200,0200,CA 420408,S200000,00200,0300,95602 420408,S200000,00300,0100,PLACER 420408,S200000,00300,0201,40900 420408,S200000,00300,0300,U 420408,S200000,00400,0100,HORIZON WEST - AUBURN RIDGE 420408,S200000,00400,0200,055776 420408,S200000,00400,0300,01/01/68 420408,S200000,00400,0500,P 420408,S200000,01500,0100,Y 420408,S200000,01501,0200,Y 420408,S200000,01600,0100,N 420408,S200000,01700,0100,N 420408,S200000,01800,0100,N 420408,S200000,02200,0100,N 420408,S200000,02800,0100,N 420408,S200000,02900,0100,N 420408,S200000,03000,0100,N 420408,S200000,03100,0100,N 420408,S200000,03200,0100,N 420408,S200000,03300,0100,N 420408,S200000,03300,0200,N 420408,S200000,04100,0100,N 420408,S200000,04200,0100,N 420408,S200000,04300,0100,N 420408,S200000,04600,0100,N 420408,S200000,04700,0100,N 420408,S200000,04700,0200,N 420408,S200000,04900,0100,N 420408,S200000,05000,0100,N 420408,S200000,05100,0100,N 420408,S200000,05200,0100,N 420408,S200000,05300,0100,Y 420408,S200000,05300,0200,951175 420408,S200000,05400,0100,HORIZON WEST HEADQUARTERS 420408,S200000,05400,0200,PALMETTO GBA 420408,S200000,05400,0300,01001 420408,S200000,05500,0100,4020 SIERRA COLLEGE 420408,S200000,05600,0100,ROCKLIN 420408,S200000,05600,0200,CA 420408,S200000,05600,0300,95677 420514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420514,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420514,A000000,00300,0000,0300EMPLOYEE BENEFITS 420514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420514,A000000,00700,0000,0700HOUSEKEEPING 420514,A000000,00800,0000,0800DIETARY 420514,A000000,00900,0000,0900NURSING ADMINISTRATION 420514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420514,A000000,01300,0000,1300SOCIAL SERVICE 420514,A000000,01600,0000,1600SKILLED NURSING FACILITY 420514,A000000,02100,0000,2100RADIOLOGY 420514,A000000,02200,0000,2200LABORATORY 420514,A000000,02500,0000,2500PHYSICAL THERAPY 420514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420514,A000000,02700,0000,2700SPEECH PATHOLOGY 420514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420514,A000000,05300,0000,5300INTEREST EXPENSE 420514,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420514,A81000A,00100,0100,Y 420514,A81000B,00100,0300,MANAGEMENT FEES 420514,A81000B,00200,0300,HOME OFFICE FEES 420514,A81000B,00300,0300,MAINTENANCE 420514,A81000B,00400,0300,NURSING 420514,A81000B,00500,0300,OFFICER / DIRECTOR SALARY 420514,A81000B,00600,0300,OFFICE EXPENSE 420514,A81000B,00700,0300,PAYROLL TAXES 420514,A81000C,00100,0100,B 420514,A81000C,00100,0200,HI CARE MANAGEMENT INC 420514,A81000C,00100,0600,MANAGEMENT COMPANY 420514,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420514,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420514,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420514,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420514,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420514,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420514,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420514,B100000,00000,0800,0850PATIENT DAYS :DIETARY 420514,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 420514,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 420514,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 420514,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 420514,E10A180,00301,0100,07/25/11 420514,G300000,02500,0000,BARBER & BEAUTICIAN 420514,G300000,02501,0000,MISCELLANEOUS OTHER INCOME 420514,S000000,00100,0200,09/28/11 420514,S200000,00100,0100,2600 REDMAN ROAD 420514,S200000,00200,0100,ST LOUIS 420514,S200000,00200,0200,MO 420514,S200000,00200,0300,63136 420514,S200000,00300,0100,ST LOUIS 420514,S200000,00300,0200,7040 420514,S200000,00300,0201,41180 420514,S200000,00300,0300,U 420514,S200000,00400,0100,WILLOWBROOKE NURSING AND REHAB 420514,S200000,00400,0200,265586 420514,S200000,00400,0300,06/15/94 420514,S200000,00400,0500,P 420514,S200000,01500,0100,Y 420514,S200000,01501,0200,Y 420514,S200000,01505,0000,OTHER 420514,S200000,01505,0200,Y 420514,S200000,01600,0100,N 420514,S200000,01700,0100,N 420514,S200000,01800,0100,N 420514,S200000,02200,0100,N 420514,S200000,02800,0100,N 420514,S200000,02900,0100,N 420514,S200000,03000,0100,N 420514,S200000,03100,0100,N 420514,S200000,03200,0100,N 420514,S200000,03300,0100,N 420514,S200000,03300,0200,N 420514,S200000,04100,0100,N 420514,S200000,04200,0100,N 420514,S200000,04300,0100,N 420514,S200000,04600,0100,N 420514,S200000,04700,0100,N 420514,S200000,04700,0200,N 420514,S200000,04900,0100,N 420514,S200000,05000,0100,N 420514,S200000,05100,0100,N 420514,S200000,05200,0100,N 420520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420520,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420520,A000000,00300,0000,0300EMPLOYEE BENEFITS 420520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420520,A000000,00700,0000,0700HOUSEKEEPING 420520,A000000,00800,0000,0800DIETARY 420520,A000000,00900,0000,0900NURSING ADMINISTRATION 420520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420520,A000000,01100,0000,1100PHARMACY 420520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420520,A000000,01300,0000,1300SOCIAL SERVICE 420520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 420520,A000000,01500,0000,1350ACTIVITIES 420520,A000000,01600,0000,1600SKILLED NURSING FACILITY 420520,A000000,01800,0000,1800NURSING FACILITY 420520,A000000,01900,0000,1900OTHER LONG TERM CARE 420520,A000000,02100,0000,2100RADIOLOGY 420520,A000000,02200,0000,2200LABORATORY 420520,A000000,02300,0000,2300INTRAVENOUS THERAPY 420520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420520,A000000,02500,0000,2500PHYSICAL THERAPY 420520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420520,A000000,02700,0000,2700SPEECH PATHOLOGY 420520,A000000,02800,0000,2800ELECTROCARDIOLOGY 420520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420520,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420520,A000000,03200,0000,3200SUPPORT SURFACES 420520,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 420520,A000000,03400,0000,3400CLINIC 420520,A000000,03500,0000,3500RURAL HEALTH CLINIC 420520,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 420520,A000000,04800,0000,4800AMBULANCE 420520,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 420520,A000000,05000,0000,5000CORF 420520,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 420520,A000000,05300,0000,5300INTEREST EXPENSE 420520,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420520,A000000,05500,0000,5500HOSPICE 420520,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 420520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420520,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 420520,A000000,06100,0000,6100NONPAID WORKERS 420520,A000000,06200,0000,6200PATIENTS LAUNDRY 420520,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 420520,A81000A,00100,0100,Y 420520,A81000B,00100,0300,CAPITAL COSTS OF RELATED PARTY LEASE 420520,A81000B,00200,0300,MANAGEMENT FEES (HOME OFFICE) 420520,A81000C,00100,0100,A 420520,A81000C,00100,0200,VARIOUS INDIVID 420520,A81000C,00100,0400,LAKEWOOD-SEVILL 420520,A81000C,00100,0600,LEASING 420520,A81000C,00200,0100,A 420520,A81000C,00200,0200,VARIOUS INDIVID 420520,A81000C,00200,0400,LAKEWOOD MANAGE 420520,A81000C,00200,0600,MANAGEMENT 420520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420520,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420520,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420520,B100000,00000,0800,0800MEALS SERVED :DIETARY 420520,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 420520,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420520,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 420520,G300000,02501,0000,PRIVATE ROOM CHARGES 420520,G300000,02502,0000,VENDING REVENUE 420520,G300000,02503,0000,APARTMENT REVENUE 420520,G300000,02504,0000,P/M ADJUSTMENT 420520,G300000,02505,0000,P/Y ADJUSTMENT 420520,S000000,00100,0200,10/31/11 420520,S200000,00100,0100,1319 SEVILLE STREET 420520,S200000,00200,0100,WITCHITA 420520,S200000,00200,0200,KS 420520,S200000,00200,0300,67209-3306 420520,S200000,00300,0100,SEDGWICK 420520,S200000,00300,0201,48620 420520,S200000,00300,0300,U 420520,S200000,00400,0100,LAKEWOOD SENIOR LIVING OF SEVILLE 420520,S200000,00400,0200,175253 420520,S200000,00400,0300,01/01/06 420520,S200000,00400,0500,P 420520,S200000,01500,0100,Y 420520,S200000,01501,0200,Y 420520,S200000,01600,0100,N 420520,S200000,01700,0100,N 420520,S200000,01800,0100,N 420520,S200000,02200,0100,N 420520,S200000,02800,0100,N 420520,S200000,02900,0100,N 420520,S200000,03000,0100,N 420520,S200000,03100,0100,N 420520,S200000,03200,0100,N 420520,S200000,03300,0100,N 420520,S200000,03300,0200,N 420520,S200000,04100,0100,N 420520,S200000,04200,0100,N 420520,S200000,04300,0100,N 420520,S200000,04600,0100,N 420520,S200000,04700,0100,N 420520,S200000,04700,0200,N 420520,S200000,04900,0100,N 420520,S200000,05000,0100,N 420520,S200000,05100,0100,N 420520,S200000,05200,0100,N 420520,S200000,05300,0100,Y 420520,S200000,05300,0200,HB0035 420520,S200000,05400,0100,LAKEWOOD MANAGEMENT 420520,S200000,05400,0200,WPS 420520,S200000,05400,0300,HB0035 420520,S200000,05500,0100,30087TH AVENUE SOUTH 420520,S200000,05600,0100,BIRMINGHAM 420520,S200000,05600,0200,AL 420520,S200000,05600,0300,35233 420528,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420528,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420528,A000000,00300,0000,0300EMPLOYEE BENEFITS 420528,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420528,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420528,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420528,A000000,00700,0000,0700HOUSEKEEPING 420528,A000000,00800,0000,0800DIETARY 420528,A000000,00900,0000,0900NURSING ADMINISTRATION 420528,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420528,A000000,01100,0000,1100PHARMACY 420528,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420528,A000000,01300,0000,1300SOCIAL SERVICE 420528,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420528,A000000,01500,0000,1350ACTIVITIES 420528,A000000,01600,0000,1600SKILLED NURSING FACILITY 420528,A000000,01810,0000,1810ICF/MR 420528,A000000,02100,0000,2100RADIOLOGY 420528,A000000,02200,0000,2200LABORATORY 420528,A000000,02300,0000,2300INTRAVENOUS THERAPY 420528,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420528,A000000,02500,0000,2500PHYSICAL THERAPY 420528,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420528,A000000,02700,0000,2700SPEECH PATHOLOGY 420528,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 420528,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420528,A000000,03200,0000,3200SUPPORT SURFACES 420528,A000000,03300,0000,3050PEN BILLING 420528,A000000,03550,0000,3550FQHC 420528,A000000,04801,0000,4801AMBULANCE 420528,A000000,04802,0000,4802AMBULANCE 420528,A000000,04803,0000,4803AMBULANCE 420528,A000000,05000,0000,5000CORF 420528,A000000,05010,0000,5010CMHC 420528,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420528,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420528,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420528,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420528,A81000A,00100,0100,Y 420528,A81000B,00100,0300,HOME OFFICE A AND G 420528,A81000B,00200,0300,DIR INT AND AMORT 420528,A81000B,00300,0300,HOME OFFICE CAP REL 420528,A81000B,00400,0300,PT 420528,A81000B,00500,0300,OT 420528,A81000B,00600,0300,ST 420528,A81000B,00700,0300,RT/OXYGEN 420528,A81000B,00800,0300,MED DIRECTOR FEES 420528,A81000B,00900,0300,VAR NURS PURCH SERV 420528,A81000C,00100,0100,B 420528,A81000C,00100,0200,GENESIS HEALTHC 420528,A81000C,00100,0600,MNGT CO 420528,A81000C,00200,0100,B 420528,A81000C,00200,0200,GENESIS HOSP SE 420528,A81000C,00200,0600,NUTRITIONIST 420528,A81000C,00300,0100,B 420528,A81000C,00300,0200,GENESIS REHAB S 420528,A81000C,00300,0600,REHAB 420528,A81000C,00400,0100,B 420528,A81000C,00400,0200,RESP HEALTH SER 420528,A81000C,00400,0600,RT 420528,A81000C,00500,0100,B 420528,A81000C,00500,0200,GENESIS STAFF 420528,A81000C,00500,0600,PUR SER NUR STA 420528,A81000C,00600,0100,B 420528,A81000C,00600,0200,GENESIS PHYS SE 420528,A81000C,00600,0600,MED DIRECTOR 420528,B100000,00000,0100,0100SQUARE FEET 420528,B100000,00000,0200,0200SQUARE FEET 420528,B100000,00000,0300,0300GROSS SALARIES 420528,B100000,00000,0400,0400ACCUM COST 420528,B100000,00000,0500,0500SQUARE FEET 420528,B100000,00000,0600,0600PT DAYS 420528,B100000,00000,0700,0700SQ FEET 420528,B100000,00000,0800,0800MEALS SERVED 420528,B100000,00000,0900,0900PT DAYS 420528,B100000,00000,1000,1000COSTED REQUIS 420528,B100000,00000,1100,1100COSTED REQUIS 420528,B100000,00000,1200,1200GROSS CHARGES 420528,B100000,00000,1300,1300PT DAYS 420528,B100000,00000,1400,1400ASSIGNED TIME 420528,B100000,00000,1500,1350PT DAYS 420528,S000000,00100,0200,09/26/11 420528,S200000,00100,0100,9101 SEC STREET 420528,S200000,00200,0100,SILVER SPRING 420528,S200000,00200,0200,MD 420528,S200000,00200,0300,20910 420528,S200000,00300,0100,MONTGOMERY 420528,S200000,00300,0201,13644 420528,S200000,00300,0300,U 420528,S200000,00400,0100,WOODSIDE CENTER 420528,S200000,00400,0200,215060 420528,S200000,00400,0300,10/01/96 420528,S200000,00400,0500,P 420528,S200000,00600,0200,215060 420528,S200000,00600,0300,01/01/96 420528,S200000,00600,0600,O 420528,S200000,01500,0100,Y 420528,S200000,01501,0200,N 420528,S200000,01502,0200,N 420528,S200000,01503,0200,N 420528,S200000,01504,0200,N 420528,S200000,01505,0000,DON BONUS 420528,S200000,01505,0200,N 420528,S200000,01600,0100,Y 420528,S200000,01700,0100,N 420528,S200000,01800,0100,N 420528,S200000,02200,0100,N 420528,S200000,02800,0100,N 420528,S200000,02900,0100,N 420528,S200000,03000,0100,N 420528,S200000,03100,0100,N 420528,S200000,03200,0100,N 420528,S200000,03300,0100,N 420528,S200000,03300,0200,N 420528,S200000,04300,0100,N 420528,S200000,04600,0100,N 420528,S200000,04700,0100,N 420528,S200000,04900,0100,N 420528,S200000,05200,0100,N 420528,S200000,05300,0100,Y 420528,S200000,05300,0200,HB0067 420528,S200000,05400,0100,GENESIS HEALTHCARE 420528,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420528,S200000,05400,0300,12001 420528,S200000,05500,0100,101 EAST STATE STREET 420528,S200000,05600,0100,KENNETT SQUARE 420528,S200000,05600,0200,PA 420528,S200000,05600,0300,19348 420546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420546,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420546,A000000,00300,0000,0300EMPLOYEE BENEFITS 420546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420546,A000000,00700,0000,0700HOUSEKEEPING 420546,A000000,00800,0000,0800DIETARY 420546,A000000,00900,0000,0900NURSING ADMINISTRATION 420546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420546,A000000,01100,0000,1100PHARMACY 420546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420546,A000000,01300,0000,1300SOCIAL SERVICE 420546,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420546,A000000,01500,0000,1350RECREATION 420546,A000000,01600,0000,1600SKILLED NURSING FACILITY 420546,A000000,01810,0000,1810ICF/MR 420546,A000000,02100,0000,2100RADIOLOGY 420546,A000000,02200,0000,2200LABORATORY 420546,A000000,02300,0000,2300INTRAVENOUS THERAPY 420546,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420546,A000000,02500,0000,2500PHYSICAL THERAPY 420546,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420546,A000000,02700,0000,2700SPEECH PATHOLOGY 420546,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 420546,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420546,A000000,03550,0000,3550FQHC 420546,A000000,04801,0000,4801AMBULANCE 420546,A000000,04802,0000,4802AMBULANCE 420546,A000000,04803,0000,4803AMBULANCE 420546,A000000,05000,0000,5000CORF 420546,A000000,05010,0000,5010CMHC 420546,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420546,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420546,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420546,A81000A,00100,0100,Y 420546,A81000B,00100,0300,SEE ATTACHED 420546,A81000B,00200,0300,CAPITAL INTEREST 420546,A81000B,00300,0300,HOME OFFICE 420546,A81000B,00400,0300,HOME OFFICE 420546,A81000C,00100,0100,B 420546,A81000C,00100,0400,SEE ATTACHED 420546,A81000C,00100,0600,VARIOUS 420546,A81000C,00200,0100,B 420546,A81000C,00200,0400,GHC 420546,A81000C,00200,0600,LONG TERM CARE 420546,A81000C,00300,0100,B 420546,A81000C,00300,0400,GHC 420546,A81000C,00300,0600,LONG TERM CARE 420546,A81000C,00400,0100,B 420546,A81000C,00400,0400,GHC 420546,A81000C,00400,0600,LONG TERM CARE 420546,B100000,00000,0100,0100SQUARE FEET 420546,B100000,00000,0200,0200SQUARE FEET 420546,B100000,00000,0300,0300GROSS SALARIES 420546,B100000,00000,0400,0400ACCUM COST 420546,B100000,00000,0500,0500SQUARE FEET 420546,B100000,00000,0600,0600PATIENT DAYS 420546,B100000,00000,0700,0700SQUARE FEET 420546,B100000,00000,0800,0800MEALS SERVED 420546,B100000,00000,0900,0900NURSING SALARIES 420546,B100000,00000,1000,1000COSTED REQUIS 420546,B100000,00000,1100,1100COSTED REQUIS 420546,B100000,00000,1200,1200PATIENT DAYS 420546,B100000,00000,1300,1300PATIENT DAYS 420546,B100000,00000,1400,1400ASSIGNED TIME 420546,B100000,00000,1500,1350PATIENT DAYS 420546,S000000,00100,0200,09/12/11 420546,S200000,00100,0100,91 COUNTRY VILLAGE ROAD 420546,S200000,00200,0100,LANCASTER 420546,S200000,00200,0200,NH 420546,S200000,00200,0300,03584 420546,S200000,00300,0100,COOS 420546,S200000,00300,0201,99930 420546,S200000,00300,0300,R 420546,S200000,00400,0100,COUNTRY VILLAGE CENTER 420546,S200000,00400,0200,305076 420546,S200000,00400,0300,05/01/96 420546,S200000,00400,0500,P 420546,S200000,01500,0100,Y 420546,S200000,01501,0200,N 420546,S200000,01502,0200,N 420546,S200000,01503,0200,N 420546,S200000,01504,0200,N 420546,S200000,01600,0100,N 420546,S200000,01700,0100,N 420546,S200000,01800,0100,N 420546,S200000,02200,0100,Y 420546,S200000,02800,0100,N 420546,S200000,02900,0100,N 420546,S200000,03000,0100,N 420546,S200000,03100,0100,N 420546,S200000,03200,0100,N 420546,S200000,03300,0100,N 420546,S200000,03300,0200,N 420546,S200000,04200,0100,N 420546,S200000,04300,0100,N 420546,S200000,04600,0100,N 420546,S200000,04700,0100,N 420546,S200000,04900,0100,N 420546,S200000,05200,0100,N 420546,S200000,05300,0100,Y 420546,S200000,05300,0200,HB0067 420546,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 420546,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 420546,S200000,05400,0300,12001 420546,S200000,05500,0100,101 EAST STATE STREET 420546,S200000,05600,0100,KENNETT SQUARE 420546,S200000,05600,0200,PA 420546,S200000,05600,0300,19348 420550,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420550,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420550,A000000,00300,0000,0300EMPLOYEE BENEFITS 420550,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420550,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420550,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420550,A000000,00700,0000,0700HOUSEKEEPING 420550,A000000,00800,0000,0800DIETARY 420550,A000000,00900,0000,0900NURSING ADMINISTRATION 420550,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420550,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420550,A000000,01300,0000,1300SOCIAL SERVICE 420550,A000000,01600,0000,1600SKILLED NURSING FACILITY 420550,A000000,01800,0000,1800NURSING FACILITY 420550,A000000,02100,0000,2100RADIOLOGY 420550,A000000,02200,0000,2200LABORATORY 420550,A000000,02500,0000,2500PHYSICAL THERAPY 420550,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420550,A000000,02700,0000,2700SPEECH PATHOLOGY 420550,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420550,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420550,A000000,05300,0000,5300INTEREST EXPENSE 420550,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420550,A81000A,00100,0100,Y 420550,A81000B,00100,0300,MANAGEMENT FEES 420550,A81000B,00200,0300,HOME OFFICE EXPENSES 420550,A81000B,00300,0300,MAINTENANCE 420550,A81000B,00400,0300,NURSING 420550,A81000B,00500,0300,OFFICER / DIRECTOR SALARY 420550,A81000B,00600,0300,OFFICE EXPENSE 420550,A81000B,00700,0300,PAYROLL TAXES 420550,A81000C,00100,0100,B 420550,A81000C,00100,0200,HI CARE MANAGMENT INC 420550,A81000C,00100,0600,MANAGEMENT COMPANY 420550,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420550,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420550,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420550,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420550,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420550,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420550,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420550,B100000,00000,0800,0850PATIENT DAYS :DIETARY 420550,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 420550,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 420550,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 420550,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 420550,G300000,02500,0000,BARBER AND BEAUTY 420550,S000000,00100,0200,09/28/11 420550,S200000,00100,0100,1411 CHARIC DRIVE 420550,S200000,00200,0100,BALLWIN 420550,S200000,00200,0200,MO 420550,S200000,00200,0300,63021 420550,S200000,00300,0100,SAINT LOUIS 420550,S200000,00300,0200,7040 420550,S200000,00300,0201,41180 420550,S200000,00300,0300,U 420550,S200000,00400,0100,WILDWOOD CARE CENTER 420550,S200000,00400,0200,265539 420550,S200000,00400,0300,06/05/93 420550,S200000,00400,0500,P 420550,S200000,01500,0100,Y 420550,S200000,01501,0200,Y 420550,S200000,01503,0200,Y 420550,S200000,01504,0200,Y 420550,S200000,01600,0100,N 420550,S200000,01700,0100,N 420550,S200000,01800,0100,N 420550,S200000,02200,0100,N 420550,S200000,02800,0100,N 420550,S200000,02900,0100,N 420550,S200000,03000,0100,N 420550,S200000,03100,0100,N 420550,S200000,03200,0100,N 420550,S200000,03300,0100,N 420550,S200000,03300,0200,N 420550,S200000,04100,0100,N 420550,S200000,04200,0100,N 420550,S200000,04300,0100,N 420550,S200000,04600,0100,N 420550,S200000,04700,0100,N 420550,S200000,04700,0200,N 420550,S200000,04900,0100,N 420550,S200000,05000,0100,N 420550,S200000,05100,0100,N 420550,S200000,05200,0100,N 420600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420600,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 420600,A000000,00300,0000,0300EMPLOYEE BENEFITS 420600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420600,A000000,00700,0000,0700HOUSEKEEPING 420600,A000000,00800,0000,0800DIETARY 420600,A000000,00900,0000,0900NURSING ADMINISTRATION 420600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420600,A000000,01300,0000,1300SOCIAL SERVICE 420600,A000000,01600,0000,1600SKILLED NURSING FACILITY 420600,A000000,01800,0000,1800NURSING FACILITY 420600,A000000,01900,0000,1900OTHER LONG TERM CARE 420600,A000000,02100,0000,2100RADIOLOGY 420600,A000000,02200,0000,2200LABORATORY 420600,A000000,02500,0000,2500PHYSICAL THERAPY 420600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420600,A000000,02700,0000,2700SPEECH PATHOLOGY 420600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420600,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 420600,A000000,05300,0000,5300INTEREST EXPENSE 420600,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420600,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420600,A81000A,00100,0100,Y 420600,A81000B,00100,0300,MANAGEMENT FEES 420600,A81000B,00200,0300,HOME OFFICE EXPENSES 420600,A81000B,00300,0300,MAINTENANCE 420600,A81000B,00400,0300,NURSING 420600,A81000B,00500,0300,OFFICER / DIRECTOR SALARY 420600,A81000B,00600,0300,OFFICE EXPENSE 420600,A81000B,00700,0300,PAYROLL TAXES 420600,A81000C,00100,0100,B 420600,A81000C,00100,0200,HI CARE MANAGEMENT INC 420600,A81000C,00100,0600,MANAGEMENT COMPANY 420600,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420600,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 420600,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420600,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420600,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420600,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 420600,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420600,B100000,00000,0800,0800MEALS SERVED :DIETARY 420600,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 420600,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 420600,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 420600,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 420600,G300000,02500,0000,OTHER INCOME 420600,S000000,00100,0200,09/28/11 420600,S200000,00100,0100,2840 WEST CLAY 420600,S200000,00200,0100,SAINT CHARLES 420600,S200000,00200,0200,MO 420600,S200000,00200,0300,63301 420600,S200000,00300,0100,SAINT CHARLES 420600,S200000,00300,0200,7040 420600,S200000,00300,0201,41180 420600,S200000,00300,0300,U 420600,S200000,00400,0100,GRAND RIVER 420600,S200000,00400,0200,265118 420600,S200000,00400,0300,01/01/95 420600,S200000,00400,0500,P 420600,S200000,01500,0100,Y 420600,S200000,01501,0200,Y 420600,S200000,01505,0000,OTHER 420600,S200000,01505,0200,Y 420600,S200000,01600,0100,N 420600,S200000,01700,0100,N 420600,S200000,01800,0100,N 420600,S200000,02200,0100,N 420600,S200000,02800,0100,N 420600,S200000,02900,0100,N 420600,S200000,03000,0100,N 420600,S200000,03100,0100,N 420600,S200000,03200,0100,N 420600,S200000,03300,0100,N 420600,S200000,03300,0200,N 420600,S200000,04100,0100,N 420600,S200000,04200,0100,N 420600,S200000,04300,0100,N 420600,S200000,04600,0100,N 420600,S200000,04700,0100,N 420600,S200000,04700,0200,N 420600,S200000,04900,0100,N 420600,S200000,05000,0100,N 420600,S200000,05100,0100,N 420600,S200000,05200,0100,N 420602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 420602,A000000,00300,0000,0300EMPLOYEE BENEFITS 420602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 420602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420602,A000000,00700,0000,0700HOUSEKEEPING 420602,A000000,00800,0000,0800DIETARY 420602,A000000,00900,0000,0900NURSING ADMINISTRATION 420602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420602,A000000,01300,0000,1300SOCIAL SERVICE 420602,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 420602,A000000,01500,0000,1350OTHER GENERAL SERVICES 420602,A000000,01600,0000,1600SKILLED NURSING FACILITY 420602,A000000,01800,0000,1800NURSING FACILITY 420602,A000000,01810,0000,1810ICF/MR 420602,A000000,01900,0000,1900OTHER LONG TERM CARE 420602,A000000,02100,0000,2100RADIOLOGY 420602,A000000,02200,0000,2200LABORATORY 420602,A000000,02300,0000,2300INTRAVENOUS THERAPY 420602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 420602,A000000,02500,0000,2500PHYSICAL THERAPY 420602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420602,A000000,02700,0000,2700SPEECH PATHOLOGY 420602,A000000,02800,0000,2800ELECTROCARDIOLOGY 420602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 420602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420602,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 420602,A000000,03200,0000,3200SUPPORT SURFACES 420602,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 420602,A000000,03400,0000,3400CLINIC 420602,A000000,03500,0000,3500RURAL HEALTH CLINIC 420602,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 420602,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 420602,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 420602,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 420602,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 420602,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 420602,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 420602,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 420602,A000000,04400,0000,4400DME RENTED - HHA 420602,A000000,04500,0000,4500DME SOLD - HHA 420602,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 420602,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 420602,A000000,04710,0000,4710TELEMEDICINE 420602,A000000,04800,0000,4800AMBULANCE 420602,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 420602,A000000,05000,0000,5000CORF 420602,A000000,05100,0000,4750OTHER REIMBURSABLE COST 420602,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 420602,A000000,05300,0000,5300INTEREST EXPENSE 420602,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 420602,A000000,05500,0000,5500HOSPICE 420602,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 420602,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 420602,A000000,05900,0000,5900BARBER & BEAUTY SHOP 420602,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 420602,A000000,06100,0000,6100NONPAID WORKERS 420602,A000000,06200,0000,6200PATIENTS LAUNDRY 420602,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 420602,A81000A,00100,0100,Y 420602,A81000B,00100,0300,LEASE EXPENSE 420602,A81000C,00100,0100,F 420602,A81000C,00100,0200,SHERRI SEARS 420602,A81000C,00100,0400,LOMA LINDA HEALTH CARE I 420602,A81000C,00100,0600,S-CORP LESSOR 420602,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 420602,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 420602,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 420602,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 420602,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 420602,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 420602,B100000,00000,0800,0800MEALS SERVED :DIETARY 420602,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 420602,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 420602,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 420602,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 420602,G300000,02500,0000,OTHER INCOME 420602,S000000,00100,0200,10/10/11 420602,S200000,00100,0100,1600 EAST ROLLINS STREET 420602,S200000,00200,0100,MOBERLY 420602,S200000,00200,0200,MO 420602,S200000,00200,0300,65270 420602,S200000,00300,0100,RANDOLPH 420602,S200000,00300,0200,26 420602,S200000,00300,0201,99926 420602,S200000,00300,0300,R 420602,S200000,00400,0100,LOMA LINDA HEALTH CARE 420602,S200000,00400,0200,265536 420602,S200000,00400,0300,08/01/93 420602,S200000,00400,0500,P 420602,S200000,01500,0100,Y 420602,S200000,01501,0200,Y 420602,S200000,01502,0200,N 420602,S200000,01503,0200,Y 420602,S200000,01504,0200,Y 420602,S200000,01600,0100,N 420602,S200000,01700,0100,N 420602,S200000,01800,0100,N 420602,S200000,02200,0100,N 420602,S200000,02800,0100,N 420602,S200000,02900,0100,N 420602,S200000,03000,0100,N 420602,S200000,03100,0100,N 420602,S200000,03200,0100,N 420602,S200000,03300,0100,N 420602,S200000,03300,0200,N 420602,S200000,04100,0100,N 420602,S200000,04200,0100,N 420602,S200000,04300,0100,N 420602,S200000,04600,0100,N 420602,S200000,04700,0100,N 420602,S200000,04700,0200,N 420602,S200000,04900,0100,N 420602,S200000,05000,0100,N 420602,S200000,05100,0100,N 420602,S200000,05200,0100,N 420602,S200000,05300,0100,N 420772,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 420772,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 420772,A000000,00300,0000,0300EMPLOYEE BENEFITS 420772,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 420772,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 420772,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 420772,A000000,00700,0000,0700HOUSEKEEPING 420772,A000000,00800,0000,0800DIETARY 420772,A000000,00900,0000,0900NURSING ADMINISTRATION 420772,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 420772,A000000,01100,0000,1100PHARMACY 420772,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 420772,A000000,01300,0000,1300SOCIAL SERVICE 420772,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 420772,A000000,01600,0000,1600SKILLED NURSING FACILITY 420772,A000000,01810,0000,1810ICF/MR 420772,A000000,02100,0000,2100RADIOLOGY 420772,A000000,02200,0000,2200LABORATORY 420772,A000000,02500,0000,2500PHYSICAL THERAPY 420772,A000000,02600,0000,2600OCCUPATIONAL THERAPY 420772,A000000,02700,0000,2700SPEECH PATHOLOGY 420772,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 420772,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 420772,A000000,03550,0000,3550FQHC 420772,A000000,04801,0000,4801AMBULANCE 420772,A000000,04802,0000,4802AMBULANCE 420772,A000000,04803,0000,4803AMBULANCE 420772,A000000,05000,0000,5000CORF 420772,A000000,05010,0000,5010CMHC 420772,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 420772,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 420772,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 420772,A000000,06300,0000,6150OTHER NON-REIMBURSABLE COST 420772,A81000A,00100,0100,N 420772,B100000,00000,0100,0100SQUARE FEET 420772,B100000,00000,0200,0200SQUARE FEET 420772,B100000,00000,0300,0300GROSS SALARIES 420772,B100000,00000,0400,0400ACCUM COST 420772,B100000,00000,0500,0500SQUARE FEET 420772,B100000,00000,0600,0600PATIENT DAYS 420772,B100000,00000,0700,0700SQUARE FEET 420772,B100000,00000,0800,0800MEALS SERVED 420772,B100000,00000,0900,0900DIRECT NURSING 420772,B100000,00000,1000,1000PATIENT DAYS 420772,B100000,00000,1100,1100COSTED REQUIS 420772,B100000,00000,1200,1200PATIENT DAYS 420772,B100000,00000,1300,1300PATIENT DAYS 420772,B100000,00000,1400,1400ASSIGNED TIME 420772,S000000,00100,0200,10/13/11 420772,S200000,00100,0100,800 AUDUBON WAY 420772,S200000,00200,0100,LINCOLNSHIRE 420772,S200000,00200,0200,IL 420772,S200000,00200,0300,60069 420772,S200000,00300,0100,LAKE 420772,S200000,00300,0201,29404 420772,S200000,00300,0300,U 420772,S200000,00400,0100,SEDGEBROOK HEALTH CENTER 420772,S200000,00400,0200,146136 420772,S200000,00400,0300,08/21/09 420772,S200000,00400,0500,P 420772,S200000,01500,0100,Y 420772,S200000,01501,0200,Y 420772,S200000,01504,0200,Y 420772,S200000,01600,0100,N 420772,S200000,01700,0100,N 420772,S200000,01800,0100,N 420772,S200000,02200,0100,N 420772,S200000,02800,0100,N 420772,S200000,02900,0100,N 420772,S200000,03000,0100,N 420772,S200000,03100,0100,N 420772,S200000,03200,0100,N 420772,S200000,03300,0100,N 420772,S200000,03300,0200,N 420772,S200000,04200,0100,N 420772,S200000,04300,0100,N 420772,S200000,04600,0100,N 420772,S200000,04700,0100,N 420772,S200000,04900,0100,N 420772,S200000,05200,0100,N 420772,S200000,05300,0100,N 421151,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421151,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421151,A000000,00300,0000,0300EMPLOYEE BENEFITS 421151,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421151,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421151,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421151,A000000,00700,0000,0700HOUSEKEEPING 421151,A000000,00800,0000,0800DIETARY 421151,A000000,00900,0000,0900NURSING ADMINISTRATION 421151,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421151,A000000,01100,0000,1100PHARMACY 421151,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421151,A000000,01300,0000,1300SOCIAL SERVICE 421151,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421151,A000000,01500,0000,1350ACTIVITIES 421151,A000000,01600,0000,1600SKILLED NURSING FACILITY 421151,A000000,01800,0000,1800NURSING FACILITY 421151,A000000,01810,0000,1810ICF/MR 421151,A000000,01900,0000,1900OTHER LONG TERM CARE 421151,A000000,02100,0000,2100RADIOLOGY 421151,A000000,02200,0000,2200LABORATORY 421151,A000000,02300,0000,2300INTRAVENOUS THERAPY 421151,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421151,A000000,02500,0000,2500PHYSICAL THERAPY 421151,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421151,A000000,02700,0000,2700SPEECH PATHOLOGY 421151,A000000,02800,0000,2800ELECTROCARDIOLOGY 421151,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421151,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421151,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421151,A000000,03200,0000,3200SUPPORT SURFACES 421151,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421151,A000000,03400,0000,3400CLINIC 421151,A000000,03500,0000,3500RURAL HEALTH CLINIC 421151,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421151,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 421151,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 421151,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 421151,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 421151,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 421151,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 421151,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 421151,A000000,04400,0000,4400DME RENTED - HHA 421151,A000000,04500,0000,4500DME SOLD - HHA 421151,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 421151,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 421151,A000000,04710,0000,4710TELEMEDICINE 421151,A000000,04800,0000,4800AMBULANCE 421151,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421151,A000000,05000,0000,5000CORF 421151,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421151,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421151,A000000,05300,0000,5300INTEREST EXPENSE 421151,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421151,A000000,05500,0000,5500HOSPICE 421151,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421151,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421151,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421151,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421151,A000000,06100,0000,6100NONPAID WORKERS 421151,A000000,06200,0000,6200PATIENTS LAUNDRY 421151,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421151,A81000A,00100,0100,Y 421151,A81000B,00100,0300,TWCG HOME OFFICE 421151,A81000B,00200,0300,TWCG HOME OFFICE 421151,A81000B,00300,0300,TWCG HOME OFFICE 421151,A81000B,00400,0300,TWCG HOME OFFICE 421151,A81000B,00500,0300,TWCG HOME OFFICE 421151,A81000B,00600,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,00700,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,00800,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,00900,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,01000,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,01100,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000B,01200,0300,ADDIT SVP AND QR HOME OFFICE 421151,A81000C,00100,0100,B 421151,A81000C,00100,0200,THE WATERS OF INDIANA II 421151,A81000C,00100,0400,TWCG 421151,A81000C,00100,0600,CONSULTING SERVICES 421151,A81000C,00200,0400,ADDIT LLC SVP LL AND QR 421151,A81000C,00200,0600,CONSULTING SERVICES 421151,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421151,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421151,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421151,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421151,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 421151,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 421151,B100000,00000,0800,0800MEALS SERVED :DIETARY 421151,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 421151,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 421151,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 421151,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 421151,E10A180,00301,0100,02/28/11 421151,E10A180,00302,0100,06/10/11 421151,G300000,02500,0000,MISC 421151,G300000,02501,0000,PERSONAL PURCHASES 421151,G300000,02502,0000,VENDOR REFUNDS 421151,S000000,00100,0200,10/18/11 421151,S200000,00100,0100,344 SOUTH RITTER AVENUE 421151,S200000,00200,0100,INDIANAPOLIS 421151,S200000,00200,0200,IN 421151,S200000,00200,0300,46219 421151,S200000,00300,0100,MARION 421151,S200000,00300,0201,26900 421151,S200000,00300,0300,U 421151,S200000,00400,0100,THE WATERS OF IRVINGTON LLC 421151,S200000,00400,0200,155737 421151,S200000,00400,0300,05/04/05 421151,S200000,00400,0500,P 421151,S200000,01500,0100,Y 421151,S200000,01600,0100,N 421151,S200000,01700,0100,N 421151,S200000,01800,0100,N 421151,S200000,02200,0100,N 421151,S200000,02800,0100,N 421151,S200000,02900,0100,N 421151,S200000,03000,0100,N 421151,S200000,03100,0100,N 421151,S200000,03200,0100,N 421151,S200000,03300,0100,N 421151,S200000,03300,0200,N 421151,S200000,04100,0100,N 421151,S200000,04200,0100,N 421151,S200000,04300,0100,N 421151,S200000,04600,0100,N 421151,S200000,04700,0100,N 421151,S200000,04700,0200,N 421151,S200000,04900,0100,N 421151,S200000,05000,0100,N 421151,S200000,05100,0100,N 421151,S200000,05200,0100,N 421206,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 421206,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 421206,A000000,00300,0000,0300EMPLOYEE BENEFITS 421206,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421206,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 421206,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421206,A000000,00700,0000,0700HOUSEKEEPING 421206,A000000,00800,0000,0800DIETARY 421206,A000000,00900,0000,0900NURSING ADMINISTRATION 421206,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421206,A000000,01100,0000,1100PHARMACY 421206,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421206,A000000,01300,0000,1300SOCIAL SERVICE 421206,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 421206,A000000,01500,0000,1350RECREATION 421206,A000000,01600,0000,1600SKILLED NURSING FACILITY 421206,A000000,01810,0000,1810ICF/MR 421206,A000000,02100,0000,2100RADIOLOGY 421206,A000000,02200,0000,2200LABORATORY 421206,A000000,02300,0000,2300INTRAVENOUS THERAPY 421206,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421206,A000000,02500,0000,2500PHYSICAL THERAPY 421206,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421206,A000000,02700,0000,2700SPEECH PATHOLOGY 421206,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421206,A000000,03550,0000,3550FQHC 421206,A000000,05000,0000,5000CORF 421206,A000000,05010,0000,5010CMHC 421206,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 421206,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 421206,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 421206,A81000A,00100,0100,Y 421206,A81000B,00100,0300,SEE ATTACHED 421206,A81000B,00200,0300,HOME OFFICE INTEREST 421206,A81000B,00300,0300,HOME OFFICE ADMIN 421206,A81000B,00400,0300,HOME OFFICE CAPITAL 421206,A81000C,00100,0100,B 421206,A81000C,00100,0400,SEE ATTACHED 421206,A81000C,00100,0600,VARIOUS 421206,A81000C,00200,0100,B 421206,A81000C,00200,0400,GHC 421206,A81000C,00200,0600,LONG TERM CARE 421206,A81000C,00300,0100,B 421206,A81000C,00300,0400,GHC 421206,A81000C,00300,0600,LONG TERM CARE 421206,A81000C,00400,0100,B 421206,A81000C,00400,0400,GHC 421206,A81000C,00400,0600,LONG TERM CARE 421206,B100000,00000,0100,0100SQUARE FEET 421206,B100000,00000,0200,0200SQUARE FEET 421206,B100000,00000,0300,0300GROSS SALARIES 421206,B100000,00000,0400,0400ACCUM COST 421206,B100000,00000,0500,0500SQUARE FEET 421206,B100000,00000,0600,0600PATIENT DAYS 421206,B100000,00000,0700,0700SQUARE FEET 421206,B100000,00000,0800,0800MEALS SERVED 421206,B100000,00000,0900,0900NURSING SALARIES 421206,B100000,00000,1000,1000COSTED REQUIS 421206,B100000,00000,1100,1100COSTED REQUIS 421206,B100000,00000,1200,1200PATIENT DAYS 421206,B100000,00000,1300,1300PATIENT DAYS 421206,B100000,00000,1400,1400ASSIGNED TIME 421206,B100000,00000,1500,1350PATIENT DAYS 421206,G300000,02500,0000,BARBER AND BEAUTY 421206,S000000,00100,0200,12/02/11 421206,S200000,00100,0100,440 NORTH RIVER STREET 421206,S200000,00200,0100,WILKES-BARRE 421206,S200000,00200,0200,PA 421206,S200000,00200,0300,18702 421206,S200000,00300,0100,LUZERNE 421206,S200000,00300,0201,42540 421206,S200000,00300,0300,U 421206,S200000,00400,0100,RIVERSTREET MANOR 421206,S200000,00400,0200,395691 421206,S200000,00400,0300,06/01/86 421206,S200000,00400,0500,P 421206,S200000,01500,0100,Y 421206,S200000,01501,0200,N 421206,S200000,01502,0200,N 421206,S200000,01503,0200,N 421206,S200000,01504,0200,N 421206,S200000,01600,0100,N 421206,S200000,01700,0100,N 421206,S200000,01800,0100,N 421206,S200000,01900,0100,LLC 421206,S200000,02200,0100,Y 421206,S200000,02800,0100,N 421206,S200000,02900,0100,N 421206,S200000,03000,0100,N 421206,S200000,03100,0100,N 421206,S200000,03200,0100,N 421206,S200000,03300,0100,N 421206,S200000,03300,0200,N 421206,S200000,04200,0100,N 421206,S200000,04300,0100,N 421206,S200000,04600,0100,N 421206,S200000,04700,0100,N 421206,S200000,04900,0100,N 421206,S200000,05200,0100,N 421206,S200000,05300,0100,Y 421206,S200000,05300,0200,HB0067 421206,S200000,05400,0100,GENESIS HEALTHCARE LLC 421206,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 421206,S200000,05400,0300,12001 421206,S200000,05500,0100,101 EAST STATE STREET 421206,S200000,05600,0100,KENNETT SQUARE 421206,S200000,05600,0200,PA 421206,S200000,05600,0300,19348 421255,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421255,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421255,A000000,00300,0000,0300EMPLOYEE BENEFITS 421255,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421255,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421255,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421255,A000000,00700,0000,0700HOUSEKEEPING 421255,A000000,00800,0000,0800DIETARY 421255,A000000,00900,0000,0900NURSING ADMINISTRATION 421255,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421255,A000000,01100,0000,1100PHARMACY 421255,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421255,A000000,01300,0000,1300SOCIAL SERVICE 421255,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421255,A000000,01500,0000,1350ACTIVITIES 421255,A000000,01600,0000,1600SKILLED NURSING FACILITY 421255,A000000,01800,0000,1800NURSING FACILITY 421255,A000000,01900,0000,1900OTHER LONG TERM CARE 421255,A000000,02100,0000,2100RADIOLOGY 421255,A000000,02200,0000,2200LABORATORY 421255,A000000,02300,0000,2300INTRAVENOUS THERAPY 421255,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421255,A000000,02500,0000,2500PHYSICAL THERAPY 421255,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421255,A000000,02700,0000,2700SPEECH PATHOLOGY 421255,A000000,02800,0000,2800ELECTROCARDIOLOGY 421255,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421255,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421255,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421255,A000000,03200,0000,3200SUPPORT SURFACES 421255,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 421255,A000000,03400,0000,3400CLINIC 421255,A000000,03500,0000,3500RURAL HEALTH CLINIC 421255,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 421255,A000000,04800,0000,4800AMBULANCE 421255,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421255,A000000,05000,0000,5000CORF 421255,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421255,A000000,05300,0000,5300INTEREST EXPENSE 421255,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421255,A000000,05500,0000,5500HOSPICE 421255,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421255,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421255,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421255,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421255,A000000,06100,0000,6100NONPAID WORKERS 421255,A000000,06200,0000,6200PATIENTS LAUNDRY 421255,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 421255,A81000A,00100,0100,Y 421255,A81000B,00100,0300,CAPITAL COSTS OF RELATED PARTY LEASE 421255,A81000B,00200,0300,MANAGEMENT FEES (HOME OFFICE) 421255,A81000C,00100,0100,A 421255,A81000C,00100,0200,VARIOUS INDIVID 421255,A81000C,00100,0400,LAKEWOOD-FRIEND 421255,A81000C,00100,0600,LEASING 421255,A81000C,00200,0100,A 421255,A81000C,00200,0200,VARIOUS INDIVID 421255,A81000C,00200,0400,LAKEWOOD MANAGE 421255,A81000C,00200,0600,MANAGEMENT 421255,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421255,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421255,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421255,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421255,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 421255,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 421255,B100000,00000,0800,0800MEALS SERVED :DIETARY 421255,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 421255,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 421255,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 421255,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 421255,G300000,02501,0000,PRIVATE ROOM CHARGES 421255,G300000,02502,0000,PERSONAL CARE 421255,G300000,02503,0000,PRIOR MONTH ADJUSTMENT 421255,G300000,02504,0000,PRIOR YEAR ADJUSTMENT 421255,S000000,00100,0200,10/31/11 421255,S200000,00100,0100,1221 LARIMER STREET 421255,S200000,00200,0100,PRATT 421255,S200000,00200,0200,KS 421255,S200000,00200,0300,67124 421255,S200000,00300,0100,PRATT 421255,S200000,00300,0201,99917 421255,S200000,00300,0300,R 421255,S200000,00400,0100,LAKEWOOD SENIOR LIVING OF PRATT LLC 421255,S200000,00400,0200,175315 421255,S200000,00400,0300,01/01/06 421255,S200000,00400,0500,P 421255,S200000,01500,0100,N 421255,S200000,01501,0200,Y 421255,S200000,01600,0100,N 421255,S200000,01700,0100,N 421255,S200000,01800,0100,N 421255,S200000,02200,0100,N 421255,S200000,02800,0100,N 421255,S200000,02900,0100,N 421255,S200000,03000,0100,N 421255,S200000,03100,0100,N 421255,S200000,03200,0100,N 421255,S200000,03300,0100,N 421255,S200000,03300,0200,N 421255,S200000,04100,0100,N 421255,S200000,04200,0100,N 421255,S200000,04300,0100,N 421255,S200000,04600,0100,N 421255,S200000,04700,0100,N 421255,S200000,04700,0200,N 421255,S200000,04900,0100,N 421255,S200000,05000,0100,N 421255,S200000,05100,0100,N 421255,S200000,05200,0100,N 421255,S200000,05300,0100,Y 421255,S200000,05300,0200,HB0035 421255,S200000,05400,0100,LAKEWOOD MANAGEMENT 421255,S200000,05400,0200,WPS 421255,S200000,05400,0300,HB0035 421255,S200000,05500,0100,3008 7TH AVENUE SOUTH 421255,S200000,05600,0100,BIRMINGHAM 421255,S200000,05600,0200,AL 421255,S200000,05600,0300,35233 421371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 421371,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 421371,A000000,00300,0000,0300EMPLOYEE BENEFITS 421371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 421371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421371,A000000,00700,0000,0700HOUSEKEEPING 421371,A000000,00800,0000,0800DIETARY 421371,A000000,00900,0000,0900NURSING ADMINISTRATION 421371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421371,A000000,01100,0000,1100PHARMACY 421371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421371,A000000,01300,0000,1300SOCIAL SERVICE 421371,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 421371,A000000,01500,0000,1350OTHER GENERAL SERVICES 421371,A000000,01600,0000,1600SKILLED NURSING FACILITY 421371,A000000,01810,0000,1810ICF/MR 421371,A000000,02100,0000,2100RADIOLOGY 421371,A000000,02200,0000,2200LABORATORY 421371,A000000,02500,0000,2500PHYSICAL THERAPY 421371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421371,A000000,02700,0000,2700SPEECH PATHOLOGY 421371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 421371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421371,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421371,A000000,03550,0000,3550FQHC 421371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421371,A000000,04710,0000,4710TELEMEDICINE 421371,A000000,04801,0000,4801AMBULANCE 421371,A000000,04802,0000,4802AMBULANCE 421371,A000000,04803,0000,4803AMBULANCE 421371,A000000,05000,0000,5000CORF 421371,A000000,05010,0000,5010CMHC 421371,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 421371,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 421371,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 421371,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421371,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421371,A81000A,00100,0100,Y 421371,A81000B,00100,0300,INTEREST 421371,A81000B,00200,0300,MANAGEMENT FEES 421371,A81000C,00100,0100,B 421371,A81000C,00100,0200,TRINITY VILLAGE INC. 421371,A81000C,00100,0400,TRINITY VILLAGE LODGE 421371,A81000C,00100,0600,ELDERCARE HOUSING 421371,A81000C,00200,0100,B 421371,A81000C,00200,0200,TRINITY VILLAGE INC. 421371,A81000C,00200,0400,TRINITY VILLAGE FUNDRAISE 421371,A81000C,00200,0600,FUND RAISING 421371,B100000,00000,0100,0100PATIENT DAYS 421371,B100000,00000,0200,0200PATIENT DAYS 421371,B100000,00000,0300,0300GROSS SALARIES 421371,B100000,00000,0400,0400ACCUM COST 421371,B100000,00000,0500,0500PATIENT DAYS 421371,B100000,00000,0600,0600PATIENT DAYS 421371,B100000,00000,0700,0700PATIENT DAYS 421371,B100000,00000,0800,0800MEALS SERVED 421371,B100000,00000,0900,0900DIRECT NRSING HRS 421371,B100000,00000,1000,1000PATIENT DAYS 421371,B100000,00000,1100,1100PATIENT DAYS 421371,B100000,00000,1200,1200TIME SPENT 421371,B100000,00000,1300,1300PATIENT DAYS 421371,B100000,00000,1400,1400ASSIGNED TIME 421371,B100000,00000,1500,1350 421371,S000000,00100,0200,09/30/11 421371,S200000,00100,0100,6400 TRINITY DRIVE 421371,S200000,00200,0100,PINE BLUFF 421371,S200000,00200,0200,AR 421371,S200000,00200,0300,71603 421371,S200000,00300,0100,JEFFERSON 421371,S200000,00300,0201,38220 421371,S200000,00300,0300,U 421371,S200000,00400,0100,TRINITY VILLAGE MEDICAL CENTER 421371,S200000,00400,0200,045438 421371,S200000,00400,0300,12/17/10 421371,S200000,00400,0500,P 421371,S200000,01500,0100,Y 421371,S200000,01501,0200,Y 421371,S200000,01502,0200,Y 421371,S200000,01503,0200,Y 421371,S200000,01504,0200,Y 421371,S200000,01600,0100,N 421371,S200000,01700,0100,N 421371,S200000,01800,0100,N 421371,S200000,02200,0100,N 421371,S200000,02800,0100,N 421371,S200000,02900,0100,N 421371,S200000,03000,0100,N 421371,S200000,03100,0100,N 421371,S200000,03200,0100,N 421371,S200000,03300,0100,N 421371,S200000,03300,0200,N 421371,S200000,04200,0100,N 421371,S200000,04300,0100,N 421371,S200000,04600,0100,N 421371,S200000,04700,0100,N 421371,S200000,04900,0100,N 421371,S200000,05200,0100,N 421838,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421838,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421838,A000000,00300,0000,0300EMPLOYEE BENEFITS 421838,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421838,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421838,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421838,A000000,00700,0000,0700HOUSEKEEPING 421838,A000000,00800,0000,0800DIETARY 421838,A000000,00900,0000,0900NURSING ADMINISTRATION 421838,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421838,A000000,01100,0000,1100PHARMACY 421838,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421838,A000000,01300,0000,1300SOCIAL SERVICE 421838,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421838,A000000,01500,0000,1350OTHER GENERAL SERVICES 421838,A000000,01600,0000,1600SKILLED NURSING FACILITY 421838,A000000,01800,0000,1800NURSING FACILITY 421838,A000000,01810,0000,1810ICF/MR 421838,A000000,01900,0000,1900OTHER LONG TERM CARE 421838,A000000,02100,0000,2100RADIOLOGY 421838,A000000,02200,0000,2200LABORATORY 421838,A000000,02300,0000,2300INTRAVENOUS THERAPY 421838,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421838,A000000,02500,0000,2500PHYSICAL THERAPY 421838,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421838,A000000,02700,0000,2700SPEECH PATHOLOGY 421838,A000000,02800,0000,2800ELECTROCARDIOLOGY 421838,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421838,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421838,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421838,A000000,03200,0000,3200SUPPORT SURFACES 421838,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421838,A000000,03400,0000,3400CLINIC 421838,A000000,03500,0000,3500RURAL HEALTH CLINIC 421838,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421838,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 421838,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 421838,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 421838,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 421838,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 421838,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 421838,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 421838,A000000,04400,0000,4400DME RENTED - HHA 421838,A000000,04500,0000,4500DME SOLD - HHA 421838,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 421838,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 421838,A000000,04710,0000,4710TELEMEDICINE 421838,A000000,04800,0000,4800AMBULANCE 421838,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421838,A000000,05000,0000,5000CORF 421838,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421838,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421838,A000000,05300,0000,5300INTEREST EXPENSE 421838,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421838,A000000,05500,0000,5500HOSPICE 421838,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421838,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421838,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421838,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421838,A000000,06100,0000,6100NONPAID WORKERS 421838,A000000,06200,0000,6200PATIENTS LAUNDRY 421838,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421838,A81000A,00100,0100,Y 421838,A81000B,00100,0300,HOME OFFICE EXPENSE 421838,A81000C,00100,0100,B 421838,A81000C,00100,0400,HOUSE MEDICAL CENTER CONV 421838,A81000C,00100,0600,HOME OFFICE 421838,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421838,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421838,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421838,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421838,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421838,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 421838,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 421838,B100000,00000,0800,0800MEALS SERVED :DIETARY 421838,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 421838,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 421838,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 421838,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 421838,G300000,02500,0000,MISC 421838,S000000,00100,0200,11/07/11 421838,S200000,00100,0100,5700 EAST CENTRAL TEXAS EXPRESSWAY 421838,S200000,00200,0100,KILLEEN 421838,S200000,00200,0200,TX 421838,S200000,00200,0300,76543 421838,S200000,00300,0100,BELL 421838,S200000,00300,0200,3810 421838,S200000,00300,0201,28660 421838,S200000,00300,0300,U 421838,S200000,00400,0100,RANCIER NURSING CENTER 421838,S200000,00400,0200,455503 421838,S200000,00400,0300,05/01/92 421838,S200000,00400,0500,P 421838,S200000,00400,0600,O 421838,S200000,01500,0100,Y 421838,S200000,01501,0200,Y 421838,S200000,01600,0100,N 421838,S200000,01700,0100,N 421838,S200000,01800,0100,N 421838,S200000,02200,0100,N 421838,S200000,02800,0100,N 421838,S200000,02900,0100,N 421838,S200000,03000,0100,N 421838,S200000,03100,0100,N 421838,S200000,03200,0100,N 421838,S200000,03300,0100,N 421838,S200000,03300,0200,N 421838,S200000,04100,0100,N 421838,S200000,04200,0100,N 421838,S200000,04300,0100,N 421838,S200000,04600,0100,N 421838,S200000,04700,0100,N 421838,S200000,04700,0200,N 421838,S200000,04900,0100,N 421838,S200000,05000,0100,N 421838,S200000,05100,0100,N 421838,S200000,05200,0100,N 421838,S200000,05300,0100,Y 421838,S200000,05300,0200,679016 421838,S200000,05400,0100,HOUSE CROSS HOME OFFICE 421838,S200000,05400,0200,HOUSE CROSS HOME OFFICE 421838,S200000,05400,0300,58300 421838,S200000,05500,0100,5700 E CENTRAL TX EXPRESSWAY 421838,S200000,05600,0100,KILLEEN 421838,S200000,05600,0200,TX 421838,S200000,05600,0300,76543 421839,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421839,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421839,A000000,00300,0000,0300EMPLOYEE BENEFITS 421839,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421839,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421839,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421839,A000000,00700,0000,0700HOUSEKEEPING 421839,A000000,00800,0000,0800DIETARY 421839,A000000,00900,0000,0900NURSING ADMINISTRATION 421839,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421839,A000000,01100,0000,1100PHARMACY 421839,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421839,A000000,01300,0000,1300SOCIAL SERVICE 421839,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421839,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 421839,A000000,01600,0000,1600SKILLED NURSING FACILITY 421839,A000000,01800,0000,1800NURSING FACILITY 421839,A000000,01810,0000,1810ICF/MR 421839,A000000,01900,0000,1900OTHER LONG TERM CARE 421839,A000000,02100,0000,2100RADIOLOGY 421839,A000000,02200,0000,2200LABORATORY 421839,A000000,02300,0000,2300INTRAVENOUS THERAPY 421839,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421839,A000000,02500,0000,2500PHYSICAL THERAPY 421839,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421839,A000000,02700,0000,2700SPEECH PATHOLOGY 421839,A000000,02800,0000,2800ELECTROCARDIOLOGY 421839,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421839,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421839,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421839,A000000,03200,0000,3200SUPPORT SURFACES 421839,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421839,A000000,03400,0000,3400CLINIC 421839,A000000,03500,0000,3500RURAL HEALTH CLINIC 421839,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421839,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 421839,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 421839,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 421839,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 421839,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 421839,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 421839,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 421839,A000000,04400,0000,4400DME RENTED - HHA 421839,A000000,04500,0000,4500DME SOLD - HHA 421839,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 421839,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 421839,A000000,04710,0000,4710TELEMEDICINE 421839,A000000,04800,0000,4800AMBULANCE 421839,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421839,A000000,05000,0000,5000CORF 421839,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421839,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421839,A000000,05300,0000,5300INTEREST EXPENSE 421839,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421839,A000000,05500,0000,5500HOSPICE 421839,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421839,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421839,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421839,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421839,A000000,06100,0000,6100NONPAID WORKERS 421839,A000000,06200,0000,6200PATIENTS LAUNDRY 421839,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421839,A81000A,00100,0100,Y 421839,A81000B,00100,0300,HOME OFFICE EXPENSE 421839,A81000C,00100,0100,B 421839,A81000C,00100,0400,HOUSE MEDICAL CENTER CONV 421839,A81000C,00100,0600,HOME OFFICE 421839,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421839,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421839,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421839,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421839,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421839,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 421839,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 421839,B100000,00000,0800,0800MEALS SERVED :DIETARY 421839,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 421839,B100000,00000,1100,1150HOURS OF SERVICE :PHARMACY 421839,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 421839,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 421839,B100000,00000,1500,1350TIME SPENT :RECREATIONAL ACTIVI 421839,S000000,00100,0200,11/07/11 421839,S200000,00100,0100,607 WEST AVENUE B 421839,S200000,00200,0100,COPPERAS COVE 421839,S200000,00200,0200,TX 421839,S200000,00200,0300,76522 421839,S200000,00300,0100,CORYELL 421839,S200000,00300,0200,3810 421839,S200000,00300,0201,28660 421839,S200000,00300,0300,U 421839,S200000,00400,0100,WIND CREST NURSING CENTER 421839,S200000,00400,0200,455515 421839,S200000,00400,0300,02/22/85 421839,S200000,00400,0500,P 421839,S200000,00400,0600,O 421839,S200000,01500,0100,Y 421839,S200000,01501,0200,Y 421839,S200000,01600,0100,N 421839,S200000,01700,0100,N 421839,S200000,01800,0100,N 421839,S200000,02200,0100,N 421839,S200000,02800,0100,N 421839,S200000,02900,0100,N 421839,S200000,03000,0100,N 421839,S200000,03100,0100,N 421839,S200000,03200,0100,N 421839,S200000,03300,0100,N 421839,S200000,03300,0200,N 421839,S200000,04100,0100,N 421839,S200000,04200,0100,N 421839,S200000,04300,0100,N 421839,S200000,04600,0100,N 421839,S200000,04700,0100,N 421839,S200000,04700,0200,N 421839,S200000,04900,0100,N 421839,S200000,05000,0100,N 421839,S200000,05100,0100,N 421839,S200000,05200,0100,N 421840,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421840,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421840,A000000,00300,0000,0300EMPLOYEE BENEFITS 421840,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421840,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421840,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421840,A000000,00700,0000,0700HOUSEKEEPING 421840,A000000,00800,0000,0800DIETARY 421840,A000000,00900,0000,0900NURSING ADMINISTRATION 421840,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421840,A000000,01100,0000,1100PHARMACY 421840,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421840,A000000,01300,0000,1300SOCIAL SERVICE 421840,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421840,A000000,01500,0000,1350ACTIVITES 421840,A000000,01600,0000,1600SKILLED NURSING FACILITY 421840,A000000,01800,0000,1800NURSING FACILITY 421840,A000000,01810,0000,1810ICF/MR 421840,A000000,01900,0000,1900OTHER LONG TERM CARE 421840,A000000,02100,0000,2100RADIOLOGY 421840,A000000,02200,0000,2200LABORATORY 421840,A000000,02300,0000,2300INTRAVENOUS THERAPY 421840,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421840,A000000,02500,0000,2500PHYSICAL THERAPY 421840,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421840,A000000,02700,0000,2700SPEECH PATHOLOGY 421840,A000000,02800,0000,2800ELECTROCARDIOLOGY 421840,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421840,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421840,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421840,A000000,03200,0000,3200SUPPORT SURFACES 421840,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421840,A000000,03400,0000,3400CLINIC 421840,A000000,03500,0000,3500RURAL HEALTH CLINIC 421840,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421840,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 421840,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 421840,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 421840,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 421840,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 421840,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 421840,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 421840,A000000,04400,0000,4400DME RENTED - HHA 421840,A000000,04500,0000,4500DME SOLD - HHA 421840,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 421840,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 421840,A000000,04710,0000,4710TELEMEDICINE 421840,A000000,04800,0000,4800AMBULANCE 421840,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421840,A000000,05000,0000,5000CORF 421840,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421840,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421840,A000000,05300,0000,5300INTEREST EXPENSE 421840,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421840,A000000,05500,0000,5500HOSPICE 421840,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421840,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421840,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421840,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421840,A000000,06100,0000,6100NONPAID WORKERS 421840,A000000,06200,0000,6200PATIENTS LAUNDRY 421840,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421840,A81000A,00100,0100,Y 421840,A81000B,00100,0300,HOME OFFICE 421840,A81000C,00100,0100,B 421840,A81000C,00100,0400,HOUSE MEDICAL CENTER CONV 421840,A81000C,00100,0600,HOME OFFICE 421840,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421840,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421840,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421840,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421840,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421840,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 421840,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 421840,B100000,00000,0800,0800MEALS SERVED :DIETARY 421840,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 421840,B100000,00000,1100,1150TIME SPENT :PHARMACY 421840,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 421840,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 421840,B100000,00000,1500,1350TIME SPENT :ACTIVITES 421840,S000000,00100,0200,11/07/11 421840,S200000,00100,0100,810 INDUSTRIAL AVE 421840,S200000,00200,0100,COPPERAS COVE 421840,S200000,00200,0200,TX 421840,S200000,00200,0300,76522 421840,S200000,00300,0100,CORYELL 421840,S200000,00300,0200,3810 421840,S200000,00300,0201,28660 421840,S200000,00300,0300,U 421840,S200000,00400,0100,HILL COUNTRY REHAB & NURSING 421840,S200000,00400,0200,675536 421840,S200000,00400,0300,10/18/95 421840,S200000,00400,0500,P 421840,S200000,00400,0600,O 421840,S200000,01500,0100,Y 421840,S200000,01501,0200,Y 421840,S200000,01600,0100,N 421840,S200000,01700,0100,N 421840,S200000,01800,0100,N 421840,S200000,02200,0100,N 421840,S200000,02800,0100,N 421840,S200000,02900,0100,N 421840,S200000,03000,0100,N 421840,S200000,03100,0100,N 421840,S200000,03200,0100,N 421840,S200000,03300,0100,N 421840,S200000,03300,0200,N 421840,S200000,04100,0100,N 421840,S200000,04200,0100,N 421840,S200000,04300,0100,Y 421840,S200000,04600,0100,N 421840,S200000,04700,0100,N 421840,S200000,04700,0200,N 421840,S200000,04900,0100,N 421840,S200000,05000,0100,N 421840,S200000,05100,0100,N 421840,S200000,05200,0100,N 421841,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421841,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421841,A000000,00300,0000,0300EMPLOYEE BENEFITS 421841,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421841,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421841,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421841,A000000,00700,0000,0700HOUSEKEEPING 421841,A000000,00800,0000,0800DIETARY 421841,A000000,00900,0000,0900NURSING ADMINISTRATION 421841,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421841,A000000,01100,0000,1100PHARMACY 421841,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421841,A000000,01300,0000,1300SOCIAL SERVICE 421841,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421841,A000000,01500,0000,1350ACTIVITIES 421841,A000000,01600,0000,1600SKILLED NURSING FACILITY 421841,A000000,01800,0000,1800NURSING FACILITY 421841,A000000,01810,0000,1810ICF/MR 421841,A000000,01900,0000,1900OTHER LONG TERM CARE 421841,A000000,02100,0000,2100RADIOLOGY 421841,A000000,02200,0000,2200LABORATORY 421841,A000000,02300,0000,2300INTRAVENOUS THERAPY 421841,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421841,A000000,02500,0000,2500PHYSICAL THERAPY 421841,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421841,A000000,02700,0000,2700SPEECH PATHOLOGY 421841,A000000,02800,0000,2800ELECTROCARDIOLOGY 421841,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421841,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421841,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 421841,A000000,03200,0000,3200SUPPORT SURFACES 421841,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 421841,A000000,03400,0000,3400CLINIC 421841,A000000,03500,0000,3500RURAL HEALTH CLINIC 421841,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 421841,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 421841,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 421841,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 421841,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 421841,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 421841,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 421841,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 421841,A000000,04400,0000,4400DME RENTED - HHA 421841,A000000,04500,0000,4500DME SOLD - HHA 421841,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 421841,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 421841,A000000,04710,0000,4710TELEMEDICINE 421841,A000000,04800,0000,4800AMBULANCE 421841,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 421841,A000000,05000,0000,5000CORF 421841,A000000,05100,0000,4750OTHER REIMBURSABLE COST 421841,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 421841,A000000,05300,0000,5300INTEREST EXPENSE 421841,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 421841,A000000,05500,0000,5500HOSPICE 421841,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 421841,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 421841,A000000,05900,0000,5900BARBER & BEAUTY SHOP 421841,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 421841,A000000,06100,0000,6100NONPAID WORKERS 421841,A000000,06200,0000,6200PATIENTS LAUNDRY 421841,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 421841,A81000A,00100,0100,Y 421841,A81000B,00100,0300,HOME OFFICE 421841,A81000C,00100,0100,B 421841,A81000C,00100,0400,HOUSE MEDICAL CENTER CONV 421841,A81000C,00100,0600,HOME OFFICE 421841,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421841,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421841,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421841,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421841,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421841,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 421841,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 421841,B100000,00000,0800,0800MEALS SERVED :DIETARY 421841,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 421841,B100000,00000,1100,1150HOURS OF SERVICE :PHARMACY 421841,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 421841,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 421841,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 421841,G300000,02500,0000,BARBER AND BEAUTY 421841,S000000,00100,0200,11/07/11 421841,S200000,00100,0100,415 INDIAN OAKS DRIVE 421841,S200000,00200,0100,HARKER HEIGHTS 421841,S200000,00200,0200,TX 421841,S200000,00200,0300,76548 421841,S200000,00300,0100,BELL 421841,S200000,00300,0200,3810 421841,S200000,00300,0201,28660 421841,S200000,00300,0300,U 421841,S200000,00400,0100,INDIAN OAKS LIVING CENTER 421841,S200000,00400,0200,675909 421841,S200000,00400,0300,03/11/02 421841,S200000,00400,0500,P 421841,S200000,00400,0600,O 421841,S200000,01500,0100,Y 421841,S200000,01501,0200,Y 421841,S200000,01600,0100,N 421841,S200000,01700,0100,N 421841,S200000,01800,0100,N 421841,S200000,02200,0100,N 421841,S200000,02800,0100,N 421841,S200000,02900,0100,N 421841,S200000,03000,0100,N 421841,S200000,03100,0100,N 421841,S200000,03200,0100,N 421841,S200000,03300,0100,N 421841,S200000,03300,0200,N 421841,S200000,04100,0100,N 421841,S200000,04200,0100,N 421841,S200000,04300,0100,Y 421841,S200000,04600,0100,N 421841,S200000,04700,0100,N 421841,S200000,04700,0200,N 421841,S200000,04900,0100,N 421841,S200000,05000,0100,N 421841,S200000,05100,0100,N 421841,S200000,05200,0100,N 421841,S200000,05300,0100,Y 421841,S200000,05300,0200,679016 421841,S200000,05400,0100,HOUSE CROSS CENTRAL OFFICE 421841,S200000,05400,0200,WPS/TRAILBLAZER 421841,S200000,05400,0300,679016 421841,S200000,05500,0100,5700 E CENTRAL TAXAS EXPWY 421841,S200000,05600,0100,KILLEEN 421841,S200000,05600,0200,TX 421841,S200000,05600,0300,76543 421907,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421907,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421907,A000000,00300,0000,0300EMPLOYEE BENEFITS 421907,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421907,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421907,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421907,A000000,00700,0000,0700HOUSEKEEPING 421907,A000000,00800,0000,0800DIETARY 421907,A000000,00900,0000,0900NURSING ADMINISTRATION 421907,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421907,A000000,01100,0000,1100PHARMACY 421907,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421907,A000000,01300,0000,1300SOCIAL SERVICE 421907,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421907,A000000,01500,0000,1350RECREATION 421907,A000000,01600,0000,1600SKILLED NURSING FACILITY 421907,A000000,01810,0000,1810ICF/MR 421907,A000000,02100,0000,2100RADIOLOGY 421907,A000000,02200,0000,2200LABORATORY 421907,A000000,02300,0000,2300INTRAVENOUS THERAPY 421907,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421907,A000000,02500,0000,2500PHYSICAL THERAPY 421907,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421907,A000000,02700,0000,2700SPEECH PATHOLOGY 421907,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 421907,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421907,A000000,03550,0000,3550FQHC 421907,A000000,05000,0000,5000CORF 421907,A000000,05010,0000,5010CMHC 421907,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 421907,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 421907,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 421907,A81000A,00100,0100,Y 421907,A81000B,00100,0300,SEE ATTACHED 421907,A81000B,00200,0300,HOME OFFICE INTEREST 421907,A81000B,00300,0300,HOME OFFICE A&G 421907,A81000B,00400,0300,HOME OFFICE CAP PIEC 421907,A81000C,00100,0100,B 421907,A81000C,00100,0400,SEE ATTACHED 421907,A81000C,00100,0600,VARIOUS 421907,A81000C,00200,0100,B 421907,A81000C,00200,0400,GHC 421907,A81000C,00200,0600,LONG TERM CARE 421907,A81000C,00300,0100,B 421907,A81000C,00300,0400,GHC 421907,A81000C,00300,0600,LONG TERM CARE 421907,A81000C,00400,0100,B 421907,A81000C,00400,0400,GHC 421907,A81000C,00400,0600,LONG TERM CARE 421907,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421907,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421907,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421907,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421907,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421907,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 421907,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 421907,B100000,00000,0800,0800MEALS SERVED :DIETARY 421907,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 421907,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 421907,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 421907,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 421907,B100000,00000,1500,1350PATIENT DAYS :RECREATION 421907,S000000,00100,0200,11/10/11 421907,S200000,00100,0100,30 PRINCETON BOULEVARD 421907,S200000,00200,0100,LOWELL 421907,S200000,00200,0200,MA 421907,S200000,00200,0300,01851-2405 421907,S200000,00300,0100,MIDDLESEX 421907,S200000,00300,0201,15764 421907,S200000,00300,0300,U 421907,S200000,00400,0100,WILLOW MANOR 421907,S200000,00400,0200,225511 421907,S200000,00400,0300,07/01/90 421907,S200000,00400,0500,P 421907,S200000,01500,0100,Y 421907,S200000,01501,0200,N 421907,S200000,01502,0200,N 421907,S200000,01503,0200,N 421907,S200000,01504,0200,N 421907,S200000,01600,0100,N 421907,S200000,01700,0100,N 421907,S200000,01800,0100,N 421907,S200000,02200,0100,Y 421907,S200000,02800,0100,N 421907,S200000,02900,0100,N 421907,S200000,03000,0100,N 421907,S200000,03100,0100,N 421907,S200000,03200,0100,N 421907,S200000,03300,0100,N 421907,S200000,03300,0200,N 421907,S200000,04100,0100,N 421907,S200000,04200,0100,N 421907,S200000,04300,0100,N 421907,S200000,04600,0100,N 421907,S200000,04700,0100,N 421907,S200000,04700,0200,N 421907,S200000,04900,0100,N 421907,S200000,05000,0100,N 421907,S200000,05100,0100,N 421907,S200000,05200,0100,N 421907,S200000,05300,0100,Y 421907,S200000,05300,0200,HB0067 421907,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 421907,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 421907,S200000,05400,0300,12001 421907,S200000,05500,0100,101 EAST STATE STREET 421907,S200000,05600,0100,KENNETT SQUARE 421907,S200000,05600,0200,PA 421907,S200000,05600,0300,19348 421908,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421908,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421908,A000000,00300,0000,0300EMPLOYEE BENEFITS 421908,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421908,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421908,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421908,A000000,00700,0000,0700HOUSEKEEPING 421908,A000000,00800,0000,0800DIETARY 421908,A000000,00900,0000,0900NURSING ADMINISTRATION 421908,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421908,A000000,01100,0000,1100PHARMACY 421908,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421908,A000000,01300,0000,1300SOCIAL SERVICE 421908,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421908,A000000,01500,0000,1350RECREATION 421908,A000000,01600,0000,1600SKILLED NURSING FACILITY 421908,A000000,01810,0000,1810ICF/MR 421908,A000000,02100,0000,2100RADIOLOGY 421908,A000000,02200,0000,2200LABORATORY 421908,A000000,02300,0000,2300INTRAVENOUS THERAPY 421908,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421908,A000000,02500,0000,2500PHYSICAL THERAPY 421908,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421908,A000000,02700,0000,2700SPEECH PATHOLOGY 421908,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421908,A000000,03550,0000,3550FQHC 421908,A000000,05000,0000,5000CORF 421908,A000000,05010,0000,5010CMHC 421908,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 421908,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 421908,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 421908,A81000A,00100,0100,Y 421908,A81000B,00100,0300,SEE ATTACHED 421908,A81000B,00200,0300,HOME OFFICE INTEREST 421908,A81000B,00300,0300,HOME OFFICE A&G 421908,A81000B,00400,0300,HOME OFFICE CAP PIEC 421908,A81000C,00100,0100,B 421908,A81000C,00100,0400,SEE ATTACHED 421908,A81000C,00100,0600,VARIOUS 421908,A81000C,00200,0100,B 421908,A81000C,00200,0400,GHC 421908,A81000C,00200,0600,LONG TERM CARE 421908,A81000C,00300,0100,B 421908,A81000C,00300,0400,GHC 421908,A81000C,00300,0600,LONG TERM CARE 421908,A81000C,00400,0100,B 421908,A81000C,00400,0400,GHC 421908,A81000C,00400,0600,LONG TERM CARE 421908,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421908,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421908,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421908,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421908,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421908,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 421908,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 421908,B100000,00000,0800,0800MEALS SERVED :DIETARY 421908,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 421908,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 421908,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 421908,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 421908,B100000,00000,1500,1350PATIENT DAYS :RECREATION 421908,G300000,02500,0000,BARBER AND BEAUTY 421908,S000000,00100,0200,11/10/11 421908,S200000,00100,0100,1801 TURNPIKE STREET 421908,S200000,00200,0100,NORTH ANDOVER 421908,S200000,00200,0200,MA 421908,S200000,00200,0300,01845-6322 421908,S200000,00300,0100,ESSEX 421908,S200000,00300,0201,37764 421908,S200000,00300,0300,U 421908,S200000,00400,0100,SUTTON HILL CENTER 421908,S200000,00400,0200,225530 421908,S200000,00400,0300,01/14/91 421908,S200000,00400,0500,P 421908,S200000,01500,0100,Y 421908,S200000,01501,0200,N 421908,S200000,01502,0200,N 421908,S200000,01503,0200,N 421908,S200000,01504,0200,N 421908,S200000,01600,0100,N 421908,S200000,01700,0100,N 421908,S200000,01800,0100,N 421908,S200000,02200,0100,Y 421908,S200000,02800,0100,N 421908,S200000,02900,0100,N 421908,S200000,03000,0100,N 421908,S200000,03100,0100,N 421908,S200000,03200,0100,N 421908,S200000,03300,0100,N 421908,S200000,03300,0200,N 421908,S200000,04100,0100,N 421908,S200000,04200,0100,N 421908,S200000,04300,0100,N 421908,S200000,04600,0100,N 421908,S200000,04700,0100,N 421908,S200000,04700,0200,N 421908,S200000,04900,0100,N 421908,S200000,05000,0100,N 421908,S200000,05100,0100,N 421908,S200000,05200,0100,N 421908,S200000,05300,0100,Y 421908,S200000,05300,0200,HB0067 421908,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 421908,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 421908,S200000,05400,0300,12001 421908,S200000,05500,0100,101 EAST STATE STREET 421908,S200000,05600,0100,KENNETT SQUARE 421908,S200000,05600,0200,PA 421908,S200000,05600,0300,19348 421909,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 421909,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 421909,A000000,00300,0000,0300EMPLOYEE BENEFITS 421909,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 421909,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 421909,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 421909,A000000,00700,0000,0700HOUSEKEEPING 421909,A000000,00800,0000,0800DIETARY 421909,A000000,00900,0000,0900NURSING ADMINISTRATION 421909,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 421909,A000000,01100,0000,1100PHARMACY 421909,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 421909,A000000,01300,0000,1300SOCIAL SERVICE 421909,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 421909,A000000,01500,0000,1350RECREATION 421909,A000000,01600,0000,1600SKILLED NURSING FACILITY 421909,A000000,01810,0000,1810ICF/MR 421909,A000000,02100,0000,2100RADIOLOGY 421909,A000000,02200,0000,2200LABORATORY 421909,A000000,02300,0000,2300INTRAVENOUS THERAPY 421909,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 421909,A000000,02500,0000,2500PHYSICAL THERAPY 421909,A000000,02600,0000,2600OCCUPATIONAL THERAPY 421909,A000000,02700,0000,2700SPEECH PATHOLOGY 421909,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 421909,A000000,03550,0000,3550FQHC 421909,A000000,05000,0000,5000CORF 421909,A000000,05010,0000,5010CMHC 421909,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 421909,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 421909,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 421909,A81000A,00100,0100,Y 421909,A81000B,00100,0300,SEE ATTACHED 421909,A81000B,00200,0300,CAPITAL INTEREST 421909,A81000B,00300,0300,HOME OFFICE 421909,A81000B,00400,0300,HOME OFFICE 421909,A81000C,00100,0100,B 421909,A81000C,00100,0400,SEE ATTACHED 421909,A81000C,00100,0600,VARIOUS 421909,A81000C,00200,0100,B 421909,A81000C,00200,0400,GHC 421909,A81000C,00200,0600,LONG TERM CARE 421909,A81000C,00300,0100,B 421909,A81000C,00300,0400,GHC 421909,A81000C,00300,0600,LONG TERM CARE 421909,A81000C,00400,0100,B 421909,A81000C,00400,0400,GHC 421909,A81000C,00400,0600,LONG TERM CARE 421909,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 421909,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 421909,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 421909,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 421909,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 421909,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 421909,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 421909,B100000,00000,0800,0800MEALS SERVED :DIETARY 421909,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 421909,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 421909,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 421909,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 421909,B100000,00000,1500,1350PATIENT DAYS :RECREATION 421909,S000000,00100,0200,11/10/11 421909,S200000,00100,0100,30 WEBSTER STREET 421909,S200000,00200,0100,BROOKLINE 421909,S200000,00200,0200,MA 421909,S200000,00200,0300,02446 421909,S200000,00300,0100,NORFOLK 421909,S200000,00300,0201,14484 421909,S200000,00300,0300,U 421909,S200000,00400,0100,COOLIDGE HOUSE 421909,S200000,00400,0200,225554 421909,S200000,00400,0300,06/25/92 421909,S200000,00400,0500,P 421909,S200000,01500,0100,Y 421909,S200000,01501,0200,N 421909,S200000,01502,0200,N 421909,S200000,01503,0200,N 421909,S200000,01504,0200,N 421909,S200000,01600,0100,N 421909,S200000,01700,0100,N 421909,S200000,01800,0100,N 421909,S200000,02200,0100,Y 421909,S200000,02800,0100,N 421909,S200000,02900,0100,N 421909,S200000,03000,0100,N 421909,S200000,03100,0100,N 421909,S200000,03200,0100,N 421909,S200000,03300,0100,N 421909,S200000,03300,0200,N 421909,S200000,04100,0100,N 421909,S200000,04200,0100,N 421909,S200000,04300,0100,N 421909,S200000,04600,0100,N 421909,S200000,04700,0100,N 421909,S200000,04700,0200,N 421909,S200000,04900,0100,N 421909,S200000,05000,0100,N 421909,S200000,05100,0100,N 421909,S200000,05200,0100,N 421909,S200000,05300,0100,Y 421909,S200000,05300,0200,HB0067 421909,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 421909,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 421909,S200000,05400,0300,12001 421909,S200000,05500,0100,101 EAST STATE STREET 421909,S200000,05600,0100,KENNETT SQUARE 421909,S200000,05600,0200,PA 421909,S200000,05600,0300,19348 422338,S000000,00100,0200,11/28/11 422338,S200000,00100,0100,1111 MAPLEWOOD ROAD 422338,S200000,00200,0100,HARRISON 422338,S200000,00200,0200,AR 422338,S200000,00200,0300,72601 422338,S200000,00300,0100,BOONE 422338,S200000,00400,0100,HILLCREST HOME 422338,S200000,00400,0300,03/18/11 422488,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422488,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422488,A000000,00300,0000,0300EMPLOYEE BENEFITS 422488,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422488,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422488,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422488,A000000,00700,0000,0700HOUSEKEEPING 422488,A000000,00800,0000,0800DIETARY 422488,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422488,A000000,01300,0000,1300SOCIAL SERVICE 422488,A000000,01600,0000,1600SKILLED NURSING FACILITY 422488,A000000,02100,0000,2100RADIOLOGY 422488,A000000,02200,0000,2200LABORATORY 422488,A000000,02500,0000,2500PHYSICAL THERAPY 422488,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422488,A000000,02700,0000,2700SPEECH PATHOLOGY 422488,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422488,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422488,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422488,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422488,A81000A,00100,0100,Y 422488,A81000B,00100,0300,RELATED PARTY INTEREST PER A/C 830 422488,A81000B,00200,0300,CENTRAL OFFICE COSTS 422488,A81000C,00100,0100,C 422488,A81000C,00100,0200,MARY WURTH 422488,A81000C,00100,0600,SNF 422488,A81000C,00200,0200,ARBOR SPRINGS MANAGEMENT 422488,A81000C,00200,0600,MANAGEMENT COMPANY 422488,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422488,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422488,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422488,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422488,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422488,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 422488,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 422488,B100000,00000,0800,0800MEALS SERVED :DIETARY 422488,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 422488,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 422488,G300000,02500,0000,GAIN ON SALE OF ASSET 422488,S000000,00100,0200,11/02/11 422488,S200000,00100,0100,407 N. LOCUST STREET 422488,S200000,00200,0100,PEABODY 422488,S200000,00200,0200,KS 422488,S200000,00200,0300,66210 422488,S200000,00300,0100,MARION 422488,S200000,00300,0200,17 422488,S200000,00300,0201,99917 422488,S200000,00300,0300,R 422488,S200000,00400,0100,LEGACY PARK 422488,S200000,00400,0200,175457 422488,S200000,00400,0300,07/13/02 422488,S200000,00400,0500,P 422488,S200000,00400,0600,O 422488,S200000,01500,0100,Y 422488,S200000,01501,0200,Y 422488,S200000,01502,0200,Y 422488,S200000,01503,0200,Y 422488,S200000,01504,0200,N 422488,S200000,01600,0100,N 422488,S200000,01700,0100,N 422488,S200000,01800,0100,N 422488,S200000,02200,0100,N 422488,S200000,02800,0100,Y 422488,S200000,02900,0100,N 422488,S200000,03000,0100,N 422488,S200000,03100,0100,N 422488,S200000,03200,0100,N 422488,S200000,03300,0100,N 422488,S200000,03300,0200,N 422488,S200000,04100,0100,N 422488,S200000,04200,0100,N 422488,S200000,04300,0100,Y 422488,S200000,04600,0100,N 422488,S200000,04700,0100,N 422488,S200000,04700,0200,N 422488,S200000,04900,0100,N 422488,S200000,05000,0100,N 422488,S200000,05100,0100,N 422488,S200000,05200,0100,N 422488,S200000,05300,0100,N 422558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422558,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422558,A000000,00300,0000,0300EMPLOYEE BENEFITS 422558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422558,A000000,00700,0000,0700HOUSEKEEPING 422558,A000000,00800,0000,0800DIETARY 422558,A000000,00900,0000,0900NURSING ADMINISTRATION 422558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422558,A000000,01100,0000,1100PHARMACY 422558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422558,A000000,01300,0000,1300SOCIAL SERVICE 422558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422558,A000000,01500,0000,1350OTHER GENERAL SERVICES 422558,A000000,01600,0000,1600SKILLED NURSING FACILITY 422558,A000000,01810,0000,1810ICF/MR 422558,A000000,02100,0000,2100RADIOLOGY 422558,A000000,02200,0000,2200LABORATORY 422558,A000000,02500,0000,2500PHYSICAL THERAPY 422558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422558,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422558,A000000,03550,0000,3550FQHC 422558,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422558,A000000,04710,0000,4710TELEMEDICINE 422558,A000000,04801,0000,4801AMBULANCE 422558,A000000,04802,0000,4802AMBULANCE 422558,A000000,04803,0000,4803AMBULANCE 422558,A000000,05000,0000,5000CORF 422558,A000000,05010,0000,5010CMHC 422558,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422558,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422558,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422558,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422558,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422558,A81000A,00100,0100,N 422558,B100000,00000,0100,0100SQUARE FEET 422558,B100000,00000,0200,0200SQUARE FEET 422558,B100000,00000,0300,0300GROSS SALARIES 422558,B100000,00000,0400,0400ACCUM COST 422558,B100000,00000,0500,0500SQUARE FEET 422558,B100000,00000,0600,0600PATIENT DAYS 422558,B100000,00000,0700,0700SQUARE FEET 422558,B100000,00000,0800,0800MEALS SERVED 422558,B100000,00000,0900,0900DIRECT NRSING HRS 422558,B100000,00000,1000,1000PATIENT DAYS 422558,B100000,00000,1100,1100PATIENT DAYS 422558,B100000,00000,1200,1200PATIENT DAYS 422558,B100000,00000,1300,1300PATIENT DAYS 422558,B100000,00000,1400,1400ASSIGNED TIME 422558,B100000,00000,1500,1350 422558,G300000,02500,0000,GAIN ON SALE OF EQUIPMENT 422558,S000000,00100,0200,11/28/11 422558,S200000,00100,0100,900 WEST 12TH STREET 422558,S200000,00200,0100,RUSSELLVILLE 422558,S200000,00200,0200,AR 422558,S200000,00200,0300,72801 422558,S200000,00300,0100,POPE 422558,S200000,00300,0201,99904 422558,S200000,00300,0300,R 422558,S200000,00400,0100,LEGACY LODGE NURSING HOME 422558,S200000,00400,0200,045410 422558,S200000,00400,0300,04/01/06 422558,S200000,00400,0500,P 422558,S200000,01500,0100,Y 422558,S200000,01501,0200,Y 422558,S200000,01503,0200,Y 422558,S200000,01600,0100,N 422558,S200000,01700,0100,N 422558,S200000,01800,0100,N 422558,S200000,02200,0100,N 422558,S200000,02800,0100,N 422558,S200000,02900,0100,N 422558,S200000,03000,0100,N 422558,S200000,03100,0100,N 422558,S200000,03200,0100,N 422558,S200000,03300,0100,N 422558,S200000,03300,0200,N 422558,S200000,04200,0100,N 422558,S200000,04300,0100,N 422558,S200000,04600,0100,N 422558,S200000,04700,0100,N 422558,S200000,04900,0100,N 422558,S200000,05200,0100,N 422571,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422571,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422571,A000000,00300,0000,0300EMPLOYEE BENEFITS 422571,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422571,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422571,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422571,A000000,00700,0000,0700HOUSEKEEPING 422571,A000000,00800,0000,0800DIETARY 422571,A000000,00900,0000,0900NURSING ADMINISTRATION 422571,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422571,A000000,01100,0000,1100PHARMACY 422571,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422571,A000000,01300,0000,1300SOCIAL SERVICE 422571,A000000,01600,0000,1600SKILLED NURSING FACILITY 422571,A000000,02200,0000,2200LABORATORY 422571,A000000,02500,0000,2500PHYSICAL THERAPY 422571,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422571,A000000,02700,0000,2700SPEECH PATHOLOGY 422571,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422571,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422571,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422571,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422571,A000000,05300,0000,5300INTEREST EXPENSE 422571,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422571,A000000,05500,0000,5500HOSPICE 422571,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422571,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422571,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422571,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422571,A000000,06100,0000,6100NONPAID WORKERS 422571,A000000,06200,0000,6200PATIENTS LAUNDRY 422571,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422571,A81000A,00100,0100,Y 422571,A81000B,00100,0300,H/O CAPITAL 422571,A81000B,00200,0300,H/O MANAGEMENT FEES 422571,A81000B,00300,0300,H/O ACCOUNTING FEES 422571,A81000B,00400,0300,S. MAY - CONSULTING 422571,A81000C,00100,0100,A 422571,A81000C,00100,0200,BRIAN MAY 422571,A81000C,00100,0400,DIVERSIFIED HEALTHCARE 422571,A81000C,00100,0600,HOME OFFICE 422571,A81000C,00200,0100,A 422571,A81000C,00200,0200,MARTING STOTT 422571,A81000C,00200,0400,DIVERSIFIED HEALTHCARE 422571,A81000C,00200,0600,HOME OFFICE 422571,A81000C,00300,0100,F 422571,A81000C,00300,0200,STEPHEN MAY 422571,A81000C,00300,0400,STEPHEN MAY CPA 422571,A81000C,00300,0600,CONSULTING 422571,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422571,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422571,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422571,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422571,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422571,B100000,00000,0600,0650SQUARE FEET :LAUNDRY & LINEN SE 422571,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422571,B100000,00000,0800,0800MEALS SERVED :DIETARY 422571,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 422571,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 422571,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 422571,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 422571,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 422571,G300000,02500,0000,COST REPORT SETTLEMENT 422571,G300000,02501,0000,BEAUTY SHOP 422571,G300000,02502,0000,GAIN ON SALE OF ASSET 422571,G300000,02503,0000,LEASE - BUILDING 422571,S000000,00100,0200,10/19/11 422571,S200000,00100,0100,1855 CHEYENNE DRIVE 422571,S200000,00200,0100,CARROLLTON 422571,S200000,00200,0200,TX 422571,S200000,00200,0300,75010 422571,S200000,00300,0100,DENTON 422571,S200000,00300,0200,1920 422571,S200000,00300,0201,19124 422571,S200000,00300,0300,U 422571,S200000,00400,0100,BROOKHAVEN NURSING CENTER 422571,S200000,00400,0200,455412 422571,S200000,00400,0300,10/01/86 422571,S200000,00400,0500,P 422571,S200000,01500,0100,Y 422571,S200000,01600,0100,N 422571,S200000,01700,0100,N 422571,S200000,01800,0100,N 422571,S200000,02200,0100,N 422571,S200000,02800,0100,N 422571,S200000,02900,0100,N 422571,S200000,03000,0100,N 422571,S200000,03100,0100,N 422571,S200000,03200,0100,N 422571,S200000,03300,0100,N 422571,S200000,03300,0200,N 422571,S200000,04100,0100,N 422571,S200000,04200,0100,N 422571,S200000,04300,0100,N 422571,S200000,04600,0100,N 422571,S200000,04700,0100,N 422571,S200000,04700,0200,N 422571,S200000,04900,0100,N 422571,S200000,05000,0100,N 422571,S200000,05100,0100,N 422571,S200000,05200,0100,N 422571,S200000,05300,0100,Y 422571,S200000,05300,0200,HO8680 422571,S200000,05400,0100,DIVERSIFIED HEALTHCARE LLC 422571,S200000,05400,0200,PINNACLE 422571,S200000,05400,0300,07101 422571,S200000,05500,0100,10606 TIMBERLAKE AVENUE 422571,S200000,05600,0100,BATON ROUGE 422571,S200000,05600,0200,LA 422571,S200000,05600,0300,70810 422572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422572,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422572,A000000,00300,0000,0300EMPLOYEE BENEFITS 422572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422572,A000000,00700,0000,0700HOUSEKEEPING 422572,A000000,00800,0000,0800DIETARY 422572,A000000,00900,0000,0900NURSING ADMINISTRATION 422572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422572,A000000,01100,0000,1100PHARMACY 422572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422572,A000000,01300,0000,1300SOCIAL SERVICE 422572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422572,A000000,01500,0000,1350OTHER GENERAL SERVICES 422572,A000000,01600,0000,1600SKILLED NURSING FACILITY 422572,A000000,01800,0000,1800NURSING FACILITY 422572,A000000,01810,0000,1810ICF/MR 422572,A000000,01900,0000,1900OTHER LONG TERM CARE 422572,A000000,02100,0000,2100RADIOLOGY 422572,A000000,02200,0000,2200LABORATORY 422572,A000000,02300,0000,2300INTRAVENOUS THERAPY 422572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422572,A000000,02500,0000,2500PHYSICAL THERAPY 422572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422572,A000000,02700,0000,2700SPEECH PATHOLOGY 422572,A000000,02800,0000,2800ELECTROCARDIOLOGY 422572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422572,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422572,A000000,03200,0000,3200SUPPORT SURFACES 422572,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422572,A000000,03400,0000,3400CLINIC 422572,A000000,03500,0000,3500RURAL HEALTH CLINIC 422572,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422572,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422572,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422572,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422572,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422572,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422572,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422572,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422572,A000000,04400,0000,4400DME RENTED - HHA 422572,A000000,04500,0000,4500DME SOLD - HHA 422572,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422572,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422572,A000000,04710,0000,4710TELEMEDICINE 422572,A000000,04800,0000,4800AMBULANCE 422572,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422572,A000000,05000,0000,5000CORF 422572,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422572,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422572,A000000,05300,0000,5300INTEREST EXPENSE 422572,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422572,A000000,05500,0000,5500HOSPICE 422572,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422572,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422572,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422572,A000000,06100,0000,6100NONPAID WORKERS 422572,A000000,06200,0000,6200PATIENTS LAUNDRY 422572,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422572,A81000A,00100,0100,Y 422572,A81000B,00100,0300,HOME OFFICE COSTS 422572,A81000C,00100,0100,C 422572,A81000C,00100,0200,GRETHER HC FAC (DIRECT) 422572,A81000C,00100,0400,GRETHER HC FAC 422572,A81000C,00100,0600,NURSING HOME CHAIN 422572,A81000C,00200,0100,C 422572,A81000C,00200,0200,GRETHER HC FAC (DIRECT) 422572,A81000C,00200,0400,GRETHER HC FAC 422572,A81000C,00200,0600,NURSING HOME CHAIN 422572,A81000C,00300,0100,C 422572,A81000C,00300,0200,GRETHER HC FAC (HOME OFC) 422572,A81000C,00300,0400,GRETHER HC FAC 422572,A81000C,00400,0100,C 422572,A81000C,00400,0200,GRETHER HC FAC (HOME OFC) 422572,A81000C,00400,0400,GRETHER HC FAC 422572,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422572,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422572,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422572,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422572,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 422572,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 422572,B100000,00000,0800,0800MEALS SERVED :DIETARY 422572,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 422572,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 422572,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 422572,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 422572,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 422572,S000000,00100,0200,09/21/11 422572,S200000,00100,0100,721 W MULBERRY STREET 422572,S200000,00200,0100,ANGLETON 422572,S200000,00200,0200,TX 422572,S200000,00200,0300,77515 422572,S200000,00300,0100,BRAZORIA 422572,S200000,00300,0200,1145 422572,S200000,00300,0201,26420 422572,S200000,00300,0300,U 422572,S200000,00400,0100,VILLAGE ON THE CREEK 422572,S200000,00400,0200,455841 422572,S200000,00400,0300,08/18/89 422572,S200000,00400,0500,P 422572,S200000,00400,0600,P 422572,S200000,01500,0100,N 422572,S200000,01600,0100,Y 422572,S200000,01700,0100,N 422572,S200000,01800,0100,N 422572,S200000,02200,0100,N 422572,S200000,02800,0100,N 422572,S200000,02900,0100,N 422572,S200000,03000,0100,N 422572,S200000,03100,0100,N 422572,S200000,03200,0100,N 422572,S200000,03300,0100,N 422572,S200000,03300,0200,N 422572,S200000,04100,0100,N 422572,S200000,04200,0100,N 422572,S200000,04300,0100,Y 422572,S200000,04600,0100,N 422572,S200000,04700,0100,N 422572,S200000,04700,0200,N 422572,S200000,04900,0100,N 422572,S200000,05000,0100,N 422572,S200000,05100,0100,N 422572,S200000,05200,0100,N 422572,S200000,05300,0100,Y 422572,S200000,05300,0200,HB0344 422572,S200000,05400,0100,GRETHER HEALTH CARE FACILITIES 422572,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICES 422572,S200000,05400,0300,00400 422572,S200000,05500,0100,721 W MULBERRY 422572,S200000,05600,0100,ANGLETON 422572,S200000,05600,0200,TX 422572,S200000,05600,0300,77515 422573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422573,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422573,A000000,00300,0000,0300EMPLOYEE BENEFITS 422573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422573,A000000,00700,0000,0700HOUSEKEEPING 422573,A000000,00800,0000,0800DIETARY 422573,A000000,00900,0000,0900NURSING ADMINISTRATION 422573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422573,A000000,01100,0000,1100PHARMACY 422573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422573,A000000,01300,0000,1300SOCIAL SERVICE 422573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422573,A000000,01500,0000,1350OTHER GENERAL SERVICES 422573,A000000,01600,0000,1600SKILLED NURSING FACILITY 422573,A000000,01800,0000,1800NURSING FACILITY 422573,A000000,01810,0000,1810ICF/MR 422573,A000000,01900,0000,1900OTHER LONG TERM CARE 422573,A000000,02100,0000,2100RADIOLOGY 422573,A000000,02200,0000,2200LABORATORY 422573,A000000,02300,0000,2300INTRAVENOUS THERAPY 422573,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422573,A000000,02500,0000,2500PHYSICAL THERAPY 422573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422573,A000000,02700,0000,2700SPEECH PATHOLOGY 422573,A000000,02800,0000,2800ELECTROCARDIOLOGY 422573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422573,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422573,A000000,03200,0000,3200SUPPORT SURFACES 422573,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422573,A000000,03400,0000,3400CLINIC 422573,A000000,03500,0000,3500RURAL HEALTH CLINIC 422573,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422573,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422573,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422573,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422573,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422573,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422573,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422573,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422573,A000000,04400,0000,4400DME RENTED - HHA 422573,A000000,04500,0000,4500DME SOLD - HHA 422573,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422573,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422573,A000000,04710,0000,4710TELEMEDICINE 422573,A000000,04800,0000,4800AMBULANCE 422573,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422573,A000000,05000,0000,5000CORF 422573,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422573,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422573,A000000,05300,0000,5300INTEREST EXPENSE 422573,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422573,A000000,05500,0000,5500HOSPICE 422573,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422573,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422573,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422573,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422573,A000000,06100,0000,6100NONPAID WORKERS 422573,A000000,06200,0000,6200PATIENTS LAUNDRY 422573,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422573,A81000A,00100,0100,Y 422573,A81000B,00100,0300,HOME OFFICE COSTS 422573,A81000C,00100,0100,C 422573,A81000C,00100,0200,GRETHER HC FAC (DIRECT 422573,A81000C,00100,0400,GRETHER HC FAC 422573,A81000C,00100,0600,NURSING HOME CHAIN 422573,A81000C,00200,0100,C 422573,A81000C,00200,0200,GRETHER HC FAC (DIRECT) 422573,A81000C,00200,0400,GRETHER HC FAC 422573,A81000C,00200,0600,NURSING HOME CHAIN 422573,A81000C,00300,0100,C 422573,A81000C,00300,0200,GRETHER HC FAC (HOME OFC) 422573,A81000C,00300,0400,GRETHER HC FAC 422573,A81000C,00400,0100,C 422573,A81000C,00400,0200,GRETHER HC FAC (HOME OFC) 422573,A81000C,00400,0400,GRETHER HC FAC 422573,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422573,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422573,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422573,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422573,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422573,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 422573,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 422573,B100000,00000,0800,0800MEALS SERVED :DIETARY 422573,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 422573,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 422573,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 422573,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 422573,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 422573,S000000,00100,0200,09/21/11 422573,S200000,00100,0100,721 W MULBERRY STREET 422573,S200000,00200,0100,ANGLETON 422573,S200000,00200,0200,TX 422573,S200000,00200,0300,77515 422573,S200000,00300,0100,BRAZORIA 422573,S200000,00300,0200,1145 422573,S200000,00300,0201,26420 422573,S200000,00300,0300,U 422573,S200000,00400,0100,THE PLANTATION HEALTH CARE CENTER 422573,S200000,00400,0200,455885 422573,S200000,00400,0300,07/05/90 422573,S200000,00400,0500,P 422573,S200000,00400,0600,P 422573,S200000,01500,0100,N 422573,S200000,01501,0200,Y 422573,S200000,01600,0100,Y 422573,S200000,01700,0100,N 422573,S200000,01800,0100,N 422573,S200000,02200,0100,N 422573,S200000,02800,0100,N 422573,S200000,02900,0100,N 422573,S200000,03000,0100,N 422573,S200000,03100,0100,N 422573,S200000,03200,0100,N 422573,S200000,03300,0100,N 422573,S200000,03300,0200,N 422573,S200000,04100,0100,N 422573,S200000,04200,0100,N 422573,S200000,04300,0100,Y 422573,S200000,04600,0100,N 422573,S200000,04700,0100,N 422573,S200000,04700,0200,N 422573,S200000,04900,0100,N 422573,S200000,05000,0100,N 422573,S200000,05100,0100,N 422573,S200000,05200,0100,N 422573,S200000,05300,0100,Y 422573,S200000,05300,0200,HB0344 422573,S200000,05400,0100,GRETHER HC FAC 422573,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 422573,S200000,05400,0300,00400 422573,S200000,05500,0100,721 W. MULBERRY 422573,S200000,05600,0100,ANGLETON 422573,S200000,05600,0200,TX 422573,S200000,05600,0300,77515 422578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422578,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422578,A000000,00300,0000,0300EMPLOYEE BENEFITS 422578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422578,A000000,00700,0000,0700HOUSEKEEPING 422578,A000000,00800,0000,0800DIETARY 422578,A000000,00900,0000,0900NURSING ADMINISTRATION 422578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422578,A000000,01100,0000,1100PHARMACY 422578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422578,A000000,01300,0000,1300SOCIAL SERVICE 422578,A000000,01301,0000,1301ACTIVITIES ICE 422578,A000000,01600,0000,1600SKILLED NURSING FACILITY 422578,A000000,01800,0000,1800NURSING FACILITY 422578,A000000,02100,0000,2100RADIOLOGY 422578,A000000,02200,0000,2200LABORATORY 422578,A000000,02300,0000,2300INTRAVENOUS THERAPY 422578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422578,A000000,02500,0000,2500PHYSICAL THERAPY 422578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422578,A000000,02700,0000,2700SPEECH PATHOLOGY 422578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422578,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422578,A000000,03301,0000,3051MEDICAL EQUIPMENT RVICE COST CEN 422578,A000000,04800,0000,4800AMBULANCE 422578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422578,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422578,A81000A,00100,0100,Y 422578,A81000B,00100,0300,HOME OFFICE CAPITAL 422578,A81000B,00200,0300,HOME OFFICE NONCAPITAL 422578,A81000B,00300,0300,PHYSICAL THERAPY 422578,A81000B,00400,0300,OCCUPATIONAL THERAPY 422578,A81000B,00500,0300,SPEECH THERAPY 422578,A81000C,00100,0100,A 422578,A81000C,00100,0200,DAYBREAK PARTNERS LLC 422578,A81000C,00100,0400,DAYBREAK VENTURE LLC 422578,A81000C,00100,0600,HOME OFFICE 422578,A81000C,00200,0100,B 422578,A81000C,00200,0200,DAYBREAK THERAPY INC 422578,A81000C,00200,0400,DAYBREAK PARTNERS LLC 422578,A81000C,00200,0600,THERAPY COMPANY 422578,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422578,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422578,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422578,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422578,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422578,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422578,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422578,B100000,00000,0800,0800MEALS SERVED :DIETARY 422578,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 422578,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 422578,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 422578,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 422578,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422578,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES ICE 422578,G300000,02500,0000,MISCELLANEOUS INCOME 422578,S000000,00100,0200,09/20/11 422578,S200000,00100,0100,1201 CARDINAL DRIVE 422578,S200000,00200,0100,WOODVILLE 422578,S200000,00200,0200,TX 422578,S200000,00200,0300,75979-5499 422578,S200000,00300,0100,TYLER 422578,S200000,00300,0200,67 422578,S200000,00300,0201,99945 422578,S200000,00300,0300,R 422578,S200000,00400,0100,HOLIDAY PINES NURSING & REHABILITATI 422578,S200000,00400,0200,455680 422578,S200000,00400,0300,10/30/86 422578,S200000,00400,0500,P 422578,S200000,01500,0100,Y 422578,S200000,01501,0200,N 422578,S200000,01502,0200,N 422578,S200000,01503,0200,N 422578,S200000,01504,0200,N 422578,S200000,01600,0100,N 422578,S200000,01700,0100,N 422578,S200000,01800,0100,N 422578,S200000,02200,0100,Y 422578,S200000,02800,0100,N 422578,S200000,02900,0100,N 422578,S200000,03000,0100,N 422578,S200000,03100,0100,N 422578,S200000,03200,0100,N 422578,S200000,03300,0100,N 422578,S200000,03300,0200,N 422578,S200000,04100,0100,N 422578,S200000,04200,0100,N 422578,S200000,04300,0100,Y 422578,S200000,04600,0100,N 422578,S200000,04700,0100,N 422578,S200000,04700,0200,N 422578,S200000,04900,0100,N 422578,S200000,05000,0100,N 422578,S200000,05100,0100,N 422578,S200000,05200,0100,N 422639,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422639,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422639,A000000,00300,0000,0300EMPLOYEE BENEFITS 422639,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422639,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422639,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422639,A000000,00700,0000,0700HOUSEKEEPING 422639,A000000,00800,0000,0800DIETARY 422639,A000000,00900,0000,0900NURSING ADMINISTRATION 422639,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422639,A000000,01100,0000,1100PHARMACY 422639,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422639,A000000,01300,0000,1300SOCIAL SERVICE 422639,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422639,A000000,01500,0000,1350RECREATION 422639,A000000,01600,0000,1600SKILLED NURSING FACILITY 422639,A000000,01810,0000,1810ICF/MR 422639,A000000,02100,0000,2100RADIOLOGY 422639,A000000,02200,0000,2200LABORATORY 422639,A000000,02300,0000,2300INTRAVENOUS THERAPY 422639,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422639,A000000,02500,0000,2500PHYSICAL THERAPY 422639,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422639,A000000,02700,0000,2700SPEECH PATHOLOGY 422639,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 422639,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422639,A000000,03550,0000,3550FQHC 422639,A000000,04801,0000,4801AMBULANCE 422639,A000000,04802,0000,4802AMBULANCE 422639,A000000,04803,0000,4803AMBULANCE 422639,A000000,05000,0000,5000CORF 422639,A000000,05010,0000,5010CMHC 422639,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422639,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422639,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422639,A81000A,00100,0100,Y 422639,A81000B,00100,0300,AS ATTACHED 422639,A81000B,00200,0300,HOME OFFICE INTEREST 422639,A81000B,00300,0300,HOME OFFICE A & G 422639,A81000B,00400,0300,HOME OFFICE CAP PIEC 422639,A81000C,00100,0100,B 422639,A81000C,00100,0400,AS ATTACHED 422639,A81000C,00100,0600,VARIOUS 422639,A81000C,00200,0100,B 422639,A81000C,00200,0400,GHC 422639,A81000C,00200,0600,LONG TERM CARE 422639,A81000C,00300,0100,B 422639,A81000C,00300,0400,GHC 422639,A81000C,00300,0600,LONG TERM CARE 422639,A81000C,00400,0100,B 422639,A81000C,00400,0400,GHC 422639,A81000C,00400,0600,LONG TERM CARE 422639,B100000,00000,0100,0100SQUARE FEET 422639,B100000,00000,0200,0200SQUARE FEET 422639,B100000,00000,0300,0300GROSS SALARIES 422639,B100000,00000,0400,0400ACCUM COST 422639,B100000,00000,0500,0500SQUARE FEET 422639,B100000,00000,0600,0600PATIENT DAYS 422639,B100000,00000,0700,0700SQUARE FEET 422639,B100000,00000,0800,0800MEALS SERVED 422639,B100000,00000,0900,0900NURSING SALARIES 422639,B100000,00000,1000,1000COSTED REQUIS 422639,B100000,00000,1100,1100COSTED REQUIS 422639,B100000,00000,1200,1200PATIENT DAYS 422639,B100000,00000,1300,1300PATIENT DAYS 422639,B100000,00000,1400,1400ASSIGNED TIME 422639,B100000,00000,1500,1350PATIENT DAYS 422639,S000000,00100,0200,09/12/11 422639,S200000,00100,0100,660 COMMONWEALTH AVENUE 422639,S200000,00200,0100,WARWICK 422639,S200000,00200,0200,RI 422639,S200000,00200,0300,02886 422639,S200000,00300,0100,KENT 422639,S200000,00300,0201,39300 422639,S200000,00300,0300,U 422639,S200000,00400,0100,KENT REGENCY CENTER 422639,S200000,00400,0200,415009 422639,S200000,00400,0300,01/03/67 422639,S200000,00400,0500,P 422639,S200000,01500,0100,Y 422639,S200000,01501,0200,N 422639,S200000,01502,0200,N 422639,S200000,01503,0200,N 422639,S200000,01504,0200,N 422639,S200000,01600,0100,N 422639,S200000,01700,0100,N 422639,S200000,01800,0100,N 422639,S200000,02200,0100,Y 422639,S200000,02800,0100,N 422639,S200000,02900,0100,N 422639,S200000,03000,0100,N 422639,S200000,03100,0100,N 422639,S200000,03200,0100,N 422639,S200000,03300,0100,N 422639,S200000,03300,0200,N 422639,S200000,04200,0100,N 422639,S200000,04300,0100,N 422639,S200000,04600,0100,N 422639,S200000,04700,0100,N 422639,S200000,04900,0100,N 422639,S200000,05200,0100,N 422639,S200000,05300,0100,Y 422639,S200000,05300,0200,HB0067 422639,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 422639,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 422639,S200000,05400,0300,12001 422639,S200000,05500,0100,101 EAST STATE STREET 422639,S200000,05600,0100,KENNETT SQUARE 422639,S200000,05600,0200,PA 422639,S200000,05600,0300,19348 422640,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422640,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422640,A000000,00300,0000,0300EMPLOYEE BENEFITS 422640,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422640,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422640,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422640,A000000,00700,0000,0700HOUSEKEEPING 422640,A000000,00800,0000,0800DIETARY 422640,A000000,00900,0000,0900NURSING ADMINISTRATION 422640,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422640,A000000,01100,0000,1100PHARMACY 422640,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422640,A000000,01300,0000,1300SOCIAL SERVICE 422640,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422640,A000000,01500,0000,1350RECREATION 422640,A000000,01600,0000,1600SKILLED NURSING FACILITY 422640,A000000,01810,0000,1810ICF/MR 422640,A000000,02100,0000,2100RADIOLOGY 422640,A000000,02200,0000,2200LABORATORY 422640,A000000,02300,0000,2300INTRAVENOUS THERAPY 422640,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422640,A000000,02500,0000,2500PHYSICAL THERAPY 422640,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422640,A000000,02700,0000,2700SPEECH PATHOLOGY 422640,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422640,A000000,03550,0000,3550FQHC 422640,A000000,04801,0000,4801AMBULANCE 422640,A000000,04802,0000,4802AMBULANCE 422640,A000000,04803,0000,4803AMBULANCE 422640,A000000,05000,0000,5000CORF 422640,A000000,05010,0000,5010CMHC 422640,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422640,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422640,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422640,A81000A,00100,0100,Y 422640,A81000B,00100,0300,AS ATTACHED 422640,A81000B,00200,0300,HOME OFFICE INTEREST 422640,A81000B,00300,0300,HOME OFFICE A&G 422640,A81000B,00400,0300,HOME OFFICE CAP PIEC 422640,A81000C,00100,0100,B 422640,A81000C,00100,0400,AS ATTACHED 422640,A81000C,00100,0600,VARIOUS 422640,A81000C,00200,0100,B 422640,A81000C,00200,0400,GHC 422640,A81000C,00200,0600,LONG TERM CARE 422640,A81000C,00300,0100,B 422640,A81000C,00300,0400,GHC 422640,A81000C,00300,0600,LONG TERM CARE 422640,A81000C,00400,0100,B 422640,A81000C,00400,0400,GHC 422640,A81000C,00400,0600,LONG TERM CARE 422640,B100000,00000,0100,0100SQUARE FEET 422640,B100000,00000,0200,0200SQUARE FEET 422640,B100000,00000,0300,0300GROSS SALARIES 422640,B100000,00000,0400,0400ACCUM COST 422640,B100000,00000,0500,0500SQUARE FEET 422640,B100000,00000,0600,0600PATIENT DAYS 422640,B100000,00000,0700,0700SQUARE FEET 422640,B100000,00000,0800,0800MEALS SERVED 422640,B100000,00000,0900,0900NURSING SALARIES 422640,B100000,00000,1000,1000COSTED REQUIS 422640,B100000,00000,1100,1100COSTED REQUIS 422640,B100000,00000,1200,1200PATIENT DAYS 422640,B100000,00000,1300,1300PATIENT DAYS 422640,B100000,00000,1400,1400ASSIGNED TIME 422640,B100000,00000,1500,1350PATIENT DAYS 422640,S000000,00100,0200,09/12/11 422640,S200000,00100,0100,333 GREEN END AVENUE 422640,S200000,00200,0100,MIDDLETOWN 422640,S200000,00200,0200,RI 422640,S200000,00200,0300,02842 422640,S200000,00300,0100,NEWPORT 422640,S200000,00300,0201,39300 422640,S200000,00300,0300,U 422640,S200000,00400,0100,GRAND ISLANDER CENTER 422640,S200000,00400,0200,415034 422640,S200000,00400,0300,01/01/75 422640,S200000,00400,0500,P 422640,S200000,01500,0100,Y 422640,S200000,01501,0200,N 422640,S200000,01502,0200,N 422640,S200000,01503,0200,N 422640,S200000,01504,0200,N 422640,S200000,01600,0100,N 422640,S200000,01700,0100,N 422640,S200000,01800,0100,N 422640,S200000,02200,0100,Y 422640,S200000,02800,0100,N 422640,S200000,02900,0100,N 422640,S200000,03000,0100,N 422640,S200000,03100,0100,N 422640,S200000,03200,0100,N 422640,S200000,03300,0100,N 422640,S200000,03300,0200,N 422640,S200000,04200,0100,N 422640,S200000,04300,0100,N 422640,S200000,04600,0100,N 422640,S200000,04700,0100,N 422640,S200000,04900,0100,N 422640,S200000,05200,0100,N 422640,S200000,05300,0100,Y 422640,S200000,05300,0200,HB0067 422640,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 422640,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 422640,S200000,05400,0300,12001 422640,S200000,05500,0100,101 EAST STATE STREET 422640,S200000,05600,0100,KENNETT SQUARE 422640,S200000,05600,0200,PA 422640,S200000,05600,0300,19348 422644,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422644,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422644,A000000,00300,0000,0300EMPLOYEE BENEFITS 422644,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422644,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422644,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422644,A000000,00700,0000,0700HOUSEKEEPING 422644,A000000,00800,0000,0800DIETARY 422644,A000000,00900,0000,0900NURSING ADMINISTRATION 422644,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422644,A000000,01100,0000,1100PHARMACY 422644,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422644,A000000,01300,0000,1300SOCIAL SERVICE 422644,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422644,A000000,01500,0000,1350RECREATION 422644,A000000,01600,0000,1600SKILLED NURSING FACILITY 422644,A000000,01810,0000,1810ICF/MR 422644,A000000,02100,0000,2100RADIOLOGY 422644,A000000,02200,0000,2200LABORATORY 422644,A000000,02300,0000,2300INTRAVENOUS THERAPY 422644,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422644,A000000,02500,0000,2500PHYSICAL THERAPY 422644,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422644,A000000,02700,0000,2700SPEECH PATHOLOGY 422644,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422644,A000000,03550,0000,3550FQHC 422644,A000000,04801,0000,4801AMBULANCE 422644,A000000,04802,0000,4802AMBULANCE 422644,A000000,04803,0000,4803AMBULANCE 422644,A000000,05000,0000,5000CORF 422644,A000000,05010,0000,5010CMHC 422644,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422644,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422644,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422644,A81000A,00100,0100,Y 422644,A81000B,00100,0300,SEE ATTACHED 422644,A81000B,00200,0300,CAPITAL INTEREST 422644,A81000B,00300,0300,HOME OFFICE 422644,A81000B,00400,0300,HOME OFFICE 422644,A81000C,00100,0100,B 422644,A81000C,00100,0400,SEE ATTACHED 422644,A81000C,00100,0600,VARIOUS 422644,A81000C,00200,0100,B 422644,A81000C,00200,0400,GHC 422644,A81000C,00200,0600,LONG TERM CARE 422644,A81000C,00300,0100,B 422644,A81000C,00300,0400,GHC 422644,A81000C,00300,0600,LONG TERM CARE 422644,A81000C,00400,0100,B 422644,A81000C,00400,0400,GHC 422644,A81000C,00400,0600,LONG TERM CARE 422644,B100000,00000,0100,0100SQUARE FEET 422644,B100000,00000,0200,0200SQUARE FEET 422644,B100000,00000,0300,0300GROSS SALARIES 422644,B100000,00000,0400,0400ACCUM COST 422644,B100000,00000,0500,0500SQUARE FEET 422644,B100000,00000,0600,0600PATIENT DAYS 422644,B100000,00000,0700,0700SQUARE FEET 422644,B100000,00000,0800,0800MEALS SERVED 422644,B100000,00000,0900,0900NURSING SALARIES 422644,B100000,00000,1000,1000COSTED REQUIS 422644,B100000,00000,1100,1100COSTED REQUIS 422644,B100000,00000,1200,1200PATIENT DAYS 422644,B100000,00000,1300,1300PATIENT DAYS 422644,B100000,00000,1400,1400ASSIGNED TIME 422644,B100000,00000,1500,1350PATIENT DAYS 422644,S000000,00100,0200,09/12/11 422644,S200000,00100,0100,44 KEYSTONE DRIVE 422644,S200000,00200,0100,LEOMINSTER 422644,S200000,00200,0200,MA 422644,S200000,00200,0300,01453 422644,S200000,00300,0100,WORCESTER 422644,S200000,00300,0201,49340 422644,S200000,00300,0300,U 422644,S200000,00400,0100,KEYSTONE CENTER 422644,S200000,00400,0200,225355 422644,S200000,00400,0300,05/01/89 422644,S200000,00400,0500,P 422644,S200000,01500,0100,Y 422644,S200000,01501,0200,N 422644,S200000,01502,0200,N 422644,S200000,01503,0200,N 422644,S200000,01504,0200,N 422644,S200000,01600,0100,N 422644,S200000,01700,0100,N 422644,S200000,01800,0100,N 422644,S200000,02200,0100,Y 422644,S200000,02800,0100,N 422644,S200000,02900,0100,N 422644,S200000,03000,0100,N 422644,S200000,03100,0100,N 422644,S200000,03200,0100,N 422644,S200000,03300,0100,N 422644,S200000,03300,0200,N 422644,S200000,04200,0100,N 422644,S200000,04300,0100,N 422644,S200000,04600,0100,N 422644,S200000,04700,0100,N 422644,S200000,04900,0100,N 422644,S200000,05200,0100,N 422644,S200000,05300,0100,Y 422644,S200000,05300,0200,HB0067 422644,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 422644,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 422644,S200000,05400,0300,12001 422644,S200000,05500,0100,101 EAST STATE STREET 422644,S200000,05600,0100,KENNETT SQUARE 422644,S200000,05600,0200,PA 422644,S200000,05600,0300,19348 422652,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422652,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422652,A000000,00300,0000,0300EMPLOYEE BENEFITS 422652,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422652,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422652,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422652,A000000,00700,0000,0700HOUSEKEEPING 422652,A000000,00800,0000,0800DIETARY 422652,A000000,00900,0000,0900NURSING ADMINISTRATION 422652,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422652,A000000,01100,0000,1100PHARMACY 422652,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422652,A000000,01300,0000,1300SOCIAL SERVICE 422652,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422652,A000000,01500,0000,1350ACTIVITIES 422652,A000000,01600,0000,1600SKILLED NURSING FACILITY 422652,A000000,01800,0000,1800NURSING FACILITY 422652,A000000,01810,0000,1810ICF/MR 422652,A000000,01900,0000,1900OTHER LONG TERM CARE 422652,A000000,02100,0000,2100RADIOLOGY 422652,A000000,02200,0000,2200LABORATORY 422652,A000000,02300,0000,2300INTRAVENOUS THERAPY 422652,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422652,A000000,02500,0000,2500PHYSICAL THERAPY 422652,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422652,A000000,02700,0000,2700SPEECH PATHOLOGY 422652,A000000,02800,0000,2800ELECTROCARDIOLOGY 422652,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422652,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422652,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422652,A000000,03200,0000,3200SUPPORT SURFACES 422652,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422652,A000000,03400,0000,3400CLINIC 422652,A000000,03500,0000,3500RURAL HEALTH CLINIC 422652,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422652,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422652,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422652,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422652,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422652,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422652,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422652,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422652,A000000,04400,0000,4400DME RENTED - HHA 422652,A000000,04500,0000,4500DME SOLD - HHA 422652,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422652,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422652,A000000,04710,0000,4710TELEMEDICINE 422652,A000000,04800,0000,4800AMBULANCE 422652,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422652,A000000,05000,0000,5000CORF 422652,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422652,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422652,A000000,05300,0000,5300INTEREST EXPENSE 422652,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422652,A000000,05500,0000,5500HOSPICE 422652,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422652,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422652,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422652,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422652,A000000,06100,0000,6100NONPAID WORKERS 422652,A000000,06200,0000,6200PATIENTS LAUNDRY 422652,A000000,06300,0000,6150ASSESSMENT FEE 422652,A81000A,00100,0100,Y 422652,A81000B,00100,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00200,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00300,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00400,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00500,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00600,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00700,0300,ADDIT SVP AND QR ALLOCATION 422652,A81000B,00800,0300,WATERS CONSULTING 422652,A81000B,00900,0300,WATERS CONSULTING 422652,A81000B,01000,0300,WATERS CONSULTING 422652,A81000B,01100,0300,WATERS CONSULTING 422652,A81000B,01200,0300,WATERS CONSULTING 422652,A81000C,00100,0100,B 422652,A81000C,00100,0200,THE WATERS OF INDIANA II 422652,A81000C,00100,0400,WATERS CONSULTING GROUP 422652,A81000C,00100,0600,CONSULTING SERVICES 422652,A81000C,00200,0100,B 422652,A81000C,00200,0200,THE WATERS OF INDIANA II 422652,A81000C,00200,0400,ADDIT LLC SVP LLC & QR 422652,A81000C,00200,0600,CONSULTING SERVICES 422652,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422652,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422652,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422652,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422652,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422652,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422652,B100000,00000,0800,0800MEALS SERVED :DIETARY 422652,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422652,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 422652,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422652,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 422652,E10A180,00301,0100,02/28/11 422652,S000000,00100,0200,11/11/11 422652,S200000,00100,0100,8181 HARCOURT ROAD 422652,S200000,00200,0100,INDIANAPOLIS 422652,S200000,00200,0200,IN 422652,S200000,00200,0300,46260 422652,S200000,00300,0100,MARION 422652,S200000,00300,0201,26900 422652,S200000,00300,0300,U 422652,S200000,00400,0100,THE WATERS OF GREENBRIAR LLC 422652,S200000,00400,0200,155149 422652,S200000,00400,0300,01/01/82 422652,S200000,00400,0500,P 422652,S200000,01500,0100,Y 422652,S200000,01600,0100,N 422652,S200000,01700,0100,N 422652,S200000,01800,0100,N 422652,S200000,02200,0100,N 422652,S200000,02800,0100,N 422652,S200000,02900,0100,N 422652,S200000,03000,0100,N 422652,S200000,03100,0100,N 422652,S200000,03200,0100,N 422652,S200000,03300,0100,N 422652,S200000,03300,0200,N 422652,S200000,04100,0100,N 422652,S200000,04200,0100,N 422652,S200000,04300,0100,N 422652,S200000,04600,0100,N 422652,S200000,04700,0100,N 422652,S200000,04700,0200,N 422652,S200000,04900,0100,N 422652,S200000,05000,0100,N 422652,S200000,05100,0100,N 422652,S200000,05200,0100,N 422701,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422701,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422701,A000000,00300,0000,0300EMPLOYEE BENEFITS 422701,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422701,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422701,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422701,A000000,00700,0000,0700HOUSEKEEPING 422701,A000000,00800,0000,0800DIETARY 422701,A000000,00900,0000,0900NURSING ADMINISTRATION 422701,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422701,A000000,01100,0000,1100PHARMACY 422701,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422701,A000000,01300,0000,1300SOCIAL SERVICE 422701,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422701,A000000,01500,0000,1350RECREATION 422701,A000000,01600,0000,1600SKILLED NURSING FACILITY 422701,A000000,01810,0000,1810ICF/MR 422701,A000000,02100,0000,2100RADIOLOGY 422701,A000000,02200,0000,2200LABORATORY 422701,A000000,02300,0000,2300INTRAVENOUS THERAPY 422701,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422701,A000000,02500,0000,2500PHYSICAL THERAPY 422701,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422701,A000000,02700,0000,2700SPEECH PATHOLOGY 422701,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 422701,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422701,A000000,03550,0000,3550FQHC 422701,A000000,04801,0000,4801AMBULANCE 422701,A000000,04802,0000,4802AMBULANCE 422701,A000000,04803,0000,4803AMBULANCE 422701,A000000,05000,0000,5000CORF 422701,A000000,05010,0000,5010CMHC 422701,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422701,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422701,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422701,A81000A,00100,0100,Y 422701,A81000B,00100,0300,SEE ATTACHED 422701,A81000B,00200,0300,HOME OFFICE INTEREST 422701,A81000B,00300,0300,HOME OFFICE A & G 422701,A81000B,00400,0300,HOME OFFICE CAPITAL 422701,A81000C,00100,0100,B 422701,A81000C,00100,0400,SEE ATTACHED 422701,A81000C,00100,0600,VARIOUS 422701,A81000C,00200,0100,B 422701,A81000C,00200,0400,GHC 422701,A81000C,00200,0600,LONG TERM CARE 422701,A81000C,00300,0100,B 422701,A81000C,00300,0400,GHC 422701,A81000C,00300,0600,LONG TERM CARE 422701,A81000C,00400,0100,B 422701,A81000C,00400,0400,GHC 422701,A81000C,00400,0600,LONG TERM CARE 422701,B100000,00000,0100,0100SQUARE FEET 422701,B100000,00000,0200,0200SQUARE FEET 422701,B100000,00000,0300,0300GROSS SALARIES 422701,B100000,00000,0400,0400ACCUM COST 422701,B100000,00000,0500,0500SQUARE FEET 422701,B100000,00000,0600,0600PATIENT DAYS 422701,B100000,00000,0700,0700SQUARE FEET 422701,B100000,00000,0800,0800MEALS SERVED 422701,B100000,00000,0900,0900NURSING SALARIES 422701,B100000,00000,1000,1000COSTED REQUIS 422701,B100000,00000,1100,1100COSTED REQUIS 422701,B100000,00000,1200,1200PATIENT DAYS 422701,B100000,00000,1300,1300PATIENT DAYS 422701,B100000,00000,1400,1400ASSIGNED TIME 422701,B100000,00000,1500,1350PATIENT DAYS 422701,S000000,00100,0200,09/12/11 422701,S200000,00100,0100,100 CHAMBERS STREET 422701,S200000,00200,0100,CUMBERLAND 422701,S200000,00200,0200,RI 422701,S200000,00200,0300,02864 422701,S200000,00300,0100,PROVIDENCE 422701,S200000,00300,0201,39300 422701,S200000,00300,0300,U 422701,S200000,00400,0100,GRANDVIEW CENTER 422701,S200000,00400,0200,415020 422701,S200000,00400,0300,01/02/68 422701,S200000,00400,0500,P 422701,S200000,01500,0100,Y 422701,S200000,01501,0200,N 422701,S200000,01502,0200,N 422701,S200000,01503,0200,N 422701,S200000,01504,0200,N 422701,S200000,01600,0100,N 422701,S200000,01700,0100,N 422701,S200000,01800,0100,N 422701,S200000,02200,0100,Y 422701,S200000,02800,0100,N 422701,S200000,02900,0100,N 422701,S200000,03000,0100,N 422701,S200000,03100,0100,N 422701,S200000,03200,0100,N 422701,S200000,03300,0100,N 422701,S200000,03300,0200,N 422701,S200000,04200,0100,N 422701,S200000,04300,0100,N 422701,S200000,04600,0100,N 422701,S200000,04700,0100,N 422701,S200000,04900,0100,N 422701,S200000,05200,0100,N 422701,S200000,05300,0100,Y 422701,S200000,05300,0200,HB0067 422701,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 422701,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 422701,S200000,05400,0300,12001 422701,S200000,05500,0100,101 EAST STATE STREET 422701,S200000,05600,0100,KENNETT SQUARE 422701,S200000,05600,0200,PA 422701,S200000,05600,0300,19348 422704,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422704,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422704,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422704,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422704,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422704,A000000,00700,0000,0700HOUSEKEEPING 422704,A000000,00800,0000,0800DIETARY 422704,A000000,00900,0000,0900NURSING ADMINISTRATION 422704,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422704,A000000,01100,0000,1100PHARMACY 422704,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422704,A000000,01300,0000,1300SOCIAL SERVICE 422704,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422704,A000000,01500,0000,1350OTHER GENERAL SERVICES 422704,A000000,01600,0000,1600SKILLED NURSING FACILITY 422704,A000000,01800,0000,1800NURSING FACILITY 422704,A000000,01810,0000,1810ICF/MR 422704,A000000,01900,0000,1900OTHER LONG TERM CARE 422704,A000000,02100,0000,2100RADIOLOGY 422704,A000000,02200,0000,2200LABORATORY 422704,A000000,02300,0000,2300INTRAVENOUS THERAPY 422704,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422704,A000000,02500,0000,2500PHYSICAL THERAPY 422704,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422704,A000000,02700,0000,2700SPEECH PATHOLOGY 422704,A000000,02800,0000,2800ELECTROCARDIOLOGY 422704,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422704,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422704,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422704,A000000,03200,0000,3200SUPPORT SURFACES 422704,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422704,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 422704,A000000,03302,0000,3052MEDICAL EQUIPMENT 422704,A000000,03303,0000,3053CLINIC 422704,A000000,03400,0000,3400CLINIC 422704,A000000,03500,0000,3500RURAL HEALTH CLINIC 422704,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422704,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422704,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422704,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422704,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422704,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422704,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422704,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422704,A000000,04400,0000,4400DME RENTED - HHA 422704,A000000,04500,0000,4500DME SOLD - HHA 422704,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422704,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422704,A000000,04710,0000,4710TELEMEDICINE 422704,A000000,04800,0000,4800AMBULANCE 422704,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422704,A000000,05000,0000,5000CORF 422704,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422704,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422704,A000000,05300,0000,5300INTEREST EXPENSE 422704,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422704,A000000,05500,0000,5500HOSPICE 422704,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422704,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422704,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422704,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422704,A000000,06100,0000,6100NONPAID WORKERS 422704,A000000,06200,0000,6200PATIENTS LAUNDRY 422704,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422704,A81000A,00100,0100,N 422704,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422704,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422704,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422704,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422704,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422704,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422704,B100000,00000,0800,0850PATIENT DAYS :DIETARY 422704,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422704,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 422704,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422704,G300000,02500,0000,OTHER (SPECIFY) 422704,S000000,00100,0200,11/23/11 422704,S200000,00100,0100,330 CHERRY STREET 422704,S200000,00200,0100,CHANDLER 422704,S200000,00200,0200,TX 422704,S200000,00200,0300,75758 422704,S200000,00300,0100,HENDERSON 422704,S200000,00300,0200,20 422704,S200000,00300,0201,99945 422704,S200000,00300,0300,R 422704,S200000,00400,0100,CHANDLER NURSING CENTER 422704,S200000,00400,0200,455910 422704,S200000,00400,0300,01/10/91 422704,S200000,00400,0500,P 422704,S200000,01500,0100,Y 422704,S200000,01501,0200,Y 422704,S200000,01600,0100,N 422704,S200000,01700,0100,N 422704,S200000,01800,0100,N 422704,S200000,02200,0100,N 422704,S200000,02800,0100,N 422704,S200000,02900,0100,N 422704,S200000,03000,0100,N 422704,S200000,03100,0100,N 422704,S200000,03200,0100,N 422704,S200000,03300,0100,N 422704,S200000,03300,0200,N 422704,S200000,04100,0100,N 422704,S200000,04200,0100,N 422704,S200000,04300,0100,N 422704,S200000,04600,0100,N 422704,S200000,04700,0100,N 422704,S200000,04700,0200,N 422704,S200000,04900,0100,N 422704,S200000,05000,0100,N 422704,S200000,05100,0100,N 422704,S200000,05200,0100,N 422705,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422705,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422705,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422705,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422705,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422705,A000000,00700,0000,0700HOUSEKEEPING 422705,A000000,00800,0000,0800DIETARY 422705,A000000,00900,0000,0900NURSING ADMINISTRATION 422705,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422705,A000000,01100,0000,1100PHARMACY 422705,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422705,A000000,01300,0000,1300SOCIAL SERVICE 422705,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422705,A000000,01500,0000,1350OTHER GENERAL SERVICES 422705,A000000,01600,0000,1600SKILLED NURSING FACILITY 422705,A000000,01800,0000,1800NURSING FACILITY 422705,A000000,01810,0000,1810ICF/MR 422705,A000000,01900,0000,1900OTHER LONG TERM CARE 422705,A000000,02100,0000,2100RADIOLOGY 422705,A000000,02200,0000,2200LABORATORY 422705,A000000,02300,0000,2300INTRAVENOUS THERAPY 422705,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422705,A000000,02500,0000,2500PHYSICAL THERAPY 422705,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422705,A000000,02700,0000,2700SPEECH PATHOLOGY 422705,A000000,02800,0000,2800ELECTROCARDIOLOGY 422705,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422705,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422705,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422705,A000000,03200,0000,3200SUPPORT SURFACES 422705,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422705,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 422705,A000000,03302,0000,3052MEDICAL EQUIPMENT 422705,A000000,03303,0000,3053CLINIC 422705,A000000,03400,0000,3400CLINIC 422705,A000000,03500,0000,3500RURAL HEALTH CLINIC 422705,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422705,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422705,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422705,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422705,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422705,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422705,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422705,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422705,A000000,04400,0000,4400DME RENTED - HHA 422705,A000000,04500,0000,4500DME SOLD - HHA 422705,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422705,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422705,A000000,04710,0000,4710TELEMEDICINE 422705,A000000,04800,0000,4800AMBULANCE 422705,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422705,A000000,05000,0000,5000CORF 422705,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422705,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422705,A000000,05300,0000,5300INTEREST EXPENSE 422705,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422705,A000000,05500,0000,5500HOSPICE 422705,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422705,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422705,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422705,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422705,A000000,06100,0000,6100NONPAID WORKERS 422705,A000000,06200,0000,6200PATIENTS LAUNDRY 422705,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422705,A81000A,00100,0100,N 422705,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422705,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422705,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422705,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422705,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422705,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422705,B100000,00000,0800,0850PATIENT DAYS :DIETARY 422705,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422705,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 422705,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422705,G300000,02500,0000,OTHER (SPECIFY) 422705,S000000,00100,0200,11/23/11 422705,S200000,00100,0100,3403 SOUTH VINE STREET 422705,S200000,00200,0100,TYLER 422705,S200000,00200,0200,TX 422705,S200000,00200,0300,75701 422705,S200000,00300,0100,SMITH 422705,S200000,00300,0200,8640 422705,S200000,00300,0201,46340 422705,S200000,00300,0300,U 422705,S200000,00400,0100,BRIARCLIFF HEALTH CENTER 422705,S200000,00400,0200,675142 422705,S200000,00400,0300,04/13/93 422705,S200000,00400,0500,P 422705,S200000,01500,0100,Y 422705,S200000,01501,0200,Y 422705,S200000,01600,0100,N 422705,S200000,01700,0100,N 422705,S200000,01800,0100,N 422705,S200000,02200,0100,N 422705,S200000,02800,0100,N 422705,S200000,02900,0100,N 422705,S200000,03000,0100,N 422705,S200000,03100,0100,N 422705,S200000,03200,0100,N 422705,S200000,03300,0100,N 422705,S200000,03300,0200,N 422705,S200000,04100,0100,N 422705,S200000,04200,0100,N 422705,S200000,04300,0100,N 422705,S200000,04600,0100,N 422705,S200000,04700,0100,N 422705,S200000,04700,0200,N 422705,S200000,04900,0100,N 422705,S200000,05000,0100,N 422705,S200000,05100,0100,N 422705,S200000,05200,0100,N 422706,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422706,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422706,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422706,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422706,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422706,A000000,00700,0000,0700HOUSEKEEPING 422706,A000000,00800,0000,0800DIETARY 422706,A000000,00900,0000,0900NURSING ADMINISTRATION 422706,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422706,A000000,01100,0000,1100PHARMACY 422706,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422706,A000000,01300,0000,1300SOCIAL SERVICE 422706,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422706,A000000,01500,0000,1350OTHER GENERAL SERVICES 422706,A000000,01600,0000,1600SKILLED NURSING FACILITY 422706,A000000,01800,0000,1800NURSING FACILITY 422706,A000000,01810,0000,1810ICF/MR 422706,A000000,01900,0000,1900OTHER LONG TERM CARE 422706,A000000,02100,0000,2100RADIOLOGY 422706,A000000,02200,0000,2200LABORATORY 422706,A000000,02300,0000,2300INTRAVENOUS THERAPY 422706,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422706,A000000,02500,0000,2500PHYSICAL THERAPY 422706,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422706,A000000,02700,0000,2700SPEECH PATHOLOGY 422706,A000000,02800,0000,2800ELECTROCARDIOLOGY 422706,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422706,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422706,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422706,A000000,03200,0000,3200SUPPORT SURFACES 422706,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422706,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 422706,A000000,03302,0000,3052MEDICAL EQUIPMENT 422706,A000000,03303,0000,3053CLINIC 422706,A000000,03400,0000,3400CLINIC 422706,A000000,03500,0000,3500RURAL HEALTH CLINIC 422706,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422706,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422706,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422706,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422706,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422706,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422706,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422706,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422706,A000000,04400,0000,4400DME RENTED - HHA 422706,A000000,04500,0000,4500DME SOLD - HHA 422706,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422706,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422706,A000000,04710,0000,4710TELEMEDICINE 422706,A000000,04800,0000,4800AMBULANCE 422706,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422706,A000000,05000,0000,5000CORF 422706,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422706,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422706,A000000,05300,0000,5300INTEREST EXPENSE 422706,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422706,A000000,05500,0000,5500HOSPICE 422706,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422706,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422706,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422706,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422706,A000000,06100,0000,6100NONPAID WORKERS 422706,A000000,06200,0000,6200PATIENTS LAUNDRY 422706,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422706,A81000A,00100,0100,N 422706,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422706,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422706,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422706,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422706,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422706,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422706,B100000,00000,0800,0850PATIENT DAYS :DIETARY 422706,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422706,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 422706,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422706,E10A180,00301,0100,06/30/11 422706,G300000,02500,0000,MISC 422706,S000000,00100,0200,11/23/11 422706,S200000,00100,0100,1001 CENTRAL BLVD 422706,S200000,00200,0100,BROWNSVILLE 422706,S200000,00200,0200,TX 422706,S200000,00200,0300,78520 422706,S200000,00300,0100,CAMEON 422706,S200000,00300,0200,1240 422706,S200000,00300,0201,15180 422706,S200000,00300,0300,U 422706,S200000,00400,0100,EBONY LAKE HEALTHCARE 422706,S200000,00400,0200,675635 422706,S200000,00400,0300,09/01/96 422706,S200000,00400,0500,P 422706,S200000,01500,0100,Y 422706,S200000,01501,0200,Y 422706,S200000,01600,0100,N 422706,S200000,01700,0100,N 422706,S200000,01800,0100,N 422706,S200000,02200,0100,N 422706,S200000,02800,0100,N 422706,S200000,02900,0100,N 422706,S200000,03000,0100,N 422706,S200000,03100,0100,N 422706,S200000,03200,0100,N 422706,S200000,03300,0100,N 422706,S200000,03300,0200,N 422706,S200000,04100,0100,N 422706,S200000,04200,0100,N 422706,S200000,04300,0100,N 422706,S200000,04600,0100,N 422706,S200000,04700,0100,N 422706,S200000,04700,0200,N 422706,S200000,04900,0100,N 422706,S200000,05000,0100,N 422706,S200000,05100,0100,N 422706,S200000,05200,0100,N 422707,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422707,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422707,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422707,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422707,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422707,A000000,00700,0000,0700HOUSEKEEPING 422707,A000000,00800,0000,0800DIETARY 422707,A000000,00900,0000,0900NURSING ADMINISTRATION 422707,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422707,A000000,01100,0000,1100PHARMACY 422707,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422707,A000000,01300,0000,1300SOCIAL SERVICE 422707,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422707,A000000,01500,0000,1350OTHER GENERAL SERVICES 422707,A000000,01600,0000,1600SKILLED NURSING FACILITY 422707,A000000,01800,0000,1800NURSING FACILITY 422707,A000000,01810,0000,1810ICF/MR 422707,A000000,01900,0000,1900OTHER LONG TERM CARE 422707,A000000,02100,0000,2100RADIOLOGY 422707,A000000,02200,0000,2200LABORATORY 422707,A000000,02300,0000,2300INTRAVENOUS THERAPY 422707,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422707,A000000,02500,0000,2500PHYSICAL THERAPY 422707,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422707,A000000,02700,0000,2700SPEECH PATHOLOGY 422707,A000000,02800,0000,2800ELECTROCARDIOLOGY 422707,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422707,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422707,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422707,A000000,03200,0000,3200SUPPORT SURFACES 422707,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422707,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 422707,A000000,03302,0000,3052MEDICAL EQUIPMENT 422707,A000000,03303,0000,3053CLINIC 422707,A000000,03400,0000,3400CLINIC 422707,A000000,03500,0000,3500RURAL HEALTH CLINIC 422707,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422707,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422707,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422707,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422707,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422707,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422707,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422707,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422707,A000000,04400,0000,4400DME RENTED - HHA 422707,A000000,04500,0000,4500DME SOLD - HHA 422707,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422707,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422707,A000000,04710,0000,4710TELEMEDICINE 422707,A000000,04800,0000,4800AMBULANCE 422707,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422707,A000000,05000,0000,5000CORF 422707,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422707,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422707,A000000,05300,0000,5300INTEREST EXPENSE 422707,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422707,A000000,05500,0000,5500HOSPICE 422707,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422707,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422707,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422707,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422707,A000000,06100,0000,6100NONPAID WORKERS 422707,A000000,06200,0000,6200PATIENTS LAUNDRY 422707,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422707,A81000A,00100,0100,N 422707,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422707,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422707,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422707,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422707,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422707,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422707,B100000,00000,0800,0850PATIENT DAYS :DIETARY 422707,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422707,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 422707,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422707,G300000,02500,0000,MISC 422707,S000000,00100,0200,11/23/11 422707,S200000,00100,0100,501 N SYCAMORE 422707,S200000,00200,0100,FORT STOCKTON 422707,S200000,00200,0200,TX 422707,S200000,00200,0300,79723 422707,S200000,00300,0100,PECOS 422707,S200000,00300,0200,45 422707,S200000,00300,0201,99945 422707,S200000,00300,0300,R 422707,S200000,00400,0100,FORT STOCKTON NURSING HOME 422707,S200000,00400,0200,675722 422707,S200000,00400,0300,01/01/96 422707,S200000,00400,0500,P 422707,S200000,01500,0100,Y 422707,S200000,01501,0200,Y 422707,S200000,01600,0100,N 422707,S200000,01700,0100,N 422707,S200000,01800,0100,N 422707,S200000,02200,0100,N 422707,S200000,02800,0100,N 422707,S200000,02900,0100,N 422707,S200000,03000,0100,N 422707,S200000,03100,0100,N 422707,S200000,03200,0100,N 422707,S200000,03300,0100,N 422707,S200000,03300,0200,N 422707,S200000,04100,0100,N 422707,S200000,04200,0100,N 422707,S200000,04300,0100,N 422707,S200000,04600,0100,N 422707,S200000,04700,0100,N 422707,S200000,04700,0200,N 422707,S200000,04900,0100,N 422707,S200000,05000,0100,N 422707,S200000,05100,0100,N 422707,S200000,05200,0100,N 422820,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 422820,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 422820,A000000,00300,0000,0300EMPLOYEE BENEFITS 422820,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422820,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 422820,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422820,A000000,00700,0000,0700HOUSEKEEPING 422820,A000000,00800,0000,0800DIETARY 422820,A000000,00900,0000,0900NURSING ADMINISTRATION 422820,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422820,A000000,01100,0000,1100PHARMACY 422820,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422820,A000000,01300,0000,1300SOCIAL SERVICE 422820,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 422820,A000000,01500,0000,1350ACTIVITIES 422820,A000000,01600,0000,1600SKILLED NURSING FACILITY 422820,A000000,01810,0000,1810ICF/MR 422820,A000000,02100,0000,2100RADIOLOGY 422820,A000000,02200,0000,2200LABORATORY 422820,A000000,02300,0000,2300INTRAVENOUS THERAPY 422820,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422820,A000000,02500,0000,2500PHYSICAL THERAPY 422820,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422820,A000000,02700,0000,2700SPEECH PATHOLOGY 422820,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 422820,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422820,A000000,03200,0000,3200SUPPORT SURFACES 422820,A000000,03300,0000,3050PEN BILLING 422820,A000000,03550,0000,3550FQHC 422820,A000000,04801,0000,4801AMBULANCE 422820,A000000,04802,0000,4802AMBULANCE 422820,A000000,04803,0000,4803AMBULANCE 422820,A000000,05000,0000,5000CORF 422820,A000000,05010,0000,5010CMHC 422820,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 422820,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 422820,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 422820,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422820,A81000A,00100,0100,Y 422820,A81000B,00100,0300,HOME OFFICE A AND G 422820,A81000B,00200,0300,DIR INT AND AMORT 422820,A81000B,00300,0300,HOME OFFICE CAP REL 422820,A81000B,00400,0300,PT 422820,A81000B,00500,0300,OT 422820,A81000B,00600,0300,ST 422820,A81000B,00700,0300,DIETARY 422820,A81000B,00800,0300,RT/OXYGEN 422820,A81000B,00900,0300,MED DIRECTOR FEES 422820,A81000B,01000,0300,VAR NURS PURCH SERV 422820,A81000C,00100,0100,B 422820,A81000C,00100,0200,GENE HEALTCHARE 422820,A81000C,00100,0600,MNGT CO 422820,A81000C,00200,0100,B 422820,A81000C,00200,0200,THERAPY SER 422820,A81000C,00200,0600,PT OT ST 422820,A81000C,00300,0100,B 422820,A81000C,00300,0200,GENE HOSP SERV 422820,A81000C,00300,0600,NUTRITIONIST 422820,A81000C,00400,0100,B 422820,A81000C,00400,0200,GENE PHYS SERV 422820,A81000C,00400,0600,MED DIRECTORS 422820,A81000C,00500,0100,B 422820,A81000C,00500,0200,GENE STAFFING S 422820,A81000C,00500,0600,NURS PURCH SERV 422820,A81000C,00600,0100,B 422820,A81000C,00600,0200,RESP THERAPY 422820,A81000C,00600,0600,RT 422820,B100000,00000,0100,0100SQUARE FEET 422820,B100000,00000,0200,0200SQUARE FEET 422820,B100000,00000,0300,0300GROSS SALARIES 422820,B100000,00000,0400,0400ACCUM COST 422820,B100000,00000,0500,0500SQUARE FEET 422820,B100000,00000,0600,0600PT DAYS 422820,B100000,00000,0700,0700SQUARE FEET 422820,B100000,00000,0800,0800MEALS SERVED 422820,B100000,00000,0900,0900PT DAYS 422820,B100000,00000,1000,1000COSTED REQUIS 422820,B100000,00000,1100,1100COSTED REQUIS 422820,B100000,00000,1200,1200GROSS CHARGES 422820,B100000,00000,1300,1300PT DAYS 422820,B100000,00000,1400,1400ASSIGNED TIME 422820,B100000,00000,1500,1350PT DAYS 422820,S000000,00100,0200,09/26/11 422820,S200000,00100,0100,700 MARVAL ROAD 422820,S200000,00200,0100,MILFORD 422820,S200000,00200,0200,DE 422820,S200000,00200,0300,19963 422820,S200000,00300,0100,KENT 422820,S200000,00300,0201,99908 422820,S200000,00300,0300,R 422820,S200000,00400,0100,MILFORD CENTER 422820,S200000,00400,0200,085010 422820,S200000,00400,0300,07/01/70 422820,S200000,00400,0500,P 422820,S200000,00600,0200,085010 422820,S200000,00600,0300,01/01/70 422820,S200000,00600,0600,O 422820,S200000,01500,0100,Y 422820,S200000,01501,0200,N 422820,S200000,01502,0200,N 422820,S200000,01503,0200,N 422820,S200000,01504,0200,N 422820,S200000,01505,0000,DON BONUS 422820,S200000,01505,0200,N 422820,S200000,01600,0100,N 422820,S200000,01700,0100,N 422820,S200000,01800,0100,N 422820,S200000,02200,0100,Y 422820,S200000,02800,0100,N 422820,S200000,02900,0100,N 422820,S200000,03000,0100,N 422820,S200000,03100,0100,N 422820,S200000,03200,0100,N 422820,S200000,03300,0100,N 422820,S200000,03300,0200,N 422820,S200000,04200,0100,N 422820,S200000,04300,0100,N 422820,S200000,04600,0100,N 422820,S200000,04700,0100,N 422820,S200000,04900,0100,N 422820,S200000,05200,0100,N 422820,S200000,05300,0100,Y 422820,S200000,05300,0200,HB0067 422820,S200000,05400,0100,GENESIS HEALTHCARE 422820,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 422820,S200000,05400,0300,12001 422820,S200000,05500,0100,101 EAST STATE STREET 422820,S200000,05600,0100,KENNETT SQUARE 422820,S200000,05600,0200,PA 422820,S200000,05600,0300,19348 422965,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422965,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422965,A000000,00300,0000,0300EMPLOYEE BENEFITS 422965,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422965,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422965,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422965,A000000,00700,0000,0700HOUSEKEEPING 422965,A000000,00800,0000,0800DIETARY 422965,A000000,00900,0000,0900NURSING ADMINISTRATION 422965,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422965,A000000,01100,0000,1100PHARMACY 422965,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422965,A000000,01300,0000,1300SOCIAL SERVICE 422965,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 422965,A000000,01500,0000,1350ACTIVITIES 422965,A000000,01600,0000,1600SKILLED NURSING FACILITY 422965,A000000,01800,0000,1800NURSING FACILITY 422965,A000000,01810,0000,1810ICF/MR 422965,A000000,01900,0000,1900OTHER LONG TERM CARE 422965,A000000,02100,0000,2100RADIOLOGY 422965,A000000,02200,0000,2200LABORATORY 422965,A000000,02300,0000,2300INTRAVENOUS THERAPY 422965,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422965,A000000,02500,0000,2500PHYSICAL THERAPY 422965,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422965,A000000,02700,0000,2700SPEECH PATHOLOGY 422965,A000000,02800,0000,2800ELECTROCARDIOLOGY 422965,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422965,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422965,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 422965,A000000,03200,0000,3200SUPPORT SURFACES 422965,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 422965,A000000,03400,0000,3400CLINIC 422965,A000000,03500,0000,3500RURAL HEALTH CLINIC 422965,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 422965,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 422965,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 422965,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 422965,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 422965,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 422965,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 422965,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 422965,A000000,04400,0000,4400DME RENTED - HHA 422965,A000000,04500,0000,4500DME SOLD - HHA 422965,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 422965,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 422965,A000000,04710,0000,4710TELEMEDICINE 422965,A000000,04800,0000,4800AMBULANCE 422965,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 422965,A000000,05000,0000,5000CORF 422965,A000000,05100,0000,4750OTHER REIMBURSABLE COST 422965,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 422965,A000000,05300,0000,5300INTEREST EXPENSE 422965,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 422965,A000000,05500,0000,5500HOSPICE 422965,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 422965,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 422965,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422965,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 422965,A000000,06100,0000,6100NONPAID WORKERS 422965,A000000,06200,0000,6200PATIENTS LAUNDRY 422965,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 422965,A81000A,00100,0100,Y 422965,A81000B,00100,0300,CAPITAL ALLOCATED COSTS 422965,A81000B,00200,0300,NON-CAPITAL ALLOCATED COSTS 422965,A81000C,00100,0100,C 422965,A81000C,00100,0200,FL DEPT OF VA 422965,A81000C,00100,0400,FL DEPT OF VA 422965,A81000C,00100,0600,HOME OFFICE 422965,A81000C,00200,0100,C 422965,A81000C,00200,0200,FL DEPT OF VA 422965,A81000C,00200,0400,FL DEPT OF VA 422965,A81000C,00200,0600,HOME OFFICE 422965,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422965,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422965,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422965,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422965,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422965,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422965,B100000,00000,0800,0800MEALS SERVED :DIETARY 422965,B100000,00000,0900,0950DIRECT NRSING SAL :NURSING ADMIN 422965,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 422965,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 422965,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422965,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 422965,S000000,00100,0200,11/30/11 422965,S200000,00100,0100,4650 STATE ROAD 16 422965,S200000,00200,0100,ST AUGUSTINE 422965,S200000,00200,0200,FL 422965,S200000,00200,0300,32092 422965,S200000,00300,0100,ST. JOHNS COUNTY 422965,S200000,00300,0201,27260 422965,S200000,00300,0300,U 422965,S200000,00400,0100,CLYDE E LASSEN STATE VETERAN S NH 422965,S200000,00400,0200,106088 422965,S200000,00400,0300,03/04/11 422965,S200000,00400,0500,P 422965,S200000,01500,0100,Y 422965,S200000,01501,0200,Y 422965,S200000,01502,0200,Y 422965,S200000,01503,0200,Y 422965,S200000,01600,0100,N 422965,S200000,01700,0100,N 422965,S200000,01800,0100,N 422965,S200000,02200,0100,N 422965,S200000,02800,0100,N 422965,S200000,02900,0100,N 422965,S200000,03000,0100,N 422965,S200000,03100,0100,N 422965,S200000,03200,0100,N 422965,S200000,03300,0100,N 422965,S200000,03300,0200,N 422965,S200000,04100,0100,N 422965,S200000,04200,0100,N 422965,S200000,04300,0100,N 422965,S200000,04600,0100,N 422965,S200000,04700,0100,N 422965,S200000,04700,0200,N 422965,S200000,04900,0100,N 422965,S200000,05000,0100,N 422965,S200000,05100,0100,N 422965,S200000,05200,0100,N 422966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 422966,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 422966,A000000,00300,0000,0300EMPLOYEE BENEFITS 422966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 422966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 422966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 422966,A000000,00700,0000,0700HOUSEKEEPING 422966,A000000,00800,0000,0800DIETARY 422966,A000000,00900,0000,0900NURSING ADMINISTRATION 422966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 422966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 422966,A000000,01300,0000,1300SOCIAL SERVICE 422966,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 422966,A000000,01600,0000,1600SKILLED NURSING FACILITY 422966,A000000,01800,0000,1800NURSING FACILITY 422966,A000000,02100,0000,2100RADIOLOGY 422966,A000000,02200,0000,2200LABORATORY 422966,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 422966,A000000,02500,0000,2500PHYSICAL THERAPY 422966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 422966,A000000,02700,0000,2700SPEECH PATHOLOGY 422966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 422966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 422966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 422966,A81000A,00100,0100,Y 422966,A81000B,00100,0300,HOME OFFICE COSTS - CAP COSTS BLDG 422966,A81000B,00200,0300,HOME OFFICE COSTS - CAP COSTS EQUIP 422966,A81000B,00300,0300,HOME OFFICE COSTS - POOLED COSTS 422966,A81000C,00100,0100,B 422966,A81000C,00100,0200,SENIOR CARE GRO 422966,A81000C,00100,0400,SENIOR CARE GRO 422966,A81000C,00100,0600,NURSING HOME MA 422966,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 422966,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 422966,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 422966,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 422966,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 422966,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 422966,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 422966,B100000,00000,0800,0850PATIENT DAYS :DIETARY 422966,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 422966,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 422966,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 422966,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 422966,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL ACTI 422966,G300000,02500,0000,OTHER REVENUE 422966,S000000,00100,0200,11/21/11 422966,S200000,00100,0100,5860 W. JUNIOR COLLEGE ROAD 422966,S200000,00200,0100,KEYWEST 422966,S200000,00200,0200,FL 422966,S200000,00200,0300,33040 422966,S200000,00300,0100,MONROE 422966,S200000,00300,0201,10 422966,S200000,00300,0300,R 422966,S200000,00400,0100,KEY WEST HEALTH & REHAB CENTER 422966,S200000,00400,0200,106089 422966,S200000,00400,0300,02/02/11 422966,S200000,00400,0500,P 422966,S200000,01500,0100,Y 422966,S200000,01501,0200,Y 422966,S200000,01502,0200,Y 422966,S200000,01504,0200,Y 422966,S200000,01600,0100,N 422966,S200000,01700,0100,N 422966,S200000,01800,0100,N 422966,S200000,02200,0100,N 422966,S200000,02800,0100,N 422966,S200000,02900,0100,N 422966,S200000,03000,0100,N 422966,S200000,03100,0100,N 422966,S200000,03200,0100,N 422966,S200000,03300,0100,N 422966,S200000,03300,0200,N 422966,S200000,04100,0100,N 422966,S200000,04200,0100,N 422966,S200000,04300,0100,N 422966,S200000,04600,0100,N 422966,S200000,04700,0100,N 422966,S200000,04700,0200,N 422966,S200000,04900,0100,N 422966,S200000,05000,0100,N 422966,S200000,05100,0100,N 422966,S200000,05200,0100,N 422966,S200000,05300,0100,Y 422966,S200000,05300,0200,HB0228 422966,S200000,05400,0100,SENIOR CARE GROUP INC. 422966,S200000,05400,0200,FCO 422966,S200000,05400,0300,00090 422966,S200000,05500,0100,1240 MARBELLA PLAZA DRIVE 422966,S200000,05600,0100,TAMPA 422966,S200000,05600,0200,FL 422966,S200000,05600,0300,33619 423019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423019,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423019,A000000,00300,0000,0300EMPLOYEE BENEFITS 423019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423019,A000000,00700,0000,0700HOUSEKEEPING 423019,A000000,00800,0000,0800DIETARY 423019,A000000,00900,0000,0900NURSING ADMINISTRATION 423019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423019,A000000,01100,0000,1100PHARMACY 423019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423019,A000000,01300,0000,1300SOCIAL SERVICE 423019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423019,A000000,01600,0000,1600SKILLED NURSING FACILITY 423019,A000000,01800,0000,1800NURSING FACILITY 423019,A000000,01900,0000,1900OTHER LONG TERM CARE 423019,A000000,02100,0000,2100RADIOLOGY 423019,A000000,02200,0000,2200LABORATORY 423019,A000000,02300,0000,2300INTRAVENOUS THERAPY 423019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423019,A000000,02500,0000,2500PHYSICAL THERAPY 423019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423019,A000000,02700,0000,2700SPEECH PATHOLOGY 423019,A000000,02800,0000,2800ELECTROCARDIOLOGY 423019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423019,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423019,A000000,03200,0000,3200SUPPORT SURFACES 423019,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 423019,A000000,03400,0000,3400CLINIC 423019,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 423019,A000000,04800,0000,4800AMBULANCE 423019,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423019,A000000,05000,0000,5000CORF 423019,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423019,A000000,05300,0000,5300INTEREST EXPENSE 423019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423019,A000000,05500,0000,5500HOSPICE 423019,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423019,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423019,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423019,A000000,06100,0000,6100NONPAID WORKERS 423019,A000000,06200,0000,6200PATIENTS LAUNDRY 423019,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 423019,A81000A,00100,0100,Y 423019,A81000B,00100,0300,NURSING CONSULTING 423019,A81000B,00200,0300,DIETARY CONSULTING 423019,A81000B,00300,0300,HOME OFFICE 423019,A81000B,00400,0300,INTEREST EXPENSE 423019,A81000B,00500,0300,WORKERS COMP EXPENSE 423019,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 423019,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 423019,A81000B,00800,0300,REPAIRS - EQUIPMENT 423019,A81000B,00900,0300,LINEN & BEDDING 423019,A81000B,01000,0300,LAUNDRY SUPPLIES 423019,A81000B,01100,0300,HSKP SUPPLIES 423019,A81000B,01200,0300,DIETARY SUPPLEMENTS 423019,A81000B,01300,0300,DIETARY SUPPLIES 423019,A81000B,01400,0300,BIO-MEDICAL WASTE 423019,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 423019,A81000B,01600,0300,NURSING EQUIPMENT RENTAL 423019,A81000B,01700,0300,PERSONAL CARE SUPPLIES 423019,A81000B,01800,0300,INCONTINENCE SUPPLIES 423019,A81000B,01900,0300,MEDICAL SUPPLIES 423019,A81000B,02000,0300,NON-LEGEND DRUGS 423019,A81000B,02100,0300,PHARMACY CONSULTANT 423019,A81000B,02200,0300,MED REC SUPPLIES 423019,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 423019,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 423019,A81000B,02500,0300,LEGEND DRUGS 423019,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 423019,A81000B,02700,0300,NON-LEGEND DRUGS 423019,A81000B,02800,0300,PHARMACY CONSULTANT 423019,A81000B,02900,0300,MED REC SUPPLIES 423019,A81000C,00100,0100,B 423019,A81000C,00100,0400,BRITTHAVEN INC 423019,A81000C,00100,0600,MGMT SERVICES 423019,A81000C,00200,0100,B 423019,A81000C,00200,0400,BRITTHAVEN INC 423019,A81000C,00200,0600,MGMT SERVICES 423019,A81000C,00300,0100,B 423019,A81000C,00300,0400,BRITTHAVEN INC 423019,A81000C,00300,0600,MGMT SERVICES 423019,A81000C,00400,0100,B 423019,A81000C,00400,0400,BRITTHAVEN INC 423019,A81000C,00400,0600,MGMT SERVICES 423019,A81000C,00500,0100,A 423019,A81000C,00500,0200,DISCOVERY INSUR 423019,A81000C,00500,0600,INSURANCE 423019,A81000C,00600,0100,A 423019,A81000C,00600,0200,QUEENSLAND ASSU 423019,A81000C,00600,0600,INSURANCE 423019,A81000C,00700,0100,B 423019,A81000C,00700,0400,KARE MEDICAL 423019,A81000C,00700,0600,WHOLESALE SUPPL 423019,A81000C,00800,0100,B 423019,A81000C,00800,0400,KARE MEDICAL 423019,A81000C,00800,0600,WHOLESALE SUPPL 423019,A81000C,00900,0100,B 423019,A81000C,00900,0400,KARE MEDICAL 423019,A81000C,00900,0600,WHOLESALE SUPPL 423019,A81000C,01000,0100,B 423019,A81000C,01000,0400,KARE MEDICAL 423019,A81000C,01000,0600,WHOLESALE SUPPL 423019,A81000C,01001,0100,B 423019,A81000C,01001,0400,KARE MEDICAL 423019,A81000C,01001,0600,WHOLESALE SUPPL 423019,A81000C,01002,0100,B 423019,A81000C,01002,0400,KARE MEDICAL 423019,A81000C,01002,0600,WHOLESALE SUPPL 423019,A81000C,01003,0100,B 423019,A81000C,01003,0400,KARE MEDICAL 423019,A81000C,01003,0600,WHOLESALE SUPPL 423019,A81000C,01004,0100,B 423019,A81000C,01004,0400,KARE MEDICAL 423019,A81000C,01004,0600,WHOLESALE SUPPL 423019,A81000C,01005,0100,B 423019,A81000C,01005,0400,KARE MEDICAL 423019,A81000C,01005,0600,WHOLESALE SUPPL 423019,A81000C,01006,0100,B 423019,A81000C,01006,0400,KARE MEDICAL 423019,A81000C,01006,0600,WHOLESALE SUPPL 423019,A81000C,01007,0100,B 423019,A81000C,01007,0400,KARE MEDICAL 423019,A81000C,01007,0600,WHOLESALE SUPPL 423019,A81000C,01008,0100,B 423019,A81000C,01008,0400,KARE MEDICAL 423019,A81000C,01008,0600,WHOLESALE SUPPL 423019,A81000C,01009,0100,B 423019,A81000C,01009,0400,KARE MEDICAL 423019,A81000C,01009,0600,WHOLESALE SUPPL 423019,A81000C,01010,0100,B 423019,A81000C,01010,0400,KARE MEDICAL 423019,A81000C,01010,0600,WHOLESALE SUPPL 423019,A81000C,01011,0100,B 423019,A81000C,01011,0400,KARE MEDICAL 423019,A81000C,01011,0600,WHOLESALE SUPPL 423019,A81000C,01012,0100,B 423019,A81000C,01012,0400,KARE MEDICAL 423019,A81000C,01012,0600,WHOLESALE SUPPL 423019,A81000C,01013,0100,B 423019,A81000C,01013,0400,KARE MEDICAL 423019,A81000C,01013,0600,WHOLESALE SUPPL 423019,A81000C,01014,0100,B 423019,A81000C,01014,0400,KARE MEDICAL 423019,A81000C,01014,0600,WHOLESALE SUPPL 423019,A81000C,01015,0100,B 423019,A81000C,01015,0400,KARE MEDICAL 423019,A81000C,01015,0600,WHOLESALE SUPPL 423019,A81000C,01016,0100,B 423019,A81000C,01016,0400,PHARMSAVE 423019,A81000C,01016,0600,RX SUPPLY 423019,A81000C,01017,0100,B 423019,A81000C,01017,0400,PHARMSAVE 423019,A81000C,01017,0600,RX SUPPLY 423019,A81000C,01018,0100,B 423019,A81000C,01018,0400,PHARMSAVE 423019,A81000C,01018,0600,RX SUPPLY 423019,A81000C,01019,0100,B 423019,A81000C,01019,0400,PHARMSAVE 423019,A81000C,01019,0600,RX SUPPLY 423019,A81000C,01020,0100,B 423019,A81000C,01020,0400,PHARMSAVE 423019,A81000C,01020,0600,RX SUPPLY 423019,A81000C,01021,0100,B 423019,A81000C,01021,0400,ROBERT HILL CON 423019,A81000C,01021,0600,CONSTRUCTION 423019,A81000C,01022,0100,B 423019,A81000C,01022,0400,ROBERT HILL CON 423019,A81000C,01022,0600,CONSTRUCTION 423019,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423019,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423019,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423019,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423019,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 423019,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423019,B100000,00000,0800,0800MEALS SERVED :DIETARY 423019,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 423019,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 423019,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 423019,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 423019,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 423019,E10A180,00501,0300,12/31/10 423019,E10A180,00551,0100,12/31/10 423019,G300000,02500,0000, OTHER (SPECIFY) 423019,S000000,00100,0200,12/30/11 423019,S200000,00100,0100,33426 OLD SALISBURY ROAD 423019,S200000,00200,0100,ALBEMARLE 423019,S200000,00200,0200,NC 423019,S200000,00200,0300,28002 423019,S200000,00300,0100,STANLY 423019,S200000,00300,0201,99934 423019,S200000,00300,0300,R 423019,S200000,00400,0100,BRITTHAVEN OF PIEDMONT 423019,S200000,00400,0200,345146 423019,S200000,00400,0300,03/19/75 423019,S200000,00400,0500,P 423019,S200000,01500,0100,N 423019,S200000,01501,0200,Y 423019,S200000,01502,0200,Y 423019,S200000,01503,0200,Y 423019,S200000,01504,0200,Y 423019,S200000,01505,0000,OTHER (SPECIFY) 423019,S200000,01505,0200,Y 423019,S200000,01600,0100,Y 423019,S200000,01700,0100,N 423019,S200000,01800,0100,N 423019,S200000,02200,0100,N 423019,S200000,02800,0100,N 423019,S200000,02900,0100,N 423019,S200000,03000,0100,N 423019,S200000,03100,0100,Y 423019,S200000,03200,0100,N 423019,S200000,03300,0100,N 423019,S200000,03300,0200,N 423019,S200000,04100,0100,N 423019,S200000,04200,0100,N 423019,S200000,04300,0100,N 423019,S200000,04600,0100,N 423019,S200000,04700,0100,N 423019,S200000,04700,0200,N 423019,S200000,04900,0100,N 423019,S200000,05000,0100,N 423019,S200000,05100,0100,N 423019,S200000,05200,0100,N 423019,S200000,05300,0100,Y 423019,S200000,05300,0200,349011 423019,S200000,05400,0100,BRITTHAVEN INC. 423019,S200000,05400,0200,PALMETTO GBA 423019,S200000,05400,0300,11501 423019,S200000,05500,0100,1435 HWY 258 NORTH 423019,S200000,05600,0100,KINSTON 423019,S200000,05600,0200,NC 423019,S200000,05600,0300,28502 423088,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423088,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423088,A000000,00300,0000,0300EMPLOYEE BENEFITS 423088,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423088,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423088,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423088,A000000,00700,0000,0700HOUSEKEEPING 423088,A000000,00800,0000,0800DIETARY 423088,A000000,00900,0000,0900NURSING ADMINISTRATION 423088,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423088,A000000,01100,0000,1100PHARMACY 423088,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423088,A000000,01300,0000,1300SOCIAL SERVICE 423088,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423088,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 423088,A000000,01600,0000,1600SKILLED NURSING FACILITY 423088,A000000,01800,0000,1800NURSING FACILITY 423088,A000000,01900,0000,1900OTHER LONG TERM CARE 423088,A000000,02100,0000,2100RADIOLOGY 423088,A000000,02200,0000,2200LABORATORY 423088,A000000,02300,0000,2300INTRAVENOUS THERAPY 423088,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423088,A000000,02500,0000,2500PHYSICAL THERAPY 423088,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423088,A000000,02700,0000,2700SPEECH PATHOLOGY 423088,A000000,02800,0000,2800ELECTROCARDIOLOGY 423088,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423088,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423088,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423088,A000000,03200,0000,3200SUPPORT SURFACES 423088,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 423088,A000000,03400,0000,3400CLINIC 423088,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 423088,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 423088,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 423088,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 423088,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 423088,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 423088,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 423088,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 423088,A000000,04400,0000,4400DME RENTED - HHA 423088,A000000,04500,0000,4500DME SOLD - HHA 423088,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 423088,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 423088,A000000,04710,0000,4710TELEMEDICINE 423088,A000000,04800,0000,4800AMBULANCE 423088,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423088,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423088,A000000,05300,0000,5300INTEREST EXPENSE 423088,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423088,A000000,05500,0000,5500HOSPICE 423088,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423088,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423088,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423088,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423088,A000000,06100,0000,6100NONPAID WORKERS 423088,A000000,06200,0000,6200PATIENTS LAUNDRY 423088,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 423088,A81000A,00100,0100,Y 423088,A81000B,00100,0300,MANAGEMENT FEE 423088,A81000C,00100,0100,B 423088,A81000C,00100,0200,PARKVIEW CARE C 423088,A81000C,00100,0400,LANTIS ENTERPRI 423088,A81000C,00100,0600,HEALTH CARE 423088,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423088,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423088,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423088,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423088,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423088,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423088,B100000,00000,0800,0850PATIENT DAYS :DIETARY 423088,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423088,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 423088,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 423088,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423088,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423088,G300000,02500,0000, OTHER (SPECIFY) 423088,S000000,00100,0200,10/27/11 423088,S200000,00100,0100,600 S 27TH STREET 423088,S200000,00200,0100,BILLINGS 423088,S200000,00200,0200,MT 423088,S200000,00200,0300,59101 423088,S200000,00300,0100,YELLOWSTONE 423088,S200000,00300,0300,U 423088,S200000,00400,0100,PARKVIEW CARE CENTER 423088,S200000,00400,0200,275120 423088,S200000,00400,0300,12/01/87 423088,S200000,00400,0500,P 423088,S200000,01500,0100,Y 423088,S200000,01501,0200,Y 423088,S200000,01502,0200,Y 423088,S200000,01503,0200,Y 423088,S200000,01504,0200,Y 423088,S200000,01505,0000,OTHER (SPECIFY) 423088,S200000,01505,0200,Y 423088,S200000,01600,0100,N 423088,S200000,01700,0100,N 423088,S200000,01800,0100,N 423088,S200000,02200,0100,N 423088,S200000,02800,0100,N 423088,S200000,02900,0100,N 423088,S200000,03000,0100,N 423088,S200000,03100,0100,N 423088,S200000,03200,0100,N 423088,S200000,03300,0100,N 423088,S200000,03300,0200,N 423088,S200000,04100,0100,N 423088,S200000,04200,0100,N 423088,S200000,04300,0100,N 423088,S200000,04600,0100,N 423088,S200000,04700,0100,N 423088,S200000,04700,0200,N 423088,S200000,04900,0100,N 423088,S200000,05000,0100,N 423088,S200000,05100,0100,N 423088,S200000,05200,0100,N 423088,S200000,05300,0100,Y 423088,S200000,05300,0200,439102 423088,S200000,05400,0100,LANTIS ENTERPRISES INC 423088,S200000,05400,0200,NORIDIAN 423088,S200000,05400,0300,439102 423088,S200000,05500,0200,PO BOX 69 423088,S200000,05600,0100,SPEARFISH 423088,S200000,05600,0200,SD 423088,S200000,05600,0300,57783 423129,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423129,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423129,A000000,00300,0000,0300EMPLOYEE BENEFITS 423129,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423129,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423129,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423129,A000000,00700,0000,0700HOUSEKEEPING 423129,A000000,00800,0000,0800DIETARY 423129,A000000,00900,0000,0900NURSING ADMINISTRATION 423129,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423129,A000000,01100,0000,1100PHARMACY 423129,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423129,A000000,01300,0000,1300SOCIAL SERVICE 423129,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423129,A000000,01500,0000,1350RECREATION 423129,A000000,01600,0000,1600SKILLED NURSING FACILITY 423129,A000000,01810,0000,1810ICF/MR 423129,A000000,02100,0000,2100RADIOLOGY 423129,A000000,02200,0000,2200LABORATORY 423129,A000000,02300,0000,2300INTRAVENOUS THERAPY 423129,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423129,A000000,02500,0000,2500PHYSICAL THERAPY 423129,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423129,A000000,02700,0000,2700SPEECH PATHOLOGY 423129,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423129,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423129,A000000,03550,0000,3550FQHC 423129,A000000,05000,0000,5000CORF 423129,A000000,05010,0000,5010CMHC 423129,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423129,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423129,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423129,A81000A,00100,0100,Y 423129,A81000B,00100,0300,SEE ATTACHED 423129,A81000B,00200,0300,HOME OFFICE INTEREST 423129,A81000B,00300,0300,HOME OFFICE A & G 423129,A81000B,00400,0300,HOME OFFICE CAPITAL 423129,A81000C,00100,0100,B 423129,A81000C,00100,0400,SEE ATTACHED 423129,A81000C,00100,0600,VARIOUS 423129,A81000C,00200,0100,B 423129,A81000C,00200,0400,GHC 423129,A81000C,00200,0600,LONG TERM CARE 423129,A81000C,00300,0100,B 423129,A81000C,00300,0400,GHC 423129,A81000C,00300,0600,LONG TERM CARE 423129,A81000C,00400,0100,B 423129,A81000C,00400,0400,GHC 423129,A81000C,00400,0600,LONG TERM CARE 423129,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423129,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423129,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423129,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423129,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423129,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423129,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423129,B100000,00000,0800,0800MEALS SERVED :DIETARY 423129,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 423129,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423129,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423129,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423129,B100000,00000,1500,1350PATIENT DAYS :RECREATION 423129,S000000,00100,0200,11/10/11 423129,S200000,00100,0100,841 MERRIMACK STREET 423129,S200000,00200,0100,LOWELL 423129,S200000,00200,0200,MA 423129,S200000,00200,0300,01854-3500 423129,S200000,00300,0100,MIDDLESEX 423129,S200000,00300,0201,15764 423129,S200000,00300,0300,U 423129,S200000,00400,0100,HERITAGE MANOR 423129,S200000,00400,0200,225287 423129,S200000,00400,0300,11/13/86 423129,S200000,00400,0500,P 423129,S200000,01500,0100,Y 423129,S200000,01501,0200,N 423129,S200000,01502,0200,N 423129,S200000,01503,0200,N 423129,S200000,01504,0200,N 423129,S200000,01600,0100,N 423129,S200000,01700,0100,N 423129,S200000,01800,0100,N 423129,S200000,02200,0100,Y 423129,S200000,02800,0100,N 423129,S200000,02900,0100,N 423129,S200000,03000,0100,N 423129,S200000,03100,0100,N 423129,S200000,03200,0100,N 423129,S200000,03300,0100,N 423129,S200000,03300,0200,N 423129,S200000,04100,0100,N 423129,S200000,04200,0100,N 423129,S200000,04300,0100,N 423129,S200000,04600,0100,N 423129,S200000,04700,0100,N 423129,S200000,04700,0200,N 423129,S200000,04900,0100,N 423129,S200000,05000,0100,N 423129,S200000,05100,0100,N 423129,S200000,05200,0100,N 423129,S200000,05300,0100,Y 423129,S200000,05300,0200,HB0067 423129,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 423129,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423129,S200000,05400,0300,12001 423129,S200000,05500,0100,101 EAST STATE STREET 423129,S200000,05600,0100,KENNETT SQUARE 423129,S200000,05600,0200,PA 423129,S200000,05600,0300,19348 423130,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423130,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423130,A000000,00300,0000,0300EMPLOYEE BENEFITS 423130,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423130,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423130,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423130,A000000,00700,0000,0700HOUSEKEEPING 423130,A000000,00800,0000,0800DIETARY 423130,A000000,00900,0000,0900NURSING ADMINISTRATION 423130,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423130,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423130,A000000,01300,0000,1300SOCIAL SERVICE 423130,A000000,01500,0000,1350RECREATION 423130,A000000,01600,0000,1600SKILLED NURSING FACILITY 423130,A000000,01810,0000,1810ICF/MR 423130,A000000,02100,0000,2100RADIOLOGY 423130,A000000,02200,0000,2200LABORATORY 423130,A000000,02300,0000,2300INTRAVENOUS THERAPY 423130,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423130,A000000,02500,0000,2500PHYSICAL THERAPY 423130,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423130,A000000,02700,0000,2700SPEECH PATHOLOGY 423130,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423130,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423130,A000000,03550,0000,3550FQHC 423130,A000000,05000,0000,5000CORF 423130,A000000,05010,0000,5010CMHC 423130,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423130,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423130,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423130,A81000A,00100,0100,Y 423130,A81000B,00100,0300,AS ATTACHED 423130,A81000B,00200,0300,HOME OFFICE INTEREST 423130,A81000B,00300,0300,HOME OFFICE A&G 423130,A81000B,00400,0300,HOME OFFICE CAP PIEC 423130,A81000C,00100,0100,B 423130,A81000C,00100,0400,AS ATTACHED 423130,A81000C,00100,0600,VARIOUS 423130,A81000C,00200,0100,B 423130,A81000C,00200,0400,GHC 423130,A81000C,00200,0600,LONG TERM CARE 423130,A81000C,00300,0100,B 423130,A81000C,00300,0400,GHC 423130,A81000C,00300,0600,LONG TERM CARE 423130,A81000C,00400,0100,B 423130,A81000C,00400,0400,GHC 423130,A81000C,00400,0600,LONG TERM CARE 423130,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423130,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423130,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423130,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423130,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423130,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423130,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423130,B100000,00000,0800,0800MEALS SERVED :DIETARY 423130,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 423130,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423130,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423130,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423130,B100000,00000,1500,1350PATIENT DAYS :RECREATION 423130,G300000,02500,0000, RENT 423130,S000000,00100,0200,11/10/11 423130,S200000,00100,0100,89 MORTON STREET 423130,S200000,00200,0100,ANDOVER 423130,S200000,00200,0200,MA 423130,S200000,00200,0300,01810 423130,S200000,00300,0100,ESSEX 423130,S200000,00300,0201,37764 423130,S200000,00300,0300,U 423130,S200000,00400,0100,ACADEMY MANOR 423130,S200000,00400,0200,225294 423130,S200000,00400,0300,02/20/87 423130,S200000,00400,0500,P 423130,S200000,01500,0100,Y 423130,S200000,01501,0200,N 423130,S200000,01502,0200,N 423130,S200000,01503,0200,N 423130,S200000,01504,0200,N 423130,S200000,01600,0100,N 423130,S200000,01700,0100,N 423130,S200000,01800,0100,N 423130,S200000,02200,0100,Y 423130,S200000,02800,0100,N 423130,S200000,02900,0100,N 423130,S200000,03000,0100,N 423130,S200000,03100,0100,N 423130,S200000,03200,0100,N 423130,S200000,03300,0100,N 423130,S200000,03300,0200,N 423130,S200000,04100,0100,N 423130,S200000,04200,0100,N 423130,S200000,04300,0100,N 423130,S200000,04600,0100,N 423130,S200000,04700,0100,N 423130,S200000,04700,0200,N 423130,S200000,04900,0100,N 423130,S200000,05000,0100,N 423130,S200000,05100,0100,N 423130,S200000,05200,0100,N 423130,S200000,05300,0100,Y 423130,S200000,05300,0200,HB0067 423130,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 423130,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423130,S200000,05400,0300,12001 423130,S200000,05500,0100,101 EAST STATE STREET 423130,S200000,05600,0100,KENNETT SQUARE 423130,S200000,05600,0200,PA 423130,S200000,05600,0300,19348 423140,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423140,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423140,A000000,00300,0000,0300EMPLOYEE BENEFITS 423140,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423140,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423140,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423140,A000000,00700,0000,0700HOUSEKEEPING 423140,A000000,00800,0000,0800DIETARY 423140,A000000,00900,0000,0900NURSING ADMINISTRATION 423140,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423140,A000000,01100,0000,1100PHARMACY 423140,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423140,A000000,01300,0000,1300SOCIAL SERVICE 423140,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423140,A000000,01500,0000,1350OTHER GENERAL SERVICES 423140,A000000,01600,0000,1600SKILLED NURSING FACILITY 423140,A000000,01800,0000,1800NURSING FACILITY 423140,A000000,01810,0000,1810ICF/MR 423140,A000000,01900,0000,1900OTHER LONG TERM CARE 423140,A000000,02100,0000,2100RADIOLOGY 423140,A000000,02200,0000,2200LABORATORY 423140,A000000,02300,0000,2300INTRAVENOUS THERAPY 423140,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423140,A000000,02500,0000,2500PHYSICAL THERAPY 423140,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423140,A000000,02700,0000,2700SPEECH PATHOLOGY 423140,A000000,02800,0000,2800ELECTROCARDIOLOGY 423140,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423140,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423140,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423140,A000000,03200,0000,3200SUPPORT SURFACES 423140,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 423140,A000000,03400,0000,3400CLINIC 423140,A000000,03500,0000,3500RURAL HEALTH CLINIC 423140,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 423140,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 423140,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 423140,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 423140,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 423140,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 423140,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 423140,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 423140,A000000,04400,0000,4400DME RENTED - HHA 423140,A000000,04500,0000,4500DME SOLD - HHA 423140,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 423140,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 423140,A000000,04710,0000,4710TELEMEDICINE HHA 423140,A000000,04800,0000,4800AMBULANCE 423140,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423140,A000000,05000,0000,5000CORF 423140,A000000,05100,0000,4750OTHER REIMBURSABLE COST 423140,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423140,A000000,05300,0000,5300INTEREST EXPENSE 423140,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423140,A000000,05500,0000,5500HOSPICE 423140,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423140,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423140,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423140,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423140,A000000,06100,0000,6100NONPAID WORKERS 423140,A000000,06200,0000,6200PATIENTS LAUNDRY 423140,A000000,06300,0000,6150ADULT DAY CARE CENTER 423140,A000000,06301,0000,6151DEVELOPMENT / FUND RAISING 423140,A81000A,00100,0100,N 423140,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423140,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423140,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423140,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423140,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423140,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423140,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423140,B100000,00000,0800,0850PATIENT DAYS :DIETARY 423140,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423140,G300000,02500,0000,STAFF HOLIDAY FUND 423140,G300000,02501,0000,BUILDING DEVELOPMENT REIMBURSEMENT 423140,G300000,02502,0000,ADC REVENUE 423140,S000000,00100,0200,12/08/11 423140,S200000,00100,0100,169 DAVENPORT AVE 423140,S200000,00200,0100,NEW HAVEN 423140,S200000,00200,0200,CT 423140,S200000,00200,0300,06519 423140,S200000,00300,0100,NEW HAVEN 423140,S200000,00300,0200,5483 423140,S200000,00300,0201,35300 423140,S200000,00300,0300,U 423140,S200000,00400,0100,JEWISH HOME FOR THE AGED 423140,S200000,00400,0200,075348 423140,S200000,00400,0300,08/10/90 423140,S200000,00400,0500,P 423140,S200000,01500,0100,Y 423140,S200000,01502,0200,N 423140,S200000,01600,0100,N 423140,S200000,01700,0100,N 423140,S200000,01800,0100,N 423140,S200000,02200,0100,N 423140,S200000,02800,0100,N 423140,S200000,02900,0100,N 423140,S200000,03000,0100,N 423140,S200000,03100,0100,N 423140,S200000,03200,0100,N 423140,S200000,03300,0100,N 423140,S200000,03300,0200,N 423140,S200000,04100,0100,N 423140,S200000,04200,0100,N 423140,S200000,04300,0100,N 423140,S200000,04600,0100,N 423140,S200000,04700,0100,N 423140,S200000,04700,0200,N 423140,S200000,04900,0100,N 423140,S200000,05000,0100,N 423140,S200000,05100,0100,N 423140,S200000,05200,0100,N 423140,S200000,05300,0100,N 423141,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423141,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423141,A000000,00300,0000,0300EMPLOYEE BENEFITS 423141,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423141,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423141,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423141,A000000,00700,0000,0700HOUSEKEEPING 423141,A000000,00800,0000,0800DIETARY 423141,A000000,00900,0000,0900NURSING ADMINISTRATION 423141,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423141,A000000,01100,0000,1100PHARMACY 423141,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423141,A000000,01300,0000,1300SOCIAL SERVICE 423141,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423141,A000000,01500,0000,1350RECREATION 423141,A000000,01600,0000,1600SKILLED NURSING FACILITY 423141,A000000,01810,0000,1810ICF/MR 423141,A000000,02100,0000,2100RADIOLOGY 423141,A000000,02200,0000,2200LABORATORY 423141,A000000,02300,0000,2300INTRAVENOUS THERAPY 423141,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423141,A000000,02500,0000,2500PHYSICAL THERAPY 423141,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423141,A000000,02700,0000,2700SPEECH PATHOLOGY 423141,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423141,A000000,03550,0000,3550FQHC 423141,A000000,05000,0000,5000CORF 423141,A000000,05010,0000,5010CMHC 423141,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423141,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423141,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423141,A81000A,00100,0100,Y 423141,A81000B,00100,0300,SEE ATTACHED 423141,A81000B,00200,0300,CAPITAL INTEREST 423141,A81000B,00300,0300,HOME OFFICE 423141,A81000B,00400,0300,HOME OFFICE 423141,A81000C,00100,0100,B 423141,A81000C,00100,0400,SEE ATTACHED 423141,A81000C,00100,0600,VARIOUS 423141,A81000C,00200,0100,B 423141,A81000C,00200,0400,GHC 423141,A81000C,00200,0600,LONG TERM CARE 423141,A81000C,00300,0100,B 423141,A81000C,00300,0400,GHC 423141,A81000C,00300,0600,LONG TERM CARE 423141,A81000C,00400,0100,B 423141,A81000C,00400,0400,GHC 423141,A81000C,00400,0600,LONG TERM CARE 423141,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423141,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423141,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423141,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423141,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423141,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423141,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423141,B100000,00000,0800,0800MEALS SERVED :DIETARY 423141,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 423141,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423141,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423141,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423141,B100000,00000,1500,1350PATIENT DAYS :RECREATION 423141,S000000,00100,0200,11/10/11 423141,S200000,00100,0100,40 PARKHURST ROAD 423141,S200000,00200,0100,CHELMSFORD 423141,S200000,00200,0200,MA 423141,S200000,00200,0300,01824 423141,S200000,00300,0100,MIDDLESEX 423141,S200000,00300,0201,15764 423141,S200000,00300,0300,U 423141,S200000,00400,0100,PALM MANOR 423141,S200000,00400,0200,225508 423141,S200000,00400,0300,07/07/90 423141,S200000,00400,0500,P 423141,S200000,01500,0100,Y 423141,S200000,01501,0200,N 423141,S200000,01502,0200,N 423141,S200000,01503,0200,N 423141,S200000,01504,0200,N 423141,S200000,01600,0100,N 423141,S200000,01700,0100,N 423141,S200000,01800,0100,N 423141,S200000,02200,0100,Y 423141,S200000,02800,0100,N 423141,S200000,02900,0100,N 423141,S200000,03000,0100,N 423141,S200000,03100,0100,N 423141,S200000,03200,0100,N 423141,S200000,03300,0100,N 423141,S200000,03300,0200,N 423141,S200000,04100,0100,N 423141,S200000,04200,0100,N 423141,S200000,04300,0100,N 423141,S200000,04600,0100,N 423141,S200000,04700,0100,N 423141,S200000,04700,0200,N 423141,S200000,04900,0100,N 423141,S200000,05000,0100,N 423141,S200000,05100,0100,N 423141,S200000,05200,0100,N 423141,S200000,05300,0100,Y 423141,S200000,05300,0200,HB0067 423141,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 423141,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423141,S200000,05400,0300,12001 423141,S200000,05500,0100,101 EAST STATE STREET 423141,S200000,05600,0100,KENNETT SQUARE 423141,S200000,05600,0200,PA 423141,S200000,05600,0300,19348 423142,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423142,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423142,A000000,00300,0000,0300EMPLOYEE BENEFITS 423142,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423142,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423142,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423142,A000000,00700,0000,0700HOUSEKEEPING 423142,A000000,00800,0000,0800DIETARY 423142,A000000,00900,0000,0900NURSING ADMINISTRATION 423142,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423142,A000000,01100,0000,1100PHARMACY 423142,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423142,A000000,01300,0000,1300SOCIAL SERVICE 423142,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423142,A000000,01500,0000,1350RECREATION 423142,A000000,01600,0000,1600SKILLED NURSING FACILITY 423142,A000000,01810,0000,1810ICF/MR 423142,A000000,02100,0000,2100RADIOLOGY 423142,A000000,02200,0000,2200LABORATORY 423142,A000000,02300,0000,2300INTRAVENOUS THERAPY 423142,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423142,A000000,02500,0000,2500PHYSICAL THERAPY 423142,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423142,A000000,02700,0000,2700SPEECH PATHOLOGY 423142,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423142,A000000,03550,0000,3550FQHC 423142,A000000,05000,0000,5000CORF 423142,A000000,05010,0000,5010CMHC 423142,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423142,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423142,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423142,A81000A,00100,0100,Y 423142,A81000B,00100,0300,SEE ATTACHED 423142,A81000B,00200,0300,HOME OFFICE INTEREST 423142,A81000B,00300,0300,HOME OFFICE A&G 423142,A81000B,00400,0300,HOME OFFICE CAP PIEC 423142,A81000C,00100,0100,B 423142,A81000C,00100,0400,SEE ATTACHED 423142,A81000C,00100,0600,VARIOUS 423142,A81000C,00200,0100,B 423142,A81000C,00200,0400,GHC 423142,A81000C,00200,0600,LONG TERM CARE 423142,A81000C,00300,0100,B 423142,A81000C,00300,0400,GHC 423142,A81000C,00300,0600,LONG TERM CARE 423142,A81000C,00400,0100,B 423142,A81000C,00400,0400,GHC 423142,A81000C,00400,0600,LONG TERM CARE 423142,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423142,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423142,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423142,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423142,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423142,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423142,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423142,B100000,00000,0800,0800MEALS SERVED :DIETARY 423142,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 423142,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423142,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423142,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423142,B100000,00000,1500,1350PATIENT DAYS :RECREATION 423142,S000000,00100,0200,11/10/11 423142,S200000,00100,0100,140 PRESCOTT STREET 423142,S200000,00200,0100,NORTH ANDOVER 423142,S200000,00200,0200,MA 423142,S200000,00200,0300,01845-1826 423142,S200000,00300,0100,ESSEX 423142,S200000,00300,0201,37764 423142,S200000,00300,0300,U 423142,S200000,00400,0100,PRESCOTT HOUSE 423142,S200000,00400,0200,225510 423142,S200000,00400,0300,07/01/90 423142,S200000,00400,0500,P 423142,S200000,01500,0100,Y 423142,S200000,01501,0200,N 423142,S200000,01502,0200,N 423142,S200000,01503,0200,N 423142,S200000,01504,0200,N 423142,S200000,01600,0100,N 423142,S200000,01700,0100,N 423142,S200000,01800,0100,N 423142,S200000,02200,0100,Y 423142,S200000,02800,0100,N 423142,S200000,02900,0100,N 423142,S200000,03000,0100,N 423142,S200000,03100,0100,N 423142,S200000,03200,0100,N 423142,S200000,03300,0100,N 423142,S200000,03300,0200,N 423142,S200000,04100,0100,N 423142,S200000,04200,0100,N 423142,S200000,04300,0100,N 423142,S200000,04600,0100,N 423142,S200000,04700,0100,N 423142,S200000,04700,0200,N 423142,S200000,04900,0100,N 423142,S200000,05000,0100,N 423142,S200000,05100,0100,N 423142,S200000,05200,0100,N 423142,S200000,05300,0100,Y 423142,S200000,05300,0200,HB0067 423142,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 423142,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423142,S200000,05400,0300,12001 423142,S200000,05500,0100,101 EAST STATE STREET 423142,S200000,05600,0100,KENNETT SQUARE 423142,S200000,05600,0200,PA 423142,S200000,05600,0300,19348 423143,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423143,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423143,A000000,00300,0000,0300EMPLOYEE BENEFITS 423143,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423143,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423143,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423143,A000000,00700,0000,0700HOUSEKEEPING 423143,A000000,00800,0000,0800DIETARY 423143,A000000,00900,0000,0900NURSING ADMINISTRATION 423143,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423143,A000000,01100,0000,1100PHARMACY 423143,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423143,A000000,01300,0000,1300SOCIAL SERVICE 423143,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423143,A000000,01500,0000,1350RECREATION 423143,A000000,01600,0000,1600SKILLED NURSING FACILITY 423143,A000000,01810,0000,1810ICF/MR 423143,A000000,02100,0000,2100RADIOLOGY 423143,A000000,02200,0000,2200LABORATORY 423143,A000000,02300,0000,2300INTRAVENOUS THERAPY 423143,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423143,A000000,02500,0000,2500PHYSICAL THERAPY 423143,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423143,A000000,02700,0000,2700SPEECH PATHOLOGY 423143,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423143,A000000,03550,0000,3550FQHC 423143,A000000,05000,0000,5000CORF 423143,A000000,05010,0000,5010CMHC 423143,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423143,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423143,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423143,A81000A,00100,0100,Y 423143,A81000B,00100,0300,SEE ATTACHED 423143,A81000B,00200,0300,CAPITAL INTEREST 423143,A81000B,00300,0300,HOME OFFICE 423143,A81000B,00400,0300,HOME OFFICE 423143,A81000C,00100,0100,B 423143,A81000C,00100,0400,SEE ATTACHED 423143,A81000C,00100,0600,VARIOUS 423143,A81000C,00200,0100,B 423143,A81000C,00200,0400,GHC 423143,A81000C,00200,0600,LONG TERM CARE 423143,A81000C,00300,0100,B 423143,A81000C,00300,0400,GHC 423143,A81000C,00300,0600,LONG TERM CARE 423143,A81000C,00400,0100,B 423143,A81000C,00400,0400,GHC 423143,A81000C,00400,0600,LONG TERM CARE 423143,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423143,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423143,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423143,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423143,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423143,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423143,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423143,B100000,00000,0800,0800MEALS SERVED :DIETARY 423143,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 423143,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423143,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423143,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423143,B100000,00000,1500,1350PATIENT DAYS :RECREATION 423143,S000000,00100,0200,11/10/11 423143,S200000,00100,0100,3 PARK DRIVE 423143,S200000,00200,0100,WESTFORD 423143,S200000,00200,0200,MA 423143,S200000,00200,0300,01886 423143,S200000,00300,0100,MIDDLESEX 423143,S200000,00300,0201,15764 423143,S200000,00300,0300,U 423143,S200000,00400,0100,WESTFORD HOUSE 423143,S200000,00400,0200,225586 423143,S200000,00400,0300,07/27/93 423143,S200000,00400,0500,P 423143,S200000,01500,0100,Y 423143,S200000,01501,0200,N 423143,S200000,01502,0200,N 423143,S200000,01503,0200,N 423143,S200000,01504,0200,N 423143,S200000,01600,0100,N 423143,S200000,01700,0100,N 423143,S200000,01800,0100,N 423143,S200000,02200,0100,Y 423143,S200000,02800,0100,N 423143,S200000,02900,0100,N 423143,S200000,03000,0100,N 423143,S200000,03100,0100,N 423143,S200000,03200,0100,N 423143,S200000,03300,0100,N 423143,S200000,03300,0200,N 423143,S200000,04100,0100,N 423143,S200000,04200,0100,N 423143,S200000,04300,0100,N 423143,S200000,04600,0100,N 423143,S200000,04700,0100,N 423143,S200000,04700,0200,N 423143,S200000,04900,0100,N 423143,S200000,05000,0100,N 423143,S200000,05100,0100,N 423143,S200000,05200,0100,N 423143,S200000,05300,0100,Y 423143,S200000,05300,0200,HB0067 423143,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 423143,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423143,S200000,05400,0300,12001 423143,S200000,05500,0100,101 EAST STATE STREET 423143,S200000,05600,0100,KENNETT SQUARE 423143,S200000,05600,0200,PA 423143,S200000,05600,0300,19348 423146,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423146,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423146,A000000,00300,0000,0300EMPLOYEE BENEFITS 423146,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423146,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423146,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423146,A000000,00700,0000,0700HOUSEKEEPING 423146,A000000,00800,0000,0800DIETARY 423146,A000000,00900,0000,0900NURSING ADMINISTRATION 423146,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423146,A000000,01100,0000,1100PHARMACY 423146,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423146,A000000,01300,0000,1300SOCIAL SERVICE 423146,A000000,01301,0000,1301MEDICAL DIRECTOR 423146,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423146,A000000,01500,0000,1350ACTIVITIES 423146,A000000,01600,0000,1600SKILLED NURSING FACILITY 423146,A000000,01800,0000,1800NURSING FACILITY 423146,A000000,01810,0000,1810ICF/MR 423146,A000000,01900,0000,1900OTHER LONG TERM CARE 423146,A000000,02100,0000,2100RADIOLOGY 423146,A000000,02200,0000,2200LABORATORY 423146,A000000,02300,0000,2300INTRAVENOUS THERAPY 423146,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423146,A000000,02500,0000,2500PHYSICAL THERAPY 423146,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423146,A000000,02700,0000,2700SPEECH PATHOLOGY 423146,A000000,02800,0000,2800ELECTROCARDIOLOGY 423146,A000000,02801,0000,2801AUDIOLOGY 423146,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423146,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423146,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423146,A000000,03200,0000,3200SUPPORT SURFACES 423146,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 423146,A000000,03400,0000,3400CLINIC 423146,A000000,03500,0000,3500RURAL HEALTH CLINIC 423146,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 423146,A000000,04800,0000,4800AMBULANCE 423146,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423146,A000000,05000,0000,5000CORF 423146,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423146,A000000,05300,0000,5300INTEREST EXPENSE 423146,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423146,A000000,05500,0000,5500HOSPICE 423146,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423146,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423146,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423146,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423146,A000000,06001,0000,6001PODIETRY & DENTAL 423146,A000000,06100,0000,6100NONPAID WORKERS 423146,A000000,06200,0000,6200PATIENTS LAUNDRY 423146,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 423146,A81000A,00100,0100,N 423146,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423146,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423146,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423146,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423146,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423146,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 423146,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 423146,B100000,00000,0800,0800MEALS SERVED :DIETARY 423146,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423146,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 423146,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 423146,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 423146,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 423146,B100000,00000,1301,1301TIME SPENT :MEDICAL DIRECTOR 423146,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 423146,G300000,02500,0000, OTHER (GAIN ON SALE OF NURSING HO 423146,S000000,00100,0200,11/30/11 423146,S200000,00100,0100,4915 TENTH AVENUE 423146,S200000,00200,0100,BROOKLYN 423146,S200000,00200,0200,NY 423146,S200000,00200,0300,11219 423146,S200000,00300,0100,KINGS 423146,S200000,00300,0201,35644 423146,S200000,00300,0300,U 423146,S200000,00400,0100,MJG NURSING HOME COMPANY INC. 423146,S200000,00400,0200,335470 423146,S200000,00400,0300,01/01/76 423146,S200000,00400,0500,P 423146,S200000,01500,0100,N 423146,S200000,01501,0200,Y 423146,S200000,01502,0200,Y 423146,S200000,01503,0200,Y 423146,S200000,01504,0200,Y 423146,S200000,01600,0100,N 423146,S200000,01700,0100,N 423146,S200000,01800,0100,N 423146,S200000,02200,0100,N 423146,S200000,02800,0100,N 423146,S200000,02900,0100,N 423146,S200000,03000,0100,N 423146,S200000,03100,0100,N 423146,S200000,03200,0100,N 423146,S200000,03300,0100,N 423146,S200000,03300,0200,N 423146,S200000,04100,0100,N 423146,S200000,04200,0100,N 423146,S200000,04300,0100,N 423146,S200000,04600,0100,N 423146,S200000,04700,0100,N 423146,S200000,04700,0200,N 423146,S200000,04900,0100,N 423146,S200000,05000,0100,N 423146,S200000,05100,0100,N 423146,S200000,05200,0100,N 423146,S200000,05300,0100,N 423197,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 423197,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 423197,A000000,00300,0000,0300EMPLOYEE BENEFITS 423197,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423197,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 423197,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423197,A000000,00700,0000,0700HOUSEKEEPING 423197,A000000,00800,0000,0800DIETARY 423197,A000000,00900,0000,0900NURSING ADMINISTRATION 423197,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423197,A000000,01100,0000,1100PHARMACY 423197,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423197,A000000,01300,0000,1300SOCIAL SERVICE 423197,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 423197,A000000,01500,0000,1350ACTIVITIES 423197,A000000,01600,0000,1600SKILLED NURSING FACILITY 423197,A000000,01810,0000,1810ICF/MR 423197,A000000,02100,0000,2100RADIOLOGY 423197,A000000,02200,0000,2200LABORATORY 423197,A000000,02300,0000,2300INTRAVENOUS THERAPY 423197,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423197,A000000,02500,0000,2500PHYSICAL THERAPY 423197,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423197,A000000,02700,0000,2700SPEECH PATHOLOGY 423197,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 423197,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423197,A000000,03200,0000,3200SUPPORT SURFACES 423197,A000000,03300,0000,3050PEN BILLING 423197,A000000,03550,0000,3550FQHC 423197,A000000,04801,0000,4801AMBULANCE 423197,A000000,04802,0000,4802AMBULANCE 423197,A000000,04803,0000,4803AMBULANCE 423197,A000000,05000,0000,5000CORF 423197,A000000,05010,0000,5010CMHC 423197,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423197,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423197,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423197,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423197,A81000A,00100,0100,Y 423197,A81000B,00100,0300,HOME OFFICE ALLOC 423197,A81000B,00200,0300,DIRECT INT & AMORT 423197,A81000B,00300,0300,HOME OFFICE CAPITAL 423197,A81000B,00400,0300,PT 423197,A81000B,00500,0300,OT 423197,A81000B,00600,0300,ST 423197,A81000B,00700,0300,NUTRITIONIST 423197,A81000B,00800,0300,RT 423197,A81000B,00900,0300,MEDICAL DIRECTOR 423197,A81000B,01000,0300,NURS PURC SVCS 423197,A81000C,00100,0100,B 423197,A81000C,00100,0200,GENESIS HEALTHC 423197,A81000C,00100,0600,MGMT CO 423197,A81000C,00200,0100,B 423197,A81000C,00200,0200,GENESIS REHAB S 423197,A81000C,00200,0600,PT OT ST 423197,A81000C,00300,0100,B 423197,A81000C,00300,0200,GENESIS HOSPITA 423197,A81000C,00300,0600,NUTRITIONIST 423197,A81000C,00400,0100,B 423197,A81000C,00400,0200,RESP HEALTH SVC 423197,A81000C,00400,0600,RT 423197,A81000C,00500,0100,B 423197,A81000C,00500,0200,GENESIS PHYS SV 423197,A81000C,00500,0600,MEDICAL DIRECTO 423197,A81000C,00600,0100,B 423197,A81000C,00600,0200,GENESIS STAFFIN 423197,A81000C,00600,0600,NURS PURC SVCS 423197,B100000,00000,0100,0100SQUARE FEET 423197,B100000,00000,0200,0200SQUARE FEET 423197,B100000,00000,0300,0300GROSS SALARIES 423197,B100000,00000,0400,0400ACCUM COST 423197,B100000,00000,0500,0500SQUARE FEET 423197,B100000,00000,0600,0600PT DAYS 423197,B100000,00000,0700,0700SQ FT 423197,B100000,00000,0800,0800MEALS SERVED 423197,B100000,00000,0900,0900PT DAYS 423197,B100000,00000,1000,1000COSTED REQUIS 423197,B100000,00000,1100,1100COSTED REQUIS 423197,B100000,00000,1200,1200GROSS CHARGES 423197,B100000,00000,1300,1300PT DAYS 423197,B100000,00000,1400,1400ASSIGNED TIME 423197,B100000,00000,1500,1350PT DAYS 423197,G300000,02500,0000,MISC REVENUE 423197,S000000,00100,0200,09/06/11 423197,S200000,00100,0100,810 SOUTH BROOM STREET 423197,S200000,00200,0100,WILMINGTON 423197,S200000,00200,0200,DE 423197,S200000,00200,0300,19720 423197,S200000,00300,0100,NEW CASTLE 423197,S200000,00300,0201,48864 423197,S200000,00300,0300,U 423197,S200000,00400,0100,HILLSIDE CENTER 423197,S200000,00400,0200,085013 423197,S200000,00400,0300,10/01/87 423197,S200000,00400,0500,P 423197,S200000,00600,0200,085013 423197,S200000,00600,0300,10/01/87 423197,S200000,00600,0600,O 423197,S200000,01500,0100,Y 423197,S200000,01501,0200,N 423197,S200000,01502,0200,N 423197,S200000,01503,0200,N 423197,S200000,01504,0200,N 423197,S200000,01505,0000,DON BONUS 423197,S200000,01505,0200,N 423197,S200000,01600,0100,N 423197,S200000,01700,0100,N 423197,S200000,01800,0100,N 423197,S200000,02200,0100,Y 423197,S200000,02800,0100,N 423197,S200000,02900,0100,N 423197,S200000,03000,0100,N 423197,S200000,03100,0100,N 423197,S200000,03200,0100,N 423197,S200000,03300,0100,N 423197,S200000,03300,0200,N 423197,S200000,04200,0100,N 423197,S200000,04300,0100,N 423197,S200000,04600,0100,N 423197,S200000,04700,0100,N 423197,S200000,04900,0100,N 423197,S200000,05200,0100,N 423197,S200000,05300,0100,Y 423197,S200000,05300,0200,HB0067 423197,S200000,05400,0100,GENESIS HEALTHCARE 423197,S200000,05400,0200,HIGHMARK MEDICARE SERVCES 423197,S200000,05400,0300,12001 423197,S200000,05500,0100,101 EAST STATE STREET 423197,S200000,05600,0100,KENNETT SQUARE 423197,S200000,05600,0200,PA 423197,S200000,05600,0300,19348 423306,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423306,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423306,A000000,00300,0000,0300EMPLOYEE BENEFITS 423306,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423306,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423306,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423306,A000000,00700,0000,0700HOUSEKEEPING 423306,A000000,00800,0000,0800DIETARY 423306,A000000,00900,0000,0900NURSING ADMINISTRATION 423306,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423306,A000000,01100,0000,1100PHARMACY 423306,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423306,A000000,01300,0000,1300SOCIAL SERVICE 423306,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423306,A000000,01600,0000,1600SKILLED NURSING FACILITY 423306,A000000,01810,0000,1810ICF/MR 423306,A000000,02100,0000,2100RADIOLOGY 423306,A000000,02200,0000,2200LABORATORY 423306,A000000,02300,0000,2300INTRAVENOUS THERAPY 423306,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423306,A000000,02500,0000,2500PHYSICAL THERAPY 423306,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423306,A000000,02700,0000,2700SPEECH PATHOLOGY 423306,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423306,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423306,A000000,03550,0000,3550FQHC 423306,A000000,05000,0000,5000CORF 423306,A000000,05010,0000,5010CMHC 423306,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423306,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423306,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423306,A000000,05300,0000,5300INTEREST EXPENSE 423306,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423306,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423306,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423306,A81000A,00100,0100,N 423306,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423306,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423306,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423306,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423306,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 423306,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 423306,B100000,00000,0800,0800MEALS SERVED :DIETARY 423306,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423306,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 423306,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 423306,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 423306,G300000,02500,0000,CONTRACTUAL & ADMINISTRATIVE ADJUST 423306,G300000,02501,0000,SUPPLIES CHARGED TO PATIENT 423306,G300000,02502,0000,PARENTERAL / ENTERAL (TUBE FEEDING) 423306,G300000,02503,0000,MISC REVENUE 423306,G300000,02504,0000,LOSS ON DISPOSAL OF ASSET 423306,S000000,00100,0200,05/10/11 423306,S200000,00100,0100,800 SE CENTRAL PARKWAY 423306,S200000,00100,0300,2420 423306,S200000,00200,0100,STUART 423306,S200000,00200,0200,FL 423306,S200000,00200,0300,34994 423306,S200000,00300,0100,MARTIN 423306,S200000,00300,0201,38940 423306,S200000,00300,0300,U 423306,S200000,00400,0100,PARKWAY HEALTH AND REHABILITATION C 423306,S200000,00400,0200,105687 423306,S200000,00400,0300,03/22/90 423306,S200000,00400,0500,P 423306,S200000,00600,0200,105687 423306,S200000,00600,0300,03/22/90 423306,S200000,00600,0600,O 423306,S200000,01500,0100,N 423306,S200000,01501,0200,Y 423306,S200000,01600,0100,Y 423306,S200000,01700,0100,N 423306,S200000,01800,0100,N 423306,S200000,02200,0100,N 423306,S200000,02800,0100,N 423306,S200000,02900,0100,N 423306,S200000,03000,0100,N 423306,S200000,03100,0100,N 423306,S200000,03200,0100,N 423306,S200000,03300,0100,N 423306,S200000,03300,0200,N 423306,S200000,03500,0300,N 423306,S200000,04100,0100,N 423306,S200000,04200,0100,N 423306,S200000,04300,0100,N 423306,S200000,04600,0100,N 423306,S200000,04700,0100,N 423306,S200000,04700,0200,N 423306,S200000,04900,0100,N 423306,S200000,05000,0100,N 423306,S200000,05100,0100,N 423306,S200000,05200,0100,N 423338,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423338,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423338,A000000,00300,0000,0300EMPLOYEE BENEFITS 423338,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423338,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423338,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423338,A000000,00700,0000,0700HOUSEKEEPING 423338,A000000,00800,0000,0800DIETARY 423338,A000000,00900,0000,0900NURSING ADMINISTRATION 423338,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423338,A000000,01100,0000,1100PHARMACY 423338,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423338,A000000,01300,0000,1300SOCIAL SERVICE 423338,A000000,01600,0000,1600SKILLED NURSING FACILITY 423338,A000000,01800,0000,1800NURSING FACILITY 423338,A000000,01810,0000,1810ICF/MR 423338,A000000,01900,0000,1900OTHER LONG TERM CARE 423338,A000000,02100,0000,2100RADIOLOGY 423338,A000000,02200,0000,2200LABORATORY 423338,A000000,02300,0000,2300INTRAVENOUS THERAPY 423338,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423338,A000000,02500,0000,2500PHYSICAL THERAPY 423338,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423338,A000000,02700,0000,2700SPEECH PATHOLOGY 423338,A000000,02800,0000,2800ELECTROCARDIOLOGY 423338,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423338,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423338,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423338,A000000,05300,0000,5300INTEREST EXPENSE 423338,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423338,A000000,05500,0000,5500HOSPICE 423338,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423338,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423338,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423338,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423338,A000000,06100,0000,6100NONPAID WORKERS 423338,A000000,06200,0000,6200PATIENTS LAUNDRY 423338,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 423338,A81000A,00100,0100,Y 423338,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 423338,A81000B,00200,0300,CAPITAL RELATED 423338,A81000C,00100,0100,A 423338,A81000C,00100,0200,STEVEN WOLF 423338,A81000C,00100,0400,ELDERCARE INC 423338,A81000C,00100,0600,MGMT CO 423338,A81000C,00200,0100,A 423338,A81000C,00200,0200,PRUDENCE WOLF 423338,A81000C,00300,0100,A 423338,A81000C,00300,0200,SCOTT WOLF 423338,A81000C,00400,0100,A 423338,A81000C,00400,0200,MICHAEL WOLF 423338,A81000C,00500,0100,A 423338,A81000C,00500,0200,GARY WOLF 423338,A81000C,00600,0100,A 423338,A81000C,00600,0200,JESSICA PATTON 423338,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423338,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423338,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423338,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423338,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423338,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423338,B100000,00000,0800,0800MEALS SERVED :DIETARY 423338,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 423338,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 423338,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423338,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423338,G300000,02501,0000,MISC INCOME 423338,S000000,00100,0200,11/28/11 423338,S200000,00100,0100,727 N 17TH ST 423338,S200000,00200,0100,BELLEVILLE 423338,S200000,00200,0200,IL 423338,S200000,00200,0300,62226 423338,S200000,00300,0100,ST. CLAIR 423338,S200000,00300,0201,41180 423338,S200000,00300,0300,U 423338,S200000,00400,0100,CALVIN JOHNSON CARE CENTER 423338,S200000,00400,0200,145290 423338,S200000,00400,0300,04/11/77 423338,S200000,00400,0500,P 423338,S200000,01500,0100,N 423338,S200000,01501,0200,Y 423338,S200000,01502,0200,Y 423338,S200000,01503,0200,Y 423338,S200000,01504,0200,Y 423338,S200000,01600,0100,Y 423338,S200000,01700,0100,N 423338,S200000,01800,0100,N 423338,S200000,02200,0100,N 423338,S200000,02800,0100,N 423338,S200000,02900,0100,N 423338,S200000,03000,0100,N 423338,S200000,03100,0100,Y 423338,S200000,03200,0100,N 423338,S200000,03300,0100,N 423338,S200000,03300,0200,N 423338,S200000,04100,0100,N 423338,S200000,04200,0100,N 423338,S200000,04300,0100,N 423338,S200000,04600,0100,N 423338,S200000,04700,0100,N 423338,S200000,04700,0200,N 423338,S200000,04900,0100,N 423338,S200000,05000,0100,N 423338,S200000,05100,0100,N 423338,S200000,05200,0100,N 423338,S200000,05300,0100,Y 423338,S200000,05300,0200,149004 423338,S200000,05400,0100,ELDERCARE INC 423338,S200000,05400,0200,WISC PHYS 423338,S200000,05400,0300,52280 423338,S200000,05500,0100,2810 FRANK SCOTT PKW W. 423338,S200000,05500,0200,STE 820 423338,S200000,05600,0100,BELLEVILLE 423338,S200000,05600,0200,IL 423338,S200000,05600,0300,62223 423405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423405,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423405,A000000,00700,0000,0700HOUSEKEEPING 423405,A000000,00800,0000,0800DIETARY 423405,A000000,00900,0000,0900NURSING ADMINISTRATION 423405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423405,A000000,01100,0000,1100PHARMACY 423405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423405,A000000,01300,0000,1300SOCIAL SERVICE 423405,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423405,A000000,01500,0000,1350OTHER GENERAL SERVICES 423405,A000000,01600,0000,1600SKILLED NURSING FACILITY 423405,A000000,01800,0000,1800NURSING FACILITY 423405,A000000,01810,0000,1810ICF/MR 423405,A000000,01900,0000,1900OTHER LONG TERM CARE 423405,A000000,02100,0000,2100RADIOLOGY 423405,A000000,02200,0000,2200LABORATORY 423405,A000000,02300,0000,2300INTRAVENOUS THERAPY 423405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423405,A000000,02500,0000,2500PHYSICAL THERAPY 423405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423405,A000000,02700,0000,2700SPEECH PATHOLOGY 423405,A000000,02800,0000,2800ELECTROCARDIOLOGY 423405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423405,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423405,A000000,03200,0000,3200SUPPORT SURFACES 423405,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 423405,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 423405,A000000,03302,0000,3052MEDICAL EQUIPMENT 423405,A000000,03303,0000,3053CLINIC 423405,A000000,03400,0000,3400CLINIC 423405,A000000,03500,0000,3500RURAL HEALTH CLINIC 423405,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 423405,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 423405,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 423405,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 423405,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 423405,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 423405,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 423405,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 423405,A000000,04400,0000,4400DME RENTED - HHA 423405,A000000,04500,0000,4500DME SOLD - HHA 423405,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 423405,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 423405,A000000,04710,0000,4710TELEMEDICINE 423405,A000000,04800,0000,4800AMBULANCE 423405,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423405,A000000,05000,0000,5000CORF 423405,A000000,05100,0000,4750OTHER REIMBURSABLE COST 423405,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423405,A000000,05300,0000,5300INTEREST EXPENSE 423405,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423405,A000000,05500,0000,5500HOSPICE 423405,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423405,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423405,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423405,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423405,A000000,06100,0000,6100NONPAID WORKERS 423405,A000000,06200,0000,6200PATIENTS LAUNDRY 423405,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 423405,A81000A,00100,0100,N 423405,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423405,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423405,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423405,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423405,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423405,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423405,B100000,00000,0800,0850PATIENT DAYS :DIETARY 423405,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 423405,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 423405,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423405,S000000,00100,0200,11/23/11 423405,S200000,00100,0100,330 SOUTH ROOSEVELT 423405,S200000,00200,0100,SAN ANTONIO 423405,S200000,00200,0200,TX 423405,S200000,00200,0300,78214 423405,S200000,00300,0100,BEXAR 423405,S200000,00300,0200,7240 423405,S200000,00300,0201,41700 423405,S200000,00300,0300,U 423405,S200000,00400,0100,MISSION OAKS MANOR 423405,S200000,00400,0200,675409 423405,S200000,00400,0300,01/01/95 423405,S200000,00400,0500,P 423405,S200000,01500,0100,Y 423405,S200000,01501,0200,Y 423405,S200000,01600,0100,N 423405,S200000,01700,0100,N 423405,S200000,01800,0100,N 423405,S200000,02200,0100,N 423405,S200000,02800,0100,N 423405,S200000,02900,0100,N 423405,S200000,03000,0100,N 423405,S200000,03100,0100,N 423405,S200000,03200,0100,N 423405,S200000,03300,0100,N 423405,S200000,03300,0200,N 423405,S200000,04100,0100,N 423405,S200000,04200,0100,N 423405,S200000,04300,0100,N 423405,S200000,04600,0100,N 423405,S200000,04700,0100,N 423405,S200000,04700,0200,N 423405,S200000,04900,0100,N 423405,S200000,05000,0100,N 423405,S200000,05100,0100,N 423405,S200000,05200,0100,N 423514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 423514,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 423514,A000000,00300,0000,0300EMPLOYEE BENEFITS 423514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 423514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423514,A000000,00700,0000,0700HOUSEKEEPING 423514,A000000,00800,0000,0800DIETARY 423514,A000000,00900,0000,0900NURSING ADMINISTRATION 423514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423514,A000000,01100,0000,1100PHARMACY 423514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423514,A000000,01300,0000,1300SOCIAL SERVICE 423514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 423514,A000000,01500,0000,1350OTHER GENERAL SERVICES 423514,A000000,01600,0000,1600SKILLED NURSING FACILITY 423514,A000000,01810,0000,1810ICF/MR 423514,A000000,02100,0000,2100RADIOLOGY 423514,A000000,02200,0000,2200LABORATORY 423514,A000000,02500,0000,2500PHYSICAL THERAPY 423514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423514,A000000,02700,0000,2700SPEECH PATHOLOGY 423514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423514,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 423514,A000000,03550,0000,3550FQHC 423514,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 423514,A000000,04710,0000,4710TELEMEDICINE 423514,A000000,04801,0000,4801AMBULANCE 423514,A000000,04802,0000,4802AMBULANCE 423514,A000000,04803,0000,4803AMBULANCE 423514,A000000,05000,0000,5000CORF 423514,A000000,05010,0000,5010CMHC 423514,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423514,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423514,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423514,A000000,05100,0000,4750OTHER REIMBURSABLE COST 423514,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 423514,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423514,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423514,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 423514,A81000A,00100,0100,Y 423514,A81000B,00100,0300,HOME OFFICE COSTS 423514,A81000B,00200,0300,COMPUTER SERVICES 423514,A81000B,00300,0300,BUILDING RENT 423514,A81000B,00400,0300,THERAPY COSTS 423514,A81000B,00500,0300,THERAPY COSTS 423514,A81000B,00600,0300,THERAPY COSTS 423514,A81000C,00100,0100,A 423514,A81000C,00100,0200,THOMAS D. SCOTT 423514,A81000C,00100,0400,PREFERRED CARE INC. 423514,A81000C,00100,0600,HOME OFFICE 423514,A81000C,00200,0100,A 423514,A81000C,00200,0200,THOMAS D. SCOTT 423514,A81000C,00200,0400,PIN COMPUTING COMPANY 423514,A81000C,00200,0600,COMPUTER SERVICES 423514,A81000C,00300,0100,A 423514,A81000C,00300,0200,THOMAS D. SCOTT 423514,A81000C,00300,0400,HACIENDA CARE XIV L.P. 423514,A81000C,00300,0600,REAL ESTATE RENTAL 423514,A81000C,00400,0100,A 423514,A81000C,00400,0200,THOMAS D. SCOTT 423514,A81000C,00400,0400,RELIANT PRO REHAB 423514,A81000C,00400,0600,CONTRACT THERAPY SERVICES 423514,A81000C,00500,0100,A 423514,A81000C,00500,0200,THOMAS D. SCOTT 423514,A81000C,00500,0400,RELIANT PRO REHAB 423514,A81000C,00500,0600,CONTRACT THERAPY SERVICES 423514,A81000C,00600,0100,A 423514,A81000C,00600,0200,THOMAS D. SCOTT 423514,A81000C,00600,0400,RELIANT PRO REHAB 423514,A81000C,00600,0600,CONTRACT THERAPY SERVICES 423514,B100000,00000,0100,0100SQUARE FEET 423514,B100000,00000,0200,0200SQUARE FEET 423514,B100000,00000,0300,0300GROSS SALARIES 423514,B100000,00000,0400,0400ACCUM COST 423514,B100000,00000,0500,0500SQUARE FEET 423514,B100000,00000,0600,0600PATIENT DAYS 423514,B100000,00000,0700,0700SQUARE FEET 423514,B100000,00000,0800,0800PATIENT DAYS 423514,B100000,00000,0900,0900PATIENT DAYS 423514,B100000,00000,1000,1000PATIENT DAYS 423514,B100000,00000,1100,1100PATIENT DAYS 423514,B100000,00000,1200,1200PATIENT DAYS 423514,B100000,00000,1300,1300PATIENT DAYS 423514,B100000,00000,1400,1400ASSIGNED TIME 423514,B100000,00000,1500,1350 423514,S000000,00100,0200,09/16/11 423514,S200000,00100,0100,601 ADAMS BLVD 423514,S200000,00200,0100,BOULDER CITY 423514,S200000,00200,0200,NV 423514,S200000,00200,0300,89005 423514,S200000,00300,0100,CLARK 423514,S200000,00300,0201,29820 423514,S200000,00300,0300,U 423514,S200000,00400,0100,MOUNTAIN VIEW CARE CENTER 423514,S200000,00400,0200,295080 423514,S200000,00400,0300,08/01/88 423514,S200000,00400,0500,P 423514,S200000,00400,0600,P 423514,S200000,01500,0100,Y 423514,S200000,01501,0200,Y 423514,S200000,01600,0100,N 423514,S200000,01700,0100,N 423514,S200000,01800,0100,N 423514,S200000,02200,0100,N 423514,S200000,02800,0100,N 423514,S200000,02900,0100,N 423514,S200000,03000,0100,N 423514,S200000,03100,0100,N 423514,S200000,03200,0100,N 423514,S200000,03300,0100,N 423514,S200000,03300,0200,N 423514,S200000,04200,0100,N 423514,S200000,04300,0100,N 423514,S200000,04600,0100,N 423514,S200000,04700,0100,N 423514,S200000,04900,0100,N 423514,S200000,05200,0100,N 423514,S200000,05300,0100,Y 423514,S200000,05300,0200,H56920 423514,S200000,05400,0100,PREFERRED CARE INC 423514,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423514,S200000,05400,0300,12001 423514,S200000,05500,0100,5500 W PLANO PARKWAY 423514,S200000,05600,0100,PLANO 423514,S200000,05600,0200,TX 423514,S200000,05600,0300,75093 423515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 423515,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 423515,A000000,00300,0000,0300EMPLOYEE BENEFITS 423515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 423515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423515,A000000,00700,0000,0700HOUSEKEEPING 423515,A000000,00800,0000,0800DIETARY 423515,A000000,00900,0000,0900NURSING ADMINISTRATION 423515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423515,A000000,01100,0000,1100PHARMACY 423515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423515,A000000,01300,0000,1300SOCIAL SERVICE 423515,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 423515,A000000,01500,0000,1350ACTIVITIES 423515,A000000,01600,0000,1600SKILLED NURSING FACILITY 423515,A000000,01810,0000,1810ICF/MR 423515,A000000,02100,0000,2100RADIOLOGY 423515,A000000,02200,0000,2200LABORATORY 423515,A000000,02300,0000,2300INTRAVENOUS THERAPY 423515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423515,A000000,02500,0000,2500PHYSICAL THERAPY 423515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423515,A000000,02700,0000,2700SPEECH PATHOLOGY 423515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 423515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423515,A000000,03200,0000,3200SUPPORT SURFACES 423515,A000000,03300,0000,3050PEN BILLING 423515,A000000,03550,0000,3550FQHC 423515,A000000,04801,0000,4801AMBULANCE 423515,A000000,04802,0000,4802AMBULANCE 423515,A000000,04803,0000,4803AMBULANCE 423515,A000000,05000,0000,5000CORF 423515,A000000,05010,0000,5010CMHC 423515,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423515,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423515,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423515,A81000A,00100,0100,Y 423515,A81000B,00100,0300,HOME OFFICE ALLOC 423515,A81000B,00200,0300,DIRECT INT & AMORT 423515,A81000B,00300,0300,HOME OFFICE CAPITAL 423515,A81000B,00400,0300,PT 423515,A81000B,00500,0300,OT 423515,A81000B,00600,0300,ST 423515,A81000B,00700,0300,NUTRITIONIST 423515,A81000B,00800,0300,RT 423515,A81000B,00900,0300,MEDICAL DIRECTOR 423515,A81000B,01000,0300,NURS PURC SVCS 423515,A81000C,00100,0100,B 423515,A81000C,00100,0200,GENESIS HEALTHC 423515,A81000C,00100,0600,MGMT COMPANY 423515,A81000C,00200,0100,B 423515,A81000C,00200,0200,GENESIS REHAB S 423515,A81000C,00200,0600,PT OT ST 423515,A81000C,00300,0100,B 423515,A81000C,00300,0200,GENESIS HOSPITA 423515,A81000C,00300,0600,RT 423515,A81000C,00400,0100,B 423515,A81000C,00400,0200,RESPIRATORY HEA 423515,A81000C,00400,0600,RT 423515,A81000C,00500,0100,B 423515,A81000C,00500,0200,GENESIS PHYS SV 423515,A81000C,00500,0600,MEDICAL DIRECTO 423515,A81000C,00600,0100,B 423515,A81000C,00600,0200,GENESIS STAFFIN 423515,A81000C,00600,0600,NURS PURC SVCS 423515,B100000,00000,0100,0100SQUARE FEET 423515,B100000,00000,0200,0200SQUARE FEET 423515,B100000,00000,0300,0300GROSS SALARIES 423515,B100000,00000,0400,0400ACCUM COST 423515,B100000,00000,0500,0500SQUARE FEET 423515,B100000,00000,0600,0600PT DAYS 423515,B100000,00000,0700,0700SQ FT 423515,B100000,00000,0800,0800MEALS SERVED 423515,B100000,00000,0900,0900PT DAYS 423515,B100000,00000,1000,1000COSTED REQUIS 423515,B100000,00000,1100,1100COSTED REQUIS 423515,B100000,00000,1200,1200GROSS CHARGES 423515,B100000,00000,1300,1300PT DAY 423515,B100000,00000,1400,1400ASSIGNED TIME 423515,B100000,00000,1500,1350PT DAYS 423515,G300000,02500,0000,MISC REVENUE 423515,S000000,00100,0200,09/06/11 423515,S200000,00100,0100,1080 SILVER LAKE BOULEVARD 423515,S200000,00200,0100,DOVER 423515,S200000,00200,0200,DE 423515,S200000,00200,0300,19901 423515,S200000,00300,0100,KENT 423515,S200000,00300,0201,20100 423515,S200000,00300,0300,U 423515,S200000,00400,0100,SILVER LAKE CENTER 423515,S200000,00400,0200,085027 423515,S200000,00400,0300,05/16/84 423515,S200000,00400,0500,P 423515,S200000,01500,0100,Y 423515,S200000,01501,0200,N 423515,S200000,01502,0200,N 423515,S200000,01503,0200,N 423515,S200000,01504,0200,N 423515,S200000,01505,0000,DON BONUS 423515,S200000,01505,0200,N 423515,S200000,01600,0100,N 423515,S200000,01700,0100,N 423515,S200000,01800,0100,N 423515,S200000,02200,0100,Y 423515,S200000,02800,0100,N 423515,S200000,02900,0100,N 423515,S200000,03000,0100,N 423515,S200000,03100,0100,N 423515,S200000,03200,0100,N 423515,S200000,03300,0100,N 423515,S200000,03300,0200,N 423515,S200000,04200,0100,N 423515,S200000,04300,0100,N 423515,S200000,04600,0100,N 423515,S200000,04700,0100,N 423515,S200000,04900,0100,N 423515,S200000,05200,0100,N 423515,S200000,05300,0100,Y 423515,S200000,05300,0200,HB0067 423515,S200000,05400,0100,GENESIS HEALTHCARE 423515,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 423515,S200000,05400,0300,12001 423515,S200000,05500,0100,101 EAST STATE STREET 423515,S200000,05600,0100,KENNETT SQUARE 423515,S200000,05600,0200,PA 423515,S200000,05600,0300,19348 423721,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 423721,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 423721,A000000,00300,0000,0300EMPLOYEE BENEFITS 423721,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423721,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 423721,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423721,A000000,00700,0000,0700HOUSEKEEPING 423721,A000000,00800,0000,0800DIETARY 423721,A000000,00900,0000,0900NURSING ADMINISTRATION 423721,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423721,A000000,01100,0000,1100PHARMACY 423721,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423721,A000000,01300,0000,1300SOCIAL SERVICE 423721,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 423721,A000000,01600,0000,1600SKILLED NURSING FACILITY 423721,A000000,01810,0000,1810ICF/MR 423721,A000000,02100,0000,2100RADIOLOGY 423721,A000000,02500,0000,2500PHYSICAL THERAPY 423721,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423721,A000000,02700,0000,2700SPEECH PATHOLOGY 423721,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 423721,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423721,A000000,03550,0000,3550FQHC 423721,A000000,04801,0000,4801AMBULANCE 423721,A000000,04802,0000,4802AMBULANCE 423721,A000000,04803,0000,4803AMBULANCE 423721,A000000,05000,0000,5000CORF 423721,A000000,05010,0000,5010CMHC 423721,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 423721,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 423721,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 423721,A000000,05300,0000,5300INTEREST EXPENSE 423721,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 423721,A81000A,00100,0100,Y 423721,A81000B,00100,0300,ADMIN SERVICES PROVIDER 423721,A81000B,00200,0300,ADMIN SERVICES PROVIDER 423721,A81000B,00300,0300,NURSE CONSULT PROVIDER 423721,A81000B,00400,0300,REHAB THERAPY PROVIDER 423721,A81000B,00500,0300,REHAB THERAPY PROVIDER 423721,A81000B,00600,0300,REHAB THERAPY PROVIDER 423721,A81000C,00100,0100,D 423721,A81000C,00100,0200,BRANDON & BRYAN ADAMS 423721,A81000C,00100,0400,RELIANCE HEALTH CARE INC 423721,A81000C,00100,0600,ADMIN SERVICES PROVIDER 423721,A81000C,00200,0100,D 423721,A81000C,00200,0200,BRANDON ADAMS 423721,A81000C,00200,0400,LTC SYSTEMS 423721,A81000C,00200,0600,NURSE CONSULTING 423721,A81000C,00300,0100,D 423721,A81000C,00300,0200,BRYAN ADAMS 423721,A81000C,00300,0400,LTC SYSTEMS 423721,A81000C,00300,0600,NURSE CONSULTING 423721,A81000C,00400,0100,D 423721,A81000C,00400,0200,TOBEY KOEHLER 423721,A81000C,00400,0400,LTC SYSTEMS 423721,A81000C,00400,0600,NURSE CONSULTING 423721,A81000C,00500,0100,D 423721,A81000C,00500,0200,TOBEY KOEHLER 423721,A81000C,00500,0400,INCITE REHAB 423721,A81000C,00500,0600,REHAB THERAPY COMPANY 423721,A81000C,00600,0100,D 423721,A81000C,00600,0200,BRANDON ADAMS 423721,A81000C,00600,0400,INCITE REHAB 423721,A81000C,00600,0600,REHAB THERAPY COMPANY 423721,A81000C,00700,0100,D 423721,A81000C,00700,0200,BRYAN ADAMS 423721,A81000C,00700,0400,INCITE REHAB 423721,A81000C,00700,0600,REHAB THERAPY COMPANY 423721,A81000C,00800,0100,D 423721,A81000C,00800,0200,JOHN ELLIS 423721,A81000C,00800,0400,INCITE REHAB 423721,A81000C,00800,0600,REHAB THERAPY COMPANY 423721,A81000C,00900,0100,E 423721,A81000C,00900,0200,WILLIAM MAINORD 423721,A81000C,00900,0400,INCITE REHAB 423721,A81000C,00900,0600,REHAB THERAPY COMPANY 423721,B100000,00000,0100,0100SQUARE FEET 423721,B100000,00000,0200,0200SQUARE FEET 423721,B100000,00000,0300,0300GROSS SALARIES 423721,B100000,00000,0400,0400ACCUM COST 423721,B100000,00000,0500,0500SQUARE FEET 423721,B100000,00000,0600,0600PATIENT DAYS 423721,B100000,00000,0700,0700SQUARE FEET 423721,B100000,00000,0800,0800MEALS SERVED 423721,B100000,00000,0900,0900DIRECT NRSING HRS 423721,B100000,00000,1000,1000COSTED REQUIS. 423721,B100000,00000,1100,1100COSTED REQUIS. 423721,B100000,00000,1200,1200TIME SPENT 423721,B100000,00000,1300,1300PATIENT DAYS 423721,B100000,00000,1400,1400ASSIGNED TIME 423721,S000000,00100,0200,11/09/11 423721,S200000,00100,0100,1175 MORNINGSIDE DRIVE 423721,S200000,00200,0100,CONWAY 423721,S200000,00200,0200,AR 423721,S200000,00200,0300,72034 423721,S200000,00300,0100,FAULKNER 423721,S200000,00300,0201,30780 423721,S200000,00300,0300,U 423721,S200000,00400,0100,HERITAGE LIVING CENTER 423721,S200000,00400,0200,045308 423721,S200000,00400,0300,05/01/96 423721,S200000,00400,0500,P 423721,S200000,01500,0100,Y 423721,S200000,01501,0200,Y 423721,S200000,01504,0200,Y 423721,S200000,01505,0000,SUPPLIES AND OTHER 423721,S200000,01505,0200,Y 423721,S200000,01600,0100,N 423721,S200000,01700,0100,N 423721,S200000,01800,0100,N 423721,S200000,02200,0100,N 423721,S200000,02800,0100,N 423721,S200000,02900,0100,N 423721,S200000,03000,0100,N 423721,S200000,03100,0100,N 423721,S200000,03200,0100,N 423721,S200000,03300,0100,N 423721,S200000,03300,0200,N 423721,S200000,04200,0100,N 423721,S200000,04300,0100,N 423721,S200000,04600,0100,N 423721,S200000,04700,0100,N 423721,S200000,04900,0100,N 423721,S200000,05200,0100,N 423790,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423790,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 423790,A000000,00300,0000,0300EMPLOYEE BENEFITS 423790,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423790,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423790,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423790,A000000,00700,0000,0700HOUSEKEEPING 423790,A000000,00800,0000,0800DIETARY 423790,A000000,00900,0000,0900NURSING ADMINISTRATION 423790,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 423790,A000000,01100,0000,1100PHARMACY 423790,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423790,A000000,01300,0000,1300SOCIAL SERVICE 423790,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 423790,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 423790,A000000,01600,0000,1600SKILLED NURSING FACILITY 423790,A000000,01800,0000,1800NURSING FACILITY 423790,A000000,01900,0000,1900OTHER LONG TERM CARE 423790,A000000,02100,0000,2100RADIOLOGY 423790,A000000,02200,0000,2200LABORATORY 423790,A000000,02300,0000,2300INTRAVENOUS THERAPY 423790,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423790,A000000,02500,0000,2500PHYSICAL THERAPY 423790,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423790,A000000,02700,0000,2700SPEECH PATHOLOGY 423790,A000000,02800,0000,2800ELECTROCARDIOLOGY 423790,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423790,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423790,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 423790,A000000,03200,0000,3200SUPPORT SURFACES 423790,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 423790,A000000,03400,0000,3400CLINIC 423790,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 423790,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 423790,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 423790,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 423790,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 423790,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 423790,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 423790,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 423790,A000000,04400,0000,4400DME RENTED - HHA 423790,A000000,04500,0000,4500DME SOLD - HHA 423790,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 423790,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 423790,A000000,04710,0000,4710TELEMEDICINE 423790,A000000,04800,0000,4800AMBULANCE 423790,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 423790,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 423790,A000000,05300,0000,5300INTEREST EXPENSE 423790,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 423790,A000000,05500,0000,5500HOSPICE 423790,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 423790,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 423790,A000000,05900,0000,5900BARBER & BEAUTY SHOP 423790,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 423790,A000000,06100,0000,6100NONPAID WORKERS 423790,A000000,06200,0000,6200PATIENTS LAUNDRY 423790,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 423790,A81000A,00100,0100,Y 423790,A81000B,00100,0300,MANAGEMENT FEE 423790,A81000C,00100,0100,B 423790,A81000C,00100,0200,VALLE VISTA MAN 423790,A81000C,00100,0400,LANTIS ENTERPRI 423790,A81000C,00100,0600,HEALTH CARE4 423790,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423790,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 423790,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423790,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423790,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 423790,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 423790,B100000,00000,0800,0850PATIENT DAYS :DIETARY 423790,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423790,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 423790,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 423790,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 423790,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 423790,G300000,02500,0000, OTHER (SPECIFY) 423790,S000000,00100,0200,10/27/11 423790,S200000,00100,0100,402 SUMMIT AVE 423790,S200000,00100,0300,PO BOX 11 423790,S200000,00200,0100,LEWISTOWN 423790,S200000,00200,0200,MT 423790,S200000,00200,0300,59457 423790,S200000,00300,0100,FERGUS 423790,S200000,00300,0201,27130 423790,S200000,00300,0300,R 423790,S200000,00400,0100,VALLE VISTA MANOR 423790,S200000,00400,0200,275021 423790,S200000,00400,0300,11/01/94 423790,S200000,00400,0500,P 423790,S200000,01500,0100,Y 423790,S200000,01501,0200,Y 423790,S200000,01502,0200,Y 423790,S200000,01503,0200,Y 423790,S200000,01504,0200,Y 423790,S200000,01505,0000,OTHER (SPECIFY) 423790,S200000,01505,0200,Y 423790,S200000,01600,0100,N 423790,S200000,01700,0100,N 423790,S200000,01800,0100,N 423790,S200000,02200,0100,N 423790,S200000,02800,0100,N 423790,S200000,02900,0100,N 423790,S200000,03000,0100,N 423790,S200000,03100,0100,N 423790,S200000,03200,0100,N 423790,S200000,03300,0100,N 423790,S200000,03300,0200,N 423790,S200000,03600,0100,N 423790,S200000,03600,0200,N 423790,S200000,04100,0100,N 423790,S200000,04200,0100,N 423790,S200000,04300,0100,N 423790,S200000,04600,0100,N 423790,S200000,04700,0100,N 423790,S200000,04700,0200,N 423790,S200000,04900,0100,N 423790,S200000,05000,0100,N 423790,S200000,05100,0100,N 423790,S200000,05200,0100,N 423790,S200000,05300,0100,Y 423790,S200000,05300,0200,439102 423790,S200000,05400,0100,LANTIS ENTERPRISES 423790,S200000,05400,0200,NORIDIAN 423790,S200000,05400,0300,439102 423790,S200000,05500,0200,PO BOX 69 423790,S200000,05600,0100,SPEARFISH 423790,S200000,05600,0200,SD 423790,S200000,05600,0300,57783 423945,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423945,A000000,00300,0000,0300EMPLOYEE BENEFITS 423945,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423945,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423945,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423945,A000000,00700,0000,0700HOUSEKEEPING 423945,A000000,00800,0000,0800DIETARY 423945,A000000,00900,0000,0900NURSING ADMINISTRATION 423945,A000000,01100,0000,1100PHARMACY 423945,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 423945,A000000,01300,0000,1300SOCIAL SERVICE 423945,A000000,01600,0000,1600SKILLED NURSING FACILITY 423945,A000000,01900,0000,1900OTHER LONG TERM CARE 423945,A000000,02100,0000,2100RADIOLOGY 423945,A000000,02200,0000,2200LABORATORY 423945,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423945,A000000,02500,0000,2500PHYSICAL THERAPY 423945,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423945,A000000,02700,0000,2700SPEECH PATHOLOGY 423945,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423945,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423945,A81000A,00100,0100,N 423945,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423945,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423945,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423945,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423945,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 423945,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 423945,B100000,00000,0800,0800MEALS SERVED :DIETARY 423945,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423945,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 423945,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 423945,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 423945,G300000,02500,0000,MISCELLANEOUS 423945,S000000,00100,0200,01/09/12 423945,S200000,00100,0100,2121 AVENUE L 423945,S200000,00200,0100,HAWARDEN 423945,S200000,00200,0200,IA 423945,S200000,00200,0300,51023 423945,S200000,00300,0100,SIOUX 423945,S200000,00300,0201,99916 423945,S200000,00300,0300,R 423945,S200000,00400,0100,HILLCREST HEALTH CARE SERVICES 423945,S200000,00400,0200,165245 423945,S200000,00400,0300,12/01/98 423945,S200000,00400,0500,P 423945,S200000,01500,0100,Y 423945,S200000,01501,0200,N 423945,S200000,01502,0200,N 423945,S200000,01503,0200,N 423945,S200000,01504,0200,N 423945,S200000,01600,0100,N 423945,S200000,01700,0100,N 423945,S200000,01800,0100,N 423945,S200000,01900,0100,LLC 423945,S200000,02200,0100,N 423945,S200000,02800,0100,Y 423945,S200000,02900,0100,N 423945,S200000,03000,0100,N 423945,S200000,03100,0100,N 423945,S200000,03200,0100,N 423945,S200000,03300,0100,N 423945,S200000,03300,0200,N 423945,S200000,04100,0100,N 423945,S200000,04200,0100,N 423945,S200000,04300,0100,N 423945,S200000,04600,0100,N 423945,S200000,04700,0100,N 423945,S200000,04700,0200,N 423945,S200000,04900,0100,N 423945,S200000,05000,0100,N 423945,S200000,05100,0100,N 423945,S200000,05200,0100,N 423945,S200000,05300,0100,N 423946,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 423946,A000000,00300,0000,0300EMPLOYEE BENEFITS 423946,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 423946,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 423946,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 423946,A000000,00700,0000,0700HOUSEKEEPING 423946,A000000,00800,0000,0800DIETARY 423946,A000000,00900,0000,0900NURSING ADMINISTRATION 423946,A000000,01100,0000,1100PHARMACY 423946,A000000,01300,0000,1300SOCIAL SERVICE 423946,A000000,01600,0000,1600SKILLED NURSING FACILITY 423946,A000000,02100,0000,2100RADIOLOGY 423946,A000000,02200,0000,2200LABORATORY 423946,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 423946,A000000,02500,0000,2500PHYSICAL THERAPY 423946,A000000,02600,0000,2600OCCUPATIONAL THERAPY 423946,A000000,02700,0000,2700SPEECH PATHOLOGY 423946,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 423946,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 423946,A81000A,00100,0100,N 423946,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 423946,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 423946,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 423946,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 423946,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 423946,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 423946,B100000,00000,0800,0800MEALS SERVED :DIETARY 423946,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 423946,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 423946,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 423946,G300000,02500,0000,MISCELLANEOUS 423946,S000000,00100,0200,01/09/12 423946,S200000,00100,0100,725 NORTH 2ND STREET 423946,S200000,00200,0100,CHEROKEE 423946,S200000,00200,0200,IA 423946,S200000,00200,0300,51012 423946,S200000,00300,0100,CHEROKEE 423946,S200000,00300,0201,99916 423946,S200000,00300,0300,R 423946,S200000,00400,0100,CAREAGE HILLS 423946,S200000,00400,0200,165428 423946,S200000,00400,0300,09/01/01 423946,S200000,00400,0500,P 423946,S200000,01500,0100,Y 423946,S200000,01501,0200,N 423946,S200000,01502,0200,N 423946,S200000,01503,0200,N 423946,S200000,01504,0200,N 423946,S200000,01600,0100,N 423946,S200000,01700,0100,N 423946,S200000,01800,0100,N 423946,S200000,01900,0100,LLC 423946,S200000,02200,0100,N 423946,S200000,02800,0100,Y 423946,S200000,02900,0100,N 423946,S200000,03000,0100,N 423946,S200000,03100,0100,N 423946,S200000,03200,0100,N 423946,S200000,03300,0100,N 423946,S200000,03300,0200,N 423946,S200000,04100,0100,N 423946,S200000,04200,0100,N 423946,S200000,04300,0100,N 423946,S200000,04600,0100,N 423946,S200000,04700,0100,N 423946,S200000,04700,0200,N 423946,S200000,04900,0100,N 423946,S200000,05000,0100,N 423946,S200000,05100,0100,N 423946,S200000,05200,0100,N 423946,S200000,05300,0100,N 424008,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424008,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 424008,A000000,00300,0000,0300EMPLOYEE BENEFITS 424008,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424008,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424008,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424008,A000000,00700,0000,0700HOUSEKEEPING 424008,A000000,00800,0000,0800DIETARY 424008,A000000,00900,0000,0900NURSING ADMINISTRATION 424008,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424008,A000000,01100,0000,1100PHARMACY 424008,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424008,A000000,01300,0000,1300SOCIAL SERVICE 424008,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 424008,A000000,01500,0000,1350RECREATION 424008,A000000,01600,0000,1600SKILLED NURSING FACILITY 424008,A000000,01810,0000,1810ICF/MR 424008,A000000,02100,0000,2100RADIOLOGY 424008,A000000,02200,0000,2200LABORATORY 424008,A000000,02300,0000,2300INTRAVENOUS THERAPY 424008,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424008,A000000,02500,0000,2500PHYSICAL THERAPY 424008,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424008,A000000,02700,0000,2700SPEECH PATHOLOGY 424008,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424008,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424008,A000000,03550,0000,3550FQHC 424008,A000000,04801,0000,4801AMBULANCE 424008,A000000,04802,0000,4802AMBULANCE 424008,A000000,04803,0000,4803AMBULANCE 424008,A000000,05000,0000,5000CORF 424008,A000000,05010,0000,5010CMHC 424008,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 424008,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424008,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424008,A81000A,00100,0100,Y 424008,A81000B,00100,0300,SEE ATTACHED 424008,A81000B,00200,0300,HOME OFFICE ADMIN 424008,A81000B,00300,0300,HOME OFFICE CAPITAL 424008,A81000C,00100,0100,B 424008,A81000C,00100,0400,SEE ATTACHED 424008,A81000C,00100,0600,VARIOUS 424008,A81000C,00200,0100,B 424008,A81000C,00200,0400,GHC 424008,A81000C,00200,0600,LONG TERM CARE 424008,A81000C,00300,0100,B 424008,A81000C,00300,0400,GHC 424008,A81000C,00300,0600,LONG TERM CARE 424008,B100000,00000,0100,0100SQUARE FEET 424008,B100000,00000,0200,0200SQUARE FEET 424008,B100000,00000,0300,0300GROSS SALARIES 424008,B100000,00000,0400,0400ACCUM COST 424008,B100000,00000,0500,0500SQUARE FEET 424008,B100000,00000,0600,0600PATIENT DAYS 424008,B100000,00000,0700,0700SQUARE FEET 424008,B100000,00000,0800,0800MEALS SERVED 424008,B100000,00000,0900,0900NURSING SALARIES 424008,B100000,00000,1000,1000COSTED REQUIS 424008,B100000,00000,1100,1100COSTED REQUIS 424008,B100000,00000,1200,1200PATIENT DAYS 424008,B100000,00000,1300,1300PATIENT DAYS 424008,B100000,00000,1400,1400ASSIGNED TIME 424008,B100000,00000,1500,1350PATIENT DAYS 424008,S000000,00100,0200,12/02/11 424008,S200000,00100,0100,3000 BALFOUR CIRCLE 424008,S200000,00200,0100,PHOENIXVILLE 424008,S200000,00200,0200,PA 424008,S200000,00200,0300,19460 424008,S200000,00300,0100,MONTGOMERY 424008,S200000,00300,0201,37964 424008,S200000,00300,0300,U 424008,S200000,00400,0100,GENESIS HEALTHCARE @ SPRING MILL 424008,S200000,00400,0200,396126 424008,S200000,00400,0300,12/09/09 424008,S200000,00400,0500,P 424008,S200000,01500,0100,Y 424008,S200000,01501,0200,N 424008,S200000,01502,0200,N 424008,S200000,01503,0200,N 424008,S200000,01504,0200,Y 424008,S200000,01600,0100,N 424008,S200000,01700,0100,N 424008,S200000,01800,0100,N 424008,S200000,01900,0100,LLC 424008,S200000,02200,0100,Y 424008,S200000,02800,0100,N 424008,S200000,02900,0100,N 424008,S200000,03000,0100,N 424008,S200000,03100,0100,N 424008,S200000,03200,0100,N 424008,S200000,03300,0100,N 424008,S200000,03300,0200,N 424008,S200000,04200,0100,N 424008,S200000,04300,0100,N 424008,S200000,04600,0100,N 424008,S200000,04700,0100,N 424008,S200000,04900,0100,N 424008,S200000,05200,0100,N 424008,S200000,05300,0100,Y 424008,S200000,05300,0200,HB0067 424008,S200000,05400,0100,GENESIS HEALTHCARE LLC 424008,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 424008,S200000,05400,0300,12001 424008,S200000,05500,0100,101 EAST STATE STREET 424008,S200000,05600,0100,KENNETT SQUARE 424008,S200000,05600,0200,PA 424008,S200000,05600,0300,19348 424079,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424079,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 424079,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 424079,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 424079,A000000,00300,0000,0300EMPLOYEE BENEFITS 424079,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424079,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424079,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424079,A000000,00700,0000,0700HOUSEKEEPING 424079,A000000,00800,0000,0800DIETARY 424079,A000000,00801,0000,0801CAFETERIA 424079,A000000,00900,0000,0900NURSING ADMINISTRATION 424079,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424079,A000000,01100,0000,1100PHARMACY 424079,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424079,A000000,01300,0000,1300SOCIAL SERVICE 424079,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 424079,A000000,01500,0000,1350ACTIVITIES 424079,A000000,01600,0000,1600SKILLED NURSING FACILITY 424079,A000000,01810,0000,1810ICF/MR 424079,A000000,02100,0000,2100RADIOLOGY 424079,A000000,02200,0000,2200LABORATORY 424079,A000000,02500,0000,2500PHYSICAL THERAPY 424079,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424079,A000000,02700,0000,2700SPEECH PATHOLOGY 424079,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424079,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424079,A000000,03300,0000,3050ENTERALS 424079,A000000,03301,0000,3051OXYGEN 424079,A000000,03302,0000,3052OTHER ANCILLARY III 424079,A000000,03550,0000,3550FQHC 424079,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 424079,A000000,04710,0000,4710TELEMEDICINE 424079,A000000,04801,0000,4801AMBULANCE 424079,A000000,04802,0000,4802AMBULANCE 424079,A000000,04803,0000,4803AMBULANCE 424079,A000000,05000,0000,5000CORF I 424079,A000000,05001,0000,5001CMHC I 424079,A000000,05010,0000,5010CMHC 424079,A000000,05020,0000,5020OPT I 424079,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424079,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424079,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424079,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 424079,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 424079,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 424079,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424079,A81000A,00100,0100,Y 424079,A81000B,00100,0300,RENT 424079,A81000B,00200,0300,INTEREST 424079,A81000B,00300,0300,DEPRECIATION 424079,A81000B,00400,0300,VAN LEASE 424079,A81000B,00500,0300,ADMIN FEES 424079,A81000B,00600,0300,NURSE CONSULT 424079,A81000B,00700,0300,THERAPY SERV 424079,A81000B,00800,0300,THERAPY SERV 424079,A81000B,00900,0300,THERAPY SERV 424079,A81000C,00100,0100,A 424079,A81000C,00100,0200,ROSS PONTHIE 424079,A81000C,00100,0400,SEARCY ASSETS 424079,A81000C,00100,0600,REAL ESTATE OWNER 424079,A81000C,00200,0100,A 424079,A81000C,00200,0200,JOHN PONTHIE 424079,A81000C,00200,0400,SEARCY ASSETS 424079,A81000C,00200,0600,REAL ESTATE OWNER 424079,A81000C,00300,0100,A 424079,A81000C,00300,0200,MARK THOMPSON 424079,A81000C,00300,0400,SEARCY ASSETS 424079,A81000C,00300,0600,REAL ESTATE OWNER 424079,A81000C,00400,0100,A 424079,A81000C,00400,0200,PONTHIE ET AL 424079,A81000C,00400,0400,SUMMIT HEALTH 424079,A81000C,00400,0600,ADMINISTRATIVE SERVICES 424079,A81000C,00500,0100,A 424079,A81000C,00500,0200,PONTHIE ET AL 424079,A81000C,00500,0400,PROF NURSING 424079,A81000C,00500,0600,NURSE CONSULTING 424079,A81000C,00600,0100,A 424079,A81000C,00600,0200,ROSS PONTHIE 424079,A81000C,00600,0400,PROCARE THERAPY 424079,A81000C,00600,0600,THERAPY SERV 424079,A81000C,00700,0100,A 424079,A81000C,00700,0200,JOHN PONTHIE 424079,A81000C,00700,0400,PROCARE THERAPY 424079,A81000C,00700,0600,THERAPY SERV 424079,A81000C,00800,0100,A 424079,A81000C,00800,0200,MARK THOMPSON 424079,A81000C,00800,0400,PROCARE THERAPY 424079,A81000C,00800,0600,THERAPY SERV 424079,B100000,00000,0100,0100SQUARE FEET 424079,B100000,00000,0101,0101SQUARE FEET 424079,B100000,00000,0200,0200DOLLAR VALUE 424079,B100000,00000,0201,0201SQUARE FEET 424079,B100000,00000,0300,0300GROSS SALARIES 424079,B100000,00000,0400,0400ACCUM. COST 424079,B100000,00000,0500,0500SQUARE FEET 424079,B100000,00000,0600,0600PATIENT DAYS 424079,B100000,00000,0700,0700SQUARE FEET 424079,B100000,00000,0800,0800MEALS SERVED 424079,B100000,00000,0801,0801MEALS SERVED 424079,B100000,00000,0900,0900PATIENT DAYS 424079,B100000,00000,1000,1000PATIENT DAYS 424079,B100000,00000,1100,1100PATIENT DAYS 424079,B100000,00000,1200,1200PATIENT DAYS 424079,B100000,00000,1300,1300PATIENT DAYS 424079,B100000,00000,1400,1400ASSIGNED TIME 424079,B100000,00000,1500,1350PATIENT DAYS 424079,G300000,02500,0000,MISC-VENDING MACHINE-TIMELY PYMT 424079,S000000,00100,0200,12/29/11 424079,S200000,00100,0100,945 HWY 65 NORTH 424079,S200000,00100,0300,541 424079,S200000,00200,0100,MARSHALL 424079,S200000,00200,0200,AR 424079,S200000,00200,0300,72650 424079,S200000,00300,0100,SEARCY 424079,S200000,00300,0201,99904 424079,S200000,00300,0300,R 424079,S200000,00400,0100,HIGHLAND COURT LLC 424079,S200000,00400,0200,045353 424079,S200000,00400,0300,07/14/99 424079,S200000,00400,0500,P 424079,S200000,01500,0100,Y 424079,S200000,01501,0200,Y 424079,S200000,01502,0200,Y 424079,S200000,01503,0200,Y 424079,S200000,01504,0200,Y 424079,S200000,01505,0000,OTHER (SPECIFY) 424079,S200000,01600,0100,N 424079,S200000,01700,0100,N 424079,S200000,01800,0100,N 424079,S200000,02200,0100,N 424079,S200000,02800,0100,N 424079,S200000,02900,0100,Y 424079,S200000,03000,0100,Y 424079,S200000,03100,0100,N 424079,S200000,03200,0100,N 424079,S200000,03300,0100,N 424079,S200000,03300,0200,N 424079,S200000,04200,0100,N 424079,S200000,04300,0100,N 424079,S200000,04600,0100,N 424079,S200000,04700,0100,N 424079,S200000,04900,0100,N 424079,S200000,05200,0100,N 424079,S200000,05300,0100,N 424080,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424080,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 424080,A000000,00300,0000,0300EMPLOYEE BENEFITS 424080,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424080,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424080,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424080,A000000,00700,0000,0700HOUSEKEEPING 424080,A000000,00800,0000,0800DIETARY 424080,A000000,00900,0000,0900NURSING ADMINISTRATION 424080,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424080,A000000,01100,0000,1100PHARMACY 424080,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424080,A000000,01300,0000,1300SOCIAL SERVICE 424080,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 424080,A000000,01500,0000,1350OTHER GENERAL SERVICES 424080,A000000,01600,0000,1600SKILLED NURSING FACILITY 424080,A000000,01810,0000,1810ICF/MR 424080,A000000,02100,0000,2100RADIOLOGY 424080,A000000,02200,0000,2200LABORATORY 424080,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424080,A000000,02500,0000,2500PHYSICAL THERAPY 424080,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424080,A000000,02700,0000,2700SPEECH PATHOLOGY 424080,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424080,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424080,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424080,A000000,03550,0000,3550FQHC 424080,A000000,04801,0000,4801AMBULANCE 424080,A000000,04802,0000,4802AMBULANCE 424080,A000000,04803,0000,4803AMBULANCE 424080,A000000,05000,0000,5000CORF 424080,A000000,05010,0000,5010CMHC 424080,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 424080,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424080,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424080,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424080,A000000,05300,0000,5300INTEREST EXPENSE 424080,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424080,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424080,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424080,A81000A,00100,0100,Y 424080,A81000B,00100,0300,MANAGEMENT FEES 424080,A81000C,00100,0100,A 424080,A81000C,00100,0200,JERRY RHOADS 424080,A81000C,00100,0400,CAREGIVER MANAGEMENT SYS. 424080,A81000C,00100,0600,NURSING HOME MGMT/CONSULT 424080,A81000C,00200,0100,A 424080,A81000C,00200,0200,SHARON RHOADS 424080,A81000C,00200,0400,CAREGIVER MAMAGEMENT SYS. 424080,A81000C,00200,0600,NURSING HOME MGMT/CONSULT 424080,A81000C,00300,0100,A 424080,A81000C,00300,0200,KIP RHOADS 424080,A81000C,00300,0400,CAREGIVER MANAGEMENT SYS. 424080,A81000C,00300,0600,NURSING HOME MGMT/CONSULT 424080,B100000,00000,0100,0100SQUARE FEET 424080,B100000,00000,0200,0200SQUARE FEET 424080,B100000,00000,0300,0300GROSS SALARIES 424080,B100000,00000,0400,0400ACCUM COST 424080,B100000,00000,0500,0500SQUARE FEET 424080,B100000,00000,0600,0600PATIENT DAYS 424080,B100000,00000,0700,0700SQUARE FEET 424080,B100000,00000,0800,0800MEALS SERVED 424080,B100000,00000,0900,0900DIRECT NRSING HRS 424080,B100000,00000,1000,1000PATIENT DAYS 424080,B100000,00000,1100,1100PATIENT DAYS 424080,B100000,00000,1200,1200PATIENT DAYS 424080,B100000,00000,1300,1300PATIENT DAYS 424080,B100000,00000,1400,1400ASSIGNED TIME 424080,B100000,00000,1500,1350 424080,S000000,00100,0200,12/29/11 424080,S200000,00100,0100,2600 BARROW ROAD 424080,S200000,00200,0100,LITTLE ROCK 424080,S200000,00200,0200,AR 424080,S200000,00200,0300,72204 424080,S200000,00300,0100,PULASKI 424080,S200000,00300,0201,30780 424080,S200000,00300,0300,U 424080,S200000,00400,0100,ALL-AMERICAN CARE OF LITTLE ROCK 424080,S200000,00400,0200,045432 424080,S200000,00400,0300,07/25/10 424080,S200000,00400,0500,P 424080,S200000,01500,0100,Y 424080,S200000,01501,0200,Y 424080,S200000,01502,0200,Y 424080,S200000,01503,0200,Y 424080,S200000,01600,0100,N 424080,S200000,01700,0100,N 424080,S200000,01800,0100,N 424080,S200000,02200,0100,N 424080,S200000,02800,0100,N 424080,S200000,02900,0100,N 424080,S200000,03000,0100,N 424080,S200000,03100,0100,N 424080,S200000,03200,0100,N 424080,S200000,03300,0100,N 424080,S200000,03300,0200,N 424080,S200000,04200,0100,N 424080,S200000,04300,0100,N 424080,S200000,04600,0100,N 424080,S200000,04700,0100,N 424080,S200000,04900,0100,N 424080,S200000,05200,0100,N 424087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424087,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424087,A000000,00300,0000,0300EMPLOYEE BENEFITS 424087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424087,A000000,00700,0000,0700HOUSEKEEPING 424087,A000000,00800,0000,0800DIETARY 424087,A000000,00900,0000,0900NURSING ADMINISTRATION 424087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424087,A000000,01100,0000,1100PHARMACY 424087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424087,A000000,01300,0000,1300SOCIAL SERVICE 424087,A000000,01301,0000,1301PATIENT ACTIVITIES 424087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424087,A000000,01500,0000,1350OTHER GENERAL SERVICES 424087,A000000,01600,0000,1600SKILLED NURSING FACILITY 424087,A000000,01800,0000,1800NURSING FACILITY 424087,A000000,01810,0000,1810ICF/MR 424087,A000000,01900,0000,1900OTHER LONG TERM CARE 424087,A000000,02100,0000,2100RADIOLOGY 424087,A000000,02200,0000,2200LABORATORY 424087,A000000,02300,0000,2300INTRAVENOUS THERAPY 424087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424087,A000000,02500,0000,2500PHYSICAL THERAPY 424087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424087,A000000,02700,0000,2700SPEECH PATHOLOGY 424087,A000000,02800,0000,2800ELECTROCARDIOLOGY 424087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424087,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424087,A000000,03200,0000,3200SUPPORT SURFACES 424087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424087,A000000,03400,0000,3400CLINIC 424087,A000000,03500,0000,3500RURAL HEALTH CLINIC 424087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424087,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424087,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424087,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424087,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424087,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424087,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424087,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424087,A000000,04400,0000,4400DME RENTED - HHA 424087,A000000,04500,0000,4500DME SOLD - HHA 424087,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424087,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424087,A000000,04710,0000,4710TELEMEDICINE 424087,A000000,04800,0000,4800AMBULANCE 424087,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424087,A000000,05000,0000,5000CORF 424087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424087,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424087,A000000,05300,0000,5300INTEREST EXPENSE 424087,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424087,A000000,05500,0000,5500HOSPICE 424087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424087,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424087,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424087,A000000,06100,0000,6100NONPAID WORKERS 424087,A000000,06200,0000,6200PATIENTS LAUNDRY 424087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424087,A81000A,00100,0100,Y 424087,A81000B,00100,0300,SKILLED NURSING FACILITY 424087,A81000C,00100,0100,B 424087,A81000C,00100,0400,ROUSSEAU ENITERPRISES IN 424087,A81000C,00100,0600,OWNS/OPERATES/ NSG FAC 424087,A81000C,00200,0100,A 424087,A81000C,00200,0200,RICHARD ROUSSEAU 424087,A81000C,00200,0400,ASSISTED HOME CARE II 424087,A81000C,00200,0600,STAFF RELIEF 424087,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424087,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424087,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424087,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424087,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424087,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424087,B100000,00000,0700,0750SQ FT EXL LAUND:HOUSEKEEPING 424087,B100000,00000,0800,0800MEALS SERVED :DIETARY 424087,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424087,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 424087,B100000,00000,1300,1330PT DAYS :SOCIAL SERVICE 424087,B100000,00000,1301,1331PT DAYS :PATIENT ACTIVITIES 424087,S000000,00100,0200,12/02/11 424087,S200000,00100,0100,29 ELM STREET 424087,S200000,00200,0100,TOPSHAM 424087,S200000,00200,0200,ME 424087,S200000,00200,0300,04086 424087,S200000,00300,0100,SAGADAHOC 424087,S200000,00300,0200,6403 424087,S200000,00300,0201,38860 424087,S200000,00300,0300,U 424087,S200000,00400,0100,AMENITY MANOR 424087,S200000,00400,0200,205085 424087,S200000,00400,0300,01/01/94 424087,S200000,00400,0500,P 424087,S200000,01500,0100,Y 424087,S200000,01501,0200,Y 424087,S200000,01600,0100,N 424087,S200000,01700,0100,N 424087,S200000,01800,0100,N 424087,S200000,02200,0100,N 424087,S200000,02800,0100,N 424087,S200000,02900,0100,N 424087,S200000,03000,0100,N 424087,S200000,03100,0100,N 424087,S200000,03200,0100,N 424087,S200000,03300,0100,N 424087,S200000,03300,0200,N 424087,S200000,04100,0100,N 424087,S200000,04200,0100,N 424087,S200000,04300,0100,N 424087,S200000,04600,0100,N 424087,S200000,04700,0100,N 424087,S200000,04700,0200,N 424087,S200000,04900,0100,N 424087,S200000,05000,0100,N 424087,S200000,05100,0100,N 424087,S200000,05200,0100,N 424093,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424093,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424093,A000000,00300,0000,0300EMPLOYEE BENEFITS 424093,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424093,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424093,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424093,A000000,00700,0000,0700HOUSEKEEPING 424093,A000000,00800,0000,0800DIETARY 424093,A000000,00900,0000,0900NURSING ADMINISTRATION 424093,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424093,A000000,01100,0000,1100PHARMACY 424093,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424093,A000000,01300,0000,1300SOCIAL SERVICE 424093,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424093,A000000,01500,0000,1350OTHER GENERAL SERVICES 424093,A000000,01600,0000,1600SKILLED NURSING FACILITY 424093,A000000,01800,0000,1800NURSING FACILITY 424093,A000000,01810,0000,1810ICF/MR 424093,A000000,01900,0000,1900OTHER LONG TERM CARE 424093,A000000,02100,0000,2100RADIOLOGY 424093,A000000,02200,0000,2200LABORATORY 424093,A000000,02300,0000,2300INTRAVENOUS THERAPY 424093,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424093,A000000,02500,0000,2500PHYSICAL THERAPY 424093,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424093,A000000,02700,0000,2700SPEECH PATHOLOGY 424093,A000000,02800,0000,2800ELECTROCARDIOLOGY 424093,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424093,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424093,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424093,A000000,03200,0000,3200SUPPORT SURFACES 424093,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424093,A000000,03400,0000,3400CLINIC 424093,A000000,03500,0000,3500RURAL HEALTH CLINIC 424093,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424093,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424093,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424093,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424093,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424093,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424093,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424093,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424093,A000000,04400,0000,4400DME RENTED - HHA 424093,A000000,04500,0000,4500DME SOLD - HHA 424093,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424093,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424093,A000000,04710,0000,4710TELEMEDICINE 424093,A000000,04800,0000,4800AMBULANCE 424093,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424093,A000000,05000,0000,5000CORF 424093,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424093,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424093,A000000,05300,0000,5300INTEREST EXPENSE 424093,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424093,A000000,05500,0000,5500HOSPICE 424093,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424093,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424093,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424093,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424093,A000000,06100,0000,6100NONPAID WORKERS 424093,A000000,06200,0000,6200PATIENTS LAUNDRY 424093,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424093,A81000A,00100,0100,Y 424093,A81000B,00100,0300,FINANCE FEE - CI 424093,A81000C,00100,0100,A 424093,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424093,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424093,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424093,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424093,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424093,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424093,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424093,B100000,00000,0800,0800MEALS SERVED :DIETARY 424093,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424093,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424093,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424093,S000000,00100,0200,11/21/11 424093,S200000,00100,0100,4 ST. JOSEPH STREET 424093,S200000,00200,0100,WOONSOCKET 424093,S200000,00200,0200,RI 424093,S200000,00200,0300,02895 424093,S200000,00300,0100,PROVIDENCE 424093,S200000,00300,0200,6483 424093,S200000,00300,0300,U 424093,S200000,00400,0100,MT. ST. FRANCIS ASSOCIATES 424093,S200000,00400,0200,415079 424093,S200000,00400,0300,03/20/85 424093,S200000,00400,0500,P 424093,S200000,01500,0100,Y 424093,S200000,01501,0200,Y 424093,S200000,01600,0100,N 424093,S200000,01700,0100,N 424093,S200000,01800,0100,N 424093,S200000,02200,0100,N 424093,S200000,02800,0100,N 424093,S200000,02900,0100,N 424093,S200000,03000,0100,N 424093,S200000,03100,0100,N 424093,S200000,03200,0100,N 424093,S200000,03300,0100,N 424093,S200000,03300,0200,N 424093,S200000,04100,0100,N 424093,S200000,04200,0100,N 424093,S200000,04300,0100,N 424093,S200000,04600,0100,N 424093,S200000,04700,0100,N 424093,S200000,04700,0200,N 424093,S200000,04900,0100,N 424093,S200000,05000,0100,N 424093,S200000,05100,0100,N 424093,S200000,05200,0100,N 424168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424168,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424168,A000000,00300,0000,0300EMPLOYEE BENEFITS 424168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424168,A000000,00700,0000,0700HOUSEKEEPING 424168,A000000,00800,0000,0800DIETARY 424168,A000000,00900,0000,0900NURSING ADMINISTRATION 424168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424168,A000000,01100,0000,1100PHARMACY 424168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424168,A000000,01300,0000,1300SOCIAL SERVICE 424168,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424168,A000000,01500,0000,1350OTHER GENERAL SERVICES 424168,A000000,01600,0000,1600SKILLED NURSING FACILITY 424168,A000000,01800,0000,1800NURSING FACILITY 424168,A000000,01810,0000,1810ICF/MR 424168,A000000,01900,0000,1900OTHER LONG TERM CARE 424168,A000000,02100,0000,2100RADIOLOGY 424168,A000000,02200,0000,2200LABORATORY 424168,A000000,02300,0000,2300INTRAVENOUS THERAPY 424168,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424168,A000000,02500,0000,2500PHYSICAL THERAPY 424168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424168,A000000,02700,0000,2700SPEECH PATHOLOGY 424168,A000000,02800,0000,2800ELECTROCARDIOLOGY 424168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424168,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424168,A000000,03200,0000,3200SUPPORT SURFACES 424168,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424168,A000000,03400,0000,3400CLINIC 424168,A000000,03500,0000,3500RURAL HEALTH CLINIC 424168,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424168,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424168,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424168,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424168,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424168,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424168,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424168,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424168,A000000,04400,0000,4400DME RENTED - HHA 424168,A000000,04500,0000,4500DME SOLD - HHA 424168,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424168,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424168,A000000,04710,0000,4710TELEMEDICINE 424168,A000000,04800,0000,4800AMBULANCE 424168,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424168,A000000,05000,0000,5000CORF 424168,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424168,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424168,A000000,05300,0000,5300INTEREST EXPENSE 424168,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424168,A000000,05500,0000,5500HOSPICE 424168,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424168,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424168,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424168,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424168,A000000,06100,0000,6100NONPAID WORKERS 424168,A000000,06200,0000,6200PATIENTS LAUNDRY 424168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424168,A81000A,00100,0100,Y 424168,A81000B,00100,0300,BUILDING RENT 424168,A81000C,00100,0100,A 424168,A81000C,00100,0200,CVIA & ROBERT BOUSKILL 424168,A81000C,00100,0400,LAWNDALE HEALTHCARE ENTER 424168,A81000C,00100,0600,REAL ESTATE - LESSOR 424168,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424168,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424168,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424168,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424168,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424168,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424168,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 424168,B100000,00000,0800,0800MEALS SERVED :DIETARY 424168,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424168,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424168,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424168,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 424168,S000000,00100,0200,12/12/11 424168,S200000,00100,0100,15100 SOUTH PRARIE AVE 424168,S200000,00200,0100,LAWNDALE 424168,S200000,00200,0200,CA 424168,S200000,00200,0300,90260 424168,S200000,00300,0100,LOS ANGELES 424168,S200000,00300,0200,4480 424168,S200000,00300,0300,U 424168,S200000,00400,0100,LAWNDALE CARE CENTER 424168,S200000,00400,0200,555816 424168,S200000,00400,0300,01/01/05 424168,S200000,00400,0500,P 424168,S200000,00400,0600,O 424168,S200000,01500,0100,N 424168,S200000,01501,0200,N 424168,S200000,01600,0100,Y 424168,S200000,01700,0100,N 424168,S200000,01800,0100,N 424168,S200000,02200,0100,N 424168,S200000,02800,0100,N 424168,S200000,02900,0100,N 424168,S200000,03000,0100,N 424168,S200000,03100,0100,N 424168,S200000,03200,0100,N 424168,S200000,03300,0100,N 424168,S200000,03300,0200,N 424168,S200000,04100,0100,N 424168,S200000,04200,0100,N 424168,S200000,04300,0100,N 424168,S200000,04600,0100,N 424168,S200000,04700,0100,N 424168,S200000,04700,0200,N 424168,S200000,04900,0100,N 424168,S200000,05000,0100,N 424168,S200000,05100,0100,N 424168,S200000,05200,0100,N 424168,S200000,05300,0100,N 424170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424170,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424170,A000000,00300,0000,0300EMPLOYEE BENEFITS 424170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424170,A000000,00700,0000,0700HOUSEKEEPING 424170,A000000,00800,0000,0800DIETARY 424170,A000000,00900,0000,0900NURSING ADMINISTRATION 424170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424170,A000000,01100,0000,1100PHARMACY 424170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424170,A000000,01300,0000,1300SOCIAL SERVICE 424170,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424170,A000000,01500,0000,1350ACTIVITIES 424170,A000000,01600,0000,1600SKILLED NURSING FACILITY 424170,A000000,01800,0000,1800NURSING FACILITY 424170,A000000,01810,0000,1810ICF/MR 424170,A000000,01900,0000,1900OTHER LONG TERM CARE 424170,A000000,02100,0000,2100RADIOLOGY 424170,A000000,02200,0000,2200LABORATORY 424170,A000000,02300,0000,2300INTRAVENOUS THERAPY 424170,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424170,A000000,02500,0000,2500PHYSICAL THERAPY 424170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424170,A000000,02700,0000,2700SPEECH PATHOLOGY 424170,A000000,02800,0000,2800ELECTROCARDIOLOGY 424170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424170,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424170,A000000,03200,0000,3200SUPPORT SURFACES 424170,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424170,A000000,03400,0000,3400CLINIC 424170,A000000,03500,0000,3500RURAL HEALTH CLINIC 424170,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424170,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424170,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424170,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424170,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424170,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424170,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424170,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424170,A000000,04400,0000,4400DME RENTED - HHA 424170,A000000,04500,0000,4500DME SOLD - HHA 424170,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424170,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424170,A000000,04710,0000,4710TELEMEDICINE 424170,A000000,04800,0000,4800AMBULANCE 424170,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424170,A000000,05000,0000,5000CORF 424170,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424170,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424170,A000000,05300,0000,5300INTEREST EXPENSE 424170,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424170,A000000,05500,0000,5500HOSPICE 424170,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424170,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424170,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424170,A000000,06100,0000,6100NONPAID WORKERS 424170,A000000,06200,0000,6200PATIENTS LAUNDRY 424170,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424170,A81000A,00100,0100,N 424170,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424170,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424170,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424170,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424170,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424170,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424170,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 424170,B100000,00000,0800,0800MEALS SERVED :DIETARY 424170,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424170,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424170,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424170,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 424170,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 424170,S000000,00100,0200,12/02/11 424170,S200000,00100,0100,6812 N OAK AVENUE 424170,S200000,00200,0100,SAN GABRIEL 424170,S200000,00200,0200,CA 424170,S200000,00200,0300,91775 424170,S200000,00300,0100,LOS ANGELES 424170,S200000,00300,0200,4480 424170,S200000,00300,0201,31084 424170,S200000,00300,0300,U 424170,S200000,00400,0100,SAN MARINO CONVALESCENT CENTER 424170,S200000,00400,0200,555825 424170,S200000,00400,0300,12/17/03 424170,S200000,00400,0500,P 424170,S200000,01500,0100,Y 424170,S200000,01600,0100,N 424170,S200000,01700,0100,N 424170,S200000,01800,0100,N 424170,S200000,02200,0100,N 424170,S200000,02800,0100,N 424170,S200000,02900,0100,N 424170,S200000,03000,0100,N 424170,S200000,03100,0100,N 424170,S200000,03200,0100,N 424170,S200000,03300,0100,N 424170,S200000,03300,0200,N 424170,S200000,04100,0100,N 424170,S200000,04200,0100,N 424170,S200000,04300,0100,N 424170,S200000,04600,0100,N 424170,S200000,04700,0100,N 424170,S200000,04700,0200,N 424170,S200000,04900,0100,N 424170,S200000,05000,0100,N 424170,S200000,05100,0100,N 424170,S200000,05200,0100,N 424180,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424180,A000000,00300,0000,0300EMPLOYEE BENEFITS 424180,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424180,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424180,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424180,A000000,00700,0000,0700HOUSEKEEPING 424180,A000000,00800,0000,0800DIETARY 424180,A000000,00900,0000,0900NURSING ADMINISTRATION 424180,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424180,A000000,01300,0000,1300SOCIAL SERVICE 424180,A000000,01600,0000,1600SKILLED NURSING FACILITY 424180,A000000,01800,0000,1800NURSING FACILITY 424180,A000000,01900,0000,1900OTHER LONG TERM CARE 424180,A000000,02100,0000,2100RADIOLOGY 424180,A000000,02200,0000,2200LABORATORY 424180,A000000,02300,0000,2300INTRAVENOUS THERAPY 424180,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424180,A000000,02500,0000,2500PHYSICAL THERAPY 424180,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424180,A000000,02700,0000,2700SPEECH PATHOLOGY 424180,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424180,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424180,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424180,A000000,03200,0000,3200SUPPORT SURFACES 424180,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 424180,A000000,04800,0000,4800AMBULANCE 424180,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424180,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424180,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424180,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 424180,A81000A,00100,0100,Y 424180,A81000B,00100,0300,MANAGEMENT FEES 424180,A81000B,00200,0300,ALLOWABLE MGMT FEES 424180,A81000C,00100,0100,B 424180,A81000C,00100,0400,THE EPISCOPAL H 424180,A81000C,00100,0600,HOME OFFICE 424180,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424180,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424180,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424180,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424180,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424180,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424180,B100000,00000,0800,0800MEALS SERVED :DIETARY 424180,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 424180,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 424180,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424180,G300000,02500,0000, OTHER (SPECIFY) 424180,S000000,00100,0200,12/27/11 424180,S200000,00100,0100,1428 SOUTH MARENGO AVENUE 424180,S200000,00200,0100,ALHAMBRA 424180,S200000,00200,0200,CA 424180,S200000,00200,0300,91803 424180,S200000,00300,0100,LOS ANGELES 424180,S200000,00300,0201,31084 424180,S200000,00300,0300,U 424180,S200000,00400,0100,CUMMINGS CARE CTR AT SCRIPPS KENSING 424180,S200000,00400,0200,055203 424180,S200000,00400,0300,07/01/95 424180,S200000,00400,0500,P 424180,S200000,01500,0100,Y 424180,S200000,01600,0100,N 424180,S200000,01700,0100,N 424180,S200000,01800,0100,N 424180,S200000,02200,0100,N 424180,S200000,02800,0100,N 424180,S200000,02900,0100,N 424180,S200000,03000,0100,N 424180,S200000,03100,0100,N 424180,S200000,03200,0100,N 424180,S200000,03300,0100,N 424180,S200000,03300,0200,N 424180,S200000,04100,0100,N 424180,S200000,04200,0100,N 424180,S200000,04300,0100,N 424180,S200000,04600,0100,N 424180,S200000,04700,0100,N 424180,S200000,04700,0200,N 424180,S200000,04900,0100,N 424180,S200000,05000,0100,N 424180,S200000,05100,0100,N 424180,S200000,05200,0100,N 424180,S200000,05300,0100,Y 424180,S200000,05300,0200,559038 424180,S200000,05400,0100,THE EPISCOPAL HOME COMMUNITIES 424180,S200000,05400,0200,PALMETTO 424180,S200000,05400,0300,01001 424180,S200000,05500,0100,1111 S. ARROYO PARKWAY 424180,S200000,05600,0100,PASADENA 424180,S200000,05600,0200,CA 424180,S200000,05600,0300,91105 424182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424182,A000000,00300,0000,0300EMPLOYEE BENEFITS 424182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424182,A000000,00700,0000,0700HOUSEKEEPING 424182,A000000,00800,0000,0800DIETARY 424182,A000000,00900,0000,0900NURSING ADMINISTRATION 424182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424182,A000000,01100,0000,1100PHARMACY 424182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424182,A000000,01300,0000,1300SOCIAL SERVICE 424182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424182,A000000,01500,0000,1350OTHER GENERAL SERVICES 424182,A000000,01600,0000,1600SKILLED NURSING FACILITY 424182,A000000,01800,0000,1800NURSING FACILITY 424182,A000000,01810,0000,1810ICF/MR 424182,A000000,01900,0000,1900OTHER LONG TERM CARE 424182,A000000,02100,0000,2100RADIOLOGY 424182,A000000,02200,0000,2200LABORATORY 424182,A000000,02300,0000,2300INTRAVENOUS THERAPY 424182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424182,A000000,02500,0000,2500PHYSICAL THERAPY 424182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424182,A000000,02700,0000,2700SPEECH PATHOLOGY 424182,A000000,02800,0000,2800ELECTROCARDIOLOGY 424182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424182,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424182,A000000,03200,0000,3200SUPPORT SURFACES 424182,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424182,A000000,03400,0000,3400CLINIC 424182,A000000,03500,0000,3500RURAL HEALTH CLINIC 424182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424182,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424182,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424182,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424182,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424182,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424182,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424182,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424182,A000000,04400,0000,4400DME RENTED - HHA 424182,A000000,04500,0000,4500DME SOLD - HHA 424182,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424182,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424182,A000000,04710,0000,4710TELEMEDICINE 424182,A000000,04800,0000,4800AMBULANCE 424182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424182,A000000,05000,0000,5000CORF 424182,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424182,A000000,05300,0000,5300INTEREST EXPENSE 424182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424182,A000000,05500,0000,5500HOSPICE 424182,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424182,A000000,06100,0000,6100NONPAID WORKERS 424182,A000000,06200,0000,6200PATIENTS LAUNDRY 424182,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424182,A81000A,00100,0100,Y 424182,A81000B,00100,0300,RENT 424182,A81000C,00100,0100,G 424182,A81000C,00100,0200,MILWOOD PROPERTY PARTNERS 424182,A81000C,00100,0600,FACILITY LESSORS 424182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424182,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424182,B100000,00000,0800,0800MEALS SERVED :DIETARY 424182,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424182,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 424182,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 424182,S000000,00100,0200,12/22/11 424182,S200000,00100,0100,2641 SOUTH C STREET 424182,S200000,00200,0100,OXNARD 424182,S200000,00200,0200,CA 424182,S200000,00200,0300,93033 424182,S200000,00300,0100,VENTURA 424182,S200000,00300,0200,8735 424182,S200000,00300,0201,37100 424182,S200000,00300,0300,U 424182,S200000,00400,0100,MAYWOOD ACRES 424182,S200000,00400,0200,055597 424182,S200000,00400,0300,12/01/07 424182,S200000,00400,0500,P 424182,S200000,01500,0100,Y 424182,S200000,01501,0200,Y 424182,S200000,01600,0100,N 424182,S200000,01700,0100,N 424182,S200000,01800,0100,N 424182,S200000,02200,0100,N 424182,S200000,02800,0100,N 424182,S200000,02900,0100,N 424182,S200000,03000,0100,N 424182,S200000,03100,0100,N 424182,S200000,03200,0100,N 424182,S200000,03300,0100,N 424182,S200000,03300,0200,N 424182,S200000,04100,0100,N 424182,S200000,04200,0100,N 424182,S200000,04300,0100,N 424182,S200000,04600,0100,N 424182,S200000,04700,0100,N 424182,S200000,04700,0200,N 424182,S200000,04900,0100,N 424182,S200000,05000,0100,N 424182,S200000,05100,0100,N 424182,S200000,05200,0100,N 424182,S200000,05300,0100,N 424209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424209,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424209,A000000,00300,0000,0300EMPLOYEE BENEFITS 424209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424209,A000000,00700,0000,0700HOUSEKEEPING 424209,A000000,00800,0000,0800DIETARY 424209,A000000,00900,0000,0900NURSING ADMINISTRATION 424209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424209,A000000,01100,0000,1100PHARMACY 424209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424209,A000000,01300,0000,1300SOCIAL SERVICE 424209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424209,A000000,01500,0000,1350OTHER GENERAL SERVICES 424209,A000000,01600,0000,1600SKILLED NURSING FACILITY 424209,A000000,01800,0000,1800NURSING FACILITY 424209,A000000,01810,0000,1810ICF/MR 424209,A000000,01900,0000,1900OTHER LONG TERM CARE 424209,A000000,02100,0000,2100RADIOLOGY 424209,A000000,02200,0000,2200LABORATORY 424209,A000000,02300,0000,2300INTRAVENOUS THERAPY 424209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424209,A000000,02500,0000,2500PHYSICAL THERAPY 424209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424209,A000000,02700,0000,2700SPEECH PATHOLOGY 424209,A000000,02800,0000,2800ELECTROCARDIOLOGY 424209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424209,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424209,A000000,03200,0000,3200SUPPORT SURFACES 424209,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424209,A000000,03400,0000,3400CLINIC 424209,A000000,03500,0000,3500RURAL HEALTH CLINIC 424209,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424209,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424209,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424209,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424209,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424209,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424209,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424209,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424209,A000000,04400,0000,4400DME RENTED - HHA 424209,A000000,04500,0000,4500DME SOLD - HHA 424209,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424209,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424209,A000000,04710,0000,4710TELEMEDICINE 424209,A000000,04800,0000,4800AMBULANCE 424209,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424209,A000000,05000,0000,5000CORF 424209,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424209,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424209,A000000,05300,0000,5300INTEREST EXPENSE 424209,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424209,A000000,05500,0000,5500HOSPICE 424209,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424209,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424209,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424209,A000000,06100,0000,6100NONPAID WORKERS 424209,A000000,06200,0000,6200PATIENTS LAUNDRY 424209,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424209,A81000A,00100,0100,N 424209,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424209,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424209,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424209,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424209,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424209,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424209,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424209,B100000,00000,0800,0850PATIENT DAYS :DIETARY 424209,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424209,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424209,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424209,S000000,00100,0200,12/05/11 424209,S200000,00100,0100,280 ROWE STREET 424209,S200000,00100,0300,45 424209,S200000,00200,0100,WHEELER 424209,S200000,00200,0200,OR 424209,S200000,00200,0300,97147 424209,S200000,00300,0100,TILLAMOOK 424209,S200000,00300,0200,38 424209,S200000,00300,0201,99938 424209,S200000,00300,0300,R 424209,S200000,00400,0100,NEHALEM VALLEY CARE CENTER 424209,S200000,00400,0200,385244 424209,S200000,00400,0300,05/01/94 424209,S200000,00400,0500,P 424209,S200000,01500,0100,Y 424209,S200000,01501,0200,Y 424209,S200000,01502,0200,Y 424209,S200000,01600,0100,N 424209,S200000,01700,0100,N 424209,S200000,01800,0100,N 424209,S200000,02200,0100,N 424209,S200000,02800,0100,N 424209,S200000,02900,0100,N 424209,S200000,03000,0100,N 424209,S200000,03100,0100,N 424209,S200000,03200,0100,N 424209,S200000,03300,0100,N 424209,S200000,03300,0200,N 424209,S200000,04100,0100,N 424209,S200000,04200,0100,N 424209,S200000,04300,0100,N 424209,S200000,04600,0100,N 424209,S200000,04700,0100,N 424209,S200000,04700,0200,N 424209,S200000,04900,0100,N 424209,S200000,05000,0100,N 424209,S200000,05100,0100,N 424209,S200000,05200,0100,N 424257,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424257,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424257,A000000,00300,0000,0300EMPLOYEE BENEFITS 424257,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424257,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424257,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424257,A000000,00700,0000,0700HOUSEKEEPING 424257,A000000,00800,0000,0800DIETARY 424257,A000000,00900,0000,0900NURSING ADMINISTRATION 424257,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424257,A000000,01100,0000,1100PHARMACY 424257,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424257,A000000,01300,0000,1300SOCIAL SERVICE 424257,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424257,A000000,01500,0000,1350ACTIVITIES 424257,A000000,01600,0000,1600SKILLED NURSING FACILITY 424257,A000000,01810,0000,1810ICF/MR 424257,A000000,02100,0000,2100RADIOLOGY 424257,A000000,02200,0000,2200LABORATORY 424257,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424257,A000000,02500,0000,2500PHYSICAL THERAPY 424257,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424257,A000000,02700,0000,2700SPEECH PATHOLOGY 424257,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424257,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424257,A000000,03550,0000,3550FQHC 424257,A000000,04800,0000,4800AMBULANCE 424257,A000000,05000,0000,5000CORF 424257,A000000,05010,0000,5010CMHC 424257,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 424257,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424257,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424257,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424257,A000000,06300,0000,6150NON-REIMBURSABLE 424257,A81000A,00100,0100,Y 424257,A81000B,00100,0300,HO A&G 424257,A81000B,00200,0300,HO INTEREST 424257,A81000B,00300,0300,HO BLDG 424257,A81000B,00400,0300,PT 424257,A81000B,00500,0300,OT 424257,A81000B,00600,0300,ST 424257,A81000B,00700,0300,DIETARY 424257,A81000B,00800,0300,SKILLED NRSG 424257,A81000B,00900,0300,RT 424257,A81000B,01000,0300,MED SUPPLIES 424257,A81000B,01100,0300,ADMINISTRATIVE 424257,A81000C,00100,0100,B 424257,A81000C,00100,0200,GENESIS HEALTH 424257,A81000C,00100,0600,MANAGEMENT COMP 424257,A81000C,00200,0100,B 424257,A81000C,00200,0200,GENESIS HEALTH 424257,A81000C,00200,0600,MANAGEMENT COMP 424257,A81000C,00300,0100,B 424257,A81000C,00300,0200,GENESIS HEALTH 424257,A81000C,00300,0600,MANAGEMENT COMP 424257,A81000C,00400,0100,B 424257,A81000C,00400,0200,GENESIS REHAB 424257,A81000C,00400,0400,GENESIS HEALTH 424257,A81000C,00400,0600,REHAB SERVICES 424257,A81000C,00500,0100,B 424257,A81000C,00500,0200,GENESIS REHAB 424257,A81000C,00500,0400,GENESIS HEALTH 424257,A81000C,00500,0600,REHAB SERVICES 424257,A81000C,00600,0100,B 424257,A81000C,00600,0200,GENESIS REHAB 424257,A81000C,00600,0400,GENESIS HEALTH 424257,A81000C,00600,0600,REHAB SERVICES 424257,A81000C,00700,0100,B 424257,A81000C,00700,0200,GENESIS HOSPITA 424257,A81000C,00700,0400,GENESIS HEALTH 424257,A81000C,00700,0600,CONSULTING SERV 424257,A81000C,00800,0100,B 424257,A81000C,00800,0200,RESPIRATORY HEA 424257,A81000C,00800,0400,GENESIS HEALTH 424257,A81000C,00800,0600,RESPIRATORY THE 424257,A81000C,00900,0100,B 424257,A81000C,00900,0200,RESPIRATORY HEA 424257,A81000C,00900,0400,GENESIS HEALTH 424257,A81000C,00900,0600,RESPIRATORY THE 424257,A81000C,01000,0100,B 424257,A81000C,01000,0200,RESPIRATORY HEA 424257,A81000C,01000,0400,GENESIS HEALTH 424257,A81000C,01000,0600,RESPIRATORY THE 424257,A81000C,01001,0100,B 424257,A81000C,01001,0200,GENESIS PHYSICI 424257,A81000C,01001,0400,GENESIS HEALTH 424257,A81000C,01001,0600,MEDICAL DIRECTO 424257,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424257,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424257,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424257,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424257,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424257,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424257,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424257,B100000,00000,0800,0850PATIENT DAYS :DIETARY 424257,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 424257,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424257,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424257,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 424257,E10A180,00551,0100,03/31/11 424257,G300000,02500,0000,MISCELLANEOUS INCOME 424257,S000000,00100,0200,01/18/12 424257,S200000,00100,0100,200 S. RITCHIE AVENUE 424257,S200000,00200,0100,RAVENSWOOD 424257,S200000,00200,0200,WV 424257,S200000,00200,0300,26164 424257,S200000,00300,0100,JACKSON 424257,S200000,00300,0201,99951 424257,S200000,00300,0300,R 424257,S200000,00400,0100,RAVENSWOOD CENTER 424257,S200000,00400,0200,515177 424257,S200000,00400,0300,01/01/02 424257,S200000,00400,0500,P 424257,S200000,01500,0100,Y 424257,S200000,01502,0200,N 424257,S200000,01504,0200,N 424257,S200000,01600,0100,N 424257,S200000,01700,0100,N 424257,S200000,01800,0100,N 424257,S200000,02200,0100,Y 424257,S200000,02800,0100,N 424257,S200000,02900,0100,N 424257,S200000,03000,0100,N 424257,S200000,03100,0100,N 424257,S200000,03200,0100,N 424257,S200000,03300,0100,N 424257,S200000,03300,0200,N 424257,S200000,03600,0100,N 424257,S200000,03600,0200,N 424257,S200000,04100,0100,N 424257,S200000,04200,0100,N 424257,S200000,04300,0100,N 424257,S200000,04600,0100,N 424257,S200000,04700,0100,N 424257,S200000,04700,0200,N 424257,S200000,04900,0100,N 424257,S200000,05000,0100,N 424257,S200000,05100,0100,N 424257,S200000,05200,0100,N 424257,S200000,05300,0100,Y 424257,S200000,05300,0200,HB0067 424257,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 424257,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 424257,S200000,05400,0300,12001 424257,S200000,05500,0100,101 EAST STATE STREET 424257,S200000,05600,0100,KENNETT SQUARE 424257,S200000,05600,0200,PA 424257,S200000,05600,0300,19348 424347,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424347,A000000,00300,0000,0300EMPLOYEE BENEFITS 424347,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424347,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424347,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424347,A000000,00700,0000,0700HOUSEKEEPING 424347,A000000,00800,0000,0800DIETARY 424347,A000000,00900,0000,0900NURSING ADMINISTRATION 424347,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424347,A000000,01100,0000,1100PHARMACY 424347,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424347,A000000,01300,0000,1300SOCIAL SERVICE 424347,A000000,01500,0000,1350PATIENT ACTIVITIES 424347,A000000,01600,0000,1600SKILLED NURSING FACILITY 424347,A000000,01900,0000,1900OTHER LONG TERM CARE 424347,A000000,02100,0000,2100RADIOLOGY 424347,A000000,02200,0000,2200LABORATORY 424347,A000000,02300,0000,2300INTRAVENOUS THERAPY 424347,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424347,A000000,02500,0000,2500PHYSICAL THERAPY 424347,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424347,A000000,02700,0000,2700SPEECH PATHOLOGY 424347,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424347,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424347,A000000,03200,0000,3200SUPPORT SURFACES 424347,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424347,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424347,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424347,A000000,06100,0000,6100NONPAID WORKERS 424347,A000000,06200,0000,6200PATIENTS LAUNDRY 424347,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424347,A81000A,00100,0100,Y 424347,A81000B,00100,0300,HOME OFFICE COST 424347,A81000B,00200,0300,HOME OFFICE CAPITAL 424347,A81000C,00100,0100,B 424347,A81000C,00100,0200,CYPRESS GLEN RETIREMENT C 424347,A81000C,00100,0400,UMRH 424347,A81000C,00100,0600,HOME OFFICE 424347,A81000C,00200,0100,B 424347,A81000C,00200,0200,CYPRESS GLEN RETIREMENT C 424347,A81000C,00200,0400,UMRH 424347,A81000C,00200,0600,HOME OFFICE 424347,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424347,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424347,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424347,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424347,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424347,B100000,00000,0700,0750PRO RATED SQ. FTG.:HOUSEKEEPING 424347,B100000,00000,0800,0800MEALS SERVED :DIETARY 424347,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424347,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424347,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 424347,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424347,B100000,00000,1300,1330ALL PT DAYS :SOCIAL SERVICE 424347,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 424347,G300000,02500,0000,BARBER AND BEAUTY 424347,G300000,02501,0000,PERSONAL PURCHASES 424347,S000000,00100,0200,01/20/12 424347,S200000,00100,0100,100 HICKORY STREET 424347,S200000,00200,0100,GREENVILLE 424347,S200000,00200,0200,NC 424347,S200000,00200,0300,27858 424347,S200000,00300,0100,PITT 424347,S200000,00300,0200,3150 424347,S200000,00300,0201,24780 424347,S200000,00300,0300,U 424347,S200000,00400,0100,CYPRESS GLEN RETIREMENT COMMUNITY 424347,S200000,00400,0200,345512 424347,S200000,00400,0300,01/10/02 424347,S200000,00400,0500,P 424347,S200000,01500,0100,N 424347,S200000,01501,0200,Y 424347,S200000,01502,0200,Y 424347,S200000,01503,0200,Y 424347,S200000,01504,0200,Y 424347,S200000,01505,0000,OTHER 424347,S200000,01505,0200,N 424347,S200000,01600,0100,Y 424347,S200000,01700,0100,N 424347,S200000,01800,0100,N 424347,S200000,02200,0100,N 424347,S200000,02800,0100,N 424347,S200000,02900,0100,N 424347,S200000,03000,0100,N 424347,S200000,03100,0100,N 424347,S200000,03200,0100,N 424347,S200000,03300,0100,N 424347,S200000,03300,0200,N 424347,S200000,04100,0100,N 424347,S200000,04200,0100,N 424347,S200000,04300,0100,N 424347,S200000,04600,0100,N 424347,S200000,04700,0100,N 424347,S200000,04700,0200,N 424347,S200000,04900,0100,N 424347,S200000,05000,0100,N 424347,S200000,05100,0100,N 424347,S200000,05200,0100,N 424431,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424431,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424431,A000000,00300,0000,0300EMPLOYEE BENEFITS 424431,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424431,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424431,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424431,A000000,00700,0000,0700HOUSEKEEPING 424431,A000000,00800,0000,0800DIETARY 424431,A000000,00900,0000,0900NURSING ADMINISTRATION 424431,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424431,A000000,01100,0000,1100PHARMACY 424431,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424431,A000000,01300,0000,1300SOCIAL SERVICE 424431,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424431,A000000,01500,0000,1350OTHER GENERAL SERVICES 424431,A000000,01600,0000,1600SKILLED NURSING FACILITY 424431,A000000,01800,0000,1800NURSING FACILITY 424431,A000000,01810,0000,1810ICF/MR 424431,A000000,01900,0000,1900OTHER LONG TERM CARE 424431,A000000,02100,0000,2100RADIOLOGY 424431,A000000,02200,0000,2200LABORATORY 424431,A000000,02300,0000,2300INTRAVENOUS THERAPY 424431,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424431,A000000,02500,0000,2500PHYSICAL THERAPY 424431,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424431,A000000,02700,0000,2700SPEECH PATHOLOGY 424431,A000000,02800,0000,2800ELECTROCARDIOLOGY 424431,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424431,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424431,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424431,A000000,03200,0000,3200SUPPORT SURFACES 424431,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424431,A000000,03400,0000,3400CLINIC 424431,A000000,03500,0000,3500RURAL HEALTH CLINIC 424431,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424431,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424431,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424431,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424431,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424431,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424431,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424431,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424431,A000000,04400,0000,4400DME RENTED - HHA 424431,A000000,04500,0000,4500DME SOLD - HHA 424431,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424431,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424431,A000000,04710,0000,4710TELEMEDICINE 424431,A000000,04800,0000,4800AMBULANCE 424431,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424431,A000000,05000,0000,5000CORF 424431,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424431,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424431,A000000,05300,0000,5300INTEREST EXPENSE 424431,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424431,A000000,05500,0000,5500HOSPICE 424431,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424431,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424431,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424431,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424431,A000000,06100,0000,6100NONPAID WORKERS 424431,A000000,06200,0000,6200PATIENTS LAUNDRY 424431,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424431,A81000A,00100,0100,Y 424431,A81000B,00100,0300,CENTRAL OFFICE-BHS 424431,A81000B,00200,0300,CENTRAL OFFICE-BHS 424431,A81000B,00300,0300,CENTRAL OFFICE-BHS 424431,A81000B,00400,0300,COMPUTER USER FEE 424431,A81000B,00500,0300,ADMIN SAL/TAXES/BENEFITS 424431,A81000B,00600,0300,INTEREST EXP 424431,A81000B,00700,0300,PT 424431,A81000B,00800,0300,OT 424431,A81000B,00900,0300,ST 424431,A81000C,00100,0100,G 424431,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 424431,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 424431,A81000C,00100,0600,MANAGEMENT SERVICES 424431,A81000C,00200,0100,G 424431,A81000C,00200,0200,BHC INNSBRUCK CARE CENTER 424431,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 424431,A81000C,00200,0600,NURSING HOME 424431,A81000C,00300,0100,G 424431,A81000C,00300,0200,BHC MINNEAPOLIS 424431,A81000C,00300,0400,BENEDICTINE HEALTH SYSTEM 424431,A81000C,00300,0600,NURSING HOME 424431,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424431,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424431,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424431,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424431,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424431,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 424431,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424431,B100000,00000,0800,0800MEALS SERVED :DIETARY 424431,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 424431,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 424431,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 424431,G300000,02500,0000,MISC INCOME 424431,G300000,02501,0000,MEALS ON WHEELS 424431,G300000,02502,0000,PURCHASED SERVICES INCOME 424431,G300000,02503,0000,REVENUE LEASE 424431,G300000,02504,0000,PURCHASED SERVICES INCOME LEASE 424431,G300000,02505,0000,ASSISTED LVING REVEUE 424431,G300000,02506,0000,OUTSOURCED THERAPY 424431,S000000,00100,0200,11/30/11 424431,S200000,00100,0100,551 4TH ST N - STE 101 424431,S200000,00200,0100,WINSTED 424431,S200000,00200,0200,MN 424431,S200000,00200,0300,55395 424431,S200000,00300,0100,MCLEOD 424431,S200000,00300,0200,24 424431,S200000,00300,0201,99924 424431,S200000,00300,0300,R 424431,S200000,00400,0100,ST MARY S CARE CENTER 424431,S200000,00400,0200,245459 424431,S200000,00400,0300,07/01/76 424431,S200000,00400,0500,P 424431,S200000,01500,0100,Y 424431,S200000,01501,0200,Y 424431,S200000,01503,0200,Y 424431,S200000,01504,0200,N 424431,S200000,01600,0100,N 424431,S200000,01700,0100,N 424431,S200000,01800,0100,N 424431,S200000,02200,0100,N 424431,S200000,02800,0100,N 424431,S200000,02900,0100,N 424431,S200000,03000,0100,N 424431,S200000,03100,0100,N 424431,S200000,03200,0100,N 424431,S200000,03300,0100,N 424431,S200000,03300,0200,N 424431,S200000,04100,0100,N 424431,S200000,04200,0100,N 424431,S200000,04300,0100,N 424431,S200000,04600,0100,N 424431,S200000,04700,0100,N 424431,S200000,04700,0200,N 424431,S200000,04900,0100,N 424431,S200000,05000,0100,N 424431,S200000,05100,0100,N 424431,S200000,05200,0100,N 424433,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424433,A000000,00300,0000,0300EMPLOYEE BENEFITS 424433,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424433,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424433,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424433,A000000,00700,0000,0700HOUSEKEEPING 424433,A000000,00800,0000,0800DIETARY 424433,A000000,00900,0000,0900NURSING ADMINISTRATION 424433,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424433,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424433,A000000,01300,0000,1300SOCIAL SERVICE 424433,A000000,01600,0000,1600SKILLED NURSING FACILITY 424433,A000000,01800,0000,1800NURSING FACILITY 424433,A000000,01810,0000,1810ICF/MR 424433,A000000,01900,0000,1900OTHER LONG TERM CARE 424433,A000000,02100,0000,2100RADIOLOGY 424433,A000000,02200,0000,2200LABORATORY 424433,A000000,02300,0000,2300INTRAVENOUS THERAPY 424433,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424433,A000000,02500,0000,2500PHYSICAL THERAPY 424433,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424433,A000000,02700,0000,2700SPEECH PATHOLOGY 424433,A000000,02800,0000,2800ELECTROCARDIOLOGY 424433,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424433,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424433,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424433,A000000,03200,0000,3200SUPPORT SURFACES 424433,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424433,A000000,03400,0000,3400CLINIC 424433,A000000,03500,0000,3500RURAL HEALTH CLINIC 424433,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424433,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424433,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424433,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424433,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424433,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424433,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424433,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424433,A000000,04400,0000,4400DME RENTED - HHA 424433,A000000,04500,0000,4500DME SOLD - HHA 424433,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424433,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424433,A000000,04710,0000,4710TELEMEDICINE 424433,A000000,04800,0000,4800AMBULANCE 424433,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424433,A000000,05000,0000,5000CORF 424433,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424433,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424433,A000000,05300,0000,5300INTEREST EXPENSE 424433,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424433,A000000,05500,0000,5500HOSPICE 424433,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424433,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424433,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424433,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424433,A000000,06100,0000,6100NONPAID WORKERS 424433,A000000,06200,0000,6200PATIENTS LAUNDRY 424433,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424433,A81000A,00100,0100,N 424433,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424433,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424433,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424433,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424433,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424433,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424433,B100000,00000,0800,0800MEALS SERVED :DIETARY 424433,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424433,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424433,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424433,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424433,G300000,02500,0000,OTHER MEDICAL SERVICES 424433,G300000,02501,0000,BARBER AND BEAUTY 424433,G300000,02502,0000,OTHER REVENUE 424433,S000000,00100,0200,12/05/11 424433,S200000,00100,0100,1347 CRYSTAL COURT 424433,S200000,00200,0100,NAPERVILLE 424433,S200000,00200,0200,IL 424433,S200000,00200,0300,60563 424433,S200000,00300,0100,DUPAGE 424433,S200000,00300,0200,1600 424433,S200000,00300,0201,16974 424433,S200000,00300,0300,U 424433,S200000,00400,0100,TABOR HILLS HEALTH CARE FACILITY 424433,S200000,00400,0200,145840 424433,S200000,00400,0300,05/25/95 424433,S200000,00400,0500,P 424433,S200000,00600,0200,145840 424433,S200000,00600,0300,05/25/95 424433,S200000,00600,0600,O 424433,S200000,01500,0100,N 424433,S200000,01501,0200,Y 424433,S200000,01600,0100,Y 424433,S200000,01700,0100,N 424433,S200000,01800,0100,N 424433,S200000,02200,0100,N 424433,S200000,02800,0100,N 424433,S200000,02900,0100,N 424433,S200000,03000,0100,N 424433,S200000,03100,0100,N 424433,S200000,03200,0100,N 424433,S200000,03300,0100,N 424433,S200000,03300,0200,N 424433,S200000,03500,0300,N 424433,S200000,04100,0100,N 424433,S200000,04200,0100,N 424433,S200000,04300,0100,N 424433,S200000,04600,0100,N 424433,S200000,04700,0100,N 424433,S200000,04700,0200,N 424433,S200000,04900,0100,N 424433,S200000,05000,0100,N 424433,S200000,05100,0100,N 424433,S200000,05200,0100,N 424444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424444,A000000,00300,0000,0300EMPLOYEE BENEFITS 424444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424444,A000000,00700,0000,0700HOUSEKEEPING 424444,A000000,00800,0000,0800DIETARY 424444,A000000,00900,0000,0900NURSING ADMINISTRATION 424444,A000000,01100,0000,1100PHARMACY 424444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424444,A000000,01300,0000,1300SOCIAL SERVICE 424444,A000000,01600,0000,1600SKILLED NURSING FACILITY 424444,A000000,01800,0000,1800NURSING FACILITY 424444,A000000,01810,0000,1810ICF/MR 424444,A000000,01900,0000,1900OTHER LONG TERM CARE 424444,A000000,02100,0000,2100RADIOLOGY 424444,A000000,02200,0000,2200LABORATORY 424444,A000000,02300,0000,2300INTRAVENOUS THERAPY 424444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424444,A000000,02500,0000,2500PHYSICAL THERAPY 424444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424444,A000000,02700,0000,2700SPEECH PATHOLOGY 424444,A000000,02800,0000,2800ELECTROCARDIOLOGY 424444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424444,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424444,A000000,03200,0000,3200SUPPORT SURFACES 424444,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424444,A000000,03400,0000,3400CLINIC 424444,A000000,03500,0000,3500RURAL HEALTH CLINIC 424444,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424444,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424444,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424444,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424444,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424444,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424444,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424444,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424444,A000000,04400,0000,4400DME RENTED - HHA 424444,A000000,04500,0000,4500DME SOLD - HHA 424444,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424444,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424444,A000000,04710,0000,4710TELEMEDICINE 424444,A000000,04800,0000,4800AMBULANCE 424444,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424444,A000000,05000,0000,5000CORF 424444,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424444,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424444,A000000,05300,0000,5300INTEREST EXPENSE 424444,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424444,A000000,05500,0000,5500HOSPICE 424444,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424444,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424444,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424444,A000000,06100,0000,6100NONPAID WORKERS 424444,A000000,06200,0000,6200PATIENTS LAUNDRY 424444,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424444,A81000A,00100,0100,Y 424444,A81000B,00100,0300,FACILITY LEASE 424444,A81000B,00200,0300,ADMINISTRATIVE FEE 424444,A81000B,00300,0300,ADMINISTRATIVE INTEREST ALLOCATION 424444,A81000B,00400,0300,CAPITAL INTEREST ALLOCATION 424444,A81000B,00500,0300,LEGAL FEE ALLOCATION 424444,A81000C,00100,0100,B 424444,A81000C,00100,0400,BOMBAY LANE LP 424444,A81000C,00100,0600,MANAGEMENT 424444,A81000C,00200,0100,B 424444,A81000C,00200,0400,MCGEE ROAD ASSOCIATES LP 424444,A81000C,00200,0600,FACILITY LEASE 424444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424444,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424444,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424444,B100000,00000,0800,0850PATIENT DAYS :DIETARY 424444,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 424444,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 424444,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424444,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424444,E10A180,00301,0100,06/30/11 424444,E10A180,00302,0100,01/26/11 424444,E10A180,00303,0100,07/01/11 424444,G300000,02500,0000,COPYING 424444,G300000,02501,0000,REBATES AND REFUNDS 424444,G300000,02502,0000,VENDING MACHINE COMMISSIONS 424444,G300000,02503,0000,OTHER PATIENT RELATED REVENUES 424444,S000000,00100,0200,12/02/11 424444,S200000,00100,0100,2020 MCGEE ROAD 424444,S200000,00200,0100,SNELLVILLE 424444,S200000,00200,0200,GA 424444,S200000,00200,0300,30278 424444,S200000,00300,0100,GWINETT 424444,S200000,00300,0201,12060 424444,S200000,00300,0300,U 424444,S200000,00400,0100,NEW LONDON HEALTH CARE 424444,S200000,00400,0200,115771 424444,S200000,00400,0300,06/01/92 424444,S200000,00400,0500,P 424444,S200000,01500,0100,Y 424444,S200000,01501,0200,Y 424444,S200000,01600,0100,N 424444,S200000,01700,0100,N 424444,S200000,01800,0100,N 424444,S200000,02200,0100,N 424444,S200000,02800,0100,N 424444,S200000,02900,0100,N 424444,S200000,03000,0100,N 424444,S200000,03100,0100,N 424444,S200000,03200,0100,N 424444,S200000,03300,0100,N 424444,S200000,03300,0200,N 424444,S200000,04100,0100,N 424444,S200000,04200,0100,N 424444,S200000,04300,0100,N 424444,S200000,04600,0100,N 424444,S200000,04700,0100,N 424444,S200000,04700,0200,N 424444,S200000,04900,0100,N 424444,S200000,05000,0100,N 424444,S200000,05100,0100,N 424444,S200000,05200,0100,N 424473,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424473,A000000,00300,0000,0300EMPLOYEE BENEFITS 424473,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424473,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424473,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424473,A000000,00700,0000,0700HOUSEKEEPING 424473,A000000,00800,0000,0800DIETARY 424473,A000000,01300,0000,1300SOCIAL SERVICE 424473,A000000,01600,0000,1600SKILLED NURSING FACILITY 424473,A000000,01800,0000,1800NURSING FACILITY 424473,A000000,02200,0000,2200LABORATORY 424473,A000000,02500,0000,2500PHYSICAL THERAPY 424473,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424473,A000000,02700,0000,2700SPEECH PATHOLOGY 424473,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424473,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424473,A81000A,00100,0100,N 424473,B100000,00000,0100,0100SQUARE FEET 424473,B100000,00000,0300,0300GROSS SALARIES 424473,B100000,00000,0400,0400ACCUM. COST 424473,B100000,00000,0500,0500SQUARE FEET 424473,B100000,00000,0600,0600POUNDS OF LAUNDRY 424473,B100000,00000,0700,0700SQUARE FEET 424473,B100000,00000,0800,0800MEALS SERVED 424473,B100000,00000,1300,1300TIME SPENT 424473,G300000,02500,0000,PATIENT TRANSPORTATION 424473,G300000,02501,0000,GAIN ON SALE OF FIXED ASSETS 424473,G300000,02502,0000,MISCELLANEOUS 424473,G300000,02503,0000,DAY CARE 424473,S000000,00100,0200,12/21/11 424473,S200000,00100,0100,877 CEDAR BLUFF ROAD 424473,S200000,00200,0100,CENTRE 424473,S200000,00200,0200,AL 424473,S200000,00200,0300,35960 424473,S200000,00300,0100,CHEROKEE 424473,S200000,00300,0201,99901 424473,S200000,00300,0300,R 424473,S200000,00400,0100,CHEROKEE COUNTY HEALTH & REHAB CTR 424473,S200000,00400,0200,015200 424473,S200000,00400,0300,01/01/67 424473,S200000,00400,0500,P 424473,S200000,01500,0100,Y 424473,S200000,01501,0200,N 424473,S200000,01502,0200,N 424473,S200000,01503,0200,N 424473,S200000,01504,0200,N 424473,S200000,01505,0000,OTHER (SPECIFY) 424473,S200000,01505,0200,N 424473,S200000,01600,0100,N 424473,S200000,01700,0100,N 424473,S200000,01800,0100,N 424473,S200000,02200,0100,N 424473,S200000,02800,0100,Y 424473,S200000,02900,0100,N 424473,S200000,03000,0100,N 424473,S200000,03100,0100,N 424473,S200000,03200,0100,N 424473,S200000,03300,0100,N 424473,S200000,03300,0200,N 424473,S200000,04200,0100,N 424473,S200000,04300,0100,N 424473,S200000,04600,0100,N 424473,S200000,04700,0100,N 424473,S200000,04900,0100,N 424473,S200000,05200,0100,N 424473,S200000,05300,0100,N 424501,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424501,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424501,A000000,00300,0000,0300EMPLOYEE BENEFITS 424501,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424501,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424501,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424501,A000000,00700,0000,0700HOUSEKEEPING 424501,A000000,00800,0000,0800DIETARY 424501,A000000,00900,0000,0900NURSING ADMINISTRATION 424501,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424501,A000000,01100,0000,1100PHARMACY 424501,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424501,A000000,01300,0000,1300SOCIAL SERVICE 424501,A000000,01600,0000,1600SKILLED NURSING FACILITY 424501,A000000,01800,0000,1800NURSING FACILITY 424501,A000000,01810,0000,1810ICF/MR 424501,A000000,01900,0000,1900OTHER LONG TERM CARE 424501,A000000,02100,0000,2100RADIOLOGY 424501,A000000,02200,0000,2200LABORATORY 424501,A000000,02300,0000,2300INTRAVENOUS THERAPY 424501,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424501,A000000,02500,0000,2500PHYSICAL THERAPY 424501,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424501,A000000,02700,0000,2700SPEECH PATHOLOGY 424501,A000000,02800,0000,2800ELECTROCARDIOLOGY 424501,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424501,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424501,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424501,A000000,05300,0000,5300INTEREST EXPENSE 424501,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424501,A000000,05500,0000,5500HOSPICE 424501,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424501,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424501,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424501,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424501,A000000,06100,0000,6100NONPAID WORKERS 424501,A000000,06200,0000,6200PATIENTS LAUNDRY 424501,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 424501,A81000A,00100,0100,N 424501,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424501,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424501,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424501,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424501,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424501,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424501,B100000,00000,0800,0800MEALS SERVED :DIETARY 424501,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 424501,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424501,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424501,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424501,G300000,02501,0000,MISC 424501,G300000,02502,0000,VENDING 424501,G300000,02503,0000,BEAUTY SHOP 424501,S000000,00100,0200,01/05/12 424501,S200000,00100,0100,253 BRADINGTON 424501,S200000,00200,0100,COLUMBIA 424501,S200000,00200,0200,IL 424501,S200000,00200,0300,62236 424501,S200000,00300,0100,MONROE 424501,S200000,00300,0201,41180 424501,S200000,00300,0300,U 424501,S200000,00400,0100,COLUMBIA CONVALESCENT CENTER 424501,S200000,00400,0200,145717 424501,S200000,00400,0300,11/01/91 424501,S200000,00400,0500,P 424501,S200000,01500,0100,N 424501,S200000,01501,0200,Y 424501,S200000,01502,0200,Y 424501,S200000,01503,0200,Y 424501,S200000,01504,0200,Y 424501,S200000,01600,0100,Y 424501,S200000,01700,0100,N 424501,S200000,01800,0100,N 424501,S200000,02200,0100,N 424501,S200000,02800,0100,N 424501,S200000,02900,0100,N 424501,S200000,03000,0100,N 424501,S200000,03100,0100,N 424501,S200000,03200,0100,N 424501,S200000,03300,0100,N 424501,S200000,03300,0200,N 424501,S200000,04100,0100,N 424501,S200000,04200,0100,N 424501,S200000,04300,0100,N 424501,S200000,04600,0100,N 424501,S200000,04700,0100,N 424501,S200000,04700,0200,N 424501,S200000,04900,0100,N 424501,S200000,05000,0100,N 424501,S200000,05100,0100,N 424501,S200000,05200,0100,N 424501,S200000,05300,0100,N 424536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424536,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424536,A000000,00300,0000,0300EMPLOYEE BENEFITS 424536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424536,A000000,00700,0000,0700HOUSEKEEPING 424536,A000000,00800,0000,0800DIETARY 424536,A000000,00900,0000,0900NURSING ADMINISTRATION 424536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424536,A000000,01100,0000,1100PHARMACY 424536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424536,A000000,01300,0000,1300SOCIAL SERVICE 424536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424536,A000000,01500,0000,1350ACTIVITIES 424536,A000000,01600,0000,1600SKILLED NURSING FACILITY 424536,A000000,01800,0000,1800NURSING FACILITY 424536,A000000,01810,0000,1810ICF/MR 424536,A000000,01900,0000,1900OTHER LONG TERM CARE 424536,A000000,02100,0000,2100RADIOLOGY 424536,A000000,02200,0000,2200LABORATORY 424536,A000000,02300,0000,2300INTRAVENOUS THERAPY 424536,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424536,A000000,02500,0000,2500PHYSICAL THERAPY 424536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424536,A000000,02700,0000,2700SPEECH PATHOLOGY 424536,A000000,02800,0000,2800ELECTROCARDIOLOGY 424536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424536,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424536,A000000,03200,0000,3200SUPPORT SURFACES 424536,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424536,A000000,03400,0000,3400CLINIC 424536,A000000,03500,0000,3500RURAL HEALTH CLINIC 424536,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424536,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424536,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424536,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424536,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424536,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424536,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424536,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424536,A000000,04400,0000,4400DME RENTED - HHA 424536,A000000,04500,0000,4500DME SOLD - HHA 424536,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424536,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424536,A000000,04710,0000,4710TELEMEDICINE 424536,A000000,04800,0000,4800AMBULANCE 424536,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424536,A000000,05000,0000,5000CORF 424536,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424536,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424536,A000000,05300,0000,5300INTEREST EXPENSE 424536,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424536,A000000,05500,0000,5500HOSPICE 424536,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424536,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424536,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424536,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424536,A000000,06100,0000,6100NONPAID WORKERS 424536,A000000,06200,0000,6200PATIENTS LAUNDRY 424536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424536,A81000A,00100,0100,N 424536,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424536,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424536,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424536,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424536,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424536,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424536,B100000,00000,0800,0800MEALS SERVED :DIETARY 424536,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424536,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424536,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 424536,G300000,02500,0000,MAIN STREET WEST 424536,G300000,02501,0000,OTHER REVENUE 424536,S000000,00100,0200,11/21/11 424536,S200000,00100,0100,1037 WEST MAIN STREET 424536,S200000,00100,0300,159 424536,S200000,00200,0100,DOVER-FOXCROFT 424536,S200000,00200,0200,ME 424536,S200000,00200,0300,04426 424536,S200000,00300,0100,PISCATAQUIS 424536,S200000,00300,0200,20 424536,S200000,00300,0201,99920 424536,S200000,00300,0300,R 424536,S200000,00400,0100,HIBBARD NURSING HOME 424536,S200000,00400,0200,205004 424536,S200000,00400,0300,01/01/67 424536,S200000,00400,0500,P 424536,S200000,01500,0100,Y 424536,S200000,01501,0200,Y 424536,S200000,01502,0200,Y 424536,S200000,01503,0200,Y 424536,S200000,01504,0200,Y 424536,S200000,01600,0100,N 424536,S200000,01700,0100,N 424536,S200000,01800,0100,N 424536,S200000,02200,0100,Y 424536,S200000,02800,0100,Y 424536,S200000,02900,0100,N 424536,S200000,03000,0100,N 424536,S200000,03100,0100,N 424536,S200000,03200,0100,N 424536,S200000,03300,0100,N 424536,S200000,03300,0200,N 424536,S200000,04100,0100,N 424536,S200000,04200,0100,N 424536,S200000,04300,0100,N 424536,S200000,04600,0100,N 424536,S200000,04700,0100,N 424536,S200000,04700,0200,N 424536,S200000,04900,0100,N 424536,S200000,05000,0100,N 424536,S200000,05100,0100,N 424536,S200000,05200,0100,N 424677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424677,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424677,A000000,00300,0000,0300EMPLOYEE BENEFITS 424677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424677,A000000,00700,0000,0700HOUSEKEEPING 424677,A000000,00800,0000,0800DIETARY 424677,A000000,00900,0000,0900NURSING ADMINISTRATION 424677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424677,A000000,01300,0000,1300SOCIAL SERVICE 424677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424677,A000000,01500,0000,1350OTHER GENERAL SERVICES 424677,A000000,01600,0000,1600SKILLED NURSING FACILITY 424677,A000000,01800,0000,1800NURSING FACILITY 424677,A000000,01900,0000,1900OTHER LONG TERM CARE 424677,A000000,02100,0000,2100RADIOLOGY 424677,A000000,02200,0000,2200LABORATORY 424677,A000000,02300,0000,2300INTRAVENOUS THERAPY 424677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424677,A000000,02500,0000,2500PHYSICAL THERAPY 424677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424677,A000000,02700,0000,2700SPEECH PATHOLOGY 424677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424677,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424677,A000000,03200,0000,3200SUPPORT SURFACES 424677,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424677,A000000,03400,0000,3400CLINIC 424677,A000000,03500,0000,3500RURAL HEALTH CLINIC 424677,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424677,A000000,04800,0000,4800AMBULANCE 424677,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424677,A000000,05000,0000,5000CORF 424677,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424677,A000000,05300,0000,5300INTEREST EXPENSE 424677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424677,A000000,05500,0000,5500HOSPICE 424677,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424677,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424677,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424677,A000000,06200,0000,6200PATIENTS LAUNDRY 424677,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424677,A81000A,00100,0100,Y 424677,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 424677,A81000B,00200,0300,HOME OFFICE COSTS 424677,A81000B,00300,0300,HOME OFFICE COSTS 424677,A81000C,00100,0100,A 424677,A81000C,00100,0200,J CHAMBERLAIN 424677,A81000C,00100,0400,FARMINGTON CENTERS INC 424677,A81000C,00100,0600,HOME OFFICE 424677,A81000C,00200,0100,A 424677,A81000C,00200,0200,J GUFFEE 424677,A81000C,00200,0400,FARMINGTON CENTERS INC 424677,A81000C,00200,0600,HOME OFFICE 424677,A81000C,00300,0100,A 424677,A81000C,00300,0200,T WALDROFF 424677,A81000C,00300,0400,FARMINGTON CENTERS INC 424677,A81000C,00300,0600,HOME OFFICE 424677,A81000C,00400,0100,A 424677,A81000C,00400,0200,J CHAMBERLAIN 424677,A81000C,00400,0400,LAURELHURST VILLAGE INVES 424677,A81000C,00400,0600,REAL ESTATE 424677,A81000C,00500,0100,A 424677,A81000C,00500,0200,J GUFFEE 424677,A81000C,00500,0400,LAURELHURST VILLAGE INVES 424677,A81000C,00500,0600,REAL ESTATE 424677,A81000C,00600,0100,A 424677,A81000C,00600,0200,T WALDROFF 424677,A81000C,00600,0400,LAURELHURST VILLAGE INVES 424677,A81000C,00600,0600,REAL ESTATE 424677,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424677,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424677,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424677,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424677,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424677,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424677,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424677,B100000,00000,0800,0850PATIENT DAYS :DIETARY 424677,B100000,00000,0900,0950DIR NRSG HRS :NURSING ADMINISTRA 424677,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424677,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424677,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424677,G300000,02500,0000,OTHER INCOME 424677,S000000,00100,0200,12/31/11 424677,S200000,00100,0100,3060 SE STARK ST 424677,S200000,00200,0100,PORTLAND 424677,S200000,00200,0200,OR 424677,S200000,00200,0300,97214 424677,S200000,00300,0100,MULTNOMAH 424677,S200000,00300,0200,6440 424677,S200000,00300,0201,38900 424677,S200000,00300,0300,U 424677,S200000,00400,0100,LAURELHURST VILLAGE 424677,S200000,00400,0200,385010 424677,S200000,00400,0300,01/01/67 424677,S200000,00400,0500,P 424677,S200000,01500,0100,Y 424677,S200000,01501,0200,N 424677,S200000,01502,0200,Y 424677,S200000,01504,0200,Y 424677,S200000,01600,0100,N 424677,S200000,01700,0100,N 424677,S200000,01800,0100,N 424677,S200000,02200,0100,N 424677,S200000,02800,0100,N 424677,S200000,02900,0100,N 424677,S200000,03000,0100,N 424677,S200000,03100,0100,N 424677,S200000,03200,0100,N 424677,S200000,03300,0100,N 424677,S200000,03300,0200,N 424677,S200000,04100,0100,N 424677,S200000,04200,0100,N 424677,S200000,04300,0100,N 424677,S200000,04600,0100,N 424677,S200000,04700,0100,N 424677,S200000,04700,0200,N 424677,S200000,04900,0100,N 424677,S200000,05000,0100,N 424677,S200000,05100,0100,N 424677,S200000,05200,0100,N 424677,S200000,05300,0100,Y 424677,S200000,05300,0200,38911 424677,S200000,05400,0100,FARMINGTON CENTERS 424677,S200000,05400,0200,NORIDIAN 424677,S200000,05400,0300,00325 424677,S200000,05500,0100,4640 SW MACADAM AVENUE 424677,S200000,05600,0100,PROTALND 424677,S200000,05600,0200,OR 424677,S200000,05600,0300,97239 424725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424725,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424725,A000000,00300,0000,0300EMPLOYEE BENEFITS 424725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424725,A000000,00700,0000,0700HOUSEKEEPING 424725,A000000,00800,0000,0800DIETARY 424725,A000000,00900,0000,0900NURSING ADMINISTRATION 424725,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424725,A000000,01100,0000,1100PHARMACY 424725,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424725,A000000,01300,0000,1300SOCIAL SERVICE 424725,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424725,A000000,01500,0000,1350ACTIVITIES 424725,A000000,01600,0000,1600SKILLED NURSING FACILITY 424725,A000000,01800,0000,1800NURSING FACILITY 424725,A000000,01810,0000,1810ICF/MR 424725,A000000,01900,0000,1900OTHER LONG TERM CARE 424725,A000000,02100,0000,2100RADIOLOGY 424725,A000000,02200,0000,2200LABORATORY 424725,A000000,02300,0000,2300INTRAVENOUS THERAPY 424725,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424725,A000000,02500,0000,2500PHYSICAL THERAPY 424725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424725,A000000,02700,0000,2700SPEECH PATHOLOGY 424725,A000000,02800,0000,2800ELECTROCARDIOLOGY 424725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424725,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424725,A000000,03200,0000,3200SUPPORT SURFACES 424725,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 424725,A000000,03400,0000,3400CLINIC 424725,A000000,03500,0000,3500RURAL HEALTH CLINIC 424725,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424725,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424725,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424725,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424725,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424725,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424725,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424725,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424725,A000000,04400,0000,4400DME RENTED - HHA 424725,A000000,04500,0000,4500DME SOLD - HHA 424725,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424725,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424725,A000000,04710,0000,4710TELEMEDICINE 424725,A000000,04800,0000,4800AMBULANCE 424725,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424725,A000000,05000,0000,5000CORF 424725,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424725,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424725,A000000,05300,0000,5300INTEREST EXPENSE 424725,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424725,A000000,05500,0000,5500HOSPICE 424725,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424725,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424725,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424725,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424725,A000000,06100,0000,6100NONPAID WORKERS 424725,A000000,06200,0000,6200PATIENTS LAUNDRY 424725,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424725,A81000A,00100,0100,Y 424725,A81000B,00100,0300,RENTAL OF STORAGE SPACE 424725,A81000C,00100,0100,A 424725,A81000C,00100,0200,ALBERT CYR 424725,A81000C,00100,0400,LEISURE GARDENS 424725,A81000C,00100,0600,APARTMENTS 424725,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424725,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424725,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424725,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424725,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424725,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424725,B100000,00000,0800,0800MEALS SERVED :DIETARY 424725,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424725,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424725,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 424725,G300000,02500,0000,SALE OF LICENSED BEDS 424725,G300000,02501,0000,MISCELLANEOUS INCOME 424725,S000000,00100,0200,01/09/12 424725,S200000,00100,0100,162 ACADEMY STREET 424725,S200000,00200,0100,PRESQUE ISLE 424725,S200000,00200,0200,ME 424725,S200000,00200,0300,04769 424725,S200000,00300,0100,AROOSTOOK 424725,S200000,00300,0200,20 424725,S200000,00300,0201,99920 424725,S200000,00300,0300,R 424725,S200000,00400,0100,PRESQUE ISLE REHAB & NURSING CENTER 424725,S200000,00400,0200,205100 424725,S200000,00400,0300,01/01/93 424725,S200000,00400,0500,P 424725,S200000,01500,0100,Y 424725,S200000,01501,0200,Y 424725,S200000,01600,0100,N 424725,S200000,01700,0100,N 424725,S200000,01800,0100,N 424725,S200000,02200,0100,N 424725,S200000,02800,0100,N 424725,S200000,02900,0100,N 424725,S200000,03000,0100,N 424725,S200000,03100,0100,N 424725,S200000,03200,0100,N 424725,S200000,03300,0100,N 424725,S200000,03300,0200,N 424725,S200000,04100,0100,N 424725,S200000,04200,0100,N 424725,S200000,04300,0100,N 424725,S200000,04600,0100,N 424725,S200000,04700,0100,N 424725,S200000,04700,0200,N 424725,S200000,04900,0100,N 424725,S200000,05000,0100,N 424725,S200000,05100,0100,N 424725,S200000,05200,0100,N 424725,S200000,05300,0100,N 424772,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424772,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424772,A000000,00300,0000,0300EMPLOYEE BENEFITS 424772,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424772,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424772,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424772,A000000,00700,0000,0700HOUSEKEEPING 424772,A000000,00800,0000,0800DIETARY 424772,A000000,00900,0000,0900NURSING ADMINISTRATION 424772,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424772,A000000,01100,0000,1100PHARMACY 424772,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424772,A000000,01300,0000,1300SOCIAL SERVICE 424772,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424772,A000000,01500,0000,1350PATIENT ACTIVITIES 424772,A000000,01600,0000,1600SKILLED NURSING FACILITY 424772,A000000,01810,0000,1810ICF/MR 424772,A000000,02100,0000,2100RADIOLOGY 424772,A000000,02200,0000,2200LABORATORY 424772,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424772,A000000,02500,0000,2500PHYSICAL THERAPY 424772,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424772,A000000,02700,0000,2700SPEECH PATHOLOGY 424772,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424772,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424772,A000000,03200,0000,3200SUPPORT SURFACES 424772,A000000,03550,0000,3550FQHC 424772,A000000,05000,0000,5000CORF 424772,A000000,05010,0000,5010CMHC 424772,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 424772,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424772,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424772,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424772,A000000,05300,0000,5300INTEREST EXPENSE 424772,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424772,A81000A,00100,0100,Y 424772,A81000B,00100,0300,HOME OFFICE COSTS 424772,A81000B,00200,0300,MANAGEMENT FEES 424772,A81000B,00300,0300,HOME OFFICE ESTIMATED ALLOCATI 424772,A81000C,00100,0100,B 424772,A81000C,00100,0200,BRIGHTEN HEALTH 424772,A81000C,00100,0400,BRIGHTEN HEALTH 424772,A81000C,00100,0600,PARENT COMPANY 424772,A81000C,00200,0100,B 424772,A81000C,00200,0200,BRIGHTEN MANAGE 424772,A81000C,00200,0400,BRIGHTEN MANAGE 424772,A81000C,00200,0600,MANAGEMENT SERV 424772,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424772,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424772,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424772,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424772,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424772,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424772,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424772,B100000,00000,0800,0800MEALS SERVED :DIETARY 424772,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 424772,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 424772,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424772,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424772,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 424772,G300000,02503,0000,BARBER & BEAUTY 424772,S000000,00100,0200,12/28/11 424772,S200000,00100,0100,300 WINTHROP STREET 424772,S200000,00200,0100,MEDFORD 424772,S200000,00200,0200,MA 424772,S200000,00200,0300,02155 424772,S200000,00300,0100,MIDDLESEX 424772,S200000,00300,0201,15764 424772,S200000,00300,0300,U 424772,S200000,00400,0100,BRIGHTEN AT MEDFORD 424772,S200000,00400,0200,225339 424772,S200000,00400,0300,03/08/89 424772,S200000,00400,0500,P 424772,S200000,01500,0100,Y 424772,S200000,01501,0200,N 424772,S200000,01503,0200,N 424772,S200000,01600,0100,N 424772,S200000,01700,0100,N 424772,S200000,01800,0100,N 424772,S200000,02200,0100,N 424772,S200000,02800,0100,N 424772,S200000,02900,0100,N 424772,S200000,03000,0100,N 424772,S200000,03100,0100,N 424772,S200000,03200,0100,N 424772,S200000,03300,0100,N 424772,S200000,03300,0200,N 424772,S200000,04100,0100,N 424772,S200000,04200,0100,N 424772,S200000,04300,0100,N 424772,S200000,04600,0100,N 424772,S200000,04700,0100,N 424772,S200000,04700,0200,N 424772,S200000,04900,0100,N 424772,S200000,05000,0100,N 424772,S200000,05100,0100,N 424772,S200000,05200,0100,N 424772,S200000,05300,0100,N 424773,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424773,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424773,A000000,00300,0000,0300EMPLOYEE BENEFITS 424773,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424773,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424773,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424773,A000000,00700,0000,0700HOUSEKEEPING 424773,A000000,00800,0000,0800DIETARY 424773,A000000,00900,0000,0900NURSING ADMINISTRATION 424773,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424773,A000000,01100,0000,1100PHARMACY 424773,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424773,A000000,01300,0000,1300SOCIAL SERVICE 424773,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424773,A000000,01500,0000,1350ACTIVITIES 424773,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 424773,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 424773,A000000,01600,0000,1600SKILLED NURSING FACILITY 424773,A000000,01800,0000,1800NURSING FACILITY 424773,A000000,01810,0000,1810ICF/MR 424773,A000000,01900,0000,1900OTHER LONG TERM CARE 424773,A000000,02100,0000,2100RADIOLOGY 424773,A000000,02200,0000,2200LABORATORY 424773,A000000,02300,0000,2300INTRAVENOUS THERAPY 424773,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424773,A000000,02500,0000,2500PHYSICAL THERAPY 424773,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424773,A000000,02700,0000,2700SPEECH PATHOLOGY 424773,A000000,02800,0000,2800ELECTROCARDIOLOGY 424773,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424773,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424773,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424773,A000000,03200,0000,3200SUPPORT SURFACES 424773,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 424773,A000000,03301,0000,3051AIR FLUID THERAPY 424773,A000000,03302,0000,3052AMBULANCE 424773,A000000,03303,0000,3053PEN THERAPY 424773,A000000,03304,0000,3054ONCOLOGY 424773,A000000,03305,0000,3055CARDIOLOGY 424773,A000000,03306,0000,3056ULTRASOUND 424773,A000000,03307,0000,3057AUDIOLOGY 424773,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 424773,A000000,03400,0000,3400CLINIC 424773,A000000,03500,0000,3500RURAL HEALTH CLINIC 424773,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 424773,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 424773,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 424773,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 424773,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 424773,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 424773,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 424773,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 424773,A000000,04400,0000,4400DME RENTED - HHA 424773,A000000,04500,0000,4500DME SOLD - HHA 424773,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 424773,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 424773,A000000,04710,0000,4710TELEMEDICINE 424773,A000000,04800,0000,4800AMBULANCE 424773,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424773,A000000,05000,0000,5000CORF 424773,A000000,05100,0000,4750OTHER REIMBURSABLE COST 424773,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424773,A000000,05300,0000,5300INTEREST EXPENSE 424773,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424773,A000000,05500,0000,5500HOSPICE 424773,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424773,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424773,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424773,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424773,A000000,06100,0000,6100NONPAID WORKERS 424773,A000000,06200,0000,6200PATIENTS LAUNDRY 424773,A000000,06300,0000,6150ADULT DAY HEALTH 424773,A000000,06301,0000,6151ASSISTED LIVING 424773,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 424773,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 424773,A81000A,00100,0100,Y 424773,A81000B,00700,0300,ADMINISTRATOR SALARY 424773,A81000C,00100,0100,A 424773,A81000C,00100,0200,HOWARD WINER 424773,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424773,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 424773,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424773,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424773,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424773,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424773,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424773,B100000,00000,0800,0850PATIENT DAYS :DIETARY 424773,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 424773,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424773,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 424773,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424773,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 424773,G300000,02500,0000,OTHER - SEE GROUPINGS 424773,S000000,00100,0200,12/28/11 424773,S200000,00100,0100,670 COUNTY STREET 424773,S200000,00200,0100,NEW BEDFORD 424773,S200000,00200,0200,MA 424773,S200000,00200,0300,02740 424773,S200000,00300,0100,BRISTOL 424773,S200000,00300,0200,1123 424773,S200000,00300,0201,39300 424773,S200000,00300,0300,U 424773,S200000,00400,0100,SAVOY NURSING & REHABILITATION CENTE 424773,S200000,00400,0200,225423 424773,S200000,00400,0300,07/01/90 424773,S200000,00400,0500,P 424773,S200000,00400,0600,P 424773,S200000,01500,0100,Y 424773,S200000,01501,0200,Y 424773,S200000,01503,0200,Y 424773,S200000,01504,0200,Y 424773,S200000,01600,0100,N 424773,S200000,01700,0100,N 424773,S200000,01800,0100,N 424773,S200000,02200,0100,N 424773,S200000,02800,0100,N 424773,S200000,02900,0100,N 424773,S200000,03000,0100,N 424773,S200000,03100,0100,N 424773,S200000,03200,0100,N 424773,S200000,03300,0100,N 424773,S200000,03300,0200,N 424773,S200000,04100,0100,N 424773,S200000,04200,0100,N 424773,S200000,04300,0100,N 424773,S200000,04600,0100,N 424773,S200000,04700,0100,N 424773,S200000,04700,0200,N 424773,S200000,04900,0100,N 424773,S200000,05000,0100,N 424773,S200000,05100,0100,N 424773,S200000,05200,0100,N 424773,S200000,05300,0100,N 424783,S000000,00100,0200,01/11/12 424783,S200000,00100,0100,1000 N. MINTER AVENUE 424783,S200000,00200,0100,THROCKMORTON 424783,S200000,00200,0200,TX 424783,S200000,00200,0300,76483-4900 424783,S200000,00300,0100,THROCKMORTON 424783,S200000,00400,0100,THROCKMORTON COUNTY NURSING HOME 424783,S200000,00400,0300,11/05/94 424805,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424805,A000000,00300,0000,0300EMPLOYEE BENEFITS 424805,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424805,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424805,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424805,A000000,00700,0000,0700HOUSEKEEPING 424805,A000000,00800,0000,0800DIETARY 424805,A000000,00900,0000,0900NURSING ADMINISTRATION 424805,A000000,01100,0000,1100PHARMACY 424805,A000000,01300,0000,1300SOCIAL SERVICE 424805,A000000,01600,0000,1600SKILLED NURSING FACILITY 424805,A000000,02100,0000,2100RADIOLOGY 424805,A000000,02200,0000,2200LABORATORY 424805,A000000,02500,0000,2500PHYSICAL THERAPY 424805,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424805,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424805,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424805,A81000A,00100,0100,N 424805,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424805,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424805,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424805,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424805,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424805,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424805,B100000,00000,0800,0800MEALS SERVED :DIETARY 424805,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 424805,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 424805,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424805,S000000,00100,0200,12/02/11 424805,S200000,00100,0100,204 15TH STREET 424805,S200000,00200,0100,WHEATLAND 424805,S200000,00200,0200,WY 424805,S200000,00200,0300,82201 424805,S200000,00300,0100,PLATTE 424805,S200000,00300,0201,99953 424805,S200000,00300,0300,R 424805,S200000,00400,0100,PLATTE COUNTY MEMORIAL NURSING HOME 424805,S200000,00400,0200,535053 424805,S200000,00400,0300,11/01/10 424805,S200000,00400,0500,P 424805,S200000,01500,0100,Y 424805,S200000,01501,0200,N 424805,S200000,01502,0200,N 424805,S200000,01503,0200,N 424805,S200000,01504,0200,N 424805,S200000,01600,0100,N 424805,S200000,01700,0100,N 424805,S200000,01800,0100,N 424805,S200000,02200,0100,N 424805,S200000,02800,0100,N 424805,S200000,02900,0100,N 424805,S200000,03000,0100,N 424805,S200000,03100,0100,N 424805,S200000,03200,0100,N 424805,S200000,03300,0100,N 424805,S200000,03300,0200,N 424805,S200000,04100,0100,N 424805,S200000,04200,0100,N 424805,S200000,04300,0100,N 424805,S200000,04600,0100,N 424805,S200000,04700,0100,N 424805,S200000,04700,0200,N 424805,S200000,04900,0100,N 424805,S200000,05000,0100,N 424805,S200000,05100,0100,N 424805,S200000,05200,0100,N 424805,S200000,05300,0100,N 424816,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424816,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 424816,A000000,00300,0000,0300EMPLOYEE BENEFITS 424816,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424816,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424816,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424816,A000000,00700,0000,0700HOUSEKEEPING 424816,A000000,00800,0000,0800DIETARY 424816,A000000,00900,0000,0900NURSING ADMINISTRATION 424816,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424816,A000000,01100,0000,1100PHARMACY 424816,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424816,A000000,01300,0000,1300SOCIAL SERVICE 424816,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 424816,A000000,01500,0000,1350ACTIVITIES 424816,A000000,01600,0000,1600SKILLED NURSING FACILITY 424816,A000000,01800,0000,1800NURSING FACILITY 424816,A000000,01810,0000,1810ICF/MR 424816,A000000,02100,0000,2100RADIOLOGY 424816,A000000,02200,0000,2200LABORATORY 424816,A000000,02300,0000,2300INTRAVENOUS THERAPY 424816,A000000,02500,0000,2500PHYSICAL THERAPY 424816,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424816,A000000,02700,0000,2700SPEECH PATHOLOGY 424816,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424816,A000000,02901,0000,2901PEN THERAPY 424816,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424816,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 424816,A000000,03301,0000,3051AMBULANCE 424816,A000000,03550,0000,3550FQHC 424816,A000000,05000,0000,5000CORF 424816,A000000,05010,0000,5010CMHC 424816,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 424816,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 424816,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 424816,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424816,A000000,06300,0000,6150MARKETING SALARIES 424816,A000000,06301,0000,6151DAY CARE 424816,A81000A,00100,0100,Y 424816,A81000B,00100,0300,POOLED OPER&CAPITAL 424816,A81000B,00200,0300,ALLOCATED COSTS 424816,A81000B,00300,0300,ALLOCATED COSTS 424816,A81000B,00400,0300,ALLOCATED COSTS 424816,A81000B,00500,0300,INT DESIGN & FURNISH 424816,A81000B,00600,0300,DEVELOPMENT COST 424816,A81000B,00700,0300,WORK COMP 424816,A81000B,00800,0300,LIABILITY INSURANCE 424816,A81000B,00900,0300,AUTO INSURANCE 424816,A81000B,01000,0300,LEASE PAYMENT 424816,A81000B,01100,0300,HEALTH/LIFE INSURANC 424816,A81000C,00100,0100,A 424816,A81000C,00100,0200,FORREST PRESTON 424816,A81000C,00100,0400,LCCA 424816,A81000C,00100,0600,MANAGEMENT SERV 424816,A81000C,00200,0100,A 424816,A81000C,00200,0200,FORREST PRESTON 424816,A81000C,00200,0400,LIFE CARE DESIG 424816,A81000C,00200,0600,INT DESIGN & FU 424816,A81000C,00300,0100,A 424816,A81000C,00300,0200,FORREST PRESTON 424816,A81000C,00300,0400,LEADER CARE 424816,A81000C,00300,0600,WRKCMP/LIAB/AUT 424816,A81000C,00400,0100,A 424816,A81000C,00400,0200,FORREST PRESTON 424816,A81000C,00400,0400,ASSOC BENEFIT T 424816,A81000C,00400,0600,GROUP HEALTH/LI 424816,A81000C,00500,0100,A 424816,A81000C,00500,0200,FORREST PRESTON 424816,A81000C,00500,0400,WICHITA REAL ES 424816,A81000C,00500,0600,LEASE PAYMENT 424816,A81000C,00600,0100,A 424816,A81000C,00600,0200,FORREST PRESTON 424816,A81000C,00600,0400,RANGELINE CAPIT 424816,A81000C,00600,0600,PROCUREMENT OF 424816,A81000C,00700,0100,A 424816,A81000C,00700,0200,FORREST PRESTON 424816,A81000C,00700,0400,CONSTRUCTION EN 424816,A81000C,00700,0600,CONSTRUCTION 424816,B100000,00000,0100,0100(SQUARE FEET) 424816,B100000,00000,0200,0200(SQUARE FEET) 424816,B100000,00000,0300,0300(GROSS SALARIES) 424816,B100000,00000,0400,0400ACCUM COST 424816,B100000,00000,0500,0500(SQUARE FEET) 424816,B100000,00000,0600,0600PATIENT DAYS 424816,B100000,00000,0700,0700(SQUARE FEET) 424816,B100000,00000,0800,0800(MEALS SERVED) 424816,B100000,00000,0900,0900DIRECT NRSG HR 424816,B100000,00000,1000,1000(COSTED REQUIS) 424816,B100000,00000,1100,1100COSTED REQUIS 424816,B100000,00000,1200,1200GROSS REVENUES 424816,B100000,00000,1300,1300PATIENT DAYS 424816,B100000,00000,1400,1400ASSIGNED TIME 424816,B100000,00000,1500,1350PATIENT DAYS 424816,E10A180,00301,0100,01/28/11 424816,E10A180,00302,0100,08/22/11 424816,G300000,02500,0000,BEAUTY & BARBER 424816,G300000,02501,0000,PRIOR YEAR EXPENSE RECOVERY 424816,G300000,02502,0000,MEDICAL RECORD EXPENSE 424816,S000000,00100,0200,12/27/11 424816,S200000,00100,0100,622 NORTH EDGEMOOR STREET 424816,S200000,00200,0100,WICHITA 424816,S200000,00200,0200,KS 424816,S200000,00200,0300,67208 424816,S200000,00300,0100,SEDGEWICK 424816,S200000,00300,0201,48620 424816,S200000,00300,0300,U 424816,S200000,00400,0100,LIFE CARE CENTER OF WICHITA 424816,S200000,00400,0200,175407 424816,S200000,00400,0300,12/20/96 424816,S200000,00400,0500,P 424816,S200000,00400,0600,P 424816,S200000,01500,0100,Y 424816,S200000,01501,0200,Y 424816,S200000,01502,0200,N 424816,S200000,01503,0200,N 424816,S200000,01504,0200,N 424816,S200000,01505,0000,OTHER 424816,S200000,01505,0200,Y 424816,S200000,01600,0100,N 424816,S200000,01700,0100,N 424816,S200000,01800,0100,N 424816,S200000,01900,0100,LIMITED LIABILITY COMPANY 424816,S200000,02200,0100,Y 424816,S200000,02800,0100,N 424816,S200000,02900,0100,N 424816,S200000,03000,0100,N 424816,S200000,03100,0100,N 424816,S200000,03200,0100,N 424816,S200000,03300,0100,N 424816,S200000,03300,0200,N 424816,S200000,04200,0100,N 424816,S200000,04300,0100,Y 424816,S200000,04600,0100,N 424816,S200000,04700,0100,N 424816,S200000,04900,0100,N 424816,S200000,05200,0100,N 424816,S200000,05300,0100,Y 424816,S200000,05300,0200,44H017 424816,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 424816,S200000,05400,0200,CAHABA GOVERNMNET BENEFITS ADMIN 424816,S200000,05400,0300,10301 424816,S200000,05500,0100,3570 KEITH STREET N.W. 424816,S200000,05600,0100,CLEVELAND 424816,S200000,05600,0200,TN 424816,S200000,05600,0300,37312 424817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 424817,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 424817,A000000,00300,0000,0300EMPLOYEE BENEFITS 424817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 424817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424817,A000000,00700,0000,0700HOUSEKEEPING 424817,A000000,00800,0000,0800DIETARY 424817,A000000,00900,0000,0900NURSING ADMINISTRATION 424817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424817,A000000,01300,0000,1300SOCIAL SERVICE 424817,A000000,01500,0000,1350ACTIVITIES 424817,A000000,01600,0000,1600SKILLED NURSING FACILITY 424817,A000000,01800,0000,1800NURSING FACILITY 424817,A000000,02100,0000,2100RADIOLOGY 424817,A000000,02200,0000,2200LABORATORY 424817,A000000,02300,0000,2300INTRAVENOUS THERAPY 424817,A000000,02500,0000,2500PHYSICAL THERAPY 424817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424817,A000000,02700,0000,2700SPEECH PATHOLOGY 424817,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 424817,A000000,02901,0000,2901PEN THERAPY 424817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424817,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 424817,A000000,03301,0000,3051AMBULANCE 424817,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424817,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424817,A000000,06300,0000,6150MARKETING SALARIES 424817,A000000,06301,0000,6151DAY CARE 424817,A81000A,00100,0100,Y 424817,A81000B,00100,0300,POOLED OPER & CAP 424817,A81000B,00200,0300,ALLOCATED COSTS 424817,A81000B,00300,0300,ALLOCATED COSTS 424817,A81000B,00400,0300,ALLOCATED COSTS 424817,A81000B,00500,0300,ADD L COMPENSATION 424817,A81000B,00600,0300,WORK COMP 424817,A81000B,00700,0300,LIABILITY INSURANCE 424817,A81000B,00800,0300,AUTO INSURANCE 424817,A81000B,00900,0300,LEASE PAYMENT 424817,A81000B,01000,0300,HLTH/LIFE INSURANCE 424817,A81000C,00100,0100,A 424817,A81000C,00100,0200,FORREST PRESTON 424817,A81000C,00100,0400,LCCA 424817,A81000C,00100,0600,MANAGEMENT SERV 424817,A81000C,00200,0100,A 424817,A81000C,00200,0200,FORREST PRESTON 424817,A81000C,00200,0400,LEADER CARE 424817,A81000C,00200,0600,WC/LIAB/AUTO IN 424817,A81000C,00300,0100,A 424817,A81000C,00300,0200,FORREST PRESTON 424817,A81000C,00300,0400,N WOOD HILLS ME 424817,A81000C,00300,0600,LEASE FINANCING 424817,A81000C,00400,0100,A 424817,A81000C,00400,0200,FORREST PRESTON 424817,A81000C,00400,0400,ASSOC BENEFIT T 424817,A81000C,00400,0600,GRP HLTH/LIFE I 424817,A81000C,00500,0100,A 424817,B100000,00000,0100,0100(SQUARE FEET) 424817,B100000,00000,0200,0200(SQUARE FEET) 424817,B100000,00000,0300,0300(GROSS SALARIES) 424817,B100000,00000,0400,0400ACCUM COST 424817,B100000,00000,0500,0500(SQUARE FEET) 424817,B100000,00000,0600,0600PATIENT DAYS 424817,B100000,00000,0700,0700(SQUARE FEET) 424817,B100000,00000,0800,0800(MEALS SERVED) 424817,B100000,00000,0900,0900DIRECT NRSG HRS 424817,B100000,00000,1000,1000(COSTED REQUIS) 424817,B100000,00000,1200,1200GROSS REVENUES 424817,B100000,00000,1300,1300PATIENT DAYS 424817,B100000,00000,1500,1350PATIENT DAYS 424817,E10A180,00301,0100,07/22/11 424817,E10A180,00302,0100,09/20/11 424817,G300000,02500,0000,MISCELLANEOUS 424817,G300000,02501,0000,DAY CARE 424817,S000000,00100,0200,01/23/12 424817,S200000,00100,0100,800 NORTH ARTHUR STREET 424817,S200000,00100,0300,187 424817,S200000,00200,0100,HUMANSVILLE 424817,S200000,00200,0200,MO 424817,S200000,00200,0300,65674 424817,S200000,00300,0100,POLK 424817,S200000,00300,0201,44180 424817,S200000,00300,0300,U 424817,S200000,00400,0100,NORTHWOOD HILLS CARE CENTER 424817,S200000,00400,0200,265381 424817,S200000,00400,0300,09/01/89 424817,S200000,00400,0500,P 424817,S200000,00400,0600,P 424817,S200000,01500,0100,Y 424817,S200000,01501,0200,Y 424817,S200000,01502,0200,Y 424817,S200000,01503,0200,Y 424817,S200000,01504,0200,Y 424817,S200000,01505,0000,OTHER 424817,S200000,01505,0200,Y 424817,S200000,01600,0100,N 424817,S200000,01700,0100,N 424817,S200000,01800,0100,N 424817,S200000,01900,0100,LIMITED LIABILITY COMPANY 424817,S200000,02200,0100,Y 424817,S200000,02800,0100,N 424817,S200000,02900,0100,N 424817,S200000,03000,0100,N 424817,S200000,03100,0100,N 424817,S200000,03200,0100,N 424817,S200000,03300,0100,N 424817,S200000,03300,0200,N 424817,S200000,04200,0100,N 424817,S200000,04300,0100,N 424817,S200000,04600,0100,N 424817,S200000,04700,0100,N 424817,S200000,04900,0100,N 424817,S200000,05200,0100,N 424817,S200000,05300,0100,Y 424817,S200000,05300,0200,44H017 424817,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 424817,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMIN 424817,S200000,05400,0300,10301 424817,S200000,05500,0100,3570 KEITH STREET N.W. 424817,S200000,05600,0100,CLEVELAND 424817,S200000,05600,0200,TN 424817,S200000,05600,0300,37312 424871,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424871,A000000,00300,0000,0300EMPLOYEE BENEFITS 424871,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424871,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424871,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424871,A000000,00700,0000,0700HOUSEKEEPING 424871,A000000,00800,0000,0800DIETARY 424871,A000000,00900,0000,0900NURSING ADMINISTRATION 424871,A000000,01100,0000,1100PHARMACY 424871,A000000,01300,0000,1300SOCIAL SERVICE 424871,A000000,01600,0000,1600SKILLED NURSING FACILITY 424871,A000000,01900,0000,1900OTHER LONG TERM CARE 424871,A000000,02100,0000,2100RADIOLOGY 424871,A000000,02200,0000,2200LABORATORY 424871,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424871,A000000,02500,0000,2500PHYSICAL THERAPY 424871,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424871,A000000,02700,0000,2700SPEECH PATHOLOGY 424871,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424871,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424871,A81000A,00100,0100,N 424871,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424871,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424871,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424871,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424871,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424871,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 424871,B100000,00000,0800,0800MEALS SERVED :DIETARY 424871,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 424871,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 424871,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424871,G300000,02500,0000,MISCELLANEOUS 424871,S000000,00100,0200,01/09/12 424871,S200000,00100,0100,203 4TH STREET NW 424871,S200000,00100,0300,16 424871,S200000,00200,0100,WEST BEND 424871,S200000,00200,0200,IA 424871,S200000,00200,0300,50597 424871,S200000,00300,0100,PALO ALTO 424871,S200000,00300,0201,99916 424871,S200000,00300,0300,R 424871,S200000,00400,0100,WEST BEND CARE CENTER 424871,S200000,00400,0200,165444 424871,S200000,00400,0300,11/14/01 424871,S200000,00400,0500,P 424871,S200000,01500,0100,Y 424871,S200000,01501,0200,N 424871,S200000,01502,0200,N 424871,S200000,01503,0200,N 424871,S200000,01504,0200,N 424871,S200000,01600,0100,N 424871,S200000,01700,0100,N 424871,S200000,01800,0100,N 424871,S200000,01900,0100,LLC 424871,S200000,02200,0100,N 424871,S200000,02800,0100,Y 424871,S200000,02900,0100,N 424871,S200000,03000,0100,N 424871,S200000,03100,0100,N 424871,S200000,03200,0100,N 424871,S200000,03300,0100,N 424871,S200000,03300,0200,N 424871,S200000,04100,0100,N 424871,S200000,04200,0100,N 424871,S200000,04300,0100,N 424871,S200000,04600,0100,N 424871,S200000,04700,0100,N 424871,S200000,04700,0200,N 424871,S200000,04900,0100,N 424871,S200000,05000,0100,N 424871,S200000,05100,0100,N 424871,S200000,05200,0100,N 424871,S200000,05300,0100,N 424887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424887,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 424887,A000000,00300,0000,0300EMPLOYEE BENEFITS 424887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424887,A000000,00700,0000,0700HOUSEKEEPING 424887,A000000,00800,0000,0800DIETARY 424887,A000000,00900,0000,0900NURSING ADMINISTRATION 424887,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424887,A000000,01100,0000,1100PHARMACY 424887,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424887,A000000,01300,0000,1300SOCIAL SERVICE 424887,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 424887,A000000,01600,0000,1600SKILLED NURSING FACILITY 424887,A000000,01800,0000,1800NURSING FACILITY 424887,A000000,01900,0000,1900OTHER LONG TERM CARE 424887,A000000,02100,0000,2100RADIOLOGY 424887,A000000,02200,0000,2200LABORATORY 424887,A000000,02300,0000,2300INTRAVENOUS THERAPY 424887,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424887,A000000,02500,0000,2500PHYSICAL THERAPY 424887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424887,A000000,02700,0000,2700SPEECH PATHOLOGY 424887,A000000,02800,0000,2800ELECTROCARDIOLOGY 424887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424887,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 424887,A000000,03200,0000,3200SUPPORT SURFACES 424887,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 424887,A000000,03400,0000,3400CLINIC 424887,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 424887,A000000,04800,0000,4800AMBULANCE 424887,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 424887,A000000,05000,0000,5000CORF 424887,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424887,A000000,05300,0000,5300INTEREST EXPENSE 424887,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424887,A000000,05500,0000,5500HOSPICE 424887,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424887,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424887,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424887,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424887,A000000,06100,0000,6100NONPAID WORKERS 424887,A000000,06200,0000,6200PATIENTS LAUNDRY 424887,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 424887,A81000A,00100,0100,Y 424887,A81000B,00100,0300,NURSING CONSULTING 424887,A81000B,00200,0300,DIETARY CONSULTING 424887,A81000B,00300,0300,HOME OFFICE 424887,A81000B,00400,0300,INTEREST EXPENSE 424887,A81000B,00500,0300,WORKERS COMP EXPENSE 424887,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 424887,A81000B,00700,0300,LINEN & BEDDING 424887,A81000B,00800,0300,PAPER PRODUCTS & HAND SOAP 424887,A81000B,00900,0300,SUPPLIES 424887,A81000B,01000,0300,DIETARY SUPPLEMENTS 424887,A81000B,01100,0300,SUPPLIES 424887,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 424887,A81000B,01300,0300,PERSONAL CARE SUPPLIES 424887,A81000B,01400,0300,INCONTINENCE SUPPLIES 424887,A81000B,01500,0300,MEDICAL SUPPLIES 424887,A81000B,01600,0300,OXYGEN THERAPY SUPPLIES 424887,A81000B,01700,0300,BILLABLE MEDICAL SUPPLIES 424887,A81000B,01800,0300,NON-LEGEND DRUGS 424887,A81000B,01900,0300,PHARMACY CONSULTANT 424887,A81000B,02000,0300,SUPPLIES 424887,A81000B,02100,0300,LEGEND DRUGS 424887,A81000B,02200,0300,OFFICE SUPPLIES 424887,A81000B,02300,0300,REPAIRS-BUILDING 424887,A81000C,00100,0100,B 424887,A81000C,00100,0400,BRITTHAVEN INC 424887,A81000C,00100,0600,MGMT SERVICES 424887,A81000C,00200,0100,B 424887,A81000C,00200,0400,BRITTHAVEN INC 424887,A81000C,00200,0600,MGMT SERVICES 424887,A81000C,00300,0100,B 424887,A81000C,00300,0400,BRITTHAVEN INC 424887,A81000C,00300,0600,MGMT SERVICES 424887,A81000C,00400,0100,B 424887,A81000C,00400,0400,BRITTHAVEN INC 424887,A81000C,00400,0600,MGMT SERVICES 424887,A81000C,00500,0100,A 424887,A81000C,00500,0200,DISCOVERY INSUR 424887,A81000C,00500,0600,INSURANCE 424887,A81000C,00600,0100,A 424887,A81000C,00600,0200,QUEENSLAND ASSU 424887,A81000C,00600,0600,INSURANCE 424887,A81000C,00700,0100,B 424887,A81000C,00700,0400,KARE MEDICAL 424887,A81000C,00700,0600,WHOLESALE SUPPL 424887,A81000C,00800,0100,B 424887,A81000C,00800,0400,KARE MEDICAL 424887,A81000C,00800,0600,WHOLESALE SUPPL 424887,A81000C,00900,0100,B 424887,A81000C,00900,0400,KARE MEDICAL 424887,A81000C,00900,0600,WHOLESALE SUPPL 424887,A81000C,01000,0100,B 424887,A81000C,01000,0400,KARE MEDICAL 424887,A81000C,01000,0600,WHOLESALE SUPPL 424887,A81000C,01001,0100,B 424887,A81000C,01001,0400,KARE MEDICAL 424887,A81000C,01001,0600,WHOLESALE SUPPL 424887,A81000C,01002,0100,B 424887,A81000C,01002,0400,KARE MEDICAL 424887,A81000C,01002,0600,WHOLESALE SUPPL 424887,A81000C,01003,0100,B 424887,A81000C,01003,0400,KARE MEDICAL 424887,A81000C,01003,0600,WHOLESALE SUPPL 424887,A81000C,01004,0100,B 424887,A81000C,01004,0400,KARE MEDICAL 424887,A81000C,01004,0600,WHOLESALE SUPPL 424887,A81000C,01005,0100,B 424887,A81000C,01005,0400,KARE MEDICAL 424887,A81000C,01005,0600,WHOLESALE SUPPL 424887,A81000C,01006,0100,B 424887,A81000C,01006,0400,KARE MEDICAL 424887,A81000C,01006,0600,WHOLESALE SUPPL 424887,A81000C,01007,0100,B 424887,A81000C,01007,0400,KARE MEDICAL 424887,A81000C,01007,0600,WHOLESALE SUPPL 424887,A81000C,01008,0100,B 424887,A81000C,01008,0400,PHARMSAVE 424887,A81000C,01008,0600,RX SUPPLY 424887,A81000C,01009,0100,B 424887,A81000C,01009,0400,PHARMSAVE 424887,A81000C,01009,0600,RX SUPPLY 424887,A81000C,01010,0100,B 424887,A81000C,01010,0400,PHARMSAVE 424887,A81000C,01010,0600,RX SUPPLY 424887,A81000C,01011,0100,B 424887,A81000C,01011,0400,PHARMSAVE 424887,A81000C,01011,0600,RX SUPPLY 424887,A81000C,01012,0100,B 424887,A81000C,01012,0400,ROBERT HILL CON 424887,A81000C,01012,0600,CONSTRUCTION 424887,A81000C,01013,0100,B 424887,A81000C,01013,0400,ROBERT HILL CON 424887,A81000C,01013,0600,CONSTRUCTION 424887,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424887,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424887,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424887,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424887,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424887,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424887,B100000,00000,0800,0800MEALS SERVED :DIETARY 424887,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 424887,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 424887,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 424887,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424887,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424887,G300000,02500,0000, OTHER (SPECIFY) 424887,S000000,00100,0200,06/29/11 424887,S200000,00100,0100,221 SUMMER REST ROAD 424887,S200000,00200,0100,WILMINGTON 424887,S200000,00200,0200,NC 424887,S200000,00200,0300,28405 424887,S200000,00300,0100,NEW HANOVER 424887,S200000,00300,0201,48900 424887,S200000,00300,0300,U 424887,S200000,00400,0100,BRITTHAVEN OF WRIGHTSVILLE 424887,S200000,00400,0200,345368 424887,S200000,00400,0300,04/23/91 424887,S200000,00400,0500,P 424887,S200000,01500,0100,Y 424887,S200000,01501,0200,Y 424887,S200000,01503,0200,Y 424887,S200000,01504,0200,Y 424887,S200000,01505,0000,OTHER (SPECIFY) 424887,S200000,01505,0200,Y 424887,S200000,01600,0100,N 424887,S200000,01700,0100,N 424887,S200000,01800,0100,N 424887,S200000,02200,0100,N 424887,S200000,02800,0100,N 424887,S200000,02900,0100,N 424887,S200000,03000,0100,N 424887,S200000,03100,0100,N 424887,S200000,03200,0100,N 424887,S200000,03300,0100,N 424887,S200000,03300,0200,N 424887,S200000,03600,0100,N 424887,S200000,03600,0200,N 424887,S200000,04100,0100,N 424887,S200000,04200,0100,N 424887,S200000,04300,0100,N 424887,S200000,04600,0100,N 424887,S200000,04700,0100,N 424887,S200000,04700,0200,N 424887,S200000,04900,0100,N 424887,S200000,05000,0100,N 424887,S200000,05100,0100,N 424887,S200000,05200,0100,N 424887,S200000,05300,0100,Y 424887,S200000,05300,0200,349011 424887,S200000,05400,0100,BRITTHAVEN INC. 424887,S200000,05400,0200,PALMETTO GBA 424887,S200000,05400,0300,11501 424887,S200000,05500,0100,1435 HWY 258 N 424887,S200000,05500,0200,PO BOX 61 424887,S200000,05600,0100,KINSTON 424887,S200000,05600,0200,NC 424887,S200000,05600,0300,28502 424960,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424960,A000000,00300,0000,0300EMPLOYEE BENEFITS 424960,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424960,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424960,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424960,A000000,00700,0000,0700HOUSEKEEPING 424960,A000000,00800,0000,0800DIETARY 424960,A000000,00900,0000,0900NURSING ADMINISTRATION 424960,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424960,A000000,01300,0000,1300SOCIAL SERVICE 424960,A000000,01600,0000,1600SKILLED NURSING FACILITY 424960,A000000,01800,0000,1800NURSING FACILITY 424960,A000000,01900,0000,1900OTHER LONG TERM CARE 424960,A000000,02100,0000,2100RADIOLOGY 424960,A000000,02200,0000,2200LABORATORY 424960,A000000,02500,0000,2500PHYSICAL THERAPY 424960,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424960,A000000,02700,0000,2700SPEECH PATHOLOGY 424960,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424960,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424960,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 424960,A000000,05300,0000,5300INTEREST EXPENSE 424960,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 424960,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 424960,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 424960,A000000,05900,0000,5900BARBER & BEAUTY SHOP 424960,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 424960,A000000,06100,0000,6100NONPAID WORKERS 424960,A000000,06200,0000,6200PATIENTS LAUNDRY 424960,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 424960,A81000A,00100,0100,N 424960,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424960,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424960,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424960,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424960,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 424960,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424960,B100000,00000,0800,0800MEALS SERVED :DIETARY 424960,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 424960,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 424960,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 424960,E10A180,00301,0100,04/25/11 424960,G300000,02500,0000,OTHER MEDICAL SERVICES 424960,G300000,02501,0000,BARBER & BEAUTY 424960,G300000,02502,0000,OTHER REVENUE 424960,G300000,02503,0000,ROUNDING 424960,S000000,00100,0200,01/17/12 424960,S200000,00100,0100,702 W CUMBERLAND 424960,S200000,00200,0100,ALTAMONT 424960,S200000,00200,0200,IL 424960,S200000,00200,0300,62411 424960,S200000,00300,0100,EFFINGHAM 424960,S200000,00300,0200,14 424960,S200000,00300,0201,99914 424960,S200000,00300,0300,R 424960,S200000,00400,0100,LUTHERAN CARE CENTER 424960,S200000,00400,0200,145380 424960,S200000,00400,0300,01/01/89 424960,S200000,00400,0500,P 424960,S200000,01500,0100,Y 424960,S200000,01501,0200,Y 424960,S200000,01600,0100,N 424960,S200000,01700,0100,N 424960,S200000,01800,0100,N 424960,S200000,02200,0100,N 424960,S200000,02800,0100,N 424960,S200000,02900,0100,N 424960,S200000,03000,0100,N 424960,S200000,03100,0100,N 424960,S200000,03200,0100,N 424960,S200000,03300,0100,N 424960,S200000,03300,0200,N 424960,S200000,04100,0100,N 424960,S200000,04200,0100,N 424960,S200000,04300,0100,N 424960,S200000,04600,0100,N 424960,S200000,04700,0100,N 424960,S200000,04700,0200,N 424960,S200000,04900,0100,N 424960,S200000,05000,0100,N 424960,S200000,05100,0100,N 424960,S200000,05200,0100,N 424967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424967,A000000,00300,0000,0300EMPLOYEE BENEFITS 424967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424967,A000000,00700,0000,0700HOUSEKEEPING 424967,A000000,00800,0000,0800DIETARY 424967,A000000,00900,0000,0900NURSING ADMINISTRATION 424967,A000000,01100,0000,1100PHARMACY 424967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424967,A000000,01300,0000,1300SOCIAL SERVICE 424967,A000000,01600,0000,1600SKILLED NURSING FACILITY 424967,A000000,02100,0000,2100RADIOLOGY 424967,A000000,02200,0000,2200LABORATORY 424967,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424967,A000000,02500,0000,2500PHYSICAL THERAPY 424967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424967,A000000,02700,0000,2700SPEECH PATHOLOGY 424967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424967,A000000,02901,0000,2901SPECIAL CHARGES 424967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424967,A81000A,00100,0100,N 424967,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424967,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424967,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424967,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424967,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 424967,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 424967,B100000,00000,0800,0800MEALS SERVED :DIETARY 424967,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 424967,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 424967,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 424967,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 424967,G300000,02500,0000,MISCELLANEOUS 424967,S000000,00100,0200,01/09/12 424967,S200000,00100,0100,1720 BURTON DRIVE 424967,S200000,00200,0100,FALL CITY 424967,S200000,00200,0200,NE 424967,S200000,00200,0300,68355 424967,S200000,00300,0100,RICHARDSON 424967,S200000,00300,0201,99928 424967,S200000,00300,0300,R 424967,S200000,00400,0100,CAREAGE ESTATES 424967,S200000,00400,0200,285055 424967,S200000,00400,0300,01/01/95 424967,S200000,00400,0500,P 424967,S200000,01500,0100,Y 424967,S200000,01501,0200,N 424967,S200000,01502,0200,N 424967,S200000,01503,0200,N 424967,S200000,01504,0200,N 424967,S200000,01600,0100,N 424967,S200000,01700,0100,N 424967,S200000,01800,0100,N 424967,S200000,01900,0100,LLC 424967,S200000,02200,0100,N 424967,S200000,02800,0100,Y 424967,S200000,02900,0100,N 424967,S200000,03000,0100,N 424967,S200000,03100,0100,N 424967,S200000,03200,0100,N 424967,S200000,03300,0100,N 424967,S200000,03300,0200,N 424967,S200000,04100,0100,N 424967,S200000,04200,0100,N 424967,S200000,04300,0100,N 424967,S200000,04600,0100,N 424967,S200000,04700,0100,N 424967,S200000,04700,0200,N 424967,S200000,04900,0100,N 424967,S200000,05000,0100,N 424967,S200000,05100,0100,N 424967,S200000,05200,0100,N 424967,S200000,05300,0100,N 424968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 424968,A000000,00300,0000,0300EMPLOYEE BENEFITS 424968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 424968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 424968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 424968,A000000,00700,0000,0700HOUSEKEEPING 424968,A000000,00800,0000,0800DIETARY 424968,A000000,00900,0000,0900NURSING ADMINISTRATION 424968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 424968,A000000,01100,0000,1100PHARMACY 424968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 424968,A000000,01300,0000,1300SOCIAL SERVICE 424968,A000000,01600,0000,1600SKILLED NURSING FACILITY 424968,A000000,01900,0000,1900OTHER LONG TERM CARE 424968,A000000,02100,0000,2100RADIOLOGY 424968,A000000,02200,0000,2200LABORATORY 424968,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 424968,A000000,02500,0000,2500PHYSICAL THERAPY 424968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 424968,A000000,02700,0000,2700SPEECH PATHOLOGY 424968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 424968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 424968,A81000A,00100,0100,N 424968,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 424968,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 424968,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 424968,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 424968,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 424968,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 424968,B100000,00000,0800,0850INPATIENT DAYS :DIETARY 424968,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 424968,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 424968,B100000,00000,1100,1150INPATIENT DAYS :PHARMACY 424968,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 424968,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 424968,G300000,02500,0000,MISCELLANEOUS 424968,S000000,00100,0200,01/09/12 424968,S200000,00100,0100,811 E 14TH STREET 424968,S200000,00200,0100,WAYNE 424968,S200000,00200,0200,NE 424968,S200000,00200,0300,68787 424968,S200000,00300,0100,WAYNE 424968,S200000,00300,0201,99928 424968,S200000,00300,0300,R 424968,S200000,00400,0100,CAREAGE OF WAYNE 424968,S200000,00400,0200,285135 424968,S200000,00400,0300,01/15/94 424968,S200000,00400,0500,P 424968,S200000,01500,0100,Y 424968,S200000,01501,0200,N 424968,S200000,01502,0200,N 424968,S200000,01503,0200,N 424968,S200000,01504,0200,N 424968,S200000,01600,0100,N 424968,S200000,01700,0100,N 424968,S200000,01800,0100,N 424968,S200000,01900,0100,LLC 424968,S200000,02200,0100,N 424968,S200000,02800,0100,Y 424968,S200000,02900,0100,N 424968,S200000,03000,0100,N 424968,S200000,03100,0100,N 424968,S200000,03200,0100,N 424968,S200000,03300,0100,N 424968,S200000,03300,0200,N 424968,S200000,04100,0100,N 424968,S200000,04200,0100,N 424968,S200000,04300,0100,N 424968,S200000,04600,0100,N 424968,S200000,04700,0100,N 424968,S200000,04700,0200,N 424968,S200000,04900,0100,N 424968,S200000,05000,0100,N 424968,S200000,05100,0100,N 424968,S200000,05200,0100,N 424968,S200000,05300,0100,N 425003,S000000,00100,0200,01/12/12 425003,S200000,00100,0100,1310 EAST CLEVELAND 425003,S200000,00200,0100,SAPULPA 425003,S200000,00200,0200,OK 425003,S200000,00200,0300,74066-4808 425003,S200000,00300,0100,CREEK 425003,S200000,00400,0100,RANCH TERRACE NURSING HOME INC 425003,S200000,00400,0300,05/26/10 425017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425017,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425017,A000000,00300,0000,0300EMPLOYEE BENEFITS 425017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425017,A000000,00700,0000,0700HOUSEKEEPING 425017,A000000,00800,0000,0800DIETARY 425017,A000000,00900,0000,0900NURSING ADMINISTRATION 425017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425017,A000000,01100,0000,1100PHARMACY 425017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425017,A000000,01300,0000,1300SOCIAL SERVICE 425017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425017,A000000,01500,0000,1350RECREATION 425017,A000000,01600,0000,1600SKILLED NURSING FACILITY 425017,A000000,01810,0000,1810ICF/MR 425017,A000000,02100,0000,2100RADIOLOGY 425017,A000000,02200,0000,2200LABORATORY 425017,A000000,02300,0000,2300INTRAVENOUS THERAPY 425017,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425017,A000000,02500,0000,2500PHYSICAL THERAPY 425017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425017,A000000,02700,0000,2700SPEECH PATHOLOGY 425017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425017,A000000,03550,0000,3550FQHC 425017,A000000,04801,0000,4801AMBULANCE 425017,A000000,04802,0000,4802AMBULANCE 425017,A000000,04803,0000,4803AMBULANCE 425017,A000000,05000,0000,5000CORF 425017,A000000,05010,0000,5010CMHC 425017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425017,A81000A,00100,0100,Y 425017,A81000B,00100,0300,SEE ATTACHED 425017,A81000B,00200,0300,CAPITAL INTEREST 425017,A81000B,00300,0300,HOME OFFICE 425017,A81000B,00400,0300,HOME OFFICE 425017,A81000C,00100,0100,B 425017,A81000C,00100,0400,SEE ATTACHED 425017,A81000C,00100,0600,VARIOUS 425017,A81000C,00200,0100,B 425017,A81000C,00200,0400,GHC 425017,A81000C,00200,0600,LONG TERM CARE 425017,A81000C,00300,0100,B 425017,A81000C,00300,0400,GHC 425017,A81000C,00300,0600,LONG TERM CARE 425017,A81000C,00400,0100,B 425017,A81000C,00400,0400,GHC 425017,A81000C,00400,0600,LONG TERM CARE 425017,B100000,00000,0100,0100SQUARE FEET 425017,B100000,00000,0200,0200SQUARE FEET 425017,B100000,00000,0300,0300GROSS SALARIES 425017,B100000,00000,0400,0400ACCUM COST 425017,B100000,00000,0500,0500SQUARE FEET 425017,B100000,00000,0600,0600PATIENT DAYS 425017,B100000,00000,0700,0700SQUARE FEET 425017,B100000,00000,0800,0800MEALS SERVED 425017,B100000,00000,0900,0900NURSING SALARIES 425017,B100000,00000,1000,1000COSTED REQUIS 425017,B100000,00000,1100,1100COSTED REQUIS 425017,B100000,00000,1200,1200PATIENT DAYS 425017,B100000,00000,1300,1300PATIENT DAYS 425017,B100000,00000,1400,1400ASSIGNED TIME 425017,B100000,00000,1500,1350PATIENT DAYS 425017,S000000,00100,0200,09/12/11 425017,S200000,00100,0100,65 COOPER STREET 425017,S200000,00200,0100,AGAWAM 425017,S200000,00200,0200,MA 425017,S200000,00200,0300,01001 425017,S200000,00300,0100,HAMPDEN 425017,S200000,00300,0201,44140 425017,S200000,00300,0300,U 425017,S200000,00400,0100,HERITAGE HALL SOUTH 425017,S200000,00400,0200,225176 425017,S200000,00400,0300,07/01/85 425017,S200000,00400,0500,P 425017,S200000,01500,0100,Y 425017,S200000,01501,0200,N 425017,S200000,01502,0200,N 425017,S200000,01503,0200,N 425017,S200000,01504,0200,N 425017,S200000,01600,0100,N 425017,S200000,01700,0100,N 425017,S200000,01800,0100,N 425017,S200000,02200,0100,Y 425017,S200000,02800,0100,N 425017,S200000,02900,0100,N 425017,S200000,03000,0100,N 425017,S200000,03100,0100,N 425017,S200000,03200,0100,N 425017,S200000,03300,0100,N 425017,S200000,03300,0200,N 425017,S200000,04200,0100,N 425017,S200000,04300,0100,N 425017,S200000,04600,0100,N 425017,S200000,04700,0100,N 425017,S200000,04900,0100,N 425017,S200000,05200,0100,N 425017,S200000,05300,0100,Y 425017,S200000,05300,0200,HB0067 425017,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425017,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425017,S200000,05400,0300,12001 425017,S200000,05500,0100,101 EAST STATE STREET 425017,S200000,05600,0100,KENNETT SQUARE 425017,S200000,05600,0200,PA 425017,S200000,05600,0300,19348 425018,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425018,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425018,A000000,00300,0000,0300EMPLOYEE BENEFITS 425018,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425018,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425018,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425018,A000000,00700,0000,0700HOUSEKEEPING 425018,A000000,00800,0000,0800DIETARY 425018,A000000,00900,0000,0900NURSING ADMINISTRATION 425018,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425018,A000000,01100,0000,1100PHARMACY 425018,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425018,A000000,01300,0000,1300SOCIAL SERVICE 425018,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425018,A000000,01500,0000,1350RECREATION 425018,A000000,01600,0000,1600SKILLED NURSING FACILITY 425018,A000000,01810,0000,1810ICF/MR 425018,A000000,02100,0000,2100RADIOLOGY 425018,A000000,02200,0000,2200LABORATORY 425018,A000000,02300,0000,2300INTRAVENOUS THERAPY 425018,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425018,A000000,02500,0000,2500PHYSICAL THERAPY 425018,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425018,A000000,02700,0000,2700SPEECH PATHOLOGY 425018,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425018,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425018,A000000,03550,0000,3550FQHC 425018,A000000,04801,0000,4801AMBULANCE 425018,A000000,04802,0000,4802AMBULANCE 425018,A000000,04803,0000,4803AMBULANCE 425018,A000000,05000,0000,5000CORF 425018,A000000,05010,0000,5010CMHC 425018,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425018,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425018,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425018,A81000A,00100,0100,Y 425018,A81000B,00100,0300,SEE ATTACHED 425018,A81000B,00200,0300,HOME OFFICE INTEREST 425018,A81000B,00300,0300,HOME OFFICE A & G 425018,A81000B,00400,0300,HOME OFFICE CAPITAL 425018,A81000C,00100,0100,B 425018,A81000C,00100,0400,SEE ATTACHED 425018,A81000C,00100,0600,VARIOUS 425018,A81000C,00200,0100,B 425018,A81000C,00200,0400,GHC 425018,A81000C,00200,0600,LONG TERM CARE 425018,A81000C,00300,0100,B 425018,A81000C,00300,0400,GHC 425018,A81000C,00300,0600,LONG TERM CARE 425018,A81000C,00400,0100,B 425018,A81000C,00400,0400,GHC 425018,A81000C,00400,0600,LONG TERM CARE 425018,B100000,00000,0100,0100SQUARE FEET 425018,B100000,00000,0200,0200SQUARE FEET 425018,B100000,00000,0300,0300GROSS SALARIES 425018,B100000,00000,0400,0400ACCUM COST 425018,B100000,00000,0500,0500SQUARE FEET 425018,B100000,00000,0600,0600PATIENT DAYS 425018,B100000,00000,0700,0700SQUARE FEET 425018,B100000,00000,0800,0800MEALS SERVED 425018,B100000,00000,0900,0900NURSING SALARIES 425018,B100000,00000,1000,1000COSTED REQUIS 425018,B100000,00000,1100,1100COSTED REQUIS 425018,B100000,00000,1200,1200PATIENT DAYS 425018,B100000,00000,1300,1300PATIENT DAYS 425018,B100000,00000,1400,1400ASSIGNED TIME 425018,B100000,00000,1500,1350PATIENT DAYS 425018,S000000,00100,0200,09/12/11 425018,S200000,00100,0100,61 COOPER STREET 425018,S200000,00200,0100,AGAWAM 425018,S200000,00200,0200,MA 425018,S200000,00200,0300,01001 425018,S200000,00300,0100,HAMPDEN 425018,S200000,00300,0201,44140 425018,S200000,00300,0300,U 425018,S200000,00400,0100,HERITAGE HALL WEST 425018,S200000,00400,0200,225253 425018,S200000,00400,0300,07/01/85 425018,S200000,00400,0500,P 425018,S200000,01500,0100,Y 425018,S200000,01501,0200,N 425018,S200000,01502,0200,N 425018,S200000,01503,0200,N 425018,S200000,01504,0200,N 425018,S200000,01600,0100,N 425018,S200000,01700,0100,N 425018,S200000,01800,0100,N 425018,S200000,02200,0100,Y 425018,S200000,02800,0100,N 425018,S200000,02900,0100,N 425018,S200000,03000,0100,N 425018,S200000,03100,0100,N 425018,S200000,03200,0100,N 425018,S200000,03300,0100,N 425018,S200000,03300,0200,N 425018,S200000,04200,0100,N 425018,S200000,04300,0100,N 425018,S200000,04600,0100,N 425018,S200000,04700,0100,N 425018,S200000,04900,0100,N 425018,S200000,05200,0100,N 425018,S200000,05300,0100,Y 425018,S200000,05300,0200,HB0067 425018,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425018,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425018,S200000,05400,0300,12001 425018,S200000,05500,0100,101 EAST STATE STREET 425018,S200000,05600,0100,KENNETT SQUARE 425018,S200000,05600,0200,PA 425018,S200000,05600,0300,19348 425019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425019,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425019,A000000,00300,0000,0300EMPLOYEE BENEFITS 425019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425019,A000000,00700,0000,0700HOUSEKEEPING 425019,A000000,00800,0000,0800DIETARY 425019,A000000,00900,0000,0900NURSING ADMINISTRATION 425019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425019,A000000,01100,0000,1100PHARMACY 425019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425019,A000000,01300,0000,1300SOCIAL SERVICE 425019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425019,A000000,01500,0000,1350RECREATION 425019,A000000,01600,0000,1600SKILLED NURSING FACILITY 425019,A000000,01810,0000,1810ICF/MR 425019,A000000,02100,0000,2100RADIOLOGY 425019,A000000,02200,0000,2200LABORATORY 425019,A000000,02300,0000,2300INTRAVENOUS THERAPY 425019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425019,A000000,02500,0000,2500PHYSICAL THERAPY 425019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425019,A000000,02700,0000,2700SPEECH PATHOLOGY 425019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425019,A000000,03550,0000,3550FQHC 425019,A000000,04801,0000,4801AMBULANCE 425019,A000000,04802,0000,4802AMBULANCE 425019,A000000,04803,0000,4803AMBULANCE 425019,A000000,05000,0000,5000CORF 425019,A000000,05010,0000,5010CMHC 425019,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425019,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425019,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425019,A81000A,00100,0100,Y 425019,A81000B,00100,0300,AS ATTACHED 425019,A81000B,00200,0300,HOME OFFICE INTEREST 425019,A81000B,00300,0300,HOME OFFICE A&G 425019,A81000B,00400,0300,HOME OFFICE CAP PIEC 425019,A81000C,00100,0100,B 425019,A81000C,00100,0400,AS ATTACHED 425019,A81000C,00100,0600,VARIOUS 425019,A81000C,00200,0100,B 425019,A81000C,00200,0400,GHC 425019,A81000C,00200,0600,LONG TERM CARE 425019,A81000C,00300,0100,B 425019,A81000C,00300,0400,GHC 425019,A81000C,00300,0600,LONG TERM CARE 425019,A81000C,00400,0100,B 425019,A81000C,00400,0400,GHC 425019,A81000C,00400,0600,LONG TERM CARE 425019,B100000,00000,0100,0100SQUARE FEET 425019,B100000,00000,0200,0200SQUARE FEET 425019,B100000,00000,0300,0300GROSS SALARIES 425019,B100000,00000,0400,0400ACCUM COST 425019,B100000,00000,0500,0500SQUARE FEET 425019,B100000,00000,0600,0600PATIENT DAYS 425019,B100000,00000,0700,0700SQUARE FEET 425019,B100000,00000,0800,0800MEALS SERVED 425019,B100000,00000,0900,0900NURSING SALARIES 425019,B100000,00000,1000,1000COSTED REQUIS 425019,B100000,00000,1100,1100COSTED REQUIS 425019,B100000,00000,1200,1200PATIENT DAYS 425019,B100000,00000,1300,1300PATIENT DAYS 425019,B100000,00000,1400,1400ASSIGNED TIME 425019,B100000,00000,1500,1350PATIENT DAYS 425019,G300000,02500,0000,INTEREST INCOME 425019,S000000,00100,0200,09/12/11 425019,S200000,00100,0100,464 MAIN STREET 425019,S200000,00200,0100,AGAWAM 425019,S200000,00200,0200,MA 425019,S200000,00200,0300,01001 425019,S200000,00300,0100,HAMPDEN 425019,S200000,00300,0201,44140 425019,S200000,00300,0300,U 425019,S200000,00400,0100,HERITAGE HALL EAST 425019,S200000,00400,0200,225286 425019,S200000,00400,0300,10/01/86 425019,S200000,00400,0500,P 425019,S200000,01500,0100,Y 425019,S200000,01501,0200,N 425019,S200000,01502,0200,N 425019,S200000,01503,0200,N 425019,S200000,01504,0200,N 425019,S200000,01600,0100,N 425019,S200000,01700,0100,N 425019,S200000,01800,0100,N 425019,S200000,02200,0100,Y 425019,S200000,02800,0100,N 425019,S200000,02900,0100,N 425019,S200000,03000,0100,N 425019,S200000,03100,0100,N 425019,S200000,03200,0100,N 425019,S200000,03300,0100,N 425019,S200000,03300,0200,N 425019,S200000,04200,0100,N 425019,S200000,04300,0100,N 425019,S200000,04600,0100,N 425019,S200000,04700,0100,N 425019,S200000,04900,0100,N 425019,S200000,05200,0100,N 425019,S200000,05300,0100,Y 425019,S200000,05300,0200,HB0067 425019,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425019,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425019,S200000,05400,0300,12001 425019,S200000,05500,0100,101 EAST STATE STREET 425019,S200000,05600,0100,KENNETT SQUARE 425019,S200000,05600,0200,PA 425019,S200000,05600,0300,19348 425020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425020,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425020,A000000,00300,0000,0300EMPLOYEE BENEFITS 425020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425020,A000000,00700,0000,0700HOUSEKEEPING 425020,A000000,00800,0000,0800DIETARY 425020,A000000,00900,0000,0900NURSING ADMINISTRATION 425020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425020,A000000,01100,0000,1100PHARMACY 425020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425020,A000000,01300,0000,1300SOCIAL SERVICE 425020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425020,A000000,01500,0000,1350RECREATION 425020,A000000,01600,0000,1600SKILLED NURSING FACILITY 425020,A000000,01810,0000,1810ICF/MR 425020,A000000,02100,0000,2100RADIOLOGY 425020,A000000,02200,0000,2200LABORATORY 425020,A000000,02300,0000,2300INTRAVENOUS THERAPY 425020,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425020,A000000,02500,0000,2500PHYSICAL THERAPY 425020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425020,A000000,02700,0000,2700SPEECH PATHOLOGY 425020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425020,A000000,03550,0000,3550FQHC 425020,A000000,04801,0000,4801AMBULANCE 425020,A000000,04802,0000,4802AMBULANCE 425020,A000000,04803,0000,4803AMBULANCE 425020,A000000,05000,0000,5000CORF 425020,A000000,05010,0000,5010CMHC 425020,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425020,A81000A,00100,0100,Y 425020,A81000B,00100,0300,SEE ATTACHED 425020,A81000B,00200,0300,CAPITAL INTEREST 425020,A81000B,00300,0300,HOME OFFICE 425020,A81000B,00400,0300,HOME OFFICE 425020,A81000C,00100,0100,B 425020,A81000C,00100,0400,SEE ATTACHED 425020,A81000C,00100,0600,VARIOUS 425020,A81000C,00200,0100,B 425020,A81000C,00200,0400,GHC 425020,A81000C,00200,0600,LONG TERM CARE 425020,A81000C,00300,0100,B 425020,A81000C,00300,0400,GHC 425020,A81000C,00300,0600,LONG TERM CARE 425020,A81000C,00400,0100,B 425020,A81000C,00400,0400,GHC 425020,A81000C,00400,0600,LONG TERM CARE 425020,B100000,00000,0100,0100SQUARE FEET 425020,B100000,00000,0200,0200SQUARE FEET 425020,B100000,00000,0300,0300GROSS SALARIES 425020,B100000,00000,0400,0400ACCUM COST 425020,B100000,00000,0500,0500SQUARE FEET 425020,B100000,00000,0600,0600PATIENT DAYS 425020,B100000,00000,0700,0700SQUARE FEET 425020,B100000,00000,0800,0800MEALS SERVED 425020,B100000,00000,0900,0900NURSING SALARIES 425020,B100000,00000,1000,1000COSTED REQUIS 425020,B100000,00000,1100,1100COSTED REQUIS 425020,B100000,00000,1200,1200PATIENT DAYS 425020,B100000,00000,1300,1300PATIENT DAYS 425020,B100000,00000,1400,1400ASSIGNED TIME 425020,B100000,00000,1500,1350PATIENT DAYS 425020,G300000,02500,0000,BARBER & BEAUTY 425020,S000000,00100,0200,09/12/11 425020,S200000,00100,0100,55 COOPER STREET 425020,S200000,00200,0100,AGAWAM 425020,S200000,00200,0200,MA 425020,S200000,00200,0300,01001 425020,S200000,00300,0100,HAMPDEN 425020,S200000,00300,0201,44140 425020,S200000,00300,0300,U 425020,S200000,00400,0100,HERITAGE HALL NORTH 425020,S200000,00400,0200,225766 425020,S200000,00400,0300,12/10/02 425020,S200000,00400,0500,P 425020,S200000,01500,0100,Y 425020,S200000,01501,0200,N 425020,S200000,01502,0200,N 425020,S200000,01503,0200,N 425020,S200000,01504,0200,N 425020,S200000,01600,0100,N 425020,S200000,01700,0100,N 425020,S200000,01800,0100,N 425020,S200000,02200,0100,Y 425020,S200000,02800,0100,N 425020,S200000,02900,0100,N 425020,S200000,03000,0100,N 425020,S200000,03100,0100,N 425020,S200000,03200,0100,N 425020,S200000,03300,0100,N 425020,S200000,03300,0200,N 425020,S200000,04200,0100,N 425020,S200000,04300,0100,N 425020,S200000,04600,0100,N 425020,S200000,04700,0100,N 425020,S200000,04900,0100,N 425020,S200000,05200,0100,N 425020,S200000,05300,0100,Y 425020,S200000,05300,0200,HB0067 425020,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425020,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425020,S200000,05400,0300,12001 425020,S200000,05500,0100,101 EAST STATE STREET 425020,S200000,05600,0100,KENNETT SQUARE 425020,S200000,05600,0200,PA 425020,S200000,05600,0300,19348 425030,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425030,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425030,A000000,00300,0000,0300EMPLOYEE BENEFITS 425030,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425030,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425030,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425030,A000000,00700,0000,0700HOUSEKEEPING 425030,A000000,00800,0000,0800DIETARY 425030,A000000,00900,0000,0900NURSING ADMINISTRATION 425030,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425030,A000000,01100,0000,1100PHARMACY 425030,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425030,A000000,01300,0000,1300SOCIAL SERVICE 425030,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425030,A000000,01500,0000,1350RECREATION 425030,A000000,01600,0000,1600SKILLED NURSING FACILITY 425030,A000000,01810,0000,1810ICF/MR 425030,A000000,02100,0000,2100RADIOLOGY 425030,A000000,02200,0000,2200LABORATORY 425030,A000000,02300,0000,2300INTRAVENOUS THERAPY 425030,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425030,A000000,02500,0000,2500PHYSICAL THERAPY 425030,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425030,A000000,02700,0000,2700SPEECH PATHOLOGY 425030,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425030,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425030,A000000,03550,0000,3550FQHC 425030,A000000,04801,0000,4801AMBULANCE 425030,A000000,04802,0000,4802AMBULANCE 425030,A000000,04803,0000,4803AMBULANCE 425030,A000000,05000,0000,5000CORF 425030,A000000,05010,0000,5010CMHC 425030,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425030,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425030,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425030,A81000A,00100,0100,Y 425030,A81000B,00100,0300,SEE ATTACHED 425030,A81000B,00200,0300,HOME OFFICE INTEREST 425030,A81000B,00300,0300,HOME OFFICE A&G 425030,A81000B,00400,0300,HOME OFFICE CAP PIEC 425030,A81000C,00100,0100,B 425030,A81000C,00100,0400,SEE ATTACHED 425030,A81000C,00100,0600,VARIOUS 425030,A81000C,00200,0100,B 425030,A81000C,00200,0400,GHC 425030,A81000C,00200,0600,LONG TERM CARE 425030,A81000C,00300,0100,B 425030,A81000C,00300,0400,GHC 425030,A81000C,00300,0600,LONG TERM CARE 425030,A81000C,00400,0100,B 425030,A81000C,00400,0400,GHC 425030,A81000C,00400,0600,LONG TERM CARE 425030,B100000,00000,0100,0100SQUARE FEET 425030,B100000,00000,0200,0200SQUARE FEET 425030,B100000,00000,0300,0300GROSS SALARIES 425030,B100000,00000,0400,0400ACCUM COST 425030,B100000,00000,0500,0500SQUARE FEET 425030,B100000,00000,0600,0600PATIENT DAYS 425030,B100000,00000,0700,0700SQUARE FEET 425030,B100000,00000,0800,0800MEALS SERVED 425030,B100000,00000,0900,0900NURSING SALARIES 425030,B100000,00000,1000,1000COSTED REQUIS 425030,B100000,00000,1100,1100COSTED REQUIS 425030,B100000,00000,1200,1200PATIENT DAYS 425030,B100000,00000,1300,1300PATIENT DAYS 425030,B100000,00000,1400,1400ASSIGNED TIME 425030,B100000,00000,1500,1350PATIENT DAYS 425030,S000000,00100,0200,09/12/11 425030,S200000,00100,0100,845 PADDOCK AVENUE 425030,S200000,00200,0100,MERIDEN 425030,S200000,00200,0200,CT 425030,S200000,00200,0300,06450 425030,S200000,00300,0100,NEW HAVEN 425030,S200000,00300,0201,35300 425030,S200000,00300,0300,U 425030,S200000,00400,0100,MERIDEN CENTER 425030,S200000,00400,0200,075192 425030,S200000,00400,0300,03/01/72 425030,S200000,00400,0500,P 425030,S200000,01500,0100,Y 425030,S200000,01501,0200,N 425030,S200000,01502,0200,N 425030,S200000,01503,0200,N 425030,S200000,01504,0200,N 425030,S200000,01600,0100,N 425030,S200000,01700,0100,N 425030,S200000,01800,0100,N 425030,S200000,02200,0100,Y 425030,S200000,02800,0100,N 425030,S200000,02900,0100,N 425030,S200000,03000,0100,N 425030,S200000,03100,0100,N 425030,S200000,03200,0100,N 425030,S200000,03300,0100,N 425030,S200000,03300,0200,N 425030,S200000,04200,0100,N 425030,S200000,04300,0100,N 425030,S200000,04600,0100,N 425030,S200000,04700,0100,N 425030,S200000,04900,0100,N 425030,S200000,05200,0100,N 425030,S200000,05300,0100,Y 425030,S200000,05300,0200,HB0067 425030,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425030,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425030,S200000,05400,0300,12001 425030,S200000,05500,0100,101 EAST STATE STREET 425030,S200000,05600,0100,KENNETT SQUARE 425030,S200000,05600,0200,PA 425030,S200000,05600,0300,19348 425031,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425031,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425031,A000000,00300,0000,0300EMPLOYEE BENEFITS 425031,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425031,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425031,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425031,A000000,00700,0000,0700HOUSEKEEPING 425031,A000000,00800,0000,0800DIETARY 425031,A000000,00900,0000,0900NURSING ADMINISTRATION 425031,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425031,A000000,01100,0000,1100PHARMACY 425031,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425031,A000000,01300,0000,1300SOCIAL SERVICE 425031,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425031,A000000,01500,0000,1350RECREATION 425031,A000000,01600,0000,1600SKILLED NURSING FACILITY 425031,A000000,01810,0000,1810ICF/MR 425031,A000000,02100,0000,2100RADIOLOGY 425031,A000000,02200,0000,2200LABORATORY 425031,A000000,02300,0000,2300INTRAVENOUS THERAPY 425031,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425031,A000000,02500,0000,2500PHYSICAL THERAPY 425031,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425031,A000000,02700,0000,2700SPEECH PATHOLOGY 425031,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425031,A000000,03550,0000,3550FQHC 425031,A000000,04801,0000,4801AMBULANCE 425031,A000000,04802,0000,4802AMBULANCE 425031,A000000,04803,0000,4803AMBULANCE 425031,A000000,05000,0000,5000CORF 425031,A000000,05010,0000,5010CMHC 425031,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425031,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425031,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425031,A81000A,00100,0100,Y 425031,A81000B,00100,0300,SEE ATTACHED 425031,A81000B,00200,0300,CAPITAL INTEREST 425031,A81000B,00300,0300,HOME OFFICE 425031,A81000B,00400,0300,HOME OFFICE 425031,A81000C,00100,0100,B 425031,A81000C,00100,0400,SEE ATTACHED 425031,A81000C,00100,0600,VARIOUS 425031,A81000C,00200,0100,B 425031,A81000C,00200,0400,GHC 425031,A81000C,00200,0600,LONG TERM CARE 425031,A81000C,00300,0100,B 425031,A81000C,00300,0400,GHC 425031,A81000C,00300,0600,LONG TERM CARE 425031,A81000C,00400,0100,B 425031,A81000C,00400,0400,GHC 425031,A81000C,00400,0600,LONG TERM CARE 425031,B100000,00000,0100,0100SQUARE FEET 425031,B100000,00000,0200,0200SQUARE FEET 425031,B100000,00000,0300,0300GROSS SALARIES 425031,B100000,00000,0400,0400ACCUM COST 425031,B100000,00000,0500,0500SQUARE FEET 425031,B100000,00000,0600,0600PATIENT DAYS 425031,B100000,00000,0700,0700SQUARE FEET 425031,B100000,00000,0800,0800MEALS SERVED 425031,B100000,00000,0900,0900NURSING SALARIES 425031,B100000,00000,1000,1000COSTED REQUIS 425031,B100000,00000,1100,1100COSTED REQUIS 425031,B100000,00000,1200,1200PATIENT DAYS 425031,B100000,00000,1300,1300PATIENT DAYS 425031,B100000,00000,1400,1400ASSIGNED TIME 425031,B100000,00000,1500,1350PATIENT DAYS 425031,S000000,00100,0200,09/12/11 425031,S200000,00100,0100,1 EMERSON DRIVE 425031,S200000,00200,0100,WINDSOR 425031,S200000,00200,0200,CT 425031,S200000,00200,0300,06095 425031,S200000,00300,0100,HARTFORD 425031,S200000,00300,0201,25540 425031,S200000,00300,0300,U 425031,S200000,00400,0100,KIMBERLY HALL SOUTH 425031,S200000,00400,0200,075237 425031,S200000,00400,0300,07/01/85 425031,S200000,00400,0500,P 425031,S200000,01500,0100,Y 425031,S200000,01501,0200,N 425031,S200000,01502,0200,N 425031,S200000,01503,0200,N 425031,S200000,01504,0200,N 425031,S200000,01600,0100,N 425031,S200000,01700,0100,N 425031,S200000,01800,0100,N 425031,S200000,02200,0100,Y 425031,S200000,02800,0100,N 425031,S200000,02900,0100,N 425031,S200000,03000,0100,N 425031,S200000,03100,0100,N 425031,S200000,03200,0100,N 425031,S200000,03300,0100,N 425031,S200000,03300,0200,N 425031,S200000,04200,0100,N 425031,S200000,04300,0100,N 425031,S200000,04600,0100,N 425031,S200000,04700,0100,N 425031,S200000,04900,0100,N 425031,S200000,05200,0100,N 425031,S200000,05300,0100,Y 425031,S200000,05300,0200,HB0067 425031,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425031,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425031,S200000,05400,0300,12001 425031,S200000,05500,0100,101 EAST STATE STREET 425031,S200000,05600,0100,KENNETT SQUARE 425031,S200000,05600,0200,PA 425031,S200000,05600,0300,19348 425033,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425033,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425033,A000000,00300,0000,0300EMPLOYEE BENEFITS 425033,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425033,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425033,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425033,A000000,00700,0000,0700HOUSEKEEPING 425033,A000000,00800,0000,0800DIETARY 425033,A000000,00900,0000,0900NURSING ADMINISTRATION 425033,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425033,A000000,01100,0000,1100PHARMACY 425033,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425033,A000000,01300,0000,1300SOCIAL SERVICE 425033,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425033,A000000,01500,0000,1350RECREATION 425033,A000000,01600,0000,1600SKILLED NURSING FACILITY 425033,A000000,01810,0000,1810ICF/MR 425033,A000000,02100,0000,2100RADIOLOGY 425033,A000000,02200,0000,2200LABORATORY 425033,A000000,02300,0000,2300INTRAVENOUS THERAPY 425033,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425033,A000000,02500,0000,2500PHYSICAL THERAPY 425033,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425033,A000000,02700,0000,2700SPEECH PATHOLOGY 425033,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425033,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425033,A000000,03550,0000,3550FQHC 425033,A000000,04801,0000,4801AMBULANCE 425033,A000000,04802,0000,4802AMBULANCE 425033,A000000,04803,0000,4803AMBULANCE 425033,A000000,05000,0000,5000CORF 425033,A000000,05010,0000,5010CMHC 425033,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425033,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425033,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425033,A81000A,00100,0100,Y 425033,A81000B,00100,0300,AS ATTACHED 425033,A81000B,00200,0300,HOME OFFICE INTEREST 425033,A81000B,00300,0300,HOME OFFICE A&G 425033,A81000B,00400,0300,HOME OFFICE CAP PIEC 425033,A81000C,00100,0100,B 425033,A81000C,00100,0400,AS ATTACHED 425033,A81000C,00100,0600,VARIOUS 425033,A81000C,00200,0100,B 425033,A81000C,00200,0400,GHC 425033,A81000C,00200,0600,LONG TERM CARE 425033,A81000C,00300,0100,B 425033,A81000C,00300,0400,GHC 425033,A81000C,00300,0600,LONG TERM CARE 425033,A81000C,00400,0100,B 425033,A81000C,00400,0400,GHC 425033,A81000C,00400,0600,LONG TERM CARE 425033,B100000,00000,0100,0100SQUARE FEET 425033,B100000,00000,0200,0200SQUARE FEET 425033,B100000,00000,0300,0300GROSS SALARIES 425033,B100000,00000,0400,0400ACCUM COST 425033,B100000,00000,0500,0500SQUARE FEET 425033,B100000,00000,0600,0600PATIENT DAYS 425033,B100000,00000,0700,0700SQUARE FEET 425033,B100000,00000,0800,0800MEALS SERVED 425033,B100000,00000,0900,0900NURSING SALARIES 425033,B100000,00000,1000,1000COSTED REQUIS 425033,B100000,00000,1100,1100COSTED REQUIS 425033,B100000,00000,1200,1200PATIENT DAYS 425033,B100000,00000,1300,1300PATIENT DAYS 425033,B100000,00000,1400,1400ASSIGNED TIME 425033,B100000,00000,1500,1350PATIENT DAYS 425033,S000000,00100,0200,09/12/11 425033,S200000,00100,0100,1253 HARTFORD TURNPIKE 425033,S200000,00200,0100,VERNON ROCKVILLE 425033,S200000,00200,0200,CT 425033,S200000,00200,0300,06066 425033,S200000,00300,0100,TOLLAND 425033,S200000,00300,0201,25540 425033,S200000,00300,0300,U 425033,S200000,00400,0100,FOX HILL CENTER 425033,S200000,00400,0200,075183 425033,S200000,00400,0300,04/20/67 425033,S200000,00400,0500,P 425033,S200000,01500,0100,Y 425033,S200000,01501,0200,N 425033,S200000,01502,0200,N 425033,S200000,01503,0200,N 425033,S200000,01504,0200,N 425033,S200000,01600,0100,N 425033,S200000,01700,0100,N 425033,S200000,01800,0100,N 425033,S200000,02200,0100,Y 425033,S200000,02800,0100,N 425033,S200000,02900,0100,N 425033,S200000,03000,0100,N 425033,S200000,03100,0100,N 425033,S200000,03200,0100,N 425033,S200000,03300,0100,N 425033,S200000,03300,0200,N 425033,S200000,04200,0100,N 425033,S200000,04300,0100,N 425033,S200000,04600,0100,N 425033,S200000,04700,0100,N 425033,S200000,04900,0100,N 425033,S200000,05200,0100,N 425033,S200000,05300,0100,Y 425033,S200000,05300,0200,HB0067 425033,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425033,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425033,S200000,05400,0300,12001 425033,S200000,05500,0100,101 EAST STATE STREET 425033,S200000,05600,0100,KENNETT SQUARE 425033,S200000,05600,0200,PA 425033,S200000,05600,0300,19348 425034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425034,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425034,A000000,00300,0000,0300EMPLOYEE BENEFITS 425034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425034,A000000,00700,0000,0700HOUSEKEEPING 425034,A000000,00800,0000,0800DIETARY 425034,A000000,00900,0000,0900NURSING ADMINISTRATION 425034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425034,A000000,01100,0000,1100PHARMACY 425034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425034,A000000,01300,0000,1300SOCIAL SERVICE 425034,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425034,A000000,01500,0000,1350RECREATION 425034,A000000,01600,0000,1600SKILLED NURSING FACILITY 425034,A000000,01810,0000,1810ICF/MR 425034,A000000,02100,0000,2100RADIOLOGY 425034,A000000,02200,0000,2200LABORATORY 425034,A000000,02300,0000,2300INTRAVENOUS THERAPY 425034,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425034,A000000,02500,0000,2500PHYSICAL THERAPY 425034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425034,A000000,02700,0000,2700SPEECH PATHOLOGY 425034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425034,A000000,03550,0000,3550FQHC 425034,A000000,04801,0000,4801AMBULANCE 425034,A000000,04802,0000,4802AMBULANCE 425034,A000000,04803,0000,4803AMBULANCE 425034,A000000,05000,0000,5000CORF 425034,A000000,05010,0000,5010CMHC 425034,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425034,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425034,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425034,A81000A,00100,0100,Y 425034,A81000B,00100,0300,AS ATTACHED 425034,A81000B,00200,0300,HOME OFFICE INTEREST 425034,A81000B,00300,0300,HOME OFFICE - A&G 425034,A81000B,00400,0300,HOME OFFICE-CAP PIEC 425034,A81000C,00100,0100,B 425034,A81000C,00100,0400,AS ATTACHED 425034,A81000C,00100,0600,VARIOUS 425034,A81000C,00200,0100,B 425034,A81000C,00200,0400,GHC 425034,A81000C,00200,0600,LONG TERM CARE 425034,A81000C,00300,0100,B 425034,A81000C,00300,0400,GHC 425034,A81000C,00300,0600,LONG TERM CARE 425034,A81000C,00400,0100,B 425034,A81000C,00400,0400,GHC 425034,A81000C,00400,0600,LONG TERM CARE 425034,B100000,00000,0100,0100SQUARE FEET 425034,B100000,00000,0200,0200SQUARE FEET 425034,B100000,00000,0300,0300GROSS SALARIES 425034,B100000,00000,0400,0400ACCUM COST 425034,B100000,00000,0500,0500SQUARE FEET 425034,B100000,00000,0600,0600PATIENT DAYS 425034,B100000,00000,0700,0700SQUARE FEET 425034,B100000,00000,0800,0800MEALS SERVED 425034,B100000,00000,0900,0900NURSING SALARIES 425034,B100000,00000,1000,1000COSTED REQUIS 425034,B100000,00000,1100,1100COSTED REQUIS 425034,B100000,00000,1200,1200PATIENT DAYS 425034,B100000,00000,1300,1300PATIENT DAYS 425034,B100000,00000,1400,1400ASSIGNED TIME 425034,B100000,00000,1500,1350PATIENT DAYS 425034,S000000,00100,0200,09/12/11 425034,S200000,00100,0100,400 GROTON ROAD 425034,S200000,00200,0100,AYER 425034,S200000,00200,0200,MA 425034,S200000,00200,0300,01432 425034,S200000,00300,0100,MIDDLESEX 425034,S200000,00300,0201,15764 425034,S200000,00300,0300,U 425034,S200000,00400,0100,APPLE VALLEY CENTER 425034,S200000,00400,0200,225421 425034,S200000,00400,0300,07/01/90 425034,S200000,00400,0500,P 425034,S200000,01500,0100,Y 425034,S200000,01501,0200,N 425034,S200000,01502,0200,N 425034,S200000,01503,0200,N 425034,S200000,01504,0200,N 425034,S200000,01600,0100,N 425034,S200000,01700,0100,N 425034,S200000,01800,0100,N 425034,S200000,02200,0100,Y 425034,S200000,02800,0100,N 425034,S200000,02900,0100,N 425034,S200000,03000,0100,N 425034,S200000,03100,0100,N 425034,S200000,03200,0100,N 425034,S200000,03300,0100,N 425034,S200000,03300,0200,N 425034,S200000,04200,0100,N 425034,S200000,04300,0100,N 425034,S200000,04600,0100,N 425034,S200000,04700,0100,N 425034,S200000,04900,0100,N 425034,S200000,05200,0100,N 425034,S200000,05300,0100,Y 425034,S200000,05300,0200,HB0067 425034,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425034,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425034,S200000,05400,0300,12001 425034,S200000,05500,0100,101 EAST STATE STREET 425034,S200000,05600,0100,KENNETT SQUARE 425034,S200000,05600,0200,PA 425034,S200000,05600,0300,19348 425035,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425035,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425035,A000000,00300,0000,0300EMPLOYEE BENEFITS 425035,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425035,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425035,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425035,A000000,00700,0000,0700HOUSEKEEPING 425035,A000000,00800,0000,0800DIETARY 425035,A000000,00900,0000,0900NURSING ADMINISTRATION 425035,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425035,A000000,01100,0000,1100PHARMACY 425035,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425035,A000000,01300,0000,1300SOCIAL SERVICE 425035,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425035,A000000,01500,0000,1350RECREATION 425035,A000000,01600,0000,1600SKILLED NURSING FACILITY 425035,A000000,01810,0000,1810ICF/MR 425035,A000000,02100,0000,2100RADIOLOGY 425035,A000000,02200,0000,2200LABORATORY 425035,A000000,02300,0000,2300INTRAVENOUS THERAPY 425035,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425035,A000000,02500,0000,2500PHYSICAL THERAPY 425035,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425035,A000000,02700,0000,2700SPEECH PATHOLOGY 425035,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425035,A000000,03550,0000,3550FQHC 425035,A000000,04801,0000,4801AMBULANCE 425035,A000000,04802,0000,4802AMBULANCE 425035,A000000,04803,0000,4803AMBULANCE 425035,A000000,05000,0000,5000CORF 425035,A000000,05010,0000,5010CMHC 425035,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425035,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425035,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425035,A81000A,00100,0100,Y 425035,A81000B,00100,0300,SEE ATTACHED 425035,A81000B,00200,0300,HOME OFFICE INTEREST 425035,A81000B,00300,0300,HOME OFFICE A&G 425035,A81000B,00400,0300,HOME OFFICE CAP PIEC 425035,A81000C,00100,0100,B 425035,A81000C,00100,0400,SEE ATTACHED 425035,A81000C,00100,0600,VARIOUS 425035,A81000C,00200,0100,B 425035,A81000C,00200,0400,GHC 425035,A81000C,00200,0600,LONG TERM CARE 425035,A81000C,00300,0100,B 425035,A81000C,00300,0400,GHC 425035,A81000C,00300,0600,LONG TERM CARE 425035,A81000C,00400,0100,B 425035,A81000C,00400,0400,GHC 425035,A81000C,00400,0600,LONG TERM CARE 425035,B100000,00000,0100,0100SQUARE FEET 425035,B100000,00000,0200,0200SQUARE FEET 425035,B100000,00000,0300,0300GROSS SALARIES 425035,B100000,00000,0400,0400ACCUM COST 425035,B100000,00000,0500,0500SQUARE FEET 425035,B100000,00000,0600,0600PATIENT DAYS 425035,B100000,00000,0700,0700SQUARE FEET 425035,B100000,00000,0800,0800MEALS SERVED 425035,B100000,00000,0900,0900NURSING SALARIES 425035,B100000,00000,1000,1000COSTED REQUIS 425035,B100000,00000,1100,1100COSTED REQUIS 425035,B100000,00000,1200,1200PATIENT DAYS 425035,B100000,00000,1300,1300PATIENT DAYS 425035,B100000,00000,1400,1400ASSIGNED TIME 425035,B100000,00000,1500,1350PATIENT DAYS 425035,S000000,00100,0200,09/12/11 425035,S200000,00100,0100,72 SALMON BROOK DRIVE 425035,S200000,00200,0100,GLASTONBURY 425035,S200000,00200,0200,CT 425035,S200000,00200,0300,06033 425035,S200000,00300,0100,NEW HARTFORD 425035,S200000,00300,0201,25540 425035,S200000,00300,0300,U 425035,S200000,00400,0100,SALMON BROOK CENTER 425035,S200000,00400,0200,075060 425035,S200000,00400,0300,01/01/67 425035,S200000,00400,0500,P 425035,S200000,01500,0100,Y 425035,S200000,01501,0200,N 425035,S200000,01502,0200,N 425035,S200000,01503,0200,N 425035,S200000,01504,0200,N 425035,S200000,01600,0100,N 425035,S200000,01700,0100,N 425035,S200000,01800,0100,N 425035,S200000,02200,0100,Y 425035,S200000,02800,0100,N 425035,S200000,02900,0100,N 425035,S200000,03000,0100,N 425035,S200000,03100,0100,N 425035,S200000,03200,0100,N 425035,S200000,03300,0100,N 425035,S200000,03300,0200,N 425035,S200000,04200,0100,N 425035,S200000,04300,0100,N 425035,S200000,04600,0100,N 425035,S200000,04700,0100,N 425035,S200000,04900,0100,N 425035,S200000,05200,0100,N 425035,S200000,05300,0100,Y 425035,S200000,05300,0200,HB0067 425035,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425035,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425035,S200000,05400,0300,12001 425035,S200000,05500,0100,101 EAST STATE STREET 425035,S200000,05600,0100,KENNETT SQUARE 425035,S200000,05600,0200,PA 425035,S200000,05600,0300,19348 425047,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425047,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425047,A000000,00300,0000,0300EMPLOYEE BENEFITS 425047,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425047,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425047,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425047,A000000,00700,0000,0700HOUSEKEEPING 425047,A000000,00800,0000,0800DIETARY 425047,A000000,00900,0000,0900NURSING ADMINISTRATION 425047,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425047,A000000,01100,0000,1100PHARMACY 425047,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425047,A000000,01300,0000,1300SOCIAL SERVICE 425047,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425047,A000000,01500,0000,1350RECREATIONAL SERVICES 425047,A000000,01600,0000,1600SKILLED NURSING FACILITY 425047,A000000,01800,0000,1800NURSING FACILITY 425047,A000000,01810,0000,1810ICF/MR 425047,A000000,01900,0000,1900OTHER LONG TERM CARE 425047,A000000,02100,0000,2100RADIOLOGY 425047,A000000,02200,0000,2200LABORATORY 425047,A000000,02300,0000,2300INTRAVENOUS THERAPY 425047,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425047,A000000,02500,0000,2500PHYSICAL THERAPY 425047,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425047,A000000,02700,0000,2700SPEECH PATHOLOGY 425047,A000000,02800,0000,2800ELECTROCARDIOLOGY 425047,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425047,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425047,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425047,A000000,03200,0000,3200SUPPORT SURFACES 425047,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425047,A000000,03400,0000,3400CLINIC 425047,A000000,03500,0000,3500RURAL HEALTH CLINIC 425047,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425047,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425047,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425047,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425047,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425047,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425047,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425047,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425047,A000000,04400,0000,4400DME RENTED - HHA 425047,A000000,04500,0000,4500DME SOLD - HHA 425047,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425047,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425047,A000000,04710,0000,4710TELEMEDICINE 425047,A000000,04800,0000,4800AMBULANCE 425047,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425047,A000000,05000,0000,5000CORF 425047,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425047,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425047,A000000,05300,0000,5300INTEREST EXPENSE 425047,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425047,A000000,05500,0000,5500HOSPICE 425047,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425047,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425047,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425047,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425047,A000000,06100,0000,6100NONPAID WORKERS 425047,A000000,06200,0000,6200PATIENTS LAUNDRY 425047,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425047,A81000A,00100,0100,Y 425047,A81000B,00100,0300,ADMINISTRATOR SALARY 425047,A81000B,00200,0300,FOOD SERVICE SUPERVISOR 425047,A81000B,00300,0300,ADMINISTRATOR SALARY 425047,A81000B,00400,0300,DIETARY WORKER 425047,A81000C,00100,0100,A 425047,A81000C,00100,0200,TODD ZGORSKI 425047,A81000C,00200,0100,A 425047,A81000C,00200,0200,JOYCE ZGORSKI 425047,A81000C,00300,0100,A 425047,A81000C,00300,0200,MARC ZYGORSKI 425047,A81000C,00400,0100,E 425047,A81000C,00400,0200,ALYSSA ZGORSKI 425047,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425047,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425047,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425047,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425047,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425047,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425047,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 425047,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425047,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425047,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425047,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425047,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 425047,G300000,02500,0000,OTHER ANCILLARY REVENUE 425047,G300000,02501,0000,INTEREST INCOME 425047,S000000,00100,0200,01/27/12 425047,S200000,00100,0100,ROUTE 151 425047,S200000,00200,0100,COBALT 425047,S200000,00200,0200,CT 425047,S200000,00200,0300,06414 425047,S200000,00300,0100,NEW HAVEN 425047,S200000,00300,0201,35300 425047,S200000,00300,0300,U 425047,S200000,00400,0100,COBALT LODGE HEALTH & REHAB CENTER 425047,S200000,00400,0200,075232 425047,S200000,00400,0300,06/01/75 425047,S200000,00400,0500,P 425047,S200000,01500,0100,Y 425047,S200000,01502,0200,Y 425047,S200000,01504,0200,Y 425047,S200000,01600,0100,N 425047,S200000,01700,0100,N 425047,S200000,01800,0100,N 425047,S200000,02200,0100,N 425047,S200000,02800,0100,N 425047,S200000,02900,0100,N 425047,S200000,03000,0100,N 425047,S200000,03100,0100,N 425047,S200000,03200,0100,N 425047,S200000,03300,0100,N 425047,S200000,03300,0200,N 425047,S200000,04100,0100,N 425047,S200000,04200,0100,N 425047,S200000,04300,0100,N 425047,S200000,04600,0100,N 425047,S200000,04700,0100,N 425047,S200000,04700,0200,N 425047,S200000,04900,0100,N 425047,S200000,05000,0100,N 425047,S200000,05100,0100,N 425047,S200000,05200,0100,N 425047,S200000,05300,0100,N 425048,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425048,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425048,A000000,00300,0000,0300EMPLOYEE BENEFITS 425048,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425048,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425048,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425048,A000000,00700,0000,0700HOUSEKEEPING 425048,A000000,00800,0000,0800DIETARY 425048,A000000,00900,0000,0900NURSING ADMINISTRATION 425048,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425048,A000000,01100,0000,1100PHARMACY 425048,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425048,A000000,01300,0000,1300SOCIAL SERVICE 425048,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425048,A000000,01500,0000,1350RECREATION SERVICES 425048,A000000,01600,0000,1600SKILLED NURSING FACILITY 425048,A000000,01800,0000,1800NURSING FACILITY 425048,A000000,01810,0000,1810ICF/MR 425048,A000000,01900,0000,1900OTHER LONG TERM CARE 425048,A000000,02100,0000,2100RADIOLOGY 425048,A000000,02200,0000,2200LABORATORY 425048,A000000,02300,0000,2300INTRAVENOUS THERAPY 425048,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425048,A000000,02500,0000,2500PHYSICAL THERAPY 425048,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425048,A000000,02700,0000,2700SPEECH PATHOLOGY 425048,A000000,02800,0000,2800ELECTROCARDIOLOGY 425048,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425048,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425048,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425048,A000000,03200,0000,3200SUPPORT SURFACES 425048,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425048,A000000,03400,0000,3400CLINIC 425048,A000000,03500,0000,3500RURAL HEALTH CLINIC 425048,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425048,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425048,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425048,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425048,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425048,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425048,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425048,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425048,A000000,04400,0000,4400DME RENTED - HHA 425048,A000000,04500,0000,4500DME SOLD - HHA 425048,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425048,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425048,A000000,04710,0000,4710TELEMEDICINE 425048,A000000,04800,0000,4800AMBULANCE 425048,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425048,A000000,05000,0000,5000CORF 425048,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425048,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425048,A000000,05300,0000,5300INTEREST EXPENSE 425048,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425048,A000000,05500,0000,5500HOSPICE 425048,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425048,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425048,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425048,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425048,A000000,06100,0000,6100NONPAID WORKERS 425048,A000000,06200,0000,6200PATIENTS LAUNDRY 425048,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425048,A81000A,00100,0100,Y 425048,A81000B,00100,0300,RENT EXPENSE 425048,A81000B,00200,0300,DEPRECIATION 425048,A81000B,00300,0300,DEPRECIATION 425048,A81000B,00400,0300,NURSING CONSULTANT 425048,A81000B,00500,0300,MORTGAGE COSTS 425048,A81000C,00100,0100,B 425048,A81000C,00100,0200,LEONARD SCHWARTZ 425048,A81000C,00100,0400,AVON REALTY CO. 425048,A81000C,00100,0600,RENTAL LAND & BUILDING 425048,A81000C,00200,0100,B 425048,A81000C,00200,0200,L. & F. SCHWARTZ 425048,A81000C,00200,0400,LJS ASSOCIATES 425048,A81000C,00200,0600,MANAGEMENT SERVICES 425048,A81000C,00300,0100,B 425048,A81000C,00300,0200,L. SCHWARTZ 425048,A81000C,00300,0400,L. SCHWARTZ 425048,A81000C,00300,0600,OWNER 425048,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425048,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425048,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425048,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425048,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425048,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425048,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425048,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425048,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425048,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425048,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425048,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425048,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 425048,G300000,02503,0000,INTEREST INCOME 425048,G300000,02504,0000,BAD DEBT RECOVERY 425048,G300000,02505,0000,INSURANCE OTHER DIVIDENDS 425048,S000000,00100,0200,01/25/12 425048,S200000,00100,0100,652 WEST AVON ROAD 425048,S200000,00200,0100,AVON 425048,S200000,00200,0200,CT 425048,S200000,00200,0300,06001 425048,S200000,00300,0100,HARTFORD 425048,S200000,00300,0200,3283 425048,S200000,00300,0201,25540 425048,S200000,00300,0300,U 425048,S200000,00400,0100,AVON HEALTH CENTER 425048,S200000,00400,0200,075244 425048,S200000,00400,0300,06/13/75 425048,S200000,00400,0500,P 425048,S200000,01500,0100,Y 425048,S200000,01502,0200,Y 425048,S200000,01504,0200,Y 425048,S200000,01600,0100,N 425048,S200000,01700,0100,N 425048,S200000,01800,0100,N 425048,S200000,02200,0100,N 425048,S200000,02800,0100,N 425048,S200000,02900,0100,N 425048,S200000,03000,0100,N 425048,S200000,03100,0100,N 425048,S200000,03200,0100,N 425048,S200000,03300,0100,N 425048,S200000,03300,0200,N 425048,S200000,04100,0100,N 425048,S200000,04200,0100,N 425048,S200000,04300,0100,N 425048,S200000,04600,0100,N 425048,S200000,04700,0100,N 425048,S200000,04700,0200,N 425048,S200000,04900,0100,N 425048,S200000,05000,0100,N 425048,S200000,05100,0100,N 425048,S200000,05200,0100,N 425048,S200000,05300,0100,N 425051,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425051,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425051,A000000,00300,0000,0300EMPLOYEE BENEFITS 425051,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425051,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425051,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425051,A000000,00700,0000,0700HOUSEKEEPING 425051,A000000,00800,0000,0800DIETARY 425051,A000000,00900,0000,0900NURSING ADMINISTRATION 425051,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425051,A000000,01100,0000,1100PHARMACY 425051,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425051,A000000,01300,0000,1300SOCIAL SERVICE 425051,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425051,A000000,01500,0000,1350RECREATION 425051,A000000,01600,0000,1600SKILLED NURSING FACILITY 425051,A000000,01810,0000,1810ICF/MR 425051,A000000,02100,0000,2100RADIOLOGY 425051,A000000,02200,0000,2200LABORATORY 425051,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425051,A000000,02500,0000,2500PHYSICAL THERAPY 425051,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425051,A000000,02700,0000,2700SPEECH PATHOLOGY 425051,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425051,A000000,03550,0000,3550FQHC 425051,A000000,04800,0000,4800AMBULANCE 425051,A000000,05000,0000,5000CORF 425051,A000000,05010,0000,5010CMHC 425051,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425051,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425051,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425051,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425051,A81000A,00100,0100,Y 425051,A81000B,00100,0300,RECREATION DIRECTOR 425051,A81000B,00200,0300,ACCOUNTING SERVICES 425051,A81000B,00300,0300,OFFICE WORKER 425051,A81000C,00100,0100,F 425051,A81000C,00100,0200,CONSTANCE YUSKA 425051,A81000C,00100,0400,GEORGE YUSKA 425051,A81000C,00200,0100,F 425051,A81000C,00200,0200,DAVID FOOHEY 425051,A81000C,00200,0400,GEORGE YUSKA 425051,A81000C,00300,0100,F 425051,A81000C,00300,0200,WESLEY DOWNING 425051,A81000C,00300,0400,GEORGE YUKKA 425051,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425051,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425051,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425051,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425051,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 425051,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425051,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 425051,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425051,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425051,B100000,00000,1300,1330PATIENT DAYST :SOCIAL SERVICE 425051,B100000,00000,1500,1350PATIENT DAYS :RECREATION 425051,S000000,00100,0200,02/02/12 425051,S200000,00100,0100,333 MAIN STREET 425051,S200000,00200,0100,PORTLAND 425051,S200000,00200,0200,CT 425051,S200000,00200,0300,06480 425051,S200000,00300,0100,USA 425051,S200000,00300,0201,25540 425051,S200000,00300,0300,U 425051,S200000,00400,0100,PORTLAND CARE REHAB. CTR. INC. 425051,S200000,00400,0200,075214 425051,S200000,00400,0300,12/16/71 425051,S200000,00400,0500,P 425051,S200000,01500,0100,Y 425051,S200000,01600,0100,N 425051,S200000,01700,0100,N 425051,S200000,01800,0100,N 425051,S200000,02200,0100,N 425051,S200000,02800,0100,N 425051,S200000,02900,0100,N 425051,S200000,03000,0100,N 425051,S200000,03100,0100,N 425051,S200000,03200,0100,N 425051,S200000,03300,0100,N 425051,S200000,03300,0200,N 425051,S200000,04100,0100,N 425051,S200000,04200,0100,N 425051,S200000,04300,0100,N 425051,S200000,04600,0100,N 425051,S200000,04700,0100,N 425051,S200000,04700,0200,N 425051,S200000,04900,0100,N 425051,S200000,05000,0100,N 425051,S200000,05100,0100,N 425051,S200000,05200,0100,N 425051,S200000,05300,0100,N 425063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425063,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425063,A000000,00300,0000,0300EMPLOYEE BENEFITS 425063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425063,A000000,00700,0000,0700HOUSEKEEPING 425063,A000000,00800,0000,0800DIETARY 425063,A000000,00900,0000,0900NURSING ADMINISTRATION 425063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425063,A000000,01100,0000,1100PHARMACY 425063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425063,A000000,01300,0000,1300SOCIAL SERVICE 425063,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425063,A000000,01500,0000,1350ACTIVITIES 425063,A000000,01600,0000,1600SKILLED NURSING FACILITY 425063,A000000,01810,0000,1810ICF/MR 425063,A000000,02100,0000,2100RADIOLOGY 425063,A000000,02200,0000,2200LABORATORY 425063,A000000,02500,0000,2500PHYSICAL THERAPY 425063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425063,A000000,02700,0000,2700SPEECH PATHOLOGY 425063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425063,A000000,03200,0000,3200SUPPORT SURFACES 425063,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 425063,A000000,03550,0000,3550FQHC 425063,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 425063,A000000,04801,0000,4801AMBULANCE 425063,A000000,04802,0000,4802AMBULANCE 425063,A000000,04803,0000,4803AMBULANCE 425063,A000000,05000,0000,5000CORF 425063,A000000,05010,0000,5010CMHC 425063,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425063,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425063,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425063,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 425063,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425063,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 425063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425063,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 425063,A81000A,00100,0100,Y 425063,A81000B,00100,0300,FACILITY LEASE 425063,A81000B,00200,0300,HOME OFFICE-ADMIN DIRECT ALLOC 425063,A81000B,00300,0300,HOME OFFICE-MAINTENANCE DIRECT 425063,A81000B,00400,0300,HOME OFFICE-CAPITAL RELATED 425063,A81000B,00500,0300,HOME OFFICE-POOLED COST 425063,A81000B,00600,0300,UNITED CLINICAL-NURSING 425063,A81000B,00700,0300,UNITED CLINICAL-DIETARY 425063,A81000B,00800,0300,UNITED CLINICAL-ADMIN 425063,A81000B,00900,0300,UNITED REHAB-PHYSICAL THERAPY 425063,A81000B,01000,0300,UNITED REHAB-SPEECH THERAPY 425063,A81000B,01100,0300,UNITED REHAB-OCCUPATIONAL THER 425063,A81000B,01200,0300,UNITED MEDICAL-CAPITAL 425063,A81000B,01300,0300,UNITED MEDICAL-ADMIN 425063,A81000B,01400,0300,UNITED MEDICAL-PLANT OPERATION 425063,A81000B,01500,0300,UNITED MEDICAL-LAUNDRY 425063,A81000B,01600,0300,UNITED MEDICAL-HOUSEKEEPING 425063,A81000B,01700,0300,UNITED MEDICAL-DIETARY 425063,A81000B,01800,0300,UNITED MEDICAL-NURSING ADMIN 425063,A81000B,01900,0300,UNITED MEDICAL-MEDICAL RECORDS 425063,A81000B,02000,0300,UNITED MEDICAL-SOCIAL SERVICES 425063,A81000B,02100,0300,UNITED MEDICAL-ACTIVITIES 425063,A81000B,02200,0300,UNITED MEDICAL-NURSING 425063,A81000B,02300,0300,UNITED MEDICAL-PHYSICAL THERAP 425063,A81000B,02400,0300,UNITED MEDICAL-OCCUPATIONAL TH 425063,A81000B,02500,0300,UNITED MEDICAL-MEDICAL SUPPLIE 425063,A81000B,02600,0300,UNITED MEDICAL-SUPPORT SURFACE 425063,A81000B,02700,0300,UNITED PHARMACY-PHARMACY CONSU 425063,A81000C,00100,0100,B 425063,A81000C,00100,0200,PRUITT CORPORAT 425063,A81000C,00100,0400,PRUITT CORPORAT 425063,A81000C,00100,0600,MANAGEMENT 425063,A81000C,00200,0100,B 425063,A81000C,00200,0200,PRUITT CORPORAT 425063,A81000C,00200,0400,BLYTHEWOOD HEAL 425063,A81000C,00200,0600,RENTAL 425063,A81000C,00300,0100,B 425063,A81000C,00300,0200,PRUITT CORPORAT 425063,A81000C,00300,0400,UNITED COLLECTI 425063,A81000C,00300,0600,COLLECTIONS 425063,A81000C,00400,0100,B 425063,A81000C,00400,0200,PRUITT CORPORAT 425063,A81000C,00400,0400,UNITED CLINICAL 425063,A81000C,00400,0600,CONSULTING 425063,A81000C,00500,0100,B 425063,A81000C,00500,0200,PRUITT CORPORAT 425063,A81000C,00500,0400,UNITED PHARMACY 425063,A81000C,00500,0600,PHARMACY 425063,A81000C,00600,0100,B 425063,A81000C,00600,0200,PRUITT CORPORAT 425063,A81000C,00600,0400,UNITED MEDICAL 425063,A81000C,00600,0600,MEDICAL 425063,A81000C,00700,0100,B 425063,A81000C,00700,0200,PRUITT CORPORAT 425063,A81000C,00700,0400,UNITED REHAB 425063,A81000C,00700,0600,REHAB 425063,A81000C,00800,0100,B 425063,A81000C,00800,0200,PRUITT CORPORAT 425063,A81000C,00800,0400,UNICHOICE ENVIR 425063,A81000C,00800,0600,MAINTENANCE 425063,B100000,00000,0100,0100SQUARE FEET 425063,B100000,00000,0200,0200SQUARE FEET 425063,B100000,00000,0300,0300GROSS SALARIES 425063,B100000,00000,0400,0400ACCUM COST 425063,B100000,00000,0500,0500SQUARE FEET 425063,B100000,00000,0600,0600PATIENT DAYS 425063,B100000,00000,0700,0700SQUARE FEET 425063,B100000,00000,0800,0800MEALS SERVED 425063,B100000,00000,0900,0900DIRECT NURSING 425063,B100000,00000,1000,1000COSTED REQUIS. 425063,B100000,00000,1100,1100COSTED REQUIS. 425063,B100000,00000,1200,1200PATIENT DAYS 425063,B100000,00000,1300,1300PATIENT DAYS 425063,B100000,00000,1400,1400ASSIGNED TIME 425063,B100000,00000,1500,1350PATIENT DAYS 425063,G300000,02501,0000,BEAUTY AND BARBER 425063,G300000,02502,0000,OTHER INCOME 425063,S000000,00100,0200,12/01/11 425063,S200000,00100,0100,1075 HEATHER GREEN DRIVE 425063,S200000,00200,0100,COLUMBIA 425063,S200000,00200,0200,SC 425063,S200000,00200,0300,29229 425063,S200000,00300,0100,RICHLAND 425063,S200000,00300,0201,17900 425063,S200000,00300,0300,U 425063,S200000,00400,0100,THE OAKS OF BLYTHEWOOD INC. 425063,S200000,00400,0200,425400 425063,S200000,00400,0300,11/03/10 425063,S200000,00400,0500,P 425063,S200000,01500,0100,Y 425063,S200000,01501,0200,Y 425063,S200000,01502,0200,N 425063,S200000,01503,0200,N 425063,S200000,01504,0200,N 425063,S200000,01505,0000,OTHER (SPECIFY) 425063,S200000,01505,0200,N 425063,S200000,01600,0100,N 425063,S200000,01700,0100,N 425063,S200000,01800,0100,N 425063,S200000,02200,0100,N 425063,S200000,02800,0100,N 425063,S200000,02900,0100,N 425063,S200000,03000,0100,N 425063,S200000,03100,0100,N 425063,S200000,03200,0100,N 425063,S200000,03300,0100,N 425063,S200000,03300,0200,N 425063,S200000,04200,0100,N 425063,S200000,04300,0100,N 425063,S200000,04600,0100,N 425063,S200000,04700,0100,N 425063,S200000,04900,0100,N 425063,S200000,05200,0100,N 425063,S200000,05300,0100,Y 425063,S200000,05300,0200,HO9013 425063,S200000,05400,0100,PRUITT CORPORATION 425063,S200000,05400,0200,WPS 425063,S200000,05400,0300,HO-901 425063,S200000,05500,0100,409 EAST DOYLE STREET 425063,S200000,05600,0100,TOCCOA 425063,S200000,05600,0200,GA 425063,S200000,05600,0300,30577 425082,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425082,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425082,A000000,00300,0000,0300EMPLOYEE BENEFITS 425082,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425082,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425082,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425082,A000000,00700,0000,0700HOUSEKEEPING 425082,A000000,00800,0000,0800DIETARY 425082,A000000,00900,0000,0900NURSING ADMINISTRATION 425082,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425082,A000000,01100,0000,1100PHARMACY 425082,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425082,A000000,01300,0000,1300SOCIAL SERVICE 425082,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425082,A000000,01500,0000,1350RECREATION 425082,A000000,01600,0000,1600SKILLED NURSING FACILITY 425082,A000000,01810,0000,1810ICF/MR 425082,A000000,02100,0000,2100RADIOLOGY 425082,A000000,02200,0000,2200LABORATORY 425082,A000000,02300,0000,2300INTRAVENOUS THERAPY 425082,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425082,A000000,02500,0000,2500PHYSICAL THERAPY 425082,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425082,A000000,02700,0000,2700SPEECH PATHOLOGY 425082,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425082,A000000,03550,0000,3550FQHC 425082,A000000,04801,0000,4801AMBULANCE 425082,A000000,04802,0000,4802AMBULANCE 425082,A000000,04803,0000,4803AMBULANCE 425082,A000000,05000,0000,5000CORF 425082,A000000,05010,0000,5010CMHC 425082,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425082,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425082,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425082,A81000A,00100,0100,Y 425082,A81000B,00100,0300,SEE ATTACHED 425082,A81000B,00200,0300,HOME OFFICE INTEREST 425082,A81000B,00300,0300,HOME OFFICE A & G 425082,A81000B,00400,0300,HOME OFFICE CAPITAL 425082,A81000C,00100,0100,B 425082,A81000C,00100,0400,SEE ATTACHED 425082,A81000C,00100,0600,VARIOUS 425082,A81000C,00200,0100,B 425082,A81000C,00200,0400,GHC 425082,A81000C,00200,0600,LONG TERM CARE 425082,A81000C,00300,0100,B 425082,A81000C,00300,0400,GHC 425082,A81000C,00300,0600,LONG TERM CARE 425082,A81000C,00400,0100,B 425082,A81000C,00400,0400,GHC 425082,A81000C,00400,0600,LONG TERM CARE 425082,B100000,00000,0100,0100SQUARE FEET 425082,B100000,00000,0200,0200SQUARE FEET 425082,B100000,00000,0300,0300GROSS SALARIES 425082,B100000,00000,0400,0400ACCUM COST 425082,B100000,00000,0500,0500SQUARE FEET 425082,B100000,00000,0600,0600PATIENT DAYS 425082,B100000,00000,0700,0700SQUARE FEET 425082,B100000,00000,0800,0800MEALS SERVED 425082,B100000,00000,0900,0900NURSING SALARIES 425082,B100000,00000,1000,1000COSTED REQUIS 425082,B100000,00000,1100,1100COSTED REQUIS 425082,B100000,00000,1200,1200PATIENT DAYS 425082,B100000,00000,1300,1300PATIENT DAYS 425082,B100000,00000,1400,1400ASSIGNED TIME 425082,B100000,00000,1500,1350PATIENT DAYS 425082,S000000,00100,0200,09/12/11 425082,S200000,00100,0100,4901 NORTH MAIN STREET 425082,S200000,00200,0100,FALL RIVER 425082,S200000,00200,0200,MA 425082,S200000,00200,0300,02720 425082,S200000,00300,0100,BRISTOL 425082,S200000,00300,0201,39300 425082,S200000,00300,0300,U 425082,S200000,00400,0100,SARAH BRAYTON NURSING CARE CENTER 425082,S200000,00400,0200,225589 425082,S200000,00400,0300,08/11/93 425082,S200000,00400,0500,P 425082,S200000,01500,0100,Y 425082,S200000,01501,0200,N 425082,S200000,01502,0200,N 425082,S200000,01503,0200,N 425082,S200000,01504,0200,N 425082,S200000,01600,0100,N 425082,S200000,01700,0100,N 425082,S200000,01800,0100,N 425082,S200000,02200,0100,Y 425082,S200000,02800,0100,N 425082,S200000,02900,0100,N 425082,S200000,03000,0100,N 425082,S200000,03100,0100,N 425082,S200000,03200,0100,N 425082,S200000,03300,0100,N 425082,S200000,03300,0200,N 425082,S200000,04200,0100,N 425082,S200000,04300,0100,N 425082,S200000,04600,0100,N 425082,S200000,04700,0100,N 425082,S200000,04900,0100,N 425082,S200000,05200,0100,N 425082,S200000,05300,0100,Y 425082,S200000,05300,0200,HB0067 425082,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425082,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425082,S200000,05400,0300,12001 425082,S200000,05500,0100,101 EAST STATE STREET 425082,S200000,05600,0100,KENNETT SQUARE 425082,S200000,05600,0200,PA 425082,S200000,05600,0300,19348 425104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425104,A000000,00300,0000,0300EMPLOYEE BENEFITS 425104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425104,A000000,00700,0000,0700HOUSEKEEPING 425104,A000000,00800,0000,0800DIETARY 425104,A000000,00900,0000,0900NURSING ADMINISTRATION 425104,A000000,01100,0000,1100PHARMACY 425104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425104,A000000,01300,0000,1300SOCIAL SERVICE 425104,A000000,01600,0000,1600SKILLED NURSING FACILITY 425104,A000000,01900,0000,1900OTHER LONG TERM CARE 425104,A000000,02100,0000,2100RADIOLOGY 425104,A000000,02200,0000,2200LABORATORY 425104,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425104,A000000,02500,0000,2500PHYSICAL THERAPY 425104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425104,A000000,02700,0000,2700SPEECH PATHOLOGY 425104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425104,A81000A,00100,0100,N 425104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425104,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425104,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425104,B100000,00000,0800,0800MEALS SERVED :DIETARY 425104,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425104,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 425104,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425104,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425104,G300000,02500,0000,MISCELLANEOUS 425104,S000000,00100,0200,01/09/12 425104,S200000,00100,0100,811 SOUTH MAIN 425104,S200000,00200,0100,RANDOLPH 425104,S200000,00200,0200,NE 425104,S200000,00200,0300,68771 425104,S200000,00300,0100,CEDAR 425104,S200000,00300,0201,99928 425104,S200000,00300,0300,R 425104,S200000,00400,0100,COLONIAL MANOR 425104,S200000,00400,0200,285183 425104,S200000,00400,0300,04/01/96 425104,S200000,00400,0500,P 425104,S200000,01500,0100,Y 425104,S200000,01501,0200,N 425104,S200000,01502,0200,N 425104,S200000,01503,0200,N 425104,S200000,01504,0200,N 425104,S200000,01600,0100,N 425104,S200000,01700,0100,N 425104,S200000,01800,0100,N 425104,S200000,01900,0100,LLC 425104,S200000,02200,0100,N 425104,S200000,02800,0100,Y 425104,S200000,02900,0100,N 425104,S200000,03000,0100,N 425104,S200000,03100,0100,N 425104,S200000,03200,0100,N 425104,S200000,03300,0100,N 425104,S200000,03300,0200,N 425104,S200000,04100,0100,N 425104,S200000,04200,0100,N 425104,S200000,04300,0100,N 425104,S200000,04600,0100,N 425104,S200000,04700,0100,N 425104,S200000,04700,0200,N 425104,S200000,04900,0100,N 425104,S200000,05000,0100,N 425104,S200000,05100,0100,N 425104,S200000,05200,0100,N 425121,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425121,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425121,A000000,00300,0000,0300EMPLOYEE BENEFITS 425121,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425121,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425121,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425121,A000000,00700,0000,0700HOUSEKEEPING 425121,A000000,00800,0000,0800DIETARY 425121,A000000,00900,0000,0900NURSING ADMINISTRATION 425121,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425121,A000000,01100,0000,1100PHARMACY 425121,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425121,A000000,01300,0000,1300SOCIAL SERVICE 425121,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425121,A000000,01500,0000,1350ACTIVITIES 425121,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 425121,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 425121,A000000,01600,0000,1600SKILLED NURSING FACILITY 425121,A000000,01800,0000,1800NURSING FACILITY 425121,A000000,01810,0000,1810ICF/MR 425121,A000000,01900,0000,1900OTHER LONG TERM CARE 425121,A000000,02100,0000,2100RADIOLOGY 425121,A000000,02200,0000,2200LABORATORY 425121,A000000,02300,0000,2300INTRAVENOUS THERAPY 425121,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425121,A000000,02500,0000,2500PHYSICAL THERAPY 425121,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425121,A000000,02700,0000,2700SPEECH PATHOLOGY 425121,A000000,02800,0000,2800ELECTROCARDIOLOGY 425121,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425121,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425121,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425121,A000000,03200,0000,3200SUPPORT SURFACES 425121,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425121,A000000,03301,0000,3051AIR FLUID THERAPY 425121,A000000,03302,0000,3052AMBULANCE 425121,A000000,03303,0000,3053PEN THERAPY 425121,A000000,03304,0000,3054ONCOLOGY 425121,A000000,03305,0000,3055CARDIOLOGY 425121,A000000,03306,0000,3056ULTRASOUND 425121,A000000,03307,0000,3057AUDIOLOGY 425121,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425121,A000000,03400,0000,3400CLINIC 425121,A000000,03500,0000,3500RURAL HEALTH CLINIC 425121,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425121,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425121,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425121,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425121,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425121,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425121,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425121,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425121,A000000,04400,0000,4400DME RENTED - HHA 425121,A000000,04500,0000,4500DME SOLD - HHA 425121,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425121,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425121,A000000,04710,0000,4710TELEMEDICINE 425121,A000000,04800,0000,4800AMBULANCE 425121,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425121,A000000,05000,0000,5000CORF 425121,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425121,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425121,A000000,05300,0000,5300INTEREST EXPENSE 425121,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425121,A000000,05500,0000,5500HOSPICE 425121,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425121,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425121,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425121,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425121,A000000,06100,0000,6100NONPAID WORKERS 425121,A000000,06200,0000,6200PATIENTS LAUNDRY 425121,A000000,06300,0000,6150ADULT DAY HEALTH 425121,A000000,06301,0000,6151ASSISTED LIVING 425121,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 425121,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425121,A81000A,00100,0100,N 425121,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425121,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425121,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425121,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425121,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425121,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425121,B100000,00000,0700,0750TIME SPENT :HOUSEKEEPING 425121,B100000,00000,0800,0800MEALS SERVED :DIETARY 425121,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425121,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425121,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 425121,B100000,00000,1200,1200ASSIGNED TIME :MEDICAL RECORDS 425121,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425121,G300000,02500,0000,OTHER - SEE GROUPINGS 425121,S000000,00100,0200,02/17/12 425121,S200000,00100,0100,3440 SOUTH JEFFERSON STREET 425121,S200000,00200,0100,FALLS CHURCH 425121,S200000,00200,0200,VA 425121,S200000,00200,0300,22041 425121,S200000,00300,0100,FAIRFAX 425121,S200000,00300,0200,8840 425121,S200000,00300,0201,47894 425121,S200000,00300,0300,U 425121,S200000,00400,0100,GOODWIN HOUSE BAILEY S CROSSROADS 425121,S200000,00400,0200,495171 425121,S200000,00400,0300,11/04/87 425121,S200000,00400,0500,P 425121,S200000,01200,0200,491553 425121,S200000,01200,0300,08/25/99 425121,S200000,01500,0100,Y 425121,S200000,01501,0200,Y 425121,S200000,01504,0200,Y 425121,S200000,01600,0100,N 425121,S200000,01700,0100,N 425121,S200000,01800,0100,N 425121,S200000,02200,0100,N 425121,S200000,02800,0100,Y 425121,S200000,02900,0100,N 425121,S200000,03000,0100,N 425121,S200000,03100,0100,N 425121,S200000,03200,0100,N 425121,S200000,03300,0100,N 425121,S200000,03300,0200,N 425121,S200000,04100,0100,N 425121,S200000,04200,0100,N 425121,S200000,04300,0100,N 425121,S200000,04600,0100,N 425121,S200000,04700,0100,N 425121,S200000,04700,0200,N 425121,S200000,04900,0100,N 425121,S200000,05000,0100,N 425121,S200000,05100,0100,N 425121,S200000,05200,0100,N 425121,S200000,05300,0100,N 425127,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425127,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425127,A000000,00300,0000,0300EMPLOYEE BENEFITS 425127,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425127,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425127,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425127,A000000,00700,0000,0700HOUSEKEEPING 425127,A000000,00800,0000,0800DIETARY 425127,A000000,00900,0000,0900NURSING ADMINISTRATION 425127,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425127,A000000,01300,0000,1300SOCIAL SERVICE 425127,A000000,01500,0000,1350PATIENT ACTIVITIES CES 425127,A000000,01600,0000,1600SKILLED NURSING FACILITY 425127,A000000,01800,0000,1800NURSING FACILITY 425127,A000000,01900,0000,1900OTHER LONG TERM CARE 425127,A000000,02100,0000,2100RADIOLOGY 425127,A000000,02200,0000,2200LABORATORY 425127,A000000,02500,0000,2500PHYSICAL THERAPY 425127,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425127,A000000,02700,0000,2700SPEECH PATHOLOGY 425127,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425127,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425127,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425127,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425127,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425127,A000000,05300,0000,5300INTEREST EXPENSE 425127,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425127,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425127,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425127,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425127,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425127,A000000,06100,0000,6100NONPAID WORKERS 425127,A000000,06200,0000,6200PATIENTS LAUNDRY 425127,A000000,06300,0000,6150MARKETING LE COST 425127,A000000,06301,0000,6151INDEPENDENT LIVING UNITS 425127,A000000,06302,0000,6152SPECIAL SERVICES 425127,A000000,06303,0000,6153WELLNESS 425127,A81000A,00100,0100,Y 425127,A81000B,00100,0300,HOME OFFICE 425127,A81000B,00200,0300,HOME OFFICE 425127,A81000C,00100,0100,A 425127,A81000C,00100,0400,FRIENDS HOMES INC. 425127,A81000C,00100,0600,HOME OFFICE 425127,A81000C,00200,0100,A 425127,A81000C,00200,0400,FRIENDS HOMES INC. 425127,A81000C,00200,0600,HOME OFFICE 425127,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425127,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425127,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425127,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425127,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425127,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425127,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425127,B100000,00000,0800,0800MEALS SERVED :DIETARY 425127,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425127,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425127,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 425127,G300000,02500,0000,INDEPENDENT LIVING REVENUE 425127,G300000,02501,0000,PHYSICIANS CARE REVENUE 425127,G300000,02502,0000,OTHER REVENUES 425127,G300000,02504,0000,BARBER AND BEAUTY REVENUE 425127,G300000,02505,0000,NON LEGEND DRUG REVENUE 425127,G300000,02506,0000,PERSONAL NEEDS REVENUE 425127,S000000,00100,0200,02/17/12 425127,S200000,00100,0100,925 NEW GARDEN ROAD 425127,S200000,00200,0100,GREENSBORO 425127,S200000,00200,0200,NC 425127,S200000,00200,0300,27410 425127,S200000,00300,0100,GUILFORD 425127,S200000,00300,0200,3120 425127,S200000,00300,0201,24660 425127,S200000,00300,0300,U 425127,S200000,00400,0100,FRIENDS HOME GUILFORD 425127,S200000,00400,0200,345148 425127,S200000,00400,0300,05/01/76 425127,S200000,00400,0500,P 425127,S200000,00400,0600,O 425127,S200000,00600,0200,345148 425127,S200000,00600,0300,05/01/76 425127,S200000,00600,0600,O 425127,S200000,01500,0100,N 425127,S200000,01501,0200,Y 425127,S200000,01504,0200,N 425127,S200000,01505,0000,OTHER 425127,S200000,01505,0200,Y 425127,S200000,01600,0100,Y 425127,S200000,01700,0100,N 425127,S200000,01800,0100,N 425127,S200000,02200,0100,N 425127,S200000,02800,0100,N 425127,S200000,02900,0100,N 425127,S200000,03000,0100,N 425127,S200000,03100,0100,N 425127,S200000,03200,0100,N 425127,S200000,03300,0100,N 425127,S200000,03300,0200,N 425127,S200000,03500,0300,N 425127,S200000,04100,0100,N 425127,S200000,04200,0100,N 425127,S200000,04300,0100,N 425127,S200000,04600,0100,N 425127,S200000,04700,0100,N 425127,S200000,04700,0200,N 425127,S200000,04900,0100,N 425127,S200000,05000,0100,N 425127,S200000,05100,0100,N 425127,S200000,05200,0100,N 425127,S200000,05300,0100,Y 425127,S200000,05300,0200,349055 425127,S200000,05400,0100,FRIENDS HOME INC. 425127,S200000,05400,0200,PALMETTO GBA 425127,S200000,05400,0300,11001 425127,S200000,05500,0100,925 NEW GARDEN ROAD 425127,S200000,05600,0100,GREENSBORO 425127,S200000,05600,0200,NC 425127,S200000,05600,0300,27410 425128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425128,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425128,A000000,00300,0000,0300EMPLOYEE BENEFITS 425128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425128,A000000,00700,0000,0700HOUSEKEEPING 425128,A000000,00800,0000,0800DIETARY 425128,A000000,00900,0000,0900NURSING ADMINISTRATION 425128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425128,A000000,01100,0000,1100PHARMACY 425128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425128,A000000,01300,0000,1300SOCIAL SERVICE 425128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425128,A000000,01500,0000,1350ACTIVITIES 425128,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 425128,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 425128,A000000,01600,0000,1600SKILLED NURSING FACILITY 425128,A000000,01800,0000,1800NURSING FACILITY 425128,A000000,01810,0000,1810ICF/MR 425128,A000000,01900,0000,1900OTHER LONG TERM CARE 425128,A000000,02100,0000,2100RADIOLOGY 425128,A000000,02200,0000,2200LABORATORY 425128,A000000,02300,0000,2300INTRAVENOUS THERAPY 425128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425128,A000000,02500,0000,2500PHYSICAL THERAPY 425128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425128,A000000,02700,0000,2700SPEECH PATHOLOGY 425128,A000000,02800,0000,2800ELECTROCARDIOLOGY 425128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425128,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425128,A000000,03200,0000,3200SUPPORT SURFACES 425128,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425128,A000000,03301,0000,3051AIR FLUID THERAPY 425128,A000000,03302,0000,3052AMBULANCE 425128,A000000,03303,0000,3053PEN THERAPY 425128,A000000,03304,0000,3054ONCOLOGY 425128,A000000,03305,0000,3055CARDIOLOGY 425128,A000000,03306,0000,3056ULTRASOUND 425128,A000000,03307,0000,3057AUDIOLOGY 425128,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425128,A000000,03400,0000,3400CLINIC 425128,A000000,03500,0000,3500RURAL HEALTH CLINIC 425128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425128,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425128,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425128,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425128,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425128,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425128,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425128,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425128,A000000,04400,0000,4400DME RENTED - HHA 425128,A000000,04500,0000,4500DME SOLD - HHA 425128,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425128,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425128,A000000,04710,0000,4710TELEMEDICINE 425128,A000000,04800,0000,4800AMBULANCE 425128,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425128,A000000,05000,0000,5000CORF 425128,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425128,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425128,A000000,05300,0000,5300INTEREST EXPENSE 425128,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425128,A000000,05500,0000,5500HOSPICE 425128,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425128,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425128,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425128,A000000,06100,0000,6100NONPAID WORKERS 425128,A000000,06200,0000,6200PATIENTS LAUNDRY 425128,A000000,06300,0000,6150MARKETING 425128,A000000,06301,0000,6151ASSISTED LIVING 425128,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 425128,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425128,A81000A,00100,0100,N 425128,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425128,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425128,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425128,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425128,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425128,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425128,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425128,B100000,00000,0800,0800MEALS SERVED :DIETARY 425128,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425128,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425128,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425128,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425128,G300000,02500,0000,OTHER - SEE GROUPINGS 425128,G300000,02501,0000,OTHER - SEE GROUPINGS 425128,G300000,02502,0000,OTHER - SEE GROUPINGS 425128,G300000,02503,0000,OTHER - SEE GROUPINGS 425128,G300000,02504,0000,OTHER - SEE GROUPINGS 425128,G300000,02505,0000,OTHER - SEE GROUPINGS 425128,S000000,00100,0200,02/17/12 425128,S200000,00100,0100,4800 FILLMORE AVENUE 425128,S200000,00200,0100,ALEXANDRIA 425128,S200000,00200,0200,VA 425128,S200000,00200,0300,22311 425128,S200000,00300,0100,ALEXANDRIA 425128,S200000,00300,0200,8840 425128,S200000,00300,0201,47894 425128,S200000,00300,0300,U 425128,S200000,00400,0100,GOODWIN HOUSE ALEXANDRIA 425128,S200000,00400,0200,495057 425128,S200000,00400,0300,07/11/96 425128,S200000,00400,0500,P 425128,S200000,01500,0100,Y 425128,S200000,01501,0200,Y 425128,S200000,01504,0200,Y 425128,S200000,01600,0100,N 425128,S200000,01700,0100,N 425128,S200000,01800,0100,N 425128,S200000,02200,0100,N 425128,S200000,02800,0100,Y 425128,S200000,02900,0100,N 425128,S200000,03000,0100,N 425128,S200000,03100,0100,N 425128,S200000,03200,0100,N 425128,S200000,03300,0100,N 425128,S200000,03300,0200,N 425128,S200000,04100,0100,N 425128,S200000,04200,0100,N 425128,S200000,04300,0100,N 425128,S200000,04600,0100,N 425128,S200000,04700,0100,N 425128,S200000,04700,0200,N 425128,S200000,04900,0100,N 425128,S200000,05000,0100,N 425128,S200000,05100,0100,N 425128,S200000,05200,0100,N 425128,S200000,05300,0100,N 425166,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425166,A000000,00300,0000,0300EMPLOYEE BENEFITS 425166,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425166,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425166,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425166,A000000,00700,0000,0700HOUSEKEEPING 425166,A000000,00800,0000,0800DIETARY 425166,A000000,00900,0000,0900NURSING ADMINISTRATION 425166,A000000,01100,0000,1100PHARMACY 425166,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425166,A000000,01300,0000,1300SOCIAL SERVICE 425166,A000000,01600,0000,1600SKILLED NURSING FACILITY 425166,A000000,02100,0000,2100RADIOLOGY 425166,A000000,02200,0000,2200LABORATORY 425166,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425166,A000000,02500,0000,2500PHYSICAL THERAPY 425166,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425166,A000000,02700,0000,2700SPEECH PATHOLOGY 425166,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425166,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425166,A81000A,00100,0100,N 425166,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425166,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425166,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425166,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425166,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425166,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425166,B100000,00000,0800,0800MEALS SERVED :DIETARY 425166,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425166,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 425166,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425166,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425166,G300000,02500,0000,MISCELLANEOUS 425166,S000000,00100,0200,01/09/12 425166,S200000,00100,0100,1800 IRVING 425166,S200000,00200,0100,BEATRICE 425166,S200000,00200,0200,NE 425166,S200000,00200,0300,68310 425166,S200000,00300,0100,GAGE 425166,S200000,00300,0201,99928 425166,S200000,00300,0300,R 425166,S200000,00400,0100,BEATRICE MANOR INC. 425166,S200000,00400,0200,285130 425166,S200000,00400,0300,04/01/93 425166,S200000,00400,0500,P 425166,S200000,01500,0100,Y 425166,S200000,01501,0200,N 425166,S200000,01502,0200,N 425166,S200000,01503,0200,N 425166,S200000,01504,0200,N 425166,S200000,01600,0100,N 425166,S200000,01700,0100,N 425166,S200000,01800,0100,N 425166,S200000,01900,0100,LLC 425166,S200000,02200,0100,N 425166,S200000,02800,0100,Y 425166,S200000,02900,0100,N 425166,S200000,03000,0100,N 425166,S200000,03100,0100,N 425166,S200000,03200,0100,N 425166,S200000,03300,0100,N 425166,S200000,03300,0200,N 425166,S200000,04100,0100,N 425166,S200000,04200,0100,N 425166,S200000,04300,0100,N 425166,S200000,04600,0100,N 425166,S200000,04700,0100,N 425166,S200000,04700,0200,N 425166,S200000,04900,0100,N 425166,S200000,05000,0100,N 425166,S200000,05100,0100,N 425166,S200000,05200,0100,N 425166,S200000,05300,0100,N 425168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425168,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425168,A000000,00300,0000,0300EMPLOYEE BENEFITS 425168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425168,A000000,00700,0000,0700HOUSEKEEPING 425168,A000000,00800,0000,0800DIETARY 425168,A000000,00900,0000,0900NURSING ADMINISTRATION 425168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425168,A000000,01100,0000,1100PHARMACY 425168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425168,A000000,01300,0000,1300SOCIAL SERVICE 425168,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425168,A000000,01500,0000,1350RECREATION 425168,A000000,01600,0000,1600SKILLED NURSING FACILITY 425168,A000000,01800,0000,1800NURSING FACILITY 425168,A000000,01810,0000,1810ICF/MR 425168,A000000,01900,0000,1900OTHER LONG TERM CARE 425168,A000000,02100,0000,2100RADIOLOGY 425168,A000000,02200,0000,2200LABORATORY 425168,A000000,02300,0000,2300INTRAVENOUS THERAPY 425168,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425168,A000000,02500,0000,2500PHYSICAL THERAPY 425168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425168,A000000,02700,0000,2700SPEECH PATHOLOGY 425168,A000000,02800,0000,2800ELECTROCARDIOLOGY 425168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425168,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425168,A000000,03200,0000,3200SUPPORT SURFACES 425168,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425168,A000000,03400,0000,3400CLINIC 425168,A000000,03500,0000,3500RURAL HEALTH CLINIC 425168,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425168,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425168,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425168,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425168,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425168,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425168,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425168,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425168,A000000,04400,0000,4400DME RENTED - HHA 425168,A000000,04500,0000,4500DME SOLD - HHA 425168,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425168,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425168,A000000,04710,0000,4710TELEMEDICINE 425168,A000000,04800,0000,4800AMBULANCE 425168,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425168,A000000,05000,0000,5000CORF 425168,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425168,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425168,A000000,05300,0000,5300INTEREST EXPENSE 425168,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425168,A000000,05500,0000,5500HOSPICE 425168,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425168,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425168,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425168,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425168,A000000,06100,0000,6100NONPAID WORKERS 425168,A000000,06200,0000,6200PATIENTS LAUNDRY 425168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425168,A81000A,00100,0100,Y 425168,A81000B,00100,0300,RENTAL OF BUILDING 425168,A81000B,00200,0300,RENTAL OF PARKING LOT 425168,A81000B,00300,0300,BUILDING DEPRECIATION 425168,A81000B,00400,0300,MORTGAGE INTEREST 425168,A81000B,00500,0300,OWNER SALARY 425168,A81000C,00100,0100,E 425168,A81000C,00100,0200,WILLIAM WHITE 425168,A81000C,00100,0400,VICTORIAN MANAGEMENT 425168,A81000C,00100,0600,REAL ESTATE RENTAL 425168,A81000C,00200,0100,E 425168,A81000C,00200,0200,WILLIAM WHITE 425168,A81000C,00200,0400,VICTORIAN MANAGEMENT 425168,A81000C,00200,0600,PARKING LOT RENTAL 425168,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425168,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425168,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425168,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425168,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425168,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425168,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425168,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425168,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425168,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425168,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425168,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425168,B100000,00000,1500,1350PATIENT DAYS :RECREATION 425168,G300000,02500,0000,OUTPATIENT THERAPY 425168,G300000,02501,0000,INTEREST INCOME 425168,G300000,02502,0000,BEAUTY SHOP 425168,G300000,02503,0000,OTHER SERVICE - PRIVATE 425168,G300000,02504,0000,EQUIPMENT RENTAL - HOSPICE 425168,G300000,02505,0000,MED B CLINIC INCOME 425168,G300000,02506,0000,OTHER INCOME 425168,S000000,00100,0200,01/23/12 425168,S200000,00100,0100,31 VAUXHALL STREET 425168,S200000,00100,0300,1679 425168,S200000,00200,0100,NEW LONDON 425168,S200000,00200,0200,CT 425168,S200000,00200,0300,06320 425168,S200000,00300,0100,NEW LONDON 425168,S200000,00300,0200,5523 425168,S200000,00300,0201,35980 425168,S200000,00300,0300,U 425168,S200000,00400,0100,BEECHWOOD REHABILITATION & NURSING 425168,S200000,00400,0200,075335 425168,S200000,00400,0300,06/01/91 425168,S200000,00400,0500,P 425168,S200000,01500,0100,Y 425168,S200000,01502,0200,Y 425168,S200000,01504,0200,Y 425168,S200000,01600,0100,N 425168,S200000,01700,0100,N 425168,S200000,01800,0100,N 425168,S200000,02200,0100,N 425168,S200000,02800,0100,N 425168,S200000,02900,0100,N 425168,S200000,03000,0100,N 425168,S200000,03100,0100,N 425168,S200000,03200,0100,N 425168,S200000,03300,0100,N 425168,S200000,03300,0200,N 425168,S200000,04100,0100,N 425168,S200000,04200,0100,N 425168,S200000,04300,0100,N 425168,S200000,04600,0100,N 425168,S200000,04700,0100,N 425168,S200000,04700,0200,N 425168,S200000,04900,0100,N 425168,S200000,05000,0100,N 425168,S200000,05100,0100,N 425168,S200000,05200,0100,N 425168,S200000,05300,0100,N 425169,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425169,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425169,A000000,00300,0000,0300EMPLOYEE BENEFITS 425169,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425169,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425169,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425169,A000000,00700,0000,0700HOUSEKEEPING 425169,A000000,00800,0000,0800DIETARY 425169,A000000,00900,0000,0900NURSING ADMINISTRATION 425169,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425169,A000000,01100,0000,1100PHARMACY 425169,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425169,A000000,01300,0000,1300SOCIAL SERVICE 425169,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425169,A000000,01500,0000,1350ACTIVITIES 425169,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 425169,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 425169,A000000,01600,0000,1600SKILLED NURSING FACILITY 425169,A000000,01800,0000,1800NURSING FACILITY 425169,A000000,01810,0000,1810ICF/MR 425169,A000000,01900,0000,1900OTHER LONG TERM CARE 425169,A000000,02100,0000,2100RADIOLOGY 425169,A000000,02200,0000,2200LABORATORY 425169,A000000,02300,0000,2300INTRAVENOUS THERAPY 425169,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425169,A000000,02500,0000,2500PHYSICAL THERAPY 425169,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425169,A000000,02700,0000,2700SPEECH PATHOLOGY 425169,A000000,02800,0000,2800ELECTROCARDIOLOGY 425169,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425169,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425169,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425169,A000000,03200,0000,3200SUPPORT SURFACES 425169,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425169,A000000,03301,0000,3051AIR FLUID THERAPY 425169,A000000,03302,0000,3052AMBULANCE 425169,A000000,03303,0000,3053PEN THERAPY 425169,A000000,03304,0000,3054ONCOLOGY 425169,A000000,03305,0000,3055CARDIOLOGY 425169,A000000,03306,0000,3056ULTRASOUND 425169,A000000,03307,0000,3057AUDIOLOGY 425169,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425169,A000000,03400,0000,3400CLINIC 425169,A000000,03500,0000,3500RURAL HEALTH CLINIC 425169,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425169,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425169,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425169,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425169,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425169,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425169,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425169,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425169,A000000,04400,0000,4400DME RENTED - HHA 425169,A000000,04500,0000,4500DME SOLD - HHA 425169,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425169,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425169,A000000,04710,0000,4710TELEMEDICINE 425169,A000000,04800,0000,4800AMBULANCE 425169,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425169,A000000,05000,0000,5000CORF 425169,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425169,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425169,A000000,05300,0000,5300INTEREST EXPENSE 425169,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425169,A000000,05500,0000,5500HOSPICE 425169,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425169,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425169,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425169,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425169,A000000,06100,0000,6100NONPAID WORKERS 425169,A000000,06200,0000,6200PATIENTS LAUNDRY 425169,A000000,06300,0000,6150ADULT DAY HEALTH 425169,A000000,06301,0000,6151ASSISTED LIVING 425169,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 425169,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425169,A81000A,00100,0100,Y 425169,A81000B,00400,0300,MGMT FEE - CAPITAL REL BLDG 425169,A81000B,00500,0300,MGMT FEE - CAPITAL REL MME 425169,A81000B,00600,0300,MGMT FEE - A&G RELATED 425169,A81000B,00700,0300,ADMIN & GENERAL CENTRAL OFFICE EXP 425169,A81000C,00100,0100,A 425169,A81000C,00100,0200,GERALD SOHN 425169,A81000C,00100,0400,COPLEY HEALTHCARE MGMET 425169,A81000C,00100,0600,HOME OFFICE 425169,A81000C,00200,0400,DIVERSIFIED HEALTHCARE 425169,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425169,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425169,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425169,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425169,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425169,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425169,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425169,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425169,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425169,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425169,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425169,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425169,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 425169,G300000,02500,0000,OTHER - SEE GROUPINGS 425169,S000000,00100,0200,12/22/11 425169,S200000,00100,0100,380 SUMNER STREET 425169,S200000,00200,0100,STOUGHTON 425169,S200000,00200,0200,MA 425169,S200000,00200,0300,02148 425169,S200000,00300,0100,NORFOLK 425169,S200000,00300,0200,1123 425169,S200000,00300,0201,14484 425169,S200000,00300,0300,U 425169,S200000,00400,0100,COPLEY AT STOUGHTON NURSING CARE CEN 425169,S200000,00400,0200,225653 425169,S200000,00400,0300,11/15/94 425169,S200000,00400,0500,P 425169,S200000,00400,0600,P 425169,S200000,01500,0100,Y 425169,S200000,01501,0200,N 425169,S200000,01502,0200,N 425169,S200000,01503,0200,Y 425169,S200000,01504,0200,Y 425169,S200000,01600,0100,N 425169,S200000,01700,0100,N 425169,S200000,01800,0100,N 425169,S200000,02200,0100,N 425169,S200000,02800,0100,N 425169,S200000,02900,0100,N 425169,S200000,03000,0100,N 425169,S200000,03100,0100,N 425169,S200000,03200,0100,N 425169,S200000,03300,0100,N 425169,S200000,03300,0200,N 425169,S200000,04100,0100,N 425169,S200000,04200,0100,N 425169,S200000,04300,0100,N 425169,S200000,04600,0100,N 425169,S200000,04700,0100,N 425169,S200000,04700,0200,N 425169,S200000,04900,0100,N 425169,S200000,05000,0100,N 425169,S200000,05100,0100,N 425169,S200000,05200,0100,N 425169,S200000,05300,0100,Y 425169,S200000,05300,0200,H53740 425169,S200000,05400,0100,COPLEY HEALTHCARE MANAGEMENT INC. 425169,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 425169,S200000,05400,0300,13201 425169,S200000,05500,0100,148 MAIN STREET 425169,S200000,05600,0100,MALDEN 425169,S200000,05600,0200,MA 425169,S200000,05600,0300,02148 425171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425171,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425171,A000000,00300,0000,0300EMPLOYEE BENEFITS 425171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425171,A000000,00700,0000,0700HOUSEKEEPING 425171,A000000,00800,0000,0800DIETARY 425171,A000000,00900,0000,0900NURSING ADMINISTRATION 425171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425171,A000000,01100,0000,1100PHARMACY 425171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425171,A000000,01300,0000,1300SOCIAL SERVICE 425171,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425171,A000000,01500,0000,1350OTHER GENERAL SERVICES 425171,A000000,01600,0000,1600SKILLED NURSING FACILITY 425171,A000000,01800,0000,1800NURSING FACILITY 425171,A000000,01810,0000,1810ICF/MR 425171,A000000,01900,0000,1900OTHER LONG TERM CARE 425171,A000000,02100,0000,2100RADIOLOGY 425171,A000000,02200,0000,2200LABORATORY 425171,A000000,02300,0000,2300INTRAVENOUS THERAPY 425171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425171,A000000,02500,0000,2500PHYSICAL THERAPY 425171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425171,A000000,02700,0000,2700SPEECH PATHOLOGY 425171,A000000,02800,0000,2800ELECTROCARDIOLOGY 425171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425171,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425171,A000000,03200,0000,3200SUPPORT SURFACES 425171,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425171,A000000,03400,0000,3400CLINIC 425171,A000000,03500,0000,3500RURAL HEALTH CLINIC 425171,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425171,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425171,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425171,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425171,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425171,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425171,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425171,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425171,A000000,04400,0000,4400DME RENTED - HHA 425171,A000000,04500,0000,4500DME SOLD - HHA 425171,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425171,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425171,A000000,04710,0000,4710TELEMEDICINE 425171,A000000,04800,0000,4800AMBULANCE 425171,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425171,A000000,05000,0000,5000CORF 425171,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425171,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425171,A000000,05300,0000,5300INTEREST EXPENSE 425171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425171,A000000,05500,0000,5500HOSPICE 425171,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425171,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425171,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425171,A000000,06100,0000,6100NONPAID WORKERS 425171,A000000,06200,0000,6200PATIENTS LAUNDRY 425171,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425171,A81000A,00100,0100,Y 425171,A81000B,00100,0300,RENT 425171,A81000B,00200,0300,MORTGAGE INTEREST 425171,A81000B,00300,0300,DEPREC& AMORT 425171,A81000C,00100,0100,A 425171,A81000C,00100,0200,ESIKOFF 425171,A81000C,00100,0400,LITTLE NECK N.H. ASSOC LC 425171,A81000C,00100,0600,REALTY 425171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425171,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425171,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425171,B100000,00000,0800,0800MEALS SERVED :DIETARY 425171,S000000,00100,0200,01/27/12 425171,S200000,00100,0100,260-19 NASSAU BLVD 425171,S200000,00200,0100,LITTLE NECK 425171,S200000,00200,0200,NY 425171,S200000,00200,0300,11362 425171,S200000,00300,0100,QUEENS 425171,S200000,00300,0200,5600 425171,S200000,00300,0201,33590 425171,S200000,00300,0300,U 425171,S200000,00400,0100,LITTLE NECK NURSING HOME 425171,S200000,00400,0200,335434 425171,S200000,00400,0300,01/01/92 425171,S200000,00400,0500,P 425171,S200000,01500,0100,Y 425171,S200000,01503,0200,Y 425171,S200000,01600,0100,N 425171,S200000,01700,0100,N 425171,S200000,01800,0100,N 425171,S200000,02200,0100,N 425171,S200000,02800,0100,N 425171,S200000,02900,0100,N 425171,S200000,03000,0100,N 425171,S200000,03100,0100,N 425171,S200000,03200,0100,N 425171,S200000,03300,0100,N 425171,S200000,03300,0200,N 425171,S200000,04100,0100,N 425171,S200000,04200,0100,N 425171,S200000,04300,0100,N 425171,S200000,04600,0100,N 425171,S200000,04700,0100,N 425171,S200000,04700,0200,N 425171,S200000,04900,0100,N 425171,S200000,05000,0100,N 425171,S200000,05100,0100,N 425171,S200000,05200,0100,N 425172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425172,A000000,00300,0000,0300EMPLOYEE BENEFITS 425172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425172,A000000,00700,0000,0700HOUSEKEEPING 425172,A000000,00800,0000,0800DIETARY 425172,A000000,00900,0000,0900NURSING ADMINISTRATION 425172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425172,A000000,01100,0000,1100PHARMACY 425172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425172,A000000,01300,0000,1300SOCIAL SERVICE 425172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425172,A000000,01500,0000,1350OTHER GENERAL SERVICES 425172,A000000,01600,0000,1600SKILLED NURSING FACILITY 425172,A000000,01800,0000,1800NURSING FACILITY 425172,A000000,01810,0000,1810ICF/MR 425172,A000000,01900,0000,1900OTHER LONG TERM CARE 425172,A000000,02100,0000,2100RADIOLOGY 425172,A000000,02200,0000,2200LABORATORY 425172,A000000,02300,0000,2300INTRAVENOUS THERAPY 425172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425172,A000000,02500,0000,2500PHYSICAL THERAPY 425172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425172,A000000,02700,0000,2700SPEECH PATHOLOGY 425172,A000000,02800,0000,2800ELECTROCARDIOLOGY 425172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425172,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425172,A000000,03200,0000,3200SUPPORT SURFACES 425172,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425172,A000000,03400,0000,3400CLINIC 425172,A000000,03500,0000,3500RURAL HEALTH CLINIC 425172,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425172,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425172,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425172,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425172,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425172,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425172,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425172,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425172,A000000,04400,0000,4400DME RENTED - HHA 425172,A000000,04500,0000,4500DME SOLD - HHA 425172,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425172,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425172,A000000,04710,0000,4710TELEMEDICINE 425172,A000000,04800,0000,4800AMBULANCE 425172,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425172,A000000,05000,0000,5000CORF 425172,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425172,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425172,A000000,05300,0000,5300INTEREST EXPENSE 425172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425172,A000000,05500,0000,5500HOSPICE 425172,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425172,A000000,06100,0000,6100NONPAID WORKERS 425172,A000000,06200,0000,6200PATIENTS LAUNDRY 425172,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425172,A81000A,00100,0100,Y 425172,A81000B,00500,0300,OFFICE 425172,A81000C,00200,0100,C 425172,A81000C,00200,0200,ZUPNICK 425172,A81000C,00200,0400,BRONX FUNDING 425172,A81000C,00200,0600,OFFICE 425172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425172,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425172,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425172,B100000,00000,0800,0800MEALS SERVED :DIETARY 425172,S000000,00100,0200,01/12/12 425172,S200000,00100,0100,311 RU8SALL STREET 425172,S200000,00200,0100,CHITTENANGO 425172,S200000,00200,0200,NY 425172,S200000,00200,0300,13037 425172,S200000,00300,0100,ONADAGA 425172,S200000,00300,0200,0033 425172,S200000,00300,0201,27060 425172,S200000,00300,0300,U 425172,S200000,00400,0100,STONEHEDGE AQUISITION CHITTENANGO I 425172,S200000,00400,0200,335588 425172,S200000,00400,0300,03/01/97 425172,S200000,00400,0500,P 425172,S200000,01500,0100,Y 425172,S200000,01503,0200,Y 425172,S200000,01600,0100,N 425172,S200000,01700,0100,N 425172,S200000,01800,0100,N 425172,S200000,02200,0100,N 425172,S200000,02800,0100,N 425172,S200000,02900,0100,N 425172,S200000,03000,0100,N 425172,S200000,03100,0100,N 425172,S200000,03200,0100,N 425172,S200000,03300,0100,N 425172,S200000,03300,0200,N 425172,S200000,04100,0100,N 425172,S200000,04200,0100,N 425172,S200000,04300,0100,N 425172,S200000,04600,0100,N 425172,S200000,04700,0100,N 425172,S200000,04700,0200,N 425172,S200000,04900,0100,N 425172,S200000,05000,0100,N 425172,S200000,05100,0100,N 425172,S200000,05200,0100,N 425173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425173,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425173,A000000,00300,0000,0300EMPLOYEE BENEFITS 425173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425173,A000000,00700,0000,0700HOUSEKEEPING 425173,A000000,00800,0000,0800DIETARY 425173,A000000,00900,0000,0900NURSING ADMINISTRATION 425173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425173,A000000,01100,0000,1100PHARMACY 425173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425173,A000000,01300,0000,1300SOCIAL SERVICE 425173,A000000,01301,0000,1301RECREATION 425173,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425173,A000000,01500,0000,1350OTHER GENERAL SERVICES 425173,A000000,01600,0000,1600SKILLED NURSING FACILITY 425173,A000000,01800,0000,1800NURSING FACILITY 425173,A000000,01810,0000,1810ICF/MR 425173,A000000,01900,0000,1900OTHER LONG TERM CARE 425173,A000000,02100,0000,2100RADIOLOGY 425173,A000000,02200,0000,2200LABORATORY 425173,A000000,02300,0000,2300INTRAVENOUS THERAPY 425173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425173,A000000,02500,0000,2500PHYSICAL THERAPY 425173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425173,A000000,02700,0000,2700SPEECH PATHOLOGY 425173,A000000,02800,0000,2800ELECTROCARDIOLOGY 425173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425173,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425173,A000000,03200,0000,3200SUPPORT SURFACES 425173,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425173,A000000,03400,0000,3400CLINIC 425173,A000000,03500,0000,3500RURAL HEALTH CLINIC 425173,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425173,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425173,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425173,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425173,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425173,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425173,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425173,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425173,A000000,04400,0000,4400DME RENTED - HHA 425173,A000000,04500,0000,4500DME SOLD - HHA 425173,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425173,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425173,A000000,04710,0000,4710TELEMEDICINE 425173,A000000,04800,0000,4800AMBULANCE 425173,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425173,A000000,05000,0000,5000CORF 425173,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425173,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425173,A000000,05300,0000,5300INTEREST EXPENSE 425173,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425173,A000000,05500,0000,5500HOSPICE 425173,A000000,05600,0000,5350DAYCARE 425173,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425173,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425173,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425173,A000000,06100,0000,6100NONPAID WORKERS 425173,A000000,06200,0000,6200PATIENTS LAUNDRY 425173,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425173,A81000A,00100,0100,Y 425173,A81000B,00400,0300,OFFICE 425173,A81000C,00100,0100,A 425173,A81000C,00100,0200,KASNOVSKY 425173,A81000C,00100,0400,801 JAMES STREET LLC 425173,A81000C,00100,0600,REAL ESTATE 425173,A81000C,00200,0100,C 425173,A81000C,00200,0200,ZUPNICK 425173,A81000C,00200,0400,BRONX FUNDING 425173,A81000C,00200,0600,OFFICE 425173,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425173,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425173,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425173,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425173,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425173,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425173,B100000,00000,0800,0800MEALS SERVED :DIETARY 425173,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 425173,B100000,00000,1301,1331# PARTICIPAN :RECREATION 425173,E10A180,00350,0100,11/30/11 425173,S000000,00100,0200,01/12/12 425173,S200000,00100,0100,801 NORTH JAMES STREET 425173,S200000,00200,0100,ROME 425173,S200000,00200,0200,NY 425173,S200000,00200,0300,13440 425173,S200000,00300,0100,ONEIDA 425173,S200000,00300,0200,8680 425173,S200000,00300,0201,46540 425173,S200000,00300,0300,U 425173,S200000,00400,0100,STONEHEDGE AQUISITION ROME I LLC 425173,S200000,00400,0200,335589 425173,S200000,00400,0300,03/01/97 425173,S200000,00400,0500,P 425173,S200000,01500,0100,Y 425173,S200000,01502,0200,Y 425173,S200000,01600,0100,N 425173,S200000,01700,0100,N 425173,S200000,01800,0100,N 425173,S200000,02200,0100,N 425173,S200000,02800,0100,N 425173,S200000,02900,0100,N 425173,S200000,03000,0100,N 425173,S200000,03100,0100,N 425173,S200000,03200,0100,N 425173,S200000,03300,0100,N 425173,S200000,03300,0200,N 425173,S200000,04100,0100,N 425173,S200000,04200,0100,N 425173,S200000,04300,0100,N 425173,S200000,04600,0100,N 425173,S200000,04700,0100,N 425173,S200000,04700,0200,N 425173,S200000,04900,0100,N 425173,S200000,05000,0100,N 425173,S200000,05100,0100,N 425173,S200000,05200,0100,N 425187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425187,A000000,00300,0000,0300EMPLOYEE BENEFITS 425187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425187,A000000,00700,0000,0700HOUSEKEEPING 425187,A000000,00800,0000,0800DIETARY 425187,A000000,00900,0000,0900NURSING ADMINISTRATION 425187,A000000,01100,0000,1100PHARMACY 425187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425187,A000000,01300,0000,1300SOCIAL SERVICE 425187,A000000,01600,0000,1600SKILLED NURSING FACILITY 425187,A000000,02100,0000,2100RADIOLOGY 425187,A000000,02200,0000,2200LABORATORY 425187,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425187,A000000,02500,0000,2500PHYSICAL THERAPY 425187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425187,A000000,02700,0000,2700SPEECH PATHOLOGY 425187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425187,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425187,A81000A,00100,0100,N 425187,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425187,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425187,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425187,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425187,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425187,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425187,B100000,00000,0800,0800MEALS SERVED :DIETARY 425187,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425187,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 425187,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425187,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425187,G300000,02500,0000,MISCELLANEOUS INCOME 425187,S000000,00100,0200,01/09/12 425187,S200000,00100,0100,728 14TH AVENUE 425187,S200000,00200,0100,FORT DODGE 425187,S200000,00200,0200,IA 425187,S200000,00200,0300,50501 425187,S200000,00300,0100,WEBSTER 425187,S200000,00300,0201,99916 425187,S200000,00300,0300,R 425187,S200000,00400,0100,CAREAGE OF FORT DODGE 425187,S200000,00400,0200,165156 425187,S200000,00400,0300,07/17/90 425187,S200000,00400,0500,P 425187,S200000,01500,0100,Y 425187,S200000,01501,0200,N 425187,S200000,01502,0200,N 425187,S200000,01503,0200,N 425187,S200000,01504,0200,N 425187,S200000,01600,0100,N 425187,S200000,01700,0100,N 425187,S200000,01800,0100,N 425187,S200000,01900,0100,LLC 425187,S200000,02200,0100,N 425187,S200000,02800,0100,Y 425187,S200000,02900,0100,N 425187,S200000,03000,0100,N 425187,S200000,03100,0100,N 425187,S200000,03200,0100,N 425187,S200000,03300,0100,N 425187,S200000,03300,0200,N 425187,S200000,04100,0100,N 425187,S200000,04200,0100,N 425187,S200000,04300,0100,N 425187,S200000,04600,0100,N 425187,S200000,04700,0100,N 425187,S200000,04700,0200,N 425187,S200000,04900,0100,N 425187,S200000,05000,0100,N 425187,S200000,05100,0100,N 425187,S200000,05200,0100,N 425187,S200000,05300,0100,N 425188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425188,A000000,00300,0000,0300EMPLOYEE BENEFITS 425188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425188,A000000,00700,0000,0700HOUSEKEEPING 425188,A000000,00800,0000,0800DIETARY 425188,A000000,00900,0000,0900NURSING ADMINISTRATION 425188,A000000,01100,0000,1100PHARMACY 425188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425188,A000000,01300,0000,1300SOCIAL SERVICE 425188,A000000,01600,0000,1600SKILLED NURSING FACILITY 425188,A000000,02100,0000,2100RADIOLOGY 425188,A000000,02200,0000,2200LABORATORY 425188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425188,A000000,02500,0000,2500PHYSICAL THERAPY 425188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425188,A000000,02700,0000,2700SPEECH PATHOLOGY 425188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425188,A81000A,00100,0100,N 425188,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425188,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425188,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425188,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425188,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425188,B100000,00000,0800,0800MEALS SERVED :DIETARY 425188,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425188,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 425188,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425188,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425188,G300000,02500,0000,MISCELLANEOUS 425188,S000000,00100,0200,01/09/12 425188,S200000,00100,0100,110 13TH SW AVENUE 425188,S200000,00200,0100,CLARION 425188,S200000,00200,0200,IA 425188,S200000,00200,0300,50525 425188,S200000,00300,0100,WRIGHT 425188,S200000,00300,0201,99916 425188,S200000,00300,0300,R 425188,S200000,00400,0100,CAREAGE OF CLARION 425188,S200000,00400,0200,165362 425188,S200000,00400,0300,09/17/97 425188,S200000,00400,0500,P 425188,S200000,01500,0100,Y 425188,S200000,01501,0200,N 425188,S200000,01502,0200,N 425188,S200000,01503,0200,N 425188,S200000,01504,0200,N 425188,S200000,01600,0100,N 425188,S200000,01700,0100,N 425188,S200000,01800,0100,N 425188,S200000,01900,0100,LLC 425188,S200000,02200,0100,N 425188,S200000,02800,0100,Y 425188,S200000,02900,0100,N 425188,S200000,03000,0100,N 425188,S200000,03100,0100,N 425188,S200000,03200,0100,N 425188,S200000,03300,0100,N 425188,S200000,03300,0200,N 425188,S200000,04100,0100,N 425188,S200000,04200,0100,N 425188,S200000,04300,0100,N 425188,S200000,04600,0100,N 425188,S200000,04700,0100,N 425188,S200000,04700,0200,N 425188,S200000,04900,0100,N 425188,S200000,05000,0100,N 425188,S200000,05100,0100,N 425188,S200000,05200,0100,N 425241,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425241,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425241,A000000,00300,0000,0300EMPLOYEE BENEFITS 425241,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425241,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425241,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425241,A000000,00700,0000,0700HOUSEKEEPING 425241,A000000,00800,0000,0800DIETARY 425241,A000000,00900,0000,0900NURSING ADMINISTRATION 425241,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425241,A000000,01100,0000,1100PHARMACY 425241,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425241,A000000,01300,0000,1300SOCIAL SERVICE 425241,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425241,A000000,01500,0000,1350OTHER GENERAL SERVICES 425241,A000000,01600,0000,1600SKILLED NURSING FACILITY 425241,A000000,01800,0000,1800NURSING FACILITY 425241,A000000,01810,0000,1810ICF/MR 425241,A000000,01900,0000,1900OTHER LONG TERM CARE 425241,A000000,02100,0000,2100RADIOLOGY 425241,A000000,02200,0000,2200LABORATORY 425241,A000000,02300,0000,2300INTRAVENOUS THERAPY 425241,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425241,A000000,02500,0000,2500PHYSICAL THERAPY 425241,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425241,A000000,02700,0000,2700SPEECH PATHOLOGY 425241,A000000,02800,0000,2800ELECTROCARDIOLOGY 425241,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425241,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425241,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425241,A000000,03200,0000,3200SUPPORT SURFACES 425241,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425241,A000000,03400,0000,3400CLINIC 425241,A000000,03500,0000,3500RURAL HEALTH CLINIC 425241,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425241,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425241,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425241,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425241,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425241,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425241,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425241,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425241,A000000,04400,0000,4400DME RENTED - HHA 425241,A000000,04500,0000,4500DME SOLD - HHA 425241,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425241,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425241,A000000,04710,0000,4710TELEMEDICINE 425241,A000000,04800,0000,4800AMBULANCE 425241,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425241,A000000,05000,0000,5000CORF 425241,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425241,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425241,A000000,05300,0000,5300INTEREST EXPENSE 425241,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425241,A000000,05500,0000,5500HOSPICE 425241,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425241,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425241,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425241,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425241,A000000,06100,0000,6100NONPAID WORKERS 425241,A000000,06200,0000,6200PATIENTS LAUNDRY 425241,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425241,A81000A,00100,0100,Y 425241,A81000B,00100,0300,CENTRAL OFFICE COSTS 425241,A81000C,00100,0100,A 425241,A81000C,00100,0200,JUCKETTE FAMILY 425241,A81000C,00100,0400,WITT & JUCKETTE CONST 425241,A81000C,00100,0600,MANAGEMENT COMPANY 425241,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425241,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425241,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425241,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425241,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425241,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425241,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425241,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425241,G300000,02500,0000,RESIDENT PURCHASES 425241,G300000,02501,0000,INCOME-OTHER NONOPER 425241,G300000,02502,0000,INCOME-SUPPLIES 425241,G300000,02503,0000,GAIN ON SALE 425241,S000000,00100,0200,01/09/12 425241,S200000,00100,0100,P.O. BOX 1266 425241,S200000,00200,0100,STORM LAKE 425241,S200000,00200,0200,IA 425241,S200000,00200,0300,50588 425241,S200000,00300,0100,BUENA VISTA 425241,S200000,00300,0200,16 425241,S200000,00300,0201,99916 425241,S200000,00300,0300,R 425241,S200000,00400,0100,BUENA VISTA MANOR 425241,S200000,00400,0200,165596 425241,S200000,00400,0300,09/30/09 425241,S200000,00400,0500,P 425241,S200000,01500,0100,Y 425241,S200000,01600,0100,N 425241,S200000,01700,0100,N 425241,S200000,01800,0100,N 425241,S200000,02200,0100,N 425241,S200000,02800,0100,Y 425241,S200000,02900,0100,N 425241,S200000,03000,0100,N 425241,S200000,03100,0100,N 425241,S200000,03200,0100,N 425241,S200000,03300,0100,N 425241,S200000,03300,0200,N 425241,S200000,04100,0100,N 425241,S200000,04200,0100,N 425241,S200000,04300,0100,N 425241,S200000,04600,0100,N 425241,S200000,04700,0100,N 425241,S200000,04700,0200,N 425241,S200000,04900,0100,N 425241,S200000,05000,0100,N 425241,S200000,05100,0100,N 425241,S200000,05200,0100,N 425241,S200000,05300,0100,Y 425241,S200000,05300,0200,H54330 425241,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 425241,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 425241,S200000,05400,0300,05301 425241,S200000,05500,0100,HIGHWAY 36 EAST 425241,S200000,05600,0100,CHILLICOTHE 425241,S200000,05600,0200,MO 425241,S200000,05600,0300,64601 425278,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425278,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425278,A000000,00300,0000,0300EMPLOYEE BENEFITS 425278,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425278,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425278,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425278,A000000,00700,0000,0700HOUSEKEEPING 425278,A000000,00800,0000,0800DIETARY 425278,A000000,00801,0000,0801SHARED DIETARY SERVICES 425278,A000000,00900,0000,0900NURSING ADMINISTRATION 425278,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425278,A000000,01100,0000,1100PHARMACY 425278,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425278,A000000,01201,0000,1201ACTIVITIES 425278,A000000,01300,0000,1300SOCIAL SERVICE 425278,A000000,01301,0000,1301SHARED SOCIAL SERVICES 425278,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425278,A000000,01500,0000,1350OTHER GENERAL SERVICES 425278,A000000,01600,0000,1600SKILLED NURSING FACILITY 425278,A000000,01800,0000,1800NURSING FACILITY 425278,A000000,01810,0000,1810ICF/MR 425278,A000000,01900,0000,1900OTHER LONG TERM CARE 425278,A000000,02100,0000,2100RADIOLOGY 425278,A000000,02200,0000,2200LABORATORY 425278,A000000,02300,0000,2300INTRAVENOUS THERAPY 425278,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425278,A000000,02500,0000,2500PHYSICAL THERAPY 425278,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425278,A000000,02700,0000,2700SPEECH PATHOLOGY 425278,A000000,02800,0000,2800ELECTROCARDIOLOGY 425278,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425278,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425278,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425278,A000000,03200,0000,3200SUPPORT SURFACES 425278,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425278,A000000,03400,0000,3400CLINIC 425278,A000000,03500,0000,3500RURAL HEALTH CLINIC 425278,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425278,A000000,05000,0000,5000CORF 425278,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425278,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425278,A000000,05300,0000,5300INTEREST EXPENSE 425278,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425278,A000000,05500,0000,5500HOSPICE 425278,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425278,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425278,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425278,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425278,A000000,06100,0000,6100NONPAID WORKERS 425278,A000000,06200,0000,6200PATIENTS LAUNDRY 425278,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425278,A000000,06301,0000,6151MEALS ON WHEELS 425278,A000000,06302,0000,6152ADULT DAY CARE 425278,A81000A,00100,0100,Y 425278,A81000B,00100,0300,ADMIN/ACCOUNTING 425278,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 425278,A81000B,00300,0300,HEALTH INSURANCE 425278,A81000B,00400,0300,WORKERS COMP 425278,A81000B,00500,0300,PROPERTY INSURANCE 425278,A81000B,00600,0300,LIABILITY INSURANCE 425278,A81000B,00700,0300,VEHICLE INSURANCE 425278,A81000C,00100,0100,B 425278,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 425278,A81000C,00100,0600,HEALTH CARE 425278,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425278,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425278,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425278,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425278,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425278,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425278,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 425278,B100000,00000,0800,0800MEALS SERVED :DIETARY 425278,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425278,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 425278,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 425278,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 425278,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 425278,S000000,00100,0200,01/31/12 425278,S200000,00100,0100,300 N DOBSON SD 425278,S200000,00200,0100,TRIPP 425278,S200000,00200,0200,SD 425278,S200000,00200,0300,57376-2166 425278,S200000,00300,0100,HUTCHINSON 425278,S200000,00300,0201,99943 425278,S200000,00300,0300,R 425278,S200000,00400,0100,GOOD SAMARITAN SOCIETY-TRIPP 425278,S200000,00400,0200,435091 425278,S200000,00400,0300,12/01/95 425278,S200000,00400,0500,P 425278,S200000,01500,0100,Y 425278,S200000,01501,0200,N 425278,S200000,01502,0200,Y 425278,S200000,01504,0200,N 425278,S200000,01505,0000,HEALTH INSURANCE 425278,S200000,01505,0200,N 425278,S200000,01506,0000,PENSION 425278,S200000,01506,0200,Y 425278,S200000,01600,0100,N 425278,S200000,01700,0100,N 425278,S200000,01800,0100,N 425278,S200000,02200,0100,N 425278,S200000,02800,0100,N 425278,S200000,02900,0100,N 425278,S200000,03000,0100,N 425278,S200000,03100,0100,N 425278,S200000,03200,0100,N 425278,S200000,03300,0100,N 425278,S200000,03300,0200,N 425278,S200000,04100,0100,N 425278,S200000,04200,0100,N 425278,S200000,04300,0100,N 425278,S200000,04600,0100,N 425278,S200000,04700,0100,N 425278,S200000,04700,0200,N 425278,S200000,04900,0100,N 425278,S200000,05000,0100,N 425278,S200000,05100,0100,N 425278,S200000,05200,0100,N 425278,S200000,05300,0100,Y 425278,S200000,05300,0200,439100 425278,S200000,05400,0100,ELGSS 425278,S200000,05400,0200,NORIDIAN 425278,S200000,05400,0300,03001 425278,S200000,05500,0100,4800 WEST 57TH STREET 425278,S200000,05500,0200,5038 425278,S200000,05600,0100,SIOUX FALLS 425278,S200000,05600,0200,SD 425278,S200000,05600,0300,57117-5038 425293,S000000,00100,0200,02/02/12 425293,S200000,00100,0100,3900 SOUTH OAK PARK AVENUE 425293,S200000,00200,0100,BERWYN 425293,S200000,00200,0200,IL 425293,S200000,00200,0300,60402 425293,S200000,00300,0100,COOK 425293,S200000,00400,0100,PERSHING CONVALESCENT HOME 425293,S200000,00400,0300,04/05/05 425295,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425295,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425295,A000000,00300,0000,0300EMPLOYEE BENEFITS 425295,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425295,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425295,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425295,A000000,00700,0000,0700HOUSEKEEPING 425295,A000000,00800,0000,0800DIETARY 425295,A000000,00900,0000,0900NURSING ADMINISTRATION 425295,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425295,A000000,01100,0000,1100PHARMACY 425295,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425295,A000000,01300,0000,1300SOCIAL SERVICE 425295,A000000,01600,0000,1600SKILLED NURSING FACILITY 425295,A000000,01800,0000,1800NURSING FACILITY 425295,A000000,01900,0000,1900OTHER LONG TERM CARE 425295,A000000,02100,0000,2100RADIOLOGY 425295,A000000,02200,0000,2200LABORATORY 425295,A000000,02300,0000,2300INTRAVENOUS THERAPY 425295,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425295,A000000,02500,0000,2500PHYSICAL THERAPY 425295,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425295,A000000,02700,0000,2700SPEECH PATHOLOGY 425295,A000000,02800,0000,2800ELECTROCARDIOLOGY 425295,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425295,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425295,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425295,A000000,03200,0000,3200SUPPORT SURFACES 425295,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425295,A000000,03400,0000,3400CLINIC 425295,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 425295,A000000,04800,0000,4800AMBULANCE 425295,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425295,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425295,A000000,05300,0000,5300INTEREST EXPENSE 425295,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425295,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425295,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425295,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425295,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425295,A000000,06100,0000,6100NONPAID WORKERS 425295,A000000,06200,0000,6200PATIENTS LAUNDRY 425295,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 425295,A81000A,00100,0100,Y 425295,A81000B,00100,0300,BUILDING RENT 425295,A81000C,00100,0100,B 425295,A81000C,00100,0200,WLCFS 425295,A81000C,00100,0400,WLCFS BUILDING 425295,A81000C,00100,0600,REAL ESTATE 425295,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425295,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425295,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425295,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425295,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425295,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425295,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425295,B100000,00000,0800,0800MEALS SERVED :DIETARY 425295,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425295,G300000,02500,0000, OTHER OPERATING DIVISIONS 425295,S000000,00100,0200,01/27/12 425295,S200000,00100,0100,6800 N. 76TH STREET 425295,S200000,00200,0100,MILWAUKEE 425295,S200000,00200,0200,WI 425295,S200000,00200,0300,53223 425295,S200000,00300,0100,MILWAUKEE 425295,S200000,00300,0201,33340 425295,S200000,00300,0300,U 425295,S200000,00400,0100,WI LUTHERAN CHILD & FAMILY SERVICE 425295,S200000,00400,0200,525529 425295,S200000,00400,0300,04/01/94 425295,S200000,00400,0500,P 425295,S200000,01500,0100,N 425295,S200000,01501,0200,N 425295,S200000,01505,0000,OTHER (SPECIFY) 425295,S200000,01505,0200,Y 425295,S200000,01600,0100,N 425295,S200000,01700,0100,N 425295,S200000,01800,0100,N 425295,S200000,02200,0100,N 425295,S200000,02800,0100,N 425295,S200000,02900,0100,N 425295,S200000,03000,0100,N 425295,S200000,03100,0100,N 425295,S200000,03200,0100,N 425295,S200000,03300,0100,N 425295,S200000,03300,0200,N 425295,S200000,04100,0100,N 425295,S200000,04200,0100,N 425295,S200000,04300,0100,N 425295,S200000,04600,0100,N 425295,S200000,04700,0100,N 425295,S200000,04700,0200,N 425295,S200000,04900,0100,N 425295,S200000,05000,0100,N 425295,S200000,05100,0100,N 425295,S200000,05200,0100,N 425295,S200000,05300,0100,N 425316,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425316,A000000,00300,0000,0300EMPLOYEE BENEFITS 425316,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425316,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425316,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425316,A000000,00700,0000,0700HOUSEKEEPING 425316,A000000,00800,0000,0800DIETARY 425316,A000000,00900,0000,0900NURSING ADMINISTRATION 425316,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425316,A000000,01100,0000,1100PHARMACY 425316,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425316,A000000,01300,0000,1300SOCIAL SERVICE 425316,A000000,01500,0000,1350PATIENT ACTIVITES 425316,A000000,01600,0000,1600SKILLED NURSING FACILITY 425316,A000000,01900,0000,1900OTHER LONG TERM CARE 425316,A000000,02100,0000,2100RADIOLOGY 425316,A000000,02200,0000,2200LABORATORY 425316,A000000,02500,0000,2500PHYSICAL THERAPY 425316,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425316,A000000,02700,0000,2700SPEECH PATHOLOGY 425316,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425316,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425316,A000000,03200,0000,3200SUPPORT SURFACES 425316,A000000,04800,0000,4800AMBULANCE 425316,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425316,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425316,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425316,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425316,A81000A,00100,0100,Y 425316,A81000B,00100,0300,HOME OFFICE - CAPITAL RELATED 425316,A81000B,00200,0300,HOME OFFICE - NON CAPITAL RELATED 425316,A81000C,00100,0100,B 425316,A81000C,00100,0200,UCRH - CORP 425316,A81000C,00100,0400,UCRH - CORP 425316,A81000C,00100,0600,HOME OFFICE 425316,A81000C,00200,0100,B 425316,A81000C,00200,0200,UCRH - CORP 425316,A81000C,00200,0400,UCRH - CORP 425316,A81000C,00200,0600,HOME OFFICE 425316,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425316,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425316,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425316,B100000,00000,0500,0500SQR FTG LESSCOTTAG :PLANT OPERAT 425316,B100000,00000,0600,0650HCC & A/L DAYS:LAUNDRY & LINEN S 425316,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 425316,B100000,00000,0800,0800MEALS SERVED :DIETARY 425316,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425316,B100000,00000,1000,1050HCC DAYS :CENTRAL SERVICES & SU 425316,B100000,00000,1100,1150HCC DAYS :PHARMACY 425316,B100000,00000,1200,1250HCC DAYS :MEDICAL RECORDS & LIB 425316,B100000,00000,1300,1330HCC DAYS :SOCIAL SERVICE 425316,B100000,00000,1500,1350HCC DAYS :PATIENT ACTIVITES 425316,G300000,02500,0000,BARBER AND BEAUTY 425316,G300000,02501,0000,OTHER INCOME 425316,S000000,00100,0200,02/21/12 425316,S200000,00100,0100,100 ANNA GOODE WAY 425316,S200000,00200,0100,SUFFOLK 425316,S200000,00200,0200,VA 425316,S200000,00200,0300,23434 425316,S200000,00300,0100,SUFFOLK 425316,S200000,00300,0200,5720 425316,S200000,00300,0201,47260 425316,S200000,00300,0300,U 425316,S200000,00400,0100,LAKE PRINCE CENTER INC. 425316,S200000,00400,0200,495366 425316,S200000,00400,0300,01/14/03 425316,S200000,00400,0500,P 425316,S200000,01500,0100,Y 425316,S200000,01501,0200,Y 425316,S200000,01600,0100,N 425316,S200000,01700,0100,N 425316,S200000,01800,0100,N 425316,S200000,02200,0100,N 425316,S200000,02800,0100,N 425316,S200000,02900,0100,N 425316,S200000,03000,0100,N 425316,S200000,03100,0100,N 425316,S200000,03200,0100,N 425316,S200000,03300,0100,N 425316,S200000,03300,0200,N 425316,S200000,04100,0100,N 425316,S200000,04200,0100,N 425316,S200000,04300,0100,N 425316,S200000,04600,0100,N 425316,S200000,04700,0100,N 425316,S200000,04700,0200,N 425316,S200000,04900,0100,N 425316,S200000,05000,0100,N 425316,S200000,05100,0100,N 425316,S200000,05200,0100,N 425316,S200000,05300,0100,Y 425316,S200000,05300,0200,349040 425316,S200000,05400,0100,UNITED CHURCH RETIREMENT HOMES INC 425316,S200000,05400,0200,PALMETTO GBA 425316,S200000,05400,0300,11001 425316,S200000,05500,0100,100 LEAONARD AVENUE 425316,S200000,05600,0100,NEWTON 425316,S200000,05600,0200,NC 425316,S200000,05600,0300,28658 425320,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425320,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425320,A000000,00300,0000,0300EMPLOYEE BENEFITS 425320,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425320,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425320,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425320,A000000,00700,0000,0700HOUSEKEEPING 425320,A000000,00800,0000,0800DIETARY 425320,A000000,00900,0000,0900NURSING ADMINISTRATION 425320,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425320,A000000,01100,0000,1100PHARMACY 425320,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425320,A000000,01300,0000,1300SOCIAL SERVICE 425320,A000000,01500,0000,1350OTHER GENERAL SERVICES 425320,A000000,01501,0000,1351PATIENT ACTIVITIES 425320,A000000,01600,0000,1600SKILLED NURSING FACILITY 425320,A000000,01800,0000,1800NURSING FACILITY 425320,A000000,01810,0000,1810ICF/MR 425320,A000000,01900,0000,1900OTHER LONG TERM CARE 425320,A000000,02100,0000,2100RADIOLOGY 425320,A000000,02200,0000,2200LABORATORY 425320,A000000,02300,0000,2300INTRAVENOUS THERAPY 425320,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425320,A000000,02500,0000,2500PHYSICAL THERAPY 425320,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425320,A000000,02700,0000,2700SPEECH PATHOLOGY 425320,A000000,02800,0000,2800ELECTROCARDIOLOGY 425320,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425320,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 425320,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425320,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425320,A000000,03101,0000,3101DENTAL CARE - TITLE XIX ONLY 425320,A000000,03102,0000,3102PROMO & PUB RELATIONS - OTHER 425320,A000000,03200,0000,3200SUPPORT SURFACES 425320,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425320,A000000,03400,0000,3400CLINIC 425320,A000000,03500,0000,3500RURAL HEALTH CLINIC 425320,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425320,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425320,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425320,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425320,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425320,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425320,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425320,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425320,A000000,04400,0000,4400DME RENTED - HHA 425320,A000000,04500,0000,4500DME SOLD - HHA 425320,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425320,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425320,A000000,04710,0000,4710TELEMEDICINE 425320,A000000,04800,0000,4800AMBULANCE 425320,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425320,A000000,05000,0000,5000CORF 425320,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425320,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425320,A000000,05300,0000,5300INTEREST EXPENSE 425320,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425320,A000000,05500,0000,5500HOSPICE 425320,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425320,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425320,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425320,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425320,A000000,06100,0000,6100NONPAID WORKERS 425320,A000000,06200,0000,6200PATIENTS LAUNDRY 425320,A000000,06300,0000,6150MARKETING 425320,A000000,06301,0000,6151CLINIC 425320,A000000,06302,0000,6152OTHER CCRC IL COTTAGES 425320,A81000A,00100,0100,N 425320,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425320,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425320,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425320,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425320,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425320,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425320,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425320,B100000,00000,0800,0800MEALS SERVED :DIETARY 425320,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425320,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 425320,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425320,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425320,B100000,00000,1501,1351PATIENT DAYS :PATIENT ACTIVITIE 425320,G300000,02500,0000,OTHER INCOME 425320,S000000,00100,0200,02/15/12 425320,S200000,00100,0100,2701 PICKETT ROAD 425320,S200000,00200,0100,DURHAM 425320,S200000,00200,0200,NC 425320,S200000,00200,0300,27705 425320,S200000,00300,0100,DURHAM 425320,S200000,00300,0200,6640 425320,S200000,00300,0201,20500 425320,S200000,00300,0300,U 425320,S200000,00400,0100,THE FOREST AT DUKE INC. 425320,S200000,00400,0200,345542 425320,S200000,00400,0300,02/11/08 425320,S200000,00400,0500,P 425320,S200000,01500,0100,N 425320,S200000,01501,0200,Y 425320,S200000,01504,0200,N 425320,S200000,01600,0100,Y 425320,S200000,01700,0100,N 425320,S200000,01800,0100,N 425320,S200000,02200,0100,N 425320,S200000,02800,0100,N 425320,S200000,02900,0100,N 425320,S200000,03000,0100,N 425320,S200000,03100,0100,N 425320,S200000,03200,0100,N 425320,S200000,03300,0100,N 425320,S200000,03300,0200,N 425320,S200000,04100,0100,N 425320,S200000,04200,0100,N 425320,S200000,04300,0100,N 425320,S200000,04600,0100,N 425320,S200000,04700,0100,N 425320,S200000,04700,0200,N 425320,S200000,04900,0100,N 425320,S200000,05000,0100,N 425320,S200000,05100,0100,N 425320,S200000,05200,0100,N 425322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425322,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425322,A000000,00300,0000,0300EMPLOYEE BENEFITS 425322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425322,A000000,00700,0000,0700HOUSEKEEPING 425322,A000000,00800,0000,0800DIETARY 425322,A000000,00900,0000,0900NURSING ADMINISTRATION 425322,A000000,01300,0000,1300SOCIAL SERVICE 425322,A000000,01301,0000,1301ACTIVITY 425322,A000000,01600,0000,1600SKILLED NURSING FACILITY 425322,A000000,01800,0000,1800NURSING FACILITY 425322,A000000,01900,0000,1900OTHER LONG TERM CARE 425322,A000000,02100,0000,2100RADIOLOGY 425322,A000000,02200,0000,2200LABORATORY 425322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425322,A000000,02500,0000,2500PHYSICAL THERAPY 425322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425322,A000000,02700,0000,2700SPEECH PATHOLOGY 425322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425322,A000000,03200,0000,3200SUPPORT SURFACES 425322,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425322,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425322,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425322,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425322,A81000A,00100,0100,N 425322,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425322,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425322,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425322,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425322,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425322,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425322,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425322,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425322,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425322,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425322,B100000,00000,1301,1331PATIENT DAYS :ACTIVITY 425322,E10A180,00302,0100,09/30/11 425322,G300000,02500,0000,BARBER & BEAUTY 425322,G300000,02501,0000,OTHER REVENUE 425322,G300000,02502,0000,OTHER INCOME 425322,S000000,00100,0200,02/21/12 425322,S200000,00100,0100,ONE COLLEY AVENUE 425322,S200000,00200,0100,NORFOLK 425322,S200000,00200,0200,VA 425322,S200000,00200,0300,23510 425322,S200000,00300,0100,NORFOLK 425322,S200000,00300,0200,5720 425322,S200000,00300,0201,47260 425322,S200000,00300,0300,U 425322,S200000,00400,0100,FORT NORFOLK RETIREMENT COMMUNITY I 425322,S200000,00400,0200,495395 425322,S200000,00400,0300,03/14/08 425322,S200000,00400,0500,P 425322,S200000,00600,0200,495395 425322,S200000,00600,0300,03/14/08 425322,S200000,00600,0600,O 425322,S200000,01500,0100,Y 425322,S200000,01501,0200,Y 425322,S200000,01600,0100,N 425322,S200000,01700,0100,N 425322,S200000,01800,0100,N 425322,S200000,02200,0100,N 425322,S200000,02800,0100,N 425322,S200000,02900,0100,N 425322,S200000,03000,0100,N 425322,S200000,03100,0100,N 425322,S200000,03200,0100,N 425322,S200000,03300,0100,N 425322,S200000,03300,0200,N 425322,S200000,03500,0300,N 425322,S200000,04100,0100,N 425322,S200000,04200,0100,N 425322,S200000,04300,0100,N 425322,S200000,04600,0100,N 425322,S200000,04700,0100,N 425322,S200000,04700,0200,N 425322,S200000,04900,0100,N 425322,S200000,05000,0100,N 425322,S200000,05100,0100,N 425322,S200000,05200,0100,N 425364,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425364,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425364,A000000,00300,0000,0300EMPLOYEE BENEFITS 425364,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425364,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425364,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425364,A000000,00700,0000,0700HOUSEKEEPING 425364,A000000,00800,0000,0800DIETARY 425364,A000000,00900,0000,0900NURSING ADMINISTRATION 425364,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425364,A000000,01100,0000,1100PHARMACY 425364,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425364,A000000,01300,0000,1300SOCIAL SERVICE 425364,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425364,A000000,01600,0000,1600SKILLED NURSING FACILITY 425364,A000000,01810,0000,1810ICF/MR 425364,A000000,02100,0000,2100RADIOLOGY 425364,A000000,02200,0000,2200LABORATORY 425364,A000000,02500,0000,2500PHYSICAL THERAPY 425364,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425364,A000000,02700,0000,2700SPEECH PATHOLOGY 425364,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425364,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425364,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425364,A000000,03550,0000,3550FQHC 425364,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425364,A000000,04801,0000,4801AMBULANCE 425364,A000000,04802,0000,4802AMBULANCE 425364,A000000,04803,0000,4803AMBULANCE 425364,A000000,05000,0000,5000CORF 425364,A000000,05010,0000,5010CMHC 425364,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425364,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425364,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425364,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425364,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425364,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425364,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425364,A81000A,00100,0100,Y 425364,A81000B,00100,0300,MANAGEMENT FEES 425364,A81000B,00200,0300,DIETARY CONSULTANT 425364,A81000B,00300,0300,NURSE CONSULTANT 425364,A81000C,00100,0100,A 425364,A81000C,00100,0200,KIMBERLY SCHAAP 425364,A81000C,00100,0400,KMJ MANAGEMENT LLC 425364,A81000C,00100,0600,NURSING HOME OPERATIONS 425364,A81000C,00200,0100,A 425364,A81000C,00200,0200,MICHELE HATHORN 425364,A81000C,00200,0400,KMJ MANAGEMENT LLC 425364,A81000C,00200,0600,NURSING HOME OPERATIONS 425364,B100000,00000,0100,0100SQUARE FEET 425364,B100000,00000,0200,0200SQUARE FEET 425364,B100000,00000,0300,0300GROSS SALARIES 425364,B100000,00000,0400,0400ACCUM COST 425364,B100000,00000,0500,0500SQUARE FEET 425364,B100000,00000,0600,0600PATIENT DAYS 425364,B100000,00000,0700,0700SQUARE FEET 425364,B100000,00000,0800,0800PATIENT DAYS 425364,B100000,00000,0900,0900PATIENT DAYS 425364,B100000,00000,1000,1000PATIENT DAYS 425364,B100000,00000,1100,1100PATIENT DAYS 425364,B100000,00000,1200,1200PATIENT DAYS 425364,B100000,00000,1300,1300PATIENT DAYS 425364,B100000,00000,1400,1400ASSIGNED TIME 425364,G300000,02500,0000,OTHER INCOME 425364,S000000,00100,0200,02/01/12 425364,S200000,00100,0100,5301 WHEELER AVENUE 425364,S200000,00200,0100,FT SMITH 425364,S200000,00200,0200,AR 425364,S200000,00200,0300,72901 425364,S200000,00300,0100,SEBASTIAN 425364,S200000,00300,0201,22900 425364,S200000,00300,0300,U 425364,S200000,00400,0100,RIVER VALLEY HEALTH & REHAB CENTER 425364,S200000,00400,0200,045345 425364,S200000,00400,0300,10/10/03 425364,S200000,00400,0500,P 425364,S200000,01500,0100,Y 425364,S200000,01501,0200,Y 425364,S200000,01502,0200,Y 425364,S200000,01503,0200,Y 425364,S200000,01504,0200,Y 425364,S200000,01600,0100,N 425364,S200000,01700,0100,N 425364,S200000,01800,0100,N 425364,S200000,02200,0100,N 425364,S200000,02800,0100,N 425364,S200000,02900,0100,N 425364,S200000,03000,0100,N 425364,S200000,03100,0100,N 425364,S200000,03200,0100,N 425364,S200000,03300,0100,N 425364,S200000,03300,0200,N 425364,S200000,04200,0100,N 425364,S200000,04300,0100,N 425364,S200000,04600,0100,N 425364,S200000,04700,0100,N 425364,S200000,04900,0100,N 425364,S200000,05200,0100,N 425365,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425365,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425365,A000000,00300,0000,0300EMPLOYEE BENEFITS 425365,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425365,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425365,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425365,A000000,00700,0000,0700HOUSEKEEPING 425365,A000000,00800,0000,0800DIETARY 425365,A000000,00900,0000,0900NURSING ADMINISTRATION 425365,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425365,A000000,01100,0000,1100PHARMACY 425365,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425365,A000000,01300,0000,1300SOCIAL SERVICE 425365,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425365,A000000,01600,0000,1600SKILLED NURSING FACILITY 425365,A000000,01810,0000,1810ICF/MR 425365,A000000,02100,0000,2100RADIOLOGY 425365,A000000,02200,0000,2200LABORATORY 425365,A000000,02500,0000,2500PHYSICAL THERAPY 425365,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425365,A000000,02700,0000,2700SPEECH PATHOLOGY 425365,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425365,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425365,A000000,03200,0000,3200SUPPORT SURFACES 425365,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425365,A000000,03550,0000,3550FQHC 425365,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425365,A000000,04801,0000,4801AMBULANCE 425365,A000000,04802,0000,4802AMBULANCE 425365,A000000,04803,0000,4803AMBULANCE 425365,A000000,05000,0000,5000CORF 425365,A000000,05010,0000,5010CMHC 425365,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425365,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425365,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425365,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425365,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425365,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425365,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425365,A81000A,00100,0100,Y 425365,A81000B,00100,0300,MANAGEMENT FEES 425365,A81000B,00200,0300,DIETARY CONSULTANT 425365,A81000B,00300,0300,NURSE CONSULTANT 425365,A81000C,00100,0100,A 425365,A81000C,00100,0200,KIMBERLY SCHAAP 425365,A81000C,00100,0400,KMJ MANAGEMENT LLC 425365,A81000C,00100,0600,NURSING HOME OPERATIONS 425365,A81000C,00200,0100,A 425365,A81000C,00200,0200,MICHELE HATHORN 425365,A81000C,00200,0400,KMJ MANAGEMENT LLC 425365,A81000C,00200,0600,NURSING HOME OPERATIONS 425365,B100000,00000,0100,0100SQUARE FEET 425365,B100000,00000,0200,0200SQUARE FEET 425365,B100000,00000,0300,0300GROSS SALARIES 425365,B100000,00000,0400,0400ACCUM COST 425365,B100000,00000,0500,0500SQUARE FEET 425365,B100000,00000,0600,0600PATIENT DAYS 425365,B100000,00000,0700,0700SQUARE FEET 425365,B100000,00000,0800,0800MEALS SERVED 425365,B100000,00000,0900,0900DIRECT NRSING HRS 425365,B100000,00000,1000,1000PATIENT DAYS 425365,B100000,00000,1100,1100PATIENT DAYS 425365,B100000,00000,1200,1200PATIENT DAYS 425365,B100000,00000,1300,1300PATIENT DAYS 425365,B100000,00000,1400,1400ASSIGNED TIME 425365,G300000,02500,0000,OTHER INCOME 425365,S000000,00100,0200,02/01/12 425365,S200000,00100,0100,224 SOUTH MAIN 425365,S200000,00200,0100,BENTONVILLE 425365,S200000,00200,0200,AR 425365,S200000,00200,0300,72712 425365,S200000,00300,0100,BENTON 425365,S200000,00300,0201,22220 425365,S200000,00300,0300,U 425365,S200000,00400,0100,BENTONVILLE MANOR NURSING HOME 425365,S200000,00400,0200,045361 425365,S200000,00400,0300,01/02/01 425365,S200000,00400,0500,P 425365,S200000,01500,0100,Y 425365,S200000,01501,0200,Y 425365,S200000,01502,0200,Y 425365,S200000,01503,0200,Y 425365,S200000,01504,0200,Y 425365,S200000,01600,0100,N 425365,S200000,01700,0100,N 425365,S200000,01800,0100,N 425365,S200000,02200,0100,N 425365,S200000,02800,0100,N 425365,S200000,02900,0100,N 425365,S200000,03000,0100,N 425365,S200000,03100,0100,N 425365,S200000,03200,0100,N 425365,S200000,03300,0100,N 425365,S200000,03300,0200,N 425365,S200000,04200,0100,N 425365,S200000,04300,0100,N 425365,S200000,04600,0100,N 425365,S200000,04700,0100,N 425365,S200000,04900,0100,N 425365,S200000,05200,0100,N 425375,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425375,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 425375,A000000,00102,0000,0102CAP REL COSTS - BLDGS & FIXTURES 425375,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425375,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIPME 425375,A000000,00202,0000,0202CAP REL COSTS - MOVEABLE EQUIPME 425375,A000000,00300,0000,0300EMPLOYEE BENEFITS 425375,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425375,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425375,A000000,00501,0000,0501PLANT OPERATIONS 425375,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425375,A000000,00700,0000,0700HOUSEKEEPING 425375,A000000,00800,0000,0800DIETARY 425375,A000000,00900,0000,0900NURSING ADMINISTRATION 425375,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425375,A000000,01300,0000,1300SOCIAL SERVICE 425375,A000000,01600,0000,1600SKILLED NURSING FACILITY 425375,A000000,01900,0000,1900OTHER LONG TERM CARE 425375,A000000,02100,0000,2100RADIOLOGY 425375,A000000,02200,0000,2200LABORATORY 425375,A000000,02300,0000,2300INTRAVENOUS THERAPY 425375,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425375,A000000,02500,0000,2500PHYSICAL THERAPY 425375,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425375,A000000,02700,0000,2700SPEECH PATHOLOGY 425375,A000000,02800,0000,2800ELECTROCARDIOLOGY 425375,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425375,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425375,A000000,04800,0000,4800AMBULANCE 425375,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425375,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425375,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 425375,A000000,06301,0000,6151RESIDENT COTTAGES 425375,A000000,06302,0000,6152MARKETING/PUBLIC RELATIONS/FUNDR 425375,A81000A,00100,0100,Y 425375,A81000B,00100,0300,ADMINISTRATIVE MANAGEMENT FEE 425375,A81000B,00200,0300,CAPITAL RELATED COSTS - HCF 425375,A81000B,00300,0300,CAPITAL RELATED COSTS - COTTAGES 425375,A81000B,00400,0300,MOVEABLE EQUIPMENT - HCF 425375,A81000B,00500,0300,MOVEABLE EQUIPMENT - COTTAGES 425375,A81000C,00100,0100,B 425375,A81000C,00100,0200,CHURCH HOMES I 425375,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425375,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 425375,B100000,00000,0102,0102SQUARE FEET :CAP REL COSTS - BL 425375,B100000,00000,0200,0250DIRECT COSTS :CAP REL COSTS - M 425375,B100000,00000,0201,0201SQUARE FEET :CAP REL COSTS - MO 425375,B100000,00000,0202,0202SQUARE FEET :CAP REL COSTS - MO 425375,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425375,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425375,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425375,B100000,00000,0501,0501SQUARE FEET :PLANT OPERATIONS 425375,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425375,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425375,B100000,00000,0800,0800MEALS SERVED :DIETARY 425375,B100000,00000,0900,0950GROSS REVENUES :NURSING ADMINIS 425375,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425375,B100000,00000,1300,1330GROSS REVENUES :SOCIAL SERVICE 425375,G300000,02500,0000, FINANCE CHARGE - RESIDENT 425375,G300000,02501,0000, GUEST ROOM REVENUE 425375,G300000,02502,0000, NURSING ASSIST - ALREADY DISALLOW 425375,G300000,02503,0000, RESTR FUND DIST - ALREADY DISALLO 425375,G300000,02504,0000, NURSING HOME PROVIDER TAX REFUND 425375,G300000,02505,0000, FLU VACCINE REVENUE 425375,G300000,02506,0000, RETURNED CHECK FEE 425375,S000000,00100,0200,02/17/12 425375,S200000,00100,0100,17 COBBLE ROAD 425375,S200000,00200,0100,SALISBURY 425375,S200000,00200,0200,CT 425375,S200000,00200,0300,06068 425375,S200000,00300,0100,LITCHFIELD 425375,S200000,00300,0200,3283 425375,S200000,00300,0201,07010 425375,S200000,00300,0300,R 425375,S200000,00400,0100,NOBLE HORIZONS 425375,S200000,00400,0200,075236 425375,S200000,00400,0300,07/01/66 425375,S200000,00400,0500,P 425375,S200000,01500,0100,Y 425375,S200000,01501,0200,Y 425375,S200000,01600,0100,N 425375,S200000,01700,0100,N 425375,S200000,01800,0100,N 425375,S200000,02200,0100,N 425375,S200000,02800,0100,Y 425375,S200000,02900,0100,N 425375,S200000,03000,0100,N 425375,S200000,03100,0100,N 425375,S200000,03200,0100,N 425375,S200000,03300,0100,N 425375,S200000,03300,0200,N 425375,S200000,03600,0100,N 425375,S200000,03600,0200,N 425375,S200000,04100,0100,N 425375,S200000,04200,0100,N 425375,S200000,04300,0100,N 425375,S200000,04600,0100,N 425375,S200000,04700,0100,N 425375,S200000,04700,0200,N 425375,S200000,04900,0100,N 425375,S200000,05000,0100,N 425375,S200000,05100,0100,N 425375,S200000,05200,0100,N 425375,S200000,05300,0100,Y 425375,S200000,05300,0200,HB0070 425375,S200000,05400,0100,CHURCH HOMES INC. 425375,S200000,05400,0200,NGS 425375,S200000,05400,0300,HB0070 425375,S200000,05500,0100,217 AVERY HEIGHTS 425375,S200000,05600,0100,HARTFORD 425375,S200000,05600,0200,CT 425375,S200000,05600,0300,06106-4200 425381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425381,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425381,A000000,00300,0000,0300EMPLOYEE BENEFITS 425381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425381,A000000,00700,0000,0700HOUSEKEEPING 425381,A000000,00800,0000,0800DIETARY 425381,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425381,A000000,01300,0000,1300SOCIAL SERVICE 425381,A000000,01500,0000,1350RECREATION 425381,A000000,01600,0000,1600SKILLED NURSING FACILITY 425381,A000000,02100,0000,2100RADIOLOGY 425381,A000000,02200,0000,2200LABORATORY 425381,A000000,02500,0000,2500PHYSICAL THERAPY 425381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425381,A000000,02700,0000,2700SPEECH PATHOLOGY 425381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425381,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425381,A81000A,00100,0100,Y 425381,A81000B,00100,0300,CENTRAL OFFICE 425381,A81000C,00100,0100,B 425381,A81000C,00100,0200,CREATIVE SOLUTIONS IN HC 425381,A81000C,00100,0600,CENTRAL OFFICE 425381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425381,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425381,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425381,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 425381,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425381,B100000,00000,0800,0800MEALS SERVED :DIETARY 425381,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425381,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425381,B100000,00000,1500,1350TIME SPENT :RECREATION 425381,S000000,00100,0200,11/28/11 425381,S200000,00100,0100,201 EAST THOMPSON STREET 425381,S200000,00200,0100,DECATUR 425381,S200000,00200,0200,TX 425381,S200000,00200,0300,76234-2736 425381,S200000,00300,0100,WISE 425381,S200000,00300,0200,45 425381,S200000,00300,0201,00045 425381,S200000,00300,0300,R 425381,S200000,00400,0100,THE HILLS NURSING & REHABILITATION 425381,S200000,00400,0200,676004 425381,S200000,00400,0300,02/18/04 425381,S200000,00400,0500,P 425381,S200000,01500,0100,Y 425381,S200000,01501,0200,Y 425381,S200000,01502,0200,Y 425381,S200000,01503,0200,Y 425381,S200000,01504,0200,Y 425381,S200000,01600,0100,N 425381,S200000,01700,0100,N 425381,S200000,01800,0100,N 425381,S200000,02200,0100,N 425381,S200000,02800,0100,N 425381,S200000,02900,0100,N 425381,S200000,03000,0100,N 425381,S200000,03100,0100,N 425381,S200000,03200,0100,N 425381,S200000,03300,0100,N 425381,S200000,03300,0200,N 425381,S200000,04100,0100,N 425381,S200000,04200,0100,N 425381,S200000,04300,0100,N 425381,S200000,04600,0100,N 425381,S200000,04700,0100,N 425381,S200000,04700,0200,N 425381,S200000,04900,0100,N 425381,S200000,05000,0100,N 425381,S200000,05100,0100,N 425381,S200000,05200,0100,N 425381,S200000,05300,0100,Y 425381,S200000,05300,0200,679026 425381,S200000,05400,0100,CREATIVE SOLUTIONS IN HEALTHCARE 425381,S200000,05400,0200,TRAILBLAZER 425381,S200000,05400,0300, 00001 425381,S200000,05500,0100,1701 RIVER RUN SUITE 304 425381,S200000,05600,0100,FORT WORTH 425381,S200000,05600,0200,TX 425381,S200000,05600,0300,76107-6547 425393,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425393,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425393,A000000,00300,0000,0300EMPLOYEE BENEFITS 425393,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425393,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425393,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425393,A000000,00700,0000,0700HOUSEKEEPING 425393,A000000,00800,0000,0800DIETARY 425393,A000000,00900,0000,0900NURSING ADMINISTRATION 425393,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425393,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425393,A000000,01300,0000,1300SOCIAL SERVICE 425393,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425393,A000000,01500,0000,1350OTHER GENERAL SERVICES 425393,A000000,01600,0000,1600SKILLED NURSING FACILITY 425393,A000000,01800,0000,1800NURSING FACILITY 425393,A000000,01810,0000,1810ICF/MR 425393,A000000,01900,0000,1900OTHER LONG TERM CARE 425393,A000000,02100,0000,2100RADIOLOGY 425393,A000000,02200,0000,2200LABORATORY 425393,A000000,02300,0000,2300INTRAVENOUS THERAPY 425393,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425393,A000000,02500,0000,2500PHYSICAL THERAPY 425393,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425393,A000000,02700,0000,2700SPEECH PATHOLOGY 425393,A000000,02800,0000,2800ELECTROCARDIOLOGY 425393,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425393,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425393,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425393,A000000,03200,0000,3200SUPPORT SURFACES 425393,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425393,A000000,03400,0000,3400CLINIC 425393,A000000,03500,0000,3500RURAL HEALTH CLINIC 425393,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425393,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425393,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425393,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425393,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425393,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425393,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425393,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425393,A000000,04400,0000,4400DME RENTED - HHA 425393,A000000,04500,0000,4500DME SOLD - HHA 425393,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425393,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425393,A000000,04710,0000,4710TELEMEDICINE 425393,A000000,04800,0000,4800AMBULANCE 425393,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425393,A000000,05000,0000,5000CORF 425393,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425393,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425393,A000000,05300,0000,5300INTEREST EXPENSE 425393,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425393,A000000,05500,0000,5500HOSPICE 425393,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425393,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425393,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425393,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425393,A000000,06100,0000,6100NONPAID WORKERS 425393,A000000,06200,0000,6200PATIENTS LAUNDRY 425393,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425393,A81000A,00100,0100,N 425393,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425393,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425393,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425393,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425393,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425393,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425393,B100000,00000,0800,0800MEALS SERVED :DIETARY 425393,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425393,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 425393,E10A180,00301,0100,03/02/11 425393,G300000,02500,0000,BEAUTY SHOP 425393,S000000,00100,0200,01/25/12 425393,S200000,00100,0100,1157 HIGHWAY 17 425393,S200000,00200,0100,TUSCUMBIA 425393,S200000,00200,0200,MO 425393,S200000,00200,0300,65082 425393,S200000,00300,0100,MILLER 425393,S200000,00300,0200,26 425393,S200000,00300,0201,99926 425393,S200000,00300,0300,R 425393,S200000,00400,0100,MILLER COUNTY CARE & REHAB CENTER 425393,S200000,00400,0200,265713 425393,S200000,00400,0300,12/20/00 425393,S200000,00400,0500,P 425393,S200000,01500,0100,Y 425393,S200000,01501,0200,Y 425393,S200000,01502,0200,Y 425393,S200000,01503,0200,Y 425393,S200000,01504,0200,N 425393,S200000,01600,0100,N 425393,S200000,01700,0100,N 425393,S200000,01800,0100,N 425393,S200000,02200,0100,N 425393,S200000,02800,0100,Y 425393,S200000,02900,0100,N 425393,S200000,03000,0100,N 425393,S200000,03100,0100,N 425393,S200000,03200,0100,N 425393,S200000,03300,0100,N 425393,S200000,03300,0200,N 425393,S200000,04100,0100,N 425393,S200000,04200,0100,N 425393,S200000,04300,0100,N 425393,S200000,04600,0100,N 425393,S200000,04700,0100,N 425393,S200000,04700,0200,N 425393,S200000,04900,0100,N 425393,S200000,05000,0100,N 425393,S200000,05100,0100,N 425393,S200000,05200,0100,N 425393,S200000,05300,0100,N 425444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425444,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425444,A000000,00300,0000,0300EMPLOYEE BENEFITS 425444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425444,A000000,00700,0000,0700HOUSEKEEPING 425444,A000000,00800,0000,0800DIETARY 425444,A000000,00900,0000,0900NURSING ADMINISTRATION 425444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425444,A000000,01100,0000,1100PHARMACY 425444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425444,A000000,01300,0000,1300SOCIAL SERVICE 425444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425444,A000000,01600,0000,1600SKILLED NURSING FACILITY 425444,A000000,01810,0000,1810ICF/MR 425444,A000000,01900,0000,1900OTHER LONG TERM CARE 425444,A000000,02100,0000,2100RADIOLOGY 425444,A000000,02200,0000,2200LABORATORY 425444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425444,A000000,02500,0000,2500PHYSICAL THERAPY 425444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425444,A000000,02700,0000,2700SPEECH PATHOLOGY 425444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425444,A000000,03550,0000,3550FQHC 425444,A000000,04800,0000,4800AMBULANCE 425444,A000000,05000,0000,5000CORF 425444,A000000,05010,0000,5010CMHC 425444,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425444,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425444,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425444,A000000,05300,0000,5300INTEREST EXPENSE 425444,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425444,A000000,06300,0000,6150MARKETING 425444,A81000A,00100,0100,Y 425444,A81000B,00100,0300,MANAGEMENT FEES 425444,A81000B,00200,0300,DEPRECIATION 425444,A81000B,00300,0300,NURSING SERVICES 425444,A81000C,00100,0100,A 425444,A81000C,00100,0200,SC BAPTIST MINI 425444,A81000C,00100,0400,SC BAPTIST MINI 425444,A81000C,00100,0600,HOME OFFICE 425444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425444,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425444,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425444,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425444,B100000,00000,0800,0800MEALS SERVED :DIETARY 425444,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425444,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425444,E10A180,00301,0100,09/30/11 425444,E10A180,00353,0100,09/30/11 425444,G300000,02500,0000,MISCELLANEOUS INCOME 425444,G300000,02501,0000,BEAUTY AND BARBER 425444,S000000,00100,0200,02/24/12 425444,S200000,00100,0100,1 MARTHA FRANKS DRIVE 425444,S200000,00200,0100,LAURENS 425444,S200000,00200,0200,SC 425444,S200000,00200,0300,29360 425444,S200000,00300,0100,LAURENS 425444,S200000,00300,0201,0000 425444,S200000,00300,0300,R 425444,S200000,00400,0100,MARTHA FRANKS BAPT RETIREMENT COMM 425444,S200000,00400,0200,425334 425444,S200000,00400,0300,10/01/94 425444,S200000,00400,0500,P 425444,S200000,01500,0100,Y 425444,S200000,01501,0200,Y 425444,S200000,01502,0200,Y 425444,S200000,01503,0200,Y 425444,S200000,01504,0200,Y 425444,S200000,01600,0100,N 425444,S200000,01700,0100,N 425444,S200000,01800,0100,N 425444,S200000,02200,0100,Y 425444,S200000,02800,0100,N 425444,S200000,02900,0100,N 425444,S200000,03000,0100,N 425444,S200000,03100,0100,N 425444,S200000,03200,0100,N 425444,S200000,03300,0100,N 425444,S200000,03300,0200,N 425444,S200000,04100,0100,N 425444,S200000,04200,0100,N 425444,S200000,04300,0100,Y 425444,S200000,04600,0100,N 425444,S200000,04700,0100,N 425444,S200000,04700,0200,N 425444,S200000,04900,0100,N 425444,S200000,05000,0100,N 425444,S200000,05100,0100,N 425444,S200000,05200,0100,N 425444,S200000,05300,0100,Y 425444,S200000,05300,0200,42-H05 425444,S200000,05400,0100,SC BAPTIST MINISTRIES FOR THE AGING 425444,S200000,05400,0200,PGBA 425444,S200000,05400,0300,00380 425444,S200000,05500,0100,190 STONERIDGE DRIVE 425444,S200000,05600,0100,COLUMBIA 425444,S200000,05600,0200,SC 425444,S200000,05600,0300,29210 425455,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425455,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425455,A000000,00300,0000,0300EMPLOYEE BENEFITS 425455,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425455,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425455,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425455,A000000,00700,0000,0700HOUSEKEEPING 425455,A000000,00800,0000,0800DIETARY 425455,A000000,00900,0000,0900NURSING ADMINISTRATION 425455,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425455,A000000,01100,0000,1100PHARMACY 425455,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425455,A000000,01300,0000,1300SOCIAL SERVICE 425455,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425455,A000000,01500,0000,1350RECREATION 425455,A000000,01600,0000,1600SKILLED NURSING FACILITY 425455,A000000,01810,0000,1810ICF/MR 425455,A000000,02100,0000,2100RADIOLOGY 425455,A000000,02200,0000,2200LABORATORY 425455,A000000,02300,0000,2300INTRAVENOUS THERAPY 425455,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425455,A000000,02500,0000,2500PHYSICAL THERAPY 425455,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425455,A000000,02700,0000,2700SPEECH PATHOLOGY 425455,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425455,A000000,03550,0000,3550FQHC 425455,A000000,04801,0000,4801AMBULANCE 425455,A000000,04802,0000,4802AMBULANCE 425455,A000000,04803,0000,4803AMBULANCE 425455,A000000,05000,0000,5000CORF 425455,A000000,05010,0000,5010CMHC 425455,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425455,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425455,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425455,A81000A,00100,0100,Y 425455,A81000B,00100,0300,AS ATTACHED 425455,A81000B,00200,0300,HOME OFFICE INTEREST 425455,A81000B,00300,0300,HOME OFFICE A & G 425455,A81000B,00400,0300,HOME OFFICE CAP PIEC 425455,A81000C,00100,0100,B 425455,A81000C,00100,0400,AS ATTACHED 425455,A81000C,00100,0600,VARIOUS 425455,A81000C,00200,0100,B 425455,A81000C,00200,0400,GHC 425455,A81000C,00200,0600,LONG TERM CARE 425455,A81000C,00300,0100,B 425455,A81000C,00300,0400,GHC 425455,A81000C,00300,0600,LONG TERM CARE 425455,A81000C,00400,0100,B 425455,A81000C,00400,0400,GHC 425455,A81000C,00400,0600,LONG TERM CARE 425455,B100000,00000,0100,0100SQUARE FEET 425455,B100000,00000,0200,0200SQUARE FEET 425455,B100000,00000,0300,0300GROSS SALARIES 425455,B100000,00000,0400,0400ACCUM COST 425455,B100000,00000,0500,0500SQUARE FEET 425455,B100000,00000,0600,0600PATIENT DAYS 425455,B100000,00000,0700,0700SQUARE FEET 425455,B100000,00000,0800,0800MEALS SERVED 425455,B100000,00000,0900,0900NURSING SALARIES 425455,B100000,00000,1000,1000COSTED REQUIS 425455,B100000,00000,1100,1100COSTED REQUIS 425455,B100000,00000,1200,1200PATIENT DAYS 425455,B100000,00000,1300,1300PATIENT DAYS 425455,B100000,00000,1400,1400ASSIGNED TIME 425455,B100000,00000,1500,1350PATIENT DAYS 425455,G300000,02500,0000,BARBER & BEAUTY 425455,S000000,00100,0200,01/13/12 425455,S200000,00100,0100,2240 WHITEHORSE-MERCERVILLE ROAD 425455,S200000,00200,0100,MERCERVILLE 425455,S200000,00200,0200,NJ 425455,S200000,00200,0300,08619 425455,S200000,00300,0100,MERCER 425455,S200000,00300,0201,45940 425455,S200000,00300,0300,U 425455,S200000,00400,0100,MERCERVILLE CENTER 425455,S200000,00400,0200,315094 425455,S200000,00400,0300,01/01/94 425455,S200000,00400,0500,P 425455,S200000,01500,0100,Y 425455,S200000,01501,0200,N 425455,S200000,01502,0200,N 425455,S200000,01503,0200,N 425455,S200000,01504,0200,N 425455,S200000,01600,0100,N 425455,S200000,01700,0100,N 425455,S200000,01800,0100,N 425455,S200000,02200,0100,Y 425455,S200000,02800,0100,N 425455,S200000,02900,0100,N 425455,S200000,03000,0100,N 425455,S200000,03100,0100,N 425455,S200000,03200,0100,N 425455,S200000,03300,0100,N 425455,S200000,03300,0200,N 425455,S200000,04200,0100,N 425455,S200000,04300,0100,N 425455,S200000,04600,0100,N 425455,S200000,04700,0100,N 425455,S200000,04900,0100,N 425455,S200000,05200,0100,N 425455,S200000,05300,0100,Y 425455,S200000,05300,0200,HB0067 425455,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425455,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425455,S200000,05400,0300,12001 425455,S200000,05500,0100,101 EAST STATE STREET 425455,S200000,05600,0100,KENNETT SQUARE 425455,S200000,05600,0200,PA 425455,S200000,05600,0300,19348 425460,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425460,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425460,A000000,00300,0000,0300EMPLOYEE BENEFITS 425460,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425460,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425460,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425460,A000000,00700,0000,0700HOUSEKEEPING 425460,A000000,00800,0000,0800DIETARY 425460,A000000,00900,0000,0900NURSING ADMINISTRATION 425460,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425460,A000000,01100,0000,1100PHARMACY 425460,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425460,A000000,01300,0000,1300SOCIAL SERVICE 425460,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425460,A000000,01500,0000,1350RECREATION ACTIVITIES 425460,A000000,01600,0000,1600SKILLED NURSING FACILITY 425460,A000000,01810,0000,1810ICF/MR 425460,A000000,02100,0000,2100RADIOLOGY 425460,A000000,02200,0000,2200LABORATORY 425460,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425460,A000000,02500,0000,2500PHYSICAL THERAPY 425460,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425460,A000000,02700,0000,2700SPEECH PATHOLOGY 425460,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 425460,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425460,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425460,A000000,03301,0000,3051ENTERAL FEEDING 425460,A000000,03550,0000,3550FQHC 425460,A000000,04801,0000,4801AMBULANCE 425460,A000000,04802,0000,4802AMBULANCE 425460,A000000,04803,0000,4803AMBULANCE 425460,A000000,05000,0000,5000CORF 425460,A000000,05010,0000,5010CMHC 425460,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425460,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425460,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425460,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425460,A000000,06300,0000,6150ENTERSTOMAL THERAPY 425460,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 425460,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 425460,A000000,06312,0000,6153DIALYSIS 425460,A000000,06320,0000,6154APARTMENTS 425460,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 425460,A000000,06340,0000,6156CLOSED PATIENT AREAS 425460,A000000,06350,0000,6157O/P ADULT DAYCARE 425460,A000000,06360,0000,6158MARKETING 425460,A81000A,00100,0100,Y 425460,A81000B,00100,0300,RELATED PARTY CAPITAL COST 425460,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 425460,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 425460,A81000C,00100,0100,A 425460,A81000C,00100,0200,FUNDAMENTAL HOL 425460,A81000C,00100,0400,FAS FCC FCOS 425460,A81000C,00100,0600,SUPPORT SERVICE 425460,B100000,00000,0100,0100(SQUARE FEET) 425460,B100000,00000,0200,0200(SQUARE FEET) 425460,B100000,00000,0300,0300(GROSS SALARIES) 425460,B100000,00000,0400,0400ACCUM COST 425460,B100000,00000,0500,0500(SQUARE FEET) 425460,B100000,00000,0600,0600(PATIENT DAYS) 425460,B100000,00000,0700,0700(SQUARE FEET) 425460,B100000,00000,0800,0800(PATIENT DAYS) 425460,B100000,00000,0900,0900(NURSING SALARIES) 425460,B100000,00000,1000,1000(COSTED REQUIS) 425460,B100000,00000,1100,1100(COSTED REQUIS) 425460,B100000,00000,1200,1200(PATIENT DAYS) 425460,B100000,00000,1300,1300(PATIENT DAYS) 425460,B100000,00000,1400,1400(ASSIGNED TIME) 425460,B100000,00000,1500,1350(PATIENT DAYS) 425460,G300000,02500,0000,TRANSPORTATION 425460,G300000,02501,0000,ADMISSION FEES 425460,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 425460,G300000,02503,0000,DAY CARE SERVICES 425460,G300000,02504,0000,RENTAL INCOME 425460,G300000,02505,0000,MISCELLANEOUS REVENUE 425460,G300000,02506,0000,INTEREST INCOME PATIENT A/R 425460,G300000,02507,0000,MANAGEMENT FEE REVENUE 425460,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 425460,S000000,00100,0200,11/11/11 425460,S200000,00100,0100,459 KELLER PARKWAY 425460,S200000,00200,0100,KELLER 425460,S200000,00200,0200,TX 425460,S200000,00200,0300,76248 425460,S200000,00300,0100,TARRANT 425460,S200000,00300,0201,23104 425460,S200000,00300,0300,U 425460,S200000,00400,0100,MIMOSA MANOR 425460,S200000,00400,0200,675153 425460,S200000,00400,0300,07/01/93 425460,S200000,00400,0500,P 425460,S200000,00400,0600,O 425460,S200000,01500,0100,Y 425460,S200000,01501,0200,Y 425460,S200000,01502,0200,Y 425460,S200000,01503,0200,Y 425460,S200000,01504,0200,Y 425460,S200000,01505,0000,OTHER 425460,S200000,01505,0200,Y 425460,S200000,01600,0100,N 425460,S200000,01700,0100,N 425460,S200000,01800,0100,N 425460,S200000,01900,0100,LLC 425460,S200000,02200,0100,N 425460,S200000,02800,0100,N 425460,S200000,02900,0100,N 425460,S200000,03000,0100,N 425460,S200000,03100,0100,N 425460,S200000,03200,0100,N 425460,S200000,03300,0100,N 425460,S200000,03300,0200,N 425460,S200000,04200,0100,N 425460,S200000,04300,0100,N 425460,S200000,04600,0100,N 425460,S200000,04700,0100,N 425460,S200000,04900,0100,N 425460,S200000,05200,0100,N 425460,S200000,05300,0100,Y 425461,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425461,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425461,A000000,00300,0000,0300EMPLOYEE BENEFITS 425461,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425461,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425461,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425461,A000000,00700,0000,0700HOUSEKEEPING 425461,A000000,00800,0000,0800DIETARY 425461,A000000,00900,0000,0900NURSING ADMINISTRATION 425461,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425461,A000000,01100,0000,1100PHARMACY 425461,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425461,A000000,01300,0000,1300SOCIAL SERVICE 425461,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425461,A000000,01500,0000,1350RECREATION 425461,A000000,01600,0000,1600SKILLED NURSING FACILITY 425461,A000000,01810,0000,1810ICF/MR 425461,A000000,02100,0000,2100RADIOLOGY 425461,A000000,02200,0000,2200LABORATORY 425461,A000000,02300,0000,2300INTRAVENOUS THERAPY 425461,A000000,02500,0000,2500PHYSICAL THERAPY 425461,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425461,A000000,02700,0000,2700SPEECH PATHOLOGY 425461,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425461,A000000,03550,0000,3550FQHC 425461,A000000,04801,0000,4801AMBULANCE 425461,A000000,04802,0000,4802AMBULANCE 425461,A000000,04803,0000,4803AMBULANCE 425461,A000000,05000,0000,5000CORF 425461,A000000,05010,0000,5010CMHC 425461,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425461,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425461,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425461,A81000A,00100,0100,Y 425461,A81000B,00100,0300,SEE ATTACHED 425461,A81000B,00200,0300,CAPITAL INTEREST 425461,A81000B,00300,0300,HOME OFFICE 425461,A81000B,00400,0300,HOME OFFICE 425461,A81000C,00100,0100,B 425461,A81000C,00100,0400,SEE ATTACHED 425461,A81000C,00100,0600,VARIOUS 425461,A81000C,00200,0100,B 425461,A81000C,00200,0400,GHC 425461,A81000C,00200,0600,LONG TERM CARE 425461,A81000C,00300,0100,B 425461,A81000C,00300,0400,GHC 425461,A81000C,00300,0600,LONG TERM CARE 425461,A81000C,00400,0100,B 425461,A81000C,00400,0400,GHC 425461,A81000C,00400,0600,LONG TERM CARE 425461,B100000,00000,0100,0100SQUARE FEET 425461,B100000,00000,0200,0200SQUARE FEET 425461,B100000,00000,0300,0300GROSS SALARIES 425461,B100000,00000,0400,0400ACCUM COST 425461,B100000,00000,0500,0500SQUARE FEET 425461,B100000,00000,0600,0600PATIENT DAYS 425461,B100000,00000,0700,0700SQUARE FEET 425461,B100000,00000,0800,0800MEALS SERVED 425461,B100000,00000,0900,0900NURSING SALARIES 425461,B100000,00000,1000,1000COSTED REQUIS 425461,B100000,00000,1100,1100COSTED REQUIS 425461,B100000,00000,1200,1200PATIENT DAYS 425461,B100000,00000,1300,1300PATIENT DAYS 425461,B100000,00000,1400,1400ASSIGNED TIME 425461,B100000,00000,1500,1350PATIENT DAYS 425461,S000000,00100,0200,09/12/11 425461,S200000,00100,0100,1 EMERSON DRIVE 425461,S200000,00200,0100,WINDSOR 425461,S200000,00200,0200,CT 425461,S200000,00200,0300,06095 425461,S200000,00300,0100,HARTFORD 425461,S200000,00300,0201,25540 425461,S200000,00300,0300,U 425461,S200000,00400,0100,KIMBERLY HALL NORTH 425461,S200000,00400,0200,075279 425461,S200000,00400,0300,07/01/85 425461,S200000,00400,0500,P 425461,S200000,01500,0100,Y 425461,S200000,01501,0200,N 425461,S200000,01502,0200,N 425461,S200000,01503,0200,N 425461,S200000,01504,0200,N 425461,S200000,01600,0100,N 425461,S200000,01700,0100,N 425461,S200000,01800,0100,N 425461,S200000,02200,0100,Y 425461,S200000,02800,0100,N 425461,S200000,02900,0100,N 425461,S200000,03000,0100,N 425461,S200000,03100,0100,N 425461,S200000,03200,0100,N 425461,S200000,03300,0100,N 425461,S200000,03300,0200,N 425461,S200000,04200,0100,N 425461,S200000,04300,0100,N 425461,S200000,04600,0100,N 425461,S200000,04700,0100,N 425461,S200000,04900,0100,N 425461,S200000,05200,0100,N 425461,S200000,05300,0100,Y 425461,S200000,05300,0200,HB0067 425461,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 425461,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 425461,S200000,05400,0300,12001 425461,S200000,05500,0100,101 EAST STATE STREET 425461,S200000,05600,0100,KENNETT SQUARE 425461,S200000,05600,0200,PA 425461,S200000,05600,0300,19348 425498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425498,A000000,00300,0000,0300EMPLOYEE BENEFITS 425498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425498,A000000,00700,0000,0700HOUSEKEEPING 425498,A000000,00800,0000,0800DIETARY 425498,A000000,00900,0000,0900NURSING ADMINISTRATION 425498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425498,A000000,01300,0000,1300SOCIAL SERVICE 425498,A000000,01500,0000,1350PATIENT ACTIVITIES 425498,A000000,01600,0000,1600SKILLED NURSING FACILITY 425498,A000000,01900,0000,1900OTHER LONG TERM CARE 425498,A000000,02100,0000,2100RADIOLOGY 425498,A000000,02200,0000,2200LABORATORY 425498,A000000,02300,0000,2300INTRAVENOUS THERAPY 425498,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425498,A000000,02500,0000,2500PHYSICAL THERAPY 425498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425498,A000000,02700,0000,2700SPEECH PATHOLOGY 425498,A000000,02800,0000,2800ELECTROCARDIOLOGY 425498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425498,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425498,A000000,03200,0000,3200SUPPORT SURFACES 425498,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425498,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425498,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425498,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425498,A81000A,00100,0100,N 425498,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425498,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425498,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425498,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425498,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425498,B100000,00000,0700,0750PRO RATED SQ. FOOTAG:HOUSEKEEPIN 425498,B100000,00000,0800,0800MEALS SERVED :DIETARY 425498,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425498,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425498,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425498,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425498,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 425498,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 425498,G300000,02501,0000,OTHER 425498,S000000,00100,0200,02/27/12 425498,S200000,00100,0100,EAST RHODE ISLAND AVE. EXT 425498,S200000,00100,0300,2001 425498,S200000,00200,0100,SOUTHERN PINES 425498,S200000,00200,0200,NC 425498,S200000,00200,0300,28387 425498,S200000,00300,0100,MOORE 425498,S200000,00300,0200,34 425498,S200000,00300,0201,99934 425498,S200000,00300,0300,R 425498,S200000,00400,0100,PENICK VILLAGE 425498,S200000,00400,0200,345111 425498,S200000,00400,0300,01/01/74 425498,S200000,00400,0500,P 425498,S200000,01500,0100,N 425498,S200000,01501,0200,N 425498,S200000,01503,0200,Y 425498,S200000,01505,0000,DRUGS 425498,S200000,01505,0200,N 425498,S200000,01600,0100,Y 425498,S200000,01700,0100,Y 425498,S200000,01800,0100,N 425498,S200000,02200,0100,N 425498,S200000,02800,0100,Y 425498,S200000,02900,0100,N 425498,S200000,03000,0100,N 425498,S200000,03100,0100,N 425498,S200000,03200,0100,N 425498,S200000,03300,0100,N 425498,S200000,03300,0200,N 425498,S200000,04100,0100,N 425498,S200000,04200,0100,N 425498,S200000,04300,0100,N 425498,S200000,04600,0100,N 425498,S200000,04700,0100,N 425498,S200000,04700,0200,N 425498,S200000,04900,0100,N 425498,S200000,05000,0100,N 425498,S200000,05100,0100,N 425498,S200000,05200,0100,N 425499,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425499,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425499,A000000,00300,0000,0300EMPLOYEE BENEFITS 425499,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425499,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425499,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425499,A000000,00700,0000,0700HOUSEKEEPING 425499,A000000,00800,0000,0800DIETARY 425499,A000000,00900,0000,0900NURSING ADMINISTRATION 425499,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425499,A000000,01100,0000,1100PHARMACY 425499,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425499,A000000,01300,0000,1300SOCIAL SERVICE 425499,A000000,01500,0000,1350PATIENT ACTIVITIES 425499,A000000,01600,0000,1600SKILLED NURSING FACILITY 425499,A000000,01800,0000,1800NURSING FACILITY 425499,A000000,01900,0000,1900OTHER LONG TERM CARE 425499,A000000,02100,0000,2100RADIOLOGY 425499,A000000,02200,0000,2200LABORATORY 425499,A000000,02300,0000,2300INTRAVENOUS THERAPY 425499,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425499,A000000,02500,0000,2500PHYSICAL THERAPY 425499,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425499,A000000,02700,0000,2700SPEECH PATHOLOGY 425499,A000000,02800,0000,2800ELECTROCARDIOLOGY 425499,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425499,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425499,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425499,A000000,03200,0000,3200SUPPORT SURFACES 425499,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425499,A000000,03400,0000,3400CLINIC 425499,A000000,03500,0000,3500RURAL HEALTH CLINIC 425499,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425499,A000000,04800,0000,4800AMBULANCE 425499,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425499,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425499,A000000,05300,0000,5300INTEREST EXPENSE 425499,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425499,A000000,05500,0000,5500HOSPICE 425499,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425499,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425499,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425499,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425499,A000000,06100,0000,6100NONPAID WORKERS 425499,A000000,06200,0000,6200PATIENTS LAUNDRY 425499,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425499,A81000A,00100,0100,Y 425499,A81000B,00100,0300,HOME OFFICE 425499,A81000B,00200,0300,HOME OFFICE 425499,A81000B,00300,0300,HOME OFFICE 425499,A81000B,00400,0300,HOME OFFICE 425499,A81000B,00500,0300,INSURANCE 425499,A81000C,00100,0100,B 425499,A81000C,00100,0400,PRESBYTERIAN HOMES INC 425499,A81000C,00100,0600,HOME OFFICE 425499,A81000C,00200,0100,B 425499,A81000C,00200,0400,PRESBYTERIAN HOMES INC 425499,A81000C,00200,0600,HOME OFFICE 425499,A81000C,00300,0100,B 425499,A81000C,00300,0400,PRESBYTERIAN HOMES INC 425499,A81000C,00300,0600,HOME OFFICE 425499,A81000C,00400,0100,B 425499,A81000C,00400,0400,PRESBYTERIAN HOMES INC 425499,A81000C,00400,0600,HOME OFFICE 425499,A81000C,00500,0100,B 425499,A81000C,00500,0400,PRESBYTERIAN HOMES INC 425499,A81000C,00500,0600,HOME OFFICE 425499,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425499,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425499,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425499,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425499,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425499,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425499,B100000,00000,0800,0800MEALS SERVED :DIETARY 425499,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425499,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425499,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425499,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 425499,G300000,02500,0000,OTHER REVENUE 425499,G300000,02501,0000,BARBER & BEAUTY REVENUE 425499,S000000,00100,0200,02/28/12 425499,S200000,00100,0100,2200 ELM AVENUE 425499,S200000,00200,0100,LAURINBURG 425499,S200000,00200,0200,NC 425499,S200000,00200,0300,28354 425499,S200000,00300,0100,SCOTLAND 425499,S200000,00300,0200,34 425499,S200000,00300,0201,99934 425499,S200000,00300,0300,R 425499,S200000,00400,0100,SCOTIA VILLAGE 425499,S200000,00400,0200,345297 425499,S200000,00400,0300,02/27/89 425499,S200000,00400,0500,P 425499,S200000,01500,0100,Y 425499,S200000,01501,0200,Y 425499,S200000,01504,0200,N 425499,S200000,01505,0000,OTHER 425499,S200000,01505,0200,N 425499,S200000,01600,0100,N 425499,S200000,01700,0100,N 425499,S200000,01800,0100,N 425499,S200000,02200,0100,N 425499,S200000,02800,0100,N 425499,S200000,02900,0100,N 425499,S200000,03000,0100,N 425499,S200000,03100,0100,N 425499,S200000,03200,0100,N 425499,S200000,03300,0100,N 425499,S200000,03300,0200,N 425499,S200000,04100,0100,N 425499,S200000,04200,0100,N 425499,S200000,04300,0100,N 425499,S200000,04600,0100,N 425499,S200000,04700,0100,N 425499,S200000,04700,0200,N 425499,S200000,04900,0100,N 425499,S200000,05000,0100,N 425499,S200000,05100,0100,N 425499,S200000,05200,0100,N 425499,S200000,05300,0100,Y 425499,S200000,05300,0200,349024 425499,S200000,05400,0100,PRESBYTERIAN HOMES INC. 425499,S200000,05400,0200,PALMETTO GBA 425499,S200000,05400,0300,11001 425499,S200000,05500,0100,2109 SANDY RIDGE ROAD 425499,S200000,05600,0100,COLFAX 425499,S200000,05600,0200,NC 425499,S200000,05600,0300,27235 425500,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425500,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425500,A000000,00300,0000,0300EMPLOYEE BENEFITS 425500,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425500,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425500,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425500,A000000,00700,0000,0700HOUSEKEEPING 425500,A000000,00800,0000,0800DIETARY 425500,A000000,00900,0000,0900NURSING ADMINISTRATION 425500,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425500,A000000,01100,0000,1100PHARMACY 425500,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425500,A000000,01300,0000,1300SOCIAL SERVICE 425500,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425500,A000000,01500,0000,1350OTHER GENERAL SERVICES 425500,A000000,01600,0000,1600SKILLED NURSING FACILITY 425500,A000000,01800,0000,1800NURSING FACILITY 425500,A000000,01810,0000,1810ICF/MR 425500,A000000,01900,0000,1900OTHER LONG TERM CARE 425500,A000000,02100,0000,2100RADIOLOGY 425500,A000000,02200,0000,2200LABORATORY 425500,A000000,02300,0000,2300INTRAVENOUS THERAPY 425500,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425500,A000000,02500,0000,2500PHYSICAL THERAPY 425500,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425500,A000000,02700,0000,2700SPEECH PATHOLOGY 425500,A000000,02800,0000,2800ELECTROCARDIOLOGY 425500,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425500,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425500,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425500,A000000,03200,0000,3200SUPPORT SURFACES 425500,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425500,A000000,04710,0000,4710TELEMEDICINE 425500,A000000,04800,0000,4800AMBULANCE 425500,A000000,05300,0000,5300INTEREST EXPENSE 425500,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425500,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425500,A000000,06100,0000,6100NONPAID WORKERS 425500,A000000,06200,0000,6200PATIENTS LAUNDRY 425500,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425500,A81000A,00100,0100,Y 425500,A81000B,00100,0300,HOME OFFICE CAPITAL BLDG 425500,A81000B,00200,0300,HOME OFFICE CAPITAL EQUIP 425500,A81000B,00300,0300,HOME OFFICE A&G 425500,A81000B,00400,0300,HOME OFFICE A&G 425500,A81000B,00500,0300,HOME OFFICE INSURANCE 425500,A81000C,00100,0100,B 425500,A81000C,00100,0400,PRESBYTERIAN HOMES INC. 425500,A81000C,00100,0600,HOME OFFICE 425500,A81000C,00200,0100,B 425500,A81000C,00200,0400,PRESBYTERIAN HOMES INC. 425500,A81000C,00200,0600,HOME OFFICE 425500,A81000C,00300,0100,B 425500,A81000C,00300,0400,PRESBYTERIAN HOMES INC. 425500,A81000C,00300,0600,HOME OFFICE 425500,A81000C,00400,0100,B 425500,A81000C,00400,0400,PRESBYTERIAN HOMES INC. 425500,A81000C,00400,0600,HOME OFFICE 425500,A81000C,00500,0100,B 425500,A81000C,00500,0400,PRESBYTERIAN HOMES INC. 425500,A81000C,00500,0600,HOME OFFICE 425500,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425500,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425500,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425500,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425500,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425500,B100000,00000,0700,0700HOURS :HOUSEKEEPING 425500,B100000,00000,0800,0800MEALS SERVED :DIETARY 425500,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 425500,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425500,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425500,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 425500,G300000,02502,0000,GOLF/OTHER 425500,S000000,00100,0200,02/28/12 425500,S200000,00100,0100,1575 JOHN KNOX DRIVE 425500,S200000,00200,0100,COLFAX 425500,S200000,00200,0200,NC 425500,S200000,00200,0300,27235 425500,S200000,00300,0100,GUILFORD 425500,S200000,00300,0200,3120 425500,S200000,00300,0201,24660 425500,S200000,00300,0300,U 425500,S200000,00400,0100,RIVER LANDING AT SANDY RIDGE 425500,S200000,00400,0200,345528 425500,S200000,00400,0300,07/01/03 425500,S200000,00400,0500,P 425500,S200000,01500,0100,N 425500,S200000,01501,0200,N 425500,S200000,01504,0200,Y 425500,S200000,01505,0000,OTHER 425500,S200000,01505,0200,Y 425500,S200000,01600,0100,Y 425500,S200000,01700,0100,N 425500,S200000,01800,0100,N 425500,S200000,02200,0100,N 425500,S200000,02800,0100,Y 425500,S200000,02900,0100,N 425500,S200000,03000,0100,N 425500,S200000,03100,0100,N 425500,S200000,03200,0100,N 425500,S200000,03300,0100,N 425500,S200000,03300,0200,N 425500,S200000,04100,0100,N 425500,S200000,04200,0100,N 425500,S200000,04300,0100,N 425500,S200000,04600,0100,N 425500,S200000,04700,0100,N 425500,S200000,04700,0200,N 425500,S200000,04900,0100,N 425500,S200000,05000,0100,N 425500,S200000,05100,0100,N 425500,S200000,05200,0100,N 425500,S200000,05300,0100,Y 425500,S200000,05300,0200,349024 425500,S200000,05400,0100,PRESBYTERIAN HOMES. INC. 425500,S200000,05400,0200,PALMETTO GBA 425500,S200000,05400,0300,11001 425500,S200000,05500,0100,2109 SANDY RIDGE ROAD 425500,S200000,05600,0100,COLFAX 425500,S200000,05600,0200,NC 425500,S200000,05600,0300,27235 425522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425522,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425522,A000000,00300,0000,0300EMPLOYEE BENEFITS 425522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425522,A000000,00700,0000,0700HOUSEKEEPING 425522,A000000,00800,0000,0800DIETARY 425522,A000000,00900,0000,0900NURSING ADMINISTRATION 425522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425522,A000000,01100,0000,1100PHARMACY 425522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425522,A000000,01300,0000,1300SOCIAL SERVICE 425522,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425522,A000000,01500,0000,1350OTHER GENERAL SERVICES 425522,A000000,01600,0000,1600SKILLED NURSING FACILITY 425522,A000000,01800,0000,1800NURSING FACILITY 425522,A000000,01810,0000,1810ICF/MR 425522,A000000,01900,0000,1900OTHER LONG TERM CARE 425522,A000000,02100,0000,2100RADIOLOGY 425522,A000000,02200,0000,2200LABORATORY 425522,A000000,02300,0000,2300INTRAVENOUS THERAPY 425522,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425522,A000000,02500,0000,2500PHYSICAL THERAPY 425522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425522,A000000,02700,0000,2700SPEECH PATHOLOGY 425522,A000000,02800,0000,2800ELECTROCARDIOLOGY 425522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425522,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425522,A000000,03200,0000,3200SUPPORT SURFACES 425522,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425522,A000000,03400,0000,3400CLINIC 425522,A000000,03500,0000,3500RURAL HEALTH CLINIC 425522,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425522,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425522,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425522,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425522,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425522,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425522,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425522,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425522,A000000,04400,0000,4400DME RENTED - HHA 425522,A000000,04500,0000,4500DME SOLD - HHA 425522,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425522,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425522,A000000,04710,0000,4710TELEMEDICINE 425522,A000000,04800,0000,4800AMBULANCE 425522,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425522,A000000,05000,0000,5000CORF 425522,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425522,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425522,A000000,05300,0000,5300INTEREST EXPENSE 425522,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425522,A000000,05500,0000,5500HOSPICE 425522,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425522,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425522,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425522,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425522,A000000,06100,0000,6100NONPAID WORKERS 425522,A000000,06200,0000,6200PATIENTS LAUNDRY 425522,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425522,A81000A,00100,0100,N 425522,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425522,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425522,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425522,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425522,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425522,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425522,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425522,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425522,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425522,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425522,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425522,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425522,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425522,S000000,00100,0200,01/30/12 425522,S200000,00100,0100,411 S MILLER 425522,S200000,00200,0100,RISING STAR 425522,S200000,00200,0200,TX 425522,S200000,00200,0300,76471 425522,S200000,00300,0100,EASTLAND 425522,S200000,00300,0200,45 425522,S200000,00300,0201,99945 425522,S200000,00300,0300,R 425522,S200000,00400,0100,RISING STAR NURSING CENTER 425522,S200000,00400,0200,675832 425522,S200000,00400,0300,01/01/02 425522,S200000,00400,0500,P 425522,S200000,01500,0100,Y 425522,S200000,01501,0200,N 425522,S200000,01502,0200,Y 425522,S200000,01504,0200,Y 425522,S200000,01600,0100,N 425522,S200000,01700,0100,N 425522,S200000,01800,0100,N 425522,S200000,02200,0100,N 425522,S200000,02800,0100,N 425522,S200000,02900,0100,N 425522,S200000,03000,0100,N 425522,S200000,03100,0100,N 425522,S200000,03200,0100,N 425522,S200000,03300,0100,N 425522,S200000,03300,0200,N 425522,S200000,04100,0100,N 425522,S200000,04200,0100,N 425522,S200000,04300,0100,N 425522,S200000,04600,0100,N 425522,S200000,04700,0100,N 425522,S200000,04700,0200,N 425522,S200000,04900,0100,N 425522,S200000,05000,0100,N 425522,S200000,05100,0100,N 425522,S200000,05200,0100,N 425522,S200000,05300,0100,N 425523,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425523,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425523,A000000,00300,0000,0300EMPLOYEE BENEFITS 425523,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425523,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425523,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425523,A000000,00700,0000,0700HOUSEKEEPING 425523,A000000,00800,0000,0800DIETARY 425523,A000000,00900,0000,0900NURSING ADMINISTRATION 425523,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425523,A000000,01100,0000,1100PHARMACY 425523,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425523,A000000,01300,0000,1300SOCIAL SERVICE 425523,A000000,01301,0000,1301ACTIVITIES ICE 425523,A000000,01600,0000,1600SKILLED NURSING FACILITY 425523,A000000,01800,0000,1800NURSING FACILITY 425523,A000000,02100,0000,2100RADIOLOGY 425523,A000000,02200,0000,2200LABORATORY 425523,A000000,02300,0000,2300INTRAVENOUS THERAPY 425523,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425523,A000000,02500,0000,2500PHYSICAL THERAPY 425523,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425523,A000000,02700,0000,2700SPEECH PATHOLOGY 425523,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425523,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425523,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425523,A000000,03301,0000,3051MEDICAL EQUIPMENT RVICE COST CEN 425523,A000000,04800,0000,4800AMBULANCE 425523,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425523,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425523,A81000A,00100,0100,Y 425523,A81000B,00100,0300,HOME OFFICE CAPITAL 425523,A81000B,00200,0300,HOME OFFICE NONCAPITAL 425523,A81000B,00300,0300,PHYSICAL THERAPY 425523,A81000B,00400,0300,OCCUPATIONAL THERAPY 425523,A81000B,00500,0300,SPEECH THERAPY 425523,A81000C,00100,0100,A 425523,A81000C,00100,0200,DAYBREAK PARTNERS LLC 425523,A81000C,00100,0400,DAYBREAK VENTURE LLC 425523,A81000C,00100,0600,HOME OFFICE 425523,A81000C,00200,0100,B 425523,A81000C,00200,0200,DAYBREAK THERAPY INC 425523,A81000C,00200,0400,DAYBREAK PARTNERS LLC 425523,A81000C,00200,0600,THERAPY COMPANY 425523,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425523,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425523,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425523,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425523,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425523,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425523,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425523,B100000,00000,0800,0800MEALS SERVED :DIETARY 425523,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425523,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425523,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425523,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425523,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425523,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES ICE 425523,G300000,02500,0000,MISCELLANEOUS INCOME 425523,S000000,00100,0200,12/08/11 425523,S200000,00100,0100,407 NORTH COLLEGE STREET 425523,S200000,00200,0100,ROSEBUD 425523,S200000,00200,0200,TX 425523,S200000,00200,0300,76570-0656 425523,S200000,00300,0100,FALLS 425523,S200000,00300,0200,67 425523,S200000,00300,0201,99945 425523,S200000,00300,0300,R 425523,S200000,00400,0100,HERITAGE HOUSE NURSING & REHABILITAT 425523,S200000,00400,0200,675210 425523,S200000,00400,0300,11/01/93 425523,S200000,00400,0500,P 425523,S200000,01500,0100,Y 425523,S200000,01501,0200,N 425523,S200000,01502,0200,N 425523,S200000,01503,0200,N 425523,S200000,01504,0200,N 425523,S200000,01600,0100,N 425523,S200000,01700,0100,N 425523,S200000,01800,0100,N 425523,S200000,02200,0100,N 425523,S200000,02800,0100,N 425523,S200000,02900,0100,N 425523,S200000,03000,0100,N 425523,S200000,03100,0100,N 425523,S200000,03200,0100,N 425523,S200000,03300,0100,N 425523,S200000,03300,0200,N 425523,S200000,04100,0100,N 425523,S200000,04200,0100,N 425523,S200000,04300,0100,Y 425523,S200000,04600,0100,N 425523,S200000,04700,0100,N 425523,S200000,04700,0200,N 425523,S200000,04900,0100,N 425523,S200000,05000,0100,N 425523,S200000,05100,0100,N 425523,S200000,05200,0100,N 425524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425524,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425524,A000000,00300,0000,0300EMPLOYEE BENEFITS 425524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425524,A000000,00700,0000,0700HOUSEKEEPING 425524,A000000,00800,0000,0800DIETARY 425524,A000000,00900,0000,0900NURSING ADMINISTRATION 425524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425524,A000000,01100,0000,1100PHARMACY 425524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425524,A000000,01300,0000,1300SOCIAL SERVICE 425524,A000000,01301,0000,1301ACTIVITIES ICE 425524,A000000,01600,0000,1600SKILLED NURSING FACILITY 425524,A000000,01800,0000,1800NURSING FACILITY 425524,A000000,02100,0000,2100RADIOLOGY 425524,A000000,02200,0000,2200LABORATORY 425524,A000000,02300,0000,2300INTRAVENOUS THERAPY 425524,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425524,A000000,02500,0000,2500PHYSICAL THERAPY 425524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425524,A000000,02700,0000,2700SPEECH PATHOLOGY 425524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425524,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425524,A000000,03301,0000,3051MEDICAL EQUIPMENT RVICE COST CEN 425524,A000000,04800,0000,4800AMBULANCE 425524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425524,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425524,A81000A,00100,0100,Y 425524,A81000B,00100,0300,HOME OFFICE CAPITAL 425524,A81000B,00200,0300,HOME OFFICE NONCAPITAL 425524,A81000B,00300,0300,PHYSICAL THERAPY 425524,A81000B,00400,0300,OCCUPATIONAL THERAPY 425524,A81000B,00500,0300,SPEECH THERAPY 425524,A81000C,00100,0100,A 425524,A81000C,00100,0200,DAYBREAK PARTNERS LLC 425524,A81000C,00100,0400,DAYBREAK VENTURE LLC 425524,A81000C,00100,0600,HOME OFFICE 425524,A81000C,00200,0100,B 425524,A81000C,00200,0200,DAYBREAK THERAPY INC 425524,A81000C,00200,0400,DAYBREAK PARTNERS LLC 425524,A81000C,00200,0600,THERAPY COMPANY 425524,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425524,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425524,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425524,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425524,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425524,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425524,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425524,B100000,00000,0800,0800MEALS SERVED :DIETARY 425524,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425524,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425524,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425524,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425524,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425524,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES ICE 425524,G300000,02500,0000,MISCELLANEOUS INCOME 425524,S000000,00100,0200,12/08/11 425524,S200000,00100,0100,1175 DENTON DRIVE 425524,S200000,00200,0100,BEAUMONT 425524,S200000,00200,0200,TX 425524,S200000,00200,0300,77707-3913 425524,S200000,00300,0100,JEFFERSON 425524,S200000,00300,0200,0840 425524,S200000,00300,0201,13140 425524,S200000,00300,0300,U 425524,S200000,00400,0100,BEAUMONT NURSING & REHABILITATION L 425524,S200000,00400,0200,675620 425524,S200000,00400,0300,08/14/96 425524,S200000,00400,0500,P 425524,S200000,01500,0100,Y 425524,S200000,01501,0200,N 425524,S200000,01502,0200,N 425524,S200000,01503,0200,N 425524,S200000,01504,0200,N 425524,S200000,01600,0100,N 425524,S200000,01700,0100,N 425524,S200000,01800,0100,N 425524,S200000,02200,0100,Y 425524,S200000,02800,0100,N 425524,S200000,02900,0100,N 425524,S200000,03000,0100,N 425524,S200000,03100,0100,N 425524,S200000,03200,0100,N 425524,S200000,03300,0100,N 425524,S200000,03300,0200,N 425524,S200000,04100,0100,N 425524,S200000,04200,0100,N 425524,S200000,04300,0100,Y 425524,S200000,04600,0100,N 425524,S200000,04700,0100,N 425524,S200000,04700,0200,N 425524,S200000,04900,0100,N 425524,S200000,05000,0100,N 425524,S200000,05100,0100,N 425524,S200000,05200,0100,N 425536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425536,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425536,A000000,00300,0000,0300EMPLOYEE BENEFITS 425536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425536,A000000,00700,0000,0700HOUSEKEEPING 425536,A000000,00800,0000,0800DIETARY 425536,A000000,00900,0000,0900NURSING ADMINISTRATION 425536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425536,A000000,01100,0000,1100PHARMACY 425536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425536,A000000,01300,0000,1300SOCIAL SERVICE 425536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425536,A000000,01500,0000,1350RECREATION 425536,A000000,01600,0000,1600SKILLED NURSING FACILITY 425536,A000000,01810,0000,1810ICF/MR 425536,A000000,02100,0000,2100RADIOLOGY 425536,A000000,02200,0000,2200LABORATORY 425536,A000000,02300,0000,2300INTRAVENOUS THERAPY 425536,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425536,A000000,02500,0000,2500PHYSICAL THERAPY 425536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425536,A000000,02700,0000,2700SPEECH PATHOLOGY 425536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425536,A000000,03550,0000,3550FQHC 425536,A000000,05000,0000,5000CORF 425536,A000000,05010,0000,5010CMHC 425536,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425536,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425536,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425536,A000000,05300,0000,5300INTEREST EXPENSE 425536,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425536,A81000A,00100,0100,Y 425536,A81000B,00100,0300,MANAGEMENT SVCS. 425536,A81000B,00200,0300,LAND RENT 425536,A81000B,00300,0300,OTHER PROF. FEES 425536,A81000B,00400,0300,HUMAN RESOURCES 425536,A81000B,00500,0300,DATA PROCESSING 425536,A81000B,00600,0300,INSURANCE 425536,A81000B,00700,0300,WORKERS COMP. INS. 425536,A81000B,00800,0300,WATER & SEWER 425536,A81000B,00900,0300,LAB XRAY EKG 425536,A81000B,01000,0300,PHARMACY TECH. 425536,A81000C,00100,0100,B 425536,A81000C,00100,0200,JOHNSON MEMORIA 425536,A81000C,00100,0400,JOHNSON MEMORIA 425536,A81000C,00100,0600,CORPORATION 425536,A81000C,00200,0100,G 425536,A81000C,00200,0200,JOHNSON MEM. HO 425536,A81000C,00200,0400,JOHNSON MEM. HO 425536,A81000C,00200,0600,HOSPITAL 425536,A81000C,00300,0100,G 425536,A81000C,00300,0200,JOHNSON HEALTHC 425536,A81000C,00300,0400,JOHNSON HEALTHC 425536,A81000C,00300,0600,OCCUP. MEDICINE 425536,A81000C,03100,0000,FINANCIAL 425536,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425536,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425536,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425536,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425536,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425536,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425536,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425536,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425536,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425536,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425536,B100000,00000,1500,1350PATIENT DAYS :RECREATION 425536,G300000,02501,0000,BARBER & BEAUTY SHOP 425536,G300000,02502,0000,MEDICAID APPLICATION FEES 425536,G300000,02503,0000,MISCELLANEOUS REVENUE 425536,S000000,00100,0200,01/20/12 425536,S200000,00100,0100,205 CHESTNUT HILL ROAD 425536,S200000,00200,0100,STAFFORD SPRINGS 425536,S200000,00200,0200,CT 425536,S200000,00200,0300,06076 425536,S200000,00300,0100,TOLLAND 425536,S200000,00300,0201,0022 425536,S200000,00300,0300,U 425536,S200000,00400,0100,EVERGREEN HEALTHCARE CENTER 425536,S200000,00400,0200,075326 425536,S200000,00400,0300,10/26/89 425536,S200000,00400,0500,P 425536,S200000,01500,0100,Y 425536,S200000,01501,0200,Y 425536,S200000,01600,0100,N 425536,S200000,01700,0100,N 425536,S200000,01800,0100,N 425536,S200000,01900,0100,SKILLED NURSING FACI 425536,S200000,02200,0100,N 425536,S200000,02800,0100,N 425536,S200000,02900,0100,N 425536,S200000,03000,0100,N 425536,S200000,03100,0100,N 425536,S200000,03200,0100,N 425536,S200000,03300,0100,N 425536,S200000,03300,0200,N 425536,S200000,03600,0100,N 425536,S200000,03600,0200,N 425536,S200000,04100,0100,N 425536,S200000,04200,0100,N 425536,S200000,04300,0100,N 425536,S200000,04600,0100,N 425536,S200000,04700,0100,N 425536,S200000,04700,0200,N 425536,S200000,04900,0100,N 425536,S200000,05000,0100,N 425536,S200000,05100,0100,N 425536,S200000,05200,0100,N 425536,S200000,05300,0100,Y 425536,S200000,05300,0200,070008 425536,S200000,05400,0100,JOHNSON MEMORIAL MEDICAL CENTER 425536,S200000,05400,0200,N/A 425536,S200000,05400,0300,00N/A 425536,S200000,05500,0100,201 CHESTNUT HILL ROAD 425536,S200000,05600,0100,STAFFORD SPRINGS 425536,S200000,05600,0200,CT 425536,S200000,05600,0300,06076 425622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425622,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425622,A000000,00300,0000,0300EMPLOYEE BENEFITS 425622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425622,A000000,00700,0000,0700HOUSEKEEPING 425622,A000000,00800,0000,0800DIETARY 425622,A000000,00900,0000,0900NURSING ADMINISTRATION 425622,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425622,A000000,01100,0000,1100PHARMACY 425622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425622,A000000,01300,0000,1300SOCIAL SERVICE 425622,A000000,01500,0000,1350PATIENT ACTIVITES 425622,A000000,01600,0000,1600SKILLED NURSING FACILITY 425622,A000000,01800,0000,1800NURSING FACILITY 425622,A000000,01900,0000,1900OTHER LONG TERM CARE 425622,A000000,02100,0000,2100RADIOLOGY 425622,A000000,02200,0000,2200LABORATORY 425622,A000000,02300,0000,2300INTRAVENOUS THERAPY 425622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425622,A000000,02500,0000,2500PHYSICAL THERAPY 425622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425622,A000000,02700,0000,2700SPEECH PATHOLOGY 425622,A000000,02800,0000,2800ELECTROCARDIOLOGY 425622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425622,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425622,A000000,03200,0000,3200SUPPORT SURFACES 425622,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425622,A000000,03400,0000,3400CLINIC 425622,A000000,03500,0000,3500RURAL HEALTH CLINIC 425622,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425622,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425622,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425622,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425622,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425622,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425622,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425622,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425622,A000000,04400,0000,4400DME RENTED - HHA 425622,A000000,04500,0000,4500DME SOLD - HHA 425622,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425622,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425622,A000000,04710,0000,4710TELEMEDICINE HHA 425622,A000000,04800,0000,4800AMBULANCE 425622,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425622,A000000,05000,0000,5000CORF 425622,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425622,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425622,A000000,05300,0000,5300INTEREST EXPENSE 425622,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425622,A000000,05500,0000,5500HOSPICE 425622,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425622,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425622,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425622,A000000,06100,0000,6100NONPAID WORKERS 425622,A000000,06200,0000,6200PATIENTS LAUNDRY 425622,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425622,A000000,06301,0000,6151ADULT DAY CARE 425622,A000000,06302,0000,6152NURSE PRACTITIONER 425622,A81000A,00100,0100,Y 425622,A81000B,00100,0300,HOME OFFICE CAPITAL - BLDG 425622,A81000B,00200,0300,HOME OFFICE CAPITAL- EQUIP 425622,A81000B,00300,0300,HOME OFFICE - A&G 425622,A81000B,00400,0300,HOME OFFICE - A&G 425622,A81000B,00500,0300,HOME OFFICE-INSURANCE 425622,A81000C,00100,0100,B 425622,A81000C,00100,0400,PRESBYTERIAN HOMES INC 425622,A81000C,00100,0600,HOME OFFICE 425622,A81000C,00200,0100,B 425622,A81000C,00200,0400,PRESBYTERIAN HOMES INC 425622,A81000C,00200,0600,HOME OFFICE 425622,A81000C,00300,0100,B 425622,A81000C,00300,0400,PRESBYTERIAN HOMES INC 425622,A81000C,00300,0600,HOME OFFICE 425622,A81000C,00400,0100,B 425622,A81000C,00400,0400,PRESBYTERIAN HOMES INC 425622,A81000C,00400,0600,HOME OFFICE 425622,A81000C,00500,0100,B 425622,A81000C,00500,0400,PRESBYTERIAN HOMES INC 425622,A81000C,00500,0600,HOME OFFICE 425622,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425622,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425622,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425622,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425622,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425622,B100000,00000,0700,0750TIME SPENT :HOUSEKEEPING 425622,B100000,00000,0800,0800MEALS SERVED :DIETARY 425622,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 425622,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425622,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425622,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITES 425622,G300000,02500,0000,OTHER REVENUE 425622,S000000,00100,0200,02/28/12 425622,S200000,00100,0100,4000 GLENAIRE CIRCLE 425622,S200000,00200,0100,CARY 425622,S200000,00200,0200,NC 425622,S200000,00200,0300,27511-3802 425622,S200000,00300,0100,WAKE 425622,S200000,00300,0200,6640 425622,S200000,00300,0201,39580 425622,S200000,00300,0300,U 425622,S200000,00400,0100,GLENAIRE INC. 425622,S200000,00400,0200,345445 425622,S200000,00400,0300,09/24/93 425622,S200000,00400,0500,P 425622,S200000,01500,0100,Y 425622,S200000,01501,0200,Y 425622,S200000,01504,0200,N 425622,S200000,01505,0000,OTHER 425622,S200000,01505,0200,Y 425622,S200000,01600,0100,N 425622,S200000,01700,0100,N 425622,S200000,01800,0100,N 425622,S200000,02200,0100,N 425622,S200000,02800,0100,N 425622,S200000,02900,0100,N 425622,S200000,03000,0100,N 425622,S200000,03100,0100,N 425622,S200000,03200,0100,N 425622,S200000,03300,0100,N 425622,S200000,03300,0200,N 425622,S200000,04100,0100,N 425622,S200000,04200,0100,N 425622,S200000,04300,0100,N 425622,S200000,04600,0100,N 425622,S200000,04700,0100,N 425622,S200000,04700,0200,N 425622,S200000,04900,0100,N 425622,S200000,05000,0100,N 425622,S200000,05100,0100,N 425622,S200000,05200,0100,N 425622,S200000,05300,0100,Y 425622,S200000,05300,0200,349024 425622,S200000,05400,0100,PRESBYTERIAN HOMES INC. 425622,S200000,05400,0200,CAHABA GBA 425622,S200000,05400,0300,11001 425622,S200000,05500,0100,2109 SANDY RIDGE ROAD 425622,S200000,05600,0100,COLFAX 425622,S200000,05600,0200,NC 425622,S200000,05600,0300,27235 425659,S000000,00100,0200,01/27/12 425659,S200000,00100,0100,3851 N. RIVER ROAD 425659,S200000,00200,0100,LAFAYETTE 425659,S200000,00200,0200,IN 425659,S200000,00200,0300,47906 425659,S200000,00300,0100,TIPPECANOE 425659,S200000,00400,0100,INDIANA VETERANS HOME 425659,S200000,00400,0300,03/04/11 425712,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425712,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425712,A000000,00300,0000,0300EMPLOYEE BENEFITS 425712,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425712,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425712,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425712,A000000,00700,0000,0700HOUSEKEEPING 425712,A000000,00800,0000,0800DIETARY 425712,A000000,00900,0000,0900NURSING ADMINISTRATION 425712,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425712,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425712,A000000,01300,0000,1300SOCIAL SERVICE 425712,A000000,01500,0000,1350ACTIVITIES 425712,A000000,01600,0000,1600SKILLED NURSING FACILITY 425712,A000000,01800,0000,1800NURSING FACILITY 425712,A000000,01810,0000,1810ICF/MR 425712,A000000,01900,0000,1900OTHER LONG TERM CARE 425712,A000000,02100,0000,2100RADIOLOGY 425712,A000000,02200,0000,2200LABORATORY 425712,A000000,02300,0000,2300INTRAVENOUS THERAPY 425712,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425712,A000000,02500,0000,2500PHYSICAL THERAPY 425712,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425712,A000000,02700,0000,2700SPEECH PATHOLOGY 425712,A000000,02800,0000,2800ELECTROCARDIOLOGY 425712,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425712,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425712,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425712,A000000,03200,0000,3200SUPPORT SURFACES 425712,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425712,A000000,03301,0000,3051AIR FLUID THERAPY 425712,A000000,03302,0000,3052AMBULANCE 425712,A000000,03303,0000,3053PEN THERAPY 425712,A000000,03304,0000,3054ONCOLOGY 425712,A000000,03305,0000,3055CARDIOLOGY 425712,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 425712,A000000,03307,0000,3057AUDIOLOGY 425712,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425712,A000000,03400,0000,3400CLINIC 425712,A000000,03500,0000,3500RURAL HEALTH CLINIC 425712,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425712,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425712,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425712,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425712,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425712,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425712,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425712,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425712,A000000,04400,0000,4400DME RENTED - HHA 425712,A000000,04500,0000,4500DME SOLD - HHA 425712,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425712,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425712,A000000,04710,0000,4710TELEMEDICINE 425712,A000000,04800,0000,4800AMBULANCE 425712,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425712,A000000,05000,0000,5000CORF 425712,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425712,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425712,A000000,05300,0000,5300INTEREST EXPENSE 425712,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425712,A000000,05500,0000,5500HOSPICE 425712,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425712,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425712,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425712,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425712,A000000,06100,0000,6100NONPAID WORKERS 425712,A000000,06200,0000,6200PATIENTS LAUNDRY 425712,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425712,A000000,06301,0000,6151OTER NONREIMBURSABLE COST 425712,A000000,06302,0000,6152PASTORAL CARE 425712,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425712,A81000A,00100,0100,Y 425712,A81000B,00100,0300,MGMT FEE - A&G RELATED 425712,A81000B,00200,0300,DEPRECIATION 425712,A81000C,00100,0100,G 425712,A81000C,00100,0200,LUTHERAN HOMES OF SC INC 425712,A81000C,00100,0400,LUTHERAN HOMES OF SC INC 425712,A81000C,00100,0600,HOME OFFICE 425712,A81000C,00200,0100,G 425712,A81000C,00200,0200,LUTHERAN HOMES OF SC INC 425712,A81000C,00200,0400,LUTHERAN HOMES OF SC INC 425712,A81000C,00200,0600,HOME OFFICE 425712,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425712,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425712,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425712,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425712,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425712,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425712,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425712,B100000,00000,0800,0800MEALS SERVED :DIETARY 425712,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425712,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425712,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425712,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425712,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 425712,G300000,02500,0000,OTHER - SEE GROUPINGS 425712,S000000,00100,0200,02/29/12 425712,S200000,00100,0100,200 FORTRESS DRIVE 425712,S200000,00200,0100,INMAN 425712,S200000,00200,0200,SC 425712,S200000,00200,0300,29349 425712,S200000,00300,0100,SPARTANBURG 425712,S200000,00300,0200,3160 425712,S200000,00300,0201,43900 425712,S200000,00300,0300,U 425712,S200000,00400,0100,ROSECREST NURSING HOME 425712,S200000,00400,0200,425376 425712,S200000,00400,0300,04/11/01 425712,S200000,00400,0500,P 425712,S200000,00400,0600,P 425712,S200000,01500,0100,Y 425712,S200000,01501,0200,Y 425712,S200000,01502,0200,N 425712,S200000,01600,0100,N 425712,S200000,01700,0100,N 425712,S200000,01800,0100,N 425712,S200000,02200,0100,N 425712,S200000,02800,0100,Y 425712,S200000,02900,0100,N 425712,S200000,03000,0100,N 425712,S200000,03100,0100,N 425712,S200000,03200,0100,N 425712,S200000,03300,0100,N 425712,S200000,03300,0200,N 425712,S200000,04100,0100,N 425712,S200000,04200,0100,N 425712,S200000,04300,0100,N 425712,S200000,04600,0100,N 425712,S200000,04700,0100,N 425712,S200000,04700,0200,N 425712,S200000,04900,0100,N 425712,S200000,05000,0100,N 425712,S200000,05100,0100,N 425712,S200000,05200,0100,N 425712,S200000,05300,0100,Y 425712,S200000,05300,0200,42-H01 425712,S200000,05400,0100,LUTHERAN HOMES OF SC INC. 425712,S200000,05400,0200,PALMETTO GBA 425712,S200000,05400,0300,0PGBA 425712,S200000,05500,0100,300 MINISTRY DRIVE 425712,S200000,05600,0100,IRMO 425712,S200000,05600,0200,SC 425712,S200000,05600,0300,29063 425713,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425713,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425713,A000000,00300,0000,0300EMPLOYEE BENEFITS 425713,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425713,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425713,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425713,A000000,00700,0000,0700HOUSEKEEPING 425713,A000000,00800,0000,0800DIETARY 425713,A000000,00900,0000,0900NURSING ADMINISTRATION 425713,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425713,A000000,01100,0000,1100PHARMACY 425713,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425713,A000000,01300,0000,1300SOCIAL SERVICE 425713,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425713,A000000,01500,0000,1350ACTIVITIES 425713,A000000,01600,0000,1600SKILLED NURSING FACILITY 425713,A000000,01800,0000,1800NURSING FACILITY 425713,A000000,01810,0000,1810ICF/MR 425713,A000000,01900,0000,1900OTHER LONG TERM CARE 425713,A000000,02100,0000,2100RADIOLOGY 425713,A000000,02200,0000,2200LABORATORY 425713,A000000,02300,0000,2300INTRAVENOUS THERAPY 425713,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425713,A000000,02500,0000,2500PHYSICAL THERAPY 425713,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425713,A000000,02700,0000,2700SPEECH PATHOLOGY 425713,A000000,02800,0000,2800ELECTROCARDIOLOGY 425713,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425713,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425713,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425713,A000000,03200,0000,3200SUPPORT SURFACES 425713,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425713,A000000,03301,0000,3051AIR FLUID THERAPY 425713,A000000,03302,0000,3052AMBULANCE 425713,A000000,03303,0000,3053PEN THERAPY 425713,A000000,03304,0000,3054ONCOLOGY 425713,A000000,03305,0000,3055CARDIOLOGY 425713,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 425713,A000000,03307,0000,3057AUDIOLOGY 425713,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425713,A000000,03400,0000,3400CLINIC 425713,A000000,03500,0000,3500RURAL HEALTH CLINIC 425713,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425713,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425713,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425713,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425713,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425713,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425713,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425713,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425713,A000000,04400,0000,4400DME RENTED - HHA 425713,A000000,04500,0000,4500DME SOLD - HHA 425713,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425713,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425713,A000000,04710,0000,4710TELEMEDICINE 425713,A000000,04800,0000,4800AMBULANCE 425713,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425713,A000000,05000,0000,5000CORF 425713,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425713,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425713,A000000,05300,0000,5300INTEREST EXPENSE 425713,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425713,A000000,05500,0000,5500HOSPICE 425713,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425713,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425713,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425713,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425713,A000000,06100,0000,6100NONPAID WORKERS 425713,A000000,06200,0000,6200PATIENTS LAUNDRY 425713,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425713,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 425713,A000000,06302,0000,6152PASTORAL CARE 425713,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425713,A81000A,00100,0100,Y 425713,A81000B,00100,0300,MGMT FEE - A&G RELATED 425713,A81000B,00200,0300,HO DEPRECIATION 425713,A81000C,00100,0100,G 425713,A81000C,00100,0200,LUTHERAN HOMES OF SC INC 425713,A81000C,00100,0400,LUTHERAN HOMES OF SC INC 425713,A81000C,00100,0600,HOME OFFICE 425713,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425713,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425713,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425713,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425713,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425713,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425713,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425713,B100000,00000,0800,0800MEALS SERVED :DIETARY 425713,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425713,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425713,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425713,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425713,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 425713,G300000,02500,0000,OTHER - SEE GROUPINGS 425713,S000000,00100,0200,02/29/12 425713,S200000,00100,0100,100 FINLEY ROAD 425713,S200000,00200,0100,COLUMBIA 425713,S200000,00200,0200,SC 425713,S200000,00200,0300,29203 425713,S200000,00300,0100,RICHLAND 425713,S200000,00300,0200,1760 425713,S200000,00300,0201,17900 425713,S200000,00300,0300,U 425713,S200000,00400,0100,BENZIE T RICE 425713,S200000,00400,0200,425387 425713,S200000,00400,0300,12/15/07 425713,S200000,00400,0500,P 425713,S200000,00400,0600,P 425713,S200000,01500,0100,Y 425713,S200000,01501,0200,N 425713,S200000,01502,0200,Y 425713,S200000,01503,0200,Y 425713,S200000,01600,0100,N 425713,S200000,01700,0100,N 425713,S200000,01800,0100,N 425713,S200000,02200,0100,N 425713,S200000,02800,0100,N 425713,S200000,02900,0100,N 425713,S200000,03000,0100,N 425713,S200000,03100,0100,N 425713,S200000,03200,0100,N 425713,S200000,03300,0100,N 425713,S200000,03300,0200,N 425713,S200000,04100,0100,N 425713,S200000,04200,0100,N 425713,S200000,04300,0100,N 425713,S200000,04600,0100,N 425713,S200000,04700,0100,N 425713,S200000,04700,0200,N 425713,S200000,04900,0100,N 425713,S200000,05000,0100,N 425713,S200000,05100,0100,N 425713,S200000,05200,0100,N 425713,S200000,05300,0100,Y 425713,S200000,05300,0200,42-H01 425713,S200000,05400,0100,LUTHERAN HOMES OF SC INC. 425713,S200000,05400,0200,PALMETTO GBA 425713,S200000,05400,0300,0PGBA 425713,S200000,05500,0100,300 MINISTRY DRIVE 425713,S200000,05600,0100,IRMO 425713,S200000,05600,0200,SC 425713,S200000,05600,0300,29063 425716,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 425716,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 425716,A000000,00300,0000,0300EMPLOYEE BENEFITS 425716,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425716,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 425716,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425716,A000000,00700,0000,0700HOUSEKEEPING 425716,A000000,00800,0000,0800DIETARY 425716,A000000,00900,0000,0900NURSING ADMINISTRATION 425716,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425716,A000000,01100,0000,1100PHARMACY 425716,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425716,A000000,01300,0000,1300SOCIAL SERVICE 425716,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 425716,A000000,01600,0000,1600SKILLED NURSING FACILITY 425716,A000000,01810,0000,1810ICF/MR 425716,A000000,02200,0000,2200LABORATORY 425716,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425716,A000000,02500,0000,2500PHYSICAL THERAPY 425716,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425716,A000000,03550,0000,3550FQHC 425716,A000000,04801,0000,4801AMBULANCE 425716,A000000,04802,0000,4802AMBULANCE 425716,A000000,04803,0000,4803AMBULANCE 425716,A000000,05000,0000,5000CORF 425716,A000000,05010,0000,5010CMHC 425716,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425716,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425716,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425716,A000000,06200,0000,6200PATIENTS LAUNDRY 425716,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425716,A81000A,00100,0100,Y 425716,A81000B,00100,0300,EMPLOYEE BENEFITS 425716,A81000B,00200,0300,PHONES/CASHIERING/A&G 425716,A81000B,00300,0300,OPERATION OF PLANT 425716,A81000B,00400,0300,LAUNDRY & LINEN 425716,A81000B,00500,0300,HOUSEKEEPING 425716,A81000B,00600,0300,DIETARY 425716,A81000B,00700,0300,CENTRAL SERVICE 425716,A81000B,00800,0300,PHARMACY 425716,A81000C,00100,0100,B 425716,A81000C,00100,0200,NORTH MS MEDICAL CENTER 425716,A81000C,00100,0400,NORTH MS MEDICAL CENTER 425716,A81000C,00100,0600,HOSPITAL 425716,B100000,00000,0100,0100SQUARE FEET 425716,B100000,00000,0200,0200SQUARE FEET 425716,B100000,00000,0300,0300GROSS SALARIES 425716,B100000,00000,0400,0400ACCUM COST 425716,B100000,00000,0500,0500SQUARE FEET 425716,B100000,00000,0600,0600POUNDS OF LAUNDRY 425716,B100000,00000,0700,0700SQUARE FEET 425716,B100000,00000,0800,0800MEALS SERVED 425716,B100000,00000,0900,0900DIRECT NURSING 425716,B100000,00000,1000,1000COSTED REQUIS 425716,B100000,00000,1100,1100COSTED REQUIS 425716,B100000,00000,1200,1200TIME SPENT 425716,B100000,00000,1300,1300TIME SPENT 425716,B100000,00000,1400,1400ASSIGNED TIME 425716,G300000,02500,0000,BEAUTY SHOP REVENUE 425716,S000000,00100,0200,02/21/12 425716,S200000,00100,0100,739 FOURTH STREET SOUTH 425716,S200000,00200,0100,BALDWYN 425716,S200000,00200,0200,MS 425716,S200000,00200,0300,38824 425716,S200000,00300,0100,LEE 425716,S200000,00300,0201,99925 425716,S200000,00300,0300,R 425716,S200000,00400,0100,NMMC-BALDWYN SKILLED NURS FAC 425716,S200000,00400,0200,255161 425716,S200000,00400,0300,02/01/93 425716,S200000,00400,0500,P 425716,S200000,00400,0600,O 425716,S200000,01500,0100,Y 425716,S200000,01501,0200,Y 425716,S200000,01505,0000,OTHER 425716,S200000,01505,0200,Y 425716,S200000,01600,0100,N 425716,S200000,01700,0100,N 425716,S200000,01800,0100,N 425716,S200000,02200,0100,N 425716,S200000,02800,0100,N 425716,S200000,02900,0100,N 425716,S200000,03000,0100,N 425716,S200000,03100,0100,N 425716,S200000,03200,0100,N 425716,S200000,03300,0100,N 425716,S200000,03300,0200,N 425716,S200000,04200,0100,N 425716,S200000,04300,0100,N 425716,S200000,04600,0100,N 425716,S200000,04700,0100,N 425716,S200000,04900,0100,N 425716,S200000,05200,0100,N 425716,S200000,05300,0100,Y 425716,S200000,05300,0200,250004 425716,S200000,05400,0100,NORTH MS HEALTH SERVICES 425716,S200000,05400,0200,PINNACLE 425716,S200000,05400,0300,233 425716,S200000,05500,0100,830 SOUTH GLOSTER STREET 425716,S200000,05600,0100,TUPELO 425716,S200000,05600,0200,MS 425716,S200000,05600,0300,38801 425771,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425771,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425771,A000000,00300,0000,0300EMPLOYEE BENEFITS 425771,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425771,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425771,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425771,A000000,00700,0000,0700HOUSEKEEPING 425771,A000000,00800,0000,0800DIETARY 425771,A000000,00900,0000,0900NURSING ADMINISTRATION 425771,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425771,A000000,01100,0000,1100PHARMACY 425771,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425771,A000000,01300,0000,1300SOCIAL SERVICE 425771,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425771,A000000,01600,0000,1600SKILLED NURSING FACILITY 425771,A000000,01810,0000,1810ICF/MR 425771,A000000,02100,0000,2100RADIOLOGY 425771,A000000,02200,0000,2200LABORATORY 425771,A000000,02300,0000,2300INTRAVENOUS THERAPY 425771,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425771,A000000,02500,0000,2500PHYSICAL THERAPY 425771,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425771,A000000,02700,0000,2700SPEECH PATHOLOGY 425771,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425771,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425771,A000000,03550,0000,3550FQHC 425771,A000000,05000,0000,5000CORF 425771,A000000,05010,0000,5010CMHC 425771,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425771,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425771,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425771,A000000,05300,0000,5300INTEREST EXPENSE 425771,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425771,A81000A,00100,0100,N 425771,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425771,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425771,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425771,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425771,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425771,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425771,B100000,00000,0800,0800MEALS SERVED :DIETARY 425771,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425771,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 425771,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 425771,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 425771,E10A180,00501,0300,05/11/11 425771,E10A180,00550,0100,05/11/11 425771,S000000,00100,0200,05/13/11 425771,S200000,00100,0100,7210 BEACON WOODS DRIVE 425771,S200000,00100,0300,5487 425771,S200000,00200,0100,HUDSON 425771,S200000,00200,0200,FL 425771,S200000,00200,0300,34667 425771,S200000,00300,0100,PASCO 425771,S200000,00300,0201,45300 425771,S200000,00300,0300,U 425771,S200000,00400,0100,BAYONET POINT HEALTH & REHABILITATI 425771,S200000,00400,0200,105544 425771,S200000,00400,0300,07/17/86 425771,S200000,00400,0500,P 425771,S200000,00600,0200,105544 425771,S200000,00600,0300,07/17/86 425771,S200000,00600,0600,O 425771,S200000,01500,0100,N 425771,S200000,01501,0200,Y 425771,S200000,01600,0100,Y 425771,S200000,01700,0100,N 425771,S200000,01800,0100,N 425771,S200000,02200,0100,N 425771,S200000,02800,0100,N 425771,S200000,02900,0100,N 425771,S200000,03000,0100,N 425771,S200000,03100,0100,N 425771,S200000,03200,0100,N 425771,S200000,03300,0100,N 425771,S200000,03300,0200,N 425771,S200000,03500,0300,N 425771,S200000,03600,0100,N 425771,S200000,03600,0200,N 425771,S200000,04100,0100,N 425771,S200000,04200,0100,N 425771,S200000,04300,0100,N 425771,S200000,04600,0100,N 425771,S200000,04700,0100,N 425771,S200000,04700,0200,N 425771,S200000,04900,0100,N 425771,S200000,05000,0100,N 425771,S200000,05100,0100,N 425771,S200000,05200,0100,N 425780,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425780,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425780,A000000,00300,0000,0300EMPLOYEE BENEFITS 425780,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425780,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425780,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425780,A000000,00700,0000,0700HOUSEKEEPING 425780,A000000,00800,0000,0800DIETARY 425780,A000000,00900,0000,0900NURSING ADMINISTRATION 425780,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425780,A000000,01100,0000,1100PHARMACY 425780,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425780,A000000,01300,0000,1300SOCIAL SERVICE 425780,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425780,A000000,01500,0000,1350OTHER GENERAL SERVICES 425780,A000000,01600,0000,1600SKILLED NURSING FACILITY 425780,A000000,01800,0000,1800NURSING FACILITY 425780,A000000,01810,0000,1810ICF/MR 425780,A000000,01900,0000,1900OTHER LONG TERM CARE 425780,A000000,02100,0000,2100RADIOLOGY 425780,A000000,02200,0000,2200LABORATORY 425780,A000000,02300,0000,2300INTRAVENOUS THERAPY 425780,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425780,A000000,02500,0000,2500PHYSICAL THERAPY 425780,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425780,A000000,02700,0000,2700SPEECH PATHOLOGY 425780,A000000,02800,0000,2800ELECTROCARDIOLOGY 425780,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425780,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425780,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425780,A000000,03200,0000,3200SUPPORT SURFACES 425780,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425780,A000000,03400,0000,3400CLINIC 425780,A000000,03500,0000,3500RURAL HEALTH CLINIC 425780,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425780,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425780,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425780,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425780,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425780,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425780,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425780,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425780,A000000,04400,0000,4400DME RENTED - HHA 425780,A000000,04500,0000,4500DME SOLD - HHA 425780,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425780,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425780,A000000,04710,0000,4710TELEMEDICINE 425780,A000000,04800,0000,4800AMBULANCE 425780,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425780,A000000,05000,0000,5000CORF 425780,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425780,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425780,A000000,05300,0000,5300INTEREST EXPENSE 425780,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425780,A000000,05500,0000,5500HOSPICE 425780,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425780,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425780,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425780,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425780,A000000,06100,0000,6100NONPAID WORKERS 425780,A000000,06200,0000,6200PATIENTS LAUNDRY 425780,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425780,A81000A,00100,0100,Y 425780,A81000B,00100,0300,MANAGEMENT FEES 425780,A81000B,00200,0300,FACILITY LEASE 425780,A81000B,00300,0300,INTEREST EXPENSE 425780,A81000B,00400,0300,DEPRECIATION/AMORTIZATION 425780,A81000B,00500,0300,PROPERTY INSURANCE 425780,A81000B,00600,0300,PROPERTY TAXES 425780,A81000B,00700,0300,PHYSICAL THERAPY 425780,A81000B,00800,0300,OCCUPATIONAL THERAPY 425780,A81000B,00900,0300,SPEECH THERAPY 425780,A81000C,00100,0100,B 425780,A81000C,00100,0200,DOVE HEALTHCARE LLC 425780,A81000C,00100,0400,DOVE HEALTHCARE LLC 425780,A81000C,00100,0600,HOME OFFICE 425780,A81000C,00200,0100,A 425780,A81000C,00200,0200,KEVIN PENNINGTON 425780,A81000C,00200,0400,SCENIC HIGHWAY LLC 425780,A81000C,00200,0600,PROPERTY OWNER 425780,A81000C,00300,0100,A 425780,A81000C,00300,0200,KEVIN PENNINGTON 425780,A81000C,00300,0400,SCENIC HIGHWAY LLC 425780,A81000C,00300,0600,PROPERTY OWNER 425780,A81000C,00400,0100,A 425780,A81000C,00400,0200,KEVIN PENNINGTON 425780,A81000C,00400,0400,SCENIC HIGHWAY LLC 425780,A81000C,00400,0600,PROPERTY OWNER 425780,A81000C,00500,0100,A 425780,A81000C,00500,0200,KEVIN PENNINGTON 425780,A81000C,00500,0400,SCENIC HIGHWAY LLC 425780,A81000C,00500,0600,PROPERTY OWNER 425780,A81000C,00600,0100,A 425780,A81000C,00600,0200,KEVIN PENNINGTON 425780,A81000C,00600,0400,SCENIC HIGHWAY LLC 425780,A81000C,00600,0600,PROPERTY OWNER 425780,A81000C,00700,0100,A 425780,A81000C,00700,0200,KEVIN PENNINGTON 425780,A81000C,00700,0400,REHAB FRONTIER LLC 425780,A81000C,00700,0600,THERAPY COMPANY 425780,A81000C,00800,0100,A 425780,A81000C,00800,0200,KEVIN PENNINGTON 425780,A81000C,00800,0400,REHAB FRONTIER LLC 425780,A81000C,00800,0600,THERAPY COMPANY 425780,A81000C,00900,0100,A 425780,A81000C,00900,0200,KEVIN PENNINGTON 425780,A81000C,00900,0400,REHAB FRONTIER LLC 425780,A81000C,00900,0600,THERAPY COMPANY 425780,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425780,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425780,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425780,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425780,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425780,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425780,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425780,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425780,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425780,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425780,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425780,G300000,02500,0000,MISCELLANEOUS INCOME 425780,G300000,02501,0000,SMALL BALANCE ADJUSTMENTS 425780,S000000,00100,0200,01/17/12 425780,S200000,00100,0100,730 N SCENIC HIGHWAY 425780,S200000,00200,0100,LAKE WALES 425780,S200000,00200,0200,FL 425780,S200000,00200,0300,33853 425780,S200000,00300,0100,POLK 425780,S200000,00300,0200,3980 425780,S200000,00300,0201,29460 425780,S200000,00300,0300,U 425780,S200000,00400,0100,DOVE HEALTHCARE AT LAKE WALES 425780,S200000,00400,0200,106069 425780,S200000,00400,0300,03/15/06 425780,S200000,00400,0500,P 425780,S200000,01500,0100,Y 425780,S200000,01501,0200,Y 425780,S200000,01502,0200,Y 425780,S200000,01503,0200,Y 425780,S200000,01600,0100,N 425780,S200000,01700,0100,N 425780,S200000,01800,0100,N 425780,S200000,02200,0100,N 425780,S200000,02800,0100,N 425780,S200000,02900,0100,N 425780,S200000,03000,0100,N 425780,S200000,03100,0100,N 425780,S200000,03200,0100,N 425780,S200000,03300,0100,N 425780,S200000,03300,0200,N 425780,S200000,04100,0100,N 425780,S200000,04200,0100,N 425780,S200000,04300,0100,N 425780,S200000,04600,0100,N 425780,S200000,04700,0100,N 425780,S200000,04700,0200,N 425780,S200000,04900,0100,N 425780,S200000,05000,0100,N 425780,S200000,05100,0100,N 425780,S200000,05200,0100,N 425824,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425824,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425824,A000000,00300,0000,0300EMPLOYEE BENEFITS 425824,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425824,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425824,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425824,A000000,00700,0000,0700HOUSEKEEPING 425824,A000000,00800,0000,0800DIETARY 425824,A000000,00900,0000,0900NURSING ADMINISTRATION 425824,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425824,A000000,01300,0000,1300SOCIAL SERVICE 425824,A000000,01600,0000,1600SKILLED NURSING FACILITY 425824,A000000,01800,0000,1800NURSING FACILITY 425824,A000000,01900,0000,1900OTHER LONG TERM CARE 425824,A000000,02100,0000,2100RADIOLOGY 425824,A000000,02200,0000,2200LABORATORY 425824,A000000,02300,0000,2300INTRAVENOUS THERAPY 425824,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425824,A000000,02500,0000,2500PHYSICAL THERAPY 425824,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425824,A000000,02700,0000,2700SPEECH PATHOLOGY 425824,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425824,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425824,A000000,03200,0000,3200SUPPORT SURFACES 425824,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425824,A000000,04800,0000,4800AMBULANCE 425824,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425824,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425824,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425824,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 425824,A81000A,00100,0100,N 425824,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425824,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425824,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425824,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425824,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425824,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425824,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425824,B100000,00000,0800,0800MEALS SERVED :DIETARY 425824,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425824,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425824,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425824,G300000,02500,0000, OTHER (SPECIFY) 425824,S000000,00100,0200,02/02/12 425824,S200000,00100,0100,900 E. HARRISON AVENUE 425824,S200000,00200,0100,POMONA 425824,S200000,00200,0200,CA 425824,S200000,00200,0300,91767 425824,S200000,00300,0100,LOS ANGELES 425824,S200000,00300,0201,05200 425824,S200000,00300,0300,U 425824,S200000,00400,0100,MOUNT SAN ANTONIO GARDENS 425824,S200000,00400,0200,055016 425824,S200000,00400,0300,07/01/66 425824,S200000,00400,0500,P 425824,S200000,01500,0100,Y 425824,S200000,01600,0100,N 425824,S200000,01700,0100,N 425824,S200000,01800,0100,N 425824,S200000,02200,0100,N 425824,S200000,02800,0100,N 425824,S200000,02900,0100,N 425824,S200000,03000,0100,N 425824,S200000,03100,0100,N 425824,S200000,03200,0100,N 425824,S200000,03300,0100,N 425824,S200000,03300,0200,N 425824,S200000,04100,0100,N 425824,S200000,04200,0100,N 425824,S200000,04300,0100,N 425824,S200000,04600,0100,N 425824,S200000,04700,0100,N 425824,S200000,04700,0200,N 425824,S200000,04900,0100,N 425824,S200000,05000,0100,N 425824,S200000,05100,0100,N 425824,S200000,05200,0100,N 425824,S200000,05300,0100,N 425829,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425829,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425829,A000000,00300,0000,0300EMPLOYEE BENEFITS 425829,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425829,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425829,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425829,A000000,00700,0000,0700HOUSEKEEPING 425829,A000000,00800,0000,0800DIETARY 425829,A000000,00900,0000,0900NURSING ADMINISTRATION 425829,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425829,A000000,01100,0000,1100PHARMACY 425829,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425829,A000000,01300,0000,1300SOCIAL SERVICE 425829,A000000,01600,0000,1600SKILLED NURSING FACILITY 425829,A000000,01800,0000,1800NURSING FACILITY 425829,A000000,01900,0000,1900OTHER LONG TERM CARE 425829,A000000,02100,0000,2100RADIOLOGY 425829,A000000,02200,0000,2200LABORATORY 425829,A000000,02300,0000,2300INTRAVENOUS THERAPY 425829,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425829,A000000,02500,0000,2500PHYSICAL THERAPY 425829,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425829,A000000,02700,0000,2700SPEECH PATHOLOGY 425829,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425829,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425829,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425829,A000000,03200,0000,3200SUPPORT SURFACES 425829,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425829,A000000,04800,0000,4800AMBULANCE 425829,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425829,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425829,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425829,A81000A,00100,0100,Y 425829,A81000B,00100,0300,MANAGEMENT SERVICES SUB ACUTE 425829,A81000B,00200,0300,LEASE BUILDING 425829,A81000B,00300,0300,ALLOWABLE HOME OFFICE 425829,A81000B,00400,0300,PHARMACY CONSULTING FEE (SNF) 425829,A81000B,00500,0300,PHARMACY OTC SUPPLIES 425829,A81000B,00600,0300,ANCILL SUPP-MEDICAL MATERIALS 425829,A81000B,00700,0300,ANCILLARY SUPPLIES-ENTERALS 425829,A81000B,00800,0300,PHARMACY EXP PHARMACEUTICALS 425829,A81000B,00900,0300,PHARMACY EXPENSE - CENSUS ERRORS 425829,A81000B,01000,0300,PHARMACEUTICAL-SOC 425829,A81000B,01100,0300,GLUCOSE MONITORING SUPPLIES 425829,A81000B,01200,0300,I.V. THERAPY SUPPLIES 425829,A81000C,00100,0100,C 425829,A81000C,00100,0400,PACIFIC WEST PH 425829,A81000C,00100,0600,PHARMACY 425829,A81000C,00200,0100,C 425829,A81000C,00200,0400,EMERALD DISTRIB 425829,A81000C,00200,0600,DISTRIBUTORSHIP 425829,A81000C,00300,0100,F 425829,A81000C,00300,0400,HORIZON WEST HE 425829,A81000C,00300,0600,HOME OFFICE 425829,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425829,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425829,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425829,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425829,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425829,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425829,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425829,B100000,00000,0800,0800MEALS SERVED :DIETARY 425829,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425829,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425829,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425829,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425829,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425829,G300000,02500,0000, OTHER (SPECIFY) 425829,S000000,00100,0200,01/30/12 425829,S200000,00100,0100,625 16TH STREET 425829,S200000,00200,0100,LAKEPORT 425829,S200000,00200,0200,CA 425829,S200000,00200,0300,95453 425829,S200000,00300,0100,LAKE 425829,S200000,00300,0201,00005 425829,S200000,00300,0300,R 425829,S200000,00400,0100,HORIZON WEST AT THE LAKE 425829,S200000,00400,0200,055499 425829,S200000,00400,0300,03/01/84 425829,S200000,00400,0500,P 425829,S200000,01500,0100,Y 425829,S200000,01501,0200,Y 425829,S200000,01600,0100,N 425829,S200000,01700,0100,N 425829,S200000,01800,0100,N 425829,S200000,02200,0100,N 425829,S200000,02800,0100,N 425829,S200000,02900,0100,N 425829,S200000,03000,0100,N 425829,S200000,03100,0100,N 425829,S200000,03200,0100,N 425829,S200000,03300,0100,N 425829,S200000,03300,0200,N 425829,S200000,04100,0100,N 425829,S200000,04200,0100,N 425829,S200000,04300,0100,N 425829,S200000,04600,0100,N 425829,S200000,04700,0100,N 425829,S200000,04700,0200,N 425829,S200000,04900,0100,N 425829,S200000,05000,0100,N 425829,S200000,05100,0100,N 425829,S200000,05200,0100,N 425829,S200000,05300,0100,Y 425829,S200000,05300,0200,951175 425829,S200000,05400,0100,HORIZON WEST HEADQUARTERS 425829,S200000,05400,0200,PALMETTO GBA 425829,S200000,05400,0300,01001 425829,S200000,05500,0100,4020 SIERRA COLLEGE 425829,S200000,05600,0100,ROCKLIN 425829,S200000,05600,0200,CA 425829,S200000,05600,0300,95677 425830,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425830,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425830,A000000,00300,0000,0300EMPLOYEE BENEFITS 425830,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425830,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425830,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425830,A000000,00700,0000,0700HOUSEKEEPING 425830,A000000,00800,0000,0800DIETARY 425830,A000000,00900,0000,0900NURSING ADMINISTRATION 425830,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425830,A000000,01300,0000,1300SOCIAL SERVICE 425830,A000000,01600,0000,1600SKILLED NURSING FACILITY 425830,A000000,01800,0000,1800NURSING FACILITY 425830,A000000,01900,0000,1900OTHER LONG TERM CARE 425830,A000000,02100,0000,2100RADIOLOGY 425830,A000000,02200,0000,2200LABORATORY 425830,A000000,02300,0000,2300INTRAVENOUS THERAPY 425830,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425830,A000000,02500,0000,2500PHYSICAL THERAPY 425830,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425830,A000000,02700,0000,2700SPEECH PATHOLOGY 425830,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425830,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425830,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425830,A000000,03200,0000,3200SUPPORT SURFACES 425830,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425830,A000000,04800,0000,4800AMBULANCE 425830,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425830,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425830,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425830,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 425830,A81000A,00100,0100,N 425830,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425830,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425830,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425830,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425830,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425830,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425830,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425830,B100000,00000,0800,0800MEALS SERVED :DIETARY 425830,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425830,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425830,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425830,G300000,02500,0000, OTHER (SPECIFY) 425830,S000000,00100,0200,02/02/12 425830,S200000,00100,0100,11614 E. 183RD STREET 425830,S200000,00200,0100,ARTESIA 425830,S200000,00200,0200,CA 425830,S200000,00200,0300,90701 425830,S200000,00300,0100,LOS ANGELES 425830,S200000,00300,0201,05200 425830,S200000,00300,0300,U 425830,S200000,00400,0100,ARTESIA CHRISTIAN HOME 425830,S200000,00400,0200,055539 425830,S200000,00400,0300,07/01/97 425830,S200000,00400,0500,P 425830,S200000,01500,0100,N 425830,S200000,01600,0100,N 425830,S200000,01700,0100,N 425830,S200000,01800,0100,N 425830,S200000,02200,0100,N 425830,S200000,02800,0100,N 425830,S200000,02900,0100,N 425830,S200000,03000,0100,N 425830,S200000,03100,0100,N 425830,S200000,03200,0100,N 425830,S200000,03300,0100,N 425830,S200000,03300,0200,N 425830,S200000,04100,0100,N 425830,S200000,04200,0100,N 425830,S200000,04300,0100,N 425830,S200000,04600,0100,N 425830,S200000,04700,0100,N 425830,S200000,04700,0200,N 425830,S200000,04900,0100,N 425830,S200000,05000,0100,N 425830,S200000,05100,0100,N 425830,S200000,05200,0100,N 425830,S200000,05300,0100,N 425831,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425831,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425831,A000000,00300,0000,0300EMPLOYEE BENEFITS 425831,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425831,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425831,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425831,A000000,00700,0000,0700HOUSEKEEPING 425831,A000000,00800,0000,0800DIETARY 425831,A000000,00900,0000,0900NURSING ADMINISTRATION 425831,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425831,A000000,01100,0000,1100PHARMACY 425831,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425831,A000000,01300,0000,1300SOCIAL SERVICE 425831,A000000,01600,0000,1600SKILLED NURSING FACILITY 425831,A000000,01800,0000,1800NURSING FACILITY 425831,A000000,01900,0000,1900OTHER LONG TERM CARE 425831,A000000,02100,0000,2100RADIOLOGY 425831,A000000,02200,0000,2200LABORATORY 425831,A000000,02300,0000,2300INTRAVENOUS THERAPY 425831,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425831,A000000,02500,0000,2500PHYSICAL THERAPY 425831,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425831,A000000,02700,0000,2700SPEECH PATHOLOGY 425831,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425831,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425831,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425831,A000000,03200,0000,3200SUPPORT SURFACES 425831,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425831,A000000,04800,0000,4800AMBULANCE 425831,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425831,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425831,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425831,A81000A,00100,0100,Y 425831,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 425831,A81000B,00200,0300,LEASE BUILDING 425831,A81000B,00300,0300,ALLOWABLE HOME OFFICE 425831,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 425831,A81000B,00500,0300,PHARMACY OTC SUPPLIES 425831,A81000B,00600,0300,ADMIN PURCHASED SERVICES 425831,A81000B,00700,0300,ANCILL SUPP - MEDICAL MATERIALS 425831,A81000B,00800,0300,ANCILLARY SUPPLIES - ENTERALS 425831,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 425831,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 425831,A81000B,01100,0300,PHARMACEUTICALS-SOC 425831,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 425831,A81000B,01300,0300,I.V. THERAPY SUPPLIES 425831,A81000C,00100,0100,C 425831,A81000C,00100,0400,PACIFIC WEST PH 425831,A81000C,00100,0600,PHARMACY 425831,A81000C,00200,0100,C 425831,A81000C,00200,0400,EMERALD DISTRIB 425831,A81000C,00200,0600,DISTRIBUTORSHIP 425831,A81000C,00300,0100,F 425831,A81000C,00300,0400,HORIZON WEST HE 425831,A81000C,00300,0600,HOME OFFICE 425831,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425831,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425831,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425831,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425831,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425831,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425831,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425831,B100000,00000,0800,0800MEALS SERVED :DIETARY 425831,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425831,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425831,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425831,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425831,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425831,G300000,02500,0000, OTHER (SPECIFY) 425831,S000000,00100,0200,01/30/12 425831,S200000,00100,0100,1162 SOUTH DORA STREET 425831,S200000,00200,0100,UKIAH 425831,S200000,00200,0200,CA 425831,S200000,00200,0300,95482 425831,S200000,00300,0100,MENDOCINO 425831,S200000,00300,0201,99905 425831,S200000,00300,0300,R 425831,S200000,00400,0100,VALLEY VIEW SKILLED NURSING CENTER 425831,S200000,00400,0200,055853 425831,S200000,00400,0300,03/16/84 425831,S200000,00400,0500,P 425831,S200000,01500,0100,Y 425831,S200000,01501,0200,Y 425831,S200000,01600,0100,N 425831,S200000,01700,0100,N 425831,S200000,01800,0100,N 425831,S200000,02200,0100,N 425831,S200000,02800,0100,N 425831,S200000,02900,0100,N 425831,S200000,03000,0100,N 425831,S200000,03100,0100,N 425831,S200000,03200,0100,N 425831,S200000,03300,0100,N 425831,S200000,03300,0200,N 425831,S200000,04100,0100,N 425831,S200000,04200,0100,N 425831,S200000,04300,0100,N 425831,S200000,04600,0100,N 425831,S200000,04700,0100,N 425831,S200000,04700,0200,N 425831,S200000,04900,0100,N 425831,S200000,05000,0100,N 425831,S200000,05100,0100,N 425831,S200000,05200,0100,N 425831,S200000,05300,0100,Y 425831,S200000,05300,0200,951175 425831,S200000,05400,0100,HORIZON WEST HEADQUARTERS 425831,S200000,05400,0200,PALMETTO GBA 425831,S200000,05400,0300,01001 425831,S200000,05500,0100,4020 SIERRA COLLEGE 425831,S200000,05600,0100,ROCKLIN 425831,S200000,05600,0200,CA 425831,S200000,05600,0300,95677 425833,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425833,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425833,A000000,00300,0000,0300EMPLOYEE BENEFITS 425833,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425833,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425833,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425833,A000000,00700,0000,0700HOUSEKEEPING 425833,A000000,00800,0000,0800DIETARY 425833,A000000,00900,0000,0900NURSING ADMINISTRATION 425833,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425833,A000000,01100,0000,1100PHARMACY 425833,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425833,A000000,01300,0000,1300SOCIAL SERVICE 425833,A000000,01600,0000,1600SKILLED NURSING FACILITY 425833,A000000,01800,0000,1800NURSING FACILITY 425833,A000000,01900,0000,1900OTHER LONG TERM CARE 425833,A000000,02100,0000,2100RADIOLOGY 425833,A000000,02200,0000,2200LABORATORY 425833,A000000,02300,0000,2300INTRAVENOUS THERAPY 425833,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425833,A000000,02500,0000,2500PHYSICAL THERAPY 425833,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425833,A000000,02700,0000,2700SPEECH PATHOLOGY 425833,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425833,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425833,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425833,A000000,03200,0000,3200SUPPORT SURFACES 425833,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425833,A000000,04800,0000,4800AMBULANCE 425833,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425833,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425833,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425833,A81000A,00100,0100,Y 425833,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 425833,A81000B,00200,0300,LEASE BUILDING 425833,A81000B,00300,0300,ALLOWABLE HOME OFFICE 425833,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 425833,A81000B,00500,0300,NURSE CONSULTING FEES 425833,A81000B,00600,0300,PHARMACY OTC SUPPLIES 425833,A81000B,00700,0300,MINOR MED EQUIPMENT & INST. (SNF) 425833,A81000B,00800,0300,ADMIN SUPPLIES 425833,A81000B,00900,0300,ADMIN PURCHASED SERVICES 425833,A81000B,01000,0300,ANCILL SUPP - MEDICAL MATERIALS 425833,A81000B,01100,0300,ANCILLARY SUPPLIES - ENTERALS 425833,A81000B,01200,0300,PHARMACY EXP PHARMACEUTICALS 425833,A81000B,01300,0300,PHARMACY EXPENSE - CENSUS ERRORS 425833,A81000B,01400,0300,PHARMACEUTICALS-SOC 425833,A81000B,01500,0300,GLOCOSE MONITORING SUPPLIES 425833,A81000B,01600,0300,I.V. THERAPIST FEES 425833,A81000B,01700,0300,I.V. THERAPY SUPPLIES 425833,A81000C,00100,0100,C 425833,A81000C,00100,0400,PACIFIC WEST PH 425833,A81000C,00100,0600,PHARMACY 425833,A81000C,00200,0100,C 425833,A81000C,00200,0400,EMERALD DISTRIB 425833,A81000C,00200,0600,DISTRIBUTORSHIP 425833,A81000C,00300,0100,F 425833,A81000C,00300,0400,HORIZON WEST HE 425833,A81000C,00300,0600,HOME OFFICE 425833,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425833,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425833,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425833,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425833,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425833,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425833,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425833,B100000,00000,0800,0800MEALS SERVED :DIETARY 425833,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425833,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425833,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425833,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425833,B100000,00000,1300,1330GROSS REVENUES :SOCIAL SERVICE 425833,G300000,02500,0000, OTHER (SPECIFY) 425833,S000000,00100,0200,01/30/12 425833,S200000,00100,0100,1161 CIRBY WAY 425833,S200000,00200,0100,ROSEVILLE 425833,S200000,00200,0200,CA 425833,S200000,00200,0300,95661 425833,S200000,00300,0100,PLACER 425833,S200000,00300,0201,40900 425833,S200000,00300,0300,U 425833,S200000,00400,0100,HORIZON WEST - ROSEVILLE 425833,S200000,00400,0200,055886 425833,S200000,00400,0300,07/01/68 425833,S200000,00400,0500,P 425833,S200000,01500,0100,Y 425833,S200000,01501,0200,Y 425833,S200000,01600,0100,N 425833,S200000,01700,0100,N 425833,S200000,01800,0100,N 425833,S200000,02200,0100,N 425833,S200000,02800,0100,N 425833,S200000,02900,0100,N 425833,S200000,03000,0100,N 425833,S200000,03100,0100,N 425833,S200000,03200,0100,N 425833,S200000,03300,0100,N 425833,S200000,03300,0200,N 425833,S200000,04100,0100,N 425833,S200000,04200,0100,N 425833,S200000,04300,0100,N 425833,S200000,04600,0100,N 425833,S200000,04700,0100,N 425833,S200000,04700,0200,N 425833,S200000,04900,0100,N 425833,S200000,05000,0100,N 425833,S200000,05100,0100,N 425833,S200000,05200,0100,N 425833,S200000,05300,0100,Y 425833,S200000,05300,0200,951175 425833,S200000,05400,0100,HORIZON WEST HEADQUARTERS 425833,S200000,05400,0200,PALMETTO GBA 425833,S200000,05400,0300,01001 425833,S200000,05500,0100,4020 SIERRA COLLEGE 425833,S200000,05600,0100,ROCKLIN 425833,S200000,05600,0200,CA 425833,S200000,05600,0300,95677 425843,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425843,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425843,A000000,00300,0000,0300EMPLOYEE BENEFITS 425843,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425843,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425843,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425843,A000000,00700,0000,0700HOUSEKEEPING 425843,A000000,00800,0000,0800DIETARY 425843,A000000,00900,0000,0900NURSING ADMINISTRATION 425843,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425843,A000000,01100,0000,1100PHARMACY 425843,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425843,A000000,01300,0000,1300SOCIAL SERVICE 425843,A000000,01600,0000,1600SKILLED NURSING FACILITY 425843,A000000,01800,0000,1800NURSING FACILITY 425843,A000000,01900,0000,1900OTHER LONG TERM CARE 425843,A000000,02100,0000,2100RADIOLOGY 425843,A000000,02200,0000,2200LABORATORY 425843,A000000,02300,0000,2300INTRAVENOUS THERAPY 425843,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425843,A000000,02500,0000,2500PHYSICAL THERAPY 425843,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425843,A000000,02700,0000,2700SPEECH PATHOLOGY 425843,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425843,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425843,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425843,A000000,03200,0000,3200SUPPORT SURFACES 425843,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 425843,A000000,04800,0000,4800AMBULANCE 425843,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425843,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425843,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425843,A81000A,00100,0100,Y 425843,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 425843,A81000B,00200,0300,LEASE BUILDING 425843,A81000B,00300,0300,ALLOWABLE HOME OFFICE 425843,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 425843,A81000B,00500,0300,PHARMACY OTC SUPPLIES 425843,A81000B,00600,0300,FOOD SUPPLEMENTS 425843,A81000B,00700,0300,ADMIN SUPPLIES 425843,A81000B,00800,0300,ADMIN SEMINARS EMPLYEE EDUCATION 425843,A81000B,00900,0300,ANCILL SUPP-MEDICAL MATERIALS 425843,A81000B,01000,0300,ANCILLARY SUPPLIES-ENTERALS 425843,A81000B,01100,0300,PHARMACY EXP PHARMACEUTICALS 425843,A81000B,01200,0300,PHARMACY EXPENSE - CENSUS ERRORS 425843,A81000B,01300,0300,PHARMACEUTICALS-SOC 425843,A81000B,01400,0300,GLUCOSE MONITORING SUPPLIES 425843,A81000B,01500,0300,I.V. THERAPY SUPPLIES 425843,A81000C,00100,0100,C 425843,A81000C,00100,0400,PACIFIC WEST PH 425843,A81000C,00100,0600,PHARMACY 425843,A81000C,00200,0100,C 425843,A81000C,00200,0400,EMERALD DISTRIB 425843,A81000C,00200,0600,DISTRIBUTORSHIP 425843,A81000C,00300,0100,F 425843,A81000C,00300,0400,HORIZON WEST HE 425843,A81000C,00300,0600,HOME OFFICE 425843,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425843,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425843,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425843,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425843,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425843,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425843,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425843,B100000,00000,0800,0800MEALS SERVED :DIETARY 425843,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 425843,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425843,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 425843,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 425843,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425843,G300000,02500,0000, OTHER (SPECIFY) 425843,S000000,00100,0200,01/30/12 425843,S200000,00100,0100,3275 VILLA LANE 425843,S200000,00200,0100,NAPA 425843,S200000,00200,0200,CA 425843,S200000,00200,0300,94558 425843,S200000,00300,0100,NAPA 425843,S200000,00300,0201,34900 425843,S200000,00300,0300,U 425843,S200000,00400,0100,NAPA NURSING CENTER INC. 425843,S200000,00400,0200,555161 425843,S200000,00400,0300,01/01/84 425843,S200000,00400,0500,P 425843,S200000,01500,0100,Y 425843,S200000,01501,0200,Y 425843,S200000,01600,0100,N 425843,S200000,01700,0100,N 425843,S200000,01800,0100,N 425843,S200000,02200,0100,N 425843,S200000,02800,0100,N 425843,S200000,02900,0100,N 425843,S200000,03000,0100,N 425843,S200000,03100,0100,N 425843,S200000,03200,0100,N 425843,S200000,03300,0100,N 425843,S200000,03300,0200,N 425843,S200000,04100,0100,N 425843,S200000,04200,0100,N 425843,S200000,04300,0100,N 425843,S200000,04600,0100,N 425843,S200000,04700,0100,N 425843,S200000,04700,0200,N 425843,S200000,04900,0100,N 425843,S200000,05000,0100,N 425843,S200000,05100,0100,N 425843,S200000,05200,0100,N 425843,S200000,05300,0100,Y 425843,S200000,05300,0200,951175 425843,S200000,05400,0100,HORIZON WEST HEADQUARTERS 425843,S200000,05400,0200,PALMETTO GBA 425843,S200000,05400,0300,01001 425843,S200000,05500,0100,4020 SIERRA COLLEGE 425843,S200000,05600,0100,ROCKLIN 425843,S200000,05600,0200,CA 425843,S200000,05600,0300,95677 425863,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425863,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425863,A000000,00300,0000,0300EMPLOYEE BENEFITS 425863,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425863,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425863,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425863,A000000,00700,0000,0700HOUSEKEEPING 425863,A000000,00800,0000,0800DIETARY 425863,A000000,00900,0000,0900NURSING ADMINISTRATION 425863,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425863,A000000,01100,0000,1100PHARMACY 425863,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425863,A000000,01300,0000,1300SOCIAL SERVICE 425863,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425863,A000000,01500,0000,1350OTHER GENERAL SERVICES 425863,A000000,01600,0000,1600SKILLED NURSING FACILITY 425863,A000000,01800,0000,1800NURSING FACILITY 425863,A000000,01810,0000,1810ICF/MR 425863,A000000,01900,0000,1900OTHER LONG TERM CARE 425863,A000000,02100,0000,2100RADIOLOGY 425863,A000000,02200,0000,2200LABORATORY 425863,A000000,02300,0000,2300INTRAVENOUS THERAPY 425863,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425863,A000000,02500,0000,2500PHYSICAL THERAPY 425863,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425863,A000000,02700,0000,2700SPEECH PATHOLOGY 425863,A000000,02800,0000,2800ELECTROCARDIOLOGY 425863,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425863,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425863,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425863,A000000,03200,0000,3200SUPPORT SURFACES 425863,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425863,A000000,03400,0000,3400CLINIC 425863,A000000,03500,0000,3500RURAL HEALTH CLINIC 425863,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425863,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425863,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425863,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425863,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425863,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425863,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425863,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425863,A000000,04400,0000,4400DME RENTED - HHA 425863,A000000,04500,0000,4500DME SOLD - HHA 425863,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425863,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425863,A000000,04710,0000,4710TELEMEDICINE 425863,A000000,04800,0000,4800AMBULANCE 425863,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425863,A000000,05000,0000,5000CORF 425863,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425863,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425863,A000000,05300,0000,5300INTEREST EXPENSE 425863,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425863,A000000,05500,0000,5500HOSPICE 425863,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425863,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425863,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425863,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425863,A000000,06100,0000,6100NONPAID WORKERS 425863,A000000,06200,0000,6200PATIENTS LAUNDRY 425863,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425863,A81000A,00100,0100,N 425863,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425863,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425863,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425863,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 425863,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 425863,B100000,00000,0800,0800MEALS SERVED :DIETARY 425863,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 425863,G300000,02500,0000,EQUIPMENT RENTAL 425863,G300000,02501,0000,BARBER AND BEAUTY 425863,G300000,02502,0000,RESIDENTS PERSONAL PURCHASES 425863,G300000,02503,0000,MISCELLANEOUS 425863,G300000,02504,0000,BAD DEBTS RECOVERED 425863,S000000,00100,0200,02/29/12 425863,S200000,00100,0100,1417 WEST PETTIGREW STREET 425863,S200000,00200,0100,DURHAM 425863,S200000,00200,0200,NC 425863,S200000,00200,0300,27705 425863,S200000,00300,0100,DURHAM 425863,S200000,00300,0200,6640 425863,S200000,00300,0201,20500 425863,S200000,00300,0300,U 425863,S200000,00400,0100,HILLCREST CONVALESCENT CENTER INC. 425863,S200000,00400,0200,345001 425863,S200000,00400,0300,01/01/67 425863,S200000,00400,0500,P 425863,S200000,01500,0100,N 425863,S200000,01501,0200,Y 425863,S200000,01600,0100,Y 425863,S200000,01700,0100,N 425863,S200000,01800,0100,N 425863,S200000,02200,0100,Y 425863,S200000,02800,0100,Y 425863,S200000,02900,0100,N 425863,S200000,03000,0100,N 425863,S200000,03100,0100,N 425863,S200000,03200,0100,N 425863,S200000,03300,0100,N 425863,S200000,03300,0200,N 425863,S200000,04100,0100,N 425863,S200000,04200,0100,N 425863,S200000,04300,0100,N 425863,S200000,04600,0100,N 425863,S200000,04700,0100,N 425863,S200000,04700,0200,N 425863,S200000,04900,0100,N 425863,S200000,05000,0100,N 425863,S200000,05100,0100,N 425863,S200000,05200,0100,N 425866,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425866,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425866,A000000,00300,0000,0300EMPLOYEE BENEFITS 425866,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425866,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425866,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425866,A000000,00700,0000,0700HOUSEKEEPING 425866,A000000,00800,0000,0800DIETARY 425866,A000000,00900,0000,0900NURSING ADMINISTRATION 425866,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425866,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425866,A000000,01300,0000,1300SOCIAL SERVICE 425866,A000000,01500,0000,1350ACTIVITIES 425866,A000000,01600,0000,1600SKILLED NURSING FACILITY 425866,A000000,01800,0000,1800NURSING FACILITY 425866,A000000,01810,0000,1810ICF/MR 425866,A000000,01900,0000,1900OTHER LONG TERM CARE 425866,A000000,02100,0000,2100RADIOLOGY 425866,A000000,02200,0000,2200LABORATORY 425866,A000000,02300,0000,2300INTRAVENOUS THERAPY 425866,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425866,A000000,02500,0000,2500PHYSICAL THERAPY 425866,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425866,A000000,02700,0000,2700SPEECH PATHOLOGY 425866,A000000,02800,0000,2800ELECTROCARDIOLOGY 425866,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425866,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425866,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425866,A000000,03200,0000,3200SUPPORT SURFACES 425866,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 425866,A000000,03301,0000,3051AIR FLUID THERAPY 425866,A000000,03302,0000,3052AMBULANCE 425866,A000000,03303,0000,3053PEN THERAPY 425866,A000000,03304,0000,3054ONCOLOGY 425866,A000000,03305,0000,3055CARDIOLOGY 425866,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 425866,A000000,03307,0000,3057AUDIOLOGY 425866,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 425866,A000000,03400,0000,3400CLINIC 425866,A000000,03500,0000,3500RURAL HEALTH CLINIC 425866,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425866,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425866,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425866,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425866,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425866,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425866,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425866,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425866,A000000,04400,0000,4400DME RENTED - HHA 425866,A000000,04500,0000,4500DME SOLD - HHA 425866,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425866,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425866,A000000,04710,0000,4710TELEMEDICINE 425866,A000000,04800,0000,4800AMBULANCE 425866,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425866,A000000,05000,0000,5000CORF 425866,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425866,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425866,A000000,05300,0000,5300INTEREST EXPENSE 425866,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425866,A000000,05500,0000,5500HOSPICE 425866,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425866,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425866,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425866,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425866,A000000,06100,0000,6100NONPAID WORKERS 425866,A000000,06200,0000,6200PATIENTS LAUNDRY 425866,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425866,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 425866,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 425866,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 425866,A81000A,00100,0100,Y 425866,A81000B,00100,0300,MGMT FEE - A&G RELATED 425866,A81000B,00200,0300,DEPRECIATION 425866,A81000C,00100,0100,G 425866,A81000C,00100,0200,LUTHERAN HOMES OF SC INC 425866,A81000C,00100,0400,LUTHERAN HOMES OF SC INC 425866,A81000C,00100,0600,HOME OFFICE 425866,A81000C,00200,0100,G 425866,A81000C,00200,0200,LUTHERAN HOMES OF SC INC 425866,A81000C,00200,0400,LUTHERAN HOMES OF SC INC 425866,A81000C,00200,0600,HOME OFFICE 425866,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425866,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425866,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425866,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425866,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425866,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425866,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425866,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425866,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 425866,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425866,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425866,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425866,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 425866,G300000,02500,0000,OTHER - SEE GROUPINGS 425866,S000000,00100,0200,02/29/12 425866,S200000,00100,0100,1885 RIFLE RANGE DRIVE 425866,S200000,00200,0100,MT PLEASANT 425866,S200000,00200,0200,SC 425866,S200000,00200,0300,29464 425866,S200000,00300,0100,CHARLESTON 425866,S200000,00300,0200,1440 425866,S200000,00300,0201,16700 425866,S200000,00300,0300,U 425866,S200000,00400,0100,FRANKE HOME NURSING 425866,S200000,00400,0200,425374 425866,S200000,00400,0300,11/06/00 425866,S200000,00400,0500,P 425866,S200000,00400,0600,P 425866,S200000,01500,0100,Y 425866,S200000,01501,0200,Y 425866,S200000,01502,0200,Y 425866,S200000,01503,0200,Y 425866,S200000,01600,0100,N 425866,S200000,01700,0100,N 425866,S200000,01800,0100,N 425866,S200000,02200,0100,N 425866,S200000,02800,0100,N 425866,S200000,02900,0100,N 425866,S200000,03000,0100,N 425866,S200000,03100,0100,N 425866,S200000,03200,0100,N 425866,S200000,03300,0100,N 425866,S200000,03300,0200,N 425866,S200000,04100,0100,N 425866,S200000,04200,0100,N 425866,S200000,04300,0100,N 425866,S200000,04600,0100,N 425866,S200000,04700,0100,N 425866,S200000,04700,0200,N 425866,S200000,04900,0100,N 425866,S200000,05000,0100,N 425866,S200000,05100,0100,N 425866,S200000,05200,0100,N 425866,S200000,05300,0100,Y 425866,S200000,05300,0200,42-H01 425866,S200000,05400,0100,LUTHERAN HOMES OF SC INC. 425866,S200000,05400,0200,PALMETTO GBA 425866,S200000,05400,0300,0PGBA 425866,S200000,05500,0100,300 MINISTRY DRIVE 425866,S200000,05600,0100,IRMO 425866,S200000,05600,0200,SC 425866,S200000,05600,0300,29063 425944,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425944,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425944,A000000,00300,0000,0300EMPLOYEE BENEFITS 425944,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425944,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425944,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425944,A000000,00700,0000,0700HOUSEKEEPING 425944,A000000,00800,0000,0800DIETARY 425944,A000000,00900,0000,0900NURSING ADMINISTRATION 425944,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425944,A000000,01100,0000,1100PHARMACY 425944,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425944,A000000,01300,0000,1300SOCIAL SERVICE 425944,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425944,A000000,01500,0000,1350OTHER GENERAL SERVICES 425944,A000000,01600,0000,1600SKILLED NURSING FACILITY 425944,A000000,01800,0000,1800NURSING FACILITY 425944,A000000,01810,0000,1810ICF/MR 425944,A000000,01900,0000,1900OTHER LONG TERM CARE 425944,A000000,02100,0000,2100RADIOLOGY 425944,A000000,02200,0000,2200LABORATORY 425944,A000000,02300,0000,2300INTRAVENOUS THERAPY 425944,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 425944,A000000,02500,0000,2500PHYSICAL THERAPY 425944,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425944,A000000,02700,0000,2700SPEECH PATHOLOGY 425944,A000000,02800,0000,2800ELECTROCARDIOLOGY 425944,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425944,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425944,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 425944,A000000,03200,0000,3200SUPPORT SURFACES 425944,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 425944,A000000,03400,0000,3400CLINIC 425944,A000000,03500,0000,3500RURAL HEALTH CLINIC 425944,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 425944,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 425944,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 425944,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 425944,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 425944,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 425944,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 425944,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 425944,A000000,04400,0000,4400DME RENTED - HHA 425944,A000000,04500,0000,4500DME SOLD - HHA 425944,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 425944,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 425944,A000000,04710,0000,4710TELEMEDICINE 425944,A000000,04800,0000,4800AMBULANCE 425944,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 425944,A000000,05000,0000,5000CORF 425944,A000000,05100,0000,4750OTHER REIMBURSABLE COST 425944,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 425944,A000000,05300,0000,5300INTEREST EXPENSE 425944,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 425944,A000000,05500,0000,5500HOSPICE 425944,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 425944,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 425944,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425944,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 425944,A000000,06100,0000,6100NONPAID WORKERS 425944,A000000,06200,0000,6200PATIENTS LAUNDRY 425944,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 425944,A81000A,00100,0100,Y 425944,A81000B,00100,0300,CENTRAL OFFICE-BHS 425944,A81000B,00200,0300,CENTRAL OFFICE-BHS 425944,A81000B,00300,0300,CENTRAL OFFICE-BHS 425944,A81000B,00400,0300,COMPUTER USER FEE 425944,A81000B,00500,0300,ADMIN SAL/TAXES/BENEFITS 425944,A81000B,00600,0300,INTEREST EXP-BHS 425944,A81000B,00700,0300,NURSING ADMIN PURCHASED SERVICES 425944,A81000B,00800,0300,PT 425944,A81000B,00900,0300,OT 425944,A81000B,01000,0300,ST 425944,A81000C,00100,0100,G 425944,A81000C,00100,0200,BENEDCITINE HEALTH SYSTEM 425944,A81000C,00100,0400,BHS 425944,A81000C,00100,0600,MANAGEMENT SERVICES 425944,A81000C,00200,0100,G 425944,A81000C,00200,0200,ST ELIGIUS 425944,A81000C,00200,0400,BHS 425944,A81000C,00200,0600,SNF 425944,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425944,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 425944,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425944,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425944,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425944,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 425944,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425944,B100000,00000,0800,0800MEALS SERVED :DIETARY 425944,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 425944,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 425944,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 425944,G300000,02500,0000,MISC INCOME 425944,G300000,02501,0000,PAY FOR PERFORMANCE 425944,G300000,02502,0000,PURCHASED SERVICE INCOME 425944,G300000,02503,0000,FRINGE BENEFIT INCOME 425944,G300000,02504,0000,PRIOR YEAR 425944,G300000,02505,0000,OUTSOURCED THERAPY 425944,S000000,00100,0200,01/31/12 425944,S200000,00100,0100,110 NORTH 7TH STREET 425944,S200000,00200,0100,MORA 425944,S200000,00200,0200,MN 425944,S200000,00200,0300,55051 425944,S200000,00300,0100,KANABEC 425944,S200000,00300,0200,24 425944,S200000,00300,0201,99924 425944,S200000,00300,0300,R 425944,S200000,00400,0100,BENEDICTINE LIVING COMMUNITY OF MORA 425944,S200000,00400,0200,245291 425944,S200000,00400,0300,09/01/85 425944,S200000,00400,0500,P 425944,S200000,01500,0100,Y 425944,S200000,01501,0200,Y 425944,S200000,01502,0200,Y 425944,S200000,01503,0200,N 425944,S200000,01504,0200,Y 425944,S200000,01600,0100,N 425944,S200000,01700,0100,N 425944,S200000,01800,0100,N 425944,S200000,02200,0100,N 425944,S200000,02800,0100,N 425944,S200000,02900,0100,N 425944,S200000,03000,0100,N 425944,S200000,03100,0100,N 425944,S200000,03200,0100,N 425944,S200000,03300,0100,N 425944,S200000,03300,0200,N 425944,S200000,04100,0100,N 425944,S200000,04200,0100,N 425944,S200000,04300,0100,N 425944,S200000,04600,0100,N 425944,S200000,04700,0100,N 425944,S200000,04700,0200,N 425944,S200000,04900,0100,N 425944,S200000,05000,0100,N 425944,S200000,05100,0100,N 425944,S200000,05200,0100,N 425950,S000000,00100,0200,01/19/12 425950,S200000,00100,0100,317 1ST ST NW 425950,S200000,00200,0100,ULEN 425950,S200000,00200,0200,MN 425950,S200000,00200,0300,56585-0279 425950,S200000,00300,0100,CLAY 425950,S200000,00400,0100,VIKING MANOR NURSING HOME 425950,S200000,00400,0300,06/01/91 425963,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 425963,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 425963,A000000,00300,0000,0300EMPLOYEE BENEFITS 425963,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 425963,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 425963,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 425963,A000000,00700,0000,0700HOUSEKEEPING 425963,A000000,00800,0000,0800DIETARY 425963,A000000,00900,0000,0900NURSING ADMINISTRATION 425963,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 425963,A000000,01100,0000,1100PHARMACY 425963,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 425963,A000000,01300,0000,1300SOCIAL SERVICE 425963,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 425963,A000000,01500,0000,1350RECREATION 425963,A000000,01600,0000,1600SKILLED NURSING FACILITY 425963,A000000,01810,0000,1810ICF/MR 425963,A000000,02200,0000,2200LABORATORY 425963,A000000,02500,0000,2500PHYSICAL THERAPY 425963,A000000,02600,0000,2600OCCUPATIONAL THERAPY 425963,A000000,02700,0000,2700SPEECH PATHOLOGY 425963,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 425963,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 425963,A000000,03300,0000,3050PEN 425963,A000000,03550,0000,3550FQHC 425963,A000000,05000,0000,5000CORF 425963,A000000,05010,0000,5010CMHC 425963,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 425963,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 425963,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 425963,A000000,05900,0000,5900BARBER & BEAUTY SHOP 425963,A81000A,00100,0100,Y 425963,A81000B,00100,0300,ACCOUNTING SERVICE 425963,A81000B,00200,0300,BUILDING & FIXTURES 425963,A81000C,00100,0100,A 425963,A81000C,00100,0200,STANLEY BOYLE 425963,A81000C,00100,0400,CARE CENTRE MGM 425963,A81000C,00100,0600,MGMT CO 425963,A81000C,00200,0100,A 425963,A81000C,00200,0200,DAVID BOYLE 425963,A81000C,00200,0400,CARE CENTRE MGM 425963,A81000C,00200,0600,MGMT CO 425963,A81000C,00300,0100,A 425963,A81000C,00300,0200,PATRICK BOYLE 425963,A81000C,00300,0400,CARE CENTRE MGM 425963,A81000C,00300,0600,MGMT CO 425963,A81000C,00400,0100,A 425963,A81000C,00400,0200,DANIEL BOYLE 425963,A81000C,00400,0400,CARE CENTRE MGM 425963,A81000C,00400,0600,MGMT CO 425963,A81000C,00500,0100,A 425963,A81000C,00500,0200,RICHARD BOYLE 425963,A81000C,00500,0400,CARE CENTRE MGM 425963,A81000C,00500,0600,MGMT CO 425963,A81000C,00600,0100,A 425963,A81000C,00600,0200,TIMOTHY BOYLE 425963,A81000C,00600,0400,CARE CENTRE MGM 425963,A81000C,00600,0600,MGMT CO 425963,A81000C,00700,0100,A 425963,A81000C,00700,0200,MARILYN GALVIN 425963,A81000C,00700,0400,CARE CENTRE MGM 425963,A81000C,00700,0600,MGMT CO 425963,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 425963,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 425963,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 425963,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 425963,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 425963,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 425963,B100000,00000,0800,0850PATIENT DAYS :DIETARY 425963,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 425963,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 425963,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 425963,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 425963,B100000,00000,1500,1350PATIENT DAYS :RECREATION 425963,G300000,02500,0000,MISCELLANEOUS INCOME 425963,G300000,02501,0000,BAD DEBT MEDICARE 425963,G300000,02503,0000,CONTRACTUAL 425963,S000000,00100,0200,01/27/12 425963,S200000,00100,0100,79 6TH AVENUE 425963,S200000,00200,0100,GRINNELL 425963,S200000,00200,0200,IA 425963,S200000,00200,0300,50112 425963,S200000,00300,0100,POWESHIEK 425963,S200000,00300,0300,R 425963,S200000,00400,0100,FRIENDSHIP MANOR CARE CENTRE 425963,S200000,00400,0200,165262 425963,S200000,00400,0300,12/04/95 425963,S200000,00400,0500,P 425963,S200000,01500,0100,Y 425963,S200000,01600,0100,N 425963,S200000,01700,0100,N 425963,S200000,01800,0100,N 425963,S200000,01900,0100,CORPORATION 425963,S200000,02200,0100,N 425963,S200000,02800,0100,N 425963,S200000,02900,0100,N 425963,S200000,03000,0100,N 425963,S200000,03100,0100,N 425963,S200000,03200,0100,N 425963,S200000,03300,0100,N 425963,S200000,03300,0200,N 425963,S200000,04100,0100,N 425963,S200000,04200,0100,N 425963,S200000,04300,0100,N 425963,S200000,04600,0100,N 425963,S200000,04700,0100,N 425963,S200000,04700,0200,N 425963,S200000,04900,0100,N 425963,S200000,05000,0100,N 425963,S200000,05100,0100,N 425963,S200000,05200,0100,N 426086,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426086,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426086,A000000,00300,0000,0300EMPLOYEE BENEFITS 426086,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426086,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426086,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426086,A000000,00700,0000,0700HOUSEKEEPING 426086,A000000,00800,0000,0800DIETARY 426086,A000000,00900,0000,0900NURSING ADMINISTRATION 426086,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426086,A000000,01100,0000,1100PHARMACY 426086,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426086,A000000,01300,0000,1300SOCIAL SERVICE 426086,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426086,A000000,01600,0000,1600SKILLED NURSING FACILITY 426086,A000000,01810,0000,1810ICF/MR 426086,A000000,02100,0000,2100RADIOLOGY 426086,A000000,02200,0000,2200LABORATORY 426086,A000000,02500,0000,2500PHYSICAL THERAPY 426086,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426086,A000000,02700,0000,2700SPEECH PATHOLOGY 426086,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 426086,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426086,A000000,03200,0000,3200SUPPORT SURFACES 426086,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426086,A000000,03550,0000,3550FQHC 426086,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426086,A000000,04800,0000,4800AMBULANCE 426086,A000000,04801,0000,4801AMBULANCE 426086,A000000,04802,0000,4802AMBULANCE 426086,A000000,04803,0000,4803AMBULANCE 426086,A000000,05000,0000,5000CORF 426086,A000000,05010,0000,5010CMHC 426086,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426086,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426086,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426086,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426086,A000000,05300,0000,5300INTEREST EXPENSE 426086,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426086,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426086,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426086,A81000A,00100,0100,Y 426086,A81000B,00100,0300,MANAGEMENT FEES 426086,A81000B,00200,0300,DIETARY CONSULTANT 426086,A81000B,00300,0300,NURSE CONSULTANT 426086,A81000C,00100,0100,A 426086,A81000C,00100,0200,KIMBERLY SCHAAP 426086,A81000C,00100,0400,KMJ MANAGEMENT LLC 426086,A81000C,00100,0600,NURSING HOME OPERATIONS 426086,A81000C,00200,0100,A 426086,A81000C,00200,0200,MICHELE HATHORN 426086,A81000C,00200,0400,KMJ MANAGEMENT LLC 426086,A81000C,00200,0600,NURSING HOME OPERATIONS 426086,B100000,00000,0100,0100SQUARE FEET 426086,B100000,00000,0200,0200SQUARE FEET 426086,B100000,00000,0300,0300GROSS SALARIES 426086,B100000,00000,0400,0400ACCUM COST 426086,B100000,00000,0500,0500SQUARE FEET 426086,B100000,00000,0600,0600PATIENT DAYS 426086,B100000,00000,0700,0700SQUARE FEET 426086,B100000,00000,0800,0800MEALS SERVED 426086,B100000,00000,0900,0900DIRECT NRSING HRS 426086,B100000,00000,1000,1000PATIENT DAYS 426086,B100000,00000,1100,1100PATIENT DAYS 426086,B100000,00000,1200,1200PATIENT DAYS 426086,B100000,00000,1300,1300PATIENT DAYS 426086,B100000,00000,1400,1400ASSIGNED TIME 426086,G300000,02500,0000,MISC OTHER 426086,S000000,00100,0200,02/01/12 426086,S200000,00100,0100,1513 S DIXIELAND ROAD 426086,S200000,00200,0100,ROGERS 426086,S200000,00200,0200,AR 426086,S200000,00200,0300,72756 426086,S200000,00300,0100,BENTON 426086,S200000,00300,0201,22220 426086,S200000,00300,0300,U 426086,S200000,00400,0100,HERITAGE PARK NURSING CENTER 426086,S200000,00400,0200,045212 426086,S200000,00400,0300,01/01/03 426086,S200000,00400,0500,P 426086,S200000,01500,0100,Y 426086,S200000,01501,0200,Y 426086,S200000,01502,0200,Y 426086,S200000,01503,0200,Y 426086,S200000,01504,0200,Y 426086,S200000,01600,0100,N 426086,S200000,01700,0100,N 426086,S200000,01800,0100,N 426086,S200000,02200,0100,N 426086,S200000,02800,0100,N 426086,S200000,02900,0100,N 426086,S200000,03000,0100,N 426086,S200000,03100,0100,N 426086,S200000,03200,0100,N 426086,S200000,03300,0100,N 426086,S200000,03300,0200,N 426086,S200000,04200,0100,N 426086,S200000,04300,0100,N 426086,S200000,04600,0100,N 426086,S200000,04700,0100,N 426086,S200000,04900,0100,N 426086,S200000,05200,0100,N 426087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426087,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426087,A000000,00300,0000,0300EMPLOYEE BENEFITS 426087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426087,A000000,00700,0000,0700HOUSEKEEPING 426087,A000000,00800,0000,0800DIETARY 426087,A000000,00900,0000,0900NURSING ADMINISTRATION 426087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426087,A000000,01100,0000,1100PHARMACY 426087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426087,A000000,01300,0000,1300SOCIAL SERVICE 426087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426087,A000000,01600,0000,1600SKILLED NURSING FACILITY 426087,A000000,01810,0000,1810ICF/MR 426087,A000000,02100,0000,2100RADIOLOGY 426087,A000000,02200,0000,2200LABORATORY 426087,A000000,02500,0000,2500PHYSICAL THERAPY 426087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426087,A000000,02700,0000,2700SPEECH PATHOLOGY 426087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 426087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426087,A000000,03200,0000,3200SUPPORT SURFACES 426087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426087,A000000,03550,0000,3550FQHC 426087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426087,A000000,04801,0000,4801AMBULANCE 426087,A000000,04802,0000,4802AMBULANCE 426087,A000000,04803,0000,4803AMBULANCE 426087,A000000,05000,0000,5000CORF 426087,A000000,05010,0000,5010CMHC 426087,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426087,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426087,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426087,A81000A,00100,0100,Y 426087,A81000B,00100,0300,MANAGEMENT FEES 426087,A81000B,00200,0300,DIETARY CONSULTANT 426087,A81000B,00300,0300,NURSE CONSULTANT 426087,A81000C,00100,0100,A 426087,A81000C,00100,0200,KIMBERLY SCHAAP 426087,A81000C,00100,0400,KMJ MANAGEMENT LLC 426087,A81000C,00100,0600,NURSING HOME ADM 426087,A81000C,00200,0100,A 426087,A81000C,00200,0200,MICHELE HATHORN 426087,A81000C,00200,0400,KMJ MANAGEMENT LLC 426087,A81000C,00200,0600,NURSIN HOME ADM 426087,B100000,00000,0100,0100SQUARE FEET 426087,B100000,00000,0200,0200SQUARE FEET 426087,B100000,00000,0300,0300GROSS SALARIES 426087,B100000,00000,0400,0400ACCUM COST 426087,B100000,00000,0500,0500SQUARE FEET 426087,B100000,00000,0600,0600PATIENT DAYS 426087,B100000,00000,0700,0700SQUARE FEET 426087,B100000,00000,0800,0800MEALS SERVED 426087,B100000,00000,0900,0900DIRECT NRSING HRS 426087,B100000,00000,1000,1000PATIENT DAYS 426087,B100000,00000,1100,1100PATIENT DAYS 426087,B100000,00000,1200,1200PATIENT DAYS 426087,B100000,00000,1300,1300PATIENT DAYS 426087,B100000,00000,1400,1400ASSIGNED TIME 426087,G300000,02500,0000,MISC OTHER 426087,S000000,00100,0200,02/01/12 426087,S200000,00100,0100,826 NORTH STREET 426087,S200000,00200,0100,STAMPS 426087,S200000,00200,0200,AR 426087,S200000,00200,0300,71860 426087,S200000,00300,0100,LAFAYETTE 426087,S200000,00300,0201,99904 426087,S200000,00300,0300,R 426087,S200000,00400,0100,HOMESTEAD MANOR NURSING HOME 426087,S200000,00400,0200,045232 426087,S200000,00400,0300,01/01/03 426087,S200000,00400,0500,P 426087,S200000,01500,0100,Y 426087,S200000,01501,0200,Y 426087,S200000,01502,0200,Y 426087,S200000,01503,0200,Y 426087,S200000,01600,0100,N 426087,S200000,01700,0100,N 426087,S200000,01800,0100,N 426087,S200000,02200,0100,N 426087,S200000,02800,0100,N 426087,S200000,02900,0100,N 426087,S200000,03000,0100,N 426087,S200000,03100,0100,N 426087,S200000,03200,0100,N 426087,S200000,03300,0100,N 426087,S200000,03300,0200,N 426087,S200000,04200,0100,N 426087,S200000,04300,0100,N 426087,S200000,04600,0100,N 426087,S200000,04700,0100,N 426087,S200000,04900,0100,N 426087,S200000,05200,0100,N 426095,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426095,A000000,00300,0000,0300EMPLOYEE BENEFITS 426095,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426095,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426095,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426095,A000000,00700,0000,0700HOUSEKEEPING 426095,A000000,00800,0000,0800DIETARY 426095,A000000,00900,0000,0900NURSING ADMINISTRATION 426095,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426095,A000000,01100,0000,1100PHARMACY 426095,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426095,A000000,01300,0000,1300SOCIAL SERVICE 426095,A000000,01500,0000,1350ACTIVITIES 426095,A000000,01600,0000,1600SKILLED NURSING FACILITY 426095,A000000,01800,0000,1800NURSING FACILITY 426095,A000000,01810,0000,1810ICF/MR 426095,A000000,01900,0000,1900OTHER LONG TERM CARE 426095,A000000,02100,0000,2100RADIOLOGY 426095,A000000,02200,0000,2200LABORATORY 426095,A000000,02300,0000,2300INTRAVENOUS THERAPY 426095,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426095,A000000,02500,0000,2500PHYSICAL THERAPY 426095,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426095,A000000,02700,0000,2700SPEECH PATHOLOGY 426095,A000000,02800,0000,2800ELECTROCARDIOLOGY 426095,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426095,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426095,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426095,A000000,03200,0000,3200SUPPORT SURFACES 426095,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426095,A000000,03400,0000,3400CLINIC 426095,A000000,03500,0000,3500RURAL HEALTH CLINIC 426095,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426095,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426095,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426095,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426095,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426095,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426095,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426095,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426095,A000000,04400,0000,4400DME RENTED - HHA 426095,A000000,04500,0000,4500DME SOLD - HHA 426095,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426095,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426095,A000000,04800,0000,4800AMBULANCE 426095,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426095,A000000,05000,0000,5000CORF 426095,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426095,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426095,A000000,05300,0000,5300INTEREST EXPENSE 426095,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426095,A000000,05500,0000,5500HOSPICE 426095,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426095,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426095,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426095,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426095,A000000,06100,0000,6100NONPAID WORKERS 426095,A000000,06200,0000,6200PATIENTS LAUNDRY 426095,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426095,A81000A,00100,0100,Y 426095,A81000B,00100,0300,MANAGEMENT FEES 426095,A81000B,00200,0300,MANAGEMENT FEES 426095,A81000B,00300,0300,MANAGEMENT FEES 426095,A81000B,00400,0300,SUPPLIES 426095,A81000B,00500,0300,SUPPLIES 426095,A81000B,00600,0300,SUPPLIES 426095,A81000B,00700,0300,SUPPLIES 426095,A81000B,00800,0300,SUPPLIES 426095,A81000B,00900,0300,SUPPLIES 426095,A81000B,01000,0300,INSURANCE 426095,A81000B,01100,0300,MINOR EQUIPMENT 426095,A81000B,01200,0300,CNA ORIENTATION 426095,A81000B,01300,0300,THERAPY SERVICES 426095,A81000B,01400,0300,MINOR EQUIPMENT 426095,A81000B,01500,0300,PHARMACY CONSULTANT 426095,A81000B,01600,0300,OTHER EMP BENEFITS 426095,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 426095,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 426095,A81000B,01900,0300,OTHER MEDICARE SUPPLIES 426095,A81000B,02000,0300,OTC DRUGS 426095,A81000B,02100,0300,GLUCOSE SUPPLIES 426095,A81000B,02200,0300,DRUGS-MCD NON PDP 426095,A81000B,02300,0300,RENT 426095,A81000B,02400,0300,CHG-LOAN COSTS 426095,A81000B,02500,0300,CHG-ACCOUNTING FEES 426095,A81000B,02600,0300,CHG-TAXES 426095,A81000B,02700,0300,CHG-MORTGAGE INTEREST 426095,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 426095,A81000B,02900,0300,PHYSICAL THERAPY 426095,A81000C,00100,0100,A 426095,A81000C,00100,0200,MICHAEL H. MCBRIDE 426095,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 426095,A81000C,00100,0600,HOME OFFICE 426095,A81000C,00200,0100,A 426095,A81000C,00200,0200,JOHN SWIFT 426095,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 426095,A81000C,00200,0600,HOME OFFICE 426095,A81000C,00300,0100,A 426095,A81000C,00300,0200,BILL WILLIAMSON 426095,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 426095,A81000C,00300,0600,HOME OFFICE 426095,A81000C,00400,0100,A 426095,A81000C,00400,0200,MICHAEL H. MCBRIDE 426095,A81000C,00400,0400,GROVE MEDICAL INC 426095,A81000C,00400,0600,SUPPLIES 426095,A81000C,00500,0100,A 426095,A81000C,00500,0200,MICHAEL H. MCBRIDE 426095,A81000C,00500,0400,CARDINAL HEALTH GROUP 426095,A81000C,00500,0600,BUILDING LEASE 426095,A81000C,00600,0100,A 426095,A81000C,00600,0200,MICHAEL H. MCBRIDE 426095,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 426095,A81000C,00600,0600,THERAPY 426095,A81000C,00700,0100,A 426095,A81000C,00700,0200,JOHN SWIFT 426095,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 426095,A81000C,00700,0600,THERAPY 426095,A81000C,00800,0100,A 426095,A81000C,00800,0200,BILL WILLIAMSON 426095,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 426095,A81000C,00800,0600,THERAPY 426095,A81000C,00900,0100,A 426095,A81000C,00900,0200,MICHAEL H. MCBRIDGE 426095,A81000C,00900,0400,CRESCENT INDEMNITY INC. 426095,A81000C,00900,0600,INSURANCE 426095,A81000C,01000,0100,A 426095,A81000C,01000,0200,JOHN SWIFT 426095,A81000C,01000,0400,CRESCENT INDEMNITY INC 426095,A81000C,01000,0600,INSURANCE 426095,A81000C,01001,0100,A 426095,A81000C,01001,0200,BILL WILLIAMSON 426095,A81000C,01001,0400,CRESCENT INDEMNTIY INC 426095,A81000C,01001,0600,INSURANCE 426095,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426095,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426095,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426095,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426095,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426095,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426095,B100000,00000,0800,0800MEALS SERVED :DIETARY 426095,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426095,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426095,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426095,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426095,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426095,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426095,G300000,02501,0000,GARNISHMENT FEE 426095,S000000,00100,0200,06/24/11 426095,S200000,00100,0100,208 JAMES STREET 426095,S200000,00200,0100,ANDERSON 426095,S200000,00200,0200,SC 426095,S200000,00200,0300,29625 426095,S200000,00300,0100,ANDERSON 426095,S200000,00300,0200,3160 426095,S200000,00300,0201,11340 426095,S200000,00300,0300,U 426095,S200000,00400,0100,BROOKSIDE LIVING CENTER LLC 426095,S200000,00400,0200,425016 426095,S200000,00400,0300,01/01/88 426095,S200000,00400,0500,P 426095,S200000,01500,0100,Y 426095,S200000,01501,0200,Y 426095,S200000,01502,0200,N 426095,S200000,01503,0200,N 426095,S200000,01504,0200,Y 426095,S200000,01600,0100,N 426095,S200000,01700,0100,N 426095,S200000,01800,0100,N 426095,S200000,02200,0100,N 426095,S200000,02800,0100,Y 426095,S200000,02900,0100,N 426095,S200000,03000,0100,N 426095,S200000,03100,0100,N 426095,S200000,03200,0100,N 426095,S200000,03300,0100,N 426095,S200000,03300,0200,N 426095,S200000,04100,0100,N 426095,S200000,04200,0100,N 426095,S200000,04300,0100,N 426095,S200000,04600,0100,N 426095,S200000,04700,0100,N 426095,S200000,04700,0200,N 426095,S200000,04900,0100,N 426095,S200000,05000,0100,N 426095,S200000,05100,0100,N 426095,S200000,05200,0100,N 426095,S200000,05300,0100,Y 426095,S200000,05300,0200,42HO32 426095,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 426095,S200000,05400,0200,PALMETTO GBA 426095,S200000,05400,0300, 00380 426095,S200000,05500,0100,101 GRACE DRIVE 426095,S200000,05600,0100,EASLEY 426095,S200000,05600,0200,SC 426095,S200000,05600,0300,29640 426098,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426098,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426098,A000000,00300,0000,0300EMPLOYEE BENEFITS 426098,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426098,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426098,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426098,A000000,00700,0000,0700HOUSEKEEPING 426098,A000000,00800,0000,0800DIETARY 426098,A000000,00900,0000,0900NURSING ADMINISTRATION 426098,A000000,01300,0000,1300SOCIAL SERVICE 426098,A000000,01500,0000,1350PATIENT ACTIVITIES 426098,A000000,01600,0000,1600SKILLED NURSING FACILITY 426098,A000000,01800,0000,1800NURSING FACILITY 426098,A000000,01810,0000,1810ICF/MR 426098,A000000,01900,0000,1900OTHER LONG TERM CARE 426098,A000000,02100,0000,2100RADIOLOGY 426098,A000000,02200,0000,2200LABORATORY 426098,A000000,02300,0000,2300INTRAVENOUS THERAPY 426098,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426098,A000000,02500,0000,2500PHYSICAL THERAPY 426098,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426098,A000000,02700,0000,2700SPEECH PATHOLOGY 426098,A000000,02800,0000,2800ELECTROCARDIOLOGY 426098,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426098,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426098,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426098,A000000,03200,0000,3200SUPPORT SURFACES 426098,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426098,A000000,03400,0000,3400CLINIC 426098,A000000,03500,0000,3500RURAL HEALTH CLINIC 426098,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426098,A000000,04800,0000,4800AMBULANCE 426098,A000000,05000,0000,5000CORF 426098,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426098,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426098,A000000,05300,0000,5300INTEREST EXPENSE 426098,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426098,A000000,05500,0000,5500HOSPICE 426098,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426098,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426098,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426098,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426098,A000000,06100,0000,6100NONPAID WORKERS 426098,A000000,06200,0000,6200PATIENTS LAUNDRY 426098,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426098,A81000A,00100,0100,Y 426098,A81000B,00100,0300,MANAGEMENT FEES 426098,A81000B,00200,0300,CAPITAL 426098,A81000C,00100,0100,B 426098,A81000C,00100,0200,KROONTJE CENTER 426098,A81000C,00100,0400,WARM HEARTH INC. 426098,A81000C,00100,0600,MANAGEMENT COMPANY 426098,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426098,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426098,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426098,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426098,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426098,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426098,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426098,B100000,00000,0800,0800MEALS SERVED :DIETARY 426098,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426098,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426098,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426098,G300000,02500,0000,MISC REVENUE 426098,G300000,02501,0000,RENTAL INCOME 426098,G300000,02502,0000,IMPOSITION OF PENALTY/INTEREST 426098,S000000,00100,0200,02/29/12 426098,S200000,00100,0100,2607 WARM HEARTH DRIVE 426098,S200000,00200,0100,BLACKSBURG 426098,S200000,00200,0200,VA 426098,S200000,00200,0300,24060 426098,S200000,00300,0100,MONTGOMERY 426098,S200000,00300,0200,0049 426098,S200000,00300,0201,13980 426098,S200000,00300,0300,U 426098,S200000,00400,0100,KROONTJE NURSING CENTER 426098,S200000,00400,0200,495406 426098,S200000,00400,0300,11/01/10 426098,S200000,00400,0500,P 426098,S200000,00400,0600,O 426098,S200000,00600,0200,495406 426098,S200000,00600,0300,03/10/00 426098,S200000,00600,0600,O 426098,S200000,01500,0100,Y 426098,S200000,01501,0200,Y 426098,S200000,01504,0200,Y 426098,S200000,01600,0100,N 426098,S200000,01700,0100,N 426098,S200000,01800,0100,N 426098,S200000,02200,0100,N 426098,S200000,02800,0100,Y 426098,S200000,02900,0100,N 426098,S200000,03000,0100,N 426098,S200000,03100,0100,N 426098,S200000,03200,0100,N 426098,S200000,03300,0100,N 426098,S200000,03300,0200,N 426098,S200000,03500,0300,N 426098,S200000,04100,0100,N 426098,S200000,04200,0100,N 426098,S200000,04300,0100,N 426098,S200000,04600,0100,N 426098,S200000,04700,0100,N 426098,S200000,04700,0200,N 426098,S200000,04900,0100,N 426098,S200000,05000,0100,N 426098,S200000,05100,0100,N 426098,S200000,05200,0100,N 426099,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426099,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426099,A000000,00300,0000,0300EMPLOYEE BENEFITS 426099,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426099,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426099,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426099,A000000,00700,0000,0700HOUSEKEEPING 426099,A000000,00800,0000,0800DIETARY 426099,A000000,00900,0000,0900NURSING ADMINISTRATION 426099,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426099,A000000,01100,0000,1100PHARMACY 426099,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426099,A000000,01300,0000,1300SOCIAL SERVICE 426099,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426099,A000000,01500,0000,1350RECREATION 426099,A000000,01600,0000,1600SKILLED NURSING FACILITY 426099,A000000,01810,0000,1810ICF/MR 426099,A000000,02100,0000,2100RADIOLOGY 426099,A000000,02200,0000,2200LABORATORY 426099,A000000,02300,0000,2300INTRAVENOUS THERAPY 426099,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426099,A000000,02500,0000,2500PHYSICAL THERAPY 426099,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426099,A000000,02700,0000,2700SPEECH PATHOLOGY 426099,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 426099,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426099,A000000,03550,0000,3550FQHC 426099,A000000,04801,0000,4801AMBULANCE 426099,A000000,04802,0000,4802AMBULANCE 426099,A000000,04803,0000,4803AMBULANCE 426099,A000000,05000,0000,5000CORF 426099,A000000,05010,0000,5010CMHC 426099,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426099,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426099,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426099,A81000A,00100,0100,Y 426099,A81000B,00100,0300,SEE ATTACHED 426099,A81000B,00200,0300,HOME OFFICE INTEREST 426099,A81000B,00300,0300,HOME OFFICE ADMIN 426099,A81000B,00400,0300,HOME OFFICE CAPITAL 426099,A81000C,00100,0100,B 426099,A81000C,00100,0400,SEE ATTACHED 426099,A81000C,00100,0600,VARIOUS 426099,A81000C,00200,0100,B 426099,A81000C,00200,0400,GHC 426099,A81000C,00200,0600,LONG TERM CARE 426099,A81000C,00300,0100,B 426099,A81000C,00300,0400,GHC 426099,A81000C,00300,0600,LONG TERM CARE 426099,A81000C,00400,0100,B 426099,A81000C,00400,0400,GHC 426099,A81000C,00400,0600,LONG TERM CARE 426099,B100000,00000,0100,0100SQUARE FEET 426099,B100000,00000,0200,0200SQUARE FEET 426099,B100000,00000,0300,0300GROSS SALARIES 426099,B100000,00000,0400,0400ACCUM COST 426099,B100000,00000,0500,0500SQUARE FEET 426099,B100000,00000,0600,0600PATIENT DAYS 426099,B100000,00000,0700,0700SQUARE FEET 426099,B100000,00000,0800,0800MEALS SERVED 426099,B100000,00000,0900,0900NURSING SALARIES 426099,B100000,00000,1000,1000COSTED REQUIS 426099,B100000,00000,1100,1100COSTED REQUIS 426099,B100000,00000,1200,1200PATIENT DAYS 426099,B100000,00000,1300,1300PATIENT DAYS 426099,B100000,00000,1400,1400ASSIGNED TIME 426099,B100000,00000,1500,1350PATIENT DAYS 426099,S000000,00100,0200,09/12/11 426099,S200000,00100,0100,59 HARRINGTON COURT 426099,S200000,00200,0100,COLCHESTER 426099,S200000,00200,0200,CT 426099,S200000,00200,0300,06415 426099,S200000,00300,0100,NEW LONDON 426099,S200000,00300,0201,35980 426099,S200000,00300,0300,U 426099,S200000,00400,0100,HARRINGTON COURT 426099,S200000,00400,0200,075253 426099,S200000,00400,0300,11/02/75 426099,S200000,00400,0500,P 426099,S200000,01500,0100,Y 426099,S200000,01501,0200,N 426099,S200000,01502,0200,N 426099,S200000,01503,0200,N 426099,S200000,01504,0200,N 426099,S200000,01600,0100,N 426099,S200000,01700,0100,N 426099,S200000,01800,0100,N 426099,S200000,02200,0100,Y 426099,S200000,02800,0100,N 426099,S200000,02900,0100,N 426099,S200000,03000,0100,N 426099,S200000,03100,0100,N 426099,S200000,03200,0100,N 426099,S200000,03300,0100,N 426099,S200000,03300,0200,N 426099,S200000,04200,0100,N 426099,S200000,04300,0100,N 426099,S200000,04600,0100,N 426099,S200000,04700,0100,N 426099,S200000,04900,0100,N 426099,S200000,05200,0100,N 426099,S200000,05300,0100,Y 426099,S200000,05300,0200,HB0067 426099,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 426099,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 426099,S200000,05400,0300,12001 426099,S200000,05500,0100,101 EAST STATE STREET 426099,S200000,05600,0100,KENNETT SQUARE 426099,S200000,05600,0200,PA 426099,S200000,05600,0300,19348 426104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426104,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426104,A000000,00300,0000,0300EMPLOYEE BENEFITS 426104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426104,A000000,00700,0000,0700HOUSEKEEPING 426104,A000000,00800,0000,0800DIETARY 426104,A000000,00900,0000,0900NURSING ADMINISTRATION 426104,A000000,01300,0000,1300SOCIAL SERVICE 426104,A000000,01600,0000,1600SKILLED NURSING FACILITY 426104,A000000,02100,0000,2100RADIOLOGY 426104,A000000,02200,0000,2200LABORATORY 426104,A000000,02500,0000,2500PHYSICAL THERAPY 426104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426104,A000000,02700,0000,2700SPEECH PATHOLOGY 426104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426104,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426104,A000000,06301,0000,6151APARTMENTS 426104,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 426104,A000000,06303,0000,6153GUEST MEALS 426104,A81000A,00100,0100,N 426104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426104,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426104,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426104,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426104,B100000,00000,0800,0800MEALS SERVED :DIETARY 426104,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426104,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426104,G300000,02500,0000,SHARED SERVICES REVENUE AND OTHER 426104,S000000,00100,0200,01/25/12 426104,S200000,00100,0100,701 SOUTH MAIN 426104,S200000,00200,0100,HILLSBORO 426104,S200000,00200,0200,KS 426104,S200000,00200,0300,67063 426104,S200000,00300,0100,MARION 426104,S200000,00300,0200,17 426104,S200000,00300,0201,99917 426104,S200000,00300,0300,R 426104,S200000,00400,0100,SALEM HOSPITAL INC 426104,S200000,00400,0200,175484 426104,S200000,00400,0300,04/05/05 426104,S200000,00400,0500,P 426104,S200000,01500,0100,Y 426104,S200000,01501,0200,N 426104,S200000,01503,0200,N 426104,S200000,01504,0200,Y 426104,S200000,01600,0100,N 426104,S200000,01700,0100,N 426104,S200000,01800,0100,N 426104,S200000,02200,0100,N 426104,S200000,02800,0100,N 426104,S200000,02900,0100,N 426104,S200000,03000,0100,N 426104,S200000,03100,0100,N 426104,S200000,03200,0100,N 426104,S200000,03300,0100,N 426104,S200000,03300,0200,N 426104,S200000,04100,0100,N 426104,S200000,04200,0100,N 426104,S200000,04300,0100,N 426104,S200000,04600,0100,N 426104,S200000,04700,0100,N 426104,S200000,04700,0200,N 426104,S200000,04900,0100,N 426104,S200000,05000,0100,N 426104,S200000,05100,0100,N 426104,S200000,05200,0100,N 426104,S200000,05300,0100,N 426130,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426130,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426130,A000000,00300,0000,0300EMPLOYEE BENEFITS 426130,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426130,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426130,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426130,A000000,00700,0000,0700HOUSEKEEPING 426130,A000000,00800,0000,0800DIETARY 426130,A000000,00900,0000,0900NURSING ADMINISTRATION 426130,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426130,A000000,01100,0000,1100PHARMACY 426130,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426130,A000000,01300,0000,1300SOCIAL SERVICE 426130,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426130,A000000,01500,0000,1350RECREATIONAL SERVICES 426130,A000000,01600,0000,1600SKILLED NURSING FACILITY 426130,A000000,01800,0000,1800NURSING FACILITY 426130,A000000,01810,0000,1810ICF/MR 426130,A000000,01900,0000,1900OTHER LONG TERM CARE 426130,A000000,02100,0000,2100RADIOLOGY 426130,A000000,02200,0000,2200LABORATORY 426130,A000000,02300,0000,2300INTRAVENOUS THERAPY 426130,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426130,A000000,02500,0000,2500PHYSICAL THERAPY 426130,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426130,A000000,02700,0000,2700SPEECH PATHOLOGY 426130,A000000,02800,0000,2800ELECTROCARDIOLOGY 426130,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426130,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426130,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426130,A000000,03200,0000,3200SUPPORT SURFACES 426130,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426130,A000000,03400,0000,3400CLINIC 426130,A000000,03500,0000,3500RURAL HEALTH CLINIC 426130,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426130,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426130,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426130,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426130,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426130,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426130,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426130,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426130,A000000,04400,0000,4400DME RENTED - HHA 426130,A000000,04500,0000,4500DME SOLD - HHA 426130,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426130,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426130,A000000,04710,0000,4710TELEMEDICINE 426130,A000000,04800,0000,4800AMBULANCE 426130,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426130,A000000,05000,0000,5000CORF 426130,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426130,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426130,A000000,05300,0000,5300INTEREST EXPENSE 426130,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426130,A000000,05500,0000,5500HOSPICE 426130,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426130,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426130,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426130,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426130,A000000,06100,0000,6100NONPAID WORKERS 426130,A000000,06200,0000,6200PATIENTS LAUNDRY 426130,A000000,06300,0000,6150DENTAL 426130,A81000A,00100,0100,Y 426130,A81000B,00100,0300,LAUNDRY SERVICES 426130,A81000B,00200,0300,SHARED CONTROLLER 426130,A81000C,00100,0100,A 426130,A81000C,00100,0400,FOUNTAINVIEW CARE CENTER 426130,A81000C,00100,0600,NURSING HOME 426130,A81000C,00200,0100,A 426130,A81000C,00200,0400,FOUNTAINVIEW CARE CENTER 426130,A81000C,00200,0600,NURSING HOME 426130,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426130,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426130,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426130,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426130,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426130,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426130,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426130,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426130,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 426130,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426130,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426130,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426130,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426130,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 426130,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 426130,G300000,02500,0000,MEDICAID - EQUIPMENT RENTAL 426130,G300000,02501,0000,PRIOR PERIOD COMMERCIAL 426130,G300000,02504,0000,PRIOR PERIOD MEDICAID R&B 426130,G300000,02505,0000,PENDING TXIX REVENUE 426130,G300000,02507,0000,INCOME - NL LAUNDRY 426130,G300000,02508,0000,INCOME - VENDING MACHINES 426130,G300000,02509,0000,INCOME - MEALS 426130,G300000,02510,0000,INCOME - MISCELLANEOUS 426130,G300000,02511,0000,INCOME - INTEREST 426130,S000000,00100,0200,01/30/12 426130,S200000,00100,0100,93 WEST TOWN STREET 426130,S200000,00200,0100,NORWICH 426130,S200000,00200,0200,CT 426130,S200000,00200,0300,06360 426130,S200000,00300,0100,NEW LONDON 426130,S200000,00300,0201,35980 426130,S200000,00300,0300,U 426130,S200000,00400,0100,NORWICHTOWN CONVAL HOME INC. 426130,S200000,00400,0200,075079 426130,S200000,00400,0300,01/01/67 426130,S200000,00400,0500,P 426130,S200000,01500,0100,Y 426130,S200000,01502,0200,N 426130,S200000,01504,0200,Y 426130,S200000,01600,0100,N 426130,S200000,01700,0100,N 426130,S200000,01800,0100,N 426130,S200000,02200,0100,N 426130,S200000,02800,0100,N 426130,S200000,02900,0100,N 426130,S200000,03000,0100,N 426130,S200000,03100,0100,N 426130,S200000,03200,0100,N 426130,S200000,03300,0100,N 426130,S200000,03300,0200,N 426130,S200000,04100,0100,N 426130,S200000,04200,0100,N 426130,S200000,04300,0100,N 426130,S200000,04600,0100,N 426130,S200000,04700,0100,N 426130,S200000,04700,0200,N 426130,S200000,04900,0100,N 426130,S200000,05000,0100,N 426130,S200000,05100,0100,N 426130,S200000,05200,0100,N 426130,S200000,05300,0100,N 426132,S000000,00100,0200,02/15/12 426132,S200000,00100,0100,118 CLINTON AVENUE 426132,S200000,00200,0100,NEW HAVEN 426132,S200000,00200,0200,CT 426132,S200000,00200,0300,06513 426132,S200000,00400,0100,THE MARY HOME 426132,S200000,00400,0300,09/11/89 426133,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426133,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426133,A000000,00300,0000,0300EMPLOYEE BENEFITS 426133,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426133,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426133,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426133,A000000,00700,0000,0700HOUSEKEEPING 426133,A000000,00800,0000,0800DIETARY 426133,A000000,00900,0000,0900NURSING ADMINISTRATION 426133,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426133,A000000,01100,0000,1100PHARMACY 426133,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426133,A000000,01300,0000,1300SOCIAL SERVICE 426133,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426133,A000000,01500,0000,1350PATIENT ACTIVITIES 426133,A000000,01600,0000,1600SKILLED NURSING FACILITY 426133,A000000,01810,0000,1810ICF/MR 426133,A000000,02100,0000,2100RADIOLOGY 426133,A000000,02200,0000,2200LABORATORY 426133,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426133,A000000,02500,0000,2500PHYSICAL THERAPY 426133,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426133,A000000,02700,0000,2700SPEECH PATHOLOGY 426133,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426133,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426133,A000000,03550,0000,3550FQHC 426133,A000000,05000,0000,5000CORF 426133,A000000,05010,0000,5010CMHC 426133,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426133,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426133,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426133,A000000,05100,0000,4750INTEREST EXPENSE 426133,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426133,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426133,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426133,A81000A,00100,0100,Y 426133,A81000B,00100,0300,MANAGEMENT FEES 426133,A81000B,00200,0300,PHYSICAL THERAPY 426133,A81000B,00300,0300,ADMIN & GENERAL 426133,A81000B,00400,0300,DIETARY 426133,A81000B,00500,0300,SOCIAL SERVICE 426133,A81000B,00600,0300,PHYSICAL THERAPY 426133,A81000B,00700,0300,SPEECH THERAPY 426133,A81000B,00800,0300,OCCUPATIONAL THERAPY 426133,A81000B,00900,0300,NURSING 426133,A81000C,00100,0100,A 426133,A81000C,00100,0200,LAWRENCE SANTIL 426133,A81000C,00100,0400,ATHENA HEALTH 426133,A81000C,00100,0600,MANAGEMENT CO 426133,A81000C,00200,0100,A 426133,A81000C,00200,0200,GUARD LE SANTIL 426133,A81000C,00300,0100,A 426133,A81000C,00300,0200,WILLIAM THOMAS 426133,A81000C,00400,0100,A 426133,A81000C,00400,0200,RUSSELL SCHWART 426133,A81000C,00500,0100,A 426133,A81000C,00500,0200,JOSEPH COLACI 426133,A81000C,00600,0100,A 426133,A81000C,00600,0200,CLERMONT TRUST 426133,A81000C,00700,0100,A 426133,A81000C,00700,0200,CHAKALOS NURSIN 426133,A81000C,00800,0100,A 426133,A81000C,00800,0200,TERESA SKINNER 426133,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426133,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426133,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426133,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426133,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426133,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426133,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426133,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426133,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426133,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426133,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426133,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426133,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426133,G300000,02500,0000,FEE INCOME DIRECT 426133,G300000,02501,0000,BAD DEBT RECOVERIES 426133,G300000,02502,0000,INTEREST INCOME 426133,G300000,02503,0000,FEE INCOME A&G 426133,G300000,02504,0000,FEE INCOME DIRECT 426133,G300000,02505,0000,FEE INCOME THERAPY 426133,G300000,02506,0000,MISC INCOME 426133,S000000,00100,0200,02/08/12 426133,S200000,00100,0100,1360 TORRINGFORD STREET 426133,S200000,00200,0100,TORRINGTON 426133,S200000,00200,0200,CT 426133,S200000,00200,0300,06790 426133,S200000,00300,0100,LITCHFIELD 426133,S200000,00300,0201,25540 426133,S200000,00300,0300,U 426133,S200000,00400,0100,VALERIE MANOR HEALTH CARE CTR 426133,S200000,00400,0200,075332 426133,S200000,00400,0300,02/01/90 426133,S200000,00400,0500,P 426133,S200000,01500,0100,Y 426133,S200000,01501,0200,N 426133,S200000,01502,0200,N 426133,S200000,01503,0200,N 426133,S200000,01504,0200,N 426133,S200000,01600,0100,N 426133,S200000,01700,0100,N 426133,S200000,01800,0100,N 426133,S200000,02200,0100,N 426133,S200000,02800,0100,Y 426133,S200000,02900,0100,N 426133,S200000,03000,0100,N 426133,S200000,03100,0100,N 426133,S200000,03200,0100,N 426133,S200000,03300,0100,N 426133,S200000,03300,0200,N 426133,S200000,03600,0100,N 426133,S200000,03600,0200,N 426133,S200000,04100,0100,N 426133,S200000,04200,0100,N 426133,S200000,04300,0100,N 426133,S200000,04600,0100,N 426133,S200000,04700,0100,N 426133,S200000,04700,0200,N 426133,S200000,04900,0100,N 426133,S200000,05000,0100,N 426133,S200000,05100,0100,N 426133,S200000,05200,0100,N 426133,S200000,05300,0100,Y 426133,S200000,05300,0200,07-111 426133,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426133,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426133,S200000,05400,0300,13101 426133,S200000,05500,0100,300 QUEEN STREET 426133,S200000,05600,0100,SOUTHINGTON 426133,S200000,05600,0200,CT 426133,S200000,05600,0300,06489 426134,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426134,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426134,A000000,00300,0000,0300EMPLOYEE BENEFITS 426134,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426134,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426134,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426134,A000000,00700,0000,0700HOUSEKEEPING 426134,A000000,00800,0000,0800DIETARY 426134,A000000,00900,0000,0900NURSING ADMINISTRATION 426134,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426134,A000000,01100,0000,1100PHARMACY 426134,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426134,A000000,01300,0000,1300SOCIAL SERVICE 426134,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426134,A000000,01500,0000,1350RECREATIONAL SERVICES 426134,A000000,01600,0000,1600SKILLED NURSING FACILITY 426134,A000000,01800,0000,1800NURSING FACILITY 426134,A000000,01810,0000,1810ICF/MR 426134,A000000,01900,0000,1900OTHER LONG TERM CARE 426134,A000000,02100,0000,2100RADIOLOGY 426134,A000000,02200,0000,2200LABORATORY 426134,A000000,02300,0000,2300INTRAVENOUS THERAPY 426134,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426134,A000000,02500,0000,2500PHYSICAL THERAPY 426134,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426134,A000000,02700,0000,2700SPEECH PATHOLOGY 426134,A000000,02800,0000,2800ELECTROCARDIOLOGY 426134,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426134,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426134,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426134,A000000,03200,0000,3200SUPPORT SURFACES 426134,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426134,A000000,03400,0000,3400CLINIC 426134,A000000,03500,0000,3500RURAL HEALTH CLINIC 426134,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426134,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426134,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426134,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426134,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426134,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426134,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426134,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426134,A000000,04400,0000,4400DME RENTED - HHA 426134,A000000,04500,0000,4500DME SOLD - HHA 426134,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426134,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426134,A000000,04710,0000,4710TELEMEDICINE 426134,A000000,04800,0000,4800AMBULANCE 426134,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426134,A000000,05000,0000,5000CORF 426134,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426134,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426134,A000000,05300,0000,5300INTEREST EXPENSE 426134,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426134,A000000,05500,0000,5500HOSPICE 426134,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426134,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426134,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426134,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426134,A000000,06100,0000,6100NONPAID WORKERS 426134,A000000,06200,0000,6200PATIENTS LAUNDRY 426134,A000000,06300,0000,6150MEALS ON WHEELS 426134,A81000A,00100,0100,Y 426134,A81000B,00100,0300,RENT 426134,A81000B,00200,0300,INSURANCE 426134,A81000B,00300,0300,INSURANCE 426134,A81000B,00400,0300,REAL ESTATE TAXES 426134,A81000B,00500,0300,FIRE/WATER 426134,A81000B,00600,0300,EQUIPMENT REPAIR 426134,A81000B,00700,0300,DEPRECIATION - BUILDINGS 426134,A81000B,00800,0300,DEPRECIATION - MOVABLE EQUIPMENT 426134,A81000B,00900,0300,AMORTIZATION - MORTGAGE EXPENSE 426134,A81000B,01000,0300,MORTGAGE INTEREST 426134,A81000B,01100,0300,CELL PHONE 426134,A81000B,01200,0300,OFFICE EXPENSE 426134,A81000B,01300,0300,INSURANCE 426134,A81000B,01400,0300,TRANSPORTATION 426134,A81000B,01500,0300,SUPERIOR KITCHEN 426134,A81000B,01600,0300,TRANSPORTATION 426134,A81000B,01700,0300,FLOWERS 426134,A81000B,01800,0300,PROPERTY TAXES 426134,A81000B,01900,0300,DEPRECIATION MOVABLE EQUIPMENT - PER 426134,A81000B,02000,0300,SALARY - OWNER 426134,A81000B,02100,0300,SALARY - SPOUSE OF OWNER 426134,A81000B,02200,0300,C&M NURSING SUPPLIES 426134,A81000B,02300,0300,PH MAINTENANCE PURCHASED 426134,A81000B,02400,0300,PH MAINTENANCE PURCHASED 426134,A81000B,02500,0300,SALARY - DAUGHTER 426134,A81000B,02600,0300,SALARY - GRANDDAUGHTER 426134,A81000B,02700,0300,SALARY - GRANDDAUGHTER 426134,A81000B,02800,0300,SALARY - SON-IN- LAW 426134,A81000C,00100,0100,A 426134,A81000C,00100,0400,COOK WILLOW REALTY 426134,A81000C,00100,0600,REALTY COMPANY 426134,A81000C,00200,0100,A 426134,A81000C,00200,0400,COOK WILLOW REALTY 426134,A81000C,00200,0600,REALTY COMPANY 426134,A81000C,00300,0100,A 426134,A81000C,00300,0400,COOK WILLOW REALTY 426134,A81000C,00300,0600,REALTY COMPANY 426134,A81000C,00400,0100,A 426134,A81000C,00400,0400,COOK WILLOW REALTY 426134,A81000C,00400,0600,REALTY COMPANY 426134,A81000C,00500,0100,A 426134,A81000C,00500,0400,COOK WILLOW REALTY 426134,A81000C,00500,0600,REALTY COMPANY 426134,A81000C,00600,0100,A 426134,A81000C,00600,0400,COOK WILLOW REALTY 426134,A81000C,00600,0600,REALTY COMPANY 426134,A81000C,00700,0100,A 426134,A81000C,00700,0400,COOK WILLOW REALTY 426134,A81000C,00700,0600,REALTY COMPANY 426134,A81000C,00800,0100,A 426134,A81000C,00800,0400,COOK WILLOW REALTY 426134,A81000C,00800,0600,REALTY COMPANY 426134,A81000C,00900,0100,A 426134,A81000C,00900,0400,COOK WILLOW REALTY 426134,A81000C,00900,0600,REALTY COMPANY 426134,A81000C,01000,0100,A 426134,A81000C,01000,0400,COOK WILLOW REALTY 426134,A81000C,01000,0600,REALTY COMPANY 426134,A81000C,01001,0100,A 426134,A81000C,01001,0400,COOK S HOME HEALTH CENTER 426134,A81000C,01001,0600,HOME CARE SERVICES 426134,A81000C,01002,0100,A 426134,A81000C,01002,0400,COOK S HOME HEALTH CENTER 426134,A81000C,01002,0600,HOME CARE SERVICES 426134,A81000C,01003,0100,A 426134,A81000C,01003,0400,COOK S HOME HEALTH CENTER 426134,A81000C,01003,0600,HOME CARE SERVICES 426134,A81000C,01004,0100,A 426134,A81000C,01004,0400,COOK S HOME HEALTH CENTER 426134,A81000C,01004,0600,HOME CARE SERVICES 426134,A81000C,01005,0100,A 426134,A81000C,01005,0400,COOK S HOME HEALTH CENTER 426134,A81000C,01005,0600,HOME CARE SERVICES 426134,A81000C,01006,0100,A 426134,A81000C,01006,0400,COOK S TRANSPORTATION 426134,A81000C,01006,0600,TRANSPORTATION 426134,A81000C,01007,0100,A 426134,A81000C,01007,0400,OLD MACDONALD S FARM 426134,A81000C,01007,0600,FARM 426134,A81000C,01008,0100,A 426134,A81000C,01008,0200,SUSAN MACDONALD 426134,A81000C,01008,0600,OWNER 426134,A81000C,01009,0100,A 426134,A81000C,01009,0200,SUSAN MACDONALD 426134,A81000C,01009,0600,OWNER 426134,A81000C,01010,0100,A 426134,A81000C,01010,0200,SUSAN MACDONALD 426134,A81000C,01010,0600,OWNER 426134,A81000C,01011,0100,F 426134,A81000C,01011,0200,WALTER MACDONALD 426134,A81000C,01011,0600,OWNER S HUSBAND 426134,A81000C,01012,0100,A 426134,A81000C,01012,0400,COOK & MACDONALD 426134,A81000C,01012,0600,MEDICAL SUPPLY COMPANY 426134,A81000C,01013,0100,A 426134,A81000C,01013,0400,PINE HILL BUILDING AND DE 426134,A81000C,01013,0600,MAINTENANCE 426134,A81000C,01014,0100,A 426134,A81000C,01014,0400,PINE HILL BUILDING AND DE 426134,A81000C,01014,0600,MAINTENANCE 426134,A81000C,01015,0100,F 426134,A81000C,01015,0200,JENESSA LECLAIR 426134,A81000C,01015,0600,OWNER S DAUGHTER 426134,A81000C,01016,0100,F 426134,A81000C,01016,0200,ASHLEY BALNIS 426134,A81000C,01016,0600,OWNER S GRANDDAUGHTER 426134,A81000C,01017,0100,F 426134,A81000C,01017,0200,JENNIFER ARMSTRONG 426134,A81000C,01017,0600,OWNER S GRANDDAUGHTER 426134,A81000C,01018,0100,F 426134,A81000C,01018,0200,ERNIE LECLAIR 426134,A81000C,01018,0600,OWNER S SON-IN-LAW 426134,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426134,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426134,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426134,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426134,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426134,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426134,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426134,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426134,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426134,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426134,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426134,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426134,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 426134,G300000,02500,0000,INTEREST INCOME 426134,G300000,02501,0000,M.O.W. INCOME 426134,G300000,02502,0000,MISCELLANEOUS INCOME 426134,S000000,00100,0200,02/06/12 426134,S200000,00100,0100,81 HILLSIDE AVENUE 426134,S200000,00200,0100,PLYMOUTH 426134,S200000,00200,0200,CT 426134,S200000,00200,0300,06782 426134,S200000,00300,0100,LITCHFIELD 426134,S200000,00300,0201,00007 426134,S200000,00300,0300,U 426134,S200000,00400,0100,COOK WILLOW CONVALESCENT HOSPITAL 426134,S200000,00400,0200,075349 426134,S200000,00400,0300,10/01/91 426134,S200000,00400,0500,P 426134,S200000,01500,0100,Y 426134,S200000,01502,0200,Y 426134,S200000,01504,0200,Y 426134,S200000,01600,0100,N 426134,S200000,01700,0100,N 426134,S200000,01800,0100,N 426134,S200000,02200,0100,N 426134,S200000,02800,0100,N 426134,S200000,02900,0100,N 426134,S200000,03000,0100,N 426134,S200000,03100,0100,N 426134,S200000,03200,0100,N 426134,S200000,03300,0100,N 426134,S200000,03300,0200,N 426134,S200000,04100,0100,N 426134,S200000,04200,0100,N 426134,S200000,04300,0100,N 426134,S200000,04600,0100,N 426134,S200000,04700,0100,N 426134,S200000,04700,0200,N 426134,S200000,04900,0100,N 426134,S200000,05000,0100,N 426134,S200000,05100,0100,N 426134,S200000,05200,0100,N 426134,S200000,05300,0100,N 426135,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426135,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426135,A000000,00300,0000,0300EMPLOYEE BENEFITS 426135,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426135,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426135,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426135,A000000,00700,0000,0700HOUSEKEEPING 426135,A000000,00800,0000,0800DIETARY 426135,A000000,00900,0000,0900NURSING ADMINISTRATION 426135,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426135,A000000,01100,0000,1100PHARMACY 426135,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426135,A000000,01300,0000,1300SOCIAL SERVICE 426135,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426135,A000000,01500,0000,1350PATIENT ACTIVITIES 426135,A000000,01600,0000,1600SKILLED NURSING FACILITY 426135,A000000,01810,0000,1810ICF/MR 426135,A000000,02100,0000,2100RADIOLOGY 426135,A000000,02200,0000,2200LABORATORY 426135,A000000,02300,0000,2300INTRAVENOUS THERAPY 426135,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426135,A000000,02500,0000,2500PHYSICAL THERAPY 426135,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426135,A000000,02700,0000,2700SPEECH PATHOLOGY 426135,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426135,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426135,A000000,03550,0000,3550FQHC 426135,A000000,05000,0000,5000CORF 426135,A000000,05010,0000,5010CMHC 426135,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426135,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426135,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426135,A000000,05100,0000,4750INTEREST EXPENSE 426135,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426135,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426135,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426135,A81000A,00100,0100,Y 426135,A81000B,00100,0300,MANAGEMENT FEES 426135,A81000B,00200,0300,PHYSICAL THERAPY 426135,A81000B,00300,0300,ADMIN & GENERAL 426135,A81000B,00400,0300,DIETARY 426135,A81000B,00500,0300,SOCIAL SERVICE 426135,A81000B,00600,0300,PHYSICAL THERAPY 426135,A81000B,00700,0300,SPEECH THERAPY 426135,A81000B,00800,0300,OCCUPATIONAL THERAPY 426135,A81000B,00900,0300,NURSING 426135,A81000C,00100,0100,A 426135,A81000C,00100,0200,LAWRENCE SANTIL 426135,A81000C,00200,0100,A 426135,A81000C,00200,0200,GUARD LE SANTIL 426135,A81000C,00300,0100,A 426135,A81000C,00300,0200,ALAN LOVERIDGE 426135,A81000C,00400,0100,A 426135,A81000C,00400,0200,JOHN MAHANEY 426135,A81000C,00500,0100,A 426135,A81000C,00500,0200,MARGARET MAHANE 426135,A81000C,00600,0100,A 426135,A81000C,00600,0200,JOHN NOCERA 426135,A81000C,00700,0100,A 426135,A81000C,00700,0200,WILLIAM THOMAS 426135,A81000C,00800,0100,A 426135,A81000C,00800,0200,RUSSELL SCHWART 426135,A81000C,00900,0100,A 426135,A81000C,00900,0200,JOSEPH COLACI 426135,A81000C,01000,0100,A 426135,A81000C,01000,0200,BARBARA COSGROV 426135,A81000C,01001,0100,A 426135,A81000C,01001,0200,SANDY AFFENIOT 426135,A81000C,01002,0100,A 426135,A81000C,01002,0200,THOMAS CANTONE 426135,A81000C,01003,0100,A 426135,A81000C,01003,0200,FRANCES PATRIZZ 426135,A81000C,01004,0100,A 426135,A81000C,01004,0200,CHAKALOS NURSIN 426135,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426135,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426135,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426135,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426135,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426135,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426135,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426135,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426135,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426135,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426135,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426135,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426135,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426135,G300000,02500,0000,FEE INCOME DIRECT 426135,G300000,02501,0000,INTEREST INCOME 426135,G300000,02502,0000,FEE INCOME A&G 426135,G300000,02503,0000,FEE INCOME THERAPY 426135,G300000,02504,0000,MISC INCOME 426135,S000000,00100,0200,02/08/12 426135,S200000,00100,0100,321 STONECREST DRIVE 426135,S200000,00200,0100,BRISTOL 426135,S200000,00200,0200,CT 426135,S200000,00200,0300,06010 426135,S200000,00300,0100,HARTFORD 426135,S200000,00300,0201,25540 426135,S200000,00300,0300,U 426135,S200000,00400,0100,SHERIDEN WOODS HEALTH CARE CENTER 426135,S200000,00400,0200,075350 426135,S200000,00400,0300,10/01/91 426135,S200000,00400,0500,P 426135,S200000,01500,0100,Y 426135,S200000,01501,0200,N 426135,S200000,01502,0200,N 426135,S200000,01503,0200,N 426135,S200000,01504,0200,N 426135,S200000,01600,0100,N 426135,S200000,01700,0100,N 426135,S200000,01800,0100,N 426135,S200000,02200,0100,N 426135,S200000,02800,0100,N 426135,S200000,02900,0100,N 426135,S200000,03000,0100,N 426135,S200000,03100,0100,N 426135,S200000,03200,0100,N 426135,S200000,03300,0100,N 426135,S200000,03300,0200,N 426135,S200000,04100,0100,N 426135,S200000,04200,0100,N 426135,S200000,04300,0100,N 426135,S200000,04600,0100,N 426135,S200000,04700,0100,N 426135,S200000,04700,0200,N 426135,S200000,04900,0100,N 426135,S200000,05000,0100,N 426135,S200000,05100,0100,N 426135,S200000,05200,0100,N 426135,S200000,05300,0100,Y 426135,S200000,05300,0200,07-111 426135,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426135,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426135,S200000,05400,0300,13101 426135,S200000,05500,0100,300 QUEEN STREET 426135,S200000,05600,0100,SOUTHINGTON 426135,S200000,05600,0200,CT 426135,S200000,05600,0300,06489 426136,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426136,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426136,A000000,00300,0000,0300EMPLOYEE BENEFITS 426136,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426136,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426136,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426136,A000000,00700,0000,0700HOUSEKEEPING 426136,A000000,00800,0000,0800DIETARY 426136,A000000,00900,0000,0900NURSING ADMINISTRATION 426136,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426136,A000000,01100,0000,1100PHARMACY 426136,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426136,A000000,01300,0000,1300SOCIAL SERVICE 426136,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426136,A000000,01500,0000,1350PATIENT ACTIVITIES 426136,A000000,01600,0000,1600SKILLED NURSING FACILITY 426136,A000000,01810,0000,1810ICF/MR 426136,A000000,02100,0000,2100RADIOLOGY 426136,A000000,02200,0000,2200LABORATORY 426136,A000000,02300,0000,2300INTRAVENOUS THERAPY 426136,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426136,A000000,02500,0000,2500PHYSICAL THERAPY 426136,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426136,A000000,02700,0000,2700SPEECH PATHOLOGY 426136,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426136,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426136,A000000,03550,0000,3550FQHC 426136,A000000,03600,0000,3451ADMIN & GENERAL-HHA 426136,A000000,03601,0000,3450OTHER OUTPATIENT SERVICE COST CE 426136,A000000,04800,0000,4800AMBULANCE 426136,A000000,05000,0000,5000CORF 426136,A000000,05010,0000,5010CMHC 426136,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426136,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426136,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426136,A000000,05100,0000,4750INTEREST EXPENSE 426136,A000000,05101,0000,4751INTEREST EXPENSE 426136,A000000,05102,0000,4752OTHER REIMBURSABLE COST CENTERS 426136,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426136,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426136,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426136,A000000,06200,0000,6200PATIENTS LAUNDRY 426136,A81000A,00100,0100,Y 426136,A81000B,00100,0300,MANAGEMENT FEES 426136,A81000B,00200,0300,PHYSICAL THERAPY 426136,A81000B,00300,0300,ADMIN & GENERAL 426136,A81000B,00400,0300,DIETARY 426136,A81000B,00500,0300,SOCIAL SERVICES 426136,A81000B,00600,0300,PHYSICAL THERAPY 426136,A81000B,00700,0300,OCCUPATIONAL THERAPY 426136,A81000B,00800,0300,SPEECH THERAPY 426136,A81000B,00900,0300,NURSING 426136,A81000C,00100,0100,A 426136,A81000C,00100,0200,LAWRENCE G SANT 426136,A81000C,00100,0400,ATHENA HEALTH C 426136,A81000C,00100,0600,MANAGEMENT CO 426136,A81000C,00200,0100,A 426136,A81000C,00200,0200,GUARD LE SANTIL 426136,A81000C,00300,0100,A 426136,A81000C,00300,0200,ALAN H LOVERIDG 426136,A81000C,00400,0100,A 426136,A81000C,00400,0200,JOHN D MAHANEY 426136,A81000C,00500,0100,A 426136,A81000C,00500,0200,MARGARET MAHANE 426136,A81000C,00600,0100,A 426136,A81000C,00600,0200,JOHN B NOCERA J 426136,A81000C,00700,0100,A 426136,A81000C,00700,0200,O JOSEPH BIZZOZ 426136,A81000C,00800,0100,A 426136,A81000C,00800,0200,A JOSEPH CAPPEL 426136,A81000C,00900,0100,A 426136,A81000C,00900,0200,ABBOTT INVESTME 426136,A81000C,01000,0100,A 426136,A81000C,01000,0200,WILLIAM S THOMA 426136,A81000C,01001,0100,A 426136,A81000C,01001,0200,CHAKALOS NURSIN 426136,A81000C,01002,0100,A 426136,A81000C,01002,0200,TERESA SKINNER 426136,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426136,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426136,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426136,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426136,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426136,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426136,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426136,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426136,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426136,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426136,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426136,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426136,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426136,G300000,02500,0000,CHILD DAY CARE INCOME 426136,G300000,02501,0000,ADULT DAY CARE INCOME 426136,G300000,02502,0000,BAD DEBT RECOVERIES 426136,G300000,02503,0000,INTEREST INCOME 426136,G300000,02504,0000,FEE INCOME 426136,G300000,02505,0000,MISCELLANEOUS INCOME 426136,S000000,00100,0200,02/08/12 426136,S200000,00100,0100,44 ABBOTT TERRACE 426136,S200000,00200,0100,WATERBURY 426136,S200000,00200,0200,CT 426136,S200000,00200,0300,06702 426136,S200000,00300,0100,NEW HAVEN 426136,S200000,00300,0201,35300 426136,S200000,00300,0300,U 426136,S200000,00400,0100,ABBOTT TERRACE HEALTH CENTER 426136,S200000,00400,0200,075351 426136,S200000,00400,0300,10/01/91 426136,S200000,00400,0500,P 426136,S200000,01500,0100,Y 426136,S200000,01501,0200,N 426136,S200000,01502,0200,N 426136,S200000,01503,0200,N 426136,S200000,01504,0200,N 426136,S200000,01600,0100,N 426136,S200000,01700,0100,N 426136,S200000,01800,0100,N 426136,S200000,02200,0100,N 426136,S200000,02800,0100,N 426136,S200000,02900,0100,N 426136,S200000,03000,0100,N 426136,S200000,03100,0100,N 426136,S200000,03200,0100,N 426136,S200000,03300,0100,N 426136,S200000,03300,0200,N 426136,S200000,04100,0100,N 426136,S200000,04200,0100,N 426136,S200000,04300,0100,N 426136,S200000,04600,0100,N 426136,S200000,04700,0100,N 426136,S200000,04700,0200,N 426136,S200000,04900,0100,N 426136,S200000,05000,0100,N 426136,S200000,05100,0100,N 426136,S200000,05200,0100,N 426136,S200000,05300,0100,Y 426136,S200000,05300,0200,07-111 426136,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426136,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426136,S200000,05400,0300,13101 426136,S200000,05500,0100,300 QUEEN STREET 426136,S200000,05600,0100,SOUTHINGTON 426136,S200000,05600,0200,CT 426136,S200000,05600,0300,06489 426137,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426137,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426137,A000000,00300,0000,0300EMPLOYEE BENEFITS 426137,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426137,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426137,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426137,A000000,00700,0000,0700HOUSEKEEPING 426137,A000000,00800,0000,0800DIETARY 426137,A000000,00900,0000,0900NURSING ADMINISTRATION 426137,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426137,A000000,01100,0000,1100PHARMACY 426137,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426137,A000000,01300,0000,1300SOCIAL SERVICE 426137,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426137,A000000,01500,0000,1350PATIENT ACTIVITIES 426137,A000000,01600,0000,1600SKILLED NURSING FACILITY 426137,A000000,01800,0000,1800NURSING FACILITY 426137,A000000,01810,0000,1810ICF/MR 426137,A000000,02100,0000,2100RADIOLOGY 426137,A000000,02200,0000,2200LABORATORY 426137,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426137,A000000,02500,0000,2500PHYSICAL THERAPY 426137,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426137,A000000,02700,0000,2700SPEECH PATHOLOGY 426137,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426137,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426137,A000000,03550,0000,3550FQHC 426137,A000000,04800,0000,4800AMBULANCE 426137,A000000,05000,0000,5000CORF 426137,A000000,05010,0000,5010CMHC 426137,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426137,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426137,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426137,A000000,05100,0000,4750INTEREST EXPENSE 426137,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426137,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426137,A81000A,00100,0100,Y 426137,A81000B,00100,0300,RENT EXPENSE 426137,A81000B,00200,0300,DEPRECIATION-BLDG 426137,A81000C,00100,0100,F 426137,A81000C,00100,0200,DAVE SCHUPP 426137,A81000C,00100,0400,BAYGRAPE 426137,A81000C,00100,0600,LAND BLDG EQUIP 426137,A81000C,00200,0100,F 426137,A81000C,00200,0200,SAM PAUL 426137,A81000C,00200,0400,BAYGRAPE 426137,A81000C,00200,0600,LAND BLDG EQUIP 426137,A81000C,00300,0100,F 426137,A81000C,00300,0200,JOHN PASSALACQU 426137,A81000C,00300,0400,BAYGRAPE 426137,A81000C,00300,0600,LAND BLDG EQUIP 426137,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426137,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426137,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426137,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426137,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426137,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426137,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426137,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426137,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426137,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426137,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426137,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426137,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426137,G300000,02500,0000,INTEREST INCOME 426137,G300000,02501,0000,FEE INCOME A & G 426137,G300000,02502,0000,FEE INCOME DIRECT 426137,G300000,02503,0000,FEE INCOME INDIRECT 426137,G300000,02504,0000,FEE INCOME THERAPY 426137,G300000,02505,0000,MISC INCOME 426137,S000000,00100,0200,02/08/12 426137,S200000,00100,0100,350 SALMON BROOK STREET 426137,S200000,00200,0100,GRANBY 426137,S200000,00200,0200,CT 426137,S200000,00200,0300,06035 426137,S200000,00300,0100,HARTFORD 426137,S200000,00300,0201,25540 426137,S200000,00300,0300,U 426137,S200000,00400,0100,MEADOWBROOK OF GRANBY 426137,S200000,00400,0200,075367 426137,S200000,00400,0300,11/20/91 426137,S200000,00400,0500,P 426137,S200000,01500,0100,Y 426137,S200000,01501,0200,N 426137,S200000,01502,0200,N 426137,S200000,01503,0200,N 426137,S200000,01504,0200,N 426137,S200000,01600,0100,N 426137,S200000,01700,0100,N 426137,S200000,01800,0100,N 426137,S200000,02200,0100,N 426137,S200000,02800,0100,N 426137,S200000,02900,0100,N 426137,S200000,03000,0100,N 426137,S200000,03100,0100,N 426137,S200000,03200,0100,N 426137,S200000,03300,0100,N 426137,S200000,03300,0200,N 426137,S200000,04100,0100,N 426137,S200000,04200,0100,N 426137,S200000,04300,0100,N 426137,S200000,04600,0100,N 426137,S200000,04700,0100,N 426137,S200000,04700,0200,N 426137,S200000,04900,0100,N 426137,S200000,05000,0100,N 426137,S200000,05100,0100,N 426137,S200000,05200,0100,N 426138,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426138,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426138,A000000,00300,0000,0300EMPLOYEE BENEFITS 426138,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426138,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426138,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426138,A000000,00700,0000,0700HOUSEKEEPING 426138,A000000,00800,0000,0800DIETARY 426138,A000000,00900,0000,0900NURSING ADMINISTRATION 426138,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426138,A000000,01100,0000,1100PHARMACY 426138,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426138,A000000,01300,0000,1300SOCIAL SERVICE 426138,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426138,A000000,01500,0000,1350PATIENT ACTIVITIES 426138,A000000,01600,0000,1600SKILLED NURSING FACILITY 426138,A000000,01810,0000,1810ICF/MR 426138,A000000,02100,0000,2100RADIOLOGY 426138,A000000,02200,0000,2200LABORATORY 426138,A000000,02300,0000,2300INTRAVENOUS THERAPY 426138,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426138,A000000,02500,0000,2500PHYSICAL THERAPY 426138,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426138,A000000,02700,0000,2700SPEECH PATHOLOGY 426138,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426138,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426138,A000000,03550,0000,3550FQHC 426138,A000000,04800,0000,4800AMBULANCE 426138,A000000,05000,0000,5000CORF 426138,A000000,05010,0000,5010CMHC 426138,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426138,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426138,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426138,A000000,05100,0000,4750INTEREST EXPENSE 426138,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426138,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426138,A81000A,00100,0100,Y 426138,A81000B,00100,0300,MANAGEMENT FEES 426138,A81000B,00200,0300,RENT EXPENSE - LAND 426138,A81000B,00300,0300,PHYSICAL THERAPY 426138,A81000B,00400,0300,ADMIN & GENERAL 426138,A81000B,00500,0300,SOCIAL SERVICES 426138,A81000B,00600,0300,PHYSICAL THERAPY 426138,A81000B,00700,0300,SPEECH THERAPY 426138,A81000B,00800,0300,OCCUPATIONAL THERAPY 426138,A81000B,00900,0300,NUSRING 426138,A81000C,00100,0100,A 426138,A81000C,00100,0200,LAWRENCE G SANT 426138,A81000C,00100,0400,ATHENA HEALTH C 426138,A81000C,00100,0600,MANAGEMENT CO 426138,A81000C,00200,0100,A 426138,A81000C,00200,0200,GUARD FOR LE SA 426138,A81000C,00300,0100,A 426138,A81000C,00300,0200,CHAKALOS NURSIN 426138,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426138,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426138,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426138,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426138,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426138,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426138,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426138,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426138,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426138,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426138,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426138,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426138,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426138,G300000,02500,0000,FEE INCOME DIRECT 426138,G300000,02501,0000,BAD DEBT RECOVERIES 426138,G300000,02502,0000,INTEREST INCOME 426138,G300000,02503,0000,FEE INCOME A&G 426138,G300000,02504,0000,FEE INCOME DIRECT 426138,G300000,02505,0000,FEE INCOME THERAPIES 426138,G300000,02506,0000,MISC INCOME 426138,S000000,00100,0200,02/08/12 426138,S200000,00100,0100,41 SKOKORAT STREET 426138,S200000,00200,0100,SEYMOUR 426138,S200000,00200,0200,CT 426138,S200000,00200,0300,06483 426138,S200000,00300,0100,NEW HAVEN 426138,S200000,00300,0201,35300 426138,S200000,00300,0300,U 426138,S200000,00400,0100,SHADY KNOLL HEALTH CARE CENTER 426138,S200000,00400,0200,075386 426138,S200000,00400,0300,06/09/93 426138,S200000,00400,0500,P 426138,S200000,01500,0100,Y 426138,S200000,01501,0200,N 426138,S200000,01502,0200,N 426138,S200000,01503,0200,N 426138,S200000,01504,0200,N 426138,S200000,01600,0100,N 426138,S200000,01700,0100,N 426138,S200000,01800,0100,N 426138,S200000,02200,0100,N 426138,S200000,02800,0100,Y 426138,S200000,02900,0100,N 426138,S200000,03000,0100,N 426138,S200000,03100,0100,N 426138,S200000,03200,0100,N 426138,S200000,03300,0100,N 426138,S200000,03300,0200,N 426138,S200000,04100,0100,N 426138,S200000,04200,0100,N 426138,S200000,04300,0100,N 426138,S200000,04600,0100,N 426138,S200000,04700,0100,N 426138,S200000,04700,0200,N 426138,S200000,04900,0100,N 426138,S200000,05000,0100,N 426138,S200000,05100,0100,N 426138,S200000,05200,0100,N 426138,S200000,05300,0100,Y 426138,S200000,05300,0200,07-111 426138,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426138,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426138,S200000,05400,0300,13101 426138,S200000,05500,0100,300 QUEEN STREET 426138,S200000,05600,0100,SOUTHINGTON 426138,S200000,05600,0200,CT 426138,S200000,05600,0300,06410 426139,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426139,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426139,A000000,00300,0000,0300EMPLOYEE BENEFITS 426139,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426139,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426139,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426139,A000000,00700,0000,0700HOUSEKEEPING 426139,A000000,00800,0000,0800DIETARY 426139,A000000,00900,0000,0900NURSING ADMINISTRATION 426139,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426139,A000000,01100,0000,1100PHARMACY 426139,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426139,A000000,01300,0000,1300SOCIAL SERVICE 426139,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426139,A000000,01500,0000,1350PATIENT ACTIVITIES 426139,A000000,01600,0000,1600SKILLED NURSING FACILITY 426139,A000000,01810,0000,1810ICF/MR 426139,A000000,02100,0000,2100RADIOLOGY 426139,A000000,02200,0000,2200LABORATORY 426139,A000000,02300,0000,2300INTRAVENOUS THERAPY 426139,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426139,A000000,02500,0000,2500PHYSICAL THERAPY 426139,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426139,A000000,02700,0000,2700SPEECH PATHOLOGY 426139,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426139,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426139,A000000,03550,0000,3550FQHC 426139,A000000,04800,0000,4800AMBULANCE 426139,A000000,05000,0000,5000CORF 426139,A000000,05010,0000,5010CMHC 426139,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426139,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426139,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426139,A000000,05100,0000,4750INTEREST EXPENSE 426139,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426139,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426139,A81000A,00100,0100,N 426139,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426139,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426139,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426139,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426139,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426139,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426139,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426139,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426139,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426139,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426139,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426139,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426139,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426139,G300000,02500,0000,FEE INCOME DIRECT 426139,G300000,02501,0000,BAD DEBT RECOVERIES 426139,G300000,02502,0000,INTEREST INCOME 426139,G300000,02503,0000,FEE INCOME A&G 426139,G300000,02504,0000,FEE INCOME THERAPY 426139,G300000,02505,0000,MISCELLANEOUS INCOME 426139,S000000,00100,0200,02/08/12 426139,S200000,00100,0100,89 WEID DRIVE 426139,S200000,00200,0100,NAUGATUCK 426139,S200000,00200,0200,CT 426139,S200000,00200,0300,06770 426139,S200000,00300,0100,NEW HAVEN 426139,S200000,00300,0201,35300 426139,S200000,00300,0300,U 426139,S200000,00400,0100,BEACON BROOK HEALTH CARE CENTER 426139,S200000,00400,0200,075390 426139,S200000,00400,0300,11/23/93 426139,S200000,00400,0500,P 426139,S200000,01500,0100,Y 426139,S200000,01501,0200,N 426139,S200000,01502,0200,N 426139,S200000,01503,0200,N 426139,S200000,01504,0200,N 426139,S200000,01600,0100,N 426139,S200000,01700,0100,N 426139,S200000,01800,0100,N 426139,S200000,02200,0100,N 426139,S200000,02800,0100,Y 426139,S200000,02900,0100,N 426139,S200000,03000,0100,N 426139,S200000,03100,0100,N 426139,S200000,03200,0100,N 426139,S200000,03300,0100,N 426139,S200000,03300,0200,N 426139,S200000,04100,0100,N 426139,S200000,04200,0100,N 426139,S200000,04300,0100,N 426139,S200000,04600,0100,N 426139,S200000,04700,0100,N 426139,S200000,04700,0200,N 426139,S200000,04900,0100,N 426139,S200000,05000,0100,N 426139,S200000,05100,0100,N 426139,S200000,05200,0100,N 426139,S200000,05300,0100,N 426140,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426140,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426140,A000000,00300,0000,0300EMPLOYEE BENEFITS 426140,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426140,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426140,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426140,A000000,00700,0000,0700HOUSEKEEPING 426140,A000000,00800,0000,0800DIETARY 426140,A000000,00900,0000,0900NURSING ADMINISTRATION 426140,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426140,A000000,01100,0000,1100PHARMACY 426140,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426140,A000000,01300,0000,1300SOCIAL SERVICE 426140,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426140,A000000,01500,0000,1350PATIENT ACTIVITIES 426140,A000000,01600,0000,1600SKILLED NURSING FACILITY 426140,A000000,01800,0000,1800NURSING FACILITY 426140,A000000,01810,0000,1810ICF/MR 426140,A000000,02100,0000,2100RADIOLOGY 426140,A000000,02200,0000,2200LABORATORY 426140,A000000,02300,0000,2300INTRAVENOUS THERAPY 426140,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426140,A000000,02500,0000,2500PHYSICAL THERAPY 426140,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426140,A000000,02700,0000,2700SPEECH PATHOLOGY 426140,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426140,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426140,A000000,03550,0000,3550FQHC 426140,A000000,04800,0000,4800AMBULANCE 426140,A000000,05000,0000,5000CORF 426140,A000000,05010,0000,5010CMHC 426140,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426140,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426140,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426140,A000000,05100,0000,4750INTEREST EXPENSE 426140,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426140,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426140,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426140,A81000A,00100,0100,Y 426140,A81000B,00100,0300,MANAGEMENT FEES 426140,A81000B,00200,0300,PHYSICAL THERAPY 426140,A81000B,00300,0300,ADMIN & GENERAL 426140,A81000B,00400,0300,PHYSICAL THERAPY 426140,A81000B,00500,0300,OCCUPATIONAL THERAPY 426140,A81000B,00600,0300,NURSING 426140,A81000C,00100,0100,A 426140,A81000C,00100,0200,LAWRENCE G SANT 426140,A81000C,00100,0400,ATHENA HEALTH C 426140,A81000C,00100,0600,MANAGEMENT CO 426140,A81000C,00200,0100,A 426140,A81000C,00200,0200,MIDDLESEX CCH G 426140,A81000C,00300,0100,A 426140,A81000C,00300,0200,1995 DONNA REIS 426140,A81000C,00400,0100,A 426140,A81000C,00400,0200,L&F SCHWARTZ FA 426140,A81000C,00500,0100,A 426140,A81000C,00500,0200,CHAKALOS NURSIN 426140,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426140,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426140,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426140,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426140,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426140,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426140,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426140,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426140,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426140,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426140,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426140,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426140,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426140,G300000,02500,0000,INTEREST INCOME 426140,G300000,02501,0000,FEE INCOME A&G 426140,G300000,02502,0000,FEE INCOME THERAPY 426140,G300000,02503,0000,MISCELLANEOUS INCOME 426140,S000000,00100,0200,02/08/12 426140,S200000,00100,0100,642 DANBURY ROAD 426140,S200000,00200,0100,RIDGEFIELD 426140,S200000,00200,0200,CT 426140,S200000,00200,0300,06877 426140,S200000,00300,0100,FAIRFIELD 426140,S200000,00300,0201,14860 426140,S200000,00300,0300,U 426140,S200000,00400,0100,LAUREL RIDGE HEALTH CARE CENTER 426140,S200000,00400,0200,075395 426140,S200000,00400,0300,01/12/01 426140,S200000,00400,0500,P 426140,S200000,01500,0100,Y 426140,S200000,01501,0200,N 426140,S200000,01502,0200,N 426140,S200000,01503,0200,N 426140,S200000,01504,0200,N 426140,S200000,01600,0100,N 426140,S200000,01700,0100,N 426140,S200000,01800,0100,N 426140,S200000,02200,0100,N 426140,S200000,02800,0100,N 426140,S200000,02900,0100,N 426140,S200000,03000,0100,N 426140,S200000,03100,0100,N 426140,S200000,03200,0100,N 426140,S200000,03300,0100,N 426140,S200000,03300,0200,N 426140,S200000,04100,0100,N 426140,S200000,04200,0100,N 426140,S200000,04300,0100,N 426140,S200000,04600,0100,N 426140,S200000,04700,0100,N 426140,S200000,04700,0200,N 426140,S200000,04900,0100,N 426140,S200000,05000,0100,N 426140,S200000,05100,0100,N 426140,S200000,05200,0100,N 426140,S200000,05300,0100,Y 426140,S200000,05300,0200,07-113 426140,S200000,05400,0100,ATHENA HEALTH CARE 426140,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426140,S200000,05400,0300,13101 426140,S200000,05500,0100,300 QUEEN STREET 426140,S200000,05600,0100,SOUTHINGTON 426140,S200000,05600,0200,CT 426140,S200000,05600,0300,06489 426141,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426141,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426141,A000000,00300,0000,0300EMPLOYEE BENEFITS 426141,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426141,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426141,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426141,A000000,00700,0000,0700HOUSEKEEPING 426141,A000000,00800,0000,0800DIETARY 426141,A000000,00900,0000,0900NURSING ADMINISTRATION 426141,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426141,A000000,01100,0000,1100PHARMACY 426141,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426141,A000000,01300,0000,1300SOCIAL SERVICE 426141,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426141,A000000,01500,0000,1350PATIENT ACTIVITIES 426141,A000000,01600,0000,1600SKILLED NURSING FACILITY 426141,A000000,01800,0000,1800NURSING FACILITY 426141,A000000,01810,0000,1810ICF/MR 426141,A000000,02100,0000,2100RADIOLOGY 426141,A000000,02200,0000,2200LABORATORY 426141,A000000,02300,0000,2300INTRAVENOUS THERAPY 426141,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426141,A000000,02500,0000,2500PHYSICAL THERAPY 426141,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426141,A000000,02700,0000,2700SPEECH PATHOLOGY 426141,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426141,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426141,A000000,03550,0000,3550FQHC 426141,A000000,05000,0000,5000CORF 426141,A000000,05010,0000,5010CMHC 426141,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426141,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426141,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426141,A000000,05100,0000,4750INTEREST EXPENSE 426141,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426141,A81000A,00100,0100,N 426141,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426141,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426141,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426141,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426141,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426141,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426141,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426141,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426141,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426141,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426141,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426141,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426141,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426141,G300000,02501,0000,INTEREST INCOME 426141,G300000,02502,0000,FEE INCOME A & G 426141,G300000,02503,0000,FEE INCOME DIRECT 426141,G300000,02504,0000,FEE INCOME THERAPY 426141,G300000,02505,0000,MISC INCOME 426141,S000000,00100,0200,02/08/12 426141,S200000,00100,0100,102 DYER AVENUE 426141,S200000,00200,0100,COLLINSVILLE 426141,S200000,00200,0200,CT 426141,S200000,00200,0300,06019 426141,S200000,00300,0100,HARTFORD 426141,S200000,00300,0201,25540 426141,S200000,00300,0300,U 426141,S200000,00400,0100,CHERRY BROOK HEALTH CARE CENTER 426141,S200000,00400,0200,075396 426141,S200000,00400,0300,01/27/94 426141,S200000,00400,0500,P 426141,S200000,01500,0100,Y 426141,S200000,01501,0200,N 426141,S200000,01502,0200,N 426141,S200000,01503,0200,N 426141,S200000,01504,0200,N 426141,S200000,01600,0100,N 426141,S200000,01700,0100,N 426141,S200000,01800,0100,N 426141,S200000,02200,0100,N 426141,S200000,02800,0100,N 426141,S200000,02900,0100,N 426141,S200000,03000,0100,N 426141,S200000,03100,0100,N 426141,S200000,03200,0100,N 426141,S200000,03300,0100,N 426141,S200000,03300,0200,N 426141,S200000,03600,0100,N 426141,S200000,03600,0200,N 426141,S200000,04100,0100,N 426141,S200000,04200,0100,N 426141,S200000,04300,0100,N 426141,S200000,04600,0100,N 426141,S200000,04700,0100,N 426141,S200000,04700,0200,N 426141,S200000,04900,0100,N 426141,S200000,05000,0100,N 426141,S200000,05100,0100,N 426141,S200000,05200,0100,N 426142,S000000,00100,0200,02/02/12 426142,S200000,00100,0100,72 CHURCH STREET 426142,S200000,00200,0100,PUTNAM 426142,S200000,00200,0200,CT 426142,S200000,00200,0300,06260-1810 426142,S200000,00400,0100,HOLY SPIRIT HEALTHCARE CENER 426142,S200000,00400,0300,01/30/96 426143,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426143,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426143,A000000,00300,0000,0300EMPLOYEE BENEFITS 426143,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426143,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426143,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426143,A000000,00700,0000,0700HOUSEKEEPING 426143,A000000,00800,0000,0800DIETARY 426143,A000000,00900,0000,0900NURSING ADMINISTRATION 426143,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426143,A000000,01100,0000,1100PHARMACY 426143,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426143,A000000,01300,0000,1300SOCIAL SERVICE 426143,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426143,A000000,01500,0000,1350RECREATION 426143,A000000,01600,0000,1600SKILLED NURSING FACILITY 426143,A000000,01800,0000,1800NURSING FACILITY 426143,A000000,01810,0000,1810ICF/MR 426143,A000000,01900,0000,1900OTHER LONG TERM CARE 426143,A000000,02100,0000,2100RADIOLOGY 426143,A000000,02200,0000,2200LABORATORY 426143,A000000,02300,0000,2300INTRAVENOUS THERAPY 426143,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426143,A000000,02500,0000,2500PHYSICAL THERAPY 426143,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426143,A000000,02700,0000,2700SPEECH PATHOLOGY 426143,A000000,02800,0000,2800ELECTROCARDIOLOGY 426143,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426143,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426143,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426143,A000000,03200,0000,3200SUPPORT SURFACES 426143,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426143,A000000,03400,0000,3400CLINIC 426143,A000000,03500,0000,3500RURAL HEALTH CLINIC 426143,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426143,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426143,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426143,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426143,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426143,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426143,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426143,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426143,A000000,04400,0000,4400DME RENTED - HHA 426143,A000000,04500,0000,4500DME SOLD - HHA 426143,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426143,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426143,A000000,04710,0000,4710TELEMEDICINE 426143,A000000,04800,0000,4800AMBULANCE 426143,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426143,A000000,05000,0000,5000CORF 426143,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426143,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426143,A000000,05300,0000,5300INTEREST EXPENSE 426143,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426143,A000000,05500,0000,5500HOSPICE 426143,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426143,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426143,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426143,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426143,A000000,06100,0000,6100NONPAID WORKERS 426143,A000000,06200,0000,6200PATIENTS LAUNDRY 426143,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426143,A81000A,00100,0100,Y 426143,A81000B,00100,0300,OWNERS SALARY 426143,A81000C,00100,0100,G 426143,A81000C,00100,0200,TED JACKSON 426143,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426143,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426143,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426143,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426143,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426143,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426143,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426143,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426143,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426143,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426143,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426143,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426143,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426143,G300000,02500,0000,OTHER INCOME 426143,G300000,02501,0000,INTEREST INCOME 426143,G300000,02502,0000,FEE DISCOUNTS 426143,G300000,02503,0000,PURCHASE DISCOUNTS 426143,S000000,00100,0200,02/06/12 426143,S200000,00100,0100,809 - R NEW HAVEN ROAD 426143,S200000,00200,0100,DURHAM 426143,S200000,00200,0200,CT 426143,S200000,00200,0300,06422 426143,S200000,00300,0100,HARTFORD 426143,S200000,00300,0201,25540 426143,S200000,00300,0300,U 426143,S200000,00400,0100,TWIN MAPLES HOME INC. 426143,S200000,00400,0200,075431 426143,S200000,00400,0300,12/12/02 426143,S200000,00400,0500,P 426143,S200000,01500,0100,Y 426143,S200000,01502,0200,Y 426143,S200000,01504,0200,Y 426143,S200000,01600,0100,N 426143,S200000,01700,0100,N 426143,S200000,01800,0100,N 426143,S200000,02200,0100,N 426143,S200000,02800,0100,N 426143,S200000,02900,0100,N 426143,S200000,03000,0100,N 426143,S200000,03100,0100,N 426143,S200000,03200,0100,N 426143,S200000,03300,0100,N 426143,S200000,03300,0200,N 426143,S200000,04100,0100,N 426143,S200000,04200,0100,N 426143,S200000,04300,0100,N 426143,S200000,04600,0100,N 426143,S200000,04700,0100,N 426143,S200000,04700,0200,N 426143,S200000,04900,0100,N 426143,S200000,05000,0100,N 426143,S200000,05100,0100,N 426143,S200000,05200,0100,N 426143,S200000,05300,0100,N 426145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426145,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426145,A000000,00300,0000,0300EMPLOYEE BENEFITS 426145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426145,A000000,00700,0000,0700HOUSEKEEPING 426145,A000000,00800,0000,0800DIETARY 426145,A000000,00900,0000,0900NURSING ADMINISTRATION 426145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426145,A000000,01100,0000,1100PHARMACY 426145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426145,A000000,01300,0000,1300SOCIAL SERVICE 426145,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426145,A000000,01500,0000,1350RECREATIONAL SERVICES 426145,A000000,01600,0000,1600SKILLED NURSING FACILITY 426145,A000000,01800,0000,1800NURSING FACILITY 426145,A000000,01810,0000,1810ICF/MR 426145,A000000,01900,0000,1900OTHER LONG TERM CARE 426145,A000000,02100,0000,2100RADIOLOGY 426145,A000000,02200,0000,2200LABORATORY 426145,A000000,02300,0000,2300INTRAVENOUS THERAPY 426145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426145,A000000,02500,0000,2500PHYSICAL THERAPY 426145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426145,A000000,02700,0000,2700SPEECH PATHOLOGY 426145,A000000,02800,0000,2800ELECTROCARDIOLOGY 426145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426145,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426145,A000000,03200,0000,3200SUPPORT SURFACES 426145,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426145,A000000,03400,0000,3400CLINIC 426145,A000000,03500,0000,3500RURAL HEALTH CLINIC 426145,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426145,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426145,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426145,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426145,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426145,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426145,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426145,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426145,A000000,04400,0000,4400DME RENTED - HHA 426145,A000000,04500,0000,4500DME SOLD - HHA 426145,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426145,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426145,A000000,04710,0000,4710TELEMEDICINE 426145,A000000,04800,0000,4800AMBULANCE 426145,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426145,A000000,05000,0000,5000CORF 426145,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426145,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426145,A000000,05300,0000,5300INTEREST EXPENSE 426145,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426145,A000000,05500,0000,5500HOSPICE 426145,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426145,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426145,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426145,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426145,A000000,06100,0000,6100NONPAID WORKERS 426145,A000000,06200,0000,6200PATIENTS LAUNDRY 426145,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426145,A81000A,00100,0100,Y 426145,A81000B,00100,0300,ANDREE ACAMPORA 426145,A81000B,00200,0300,COMPANION CARE OF CT 426145,A81000C,00100,0100,A 426145,A81000C,00100,0200,ANDREE ACAMPORA 426145,A81000C,00200,0100,D 426145,A81000C,00200,0400,COMPANION CARE 426145,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426145,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426145,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426145,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426145,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426145,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426145,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426145,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426145,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426145,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426145,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426145,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 426145,G300000,02501,0000,INTEREST INCOME 426145,G300000,02502,0000,EQUIPMENT RENTAL REBATE 426145,G300000,02503,0000,MEMORIAL DONATIONS 426145,S000000,00100,0200,01/30/12 426145,S200000,00100,0100,225 BOSTON POST ROAD 426145,S200000,00200,0100,ORANGE 426145,S200000,00200,0200,CT 426145,S200000,00200,0300,06477 426145,S200000,00300,0100,NEW HAVEN 426145,S200000,00300,0201,35300 426145,S200000,00300,0300,U 426145,S200000,00400,0100,ORANGE HEALTH CARE CENTER 426145,S200000,00400,0200,075434 426145,S200000,00400,0300,04/14/03 426145,S200000,00400,0500,P 426145,S200000,01500,0100,Y 426145,S200000,01502,0200,Y 426145,S200000,01504,0200,Y 426145,S200000,01600,0100,N 426145,S200000,01700,0100,N 426145,S200000,01800,0100,N 426145,S200000,02200,0100,N 426145,S200000,02800,0100,N 426145,S200000,02900,0100,N 426145,S200000,03000,0100,N 426145,S200000,03100,0100,N 426145,S200000,03200,0100,N 426145,S200000,03300,0100,N 426145,S200000,03300,0200,N 426145,S200000,04100,0100,N 426145,S200000,04200,0100,N 426145,S200000,04300,0100,N 426145,S200000,04600,0100,N 426145,S200000,04700,0100,N 426145,S200000,04700,0200,N 426145,S200000,04900,0100,N 426145,S200000,05000,0100,N 426145,S200000,05100,0100,N 426145,S200000,05200,0100,N 426145,S200000,05300,0100,N 426150,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426150,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426150,A000000,00300,0000,0300EMPLOYEE BENEFITS 426150,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426150,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426150,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426150,A000000,00700,0000,0700HOUSEKEEPING 426150,A000000,00800,0000,0800DIETARY 426150,A000000,00900,0000,0900NURSING ADMINISTRATION 426150,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426150,A000000,01100,0000,1100PHARMACY 426150,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426150,A000000,01300,0000,1300SOCIAL SERVICE 426150,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426150,A000000,01500,0000,1350RECREATION SERVICES 426150,A000000,01600,0000,1600SKILLED NURSING FACILITY 426150,A000000,01800,0000,1800NURSING FACILITY 426150,A000000,01810,0000,1810ICF/MR 426150,A000000,01900,0000,1900OTHER LONG TERM CARE 426150,A000000,02100,0000,2100RADIOLOGY 426150,A000000,02200,0000,2200LABORATORY 426150,A000000,02300,0000,2300INTRAVENOUS THERAPY 426150,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426150,A000000,02500,0000,2500PHYSICAL THERAPY 426150,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426150,A000000,02700,0000,2700SPEECH PATHOLOGY 426150,A000000,02800,0000,2800ELECTROCARDIOLOGY 426150,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426150,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426150,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426150,A000000,03200,0000,3200SUPPORT SURFACES 426150,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426150,A000000,03400,0000,3400CLINIC 426150,A000000,03500,0000,3500RURAL HEALTH CLINIC 426150,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426150,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426150,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426150,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426150,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426150,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426150,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426150,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426150,A000000,04400,0000,4400DME RENTED - HHA 426150,A000000,04500,0000,4500DME SOLD - HHA 426150,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426150,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426150,A000000,04710,0000,4710TELEMEDICINE 426150,A000000,04800,0000,4800AMBULANCE 426150,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426150,A000000,05000,0000,5000CORF 426150,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426150,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426150,A000000,05300,0000,5300INTEREST EXPENSE 426150,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426150,A000000,05500,0000,5500HOSPICE 426150,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426150,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426150,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426150,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426150,A000000,06100,0000,6100NONPAID WORKERS 426150,A000000,06200,0000,6200PATIENTS LAUNDRY 426150,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426150,A81000A,00100,0100,Y 426150,A81000B,00100,0300,REAL ESTATE TAXES 426150,A81000B,00200,0300,INSURANCE ON BUILDING 426150,A81000B,00300,0300,AMORTIZATION 426150,A81000B,00400,0300,SALARY 426150,A81000B,00500,0300,SALARY 426150,A81000B,00600,0300,INTEREST 426150,A81000B,00700,0300,RENT 426150,A81000C,00100,0100,C 426150,A81000C,00100,0400,CLINTONVILLE MANOR REALTY 426150,A81000C,00100,0600,REAL ESTATE COMPANY 426150,A81000C,00200,0100,C 426150,A81000C,00200,0400,CLINTONVILLE MANOR REALTY 426150,A81000C,00200,0600,REAL ESTATE COMPANY 426150,A81000C,00300,0100,C 426150,A81000C,00300,0400,CLINTONVILLE MANOR REALTY 426150,A81000C,00300,0600,REAL ESTATE COMPANY 426150,A81000C,00400,0100,A 426150,A81000C,00400,0200,ANTHONY SIMONETTI 426150,A81000C,00500,0100,A 426150,A81000C,00500,0200,MELISSA SIMONETTI 426150,A81000C,00600,0100,A 426150,A81000C,00600,0200,G&E SIMONETTI 426150,A81000C,00700,0100,C 426150,A81000C,00700,0400,CLINTONVILLE MANOR REALTY 426150,A81000C,00700,0600,REAL ESTATE COMPANY 426150,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426150,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426150,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426150,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426150,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426150,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426150,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426150,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426150,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426150,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426150,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426150,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426150,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 426150,G300000,02500,0000,INTEREST 426150,G300000,02501,0000,DIAGNOSTIC SERVICES 426150,S000000,00100,0200,02/02/12 426150,S200000,00100,0100,201 CLINTONVILLE ROAD 426150,S200000,00200,0100,NORTH HAVEN 426150,S200000,00200,0200,CT 426150,S200000,00200,0300,06473 426150,S200000,00300,0100,NEW HAVEN 426150,S200000,00300,0200,5483 426150,S200000,00300,0201,35300 426150,S200000,00300,0300,U 426150,S200000,00400,0100,CLINTONVILLE MANOR 426150,S200000,00400,0200,075433 426150,S200000,00400,0300,03/01/03 426150,S200000,00400,0500,P 426150,S200000,01500,0100,Y 426150,S200000,01502,0200,Y 426150,S200000,01504,0200,Y 426150,S200000,01600,0100,N 426150,S200000,01700,0100,N 426150,S200000,01800,0100,N 426150,S200000,02200,0100,N 426150,S200000,02800,0100,N 426150,S200000,02900,0100,N 426150,S200000,03000,0100,N 426150,S200000,03100,0100,N 426150,S200000,03200,0100,N 426150,S200000,03300,0100,N 426150,S200000,03300,0200,N 426150,S200000,04100,0100,N 426150,S200000,04200,0100,N 426150,S200000,04300,0100,N 426150,S200000,04600,0100,N 426150,S200000,04700,0100,N 426150,S200000,04700,0200,N 426150,S200000,04900,0100,N 426150,S200000,05000,0100,N 426150,S200000,05100,0100,N 426150,S200000,05200,0100,N 426169,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426169,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426169,A000000,00300,0000,0300EMPLOYEE BENEFITS 426169,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426169,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426169,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426169,A000000,00700,0000,0700HOUSEKEEPING 426169,A000000,00800,0000,0800DIETARY 426169,A000000,00900,0000,0900NURSING ADMINISTRATION 426169,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426169,A000000,01100,0000,1100PHARMACY 426169,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426169,A000000,01300,0000,1300SOCIAL SERVICE 426169,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426169,A000000,01500,0000,1350ACTIVITIES 426169,A000000,01600,0000,1600SKILLED NURSING FACILITY 426169,A000000,01800,0000,1800NURSING FACILITY 426169,A000000,01810,0000,1810ICF/MR 426169,A000000,01900,0000,1900OTHER LONG TERM CARE 426169,A000000,02100,0000,2100RADIOLOGY 426169,A000000,02200,0000,2200LABORATORY 426169,A000000,02300,0000,2300INTRAVENOUS THERAPY 426169,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426169,A000000,02500,0000,2500PHYSICAL THERAPY 426169,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426169,A000000,02700,0000,2700SPEECH PATHOLOGY 426169,A000000,02800,0000,2800ELECTROCARDIOLOGY 426169,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426169,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426169,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426169,A000000,03200,0000,3200SUPPORT SURFACES 426169,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426169,A000000,03400,0000,3400CLINIC 426169,A000000,03500,0000,3500RURAL HEALTH CLINIC 426169,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426169,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426169,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426169,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426169,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426169,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426169,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426169,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426169,A000000,04400,0000,4400DME RENTED - HHA 426169,A000000,04500,0000,4500DME SOLD - HHA 426169,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426169,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426169,A000000,04710,0000,4710TELEMEDICINE 426169,A000000,04800,0000,4800AMBULANCE 426169,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426169,A000000,05000,0000,5000CORF 426169,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426169,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426169,A000000,05300,0000,5300INTEREST EXPENSE 426169,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426169,A000000,05500,0000,5500HOSPICE 426169,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426169,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426169,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426169,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426169,A000000,06100,0000,6100NONPAID WORKERS 426169,A000000,06200,0000,6200PATIENTS LAUNDRY 426169,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426169,A81000A,00100,0100,Y 426169,A81000B,00100,0300,RENT 426169,A81000B,00200,0300,ADMIN MGMT SVC 426169,A81000B,00300,0300,SPEECH PATHOLOGY 426169,A81000B,00400,0300,OCCUPATIONAL THERAPY 426169,A81000B,00500,0300,PHYSICAL THERAPY 426169,A81000B,00600,0300,850 SILAS DEANE RENT EXP. 426169,A81000B,00700,0300,STAUDERMAN REALTY RENT EXP. 426169,A81000B,00800,0300,AMORTIZATION EXPENSE 426169,A81000B,00900,0300,DEPRECIATION EXPENSE 426169,A81000B,01000,0300,BANK SERVICE CHARGES 426169,A81000B,01100,0300,INTEREST EXPENSE 426169,A81000C,00100,0100,A 426169,A81000C,00100,0200,M.J. OSTREICHER 426169,A81000C,00100,0400,EP NEW MILFORD REALTY LLC 426169,A81000C,00100,0600,LEASE OF THE FACILITY 426169,A81000C,00200,0100,A 426169,A81000C,00200,0200,M.J. OSTREICHER 426169,A81000C,00200,0400,NATIONAL HEALTH CARE 426169,A81000C,00200,0600,BOOKKEEPING 426169,A81000C,00300,0100,A 426169,A81000C,00300,0200,M.J. OSTREICHER 426169,A81000C,00300,0400,PREFERRED THERAPY SOL. 426169,A81000C,00300,0600,THERAPIES 426169,A81000C,00400,0100,A 426169,A81000C,00400,0200,M.J. OSTREICHER 426169,A81000C,00400,0400,STAUDERMAN REALTY 426169,A81000C,00400,0600,REAL ESTATE 426169,A81000C,00500,0100,A 426169,A81000C,00500,0200,M.J. OSTREICHER 426169,A81000C,00500,0400,850 SILAS DEANE RENT 426169,A81000C,00500,0600,REAL ESTATE 426169,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426169,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426169,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426169,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426169,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426169,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426169,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426169,B100000,00000,0800,0800MEALS SERVED :DIETARY 426169,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426169,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426169,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426169,G300000,02500,0000,MISCELLANEOUS OTHER INCOME 426169,G300000,02501,0000,PRIOR PERIOD-OTHER 426169,S000000,00100,0200,02/27/12 426169,S200000,00100,0100,19 POPLAR STREET 426169,S200000,00200,0100,NEW MILFORD 426169,S200000,00200,0200,CT 426169,S200000,00200,0300,06776 426169,S200000,00300,0100,LITCHFIELD 426169,S200000,00300,0200,3283 426169,S200000,00300,0201,25540 426169,S200000,00300,0300,U 426169,S200000,00400,0100,NEW MILFORD CROSSING LLC 426169,S200000,00400,0200,075208 426169,S200000,00400,0300,01/01/71 426169,S200000,00400,0500,P 426169,S200000,01500,0100,Y 426169,S200000,01501,0200,N 426169,S200000,01600,0100,N 426169,S200000,01700,0100,N 426169,S200000,01800,0100,N 426169,S200000,02200,0100,N 426169,S200000,02800,0100,N 426169,S200000,02900,0100,N 426169,S200000,03000,0100,N 426169,S200000,03100,0100,N 426169,S200000,03200,0100,N 426169,S200000,03300,0100,N 426169,S200000,03300,0200,N 426169,S200000,04100,0100,N 426169,S200000,04200,0100,N 426169,S200000,04300,0100,N 426169,S200000,04600,0100,N 426169,S200000,04700,0100,N 426169,S200000,04700,0200,N 426169,S200000,04900,0100,N 426169,S200000,05000,0100,N 426169,S200000,05100,0100,N 426169,S200000,05200,0100,N 426169,S200000,05300,0100,N 426170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426170,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426170,A000000,00300,0000,0300EMPLOYEE BENEFITS 426170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426170,A000000,00700,0000,0700HOUSEKEEPING 426170,A000000,00800,0000,0800DIETARY 426170,A000000,00900,0000,0900NURSING ADMINISTRATION 426170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426170,A000000,01100,0000,1100PHARMACY 426170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426170,A000000,01300,0000,1300SOCIAL SERVICE 426170,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426170,A000000,01500,0000,1350RECREATION 426170,A000000,01600,0000,1600SKILLED NURSING FACILITY 426170,A000000,01800,0000,1800NURSING FACILITY 426170,A000000,01810,0000,1810ICF/MR 426170,A000000,01900,0000,1900OTHER LONG TERM CARE 426170,A000000,02100,0000,2100RADIOLOGY 426170,A000000,02200,0000,2200LABORATORY 426170,A000000,02300,0000,2300INTRAVENOUS THERAPY 426170,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426170,A000000,02500,0000,2500PHYSICAL THERAPY 426170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426170,A000000,02700,0000,2700SPEECH PATHOLOGY 426170,A000000,02800,0000,2800ELECTROCARDIOLOGY 426170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426170,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426170,A000000,03200,0000,3200SUPPORT SURFACES 426170,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426170,A000000,03400,0000,3400CLINIC 426170,A000000,03500,0000,3500RURAL HEALTH CLINIC 426170,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426170,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426170,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426170,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426170,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426170,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426170,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426170,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426170,A000000,04400,0000,4400DME RENTED - HHA 426170,A000000,04500,0000,4500DME SOLD - HHA 426170,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426170,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426170,A000000,04710,0000,4710TELEMEDICINE 426170,A000000,04800,0000,4800AMBULANCE 426170,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426170,A000000,05000,0000,5000CORF 426170,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426170,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426170,A000000,05300,0000,5300INTEREST EXPENSE 426170,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426170,A000000,05500,0000,5500HOSPICE 426170,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426170,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426170,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426170,A000000,06100,0000,6100NONPAID WORKERS 426170,A000000,06200,0000,6200PATIENTS LAUNDRY 426170,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426170,A81000A,00100,0100,Y 426170,A81000B,00100,0300,ADMINISTRATOR 426170,A81000B,00200,0300,PAYROLL HUMAN RESOURCES 426170,A81000B,00300,0300,NURSE 426170,A81000B,00400,0300,SET UP PROCEDURES & OPER CONTRACTS 426170,A81000B,00500,0300,WORKING CAPITAL INTEREST 426170,A81000C,00100,0100,F 426170,A81000C,00100,0200,CALVIN MOFFIE 426170,A81000C,00100,0400,H.J. MOFFIE 426170,A81000C,00100,0600,ADMINISTRATOR 426170,A81000C,00200,0100,F 426170,A81000C,00200,0200,BRIAN BRENNAN 426170,A81000C,00200,0400,CALVIN MOFFIE 426170,A81000C,00200,0600,PAYROLL HUMAN RESOURCES 426170,A81000C,00300,0100,F 426170,A81000C,00300,0200,PATRICIA MOFFIE 426170,A81000C,00300,0400,H.J. MOFFIE 426170,A81000C,00300,0600,NURSE 426170,A81000C,00400,0100,F 426170,A81000C,00400,0200,NATHAN MOFFIE 426170,A81000C,00400,0400,H.J. MOFFIE 426170,A81000C,00400,0600,PROCEDURES/CONTRACTS 426170,A81000C,00500,0100,F 426170,A81000C,00500,0200,HJ MOFFIE 426170,A81000C,00500,0600,WC INTEREST 426170,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426170,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426170,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426170,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426170,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426170,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426170,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426170,B100000,00000,0800,0800MEALS SERVED :DIETARY 426170,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426170,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426170,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426170,G300000,02500,0000,MISCELLANEOUS INCOME 426170,S000000,00100,0200,02/28/12 426170,S200000,00100,0100,109 WEST LAKE AVENUE 426170,S200000,00200,0100,GUILFORD 426170,S200000,00200,0200,CT 426170,S200000,00200,0300,06437 426170,S200000,00300,0100,NEW HAVEN 426170,S200000,00300,0200,5483 426170,S200000,00300,0201,35300 426170,S200000,00300,0300,U 426170,S200000,00400,0100,THE GUILFORD HOUSE 426170,S200000,00400,0200,075235 426170,S200000,00400,0300,07/01/76 426170,S200000,00400,0500,P 426170,S200000,01500,0100,Y 426170,S200000,01501,0200,Y 426170,S200000,01600,0100,N 426170,S200000,01700,0100,N 426170,S200000,01800,0100,N 426170,S200000,02200,0100,N 426170,S200000,02800,0100,N 426170,S200000,02900,0100,N 426170,S200000,03000,0100,N 426170,S200000,03100,0100,N 426170,S200000,03200,0100,N 426170,S200000,03300,0100,N 426170,S200000,03300,0200,N 426170,S200000,04100,0100,N 426170,S200000,04200,0100,N 426170,S200000,04300,0100,N 426170,S200000,04600,0100,N 426170,S200000,04700,0100,N 426170,S200000,04700,0200,N 426170,S200000,04900,0100,N 426170,S200000,05000,0100,N 426170,S200000,05100,0100,N 426170,S200000,05200,0100,N 426171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426171,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426171,A000000,00300,0000,0300EMPLOYEE BENEFITS 426171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426171,A000000,00700,0000,0700HOUSEKEEPING 426171,A000000,00800,0000,0800DIETARY 426171,A000000,00900,0000,0900NURSING ADMINISTRATION 426171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426171,A000000,01100,0000,1100PHARMACY 426171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426171,A000000,01300,0000,1300SOCIAL SERVICE 426171,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426171,A000000,01500,0000,1350OTHER GENERAL SERVICES 426171,A000000,01600,0000,1600SKILLED NURSING FACILITY 426171,A000000,01800,0000,1800NURSING FACILITY 426171,A000000,01810,0000,1810ICF/MR 426171,A000000,01900,0000,1900OTHER LONG TERM CARE 426171,A000000,02100,0000,2100RADIOLOGY 426171,A000000,02200,0000,2200LABORATORY 426171,A000000,02300,0000,2300INTRAVENOUS THERAPY 426171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426171,A000000,02500,0000,2500PHYSICAL THERAPY 426171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426171,A000000,02700,0000,2700SPEECH PATHOLOGY 426171,A000000,02800,0000,2800ELECTROCARDIOLOGY 426171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426171,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426171,A000000,03200,0000,3200SUPPORT SURFACES 426171,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426171,A000000,03400,0000,3400CLINIC 426171,A000000,03500,0000,3500RURAL HEALTH CLINIC 426171,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426171,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426171,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426171,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426171,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426171,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426171,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426171,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426171,A000000,04400,0000,4400DME RENTED - HHA 426171,A000000,04500,0000,4500DME SOLD - HHA 426171,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426171,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426171,A000000,04710,0000,4710TELEMEDICINE 426171,A000000,04800,0000,4800AMBULANCE 426171,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426171,A000000,05000,0000,5000CORF 426171,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426171,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426171,A000000,05300,0000,5300INTEREST EXPENSE 426171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426171,A000000,05500,0000,5500HOSPICE 426171,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426171,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426171,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426171,A000000,06100,0000,6100NONPAID WORKERS 426171,A000000,06200,0000,6200PATIENTS LAUNDRY 426171,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426171,A81000A,00100,0100,Y 426171,A81000B,00100,0300,RENT 426171,A81000B,00200,0300,ADMIN MGMT SVS 426171,A81000B,00300,0300,PT 426171,A81000B,00400,0300,OT 426171,A81000B,00500,0300,ST 426171,A81000B,00600,0300,NURSING 426171,A81000B,00700,0300,STAUDERMAN REALTY-RENT 426171,A81000B,00800,0300,SILAS DEANE- RENT/OTHER 426171,A81000B,00900,0300,DEPRECIATION EXPENSE 426171,A81000B,01000,0300,MORTGAGE INTEREST 426171,A81000C,00100,0100,A 426171,A81000C,00100,0200,M.J. OSTREICHER 426171,A81000C,00100,0400,MAPLIEVIEW REALTY 426171,A81000C,00100,0600,LEASE OF FACILITY 426171,A81000C,00200,0100,A 426171,A81000C,00200,0200,M.J. OSTREICHER 426171,A81000C,00200,0400,NATIONAL HEALTH CARE 426171,A81000C,00200,0600,BOOKKEEPING 426171,A81000C,00300,0100,A 426171,A81000C,00300,0200,M.J. OSTREICHER 426171,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 426171,A81000C,00300,0600,THERAPIES 426171,A81000C,00400,0100,A 426171,A81000C,00400,0200,M.J. OSTREICHER 426171,A81000C,00400,0400,PREFERRED PROF SVC 426171,A81000C,00400,0600,RN & LPN SVC 426171,A81000C,00500,0100,A 426171,A81000C,00500,0200,M.J. OSTREICHER 426171,A81000C,00500,0400,STAUDERMAN REALTY 426171,A81000C,00500,0600,RENTAL 426171,A81000C,00600,0100,A 426171,A81000C,00600,0200,M.J. OSTREICHER 426171,A81000C,00600,0400,SILAS DEANE 426171,A81000C,00600,0600,RENTAL 426171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426171,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426171,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426171,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426171,B100000,00000,0800,0800MEALS SERVED :DIETARY 426171,G300000,02500,0000,PRIOR PERIOD OTHER 426171,G300000,02501,0000,MISC OTHER INCOME 426171,S000000,00100,0200,02/27/12 426171,S200000,00100,0100,856 MAPLE STREET 426171,S200000,00200,0100,ROCKY HILL 426171,S200000,00200,0200,CT 426171,S200000,00200,0300,06067 426171,S200000,00300,0100,HARTFORD 426171,S200000,00300,0200,3283 426171,S200000,00300,0201,25540 426171,S200000,00300,0300,U 426171,S200000,00400,0100,MAPLIEVIEW MANOR OF CT LLC 426171,S200000,00400,0200,075238 426171,S200000,00400,0300,10/01/77 426171,S200000,00400,0500,P 426171,S200000,01500,0100,Y 426171,S200000,01501,0200,N 426171,S200000,01600,0100,N 426171,S200000,01700,0100,N 426171,S200000,01800,0100,N 426171,S200000,02200,0100,N 426171,S200000,02800,0100,N 426171,S200000,02900,0100,N 426171,S200000,03000,0100,N 426171,S200000,03100,0100,N 426171,S200000,03200,0100,N 426171,S200000,03300,0100,N 426171,S200000,03300,0200,N 426171,S200000,04100,0100,N 426171,S200000,04200,0100,N 426171,S200000,04300,0100,N 426171,S200000,04600,0100,N 426171,S200000,04700,0100,N 426171,S200000,04700,0200,N 426171,S200000,04900,0100,N 426171,S200000,05000,0100,N 426171,S200000,05100,0100,N 426171,S200000,05200,0100,N 426171,S200000,05300,0100,N 426172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426172,A000000,00300,0000,0300EMPLOYEE BENEFITS 426172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426172,A000000,00700,0000,0700HOUSEKEEPING 426172,A000000,00800,0000,0800DIETARY 426172,A000000,00900,0000,0900NURSING ADMINISTRATION 426172,A000000,01100,0000,1100PHARMACY 426172,A000000,01300,0000,1300SOCIAL SERVICE 426172,A000000,01500,0000,1350RECREATION 426172,A000000,01600,0000,1600SKILLED NURSING FACILITY 426172,A000000,01800,0000,1800NURSING FACILITY 426172,A000000,01810,0000,1810ICF/MR 426172,A000000,01900,0000,1900OTHER LONG TERM CARE 426172,A000000,02100,0000,2100RADIOLOGY 426172,A000000,02200,0000,2200LABORATORY 426172,A000000,02300,0000,2300INTRAVENOUS THERAPY 426172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426172,A000000,02500,0000,2500PHYSICAL THERAPY 426172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426172,A000000,02700,0000,2700SPEECH PATHOLOGY 426172,A000000,02800,0000,2800ELECTROCARDIOLOGY 426172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426172,A000000,04800,0000,4800AMBULANCE 426172,A000000,05000,0000,5000CORF 426172,A000000,05300,0000,5300INTEREST EXPENSE 426172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426172,A000000,05500,0000,5500HOSPICE 426172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426172,A000000,06100,0000,6100NONPAID WORKERS 426172,A000000,06200,0000,6200PATIENTS LAUNDRY 426172,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426172,A81000A,00100,0100,N 426172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426172,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426172,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426172,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426172,B100000,00000,0800,0800MEALS SERVED :DIETARY 426172,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426172,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426172,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426172,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426172,G300000,02501,0000,CB ADC AND COTTAGE INCOME 426172,G300000,02502,0000,OTHER REVENUE 426172,S000000,00100,0200,03/01/12 426172,S200000,00100,0100,44 CANTERBURY ROAD 426172,S200000,00100,0300,326 426172,S200000,00200,0100,BROOKLYN 426172,S200000,00200,0200,CT 426172,S200000,00200,0300,06234 426172,S200000,00300,0100,WINDHAM 426172,S200000,00300,0201,07 426172,S200000,00300,0300,R 426172,S200000,00400,0100,PIERCE MEMORIAL BAPTIST HOME INC. 426172,S200000,00400,0200,075243 426172,S200000,00400,0300,06/26/75 426172,S200000,00400,0500,P 426172,S200000,01500,0100,N 426172,S200000,01501,0200,Y 426172,S200000,01502,0200,Y 426172,S200000,01504,0200,Y 426172,S200000,01505,0000,OTHER (SPECIFY) 426172,S200000,01505,0200,Y 426172,S200000,01600,0100,N 426172,S200000,01700,0100,N 426172,S200000,01800,0100,N 426172,S200000,02200,0100,N 426172,S200000,02800,0100,Y 426172,S200000,02900,0100,N 426172,S200000,03000,0100,N 426172,S200000,03100,0100,N 426172,S200000,03200,0100,N 426172,S200000,03300,0100,N 426172,S200000,03300,0200,N 426172,S200000,03600,0100,N 426172,S200000,03600,0200,N 426172,S200000,04100,0100,N 426172,S200000,04200,0100,N 426172,S200000,04300,0100,N 426172,S200000,04600,0100,N 426172,S200000,04700,0100,N 426172,S200000,04700,0200,N 426172,S200000,04900,0100,N 426172,S200000,05000,0100,N 426172,S200000,05100,0100,N 426172,S200000,05200,0100,N 426172,S200000,05300,0100,N 426204,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426204,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426204,A000000,00300,0000,0300EMPLOYEE BENEFITS 426204,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426204,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426204,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426204,A000000,00700,0000,0700HOUSEKEEPING 426204,A000000,00800,0000,0800DIETARY 426204,A000000,00900,0000,0900NURSING ADMINISTRATION 426204,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426204,A000000,01100,0000,1100PHARMACY 426204,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426204,A000000,01300,0000,1300SOCIAL SERVICE 426204,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426204,A000000,01500,0000,1350RECREATION ACTIVITIES 426204,A000000,01600,0000,1600SKILLED NURSING FACILITY 426204,A000000,01810,0000,1810ICF/MR 426204,A000000,02100,0000,2100RADIOLOGY 426204,A000000,02200,0000,2200LABORATORY 426204,A000000,02500,0000,2500PHYSICAL THERAPY 426204,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426204,A000000,02700,0000,2700SPEECH PATHOLOGY 426204,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426204,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426204,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 426204,A000000,03301,0000,3051ENTERAL FEEDING 426204,A000000,03550,0000,3550FQHC 426204,A000000,05000,0000,5000CORF 426204,A000000,05010,0000,5010CMHC 426204,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426204,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426204,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426204,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426204,A000000,06300,0000,6150ENTERSTOMAL THERAPY 426204,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 426204,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 426204,A000000,06312,0000,6153DIALYSIS 426204,A000000,06320,0000,6154APARTMENTS 426204,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 426204,A000000,06340,0000,6156CLOSED PATIENT AREAS 426204,A000000,06350,0000,6157O/P ADULT DAYCARE 426204,A000000,06360,0000,6158MARKETING 426204,A000000,06370,0000,6159UNIVERSITY OF TX MEDICAL BRANCH 426204,A000000,06380,0000,6160SENIOR CENTER 426204,A81000A,00100,0100,N 426204,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426204,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426204,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426204,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426204,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 426204,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 426204,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 426204,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 426204,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 426204,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 426204,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 426204,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 426204,G300000,02504,0000,RENTAL INCOME 426204,G300000,02506,0000,INTEREST INCOME PATIENT A/R 426204,S000000,00100,0200,12/19/11 426204,S200000,00100,0100,519 NINTH AVE N 426204,S200000,00200,0100,TEXAS CITY 426204,S200000,00200,0200,TX 426204,S200000,00200,0300,77590 426204,S200000,00300,0100,GALVESTON 426204,S200000,00300,0201,26420 426204,S200000,00300,0300,U 426204,S200000,00400,0100,OCEANVIEW TRANSITIONAL CARE CTR 426204,S200000,00400,0200,675743 426204,S200000,00400,0300,01/14/98 426204,S200000,00400,0500,P 426204,S200000,00400,0600,O 426204,S200000,01500,0100,Y 426204,S200000,01501,0200,Y 426204,S200000,01502,0200,Y 426204,S200000,01503,0200,Y 426204,S200000,01600,0100,N 426204,S200000,01700,0100,N 426204,S200000,01800,0100,N 426204,S200000,01900,0100,LP 426204,S200000,02200,0100,N 426204,S200000,02800,0100,N 426204,S200000,02900,0100,N 426204,S200000,03000,0100,N 426204,S200000,03100,0100,N 426204,S200000,03200,0100,N 426204,S200000,03300,0100,N 426204,S200000,03300,0200,N 426204,S200000,04100,0100,N 426204,S200000,04200,0100,N 426204,S200000,04300,0100,N 426204,S200000,04600,0100,N 426204,S200000,04700,0100,N 426204,S200000,04700,0200,N 426204,S200000,04900,0100,N 426204,S200000,05000,0100,N 426204,S200000,05100,0100,N 426204,S200000,05200,0100,N 426204,S200000,05300,0100,N 426226,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426226,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426226,A000000,00300,0000,0300EMPLOYEE BENEFITS 426226,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426226,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426226,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426226,A000000,00700,0000,0700HOUSEKEEPING 426226,A000000,00800,0000,0800DIETARY 426226,A000000,00900,0000,0900NURSING ADMINISTRATION 426226,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426226,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426226,A000000,01300,0000,1300SOCIAL SERVICE 426226,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426226,A000000,01500,0000,1350OTHER GENERAL SERVICES 426226,A000000,01600,0000,1600SKILLED NURSING FACILITY 426226,A000000,01800,0000,1800NURSING FACILITY 426226,A000000,01810,0000,1810ICF/MR 426226,A000000,01900,0000,1900OTHER LONG TERM CARE 426226,A000000,02100,0000,2100RADIOLOGY 426226,A000000,02200,0000,2200LABORATORY 426226,A000000,02300,0000,2300INTRAVENOUS THERAPY 426226,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426226,A000000,02500,0000,2500PHYSICAL THERAPY 426226,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426226,A000000,02700,0000,2700SPEECH PATHOLOGY 426226,A000000,02800,0000,2800ELECTROCARDIOLOGY 426226,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426226,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426226,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426226,A000000,03200,0000,3200SUPPORT SURFACES 426226,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426226,A000000,03400,0000,3400CLINIC 426226,A000000,03500,0000,3500RURAL HEALTH CLINIC 426226,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426226,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426226,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426226,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426226,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426226,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426226,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426226,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426226,A000000,04400,0000,4400DME RENTED - HHA 426226,A000000,04500,0000,4500DME SOLD - HHA 426226,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426226,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426226,A000000,04710,0000,4710TELEMEDICINE 426226,A000000,04800,0000,4800AMBULANCE 426226,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426226,A000000,05000,0000,5000CORF 426226,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426226,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426226,A000000,05300,0000,5300INTEREST EXPENSE 426226,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426226,A000000,05500,0000,5500HOSPICE 426226,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426226,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426226,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426226,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426226,A000000,06100,0000,6100NONPAID WORKERS 426226,A000000,06200,0000,6200PATIENTS LAUNDRY 426226,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426226,A81000A,00100,0100,Y 426226,A81000B,00100,0300,BUILDING LEASE 426226,A81000C,00100,0100,B 426226,A81000C,00100,0200,MSPF II NACOGDOCHES OE LP 426226,A81000C,00100,0400,MSPF II NACOGDOCHES SNF L 426226,A81000C,00100,0600,REAL ESTATE 426226,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426226,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426226,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426226,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426226,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426226,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426226,B100000,00000,0800,0800MEALS SERVED :DIETARY 426226,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426226,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426226,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426226,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426226,E10A180,00301,0100,06/25/10 426226,G300000,02500,0000,OTHER INCOME 426226,S000000,00100,0200,01/30/12 426226,S200000,00100,0100,4616 NE STALLINGS DRIVE 426226,S200000,00200,0100,NACOGDOCHES 426226,S200000,00200,0200,TX 426226,S200000,00200,0300,75965 426226,S200000,00300,0100,NACOGDOCHES 426226,S200000,00300,0200,45 426226,S200000,00300,0201,99945 426226,S200000,00300,0300,R 426226,S200000,00400,0100,STALLINGS COURT NURSING & REHAB 426226,S200000,00400,0200,676147 426226,S200000,00400,0300,07/19/07 426226,S200000,00400,0500,P 426226,S200000,01500,0100,Y 426226,S200000,01501,0200,Y 426226,S200000,01502,0200,N 426226,S200000,01503,0200,N 426226,S200000,01504,0200,Y 426226,S200000,01600,0100,N 426226,S200000,01700,0100,N 426226,S200000,01800,0100,N 426226,S200000,02200,0100,N 426226,S200000,02800,0100,N 426226,S200000,02900,0100,N 426226,S200000,03000,0100,N 426226,S200000,03100,0100,N 426226,S200000,03200,0100,N 426226,S200000,03300,0100,N 426226,S200000,03300,0200,N 426226,S200000,04100,0100,N 426226,S200000,04200,0100,N 426226,S200000,04300,0100,N 426226,S200000,04600,0100,N 426226,S200000,04700,0100,N 426226,S200000,04700,0200,N 426226,S200000,04900,0100,N 426226,S200000,05000,0100,N 426226,S200000,05100,0100,N 426226,S200000,05200,0100,N 426226,S200000,05300,0100,N 426232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426232,A000000,00300,0000,0300EMPLOYEE BENEFITS 426232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426232,A000000,00700,0000,0700HOUSEKEEPING 426232,A000000,00800,0000,0800DIETARY 426232,A000000,00900,0000,0900NURSING ADMINISTRATION 426232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426232,A000000,01300,0000,1300SOCIAL SERVICE 426232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426232,A000000,01500,0000,1350OTHER GENERAL SERVICES 426232,A000000,01600,0000,1600SKILLED NURSING FACILITY 426232,A000000,01800,0000,1800NURSING FACILITY 426232,A000000,01810,0000,1810ICF/MR 426232,A000000,01900,0000,1900OTHER LONG TERM CARE 426232,A000000,02100,0000,2100RADIOLOGY 426232,A000000,02200,0000,2200LABORATORY 426232,A000000,02300,0000,2300INTRAVENOUS THERAPY 426232,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426232,A000000,02500,0000,2500PHYSICAL THERAPY 426232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426232,A000000,02700,0000,2700SPEECH PATHOLOGY 426232,A000000,02800,0000,2800ELECTROCARDIOLOGY 426232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426232,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426232,A000000,03200,0000,3200SUPPORT SURFACES 426232,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426232,A000000,03400,0000,3400CLINIC 426232,A000000,03500,0000,3500RURAL HEALTH CLINIC 426232,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426232,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426232,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426232,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426232,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426232,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426232,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426232,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426232,A000000,04400,0000,4400DME RENTED - HHA 426232,A000000,04500,0000,4500DME SOLD - HHA 426232,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426232,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426232,A000000,04710,0000,4710TELEMEDICINE 426232,A000000,04800,0000,4800AMBULANCE 426232,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426232,A000000,05000,0000,5000CORF 426232,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426232,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426232,A000000,05300,0000,5300INTEREST EXPENSE 426232,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426232,A000000,05500,0000,5500HOSPICE 426232,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426232,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426232,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426232,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426232,A000000,06100,0000,6100NONPAID WORKERS 426232,A000000,06200,0000,6200PATIENTS LAUNDRY 426232,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426232,A81000A,00100,0100,Y 426232,A81000B,00100,0300,MANAGEMENT FEES 426232,A81000C,00100,0100,A 426232,A81000C,00100,0200,CHARLES WURTH 426232,A81000C,00100,0400,WINDSOR PLACE-COFFEYVILLE 426232,A81000C,00100,0600,NURSING HOME 426232,A81000C,00200,0100,A 426232,A81000C,00200,0200,PAUL WURTH 426232,A81000C,00200,0400,WINDSOR PLACE-COFFEYVILLE 426232,A81000C,00200,0600,NURSING HOME 426232,A81000C,00300,0100,A 426232,A81000C,00300,0200,TOM REDDY 426232,A81000C,00300,0400,WINDSOR PLACE-COFFEYVILLE 426232,A81000C,00300,0600,NURSING HOME 426232,A81000C,00400,0100,A 426232,A81000C,00400,0200,BRIAN WARREN 426232,A81000C,00400,0400,WINDSOR PLACE-COFFEYVILLE 426232,A81000C,00400,0600,NURSING HOME 426232,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426232,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426232,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426232,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426232,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426232,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426232,B100000,00000,0800,0800MEALS SERVED :DIETARY 426232,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426232,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426232,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426232,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426232,G300000,02500,0000,OTHER INCOME 426232,S000000,00100,0200,01/30/12 426232,S200000,00100,0100,614 S. EIGHTH STREET 426232,S200000,00200,0100,INDEPENDENCE 426232,S200000,00200,0200,KS 426232,S200000,00200,0300,67301 426232,S200000,00300,0100,MONTGOMERY 426232,S200000,00300,0200,17 426232,S200000,00300,0201,99917 426232,S200000,00300,0300,R 426232,S200000,00400,0100,WINDSOR PLACE OF INDEPENDENCE 426232,S200000,00400,0200,175511 426232,S200000,00400,0300,09/18/08 426232,S200000,00400,0500,P 426232,S200000,01500,0100,Y 426232,S200000,01600,0100,N 426232,S200000,01700,0100,N 426232,S200000,01800,0100,N 426232,S200000,02200,0100,N 426232,S200000,02800,0100,Y 426232,S200000,02900,0100,N 426232,S200000,03000,0100,N 426232,S200000,03100,0100,N 426232,S200000,03200,0100,N 426232,S200000,03300,0100,N 426232,S200000,03300,0200,N 426232,S200000,04100,0100,N 426232,S200000,04200,0100,N 426232,S200000,04300,0100,N 426232,S200000,04600,0100,N 426232,S200000,04700,0100,N 426232,S200000,04700,0200,N 426232,S200000,04900,0100,N 426232,S200000,05000,0100,N 426232,S200000,05100,0100,N 426232,S200000,05200,0100,N 426232,S200000,05300,0100,N 426235,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426235,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426235,A000000,00300,0000,0300EMPLOYEE BENEFITS 426235,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426235,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426235,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426235,A000000,00700,0000,0700HOUSEKEEPING 426235,A000000,00800,0000,0800DIETARY 426235,A000000,00900,0000,0900NURSING ADMINISTRATION 426235,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426235,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426235,A000000,01300,0000,1300SOCIAL SERVICE 426235,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426235,A000000,01500,0000,1350OTHER GENERAL SERVICES 426235,A000000,01600,0000,1600SKILLED NURSING FACILITY 426235,A000000,01800,0000,1800NURSING FACILITY 426235,A000000,01810,0000,1810ICF/MR 426235,A000000,01900,0000,1900OTHER LONG TERM CARE 426235,A000000,02100,0000,2100RADIOLOGY 426235,A000000,02200,0000,2200LABORATORY 426235,A000000,02300,0000,2300INTRAVENOUS THERAPY 426235,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426235,A000000,02500,0000,2500PHYSICAL THERAPY 426235,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426235,A000000,02700,0000,2700SPEECH PATHOLOGY 426235,A000000,02800,0000,2800ELECTROCARDIOLOGY 426235,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426235,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426235,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426235,A000000,03200,0000,3200SUPPORT SURFACES 426235,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426235,A000000,03400,0000,3400CLINIC 426235,A000000,03500,0000,3500RURAL HEALTH CLINIC 426235,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426235,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426235,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426235,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426235,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426235,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426235,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426235,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426235,A000000,04400,0000,4400DME RENTED - HHA 426235,A000000,04500,0000,4500DME SOLD - HHA 426235,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426235,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426235,A000000,04710,0000,4710TELEMEDICINE 426235,A000000,04800,0000,4800AMBULANCE 426235,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426235,A000000,05000,0000,5000CORF 426235,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426235,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426235,A000000,05300,0000,5300INTEREST EXPENSE 426235,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426235,A000000,05500,0000,5500HOSPICE 426235,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426235,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426235,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426235,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426235,A000000,06100,0000,6100NONPAID WORKERS 426235,A000000,06200,0000,6200PATIENTS LAUNDRY 426235,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426235,A81000A,00100,0100,Y 426235,A81000B,00100,0300,FACILITY LEASE 426235,A81000B,00200,0300,MANAGEMENT FEES 426235,A81000B,00300,0300,MANAGEMENT FEES 426235,A81000B,00400,0300,MANAGEMENT FEES 426235,A81000B,00500,0300,INTEREST EXPENSE 426235,A81000B,00600,0300,WORKERS COMP INS 426235,A81000B,00700,0300,LIABILITY INSURANCE 426235,A81000C,00100,0100,A 426235,A81000C,00100,0200,JAMES J GIARDINA 426235,A81000C,00100,0400,JAMES J GIARDINA 426235,A81000C,00100,0600,INDIVIDUAL 426235,A81000C,00200,0100,A 426235,A81000C,00200,0200,JAMES J GIARDINA 426235,A81000C,00200,0400,COMMUNITY CARE CTRS INC 426235,A81000C,00200,0600,NURSING HOME MGT 426235,A81000C,00300,0100,A 426235,A81000C,00300,0200,JAMES J GIARDINA 426235,A81000C,00300,0400,JAMES J GIARDINA 426235,A81000C,00300,0600,INDIVIDUAL 426235,A81000C,00400,0100,A 426235,A81000C,00400,0200,JAMES J GIARDINA 426235,A81000C,00400,0400,RISA 426235,A81000C,00400,0600,WORKERS COMP INS 426235,A81000C,00500,0100,A 426235,A81000C,00500,0200,JAMES J GIARDINA 426235,A81000C,00500,0400,RISA 426235,A81000C,00500,0600,LIABILITY INS 426235,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426235,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426235,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426235,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426235,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426235,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426235,B100000,00000,0800,0800MEALS SERVED :DIETARY 426235,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426235,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426235,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426235,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426235,G300000,02500,0000,OTHER INCOME 426235,S000000,00100,0200,01/31/12 426235,S200000,00100,0100,312 SOLLEY DRIVE 426235,S200000,00200,0100,BALLWIN 426235,S200000,00200,0200,MO 426235,S200000,00200,0300,63021 426235,S200000,00300,0100,ST. LOUIS 426235,S200000,00300,0200,7040 426235,S200000,00300,0201,41180 426235,S200000,00300,0300,U 426235,S200000,00400,0100,WEST COUNTY CARE CENTER 426235,S200000,00400,0200,265352 426235,S200000,00400,0300,01/18/89 426235,S200000,00400,0500,P 426235,S200000,01500,0100,Y 426235,S200000,01501,0200,N 426235,S200000,01502,0200,Y 426235,S200000,01503,0200,N 426235,S200000,01504,0200,N 426235,S200000,01600,0100,N 426235,S200000,01700,0100,N 426235,S200000,01800,0100,N 426235,S200000,02200,0100,N 426235,S200000,02800,0100,Y 426235,S200000,02900,0100,N 426235,S200000,03000,0100,N 426235,S200000,03100,0100,N 426235,S200000,03200,0100,N 426235,S200000,03300,0100,N 426235,S200000,03300,0200,N 426235,S200000,04100,0100,N 426235,S200000,04200,0100,N 426235,S200000,04300,0100,N 426235,S200000,04600,0100,N 426235,S200000,04700,0100,N 426235,S200000,04700,0200,N 426235,S200000,04900,0100,N 426235,S200000,05000,0100,N 426235,S200000,05100,0100,N 426235,S200000,05200,0100,N 426235,S200000,05300,0100,Y 426235,S200000,05300,0200,H69957 426235,S200000,05400,0100,COMMUNITY CARE CENTERS INC 426235,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 426235,S200000,05400,0300,05301 426235,S200000,05500,0100,312 SOLLEY DRIVE - REAR 426235,S200000,05600,0100,BALLWIN 426235,S200000,05600,0200,MO 426235,S200000,05600,0300,63021-2100 426271,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426271,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426271,A000000,00300,0000,0300EMPLOYEE BENEFITS 426271,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426271,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426271,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426271,A000000,00700,0000,0700HOUSEKEEPING 426271,A000000,00800,0000,0800DIETARY 426271,A000000,00900,0000,0900NURSING ADMINISTRATION 426271,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426271,A000000,01100,0000,1100PHARMACY 426271,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426271,A000000,01300,0000,1300SOCIAL SERVICE 426271,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426271,A000000,01500,0000,1350ACTIVITES 426271,A000000,01600,0000,1600SKILLED NURSING FACILITY 426271,A000000,01800,0000,1800NURSING FACILITY 426271,A000000,01810,0000,1810ICF/MR 426271,A000000,02100,0000,2100RADIOLOGY 426271,A000000,02200,0000,2200LABORATORY 426271,A000000,02300,0000,2300INTRAVENOUS THERAPY 426271,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426271,A000000,02500,0000,2500PHYSICAL THERAPY 426271,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426271,A000000,02700,0000,2700SPEECH PATHOLOGY 426271,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 426271,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426271,A000000,03300,0000,3050OTHER ANCILLARY 426271,A000000,03301,0000,3051OTHER ANCILLARY 426271,A000000,03550,0000,3550FQHC 426271,A000000,04801,0000,4801AMBULANCE 426271,A000000,04802,0000,4802AMBULANCE 426271,A000000,04803,0000,4803AMBULANCE 426271,A000000,05000,0000,5000CORF 426271,A000000,05010,0000,5010CMHC 426271,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426271,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426271,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426271,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426271,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426271,A000000,06300,0000,6150COMMUNICATIONS 426271,A81000A,00100,0100,Y 426271,A81000B,00100,0300,MANAGEMENT FEES 426271,A81000B,00200,0300,ALLOCATED COSTS 426271,A81000B,00300,0300,ALLOCATED COSTS 426271,A81000B,00400,0300,ALLOCATED COSTS 426271,A81000B,00600,0300,LEADERCARE AUTO INS 426271,A81000B,00700,0300,LIFE CARE DESIGNS 426271,A81000B,00800,0300,ASSOC. BEN. TRST 426271,A81000B,00900,0300,LEADERCARE WORKCOMP 426271,A81000B,01000,0300,LEADERCARE LIAB. INS 426271,A81000B,01100,0300,ADD TL COMP - EX DIR 426271,A81000C,00100,0100,A 426271,A81000C,00100,0200,FORREST PRESTON 426271,A81000C,00100,0400,LIFE CARE CTRS 426271,A81000C,00100,0600,MGMT CO. 426271,A81000C,00200,0100,A 426271,A81000C,00200,0200,FORREST PRESTON 426271,A81000C,00200,0400,ASSOC. BEN. TRU 426271,A81000C,00200,0600,EMPL GROUP INS. 426271,A81000C,00300,0100,A 426271,A81000C,00300,0200,FORREST PRESTON 426271,A81000C,00300,0400,LEADERCARE 426271,A81000C,00300,0600,W/C & LIAB. INS 426271,A81000C,00400,0100,A 426271,A81000C,00400,0200,FORREST PRESTON 426271,A81000C,00400,0400,LIFE CARE DESIG 426271,A81000C,00400,0600,INTERIOR DESIGN 426271,A81000C,00500,0100,A 426271,A81000C,00500,0200,FORREST PRESTON 426271,A81000C,00500,0400,SADIE HARNESS 426271,A81000C,00500,0600,EXECUTIVE DIREC 426271,B100000,00000,0100,0100SQUARE FEET 426271,B100000,00000,0200,0200SQUARE FEET 426271,B100000,00000,0300,0300GROSS SALARIES 426271,B100000,00000,0400,0400ACCUM COST 426271,B100000,00000,0500,0500SQUARE FEET 426271,B100000,00000,0600,0600PATIENT DAYS 426271,B100000,00000,0700,0700SQUARE FEET 426271,B100000,00000,0800,0800MEALS SERVED 426271,B100000,00000,0900,0900HOURS SUPERVISED 426271,B100000,00000,1000,1000COSTED REQUIS 426271,B100000,00000,1100,1100COSTED REQUIS 426271,B100000,00000,1200,1200GROSS REVENUES 426271,B100000,00000,1300,1300PATIENT DAYS 426271,B100000,00000,1400,1400ASSIGNED TIME 426271,B100000,00000,1500,1350PATIENT DAYS 426271,S000000,00100,0200,12/09/11 426271,S200000,00100,0100,1980 FELICITA ROAD 426271,S200000,00200,0100,ESCONDIDO 426271,S200000,00200,0200,CA 426271,S200000,00200,0300,92025 426271,S200000,00300,0100,SAN DIEGO 426271,S200000,00300,0201,41740 426271,S200000,00300,0300,U 426271,S200000,00400,0100,LIFE CARE CENTER OF ESCONDIDO 426271,S200000,00400,0200,555427 426271,S200000,00400,0300,01/15/86 426271,S200000,00400,0500,P 426271,S200000,01500,0100,Y 426271,S200000,01501,0200,Y 426271,S200000,01502,0200,Y 426271,S200000,01503,0200,N 426271,S200000,01504,0200,N 426271,S200000,01505,0000,OTHER 426271,S200000,01505,0200,N 426271,S200000,01600,0100,N 426271,S200000,01700,0100,N 426271,S200000,01800,0100,N 426271,S200000,02200,0100,Y 426271,S200000,02800,0100,N 426271,S200000,02900,0100,N 426271,S200000,03000,0100,N 426271,S200000,03100,0100,N 426271,S200000,03200,0100,N 426271,S200000,03300,0100,N 426271,S200000,03300,0200,N 426271,S200000,04200,0100,N 426271,S200000,04300,0100,N 426271,S200000,04600,0100,N 426271,S200000,04700,0100,N 426271,S200000,04900,0100,N 426271,S200000,05200,0100,N 426271,S200000,05300,0100,Y 426271,S200000,05300,0200,44H017 426271,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 426271,S200000,05400,0200,CAHABA GOVT BENEFITS ADMINISTRATOR 426271,S200000,05400,0300,10301 426271,S200000,05500,0100,3570 KEITH ST NW 426271,S200000,05500,0200,3480 426271,S200000,05600,0100,CLEVELAND 426271,S200000,05600,0200,TN 426271,S200000,05600,0300,37320 426277,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426277,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426277,A000000,00300,0000,0300EMPLOYEE BENEFITS 426277,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426277,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426277,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426277,A000000,00700,0000,0700HOUSEKEEPING 426277,A000000,00800,0000,0800DIETARY 426277,A000000,00900,0000,0900NURSING ADMINISTRATION 426277,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426277,A000000,01100,0000,1100PHARMACY 426277,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426277,A000000,01300,0000,1300SOCIAL SERVICE 426277,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426277,A000000,01500,0000,1350RECREATION 426277,A000000,01600,0000,1600SKILLED NURSING FACILITY 426277,A000000,01810,0000,1810ICF/MR 426277,A000000,02100,0000,2100RADIOLOGY 426277,A000000,02200,0000,2200LABORATORY 426277,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426277,A000000,02500,0000,2500PHYSICAL THERAPY 426277,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426277,A000000,02700,0000,2700SPEECH PATHOLOGY 426277,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426277,A000000,03550,0000,3550FQHC 426277,A000000,04801,0000,4801AMBULANCE 426277,A000000,04802,0000,4802AMBULANCE 426277,A000000,04803,0000,4803AMBULANCE 426277,A000000,05000,0000,5000CORF 426277,A000000,05010,0000,5010CMHC 426277,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426277,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426277,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426277,A000000,06300,0000,6150RESIDENTIAL 426277,A81000A,00100,0100,Y 426277,A81000B,00100,0300,SEE ATTACHED 426277,A81000B,00200,0300,HOME OFFICE INTEREST 426277,A81000B,00300,0300,HOME OFFICE A & G 426277,A81000B,00400,0300,HOME OFFICE CAPITAL 426277,A81000C,00100,0100,B 426277,A81000C,00100,0400,SEE ATTACHED 426277,A81000C,00100,0600,VARIOUS 426277,A81000C,00200,0100,B 426277,A81000C,00200,0400,GHC 426277,A81000C,00200,0600,LONG TERM CARE 426277,A81000C,00300,0100,B 426277,A81000C,00300,0400,GHC 426277,A81000C,00300,0600,LONG TERM CARE 426277,A81000C,00400,0100,B 426277,A81000C,00400,0400,GHC 426277,A81000C,00400,0600,LONG TERM CARE 426277,B100000,00000,0100,0100SQUARE FEET 426277,B100000,00000,0200,0200SQUARE FEET 426277,B100000,00000,0300,0300GROSS SALARIES 426277,B100000,00000,0400,0400ACCUM COST 426277,B100000,00000,0500,0500SQUARE FEET 426277,B100000,00000,0600,0600PATIENT DAYS 426277,B100000,00000,0700,0700SQUARE FEET 426277,B100000,00000,0800,0800MEALS SERVED 426277,B100000,00000,0900,0900NURSING SALARIES 426277,B100000,00000,1000,1000COSTED REQUIS 426277,B100000,00000,1100,1100COSTED REQUIS 426277,B100000,00000,1200,1200PATIENT DAYS 426277,B100000,00000,1300,1300PATIENT DAYS 426277,B100000,00000,1400,1400ASSIGNED TIME 426277,B100000,00000,1500,1350PATIENT DAYS 426277,G300000,02500,0000,ASSISTED LIVING 426277,S000000,00100,0200,09/12/11 426277,S200000,00100,0100,1145 POQUONNOCK ROAD 426277,S200000,00200,0100,GROTON 426277,S200000,00200,0200,CT 426277,S200000,00200,0300,06340 426277,S200000,00300,0100,NEW LONDON 426277,S200000,00300,0201,35980 426277,S200000,00300,0300,U 426277,S200000,00400,0100,GROTON REGENCY CENTER 426277,S200000,00400,0200,075270 426277,S200000,00400,0300,07/26/76 426277,S200000,00400,0500,P 426277,S200000,01500,0100,Y 426277,S200000,01501,0200,N 426277,S200000,01502,0200,N 426277,S200000,01503,0200,N 426277,S200000,01504,0200,N 426277,S200000,01600,0100,N 426277,S200000,01700,0100,N 426277,S200000,01800,0100,N 426277,S200000,02200,0100,Y 426277,S200000,02800,0100,N 426277,S200000,02900,0100,N 426277,S200000,03000,0100,N 426277,S200000,03100,0100,N 426277,S200000,03200,0100,N 426277,S200000,03300,0100,N 426277,S200000,03300,0200,N 426277,S200000,04200,0100,N 426277,S200000,04300,0100,N 426277,S200000,04600,0100,N 426277,S200000,04700,0100,N 426277,S200000,04900,0100,N 426277,S200000,05200,0100,N 426277,S200000,05300,0100,Y 426277,S200000,05300,0200,HB0067 426277,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 426277,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 426277,S200000,05400,0300,12001 426277,S200000,05500,0100,101 EAST STATE STREET 426277,S200000,05600,0100,KENNETT SQUARE 426277,S200000,05600,0200,PA 426277,S200000,05600,0300,19348 426287,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426287,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426287,A000000,00300,0000,0300EMPLOYEE BENEFITS 426287,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426287,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426287,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426287,A000000,00700,0000,0700HOUSEKEEPING 426287,A000000,00800,0000,0800DIETARY 426287,A000000,00900,0000,0900NURSING ADMINISTRATION 426287,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426287,A000000,01100,0000,1100PHARMACY 426287,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426287,A000000,01300,0000,1300SOCIAL SERVICE 426287,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426287,A000000,01500,0000,1350OTHER GENERAL SERVICES 426287,A000000,01600,0000,1600SKILLED NURSING FACILITY 426287,A000000,01800,0000,1800NURSING FACILITY 426287,A000000,01810,0000,1810ICF/MR 426287,A000000,01900,0000,1900OTHER LONG TERM CARE 426287,A000000,02100,0000,2100RADIOLOGY 426287,A000000,02200,0000,2200LABORATORY 426287,A000000,02300,0000,2300INTRAVENOUS THERAPY 426287,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426287,A000000,02500,0000,2500PHYSICAL THERAPY 426287,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426287,A000000,02700,0000,2700SPEECH PATHOLOGY 426287,A000000,02800,0000,2800ELECTROCARDIOLOGY 426287,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426287,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426287,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426287,A000000,03200,0000,3200SUPPORT SURFACES 426287,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426287,A000000,03400,0000,3400CLINIC 426287,A000000,03500,0000,3500RURAL HEALTH CLINIC 426287,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426287,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426287,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426287,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426287,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426287,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426287,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426287,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426287,A000000,04400,0000,4400DME RENTED - HHA 426287,A000000,04500,0000,4500DME SOLD - HHA 426287,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426287,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426287,A000000,04710,0000,4710TELEMEDICINE 426287,A000000,04800,0000,4800AMBULANCE 426287,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426287,A000000,05000,0000,5000CORF 426287,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426287,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426287,A000000,05300,0000,5300INTEREST EXPENSE 426287,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426287,A000000,05500,0000,5500HOSPICE 426287,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426287,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426287,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426287,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426287,A000000,06100,0000,6100NONPAID WORKERS 426287,A000000,06200,0000,6200PATIENTS LAUNDRY 426287,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426287,A81000A,00100,0100,N 426287,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426287,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426287,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426287,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426287,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426287,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426287,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426287,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426287,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426287,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426287,G300000,02500,0000,MISCELLANEOUS INCOME 426287,S000000,00100,0200,02/17/12 426287,S200000,00100,0100,19560 OLD CUTLER ROAD 426287,S200000,00200,0100,MIAMI 426287,S200000,00200,0200,FL 426287,S200000,00200,0300,33157 426287,S200000,00300,0100,MIAMI-DADE 426287,S200000,00300,0200,5000 426287,S200000,00300,0201,33124 426287,S200000,00300,0300,U 426287,S200000,00400,0100,PERDUE MEDICAL CENTER 426287,S200000,00400,0200,105252 426287,S200000,00400,0300,09/16/71 426287,S200000,00400,0500,P 426287,S200000,01500,0100,Y 426287,S200000,01501,0200,Y 426287,S200000,01503,0200,Y 426287,S200000,01504,0200,Y 426287,S200000,01600,0100,N 426287,S200000,01700,0100,N 426287,S200000,01800,0100,N 426287,S200000,02200,0100,N 426287,S200000,02800,0100,N 426287,S200000,02900,0100,N 426287,S200000,03000,0100,N 426287,S200000,03100,0100,N 426287,S200000,03200,0100,N 426287,S200000,03300,0100,N 426287,S200000,03300,0200,N 426287,S200000,04100,0100,N 426287,S200000,04200,0100,N 426287,S200000,04300,0100,N 426287,S200000,04600,0100,N 426287,S200000,04700,0100,N 426287,S200000,04700,0200,N 426287,S200000,04900,0100,N 426287,S200000,05000,0100,N 426287,S200000,05100,0100,N 426287,S200000,05200,0100,N 426290,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426290,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426290,A000000,00300,0000,0300EMPLOYEE BENEFITS 426290,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426290,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426290,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426290,A000000,00700,0000,0700HOUSEKEEPING 426290,A000000,00800,0000,0800DIETARY 426290,A000000,00900,0000,0900NURSING ADMINISTRATION 426290,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426290,A000000,01100,0000,1100PHARMACY 426290,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426290,A000000,01300,0000,1300SOCIAL SERVICE 426290,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426290,A000000,01500,0000,1350OTHER GENERAL SERVICES 426290,A000000,01600,0000,1600SKILLED NURSING FACILITY 426290,A000000,01800,0000,1800NURSING FACILITY 426290,A000000,01810,0000,1810ICF/MR 426290,A000000,01900,0000,1900OTHER LONG TERM CARE 426290,A000000,02100,0000,2100RADIOLOGY 426290,A000000,02200,0000,2200LABORATORY 426290,A000000,02300,0000,2300INTRAVENOUS THERAPY 426290,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426290,A000000,02500,0000,2500PHYSICAL THERAPY 426290,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426290,A000000,02700,0000,2700SPEECH PATHOLOGY 426290,A000000,02800,0000,2800ELECTROCARDIOLOGY 426290,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426290,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426290,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426290,A000000,03200,0000,3200SUPPORT SURFACES 426290,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426290,A000000,03400,0000,3400CLINIC 426290,A000000,03500,0000,3500RURAL HEALTH CLINIC 426290,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426290,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426290,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426290,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426290,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426290,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426290,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426290,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426290,A000000,04400,0000,4400DME RENTED - HHA 426290,A000000,04500,0000,4500DME SOLD - HHA 426290,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426290,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426290,A000000,04710,0000,4710TELEMEDICINE 426290,A000000,04800,0000,4800AMBULANCE 426290,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426290,A000000,05000,0000,5000CORF 426290,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426290,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426290,A000000,05300,0000,5300INTEREST EXPENSE 426290,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426290,A000000,05500,0000,5500HOSPICE 426290,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426290,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426290,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426290,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426290,A000000,06100,0000,6100NONPAID WORKERS 426290,A000000,06200,0000,6200PATIENTS LAUNDRY 426290,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426290,A81000A,00100,0100,N 426290,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426290,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426290,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426290,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426290,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426290,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426290,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426290,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426290,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426290,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426290,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426290,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 426290,G300000,02500,0000,MISCELLANEOUS INCOME 426290,S000000,00100,0200,02/17/12 426290,S200000,00100,0100,2500 NW 22ND AVE 426290,S200000,00200,0100,MIAMI 426290,S200000,00200,0200,FL 426290,S200000,00200,0300,33142 426290,S200000,00300,0100,MIAMI-DADE 426290,S200000,00300,0200,5000 426290,S200000,00300,0201,33124 426290,S200000,00300,0300,U 426290,S200000,00400,0100,JACKSON MEMORIAL LONG TERM CARE CTR 426290,S200000,00400,0200,105392 426290,S200000,00400,0300,10/01/81 426290,S200000,00400,0500,P 426290,S200000,01500,0100,Y 426290,S200000,01501,0200,Y 426290,S200000,01503,0200,Y 426290,S200000,01504,0200,Y 426290,S200000,01600,0100,N 426290,S200000,01700,0100,N 426290,S200000,01800,0100,N 426290,S200000,02200,0100,N 426290,S200000,02800,0100,N 426290,S200000,02900,0100,N 426290,S200000,03000,0100,N 426290,S200000,03100,0100,N 426290,S200000,03200,0100,N 426290,S200000,03300,0100,N 426290,S200000,03300,0200,N 426290,S200000,04100,0100,N 426290,S200000,04200,0100,N 426290,S200000,04300,0100,N 426290,S200000,04600,0100,N 426290,S200000,04700,0100,N 426290,S200000,04700,0200,N 426290,S200000,04900,0100,N 426290,S200000,05000,0100,N 426290,S200000,05100,0100,N 426290,S200000,05200,0100,N 426315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426315,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426315,A000000,00300,0000,0300EMPLOYEE BENEFITS 426315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426315,A000000,00700,0000,0700HOUSEKEEPING 426315,A000000,00800,0000,0800DIETARY 426315,A000000,00900,0000,0900NURSING ADMINISTRATION 426315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426315,A000000,01100,0000,1100PHARMACY 426315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426315,A000000,01300,0000,1300SOCIAL SERVICE 426315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426315,A000000,01500,0000,1350OTHER GENERAL SERVICES 426315,A000000,01600,0000,1600SKILLED NURSING FACILITY 426315,A000000,01800,0000,1800NURSING FACILITY 426315,A000000,01810,0000,1810ICF/MR 426315,A000000,01900,0000,1900OTHER LONG TERM CARE 426315,A000000,02100,0000,2100RADIOLOGY 426315,A000000,02200,0000,2200LABORATORY 426315,A000000,02300,0000,2300INTRAVENOUS THERAPY 426315,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426315,A000000,02500,0000,2500PHYSICAL THERAPY 426315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426315,A000000,02700,0000,2700SPEECH PATHOLOGY 426315,A000000,02800,0000,2800ELECTROCARDIOLOGY 426315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426315,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426315,A000000,03200,0000,3200SUPPORT SURFACES 426315,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426315,A000000,03400,0000,3400CLINIC 426315,A000000,03500,0000,3500RURAL HEALTH CLINIC 426315,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426315,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426315,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426315,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426315,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426315,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426315,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426315,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426315,A000000,04400,0000,4400DME RENTED - HHA 426315,A000000,04500,0000,4500DME SOLD - HHA 426315,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426315,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426315,A000000,04710,0000,4710TELEMEDICINE 426315,A000000,04800,0000,4800AMBULANCE 426315,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426315,A000000,05000,0000,5000CORF 426315,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426315,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426315,A000000,05300,0000,5300INTEREST EXPENSE 426315,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426315,A000000,05500,0000,5500HOSPICE 426315,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426315,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426315,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426315,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426315,A000000,06100,0000,6100NONPAID WORKERS 426315,A000000,06200,0000,6200PATIENTS LAUNDRY 426315,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426315,A000000,06301,0000,6151RESIDENTIAL HEALTHCARE CENTER 426315,A000000,06302,0000,6152CENTER 426315,A81000A,00100,0100,N 426315,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426315,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426315,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426315,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426315,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426315,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426315,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426315,B100000,00000,0800,0800MEALS SERVED :DIETARY 426315,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426315,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426315,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426315,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426315,G300000,02500,0000,PERSONAL SERVICES 426315,G300000,02501,0000,RHC REVENUE 426315,G300000,02503,0000,ADULT DAY CARE 426315,G300000,02504,0000,SALE OF N/F ASSETS 426315,S000000,00100,0200,01/25/12 426315,S200000,00100,0100,408 FRONTVIEW 426315,S200000,00200,0100,DODGE CITY 426315,S200000,00200,0200,KS 426315,S200000,00200,0300,67801 426315,S200000,00300,0100,FORD 426315,S200000,00300,0200,17 426315,S200000,00300,0201,99917 426315,S200000,00300,0300,R 426315,S200000,00400,0100,TRINITY MANOR 426315,S200000,00400,0200,175377 426315,S200000,00400,0300,10/01/96 426315,S200000,00400,0500,P 426315,S200000,01500,0100,Y 426315,S200000,01501,0200,Y 426315,S200000,01503,0200,Y 426315,S200000,01504,0200,Y 426315,S200000,01600,0100,N 426315,S200000,01700,0100,N 426315,S200000,01800,0100,N 426315,S200000,02200,0100,N 426315,S200000,02800,0100,Y 426315,S200000,02900,0100,N 426315,S200000,03000,0100,N 426315,S200000,03100,0100,N 426315,S200000,03200,0100,N 426315,S200000,03300,0100,N 426315,S200000,03300,0200,N 426315,S200000,04100,0100,N 426315,S200000,04200,0100,N 426315,S200000,04300,0100,N 426315,S200000,04600,0100,N 426315,S200000,04700,0100,N 426315,S200000,04700,0200,N 426315,S200000,04900,0100,N 426315,S200000,05000,0100,N 426315,S200000,05100,0100,N 426315,S200000,05200,0100,N 426315,S200000,05300,0100,N 426325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426325,A000000,00300,0000,0300EMPLOYEE BENEFITS 426325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426325,A000000,00700,0000,0700HOUSEKEEPING 426325,A000000,00800,0000,0800DIETARY 426325,A000000,00900,0000,0900NURSING ADMINISTRATION 426325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426325,A000000,01100,0000,1100PHARMACY 426325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426325,A000000,01300,0000,1300SOCIAL SERVICE 426325,A000000,01500,0000,1350PATIENT ACTIVITIES 426325,A000000,01600,0000,1600SKILLED NURSING FACILITY 426325,A000000,02100,0000,2100RADIOLOGY 426325,A000000,02200,0000,2200LABORATORY 426325,A000000,02300,0000,2300INTRAVENOUS THERAPY 426325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426325,A000000,02500,0000,2500PHYSICAL THERAPY 426325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426325,A000000,02700,0000,2700SPEECH PATHOLOGY 426325,A000000,02800,0000,2800ELECTROCARDIOLOGY 426325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426325,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426325,A000000,03200,0000,3200SUPPORT SURFACES 426325,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426325,A000000,04800,0000,4800AMBULANCE 426325,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426325,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426325,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426325,A000000,06100,0000,6100NONPAID WORKERS 426325,A000000,06200,0000,6200PATIENTS LAUNDRY 426325,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426325,A81000A,00100,0100,Y 426325,A81000B,00100,0300,DEPRECIATION 426325,A81000B,00200,0300,RENT 426325,A81000B,00300,0300,INTEREST 426325,A81000B,00400,0300,PROPERTY INSURANCE 426325,A81000B,00500,0300,PROPERTY TAX 426325,A81000B,00600,0300,MISC ADMIN 426325,A81000B,00700,0300,HOME OFFICE 426325,A81000B,00800,0300,HOME OFFICE 426325,A81000B,00900,0300,STOCK DRUGS 426325,A81000B,01000,0300,LEGEND DRUGS 426325,A81000B,01100,0300,PHARMACY CONSULTANT 426325,A81000C,00100,0100,B 426325,A81000C,00100,0200,LSA MANAGEMENT 426325,A81000C,00100,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00100,0600,LESSOR 426325,A81000C,00200,0100,B 426325,A81000C,00200,0200,LSA MANAGEMENT 426325,A81000C,00200,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00200,0600,LESSOR 426325,A81000C,00300,0100,B 426325,A81000C,00300,0200,LSA MANAGEMENT 426325,A81000C,00300,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00300,0600,LESSOR 426325,A81000C,00400,0100,B 426325,A81000C,00400,0200,LSA MANAGEMENT 426325,A81000C,00400,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00400,0600,LESSOR 426325,A81000C,00500,0100,B 426325,A81000C,00500,0200,LSA MANAGEMENT 426325,A81000C,00500,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00500,0600,LESSOR 426325,A81000C,00600,0100,B 426325,A81000C,00600,0200,LSA MANAGEMENT 426325,A81000C,00600,0400,LH - WILMINGTON PROPERTY 426325,A81000C,00600,0600,LESSOR 426325,A81000C,00700,0100,B 426325,A81000C,00700,0200,LSA MANAGEMENT 426325,A81000C,00700,0400,LSA MANAGEMENT INC. 426325,A81000C,00700,0600,HOME OFFICE 426325,A81000C,00800,0100,B 426325,A81000C,00800,0200,LSA MANAGEMENT 426325,A81000C,00800,0400,LSA MANAGEMENT INC. 426325,A81000C,00800,0600,HOME OFFICE 426325,A81000C,00900,0100,B 426325,A81000C,00900,0200,LSA MANAGEMENT 426325,A81000C,00900,0400,LSA PHARMACY INC. 426325,A81000C,00900,0600,PHARMACY 426325,A81000C,01000,0100,B 426325,A81000C,01000,0200,LSA MANAGEMENT 426325,A81000C,01000,0400,LSA PHARMACY INC. 426325,A81000C,01000,0600,PHARMACY 426325,A81000C,01001,0100,B 426325,A81000C,01001,0200,LSA MANAGEMENT 426325,A81000C,01001,0400,LSA PHARMACY INC. 426325,A81000C,01001,0600,PHARMACY 426325,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426325,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426325,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426325,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426325,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426325,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426325,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426325,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426325,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426325,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426325,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426325,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426325,G300000,02500,0000,BARBER AND BEAUTY 426325,G300000,02501,0000,PERSONAL PURCHASES 426325,G300000,02502,0000,OTHER INCOME 426325,S000000,00100,0200,02/27/12 426325,S200000,00100,0100,631 JUNCTION CREEK DRIVE 426325,S200000,00200,0100,WILMINGTON 426325,S200000,00200,0200,NC 426325,S200000,00200,0300,28412 426325,S200000,00300,0100,NEW HANOVER 426325,S200000,00300,0200,9200 426325,S200000,00300,0201,48900 426325,S200000,00300,0300,U 426325,S200000,00400,0100,TRINITY GROVE 426325,S200000,00400,0200,345554 426325,S200000,00400,0300,06/29/11 426325,S200000,00400,0500,P 426325,S200000,01500,0100,N 426325,S200000,01501,0200,Y 426325,S200000,01503,0200,Y 426325,S200000,01600,0100,Y 426325,S200000,01700,0100,N 426325,S200000,01800,0100,N 426325,S200000,02200,0100,N 426325,S200000,02800,0100,N 426325,S200000,02900,0100,N 426325,S200000,03000,0100,N 426325,S200000,03100,0100,N 426325,S200000,03200,0100,N 426325,S200000,03300,0100,N 426325,S200000,03300,0200,N 426325,S200000,04100,0100,N 426325,S200000,04200,0100,N 426325,S200000,04300,0100,N 426325,S200000,04600,0100,N 426325,S200000,04700,0100,N 426325,S200000,04700,0200,N 426325,S200000,04900,0100,N 426325,S200000,05000,0100,N 426325,S200000,05100,0100,N 426325,S200000,05200,0100,N 426325,S200000,05300,0100,Y 426325,S200000,05300,0200,349086 426325,S200000,05400,0100,LSA MANAGEMENT INC. 426325,S200000,05400,0200,PALMETTO GBA 426325,S200000,05400,0300,11001 426325,S200000,05500,0200,PO BOX947 426325,S200000,05600,0100,SALISBURY 426325,S200000,05600,0200,NC 426325,S200000,05600,0300,28145-0947 426375,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426375,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426375,A000000,00300,0000,0300EMPLOYEE BENEFITS 426375,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426375,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426375,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426375,A000000,00700,0000,0700HOUSEKEEPING 426375,A000000,00800,0000,0800DIETARY 426375,A000000,00801,0000,0801SHARED DIETARY SERVICES 426375,A000000,00900,0000,0900NURSING ADMINISTRATION 426375,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426375,A000000,01100,0000,1100PHARMACY 426375,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426375,A000000,01201,0000,1201ACTIVITIES 426375,A000000,01300,0000,1300SOCIAL SERVICE 426375,A000000,01301,0000,1301SHARED SOCIAL SERVICES 426375,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426375,A000000,01500,0000,1350OTHER GENERAL SERVICES 426375,A000000,01600,0000,1600SKILLED NURSING FACILITY 426375,A000000,01800,0000,1800NURSING FACILITY 426375,A000000,01810,0000,1810ICF/MR 426375,A000000,01900,0000,1900OTHER LONG TERM CARE 426375,A000000,02100,0000,2100RADIOLOGY 426375,A000000,02200,0000,2200LABORATORY 426375,A000000,02300,0000,2300INTRAVENOUS THERAPY 426375,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426375,A000000,02500,0000,2500PHYSICAL THERAPY 426375,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426375,A000000,02700,0000,2700SPEECH PATHOLOGY 426375,A000000,02800,0000,2800ELECTROCARDIOLOGY 426375,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426375,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426375,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426375,A000000,03200,0000,3200SUPPORT SURFACES 426375,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426375,A000000,03400,0000,3400CLINIC 426375,A000000,03500,0000,3500RURAL HEALTH CLINIC 426375,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426375,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426375,A000000,05000,0000,5000CORF 426375,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426375,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426375,A000000,05300,0000,5300INTEREST EXPENSE 426375,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426375,A000000,05500,0000,5500HOSPICE 426375,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426375,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426375,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426375,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426375,A000000,06100,0000,6100NONPAID WORKERS 426375,A000000,06200,0000,6200PATIENTS LAUNDRY 426375,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426375,A000000,06301,0000,6151CATERED MEALS 426375,A81000A,00100,0100,Y 426375,A81000B,00100,0300,ADMIN/ACCOUNTING 426375,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 426375,A81000B,00300,0300,HEALTH INSURANCE 426375,A81000B,00400,0300,WORKERS COMPENSATION 426375,A81000B,00500,0300,PROPERTY INSURANCE 426375,A81000B,00600,0300,LIABILITY INSURANCE 426375,A81000B,00700,0300,VEHICLE INSURANCE 426375,A81000C,00100,0100,B 426375,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 426375,A81000C,00100,0600,HEALTH CARE 426375,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426375,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426375,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426375,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426375,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426375,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426375,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 426375,B100000,00000,0800,0800MEALS SERVED :DIETARY 426375,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426375,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426375,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426375,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 426375,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 426375,G300000,02500,0000,OTHER (SPECIFY) 426375,S000000,00100,0200,01/31/12 426375,S200000,00100,0100,515 W HWY 46 426375,S200000,00200,0100,WAGNER 426375,S200000,00200,0200,SD 426375,S200000,00200,0300,57380-9372 426375,S200000,00300,0100,CHARLES MIX 426375,S200000,00300,0201,99943 426375,S200000,00300,0300,R 426375,S200000,00400,0100,GOOD SAMARITAN SOCIETY-WAGNER 426375,S200000,00400,0200,435106 426375,S200000,00400,0300,08/01/97 426375,S200000,00400,0500,P 426375,S200000,01500,0100,Y 426375,S200000,01501,0200,N 426375,S200000,01502,0200,N 426375,S200000,01504,0200,N 426375,S200000,01505,0000,HEALTH INSURANCE 426375,S200000,01505,0200,N 426375,S200000,01506,0000,PENSION 426375,S200000,01506,0200,Y 426375,S200000,01600,0100,N 426375,S200000,01700,0100,N 426375,S200000,01800,0100,N 426375,S200000,02200,0100,N 426375,S200000,02800,0100,N 426375,S200000,02900,0100,N 426375,S200000,03000,0100,N 426375,S200000,03100,0100,N 426375,S200000,03200,0100,N 426375,S200000,03300,0100,N 426375,S200000,03300,0200,N 426375,S200000,04100,0100,N 426375,S200000,04200,0100,N 426375,S200000,04300,0100,N 426375,S200000,04600,0100,N 426375,S200000,04700,0100,N 426375,S200000,04700,0200,N 426375,S200000,04900,0100,N 426375,S200000,05000,0100,N 426375,S200000,05100,0100,N 426375,S200000,05200,0100,N 426375,S200000,05300,0100,Y 426375,S200000,05300,0200,439100 426375,S200000,05400,0100,ELGSS 426375,S200000,05400,0200,NORIDIAN 426375,S200000,05400,0300,03001 426375,S200000,05500,0100,4800 WEST 57TH STREET 426375,S200000,05500,0200,5038 426375,S200000,05600,0100,SIOUX FALLS 426375,S200000,05600,0200,SD 426375,S200000,05600,0300,57117-5038 426437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426437,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426437,A000000,00300,0000,0300EMPLOYEE BENEFITS 426437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426437,A000000,00700,0000,0700HOUSEKEEPING 426437,A000000,00800,0000,0800DIETARY 426437,A000000,00900,0000,0900NURSING ADMINISTRATION 426437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426437,A000000,01300,0000,1300SOCIAL SERVICE 426437,A000000,01301,0000,1301ACTIVITY 426437,A000000,01600,0000,1600SKILLED NURSING FACILITY 426437,A000000,01800,0000,1800NURSING FACILITY 426437,A000000,01900,0000,1900OTHER LONG TERM CARE 426437,A000000,02100,0000,2100RADIOLOGY 426437,A000000,02200,0000,2200LABORATORY 426437,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426437,A000000,02500,0000,2500PHYSICAL THERAPY 426437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426437,A000000,02700,0000,2700SPEECH PATHOLOGY 426437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426437,A000000,03200,0000,3200SUPPORT SURFACES 426437,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426437,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426437,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426437,A81000A,00100,0100,Y 426437,A81000B,00100,0300,HOME OFFICE EXPENSE 426437,A81000B,00200,0300,HOME OFFICE EXPENSE 426437,A81000C,00100,0100,A 426437,A81000C,00100,0400,KISSITO HEALTHCARE INC. 426437,A81000C,00100,0600,NURSING HOME MANAGEMENT 426437,A81000C,00200,0100,A 426437,A81000C,00200,0400,KISSITO HEALTHCARE INC. 426437,A81000C,00200,0600,NURSING HOME MANAGEMENT 426437,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426437,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426437,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426437,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426437,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426437,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426437,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426437,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426437,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426437,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426437,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426437,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426437,B100000,00000,1301,1331PATIENT DAYS :ACTIVITY 426437,E10A180,00302,0100,09/30/11 426437,E10A180,00303,0100,09/30/11 426437,E10A180,00304,0100,09/30/11 426437,G300000,02500,0000,OTHER INCOME 426437,S000000,00100,0200,01/25/12 426437,S200000,00100,0100,2222 S AVENUE A 426437,S200000,00200,0100,YUMA 426437,S200000,00200,0200,AZ 426437,S200000,00200,0300,24266 426437,S200000,00300,0100,YUMA 426437,S200000,00300,0201,49740 426437,S200000,00300,0300,U 426437,S200000,00400,0100,PALM VIEW REHABILITATION & CARE CTR 426437,S200000,00400,0200,035096 426437,S200000,00400,0300,05/01/85 426437,S200000,00400,0500,P 426437,S200000,00600,0200,035096 426437,S200000,00600,0300,05/01/85 426437,S200000,00600,0600,O 426437,S200000,01500,0100,N 426437,S200000,01501,0200,Y 426437,S200000,01600,0100,Y 426437,S200000,01700,0100,N 426437,S200000,01800,0100,N 426437,S200000,02200,0100,N 426437,S200000,02800,0100,N 426437,S200000,02900,0100,N 426437,S200000,03000,0100,N 426437,S200000,03100,0100,N 426437,S200000,03200,0100,N 426437,S200000,03300,0100,N 426437,S200000,03300,0200,N 426437,S200000,03500,0300,N 426437,S200000,04100,0100,N 426437,S200000,04200,0100,N 426437,S200000,04300,0100,N 426437,S200000,04600,0100,N 426437,S200000,04700,0100,N 426437,S200000,04700,0200,N 426437,S200000,04900,0100,N 426437,S200000,05000,0100,N 426437,S200000,05100,0100,N 426437,S200000,05200,0100,N 426437,S200000,05300,0100,Y 426437,S200000,05300,0200,349191 426437,S200000,05400,0100,KISSITO HEALTHCARE INC. 426437,S200000,05400,0200,CSA LLC 426437,S200000,05400,0300,77002 426437,S200000,05500,0100,5228 VALLEYPOINTE BLDG B SUITE 1 426437,S200000,05600,0100,ROANOKE 426437,S200000,05600,0200,VA 426437,S200000,05600,0300,24019 426441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426441,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426441,A000000,00300,0000,0300EMPLOYEE BENEFITS 426441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426441,A000000,00700,0000,0700HOUSEKEEPING 426441,A000000,00800,0000,0800DIETARY 426441,A000000,00900,0000,0900NURSING ADMINISTRATION 426441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426441,A000000,01100,0000,1100PHARMACY 426441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426441,A000000,01300,0000,1300SOCIAL SERVICE 426441,A000000,01500,0000,1350OTHER GENERAL SERVICES 426441,A000000,01501,0000,1351PATIENT ACTIVITIES 426441,A000000,01600,0000,1600SKILLED NURSING FACILITY 426441,A000000,01800,0000,1800NURSING FACILITY 426441,A000000,01810,0000,1810ICF/MR 426441,A000000,01900,0000,1900OTHER LONG TERM CARE 426441,A000000,02100,0000,2100RADIOLOGY 426441,A000000,02200,0000,2200LABORATORY 426441,A000000,02300,0000,2300INTRAVENOUS THERAPY 426441,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426441,A000000,02500,0000,2500PHYSICAL THERAPY 426441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426441,A000000,02700,0000,2700SPEECH PATHOLOGY 426441,A000000,02800,0000,2800ELECTROCARDIOLOGY 426441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426441,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 426441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426441,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426441,A000000,03101,0000,3101DENTAL CARE - TITLE XIX ONLY 426441,A000000,03102,0000,3102PROMO & PUB RELATIONS - OTHER 426441,A000000,03200,0000,3200SUPPORT SURFACES 426441,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426441,A000000,03400,0000,3400CLINIC 426441,A000000,03500,0000,3500RURAL HEALTH CLINIC 426441,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426441,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426441,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426441,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426441,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426441,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426441,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426441,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426441,A000000,04400,0000,4400DME RENTED - HHA 426441,A000000,04500,0000,4500DME SOLD - HHA 426441,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426441,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426441,A000000,04710,0000,4710TELEMEDICINE 426441,A000000,04800,0000,4800AMBULANCE 426441,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426441,A000000,05000,0000,5000CORF 426441,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426441,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426441,A000000,05300,0000,5300INTEREST EXPENSE 426441,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426441,A000000,05500,0000,5500HOSPICE 426441,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426441,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426441,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426441,A000000,06100,0000,6100NONPAID WORKERS 426441,A000000,06200,0000,6200PATIENTS LAUNDRY 426441,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426441,A81000A,00100,0100,N 426441,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426441,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426441,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426441,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426441,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426441,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426441,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426441,B100000,00000,0800,0800MEALS SERVED :DIETARY 426441,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426441,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426441,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426441,B100000,00000,1501,1351TIME SPENT :PATIENT ACTIVITIES 426441,G300000,02500,0000,COFFEE AND PASTRY SALES-REVENUE 426441,G300000,02501,0000,MISCELLANEOUS INCOME 426441,S000000,00100,0200,02/08/12 426441,S200000,00100,0100,300 MEADOWLAND DR 426441,S200000,00100,0300,1107 426441,S200000,00200,0100,HILLSBOROUGH 426441,S200000,00200,0200,NC 426441,S200000,00200,0300,27278 426441,S200000,00300,0100,ORANGE 426441,S200000,00300,0200,2050 426441,S200000,00300,0201,20500 426441,S200000,00300,0300,U 426441,S200000,00400,0100,BROOKSHIRE INC. 426441,S200000,00400,0200,345439 426441,S200000,00400,0300,06/23/93 426441,S200000,00400,0500,P 426441,S200000,01500,0100,N 426441,S200000,01501,0200,N 426441,S200000,01504,0200,N 426441,S200000,01505,0000,OTHER 426441,S200000,01505,0200,N 426441,S200000,01600,0100,Y 426441,S200000,01700,0100,N 426441,S200000,01800,0100,N 426441,S200000,02200,0100,N 426441,S200000,02800,0100,N 426441,S200000,02900,0100,N 426441,S200000,03000,0100,N 426441,S200000,03100,0100,N 426441,S200000,03200,0100,N 426441,S200000,03300,0100,N 426441,S200000,03300,0200,N 426441,S200000,04100,0100,N 426441,S200000,04200,0100,N 426441,S200000,04300,0100,N 426441,S200000,04600,0100,N 426441,S200000,04700,0100,N 426441,S200000,04700,0200,N 426441,S200000,04900,0100,N 426441,S200000,05000,0100,N 426441,S200000,05100,0100,N 426441,S200000,05200,0100,N 426443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426443,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426443,A000000,00300,0000,0300EMPLOYEE BENEFITS 426443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426443,A000000,00700,0000,0700HOUSEKEEPING 426443,A000000,00800,0000,0800DIETARY 426443,A000000,00900,0000,0900NURSING ADMINISTRATION 426443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426443,A000000,01100,0000,1100PHARMACY 426443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426443,A000000,01300,0000,1300SOCIAL SERVICE 426443,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426443,A000000,01600,0000,1600SKILLED NURSING FACILITY 426443,A000000,01810,0000,1810ICF/MR 426443,A000000,01900,0000,1900OTHER LONG TERM CARE 426443,A000000,02200,0000,2200LABORATORY 426443,A000000,02500,0000,2500PHYSICAL THERAPY 426443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426443,A000000,03550,0000,3550FQHC 426443,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426443,A000000,05000,0000,5000CORF 426443,A000000,05010,0000,5010CMHC 426443,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426443,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426443,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426443,A81000A,00100,0100,N 426443,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426443,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426443,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426443,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426443,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426443,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426443,B100000,00000,0800,0800MEALS SERVED :DIETARY 426443,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426443,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 426443,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 426443,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426443,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426443,G300000,02500,0000,MISCELLANEOUS INCOME 426443,S000000,00100,0200,01/30/12 426443,S200000,00100,0100,101 HARPER 426443,S200000,00100,0300,219 426443,S200000,00200,0100,PLAINVIEW 426443,S200000,00200,0200,NE 426443,S200000,00200,0300,68769 426443,S200000,00300,0100,PIERCE 426443,S200000,00300,0201,99928 426443,S200000,00300,0300,R 426443,S200000,00400,0100,PLAINVIEW MANOR 426443,S200000,00400,0200,285273 426443,S200000,00400,0300,06/01/07 426443,S200000,00400,0500,P 426443,S200000,01500,0100,Y 426443,S200000,01501,0200,Y 426443,S200000,01504,0200,Y 426443,S200000,01600,0100,N 426443,S200000,01700,0100,N 426443,S200000,01800,0100,N 426443,S200000,02200,0100,N 426443,S200000,02800,0100,Y 426443,S200000,02900,0100,N 426443,S200000,03000,0100,N 426443,S200000,03100,0100,N 426443,S200000,03200,0100,N 426443,S200000,03300,0100,N 426443,S200000,03300,0200,N 426443,S200000,03600,0100,N 426443,S200000,03600,0200,N 426443,S200000,04100,0100,N 426443,S200000,04200,0100,N 426443,S200000,04300,0100,N 426443,S200000,04600,0100,N 426443,S200000,04700,0100,N 426443,S200000,04700,0200,N 426443,S200000,04900,0100,N 426443,S200000,05000,0100,N 426443,S200000,05100,0100,N 426443,S200000,05200,0100,N 426443,S200000,05300,0100,N 426452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426452,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426452,A000000,00300,0000,0300EMPLOYEE BENEFITS 426452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426452,A000000,00700,0000,0700HOUSEKEEPING 426452,A000000,00800,0000,0800DIETARY 426452,A000000,00900,0000,0900NURSING ADMINISTRATION 426452,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426452,A000000,01100,0000,1100PHARMACY 426452,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426452,A000000,01300,0000,1300SOCIAL SERVICE 426452,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426452,A000000,01500,0000,1350OTHER GENERAL SERVICES 426452,A000000,01600,0000,1600SKILLED NURSING FACILITY 426452,A000000,01800,0000,1800NURSING FACILITY 426452,A000000,01810,0000,1810ICF/MR 426452,A000000,01900,0000,1900OTHER LONG TERM CARE 426452,A000000,02100,0000,2100RADIOLOGY 426452,A000000,02200,0000,2200LABORATORY 426452,A000000,02300,0000,2300INTRAVENOUS THERAPY 426452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426452,A000000,02500,0000,2500PHYSICAL THERAPY 426452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426452,A000000,02700,0000,2700SPEECH PATHOLOGY 426452,A000000,02800,0000,2800ELECTROCARDIOLOGY 426452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426452,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426452,A000000,03200,0000,3200SUPPORT SURFACES 426452,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426452,A000000,03400,0000,3400CLINIC 426452,A000000,03500,0000,3500RURAL HEALTH CLINIC 426452,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426452,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426452,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426452,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426452,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426452,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426452,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426452,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426452,A000000,04400,0000,4400DME RENTED - HHA 426452,A000000,04500,0000,4500DME SOLD - HHA 426452,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426452,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426452,A000000,04710,0000,4710TELEMEDICINE 426452,A000000,04800,0000,4800AMBULANCE 426452,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426452,A000000,05000,0000,5000CORF 426452,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426452,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426452,A000000,05300,0000,5300INTEREST EXPENSE 426452,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426452,A000000,05500,0000,5500HOSPICE 426452,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426452,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426452,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426452,A000000,06100,0000,6100NONPAID WORKERS 426452,A000000,06200,0000,6200PATIENTS LAUNDRY 426452,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426452,A81000A,00100,0100,Y 426452,A81000B,00100,0300,CENTRAL OFFICE COSTS-BHS 426452,A81000B,00200,0300,CENTRAL OFFICE COSTS-BHS 426452,A81000B,00300,0300,CENTRAL OFFICE COSTS-BHS 426452,A81000B,00400,0300,COMPUTER USER FEES 426452,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 426452,A81000B,00600,0300,INTEREST EXP 426452,A81000B,00700,0300,PT 426452,A81000B,00800,0300,OT 426452,A81000B,00900,0300,ST 426452,A81000C,00100,0100,G 426452,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 426452,A81000C,00100,0600,MANAGEMENT SERVICES 426452,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426452,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426452,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426452,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426452,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426452,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 426452,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426452,B100000,00000,0800,0800MEALS SERVED :DIETARY 426452,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 426452,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 426452,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 426452,E10A180,00301,0100,06/30/11 426452,E10A180,00550,0100,02/10/12 426452,G300000,02500,0000,MISC INCOME 426452,G300000,02501,0000,PAY FOR PERFORMANCE 426452,G300000,02502,0000,NET ASSETS REALEASED FROM RESTRICTI 426452,G300000,02503,0000,PURCHASED SERVICES INCOME - DIETARY 426452,G300000,02504,0000,PURCHASED SERVICES INCOME - PLANT 426452,G300000,02505,0000,INTER DEPARTMENTAL ALLOC 426452,G300000,02506,0000,BEAUTY SHOP 426452,G300000,02507,0000,ASSISTED LIVING 426452,G300000,02508,0000,OTHER SPACE RENTAL INCOME 426452,G300000,02509,0000,PRIOR YEAR HHA 426452,G300000,02510,0000,OUTSOURCED THERAPY 426452,S000000,00100,0200,01/31/12 426452,S200000,00100,0100,100 GLEN OAKS DRIVE 426452,S200000,00100,0300,RT3 BOX B 426452,S200000,00200,0100,NEW LONDON 426452,S200000,00200,0200,MN 426452,S200000,00200,0300,56273-9580 426452,S200000,00300,0100,KANDIYOHI 426452,S200000,00300,0200,24 426452,S200000,00300,0201,99924 426452,S200000,00300,0300,R 426452,S200000,00400,0100,BENEDICTINE LIVING COM OF NEW LONDON 426452,S200000,00400,0200,245360 426452,S200000,00400,0300,11/18/96 426452,S200000,00400,0500,P 426452,S200000,01500,0100,Y 426452,S200000,01501,0200,N 426452,S200000,01502,0200,Y 426452,S200000,01503,0200,Y 426452,S200000,01504,0200,Y 426452,S200000,01600,0100,N 426452,S200000,01700,0100,N 426452,S200000,01800,0100,N 426452,S200000,02200,0100,N 426452,S200000,02800,0100,N 426452,S200000,02900,0100,N 426452,S200000,03000,0100,N 426452,S200000,03100,0100,N 426452,S200000,03200,0100,N 426452,S200000,03300,0100,N 426452,S200000,03300,0200,N 426452,S200000,04100,0100,N 426452,S200000,04200,0100,N 426452,S200000,04300,0100,N 426452,S200000,04600,0100,N 426452,S200000,04700,0100,N 426452,S200000,04700,0200,N 426452,S200000,04900,0100,N 426452,S200000,05000,0100,N 426452,S200000,05100,0100,N 426452,S200000,05200,0100,N 426457,S000000,00100,0200,02/15/12 426457,S200000,00100,0100,96 3RD ST E 426457,S200000,00200,0100,MORGAN 426457,S200000,00200,0200,MN 426457,S200000,00200,0300,56266-1414 426457,S200000,00300,0100,REDWOOD 426457,S200000,00400,0100,GIL-MOR MANOR 426457,S200000,00400,0300,11/01/91 426477,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426477,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426477,A000000,00300,0000,0300EMPLOYEE BENEFITS 426477,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426477,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426477,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426477,A000000,00700,0000,0700HOUSEKEEPING 426477,A000000,00800,0000,0800DIETARY 426477,A000000,00900,0000,0900NURSING ADMINISTRATION 426477,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426477,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426477,A000000,01300,0000,1300SOCIAL SERVICE 426477,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426477,A000000,01500,0000,1350OTHER GENERAL SERVICES 426477,A000000,01600,0000,1600SKILLED NURSING FACILITY 426477,A000000,01800,0000,1800NURSING FACILITY 426477,A000000,01810,0000,1810ICF/MR 426477,A000000,01900,0000,1900OTHER LONG TERM CARE 426477,A000000,02100,0000,2100RADIOLOGY 426477,A000000,02200,0000,2200LABORATORY 426477,A000000,02300,0000,2300INTRAVENOUS THERAPY 426477,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426477,A000000,02500,0000,2500PHYSICAL THERAPY 426477,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426477,A000000,02700,0000,2700SPEECH PATHOLOGY 426477,A000000,02800,0000,2800ELECTROCARDIOLOGY 426477,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426477,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426477,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426477,A000000,03200,0000,3200SUPPORT SURFACES 426477,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426477,A000000,03400,0000,3400CLINIC 426477,A000000,03500,0000,3500RURAL HEALTH CLINIC 426477,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426477,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426477,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426477,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426477,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426477,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426477,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426477,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426477,A000000,04400,0000,4400DME RENTED - HHA 426477,A000000,04500,0000,4500DME SOLD - HHA 426477,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426477,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426477,A000000,04710,0000,4710TELEMEDICINE 426477,A000000,04800,0000,4800AMBULANCE 426477,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426477,A000000,05000,0000,5000CORF 426477,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426477,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426477,A000000,05300,0000,5300INTEREST EXPENSE 426477,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426477,A000000,05500,0000,5500HOSPICE 426477,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426477,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426477,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426477,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426477,A000000,06100,0000,6100NONPAID WORKERS 426477,A000000,06200,0000,6200PATIENTS LAUNDRY 426477,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426477,A81000A,00100,0100,Y 426477,A81000B,00100,0300,FACILITY LEASE 426477,A81000B,00200,0300,HOME OFFICE 426477,A81000B,00300,0300,HOME OFFICE 426477,A81000B,00400,0300,HOME OFFICE 426477,A81000B,00500,0300,WORKERS COMP IN 426477,A81000B,00600,0300,LIABILITY INS 426477,A81000B,00700,0300,INTEREST EXPENSE 426477,A81000C,00100,0100,A 426477,A81000C,00100,0200,JAMES J. GIARDINA 426477,A81000C,00100,0400,INDIVIDUAL 426477,A81000C,00100,0600,INDIVIDUAL 426477,A81000C,00200,0100,A 426477,A81000C,00200,0200,JAMES J. GIARDINA 426477,A81000C,00200,0400,COMMUNITY CARE CTR INC 426477,A81000C,00200,0600,NURSING HOME MGT 426477,A81000C,00300,0100,A 426477,A81000C,00300,0200,JAMES J. GIARDINA 426477,A81000C,00300,0400,RISA 426477,A81000C,00300,0600,WORKERS COMP INS 426477,A81000C,00400,0100,A 426477,A81000C,00400,0200,JAMES J. GIARDINA 426477,A81000C,00400,0400,RISA 426477,A81000C,00400,0600,LIABILITY INS 426477,A81000C,00500,0100,A 426477,A81000C,00500,0200,JAMES J. GIARDINA 426477,A81000C,00500,0400,INDIVIDUAL 426477,A81000C,00500,0600,INDIVIDUAL 426477,A81000C,00600,0100,D 426477,A81000C,00600,0200,CHRISTINA GIARDINA 426477,A81000C,00600,0400,BJB INDUSTRIES INC. 426477,A81000C,00600,0600,LEASEHOLD IMPROVEMENTS 426477,A81000C,00700,0100,D 426477,A81000C,00700,0200,MELISSA GIARDINA 426477,A81000C,00700,0400,BJB INDUSTRIES INC. 426477,A81000C,00700,0600,LEASEHOLD IMPROVEMENTS 426477,A81000C,00800,0100,D 426477,A81000C,00800,0200,JENNIFER GIARDINA 426477,A81000C,00800,0400,BJB INDUSTRIES INC. 426477,A81000C,00800,0600,LEASEHOLD IMPROVEMENTS 426477,A81000C,00900,0100,D 426477,A81000C,00900,0200,GINA GIARDINA 426477,A81000C,00900,0400,BJB INDUSTRIES INC. 426477,A81000C,00900,0600,LEASEHOLD IMPROVEMENTS 426477,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426477,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426477,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426477,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426477,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426477,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426477,B100000,00000,0800,0800MEALS SERVED :DIETARY 426477,B100000,00000,0900,0900HOURS SUPERVISED :NURSING ADMIN 426477,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426477,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426477,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426477,S000000,00100,0200,02/06/12 426477,S200000,00100,0100,1010 STE. GENEVIEVE 426477,S200000,00200,0100,STE. GENEVIEVE 426477,S200000,00200,0200,MO 426477,S200000,00200,0300,63670 426477,S200000,00300,0100,STE. GENEVIEVE 426477,S200000,00300,0200,26 426477,S200000,00300,0201,99926 426477,S200000,00300,0300,R 426477,S200000,00400,0100,ST. GENEVIEVE CARE CENTER INC. 426477,S200000,00400,0200,265489 426477,S200000,00400,0300,02/25/92 426477,S200000,00400,0500,P 426477,S200000,01500,0100,Y 426477,S200000,01501,0200,N 426477,S200000,01503,0200,N 426477,S200000,01504,0200,Y 426477,S200000,01600,0100,N 426477,S200000,01700,0100,N 426477,S200000,01800,0100,N 426477,S200000,02200,0100,N 426477,S200000,02800,0100,N 426477,S200000,02900,0100,N 426477,S200000,03000,0100,N 426477,S200000,03100,0100,N 426477,S200000,03200,0100,N 426477,S200000,03300,0100,N 426477,S200000,03300,0200,N 426477,S200000,04100,0100,N 426477,S200000,04200,0100,N 426477,S200000,04300,0100,N 426477,S200000,04600,0100,N 426477,S200000,04700,0100,N 426477,S200000,04700,0200,N 426477,S200000,04900,0100,N 426477,S200000,05000,0100,N 426477,S200000,05100,0100,N 426477,S200000,05200,0100,N 426477,S200000,05300,0100,Y 426477,S200000,05300,0200,H6957 426477,S200000,05400,0100,COMMUNITY CARE CENTERS INC 426477,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 426477,S200000,05400,0300, 05301 426477,S200000,05500,0100,312 SOLLEY DRIVE - REAR 426477,S200000,05600,0100,BALLWIN 426477,S200000,05600,0200,MO 426477,S200000,05600,0300,63021-2100 426498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426498,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426498,A000000,00300,0000,0300EMPLOYEE BENEFITS 426498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426498,A000000,00700,0000,0700HOUSEKEEPING 426498,A000000,00800,0000,0800DIETARY 426498,A000000,00900,0000,0900NURSING ADMINISTRATION 426498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426498,A000000,01100,0000,1100PHARMACY 426498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426498,A000000,01300,0000,1300SOCIAL SERVICE 426498,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426498,A000000,01500,0000,1350ACTIVITIES 426498,A000000,01600,0000,1600SKILLED NURSING FACILITY 426498,A000000,01800,0000,1800NURSING FACILITY 426498,A000000,01810,0000,1810ICF/MR 426498,A000000,01900,0000,1900OTHER LONG TERM CARE 426498,A000000,02100,0000,2100RADIOLOGY 426498,A000000,02200,0000,2200LABORATORY 426498,A000000,02300,0000,2300INTRAVENOUS THERAPY 426498,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426498,A000000,02500,0000,2500PHYSICAL THERAPY 426498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426498,A000000,02700,0000,2700SPEECH PATHOLOGY 426498,A000000,02800,0000,2800ELECTROCARDIOLOGY 426498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426498,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426498,A000000,03200,0000,3200SUPPORT SURFACES 426498,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426498,A000000,03400,0000,3400CLINIC 426498,A000000,03500,0000,3500RURAL HEALTH CLINIC 426498,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426498,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426498,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426498,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426498,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426498,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426498,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426498,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426498,A000000,04400,0000,4400DME RENTED - HHA 426498,A000000,04500,0000,4500DME SOLD - HHA 426498,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426498,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426498,A000000,04710,0000,4710TELEMEDICINE 426498,A000000,04800,0000,4800AMBULANCE 426498,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426498,A000000,05000,0000,5000CORF 426498,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426498,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426498,A000000,05300,0000,5300INTEREST EXPENSE 426498,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426498,A000000,05500,0000,5500HOSPICE 426498,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426498,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426498,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426498,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426498,A000000,06100,0000,6100NONPAID WORKERS 426498,A000000,06200,0000,6200PATIENTS LAUNDRY 426498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426498,A81000A,00100,0100,Y 426498,A81000B,00100,0300,CORPORATE EMPLOYEE BENEFITS 426498,A81000B,00200,0300,CORPORATE SALARIES & WAGES 426498,A81000B,00300,0300,OTHER ADMINISTRATIVE 426498,A81000C,00100,0100,B 426498,A81000C,00100,0200,METHODIST HOSPITAL 426498,A81000C,00100,0400,BETHANY METHODIST CORPORA 426498,A81000C,00100,0600,HOSPITAL 426498,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426498,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426498,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426498,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426498,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426498,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426498,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426498,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426498,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426498,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426498,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426498,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426498,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426498,G300000,02500,0000,BEAUTY SHOP INCOME 426498,G300000,02501,0000,MISCELLANEOUS INCOME 426498,S000000,00100,0200,02/06/12 426498,S200000,00100,0100,8425 NORTH WAUKEGAN 426498,S200000,00200,0100,MORTON GROVE 426498,S200000,00200,0200,IL 426498,S200000,00200,0300,60053 426498,S200000,00300,0100,COOK 426498,S200000,00300,0200,1600 426498,S200000,00300,0201,16974 426498,S200000,00300,0300,U 426498,S200000,00400,0100,BETHANY TERRACE NURSING CENTRE 426498,S200000,00400,0200,145198 426498,S200000,00400,0300,02/13/69 426498,S200000,00400,0500,P 426498,S200000,00600,0200,145198 426498,S200000,00600,0300,02/13/69 426498,S200000,00600,0600,O 426498,S200000,01500,0100,N 426498,S200000,01501,0200,Y 426498,S200000,01503,0200,Y 426498,S200000,01504,0200,Y 426498,S200000,01600,0100,Y 426498,S200000,01700,0100,N 426498,S200000,01800,0100,N 426498,S200000,02200,0100,N 426498,S200000,02800,0100,N 426498,S200000,02900,0100,N 426498,S200000,03000,0100,N 426498,S200000,03100,0100,N 426498,S200000,03200,0100,N 426498,S200000,03300,0100,N 426498,S200000,03300,0200,N 426498,S200000,03500,0300,N 426498,S200000,04100,0100,N 426498,S200000,04200,0100,N 426498,S200000,04300,0100,N 426498,S200000,04600,0100,N 426498,S200000,04700,0100,N 426498,S200000,04700,0200,N 426498,S200000,04900,0100,N 426498,S200000,05000,0100,N 426498,S200000,05100,0100,N 426498,S200000,05200,0100,N 426498,S200000,05300,0100,N 426500,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426500,A000000,00300,0000,0300EMPLOYEE BENEFITS 426500,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426500,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426500,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426500,A000000,00700,0000,0700HOUSEKEEPING 426500,A000000,00800,0000,0800DIETARY 426500,A000000,00900,0000,0900NURSING ADMINISTRATION 426500,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426500,A000000,01100,0000,1100PHARMACY 426500,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426500,A000000,01300,0000,1300SOCIAL SERVICE 426500,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426500,A000000,01500,0000,1350OTHER GENERAL SERVICES 426500,A000000,01600,0000,1600SKILLED NURSING FACILITY 426500,A000000,01800,0000,1800NURSING FACILITY 426500,A000000,01810,0000,1810ICF/MR 426500,A000000,01900,0000,1900OTHER LONG TERM CARE 426500,A000000,02100,0000,2100RADIOLOGY 426500,A000000,02200,0000,2200LABORATORY 426500,A000000,02300,0000,2300INTRAVENOUS THERAPY 426500,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426500,A000000,02500,0000,2500PHYSICAL THERAPY 426500,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426500,A000000,02700,0000,2700SPEECH PATHOLOGY 426500,A000000,02800,0000,2800ELECTROCARDIOLOGY 426500,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426500,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426500,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426500,A000000,03200,0000,3200SUPPORT SURFACES 426500,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426500,A000000,03400,0000,3400CLINIC 426500,A000000,03500,0000,3500RURAL HEALTH CLINIC 426500,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426500,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426500,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426500,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426500,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426500,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426500,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426500,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426500,A000000,04400,0000,4400DME RENTED - HHA 426500,A000000,04500,0000,4500DME SOLD - HHA 426500,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426500,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426500,A000000,04710,0000,4710TELEMEDICINE 426500,A000000,04800,0000,4800AMBULANCE 426500,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426500,A000000,05000,0000,5000CORF 426500,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426500,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426500,A000000,05300,0000,5300INTEREST EXPENSE 426500,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426500,A000000,05500,0000,5500HOSPICE 426500,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426500,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426500,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426500,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426500,A000000,06100,0000,6100NONPAID WORKERS 426500,A000000,06200,0000,6200PATIENTS LAUNDRY 426500,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426500,A81000A,00100,0100,N 426500,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426500,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426500,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426500,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426500,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426500,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426500,B100000,00000,0800,0800MEALS SERVED :DIETARY 426500,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426500,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426500,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426500,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 426500,G300000,02500,0000,OTHER REVENUE 426500,S000000,00100,0200,02/27/12 426500,S200000,00100,0100,520 MAIN STREET 426500,S200000,00200,0100,MANISTIQUE 426500,S200000,00200,0200,MI 426500,S200000,00200,0300,49854 426500,S200000,00300,0100,SCHOOLCRAFT 426500,S200000,00300,0200,23 426500,S200000,00300,0201,99923 426500,S200000,00300,0300,R 426500,S200000,00400,0100,SCHOOLCRAFT COUNTY MCF 426500,S200000,00400,0200,235147 426500,S200000,00400,0300,07/01/66 426500,S200000,00400,0500,P 426500,S200000,01500,0100,Y 426500,S200000,01501,0200,Y 426500,S200000,01600,0100,N 426500,S200000,01700,0100,N 426500,S200000,01800,0100,N 426500,S200000,02200,0100,N 426500,S200000,02800,0100,N 426500,S200000,02900,0100,N 426500,S200000,03000,0100,N 426500,S200000,03100,0100,N 426500,S200000,03200,0100,N 426500,S200000,03300,0100,N 426500,S200000,03300,0200,N 426500,S200000,04100,0100,N 426500,S200000,04200,0100,N 426500,S200000,04300,0100,N 426500,S200000,04600,0100,N 426500,S200000,04700,0100,N 426500,S200000,04700,0200,N 426500,S200000,04900,0100,N 426500,S200000,05000,0100,N 426500,S200000,05100,0100,N 426500,S200000,05200,0100,N 426501,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426501,A000000,00300,0000,0300EMPLOYEE BENEFITS 426501,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426501,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426501,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426501,A000000,00700,0000,0700HOUSEKEEPING 426501,A000000,00800,0000,0800DIETARY 426501,A000000,00900,0000,0900NURSING ADMINISTRATION 426501,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426501,A000000,01100,0000,1100PHARMACY 426501,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426501,A000000,01300,0000,1300SOCIAL SERVICE 426501,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426501,A000000,01500,0000,1350ACTIVITIES 426501,A000000,01600,0000,1600SKILLED NURSING FACILITY 426501,A000000,01800,0000,1800NURSING FACILITY 426501,A000000,01810,0000,1810ICF/MR 426501,A000000,01900,0000,1900OTHER LONG TERM CARE 426501,A000000,02100,0000,2100RADIOLOGY 426501,A000000,02200,0000,2200LABORATORY 426501,A000000,02300,0000,2300INTRAVENOUS THERAPY 426501,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426501,A000000,02500,0000,2500PHYSICAL THERAPY 426501,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426501,A000000,02700,0000,2700SPEECH PATHOLOGY 426501,A000000,02800,0000,2800ELECTROCARDIOLOGY 426501,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426501,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426501,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426501,A000000,03200,0000,3200SUPPORT SURFACES 426501,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426501,A000000,03400,0000,3400CLINIC 426501,A000000,03500,0000,3500RURAL HEALTH CLINIC 426501,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426501,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426501,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426501,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426501,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426501,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426501,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426501,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426501,A000000,04400,0000,4400DME RENTED - HHA 426501,A000000,04500,0000,4500DME SOLD - HHA 426501,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426501,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426501,A000000,04710,0000,4710TELEMEDICINE 426501,A000000,04800,0000,4800AMBULANCE 426501,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426501,A000000,05000,0000,5000CORF 426501,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426501,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426501,A000000,05300,0000,5300INTEREST EXPENSE 426501,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426501,A000000,05500,0000,5500HOSPICE 426501,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426501,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426501,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426501,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426501,A000000,06100,0000,6100NONPAID WORKERS 426501,A000000,06200,0000,6200PATIENTS LAUNDRY 426501,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426501,A81000A,00100,0100,N 426501,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426501,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426501,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426501,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426501,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426501,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426501,B100000,00000,0800,0800MEALS SERVED :DIETARY 426501,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426501,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426501,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426501,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426501,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426501,G300000,02500,0000,OTHER REVENUE 426501,S000000,00100,0200,02/24/12 426501,S200000,00100,0100,9500 GRAND RIVER AVENUE 426501,S200000,00200,0100,DETROIT 426501,S200000,00200,0200,MI 426501,S200000,00200,0300,48204 426501,S200000,00300,0100,WAYNE 426501,S200000,00300,0200,2160 426501,S200000,00300,0201,19804 426501,S200000,00300,0300,U 426501,S200000,00400,0100,NEW LIGHT NURSING HOME 426501,S200000,00400,0200,235234 426501,S200000,00400,0300,01/01/76 426501,S200000,00400,0500,P 426501,S200000,01500,0100,Y 426501,S200000,01501,0200,Y 426501,S200000,01600,0100,N 426501,S200000,01700,0100,N 426501,S200000,01800,0100,N 426501,S200000,02200,0100,N 426501,S200000,02800,0100,N 426501,S200000,02900,0100,N 426501,S200000,03000,0100,N 426501,S200000,03100,0100,N 426501,S200000,03200,0100,N 426501,S200000,03300,0100,N 426501,S200000,03300,0200,N 426501,S200000,04100,0100,N 426501,S200000,04200,0100,N 426501,S200000,04300,0100,Y 426501,S200000,04600,0100,N 426501,S200000,04700,0100,N 426501,S200000,04700,0200,N 426501,S200000,04900,0100,N 426501,S200000,05000,0100,N 426501,S200000,05100,0100,N 426501,S200000,05200,0100,N 426502,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426502,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426502,A000000,00300,0000,0300EMPLOYEE BENEFITS 426502,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426502,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426502,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426502,A000000,00700,0000,0700HOUSEKEEPING 426502,A000000,00800,0000,0800DIETARY 426502,A000000,00900,0000,0900NURSING ADMINISTRATION 426502,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426502,A000000,01100,0000,1100PHARMACY 426502,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426502,A000000,01300,0000,1300SOCIAL SERVICE 426502,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426502,A000000,01500,0000,1350ACTIVITIES 426502,A000000,01600,0000,1600SKILLED NURSING FACILITY 426502,A000000,01800,0000,1800NURSING FACILITY 426502,A000000,01810,0000,1810ICF/MR 426502,A000000,01900,0000,1900OTHER LONG TERM CARE 426502,A000000,02100,0000,2100RADIOLOGY 426502,A000000,02200,0000,2200LABORATORY 426502,A000000,02300,0000,2300INTRAVENOUS THERAPY 426502,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426502,A000000,02500,0000,2500PHYSICAL THERAPY 426502,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426502,A000000,02700,0000,2700SPEECH PATHOLOGY 426502,A000000,02800,0000,2800ELECTROCARDIOLOGY 426502,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426502,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426502,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426502,A000000,03200,0000,3200SUPPORT SURFACES 426502,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426502,A000000,03400,0000,3400CLINIC 426502,A000000,03500,0000,3500RURAL HEALTH CLINIC 426502,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426502,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426502,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426502,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426502,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426502,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426502,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426502,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426502,A000000,04400,0000,4400DME RENTED - HHA 426502,A000000,04500,0000,4500DME SOLD - HHA 426502,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426502,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426502,A000000,04710,0000,4710TELEMEDICINE 426502,A000000,04800,0000,4800AMBULANCE 426502,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426502,A000000,05000,0000,5000CORF 426502,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426502,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426502,A000000,05300,0000,5300INTEREST EXPENSE 426502,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426502,A000000,05500,0000,5500HOSPICE 426502,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426502,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426502,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426502,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426502,A000000,06100,0000,6100NONPAID WORKERS 426502,A000000,06200,0000,6200PATIENTS LAUNDRY 426502,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426502,A81000A,00100,0100,Y 426502,A81000B,00100,0300,MOE EXPENSE 426502,A81000C,00100,0100,B 426502,A81000C,00100,0200,CASS COUNTY 426502,A81000C,00100,0400,COUNTY 426502,A81000C,00100,0600,GOVERNMENT 426502,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426502,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426502,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426502,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426502,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426502,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426502,B100000,00000,0800,0800MEALS SERVED :DIETARY 426502,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426502,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426502,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426502,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426502,G300000,02500,0000,OTHER REVENUE 426502,S000000,00100,0200,02/27/12 426502,S200000,00100,0100,23770 HOSPITAL STREET 426502,S200000,00200,0100,CASSOPOLIS 426502,S200000,00200,0200,MI 426502,S200000,00200,0300,49031 426502,S200000,00300,0100,CASS 426502,S200000,00300,0200,0023 426502,S200000,00300,0201,43780 426502,S200000,00300,0300,U 426502,S200000,00400,0100,CASS COUNTY MEDICAL CARE FACILITY 426502,S200000,00400,0200,235352 426502,S200000,00400,0300,07/01/66 426502,S200000,00400,0500,P 426502,S200000,01500,0100,Y 426502,S200000,01501,0200,N 426502,S200000,01600,0100,N 426502,S200000,01700,0100,N 426502,S200000,01800,0100,N 426502,S200000,02200,0100,N 426502,S200000,02800,0100,N 426502,S200000,02900,0100,N 426502,S200000,03000,0100,N 426502,S200000,03100,0100,N 426502,S200000,03200,0100,N 426502,S200000,03300,0100,N 426502,S200000,03300,0200,N 426502,S200000,04100,0100,N 426502,S200000,04200,0100,N 426502,S200000,04300,0100,Y 426502,S200000,04600,0100,N 426502,S200000,04700,0100,N 426502,S200000,04700,0200,N 426502,S200000,04900,0100,N 426502,S200000,05000,0100,N 426502,S200000,05100,0100,N 426502,S200000,05200,0100,N 426503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426503,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426503,A000000,00300,0000,0300EMPLOYEE BENEFITS 426503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426503,A000000,00700,0000,0700HOUSEKEEPING 426503,A000000,00800,0000,0800DIETARY 426503,A000000,00900,0000,0900NURSING ADMINISTRATION 426503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426503,A000000,01100,0000,1100PHARMACY 426503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426503,A000000,01300,0000,1300SOCIAL SERVICE 426503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426503,A000000,01500,0000,1350OTHER GENERAL SERVICES 426503,A000000,01600,0000,1600SKILLED NURSING FACILITY 426503,A000000,01800,0000,1800NURSING FACILITY 426503,A000000,01810,0000,1810ICF/MR 426503,A000000,01900,0000,1900OTHER LONG TERM CARE 426503,A000000,02100,0000,2100RADIOLOGY 426503,A000000,02200,0000,2200LABORATORY 426503,A000000,02300,0000,2300INTRAVENOUS THERAPY 426503,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426503,A000000,02500,0000,2500PHYSICAL THERAPY 426503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426503,A000000,02700,0000,2700SPEECH PATHOLOGY 426503,A000000,02800,0000,2800ELECTROCARDIOLOGY 426503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426503,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426503,A000000,03200,0000,3200SUPPORT SURFACES 426503,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426503,A000000,03400,0000,3400CLINIC 426503,A000000,03500,0000,3500RURAL HEALTH CLINIC 426503,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426503,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426503,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426503,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426503,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426503,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426503,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426503,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426503,A000000,04400,0000,4400DME RENTED - HHA 426503,A000000,04500,0000,4500DME SOLD - HHA 426503,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426503,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426503,A000000,04710,0000,4710TELEMEDICINE 426503,A000000,04800,0000,4800AMBULANCE 426503,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426503,A000000,05000,0000,5000CORF 426503,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426503,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426503,A000000,05300,0000,5300INTEREST EXPENSE 426503,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426503,A000000,05500,0000,5500HOSPICE 426503,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426503,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426503,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426503,A000000,06100,0000,6100NONPAID WORKERS 426503,A000000,06200,0000,6200PATIENTS LAUNDRY 426503,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426503,A81000A,00100,0100,Y 426503,A81000B,00100,0300,MANAGEMENT FEES 426503,A81000C,00100,0100,B 426503,A81000C,00100,0200,PRESBYTERIAN HOMES 426503,A81000C,00100,0400,DEERFIELD CARE CENTER 426503,A81000C,00100,0600,NURSING HOME 426503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426503,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426503,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426503,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426503,B100000,00000,0800,0800MEALS SERVED :DIETARY 426503,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426503,G300000,02500,0000,MISCELLANEOUS 426503,S000000,00100,0200,02/29/12 426503,S200000,00100,0100,505 W. 8TH ST 426503,S200000,00200,0100,NEW RICHMOND 426503,S200000,00200,0200,WI 426503,S200000,00200,0300,54017 426503,S200000,00300,0100,ST CROIX 426503,S200000,00300,0201,33460 426503,S200000,00300,0300,U 426503,S200000,00400,0100,DEERFIELD CARE CENTER 426503,S200000,00400,0200,525019 426503,S200000,00400,0300,08/01/06 426503,S200000,00400,0500,P 426503,S200000,01500,0100,Y 426503,S200000,01501,0200,Y 426503,S200000,01600,0100,N 426503,S200000,01700,0100,N 426503,S200000,01800,0100,N 426503,S200000,02200,0100,N 426503,S200000,02800,0100,N 426503,S200000,02900,0100,N 426503,S200000,03000,0100,N 426503,S200000,03100,0100,N 426503,S200000,03200,0100,N 426503,S200000,03300,0100,N 426503,S200000,03300,0200,N 426503,S200000,04100,0100,N 426503,S200000,04200,0100,N 426503,S200000,04300,0100,N 426503,S200000,04600,0100,N 426503,S200000,04700,0100,N 426503,S200000,04700,0200,N 426503,S200000,04900,0100,N 426503,S200000,05000,0100,N 426503,S200000,05100,0100,N 426503,S200000,05200,0100,N 426504,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426504,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426504,A000000,00300,0000,0300EMPLOYEE BENEFITS 426504,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426504,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426504,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426504,A000000,00700,0000,0700HOUSEKEEPING 426504,A000000,00800,0000,0800DIETARY 426504,A000000,00900,0000,0900NURSING ADMINISTRATION 426504,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426504,A000000,01100,0000,1100PHARMACY 426504,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426504,A000000,01300,0000,1300SOCIAL SERVICE 426504,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426504,A000000,01500,0000,1350ACTIVITIES 426504,A000000,01600,0000,1600SKILLED NURSING FACILITY 426504,A000000,01800,0000,1800NURSING FACILITY 426504,A000000,01810,0000,1810ICF/MR 426504,A000000,01900,0000,1900OTHER LONG TERM CARE 426504,A000000,02100,0000,2100RADIOLOGY 426504,A000000,02200,0000,2200LABORATORY 426504,A000000,02300,0000,2300INTRAVENOUS THERAPY 426504,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426504,A000000,02500,0000,2500PHYSICAL THERAPY 426504,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426504,A000000,02700,0000,2700SPEECH PATHOLOGY 426504,A000000,02800,0000,2800ELECTROCARDIOLOGY 426504,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426504,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426504,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426504,A000000,03200,0000,3200SUPPORT SURFACES 426504,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426504,A000000,03400,0000,3400CLINIC 426504,A000000,03500,0000,3500RURAL HEALTH CLINIC 426504,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426504,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426504,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426504,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426504,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426504,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426504,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426504,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426504,A000000,04400,0000,4400DME RENTED - HHA 426504,A000000,04500,0000,4500DME SOLD - HHA 426504,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426504,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426504,A000000,04710,0000,4710TELEMEDICINE 426504,A000000,04800,0000,4800AMBULANCE 426504,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426504,A000000,05000,0000,5000CORF 426504,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426504,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426504,A000000,05300,0000,5300INTEREST EXPENSE 426504,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426504,A000000,05500,0000,5500HOSPICE 426504,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426504,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426504,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426504,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426504,A000000,06100,0000,6100NONPAID WORKERS 426504,A000000,06200,0000,6200PATIENTS LAUNDRY 426504,A000000,06300,0000,6150AQUATICS 426504,A000000,06301,0000,6151ASSISTED LIVING 426504,A000000,06302,0000,6152INDEPENDANT LIVING 426504,A81000A,00100,0100,N 426504,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426504,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426504,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426504,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426504,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426504,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426504,B100000,00000,0800,0800MEALS SERVED :DIETARY 426504,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426504,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426504,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426504,G300000,02500,0000,OTHER (SPECIFY) 426504,S000000,00100,0200,02/27/12 426504,S200000,00100,0100,2429 E. BRADFORD AVENUE 426504,S200000,00200,0100,MILWAUKEE 426504,S200000,00200,0200,WI 426504,S200000,00200,0300,53202 426504,S200000,00300,0100,MILWAUKEE 426504,S200000,00300,0201,33340 426504,S200000,00300,0300,U 426504,S200000,00400,0100,EASTCASTLE PLACE INC. 426504,S200000,00400,0200,525085 426504,S200000,00400,0300,01/01/67 426504,S200000,00400,0500,P 426504,S200000,01500,0100,Y 426504,S200000,01501,0200,Y 426504,S200000,01600,0100,N 426504,S200000,01700,0100,N 426504,S200000,01800,0100,N 426504,S200000,02200,0100,N 426504,S200000,02800,0100,N 426504,S200000,02900,0100,N 426504,S200000,03000,0100,N 426504,S200000,03100,0100,N 426504,S200000,03200,0100,N 426504,S200000,03300,0100,N 426504,S200000,03300,0200,N 426504,S200000,04100,0100,N 426504,S200000,04200,0100,N 426504,S200000,04300,0100,N 426504,S200000,04600,0100,N 426504,S200000,04700,0100,N 426504,S200000,04700,0200,N 426504,S200000,04900,0100,N 426504,S200000,05000,0100,N 426504,S200000,05100,0100,N 426504,S200000,05200,0100,N 426505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426505,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426505,A000000,00300,0000,0300EMPLOYEE BENEFITS 426505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426505,A000000,00700,0000,0700HOUSEKEEPING 426505,A000000,00800,0000,0800DIETARY 426505,A000000,00900,0000,0900NURSING ADMINISTRATION 426505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426505,A000000,01100,0000,1100PHARMACY 426505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426505,A000000,01300,0000,1300SOCIAL SERVICE 426505,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426505,A000000,01500,0000,1350ACTIVITIES 426505,A000000,01600,0000,1600SKILLED NURSING FACILITY 426505,A000000,01800,0000,1800NURSING FACILITY 426505,A000000,01810,0000,1810ICF/MR 426505,A000000,01900,0000,1900OTHER LONG TERM CARE 426505,A000000,02100,0000,2100RADIOLOGY 426505,A000000,02200,0000,2200LABORATORY 426505,A000000,02300,0000,2300INTRAVENOUS THERAPY 426505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426505,A000000,02500,0000,2500PHYSICAL THERAPY 426505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426505,A000000,02700,0000,2700SPEECH PATHOLOGY 426505,A000000,02800,0000,2800ELECTROCARDIOLOGY 426505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426505,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426505,A000000,03200,0000,3200SUPPORT SURFACES 426505,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426505,A000000,03400,0000,3400CLINIC 426505,A000000,03500,0000,3500RURAL HEALTH CLINIC 426505,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426505,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426505,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426505,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426505,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426505,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426505,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426505,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426505,A000000,04400,0000,4400DME RENTED - HHA 426505,A000000,04500,0000,4500DME SOLD - HHA 426505,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426505,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426505,A000000,04710,0000,4710TELEMEDICINE 426505,A000000,04800,0000,4800AMBULANCE 426505,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426505,A000000,05000,0000,5000CORF 426505,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426505,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426505,A000000,05300,0000,5300INTEREST EXPENSE 426505,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426505,A000000,05500,0000,5500HOSPICE 426505,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426505,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426505,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426505,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426505,A000000,06100,0000,6100NONPAID WORKERS 426505,A000000,06200,0000,6200PATIENTS LAUNDRY 426505,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426505,A81000A,00100,0100,N 426505,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426505,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426505,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426505,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426505,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426505,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426505,B100000,00000,0800,0800MEALS SERVED :DIETARY 426505,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426505,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426505,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426505,G300000,02500,0000,OTHER REVENUE (SEE GROUPING SCHEDUL 426505,H513100,00000,0000,33340 426505,S000000,00100,0200,02/23/12 426505,S200000,00100,0100,10101 W. WISCONSIN AVENUE 426505,S200000,00200,0100,MILWAUKEE 426505,S200000,00200,0200,WI 426505,S200000,00200,0300,53226 426505,S200000,00300,0100,MILWAUKEE 426505,S200000,00300,0201,33340 426505,S200000,00300,0300,U 426505,S200000,00400,0100,ST. CAMILLUS 426505,S200000,00400,0200,525382 426505,S200000,00400,0300,04/01/95 426505,S200000,00400,0500,P 426505,S200000,00800,0200,527164 426505,S200000,00800,0300,09/01/85 426505,S200000,00800,0500,P 426505,S200000,01200,0200,521588 426505,S200000,01200,0300,09/28/09 426505,S200000,01500,0100,Y 426505,S200000,01501,0200,Y 426505,S200000,01600,0100,N 426505,S200000,01700,0100,N 426505,S200000,01800,0100,N 426505,S200000,02200,0100,N 426505,S200000,02800,0100,N 426505,S200000,02900,0100,N 426505,S200000,03000,0100,N 426505,S200000,03100,0100,N 426505,S200000,03200,0100,N 426505,S200000,03300,0100,N 426505,S200000,03300,0200,N 426505,S200000,03700,0100,N 426505,S200000,03700,0200,N 426505,S200000,04100,0100,N 426505,S200000,04200,0100,N 426505,S200000,04300,0100,N 426505,S200000,04600,0100,N 426505,S200000,04700,0100,N 426505,S200000,04700,0200,N 426505,S200000,04900,0100,N 426505,S200000,05000,0100,N 426505,S200000,05100,0100,N 426505,S200000,05200,0100,N 426505,S200000,05300,0100,N 426505,S410002,01700,0101,33340 426506,S000000,00100,0200,02/27/12 426506,S200000,00100,0100,1 STILL HOPES DRIVE 426506,S200000,00200,0100,WEST COLUMBIA 426506,S200000,00200,0200,SC 426506,S200000,00200,0300,29169 426506,S200000,00300,0100,7164 426506,S200000,00400,0100,STILL HOPES EPISCOPAL RETIREMENT 426506,S200000,00400,0300,06/08/11 426526,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426526,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426526,A000000,00300,0000,0300EMPLOYEE BENEFITS 426526,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426526,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426526,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426526,A000000,00700,0000,0700HOUSEKEEPING 426526,A000000,00800,0000,0800DIETARY 426526,A000000,00900,0000,0900NURSING ADMINISTRATION 426526,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426526,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426526,A000000,01300,0000,1300SOCIAL SERVICE 426526,A000000,01600,0000,1600SKILLED NURSING FACILITY 426526,A000000,02100,0000,2100RADIOLOGY 426526,A000000,02200,0000,2200LABORATORY 426526,A000000,02300,0000,2300INTRAVENOUS THERAPY 426526,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426526,A000000,02500,0000,2500PHYSICAL THERAPY 426526,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426526,A000000,02700,0000,2700SPEECH PATHOLOGY 426526,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426526,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426526,A000000,03200,0000,3200SUPPORT SURFACES 426526,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426526,A81000A,00100,0100,Y 426526,A81000B,00100,0300,MANAGEMENT FEES 426526,A81000B,00200,0300,P/L DEDUCTIBLES 426526,A81000B,00300,0300,CORPORATE R N 426526,A81000B,00400,0300,P T CONSULTANT 426526,A81000B,00500,0300,O T CONSULTANT 426526,A81000B,00600,0300,S T CONSULTANT 426526,A81000B,00700,0300,CONTRACT THERAPY 426526,A81000C,00100,0100,B 426526,A81000C,00100,0200,ADVOCAT INC. 426526,A81000C,00100,0400,DVCR LEASING CO 426526,A81000C,00100,0600,LTC MGT COMPANY 426526,A81000C,00200,0100,B 426526,A81000C,00200,0200,ADVOCAT INC. 426526,A81000C,00200,0400,DVCR LEASING CO 426526,A81000C,00200,0600,LTC MGT COMPANY 426526,A81000C,00300,0100,B 426526,A81000C,00300,0200,ADVOCAT INC. 426526,A81000C,00300,0400,DVCR LEASING CO 426526,A81000C,00300,0600,LTC MGT COMPANY 426526,A81000C,00400,0100,B 426526,A81000C,00400,0200,ADVOCAT INC. 426526,A81000C,00400,0400,DVCR MGT SERVIC 426526,A81000C,00400,0600,REHAB DIVISION 426526,A81000C,00500,0100,B 426526,A81000C,00500,0200,ADVOCAT INC. 426526,A81000C,00500,0400,DVCR MGT SERVIC 426526,A81000C,00500,0600,REHAB DIVISION 426526,A81000C,00600,0100,B 426526,A81000C,00600,0200,ADVOCAT INC. 426526,A81000C,00600,0400,DVCR MGT SERVIC 426526,A81000C,00600,0600,REHAB DIVISION 426526,A81000C,00700,0100,B 426526,A81000C,00700,0200,ADVOCAT INC. 426526,A81000C,00700,0400,DTS THERAPY 426526,A81000C,00700,0600,THERAPY DIVISIO 426526,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426526,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426526,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426526,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426526,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426526,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426526,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426526,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426526,B100000,00000,0900,0950NURSING & REHAB HRS:NURSING ADMI 426526,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426526,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426526,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426526,S000000,00100,0200,02/20/12 426526,S200000,00100,0100,66 OZBIRN LANE 426526,S200000,00200,0100,ASH FLAT 426526,S200000,00200,0200,AR 426526,S200000,00200,0300,72513-9522 426526,S200000,00300,0100,SHARP 426526,S200000,00300,0201,99904 426526,S200000,00300,0300,R 426526,S200000,00400,0100,ASH FLAT CONVALESCENT CENTER 426526,S200000,00400,0200,045155 426526,S200000,00400,0300,09/17/90 426526,S200000,00400,0500,P 426526,S200000,01500,0100,Y 426526,S200000,01501,0200,Y 426526,S200000,01502,0200,N 426526,S200000,01503,0200,Y 426526,S200000,01504,0200,N 426526,S200000,01600,0100,N 426526,S200000,01700,0100,N 426526,S200000,01800,0100,N 426526,S200000,02200,0100,Y 426526,S200000,02800,0100,N 426526,S200000,02900,0100,N 426526,S200000,03000,0100,N 426526,S200000,03100,0100,N 426526,S200000,03200,0100,N 426526,S200000,03300,0100,N 426526,S200000,03300,0200,N 426526,S200000,04100,0100,N 426526,S200000,04200,0100,N 426526,S200000,04300,0100,N 426526,S200000,04600,0100,N 426526,S200000,04700,0100,N 426526,S200000,04700,0200,N 426526,S200000,04900,0100,N 426526,S200000,05000,0100,N 426526,S200000,05100,0100,N 426526,S200000,05200,0100,N 426526,S200000,05300,0100,Y 426526,S200000,05300,0200,18HO31 426526,S200000,05400,0100,ADVOCAT INC. 426526,S200000,05400,0200,PALMETTO GBA 426526,S200000,05400,0300,11201 426526,S200000,05500,0100,1621 GALLERIA BLVD. 426526,S200000,05600,0100,BRENTWOOD 426526,S200000,05600,0200,TN 426526,S200000,05600,0300,37027-2926 426530,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426530,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426530,A000000,00300,0000,0300EMPLOYEE BENEFITS 426530,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426530,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426530,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426530,A000000,00700,0000,0700HOUSEKEEPING 426530,A000000,00800,0000,0800DIETARY 426530,A000000,00900,0000,0900NURSING ADMINISTRATION 426530,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426530,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426530,A000000,01300,0000,1300SOCIAL SERVICE 426530,A000000,01600,0000,1600SKILLED NURSING FACILITY 426530,A000000,02100,0000,2100RADIOLOGY 426530,A000000,02200,0000,2200LABORATORY 426530,A000000,02300,0000,2300INTRAVENOUS THERAPY 426530,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426530,A000000,02500,0000,2500PHYSICAL THERAPY 426530,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426530,A000000,02700,0000,2700SPEECH PATHOLOGY 426530,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426530,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426530,A000000,03200,0000,3200SUPPORT SURFACES 426530,A81000A,00100,0100,Y 426530,A81000B,00100,0300,MANAGEMENT FEES 426530,A81000B,00200,0300,PD P/L DEDUCTIBLES 426530,A81000B,00300,0300,CORPORATE R N 426530,A81000B,00400,0300,P T CONSULTANT 426530,A81000B,00500,0300,O T CONSULTANT 426530,A81000B,00600,0300,S T CONSULTANT 426530,A81000B,00700,0300,CONTRACT THERAPY 426530,A81000C,00100,0100,B 426530,A81000C,00100,0200,ADVOCAT INC. 426530,A81000C,00100,0400,DVCR LEASING CO 426530,A81000C,00100,0600,LTC MGT COMPANY 426530,A81000C,00200,0100,B 426530,A81000C,00200,0200,ADVOCAT INC. 426530,A81000C,00200,0400,DVCR LEASING CO 426530,A81000C,00200,0600,LTC MGT COMPANY 426530,A81000C,00300,0100,B 426530,A81000C,00300,0200,ADVOCAT INC. 426530,A81000C,00300,0400,DVCR LEASING CO 426530,A81000C,00300,0600,LTC MGT COMPANY 426530,A81000C,00400,0100,B 426530,A81000C,00400,0200,ADVOCAT INC. 426530,A81000C,00400,0400,DVCR MGT SERVIC 426530,A81000C,00400,0600,REHAB DIVISION 426530,A81000C,00500,0100,B 426530,A81000C,00500,0200,ADVOCAT INC. 426530,A81000C,00500,0400,DVCR MGT SERVIC 426530,A81000C,00500,0600,REHAB DIVISION 426530,A81000C,00600,0100,B 426530,A81000C,00600,0200,ADVOCAT INC. 426530,A81000C,00600,0400,DVCR MGT SERVIC 426530,A81000C,00600,0600,REHAB DIVISION 426530,A81000C,00700,0100,B 426530,A81000C,00700,0200,ADVOCAT INC. 426530,A81000C,00700,0400,DTS THERAPY 426530,A81000C,00700,0600,THERAPY DIVISIO 426530,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426530,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426530,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426530,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426530,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426530,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426530,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426530,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426530,B100000,00000,0900,0950NURSING & REHAB HRS:NURSING ADMI 426530,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426530,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426530,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426530,G300000,02501,0000,MISCELLANEOUS INCOME 426530,S000000,00100,0200,02/20/12 426530,S200000,00100,0100,611 N. BROAD 426530,S200000,00200,0100,LAMPASAS 426530,S200000,00200,0200,TX 426530,S200000,00200,0300,76550-1105 426530,S200000,00300,0100,LAMPASAS 426530,S200000,00300,0201,28660 426530,S200000,00300,0300,U 426530,S200000,00400,0100,LAMPASAS MANOR 426530,S200000,00400,0200,455513 426530,S200000,00400,0300,04/26/85 426530,S200000,00400,0500,P 426530,S200000,01500,0100,Y 426530,S200000,01501,0200,Y 426530,S200000,01502,0200,N 426530,S200000,01503,0200,Y 426530,S200000,01504,0200,N 426530,S200000,01600,0100,N 426530,S200000,01700,0100,N 426530,S200000,01800,0100,N 426530,S200000,02200,0100,Y 426530,S200000,02800,0100,N 426530,S200000,02900,0100,N 426530,S200000,03000,0100,N 426530,S200000,03100,0100,N 426530,S200000,03200,0100,N 426530,S200000,03300,0100,N 426530,S200000,03300,0200,N 426530,S200000,04100,0100,N 426530,S200000,04200,0100,N 426530,S200000,04300,0100,N 426530,S200000,04600,0100,N 426530,S200000,04700,0100,N 426530,S200000,04700,0200,N 426530,S200000,04900,0100,N 426530,S200000,05000,0100,N 426530,S200000,05100,0100,N 426530,S200000,05200,0100,N 426530,S200000,05300,0100,Y 426530,S200000,05300,0200,18HO31 426530,S200000,05400,0100,ADVOCAT INC. 426530,S200000,05400,0200,PALMETTO GBA 426530,S200000,05400,0300,11201 426530,S200000,05500,0100,1621 GALLERIA BLVD. 426530,S200000,05600,0100,BRENTWOOD 426530,S200000,05600,0200,TN 426530,S200000,05600,0300,37027-2926 426554,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426554,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426554,A000000,00300,0000,0300EMPLOYEE BENEFITS 426554,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426554,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426554,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426554,A000000,00700,0000,0700HOUSEKEEPING 426554,A000000,00800,0000,0800DIETARY 426554,A000000,00900,0000,0900NURSING ADMINISTRATION 426554,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426554,A000000,01300,0000,1300SOCIAL SERVICE 426554,A000000,01600,0000,1600SKILLED NURSING FACILITY 426554,A000000,01800,0000,1800NURSING FACILITY 426554,A000000,02100,0000,2100RADIOLOGY 426554,A000000,02200,0000,2200LABORATORY 426554,A000000,02500,0000,2500PHYSICAL THERAPY 426554,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426554,A000000,02700,0000,2700SPEECH PATHOLOGY 426554,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426554,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426554,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426554,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426554,A81000A,00100,0100,Y 426554,A81000B,00100,0300,BUILDING LEASE 426554,A81000C,00100,0100,A 426554,A81000C,00100,0200,ROSALYA ZISMAN 426554,A81000C,00100,0400,HILLCREST CARE CENTER 426554,A81000C,00100,0600,SNF 426554,A81000C,00200,0100,A 426554,A81000C,00200,0200,ANGELO STROE 426554,A81000C,00200,0400,HILLCREST CARE CENTER 426554,A81000C,00200,0600,SNF 426554,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426554,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426554,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426554,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426554,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426554,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426554,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426554,B100000,00000,0800,0800MEALS SERVED :DIETARY 426554,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426554,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426554,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426554,G300000,02500,0000,BEAUTY SHOP 426554,S000000,00100,0200,02/15/12 426554,S200000,00100,0100,3401 CEDAR AVENUE 426554,S200000,00200,0100,LONG BEACH 426554,S200000,00200,0200,CA 426554,S200000,00200,0300,31084 426554,S200000,00300,0100,LOS ANGELES 426554,S200000,00300,0200,4480 426554,S200000,00300,0201,31084 426554,S200000,00300,0300,U 426554,S200000,00400,0100,HILLCREST CARE CENTER 426554,S200000,00400,0200,055364 426554,S200000,00400,0300,10/01/66 426554,S200000,00400,0500,P 426554,S200000,00400,0600,O 426554,S200000,01500,0100,Y 426554,S200000,01501,0200,Y 426554,S200000,01502,0200,Y 426554,S200000,01503,0200,Y 426554,S200000,01504,0200,Y 426554,S200000,01600,0100,N 426554,S200000,01700,0100,N 426554,S200000,01800,0100,N 426554,S200000,02200,0100,N 426554,S200000,02800,0100,N 426554,S200000,02900,0100,N 426554,S200000,03000,0100,N 426554,S200000,03100,0100,N 426554,S200000,03200,0100,N 426554,S200000,03300,0100,N 426554,S200000,03300,0200,N 426554,S200000,04100,0100,N 426554,S200000,04200,0100,N 426554,S200000,04300,0100,N 426554,S200000,04600,0100,N 426554,S200000,04700,0100,N 426554,S200000,04700,0200,N 426554,S200000,04900,0100,N 426554,S200000,05000,0100,N 426554,S200000,05100,0100,N 426554,S200000,05200,0100,N 426565,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426565,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426565,A000000,00300,0000,0300EMPLOYEE BENEFITS 426565,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426565,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426565,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426565,A000000,00700,0000,0700HOUSEKEEPING 426565,A000000,00800,0000,0800DIETARY 426565,A000000,00900,0000,0900NURSING ADMINISTRATION 426565,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426565,A000000,01100,0000,1100PHARMACY 426565,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426565,A000000,01300,0000,1300SOCIAL SERVICE 426565,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426565,A000000,01500,0000,1350ACTIVITIES 426565,A000000,01600,0000,1600SKILLED NURSING FACILITY 426565,A000000,01800,0000,1800NURSING FACILITY 426565,A000000,01810,0000,1810ICF/MR 426565,A000000,01900,0000,1900OTHER LONG TERM CARE 426565,A000000,02100,0000,2100RADIOLOGY 426565,A000000,02200,0000,2200LABORATORY 426565,A000000,02300,0000,2300INTRAVENOUS THERAPY 426565,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426565,A000000,02500,0000,2500PHYSICAL THERAPY 426565,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426565,A000000,02700,0000,2700SPEECH PATHOLOGY 426565,A000000,02800,0000,2800ELECTROCARDIOLOGY 426565,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426565,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426565,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426565,A000000,03200,0000,3200SUPPORT SURFACES 426565,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426565,A000000,03400,0000,3400CLINIC 426565,A000000,03500,0000,3500RURAL HEALTH CLINIC 426565,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426565,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426565,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426565,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426565,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426565,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426565,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426565,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426565,A000000,04400,0000,4400DME RENTED - HHA 426565,A000000,04500,0000,4500DME SOLD - HHA 426565,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426565,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426565,A000000,04710,0000,4710TELEMEDICINE 426565,A000000,04800,0000,4800AMBULANCE 426565,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426565,A000000,05000,0000,5000CORF 426565,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426565,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426565,A000000,05300,0000,5300INTEREST EXPENSE 426565,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426565,A000000,05500,0000,5500HOSPICE 426565,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426565,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426565,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426565,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426565,A000000,06100,0000,6100NONPAID WORKERS 426565,A000000,06200,0000,6200PATIENTS LAUNDRY 426565,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426565,A81000A,00100,0100,N 426565,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426565,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426565,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426565,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426565,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426565,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426565,B100000,00000,0800,0800MEALS SERVED :DIETARY 426565,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426565,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426565,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426565,G300000,02500,0000,MISCELLANEOUS 426565,S000000,00100,0200,01/03/12 426565,S200000,00100,0100,10 BERNADETTE ST 426565,S200000,00200,0100,CARIBOU 426565,S200000,00200,0200,ME 426565,S200000,00200,0300,04736 426565,S200000,00300,0100,AROOSTOOK 426565,S200000,00300,0200,20 426565,S200000,00300,0201,99920 426565,S200000,00300,0300,R 426565,S200000,00400,0100,CARIBOU REHAB AND NURSING CENTER 426565,S200000,00400,0200,205117 426565,S200000,00400,0300,01/01/93 426565,S200000,00400,0500,P 426565,S200000,01500,0100,Y 426565,S200000,01501,0200,Y 426565,S200000,01600,0100,N 426565,S200000,01700,0100,N 426565,S200000,01800,0100,N 426565,S200000,02200,0100,N 426565,S200000,02800,0100,Y 426565,S200000,02900,0100,N 426565,S200000,03000,0100,N 426565,S200000,03100,0100,N 426565,S200000,03200,0100,N 426565,S200000,03300,0100,N 426565,S200000,03300,0200,N 426565,S200000,04100,0100,N 426565,S200000,04200,0100,N 426565,S200000,04300,0100,N 426565,S200000,04600,0100,N 426565,S200000,04700,0100,N 426565,S200000,04700,0200,N 426565,S200000,04900,0100,N 426565,S200000,05000,0100,N 426565,S200000,05100,0100,N 426565,S200000,05200,0100,N 426568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426568,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426568,A000000,00300,0000,0300EMPLOYEE BENEFITS 426568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426568,A000000,00700,0000,0700HOUSEKEEPING 426568,A000000,00800,0000,0800DIETARY 426568,A000000,00900,0000,0900NURSING ADMINISTRATION 426568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426568,A000000,01300,0000,1300SOCIAL SERVICE 426568,A000000,01500,0000,1350RECREATION 426568,A000000,01600,0000,1600SKILLED NURSING FACILITY 426568,A000000,01800,0000,1800NURSING FACILITY 426568,A000000,01810,0000,1810ICF/MR 426568,A000000,02100,0000,2100RADIOLOGY 426568,A000000,02200,0000,2200LABORATORY 426568,A000000,02300,0000,2300INTRAVENOUS THERAPY 426568,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426568,A000000,02500,0000,2500PHYSICAL THERAPY 426568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426568,A000000,02700,0000,2700SPEECH PATHOLOGY 426568,A000000,02800,0000,2800ELECTROCARDIOLOGY 426568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426568,A000000,03200,0000,3200SUPPORT SURFACES 426568,A000000,04800,0000,4800AMBULANCE 426568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426568,A000000,06300,0000,6150TUBE FEEDING 426568,A81000A,00100,0100,Y 426568,A81000B,00100,0300,RENTAL INCOME 426568,A81000B,00200,0300,LAUNDRY AND LINEN SERVICE 426568,A81000B,00300,0300,EMPLOYEE PHYSICALS 426568,A81000B,00400,0300,MEDICAL MALPRACTICE INSURANCE 426568,A81000B,00500,0300,PAYROLL PROCESSING 426568,A81000B,00600,0300,MANAGEMENT SERVICES 426568,A81000C,00100,0100,B 426568,A81000C,00100,0400,BRISTOL HOSPITA 426568,A81000C,00100,0600,HOSPITAL 426568,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426568,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426568,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426568,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426568,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426568,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426568,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426568,B100000,00000,0800,0800MEALS SERVED :DIETARY 426568,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426568,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426568,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426568,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426568,G300000,02500,0000,DAY CARE RENTAL INCOME 426568,G300000,02501,0000,INTEREST INCOME 426568,S000000,00100,0200,02/20/12 426568,S200000,00100,0100,400 NORTH MAIN ST 426568,S200000,00200,0100,BRISTOL 426568,S200000,00200,0200,CT 426568,S200000,00200,0300,06010 426568,S200000,00300,0100,HARTFORD 426568,S200000,00300,0201,25540 426568,S200000,00300,0300,U 426568,S200000,00400,0100,INGRAHAM MONOR 426568,S200000,00400,0200,075329 426568,S200000,00400,0300,12/29/89 426568,S200000,00400,0500,P 426568,S200000,01500,0100,Y 426568,S200000,01501,0200,Y 426568,S200000,01502,0200,Y 426568,S200000,01505,0000,EMPLOYEE BENEFITS 426568,S200000,01505,0200,Y 426568,S200000,01600,0100,N 426568,S200000,01700,0100,N 426568,S200000,01800,0100,N 426568,S200000,02200,0100,N 426568,S200000,02800,0100,N 426568,S200000,02900,0100,N 426568,S200000,03000,0100,N 426568,S200000,03100,0100,N 426568,S200000,03200,0100,N 426568,S200000,03300,0100,N 426568,S200000,03300,0200,N 426568,S200000,04100,0100,N 426568,S200000,04200,0100,N 426568,S200000,04300,0100,N 426568,S200000,04600,0100,N 426568,S200000,04700,0100,N 426568,S200000,04700,0200,N 426568,S200000,04900,0100,N 426568,S200000,05000,0100,N 426568,S200000,05100,0100,N 426568,S200000,05200,0100,N 426568,S200000,05300,0100,N 426569,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426569,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426569,A000000,00300,0000,0300EMPLOYEE BENEFITS 426569,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426569,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426569,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426569,A000000,00700,0000,0700HOUSEKEEPING 426569,A000000,00800,0000,0800DIETARY 426569,A000000,00900,0000,0900NURSING ADMINISTRATION 426569,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426569,A000000,01100,0000,1100PHARMACY 426569,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426569,A000000,01300,0000,1300SOCIAL SERVICE 426569,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426569,A000000,01500,0000,1350OTHER GENERAL SERVICES 426569,A000000,01600,0000,1600SKILLED NURSING FACILITY 426569,A000000,01800,0000,1800NURSING FACILITY 426569,A000000,01810,0000,1810ICF/MR 426569,A000000,01900,0000,1900OTHER LONG TERM CARE 426569,A000000,02100,0000,2100RADIOLOGY 426569,A000000,02200,0000,2200LABORATORY 426569,A000000,02300,0000,2300INTRAVENOUS THERAPY 426569,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426569,A000000,02500,0000,2500PHYSICAL THERAPY 426569,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426569,A000000,02700,0000,2700SPEECH PATHOLOGY 426569,A000000,02800,0000,2800ELECTROCARDIOLOGY 426569,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426569,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426569,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426569,A000000,03200,0000,3200SUPPORT SURFACES 426569,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426569,A000000,03301,0000,3051OUTPATIENT - PT 426569,A000000,03302,0000,3052OUTPATIENT - ST 426569,A000000,03303,0000,3053OUTPATIENT - OT 426569,A000000,03400,0000,3400CLINIC 426569,A000000,03500,0000,3500RURAL HEALTH CLINIC 426569,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426569,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426569,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426569,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426569,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426569,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426569,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426569,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426569,A000000,04400,0000,4400DME RENTED - HHA 426569,A000000,04500,0000,4500DME SOLD - HHA 426569,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426569,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426569,A000000,04710,0000,4710TELEMEDICINE 426569,A000000,04800,0000,4800AMBULANCE 426569,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426569,A000000,05000,0000,5000CORF 426569,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426569,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426569,A000000,05300,0000,5300INTEREST EXPENSE 426569,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426569,A000000,05500,0000,5500HOSPICE 426569,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426569,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426569,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426569,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426569,A000000,06100,0000,6100NONPAID WORKERS 426569,A000000,06200,0000,6200PATIENTS LAUNDRY 426569,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426569,A81000A,00100,0100,Y 426569,A81000B,00100,0300,ALLIANCE OCCUPATIONAL HEALTH 426569,A81000B,00200,0300,ALLIANCE OCCUPATIONAL HEALTH 426569,A81000B,00300,0300,CENTRAL CT HEALTH ALLIANCE 426569,A81000B,00400,0300,CENTRAL CT HEALTH ALLIANCE 426569,A81000B,00500,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,00600,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,00700,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,00800,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,00900,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,01000,0300,MIDSTATE MEDICAL CENTER 426569,A81000B,01100,0300,NEW BRITAIN GENERAL HOSPITAL 426569,A81000B,01200,0300,HOSPITAL OF CENTRAL CT 426569,A81000B,01300,0300,CENTRAL CT VNA 426569,A81000C,00100,0100,B 426569,A81000C,00100,0200,ALLIANCE OCCUPATIONAL HEA 426569,A81000C,00100,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00100,0600,PRE EMPLOYMENT TESTING 426569,A81000C,00200,0100,B 426569,A81000C,00200,0200,ALLIANCE OCCUPATIONAL HEA 426569,A81000C,00200,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00200,0600,WORKERS COMPENSATION 426569,A81000C,00300,0100,B 426569,A81000C,00300,0200,CENTRAL CT HEALTH ALLIANC 426569,A81000C,00300,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00300,0600,MANAGEMENT FEES 426569,A81000C,00400,0100,B 426569,A81000C,00400,0200,CENTRAL CT HEALTH ALLIANC 426569,A81000C,00400,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00400,0600,WORKERS COMPENSATION 426569,A81000C,00500,0100,B 426569,A81000C,00500,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,00500,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00500,0600,TRANSITIONS OF CARE 426569,A81000C,00600,0100,B 426569,A81000C,00600,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,00600,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00600,0600,MEDICAL SUPPLIES 426569,A81000C,00700,0100,B 426569,A81000C,00700,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,00700,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00700,0600,LABORATORY 426569,A81000C,00800,0100,B 426569,A81000C,00800,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,00800,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00800,0600,X-RAY 426569,A81000C,00900,0100,B 426569,A81000C,00900,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,00900,0400,SOUTHINGTON CARE CENTER 426569,A81000C,00900,0600,ANCILLARY - MEDICARE A 426569,A81000C,01000,0100,B 426569,A81000C,01000,0200,NEW BRITAIN GENERAL HOSPI 426569,A81000C,01000,0400,SOUTHINGTON CARE CENTER 426569,A81000C,01000,0600,MANAGEMENT EXPENSE 426569,A81000C,01001,0100,B 426569,A81000C,01001,0200,MIDSTATE MEDICAL CENTER 426569,A81000C,01001,0400,SOUTHINGTON CARE CENTER 426569,A81000C,01001,0600,X-RAY - MED A 426569,A81000C,01002,0100,B 426569,A81000C,01002,0200,HOSPITAL OF CENTRAL CT 426569,A81000C,01002,0400,SOUTHINGTON CARE CENTER 426569,A81000C,01002,0600,HEALTH SCREENINGS 426569,A81000C,01003,0100,B 426569,A81000C,01003,0200,CENTRAL CT VNA 426569,A81000C,01003,0400,SOUTHINGTON CARE CENTER 426569,A81000C,01003,0600,BUSINESS PROMOTION 426569,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426569,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426569,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426569,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426569,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426569,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426569,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426569,B100000,00000,0800,0800MEALS SERVED :DIETARY 426569,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426569,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426569,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426569,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426569,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426569,G300000,02500,0000,GOOD LIFE FIT - SR FIT REVENUE 426569,G300000,02501,0000,VAN FEE INCOME 426569,G300000,02502,0000,GOOD LIFE/SR FIT WELLNESS PROGRAM 426569,G300000,02503,0000,BHC - OTHER INCOME 426569,G300000,02504,0000,BHC - INTEREST INCOME 426569,G300000,02505,0000,BHC - REALIZED GAIN ON INVESTMENT 426569,G300000,02506,0000,MISCELLANEOUS INCOME 426569,G300000,02507,0000,MANAGEMENT FEE REVENUE 426569,G300000,02508,0000,TEMP NET ASSET RELEASED FROM RESTRI 426569,G300000,02509,0000,OTHER INTEREST INCOME 426569,S000000,00100,0200,02/24/12 426569,S200000,00100,0100,45 MERIDEN AVE 426569,S200000,00200,0100,SOUTHINGTON 426569,S200000,00200,0200,CT 426569,S200000,00200,0300,06489 426569,S200000,00300,0100,HARTFORD 426569,S200000,00300,0200,3283 426569,S200000,00300,0201,25540 426569,S200000,00300,0300,U 426569,S200000,00400,0100,SOUTHINGTON CARE CENTER 426569,S200000,00400,0200,075336 426569,S200000,00400,0300,04/10/90 426569,S200000,00400,0500,P 426569,S200000,01500,0100,Y 426569,S200000,01501,0200,N 426569,S200000,01600,0100,N 426569,S200000,01700,0100,N 426569,S200000,01800,0100,N 426569,S200000,02200,0100,N 426569,S200000,02800,0100,N 426569,S200000,02900,0100,N 426569,S200000,03000,0100,N 426569,S200000,03100,0100,N 426569,S200000,03200,0100,N 426569,S200000,03300,0100,N 426569,S200000,03300,0200,N 426569,S200000,04100,0100,N 426569,S200000,04200,0100,N 426569,S200000,04300,0100,N 426569,S200000,04600,0100,N 426569,S200000,04700,0100,N 426569,S200000,04700,0200,N 426569,S200000,04900,0100,N 426569,S200000,05000,0100,N 426569,S200000,05100,0100,N 426569,S200000,05200,0100,N 426569,S200000,05300,0100,N 426570,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426570,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426570,A000000,00300,0000,0300EMPLOYEE BENEFITS 426570,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426570,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426570,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426570,A000000,00700,0000,0700HOUSEKEEPING 426570,A000000,00800,0000,0800DIETARY 426570,A000000,00900,0000,0900NURSING ADMINISTRATION 426570,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426570,A000000,01100,0000,1100PHARMACY 426570,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426570,A000000,01300,0000,1300SOCIAL SERVICE 426570,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426570,A000000,01500,0000,1350RECREATION 426570,A000000,01600,0000,1600SKILLED NURSING FACILITY 426570,A000000,01800,0000,1800NURSING FACILITY 426570,A000000,01810,0000,1810ICF/MR 426570,A000000,01900,0000,1900OTHER LONG TERM CARE 426570,A000000,02100,0000,2100RADIOLOGY 426570,A000000,02200,0000,2200LABORATORY 426570,A000000,02300,0000,2300INTRAVENOUS THERAPY 426570,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426570,A000000,02500,0000,2500PHYSICAL THERAPY 426570,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426570,A000000,02700,0000,2700SPEECH PATHOLOGY 426570,A000000,02800,0000,2800ELECTROCARDIOLOGY 426570,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426570,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426570,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426570,A000000,03200,0000,3200SUPPORT SURFACES 426570,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426570,A000000,03400,0000,3400CLINIC 426570,A000000,03500,0000,3500RURAL HEALTH CLINIC 426570,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426570,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426570,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426570,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426570,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426570,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426570,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426570,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426570,A000000,04400,0000,4400DME RENTED - HHA 426570,A000000,04500,0000,4500DME SOLD - HHA 426570,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426570,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426570,A000000,04710,0000,4710TELEMEDICINE 426570,A000000,04800,0000,4800AMBULANCE 426570,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426570,A000000,05000,0000,5000CORF 426570,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426570,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426570,A000000,05300,0000,5300INTEREST EXPENSE 426570,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426570,A000000,05500,0000,5500HOSPICE 426570,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426570,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426570,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426570,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426570,A000000,06100,0000,6100NONPAID WORKERS 426570,A000000,06200,0000,6200PATIENTS LAUNDRY 426570,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426570,A81000A,00100,0100,Y 426570,A81000B,00100,0300,GUILMARIN DIPIRO & SOKOLOWSKI 426570,A81000C,00100,0100,D 426570,A81000C,00100,0200,GUILMARTIN DIPIRO & SOKO 426570,A81000C,00100,0600,MONTHLY FINANCIAL SERVICE 426570,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426570,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426570,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426570,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426570,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426570,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426570,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426570,B100000,00000,0800,0800MEALS SERVED :DIETARY 426570,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426570,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426570,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426570,G300000,02500,0000,RCH REVENUE 426570,G300000,02510,0000,APT REVENUE 426570,G300000,02530,0000,BOUTIQUE REVENUE 426570,G300000,02540,0000,DONATIONS 426570,G300000,02550,0000,RENTAL INCOME - CHESHIRE PROPERTY 426570,S000000,00100,0200,02/24/12 426570,S200000,00100,0100,380 CROWN STRET 426570,S200000,00200,0100,MERIDEN 426570,S200000,00200,0200,CT 426570,S200000,00200,0300,06450 426570,S200000,00300,0100,NEW HAVEN 426570,S200000,00300,0200,5483 426570,S200000,00300,0201,35300 426570,S200000,00300,0300,U 426570,S200000,00400,0100,THE CURTIS HOME 426570,S200000,00400,0200,075365 426570,S200000,00400,0300,01/01/92 426570,S200000,00400,0500,P 426570,S200000,01500,0100,N 426570,S200000,01501,0200,Y 426570,S200000,01600,0100,Y 426570,S200000,01700,0100,N 426570,S200000,01800,0100,N 426570,S200000,02200,0100,N 426570,S200000,02800,0100,N 426570,S200000,02900,0100,N 426570,S200000,03000,0100,N 426570,S200000,03100,0100,N 426570,S200000,03200,0100,N 426570,S200000,03300,0100,N 426570,S200000,03300,0200,N 426570,S200000,04100,0100,N 426570,S200000,04200,0100,N 426570,S200000,04300,0100,N 426570,S200000,04600,0100,N 426570,S200000,04700,0100,N 426570,S200000,04700,0200,N 426570,S200000,04900,0100,N 426570,S200000,05000,0100,N 426570,S200000,05100,0100,N 426570,S200000,05200,0100,N 426570,S200000,05300,0100,N 426571,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426571,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426571,A000000,00300,0000,0300EMPLOYEE BENEFITS 426571,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426571,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426571,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426571,A000000,00700,0000,0700HOUSEKEEPING 426571,A000000,00800,0000,0800DIETARY 426571,A000000,00900,0000,0900NURSING ADMINISTRATION 426571,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426571,A000000,01100,0000,1100PHARMACY 426571,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426571,A000000,01300,0000,1300SOCIAL SERVICE 426571,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426571,A000000,01500,0000,1350RECREATION 426571,A000000,01600,0000,1600SKILLED NURSING FACILITY 426571,A000000,01800,0000,1800NURSING FACILITY 426571,A000000,01810,0000,1810ICF/MR 426571,A000000,01900,0000,1900OTHER LONG TERM CARE 426571,A000000,02100,0000,2100RADIOLOGY 426571,A000000,02200,0000,2200LABORATORY 426571,A000000,02300,0000,2300INTRAVENOUS THERAPY 426571,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426571,A000000,02500,0000,2500PHYSICAL THERAPY 426571,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426571,A000000,02700,0000,2700SPEECH PATHOLOGY 426571,A000000,02800,0000,2800ELECTROCARDIOLOGY 426571,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426571,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426571,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426571,A000000,03200,0000,3200SUPPORT SURFACES 426571,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426571,A000000,03400,0000,3400CLINIC 426571,A000000,03500,0000,3500RURAL HEALTH CLINIC 426571,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426571,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426571,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426571,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426571,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426571,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426571,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426571,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426571,A000000,04400,0000,4400DME RENTED - HHA 426571,A000000,04500,0000,4500DME SOLD - HHA 426571,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426571,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426571,A000000,04710,0000,4710TELEMEDICINE 426571,A000000,04800,0000,4800AMBULANCE 426571,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426571,A000000,05000,0000,5000CORF 426571,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426571,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426571,A000000,05300,0000,5300INTEREST EXPENSE 426571,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426571,A000000,05500,0000,5500HOSPICE 426571,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426571,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426571,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426571,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426571,A000000,06100,0000,6100NONPAID WORKERS 426571,A000000,06200,0000,6200PATIENTS LAUNDRY 426571,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426571,A81000A,00100,0100,Y 426571,A81000B,00100,0300,MGMT OVERSIGHT ACCTING 426571,A81000B,00200,0300,LAUNDRY SERVICES 426571,A81000B,00300,0300,LAB SERVICES 426571,A81000B,00400,0300,PT OT & ST 426571,A81000B,00500,0300,ADMIN - SALARY & BENEFITS 426571,A81000C,00100,0100,B 426571,A81000C,00100,0200,NORWALK HOSPITAL 426571,A81000C,00100,0400,NORWALK HOSPITAL 426571,A81000C,00100,0600,MANAGEMENT SERVICES 426571,A81000C,00200,0100,B 426571,A81000C,00200,0200,NORWALK HOSPITAL 426571,A81000C,00200,0400,NORWALK HOSPITAL 426571,A81000C,00200,0600,LAUNDRY SERVICES 426571,A81000C,00300,0100,B 426571,A81000C,00300,0200,NORWALK HOSPITAL 426571,A81000C,00300,0400,NORWALK HOSPITAL 426571,A81000C,00300,0600,LABORATORY HOSPITAL 426571,A81000C,00400,0100,B 426571,A81000C,00400,0200,NORWALK HOSPITAL 426571,A81000C,00400,0400,NORWALK HOSPITAL 426571,A81000C,00400,0600,PHYSICAL THERAPY HOSPITAL 426571,A81000C,00500,0100,B 426571,A81000C,00500,0200,NORWALK HOSPITAL 426571,A81000C,00500,0400,NORWALK HOSPITAL 426571,A81000C,00500,0600,ADMIN - SALARY & BENEFIT 426571,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426571,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426571,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426571,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426571,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426571,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426571,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426571,B100000,00000,0800,0800MEALS SERVED :DIETARY 426571,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426571,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426571,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426571,B100000,00000,1500,1350DIRECT HOURS :RECREATION 426571,G300000,02501,0000,BARBER & BEAUTY 426571,G300000,02502,0000,MISCELLANEOUS INCOME 426571,S000000,00100,0200,02/22/12 426571,S200000,00100,0100,34 MIDROCKS ROAD 426571,S200000,00200,0100,NORWALK 426571,S200000,00200,0200,CT 426571,S200000,00200,0300,06856 426571,S200000,00300,0100,FAIRFIELD 426571,S200000,00300,0200,5483 426571,S200000,00300,0201,14860 426571,S200000,00300,0300,U 426571,S200000,00400,0100,HONEY HILL CARE CENTER 426571,S200000,00400,0200,075387 426571,S200000,00400,0300,07/30/93 426571,S200000,00400,0500,P 426571,S200000,01500,0100,Y 426571,S200000,01501,0200,Y 426571,S200000,01600,0100,N 426571,S200000,01700,0100,N 426571,S200000,01800,0100,N 426571,S200000,02200,0100,N 426571,S200000,02800,0100,N 426571,S200000,02900,0100,N 426571,S200000,03000,0100,N 426571,S200000,03100,0100,N 426571,S200000,03200,0100,N 426571,S200000,03300,0100,N 426571,S200000,03300,0200,N 426571,S200000,04100,0100,N 426571,S200000,04200,0100,N 426571,S200000,04300,0100,N 426571,S200000,04600,0100,N 426571,S200000,04700,0100,N 426571,S200000,04700,0200,N 426571,S200000,04900,0100,N 426571,S200000,05000,0100,N 426571,S200000,05100,0100,N 426571,S200000,05200,0100,N 426572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426572,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426572,A000000,00300,0000,0300EMPLOYEE BENEFITS 426572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426572,A000000,00700,0000,0700HOUSEKEEPING 426572,A000000,00800,0000,0800DIETARY 426572,A000000,00900,0000,0900NURSING ADMINISTRATION 426572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426572,A000000,01100,0000,1100PHARMACY 426572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426572,A000000,01300,0000,1300SOCIAL SERVICE 426572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426572,A000000,01500,0000,1350PATIENT ACTIVITIES 426572,A000000,01600,0000,1600SKILLED NURSING FACILITY 426572,A000000,01810,0000,1810ICF/MR 426572,A000000,02100,0000,2100RADIOLOGY 426572,A000000,02200,0000,2200LABORATORY 426572,A000000,02300,0000,2300INTRAVENOUS THERAPY 426572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426572,A000000,02500,0000,2500PHYSICAL THERAPY 426572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426572,A000000,02700,0000,2700SPEECH PATHOLOGY 426572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426572,A000000,03550,0000,3550FQHC 426572,A000000,04800,0000,4800AMBULANCE 426572,A000000,05000,0000,5000CORF 426572,A000000,05010,0000,5010CMHC 426572,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426572,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426572,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426572,A000000,05100,0000,4750INTEREST EXPENSE 426572,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426572,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426572,A81000A,00100,0100,Y 426572,A81000B,00100,0300,MANAGEMENT FEES 426572,A81000B,00200,0300,PHYSICAL THERAY 426572,A81000B,00300,0300,ADMIN & GENERAL 426572,A81000B,00400,0300,MAINTENANCE 426572,A81000B,00500,0300,HOUSEKEEPING 426572,A81000B,00600,0300,DIETARY 426572,A81000B,00700,0300,PHYSICAL THERAPY 426572,A81000B,00800,0300,OCCUPATIONAL THERAPY 426572,A81000B,00900,0300,SPEECH THERAPY 426572,A81000B,01000,0300,NURSING 426572,A81000C,00100,0100,A 426572,A81000C,00100,0200,LAWRENCE SANTIL 426572,A81000C,00100,0400,ATHENA HEALTH 426572,A81000C,00100,0600,MANAGEMENT CO 426572,A81000C,00200,0100,A 426572,A81000C,00200,0200,GUARD FOR LE SA 426572,A81000C,00300,0100,A 426572,A81000C,00300,0200,CHAKALO NURSING 426572,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426572,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426572,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426572,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426572,B100000,00000,0600,0650PATINET DAYS :LAUNDRY & LINEN S 426572,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426572,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426572,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426572,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426572,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426572,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426572,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426572,G300000,02500,0000,INTERST INCOME 426572,G300000,02501,0000,INTEREST INCOME 426572,G300000,02502,0000,FEE INCOME A & G 426572,G300000,02503,0000,BARBER & BEAUTY INCOME 426572,G300000,02504,0000,FEE INCOME INDIRECT 426572,G300000,02505,0000,FEE INCOME DIRECT 426572,G300000,02506,0000,FEE INCOME THERAPY 426572,G300000,02507,0000,MISC INCOME 426572,S000000,00100,0200,02/27/12 426572,S200000,00100,0100,21 MAEFAIR COURT 426572,S200000,00200,0100,TRUMBULL 426572,S200000,00200,0200,CT 426572,S200000,00200,0300,06611 426572,S200000,00300,0100,FAIRFIELD 426572,S200000,00300,0201,14860 426572,S200000,00300,0300,U 426572,S200000,00400,0100,MAEFAIR HEALTH CARE CENTER 426572,S200000,00400,0200,075404 426572,S200000,00400,0300,05/04/94 426572,S200000,00400,0500,P 426572,S200000,01500,0100,Y 426572,S200000,01501,0200,N 426572,S200000,01502,0200,N 426572,S200000,01503,0200,N 426572,S200000,01504,0200,N 426572,S200000,01600,0100,N 426572,S200000,01700,0100,N 426572,S200000,01800,0100,N 426572,S200000,02200,0100,N 426572,S200000,02800,0100,N 426572,S200000,02900,0100,N 426572,S200000,03000,0100,N 426572,S200000,03100,0100,N 426572,S200000,03200,0100,N 426572,S200000,03300,0100,N 426572,S200000,03300,0200,N 426572,S200000,04100,0100,N 426572,S200000,04200,0100,N 426572,S200000,04300,0100,N 426572,S200000,04600,0100,N 426572,S200000,04700,0100,N 426572,S200000,04700,0200,N 426572,S200000,04900,0100,N 426572,S200000,05000,0100,N 426572,S200000,05100,0100,N 426572,S200000,05200,0100,N 426572,S200000,05300,0100,Y 426572,S200000,05300,0200,07-111 426572,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426572,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426572,S200000,05400,0300,13101 426572,S200000,05500,0100,300 QUEEN STREET 426572,S200000,05600,0100,SOUTHINGTON 426572,S200000,05600,0200,CT 426572,S200000,05600,0300,06489 426573,S000000,00100,0200,02/13/12 426573,S200000,00100,0100,40 ALBERT STREET 426573,S200000,00200,0100,NEW HAVENT 426573,S200000,00200,0200,CT 426573,S200000,00200,0300,06511-1542 426573,S200000,00400,0100,LEEWAY INC 426573,S200000,00400,0300,11/03/95 426574,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426574,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426574,A000000,00300,0000,0300EMPLOYEE BENEFITS 426574,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426574,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426574,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426574,A000000,00700,0000,0700HOUSEKEEPING 426574,A000000,00800,0000,0800DIETARY 426574,A000000,00900,0000,0900NURSING ADMINISTRATION 426574,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426574,A000000,01100,0000,1100PHARMACY 426574,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426574,A000000,01300,0000,1300SOCIAL SERVICE 426574,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426574,A000000,01500,0000,1350PATIENT ACTIVITIES 426574,A000000,01600,0000,1600SKILLED NURSING FACILITY 426574,A000000,01810,0000,1810ICF/MR 426574,A000000,02100,0000,2100RADIOLOGY 426574,A000000,02200,0000,2200LABORATORY 426574,A000000,02300,0000,2300INTRAVENOUS THERAPY 426574,A000000,02310,0000,2301RESPIRATORY 426574,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426574,A000000,02500,0000,2500PHYSICAL THERAPY 426574,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426574,A000000,02700,0000,2700SPEECH PATHOLOGY 426574,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426574,A000000,02910,0000,2901COMPLEX MEDICAL EQUIPMENT 426574,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426574,A000000,03550,0000,3550FQHC 426574,A000000,03600,0000,3450ADMIN & GENERAL-HHA 426574,A000000,05000,0000,5000CORF 426574,A000000,05010,0000,5010CMHC 426574,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426574,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426574,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426574,A000000,05100,0000,4750INTEREST EXPENSE 426574,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426574,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426574,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426574,A000000,06300,0000,6150TOTAL 426574,A81000A,00100,0100,Y 426574,A81000B,00100,0300,MANAGEMENT FEES 426574,A81000B,00200,0300,PHYSICAL THERAPY 426574,A81000B,00300,0300,ADMIN & GENERAL 426574,A81000B,00400,0300,DIETARY 426574,A81000B,00500,0300,SOCIAL SERVICES 426574,A81000B,00600,0300,PHYSICAL THERAPY 426574,A81000B,00700,0300,SPEECH THERAPY 426574,A81000B,00800,0300,OCCUPATIONAL THERAPY 426574,A81000B,00900,0300,NURSING 426574,A81000C,00100,0100,A 426574,A81000C,00100,0200,LAWRENCE G SANT 426574,A81000C,00100,0400,ATHENA HEALTH C 426574,A81000C,00100,0600,MANAGEMENT CO 426574,A81000C,00200,0100,A 426574,A81000C,00200,0200,GUARD LE SANTIL 426574,A81000C,00300,0100,A 426574,A81000C,00300,0200,MAHANEY FAMILY 426574,A81000C,00400,0100,A 426574,A81000C,00400,0200,WILLIAM S THOMA 426574,A81000C,00500,0100,A 426574,A81000C,00500,0200,RUSSELL C SCHWA 426574,A81000C,00600,0100,A 426574,A81000C,00600,0200,MICHAEL E MOSIE 426574,A81000C,00700,0100,A 426574,A81000C,00700,0200,MARYBETH HAUSER 426574,A81000C,00800,0100,A 426574,A81000C,00800,0200,DEBRA M SOUCEY 426574,A81000C,00900,0100,A 426574,A81000C,00900,0200,CHAKALOS NURSIN 426574,A81000C,01000,0100,A 426574,A81000C,01000,0200,TERESA SKINNER 426574,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426574,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426574,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426574,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426574,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426574,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426574,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426574,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426574,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426574,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426574,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426574,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426574,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426574,G300000,02500,0000,FEE INCOME DIRECT 426574,G300000,02501,0000,BAD DEBT RECOVERIES 426574,G300000,02502,0000,INTEREST INCOME 426574,G300000,02503,0000,FEE INCOME A&G 426574,G300000,02504,0000,FEE INCOME DIRECT 426574,G300000,02505,0000,FEE INCOME THERAPY 426574,S000000,00100,0200,02/08/12 426574,S200000,00100,0100,261 SUMMIT STREET 426574,S200000,00200,0100,PLANTSVILLE 426574,S200000,00200,0200,CT 426574,S200000,00200,0300,06479 426574,S200000,00300,0100,HARTFORD 426574,S200000,00300,0201,25540 426574,S200000,00300,0300,U 426574,S200000,00400,0100,SOUTHINGTON SNF DBA SUMMIT AT PLANT 426574,S200000,00400,0200,075420 426574,S200000,00400,0300,11/22/99 426574,S200000,00400,0500,P 426574,S200000,01500,0100,Y 426574,S200000,01501,0200,N 426574,S200000,01502,0200,N 426574,S200000,01503,0200,N 426574,S200000,01504,0200,N 426574,S200000,01600,0100,N 426574,S200000,01700,0100,N 426574,S200000,01800,0100,N 426574,S200000,02200,0100,N 426574,S200000,02800,0100,N 426574,S200000,02900,0100,N 426574,S200000,03000,0100,N 426574,S200000,03100,0100,N 426574,S200000,03200,0100,N 426574,S200000,03300,0100,N 426574,S200000,03300,0200,N 426574,S200000,03600,0100,N 426574,S200000,03600,0200,N 426574,S200000,04100,0100,N 426574,S200000,04200,0100,N 426574,S200000,04300,0100,N 426574,S200000,04600,0100,N 426574,S200000,04700,0100,N 426574,S200000,04700,0200,N 426574,S200000,04900,0100,N 426574,S200000,05000,0100,N 426574,S200000,05100,0100,N 426574,S200000,05200,0100,N 426574,S200000,05300,0100,Y 426574,S200000,05300,0200,07-111 426574,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426574,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426574,S200000,05400,0300,13101 426574,S200000,05500,0100,300 QUEEN STREET 426574,S200000,05600,0100,SOUTHINGTON 426574,S200000,05600,0200,CT 426574,S200000,05600,0300,06489 426575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426575,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426575,A000000,00300,0000,0300EMPLOYEE BENEFITS 426575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426575,A000000,00700,0000,0700HOUSEKEEPING 426575,A000000,00800,0000,0800DIETARY 426575,A000000,00900,0000,0900NURSING ADMINISTRATION 426575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426575,A000000,01100,0000,1100PHARMACY 426575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426575,A000000,01300,0000,1300SOCIAL SERVICE 426575,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426575,A000000,01500,0000,1350RECREATION 426575,A000000,01600,0000,1600SKILLED NURSING FACILITY 426575,A000000,01800,0000,1800NURSING FACILITY 426575,A000000,01810,0000,1810ICF/MR 426575,A000000,01900,0000,1900OTHER LONG TERM CARE 426575,A000000,02100,0000,2100RADIOLOGY 426575,A000000,02200,0000,2200LABORATORY 426575,A000000,02300,0000,2300INTRAVENOUS THERAPY 426575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426575,A000000,02500,0000,2500PHYSICAL THERAPY 426575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426575,A000000,02700,0000,2700SPEECH PATHOLOGY 426575,A000000,02800,0000,2800ELECTROCARDIOLOGY 426575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426575,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426575,A000000,03200,0000,3200SUPPORT SURFACES 426575,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426575,A000000,03400,0000,3400CLINIC 426575,A000000,03500,0000,3500RURAL HEALTH CLINIC 426575,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426575,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426575,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426575,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426575,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426575,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426575,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426575,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426575,A000000,04400,0000,4400DME RENTED - HHA 426575,A000000,04500,0000,4500DME SOLD - HHA 426575,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426575,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426575,A000000,04710,0000,4710TELEMEDICINE 426575,A000000,04800,0000,4800AMBULANCE 426575,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426575,A000000,05000,0000,5000CORF 426575,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426575,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426575,A000000,05300,0000,5300INTEREST EXPENSE 426575,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426575,A000000,05500,0000,5500HOSPICE 426575,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426575,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426575,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426575,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426575,A000000,06100,0000,6100NONPAID WORKERS 426575,A000000,06200,0000,6200PATIENTS LAUNDRY 426575,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426575,A81000A,00100,0100,Y 426575,A81000B,00100,0300,BUILDING RENTAL 426575,A81000B,00200,0300,DIETARY 426575,A81000B,00300,0300,MAINT. PURCHASED SERVICE 426575,A81000B,00400,0300,BUILDING LOAN INTEREST 426575,A81000B,00500,0300,AIG CHAPLIN 426575,A81000B,00600,0300,ADMIN 426575,A81000B,00700,0300,MEDICAL RECORDS 426575,A81000B,00800,0300,TELEPHONE EQUIP INT SV CELL 426575,A81000B,00900,0300,SALARY DIR. HOUSEKEEPING 426575,A81000B,01000,0300,SOCIAL SERVICES 426575,A81000B,01100,0300,MTGS 426575,A81000C,00100,0100,B 426575,A81000C,00100,0200,SCHOOL SISTER NOTRE DAME 426575,A81000C,00100,0400,SCHOOL SISTERS NOTRE DAME 426575,A81000C,00100,0600,PROP DIET MAINT TELE 426575,A81000C,00200,0100,B 426575,A81000C,00200,0200,SCHOOL SISTER NOTRE DAME 426575,A81000C,00200,0400,SCHOOL SISTERS NOTRE DAME 426575,A81000C,00200,0600,MD REC ADMIN HOUSEKEEPI 426575,A81000C,00300,0100,B 426575,A81000C,00300,0200,GENERALATE - ROME 426575,A81000C,00300,0400,SCHOOL SISTERS NOTRE DAME 426575,A81000C,00300,0600,LOAN 426575,A81000C,00400,0100,B 426575,A81000C,00400,0200,BAVARIAN MOTHERHOUSE 426575,A81000C,00400,0400,SCHOOL SISTERS NOTRE DAME 426575,A81000C,00400,0600,LOAN 426575,A81000C,00500,0100,B 426575,A81000C,00500,0200,SR. MARYROSE CROWLEY 426575,A81000C,00500,0600,PASTORAL 426575,A81000C,00600,0100,B 426575,A81000C,00600,0200,SR. JOANN COMPAGNO CND 426575,A81000C,00600,0600,PASTORAL 426575,A81000C,00700,0100,B 426575,A81000C,00700,0200,SR. TERESIA SPODNIK 426575,A81000C,00700,0600,MEDICAL RECORDS 426575,A81000C,00800,0100,B 426575,A81000C,00800,0200,SR. SUZANNE POULIN CND 426575,A81000C,00800,0600,SOCIAL SERVICES 426575,A81000C,00900,0100,B 426575,A81000C,00900,0200,DIANE M. GUCCIARDO 426575,A81000C,00900,0600,OFFICE HEALTH INS. ADMI 426575,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426575,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426575,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426575,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426575,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426575,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426575,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426575,B100000,00000,0800,0800MEALS SERVED :DIETARY 426575,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426575,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426575,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426575,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426575,G300000,02500,0000,BARBER & BEAUTY 426575,S000000,00100,0200,02/23/12 426575,S200000,00100,0100,345 BELDEN HILL ROAD 426575,S200000,00200,0100,STAMFORD 426575,S200000,00200,0200,CT 426575,S200000,00200,0300,06905 426575,S200000,00300,0100,FAIRFIELD 426575,S200000,00300,0200,5483 426575,S200000,00300,0201,14860 426575,S200000,00300,0300,U 426575,S200000,00400,0100,LOURDES HEALTH CARE CENTER 426575,S200000,00400,0200,075426 426575,S200000,00400,0300,09/11/00 426575,S200000,00400,0500,P 426575,S200000,01500,0100,Y 426575,S200000,01501,0200,N 426575,S200000,01600,0100,N 426575,S200000,01700,0100,N 426575,S200000,01800,0100,N 426575,S200000,02200,0100,N 426575,S200000,02800,0100,N 426575,S200000,02900,0100,N 426575,S200000,03000,0100,N 426575,S200000,03100,0100,N 426575,S200000,03200,0100,N 426575,S200000,03300,0100,N 426575,S200000,03300,0200,N 426575,S200000,04100,0100,N 426575,S200000,04200,0100,N 426575,S200000,04300,0100,N 426575,S200000,04600,0100,N 426575,S200000,04700,0100,N 426575,S200000,04700,0200,N 426575,S200000,04900,0100,N 426575,S200000,05000,0100,N 426575,S200000,05100,0100,N 426575,S200000,05200,0100,N 426575,S200000,05300,0100,N 426576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426576,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426576,A000000,00300,0000,0300EMPLOYEE BENEFITS 426576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426576,A000000,00700,0000,0700HOUSEKEEPING 426576,A000000,00800,0000,0800DIETARY 426576,A000000,00900,0000,0900NURSING ADMINISTRATION 426576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426576,A000000,01100,0000,1100PHARMACY 426576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426576,A000000,01300,0000,1300SOCIAL SERVICE 426576,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426576,A000000,01500,0000,1350RECREATION 426576,A000000,01600,0000,1600SKILLED NURSING FACILITY 426576,A000000,01800,0000,1800NURSING FACILITY 426576,A000000,01810,0000,1810ICF/MR 426576,A000000,01900,0000,1900OTHER LONG TERM CARE 426576,A000000,02100,0000,2100RADIOLOGY 426576,A000000,02200,0000,2200LABORATORY 426576,A000000,02300,0000,2300INTRAVENOUS THERAPY 426576,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426576,A000000,02500,0000,2500PHYSICAL THERAPY 426576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426576,A000000,02700,0000,2700SPEECH PATHOLOGY 426576,A000000,02800,0000,2800ELECTROCARDIOLOGY 426576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426576,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426576,A000000,03200,0000,3200SUPPORT SURFACES 426576,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426576,A000000,03400,0000,3400CLINIC 426576,A000000,03500,0000,3500RURAL HEALTH CLINIC 426576,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426576,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426576,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426576,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426576,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426576,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426576,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426576,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426576,A000000,04400,0000,4400DME RENTED - HHA 426576,A000000,04500,0000,4500DME SOLD - HHA 426576,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426576,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426576,A000000,04710,0000,4710TELEMEDICINE 426576,A000000,04800,0000,4800AMBULANCE 426576,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426576,A000000,05000,0000,5000CORF 426576,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426576,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426576,A000000,05300,0000,5300INTEREST EXPENSE 426576,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426576,A000000,05500,0000,5500HOSPICE 426576,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426576,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426576,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426576,A000000,06100,0000,6100NONPAID WORKERS 426576,A000000,06200,0000,6200PATIENTS LAUNDRY 426576,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426576,A81000A,00100,0100,N 426576,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426576,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426576,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426576,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426576,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426576,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426576,B100000,00000,0800,0800MEALS SERVED :DIETARY 426576,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426576,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426576,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426576,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426576,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426576,G300000,02500,0000,DIVIDEND/REBATE INCOME 426576,G300000,02501,0000,INTEREST INCOME 426576,G300000,02502,0000,DEATH BENEFIT PROCEEDS 426576,G300000,02503,0000,RESIDENT INCOME ASSIGNED ASSETS 426576,G300000,02504,0000,DECEASED RESIDENTS BALANCE 426576,G300000,02505,0000,MEMORIAL CONTRIBUTIONS 426576,G300000,02506,0000,RESIDENT SPEND DOWN PRIOR YEAR ADJ 426576,G300000,02508,0000,HAIRDRESSING REVENUE 426576,G300000,02509,0000,DIETARY REVENUE 426576,G300000,02510,0000,CARR HOUSE DAY CARE REVENUE 426576,G300000,02511,0000,RENTAL INCOME 426576,G300000,02512,0000,MISCELLANEOUS INCOME 426576,G300000,02513,0000,CAPITAL GAIN 426576,S000000,00100,0200,02/24/12 426576,S200000,00100,0100,320 COLONY STREET 426576,S200000,00200,0100,MERIDEN 426576,S200000,00200,0200,CT 426576,S200000,00200,0300,06451 426576,S200000,00300,0100,NEW HAVEN 426576,S200000,00300,0200,5483 426576,S200000,00300,0201,35300 426576,S200000,00300,0300,U 426576,S200000,00400,0100,THE BRADLEY HOME 426576,S200000,00400,0200,075439 426576,S200000,00400,0300,03/03/06 426576,S200000,00400,0500,P 426576,S200000,01500,0100,Y 426576,S200000,01501,0200,N 426576,S200000,01600,0100,N 426576,S200000,01700,0100,N 426576,S200000,01800,0100,N 426576,S200000,02200,0100,N 426576,S200000,02800,0100,Y 426576,S200000,02900,0100,N 426576,S200000,03000,0100,N 426576,S200000,03100,0100,N 426576,S200000,03200,0100,N 426576,S200000,03300,0100,N 426576,S200000,03300,0200,N 426576,S200000,03600,0100,N 426576,S200000,03600,0200,N 426576,S200000,04100,0100,N 426576,S200000,04200,0100,N 426576,S200000,04300,0100,N 426576,S200000,04600,0100,N 426576,S200000,04700,0100,N 426576,S200000,04700,0200,N 426576,S200000,04900,0100,N 426576,S200000,05000,0100,N 426576,S200000,05100,0100,N 426576,S200000,05200,0100,N 426576,S200000,05300,0100,N 426577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426577,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426577,A000000,00300,0000,0300EMPLOYEE BENEFITS 426577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426577,A000000,00700,0000,0700HOUSEKEEPING 426577,A000000,00800,0000,0800DIETARY 426577,A000000,00900,0000,0900NURSING ADMINISTRATION 426577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426577,A000000,01100,0000,1100PHARMACY 426577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426577,A000000,01300,0000,1300SOCIAL SERVICE 426577,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426577,A000000,01500,0000,1350PATIENT ACTIVITIES 426577,A000000,01600,0000,1600SKILLED NURSING FACILITY 426577,A000000,01810,0000,1810ICF/MR 426577,A000000,02100,0000,2100RADIOLOGY 426577,A000000,02200,0000,2200LABORATORY 426577,A000000,02300,0000,2300INTRAVENOUS THERAPY 426577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426577,A000000,02500,0000,2500PHYSICAL THERAPY 426577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426577,A000000,02700,0000,2700SPEECH PATHOLOGY 426577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426577,A000000,03550,0000,3550FQHC 426577,A000000,04800,0000,4800AMBULANCE 426577,A000000,05000,0000,5000CORF 426577,A000000,05010,0000,5010CMHC 426577,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426577,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426577,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426577,A000000,05100,0000,4750INTEREST EXPENSE 426577,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426577,A81000A,00100,0100,Y 426577,A81000B,00100,0300,MANAGEMENT FEE 426577,A81000B,00200,0300,PHYSICAL THERAPY 426577,A81000B,00300,0300,ADMIN & GENERAL 426577,A81000B,00400,0300,PHYSICAL THERAPY 426577,A81000C,00100,0100,A 426577,A81000C,00100,0200,LAWRENCE G SANT 426577,A81000C,00100,0400,ATHENA HEALTH C 426577,A81000C,00100,0600,MANAGEMENT CO 426577,A81000C,00200,0100,A 426577,A81000C,00200,0200,GIRARD HEALTH C 426577,A81000C,00300,0100,A 426577,A81000C,00300,0200,GUARD LE SANTIL 426577,A81000C,00400,0100,A 426577,A81000C,00400,0200,RITA B CHAKALOS 426577,A81000C,00500,0100,A 426577,A81000C,00500,0200,WILLIAM S THOMA 426577,A81000C,00600,0100,A 426577,A81000C,00600,0200,MICHAEL E MOSIE 426577,A81000C,00700,0100,A 426577,A81000C,00700,0200,CHAKALOS NURSIN 426577,A81000C,00800,0100,A 426577,A81000C,00800,0200,ATHENA HEALTH C 426577,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426577,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426577,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426577,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426577,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426577,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426577,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426577,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426577,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426577,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426577,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426577,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426577,G300000,02500,0000,MISC INCOME 426577,G300000,02501,0000,INTEREST INCOME 426577,G300000,02502,0000,BAD DEBT RECOVERIES 426577,S000000,00100,0200,02/08/12 426577,S200000,00100,0100,560 CUMBERLAND HILL ROAD 426577,S200000,00200,0100,WOONSOCKET 426577,S200000,00200,0200,RI 426577,S200000,00200,0300,02895 426577,S200000,00300,0100,PROVIDENCE 426577,S200000,00300,0201,39300 426577,S200000,00300,0300,U 426577,S200000,00400,0100,OAKLAND GROVE HEALTH CARE CTR 426577,S200000,00400,0200,415110 426577,S200000,00400,0300,11/05/91 426577,S200000,00400,0500,P 426577,S200000,01500,0100,Y 426577,S200000,01501,0200,N 426577,S200000,01502,0200,N 426577,S200000,01503,0200,N 426577,S200000,01504,0200,N 426577,S200000,01600,0100,N 426577,S200000,01700,0100,N 426577,S200000,01800,0100,N 426577,S200000,02200,0100,N 426577,S200000,02800,0100,Y 426577,S200000,02900,0100,N 426577,S200000,03000,0100,N 426577,S200000,03100,0100,N 426577,S200000,03200,0100,N 426577,S200000,03300,0100,N 426577,S200000,03300,0200,N 426577,S200000,03600,0100,N 426577,S200000,03600,0200,N 426577,S200000,04100,0100,N 426577,S200000,04200,0100,N 426577,S200000,04300,0100,N 426577,S200000,04600,0100,N 426577,S200000,04700,0100,N 426577,S200000,04700,0200,N 426577,S200000,04900,0100,N 426577,S200000,05000,0100,N 426577,S200000,05100,0100,N 426577,S200000,05200,0100,N 426577,S200000,05300,0100,Y 426577,S200000,05300,0200,07-111 426577,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426577,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426577,S200000,05400,0300,13101 426577,S200000,05500,0100,300 QUEEN STREET 426577,S200000,05600,0100,SOUTHINGTON 426577,S200000,05600,0200,CT 426577,S200000,05600,0300,06489 426584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426584,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426584,A000000,00300,0000,0300EMPLOYEE BENEFITS 426584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426584,A000000,00700,0000,0700HOUSEKEEPING 426584,A000000,00800,0000,0800DIETARY 426584,A000000,00900,0000,0900NURSING ADMINISTRATION 426584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426584,A000000,01100,0000,1100PHARMACY 426584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426584,A000000,01300,0000,1300SOCIAL SERVICE 426584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426584,A000000,01500,0000,1350OTHER GENERAL SERVICES 426584,A000000,01600,0000,1600SKILLED NURSING FACILITY 426584,A000000,01800,0000,1800NURSING FACILITY 426584,A000000,01810,0000,1810ICF/MR 426584,A000000,01900,0000,1900OTHER LONG TERM CARE 426584,A000000,02100,0000,2100RADIOLOGY 426584,A000000,02200,0000,2200LABORATORY 426584,A000000,02300,0000,2300INTRAVENOUS THERAPY 426584,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426584,A000000,02500,0000,2500PHYSICAL THERAPY 426584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426584,A000000,02700,0000,2700SPEECH PATHOLOGY 426584,A000000,02800,0000,2800ELECTROCARDIOLOGY 426584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426584,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426584,A000000,03200,0000,3200SUPPORT SURFACES 426584,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426584,A000000,03400,0000,3400CLINIC 426584,A000000,03500,0000,3500RURAL HEALTH CLINIC 426584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426584,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426584,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426584,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426584,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426584,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426584,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426584,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426584,A000000,04400,0000,4400DME RENTED - HHA 426584,A000000,04500,0000,4500DME SOLD - HHA 426584,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426584,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426584,A000000,04710,0000,4710TELEMEDICINE 426584,A000000,04800,0000,4800AMBULANCE 426584,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426584,A000000,05000,0000,5000CORF 426584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426584,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426584,A000000,05300,0000,5300INTEREST EXPENSE 426584,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426584,A000000,05500,0000,5500HOSPICE 426584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426584,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426584,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426584,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426584,A000000,06100,0000,6100NONPAID WORKERS 426584,A000000,06200,0000,6200PATIENTS LAUNDRY 426584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426584,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 426584,A81000A,00100,0100,Y 426584,A81000B,00100,0300,HOME OFFICE COSTS 426584,A81000C,00100,0100,B 426584,A81000C,00100,0400,DEACONESS LTC INC 426584,A81000C,00100,0600,MANAGEMENT 426584,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426584,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426584,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426584,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426584,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426584,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426584,B100000,00000,0800,0800MEALS SERVED :DIETARY 426584,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426584,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426584,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426584,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426584,G300000,02500,0000,PRIOR PERIOD ADJUSTMENT 426584,G300000,02505,0000,MISCELLANEOUS INCOME 426584,S000000,00100,0200,02/06/12 426584,S200000,00100,0100,STAR ROUTE 426584,S200000,00100,0300,34 426584,S200000,00200,0100,BELLEVIEW 426584,S200000,00200,0200,MO 426584,S200000,00200,0300,63623 426584,S200000,00300,0100,IRON 426584,S200000,00300,0200,26 426584,S200000,00300,0201,99926 426584,S200000,00300,0300,R 426584,S200000,00400,0100,BELLEVIEW VALLEY NURSING HOME 426584,S200000,00400,0200,265258 426584,S200000,00400,0300,09/21/91 426584,S200000,00400,0500,P 426584,S200000,01500,0100,Y 426584,S200000,01501,0200,Y 426584,S200000,01502,0200,N 426584,S200000,01503,0200,N 426584,S200000,01504,0200,Y 426584,S200000,01600,0100,N 426584,S200000,01700,0100,N 426584,S200000,01800,0100,N 426584,S200000,02200,0100,N 426584,S200000,02800,0100,N 426584,S200000,02900,0100,N 426584,S200000,03000,0100,N 426584,S200000,03100,0100,N 426584,S200000,03200,0100,N 426584,S200000,03300,0100,N 426584,S200000,03300,0200,N 426584,S200000,04100,0100,N 426584,S200000,04200,0100,N 426584,S200000,04300,0100,N 426584,S200000,04600,0100,N 426584,S200000,04700,0100,N 426584,S200000,04700,0200,N 426584,S200000,04900,0100,N 426584,S200000,05000,0100,N 426584,S200000,05100,0100,N 426584,S200000,05200,0100,N 426584,S200000,05300,0100,Y 426584,S200000,05300,0200,H52210 426584,S200000,05400,0100,DEACONESS LONG TERM CARE INC. 426584,S200000,05400,0200,WPS MEDICARE PART A 426584,S200000,05400,0300,05301 426584,S200000,05500,0100,440 LAFAYETTE AVENUE SUITE 400 426584,S200000,05600,0100,CINCINNATI 426584,S200000,05600,0200,OH 426584,S200000,05600,0300,45220 426632,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426632,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426632,A000000,00300,0000,0300EMPLOYEE BENEFITS 426632,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426632,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426632,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426632,A000000,00700,0000,0700HOUSEKEEPING 426632,A000000,00800,0000,0800DIETARY 426632,A000000,00900,0000,0900NURSING ADMINISTRATION 426632,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426632,A000000,01100,0000,1100PHARMACY 426632,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426632,A000000,01300,0000,1300SOCIAL SERVICE 426632,A000000,01500,0000,1350PATIENT ACTIVITIES 426632,A000000,01600,0000,1600SKILLED NURSING FACILITY 426632,A000000,01800,0000,1800NURSING FACILITY 426632,A000000,02100,0000,2100RADIOLOGY 426632,A000000,02200,0000,2200LABORATORY 426632,A000000,02300,0000,2300INTRAVENOUS THERAPY 426632,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426632,A000000,02500,0000,2500PHYSICAL THERAPY 426632,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426632,A000000,02700,0000,2700SPEECH PATHOLOGY 426632,A000000,02800,0000,2800ELECTROCARDIOLOGY 426632,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426632,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426632,A000000,03200,0000,3200SUPPORT SURFACES 426632,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426632,A000000,03301,0000,3051COMPLEX MEDICAL EQUIPMENT 426632,A000000,04800,0000,4800AMBULANCE 426632,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426632,A000000,05300,0000,5300INTEREST EXPENSE 426632,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426632,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426632,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426632,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426632,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426632,A000000,06100,0000,6100NONPAID WORKERS 426632,A000000,06200,0000,6200PATIENTS LAUNDRY 426632,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426632,A81000A,00100,0100,Y 426632,A81000B,00100,0300,POOLED ALLOCATION A&G 426632,A81000B,00200,0300,NURSING ADMINISTRATION 426632,A81000B,00300,0300,POM 426632,A81000B,00400,0300,ADMIN AND GENERAL 426632,A81000B,00500,0300,THERAPY 426632,A81000B,00600,0300,REGIONAL CONSULTING 426632,A81000B,00700,0300,REGIONAL CONSULTING 426632,A81000B,00800,0300,SOCIAL SERVICES 426632,A81000C,00100,0100,B 426632,A81000C,00100,0200,MOUNTAIN TRACE 426632,A81000C,00100,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00100,0600,NON RELATED PARTY 426632,A81000C,00200,0100,B 426632,A81000C,00200,0200,MOUNTAIN TRACE 426632,A81000C,00200,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00200,0600,NON RELATED PARTY 426632,A81000C,00300,0100,B 426632,A81000C,00300,0200,MOUNTAIN TRACE 426632,A81000C,00300,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00300,0600,NON RELATED PARTY 426632,A81000C,00400,0100,B 426632,A81000C,00400,0200,MOUNTAIN TRACE 426632,A81000C,00400,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00400,0600,NON RELATED PARTY 426632,A81000C,00500,0100,B 426632,A81000C,00500,0200,MOUNTAIN TRACE 426632,A81000C,00500,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00500,0600,NON RELATED PARTY 426632,A81000C,00600,0100,B 426632,A81000C,00600,0200,MOUNTAIN TRACE 426632,A81000C,00600,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00600,0600,NON RELATED PARTY 426632,A81000C,00700,0100,B 426632,A81000C,00700,0200,MOUNTAIN TRACE 426632,A81000C,00700,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00700,0600,NON RELATED PARTY 426632,A81000C,00800,0100,B 426632,A81000C,00800,0200,MOUNTAIN TRACE 426632,A81000C,00800,0400,PALMETTO HEALTH CARE LLC 426632,A81000C,00800,0600,NON RELATED PARTY 426632,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426632,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426632,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426632,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426632,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426632,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426632,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426632,B100000,00000,0800,0800MEALS SERVED :DIETARY 426632,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426632,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426632,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426632,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426632,G300000,02500,0000,OTHER (SPECIFY) 426632,S000000,00100,0200,06/28/11 426632,S200000,00100,0100,417 MOUNTAIN TRACE ROAD 426632,S200000,00200,0100,SYLVA 426632,S200000,00200,0200,NC 426632,S200000,00200,0300,28779 426632,S200000,00300,0100,JACKSON 426632,S200000,00300,0200,34 426632,S200000,00300,0201,99934 426632,S200000,00300,0300,R 426632,S200000,00400,0100,MOUNTAIN TRACE NURSING CENTER 426632,S200000,00400,0200,345302 426632,S200000,00400,0300,05/10/89 426632,S200000,00400,0500,P 426632,S200000,01500,0100,Y 426632,S200000,01501,0200,N 426632,S200000,01600,0100,N 426632,S200000,01700,0100,N 426632,S200000,01800,0100,N 426632,S200000,02200,0100,N 426632,S200000,02800,0100,N 426632,S200000,02900,0100,N 426632,S200000,03000,0100,N 426632,S200000,03100,0100,N 426632,S200000,03200,0100,N 426632,S200000,03300,0100,N 426632,S200000,03300,0200,N 426632,S200000,04100,0100,N 426632,S200000,04200,0100,N 426632,S200000,04300,0100,N 426632,S200000,04600,0100,N 426632,S200000,04700,0100,N 426632,S200000,04700,0200,N 426632,S200000,04900,0100,N 426632,S200000,05000,0100,N 426632,S200000,05100,0100,N 426632,S200000,05200,0100,N 426632,S200000,05300,0100,Y 426632,S200000,05300,0200,109024 426632,S200000,05400,0100,PALMETTO HEALTHCARE LLC 426632,S200000,05400,0200,FIRST COAST 426632,S200000,05400,0300,00090 426632,S200000,05500,0100,10800 BISCAYNE BLVD. 426632,S200000,05600,0100,MIAMI 426632,S200000,05600,0200,FL 426632,S200000,05600,0300,33161 426641,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426641,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426641,A000000,00300,0000,0300EMPLOYEE BENEFITS 426641,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426641,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426641,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426641,A000000,00700,0000,0700HOUSEKEEPING 426641,A000000,00800,0000,0800DIETARY 426641,A000000,00900,0000,0900NURSING ADMINISTRATION 426641,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426641,A000000,01100,0000,1100PHARMACY 426641,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426641,A000000,01300,0000,1300SOCIAL SERVICE 426641,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426641,A000000,01500,0000,1350PATIENT ACTIVITIES 426641,A000000,01600,0000,1600SKILLED NURSING FACILITY 426641,A000000,01810,0000,1810ICF/MR 426641,A000000,02100,0000,2100RADIOLOGY 426641,A000000,02200,0000,2200LABORATORY 426641,A000000,02300,0000,2300INTRAVENOUS THERAPY 426641,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426641,A000000,02500,0000,2500PHYSICAL THERAPY 426641,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426641,A000000,02700,0000,2700SPEECH PATHOLOGY 426641,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426641,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426641,A000000,03550,0000,3550FQHC 426641,A000000,03600,0000,3450ADMIN & GENERAL-HHA 426641,A000000,05000,0000,5000CORF 426641,A000000,05010,0000,5010CMHC 426641,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426641,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426641,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426641,A000000,05100,0000,4750INTEREST EXPENSE 426641,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426641,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426641,A000000,06300,0000,6150TOTAL 426641,A81000A,00100,0100,Y 426641,A81000B,00100,0300,RENT EXPENSE 426641,A81000B,00200,0300,ATHENA MGT FEES 426641,A81000B,00300,0300,PHYSICAL THERAPY 426641,A81000B,00400,0300,ADMIN & GENERAL 426641,A81000B,00500,0300,SOCIAL SERVICE 426641,A81000B,00600,0300,PHYSICAL THERAPY 426641,A81000B,00700,0300,SPEECH THERAPY 426641,A81000B,00800,0300,OCCUPATIONAL THERAPY 426641,A81000B,00900,0300,NURSING 426641,A81000C,00100,0100,A 426641,A81000C,00100,0200,LAWRENCE SANTIL 426641,A81000C,00100,0400,CT HEALTH CTR 426641,A81000C,00100,0600,LIMITED PTNERSH 426641,A81000C,00200,0100,A 426641,A81000C,00200,0200,GUARD FOR LE SA 426641,A81000C,00200,0400,CT HEALTH CTR 426641,A81000C,00200,0600,LIMITED PTNERSH 426641,A81000C,00300,0100,A 426641,A81000C,00300,0200,RICK J ERRICHET 426641,A81000C,00300,0400,CT HEALTH CTR 426641,A81000C,00300,0600,LIMITED PTNERSH 426641,A81000C,00400,0100,A 426641,A81000C,00400,0200,JOHN NOCERA JR 426641,A81000C,00400,0400,CT HEALTH CTR 426641,A81000C,00400,0600,LIMITED PTNERSH 426641,A81000C,00500,0100,A 426641,A81000C,00500,0200,A.J. CAPPELLETT 426641,A81000C,00500,0400,CT HEALTH CTR 426641,A81000C,00500,0600,LIMITED PTNERSH 426641,A81000C,00600,0100,A 426641,A81000C,00600,0200,ABBOTT INV TRUS 426641,A81000C,00600,0400,CT HEALTH CTR 426641,A81000C,00600,0600,LIMITED PTNERSH 426641,A81000C,00700,0100,A 426641,A81000C,00700,0200,ALAN LOVERIDGE 426641,A81000C,00700,0400,CT HEALTH CTR 426641,A81000C,00700,0600,LIMITED PTNERSH 426641,A81000C,00800,0100,A 426641,A81000C,00800,0200,JOHN D MAHANEY 426641,A81000C,00800,0400,CT HEALTH CTR 426641,A81000C,00800,0600,LIMITED PTNERSH 426641,A81000C,00900,0100,A 426641,A81000C,00900,0200,OJ BIZZOERO JR 426641,A81000C,00900,0400,CT HEALTH CTR 426641,A81000C,00900,0600,LIMITED PTNERSH 426641,A81000C,01000,0100,A 426641,A81000C,01000,0200,WILLIAM THOMAS 426641,A81000C,01000,0400,CT HEALTH CTR 426641,A81000C,01000,0600,LIMITED PTNERSH 426641,A81000C,01001,0100,A 426641,A81000C,01001,0200,RUSSELL SCHWART 426641,A81000C,01001,0400,CT HEALTH CTR 426641,A81000C,01001,0600,LIMITED PTNERSH 426641,A81000C,01002,0100,A 426641,A81000C,01002,0200,JOSEPH COLACI 426641,A81000C,01002,0400,CT HEALTH CTR 426641,A81000C,01002,0600,LIMITED PTNERSH 426641,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426641,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426641,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426641,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426641,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426641,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426641,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426641,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426641,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426641,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426641,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426641,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426641,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426641,G300000,02500,0000,INTEREST INCOME 426641,G300000,02501,0000,FEE INCOME A&G 426641,G300000,02502,0000,FEE INCOME DIRECT 426641,G300000,02503,0000,FEE INCOME THERAPY BILLING 426641,G300000,02504,0000,MISCELLANEOUS INCOME 426641,S000000,00100,0200,02/08/12 426641,S200000,00100,0100,30 BOSTON POST ROAD 426641,S200000,00200,0100,MIDDLETOWN 426641,S200000,00200,0200,CT 426641,S200000,00200,0300,06457 426641,S200000,00300,0100,NEW HAVEN 426641,S200000,00300,0201,25540 426641,S200000,00300,0300,U 426641,S200000,00400,0100,WADSWORTH GLEN HEALTH CARE CTR 426641,S200000,00400,0200,075312 426641,S200000,00400,0300,04/02/86 426641,S200000,00400,0500,P 426641,S200000,01500,0100,Y 426641,S200000,01501,0200,N 426641,S200000,01502,0200,N 426641,S200000,01503,0200,N 426641,S200000,01504,0200,N 426641,S200000,01600,0100,N 426641,S200000,01700,0100,N 426641,S200000,01800,0100,N 426641,S200000,02200,0100,N 426641,S200000,02800,0100,Y 426641,S200000,02900,0100,N 426641,S200000,03000,0100,N 426641,S200000,03100,0100,N 426641,S200000,03200,0100,N 426641,S200000,03300,0100,N 426641,S200000,03300,0200,N 426641,S200000,04100,0100,N 426641,S200000,04200,0100,N 426641,S200000,04300,0100,N 426641,S200000,04600,0100,N 426641,S200000,04700,0100,N 426641,S200000,04700,0200,N 426641,S200000,04900,0100,N 426641,S200000,05000,0100,N 426641,S200000,05100,0100,N 426641,S200000,05200,0100,N 426641,S200000,05300,0100,Y 426641,S200000,05300,0200,07-111 426641,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426641,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426641,S200000,05400,0300,13101 426641,S200000,05500,0100,300 QUEEN STREET 426641,S200000,05600,0100,SOUTHINGTON 426641,S200000,05600,0200,CT 426641,S200000,05600,0300,06489 426667,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426667,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426667,A000000,00300,0000,0300EMPLOYEE BENEFITS 426667,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426667,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426667,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426667,A000000,00700,0000,0700HOUSEKEEPING 426667,A000000,00800,0000,0800DIETARY 426667,A000000,00900,0000,0900NURSING ADMINISTRATION 426667,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426667,A000000,01100,0000,1100PHARMACY 426667,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426667,A000000,01300,0000,1300SOCIAL SERVICE 426667,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426667,A000000,01500,0000,1350OTHER GENERAL SERVICES 426667,A000000,01600,0000,1600SKILLED NURSING FACILITY 426667,A000000,01800,0000,1800NURSING FACILITY 426667,A000000,01810,0000,1810ICF/MR 426667,A000000,01900,0000,1900OTHER LONG TERM CARE 426667,A000000,02100,0000,2100RADIOLOGY 426667,A000000,02200,0000,2200LABORATORY 426667,A000000,02300,0000,2300INTRAVENOUS THERAPY 426667,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426667,A000000,02500,0000,2500PHYSICAL THERAPY 426667,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426667,A000000,02700,0000,2700SPEECH PATHOLOGY 426667,A000000,02800,0000,2800ELECTROCARDIOLOGY 426667,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426667,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426667,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426667,A000000,03200,0000,3200SUPPORT SURFACES 426667,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426667,A000000,03400,0000,3400CLINIC 426667,A000000,03500,0000,3500RURAL HEALTH CLINIC 426667,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426667,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426667,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426667,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426667,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426667,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426667,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426667,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426667,A000000,04400,0000,4400DME RENTED - HHA 426667,A000000,04500,0000,4500DME SOLD - HHA 426667,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426667,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426667,A000000,04710,0000,4710TELEMEDICINE 426667,A000000,04800,0000,4800AMBULANCE 426667,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426667,A000000,05000,0000,5000CORF 426667,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426667,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426667,A000000,05300,0000,5300INTEREST EXPENSE 426667,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426667,A000000,05500,0000,5500HOSPICE 426667,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426667,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426667,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426667,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426667,A000000,06100,0000,6100NONPAID WORKERS 426667,A000000,06200,0000,6200PATIENTS LAUNDRY 426667,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426667,A81000A,00100,0100,Y 426667,A81000B,00100,0300,DEPRECIAITON & INTEREST 426667,A81000C,00100,0100,G 426667,A81000C,00100,0200,HEALTH MANAGEMENT 426667,A81000C,00100,0400,HEALTH MANAGEMENT 426667,A81000C,00100,0600,MANAGMENT 426667,A81000C,03100,0000,HOME OFFICE 426667,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426667,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426667,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426667,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426667,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426667,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426667,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426667,B100000,00000,0800,0800MEALS SERVED :DIETARY 426667,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426667,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426667,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426667,G300000,02500,0000,OTHER (SPECIFY) 426667,S000000,00100,0200,03/07/12 426667,S200000,00100,0100,474 HIGHWAY 282 426667,S200000,00200,0100,CLANCY 426667,S200000,00200,0200,MT 426667,S200000,00200,0300,59634 426667,S200000,00300,0100,JEFFERSON 426667,S200000,00300,0200,27 426667,S200000,00300,0201,99927 426667,S200000,00300,0300,R 426667,S200000,00400,0100,ELKHORN HEALTHCARE 426667,S200000,00400,0200,275056 426667,S200000,00400,0300,10/01/07 426667,S200000,00400,0500,P 426667,S200000,00400,0600,O 426667,S200000,01500,0100,Y 426667,S200000,01501,0200,N 426667,S200000,01600,0100,N 426667,S200000,01700,0100,N 426667,S200000,01800,0100,N 426667,S200000,02200,0100,N 426667,S200000,02800,0100,N 426667,S200000,02900,0100,N 426667,S200000,03000,0100,N 426667,S200000,03100,0100,N 426667,S200000,03200,0100,N 426667,S200000,03300,0100,N 426667,S200000,03300,0200,N 426667,S200000,04100,0100,N 426667,S200000,04200,0100,N 426667,S200000,04300,0100,N 426667,S200000,04600,0100,N 426667,S200000,04700,0100,N 426667,S200000,04700,0200,N 426667,S200000,04900,0100,N 426667,S200000,05000,0100,N 426667,S200000,05100,0100,N 426667,S200000,05200,0100,N 426667,S200000,05300,0100,Y 426678,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426678,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426678,A000000,00300,0000,0300EMPLOYEE BENEFITS 426678,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426678,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426678,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426678,A000000,00700,0000,0700HOUSEKEEPING 426678,A000000,00800,0000,0800DIETARY 426678,A000000,00801,0000,0801SHARED DIETARY SERVICES 426678,A000000,00900,0000,0900NURSING ADMINISTRATION 426678,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426678,A000000,01100,0000,1100PHARMACY 426678,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426678,A000000,01201,0000,1201ACTIVITIES 426678,A000000,01300,0000,1300SOCIAL SERVICE 426678,A000000,01301,0000,1301SHARED SOCIAL SERVICES 426678,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426678,A000000,01500,0000,1350OTHER GENERAL SERVICES 426678,A000000,01600,0000,1600SKILLED NURSING FACILITY 426678,A000000,01800,0000,1800NURSING FACILITY 426678,A000000,01810,0000,1810ICF/MR 426678,A000000,01900,0000,1900OTHER LONG TERM CARE 426678,A000000,02100,0000,2100RADIOLOGY 426678,A000000,02200,0000,2200LABORATORY 426678,A000000,02300,0000,2300INTRAVENOUS THERAPY 426678,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426678,A000000,02500,0000,2500PHYSICAL THERAPY 426678,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426678,A000000,02700,0000,2700SPEECH PATHOLOGY 426678,A000000,02800,0000,2800ELECTROCARDIOLOGY 426678,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426678,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426678,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426678,A000000,03200,0000,3200SUPPORT SURFACES 426678,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426678,A000000,03400,0000,3400CLINIC 426678,A000000,03500,0000,3500RURAL HEALTH CLINIC 426678,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426678,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426678,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426678,A000000,05300,0000,5300INTEREST EXPENSE 426678,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426678,A000000,05500,0000,5500HOSPICE 426678,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426678,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426678,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426678,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426678,A000000,06100,0000,6100NONPAID WORKERS 426678,A000000,06200,0000,6200PATIENTS LAUNDRY 426678,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426678,A000000,06301,0000,6151SENIOR LIVING 426678,A81000A,00100,0100,Y 426678,A81000B,00100,0300,ADMIN/ACCOUNTING 426678,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 426678,A81000B,00300,0300,HEALTH INSURANCE 426678,A81000B,00400,0300,WORKERS COMP 426678,A81000B,00500,0300,PROPERTY INSURANCE 426678,A81000B,00600,0300,LIABILITY INSURANCE 426678,A81000B,00700,0300,VEHICLE INSURANCE 426678,A81000B,00800,0300,EDUCATION EXPENSE 426678,A81000C,00100,0100,B 426678,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 426678,A81000C,00100,0600,HEALTH CARE 426678,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426678,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426678,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426678,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426678,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426678,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426678,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 426678,B100000,00000,0800,0800MEALS SERVED :DIETARY 426678,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426678,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426678,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426678,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 426678,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 426678,S000000,00100,0200,01/31/12 426678,S200000,00100,0100,2304 LAUREL ST 426678,S200000,00200,0100,TYNDALL 426678,S200000,00200,0200,SD 426678,S200000,00200,0300,57066-2214 426678,S200000,00300,0100,BON HOMME 426678,S200000,00300,0201,99943 426678,S200000,00300,0300,R 426678,S200000,00400,0100,GOOD SAMARITAN SOCIETY-TYNDALL 426678,S200000,00400,0200,435098 426678,S200000,00400,0300,04/01/96 426678,S200000,00400,0500,P 426678,S200000,01500,0100,Y 426678,S200000,01501,0200,N 426678,S200000,01504,0200,N 426678,S200000,01505,0000,HEALTH INSURANCE 426678,S200000,01505,0200,N 426678,S200000,01506,0000,PENSION 426678,S200000,01506,0200,N 426678,S200000,01600,0100,N 426678,S200000,01700,0100,N 426678,S200000,01800,0100,N 426678,S200000,02200,0100,N 426678,S200000,02800,0100,N 426678,S200000,02900,0100,N 426678,S200000,03000,0100,N 426678,S200000,03100,0100,N 426678,S200000,03200,0100,N 426678,S200000,03300,0100,N 426678,S200000,03300,0200,N 426678,S200000,04100,0100,N 426678,S200000,04200,0100,N 426678,S200000,04300,0100,N 426678,S200000,04600,0100,N 426678,S200000,04700,0100,N 426678,S200000,04700,0200,N 426678,S200000,04900,0100,N 426678,S200000,05000,0100,N 426678,S200000,05100,0100,N 426678,S200000,05200,0100,N 426678,S200000,05300,0100,Y 426678,S200000,05300,0200,439100 426678,S200000,05400,0100,ELGSS 426678,S200000,05400,0200,NORIDIAN 426678,S200000,05400,0300,03001 426678,S200000,05500,0100,4800 WEST 57TH STREET 426678,S200000,05500,0200,5038 426678,S200000,05600,0100,SIOUX FALLS 426678,S200000,05600,0200,SD 426678,S200000,05600,0300,57117-5038 426686,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426686,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426686,A000000,00300,0000,0300EMPLOYEE BENEFITS 426686,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426686,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426686,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426686,A000000,00700,0000,0700HOUSEKEEPING 426686,A000000,00800,0000,0800DIETARY 426686,A000000,00801,0000,1351CAFETERIA 426686,A000000,00900,0000,0900NURSING ADMINISTRATION 426686,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426686,A000000,01100,0000,1100PHARMACY 426686,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426686,A000000,01300,0000,1300SOCIAL SERVICE 426686,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426686,A000000,01500,0000,1350OTHER GENERAL SERVICES 426686,A000000,01600,0000,1600SKILLED NURSING FACILITY 426686,A000000,01800,0000,1800NURSING FACILITY 426686,A000000,01810,0000,1810ICF/MR 426686,A000000,01900,0000,1900OTHER LONG TERM CARE 426686,A000000,02100,0000,2100RADIOLOGY 426686,A000000,02200,0000,2200LABORATORY 426686,A000000,02300,0000,2300INTRAVENOUS THERAPY 426686,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426686,A000000,02500,0000,2500PHYSICAL THERAPY 426686,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426686,A000000,02700,0000,2700SPEECH PATHOLOGY 426686,A000000,02800,0000,2800ELECTROCARDIOLOGY 426686,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426686,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426686,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426686,A000000,03200,0000,3200SUPPORT SURFACES 426686,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426686,A000000,03400,0000,3400CLINIC 426686,A000000,03500,0000,3500RURAL HEALTH CLINIC 426686,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426686,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426686,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426686,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426686,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426686,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426686,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426686,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426686,A000000,04400,0000,4400DME RENTED - HHA 426686,A000000,04500,0000,4500DME SOLD - HHA 426686,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426686,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426686,A000000,04710,0000,4710TELEMEDICINE 426686,A000000,04800,0000,4800AMBULANCE 426686,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426686,A000000,05000,0000,5000CORF 426686,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426686,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426686,A000000,05300,0000,5300INTEREST EXPENSE 426686,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426686,A000000,05500,0000,5500HOSPICE 426686,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426686,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426686,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426686,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426686,A000000,06100,0000,6100NONPAID WORKERS 426686,A000000,06200,0000,6200PATIENTS LAUNDRY 426686,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426686,A81000A,00100,0100,Y 426686,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 426686,A81000C,00100,0100,B 426686,A81000C,00100,0200,GHS HOME OFFICE 426686,A81000C,00100,0400,GHS HOME OFFICE 426686,A81000C,00100,0600,HOME OFFICE HEALTH CARE 426686,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426686,B100000,00000,0200,0250ACTUAL CCST :CAP REL COSTS - MO 426686,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426686,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426686,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426686,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426686,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426686,B100000,00000,0800,0800MEALS SERVED :DIETARY 426686,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426686,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426686,E00A183,01620,0000,OTHER ADJUSTMENTS (SPECIFY) 426686,G300000,02500,0000,BARBER & BEAUTY 426686,G300000,02501,0000,MISC INCOME 426686,S000000,00100,0200,03/13/12 426686,S200000,00100,0100,101 COTTAGE CREEK CIRCLE 426686,S200000,00200,0100,GREER 426686,S200000,00200,0200,SC 426686,S200000,00200,0300,29650-2438 426686,S200000,00300,0100,GREENVILLE 426686,S200000,00300,0200,3160 426686,S200000,00300,0201,24860 426686,S200000,00300,0300,U 426686,S200000,00400,0100,THE COTTAGES AT BRUSHY CREEK 426686,S200000,00400,0200,425004 426686,S200000,00400,0300,10/01/94 426686,S200000,00400,0500,P 426686,S200000,01500,0100,Y 426686,S200000,01501,0200,Y 426686,S200000,01600,0100,N 426686,S200000,01700,0100,N 426686,S200000,01800,0100,N 426686,S200000,02200,0100,N 426686,S200000,02800,0100,N 426686,S200000,02900,0100,N 426686,S200000,03000,0100,N 426686,S200000,03100,0100,N 426686,S200000,03200,0100,N 426686,S200000,03300,0100,N 426686,S200000,03300,0200,N 426686,S200000,04100,0100,N 426686,S200000,04200,0100,N 426686,S200000,04300,0100,N 426686,S200000,04600,0100,N 426686,S200000,04700,0100,N 426686,S200000,04700,0200,N 426686,S200000,04900,0100,N 426686,S200000,05000,0100,N 426686,S200000,05100,0100,N 426686,S200000,05200,0100,N 426686,S200000,05300,0100,Y 426686,S200000,05300,0200,42H001 426686,S200000,05400,0100,GREENVILL HOSPITAL SYSTEM 426686,S200000,05400,0200,PALMETTO GBA 426686,S200000,05400,0300,00380 426686,S200000,05500,0100,701 GROVE ROAD 426686,S200000,05600,0100,GREENVILLE 426686,S200000,05600,0200,SC 426686,S200000,05600,0300,29605-5601 426723,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426723,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426723,A000000,00300,0000,0300EMPLOYEE BENEFITS 426723,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426723,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426723,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426723,A000000,00700,0000,0700HOUSEKEEPING 426723,A000000,00800,0000,0800DIETARY 426723,A000000,00900,0000,0900NURSING ADMINISTRATION 426723,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426723,A000000,01100,0000,1100PHARMACY 426723,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426723,A000000,01300,0000,1300SOCIAL SERVICE 426723,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426723,A000000,01600,0000,1600SKILLED NURSING FACILITY 426723,A000000,01800,0000,1800NURSING FACILITY 426723,A000000,01900,0000,1900OTHER LONG TERM CARE 426723,A000000,02100,0000,2100RADIOLOGY 426723,A000000,02200,0000,2200LABORATORY 426723,A000000,02300,0000,2300INTRAVENOUS THERAPY 426723,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426723,A000000,02500,0000,2500PHYSICAL THERAPY 426723,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426723,A000000,02700,0000,2700SPEECH PATHOLOGY 426723,A000000,02800,0000,2800ELECTROCARDIOLOGY 426723,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426723,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426723,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426723,A000000,03200,0000,3200SUPPORT SURFACES 426723,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426723,A000000,03400,0000,3400CLINIC 426723,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 426723,A000000,04800,0000,4800AMBULANCE 426723,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426723,A000000,05000,0000,5000CORF 426723,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426723,A000000,05300,0000,5300INTEREST EXPENSE 426723,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426723,A000000,05500,0000,5500HOSPICE 426723,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426723,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426723,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426723,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426723,A000000,06100,0000,6100NONPAID WORKERS 426723,A000000,06200,0000,6200PATIENTS LAUNDRY 426723,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426723,A81000A,00100,0100,Y 426723,A81000B,00100,0300,NURSING CONSULTING 426723,A81000B,00200,0300,DIETARY CONSULTING 426723,A81000B,00300,0300,HOME OFFICE 426723,A81000B,00400,0300,INTEREST EXPENSE 426723,A81000B,00500,0300,WORKERS COMP EXPENSE 426723,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 426723,A81000B,00700,0300,MAINTENANCE SUPPLIES 426723,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 426723,A81000B,00900,0300,REPAIRS - BUILDING 426723,A81000B,01000,0300,REPAIRS - EQUIPMENT 426723,A81000B,01100,0300,LINEN & BEDDING 426723,A81000B,01200,0300,LAUNDRY SUPPLIES 426723,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 426723,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 426723,A81000B,01500,0300,DIETARY SUPPLEMENTS 426723,A81000B,01600,0300,DIETARY SUPPLIES 426723,A81000B,01700,0300,BIO-MEDICAL WASTE 426723,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 426723,A81000B,01900,0300,PERSONAL CARE SUPPLIES 426723,A81000B,02000,0300,INCONTINENCE SUPPLIES 426723,A81000B,02100,0300,MEDICAL SUPPLIES 426723,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 426723,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 426723,A81000B,02400,0300,PT SUPPLIES 426723,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 426723,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 426723,A81000B,02700,0300,NON-LEGEND DRUGS 426723,A81000B,02800,0300,PHARMACY CONSULTANT 426723,A81000B,02900,0300,SUPPLIES 426723,A81000C,00100,0100,B 426723,A81000C,00100,0400,BRITTHAVEN INC 426723,A81000C,00100,0600,MGMT SERVICES 426723,A81000C,00200,0100,B 426723,A81000C,00200,0400,BRITTHAVEN INC 426723,A81000C,00200,0600,MGMT SERVICES 426723,A81000C,00300,0100,B 426723,A81000C,00300,0400,BRITTHAVEN INC 426723,A81000C,00300,0600,MGMT SERVICES 426723,A81000C,00400,0100,B 426723,A81000C,00400,0400,BRITTHAVEN INC 426723,A81000C,00400,0600,MGMT SERVICES 426723,A81000C,00500,0100,A 426723,A81000C,00500,0200,DISCOVERY INSUR 426723,A81000C,00500,0600,INSURANCE 426723,A81000C,00600,0100,A 426723,A81000C,00600,0200,QUEENSLAND ASSU 426723,A81000C,00600,0600,INSURANCE 426723,A81000C,00700,0100,B 426723,A81000C,00700,0400,KARE MEDICAL 426723,A81000C,00700,0600,WHOLESALE SUPPL 426723,A81000C,00800,0100,B 426723,A81000C,00800,0400,KARE MEDICAL 426723,A81000C,00800,0600,WHOLESALE SUPPL 426723,A81000C,00900,0100,B 426723,A81000C,00900,0400,KARE MEDICAL 426723,A81000C,00900,0600,WHOLESALE SUPPL 426723,A81000C,01000,0100,B 426723,A81000C,01000,0400,KARE MEDICAL 426723,A81000C,01000,0600,WHOLESALE SUPPL 426723,A81000C,01001,0100,B 426723,A81000C,01001,0400,KARE MEDICAL 426723,A81000C,01001,0600,WHOLESALE SUPPL 426723,A81000C,01002,0100,B 426723,A81000C,01002,0400,KARE MEDICAL 426723,A81000C,01002,0600,WHOLESALE SUPPL 426723,A81000C,01003,0100,B 426723,A81000C,01003,0400,KARE MEDICAL 426723,A81000C,01003,0600,WHOLESALE SUPPL 426723,A81000C,01004,0100,B 426723,A81000C,01004,0400,KARE MEDICAL 426723,A81000C,01004,0600,WHOLESALE SUPPL 426723,A81000C,01005,0100,B 426723,A81000C,01005,0400,KARE MEDICAL 426723,A81000C,01005,0600,WHOLESALE SUPPL 426723,A81000C,01006,0100,B 426723,A81000C,01006,0400,KARE MEDICAL 426723,A81000C,01006,0600,WHOLESALE SUPPL 426723,A81000C,01007,0100,B 426723,A81000C,01007,0400,KARE MEDICAL 426723,A81000C,01007,0600,WHOLESALE SUPPL 426723,A81000C,01008,0100,B 426723,A81000C,01008,0400,KARE MEDICAL 426723,A81000C,01008,0600,WHOLESALE SUPPL 426723,A81000C,01009,0100,B 426723,A81000C,01009,0400,KARE MEDICAL 426723,A81000C,01009,0600,WHOLESALE SUPPL 426723,A81000C,01010,0100,B 426723,A81000C,01010,0400,KARE MEDICAL 426723,A81000C,01010,0600,WHOLESALE SUPPL 426723,A81000C,01011,0100,B 426723,A81000C,01011,0400,KARE MEDICAL 426723,A81000C,01011,0600,WHOLESALE SUPPL 426723,A81000C,01012,0100,B 426723,A81000C,01012,0400,KARE MEDICAL 426723,A81000C,01012,0600,WHOLESALE SUPPL 426723,A81000C,01013,0100,B 426723,A81000C,01013,0400,KARE MEDICAL 426723,A81000C,01013,0600,WHOLESALE SUPPL 426723,A81000C,01014,0100,B 426723,A81000C,01014,0400,KARE MEDICAL 426723,A81000C,01014,0600,WHOLESALE SUPPL 426723,A81000C,01015,0100,B 426723,A81000C,01015,0400,KARE MEDICAL 426723,A81000C,01015,0600,WHOLESALE SUPPL 426723,A81000C,01016,0100,B 426723,A81000C,01016,0400,PHARMSAVE 426723,A81000C,01016,0600,RX SUPPLY 426723,A81000C,01017,0100,B 426723,A81000C,01017,0400,PHARMSAVE 426723,A81000C,01017,0600,RX SUPPLY 426723,A81000C,01018,0100,B 426723,A81000C,01018,0400,PHARMSAVE 426723,A81000C,01018,0600,RX SUPPLY 426723,A81000C,01019,0100,B 426723,A81000C,01019,0400,PHARMSAVE 426723,A81000C,01019,0600,RX SUPPLY 426723,A81000C,01020,0100,B 426723,A81000C,01020,0400,RHARMSAVE 426723,A81000C,01020,0600,RX SUPPLY 426723,A81000C,01021,0100,B 426723,A81000C,01021,0400,ROBERT HILL CON 426723,A81000C,01021,0600,CONSTRUCTION 426723,A81000C,01022,0100,B 426723,A81000C,01022,0400,ROBERT HILL CON 426723,A81000C,01022,0600,CONSTRUCTION 426723,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426723,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426723,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426723,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426723,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426723,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426723,B100000,00000,0800,0800MEALS SERVED :DIETARY 426723,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 426723,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426723,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426723,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426723,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426723,G300000,02500,0000, OTHER (SPECIFY) 426723,S000000,00100,0200,07/25/11 426723,S200000,00100,0100,107 MAGNOLIA DRIVE 426723,S200000,00200,0100,MORGANTON 426723,S200000,00200,0200,NC 426723,S200000,00200,0300,28655 426723,S200000,00300,0100,BURKE 426723,S200000,00300,0201,25860 426723,S200000,00300,0300,U 426723,S200000,00400,0100,BRITTHAVEN OF MORGANTON 426723,S200000,00400,0200,345219 426723,S200000,00400,0300,04/01/83 426723,S200000,00400,0500,P 426723,S200000,01500,0100,Y 426723,S200000,01501,0200,Y 426723,S200000,01502,0200,Y 426723,S200000,01503,0200,Y 426723,S200000,01504,0200,Y 426723,S200000,01505,0000,OTHER (SPECIFY) 426723,S200000,01505,0200,Y 426723,S200000,01600,0100,N 426723,S200000,01700,0100,N 426723,S200000,01800,0100,N 426723,S200000,02200,0100,N 426723,S200000,02800,0100,N 426723,S200000,02900,0100,N 426723,S200000,03000,0100,N 426723,S200000,03100,0100,Y 426723,S200000,03200,0100,N 426723,S200000,03300,0100,N 426723,S200000,03300,0200,N 426723,S200000,04100,0100,N 426723,S200000,04200,0100,N 426723,S200000,04300,0100,N 426723,S200000,04600,0100,N 426723,S200000,04700,0100,N 426723,S200000,04700,0200,N 426723,S200000,04900,0100,N 426723,S200000,05000,0100,N 426723,S200000,05100,0100,N 426723,S200000,05200,0100,N 426723,S200000,05300,0100,Y 426723,S200000,05300,0200,349011 426723,S200000,05400,0100,BRITTHAVEN INC. 426723,S200000,05400,0200,PALMETTO GBA 426723,S200000,05400,0300,11501 426723,S200000,05500,0100,1435 HWY 258 NORTH 426723,S200000,05500,0200,PO BOX 61 426723,S200000,05600,0100,KINSTON 426723,S200000,05600,0200,NC 426723,S200000,05600,0300,28502 426726,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426726,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426726,A000000,00300,0000,0300EMPLOYEE BENEFITS 426726,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426726,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426726,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426726,A000000,00700,0000,0700HOUSEKEEPING 426726,A000000,00800,0000,0800DIETARY 426726,A000000,00900,0000,0900NURSING ADMINISTRATION 426726,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426726,A000000,01100,0000,1100PHARMACY 426726,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426726,A000000,01300,0000,1300SOCIAL SERVICE 426726,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426726,A000000,01600,0000,1600SKILLED NURSING FACILITY 426726,A000000,01800,0000,1800NURSING FACILITY 426726,A000000,01900,0000,1900OTHER LONG TERM CARE 426726,A000000,02100,0000,2100RADIOLOGY 426726,A000000,02200,0000,2200LABORATORY 426726,A000000,02300,0000,2300INTRAVENOUS THERAPY 426726,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426726,A000000,02500,0000,2500PHYSICAL THERAPY 426726,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426726,A000000,02700,0000,2700SPEECH PATHOLOGY 426726,A000000,02800,0000,2800ELECTROCARDIOLOGY 426726,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426726,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426726,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426726,A000000,03200,0000,3200SUPPORT SURFACES 426726,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426726,A000000,03400,0000,3400CLINIC 426726,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 426726,A000000,04800,0000,4800AMBULANCE 426726,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426726,A000000,05000,0000,5000CORF 426726,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426726,A000000,05300,0000,5300INTEREST EXPENSE 426726,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426726,A000000,05500,0000,5500HOSPICE 426726,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426726,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426726,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426726,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426726,A000000,06100,0000,6100NONPAID WORKERS 426726,A000000,06200,0000,6200PATIENTS LAUNDRY 426726,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426726,A81000A,00100,0100,Y 426726,A81000B,00100,0300,NURSING CONSULTING 426726,A81000B,00200,0300,DIETARY CONSULTING 426726,A81000B,00300,0300,HOME OFFICE 426726,A81000B,00400,0300,INTEREST EXPENSE 426726,A81000B,00500,0300,WORKERS COMP EXPENSE 426726,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 426726,A81000B,00700,0300,REPAIRS - EQUIPMENT 426726,A81000B,00800,0300,LINEN & BEDDING 426726,A81000B,00900,0300,LAUNDRY SUPPLIES 426726,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 426726,A81000B,01100,0300,DIETARY SUPPLEMENTS 426726,A81000B,01200,0300,DIETARY SUPPLIES 426726,A81000B,01300,0300,BIO-MEDICAL WASTE 426726,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 426726,A81000B,01500,0300,PERSONAL CARE SUPPLIES 426726,A81000B,01600,0300,INCONTINENCE SUPPLIES 426726,A81000B,01700,0300,MEDICAL SUPPLIES 426726,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 426726,A81000B,01900,0300,PT SUPPLIES 426726,A81000B,02000,0300,OT SUPPLIES 426726,A81000B,02100,0300,SUPPLIES 426726,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 426726,A81000B,02300,0300,NON-LEGEND DRUGS 426726,A81000B,02400,0300,PHARMACY CONSULTANT 426726,A81000B,02500,0300,MEDICAL RECORDS SUPPLIES 426726,A81000B,02600,0300,LEGEND DRUGS 426726,A81000B,02700,0300,OFFICE SUPPLIES 426726,A81000B,02800,0300,MEDICAL RECORDS SUPPLIES 426726,A81000C,00100,0100,B 426726,A81000C,00100,0400,BRITTHAVEN INC 426726,A81000C,00100,0600,MGMT SERVICES 426726,A81000C,00200,0100,B 426726,A81000C,00200,0400,BRITTHAVEN INC 426726,A81000C,00200,0600,MGMT SERVICES 426726,A81000C,00300,0100,B 426726,A81000C,00300,0400,BRITTHAVEN INC 426726,A81000C,00300,0600,MGMT SERVICES 426726,A81000C,00400,0100,B 426726,A81000C,00400,0400,BRITTHAVEN INC 426726,A81000C,00400,0600,MGMT SERVICES 426726,A81000C,00500,0100,A 426726,A81000C,00500,0200,DISCOVERY INSUR 426726,A81000C,00500,0600,INSURANCE 426726,A81000C,00600,0100,A 426726,A81000C,00600,0200,QUEENSLAND ASSU 426726,A81000C,00600,0600,INSURANCE 426726,A81000C,00700,0100,B 426726,A81000C,00700,0400,KARE MEDICAL 426726,A81000C,00700,0600,WHOLESALE SUPPL 426726,A81000C,00800,0100,B 426726,A81000C,00800,0400,KARE MEDICAL 426726,A81000C,00800,0600,WHOLESALE SUPPL 426726,A81000C,00900,0100,B 426726,A81000C,00900,0400,KARE MEDICAL 426726,A81000C,00900,0600,WHOLESALE SUPPL 426726,A81000C,01000,0100,B 426726,A81000C,01000,0400,KARE MEDICAL 426726,A81000C,01000,0600,WHOLESALE SUPPL 426726,A81000C,01001,0100,B 426726,A81000C,01001,0400,KARE MEDICAL 426726,A81000C,01001,0600,WHOLESALE SUPPL 426726,A81000C,01002,0100,B 426726,A81000C,01002,0400,KARE MEDICAL 426726,A81000C,01002,0600,WHOLESALE SUPPL 426726,A81000C,01003,0100,B 426726,A81000C,01003,0400,KARE MEDICAL 426726,A81000C,01003,0600,WHOLESALE SUPPL 426726,A81000C,01004,0100,B 426726,A81000C,01004,0400,KARE MEDICAL 426726,A81000C,01004,0600,WHOLESALE SUPPL 426726,A81000C,01005,0100,B 426726,A81000C,01005,0400,KARE MEDICAL 426726,A81000C,01005,0600,WHOLESALE SUPPL 426726,A81000C,01006,0100,B 426726,A81000C,01006,0400,KARE MEDICAL 426726,A81000C,01006,0600,WHOLESALE SUPPL 426726,A81000C,01007,0100,B 426726,A81000C,01007,0400,KARE MEDICAL 426726,A81000C,01007,0600,WHOLESALE SUPPL 426726,A81000C,01008,0100,B 426726,A81000C,01008,0400,KARE MEDICAL 426726,A81000C,01008,0600,WHOLESALE SUPPL 426726,A81000C,01009,0100,B 426726,A81000C,01009,0400,KARE MEDICAL 426726,A81000C,01009,0600,WHOLESALE SUPPL 426726,A81000C,01010,0100,B 426726,A81000C,01010,0400,KARE MEDICAL 426726,A81000C,01010,0600,WHOLESALE SUPPL 426726,A81000C,01011,0100,B 426726,A81000C,01011,0400,KARE MEDICAL 426726,A81000C,01011,0600,WHOLESALE SUPPL 426726,A81000C,01012,0100,B 426726,A81000C,01012,0400,KARE MEDICAL 426726,A81000C,01012,0600,WHOLESALE SUPPL 426726,A81000C,01013,0100,B 426726,A81000C,01013,0400,PHARMSAVE 426726,A81000C,01013,0600,RX SUPPLY 426726,A81000C,01014,0100,B 426726,A81000C,01014,0400,PHARMSAVE 426726,A81000C,01014,0600,RX SUPPLY 426726,A81000C,01015,0100,B 426726,A81000C,01015,0400,PHARMSAVE 426726,A81000C,01015,0600,RX SUPPLY 426726,A81000C,01016,0100,B 426726,A81000C,01016,0400,PHARMSAVE 426726,A81000C,01016,0600,RX SUPPLY 426726,A81000C,01017,0100,B 426726,A81000C,01017,0400,ROBERT HILL CON 426726,A81000C,01017,0600,CONSTRUCTION 426726,A81000C,01018,0100,B 426726,A81000C,01018,0400,ROBERT HILL CON 426726,A81000C,01018,0600,CONSTRUCTION 426726,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426726,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426726,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426726,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426726,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426726,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426726,B100000,00000,0800,0800MEALS SERVED :DIETARY 426726,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 426726,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426726,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426726,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426726,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426726,E10A180,00550,0100,07/25/11 426726,G300000,02500,0000, OTHER (SPECIFY) 426726,S000000,00100,0200,07/25/11 426726,S200000,00100,0100,1349 CRABTREE ROAD 426726,S200000,00200,0100,WAYNESVILLE 426726,S200000,00200,0200,NC 426726,S200000,00200,0300,28785 426726,S200000,00300,0100,HAYWOOD 426726,S200000,00300,0201,11700 426726,S200000,00300,0300,U 426726,S200000,00400,0100,SMOKY MOUNTAIN HLTHCARE & REHAB CTR 426726,S200000,00400,0200,345396 426726,S200000,00400,0300,10/01/90 426726,S200000,00400,0500,P 426726,S200000,01500,0100,Y 426726,S200000,01501,0200,Y 426726,S200000,01503,0200,Y 426726,S200000,01504,0200,Y 426726,S200000,01505,0000,OTHER (SPECIFY) 426726,S200000,01505,0200,Y 426726,S200000,01600,0100,N 426726,S200000,01700,0100,N 426726,S200000,01800,0100,N 426726,S200000,02200,0100,N 426726,S200000,02800,0100,N 426726,S200000,02900,0100,N 426726,S200000,03000,0100,N 426726,S200000,03100,0100,Y 426726,S200000,03200,0100,N 426726,S200000,03300,0100,N 426726,S200000,03300,0200,N 426726,S200000,04100,0100,N 426726,S200000,04200,0100,N 426726,S200000,04300,0100,N 426726,S200000,04600,0100,N 426726,S200000,04700,0100,N 426726,S200000,04700,0200,N 426726,S200000,04900,0100,N 426726,S200000,05000,0100,N 426726,S200000,05100,0100,N 426726,S200000,05200,0100,N 426726,S200000,05300,0100,Y 426726,S200000,05300,0200,349011 426726,S200000,05400,0100,BRITTHAVEN INC. 426726,S200000,05400,0200,PALMETTO GBA 426726,S200000,05400,0300,11501 426726,S200000,05500,0100,1435 HWY 258 NORTH 426726,S200000,05500,0200,PO BOX 61 426726,S200000,05600,0100,KINSTON 426726,S200000,05600,0200,NC 426726,S200000,05600,0300,28502 426746,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426746,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426746,A000000,00300,0000,0300EMPLOYEE BENEFITS 426746,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426746,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426746,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426746,A000000,00700,0000,0700HOUSEKEEPING 426746,A000000,00800,0000,0800DIETARY 426746,A000000,00900,0000,0900NURSING ADMINISTRATION 426746,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426746,A000000,01100,0000,1100PHARMACY 426746,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426746,A000000,01300,0000,1300SOCIAL SERVICE 426746,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426746,A000000,01500,0000,1350RECREATION 426746,A000000,01600,0000,1600SKILLED NURSING FACILITY 426746,A000000,01810,0000,1810ICF/MR 426746,A000000,02100,0000,2100RADIOLOGY 426746,A000000,02200,0000,2200LABORATORY 426746,A000000,02300,0000,2300INTRAVENOUS THERAPY 426746,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426746,A000000,02500,0000,2500PHYSICAL THERAPY 426746,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426746,A000000,02700,0000,2700SPEECH PATHOLOGY 426746,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426746,A000000,03550,0000,3550FQHC 426746,A000000,04801,0000,4801AMBULANCE 426746,A000000,04802,0000,4802AMBULANCE 426746,A000000,04803,0000,4803AMBULANCE 426746,A000000,05000,0000,5000CORF 426746,A000000,05010,0000,5010CMHC 426746,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426746,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426746,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426746,A81000A,00100,0100,Y 426746,A81000B,00100,0300,SEE ATTACHED 426746,A81000B,00200,0300,HOME OFFICE INTEREST 426746,A81000B,00300,0300,HOME OFFICE A & G 426746,A81000B,00400,0300,HOME OFFICE CAPITAL 426746,A81000C,00100,0100,B 426746,A81000C,00100,0400,SEE ATTACHED 426746,A81000C,00100,0600,VARIOUS 426746,A81000C,00200,0100,B 426746,A81000C,00200,0400,GHC 426746,A81000C,00200,0600,LONG TERM CARE 426746,A81000C,00300,0100,B 426746,A81000C,00300,0400,GHC 426746,A81000C,00300,0600,LONG TERM CARE 426746,A81000C,00400,0100,B 426746,A81000C,00400,0400,GHC 426746,A81000C,00400,0600,LONG TERM CARE 426746,B100000,00000,0100,0100SQUARE FEET 426746,B100000,00000,0200,0200SQUARE FEET 426746,B100000,00000,0300,0300GROSS SALARIES 426746,B100000,00000,0400,0400ACCUM COST 426746,B100000,00000,0500,0500SQUARE FEET 426746,B100000,00000,0600,0600PATIENT DAYS 426746,B100000,00000,0700,0700SQUARE FEET 426746,B100000,00000,0800,0800MEALS SERVED 426746,B100000,00000,0900,0900NURSING SALARIES 426746,B100000,00000,1000,1000COSTED REQUIS 426746,B100000,00000,1100,1100COSTED REQUIS 426746,B100000,00000,1200,1200PATIENT DAYS 426746,B100000,00000,1300,1300PATIENT DAYS 426746,B100000,00000,1400,1400ASSIGNED TIME 426746,B100000,00000,1500,1350PATIENT DAYS 426746,S000000,00100,0200,09/12/11 426746,S200000,00100,0100,455 BRAYTON AVENUE 426746,S200000,00200,0100,SOMERSET 426746,S200000,00200,0200,MA 426746,S200000,00200,0300,02726 426746,S200000,00300,0100,MIDDLESEX 426746,S200000,00300,0201,39300 426746,S200000,00300,0300,U 426746,S200000,00400,0100,SOMERSET RIDGE CENTER 426746,S200000,00400,0200,225747 426746,S200000,00400,0300,01/19/99 426746,S200000,00400,0500,P 426746,S200000,01500,0100,Y 426746,S200000,01501,0200,N 426746,S200000,01502,0200,N 426746,S200000,01503,0200,N 426746,S200000,01504,0200,N 426746,S200000,01600,0100,N 426746,S200000,01700,0100,N 426746,S200000,01800,0100,N 426746,S200000,02200,0100,Y 426746,S200000,02800,0100,N 426746,S200000,02900,0100,N 426746,S200000,03000,0100,N 426746,S200000,03100,0100,N 426746,S200000,03200,0100,N 426746,S200000,03300,0100,N 426746,S200000,03300,0200,N 426746,S200000,04200,0100,N 426746,S200000,04300,0100,N 426746,S200000,04600,0100,N 426746,S200000,04700,0100,N 426746,S200000,04900,0100,N 426746,S200000,05200,0100,N 426746,S200000,05300,0100,Y 426746,S200000,05300,0200,HB0067 426746,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 426746,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 426746,S200000,05400,0300,12001 426746,S200000,05500,0100,101 EAST STATE STREET 426746,S200000,05600,0100,KENNETT SQUARE 426746,S200000,05600,0200,PA 426746,S200000,05600,0300,19348 426755,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426755,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426755,A000000,00300,0000,0300EMPLOYEE BENEFITS 426755,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426755,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426755,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426755,A000000,00700,0000,0700HOUSEKEEPING 426755,A000000,00800,0000,0800DIETARY 426755,A000000,00900,0000,0900NURSING ADMINISTRATION 426755,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426755,A000000,01100,0000,1100PHARMACY 426755,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426755,A000000,01300,0000,1300SOCIAL SERVICE 426755,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426755,A000000,01500,0000,1350RESIDENT SERVICES 426755,A000000,01600,0000,1600SKILLED NURSING FACILITY 426755,A000000,01800,0000,1800NURSING FACILITY 426755,A000000,01810,0000,1810ICF/MR 426755,A000000,01900,0000,1900OTHER LONG TERM CARE 426755,A000000,02100,0000,2100RADIOLOGY 426755,A000000,02200,0000,2200LABORATORY 426755,A000000,02300,0000,2300INTRAVENOUS THERAPY 426755,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426755,A000000,02500,0000,2500PHYSICAL THERAPY 426755,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426755,A000000,02700,0000,2700SPEECH PATHOLOGY 426755,A000000,02800,0000,2800ELECTROCARDIOLOGY 426755,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426755,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426755,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426755,A000000,03200,0000,3200SUPPORT SURFACES 426755,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426755,A000000,03400,0000,3400CLINIC 426755,A000000,03500,0000,3500RURAL HEALTH CLINIC 426755,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426755,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426755,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426755,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426755,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426755,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426755,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426755,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426755,A000000,04400,0000,4400DME RENTED - HHA 426755,A000000,04500,0000,4500DME SOLD - HHA 426755,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426755,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426755,A000000,04710,0000,4710TELEMEDICINE 426755,A000000,04800,0000,4800AMBULANCE 426755,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426755,A000000,05000,0000,5000CORF 426755,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426755,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426755,A000000,05300,0000,5300INTEREST EXPENSE 426755,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426755,A000000,05500,0000,5500HOSPICE 426755,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426755,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426755,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426755,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426755,A000000,06100,0000,6100NONPAID WORKERS 426755,A000000,06200,0000,6200PATIENTS LAUNDRY 426755,A000000,06300,0000,6150INDEPENDENT LIVING 426755,A000000,06301,0000,6151ASSISTED LIVING 426755,A81000A,00100,0100,N 426755,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426755,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426755,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426755,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426755,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426755,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426755,B100000,00000,0800,0800MEALS SERVED :DIETARY 426755,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426755,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426755,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426755,B100000,00000,1500,1350PATIENT DAYS :RESIDENT SERVICES 426755,G300000,02500,0000,AMORT OF ADVANCE & MISC REVENUE 426755,S000000,00100,0200,03/13/12 426755,S200000,00100,0100,3100 SHORE DRIVE 426755,S200000,00200,0100,VIRGINIA BEACH 426755,S200000,00200,0200,VA 426755,S200000,00200,0300,23451 426755,S200000,00300,0100,VIRGINIA BEACH 426755,S200000,00300,0200,5720 426755,S200000,00300,0201,47260 426755,S200000,00300,0300,U 426755,S200000,00400,0100,WESTMINSTER-CANTERBURY OF HAMPTON RD 426755,S200000,00400,0200,495127 426755,S200000,00400,0300,09/16/82 426755,S200000,00400,0500,P 426755,S200000,01500,0100,Y 426755,S200000,01501,0200,Y 426755,S200000,01502,0200,Y 426755,S200000,01503,0200,Y 426755,S200000,01504,0200,Y 426755,S200000,01600,0100,N 426755,S200000,01700,0100,N 426755,S200000,01800,0100,N 426755,S200000,02200,0100,N 426755,S200000,02800,0100,Y 426755,S200000,02900,0100,N 426755,S200000,03000,0100,N 426755,S200000,03100,0100,N 426755,S200000,03200,0100,N 426755,S200000,03300,0100,N 426755,S200000,03300,0200,N 426755,S200000,04100,0100,N 426755,S200000,04200,0100,N 426755,S200000,04300,0100,N 426755,S200000,04600,0100,N 426755,S200000,04700,0100,N 426755,S200000,04700,0200,N 426755,S200000,04900,0100,N 426755,S200000,05000,0100,N 426755,S200000,05100,0100,N 426755,S200000,05200,0100,N 426755,S200000,05300,0100,N 426762,S000000,00100,0200,02/24/12 426762,S200000,00100,0100,312 E GEORGE ST 426762,S200000,00100,0300,136 426762,S200000,00200,0100,IVANHOE 426762,S200000,00200,0200,MN 426762,S200000,00200,0300,56142-9707 426762,S200000,00300,0100,LINCOLN 426762,S200000,00400,0100,DIVINE PROVIDENCE HEALTH CENTER 426762,S200000,00400,0300,07/01/67 426768,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426768,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426768,A000000,00300,0000,0300EMPLOYEE BENEFITS 426768,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426768,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426768,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426768,A000000,00700,0000,0700HOUSEKEEPING 426768,A000000,00800,0000,0800DIETARY 426768,A000000,00900,0000,0900NURSING ADMINISTRATION 426768,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426768,A000000,01300,0000,1300SOCIAL SERVICE 426768,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426768,A000000,01600,0000,1600SKILLED NURSING FACILITY 426768,A000000,02100,0000,2100RADIOLOGY 426768,A000000,02200,0000,2200LABORATORY 426768,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426768,A000000,02500,0000,2500PHYSICAL THERAPY 426768,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426768,A000000,02700,0000,2700SPEECH PATHOLOGY 426768,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426768,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426768,A000000,03200,0000,3200SUPPORT SURFACES 426768,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 426768,A000000,05300,0000,5300INTEREST EXPENSE 426768,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426768,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426768,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426768,A000000,06100,0000,6100NONPAID WORKERS 426768,A000000,06200,0000,6200PATIENTS LAUNDRY 426768,A000000,06300,0000,6150ADULT DAY HEALTH 426768,A000000,06301,0000,6151ASSISTED LIVING 426768,A81000A,00100,0100,N 426768,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426768,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426768,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426768,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426768,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426768,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426768,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426768,B100000,00000,0800,0800MEALS SERVED :DIETARY 426768,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426768,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426768,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426768,G300000,02500,0000,OTHER REVENUE 426768,S000000,00100,0200,03/08/12 426768,S200000,00100,0100,220 THIRD STREET NW 426768,S200000,00200,0100,BLOOMING PRAIRIE 426768,S200000,00200,0200,MN 426768,S200000,00200,0300,55917 426768,S200000,00300,0100,STEELE 426768,S200000,00300,0200,24 426768,S200000,00300,0201,99924 426768,S200000,00300,0300,R 426768,S200000,00400,0100,PRAIRIE MANOR CARE CENTER 426768,S200000,00400,0200,245482 426768,S200000,00400,0300,05/01/87 426768,S200000,00400,0500,P 426768,S200000,00400,0600,P 426768,S200000,01500,0100,Y 426768,S200000,01501,0200,N 426768,S200000,01502,0200,Y 426768,S200000,01504,0200,N 426768,S200000,01600,0100,N 426768,S200000,01700,0100,N 426768,S200000,01800,0100,N 426768,S200000,02200,0100,N 426768,S200000,02800,0100,Y 426768,S200000,02900,0100,N 426768,S200000,03000,0100,N 426768,S200000,03100,0100,N 426768,S200000,03200,0100,N 426768,S200000,03300,0100,N 426768,S200000,03300,0200,N 426768,S200000,04100,0100,N 426768,S200000,04200,0100,N 426768,S200000,04300,0100,N 426768,S200000,04600,0100,N 426768,S200000,04700,0100,N 426768,S200000,04700,0200,N 426768,S200000,04900,0100,N 426768,S200000,05000,0100,N 426768,S200000,05100,0100,N 426768,S200000,05200,0100,N 426768,S200000,05300,0100,N 426784,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426784,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426784,A000000,00300,0000,0300EMPLOYEE BENEFITS 426784,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426784,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426784,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426784,A000000,00700,0000,0700HOUSEKEEPING 426784,A000000,00800,0000,0800DIETARY 426784,A000000,00900,0000,0900NURSING ADMINISTRATION 426784,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426784,A000000,01100,0000,1100PHARMACY 426784,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426784,A000000,01300,0000,1300SOCIAL SERVICE 426784,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426784,A000000,01500,0000,1350ACTIVITIES 426784,A000000,01600,0000,1600SKILLED NURSING FACILITY 426784,A000000,01800,0000,1800NURSING FACILITY 426784,A000000,01900,0000,1900OTHER LONG TERM CARE 426784,A000000,02100,0000,2100RADIOLOGY 426784,A000000,02200,0000,2200LABORATORY 426784,A000000,02300,0000,2300INTRAVENOUS THERAPY 426784,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426784,A000000,02500,0000,2500PHYSICAL THERAPY 426784,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426784,A000000,02700,0000,2700SPEECH PATHOLOGY 426784,A000000,02800,0000,2800ELECTROCARDIOLOGY 426784,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426784,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426784,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426784,A000000,03200,0000,3200SUPPORT SURFACES 426784,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426784,A000000,03400,0000,3400CLINIC 426784,A000000,03500,0000,3500RURAL HEALTH CLINIC 426784,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 426784,A000000,04800,0000,4800AMBULANCE 426784,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426784,A000000,05000,0000,5000CORF 426784,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426784,A000000,05300,0000,5300INTEREST EXPENSE 426784,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426784,A000000,05500,0000,5500HOSPICE 426784,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426784,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426784,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426784,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426784,A000000,06100,0000,6100NONPAID WORKERS 426784,A000000,06200,0000,6200PATIENTS LAUNDRY 426784,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426784,A81000A,00100,0100,Y 426784,A81000B,00100,0300,FACILITY LEASE 426784,A81000B,00200,0300,HOME OFFICE-ADMIN DIRECT ALLOCATION 426784,A81000B,00300,0300,HOME OFFICE-MAINTENANCE DIRECT ALLOC 426784,A81000B,00400,0300,HOME OFFICE-CAPITAL RELATED 426784,A81000B,00500,0300,HOME OFFICE-POOLED COST 426784,A81000B,00600,0300,UNITED COLLECTIONS-COLLECTION SERVIC 426784,A81000B,00700,0300,UNITED CLINICAL-NURSING 426784,A81000B,00800,0300,UNITED CLINICAL-DIETARY 426784,A81000B,00900,0300,UNITED CLINICAL-ADMIN 426784,A81000B,01000,0300,UNITED CLINICAL-NURSE AIDE TRAINING 426784,A81000B,01100,0300,UNITED REHAB-PHYSICAL THERAPY 426784,A81000B,01200,0300,UNITED REHAB-SPEECH THERAPY 426784,A81000B,01300,0300,UNITED REHAB-OCCUPATIONAL THERAPY 426784,A81000B,01400,0300,UNITED MEDICAL-ADMIN 426784,A81000B,01500,0300,UNITED MEDICAL-PLANT OPERATION 426784,A81000B,01600,0300,UNITED MEDICAL-LAUNDRY 426784,A81000B,01700,0300,UNITED MEDICAL-HOUSEKEEPING 426784,A81000B,01800,0300,UNITED MEDICAL-DIETARY 426784,A81000B,01900,0300,UNITED MEDICAL-NURSING ADMIN 426784,A81000B,02000,0300,UNITED MEDICAL-MEDICAL RECORDS 426784,A81000B,02100,0300,UNITED MEDICAL-SOCIAL SERVICES 426784,A81000B,02200,0300,UNITED MEDICAL-ACTIVITIES 426784,A81000B,02300,0300,UNITED MEDICAL-NURSING 426784,A81000B,02400,0300,UNITED MEDICAL-PHYSICAL THERAPY 426784,A81000B,02500,0300,UNITED MEDICAL-OCCUPATIONAL THERAPY 426784,A81000B,02600,0300,UNITED MEDICAL-MEDICAL SUPPLIES 426784,A81000B,02700,0300,UNITED MEDICAL-SUPPORT SURFACES 426784,A81000B,02800,0300,UNICHOICE ENVIRONMENTAL-MAINTENANCE 426784,A81000B,02900,0300,UNITED PHARMACY-PHARMACY CONSULTANT 426784,A81000C,00100,0100,B 426784,A81000C,00100,0200,PRUITT CORPORAT 426784,A81000C,00100,0400,PRUITT CORPORAT 426784,A81000C,00100,0600,MANAGEMENT 426784,A81000C,00200,0100,B 426784,A81000C,00200,0200,PRUITT CORPORAT 426784,A81000C,00200,0400,MAYVIEW HEALTHC 426784,A81000C,00200,0600,RENTAL 426784,A81000C,00300,0100,B 426784,A81000C,00300,0200,PRUITT CORPORAT 426784,A81000C,00300,0400,UNITED COLLECTI 426784,A81000C,00300,0600,COLLECTIONS 426784,A81000C,00400,0100,B 426784,A81000C,00400,0200,PRUITT CORPORAT 426784,A81000C,00400,0400,UNITED CLINICAL 426784,A81000C,00400,0600,CONSULTING 426784,A81000C,00500,0100,B 426784,A81000C,00500,0200,PRUITT CORPORAT 426784,A81000C,00500,0400,UNITED PHARMACY 426784,A81000C,00500,0600,PHARMACY 426784,A81000C,00600,0100,B 426784,A81000C,00600,0200,PRUITT CORPORAT 426784,A81000C,00600,0400,UNITED MEDICAL 426784,A81000C,00600,0600,MEDICAL 426784,A81000C,00700,0100,B 426784,A81000C,00700,0200,PRUITT CORPORAT 426784,A81000C,00700,0400,UNITED REHAB 426784,A81000C,00700,0600,REHAB 426784,A81000C,00800,0100,B 426784,A81000C,00800,0200,PRUITT CORPORAT 426784,A81000C,00800,0400,UNICHOICE ENVIR 426784,A81000C,00800,0600,MAINTENANCE 426784,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426784,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426784,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426784,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426784,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426784,B100000,00000,0800,0800MEALS SERVED :DIETARY 426784,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426784,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426784,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426784,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426784,G300000,02501,0000,BEAUTY AND BARBER 426784,G300000,02502,0000,OTHER INCOME 426784,S000000,00100,0200,02/29/12 426784,S200000,00100,0100,513 E WHITAKER MILL ROAD 426784,S200000,00200,0100,RALEIGH 426784,S200000,00200,0200,NC 426784,S200000,00200,0300,27608 426784,S200000,00300,0100,WAKE COUNTY 426784,S200000,00300,0201,39580 426784,S200000,00300,0300,U 426784,S200000,00400,0100,THE OAKS OF MAYVIEW LLC 426784,S200000,00400,0200,345009 426784,S200000,00400,0300,01/01/95 426784,S200000,00400,0500,P 426784,S200000,01500,0100,N 426784,S200000,01501,0200,Y 426784,S200000,01600,0100,Y 426784,S200000,01700,0100,N 426784,S200000,01800,0100,N 426784,S200000,02200,0100,N 426784,S200000,02800,0100,N 426784,S200000,02900,0100,N 426784,S200000,03000,0100,N 426784,S200000,03100,0100,N 426784,S200000,03200,0100,N 426784,S200000,03300,0100,N 426784,S200000,03300,0200,N 426784,S200000,04100,0100,N 426784,S200000,04200,0100,N 426784,S200000,04300,0100,N 426784,S200000,04600,0100,N 426784,S200000,04700,0100,N 426784,S200000,04700,0200,N 426784,S200000,04900,0100,N 426784,S200000,05000,0100,N 426784,S200000,05100,0100,N 426784,S200000,05200,0100,N 426784,S200000,05300,0100,Y 426784,S200000,05300,0200,HO9013 426784,S200000,05400,0100,PRUITT CORPORATION 426784,S200000,05400,0200,WPS 426784,S200000,05400,0300,HO-901 426784,S200000,05500,0100,211 E DOYLE STREET 426784,S200000,05600,0100,TOCCOA 426784,S200000,05600,0200,GA 426784,S200000,05600,0300,30577 426785,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426785,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426785,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426785,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426785,A000000,00700,0000,0700HOUSEKEEPING 426785,A000000,00800,0000,0800DIETARY 426785,A000000,00900,0000,0900NURSING ADMINISTRATION 426785,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426785,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426785,A000000,01300,0000,1300SOCIAL SERVICE 426785,A000000,01500,0000,1350ACTIVITIES 426785,A000000,01600,0000,1600SKILLED NURSING FACILITY 426785,A000000,01800,0000,1800NURSING FACILITY 426785,A000000,01810,0000,1810ICF/MR 426785,A000000,01900,0000,1900OTHER LONG TERM CARE 426785,A000000,02100,0000,2100RADIOLOGY 426785,A000000,02200,0000,2200LABORATORY 426785,A000000,02300,0000,2300INTRAVENOUS THERAPY 426785,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426785,A000000,02500,0000,2500PHYSICAL THERAPY 426785,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426785,A000000,02700,0000,2700SPEECH PATHOLOGY 426785,A000000,02800,0000,2800ELECTROCARDIOLOGY 426785,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426785,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426785,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426785,A000000,03200,0000,3200SUPPORT SURFACES 426785,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426785,A000000,03400,0000,3400CLINIC 426785,A000000,03500,0000,3500RURAL HEALTH CLINIC 426785,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426785,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426785,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426785,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426785,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426785,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426785,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426785,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426785,A000000,04400,0000,4400DME RENTED - HHA 426785,A000000,04500,0000,4500DME SOLD - HHA 426785,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426785,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426785,A000000,04710,0000,4710TELEMEDICINE 426785,A000000,04800,0000,4800AMBULANCE 426785,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426785,A000000,05000,0000,5000CORF 426785,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426785,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426785,A000000,05300,0000,5300INTEREST EXPENSE 426785,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426785,A000000,05500,0000,5500HOSPICE 426785,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426785,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426785,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426785,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426785,A000000,06100,0000,6100NONPAID WORKERS 426785,A000000,06200,0000,6200PATIENTS LAUNDRY 426785,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426785,A81000A,00100,0100,Y 426785,A81000B,00100,0300,HO BUILDING DEPRECATION 426785,A81000B,00200,0300,MANAGEMENT FEES 426785,A81000C,00100,0100,B 426785,A81000C,00100,0400,BAPTIST RETIREMENT HOMES 426785,A81000C,00100,0600,HOME OFFICE 426785,A81000C,00200,0100,B 426785,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426785,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426785,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426785,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426785,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426785,B100000,00000,0800,0800MEALS SERVED :DIETARY 426785,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426785,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426785,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426785,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426785,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426785,G300000,02500,0000,BARBER AND BEAUTY 426785,G300000,02501,0000,PERSONAL ITEM REVENUE 426785,G300000,02502,0000,EQUIPMENT RENTAL 426785,G300000,02503,0000,MISCELLANEOUS REVENUE 426785,G300000,02504,0000,ROUNDING 426785,S000000,00100,0200,02/29/12 426785,S200000,00100,0100,1199 HAYES FOREST DRIVE 426785,S200000,00200,0100,WINSTON-SALEM 426785,S200000,00200,0200,NC 426785,S200000,00200,0300,27106 426785,S200000,00300,0100,FORSYTH 426785,S200000,00300,0200,3120 426785,S200000,00300,0201,49180 426785,S200000,00300,0300,U 426785,S200000,00400,0100,BROOKRIDGE RETIREMENT COMMUNITY 426785,S200000,00400,0200,345209 426785,S200000,00400,0300,06/01/81 426785,S200000,00400,0500,P 426785,S200000,01500,0100,N 426785,S200000,01501,0200,Y 426785,S200000,01502,0200,Y 426785,S200000,01600,0100,Y 426785,S200000,01700,0100,N 426785,S200000,01800,0100,N 426785,S200000,02200,0100,N 426785,S200000,02800,0100,N 426785,S200000,02900,0100,N 426785,S200000,03000,0100,N 426785,S200000,03100,0100,N 426785,S200000,03200,0100,N 426785,S200000,03300,0100,N 426785,S200000,03300,0200,N 426785,S200000,04100,0100,N 426785,S200000,04200,0100,N 426785,S200000,04300,0100,Y 426785,S200000,04600,0100,N 426785,S200000,04700,0100,N 426785,S200000,04700,0200,N 426785,S200000,04900,0100,N 426785,S200000,05000,0100,N 426785,S200000,05100,0100,N 426785,S200000,05200,0100,N 426786,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426786,A000000,00300,0000,0300EMPLOYEE BENEFITS 426786,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426786,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426786,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426786,A000000,00700,0000,0700HOUSEKEEPING 426786,A000000,00800,0000,0800DIETARY 426786,A000000,00900,0000,0900NURSING ADMINISTRATION 426786,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426786,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426786,A000000,01300,0000,1300SOCIAL SERVICE 426786,A000000,01500,0000,1350OTHER GENERAL SERVICES 426786,A000000,01600,0000,1600SKILLED NURSING FACILITY 426786,A000000,01800,0000,1800NURSING FACILITY 426786,A000000,01810,0000,1810ICF/MR 426786,A000000,01900,0000,1900OTHER LONG TERM CARE 426786,A000000,02100,0000,2100RADIOLOGY 426786,A000000,02200,0000,2200LABORATORY 426786,A000000,02300,0000,2300INTRAVENOUS THERAPY 426786,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426786,A000000,02500,0000,2500PHYSICAL THERAPY 426786,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426786,A000000,02700,0000,2700SPEECH PATHOLOGY 426786,A000000,02800,0000,2800ELECTROCARDIOLOGY 426786,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426786,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426786,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426786,A000000,03200,0000,3200SUPPORT SURFACES 426786,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426786,A000000,03400,0000,3400CLINIC 426786,A000000,03500,0000,3500RURAL HEALTH CLINIC 426786,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426786,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426786,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426786,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426786,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426786,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426786,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426786,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426786,A000000,04400,0000,4400DME RENTED - HHA 426786,A000000,04500,0000,4500DME SOLD - HHA 426786,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426786,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426786,A000000,04710,0000,4710TELEMEDICINE 426786,A000000,04800,0000,4800AMBULANCE 426786,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426786,A000000,05000,0000,5000CORF 426786,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426786,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426786,A000000,05300,0000,5300INTEREST EXPENSE 426786,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426786,A000000,05500,0000,5500HOSPICE 426786,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426786,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426786,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426786,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426786,A000000,06100,0000,6100NONPAID WORKERS 426786,A000000,06200,0000,6200PATIENTS LAUNDRY 426786,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426786,A81000A,00100,0100,Y 426786,A81000B,00100,0300,BUILDING DEPRECIATION 426786,A81000B,00200,0300,MANAGEMENT FEES 426786,A81000C,00100,0100,B 426786,A81000C,00100,0400,BAPTIST RETIREMENT HOMES 426786,A81000C,00100,0600,HOME OFFICE 426786,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426786,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426786,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426786,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426786,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426786,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426786,B100000,00000,0800,0800MEALS SERVED :DIETARY 426786,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426786,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426786,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426786,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426786,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 426786,G300000,02500,0000,BARBER AND BEAUTY 426786,G300000,02502,0000,MISCELLANEOUS REVENUE 426786,S000000,00100,0200,02/29/12 426786,S200000,00100,0100,213 RICHMOND HILL DRIVE 426786,S200000,00200,0100,ASHEVILLE 426786,S200000,00200,0200,NC 426786,S200000,00200,0300,29906 426786,S200000,00300,0100,BUNCOMBE 426786,S200000,00300,0200,0480 426786,S200000,00300,0201,11700 426786,S200000,00300,0300,U 426786,S200000,00400,0100,WESTERN NORTH CAROLINA BAPTIST HOME 426786,S200000,00400,0200,345432 426786,S200000,00400,0300,06/01/80 426786,S200000,00400,0500,P 426786,S200000,01500,0100,N 426786,S200000,01501,0200,Y 426786,S200000,01502,0200,Y 426786,S200000,01600,0100,Y 426786,S200000,01700,0100,N 426786,S200000,01800,0100,N 426786,S200000,02200,0100,N 426786,S200000,02800,0100,N 426786,S200000,02900,0100,N 426786,S200000,03000,0100,N 426786,S200000,03100,0100,N 426786,S200000,03200,0100,N 426786,S200000,03300,0100,N 426786,S200000,03300,0200,N 426786,S200000,04100,0100,N 426786,S200000,04200,0100,N 426786,S200000,04300,0100,N 426786,S200000,04600,0100,N 426786,S200000,04700,0100,N 426786,S200000,04700,0200,N 426786,S200000,04900,0100,N 426786,S200000,05000,0100,N 426786,S200000,05100,0100,N 426786,S200000,05200,0100,N 426787,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426787,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426787,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426787,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426787,A000000,00700,0000,0700HOUSEKEEPING 426787,A000000,00800,0000,0800DIETARY 426787,A000000,00900,0000,0900NURSING ADMINISTRATION 426787,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426787,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426787,A000000,01300,0000,1300SOCIAL SERVICE 426787,A000000,01500,0000,1350OTHER GENERAL SERVICES 426787,A000000,01600,0000,1600SKILLED NURSING FACILITY 426787,A000000,01800,0000,1800NURSING FACILITY 426787,A000000,01810,0000,1810ICF/MR 426787,A000000,01900,0000,1900OTHER LONG TERM CARE 426787,A000000,02100,0000,2100RADIOLOGY 426787,A000000,02200,0000,2200LABORATORY 426787,A000000,02300,0000,2300INTRAVENOUS THERAPY 426787,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426787,A000000,02500,0000,2500PHYSICAL THERAPY 426787,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426787,A000000,02700,0000,2700SPEECH PATHOLOGY 426787,A000000,02800,0000,2800ELECTROCARDIOLOGY 426787,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426787,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426787,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426787,A000000,03200,0000,3200SUPPORT SURFACES 426787,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426787,A000000,03400,0000,3400CLINIC 426787,A000000,03500,0000,3500RURAL HEALTH CLINIC 426787,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426787,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426787,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426787,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426787,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426787,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426787,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426787,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426787,A000000,04400,0000,4400DME RENTED - HHA 426787,A000000,04500,0000,4500DME SOLD - HHA 426787,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426787,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426787,A000000,04710,0000,4710TELEMEDICINE 426787,A000000,04800,0000,4800AMBULANCE 426787,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426787,A000000,05000,0000,5000CORF 426787,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426787,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426787,A000000,05300,0000,5300INTEREST EXPENSE 426787,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426787,A000000,05500,0000,5500HOSPICE 426787,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426787,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426787,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426787,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426787,A000000,06100,0000,6100NONPAID WORKERS 426787,A000000,06200,0000,6200PATIENTS LAUNDRY 426787,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426787,A81000A,00100,0100,Y 426787,A81000B,00100,0300,HO BUILDING DEPRECATION 426787,A81000B,00200,0300,MANAGEMENT FEES 426787,A81000C,00100,0100,B 426787,A81000C,00100,0400,BAPTIST RETIREMENT HOMES 426787,A81000C,00100,0600,HOME OFFICE 426787,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426787,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426787,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426787,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426787,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426787,B100000,00000,0800,0800MEALS SERVED :DIETARY 426787,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426787,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426787,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426787,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426787,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 426787,G300000,02500,0000,EQUIPMENT RENTAL 426787,G300000,02501,0000,MISCELLANEOUS REVENUE 426787,G300000,02502,0000,CATERING REVENUE 426787,S000000,00100,0200,02/29/12 426787,S200000,00100,0100,3700 TAYLOR GLEN LANE 426787,S200000,00200,0100,CONCORD 426787,S200000,00200,0200,NC 426787,S200000,00200,0300,28027 426787,S200000,00300,0100,CABARRUS 426787,S200000,00300,0200,1520 426787,S200000,00300,0201,16740 426787,S200000,00300,0300,U 426787,S200000,00400,0100,THE GARDENS OF TAYLOR GLEN RETIREMEN 426787,S200000,00400,0200,345525 426787,S200000,00400,0300,03/11/03 426787,S200000,00400,0500,P 426787,S200000,01500,0100,N 426787,S200000,01501,0200,Y 426787,S200000,01502,0200,Y 426787,S200000,01600,0100,Y 426787,S200000,01700,0100,N 426787,S200000,01800,0100,N 426787,S200000,02200,0100,N 426787,S200000,02800,0100,N 426787,S200000,02900,0100,N 426787,S200000,03000,0100,N 426787,S200000,03100,0100,N 426787,S200000,03200,0100,N 426787,S200000,03300,0100,N 426787,S200000,03300,0200,N 426787,S200000,04100,0100,N 426787,S200000,04200,0100,N 426787,S200000,04300,0100,N 426787,S200000,04600,0100,N 426787,S200000,04700,0100,N 426787,S200000,04700,0200,N 426787,S200000,04900,0100,N 426787,S200000,05000,0100,N 426787,S200000,05100,0100,N 426787,S200000,05200,0100,N 426788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426788,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426788,A000000,00300,0000,0300EMPLOYEE BENEFITS 426788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426788,A000000,00700,0000,0700HOUSEKEEPING 426788,A000000,00800,0000,0800DIETARY 426788,A000000,00900,0000,0900NURSING ADMINISTRATION 426788,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426788,A000000,01001,0000,1001SECURITY 426788,A000000,01100,0000,1100PHARMACY 426788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426788,A000000,01300,0000,1300SOCIAL SERVICE 426788,A000000,01301,0000,1301RESIDENT SERVICES 426788,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426788,A000000,01500,0000,1350OTHER GENERAL SERVICES 426788,A000000,01600,0000,1600SKILLED NURSING FACILITY 426788,A000000,01800,0000,1800NURSING FACILITY 426788,A000000,01810,0000,1810ICF/MR 426788,A000000,01900,0000,1900OTHER LONG TERM CARE 426788,A000000,02100,0000,2100RADIOLOGY 426788,A000000,02200,0000,2200LABORATORY 426788,A000000,02300,0000,2300INTRAVENOUS THERAPY 426788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426788,A000000,02500,0000,2500PHYSICAL THERAPY 426788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426788,A000000,02700,0000,2700SPEECH PATHOLOGY 426788,A000000,02800,0000,2800ELECTROCARDIOLOGY 426788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426788,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426788,A000000,03200,0000,3200SUPPORT SURFACES 426788,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426788,A000000,03400,0000,3400CLINIC 426788,A000000,03500,0000,3500RURAL HEALTH CLINIC 426788,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426788,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426788,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426788,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426788,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426788,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426788,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426788,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426788,A000000,04400,0000,4400DME RENTED - HHA 426788,A000000,04500,0000,4500DME SOLD - HHA 426788,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426788,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426788,A000000,04710,0000,4710TELEMEDICINE 426788,A000000,04800,0000,4800AMBULANCE 426788,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426788,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426788,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426788,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426788,A000000,06100,0000,6100NONPAID WORKERS 426788,A000000,06200,0000,6200PATIENTS LAUNDRY 426788,A000000,06300,0000,6150CHILD CARE 426788,A000000,06301,0000,6151MORNINGSIDE/PAVILION/SCS 426788,A000000,06302,0000,6152APTS/HOME FOR ADULTS 426788,A000000,06303,0000,6153COMMUNITY CHOICE 426788,A81000A,00100,0100,Y 426788,A81000B,00100,0300,ADMINISTRATIVE EXPENSES 426788,A81000B,00200,0300,EMPLOYEE BENEFITS 426788,A81000B,00300,0300,CAPITAL RELATED INSURANCE 426788,A81000C,00100,0100,B 426788,A81000C,00100,0200,WESTMINSTER CANTERBURY 426788,A81000C,00100,0400,WESTMINS CANTB MGMNT CORP 426788,A81000C,00100,0600,MANAGEMENT CORPORATION 426788,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426788,B100000,00000,0200,0250DEPR COST :CAP REL COSTS - MOVE 426788,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426788,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426788,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426788,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426788,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426788,B100000,00000,0800,0800MEALS SERVED :DIETARY 426788,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426788,B100000,00000,1001,1051SQUARE FEET :SECURITY 426788,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426788,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 426788,B100000,00000,1301,1331PATIENT DAYS :RESIDENT SERVICES 426788,G300000,02500,0000,CNA HOME SERVICES & PHYSICIAN REV 426788,G300000,02501,0000,REHAB SERVICES TO OTHER THAN PTS 426788,G300000,02502,0000,LATE CHARGES IMPOSED 426788,G300000,02503,0000,BARBER & BEAUTY INCOME 426788,G300000,02504,0000,MISCELLANEOUS INCOME 426788,G300000,02505,0000,FOUNDERS FEES 426788,G300000,02506,0000,ROUNDING 426788,S000000,00100,0200,03/01/12 426788,S200000,00100,0100,1600 WESTBROOK AVENUE 426788,S200000,00200,0100,RICHMOND 426788,S200000,00200,0200,VA 426788,S200000,00200,0300,23227 426788,S200000,00300,0100,HENRICO 426788,S200000,00300,0200,6760 426788,S200000,00300,0201,40060 426788,S200000,00300,0300,U 426788,S200000,00400,0100,WESTMINSTER CANTERBURY RICHMOND 426788,S200000,00400,0200,495096 426788,S200000,00400,0300,10/01/75 426788,S200000,00400,0500,P 426788,S200000,00400,0600,O 426788,S200000,00600,0200,495096 426788,S200000,00600,0300,10/01/75 426788,S200000,00600,0600,O 426788,S200000,01500,0100,N 426788,S200000,01502,0200,Y 426788,S200000,01503,0200,Y 426788,S200000,01504,0200,Y 426788,S200000,01600,0100,Y 426788,S200000,01700,0100,N 426788,S200000,01800,0100,N 426788,S200000,02200,0100,N 426788,S200000,02800,0100,N 426788,S200000,02900,0100,N 426788,S200000,03000,0100,N 426788,S200000,03100,0100,N 426788,S200000,03200,0100,N 426788,S200000,03300,0100,N 426788,S200000,03300,0200,N 426788,S200000,03500,0300,N 426788,S200000,04100,0100,N 426788,S200000,04200,0100,N 426788,S200000,04300,0100,N 426788,S200000,04600,0100,N 426788,S200000,04700,0100,N 426788,S200000,04700,0200,N 426788,S200000,04900,0100,N 426788,S200000,05000,0100,N 426788,S200000,05100,0100,N 426788,S200000,05200,0100,N 426788,S200000,05300,0100,N 426799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426799,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426799,A000000,00300,0000,0300EMPLOYEE BENEFITS 426799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426799,A000000,00700,0000,0700HOUSEKEEPING 426799,A000000,00800,0000,0800DIETARY 426799,A000000,00900,0000,0900NURSING ADMINISTRATION 426799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426799,A000000,01300,0000,1300SOCIAL SERVICE 426799,A000000,01500,0000,1350RECREATION 426799,A000000,01600,0000,1600SKILLED NURSING FACILITY 426799,A000000,01800,0000,1800NURSING FACILITY 426799,A000000,01810,0000,1810ICF/MR 426799,A000000,01900,0000,1900OTHER LONG TERM CARE 426799,A000000,02100,0000,2100RADIOLOGY 426799,A000000,02200,0000,2200LABORATORY 426799,A000000,02300,0000,2300INTRAVENOUS THERAPY 426799,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426799,A000000,02500,0000,2500PHYSICAL THERAPY 426799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426799,A000000,02700,0000,2700SPEECH PATHOLOGY 426799,A000000,02800,0000,2800ELECTROCARDIOLOGY 426799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426799,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426799,A000000,03200,0000,3200SUPPORT SURFACES 426799,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426799,A000000,03400,0000,3400CLINIC 426799,A000000,03500,0000,3500RURAL HEALTH CLINIC 426799,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426799,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426799,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426799,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426799,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426799,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426799,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426799,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426799,A000000,04400,0000,4400DME RENTED - HHA 426799,A000000,04500,0000,4500DME SOLD - HHA 426799,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426799,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426799,A000000,04710,0000,4710TELEMEDICINE 426799,A000000,04800,0000,4800AMBULANCE 426799,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426799,A000000,05000,0000,5000CORF 426799,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426799,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426799,A000000,05300,0000,5300INTEREST EXPENSE 426799,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426799,A000000,05500,0000,5500HOSPICE 426799,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426799,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426799,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426799,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426799,A000000,06100,0000,6100NONPAID WORKERS 426799,A000000,06200,0000,6200PATIENTS LAUNDRY 426799,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426799,A81000A,00100,0100,Y 426799,A81000B,00100,0300,RENT 426799,A81000B,00200,0300,INTEREST 426799,A81000B,00300,0300,DEPRECIATION 426799,A81000B,00400,0300,LIFECARE CONTRACT RESIDENTS 426799,A81000B,00500,0300,CH ADMIN STAFF 426799,A81000B,00600,0300,CH ADMIN STAFF 426799,A81000B,00700,0300,CH ADMIN STAFF 426799,A81000B,00800,0300,CH ADMIN STAFF BENEFITS 426799,A81000B,00900,0300,CH ADMIN STAFF BENEFITS 426799,A81000B,01000,0300,CH ADMIN STAFF BENEFITS 426799,A81000C,00100,0100,A 426799,A81000C,00100,0200,LIISTRO 426799,A81000C,00100,0400,MANCHESTER MANOR REALTY 426799,A81000C,00100,0600,OWNER OF REAL PROPERTY 426799,A81000C,00200,0100,A 426799,A81000C,00200,0200,LIISTRO 426799,A81000C,00200,0400,ARBORS OF HOPBROOK 426799,A81000C,00200,0600,ASSISTED LIVING FACILITY 426799,A81000C,00300,0100,A 426799,A81000C,00300,0200,LIISTRO 426799,A81000C,00300,0400,VERNON MANOR 426799,A81000C,00300,0600,NURSING HOME 426799,A81000C,00400,0100,A 426799,A81000C,00400,0200,LIISTRO 426799,A81000C,00400,0400,FENWOODE DEVELOPMENT 426799,A81000C,00400,0600,HOUSING 426799,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426799,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426799,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426799,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426799,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426799,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426799,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426799,B100000,00000,0800,0800MEALS SERVED :DIETARY 426799,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426799,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426799,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426799,B100000,00000,1500,1350HOURS SPENT :RECREATION 426799,G300000,02500,0000,MISCELLANEOUS INCOME 426799,G300000,02510,0000,LATE FEES 426799,S000000,00100,0200,02/29/12 426799,S200000,00100,0100,385 WEST CENTER STREET 426799,S200000,00200,0100,MANCHESTER 426799,S200000,00200,0200,CT 426799,S200000,00200,0300,06040 426799,S200000,00300,0100,HARTFORD 426799,S200000,00300,0200,3283 426799,S200000,00300,0201,25540 426799,S200000,00300,0300,U 426799,S200000,00400,0100,MANCHESTER MANOR 426799,S200000,00400,0200,075333 426799,S200000,00400,0300,01/15/90 426799,S200000,00400,0500,P 426799,S200000,01500,0100,Y 426799,S200000,01501,0200,Y 426799,S200000,01600,0100,N 426799,S200000,01700,0100,N 426799,S200000,01800,0100,N 426799,S200000,02200,0100,N 426799,S200000,02800,0100,Y 426799,S200000,02900,0100,N 426799,S200000,03000,0100,N 426799,S200000,03100,0100,N 426799,S200000,03200,0100,N 426799,S200000,03300,0100,N 426799,S200000,03300,0200,N 426799,S200000,04100,0100,N 426799,S200000,04200,0100,N 426799,S200000,04300,0100,N 426799,S200000,04600,0100,N 426799,S200000,04700,0100,N 426799,S200000,04700,0200,N 426799,S200000,04900,0100,N 426799,S200000,05000,0100,N 426799,S200000,05100,0100,N 426799,S200000,05200,0100,N 426800,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426800,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426800,A000000,00300,0000,0300EMPLOYEE BENEFITS 426800,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426800,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426800,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426800,A000000,00700,0000,0700HOUSEKEEPING 426800,A000000,00800,0000,0800DIETARY 426800,A000000,00900,0000,0900NURSING ADMINISTRATION 426800,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426800,A000000,01300,0000,1300SOCIAL SERVICE 426800,A000000,01500,0000,1350RECREATION 426800,A000000,01600,0000,1600SKILLED NURSING FACILITY 426800,A000000,01800,0000,1800NURSING FACILITY 426800,A000000,01810,0000,1810ICF/MR 426800,A000000,01900,0000,1900OTHER LONG TERM CARE 426800,A000000,02100,0000,2100RADIOLOGY 426800,A000000,02200,0000,2200LABORATORY 426800,A000000,02300,0000,2300INTRAVENOUS THERAPY 426800,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426800,A000000,02500,0000,2500PHYSICAL THERAPY 426800,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426800,A000000,02700,0000,2700SPEECH PATHOLOGY 426800,A000000,02800,0000,2800ELECTROCARDIOLOGY 426800,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426800,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426800,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426800,A000000,03200,0000,3200SUPPORT SURFACES 426800,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426800,A000000,03400,0000,3400CLINIC 426800,A000000,03500,0000,3500RURAL HEALTH CLINIC 426800,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426800,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426800,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426800,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426800,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426800,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426800,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426800,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426800,A000000,04400,0000,4400DME RENTED - HHA 426800,A000000,04500,0000,4500DME SOLD - HHA 426800,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426800,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426800,A000000,04710,0000,4710TELEMEDICINE 426800,A000000,04800,0000,4800AMBULANCE 426800,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426800,A000000,05000,0000,5000CORF 426800,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426800,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426800,A000000,05300,0000,5300INTEREST EXPENSE 426800,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426800,A000000,05500,0000,5500HOSPICE 426800,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426800,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426800,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426800,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426800,A000000,06100,0000,6100NONPAID WORKERS 426800,A000000,06200,0000,6200PATIENTS LAUNDRY 426800,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426800,A81000A,00100,0100,Y 426800,A81000B,00100,0300,CH ADMIN STAFF 426800,A81000B,00200,0300,CH ADMIN STAFF 426800,A81000B,00300,0300,CH ADMIN STAFF 426800,A81000B,00400,0300,CH ADMIN STAFF BENEFITS 426800,A81000B,00500,0300,CH ADMIN STAFF BENEFITS 426800,A81000C,00100,0100,A 426800,A81000C,00100,0200,LIISTRO 426800,A81000C,00100,0400,ARBORS OF HOPBROOK 426800,A81000C,00100,0600,ASSISTED LIVING FACILITY 426800,A81000C,00200,0100,A 426800,A81000C,00200,0200,LIISTRO 426800,A81000C,00200,0400,MANCHESTER MANOR HEALTH C 426800,A81000C,00200,0600,NURSING HOME 426800,A81000C,00300,0100,A 426800,A81000C,00300,0200,LIISTRO 426800,A81000C,00300,0400,FENWOODE DEVELOPMENT 426800,A81000C,00300,0600,HOUSING 426800,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426800,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426800,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426800,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426800,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426800,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 426800,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426800,B100000,00000,0800,0800MEALS SERVED :DIETARY 426800,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426800,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426800,B100000,00000,1500,1350HOURS SPENT :RECREATION 426800,G300000,02500,0000,DAY CARE CENTER 426800,G300000,02503,0000,MED B PHYSICIAN SERVICES 426800,G300000,02510,0000,INTEREST FROM RESIDENTS 426800,S000000,00100,0200,02/29/12 426800,S200000,00100,0100,180 REGAN ROAD 426800,S200000,00200,0100,VERNON 426800,S200000,00200,0200,CT 426800,S200000,00200,0300,06606 426800,S200000,00300,0100,HARTFORD 426800,S200000,00300,0200,3283 426800,S200000,00300,0201,25540 426800,S200000,00300,0300,U 426800,S200000,00400,0100,VERNON MANOR 426800,S200000,00400,0200,075334 426800,S200000,00400,0300,01/17/90 426800,S200000,00400,0500,P 426800,S200000,01500,0100,Y 426800,S200000,01501,0200,Y 426800,S200000,01600,0100,N 426800,S200000,01700,0100,N 426800,S200000,01800,0100,N 426800,S200000,02200,0100,N 426800,S200000,02800,0100,Y 426800,S200000,02900,0100,N 426800,S200000,03000,0100,N 426800,S200000,03100,0100,N 426800,S200000,03200,0100,N 426800,S200000,03300,0100,N 426800,S200000,03300,0200,N 426800,S200000,04100,0100,N 426800,S200000,04200,0100,N 426800,S200000,04300,0100,N 426800,S200000,04600,0100,N 426800,S200000,04700,0100,N 426800,S200000,04700,0200,N 426800,S200000,04900,0100,N 426800,S200000,05000,0100,N 426800,S200000,05100,0100,N 426800,S200000,05200,0100,N 426801,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426801,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426801,A000000,00300,0000,0300EMPLOYEE BENEFITS 426801,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426801,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426801,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426801,A000000,00700,0000,0700HOUSEKEEPING 426801,A000000,00800,0000,0800DIETARY 426801,A000000,00900,0000,0900NURSING ADMINISTRATION 426801,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426801,A000000,01100,0000,1100PHARMACY 426801,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426801,A000000,01300,0000,1300SOCIAL SERVICE 426801,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426801,A000000,01500,0000,1350OTHER GENERAL SERVICES 426801,A000000,01600,0000,1600SKILLED NURSING FACILITY 426801,A000000,01800,0000,1800NURSING FACILITY 426801,A000000,01810,0000,1810ICF/MR 426801,A000000,01900,0000,1900OTHER LONG TERM CARE 426801,A000000,02100,0000,2100RADIOLOGY 426801,A000000,02200,0000,2200LABORATORY 426801,A000000,02300,0000,2300INTRAVENOUS THERAPY 426801,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426801,A000000,02500,0000,2500PHYSICAL THERAPY 426801,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426801,A000000,02700,0000,2700SPEECH PATHOLOGY 426801,A000000,02800,0000,2800ELECTROCARDIOLOGY 426801,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426801,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426801,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426801,A000000,03200,0000,3200SUPPORT SURFACES 426801,A000000,03300,0000,3050PT - OUTPATIENT 426801,A000000,03301,0000,3051OT - OUTPATIENT 426801,A000000,03302,0000,3052ST - OUTPATIENT 426801,A000000,03400,0000,3400CLINIC 426801,A000000,03500,0000,3500RURAL HEALTH CLINIC 426801,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426801,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426801,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426801,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426801,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426801,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426801,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426801,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426801,A000000,04400,0000,4400DME RENTED - HHA 426801,A000000,04500,0000,4500DME SOLD - HHA 426801,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426801,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426801,A000000,04710,0000,4710TELEMEDICINE 426801,A000000,04800,0000,4800AMBULANCE 426801,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426801,A000000,05000,0000,5000CORF 426801,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426801,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426801,A000000,05300,0000,5300INTEREST EXPENSE 426801,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426801,A000000,05500,0000,5500HOSPICE 426801,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426801,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426801,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426801,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426801,A000000,06100,0000,6100NONPAID WORKERS 426801,A000000,06200,0000,6200PATIENTS LAUNDRY 426801,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426801,A81000A,00100,0100,Y 426801,A81000B,00100,0300,ALLIANCE OCCUPATIONAL HEA 426801,A81000B,00200,0300,ALLIANCE OCCUPATIONAL HEA 426801,A81000B,00300,0300,HOSPITAL OF CENTRAL CT 426801,A81000B,00400,0300,CENTRAL CT SENIOR HEALTH 426801,A81000B,00500,0300,CENTRAL CT SENIOR HEALTH 426801,A81000B,00600,0300,CENTRAL CT SENIOR HEALTH 426801,A81000B,00700,0300,CENTRAL CT SPORTS MEDICINE 426801,A81000B,00800,0300,CENTRAL CT SENIOR HEALTH 426801,A81000B,00900,0300,CENTRAL CT SENIOR HEALTH 426801,A81000B,01000,0300,INDIVIDUALS 426801,A81000B,01100,0300,HOSPITAL OF CENTRAL CT 426801,A81000B,01200,0300,HOSPITAL OF CENTRAL CT 426801,A81000B,01300,0300,ORCHARDS AT SOUTHINGTON 426801,A81000B,01400,0300,MULBERRY GARDENS OF SOUTH. 426801,A81000C,00100,0100,B 426801,A81000C,00100,0200,ALLIANCE OCCUPATIONAL HEA 426801,A81000C,00100,0400,JEROME HOME 426801,A81000C,00100,0600,PRE-EMPLOYEMENT TESTING 426801,A81000C,00200,0100,B 426801,A81000C,00200,0200,ALLIANCE OCCUPATIONAL HEA 426801,A81000C,00200,0400,JEROME HOME 426801,A81000C,00200,0600,WORKERS COMP MEDICAL 426801,A81000C,00300,0100,B 426801,A81000C,00300,0200,HOSPITAL OF CENTRAL CT 426801,A81000C,00300,0400,JEROME HOME 426801,A81000C,00300,0600,LABORATORY 426801,A81000C,00400,0100,B 426801,A81000C,00400,0200,CENTRAL CT SENIOR HEALTH 426801,A81000C,00400,0400,JEROME HOME 426801,A81000C,00400,0600,SPEECH THERAPIST 426801,A81000C,00500,0100,B 426801,A81000C,00500,0200,CENTRAL CT SENIOR HEALTH 426801,A81000C,00500,0400,JEROME HOME 426801,A81000C,00500,0600,MANAGEMENT FEES 426801,A81000C,00600,0100,B 426801,A81000C,00600,0200,CENTRAL CT SENIOR HEALTH 426801,A81000C,00600,0400,JEROME HOME 426801,A81000C,00600,0600,MANAGEMENT FEES 426801,A81000C,00700,0100,B 426801,A81000C,00700,0200,CENTRAL CT SPORTS MEDICIN 426801,A81000C,00700,0400,JEROME HOME 426801,A81000C,00700,0600,THERAPY SERVICES 426801,A81000C,00800,0100,B 426801,A81000C,00800,0200,CENTRAL CT SENIOR HEALTH 426801,A81000C,00800,0400,JEROME HOME 426801,A81000C,00800,0600,VARIOUS A&G 426801,A81000C,00900,0100,B 426801,A81000C,00900,0200,CENTRAL CT SENIOR HEALTH 426801,A81000C,00900,0400,JEROME HOME 426801,A81000C,00900,0600,PLANETREE SERVICES 426801,A81000C,01000,0100,B 426801,A81000C,01000,0200,INDIVIDUALS 426801,A81000C,01000,0400,JEROME HOME 426801,A81000C,01000,0600,STIPEND PAID TO TRUSTEES 426801,A81000C,01001,0100,B 426801,A81000C,01001,0200,HOSPITAL OF CENTRAL CT 426801,A81000C,01001,0400,JEROME HOME 426801,A81000C,01001,0600,SECONDARY INSURANCE 426801,A81000C,01002,0100,B 426801,A81000C,01002,0200,HOSPITAL OF CENTRAL CT 426801,A81000C,01002,0400,JEROME HOME 426801,A81000C,01002,0600,VARIOUS A&G 426801,A81000C,01003,0100,B 426801,A81000C,01003,0200,ORCHARDS AT SOUTHINGTON 426801,A81000C,01003,0400,JEROME HOME 426801,A81000C,01003,0600,GL ACCOUNTANT 426801,A81000C,01004,0100,B 426801,A81000C,01004,0200,MULBERRY GARDENS AT SOUTH 426801,A81000C,01004,0400,JEROME HOME 426801,A81000C,01004,0600,PART TIME ACCOUNTANT 426801,A81000C,01005,0100,B 426801,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426801,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426801,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426801,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426801,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426801,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426801,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426801,B100000,00000,0800,0800MEALS SERVED :DIETARY 426801,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426801,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426801,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426801,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426801,G300000,02500,0000,SENIOR FIT REVNUE 426801,G300000,02501,0000,VAN FEE INCOME 426801,G300000,02502,0000,DIETARY MEAL REVENUE 426801,G300000,02503,0000,GAIN ON SALE 426801,G300000,02504,0000,MISCELLANEOUS INCOME 426801,G300000,02505,0000,TEMP NET ASSETS RELEASED FROM RESTR 426801,G300000,02506,0000,SWAP AGREEMENT VALUATION 426801,S000000,00100,0200,02/28/12 426801,S200000,00100,0100,975 CORBIN AVENUE 426801,S200000,00200,0100,NEW BRITAIN 426801,S200000,00200,0200,CT 426801,S200000,00200,0300,06052 426801,S200000,00300,0100,HARTFORD 426801,S200000,00300,0200,3283 426801,S200000,00300,0201,25540 426801,S200000,00300,0300,U 426801,S200000,00400,0100,JEROME HOME 426801,S200000,00400,0200,075343 426801,S200000,00400,0300,11/06/90 426801,S200000,00400,0500,P 426801,S200000,01500,0100,Y 426801,S200000,01501,0200,Y 426801,S200000,01600,0100,N 426801,S200000,01700,0100,N 426801,S200000,01800,0100,N 426801,S200000,02200,0100,N 426801,S200000,02800,0100,N 426801,S200000,02900,0100,N 426801,S200000,03000,0100,N 426801,S200000,03100,0100,N 426801,S200000,03200,0100,N 426801,S200000,03300,0100,N 426801,S200000,03300,0200,N 426801,S200000,04100,0100,N 426801,S200000,04200,0100,N 426801,S200000,04300,0100,N 426801,S200000,04600,0100,N 426801,S200000,04700,0100,N 426801,S200000,04700,0200,N 426801,S200000,04900,0100,N 426801,S200000,05000,0100,N 426801,S200000,05100,0100,N 426801,S200000,05200,0100,N 426801,S200000,05300,0100,N 426802,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426802,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426802,A000000,00300,0000,0300EMPLOYEE BENEFITS 426802,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426802,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426802,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426802,A000000,00700,0000,0700HOUSEKEEPING 426802,A000000,00800,0000,0800DIETARY 426802,A000000,00900,0000,0900NURSING ADMINISTRATION 426802,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426802,A000000,01100,0000,1100PHARMACY 426802,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426802,A000000,01300,0000,1300SOCIAL SERVICE 426802,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426802,A000000,01500,0000,1350RECREATION 426802,A000000,01600,0000,1600SKILLED NURSING FACILITY 426802,A000000,01800,0000,1800NURSING FACILITY 426802,A000000,01810,0000,1810ICF/MR 426802,A000000,01900,0000,1900OTHER LONG TERM CARE 426802,A000000,02100,0000,2100RADIOLOGY 426802,A000000,02200,0000,2200LABORATORY 426802,A000000,02300,0000,2300INTRAVENOUS THERAPY 426802,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426802,A000000,02500,0000,2500PHYSICAL THERAPY 426802,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426802,A000000,02700,0000,2700SPEECH PATHOLOGY 426802,A000000,02800,0000,2800ELECTROCARDIOLOGY 426802,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426802,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426802,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426802,A000000,03200,0000,3200SUPPORT SURFACES 426802,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426802,A000000,03400,0000,3400CLINIC 426802,A000000,03500,0000,3500RURAL HEALTH CLINIC 426802,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426802,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426802,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426802,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426802,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426802,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426802,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426802,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426802,A000000,04400,0000,4400DME RENTED - HHA 426802,A000000,04500,0000,4500DME SOLD - HHA 426802,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426802,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426802,A000000,04710,0000,4710TELEMEDICINE 426802,A000000,04800,0000,4800AMBULANCE 426802,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426802,A000000,05000,0000,5000CORF 426802,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426802,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426802,A000000,05300,0000,5300INTEREST EXPENSE 426802,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426802,A000000,05500,0000,5500HOSPICE 426802,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426802,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426802,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426802,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426802,A000000,06100,0000,6100NONPAID WORKERS 426802,A000000,06200,0000,6200PATIENTS LAUNDRY 426802,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426802,A81000A,00100,0100,Y 426802,A81000B,00100,0300,RENTAL PROPERTY-FACILITY RENT 426802,A81000B,00200,0300,INTEREST EXPENSE 426802,A81000B,00300,0300,DEPRECIATION 426802,A81000B,00400,0300,ADMINISTRATOR 426802,A81000B,00500,0300,PAINTING 426802,A81000B,00600,0300,PAINTING 426802,A81000B,00700,0300,PAINTING 426802,A81000B,00800,0300,PAINTING 426802,A81000B,00900,0300,DIRECTOR FEES 426802,A81000B,01000,0300,DIRECTOR FEES 426802,A81000B,01100,0300,COMPUTER EXPENSE 426802,A81000C,00100,0100,F 426802,A81000C,00100,0200,HAROLD MOFFIE 426802,A81000C,00100,0400,HAROLD MOFFIE 426802,A81000C,00100,0600,FACILITY RENT 426802,A81000C,00200,0100,F 426802,A81000C,00200,0200,HAROLD MOFFIE 426802,A81000C,00200,0400,HAROLD MOFFIE 426802,A81000C,00200,0600,REALTY INTEREST 426802,A81000C,00300,0100,F 426802,A81000C,00300,0200,HAROLD MOFFIE 426802,A81000C,00300,0400,HAROLD MOFFIE 426802,A81000C,00300,0600,REALTY DEPRECIATION 426802,A81000C,00400,0100,F 426802,A81000C,00400,0200,CARRIE RICCIO 426802,A81000C,00400,0400,CARRIE RICCIO 426802,A81000C,00400,0600,ADMINISTRATOR WAGES 426802,A81000C,00500,0100,F 426802,A81000C,00500,0200,ALEXANDER RICCIO 426802,A81000C,00500,0400,ALEXANDER RICCIO 426802,A81000C,00500,0600,MAINTENANCE WAGES 426802,A81000C,00600,0100,F 426802,A81000C,00600,0200,EMILY RICCIO 426802,A81000C,00600,0400,EMILY RICCIO 426802,A81000C,00600,0600,MAINTENANCE WAGES 426802,A81000C,00700,0100,F 426802,A81000C,00700,0200,JORDAN RADIN 426802,A81000C,00700,0400,JORDAN RADIN 426802,A81000C,00700,0600,MAINTENANCE WAGES 426802,A81000C,00800,0100,F 426802,A81000C,00800,0200,AARON RICCIO 426802,A81000C,00800,0400,AARON RICCIO 426802,A81000C,00800,0600,MAINTENANCE WAGES 426802,A81000C,00900,0100,F 426802,A81000C,00900,0200,CATHY MOFFIE 426802,A81000C,00900,0400,CATHY MOFFIE 426802,A81000C,00900,0600,DIRECTOR FEES 426802,A81000C,01000,0100,F 426802,A81000C,01000,0200,CLINT MOFFIE 426802,A81000C,01000,0400,CLINT MOFFIE 426802,A81000C,01000,0600,DIRECTOR FEES 426802,A81000C,01001,0100,F 426802,A81000C,01001,0200,AJACE COMMUNICATIONS 426802,A81000C,01001,0400,AJACE COMMUNICATIONS 426802,A81000C,01001,0600,COMPUTER SERVICES 426802,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426802,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426802,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426802,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426802,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426802,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426802,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426802,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426802,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426802,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426802,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426802,S000000,00100,0200,02/28/12 426802,S200000,00100,0100,ONE CANAL ROAD 426802,S200000,00200,0100,SUFFIELD 426802,S200000,00200,0200,CT 426802,S200000,00200,0300,06437 426802,S200000,00300,0100,HARTFORD 426802,S200000,00300,0200,3283 426802,S200000,00300,0201,25540 426802,S200000,00300,0300,U 426802,S200000,00400,0100,SUFFIELD HOUSE 426802,S200000,00400,0200,075347 426802,S200000,00400,0300,06/21/91 426802,S200000,00400,0500,P 426802,S200000,01500,0100,Y 426802,S200000,01501,0200,N 426802,S200000,01600,0100,N 426802,S200000,01700,0100,N 426802,S200000,01800,0100,N 426802,S200000,02200,0100,N 426802,S200000,02800,0100,N 426802,S200000,02900,0100,N 426802,S200000,03000,0100,N 426802,S200000,03100,0100,N 426802,S200000,03200,0100,N 426802,S200000,03300,0100,N 426802,S200000,03300,0200,N 426802,S200000,04100,0100,N 426802,S200000,04200,0100,N 426802,S200000,04300,0100,N 426802,S200000,04600,0100,N 426802,S200000,04700,0100,N 426802,S200000,04700,0200,N 426802,S200000,04900,0100,N 426802,S200000,05000,0100,N 426802,S200000,05100,0100,N 426802,S200000,05200,0100,N 426803,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426803,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426803,A000000,00300,0000,0300EMPLOYEE BENEFITS 426803,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426803,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426803,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426803,A000000,00700,0000,0700HOUSEKEEPING 426803,A000000,00800,0000,0800DIETARY 426803,A000000,00900,0000,0900NURSING ADMINISTRATION 426803,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426803,A000000,01100,0000,1100PHARMACY 426803,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426803,A000000,01300,0000,1300SOCIAL SERVICE 426803,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426803,A000000,01500,0000,1350OTHER GENERAL SERVICES 426803,A000000,01600,0000,1600SKILLED NURSING FACILITY 426803,A000000,01800,0000,1800NURSING FACILITY 426803,A000000,01810,0000,1810ICF/MR 426803,A000000,01900,0000,1900OTHER LONG TERM CARE 426803,A000000,02100,0000,2100RADIOLOGY 426803,A000000,02200,0000,2200LABORATORY 426803,A000000,02300,0000,2300INTRAVENOUS THERAPY 426803,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426803,A000000,02500,0000,2500PHYSICAL THERAPY 426803,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426803,A000000,02700,0000,2700SPEECH PATHOLOGY 426803,A000000,02800,0000,2800ELECTROCARDIOLOGY 426803,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426803,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426803,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426803,A000000,03200,0000,3200SUPPORT SURFACES 426803,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426803,A000000,03400,0000,3400CLINIC 426803,A000000,03500,0000,3500RURAL HEALTH CLINIC 426803,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426803,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426803,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426803,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426803,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426803,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426803,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426803,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426803,A000000,04400,0000,4400DME RENTED - HHA 426803,A000000,04500,0000,4500DME SOLD - HHA 426803,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426803,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426803,A000000,04710,0000,4710TELEMEDICINE 426803,A000000,04800,0000,4800AMBULANCE 426803,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426803,A000000,05000,0000,5000CORF 426803,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426803,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426803,A000000,05300,0000,5300INTEREST EXPENSE 426803,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426803,A000000,05500,0000,5500HOSPICE 426803,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426803,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426803,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426803,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426803,A000000,06100,0000,6100NONPAID WORKERS 426803,A000000,06200,0000,6200PATIENTS LAUNDRY 426803,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426803,A000000,06301,0000,6151RENTAL APARTMENTS 426803,A81000A,00100,0100,Y 426803,A81000B,00100,0300,MANAGEMENT CONTRACT INCOME 426803,A81000B,00200,0300,MAINTENANCE CONTRACT INCOME 426803,A81000C,00100,0100,A 426803,A81000C,00100,0200,CT BAPTIST HOMES 426803,A81000C,00100,0400,CT BAPTIST HOMES 426803,A81000C,00100,0600,RENTAL UNITS 426803,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426803,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426803,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426803,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426803,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426803,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426803,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426803,B100000,00000,0800,0800MEALS SERVED :DIETARY 426803,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426803,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 426803,G300000,02500,0000,MANAGEMENT CONTRACT INCOME 426803,G300000,02501,0000,MAINTENANCE CONTRACT INCOME 426803,G300000,02502,0000,REVENUE FROM PAT-RESIDENTIAL 426803,G300000,02503,0000,UNREALIZED GAIN ON INVESTMENTS 426803,S000000,00100,0200,02/28/12 426803,S200000,00100,0100,292 THORPE STREET 426803,S200000,00200,0100,MERIDEN 426803,S200000,00200,0200,CT 426803,S200000,00200,0300,06450 426803,S200000,00300,0100,NEW HAVEN 426803,S200000,00300,0200,5483 426803,S200000,00300,0201,35300 426803,S200000,00300,0300,U 426803,S200000,00400,0100,CT BAPTIST HOMES INC. 426803,S200000,00400,0200,075352 426803,S200000,00400,0300,10/01/91 426803,S200000,00400,0500,P 426803,S200000,01500,0100,Y 426803,S200000,01501,0200,N 426803,S200000,01600,0100,N 426803,S200000,01700,0100,N 426803,S200000,01800,0100,N 426803,S200000,02200,0100,N 426803,S200000,02800,0100,N 426803,S200000,02900,0100,N 426803,S200000,03000,0100,N 426803,S200000,03100,0100,N 426803,S200000,03200,0100,N 426803,S200000,03300,0100,N 426803,S200000,03300,0200,N 426803,S200000,04100,0100,N 426803,S200000,04200,0100,N 426803,S200000,04300,0100,N 426803,S200000,04600,0100,N 426803,S200000,04700,0100,N 426803,S200000,04700,0200,N 426803,S200000,04900,0100,N 426803,S200000,05000,0100,N 426803,S200000,05100,0100,N 426803,S200000,05200,0100,N 426803,S200000,05300,0100,N 426804,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426804,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426804,A000000,00300,0000,0300EMPLOYEE BENEFITS 426804,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426804,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426804,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426804,A000000,00700,0000,0700HOUSEKEEPING 426804,A000000,00800,0000,0800DIETARY 426804,A000000,00900,0000,0900NURSING ADMINISTRATION 426804,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426804,A000000,01100,0000,1100PHARMACY 426804,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426804,A000000,01300,0000,1300SOCIAL SERVICE 426804,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426804,A000000,01500,0000,1350OTHER GENERAL SERVICES 426804,A000000,01600,0000,1600SKILLED NURSING FACILITY 426804,A000000,01800,0000,1800NURSING FACILITY 426804,A000000,01810,0000,1810ICF/MR 426804,A000000,01900,0000,1900OTHER LONG TERM CARE 426804,A000000,02100,0000,2100RADIOLOGY 426804,A000000,02200,0000,2200LABORATORY 426804,A000000,02300,0000,2300INTRAVENOUS THERAPY 426804,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426804,A000000,02500,0000,2500PHYSICAL THERAPY 426804,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426804,A000000,02700,0000,2700SPEECH PATHOLOGY 426804,A000000,02800,0000,2800ELECTROCARDIOLOGY 426804,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426804,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426804,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426804,A000000,03200,0000,3200SUPPORT SURFACES 426804,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426804,A000000,03400,0000,3400CLINIC 426804,A000000,03500,0000,3500RURAL HEALTH CLINIC 426804,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426804,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426804,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426804,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426804,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426804,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426804,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426804,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426804,A000000,04400,0000,4400DME RENTED - HHA 426804,A000000,04500,0000,4500DME SOLD - HHA 426804,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426804,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426804,A000000,04710,0000,4710TELEMEDICINE 426804,A000000,04800,0000,4800AMBULANCE 426804,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426804,A000000,05000,0000,5000CORF 426804,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426804,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426804,A000000,05300,0000,5300INTEREST EXPENSE 426804,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426804,A000000,05500,0000,5500HOSPICE 426804,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426804,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426804,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426804,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426804,A000000,06100,0000,6100NONPAID WORKERS 426804,A000000,06200,0000,6200PATIENTS LAUNDRY 426804,A000000,06300,0000,6150CHILD CARE 426804,A000000,06301,0000,6151WORK ACTIVITY CENTER 426804,A000000,06302,0000,6152ADULT DAY HEALTH CENTER 426804,A000000,06303,0000,6153DENTAL 426804,A000000,06304,0000,6154COMP. CARE COMPANIONS 426804,A000000,06305,0000,6155INSTITUTE ON AGING 426804,A000000,06306,0000,6156COMM RELATIONS 426804,A000000,06307,0000,6157PHYSICIANS PRACTICE 426804,A000000,06308,0000,6158MEDICAL HOME CARE 426804,A000000,06309,0000,6159ELDER ABUSE 426804,A000000,06310,0000,6160OUTPATIENT THERAPY 426804,A000000,06311,0000,6161SENIOR CHOICE AT HOME 426804,A000000,06312,0000,6162HOSPICE 426804,A000000,06313,0000,6163AMBULANCE 426804,A81000A,00100,0100,Y 426804,A81000B,00100,0300,LEGAL SERVICES 426804,A81000B,00200,0300,MEDICAL CONSULTING 426804,A81000B,00300,0300,BOILER MAINTENANCE 426804,A81000B,00400,0300,PAPER SUPPLIES 426804,A81000B,00500,0300,DAIRY PRODUCTS 426804,A81000B,00600,0300,APPLIANCES 426804,A81000B,00700,0300,MEMBERSHIP REBATE 426804,A81000C,00100,0100,D 426804,A81000C,00100,0200,MARTIN WOLF 426804,A81000C,00100,0400,COHEN & WOLF 426804,A81000C,00200,0100,G 426804,A81000C,00200,0200,SUSAN GREENWALD 426804,A81000C,00200,0400,OPTIONS FOR ELDERS. LLC 426804,A81000C,00300,0100,G 426804,A81000C,00300,0200,DEAN RATICK 426804,A81000C,00300,0400,RATICK COMBUSTION INC. 426804,A81000C,00400,0100,G 426804,A81000C,00400,0200,JAMES SUGARMAN 426804,A81000C,00400,0400,EASTERN BAG & PAPER CO. 426804,A81000C,00500,0100,G 426804,A81000C,00500,0200,MICHAEL MARCUS 426804,A81000C,00500,0400,MARCUS DAIRY 426804,A81000C,00600,0100,G 426804,A81000C,00600,0200,WILLIAM SIMS 426804,A81000C,00600,0400,HERBERT J. SIMS & CO. 426804,A81000C,00700,0100,G 426804,A81000C,00700,0200,CALTC 426804,A81000C,00700,0400,CALTC 426804,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426804,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426804,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426804,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426804,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426804,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426804,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426804,B100000,00000,0800,0800MEALS SERVED :DIETARY 426804,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426804,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426804,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426804,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426804,G300000,02500,0000,OTHER INCOME - REFER TO AAI 426804,H510100,00000,0000,5483 426804,H513100,00000,0000,14860 426804,S000000,00100,0200,02/27/12 426804,S200000,00100,0100,175 JEFFERSON STREET 426804,S200000,00200,0100,FAIRFIELD 426804,S200000,00200,0200,CT 426804,S200000,00200,0300,06825 426804,S200000,00300,0100,FAIRFIELD 426804,S200000,00300,0200,5483 426804,S200000,00300,0201,14860 426804,S200000,00300,0300,U 426804,S200000,00400,0100,JEWISH HOME FOR THE ELDERLY 426804,S200000,00400,0200,075353 426804,S200000,00400,0300,10/01/91 426804,S200000,00400,0500,P 426804,S200000,00800,0200,077247 426804,S200000,00800,0300,02/22/10 426804,S200000,00800,0500,P 426804,S200000,01500,0100,Y 426804,S200000,01501,0200,N 426804,S200000,01600,0100,N 426804,S200000,01700,0100,N 426804,S200000,01800,0100,N 426804,S200000,02200,0100,N 426804,S200000,02800,0100,N 426804,S200000,02900,0100,N 426804,S200000,03000,0100,N 426804,S200000,03100,0100,N 426804,S200000,03200,0100,N 426804,S200000,03300,0100,N 426804,S200000,03300,0200,N 426804,S200000,03700,0100,N 426804,S200000,03700,0200,N 426804,S200000,04100,0100,N 426804,S200000,04200,0100,N 426804,S200000,04300,0100,N 426804,S200000,04600,0100,N 426804,S200000,04700,0100,N 426804,S200000,04700,0200,N 426804,S200000,04900,0100,N 426804,S200000,05000,0100,N 426804,S200000,05100,0100,N 426804,S200000,05200,0100,N 426804,S200000,05300,0100,N 426804,S410002,01700,0100,5483 426804,S410002,01700,0101,14860 426805,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426805,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426805,A000000,00300,0000,0300EMPLOYEE BENEFITS 426805,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426805,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426805,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426805,A000000,00700,0000,0700HOUSEKEEPING 426805,A000000,00800,0000,0800DIETARY 426805,A000000,00900,0000,0900NURSING ADMINISTRATION 426805,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426805,A000000,01100,0000,1100PHARMACY 426805,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426805,A000000,01300,0000,1300SOCIAL SERVICE 426805,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426805,A000000,01500,0000,1350RECREATION 426805,A000000,01600,0000,1600SKILLED NURSING FACILITY 426805,A000000,01800,0000,1800NURSING FACILITY 426805,A000000,01810,0000,1810ICF/MR 426805,A000000,01900,0000,1900OTHER LONG TERM CARE 426805,A000000,02100,0000,2100RADIOLOGY 426805,A000000,02200,0000,2200LABORATORY 426805,A000000,02300,0000,2300INTRAVENOUS THERAPY 426805,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426805,A000000,02500,0000,2500PHYSICAL THERAPY 426805,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426805,A000000,02700,0000,2700SPEECH PATHOLOGY 426805,A000000,02800,0000,2800ELECTROCARDIOLOGY 426805,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426805,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426805,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426805,A000000,03200,0000,3200SUPPORT SURFACES 426805,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426805,A000000,03400,0000,3400CLINIC 426805,A000000,03500,0000,3500RURAL HEALTH CLINIC 426805,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426805,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426805,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426805,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426805,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426805,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426805,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426805,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426805,A000000,04400,0000,4400DME RENTED - HHA 426805,A000000,04500,0000,4500DME SOLD - HHA 426805,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426805,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426805,A000000,04710,0000,4710TELEMEDICINE 426805,A000000,04800,0000,4800AMBULANCE 426805,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426805,A000000,05000,0000,5000CORF 426805,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426805,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426805,A000000,05300,0000,5300INTEREST EXPENSE 426805,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426805,A000000,05500,0000,5500HOSPICE 426805,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426805,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426805,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426805,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426805,A000000,06100,0000,6100NONPAID WORKERS 426805,A000000,06200,0000,6200PATIENTS LAUNDRY 426805,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426805,A81000A,00100,0100,N 426805,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426805,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426805,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426805,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426805,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426805,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 426805,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426805,B100000,00000,0800,0800MEALS SERVED :DIETARY 426805,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 426805,B100000,00000,1000,1050TIME SPENT :CENTRAL SERVICES & 426805,B100000,00000,1100,1150TIME SPENT :PHARMACY 426805,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426805,B100000,00000,1500,1350TIME SPENT :RECREATION 426805,G300000,02500,0000,ASSISTED LIVING REVENUE 426805,G300000,02501,0000,ADULT DAY CARE 426805,G300000,02502,0000,MISC. INCOME 426805,G300000,02503,0000,DISCOUNTS ON PURCHASES 426805,S000000,00100,0200,02/27/12 426805,S200000,00100,0100,1261 SOUTH MAIN STREET 426805,S200000,00200,0100,PLANTSVILLE 426805,S200000,00200,0200,CT 426805,S200000,00200,0300,06117 426805,S200000,00300,0100,HARTFORD 426805,S200000,00300,0200,3283 426805,S200000,00300,0201,25540 426805,S200000,00300,0300,U 426805,S200000,00400,0100,ALZHEIMER S RESOURCE CENTER OF CT 426805,S200000,00400,0200,075378 426805,S200000,00400,0300,11/13/92 426805,S200000,00400,0500,P 426805,S200000,01500,0100,Y 426805,S200000,01501,0200,Y 426805,S200000,01600,0100,N 426805,S200000,01700,0100,N 426805,S200000,01800,0100,N 426805,S200000,02200,0100,N 426805,S200000,02800,0100,N 426805,S200000,02900,0100,N 426805,S200000,03000,0100,N 426805,S200000,03100,0100,N 426805,S200000,03200,0100,N 426805,S200000,03300,0100,N 426805,S200000,03300,0200,N 426805,S200000,04100,0100,N 426805,S200000,04200,0100,N 426805,S200000,04300,0100,N 426805,S200000,04600,0100,N 426805,S200000,04700,0100,N 426805,S200000,04700,0200,N 426805,S200000,04900,0100,N 426805,S200000,05000,0100,N 426805,S200000,05100,0100,N 426805,S200000,05200,0100,N 426806,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426806,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426806,A000000,00300,0000,0300EMPLOYEE BENEFITS 426806,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426806,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426806,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426806,A000000,00700,0000,0700HOUSEKEEPING 426806,A000000,00800,0000,0800DIETARY 426806,A000000,00900,0000,0900NURSING ADMINISTRATION 426806,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426806,A000000,01100,0000,1100PHARMACY 426806,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426806,A000000,01300,0000,1300SOCIAL SERVICE 426806,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426806,A000000,01500,0000,1350OTHER GENERAL SERVICES 426806,A000000,01600,0000,1600SKILLED NURSING FACILITY 426806,A000000,01800,0000,1800NURSING FACILITY 426806,A000000,01810,0000,1810ICF/MR 426806,A000000,01900,0000,1900OTHER LONG TERM CARE 426806,A000000,02100,0000,2100RADIOLOGY 426806,A000000,02200,0000,2200LABORATORY 426806,A000000,02300,0000,2300INTRAVENOUS THERAPY 426806,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426806,A000000,02500,0000,2500PHYSICAL THERAPY 426806,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426806,A000000,02700,0000,2700SPEECH PATHOLOGY 426806,A000000,02800,0000,2800ELECTROCARDIOLOGY 426806,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426806,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426806,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426806,A000000,03200,0000,3200SUPPORT SURFACES 426806,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426806,A000000,03400,0000,3400CLINIC 426806,A000000,03500,0000,3500RURAL HEALTH CLINIC 426806,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426806,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426806,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426806,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426806,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426806,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426806,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426806,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426806,A000000,04400,0000,4400DME RENTED - HHA 426806,A000000,04500,0000,4500DME SOLD - HHA 426806,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426806,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426806,A000000,04710,0000,4710TELEMEDICINE 426806,A000000,04800,0000,4800AMBULANCE 426806,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426806,A000000,05000,0000,5000CORF 426806,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426806,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426806,A000000,05300,0000,5300INTEREST EXPENSE 426806,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426806,A000000,05500,0000,5500HOSPICE 426806,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426806,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426806,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426806,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426806,A000000,06100,0000,6100NONPAID WORKERS 426806,A000000,06200,0000,6200PATIENTS LAUNDRY 426806,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426806,A81000A,00100,0100,Y 426806,A81000B,00100,0300,RENT 426806,A81000B,00200,0300,SHARED EXPENSES 426806,A81000B,00300,0300,PHYSICAL THERAPY 426806,A81000B,00400,0300,OCCUPATIONAL THERAPY 426806,A81000B,00500,0300,SPEECH THERAPY 426806,A81000B,00600,0300,STAUDERMAN REALTY RENT EXP 426806,A81000B,00700,0300,850 SILAS DEANE RENT EXP 426806,A81000B,00800,0300,MORTGAGE INTEREST 426806,A81000B,00900,0300,DEPRECIATION 426806,A81000B,01000,0300,AMORTIZATION EXPENSE 426806,A81000B,01100,0300,RN SERVICES 426806,A81000C,00100,0100,A 426806,A81000C,00100,0200,M.J. OSTREICHER 426806,A81000C,00100,0400,MIDDLETOWN REALTY 426806,A81000C,00100,0600,LEASE OF FACILITY 426806,A81000C,00200,0100,A 426806,A81000C,00200,0200,M.J. OSTREICHER 426806,A81000C,00200,0400,NATIONAL HEALTH CARE 426806,A81000C,00200,0600,BOOKKEEPING 426806,A81000C,00300,0100,A 426806,A81000C,00300,0200,M.J. OSTREICHER 426806,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 426806,A81000C,00300,0600,PT OT ST 426806,A81000C,00400,0100,A 426806,A81000C,00400,0200,M.J. OSTREICHER 426806,A81000C,00400,0400,STAUDERMAN REALTY 426806,A81000C,00400,0600,RENT EXPENSE 426806,A81000C,00500,0100,A 426806,A81000C,00500,0200,M.J. OSTREICHER 426806,A81000C,00500,0400,850 SILAS DEANE 426806,A81000C,00500,0600,RENT EXPENSE 426806,A81000C,00600,0100,A 426806,A81000C,00600,0200,M.J. OSTREICHER 426806,A81000C,00600,0400,PREFERRED PROFESSIONAL SO 426806,A81000C,00600,0600,RN SERVICES 426806,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426806,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426806,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426806,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426806,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426806,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426806,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426806,B100000,00000,0800,0800MEALS SERVED :DIETARY 426806,G300000,02501,0000,VENDING MACHINE INCOME 426806,G300000,02502,0000,MISC. OTHER INCOME 426806,G300000,02503,0000,PRIOR PERIOD ADJUSTMENT 426806,S000000,00100,0200,02/27/12 426806,S200000,00100,0100,111 CHURCH STREET 426806,S200000,00200,0100,MIDDLETOWN 426806,S200000,00200,0200,CT 426806,S200000,00200,0300,06457 426806,S200000,00300,0100,MIDDLESEX 426806,S200000,00300,0200,3283 426806,S200000,00300,0201,25540 426806,S200000,00300,0300,U 426806,S200000,00400,0100,HARBOR HILL CARE CENTER 426806,S200000,00400,0200,075381 426806,S200000,00400,0300,01/29/93 426806,S200000,00400,0500,P 426806,S200000,01500,0100,Y 426806,S200000,01501,0200,N 426806,S200000,01600,0100,N 426806,S200000,01700,0100,N 426806,S200000,01800,0100,N 426806,S200000,02200,0100,N 426806,S200000,02800,0100,Y 426806,S200000,02900,0100,N 426806,S200000,03000,0100,N 426806,S200000,03100,0100,N 426806,S200000,03200,0100,N 426806,S200000,03300,0100,N 426806,S200000,03300,0200,N 426806,S200000,04100,0100,N 426806,S200000,04200,0100,N 426806,S200000,04300,0100,N 426806,S200000,04600,0100,N 426806,S200000,04700,0100,N 426806,S200000,04700,0200,N 426806,S200000,04900,0100,N 426806,S200000,05000,0100,N 426806,S200000,05100,0100,N 426806,S200000,05200,0100,N 426806,S200000,05300,0100,N 426808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426808,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426808,A000000,00300,0000,0300EMPLOYEE BENEFITS 426808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426808,A000000,00700,0000,0700HOUSEKEEPING 426808,A000000,00800,0000,0800DIETARY 426808,A000000,00900,0000,0900NURSING ADMINISTRATION 426808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426808,A000000,01100,0000,1100PHARMACY 426808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426808,A000000,01300,0000,1300SOCIAL SERVICE 426808,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426808,A000000,01500,0000,1350OTHER GENERAL SERVICES 426808,A000000,01600,0000,1600SKILLED NURSING FACILITY 426808,A000000,01800,0000,1800NURSING FACILITY 426808,A000000,01810,0000,1810ICF/MR 426808,A000000,01900,0000,1900OTHER LONG TERM CARE 426808,A000000,02100,0000,2100RADIOLOGY 426808,A000000,02200,0000,2200LABORATORY 426808,A000000,02300,0000,2300INTRAVENOUS THERAPY 426808,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426808,A000000,02500,0000,2500PHYSICAL THERAPY 426808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426808,A000000,02700,0000,2700SPEECH PATHOLOGY 426808,A000000,02800,0000,2800ELECTROCARDIOLOGY 426808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426808,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426808,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426808,A000000,03200,0000,3200SUPPORT SURFACES 426808,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426808,A000000,03400,0000,3400CLINIC 426808,A000000,03500,0000,3500RURAL HEALTH CLINIC 426808,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426808,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426808,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426808,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426808,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426808,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426808,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426808,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426808,A000000,04400,0000,4400DME RENTED - HHA 426808,A000000,04500,0000,4500DME SOLD - HHA 426808,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426808,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426808,A000000,04710,0000,4710TELEMEDICINE 426808,A000000,04800,0000,4800AMBULANCE 426808,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426808,A000000,05000,0000,5000CORF 426808,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426808,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426808,A000000,05300,0000,5300INTEREST EXPENSE 426808,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426808,A000000,05500,0000,5500HOSPICE 426808,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426808,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426808,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426808,A000000,06100,0000,6100NONPAID WORKERS 426808,A000000,06200,0000,6200PATIENTS LAUNDRY 426808,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426808,A81000A,00100,0100,Y 426808,A81000B,00100,0300,RENT 426808,A81000B,00200,0300,PT 426808,A81000B,00300,0300,OT 426808,A81000B,00400,0300,ST 426808,A81000B,00500,0300,STAUDERMAN REALTY RENT EXP 426808,A81000B,00600,0300,850 SILAS DEANE RENT EXP 426808,A81000B,00700,0300,SHARED EXPENSES 426808,A81000B,00800,0300,INTEREST EXPENSE 426808,A81000B,00900,0300,AMORTIZATION EXPENSE 426808,A81000C,00100,0100,A 426808,A81000C,00100,0200,M.J. OSTREICHER 426808,A81000C,00100,0400,MILBOROUGH REALTY 426808,A81000C,00100,0600,LEASE OF FACILITY 426808,A81000C,00200,0100,A 426808,A81000C,00200,0200,M.J. OSTREICHER 426808,A81000C,00200,0400,NATIONAL HEALTH CARE 426808,A81000C,00200,0600,BOOKKEEPING 426808,A81000C,00300,0100,A 426808,A81000C,00300,0200,M.J. OSTREICHER 426808,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 426808,A81000C,00300,0600,THERAPIES 426808,A81000C,00400,0100,A 426808,A81000C,00400,0200,M.J. OSTREICHER 426808,A81000C,00400,0400,STAUDERMAN REALTY 426808,A81000C,00400,0600,RENTAL SERVICE 426808,A81000C,00500,0100,A 426808,A81000C,00500,0200,M.J. OSTREICHER 426808,A81000C,00500,0400,850 SILAS DEANE 426808,A81000C,00500,0600,RENTAL SERVICE 426808,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426808,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426808,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426808,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426808,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426808,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426808,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426808,B100000,00000,0800,0800MEALS SERVED :DIETARY 426808,G300000,02501,0000,MISC OTHER INCOME 426808,G300000,02502,0000,PRIOR PERIOD ADJ 426808,G300000,02503,0000,MISCELLANEOUS 426808,S000000,00100,0200,02/27/12 426808,S200000,00100,0100,85 STAGE ROAD 426808,S200000,00200,0100,MARLBOROUGH 426808,S200000,00200,0200,CT 426808,S200000,00200,0300,06447 426808,S200000,00300,0100,HARTFORD 426808,S200000,00300,0200,3283 426808,S200000,00300,0201,25540 426808,S200000,00300,0300,U 426808,S200000,00400,0100,MARLBOROUGH HEALTH CARE CENTER 426808,S200000,00400,0200,075384 426808,S200000,00400,0300,04/14/93 426808,S200000,00400,0500,P 426808,S200000,01500,0100,Y 426808,S200000,01501,0200,N 426808,S200000,01600,0100,N 426808,S200000,01700,0100,N 426808,S200000,01800,0100,N 426808,S200000,02200,0100,N 426808,S200000,02800,0100,N 426808,S200000,02900,0100,N 426808,S200000,03000,0100,N 426808,S200000,03100,0100,N 426808,S200000,03200,0100,N 426808,S200000,03300,0100,N 426808,S200000,03300,0200,N 426808,S200000,04100,0100,N 426808,S200000,04200,0100,N 426808,S200000,04300,0100,N 426808,S200000,04600,0100,N 426808,S200000,04700,0100,N 426808,S200000,04700,0200,N 426808,S200000,04900,0100,N 426808,S200000,05000,0100,N 426808,S200000,05100,0100,N 426808,S200000,05200,0100,N 426808,S200000,05300,0100,N 426809,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426809,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426809,A000000,00300,0000,0300EMPLOYEE BENEFITS 426809,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426809,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426809,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426809,A000000,00700,0000,0700HOUSEKEEPING 426809,A000000,00800,0000,0800DIETARY 426809,A000000,00900,0000,0900NURSING ADMINISTRATION 426809,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426809,A000000,01100,0000,1100PHARMACY 426809,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426809,A000000,01300,0000,1300SOCIAL SERVICE 426809,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426809,A000000,01500,0000,1350PATIENT ACTIVITIES 426809,A000000,01600,0000,1600SKILLED NURSING FACILITY 426809,A000000,01800,0000,1800NURSING FACILITY 426809,A000000,01810,0000,1810ICF/MR 426809,A000000,02100,0000,2100RADIOLOGY 426809,A000000,02200,0000,2200LABORATORY 426809,A000000,02300,0000,2300INTRAVENOUS THERAPY 426809,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426809,A000000,02500,0000,2500PHYSICAL THERAPY 426809,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426809,A000000,02700,0000,2700SPEECH PATHOLOGY 426809,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426809,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426809,A000000,03550,0000,3550FQHC 426809,A000000,05000,0000,5000CORF 426809,A000000,05010,0000,5010CMHC 426809,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426809,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426809,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426809,A000000,05100,0000,4750INTEREST EXPENSE 426809,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426809,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426809,A81000A,00100,0100,Y 426809,A81000B,00100,0300,EXECUTIVE OVERSIGHT 426809,A81000B,00200,0300,RENT 426809,A81000C,00100,0100,A 426809,A81000C,00200,0100,A 426809,A81000C,00200,0200,NEW SAMARITAN C 426809,A81000C,00200,0600,ELDERLY HOUSING 426809,A81000C,00300,0200,MANSFIELD RETIR 426809,A81000C,00300,0600,ELDERLY HOUSING 426809,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426809,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426809,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426809,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426809,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426809,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426809,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426809,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426809,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426809,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426809,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426809,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426809,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426809,G300000,02501,0000,INTEREST FROM INSURANCE COMPANIES 426809,G300000,02502,0000,CONTRIBUTION INCOME 426809,G300000,02503,0000,INTEREST INCOME 426809,G300000,02504,0000,BARBER & BEAUTY INCOME 426809,G300000,02505,0000,UNREALIZED LOSS 426809,S000000,00100,0200,02/08/12 426809,S200000,00100,0100,100 WARREN CIRCLE 426809,S200000,00200,0100,MANSFIELD 426809,S200000,00200,0200,CT 426809,S200000,00200,0300,06268 426809,S200000,00300,0100,TOLLAND 426809,S200000,00300,0201,25540 426809,S200000,00300,0300,U 426809,S200000,00400,0100,MANSFIELD CENTER FOR NURSING & REHA 426809,S200000,00400,0200,075402 426809,S200000,00400,0300,02/16/94 426809,S200000,00400,0500,P 426809,S200000,01500,0100,Y 426809,S200000,01501,0200,N 426809,S200000,01502,0200,N 426809,S200000,01503,0200,N 426809,S200000,01504,0200,N 426809,S200000,01600,0100,N 426809,S200000,01700,0100,N 426809,S200000,01800,0100,N 426809,S200000,02200,0100,N 426809,S200000,02800,0100,N 426809,S200000,02900,0100,N 426809,S200000,03000,0100,N 426809,S200000,03100,0100,N 426809,S200000,03200,0100,N 426809,S200000,03300,0100,N 426809,S200000,03300,0200,N 426809,S200000,04100,0100,N 426809,S200000,04200,0100,N 426809,S200000,04300,0100,N 426809,S200000,04600,0100,N 426809,S200000,04700,0100,N 426809,S200000,04700,0200,N 426809,S200000,04900,0100,N 426809,S200000,05000,0100,N 426809,S200000,05100,0100,N 426809,S200000,05200,0100,N 426810,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426810,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426810,A000000,00300,0000,0300EMPLOYEE BENEFITS 426810,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426810,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426810,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426810,A000000,00700,0000,0700HOUSEKEEPING 426810,A000000,00800,0000,0800DIETARY 426810,A000000,00900,0000,0900NURSING ADMINISTRATION 426810,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426810,A000000,01100,0000,1100PHARMACY 426810,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426810,A000000,01300,0000,1300SOCIAL SERVICE 426810,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426810,A000000,01500,0000,1350OTHER GENERAL SERVICES 426810,A000000,01600,0000,1600SKILLED NURSING FACILITY 426810,A000000,01800,0000,1800NURSING FACILITY 426810,A000000,01810,0000,1810ICF/MR 426810,A000000,01900,0000,1900OTHER LONG TERM CARE 426810,A000000,02100,0000,2100RADIOLOGY 426810,A000000,02200,0000,2200LABORATORY 426810,A000000,02300,0000,2300INTRAVENOUS THERAPY 426810,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426810,A000000,02500,0000,2500PHYSICAL THERAPY 426810,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426810,A000000,02700,0000,2700SPEECH PATHOLOGY 426810,A000000,02800,0000,2800ELECTROCARDIOLOGY 426810,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426810,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426810,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426810,A000000,03200,0000,3200SUPPORT SURFACES 426810,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426810,A000000,03400,0000,3400CLINIC 426810,A000000,03500,0000,3500RURAL HEALTH CLINIC 426810,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426810,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426810,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426810,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426810,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426810,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426810,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426810,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426810,A000000,04400,0000,4400DME RENTED - HHA 426810,A000000,04500,0000,4500DME SOLD - HHA 426810,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426810,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426810,A000000,04710,0000,4710TELEMEDICINE 426810,A000000,04800,0000,4800AMBULANCE 426810,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426810,A000000,05000,0000,5000CORF 426810,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426810,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426810,A000000,05300,0000,5300INTEREST EXPENSE 426810,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426810,A000000,05500,0000,5500HOSPICE 426810,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426810,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426810,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426810,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426810,A000000,06100,0000,6100NONPAID WORKERS 426810,A000000,06200,0000,6200PATIENTS LAUNDRY 426810,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426810,A81000A,00100,0100,Y 426810,A81000B,00100,0300,NURSING SUPPLIES 426810,A81000B,00200,0300,HOME OFFICE COSTS 426810,A81000C,00100,0100,A 426810,A81000C,00100,0200,MOHAMMAD QAZI 426810,A81000C,00100,0400,MED SUPPLY CORP 426810,A81000C,00100,0600,NURSING SUPPLIES 426810,A81000C,00200,0100,A 426810,A81000C,00200,0200,MOHAMMAD QAZI 426810,A81000C,00200,0400,CIENA HEALTHCARE MGMT 426810,A81000C,00200,0600,HOME OFFICE 426810,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426810,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426810,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426810,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426810,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426810,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426810,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426810,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426810,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426810,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426810,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426810,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426810,G300000,02500,0000,MISCELLANEOUS INCOME 426810,S000000,00100,0200,02/28/12 426810,S200000,00100,0100,60 CROUCH AVENUE 426810,S200000,00200,0100,NORWICH 426810,S200000,00200,0200,CT 426810,S200000,00200,0300,06360 426810,S200000,00300,0100,NEW LONDON 426810,S200000,00300,0201,35980 426810,S200000,00300,0300,U 426810,S200000,00400,0100,REGENCY HEIGHTS OF NORWICH LLC 426810,S200000,00400,0200,075417 426810,S200000,00400,0300,11/05/98 426810,S200000,00400,0500,P 426810,S200000,01500,0100,Y 426810,S200000,01501,0200,Y 426810,S200000,01600,0100,N 426810,S200000,01700,0100,N 426810,S200000,01800,0100,N 426810,S200000,02200,0100,N 426810,S200000,02800,0100,N 426810,S200000,02900,0100,N 426810,S200000,03000,0100,N 426810,S200000,03100,0100,N 426810,S200000,03200,0100,N 426810,S200000,03300,0100,N 426810,S200000,03300,0200,N 426810,S200000,04100,0100,N 426810,S200000,04200,0100,N 426810,S200000,04300,0100,N 426810,S200000,04600,0100,N 426810,S200000,04700,0100,N 426810,S200000,04700,0200,N 426810,S200000,04900,0100,N 426810,S200000,05000,0100,N 426810,S200000,05100,0100,N 426810,S200000,05200,0100,N 426810,S200000,05300,0100,Y 426810,S200000,05300,0200,90-202 426810,S200000,05400,0100,CIENA HEALTHCARE MGMT INC 426810,S200000,05400,0200,NATIONAL GOVT SERVICES 426810,S200000,05400,0300,00452 426810,S200000,05500,0100,4000 TOWN CENTER SUITE 380 426810,S200000,05600,0100,SOUTHFIELD 426810,S200000,05600,0200,MI 426810,S200000,05600,0300,48075 426811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426811,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426811,A000000,00300,0000,0300EMPLOYEE BENEFITS 426811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426811,A000000,00700,0000,0700HOUSEKEEPING 426811,A000000,00800,0000,0800DIETARY 426811,A000000,00900,0000,0900NURSING ADMINISTRATION 426811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426811,A000000,01100,0000,1100PHARMACY 426811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426811,A000000,01300,0000,1300SOCIAL SERVICE 426811,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426811,A000000,01500,0000,1350OTHER GENERAL SERVICES 426811,A000000,01600,0000,1600SKILLED NURSING FACILITY 426811,A000000,01800,0000,1800NURSING FACILITY 426811,A000000,01810,0000,1810ICF/MR 426811,A000000,01900,0000,1900OTHER LONG TERM CARE 426811,A000000,02100,0000,2100RADIOLOGY 426811,A000000,02200,0000,2200LABORATORY 426811,A000000,02300,0000,2300INTRAVENOUS THERAPY 426811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426811,A000000,02500,0000,2500PHYSICAL THERAPY 426811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426811,A000000,02700,0000,2700SPEECH PATHOLOGY 426811,A000000,02800,0000,2800ELECTROCARDIOLOGY 426811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426811,A000000,03200,0000,3200SUPPORT SURFACES 426811,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426811,A000000,03400,0000,3400CLINIC 426811,A000000,03500,0000,3500RURAL HEALTH CLINIC 426811,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426811,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426811,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426811,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426811,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426811,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426811,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426811,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426811,A000000,04400,0000,4400DME RENTED - HHA 426811,A000000,04500,0000,4500DME SOLD - HHA 426811,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426811,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426811,A000000,04710,0000,4710TELEMEDICINE 426811,A000000,04800,0000,4800AMBULANCE 426811,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426811,A000000,05000,0000,5000CORF 426811,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426811,A000000,05300,0000,5300INTEREST EXPENSE 426811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426811,A000000,05500,0000,5500HOSPICE 426811,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426811,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426811,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426811,A000000,06100,0000,6100NONPAID WORKERS 426811,A000000,06200,0000,6200PATIENTS LAUNDRY 426811,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426811,A81000A,00100,0100,Y 426811,A81000B,00100,0300,NURSING SUPPLIES 426811,A81000B,00200,0300,HOME OFFICE COSTS 426811,A81000C,00100,0100,A 426811,A81000C,00100,0200,MOHAMMAD QAZI 426811,A81000C,00100,0400,MED SUPPLY CORP 426811,A81000C,00100,0600,NURSING SUPPLIES 426811,A81000C,00200,0100,A 426811,A81000C,00200,0200,MOHAMMAD QAZI 426811,A81000C,00200,0400,CIENA HEALTHCARE MGMT 426811,A81000C,00200,0600,HOME OFFICE 426811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426811,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426811,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426811,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426811,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426811,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426811,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426811,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426811,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426811,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426811,G300000,02500,0000,MISCELLANEOUS 426811,S000000,00100,0200,02/28/12 426811,S200000,00100,0100,111 WESTCOTT ROAD 426811,S200000,00200,0100,DANIELSON 426811,S200000,00200,0200,CT 426811,S200000,00200,0300,06239 426811,S200000,00300,0100,WINDHAM 426811,S200000,00300,0201,00007 426811,S200000,00300,0300,R 426811,S200000,00400,0100,REGENCY HEIGHTS OF DANIELSON LLC 426811,S200000,00400,0200,075423 426811,S200000,00400,0300,03/03/00 426811,S200000,00400,0500,P 426811,S200000,01500,0100,Y 426811,S200000,01501,0200,Y 426811,S200000,01600,0100,N 426811,S200000,01700,0100,N 426811,S200000,01800,0100,N 426811,S200000,02200,0100,N 426811,S200000,02800,0100,N 426811,S200000,02900,0100,N 426811,S200000,03000,0100,N 426811,S200000,03100,0100,N 426811,S200000,03200,0100,N 426811,S200000,03300,0100,N 426811,S200000,03300,0200,N 426811,S200000,04100,0100,N 426811,S200000,04200,0100,N 426811,S200000,04300,0100,N 426811,S200000,04600,0100,N 426811,S200000,04700,0100,N 426811,S200000,04700,0200,N 426811,S200000,04900,0100,N 426811,S200000,05000,0100,N 426811,S200000,05100,0100,N 426811,S200000,05200,0100,N 426811,S200000,05300,0100,Y 426811,S200000,05300,0200,90-202 426811,S200000,05400,0100,CIENA HEALTHCARE MGMT INC 426811,S200000,05400,0200,NATIONAL GOVT SERVICES 426811,S200000,05400,0300,00452 426811,S200000,05500,0100,4000 TOWN CENTER SUITE 380 426811,S200000,05600,0100,SOUTHFIELD 426811,S200000,05600,0200,MI 426811,S200000,05600,0300,48075 426812,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426812,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426812,A000000,00300,0000,0300EMPLOYEE BENEFITS 426812,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426812,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426812,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426812,A000000,00700,0000,0700HOUSEKEEPING 426812,A000000,00800,0000,0800DIETARY 426812,A000000,00900,0000,0900NURSING ADMINISTRATION 426812,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426812,A000000,01100,0000,1100PHARMACY 426812,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426812,A000000,01300,0000,1300SOCIAL SERVICE 426812,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426812,A000000,01500,0000,1350OTHER GENERAL SERVICES 426812,A000000,01600,0000,1600SKILLED NURSING FACILITY 426812,A000000,01800,0000,1800NURSING FACILITY 426812,A000000,01810,0000,1810ICF/MR 426812,A000000,01900,0000,1900OTHER LONG TERM CARE 426812,A000000,02100,0000,2100RADIOLOGY 426812,A000000,02200,0000,2200LABORATORY 426812,A000000,02300,0000,2300INTRAVENOUS THERAPY 426812,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426812,A000000,02500,0000,2500PHYSICAL THERAPY 426812,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426812,A000000,02700,0000,2700SPEECH PATHOLOGY 426812,A000000,02800,0000,2800ELECTROCARDIOLOGY 426812,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426812,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426812,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426812,A000000,03200,0000,3200SUPPORT SURFACES 426812,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426812,A000000,03400,0000,3400CLINIC 426812,A000000,03500,0000,3500RURAL HEALTH CLINIC 426812,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426812,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426812,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426812,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426812,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426812,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426812,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426812,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426812,A000000,04400,0000,4400DME RENTED - HHA 426812,A000000,04500,0000,4500DME SOLD - HHA 426812,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426812,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426812,A000000,04710,0000,4710TELEMEDICINE 426812,A000000,04800,0000,4800AMBULANCE 426812,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426812,A000000,05000,0000,5000CORF 426812,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426812,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426812,A000000,05300,0000,5300INTEREST EXPENSE 426812,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426812,A000000,05500,0000,5500HOSPICE 426812,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426812,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426812,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426812,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426812,A000000,06100,0000,6100NONPAID WORKERS 426812,A000000,06200,0000,6200PATIENTS LAUNDRY 426812,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426812,A81000A,00100,0100,Y 426812,A81000B,00100,0300,NURSING SUPPLIES 426812,A81000B,00200,0300,HOME OFFICE COSTS 426812,A81000C,00100,0100,A 426812,A81000C,00100,0200,MOHAMMAD QAZI 426812,A81000C,00100,0400,MED SUPPLY CORP 426812,A81000C,00100,0600,NURSING SUPPLIES 426812,A81000C,00200,0100,A 426812,A81000C,00200,0200,MOHAMMAD QAZI 426812,A81000C,00200,0400,CIENA HEALTHCARE MGMT 426812,A81000C,00200,0600,HOME OFFICE 426812,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426812,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426812,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426812,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426812,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426812,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426812,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426812,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426812,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426812,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426812,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426812,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426812,S000000,00100,0200,02/28/12 426812,S200000,00100,0100,595 VALLEY STREET 426812,S200000,00200,0100,WILLIMANTIC 426812,S200000,00200,0200,CT 426812,S200000,00200,0300,06226 426812,S200000,00300,0100,WINDHAM 426812,S200000,00300,0201,00007 426812,S200000,00300,0300,R 426812,S200000,00400,0100,REGENCY HEIGHTS OF WINDHAM LLC 426812,S200000,00400,0200,075425 426812,S200000,00400,0300,03/15/00 426812,S200000,00400,0500,P 426812,S200000,01500,0100,Y 426812,S200000,01501,0200,Y 426812,S200000,01600,0100,N 426812,S200000,01700,0100,N 426812,S200000,01800,0100,N 426812,S200000,02200,0100,N 426812,S200000,02800,0100,N 426812,S200000,02900,0100,N 426812,S200000,03000,0100,N 426812,S200000,03100,0100,N 426812,S200000,03200,0100,N 426812,S200000,03300,0100,N 426812,S200000,03300,0200,N 426812,S200000,04100,0100,N 426812,S200000,04200,0100,N 426812,S200000,04300,0100,N 426812,S200000,04600,0100,N 426812,S200000,04700,0100,N 426812,S200000,04700,0200,N 426812,S200000,04900,0100,N 426812,S200000,05000,0100,N 426812,S200000,05100,0100,N 426812,S200000,05200,0100,N 426812,S200000,05300,0100,Y 426812,S200000,05300,0200,90-202 426812,S200000,05400,0100,CIENA HEALTHCARE MGMT INC 426812,S200000,05400,0200,NATIONAL GOVT SERVICES 426812,S200000,05400,0300,00452 426812,S200000,05500,0100,4000 TOWN CENTER SUITE 380 426812,S200000,05600,0100,SOUTHFIELD 426812,S200000,05600,0200,MI 426812,S200000,05600,0300,48075 426813,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 426813,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 426813,A000000,00300,0000,0300EMPLOYEE BENEFITS 426813,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426813,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 426813,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426813,A000000,00700,0000,0700HOUSEKEEPING 426813,A000000,00800,0000,0800DIETARY 426813,A000000,00900,0000,0900NURSING ADMINISTRATION 426813,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426813,A000000,01100,0000,1100PHARMACY 426813,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426813,A000000,01300,0000,1300SOCIAL SERVICE 426813,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 426813,A000000,01600,0000,1600SKILLED NURSING FACILITY 426813,A000000,01810,0000,1810ICF/MR 426813,A000000,02100,0000,2100RADIOLOGY 426813,A000000,02200,0000,2200LABORATORY 426813,A000000,02500,0000,2500PHYSICAL THERAPY 426813,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426813,A000000,02700,0000,2700SPEECH PATHOLOGY 426813,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426813,A000000,03550,0000,3550FQHC 426813,A000000,04801,0000,4801AMBULANCE 426813,A000000,04802,0000,4802AMBULANCE 426813,A000000,04803,0000,4803AMBULANCE 426813,A000000,05000,0000,5000CORF 426813,A000000,05010,0000,5010CMHC 426813,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426813,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426813,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426813,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426813,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 426813,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426813,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426813,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 426813,A000000,06302,0000,6152STONE COUNTY MEDICAL CENTER 426813,A000000,06303,0000,6153STONE COUNTY HHA MEDICAL 426813,A000000,06304,0000,6154NORTH ARKANSAS LIFE CARE 426813,A000000,06305,0000,6155STONE COUNTY HHA 426813,A81000A,00100,0100,Y 426813,A81000B,00100,0300,CORPORATE OFFICE ADMIN 426813,A81000C,00100,0100,B 426813,A81000C,00100,0200,WHITE RIVER MED CENTER 426813,A81000C,00100,0400,WHITE RIVER MED CENTER 426813,A81000C,00100,0600,NFP HOSPITAL 426813,B100000,00000,0100,0100SQUARE FEET 426813,B100000,00000,0200,0200SQUARE FEET 426813,B100000,00000,0300,0300GROSS SALARIES 426813,B100000,00000,0400,0400ACCUM COST 426813,B100000,00000,0500,0500SQUARE FEET 426813,B100000,00000,0600,0600PATIENT DAYS 426813,B100000,00000,0700,0700SQUARE FEET 426813,B100000,00000,0800,0800MEALS SERVED 426813,B100000,00000,0900,0900HOURS SUPERVISED 426813,B100000,00000,1000,1000PATIENT DAYS 426813,B100000,00000,1100,1100PATIENT DAYS 426813,B100000,00000,1200,1200GROSS REVENUES 426813,B100000,00000,1300,1300PATIENT DAYS 426813,B100000,00000,1400,1400ASSIGNED TIME 426813,S000000,00100,0200,03/01/12 426813,S200000,00100,0100,706 OAK GROVE 426813,S200000,00200,0100,MOUNTAIN VIEW 426813,S200000,00200,0200,AR 426813,S200000,00200,0300,72560 426813,S200000,00300,0100,STONE 426813,S200000,00300,0201,99904 426813,S200000,00300,0300,R 426813,S200000,00400,0100,STONE COUNTY NURSING & REHAB 426813,S200000,00400,0200,045146 426813,S200000,00400,0300,04/01/99 426813,S200000,00400,0500,P 426813,S200000,01500,0100,N 426813,S200000,01501,0200,Y 426813,S200000,01600,0100,Y 426813,S200000,01700,0100,N 426813,S200000,01800,0100,N 426813,S200000,02200,0100,N 426813,S200000,02800,0100,N 426813,S200000,02900,0100,N 426813,S200000,03000,0100,N 426813,S200000,03100,0100,N 426813,S200000,03200,0100,N 426813,S200000,03300,0100,N 426813,S200000,03300,0200,N 426813,S200000,04200,0100,N 426813,S200000,04300,0100,N 426813,S200000,04600,0100,N 426813,S200000,04700,0100,N 426813,S200000,04900,0100,N 426813,S200000,05200,0100,N 426825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426825,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426825,A000000,00300,0000,0300EMPLOYEE BENEFITS 426825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426825,A000000,00700,0000,0700HOUSEKEEPING 426825,A000000,00800,0000,0800DIETARY 426825,A000000,00900,0000,0900NURSING ADMINISTRATION 426825,A000000,00901,0000,0901OTHER NURSING 426825,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426825,A000000,01100,0000,1100PHARMACY 426825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426825,A000000,01300,0000,1300SOCIAL SERVICE 426825,A000000,01301,0000,1301ACTIVITIES 426825,A000000,01600,0000,1600SKILLED NURSING FACILITY 426825,A000000,01800,0000,1800NURSING FACILITY 426825,A000000,02100,0000,2100RADIOLOGY 426825,A000000,02200,0000,2200LABORATORY 426825,A000000,02300,0000,2300INTRAVENOUS THERAPY 426825,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426825,A000000,02500,0000,2500PHYSICAL THERAPY 426825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426825,A000000,02700,0000,2700SPEECH PATHOLOGY 426825,A000000,02800,0000,2800ELECTROCARDIOLOGY 426825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426825,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426825,A000000,03200,0000,3200SUPPORT SURFACES 426825,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426825,A000000,03301,0000,3051NUTRITIONAL THERAPY 426825,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 426825,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 426825,A000000,03400,0000,3400CLINIC 426825,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426825,A000000,04800,0000,4800AMBULANCE 426825,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426825,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426825,A000000,05300,0000,5300INTEREST EXPENSE 426825,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426825,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426825,A000000,06200,0000,6200PATIENTS LAUNDRY 426825,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426825,A000000,06301,0000,6151DAY CARE REHAB SERVICES 426825,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 426825,A000000,06303,0000,6153DISTRICT OFFICE SPACE 426825,A81000A,00100,0100,Y 426825,A81000B,00100,0300,NORTHEAST HOSPITAL INC 426825,A81000B,00200,0300,NORTHEAST HOSPITAL INC 426825,A81000B,00300,0300,HEALTH & EDUCATION SVCS INC 426825,A81000B,00400,0300,NORTHEAST HOSPITAL INC 426825,A81000B,00500,0300,NORTHEAST PROFESSIONAL REGISTRY 426825,A81000B,00600,0300,NORTHEAST HEALTH SYSTEM 426825,A81000B,00700,0300,BEVERLY HOSPITAL 426825,A81000B,00800,0300,NORTHEAST HOSPITAL INC 426825,A81000B,00900,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000B,01000,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000B,01100,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000B,01200,0300,NORTHEAST HOSPITAL INC 426825,A81000B,01300,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000B,01400,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000B,01500,0300,NORTHEAST HOSPITAL CORPORATION 426825,A81000C,00100,0100,B 426825,A81000C,00100,0400,KINDRED HEALTHCARE INC. 426825,A81000C,00100,0600,ADMINISTRATIVE SERVICES 426825,A81000C,00200,0100,B 426825,A81000C,00200,0400,CORNERSTONE INSURANCE CO 426825,A81000C,00200,0600,LIABILITY INSURANCE 426825,A81000C,00300,0600,WORKERS COMPENSATION 426825,A81000C,00400,0100,B 426825,A81000C,00400,0400,PEOPLEFIRST 426825,A81000C,00400,0600,THERAPY SERVICES 426825,A81000C,00500,0400,REHABILITATION 426825,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426825,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426825,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426825,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426825,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426825,B100000,00000,0600,0650PATIENTS DAYS :LAUNDRY & LINEN 426825,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426825,B100000,00000,0800,0850PATIENTS DAYS :DIETARY 426825,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 426825,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 426825,B100000,00000,1000,1050PATIENTS DAYS :CENTRAL SERVICES 426825,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426825,B100000,00000,1300,1330PATIENTS DAYS :SOCIAL SERVICE 426825,B100000,00000,1301,1331PATIENTS DAYS :ACTIVITIES 426825,G300000,02500,0000,OTHER (SPECIFY) 426825,S000000,00100,0200,02/07/12 426825,S200000,00100,0100,292 WASHINGTON STREET 426825,S200000,00200,0100,GLOUCESTER 426825,S200000,00200,0200,MA 426825,S200000,00200,0300,01930 426825,S200000,00300,0100,ESSEX 426825,S200000,00300,0201,37764 426825,S200000,00300,0300,U 426825,S200000,00400,0100,975 SEACOAST NURSING AND REHAB CTR 426825,S200000,00400,0200,225567 426825,S200000,00400,0300,02/10/93 426825,S200000,00400,0500,P 426825,S200000,01500,0100,Y 426825,S200000,01501,0200,Y 426825,S200000,01502,0200,Y 426825,S200000,01503,0200,Y 426825,S200000,01504,0200,Y 426825,S200000,01600,0100,N 426825,S200000,01700,0100,N 426825,S200000,01800,0100,N 426825,S200000,02200,0100,Y 426825,S200000,02800,0100,Y 426825,S200000,02900,0100,N 426825,S200000,03000,0100,N 426825,S200000,03100,0100,N 426825,S200000,03200,0100,N 426825,S200000,03300,0100,N 426825,S200000,03300,0200,N 426825,S200000,04100,0100,N 426825,S200000,04200,0100,N 426825,S200000,04300,0100,N 426825,S200000,04600,0100,N 426825,S200000,04700,0100,N 426825,S200000,04700,0200,N 426825,S200000,04900,0100,N 426825,S200000,05000,0100,N 426825,S200000,05100,0100,N 426825,S200000,05200,0100,N 426825,S200000,05300,0100,N 426826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426826,A000000,00300,0000,0300EMPLOYEE BENEFITS 426826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426826,A000000,00700,0000,0700HOUSEKEEPING 426826,A000000,00800,0000,0800DIETARY 426826,A000000,00900,0000,0900NURSING ADMINISTRATION 426826,A000000,01300,0000,1300SOCIAL SERVICE 426826,A000000,01600,0000,1600SKILLED NURSING FACILITY 426826,A000000,01900,0000,1900OTHER LONG TERM CARE 426826,A000000,02100,0000,2100RADIOLOGY 426826,A000000,02200,0000,2200LABORATORY 426826,A000000,02300,0000,2300INTRAVENOUS THERAPY 426826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426826,A000000,02500,0000,2500PHYSICAL THERAPY 426826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426826,A000000,02700,0000,2700SPEECH PATHOLOGY 426826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426826,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426826,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426826,A000000,05300,0000,5300INTEREST EXPENSE 426826,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426826,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426826,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426826,A81000A,00100,0100,N 426826,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426826,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426826,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426826,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426826,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426826,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426826,B100000,00000,0800,0800MEALS SERVED :DIETARY 426826,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426826,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426826,G300000,02500,0000,ROOM RESERVATION 426826,G300000,02501,0000,OPIC REVENUE 426826,G300000,02502,0000,FOUNDATION REVENUE 426826,G300000,02503,0000,MISCELLANEOUS INCOME 426826,S000000,00100,0200,02/22/12 426826,S200000,00100,0100,1500 CALVARY CHURCH ROAD 426826,S200000,00200,0100,FESTUS 426826,S200000,00200,0200,MO 426826,S200000,00200,0300,63028 426826,S200000,00300,0100,JEFFERSON 426826,S200000,00300,0200,7040 426826,S200000,00300,0201,41180 426826,S200000,00300,0300,U 426826,S200000,00400,0100,CRYSTAL OAKS LONG TERM CARE 426826,S200000,00400,0200,265369 426826,S200000,00400,0300,03/01/07 426826,S200000,00400,0500,P 426826,S200000,00400,0600,P 426826,S200000,01500,0100,Y 426826,S200000,01501,0200,Y 426826,S200000,01502,0200,Y 426826,S200000,01503,0200,Y 426826,S200000,01504,0200,Y 426826,S200000,01600,0100,N 426826,S200000,01700,0100,N 426826,S200000,01800,0100,N 426826,S200000,02200,0100,N 426826,S200000,02800,0100,N 426826,S200000,02900,0100,N 426826,S200000,03000,0100,N 426826,S200000,03100,0100,N 426826,S200000,03200,0100,N 426826,S200000,03300,0100,N 426826,S200000,03300,0200,N 426826,S200000,04100,0100,N 426826,S200000,04200,0100,N 426826,S200000,04300,0100,N 426826,S200000,04600,0100,N 426826,S200000,04700,0100,N 426826,S200000,04700,0200,N 426826,S200000,04900,0100,N 426826,S200000,05000,0100,N 426826,S200000,05100,0100,N 426826,S200000,05200,0100,N 426835,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426835,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426835,A000000,00300,0000,0300EMPLOYEE BENEFITS 426835,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426835,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426835,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426835,A000000,00700,0000,0700HOUSEKEEPING 426835,A000000,00800,0000,0800DIETARY 426835,A000000,00900,0000,0900NURSING ADMINISTRATION 426835,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426835,A000000,01100,0000,1100PHARMACY 426835,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426835,A000000,01300,0000,1300SOCIAL SERVICE 426835,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426835,A000000,01500,0000,1350ACTIVITIES AL SERVICES 426835,A000000,01600,0000,1600SKILLED NURSING FACILITY 426835,A000000,01800,0000,1800NURSING FACILITY 426835,A000000,01810,0000,1810ICF/MR 426835,A000000,01900,0000,1900OTHER LONG TERM CARE 426835,A000000,02100,0000,2100RADIOLOGY 426835,A000000,02200,0000,2200LABORATORY 426835,A000000,02300,0000,2300INTRAVENOUS THERAPY 426835,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426835,A000000,02500,0000,2500PHYSICAL THERAPY 426835,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426835,A000000,02700,0000,2700SPEECH PATHOLOGY 426835,A000000,02800,0000,2800ELECTROCARDIOLOGY 426835,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426835,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426835,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426835,A000000,03200,0000,3200SUPPORT SURFACES 426835,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426835,A000000,03400,0000,3400CLINIC 426835,A000000,03500,0000,3500RURAL HEALTH CLINIC 426835,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426835,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426835,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426835,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426835,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426835,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426835,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426835,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426835,A000000,04400,0000,4400DME RENTED - HHA 426835,A000000,04500,0000,4500DME SOLD - HHA 426835,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426835,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426835,A000000,04800,0000,4800AMBULANCE 426835,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426835,A000000,05000,0000,5000CORF 426835,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426835,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426835,A000000,05300,0000,5300INTEREST EXPENSE 426835,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426835,A000000,05500,0000,5500HOSPICE 426835,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426835,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426835,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426835,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426835,A000000,06001,0000,6001ASSISTED LIVING 426835,A000000,06002,0000,6002RESIDENT SERVICES 426835,A000000,06003,0000,6003COMMUNITY RELATIONS 426835,A000000,06100,0000,6100NONPAID WORKERS 426835,A000000,06200,0000,6200PATIENTS LAUNDRY 426835,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426835,A81000A,00100,0100,N 426835,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426835,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426835,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426835,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426835,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426835,B100000,00000,0600,0650LBS LAUNDRY :LAUNDRY & LINEN SE 426835,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426835,B100000,00000,0800,0800MEALS SERVED :DIETARY 426835,B100000,00000,0900,0950DIRCET NRSG HRS :NURSING ADMINIS 426835,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426835,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426835,B100000,00000,1300,1330TOTAL PATIENT D :SOCIAL SERVICE 426835,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 426835,H513100,00000,0000,16820 426835,H513200,00000,0000,31340 426835,S000000,00100,0200,02/28/12 426835,S200000,00100,0100,501 VES ROAD 426835,S200000,00200,0100,LYNCHBURG 426835,S200000,00200,0200,VA 426835,S200000,00200,0300,24503 426835,S200000,00300,0100,USA 426835,S200000,00300,0201,31340 426835,S200000,00300,0300,U 426835,S200000,00400,0100,WESTMINSTER CANTERBURY OF LYNCHBURG 426835,S200000,00400,0200,495120 426835,S200000,00400,0300,05/14/80 426835,S200000,00400,0500,P 426835,S200000,00600,0200,495120 426835,S200000,00600,0300,05/14/80 426835,S200000,00600,0600,P 426835,S200000,00800,0200,497665 426835,S200000,00800,0300,10/15/10 426835,S200000,00800,0500,P 426835,S200000,01500,0100,Y 426835,S200000,01501,0200,Y 426835,S200000,01600,0100,N 426835,S200000,01700,0100,N 426835,S200000,01800,0100,N 426835,S200000,02200,0100,N 426835,S200000,02800,0100,N 426835,S200000,02900,0100,N 426835,S200000,03000,0100,N 426835,S200000,03100,0100,N 426835,S200000,03200,0100,N 426835,S200000,03300,0100,N 426835,S200000,03300,0200,N 426835,S200000,03500,0300,N 426835,S200000,03700,0100,N 426835,S200000,03700,0200,N 426835,S200000,04100,0100,N 426835,S200000,04200,0100,N 426835,S200000,04300,0100,N 426835,S200000,04600,0100,N 426835,S200000,04700,0100,N 426835,S200000,04700,0200,N 426835,S200000,04900,0100,N 426835,S200000,05000,0100,N 426835,S200000,05100,0100,N 426835,S200000,05200,0100,N 426835,S410002,01700,0101,16820 426835,S410002,01701,0101,31340 426836,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426836,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 426836,A000000,00102,0000,0102CAP REL COSTS - BLDGS & FIXTURES 426836,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426836,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIPME 426836,A000000,00202,0000,0202CAP REL COSTS - MOVEABLE EQUIPME 426836,A000000,00300,0000,0300EMPLOYEE BENEFITS 426836,A000000,00301,0000,0301EMPLOYEE BENEFITS - HHA 426836,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL - HCF/C 426836,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL - ALL 426836,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426836,A000000,00501,0000,0501PLANT OPERATIONS 426836,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426836,A000000,00700,0000,0700HOUSEKEEPING 426836,A000000,00800,0000,0800DIETARY 426836,A000000,00801,0000,0801CAFETERIA 426836,A000000,00900,0000,0900NURSING ADMINISTRATION 426836,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426836,A000000,01300,0000,1300SOCIAL SERVICE 426836,A000000,01600,0000,1600SKILLED NURSING FACILITY 426836,A000000,01900,0000,1900OTHER LONG TERM CARE 426836,A000000,02100,0000,2100RADIOLOGY 426836,A000000,02200,0000,2200LABORATORY 426836,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426836,A000000,02500,0000,2500PHYSICAL THERAPY 426836,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426836,A000000,02700,0000,2700SPEECH PATHOLOGY 426836,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426836,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426836,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426836,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426836,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426836,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426836,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426836,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426836,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426836,A000000,04400,0000,4400DME RENTED - HHA 426836,A000000,04500,0000,4500DME SOLD - HHA 426836,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426836,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426836,A000000,04710,0000,4710TELEMEDICINE 426836,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426836,A000000,06300,0000,6150TRANSPORTATION 426836,A000000,06301,0000,6151MARKETING/FUNDRAISING 426836,A000000,06302,0000,6152COTTAGES 426836,A000000,06303,0000,6153DENTIST 426836,A000000,06304,0000,6154FITNESS AND WELLNESS 426836,A81000A,00100,0100,Y 426836,A81000B,00100,0300,ADMINISTRATIVE MANAGEMENT FEE 426836,A81000B,00200,0300,CAPITAL RELATED COSTS - HCF 426836,A81000B,00300,0300,CAPITAL RELATED COSTS - COTTAGES 426836,A81000B,00400,0300,MOVEABLE EQUIPMENT - HCF 426836,A81000B,00500,0300,MOVEABLE EQUIPMENT - COTTAGES 426836,A81000B,00600,0300,ADMINISTRATIVE MANAGEMENT FEE 426836,A81000B,00700,0300,CAPITAL RELATED COSTS - HHA 426836,A81000B,00800,0300,MOVEABLE EQUIPMENT - HHA 426836,A81000B,00900,0300,OFFICE RENT 426836,A81000C,00100,0100,B 426836,A81000C,00100,0200,CHURCH HOMES I 426836,A81000C,00200,0100,B 426836,A81000C,00200,0200,THE HEIGHTS 426836,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426836,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 426836,B100000,00000,0102,0102SQUARE FEET :CAP REL COSTS - BL 426836,B100000,00000,0200,0250DIRECT COSTS :CAP REL COSTS - M 426836,B100000,00000,0201,0201SQUARE FEET :CAP REL COSTS - MO 426836,B100000,00000,0202,0202SQUARE FEET :CAP REL COSTS - MO 426836,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426836,B100000,00000,0301,0301GROSS SALARIES :EMPLOYEE BENEFI 426836,B100000,00000,0401,0401 ACCUM. COST :ADMINISTRATIVE & G 426836,B100000,00000,0402,0402 ACCUM. COST :ADMINISTRATIVE & G 426836,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426836,B100000,00000,0501,0501SQUARE FEET :PLANT OPERATIONS 426836,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426836,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426836,B100000,00000,0800,0800MEALS SERVED :DIETARY 426836,B100000,00000,0801,0851FTES :CAFETERIA 426836,B100000,00000,0900,0950GROSS REVENUE :NURSING ADMINIST 426836,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426836,B100000,00000,1300,1330GROSS REVENUE :SOCIAL SERVICE 426836,G300000,02500,0000, FINANCE CHARGES 426836,G300000,02501,0000, GUEST ROOM 426836,G300000,02502,0000, NURSING ASSESSMENTS 426836,G300000,02503,0000, REST FUND DIST - ALREADY DISALLO 426836,G300000,02504,0000, FLU VACCINE 426836,G300000,02505,0000, POOL FEES 426836,G300000,02506,0000, LOST BADGE FEE 426836,G300000,02507,0000, HOME HEALTH/ALSA REVENUE 426836,G300000,02508,0000, RETURNED CHECK FEE 426836,H513100,00000,0000,25540 426836,S000000,00100,0200,02/20/12 426836,S200000,00100,0100,705 NEW BRITAIN AVENUE 426836,S200000,00200,0100,HARTFORD 426836,S200000,00200,0200,CT 426836,S200000,00200,0300,06106 426836,S200000,00300,0100,HARTFORD 426836,S200000,00300,0200,3283 426836,S200000,00300,0201,00701 426836,S200000,00300,0300,U 426836,S200000,00400,0100,AVERY HEIGHTS 426836,S200000,00400,0200,075063 426836,S200000,00400,0300,01/01/67 426836,S200000,00400,0500,P 426836,S200000,00800,0200,077182 426836,S200000,00800,0300,12/10/91 426836,S200000,00800,0500,P 426836,S200000,01500,0100,Y 426836,S200000,01501,0200,Y 426836,S200000,01502,0200,Y 426836,S200000,01600,0100,N 426836,S200000,01700,0100,N 426836,S200000,01800,0100,N 426836,S200000,02200,0100,N 426836,S200000,02800,0100,Y 426836,S200000,02900,0100,N 426836,S200000,03000,0100,N 426836,S200000,03100,0100,N 426836,S200000,03200,0100,N 426836,S200000,03300,0100,N 426836,S200000,03300,0200,N 426836,S200000,03600,0100,N 426836,S200000,03600,0200,N 426836,S200000,03700,0100,N 426836,S200000,03700,0200,N 426836,S200000,04100,0100,N 426836,S200000,04200,0100,N 426836,S200000,04300,0100,N 426836,S200000,04600,0100,N 426836,S200000,04700,0100,N 426836,S200000,04700,0200,N 426836,S200000,04900,0100,N 426836,S200000,05000,0100,N 426836,S200000,05100,0100,N 426836,S200000,05200,0100,N 426836,S200000,05300,0100,Y 426836,S200000,05300,0200,HB0070 426836,S200000,05400,0100,CHURCH HOMES INC. 426836,S200000,05400,0200,NGS 426836,S200000,05400,0300,HB0070 426836,S200000,05500,0100,217 AVERY HEIGHTS 426836,S200000,05600,0100,HARTFORD 426836,S200000,05600,0200,CT 426836,S200000,05600,0300,06106-4200 426836,S410002,01700,0101,25540 426837,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426837,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426837,A000000,00300,0000,0300EMPLOYEE BENEFITS 426837,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426837,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426837,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426837,A000000,00700,0000,0700HOUSEKEEPING 426837,A000000,00800,0000,0800DIETARY 426837,A000000,00900,0000,0900NURSING ADMINISTRATION 426837,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426837,A000000,01100,0000,1100PHARMACY 426837,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426837,A000000,01300,0000,1300SOCIAL SERVICE 426837,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426837,A000000,01500,0000,1350RECREATIONAL SERVICES 426837,A000000,01600,0000,1600SKILLED NURSING FACILITY 426837,A000000,01800,0000,1800NURSING FACILITY 426837,A000000,01810,0000,1810ICF/MR 426837,A000000,01900,0000,1900OTHER LONG TERM CARE 426837,A000000,02100,0000,2100RADIOLOGY 426837,A000000,02200,0000,2200LABORATORY 426837,A000000,02300,0000,2300INTRAVENOUS THERAPY 426837,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426837,A000000,02500,0000,2500PHYSICAL THERAPY 426837,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426837,A000000,02700,0000,2700SPEECH PATHOLOGY 426837,A000000,02800,0000,2800ELECTROCARDIOLOGY 426837,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426837,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426837,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426837,A000000,03200,0000,3200SUPPORT SURFACES 426837,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426837,A000000,03400,0000,3400CLINIC 426837,A000000,03500,0000,3500RURAL HEALTH CLINIC 426837,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426837,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426837,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426837,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426837,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426837,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426837,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426837,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426837,A000000,04400,0000,4400DME RENTED - HHA 426837,A000000,04500,0000,4500DME SOLD - HHA 426837,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426837,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426837,A000000,04710,0000,4710TELEMEDICINE 426837,A000000,04800,0000,4800AMBULANCE 426837,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426837,A000000,05000,0000,5000CORF 426837,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426837,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426837,A000000,05300,0000,5300INTEREST EXPENSE 426837,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426837,A000000,05500,0000,5500HOSPICE 426837,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426837,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426837,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426837,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426837,A000000,06100,0000,6100NONPAID WORKERS 426837,A000000,06200,0000,6200PATIENTS LAUNDRY 426837,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426837,A81000A,00100,0100,Y 426837,A81000B,00100,0300,LAUNDRY & LINEN SERVICES 426837,A81000B,00200,0300,SALARY 426837,A81000B,00300,0300,REAL ESTATE LEASES 426837,A81000B,00400,0300,STORAGE RENT 426837,A81000B,00500,0300,OWNER S SALARY 426837,A81000B,00600,0300,MORTGAGE INTEREST 426837,A81000C,00100,0100,A 426837,A81000C,00100,0400,NORWICHTOWN REHABILITATIO 426837,A81000C,00100,0600,NURSINGHOME 426837,A81000C,00200,0100,A 426837,A81000C,00200,0400,NORWICHTOWN REHABILITATIO 426837,A81000C,00200,0600,NURSINGHOME 426837,A81000C,00300,0100,A 426837,A81000C,00300,0200,LEONORE KALLEN 426837,A81000C,00400,0100,A 426837,A81000C,00400,0200,LEONORE KALLEN 426837,A81000C,00500,0100,A 426837,A81000C,00500,0200,KEN KALLEN 426837,A81000C,00600,0100,A 426837,A81000C,00600,0400,NORWICHTOWN REHABILITATIO 426837,A81000C,00600,0600,NURSINGHOME 426837,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426837,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426837,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426837,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426837,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426837,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426837,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 426837,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426837,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426837,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426837,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426837,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426837,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426837,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 426837,G300000,02500,0000,INTEREST INCOME 426837,G300000,02501,0000,EMPLOYEE BADGES REVENUE 426837,G300000,02502,0000,FAMILY MEALS REVENUE 426837,G300000,02503,0000,VENDING MACHINE REVENUE 426837,G300000,02504,0000,MISCELLANEOUS INCOME 426837,S000000,00100,0200,02/02/12 426837,S200000,00100,0100,88 CLARK LANE 426837,S200000,00200,0100,WATERFORD 426837,S200000,00200,0200,CT 426837,S200000,00200,0300,06385 426837,S200000,00300,0100,NEW LONDON 426837,S200000,00300,0201,35980 426837,S200000,00300,0300,U 426837,S200000,00400,0100,FOUNTANVIEW CARE CENTER 426837,S200000,00400,0200,075158 426837,S200000,00400,0300,03/22/84 426837,S200000,00400,0500,P 426837,S200000,01500,0100,Y 426837,S200000,01502,0200,Y 426837,S200000,01504,0200,Y 426837,S200000,01600,0100,N 426837,S200000,01700,0100,N 426837,S200000,01800,0100,N 426837,S200000,02200,0100,N 426837,S200000,02800,0100,N 426837,S200000,02900,0100,N 426837,S200000,03000,0100,N 426837,S200000,03100,0100,N 426837,S200000,03200,0100,N 426837,S200000,03300,0100,N 426837,S200000,03300,0200,N 426837,S200000,04100,0100,N 426837,S200000,04200,0100,N 426837,S200000,04300,0100,N 426837,S200000,04600,0100,N 426837,S200000,04700,0100,N 426837,S200000,04700,0200,N 426837,S200000,04900,0100,N 426837,S200000,05000,0100,N 426837,S200000,05100,0100,N 426837,S200000,05200,0100,N 426837,S200000,05300,0100,N 426838,S000000,00100,0200,02/24/12 426838,S200000,00100,0100,HIGHWAY 55 & 59 S 426838,S200000,00100,0300,248 426838,S200000,00200,0100,BARRETT 426838,S200000,00200,0200,MN 426838,S200000,00200,0300,56311-0248 426838,S200000,00300,0100,GRANT 426838,S200000,00400,0100,BARRETT CARE CENTER 426838,S200000,00400,0300,10/01/91 426877,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426877,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426877,A000000,00300,0000,0300EMPLOYEE BENEFITS 426877,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426877,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426877,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426877,A000000,00700,0000,0700HOUSEKEEPING 426877,A000000,00800,0000,0800DIETARY 426877,A000000,00900,0000,0900NURSING ADMINISTRATION 426877,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426877,A000000,01100,0000,1100PHARMACY 426877,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426877,A000000,01300,0000,1300SOCIAL SERVICE 426877,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426877,A000000,01500,0000,1350OTHER GENERAL SERVICES 426877,A000000,01600,0000,1600SKILLED NURSING FACILITY 426877,A000000,01800,0000,1800NURSING FACILITY 426877,A000000,01810,0000,1810ICF/MR 426877,A000000,01900,0000,1900OTHER LONG TERM CARE 426877,A000000,02100,0000,2100RADIOLOGY 426877,A000000,02200,0000,2200LABORATORY 426877,A000000,02300,0000,2300INTRAVENOUS THERAPY 426877,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426877,A000000,02500,0000,2500PHYSICAL THERAPY 426877,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426877,A000000,02700,0000,2700SPEECH PATHOLOGY 426877,A000000,02800,0000,2800ELECTROCARDIOLOGY 426877,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426877,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426877,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426877,A000000,03200,0000,3200SUPPORT SURFACES 426877,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426877,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426877,A000000,04800,0000,4800AMBULANCE 426877,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426877,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426877,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426877,A000000,05300,0000,5300INTEREST EXPENSE 426877,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426877,A000000,05500,0000,5500HOSPICE 426877,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426877,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426877,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426877,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426877,A000000,06100,0000,6100NONPAID WORKERS 426877,A000000,06200,0000,6200PATIENTS LAUNDRY 426877,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426877,A81000A,00100,0100,Y 426877,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 426877,A81000C,00100,0100,C 426877,A81000C,00100,0400,LTC SUPPORT SERVICES 426877,A81000C,00100,0600,HEALTHCARE MNGMT SERVICES 426877,A81000C,00200,0100,B 426877,A81000C,00200,0400,UNLIMITED DEVELOPMENT 426877,A81000C,00200,0600,OPERATOR 426877,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426877,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426877,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426877,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426877,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426877,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426877,B100000,00000,0800,0800MEALS SERVED :DIETARY 426877,B100000,00000,0900,0950DIRECT NURSING HO :NURSING ADMIN 426877,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426877,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426877,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426877,G300000,02500,0000,BARBER AND BEAUTY 426877,G300000,02501,0000,LATE PAYMENT FEE 426877,G300000,02502,0000,MISCELLANEOUS INCOME 426877,G300000,02503,0000,ROUNDING 426877,S000000,00100,0200,02/27/12 426877,S200000,00100,0100,20 VILLAGE CIRCLE 426877,S200000,00200,0100,KEOKUK 426877,S200000,00200,0200,IA 426877,S200000,00200,0300,52632 426877,S200000,00300,0100,LEE 426877,S200000,00300,0200,0016 426877,S200000,00300,0201,16999 426877,S200000,00300,0300,U 426877,S200000,00400,0100,KEOKUK MANOR COURT 426877,S200000,00400,0200,165396 426877,S200000,00400,0300,06/01/10 426877,S200000,00400,0500,P 426877,S200000,01500,0100,Y 426877,S200000,01501,0200,Y 426877,S200000,01600,0100,N 426877,S200000,01700,0100,N 426877,S200000,01800,0100,N 426877,S200000,02200,0100,N 426877,S200000,02800,0100,N 426877,S200000,02900,0100,N 426877,S200000,03000,0100,N 426877,S200000,03100,0100,N 426877,S200000,03200,0100,N 426877,S200000,03300,0100,N 426877,S200000,03300,0200,N 426877,S200000,04100,0100,N 426877,S200000,04200,0100,N 426877,S200000,04300,0100,N 426877,S200000,04600,0100,N 426877,S200000,04700,0100,N 426877,S200000,04700,0200,N 426877,S200000,04900,0100,N 426877,S200000,05000,0100,N 426877,S200000,05100,0100,N 426877,S200000,05200,0100,N 426877,S200000,05300,0100,Y 426877,S200000,05300,0200,HB0173 426877,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 426877,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426877,S200000,05400,0300,00131 426877,S200000,05500,0100,285 FARNHAM STREET 426877,S200000,05600,0100,GALESBURG 426877,S200000,05600,0200,IL 426877,S200000,05600,0300,61401 426878,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426878,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426878,A000000,00300,0000,0300EMPLOYEE BENEFITS 426878,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426878,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426878,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426878,A000000,00700,0000,0700HOUSEKEEPING 426878,A000000,00800,0000,0800DIETARY 426878,A000000,00900,0000,0900NURSING ADMINISTRATION 426878,A000000,00901,0000,0901OTHER NURSING 426878,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426878,A000000,01100,0000,1100PHARMACY 426878,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426878,A000000,01300,0000,1300SOCIAL SERVICE 426878,A000000,01301,0000,1301ACTIVITIES 426878,A000000,01600,0000,1600SKILLED NURSING FACILITY 426878,A000000,01800,0000,1800NURSING FACILITY 426878,A000000,02100,0000,2100RADIOLOGY 426878,A000000,02200,0000,2200LABORATORY 426878,A000000,02300,0000,2300INTRAVENOUS THERAPY 426878,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426878,A000000,02500,0000,2500PHYSICAL THERAPY 426878,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426878,A000000,02700,0000,2700SPEECH PATHOLOGY 426878,A000000,02800,0000,2800ELECTROCARDIOLOGY 426878,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426878,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426878,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426878,A000000,03200,0000,3200SUPPORT SURFACES 426878,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426878,A000000,03301,0000,3051NUTRITIONAL THERAPY 426878,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 426878,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 426878,A000000,03400,0000,3400CLINIC 426878,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426878,A000000,04800,0000,4800AMBULANCE 426878,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426878,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426878,A000000,05300,0000,5300INTEREST EXPENSE 426878,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426878,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426878,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426878,A000000,06200,0000,6200PATIENTS LAUNDRY 426878,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426878,A000000,06301,0000,6151DAY CARE REHAB SERVICES 426878,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 426878,A000000,06303,0000,6153DISTRICT OFFICE SPACE 426878,A81000A,00100,0100,Y 426878,A81000B,00100,0300,HOME OFFICE COSTS 426878,A81000B,00200,0300,LIABILITY INSURANCE 426878,A81000B,00300,0300,WORKERS COMPENSATION 426878,A81000B,00400,0300,PEOPLEFIRST REHAB - PT 426878,A81000B,00500,0300,PEOPLEFIRST REHAB - OT 426878,A81000B,00600,0300,PEOPLEFIRST REHAB - ST 426878,A81000B,01000,0300,NORTHEAST HOSPITAL CORPORATION 426878,A81000B,01100,0300,NORTHEAST HOSPITAL CORPORATION 426878,A81000C,00100,0100,B 426878,A81000C,00100,0200,KINDRED HEALTHCARE 426878,A81000C,00100,0400,KINDRED HEALTHCARE INC. 426878,A81000C,00100,0600,ADMINISTRATIVE SERVICES 426878,A81000C,00200,0400,CORNERSTONE INSURANCE CO 426878,A81000C,00200,0600,LIABILITY INSURANCE 426878,A81000C,00300,0600,WORKERS COMPENSATION 426878,A81000C,00400,0100,B 426878,A81000C,00400,0200,MEDIQUEST SERVICES 426878,A81000C,00400,0400,PEOPLEFIRST 426878,A81000C,00400,0600,THERAPY SERVICES 426878,A81000C,00500,0400,REHABILITATION 426878,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426878,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426878,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426878,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426878,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426878,B100000,00000,0600,0650PATIENTS DAYS :LAUNDRY & LINEN 426878,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426878,B100000,00000,0800,0850PATIENTS DAYS :DIETARY 426878,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 426878,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 426878,B100000,00000,1000,1050PATIENTS DAYS :CENTRAL SERVICES 426878,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426878,B100000,00000,1300,1330PATIENTS DAYS :SOCIAL SERVICE 426878,B100000,00000,1301,1331PATIENTS DAYS :ACTIVITIES 426878,G300000,02500,0000,BARBER/BEAUTY 426878,S000000,00100,0200,02/07/12 426878,S200000,00100,0100,87 HERRICK STREET 426878,S200000,00200,0100,BEVERLY 426878,S200000,00200,0200,MA 426878,S200000,00200,0300,01915 426878,S200000,00300,0100,ESSEX 426878,S200000,00300,0201,37764 426878,S200000,00300,0300,U 426878,S200000,00400,0100,949 LEDGEWOOD REHAB & SKILLED NRSG 426878,S200000,00400,0200,225309 426878,S200000,00400,0300,03/24/88 426878,S200000,00400,0500,P 426878,S200000,01500,0100,Y 426878,S200000,01501,0200,Y 426878,S200000,01502,0200,Y 426878,S200000,01503,0200,Y 426878,S200000,01504,0200,Y 426878,S200000,01600,0100,N 426878,S200000,01700,0100,N 426878,S200000,01800,0100,N 426878,S200000,02200,0100,Y 426878,S200000,02800,0100,Y 426878,S200000,02900,0100,N 426878,S200000,03000,0100,N 426878,S200000,03100,0100,N 426878,S200000,03200,0100,N 426878,S200000,03300,0100,N 426878,S200000,03300,0200,N 426878,S200000,04100,0100,N 426878,S200000,04200,0100,N 426878,S200000,04300,0100,N 426878,S200000,04600,0100,N 426878,S200000,04700,0100,N 426878,S200000,04700,0200,N 426878,S200000,04900,0100,N 426878,S200000,05000,0100,N 426878,S200000,05100,0100,N 426878,S200000,05200,0100,N 426878,S200000,05300,0100,Y 426878,S200000,05300,0200,189003 426878,S200000,05400,0100,KINDRED HEALTHCARE INC. 426878,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 426878,S200000,05400,0300,52280 426878,S200000,05500,0100,680 SOUTH FOURTH STREET 426878,S200000,05600,0100,LOUISVILLE 426878,S200000,05600,0200,KY 426878,S200000,05600,0300,40202 426879,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426879,A000000,00300,0000,0300EMPLOYEE BENEFITS 426879,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426879,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426879,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426879,A000000,00700,0000,0700HOUSEKEEPING 426879,A000000,00800,0000,0800DIETARY 426879,A000000,00900,0000,0900NURSING ADMINISTRATION 426879,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426879,A000000,01100,0000,1100PHARMACY 426879,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426879,A000000,01300,0000,1300SOCIAL SERVICE 426879,A000000,01600,0000,1600SKILLED NURSING FACILITY 426879,A000000,01900,0000,1900OTHER LONG TERM CARE 426879,A000000,02100,0000,2100RADIOLOGY 426879,A000000,02200,0000,2200LABORATORY 426879,A000000,02500,0000,2500PHYSICAL THERAPY 426879,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426879,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426879,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426879,A81000A,00100,0100,N 426879,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426879,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426879,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426879,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426879,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426879,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426879,B100000,00000,0800,0850POUNDS OF LAUNDRY :DIETARY 426879,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426879,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 426879,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 426879,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426879,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426879,G300000,02500,0000,MISCELLANEOUS 426879,G300000,02501,0000,TRANSPORTATION INCOME 426879,G300000,02502,0000,GAINS 426879,S000000,00100,0200,02/23/12 426879,S200000,00100,0100,1ST & PADDOCK STREET 426879,S200000,00100,0300,526 426879,S200000,00200,0100,CRAWFORD 426879,S200000,00200,0200,NE 426879,S200000,00200,0300,69339 426879,S200000,00300,0100,DAWES 426879,S200000,00300,0201,99928 426879,S200000,00300,0300,R 426879,S200000,00400,0100,PONDEROSA VILLA 426879,S200000,00400,0200,285250 426879,S200000,00400,0300,06/01/03 426879,S200000,00400,0500,P 426879,S200000,01500,0100,Y 426879,S200000,01501,0200,N 426879,S200000,01502,0200,N 426879,S200000,01503,0200,N 426879,S200000,01504,0200,N 426879,S200000,01600,0100,N 426879,S200000,01700,0100,N 426879,S200000,01800,0100,N 426879,S200000,02200,0100,N 426879,S200000,02800,0100,N 426879,S200000,02900,0100,N 426879,S200000,03000,0100,N 426879,S200000,03100,0100,N 426879,S200000,03200,0100,N 426879,S200000,03300,0100,N 426879,S200000,03300,0200,N 426879,S200000,04100,0100,N 426879,S200000,04200,0100,N 426879,S200000,04300,0100,N 426879,S200000,04600,0100,N 426879,S200000,04700,0100,N 426879,S200000,04700,0200,N 426879,S200000,04900,0100,N 426879,S200000,05000,0100,N 426879,S200000,05100,0100,N 426879,S200000,05200,0100,N 426879,S200000,05300,0100,N 426885,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426885,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426885,A000000,00300,0000,0300EMPLOYEE BENEFITS 426885,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426885,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426885,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426885,A000000,00700,0000,0700HOUSEKEEPING 426885,A000000,00800,0000,0800DIETARY 426885,A000000,00900,0000,0900NURSING ADMINISTRATION 426885,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426885,A000000,01100,0000,1100PHARMACY 426885,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426885,A000000,01300,0000,1300SOCIAL SERVICE 426885,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426885,A000000,01500,0000,1350DIVERSIONAL THERAPY 426885,A000000,01600,0000,1600SKILLED NURSING FACILITY 426885,A000000,01800,0000,1800NURSING FACILITY 426885,A000000,01810,0000,1810ICF/MR 426885,A000000,01900,0000,1900OTHER LONG TERM CARE 426885,A000000,02100,0000,2100RADIOLOGY 426885,A000000,02200,0000,2200LABORATORY 426885,A000000,02300,0000,2300INTRAVENOUS THERAPY 426885,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426885,A000000,02500,0000,2500PHYSICAL THERAPY 426885,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426885,A000000,02700,0000,2700SPEECH PATHOLOGY 426885,A000000,02800,0000,2800ELECTROCARDIOLOGY 426885,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426885,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426885,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426885,A000000,03200,0000,3200SUPPORT SURFACES 426885,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426885,A000000,03400,0000,3400CLINIC 426885,A000000,03500,0000,3500RURAL HEALTH CLINIC 426885,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426885,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426885,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426885,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426885,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426885,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426885,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426885,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426885,A000000,04400,0000,4400DME RENTED - HHA 426885,A000000,04500,0000,4500DME SOLD - HHA 426885,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426885,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426885,A000000,04710,0000,4710TELEMEDICINE 426885,A000000,04800,0000,4800AMBULANCE 426885,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426885,A000000,05000,0000,5000CORF 426885,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426885,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426885,A000000,05300,0000,5300INTEREST EXPENSE 426885,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426885,A000000,05500,0000,5500HOSPICE 426885,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426885,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426885,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426885,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426885,A000000,06100,0000,6100NONPAID WORKERS 426885,A000000,06200,0000,6200PATIENTS LAUNDRY 426885,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426885,A81000A,00100,0100,Y 426885,A81000B,00100,0300,ADMIN AND GENERAL COUNTY ALLOC PLAN 426885,A81000B,00200,0300,PLANT & OPERATIONS COUNTY ALLOC PLAN 426885,A81000C,00100,0100,B 426885,A81000C,00100,0200,EATON COUNTY 426885,A81000C,00100,0400,EATON COUNTY 426885,A81000C,00100,0600,GOVERNMENT 426885,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426885,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426885,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426885,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426885,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426885,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426885,B100000,00000,0800,0800MEALS SERVED :DIETARY 426885,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426885,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426885,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426885,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 426885,G300000,02500,0000,BEAUTY AND BARBER 426885,G300000,02501,0000,OTHER REVENUE 426885,S000000,00100,0200,02/28/12 426885,S200000,00100,0100,530 BEECH STREET 426885,S200000,00200,0100,CHARLOTTE 426885,S200000,00200,0200,MI 426885,S200000,00200,0300,48813 426885,S200000,00300,0100,EATON 426885,S200000,00300,0200,4040 426885,S200000,00300,0201,29620 426885,S200000,00300,0300,U 426885,S200000,00400,0100,EATON COUNTY MEDICAL CARE FACILITY 426885,S200000,00400,0200,235027 426885,S200000,00400,0300,07/01/66 426885,S200000,00400,0500,P 426885,S200000,01500,0100,Y 426885,S200000,01501,0200,N 426885,S200000,01600,0100,N 426885,S200000,01700,0100,N 426885,S200000,01800,0100,N 426885,S200000,02200,0100,N 426885,S200000,02800,0100,Y 426885,S200000,02900,0100,N 426885,S200000,03000,0100,N 426885,S200000,03100,0100,N 426885,S200000,03200,0100,N 426885,S200000,03300,0100,N 426885,S200000,03300,0200,N 426885,S200000,04100,0100,N 426885,S200000,04200,0100,N 426885,S200000,04300,0100,Y 426885,S200000,04600,0100,N 426885,S200000,04700,0100,N 426885,S200000,04700,0200,N 426885,S200000,04900,0100,N 426885,S200000,05000,0100,N 426885,S200000,05100,0100,N 426885,S200000,05200,0100,N 426886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426886,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426886,A000000,00300,0000,0300EMPLOYEE BENEFITS 426886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426886,A000000,00700,0000,0700HOUSEKEEPING 426886,A000000,00800,0000,0800DIETARY 426886,A000000,00900,0000,0900NURSING ADMINISTRATION 426886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426886,A000000,01300,0000,1300SOCIAL SERVICE 426886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426886,A000000,01500,0000,1350ACTIVITIES 426886,A000000,01600,0000,1600SKILLED NURSING FACILITY 426886,A000000,01800,0000,1800NURSING FACILITY 426886,A000000,01810,0000,1810ICF/MR 426886,A000000,01900,0000,1900OTHER LONG TERM CARE 426886,A000000,02100,0000,2100RADIOLOGY 426886,A000000,02200,0000,2200LABORATORY 426886,A000000,02300,0000,2300INTRAVENOUS THERAPY 426886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426886,A000000,02500,0000,2500PHYSICAL THERAPY 426886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426886,A000000,02700,0000,2700SPEECH PATHOLOGY 426886,A000000,02800,0000,2800ELECTROCARDIOLOGY 426886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426886,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426886,A000000,03200,0000,3200SUPPORT SURFACES 426886,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426886,A000000,03400,0000,3400CLINIC 426886,A000000,03500,0000,3500RURAL HEALTH CLINIC 426886,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426886,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426886,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426886,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426886,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426886,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426886,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426886,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426886,A000000,04400,0000,4400DME RENTED - HHA 426886,A000000,04500,0000,4500DME SOLD - HHA 426886,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426886,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426886,A000000,04710,0000,4710TELEMEDICINE 426886,A000000,04800,0000,4800AMBULANCE 426886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426886,A000000,05000,0000,5000CORF 426886,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426886,A000000,05300,0000,5300INTEREST EXPENSE 426886,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426886,A000000,05500,0000,5500HOSPICE 426886,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426886,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426886,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426886,A000000,06100,0000,6100NONPAID WORKERS 426886,A000000,06200,0000,6200PATIENTS LAUNDRY 426886,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426886,A81000A,00100,0100,Y 426886,A81000B,00100,0300,MAINTENANCE OF EFFORT 426886,A81000B,00200,0300,BOARD EXPENSES 426886,A81000C,00100,0100,B 426886,A81000C,00100,0200,ISABELLA COUNTY 426886,A81000C,00100,0400,ISABELLA COUNTY 426886,A81000C,00100,0600,GOVERNMENT 426886,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426886,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 426886,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426886,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426886,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426886,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426886,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426886,B100000,00000,0800,0800MEALS SERVED :DIETARY 426886,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426886,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426886,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426886,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426886,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 426886,G300000,02500,0000,OTHER REVENUE 426886,G300000,02501,0000,BARBER AND BEAUTY 426886,S000000,00100,0200,02/29/12 426886,S200000,00100,0100,1222 NORTH DRIVE 426886,S200000,00200,0100,MT PLEASANT 426886,S200000,00200,0200,MI 426886,S200000,00200,0300,48858 426886,S200000,00300,0100,ISABELLA 426886,S200000,00300,0200,23 426886,S200000,00300,0201,99923 426886,S200000,00300,0300,R 426886,S200000,00400,0100,ISABELLA COUNTY MCF 426886,S200000,00400,0200,235037 426886,S200000,00400,0300,01/01/65 426886,S200000,00400,0500,P 426886,S200000,01500,0100,Y 426886,S200000,01501,0200,Y 426886,S200000,01502,0200,N 426886,S200000,01504,0200,Y 426886,S200000,01505,0000,NURSING BENEFITS 426886,S200000,01505,0200,N 426886,S200000,01600,0100,N 426886,S200000,01700,0100,N 426886,S200000,01800,0100,N 426886,S200000,02200,0100,N 426886,S200000,02800,0100,N 426886,S200000,02900,0100,N 426886,S200000,03000,0100,N 426886,S200000,03100,0100,N 426886,S200000,03200,0100,N 426886,S200000,03300,0100,N 426886,S200000,03300,0200,N 426886,S200000,04100,0100,N 426886,S200000,04200,0100,N 426886,S200000,04300,0100,Y 426886,S200000,04600,0100,N 426886,S200000,04700,0100,N 426886,S200000,04700,0200,N 426886,S200000,04900,0100,N 426886,S200000,05000,0100,N 426886,S200000,05100,0100,N 426886,S200000,05200,0100,N 426887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426887,A000000,00300,0000,0300EMPLOYEE BENEFITS 426887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426887,A000000,00700,0000,0700HOUSEKEEPING 426887,A000000,00800,0000,0800DIETARY 426887,A000000,00900,0000,0900NURSING ADMINISTRATION 426887,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426887,A000000,01300,0000,1300SOCIAL SERVICE 426887,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 426887,A000000,01600,0000,1600SKILLED NURSING FACILITY 426887,A000000,02100,0000,2100RADIOLOGY 426887,A000000,02200,0000,2200LABORATORY 426887,A000000,02500,0000,2500PHYSICAL THERAPY 426887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426887,A000000,02700,0000,2700SPEECH PATHOLOGY 426887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426887,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426887,A81000A,00100,0100,Y 426887,A81000B,00100,0300,MANAGEMENT FEES 426887,A81000B,00200,0300,ENTERALS 426887,A81000C,00100,0100,A 426887,A81000C,00100,0200,D.J. BORTZ JR 426887,A81000C,00100,0400,BORTZ FACILITIE 426887,A81000C,00100,0600,MANAGEMENT 426887,A81000C,00200,0100,A 426887,A81000C,00200,0200,D.J. BORTZ JR 426887,A81000C,00200,0400,JBS CARE COMPAN 426887,A81000C,00200,0600,NURSING SUPPLIE 426887,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426887,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426887,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426887,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426887,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426887,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426887,B100000,00000,0800,0800MEALS SERVED :DIETARY 426887,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426887,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426887,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426887,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 426887,G300000,02500,0000,MISCELLANEOUS INCOME 426887,S000000,00100,0200,02/20/12 426887,S200000,00100,0100,1225 W SILVERBELL ROAD 426887,S200000,00200,0100,ORION 426887,S200000,00200,0200,MI 426887,S200000,00200,0300,48369 426887,S200000,00300,0100,OAKLAND 426887,S200000,00300,0201,47644 426887,S200000,00300,0300,U 426887,S200000,00400,0100,OAKLAND GERIATRIC VILLAGE INC. 426887,S200000,00400,0200,235396 426887,S200000,00400,0300,08/01/79 426887,S200000,00400,0500,P 426887,S200000,01500,0100,Y 426887,S200000,01501,0200,Y 426887,S200000,01600,0100,N 426887,S200000,01700,0100,N 426887,S200000,01800,0100,N 426887,S200000,02200,0100,N 426887,S200000,02800,0100,N 426887,S200000,02900,0100,N 426887,S200000,03000,0100,N 426887,S200000,03100,0100,N 426887,S200000,03200,0100,N 426887,S200000,03300,0100,N 426887,S200000,03300,0200,N 426887,S200000,04100,0100,N 426887,S200000,04200,0100,N 426887,S200000,04300,0100,N 426887,S200000,04600,0100,N 426887,S200000,04700,0100,N 426887,S200000,04700,0200,N 426887,S200000,04900,0100,N 426887,S200000,05000,0100,N 426887,S200000,05100,0100,N 426887,S200000,05200,0100,N 426887,S200000,05300,0100,Y 426887,S200000,05300,0200,90-200 426887,S200000,05400,0100,BORTZ HEALTH CARE FACILITIES 426887,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426887,S200000,05400,0300,00450 426887,S200000,05500,0100,11700 E TEN MILE ROAD 426887,S200000,05600,0100,WARREN 426887,S200000,05600,0200,MI 426887,S200000,05600,0300,48089 426889,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426889,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426889,A000000,00300,0000,0300EMPLOYEE BENEFITS 426889,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426889,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426889,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426889,A000000,00700,0000,0700HOUSEKEEPING 426889,A000000,00800,0000,0800DIETARY 426889,A000000,00900,0000,0900NURSING ADMINISTRATION 426889,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426889,A000000,01100,0000,1100PHARMACY 426889,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426889,A000000,01300,0000,1300SOCIAL SERVICE 426889,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426889,A000000,01500,0000,1350OTHER GENERAL SERVICES 426889,A000000,01501,0000,1351CHAPLAINCY 426889,A000000,01502,0000,1352TRANSPORTATIO 426889,A000000,01504,0000,1354ACTIVITIE 426889,A000000,01600,0000,1600SKILLED NURSING FACILITY 426889,A000000,01800,0000,1800NURSING FACILITY 426889,A000000,02100,0000,2100RADIOLOGY 426889,A000000,02200,0000,2200LABORATORY 426889,A000000,02300,0000,2300INTRAVENOUS THERAPY 426889,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426889,A000000,02500,0000,2500PHYSICAL THERAPY 426889,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426889,A000000,02700,0000,2700SPEECH PATHOLOGY 426889,A000000,02800,0000,2800ELECTROCARDIOLOGY 426889,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426889,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426889,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426889,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426889,A000000,04800,0000,4800AMBULANCE 426889,A000000,05000,0000,5000CORF 426889,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426889,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426889,A000000,05300,0000,5300INTEREST EXPENSE 426889,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426889,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426889,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426889,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426889,A000000,06100,0000,6100NONPAID WORKERS 426889,A000000,06200,0000,6200PATIENTS LAUNDRY 426889,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426889,A81000A,00100,0100,N 426889,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426889,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426889,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426889,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426889,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426889,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426889,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426889,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426889,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426889,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426889,B100000,00000,1501,1351PATIENT DAYS :CHAPLAINCY 426889,B100000,00000,1502,1352PATIENT DAYS :TRANSPORTATIO 426889,B100000,00000,1504,1354PATIENT DAYS :ACTIVITIE 426889,G300000,02502,0000,REVENUE FROM SVCS TO REL. PARTIES 426889,G300000,02503,0000,SCREENING REVENUE 426889,G300000,02504,0000,BEAUTY & BARBER SHOP REVENUE 426889,G300000,02505,0000,CAFETERIA REVENUE 426889,G300000,02506,0000,CONTRIBUTIONS 426889,G300000,02509,0000,THERAPY RENTAL 426889,G300000,02510,0000,CHANGE IN INT. OF FOUNDATION 426889,G300000,02511,0000,OTHER MISCELLANEOUS INCOME 426889,G300000,02513,0000,GAIN ON INVESTMENTS 426889,S000000,00100,0200,03/01/12 426889,S200000,00100,0100,1226 BERLIN STREET 426889,S200000,00200,0100,WAUPACA 426889,S200000,00200,0200,WI 426889,S200000,00200,0300,54981 426889,S200000,00300,0100,WAUPACA 426889,S200000,00300,0200,52 426889,S200000,00300,0201,99952 426889,S200000,00300,0300,R 426889,S200000,00400,0100,BETHANY HOME INC. 426889,S200000,00400,0200,525538 426889,S200000,00400,0300,07/01/94 426889,S200000,00400,0500,P 426889,S200000,01500,0100,Y 426889,S200000,01501,0200,Y 426889,S200000,01502,0200,Y 426889,S200000,01504,0200,N 426889,S200000,01600,0100,N 426889,S200000,01700,0100,N 426889,S200000,01800,0100,N 426889,S200000,02200,0100,N 426889,S200000,02800,0100,N 426889,S200000,02900,0100,N 426889,S200000,03000,0100,N 426889,S200000,03100,0100,N 426889,S200000,03200,0100,N 426889,S200000,03300,0100,N 426889,S200000,03300,0200,N 426889,S200000,04100,0100,N 426889,S200000,04200,0100,N 426889,S200000,04300,0100,N 426889,S200000,04600,0100,N 426889,S200000,04700,0100,N 426889,S200000,04700,0200,N 426889,S200000,04900,0100,N 426889,S200000,05000,0100,N 426889,S200000,05100,0100,N 426889,S200000,05200,0100,N 426890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426890,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIX COTT 426890,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426890,A000000,00201,0000,0201CAP REL COSTS - MOV EQUIP COTTAG 426890,A000000,00300,0000,0300EMPLOYEE BENEFITS 426890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426890,A000000,00700,0000,0700HOUSEKEEPING 426890,A000000,00800,0000,0800DIETARY 426890,A000000,00900,0000,0900NURSING ADMINISTRATION 426890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426890,A000000,01100,0000,1100PHARMACY 426890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426890,A000000,01300,0000,1300SOCIAL SERVICE 426890,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426890,A000000,01500,0000,1350RECREATION 426890,A000000,01600,0000,1600SKILLED NURSING FACILITY 426890,A000000,01800,0000,1800NURSING FACILITY 426890,A000000,01810,0000,1810ICF/MR 426890,A000000,01900,0000,1900OTHER LONG TERM CARE 426890,A000000,02100,0000,2100RADIOLOGY 426890,A000000,02200,0000,2200LABORATORY 426890,A000000,02300,0000,2300INTRAVENOUS THERAPY 426890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426890,A000000,02500,0000,2500PHYSICAL THERAPY 426890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426890,A000000,02700,0000,2700SPEECH PATHOLOGY 426890,A000000,02800,0000,2800ELECTROCARDIOLOGY 426890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426890,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426890,A000000,03200,0000,3200SUPPORT SURFACES 426890,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426890,A000000,03400,0000,3400CLINIC 426890,A000000,03500,0000,3500RURAL HEALTH CLINIC 426890,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426890,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426890,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426890,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426890,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426890,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426890,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426890,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426890,A000000,04400,0000,4400DME RENTED - HHA 426890,A000000,04500,0000,4500DME SOLD - HHA 426890,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426890,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426890,A000000,04710,0000,4710TELEMEDICINE 426890,A000000,04800,0000,4800AMBULANCE 426890,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426890,A000000,05000,0000,5000CORF 426890,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426890,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426890,A000000,05300,0000,5300INTEREST EXPENSE 426890,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426890,A000000,05500,0000,5500HOSPICE 426890,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426890,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426890,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426890,A000000,06100,0000,6100NONPAID WORKERS 426890,A000000,06200,0000,6200PATIENTS LAUNDRY 426890,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426890,A000000,06301,0000,6151COTTAGES - ALSA 426890,A81000A,00100,0100,N 426890,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426890,B100000,00000,0101,0101COTTAGE SQ FT :CAP REL COSTS - B 426890,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426890,B100000,00000,0201,0201COTTAGE SQ FT :CAP REL COSTS - M 426890,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426890,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426890,B100000,00000,0500,0500SQ FT SNF :PLANT OPERATION MAIN 426890,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426890,B100000,00000,0700,0750SQ FT SNF :HOUSEKEEPING 426890,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426890,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426890,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426890,G300000,02500,0000,REVENUE COTTAGES 426890,G300000,02502,0000,OTHER INCOME 426890,S000000,00100,0200,02/13/12 426890,S200000,00100,0100,360 BROAD STREET 426890,S200000,00200,0100,MERIDEN 426890,S200000,00200,0200,CT 426890,S200000,00200,0300,06450 426890,S200000,00300,0100,NEW HAVEN 426890,S200000,00300,0200,5483 426890,S200000,00300,0201,35300 426890,S200000,00300,0300,U 426890,S200000,00400,0100,MILLER MEMORIAL COMMUNITY 426890,S200000,00400,0200,075295 426890,S200000,00400,0300,01/01/76 426890,S200000,00400,0500,P 426890,S200000,01500,0100,Y 426890,S200000,01501,0200,Y 426890,S200000,01600,0100,N 426890,S200000,01700,0100,N 426890,S200000,01800,0100,N 426890,S200000,02200,0100,N 426890,S200000,02800,0100,N 426890,S200000,02900,0100,N 426890,S200000,03000,0100,N 426890,S200000,03100,0100,N 426890,S200000,03200,0100,N 426890,S200000,03300,0100,N 426890,S200000,03300,0200,N 426890,S200000,04100,0100,N 426890,S200000,04200,0100,N 426890,S200000,04300,0100,N 426890,S200000,04600,0100,N 426890,S200000,04700,0100,N 426890,S200000,04700,0200,N 426890,S200000,04900,0100,N 426890,S200000,05000,0100,N 426890,S200000,05100,0100,N 426890,S200000,05200,0100,N 426891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426891,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426891,A000000,00300,0000,0300EMPLOYEE BENEFITS 426891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426891,A000000,00700,0000,0700HOUSEKEEPING 426891,A000000,00800,0000,0800DIETARY 426891,A000000,00900,0000,0900NURSING ADMINISTRATION 426891,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426891,A000000,01100,0000,1100PHARMACY 426891,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426891,A000000,01300,0000,1300SOCIAL SERVICE 426891,A000000,01500,0000,1350RECREATION 426891,A000000,01600,0000,1600SKILLED NURSING FACILITY 426891,A000000,01800,0000,1800NURSING FACILITY 426891,A000000,01810,0000,1810ICF/MR 426891,A000000,02100,0000,2100RADIOLOGY 426891,A000000,02200,0000,2200LABORATORY 426891,A000000,02300,0000,2300INTRAVENOUS THERAPY 426891,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426891,A000000,02500,0000,2500PHYSICAL THERAPY 426891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426891,A000000,02700,0000,2700SPEECH PATHOLOGY 426891,A000000,02800,0000,2800ELECTROCARDIOLOGY 426891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426891,A000000,03300,0000,3050CME 426891,A000000,04800,0000,4800AMBULANCE 426891,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426891,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426891,A000000,06100,0000,6100NONPAID WORKERS 426891,A000000,06200,0000,6200PATIENTS LAUNDRY 426891,A000000,06300,0000,6150DENTAL 426891,A81000A,00100,0100,Y 426891,A81000B,00100,0300,MANAGEMENT FEES 426891,A81000B,00200,0300,RENT EXPENSE 426891,A81000B,00300,0300,RENT EXPENSE PLAYCARE 426891,A81000B,00400,0300,DRUGS 426891,A81000B,00500,0300,CAPITALIZED MANAGEMENT FEES 426891,A81000C,00100,0100,A 426891,A81000C,00100,0200,CHARLES SHELTON 426891,A81000C,00100,0400,BLACKSTONE ASSO 426891,A81000C,00100,0600,MANAGEMENT SERV 426891,A81000C,00200,0100,A 426891,A81000C,00200,0200,CHARLES SHELTON 426891,A81000C,00200,0400,BLACKSTONE ASSO 426891,A81000C,00200,0600,MANAGEMENT SERV 426891,A81000C,00300,0100,A 426891,A81000C,00300,0200,CHARLES SHELTON 426891,A81000C,00300,0400,BRANFORD HILLS 426891,A81000C,00300,0600,REAL ESTATE 426891,A81000C,00400,0100,A 426891,A81000C,00400,0200,CHALES SHELTON 426891,A81000C,00400,0400,CHARLES SHELTON 426891,A81000C,00400,0600,REAL ESTATE 426891,A81000C,00500,0100,A 426891,A81000C,00500,0200,CHARLES SHELTON 426891,A81000C,00500,0400,DJS PHARMACY 426891,A81000C,00500,0600,PHARMACY 426891,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426891,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426891,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426891,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426891,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426891,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426891,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426891,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426891,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426891,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426891,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426891,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426891,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426891,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426891,G300000,02501,0000,PLAYCARE REVENUE 426891,G300000,02502,0000,RENTAL INCOME PHARMACY 426891,G300000,02503,0000,INTEREST INCOME 426891,G300000,02504,0000,DISPOSAL OF ASSETS 426891,G300000,02505,0000,OTHER REVENUE 426891,S000000,00100,0200,02/24/12 426891,S200000,00100,0100,189 ALPS ROAD 426891,S200000,00200,0100,BRANFORD 426891,S200000,00200,0200,CT 426891,S200000,00200,0300,06405 426891,S200000,00300,0100,07040 426891,S200000,00300,0201,35300 426891,S200000,00300,0300,U 426891,S200000,00400,0100,BRANFORD HILL HEALTH CARE CENTER 426891,S200000,00400,0200,075296 426891,S200000,00400,0300,01/01/80 426891,S200000,00400,0500,P 426891,S200000,01500,0100,Y 426891,S200000,01501,0200,Y 426891,S200000,01502,0200,Y 426891,S200000,01504,0200,Y 426891,S200000,01600,0100,N 426891,S200000,01700,0100,N 426891,S200000,01800,0100,N 426891,S200000,02200,0100,N 426891,S200000,02800,0100,N 426891,S200000,02900,0100,N 426891,S200000,03000,0100,N 426891,S200000,03100,0100,N 426891,S200000,03200,0100,N 426891,S200000,03300,0100,N 426891,S200000,03300,0200,N 426891,S200000,04100,0100,N 426891,S200000,04200,0100,N 426891,S200000,04300,0100,N 426891,S200000,04600,0100,N 426891,S200000,04700,0100,N 426891,S200000,04700,0200,N 426891,S200000,04900,0100,N 426891,S200000,05000,0100,N 426891,S200000,05100,0100,N 426891,S200000,05200,0100,N 426891,S200000,05300,0100,N 426892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426892,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426892,A000000,00300,0000,0300EMPLOYEE BENEFITS 426892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426892,A000000,00700,0000,0700HOUSEKEEPING 426892,A000000,00800,0000,0800DIETARY 426892,A000000,00900,0000,0900NURSING ADMINISTRATION 426892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426892,A000000,01100,0000,1100PHARMACY 426892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426892,A000000,01300,0000,1300SOCIAL SERVICE 426892,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426892,A000000,01500,0000,1350OTHER GENERAL SERVICES 426892,A000000,01600,0000,1600SKILLED NURSING FACILITY 426892,A000000,01800,0000,1800NURSING FACILITY 426892,A000000,01810,0000,1810ICF/MR 426892,A000000,01900,0000,1900OTHER LONG TERM CARE 426892,A000000,02100,0000,2100RADIOLOGY 426892,A000000,02200,0000,2200LABORATORY 426892,A000000,02300,0000,2300INTRAVENOUS THERAPY 426892,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426892,A000000,02500,0000,2500PHYSICAL THERAPY 426892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426892,A000000,02700,0000,2700SPEECH PATHOLOGY 426892,A000000,02800,0000,2800ELECTROCARDIOLOGY 426892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426892,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426892,A000000,03200,0000,3200SUPPORT SURFACES 426892,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426892,A000000,03400,0000,3400CLINIC 426892,A000000,03500,0000,3500RURAL HEALTH CLINIC 426892,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426892,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426892,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426892,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426892,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426892,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426892,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426892,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426892,A000000,04400,0000,4400DME RENTED - HHA 426892,A000000,04500,0000,4500DME SOLD - HHA 426892,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426892,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426892,A000000,04710,0000,4710TELEMEDICINE 426892,A000000,04800,0000,4800AMBULANCE 426892,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426892,A000000,05000,0000,5000CORF 426892,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426892,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426892,A000000,05300,0000,5300INTEREST EXPENSE 426892,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426892,A000000,05500,0000,5500HOSPICE 426892,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426892,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426892,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426892,A000000,06100,0000,6100NONPAID WORKERS 426892,A000000,06200,0000,6200PATIENTS LAUNDRY 426892,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426892,A81000A,00100,0100,Y 426892,A81000B,00100,0300,RENT 426892,A81000B,00200,0300,INTEREST EXPENSE - MORTGAGE 426892,A81000B,00300,0300,REAL ESTATE TAXES 426892,A81000B,00400,0300,INSURANCE 426892,A81000B,00500,0300,DEPRECIATION / AMORTIZATION 426892,A81000B,00600,0300,MISC. 426892,A81000C,00100,0100,A 426892,A81000C,00100,0200,HEALTHCARE HOLDINGS LLC 426892,A81000C,00100,0400,HEALTHCARE HOLDINGS LLC 426892,A81000C,00100,0600,REALTY COMPANY 426892,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426892,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426892,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426892,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426892,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426892,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426892,B100000,00000,0800,0800MEALS SERVED :DIETARY 426892,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426892,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426892,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426892,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 426892,S000000,00100,0200,02/09/12 426892,S200000,00100,0100,534 TOWN STREET 426892,S200000,00100,0300,719 426892,S200000,00200,0100,MOODUS 426892,S200000,00200,0200,CT 426892,S200000,00200,0300,06469 426892,S200000,00300,0100,MIDDLESEX 426892,S200000,00300,0200,3283 426892,S200000,00300,0201,25540 426892,S200000,00300,0300,U 426892,S200000,00400,0100,CHESTELM HEALTH CARE 426892,S200000,00400,0200,075307 426892,S200000,00400,0300,05/02/86 426892,S200000,00400,0500,P 426892,S200000,01500,0100,Y 426892,S200000,01501,0200,Y 426892,S200000,01600,0100,N 426892,S200000,01700,0100,N 426892,S200000,01800,0100,N 426892,S200000,02200,0100,N 426892,S200000,02800,0100,N 426892,S200000,02900,0100,N 426892,S200000,03000,0100,N 426892,S200000,03100,0100,N 426892,S200000,03200,0100,N 426892,S200000,03300,0100,N 426892,S200000,03300,0200,N 426892,S200000,04100,0100,N 426892,S200000,04200,0100,N 426892,S200000,04300,0100,N 426892,S200000,04600,0100,N 426892,S200000,04700,0100,N 426892,S200000,04700,0200,N 426892,S200000,04900,0100,N 426892,S200000,05000,0100,N 426892,S200000,05100,0100,N 426892,S200000,05200,0100,N 426893,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426893,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426893,A000000,00300,0000,0300EMPLOYEE BENEFITS 426893,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426893,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426893,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426893,A000000,00700,0000,0700HOUSEKEEPING 426893,A000000,00800,0000,0800DIETARY 426893,A000000,00900,0000,0900NURSING ADMINISTRATION 426893,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426893,A000000,01100,0000,1100PHARMACY 426893,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426893,A000000,01300,0000,1300SOCIAL SERVICE 426893,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426893,A000000,01500,0000,1350RECREATION 426893,A000000,01600,0000,1600SKILLED NURSING FACILITY 426893,A000000,01800,0000,1800NURSING FACILITY 426893,A000000,01810,0000,1810ICF/MR 426893,A000000,01900,0000,1900OTHER LONG TERM CARE 426893,A000000,02100,0000,2100RADIOLOGY 426893,A000000,02200,0000,2200LABORATORY 426893,A000000,02300,0000,2300INTRAVENOUS THERAPY 426893,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426893,A000000,02500,0000,2500PHYSICAL THERAPY 426893,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426893,A000000,02700,0000,2700SPEECH PATHOLOGY 426893,A000000,02800,0000,2800ELECTROCARDIOLOGY 426893,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426893,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426893,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426893,A000000,03200,0000,3200SUPPORT SURFACES 426893,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426893,A000000,03400,0000,3400CLINIC 426893,A000000,03500,0000,3500RURAL HEALTH CLINIC 426893,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426893,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426893,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426893,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426893,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426893,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426893,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426893,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426893,A000000,04400,0000,4400DME RENTED - HHA 426893,A000000,04500,0000,4500DME SOLD - HHA 426893,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426893,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426893,A000000,04710,0000,4710TELEMEDICINE 426893,A000000,04800,0000,4800AMBULANCE 426893,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426893,A000000,05000,0000,5000CORF 426893,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426893,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426893,A000000,05300,0000,5300INTEREST EXPENSE 426893,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426893,A000000,05500,0000,5500HOSPICE 426893,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426893,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426893,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426893,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426893,A000000,06100,0000,6100NONPAID WORKERS 426893,A000000,06200,0000,6200PATIENTS LAUNDRY 426893,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426893,A81000A,00100,0100,Y 426893,A81000B,00100,0300,HEALTH INSURANCE 426893,A81000B,00200,0300,AUTO INSURANCE 426893,A81000B,00300,0300,PENSION 426893,A81000B,00400,0300,PASTORAL SERVICES 426893,A81000C,00100,0100,G 426893,A81000C,00100,0200,DIOCESE OF NORWICH 426893,A81000C,00100,0600,INSURANCE 426893,A81000C,00200,0100,G 426893,A81000C,00200,0200,CHRISTIAN BROTHERS 426893,A81000C,00200,0600,PENSION 426893,A81000C,00300,0100,G 426893,A81000C,00300,0200,OBLATES OF MARY 426893,A81000C,00300,0600,PASTORAL SERVICES 426893,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426893,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426893,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426893,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426893,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426893,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 426893,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426893,B100000,00000,0800,0800MEALS SERVED :DIETARY 426893,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 426893,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 426893,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 426893,B100000,00000,1500,1350RESIDENT DAYS :RECREATION 426893,G300000,02500,0000,RECOVERY OF BAD DEBT 426893,G300000,02501,0000,RESTRICTED REVENUE 426893,G300000,02503,0000,FUNDRAISING 426893,S000000,00100,0200,02/21/12 426893,S200000,00100,0100,14 CLUB ROAD 426893,S200000,00200,0100,WINDHAM 426893,S200000,00200,0200,CT 426893,S200000,00200,0300,06280 426893,S200000,00300,0100,WINDHAM 426893,S200000,00300,0200,07 426893,S200000,00300,0201,99907 426893,S200000,00300,0300,R 426893,S200000,00400,0100,ST JOSEPH S LIVING CENTER 426893,S200000,00400,0200,075321 426893,S200000,00400,0300,10/12/98 426893,S200000,00400,0500,P 426893,S200000,01500,0100,Y 426893,S200000,01501,0200,Y 426893,S200000,01600,0100,N 426893,S200000,01700,0100,N 426893,S200000,01800,0100,N 426893,S200000,02200,0100,N 426893,S200000,02800,0100,Y 426893,S200000,02900,0100,N 426893,S200000,03000,0100,N 426893,S200000,03100,0100,N 426893,S200000,03200,0100,N 426893,S200000,03300,0100,N 426893,S200000,03300,0200,N 426893,S200000,04100,0100,N 426893,S200000,04200,0100,N 426893,S200000,04300,0100,N 426893,S200000,04600,0100,N 426893,S200000,04700,0100,N 426893,S200000,04700,0200,N 426893,S200000,04900,0100,N 426893,S200000,05000,0100,N 426893,S200000,05100,0100,N 426893,S200000,05200,0100,N 426895,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426895,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426895,A000000,00300,0000,0300EMPLOYEE BENEFITS 426895,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426895,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426895,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426895,A000000,00700,0000,0700HOUSEKEEPING 426895,A000000,00800,0000,0800DIETARY 426895,A000000,00900,0000,0900NURSING ADMINISTRATION 426895,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426895,A000000,01100,0000,1100PHARMACY 426895,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426895,A000000,01300,0000,1300SOCIAL SERVICE 426895,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426895,A000000,01500,0000,1350PATIENT ACTIVITIES 426895,A000000,01600,0000,1600SKILLED NURSING FACILITY 426895,A000000,01800,0000,1800NURSING FACILITY 426895,A000000,01810,0000,1810ICF/MR 426895,A000000,02100,0000,2100RADIOLOGY 426895,A000000,02200,0000,2200LABORATORY 426895,A000000,02300,0000,2300INTRAVENOUS THERAPY 426895,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426895,A000000,02500,0000,2500PHYSICAL THERAPY 426895,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426895,A000000,02700,0000,2700SPEECH PATHOLOGY 426895,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426895,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426895,A000000,03550,0000,3550FQHC 426895,A000000,03600,0000,3450ADMIN & GENERAL-HHA 426895,A000000,05000,0000,5000CORF 426895,A000000,05010,0000,5010CMHC 426895,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426895,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426895,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426895,A000000,05100,0000,4750INTEREST EXPENSE 426895,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426895,A000000,06300,0000,6150TOTAL 426895,A81000A,00100,0100,Y 426895,A81000B,00100,0300,MANAGEMENT FEES 426895,A81000B,00200,0300,THERAPY OVERHEAD 426895,A81000B,00300,0300,A & G 426895,A81000B,00400,0300,PHYSICAL THERAPY 426895,A81000B,00500,0300,OCCUPATIONAL THERAPY 426895,A81000B,00600,0300,SPEECH THERAPY 426895,A81000B,00700,0300,NURSING 426895,A81000C,00100,0100,F 426895,A81000C,00100,0200,LAWRENCE SANTIL 426895,A81000C,00100,0400,ATHENA HEALTH 426895,A81000C,00100,0600,MANAGEMENT CO 426895,A81000C,00200,0100,F 426895,A81000C,00200,0200,GUARDIAN FOR SA 426895,A81000C,00200,0400,ATHENA HEALTH 426895,A81000C,00200,0600,MANAGEMENT CO 426895,A81000C,00300,0100,F 426895,A81000C,00300,0200,CHAKALOS NURSIN 426895,A81000C,00300,0400,ATHENA HEALTH 426895,A81000C,00300,0600,MANAGEMENT CO 426895,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426895,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426895,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426895,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426895,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426895,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426895,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426895,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426895,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426895,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426895,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426895,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426895,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426895,E10A180,00550,0300,02/08/12 426895,G300000,02500,0000,FEE INCOME A & G 426895,G300000,02501,0000,FEE INCOME DIRECT 426895,G300000,02502,0000,FEE INCOME THERAPY 426895,G300000,02503,0000,MICS INCOME 426895,S000000,00100,0200,02/08/12 426895,S200000,00100,0100,1175 HEBRON AVENUE 426895,S200000,00200,0100,GLASTONBURY 426895,S200000,00200,0200,CT 426895,S200000,00200,0300,06033 426895,S200000,00300,0100,HARTFORD 426895,S200000,00300,0201,25540 426895,S200000,00300,0300,U 426895,S200000,00400,0100,GLASTONBURY HEALTH CARE CENTER 426895,S200000,00400,0200,075316 426895,S200000,00400,0300,02/10/88 426895,S200000,00400,0500,P 426895,S200000,01500,0100,Y 426895,S200000,01501,0200,N 426895,S200000,01502,0200,N 426895,S200000,01503,0200,N 426895,S200000,01504,0200,N 426895,S200000,01600,0100,N 426895,S200000,01700,0100,N 426895,S200000,01800,0100,N 426895,S200000,02200,0100,N 426895,S200000,02800,0100,N 426895,S200000,02900,0100,N 426895,S200000,03000,0100,N 426895,S200000,03100,0100,N 426895,S200000,03200,0100,N 426895,S200000,03300,0100,N 426895,S200000,03300,0200,N 426895,S200000,04100,0100,N 426895,S200000,04200,0100,N 426895,S200000,04300,0100,N 426895,S200000,04600,0100,N 426895,S200000,04700,0100,N 426895,S200000,04700,0200,N 426895,S200000,04900,0100,N 426895,S200000,05000,0100,N 426895,S200000,05100,0100,N 426895,S200000,05200,0100,N 426895,S200000,05300,0100,Y 426895,S200000,05300,0200,07-111 426895,S200000,05400,0100,ATHENA HEALTHCARE 426895,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426895,S200000,05400,0300,13101 426895,S200000,05500,0100,PO BOX 426895,S200000,05500,0200,4846 426895,S200000,05600,0100,SYRACUSE 426895,S200000,05600,0200,NY 426895,S200000,05600,0300,13221 426896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426896,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426896,A000000,00300,0000,0300EMPLOYEE BENEFITS 426896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426896,A000000,00700,0000,0700HOUSEKEEPING 426896,A000000,00800,0000,0800DIETARY 426896,A000000,00900,0000,0900NURSING ADMINISTRATION 426896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426896,A000000,01100,0000,1100PHARMACY 426896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426896,A000000,01300,0000,1300SOCIAL SERVICE 426896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426896,A000000,01500,0000,1350RECREATION SERVICES 426896,A000000,01600,0000,1600SKILLED NURSING FACILITY 426896,A000000,01800,0000,1800NURSING FACILITY 426896,A000000,01810,0000,1810ICF/MR 426896,A000000,01900,0000,1900OTHER LONG TERM CARE 426896,A000000,02100,0000,2100RADIOLOGY 426896,A000000,02200,0000,2200LABORATORY 426896,A000000,02300,0000,2300INTRAVENOUS THERAPY 426896,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426896,A000000,02500,0000,2500PHYSICAL THERAPY 426896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426896,A000000,02700,0000,2700SPEECH PATHOLOGY 426896,A000000,02800,0000,2800ELECTROCARDIOLOGY 426896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426896,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426896,A000000,03200,0000,3200SUPPORT SURFACES 426896,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426896,A000000,03400,0000,3400CLINIC 426896,A000000,03500,0000,3500RURAL HEALTH CLINIC 426896,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426896,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426896,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426896,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426896,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426896,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426896,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426896,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426896,A000000,04400,0000,4400DME RENTED - HHA 426896,A000000,04500,0000,4500DME SOLD - HHA 426896,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426896,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426896,A000000,04710,0000,4710TELEMEDICINE 426896,A000000,04800,0000,4800AMBULANCE 426896,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426896,A000000,05000,0000,5000CORF 426896,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426896,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426896,A000000,05300,0000,5300INTEREST EXPENSE 426896,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426896,A000000,05500,0000,5500HOSPICE 426896,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426896,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426896,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426896,A000000,06100,0000,6100NONPAID WORKERS 426896,A000000,06200,0000,6200PATIENTS LAUNDRY 426896,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426896,A81000A,00100,0100,Y 426896,A81000B,00100,0300,MANAGEMENT COMPANY 426896,A81000B,00200,0300,WORKERS COMP 426896,A81000B,00300,0300,DISABILITY INSURANCE 426896,A81000B,00400,0300,HEALTH INSURANCE COSTS 426896,A81000C,00100,0100,B 426896,A81000C,00100,0200,PARADIGM MANAGEMENT LLC 426896,A81000C,00200,0100,B 426896,A81000C,00200,0400,PARADIGM HC DEVELOPMENT 426896,A81000C,00300,0100,B 426896,A81000C,00300,0400,PARADIGM HC DEVELOPMENT 426896,A81000C,00400,0100,B 426896,A81000C,00400,0400,PARADIGM HC DEVELOPMENT 426896,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426896,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426896,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426896,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426896,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426896,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426896,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426896,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426896,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426896,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426896,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426896,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426896,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 426896,G300000,02500,0000,VENDING MACHINE INCOME 426896,G300000,02501,0000,EQUIPMENT RENTAL INCOME 426896,G300000,02502,0000,INTEREST INCOME 426896,S000000,00100,0200,03/05/12 426896,S200000,00100,0100,25 ROYAL CREST DRIVE 426896,S200000,00200,0100,PROSPECT 426896,S200000,00200,0200,CT 426896,S200000,00200,0300,06712 426896,S200000,00300,0100,NEW HAVEN 426896,S200000,00300,0201,35300 426896,S200000,00300,0300,U 426896,S200000,00400,0100,PARADIGM HC CENTER OF PROSPECT LLC 426896,S200000,00400,0200,075207 426896,S200000,00400,0300,07/01/09 426896,S200000,00400,0500,P 426896,S200000,01500,0100,Y 426896,S200000,01502,0200,Y 426896,S200000,01600,0100,N 426896,S200000,01700,0100,N 426896,S200000,01800,0100,N 426896,S200000,02200,0100,N 426896,S200000,02800,0100,N 426896,S200000,02900,0100,N 426896,S200000,03000,0100,N 426896,S200000,03100,0100,N 426896,S200000,03200,0100,N 426896,S200000,03300,0100,N 426896,S200000,03300,0200,N 426896,S200000,04100,0100,N 426896,S200000,04200,0100,N 426896,S200000,04300,0100,N 426896,S200000,04600,0100,N 426896,S200000,04700,0100,N 426896,S200000,04700,0200,N 426896,S200000,04900,0100,N 426896,S200000,05000,0100,N 426896,S200000,05100,0100,N 426896,S200000,05200,0100,N 426896,S200000,05300,0100,N 426897,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426897,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426897,A000000,00300,0000,0300EMPLOYEE BENEFITS 426897,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426897,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426897,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426897,A000000,00700,0000,0700HOUSEKEEPING 426897,A000000,00800,0000,0800DIETARY 426897,A000000,00900,0000,0900NURSING ADMINISTRATION 426897,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426897,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426897,A000000,01300,0000,1300SOCIAL SERVICE 426897,A000000,01500,0000,1350RECREATION 426897,A000000,01600,0000,1600SKILLED NURSING FACILITY 426897,A000000,01800,0000,1800NURSING FACILITY 426897,A000000,01810,0000,1810ICF/MR 426897,A000000,01900,0000,1900OTHER LONG TERM CARE 426897,A000000,02100,0000,2100RADIOLOGY 426897,A000000,02200,0000,2200LABORATORY 426897,A000000,02300,0000,2300INTRAVENOUS THERAPY 426897,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426897,A000000,02500,0000,2500PHYSICAL THERAPY 426897,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426897,A000000,02700,0000,2700SPEECH PATHOLOGY 426897,A000000,02800,0000,2800ELECTROCARDIOLOGY 426897,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426897,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426897,A000000,03200,0000,3200SUPPORT SURFACES 426897,A000000,04800,0000,4800AMBULANCE 426897,A000000,05000,0000,5000CORF 426897,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426897,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426897,A000000,06301,0000,6151DENTAL 426897,A81000A,00100,0100,Y 426897,A81000B,00100,0300,RENT EXPENSE 426897,A81000B,00200,0300,INTEREST EXP EST. 426897,A81000B,00300,0300,DEPRECIATION EXP. EST. 426897,A81000C,00100,0100,B 426897,A81000C,00100,0200,JOANN P. VOULO 426897,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426897,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426897,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426897,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426897,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426897,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426897,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426897,B100000,00000,0800,0800MEALS SERVED :DIETARY 426897,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426897,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426897,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426897,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426897,B100000,00000,1500,1350PATIENT DAYS :RECREATION 426897,E10A180,00550,0300,03/02/12 426897,G300000,02501,0000,BARBER & BEAUTY REVENUE 426897,G300000,02502,0000,STAFF INSURANCES 426897,G300000,02503,0000,MISCELLANEOUS INCOME 426897,S000000,00100,0200,03/02/12 426897,S200000,00100,0100,2798 WHITNEY AVENUE 426897,S200000,00200,0100,HAMDEN 426897,S200000,00200,0200,CT 426897,S200000,00200,0300,06518 426897,S200000,00300,0100,NEW HAVEN 426897,S200000,00300,0201,35300 426897,S200000,00300,0300,U 426897,S200000,00400,0100,WHITNEY MANOR CONVALESCENT CENTER 426897,S200000,00400,0200,075246 426897,S200000,00400,0300,01/10/79 426897,S200000,00400,0500,P 426897,S200000,01500,0100,N 426897,S200000,01501,0200,Y 426897,S200000,01502,0200,Y 426897,S200000,01505,0000,EMPLOYEE BENEFITS 426897,S200000,01505,0200,Y 426897,S200000,01600,0100,N 426897,S200000,01700,0100,N 426897,S200000,01800,0100,N 426897,S200000,02200,0100,N 426897,S200000,02800,0100,N 426897,S200000,02900,0100,N 426897,S200000,03000,0100,N 426897,S200000,03100,0100,N 426897,S200000,03200,0100,N 426897,S200000,03300,0100,N 426897,S200000,03300,0200,N 426897,S200000,04100,0100,N 426897,S200000,04200,0100,N 426897,S200000,04300,0100,N 426897,S200000,04600,0100,N 426897,S200000,04700,0100,N 426897,S200000,04700,0200,N 426897,S200000,04900,0100,N 426897,S200000,05000,0100,N 426897,S200000,05100,0100,N 426897,S200000,05200,0100,N 426897,S200000,05300,0100,N 426898,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426898,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426898,A000000,00300,0000,0300EMPLOYEE BENEFITS 426898,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426898,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426898,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426898,A000000,00700,0000,0700HOUSEKEEPING 426898,A000000,00800,0000,0800DIETARY 426898,A000000,00900,0000,0900NURSING ADMINISTRATION 426898,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426898,A000000,01100,0000,1100PHARMACY 426898,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426898,A000000,01300,0000,1300SOCIAL SERVICE 426898,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426898,A000000,01500,0000,1350RECREATION SERVICES 426898,A000000,01600,0000,1600SKILLED NURSING FACILITY 426898,A000000,01800,0000,1800NURSING FACILITY 426898,A000000,01810,0000,1810ICF/MR 426898,A000000,01900,0000,1900OTHER LONG TERM CARE 426898,A000000,02100,0000,2100RADIOLOGY 426898,A000000,02200,0000,2200LABORATORY 426898,A000000,02300,0000,2300INTRAVENOUS THERAPY 426898,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426898,A000000,02500,0000,2500PHYSICAL THERAPY 426898,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426898,A000000,02700,0000,2700SPEECH PATHOLOGY 426898,A000000,02800,0000,2800ELECTROCARDIOLOGY 426898,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426898,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426898,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426898,A000000,03200,0000,3200SUPPORT SURFACES 426898,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426898,A000000,03400,0000,3400CLINIC 426898,A000000,03500,0000,3500RURAL HEALTH CLINIC 426898,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426898,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426898,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426898,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426898,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426898,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426898,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426898,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426898,A000000,04400,0000,4400DME RENTED - HHA 426898,A000000,04500,0000,4500DME SOLD - HHA 426898,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426898,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426898,A000000,04710,0000,4710TELEMEDICINE 426898,A000000,04800,0000,4800AMBULANCE 426898,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426898,A000000,05000,0000,5000CORF 426898,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426898,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426898,A000000,05300,0000,5300INTEREST EXPENSE 426898,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426898,A000000,05500,0000,5500HOSPICE 426898,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426898,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426898,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426898,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426898,A000000,06100,0000,6100NONPAID WORKERS 426898,A000000,06200,0000,6200PATIENTS LAUNDRY 426898,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426898,A81000A,00100,0100,Y 426898,A81000B,00100,0300,RENTAL REAL PROPERTY 426898,A81000B,00200,0300,SHARED COMPENSATION 426898,A81000B,00300,0300,TAXES 426898,A81000B,00400,0300,INSURANCE 426898,A81000B,00500,0300,MORTGAGE INSURANCE 426898,A81000B,00600,0300,RELATED PARTY DEPRECIATION 426898,A81000B,00700,0300,RELATED PARTY DEPRECIATION 426898,A81000B,00800,0300,MORTGAGE AMORTIZATION 426898,A81000C,00100,0400,BROOKVIEW MANOR LLC 426898,A81000C,00100,0600,REAL ESTATE 426898,A81000C,00200,0100,E 426898,A81000C,00200,0200,RUSSELL SCHWARTZ 426898,A81000C,00300,0400,BROOKVIEW MANOR LLC 426898,A81000C,00300,0600,REAL ESTATE 426898,A81000C,00400,0400,BROOKVIEW MANOR LLC 426898,A81000C,00400,0600,REAL ESTATE 426898,A81000C,00500,0400,BROOKVIEW MANOR LLC 426898,A81000C,00500,0600,REAL ESTATE 426898,A81000C,00600,0400,BROOKVIEW MANOR LLC 426898,A81000C,00600,0600,REAL ESTATE 426898,A81000C,00700,0400,BROOKVIEW MANOR LLC 426898,A81000C,00700,0600,REAL ESTATE 426898,A81000C,00800,0400,BROOKVIEW MANOR LLC 426898,A81000C,00800,0600,REAL ESTATE 426898,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426898,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426898,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426898,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426898,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426898,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426898,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426898,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426898,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426898,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426898,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426898,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426898,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426898,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 426898,G300000,02501,0000,INSURANCE OTHER DIVIDENDS 426898,G300000,02502,0000,BAD DEBT RECOVERY 426898,G300000,02503,0000,INTEREST INCOME 426898,G300000,02504,0000,MISCELLANEOUS INCOME 426898,G300000,02505,0000,GAIN/LOSS SALE OF ASSET 426898,S000000,00100,0200,01/25/12 426898,S200000,00100,0100,130 LOOMIS DRIVE 426898,S200000,00200,0100,WEST HARTFORD 426898,S200000,00200,0200,CT 426898,S200000,00200,0300,06107 426898,S200000,00300,0100,HARTFORD 426898,S200000,00300,0201,25540 426898,S200000,00300,0300,U 426898,S200000,00400,0100,WEST HARTFORD HEALTH & REHAB 426898,S200000,00400,0200,075278 426898,S200000,00400,0300,02/16/77 426898,S200000,00400,0500,P 426898,S200000,01500,0100,Y 426898,S200000,01502,0200,Y 426898,S200000,01504,0200,Y 426898,S200000,01600,0100,N 426898,S200000,01700,0100,N 426898,S200000,01800,0100,N 426898,S200000,02200,0100,N 426898,S200000,02800,0100,N 426898,S200000,02900,0100,N 426898,S200000,03000,0100,N 426898,S200000,03100,0100,N 426898,S200000,03200,0100,N 426898,S200000,03300,0100,N 426898,S200000,03300,0200,N 426898,S200000,04100,0100,N 426898,S200000,04200,0100,N 426898,S200000,04300,0100,N 426898,S200000,04600,0100,N 426898,S200000,04700,0100,N 426898,S200000,04700,0200,N 426898,S200000,04900,0100,N 426898,S200000,05000,0100,N 426898,S200000,05100,0100,N 426898,S200000,05200,0100,N 426898,S200000,05300,0100,N 426899,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426899,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426899,A000000,00300,0000,0300EMPLOYEE BENEFITS 426899,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426899,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426899,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426899,A000000,00700,0000,0700HOUSEKEEPING 426899,A000000,00800,0000,0800DIETARY 426899,A000000,00900,0000,0900NURSING ADMINISTRATION 426899,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426899,A000000,01100,0000,1100PHARMACY 426899,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426899,A000000,01300,0000,1300SOCIAL SERVICE 426899,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426899,A000000,01500,0000,1350OTHER GENERAL SERVICES 426899,A000000,01600,0000,1600SKILLED NURSING FACILITY 426899,A000000,01800,0000,1800NURSING FACILITY 426899,A000000,01810,0000,1810ICF/MR 426899,A000000,01900,0000,1900OTHER LONG TERM CARE 426899,A000000,02100,0000,2100RADIOLOGY 426899,A000000,02200,0000,2200LABORATORY 426899,A000000,02300,0000,2300INTRAVENOUS THERAPY 426899,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426899,A000000,02500,0000,2500PHYSICAL THERAPY 426899,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426899,A000000,02700,0000,2700SPEECH PATHOLOGY 426899,A000000,02800,0000,2800ELECTROCARDIOLOGY 426899,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426899,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426899,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426899,A000000,03200,0000,3200SUPPORT SURFACES 426899,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426899,A000000,03400,0000,3400CLINIC 426899,A000000,03500,0000,3500RURAL HEALTH CLINIC 426899,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426899,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426899,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426899,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426899,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426899,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426899,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426899,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426899,A000000,04400,0000,4400DME RENTED - HHA 426899,A000000,04500,0000,4500DME SOLD - HHA 426899,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426899,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426899,A000000,04710,0000,4710TELEMEDICINE 426899,A000000,04800,0000,4800AMBULANCE 426899,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426899,A000000,05000,0000,5000CORF 426899,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426899,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426899,A000000,05300,0000,5300INTEREST EXPENSE 426899,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426899,A000000,05500,0000,5500HOSPICE 426899,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426899,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426899,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426899,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426899,A000000,06100,0000,6100NONPAID WORKERS 426899,A000000,06200,0000,6200PATIENTS LAUNDRY 426899,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426899,A81000A,00100,0100,Y 426899,A81000B,00100,0300,RENT EXPENSE 426899,A81000B,00200,0300,CEO SALARY 426899,A81000B,00300,0300,DIRECTOR OF NURSING 426899,A81000B,00400,0300,RECREATION ASSISTANT 426899,A81000B,00500,0300,DIETARY CONSULTANT 426899,A81000B,00600,0300,RN 426899,A81000B,00700,0300,MAINTENANCE 426899,A81000B,00800,0300,MEDICAL RECORDS 426899,A81000B,00900,0300,MEDICAL SUPPLIES 426899,A81000B,01000,0300,DIETARY SUPPLIES 426899,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 426899,A81000B,01200,0300,MOVABLE EQUIPMENT 426899,A81000C,00100,0100,A 426899,A81000C,00100,0200,JAMES E CLEARY JR 426899,A81000C,00100,0400,BEACH BUILDING 426899,A81000C,00100,0600,BUILDING 426899,A81000C,00200,0100,A 426899,A81000C,00200,0200,JEC FAMILY 426899,A81000C,00300,0100,D 426899,A81000C,00300,0200,MEGHAN CLEARY 426899,A81000C,00300,0600,DIRECTOR OF NURSES 426899,A81000C,00400,0100,D 426899,A81000C,00400,0200,CHRISTINE SERGI 426899,A81000C,00400,0600,RECREATION ASSISTANT 426899,A81000C,00500,0100,D 426899,A81000C,00500,0200,SETH CLEARY 426899,A81000C,00500,0600,DIETARY CONSULTANT 426899,A81000C,00600,0100,D 426899,A81000C,00600,0200,JENNIFER SERGI 426899,A81000C,00600,0600,RN 426899,A81000C,00700,0100,D 426899,A81000C,00700,0200,BRIAN CLEARY 426899,A81000C,00700,0600,MAINTENANCE 426899,A81000C,00800,0100,D 426899,A81000C,00800,0200,KEN CLEARY 426899,A81000C,00800,0600,MEDICAL RECORDS 426899,A81000C,00900,0100,D 426899,A81000C,00900,0200,WE CARE DISTRIBUTORS 426899,A81000C,00900,0600,SUPPLIES 426899,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426899,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426899,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426899,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426899,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426899,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 426899,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426899,B100000,00000,0800,0800MEALS SERVED :DIETARY 426899,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 426899,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 426899,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 426899,B100000,00000,1500,1350RESIDENT DAYS :OTHER GENERAL SE 426899,G300000,02500,0000,INTEREST REVENUE 426899,G300000,02501,0000,CHILDCARE REVENUE 426899,G300000,02502,0000,HAIRDRESSING REVENUE 426899,G300000,02503,0000,CABLE/ TV REVENUE 426899,G300000,02504,0000,MISC. REVENUE 426899,G300000,02505,0000,CHARITABLE DONATIONS 426899,G300000,02506,0000,PRIOR PERIOD OTHER 426899,S000000,00100,0200,02/27/12 426899,S200000,00100,0100,50 BEACH ROAD 426899,S200000,00200,0100,WOLCOTT 426899,S200000,00200,0200,CT 426899,S200000,00200,0300,06716 426899,S200000,00300,0100,NEW HAVEN 426899,S200000,00300,0200,5483 426899,S200000,00300,0201,35300 426899,S200000,00300,0300,U 426899,S200000,00400,0100,WOLCOTT VIEW MANOR 426899,S200000,00400,0200,075282 426899,S200000,00400,0300,12/05/94 426899,S200000,00400,0500,P 426899,S200000,01500,0100,Y 426899,S200000,01501,0200,Y 426899,S200000,01600,0100,N 426899,S200000,01700,0100,N 426899,S200000,01800,0100,N 426899,S200000,02200,0100,N 426899,S200000,02800,0100,N 426899,S200000,02900,0100,N 426899,S200000,03000,0100,N 426899,S200000,03100,0100,N 426899,S200000,03200,0100,N 426899,S200000,03300,0100,N 426899,S200000,03300,0200,N 426899,S200000,04100,0100,N 426899,S200000,04200,0100,N 426899,S200000,04300,0100,N 426899,S200000,04600,0100,N 426899,S200000,04700,0100,N 426899,S200000,04700,0200,N 426899,S200000,04900,0100,N 426899,S200000,05000,0100,N 426899,S200000,05100,0100,N 426899,S200000,05200,0100,N 426899,S200000,05300,0100,N 426900,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426900,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426900,A000000,00300,0000,0300EMPLOYEE BENEFITS 426900,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426900,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426900,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426900,A000000,00700,0000,0700HOUSEKEEPING 426900,A000000,00800,0000,0800DIETARY 426900,A000000,00900,0000,0900NURSING ADMINISTRATION 426900,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426900,A000000,01100,0000,1100PHARMACY 426900,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426900,A000000,01300,0000,1300SOCIAL SERVICE 426900,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426900,A000000,01500,0000,1350OTHER GENERAL SERVICES 426900,A000000,01600,0000,1600SKILLED NURSING FACILITY 426900,A000000,01800,0000,1800NURSING FACILITY 426900,A000000,01810,0000,1810ICF/MR 426900,A000000,01900,0000,1900OTHER LONG TERM CARE 426900,A000000,02100,0000,2100RADIOLOGY 426900,A000000,02200,0000,2200LABORATORY 426900,A000000,02300,0000,2300INTRAVENOUS THERAPY 426900,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426900,A000000,02500,0000,2500PHYSICAL THERAPY 426900,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426900,A000000,02700,0000,2700SPEECH PATHOLOGY 426900,A000000,02800,0000,2800ELECTROCARDIOLOGY 426900,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426900,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426900,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426900,A000000,03200,0000,3200SUPPORT SURFACES 426900,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426900,A000000,03400,0000,3400CLINIC 426900,A000000,03500,0000,3500RURAL HEALTH CLINIC 426900,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426900,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426900,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426900,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426900,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426900,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426900,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426900,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426900,A000000,04400,0000,4400DME RENTED - HHA 426900,A000000,04500,0000,4500DME SOLD - HHA 426900,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426900,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426900,A000000,04710,0000,4710TELEMEDICINE 426900,A000000,04800,0000,4800AMBULANCE 426900,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426900,A000000,05000,0000,5000CORF 426900,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426900,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426900,A000000,05300,0000,5300INTEREST EXPENSE 426900,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426900,A000000,05500,0000,5500HOSPICE 426900,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426900,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426900,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426900,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426900,A000000,06100,0000,6100NONPAID WORKERS 426900,A000000,06200,0000,6200PATIENTS LAUNDRY 426900,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426900,A81000A,00100,0100,Y 426900,A81000B,00100,0300,INSURANCE 426900,A81000B,00200,0300,EMPLOYEE BENEFITS 426900,A81000B,00300,0300,GENERAL ADMIN 426900,A81000B,00400,0300,MAINTENANCE 426900,A81000B,00500,0300,MEDICAL CONSULTANT 426900,A81000B,00600,0300,RECREATION SUPPLIES 426900,A81000C,00100,0100,G 426900,A81000C,00100,0400,HOSPITAL FOR SPECIAL CARE 426900,A81000C,00100,0600,LONG STAY HOSPITAL 426900,A81000C,03100,0000,COMMON OWNERSHIP 426900,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426900,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426900,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426900,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426900,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426900,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426900,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426900,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426900,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426900,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426900,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426900,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 426900,G300000,02500,0000,OTHER INCOME 426900,S000000,00100,0200,01/31/12 426900,S200000,00100,0100,400 BRITTANY FARMS RD 426900,S200000,00200,0100,NEW BRITAIN 426900,S200000,00200,0200,CT 426900,S200000,00200,0300,06053 426900,S200000,00300,0100,HARTFORD 426900,S200000,00300,0200,3283 426900,S200000,00300,0201,25540 426900,S200000,00300,0300,U 426900,S200000,00400,0100,BRITTANY FARMS HEALTH CENTER 426900,S200000,00400,0200,075292 426900,S200000,00400,0300,07/01/83 426900,S200000,00400,0500,P 426900,S200000,01500,0100,Y 426900,S200000,01501,0200,Y 426900,S200000,01600,0100,N 426900,S200000,01700,0100,N 426900,S200000,01800,0100,N 426900,S200000,02200,0100,N 426900,S200000,02800,0100,N 426900,S200000,02900,0100,N 426900,S200000,03000,0100,N 426900,S200000,03100,0100,N 426900,S200000,03200,0100,N 426900,S200000,03300,0100,N 426900,S200000,03300,0200,N 426900,S200000,04100,0100,N 426900,S200000,04200,0100,N 426900,S200000,04300,0100,N 426900,S200000,04600,0100,N 426900,S200000,04700,0100,N 426900,S200000,04700,0200,N 426900,S200000,04900,0100,N 426900,S200000,05000,0100,N 426900,S200000,05100,0100,N 426900,S200000,05200,0100,N 426902,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426902,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426902,A000000,00300,0000,0300EMPLOYEE BENEFITS 426902,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426902,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426902,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426902,A000000,00700,0000,0700HOUSEKEEPING 426902,A000000,00800,0000,0800DIETARY 426902,A000000,00900,0000,0900NURSING ADMINISTRATION 426902,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426902,A000000,01100,0000,1100PHARMACY 426902,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426902,A000000,01300,0000,1300SOCIAL SERVICE 426902,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426902,A000000,01500,0000,1350PATIENT ACTIVITIES 426902,A000000,01600,0000,1600SKILLED NURSING FACILITY 426902,A000000,01810,0000,1810ICF/MR 426902,A000000,02100,0000,2100RADIOLOGY 426902,A000000,02200,0000,2200LABORATORY 426902,A000000,02300,0000,2300INTRAVENOUS THERAPY 426902,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426902,A000000,02500,0000,2500PHYSICAL THERAPY 426902,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426902,A000000,02700,0000,2700SPEECH PATHOLOGY 426902,A000000,02800,0000,2800ELECTROCARDIOLOGY 426902,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426902,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426902,A000000,03550,0000,3550FQHC 426902,A000000,03600,0000,3450ADMIN & GENERAL-HHA 426902,A000000,04800,0000,4800AMBULANCE 426902,A000000,05000,0000,5000CORF 426902,A000000,05010,0000,5010CMHC 426902,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426902,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426902,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426902,A000000,05100,0000,4750INTEREST EXPENSE 426902,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426902,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426902,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426902,A000000,06300,0000,6150TOTAL 426902,A81000A,00100,0100,Y 426902,A81000B,00100,0300,PHYSICAL THERAPY 426902,A81000B,00200,0300,MANAGEMENT FEE 426902,A81000B,00300,0300,ADMIN & GENERAL 426902,A81000B,00400,0300,SOCIAL SERVICE 426902,A81000B,00500,0300,PHYSICAL THERAPY 426902,A81000B,00600,0300,SPEECH THERAPY 426902,A81000B,00700,0300,OCCUPATIONAL THERAPY 426902,A81000B,00800,0300,NURSING 426902,A81000C,00100,0100,A 426902,A81000C,00100,0200,LAWRENCE SANTIL 426902,A81000C,00100,0400,MANAGEMENT COMP 426902,A81000C,00100,0600,MANAGEMENT COMP 426902,A81000C,00200,0100,A 426902,A81000C,00200,0200,GUARD L SANTILL 426902,A81000C,00300,0100,A 426902,A81000C,00300,0200,CHAKALOS BAYVIE 426902,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426902,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426902,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426902,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426902,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426902,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426902,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426902,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426902,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426902,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426902,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426902,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426902,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426902,G300000,02500,0000,INTEREST INCOME 426902,G300000,02501,0000,FEE INCOME 426902,G300000,02502,0000,MISCELLANEOUS INCOME 426902,S000000,00100,0200,02/08/12 426902,S200000,00100,0100,301 ROPE FERRY ROAD 426902,S200000,00200,0100,WATERFORD 426902,S200000,00200,0200,CT 426902,S200000,00200,0300,06385 426902,S200000,00300,0100,NEW LONDON 426902,S200000,00300,0201,35980 426902,S200000,00300,0300,U 426902,S200000,00400,0100,BAYVIEW HEALTH CARE CENTER 426902,S200000,00400,0200,075324 426902,S200000,00400,0300,07/27/89 426902,S200000,00400,0500,P 426902,S200000,01500,0100,Y 426902,S200000,01501,0200,N 426902,S200000,01502,0200,N 426902,S200000,01503,0200,N 426902,S200000,01504,0200,N 426902,S200000,01600,0100,N 426902,S200000,01700,0100,N 426902,S200000,01800,0100,N 426902,S200000,02200,0100,N 426902,S200000,02800,0100,N 426902,S200000,02900,0100,N 426902,S200000,03000,0100,N 426902,S200000,03100,0100,N 426902,S200000,03200,0100,N 426902,S200000,03300,0100,N 426902,S200000,03300,0200,N 426902,S200000,04100,0100,N 426902,S200000,04200,0100,N 426902,S200000,04300,0100,N 426902,S200000,04600,0100,N 426902,S200000,04700,0100,N 426902,S200000,04700,0200,N 426902,S200000,04900,0100,N 426902,S200000,05000,0100,N 426902,S200000,05100,0100,N 426902,S200000,05200,0100,N 426902,S200000,05300,0100,Y 426902,S200000,05300,0200,07-111 426902,S200000,05400,0100,ATHENA HEALTH CARE 426902,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426902,S200000,05400,0300,13101 426902,S200000,05500,0100,300 QUEEN STREET 426902,S200000,05600,0100,SOUTHINGTON 426902,S200000,05600,0200,CT 426902,S200000,05600,0300,06489 426904,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426904,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426904,A000000,00300,0000,0300EMPLOYEE BENEFITS 426904,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426904,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426904,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426904,A000000,00700,0000,0700HOUSEKEEPING 426904,A000000,00800,0000,0800DIETARY 426904,A000000,00900,0000,0900NURSING ADMINISTRATION 426904,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426904,A000000,01100,0000,1100PHARMACY 426904,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426904,A000000,01300,0000,1300SOCIAL SERVICE 426904,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426904,A000000,01500,0000,1350PATIENT ACTIVITIES 426904,A000000,01600,0000,1600SKILLED NURSING FACILITY 426904,A000000,01800,0000,1800NURSING FACILITY 426904,A000000,01810,0000,1810ICF/MR 426904,A000000,02100,0000,2100RADIOLOGY 426904,A000000,02200,0000,2200LABORATORY 426904,A000000,02300,0000,2300INTRAVENOUS THERAPY 426904,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426904,A000000,02500,0000,2500PHYSICAL THERAPY 426904,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426904,A000000,02700,0000,2700SPEECH PATHOLOGY 426904,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426904,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426904,A000000,03550,0000,3550FQHC 426904,A000000,03600,0000,3450ADMIN & GENERAL-HHA 426904,A000000,05000,0000,5000CORF 426904,A000000,05010,0000,5010CMHC 426904,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 426904,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426904,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426904,A000000,05100,0000,4750INTEREST EXPENSE 426904,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426904,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426904,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426904,A000000,06300,0000,6150TOTAL 426904,A81000A,00100,0100,Y 426904,A81000B,00100,0300,MANAGEMENT FEES 426904,A81000B,00200,0300,PHYSICAL THERAPY 426904,A81000B,00300,0300,ADMIN & GENERAL 426904,A81000B,00400,0300,MAINTENANCE 426904,A81000B,00500,0300,PHYSICAL THERAPY 426904,A81000B,00600,0300,SPEECH THERAPY 426904,A81000B,00700,0300,OCCUPATIONAL THERAPY 426904,A81000C,00100,0100,A 426904,A81000C,00100,0200,LAWRENCE SANTIL 426904,A81000C,00200,0100,A 426904,A81000C,00200,0200,GUARD LE SANTIL 426904,A81000C,00300,0100,A 426904,A81000C,00300,0200,CHRISTOPHER ERR 426904,A81000C,00400,0100,A 426904,A81000C,00400,0200,RICK ERRICHETTI 426904,A81000C,00500,0100,A 426904,A81000C,00500,0200,JOYCE ERRICHETT 426904,A81000C,00600,0100,A 426904,A81000C,00600,0200,ALAN LOVERIDGE 426904,A81000C,00700,0100,A 426904,A81000C,00700,0200,JOHN MAHANEY 426904,A81000C,00800,0100,A 426904,A81000C,00800,0200,JOHN NOCERA 426904,A81000C,00900,0100,A 426904,A81000C,00900,0200,O JOSEPH BIZZOZ 426904,A81000C,01000,0100,A 426904,A81000C,01000,0200,A JOSEPH CAPPEL 426904,A81000C,01001,0100,A 426904,A81000C,01001,0200,ABBOTT NVESTMEN 426904,A81000C,01002,0100,A 426904,A81000C,01002,0200,WILLIAM THOMAS 426904,A81000C,01003,0100,A 426904,A81000C,01003,0200,RUSSELL SCHWART 426904,A81000C,01004,0100,A 426904,A81000C,01004,0200,JOSEPH COLACI 426904,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426904,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426904,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426904,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426904,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426904,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 426904,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426904,B100000,00000,0800,0850PATIENT DAYS :DIETARY 426904,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 426904,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426904,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426904,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426904,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 426904,G300000,02500,0000,FEE INCOME DIRECT 426904,G300000,02501,0000,BAD DEBT RECOVERIES 426904,G300000,02502,0000,INTEREST INCOME 426904,G300000,02503,0000,FEE INCOME A&G 426904,G300000,02504,0000,FEE INCOME DIRECT 426904,G300000,02505,0000,FEE INCOME THERAPIES 426904,G300000,02506,0000,MISC INCOME 426904,S000000,00100,0200,02/08/12 426904,S200000,00100,0100,255 ROBERTS STREET 426904,S200000,00200,0100,TORRINGTON 426904,S200000,00200,0200,CT 426904,S200000,00200,0300,06790 426904,S200000,00300,0100,LITCHFIELD 426904,S200000,00300,0201,25540 426904,S200000,00300,0300,U 426904,S200000,00400,0100,LITCHFIELD WOODS HEALTH CARE CTR 426904,S200000,00400,0200,075319 426904,S200000,00400,0300,07/19/88 426904,S200000,00400,0500,P 426904,S200000,01500,0100,Y 426904,S200000,01501,0200,N 426904,S200000,01502,0200,N 426904,S200000,01503,0200,N 426904,S200000,01504,0200,N 426904,S200000,01600,0100,N 426904,S200000,01700,0100,N 426904,S200000,01800,0100,N 426904,S200000,02200,0100,N 426904,S200000,02800,0100,Y 426904,S200000,02900,0100,N 426904,S200000,03000,0100,N 426904,S200000,03100,0100,N 426904,S200000,03200,0100,N 426904,S200000,03300,0100,N 426904,S200000,03300,0200,N 426904,S200000,04100,0100,N 426904,S200000,04200,0100,N 426904,S200000,04300,0100,N 426904,S200000,04600,0100,N 426904,S200000,04700,0100,N 426904,S200000,04700,0200,N 426904,S200000,04900,0100,N 426904,S200000,05000,0100,N 426904,S200000,05100,0100,N 426904,S200000,05200,0100,N 426904,S200000,05300,0100,Y 426904,S200000,05300,0200,07-111 426904,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 426904,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 426904,S200000,05400,0300,13101 426904,S200000,05500,0100,300 QUEEN STREET 426904,S200000,05600,0100,SOUTHINGTON 426904,S200000,05600,0200,CT 426904,S200000,05600,0300,06489 426905,S000000,00100,0200,03/05/12 426905,S200000,00100,0100,14 ROCK AVENUE 426905,S200000,00200,0100,PASCOAG 426905,S200000,00200,0200,RI 426905,S200000,00200,0300,02859 426905,S200000,00400,0100,OVERLOOK NURSING HOME 426905,S200000,00400,0300,12/01/76 426910,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426910,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426910,A000000,00300,0000,0300EMPLOYEE BENEFITS 426910,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426910,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426910,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426910,A000000,00700,0000,0700HOUSEKEEPING 426910,A000000,00800,0000,0800DIETARY 426910,A000000,00900,0000,0900NURSING ADMINISTRATION 426910,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426910,A000000,01300,0000,1300SOCIAL SERVICE 426910,A000000,01600,0000,1600SKILLED NURSING FACILITY 426910,A000000,01800,0000,1800NURSING FACILITY 426910,A000000,01900,0000,1900OTHER LONG TERM CARE 426910,A000000,02100,0000,2100RADIOLOGY 426910,A000000,02200,0000,2200LABORATORY 426910,A000000,02300,0000,2300INTRAVENOUS THERAPY 426910,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426910,A000000,02500,0000,2500PHYSICAL THERAPY 426910,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426910,A000000,02700,0000,2700SPEECH PATHOLOGY 426910,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426910,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426910,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426910,A000000,03200,0000,3200SUPPORT SURFACES 426910,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426910,A000000,04800,0000,4800AMBULANCE 426910,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426910,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426910,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426910,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426910,A81000A,00100,0100,Y 426910,A81000B,00100,0300,MANAGEMENT FEES 426910,A81000B,00200,0300,HO ALLOWABLE - CAPITAL BLDG 426910,A81000B,00300,0300,HO ALLOWABLE - CAPITAL EQUIP 426910,A81000B,00400,0300,HO ALLOWABLE - NON CAPITAL 426910,A81000C,00100,0100,B 426910,A81000C,00100,0400,PACIFIC RETIREM 426910,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426910,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426910,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426910,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426910,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426910,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426910,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426910,B100000,00000,0800,0800MEALS SERVED :DIETARY 426910,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426910,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426910,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426910,G300000,02500,0000, OTHER (SPECIFY) 426910,S000000,00100,0200,03/01/12 426910,S200000,00100,0100,1515 SHASTA DRIVE 426910,S200000,00200,0100,DAVIS 426910,S200000,00200,0200,CA 426910,S200000,00200,0300,95615 426910,S200000,00300,0100,YOLO 426910,S200000,00300,0201,40900 426910,S200000,00300,0300,U 426910,S200000,00400,0100,UNIVERSITY RETIREMENT COMM OF DAVIS 426910,S200000,00400,0200,555769 426910,S200000,00400,0300,04/16/01 426910,S200000,00400,0500,P 426910,S200000,01500,0100,Y 426910,S200000,01600,0100,N 426910,S200000,01700,0100,N 426910,S200000,01800,0100,N 426910,S200000,02200,0100,N 426910,S200000,02800,0100,N 426910,S200000,02900,0100,N 426910,S200000,03000,0100,N 426910,S200000,03100,0100,N 426910,S200000,03200,0100,N 426910,S200000,03300,0100,N 426910,S200000,03300,0200,N 426910,S200000,04100,0100,N 426910,S200000,04200,0100,N 426910,S200000,04300,0100,N 426910,S200000,04600,0100,N 426910,S200000,04700,0100,N 426910,S200000,04700,0200,N 426910,S200000,04900,0100,N 426910,S200000,05000,0100,N 426910,S200000,05100,0100,N 426910,S200000,05200,0100,N 426910,S200000,05300,0100,Y 426910,S200000,05300,0200,389109 426910,S200000,05400,0100,PACIFIC RETIREMENT SVCS 426910,S200000,05400,0200,WPS 426910,S200000,05400,0300,01001 426910,S200000,05500,0100,1200 MIRA MAR AVE 426910,S200000,05600,0100,MEDFORD 426910,S200000,05600,0200,OR 426910,S200000,05600,0300,97504 426914,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426914,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426914,A000000,00300,0000,0300EMPLOYEE BENEFITS 426914,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426914,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426914,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426914,A000000,00700,0000,0700HOUSEKEEPING 426914,A000000,00800,0000,0800DIETARY 426914,A000000,00900,0000,0900NURSING ADMINISTRATION 426914,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426914,A000000,01100,0000,1100PHARMACY 426914,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426914,A000000,01300,0000,1300SOCIAL SERVICE 426914,A000000,01600,0000,1600SKILLED NURSING FACILITY 426914,A000000,01800,0000,1800NURSING FACILITY 426914,A000000,01810,0000,1810ICF/MR 426914,A000000,01900,0000,1900OTHER LONG TERM CARE 426914,A000000,02100,0000,2100RADIOLOGY 426914,A000000,02200,0000,2200LABORATORY 426914,A000000,02300,0000,2300INTRAVENOUS THERAPY 426914,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426914,A000000,02500,0000,2500PHYSICAL THERAPY 426914,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426914,A000000,02700,0000,2700SPEECH PATHOLOGY 426914,A000000,02800,0000,2800ELECTROCARDIOLOGY 426914,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426914,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426914,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426914,A000000,03200,0000,3200SUPPORT SURFACES 426914,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426914,A000000,03400,0000,3400CLINIC 426914,A000000,03500,0000,3500RURAL HEALTH CLINIC 426914,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426914,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426914,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426914,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426914,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426914,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426914,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426914,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426914,A000000,04400,0000,4400DME RENTED - HHA 426914,A000000,04500,0000,4500DME SOLD - HHA 426914,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426914,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426914,A000000,04710,0000,4710TELEMEDICINE 426914,A000000,04800,0000,4800AMBULANCE 426914,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426914,A000000,05000,0000,5000CORF 426914,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426914,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426914,A000000,05300,0000,5300INTEREST EXPENSE 426914,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426914,A000000,05500,0000,5500HOSPICE 426914,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426914,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426914,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426914,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426914,A000000,06100,0000,6100NONPAID WORKERS 426914,A000000,06200,0000,6200PATIENTS LAUNDRY 426914,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426914,A81000A,00100,0100,Y 426914,A81000B,00100,0300,ADMINISTRATION-HOME OFFICE EXP. 426914,A81000B,00200,0300,ADMINISTRATION-BROTHERS SPONSORSHIP 426914,A81000C,00100,0100,B 426914,A81000C,00100,0400,BROS OF ST. JOHN OF GOD 426914,A81000C,00100,0600,PARENT COMPANY 426914,A81000C,00200,0100,G 426914,A81000C,00200,0400,HOSPITALLER BROS HLTHCARE 426914,A81000C,00200,0600,ADVISOR 426914,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426914,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426914,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426914,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426914,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426914,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426914,B100000,00000,0800,0800MEALS SERVED :DIETARY 426914,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426914,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426914,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426914,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 426914,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426914,G300000,02500,0000,OTHER INCOME 426914,S000000,00100,0200,03/05/12 426914,S200000,00100,0100,2464 EAST OJAI AVENUE 426914,S200000,00200,0100,OJAI 426914,S200000,00200,0200,CA 426914,S200000,00200,0300,93023 426914,S200000,00300,0100,VENTURA 426914,S200000,00300,0201,37100 426914,S200000,00300,0300,U 426914,S200000,00400,0100,ST. JOSEPH S HEALTH & RETIREMENT CTR 426914,S200000,00400,0200,055037 426914,S200000,00400,0300,01/01/78 426914,S200000,00400,0500,P 426914,S200000,01500,0100,Y 426914,S200000,01501,0200,Y 426914,S200000,01600,0100,N 426914,S200000,01700,0100,N 426914,S200000,01800,0100,N 426914,S200000,02200,0100,N 426914,S200000,02800,0100,N 426914,S200000,02900,0100,N 426914,S200000,03000,0100,N 426914,S200000,03100,0100,N 426914,S200000,03200,0100,N 426914,S200000,03300,0100,N 426914,S200000,03300,0200,N 426914,S200000,04100,0100,N 426914,S200000,04200,0100,N 426914,S200000,04300,0100,N 426914,S200000,04600,0100,N 426914,S200000,04700,0100,N 426914,S200000,04700,0200,N 426914,S200000,04900,0100,N 426914,S200000,05000,0100,N 426914,S200000,05100,0100,N 426914,S200000,05200,0100,N 426915,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426915,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426915,A000000,00300,0000,0300EMPLOYEE BENEFITS 426915,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426915,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426915,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426915,A000000,00700,0000,0700HOUSEKEEPING 426915,A000000,00800,0000,0800DIETARY 426915,A000000,00900,0000,0900NURSING ADMINISTRATION 426915,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426915,A000000,01300,0000,1300SOCIAL SERVICE 426915,A000000,01301,0000,1301ACTIVITIES 426915,A000000,01600,0000,1600SKILLED NURSING FACILITY 426915,A000000,01800,0000,1800NURSING FACILITY 426915,A000000,02100,0000,2100RADIOLOGY 426915,A000000,02200,0000,2200LABORATORY 426915,A000000,02300,0000,2300INTRAVENOUS THERAPY 426915,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426915,A000000,02500,0000,2500PHYSICAL THERAPY 426915,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426915,A000000,02700,0000,2700SPEECH PATHOLOGY 426915,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426915,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426915,A000000,03200,0000,3200SUPPORT SURFACES 426915,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426915,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426915,A81000A,00100,0100,N 426915,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426915,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426915,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426915,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426915,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426915,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426915,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426915,B100000,00000,0800,0800MEALS SERVED :DIETARY 426915,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426915,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426915,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426915,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 426915,S000000,00100,0200,02/29/12 426915,S200000,00100,0100,1630 N. EDISON STREET 426915,S200000,00200,0100,STOCKTON 426915,S200000,00200,0200,CA 426915,S200000,00200,0300,95204 426915,S200000,00300,0100,SAN JOAQUIN 426915,S200000,00300,0201,44700 426915,S200000,00300,0300,U 426915,S200000,00400,0100,GOOD SAMARITAN REHAB & CARE CENTER 426915,S200000,00400,0200,055039 426915,S200000,00400,0300,10/01/88 426915,S200000,00400,0500,P 426915,S200000,01500,0100,Y 426915,S200000,01501,0200,Y 426915,S200000,01502,0200,Y 426915,S200000,01503,0200,Y 426915,S200000,01504,0200,Y 426915,S200000,01600,0100,N 426915,S200000,01700,0100,N 426915,S200000,01800,0100,N 426915,S200000,02200,0100,N 426915,S200000,02800,0100,N 426915,S200000,02900,0100,N 426915,S200000,03000,0100,N 426915,S200000,03100,0100,N 426915,S200000,03200,0100,N 426915,S200000,03300,0100,N 426915,S200000,03300,0200,N 426915,S200000,04100,0100,N 426915,S200000,04200,0100,N 426915,S200000,04300,0100,N 426915,S200000,04600,0100,N 426915,S200000,04700,0100,N 426915,S200000,04700,0200,N 426915,S200000,04900,0100,N 426915,S200000,05000,0100,N 426915,S200000,05100,0100,N 426915,S200000,05200,0100,N 426915,S200000,05300,0100,N 426916,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426916,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426916,A000000,00300,0000,0300EMPLOYEE BENEFITS 426916,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426916,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426916,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426916,A000000,00700,0000,0700HOUSEKEEPING 426916,A000000,00800,0000,0800DIETARY 426916,A000000,00900,0000,0900NURSING ADMINISTRATION 426916,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426916,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426916,A000000,01300,0000,1300SOCIAL SERVICE 426916,A000000,01500,0000,1350ACTIVITIES-SNF 426916,A000000,01501,0000,1351TRANSPORT 426916,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAMS 426916,A000000,01600,0000,1600SKILLED NURSING FACILITY 426916,A000000,01800,0000,1800NURSING FACILITY 426916,A000000,01810,0000,1810ICF/MR 426916,A000000,01900,0000,1900OTHER LONG TERM CARE 426916,A000000,02100,0000,2100RADIOLOGY 426916,A000000,02200,0000,2200LABORATORY 426916,A000000,02300,0000,2300INTRAVENOUS THERAPY 426916,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426916,A000000,02500,0000,2500PHYSICAL THERAPY 426916,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426916,A000000,02700,0000,2700SPEECH PATHOLOGY 426916,A000000,02800,0000,2800ELECTROCARDIOLOGY 426916,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426916,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426916,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426916,A000000,03200,0000,3200SUPPORT SURFACES 426916,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426916,A000000,03400,0000,3400CLINIC 426916,A000000,03500,0000,3500RURAL HEALTH CLINIC 426916,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426916,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426916,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426916,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426916,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426916,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426916,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426916,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426916,A000000,04400,0000,4400DME RENTED - HHA 426916,A000000,04500,0000,4500DME SOLD - HHA 426916,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426916,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426916,A000000,04710,0000,4710TELEMEDICINE 426916,A000000,04800,0000,4800AMBULANCE 426916,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426916,A000000,05000,0000,5000CORF 426916,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426916,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426916,A000000,05300,0000,5300INTEREST EXPENSE 426916,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426916,A000000,05500,0000,5500HOSPICE 426916,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426916,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426916,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426916,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426916,A000000,06100,0000,6100NONPAID WORKERS 426916,A000000,06200,0000,6200PATIENTS LAUNDRY 426916,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426916,A000000,06301,0000,6151ASSISTED LIVING 426916,A000000,06302,0000,6152RESIDENTIAL 426916,A000000,06303,0000,6153WELLNESS 426916,A000000,06304,0000,6154OUTREACH 426916,A81000A,00100,0100,Y 426916,A81000B,00100,0300,HOME OFFICE - MGT FEES 426916,A81000B,00200,0300,HOME OFFICE - CAP BLDG 426916,A81000B,00300,0300,HOME OFFICE - CAP ME 426916,A81000B,00400,0300,HOME OFFICE - INT EXP 426916,A81000B,00500,0300,SENIORITY - MKTING/SALES 426916,A81000C,00100,0100,B 426916,A81000C,00100,0400,ABHOW 426916,A81000C,00100,0600,MGMT/ACCTING 426916,A81000C,00200,0100,B 426916,A81000C,00200,0400,SENIORITY INC 426916,A81000C,00200,0600,MKTING/SALES 426916,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426916,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426916,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426916,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426916,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426916,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426916,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426916,B100000,00000,0800,0800MEALS SERVED :DIETARY 426916,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 426916,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 426916,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426916,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426916,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426916,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426916,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 426916,S000000,00100,0200,03/01/12 426916,S200000,00100,0100,373 PINE LANE 426916,S200000,00200,0100,LOS ALTOS 426916,S200000,00200,0200,CA 426916,S200000,00200,0300,94022 426916,S200000,00300,0100,SANTA CLARA 426916,S200000,00300,0200,7400 426916,S200000,00300,0201,41940 426916,S200000,00300,0300,U 426916,S200000,00400,0100,TERRACES OF LOS ALTOS 426916,S200000,00400,0200,055210 426916,S200000,00400,0300,02/01/68 426916,S200000,00400,0500,P 426916,S200000,01500,0100,Y 426916,S200000,01600,0100,N 426916,S200000,01700,0100,N 426916,S200000,01800,0100,N 426916,S200000,02200,0100,N 426916,S200000,02800,0100,N 426916,S200000,02900,0100,N 426916,S200000,03000,0100,N 426916,S200000,03100,0100,N 426916,S200000,03200,0100,N 426916,S200000,03300,0100,N 426916,S200000,03300,0200,N 426916,S200000,04100,0100,N 426916,S200000,04200,0100,N 426916,S200000,04300,0100,N 426916,S200000,04600,0100,N 426916,S200000,04700,0100,N 426916,S200000,04700,0200,N 426916,S200000,04900,0100,N 426916,S200000,05000,0100,N 426916,S200000,05100,0100,N 426916,S200000,05200,0100,N 426916,S200000,05300,0100,Y 426916,S200000,05300,0200,559012 426916,S200000,05400,0100,ABHOW 426916,S200000,05400,0200,WPS 426916,S200000,05400,0300,52280 426916,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426916,S200000,05500,0200,3RD FLOOR 426916,S200000,05600,0100,PLEASANTON 426916,S200000,05600,0200,CA 426916,S200000,05600,0300,94588 426918,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426918,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426918,A000000,00300,0000,0300EMPLOYEE BENEFITS 426918,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426918,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426918,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426918,A000000,00700,0000,0700HOUSEKEEPING 426918,A000000,00800,0000,0800DIETARY 426918,A000000,00900,0000,0900NURSING ADMINISTRATION 426918,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426918,A000000,01100,0000,1100PHARMACY 426918,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426918,A000000,01300,0000,1300SOCIAL SERVICE 426918,A000000,01600,0000,1600SKILLED NURSING FACILITY 426918,A000000,01800,0000,1800NURSING FACILITY 426918,A000000,01810,0000,1810ICF/MR 426918,A000000,01900,0000,1900OTHER LONG TERM CARE 426918,A000000,02100,0000,2100RADIOLOGY 426918,A000000,02200,0000,2200LABORATORY 426918,A000000,02300,0000,2300INTRAVENOUS THERAPY 426918,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426918,A000000,02500,0000,2500PHYSICAL THERAPY 426918,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426918,A000000,02700,0000,2700SPEECH PATHOLOGY 426918,A000000,02800,0000,2800ELECTROCARDIOLOGY 426918,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426918,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426918,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426918,A000000,03200,0000,3200SUPPORT SURFACES 426918,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426918,A000000,03400,0000,3400CLINIC 426918,A000000,03500,0000,3500RURAL HEALTH CLINIC 426918,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426918,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426918,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426918,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426918,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426918,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426918,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426918,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426918,A000000,04400,0000,4400DME RENTED - HHA 426918,A000000,04500,0000,4500DME SOLD - HHA 426918,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426918,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426918,A000000,04710,0000,4710TELEMEDICINE 426918,A000000,04800,0000,4800AMBULANCE 426918,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426918,A000000,05000,0000,5000CORF 426918,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426918,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426918,A000000,05300,0000,5300INTEREST EXPENSE 426918,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426918,A000000,05500,0000,5500HOSPICE 426918,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426918,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426918,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426918,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426918,A000000,06100,0000,6100NONPAID WORKERS 426918,A000000,06200,0000,6200PATIENTS LAUNDRY 426918,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426918,A81000A,00100,0100,Y 426918,A81000B,00100,0300,ADMINISTRATION-HOME OFFICE EXPENSE 426918,A81000B,00200,0300,ADMINISTRATION-BROTHERS SPONSORSHIP 426918,A81000C,00100,0100,B 426918,A81000C,00100,0400,BROS. OF ST JOHN OF GOD 426918,A81000C,00100,0600,PARENT CO. 426918,A81000C,00200,0100,B 426918,A81000C,00200,0400,HOSPITALLER BROS HLTHCARE 426918,A81000C,00200,0600,ADVISOR 426918,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426918,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426918,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426918,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426918,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426918,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426918,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426918,B100000,00000,0800,0800MEALS SERVED :DIETARY 426918,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426918,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426918,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 426918,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 426918,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426918,G300000,02500,0000,OTHER INCOME 426918,S000000,00100,0200,03/05/12 426918,S200000,00100,0100,2468 S. ST. ANDREWS PLACE 426918,S200000,00200,0100,LOS ANGELES 426918,S200000,00200,0200,CA 426918,S200000,00200,0300,90018 426918,S200000,00300,0100,LOS ANGELES 426918,S200000,00300,0201,05200 426918,S200000,00300,0300,U 426918,S200000,00400,0100,ST JOHN OF GOD RETIREMENT & CARE CTR 426918,S200000,00400,0200,055253 426918,S200000,00400,0300,05/03/71 426918,S200000,00400,0500,P 426918,S200000,01500,0100,Y 426918,S200000,01501,0200,Y 426918,S200000,01600,0100,N 426918,S200000,01700,0100,N 426918,S200000,01800,0100,N 426918,S200000,02200,0100,N 426918,S200000,02800,0100,N 426918,S200000,02900,0100,N 426918,S200000,03000,0100,N 426918,S200000,03100,0100,N 426918,S200000,03200,0100,N 426918,S200000,03300,0100,N 426918,S200000,03300,0200,N 426918,S200000,04100,0100,N 426918,S200000,04200,0100,N 426918,S200000,04300,0100,N 426918,S200000,04600,0100,N 426918,S200000,04700,0100,N 426918,S200000,04700,0200,N 426918,S200000,04900,0100,N 426918,S200000,05000,0100,N 426918,S200000,05100,0100,N 426918,S200000,05200,0100,N 426919,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426919,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426919,A000000,00300,0000,0300EMPLOYEE BENEFITS 426919,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426919,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426919,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426919,A000000,00700,0000,0700HOUSEKEEPING 426919,A000000,00800,0000,0800DIETARY 426919,A000000,00900,0000,0900NURSING ADMINISTRATION 426919,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426919,A000000,01100,0000,1100PHARMACY 426919,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426919,A000000,01300,0000,1300SOCIAL SERVICE 426919,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426919,A000000,01500,0000,1350OTHER GENERAL SERVICES 426919,A000000,01600,0000,1600SKILLED NURSING FACILITY 426919,A000000,01800,0000,1800NURSING FACILITY 426919,A000000,01810,0000,1810ICF/MR 426919,A000000,01900,0000,1900OTHER LONG TERM CARE 426919,A000000,02100,0000,2100RADIOLOGY 426919,A000000,02200,0000,2200LABORATORY 426919,A000000,02300,0000,2300INTRAVENOUS THERAPY 426919,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426919,A000000,02500,0000,2500PHYSICAL THERAPY 426919,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426919,A000000,02700,0000,2700SPEECH PATHOLOGY 426919,A000000,02800,0000,2800ELECTROCARDIOLOGY 426919,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426919,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426919,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426919,A000000,03200,0000,3200SUPPORT SURFACES 426919,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426919,A000000,03400,0000,3400CLINIC 426919,A000000,03500,0000,3500RURAL HEALTH CLINIC 426919,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426919,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426919,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426919,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426919,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426919,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426919,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426919,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426919,A000000,04400,0000,4400DME RENTED - HHA 426919,A000000,04500,0000,4500DME SOLD - HHA 426919,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426919,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426919,A000000,04710,0000,4710TELEMEDICINE 426919,A000000,04800,0000,4800AMBULANCE 426919,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426919,A000000,05000,0000,5000CORF 426919,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426919,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426919,A000000,05300,0000,5300INTEREST EXPENSE 426919,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426919,A000000,05500,0000,5500HOSPICE 426919,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426919,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426919,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426919,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426919,A000000,06100,0000,6100NONPAID WORKERS 426919,A000000,06200,0000,6200PATIENTS LAUNDRY 426919,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426919,A81000A,00100,0100,Y 426919,A81000B,00100,0300,MANAGEMENT SERVICES 426919,A81000C,00100,0100,B 426919,A81000C,00100,0200,AL BRASWELL 426919,A81000C,00100,0400,VISTA PACIFICA ENT INC 426919,A81000C,00100,0600,HOME OFFICE 426919,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426919,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426919,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426919,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426919,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426919,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426919,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426919,B100000,00000,0800,0800MEALS SERVED :DIETARY 426919,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426919,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426919,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426919,G300000,02500,0000,PROVISION FOR INCOME TAX 426919,S000000,00100,0200,02/27/12 426919,S200000,00100,0100,3662 PACIFIC AVE 426919,S200000,00200,0100,RIVERSIDE 426919,S200000,00200,0200,CA 426919,S200000,00200,0300,92509 426919,S200000,00300,0100,RIVERSIDE 426919,S200000,00300,0200,6780 426919,S200000,00300,0201,40140 426919,S200000,00300,0300,U 426919,S200000,00400,0100,VISTA PACIFICA CONVALESCENT HOSPITAL 426919,S200000,00400,0200,055361 426919,S200000,00400,0300,01/01/67 426919,S200000,00400,0500,P 426919,S200000,01500,0100,Y 426919,S200000,01501,0200,Y 426919,S200000,01505,0000,NURSING BENEFITS 426919,S200000,01505,0200,Y 426919,S200000,01600,0100,N 426919,S200000,01700,0100,N 426919,S200000,01800,0100,N 426919,S200000,02200,0100,N 426919,S200000,02800,0100,N 426919,S200000,02900,0100,N 426919,S200000,03000,0100,N 426919,S200000,03100,0100,N 426919,S200000,03200,0100,N 426919,S200000,03300,0100,N 426919,S200000,03300,0200,N 426919,S200000,04100,0100,N 426919,S200000,04200,0100,N 426919,S200000,04300,0100,N 426919,S200000,04600,0100,N 426919,S200000,04700,0100,N 426919,S200000,04700,0200,N 426919,S200000,04900,0100,N 426919,S200000,05000,0100,N 426919,S200000,05100,0100,N 426919,S200000,05200,0100,N 426919,S200000,05300,0100,Y 426919,S200000,05300,0200,HO-000 426919,S200000,05400,0100,VISTA PACIFICA ENTERPRISES INC 426919,S200000,05400,0200,PALMETTO GBA 426919,S200000,05400,0300,HO-000 426919,S200000,05500,0100,3674 PACIFIC AVENUE 426919,S200000,05600,0100,RIVERSIDE 426919,S200000,05600,0200,CA 426919,S200000,05600,0300,92509 426920,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426920,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426920,A000000,00300,0000,0300EMPLOYEE BENEFITS 426920,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426920,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426920,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426920,A000000,00700,0000,0700HOUSEKEEPING 426920,A000000,00800,0000,0800DIETARY 426920,A000000,00900,0000,0900NURSING ADMINISTRATION 426920,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426920,A000000,01300,0000,1300SOCIAL SERVICE 426920,A000000,01600,0000,1600SKILLED NURSING FACILITY 426920,A000000,01800,0000,1800NURSING FACILITY 426920,A000000,01900,0000,1900OTHER LONG TERM CARE 426920,A000000,02100,0000,2100RADIOLOGY 426920,A000000,02200,0000,2200LABORATORY 426920,A000000,02300,0000,2300INTRAVENOUS THERAPY 426920,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426920,A000000,02500,0000,2500PHYSICAL THERAPY 426920,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426920,A000000,02700,0000,2700SPEECH PATHOLOGY 426920,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426920,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426920,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426920,A000000,03200,0000,3200SUPPORT SURFACES 426920,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426920,A000000,04800,0000,4800AMBULANCE 426920,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426920,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426920,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426920,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426920,A81000A,00100,0100,Y 426920,A81000B,00100,0300,RELATED PARTY LEASE 426920,A81000B,00200,0300,LANDLORD S DEPRECIATION 426920,A81000B,00300,0300,LANDLORD S INTEREST 426920,A81000C,00100,0100,A 426920,A81000C,00100,0200,UNITED HEALTH S 426920,A81000C,00100,0600,LANDLORD 426920,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426920,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426920,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426920,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426920,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426920,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426920,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426920,B100000,00000,0800,0800MEALS SERVED :DIETARY 426920,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426920,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426920,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426920,G300000,02500,0000, OTHER (SPECIFY) 426920,S000000,00100,0200,02/27/12 426920,S200000,00100,0100,124 WALNUT STREET 426920,S200000,00200,0100,WOODLAND 426920,S200000,00200,0200,CA 426920,S200000,00200,0300,95695 426920,S200000,00300,0100,YOLO 426920,S200000,00300,0201,05670 426920,S200000,00300,0300,U 426920,S200000,00400,0100,ALDERSON CONVALESCENT HOSPITAL 426920,S200000,00400,0200,055438 426920,S200000,00400,0300,01/01/67 426920,S200000,00400,0500,P 426920,S200000,01500,0100,N 426920,S200000,01600,0100,N 426920,S200000,01700,0100,N 426920,S200000,01800,0100,N 426920,S200000,02200,0100,N 426920,S200000,02800,0100,N 426920,S200000,02900,0100,N 426920,S200000,03000,0100,N 426920,S200000,03100,0100,N 426920,S200000,03200,0100,N 426920,S200000,03300,0100,N 426920,S200000,03300,0200,N 426920,S200000,04100,0100,N 426920,S200000,04200,0100,N 426920,S200000,04300,0100,N 426920,S200000,04600,0100,N 426920,S200000,04700,0100,N 426920,S200000,04700,0200,N 426920,S200000,04900,0100,N 426920,S200000,05000,0100,N 426920,S200000,05100,0100,N 426920,S200000,05200,0100,N 426920,S200000,05300,0100,N 426921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426921,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426921,A000000,00300,0000,0300EMPLOYEE BENEFITS 426921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426921,A000000,00700,0000,0700HOUSEKEEPING 426921,A000000,00800,0000,0800DIETARY 426921,A000000,00900,0000,0900NURSING ADMINISTRATION 426921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426921,A000000,01100,0000,1100PHARMACY 426921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426921,A000000,01300,0000,1300SOCIAL SERVICE 426921,A000000,01600,0000,1600SKILLED NURSING FACILITY 426921,A000000,01800,0000,1800NURSING FACILITY 426921,A000000,01900,0000,1900OTHER LONG TERM CARE 426921,A000000,02100,0000,2100RADIOLOGY 426921,A000000,02200,0000,2200LABORATORY 426921,A000000,02300,0000,2300INTRAVENOUS THERAPY 426921,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426921,A000000,02500,0000,2500PHYSICAL THERAPY 426921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426921,A000000,02700,0000,2700SPEECH PATHOLOGY 426921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426921,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426921,A000000,03200,0000,3200SUPPORT SURFACES 426921,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426921,A000000,04800,0000,4800AMBULANCE 426921,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426921,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426921,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426921,A81000A,00100,0100,Y 426921,A81000B,00100,0300,HOME OFFICE COST 426921,A81000C,00100,0100,A 426921,A81000C,00100,0400,C. RIVAO INC. 426921,A81000C,00100,0600,MANAGEMENT 426921,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426921,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426921,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426921,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426921,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426921,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426921,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426921,B100000,00000,0800,0800MEALS SERVED :DIETARY 426921,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426921,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426921,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426921,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426921,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426921,G300000,02500,0000, OTHER (SPECIFY) 426921,S000000,00100,0200,03/12/12 426921,S200000,00100,0100,1730 SOUTH COLLEGE AVENUE 426921,S200000,00200,0100,DINUBA 426921,S200000,00200,0200,CA 426921,S200000,00200,0300,93618 426921,S200000,00300,0100,TULARE 426921,S200000,00300,0201,47300 426921,S200000,00300,0300,U 426921,S200000,00400,0100,NEW COVENANT CARE CENTER OF DINUBA 426921,S200000,00400,0200,055448 426921,S200000,00400,0300,11/01/88 426921,S200000,00400,0500,P 426921,S200000,01500,0100,Y 426921,S200000,01501,0200,Y 426921,S200000,01600,0100,N 426921,S200000,01700,0100,N 426921,S200000,01800,0100,N 426921,S200000,02200,0100,N 426921,S200000,02800,0100,N 426921,S200000,02900,0100,N 426921,S200000,03000,0100,N 426921,S200000,03100,0100,N 426921,S200000,03200,0100,N 426921,S200000,03300,0100,N 426921,S200000,03300,0200,N 426921,S200000,04100,0100,N 426921,S200000,04200,0100,N 426921,S200000,04300,0100,N 426921,S200000,04600,0100,N 426921,S200000,04700,0100,N 426921,S200000,04700,0200,N 426921,S200000,04900,0100,N 426921,S200000,05000,0100,N 426921,S200000,05100,0100,N 426921,S200000,05200,0100,N 426921,S200000,05300,0100,N 426923,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426923,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426923,A000000,00300,0000,0300EMPLOYEE BENEFITS 426923,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426923,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426923,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426923,A000000,00700,0000,0700HOUSEKEEPING 426923,A000000,00800,0000,0800DIETARY 426923,A000000,00900,0000,0900NURSING ADMINISTRATION 426923,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426923,A000000,01100,0000,1100PHARMACY 426923,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426923,A000000,01300,0000,1300SOCIAL SERVICE 426923,A000000,01600,0000,1600SKILLED NURSING FACILITY 426923,A000000,01800,0000,1800NURSING FACILITY 426923,A000000,01900,0000,1900OTHER LONG TERM CARE 426923,A000000,02100,0000,2100RADIOLOGY 426923,A000000,02200,0000,2200LABORATORY 426923,A000000,02300,0000,2300INTRAVENOUS THERAPY 426923,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426923,A000000,02500,0000,2500PHYSICAL THERAPY 426923,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426923,A000000,02700,0000,2700SPEECH PATHOLOGY 426923,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426923,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426923,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426923,A000000,03200,0000,3200SUPPORT SURFACES 426923,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426923,A000000,04800,0000,4800AMBULANCE 426923,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426923,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426923,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426923,A81000A,00100,0100,Y 426923,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 426923,A81000B,00200,0300,LEASE BUILDING 426923,A81000B,00300,0300,ALLOWABLE HOME OFFICE 426923,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 426923,A81000B,00500,0300,NRSG ADM PURCHASED SERVICES (SNF) 426923,A81000B,00600,0300,ADMIN PURCHASED SERVICES 426923,A81000B,00700,0300,ANCILL SUPP - MEDICAL MATERIALS 426923,A81000B,00800,0300,ANCILLARY SUPPLIES - ENTERALS 426923,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 426923,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 426923,A81000B,01100,0300,PHARMACEUTICALS-SOC 426923,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 426923,A81000B,01300,0300,I.V. THERAPY SUPPLIES 426923,A81000C,00100,0100,C 426923,A81000C,00100,0400,PACIFIC WEST PH 426923,A81000C,00100,0600,PHARMACY 426923,A81000C,00200,0100,C 426923,A81000C,00200,0400,EMERALD DISTRIB 426923,A81000C,00200,0600,DISTRIBUTORSHIP 426923,A81000C,00300,0100,F 426923,A81000C,00300,0400,HORIZON WEST HE 426923,A81000C,00300,0600,HOME OFFICE 426923,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426923,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426923,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426923,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426923,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426923,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426923,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426923,B100000,00000,0800,0800MEALS SERVED :DIETARY 426923,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426923,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426923,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426923,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426923,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426923,G300000,02500,0000, OTHER (SPECIFY) 426923,S000000,00100,0200,03/14/12 426923,S200000,00100,0100,1040 MARSHALL WAY 426923,S200000,00200,0100,PLACERVILLE 426923,S200000,00200,0200,CA 426923,S200000,00200,0300,95667 426923,S200000,00300,0100,EL DORADO 426923,S200000,00300,0201,40900 426923,S200000,00300,0300,U 426923,S200000,00400,0100,HORIZON WEST - PLACERVILLE 426923,S200000,00400,0200,055497 426923,S200000,00400,0300,01/01/77 426923,S200000,00400,0500,P 426923,S200000,01500,0100,Y 426923,S200000,01501,0200,Y 426923,S200000,01600,0100,N 426923,S200000,01700,0100,N 426923,S200000,01800,0100,N 426923,S200000,02200,0100,N 426923,S200000,02800,0100,N 426923,S200000,02900,0100,N 426923,S200000,03000,0100,N 426923,S200000,03100,0100,N 426923,S200000,03200,0100,N 426923,S200000,03300,0100,N 426923,S200000,03300,0200,N 426923,S200000,04100,0100,N 426923,S200000,04200,0100,N 426923,S200000,04300,0100,N 426923,S200000,04600,0100,N 426923,S200000,04700,0100,N 426923,S200000,04700,0200,N 426923,S200000,04900,0100,N 426923,S200000,05000,0100,N 426923,S200000,05100,0100,N 426923,S200000,05200,0100,N 426923,S200000,05300,0100,Y 426923,S200000,05300,0200,951175 426923,S200000,05400,0100,HORIZON WEST HEADQUARTERS 426923,S200000,05400,0200,PALMETTO GBA 426923,S200000,05400,0300,01001 426923,S200000,05500,0100,4020 SIERRA COLLEGE 426923,S200000,05600,0100,ROCKLIN 426923,S200000,05600,0200,CA 426923,S200000,05600,0300,95677 426924,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426924,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426924,A000000,00300,0000,0300EMPLOYEE BENEFITS 426924,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426924,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426924,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426924,A000000,00700,0000,0700HOUSEKEEPING 426924,A000000,00800,0000,0800DIETARY 426924,A000000,00900,0000,0900NURSING ADMINISTRATION 426924,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426924,A000000,01100,0000,1100PHARMACY 426924,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426924,A000000,01300,0000,1300SOCIAL SERVICE 426924,A000000,01600,0000,1600SKILLED NURSING FACILITY 426924,A000000,01800,0000,1800NURSING FACILITY 426924,A000000,01900,0000,1900OTHER LONG TERM CARE 426924,A000000,02100,0000,2100RADIOLOGY 426924,A000000,02200,0000,2200LABORATORY 426924,A000000,02300,0000,2300INTRAVENOUS THERAPY 426924,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426924,A000000,02500,0000,2500PHYSICAL THERAPY 426924,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426924,A000000,02700,0000,2700SPEECH PATHOLOGY 426924,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426924,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426924,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426924,A000000,03200,0000,3200SUPPORT SURFACES 426924,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426924,A000000,04800,0000,4800AMBULANCE 426924,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426924,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426924,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426924,A81000A,00100,0100,Y 426924,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 426924,A81000B,00200,0300,LEASE BUILDING 426924,A81000B,00300,0300,ALLOWABLE HOME OFFICE 426924,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 426924,A81000B,00500,0300,PHARMACY OTC SUPPLIES 426924,A81000B,00600,0300,ADMIN SUPPLIES 426924,A81000B,00700,0300,ANCILL SUPP - MEDICAL MATERIALS 426924,A81000B,00800,0300,ANCILLARY SUPPLIES - ENTERALS 426924,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 426924,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 426924,A81000B,01100,0300,PHARMACEUTICALS-SOC 426924,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 426924,A81000C,00100,0100,C 426924,A81000C,00100,0400,PACIFIC WEST PH 426924,A81000C,00100,0600,PHARMACY 426924,A81000C,00200,0100,C 426924,A81000C,00200,0400,EMERALD DISTRIB 426924,A81000C,00200,0600,DISTRIBUTORSHIP 426924,A81000C,00300,0100,F 426924,A81000C,00300,0400,HORIZON WEST HE 426924,A81000C,00300,0600,HOME OFFICE 426924,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426924,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426924,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426924,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426924,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426924,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426924,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426924,B100000,00000,0800,0800MEALS SERVED :DIETARY 426924,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426924,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426924,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426924,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426924,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426924,G300000,02500,0000, OTHER (SPECIFY) 426924,S000000,00100,0200,03/14/12 426924,S200000,00100,0100,107 CATHERINE LANE 426924,S200000,00200,0100,GRASS VALLEY 426924,S200000,00200,0200,CA 426924,S200000,00200,0300,95945 426924,S200000,00300,0100,NEVADA 426924,S200000,00300,0201,00005 426924,S200000,00300,0300,R 426924,S200000,00400,0100,HORIZON WEST-GRASS VALLEY CARE CTR 426924,S200000,00400,0200,055512 426924,S200000,00400,0300,04/01/83 426924,S200000,00400,0500,P 426924,S200000,01500,0100,Y 426924,S200000,01501,0200,Y 426924,S200000,01600,0100,N 426924,S200000,01700,0100,N 426924,S200000,01800,0100,N 426924,S200000,02200,0100,N 426924,S200000,02800,0100,N 426924,S200000,02900,0100,N 426924,S200000,03000,0100,N 426924,S200000,03100,0100,N 426924,S200000,03200,0100,N 426924,S200000,03300,0100,N 426924,S200000,03300,0200,N 426924,S200000,04100,0100,N 426924,S200000,04200,0100,N 426924,S200000,04300,0100,N 426924,S200000,04600,0100,N 426924,S200000,04700,0100,N 426924,S200000,04700,0200,N 426924,S200000,04900,0100,N 426924,S200000,05000,0100,N 426924,S200000,05100,0100,N 426924,S200000,05200,0100,N 426924,S200000,05300,0100,Y 426924,S200000,05300,0200,951175 426924,S200000,05400,0100,HORIZON WEST HEADQUARTERS 426924,S200000,05400,0200,PALMETTO GBA 426924,S200000,05400,0300,01001 426924,S200000,05500,0100,4020 SIERRA COLLEGE 426924,S200000,05600,0100,ROCKLIN 426924,S200000,05600,0200,CA 426924,S200000,05600,0300,95677 426925,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426925,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426925,A000000,00300,0000,0300EMPLOYEE BENEFITS 426925,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426925,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426925,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426925,A000000,00700,0000,0700HOUSEKEEPING 426925,A000000,00800,0000,0800DIETARY 426925,A000000,00900,0000,0900NURSING ADMINISTRATION 426925,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426925,A000000,01100,0000,1100PHARMACY 426925,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426925,A000000,01300,0000,1300SOCIAL SERVICE 426925,A000000,01500,0000,1350ACTIVITIES 426925,A000000,01600,0000,1600SKILLED NURSING FACILITY 426925,A000000,01800,0000,1800NURSING FACILITY 426925,A000000,01900,0000,1900OTHER LONG TERM CARE 426925,A000000,02100,0000,2100RADIOLOGY 426925,A000000,02200,0000,2200LABORATORY 426925,A000000,02300,0000,2300INTRAVENOUS THERAPY 426925,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426925,A000000,02500,0000,2500PHYSICAL THERAPY 426925,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426925,A000000,02700,0000,2700SPEECH PATHOLOGY 426925,A000000,02800,0000,2800ELECTROCARDIOLOGY 426925,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426925,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426925,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426925,A000000,03200,0000,3200SUPPORT SURFACES 426925,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426925,A000000,03400,0000,3400CLINIC 426925,A000000,03500,0000,3500RURAL HEALTH CLINIC 426925,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426925,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426925,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426925,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426925,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426925,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426925,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426925,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426925,A000000,04400,0000,4400DME RENTED - HHA 426925,A000000,04500,0000,4500DME SOLD - HHA 426925,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426925,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426925,A000000,04710,0000,4710TELEMEDICINE 426925,A000000,04800,0000,4800AMBULANCE 426925,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426925,A000000,05000,0000,5000CORF 426925,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426925,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426925,A000000,05300,0000,5300INTEREST EXPENSE 426925,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426925,A000000,05500,0000,5500HOSPICE 426925,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426925,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426925,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426925,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426925,A000000,06100,0000,6100NONPAID WORKERS 426925,A000000,06200,0000,6200PATIENTS LAUNDRY 426925,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426925,A81000A,00100,0100,Y 426925,A81000B,00100,0300,HOME OFFICE CHARGES-MGNT FEES 426925,A81000C,00100,0100,B 426925,A81000C,00100,0400,HEALTHCARE MANAGEMENT SYS 426925,A81000C,00100,0600,MANAGEMENT 426925,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426925,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426925,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426925,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426925,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426925,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 426925,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426925,B100000,00000,0800,0800MEALS SERVED :DIETARY 426925,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 426925,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426925,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426925,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426925,S000000,00100,0200,02/29/12 426925,S200000,00100,0100,980 WEST 7TH STREET 426925,S200000,00200,0100,SAN JACINTO 426925,S200000,00200,0200,CA 426925,S200000,00200,0300,92582-3814 426925,S200000,00300,0100,RIVERSIDE 426925,S200000,00300,0200,6780 426925,S200000,00300,0201,40140 426925,S200000,00300,0300,U 426925,S200000,00400,0100,THE BRADLEY GARDENS 426925,S200000,00400,0200,055598 426925,S200000,00400,0300,10/01/98 426925,S200000,00400,0500,P 426925,S200000,01500,0100,Y 426925,S200000,01600,0100,N 426925,S200000,01700,0100,N 426925,S200000,01800,0100,N 426925,S200000,02200,0100,N 426925,S200000,02800,0100,N 426925,S200000,02900,0100,N 426925,S200000,03000,0100,N 426925,S200000,03100,0100,N 426925,S200000,03200,0100,N 426925,S200000,03300,0100,N 426925,S200000,03300,0200,N 426925,S200000,04100,0100,N 426925,S200000,04200,0100,N 426925,S200000,04300,0100,N 426925,S200000,04600,0100,N 426925,S200000,04700,0100,N 426925,S200000,04700,0200,N 426925,S200000,04900,0100,N 426925,S200000,05000,0100,N 426925,S200000,05100,0100,N 426925,S200000,05200,0100,N 426926,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426926,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426926,A000000,00300,0000,0300EMPLOYEE BENEFITS 426926,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426926,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426926,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426926,A000000,00700,0000,0700HOUSEKEEPING 426926,A000000,00800,0000,0800DIETARY 426926,A000000,00900,0000,0900NURSING ADMINISTRATION 426926,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426926,A000000,01100,0000,1100PHARMACY 426926,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426926,A000000,01300,0000,1300SOCIAL SERVICE 426926,A000000,01600,0000,1600SKILLED NURSING FACILITY 426926,A000000,01800,0000,1800NURSING FACILITY 426926,A000000,01900,0000,1900OTHER LONG TERM CARE 426926,A000000,02100,0000,2100RADIOLOGY 426926,A000000,02200,0000,2200LABORATORY 426926,A000000,02300,0000,2300INTRAVENOUS THERAPY 426926,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426926,A000000,02500,0000,2500PHYSICAL THERAPY 426926,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426926,A000000,02700,0000,2700SPEECH PATHOLOGY 426926,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426926,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426926,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426926,A000000,03200,0000,3200SUPPORT SURFACES 426926,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426926,A000000,04800,0000,4800AMBULANCE 426926,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426926,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426926,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426926,A81000A,00100,0100,Y 426926,A81000B,00100,0300,LEASE/BUILDING RENT 426926,A81000C,00100,0100,A 426926,A81000C,00100,0200,PVJ LLC. 426926,A81000C,00100,0400,PVJ LLC. 426926,A81000C,00100,0600,LAND LORD 426926,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426926,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426926,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426926,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426926,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426926,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426926,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426926,B100000,00000,0800,0800MEALS SERVED :DIETARY 426926,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426926,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426926,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426926,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426926,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426926,G300000,02500,0000, OTHER (SPECIFY) 426926,S000000,00100,0200,03/01/12 426926,S200000,00100,0100,1801 JULIAN AVENUE 426926,S200000,00200,0100,BAKERSFIELD 426926,S200000,00200,0200,CA 426926,S200000,00200,0300,93304 426926,S200000,00300,0100,KERN 426926,S200000,00300,0201,12540 426926,S200000,00300,0300,U 426926,S200000,00400,0100,PARKVIEW JULIAN CONVAL HOSPITAL 426926,S200000,00400,0200,055601 426926,S200000,00400,0300,01/01/75 426926,S200000,00400,0500,P 426926,S200000,01500,0100,Y 426926,S200000,01501,0200,Y 426926,S200000,01600,0100,N 426926,S200000,01700,0100,N 426926,S200000,01800,0100,N 426926,S200000,02200,0100,N 426926,S200000,02800,0100,N 426926,S200000,02900,0100,N 426926,S200000,03000,0100,N 426926,S200000,03100,0100,N 426926,S200000,03200,0100,N 426926,S200000,03300,0100,N 426926,S200000,03300,0200,N 426926,S200000,04100,0100,N 426926,S200000,04200,0100,N 426926,S200000,04300,0100,N 426926,S200000,04600,0100,N 426926,S200000,04700,0100,N 426926,S200000,04700,0200,N 426926,S200000,04900,0100,N 426926,S200000,05000,0100,N 426926,S200000,05100,0100,N 426926,S200000,05200,0100,N 426926,S200000,05300,0100,N 426927,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426927,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426927,A000000,00300,0000,0300EMPLOYEE BENEFITS 426927,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426927,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426927,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426927,A000000,00700,0000,0700HOUSEKEEPING 426927,A000000,00800,0000,0800DIETARY 426927,A000000,00900,0000,0900NURSING ADMINISTRATION 426927,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426927,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426927,A000000,01300,0000,1300SOCIAL SERVICE 426927,A000000,01500,0000,1350ACTIVITIES-SNF 426927,A000000,01501,0000,1351TRANSPORT 426927,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAM 426927,A000000,01600,0000,1600SKILLED NURSING FACILITY 426927,A000000,01800,0000,1800NURSING FACILITY 426927,A000000,01810,0000,1810ICF/MR 426927,A000000,01900,0000,1900OTHER LONG TERM CARE 426927,A000000,02100,0000,2100RADIOLOGY 426927,A000000,02200,0000,2200LABORATORY 426927,A000000,02300,0000,2300INTRAVENOUS THERAPY 426927,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426927,A000000,02500,0000,2500PHYSICAL THERAPY 426927,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426927,A000000,02700,0000,2700SPEECH PATHOLOGY 426927,A000000,02800,0000,2800ELECTROCARDIOLOGY 426927,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426927,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426927,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426927,A000000,03200,0000,3200SUPPORT SURFACES 426927,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426927,A000000,03400,0000,3400CLINIC 426927,A000000,03500,0000,3500RURAL HEALTH CLINIC 426927,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426927,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426927,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426927,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426927,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426927,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426927,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426927,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426927,A000000,04400,0000,4400DME RENTED - HHA 426927,A000000,04500,0000,4500DME SOLD - HHA 426927,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426927,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426927,A000000,04710,0000,4710TELEMEDICINE 426927,A000000,04800,0000,4800AMBULANCE 426927,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426927,A000000,05000,0000,5000CORF 426927,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426927,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426927,A000000,05300,0000,5300INTEREST EXPENSE 426927,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426927,A000000,05500,0000,5500HOSPICE 426927,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426927,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426927,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426927,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426927,A000000,06100,0000,6100NONPAID WORKERS 426927,A000000,06200,0000,6200PATIENTS LAUNDRY 426927,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426927,A000000,06301,0000,6151ASSISTED LIVING 426927,A000000,06302,0000,6152RESIDENTIAL 426927,A000000,06303,0000,6153WELLNESS 426927,A000000,06304,0000,6154OUTREACH 426927,A000000,06305,0000,6155SPECIAL CARE UNIT 426927,A81000A,00100,0100,Y 426927,A81000B,00100,0300,HOME OFFICE - MGT FEES 426927,A81000B,00200,0300,HOME OFFICE - BLDG 426927,A81000B,00300,0300,HOME OFFICE - INTEREST INC 426927,A81000B,00400,0300,HOME OFFICE - EQUIPMENT 426927,A81000B,00500,0300,SENIORITY - MKTING/SALES 426927,A81000C,00100,0100,B 426927,A81000C,00100,0400,ABHOW 426927,A81000C,00100,0600,MGT/ACCTING 426927,A81000C,00200,0100,B 426927,A81000C,00200,0400,SENIORITY INC 426927,A81000C,00200,0600,MKTING/SALES 426927,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426927,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426927,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426927,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426927,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426927,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426927,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426927,B100000,00000,0800,0800MEALS SERVED :DIETARY 426927,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426927,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 426927,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426927,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426927,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426927,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426927,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 426927,S000000,00100,0200,03/01/12 426927,S200000,00100,0100,900 CALLE DE LOS AMIGOS 426927,S200000,00200,0100,SANTA BARBARA 426927,S200000,00200,0200,CA 426927,S200000,00200,0300,93105 426927,S200000,00300,0100,SANTA BARBARA 426927,S200000,00300,0200,7480 426927,S200000,00300,0201,42060 426927,S200000,00300,0300,U 426927,S200000,00400,0100,VALLE VERDE 426927,S200000,00400,0200,055733 426927,S200000,00400,0300,10/17/72 426927,S200000,00400,0500,P 426927,S200000,01500,0100,Y 426927,S200000,01600,0100,N 426927,S200000,01700,0100,N 426927,S200000,01800,0100,N 426927,S200000,02200,0100,N 426927,S200000,02800,0100,N 426927,S200000,02900,0100,N 426927,S200000,03000,0100,N 426927,S200000,03100,0100,N 426927,S200000,03200,0100,N 426927,S200000,03300,0100,N 426927,S200000,03300,0200,N 426927,S200000,04100,0100,N 426927,S200000,04200,0100,N 426927,S200000,04300,0100,N 426927,S200000,04600,0100,N 426927,S200000,04700,0100,N 426927,S200000,04700,0200,N 426927,S200000,04900,0100,N 426927,S200000,05000,0100,N 426927,S200000,05100,0100,N 426927,S200000,05200,0100,N 426927,S200000,05300,0100,Y 426927,S200000,05300,0200,559012 426927,S200000,05400,0100,ABHOW 426927,S200000,05400,0200,WPS 426927,S200000,05400,0300, 00N/A 426927,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426927,S200000,05500,0200,3RD FLOOR 426927,S200000,05600,0100,PLEASANTON 426927,S200000,05600,0200,CA 426927,S200000,05600,0300,94588 426928,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426928,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426928,A000000,00300,0000,0300EMPLOYEE BENEFITS 426928,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426928,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426928,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426928,A000000,00700,0000,0700HOUSEKEEPING 426928,A000000,00800,0000,0800DIETARY 426928,A000000,00900,0000,0900NURSING ADMINISTRATION 426928,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426928,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426928,A000000,01300,0000,1300SOCIAL SERVICE 426928,A000000,01500,0000,1350ACTIVITIES-SNF 426928,A000000,01501,0000,1351TRANSPORT 426928,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAM 426928,A000000,01600,0000,1600SKILLED NURSING FACILITY 426928,A000000,01800,0000,1800NURSING FACILITY 426928,A000000,01810,0000,1810ICF/MR 426928,A000000,01900,0000,1900OTHER LONG TERM CARE 426928,A000000,02100,0000,2100RADIOLOGY 426928,A000000,02200,0000,2200LABORATORY 426928,A000000,02300,0000,2300INTRAVENOUS THERAPY 426928,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426928,A000000,02500,0000,2500PHYSICAL THERAPY 426928,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426928,A000000,02700,0000,2700SPEECH PATHOLOGY 426928,A000000,02800,0000,2800ELECTROCARDIOLOGY 426928,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426928,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426928,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426928,A000000,03200,0000,3200SUPPORT SURFACES 426928,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426928,A000000,03400,0000,3400CLINIC 426928,A000000,03500,0000,3500RURAL HEALTH CLINIC 426928,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426928,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426928,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426928,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426928,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426928,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426928,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426928,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426928,A000000,04400,0000,4400DME RENTED - HHA 426928,A000000,04500,0000,4500DME SOLD - HHA 426928,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426928,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426928,A000000,04710,0000,4710TELEMEDICINE 426928,A000000,04800,0000,4800AMBULANCE 426928,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426928,A000000,05000,0000,5000CORF 426928,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426928,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426928,A000000,05300,0000,5300INTEREST EXPENSE 426928,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426928,A000000,05500,0000,5500HOSPICE 426928,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426928,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426928,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426928,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426928,A000000,06100,0000,6100NONPAID WORKERS 426928,A000000,06200,0000,6200PATIENTS LAUNDRY 426928,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426928,A000000,06301,0000,6151ASSISTED LIVING 426928,A000000,06302,0000,6152RESIDENTIAL 426928,A000000,06303,0000,6153WELLNESS 426928,A000000,06304,0000,6154OUTREACH 426928,A000000,06305,0000,6155SPECIAL CARE UNIT 426928,A81000A,00100,0100,Y 426928,A81000B,00100,0300,HOME OFFICE - MGT FEES 426928,A81000B,00200,0300,HOME OFFICE - BUILDING 426928,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 426928,A81000B,00400,0300,HOME OFFICE - INT EXP 426928,A81000B,00500,0300,SENIORITY - MKTING/SALES 426928,A81000C,00100,0100,B 426928,A81000C,00100,0400,ABHOW 426928,A81000C,00100,0600,MGT/ACCTING 426928,A81000C,00200,0100,B 426928,A81000C,00200,0400,SENIORITY INC 426928,A81000C,00200,0600,MKTING/SALES 426928,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426928,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426928,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426928,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426928,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426928,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426928,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426928,B100000,00000,0800,0800MEALS SERVED :DIETARY 426928,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426928,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 426928,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426928,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426928,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426928,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426928,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 426928,S000000,00100,0200,03/01/12 426928,S200000,00100,0100,5555 N. FRESNO STREET 426928,S200000,00200,0100,FRESNO 426928,S200000,00200,0200,CA 426928,S200000,00200,0300,93710 426928,S200000,00300,0100,FRESNO 426928,S200000,00300,0200,2840 426928,S200000,00300,0201,23420 426928,S200000,00300,0300,U 426928,S200000,00400,0100,SAN JOAQUIN GARDENS HEALTH CENTER 426928,S200000,00400,0200,055846 426928,S200000,00400,0300,11/26/89 426928,S200000,00400,0500,P 426928,S200000,01500,0100,Y 426928,S200000,01600,0100,N 426928,S200000,01700,0100,N 426928,S200000,01800,0100,N 426928,S200000,02200,0100,N 426928,S200000,02800,0100,N 426928,S200000,02900,0100,N 426928,S200000,03000,0100,N 426928,S200000,03100,0100,N 426928,S200000,03200,0100,N 426928,S200000,03300,0100,N 426928,S200000,03300,0200,N 426928,S200000,04100,0100,N 426928,S200000,04200,0100,N 426928,S200000,04300,0100,N 426928,S200000,04600,0100,N 426928,S200000,04700,0100,N 426928,S200000,04700,0200,N 426928,S200000,04900,0100,N 426928,S200000,05000,0100,N 426928,S200000,05100,0100,N 426928,S200000,05200,0100,N 426928,S200000,05300,0100,Y 426928,S200000,05300,0200,559012 426928,S200000,05400,0100,ABHOW 426928,S200000,05400,0200,WPS 426928,S200000,05400,0300, 00N/A 426928,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426928,S200000,05500,0200,3RD FLOOR 426928,S200000,05600,0100,PLEASANTON 426928,S200000,05600,0200,CA 426928,S200000,05600,0300,94588 426929,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426929,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426929,A000000,00300,0000,0300EMPLOYEE BENEFITS 426929,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426929,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426929,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426929,A000000,00700,0000,0700HOUSEKEEPING 426929,A000000,00800,0000,0800DIETARY 426929,A000000,00900,0000,0900NURSING ADMINISTRATION 426929,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426929,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426929,A000000,01300,0000,1300SOCIAL SERVICE 426929,A000000,01500,0000,1350ACTIVITIES-SNF 426929,A000000,01501,0000,1351TRANSPORT 426929,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAMS 426929,A000000,01600,0000,1600SKILLED NURSING FACILITY 426929,A000000,01800,0000,1800NURSING FACILITY 426929,A000000,01810,0000,1810ICF/MR 426929,A000000,01900,0000,1900OTHER LONG TERM CARE 426929,A000000,02100,0000,2100RADIOLOGY 426929,A000000,02200,0000,2200LABORATORY 426929,A000000,02300,0000,2300INTRAVENOUS THERAPY 426929,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426929,A000000,02500,0000,2500PHYSICAL THERAPY 426929,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426929,A000000,02700,0000,2700SPEECH PATHOLOGY 426929,A000000,02800,0000,2800ELECTROCARDIOLOGY 426929,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426929,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426929,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426929,A000000,03200,0000,3200SUPPORT SURFACES 426929,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426929,A000000,03400,0000,3400CLINIC 426929,A000000,03500,0000,3500RURAL HEALTH CLINIC 426929,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426929,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426929,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426929,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426929,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426929,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426929,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426929,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426929,A000000,04400,0000,4400DME RENTED - HHA 426929,A000000,04500,0000,4500DME SOLD - HHA 426929,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426929,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426929,A000000,04710,0000,4710TELEMEDICINE 426929,A000000,04800,0000,4800AMBULANCE 426929,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426929,A000000,05000,0000,5000CORF 426929,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426929,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426929,A000000,05300,0000,5300INTEREST EXPENSE 426929,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426929,A000000,05500,0000,5500HOSPICE 426929,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426929,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426929,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426929,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426929,A000000,06100,0000,6100NONPAID WORKERS 426929,A000000,06200,0000,6200PATIENTS LAUNDRY 426929,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426929,A000000,06301,0000,6151ASSISTED LIVING 426929,A000000,06302,0000,6152RESIDENTIAL/ APARTMENTS 426929,A000000,06303,0000,6153WELLNESS 426929,A000000,06304,0000,6154OUTREACH 426929,A000000,06305,0000,6155SPECIAL CARE UNIT 426929,A81000A,00100,0100,Y 426929,A81000B,00100,0300,HOME OFFICE - MGT FEES 426929,A81000B,00200,0300,HOME OFFICE - BUILDING 426929,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 426929,A81000B,00400,0300,HOME OFFICE - INT EXP 426929,A81000B,00500,0300,SENIORITY - MKTING/SALES 426929,A81000C,00100,0100,B 426929,A81000C,00100,0400,ABHOW 426929,A81000C,00100,0600,MGT/ACCTING 426929,A81000C,00200,0100,B 426929,A81000C,00200,0400,SENIORITY INC 426929,A81000C,00200,0600,MKTING/SALES 426929,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426929,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426929,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426929,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426929,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426929,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426929,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426929,B100000,00000,0800,0800MEALS SERVED :DIETARY 426929,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426929,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 426929,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 426929,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426929,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426929,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426929,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 426929,S000000,00100,0200,03/01/12 426929,S200000,00100,0100,900 SALEM DRIVE 426929,S200000,00200,0100,REDLANDS 426929,S200000,00200,0200,CA 426929,S200000,00200,0300,92373 426929,S200000,00300,0100,SAN BERNARDINO 426929,S200000,00300,0200,6780 426929,S200000,00300,0201,40140 426929,S200000,00300,0300,U 426929,S200000,00400,0100,PLYMOUTH VILLAGE 426929,S200000,00400,0200,055914 426929,S200000,00400,0300,05/26/69 426929,S200000,00400,0500,P 426929,S200000,01500,0100,Y 426929,S200000,01600,0100,N 426929,S200000,01700,0100,N 426929,S200000,01800,0100,N 426929,S200000,02200,0100,N 426929,S200000,02800,0100,N 426929,S200000,02900,0100,N 426929,S200000,03000,0100,N 426929,S200000,03100,0100,N 426929,S200000,03200,0100,N 426929,S200000,03300,0100,N 426929,S200000,03300,0200,N 426929,S200000,04100,0100,N 426929,S200000,04200,0100,N 426929,S200000,04300,0100,N 426929,S200000,04600,0100,N 426929,S200000,04700,0100,N 426929,S200000,04700,0200,N 426929,S200000,04900,0100,N 426929,S200000,05000,0100,N 426929,S200000,05100,0100,N 426929,S200000,05200,0100,N 426929,S200000,05300,0100,Y 426929,S200000,05300,0200,559012 426929,S200000,05400,0100,ABHOW 426929,S200000,05400,0200,WPS 426929,S200000,05400,0300, 00N/A 426929,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426929,S200000,05500,0200,3RD FLOOR 426929,S200000,05600,0100,PLEASANTON 426929,S200000,05600,0200,CA 426929,S200000,05600,0300,94588 426930,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426930,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426930,A000000,00300,0000,0300EMPLOYEE BENEFITS 426930,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426930,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426930,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426930,A000000,00700,0000,0700HOUSEKEEPING 426930,A000000,00800,0000,0800DIETARY 426930,A000000,00900,0000,0900NURSING ADMINISTRATION 426930,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426930,A000000,01100,0000,1100PHARMACY 426930,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426930,A000000,01300,0000,1300SOCIAL SERVICE 426930,A000000,01600,0000,1600SKILLED NURSING FACILITY 426930,A000000,01800,0000,1800NURSING FACILITY 426930,A000000,01900,0000,1900OTHER LONG TERM CARE 426930,A000000,02100,0000,2100RADIOLOGY 426930,A000000,02200,0000,2200LABORATORY 426930,A000000,02300,0000,2300INTRAVENOUS THERAPY 426930,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426930,A000000,02500,0000,2500PHYSICAL THERAPY 426930,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426930,A000000,02700,0000,2700SPEECH PATHOLOGY 426930,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426930,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426930,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426930,A000000,03200,0000,3200SUPPORT SURFACES 426930,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426930,A000000,04800,0000,4800AMBULANCE 426930,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426930,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426930,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426930,A81000A,00100,0100,Y 426930,A81000B,00100,0300,HOME OFFICE EXPENSE 426930,A81000B,00200,0300,ALLOWABLE HOME OFFICE 426930,A81000B,00300,0300,LEASE-BUILDING 426930,A81000C,00100,0100,A 426930,A81000C,00100,0200,SHARON KEARNS 426930,A81000C,00100,0400,SEASCAPE MANAGE 426930,A81000C,00100,0600,PROPERTY MGMT 426930,A81000C,00200,0100,A 426930,A81000C,00200,0200,SHARON KEARNS 426930,A81000C,00200,0400,RIVERSIDE HEALT 426930,A81000C,00200,0600,HEALTHCARE MGMT 426930,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426930,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426930,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426930,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426930,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426930,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426930,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426930,B100000,00000,0800,0800MEALS SERVED :DIETARY 426930,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426930,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426930,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426930,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426930,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426930,G300000,02500,0000, OTHER (BED HOLD INTEREST INCOME 426930,S000000,00100,0200,02/27/12 426930,S200000,00100,0100,5901 LEMON HILL ROAD 426930,S200000,00200,0100,SACRAMENTO 426930,S200000,00200,0200,CA 426930,S200000,00200,0300,95821 426930,S200000,00300,0100,SACRAMENTO 426930,S200000,00300,0201,40900 426930,S200000,00300,0300,U 426930,S200000,00400,0100,BRIARWOOD HEALTH CARE 426930,S200000,00400,0200,055956 426930,S200000,00400,0300,01/01/67 426930,S200000,00400,0500,P 426930,S200000,01500,0100,Y 426930,S200000,01501,0200,Y 426930,S200000,01600,0100,N 426930,S200000,01700,0100,N 426930,S200000,01800,0100,N 426930,S200000,02200,0100,N 426930,S200000,02800,0100,N 426930,S200000,02900,0100,N 426930,S200000,03000,0100,N 426930,S200000,03100,0100,N 426930,S200000,03200,0100,N 426930,S200000,03300,0100,N 426930,S200000,03300,0200,N 426930,S200000,04100,0100,N 426930,S200000,04200,0100,N 426930,S200000,04300,0100,N 426930,S200000,04600,0100,N 426930,S200000,04700,0100,N 426930,S200000,04700,0200,N 426930,S200000,04900,0100,N 426930,S200000,05000,0100,N 426930,S200000,05100,0100,N 426930,S200000,05200,0100,N 426930,S200000,05300,0100,Y 426930,S200000,05300,0200,HB0524 426930,S200000,05400,0100,RIVERSIDE HEALTHCARE 426930,S200000,05400,0200,PALMETTO GBA 426930,S200000,05400,0300,01001 426930,S200000,05500,0100,1469 HUMBOLDT ROAD 426930,S200000,05600,0100,CHICO 426930,S200000,05600,0200,CA 426930,S200000,05600,0300,95928 426931,S000000,00100,0200,02/27/12 426931,S200000,00100,0100,1889 NATIONAL CITY BOULEVARD 426931,S200000,00200,0100,NATIONAL CITY 426931,S200000,00200,0200,CA 426931,S200000,00200,0300,91950 426931,S200000,00300,0100,SAN DIEGO 426931,S200000,00400,0100,HILLCREST MANOR SANITARIUM 426931,S200000,00400,0300,10/01/83 426932,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426932,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426932,A000000,00300,0000,0300EMPLOYEE BENEFITS 426932,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426932,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426932,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426932,A000000,00700,0000,0700HOUSEKEEPING 426932,A000000,00800,0000,0800DIETARY 426932,A000000,00900,0000,0900NURSING ADMINISTRATION 426932,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426932,A000000,01100,0000,1100PHARMACY 426932,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426932,A000000,01300,0000,1300SOCIAL SERVICE 426932,A000000,01600,0000,1600SKILLED NURSING FACILITY 426932,A000000,01800,0000,1800NURSING FACILITY 426932,A000000,01900,0000,1900OTHER LONG TERM CARE 426932,A000000,02100,0000,2100RADIOLOGY 426932,A000000,02200,0000,2200LABORATORY 426932,A000000,02300,0000,2300INTRAVENOUS THERAPY 426932,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426932,A000000,02500,0000,2500PHYSICAL THERAPY 426932,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426932,A000000,02700,0000,2700SPEECH PATHOLOGY 426932,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426932,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426932,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426932,A000000,03200,0000,3200SUPPORT SURFACES 426932,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426932,A000000,04800,0000,4800AMBULANCE 426932,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426932,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426932,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426932,A81000A,00100,0100,Y 426932,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES 426932,A81000B,00200,0300,LEASE BUILDING 426932,A81000B,00300,0300,ALLOWABLE HOME OFFICE 426932,A81000B,00400,0300,PHARMACY OTC SUPPLIES 426932,A81000B,00500,0300,MINOR MED EQUIPMENT & INST. (SNF) 426932,A81000B,00600,0300,PHARMACY CONSULTING FEES (SNF) 426932,A81000B,00700,0300,ADMIN SUPPLIES 426932,A81000B,00800,0300,ADMIN PURCHASED SERVICES 426932,A81000B,00900,0300,ANCILL SUPP - MEDICAL MATERIALS 426932,A81000B,01000,0300,ANCILLARY SUPPLIES - ENTERALS 426932,A81000B,01100,0300,PHARMACY EXP PHARMACEUTICALS 426932,A81000B,01200,0300,PHARMACY EXP - CENSUS ERRORS 426932,A81000B,01300,0300,PHARMACEUTICALS - SOC 426932,A81000B,01400,0300,GLUCOSE MONITORING SUPPLIES 426932,A81000B,01500,0300,PHARMACY EXP PHARMACEUTICALS SUB ACC 426932,A81000B,01600,0300,PHARMACY EXP - CENSUS ERRORS SUB ACC 426932,A81000B,01700,0300,PHARNACEUTICALS - SOC SUB ACC 426932,A81000B,01800,0300,PHARMACY EXP - CENSUS ERRORS SUB ACC 426932,A81000B,01900,0300,GLUCOSE MONITORING SUPPLIES SUB ACC 426932,A81000B,02000,0300,ANCILL SUPP - MEDICAL MATERIALS SUB 426932,A81000B,02100,0300,ANCILLARY SUPPLIES - ENTERALS SUB AC 426932,A81000B,02200,0300,SPECILIZED SUPPORT SURFACES EXPENSE 426932,A81000B,02300,0300,I.V. THERARY SUPPLIES SUB ACC 426932,A81000B,02400,0300,I.V. THERARY SUPPLIES 426932,A81000C,00100,0100,C 426932,A81000C,00100,0400,PACIFIC WEST PH 426932,A81000C,00100,0600,PHARMACY 426932,A81000C,00200,0100,C 426932,A81000C,00200,0400,EMERALD DISTRIB 426932,A81000C,00200,0600,DISTRIBUTORSHIP 426932,A81000C,00300,0100,F 426932,A81000C,00300,0400,HORIZON WEST HE 426932,A81000C,00300,0600,HOME OFFICE 426932,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426932,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426932,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426932,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426932,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426932,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426932,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426932,B100000,00000,0800,0800MEALS SERVED :DIETARY 426932,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426932,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426932,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426932,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426932,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426932,G300000,02500,0000, OTHER (SPECIFY) 426932,S000000,00100,0200,03/14/12 426932,S200000,00100,0100,5255 HEMLOCK STREET 426932,S200000,00200,0100,SACRAMENTO 426932,S200000,00200,0200,CA 426932,S200000,00200,0300,95841 426932,S200000,00300,0100,SACRAMENTO 426932,S200000,00300,0201,40900 426932,S200000,00300,0300,U 426932,S200000,00400,0100,HORIZON WEST-SACRAMENTO CENTER 426932,S200000,00400,0200,056073 426932,S200000,00400,0300,07/01/74 426932,S200000,00400,0500,P 426932,S200000,01500,0100,Y 426932,S200000,01501,0200,Y 426932,S200000,01600,0100,N 426932,S200000,01700,0100,N 426932,S200000,01800,0100,N 426932,S200000,02200,0100,N 426932,S200000,02800,0100,N 426932,S200000,02900,0100,N 426932,S200000,03000,0100,N 426932,S200000,03100,0100,N 426932,S200000,03200,0100,N 426932,S200000,03300,0100,N 426932,S200000,03300,0200,N 426932,S200000,04100,0100,N 426932,S200000,04200,0100,N 426932,S200000,04300,0100,N 426932,S200000,04600,0100,N 426932,S200000,04700,0100,N 426932,S200000,04700,0200,N 426932,S200000,04900,0100,N 426932,S200000,05000,0100,N 426932,S200000,05100,0100,N 426932,S200000,05200,0100,N 426932,S200000,05300,0100,Y 426932,S200000,05300,0200,951175 426932,S200000,05400,0100,HORIZON WEST HEADQUARTERS 426932,S200000,05400,0200,PALMETTO GBA 426932,S200000,05400,0300,01001 426932,S200000,05500,0100,4020 SIERRA COLLEGE 426932,S200000,05600,0100,ROCKLIN 426932,S200000,05600,0200,CA 426932,S200000,05600,0300,95677 426933,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426933,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426933,A000000,00300,0000,0300EMPLOYEE BENEFITS 426933,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426933,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426933,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426933,A000000,00700,0000,0700HOUSEKEEPING 426933,A000000,00800,0000,0800DIETARY 426933,A000000,00900,0000,0900NURSING ADMINISTRATION 426933,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426933,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426933,A000000,01300,0000,1300SOCIAL SERVICE 426933,A000000,01500,0000,1350ACTIVITIES-SNF 426933,A000000,01501,0000,1351TRANSPORT 426933,A000000,01502,0000,1352RES SRVS & CAMPUS PRGS 426933,A000000,01600,0000,1600SKILLED NURSING FACILITY 426933,A000000,01800,0000,1800NURSING FACILITY 426933,A000000,01810,0000,1810ICF/MR 426933,A000000,01900,0000,1900OTHER LONG TERM CARE 426933,A000000,02100,0000,2100RADIOLOGY 426933,A000000,02200,0000,2200LABORATORY 426933,A000000,02300,0000,2300INTRAVENOUS THERAPY 426933,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426933,A000000,02500,0000,2500PHYSICAL THERAPY 426933,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426933,A000000,02700,0000,2700SPEECH PATHOLOGY 426933,A000000,02800,0000,2800ELECTROCARDIOLOGY 426933,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426933,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426933,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426933,A000000,03200,0000,3200SUPPORT SURFACES 426933,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426933,A000000,03400,0000,3400CLINIC 426933,A000000,03500,0000,3500RURAL HEALTH CLINIC 426933,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426933,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426933,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426933,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426933,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426933,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426933,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426933,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426933,A000000,04400,0000,4400DME RENTED - HHA 426933,A000000,04500,0000,4500DME SOLD - HHA 426933,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426933,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426933,A000000,04710,0000,4710TELEMEDICINE 426933,A000000,04800,0000,4800AMBULANCE 426933,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426933,A000000,05000,0000,5000CORF 426933,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426933,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426933,A000000,05300,0000,5300INTEREST EXPENSE 426933,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426933,A000000,05500,0000,5500HOSPICE 426933,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426933,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426933,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426933,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426933,A000000,06100,0000,6100NONPAID WORKERS 426933,A000000,06200,0000,6200PATIENTS LAUNDRY 426933,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426933,A000000,06301,0000,6151ASSISTED LIVING 426933,A000000,06302,0000,6152RESIDENTIAL 426933,A000000,06303,0000,6153WELLNESS 426933,A000000,06304,0000,6154OUTREACH 426933,A000000,06305,0000,6155SPECIAL CARE UNIT 426933,A81000A,00100,0100,Y 426933,A81000B,00100,0300,HOME OFFICE - MGT FEES 426933,A81000B,00200,0300,HOME OFFICE - BLDG 426933,A81000B,00300,0300,HOME OFFICE - ME 426933,A81000B,00400,0300,HOME OFFICE INTEREST INC 426933,A81000B,00500,0300,SENIORITY - MKTING/SALES 426933,A81000C,00100,0100,B 426933,A81000C,00100,0200,ABHOW 426933,A81000C,00100,0400,ABHOW 426933,A81000C,00100,0600,MGT/ACCOUNTING 426933,A81000C,00200,0100,B 426933,A81000C,00200,0200,SENORITY INC. 426933,A81000C,00200,0400,SENORITY INC. 426933,A81000C,00200,0600,MARKETING/SALES 426933,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426933,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426933,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426933,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426933,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426933,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426933,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426933,B100000,00000,0800,0800MEALS SERVED :DIETARY 426933,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426933,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426933,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426933,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426933,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426933,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426933,B100000,00000,1502,1352PATIENT DAYS :RES SRVS & CAMPUS 426933,S000000,00100,0200,03/01/12 426933,S200000,00100,0100,110 41 STREET 426933,S200000,00200,0100,OAKLAND 426933,S200000,00200,0200,CA 426933,S200000,00200,0300,94611 426933,S200000,00300,0100,ALAMEDA 426933,S200000,00300,0200,5775 426933,S200000,00300,0201,36084 426933,S200000,00300,0300,U 426933,S200000,00400,0100,PIEDMONT GARDENS 426933,S200000,00400,0200,056096 426933,S200000,00400,0300,07/07/69 426933,S200000,00400,0500,P 426933,S200000,01500,0100,Y 426933,S200000,01600,0100,N 426933,S200000,01700,0100,N 426933,S200000,01800,0100,N 426933,S200000,02200,0100,N 426933,S200000,02800,0100,N 426933,S200000,02900,0100,N 426933,S200000,03000,0100,N 426933,S200000,03100,0100,N 426933,S200000,03200,0100,N 426933,S200000,03300,0100,N 426933,S200000,03300,0200,N 426933,S200000,04100,0100,N 426933,S200000,04200,0100,N 426933,S200000,04300,0100,N 426933,S200000,04600,0100,N 426933,S200000,04700,0100,N 426933,S200000,04700,0200,N 426933,S200000,04900,0100,N 426933,S200000,05000,0100,N 426933,S200000,05100,0100,N 426933,S200000,05200,0100,N 426933,S200000,05300,0100,Y 426933,S200000,05300,0200,559012 426933,S200000,05400,0100,ABHOW 426933,S200000,05400,0200,WPS 426933,S200000,05400,0300,52280 426933,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426933,S200000,05500,0200,3RD FLOOR 426933,S200000,05600,0100,PLEASANTON 426933,S200000,05600,0200,CA 426933,S200000,05600,0300,94588 426935,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426935,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426935,A000000,00300,0000,0300EMPLOYEE BENEFITS 426935,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426935,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426935,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426935,A000000,00700,0000,0700HOUSEKEEPING 426935,A000000,00800,0000,0800DIETARY 426935,A000000,00900,0000,0900NURSING ADMINISTRATION 426935,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426935,A000000,01300,0000,1300SOCIAL SERVICE 426935,A000000,01600,0000,1600SKILLED NURSING FACILITY 426935,A000000,01800,0000,1800NURSING FACILITY 426935,A000000,01900,0000,1900OTHER LONG TERM CARE 426935,A000000,02100,0000,2100RADIOLOGY 426935,A000000,02200,0000,2200LABORATORY 426935,A000000,02300,0000,2300INTRAVENOUS THERAPY 426935,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426935,A000000,02500,0000,2500PHYSICAL THERAPY 426935,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426935,A000000,02700,0000,2700SPEECH PATHOLOGY 426935,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426935,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426935,A000000,03200,0000,3200SUPPORT SURFACES 426935,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426935,A000000,04800,0000,4800AMBULANCE 426935,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426935,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426935,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426935,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426935,A81000A,00100,0100,N 426935,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426935,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426935,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426935,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426935,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426935,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426935,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426935,B100000,00000,0800,0800MEALS SERVED :DIETARY 426935,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426935,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426935,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426935,G300000,02500,0000, OTHER (SPECIFY) 426935,S000000,00100,0200,03/02/12 426935,S200000,00100,0100,135 WOODLAND AVENUE 426935,S200000,00200,0100,WOODLAND 426935,S200000,00200,0200,CA 426935,S200000,00200,0300,95695 426935,S200000,00300,0100,YOLO 426935,S200000,00300,0201,05670 426935,S200000,00300,0300,U 426935,S200000,00400,0100,STOLLWOOD CONVALESCENT HOSPITAL 426935,S200000,00400,0200,056138 426935,S200000,00400,0300,11/01/69 426935,S200000,00400,0500,P 426935,S200000,01500,0100,Y 426935,S200000,01600,0100,N 426935,S200000,01700,0100,N 426935,S200000,01800,0100,N 426935,S200000,02200,0100,N 426935,S200000,02800,0100,N 426935,S200000,02900,0100,N 426935,S200000,03000,0100,N 426935,S200000,03100,0100,N 426935,S200000,03200,0100,N 426935,S200000,03300,0100,N 426935,S200000,03300,0200,N 426935,S200000,04100,0100,N 426935,S200000,04200,0100,N 426935,S200000,04300,0100,N 426935,S200000,04600,0100,N 426935,S200000,04700,0100,N 426935,S200000,04700,0200,N 426935,S200000,04900,0100,N 426935,S200000,05000,0100,N 426935,S200000,05100,0100,N 426935,S200000,05200,0100,N 426935,S200000,05300,0100,N 426939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426939,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426939,A000000,00300,0000,0300EMPLOYEE BENEFITS 426939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426939,A000000,00700,0000,0700HOUSEKEEPING 426939,A000000,00800,0000,0800DIETARY 426939,A000000,00900,0000,0900NURSING ADMINISTRATION 426939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426939,A000000,01300,0000,1300SOCIAL SERVICE 426939,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426939,A000000,01600,0000,1600SKILLED NURSING FACILITY 426939,A000000,01800,0000,1800NURSING FACILITY 426939,A000000,01900,0000,1900OTHER LONG TERM CARE 426939,A000000,02100,0000,2100RADIOLOGY 426939,A000000,02200,0000,2200LABORATORY 426939,A000000,02300,0000,2300INTRAVENOUS THERAPY 426939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426939,A000000,02500,0000,2500PHYSICAL THERAPY 426939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426939,A000000,02700,0000,2700SPEECH PATHOLOGY 426939,A000000,02800,0000,2800ELECTROCARDIOLOGY 426939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426939,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426939,A000000,03200,0000,3200SUPPORT SURFACES 426939,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426939,A000000,03400,0000,3400CLINIC 426939,A000000,04800,0000,4800AMBULANCE 426939,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426939,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426939,A000000,06300,0000,6150ASSISTED LIVING 426939,A000000,06301,0000,6151RESIDENTIAL LIVING 426939,A000000,06302,0000,6152OTHER NON-REIMBURSIBLE 426939,A81000A,00100,0100,Y 426939,A81000B,00100,0300,MANAGEMENT FEES 426939,A81000B,00200,0300,HOME OFFICE ALLOCATION 426939,A81000C,00100,0100,B 426939,A81000C,00100,0200,BIXBY KNOLLS TO 426939,A81000C,00100,0400,RETIREMENT HOUS 426939,A81000C,00100,0600,HOME OFFICE 426939,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426939,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426939,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426939,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426939,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426939,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426939,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426939,B100000,00000,0800,0800MEALS SERVED :DIETARY 426939,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426939,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426939,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426939,G300000,02500,0000, OTHER (SPECIFY) 426939,S000000,00100,0200,03/01/12 426939,S200000,00100,0100,3737 ATLANTIC AVE 426939,S200000,00200,0100,LONG BEACH 426939,S200000,00200,0200,CA 426939,S200000,00200,0300,90807 426939,S200000,00300,0100,LOS ANGELES 426939,S200000,00300,0201,31084 426939,S200000,00300,0300,U 426939,S200000,00400,0100,BIXBY KNOLLS TOWERS HLTHCARE & REHAB 426939,S200000,00400,0200,056283 426939,S200000,00400,0300,12/01/85 426939,S200000,00400,0500,P 426939,S200000,01500,0100,N 426939,S200000,01600,0100,N 426939,S200000,01700,0100,N 426939,S200000,01800,0100,N 426939,S200000,02200,0100,N 426939,S200000,02800,0100,N 426939,S200000,02900,0100,N 426939,S200000,03000,0100,N 426939,S200000,03100,0100,N 426939,S200000,03200,0100,N 426939,S200000,03300,0100,N 426939,S200000,03300,0200,N 426939,S200000,04100,0100,N 426939,S200000,04200,0100,N 426939,S200000,04300,0100,N 426939,S200000,04600,0100,N 426939,S200000,04700,0100,N 426939,S200000,04700,0200,N 426939,S200000,04900,0100,N 426939,S200000,05000,0100,N 426939,S200000,05100,0100,N 426939,S200000,05200,0100,N 426939,S200000,05300,0100,Y 426939,S200000,05300,0200,559008 426939,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 426939,S200000,05400,0200,PALMETTO 426939,S200000,05400,0300,559008 426939,S200000,05500,0100,911 N. STUDEBAKER RO 426939,S200000,05600,0100,LONG BEACH 426939,S200000,05600,0200,CA 426939,S200000,05600,0300,90815 426940,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426940,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426940,A000000,00300,0000,0300EMPLOYEE BENEFITS 426940,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426940,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426940,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426940,A000000,00700,0000,0700HOUSEKEEPING 426940,A000000,00800,0000,0800DIETARY 426940,A000000,00900,0000,0900NURSING ADMINISTRATION 426940,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426940,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426940,A000000,01300,0000,1300SOCIAL SERVICE 426940,A000000,01600,0000,1600SKILLED NURSING FACILITY 426940,A000000,01800,0000,1800NURSING FACILITY 426940,A000000,01900,0000,1900OTHER LONG TERM CARE 426940,A000000,02100,0000,2100RADIOLOGY 426940,A000000,02200,0000,2200LABORATORY 426940,A000000,02300,0000,2300INTRAVENOUS THERAPY 426940,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426940,A000000,02500,0000,2500PHYSICAL THERAPY 426940,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426940,A000000,02700,0000,2700SPEECH PATHOLOGY 426940,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426940,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426940,A000000,03200,0000,3200SUPPORT SURFACES 426940,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426940,A000000,03400,0000,3400CLINIC 426940,A000000,04800,0000,4800AMBULANCE 426940,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426940,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426940,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426940,A000000,06300,0000,6150ASSISTED LIVING 426940,A000000,06301,0000,6151RESIDENTIAL LIVING 426940,A81000A,00100,0100,Y 426940,A81000B,00100,0300,MANAGEMENT FEES 426940,A81000B,00200,0300,RES CARE ALLOWABLE HO 426940,A81000B,00300,0300,SNF ALLOWABLE HO 426940,A81000C,00100,0100,B 426940,A81000C,00100,0400,RETIREMENT HOUS 426940,A81000C,00100,0600,HOME OFFICE 426940,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426940,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426940,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426940,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426940,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426940,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426940,B100000,00000,0800,0800MEALS SERVED :DIETARY 426940,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426940,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426940,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426940,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426940,G300000,02500,0000, OTHER (SPECIFY) 426940,S000000,00100,0200,03/01/12 426940,S200000,00100,0100,6570 WEST AVENUE M 426940,S200000,00200,0100,LANCASTER 426940,S200000,00200,0200,CA 426940,S200000,00200,0300,93536 426940,S200000,00300,0100,LOS ANGELES 426940,S200000,00300,0201,31084 426940,S200000,00300,0300,U 426940,S200000,00400,0100,MAYFLOWER GARDENS CONVALESCENT CTR 426940,S200000,00400,0200,056286 426940,S200000,00400,0300,12/01/84 426940,S200000,00400,0500,P 426940,S200000,01500,0100,N 426940,S200000,01600,0100,N 426940,S200000,01700,0100,N 426940,S200000,01800,0100,N 426940,S200000,02200,0100,N 426940,S200000,02800,0100,N 426940,S200000,02900,0100,N 426940,S200000,03000,0100,N 426940,S200000,03100,0100,N 426940,S200000,03200,0100,N 426940,S200000,03300,0100,N 426940,S200000,03300,0200,N 426940,S200000,04100,0100,N 426940,S200000,04200,0100,N 426940,S200000,04300,0100,N 426940,S200000,04600,0100,N 426940,S200000,04700,0100,N 426940,S200000,04700,0200,N 426940,S200000,04900,0100,N 426940,S200000,05000,0100,N 426940,S200000,05100,0100,N 426940,S200000,05200,0100,N 426940,S200000,05300,0100,Y 426940,S200000,05300,0200,559008 426940,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 426940,S200000,05400,0200,PALMETTO 426940,S200000,05400,0300,010001 426940,S200000,05500,0100,911 N. STUDEBAKER RO 426940,S200000,05600,0100,LONG BEACH 426940,S200000,05600,0200,CA 426940,S200000,05600,0300,90815 426942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426942,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426942,A000000,00300,0000,0300EMPLOYEE BENEFITS 426942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426942,A000000,00700,0000,0700HOUSEKEEPING 426942,A000000,00800,0000,0800DIETARY 426942,A000000,00900,0000,0900NURSING ADMINISTRATION 426942,A000000,01100,0000,1100PHARMACY 426942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426942,A000000,01300,0000,1300SOCIAL SERVICE 426942,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426942,A000000,01600,0000,1600SKILLED NURSING FACILITY 426942,A000000,01800,0000,1800NURSING FACILITY 426942,A000000,01900,0000,1900OTHER LONG TERM CARE 426942,A000000,02100,0000,2100RADIOLOGY 426942,A000000,02200,0000,2200LABORATORY 426942,A000000,02300,0000,2300INTRAVENOUS THERAPY 426942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426942,A000000,02500,0000,2500PHYSICAL THERAPY 426942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426942,A000000,02700,0000,2700SPEECH PATHOLOGY 426942,A000000,02800,0000,2800ELECTROCARDIOLOGY 426942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426942,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426942,A000000,03200,0000,3200SUPPORT SURFACES 426942,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426942,A000000,04800,0000,4800AMBULANCE 426942,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426942,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426942,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426942,A81000A,00100,0100,N 426942,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426942,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426942,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426942,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426942,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426942,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426942,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426942,B100000,00000,0800,0800MEALS SERVED :DIETARY 426942,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426942,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426942,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426942,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426942,G300000,02500,0000, OTHER (SPECIFY) 426942,S000000,00100,0200,02/27/12 426942,S200000,00100,0100,1280 MARSHALL ROAD 426942,S200000,00200,0100,CRESCENT CITY 426942,S200000,00200,0200,CA 426942,S200000,00200,0300,95531 426942,S200000,00300,0100,DEL NORTE 426942,S200000,00300,0201,05070 426942,S200000,00300,0300,R 426942,S200000,00400,0100,CRESCENT CITY NURSING & REHAB 426942,S200000,00400,0200,056296 426942,S200000,00400,0300,01/01/67 426942,S200000,00400,0500,P 426942,S200000,01500,0100,Y 426942,S200000,01600,0100,N 426942,S200000,01700,0100,N 426942,S200000,01800,0100,N 426942,S200000,02200,0100,N 426942,S200000,02800,0100,N 426942,S200000,02900,0100,N 426942,S200000,03000,0100,N 426942,S200000,03100,0100,N 426942,S200000,03200,0100,N 426942,S200000,03300,0100,N 426942,S200000,03300,0200,N 426942,S200000,04100,0100,N 426942,S200000,04200,0100,N 426942,S200000,04300,0100,N 426942,S200000,04600,0100,N 426942,S200000,04700,0100,N 426942,S200000,04700,0200,N 426942,S200000,04900,0100,N 426942,S200000,05000,0100,N 426942,S200000,05100,0100,N 426942,S200000,05200,0100,N 426942,S200000,05300,0100,N 426944,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426944,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426944,A000000,00300,0000,0300EMPLOYEE BENEFITS 426944,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426944,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426944,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426944,A000000,00700,0000,0700HOUSEKEEPING 426944,A000000,00800,0000,0800DIETARY 426944,A000000,00900,0000,0900NURSING ADMINISTRATION 426944,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426944,A000000,01100,0000,1100PHARMACY 426944,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426944,A000000,01300,0000,1300SOCIAL SERVICE 426944,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426944,A000000,01500,0000,1350OTHER GENERAL SERVICES 426944,A000000,01600,0000,1600SKILLED NURSING FACILITY 426944,A000000,01800,0000,1800NURSING FACILITY 426944,A000000,01810,0000,1810ICF/MR 426944,A000000,01900,0000,1900OTHER LONG TERM CARE 426944,A000000,02100,0000,2100RADIOLOGY 426944,A000000,02200,0000,2200LABORATORY 426944,A000000,02300,0000,2300INTRAVENOUS THERAPY 426944,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426944,A000000,02500,0000,2500PHYSICAL THERAPY 426944,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426944,A000000,02700,0000,2700SPEECH PATHOLOGY 426944,A000000,02800,0000,2800ELECTROCARDIOLOGY 426944,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426944,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426944,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426944,A000000,03200,0000,3200SUPPORT SURFACES 426944,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426944,A000000,03400,0000,3400CLINIC 426944,A000000,03500,0000,3500RURAL HEALTH CLINIC 426944,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426944,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426944,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426944,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426944,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426944,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426944,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426944,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426944,A000000,04400,0000,4400DME RENTED - HHA 426944,A000000,04500,0000,4500DME SOLD - HHA 426944,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426944,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426944,A000000,04710,0000,4710TELEMEDICINE 426944,A000000,04800,0000,4800AMBULANCE 426944,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426944,A000000,05000,0000,5000CORF 426944,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426944,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426944,A000000,05300,0000,5300INTEREST EXPENSE 426944,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426944,A000000,05500,0000,5500HOSPICE 426944,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426944,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426944,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426944,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426944,A000000,06100,0000,6100NONPAID WORKERS 426944,A000000,06200,0000,6200PATIENTS LAUNDRY 426944,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426944,A81000A,00100,0100,Y 426944,A81000B,00100,0300,RELATED PARTY RENT 426944,A81000C,00100,0100,A 426944,A81000C,00100,0200,ELAINE WIESEL 426944,A81000C,00100,0400,CONV HOSP REAL ESTATE 426944,A81000C,00100,0600,LEASING 426944,A81000C,00200,0100,A 426944,A81000C,00200,0200,JEFFREY MENDELL 426944,A81000C,00200,0400,CONV HOSP REAL ESTATE 426944,A81000C,00200,0600,LEASING 426944,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426944,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426944,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426944,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426944,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426944,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426944,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426944,B100000,00000,0800,0800MEALS SERVED :DIETARY 426944,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426944,G300000,02500,0000,MISCELLANEOUS REVENUE 426944,S000000,00100,0200,02/29/12 426944,S200000,00100,0100,6520 WEST BOULEVARD 426944,S200000,00200,0100,LOS ANGELES 426944,S200000,00200,0200,CA 426944,S200000,00200,0300,90043 426944,S200000,00300,0100,LOS ANGELES 426944,S200000,00300,0200,4480 426944,S200000,00300,0201,31084 426944,S200000,00300,0300,U 426944,S200000,00400,0100,HYDE PARK CONVALESCENT HOSPITAL 426944,S200000,00400,0200,056435 426944,S200000,00400,0300,01/01/68 426944,S200000,00400,0500,P 426944,S200000,01500,0100,Y 426944,S200000,01501,0200,Y 426944,S200000,01502,0200,Y 426944,S200000,01503,0200,Y 426944,S200000,01504,0200,Y 426944,S200000,01600,0100,N 426944,S200000,01700,0100,N 426944,S200000,01800,0100,N 426944,S200000,02200,0100,N 426944,S200000,02800,0100,N 426944,S200000,02900,0100,N 426944,S200000,03000,0100,N 426944,S200000,03100,0100,N 426944,S200000,03200,0100,N 426944,S200000,03300,0100,N 426944,S200000,03300,0200,N 426944,S200000,04100,0100,N 426944,S200000,04200,0100,N 426944,S200000,04300,0100,N 426944,S200000,04600,0100,N 426944,S200000,04700,0100,N 426944,S200000,04700,0200,N 426944,S200000,04900,0100,N 426944,S200000,05000,0100,N 426944,S200000,05100,0100,N 426944,S200000,05200,0100,N 426944,S200000,05300,0100,N 426973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426973,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426973,A000000,00300,0000,0300EMPLOYEE BENEFITS 426973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426973,A000000,00700,0000,0700HOUSEKEEPING 426973,A000000,00800,0000,0800DIETARY 426973,A000000,00900,0000,0900NURSING ADMINISTRATION 426973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426973,A000000,01300,0000,1300SOCIAL SERVICE 426973,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426973,A000000,01600,0000,1600SKILLED NURSING FACILITY 426973,A000000,01800,0000,1800NURSING FACILITY 426973,A000000,01900,0000,1900OTHER LONG TERM CARE 426973,A000000,02100,0000,2100RADIOLOGY 426973,A000000,02200,0000,2200LABORATORY 426973,A000000,02300,0000,2300INTRAVENOUS THERAPY 426973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426973,A000000,02500,0000,2500PHYSICAL THERAPY 426973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426973,A000000,02700,0000,2700SPEECH PATHOLOGY 426973,A000000,02800,0000,2800ELECTROCARDIOLOGY 426973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426973,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426973,A000000,03200,0000,3200SUPPORT SURFACES 426973,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426973,A000000,04800,0000,4800AMBULANCE 426973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426973,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426973,A81000A,00100,0100,Y 426973,A81000B,00100,0300,LEASE-BUILDING 426973,A81000B,00200,0300,UNDERLYING LEASE PATMENTS 426973,A81000C,00100,0100,B 426973,A81000C,00100,0200,SAN MIGUEL VILL 426973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426973,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426973,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426973,B100000,00000,0800,0800MEALS SERVED :DIETARY 426973,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426973,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426973,G300000,02500,0000, OTHER (SPECIFY) 426973,S000000,00100,0200,02/24/12 426973,S200000,00100,0100,1050 SAN MIGUEL ROAD 426973,S200000,00200,0100,CONCORD 426973,S200000,00200,0200,CA 426973,S200000,00200,0300,94518 426973,S200000,00300,0100,CONTRA COSTA 426973,S200000,00300,0201,05060 426973,S200000,00300,0300,U 426973,S200000,00400,0100,SAN MIGUEL VILLA 426973,S200000,00400,0200,555104 426973,S200000,00400,0300,12/15/91 426973,S200000,00400,0500,P 426973,S200000,01500,0100,N 426973,S200000,01600,0100,N 426973,S200000,01700,0100,N 426973,S200000,01800,0100,N 426973,S200000,02200,0100,N 426973,S200000,02800,0100,N 426973,S200000,02900,0100,N 426973,S200000,03000,0100,N 426973,S200000,03100,0100,N 426973,S200000,03200,0100,N 426973,S200000,03300,0100,N 426973,S200000,03300,0200,N 426973,S200000,04100,0100,N 426973,S200000,04200,0100,N 426973,S200000,04300,0100,N 426973,S200000,04600,0100,N 426973,S200000,04700,0100,N 426973,S200000,04700,0200,N 426973,S200000,04900,0100,N 426973,S200000,05000,0100,N 426973,S200000,05100,0100,N 426973,S200000,05200,0100,N 426973,S200000,05300,0100,N 426974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426974,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426974,A000000,00300,0000,0300EMPLOYEE BENEFITS 426974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426974,A000000,00700,0000,0700HOUSEKEEPING 426974,A000000,00800,0000,0800DIETARY 426974,A000000,00900,0000,0900NURSING ADMINISTRATION 426974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426974,A000000,01300,0000,1300SOCIAL SERVICE 426974,A000000,01500,0000,1350ACTIVITIES-SNF 426974,A000000,01501,0000,1351TRANSPORT 426974,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAM 426974,A000000,01600,0000,1600SKILLED NURSING FACILITY 426974,A000000,01800,0000,1800NURSING FACILITY 426974,A000000,01810,0000,1810ICF/MR 426974,A000000,01900,0000,1900OTHER LONG TERM CARE 426974,A000000,02100,0000,2100RADIOLOGY 426974,A000000,02200,0000,2200LABORATORY 426974,A000000,02300,0000,2300INTRAVENOUS THERAPY 426974,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426974,A000000,02500,0000,2500PHYSICAL THERAPY 426974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426974,A000000,02700,0000,2700SPEECH PATHOLOGY 426974,A000000,02800,0000,2800ELECTROCARDIOLOGY 426974,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426974,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426974,A000000,03200,0000,3200SUPPORT SURFACES 426974,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426974,A000000,03400,0000,3400CLINIC 426974,A000000,03500,0000,3500RURAL HEALTH CLINIC 426974,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426974,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426974,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426974,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426974,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426974,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426974,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426974,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426974,A000000,04400,0000,4400DME RENTED - HHA 426974,A000000,04500,0000,4500DME SOLD - HHA 426974,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426974,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426974,A000000,04710,0000,4710TELEMEDICINE 426974,A000000,04800,0000,4800AMBULANCE 426974,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426974,A000000,05000,0000,5000CORF 426974,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426974,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426974,A000000,05300,0000,5300INTEREST EXPENSE 426974,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426974,A000000,05500,0000,5500HOSPICE 426974,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426974,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426974,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426974,A000000,06100,0000,6100NONPAID WORKERS 426974,A000000,06200,0000,6200PATIENTS LAUNDRY 426974,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426974,A000000,06301,0000,6151ASSISTED LIVING 426974,A000000,06302,0000,6152RESIDENTIAL 426974,A000000,06303,0000,6153WELLNESS 426974,A000000,06304,0000,6154OUTREACH 426974,A000000,06305,0000,6155SPECIAL CARE UNIT 426974,A81000A,00100,0100,Y 426974,A81000B,00100,0300,HOME OFFICE - MGT FEES 426974,A81000B,00200,0300,HOME OFFICE - BLDG 426974,A81000B,00300,0300,HOME OFFICE INTEREST INC 426974,A81000B,00400,0300,HOME OFFICE - EQUIPMENT 426974,A81000B,00500,0300,SENIORITY - MKTING/SALES 426974,A81000C,00100,0100,B 426974,A81000C,00100,0200,ABHOW 426974,A81000C,00100,0400,ABHOW 426974,A81000C,00100,0600,MGT/ACCTING 426974,A81000C,00200,0100,B 426974,A81000C,00200,0200,SENIORITY INC 426974,A81000C,00200,0400,SENIORITY INC 426974,A81000C,00200,0600,MKTING/SALES 426974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426974,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426974,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426974,B100000,00000,0800,0800MEALS SERVED :DIETARY 426974,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426974,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 426974,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426974,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426974,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426974,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426974,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 426974,S000000,00100,0200,03/01/12 426974,S200000,00100,0100,1301 NEW STINE ROAD 426974,S200000,00200,0100,BAKERSFIELD 426974,S200000,00200,0200,CA 426974,S200000,00200,0300,93309 426974,S200000,00300,0100,KERN 426974,S200000,00300,0200,0680 426974,S200000,00300,0201,12450 426974,S200000,00300,0300,U 426974,S200000,00400,0100,ROSEWOOD HEALTH FACILITY 426974,S200000,00400,0200,555116 426974,S200000,00400,0300,07/09/79 426974,S200000,00400,0500,P 426974,S200000,01500,0100,Y 426974,S200000,01600,0100,N 426974,S200000,01700,0100,N 426974,S200000,01800,0100,N 426974,S200000,02200,0100,N 426974,S200000,02800,0100,N 426974,S200000,02900,0100,N 426974,S200000,03000,0100,N 426974,S200000,03100,0100,N 426974,S200000,03200,0100,N 426974,S200000,03300,0100,N 426974,S200000,03300,0200,N 426974,S200000,04100,0100,N 426974,S200000,04200,0100,N 426974,S200000,04300,0100,N 426974,S200000,04600,0100,N 426974,S200000,04700,0100,N 426974,S200000,04700,0200,N 426974,S200000,04900,0100,N 426974,S200000,05000,0100,N 426974,S200000,05100,0100,N 426974,S200000,05200,0100,N 426974,S200000,05300,0100,Y 426974,S200000,05300,0200,559012 426974,S200000,05400,0100,ABHOW 426974,S200000,05400,0200,WPS 426974,S200000,05400,0300, 00N/A 426974,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426974,S200000,05500,0200,3RD FLOOR 426974,S200000,05600,0100,PLEASANTON 426974,S200000,05600,0200,CA 426974,S200000,05600,0300,94588 426976,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426976,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426976,A000000,00300,0000,0300EMPLOYEE BENEFITS 426976,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426976,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426976,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426976,A000000,00700,0000,0700HOUSEKEEPING 426976,A000000,00800,0000,0800DIETARY 426976,A000000,00900,0000,0900NURSING ADMINISTRATION 426976,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426976,A000000,01100,0000,1100PHARMACY 426976,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426976,A000000,01300,0000,1300SOCIAL SERVICE 426976,A000000,01500,0000,1350ACTIVITIES 426976,A000000,01600,0000,1600SKILLED NURSING FACILITY 426976,A000000,01800,0000,1800NURSING FACILITY 426976,A000000,01900,0000,1900OTHER LONG TERM CARE 426976,A000000,02100,0000,2100RADIOLOGY 426976,A000000,02200,0000,2200LABORATORY 426976,A000000,02300,0000,2300INTRAVENOUS THERAPY 426976,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426976,A000000,02500,0000,2500PHYSICAL THERAPY 426976,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426976,A000000,02700,0000,2700SPEECH PATHOLOGY 426976,A000000,02800,0000,2800ELECTROCARDIOLOGY 426976,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426976,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426976,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426976,A000000,03200,0000,3200SUPPORT SURFACES 426976,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426976,A000000,03400,0000,3400CLINIC 426976,A000000,03500,0000,3500RURAL HEALTH CLINIC 426976,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426976,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426976,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426976,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426976,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426976,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426976,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426976,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426976,A000000,04400,0000,4400DME RENTED - HHA 426976,A000000,04500,0000,4500DME SOLD - HHA 426976,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426976,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426976,A000000,04710,0000,4710TELEMEDICINE 426976,A000000,04800,0000,4800AMBULANCE 426976,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426976,A000000,05000,0000,5000CORF 426976,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426976,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426976,A000000,05300,0000,5300INTEREST EXPENSE 426976,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426976,A000000,05500,0000,5500HOSPICE 426976,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426976,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426976,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426976,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426976,A000000,06100,0000,6100NONPAID WORKERS 426976,A000000,06200,0000,6200PATIENTS LAUNDRY 426976,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426976,A81000A,00100,0100,Y 426976,A81000B,00100,0300,MGNT FEES 426976,A81000C,00100,0100,B 426976,A81000C,00100,0400,HEALTHCARE MANAGEMENT SYS 426976,A81000C,00100,0600,MANAGEMENT 426976,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426976,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426976,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426976,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426976,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426976,B100000,00000,0600,0650LAUNDRY LBS :LAUNDRY & LINEN SE 426976,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426976,B100000,00000,0800,0800MEALS SERVED :DIETARY 426976,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 426976,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 426976,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426976,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 426976,S000000,00100,0200,02/29/12 426976,S200000,00100,0100,675 E BRADLEY AVENUE 426976,S200000,00200,0100,EL CAJON 426976,S200000,00200,0200,CA 426976,S200000,00200,0300,92021-3110 426976,S200000,00300,0100,SAN DIEGO 426976,S200000,00300,0200,7320 426976,S200000,00300,0201,41740 426976,S200000,00300,0300,U 426976,S200000,00400,0100,THE BRADLEY COURT 426976,S200000,00400,0200,555140 426976,S200000,00400,0300,10/01/97 426976,S200000,00400,0500,P 426976,S200000,01500,0100,Y 426976,S200000,01600,0100,N 426976,S200000,01700,0100,N 426976,S200000,01800,0100,N 426976,S200000,02200,0100,N 426976,S200000,02800,0100,N 426976,S200000,02900,0100,N 426976,S200000,03000,0100,N 426976,S200000,03100,0100,N 426976,S200000,03200,0100,N 426976,S200000,03300,0100,N 426976,S200000,03300,0200,N 426976,S200000,04100,0100,N 426976,S200000,04200,0100,N 426976,S200000,04300,0100,N 426976,S200000,04600,0100,N 426976,S200000,04700,0100,N 426976,S200000,04700,0200,N 426976,S200000,04900,0100,N 426976,S200000,05000,0100,N 426976,S200000,05100,0100,N 426976,S200000,05200,0100,N 426977,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426977,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426977,A000000,00300,0000,0300EMPLOYEE BENEFITS 426977,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426977,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426977,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426977,A000000,00700,0000,0700HOUSEKEEPING 426977,A000000,00800,0000,0800DIETARY 426977,A000000,00900,0000,0900NURSING ADMINISTRATION 426977,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426977,A000000,01300,0000,1300SOCIAL SERVICE 426977,A000000,01600,0000,1600SKILLED NURSING FACILITY 426977,A000000,01800,0000,1800NURSING FACILITY 426977,A000000,01900,0000,1900OTHER LONG TERM CARE 426977,A000000,02100,0000,2100RADIOLOGY 426977,A000000,02200,0000,2200LABORATORY 426977,A000000,02300,0000,2300INTRAVENOUS THERAPY 426977,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426977,A000000,02500,0000,2500PHYSICAL THERAPY 426977,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426977,A000000,02700,0000,2700SPEECH PATHOLOGY 426977,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426977,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426977,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426977,A000000,03200,0000,3200SUPPORT SURFACES 426977,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426977,A000000,04800,0000,4800AMBULANCE 426977,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426977,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426977,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426977,A000000,06300,0000,6150ASSISTED LIVING 426977,A000000,06301,0000,6151INDEPENDENT LIVING 426977,A000000,06302,0000,6152OTHER NON REIMBURSABLE COST 426977,A81000A,00100,0100,Y 426977,A81000B,00100,0300,MANAGEMENT FEES 426977,A81000B,00200,0300,HO ALLOCATION 426977,A81000C,00100,0100,B 426977,A81000C,00100,0200,RETIREMENT HOUS 426977,A81000C,00100,0400,RETIREMENT HOUS 426977,A81000C,00100,0600,HOME OFFICE 426977,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426977,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426977,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426977,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426977,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426977,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426977,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426977,B100000,00000,0800,0800MEALS SERVED :DIETARY 426977,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426977,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426977,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426977,G300000,02500,0000, OTHER (SPECIFY) 426977,S000000,00100,0200,03/01/12 426977,S200000,00100,0100,4301 GOLDEN CENTER DRIVE 426977,S200000,00200,0100,PLACERVILLE 426977,S200000,00200,0200,CA 426977,S200000,00200,0300,95667 426977,S200000,00300,0100,SACRAMENTO 426977,S200000,00300,0201,40900 426977,S200000,00300,0300,U 426977,S200000,00400,0100,GOLD COUNTRY CARE CENTER 426977,S200000,00400,0200,555180 426977,S200000,00400,0300,01/01/80 426977,S200000,00400,0500,P 426977,S200000,01500,0100,N 426977,S200000,01600,0100,N 426977,S200000,01700,0100,N 426977,S200000,01800,0100,N 426977,S200000,02200,0100,N 426977,S200000,02800,0100,N 426977,S200000,02900,0100,N 426977,S200000,03000,0100,N 426977,S200000,03100,0100,N 426977,S200000,03200,0100,N 426977,S200000,03300,0100,N 426977,S200000,03300,0200,N 426977,S200000,04100,0100,N 426977,S200000,04200,0100,N 426977,S200000,04300,0100,N 426977,S200000,04600,0100,N 426977,S200000,04700,0100,N 426977,S200000,04700,0200,N 426977,S200000,04900,0100,N 426977,S200000,05000,0100,N 426977,S200000,05100,0100,N 426977,S200000,05200,0100,N 426977,S200000,05300,0100,Y 426977,S200000,05300,0200,559008 426977,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 426977,S200000,05400,0200,PALMETTO 426977,S200000,05400,0300,010001 426977,S200000,05500,0100,911 N. STUDEBAKER RD 426977,S200000,05600,0100,LONG BEACH 426977,S200000,05600,0200,CA 426977,S200000,05600,0300,90815 426978,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426978,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426978,A000000,00300,0000,0300EMPLOYEE BENEFITS 426978,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426978,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426978,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426978,A000000,00700,0000,0700HOUSEKEEPING 426978,A000000,00800,0000,0800DIETARY 426978,A000000,00900,0000,0900NURSING ADMINISTRATION 426978,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426978,A000000,01100,0000,1100PHARMACY 426978,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426978,A000000,01300,0000,1300SOCIAL SERVICE 426978,A000000,01600,0000,1600SKILLED NURSING FACILITY 426978,A000000,01800,0000,1800NURSING FACILITY 426978,A000000,01900,0000,1900OTHER LONG TERM CARE 426978,A000000,02100,0000,2100RADIOLOGY 426978,A000000,02200,0000,2200LABORATORY 426978,A000000,02300,0000,2300INTRAVENOUS THERAPY 426978,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426978,A000000,02500,0000,2500PHYSICAL THERAPY 426978,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426978,A000000,02700,0000,2700SPEECH PATHOLOGY 426978,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426978,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426978,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426978,A000000,03200,0000,3200SUPPORT SURFACES 426978,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426978,A000000,04800,0000,4800AMBULANCE 426978,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426978,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426978,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426978,A81000A,00100,0100,Y 426978,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 426978,A81000B,00200,0300,LEASE BUILDING 426978,A81000B,00300,0300,ALLOWABLE HOME OFFICE 426978,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 426978,A81000B,00500,0300,PHARMACY OTC SUPPLIES 426978,A81000B,00600,0300,ADMIN PURCHASED SERVICES 426978,A81000B,00700,0300,ANCILL SUPP - MEDICAL MATERIALS 426978,A81000B,00800,0300,ANCILLARY SUPPLIES - ENTERALS 426978,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 426978,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 426978,A81000B,01100,0300,PHARMACEUTICALS-SOC 426978,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 426978,A81000B,01300,0300,I.V. THERAPIST FEES 426978,A81000C,00100,0100,C 426978,A81000C,00100,0400,PACIFIC WEST PH 426978,A81000C,00100,0600,PHARMACY 426978,A81000C,00200,0100,C 426978,A81000C,00200,0400,EMERALD DISTRIB 426978,A81000C,00200,0600,DISTRIBUTORSHIP 426978,A81000C,00300,0100,F 426978,A81000C,00300,0400,HORIZON WEST HE 426978,A81000C,00300,0600,HOME OFFICE 426978,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426978,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426978,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426978,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426978,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426978,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426978,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426978,B100000,00000,0800,0800MEALS SERVED :DIETARY 426978,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426978,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426978,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 426978,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426978,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426978,G300000,02500,0000, OTHER (SPECIFY) 426978,S000000,00100,0200,03/14/12 426978,S200000,00100,0100,1550 THIRD STREET 426978,S200000,00200,0100,LINCOLN 426978,S200000,00200,0200,CA 426978,S200000,00200,0300,95648 426978,S200000,00300,0100,PLACER 426978,S200000,00300,0201,40900 426978,S200000,00300,0300,U 426978,S200000,00400,0100,HORIZON WEST - LINCOLN 426978,S200000,00400,0200,555333 426978,S200000,00400,0300,12/22/94 426978,S200000,00400,0500,P 426978,S200000,01500,0100,Y 426978,S200000,01501,0200,Y 426978,S200000,01600,0100,N 426978,S200000,01700,0100,N 426978,S200000,01800,0100,N 426978,S200000,02200,0100,N 426978,S200000,02800,0100,N 426978,S200000,02900,0100,N 426978,S200000,03000,0100,N 426978,S200000,03100,0100,N 426978,S200000,03200,0100,N 426978,S200000,03300,0100,N 426978,S200000,03300,0200,N 426978,S200000,04100,0100,N 426978,S200000,04200,0100,N 426978,S200000,04300,0100,N 426978,S200000,04600,0100,N 426978,S200000,04700,0100,N 426978,S200000,04700,0200,N 426978,S200000,04900,0100,N 426978,S200000,05000,0100,N 426978,S200000,05100,0100,N 426978,S200000,05200,0100,N 426978,S200000,05300,0100,Y 426978,S200000,05300,0200,951175 426978,S200000,05400,0100,HORIZON WEST HEADQUARTERS 426978,S200000,05400,0200,PALMETTO GBA 426978,S200000,05400,0300,01001 426978,S200000,05500,0100,4020 SIERRA COLLEGE 426978,S200000,05600,0100,ROCKLIN 426978,S200000,05600,0200,CA 426978,S200000,05600,0300,95677 426979,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426979,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426979,A000000,00300,0000,0300EMPLOYEE BENEFITS 426979,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426979,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426979,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426979,A000000,00700,0000,0700HOUSEKEEPING 426979,A000000,00800,0000,0800DIETARY 426979,A000000,00900,0000,0900NURSING ADMINISTRATION 426979,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426979,A000000,01100,0000,1100PHARMACY 426979,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426979,A000000,01300,0000,1300SOCIAL SERVICE 426979,A000000,01600,0000,1600SKILLED NURSING FACILITY 426979,A000000,01800,0000,1800NURSING FACILITY 426979,A000000,01900,0000,1900OTHER LONG TERM CARE 426979,A000000,02100,0000,2100RADIOLOGY 426979,A000000,02200,0000,2200LABORATORY 426979,A000000,02300,0000,2300INTRAVENOUS THERAPY 426979,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426979,A000000,02500,0000,2500PHYSICAL THERAPY 426979,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426979,A000000,02700,0000,2700SPEECH PATHOLOGY 426979,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426979,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426979,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426979,A000000,03200,0000,3200SUPPORT SURFACES 426979,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426979,A000000,04800,0000,4800AMBULANCE 426979,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426979,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426979,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426979,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426979,A81000A,00100,0100,N 426979,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426979,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426979,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426979,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426979,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426979,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426979,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426979,B100000,00000,0800,0800MEALS SERVED :DIETARY 426979,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426979,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426979,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426979,G300000,02500,0000, OTHER (SPECIFY) 426979,S000000,00100,0200,03/02/12 426979,S200000,00100,0100,5240 SEPULVEDA BOULEVARD 426979,S200000,00200,0100,CULVER CITY 426979,S200000,00200,0200,CA 426979,S200000,00200,0300,90230 426979,S200000,00300,0100,LOS ANGELES 426979,S200000,00300,0201,05200 426979,S200000,00300,0300,U 426979,S200000,00400,0100,MARINA CARE CENTER 426979,S200000,00400,0200,555340 426979,S200000,00400,0300,03/13/89 426979,S200000,00400,0500,P 426979,S200000,01500,0100,Y 426979,S200000,01600,0100,N 426979,S200000,01700,0100,N 426979,S200000,01800,0100,N 426979,S200000,02200,0100,N 426979,S200000,02800,0100,N 426979,S200000,02900,0100,N 426979,S200000,03000,0100,N 426979,S200000,03100,0100,N 426979,S200000,03200,0100,N 426979,S200000,03300,0100,N 426979,S200000,03300,0200,N 426979,S200000,04100,0100,N 426979,S200000,04200,0100,N 426979,S200000,04300,0100,N 426979,S200000,04600,0100,N 426979,S200000,04700,0100,N 426979,S200000,04700,0200,N 426979,S200000,04900,0100,N 426979,S200000,05000,0100,N 426979,S200000,05100,0100,N 426979,S200000,05200,0100,N 426979,S200000,05300,0100,N 426980,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426980,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426980,A000000,00300,0000,0300EMPLOYEE BENEFITS 426980,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426980,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426980,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426980,A000000,00700,0000,0700HOUSEKEEPING 426980,A000000,00800,0000,0800DIETARY 426980,A000000,00900,0000,0900NURSING ADMINISTRATION 426980,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426980,A000000,01100,0000,1100PHARMACY 426980,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426980,A000000,01300,0000,1300SOCIAL SERVICE 426980,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426980,A000000,01500,0000,1350OTHER GENERAL SERVICES 426980,A000000,01600,0000,1600SKILLED NURSING FACILITY 426980,A000000,01800,0000,1800NURSING FACILITY 426980,A000000,01810,0000,1810ICF/MR 426980,A000000,01900,0000,1900OTHER LONG TERM CARE 426980,A000000,02100,0000,2100RADIOLOGY 426980,A000000,02200,0000,2200LABORATORY 426980,A000000,02300,0000,2300INTRAVENOUS THERAPY 426980,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426980,A000000,02500,0000,2500PHYSICAL THERAPY 426980,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426980,A000000,02700,0000,2700SPEECH PATHOLOGY 426980,A000000,02800,0000,2800ELECTROCARDIOLOGY 426980,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426980,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426980,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426980,A000000,03200,0000,3200SUPPORT SURFACES 426980,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426980,A000000,03400,0000,3400CLINIC 426980,A000000,03500,0000,3500RURAL HEALTH CLINIC 426980,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426980,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426980,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426980,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426980,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426980,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426980,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426980,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426980,A000000,04400,0000,4400DME RENTED - HHA 426980,A000000,04500,0000,4500DME SOLD - HHA 426980,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426980,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426980,A000000,04710,0000,4710TELEMEDICINE 426980,A000000,04800,0000,4800AMBULANCE 426980,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426980,A000000,05000,0000,5000CORF 426980,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426980,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426980,A000000,05300,0000,5300INTEREST EXPENSE 426980,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426980,A000000,05500,0000,5500HOSPICE 426980,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426980,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426980,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426980,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426980,A000000,06100,0000,6100NONPAID WORKERS 426980,A000000,06200,0000,6200PATIENTS LAUNDRY 426980,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426980,A81000A,00100,0100,N 426980,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426980,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426980,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426980,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426980,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426980,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426980,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426980,B100000,00000,0800,0800MEALS SERVED :DIETARY 426980,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426980,G300000,02500,0000,LOCKER RENT 426980,S000000,00100,0200,03/01/12 426980,S200000,00100,0100,2671 PLUMMER AVENUE 426980,S200000,00200,0100,SAN JOSE 426980,S200000,00200,0200,CA 426980,S200000,00200,0300,95125 426980,S200000,00300,0100,SANTA CLARA 426980,S200000,00300,0200,7400 426980,S200000,00300,0201,41940 426980,S200000,00300,0300,U 426980,S200000,00400,0100,LINCOLN GLEN SKILLED NURSING 426980,S200000,00400,0200,555363 426980,S200000,00400,0300,07/01/89 426980,S200000,00400,0500,P 426980,S200000,01500,0100,Y 426980,S200000,01501,0200,Y 426980,S200000,01504,0200,Y 426980,S200000,01600,0100,N 426980,S200000,01700,0100,N 426980,S200000,01800,0100,N 426980,S200000,02200,0100,N 426980,S200000,02800,0100,N 426980,S200000,02900,0100,N 426980,S200000,03000,0100,N 426980,S200000,03100,0100,N 426980,S200000,03200,0100,N 426980,S200000,03300,0100,N 426980,S200000,03300,0200,N 426980,S200000,04100,0100,N 426980,S200000,04200,0100,N 426980,S200000,04300,0100,N 426980,S200000,04600,0100,N 426980,S200000,04700,0100,N 426980,S200000,04700,0200,N 426980,S200000,04900,0100,N 426980,S200000,05000,0100,N 426980,S200000,05100,0100,N 426980,S200000,05200,0100,N 426982,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426982,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426982,A000000,00300,0000,0300EMPLOYEE BENEFITS 426982,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426982,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426982,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426982,A000000,00700,0000,0700HOUSEKEEPING 426982,A000000,00800,0000,0800DIETARY 426982,A000000,00900,0000,0900NURSING ADMINISTRATION 426982,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426982,A000000,01300,0000,1300SOCIAL SERVICE 426982,A000000,01600,0000,1600SKILLED NURSING FACILITY 426982,A000000,01800,0000,1800NURSING FACILITY 426982,A000000,01900,0000,1900OTHER LONG TERM CARE 426982,A000000,02100,0000,2100RADIOLOGY 426982,A000000,02200,0000,2200LABORATORY 426982,A000000,02300,0000,2300INTRAVENOUS THERAPY 426982,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426982,A000000,02500,0000,2500PHYSICAL THERAPY 426982,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426982,A000000,02700,0000,2700SPEECH PATHOLOGY 426982,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426982,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426982,A000000,03200,0000,3200SUPPORT SURFACES 426982,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426982,A000000,04800,0000,4800AMBULANCE 426982,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426982,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426982,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426982,A000000,06300,0000,6150ASSISTED LIVING 426982,A000000,06301,0000,6151INDEPENDENT LIVING 426982,A000000,06302,0000,6152OTHER NON-REIMBURSIBLE 426982,A81000A,00100,0100,Y 426982,A81000B,00100,0300,MANAGEMENT FEES 426982,A81000B,00200,0300,HO ALLOCATION 426982,A81000C,00100,0100,B 426982,A81000C,00100,0200,RETIREMENT HOUS 426982,A81000C,00100,0400,RETIREMENT HOUS 426982,A81000C,00100,0600,HOME OFFICE 426982,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426982,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426982,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426982,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426982,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426982,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426982,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426982,B100000,00000,0800,0800MEALS SERVED :DIETARY 426982,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426982,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426982,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426982,G300000,02500,0000, OTHER (SPECIFY) 426982,S000000,00100,0200,03/01/12 426982,S200000,00100,0100,450 P STREET 426982,S200000,00200,0100,SACRAMENTO 426982,S200000,00200,0200,CA 426982,S200000,00200,0300,95814 426982,S200000,00300,0100,SACRAMENTO 426982,S200000,00300,0201,40900 426982,S200000,00300,0300,U 426982,S200000,00400,0100,PIONEER HOUSE 426982,S200000,00400,0200,555542 426982,S200000,00400,0300,05/10/93 426982,S200000,00400,0500,P 426982,S200000,01500,0100,N 426982,S200000,01600,0100,N 426982,S200000,01700,0100,N 426982,S200000,01800,0100,N 426982,S200000,02200,0100,N 426982,S200000,02800,0100,N 426982,S200000,02900,0100,N 426982,S200000,03000,0100,N 426982,S200000,03100,0100,N 426982,S200000,03200,0100,N 426982,S200000,03300,0100,N 426982,S200000,03300,0200,N 426982,S200000,04100,0100,N 426982,S200000,04200,0100,N 426982,S200000,04300,0100,N 426982,S200000,04600,0100,N 426982,S200000,04700,0100,N 426982,S200000,04700,0200,N 426982,S200000,04900,0100,N 426982,S200000,05000,0100,N 426982,S200000,05100,0100,N 426982,S200000,05200,0100,N 426982,S200000,05300,0100,Y 426982,S200000,05300,0200,559008 426982,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 426982,S200000,05400,0200,PALMETTO 426982,S200000,05400,0300,559008 426982,S200000,05500,0100,911 N. STUDEBAKER RO 426982,S200000,05600,0100,LONG BEACH 426982,S200000,05600,0200,CA 426982,S200000,05600,0300,90815 426983,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426983,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426983,A000000,00300,0000,0300EMPLOYEE BENEFITS 426983,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426983,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426983,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426983,A000000,00700,0000,0700HOUSEKEEPING 426983,A000000,00800,0000,0800DIETARY 426983,A000000,00900,0000,0900NURSING ADMINISTRATION 426983,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426983,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426983,A000000,01300,0000,1300SOCIAL SERVICE 426983,A000000,01500,0000,1350ACTIVITIES-SNF 426983,A000000,01501,0000,1351TRANSPORT 426983,A000000,01502,0000,1352RS SRV & CMPS PRG 426983,A000000,01600,0000,1600SKILLED NURSING FACILITY 426983,A000000,01800,0000,1800NURSING FACILITY 426983,A000000,01810,0000,1810ICF/MR 426983,A000000,01900,0000,1900OTHER LONG TERM CARE 426983,A000000,02100,0000,2100RADIOLOGY 426983,A000000,02200,0000,2200LABORATORY 426983,A000000,02300,0000,2300INTRAVENOUS THERAPY 426983,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426983,A000000,02500,0000,2500PHYSICAL THERAPY 426983,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426983,A000000,02700,0000,2700SPEECH PATHOLOGY 426983,A000000,02800,0000,2800ELECTROCARDIOLOGY 426983,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426983,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426983,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426983,A000000,03200,0000,3200SUPPORT SURFACES 426983,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426983,A000000,03400,0000,3400CLINIC 426983,A000000,03500,0000,3500RURAL HEALTH CLINIC 426983,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426983,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426983,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426983,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426983,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426983,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426983,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426983,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426983,A000000,04400,0000,4400DME RENTED - HHA 426983,A000000,04500,0000,4500DME SOLD - HHA 426983,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426983,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426983,A000000,04710,0000,4710TELEMEDICINE 426983,A000000,04800,0000,4800AMBULANCE 426983,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426983,A000000,05000,0000,5000CORF 426983,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426983,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426983,A000000,05300,0000,5300INTEREST EXPENSE 426983,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426983,A000000,05500,0000,5500HOSPICE 426983,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426983,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426983,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426983,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426983,A000000,06100,0000,6100NONPAID WORKERS 426983,A000000,06200,0000,6200PATIENTS LAUNDRY 426983,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426983,A000000,06301,0000,6151ASSISTED LIVING 426983,A000000,06302,0000,6152RESIDENTIAL 426983,A000000,06303,0000,6153WELLNESS 426983,A000000,06304,0000,6154OUTREACH 426983,A000000,06305,0000,6155SPECIAL CARE UNIT 426983,A81000A,00100,0100,Y 426983,A81000B,00100,0300,HOME OFFICE - MGT FEES 426983,A81000B,00200,0300,HOME OFFICE - BLDG 426983,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 426983,A81000B,00400,0300,HOME OFFICE - INTEREST INCOME 426983,A81000B,00500,0300,SENIORITY - MKTING/SALES 426983,A81000C,00100,0100,B 426983,A81000C,00100,0200,ABHOW 426983,A81000C,00100,0400,ABHOW 426983,A81000C,00100,0600,MGT/ACCTING 426983,A81000C,00200,0100,B 426983,A81000C,00200,0200,SENIORITY INC 426983,A81000C,00200,0400,SENIORITY INC 426983,A81000C,00200,0600,MKTING/SALES 426983,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426983,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426983,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426983,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426983,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426983,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426983,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426983,B100000,00000,0800,0800MEALS SERVED :DIETARY 426983,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 426983,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 426983,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426983,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426983,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 426983,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 426983,B100000,00000,1502,1352PATIENT DAYS :RS SRV & CMPS PRG 426983,S000000,00100,0200,03/01/12 426983,S200000,00100,0100,800 BLOSSOM HILL ROAD 426983,S200000,00200,0100,LOS GATOS 426983,S200000,00200,0200,CA 426983,S200000,00200,0300,95032 426983,S200000,00300,0100,SANTA CLARA 426983,S200000,00300,0200,7400 426983,S200000,00300,0201,41940 426983,S200000,00300,0300,U 426983,S200000,00400,0100,THE TERRACES OF LOS GATOS 426983,S200000,00400,0200,555547 426983,S200000,00400,0300,09/03/93 426983,S200000,00400,0500,P 426983,S200000,01500,0100,Y 426983,S200000,01600,0100,N 426983,S200000,01700,0100,N 426983,S200000,01800,0100,N 426983,S200000,02200,0100,N 426983,S200000,02800,0100,N 426983,S200000,02900,0100,N 426983,S200000,03000,0100,N 426983,S200000,03100,0100,N 426983,S200000,03200,0100,N 426983,S200000,03300,0100,N 426983,S200000,03300,0200,N 426983,S200000,04100,0100,N 426983,S200000,04200,0100,N 426983,S200000,04300,0100,N 426983,S200000,04600,0100,N 426983,S200000,04700,0100,N 426983,S200000,04700,0200,N 426983,S200000,04900,0100,N 426983,S200000,05000,0100,N 426983,S200000,05100,0100,N 426983,S200000,05200,0100,N 426983,S200000,05300,0100,Y 426983,S200000,05300,0200,559012 426983,S200000,05400,0100,ABHOW 426983,S200000,05400,0200,WPS 426983,S200000,05400,0300,52280 426983,S200000,05500,0100,6120 STONERIDGE MALL ROAD 426983,S200000,05500,0200,3RD FLOOR 426983,S200000,05600,0100,PLEASANTON 426983,S200000,05600,0200,CA 426983,S200000,05600,0300,94588 426984,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426984,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426984,A000000,00300,0000,0300EMPLOYEE BENEFITS 426984,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426984,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426984,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426984,A000000,00700,0000,0700HOUSEKEEPING 426984,A000000,00800,0000,0800DIETARY 426984,A000000,00900,0000,0900NURSING ADMINISTRATION 426984,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426984,A000000,01300,0000,1300SOCIAL SERVICE 426984,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426984,A000000,01600,0000,1600SKILLED NURSING FACILITY 426984,A000000,01800,0000,1800NURSING FACILITY 426984,A000000,01900,0000,1900OTHER LONG TERM CARE 426984,A000000,02100,0000,2100RADIOLOGY 426984,A000000,02200,0000,2200LABORATORY 426984,A000000,02300,0000,2300INTRAVENOUS THERAPY 426984,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426984,A000000,02500,0000,2500PHYSICAL THERAPY 426984,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426984,A000000,02700,0000,2700SPEECH PATHOLOGY 426984,A000000,02800,0000,2800ELECTROCARDIOLOGY 426984,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426984,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426984,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426984,A000000,03200,0000,3200SUPPORT SURFACES 426984,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 426984,A000000,04800,0000,4800AMBULANCE 426984,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426984,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426984,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426984,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 426984,A81000A,00100,0100,Y 426984,A81000B,00100,0300,A&G EXP MGMT FEE - RELATED 426984,A81000B,00200,0300,HO ALLOWABLE EXPENSE 426984,A81000C,00100,0100,B 426984,A81000C,00100,0200,PACIFIC CHRISTI 426984,A81000C,00100,0600,CORPORATE OFFIC 426984,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426984,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426984,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426984,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426984,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426984,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426984,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426984,B100000,00000,0800,0800MEALS SERVED :DIETARY 426984,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 426984,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 426984,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426984,G300000,02500,0000, OTHER (SPECIFY) 426984,S000000,00100,0200,02/27/12 426984,S200000,00100,0100,14900 EL CAMINO REAL 426984,S200000,00200,0100,ATASCADERO 426984,S200000,00200,0200,CA 426984,S200000,00200,0300,93422 426984,S200000,00300,0100,SAN LUIS OBISPO 426984,S200000,00300,0201,05500 426984,S200000,00300,0300,R 426984,S200000,00400,0100,COUNTRY CARE CONVALESCENT CENTER 426984,S200000,00400,0200,555618 426984,S200000,00400,0300,05/03/94 426984,S200000,00400,0500,P 426984,S200000,01500,0100,Y 426984,S200000,01600,0100,N 426984,S200000,01700,0100,N 426984,S200000,01800,0100,N 426984,S200000,02200,0100,N 426984,S200000,02800,0100,N 426984,S200000,02900,0100,N 426984,S200000,03000,0100,N 426984,S200000,03100,0100,N 426984,S200000,03200,0100,N 426984,S200000,03300,0100,N 426984,S200000,03300,0200,N 426984,S200000,04100,0100,N 426984,S200000,04200,0100,N 426984,S200000,04300,0100,N 426984,S200000,04600,0100,N 426984,S200000,04700,0100,N 426984,S200000,04700,0200,N 426984,S200000,04900,0100,N 426984,S200000,05000,0100,N 426984,S200000,05100,0100,N 426984,S200000,05200,0100,N 426984,S200000,05300,0100,N 426985,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426985,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426985,A000000,00300,0000,0300EMPLOYEE BENEFITS 426985,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426985,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426985,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426985,A000000,00700,0000,0700HOUSEKEEPING 426985,A000000,00800,0000,0800DIETARY 426985,A000000,00900,0000,0900NURSING ADMINISTRATION 426985,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426985,A000000,01100,0000,1100PHARMACY 426985,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426985,A000000,01300,0000,1300SOCIAL SERVICE 426985,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426985,A000000,01500,0000,1350OTHER GENERAL SERVICES 426985,A000000,01600,0000,1600SKILLED NURSING FACILITY 426985,A000000,01800,0000,1800NURSING FACILITY 426985,A000000,01810,0000,1810ICF/MR 426985,A000000,01900,0000,1900OTHER LONG TERM CARE 426985,A000000,02100,0000,2100RADIOLOGY 426985,A000000,02200,0000,2200LABORATORY 426985,A000000,02300,0000,2300INTRAVENOUS THERAPY 426985,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426985,A000000,02500,0000,2500PHYSICAL THERAPY 426985,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426985,A000000,02700,0000,2700SPEECH PATHOLOGY 426985,A000000,02800,0000,2800ELECTROCARDIOLOGY 426985,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426985,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426985,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426985,A000000,03200,0000,3200SUPPORT SURFACES 426985,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426985,A000000,03400,0000,3400CLINIC 426985,A000000,03500,0000,3500RURAL HEALTH CLINIC 426985,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426985,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426985,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426985,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426985,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426985,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426985,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426985,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426985,A000000,04400,0000,4400DME RENTED - HHA 426985,A000000,04500,0000,4500DME SOLD - HHA 426985,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426985,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426985,A000000,04710,0000,4710TELEMEDICINE 426985,A000000,04800,0000,4800AMBULANCE 426985,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426985,A000000,05000,0000,5000CORF 426985,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426985,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426985,A000000,05300,0000,5300INTEREST EXPENSE 426985,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426985,A000000,05500,0000,5500HOSPICE 426985,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426985,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426985,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426985,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426985,A000000,06100,0000,6100NONPAID WORKERS 426985,A000000,06200,0000,6200PATIENTS LAUNDRY 426985,A000000,06300,0000,6150MARKETING 426985,A000000,06301,0000,6151RESIDENTS 426985,A000000,06302,0000,6152ASSISTED LIVING 426985,A000000,06303,0000,6153COMMUNITY HH 426985,A81000A,00100,0100,N 426985,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426985,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426985,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426985,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426985,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426985,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426985,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 426985,B100000,00000,0800,0800MEALS SERVED :DIETARY 426985,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426985,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 426985,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 426985,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 426985,G300000,02500,0000,RES CARE AND AL REV AND EXP 426985,G300000,02501,0000,AIL REV 426985,G300000,02502,0000,ENTRY FEE AND AMORT 426985,G300000,02504,0000,COMPANION S INCOME 426985,G300000,02505,0000,TRANSPORTATION AND MAINT INCOME 426985,G300000,02506,0000,ARTS AND CRAFTS INCOME 426985,S000000,00100,0200,02/24/12 426985,S200000,00100,0100,326 MISSION AVE. 426985,S200000,00200,0100,SAN RAFAEL 426985,S200000,00200,0200,CA 426985,S200000,00200,0300,94901 426985,S200000,00300,0100,MARIN 426985,S200000,00300,0200,7360 426985,S200000,00300,0201,41488 426985,S200000,00300,0300,U 426985,S200000,00400,0100,ALDERSLY GARDEN RETIREMENT COMMUNITY 426985,S200000,00400,0200,555694 426985,S200000,00400,0300,10/02/96 426985,S200000,00400,0500,P 426985,S200000,01500,0100,N 426985,S200000,01501,0200,Y 426985,S200000,01504,0200,Y 426985,S200000,01600,0100,Y 426985,S200000,01700,0100,N 426985,S200000,01800,0100,N 426985,S200000,02200,0100,N 426985,S200000,02800,0100,N 426985,S200000,02900,0100,N 426985,S200000,03000,0100,N 426985,S200000,03100,0100,N 426985,S200000,03200,0100,N 426985,S200000,03300,0100,N 426985,S200000,03300,0200,N 426985,S200000,04100,0100,N 426985,S200000,04200,0100,N 426985,S200000,04300,0100,N 426985,S200000,04600,0100,N 426985,S200000,04700,0100,N 426985,S200000,04700,0200,N 426985,S200000,04900,0100,N 426985,S200000,05000,0100,N 426985,S200000,05100,0100,N 426985,S200000,05200,0100,N 427015,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427015,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427015,A000000,00300,0000,0300EMPLOYEE BENEFITS 427015,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427015,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427015,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427015,A000000,00700,0000,0700HOUSEKEEPING 427015,A000000,00800,0000,0800DIETARY 427015,A000000,00900,0000,0900NURSING ADMINISTRATION 427015,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427015,A000000,01100,0000,1100PHARMACY 427015,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427015,A000000,01300,0000,1300SOCIAL SERVICE 427015,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427015,A000000,01600,0000,1600SKILLED NURSING FACILITY 427015,A000000,01800,0000,1800NURSING FACILITY 427015,A000000,01810,0000,1810ICF/MR 427015,A000000,02500,0000,2500PHYSICAL THERAPY 427015,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427015,A000000,02700,0000,2700SPEECH PATHOLOGY 427015,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427015,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427015,A000000,03550,0000,3550FQHC 427015,A000000,05000,0000,5000CORF 427015,A000000,05010,0000,5010CMHC 427015,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427015,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427015,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427015,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427015,A81000A,00100,0100,Y 427015,A81000B,00100,0300,OVERHEAD ALLOCATIONS 427015,A81000C,00100,0100,G 427015,A81000C,00100,0400,HEALTH MGMT ASS 427015,A81000C,00100,0600,HOSPITAL CHAIN 427015,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427015,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427015,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427015,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427015,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427015,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427015,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427015,B100000,00000,0800,0800MEALS SERVED :DIETARY 427015,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427015,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427015,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427015,G300000,02500,0000,BEAUTY SHOP 427015,G300000,02501,0000,OTHER MISC REV 427015,S000000,00100,0200,02/27/12 427015,S200000,00100,0100,8050 SPYGLASS ROAD 427015,S200000,00200,0100,MELBOURNE 427015,S200000,00200,0200,FL 427015,S200000,00200,0300,32940 427015,S200000,00300,0100,BREVARD 427015,S200000,00300,0201,37340 427015,S200000,00300,0300,U 427015,S200000,00400,0100,WUESTHOFF PROGRESSIVE CARE CENTER 427015,S200000,00400,0200,105885 427015,S200000,00400,0300,05/30/95 427015,S200000,00400,0500,P 427015,S200000,00600,0200,105885 427015,S200000,00600,0300,05/30/95 427015,S200000,00600,0600,O 427015,S200000,01500,0100,N 427015,S200000,01501,0200,Y 427015,S200000,01505,0000,MEDICAL SUPPLIES 427015,S200000,01505,0200,Y 427015,S200000,01506,0000,DRUGS 427015,S200000,01506,0200,Y 427015,S200000,01507,0000,OTHER 427015,S200000,01507,0200,Y 427015,S200000,01600,0100,Y 427015,S200000,01700,0100,N 427015,S200000,01800,0100,N 427015,S200000,02100,0100,A 427015,S200000,02200,0100,N 427015,S200000,02800,0100,N 427015,S200000,02900,0100,N 427015,S200000,03000,0100,N 427015,S200000,03100,0100,N 427015,S200000,03200,0100,N 427015,S200000,03300,0100,N 427015,S200000,03300,0200,N 427015,S200000,03500,0300,N 427015,S200000,04100,0100,N 427015,S200000,04200,0100,N 427015,S200000,04300,0100,Y 427015,S200000,04600,0100,N 427015,S200000,04700,0100,N 427015,S200000,04700,0200,N 427015,S200000,04900,0100,N 427015,S200000,05000,0100,N 427015,S200000,05100,0100,N 427015,S200000,05200,0100,N 427015,S200000,05300,0100,Y 427015,S200000,05300,0200,10-900 427015,S200000,05400,0100,HEALTH MANAGEMENT ASSOCIATES INC. 427015,S200000,05400,0200,WPS 427015,S200000,05400,0300,00450 427015,S200000,05500,0100,5811 PELICAN BAY BLVD STE. 500 427015,S200000,05600,0100,NAPLES 427015,S200000,05600,0200,FL 427015,S200000,05600,0300,34108 427019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427019,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427019,A000000,00300,0000,0300EMPLOYEE BENEFITS 427019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427019,A000000,00700,0000,0700HOUSEKEEPING 427019,A000000,00800,0000,0800DIETARY 427019,A000000,00900,0000,0900NURSING ADMINISTRATION 427019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427019,A000000,01100,0000,1100PHARMACY 427019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427019,A000000,01300,0000,1300SOCIAL SERVICE 427019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427019,A000000,01500,0000,1350PATIENT ACTIVITIES 427019,A000000,01600,0000,1600SKILLED NURSING FACILITY 427019,A000000,01800,0000,1800NURSING FACILITY 427019,A000000,01900,0000,1900OTHER LONG TERM CARE 427019,A000000,02100,0000,2100RADIOLOGY 427019,A000000,02200,0000,2200LABORATORY 427019,A000000,02300,0000,2300INTRAVENOUS THERAPY 427019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427019,A000000,02500,0000,2500PHYSICAL THERAPY 427019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427019,A000000,02700,0000,2700SPEECH PATHOLOGY 427019,A000000,02800,0000,2800ELECTROCARDIOLOGY 427019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427019,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427019,A000000,03200,0000,3200SUPPORT SURFACES 427019,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427019,A000000,03400,0000,3400CLINIC 427019,A000000,03500,0000,3500RURAL HEALTH CLINIC 427019,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427019,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427019,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427019,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427019,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427019,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427019,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427019,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427019,A000000,04400,0000,4400DME RENTED - HHA 427019,A000000,04500,0000,4500DME SOLD - HHA 427019,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427019,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427019,A000000,04710,0000,4710TELEMEDICINE 427019,A000000,04800,0000,4800AMBULANCE 427019,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427019,A000000,05000,0000,5000CORF 427019,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427019,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427019,A000000,05300,0000,5300INTEREST EXPENSE 427019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427019,A000000,05500,0000,5500HOSPICE 427019,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427019,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427019,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427019,A000000,06001,0000,6001BANK AND POST OFFICE 427019,A000000,06100,0000,6100NONPAID WORKERS 427019,A000000,06200,0000,6200PATIENTS LAUNDRY 427019,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427019,A81000A,00100,0100,Y 427019,A81000B,00100,0300,MANAGEMENT FEE 427019,A81000B,00200,0300,RELATED PARTY INTEREST 427019,A81000B,00300,0300,GROUND LEASE 427019,A81000B,00400,0300,UNCONDITIONAL GUARANTEE 427019,A81000B,00500,0300,MARKETING COST 427019,A81000C,00100,0100,G 427019,A81000C,00100,0200,LEE HEALTHCARE RESOURCES 427019,A81000C,00100,0400, LEE FP INC 427019,A81000C,00100,0600,MGMT SERVICES 427019,A81000C,00200,0100,G 427019,A81000C,00200,0200,LEE HEALTHCARE RESOURCES 427019,A81000C,00200,0400,LEE HEALTHCARE RESOURCES 427019,A81000C,00200,0600,HOSPITAL 427019,A81000C,00300,0100,G 427019,A81000C,00300,0200,LEE HEALTHCARE RESOURCES 427019,A81000C,00300,0400,LEE HEALTHCARE RESOURCES 427019,A81000C,00300,0600,HOSPITAL 427019,A81000C,00400,0100,G 427019,A81000C,00400,0200,LEE HEALTHCARE RESOURCES 427019,A81000C,00400,0400,LEE HEALTHCARE RESOURCES 427019,A81000C,00400,0600,HOSPITAL 427019,A81000C,00500,0100,G 427019,A81000C,00500,0200,LEE HEALTHCARE RESOURCES 427019,A81000C,00500,0400, LEE FP INC 427019,A81000C,00500,0600,MGMT SERVICES 427019,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427019,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427019,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427019,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427019,B100000,00000,0600,0650PATIENT DAYS MODIF :LAUNDRY & LI 427019,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427019,B100000,00000,0800,0800MEALS SERVED :DIETARY 427019,B100000,00000,0900,0950DIRECT NRSING SAL :NURSING ADMIN 427019,B100000,00000,1000,1050PATIENT DAYS HC :CENTRAL SERVICE 427019,B100000,00000,1200,1250PATIENT DAYS HC :MEDICAL RECORDS 427019,B100000,00000,1300,1330PATIENT DAYS HC :SOCIAL SERVICE 427019,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427019,G300000,02500,0000,REVENUE FROM RENTALS 427019,G300000,02501,0000,PATIENT PERSONAL 427019,G300000,02502,0000,OTHER INCOME 427019,S000000,00100,0200,02/29/12 427019,S200000,00100,0100,10200 CYPRESS COVE DRIVE 427019,S200000,00200,0100,FORT MYERS 427019,S200000,00200,0200,FL 427019,S200000,00200,0300,33908 427019,S200000,00300,0100,LEE 427019,S200000,00300,0200,2700 427019,S200000,00300,0201,15980 427019,S200000,00300,0300,U 427019,S200000,00400,0100,THE LODGE AT CYPRESS COVE 427019,S200000,00400,0200,106019 427019,S200000,00400,0300,04/26/00 427019,S200000,00400,0500,P 427019,S200000,01500,0100,Y 427019,S200000,01501,0200,N 427019,S200000,01503,0200,Y 427019,S200000,01504,0200,Y 427019,S200000,01600,0100,N 427019,S200000,01700,0100,N 427019,S200000,01800,0100,N 427019,S200000,02200,0100,N 427019,S200000,02800,0100,N 427019,S200000,02900,0100,N 427019,S200000,03000,0100,N 427019,S200000,03100,0100,N 427019,S200000,03200,0100,N 427019,S200000,03300,0100,N 427019,S200000,03300,0200,N 427019,S200000,04100,0100,N 427019,S200000,04200,0100,N 427019,S200000,04300,0100,N 427019,S200000,04600,0100,N 427019,S200000,04700,0100,N 427019,S200000,04700,0200,N 427019,S200000,04900,0100,N 427019,S200000,05000,0100,N 427019,S200000,05100,0100,N 427019,S200000,05200,0100,N 427021,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427021,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427021,A000000,00300,0000,0300EMPLOYEE BENEFITS 427021,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427021,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427021,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427021,A000000,00700,0000,0700HOUSEKEEPING 427021,A000000,00800,0000,0800DIETARY 427021,A000000,00900,0000,0900NURSING ADMINISTRATION 427021,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427021,A000000,01100,0000,1100PHARMACY 427021,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427021,A000000,01300,0000,1300SOCIAL SERVICE 427021,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427021,A000000,01500,0000,1350OTHER GENERAL SERVICES 427021,A000000,01600,0000,1600SKILLED NURSING FACILITY 427021,A000000,01800,0000,1800NURSING FACILITY 427021,A000000,01810,0000,1810ICF/MR 427021,A000000,01900,0000,1900OTHER LONG TERM CARE 427021,A000000,02100,0000,2100RADIOLOGY 427021,A000000,02200,0000,2200LABORATORY 427021,A000000,02300,0000,2300INTRAVENOUS THERAPY 427021,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427021,A000000,02500,0000,2500PHYSICAL THERAPY 427021,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427021,A000000,02700,0000,2700SPEECH PATHOLOGY 427021,A000000,02800,0000,2800ELECTROCARDIOLOGY 427021,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427021,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427021,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427021,A000000,03200,0000,3200SUPPORT SURFACES 427021,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427021,A000000,03400,0000,3400CLINIC 427021,A000000,03500,0000,3500RURAL HEALTH CLINIC 427021,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427021,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427021,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427021,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427021,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427021,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427021,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427021,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427021,A000000,04400,0000,4400DME RENTED - HHA 427021,A000000,04500,0000,4500DME SOLD - HHA 427021,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427021,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427021,A000000,04710,0000,4710TELEMEDICINE 427021,A000000,04800,0000,4800AMBULANCE 427021,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427021,A000000,05000,0000,5000CORF 427021,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427021,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427021,A000000,05300,0000,5300INTEREST EXPENSE 427021,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427021,A000000,05500,0000,5500HOSPICE 427021,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427021,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427021,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427021,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427021,A000000,06100,0000,6100NONPAID WORKERS 427021,A000000,06200,0000,6200PATIENTS LAUNDRY 427021,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427021,A81000A,00100,0100,Y 427021,A81000B,00100,0300,MANAGEMENT FEES 427021,A81000B,00200,0300,HOME OFFICE PROERTY 427021,A81000B,00300,0300,MANAGEMENT FEES 427021,A81000B,00400,0300,PROPERTY INSURANCE 427021,A81000B,00500,0300,GENERAL INSURANCE 427021,A81000B,00600,0300,WORKER S COMPENSATION 427021,A81000B,00700,0300,HEALTH INSURANCE 427021,A81000B,00800,0300,PENSION BENEFITS 427021,A81000C,00100,0100,G 427021,A81000C,00100,0200,CATHOLIC HEALTH SERVICES 427021,A81000C,00100,0600,MANAGEMENT COMPANY 427021,A81000C,00200,0100,G 427021,A81000C,00200,0200,CATHOLIC HEALTH SERVICES 427021,A81000C,00200,0600,MANAGEMENT COMPANY 427021,A81000C,00300,0100,G 427021,A81000C,00300,0200,CATHOLIC HEALTH SERVICES 427021,A81000C,00300,0600,MANAGEMENT COMPANY 427021,A81000C,00400,0100,G 427021,A81000C,00400,0200,ARCHDIOCESE OF MIAMI 427021,A81000C,00400,0600,SELF INSURANCE 427021,A81000C,00500,0100,G 427021,A81000C,00500,0200,ARCHDIOCESE OF MIAMI 427021,A81000C,00500,0600,SELF INSURANCE 427021,A81000C,00600,0100,G 427021,A81000C,00600,0200,ARCHDIOCESE OF MIAMI 427021,A81000C,00600,0600,SELF INSURANCE 427021,A81000C,00700,0100,G 427021,A81000C,00700,0200,ARCHDIOCESE OF MIAMI 427021,A81000C,00700,0600,SELF INSURANCE 427021,A81000C,00800,0100,G 427021,A81000C,00800,0200,ARCHDIOCESE OF MIAMI 427021,A81000C,00800,0600,SELF INSURANCE 427021,A81000C,03100,0000,COMMON GOVERNANCE 427021,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427021,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427021,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427021,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427021,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427021,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427021,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427021,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427021,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427021,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427021,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427021,G300000,02500,0000,TRANSPORTATION REVENUE 427021,G300000,02501,0000,MISCELLANEOUS INCOME 427021,S000000,00100,0200,02/29/12 427021,S200000,00100,0100,8850 NW 122ND STREET 427021,S200000,00200,0100,HIALEAH GARDENS 427021,S200000,00200,0200,FL 427021,S200000,00200,0300,33018 427021,S200000,00300,0100,MIAMI DADE 427021,S200000,00300,0200,5000 427021,S200000,00300,0201,33124 427021,S200000,00300,0300,U 427021,S200000,00400,0100,VILLA MARIA WEST SKILLED NURSING FAC 427021,S200000,00400,0200,106080 427021,S200000,00400,0300,02/06/09 427021,S200000,00400,0500,P 427021,S200000,01500,0100,Y 427021,S200000,01501,0200,Y 427021,S200000,01503,0200,Y 427021,S200000,01504,0200,Y 427021,S200000,01600,0100,N 427021,S200000,01700,0100,N 427021,S200000,01800,0100,N 427021,S200000,02200,0100,N 427021,S200000,02800,0100,N 427021,S200000,02900,0100,N 427021,S200000,03000,0100,N 427021,S200000,03100,0100,N 427021,S200000,03200,0100,N 427021,S200000,03300,0100,N 427021,S200000,03300,0200,N 427021,S200000,04100,0100,N 427021,S200000,04200,0100,N 427021,S200000,04300,0100,N 427021,S200000,04600,0100,N 427021,S200000,04700,0100,N 427021,S200000,04700,0200,N 427021,S200000,04900,0100,N 427021,S200000,05000,0100,N 427021,S200000,05100,0100,N 427021,S200000,05200,0100,N 427024,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427024,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427024,A000000,00300,0000,0300EMPLOYEE BENEFITS 427024,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427024,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427024,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427024,A000000,00700,0000,0700HOUSEKEEPING 427024,A000000,00800,0000,0800DIETARY 427024,A000000,00900,0000,0900NURSING ADMINISTRATION 427024,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427024,A000000,01100,0000,1100PHARMACY 427024,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427024,A000000,01300,0000,1300SOCIAL SERVICE 427024,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427024,A000000,01500,0000,1350OTHER GENERAL SERVICES 427024,A000000,01600,0000,1600SKILLED NURSING FACILITY 427024,A000000,01800,0000,1800NURSING FACILITY 427024,A000000,01810,0000,1810ICF/MR 427024,A000000,01900,0000,1900OTHER LONG TERM CARE 427024,A000000,02100,0000,2100RADIOLOGY 427024,A000000,02200,0000,2200LABORATORY 427024,A000000,02300,0000,2300INTRAVENOUS THERAPY 427024,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427024,A000000,02500,0000,2500PHYSICAL THERAPY 427024,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427024,A000000,02700,0000,2700SPEECH PATHOLOGY 427024,A000000,02800,0000,2800ELECTROCARDIOLOGY 427024,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427024,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427024,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427024,A000000,03200,0000,3200SUPPORT SURFACES 427024,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427024,A000000,03400,0000,3400CLINIC 427024,A000000,03500,0000,3500RURAL HEALTH CLINIC 427024,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427024,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427024,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427024,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427024,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427024,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427024,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427024,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427024,A000000,04400,0000,4400DME RENTED - HHA 427024,A000000,04500,0000,4500DME SOLD - HHA 427024,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427024,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427024,A000000,04710,0000,4710TELEMEDICINE 427024,A000000,04800,0000,4800AMBULANCE 427024,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427024,A000000,05000,0000,5000CORF 427024,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427024,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427024,A000000,05300,0000,5300INTEREST EXPENSE 427024,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427024,A000000,05500,0000,5500HOSPICE 427024,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427024,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427024,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427024,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427024,A000000,06100,0000,6100NONPAID WORKERS 427024,A000000,06200,0000,6200PATIENTS LAUNDRY 427024,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427024,A81000A,00100,0100,Y 427024,A81000B,00100,0300,INTEREST ON WORKING CAPITAL 427024,A81000C,00100,0100,F 427024,A81000C,00100,0200,ROSE SCHAEFER 427024,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427024,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427024,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427024,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427024,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427024,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427024,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427024,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427024,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427024,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427024,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427024,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427024,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427024,S000000,00100,0200,02/13/12 427024,S200000,00100,0100,145 GROVE STREET 427024,S200000,00200,0100,WATERBURY 427024,S200000,00200,0200,CT 427024,S200000,00200,0300,06710 427024,S200000,00300,0100,NEW HAVEN 427024,S200000,00300,0200,5483 427024,S200000,00300,0201,35300 427024,S200000,00300,0300,U 427024,S200000,00400,0100,GROVE MANOR NURSING HOME INC 427024,S200000,00400,0200,075096 427024,S200000,00400,0300,11/19/67 427024,S200000,00400,0500,P 427024,S200000,01500,0100,Y 427024,S200000,01502,0200,Y 427024,S200000,01504,0200,Y 427024,S200000,01600,0100,N 427024,S200000,01700,0100,N 427024,S200000,01800,0100,N 427024,S200000,02200,0100,N 427024,S200000,02800,0100,Y 427024,S200000,02900,0100,N 427024,S200000,03000,0100,N 427024,S200000,03100,0100,N 427024,S200000,03200,0100,N 427024,S200000,03300,0100,N 427024,S200000,03300,0200,N 427024,S200000,04100,0100,N 427024,S200000,04200,0100,N 427024,S200000,04300,0100,N 427024,S200000,04600,0100,N 427024,S200000,04700,0100,N 427024,S200000,04700,0200,N 427024,S200000,04900,0100,N 427024,S200000,05000,0100,N 427024,S200000,05100,0100,N 427024,S200000,05200,0100,N 427024,S200000,05300,0100,N 427025,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427025,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427025,A000000,00300,0000,0300EMPLOYEE BENEFITS 427025,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427025,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427025,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427025,A000000,00700,0000,0700HOUSEKEEPING 427025,A000000,00800,0000,0800DIETARY 427025,A000000,00900,0000,0900NURSING ADMINISTRATION 427025,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427025,A000000,01100,0000,1100PHARMACY 427025,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427025,A000000,01300,0000,1300SOCIAL SERVICE 427025,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427025,A000000,01500,0000,1350PATIENT ACTIVITIES 427025,A000000,01600,0000,1600SKILLED NURSING FACILITY 427025,A000000,01810,0000,1810ICF/MR 427025,A000000,02100,0000,2100RADIOLOGY 427025,A000000,02200,0000,2200LABORATORY 427025,A000000,02300,0000,2300INTRAVENOUS THERAPY 427025,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427025,A000000,02500,0000,2500PHYSICAL THERAPY 427025,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427025,A000000,02700,0000,2700SPEECH PATHOLOGY 427025,A000000,02800,0000,2800ELECTROCARDIOLOGY 427025,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427025,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427025,A000000,03550,0000,3550FQHC 427025,A000000,03600,0000,3450ADMIN & GENERAL-HHA 427025,A000000,04800,0000,4800AMBULANCE 427025,A000000,05000,0000,5000CORF 427025,A000000,05010,0000,5010CMHC 427025,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427025,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427025,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427025,A000000,05100,0000,4750INTEREST EXPENSE 427025,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427025,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427025,A000000,06300,0000,6150TOTAL 427025,A81000A,00100,0100,Y 427025,A81000B,00100,0300,PHYSICAL THERAPY 427025,A81000B,00200,0300,ATHENA MGT FEES 427025,A81000B,00300,0300,ADMIN & GENERAL 427025,A81000B,00400,0300,SOCIAL SERVICE 427025,A81000B,00500,0300,PHYSICAL THERAPY 427025,A81000B,00600,0300,SPEECH THERAPY 427025,A81000B,00700,0300,OCCUPATIONAL THERAPY 427025,A81000B,00800,0300,NURSING 427025,A81000C,00100,0100,A 427025,A81000C,00100,0200,LAWRENCE G SANT 427025,A81000C,00100,0400,ATHENA HEALTH C 427025,A81000C,00100,0600,MANAGEMENT CO 427025,A81000C,00200,0100,A 427025,A81000C,00200,0200,MIDDLESEX CCH G 427025,A81000C,00300,0100,A 427025,A81000C,00300,0200,1995 DONNA REIS 427025,A81000C,00400,0100,A 427025,A81000C,00400,0200,L&F SCHWARTZ FA 427025,A81000C,00500,0100,A 427025,A81000C,00500,0200,CHAKALOS NURSIN 427025,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 427025,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 427025,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 427025,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427025,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 427025,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427025,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427025,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427025,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427025,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427025,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427025,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427025,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427025,G300000,02500,0000,MISCELLANEOUS INCOME 427025,G300000,02501,0000,INTEREST INCOME 427025,G300000,02502,0000,FEE INCOME 427025,S000000,00100,0200,02/08/12 427025,S200000,00100,0100,100 RANDOLPH ROAD 427025,S200000,00200,0100,MIDDLETOWN 427025,S200000,00200,0200,CT 427025,S200000,00200,0300,06457 427025,S200000,00300,0100,NEW HAVEN 427025,S200000,00300,0201,25540 427025,S200000,00300,0300,U 427025,S200000,00400,0100,MIDDLESEX HEALTH CARE CENTER 427025,S200000,00400,0200,075106 427025,S200000,00400,0300,03/07/02 427025,S200000,00400,0500,P 427025,S200000,01500,0100,Y 427025,S200000,01501,0200,N 427025,S200000,01502,0200,N 427025,S200000,01503,0200,N 427025,S200000,01504,0200,N 427025,S200000,01600,0100,N 427025,S200000,01700,0100,N 427025,S200000,01800,0100,N 427025,S200000,02200,0100,N 427025,S200000,02800,0100,N 427025,S200000,02900,0100,N 427025,S200000,03000,0100,N 427025,S200000,03100,0100,N 427025,S200000,03200,0100,N 427025,S200000,03300,0100,N 427025,S200000,03300,0200,N 427025,S200000,04100,0100,N 427025,S200000,04200,0100,N 427025,S200000,04300,0100,N 427025,S200000,04600,0100,N 427025,S200000,04700,0100,N 427025,S200000,04700,0200,N 427025,S200000,04900,0100,N 427025,S200000,05000,0100,N 427025,S200000,05100,0100,N 427025,S200000,05200,0100,N 427025,S200000,05300,0100,Y 427025,S200000,05300,0200,07-111 427025,S200000,05400,0100,ATHENA HEALTH CARE ASSOCIATES INC 427025,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427025,S200000,05400,0300,13101 427025,S200000,05500,0100,300 QUEEN STREET 427025,S200000,05600,0100,SOUTHINGTON 427025,S200000,05600,0200,CT 427025,S200000,05600,0300,06489 427029,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427029,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427029,A000000,00300,0000,0300EMPLOYEE BENEFITS 427029,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427029,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427029,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427029,A000000,00700,0000,0700HOUSEKEEPING 427029,A000000,00800,0000,0800DIETARY 427029,A000000,00900,0000,0900NURSING ADMINISTRATION 427029,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427029,A000000,01100,0000,1100PHARMACY 427029,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427029,A000000,01300,0000,1300SOCIAL SERVICE 427029,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427029,A000000,01500,0000,1350ACTIVITIES PROGRAM 427029,A000000,01600,0000,1600SKILLED NURSING FACILITY 427029,A000000,01810,0000,1810ICF/MR 427029,A000000,02100,0000,2100RADIOLOGY 427029,A000000,02200,0000,2200LABORATORY 427029,A000000,02500,0000,2500PHYSICAL THERAPY 427029,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427029,A000000,02700,0000,2700SPEECH PATHOLOGY 427029,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427029,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427029,A000000,03550,0000,3550FQHC 427029,A000000,05000,0000,5000CORF 427029,A000000,05010,0000,5010CMHC 427029,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427029,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427029,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427029,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427029,A000000,06300,0000,6150DENTAL 427029,A81000A,00100,0100,N 427029,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427029,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427029,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427029,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427029,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427029,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427029,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427029,B100000,00000,0800,0800MEALS SERVED :DIETARY 427029,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 427029,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 427029,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 427029,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427029,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427029,B100000,00000,1500,1350NUMBER OF PARTCPANTS :ACTIVITIES 427029,G300000,02501,0000,MISCELLANEOUS 427029,S000000,00100,0200,03/12/12 427029,S200000,00100,0100,950 FLOYD AVENUE 427029,S200000,00200,0100,ROME 427029,S200000,00200,0200,NY 427029,S200000,00200,0300,13440 427029,S200000,00300,0100,ONEIDA 427029,S200000,00300,0201,ROME 427029,S200000,00300,0300,R 427029,S200000,00400,0100,ROME NURSING HOME 427029,S200000,00400,0200,335233 427029,S200000,00400,0300,07/01/67 427029,S200000,00400,0500,P 427029,S200000,00400,0600,O 427029,S200000,01500,0100,Y 427029,S200000,01502,0200,Y 427029,S200000,01503,0200,Y 427029,S200000,01600,0100,N 427029,S200000,01700,0100,N 427029,S200000,01800,0100,N 427029,S200000,01900,0100,LIMITED LIABILITY CO 427029,S200000,02200,0100,N 427029,S200000,02800,0100,N 427029,S200000,02900,0100,N 427029,S200000,03000,0100,N 427029,S200000,03100,0100,N 427029,S200000,03200,0100,N 427029,S200000,03300,0100,N 427029,S200000,03300,0200,N 427029,S200000,04100,0100,N 427029,S200000,04200,0100,N 427029,S200000,04300,0100,Y 427029,S200000,04600,0100,N 427029,S200000,04700,0100,N 427029,S200000,04700,0200,N 427029,S200000,04900,0100,N 427029,S200000,05000,0100,N 427029,S200000,05100,0100,N 427029,S200000,05200,0100,N 427030,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427030,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427030,A000000,00300,0000,0300EMPLOYEE BENEFITS 427030,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427030,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427030,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427030,A000000,00700,0000,0700HOUSEKEEPING 427030,A000000,00800,0000,0800DIETARY 427030,A000000,00900,0000,0900NURSING ADMINISTRATION 427030,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427030,A000000,01100,0000,1100PHARMACY 427030,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427030,A000000,01300,0000,1300SOCIAL SERVICE 427030,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427030,A000000,01500,0000,1350OTHER GENERAL SERVICES 427030,A000000,01600,0000,1600SKILLED NURSING FACILITY 427030,A000000,01800,0000,1800NURSING FACILITY 427030,A000000,01810,0000,1810ICF/MR 427030,A000000,01900,0000,1900OTHER LONG TERM CARE 427030,A000000,02100,0000,2100RADIOLOGY 427030,A000000,02200,0000,2200LABORATORY 427030,A000000,02300,0000,2300INTRAVENOUS THERAPY 427030,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427030,A000000,02500,0000,2500PHYSICAL THERAPY 427030,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427030,A000000,02700,0000,2700SPEECH PATHOLOGY 427030,A000000,02800,0000,2800ELECTROCARDIOLOGY 427030,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427030,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427030,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427030,A000000,03200,0000,3200SUPPORT SURFACES 427030,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427030,A000000,03400,0000,3400CLINIC 427030,A000000,03500,0000,3500RURAL HEALTH CLINIC 427030,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427030,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427030,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427030,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427030,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427030,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427030,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427030,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427030,A000000,04400,0000,4400DME RENTED - HHA 427030,A000000,04500,0000,4500DME SOLD - HHA 427030,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427030,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427030,A000000,04710,0000,4710TELEMEDICINE 427030,A000000,04800,0000,4800AMBULANCE 427030,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427030,A000000,05000,0000,5000CORF 427030,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427030,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427030,A000000,05300,0000,5300INTEREST EXPENSE 427030,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427030,A000000,05500,0000,5500HOSPICE 427030,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427030,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427030,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427030,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427030,A000000,06100,0000,6100NONPAID WORKERS 427030,A000000,06200,0000,6200PATIENTS LAUNDRY 427030,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427030,A81000A,00100,0100,Y 427030,A81000B,00100,0300,LUDLOWE REALTY RENT EXP 427030,A81000B,00200,0300,DEPRECIATION EXPENSE 427030,A81000B,00300,0300,MORTGAGE INTEREST 427030,A81000B,00400,0300,NURSING SERVICES 427030,A81000B,00500,0300,MANAGEMENT FEES 427030,A81000B,00600,0300,AMORTIZATION EXPENSE 427030,A81000B,00700,0300,850 SILAS DEANE RENT EXPENSE 427030,A81000B,00800,0300,STAUDERMAN REALTY RENT EXPENSE 427030,A81000B,00900,0300,ST 427030,A81000B,01000,0300,OT 427030,A81000B,01100,0300,PT 427030,A81000C,00100,0100,A 427030,A81000C,00100,0200,M.J. OSTREICHER 427030,A81000C,00100,0400,NATIONAL HEALTHCARE 427030,A81000C,00100,0600,MANAGEMENT 427030,A81000C,00200,0100,A 427030,A81000C,00200,0200,M.J. OSTREICHER 427030,A81000C,00200,0400,PREFERRED THERAPY SOLUTIO 427030,A81000C,00200,0600,PT OT ST THERAPIES 427030,A81000C,00300,0100,A 427030,A81000C,00300,0200,M.J. OSTREICHER 427030,A81000C,00300,0400,PREFERRED PROF SVC 427030,A81000C,00300,0600,RN & LPN SERVICES 427030,A81000C,00400,0100,A 427030,A81000C,00400,0200,M.J. OSTREICHER 427030,A81000C,00400,0400,LUDLOWE REALTY 427030,A81000C,00400,0600,REALTY 427030,A81000C,00500,0100,A 427030,A81000C,00500,0200,M.J. OSTREICHER 427030,A81000C,00500,0400,STAUDERMAN REALTY 427030,A81000C,00500,0600,RENT 427030,A81000C,00600,0100,A 427030,A81000C,00600,0200,M.J. OSTREICHER 427030,A81000C,00600,0400,850 SILAS DEANE 427030,A81000C,00600,0600,RENT 427030,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427030,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427030,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427030,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427030,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427030,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427030,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 427030,B100000,00000,0800,0800MEALS SERVED :DIETARY 427030,G300000,02500,0000,PRIOR PERIOD ADJUSTMENT 427030,G300000,02501,0000,MISCELLANEOUS OTHER INCOME 427030,S000000,00100,0200,02/27/12 427030,S200000,00100,0100,118 JEFFERSON STREET 427030,S200000,00200,0100,FAIRFIELD 427030,S200000,00200,0200,CT 427030,S200000,00200,0300,06825 427030,S200000,00300,0100,FAIRFIELD 427030,S200000,00300,0200,5483 427030,S200000,00300,0201,14860 427030,S200000,00300,0300,U 427030,S200000,00400,0100,LUDLOWE CTR FOR HEALTH & REHAB LLC 427030,S200000,00400,0200,075330 427030,S200000,00400,0300,12/12/89 427030,S200000,00400,0500,P 427030,S200000,01500,0100,Y 427030,S200000,01501,0200,Y 427030,S200000,01600,0100,N 427030,S200000,01700,0100,N 427030,S200000,01800,0100,N 427030,S200000,02200,0100,N 427030,S200000,02800,0100,N 427030,S200000,02900,0100,N 427030,S200000,03000,0100,N 427030,S200000,03100,0100,N 427030,S200000,03200,0100,N 427030,S200000,03300,0100,N 427030,S200000,03300,0200,N 427030,S200000,04100,0100,N 427030,S200000,04200,0100,N 427030,S200000,04300,0100,N 427030,S200000,04600,0100,N 427030,S200000,04700,0100,N 427030,S200000,04700,0200,N 427030,S200000,04900,0100,N 427030,S200000,05000,0100,N 427030,S200000,05100,0100,N 427030,S200000,05200,0100,N 427030,S200000,05300,0100,N 427031,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427031,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427031,A000000,00300,0000,0300EMPLOYEE BENEFITS 427031,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427031,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427031,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427031,A000000,00700,0000,0700HOUSEKEEPING 427031,A000000,00800,0000,0800DIETARY 427031,A000000,00900,0000,0900NURSING ADMINISTRATION 427031,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427031,A000000,01100,0000,1100PHARMACY 427031,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427031,A000000,01300,0000,1300SOCIAL SERVICE 427031,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427031,A000000,01500,0000,1350RECREATIONAL SERVICES 427031,A000000,01600,0000,1600SKILLED NURSING FACILITY 427031,A000000,01800,0000,1800NURSING FACILITY 427031,A000000,01810,0000,1810ICF/MR 427031,A000000,01900,0000,1900OTHER LONG TERM CARE 427031,A000000,02100,0000,2100RADIOLOGY 427031,A000000,02200,0000,2200LABORATORY 427031,A000000,02300,0000,2300INTRAVENOUS THERAPY 427031,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427031,A000000,02500,0000,2500PHYSICAL THERAPY 427031,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427031,A000000,02700,0000,2700SPEECH PATHOLOGY 427031,A000000,02800,0000,2800ELECTROCARDIOLOGY 427031,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427031,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427031,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427031,A000000,03200,0000,3200SUPPORT SURFACES 427031,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427031,A000000,03400,0000,3400CLINIC 427031,A000000,03500,0000,3500RURAL HEALTH CLINIC 427031,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427031,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427031,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427031,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427031,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427031,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427031,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427031,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427031,A000000,04400,0000,4400DME RENTED - HHA 427031,A000000,04500,0000,4500DME SOLD - HHA 427031,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427031,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427031,A000000,04710,0000,4710TELEMEDICINE 427031,A000000,04800,0000,4800AMBULANCE 427031,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427031,A000000,05000,0000,5000CORF 427031,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427031,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427031,A000000,05300,0000,5300INTEREST EXPENSE 427031,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427031,A000000,05500,0000,5500HOSPICE 427031,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427031,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427031,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427031,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427031,A000000,06100,0000,6100NONPAID WORKERS 427031,A000000,06200,0000,6200PATIENTS LAUNDRY 427031,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427031,A81000A,00100,0100,Y 427031,A81000B,00100,0300,MANAGEMENT FEE 427031,A81000B,00200,0300,RENT 427031,A81000B,00300,0300,DR. ROBERT SBRIGLIO 427031,A81000C,00100,0100,A 427031,A81000C,00100,0200,MARTIN SBRIGLIO 427031,A81000C,00100,0400,RYDERS HEALTH MANAGEMENT 427031,A81000C,00100,0600,MANAGEMENT COMPANY 427031,A81000C,00200,0100,A 427031,A81000C,00200,0200,MARTIN SBRIGLIO 427031,A81000C,00200,0600,REAL ESTATE RENTAL 427031,A81000C,00300,0100,A 427031,A81000C,00300,0200,DR. ROBERT SBRIGLIO 427031,A81000C,00300,0600,REAL ESTATE RENTAL 427031,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427031,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427031,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427031,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427031,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427031,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427031,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427031,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427031,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427031,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427031,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427031,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427031,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 427031,G300000,02501,0000,MISC PRIVATE CHARGES 427031,G300000,02502,0000,BEAUTY CARE REVENUE 427031,G300000,02503,0000,INTEREST INCOME 427031,G300000,02504,0000,HANDIVAN 427031,G300000,02505,0000,HMO RATE ADJUSTMENT 427031,S000000,00100,0200,02/29/12 427031,S200000,00100,0100,7003 MAIN STREET 427031,S200000,00200,0100,STRATFORD 427031,S200000,00200,0200,CT 427031,S200000,00200,0300,06497 427031,S200000,00300,0100,FAIRFIELD 427031,S200000,00300,0201,14860 427031,S200000,00300,0300,U 427031,S200000,00400,0100,LORD CHAMBERLAIN INC 427031,S200000,00400,0200,075339 427031,S200000,00400,0300,10/01/08 427031,S200000,00400,0500,P 427031,S200000,01500,0100,Y 427031,S200000,01502,0200,Y 427031,S200000,01504,0200,Y 427031,S200000,01600,0100,N 427031,S200000,01700,0100,N 427031,S200000,01800,0100,N 427031,S200000,02200,0100,N 427031,S200000,02800,0100,N 427031,S200000,02900,0100,N 427031,S200000,03000,0100,N 427031,S200000,03100,0100,N 427031,S200000,03200,0100,N 427031,S200000,03300,0100,N 427031,S200000,03300,0200,N 427031,S200000,04100,0100,N 427031,S200000,04200,0100,N 427031,S200000,04300,0100,N 427031,S200000,04600,0100,N 427031,S200000,04700,0100,N 427031,S200000,04700,0200,N 427031,S200000,04900,0100,N 427031,S200000,05000,0100,N 427031,S200000,05100,0100,N 427031,S200000,05200,0100,N 427031,S200000,05300,0100,Y 427031,S200000,05300,0200,071115 427031,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427031,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427031,S200000,05400,0300,13101 427031,S200000,05500,0100,88 RYDERS LANE 427031,S200000,05600,0100,STRATFORD 427031,S200000,05600,0200,CT 427031,S200000,05600,0300,06614 427032,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427032,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427032,A000000,00300,0000,0300EMPLOYEE BENEFITS 427032,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427032,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427032,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427032,A000000,00700,0000,0700HOUSEKEEPING 427032,A000000,00800,0000,0800DIETARY 427032,A000000,00900,0000,0900NURSING ADMINISTRATION 427032,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427032,A000000,01100,0000,1100PHARMACY 427032,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427032,A000000,01300,0000,1300SOCIAL SERVICE 427032,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427032,A000000,01600,0000,1600SKILLED NURSING FACILITY 427032,A000000,01800,0000,1800NURSING FACILITY 427032,A000000,01810,0000,1810ICF/MR 427032,A000000,01900,0000,1900OTHER LONG TERM CARE 427032,A000000,02100,0000,2100RADIOLOGY 427032,A000000,02200,0000,2200LABORATORY 427032,A000000,02300,0000,2300INTRAVENOUS THERAPY 427032,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427032,A000000,02500,0000,2500PHYSICAL THERAPY 427032,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427032,A000000,02700,0000,2700SPEECH PATHOLOGY 427032,A000000,02800,0000,2800ELECTROCARDIOLOGY 427032,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427032,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427032,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427032,A000000,03200,0000,3200SUPPORT SURFACES 427032,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427032,A000000,03400,0000,3400CLINIC 427032,A000000,03500,0000,3500RURAL HEALTH CLINIC 427032,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427032,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427032,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427032,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427032,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427032,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427032,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427032,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427032,A000000,04400,0000,4400DME RENTED - HHA 427032,A000000,04500,0000,4500DME SOLD - HHA 427032,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427032,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427032,A000000,04710,0000,4710TELEMEDICINE 427032,A000000,04800,0000,4800AMBULANCE 427032,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427032,A000000,05000,0000,5000CORF 427032,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427032,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427032,A000000,05300,0000,5300INTEREST EXPENSE 427032,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427032,A000000,05500,0000,5500HOSPICE 427032,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427032,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427032,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427032,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427032,A000000,06100,0000,6100NONPAID WORKERS 427032,A000000,06200,0000,6200PATIENTS LAUNDRY 427032,A000000,06300,0000,6150MARKETING - NONREIMBURSABLE 427032,A000000,06301,0000,6151ASSISTED LIVING - NONREIMBURSABL 427032,A000000,06302,0000,6152RESIDENT SUBSIDY 427032,A000000,06303,0000,6153DENTAL SERVICES 427032,A81000A,00100,0100,Y 427032,A81000B,00100,0300,MANAGEMENT FEE 427032,A81000B,00200,0300,MANAGEMENT FEE 427032,A81000B,00300,0300,LINEN SERVICE 427032,A81000B,00400,0300,LINEN SERVICE 427032,A81000B,00500,0300,MEDICAL DIRECTOR 427032,A81000B,00600,0300,PROFESSIONAL LIABILITY INSURANCE 427032,A81000C,00100,0100,B 427032,A81000C,00100,0400,MASONICARE 427032,A81000C,00100,0600,CORPORATE MANAGEMENT 427032,A81000C,00200,0100,B 427032,A81000C,00200,0400,MASONICARE 427032,A81000C,00200,0600,CORPORATE MANAGEMENT 427032,A81000C,00300,0100,B 427032,A81000C,00300,0400,MASONICARE 427032,A81000C,00300,0600,CORPORATE MANAGEMENT 427032,A81000C,00400,0100,B 427032,A81000C,00400,0400,MASONICARE 427032,A81000C,00400,0600,CORPORATE MANAGEMENT 427032,A81000C,00500,0100,G 427032,A81000C,00500,0200,MASONICARE HEALTH CENTER 427032,A81000C,00500,0600,MEDICAL CENTER 427032,A81000C,00600,0100,G 427032,A81000C,00600,0200,MASONICARE HEALTH CENTER 427032,A81000C,00600,0600,MEDICAL CENTER 427032,A81000C,00700,0100,G 427032,A81000C,00700,0200,PRIMARY CARE PHYSCIANS 427032,A81000C,00700,0600,PHYSICIAN PRACTICE 427032,A81000C,00800,0100,G 427032,A81000C,00800,0200,HOME HEALTH AND HOSPICE 427032,A81000C,00800,0600,HOME HEALTH SERVICE 427032,A81000C,00900,0100,G 427032,A81000C,00900,0200,KEYSTONE 427032,A81000C,00900,0600,INSURANCE 427032,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427032,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427032,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427032,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427032,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427032,B100000,00000,0600,0650SQ FT SNF :LAUNDRY & LINEN SERVI 427032,B100000,00000,0700,0750SQ FT SNF :HOUSEKEEPING 427032,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427032,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427032,B100000,00000,1100,1150100% DIRECT :PHARMACY 427032,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427032,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427032,G300000,02500,0000,OTHER INCOME SEE ATTACHED G-3A 427032,S000000,00100,0200,02/29/12 427032,S200000,00100,0100,139 TODDY HILL ROAD 427032,S200000,00100,0300,5505 427032,S200000,00200,0100,NEWTOWN 427032,S200000,00200,0200,CT 427032,S200000,00200,0300,06470 427032,S200000,00300,0100,FAIRFIELD 427032,S200000,00300,0201,14860 427032,S200000,00300,0300,U 427032,S200000,00400,0100,MASONICARE AT NEWTOWN 427032,S200000,00400,0200,075355 427032,S200000,00400,0300,10/01/91 427032,S200000,00400,0500,P 427032,S200000,01500,0100,Y 427032,S200000,01501,0200,Y 427032,S200000,01502,0200,Y 427032,S200000,01503,0200,Y 427032,S200000,01504,0200,Y 427032,S200000,01600,0100,N 427032,S200000,01700,0100,N 427032,S200000,01800,0100,N 427032,S200000,02200,0100,N 427032,S200000,02800,0100,N 427032,S200000,02900,0100,N 427032,S200000,03000,0100,N 427032,S200000,03100,0100,N 427032,S200000,03200,0100,N 427032,S200000,03300,0100,N 427032,S200000,03300,0200,N 427032,S200000,04100,0100,N 427032,S200000,04200,0100,N 427032,S200000,04300,0100,N 427032,S200000,04600,0100,N 427032,S200000,04700,0100,N 427032,S200000,04700,0200,N 427032,S200000,04900,0100,N 427032,S200000,05000,0100,N 427032,S200000,05100,0100,N 427032,S200000,05200,0100,N 427032,S200000,05300,0100,Y 427032,S200000,05300,0200,HB0128 427032,S200000,05400,0100,MASONICARE 427032,S200000,05400,0200,NGS 427032,S200000,05400,0300,00308 427032,S200000,05500,0100,22 MASONIC AVE 427032,S200000,05500,0200,PO BOX 70 427032,S200000,05600,0100,WALLINGFORD 427032,S200000,05600,0200,CT 427032,S200000,05600,0300,06492 427033,S000000,00100,0200,03/01/12 427033,S200000,00100,0100,76 WEST ROCK ROAD 427033,S200000,00200,0100,NORWALK 427033,S200000,00200,0200,CT 427033,S200000,00200,0300,06851 427033,S200000,00400,0100,NOTRE DAME CONVALESCENT HOME 427033,S200000,00400,0300,10/01/91 427034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427034,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427034,A000000,00300,0000,0300EMPLOYEE BENEFITS 427034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427034,A000000,00700,0000,0700HOUSEKEEPING 427034,A000000,00800,0000,0800DIETARY 427034,A000000,00900,0000,0900NURSING ADMINISTRATION 427034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427034,A000000,01100,0000,1100PHARMACY 427034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427034,A000000,01300,0000,1300SOCIAL SERVICE 427034,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427034,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 427034,A000000,01600,0000,1600SKILLED NURSING FACILITY 427034,A000000,01800,0000,1800NURSING FACILITY 427034,A000000,01810,0000,1810ICF/MR 427034,A000000,01900,0000,1900OTHER LONG TERM CARE 427034,A000000,02100,0000,2100RADIOLOGY 427034,A000000,02200,0000,2200LABORATORY 427034,A000000,02300,0000,2300INTRAVENOUS THERAPY 427034,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427034,A000000,02500,0000,2500PHYSICAL THERAPY 427034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427034,A000000,02700,0000,2700SPEECH PATHOLOGY 427034,A000000,02800,0000,2800ELECTROCARDIOLOGY 427034,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427034,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427034,A000000,03200,0000,3200SUPPORT SURFACES 427034,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427034,A000000,03400,0000,3400CLINIC 427034,A000000,03500,0000,3500RURAL HEALTH CLINIC 427034,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427034,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427034,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427034,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427034,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427034,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427034,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427034,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427034,A000000,04400,0000,4400DME RENTED - HHA 427034,A000000,04500,0000,4500DME SOLD - HHA 427034,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427034,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427034,A000000,04710,0000,4710TELEMEDICINE 427034,A000000,04800,0000,4800AMBULANCE 427034,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427034,A000000,05000,0000,5000CORF 427034,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427034,A000000,05300,0000,5300INTEREST EXPENSE 427034,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427034,A000000,05500,0000,5500HOSPICE 427034,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427034,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427034,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427034,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427034,A000000,06100,0000,6100NONPAID WORKERS 427034,A000000,06200,0000,6200PATIENTS LAUNDRY 427034,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427034,A81000A,00100,0100,N 427034,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427034,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427034,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427034,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427034,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427034,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427034,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427034,B100000,00000,0800,0800MEALS SERVED :DIETARY 427034,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427034,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427034,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427034,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427034,G300000,02500,0000,BARBER & BEAUTY 427034,G300000,02501,0000,MEALS ON WHEELS 427034,S000000,00100,0200,02/29/12 427034,S200000,00100,0100,3 FARM RD. 427034,S200000,00200,0100,NEW CANAAN 427034,S200000,00200,0200,CT 427034,S200000,00200,0300,06840 427034,S200000,00300,0100,FAIRFIELD 427034,S200000,00300,0300,U 427034,S200000,00400,0100,WAVENY CARE CENTER 427034,S200000,00400,0200,075361 427034,S200000,00400,0300,10/01/91 427034,S200000,00400,0500,P 427034,S200000,01500,0100,Y 427034,S200000,01501,0200,N 427034,S200000,01600,0100,N 427034,S200000,01700,0100,N 427034,S200000,01800,0100,N 427034,S200000,02200,0100,N 427034,S200000,02800,0100,Y 427034,S200000,02900,0100,N 427034,S200000,03000,0100,N 427034,S200000,03100,0100,N 427034,S200000,03200,0100,N 427034,S200000,03300,0100,N 427034,S200000,03300,0200,N 427034,S200000,04100,0100,N 427034,S200000,04200,0100,N 427034,S200000,04300,0100,N 427034,S200000,04600,0100,N 427034,S200000,04700,0100,N 427034,S200000,04700,0200,N 427034,S200000,04900,0100,N 427034,S200000,05000,0100,N 427034,S200000,05100,0100,N 427034,S200000,05200,0100,N 427034,S200000,05300,0100,N 427035,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427035,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427035,A000000,00300,0000,0300EMPLOYEE BENEFITS 427035,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427035,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427035,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427035,A000000,00700,0000,0700HOUSEKEEPING 427035,A000000,00800,0000,0800DIETARY 427035,A000000,00900,0000,0900NURSING ADMINISTRATION 427035,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427035,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427035,A000000,01300,0000,1300SOCIAL SERVICE 427035,A000000,01600,0000,1600SKILLED NURSING FACILITY 427035,A000000,01800,0000,1800NURSING FACILITY 427035,A000000,01810,0000,1810ICF/MR 427035,A000000,01900,0000,1900OTHER LONG TERM CARE 427035,A000000,02100,0000,2100RADIOLOGY 427035,A000000,02200,0000,2200LABORATORY 427035,A000000,02300,0000,2300INTRAVENOUS THERAPY 427035,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427035,A000000,02500,0000,2500PHYSICAL THERAPY 427035,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427035,A000000,02700,0000,2700SPEECH PATHOLOGY 427035,A000000,02800,0000,2800ELECTROCARDIOLOGY 427035,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427035,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427035,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427035,A000000,03200,0000,3200SUPPORT SURFACES 427035,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427035,A000000,04800,0000,4800AMBULANCE 427035,A000000,05300,0000,5300INTEREST EXPENSE 427035,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427035,A000000,05500,0000,5500HOSPICE 427035,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427035,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427035,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427035,A000000,06200,0000,6200PATIENTS LAUNDRY 427035,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427035,A81000A,00100,0100,Y 427035,A81000B,00100,0300,WAGES 427035,A81000B,00200,0300,PAYROLL TAXES 427035,A81000B,00300,0300,BENEFITS 427035,A81000B,00400,0300,TELEPHONE 427035,A81000B,00500,0300,TRAVEL 427035,A81000B,00600,0300,MEALS 427035,A81000B,00700,0300,MANAGEMENT FEES 427035,A81000B,00800,0300,ACCOUNTING 427035,A81000B,00900,0300,INTERCOMPANY INTEREST 427035,A81000C,00100,0100,B 427035,A81000C,00100,0200,TRANSCON INC. 427035,A81000C,00100,0400,TRANSCON INC. 427035,A81000C,00100,0600,BUILDERS 427035,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427035,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427035,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427035,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427035,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427035,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 427035,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427035,B100000,00000,0800,0800MEALS SERVED :DIETARY 427035,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 427035,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 427035,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 427035,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 427035,G300000,02500,0000,MISCELLANEOUS 427035,S000000,00100,0200,03/01/12 427035,S200000,00100,0100,1270 SHERMAN LANE 427035,S200000,00200,0100,HAMDEN 427035,S200000,00200,0200,CT 427035,S200000,00200,0300,06514-0000 427035,S200000,00300,0100,NEW HAVEN 427035,S200000,00300,0200,5483 427035,S200000,00300,0201,35300 427035,S200000,00300,0300,U 427035,S200000,00400,0100,HAMDEN HEALTH CARE 427035,S200000,00400,0200,075366 427035,S200000,00400,0300,01/01/92 427035,S200000,00400,0500,P 427035,S200000,01500,0100,Y 427035,S200000,01501,0200,Y 427035,S200000,01502,0200,Y 427035,S200000,01503,0200,N 427035,S200000,01504,0200,N 427035,S200000,01600,0100,N 427035,S200000,01700,0100,N 427035,S200000,01800,0100,N 427035,S200000,02200,0100,N 427035,S200000,02800,0100,N 427035,S200000,02900,0100,N 427035,S200000,03000,0100,N 427035,S200000,03100,0100,N 427035,S200000,03200,0100,N 427035,S200000,03300,0100,N 427035,S200000,03300,0200,N 427035,S200000,04100,0100,N 427035,S200000,04200,0100,N 427035,S200000,04300,0100,Y 427035,S200000,04600,0100,N 427035,S200000,04700,0100,N 427035,S200000,04700,0200,N 427035,S200000,04900,0100,N 427035,S200000,05000,0100,N 427035,S200000,05100,0100,N 427035,S200000,05200,0100,N 427036,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427036,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427036,A000000,00300,0000,0300EMPLOYEE BENEFITS 427036,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427036,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427036,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427036,A000000,00700,0000,0700HOUSEKEEPING 427036,A000000,00800,0000,0800DIETARY 427036,A000000,00900,0000,0900NURSING ADMINISTRATION 427036,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427036,A000000,01100,0000,1100PHARMACY 427036,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427036,A000000,01300,0000,1300SOCIAL SERVICE 427036,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427036,A000000,01500,0000,1350RECREATION 427036,A000000,01600,0000,1600SKILLED NURSING FACILITY 427036,A000000,01800,0000,1800NURSING FACILITY 427036,A000000,01810,0000,1810ICF/MR 427036,A000000,01900,0000,1900OTHER LONG TERM CARE 427036,A000000,02100,0000,2100RADIOLOGY 427036,A000000,02200,0000,2200LABORATORY 427036,A000000,02300,0000,2300INTRAVENOUS THERAPY 427036,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427036,A000000,02500,0000,2500PHYSICAL THERAPY 427036,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427036,A000000,02700,0000,2700SPEECH PATHOLOGY 427036,A000000,02800,0000,2800ELECTROCARDIOLOGY 427036,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427036,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427036,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427036,A000000,03200,0000,3200SUPPORT SURFACES 427036,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427036,A000000,03400,0000,3400CLINIC 427036,A000000,03500,0000,3500RURAL HEALTH CLINIC 427036,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427036,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427036,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427036,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427036,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427036,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427036,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427036,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427036,A000000,04400,0000,4400DME RENTED - HHA 427036,A000000,04500,0000,4500DME SOLD - HHA 427036,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427036,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427036,A000000,04710,0000,4710TELEMEDICINE 427036,A000000,04800,0000,4800AMBULANCE 427036,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427036,A000000,05000,0000,5000CORF 427036,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427036,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427036,A000000,05300,0000,5300INTEREST EXPENSE 427036,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427036,A000000,05500,0000,5500HOSPICE 427036,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427036,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427036,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427036,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427036,A000000,06100,0000,6100NONPAID WORKERS 427036,A000000,06200,0000,6200PATIENTS LAUNDRY 427036,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427036,A81000A,00100,0100,Y 427036,A81000B,00100,0300,MANAGEMENT FEE 427036,A81000B,00200,0300,RENT 427036,A81000C,00100,0100,A 427036,A81000C,00100,0200,MARTIN SBRIGLIO 427036,A81000C,00100,0600,REAL ESTATE RENTAL 427036,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427036,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427036,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427036,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427036,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427036,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427036,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427036,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427036,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427036,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427036,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427036,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427036,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427036,G300000,02501,0000,INTEREST INCOME 427036,G300000,02502,0000,MEDICARE RATE ADJUSTMENT 427036,S000000,00100,0200,02/29/12 427036,S200000,00100,0100,3396 EAST MAIN ST 427036,S200000,00200,0100,WATERBURY 427036,S200000,00200,0200,CT 427036,S200000,00200,0300,06705 427036,S200000,00300,0100,NEW HAVEN 427036,S200000,00300,0201,35300 427036,S200000,00300,0300,U 427036,S200000,00400,0100,CHESHIRE HOUSE 427036,S200000,00400,0200,075373 427036,S200000,00400,0300,01/01/90 427036,S200000,00400,0500,P 427036,S200000,01500,0100,Y 427036,S200000,01504,0200,Y 427036,S200000,01600,0100,N 427036,S200000,01700,0100,N 427036,S200000,01800,0100,N 427036,S200000,02200,0100,N 427036,S200000,02800,0100,N 427036,S200000,02900,0100,N 427036,S200000,03000,0100,N 427036,S200000,03100,0100,N 427036,S200000,03200,0100,N 427036,S200000,03300,0100,N 427036,S200000,03300,0200,N 427036,S200000,04100,0100,N 427036,S200000,04200,0100,N 427036,S200000,04300,0100,N 427036,S200000,04600,0100,N 427036,S200000,04700,0100,N 427036,S200000,04700,0200,N 427036,S200000,04900,0100,N 427036,S200000,05000,0100,N 427036,S200000,05100,0100,N 427036,S200000,05200,0100,N 427036,S200000,05300,0100,Y 427036,S200000,05300,0200,071115 427036,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427036,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427036,S200000,05400,0300,00308 427036,S200000,05500,0100,88 RYDERS LANE 427036,S200000,05600,0100,STRATFORD 427036,S200000,05600,0200,CT 427036,S200000,05600,0300,06614 427037,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427037,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427037,A000000,00300,0000,0300EMPLOYEE BENEFITS 427037,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427037,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427037,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427037,A000000,00700,0000,0700HOUSEKEEPING 427037,A000000,00800,0000,0800DIETARY 427037,A000000,00900,0000,0900NURSING ADMINISTRATION 427037,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427037,A000000,01100,0000,1100PHARMACY 427037,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427037,A000000,01300,0000,1300SOCIAL SERVICE 427037,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427037,A000000,01500,0000,1350RECREATION 427037,A000000,01600,0000,1600SKILLED NURSING FACILITY 427037,A000000,01810,0000,1810ICF/MR 427037,A000000,02100,0000,2100RADIOLOGY 427037,A000000,02200,0000,2200LABORATORY 427037,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427037,A000000,02500,0000,2500PHYSICAL THERAPY 427037,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427037,A000000,02700,0000,2700SPEECH PATHOLOGY 427037,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427037,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427037,A000000,03550,0000,3550FQHC 427037,A000000,05000,0000,5000CORF 427037,A000000,05010,0000,5010CMHC 427037,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427037,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427037,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427037,A000000,06300,0000,6150NON-ALLOWABLE COST CENTER 427037,A81000A,00100,0100,Y 427037,A81000B,00100,0300,RENT 427037,A81000B,00200,0300,INTEREST 427037,A81000C,00100,0100,A 427037,A81000C,00100,0200,DAUGHTERS OF MA 427037,A81000C,00100,0400,DAUGHTERS OF MA 427037,A81000C,00100,0600,RENT 427037,A81000C,00200,0100,A 427037,A81000C,00200,0200,DAUGHTERS OF MA 427037,A81000C,00200,0400,DAUGHTERS OF MA 427037,A81000C,00200,0600,INTEREST 427037,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427037,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427037,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427037,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427037,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427037,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427037,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427037,B100000,00000,0800,0800MEALS SERVED :DIETARY 427037,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427037,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427037,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427037,B100000,00000,1500,1350 :RECREATION 427037,G300000,02500,0000,FUNDRAISING REVENUE 427037,G300000,02501,0000,RECREATION REVENUE 427037,S000000,00100,0200,02/29/12 427037,S200000,00100,0100,50 PULASKI STREET 427037,S200000,00200,0100,NEW BRITAIN 427037,S200000,00200,0200,CT 427037,S200000,00200,0300,06053 427037,S200000,00300,0100,HARTFORD 427037,S200000,00300,0201,25540 427037,S200000,00300,0300,U 427037,S200000,00400,0100,MONSIGNOR BOJNOWSKI MANOR 427037,S200000,00400,0200,075374 427037,S200000,00400,0300,03/01/92 427037,S200000,00400,0500,P 427037,S200000,01500,0100,Y 427037,S200000,01501,0200,Y 427037,S200000,01502,0200,N 427037,S200000,01503,0200,Y 427037,S200000,01504,0200,N 427037,S200000,01600,0100,N 427037,S200000,01700,0100,N 427037,S200000,01800,0100,N 427037,S200000,01900,0100,RELIGIOUS 427037,S200000,02200,0100,N 427037,S200000,02800,0100,N 427037,S200000,02900,0100,N 427037,S200000,03000,0100,N 427037,S200000,03100,0100,N 427037,S200000,03200,0100,N 427037,S200000,03300,0100,N 427037,S200000,03300,0200,N 427037,S200000,04100,0100,N 427037,S200000,04200,0100,N 427037,S200000,04300,0100,N 427037,S200000,04600,0100,N 427037,S200000,04700,0100,N 427037,S200000,04700,0200,N 427037,S200000,04900,0100,N 427037,S200000,05000,0100,N 427037,S200000,05100,0100,N 427037,S200000,05200,0100,N 427037,S200000,05300,0100,N 427038,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427038,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427038,A000000,00300,0000,0300EMPLOYEE BENEFITS 427038,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427038,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427038,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427038,A000000,00700,0000,0700HOUSEKEEPING 427038,A000000,00800,0000,0800DIETARY 427038,A000000,00900,0000,0900NURSING ADMINISTRATION 427038,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427038,A000000,01100,0000,1100PHARMACY 427038,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427038,A000000,01300,0000,1300SOCIAL SERVICE 427038,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427038,A000000,01500,0000,1350RECREATION 427038,A000000,01600,0000,1600SKILLED NURSING FACILITY 427038,A000000,01800,0000,1800NURSING FACILITY 427038,A000000,01810,0000,1810ICF/MR 427038,A000000,01900,0000,1900OTHER LONG TERM CARE 427038,A000000,02100,0000,2100RADIOLOGY 427038,A000000,02200,0000,2200LABORATORY 427038,A000000,02300,0000,2300INTRAVENOUS THERAPY 427038,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427038,A000000,02500,0000,2500PHYSICAL THERAPY 427038,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427038,A000000,02700,0000,2700SPEECH PATHOLOGY 427038,A000000,02800,0000,2800ELECTROCARDIOLOGY 427038,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427038,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427038,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427038,A000000,03200,0000,3200SUPPORT SURFACES 427038,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427038,A000000,03400,0000,3400CLINIC 427038,A000000,03500,0000,3500RURAL HEALTH CLINIC 427038,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427038,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427038,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427038,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427038,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427038,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427038,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427038,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427038,A000000,04400,0000,4400DME RENTED - HHA 427038,A000000,04500,0000,4500DME SOLD - HHA 427038,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427038,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427038,A000000,04710,0000,4710TELEMEDICINE 427038,A000000,04800,0000,4800AMBULANCE 427038,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427038,A000000,05000,0000,5000CORF 427038,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427038,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427038,A000000,05300,0000,5300INTEREST EXPENSE 427038,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427038,A000000,05500,0000,5500HOSPICE 427038,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427038,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427038,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427038,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427038,A000000,06100,0000,6100NONPAID WORKERS 427038,A000000,06200,0000,6200PATIENTS LAUNDRY 427038,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427038,A81000A,00100,0100,Y 427038,A81000B,00100,0300,MANAGEMENT FEE 427038,A81000B,00200,0300,RENT EXPENSE 427038,A81000B,00300,0300,DR. ROBERT SBRIGLIO 427038,A81000C,00100,0100,A 427038,A81000C,00100,0200,MARTIN SBRIGLIO 427038,A81000C,00100,0600,OWNER OF REALTY 427038,A81000C,00200,0100,A 427038,A81000C,00200,0200,DR. ROBERT SBRIGLIO 427038,A81000C,00200,0600,OWNER OF REALTY 427038,A81000C,00300,0100,A 427038,A81000C,00300,0200,MARGARET SBRIGLIO 427038,A81000C,00300,0600,OWNER OF REALTY 427038,A81000C,00400,0100,A 427038,A81000C,00400,0200,ROBERT SBRIGLIO SR. 427038,A81000C,00400,0600,OWNER OF REALTY 427038,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427038,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427038,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427038,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427038,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427038,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427038,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427038,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427038,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427038,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427038,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427038,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427038,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427038,G300000,02500,0000,INTEREST INCOME 427038,G300000,02501,0000,VA REVENUE 427038,G300000,02502,0000,MISC. PRIVATE CHARGES 427038,G300000,02503,0000,BAD DEBT RECOVERY 427038,S000000,00100,0200,02/29/12 427038,S200000,00100,0100,256 NEW BRITIAN AVE 427038,S200000,00200,0100,NEWINGTON 427038,S200000,00200,0200,CT 427038,S200000,00200,0300,06111 427038,S200000,00300,0100,HARTFORD 427038,S200000,00300,0201,25540 427038,S200000,00300,0300,U 427038,S200000,00400,0100,BEL AIR MANOR 427038,S200000,00400,0200,075393 427038,S200000,00400,0300,10/01/65 427038,S200000,00400,0500,P 427038,S200000,01500,0100,Y 427038,S200000,01502,0200,Y 427038,S200000,01504,0200,Y 427038,S200000,01600,0100,N 427038,S200000,01700,0100,N 427038,S200000,01800,0100,N 427038,S200000,02200,0100,N 427038,S200000,02800,0100,N 427038,S200000,02900,0100,N 427038,S200000,03000,0100,N 427038,S200000,03100,0100,N 427038,S200000,03200,0100,N 427038,S200000,03300,0100,N 427038,S200000,03300,0200,N 427038,S200000,04100,0100,N 427038,S200000,04200,0100,N 427038,S200000,04300,0100,N 427038,S200000,04600,0100,N 427038,S200000,04700,0100,N 427038,S200000,04700,0200,N 427038,S200000,04900,0100,N 427038,S200000,05000,0100,N 427038,S200000,05100,0100,N 427038,S200000,05200,0100,N 427038,S200000,05300,0100,Y 427038,S200000,05300,0200,071115 427038,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427038,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427038,S200000,05400,0300,00308 427038,S200000,05500,0100,88 RYDERS LANDING 427038,S200000,05600,0100,STRATFORD 427038,S200000,05600,0200,CT 427038,S200000,05600,0300,06497 427039,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427039,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427039,A000000,00300,0000,0300EMPLOYEE BENEFITS 427039,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427039,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427039,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427039,A000000,00700,0000,0700HOUSEKEEPING 427039,A000000,00800,0000,0800DIETARY 427039,A000000,00900,0000,0900NURSING ADMINISTRATION 427039,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427039,A000000,01100,0000,1100PHARMACY 427039,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427039,A000000,01300,0000,1300SOCIAL SERVICE 427039,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427039,A000000,01500,0000,1350OTHER GENERAL SERVICES 427039,A000000,01600,0000,1600SKILLED NURSING FACILITY 427039,A000000,01800,0000,1800NURSING FACILITY 427039,A000000,01810,0000,1810ICF/MR 427039,A000000,01900,0000,1900OTHER LONG TERM CARE 427039,A000000,02100,0000,2100RADIOLOGY 427039,A000000,02200,0000,2200LABORATORY 427039,A000000,02300,0000,2300INTRAVENOUS THERAPY 427039,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427039,A000000,02500,0000,2500PHYSICAL THERAPY 427039,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427039,A000000,02700,0000,2700SPEECH PATHOLOGY 427039,A000000,02800,0000,2800ELECTROCARDIOLOGY 427039,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427039,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427039,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427039,A000000,03200,0000,3200SUPPORT SURFACES 427039,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427039,A000000,03400,0000,3400CLINIC 427039,A000000,03500,0000,3500RURAL HEALTH CLINIC 427039,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427039,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427039,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427039,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427039,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427039,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427039,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427039,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427039,A000000,04400,0000,4400DME RENTED - HHA 427039,A000000,04500,0000,4500DME SOLD - HHA 427039,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427039,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427039,A000000,04710,0000,4710TELEMEDICINE 427039,A000000,04800,0000,4800AMBULANCE 427039,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427039,A000000,05000,0000,5000CORF 427039,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427039,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427039,A000000,05300,0000,5300INTEREST EXPENSE 427039,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427039,A000000,05500,0000,5500HOSPICE 427039,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427039,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427039,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427039,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427039,A000000,06100,0000,6100NONPAID WORKERS 427039,A000000,06200,0000,6200PATIENTS LAUNDRY 427039,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427039,A81000A,00100,0100,Y 427039,A81000B,00100,0300,RENT 427039,A81000B,00200,0300,MANAGEMENT FEE 427039,A81000C,00100,0100,A 427039,A81000C,00100,0200,MARTIN SBRIGLIO 427039,A81000C,00100,0400,RYDERS HEALTH MANAGEMENT 427039,A81000C,00100,0600,MANAGEMENT COMPANY 427039,A81000C,00200,0100,A 427039,A81000C,00200,0200,MARTIN SBRIGLIO 427039,A81000C,00200,0600,REAL ESTATE 427039,A81000C,00300,0100,A 427039,A81000C,00300,0200,ROBERT SBRIGLIO 427039,A81000C,00300,0600,REAL ESTATE 427039,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427039,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427039,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427039,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427039,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427039,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427039,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427039,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427039,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427039,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427039,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427039,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427039,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427039,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427039,G300000,02501,0000,INTEREST INCOME 427039,S000000,00100,0200,02/29/12 427039,S200000,00100,0100,3 SOUTH WIG HILL RD 427039,S200000,00200,0100,CHESTER 427039,S200000,00200,0200,CT 427039,S200000,00200,0300,06412 427039,S200000,00300,0100,MIDDLESEX 427039,S200000,00300,0201,25540 427039,S200000,00300,0300,U 427039,S200000,00400,0100,AARON MANOR NURSING & REHAB CTR 427039,S200000,00400,0200,075410 427039,S200000,00400,0300,01/01/95 427039,S200000,00400,0500,P 427039,S200000,01500,0100,Y 427039,S200000,01502,0200,Y 427039,S200000,01504,0200,Y 427039,S200000,01600,0100,N 427039,S200000,01700,0100,N 427039,S200000,01800,0100,N 427039,S200000,02200,0100,N 427039,S200000,02800,0100,N 427039,S200000,02900,0100,N 427039,S200000,03000,0100,N 427039,S200000,03100,0100,N 427039,S200000,03200,0100,N 427039,S200000,03300,0100,N 427039,S200000,03300,0200,N 427039,S200000,04100,0100,N 427039,S200000,04200,0100,N 427039,S200000,04300,0100,N 427039,S200000,04600,0100,N 427039,S200000,04700,0100,N 427039,S200000,04700,0200,N 427039,S200000,04900,0100,N 427039,S200000,05000,0100,N 427039,S200000,05100,0100,N 427039,S200000,05200,0100,N 427039,S200000,05300,0100,Y 427039,S200000,05300,0200,071115 427039,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427039,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427039,S200000,05400,0300,13101 427039,S200000,05500,0100,88 RYDERS LANE 427039,S200000,05600,0100,STRATFORD 427039,S200000,05600,0200,CT 427039,S200000,05600,0300,06614 427040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427040,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427040,A000000,00300,0000,0300EMPLOYEE BENEFITS 427040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427040,A000000,00700,0000,0700HOUSEKEEPING 427040,A000000,00800,0000,0800DIETARY 427040,A000000,00900,0000,0900NURSING ADMINISTRATION 427040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427040,A000000,01100,0000,1100PHARMACY 427040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427040,A000000,01300,0000,1300SOCIAL SERVICE 427040,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427040,A000000,01500,0000,1350RECREATION SERVICES 427040,A000000,01600,0000,1600SKILLED NURSING FACILITY 427040,A000000,01800,0000,1800NURSING FACILITY 427040,A000000,01810,0000,1810ICF/MR 427040,A000000,01900,0000,1900OTHER LONG TERM CARE 427040,A000000,02100,0000,2100RADIOLOGY 427040,A000000,02200,0000,2200LABORATORY 427040,A000000,02300,0000,2300INTRAVENOUS THERAPY 427040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427040,A000000,02500,0000,2500PHYSICAL THERAPY 427040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427040,A000000,02700,0000,2700SPEECH PATHOLOGY 427040,A000000,02800,0000,2800ELECTROCARDIOLOGY 427040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427040,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427040,A000000,03200,0000,3200SUPPORT SURFACES 427040,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427040,A000000,03400,0000,3400CLINIC 427040,A000000,03500,0000,3500RURAL HEALTH CLINIC 427040,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427040,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427040,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427040,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427040,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427040,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427040,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427040,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427040,A000000,04400,0000,4400DME RENTED - HHA 427040,A000000,04500,0000,4500DME SOLD - HHA 427040,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427040,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427040,A000000,04710,0000,4710TELEMEDICINE 427040,A000000,04800,0000,4800AMBULANCE 427040,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427040,A000000,05000,0000,5000CORF 427040,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427040,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427040,A000000,05300,0000,5300INTEREST EXPENSE 427040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427040,A000000,05500,0000,5500HOSPICE 427040,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427040,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427040,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427040,A000000,06100,0000,6100NONPAID WORKERS 427040,A000000,06200,0000,6200PATIENTS LAUNDRY 427040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427040,A81000A,00100,0100,Y 427040,A81000B,00100,0300,MANAGEMENT FEE 427040,A81000B,00200,0300,RENT 427040,A81000B,00300,0300,DR. ROBERT SBRIGLIO 427040,A81000B,00400,0300,LOAN 427040,A81000B,00500,0300,DEPRECIATION 427040,A81000B,00600,0300,DEPRECIATION 427040,A81000C,00100,0100,A 427040,A81000C,00100,0200,MARTIN SBRIGLIO 427040,A81000C,00100,0400,RYDERS HEALTH MANAGEMENT 427040,A81000C,00100,0600,MANAGEMENT COMPANY 427040,A81000C,00200,0100,A 427040,A81000C,00200,0200,MARTIN SBRIGLIO 427040,A81000C,00200,0600,REAL ESTATE RENTAL 427040,A81000C,00300,0100,A 427040,A81000C,00300,0200,DR. ROBERT SBRIGLIO 427040,A81000C,00300,0600,REAL ESTATE RENTAL 427040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427040,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427040,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427040,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427040,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427040,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427040,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427040,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427040,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427040,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 427040,G300000,02501,0000,BEAUTY CARE REVENUE 427040,G300000,02502,0000,HANDIVAN INCOME 427040,G300000,02503,0000,INTEREST INCOME 427040,S000000,00100,0200,02/29/12 427040,S200000,00100,0100,7003 MAIN STREET 427040,S200000,00200,0100,STRATFORD 427040,S200000,00200,0200,CT 427040,S200000,00200,0300,06497 427040,S200000,00300,0100,FAIRFIELD 427040,S200000,00300,0201,14860 427040,S200000,00300,0300,U 427040,S200000,00400,0100,LORD CHAMBERLAIN MANOR 427040,S200000,00400,0200,075412 427040,S200000,00400,0300,01/01/96 427040,S200000,00400,0500,P 427040,S200000,01500,0100,Y 427040,S200000,01502,0200,Y 427040,S200000,01504,0200,Y 427040,S200000,01600,0100,N 427040,S200000,01700,0100,N 427040,S200000,01800,0100,N 427040,S200000,02200,0100,N 427040,S200000,02800,0100,N 427040,S200000,02900,0100,N 427040,S200000,03000,0100,N 427040,S200000,03100,0100,N 427040,S200000,03200,0100,N 427040,S200000,03300,0100,N 427040,S200000,03300,0200,N 427040,S200000,04100,0100,N 427040,S200000,04200,0100,N 427040,S200000,04300,0100,N 427040,S200000,04600,0100,N 427040,S200000,04700,0100,N 427040,S200000,04700,0200,N 427040,S200000,04900,0100,N 427040,S200000,05000,0100,N 427040,S200000,05100,0100,N 427040,S200000,05200,0100,N 427040,S200000,05300,0100,Y 427040,S200000,05300,0200,071115 427040,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427040,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427040,S200000,05400,0300,13101 427040,S200000,05500,0100,88 RYDERS LANE SUITE 208 427040,S200000,05600,0100,STRATFORD 427040,S200000,05600,0200,CT 427040,S200000,05600,0300,06614 427041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427041,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427041,A000000,00300,0000,0300EMPLOYEE BENEFITS 427041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427041,A000000,00700,0000,0700HOUSEKEEPING 427041,A000000,00800,0000,0800DIETARY 427041,A000000,00900,0000,0900NURSING ADMINISTRATION 427041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427041,A000000,01100,0000,1100PHARMACY 427041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427041,A000000,01300,0000,1300SOCIAL SERVICE 427041,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427041,A000000,01500,0000,1350PATIENT ACTIVITIES 427041,A000000,01600,0000,1600SKILLED NURSING FACILITY 427041,A000000,01810,0000,1810ICF/MR 427041,A000000,02100,0000,2100RADIOLOGY 427041,A000000,02200,0000,2200LABORATORY 427041,A000000,02300,0000,2300INTRAVENOUS THERAPY 427041,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427041,A000000,02500,0000,2500PHYSICAL THERAPY 427041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427041,A000000,02700,0000,2700SPEECH PATHOLOGY 427041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427041,A000000,03550,0000,3550FQHC 427041,A000000,04800,0000,4800AMBULANCE 427041,A000000,05000,0000,5000CORF 427041,A000000,05010,0000,5010CMHC 427041,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427041,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427041,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427041,A000000,05300,0000,5300INTEREST EXPENSE 427041,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427041,A81000A,00100,0100,Y 427041,A81000B,00100,0300,MANAGEMENT FEES 427041,A81000B,00200,0300,THERAPY OVERHEAD 427041,A81000B,00300,0300,A & G 427041,A81000B,00400,0300,MAINTENANCE 427041,A81000B,00500,0300,HOUSEKEEPING 427041,A81000B,00600,0300,RECREATION 427041,A81000B,00700,0300,SOCIAL SERVICE 427041,A81000B,00800,0300,PHYSICAL THERAPY 427041,A81000B,00900,0300,OCCUPATIONAL THERAPY 427041,A81000B,01000,0300,NURSING 427041,A81000C,00100,0100,F 427041,A81000C,00100,0200,LAWRENCE SAMTIL 427041,A81000C,00100,0400,ATHENA HEALTH C 427041,A81000C,00100,0600,MANAGEMENT COMP 427041,A81000C,00200,0100,F 427041,A81000C,00200,0200,GUARDIANS SANTI 427041,A81000C,00200,0400,ATHENA HEALTH C 427041,A81000C,00200,0600,MANAGEMENT COMP 427041,A81000C,00300,0100,F 427041,A81000C,00300,0200,CHAKALOS NURSIN 427041,A81000C,00300,0400,ATHENA HEALTH C 427041,A81000C,00300,0600,MANAGEMENT COMP 427041,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 427041,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 427041,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 427041,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427041,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 427041,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427041,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427041,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427041,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427041,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427041,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427041,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427041,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 427041,G300000,02500,0000,INTEREST INCOME 427041,G300000,02501,0000,BAD DEBT RECOVERIES 427041,G300000,02502,0000,FEE INCOME A & G 427041,G300000,02503,0000,FEE INCOME INDIRECT 427041,G300000,02504,0000,FEE INCOME THERAPY 427041,S000000,00100,0200,02/08/12 427041,S200000,00100,0100,2875 MAIN STREET 427041,S200000,00200,0100,BRIDGEPORT 427041,S200000,00200,0200,CT 427041,S200000,00200,0300,06606 427041,S200000,00300,0100,FAIRFIELD 427041,S200000,00300,0201,14860 427041,S200000,00300,0300,U 427041,S200000,00400,0100,NORTHBRIDGE HEALTH CARE CENTE 427041,S200000,00400,0200,075413 427041,S200000,00400,0300,11/15/96 427041,S200000,00400,0500,P 427041,S200000,01500,0100,Y 427041,S200000,01501,0200,N 427041,S200000,01502,0200,N 427041,S200000,01503,0200,N 427041,S200000,01504,0200,N 427041,S200000,01600,0100,N 427041,S200000,01700,0100,N 427041,S200000,01800,0100,N 427041,S200000,02200,0100,N 427041,S200000,02800,0100,N 427041,S200000,02900,0100,N 427041,S200000,03000,0100,N 427041,S200000,03100,0100,N 427041,S200000,03200,0100,N 427041,S200000,03300,0100,N 427041,S200000,03300,0200,N 427041,S200000,04100,0100,N 427041,S200000,04200,0100,N 427041,S200000,04300,0100,N 427041,S200000,04600,0100,N 427041,S200000,04700,0100,N 427041,S200000,04700,0200,N 427041,S200000,04900,0100,N 427041,S200000,05000,0100,N 427041,S200000,05100,0100,N 427041,S200000,05200,0100,N 427042,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427042,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427042,A000000,00300,0000,0300EMPLOYEE BENEFITS 427042,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427042,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427042,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427042,A000000,00700,0000,0700HOUSEKEEPING 427042,A000000,00800,0000,0800DIETARY 427042,A000000,00900,0000,0900NURSING ADMINISTRATION 427042,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427042,A000000,01100,0000,1100PHARMACY 427042,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427042,A000000,01300,0000,1300SOCIAL SERVICE 427042,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427042,A000000,01500,0000,1350OTHER GENERAL SERVICES 427042,A000000,01600,0000,1600SKILLED NURSING FACILITY 427042,A000000,01800,0000,1800NURSING FACILITY 427042,A000000,01810,0000,1810ICF/MR 427042,A000000,01900,0000,1900OTHER LONG TERM CARE 427042,A000000,02100,0000,2100RADIOLOGY 427042,A000000,02200,0000,2200LABORATORY 427042,A000000,02300,0000,2300INTRAVENOUS THERAPY 427042,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427042,A000000,02500,0000,2500PHYSICAL THERAPY 427042,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427042,A000000,02700,0000,2700SPEECH PATHOLOGY 427042,A000000,02800,0000,2800ELECTROCARDIOLOGY 427042,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427042,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427042,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427042,A000000,03200,0000,3200SUPPORT SURFACES 427042,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427042,A000000,03400,0000,3400CLINIC 427042,A000000,03500,0000,3500RURAL HEALTH CLINIC 427042,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427042,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427042,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427042,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427042,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427042,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427042,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427042,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427042,A000000,04400,0000,4400DME RENTED - HHA 427042,A000000,04500,0000,4500DME SOLD - HHA 427042,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427042,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427042,A000000,04710,0000,4710TELEMEDICINE 427042,A000000,04800,0000,4800AMBULANCE 427042,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427042,A000000,05000,0000,5000CORF 427042,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427042,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427042,A000000,05300,0000,5300INTEREST EXPENSE 427042,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427042,A000000,05500,0000,5500HOSPICE 427042,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427042,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427042,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427042,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427042,A000000,06100,0000,6100NONPAID WORKERS 427042,A000000,06200,0000,6200PATIENTS LAUNDRY 427042,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427042,A000000,06301,0000,6151CORPORATE SALARIES 427042,A81000A,00100,0100,Y 427042,A81000B,00100,0300,RENT PAID TO RELATED PARTY 427042,A81000B,00200,0300,BUILDING DEPRECIATION 427042,A81000B,00300,0300,BUILDING MTG INTEREST PAID 427042,A81000B,00400,0300,RELATED LOAN COSTS 427042,A81000C,00100,0100,A 427042,A81000C,00100,0200,FRANK AND BARBARA MALONE 427042,A81000C,00100,0400,STAPLES REALTY LLC 427042,A81000C,00100,0600,BUILDING OWNER 427042,A81000C,00200,0100,A 427042,A81000C,00200,0200,FRANK MALONE 427042,A81000C,00200,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00200,0600,NURSING HOME 427042,A81000C,00300,0100,A 427042,A81000C,00300,0200,BARBARA MALONE 427042,A81000C,00300,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00300,0600,NURSING HOME 427042,A81000C,00400,0100,A 427042,A81000C,00400,0200,MICHAEL MALONE 427042,A81000C,00400,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00400,0600,NURSING HOME 427042,A81000C,00500,0100,A 427042,A81000C,00500,0200,JENNIFER SEIXAS 427042,A81000C,00500,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00500,0600,NURSING HOME 427042,A81000C,00600,0100,A 427042,A81000C,00600,0200,JOHN MALONE 427042,A81000C,00600,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00600,0600,NURSING HOME 427042,A81000C,00700,0100,D 427042,A81000C,00700,0200,BARBARA MALONE 427042,A81000C,00700,0400,BAMCO LLC 427042,A81000C,00700,0600,BLG OWNER - FILOSA CONV 427042,A81000C,00800,0100,C 427042,A81000C,00800,0200,FILOSA CARE CENTER 427042,A81000C,00800,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00800,0600,NURSING HOME 427042,A81000C,00900,0100,E 427042,A81000C,00900,0200,PENNY LANIGAN 427042,A81000C,00900,0400,FILOSA CONVALESCENT HOME 427042,A81000C,00900,0600,NURSING HOME 427042,A81000C,01000,0100,E 427042,A81000C,01000,0200,DIANE PIMINTEL 427042,A81000C,01000,0400,FILOSA CONVALESCENT HOME 427042,A81000C,01000,0600,NURSING HOME 427042,A81000C,01001,0100,E 427042,A81000C,01001,0200,FRANK MALONE 427042,A81000C,01001,0400,FILOSA CONVALESCENT HOME 427042,A81000C,01001,0600,NURSING HOME 427042,A81000C,01002,0100,E 427042,A81000C,01002,0200,BARBARA MALONE 427042,A81000C,01002,0400,FILOSA CONVALESCENT HOME 427042,A81000C,01002,0600,NURSING HOME 427042,A81000C,01003,0100,E 427042,A81000C,01003,0200,MICHAEL MALONE 427042,A81000C,01003,0400,FILOSA CONVALESCENT HOME 427042,A81000C,01003,0600,NURSING HOME 427042,A81000C,01004,0100,E 427042,A81000C,01004,0200,JENNIFER SEIXAS 427042,A81000C,01004,0400,FILOSA CONVALESCENT HOME` 427042,A81000C,01004,0600,NURSING HOME 427042,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427042,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427042,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427042,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427042,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427042,B100000,00000,0600,0650HOURS SPENT :LAUNDRY & LINEN SE 427042,B100000,00000,0700,0700HOURS SPENT :HOUSEKEEPING 427042,B100000,00000,0800,0800MEALS SERVED :DIETARY 427042,B100000,00000,0900,0950PERCENTAGE E OF TIME:NURSING ADM 427042,B100000,00000,1200,1200PERCENTAGE E OF TIME:MEDICAL REC 427042,B100000,00000,1300,1300PERCENTAGE E OF TIME:SOCIAL SERV 427042,S000000,00100,0200,03/01/12 427042,S200000,00100,0100,31 STAPLES STREET 427042,S200000,00200,0100,DANBURY 427042,S200000,00200,0200,CT 427042,S200000,00200,0300,06810 427042,S200000,00300,0100,FAIRFIELD 427042,S200000,00300,0200,5483 427042,S200000,00300,0201,35300 427042,S200000,00300,0300,U 427042,S200000,00400,0100,FILOSA CARE CENTER INC 427042,S200000,00400,0200,075414 427042,S200000,00400,0300,02/03/97 427042,S200000,00400,0500,P 427042,S200000,00400,0600,P 427042,S200000,01500,0100,Y 427042,S200000,01501,0200,Y 427042,S200000,01600,0100,N 427042,S200000,01700,0100,N 427042,S200000,01800,0100,N 427042,S200000,02200,0100,N 427042,S200000,02800,0100,Y 427042,S200000,02900,0100,N 427042,S200000,03000,0100,N 427042,S200000,03100,0100,N 427042,S200000,03200,0100,N 427042,S200000,03300,0100,N 427042,S200000,03300,0200,N 427042,S200000,04100,0100,N 427042,S200000,04200,0100,N 427042,S200000,04300,0100,N 427042,S200000,04600,0100,N 427042,S200000,04700,0100,N 427042,S200000,04700,0200,N 427042,S200000,04900,0100,N 427042,S200000,05000,0100,N 427042,S200000,05100,0100,N 427042,S200000,05200,0100,N 427043,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427043,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427043,A000000,00300,0000,0300EMPLOYEE BENEFITS 427043,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427043,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427043,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427043,A000000,00700,0000,0700HOUSEKEEPING 427043,A000000,00800,0000,0800DIETARY 427043,A000000,00900,0000,0900NURSING ADMINISTRATION 427043,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427043,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427043,A000000,01300,0000,1300SOCIAL SERVICE 427043,A000000,01600,0000,1600SKILLED NURSING FACILITY 427043,A000000,01800,0000,1800NURSING FACILITY 427043,A000000,01810,0000,1810ICF/MR 427043,A000000,01900,0000,1900OTHER LONG TERM CARE 427043,A000000,02100,0000,2100RADIOLOGY 427043,A000000,02200,0000,2200LABORATORY 427043,A000000,02300,0000,2300INTRAVENOUS THERAPY 427043,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427043,A000000,02500,0000,2500PHYSICAL THERAPY 427043,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427043,A000000,02700,0000,2700SPEECH PATHOLOGY 427043,A000000,02800,0000,2800ELECTROCARDIOLOGY 427043,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427043,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427043,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427043,A000000,03200,0000,3200SUPPORT SURFACES 427043,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427043,A000000,04800,0000,4800AMBULANCE 427043,A000000,05300,0000,5300INTEREST EXPENSE 427043,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427043,A000000,05500,0000,5500HOSPICE 427043,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427043,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427043,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427043,A000000,06200,0000,6200PATIENTS LAUNDRY 427043,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427043,A81000A,00100,0100,Y 427043,A81000B,00100,0300,ALLOWABLE WAGES 427043,A81000B,00200,0300,ALLOWABE PAYROLL TAXES 427043,A81000B,00300,0300,ALLOWABLE BENEFITS 427043,A81000B,00400,0300,TELEPHONE 427043,A81000B,00500,0300,TRAVEL 427043,A81000B,00600,0300,MEALS 427043,A81000B,00700,0300,MANAGEMENT FEES 427043,A81000B,00800,0300,ACCOUNTING 427043,A81000B,00900,0300,INTERCOMPANY INTEREST 427043,A81000C,00100,0100,B 427043,A81000C,00100,0200,TRANSCON INC. 427043,A81000C,00100,0400,TRANSCON INC. 427043,A81000C,00100,0600,BUILDERS 427043,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427043,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427043,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427043,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427043,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427043,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 427043,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427043,B100000,00000,0800,0800MEALS SERVED :DIETARY 427043,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 427043,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 427043,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 427043,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 427043,G300000,02500,0000,MISCELLANEOUS INCOME 427043,S000000,00100,0200,03/01/12 427043,S200000,00100,0100,30 PARK LANE EAST 427043,S200000,00200,0100,NEW MILFORD 427043,S200000,00200,0200,CT 427043,S200000,00200,0300,06776-0000 427043,S200000,00300,0100,LITCHFIELD 427043,S200000,00300,0200,83 427043,S200000,00300,0201,99907 427043,S200000,00300,0300,R 427043,S200000,00400,0100,CANDLEWOOD VALLEY 427043,S200000,00400,0200,075416 427043,S200000,00400,0300,06/10/98 427043,S200000,00400,0500,P 427043,S200000,01500,0100,Y 427043,S200000,01501,0200,N 427043,S200000,01502,0200,N 427043,S200000,01503,0200,N 427043,S200000,01504,0200,Y 427043,S200000,01600,0100,N 427043,S200000,01700,0100,N 427043,S200000,01800,0100,N 427043,S200000,02200,0100,N 427043,S200000,02800,0100,N 427043,S200000,02900,0100,N 427043,S200000,03000,0100,N 427043,S200000,03100,0100,N 427043,S200000,03200,0100,N 427043,S200000,03300,0100,N 427043,S200000,03300,0200,N 427043,S200000,04100,0100,N 427043,S200000,04200,0100,N 427043,S200000,04300,0100,Y 427043,S200000,04600,0100,N 427043,S200000,04700,0100,N 427043,S200000,04700,0200,N 427043,S200000,04900,0100,N 427043,S200000,05000,0100,N 427043,S200000,05100,0100,N 427043,S200000,05200,0100,N 427044,S000000,00100,0200,03/09/12 427044,S200000,00100,0100,9 CLIFF STREET 427044,S200000,00200,0100,WATERBURY 427044,S200000,00200,0200,CT 427044,S200000,00200,0300,06710-2125 427044,S200000,00400,0100,MATTATUCK HEALTH CARE FACILITY 427044,S200000,00400,0300,01/15/03 427065,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427065,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427065,A000000,00300,0000,0300EMPLOYEE BENEFITS 427065,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427065,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427065,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427065,A000000,00700,0000,0700HOUSEKEEPING 427065,A000000,00800,0000,0800DIETARY 427065,A000000,00900,0000,0900NURSING ADMINISTRATION 427065,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427065,A000000,01100,0000,1100PHARMACY 427065,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427065,A000000,01300,0000,1300SOCIAL SERVICE 427065,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427065,A000000,01500,0000,1350ACTIVITIES 427065,A000000,01600,0000,1600SKILLED NURSING FACILITY 427065,A000000,01800,0000,1800NURSING FACILITY 427065,A000000,01810,0000,1810ICF/MR 427065,A000000,01900,0000,1900OTHER LONG TERM CARE 427065,A000000,02100,0000,2100RADIOLOGY 427065,A000000,02200,0000,2200LABORATORY 427065,A000000,02300,0000,2300INTRAVENOUS THERAPY 427065,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427065,A000000,02500,0000,2500PHYSICAL THERAPY 427065,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427065,A000000,02700,0000,2700SPEECH PATHOLOGY 427065,A000000,02800,0000,2800ELECTROCARDIOLOGY 427065,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427065,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427065,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427065,A000000,03200,0000,3200SUPPORT SURFACES 427065,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427065,A000000,03400,0000,3400CLINIC 427065,A000000,03500,0000,3500RURAL HEALTH CLINIC 427065,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427065,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427065,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427065,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427065,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427065,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427065,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427065,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427065,A000000,04400,0000,4400DME RENTED - HHA 427065,A000000,04500,0000,4500DME SOLD - HHA 427065,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427065,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427065,A000000,04710,0000,4710TELEMEDICINE 427065,A000000,04800,0000,4800AMBULANCE 427065,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427065,A000000,05000,0000,5000CORF 427065,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427065,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427065,A000000,05300,0000,5300INTEREST EXPENSE 427065,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427065,A000000,05500,0000,5500HOSPICE 427065,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427065,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427065,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427065,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427065,A000000,06100,0000,6100NONPAID WORKERS 427065,A000000,06200,0000,6200PATIENTS LAUNDRY 427065,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427065,A81000A,00100,0100,Y 427065,A81000B,00100,0300,RELATED PARTY THERAPY 427065,A81000B,00200,0300,RELATED PARTY THERAPY 427065,A81000B,00300,0300,RELATED PARTY THERAPY 427065,A81000B,00400,0300,HOME OFFICE COSTS 427065,A81000B,00500,0300,HOME OFFICE COSTS 427065,A81000B,00600,0300,HOME OFFICE COSTS 427065,A81000B,00700,0300,HOME OFFICE COSTS 427065,A81000B,00800,0300,HOME OFFICE COSTS 427065,A81000B,00900,0300,HOME OFFICE COSTS 427065,A81000B,01000,0300,HOME OFFICE COSTS 427065,A81000B,01100,0300,HOME OFFICE COSTS 427065,A81000B,01200,0300,HOME OFFICE COSTS 427065,A81000C,00100,0100,A 427065,A81000C,00100,0400,THERACARE 427065,A81000C,00100,0600,THERAPY MANAGEMENT 427065,A81000C,00200,0100,A 427065,A81000C,00200,0400,THERACARE 427065,A81000C,00200,0600,THERAPY MANAGEMENT 427065,A81000C,00300,0100,A 427065,A81000C,00300,0400,THERACARE 427065,A81000C,00300,0600,THERAPY MANAGEMENT 427065,A81000C,00400,0100,B 427065,A81000C,00400,0400,MHS INC. 427065,A81000C,00400,0600,NURSING HOMES 427065,A81000C,00500,0100,B 427065,A81000C,00500,0400,MHS INC. 427065,A81000C,00500,0600,NURSING HOMES 427065,A81000C,00600,0100,B 427065,A81000C,00600,0400,MHS INC. 427065,A81000C,00600,0600,NURSING HOMES 427065,A81000C,00700,0100,B 427065,A81000C,00700,0400,MHS INC. 427065,A81000C,00700,0600,NURSING HOMES 427065,A81000C,00800,0100,B 427065,A81000C,00800,0400,MHS INC. 427065,A81000C,00800,0600,NURSING HOMES 427065,A81000C,00900,0100,B 427065,A81000C,00900,0400,MHS INC. 427065,A81000C,00900,0600,NURSING HOMES 427065,A81000C,01000,0100,B 427065,A81000C,01000,0400,MHS INC. 427065,A81000C,01000,0600,NURSING HOMES 427065,A81000C,01001,0100,B 427065,A81000C,01001,0400,MHS INC. 427065,A81000C,01001,0600,NURSING HOMES 427065,A81000C,01002,0100,B 427065,A81000C,01002,0400,MHS INC. 427065,A81000C,01002,0600,NURSING HOMES 427065,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427065,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427065,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427065,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427065,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427065,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427065,B100000,00000,0800,0800MEALS SERVED :DIETARY 427065,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 427065,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427065,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427065,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427065,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427065,E10A180,00350,0100,09/20/11 427065,G300000,02500,0000,OTHER REVENUE 427065,S000000,00100,0200,03/02/12 427065,S200000,00100,0100,0548 SOUTH 100 WEST 427065,S200000,00200,0100,HARTFORD CITY 427065,S200000,00200,0200,IN 427065,S200000,00200,0300,47348 427065,S200000,00300,0100,BLACKFORD 427065,S200000,00300,0201,99915 427065,S200000,00300,0300,R 427065,S200000,00400,0100,MHS INC. D/B/A MMM - HARTFORD CITY 427065,S200000,00400,0200,155576 427065,S200000,00400,0300,09/01/95 427065,S200000,00400,0500,P 427065,S200000,01500,0100,Y 427065,S200000,01501,0200,Y 427065,S200000,01502,0200,Y 427065,S200000,01503,0200,Y 427065,S200000,01504,0200,Y 427065,S200000,01600,0100,N 427065,S200000,01700,0100,N 427065,S200000,01800,0100,N 427065,S200000,02200,0100,Y 427065,S200000,02800,0100,Y 427065,S200000,02900,0100,N 427065,S200000,03000,0100,N 427065,S200000,03100,0100,N 427065,S200000,03200,0100,N 427065,S200000,03300,0100,N 427065,S200000,03300,0200,N 427065,S200000,04100,0100,N 427065,S200000,04200,0100,N 427065,S200000,04300,0100,N 427065,S200000,04600,0100,N 427065,S200000,04700,0100,N 427065,S200000,04700,0200,N 427065,S200000,04900,0100,N 427065,S200000,05000,0100,N 427065,S200000,05100,0100,N 427065,S200000,05200,0100,N 427065,S200000,05300,0100,Y 427065,S200000,05300,0200,15H004 427065,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 427065,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 427065,S200000,05400,0300,00130 427065,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 427065,S200000,05600,0100,WARSAW 427065,S200000,05600,0200,IN 427065,S200000,05600,0300,46580 427068,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427068,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427068,A000000,00300,0000,0300EMPLOYEE BENEFITS 427068,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427068,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427068,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427068,A000000,00700,0000,0700HOUSEKEEPING 427068,A000000,00800,0000,0800DIETARY 427068,A000000,00900,0000,0900NURSING ADMINISTRATION 427068,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427068,A000000,01100,0000,1100PHARMACY 427068,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427068,A000000,01300,0000,1300SOCIAL SERVICE 427068,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427068,A000000,01500,0000,1350OTHER GENERAL SERVICES 427068,A000000,01600,0000,1600SKILLED NURSING FACILITY 427068,A000000,01800,0000,1800NURSING FACILITY 427068,A000000,01810,0000,1810ICF/MR 427068,A000000,01900,0000,1900OTHER LONG TERM CARE 427068,A000000,02100,0000,2100RADIOLOGY 427068,A000000,02200,0000,2200LABORATORY 427068,A000000,02300,0000,2300INTRAVENOUS THERAPY 427068,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427068,A000000,02500,0000,2500PHYSICAL THERAPY 427068,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427068,A000000,02700,0000,2700SPEECH PATHOLOGY 427068,A000000,02800,0000,2800ELECTROCARDIOLOGY 427068,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427068,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427068,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427068,A000000,03200,0000,3200SUPPORT SURFACES 427068,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427068,A000000,03400,0000,3400CLINIC 427068,A000000,03500,0000,3500RURAL HEALTH CLINIC 427068,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427068,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427068,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427068,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427068,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427068,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427068,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427068,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427068,A000000,04400,0000,4400DME RENTED - HHA 427068,A000000,04500,0000,4500DME SOLD - HHA 427068,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427068,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427068,A000000,04710,0000,4710TELEMEDICINE 427068,A000000,04800,0000,4800AMBULANCE 427068,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427068,A000000,05000,0000,5000CORF 427068,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427068,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427068,A000000,05300,0000,5300INTEREST EXPENSE 427068,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427068,A000000,05500,0000,5500HOSPICE 427068,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427068,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427068,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427068,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427068,A000000,06100,0000,6100NONPAID WORKERS 427068,A000000,06200,0000,6200PATIENTS LAUNDRY 427068,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427068,A81000A,00100,0100,N 427068,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427068,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427068,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427068,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427068,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427068,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427068,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427068,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427068,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427068,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427068,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427068,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427068,G300000,02500,0000,MISCELLANEOUS INCOME 427068,S000000,00100,0200,03/07/12 427068,S200000,00100,0100,OAKLAND COUNTY MEDICAL CARE FACILITY 427068,S200000,00200,0100,PONTIAC 427068,S200000,00200,0200,MI 427068,S200000,00200,0300,48341 427068,S200000,00300,0100,OAKLAND 427068,S200000,00300,0200,2160 427068,S200000,00300,0201,47644 427068,S200000,00300,0300,U 427068,S200000,00400,0100,GOLDEN OAKS MEDICAL CARE FACILITY 427068,S200000,00400,0200,235260 427068,S200000,00400,0300,10/01/06 427068,S200000,00400,0500,P 427068,S200000,01500,0100,Y 427068,S200000,01501,0200,Y 427068,S200000,01600,0100,N 427068,S200000,01700,0100,N 427068,S200000,01800,0100,N 427068,S200000,02200,0100,N 427068,S200000,02800,0100,N 427068,S200000,02900,0100,N 427068,S200000,03000,0100,N 427068,S200000,03100,0100,Y 427068,S200000,03200,0100,N 427068,S200000,03300,0100,N 427068,S200000,03300,0200,N 427068,S200000,04100,0100,N 427068,S200000,04200,0100,N 427068,S200000,04300,0100,N 427068,S200000,04600,0100,N 427068,S200000,04700,0100,N 427068,S200000,04700,0200,N 427068,S200000,04900,0100,N 427068,S200000,05000,0100,N 427068,S200000,05100,0100,N 427068,S200000,05200,0100,N 427068,S200000,05300,0100,N 427069,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427069,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427069,A000000,00300,0000,0300EMPLOYEE BENEFITS 427069,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427069,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427069,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427069,A000000,00700,0000,0700HOUSEKEEPING 427069,A000000,00800,0000,0800DIETARY 427069,A000000,00900,0000,0900NURSING ADMINISTRATION 427069,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427069,A000000,01100,0000,1100PHARMACY 427069,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427069,A000000,01300,0000,1300SOCIAL SERVICE 427069,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427069,A000000,01600,0000,1600SKILLED NURSING FACILITY 427069,A000000,01810,0000,1810ICF/MR 427069,A000000,01900,0000,1900OTHER LONG TERM CARE 427069,A000000,02100,0000,2100RADIOLOGY 427069,A000000,02200,0000,2200LABORATORY 427069,A000000,02500,0000,2500PHYSICAL THERAPY 427069,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427069,A000000,02700,0000,2700SPEECH PATHOLOGY 427069,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427069,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427069,A000000,03550,0000,3550FQHC 427069,A000000,04800,0000,4800AMBULANCE 427069,A000000,05000,0000,5000CORF 427069,A000000,05010,0000,5010CMHC 427069,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427069,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427069,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427069,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427069,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427069,A81000A,00100,0100,Y 427069,A81000B,00100,0300,RENT 427069,A81000B,00200,0300,RENT 427069,A81000B,00300,0300,HOME OFFICE COSTS 427069,A81000B,00400,0300,HOME OFFICE COSTS 427069,A81000B,00500,0300,HOME OFFICE COSTS 427069,A81000C,00100,0100,B 427069,A81000C,00100,0200,HORACE D ANGELO 427069,A81000C,00100,0400,LAKELINE ASSOCI 427069,A81000C,00100,0600,REAL ESTATE REN 427069,A81000C,00200,0100,B 427069,A81000C,00200,0200,HORACE D ANGELO 427069,A81000C,00200,0400,CARETEL INNS 427069,A81000C,00200,0600,HOME OFFICE 427069,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427069,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427069,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427069,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427069,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427069,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427069,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427069,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427069,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 427069,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427069,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427069,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427069,G300000,02500,0000,MISCELLANEOUS 427069,G300000,02502,0000,CONTRACTUAL ALLOWANCE 427069,S000000,00100,0200,02/29/12 427069,S200000,00100,0100,3905 LORRAINE PATH 427069,S200000,00200,0100,ST. JOSEPH 427069,S200000,00200,0200,MI 427069,S200000,00200,0300,49085 427069,S200000,00300,0100,BERRIEN 427069,S200000,00300,0200,0870 427069,S200000,00300,0201,35660 427069,S200000,00300,0300,U 427069,S200000,00400,0100,CLIFFSIDE COMPANY 427069,S200000,00400,0200,235605 427069,S200000,00400,0300,03/14/03 427069,S200000,00400,0500,P 427069,S200000,01500,0100,Y 427069,S200000,01501,0200,Y 427069,S200000,01600,0100,N 427069,S200000,01700,0100,N 427069,S200000,01800,0100,N 427069,S200000,02200,0100,N 427069,S200000,02800,0100,N 427069,S200000,02900,0100,N 427069,S200000,03000,0100,N 427069,S200000,03100,0100,N 427069,S200000,03200,0100,N 427069,S200000,03300,0100,N 427069,S200000,03300,0200,N 427069,S200000,04100,0100,N 427069,S200000,04200,0100,N 427069,S200000,04300,0100,Y 427069,S200000,04600,0100,N 427069,S200000,04700,0100,N 427069,S200000,04700,0200,N 427069,S200000,04900,0100,N 427069,S200000,05000,0100,N 427069,S200000,05100,0100,N 427069,S200000,05200,0100,N 427069,S200000,05300,0100,Y 427069,S200000,05300,0200,902135 427069,S200000,05400,0100,CARETEL INNS OF AMERICA 427069,S200000,05400,0200,NATIONAL GOVT SERVICES 427069,S200000,05400,0300,00001 427069,S200000,05500,0100,910 S WASHINGTON AVE 427069,S200000,05600,0100,ROYAL OAK 427069,S200000,05600,0200,MI 427069,S200000,05600,0300,48067 427074,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427074,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427074,A000000,00300,0000,0300EMPLOYEE BENEFITS 427074,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427074,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427074,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427074,A000000,00700,0000,0700HOUSEKEEPING 427074,A000000,00800,0000,0800DIETARY 427074,A000000,00900,0000,0900NURSING ADMINISTRATION 427074,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427074,A000000,01100,0000,1100PHARMACY 427074,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427074,A000000,01300,0000,1300SOCIAL SERVICE 427074,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427074,A000000,01600,0000,1600SKILLED NURSING FACILITY 427074,A000000,01800,0000,1800NURSING FACILITY 427074,A000000,01900,0000,1900OTHER LONG TERM CARE 427074,A000000,02100,0000,2100RADIOLOGY 427074,A000000,02200,0000,2200LABORATORY 427074,A000000,02300,0000,2300INTRAVENOUS THERAPY 427074,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427074,A000000,02500,0000,2500PHYSICAL THERAPY 427074,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427074,A000000,02700,0000,2700SPEECH PATHOLOGY 427074,A000000,02800,0000,2800ELECTROCARDIOLOGY 427074,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427074,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427074,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427074,A000000,03200,0000,3200SUPPORT SURFACES 427074,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427074,A000000,03400,0000,3400CLINIC 427074,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427074,A000000,04800,0000,4800AMBULANCE 427074,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427074,A000000,05000,0000,5000CORF 427074,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427074,A000000,05300,0000,5300INTEREST EXPENSE 427074,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427074,A000000,05500,0000,5500HOSPICE 427074,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427074,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427074,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427074,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427074,A000000,06100,0000,6100NONPAID WORKERS 427074,A000000,06200,0000,6200PATIENTS LAUNDRY 427074,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427074,A81000A,00100,0100,Y 427074,A81000B,00100,0300,NURSING CONSULTING 427074,A81000B,00200,0300,DIETARY CONSULTING 427074,A81000B,00300,0300,HOME OFFICE 427074,A81000B,00400,0300,INTEREST EXPENSE 427074,A81000B,00500,0300,WORKERS COMP EXPENSE 427074,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 427074,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 427074,A81000B,00800,0300,LINEN & BEDDING 427074,A81000B,00900,0300,LAUNDRY SUPPLIES 427074,A81000B,01000,0300,PAPER PRODUCTS & HAND SOAP 427074,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 427074,A81000B,01200,0300,DIETARY SUPPLEMENTS 427074,A81000B,01300,0300,DIETARY SUPPLIES 427074,A81000B,01400,0300,BIO-MEDICAL WASTE 427074,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 427074,A81000B,01600,0300,PERSONAL CARE SUPPLIES 427074,A81000B,01700,0300,INCONTINENCE SUPPLIES 427074,A81000B,01800,0300,MEDICAL SUPPLIES 427074,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 427074,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 427074,A81000B,02100,0300,PT SUPPLIES 427074,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 427074,A81000B,02300,0300,NURSING EQUIPMENT RENTAL 427074,A81000B,02400,0300,NON-LEGEND DRUGS 427074,A81000B,02500,0300,PHARMACY CONSULTANT 427074,A81000B,02600,0300,MED REC SUPPLIES 427074,A81000B,02700,0300,LEGEND DRUGS 427074,A81000B,02800,0300,OFFICE SUPPLIES 427074,A81000B,02900,0300,REPAIRS - BUILDING 427074,A81000C,00100,0100,B 427074,A81000C,00100,0400,BRITTHAVEN INC 427074,A81000C,00100,0600,MGMT SERVICES 427074,A81000C,00200,0100,B 427074,A81000C,00200,0400,BRITTHAVEN INC 427074,A81000C,00200,0600,MGMT SERVICES 427074,A81000C,00300,0100,B 427074,A81000C,00300,0400,BRITTHAVEN INC 427074,A81000C,00300,0600,MGMT SERVICES 427074,A81000C,00400,0100,B 427074,A81000C,00400,0400,BRITTHAVEN INC 427074,A81000C,00400,0600,MGMT SERVICES 427074,A81000C,00500,0100,A 427074,A81000C,00500,0200,DISCOVERY INSUR 427074,A81000C,00500,0600,INSURANCE 427074,A81000C,00600,0100,A 427074,A81000C,00600,0200,QUEENSLAND ASSU 427074,A81000C,00600,0600,INSURANCE 427074,A81000C,00700,0100,B 427074,A81000C,00700,0400,KARE MEDICAL 427074,A81000C,00700,0600,WHOLESALE SUPPL 427074,A81000C,00800,0100,B 427074,A81000C,00800,0400,KARE MEDICAL 427074,A81000C,00800,0600,WHOLESALE SUPPL 427074,A81000C,00900,0100,B 427074,A81000C,00900,0400,KARE MEDICAL 427074,A81000C,00900,0600,WHOLESALE SUPPL 427074,A81000C,01000,0100,B 427074,A81000C,01000,0400,KARE MEDICAL 427074,A81000C,01000,0600,WHOLESALE SUPPL 427074,A81000C,01001,0100,B 427074,A81000C,01001,0400,KARE MEDICAL 427074,A81000C,01001,0600,WHOLESALE SUPPL 427074,A81000C,01002,0100,B 427074,A81000C,01002,0400,KARE MEDICAL 427074,A81000C,01002,0600,WHOLESALE SUPPL 427074,A81000C,01003,0100,B 427074,A81000C,01003,0400,KARE MEDICAL 427074,A81000C,01003,0600,WHOLESALE SUPPL 427074,A81000C,01004,0100,B 427074,A81000C,01004,0400,KARE MEDICAL 427074,A81000C,01004,0600,WHOLESALE SUPPL 427074,A81000C,01005,0100,B 427074,A81000C,01005,0400,KARE MEDICAL 427074,A81000C,01005,0600,WHOLESALE SUPPL 427074,A81000C,01006,0100,B 427074,A81000C,01006,0400,KARE MEDICAL 427074,A81000C,01006,0600,WHOLESALE SUPPL 427074,A81000C,01007,0100,B 427074,A81000C,01007,0400,KARE MEDICAL 427074,A81000C,01007,0600,WHOLESALE SUPPL 427074,A81000C,01008,0100,B 427074,A81000C,01008,0400,KARE MEDICAL 427074,A81000C,01008,0600,WHOLESALE SUPPL 427074,A81000C,01009,0100,B 427074,A81000C,01009,0400,KARE MEDICAL 427074,A81000C,01009,0600,WHOLESALE SUPPL 427074,A81000C,01010,0100,B 427074,A81000C,01010,0400,KARE MEDICAL 427074,A81000C,01010,0600,WHOLESALE SUPPL 427074,A81000C,01011,0100,B 427074,A81000C,01011,0400,KARE MEDICAL 427074,A81000C,01011,0600,WHOLESALE SUPPL 427074,A81000C,01012,0100,B 427074,A81000C,01012,0400,KARE MEDICAL 427074,A81000C,01012,0600,WHOLESALE SUPPL 427074,A81000C,01013,0100,B 427074,A81000C,01013,0400,PHARMSAVE 427074,A81000C,01013,0600,RX SUPPLY 427074,A81000C,01014,0100,B 427074,A81000C,01014,0400,PHARMSAVE 427074,A81000C,01014,0600,RX SUPPLY 427074,A81000C,01015,0100,B 427074,A81000C,01015,0400,PHARMSAVE 427074,A81000C,01015,0600,RX SUPPLY 427074,A81000C,01016,0100,B 427074,A81000C,01016,0400,PHARMSAVE 427074,A81000C,01016,0600,RX SUPPLY 427074,A81000C,01017,0100,B 427074,A81000C,01017,0400,PHARMSAVE 427074,A81000C,01017,0600,RX SUPPLY 427074,A81000C,01018,0100,B 427074,A81000C,01018,0400,ROBERT HILL CON 427074,A81000C,01018,0600,CONSTRUCTION 427074,A81000C,01019,0100,B 427074,A81000C,01019,0400,ROBERT HILL CON 427074,A81000C,01019,0600,CONSTRUCTION 427074,A81000C,01020,0100,B 427074,A81000C,01020,0400,ROBERT HILL CON 427074,A81000C,01020,0600,CONSTRUCTION 427074,A81000C,01021,0100,B 427074,A81000C,01021,0400,ROBERT HILL CON 427074,A81000C,01021,0600,CONSTRUCTION 427074,A81000C,01022,0100,B 427074,A81000C,01022,0400,ROBERT HILL CON 427074,A81000C,01022,0600,CONSTRUCTION 427074,A81000C,01023,0100,A 427074,A81000C,01023,0200,NEUSE RIVER COR 427074,A81000C,01023,0400,NEUSE RIVER COR 427074,A81000C,01023,0600,REAL ESTATE 427074,A81000C,01024,0100,A 427074,A81000C,01024,0200,NEUSE RIVER COR 427074,A81000C,01024,0400,NEUSE RIVER COR 427074,A81000C,01024,0600,REAL ESTATE 427074,A81000C,01025,0100,A 427074,A81000C,01025,0200,NEUSE RIVER COR 427074,A81000C,01025,0400,NEUSE RIVER COR 427074,A81000C,01025,0600,REAL ESTATE 427074,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427074,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427074,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427074,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427074,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427074,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427074,B100000,00000,0800,0800MEALS SERVED :DIETARY 427074,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 427074,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427074,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 427074,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427074,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427074,G300000,02500,0000, OTHER (SPECIFY) 427074,S000000,00100,0200,08/11/11 427074,S200000,00100,0100,3015 ENTERPRISE DRIVE 427074,S200000,00200,0100,WILMINGTON 427074,S200000,00200,0200,NC 427074,S200000,00200,0300,28405 427074,S200000,00300,0100,NEW HANOVER 427074,S200000,00300,0201,48900 427074,S200000,00300,0300,U 427074,S200000,00400,0100,BRITTHAVEN OF NORTH CHASE 427074,S200000,00400,0200,345119 427074,S200000,00400,0300,04/01/78 427074,S200000,00400,0500,P 427074,S200000,01500,0100,Y 427074,S200000,01501,0200,Y 427074,S200000,01502,0200,Y 427074,S200000,01503,0200,Y 427074,S200000,01504,0200,Y 427074,S200000,01505,0000,OTHER (SPECIFY) 427074,S200000,01505,0200,Y 427074,S200000,01600,0100,N 427074,S200000,01700,0100,N 427074,S200000,01800,0100,N 427074,S200000,02200,0100,N 427074,S200000,02800,0100,N 427074,S200000,02900,0100,N 427074,S200000,03000,0100,N 427074,S200000,03100,0100,Y 427074,S200000,03200,0100,N 427074,S200000,03300,0100,N 427074,S200000,03300,0200,N 427074,S200000,04100,0100,N 427074,S200000,04200,0100,N 427074,S200000,04300,0100,N 427074,S200000,04600,0100,N 427074,S200000,04700,0100,N 427074,S200000,04700,0200,N 427074,S200000,04900,0100,N 427074,S200000,05000,0100,N 427074,S200000,05100,0100,N 427074,S200000,05200,0100,N 427074,S200000,05300,0100,Y 427074,S200000,05300,0200,349011 427074,S200000,05400,0100,BRITTHAVEN INC. 427074,S200000,05400,0200,PALMETTO GBA 427074,S200000,05400,0300,11501 427074,S200000,05500,0100,1435 HWY 258 NORTH 427074,S200000,05500,0200,PO BOX 61 427074,S200000,05600,0100,KINSTON 427074,S200000,05600,0200,NC 427074,S200000,05600,0300,28502 427106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427106,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427106,A000000,00300,0000,0300EMPLOYEE BENEFITS 427106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427106,A000000,00700,0000,0700HOUSEKEEPING 427106,A000000,00800,0000,0800DIETARY 427106,A000000,00900,0000,0900NURSING ADMINISTRATION 427106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427106,A000000,01100,0000,1100PHARMACY 427106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427106,A000000,01300,0000,1300SOCIAL SERVICE 427106,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427106,A000000,01500,0000,1350DIVERSIONAL THERAPY 427106,A000000,01600,0000,1600SKILLED NURSING FACILITY 427106,A000000,01800,0000,1800NURSING FACILITY 427106,A000000,01810,0000,1810ICF/MR 427106,A000000,01900,0000,1900OTHER LONG TERM CARE 427106,A000000,02100,0000,2100RADIOLOGY 427106,A000000,02200,0000,2200LABORATORY 427106,A000000,02300,0000,2300INTRAVENOUS THERAPY 427106,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427106,A000000,02500,0000,2500PHYSICAL THERAPY 427106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427106,A000000,02700,0000,2700SPEECH PATHOLOGY 427106,A000000,02800,0000,2800ELECTROCARDIOLOGY 427106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427106,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427106,A000000,03200,0000,3200SUPPORT SURFACES 427106,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427106,A000000,03400,0000,3400CLINIC 427106,A000000,03500,0000,3500RURAL HEALTH CLINIC 427106,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427106,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427106,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427106,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427106,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427106,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427106,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427106,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427106,A000000,04400,0000,4400DME RENTED - HHA 427106,A000000,04500,0000,4500DME SOLD - HHA 427106,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427106,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427106,A000000,04710,0000,4710TELEMEDICINE 427106,A000000,04800,0000,4800AMBULANCE 427106,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427106,A000000,05000,0000,5000CORF 427106,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427106,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427106,A000000,05300,0000,5300INTEREST EXPENSE 427106,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427106,A000000,05500,0000,5500HOSPICE 427106,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427106,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427106,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427106,A000000,06100,0000,6100NONPAID WORKERS 427106,A000000,06200,0000,6200PATIENTS LAUNDRY 427106,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427106,A81000A,00100,0100,Y 427106,A81000B,00100,0300,MOE EXPENSE 427106,A81000C,00100,0100,B 427106,A81000C,00100,0200,BENZIE COUNTY 427106,A81000C,00100,0400,BENZIE COUNTY 427106,A81000C,00100,0600,COUNTY GOVERNMENT 427106,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427106,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427106,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427106,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427106,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427106,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427106,B100000,00000,0800,0800MEALS SERVED :DIETARY 427106,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427106,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427106,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427106,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 427106,G300000,02500,0000,OTHER REVENUE 427106,S000000,00100,0200,02/29/12 427106,S200000,00100,0100,210 MAPLE STREET 427106,S200000,00200,0100,FRANKFORT 427106,S200000,00200,0200,MI 427106,S200000,00200,0300,49635 427106,S200000,00300,0100,BENZIE 427106,S200000,00300,0200,23 427106,S200000,00300,0201,99923 427106,S200000,00300,0300,R 427106,S200000,00400,0100,BENZIE COUNTY MEDICAL CARE FACILITY 427106,S200000,00400,0200,235005 427106,S200000,00400,0300,07/01/96 427106,S200000,00400,0500,P 427106,S200000,01500,0100,Y 427106,S200000,01501,0200,Y 427106,S200000,01504,0200,Y 427106,S200000,01600,0100,N 427106,S200000,01700,0100,N 427106,S200000,01800,0100,N 427106,S200000,02200,0100,N 427106,S200000,02800,0100,Y 427106,S200000,02900,0100,N 427106,S200000,03000,0100,N 427106,S200000,03100,0100,N 427106,S200000,03200,0100,N 427106,S200000,03300,0100,N 427106,S200000,03300,0200,N 427106,S200000,04100,0100,N 427106,S200000,04200,0100,N 427106,S200000,04300,0100,Y 427106,S200000,04600,0100,N 427106,S200000,04700,0100,N 427106,S200000,04700,0200,N 427106,S200000,04900,0100,N 427106,S200000,05000,0100,N 427106,S200000,05100,0100,N 427106,S200000,05200,0100,N 427106,S200000,05300,0100,N 427122,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427122,A000000,00300,0000,0300EMPLOYEE BENEFITS 427122,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427122,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427122,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427122,A000000,00700,0000,0700HOUSEKEEPING 427122,A000000,00800,0000,0800DIETARY 427122,A000000,00900,0000,0900NURSING ADMINISTRATION 427122,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427122,A000000,01300,0000,1300SOCIAL SERVICE 427122,A000000,01600,0000,1600SKILLED NURSING FACILITY 427122,A000000,01900,0000,1900OTHER LONG TERM CARE 427122,A000000,02100,0000,2100RADIOLOGY 427122,A000000,02200,0000,2200LABORATORY 427122,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427122,A000000,02500,0000,2500PHYSICAL THERAPY 427122,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427122,A000000,02700,0000,2700SPEECH PATHOLOGY 427122,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427122,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427122,A81000A,00100,0100,N 427122,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427122,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427122,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427122,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427122,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427122,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427122,B100000,00000,0800,0800MEALS SERVED :DIETARY 427122,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427122,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427122,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427122,G300000,02500,0000,INCOME TAXES 427122,S000000,00100,0200,02/17/12 427122,S200000,00100,0100,106 EAST 13TH STREET 427122,S200000,00100,0300,A 427122,S200000,00200,0100,BAYARD 427122,S200000,00200,0200,NE 427122,S200000,00200,0300,69334 427122,S200000,00300,0100,MORRILL 427122,S200000,00300,0201,99928 427122,S200000,00300,0300,R 427122,S200000,00400,0100,CHIMNEY ROCK VILLA 427122,S200000,00400,0200,285260 427122,S200000,00400,0300,06/01/04 427122,S200000,00400,0500,P 427122,S200000,01500,0100,Y 427122,S200000,01501,0200,N 427122,S200000,01502,0200,N 427122,S200000,01503,0200,N 427122,S200000,01504,0200,N 427122,S200000,01600,0100,N 427122,S200000,01700,0100,N 427122,S200000,01800,0100,N 427122,S200000,02200,0100,N 427122,S200000,02800,0100,N 427122,S200000,02900,0100,N 427122,S200000,03000,0100,N 427122,S200000,03100,0100,N 427122,S200000,03200,0100,N 427122,S200000,03300,0100,N 427122,S200000,03300,0200,N 427122,S200000,04100,0100,N 427122,S200000,04200,0100,N 427122,S200000,04300,0100,N 427122,S200000,04600,0100,N 427122,S200000,04700,0100,N 427122,S200000,04700,0200,N 427122,S200000,04900,0100,N 427122,S200000,05000,0100,N 427122,S200000,05100,0100,N 427122,S200000,05200,0100,N 427122,S200000,05300,0100,N 427124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427124,A000000,00300,0000,0300EMPLOYEE BENEFITS 427124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427124,A000000,00700,0000,0700HOUSEKEEPING 427124,A000000,00800,0000,0800DIETARY 427124,A000000,00900,0000,0900NURSING ADMINISTRATION 427124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427124,A000000,01100,0000,1100PHARMACY 427124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427124,A000000,01300,0000,1300SOCIAL SERVICE 427124,A000000,01500,0000,1350PATIENT ACTIVITIES 427124,A000000,01600,0000,1600SKILLED NURSING FACILITY 427124,A000000,01900,0000,1900OTHER LONG TERM CARE 427124,A000000,02500,0000,2500PHYSICAL THERAPY 427124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427124,A000000,02700,0000,2700SPEECH PATHOLOGY 427124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427124,A000000,03200,0000,3200SUPPORT SURFACES 427124,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427124,A000000,04800,0000,4800AMBULANCE 427124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427124,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427124,A81000A,00100,0100,Y 427124,A81000B,00100,0300,DEPRECIATION 427124,A81000B,00200,0300,EQUIPMENT RENT 427124,A81000B,00300,0300,INTEREST 427124,A81000B,00400,0300,WORKER S COMP 427124,A81000B,00500,0300,MAINTENANCE 427124,A81000B,00600,0300,VEHICLE DEPRECIATION 427124,A81000B,00700,0300,PROPERTY INSURANCE 427124,A81000B,00800,0300,LIABILITY INSURANCE 427124,A81000B,00900,0300,ADMINISTRATIVE 427124,A81000B,01000,0300,DIETARY 427124,A81000B,01100,0300,PHYSICAL THERAPY 427124,A81000B,01200,0300,OCCUPATIONAL THERAPY 427124,A81000B,01300,0300,ADMINISTRATOR 427124,A81000C,00100,0100,B 427124,A81000C,00100,0200,TWIN LAKES COMMUNITY 427124,A81000C,00100,0400,TWIN LAKES COMMUNITY 427124,A81000C,00100,0600,VIRTUAL HOME OFFICE 427124,A81000C,00200,0100,B 427124,A81000C,00200,0200,TWIN LAKES COMMUNITY 427124,A81000C,00200,0400,TWIN LAKES COMMUNITY 427124,A81000C,00200,0600,VIRTUAL HOME OFFICE 427124,A81000C,00300,0100,B 427124,A81000C,00300,0200,TWIN LAKES COMMUNITY 427124,A81000C,00300,0400,TWIN LAKES COMMUNITY 427124,A81000C,00300,0600,VIRTUAL HOME OFFICE 427124,A81000C,00400,0100,B 427124,A81000C,00400,0200,TWIN LAKES COMMUNITY 427124,A81000C,00400,0400,TWIN LAKES COMMUNITY 427124,A81000C,00400,0600,VIRTUAL HOME OFFICE 427124,A81000C,00500,0100,B 427124,A81000C,00500,0200,TWIN LAKES COMMUNITY 427124,A81000C,00500,0400,TWIN LAKES COMMUNITY 427124,A81000C,00500,0600,VIRTUAL HOME OFFICE 427124,A81000C,00600,0100,B 427124,A81000C,00600,0200,TWIN LAKES COMMUNITY 427124,A81000C,00600,0400,TWIN LAKES COMMUNITY 427124,A81000C,00600,0600,VIRTUAL HOME OFFICE 427124,A81000C,00700,0100,B 427124,A81000C,00700,0200,TWIN LAKES COMMUNITY 427124,A81000C,00700,0400,TWIN LAKES COMMUNITY 427124,A81000C,00700,0600,VIRTUAL HOME OFFICE 427124,A81000C,00800,0100,B 427124,A81000C,00800,0200,TWIN LAKES COMMUNITY 427124,A81000C,00800,0400,TWIN LAKES COMMUNITY 427124,A81000C,00800,0600,VIRTUAL HOME OFFICE 427124,A81000C,00900,0100,B 427124,A81000C,00900,0200,TWIN LAKES COMMUNITY 427124,A81000C,00900,0400,TWIN LAKES COMMUNITY 427124,A81000C,00900,0600,VIRTUAL HOME OFFICE 427124,A81000C,01000,0100,B 427124,A81000C,01000,0200,TWIN LAKES COMMUNITY 427124,A81000C,01000,0400,TWIN LAKES COMMUNITY 427124,A81000C,01000,0600,VIRTUAL HOME OFFICE 427124,A81000C,01001,0100,B 427124,A81000C,01001,0200,TWIN LAKES COMMUNITY 427124,A81000C,01001,0400,TWIN LAKES COMMUNITY 427124,A81000C,01001,0600,VIRTUAL HOME OFFICE 427124,A81000C,01002,0100,B 427124,A81000C,01002,0200,TWIN LAKES COMMUNITY 427124,A81000C,01002,0400,TWIN LAKES COMMUNITY 427124,A81000C,01002,0600,VIRTUAL HOME OFFICE 427124,A81000C,01003,0100,B 427124,A81000C,01003,0200,TWIN LAKES COMMUNITY 427124,A81000C,01003,0400,TWIN LAKES COMMUNITY 427124,A81000C,01003,0600,VIRTUAL HOME OFFICE 427124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427124,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427124,B100000,00000,0700,0750SQ. FTG EXC DIET:HOUSEKEEPING 427124,B100000,00000,0800,0800MEALS SERVED :DIETARY 427124,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427124,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427124,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427124,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427124,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427124,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427124,G300000,02500,0000,BARBER/BEAUTY 427124,G300000,02501,0000,OTHER INCOME 427124,S000000,00100,0200,02/29/12 427124,S200000,00100,0100,100 WADE COBLE DRIVE 427124,S200000,00200,0100,BURLINGTON 427124,S200000,00200,0200,NC 427124,S200000,00200,0300,27215 427124,S200000,00300,0100,ALAMANCE 427124,S200000,00300,0200,3120 427124,S200000,00300,0201,15500 427124,S200000,00300,0300,U 427124,S200000,00400,0100,TWIN LAKES COMMUNITY 427124,S200000,00400,0200,345235 427124,S200000,00400,0300,10/04/83 427124,S200000,00400,0500,P 427124,S200000,01500,0100,N 427124,S200000,01501,0200,N 427124,S200000,01600,0100,Y 427124,S200000,01700,0100,Y 427124,S200000,01800,0100,N 427124,S200000,02200,0100,N 427124,S200000,02800,0100,N 427124,S200000,02900,0100,N 427124,S200000,03000,0100,N 427124,S200000,03100,0100,N 427124,S200000,03200,0100,N 427124,S200000,03300,0100,N 427124,S200000,03300,0200,N 427124,S200000,04100,0100,N 427124,S200000,04200,0100,N 427124,S200000,04300,0100,N 427124,S200000,04600,0100,N 427124,S200000,04700,0100,N 427124,S200000,04700,0200,N 427124,S200000,04900,0100,N 427124,S200000,05000,0100,N 427124,S200000,05100,0100,N 427124,S200000,05200,0100,N 427124,S200000,05300,0100,Y 427124,S200000,05300,0200,HO0000 427124,S200000,05400,0100,TWIN LAKES COMMUNITY 427124,S200000,05400,0200,PALMETTO 427124,S200000,05400,0300,11001 427124,S200000,05500,0100,3701 WADE COBLE DRIVE 427124,S200000,05600,0100,BURLINGTON 427124,S200000,05600,0200,NC 427124,S200000,05600,0300,27215 427129,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427129,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427129,A000000,00300,0000,0300EMPLOYEE BENEFITS 427129,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427129,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427129,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427129,A000000,00700,0000,0700HOUSEKEEPING 427129,A000000,00800,0000,0800DIETARY 427129,A000000,00900,0000,0900NURSING ADMINISTRATION 427129,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427129,A000000,01100,0000,1100PHARMACY 427129,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427129,A000000,01300,0000,1300SOCIAL SERVICE 427129,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427129,A000000,01500,0000,1350OTHER GENERAL SERVICES 427129,A000000,01600,0000,1600SKILLED NURSING FACILITY 427129,A000000,01800,0000,1800NURSING FACILITY 427129,A000000,01810,0000,1810ICF/MR 427129,A000000,01900,0000,1900OTHER LONG TERM CARE 427129,A000000,02100,0000,2100RADIOLOGY 427129,A000000,02200,0000,2200LABORATORY 427129,A000000,02300,0000,2300INTRAVENOUS THERAPY 427129,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427129,A000000,02500,0000,2500PHYSICAL THERAPY 427129,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427129,A000000,02700,0000,2700SPEECH PATHOLOGY 427129,A000000,02800,0000,2800ELECTROCARDIOLOGY 427129,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427129,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427129,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427129,A000000,03200,0000,3200SUPPORT SURFACES 427129,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427129,A000000,03400,0000,3400CLINIC 427129,A000000,03500,0000,3500RURAL HEALTH CLINIC 427129,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427129,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427129,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427129,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427129,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427129,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427129,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427129,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427129,A000000,04400,0000,4400DME RENTED - HHA 427129,A000000,04500,0000,4500DME SOLD - HHA 427129,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427129,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427129,A000000,04710,0000,4710TELEMEDICINE 427129,A000000,04800,0000,4800AMBULANCE 427129,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427129,A000000,05000,0000,5000CORF 427129,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427129,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427129,A000000,05300,0000,5300INTEREST EXPENSE 427129,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427129,A000000,05500,0000,5500HOSPICE 427129,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427129,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427129,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427129,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427129,A000000,06100,0000,6100NONPAID WORKERS 427129,A000000,06200,0000,6200PATIENTS LAUNDRY 427129,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427129,A81000A,00100,0100,N 427129,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427129,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427129,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427129,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427129,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427129,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427129,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427129,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427129,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427129,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427129,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427129,E10A180,00301,0100,09/28/11 427129,E10A180,00302,0100,10/12/11 427129,E10A180,00303,0100,10/26/11 427129,G300000,02500,0000,MCR SETTLEMENTS 427129,G300000,02510,0000,CRAFTS INCOME 427129,G300000,02511,0000,MISCELLANEOUS 427129,G300000,02512,0000,ADMIN FEES SHALOM I & II 427129,G300000,02513,0000,CLER FEES SHALOM I & II 427129,G300000,02514,0000,OFFICE FEES SHALOM I & II 427129,S000000,00100,0200,01/30/12 427129,S200000,00100,0100,302 - 2ND STREET NE 427129,S200000,00100,0300,1707 427129,S200000,00200,0100,MASON CITY 427129,S200000,00200,0200,IA 427129,S200000,00200,0300,50402-1707 427129,S200000,00300,0100,CERRO GORDO 427129,S200000,00300,0200,16 427129,S200000,00300,0201,99916 427129,S200000,00300,0300,R 427129,S200000,00400,0100,GOOD SHEPHERD HEALTH CENTER 427129,S200000,00400,0200,165072 427129,S200000,00400,0300,08/01/75 427129,S200000,00400,0500,P 427129,S200000,01500,0100,Y 427129,S200000,01501,0200,N 427129,S200000,01502,0200,N 427129,S200000,01503,0200,Y 427129,S200000,01504,0200,Y 427129,S200000,01600,0100,N 427129,S200000,01700,0100,N 427129,S200000,01800,0100,N 427129,S200000,02200,0100,N 427129,S200000,02800,0100,N 427129,S200000,02900,0100,N 427129,S200000,03000,0100,N 427129,S200000,03100,0100,N 427129,S200000,03200,0100,N 427129,S200000,03300,0100,N 427129,S200000,03300,0200,N 427129,S200000,04100,0100,N 427129,S200000,04200,0100,N 427129,S200000,04300,0100,N 427129,S200000,04600,0100,N 427129,S200000,04700,0100,N 427129,S200000,04700,0200,N 427129,S200000,04900,0100,N 427129,S200000,05000,0100,N 427129,S200000,05100,0100,N 427129,S200000,05200,0100,N 427129,S200000,05300,0100,N 427133,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427133,A000000,00300,0000,0300EMPLOYEE BENEFITS 427133,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427133,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427133,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427133,A000000,00700,0000,0700HOUSEKEEPING 427133,A000000,00800,0000,0800DIETARY 427133,A000000,00900,0000,0900NURSING ADMINISTRATION 427133,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427133,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427133,A000000,01300,0000,1300SOCIAL SERVICE 427133,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427133,A000000,01500,0000,1350OTHER GENERAL SERVICES 427133,A000000,01600,0000,1600SKILLED NURSING FACILITY 427133,A000000,01800,0000,1800NURSING FACILITY 427133,A000000,01810,0000,1810ICF/MR 427133,A000000,01900,0000,1900OTHER LONG TERM CARE 427133,A000000,02100,0000,2100RADIOLOGY 427133,A000000,02200,0000,2200LABORATORY 427133,A000000,02300,0000,2300INTRAVENOUS THERAPY 427133,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427133,A000000,02500,0000,2500PHYSICAL THERAPY 427133,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427133,A000000,02700,0000,2700SPEECH PATHOLOGY 427133,A000000,02800,0000,2800ELECTROCARDIOLOGY 427133,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427133,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427133,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427133,A000000,03200,0000,3200SUPPORT SURFACES 427133,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427133,A000000,03400,0000,3400CLINIC 427133,A000000,03500,0000,3500RURAL HEALTH CLINIC 427133,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427133,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427133,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427133,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427133,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427133,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427133,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427133,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427133,A000000,04400,0000,4400DME RENTED - HHA 427133,A000000,04500,0000,4500DME SOLD - HHA 427133,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427133,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427133,A000000,04710,0000,4710TELEMEDICINE 427133,A000000,04800,0000,4800AMBULANCE 427133,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427133,A000000,05000,0000,5000CORF 427133,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427133,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427133,A000000,05300,0000,5300INTEREST EXPENSE 427133,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427133,A000000,05500,0000,5500HOSPICE 427133,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427133,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427133,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427133,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427133,A000000,06100,0000,6100NONPAID WORKERS 427133,A000000,06200,0000,6200PATIENTS LAUNDRY 427133,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427133,A81000A,00100,0100,N 427133,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427133,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427133,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427133,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427133,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427133,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427133,B100000,00000,0800,0800MEALS SERVED :DIETARY 427133,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427133,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427133,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427133,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427133,G300000,02500,0000,OTHER INCOME 427133,S000000,00100,0200,02/02/12 427133,S200000,00100,0100,811 OWEN MILL ROAD 427133,S200000,00100,0300,910 427133,S200000,00200,0100,STOCKTON 427133,S200000,00200,0200,MO 427133,S200000,00200,0300,65785 427133,S200000,00300,0100,CEDAR 427133,S200000,00300,0200,26 427133,S200000,00300,0201,99926 427133,S200000,00300,0300,R 427133,S200000,00400,0100,STOCKTON NURSING HOME 427133,S200000,00400,0200,265466 427133,S200000,00400,0300,10/01/91 427133,S200000,00400,0500,P 427133,S200000,01500,0100,Y 427133,S200000,01501,0200,N 427133,S200000,01502,0200,N 427133,S200000,01503,0200,N 427133,S200000,01504,0200,Y 427133,S200000,01600,0100,N 427133,S200000,01700,0100,N 427133,S200000,01800,0100,N 427133,S200000,02200,0100,N 427133,S200000,02800,0100,Y 427133,S200000,02900,0100,N 427133,S200000,03000,0100,N 427133,S200000,03100,0100,N 427133,S200000,03200,0100,N 427133,S200000,03300,0100,N 427133,S200000,03300,0200,N 427133,S200000,04100,0100,N 427133,S200000,04200,0100,N 427133,S200000,04300,0100,N 427133,S200000,04600,0100,N 427133,S200000,04700,0100,N 427133,S200000,04700,0200,N 427133,S200000,04900,0100,N 427133,S200000,05000,0100,N 427133,S200000,05100,0100,N 427133,S200000,05200,0100,N 427133,S200000,05300,0100,N 427143,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427143,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427143,A000000,00300,0000,0300EMPLOYEE BENEFITS 427143,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427143,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427143,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427143,A000000,00700,0000,0700HOUSEKEEPING 427143,A000000,00800,0000,0800DIETARY 427143,A000000,00900,0000,0900NURSING ADMINISTRATION 427143,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427143,A000000,01100,0000,1100PHARMACY 427143,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427143,A000000,01201,0000,1201ACTIVITIES 427143,A000000,01300,0000,1300SOCIAL SERVICE 427143,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427143,A000000,01500,0000,1350OTHER GENERAL SERVICES 427143,A000000,01600,0000,1600SKILLED NURSING FACILITY 427143,A000000,01800,0000,1800NURSING FACILITY 427143,A000000,01810,0000,1810ICF/MR 427143,A000000,01900,0000,1900OTHER LONG TERM CARE 427143,A000000,02100,0000,2100RADIOLOGY 427143,A000000,02200,0000,2200LABORATORY 427143,A000000,02300,0000,2300INTRAVENOUS THERAPY 427143,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427143,A000000,02500,0000,2500PHYSICAL THERAPY 427143,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427143,A000000,02700,0000,2700SPEECH PATHOLOGY 427143,A000000,02800,0000,2800ELECTROCARDIOLOGY 427143,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427143,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427143,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427143,A000000,03200,0000,3200SUPPORT SURFACES 427143,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427143,A000000,03400,0000,3400CLINIC 427143,A000000,03500,0000,3500RURAL HEALTH CLINIC 427143,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427143,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427143,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427143,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427143,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427143,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427143,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427143,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427143,A000000,04400,0000,4400DME RENTED - HHA 427143,A000000,04500,0000,4500DME SOLD - HHA 427143,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427143,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427143,A000000,04710,0000,4710TELEMEDICINE 427143,A000000,04800,0000,4800AMBULANCE 427143,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427143,A000000,05000,0000,5000CORF 427143,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427143,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427143,A000000,05300,0000,5300INTEREST EXPENSE 427143,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427143,A000000,05500,0000,5500HOSPICE 427143,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427143,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427143,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427143,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427143,A000000,06100,0000,6100NONPAID WORKERS 427143,A000000,06200,0000,6200PATIENTS LAUNDRY 427143,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427143,A81000A,00100,0100,Y 427143,A81000B,00100,0300,ADMIN / ACCTNG 427143,A81000B,00200,0300,UNEMPLOYMENT INS 427143,A81000B,00300,0300,HEALTH INSURANCE 427143,A81000B,00400,0300,WORKERS COMP 427143,A81000B,00500,0300,PROPERTY INS 427143,A81000B,00600,0300,LIABILITY INS 427143,A81000B,00700,0300,VEHICLE INS 427143,A81000B,00800,0300,SHARED DIETARY SERVICE 427143,A81000B,00900,0300,SHARED SOCIAL SERVICES 427143,A81000C,00100,0100,B 427143,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 427143,A81000C,00100,0600,HEALTH CARE 427143,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427143,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427143,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427143,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427143,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427143,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 427143,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427143,B100000,00000,0800,0800MEALS SERVED :DIETARY 427143,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427143,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427143,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 427143,B100000,00000,1201,1251RESIDENT DAYS :ACTIVITIES 427143,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 427143,E10A180,00550,0300,02/24/12 427143,G300000,02500,0000,OTHER (SPECIFY) 427143,S000000,00100,0200,01/31/12 427143,S200000,00100,0100,2900 S LAKE AVE 427143,S200000,00200,0100,SIOUX FALLS 427143,S200000,00200,0200,SD 427143,S200000,00200,0300,57105-5531 427143,S200000,00300,0100,MINNEHAHA 427143,S200000,00300,0200,7760 427143,S200000,00300,0201,43620 427143,S200000,00300,0300,U 427143,S200000,00400,0100,GOOD SAMARITAN SOC - LUTHER MANOR 427143,S200000,00400,0200,435044 427143,S200000,00400,0300,06/01/90 427143,S200000,00400,0500,P 427143,S200000,01500,0100,Y 427143,S200000,01501,0200,Y 427143,S200000,01504,0200,Y 427143,S200000,01505,0000,HEALTH INSURANCE 427143,S200000,01505,0200,N 427143,S200000,01506,0000,PENSION 427143,S200000,01506,0200,Y 427143,S200000,01600,0100,N 427143,S200000,01700,0100,N 427143,S200000,01800,0100,N 427143,S200000,02200,0100,N 427143,S200000,02800,0100,N 427143,S200000,02900,0100,N 427143,S200000,03000,0100,N 427143,S200000,03100,0100,N 427143,S200000,03200,0100,N 427143,S200000,03300,0100,N 427143,S200000,03300,0200,N 427143,S200000,04100,0100,N 427143,S200000,04200,0100,N 427143,S200000,04300,0100,N 427143,S200000,04600,0100,N 427143,S200000,04700,0100,N 427143,S200000,04700,0200,N 427143,S200000,04900,0100,N 427143,S200000,05000,0100,N 427143,S200000,05100,0100,N 427143,S200000,05200,0100,N 427143,S200000,05300,0100,Y 427143,S200000,05300,0200,439100 427143,S200000,05400,0100,ELGSS 427143,S200000,05400,0200,NORIDIAN 427143,S200000,05400,0300,03001 427143,S200000,05500,0100,4800 WEST 57TH STREET 427143,S200000,05500,0200,5038 427143,S200000,05600,0100,SIOUX FALLS 427143,S200000,05600,0200,SD 427143,S200000,05600,0300,57117-5038 427144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427144,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427144,A000000,00300,0000,0300EMPLOYEE BENEFITS 427144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427144,A000000,00700,0000,0700HOUSEKEEPING 427144,A000000,00800,0000,0800DIETARY 427144,A000000,00801,0000,0801SHARED DIETARY SERVICES 427144,A000000,00900,0000,0900NURSING ADMINISTRATION 427144,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427144,A000000,01100,0000,1100PHARMACY 427144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427144,A000000,01201,0000,1201ACTIVITIES 427144,A000000,01300,0000,1300SOCIAL SERVICE 427144,A000000,01301,0000,1301SHARED SOCIAL SERVICES 427144,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427144,A000000,01500,0000,1350OTHER GENERAL SERVICES 427144,A000000,01600,0000,1600SKILLED NURSING FACILITY 427144,A000000,01800,0000,1800NURSING FACILITY 427144,A000000,01810,0000,1810ICF/MR 427144,A000000,01900,0000,1900OTHER LONG TERM CARE 427144,A000000,02100,0000,2100RADIOLOGY 427144,A000000,02200,0000,2200LABORATORY 427144,A000000,02300,0000,2300INTRAVENOUS THERAPY 427144,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427144,A000000,02500,0000,2500PHYSICAL THERAPY 427144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427144,A000000,02700,0000,2700SPEECH PATHOLOGY 427144,A000000,02800,0000,2800ELECTROCARDIOLOGY 427144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427144,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427144,A000000,03200,0000,3200SUPPORT SURFACES 427144,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427144,A000000,03400,0000,3400CLINIC 427144,A000000,03500,0000,3500RURAL HEALTH CLINIC 427144,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427144,A000000,04800,0000,4800AMBULANCE 427144,A000000,05000,0000,5000CORF 427144,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427144,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427144,A000000,05300,0000,5300INTEREST EXPENSE 427144,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427144,A000000,05500,0000,5500HOSPICE 427144,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427144,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427144,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427144,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427144,A000000,06100,0000,6100NONPAID WORKERS 427144,A000000,06200,0000,6200PATIENTS LAUNDRY 427144,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427144,A81000A,00100,0100,Y 427144,A81000B,00100,0300,ADMIN/ACCOUNTING 427144,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 427144,A81000B,00300,0300,HEALTH INSURANCE 427144,A81000B,00400,0300,WORKERS COMPENSATION 427144,A81000B,00500,0300,PROPERTY INSURANCE 427144,A81000B,00600,0300,LIABILITY INSURANCE 427144,A81000B,00700,0300,VEHICLE INSURANCE 427144,A81000C,00100,0100,B 427144,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 427144,A81000C,00100,0600,HEALTH CARE 427144,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427144,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427144,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427144,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427144,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427144,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427144,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 427144,B100000,00000,0800,0800MEALS SERVED :DIETARY 427144,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427144,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427144,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 427144,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 427144,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 427144,E10A180,00550,0300,02/24/12 427144,S000000,00100,0200,01/31/12 427144,S200000,00100,0100,130 SIXTH STREET 427144,S200000,00200,0100,SCOTLAND 427144,S200000,00200,0200,SD 427144,S200000,00200,0300,57059 427144,S200000,00300,0100,BON HOMME 427144,S200000,00300,0201,99943 427144,S200000,00300,0300,R 427144,S200000,00400,0100,GOOD SAMARITAN SOCIETY-SCOTLAND 427144,S200000,00400,0200,435095 427144,S200000,00400,0300,03/01/96 427144,S200000,00400,0500,P 427144,S200000,01500,0100,Y 427144,S200000,01501,0200,Y 427144,S200000,01502,0200,Y 427144,S200000,01504,0200,N 427144,S200000,01505,0000,HEALTH INSURANCE 427144,S200000,01505,0200,N 427144,S200000,01506,0000,PENSION 427144,S200000,01506,0200,N 427144,S200000,01600,0100,N 427144,S200000,01700,0100,N 427144,S200000,01800,0100,N 427144,S200000,02200,0100,N 427144,S200000,02800,0100,N 427144,S200000,02900,0100,N 427144,S200000,03000,0100,N 427144,S200000,03100,0100,N 427144,S200000,03200,0100,N 427144,S200000,03300,0100,N 427144,S200000,03300,0200,N 427144,S200000,04100,0100,N 427144,S200000,04200,0100,N 427144,S200000,04300,0100,N 427144,S200000,04600,0100,N 427144,S200000,04700,0100,N 427144,S200000,04700,0200,N 427144,S200000,04900,0100,N 427144,S200000,05000,0100,N 427144,S200000,05100,0100,N 427144,S200000,05200,0100,N 427144,S200000,05300,0100,Y 427144,S200000,05300,0200,439100 427144,S200000,05400,0100,ELGSS 427144,S200000,05400,0200,NORIDIAN 427144,S200000,05400,0300,03001 427144,S200000,05500,0100,4800 WEST 57TH STREET 427144,S200000,05500,0200,5038 427144,S200000,05600,0100,SIOUX FALLS 427144,S200000,05600,0200,SD 427144,S200000,05600,0300,57117-5038 427145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427145,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427145,A000000,00300,0000,0300EMPLOYEE BENEFITS 427145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427145,A000000,00700,0000,0700HOUSEKEEPING 427145,A000000,00800,0000,0800DIETARY 427145,A000000,00801,0000,0801SHARED DIETARY SERVICES 427145,A000000,00900,0000,0900NURSING ADMINISTRATION 427145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427145,A000000,01100,0000,1100PHARMACY 427145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427145,A000000,01201,0000,1201ACTIVITIES 427145,A000000,01300,0000,1300SOCIAL SERVICE 427145,A000000,01301,0000,1301SHARED SOCIAL SERVICES 427145,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427145,A000000,01500,0000,1350OTHER GENERAL SERVICES 427145,A000000,01600,0000,1600SKILLED NURSING FACILITY 427145,A000000,01800,0000,1800NURSING FACILITY 427145,A000000,01810,0000,1810ICF/MR 427145,A000000,01900,0000,1900OTHER LONG TERM CARE 427145,A000000,02100,0000,2100RADIOLOGY 427145,A000000,02200,0000,2200LABORATORY 427145,A000000,02300,0000,2300INTRAVENOUS THERAPY 427145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427145,A000000,02500,0000,2500PHYSICAL THERAPY 427145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427145,A000000,02700,0000,2700SPEECH PATHOLOGY 427145,A000000,02800,0000,2800ELECTROCARDIOLOGY 427145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427145,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427145,A000000,03200,0000,3200SUPPORT SURFACES 427145,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427145,A000000,03400,0000,3400CLINIC 427145,A000000,03500,0000,3500RURAL HEALTH CLINIC 427145,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427145,A000000,05000,0000,5000CORF 427145,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427145,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427145,A000000,05300,0000,5300INTEREST EXPENSE 427145,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427145,A000000,05500,0000,5500HOSPICE 427145,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427145,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427145,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427145,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427145,A000000,06100,0000,6100NONPAID WORKERS 427145,A000000,06200,0000,6200PATIENTS LAUNDRY 427145,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427145,A81000A,00100,0100,Y 427145,A81000B,00100,0300,ADMIN/ACCOUNTING 427145,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 427145,A81000B,00300,0300,HEALTH INSURANCE 427145,A81000B,00400,0300,WORKERS COMP 427145,A81000B,00500,0300,PROPERTY INSURANCE 427145,A81000B,00600,0300,LIABILITY INSURANCE 427145,A81000B,00700,0300,VEHICLE INSURANCE 427145,A81000C,00100,0100,B 427145,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 427145,A81000C,00100,0600,HEALTH CARE 427145,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427145,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427145,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427145,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427145,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427145,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427145,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 427145,B100000,00000,0800,0800MEALS SERVED :DIETARY 427145,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427145,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427145,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 427145,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 427145,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 427145,E10A180,00550,0300,02/24/12 427145,S000000,00100,0200,01/31/12 427145,S200000,00100,0100,412 S MADISON 427145,S200000,00100,0300,327 427145,S200000,00200,0100,NEW UNDERWOOD 427145,S200000,00200,0200,SD 427145,S200000,00200,0300,57761-0327 427145,S200000,00300,0100,PENNINGTON 427145,S200000,00300,0200,6660 427145,S200000,00300,0201,39660 427145,S200000,00300,0300,U 427145,S200000,00400,0100,GOOD SAMARITAN SOCIETY-NEW UNDERWOOD 427145,S200000,00400,0200,435104 427145,S200000,00400,0300,07/11/97 427145,S200000,00400,0500,P 427145,S200000,01500,0100,Y 427145,S200000,01501,0200,Y 427145,S200000,01502,0200,N 427145,S200000,01504,0200,N 427145,S200000,01505,0000,HEALTH INSURANCE 427145,S200000,01505,0200,N 427145,S200000,01506,0000,PENSION 427145,S200000,01506,0200,Y 427145,S200000,01600,0100,N 427145,S200000,01700,0100,N 427145,S200000,01800,0100,N 427145,S200000,02200,0100,N 427145,S200000,02800,0100,N 427145,S200000,02900,0100,N 427145,S200000,03000,0100,N 427145,S200000,03100,0100,N 427145,S200000,03200,0100,N 427145,S200000,03300,0100,N 427145,S200000,03300,0200,N 427145,S200000,04100,0100,N 427145,S200000,04200,0100,N 427145,S200000,04300,0100,N 427145,S200000,04600,0100,N 427145,S200000,04700,0100,N 427145,S200000,04700,0200,N 427145,S200000,04900,0100,N 427145,S200000,05000,0100,N 427145,S200000,05100,0100,N 427145,S200000,05200,0100,N 427145,S200000,05300,0100,Y 427145,S200000,05300,0200,439100 427145,S200000,05400,0100,ELGSS 427145,S200000,05400,0200,NORIDIAN 427145,S200000,05400,0300,03001 427145,S200000,05500,0100,4800 WEST 57TH STREET 427145,S200000,05500,0200,5038 427145,S200000,05600,0100,SIOUX FALLS 427145,S200000,05600,0200,SD 427145,S200000,05600,0300,57117-5038 427167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427167,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427167,A000000,00300,0000,0300EMPLOYEE BENEFITS 427167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427167,A000000,00700,0000,0700HOUSEKEEPING 427167,A000000,00800,0000,0800DIETARY 427167,A000000,00900,0000,0900NURSING ADMINISTRATION 427167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427167,A000000,01300,0000,1300SOCIAL SERVICE 427167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427167,A000000,01500,0000,1350OTHER GENERAL SERVICES 427167,A000000,01600,0000,1600SKILLED NURSING FACILITY 427167,A000000,01800,0000,1800NURSING FACILITY 427167,A000000,01810,0000,1810ICF/MR 427167,A000000,01900,0000,1900OTHER LONG TERM CARE 427167,A000000,02100,0000,2100RADIOLOGY 427167,A000000,02200,0000,2200LABORATORY 427167,A000000,02300,0000,2300INTRAVENOUS THERAPY 427167,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427167,A000000,02500,0000,2500PHYSICAL THERAPY 427167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427167,A000000,02700,0000,2700SPEECH PATHOLOGY 427167,A000000,02800,0000,2800ELECTROCARDIOLOGY 427167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427167,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427167,A000000,03200,0000,3200SUPPORT SURFACES 427167,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427167,A000000,03400,0000,3400CLINIC 427167,A000000,03500,0000,3500RURAL HEALTH CLINIC 427167,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427167,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427167,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427167,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427167,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427167,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427167,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427167,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427167,A000000,04400,0000,4400DME RENTED - HHA 427167,A000000,04500,0000,4500DME SOLD - HHA 427167,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427167,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427167,A000000,04710,0000,4710TELEMEDICINE 427167,A000000,04800,0000,4800AMBULANCE 427167,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427167,A000000,05000,0000,5000CORF 427167,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427167,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427167,A000000,05300,0000,5300INTEREST EXPENSE 427167,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427167,A000000,05500,0000,5500HOSPICE 427167,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427167,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427167,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427167,A000000,06100,0000,6100NONPAID WORKERS 427167,A000000,06200,0000,6200PATIENTS LAUNDRY 427167,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427167,A81000A,00100,0100,Y 427167,A81000B,00100,0300,HOME OFFICE COSTS 427167,A81000B,00200,0300,HOME OFFICE COSTS 427167,A81000B,00300,0300,HOME OFFICE COSTS 427167,A81000B,00400,0300,FACILITY LEASE 427167,A81000B,00500,0300,WORKERS COMP INS 427167,A81000B,00600,0300,LIABILITY INSURANCE 427167,A81000B,00700,0300,INTEREST 427167,A81000C,00100,0100,A 427167,A81000C,00100,0200,JAMES J GIARDINA 427167,A81000C,00100,0400,COMMUNITY CARE CTRS INC 427167,A81000C,00100,0600,NURSING HOME MGMT 427167,A81000C,00200,0100,A 427167,A81000C,00200,0200,JAMES J GIARDINA 427167,A81000C,00200,0600,INDIVIDUAL 427167,A81000C,00300,0100,A 427167,A81000C,00300,0200,JAMES J GIARDINA 427167,A81000C,00300,0400,RISA 427167,A81000C,00300,0600,WORKERS COMP INS 427167,A81000C,00400,0100,A 427167,A81000C,00400,0200,JAMES J GIARDINA 427167,A81000C,00400,0400,RISA 427167,A81000C,00400,0600,LIABILITY INSURANCE 427167,A81000C,00500,0100,A 427167,A81000C,00500,0200,JAMES J GIARDINA 427167,A81000C,00500,0600,INDIVIDUAL 427167,A81000C,00600,0100,D 427167,A81000C,00600,0200,CHRISTINA GIARDINA 427167,A81000C,00600,0400,BJB INDUSTRIES INC. 427167,A81000C,00600,0600,LEASEHOLD IMPROVEMENTS 427167,A81000C,00700,0100,D 427167,A81000C,00700,0200,MELISSA GIARDINA 427167,A81000C,00700,0400,BJB INDUSTRIES INC. 427167,A81000C,00700,0600,LEASEHOLD IMPROVEMENTS 427167,A81000C,00800,0100,D 427167,A81000C,00800,0200,JENNIFER GIARDINA 427167,A81000C,00800,0400,BJB INDUSTRIES INC. 427167,A81000C,00800,0600,LEASEHOLD IMPROVEMENTS 427167,A81000C,00900,0100,D 427167,A81000C,00900,0200,GINA GIARDINA 427167,A81000C,00900,0400,BJB INDUSTRIES INC. 427167,A81000C,00900,0600,LEASEHOLD IMPROVEMENTS 427167,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427167,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427167,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427167,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427167,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427167,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427167,B100000,00000,0800,0800MEALS SERVED :DIETARY 427167,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427167,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427167,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427167,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427167,G300000,02500,0000,OTHER INCOME 427167,S000000,00100,0200,02/21/12 427167,S200000,00100,0100,1425 SOUTH LANDRUM 427167,S200000,00200,0100,MT VERNON 427167,S200000,00200,0200,MO 427167,S200000,00200,0300,65712 427167,S200000,00300,0100,LAWRENCE 427167,S200000,00300,0200,26 427167,S200000,00300,0201,99926 427167,S200000,00300,0300,R 427167,S200000,00400,0100,MT VERNON PLACE CARE CENTER 427167,S200000,00400,0200,265452 427167,S200000,00400,0300,05/03/91 427167,S200000,00400,0500,P 427167,S200000,01500,0100,Y 427167,S200000,01501,0200,N 427167,S200000,01502,0200,N 427167,S200000,01503,0200,N 427167,S200000,01504,0200,Y 427167,S200000,01600,0100,N 427167,S200000,01700,0100,N 427167,S200000,01800,0100,N 427167,S200000,02200,0100,N 427167,S200000,02800,0100,Y 427167,S200000,02900,0100,N 427167,S200000,03000,0100,N 427167,S200000,03100,0100,N 427167,S200000,03200,0100,N 427167,S200000,03300,0100,N 427167,S200000,03300,0200,N 427167,S200000,04100,0100,N 427167,S200000,04200,0100,N 427167,S200000,04300,0100,N 427167,S200000,04600,0100,N 427167,S200000,04700,0100,N 427167,S200000,04700,0200,N 427167,S200000,04900,0100,N 427167,S200000,05000,0100,N 427167,S200000,05100,0100,N 427167,S200000,05200,0100,N 427167,S200000,05300,0100,Y 427167,S200000,05300,0200,H6957 427167,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427167,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427167,S200000,05400,0300, 05301 427167,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427167,S200000,05600,0100,BALLWIN 427167,S200000,05600,0200,MO 427167,S200000,05600,0300,63021-2100 427168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427168,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427168,A000000,00300,0000,0300EMPLOYEE BENEFITS 427168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427168,A000000,00700,0000,0700HOUSEKEEPING 427168,A000000,00800,0000,0800DIETARY 427168,A000000,00900,0000,0900NURSING ADMINISTRATION 427168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427168,A000000,01100,0000,1100PHARMACY 427168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427168,A000000,01300,0000,1300SOCIAL SERVICE 427168,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427168,A000000,01500,0000,1350OTHER GENERAL SERVICES 427168,A000000,01600,0000,1600SKILLED NURSING FACILITY 427168,A000000,01800,0000,1800NURSING FACILITY 427168,A000000,01810,0000,1810ICF/MR 427168,A000000,01900,0000,1900OTHER LONG TERM CARE 427168,A000000,02100,0000,2100RADIOLOGY 427168,A000000,02200,0000,2200LABORATORY 427168,A000000,02300,0000,2300INTRAVENOUS THERAPY 427168,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427168,A000000,02500,0000,2500PHYSICAL THERAPY 427168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427168,A000000,02700,0000,2700SPEECH PATHOLOGY 427168,A000000,02800,0000,2800ELECTROCARDIOLOGY 427168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427168,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427168,A000000,03200,0000,3200SUPPORT SURFACES 427168,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427168,A000000,03400,0000,3400CLINIC 427168,A000000,03500,0000,3500RURAL HEALTH CLINIC 427168,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427168,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427168,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427168,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427168,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427168,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427168,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427168,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427168,A000000,04400,0000,4400DME RENTED - HHA 427168,A000000,04500,0000,4500DME SOLD - HHA 427168,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427168,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427168,A000000,04710,0000,4710TELEMEDICINE 427168,A000000,04800,0000,4800AMBULANCE 427168,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427168,A000000,05000,0000,5000CORF 427168,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427168,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427168,A000000,05300,0000,5300INTEREST EXPENSE 427168,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427168,A000000,05500,0000,5500HOSPICE 427168,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427168,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427168,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427168,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427168,A000000,06100,0000,6100NONPAID WORKERS 427168,A000000,06200,0000,6200PATIENTS LAUNDRY 427168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427168,A81000A,00100,0100,Y 427168,A81000B,00100,0300,PT 427168,A81000B,00200,0300,OT 427168,A81000B,00300,0300,ST 427168,A81000B,00400,0300,CAPITAL 427168,A81000B,00500,0300,MGT FEES 427168,A81000B,00600,0300,ADMIN SALARIES 427168,A81000B,00700,0300,PLANT 427168,A81000B,00800,0300,CONSULTANT 427168,A81000B,00900,0300,CONSULTANT 427168,A81000B,01000,0300,SUPPLIES 427168,A81000B,01100,0300,SUPPLIES 427168,A81000B,01200,0300,SUPPLIES 427168,A81000B,01300,0300,SUPPLIES 427168,A81000B,01400,0300,SUPPLIES 427168,A81000B,01500,0300,SUPPLIES 427168,A81000B,01600,0300,SUPPLIES 427168,A81000B,01700,0300,SUPPLIES 427168,A81000B,01800,0300,SUPPLIES 427168,A81000B,01900,0300,SUPPLIES 427168,A81000B,02000,0300,X-RAY 427168,A81000B,02100,0300,LAB 427168,A81000B,02200,0300,ST 427168,A81000B,02300,0300,STOCK DRUGS 427168,A81000B,02400,0300,PRESCRIPTIONS 427168,A81000B,02500,0300,CAPITAL 427168,A81000B,02600,0300,A&G 427168,A81000C,00100,0100,G 427168,A81000C,00100,0200,INTEGRA REHAB 427168,A81000C,00200,0100,G 427168,A81000C,00200,0200,INTEGRA REHAB 427168,A81000C,00300,0100,G 427168,A81000C,00300,0200,INTEGRA REHAB 427168,A81000C,00400,0100,G 427168,A81000C,00400,0200,CLINICAL SERVICES INC 427168,A81000C,00500,0100,G 427168,A81000C,00500,0200,CLINICAL SERVICES INC 427168,A81000C,00600,0100,G 427168,A81000C,00600,0200,CLINICAL SERVICES INC 427168,A81000C,00700,0100,G 427168,A81000C,00700,0200,CLINICAL SERVICES INC 427168,A81000C,00800,0100,G 427168,A81000C,00800,0200,CLINICAL SERVICES INC 427168,A81000C,00900,0100,G 427168,A81000C,00900,0200,ECP DSTRIBUTORS INC 427168,A81000C,01000,0100,G 427168,A81000C,01000,0200,ECP DSTRIBUTORS INC 427168,A81000C,01001,0100,G 427168,A81000C,01001,0200,ECP DSTRIBUTORS INC 427168,A81000C,01002,0100,G 427168,A81000C,01002,0200,ECP DSTRIBUTORS INC 427168,A81000C,01003,0100,G 427168,A81000C,01003,0200,ECP DSTRIBUTORS INC 427168,A81000C,01004,0100,G 427168,A81000C,01004,0200,ECP DSTRIBUTORS INC 427168,A81000C,01005,0100,G 427168,A81000C,01005,0200,ECP DSTRIBUTORS INC 427168,A81000C,01006,0100,G 427168,A81000C,01006,0200,ECP DSTRIBUTORS INC 427168,A81000C,01007,0100,G 427168,A81000C,01007,0200,ECP DSTRIBUTORS INC 427168,A81000C,01008,0100,G 427168,A81000C,01008,0200,HAMILTON MEDICAL CENTER 427168,A81000C,01009,0100,G 427168,A81000C,01009,0200,HAMILTON MEDICAL CENTER 427168,A81000C,01010,0100,G 427168,A81000C,01010,0200,HAMILTON MEDICAL CENTER 427168,A81000C,01011,0100,G 427168,A81000C,01011,0200,HAMILTON PHARMACY 427168,A81000C,01012,0100,G 427168,A81000C,01012,0200,HAMILTON PHARMACY 427168,A81000C,01013,0100,G 427168,A81000C,01013,0200,HLTC INC 427168,A81000C,01014,0100,G 427168,A81000C,01014,0200,HLTC INC 427168,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427168,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427168,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427168,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427168,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427168,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427168,B100000,00000,0800,0800MEALS SERVED :DIETARY 427168,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427168,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427168,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427168,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427168,E10A180,00301,0100,09/30/11 427168,S000000,00100,0200,02/28/12 427168,S200000,00100,0100,1110 BURLEYSON DRIVE 427168,S200000,00200,0100,DALTON 427168,S200000,00200,0200,GA 427168,S200000,00200,0300,30720 427168,S200000,00300,0100,WHITFIELD 427168,S200000,00300,0200,0011 427168,S200000,00300,0201,19140 427168,S200000,00300,0300,U 427168,S200000,00400,0100,REGENCY PARK HEALTH & REHABILITATION 427168,S200000,00400,0200,115663 427168,S200000,00400,0300,07/09/99 427168,S200000,00400,0500,P 427168,S200000,01500,0100,Y 427168,S200000,01501,0200,Y 427168,S200000,01600,0100,N 427168,S200000,01700,0100,N 427168,S200000,01800,0100,N 427168,S200000,02200,0100,N 427168,S200000,02800,0100,N 427168,S200000,02900,0100,N 427168,S200000,03000,0100,N 427168,S200000,03100,0100,N 427168,S200000,03200,0100,N 427168,S200000,03300,0100,N 427168,S200000,03300,0200,N 427168,S200000,04100,0100,N 427168,S200000,04200,0100,N 427168,S200000,04300,0100,N 427168,S200000,04600,0100,N 427168,S200000,04700,0100,N 427168,S200000,04700,0200,N 427168,S200000,04900,0100,N 427168,S200000,05000,0100,N 427168,S200000,05100,0100,N 427168,S200000,05200,0100,N 427171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427171,A000000,00300,0000,0300EMPLOYEE BENEFITS 427171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427171,A000000,00700,0000,0700HOUSEKEEPING 427171,A000000,00800,0000,0800DIETARY 427171,A000000,00900,0000,0900NURSING ADMINISTRATION 427171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427171,A000000,01300,0000,1300SOCIAL SERVICE 427171,A000000,01600,0000,1600SKILLED NURSING FACILITY 427171,A000000,01900,0000,1900OTHER LONG TERM CARE 427171,A000000,02200,0000,2200LABORATORY 427171,A000000,02500,0000,2500PHYSICAL THERAPY 427171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427171,A000000,02700,0000,2700SPEECH PATHOLOGY 427171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427171,A81000A,00100,0100,N 427171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427171,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427171,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427171,B100000,00000,0800,0800MEALS SERVED :DIETARY 427171,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427171,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427171,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427171,G300000,02500,0000,MISCELLANEOUS 427171,G300000,02501,0000,TRANSPORTATION 427171,S000000,00100,0200,02/29/12 427171,S200000,00100,0100,424 HARRISON 427171,S200000,00200,0100,BEEMER 427171,S200000,00200,0200,NE 427171,S200000,00200,0300,68716 427171,S200000,00300,0100,CUMING 427171,S200000,00300,0201,99928 427171,S200000,00300,0300,R 427171,S200000,00400,0100,COLONIAL HAVEN 427171,S200000,00400,0200,285204 427171,S200000,00400,0300,01/01/97 427171,S200000,00400,0500,P 427171,S200000,01500,0100,Y 427171,S200000,01501,0200,N 427171,S200000,01502,0200,N 427171,S200000,01503,0200,N 427171,S200000,01504,0200,N 427171,S200000,01600,0100,N 427171,S200000,01700,0100,N 427171,S200000,01800,0100,N 427171,S200000,02200,0100,N 427171,S200000,02800,0100,Y 427171,S200000,02900,0100,N 427171,S200000,03000,0100,N 427171,S200000,03100,0100,N 427171,S200000,03200,0100,N 427171,S200000,03300,0100,N 427171,S200000,03300,0200,N 427171,S200000,04100,0100,N 427171,S200000,04200,0100,N 427171,S200000,04300,0100,N 427171,S200000,04600,0100,N 427171,S200000,04700,0100,N 427171,S200000,04700,0200,N 427171,S200000,04900,0100,N 427171,S200000,05000,0100,N 427171,S200000,05100,0100,N 427171,S200000,05200,0100,N 427171,S200000,05300,0100,N 427172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427172,A000000,00300,0000,0300EMPLOYEE BENEFITS 427172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427172,A000000,00700,0000,0700HOUSEKEEPING 427172,A000000,00800,0000,0800DIETARY 427172,A000000,01300,0000,1300SOCIAL SERVICE 427172,A000000,01600,0000,1600SKILLED NURSING FACILITY 427172,A000000,01900,0000,1900OTHER LONG TERM CARE 427172,A000000,02100,0000,2100RADIOLOGY 427172,A000000,02200,0000,2200LABORATORY 427172,A000000,02500,0000,2500PHYSICAL THERAPY 427172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427172,A000000,02700,0000,2700SPEECH PATHOLOGY 427172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427172,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427172,A000000,05300,0000,5300INTEREST EXPENSE 427172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427172,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427172,A81000A,00100,0100,N 427172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427172,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427172,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427172,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427172,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427172,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427172,S000000,00100,0200,02/24/12 427172,S200000,00100,0100,410 WEST 5TH STREET 427172,S200000,00200,0100,LOUISVILLE 427172,S200000,00200,0200,NE 427172,S200000,00200,0300,68037-6006 427172,S200000,00300,0100,CASS 427172,S200000,00300,0200,5920 427172,S200000,00300,0201,36540 427172,S200000,00300,0300,U 427172,S200000,00400,0100,LOUISVILLE CARE CENTER 427172,S200000,00400,0200,285267 427172,S200000,00400,0300,05/01/05 427172,S200000,00400,0500,P 427172,S200000,01500,0100,Y 427172,S200000,01501,0200,N 427172,S200000,01600,0100,N 427172,S200000,01700,0100,N 427172,S200000,01800,0100,N 427172,S200000,02200,0100,Y 427172,S200000,02800,0100,Y 427172,S200000,02900,0100,N 427172,S200000,03000,0100,N 427172,S200000,03100,0100,N 427172,S200000,03200,0100,N 427172,S200000,03300,0100,N 427172,S200000,03300,0200,N 427172,S200000,04100,0100,N 427172,S200000,04200,0100,N 427172,S200000,04300,0100,N 427172,S200000,04600,0100,N 427172,S200000,04700,0100,N 427172,S200000,04700,0200,N 427172,S200000,04900,0100,N 427172,S200000,05000,0100,N 427172,S200000,05100,0100,N 427172,S200000,05200,0100,N 427178,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427178,A000000,00300,0000,0300EMPLOYEE BENEFITS 427178,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427178,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427178,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427178,A000000,00700,0000,0700HOUSEKEEPING 427178,A000000,00800,0000,0800DIETARY 427178,A000000,00900,0000,0900NURSING ADMINISTRATION 427178,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427178,A000000,01100,0000,1100PHARMACY 427178,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427178,A000000,01300,0000,1300SOCIAL SERVICE 427178,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427178,A000000,01500,0000,1351OTHER GENERAL SERVICE COST CENTE 427178,A000000,01600,0000,1600SKILLED NURSING FACILITY 427178,A000000,01800,0000,1800NURSING FACILITY 427178,A000000,01810,0000,1810ICF/MR 427178,A000000,01900,0000,1900OTHER LONG TERM CARE 427178,A000000,02100,0000,2100RADIOLOGY 427178,A000000,02200,0000,2200LABORATORY 427178,A000000,02300,0000,2300INTRAVENOUS THERAPY 427178,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427178,A000000,02500,0000,2500PHYSICAL THERAPY 427178,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427178,A000000,02700,0000,2700SPEECH PATHOLOGY 427178,A000000,02800,0000,2800ELECTROCARDIOLOGY 427178,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427178,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427178,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427178,A000000,03200,0000,3200SUPPORT SURFACES 427178,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427178,A000000,03400,0000,3400CLINIC 427178,A000000,03500,0000,3500RURAL HEALTH CLINIC 427178,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427178,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427178,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427178,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427178,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427178,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427178,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427178,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427178,A000000,04400,0000,4400DME RENTED - HHA 427178,A000000,04500,0000,4500DME SOLD - HHA 427178,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427178,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427178,A000000,04710,0000,4710TELEMEDICINE 427178,A000000,04800,0000,4800AMBULANCE 427178,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427178,A000000,05000,0000,5000CORF 427178,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427178,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427178,A000000,05300,0000,5300INTEREST EXPENSE 427178,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427178,A000000,05500,0000,5500HOSPICE 427178,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427178,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427178,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427178,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427178,A000000,06100,0000,6100NONPAID WORKERS 427178,A000000,06200,0000,6200PATIENTS LAUNDRY 427178,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427178,A81000A,00100,0100,Y 427178,A81000B,00100,0300,MAINTENACE OF EFFORT 427178,A81000C,00100,0100,B 427178,A81000C,00100,0200,HOUGHTON COUNTY OF MICH 427178,A81000C,00100,0400,HOUGHTON COUNTY OF MICH 427178,A81000C,00100,0600,COUNTY 427178,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427178,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427178,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427178,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427178,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427178,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427178,B100000,00000,0800,0800MEALS SERVED :DIETARY 427178,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427178,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427178,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427178,B100000,00000,1500,1351TIME SPENT :OTHER GENERAL SERVI 427178,G300000,02500,0000,OTHER (SPECIFY) 427178,S000000,00100,0200,02/27/12 427178,S200000,00100,0100,1100 QUINCY STREET 427178,S200000,00200,0100,HANCOCK 427178,S200000,00200,0200,MI 427178,S200000,00200,0300,49330 427178,S200000,00300,0100,HOUGHTON 427178,S200000,00300,0201,99923 427178,S200000,00300,0300,R 427178,S200000,00400,0100,HOUGHTON COUNTY MCF 427178,S200000,00400,0200,235031 427178,S200000,00400,0300,10/01/66 427178,S200000,00400,0500,P 427178,S200000,01500,0100,Y 427178,S200000,01501,0200,Y 427178,S200000,01600,0100,N 427178,S200000,01700,0100,N 427178,S200000,01800,0100,N 427178,S200000,02200,0100,N 427178,S200000,02800,0100,N 427178,S200000,02900,0100,N 427178,S200000,03000,0100,N 427178,S200000,03100,0100,N 427178,S200000,03200,0100,N 427178,S200000,03300,0100,N 427178,S200000,03300,0200,N 427178,S200000,04100,0100,N 427178,S200000,04200,0100,N 427178,S200000,04300,0100,N 427178,S200000,04600,0100,N 427178,S200000,04700,0100,N 427178,S200000,04700,0200,N 427178,S200000,04900,0100,N 427178,S200000,05000,0100,N 427178,S200000,05100,0100,N 427178,S200000,05200,0100,N 427180,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427180,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427180,A000000,00300,0000,0300EMPLOYEE BENEFITS 427180,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427180,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427180,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427180,A000000,00700,0000,0700HOUSEKEEPING 427180,A000000,00800,0000,0800DIETARY 427180,A000000,00801,0000,0801SHARED DIETARY SERVICES 427180,A000000,00900,0000,0900NURSING ADMINISTRATION 427180,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427180,A000000,01100,0000,1100PHARMACY 427180,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427180,A000000,01201,0000,1201ACTIVITIES 427180,A000000,01300,0000,1300SOCIAL SERVICE 427180,A000000,01301,0000,1301SHARED SOCIAL SERVICES 427180,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427180,A000000,01500,0000,1350OTHER GENERAL SERVICES 427180,A000000,01600,0000,1600SKILLED NURSING FACILITY 427180,A000000,01800,0000,1800NURSING FACILITY 427180,A000000,01810,0000,1810ICF/MR 427180,A000000,01900,0000,1900OTHER LONG TERM CARE 427180,A000000,02100,0000,2100RADIOLOGY 427180,A000000,02200,0000,2200LABORATORY 427180,A000000,02300,0000,2300INTRAVENOUS THERAPY 427180,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427180,A000000,02500,0000,2500PHYSICAL THERAPY 427180,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427180,A000000,02700,0000,2700SPEECH PATHOLOGY 427180,A000000,02800,0000,2800ELECTROCARDIOLOGY 427180,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427180,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427180,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427180,A000000,03200,0000,3200SUPPORT SURFACES 427180,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427180,A000000,03400,0000,3400CLINIC 427180,A000000,03500,0000,3500RURAL HEALTH CLINIC 427180,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427180,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427180,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427180,A000000,05300,0000,5300INTEREST EXPENSE 427180,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427180,A000000,05500,0000,5500HOSPICE 427180,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427180,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427180,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427180,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427180,A000000,06100,0000,6100NONPAID WORKERS 427180,A000000,06200,0000,6200PATIENTS LAUNDRY 427180,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427180,A81000A,00100,0100,Y 427180,A81000B,00100,0300,ADMIN/ACCOUNTING 427180,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 427180,A81000B,00300,0300,HEALTH INSURANCE 427180,A81000B,00400,0300,WORKERS COMP 427180,A81000B,00500,0300,PROPERTY INSURANCE 427180,A81000B,00600,0300,LIABILITY INSURANCE 427180,A81000B,00700,0300,VEHICLE INSURANCE 427180,A81000B,00800,0300,NURSING EDUCATION 427180,A81000C,00100,0100,B 427180,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 427180,A81000C,00100,0600,HEALTH CARE 427180,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427180,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427180,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427180,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427180,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427180,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427180,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 427180,B100000,00000,0800,0800MEALS SERVED :DIETARY 427180,B100000,00000,0801,0801MEALS SERVED :SHARED DIETARY SE 427180,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427180,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427180,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 427180,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 427180,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427180,B100000,00000,1301,1301TIME SPENT :SHARED SOCIAL SERVI 427180,S000000,00100,0200,01/31/12 427180,S200000,00100,0100,1022 N DAKOTA STREET 427180,S200000,00200,0100,CANTON 427180,S200000,00200,0200,SD 427180,S200000,00200,0300,57013-1004 427180,S200000,00300,0100,LINCOLN 427180,S200000,00300,0200,7760 427180,S200000,00300,0201,43620 427180,S200000,00300,0300,U 427180,S200000,00400,0100,GOOD SAMARITAN SOCIETY-CANTON 427180,S200000,00400,0200,435101 427180,S200000,00400,0300,04/01/97 427180,S200000,00400,0500,P 427180,S200000,01500,0100,Y 427180,S200000,01501,0200,Y 427180,S200000,01504,0200,Y 427180,S200000,01505,0000,HEALTH INSURANCE 427180,S200000,01505,0200,Y 427180,S200000,01506,0000,PENSION 427180,S200000,01506,0200,Y 427180,S200000,01600,0100,N 427180,S200000,01700,0100,N 427180,S200000,01800,0100,N 427180,S200000,02200,0100,N 427180,S200000,02800,0100,N 427180,S200000,02900,0100,N 427180,S200000,03000,0100,N 427180,S200000,03100,0100,N 427180,S200000,03200,0100,N 427180,S200000,03300,0100,N 427180,S200000,03300,0200,N 427180,S200000,04100,0100,N 427180,S200000,04200,0100,N 427180,S200000,04300,0100,N 427180,S200000,04600,0100,N 427180,S200000,04700,0100,N 427180,S200000,04700,0200,N 427180,S200000,04900,0100,N 427180,S200000,05000,0100,N 427180,S200000,05100,0100,N 427180,S200000,05200,0100,N 427180,S200000,05300,0100,Y 427180,S200000,05300,0200,439100 427180,S200000,05400,0100,ELGSS 427180,S200000,05400,0200,NORIDIAN 427180,S200000,05400,0300,03001 427180,S200000,05500,0100,4800 WEST 57TH STREET 427180,S200000,05500,0200,5038 427180,S200000,05600,0100,SIOUX FALLS 427180,S200000,05600,0200,SD 427180,S200000,05600,0300,57117 427181,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427181,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427181,A000000,00300,0000,0300EMPLOYEE BENEFITS 427181,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427181,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427181,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427181,A000000,00700,0000,0700HOUSEKEEPING 427181,A000000,00800,0000,0800DIETARY 427181,A000000,00900,0000,0900NURSING ADMINISTRATION 427181,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427181,A000000,01100,0000,1100PHARMACY 427181,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427181,A000000,01300,0000,1300SOCIAL SERVICE 427181,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427181,A000000,01500,0000,1350OTHER GENERAL SERVICES 427181,A000000,01600,0000,1600SKILLED NURSING FACILITY 427181,A000000,01800,0000,1800NURSING FACILITY 427181,A000000,01900,0000,1900OTHER LONG TERM CARE 427181,A000000,02100,0000,2100RADIOLOGY 427181,A000000,02200,0000,2200LABORATORY 427181,A000000,02300,0000,2300INTRAVENOUS THERAPY 427181,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427181,A000000,02500,0000,2500PHYSICAL THERAPY 427181,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427181,A000000,02700,0000,2700SPEECH PATHOLOGY 427181,A000000,02800,0000,2800ELECTROCARDIOLOGY 427181,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427181,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427181,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427181,A000000,03200,0000,3200SUPPORT SURFACES 427181,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427181,A000000,03400,0000,3400CLINIC 427181,A000000,03500,0000,3500RURAL HEALTH CLINIC 427181,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427181,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427181,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427181,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427181,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427181,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427181,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427181,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427181,A000000,04400,0000,4400DME RENTED - HHA 427181,A000000,04500,0000,4500DME SOLD - HHA 427181,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427181,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427181,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427181,A000000,05000,0000,5000CORF 427181,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427181,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427181,A000000,05300,0000,5300INTEREST EXPENSE 427181,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427181,A000000,05500,0000,5500HOSPICE 427181,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427181,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427181,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427181,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427181,A000000,06100,0000,6100NONPAID WORKERS 427181,A000000,06200,0000,6200PATIENTS LAUNDRY 427181,A000000,06300,0000,6150ACLF/ RESIDENTIAL LIVING 427181,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 427181,A81000A,00100,0100,Y 427181,A81000B,00100,0300,HOME OFFICE CAPITAL 427181,A81000B,00200,0300,HOME OFFICE ADMIN - SNF 427181,A81000B,00300,0300,HOME OFFICE - ACLF 427181,A81000C,00100,0100,B 427181,A81000C,00100,0200,RETIREMENT HOUSING 427181,A81000C,00200,0200,FOUNDATION INC. 427181,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427181,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427181,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427181,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427181,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427181,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427181,B100000,00000,0800,0800MEALS SERVED :DIETARY 427181,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 427181,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427181,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427181,G300000,02500,0000,REV. - SUPPORT SERVICE 427181,G300000,02501,0000,REV. - MISCELLANEOUS 427181,G300000,02502,0000,REV. - ACTIVITIES 427181,G300000,02503,0000,REV. - BARBER & BEAUTY 427181,G300000,02504,0000,REV. - TRANSPORTATION 427181,S000000,00100,0200,03/01/12 427181,S200000,00100,0100,900 LPGA BLVD 427181,S200000,00200,0100,HOLLY HILL 427181,S200000,00200,0200,FL 427181,S200000,00200,0300,32117 427181,S200000,00300,0100,VOLUSIA 427181,S200000,00300,0200,2020 427181,S200000,00300,0201,19660 427181,S200000,00300,0300,U 427181,S200000,00400,0100,BISHOP S GLEN HEALTH CARE 427181,S200000,00400,0200,105526 427181,S200000,00400,0300,12/28/86 427181,S200000,00400,0500,P 427181,S200000,00400,0600,O 427181,S200000,01500,0100,Y 427181,S200000,01501,0200,Y 427181,S200000,01502,0200,Y 427181,S200000,01503,0200,Y 427181,S200000,01504,0200,Y 427181,S200000,01600,0100,N 427181,S200000,01700,0100,N 427181,S200000,01800,0100,N 427181,S200000,02200,0100,N 427181,S200000,02800,0100,N 427181,S200000,02900,0100,N 427181,S200000,03000,0100,N 427181,S200000,03100,0100,N 427181,S200000,03200,0100,N 427181,S200000,03300,0100,N 427181,S200000,03300,0200,N 427181,S200000,04100,0100,N 427181,S200000,04200,0100,N 427181,S200000,04300,0100,N 427181,S200000,04600,0100,N 427181,S200000,04700,0100,N 427181,S200000,04700,0200,N 427181,S200000,04900,0100,N 427181,S200000,05000,0100,N 427181,S200000,05100,0100,N 427181,S200000,05200,0100,N 427181,S200000,05300,0100,Y 427181,S200000,05300,0200,559008 427181,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 427181,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427181,S200000,05400,0300,52280 427181,S200000,05500,0100,911 NORTH STUDEBAKER ROAD 427181,S200000,05600,0100,LONG BEACH 427181,S200000,05600,0200,CA 427181,S200000,05600,0300,90815 427182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427182,A000000,00300,0000,0300EMPLOYEE BENEFITS 427182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427182,A000000,00700,0000,0700HOUSEKEEPING 427182,A000000,00800,0000,0800DIETARY 427182,A000000,00900,0000,0900NURSING ADMINISTRATION 427182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427182,A000000,01100,0000,1100PHARMACY 427182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427182,A000000,01300,0000,1300SOCIAL SERVICE 427182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427182,A000000,01500,0000,1350OTHER GENERAL SERVICES 427182,A000000,01600,0000,1600SKILLED NURSING FACILITY 427182,A000000,01800,0000,1800NURSING FACILITY 427182,A000000,01900,0000,1900OTHER LONG TERM CARE 427182,A000000,02100,0000,2100RADIOLOGY 427182,A000000,02200,0000,2200LABORATORY 427182,A000000,02300,0000,2300INTRAVENOUS THERAPY 427182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427182,A000000,02500,0000,2500PHYSICAL THERAPY 427182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427182,A000000,02700,0000,2700SPEECH PATHOLOGY 427182,A000000,02800,0000,2800ELECTROCARDIOLOGY 427182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427182,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427182,A000000,03200,0000,3200SUPPORT SURFACES 427182,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427182,A000000,03400,0000,3400CLINIC 427182,A000000,03500,0000,3500RURAL HEALTH CLINIC 427182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427182,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427182,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427182,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427182,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427182,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427182,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427182,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427182,A000000,04400,0000,4400DME RENTED - HHA 427182,A000000,04500,0000,4500DME SOLD - HHA 427182,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427182,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427182,A000000,05000,0000,5000CORF 427182,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427182,A000000,05300,0000,5300INTEREST EXPENSE 427182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427182,A000000,05500,0000,5500HOSPICE 427182,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427182,A000000,06100,0000,6100NONPAID WORKERS 427182,A000000,06200,0000,6200PATIENTS LAUNDRY 427182,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427182,A81000A,00100,0100,Y 427182,A81000B,00100,0300,CITY MANAGEMENT FEES 427182,A81000C,00100,0100,A 427182,A81000C,00100,0200,CITY OF MARIANNA 427182,A81000C,00100,0400,CITY OF MARIANNA 427182,A81000C,00100,0600,GOVERNMENT 427182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427182,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427182,B100000,00000,0800,0800MEALS SERVED :DIETARY 427182,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 427182,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427182,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427182,G300000,02500,0000,MISCELLNEOUS INCOME 427182,G300000,02501,0000,MEDICAID UTILIZATION PAYMENT 427182,S000000,00100,0200,03/01/12 427182,S200000,00100,0100,4295 5TH AVENUE 427182,S200000,00200,0100,MARIANNA 427182,S200000,00200,0200,FL 427182,S200000,00200,0300,32446 427182,S200000,00300,0100,JACKSON 427182,S200000,00300,0200,00 427182,S200000,00300,0201,99910 427182,S200000,00300,0300,R 427182,S200000,00400,0100,MARIANNA HEALTH & REHAB CENTER 427182,S200000,00400,0200,105637 427182,S200000,00400,0300,03/02/99 427182,S200000,00400,0500,P 427182,S200000,01500,0100,Y 427182,S200000,01501,0200,N 427182,S200000,01502,0200,Y 427182,S200000,01503,0200,N 427182,S200000,01600,0100,N 427182,S200000,01700,0100,N 427182,S200000,01800,0100,N 427182,S200000,02200,0100,N 427182,S200000,02800,0100,N 427182,S200000,02900,0100,N 427182,S200000,03000,0100,N 427182,S200000,03100,0100,N 427182,S200000,03200,0100,N 427182,S200000,03300,0100,N 427182,S200000,03300,0200,N 427182,S200000,04100,0100,N 427182,S200000,04200,0100,N 427182,S200000,04300,0100,N 427182,S200000,04600,0100,N 427182,S200000,04700,0100,N 427182,S200000,04700,0200,N 427182,S200000,04900,0100,N 427182,S200000,05000,0100,N 427182,S200000,05100,0100,N 427182,S200000,05200,0100,N 427182,S200000,05300,0100,N 427188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427188,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427188,A000000,00300,0000,0300EMPLOYEE BENEFITS 427188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427188,A000000,00700,0000,0700HOUSEKEEPING 427188,A000000,00800,0000,0800DIETARY 427188,A000000,00900,0000,0900NURSING ADMINISTRATION 427188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427188,A000000,01100,0000,1100PHARMACY 427188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427188,A000000,01300,0000,1300SOCIAL SERVICE 427188,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427188,A000000,01500,0000,1350OTHER GENERAL SERVICES 427188,A000000,01600,0000,1600SKILLED NURSING FACILITY 427188,A000000,01800,0000,1800NURSING FACILITY 427188,A000000,01810,0000,1810ICF/MR 427188,A000000,01900,0000,1900OTHER LONG TERM CARE 427188,A000000,02100,0000,2100RADIOLOGY 427188,A000000,02200,0000,2200LABORATORY 427188,A000000,02300,0000,2300INTRAVENOUS THERAPY 427188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427188,A000000,02500,0000,2500PHYSICAL THERAPY 427188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427188,A000000,02700,0000,2700SPEECH PATHOLOGY 427188,A000000,02800,0000,2800ELECTROCARDIOLOGY 427188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427188,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427188,A000000,03200,0000,3200SUPPORT SURFACES 427188,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427188,A000000,03400,0000,3400CLINIC 427188,A000000,03500,0000,3500RURAL HEALTH CLINIC 427188,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427188,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427188,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427188,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427188,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427188,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427188,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427188,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427188,A000000,04400,0000,4400DME RENTED - HHA 427188,A000000,04500,0000,4500DME SOLD - HHA 427188,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427188,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427188,A000000,04710,0000,4710TELEMEDICINE 427188,A000000,04800,0000,4800AMBULANCE 427188,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427188,A000000,05000,0000,5000CORF 427188,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427188,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427188,A000000,05300,0000,5300INTEREST EXPENSE 427188,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427188,A000000,05500,0000,5500HOSPICE 427188,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427188,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427188,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427188,A000000,06100,0000,6100NONPAID WORKERS 427188,A000000,06200,0000,6200PATIENTS LAUNDRY 427188,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427188,A81000A,00100,0100,N 427188,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427188,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427188,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427188,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427188,B100000,00000,0700,0750BEDS :HOUSEKEEPING 427188,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427188,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427188,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427188,G300000,02500,0000,DAY CARE REVENUE 427188,G300000,02501,0000,WORKERS COMP DIVIDEND 427188,S000000,00100,0200,02/10/12 427188,S200000,00100,0100,205 EAST CLAY AVENUE 427188,S200000,00100,0300,247 427188,S200000,00200,0100,PLATTSBURG 427188,S200000,00200,0200,MO 427188,S200000,00200,0300,64477 427188,S200000,00300,0100,CLINTON 427188,S200000,00300,0200,3760 427188,S200000,00300,0201,28140 427188,S200000,00300,0300,U 427188,S200000,00400,0100,CLINTON CONVALESCENT CENTER INC. 427188,S200000,00400,0200,265742 427188,S200000,00400,0300,09/20/02 427188,S200000,00400,0500,P 427188,S200000,01500,0100,Y 427188,S200000,01600,0100,N 427188,S200000,01700,0100,N 427188,S200000,01800,0100,N 427188,S200000,02200,0100,N 427188,S200000,02800,0100,Y 427188,S200000,02900,0100,N 427188,S200000,03000,0100,N 427188,S200000,03100,0100,N 427188,S200000,03200,0100,N 427188,S200000,03300,0100,N 427188,S200000,03300,0200,N 427188,S200000,04100,0100,N 427188,S200000,04200,0100,N 427188,S200000,04300,0100,N 427188,S200000,04600,0100,N 427188,S200000,04700,0100,N 427188,S200000,04700,0200,N 427188,S200000,04900,0100,N 427188,S200000,05000,0100,N 427188,S200000,05100,0100,N 427188,S200000,05200,0100,N 427207,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427207,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427207,A000000,00300,0000,0300EMPLOYEE BENEFITS 427207,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427207,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427207,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427207,A000000,00700,0000,0700HOUSEKEEPING 427207,A000000,00800,0000,0800DIETARY 427207,A000000,00900,0000,0900NURSING ADMINISTRATION 427207,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427207,A000000,01100,0000,1100PHARMACY 427207,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427207,A000000,01300,0000,1300SOCIAL SERVICE 427207,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427207,A000000,01500,0000,1350OTHER GENERAL SERVICES 427207,A000000,01600,0000,1600SKILLED NURSING FACILITY 427207,A000000,01800,0000,1800NURSING FACILITY 427207,A000000,01810,0000,1810ICF/MR 427207,A000000,01900,0000,1900OTHER LONG TERM CARE 427207,A000000,02100,0000,2100RADIOLOGY 427207,A000000,02200,0000,2200LABORATORY 427207,A000000,02300,0000,2300INTRAVENOUS THERAPY 427207,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427207,A000000,02500,0000,2500PHYSICAL THERAPY 427207,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427207,A000000,02700,0000,2700SPEECH PATHOLOGY 427207,A000000,02800,0000,2800ELECTROCARDIOLOGY 427207,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427207,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427207,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427207,A000000,03200,0000,3200SUPPORT SURFACES 427207,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427207,A000000,03400,0000,3400CLINIC 427207,A000000,03500,0000,3500RURAL HEALTH CLINIC 427207,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427207,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427207,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427207,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427207,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427207,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427207,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427207,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427207,A000000,04400,0000,4400DME RENTED - HHA 427207,A000000,04500,0000,4500DME SOLD - HHA 427207,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427207,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427207,A000000,04710,0000,4710TELEMEDICINE 427207,A000000,04800,0000,4800AMBULANCE 427207,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427207,A000000,05000,0000,5000CORF 427207,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427207,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427207,A000000,05300,0000,5300INTEREST EXPENSE 427207,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427207,A000000,05500,0000,5500HOSPICE 427207,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427207,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427207,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427207,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427207,A000000,06100,0000,6100NONPAID WORKERS 427207,A000000,06200,0000,6200PATIENTS LAUNDRY 427207,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427207,A81000A,00100,0100,Y 427207,A81000B,00100,0300,NURSING SUPPLIES 427207,A81000B,00200,0300,HOME OFFICE COSTS 427207,A81000C,00100,0100,A 427207,A81000C,00100,0200,MOHAMMAD QAZI 427207,A81000C,00100,0400,MED SUPPLY CORP 427207,A81000C,00100,0600,NURSING SUPPLIES 427207,A81000C,00200,0100,A 427207,A81000C,00200,0200,MOHAMMAD QAZI 427207,A81000C,00200,0400,CIENA HEALTHCARE MGMT 427207,A81000C,00200,0600,HOME OFFICE 427207,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427207,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427207,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427207,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427207,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427207,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427207,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427207,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427207,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427207,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427207,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427207,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427207,G300000,02500,0000,MISCELLANEOUS 427207,S000000,00100,0200,02/29/12 427207,S200000,00100,0100,53 COURTLAND AVE 427207,S200000,00200,0100,STAMFORD 427207,S200000,00200,0200,CT 427207,S200000,00200,0300,06902 427207,S200000,00300,0100,WINDHAM 427207,S200000,00300,0201,14860 427207,S200000,00300,0300,U 427207,S200000,00400,0100,REGENCY HEIGHTS OF STAMFORD 427207,S200000,00400,0200,075061 427207,S200000,00400,0300,01/01/93 427207,S200000,00400,0500,P 427207,S200000,01500,0100,Y 427207,S200000,01501,0200,Y 427207,S200000,01600,0100,N 427207,S200000,01700,0100,N 427207,S200000,01800,0100,N 427207,S200000,02200,0100,N 427207,S200000,02800,0100,N 427207,S200000,02900,0100,N 427207,S200000,03000,0100,N 427207,S200000,03100,0100,N 427207,S200000,03200,0100,N 427207,S200000,03300,0100,N 427207,S200000,03300,0200,N 427207,S200000,04100,0100,N 427207,S200000,04200,0100,N 427207,S200000,04300,0100,N 427207,S200000,04600,0100,N 427207,S200000,04700,0100,N 427207,S200000,04700,0200,N 427207,S200000,04900,0100,N 427207,S200000,05000,0100,N 427207,S200000,05100,0100,N 427207,S200000,05200,0100,N 427207,S200000,05300,0100,Y 427207,S200000,05300,0200,90-202 427207,S200000,05400,0100,CIENA HEALTHCARE MGMT INC 427207,S200000,05400,0200,NATIONAL GOVT SERVICES 427207,S200000,05400,0300,00452 427207,S200000,05500,0100,4000 TOWN CENTER SUITE 380 427207,S200000,05600,0100,SOUTHFIELD 427207,S200000,05600,0200,MI 427207,S200000,05600,0300,48075 427212,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427212,A000000,00300,0000,0300EMPLOYEE BENEFITS 427212,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427212,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427212,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427212,A000000,00700,0000,0700HOUSEKEEPING 427212,A000000,00800,0000,0800DIETARY 427212,A000000,00900,0000,0900NURSING ADMINISTRATION 427212,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427212,A000000,01100,0000,1100PHARMACY 427212,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427212,A000000,01300,0000,1300SOCIAL SERVICE 427212,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427212,A000000,01500,0000,1350ACTIVITIES 427212,A000000,01600,0000,1600SKILLED NURSING FACILITY 427212,A000000,01800,0000,1800NURSING FACILITY 427212,A000000,01810,0000,1810ICF/MR 427212,A000000,01900,0000,1900OTHER LONG TERM CARE 427212,A000000,02100,0000,2100RADIOLOGY 427212,A000000,02200,0000,2200LABORATORY 427212,A000000,02300,0000,2300INTRAVENOUS THERAPY 427212,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427212,A000000,02500,0000,2500PHYSICAL THERAPY 427212,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427212,A000000,02700,0000,2700SPEECH PATHOLOGY 427212,A000000,02800,0000,2800ELECTROCARDIOLOGY 427212,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427212,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427212,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427212,A000000,03200,0000,3200SUPPORT SURFACES 427212,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427212,A000000,03400,0000,3400CLINIC 427212,A000000,03500,0000,3500RURAL HEALTH CLINIC 427212,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427212,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427212,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427212,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427212,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427212,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427212,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427212,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427212,A000000,04400,0000,4400DME RENTED - HHA 427212,A000000,04500,0000,4500DME SOLD - HHA 427212,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427212,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427212,A000000,04710,0000,4710TELEMEDICINE 427212,A000000,04800,0000,4800AMBULANCE 427212,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427212,A000000,05000,0000,5000CORF 427212,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427212,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427212,A000000,05300,0000,5300INTEREST EXPENSE 427212,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427212,A000000,05500,0000,5500HOSPICE 427212,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427212,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427212,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427212,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427212,A000000,06100,0000,6100NONPAID WORKERS 427212,A000000,06200,0000,6200PATIENTS LAUNDRY 427212,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427212,A81000A,00100,0100,Y 427212,A81000B,00100,0300,MANAGEMENT FEES 427212,A81000B,00200,0300,BUILDING RENT 427212,A81000B,00300,0300,PROPERTY TAXES 427212,A81000B,00400,0300,MISC UNDERLYING LEASE EXP 427212,A81000C,00100,0100,B 427212,A81000C,00100,0200,LAKE WOODS NURSING & REHA 427212,A81000C,00100,0400,VULCAN STREET PROPERTY HO 427212,A81000C,00100,0600,REAL ESTATE ENTITY 427212,A81000C,00200,0100,D 427212,A81000C,00200,0200,LAKE WOODS NURSING & REHA 427212,A81000C,00200,0400,PEPLINSKI GROUP 427212,A81000C,00200,0600,MANAGEMENT COMPANY 427212,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427212,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427212,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427212,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427212,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427212,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427212,B100000,00000,0800,0800MEALS SERVED :DIETARY 427212,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427212,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427212,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427212,B100000,00000,1500,1350TIME ASSIGNED :ACTIVITIES 427212,G300000,02501,0000,OTHER REVENUE 427212,S000000,00100,0200,02/27/12 427212,S200000,00100,0100,1684 VULCAN 427212,S200000,00200,0100,MUSKEGON 427212,S200000,00200,0200,MI 427212,S200000,00200,0300,49442 427212,S200000,00300,0100,MUSKEGON 427212,S200000,00300,0201,34740 427212,S200000,00300,0300,U 427212,S200000,00400,0100,LAKE WOODS NURSING & REHAB CENTER 427212,S200000,00400,0200,235116 427212,S200000,00400,0300,10/01/70 427212,S200000,00400,0500,P 427212,S200000,01500,0100,Y 427212,S200000,01501,0200,Y 427212,S200000,01600,0100,N 427212,S200000,01700,0100,N 427212,S200000,01800,0100,N 427212,S200000,02200,0100,N 427212,S200000,02800,0100,N 427212,S200000,02900,0100,N 427212,S200000,03000,0100,N 427212,S200000,03100,0100,N 427212,S200000,03200,0100,N 427212,S200000,03300,0100,N 427212,S200000,03300,0200,N 427212,S200000,04100,0100,N 427212,S200000,04200,0100,N 427212,S200000,04300,0100,Y 427212,S200000,04600,0100,N 427212,S200000,04700,0100,N 427212,S200000,04700,0200,N 427212,S200000,04900,0100,N 427212,S200000,05000,0100,N 427212,S200000,05100,0100,N 427212,S200000,05200,0100,N 427212,S200000,05300,0100,Y 427212,S200000,05300,0200,902131 427212,S200000,05400,0100,THE PEPLINSKI GROUP INC 427212,S200000,05400,0200,NGS 427212,S200000,05400,0300,00452 427212,S200000,05500,0100,2532 W CADILLAC DRIVE 427212,S200000,05500,0200,579 427212,S200000,05600,0100,FARWELL 427212,S200000,05600,0200,MI 427212,S200000,05600,0300,48622 427214,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427214,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427214,A000000,00300,0000,0300EMPLOYEE BENEFITS 427214,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427214,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427214,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427214,A000000,00700,0000,0700HOUSEKEEPING 427214,A000000,00800,0000,0800DIETARY 427214,A000000,00900,0000,0900NURSING ADMINISTRATION 427214,A000000,01100,0000,1100PHARMACY 427214,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427214,A000000,01500,0000,1350ACTIVITIES 427214,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 427214,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 427214,A000000,01600,0000,1600SKILLED NURSING FACILITY 427214,A000000,01800,0000,1800NURSING FACILITY 427214,A000000,01810,0000,1810ICF/MR 427214,A000000,01900,0000,1900OTHER LONG TERM CARE 427214,A000000,02100,0000,2100RADIOLOGY 427214,A000000,02200,0000,2200LABORATORY 427214,A000000,02300,0000,2300INTRAVENOUS THERAPY 427214,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427214,A000000,02500,0000,2500PHYSICAL THERAPY 427214,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427214,A000000,02700,0000,2700SPEECH PATHOLOGY 427214,A000000,02800,0000,2800ELECTROCARDIOLOGY 427214,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427214,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427214,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427214,A000000,03200,0000,3200SUPPORT SURFACES 427214,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427214,A000000,03301,0000,3051AIR FLUID THERAPY 427214,A000000,03302,0000,3052AMBULANCE 427214,A000000,03303,0000,3053PEN THERAPY 427214,A000000,03304,0000,3054ONCOLOGY 427214,A000000,03305,0000,3055CARDIOLOGY 427214,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 427214,A000000,03307,0000,3057AUDIOLOGY 427214,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 427214,A000000,03400,0000,3400CLINIC 427214,A000000,03500,0000,3500RURAL HEALTH CLINIC 427214,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427214,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427214,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427214,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427214,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427214,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427214,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427214,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427214,A000000,04400,0000,4400DME RENTED - HHA 427214,A000000,04500,0000,4500DME SOLD - HHA 427214,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427214,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427214,A000000,04710,0000,4710TELEMEDICINE 427214,A000000,04800,0000,4800AMBULANCE 427214,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427214,A000000,05000,0000,5000CORF 427214,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427214,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427214,A000000,05300,0000,5300INTEREST EXPENSE 427214,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427214,A000000,05500,0000,5500HOSPICE 427214,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427214,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427214,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427214,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427214,A000000,06100,0000,6100NONPAID WORKERS 427214,A000000,06200,0000,6200PATIENTS LAUNDRY 427214,A000000,06300,0000,6150NON-REIMBURSABLE SALARIES 427214,A000000,06301,0000,6151ASSISTED LIVING 427214,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 427214,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 427214,A81000A,00100,0100,Y 427214,A81000B,00100,0300,RENT - CAPITAL RELATED BLDG 427214,A81000B,00600,0300,MGMT FEE - A&G RELATED 427214,A81000C,00100,0100,A 427214,A81000C,00100,0200,MENNONITE HOMES ASSOCIATI 427214,A81000C,00100,0400,BETH HAVEN MANAGEMENT SVC 427214,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427214,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427214,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427214,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427214,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427214,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427214,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427214,B100000,00000,0800,0800MEALS SERVED :DIETARY 427214,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 427214,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427214,G300000,02500,0000,MISCELLANEOUS INCOME 427214,G300000,02501,0000,PRIOR YEAR REVENUE 427214,G300000,02502,0000,TRANSPORTATION INCOME 427214,G300000,02503,0000,MGMT SERVICES INCOME 427214,G300000,02504,0000,GRANT REVENUE 427214,G300000,02505,0000,OFFICE RENT 427214,G300000,02506,0000,TUITION INCOME 427214,G300000,02507,0000,UNREALIZED GAIN/LOSS ON INVESTMENT 427214,S000000,00100,0200,02/24/12 427214,S200000,00100,0100,2500 PLEASANT STREET 427214,S200000,00200,0100,HANNIBAL 427214,S200000,00200,0200,MO 427214,S200000,00200,0300,63401 427214,S200000,00300,0100,MARION 427214,S200000,00300,0200,26 427214,S200000,00300,0201,99926 427214,S200000,00300,0300,R 427214,S200000,00400,0100,BETH HAVEN NURSING HOME 427214,S200000,00400,0200,265108 427214,S200000,00400,0300,04/07/72 427214,S200000,00400,0500,P 427214,S200000,00400,0600,P 427214,S200000,01500,0100,N 427214,S200000,01501,0200,N 427214,S200000,01503,0200,Y 427214,S200000,01600,0100,Y 427214,S200000,01700,0100,N 427214,S200000,01800,0100,N 427214,S200000,02200,0100,N 427214,S200000,02800,0100,Y 427214,S200000,02900,0100,N 427214,S200000,03000,0100,N 427214,S200000,03100,0100,N 427214,S200000,03200,0100,N 427214,S200000,03300,0100,N 427214,S200000,03300,0200,N 427214,S200000,04100,0100,N 427214,S200000,04200,0100,N 427214,S200000,04300,0100,N 427214,S200000,04600,0100,N 427214,S200000,04700,0100,N 427214,S200000,04700,0200,N 427214,S200000,04900,0100,N 427214,S200000,05000,0100,N 427214,S200000,05100,0100,N 427214,S200000,05200,0100,N 427214,S200000,05300,0100,Y 427214,S200000,05300,0200,269004 427214,S200000,05400,0100,BETH HAVEN MANAGEMENT SERVICES 427214,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 427214,S200000,05400,0300,52280 427214,S200000,05500,0100,2500 PLEASANT STREET 427214,S200000,05600,0100,HANNIBAL 427214,S200000,05600,0200,MO 427214,S200000,05600,0300,63401 427215,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427215,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427215,A000000,00300,0000,0300EMPLOYEE BENEFITS 427215,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427215,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427215,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427215,A000000,00700,0000,0700HOUSEKEEPING 427215,A000000,00800,0000,0800DIETARY 427215,A000000,00900,0000,0900NURSING ADMINISTRATION 427215,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427215,A000000,01100,0000,1100PHARMACY 427215,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427215,A000000,01300,0000,1300SOCIAL SERVICE 427215,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427215,A000000,01600,0000,1600SKILLED NURSING FACILITY 427215,A000000,01800,0000,1800NURSING FACILITY 427215,A000000,01810,0000,1810ICF/MR 427215,A000000,01900,0000,1900OTHER LONG TERM CARE 427215,A000000,02100,0000,2100RADIOLOGY 427215,A000000,02200,0000,2200LABORATORY 427215,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427215,A000000,02500,0000,2500PHYSICAL THERAPY 427215,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427215,A000000,02700,0000,2700SPEECH PATHOLOGY 427215,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427215,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427215,A000000,03550,0000,3550FQHC 427215,A000000,05000,0000,5000CORF 427215,A000000,05010,0000,5010CMHC 427215,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427215,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427215,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427215,A81000A,00100,0100,N 427215,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427215,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427215,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427215,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427215,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427215,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427215,B100000,00000,0800,0800MEALS SERVED :DIETARY 427215,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427215,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427215,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427215,S000000,00100,0200,02/24/12 427215,S200000,00100,0100,1043 10TH STREET 427215,S200000,00200,0100,HUMBOLT 427215,S200000,00200,0200,NE 427215,S200000,00200,0300,68376 427215,S200000,00300,0100,RICHARDSON 427215,S200000,00300,0300,R 427215,S200000,00400,0100,COLONIAL ACRES NURSING HOME 427215,S200000,00400,0200,285248 427215,S200000,00400,0300,10/01/01 427215,S200000,00400,0500,P 427215,S200000,01500,0100,Y 427215,S200000,01501,0200,N 427215,S200000,01504,0200,N 427215,S200000,01600,0100,N 427215,S200000,01700,0100,N 427215,S200000,01800,0100,N 427215,S200000,01900,0100,CITY OWNED 427215,S200000,02200,0100,N 427215,S200000,02800,0100,Y 427215,S200000,02900,0100,N 427215,S200000,03000,0100,N 427215,S200000,03100,0100,N 427215,S200000,03200,0100,N 427215,S200000,03300,0100,N 427215,S200000,03300,0200,N 427215,S200000,04100,0100,N 427215,S200000,04200,0100,N 427215,S200000,04300,0100,N 427215,S200000,04600,0100,N 427215,S200000,04700,0100,N 427215,S200000,04700,0200,N 427215,S200000,04900,0100,N 427215,S200000,05000,0100,N 427215,S200000,05100,0100,N 427215,S200000,05200,0100,N 427215,S200000,05300,0100,N 427232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427232,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427232,A000000,00300,0000,0300EMPLOYEE BENEFITS 427232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427232,A000000,00700,0000,0700HOUSEKEEPING 427232,A000000,00800,0000,0800DIETARY 427232,A000000,00900,0000,0900NURSING ADMINISTRATION 427232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427232,A000000,01100,0000,1100PHARMACY 427232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427232,A000000,01300,0000,1300SOCIAL SERVICE 427232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427232,A000000,01500,0000,1350RECREATION 427232,A000000,01600,0000,1600SKILLED NURSING FACILITY 427232,A000000,01800,0000,1800NURSING FACILITY 427232,A000000,01810,0000,1810ICF/MR 427232,A000000,01900,0000,1900OTHER LONG TERM CARE 427232,A000000,02100,0000,2100RADIOLOGY 427232,A000000,02200,0000,2200LABORATORY 427232,A000000,02300,0000,2300INTRAVENOUS THERAPY 427232,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427232,A000000,02500,0000,2500PHYSICAL THERAPY 427232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427232,A000000,02700,0000,2700SPEECH PATHOLOGY 427232,A000000,02800,0000,2800ELECTROCARDIOLOGY 427232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427232,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427232,A000000,03200,0000,3200SUPPORT SURFACES 427232,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427232,A000000,03400,0000,3400CLINIC 427232,A000000,03500,0000,3500RURAL HEALTH CLINIC 427232,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427232,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427232,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427232,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427232,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427232,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427232,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427232,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427232,A000000,04400,0000,4400DME RENTED - HHA 427232,A000000,04500,0000,4500DME SOLD - HHA 427232,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427232,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427232,A000000,04710,0000,4710TELEMEDICINE 427232,A000000,04800,0000,4800AMBULANCE 427232,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427232,A000000,05000,0000,5000CORF 427232,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427232,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427232,A000000,05300,0000,5300INTEREST EXPENSE 427232,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427232,A000000,05500,0000,5500HOSPICE 427232,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427232,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427232,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427232,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427232,A000000,06100,0000,6100NONPAID WORKERS 427232,A000000,06200,0000,6200PATIENTS LAUNDRY 427232,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427232,A81000A,00100,0100,Y 427232,A81000B,00100,0300,COMPUTER SERVICES 427232,A81000B,00200,0300,DIRECTORS FEES 427232,A81000B,00300,0300,INTEREST ON WORKING CAPITAL LOAN 427232,A81000B,00400,0300,DIRECTORS FEES 427232,A81000C,00100,0100,F 427232,A81000C,00100,0200,AJACE COMMUNICATIONS 427232,A81000C,00100,0600,COMPUTER SERVICE 427232,A81000C,00200,0100,F 427232,A81000C,00200,0200,CLINT MOFFIE 427232,A81000C,00200,0600,DIRECTORS FEES 427232,A81000C,00300,0100,F 427232,A81000C,00300,0200,HAROLD MOFFIE 427232,A81000C,00300,0600,INTEREST ON WC LOAN 427232,A81000C,00400,0100,F 427232,A81000C,00400,0200,CATHY DEMIO 427232,A81000C,00400,0600,DIRECTORS FEES 427232,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427232,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427232,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427232,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427232,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427232,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427232,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427232,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427232,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427232,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427232,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427232,G300000,02500,0000,MISCELLANEOUS INCOME 427232,S000000,00100,0200,02/28/12 427232,S200000,00100,0100,1188 KING ST 427232,S200000,00200,0100,GREENWICH 427232,S200000,00200,0200,CT 427232,S200000,00200,0300,06831 427232,S200000,00300,0100,FAIRFIELD 427232,S200000,00300,0200,5483 427232,S200000,00300,0201,14860 427232,S200000,00300,0300,U 427232,S200000,00400,0100,CT HEALTH OF GREENWICH 427232,S200000,00400,0200,075069 427232,S200000,00400,0300,11/08/05 427232,S200000,00400,0500,P 427232,S200000,01500,0100,Y 427232,S200000,01501,0200,N 427232,S200000,01600,0100,N 427232,S200000,01700,0100,N 427232,S200000,01800,0100,N 427232,S200000,02200,0100,N 427232,S200000,02800,0100,N 427232,S200000,02900,0100,N 427232,S200000,03000,0100,N 427232,S200000,03100,0100,N 427232,S200000,03200,0100,N 427232,S200000,03300,0100,N 427232,S200000,03300,0200,N 427232,S200000,04100,0100,N 427232,S200000,04200,0100,N 427232,S200000,04300,0100,N 427232,S200000,04600,0100,N 427232,S200000,04700,0100,N 427232,S200000,04700,0200,N 427232,S200000,04900,0100,N 427232,S200000,05000,0100,N 427232,S200000,05100,0100,N 427232,S200000,05200,0100,N 427233,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427233,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427233,A000000,00300,0000,0300EMPLOYEE BENEFITS 427233,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427233,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427233,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427233,A000000,00700,0000,0700HOUSEKEEPING 427233,A000000,00800,0000,0800DIETARY 427233,A000000,00900,0000,0900NURSING ADMINISTRATION 427233,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427233,A000000,01100,0000,1100PHARMACY 427233,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427233,A000000,01300,0000,1300SOCIAL SERVICE 427233,A000000,01500,0000,1350RECREATION 427233,A000000,01600,0000,1600SKILLED NURSING FACILITY 427233,A000000,01800,0000,1800NURSING FACILITY 427233,A000000,02100,0000,2100RADIOLOGY 427233,A000000,02200,0000,2200LABORATORY 427233,A000000,02300,0000,2300INTRAVENOUS THERAPY 427233,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427233,A000000,02500,0000,2500PHYSICAL THERAPY 427233,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427233,A000000,02700,0000,2700SPEECH PATHOLOGY 427233,A000000,02800,0000,2800ELECTROCARDIOLOGY 427233,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427233,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427233,A000000,04800,0000,4800AMBULANCE 427233,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427233,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427233,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427233,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427233,A000000,06100,0000,6100NONPAID WORKERS 427233,A000000,06200,0000,6200PATIENTS LAUNDRY 427233,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427233,A000000,06301,0000,6151DENTAL 427233,A000000,06302,0000,6152PAVILION 427233,A81000A,00100,0100,Y 427233,A81000B,00100,0300,INTEREST EXPENSE 427233,A81000C,00100,0100,B 427233,A81000C,00100,0400,TOWN OF GREENWH 427233,A81000C,00100,0600,MUNICIPALITY 427233,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427233,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427233,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427233,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427233,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427233,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427233,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427233,B100000,00000,0800,0800MEALS SERVED :DIETARY 427233,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427233,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427233,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427233,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427233,G300000,02501,0000,PAVILION RENT 427233,G300000,02502,0000,APARTMENT RENT 427233,G300000,02503,0000,OTHER REVENUE 427233,G300000,02504,0000,CONTRIBUTIONS 427233,S000000,00100,0200,02/27/12 427233,S200000,00100,0100,70 PASONAGE ROAD 427233,S200000,00200,0100,GREENWICH 427233,S200000,00200,0200,CT 427233,S200000,00200,0300,06830 427233,S200000,00300,0100,FAIRFIELD 427233,S200000,00300,0201,14860 427233,S200000,00300,0300,U 427233,S200000,00400,0100,THE NATHANIEL WITHERELL 427233,S200000,00400,0200,075117 427233,S200000,00400,0300,01/01/67 427233,S200000,00400,0500,P 427233,S200000,01500,0100,N 427233,S200000,01501,0200,Y 427233,S200000,01505,0000,OTHER (SPECIFY) 427233,S200000,01505,0200,Y 427233,S200000,01600,0100,N 427233,S200000,01700,0100,N 427233,S200000,01800,0100,N 427233,S200000,02200,0100,N 427233,S200000,02800,0100,N 427233,S200000,02900,0100,N 427233,S200000,03000,0100,N 427233,S200000,03100,0100,N 427233,S200000,03200,0100,N 427233,S200000,03300,0100,N 427233,S200000,03300,0200,N 427233,S200000,04100,0100,N 427233,S200000,04200,0100,N 427233,S200000,04300,0100,N 427233,S200000,04600,0100,N 427233,S200000,04700,0100,N 427233,S200000,04700,0200,N 427233,S200000,04900,0100,N 427233,S200000,05000,0100,N 427233,S200000,05100,0100,N 427233,S200000,05200,0100,N 427233,S200000,05300,0100,N 427234,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427234,A000000,00300,0000,0300EMPLOYEE BENEFITS 427234,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427234,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427234,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427234,A000000,00700,0000,0700HOUSEKEEPING 427234,A000000,00800,0000,0800DIETARY 427234,A000000,00900,0000,0900NURSING ADMINISTRATION 427234,A000000,01300,0000,1300SOCIAL SERVICE 427234,A000000,01301,0000,1301RECREATION THERAPY 427234,A000000,01600,0000,1600SKILLED NURSING FACILITY 427234,A000000,02100,0000,2100RADIOLOGY 427234,A000000,02200,0000,2200LABORATORY 427234,A000000,02300,0000,2300INTRAVENOUS THERAPY 427234,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427234,A000000,02500,0000,2500PHYSICAL THERAPY 427234,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427234,A000000,02700,0000,2700SPEECH PATHOLOGY 427234,A000000,02800,0000,2800ELECTROCARDIOLOGY 427234,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427234,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427234,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427234,A81000A,00100,0100,N 427234,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427234,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427234,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427234,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427234,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427234,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427234,B100000,00000,0800,0800MEALS SERVED :DIETARY 427234,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427234,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427234,B100000,00000,1301,1331PATIENT DAYS :RECREATION THERAP 427234,S000000,00100,0200,02/24/12 427234,S200000,00100,0100,88 ROCKRIMMON ROAD 427234,S200000,00200,0100,STAMFORD 427234,S200000,00200,0200,CT 427234,S200000,00200,0300,06903 427234,S200000,00300,0100,FARFIELD 427234,S200000,00300,0200,5483 427234,S200000,00300,0201,14860 427234,S200000,00300,0300,U 427234,S200000,00400,0100,SMITH HOUSE 427234,S200000,00400,0200,075153 427234,S200000,00400,0300,01/01/67 427234,S200000,00400,0500,P 427234,S200000,01500,0100,Y 427234,S200000,01501,0200,Y 427234,S200000,01504,0200,Y 427234,S200000,01600,0100,N 427234,S200000,01700,0100,N 427234,S200000,01800,0100,N 427234,S200000,02200,0100,N 427234,S200000,02800,0100,N 427234,S200000,02900,0100,N 427234,S200000,03000,0100,N 427234,S200000,03100,0100,N 427234,S200000,03200,0100,N 427234,S200000,03300,0100,N 427234,S200000,03300,0200,N 427234,S200000,04100,0100,N 427234,S200000,04200,0100,N 427234,S200000,04300,0100,N 427234,S200000,04600,0100,N 427234,S200000,04700,0100,N 427234,S200000,04700,0200,N 427234,S200000,04900,0100,N 427234,S200000,05000,0100,N 427234,S200000,05100,0100,N 427234,S200000,05200,0100,N 427234,S200000,05300,0100,N 427235,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427235,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427235,A000000,00300,0000,0300EMPLOYEE BENEFITS 427235,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427235,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427235,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427235,A000000,00700,0000,0700HOUSEKEEPING 427235,A000000,00800,0000,0800DIETARY 427235,A000000,00900,0000,0900NURSING ADMINISTRATION 427235,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427235,A000000,01100,0000,1100PHARMACY 427235,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427235,A000000,01300,0000,1300SOCIAL SERVICE 427235,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427235,A000000,01500,0000,1350RECREATION 427235,A000000,01600,0000,1600SKILLED NURSING FACILITY 427235,A000000,01800,0000,1800NURSING FACILITY 427235,A000000,01810,0000,1810ICF/MR 427235,A000000,01900,0000,1900OTHER LONG TERM CARE 427235,A000000,02100,0000,2100RADIOLOGY 427235,A000000,02200,0000,2200LABORATORY 427235,A000000,02300,0000,2300INTRAVENOUS THERAPY 427235,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427235,A000000,02500,0000,2500PHYSICAL THERAPY 427235,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427235,A000000,02700,0000,2700SPEECH PATHOLOGY 427235,A000000,02800,0000,2800ELECTROCARDIOLOGY 427235,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427235,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427235,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427235,A000000,03200,0000,3200SUPPORT SURFACES 427235,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427235,A000000,03400,0000,3400CLINIC 427235,A000000,03500,0000,3500RURAL HEALTH CLINIC 427235,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427235,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427235,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427235,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427235,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427235,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427235,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427235,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427235,A000000,04400,0000,4400DME RENTED - HHA 427235,A000000,04500,0000,4500DME SOLD - HHA 427235,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427235,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427235,A000000,04710,0000,4710TELEMEDICINE 427235,A000000,04800,0000,4800AMBULANCE 427235,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427235,A000000,05000,0000,5000CORF 427235,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427235,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427235,A000000,05300,0000,5300INTEREST EXPENSE 427235,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427235,A000000,05500,0000,5500HOSPICE 427235,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427235,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427235,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427235,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427235,A000000,06100,0000,6100NONPAID WORKERS 427235,A000000,06200,0000,6200PATIENTS LAUNDRY 427235,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427235,A81000A,00100,0100,Y 427235,A81000B,00100,0300,ADMINISTRATOR 427235,A81000B,00200,0300,INTEREST EXPENSE 427235,A81000B,00300,0300,SOCIAL SERVICE 427235,A81000B,00400,0300,AJACE COMMUNICATIONS 427235,A81000C,00100,0100,F 427235,A81000C,00100,0200,RICHARD DEMIO 427235,A81000C,00100,0400,RICHARD DEMIO 427235,A81000C,00100,0600,ADMINISTRATOR 427235,A81000C,00200,0100,F 427235,A81000C,00200,0200,HAROLD MOFFIE 427235,A81000C,00200,0400,CT HEALTH OF GREENWICH 427235,A81000C,00200,0600,NURSING HOME 427235,A81000C,00300,0100,F 427235,A81000C,00300,0200,CATHY DEMIO 427235,A81000C,00300,0400,CATHY DEMIO 427235,A81000C,00300,0600,SOCAIL SERVICES 427235,A81000C,00400,0100,F 427235,A81000C,00400,0200,AJACE COMMUNICATIONS 427235,A81000C,00400,0400,AJACE COMMUNICATIONS 427235,A81000C,00400,0600,COMPUTER SERVICES 427235,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427235,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427235,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427235,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427235,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427235,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427235,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427235,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427235,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427235,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427235,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427235,G300000,02501,0000,BEAUTY SALON REVENUE 427235,S000000,00100,0200,02/28/12 427235,S200000,00100,0100,930 MILL HILL TERRACE 427235,S200000,00200,0100,SOUTHPORT 427235,S200000,00200,0200,CT 427235,S200000,00200,0300,06890 427235,S200000,00300,0100,FAIRFIELD 427235,S200000,00300,0200,5483 427235,S200000,00300,0201,14860 427235,S200000,00300,0300,U 427235,S200000,00400,0100,CT HEALTH OF SOUTHPORT 427235,S200000,00400,0200,075200 427235,S200000,00400,0300,02/11/05 427235,S200000,00400,0500,P 427235,S200000,01500,0100,Y 427235,S200000,01501,0200,N 427235,S200000,01600,0100,N 427235,S200000,01700,0100,N 427235,S200000,01800,0100,N 427235,S200000,02200,0100,N 427235,S200000,02800,0100,N 427235,S200000,02900,0100,N 427235,S200000,03000,0100,N 427235,S200000,03100,0100,N 427235,S200000,03200,0100,N 427235,S200000,03300,0100,N 427235,S200000,03300,0200,N 427235,S200000,04100,0100,N 427235,S200000,04200,0100,N 427235,S200000,04300,0100,N 427235,S200000,04600,0100,N 427235,S200000,04700,0100,N 427235,S200000,04700,0200,N 427235,S200000,04900,0100,N 427235,S200000,05000,0100,N 427235,S200000,05100,0100,N 427235,S200000,05200,0100,N 427237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427237,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427237,A000000,00300,0000,0300EMPLOYEE BENEFITS 427237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427237,A000000,00700,0000,0700HOUSEKEEPING 427237,A000000,00800,0000,0800DIETARY 427237,A000000,00900,0000,0900NURSING ADMINISTRATION 427237,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427237,A000000,01100,0000,1100PHARMACY 427237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427237,A000000,01300,0000,1300SOCIAL SERVICE 427237,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427237,A000000,01600,0000,1600SKILLED NURSING FACILITY 427237,A000000,01800,0000,1800NURSING FACILITY 427237,A000000,01900,0000,1900OTHER LONG TERM CARE 427237,A000000,02100,0000,2100RADIOLOGY 427237,A000000,02200,0000,2200LABORATORY 427237,A000000,02300,0000,2300INTRAVENOUS THERAPY 427237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427237,A000000,02500,0000,2500PHYSICAL THERAPY 427237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427237,A000000,02700,0000,2700SPEECH PATHOLOGY 427237,A000000,02800,0000,2800ELECTROCARDIOLOGY 427237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427237,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427237,A000000,03200,0000,3200SUPPORT SURFACES 427237,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427237,A000000,03400,0000,3400CLINIC 427237,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427237,A000000,04800,0000,4800AMBULANCE 427237,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427237,A000000,05000,0000,5000CORF 427237,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427237,A000000,05300,0000,5300INTEREST EXPENSE 427237,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427237,A000000,05500,0000,5500HOSPICE 427237,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427237,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427237,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427237,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427237,A000000,06100,0000,6100NONPAID WORKERS 427237,A000000,06200,0000,6200PATIENTS LAUNDRY 427237,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427237,A81000A,00100,0100,Y 427237,A81000B,00100,0300,NURSING CONSULTING 427237,A81000B,00200,0300,DIETARY CONSULTING 427237,A81000B,00300,0300,HOME OFFICE 427237,A81000B,00400,0300,INTEREST EXPENSE 427237,A81000B,00500,0300,WORKERS COMP EXPENSE 427237,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 427237,A81000B,00700,0300,MAINTENANCE SUPPLIES 427237,A81000B,00800,0300,REPAIRS-EQUIPMENT 427237,A81000B,00900,0300,LINEN & BEDDING 427237,A81000B,01000,0300,SUPPLIES 427237,A81000B,01100,0300,SUPPLIES 427237,A81000B,01200,0300,DIETARY SUPPLEMENTS 427237,A81000B,01300,0300,SUPPLIES 427237,A81000B,01400,0300,BIO-MEDICAL WASTE 427237,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 427237,A81000B,01600,0300,PERSONAL CARE SUPPLIES 427237,A81000B,01700,0300,INCONTINENCE SUPPLIES 427237,A81000B,01800,0300,MEDICAL SUPPLIES 427237,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 427237,A81000B,02000,0300,SUPPLIES 427237,A81000B,02100,0300,SUPPLIES 427237,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 427237,A81000B,02300,0300,NON-LEGEND DRUGS 427237,A81000B,02400,0300,PHARMACY CONSULTANT 427237,A81000B,02500,0300,LEGEND DRUGS 427237,A81000B,02600,0300,OFFICE SUPPLIES 427237,A81000B,02700,0300,REPAIRS-BUILDING 427237,A81000B,02800,0300,REPAIRS-EQUIPMENT 427237,A81000B,02900,0300,REPAIRS-GROUNDS 427237,A81000C,00100,0100,B 427237,A81000C,00100,0400,BRITTHAVEN INC 427237,A81000C,00100,0600,MGMT SERVICES 427237,A81000C,00200,0100,B 427237,A81000C,00200,0400,BRITTHAVEN INC 427237,A81000C,00200,0600,MGMT SERVICES 427237,A81000C,00300,0100,B 427237,A81000C,00300,0400,BRITTHAVEN INC 427237,A81000C,00300,0600,MGMT SERVICES 427237,A81000C,00400,0100,B 427237,A81000C,00400,0400,BRITTHAVEN INC 427237,A81000C,00400,0600,MGMT SERVICES 427237,A81000C,00500,0100,A 427237,A81000C,00500,0200,DISCOVERY INSUR 427237,A81000C,00500,0600,INSURANCE 427237,A81000C,00600,0100,A 427237,A81000C,00600,0200,QUEENSLAND ASSU 427237,A81000C,00600,0600,RELATED 427237,A81000C,00700,0100,B 427237,A81000C,00700,0400,KARE MEDICAL 427237,A81000C,00700,0600,WHLSE SPLY 427237,A81000C,00800,0100,B 427237,A81000C,00800,0400,KARE MEDICAL 427237,A81000C,00800,0600,WHLSE SPLY 427237,A81000C,00900,0100,B 427237,A81000C,00900,0400,KARE MEDICAL 427237,A81000C,00900,0600,WHLSE SPLY 427237,A81000C,01000,0100,B 427237,A81000C,01000,0400,KARE MEDICAL 427237,A81000C,01000,0600,WHLSE SPLY 427237,A81000C,01001,0100,B 427237,A81000C,01001,0400,KARE MEDICAL 427237,A81000C,01001,0600,WHLSE SPLY 427237,A81000C,01002,0100,B 427237,A81000C,01002,0400,KARE MEDICAL 427237,A81000C,01002,0600,WHLSE SPLY 427237,A81000C,01003,0100,B 427237,A81000C,01003,0400,KARE MEDICAL 427237,A81000C,01003,0600,WHLSE SPLY 427237,A81000C,01004,0100,B 427237,A81000C,01004,0400,KARE MEDICAL 427237,A81000C,01004,0600,WHLSE SPLY 427237,A81000C,01005,0100,B 427237,A81000C,01005,0400,KARE MEDICAL 427237,A81000C,01005,0600,WHLSE SPLY 427237,A81000C,01006,0100,B 427237,A81000C,01006,0400,KARE MEDICAL 427237,A81000C,01006,0600,WHLSE SPLY 427237,A81000C,01007,0100,B 427237,A81000C,01007,0400,KARE MEDICAL 427237,A81000C,01007,0600,WHLSE SPLY 427237,A81000C,01008,0100,B 427237,A81000C,01008,0400,KARE MEDICAL 427237,A81000C,01008,0600,WHLSE SPLY 427237,A81000C,01009,0100,B 427237,A81000C,01009,0400,KARE MEDICAL 427237,A81000C,01009,0600,WHLSE SPLY 427237,A81000C,01010,0100,B 427237,A81000C,01010,0400,KARE MEDICAL 427237,A81000C,01010,0600,WHLSE SPLY 427237,A81000C,01011,0100,B 427237,A81000C,01011,0400,KARE MEDICAL 427237,A81000C,01011,0600,WHLSE SPLY 427237,A81000C,01012,0100,B 427237,A81000C,01012,0400,KARE MEDICAL 427237,A81000C,01012,0600,WHLSE SPLY 427237,A81000C,01013,0100,B 427237,A81000C,01013,0400,PHARM SAVE 427237,A81000C,01013,0600,RX SUPPLY 427237,A81000C,01014,0100,B 427237,A81000C,01014,0400,PHARM SAVE 427237,A81000C,01014,0600,RX SUPPLY 427237,A81000C,01015,0100,B 427237,A81000C,01015,0400,PHARM SAVE 427237,A81000C,01015,0600,RX SUPPLY 427237,A81000C,01016,0100,B 427237,A81000C,01016,0400,ROBERT HILL CON 427237,A81000C,01016,0600,CONSTRUCTION 427237,A81000C,01017,0100,B 427237,A81000C,01017,0400,ROBERT HILL CON 427237,A81000C,01017,0600,CONSTRUCTION 427237,A81000C,01018,0100,B 427237,A81000C,01018,0400,ROBERT HILL CON 427237,A81000C,01018,0600,CONSTRUCTION 427237,A81000C,01019,0100,B 427237,A81000C,01019,0400,ROBERT HILL CON 427237,A81000C,01019,0600,CONSTRUCTION 427237,A81000C,01020,0100,B 427237,A81000C,01020,0400,ROBERT HILL CON 427237,A81000C,01020,0600,CONSTRUCTION 427237,A81000C,01021,0100,B 427237,A81000C,01021,0400,PHARMSAVE 427237,A81000C,01021,0600,RX SUPPLY 427237,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427237,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427237,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427237,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427237,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427237,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427237,B100000,00000,0800,0800MEALS SERVED :DIETARY 427237,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 427237,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427237,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 427237,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427237,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427237,G300000,02500,0000, OTHER (SPECIFY) 427237,S000000,00100,0200,07/25/11 427237,S200000,00100,0100,290 KEEL ROAD 427237,S200000,00200,0100,GRANTSBORO 427237,S200000,00200,0200,NC 427237,S200000,00200,0300,25829 427237,S200000,00300,0100,PAMLICO 427237,S200000,00300,0201,99934 427237,S200000,00300,0300,R 427237,S200000,00400,0100,BRITTHAVEN OF PAMLICO 427237,S200000,00400,0200,345292 427237,S200000,00400,0300,10/01/90 427237,S200000,00400,0500,P 427237,S200000,01500,0100,N 427237,S200000,01501,0200,Y 427237,S200000,01502,0200,Y 427237,S200000,01503,0200,Y 427237,S200000,01505,0000,OTHER (SPECIFY) 427237,S200000,01505,0200,Y 427237,S200000,01600,0100,Y 427237,S200000,01700,0100,N 427237,S200000,01800,0100,N 427237,S200000,02200,0100,N 427237,S200000,02800,0100,N 427237,S200000,02900,0100,N 427237,S200000,03000,0100,N 427237,S200000,03100,0100,Y 427237,S200000,03200,0100,N 427237,S200000,03300,0100,N 427237,S200000,03300,0200,N 427237,S200000,04100,0100,N 427237,S200000,04200,0100,N 427237,S200000,04300,0100,N 427237,S200000,04600,0100,N 427237,S200000,04700,0100,N 427237,S200000,04700,0200,N 427237,S200000,04900,0100,N 427237,S200000,05000,0100,N 427237,S200000,05100,0100,N 427237,S200000,05200,0100,N 427237,S200000,05300,0100,Y 427237,S200000,05300,0200,349011 427237,S200000,05400,0100,BRITTHAVEN INC. 427237,S200000,05400,0200,PALMETTO GBA 427237,S200000,05400,0300,11501 427237,S200000,05500,0100,1435 HWY 258 NORTH 427237,S200000,05500,0200,PO BOX 61 427237,S200000,05600,0100,KINSTON 427237,S200000,05600,0200,NC 427237,S200000,05600,0300,28502 427238,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427238,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427238,A000000,00300,0000,0300EMPLOYEE BENEFITS 427238,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427238,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427238,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427238,A000000,00700,0000,0700HOUSEKEEPING 427238,A000000,00800,0000,0800DIETARY 427238,A000000,00900,0000,0900NURSING ADMINISTRATION 427238,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427238,A000000,01100,0000,1100PHARMACY 427238,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427238,A000000,01300,0000,1300SOCIAL SERVICE 427238,A000000,01500,0000,1350ACTIVITIES 427238,A000000,01600,0000,1600SKILLED NURSING FACILITY 427238,A000000,01800,0000,1800NURSING FACILITY 427238,A000000,01810,0000,1810ICF/MR 427238,A000000,01900,0000,1900OTHER LONG TERM CARE 427238,A000000,02100,0000,2100RADIOLOGY 427238,A000000,02200,0000,2200LABORATORY 427238,A000000,02300,0000,2300INTRAVENOUS THERAPY 427238,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427238,A000000,02500,0000,2500PHYSICAL THERAPY 427238,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427238,A000000,02700,0000,2700SPEECH PATHOLOGY 427238,A000000,02800,0000,2800ELECTROCARDIOLOGY 427238,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427238,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427238,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427238,A000000,03200,0000,3200SUPPORT SURFACES 427238,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427238,A000000,03400,0000,3400CLINIC 427238,A000000,03500,0000,3500RURAL HEALTH CLINIC 427238,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427238,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427238,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427238,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427238,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427238,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427238,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427238,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427238,A000000,04400,0000,4400DME RENTED - HHA 427238,A000000,04500,0000,4500DME SOLD - HHA 427238,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427238,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427238,A000000,04710,0000,4710TELEMEDICINE 427238,A000000,04800,0000,4800AMBULANCE 427238,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427238,A000000,05000,0000,5000CORF 427238,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427238,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427238,A000000,05300,0000,5300INTEREST EXPENSE 427238,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427238,A000000,05500,0000,5500HOSPICE 427238,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427238,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427238,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427238,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427238,A000000,06100,0000,6100NONPAID WORKERS 427238,A000000,06200,0000,6200PATIENTS LAUNDRY 427238,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427238,A81000A,00100,0100,Y 427238,A81000B,00100,0300,MANAGEMENT FEES 427238,A81000B,00200,0300,MANAGEMENT FEES 427238,A81000B,00300,0300,MANAGEMENT FEES 427238,A81000B,00400,0300,SUPPLIES 427238,A81000B,00500,0300,SUPPLIES 427238,A81000B,00600,0300,SUPPLIES 427238,A81000B,00700,0300,SUPPLIES 427238,A81000B,00800,0300,SUPPLIES 427238,A81000B,00900,0300,SUPPLIES 427238,A81000B,01000,0300,INSURANCE 427238,A81000B,01100,0300,THERAPY SERVICES 427238,A81000B,01200,0300,THERAPY SERVICES 427238,A81000B,01300,0300,THERAPY SERVICES 427238,A81000B,01400,0300,MINOR EQUIPMENT 427238,A81000B,01500,0300,PHARMACY CONSULTANT 427238,A81000B,01600,0300,OTHER EMP BENEFITS 427238,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 427238,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 427238,A81000B,01900,0300,DRUGS MEDICARE 427238,A81000B,02000,0300,OTC DRUGS 427238,A81000B,02100,0300,DRUGS - PVT 427238,A81000B,02200,0300,DRUGS-MCD NON PDP 427238,A81000B,02300,0300,RENT 427238,A81000B,02400,0300,PHP-LOAN COSTS 427238,A81000B,02500,0300,PHP-ACCOUNTING FEES 427238,A81000B,02600,0300,PHP-TELEPHONE/OTHER 427238,A81000B,02700,0300,PHP-MORTGAGE INTEREST 427238,A81000B,02800,0300,PHP-HISTORICAL COST DEPRECIATION 427238,A81000C,00100,0100,A 427238,A81000C,00100,0200,MICHAEL H. MCBRIDE 427238,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 427238,A81000C,00100,0600,HOME OFFICE 427238,A81000C,00200,0100,A 427238,A81000C,00200,0200,JOHN SWIFT 427238,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 427238,A81000C,00200,0600,HOME OFFICE 427238,A81000C,00300,0100,A 427238,A81000C,00300,0200,BILL WILLIAMSON 427238,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 427238,A81000C,00300,0600,HOME OFFICE 427238,A81000C,00400,0100,A 427238,A81000C,00400,0200,MICHAEL H. MCBRIDE 427238,A81000C,00400,0400,GROVE MEDICAL INC 427238,A81000C,00400,0600,SUPPLIES 427238,A81000C,00500,0100,A 427238,A81000C,00500,0200,MICHAEL H. MCBRIDE 427238,A81000C,00500,0400,PREFERRED HEALTH PROP. 427238,A81000C,00500,0600,RENTAL LEASING 427238,A81000C,00600,0100,A 427238,A81000C,00600,0200,MICHAEL H. MCBRIDE 427238,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 427238,A81000C,00600,0600,THERAPY 427238,A81000C,00700,0100,A 427238,A81000C,00700,0200,JOHN SWIFT 427238,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 427238,A81000C,00700,0600,THERAPY 427238,A81000C,00800,0100,A 427238,A81000C,00800,0200,BILL WILLIAMSON 427238,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 427238,A81000C,00800,0600,THERAPY 427238,A81000C,00900,0100,A 427238,A81000C,00900,0200,MICHAEL H. MCBRIDGE 427238,A81000C,00900,0400,CRESCENT INDEMNITY INC. 427238,A81000C,00900,0600,INSURANCE 427238,A81000C,01000,0100,A 427238,A81000C,01000,0200,JOHN SWIFT 427238,A81000C,01000,0400,CRESCENT INDEMNITY INC 427238,A81000C,01000,0600,INSURANCE 427238,A81000C,01001,0100,A 427238,A81000C,01001,0200,BILL WILLIAMSON 427238,A81000C,01001,0400,CRESCENT INDEMNTIY INC 427238,A81000C,01001,0600,INSURANCE 427238,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427238,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427238,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427238,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427238,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427238,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427238,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427238,B100000,00000,0800,0800MEALS SERVED :DIETARY 427238,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427238,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 427238,B100000,00000,1100,1150GROSS CHARGES :PHARMACY 427238,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427238,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427238,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427238,E10A180,00550,0100,05/27/11 427238,G300000,02500,0000,BARBER AND BEAUTY 427238,G300000,02501,0000,GARNISHMENT FEE 427238,S000000,00100,0200,05/27/11 427238,S200000,00100,0100,2000 COUNTRY CLUB ROAD 427238,S200000,00200,0100,WADESBORO 427238,S200000,00200,0200,NC 427238,S200000,00200,0300,28170 427238,S200000,00300,0100,ANSON 427238,S200000,00300,0200,0034 427238,S200000,00300,0201,16740 427238,S200000,00300,0300,U 427238,S200000,00400,0100,HERITAGE HILLS LIVING CENTER LLC 427238,S200000,00400,0200,345392 427238,S200000,00400,0300,07/12/91 427238,S200000,00400,0500,P 427238,S200000,01500,0100,Y 427238,S200000,01501,0200,N 427238,S200000,01502,0200,N 427238,S200000,01503,0200,N 427238,S200000,01504,0200,N 427238,S200000,01600,0100,N 427238,S200000,01700,0100,N 427238,S200000,01800,0100,N 427238,S200000,02200,0100,N 427238,S200000,02800,0100,Y 427238,S200000,02900,0100,N 427238,S200000,03000,0100,N 427238,S200000,03100,0100,N 427238,S200000,03200,0100,N 427238,S200000,03300,0100,N 427238,S200000,03300,0200,N 427238,S200000,04100,0100,N 427238,S200000,04200,0100,N 427238,S200000,04300,0100,N 427238,S200000,04600,0100,N 427238,S200000,04700,0100,N 427238,S200000,04700,0200,N 427238,S200000,04900,0100,N 427238,S200000,05000,0100,N 427238,S200000,05100,0100,N 427238,S200000,05200,0100,N 427238,S200000,05300,0100,Y 427238,S200000,05300,0200,42HO32 427238,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 427238,S200000,05400,0200,PALMETTO GBA 427238,S200000,05400,0300, 00380 427238,S200000,05500,0100,101 GRACE DRIVE 427238,S200000,05600,0100,EASLEY 427238,S200000,05600,0200,SC 427238,S200000,05600,0300,29640 427247,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427247,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427247,A000000,00300,0000,0300EMPLOYEE BENEFITS 427247,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427247,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427247,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427247,A000000,00700,0000,0700HOUSEKEEPING 427247,A000000,00800,0000,0800DIETARY 427247,A000000,00900,0000,0900NURSING ADMINISTRATION 427247,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427247,A000000,01100,0000,1100PHARMACY 427247,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427247,A000000,01300,0000,1300SOCIAL SERVICE 427247,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427247,A000000,01500,0000,1350ACTIVITIES 427247,A000000,01600,0000,1600SKILLED NURSING FACILITY 427247,A000000,01810,0000,1810ICF/MR 427247,A000000,02100,0000,2100RADIOLOGY 427247,A000000,02200,0000,2200LABORATORY 427247,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427247,A000000,02500,0000,2500PHYSICAL THERAPY 427247,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427247,A000000,02700,0000,2700SPEECH PATHOLOGY 427247,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427247,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427247,A000000,03550,0000,3550FQHC 427247,A000000,04800,0000,4800AMBULANCE 427247,A000000,05000,0000,5000CORF 427247,A000000,05010,0000,5010CMHC 427247,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427247,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427247,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427247,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427247,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 427247,A81000A,00100,0100,Y 427247,A81000B,00100,0300,PHYSICAL THERAPY 427247,A81000B,00200,0300,OCCUPATIONAL THERAPY 427247,A81000B,00300,0300,SPEECH THERAPY 427247,A81000B,00400,0300,DIETARY 427247,A81000B,00500,0300,RESPIRATORY THERAPY 427247,A81000B,00600,0300,RESPIRATORY THERAPY 427247,A81000B,00700,0300,MEDICAL DIRECTOR 427247,A81000B,00800,0300,BUILDING 427247,A81000B,00900,0300,EQUIPMENT 427247,A81000B,01000,0300,ADMINISTRATION - HO 427247,A81000B,01100,0300,INTEREST - HO 427247,A81000B,01200,0300,BUILDING - HO 427247,A81000C,00100,0100,B 427247,A81000C,00100,0200,GENESIS REHAB 427247,A81000C,00100,0400,GENESIS HEALTHC 427247,A81000C,00100,0600,REHAB SERVICES 427247,A81000C,00200,0100,B 427247,A81000C,00200,0200,GENESIS REHAB 427247,A81000C,00200,0400,GENESIS HEALTHC 427247,A81000C,00200,0600,REHAB SERVICES 427247,A81000C,00300,0100,B 427247,A81000C,00300,0200,GENESIS REHAB 427247,A81000C,00300,0400,GENESIS HEALTHC 427247,A81000C,00300,0600,REHAB SERVICES 427247,A81000C,00400,0100,B 427247,A81000C,00400,0200,GENESIS HOSPITA 427247,A81000C,00400,0400,GENESIS HEALTHC 427247,A81000C,00400,0600,CONSULTING SERV 427247,A81000C,00500,0100,B 427247,A81000C,00500,0200,RESPIRATORY HEA 427247,A81000C,00500,0400,GENESIS HEALTHC 427247,A81000C,00500,0600,RESPIRATORY SER 427247,A81000C,00600,0100,B 427247,A81000C,00600,0200,RESPIRATORY HEA 427247,A81000C,00600,0400,GENESIS HEALTHC 427247,A81000C,00600,0600,RESPIRATORY SER 427247,A81000C,00700,0100,B 427247,A81000C,00700,0200,GENESIS PHYSICI 427247,A81000C,00700,0400,GENESIS HEALTHC 427247,A81000C,00700,0600,MEDICAL DIRECTO 427247,A81000C,00800,0100,B 427247,A81000C,00800,0200,GMA BRIGHTWOOD 427247,A81000C,00800,0400,GENESIS HEALTHC 427247,A81000C,00800,0600,PROPERTY OWNER 427247,A81000C,00900,0100,B 427247,A81000C,00900,0200,GMA BRIGHTWOOD 427247,A81000C,00900,0400,GENESIS HEALTHC 427247,A81000C,00900,0600,PROPERTY OWNER 427247,A81000C,01000,0100,B 427247,A81000C,01000,0200,GENESIS HEALTHC 427247,A81000C,01000,0600,MANAGEMENT COMP 427247,A81000C,01001,0100,B 427247,A81000C,01001,0200,GENESIS HEALTHC 427247,A81000C,01001,0600,MANAGEMENT COMP 427247,A81000C,01002,0100,B 427247,A81000C,01002,0200,GENESIS HEALTHC 427247,A81000C,01002,0600,MANAGEMENT COMP 427247,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427247,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427247,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427247,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427247,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427247,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427247,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427247,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427247,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427247,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427247,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427247,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427247,E10A180,00550,0100,09/27/11 427247,G300000,02500,0000,MISCELLANEOUS REVENUE 427247,G300000,02501,0000,BARBER/BEAUTY REVENUE 427247,S000000,00100,0200,09/27/11 427247,S200000,00100,0100,840 LEE STREET 427247,S200000,00200,0100,FOLLANSBEE 427247,S200000,00200,0200,WV 427247,S200000,00200,0300,26037 427247,S200000,00300,0100,BROOKE 427247,S200000,00300,0201,44600 427247,S200000,00300,0300,U 427247,S200000,00400,0100,BRIGHTWOOD CENTER 427247,S200000,00400,0200,515128 427247,S200000,00400,0300,04/19/94 427247,S200000,00400,0500,P 427247,S200000,01500,0100,Y 427247,S200000,01502,0200,N 427247,S200000,01503,0200,N 427247,S200000,01504,0200,N 427247,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 427247,S200000,01505,0200,Y 427247,S200000,01600,0100,N 427247,S200000,01700,0100,N 427247,S200000,01800,0100,N 427247,S200000,02200,0100,Y 427247,S200000,02800,0100,N 427247,S200000,02900,0100,N 427247,S200000,03000,0100,N 427247,S200000,03100,0100,N 427247,S200000,03200,0100,N 427247,S200000,03300,0100,N 427247,S200000,03300,0200,N 427247,S200000,04100,0100,N 427247,S200000,04200,0100,N 427247,S200000,04300,0100,N 427247,S200000,04600,0100,N 427247,S200000,04700,0100,N 427247,S200000,04700,0200,N 427247,S200000,04900,0100,N 427247,S200000,05000,0100,N 427247,S200000,05100,0100,N 427247,S200000,05200,0100,N 427247,S200000,05300,0100,Y 427247,S200000,05300,0200,HB0067 427247,S200000,05400,0100,GENESIS HEALTHCARE CORP 427247,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 427247,S200000,05400,0300,12001 427247,S200000,05500,0100,101 EAST STATE STREET 427247,S200000,05600,0100,KENNETT SQUARE 427247,S200000,05600,0200,PA 427247,S200000,05600,0300,19348 427259,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427259,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427259,A000000,00300,0000,0300EMPLOYEE BENEFITS 427259,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427259,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427259,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427259,A000000,00700,0000,0700HOUSEKEEPING 427259,A000000,00800,0000,0800DIETARY 427259,A000000,00900,0000,0900NURSING ADMINISTRATION 427259,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427259,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427259,A000000,01300,0000,1300SOCIAL SERVICE 427259,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427259,A000000,01500,0000,1350OTHER GENERAL SERVICES 427259,A000000,01600,0000,1600SKILLED NURSING FACILITY 427259,A000000,01800,0000,1800NURSING FACILITY 427259,A000000,01810,0000,1810ICF/MR 427259,A000000,01900,0000,1900OTHER LONG TERM CARE 427259,A000000,02100,0000,2100RADIOLOGY 427259,A000000,02200,0000,2200LABORATORY 427259,A000000,02300,0000,2300INTRAVENOUS THERAPY 427259,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427259,A000000,02500,0000,2500PHYSICAL THERAPY 427259,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427259,A000000,02700,0000,2700SPEECH PATHOLOGY 427259,A000000,02800,0000,2800ELECTROCARDIOLOGY 427259,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427259,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427259,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427259,A000000,03200,0000,3200SUPPORT SURFACES 427259,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427259,A000000,03400,0000,3400CLINIC 427259,A000000,03500,0000,3500RURAL HEALTH CLINIC 427259,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427259,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427259,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427259,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427259,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427259,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427259,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427259,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427259,A000000,04400,0000,4400DME RENTED - HHA 427259,A000000,04500,0000,4500DME SOLD - HHA 427259,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427259,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427259,A000000,04710,0000,4710TELEMEDICINE 427259,A000000,04800,0000,4800AMBULANCE 427259,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427259,A000000,05000,0000,5000CORF 427259,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427259,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427259,A000000,05300,0000,5300INTEREST EXPENSE 427259,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427259,A000000,05500,0000,5500HOSPICE 427259,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427259,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427259,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427259,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427259,A000000,06100,0000,6100NONPAID WORKERS 427259,A000000,06200,0000,6200PATIENTS LAUNDRY 427259,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427259,A81000A,00100,0100,Y 427259,A81000B,00100,0300,HOME OFFICE COSTS 427259,A81000B,00200,0300,HOME OFFICE COSTS 427259,A81000B,00300,0300,HOME OFFICE COSTS 427259,A81000B,00400,0300,FACILITY LEASE 427259,A81000B,00500,0300,RELATED PARTY INTEREST 427259,A81000B,00600,0300,WORKERS COMP INS 427259,A81000B,00700,0300,LIABILITY INSURANCE 427259,A81000C,00100,0100,A 427259,A81000C,00100,0200,JAMES J GIARDINA 427259,A81000C,00100,0400,COMMUNITY CARE CTRS INC 427259,A81000C,00100,0600,NURSING HOME MGMT 427259,A81000C,00200,0100,A 427259,A81000C,00200,0200,JAMES J GIARDINA 427259,A81000C,00200,0400,JAMES J GIARDINA 427259,A81000C,00200,0600,INDIVIDUAL 427259,A81000C,00300,0100,A 427259,A81000C,00300,0200,JAMES J GIARDINA 427259,A81000C,00300,0400,JAMES J GIARDINA 427259,A81000C,00300,0600,INDIVIDUAL 427259,A81000C,00400,0100,A 427259,A81000C,00400,0200,JAMES J GIARDINA 427259,A81000C,00400,0400,RISA 427259,A81000C,00400,0600,WORKER COMP INS 427259,A81000C,00500,0100,A 427259,A81000C,00500,0200,JAMES J GIARDINA 427259,A81000C,00500,0400,RISA 427259,A81000C,00500,0600,LIABILITY INSURANCE 427259,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427259,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427259,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427259,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427259,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427259,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427259,B100000,00000,0800,0800MEALS SERVED :DIETARY 427259,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427259,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427259,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427259,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427259,S000000,00100,0200,02/03/12 427259,S200000,00100,0100,9353 S BROADWAY 427259,S200000,00200,0100,LEMAY 427259,S200000,00200,0200,MO 427259,S200000,00200,0300,63125 427259,S200000,00300,0100,ST LOUIS 427259,S200000,00300,0200,7040 427259,S200000,00300,0201,41180 427259,S200000,00300,0300,U 427259,S200000,00400,0100,COMMUNITY CARE CENTER OF LEMAY 427259,S200000,00400,0200,265775 427259,S200000,00400,0300,01/14/04 427259,S200000,00400,0500,P 427259,S200000,01500,0100,Y 427259,S200000,01501,0200,N 427259,S200000,01502,0200,N 427259,S200000,01503,0200,N 427259,S200000,01504,0200,N 427259,S200000,01600,0100,N 427259,S200000,01700,0100,N 427259,S200000,01800,0100,N 427259,S200000,02200,0100,N 427259,S200000,02800,0100,Y 427259,S200000,02900,0100,N 427259,S200000,03000,0100,N 427259,S200000,03100,0100,N 427259,S200000,03200,0100,N 427259,S200000,03300,0100,N 427259,S200000,03300,0200,N 427259,S200000,04100,0100,N 427259,S200000,04200,0100,N 427259,S200000,04300,0100,N 427259,S200000,04600,0100,N 427259,S200000,04700,0100,N 427259,S200000,04700,0200,N 427259,S200000,04900,0100,N 427259,S200000,05000,0100,N 427259,S200000,05100,0100,N 427259,S200000,05200,0100,N 427259,S200000,05300,0100,Y 427259,S200000,05300,0200,H6957 427259,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427259,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427259,S200000,05400,0300, 05301 427259,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427259,S200000,05600,0100,BALLWIN 427259,S200000,05600,0200,MO 427259,S200000,05600,0300,63021-2100 427264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427264,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427264,A000000,00300,0000,0300EMPLOYEE BENEFITS 427264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427264,A000000,00700,0000,0700HOUSEKEEPING 427264,A000000,00800,0000,0800DIETARY 427264,A000000,00900,0000,0900NURSING ADMINISTRATION 427264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427264,A000000,01100,0000,1100PHARMACY 427264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427264,A000000,01300,0000,1300SOCIAL SERVICE 427264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427264,A000000,01500,0000,1350ACTIVITIES 427264,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 427264,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 427264,A000000,01600,0000,1600SKILLED NURSING FACILITY 427264,A000000,01800,0000,1800NURSING FACILITY 427264,A000000,01810,0000,1810ICF/MR 427264,A000000,01900,0000,1900OTHER LONG TERM CARE 427264,A000000,02100,0000,2100RADIOLOGY 427264,A000000,02200,0000,2200LABORATORY 427264,A000000,02300,0000,2300INTRAVENOUS THERAPY 427264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427264,A000000,02500,0000,2500PHYSICAL THERAPY 427264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427264,A000000,02700,0000,2700SPEECH PATHOLOGY 427264,A000000,02800,0000,2800ELECTROCARDIOLOGY 427264,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427264,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427264,A000000,03200,0000,3200SUPPORT SURFACES 427264,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427264,A000000,03301,0000,3051AIR FLUID THERAPY 427264,A000000,03302,0000,3052AMBULANCE 427264,A000000,03303,0000,3053PEN THERAPY 427264,A000000,03304,0000,3054ONCOLOGY 427264,A000000,03305,0000,3055CARDIOLOGY 427264,A000000,03306,0000,3056ULTRASOUND 427264,A000000,03307,0000,3057AUDIOLOGY 427264,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 427264,A000000,03400,0000,3400CLINIC 427264,A000000,03500,0000,3500RURAL HEALTH CLINIC 427264,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427264,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427264,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427264,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427264,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427264,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427264,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427264,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427264,A000000,04400,0000,4400DME RENTED - HHA 427264,A000000,04500,0000,4500DME SOLD - HHA 427264,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427264,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427264,A000000,04710,0000,4710TELEMEDICINE 427264,A000000,04800,0000,4800AMBULANCE 427264,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427264,A000000,05000,0000,5000CORF 427264,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427264,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427264,A000000,05300,0000,5300INTEREST EXPENSE 427264,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427264,A000000,05500,0000,5500HOSPICE 427264,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427264,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427264,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427264,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427264,A000000,06100,0000,6100NONPAID WORKERS 427264,A000000,06200,0000,6200PATIENTS LAUNDRY 427264,A000000,06300,0000,6150ADULT DAY HEALTH 427264,A000000,06301,0000,6151ASSISTED LIVING 427264,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 427264,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 427264,A81000A,00100,0100,Y 427264,A81000B,00400,0300,MGMT FEE - CAPITAL REL BLDG 427264,A81000B,00500,0300,MGMT FEE - CAPITAL REL MME 427264,A81000B,00600,0300,MGMT FEE - A&G RELATED 427264,A81000B,00700,0300,NURSING 427264,A81000B,00800,0300,ADMIMISTRATOR 427264,A81000B,00900,0300,NURSE LIASON 427264,A81000B,01000,0300,MARKETING (DISALLOWED ON A8) 427264,A81000B,01100,0300,DIETARY 427264,A81000B,01200,0300,ASST LIVING SOCIAL SERVICES 427264,A81000B,01300,0300,CLERICAL & COMPUTER EXPENSE 427264,A81000C,00100,0100,A 427264,A81000C,00100,0200,PAUL CASALE 427264,A81000C,00100,0400,WELCH HC & RETIREMENT GRO 427264,A81000C,00100,0600,MGMT COMPANY 427264,A81000C,00200,0100,A 427264,A81000C,00200,0200,MICHEEL WELCH 427264,A81000C,00200,0400,WELCH HC & RETIREMENT GRO 427264,A81000C,00200,0600,MGMT COMPANY 427264,A81000C,00300,0100,A 427264,A81000C,00300,0200,RICHARD WELCH 427264,A81000C,00300,0400,WELCH HC & RETIREMENT GRO 427264,A81000C,00300,0600,MGMT COMPANY 427264,A81000C,00400,0100,B 427264,A81000C,00400,0200,ESTATE OF THOMAS WELCH 427264,A81000C,00400,0400,WELCH HC & RETIREMENT GRO 427264,A81000C,00400,0600,MGMT COMPANY 427264,A81000C,00500,0100,A 427264,A81000C,00500,0200,RITA WELCH 427264,A81000C,00500,0400,WELCH HC & RETIREMENT GRO 427264,A81000C,00500,0600,MGMT COMPANY 427264,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427264,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427264,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427264,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427264,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427264,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427264,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427264,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427264,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 427264,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427264,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427264,B100000,00000,1300,1330# OF ADMISSIONS :SOCIAL SERVICE 427264,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427264,G300000,02500,0000,OTHER - SEE GROUPINGS 427264,S000000,00100,0200,02/21/12 427264,S200000,00100,0100,164 PARKINGWAY 427264,S200000,00200,0100,QUINCY 427264,S200000,00200,0200,MA 427264,S200000,00200,0300,02169 427264,S200000,00300,0100,NORFOLK 427264,S200000,00300,0200,1123 427264,S200000,00300,0201,14484 427264,S200000,00300,0300,U 427264,S200000,00400,0100,HANCOCK PARK REHABILITATION & NURSIN 427264,S200000,00400,0200,225718 427264,S200000,00400,0300,11/13/96 427264,S200000,00400,0500,P 427264,S200000,00400,0600,P 427264,S200000,01500,0100,Y 427264,S200000,01501,0200,N 427264,S200000,01503,0200,N 427264,S200000,01504,0200,N 427264,S200000,01600,0100,N 427264,S200000,01700,0100,N 427264,S200000,01800,0100,N 427264,S200000,02200,0100,N 427264,S200000,02800,0100,N 427264,S200000,02900,0100,N 427264,S200000,03000,0100,N 427264,S200000,03100,0100,N 427264,S200000,03200,0100,N 427264,S200000,03300,0100,N 427264,S200000,03300,0200,N 427264,S200000,04100,0100,N 427264,S200000,04200,0100,N 427264,S200000,04300,0100,N 427264,S200000,04600,0100,N 427264,S200000,04700,0100,N 427264,S200000,04700,0200,N 427264,S200000,04900,0100,N 427264,S200000,05000,0100,N 427264,S200000,05100,0100,N 427264,S200000,05200,0100,N 427264,S200000,05300,0100,Y 427264,S200000,05300,0200,229988 427264,S200000,05400,0100,WELCH HEALTHCARE & RETIREMENT GROUP 427264,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427264,S200000,05400,0300,52280 427264,S200000,05500,0100,52 ACCORD PARK DRIVE 427264,S200000,05600,0100,NORWELL 427264,S200000,05600,0200,MA 427264,S200000,05600,0300,02061 427410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427410,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427410,A000000,00300,0000,0300EMPLOYEE BENEFITS 427410,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427410,A000000,00700,0000,0700HOUSEKEEPING 427410,A000000,00800,0000,0800DIETARY 427410,A000000,00801,0000,0801CAFETERIA 427410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427410,A000000,01300,0000,1300SOCIAL SERVICE 427410,A000000,01600,0000,1600SKILLED NURSING FACILITY 427410,A000000,02100,0000,2100RADIOLOGY 427410,A000000,02200,0000,2200LABORATORY 427410,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427410,A000000,02500,0000,2500PHYSICAL THERAPY 427410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427410,A000000,02700,0000,2700SPEECH PATHOLOGY 427410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427410,A000000,03300,0000,3050RESTORATIVE SERVICES 427410,A000000,05300,0000,5300INTEREST EXPENSE 427410,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427410,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427410,A000000,06300,0000,6150ASSISTED LIVING 427410,A000000,06301,0000,6151GUEST MEALS 427410,A000000,06302,0000,6152COMMUNITY LIVING 427410,A81000A,00100,0100,Y 427410,A81000B,00100,0300,SALARIES AND BENEFITS 427410,A81000B,00200,0300,SALARIES AND BENEFITS 427410,A81000B,00300,0300,SALARIES AND BENEFITS 427410,A81000B,00400,0300,DIETARY CONSULTANT 427410,A81000B,00500,0300,SOFTWARE MAINTENANCE FEE 427410,A81000B,00600,0300,MANAGEMENT FEES 427410,A81000C,00100,0100,B 427410,A81000C,00100,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00100,0600,MANAGEMENT 427410,A81000C,00200,0100,B 427410,A81000C,00200,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00200,0600,MANAGEMENT 427410,A81000C,00300,0100,B 427410,A81000C,00300,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00300,0600,MANAGEMENT 427410,A81000C,00400,0100,B 427410,A81000C,00400,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00400,0600,MANAGEMENT 427410,A81000C,00500,0100,B 427410,A81000C,00500,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00500,0600,MANAGEMENT 427410,A81000C,00600,0100,B 427410,A81000C,00600,0400,VIA CHRISTI VILLAGES INC 427410,A81000C,00600,0600,MANAGEMENT 427410,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427410,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427410,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427410,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427410,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427410,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 427410,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427410,B100000,00000,0800,0800MEALS SERVED :DIETARY 427410,B100000,00000,0801,0851FTE S :CAFETERIA 427410,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 427410,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 427410,S000000,00100,0200,03/01/12 427410,S200000,00100,0100,2800 WILLOW GROVE ROAD 427410,S200000,00200,0100,MANHATTAN 427410,S200000,00200,0200,KS 427410,S200000,00200,0300,66502 427410,S200000,00300,0100,RILEY 427410,S200000,00300,0200,0017 427410,S200000,00300,0201,31740 427410,S200000,00300,0300,U 427410,S200000,00400,0100,VIA CHRISTI VILLAGE MANHATTAN INC. 427410,S200000,00400,0200,175100 427410,S200000,00400,0300,07/19/84 427410,S200000,00400,0500,P 427410,S200000,01500,0100,Y 427410,S200000,01501,0200,Y 427410,S200000,01600,0100,N 427410,S200000,01700,0100,N 427410,S200000,01800,0100,N 427410,S200000,02200,0100,N 427410,S200000,02800,0100,Y 427410,S200000,02900,0100,N 427410,S200000,03000,0100,N 427410,S200000,03100,0100,N 427410,S200000,03200,0100,N 427410,S200000,03300,0100,N 427410,S200000,03300,0200,N 427410,S200000,04100,0100,N 427410,S200000,04200,0100,N 427410,S200000,04300,0100,N 427410,S200000,04600,0100,N 427410,S200000,04700,0100,N 427410,S200000,04700,0200,N 427410,S200000,04900,0100,N 427410,S200000,05000,0100,N 427410,S200000,05100,0100,N 427410,S200000,05200,0100,N 427410,S200000,05300,0100,Y 427410,S200000,05400,0100,VIA CHRISTI VILLAGES INC. 427410,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427410,S200000,05400,0300,05201 427410,S200000,05500,0100,2622 W. CENTRAL 427410,S200000,05600,0100,WICHITA 427410,S200000,05600,0200,KS 427410,S200000,05600,0300,67203 427411,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427411,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427411,A000000,00300,0000,0300EMPLOYEE BENEFITS 427411,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427411,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427411,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427411,A000000,00700,0000,0700HOUSEKEEPING 427411,A000000,00800,0000,0800DIETARY 427411,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427411,A000000,01300,0000,1300SOCIAL SERVICE 427411,A000000,01600,0000,1600SKILLED NURSING FACILITY 427411,A000000,02100,0000,2100RADIOLOGY 427411,A000000,02200,0000,2200LABORATORY 427411,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427411,A000000,02500,0000,2500PHYSICAL THERAPY 427411,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427411,A000000,02700,0000,2700SPEECH PATHOLOGY 427411,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427411,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427411,A000000,03300,0000,3050RESTORATIVE SERVICES 427411,A000000,05300,0000,5300INTEREST EXPENSE 427411,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427411,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427411,A000000,06300,0000,6150ASSISTED LIVING 427411,A000000,06301,0000,6151OTHER MEALS 427411,A000000,06302,0000,6152COMMUNITY LIVING 427411,A000000,06303,0000,6153HOME HEALTH 427411,A81000A,00100,0100,Y 427411,A81000B,00100,0300,SALARIES AND BENEFITS 427411,A81000B,00200,0300,SALARIES AND BENEFITS 427411,A81000B,00300,0300,SALARIES AND BENEFITS 427411,A81000B,00400,0300,DIETARY CONSULTANT 427411,A81000B,00500,0300,SOFTWARE MAINTENANCE FEE 427411,A81000B,00600,0300,DIETARY CONSULTANT 427411,A81000B,00700,0300,MANAGEMENT FEES 427411,A81000B,00800,0300,MANAGEMENT FEES 427411,A81000B,00900,0300,MANAGEMENT FEES 427411,A81000C,00100,0100,B 427411,A81000C,00100,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00100,0600,MANAGEMENT SVCS 427411,A81000C,00200,0100,B 427411,A81000C,00200,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00200,0600,MANAGEMENT SVCS 427411,A81000C,00300,0100,B 427411,A81000C,00300,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00300,0600,MANAGEMENT SVCS 427411,A81000C,00400,0100,B 427411,A81000C,00400,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00400,0600,MANAGEMENT SVCS 427411,A81000C,00500,0100,B 427411,A81000C,00500,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00500,0600,MANAGEMENT SVCS 427411,A81000C,00600,0100,B 427411,A81000C,00600,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00600,0600,MANAGEMENT SVCS 427411,A81000C,00700,0100,B 427411,A81000C,00700,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00700,0600,MANAGEMENT SVCS 427411,A81000C,00800,0100,B 427411,A81000C,00800,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00800,0600,MANAGEMENT SVCS 427411,A81000C,00900,0100,B 427411,A81000C,00900,0400,VIA CHRISTI VILLAGES INC 427411,A81000C,00900,0600,MANAGEMENT SCVS 427411,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427411,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427411,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427411,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427411,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427411,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 427411,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427411,B100000,00000,0800,0800MEALS SERVED :DIETARY 427411,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 427411,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 427411,G300000,02500,0000,OTHER INCOME 427411,S000000,00100,0200,03/05/12 427411,S200000,00100,0100,6700 E 45TH ST NORTH 427411,S200000,00200,0100,WICHITA 427411,S200000,00200,0200,KS 427411,S200000,00200,0300,67226 427411,S200000,00300,0100,SEDGWICK 427411,S200000,00300,0200,9040 427411,S200000,00300,0300,U 427411,S200000,00400,0100,CATHOLIC CARE CENTER INC. 427411,S200000,00400,0200,175410 427411,S200000,00400,0300,02/07/97 427411,S200000,00400,0500,P 427411,S200000,01500,0100,Y 427411,S200000,01501,0200,Y 427411,S200000,01600,0100,N 427411,S200000,01700,0100,N 427411,S200000,01800,0100,N 427411,S200000,02200,0100,N 427411,S200000,02800,0100,Y 427411,S200000,02900,0100,N 427411,S200000,03000,0100,N 427411,S200000,03100,0100,N 427411,S200000,03200,0100,N 427411,S200000,03300,0100,N 427411,S200000,03300,0200,N 427411,S200000,04100,0100,N 427411,S200000,04200,0100,N 427411,S200000,04300,0100,N 427411,S200000,04600,0100,N 427411,S200000,04700,0100,N 427411,S200000,04700,0200,N 427411,S200000,04900,0100,N 427411,S200000,05000,0100,N 427411,S200000,05100,0100,N 427411,S200000,05200,0100,N 427411,S200000,05300,0100,Y 427411,S200000,05400,0100,VIA CHRISTI VILLAGES INC. 427411,S200000,05400,0200,WISCONSIN PHYISIANS SERVICE 427411,S200000,05400,0300,05201 427411,S200000,05500,0100,2622 W. CENTRAL 427411,S200000,05600,0100,WICHITA 427411,S200000,05600,0200,KS 427411,S200000,05600,0300,67203 427414,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427414,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427414,A000000,00300,0000,0300EMPLOYEE BENEFITS 427414,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427414,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427414,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427414,A000000,00700,0000,0700HOUSEKEEPING 427414,A000000,00800,0000,0800DIETARY 427414,A000000,00900,0000,0900NURSING ADMINISTRATION 427414,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427414,A000000,01300,0000,1300SOCIAL SERVICE 427414,A000000,01600,0000,1600SKILLED NURSING FACILITY 427414,A000000,01800,0000,1800NURSING FACILITY 427414,A000000,01810,0000,1810ICF/MR 427414,A000000,02500,0000,2500PHYSICAL THERAPY 427414,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427414,A000000,02700,0000,2700SPEECH PATHOLOGY 427414,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427414,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427414,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427414,A81000A,00100,0100,N 427414,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 427414,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 427414,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427414,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 427414,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 427414,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 427414,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 427414,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 427414,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 427414,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 427414,S000000,00100,0200,02/22/12 427414,S200000,00100,0100,446 & 624 PINEWOOD AVENUE 427414,S200000,00200,0100,SEWARD 427414,S200000,00200,0200,NE 427414,S200000,00200,0300,68434 427414,S200000,00300,0100,SEWARD 427414,S200000,00300,0200,4360 427414,S200000,00300,0201,30700 427414,S200000,00300,0300,U 427414,S200000,00400,0100,SEWARD LIVING CENTER INC. 427414,S200000,00400,0200,285279 427414,S200000,00400,0300,02/01/09 427414,S200000,00400,0500,P 427414,S200000,01500,0100,Y 427414,S200000,01501,0200,Y 427414,S200000,01502,0200,Y 427414,S200000,01503,0200,Y 427414,S200000,01504,0200,Y 427414,S200000,01600,0100,N 427414,S200000,01700,0100,N 427414,S200000,01800,0100,N 427414,S200000,02200,0100,N 427414,S200000,02800,0100,Y 427414,S200000,02900,0100,N 427414,S200000,03000,0100,N 427414,S200000,03100,0100,N 427414,S200000,03200,0100,N 427414,S200000,03300,0100,N 427414,S200000,03300,0200,N 427414,S200000,04100,0100,N 427414,S200000,04200,0100,N 427414,S200000,04300,0100,N 427414,S200000,04600,0100,N 427414,S200000,04700,0100,N 427414,S200000,04700,0200,N 427414,S200000,04900,0100,N 427414,S200000,05000,0100,N 427414,S200000,05100,0100,N 427414,S200000,05200,0100,N 427414,S200000,05300,0100,Y 427414,S200000,05300,0200,289006 427414,S200000,05400,0100,VETTER HEALTH SERVICES 427414,S200000,05400,0200,WPS 427414,S200000,05400,0300,05401 427414,S200000,05500,0100,20220 HARNEY STREET 427414,S200000,05600,0100,ELKHORN 427414,S200000,05600,0200,NE 427414,S200000,05600,0300,68022 427425,S000000,00100,0200,01/17/12 427425,S200000,00100,0100,308 SHERMAN AVE 427425,S200000,00200,0100,ELLSWORTH 427425,S200000,00200,0200,MN 427425,S200000,00200,0300,56129-1016 427425,S200000,00300,0100,NOBLES 427425,S200000,00400,0100,PARKVIEW MANOR 427425,S200000,00400,0300,03/01/91 427438,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427438,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427438,A000000,00300,0000,0300EMPLOYEE BENEFITS 427438,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427438,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427438,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427438,A000000,00700,0000,0700HOUSEKEEPING 427438,A000000,00800,0000,0800DIETARY 427438,A000000,00900,0000,0900NURSING ADMINISTRATION 427438,A000000,01100,0000,1100PHARMACY 427438,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427438,A000000,01300,0000,1300SOCIAL SERVICE 427438,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427438,A000000,01500,0000,1350ACTIVITIES 427438,A000000,01600,0000,1600SKILLED NURSING FACILITY 427438,A000000,01800,0000,1800NURSING FACILITY 427438,A000000,01810,0000,1810ICF/MR 427438,A000000,01900,0000,1900OTHER LONG TERM CARE 427438,A000000,02100,0000,2100RADIOLOGY 427438,A000000,02200,0000,2200LABORATORY 427438,A000000,02300,0000,2300INTRAVENOUS THERAPY 427438,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427438,A000000,02500,0000,2500PHYSICAL THERAPY 427438,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427438,A000000,02700,0000,2700SPEECH PATHOLOGY 427438,A000000,02800,0000,2800ELECTROCARDIOLOGY 427438,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427438,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427438,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427438,A000000,03200,0000,3200SUPPORT SURFACES 427438,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427438,A000000,03302,0000,3052AMBULANCE 427438,A000000,03303,0000,3053PEN THERAPY 427438,A000000,03308,0000,3058LIFE SUSTAINING EQUIPMENT RENTAL 427438,A000000,03400,0000,3400CLINIC 427438,A000000,03500,0000,3500RURAL HEALTH CLINIC 427438,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427438,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427438,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427438,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427438,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427438,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427438,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427438,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427438,A000000,04400,0000,4400DME RENTED - HHA 427438,A000000,04500,0000,4500DME SOLD - HHA 427438,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427438,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427438,A000000,04710,0000,4710TELEMEDICINE 427438,A000000,04800,0000,4800AMBULANCE 427438,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427438,A000000,05000,0000,5000CORF 427438,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427438,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427438,A000000,05300,0000,5300INTEREST EXPENSE 427438,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427438,A000000,05500,0000,5500HOSPICE 427438,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427438,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427438,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427438,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427438,A000000,06100,0000,6100NONPAID WORKERS 427438,A000000,06200,0000,6200PATIENTS LAUNDRY 427438,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427438,A81000A,00100,0100,Y 427438,A81000B,00100,0300,HO BLDG DEPR 427438,A81000B,00200,0300,EQUIP DEPR 427438,A81000B,00300,0300,INTEREST 427438,A81000B,00400,0300,MGMT FEES 427438,A81000B,00500,0300,MED SUPPLIES 427438,A81000B,00600,0300,MED SUPPLIES 427438,A81000B,00700,0300,MED SUPPLIES 427438,A81000B,00800,0300,DRUGS 427438,A81000B,00900,0300,DRUGS 427438,A81000B,01000,0300,DRUGS 427438,A81000B,01100,0300,FACILITY LEASE 427438,A81000B,01200,0300,FAC BLDG DEPR 427438,A81000B,01300,0300,FAC EQUIP 427438,A81000B,01400,0300,FAC INTEREST 427438,A81000B,01500,0300,FAC AMORT 427438,A81000B,01600,0300,FAC A&G 427438,A81000C,00100,0100,A 427438,A81000C,00100,0200,R&S MCNEILL 427438,A81000C,00100,0400,LIBERTY LTC MGMT 427438,A81000C,00100,0600,HOME OFFICE 427438,A81000C,00200,0100,A 427438,A81000C,00200,0200,R&S MCNEILL 427438,A81000C,00200,0400,LIBERTY LTC MGMT 427438,A81000C,00200,0600,HOME OFFICE 427438,A81000C,00300,0100,A 427438,A81000C,00300,0200,R&S MCNEILL 427438,A81000C,00300,0400,LIBERTY LTC MGMT 427438,A81000C,00300,0600,HOME OFFICE 427438,A81000C,00400,0100,A 427438,A81000C,00400,0200,R&S MCNEILL 427438,A81000C,00400,0400,LIBERTY LTC MGMT 427438,A81000C,00400,0600,HOME OFFICE 427438,A81000C,00500,0100,A 427438,A81000C,00500,0200,R&S MCNEILL 427438,A81000C,00500,0400,LIBERTY MED SPEC 427438,A81000C,00500,0600,MED SUPPLY 427438,A81000C,00600,0100,A 427438,A81000C,00600,0200,R&S MCNEILL 427438,A81000C,00600,0400,LIBERTY MED SPEC 427438,A81000C,00600,0600,MED SUPPLY 427438,A81000C,00700,0100,A 427438,A81000C,00700,0200,R&S MCNEILL 427438,A81000C,00700,0400,LIBERTY MED SPEC 427438,A81000C,00700,0600,MED SUPPLY 427438,A81000C,00800,0100,A 427438,A81000C,00800,0200,R&S MCNEILL 427438,A81000C,00800,0400,MCNEILL PHARMACY 427438,A81000C,00800,0600,PHARMACY 427438,A81000C,00900,0100,A 427438,A81000C,00900,0200,R&S MCNEILL 427438,A81000C,00900,0400,MCNEILL PHARMACY 427438,A81000C,00900,0600,PHARMACY 427438,A81000C,01000,0100,A 427438,A81000C,01000,0200,R&S MCNEILL 427438,A81000C,01000,0400,MCNEILL PHARMACY 427438,A81000C,01000,0600,PHARMACY 427438,A81000C,01001,0100,A 427438,A81000C,01001,0200,R&S MCNEILL 427438,A81000C,01001,0400,LIBERTY PROPERTIES 427438,A81000C,01001,0600,BUILDING 427438,A81000C,01002,0100,A 427438,A81000C,01002,0200,R&S MCNEILL 427438,A81000C,01002,0400,LIBERTY PROPERTIES 427438,A81000C,01002,0600,BUILDING 427438,A81000C,01003,0100,A 427438,A81000C,01003,0200,R&S MCNEILL 427438,A81000C,01003,0400,LIBERTY PROPERTIES 427438,A81000C,01003,0600,BUILDING 427438,A81000C,01004,0100,A 427438,A81000C,01004,0200,R&S MCNEILL 427438,A81000C,01004,0400,LIBERTY PROPERTIES 427438,A81000C,01004,0600,BUILDING 427438,A81000C,01005,0100,A 427438,A81000C,01005,0200,R&S MCNEILL 427438,A81000C,01005,0400,LIBERTY PROPERTIES 427438,A81000C,01005,0600,BUILDING 427438,A81000C,01006,0100,A 427438,A81000C,01006,0200,R&S MCNEILL 427438,A81000C,01006,0400,LIBERTY PROPERTIES 427438,A81000C,01006,0600,BUILDING 427438,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427438,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427438,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427438,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427438,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427438,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427438,B100000,00000,0800,0800MEALS SERVED :DIETARY 427438,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 427438,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427438,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427438,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427438,E00A183,01620,0000,OTHER ADJUSTMENTS (SPECIFY) 427438,G300000,02500,0000,BARBER AND BEAUTY 427438,G300000,02503,0000,PERSONAL ITEMS 427438,G300000,02504,0000,EQUIPMENT RENTAL 427438,G300000,02505,0000,BILLING ADJUSTMENTS 427438,G300000,02506,0000,ROOMHOLDS 427438,S000000,00100,0200,03/01/12 427438,S200000,00100,0100,901 BETHESDA ROAD 427438,S200000,00200,0100,WINSTON-SALEM 427438,S200000,00200,0200,NC 427438,S200000,00200,0300,27103-5614 427438,S200000,00300,0100,FORSYTH 427438,S200000,00300,0200,3120 427438,S200000,00300,0201,49180 427438,S200000,00300,0300,U 427438,S200000,00400,0100,LIBERTY COMMONS NRC - THE OAKS 427438,S200000,00400,0200,345284 427438,S200000,00400,0300,06/30/88 427438,S200000,00400,0500,P 427438,S200000,00400,0600,P 427438,S200000,01500,0100,Y 427438,S200000,01501,0200,Y 427438,S200000,01503,0200,Y 427438,S200000,01600,0100,N 427438,S200000,01700,0100,N 427438,S200000,01800,0100,N 427438,S200000,02200,0100,N 427438,S200000,02800,0100,Y 427438,S200000,02900,0100,N 427438,S200000,03000,0100,N 427438,S200000,03100,0100,N 427438,S200000,03200,0100,N 427438,S200000,03300,0100,N 427438,S200000,03300,0200,N 427438,S200000,04100,0100,N 427438,S200000,04200,0100,N 427438,S200000,04300,0100,N 427438,S200000,04600,0100,N 427438,S200000,04700,0100,N 427438,S200000,04700,0200,N 427438,S200000,04900,0100,N 427438,S200000,05000,0100,N 427438,S200000,05100,0100,N 427438,S200000,05200,0100,N 427438,S200000,05300,0100,N 427456,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427456,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427456,A000000,00300,0000,0300EMPLOYEE BENEFITS 427456,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427456,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427456,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427456,A000000,00700,0000,0700HOUSEKEEPING 427456,A000000,00800,0000,0800DIETARY 427456,A000000,00900,0000,0900NURSING ADMINISTRATION 427456,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427456,A000000,01100,0000,1100PHARMACY 427456,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427456,A000000,01300,0000,1300SOCIAL SERVICE 427456,A000000,01500,0000,1350ACTIVITIES 427456,A000000,01600,0000,1600SKILLED NURSING FACILITY 427456,A000000,01800,0000,1800NURSING FACILITY 427456,A000000,01810,0000,1810ICF/MR 427456,A000000,01900,0000,1900OTHER LONG TERM CARE 427456,A000000,02100,0000,2100RADIOLOGY 427456,A000000,02200,0000,2200LABORATORY 427456,A000000,02300,0000,2300INTRAVENOUS THERAPY 427456,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427456,A000000,02500,0000,2500PHYSICAL THERAPY 427456,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427456,A000000,02700,0000,2700SPEECH PATHOLOGY 427456,A000000,02800,0000,2800ELECTROCARDIOLOGY 427456,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427456,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427456,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427456,A000000,03200,0000,3200SUPPORT SURFACES 427456,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427456,A000000,03400,0000,3400CLINIC 427456,A000000,03500,0000,3500RURAL HEALTH CLINIC 427456,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427456,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427456,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427456,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427456,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427456,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427456,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427456,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427456,A000000,04400,0000,4400DME RENTED - HHA 427456,A000000,04500,0000,4500DME SOLD - HHA 427456,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427456,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427456,A000000,04710,0000,4710TELEMEDICINE 427456,A000000,04800,0000,4800AMBULANCE 427456,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427456,A000000,05000,0000,5000CORF 427456,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427456,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427456,A000000,05300,0000,5300INTEREST EXPENSE 427456,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427456,A000000,05500,0000,5500HOSPICE 427456,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427456,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427456,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427456,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427456,A000000,06100,0000,6100NONPAID WORKERS 427456,A000000,06200,0000,6200PATIENTS LAUNDRY 427456,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427456,A81000A,00100,0100,Y 427456,A81000B,00100,0300,MANAGEMENT FEES 427456,A81000B,00200,0300,MANAGEMENT FEES 427456,A81000B,00300,0300,MANAGEMENT FEES 427456,A81000B,00400,0300,SUPPLIES 427456,A81000B,00500,0300,SUPPLIES 427456,A81000B,00600,0300,SUPPLIES 427456,A81000B,00700,0300,SUPPLIES 427456,A81000B,00800,0300,SUPPLIES 427456,A81000B,00900,0300,SUPPLIES 427456,A81000B,01000,0300,INSURANCE 427456,A81000B,01100,0300,DRUGS-PVT 427456,A81000B,01200,0300,MINOR EQUIPMENT 427456,A81000B,01300,0300,THERAPY SERVICES 427456,A81000B,01400,0300,MINOR EQUIPMENT 427456,A81000B,01500,0300,PHARMACY CONSULTANT 427456,A81000B,01600,0300,OTHER EMP BENEFITS 427456,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 427456,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 427456,A81000B,01900,0300,DRUGS MEDICARE 427456,A81000B,02000,0300,OTC DRUGS 427456,A81000B,02100,0300,GLUCOSE SUPPLIES 427456,A81000B,02200,0300,DRUGS-MCD NON PDP 427456,A81000B,02300,0300,RENT 427456,A81000B,02400,0300,PHP-LOAN COSTS 427456,A81000B,02500,0300,PHP-ACCOUNTING FEES 427456,A81000B,02600,0300,PHP-TAXES 427456,A81000B,02700,0300,PHP-MORTGAGE INTEREST 427456,A81000B,02800,0300,PHP-HISTORICAL COST DEPRECIATION 427456,A81000C,00100,0100,A 427456,A81000C,00100,0200,MICHAEL H. MCBRIDE 427456,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 427456,A81000C,00100,0600,HOME OFFICE 427456,A81000C,00200,0100,A 427456,A81000C,00200,0200,JOHN SWIFT 427456,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 427456,A81000C,00200,0600,HOME OFFICE 427456,A81000C,00300,0100,A 427456,A81000C,00300,0200,BILL WILLIAMSON 427456,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 427456,A81000C,00300,0600,HOME OFFICE 427456,A81000C,00400,0100,A 427456,A81000C,00400,0200,MICHAEL H. MCBRIDE 427456,A81000C,00400,0400,GROVE MEDICAL INC 427456,A81000C,00400,0600,SUPPLIES 427456,A81000C,00500,0100,A 427456,A81000C,00500,0200,MICHAEL H. MCBRIDE 427456,A81000C,00500,0400,PREFERRED HEALTH PROP. 427456,A81000C,00500,0600,RENTAL LEASING 427456,A81000C,00600,0100,A 427456,A81000C,00600,0200,MICHAEL H. MCBRIDE 427456,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 427456,A81000C,00600,0600,THERAPY 427456,A81000C,00700,0100,A 427456,A81000C,00700,0200,JOHN SWIFT 427456,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 427456,A81000C,00700,0600,THERAPY 427456,A81000C,00800,0100,A 427456,A81000C,00800,0200,BILL WILLIAMSON 427456,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 427456,A81000C,00800,0600,THERAPY 427456,A81000C,00900,0100,A 427456,A81000C,00900,0200,MICHAEL H. MCBRIDGE 427456,A81000C,00900,0400,CRESCENT INDEMNITY INC. 427456,A81000C,00900,0600,INSURANCE 427456,A81000C,01000,0100,A 427456,A81000C,01000,0200,JOHN SWIFT 427456,A81000C,01000,0400,CRESCENT INDEMNITY INC 427456,A81000C,01000,0600,INSURANCE 427456,A81000C,01001,0100,A 427456,A81000C,01001,0200,BILL WILLIAMSON 427456,A81000C,01001,0400,CRESCENT INDEMNTIY INC 427456,A81000C,01001,0600,INSURANCE 427456,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427456,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427456,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427456,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427456,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427456,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427456,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427456,B100000,00000,0800,0800MEALS SERVED :DIETARY 427456,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427456,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 427456,B100000,00000,1100,1150GROSS CHARGES :PHARMACY 427456,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427456,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427456,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427456,S000000,00100,0200,06/13/11 427456,S200000,00100,0100,201 NORTH ELLIS AVENUE 427456,S200000,00200,0100,DUNN 427456,S200000,00200,0200,NC 427456,S200000,00200,0300,28335 427456,S200000,00300,0100,HARNETT 427456,S200000,00300,0200,34 427456,S200000,00300,0201,99934 427456,S200000,00300,0300,R 427456,S200000,00400,0100,MAGNOLIA LIVING CENTER LLC 427456,S200000,00400,0200,345173 427456,S200000,00400,0300,03/01/77 427456,S200000,00400,0500,P 427456,S200000,01500,0100,Y 427456,S200000,01502,0200,N 427456,S200000,01503,0200,N 427456,S200000,01600,0100,N 427456,S200000,01700,0100,N 427456,S200000,01800,0100,N 427456,S200000,02200,0100,N 427456,S200000,02800,0100,Y 427456,S200000,02900,0100,N 427456,S200000,03000,0100,N 427456,S200000,03100,0100,N 427456,S200000,03200,0100,N 427456,S200000,03300,0100,N 427456,S200000,03300,0200,N 427456,S200000,04100,0100,N 427456,S200000,04200,0100,N 427456,S200000,04300,0100,N 427456,S200000,04600,0100,N 427456,S200000,04700,0100,N 427456,S200000,04700,0200,N 427456,S200000,04900,0100,N 427456,S200000,05000,0100,N 427456,S200000,05100,0100,N 427456,S200000,05200,0100,N 427456,S200000,05300,0100,Y 427456,S200000,05300,0200,42HO32 427456,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 427456,S200000,05400,0200,PALMETTO GBA 427456,S200000,05400,0300, 00380 427456,S200000,05500,0100,101 GRACE DRIVE 427456,S200000,05600,0100,EASLEY 427456,S200000,05600,0200,SC 427456,S200000,05600,0300,29640 427468,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427468,A000000,00300,0000,0300EMPLOYEE BENEFITS 427468,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427468,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427468,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427468,A000000,00700,0000,0700HOUSEKEEPING 427468,A000000,00800,0000,0800DIETARY 427468,A000000,00900,0000,0900NURSING ADMINISTRATION 427468,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427468,A000000,01100,0000,1100PHARMACY 427468,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427468,A000000,01300,0000,1300SOCIAL SERVICE 427468,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427468,A000000,01500,0000,1350ACTIVITIES 427468,A000000,01600,0000,1600SKILLED NURSING FACILITY 427468,A000000,01800,0000,1800NURSING FACILITY 427468,A000000,01810,0000,1810ICF/MR 427468,A000000,01900,0000,1900OTHER LONG TERM CARE 427468,A000000,02100,0000,2100RADIOLOGY 427468,A000000,02200,0000,2200LABORATORY 427468,A000000,02300,0000,2300INTRAVENOUS THERAPY 427468,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427468,A000000,02500,0000,2500PHYSICAL THERAPY 427468,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427468,A000000,02700,0000,2700SPEECH PATHOLOGY 427468,A000000,02800,0000,2800ELECTROCARDIOLOGY 427468,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427468,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427468,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427468,A000000,03200,0000,3200SUPPORT SURFACES 427468,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427468,A000000,03400,0000,3400CLINIC 427468,A000000,03500,0000,3500RURAL HEALTH CLINIC 427468,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427468,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427468,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427468,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427468,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427468,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427468,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427468,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427468,A000000,04400,0000,4400DME RENTED - HHA 427468,A000000,04500,0000,4500DME SOLD - HHA 427468,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427468,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427468,A000000,04710,0000,4710TELEMEDICINE 427468,A000000,04800,0000,4800AMBULANCE 427468,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427468,A000000,05000,0000,5000CORF 427468,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427468,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427468,A000000,05300,0000,5300INTEREST EXPENSE 427468,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427468,A000000,05500,0000,5500HOSPICE 427468,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427468,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427468,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427468,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427468,A000000,06100,0000,6100NONPAID WORKERS 427468,A000000,06200,0000,6200PATIENTS LAUNDRY 427468,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427468,A81000A,00100,0100,Y 427468,A81000B,00100,0300,CORPORATE OVERHEAD 427468,A81000B,00200,0300,CONTRACT SERVICES 427468,A81000B,00300,0300,CONTRACT SERVICES 427468,A81000B,00400,0300,CONTRACT SERVICES 427468,A81000B,00500,0300,CONTRACT SERVICES 427468,A81000B,00600,0300,CONTRACT SERVICES 427468,A81000B,00700,0300,CONTRACT SERVICES 427468,A81000B,00800,0300,CONTRACT SERVICES 427468,A81000C,00100,0100,B 427468,A81000C,00100,0200,LAKELAND REGIONAL HEALTH 427468,A81000C,00100,0400,LAKELAND REGIONAL HEALTH 427468,A81000C,00100,0600,HEALTHCARE 427468,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427468,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427468,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427468,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427468,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427468,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427468,B100000,00000,0800,0800MEALS SERVED :DIETARY 427468,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427468,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427468,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427468,B100000,00000,1500,1350TIME ASSIGNED :ACTIVITIES 427468,G300000,02500,0000,BEAUTY & BARBER REVENUE 427468,G300000,02501,0000,INTEREST INCOME 427468,G300000,02502,0000,GARNISHMENT INCOME 427468,G300000,02503,0000,PROCEEDS FROM SALE 427468,S000000,00100,0200,02/28/12 427468,S200000,00100,0100,3425 LAKESHORE 427468,S200000,00200,0100,ST. JOSEPH 427468,S200000,00200,0200,MI 427468,S200000,00200,0300,49085 427468,S200000,00300,0100,BERRIEN 427468,S200000,00300,0200,0870 427468,S200000,00300,0201,35660 427468,S200000,00300,0300,U 427468,S200000,00400,0100,LAKELAND CONTINUING CARE CENTER 427468,S200000,00400,0200,235164 427468,S200000,00400,0300,01/01/69 427468,S200000,00400,0500,P 427468,S200000,00400,0600,O 427468,S200000,01500,0100,Y 427468,S200000,01501,0200,Y 427468,S200000,01600,0100,N 427468,S200000,01700,0100,N 427468,S200000,01800,0100,N 427468,S200000,02200,0100,N 427468,S200000,02800,0100,N 427468,S200000,02900,0100,N 427468,S200000,03000,0100,N 427468,S200000,03100,0100,N 427468,S200000,03200,0100,N 427468,S200000,03300,0100,N 427468,S200000,03300,0200,N 427468,S200000,04100,0100,N 427468,S200000,04200,0100,N 427468,S200000,04300,0100,Y 427468,S200000,04600,0100,N 427468,S200000,04700,0100,N 427468,S200000,04700,0200,N 427468,S200000,04900,0100,N 427468,S200000,05000,0100,N 427468,S200000,05100,0100,N 427468,S200000,05200,0100,N 427469,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427469,A000000,00300,0000,0300EMPLOYEE BENEFITS 427469,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427469,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427469,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427469,A000000,00700,0000,0700HOUSEKEEPING 427469,A000000,00800,0000,0800DIETARY 427469,A000000,00900,0000,0900NURSING ADMINISTRATION 427469,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427469,A000000,01300,0000,1300SOCIAL SERVICE 427469,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 427469,A000000,01600,0000,1600SKILLED NURSING FACILITY 427469,A000000,02100,0000,2100RADIOLOGY 427469,A000000,02200,0000,2200LABORATORY 427469,A000000,02500,0000,2500PHYSICAL THERAPY 427469,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427469,A000000,02700,0000,2700SPEECH PATHOLOGY 427469,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427469,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427469,A81000A,00100,0100,Y 427469,A81000B,00100,0300,RENT 427469,A81000B,00200,0300,PHARMACY 427469,A81000B,00300,0300,MEDICAL DIRECTOR 427469,A81000C,00100,0100,A 427469,A81000C,00100,0200,DEVEN PATEL 427469,A81000C,00100,0400,LEGACY TWO HOLD 427469,A81000C,00100,0600,REAL ESTATE 427469,A81000C,00200,0100,A 427469,A81000C,00200,0200,FOUAD BATAH 427469,A81000C,00200,0400,LEGACY TWO HOLD 427469,A81000C,00200,0600,REAL ESTATE 427469,A81000C,00300,0100,A 427469,A81000C,00300,0200,DEVEN PATEL 427469,A81000C,00300,0400,RELIANCE PHARMA 427469,A81000C,00300,0600,PHARMACY 427469,A81000C,00400,0100,A 427469,A81000C,00400,0200,FOUAD BATAH 427469,A81000C,00400,0400,FOUAD BATAH 427469,A81000C,00400,0600,MEDICAL DIRECTO 427469,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427469,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427469,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427469,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427469,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427469,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427469,B100000,00000,0800,0800MEALS SERVED :DIETARY 427469,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427469,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427469,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427469,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 427469,G300000,02500,0000,MISCELLANEOUS INCOME 427469,G300000,02501,0000,DONATIONS 427469,S000000,00100,0200,03/01/12 427469,S200000,00100,0100,16588 SCHAEFER 427469,S200000,00200,0100,DETROIT 427469,S200000,00200,0200,MI 427469,S200000,00200,0300,48235 427469,S200000,00300,0100,WAYNE 427469,S200000,00300,0201,19804 427469,S200000,00300,0300,U 427469,S200000,00400,0100,WESTWOOD NURSING CENTER 427469,S200000,00400,0200,235444 427469,S200000,00400,0300,10/01/07 427469,S200000,00400,0500,P 427469,S200000,01500,0100,Y 427469,S200000,01501,0200,Y 427469,S200000,01600,0100,N 427469,S200000,01700,0100,N 427469,S200000,01800,0100,N 427469,S200000,02200,0100,N 427469,S200000,02800,0100,N 427469,S200000,02900,0100,N 427469,S200000,03000,0100,N 427469,S200000,03100,0100,N 427469,S200000,03200,0100,N 427469,S200000,03300,0100,N 427469,S200000,03300,0200,N 427469,S200000,04100,0100,N 427469,S200000,04200,0100,N 427469,S200000,04300,0100,N 427469,S200000,04600,0100,N 427469,S200000,04700,0100,N 427469,S200000,04700,0200,N 427469,S200000,04900,0100,N 427469,S200000,05000,0100,N 427469,S200000,05100,0100,N 427469,S200000,05200,0100,N 427469,S200000,05300,0100,N 427470,S000000,00100,0200,02/20/12 427470,S200000,00100,0100,425 FISHER STREET 427470,S200000,00200,0100,MARQUETTE 427470,S200000,00200,0200,MI 427470,S200000,00200,0300,49855 427470,S200000,00300,0100,MARQUETTE 427470,S200000,00400,0100,JACOBETTI MICHIGAN VETERANS FACILITY 427470,S200000,00400,0300,01/01/90 427476,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427476,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427476,A000000,00300,0000,0300EMPLOYEE BENEFITS 427476,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427476,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427476,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427476,A000000,00700,0000,0700HOUSEKEEPING 427476,A000000,00800,0000,0800DIETARY 427476,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427476,A000000,01300,0000,1300SOCIAL SERVICE 427476,A000000,01600,0000,1600SKILLED NURSING FACILITY 427476,A000000,02100,0000,2100RADIOLOGY 427476,A000000,02200,0000,2200LABORATORY 427476,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427476,A000000,02500,0000,2500PHYSICAL THERAPY 427476,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427476,A000000,02700,0000,2700SPEECH PATHOLOGY 427476,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427476,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427476,A000000,03300,0000,3050RESTORATIVE SERVICES 427476,A000000,05300,0000,5300INTEREST EXPENSE 427476,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427476,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427476,A000000,06300,0000,6150GUEST MEALS 427476,A000000,06301,0000,6151ASSISTED LIVING 427476,A000000,06302,0000,6152OTHER MEALS 427476,A81000A,00100,0100,Y 427476,A81000B,00100,0300,SALARIES AND BENEFITS 427476,A81000B,00200,0300,SALARIES AND BENEFITS 427476,A81000B,00300,0300,SALARIES AND BENEFITS 427476,A81000B,00400,0300,SOFTWARE MAINTENANCE FEE 427476,A81000B,00500,0300,DIETARY CONSULTANT 427476,A81000B,00600,0300,MANAGEMENT FEES 427476,A81000C,00100,0100,B 427476,A81000C,00100,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00100,0600,MANAGEMENT 427476,A81000C,00200,0100,B 427476,A81000C,00200,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00200,0600,MANAGEMENT 427476,A81000C,00300,0100,B 427476,A81000C,00300,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00300,0600,MANAGEMENT 427476,A81000C,00400,0100,B 427476,A81000C,00400,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00400,0600,MANAGEMENT 427476,A81000C,00500,0100,B 427476,A81000C,00500,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00500,0600,MANAGEMENT 427476,A81000C,00600,0100,B 427476,A81000C,00600,0400,VIA CHRISTI VILLAGES INC 427476,A81000C,00600,0600,MANAGEMENT 427476,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427476,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427476,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427476,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427476,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427476,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 427476,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427476,B100000,00000,0800,0800MEALS SERVED :DIETARY 427476,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 427476,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 427476,S000000,00100,0200,03/05/12 427476,S200000,00100,0100,1502 E.CENTENNIAL 427476,S200000,00200,0100,PITTSBURG 427476,S200000,00200,0200,KS 427476,S200000,00200,0300,66762 427476,S200000,00300,0100,CRAWFORD 427476,S200000,00300,0200,17 427476,S200000,00300,0201,99917 427476,S200000,00300,0300,R 427476,S200000,00400,0100,VIA CHRISTI VILLAGE PITTSBURG INC 427476,S200000,00400,0200,175465 427476,S200000,00400,0300,07/02/03 427476,S200000,00400,0500,P 427476,S200000,01500,0100,Y 427476,S200000,01501,0200,Y 427476,S200000,01600,0100,N 427476,S200000,01700,0100,N 427476,S200000,01800,0100,N 427476,S200000,02200,0100,N 427476,S200000,02800,0100,Y 427476,S200000,02900,0100,N 427476,S200000,03000,0100,N 427476,S200000,03100,0100,N 427476,S200000,03200,0100,N 427476,S200000,03300,0100,N 427476,S200000,03300,0200,N 427476,S200000,04100,0100,N 427476,S200000,04200,0100,N 427476,S200000,04300,0100,N 427476,S200000,04600,0100,N 427476,S200000,04700,0100,N 427476,S200000,04700,0200,N 427476,S200000,04900,0100,N 427476,S200000,05000,0100,N 427476,S200000,05100,0100,N 427476,S200000,05200,0100,N 427476,S200000,05300,0100,Y 427476,S200000,05400,0100,VIA CHRISTI VILLAGES INC. 427476,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427476,S200000,05400,0300,05201 427476,S200000,05500,0100,2622 WEST CENTRAL 427476,S200000,05600,0100,WICHITA 427476,S200000,05600,0200,KS 427476,S200000,05600,0300,67203 427518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427518,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427518,A000000,00300,0000,0300EMPLOYEE BENEFITS 427518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427518,A000000,00700,0000,0700HOUSEKEEPING 427518,A000000,00800,0000,0800DIETARY 427518,A000000,00900,0000,0900NURSING ADMINISTRATION 427518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427518,A000000,01100,0000,1100PHARMACY 427518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427518,A000000,01300,0000,1300SOCIAL SERVICE 427518,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427518,A000000,01500,0000,1350OTHER GENERAL SERVICES 427518,A000000,01600,0000,1600SKILLED NURSING FACILITY 427518,A000000,01800,0000,1800NURSING FACILITY 427518,A000000,01810,0000,1810ICF/MR 427518,A000000,01900,0000,1900OTHER LONG TERM CARE 427518,A000000,02100,0000,2100RADIOLOGY 427518,A000000,02200,0000,2200LABORATORY 427518,A000000,02300,0000,2300INTRAVENOUS THERAPY 427518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427518,A000000,02500,0000,2500PHYSICAL THERAPY 427518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427518,A000000,02700,0000,2700SPEECH PATHOLOGY 427518,A000000,02800,0000,2800ELECTROCARDIOLOGY 427518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427518,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427518,A000000,03200,0000,3200SUPPORT SURFACES 427518,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427518,A000000,03400,0000,3400CLINIC 427518,A000000,03500,0000,3500RURAL HEALTH CLINIC 427518,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427518,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427518,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427518,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427518,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427518,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427518,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427518,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427518,A000000,04400,0000,4400DME RENTED - HHA 427518,A000000,04500,0000,4500DME SOLD - HHA 427518,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427518,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427518,A000000,04710,0000,4710TELEMEDICINE 427518,A000000,04800,0000,4800AMBULANCE 427518,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427518,A000000,05000,0000,5000CORF 427518,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427518,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427518,A000000,05300,0000,5300INTEREST EXPENSE 427518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427518,A000000,05500,0000,5500HOSPICE 427518,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427518,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427518,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427518,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427518,A000000,06100,0000,6100NONPAID WORKERS 427518,A000000,06200,0000,6200PATIENTS LAUNDRY 427518,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427518,A81000B,00100,0300,MANAGEMENT FEES 427518,A81000B,00200,0300,ACCOUNTING/COMPUTER 427518,A81000B,00300,0300,BOOKKEEPING SUPPLIES 427518,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427518,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427518,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427518,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427518,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427518,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427518,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427518,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427518,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427518,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427518,E10A180,00301,0100,09/30/11 427518,S000000,00100,0200,02/29/12 427518,S200000,00100,0100,2012 E NIFONG BLVD 427518,S200000,00200,0100,COLUMBIA 427518,S200000,00200,0200,MO 427518,S200000,00200,0300,65201 427518,S200000,00300,0100,BOONE 427518,S200000,00300,0200,1740 427518,S200000,00300,0201,17860 427518,S200000,00300,0300,U 427518,S200000,00400,0100,COLUMBIA MANOR CARE CENTER 427518,S200000,00400,0200,265778 427518,S200000,00400,0300,05/01/04 427518,S200000,00400,0500,P 427518,S200000,01500,0100,Y 427518,S200000,01600,0100,N 427518,S200000,01700,0100,N 427518,S200000,01800,0100,N 427518,S200000,02200,0100,N 427518,S200000,02800,0100,N 427518,S200000,02900,0100,N 427518,S200000,03000,0100,N 427518,S200000,03100,0100,N 427518,S200000,03200,0100,N 427518,S200000,03300,0100,N 427518,S200000,03300,0200,N 427518,S200000,04100,0100,N 427518,S200000,04200,0100,N 427518,S200000,04300,0100,N 427518,S200000,04600,0100,N 427518,S200000,04700,0100,N 427518,S200000,04700,0200,N 427518,S200000,04900,0100,N 427518,S200000,05000,0100,N 427518,S200000,05100,0100,N 427518,S200000,05200,0100,N 427518,S200000,05300,0100,Y 427518,S200000,05300,0200,H54330 427518,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 427518,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427518,S200000,05400,0300,05301 427518,S200000,05500,0100,HIGHWAY 36 EAST 427518,S200000,05600,0100,CHILLICOTHE 427518,S200000,05600,0200,MO 427518,S200000,05600,0300,64601 427522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427522,A000000,00300,0000,0300EMPLOYEE BENEFITS 427522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427522,A000000,00700,0000,0700HOUSEKEEPING 427522,A000000,00800,0000,0800DIETARY 427522,A000000,00900,0000,0900NURSING ADMINISTRATION 427522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427522,A000000,01300,0000,1300SOCIAL SERVICE 427522,A000000,01600,0000,1600SKILLED NURSING FACILITY 427522,A000000,01800,0000,1800NURSING FACILITY 427522,A000000,02100,0000,2100RADIOLOGY 427522,A000000,02200,0000,2200LABORATORY 427522,A000000,02500,0000,2500PHYSICAL THERAPY 427522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427522,A000000,02700,0000,2700SPEECH PATHOLOGY 427522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427522,A000000,03550,0000,3550FQHC 427522,A000000,05000,0000,5000CORF 427522,A000000,05010,0000,5010CMHC 427522,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427522,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427522,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427522,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427522,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427522,A000000,06300,0000,6150OTHER NON-REIMBURSEABLE 427522,A81000A,00100,0100,Y 427522,A81000B,00100,0300,DEPRECIATION 427522,A81000C,00100,0100,C 427522,A81000C,00100,0400,SELFHELP-CENTER 427522,A81000C,00100,0600,LESSOR 427522,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427522,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427522,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427522,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427522,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427522,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 427522,B100000,00000,0800,0800MEALS SERVED :DIETARY 427522,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427522,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427522,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427522,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427522,G300000,02500,0000,PURCHASE DISCOUNTS 427522,G300000,02501,0000,MISCELLANEOUS SERVICE 427522,G300000,02502,0000,MISCELLANEOUS INCOME 427522,S000000,00100,0200,02/21/12 427522,S200000,00100,0100,908 W. ARGYLE 427522,S200000,00200,0100,CHICAGO 427522,S200000,00200,0200,IL 427522,S200000,00200,0300,60640 427522,S200000,00300,0100,COOK 427522,S200000,00300,0201,16974 427522,S200000,00300,0300,U 427522,S200000,00400,0100,SELFHELP HOME 427522,S200000,00400,0200,146009 427522,S200000,00400,0300,10/01/01 427522,S200000,00400,0500,P 427522,S200000,01500,0100,N 427522,S200000,01501,0200,Y 427522,S200000,01504,0200,Y 427522,S200000,01600,0100,Y 427522,S200000,01700,0100,N 427522,S200000,01800,0100,N 427522,S200000,01900,0100,CHARITABLE CORP 427522,S200000,02200,0100,N 427522,S200000,02800,0100,N 427522,S200000,02900,0100,N 427522,S200000,03000,0100,N 427522,S200000,03100,0100,N 427522,S200000,03200,0100,N 427522,S200000,03300,0100,N 427522,S200000,03300,0200,N 427522,S200000,04100,0100,N 427522,S200000,04200,0100,N 427522,S200000,04300,0100,N 427522,S200000,04600,0100,N 427522,S200000,04700,0100,N 427522,S200000,04700,0200,N 427522,S200000,04900,0100,N 427522,S200000,05000,0100,N 427522,S200000,05100,0100,N 427522,S200000,05200,0100,N 427522,S200000,05300,0100,N 427531,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427531,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427531,A000000,00300,0000,0300EMPLOYEE BENEFITS 427531,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427531,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427531,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427531,A000000,00700,0000,0700HOUSEKEEPING 427531,A000000,00800,0000,0800DIETARY 427531,A000000,00900,0000,0900NURSING ADMINISTRATION 427531,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427531,A000000,01100,0000,1100PHARMACY 427531,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427531,A000000,01300,0000,1300SOCIAL SERVICE 427531,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427531,A000000,01500,0000,1350OTHER GENERAL SERVICES 427531,A000000,01600,0000,1600SKILLED NURSING FACILITY 427531,A000000,01800,0000,1800NURSING FACILITY 427531,A000000,01810,0000,1810ICF/MR 427531,A000000,01900,0000,1900OTHER LONG TERM CARE 427531,A000000,02100,0000,2100RADIOLOGY 427531,A000000,02200,0000,2200LABORATORY 427531,A000000,02300,0000,2300INTRAVENOUS THERAPY 427531,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427531,A000000,02500,0000,2500PHYSICAL THERAPY 427531,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427531,A000000,02700,0000,2700SPEECH PATHOLOGY 427531,A000000,02800,0000,2800ELECTROCARDIOLOGY 427531,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427531,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427531,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427531,A000000,03200,0000,3200SUPPORT SURFACES 427531,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427531,A000000,03400,0000,3400CLINIC 427531,A000000,03500,0000,3500RURAL HEALTH CLINIC 427531,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427531,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427531,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427531,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427531,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427531,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427531,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427531,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427531,A000000,04400,0000,4400DME RENTED - HHA 427531,A000000,04500,0000,4500DME SOLD - HHA 427531,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427531,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427531,A000000,04710,0000,4710TELEMEDICINE 427531,A000000,04800,0000,4800AMBULANCE 427531,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427531,A000000,05000,0000,5000CORF 427531,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427531,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427531,A000000,05300,0000,5300INTEREST EXPENSE 427531,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427531,A000000,05500,0000,5500HOSPICE 427531,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427531,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427531,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427531,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427531,A000000,06100,0000,6100NONPAID WORKERS 427531,A000000,06200,0000,6200PATIENTS LAUNDRY 427531,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427531,A81000A,00100,0100,Y 427531,A81000B,00100,0300,ODVA DIRECT/INDIRECT ALLOC 427531,A81000C,00100,0100,B 427531,A81000C,00100,0200,OREGON DEPT OF VETS AFF 427531,A81000C,00100,0400,OREGON VETERANS HOME 427531,A81000C,00100,0600,GOVERNMENTAL DEPARTMENT 427531,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427531,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427531,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427531,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427531,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427531,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427531,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427531,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427531,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427531,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427531,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427531,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427531,G300000,02500,0000,OTHER INCOME (SEE GROUPINGS) 427531,S000000,00100,0200,02/27/12 427531,S200000,00100,0100,700 VETERANS DRIVE 427531,S200000,00200,0100,THE DALLES 427531,S200000,00200,0200,OR 427531,S200000,00200,0300,97058 427531,S200000,00300,0100,WASCO 427531,S200000,00300,0201,99938 427531,S200000,00300,0300,R 427531,S200000,00400,0100,OREGON VETERANS HOME 427531,S200000,00400,0200,385257 427531,S200000,00400,0300,04/29/98 427531,S200000,00400,0500,P 427531,S200000,01500,0100,Y 427531,S200000,01501,0200,Y 427531,S200000,01502,0200,Y 427531,S200000,01504,0200,Y 427531,S200000,01600,0100,N 427531,S200000,01700,0100,N 427531,S200000,01800,0100,N 427531,S200000,02200,0100,N 427531,S200000,02800,0100,N 427531,S200000,02900,0100,N 427531,S200000,03000,0100,N 427531,S200000,03100,0100,N 427531,S200000,03200,0100,N 427531,S200000,03300,0100,N 427531,S200000,03300,0200,N 427531,S200000,04100,0100,N 427531,S200000,04200,0100,N 427531,S200000,04300,0100,N 427531,S200000,04600,0100,N 427531,S200000,04700,0100,N 427531,S200000,04700,0200,N 427531,S200000,04900,0100,N 427531,S200000,05000,0100,N 427531,S200000,05100,0100,N 427531,S200000,05200,0100,N 427533,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427533,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427533,A000000,00300,0000,0300EMPLOYEE BENEFITS 427533,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL-SNF 427533,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL 427533,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427533,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427533,A000000,00700,0000,0700HOUSEKEEPING 427533,A000000,00800,0000,0800DIETARY 427533,A000000,00801,0000,0801DIETARY SNF/AL 427533,A000000,00900,0000,0900NURSING ADMINISTRATION 427533,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427533,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427533,A000000,01300,0000,1300SOCIAL SERVICE 427533,A000000,01500,0000,1350MEMORY SUPPORT 427533,A000000,01600,0000,1600SKILLED NURSING FACILITY 427533,A000000,01800,0000,1800NURSING FACILITY 427533,A000000,01900,0000,1900OTHER LONG TERM CARE 427533,A000000,02100,0000,2100RADIOLOGY 427533,A000000,02200,0000,2200LABORATORY 427533,A000000,02500,0000,2500PHYSICAL THERAPY 427533,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427533,A000000,02700,0000,2700SPEECH PATHOLOGY 427533,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427533,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427533,A000000,03200,0000,3200SUPPORT SURFACES 427533,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427533,A000000,03400,0000,3400CLINIC 427533,A000000,03500,0000,3500RURAL HEALTH CLINIC 427533,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427533,A000000,04800,0000,4800AMBULANCE 427533,A000000,05000,0000,5000CORF 427533,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427533,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427533,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427533,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427533,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427533,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427533,A81000A,00100,0100,N 427533,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427533,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427533,B100000,00000,0300,0350HOURS OF SERVICE :EMPLOYEE BENEF 427533,B100000,00000,0401,0401 ACCUM. COST :ADMINISTRATIVE & G 427533,B100000,00000,0402,0402 ACCUM. COST :ADMINISTRATIVE & G 427533,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427533,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427533,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427533,B100000,00000,0800,0800MEALS SERVED :DIETARY 427533,B100000,00000,0801,0801MEALS SERVED :DIETARY SNF/AL 427533,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427533,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427533,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427533,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427533,B100000,00000,1500,1350PATIENT DAYS :MEMORY SUPPORT 427533,G300000,02500,0000,B & B 427533,G300000,02501,0000,GUEST ROOM INCOME 427533,G300000,02502,0000,CARPORT RENTAL INCOME 427533,G300000,02503,0000,OTHER/MISC INCOME 427533,G300000,02504,0000,PRIOR YEAR 427533,G300000,02505,0000,OLTC 427533,S000000,00100,0200,03/14/12 427533,S200000,00100,0100,10901 - 176TH CIRCLE N.E. 427533,S200000,00200,0100,REDMOND 427533,S200000,00200,0200,WA 427533,S200000,00200,0300,98052 427533,S200000,00300,0100,KING 427533,S200000,00300,0200,7600 427533,S200000,00300,0201,42644 427533,S200000,00300,0300,U 427533,S200000,00400,0100,CORWIN CENTER AT EMERALD HEIGHTS 427533,S200000,00400,0200,505478 427533,S200000,00400,0300,12/08/92 427533,S200000,00400,0500,P 427533,S200000,01500,0100,Y 427533,S200000,01501,0200,Y 427533,S200000,01503,0200,Y 427533,S200000,01504,0200,Y 427533,S200000,01505,0000,OTHER (SPECIFY) 427533,S200000,01505,0200,Y 427533,S200000,01600,0100,N 427533,S200000,01700,0100,N 427533,S200000,01800,0100,N 427533,S200000,02200,0100,N 427533,S200000,02800,0100,N 427533,S200000,02900,0100,N 427533,S200000,03000,0100,N 427533,S200000,03100,0100,N 427533,S200000,03200,0100,N 427533,S200000,03300,0100,N 427533,S200000,03300,0200,N 427533,S200000,04100,0100,N 427533,S200000,04200,0100,N 427533,S200000,04300,0100,N 427533,S200000,04600,0100,N 427533,S200000,04700,0100,N 427533,S200000,04700,0200,N 427533,S200000,04900,0100,N 427533,S200000,05000,0100,N 427533,S200000,05100,0100,N 427533,S200000,05200,0100,N 427533,S200000,05300,0100,N 427571,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427571,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427571,A000000,00300,0000,0300EMPLOYEE BENEFITS 427571,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427571,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427571,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427571,A000000,00700,0000,0700HOUSEKEEPING 427571,A000000,00800,0000,0800DIETARY 427571,A000000,00900,0000,0900NURSING ADMINISTRATION 427571,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427571,A000000,01100,0000,1100PHARMACY 427571,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427571,A000000,01300,0000,1300SOCIAL SERVICE 427571,A000000,01350,0000,1301RECREATION THERAPY 427571,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427571,A000000,01600,0000,1600SKILLED NURSING FACILITY 427571,A000000,01810,0000,1810ICF/MR 427571,A000000,01900,0000,1900OTHER LONG TERM CARE 427571,A000000,02100,0000,2100RADIOLOGY 427571,A000000,02200,0000,2200LABORATORY 427571,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427571,A000000,02500,0000,2500PHYSICAL THERAPY 427571,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427571,A000000,02700,0000,2700SPEECH PATHOLOGY 427571,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427571,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427571,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427571,A000000,03550,0000,3550FQHC 427571,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427571,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427571,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427571,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427571,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427571,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427571,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427571,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427571,A000000,04800,0000,4800AMBULANCE 427571,A000000,05000,0000,5000CORF 427571,A000000,05010,0000,5010CMHC 427571,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427571,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427571,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427571,A000000,05500,0000,5500HOSPICE 427571,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427571,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427571,A000000,06150,0000,6101MEALS ON WHEELS 427571,A000000,06151,0000,6102ADULT DAY CENTER 427571,A000000,06152,0000,6103THERAPEUTIC POOL 427571,A000000,06154,0000,6105MCLEAN VILLAGE 427571,A000000,06155,0000,6106MCLEAN VILLAGE CAPITAL RELATED 427571,A000000,06157,0000,6104COMMUNITY RELATIONS/MARKETING 427571,A000000,06158,0000,6107OP REHAB 427571,A000000,06159,0000,6108PASTORAL CARE 427571,A81000A,00100,0100,N 427571,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427571,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427571,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427571,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427571,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427571,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427571,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427571,B100000,00000,0800,0800MEALS SERVED :DIETARY 427571,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427571,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 427571,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 427571,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427571,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427571,B100000,00000,1350,1331PATIENT DAYS :RECREATION THERAP 427571,G300000,02500,0000,BARBER & BEAUTY 427571,G300000,02502,0000,TRANSFER IN FROM MCLEAN FUND 427571,G300000,02503,0000,BOOKKEEPING MCLEAN GAME REFUGE 427571,G300000,02504,0000,TRANSFER IN FROM MCLEAN FOUNDATION 427571,G300000,02505,0000,GAIN ON SALE OF EQUIPMENT & OTHER G 427571,H513100,00000,0000,25540 427571,S000000,00100,0200,02/29/12 427571,S200000,00100,0100,75 GREAT POND ROAD 427571,S200000,00200,0100,SIMSBURY 427571,S200000,00200,0200,CT 427571,S200000,00200,0300,06070 427571,S200000,00300,0100,HARTFORD 427571,S200000,00300,0201,25540 427571,S200000,00300,0300,U 427571,S200000,00400,0100,MCLEAN HEALTH CENTER 427571,S200000,00400,0200,075216 427571,S200000,00400,0300,03/29/72 427571,S200000,00400,0500,P 427571,S200000,00400,0600,O 427571,S200000,00800,0200,077166 427571,S200000,00800,0300,12/31/85 427571,S200000,00800,0500,P 427571,S200000,00800,0600,O 427571,S200000,01200,0200,071524 427571,S200000,01200,0300,02/13/95 427571,S200000,01500,0100,Y 427571,S200000,01600,0100,N 427571,S200000,01700,0100,N 427571,S200000,01800,0100,N 427571,S200000,01900,0100,CORPORATION 427571,S200000,02200,0100,N 427571,S200000,02800,0100,Y 427571,S200000,02900,0100,N 427571,S200000,03000,0100,N 427571,S200000,03100,0100,N 427571,S200000,03200,0100,N 427571,S200000,03300,0100,N 427571,S200000,03300,0200,N 427571,S200000,03600,0100,N 427571,S200000,03600,0200,N 427571,S200000,03700,0100,N 427571,S200000,03700,0200,N 427571,S200000,04100,0100,N 427571,S200000,04200,0100,N 427571,S200000,04300,0100,N 427571,S200000,04600,0100,N 427571,S200000,04700,0100,N 427571,S200000,04700,0200,N 427571,S200000,04900,0100,N 427571,S200000,05000,0100,N 427571,S200000,05100,0100,N 427571,S200000,05200,0100,N 427571,S200000,05300,0100,N 427571,S410002,01700,0101,25540 427572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427572,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427572,A000000,00300,0000,0300EMPLOYEE BENEFITS 427572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427572,A000000,00700,0000,0700HOUSEKEEPING 427572,A000000,00800,0000,0800DIETARY 427572,A000000,00900,0000,0900NURSING ADMINISTRATION 427572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427572,A000000,01100,0000,1100PHARMACY 427572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427572,A000000,01300,0000,1300SOCIAL SERVICE 427572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427572,A000000,01500,0000,1350RECREATION 427572,A000000,01600,0000,1600SKILLED NURSING FACILITY 427572,A000000,01800,0000,1800NURSING FACILITY 427572,A000000,01810,0000,1810ICF/MR 427572,A000000,01900,0000,1900OTHER LONG TERM CARE 427572,A000000,02100,0000,2100RADIOLOGY 427572,A000000,02200,0000,2200LABORATORY 427572,A000000,02300,0000,2300INTRAVENOUS THERAPY 427572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427572,A000000,02500,0000,2500PHYSICAL THERAPY 427572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427572,A000000,02700,0000,2700SPEECH PATHOLOGY 427572,A000000,02800,0000,2800ELECTROCARDIOLOGY 427572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427572,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427572,A000000,03200,0000,3200SUPPORT SURFACES 427572,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427572,A000000,03400,0000,3400CLINIC 427572,A000000,03500,0000,3500RURAL HEALTH CLINIC 427572,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427572,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427572,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427572,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427572,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427572,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427572,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427572,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427572,A000000,04400,0000,4400DME RENTED - HHA 427572,A000000,04500,0000,4500DME SOLD - HHA 427572,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427572,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427572,A000000,04710,0000,4710TELEMEDICINE 427572,A000000,04800,0000,4800AMBULANCE 427572,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427572,A000000,05000,0000,5000CORF 427572,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427572,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427572,A000000,05300,0000,5300INTEREST EXPENSE 427572,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427572,A000000,05500,0000,5500HOSPICE 427572,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427572,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427572,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427572,A000000,06100,0000,6100NONPAID WORKERS 427572,A000000,06200,0000,6200PATIENTS LAUNDRY 427572,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427572,A81000A,00100,0100,Y 427572,A81000B,00100,0300,ALLIANCE MEMBERSHIP 427572,A81000C,00100,0100,C 427572,A81000C,00100,0400,CALTC 427572,A81000C,00100,0600,ALLIANCE GROUP 427572,A81000C,00200,0100,C 427572,A81000C,00200,0200,ELIM PARK PLACE 427572,A81000C,00200,0400,INDEPENDENT LIVING COMP 427572,A81000C,00200,0600,RELATED PARTY 427572,A81000C,00300,0100,C 427572,A81000C,00300,0400,CAIC 427572,A81000C,00300,0600,ALLIANCE GROUP 427572,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427572,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427572,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427572,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427572,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427572,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427572,B100000,00000,0800,0800MEALS SERVED :DIETARY 427572,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 427572,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427572,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427572,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 427572,B100000,00000,1500,1350TIME SPENT :RECREATION 427572,G300000,02500,0000,TRANSPORTATION 427572,G300000,02501,0000,OTHER REVENUE 427572,G300000,02502,0000,ALSA REVENUE 427572,G300000,02503,0000,MISCELLANOUS INCOME 427572,G300000,02504,0000,EPP NON-REFUNDABLE ENT. FEE 427572,G300000,02505,0000,EPP REFUNDABLE ENT. FEE 427572,G300000,02506,0000,EPP MONTHLY FEE INCOME 427572,S000000,00100,0200,03/02/12 427572,S200000,00100,0100,140 COOK HILL RD 427572,S200000,00200,0100,CHESHIRE 427572,S200000,00200,0200,CT 427572,S200000,00200,0300,06410 427572,S200000,00300,0100,NEW HAVEN 427572,S200000,00300,0200,5483 427572,S200000,00300,0201,35300 427572,S200000,00300,0300,U 427572,S200000,00400,0100,ELIM PARK BAPTIST HOME INC. 427572,S200000,00400,0200,075265 427572,S200000,00400,0300,07/01/81 427572,S200000,00400,0500,P 427572,S200000,01500,0100,N 427572,S200000,01501,0200,N 427572,S200000,01600,0100,Y 427572,S200000,01700,0100,N 427572,S200000,01800,0100,N 427572,S200000,02200,0100,N 427572,S200000,02800,0100,N 427572,S200000,02900,0100,N 427572,S200000,03000,0100,N 427572,S200000,03100,0100,N 427572,S200000,03200,0100,N 427572,S200000,03300,0100,N 427572,S200000,03300,0200,N 427572,S200000,04100,0100,N 427572,S200000,04200,0100,N 427572,S200000,04300,0100,N 427572,S200000,04600,0100,N 427572,S200000,04700,0100,N 427572,S200000,04700,0200,N 427572,S200000,04900,0100,N 427572,S200000,05000,0100,N 427572,S200000,05100,0100,N 427572,S200000,05200,0100,N 427572,S200000,05300,0100,N 427573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427573,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427573,A000000,00300,0000,0300EMPLOYEE BENEFITS 427573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427573,A000000,00700,0000,0700HOUSEKEEPING 427573,A000000,00800,0000,0800DIETARY 427573,A000000,00900,0000,0900NURSING ADMINISTRATION 427573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427573,A000000,01100,0000,1100PHARMACY 427573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427573,A000000,01300,0000,1300SOCIAL SERVICE 427573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427573,A000000,01500,0000,1350RECREATION 427573,A000000,01600,0000,1600SKILLED NURSING FACILITY 427573,A000000,01800,0000,1800NURSING FACILITY 427573,A000000,01810,0000,1810ICF/MR 427573,A000000,01900,0000,1900OTHER LONG TERM CARE 427573,A000000,02100,0000,2100RADIOLOGY 427573,A000000,02200,0000,2200LABORATORY 427573,A000000,02300,0000,2300INTRAVENOUS THERAPY 427573,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427573,A000000,02500,0000,2500PHYSICAL THERAPY 427573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427573,A000000,02700,0000,2700SPEECH PATHOLOGY 427573,A000000,02800,0000,2800ELECTROCARDIOLOGY 427573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427573,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427573,A000000,03200,0000,3200SUPPORT SURFACES 427573,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427573,A000000,03400,0000,3400CLINIC 427573,A000000,03500,0000,3500RURAL HEALTH CLINIC 427573,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427573,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427573,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427573,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427573,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427573,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427573,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427573,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427573,A000000,04400,0000,4400DME RENTED - HHA 427573,A000000,04500,0000,4500DME SOLD - HHA 427573,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427573,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427573,A000000,04710,0000,4710TELEMEDICINE 427573,A000000,04800,0000,4800AMBULANCE 427573,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427573,A000000,05000,0000,5000CORF 427573,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427573,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427573,A000000,05300,0000,5300INTEREST EXPENSE 427573,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427573,A000000,05500,0000,5500HOSPICE 427573,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427573,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427573,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427573,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427573,A000000,06100,0000,6100NONPAID WORKERS 427573,A000000,06200,0000,6200PATIENTS LAUNDRY 427573,A000000,06300,0000,6150DENTAL 427573,A000000,06301,0000,6151DEVELOPMENT 427573,A000000,06302,0000,6152DAY CARE 427573,A81000A,00100,0100,Y 427573,A81000B,00100,0300,SECRETARY OF THE BOARD 427573,A81000B,00200,0300,PRINTING AND OFFICE SUPPLY 427573,A81000B,00300,0300,TRACTOR REPAIR COMPANY 427573,A81000B,00400,0300,MANAGEMENT FEES 427573,A81000C,00100,0100,D 427573,A81000C,00100,0200,DEAN ANDERSON 427573,A81000C,00200,0100,D 427573,A81000C,00200,0200,DEAN ANDERSON 427573,A81000C,00200,0400,ABLE BUSINESS PRINTING 427573,A81000C,00300,0100,D 427573,A81000C,00300,0200,RICHARD CAMPBELL 427573,A81000C,00300,0400,CAMPBELL SERVICES 427573,A81000C,00400,0100,D 427573,A81000C,00400,0200,ODD FELLOWS HEALTHCARE 427573,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427573,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427573,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427573,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427573,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427573,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427573,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427573,B100000,00000,0800,0800MEALS SERVED :DIETARY 427573,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 427573,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427573,B100000,00000,1500,1350HOURS OF SERVICE :RECREATION 427573,G300000,02500,0000,MISC. INCOME 427573,G300000,02501,0000,BARBER & BEAUTY SHOP - RESIDENTS 427573,G300000,02502,0000,HOUSEKEEPING SER.-FELLOWSHIP MANOR 427573,S000000,00100,0200,03/01/12 427573,S200000,00100,0100,235 LESTERTOWN ROAD 427573,S200000,00200,0100,GROTON 427573,S200000,00200,0200,CT 427573,S200000,00200,0300,06340 427573,S200000,00300,0100,NEW LONDON 427573,S200000,00300,0200,5523 427573,S200000,00300,0201,35980 427573,S200000,00300,0300,U 427573,S200000,00400,0100,FAIRVIEW CONVALESCENT HOME 427573,S200000,00400,0200,075288 427573,S200000,00400,0300,01/01/79 427573,S200000,00400,0500,P 427573,S200000,00400,0600,P 427573,S200000,01500,0100,Y 427573,S200000,01501,0200,N 427573,S200000,01600,0100,N 427573,S200000,01700,0100,N 427573,S200000,01800,0100,N 427573,S200000,02200,0100,N 427573,S200000,02800,0100,N 427573,S200000,02900,0100,N 427573,S200000,03000,0100,N 427573,S200000,03100,0100,N 427573,S200000,03200,0100,N 427573,S200000,03300,0100,N 427573,S200000,03300,0200,N 427573,S200000,04100,0100,N 427573,S200000,04200,0100,N 427573,S200000,04300,0100,N 427573,S200000,04600,0100,N 427573,S200000,04700,0100,N 427573,S200000,04700,0200,N 427573,S200000,04900,0100,N 427573,S200000,05000,0100,N 427573,S200000,05100,0100,N 427573,S200000,05200,0100,N 427573,S200000,05300,0100,N 427574,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427574,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427574,A000000,00300,0000,0300EMPLOYEE BENEFITS 427574,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427574,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427574,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427574,A000000,00700,0000,0700HOUSEKEEPING 427574,A000000,00800,0000,0800DIETARY 427574,A000000,00900,0000,0900NURSING ADMINISTRATION 427574,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427574,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427574,A000000,01300,0000,1300SOCIAL SERVICE 427574,A000000,01600,0000,1600SKILLED NURSING FACILITY 427574,A000000,01800,0000,1800NURSING FACILITY 427574,A000000,01810,0000,1810ICF/MR 427574,A000000,01900,0000,1900OTHER LONG TERM CARE 427574,A000000,02100,0000,2100RADIOLOGY 427574,A000000,02200,0000,2200LABORATORY 427574,A000000,02300,0000,2300INTRAVENOUS THERAPY 427574,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427574,A000000,02500,0000,2500PHYSICAL THERAPY 427574,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427574,A000000,02700,0000,2700SPEECH PATHOLOGY 427574,A000000,02800,0000,2800ELECTROCARDIOLOGY 427574,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427574,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427574,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427574,A000000,03200,0000,3200SUPPORT SURFACES 427574,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427574,A000000,04800,0000,4800AMBULANCE 427574,A000000,05300,0000,5300INTEREST EXPENSE 427574,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427574,A000000,05500,0000,5500HOSPICE 427574,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427574,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427574,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427574,A000000,06200,0000,6200PATIENTS LAUNDRY 427574,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427574,A81000A,00100,0100,Y 427574,A81000B,00100,0300,ALLOWABLE PAYROLL TAXES 427574,A81000B,00200,0300,ALLOWABLE BENEFITS 427574,A81000B,00300,0300,ALLOWABLE WAGES 427574,A81000B,00400,0300,TELEPHONE 427574,A81000B,00500,0300,TRAVEL 427574,A81000B,00600,0300,MEALS 427574,A81000B,00700,0300,MANAGEMENT FEES 427574,A81000B,00800,0300,ACCOUNTING 427574,A81000B,00900,0300,INTERCOMPANY INTEREST 427574,A81000C,00100,0100,B 427574,A81000C,00100,0200,TRANSCON INC. 427574,A81000C,00100,0400,TRANSCON INC. 427574,A81000C,00100,0600,BUILDERS 427574,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427574,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427574,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427574,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427574,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427574,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 427574,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427574,B100000,00000,0800,0800MEALS SERVED :DIETARY 427574,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 427574,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 427574,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 427574,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 427574,G300000,02500,0000,MISCELLANEOUS REVENUE 427574,S000000,00100,0200,02/29/12 427574,S200000,00100,0100,1165 KING STREET 427574,S200000,00200,0100,GREENWICH 427574,S200000,00200,0200,CT 427574,S200000,00200,0300,06811-0000 427574,S200000,00300,0100,FAIRFIELD 427574,S200000,00300,0200,5483 427574,S200000,00300,0201,14860 427574,S200000,00300,0300,U 427574,S200000,00400,0100,GREENWICH WOODS 427574,S200000,00400,0200,075309 427574,S200000,00400,0300,06/24/86 427574,S200000,00400,0500,P 427574,S200000,01500,0100,Y 427574,S200000,01501,0200,N 427574,S200000,01502,0200,Y 427574,S200000,01503,0200,Y 427574,S200000,01504,0200,Y 427574,S200000,01600,0100,N 427574,S200000,01700,0100,N 427574,S200000,01800,0100,N 427574,S200000,02200,0100,N 427574,S200000,02800,0100,N 427574,S200000,02900,0100,N 427574,S200000,03000,0100,N 427574,S200000,03100,0100,N 427574,S200000,03200,0100,N 427574,S200000,03300,0100,N 427574,S200000,03300,0200,N 427574,S200000,04100,0100,N 427574,S200000,04200,0100,N 427574,S200000,04300,0100,Y 427574,S200000,04600,0100,N 427574,S200000,04700,0100,N 427574,S200000,04700,0200,N 427574,S200000,04900,0100,N 427574,S200000,05000,0100,N 427574,S200000,05100,0100,N 427574,S200000,05200,0100,N 427575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427575,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427575,A000000,00300,0000,0300EMPLOYEE BENEFITS 427575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427575,A000000,00700,0000,0700HOUSEKEEPING 427575,A000000,00800,0000,0800DIETARY 427575,A000000,00900,0000,0900NURSING ADMINISTRATION 427575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427575,A000000,01100,0000,1100PHARMACY 427575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427575,A000000,01300,0000,1300SOCIAL SERVICE 427575,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427575,A000000,01500,0000,1350OTHER GENERAL SERVICES 427575,A000000,01600,0000,1600SKILLED NURSING FACILITY 427575,A000000,01800,0000,1800NURSING FACILITY 427575,A000000,01810,0000,1810ICF/MR 427575,A000000,01900,0000,1900OTHER LONG TERM CARE 427575,A000000,02100,0000,2100RADIOLOGY 427575,A000000,02200,0000,2200LABORATORY 427575,A000000,02300,0000,2300INTRAVENOUS THERAPY 427575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427575,A000000,02500,0000,2500PHYSICAL THERAPY 427575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427575,A000000,02700,0000,2700SPEECH PATHOLOGY 427575,A000000,02800,0000,2800ELECTROCARDIOLOGY 427575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427575,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427575,A000000,03200,0000,3200SUPPORT SURFACES 427575,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427575,A000000,03400,0000,3400CLINIC 427575,A000000,03500,0000,3500RURAL HEALTH CLINIC 427575,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427575,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427575,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427575,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427575,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427575,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427575,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427575,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427575,A000000,04400,0000,4400DME RENTED - HHA 427575,A000000,04500,0000,4500DME SOLD - HHA 427575,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427575,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427575,A000000,04710,0000,4710TELEMEDICINE 427575,A000000,04800,0000,4800AMBULANCE 427575,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427575,A000000,05000,0000,5000CORF 427575,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427575,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427575,A000000,05300,0000,5300INTEREST EXPENSE 427575,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427575,A000000,05500,0000,5500HOSPICE 427575,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427575,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427575,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427575,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427575,A000000,06100,0000,6100NONPAID WORKERS 427575,A000000,06200,0000,6200PATIENTS LAUNDRY 427575,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427575,A81000A,00100,0100,Y 427575,A81000B,00100,0300,RENT 427575,A81000B,00200,0300,INTEREST ON MORTGAGE 427575,A81000B,00300,0300,REAL ESTATE TAXES 427575,A81000B,00400,0300,INSURANCE PREMIUMS 427575,A81000B,00500,0300,DEPRECIATION 427575,A81000B,00600,0300,LABOR RELATIONS/UNION LIASON 427575,A81000B,00700,0300,SCHEDULER 427575,A81000B,00800,0300,DNS 427575,A81000C,00100,0100,B 427575,A81000C,00100,0200,ALMA RODOWICZ 427575,A81000C,00100,0400,VILLAGE MANOR ASSOCIATES 427575,A81000C,00100,0600,RENT LAND & BUILDING 427575,A81000C,00200,0100,F 427575,A81000C,00200,0200,CARTER RODOWICZ 427575,A81000C,00200,0600,LABOR RELTN/UNION LIASON 427575,A81000C,00300,0100,F 427575,A81000C,00300,0200,NADINE RODOWICZ 427575,A81000C,00300,0600,SCHEDULER 427575,A81000C,00400,0100,F 427575,A81000C,00400,0200,DEBORAH BERNARD 427575,A81000C,00400,0600,DNS 427575,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427575,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427575,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427575,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427575,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427575,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427575,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427575,B100000,00000,0800,0800MEALS SERVED :DIETARY 427575,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427575,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427575,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427575,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427575,G300000,02500,0000,INTEREST 427575,S000000,00100,0200,03/01/12 427575,S200000,00100,0100,16 WINDSOR AVE 427575,S200000,00200,0100,PLAINFIELD 427575,S200000,00200,0200,CT 427575,S200000,00200,0300,06374 427575,S200000,00300,0100,WINDHAM 427575,S200000,00300,0200,07 427575,S200000,00300,0201,99907 427575,S200000,00300,0300,R 427575,S200000,00400,0100,VILLAGE MANOR HEALTH CARE INC 427575,S200000,00400,0200,075310 427575,S200000,00400,0300,10/01/86 427575,S200000,00400,0500,P 427575,S200000,01500,0100,Y 427575,S200000,01501,0200,Y 427575,S200000,01600,0100,N 427575,S200000,01700,0100,N 427575,S200000,01800,0100,N 427575,S200000,02200,0100,N 427575,S200000,02800,0100,N 427575,S200000,02900,0100,N 427575,S200000,03000,0100,N 427575,S200000,03100,0100,N 427575,S200000,03200,0100,N 427575,S200000,03300,0100,N 427575,S200000,03300,0200,N 427575,S200000,04100,0100,N 427575,S200000,04200,0100,N 427575,S200000,04300,0100,N 427575,S200000,04600,0100,N 427575,S200000,04700,0100,N 427575,S200000,04700,0200,N 427575,S200000,04900,0100,N 427575,S200000,05000,0100,N 427575,S200000,05100,0100,N 427575,S200000,05200,0100,N 427576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427576,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427576,A000000,00300,0000,0300EMPLOYEE BENEFITS 427576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427576,A000000,00700,0000,0700HOUSEKEEPING 427576,A000000,00800,0000,0800DIETARY 427576,A000000,00900,0000,0900NURSING ADMINISTRATION 427576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427576,A000000,01100,0000,1100PHARMACY 427576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427576,A000000,01300,0000,1300SOCIAL SERVICE 427576,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427576,A000000,01500,0000,1350PATIENT ACTIVITIES 427576,A000000,01600,0000,1600SKILLED NURSING FACILITY 427576,A000000,01800,0000,1800NURSING FACILITY 427576,A000000,01810,0000,1810ICF/MR 427576,A000000,02100,0000,2100RADIOLOGY 427576,A000000,02200,0000,2200LABORATORY 427576,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427576,A000000,02500,0000,2500PHYSICAL THERAPY 427576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427576,A000000,02700,0000,2700SPEECH PATHOLOGY 427576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427576,A000000,03550,0000,3550FQHC 427576,A000000,03600,0000,3450ADMIN & GENERAL-HHA 427576,A000000,04800,0000,4800AMBULANCE 427576,A000000,05000,0000,5000CORF 427576,A000000,05010,0000,5010CMHC 427576,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427576,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427576,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427576,A000000,05100,0000,4750INTEREST EXPENSE 427576,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427576,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427576,A000000,06300,0000,6150TOTAL 427576,A81000A,00100,0100,Y 427576,A81000B,00100,0300,RENT EXPENSE 427576,A81000B,00200,0300,ASST ADMIN & BENEFIT 427576,A81000B,00300,0300,DEPR BUILDING 427576,A81000B,00400,0300,DEPR INTEREST 427576,A81000C,00100,0100,A 427576,A81000C,00100,0200,M. SILBERSTEIN 427576,A81000C,00100,0600,BLDG&EQUIP LEAS 427576,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 427576,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 427576,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 427576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427576,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 427576,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427576,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427576,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427576,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427576,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427576,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427576,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427576,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427576,G300000,02500,0000,INTEREST INCOME 427576,S000000,00100,0200,02/29/12 427576,S200000,00100,0100,60 BOSTON POST ROAD 427576,S200000,00200,0100,OLD SAYBROOK 427576,S200000,00200,0200,CT 427576,S200000,00200,0300,06475 427576,S200000,00300,0100,MIDDLESEX 427576,S200000,00300,0201,25540 427576,S200000,00300,0300,U 427576,S200000,00400,0100,GLADEVIEW HEALTH CARE CENTER 427576,S200000,00400,0200,075313 427576,S200000,00400,0300,09/30/87 427576,S200000,00400,0500,P 427576,S200000,01500,0100,Y 427576,S200000,01501,0200,N 427576,S200000,01502,0200,N 427576,S200000,01503,0200,N 427576,S200000,01504,0200,N 427576,S200000,01600,0100,N 427576,S200000,01700,0100,N 427576,S200000,01800,0100,N 427576,S200000,02200,0100,N 427576,S200000,02800,0100,N 427576,S200000,02900,0100,N 427576,S200000,03000,0100,N 427576,S200000,03100,0100,N 427576,S200000,03200,0100,N 427576,S200000,03300,0100,N 427576,S200000,03300,0200,N 427576,S200000,04100,0100,N 427576,S200000,04200,0100,N 427576,S200000,04300,0100,N 427576,S200000,04600,0100,N 427576,S200000,04700,0100,N 427576,S200000,04700,0200,N 427576,S200000,04900,0100,N 427576,S200000,05000,0100,N 427576,S200000,05100,0100,N 427576,S200000,05200,0100,N 427576,S200000,05300,0100,N 427577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427577,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427577,A000000,00300,0000,0300EMPLOYEE BENEFITS 427577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427577,A000000,00700,0000,0700HOUSEKEEPING 427577,A000000,00800,0000,0800DIETARY 427577,A000000,00900,0000,0900NURSING ADMINISTRATION 427577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427577,A000000,01300,0000,1300SOCIAL SERVICE 427577,A000000,01600,0000,1600SKILLED NURSING FACILITY 427577,A000000,01800,0000,1800NURSING FACILITY 427577,A000000,01810,0000,1810ICF/MR 427577,A000000,01900,0000,1900OTHER LONG TERM CARE 427577,A000000,02100,0000,2100RADIOLOGY 427577,A000000,02200,0000,2200LABORATORY 427577,A000000,02300,0000,2300INTRAVENOUS THERAPY 427577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427577,A000000,02500,0000,2500PHYSICAL THERAPY 427577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427577,A000000,02700,0000,2700SPEECH PATHOLOGY 427577,A000000,02800,0000,2800ELECTROCARDIOLOGY 427577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427577,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427577,A000000,03200,0000,3200SUPPORT SURFACES 427577,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427577,A000000,04800,0000,4800AMBULANCE 427577,A000000,05300,0000,5300INTEREST EXPENSE 427577,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427577,A000000,05500,0000,5500HOSPICE 427577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427577,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427577,A000000,06200,0000,6200PATIENTS LAUNDRY 427577,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427577,A81000A,00100,0100,Y 427577,A81000B,00100,0300,WAGES 427577,A81000B,00200,0300,PAYROLL TAXES 427577,A81000B,00300,0300,BENEFITS 427577,A81000B,00400,0300,TELEPHONE 427577,A81000B,00500,0300,TRAVEL 427577,A81000B,00600,0300,MEALS 427577,A81000B,00700,0300,MANAGEMENT FEES 427577,A81000B,00800,0300,ACCOUNTING 427577,A81000B,00900,0300,INTERCOMPANY INTEREST 427577,A81000C,00100,0100,B 427577,A81000C,00100,0200,TRANSCON INC. 427577,A81000C,00100,0400,TRANSCON INC. 427577,A81000C,00100,0600,BUILDERS 427577,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427577,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427577,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427577,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427577,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 427577,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427577,B100000,00000,0800,0800MEALS SERVED :DIETARY 427577,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 427577,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 427577,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 427577,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 427577,G300000,02500,0000,MISCELLANEOUS REVENUE 427577,S000000,00100,0200,03/01/12 427577,S200000,00100,0100,439 DANBURY ROAD 427577,S200000,00200,0100,WILTON 427577,S200000,00200,0200,CT 427577,S200000,00200,0300,06897-0000 427577,S200000,00300,0100,FAIRFIELD 427577,S200000,00300,0200,5483 427577,S200000,00300,0201,14860 427577,S200000,00300,0300,U 427577,S200000,00400,0100,WILTON MEADOWS 427577,S200000,00400,0200,075317 427577,S200000,00400,0300,04/20/88 427577,S200000,00400,0500,P 427577,S200000,01500,0100,Y 427577,S200000,01501,0200,Y 427577,S200000,01502,0200,Y 427577,S200000,01503,0200,N 427577,S200000,01504,0200,Y 427577,S200000,01600,0100,N 427577,S200000,01700,0100,N 427577,S200000,01800,0100,N 427577,S200000,02200,0100,N 427577,S200000,02800,0100,N 427577,S200000,02900,0100,N 427577,S200000,03000,0100,N 427577,S200000,03100,0100,N 427577,S200000,03200,0100,N 427577,S200000,03300,0100,N 427577,S200000,03300,0200,N 427577,S200000,04100,0100,N 427577,S200000,04200,0100,N 427577,S200000,04300,0100,Y 427577,S200000,04600,0100,N 427577,S200000,04700,0100,N 427577,S200000,04700,0200,N 427577,S200000,04900,0100,N 427577,S200000,05000,0100,N 427577,S200000,05100,0100,N 427577,S200000,05200,0100,N 427593,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 427593,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 427593,A000000,00300,0000,0300EMPLOYEE BENEFITS 427593,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427593,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 427593,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427593,A000000,00700,0000,0700HOUSEKEEPING 427593,A000000,00800,0000,0800DIETARY 427593,A000000,00900,0000,0900NURSING ADMINISTRATION 427593,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427593,A000000,01100,0000,1100PHARMACY 427593,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427593,A000000,01300,0000,1300SOCIAL SERVICE 427593,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 427593,A000000,01500,0000,1350RECREATION 427593,A000000,01600,0000,1600SKILLED NURSING FACILITY 427593,A000000,01810,0000,1810ICF/MR 427593,A000000,02100,0000,2100RADIOLOGY 427593,A000000,02200,0000,2200LABORATORY 427593,A000000,02300,0000,2300INTRAVENOUS THERAPY 427593,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427593,A000000,02500,0000,2500PHYSICAL THERAPY 427593,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427593,A000000,02700,0000,2700SPEECH PATHOLOGY 427593,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427593,A000000,03550,0000,3550FQHC 427593,A000000,04801,0000,4801AMBULANCE 427593,A000000,04802,0000,4802AMBULANCE 427593,A000000,04803,0000,4803AMBULANCE 427593,A000000,05000,0000,5000CORF 427593,A000000,05010,0000,5010CMHC 427593,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427593,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427593,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427593,A81000A,00100,0100,Y 427593,A81000B,00100,0300,SEE ATTACHED 427593,A81000B,00200,0300,CAPITAL INTEREST 427593,A81000B,00300,0300,HOME OFFICE 427593,A81000B,00400,0300,HOME OFFICE 427593,A81000C,00100,0100,B 427593,A81000C,00100,0400,SEE ATTACHED 427593,A81000C,00100,0600,VARIOUS 427593,A81000C,00200,0100,B 427593,A81000C,00200,0400,GHC 427593,A81000C,00200,0600,LONG TERM CARE 427593,A81000C,00300,0100,B 427593,A81000C,00300,0400,GHC 427593,A81000C,00300,0600,LONG TERM CARE 427593,A81000C,00400,0100,B 427593,A81000C,00400,0400,GHC 427593,A81000C,00400,0600,LONG TERM CARE 427593,B100000,00000,0100,0100SQUARE FEET 427593,B100000,00000,0200,0200SQUARE FEET 427593,B100000,00000,0300,0300GROSS SALARIES 427593,B100000,00000,0400,0400ACCUM COST 427593,B100000,00000,0500,0500SQUARE FEET 427593,B100000,00000,0600,0600PATIENT DAYS 427593,B100000,00000,0700,0700SQUARE FEET 427593,B100000,00000,0800,0800MEALS SERVED 427593,B100000,00000,0900,0900NURSING SALARIES 427593,B100000,00000,1000,1000COSTED REQUIS 427593,B100000,00000,1100,1100COSTED REQUIS 427593,B100000,00000,1200,1200PATIENT DAYS 427593,B100000,00000,1300,1300PATIENT DAYS 427593,B100000,00000,1400,1400ASSIGNED TIME 427593,B100000,00000,1500,1350PATIENT DAYS 427593,S000000,00100,0200,02/27/12 427593,S200000,00100,0100,7 BALDWIN STREET 427593,S200000,00200,0100,FRANKLIN 427593,S200000,00200,0200,NH 427593,S200000,00200,0300,03235 427593,S200000,00300,0100,MERRIMACK 427593,S200000,00300,0201,99930 427593,S200000,00300,0300,R 427593,S200000,00400,0100,MOUNTAIN RIDGE CENTER 427593,S200000,00400,0200,305075 427593,S200000,00400,0300,05/01/96 427593,S200000,00400,0500,P 427593,S200000,01500,0100,Y 427593,S200000,01501,0200,N 427593,S200000,01502,0200,N 427593,S200000,01503,0200,Y 427593,S200000,01504,0200,Y 427593,S200000,01600,0100,N 427593,S200000,01700,0100,N 427593,S200000,01800,0100,N 427593,S200000,01900,0100,LLC 427593,S200000,02200,0100,Y 427593,S200000,02800,0100,N 427593,S200000,02900,0100,N 427593,S200000,03000,0100,N 427593,S200000,03100,0100,N 427593,S200000,03200,0100,N 427593,S200000,03300,0100,N 427593,S200000,03300,0200,N 427593,S200000,04200,0100,N 427593,S200000,04300,0100,N 427593,S200000,04600,0100,N 427593,S200000,04700,0100,N 427593,S200000,04900,0100,N 427593,S200000,05200,0100,N 427593,S200000,05300,0100,Y 427593,S200000,05300,0200,HB0067 427593,S200000,05400,0100,GENESIS HEALTHCARE LLC 427593,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 427593,S200000,05400,0300,12001 427593,S200000,05500,0100,101 EAST STATE STREET 427593,S200000,05600,0100,KENNETT SQUARE 427593,S200000,05600,0200,PA 427593,S200000,05600,0300,19348 427595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427595,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427595,A000000,00300,0000,0300EMPLOYEE BENEFITS 427595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427595,A000000,00700,0000,0700HOUSEKEEPING 427595,A000000,00800,0000,0800DIETARY 427595,A000000,00900,0000,0900NURSING ADMINISTRATION 427595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427595,A000000,01100,0000,1100PHARMACY 427595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427595,A000000,01300,0000,1300SOCIAL SERVICE 427595,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427595,A000000,01600,0000,1600SKILLED NURSING FACILITY 427595,A000000,01800,0000,1800NURSING FACILITY 427595,A000000,01900,0000,1900OTHER LONG TERM CARE 427595,A000000,02100,0000,2100RADIOLOGY 427595,A000000,02200,0000,2200LABORATORY 427595,A000000,02300,0000,2300INTRAVENOUS THERAPY 427595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427595,A000000,02500,0000,2500PHYSICAL THERAPY 427595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427595,A000000,02700,0000,2700SPEECH PATHOLOGY 427595,A000000,02800,0000,2800ELECTROCARDIOLOGY 427595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427595,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427595,A000000,03200,0000,3200SUPPORT SURFACES 427595,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427595,A000000,03400,0000,3400CLINIC 427595,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427595,A000000,04800,0000,4800AMBULANCE 427595,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427595,A000000,05000,0000,5000CORF 427595,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427595,A000000,05300,0000,5300INTEREST EXPENSE 427595,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427595,A000000,05500,0000,5500HOSPICE 427595,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427595,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427595,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427595,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427595,A000000,06100,0000,6100NONPAID WORKERS 427595,A000000,06200,0000,6200PATIENTS LAUNDRY 427595,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427595,A81000A,00100,0100,Y 427595,A81000B,00100,0300,NURSING CONSULTING 427595,A81000B,00200,0300,DIETARY CONSULTING 427595,A81000B,00300,0300,HOME OFFICE 427595,A81000B,00400,0300,INTEREST EXPENSE 427595,A81000B,00500,0300,WORKERS COMPENSATION 427595,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 427595,A81000B,00700,0300,MAINTENANCE SUPPLIES 427595,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 427595,A81000B,00900,0300,PAPER PRODUCTS 427595,A81000B,01000,0300,DIETARY SUPPLEMENTS 427595,A81000B,01100,0300,DIETARY SUPPLIES 427595,A81000B,01200,0300,INCONTINENCE SUPPLIES 427595,A81000B,01300,0300,MEDICAL SUPPLY 427595,A81000B,01400,0300,PERSONAL CARE SUPPLIES 427595,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 427595,A81000B,01600,0300,BIO-MEDICAL WASTE 427595,A81000B,01700,0300,LINEN & BEDDING 427595,A81000B,01800,0300,LAUNDRY SUPPLIES 427595,A81000B,01900,0300,PT SUPPLIES 427595,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 427595,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 427595,A81000B,02200,0300,NON-LEGEND DRUGS 427595,A81000B,02300,0300,MEDICAL RECORDS SUPPLIES 427595,A81000B,02400,0300,PHARMACY CONSULTANT 427595,A81000B,02500,0300,LEGEND DRUGS 427595,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 427595,A81000B,02700,0300,OFFICE SUPPLIES 427595,A81000C,00100,0100,B 427595,A81000C,00100,0400,BRITTHAVEN INC 427595,A81000C,00100,0600,MANAGEMENT SERV 427595,A81000C,00200,0100,B 427595,A81000C,00200,0400,BRITTHAVEN INC 427595,A81000C,00200,0600,MANAGEMENT SERV 427595,A81000C,00300,0100,B 427595,A81000C,00300,0400,BRITTHAVEN INC 427595,A81000C,00300,0600,MANAGEMENT SERV 427595,A81000C,00400,0100,B 427595,A81000C,00400,0400,BRITTHAVEN INC 427595,A81000C,00400,0600,MANAGEMENT SERV 427595,A81000C,00500,0100,A 427595,A81000C,00500,0200,DISCOVERY INSUR 427595,A81000C,00500,0600,INSURANCE 427595,A81000C,00600,0100,A 427595,A81000C,00600,0200,QUEENSLAND ASSU 427595,A81000C,00600,0600,INSURANCE 427595,A81000C,00700,0100,B 427595,A81000C,00700,0400,KARE MEDICAL 427595,A81000C,00700,0600,WHOLESALE SUPPL 427595,A81000C,00800,0100,B 427595,A81000C,00800,0400,KARE MEDICAL 427595,A81000C,00800,0600,WHOLESALE SUPPL 427595,A81000C,00900,0100,B 427595,A81000C,00900,0400,KARE MEDICAL 427595,A81000C,00900,0600,WHOLESALE SUPPL 427595,A81000C,01000,0100,B 427595,A81000C,01000,0400,KARE MEDICAL 427595,A81000C,01000,0600,WHOLESALE SUPPL 427595,A81000C,01001,0100,B 427595,A81000C,01001,0400,KARE MEDICAL 427595,A81000C,01001,0600,WHOLESALE SUPPL 427595,A81000C,01002,0100,B 427595,A81000C,01002,0400,KARE MEDICAL 427595,A81000C,01002,0600,WHOLESALE SUPPL 427595,A81000C,01003,0100,B 427595,A81000C,01003,0400,KARE MEDICAL 427595,A81000C,01003,0600,WHOLESALE SUPPL 427595,A81000C,01004,0100,B 427595,A81000C,01004,0400,KARE MEDICAL 427595,A81000C,01004,0600,WHOLESALE SUPPL 427595,A81000C,01005,0100,B 427595,A81000C,01005,0400,KARE MEDICAL 427595,A81000C,01005,0600,WHOLESALE SUPPL 427595,A81000C,01006,0100,B 427595,A81000C,01006,0400,KARE MEDICAL 427595,A81000C,01006,0600,WHOLESALE SUPPL 427595,A81000C,01007,0100,B 427595,A81000C,01007,0400,KARE MEDICAL 427595,A81000C,01007,0600,WHOLESALE SUPPL 427595,A81000C,01008,0100,B 427595,A81000C,01008,0400,KARE MEDICAL 427595,A81000C,01008,0600,WHOLESALE SUPPL 427595,A81000C,01009,0100,B 427595,A81000C,01009,0400,KARE MEDICAL 427595,A81000C,01009,0600,WHOLESALE SUPPL 427595,A81000C,01010,0100,B 427595,A81000C,01010,0400,KARE MEDICAL 427595,A81000C,01010,0600,WHOLESALE SUPPL 427595,A81000C,01011,0100,B 427595,A81000C,01011,0400,KARE MEDICAL 427595,A81000C,01011,0600,WHOLESALE SUPPL 427595,A81000C,01012,0100,B 427595,A81000C,01012,0400,PHARMSAVE 427595,A81000C,01012,0600,RX SUPPLY 427595,A81000C,01013,0100,B 427595,A81000C,01013,0400,PHARMSAVE 427595,A81000C,01013,0600,RX SUPPLY 427595,A81000C,01014,0100,B 427595,A81000C,01014,0400,PHARMSAVE 427595,A81000C,01014,0600,RX SUPPLY 427595,A81000C,01015,0100,B 427595,A81000C,01015,0400,PHARMSAVE 427595,A81000C,01015,0600,RX SUPPLY 427595,A81000C,01016,0100,B 427595,A81000C,01016,0400,ROBERT HILL CON 427595,A81000C,01016,0600,CONSTRUCTION 427595,A81000C,01017,0100,B 427595,A81000C,01017,0400,ROBERT HILL CON 427595,A81000C,01017,0600,CONSTRUCTION 427595,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427595,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427595,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427595,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427595,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427595,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427595,B100000,00000,0800,0800MEALS SERVED :DIETARY 427595,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 427595,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427595,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 427595,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427595,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427595,G300000,02500,0000, OTHER (SPECIFY) 427595,S000000,00100,0200,07/25/11 427595,S200000,00100,0100,769 OLD CHERAW ROAD 427595,S200000,00200,0100,HAMLET 427595,S200000,00200,0200,NC 427595,S200000,00200,0300,28345 427595,S200000,00300,0100,RICHMOND 427595,S200000,00300,0201,99934 427595,S200000,00300,0300,R 427595,S200000,00400,0100,BRITTHAVEN OF HAMLET 427595,S200000,00400,0200,345293 427595,S200000,00400,0300,01/18/89 427595,S200000,00400,0500,P 427595,S200000,01500,0100,N 427595,S200000,01501,0200,Y 427595,S200000,01502,0200,Y 427595,S200000,01503,0200,Y 427595,S200000,01504,0200,Y 427595,S200000,01505,0000,OTHER (SPECIFY) 427595,S200000,01505,0200,Y 427595,S200000,01600,0100,Y 427595,S200000,01700,0100,N 427595,S200000,01800,0100,N 427595,S200000,02200,0100,N 427595,S200000,02800,0100,N 427595,S200000,02900,0100,N 427595,S200000,03000,0100,N 427595,S200000,03100,0100,Y 427595,S200000,03200,0100,N 427595,S200000,03300,0100,N 427595,S200000,03300,0200,N 427595,S200000,04100,0100,N 427595,S200000,04200,0100,N 427595,S200000,04300,0100,N 427595,S200000,04600,0100,N 427595,S200000,04700,0100,N 427595,S200000,04700,0200,N 427595,S200000,04900,0100,N 427595,S200000,05000,0100,N 427595,S200000,05100,0100,N 427595,S200000,05200,0100,N 427595,S200000,05300,0100,Y 427595,S200000,05300,0200,349011 427595,S200000,05400,0100,BRITTHAVEN INC. 427595,S200000,05400,0200,PALMETTO GBA 427595,S200000,05400,0300,11501 427595,S200000,05500,0100,1435 HWY 258 NORTH 427595,S200000,05500,0200,PO BOX 61 427595,S200000,05600,0100,KINSTON 427595,S200000,05600,0200,NC 427595,S200000,05600,0300,28502 427603,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427603,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427603,A000000,00300,0000,0300EMPLOYEE BENEFITS 427603,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427603,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427603,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427603,A000000,00700,0000,0700HOUSEKEEPING 427603,A000000,00800,0000,0800DIETARY 427603,A000000,00900,0000,0900NURSING ADMINISTRATION 427603,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427603,A000000,01100,0000,1100PHARMACY 427603,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427603,A000000,01300,0000,1300SOCIAL SERVICE 427603,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427603,A000000,01500,0000,1350OTHER GENERAL SERVICES 427603,A000000,01600,0000,1600SKILLED NURSING FACILITY 427603,A000000,01800,0000,1800NURSING FACILITY 427603,A000000,01810,0000,1810ICF/MR 427603,A000000,01900,0000,1900OTHER LONG TERM CARE 427603,A000000,02100,0000,2100RADIOLOGY 427603,A000000,02200,0000,2200LABORATORY 427603,A000000,02300,0000,2300INTRAVENOUS THERAPY 427603,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427603,A000000,02500,0000,2500PHYSICAL THERAPY 427603,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427603,A000000,02700,0000,2700SPEECH PATHOLOGY 427603,A000000,02800,0000,2800ELECTROCARDIOLOGY 427603,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427603,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427603,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427603,A000000,03200,0000,3200SUPPORT SURFACES 427603,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427603,A000000,03400,0000,3400CLINIC 427603,A000000,03500,0000,3500RURAL HEALTH CLINIC 427603,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427603,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427603,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427603,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427603,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427603,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427603,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427603,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427603,A000000,04400,0000,4400DME RENTED - HHA 427603,A000000,04500,0000,4500DME SOLD - HHA 427603,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427603,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427603,A000000,04710,0000,4710TELEMEDICINE 427603,A000000,04800,0000,4800AMBULANCE 427603,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427603,A000000,05000,0000,5000CORF 427603,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427603,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427603,A000000,05300,0000,5300INTEREST EXPENSE 427603,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427603,A000000,05500,0000,5500HOSPICE 427603,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427603,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427603,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427603,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427603,A000000,06100,0000,6100NONPAID WORKERS 427603,A000000,06200,0000,6200PATIENTS LAUNDRY 427603,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427603,A81000A,00100,0100,Y 427603,A81000B,00100,0300,RENT 427603,A81000B,00200,0300,SHARED SERVICES 427603,A81000B,00300,0300,PT 427603,A81000B,00400,0300,OT 427603,A81000B,00500,0300,ST 427603,A81000B,00600,0300,NURSING 427603,A81000B,00700,0300,STAUDERMAN REALTY RENT EXP 427603,A81000B,00800,0300,850 SILAS DEANE RENT EXP 427603,A81000B,00900,0300,MORTGAGE INTEREST 427603,A81000B,01000,0300,CAPITAL RELATED 427603,A81000B,01100,0300,AMORTIZATION EXPENSE 427603,A81000C,00100,0100,A 427603,A81000C,00100,0200,M.J. OSTREICHER 427603,A81000C,00100,0400,MILFORD HEALTH CARE REALT 427603,A81000C,00100,0600,LEASE OF FACILITY 427603,A81000C,00200,0100,A 427603,A81000C,00200,0200,M.J. OSTREICHER 427603,A81000C,00200,0400,NATIONAL HEALTH CARE 427603,A81000C,00200,0600,BOOKKEEPING 427603,A81000C,00300,0100,A 427603,A81000C,00300,0200,M.J. OSTREICHER 427603,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 427603,A81000C,00300,0600,PT OT ST SERVICES 427603,A81000C,00400,0100,A 427603,A81000C,00400,0200,M.J. OSTREICHER 427603,A81000C,00400,0400,PREFERRED PROF SVC 427603,A81000C,00400,0600,RN & LPN SERVICES 427603,A81000C,00500,0100,A 427603,A81000C,00500,0200,M.J. OSTREICHER 427603,A81000C,00500,0400,STAUDERMAN REALTY 427603,A81000C,00500,0600,RENT EXPENSE 427603,A81000C,00600,0100,A 427603,A81000C,00600,0200,M.J. OSTREICHER 427603,A81000C,00600,0400,850 SILAS DEANE 427603,A81000C,00600,0600,RENT EXPENSE 427603,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427603,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427603,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427603,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427603,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427603,B100000,00000,0600,0650BED DAYS :LAUNDRY & LINEN SERVI 427603,B100000,00000,0700,0750BED DAYS :HOUSEKEEPING 427603,B100000,00000,0800,0800MEALS SERVED :DIETARY 427603,G300000,02500,0000,PRIOR PERIOD ADJUSTMENT 427603,S000000,00100,0200,02/28/12 427603,S200000,00100,0100,195 PLATT STREET 427603,S200000,00200,0100,MILFORD 427603,S200000,00200,0200,CT 427603,S200000,00200,0300,06460 427603,S200000,00300,0100,NEW HAVEN 427603,S200000,00300,0200,5483 427603,S200000,00300,0201,35300 427603,S200000,00300,0300,U 427603,S200000,00400,0100,MILFORD HEALTH CARE CENTER INC 427603,S200000,00400,0200,075064 427603,S200000,00400,0300,02/01/71 427603,S200000,00400,0500,P 427603,S200000,01500,0100,Y 427603,S200000,01501,0200,Y 427603,S200000,01600,0100,N 427603,S200000,01700,0100,N 427603,S200000,01800,0100,N 427603,S200000,02200,0100,N 427603,S200000,02800,0100,N 427603,S200000,02900,0100,N 427603,S200000,03000,0100,N 427603,S200000,03100,0100,N 427603,S200000,03200,0100,N 427603,S200000,03300,0100,N 427603,S200000,03300,0200,N 427603,S200000,04100,0100,N 427603,S200000,04200,0100,N 427603,S200000,04300,0100,N 427603,S200000,04600,0100,N 427603,S200000,04700,0100,N 427603,S200000,04700,0200,N 427603,S200000,04900,0100,N 427603,S200000,05000,0100,N 427603,S200000,05100,0100,N 427603,S200000,05200,0100,N 427603,S200000,05300,0100,N 427604,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427604,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427604,A000000,00300,0000,0300EMPLOYEE BENEFITS 427604,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427604,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427604,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427604,A000000,00700,0000,0700HOUSEKEEPING 427604,A000000,00800,0000,0800DIETARY 427604,A000000,00900,0000,0900NURSING ADMINISTRATION 427604,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427604,A000000,01100,0000,1100PHARMACY 427604,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427604,A000000,01300,0000,1300SOCIAL SERVICE 427604,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427604,A000000,01500,0000,1350OTHER GENERAL SERVICES 427604,A000000,01600,0000,1600SKILLED NURSING FACILITY 427604,A000000,01800,0000,1800NURSING FACILITY 427604,A000000,01810,0000,1810ICF/MR 427604,A000000,01900,0000,1900OTHER LONG TERM CARE 427604,A000000,02100,0000,2100RADIOLOGY 427604,A000000,02200,0000,2200LABORATORY 427604,A000000,02300,0000,2300INTRAVENOUS THERAPY 427604,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427604,A000000,02500,0000,2500PHYSICAL THERAPY 427604,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427604,A000000,02700,0000,2700SPEECH PATHOLOGY 427604,A000000,02800,0000,2800ELECTROCARDIOLOGY 427604,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427604,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427604,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427604,A000000,03101,0000,3101DENTAL CARE - TITLE XIX ONLY 427604,A000000,03200,0000,3200SUPPORT SURFACES 427604,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427604,A000000,03400,0000,3400CLINIC 427604,A000000,03500,0000,3500RURAL HEALTH CLINIC 427604,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427604,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427604,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427604,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427604,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427604,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427604,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427604,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427604,A000000,04400,0000,4400DME RENTED - HHA 427604,A000000,04500,0000,4500DME SOLD - HHA 427604,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427604,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427604,A000000,04710,0000,4710TELEMEDICINE 427604,A000000,04800,0000,4800AMBULANCE 427604,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427604,A000000,05000,0000,5000CORF 427604,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427604,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427604,A000000,05300,0000,5300INTEREST EXPENSE 427604,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427604,A000000,05500,0000,5500HOSPICE 427604,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427604,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427604,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427604,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427604,A000000,06100,0000,6100NONPAID WORKERS 427604,A000000,06200,0000,6200PATIENTS LAUNDRY 427604,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427604,A000000,06301,0000,6151OFFICER SALARIES 427604,A000000,06302,0000,6152EXCLUDED INDIVIDUALS AND VENDOR 427604,A81000A,00100,0100,Y 427604,A81000B,00100,0300,RENT 427604,A81000B,00200,0300,BUILDING DEPRECIATION 427604,A81000B,00300,0300,MTG FINANCING COSTS 427604,A81000B,00400,0300,MTG INTEREST ON BUILDING 427604,A81000C,00100,0100,A 427604,A81000C,00100,0200,BARBARA MALONE 427604,A81000C,00100,0400,BAMCO LLC 427604,A81000C,00100,0600,BUILDING OWNER 427604,A81000C,00200,0100,A 427604,A81000C,00200,0200,BARBARA MALONE 427604,A81000C,00200,0400,HANCOCK HALL 427604,A81000C,00200,0600,NURSING HOME 427604,A81000C,00300,0100,A 427604,A81000C,00300,0200,FRANK MALONE 427604,A81000C,00300,0400,HANCOCK HALL 427604,A81000C,00300,0600,NURSING HOME 427604,A81000C,00400,0100,A 427604,A81000C,00400,0200,MICHAEL MALONE 427604,A81000C,00400,0400,HANCOCK HALL 427604,A81000C,00400,0600,NURSING HOME 427604,A81000C,00500,0100,A 427604,A81000C,00500,0200,JENNIFER SEIXAS 427604,A81000C,00500,0400,HANCOCK HALL 427604,A81000C,00500,0600,NURSING HOME 427604,A81000C,00600,0100,A 427604,A81000C,00600,0200,FRANK & BARABARA MALONE 427604,A81000C,00600,0400,STAPLES REALTY LLC 427604,A81000C,00600,0600,BLG OWNER-HANCOCK HALL 427604,A81000C,00700,0100,C 427604,A81000C,00700,0200,FILOSA CONVALESENT HOME 427604,A81000C,00700,0400,HANCOCK HALL 427604,A81000C,00700,0600,NURSING HOME 427604,A81000C,00800,0100,D 427604,A81000C,00800,0200,FRANK MALONE 427604,A81000C,00800,0400,HANCOCK HALL 427604,A81000C,00800,0600,NURSING HOME 427604,A81000C,00900,0100,D 427604,A81000C,00900,0200,MICHAEL MALONE 427604,A81000C,00900,0400,HANCOCK HALL 427604,A81000C,00900,0600,NURSING HOME 427604,A81000C,01000,0100,D 427604,A81000C,01000,0200,JENNIFER SEIXAS 427604,A81000C,01000,0400,HANCOCK HALL 427604,A81000C,01000,0600,NURSING HOME 427604,A81000C,01001,0100,E 427604,A81000C,01001,0200,PENNY LANIGAN 427604,A81000C,01001,0400,HANCOCK HALL 427604,A81000C,01001,0600,NURSING HOME 427604,A81000C,01002,0100,E 427604,A81000C,01002,0200,DIANE PIMENTAL 427604,A81000C,01003,0100,A 427604,A81000C,01003,0200,JOHN MALONE 427604,A81000C,01003,0400,HANCOCK HALL 427604,A81000C,01003,0600,NURSING HOME 427604,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427604,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427604,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427604,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427604,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427604,B100000,00000,0600,0650SERVICE HOURS :LAUNDRY & LINEN 427604,B100000,00000,0700,0700SERVICE HOURS :HOUSEKEEPING 427604,B100000,00000,0800,0800MEALS SERVED :DIETARY 427604,B100000,00000,0900,0950% OF TIME NRSING:NURSING ADMINIS 427604,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427604,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427604,G300000,02500,0000,INT ON SHAREHOLDER LOAN 427604,S000000,00100,0200,03/01/12 427604,S200000,00100,0100,13 HAKIM STREET 427604,S200000,00200,0100,DANBURY 427604,S200000,00200,0200,CT 427604,S200000,00200,0300,06810 427604,S200000,00300,0100,FAIRFIELD 427604,S200000,00300,0200,5483 427604,S200000,00300,0201,35300 427604,S200000,00300,0300,U 427604,S200000,00400,0100,FILOSA CONVALESCENT HOME INC 427604,S200000,00400,0200,075074 427604,S200000,00400,0300,07/10/68 427604,S200000,00400,0500,P 427604,S200000,01500,0100,Y 427604,S200000,01501,0200,Y 427604,S200000,01600,0100,N 427604,S200000,01700,0100,N 427604,S200000,01800,0100,N 427604,S200000,02200,0100,N 427604,S200000,02800,0100,Y 427604,S200000,02900,0100,N 427604,S200000,03000,0100,N 427604,S200000,03100,0100,N 427604,S200000,03200,0100,N 427604,S200000,03300,0100,N 427604,S200000,03300,0200,N 427604,S200000,04100,0100,N 427604,S200000,04200,0100,N 427604,S200000,04300,0100,N 427604,S200000,04600,0100,N 427604,S200000,04700,0100,N 427604,S200000,04700,0200,N 427604,S200000,04900,0100,N 427604,S200000,05000,0100,N 427604,S200000,05100,0100,N 427604,S200000,05200,0100,N 427605,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427605,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427605,A000000,00300,0000,0300EMPLOYEE BENEFITS 427605,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427605,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427605,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427605,A000000,00700,0000,0700HOUSEKEEPING 427605,A000000,00800,0000,0800DIETARY 427605,A000000,00900,0000,0900NURSING ADMINISTRATION 427605,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427605,A000000,01100,0000,1100PHARMACY 427605,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427605,A000000,01300,0000,1300SOCIAL SERVICE 427605,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427605,A000000,01500,0000,1350OTHER GENERAL SERVICES 427605,A000000,01600,0000,1600SKILLED NURSING FACILITY 427605,A000000,01800,0000,1800NURSING FACILITY 427605,A000000,01810,0000,1810ICF/MR 427605,A000000,01900,0000,1900OTHER LONG TERM CARE 427605,A000000,02100,0000,2100RADIOLOGY 427605,A000000,02200,0000,2200LABORATORY 427605,A000000,02300,0000,2300INTRAVENOUS THERAPY 427605,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427605,A000000,02500,0000,2500PHYSICAL THERAPY 427605,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427605,A000000,02700,0000,2700SPEECH PATHOLOGY 427605,A000000,02800,0000,2800ELECTROCARDIOLOGY 427605,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427605,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427605,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427605,A000000,03200,0000,3200SUPPORT SURFACES 427605,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427605,A000000,03400,0000,3400CLINIC 427605,A000000,03500,0000,3500RURAL HEALTH CLINIC 427605,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427605,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427605,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427605,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427605,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427605,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427605,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427605,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427605,A000000,04400,0000,4400DME RENTED - HHA 427605,A000000,04500,0000,4500DME SOLD - HHA 427605,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427605,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427605,A000000,04710,0000,4710TELEMEDICINE 427605,A000000,04800,0000,4800AMBULANCE 427605,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427605,A000000,05000,0000,5000CORF 427605,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427605,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427605,A000000,05300,0000,5300INTEREST EXPENSE 427605,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427605,A000000,05500,0000,5500HOSPICE 427605,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427605,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427605,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427605,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427605,A000000,06100,0000,6100NONPAID WORKERS 427605,A000000,06200,0000,6200PATIENTS LAUNDRY 427605,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427605,A81000A,00100,0100,Y 427605,A81000B,00100,0300,RENT EXPENSE 427605,A81000B,00200,0300,MDS COORDINATOR 427605,A81000C,00100,0100,A 427605,A81000C,00100,0200,EUGENE FLAXMAN 427605,A81000C,00200,0100,D 427605,A81000C,00200,0200,BRIAN FLAXMAN 427605,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427605,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427605,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427605,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427605,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427605,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427605,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427605,B100000,00000,0800,0800MEALS SERVED :DIETARY 427605,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427605,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427605,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427605,G300000,02501,0000,INTEREST INCOME- TAXABLE 427605,G300000,02502,0000,LEGAL 427605,G300000,02504,0000,MISC INCOME 427605,S000000,00100,0200,03/01/12 427605,S200000,00100,0100,29 HIGHLAND STREET 427605,S200000,00200,0100,WEST HARTFORD 427605,S200000,00200,0200,CT 427605,S200000,00200,0300,06119 427605,S200000,00300,0100,HARTFORD 427605,S200000,00300,0200,3283 427605,S200000,00300,0201,25540 427605,S200000,00300,0300,U 427605,S200000,00400,0100,HUGHES HEALTH & REHABILITATION 427605,S200000,00400,0200,075082 427605,S200000,00400,0300,01/01/67 427605,S200000,00400,0500,P 427605,S200000,01500,0100,Y 427605,S200000,01501,0200,N 427605,S200000,01600,0100,N 427605,S200000,01700,0100,N 427605,S200000,01800,0100,N 427605,S200000,02200,0100,N 427605,S200000,02800,0100,N 427605,S200000,02900,0100,N 427605,S200000,03000,0100,N 427605,S200000,03100,0100,N 427605,S200000,03200,0100,N 427605,S200000,03300,0100,N 427605,S200000,03300,0200,N 427605,S200000,04100,0100,N 427605,S200000,04200,0100,N 427605,S200000,04300,0100,N 427605,S200000,04600,0100,N 427605,S200000,04700,0100,N 427605,S200000,04700,0200,N 427605,S200000,04900,0100,N 427605,S200000,05000,0100,N 427605,S200000,05100,0100,N 427605,S200000,05200,0100,N 427605,S200000,05300,0100,N 427606,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427606,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427606,A000000,00300,0000,0300EMPLOYEE BENEFITS 427606,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427606,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427606,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427606,A000000,00700,0000,0700HOUSEKEEPING 427606,A000000,00800,0000,0800DIETARY 427606,A000000,00900,0000,0900NURSING ADMINISTRATION 427606,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427606,A000000,01100,0000,1100PHARMACY 427606,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427606,A000000,01300,0000,1300SOCIAL SERVICE 427606,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427606,A000000,01500,0000,1350OTHER GENERAL SERVICES 427606,A000000,01600,0000,1600SKILLED NURSING FACILITY 427606,A000000,01800,0000,1800NURSING FACILITY 427606,A000000,01810,0000,1810ICF/MR 427606,A000000,01900,0000,1900OTHER LONG TERM CARE 427606,A000000,02100,0000,2100RADIOLOGY 427606,A000000,02200,0000,2200LABORATORY 427606,A000000,02300,0000,2300INTRAVENOUS THERAPY 427606,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427606,A000000,02500,0000,2500PHYSICAL THERAPY 427606,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427606,A000000,02700,0000,2700SPEECH PATHOLOGY 427606,A000000,02800,0000,2800ELECTROCARDIOLOGY 427606,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427606,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427606,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427606,A000000,03200,0000,3200SUPPORT SURFACES 427606,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427606,A000000,03400,0000,3400CLINIC 427606,A000000,03500,0000,3500RURAL HEALTH CLINIC 427606,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427606,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427606,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427606,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427606,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427606,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427606,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427606,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427606,A000000,04400,0000,4400DME RENTED - HHA 427606,A000000,04500,0000,4500DME SOLD - HHA 427606,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427606,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427606,A000000,04710,0000,4710TELEMEDICINE 427606,A000000,04800,0000,4800AMBULANCE 427606,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427606,A000000,05000,0000,5000CORF 427606,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427606,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427606,A000000,05300,0000,5300INTEREST EXPENSE 427606,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427606,A000000,05500,0000,5500HOSPICE 427606,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427606,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427606,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427606,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427606,A000000,06100,0000,6100NONPAID WORKERS 427606,A000000,06200,0000,6200PATIENTS LAUNDRY 427606,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427606,A81000A,00100,0100,Y 427606,A81000B,00100,0300,RENTAL OF FACILITY 427606,A81000B,00200,0300,INTEREST INCOME ON LOAN 427606,A81000B,00300,0300,CEO 427606,A81000B,00400,0300,FOOD SRV/PUECH/MAIN/LAUND 427606,A81000B,00500,0300,DIRECTOR OF INSERVICES 427606,A81000B,00600,0300,CNA 427606,A81000B,00700,0300,AR CLERK 427606,A81000B,00800,0300,MEDICAL RECORDS 427606,A81000C,00100,0100,A 427606,A81000C,00100,0200,CLEARY & RECHENBERG 427606,A81000C,00100,0400,R & C REALTY 427606,A81000C,00100,0600,REAL ESTATE 427606,A81000C,00200,0100,A 427606,A81000C,00200,0200,CLEARY & RECHENBERG 427606,A81000C,00200,0400,R & C REALTY 427606,A81000C,00200,0600,REAL ESTATE 427606,A81000C,00300,0100,A 427606,A81000C,00300,0200,JAMES E. CLEARY 427606,A81000C,00300,0600,CEO 427606,A81000C,00400,0100,D 427606,A81000C,00400,0200,SETH CLEARY 427606,A81000C,00400,0600,FOOD SRV/PURCH/MAINT/LAUN 427606,A81000C,00500,0100,D 427606,A81000C,00500,0200,MARILYN RICHARDSON 427606,A81000C,00500,0600,DIRECTOR OF INSERVICES 427606,A81000C,00600,0100,D 427606,A81000C,00600,0200,CAMILA CLEARY 427606,A81000C,00600,0600,CNA 427606,A81000C,00700,0100,D 427606,A81000C,00700,0200,BRIAN CLEARY 427606,A81000C,00700,0600,AR CLERK 427606,A81000C,00800,0100,D 427606,A81000C,00800,0200,KENNETH CLEARY 427606,A81000C,00800,0600,MEDICAL RECORDS 427606,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427606,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427606,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427606,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427606,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427606,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427606,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427606,B100000,00000,0800,0800MEALS SERVED :DIETARY 427606,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427606,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427606,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427606,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427606,G300000,02500,0000,INTEREST INCOME 427606,G300000,02501,0000,MISC. INCOME 427606,G300000,02502,0000,BARBER/BEAUTY 427606,G300000,02503,0000,VENDING INCOME 427606,G300000,02504,0000,CABLE/TV/PHONE 427606,S000000,00100,0200,02/29/12 427606,S200000,00100,0100,1132 MERIDEN ROAD 427606,S200000,00200,0100,WATERBURY 427606,S200000,00200,0200,CT 427606,S200000,00200,0300,06705 427606,S200000,00300,0100,NEW HAVEN 427606,S200000,00300,0200,5483 427606,S200000,00300,0201,35300 427606,S200000,00300,0300,U 427606,S200000,00400,0100,MERIDIAN MANOR 427606,S200000,00400,0200,075102 427606,S200000,00400,0300,10/01/92 427606,S200000,00400,0500,P 427606,S200000,01500,0100,Y 427606,S200000,01501,0200,Y 427606,S200000,01600,0100,N 427606,S200000,01700,0100,N 427606,S200000,01800,0100,N 427606,S200000,02200,0100,N 427606,S200000,02800,0100,Y 427606,S200000,02900,0100,N 427606,S200000,03000,0100,N 427606,S200000,03100,0100,N 427606,S200000,03200,0100,N 427606,S200000,03300,0100,N 427606,S200000,03300,0200,N 427606,S200000,04100,0100,N 427606,S200000,04200,0100,N 427606,S200000,04300,0100,N 427606,S200000,04600,0100,N 427606,S200000,04700,0100,N 427606,S200000,04700,0200,N 427606,S200000,04900,0100,N 427606,S200000,05000,0100,N 427606,S200000,05100,0100,N 427606,S200000,05200,0100,N 427606,S200000,05300,0100,N 427607,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427607,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427607,A000000,00300,0000,0300EMPLOYEE BENEFITS 427607,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427607,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427607,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427607,A000000,00700,0000,0700HOUSEKEEPING 427607,A000000,00800,0000,0800DIETARY 427607,A000000,00900,0000,0900NURSING ADMINISTRATION 427607,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427607,A000000,01100,0000,1100PHARMACY 427607,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427607,A000000,01300,0000,1300SOCIAL SERVICE 427607,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427607,A000000,01500,0000,1350RECREATION 427607,A000000,01600,0000,1600SKILLED NURSING FACILITY 427607,A000000,01800,0000,1800NURSING FACILITY 427607,A000000,01810,0000,1810ICF/MR 427607,A000000,01900,0000,1900OTHER LONG TERM CARE 427607,A000000,02100,0000,2100RADIOLOGY 427607,A000000,02200,0000,2200LABORATORY 427607,A000000,02300,0000,2300INTRAVENOUS THERAPY 427607,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427607,A000000,02500,0000,2500PHYSICAL THERAPY 427607,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427607,A000000,02700,0000,2700SPEECH PATHOLOGY 427607,A000000,02800,0000,2800ELECTROCARDIOLOGY 427607,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427607,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427607,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427607,A000000,03200,0000,3200SUPPORT SURFACES 427607,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427607,A000000,03400,0000,3400CLINIC 427607,A000000,03500,0000,3500RURAL HEALTH CLINIC 427607,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427607,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427607,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427607,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427607,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427607,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427607,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427607,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427607,A000000,04400,0000,4400DME RENTED - HHA 427607,A000000,04500,0000,4500DME SOLD - HHA 427607,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427607,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427607,A000000,04710,0000,4710TELEMEDICINE 427607,A000000,04800,0000,4800AMBULANCE 427607,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427607,A000000,05000,0000,5000CORF 427607,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427607,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427607,A000000,05300,0000,5300INTEREST EXPENSE 427607,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427607,A000000,05500,0000,5500HOSPICE 427607,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427607,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427607,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427607,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427607,A000000,06100,0000,6100NONPAID WORKERS 427607,A000000,06200,0000,6200PATIENTS LAUNDRY 427607,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427607,A81000A,00100,0100,Y 427607,A81000B,00100,0300,MANAGEMENT FEE 427607,A81000B,00200,0300,RENT 427607,A81000C,00100,0100,A 427607,A81000C,00100,0200,MARTIN SBRIGLIO 427607,A81000C,00100,0400,RYDERS HEALTH MANAGEMENT 427607,A81000C,00100,0600,OWNER OF REAL ESTATE 427607,A81000C,00200,0100,A 427607,A81000C,00200,0200,ROBERT SBRIGLIO 427607,A81000C,00200,0400,RYDERS HEALTH MANAGEMENT 427607,A81000C,00200,0600,OWNER OF REAL ESTATE 427607,A81000C,00300,0100,G 427607,A81000C,00300,0200,KEN KOPCHIK 427607,A81000C,00300,0400,GREENTREE MANOR 427607,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427607,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427607,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427607,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427607,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427607,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427607,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427607,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427607,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427607,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427607,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427607,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427607,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427607,G300000,02501,0000,INTEREST INCOME 427607,G300000,02502,0000,MEDICAID RATE ADJUSTMENT 427607,G300000,02503,0000,MISC. PRIVATE CHARGES 427607,G300000,02504,0000,BEAUTY CARE REVENUE 427607,S000000,00100,0200,02/29/12 427607,S200000,00100,0100,4 GREENTREE DRIVE 427607,S200000,00200,0100,WATERFORD 427607,S200000,00200,0200,CT 427607,S200000,00200,0300,06385 427607,S200000,00300,0100,NEW LONDON 427607,S200000,00300,0201,35980 427607,S200000,00300,0300,U 427607,S200000,00400,0100,GREENTREE MANOR 427607,S200000,00400,0200,075113 427607,S200000,00400,0300,10/01/95 427607,S200000,00400,0500,P 427607,S200000,01500,0100,Y 427607,S200000,01502,0200,Y 427607,S200000,01504,0200,Y 427607,S200000,01600,0100,N 427607,S200000,01700,0100,N 427607,S200000,01800,0100,N 427607,S200000,02200,0100,N 427607,S200000,02800,0100,N 427607,S200000,02900,0100,N 427607,S200000,03000,0100,N 427607,S200000,03100,0100,N 427607,S200000,03200,0100,N 427607,S200000,03300,0100,N 427607,S200000,03300,0200,N 427607,S200000,04100,0100,N 427607,S200000,04200,0100,N 427607,S200000,04300,0100,N 427607,S200000,04600,0100,N 427607,S200000,04700,0100,N 427607,S200000,04700,0200,N 427607,S200000,04900,0100,N 427607,S200000,05000,0100,N 427607,S200000,05100,0100,N 427607,S200000,05200,0100,N 427607,S200000,05300,0100,Y 427607,S200000,05300,0200,071115 427607,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 427607,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 427607,S200000,05400,0300,13101 427607,S200000,05500,0100,88 RYDERS LANE 427607,S200000,05600,0100,STRATFORD 427607,S200000,05600,0200,CT 427607,S200000,05600,0300,06614 427608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427608,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427608,A000000,00300,0000,0300EMPLOYEE BENEFITS 427608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427608,A000000,00700,0000,0700HOUSEKEEPING 427608,A000000,00800,0000,0800DIETARY 427608,A000000,00900,0000,0900NURSING ADMINISTRATION 427608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427608,A000000,01100,0000,1100PHARMACY 427608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427608,A000000,01300,0000,1300SOCIAL SERVICE 427608,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427608,A000000,01500,0000,1350OTHER GENERAL SERVICES 427608,A000000,01600,0000,1600SKILLED NURSING FACILITY 427608,A000000,01800,0000,1800NURSING FACILITY 427608,A000000,01810,0000,1810ICF/MR 427608,A000000,01900,0000,1900OTHER LONG TERM CARE 427608,A000000,02100,0000,2100RADIOLOGY 427608,A000000,02200,0000,2200LABORATORY 427608,A000000,02300,0000,2300INTRAVENOUS THERAPY 427608,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427608,A000000,02500,0000,2500PHYSICAL THERAPY 427608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427608,A000000,02700,0000,2700SPEECH PATHOLOGY 427608,A000000,02800,0000,2800ELECTROCARDIOLOGY 427608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427608,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427608,A000000,03200,0000,3200SUPPORT SURFACES 427608,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427608,A000000,03400,0000,3400CLINIC 427608,A000000,03500,0000,3500RURAL HEALTH CLINIC 427608,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427608,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427608,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427608,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427608,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427608,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427608,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427608,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427608,A000000,04400,0000,4400DME RENTED - HHA 427608,A000000,04500,0000,4500DME SOLD - HHA 427608,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427608,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427608,A000000,04710,0000,4710TELEMEDICINE 427608,A000000,04800,0000,4800AMBULANCE 427608,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427608,A000000,05000,0000,5000CORF 427608,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427608,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427608,A000000,05300,0000,5300INTEREST EXPENSE 427608,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427608,A000000,05500,0000,5500HOSPICE 427608,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427608,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427608,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427608,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427608,A000000,06100,0000,6100NONPAID WORKERS 427608,A000000,06200,0000,6200PATIENTS LAUNDRY 427608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427608,A81000A,00100,0100,Y 427608,A81000B,00100,0300,MANAGEMENT FEES 427608,A81000B,00200,0300,SALARIES LCS EMPLOYEES 427608,A81000C,00100,0100,G 427608,A81000C,00100,0400,LIFECARE SERVICES 427608,A81000C,00100,0600,MANAGEMENT COMPANY 427608,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427608,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427608,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427608,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427608,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427608,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427608,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427608,B100000,00000,0800,0800MEALS SERVED :DIETARY 427608,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 427608,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427608,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427608,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427608,G300000,02500,0000,BEAUTY AND BARBER 427608,G300000,02501,0000,SPACE RENTALS 427608,G300000,02502,0000,EQUIPMENT RENTAL 427608,G300000,02503,0000,MISC. INCOME 427608,G300000,02504,0000,TRANSPORTATION 427608,G300000,02505,0000,LOUNGE INCOME 427608,G300000,02506,0000,MAINTENANCE 427608,G300000,02507,0000,ROUNDING ADJUSTMENT 427608,S000000,00100,0200,02/28/12 427608,S200000,00100,0100,80 HERITAGE ROAD 427608,S200000,00200,0100,SOUTHBURY 427608,S200000,00200,0200,CT 427608,S200000,00200,0300,06488 427608,S200000,00300,0100,NEW HAVEN 427608,S200000,00300,0200,5483 427608,S200000,00300,0201,35300 427608,S200000,00300,0300,U 427608,S200000,00400,0100,POMPERAUG WOODS HEALTH CARE CTR 427608,S200000,00400,0200,075318 427608,S200000,00400,0300,05/18/88 427608,S200000,00400,0500,P 427608,S200000,01500,0100,Y 427608,S200000,01501,0200,N 427608,S200000,01600,0100,N 427608,S200000,01700,0100,N 427608,S200000,01800,0100,N 427608,S200000,02200,0100,N 427608,S200000,02800,0100,Y 427608,S200000,02900,0100,N 427608,S200000,03000,0100,N 427608,S200000,03100,0100,N 427608,S200000,03200,0100,N 427608,S200000,03300,0100,N 427608,S200000,03300,0200,N 427608,S200000,04100,0100,N 427608,S200000,04200,0100,N 427608,S200000,04300,0100,N 427608,S200000,04600,0100,N 427608,S200000,04700,0100,N 427608,S200000,04700,0200,N 427608,S200000,04900,0100,N 427608,S200000,05000,0100,N 427608,S200000,05100,0100,N 427608,S200000,05200,0100,N 427608,S200000,05300,0100,N 427609,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427609,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427609,A000000,00300,0000,0300EMPLOYEE BENEFITS 427609,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427609,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427609,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427609,A000000,00700,0000,0700HOUSEKEEPING 427609,A000000,00800,0000,0800DIETARY 427609,A000000,00900,0000,0900NURSING ADMINISTRATION 427609,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427609,A000000,01100,0000,1100PHARMACY 427609,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427609,A000000,01300,0000,1300SOCIAL SERVICE 427609,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427609,A000000,01600,0000,1600SKILLED NURSING FACILITY 427609,A000000,01800,0000,1800NURSING FACILITY 427609,A000000,01810,0000,1810ICF/MR 427609,A000000,01900,0000,1900OTHER LONG TERM CARE 427609,A000000,02100,0000,2100RADIOLOGY 427609,A000000,02200,0000,2200LABORATORY 427609,A000000,02300,0000,2300INTRAVENOUS THERAPY 427609,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427609,A000000,02500,0000,2500PHYSICAL THERAPY 427609,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427609,A000000,02700,0000,2700SPEECH PATHOLOGY 427609,A000000,02800,0000,2800ELECTROCARDIOLOGY 427609,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427609,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427609,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427609,A000000,03200,0000,3200SUPPORT SURFACES 427609,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427609,A000000,03400,0000,3400CLINIC 427609,A000000,03500,0000,3500RURAL HEALTH CLINIC 427609,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427609,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427609,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427609,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427609,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427609,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427609,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427609,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427609,A000000,04400,0000,4400DME RENTED - HHA 427609,A000000,04500,0000,4500DME SOLD - HHA 427609,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427609,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427609,A000000,04710,0000,4710TELEMEDICINE 427609,A000000,04800,0000,4800AMBULANCE 427609,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427609,A000000,05000,0000,5000CORF 427609,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427609,A000000,05300,0000,5300INTEREST EXPENSE 427609,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427609,A000000,05500,0000,5500HOSPICE 427609,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427609,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427609,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427609,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427609,A000000,06100,0000,6100NONPAID WORKERS 427609,A000000,06200,0000,6200PATIENTS LAUNDRY 427609,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427609,A81000A,00100,0100,Y 427609,A81000B,00100,0300,MANAGEMENT FEES 427609,A81000B,00200,0300,BUILDING COSTS 427609,A81000C,00100,0100,B 427609,A81000C,00100,0200,PRESBYTERIAN HO 427609,A81000C,00100,0400,PRESBYTERIAN HO 427609,A81000C,00100,0600,MANAGEMENT 427609,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427609,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427609,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427609,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427609,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427609,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427609,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427609,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427609,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427609,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427609,S000000,00100,0200,02/27/12 427609,S200000,00100,0100,1201 SE MILL POND COURT 427609,S200000,00200,0100,ANKENY 427609,S200000,00200,0200,IA 427609,S200000,00200,0300,50021 427609,S200000,00300,0100,POLK 427609,S200000,00300,0201,19780 427609,S200000,00300,0300,U 427609,S200000,00400,0100,MILL POND CARE CENTER 427609,S200000,00400,0200,165261 427609,S200000,00400,0300,09/07/95 427609,S200000,00400,0500,P 427609,S200000,01500,0100,Y 427609,S200000,01600,0100,N 427609,S200000,01700,0100,N 427609,S200000,01800,0100,N 427609,S200000,02200,0100,N 427609,S200000,02800,0100,N 427609,S200000,02900,0100,N 427609,S200000,03000,0100,N 427609,S200000,03100,0100,N 427609,S200000,03200,0100,N 427609,S200000,03300,0100,N 427609,S200000,03300,0200,N 427609,S200000,04100,0100,N 427609,S200000,04200,0100,N 427609,S200000,04300,0100,N 427609,S200000,04600,0100,N 427609,S200000,04700,0100,N 427609,S200000,04700,0200,N 427609,S200000,04900,0100,N 427609,S200000,05000,0100,N 427609,S200000,05100,0100,N 427609,S200000,05200,0100,N 427609,S200000,05300,0100,Y 427609,S200000,05300,0200,H39890 427609,S200000,05400,0100,PRESBYTERIAN HOMES 427609,S200000,05400,0200,WPS 427609,S200000,05400,0300,H39890 427609,S200000,05500,0100,2845 HAMLINE AVENUE 427609,S200000,05600,0100,ROSEVILLE 427609,S200000,05600,0200,MN 427609,S200000,05600,0300,55113 427610,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427610,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427610,A000000,00300,0000,0300EMPLOYEE BENEFITS 427610,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427610,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427610,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427610,A000000,00700,0000,0700HOUSEKEEPING 427610,A000000,00800,0000,0800DIETARY 427610,A000000,00900,0000,0900NURSING ADMINISTRATION 427610,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427610,A000000,01100,0000,1100PHARMACY 427610,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427610,A000000,01300,0000,1300SOCIAL SERVICE 427610,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427610,A000000,01500,0000,1350OTHER GENERAL SERVICES 427610,A000000,01600,0000,1600SKILLED NURSING FACILITY 427610,A000000,01800,0000,1800NURSING FACILITY 427610,A000000,01810,0000,1810ICF/MR 427610,A000000,01900,0000,1900OTHER LONG TERM CARE 427610,A000000,02100,0000,2100RADIOLOGY 427610,A000000,02200,0000,2200LABORATORY 427610,A000000,02300,0000,2300INTRAVENOUS THERAPY 427610,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427610,A000000,02500,0000,2500PHYSICAL THERAPY 427610,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427610,A000000,02700,0000,2700SPEECH PATHOLOGY 427610,A000000,02800,0000,2800ELECTROCARDIOLOGY 427610,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427610,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427610,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427610,A000000,03200,0000,3200SUPPORT SURFACES 427610,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427610,A000000,03400,0000,3400CLINIC 427610,A000000,03500,0000,3500RURAL HEALTH CLINIC 427610,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427610,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427610,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427610,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427610,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427610,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427610,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427610,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427610,A000000,04400,0000,4400DME RENTED - HHA 427610,A000000,04500,0000,4500DME SOLD - HHA 427610,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427610,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427610,A000000,04710,0000,4710TELEMEDICINE 427610,A000000,04800,0000,4800AMBULANCE 427610,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427610,A000000,05000,0000,5000CORF 427610,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427610,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427610,A000000,05300,0000,5300INTEREST EXPENSE 427610,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427610,A000000,05500,0000,5500HOSPICE 427610,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427610,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427610,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427610,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427610,A000000,06100,0000,6100NONPAID WORKERS 427610,A000000,06200,0000,6200PATIENTS LAUNDRY 427610,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427610,A81000A,00100,0100,N 427610,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427610,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427610,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427610,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427610,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427610,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427610,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427610,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427610,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427610,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 427610,E10A180,00301,0100,09/28/11 427610,E10A180,00302,0100,10/12/11 427610,G300000,02500,0000,PERSONAL PURCHASES 427610,G300000,02510,0000,FINANCE CHARGES 427610,G300000,02511,0000,TRASNPORTATION 427610,S000000,00100,0200,02/28/12 427610,S200000,00100,0100,325 SW 7TH STREET 427610,S200000,00200,0100,STUART 427610,S200000,00200,0200,IA 427610,S200000,00200,0300,50250 427610,S200000,00300,0100,ADAIR 427610,S200000,00300,0200,16 427610,S200000,00300,0201,99916 427610,S200000,00300,0300,R 427610,S200000,00400,0100,COMMUNITY CARE CENTER 427610,S200000,00400,0200,165501 427610,S200000,00400,0300,10/01/07 427610,S200000,00400,0500,P 427610,S200000,01500,0100,Y 427610,S200000,01501,0200,Y 427610,S200000,01502,0200,Y 427610,S200000,01503,0200,Y 427610,S200000,01504,0200,Y 427610,S200000,01600,0100,N 427610,S200000,01700,0100,N 427610,S200000,01800,0100,N 427610,S200000,02200,0100,N 427610,S200000,02800,0100,N 427610,S200000,02900,0100,N 427610,S200000,03000,0100,N 427610,S200000,03100,0100,N 427610,S200000,03200,0100,N 427610,S200000,03300,0100,N 427610,S200000,03300,0200,N 427610,S200000,04100,0100,N 427610,S200000,04200,0100,N 427610,S200000,04300,0100,N 427610,S200000,04600,0100,N 427610,S200000,04700,0100,N 427610,S200000,04700,0200,N 427610,S200000,04900,0100,N 427610,S200000,05000,0100,N 427610,S200000,05100,0100,N 427610,S200000,05200,0100,N 427610,S200000,05300,0100,N 427611,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427611,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427611,A000000,00300,0000,0300EMPLOYEE BENEFITS 427611,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427611,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427611,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427611,A000000,00700,0000,0700HOUSEKEEPING 427611,A000000,00800,0000,0800DIETARY 427611,A000000,00900,0000,0900NURSING ADMINISTRATION 427611,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427611,A000000,01100,0000,1100PHARMACY 427611,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427611,A000000,01300,0000,1300SOCIAL SERVICE 427611,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427611,A000000,01600,0000,1600SKILLED NURSING FACILITY 427611,A000000,01800,0000,1800NURSING FACILITY 427611,A000000,01810,0000,1810ICF/MR 427611,A000000,01900,0000,1900OTHER LONG TERM CARE 427611,A000000,02100,0000,2100RADIOLOGY 427611,A000000,02200,0000,2200LABORATORY 427611,A000000,02300,0000,2300INTRAVENOUS THERAPY 427611,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427611,A000000,02500,0000,2500PHYSICAL THERAPY 427611,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427611,A000000,02700,0000,2700SPEECH PATHOLOGY 427611,A000000,02800,0000,2800ELECTROCARDIOLOGY 427611,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427611,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427611,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427611,A000000,03200,0000,3200SUPPORT SURFACES 427611,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427611,A000000,03400,0000,3400CLINIC 427611,A000000,03500,0000,3500RURAL HEALTH CLINIC 427611,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427611,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427611,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427611,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427611,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427611,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427611,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427611,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427611,A000000,04400,0000,4400DME RENTED - HHA 427611,A000000,04500,0000,4500DME SOLD - HHA 427611,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427611,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427611,A000000,04710,0000,4710TELEMEDICINE 427611,A000000,04800,0000,4800AMBULANCE 427611,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427611,A000000,05000,0000,5000CORF 427611,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427611,A000000,05300,0000,5300INTEREST EXPENSE 427611,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427611,A000000,05500,0000,5500HOSPICE 427611,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427611,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427611,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427611,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427611,A000000,06100,0000,6100NONPAID WORKERS 427611,A000000,06200,0000,6200PATIENTS LAUNDRY 427611,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427611,A81000A,00100,0100,Y 427611,A81000B,00100,0300,MANAGEMENT ALLOCATIONS 427611,A81000B,00200,0300,BUILDING COSTS 427611,A81000C,00100,0100,B 427611,A81000C,00100,0200,PRESBYTERIAN HO 427611,A81000C,00100,0400,PRESBYTERIAN HO 427611,A81000C,00100,0600,MGMT 427611,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427611,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427611,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427611,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427611,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427611,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427611,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427611,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427611,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427611,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 427611,G300000,02500,0000, MISC HOUSEKEEPING GENERAL STORE 427611,S000000,00100,0200,02/27/12 427611,S200000,00100,0100,102 VILLAGE VIEW CIRCLE 427611,S200000,00200,0100,WILLIAMSBURG 427611,S200000,00200,0200,IA 427611,S200000,00200,0300,52361 427611,S200000,00300,0100,IOWA 427611,S200000,00300,0201,16470 427611,S200000,00300,0300,R 427611,S200000,00400,0100,HIGHLAND RIDGE CARE CENTER 427611,S200000,00400,0200,165566 427611,S200000,00400,0300,11/01/05 427611,S200000,00400,0500,P 427611,S200000,01500,0100,Y 427611,S200000,01600,0100,N 427611,S200000,01700,0100,N 427611,S200000,01800,0100,N 427611,S200000,02200,0100,N 427611,S200000,02800,0100,N 427611,S200000,02900,0100,N 427611,S200000,03000,0100,N 427611,S200000,03100,0100,N 427611,S200000,03200,0100,N 427611,S200000,03300,0100,N 427611,S200000,03300,0200,N 427611,S200000,04100,0100,N 427611,S200000,04200,0100,N 427611,S200000,04300,0100,N 427611,S200000,04600,0100,N 427611,S200000,04700,0100,N 427611,S200000,04700,0200,N 427611,S200000,04900,0100,N 427611,S200000,05000,0100,N 427611,S200000,05100,0100,N 427611,S200000,05200,0100,N 427611,S200000,05300,0100,Y 427611,S200000,05300,0200,H39890 427611,S200000,05400,0100,PRESBYTERIAN HOMES M 427611,S200000,05400,0200,WPS 427611,S200000,05400,0300,H39890 427611,S200000,05500,0100,2845 HAMLINE AVENUE 427611,S200000,05600,0100,ROSEVILLE 427611,S200000,05600,0200,MN 427611,S200000,05600,0300,55113 427615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427615,A000000,00300,0000,0300EMPLOYEE BENEFITS 427615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427615,A000000,00700,0000,0700HOUSEKEEPING 427615,A000000,00800,0000,0800DIETARY 427615,A000000,00900,0000,0900NURSING ADMINISTRATION 427615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427615,A000000,01300,0000,1300SOCIAL SERVICE 427615,A000000,01500,0000,1350OTHER GENERAL SERVICES 427615,A000000,01600,0000,1600SKILLED NURSING FACILITY 427615,A000000,01800,0000,1800NURSING FACILITY 427615,A000000,01810,0000,1810ICF/MR 427615,A000000,01900,0000,1900OTHER LONG TERM CARE 427615,A000000,02100,0000,2100RADIOLOGY 427615,A000000,02200,0000,2200LABORATORY 427615,A000000,02300,0000,2300INTRAVENOUS THERAPY 427615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427615,A000000,02500,0000,2500PHYSICAL THERAPY 427615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427615,A000000,02700,0000,2700SPEECH PATHOLOGY 427615,A000000,02800,0000,2800ELECTROCARDIOLOGY 427615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427615,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427615,A000000,03200,0000,3200SUPPORT SURFACES 427615,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427615,A000000,03400,0000,3400CLINIC 427615,A000000,03500,0000,3500RURAL HEALTH CLINIC 427615,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427615,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427615,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427615,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427615,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427615,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427615,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427615,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427615,A000000,04400,0000,4400DME RENTED - HHA 427615,A000000,04500,0000,4500DME SOLD - HHA 427615,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427615,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427615,A000000,04710,0000,4710TELEMEDICINE 427615,A000000,04800,0000,4800AMBULANCE 427615,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427615,A000000,05000,0000,5000CORF 427615,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427615,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427615,A000000,05300,0000,5300INTEREST EXPENSE 427615,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427615,A000000,05500,0000,5500HOSPICE 427615,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427615,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427615,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427615,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427615,A000000,06100,0000,6100NONPAID WORKERS 427615,A000000,06200,0000,6200PATIENTS LAUNDRY 427615,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427615,A81000A,00100,0100,Y 427615,A81000B,00100,0300,HOME OFFICE COSTS 427615,A81000B,00200,0300,HOME OFFICE COSTS 427615,A81000B,00300,0300,ADMINISTRATIVE COSTS 427615,A81000B,00400,0300,PHARMACY COSTS 427615,A81000B,00500,0300,DEPRECIATION 427615,A81000B,00600,0300,TECHNOLOGY SERVICES 427615,A81000B,00700,0300,DIETARY 427615,A81000B,00800,0300,NURSING SERVICES 427615,A81000B,01000,0300,NURSING ALLOCATION 427615,A81000B,01100,0300,EQUIPMENT LEASE 427615,A81000B,01200,0300,INTEREST EXPENSE 427615,A81000B,01300,0300,LABOR COSTS/SALARIES 427615,A81000B,01400,0300,PLANT/MAINTENANCE COSTS 427615,A81000C,00100,0100,G 427615,A81000C,00100,0200,ALLEN KILGORE 427615,A81000C,00100,0400,CORNERSTONE HEALTH CARE 427615,A81000C,00100,0600,MANAGEMENT COMPANY 427615,A81000C,00200,0100,G 427615,A81000C,00200,0200,ALLEN KILGORE 427615,A81000C,00200,0400,CORNERSTONE PROP INV II 427615,A81000C,00200,0600,EQUIPMENT LEASE 427615,A81000C,00300,0100,G 427615,A81000C,00300,0200,ALLEN KILGORE 427615,A81000C,00300,0400,CENTRAL HEALTH CORP 427615,A81000C,00300,0600,PERSONNEL 427615,A81000C,00400,0100,G 427615,A81000C,00400,0200,ALLEN KILGORE 427615,A81000C,00400,0400,CHRISTIAN HC PHARMACY 427615,A81000C,00400,0600,PHARMACY 427615,A81000C,00500,0100,G 427615,A81000C,00500,0200,ALLEN KILGORE 427615,A81000C,00500,0400,ENFORMIX TECHNOLOGY SVCS 427615,A81000C,00500,0600,INFORMATION TECHNOLOGY 427615,A81000C,00600,0100,G 427615,A81000C,00600,0200,ALLEN KILGORE 427615,A81000C,00600,0400,CHC PERSONNEL SERVICES 427615,A81000C,00600,0600,EQUIPMENT LEASE 427615,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 427615,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427615,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427615,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427615,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427615,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427615,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427615,B100000,00000,0800,0800MEALS SERVED :DIETARY 427615,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427615,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427615,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 427615,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 427615,G300000,02500,0000,OTHER INCOME 427615,S000000,00100,0200,02/28/12 427615,S200000,00100,0100,596 MORTON ROAD 427615,S200000,00200,0100,LEBANON 427615,S200000,00200,0200,MO 427615,S200000,00200,0300,65536 427615,S200000,00300,0100,LACLEDE 427615,S200000,00300,0200,26 427615,S200000,00300,0201,99926 427615,S200000,00300,0300,R 427615,S200000,00400,0100,CHRISTIAN HC OF LEBANON NORTH 427615,S200000,00400,0200,265123 427615,S200000,00400,0300,03/10/76 427615,S200000,00400,0500,P 427615,S200000,01500,0100,Y 427615,S200000,01501,0200,Y 427615,S200000,01502,0200,Y 427615,S200000,01503,0200,Y 427615,S200000,01504,0200,Y 427615,S200000,01600,0100,N 427615,S200000,01700,0100,N 427615,S200000,01800,0100,N 427615,S200000,02200,0100,N 427615,S200000,02800,0100,N 427615,S200000,02900,0100,N 427615,S200000,03000,0100,N 427615,S200000,03100,0100,N 427615,S200000,03200,0100,N 427615,S200000,03300,0100,N 427615,S200000,03300,0200,N 427615,S200000,04100,0100,N 427615,S200000,04200,0100,N 427615,S200000,04300,0100,N 427615,S200000,04600,0100,N 427615,S200000,04700,0100,N 427615,S200000,04700,0200,N 427615,S200000,04900,0100,N 427615,S200000,05000,0100,N 427615,S200000,05100,0100,N 427615,S200000,05200,0100,N 427615,S200000,05300,0100,Y 427615,S200000,05300,0200,H57160 427615,S200000,05400,0100,CORNERSTONE HEALTH CARE INC. 427615,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 427615,S200000,05400,0300,00020 427615,S200000,05500,0100,222 SOUTH FIRST STREET 427615,S200000,05600,0100,ROGERS 427615,S200000,05600,0200,AR 427615,S200000,05600,0300,72756 427616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427616,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427616,A000000,00300,0000,0300EMPLOYEE BENEFITS 427616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427616,A000000,00700,0000,0700HOUSEKEEPING 427616,A000000,00800,0000,0800DIETARY 427616,A000000,00900,0000,0900NURSING ADMINISTRATION 427616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427616,A000000,01100,0000,1100PHARMACY 427616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427616,A000000,01300,0000,1300SOCIAL SERVICE 427616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427616,A000000,01500,0000,1350OTHER GENERAL SERVICES 427616,A000000,01600,0000,1600SKILLED NURSING FACILITY 427616,A000000,01800,0000,1800NURSING FACILITY 427616,A000000,01810,0000,1810ICF/MR 427616,A000000,01900,0000,1900OTHER LONG TERM CARE 427616,A000000,02100,0000,2100RADIOLOGY 427616,A000000,02200,0000,2200LABORATORY 427616,A000000,02300,0000,2300INTRAVENOUS THERAPY 427616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427616,A000000,02500,0000,2500PHYSICAL THERAPY 427616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427616,A000000,02700,0000,2700SPEECH PATHOLOGY 427616,A000000,02800,0000,2800ELECTROCARDIOLOGY 427616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427616,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427616,A000000,03200,0000,3200SUPPORT SURFACES 427616,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427616,A000000,03400,0000,3400CLINIC 427616,A000000,03500,0000,3500RURAL HEALTH CLINIC 427616,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427616,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427616,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427616,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427616,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427616,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427616,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427616,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427616,A000000,04400,0000,4400DME RENTED - HHA 427616,A000000,04500,0000,4500DME SOLD - HHA 427616,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427616,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427616,A000000,04710,0000,4710TELEMEDICINE 427616,A000000,04800,0000,4800AMBULANCE 427616,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427616,A000000,05000,0000,5000CORF 427616,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427616,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427616,A000000,05300,0000,5300INTEREST EXPENSE 427616,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427616,A000000,05500,0000,5500HOSPICE 427616,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427616,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427616,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427616,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427616,A000000,06100,0000,6100NONPAID WORKERS 427616,A000000,06200,0000,6200PATIENTS LAUNDRY 427616,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427616,A81000A,00100,0100,N 427616,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427616,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427616,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427616,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427616,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427616,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427616,B100000,00000,0800,0800MEALS SERVED :DIETARY 427616,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427616,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427616,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427616,S000000,00100,0200,02/27/12 427616,S200000,00100,0100,210 DAVIS DRIVE 427616,S200000,00200,0100,WEST PLAINS 427616,S200000,00200,0200,MO 427616,S200000,00200,0300,65775 427616,S200000,00300,0100,HOWELL 427616,S200000,00300,0200,26 427616,S200000,00300,0201,99926 427616,S200000,00300,0300,R 427616,S200000,00400,0100,WEST VUE NURSING CENTER 427616,S200000,00400,0200,265164 427616,S200000,00400,0300,05/20/82 427616,S200000,00400,0500,P 427616,S200000,01500,0100,Y 427616,S200000,01501,0200,Y 427616,S200000,01503,0200,Y 427616,S200000,01504,0200,Y 427616,S200000,01600,0100,N 427616,S200000,01700,0100,N 427616,S200000,01800,0100,N 427616,S200000,02200,0100,N 427616,S200000,02800,0100,Y 427616,S200000,02900,0100,N 427616,S200000,03000,0100,N 427616,S200000,03100,0100,N 427616,S200000,03200,0100,N 427616,S200000,03300,0100,N 427616,S200000,03300,0200,N 427616,S200000,04100,0100,N 427616,S200000,04200,0100,N 427616,S200000,04300,0100,N 427616,S200000,04600,0100,N 427616,S200000,04700,0100,N 427616,S200000,04700,0200,N 427616,S200000,04900,0100,N 427616,S200000,05000,0100,N 427616,S200000,05100,0100,N 427616,S200000,05200,0100,N 427616,S200000,05300,0100,N 427619,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427619,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427619,A000000,00300,0000,0300EMPLOYEE BENEFITS 427619,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427619,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427619,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427619,A000000,00700,0000,0700HOUSEKEEPING 427619,A000000,00800,0000,0800DIETARY 427619,A000000,00900,0000,0900NURSING ADMINISTRATION 427619,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427619,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427619,A000000,01300,0000,1300SOCIAL SERVICE 427619,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427619,A000000,01500,0000,1350OTHER GENERAL SERVICES 427619,A000000,01600,0000,1600SKILLED NURSING FACILITY 427619,A000000,01800,0000,1800NURSING FACILITY 427619,A000000,01810,0000,1810ICF/MR 427619,A000000,01900,0000,1900OTHER LONG TERM CARE 427619,A000000,02100,0000,2100RADIOLOGY 427619,A000000,02200,0000,2200LABORATORY 427619,A000000,02300,0000,2300INTRAVENOUS THERAPY 427619,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427619,A000000,02500,0000,2500PHYSICAL THERAPY 427619,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427619,A000000,02700,0000,2700SPEECH PATHOLOGY 427619,A000000,02800,0000,2800ELECTROCARDIOLOGY 427619,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427619,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427619,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427619,A000000,03200,0000,3200SUPPORT SURFACES 427619,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427619,A000000,03400,0000,3400CLINIC 427619,A000000,03500,0000,3500RURAL HEALTH CLINIC 427619,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427619,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427619,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427619,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427619,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427619,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427619,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427619,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427619,A000000,04400,0000,4400DME RENTED - HHA 427619,A000000,04500,0000,4500DME SOLD - HHA 427619,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427619,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427619,A000000,04710,0000,4710TELEMEDICINE 427619,A000000,04800,0000,4800AMBULANCE 427619,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427619,A000000,05000,0000,5000CORF 427619,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427619,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427619,A000000,05300,0000,5300INTEREST EXPENSE 427619,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427619,A000000,05500,0000,5500HOSPICE 427619,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427619,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427619,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427619,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427619,A000000,06100,0000,6100NONPAID WORKERS 427619,A000000,06200,0000,6200PATIENTS LAUNDRY 427619,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427619,A81000A,00100,0100,Y 427619,A81000B,00100,0300,HOME OFFICE 427619,A81000B,00200,0300,HOME OFFICE 427619,A81000B,00300,0300,HOME OFFICE 427619,A81000B,00400,0300,FACILITY LEASE 427619,A81000B,00500,0300,INTEREST 427619,A81000B,00600,0300,WORKERS COMP INS 427619,A81000B,00700,0300,LIABILITY INSURANCE 427619,A81000C,00100,0100,A 427619,A81000C,00100,0200,JAMES J GIARDINA 427619,A81000C,00100,0400,COMMUNITY CARE CTR INC 427619,A81000C,00100,0600,NURSING HOME MGMT 427619,A81000C,00200,0100,A 427619,A81000C,00200,0200,JAMES J GIARDINA 427619,A81000C,00200,0400,JAMES J GIARDINA 427619,A81000C,00200,0600,INDIVIDUAL 427619,A81000C,00300,0100,A 427619,A81000C,00300,0200,JAMES J GIARDINA 427619,A81000C,00300,0400,JAMES J GIARDINA 427619,A81000C,00300,0600,INDIVIDUAL 427619,A81000C,00400,0100,A 427619,A81000C,00400,0200,JAMES J GIARDINA 427619,A81000C,00400,0400,RISA 427619,A81000C,00400,0600,WORKERS COMP INS 427619,A81000C,00500,0100,A 427619,A81000C,00500,0200,JAMES J GIARDINA 427619,A81000C,00500,0400,IMPEDIA 427619,A81000C,00500,0600,LIABILITY INSURANCE 427619,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427619,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427619,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427619,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427619,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427619,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427619,B100000,00000,0800,0800MEALS SERVED :DIETARY 427619,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427619,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427619,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427619,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427619,G300000,02500,0000,OTHER INCOME 427619,S000000,00100,0200,02/09/12 427619,S200000,00100,0100,914 CHICKESAW 427619,S200000,00200,0100,SENECA 427619,S200000,00200,0200,MO 427619,S200000,00200,0300,64865 427619,S200000,00300,0100,NEWTON 427619,S200000,00300,0200,3710 427619,S200000,00300,0201,27900 427619,S200000,00300,0300,U 427619,S200000,00400,0100,COMMUNITY CARE CENTER OF SENECA 427619,S200000,00400,0200,265491 427619,S200000,00400,0300,02/26/92 427619,S200000,00400,0500,P 427619,S200000,01500,0100,Y 427619,S200000,01501,0200,Y 427619,S200000,01503,0200,N 427619,S200000,01504,0200,N 427619,S200000,01600,0100,N 427619,S200000,01700,0100,N 427619,S200000,01800,0100,N 427619,S200000,02200,0100,N 427619,S200000,02800,0100,Y 427619,S200000,02900,0100,N 427619,S200000,03000,0100,N 427619,S200000,03100,0100,N 427619,S200000,03200,0100,N 427619,S200000,03300,0100,N 427619,S200000,03300,0200,N 427619,S200000,04100,0100,N 427619,S200000,04200,0100,N 427619,S200000,04300,0100,N 427619,S200000,04600,0100,N 427619,S200000,04700,0100,N 427619,S200000,04700,0200,N 427619,S200000,04900,0100,N 427619,S200000,05000,0100,N 427619,S200000,05100,0100,N 427619,S200000,05200,0100,N 427619,S200000,05300,0100,Y 427619,S200000,05300,0200,H6957 427619,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427619,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427619,S200000,05400,0300, 05301 427619,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427619,S200000,05600,0100,BALLWIN 427619,S200000,05600,0200,MO 427619,S200000,05600,0300,63021-2100 427620,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427620,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427620,A000000,00300,0000,0300EMPLOYEE BENEFITS 427620,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427620,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427620,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427620,A000000,00700,0000,0700HOUSEKEEPING 427620,A000000,00800,0000,0800DIETARY 427620,A000000,00900,0000,0900NURSING ADMINISTRATION 427620,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427620,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427620,A000000,01300,0000,1300SOCIAL SERVICE 427620,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427620,A000000,01500,0000,1350OTHER GENERAL SERVICES 427620,A000000,01600,0000,1600SKILLED NURSING FACILITY 427620,A000000,01800,0000,1800NURSING FACILITY 427620,A000000,01810,0000,1810ICF/MR 427620,A000000,01900,0000,1900OTHER LONG TERM CARE 427620,A000000,02100,0000,2100RADIOLOGY 427620,A000000,02200,0000,2200LABORATORY 427620,A000000,02300,0000,2300INTRAVENOUS THERAPY 427620,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427620,A000000,02500,0000,2500PHYSICAL THERAPY 427620,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427620,A000000,02700,0000,2700SPEECH PATHOLOGY 427620,A000000,02800,0000,2800ELECTROCARDIOLOGY 427620,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427620,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427620,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427620,A000000,03200,0000,3200SUPPORT SURFACES 427620,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427620,A000000,03400,0000,3400CLINIC 427620,A000000,03500,0000,3500RURAL HEALTH CLINIC 427620,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427620,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427620,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427620,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427620,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427620,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427620,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427620,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427620,A000000,04400,0000,4400DME RENTED - HHA 427620,A000000,04500,0000,4500DME SOLD - HHA 427620,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427620,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427620,A000000,04710,0000,4710TELEMEDICINE 427620,A000000,04800,0000,4800AMBULANCE 427620,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427620,A000000,05000,0000,5000CORF 427620,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427620,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427620,A000000,05300,0000,5300INTEREST EXPENSE 427620,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427620,A000000,05500,0000,5500HOSPICE 427620,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427620,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427620,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427620,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427620,A000000,06100,0000,6100NONPAID WORKERS 427620,A000000,06200,0000,6200PATIENTS LAUNDRY 427620,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427620,A81000A,00100,0100,Y 427620,A81000B,00100,0300,HOME OFFICE 427620,A81000B,00200,0300,HOME OFFICE 427620,A81000B,00300,0300,HOME OFFICE 427620,A81000B,00400,0300,FACILITY LEASE 427620,A81000B,00500,0300,WORKERS COMP INS 427620,A81000B,00600,0300,LIABILITY INS 427620,A81000B,00700,0300,INTEREST EXPENSE 427620,A81000C,00100,0100,A 427620,A81000C,00100,0200,JAMES J GIARDINA 427620,A81000C,00100,0400,COMMUNITY CARE CTR INC 427620,A81000C,00100,0600,NURSING HOME MGMT 427620,A81000C,00200,0100,A 427620,A81000C,00200,0200,GIARDINA FAMILY 427620,A81000C,00200,0400,BJB INDUSTRIES INC 427620,A81000C,00200,0600,OWN FACILITY 427620,A81000C,00300,0100,A 427620,A81000C,00300,0200,JAMES J GIARDINA 427620,A81000C,00300,0400,RISA 427620,A81000C,00300,0600,WORKERS COMP INS 427620,A81000C,00400,0100,A 427620,A81000C,00400,0200,JAMES J GIARDINA 427620,A81000C,00400,0400,RISA 427620,A81000C,00400,0600,LIABILITY INS 427620,A81000C,00500,0100,A 427620,A81000C,00500,0200,JAMES J GIARDINA 427620,A81000C,00500,0400,JAMES J GIARDINA 427620,A81000C,00500,0600,INDIVIDUAL-INTEREST 427620,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427620,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427620,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427620,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427620,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427620,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427620,B100000,00000,0800,0800MEALS SERVED :DIETARY 427620,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427620,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427620,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427620,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427620,G300000,02500,0000,OTHER INCOME 427620,S000000,00100,0200,02/17/12 427620,S200000,00100,0100,HIGHWAY 72 WEST 427620,S200000,00200,0100,SALEM 427620,S200000,00200,0200,MO 427620,S200000,00200,0300,65560 427620,S200000,00300,0100,DENT 427620,S200000,00300,0200,26 427620,S200000,00300,0201,99926 427620,S200000,00300,0300,R 427620,S200000,00400,0100,SEVILLE CARE CENTER 427620,S200000,00400,0200,265521 427620,S200000,00400,0300,03/01/93 427620,S200000,00400,0500,P 427620,S200000,01500,0100,Y 427620,S200000,01501,0200,Y 427620,S200000,01503,0200,N 427620,S200000,01504,0200,N 427620,S200000,01600,0100,N 427620,S200000,01700,0100,N 427620,S200000,01800,0100,N 427620,S200000,02200,0100,N 427620,S200000,02800,0100,N 427620,S200000,02900,0100,N 427620,S200000,03000,0100,N 427620,S200000,03100,0100,N 427620,S200000,03200,0100,N 427620,S200000,03300,0100,N 427620,S200000,03300,0200,N 427620,S200000,04100,0100,N 427620,S200000,04200,0100,N 427620,S200000,04300,0100,N 427620,S200000,04600,0100,N 427620,S200000,04700,0100,N 427620,S200000,04700,0200,N 427620,S200000,04900,0100,N 427620,S200000,05000,0100,N 427620,S200000,05100,0100,N 427620,S200000,05200,0100,N 427620,S200000,05300,0100,Y 427620,S200000,05300,0200,H6957 427620,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427620,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427620,S200000,05400,0300, 05301 427620,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427620,S200000,05600,0100,BALLWIN 427620,S200000,05600,0200,MO 427620,S200000,05600,0300,63021-2100 427621,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427621,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427621,A000000,00300,0000,0300EMPLOYEE BENEFITS 427621,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427621,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427621,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427621,A000000,00700,0000,0700HOUSEKEEPING 427621,A000000,00800,0000,0800DIETARY 427621,A000000,00900,0000,0900NURSING ADMINISTRATION 427621,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427621,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427621,A000000,01300,0000,1300SOCIAL SERVICE 427621,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427621,A000000,01500,0000,1350OTHER GENERAL SERVICES 427621,A000000,01600,0000,1600SKILLED NURSING FACILITY 427621,A000000,01800,0000,1800NURSING FACILITY 427621,A000000,01810,0000,1810ICF/MR 427621,A000000,01900,0000,1900OTHER LONG TERM CARE 427621,A000000,02100,0000,2100RADIOLOGY 427621,A000000,02200,0000,2200LABORATORY 427621,A000000,02300,0000,2300INTRAVENOUS THERAPY 427621,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427621,A000000,02500,0000,2500PHYSICAL THERAPY 427621,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427621,A000000,02700,0000,2700SPEECH PATHOLOGY 427621,A000000,02800,0000,2800ELECTROCARDIOLOGY 427621,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427621,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427621,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427621,A000000,03200,0000,3200SUPPORT SURFACES 427621,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427621,A000000,03400,0000,3400CLINIC 427621,A000000,03500,0000,3500RURAL HEALTH CLINIC 427621,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427621,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427621,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427621,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427621,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427621,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427621,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427621,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427621,A000000,04400,0000,4400DME RENTED - HHA 427621,A000000,04500,0000,4500DME SOLD - HHA 427621,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427621,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427621,A000000,04710,0000,4710TELEMEDICINE 427621,A000000,04800,0000,4800AMBULANCE 427621,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427621,A000000,05000,0000,5000CORF 427621,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427621,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427621,A000000,05300,0000,5300INTEREST EXPENSE 427621,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427621,A000000,05500,0000,5500HOSPICE 427621,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427621,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427621,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427621,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427621,A000000,06100,0000,6100NONPAID WORKERS 427621,A000000,06200,0000,6200PATIENTS LAUNDRY 427621,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427621,A81000B,00100,0300,HOME OFFICE 427621,A81000B,00200,0300,HOME OFFICE 427621,A81000B,00300,0300,HOME OFFICE 427621,A81000B,00400,0300,FACILITY LEASE 427621,A81000B,00500,0300,INTEREST 427621,A81000B,00600,0300,WORKERS COMP INS 427621,A81000B,00700,0300,LIABILITY INS 427621,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427621,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427621,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427621,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427621,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427621,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427621,B100000,00000,0800,0800MEALS SERVED :DIETARY 427621,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427621,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427621,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427621,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427621,S000000,00100,0200,02/17/12 427621,S200000,00100,0100,2407 KENTUCKY 427621,S200000,00200,0100,LOUISIANA 427621,S200000,00200,0200,MO 427621,S200000,00200,0300,63353 427621,S200000,00300,0100,PIKE 427621,S200000,00300,0200,26 427621,S200000,00300,0201,99926 427621,S200000,00300,0300,R 427621,S200000,00400,0100,MAPLE GROVE LODGE 427621,S200000,00400,0200,265740 427621,S200000,00400,0300,08/26/02 427621,S200000,00400,0500,P 427621,S200000,01500,0100,Y 427621,S200000,01501,0200,Y 427621,S200000,01503,0200,N 427621,S200000,01504,0200,N 427621,S200000,01600,0100,N 427621,S200000,01700,0100,N 427621,S200000,01800,0100,N 427621,S200000,02200,0100,N 427621,S200000,02800,0100,Y 427621,S200000,02900,0100,N 427621,S200000,03000,0100,N 427621,S200000,03100,0100,N 427621,S200000,03200,0100,N 427621,S200000,03300,0100,N 427621,S200000,03300,0200,N 427621,S200000,04100,0100,N 427621,S200000,04200,0100,N 427621,S200000,04300,0100,N 427621,S200000,04600,0100,N 427621,S200000,04700,0100,N 427621,S200000,04700,0200,N 427621,S200000,04900,0100,N 427621,S200000,05000,0100,N 427621,S200000,05100,0100,N 427621,S200000,05200,0100,N 427621,S200000,05300,0100,Y 427621,S200000,05300,0200,H6957 427621,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427621,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427621,S200000,05400,0300, 05301 427621,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427621,S200000,05600,0100,BALLWIN 427621,S200000,05600,0200,MO 427621,S200000,05600,0300,63021-2100 427622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427622,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427622,A000000,00300,0000,0300EMPLOYEE BENEFITS 427622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427622,A000000,00700,0000,0700HOUSEKEEPING 427622,A000000,00800,0000,0800DIETARY 427622,A000000,00900,0000,0900NURSING ADMINISTRATION 427622,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427622,A000000,01300,0000,1300SOCIAL SERVICE 427622,A000000,01500,0000,1350ACTIVITIES - SNF & RES. SERVICES 427622,A000000,01501,0000,1351TRANSPORTATION 427622,A000000,01502,0000,1352CAMPUS ACTIVITIES 427622,A000000,01600,0000,1600SKILLED NURSING FACILITY 427622,A000000,01800,0000,1800NURSING FACILITY 427622,A000000,01810,0000,1810ICF/MR 427622,A000000,01900,0000,1900OTHER LONG TERM CARE 427622,A000000,02100,0000,2100RADIOLOGY 427622,A000000,02200,0000,2200LABORATORY 427622,A000000,02300,0000,2300INTRAVENOUS THERAPY 427622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427622,A000000,02500,0000,2500PHYSICAL THERAPY 427622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427622,A000000,02700,0000,2700SPEECH PATHOLOGY 427622,A000000,02800,0000,2800ELECTROCARDIOLOGY 427622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427622,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427622,A000000,03200,0000,3200SUPPORT SURFACES 427622,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427622,A000000,03400,0000,3400CLINIC 427622,A000000,03500,0000,3500RURAL HEALTH CLINIC 427622,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427622,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427622,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427622,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427622,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427622,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427622,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427622,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427622,A000000,04400,0000,4400DME RENTED - HHA 427622,A000000,04500,0000,4500DME SOLD - HHA 427622,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427622,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427622,A000000,04710,0000,4710TELEMEDICINE 427622,A000000,04800,0000,4800AMBULANCE 427622,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427622,A000000,05000,0000,5000CORF 427622,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427622,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427622,A000000,05300,0000,5300INTEREST EXPENSE 427622,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427622,A000000,05500,0000,5500HOSPICE 427622,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427622,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427622,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427622,A000000,06100,0000,6100NONPAID WORKERS 427622,A000000,06200,0000,6200PATIENTS LAUNDRY 427622,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427622,A000000,06301,0000,6151ASSISTED LIVING 427622,A000000,06302,0000,6152RESIDENTIAL/ APARTMENTS 427622,A000000,06303,0000,6153WELLNESS 427622,A000000,06304,0000,6154OUTREACH 427622,A000000,06305,0000,6155SPECIAL CARE UNIT 427622,A81000A,00100,0100,Y 427622,A81000B,00100,0300,HOME OFFICE - MGT FEES 427622,A81000B,00200,0300,HOME OFFICE - CAP. BLDG 427622,A81000B,00300,0300,HOME OFFICE - MOVEABLE EQUIP 427622,A81000B,00400,0300,HOME OFFICE - INT INC 427622,A81000B,00500,0300,SENIORITY - MKTING/SALES 427622,A81000C,00100,0100,B 427622,A81000C,00100,0200,CORNERSTONE AFFILIATES 427622,A81000C,00100,0400,ABHOW 427622,A81000C,00100,0600,MGT SERVICES 427622,A81000C,00200,0100,B 427622,A81000C,00200,0400,SENIORITY INC 427622,A81000C,00200,0600,MKTING/SALES 427622,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427622,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427622,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427622,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427622,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427622,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 427622,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427622,B100000,00000,0800,0800MEALS SERVED :DIETARY 427622,B100000,00000,0900,0900DIRECT NSG HOU :NURSING ADMINIST 427622,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 427622,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 427622,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427622,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES - SNF 427622,S000000,00100,0200,03/07/12 427622,S200000,00100,0100,7550 N. 16TH STREET 427622,S200000,00200,0100,PHOENIX 427622,S200000,00200,0200,AZ 427622,S200000,00200,0300,85020 427622,S200000,00300,0100,MARICOPA 427622,S200000,00300,0200,6200 427622,S200000,00300,0201,38060 427622,S200000,00300,0300,U 427622,S200000,00400,0100,THE TERRACES OF PHOENIX 427622,S200000,00400,0200,035003 427622,S200000,00400,0300,10/01/87 427622,S200000,00400,0500,P 427622,S200000,01500,0100,Y 427622,S200000,01600,0100,N 427622,S200000,01700,0100,N 427622,S200000,01800,0100,N 427622,S200000,02200,0100,N 427622,S200000,02800,0100,N 427622,S200000,02900,0100,N 427622,S200000,03000,0100,N 427622,S200000,03100,0100,N 427622,S200000,03200,0100,N 427622,S200000,03300,0100,N 427622,S200000,03300,0200,N 427622,S200000,04100,0100,N 427622,S200000,04200,0100,N 427622,S200000,04300,0100,N 427622,S200000,04600,0100,N 427622,S200000,04700,0100,N 427622,S200000,04700,0200,N 427622,S200000,04900,0100,N 427622,S200000,05000,0100,N 427622,S200000,05100,0100,N 427622,S200000,05200,0100,N 427622,S200000,05300,0100,Y 427622,S200000,05300,0200,559012 427622,S200000,05400,0100,AMERICAN BAPTIST HOMES OF THE WEST 427622,S200000,05400,0200,WPS HEALTH INSURANCE 427622,S200000,05400,0300,52280 427622,S200000,05500,0100,6120 STONE RIDGE MALL ROAD 3RD FLOOR 427622,S200000,05600,0100,PLEASANTON 427622,S200000,05600,0200,CA 427622,S200000,05600,0300,94588 427623,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427623,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427623,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427623,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427623,A000000,00700,0000,0700HOUSEKEEPING 427623,A000000,00800,0000,0800DIETARY 427623,A000000,00900,0000,0900NURSING ADMINISTRATION 427623,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427623,A000000,01100,0000,1100PHARMACY 427623,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427623,A000000,01300,0000,1300SOCIAL SERVICE 427623,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427623,A000000,01500,0000,1350ACTIVITIES & REC 427623,A000000,01600,0000,1600SKILLED NURSING FACILITY 427623,A000000,01800,0000,1800NURSING FACILITY 427623,A000000,01810,0000,1810ICF/MR 427623,A000000,01900,0000,1900OTHER LONG TERM CARE 427623,A000000,02100,0000,2100RADIOLOGY 427623,A000000,02200,0000,2200LABORATORY 427623,A000000,02300,0000,2300INTRAVENOUS THERAPY 427623,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427623,A000000,02500,0000,2500PHYSICAL THERAPY 427623,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427623,A000000,02700,0000,2700SPEECH PATHOLOGY 427623,A000000,02800,0000,2800ELECTROCARDIOLOGY 427623,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427623,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427623,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427623,A000000,03200,0000,3200SUPPORT SURFACES 427623,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427623,A000000,03400,0000,3400CLINIC 427623,A000000,03500,0000,3500RURAL HEALTH CLINIC 427623,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427623,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427623,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427623,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427623,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427623,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427623,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427623,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427623,A000000,04400,0000,4400DME RENTED - HHA 427623,A000000,04500,0000,4500DME SOLD - HHA 427623,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427623,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427623,A000000,04710,0000,4710TELEMEDICINE 427623,A000000,04800,0000,4800AMBULANCE 427623,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427623,A000000,05000,0000,5000CORF 427623,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427623,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427623,A000000,05300,0000,5300INTEREST EXPENSE 427623,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427623,A000000,05500,0000,5500HOSPICE 427623,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427623,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427623,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427623,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427623,A000000,06100,0000,6100NONPAID WORKERS 427623,A000000,06200,0000,6200PATIENTS LAUNDRY 427623,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427623,A81000A,00100,0100,Y 427623,A81000B,00100,0300,MANAGEMENT FEES 427623,A81000B,00200,0300,REHAB SERVICES 427623,A81000B,00300,0300,REHAB SERVICES 427623,A81000B,00400,0300,REHAB SERVICES 427623,A81000C,00100,0100,A 427623,A81000C,00100,0200,OPIS MGMT RESOURCES 427623,A81000C,00100,0400,GABRIEL LIVING CENTERS 427623,A81000C,00100,0600,MGMT COMPANY 427623,A81000C,00200,0100,A 427623,A81000C,00200,0200,SIGMALINK REHAB 427623,A81000C,00200,0400,GABRIEL LIVING CENTERS 427623,A81000C,00200,0600,REHAB COMPANY 427623,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427623,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427623,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427623,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427623,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427623,B100000,00000,0800,0800MEALS SERVED :DIETARY 427623,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 427623,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427623,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427623,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427623,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES & REC 427623,E10A180,00501,0100,02/06/12 427623,E10A180,00501,0300,02/06/12 427623,G300000,02500,0000,OTHER EXPENSE 427623,S000000,00100,0200,01/12/12 427623,S200000,00100,0100,170 NORTH CENTER ST 427623,S200000,00200,0100,ORMOND BEACH 427623,S200000,00200,0200,FL 427623,S200000,00200,0300,32174 427623,S200000,00300,0100,VOLUSIA 427623,S200000,00300,0201,19660 427623,S200000,00300,0300,U 427623,S200000,00400,0100,COQUINA CENTER 427623,S200000,00400,0200,105589 427623,S200000,00400,0300,01/07/90 427623,S200000,00400,0500,P 427623,S200000,01500,0100,Y 427623,S200000,01501,0200,Y 427623,S200000,01502,0200,Y 427623,S200000,01503,0200,Y 427623,S200000,01504,0200,Y 427623,S200000,01600,0100,N 427623,S200000,01700,0100,N 427623,S200000,01800,0100,N 427623,S200000,01900,0100,LIMITED LIABILITY CO 427623,S200000,02200,0100,Y 427623,S200000,02800,0100,N 427623,S200000,02900,0100,N 427623,S200000,03000,0100,N 427623,S200000,03100,0100,N 427623,S200000,03200,0100,N 427623,S200000,03300,0100,N 427623,S200000,03300,0200,N 427623,S200000,04100,0100,N 427623,S200000,04200,0100,N 427623,S200000,04300,0100,N 427623,S200000,04600,0100,N 427623,S200000,04700,0100,N 427623,S200000,04700,0200,N 427623,S200000,04900,0100,N 427623,S200000,05000,0100,N 427623,S200000,05100,0100,N 427623,S200000,05200,0100,N 427632,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427632,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427632,A000000,00300,0000,0300EMPLOYEE BENEFITS 427632,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427632,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427632,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427632,A000000,00700,0000,0700HOUSEKEEPING 427632,A000000,00800,0000,0800DIETARY 427632,A000000,00900,0000,0900NURSING ADMINISTRATION 427632,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427632,A000000,01100,0000,1100PHARMACY 427632,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427632,A000000,01300,0000,1300SOCIAL SERVICE 427632,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427632,A000000,01500,0000,1350ACTIVITIES 427632,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 427632,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 427632,A000000,01600,0000,1600SKILLED NURSING FACILITY 427632,A000000,01800,0000,1800NURSING FACILITY 427632,A000000,01810,0000,1810ICF/MR 427632,A000000,01900,0000,1900OTHER LONG TERM CARE 427632,A000000,02100,0000,2100RADIOLOGY 427632,A000000,02200,0000,2200LABORATORY 427632,A000000,02300,0000,2300INTRAVENOUS THERAPY 427632,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427632,A000000,02500,0000,2500PHYSICAL THERAPY 427632,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427632,A000000,02700,0000,2700SPEECH PATHOLOGY 427632,A000000,02800,0000,2800ELECTROCARDIOLOGY 427632,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427632,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427632,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427632,A000000,03200,0000,3200SUPPORT SURFACES 427632,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427632,A000000,03301,0000,3051AIR FLUID THERAPY 427632,A000000,03302,0000,3052AMBULANCE 427632,A000000,03303,0000,3053PEN THERAPY 427632,A000000,03304,0000,3054ONCOLOGY 427632,A000000,03305,0000,3055CARDIOLOGY 427632,A000000,03306,0000,3056ULTRASOUND 427632,A000000,03307,0000,3057AUDIOLOGY 427632,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 427632,A000000,03400,0000,3400CLINIC 427632,A000000,03500,0000,3500RURAL HEALTH CLINIC 427632,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427632,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427632,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427632,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427632,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427632,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427632,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427632,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427632,A000000,04400,0000,4400DME RENTED - HHA 427632,A000000,04500,0000,4500DME SOLD - HHA 427632,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427632,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427632,A000000,04710,0000,4710TELEMEDICINE 427632,A000000,04800,0000,4800AMBULANCE 427632,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427632,A000000,05000,0000,5000CORF 427632,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427632,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427632,A000000,05300,0000,5300INTEREST EXPENSE 427632,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427632,A000000,05500,0000,5500HOSPICE 427632,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427632,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427632,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427632,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427632,A000000,06100,0000,6100NONPAID WORKERS 427632,A000000,06200,0000,6200PATIENTS LAUNDRY 427632,A000000,06300,0000,6150ADULT DAY HEALTH 427632,A000000,06301,0000,6151ASSISTED LIVING 427632,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 427632,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 427632,A81000A,00100,0100,N 427632,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427632,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427632,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427632,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427632,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427632,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427632,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427632,B100000,00000,0800,0800MEALS SERVED :DIETARY 427632,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 427632,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427632,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427632,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427632,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427632,G300000,02500,0000,OTHER - SEE GROUPINGS 427632,G300000,02501,0000,OTHER - SEE GROUPINGS 427632,G300000,02502,0000,OTHER - SEE GROUPINGS 427632,S000000,00100,0200,01/27/12 427632,S200000,00100,0100,1010 WALTHAM STREET 427632,S200000,00200,0100,LEXINGTON 427632,S200000,00200,0200,MA 427632,S200000,00200,0300,02420 427632,S200000,00300,0100,MIDDLESEX 427632,S200000,00300,0200,1123 427632,S200000,00300,0201,15764 427632,S200000,00300,0300,U 427632,S200000,00400,0100,BROOKHAVEN AT LEXINGTON 427632,S200000,00400,0200,225367 427632,S200000,00400,0300,01/09/90 427632,S200000,00400,0500,P 427632,S200000,01500,0100,Y 427632,S200000,01501,0200,Y 427632,S200000,01502,0200,Y 427632,S200000,01503,0200,Y 427632,S200000,01504,0200,Y 427632,S200000,01600,0100,N 427632,S200000,01700,0100,N 427632,S200000,01800,0100,N 427632,S200000,02200,0100,N 427632,S200000,02800,0100,Y 427632,S200000,02900,0100,N 427632,S200000,03000,0100,N 427632,S200000,03100,0100,N 427632,S200000,03200,0100,N 427632,S200000,03300,0100,N 427632,S200000,03300,0200,N 427632,S200000,04100,0100,N 427632,S200000,04200,0100,N 427632,S200000,04300,0100,N 427632,S200000,04600,0100,N 427632,S200000,04700,0100,N 427632,S200000,04700,0200,N 427632,S200000,04900,0100,N 427632,S200000,05000,0100,N 427632,S200000,05100,0100,N 427632,S200000,05200,0100,N 427632,S200000,05300,0100,N 427644,S000000,00100,0200,02/06/12 427644,S200000,00100,0100,706 SOUTH MAIN STREET 427644,S200000,00100,0300,927 427644,S200000,00200,0100,HAILEY 427644,S200000,00200,0200,ID 427644,S200000,00200,0300,83333 427644,S200000,00300,0100,BLAINE 427644,S200000,00400,0100,BLAINE MANOR 427644,S200000,00400,0300,07/01/66 427654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427654,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427654,A000000,00300,0000,0300EMPLOYEE BENEFITS 427654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427654,A000000,00700,0000,0700HOUSEKEEPING 427654,A000000,00800,0000,0800DIETARY 427654,A000000,00900,0000,0900NURSING ADMINISTRATION 427654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427654,A000000,01300,0000,1300SOCIAL SERVICE 427654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427654,A000000,01500,0000,1350OTHER GENERAL SERVICES 427654,A000000,01600,0000,1600SKILLED NURSING FACILITY 427654,A000000,01800,0000,1800NURSING FACILITY 427654,A000000,01900,0000,1900OTHER LONG TERM CARE 427654,A000000,02100,0000,2100RADIOLOGY 427654,A000000,02200,0000,2200LABORATORY 427654,A000000,02300,0000,2300INTRAVENOUS THERAPY 427654,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427654,A000000,02500,0000,2500PHYSICAL THERAPY 427654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427654,A000000,02700,0000,2700SPEECH PATHOLOGY 427654,A000000,02800,0000,2800ELECTROCARDIOLOGY 427654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427654,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427654,A000000,03200,0000,3200SUPPORT SURFACES 427654,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427654,A000000,03400,0000,3400CLINIC 427654,A000000,03500,0000,3500RURAL HEALTH CLINIC 427654,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427654,A000000,04800,0000,4800AMBULANCE 427654,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427654,A000000,05000,0000,5000CORF 427654,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427654,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427654,A000000,05300,0000,5300INTEREST EXPENSE 427654,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427654,A000000,05500,0000,5500HOSPICE 427654,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427654,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427654,A000000,06200,0000,6200PATIENTS LAUNDRY 427654,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427654,A81000A,00100,0100,Y 427654,A81000B,00100,0300,HOME OFFICE ALLOCATION 427654,A81000B,00200,0300,HOME OFFICE ALLOCATION 427654,A81000B,00300,0300,PHARMACY CONSULTANT 427654,A81000B,00400,0300,MEDICAL SUPPLY 427654,A81000B,00500,0300,EQUIPMENT RENTAL 427654,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 427654,A81000B,00700,0300,IV PHARMACY FLU SHOTS 427654,A81000B,00800,0300,REHAB 427654,A81000B,00900,0300,REHAB 427654,A81000B,01000,0300,REHAB 427654,A81000B,01100,0300,PRESTIGE BUS ALLOCATION 427654,A81000B,01200,0300,INTERNAL CONTRACT LABOR 427654,A81000B,01300,0300,INTERNAL CONTRACT LABOR 427654,A81000C,00100,0100,B 427654,A81000C,00100,0400,GILSAN CARE CENTER INC 427654,A81000C,00100,0600,OWNS PROVIDER 427654,A81000C,00200,0100,B 427654,A81000C,00200,0400,PRESTIGE CARE INC 427654,A81000C,00200,0600,OWNS GILSAN CARE 427654,A81000C,00300,0100,A 427654,A81000C,00300,0200,RICK DELAMARTER 427654,A81000C,00300,0400,PRESTIGE CARE INC 427654,A81000C,00300,0600,HOME OFFICE 427654,A81000C,00400,0100,A 427654,A81000C,00400,0200,HAROLD DELAMARTER 427654,A81000C,00400,0400,PRESTIGE CARE INC 427654,A81000C,00400,0600,HOME OFFICE 427654,A81000C,00500,0100,A 427654,A81000C,00500,0200,GREG VISLOCKY 427654,A81000C,00500,0400,PRESTIGE CARE INC 427654,A81000C,00500,0600,HOME OFFICE 427654,A81000C,00600,0100,A 427654,A81000C,00600,0200,RICK DELAMARTER 427654,A81000C,00600,0400,CYPRESS VENTURES 427654,A81000C,00600,0600,PROPAC PHARMACY 427654,A81000C,00700,0100,A 427654,A81000C,00700,0200,HAROLD DELAMARTER 427654,A81000C,00700,0400,CYPRESS VENTURES 427654,A81000C,00700,0600,PROPAC PHARMACY 427654,A81000C,00800,0100,A 427654,A81000C,00800,0200,GREG VISLOCKY 427654,A81000C,00800,0400,CYPRESS VENTURES 427654,A81000C,00800,0600,PROPAC PHARMACY 427654,A81000C,00900,0100,G 427654,A81000C,00900,0400,AUGUSTA VENTURES 427654,A81000C,00900,0600,PREMERE REHAB COMPANY 427654,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 427654,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 427654,A81000C,01001,0600,SEE ATTACHED RELATED 427654,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 427654,A81000C,01002,0400,THE 10.10 EXCEPTION 427654,A81000C,01002,0600,PARTY RELATIONSHIPS 427654,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 427654,A81000C,01003,0400,CRITERIA 427654,A81000C,01004,0200,PRESTIGE CARE & GILSAN CA 427654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427654,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427654,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427654,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427654,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427654,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427654,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427654,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427654,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427654,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427654,G300000,02500,0000,OTHER INCOME 427654,S000000,00100,0200,03/01/12 427654,S200000,00100,0100,9750 NE GLISAN ST 427654,S200000,00200,0100,PORTLAND 427654,S200000,00200,0200,OR 427654,S200000,00200,0300,97220 427654,S200000,00300,0100,MULTNOMAH 427654,S200000,00300,0200,6440 427654,S200000,00300,0201,38900 427654,S200000,00300,0300,U 427654,S200000,00400,0100,GLISAN CARE CENTER 427654,S200000,00400,0200,385136 427654,S200000,00400,0300,02/15/77 427654,S200000,00400,0500,P 427654,S200000,01500,0100,Y 427654,S200000,01501,0200,N 427654,S200000,01502,0200,N 427654,S200000,01600,0100,N 427654,S200000,01700,0100,N 427654,S200000,01800,0100,N 427654,S200000,02200,0100,N 427654,S200000,02800,0100,N 427654,S200000,02900,0100,N 427654,S200000,03000,0100,N 427654,S200000,03100,0100,N 427654,S200000,03200,0100,N 427654,S200000,03300,0100,N 427654,S200000,03300,0200,N 427654,S200000,04100,0100,N 427654,S200000,04200,0100,N 427654,S200000,04300,0100,N 427654,S200000,04600,0100,N 427654,S200000,04700,0100,N 427654,S200000,04700,0200,N 427654,S200000,04900,0100,N 427654,S200000,05000,0100,N 427654,S200000,05100,0100,N 427654,S200000,05200,0100,N 427654,S200000,05300,0100,Y 427654,S200000,05300,0200,HB0440 427654,S200000,05400,0100,PRESTIGE CARE INC 427654,S200000,05400,0200,NORDIAN 427654,S200000,05400,0300,00325 427654,S200000,05500,0100,7700 NE PARKWAY DRIVE 427654,S200000,05600,0100,VANCOUVER 427654,S200000,05600,0200,WA 427654,S200000,05600,0300,98662 427655,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427655,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427655,A000000,00300,0000,0300EMPLOYEE BENEFITS 427655,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427655,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427655,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427655,A000000,00700,0000,0700HOUSEKEEPING 427655,A000000,00800,0000,0800DIETARY 427655,A000000,00900,0000,0900NURSING ADMINISTRATION 427655,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427655,A000000,01100,0000,1100PHARMACY 427655,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427655,A000000,01300,0000,1300SOCIAL SERVICE 427655,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427655,A000000,01500,0000,1350OTHER GENERAL SERVICES 427655,A000000,01600,0000,1600SKILLED NURSING FACILITY 427655,A000000,01800,0000,1800NURSING FACILITY 427655,A000000,01900,0000,1900OTHER LONG TERM CARE 427655,A000000,02100,0000,2100RADIOLOGY 427655,A000000,02200,0000,2200LABORATORY 427655,A000000,02300,0000,2300INTRAVENOUS THERAPY 427655,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427655,A000000,02500,0000,2500PHYSICAL THERAPY 427655,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427655,A000000,02700,0000,2700SPEECH PATHOLOGY 427655,A000000,02800,0000,2800ELECTROCARDIOLOGY 427655,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427655,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427655,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427655,A000000,03200,0000,3200SUPPORT SURFACES 427655,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427655,A000000,03400,0000,3400CLINIC 427655,A000000,03500,0000,3500RURAL HEALTH CLINIC 427655,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427655,A000000,04800,0000,4800AMBULANCE 427655,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427655,A000000,05000,0000,5000CORF 427655,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427655,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427655,A000000,05300,0000,5300INTEREST EXPENSE 427655,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427655,A000000,05500,0000,5500HOSPICE 427655,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427655,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427655,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427655,A000000,06200,0000,6200PATIENTS LAUNDRY 427655,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427655,A81000A,00100,0100,Y 427655,A81000B,00100,0300,HOME OFFICE ALLOCATION 427655,A81000B,00200,0300,HOME OFFICE ALLOCATION 427655,A81000B,00300,0300,EMPLOYEE FLU SHOTS 427655,A81000B,00400,0300,PHARMACY CONSULTANT 427655,A81000B,00500,0300,MEDICAL SUPPLY 427655,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 427655,A81000B,00700,0300,IV PHARMACY FLU SHOTS 427655,A81000B,00800,0300,REHAB 427655,A81000B,00900,0300,REHAB 427655,A81000B,01000,0300,REHAB 427655,A81000B,01100,0300,EQUIPMENT RENTAL 427655,A81000B,01200,0300,PRESTIGE BUS ALLOCAITON 427655,A81000B,01300,0300,INTERNAL CONTRACT LABOR 427655,A81000B,01400,0300,INTERNAL CONTRACT LABOR 427655,A81000B,01500,0300,INTERNAL CONTRACT LABOR 427655,A81000B,01600,0300,INTERNAL CONTRACT LABOR 427655,A81000C,00100,0100,B 427655,A81000C,00100,0400,MOLALLA MANOR CARE CARE 427655,A81000C,00100,0600,OWNS PROVIDER 427655,A81000C,00200,0100,B 427655,A81000C,00200,0400,PRESTIGE CARE INC 427655,A81000C,00200,0600,OWNS MOLALLA MANOR 427655,A81000C,00300,0100,A 427655,A81000C,00300,0200,RICK DELAMARTER 427655,A81000C,00300,0400,PRESTIGE CARE INC 427655,A81000C,00300,0600,HOME OFFICE 427655,A81000C,00400,0100,A 427655,A81000C,00400,0200,HAROLD DELAMARTER 427655,A81000C,00400,0400,PRESTIGE CARE INC 427655,A81000C,00400,0600,HOME OFFICE 427655,A81000C,00500,0100,A 427655,A81000C,00500,0200,GREG VISLOCKY 427655,A81000C,00500,0400,PRESTIGE CARE INC 427655,A81000C,00500,0600,HOME OFFICE 427655,A81000C,00600,0100,A 427655,A81000C,00600,0200,RICK DELAMARTER 427655,A81000C,00600,0400,CYPRESS VENTURES 427655,A81000C,00600,0600,PROPAC PHARMACY 427655,A81000C,00700,0100,A 427655,A81000C,00700,0200,HAROLD DELAMARTER 427655,A81000C,00700,0400,CYPRESS VENTURES 427655,A81000C,00700,0600,PROPAC PHARMACY 427655,A81000C,00800,0100,A 427655,A81000C,00800,0200,GREG VISLOCKY 427655,A81000C,00800,0400,CYPRESS VENTURES 427655,A81000C,00800,0600,PROPAC PHARMACY 427655,A81000C,00900,0100,G 427655,A81000C,00900,0400,AUGUSTA VENTURES 427655,A81000C,00900,0600,PREMERE REHAB COMPANY 427655,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 427655,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 427655,A81000C,01001,0600,SEE ATTACHED RELATED 427655,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 427655,A81000C,01002,0400,THE 10.10 EXCEPTION 427655,A81000C,01002,0600,PARTY RELATIONSHIPS 427655,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 427655,A81000C,01003,0400,CRITERIA 427655,A81000C,01004,0200,PRESTIGE CARE & MOLALLA 427655,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427655,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427655,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427655,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427655,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427655,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427655,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427655,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427655,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427655,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427655,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427655,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427655,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427655,G300000,02500,0000,OTHER INCOME 427655,S000000,00100,0200,03/01/12 427655,S200000,00100,0100,301 RIDING AVENUE 427655,S200000,00200,0100,MOLALLA 427655,S200000,00200,0200,OR 427655,S200000,00200,0300,97038 427655,S200000,00300,0100,CLACKAMAS 427655,S200000,00300,0200,6440 427655,S200000,00300,0201,38900 427655,S200000,00300,0300,U 427655,S200000,00400,0100,MOLALLA MANOR CARE CENTER 427655,S200000,00400,0200,385150 427655,S200000,00400,0300,09/20/81 427655,S200000,00400,0500,P 427655,S200000,01500,0100,Y 427655,S200000,01501,0200,N 427655,S200000,01502,0200,Y 427655,S200000,01504,0200,Y 427655,S200000,01600,0100,N 427655,S200000,01700,0100,N 427655,S200000,01800,0100,N 427655,S200000,02200,0100,N 427655,S200000,02800,0100,Y 427655,S200000,02900,0100,N 427655,S200000,03000,0100,N 427655,S200000,03100,0100,N 427655,S200000,03200,0100,N 427655,S200000,03300,0100,N 427655,S200000,03300,0200,N 427655,S200000,04100,0100,N 427655,S200000,04200,0100,N 427655,S200000,04300,0100,N 427655,S200000,04600,0100,N 427655,S200000,04700,0100,N 427655,S200000,04700,0200,N 427655,S200000,04900,0100,N 427655,S200000,05000,0100,N 427655,S200000,05100,0100,N 427655,S200000,05200,0100,N 427655,S200000,05300,0100,Y 427655,S200000,05300,0200,HB0440 427655,S200000,05400,0100,PRESTIGE CARE INC 427655,S200000,05400,0200,NORDIAN 427655,S200000,05400,0300,00325 427655,S200000,05500,0100,7700 NE PARKWAY DRIVE 427655,S200000,05600,0100,VANCOUVER 427655,S200000,05600,0200,WA 427655,S200000,05600,0300,98662 427656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427656,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427656,A000000,00300,0000,0300EMPLOYEE BENEFITS 427656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427656,A000000,00700,0000,0700HOUSEKEEPING 427656,A000000,00800,0000,0800DIETARY 427656,A000000,00900,0000,0900NURSING ADMINISTRATION 427656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427656,A000000,01100,0000,1100PHARMACY 427656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427656,A000000,01300,0000,1300SOCIAL SERVICE 427656,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427656,A000000,01500,0000,1350OTHER GENERAL SERVICES 427656,A000000,01600,0000,1600SKILLED NURSING FACILITY 427656,A000000,01800,0000,1800NURSING FACILITY 427656,A000000,01900,0000,1900OTHER LONG TERM CARE 427656,A000000,02100,0000,2100RADIOLOGY 427656,A000000,02200,0000,2200LABORATORY 427656,A000000,02300,0000,2300INTRAVENOUS THERAPY 427656,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427656,A000000,02500,0000,2500PHYSICAL THERAPY 427656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427656,A000000,02700,0000,2700SPEECH PATHOLOGY 427656,A000000,02800,0000,2800ELECTROCARDIOLOGY 427656,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427656,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427656,A000000,03200,0000,3200SUPPORT SURFACES 427656,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427656,A000000,03400,0000,3400CLINIC 427656,A000000,03500,0000,3500RURAL HEALTH CLINIC 427656,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427656,A000000,04800,0000,4800AMBULANCE 427656,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427656,A000000,05000,0000,5000CORF 427656,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427656,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427656,A000000,05300,0000,5300INTEREST EXPENSE 427656,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427656,A000000,05500,0000,5500HOSPICE 427656,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427656,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427656,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427656,A000000,06200,0000,6200PATIENTS LAUNDRY 427656,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427656,A81000A,00100,0100,Y 427656,A81000B,00100,0300,HOME OFFICE COSTS 427656,A81000B,00200,0300,HOME OFFICE COSTS 427656,A81000B,00300,0300,PHARMACY CONSULTANT 427656,A81000B,00400,0300,EQUIPMENT RENTAL 427656,A81000B,00500,0300,IV PHARMACY FLU SHOTS 427656,A81000B,00600,0300,REHAB 427656,A81000B,00700,0300,REHAB 427656,A81000B,00800,0300,REHAB 427656,A81000B,00900,0300,MEDICAL SUPPLY 427656,A81000B,01000,0300,PRESTIGE BUS ALLOCATION 427656,A81000B,01100,0300,INTERNAL CONTRACT LABOR 427656,A81000B,01200,0300,INTERNAL CONTRACT LABOR 427656,A81000B,01300,0300,INTERNAL CONTRACT LABOR 427656,A81000C,00100,0100,B 427656,A81000C,00100,0400,COAST FORK NURSING CTR 427656,A81000C,00100,0600,OWNS PROVIDER 427656,A81000C,00200,0100,B 427656,A81000C,00200,0400,PRESTIGE CARE INC 427656,A81000C,00200,0600,OWNS COAST FORK 427656,A81000C,00300,0100,A 427656,A81000C,00300,0200,RICK DELAMARTER 427656,A81000C,00300,0400,PRESTIGE CARE INC 427656,A81000C,00300,0600,HOME OFFICE 427656,A81000C,00400,0100,A 427656,A81000C,00400,0200,HAROLD DELAMARTER 427656,A81000C,00400,0400,PRESTIGE CARE INC 427656,A81000C,00400,0600,HOME OFFICE 427656,A81000C,00500,0100,A 427656,A81000C,00500,0200,GREG VESLOCKY 427656,A81000C,00500,0400,PRESTIGE CARE INC 427656,A81000C,00500,0600,HOME OFFICE 427656,A81000C,00600,0100,A 427656,A81000C,00600,0200,RICK DELAMARTER 427656,A81000C,00600,0400,CYPRESS VENTURES 427656,A81000C,00600,0600,PROPAC PHARMACY 427656,A81000C,00700,0100,A 427656,A81000C,00700,0200,HAROLD DELAMARTER 427656,A81000C,00700,0400,CYPRESS VENTURES 427656,A81000C,00700,0600,PROPAC PHARMACY 427656,A81000C,00800,0100,A 427656,A81000C,00800,0200,GREG VESLOCKY 427656,A81000C,00800,0400,CYPRESS VENTURES 427656,A81000C,00800,0600,PROPAC PHARMACY 427656,A81000C,00900,0100,A 427656,A81000C,00900,0200,RICK DELAMARTER 427656,A81000C,00900,0400,COAST FORK LLC 427656,A81000C,00900,0600,LANDLORD 427656,A81000C,01000,0100,A 427656,A81000C,01000,0200,HAROLD DELAMARTER 427656,A81000C,01000,0400,COAST FORK LLC 427656,A81000C,01000,0600,LANDLORD 427656,A81000C,01001,0100,A 427656,A81000C,01001,0200,GREG VESLOCKY 427656,A81000C,01001,0400,COAST FORK LLC 427656,A81000C,01001,0600,LANDLORD 427656,A81000C,01002,0100,G 427656,A81000C,01002,0400,AUGUSTA VENTURES 427656,A81000C,01002,0600,PREMERE REHAB COMPANY 427656,A81000C,01003,0100,G 427656,A81000C,01004,0100,G 427656,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 427656,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 427656,A81000C,01004,0600,SEE ATTACHED RELATED 427656,A81000C,01005,0100,G 427656,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 427656,A81000C,01005,0400,THE 10.10 EXCEPTION 427656,A81000C,01005,0600,PARTY RELATIONSHIPS 427656,A81000C,01006,0100,G 427656,A81000C,01006,0200,IN THE PROVIDER BY WAY 427656,A81000C,01006,0400,CRITERIA 427656,A81000C,01007,0100,G 427656,A81000C,01007,0200,OF PRESTIGE CARE & COAST 427656,A81000C,01008,0100,G 427656,A81000C,01008,0200,FORK 427656,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427656,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427656,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427656,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427656,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427656,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427656,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427656,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427656,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427656,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427656,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427656,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427656,G300000,02500,0000,OTHER INCOME 427656,S000000,00100,0200,03/01/12 427656,S200000,00100,0100,515 GRANT ST 427656,S200000,00200,0100,COTTAGE GROVE 427656,S200000,00200,0200,OR 427656,S200000,00200,0300,97424 427656,S200000,00300,0100,LANE 427656,S200000,00300,0200,2400 427656,S200000,00300,0201,21660 427656,S200000,00300,0300,U 427656,S200000,00400,0100,COAST FORK NURSING CENTER 427656,S200000,00400,0200,385152 427656,S200000,00400,0300,06/22/82 427656,S200000,00400,0500,P 427656,S200000,01500,0100,Y 427656,S200000,01501,0200,Y 427656,S200000,01502,0200,N 427656,S200000,01504,0200,Y 427656,S200000,01600,0100,N 427656,S200000,01700,0100,N 427656,S200000,01800,0100,N 427656,S200000,02200,0100,N 427656,S200000,02800,0100,N 427656,S200000,02900,0100,N 427656,S200000,03000,0100,N 427656,S200000,03100,0100,N 427656,S200000,03200,0100,N 427656,S200000,03300,0100,N 427656,S200000,03300,0200,N 427656,S200000,04100,0100,N 427656,S200000,04200,0100,N 427656,S200000,04300,0100,N 427656,S200000,04600,0100,N 427656,S200000,04700,0100,N 427656,S200000,04700,0200,N 427656,S200000,04900,0100,N 427656,S200000,05000,0100,N 427656,S200000,05100,0100,N 427656,S200000,05200,0100,N 427656,S200000,05300,0100,Y 427656,S200000,05300,0200,HB0440 427656,S200000,05400,0100,PRESTIGE CARE INC 427656,S200000,05400,0200,NORDIAN 427656,S200000,05400,0300,00325 427656,S200000,05500,0100,7700 NE PARKWAY DRIVE 427656,S200000,05600,0100,VANCOUVER 427656,S200000,05600,0200,WA 427656,S200000,05600,0300,98662 427657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427657,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427657,A000000,00300,0000,0300EMPLOYEE BENEFITS 427657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427657,A000000,00700,0000,0700HOUSEKEEPING 427657,A000000,00800,0000,0800DIETARY 427657,A000000,00900,0000,0900NURSING ADMINISTRATION 427657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427657,A000000,01100,0000,1100PHARMACY 427657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427657,A000000,01300,0000,1300SOCIAL SERVICE 427657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427657,A000000,01500,0000,1350OTHER GENERAL SERVICES 427657,A000000,01600,0000,1600SKILLED NURSING FACILITY 427657,A000000,01800,0000,1800NURSING FACILITY 427657,A000000,01900,0000,1900OTHER LONG TERM CARE 427657,A000000,02100,0000,2100RADIOLOGY 427657,A000000,02200,0000,2200LABORATORY 427657,A000000,02300,0000,2300INTRAVENOUS THERAPY 427657,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427657,A000000,02500,0000,2500PHYSICAL THERAPY 427657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427657,A000000,02700,0000,2700SPEECH PATHOLOGY 427657,A000000,02800,0000,2800ELECTROCARDIOLOGY 427657,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427657,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427657,A000000,03200,0000,3200SUPPORT SURFACES 427657,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427657,A000000,03400,0000,3400CLINIC 427657,A000000,03500,0000,3500RURAL HEALTH CLINIC 427657,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427657,A000000,04800,0000,4800AMBULANCE 427657,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427657,A000000,05000,0000,5000CORF 427657,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427657,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427657,A000000,05300,0000,5300INTEREST EXPENSE 427657,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427657,A000000,05500,0000,5500HOSPICE 427657,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427657,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427657,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427657,A000000,06200,0000,6200PATIENTS LAUNDRY 427657,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427657,A81000A,00100,0100,Y 427657,A81000B,00100,0300,HOME OFFICE ALLOCATION 427657,A81000B,00200,0300,HOME OFFICE ALLOCATION 427657,A81000B,00300,0300,EMPLOYEE FLU SHOTS 427657,A81000B,00400,0300,PHARMACY CONSULTANT 427657,A81000B,00500,0300,MEDICAL SUPPLY 427657,A81000B,00600,0300,DRUGS & RX-VETERANS 427657,A81000B,00700,0300,IV PHARMACY FLU SHOTS 427657,A81000B,00800,0300,REHAB 427657,A81000B,00900,0300,REHAB 427657,A81000B,01000,0300,REHAB 427657,A81000B,01100,0300,EQUIPMENT RENTAL 427657,A81000B,01200,0300,PRESTIGE BUS ALLOCATION 427657,A81000B,01300,0300,INTERNAL CONTRACT LABOR 427657,A81000B,01400,0300,INTERNAL CONTRACT LABOR 427657,A81000B,01500,0300,INTERNAL CONTRACT LABOR 427657,A81000C,00100,0100,B 427657,A81000C,00100,0400,PCI CARE VENTURES INC 427657,A81000C,00100,0600,OWNS PROVIDER 427657,A81000C,00200,0100,B 427657,A81000C,00200,0400,PRESTIGE CARE INC 427657,A81000C,00200,0600,OWNS PCI VENTURES 427657,A81000C,00300,0100,A 427657,A81000C,00300,0200,RICK DELAMARTER 427657,A81000C,00300,0400,PRESTIGE CARE INC 427657,A81000C,00300,0600,HOME OFFICE 427657,A81000C,00400,0100,A 427657,A81000C,00400,0200,HAROLD DELAMARTER 427657,A81000C,00400,0400,PRESTIGE CARE INC 427657,A81000C,00400,0600,HOME OFFICE 427657,A81000C,00500,0100,A 427657,A81000C,00500,0200,GREG VISLOCKY 427657,A81000C,00500,0400,PRESTIGE CARE INC 427657,A81000C,00500,0600,HOME OFFICE 427657,A81000C,00600,0100,A 427657,A81000C,00600,0200,RICK DELAMARTER 427657,A81000C,00600,0400,CYPRESS VENTURES 427657,A81000C,00600,0600,PROPAC PHARMACY 427657,A81000C,00700,0100,A 427657,A81000C,00700,0200,HAROLD DELAMARTER 427657,A81000C,00700,0400,CYPRESS VENTURES 427657,A81000C,00700,0600,PROPAC PHARMACY 427657,A81000C,00800,0100,A 427657,A81000C,00800,0200,GREG VISLOCKY 427657,A81000C,00800,0400,CYPRESS VENTURES 427657,A81000C,00800,0600,PROPAC PHARMACY 427657,A81000C,00900,0100,A 427657,A81000C,00900,0200,RICK DELAMARTER 427657,A81000C,00900,0400,CAMELOT LLC 427657,A81000C,00900,0600,LANDLORD 427657,A81000C,01000,0100,A 427657,A81000C,01000,0200,HAROLD DELAMARTER 427657,A81000C,01000,0400,CAMELOT LLC 427657,A81000C,01000,0600,LANDLORD 427657,A81000C,01001,0100,A 427657,A81000C,01001,0200,GREG VISLOCKY 427657,A81000C,01001,0400,CAMELOT LLC 427657,A81000C,01001,0600,LANDLORD 427657,A81000C,01002,0100,G 427657,A81000C,01002,0400,AUGUSTA VENTURES 427657,A81000C,01002,0600,PREMERE REHAB COMPANY 427657,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 427657,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 427657,A81000C,01004,0600,SEE ATTACHED RELATED 427657,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 427657,A81000C,01005,0400,THE 10.10 EXCEPTION 427657,A81000C,01005,0600,PARTY RELATIONIPS 427657,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 427657,A81000C,01006,0400,CRITERIA 427657,A81000C,01007,0200,PRESTIGE CARE & PCI VENTU 427657,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427657,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427657,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427657,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427657,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427657,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427657,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427657,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427657,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427657,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427657,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427657,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427657,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427657,G300000,02500,0000,OTHER INCOME 427657,S000000,00100,0200,03/01/12 427657,S200000,00100,0100,3900 PACIFIC AVE 427657,S200000,00200,0100,FOREST GROVE 427657,S200000,00200,0200,OR 427657,S200000,00200,0300,97116 427657,S200000,00300,0100,WASHINGTON 427657,S200000,00300,0200,6440 427657,S200000,00300,0201,38900 427657,S200000,00300,0300,U 427657,S200000,00400,0100,FOREST GROVE REHABILITATION 427657,S200000,00400,0200,385155 427657,S200000,00400,0300,12/01/90 427657,S200000,00400,0500,P 427657,S200000,01500,0100,Y 427657,S200000,01501,0200,N 427657,S200000,01502,0200,N 427657,S200000,01504,0200,Y 427657,S200000,01600,0100,N 427657,S200000,01700,0100,N 427657,S200000,01800,0100,N 427657,S200000,02200,0100,N 427657,S200000,02800,0100,Y 427657,S200000,02900,0100,N 427657,S200000,03000,0100,N 427657,S200000,03100,0100,N 427657,S200000,03200,0100,N 427657,S200000,03300,0100,N 427657,S200000,03300,0200,N 427657,S200000,04100,0100,N 427657,S200000,04200,0100,N 427657,S200000,04300,0100,N 427657,S200000,04600,0100,N 427657,S200000,04700,0100,N 427657,S200000,04700,0200,N 427657,S200000,04900,0100,N 427657,S200000,05000,0100,N 427657,S200000,05100,0100,N 427657,S200000,05200,0100,N 427657,S200000,05300,0100,Y 427657,S200000,05300,0200,HB0440 427657,S200000,05400,0100,PRESTIGE CARE INC 427657,S200000,05400,0200,NORDIAN 427657,S200000,05400,0300,00325 427657,S200000,05500,0100,7700 NE PARKWAY DRIVE 427657,S200000,05600,0100,VANCOUVER 427657,S200000,05600,0200,WA 427657,S200000,05600,0300,98662 427660,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427660,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427660,A000000,00300,0000,0300EMPLOYEE BENEFITS 427660,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427660,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427660,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427660,A000000,00700,0000,0700HOUSEKEEPING 427660,A000000,00800,0000,0800DIETARY 427660,A000000,00801,0000,0801SHARED DIETARY SERVICES 427660,A000000,00900,0000,0900NURSING ADMINISTRATION 427660,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427660,A000000,01100,0000,1100PHARMACY 427660,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427660,A000000,01201,0000,1201ACTIVITIES 427660,A000000,01300,0000,1300SOCIAL SERVICE 427660,A000000,01301,0000,1301SHARED SOCIAL SERVICES 427660,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427660,A000000,01500,0000,1350OTHER GENERAL SERVICES 427660,A000000,01600,0000,1600SKILLED NURSING FACILITY 427660,A000000,01800,0000,1800NURSING FACILITY 427660,A000000,01810,0000,1810ICF/MR 427660,A000000,01900,0000,1900OTHER LONG TERM CARE 427660,A000000,02100,0000,2100RADIOLOGY 427660,A000000,02200,0000,2200LABORATORY 427660,A000000,02300,0000,2300INTRAVENOUS THERAPY 427660,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427660,A000000,02500,0000,2500PHYSICAL THERAPY 427660,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427660,A000000,02700,0000,2700SPEECH PATHOLOGY 427660,A000000,02800,0000,2800ELECTROCARDIOLOGY 427660,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427660,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427660,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427660,A000000,03200,0000,3200SUPPORT SURFACES 427660,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427660,A000000,03400,0000,3400CLINIC 427660,A000000,03500,0000,3500RURAL HEALTH CLINIC 427660,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427660,A000000,04800,0000,4800AMBULANCE 427660,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427660,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427660,A000000,05300,0000,5300INTEREST EXPENSE 427660,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427660,A000000,05500,0000,5500HOSPICE 427660,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427660,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427660,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427660,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427660,A000000,06100,0000,6100NONPAID WORKERS 427660,A000000,06200,0000,6200PATIENTS LAUNDRY 427660,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427660,A81000A,00100,0100,Y 427660,A81000B,00100,0300,ADMIN/ACCOUNTING 427660,A81000B,00200,0300,UNEMPLOYMENT CLAIMS 427660,A81000B,00300,0300,HEALTH INSURANCE 427660,A81000B,00400,0300,WORKERS COMP 427660,A81000B,00500,0300,PROPERTY INSURANCE 427660,A81000B,00600,0300,LIABILITY INSURANCE 427660,A81000B,00700,0300,VEHICLE INSURANCE 427660,A81000C,00100,0100,B 427660,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 427660,A81000C,00100,0600,HEALTH CARE 427660,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427660,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427660,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427660,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427660,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427660,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427660,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 427660,B100000,00000,0800,0800MEALS SERVED :DIETARY 427660,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427660,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427660,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 427660,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 427660,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 427660,G300000,02500,0000,OTHER (SPECIFY) 427660,S000000,00100,0200,01/31/12 427660,S200000,00100,0100,4861 LINCOLN AVE 427660,S200000,00100,0300,299 427660,S200000,00200,0100,SELBY 427660,S200000,00200,0200,SD 427660,S200000,00200,0300,57472-0299 427660,S200000,00300,0100,WALWORHT 427660,S200000,00300,0201,99943 427660,S200000,00300,0300,R 427660,S200000,00400,0100,GOOD SAMARITAN SOCIETY-SELBY 427660,S200000,00400,0200,435123 427660,S200000,00400,0300,01/01/07 427660,S200000,00400,0500,P 427660,S200000,01500,0100,Y 427660,S200000,01501,0200,N 427660,S200000,01502,0200,Y 427660,S200000,01504,0200,N 427660,S200000,01505,0000,HEALTH INSURANCE 427660,S200000,01505,0200,N 427660,S200000,01506,0000,PENSION 427660,S200000,01506,0200,N 427660,S200000,01600,0100,N 427660,S200000,01700,0100,N 427660,S200000,01800,0100,N 427660,S200000,02200,0100,N 427660,S200000,02800,0100,N 427660,S200000,02900,0100,N 427660,S200000,03000,0100,N 427660,S200000,03100,0100,N 427660,S200000,03200,0100,N 427660,S200000,03300,0100,N 427660,S200000,03300,0200,N 427660,S200000,04100,0100,N 427660,S200000,04200,0100,N 427660,S200000,04300,0100,N 427660,S200000,04600,0100,N 427660,S200000,04700,0100,N 427660,S200000,04700,0200,N 427660,S200000,04900,0100,N 427660,S200000,05000,0100,N 427660,S200000,05100,0100,N 427660,S200000,05200,0100,N 427660,S200000,05300,0100,Y 427660,S200000,05300,0200,439100 427660,S200000,05400,0100,ELGSS 427660,S200000,05400,0200,NORIDIAN 427660,S200000,05400,0300,03001 427660,S200000,05500,0100,4800 WEST 57TH STREET 427660,S200000,05500,0200,5038 427660,S200000,05600,0100,SIOUX FALLS 427660,S200000,05600,0200,SD 427660,S200000,05600,0300,57117-5038 427666,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427666,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427666,A000000,00300,0000,0300EMPLOYEE BENEFITS 427666,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427666,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427666,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427666,A000000,00700,0000,0700HOUSEKEEPING 427666,A000000,00800,0000,0800DIETARY 427666,A000000,00900,0000,0900NURSING ADMINISTRATION 427666,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427666,A000000,01100,0000,1100PHARMACY 427666,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427666,A000000,01300,0000,1300SOCIAL SERVICE 427666,A000000,01600,0000,1600SKILLED NURSING FACILITY 427666,A000000,01800,0000,1800NURSING FACILITY 427666,A000000,01900,0000,1900OTHER LONG TERM CARE 427666,A000000,02100,0000,2100RADIOLOGY 427666,A000000,02200,0000,2200LABORATORY 427666,A000000,02300,0000,2300INTRAVENOUS THERAPY 427666,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427666,A000000,02500,0000,2500PHYSICAL THERAPY 427666,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427666,A000000,02700,0000,2700SPEECH PATHOLOGY 427666,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427666,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427666,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427666,A000000,03200,0000,3200SUPPORT SURFACES 427666,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427666,A000000,04800,0000,4800AMBULANCE 427666,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427666,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427666,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427666,A81000A,00100,0100,Y 427666,A81000B,00100,0300,HOME OFFICE EXPENSE 427666,A81000B,00200,0300,LEASE-BUILDING 427666,A81000B,00300,0300,SNF-PURCHASED SERVICE MEDICAL 427666,A81000B,00400,0300,ALLOWABLE HOME OFFICE 427666,A81000C,00100,0100,A 427666,A81000C,00100,0200,SHARON KEARNS 427666,A81000C,00100,0400,SEASCAPE MANAGE 427666,A81000C,00100,0600,PROPERTY MANAGE 427666,A81000C,00200,0100,A 427666,A81000C,00200,0200,SHARON KEARNS 427666,A81000C,00200,0400,RIVERSIDE HEALT 427666,A81000C,00200,0600,HOME OFFICE 427666,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427666,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427666,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427666,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427666,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427666,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427666,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427666,B100000,00000,0800,0800MEALS SERVED :DIETARY 427666,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427666,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427666,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427666,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 427666,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427666,G300000,02500,0000, OTHER (SPECIFY) 427666,S000000,00100,0200,03/22/12 427666,S200000,00100,0100,1 GILMORE LANE 427666,S200000,00200,0100,OROVILLE 427666,S200000,00200,0200,CA 427666,S200000,00200,0300,95966 427666,S200000,00300,0100,BUTTE 427666,S200000,00300,0201,17020 427666,S200000,00300,0300,U 427666,S200000,00400,0100,SHADOWBROOK HEALTH CARE 427666,S200000,00400,0200,055612 427666,S200000,00400,0300,01/01/67 427666,S200000,00400,0500,P 427666,S200000,01500,0100,Y 427666,S200000,01501,0200,Y 427666,S200000,01600,0100,N 427666,S200000,01700,0100,N 427666,S200000,01800,0100,N 427666,S200000,02200,0100,N 427666,S200000,02800,0100,N 427666,S200000,02900,0100,N 427666,S200000,03000,0100,N 427666,S200000,03100,0100,N 427666,S200000,03200,0100,N 427666,S200000,03300,0100,N 427666,S200000,03300,0200,N 427666,S200000,04100,0100,N 427666,S200000,04200,0100,N 427666,S200000,04300,0100,N 427666,S200000,04600,0100,N 427666,S200000,04700,0100,N 427666,S200000,04700,0200,N 427666,S200000,04900,0100,N 427666,S200000,05000,0100,N 427666,S200000,05100,0100,N 427666,S200000,05200,0100,N 427666,S200000,05300,0100,Y 427666,S200000,05300,0200,HB0524 427666,S200000,05400,0100,RIVERSIDE HEALTHCARE 427666,S200000,05400,0200,PALMETTO GBA 427666,S200000,05400,0300,01001 427666,S200000,05500,0100,1469 HUMBOLDT ROAD 427666,S200000,05600,0100,CHICO 427666,S200000,05600,0200,CA 427666,S200000,05600,0300,95928 427680,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427680,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427680,A000000,00300,0000,0300EMPLOYEE BENEFITS 427680,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427680,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427680,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427680,A000000,00700,0000,0700HOUSEKEEPING 427680,A000000,00800,0000,0800DIETARY 427680,A000000,00900,0000,0900NURSING ADMINISTRATION 427680,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427680,A000000,01100,0000,1100PHARMACY 427680,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427680,A000000,01300,0000,1300SOCIAL SERVICE 427680,A000000,01600,0000,1600SKILLED NURSING FACILITY 427680,A000000,01800,0000,1800NURSING FACILITY 427680,A000000,01900,0000,1900OTHER LONG TERM CARE 427680,A000000,02100,0000,2100RADIOLOGY 427680,A000000,02200,0000,2200LABORATORY 427680,A000000,02300,0000,2300INTRAVENOUS THERAPY 427680,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427680,A000000,02500,0000,2500PHYSICAL THERAPY 427680,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427680,A000000,02700,0000,2700SPEECH PATHOLOGY 427680,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427680,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427680,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427680,A000000,03200,0000,3200SUPPORT SURFACES 427680,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 427680,A000000,04800,0000,4800AMBULANCE 427680,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427680,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427680,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427680,A81000A,00100,0100,Y 427680,A81000B,00100,0300,LEASE-BUILDING 427680,A81000B,00200,0300,HOME OFFICE EXPENSE 427680,A81000B,00300,0300,SNF-PURCHASED SERVICE MEDICAL 427680,A81000B,00400,0300,ALLOWABLE HOME OFFICE 427680,A81000C,00100,0100,A 427680,A81000C,00100,0200,SHARON KEARNS 427680,A81000C,00100,0400,SEASCAPE MANAGE 427680,A81000C,00100,0600,PROPERTY MANAGE 427680,A81000C,00200,0100,A 427680,A81000C,00200,0200,SHARON KEARNS 427680,A81000C,00200,0400,RIVERSIDE HEALT 427680,A81000C,00200,0600,HOME OFFICE 427680,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427680,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427680,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427680,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427680,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427680,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427680,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427680,B100000,00000,0800,0800MEALS SERVED :DIETARY 427680,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427680,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427680,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427680,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 427680,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427680,G300000,02500,0000, OTHER (SPECIFY) 427680,S000000,00100,0200,03/23/12 427680,S200000,00100,0100,1334 SOUTH HAM LANE 427680,S200000,00200,0100,LODI 427680,S200000,00200,0200,CA 427680,S200000,00200,0300,95242 427680,S200000,00300,0100,SAN JOAQUIN 427680,S200000,00300,0201,44700 427680,S200000,00300,0300,U 427680,S200000,00400,0100,DELTA REHAB & CARE CENTER 427680,S200000,00400,0200,555049 427680,S200000,00400,0300,01/01/67 427680,S200000,00400,0500,P 427680,S200000,01500,0100,Y 427680,S200000,01501,0200,Y 427680,S200000,01600,0100,N 427680,S200000,01700,0100,N 427680,S200000,01800,0100,N 427680,S200000,02200,0100,N 427680,S200000,02800,0100,N 427680,S200000,02900,0100,N 427680,S200000,03000,0100,N 427680,S200000,03100,0100,N 427680,S200000,03200,0100,N 427680,S200000,03300,0100,N 427680,S200000,03300,0200,N 427680,S200000,04100,0100,N 427680,S200000,04200,0100,N 427680,S200000,04300,0100,N 427680,S200000,04600,0100,N 427680,S200000,04700,0100,N 427680,S200000,04700,0200,N 427680,S200000,04900,0100,N 427680,S200000,05000,0100,N 427680,S200000,05100,0100,N 427680,S200000,05200,0100,N 427680,S200000,05300,0100,Y 427680,S200000,05300,0200,HB0524 427680,S200000,05400,0100,RIVERSIDE HEALTHCARE 427680,S200000,05400,0200,PALMETTO GBA 427680,S200000,05400,0300,01001 427680,S200000,05500,0100,1469 HUMBOLDT ROAD 427680,S200000,05600,0100,CHICO 427680,S200000,05600,0200,CA 427680,S200000,05600,0300,95928 427682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427682,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427682,A000000,00300,0000,0300EMPLOYEE BENEFITS 427682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427682,A000000,00700,0000,0700HOUSEKEEPING 427682,A000000,00800,0000,0800DIETARY 427682,A000000,00900,0000,0900NURSING ADMINISTRATION 427682,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427682,A000000,01100,0000,1100PHARMACY 427682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427682,A000000,01300,0000,1300SOCIAL SERVICE 427682,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427682,A000000,01500,0000,1350OTHER GENERAL SERVICES 427682,A000000,01600,0000,1600SKILLED NURSING FACILITY 427682,A000000,01800,0000,1800NURSING FACILITY 427682,A000000,01810,0000,1810ICF/MR 427682,A000000,01900,0000,1900OTHER LONG TERM CARE 427682,A000000,02100,0000,2100RADIOLOGY 427682,A000000,02200,0000,2200LABORATORY 427682,A000000,02300,0000,2300INTRAVENOUS THERAPY 427682,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427682,A000000,02500,0000,2500PHYSICAL THERAPY 427682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427682,A000000,02700,0000,2700SPEECH PATHOLOGY 427682,A000000,02800,0000,2800ELECTROCARDIOLOGY 427682,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427682,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427682,A000000,03200,0000,3200SUPPORT SURFACES 427682,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427682,A000000,03400,0000,3400CLINIC 427682,A000000,03500,0000,3500RURAL HEALTH CLINIC 427682,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427682,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427682,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427682,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427682,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427682,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427682,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427682,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427682,A000000,04400,0000,4400DME RENTED - HHA 427682,A000000,04500,0000,4500DME SOLD - HHA 427682,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427682,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427682,A000000,04710,0000,4710TELEMEDICINE 427682,A000000,04800,0000,4800AMBULANCE 427682,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427682,A000000,05000,0000,5000CORF 427682,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427682,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427682,A000000,05300,0000,5300INTEREST EXPENSE 427682,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427682,A000000,05500,0000,5500HOSPICE 427682,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427682,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427682,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427682,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427682,A000000,06100,0000,6100NONPAID WORKERS 427682,A000000,06200,0000,6200PATIENTS LAUNDRY 427682,A000000,06300,0000,6150CONDOS 427682,A81000A,00100,0100,N 427682,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427682,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427682,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427682,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427682,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427682,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427682,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427682,B100000,00000,0800,0800MEALS SERVED :DIETARY 427682,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427682,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427682,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427682,G300000,02500,0000,CONDO REVENUE 427682,G300000,02501,0000,LIC FEE APP FEE 427682,G300000,02502,0000,HSK AND MAINT REVENUE 427682,G300000,02503,0000,RENTAL INCOME 427682,G300000,02504,0000,RES GARAGE INCOME 427682,G300000,02506,0000,MISC TRANSPORT AND PROGRAM INCOME 427682,G300000,02507,0000,GAIN ON DISPOSAL OF ASSET 427682,S000000,00100,0200,03/29/12 427682,S200000,00100,0100,100 THORNDALE DRIVE 427682,S200000,00200,0100,SAN RAFAEL 427682,S200000,00200,0200,CA 427682,S200000,00200,0300,94903 427682,S200000,00300,0100,MARIN 427682,S200000,00300,0200,7360 427682,S200000,00300,0201,41884 427682,S200000,00300,0300,U 427682,S200000,00400,0100,VILLA MARIN 427682,S200000,00400,0200,555227 427682,S200000,00400,0300,01/01/96 427682,S200000,00400,0500,P 427682,S200000,01500,0100,N 427682,S200000,01501,0200,Y 427682,S200000,01600,0100,Y 427682,S200000,01700,0100,N 427682,S200000,01800,0100,N 427682,S200000,02200,0100,N 427682,S200000,02800,0100,N 427682,S200000,02900,0100,N 427682,S200000,03000,0100,N 427682,S200000,03100,0100,N 427682,S200000,03200,0100,N 427682,S200000,03300,0100,N 427682,S200000,03300,0200,N 427682,S200000,04100,0100,N 427682,S200000,04200,0100,N 427682,S200000,04300,0100,N 427682,S200000,04600,0100,N 427682,S200000,04700,0100,N 427682,S200000,04700,0200,N 427682,S200000,04900,0100,N 427682,S200000,05000,0100,N 427682,S200000,05100,0100,N 427682,S200000,05200,0100,N 427682,S200000,05300,0100,N 427686,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427686,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427686,A000000,00300,0000,0300EMPLOYEE BENEFITS 427686,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427686,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427686,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427686,A000000,00700,0000,0700HOUSEKEEPING 427686,A000000,00800,0000,0800DIETARY 427686,A000000,00900,0000,0900NURSING ADMINISTRATION 427686,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427686,A000000,01100,0000,1100PHARMACY 427686,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427686,A000000,01300,0000,1300SOCIAL SERVICE 427686,A000000,01500,0000,1350OTHER GENERAL SERVICES 427686,A000000,01600,0000,1600SKILLED NURSING FACILITY 427686,A000000,01800,0000,1800NURSING FACILITY 427686,A000000,01810,0000,1810ICF/MR 427686,A000000,01900,0000,1900OTHER LONG TERM CARE 427686,A000000,02100,0000,2100RADIOLOGY 427686,A000000,02200,0000,2200LABORATORY 427686,A000000,02300,0000,2300INTRAVENOUS THERAPY 427686,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427686,A000000,02500,0000,2500PHYSICAL THERAPY 427686,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427686,A000000,02700,0000,2700SPEECH PATHOLOGY 427686,A000000,02800,0000,2800ELECTROCARDIOLOGY 427686,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427686,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427686,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427686,A000000,03200,0000,3200SUPPORT SURFACES 427686,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427686,A000000,03400,0000,3400CLINIC 427686,A000000,03500,0000,3500RURAL HEALTH CLINIC 427686,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427686,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427686,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427686,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427686,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427686,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427686,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427686,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427686,A000000,04400,0000,4400DME RENTED - HHA 427686,A000000,04500,0000,4500DME SOLD - HHA 427686,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427686,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427686,A000000,04710,0000,4710TELEMEDICINE 427686,A000000,04800,0000,4800AMBULANCE 427686,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427686,A000000,05000,0000,5000CORF 427686,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427686,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427686,A000000,05300,0000,5300INTEREST EXPENSE 427686,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427686,A000000,05500,0000,5500HOSPICE 427686,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427686,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427686,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427686,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427686,A000000,06100,0000,6100NONPAID WORKERS 427686,A000000,06200,0000,6200PATIENTS LAUNDRY 427686,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427686,A81000A,00100,0100,N 427686,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427686,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427686,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427686,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427686,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427686,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427686,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427686,B100000,00000,0800,0800MEALS SERVED :DIETARY 427686,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427686,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427686,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427686,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 427686,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427686,S000000,00100,0200,03/26/12 427686,S200000,00100,0100,34400 MISSION BLVD 427686,S200000,00200,0100,UNION CITY 427686,S200000,00200,0200,CA 427686,S200000,00200,0300,94587-3604 427686,S200000,00300,0100,ALAMEDA 427686,S200000,00300,0200,5775 427686,S200000,00300,0201,36084 427686,S200000,00300,0300,U 427686,S200000,00400,0100,MASONIC HOMES OF CALIFORNIA 427686,S200000,00400,0200,555843 427686,S200000,00400,0300,10/12/07 427686,S200000,00400,0500,P 427686,S200000,01500,0100,Y 427686,S200000,01501,0200,Y 427686,S200000,01600,0100,N 427686,S200000,01700,0100,N 427686,S200000,01800,0100,N 427686,S200000,02200,0100,N 427686,S200000,02800,0100,N 427686,S200000,02900,0100,N 427686,S200000,03000,0100,N 427686,S200000,03100,0100,N 427686,S200000,03200,0100,N 427686,S200000,03300,0100,N 427686,S200000,03300,0200,N 427686,S200000,03600,0100,N 427686,S200000,03600,0200,N 427686,S200000,04100,0100,N 427686,S200000,04200,0100,N 427686,S200000,04300,0100,N 427686,S200000,04600,0100,N 427686,S200000,04700,0100,N 427686,S200000,04700,0200,N 427686,S200000,04900,0100,N 427686,S200000,05000,0100,N 427686,S200000,05100,0100,N 427686,S200000,05200,0100,N 427686,S200000,05300,0100,N 427692,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427692,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427692,A000000,00300,0000,0300EMPLOYEE BENEFITS 427692,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427692,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427692,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427692,A000000,00700,0000,0700HOUSEKEEPING 427692,A000000,00800,0000,0800DIETARY 427692,A000000,00900,0000,0900NURSING ADMINISTRATION 427692,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427692,A000000,01100,0000,1100PHARMACY 427692,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427692,A000000,01300,0000,1300SOCIAL SERVICE 427692,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427692,A000000,01500,0000,1350ACTIVITIES 427692,A000000,01600,0000,1600SKILLED NURSING FACILITY 427692,A000000,01800,0000,1800NURSING FACILITY 427692,A000000,01810,0000,1810ICF/MR 427692,A000000,01900,0000,1900OTHER LONG TERM CARE 427692,A000000,02100,0000,2100RADIOLOGY 427692,A000000,02200,0000,2200LABORATORY 427692,A000000,02300,0000,2300INTRAVENOUS THERAPY 427692,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427692,A000000,02500,0000,2500PHYSICAL THERAPY 427692,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427692,A000000,02700,0000,2700SPEECH PATHOLOGY 427692,A000000,02800,0000,2800ELECTROCARDIOLOGY 427692,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427692,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427692,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427692,A000000,03200,0000,3200SUPPORT SURFACES 427692,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427692,A000000,03400,0000,3400CLINIC 427692,A000000,03500,0000,3500RURAL HEALTH CLINIC 427692,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427692,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427692,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427692,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427692,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427692,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427692,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427692,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427692,A000000,04400,0000,4400DME RENTED - HHA 427692,A000000,04500,0000,4500DME SOLD - HHA 427692,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427692,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427692,A000000,04710,0000,4710TELEMEDICINE 427692,A000000,04800,0000,4800AMBULANCE 427692,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427692,A000000,05000,0000,5000CORF 427692,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427692,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427692,A000000,05300,0000,5300INTEREST EXPENSE 427692,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427692,A000000,05500,0000,5500HOSPICE 427692,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427692,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427692,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427692,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427692,A000000,06100,0000,6100NONPAID WORKERS 427692,A000000,06200,0000,6200PATIENTS LAUNDRY 427692,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427692,A81000A,00100,0100,Y 427692,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 427692,A81000C,00100,0100,B 427692,A81000C,00100,0400,POLK COUNTY 427692,A81000C,00100,0600,COUNTY / GOVERNMENT 427692,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427692,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427692,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427692,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427692,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427692,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427692,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427692,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 427692,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427692,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427692,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427692,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427692,G300000,02500,0000,OTHER REVENUE 427692,S000000,00100,0200,02/29/12 427692,S200000,00100,0100,2120 MARSHALL EDWARDS DRIVE 427692,S200000,00200,0100,BARTOW 427692,S200000,00200,0200,FL 427692,S200000,00200,0300,33830 427692,S200000,00300,0100,POLK 427692,S200000,00300,0200,3980 427692,S200000,00300,0201,29460 427692,S200000,00300,0300,U 427692,S200000,00400,0100,THE ROHR HOME 427692,S200000,00400,0200,105823 427692,S200000,00400,0300,07/01/93 427692,S200000,00400,0500,P 427692,S200000,01500,0100,Y 427692,S200000,01501,0200,Y 427692,S200000,01600,0100,N 427692,S200000,01700,0100,N 427692,S200000,01800,0100,N 427692,S200000,02200,0100,N 427692,S200000,02800,0100,N 427692,S200000,02900,0100,N 427692,S200000,03000,0100,N 427692,S200000,03100,0100,N 427692,S200000,03200,0100,N 427692,S200000,03300,0100,N 427692,S200000,03300,0200,N 427692,S200000,04100,0100,N 427692,S200000,04200,0100,N 427692,S200000,04300,0100,N 427692,S200000,04600,0100,N 427692,S200000,04700,0100,N 427692,S200000,04700,0200,N 427692,S200000,04900,0100,N 427692,S200000,05000,0100,N 427692,S200000,05100,0100,N 427692,S200000,05200,0100,N 427692,S200000,05300,0100,N 427700,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427700,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427700,A000000,00300,0000,0300EMPLOYEE BENEFITS 427700,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427700,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427700,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427700,A000000,00700,0000,0700HOUSEKEEPING 427700,A000000,00800,0000,0800DIETARY 427700,A000000,00900,0000,0900NURSING ADMINISTRATION 427700,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427700,A000000,01100,0000,1100PHARMACY 427700,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427700,A000000,01300,0000,1300SOCIAL SERVICE 427700,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427700,A000000,01500,0000,1350OTHER GENERAL SERVICES 427700,A000000,01600,0000,1600SKILLED NURSING FACILITY 427700,A000000,01800,0000,1800NURSING FACILITY 427700,A000000,01810,0000,1810ICF/MR 427700,A000000,01900,0000,1900OTHER LONG TERM CARE 427700,A000000,02100,0000,2100RADIOLOGY 427700,A000000,02200,0000,2200LABORATORY 427700,A000000,02300,0000,2300INTRAVENOUS THERAPY 427700,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427700,A000000,02500,0000,2500PHYSICAL THERAPY 427700,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427700,A000000,02700,0000,2700SPEECH PATHOLOGY 427700,A000000,02800,0000,2800ELECTROCARDIOLOGY 427700,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427700,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427700,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427700,A000000,03200,0000,3200SUPPORT SURFACES 427700,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427700,A000000,03400,0000,3400CLINIC 427700,A000000,03500,0000,3500RURAL HEALTH CLINIC 427700,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427700,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427700,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427700,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427700,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427700,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427700,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427700,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427700,A000000,04400,0000,4400DME RENTED - HHA 427700,A000000,04500,0000,4500DME SOLD - HHA 427700,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427700,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427700,A000000,04710,0000,4710TELEMEDICINE 427700,A000000,04800,0000,4800AMBULANCE 427700,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427700,A000000,05000,0000,5000CORF 427700,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427700,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427700,A000000,05300,0000,5300INTEREST EXPENSE 427700,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427700,A000000,05500,0000,5500HOSPICE 427700,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427700,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427700,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427700,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427700,A000000,06100,0000,6100NONPAID WORKERS 427700,A000000,06200,0000,6200PATIENTS LAUNDRY 427700,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427700,A81000A,00100,0100,N 427700,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427700,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427700,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427700,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427700,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427700,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427700,B100000,00000,0800,0800MEALS SERVED :DIETARY 427700,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 427700,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427700,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427700,G300000,02500,0000,OTHER INCOME 427700,S000000,00100,0200,03/01/12 427700,S200000,00100,0100,200 WILLOW ROAD 427700,S200000,00200,0100,HILLSBORO 427700,S200000,00200,0200,KS 427700,S200000,00200,0300,67063-1999 427700,S200000,00300,0100,MARION 427700,S200000,00300,0200,17 427700,S200000,00300,0201,99917 427700,S200000,00300,0300,R 427700,S200000,00400,0100,PARKSIDE HOMES 427700,S200000,00400,0200,175387 427700,S200000,00400,0300,10/01/96 427700,S200000,00400,0500,P 427700,S200000,00400,0600,P 427700,S200000,01500,0100,Y 427700,S200000,01501,0200,N 427700,S200000,01600,0100,N 427700,S200000,01700,0100,N 427700,S200000,01800,0100,N 427700,S200000,02200,0100,N 427700,S200000,02800,0100,N 427700,S200000,02900,0100,N 427700,S200000,03000,0100,N 427700,S200000,03100,0100,N 427700,S200000,03200,0100,N 427700,S200000,03300,0100,N 427700,S200000,03300,0200,N 427700,S200000,04100,0100,N 427700,S200000,04200,0100,N 427700,S200000,04300,0100,N 427700,S200000,04600,0100,N 427700,S200000,04700,0100,N 427700,S200000,04700,0200,N 427700,S200000,04900,0100,N 427700,S200000,05000,0100,N 427700,S200000,05100,0100,N 427700,S200000,05200,0100,N 427717,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427717,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427717,A000000,00300,0000,0300EMPLOYEE BENEFITS 427717,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427717,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427717,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427717,A000000,00700,0000,0700HOUSEKEEPING 427717,A000000,00800,0000,0800DIETARY 427717,A000000,00900,0000,0900NURSING ADMINISTRATION 427717,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427717,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427717,A000000,01300,0000,1300SOCIAL SERVICE 427717,A000000,01301,0000,1301ACTIVITES 427717,A000000,01500,0000,1350REHABILITATION 427717,A000000,01600,0000,1600SKILLED NURSING FACILITY 427717,A000000,01800,0000,1800NURSING FACILITY 427717,A000000,01900,0000,1900OTHER LONG TERM CARE 427717,A000000,02100,0000,2100RADIOLOGY 427717,A000000,02200,0000,2200LABORATORY 427717,A000000,02300,0000,2300INTRAVENOUS THERAPY 427717,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427717,A000000,02500,0000,2500PHYSICAL THERAPY 427717,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427717,A000000,02700,0000,2700SPEECH PATHOLOGY 427717,A000000,02800,0000,2800ELECTROCARDIOLOGY 427717,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427717,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427717,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427717,A000000,03200,0000,3200SUPPORT SURFACES 427717,A000000,03300,0000,3050EQUIPMENT RENTAL 427717,A000000,03301,0000,3051PEN THERAPY 427717,A000000,04800,0000,4800AMBULANCE 427717,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427717,A000000,05300,0000,5300INTEREST EXPENSE 427717,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427717,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427717,A000000,06200,0000,6200PATIENTS LAUNDRY 427717,A000000,06300,0000,6150VENDING 427717,A000000,06301,0000,6151OTHER NONREIMBURSABLE 427717,A81000A,00100,0100,Y 427717,A81000B,00100,0300,HOME OFFICE COST 427717,A81000C,00100,0100,B 427717,A81000C,00100,0200,EDGEWATER CARE 427717,A81000C,00100,0400,SSC EQUITY HOLD 427717,A81000C,00100,0600,NSG HOMES 427717,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427717,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427717,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427717,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427717,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427717,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427717,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427717,B100000,00000,0800,0800MEALS SERVED :DIETARY 427717,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427717,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427717,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427717,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427717,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 427717,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 427717,E10A180,00303,0100,04/14/11 427717,G300000,02500,0000, OTHER (SPECIFY) 427717,S000000,00100,0200,02/24/12 427717,S200000,00100,0100,1213 WATER STREET 427717,S200000,00200,0100,KERRVILLE 427717,S200000,00200,0200,TX 427717,S200000,00200,0300,78028 427717,S200000,00300,0100,KERR 427717,S200000,00300,0300,R 427717,S200000,00400,0100,EDGEWATER CARE CENTER 427717,S200000,00400,0200,455724 427717,S200000,00400,0300,06/01/85 427717,S200000,00400,0500,P 427717,S200000,01500,0100,Y 427717,S200000,01501,0200,Y 427717,S200000,01502,0200,Y 427717,S200000,01504,0200,Y 427717,S200000,01600,0100,N 427717,S200000,01700,0100,N 427717,S200000,01800,0100,N 427717,S200000,02200,0100,Y 427717,S200000,02800,0100,N 427717,S200000,02900,0100,N 427717,S200000,03000,0100,N 427717,S200000,03100,0100,N 427717,S200000,03200,0100,N 427717,S200000,03300,0100,N 427717,S200000,03300,0200,N 427717,S200000,04100,0100,N 427717,S200000,04200,0100,N 427717,S200000,04300,0100,N 427717,S200000,04600,0100,N 427717,S200000,04700,0100,N 427717,S200000,04700,0200,N 427717,S200000,04900,0100,N 427717,S200000,05000,0100,N 427717,S200000,05100,0100,N 427717,S200000,05200,0100,N 427717,S200000,05300,0100,Y 427717,S200000,05300,0200,219023 427717,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 427717,S200000,05400,0200,TRAILBLAZER 427717,S200000,05400,0300,04901 427717,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 427717,S200000,05600,0100,HOUSTON 427717,S200000,05600,0200,TX 427717,S200000,05600,0300,77041 427718,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427718,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427718,A000000,00300,0000,0300EMPLOYEE BENEFITS 427718,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427718,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427718,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427718,A000000,00700,0000,0700HOUSEKEEPING 427718,A000000,00800,0000,0800DIETARY 427718,A000000,00900,0000,0900NURSING ADMINISTRATION 427718,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427718,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427718,A000000,01300,0000,1300SOCIAL SERVICE 427718,A000000,01301,0000,1301ACTIVITES 427718,A000000,01500,0000,1350REHABILITATION 427718,A000000,01600,0000,1600SKILLED NURSING FACILITY 427718,A000000,01800,0000,1800NURSING FACILITY 427718,A000000,01900,0000,1900OTHER LONG TERM CARE 427718,A000000,02100,0000,2100RADIOLOGY 427718,A000000,02200,0000,2200LABORATORY 427718,A000000,02300,0000,2300INTRAVENOUS THERAPY 427718,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427718,A000000,02500,0000,2500PHYSICAL THERAPY 427718,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427718,A000000,02700,0000,2700SPEECH PATHOLOGY 427718,A000000,02800,0000,2800ELECTROCARDIOLOGY 427718,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427718,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427718,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427718,A000000,03200,0000,3200SUPPORT SURFACES 427718,A000000,03300,0000,3050EQUIPMENT RENTAL 427718,A000000,03301,0000,3051PEN THERAPY 427718,A000000,04800,0000,4800AMBULANCE 427718,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427718,A000000,05300,0000,5300INTEREST EXPENSE 427718,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427718,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427718,A000000,06200,0000,6200PATIENTS LAUNDRY 427718,A000000,06300,0000,6150VENDING 427718,A000000,06301,0000,6151OTHER NONREIMBURSABLE 427718,A81000A,00100,0100,Y 427718,A81000B,00100,0300,HOME OFFICE COST 427718,A81000C,00100,0100,B 427718,A81000C,00100,0200,POPLAR LIVING C 427718,A81000C,00100,0400,SSC EQUITY HOLD 427718,A81000C,00100,0600,NSG HOMES 427718,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427718,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427718,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427718,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427718,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427718,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427718,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427718,B100000,00000,0800,0800MEALS SERVED :DIETARY 427718,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427718,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427718,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427718,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427718,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 427718,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 427718,E10A180,00352,0100,03/31/11 427718,G300000,02500,0000, OTHER (SPECIFY) 427718,S000000,00100,0200,02/24/12 427718,S200000,00100,0100,4305 SOUTH POPLAR 427718,S200000,00200,0100,CASPER 427718,S200000,00200,0200,WY 427718,S200000,00200,0300,82601 427718,S200000,00300,0100,NATRONA 427718,S200000,00300,0300,U 427718,S200000,00400,0100,POPLAR LIVING CENTER 427718,S200000,00400,0200,535024 427718,S200000,00400,0300,10/15/84 427718,S200000,00400,0500,P 427718,S200000,01500,0100,Y 427718,S200000,01501,0200,Y 427718,S200000,01502,0200,Y 427718,S200000,01504,0200,Y 427718,S200000,01600,0100,N 427718,S200000,01700,0100,N 427718,S200000,01800,0100,N 427718,S200000,02200,0100,Y 427718,S200000,02800,0100,N 427718,S200000,02900,0100,N 427718,S200000,03000,0100,N 427718,S200000,03100,0100,N 427718,S200000,03200,0100,N 427718,S200000,03300,0100,N 427718,S200000,03300,0200,N 427718,S200000,04100,0100,N 427718,S200000,04200,0100,N 427718,S200000,04300,0100,N 427718,S200000,04600,0100,N 427718,S200000,04700,0100,N 427718,S200000,04700,0200,N 427718,S200000,04900,0100,N 427718,S200000,05000,0100,N 427718,S200000,05100,0100,N 427718,S200000,05200,0100,N 427718,S200000,05300,0100,Y 427718,S200000,05300,0200,219023 427718,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 427718,S200000,05400,0200,TRAILBLAZER 427718,S200000,05400,0300,04901 427718,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 427718,S200000,05600,0100,HOUSTON 427718,S200000,05600,0200,TX 427718,S200000,05600,0300,77041 427793,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427793,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427793,A000000,00300,0000,0300EMPLOYEE BENEFITS 427793,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427793,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427793,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427793,A000000,00700,0000,0700HOUSEKEEPING 427793,A000000,00800,0000,0800DIETARY 427793,A000000,00900,0000,0900NURSING ADMINISTRATION 427793,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427793,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427793,A000000,01300,0000,1300SOCIAL SERVICE 427793,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427793,A000000,01500,0000,1350OTHER GENERAL SERVICES 427793,A000000,01600,0000,1600SKILLED NURSING FACILITY 427793,A000000,01800,0000,1800NURSING FACILITY 427793,A000000,01810,0000,1810ICF/MR 427793,A000000,01900,0000,1900OTHER LONG TERM CARE 427793,A000000,02100,0000,2100RADIOLOGY 427793,A000000,02200,0000,2200LABORATORY 427793,A000000,02300,0000,2300INTRAVENOUS THERAPY 427793,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427793,A000000,02500,0000,2500PHYSICAL THERAPY 427793,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427793,A000000,02700,0000,2700SPEECH PATHOLOGY 427793,A000000,02800,0000,2800ELECTROCARDIOLOGY 427793,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427793,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427793,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427793,A000000,03200,0000,3200SUPPORT SURFACES 427793,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427793,A000000,03400,0000,3400CLINIC 427793,A000000,03500,0000,3500RURAL HEALTH CLINIC 427793,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427793,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427793,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427793,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427793,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427793,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427793,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427793,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427793,A000000,04400,0000,4400DME RENTED - HHA 427793,A000000,04500,0000,4500DME SOLD - HHA 427793,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427793,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427793,A000000,04710,0000,4710TELEMEDICINE 427793,A000000,04800,0000,4800AMBULANCE 427793,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427793,A000000,05000,0000,5000CORF 427793,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427793,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427793,A000000,05300,0000,5300INTEREST EXPENSE 427793,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427793,A000000,05500,0000,5500HOSPICE 427793,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427793,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427793,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427793,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427793,A000000,06100,0000,6100NONPAID WORKERS 427793,A000000,06200,0000,6200PATIENTS LAUNDRY 427793,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427793,A81000A,00100,0100,Y 427793,A81000B,00100,0300,FACILITY LEASE 427793,A81000B,00200,0300,HOME OFFICE COSTS 427793,A81000B,00300,0300,HOME OFFICE COSTS 427793,A81000B,00400,0300,HOME OFFICE COSTS 427793,A81000B,00500,0300,WORKERS COMP INS 427793,A81000B,00600,0300,LIABILITY INSURANCE 427793,A81000B,00700,0300,RELATED PARTY INTEREST 427793,A81000C,00100,0100,A 427793,A81000C,00100,0200,JAMES J. GIARDINA 427793,A81000C,00100,0600,INDIVIDUAL 427793,A81000C,00200,0100,A 427793,A81000C,00200,0200,JAMES J. GIARDINA 427793,A81000C,00200,0400,COMMUNITY CARE CTRS INC 427793,A81000C,00200,0600,MANAGEMENT COMPANY 427793,A81000C,00300,0100,A 427793,A81000C,00300,0200,JAMES J. GIARDINA 427793,A81000C,00300,0400,RISA 427793,A81000C,00300,0600,WORKERS COMP INS 427793,A81000C,00400,0100,A 427793,A81000C,00400,0200,JAMES J. GIARDINA 427793,A81000C,00400,0400,RISA 427793,A81000C,00400,0600,LIABILITY INSURANCE 427793,A81000C,00500,0100,A 427793,A81000C,00500,0200,JAMES J. GIARDINA 427793,A81000C,00500,0600,INDIVIDUAL 427793,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427793,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427793,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427793,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427793,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427793,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427793,B100000,00000,0800,0800MEALS SERVED :DIETARY 427793,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427793,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427793,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427793,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427793,G300000,02500,0000,OTHER INCOME 427793,S000000,00100,0200,02/21/12 427793,S200000,00100,0100,940 MATTOX DRIVE 427793,S200000,00200,0100,SULLIVAN 427793,S200000,00200,0200,MO 427793,S200000,00200,0300,63080 427793,S200000,00300,0100,FRANKLIN 427793,S200000,00300,0200,7040 427793,S200000,00300,0201,41180 427793,S200000,00300,0300,U 427793,S200000,00400,0100,MERAMEC NURSING CENTER 427793,S200000,00400,0200,265554 427793,S200000,00400,0300,11/09/93 427793,S200000,00400,0500,P 427793,S200000,01500,0100,Y 427793,S200000,01501,0200,N 427793,S200000,01502,0200,Y 427793,S200000,01503,0200,N 427793,S200000,01504,0200,N 427793,S200000,01600,0100,N 427793,S200000,01700,0100,N 427793,S200000,01800,0100,N 427793,S200000,02200,0100,N 427793,S200000,02800,0100,N 427793,S200000,02900,0100,N 427793,S200000,03000,0100,N 427793,S200000,03100,0100,N 427793,S200000,03200,0100,N 427793,S200000,03300,0100,N 427793,S200000,03300,0200,N 427793,S200000,04100,0100,N 427793,S200000,04200,0100,N 427793,S200000,04300,0100,N 427793,S200000,04600,0100,N 427793,S200000,04700,0100,N 427793,S200000,04700,0200,N 427793,S200000,04900,0100,N 427793,S200000,05000,0100,N 427793,S200000,05100,0100,N 427793,S200000,05200,0100,N 427793,S200000,05300,0100,Y 427793,S200000,05300,0200,H6957 427793,S200000,05400,0100,COMMUNITY CARE CENTERS INC 427793,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427793,S200000,05400,0300, 05301 427793,S200000,05500,0100,312 SOLLEY DRIVE - REAR 427793,S200000,05600,0100,BALLWIN 427793,S200000,05600,0200,MO 427793,S200000,05600,0300,63021-2100 427819,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427819,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427819,A000000,00300,0000,0300EMPLOYEE BENEFITS 427819,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427819,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427819,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427819,A000000,00700,0000,0700HOUSEKEEPING 427819,A000000,00800,0000,0800DIETARY 427819,A000000,00900,0000,0900NURSING ADMINISTRATION 427819,A000000,01600,0000,1600SKILLED NURSING FACILITY 427819,A000000,01800,0000,1800NURSING FACILITY 427819,A000000,01900,0000,1900OTHER LONG TERM CARE 427819,A000000,02100,0000,2100RADIOLOGY 427819,A000000,02200,0000,2200LABORATORY 427819,A000000,02300,0000,2300INTRAVENOUS THERAPY 427819,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427819,A000000,02500,0000,2500PHYSICAL THERAPY 427819,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427819,A000000,02700,0000,2700SPEECH PATHOLOGY 427819,A000000,02800,0000,2800ELECTROCARDIOLOGY 427819,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427819,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427819,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427819,A000000,03200,0000,3200SUPPORT SURFACES 427819,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427819,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427819,A81000A,00100,0100,Y 427819,A81000B,00100,0300,FUEL FOR VAN 427819,A81000C,00100,0100,E 427819,A81000C,00100,0200,TONNES SERVICE 427819,A81000C,00100,0400,RICK TONNE 427819,A81000C,00100,0600,GAS STATION 427819,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427819,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427819,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427819,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427819,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427819,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427819,B100000,00000,0800,0800MEALS SERVED :DIETARY 427819,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 427819,S000000,00100,0200,03/06/12 427819,S200000,00100,0100,604 3RD ST SW 427819,S200000,00200,0100,TRIPOLI 427819,S200000,00200,0200,IA 427819,S200000,00200,0300,50676 427819,S200000,00300,0100,BREMER 427819,S200000,00300,0300,U 427819,S200000,00400,0100,TRIPOLI NURSING HOME 427819,S200000,00400,0200,165494 427819,S200000,00400,0300,10/01/03 427819,S200000,00400,0500,P 427819,S200000,00600,0200,165494 427819,S200000,00600,0300,10/01/03 427819,S200000,00600,0600,O 427819,S200000,01500,0100,N 427819,S200000,01600,0100,Y 427819,S200000,01700,0100,N 427819,S200000,01800,0100,N 427819,S200000,02200,0100,N 427819,S200000,02800,0100,N 427819,S200000,02900,0100,N 427819,S200000,03000,0100,N 427819,S200000,03100,0100,N 427819,S200000,03200,0100,N 427819,S200000,03300,0100,Y 427819,S200000,03300,0200,Y 427819,S200000,03500,0300,Y 427819,S200000,03600,0100,N 427819,S200000,03600,0200,N 427819,S200000,04100,0100,Y 427819,S200000,04200,0100,Y 427819,S200000,04300,0100,N 427819,S200000,04600,0100,N 427819,S200000,04700,0100,N 427819,S200000,04700,0200,N 427819,S200000,04900,0100,N 427819,S200000,05000,0100,N 427819,S200000,05100,0100,N 427819,S200000,05200,0100,N 427821,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427821,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427821,A000000,00300,0000,0300EMPLOYEE BENEFITS 427821,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427821,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427821,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427821,A000000,00700,0000,0700HOUSEKEEPING 427821,A000000,00800,0000,0800DIETARY 427821,A000000,00801,0000,0801CAFETERIA 427821,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427821,A000000,01300,0000,1300SOCIAL SERVICE 427821,A000000,01600,0000,1600SKILLED NURSING FACILITY 427821,A000000,02200,0000,2200LABORATORY 427821,A000000,02500,0000,2500PHYSICAL THERAPY 427821,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427821,A000000,02700,0000,2700SPEECH PATHOLOGY 427821,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427821,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427821,A000000,05300,0000,5300INTEREST EXPENSE 427821,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427821,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427821,A000000,06300,0000,6150GUEST MEALS 427821,A000000,06301,0000,6151ASSISTED LIVING 427821,A81000A,00100,0100,Y 427821,A81000B,00100,0300,SALARIES AND BENEFITS 427821,A81000B,00200,0300,SALARIES AND BENEFITS 427821,A81000B,00300,0300,DIETARY CONSULTANT 427821,A81000B,00400,0300,SOFTWARE MAINTENANCE FEE 427821,A81000B,00500,0300,MANAGEMENT FEES 427821,A81000B,00600,0300,MANAGEMENT FEES 427821,A81000C,00100,0100,B 427821,A81000C,00100,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00100,0600,MANAGEMENT 427821,A81000C,00200,0100,B 427821,A81000C,00200,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00200,0600,MANAGEMENT 427821,A81000C,00300,0100,B 427821,A81000C,00300,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00300,0600,MANAGEMENT 427821,A81000C,00400,0100,B 427821,A81000C,00400,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00400,0600,MANAGEMENT 427821,A81000C,00500,0100,B 427821,A81000C,00500,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00500,0600,MANAGEMENT 427821,A81000C,00600,0100,B 427821,A81000C,00600,0400,VIA CHRISTI VILLAGES INC 427821,A81000C,00600,0600,MANAGEMENT 427821,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427821,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427821,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427821,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427821,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427821,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 427821,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427821,B100000,00000,0800,0800MEALS SERVED :DIETARY 427821,B100000,00000,0801,0851FTE S :CAFETERIA 427821,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 427821,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 427821,E10A180,00301,0100,04/21/11 427821,G300000,02501,0000,VICTORIA REVENUE 427821,G300000,02502,0000,ASSISTED LIVING REVENUE 427821,S000000,00100,0200,03/01/12 427821,S200000,00100,0100,2401 CANTERBURY 427821,S200000,00200,0100,HAYS 427821,S200000,00200,0200,KS 427821,S200000,00200,0300,67601-2345 427821,S200000,00300,0100,ELLIS 427821,S200000,00300,0200,17 427821,S200000,00300,0201,99917 427821,S200000,00300,0300,R 427821,S200000,00400,0100,ST. JOHN S INC - HAYS 427821,S200000,00400,0200,175498 427821,S200000,00400,0300,06/15/07 427821,S200000,00400,0500,P 427821,S200000,01500,0100,Y 427821,S200000,01501,0200,Y 427821,S200000,01600,0100,N 427821,S200000,01700,0100,N 427821,S200000,01800,0100,N 427821,S200000,02200,0100,N 427821,S200000,02800,0100,N 427821,S200000,02900,0100,N 427821,S200000,03000,0100,N 427821,S200000,03100,0100,N 427821,S200000,03200,0100,N 427821,S200000,03300,0100,N 427821,S200000,03300,0200,N 427821,S200000,04100,0100,N 427821,S200000,04200,0100,N 427821,S200000,04300,0100,N 427821,S200000,04600,0100,N 427821,S200000,04700,0100,N 427821,S200000,04700,0200,N 427821,S200000,04900,0100,N 427821,S200000,05000,0100,N 427821,S200000,05100,0100,N 427821,S200000,05200,0100,N 427821,S200000,05300,0100,Y 427821,S200000,05400,0100,VIA CHRISTI SENIOR SERVICES 427821,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 427821,S200000,05400,0300,05201 427821,S200000,05500,0100,2622 W. CENTRAL 427821,S200000,05600,0100,WICHITA 427821,S200000,05600,0200,KS 427821,S200000,05600,0300,67203 427824,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427824,A000000,00300,0000,0300EMPLOYEE BENEFITS 427824,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427824,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427824,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427824,A000000,00700,0000,0700HOUSEKEEPING 427824,A000000,00800,0000,0800DIETARY 427824,A000000,00900,0000,0900NURSING ADMINISTRATION 427824,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427824,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427824,A000000,01300,0000,1300SOCIAL SERVICE 427824,A000000,01500,0000,1350OTHER GENERAL SERVICES 427824,A000000,01600,0000,1600SKILLED NURSING FACILITY 427824,A000000,01800,0000,1800NURSING FACILITY 427824,A000000,01810,0000,1810ICF/MR 427824,A000000,01900,0000,1900OTHER LONG TERM CARE 427824,A000000,02100,0000,2100RADIOLOGY 427824,A000000,02200,0000,2200LABORATORY 427824,A000000,02300,0000,2300INTRAVENOUS THERAPY 427824,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427824,A000000,02500,0000,2500PHYSICAL THERAPY 427824,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427824,A000000,02700,0000,2700SPEECH PATHOLOGY 427824,A000000,02800,0000,2800ELECTROCARDIOLOGY 427824,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427824,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427824,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427824,A000000,03200,0000,3200SUPPORT SURFACES 427824,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427824,A000000,03400,0000,3400CLINIC 427824,A000000,03500,0000,3500RURAL HEALTH CLINIC 427824,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427824,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427824,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427824,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427824,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427824,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427824,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427824,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427824,A000000,04400,0000,4400DME RENTED - HHA 427824,A000000,04500,0000,4500DME SOLD - HHA 427824,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427824,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427824,A000000,04710,0000,4710TELEMEDICINE 427824,A000000,04800,0000,4800AMBULANCE 427824,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427824,A000000,05000,0000,5000CORF 427824,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427824,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427824,A000000,05300,0000,5300INTEREST EXPENSE 427824,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427824,A000000,05500,0000,5500HOSPICE 427824,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427824,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427824,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427824,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427824,A000000,06100,0000,6100NONPAID WORKERS 427824,A000000,06200,0000,6200PATIENTS LAUNDRY 427824,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427824,A81000A,00100,0100,Y 427824,A81000B,00100,0300,HOME OFFICE COSTS 427824,A81000B,00200,0300,HOME OFFICE COSTS 427824,A81000B,00300,0300,ADMINISTRATIVE COSTS 427824,A81000B,00400,0300,PHARMACY COSTS 427824,A81000B,00600,0300,DEPRECIATION EXPENSE 427824,A81000B,00700,0300,DIETARY 427824,A81000B,00800,0300,NURSING SERVICES 427824,A81000B,00900,0300,PLANT/MAINTENANCE 427824,A81000B,01000,0300,NURSING ALLOCATION 427824,A81000B,01100,0300,EQUIPMENT LEASE 427824,A81000B,01200,0300,INTEREST EXPENSE 427824,A81000B,01300,0300,CNA TRAINING 427824,A81000B,01400,0300,INFORMATION TECHNOLOGY 427824,A81000B,01500,0300,LABOR COSTS/SALARIES 427824,A81000C,00100,0100,G 427824,A81000C,00100,0200,ALLEN KILGORE 427824,A81000C,00100,0400,CORNERSTONE HEALTH CARE 427824,A81000C,00100,0600,MANAGEMENT COMPANY 427824,A81000C,00200,0100,G 427824,A81000C,00200,0200,ALLEN KILGORE 427824,A81000C,00200,0400,CORNERSTONE PROP INV II 427824,A81000C,00200,0600,EQUIPMENT LEASE 427824,A81000C,00300,0100,G 427824,A81000C,00300,0200,ALLEN KILGORE 427824,A81000C,00300,0400,CENTRAL HEALTH CORP 427824,A81000C,00300,0600,PERSONNEL 427824,A81000C,00400,0100,G 427824,A81000C,00400,0200,ALLEN KILGORE 427824,A81000C,00400,0400,CHC PERSONNEL SERVICES 427824,A81000C,00400,0600,EQUIPMENT LEASE 427824,A81000C,00500,0100,G 427824,A81000C,00500,0200,ALLEN KILGORE 427824,A81000C,00500,0400,CHRISTIAN HC PHARMACY 427824,A81000C,00500,0600,PHARMACY 427824,A81000C,00600,0100,G 427824,A81000C,00600,0200,ALLEN KILGORE 427824,A81000C,00600,0400,ENFORMIX TECHNOLOGY SRVCS 427824,A81000C,00600,0600,INFORMATION TECHNOLOGY 427824,A81000C,03100,0000,CONTRACT RELATIONSHIP 427824,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427824,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427824,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427824,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427824,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427824,B100000,00000,0700,0750SQ FT CLEANED :HOUSEKEEPING 427824,B100000,00000,0800,0800MEALS SERVED :DIETARY 427824,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427824,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427824,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 427824,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 427824,S000000,00100,0200,02/28/12 427824,S200000,00100,0100,3535 EAST CHEROKEE 427824,S200000,00200,0100,SPRINGFIELD 427824,S200000,00200,0200,MO 427824,S200000,00200,0300,65809 427824,S200000,00300,0100,GREENE 427824,S200000,00300,0200,7920 427824,S200000,00300,0201,44180 427824,S200000,00300,0300,U 427824,S200000,00400,0100,CHRISTIAN HEALTH CARE OF SPFD EAST 427824,S200000,00400,0200,265473 427824,S200000,00400,0300,10/28/91 427824,S200000,00400,0500,P 427824,S200000,01500,0100,Y 427824,S200000,01501,0200,Y 427824,S200000,01502,0200,Y 427824,S200000,01503,0200,N 427824,S200000,01504,0200,Y 427824,S200000,01600,0100,N 427824,S200000,01700,0100,N 427824,S200000,01800,0100,N 427824,S200000,02200,0100,N 427824,S200000,02800,0100,Y 427824,S200000,02900,0100,N 427824,S200000,03000,0100,N 427824,S200000,03100,0100,N 427824,S200000,03200,0100,N 427824,S200000,03300,0100,N 427824,S200000,03300,0200,N 427824,S200000,04100,0100,N 427824,S200000,04200,0100,N 427824,S200000,04300,0100,N 427824,S200000,04600,0100,N 427824,S200000,04700,0100,N 427824,S200000,04700,0200,N 427824,S200000,04900,0100,N 427824,S200000,05000,0100,N 427824,S200000,05100,0100,N 427824,S200000,05200,0100,N 427824,S200000,05300,0100,Y 427824,S200000,05300,0200,H57160 427824,S200000,05400,0100,CORNERSTONE HEALTH CARE INC 427824,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 427824,S200000,05400,0300,00020 427824,S200000,05500,0100,222 SOUTH FIRST STREET 427824,S200000,05600,0100,ROGERS 427824,S200000,05600,0200,AR 427824,S200000,05600,0300,72756 427825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427825,A000000,00300,0000,0300EMPLOYEE BENEFITS 427825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427825,A000000,00700,0000,0700HOUSEKEEPING 427825,A000000,00800,0000,0800DIETARY 427825,A000000,00900,0000,0900NURSING ADMINISTRATION 427825,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427825,A000000,01100,0000,1100PHARMACY 427825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427825,A000000,01300,0000,1300SOCIAL SERVICE 427825,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427825,A000000,01500,0000,1350OTHER GENERAL SERVICES 427825,A000000,01600,0000,1600SKILLED NURSING FACILITY 427825,A000000,01800,0000,1800NURSING FACILITY 427825,A000000,01810,0000,1810ICF/MR 427825,A000000,01900,0000,1900OTHER LONG TERM CARE 427825,A000000,02100,0000,2100RADIOLOGY 427825,A000000,02200,0000,2200LABORATORY 427825,A000000,02300,0000,2300INTRAVENOUS THERAPY 427825,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427825,A000000,02500,0000,2500PHYSICAL THERAPY 427825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427825,A000000,02700,0000,2700SPEECH PATHOLOGY 427825,A000000,02800,0000,2800ELECTROCARDIOLOGY 427825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427825,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427825,A000000,03200,0000,3200SUPPORT SURFACES 427825,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427825,A000000,03400,0000,3400CLINIC 427825,A000000,03500,0000,3500RURAL HEALTH CLINIC 427825,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427825,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427825,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427825,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427825,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427825,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427825,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427825,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427825,A000000,04400,0000,4400DME RENTED - HHA 427825,A000000,04500,0000,4500DME SOLD - HHA 427825,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427825,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427825,A000000,04710,0000,4710TELEMEDICINE 427825,A000000,04800,0000,4800AMBULANCE 427825,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427825,A000000,05000,0000,5000CORF 427825,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427825,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427825,A000000,05300,0000,5300INTEREST EXPENSE 427825,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427825,A000000,05500,0000,5500HOSPICE 427825,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427825,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427825,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427825,A000000,06100,0000,6100NONPAID WORKERS 427825,A000000,06200,0000,6200PATIENTS LAUNDRY 427825,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427825,A81000A,00100,0100,Y 427825,A81000B,00100,0300,PT 427825,A81000B,00200,0300,OT 427825,A81000B,00300,0300,ST 427825,A81000B,00400,0300,A&G 427825,A81000B,00500,0300,A&G 427825,A81000B,00600,0300,DIETARY 427825,A81000B,00700,0300,CAPITAL 427825,A81000B,00800,0300,PLANT 427825,A81000B,00900,0300,LAUNDRY 427825,A81000B,01000,0300,HOUSEKEEPING 427825,A81000B,01100,0300,DIETARY 427825,A81000B,01200,0300,PHARMACY 427825,A81000B,01300,0300,SNF 427825,A81000B,01400,0300,PT 427825,A81000B,01500,0300,OT 427825,A81000B,01600,0300,MEDICAL SUPPLIES 427825,A81000B,01700,0300,PHARMACY 427825,A81000B,01800,0300,PHARMACY 427825,A81000B,01900,0300,MEDICAL RECORDS 427825,A81000B,02000,0300,DRUGS CHARGED 427825,A81000C,00100,0100,G 427825,A81000C,00100,0200,INTEGRA REHAB 427825,A81000C,00200,0100,G 427825,A81000C,00200,0200,INTEGRA REHAB 427825,A81000C,00300,0100,G 427825,A81000C,00300,0200,INTEGRA REHAB 427825,A81000C,00400,0100,G 427825,A81000C,00400,0200,CLINICAL SERVICES INC. 427825,A81000C,00500,0100,G 427825,A81000C,00500,0200,CLINICAL SERVICES INC. 427825,A81000C,00600,0100,G 427825,A81000C,00600,0200,CLINICAL SERVICES INC. 427825,A81000C,00700,0100,G 427825,A81000C,00700,0200,CLINICAL SERVICES INC. 427825,A81000C,00800,0100,G 427825,A81000C,00800,0200,ECP DISTRIBUTORS 427825,A81000C,00900,0100,G 427825,A81000C,00900,0200,ECP DISTRIBUTORS 427825,A81000C,01000,0100,G 427825,A81000C,01000,0200,ECP DISTRIBUTORS 427825,A81000C,01001,0100,G 427825,A81000C,01001,0200,ECP DISTRIBUTORS 427825,A81000C,01002,0100,G 427825,A81000C,01002,0200,ECP DISTRIBUTORS 427825,A81000C,01003,0100,G 427825,A81000C,01003,0200,ECP DISTRIBUTORS 427825,A81000C,01004,0100,G 427825,A81000C,01004,0200,ECP DISTRIBUTORS 427825,A81000C,01005,0100,G 427825,A81000C,01005,0200,ECP DISTRIBUTORS 427825,A81000C,01006,0100,G 427825,A81000C,01006,0200,ECP DISTRIBUTORS 427825,A81000C,01007,0100,G 427825,A81000C,01007,0200,ELDER CARE PHARMACY 427825,A81000C,01008,0100,G 427825,A81000C,01008,0200,ELDER CARE PHARMACY 427825,A81000C,01009,0100,G 427825,A81000C,01009,0200,ELDER CARE PHARMACY 427825,A81000C,01010,0100,G 427825,A81000C,01010,0200,ELDER CARE PHARMACY 427825,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427825,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427825,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427825,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427825,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427825,B100000,00000,0800,0800MEALS SERVED :DIETARY 427825,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427825,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427825,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427825,E10A180,00301,0100,10/31/11 427825,G300000,02500,0000,MISCELLANEOUS REVENUE 427825,G300000,02501,0000,GAIN ON SALE OF ASSETS 427825,S000000,00100,0200,04/02/12 427825,S200000,00100,0100,P.O. BOX 1869 427825,S200000,00100,0300,1869 427825,S200000,00200,0100,CARTERSVILLE 427825,S200000,00200,0200,GA 427825,S200000,00200,0300,30120-1682 427825,S200000,00300,0100,BARTOW 427825,S200000,00300,0200,0520 427825,S200000,00300,0201,12060 427825,S200000,00300,0300,U 427825,S200000,00400,0100,CARTERSVILLE HEALTH & REHABILITATION 427825,S200000,00400,0200,115461 427825,S200000,00400,0300,11/27/89 427825,S200000,00400,0500,P 427825,S200000,01500,0100,Y 427825,S200000,01501,0200,Y 427825,S200000,01600,0100,N 427825,S200000,01700,0100,N 427825,S200000,01800,0100,N 427825,S200000,02200,0100,N 427825,S200000,02800,0100,N 427825,S200000,02900,0100,N 427825,S200000,03000,0100,N 427825,S200000,03100,0100,N 427825,S200000,03200,0100,N 427825,S200000,03300,0100,N 427825,S200000,03300,0200,N 427825,S200000,04100,0100,N 427825,S200000,04200,0100,N 427825,S200000,04300,0100,N 427825,S200000,04600,0100,N 427825,S200000,04700,0100,N 427825,S200000,04700,0200,N 427825,S200000,04900,0100,N 427825,S200000,05000,0100,N 427825,S200000,05100,0100,N 427825,S200000,05200,0100,N 427849,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 427849,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 427849,A000000,00300,0000,0300EMPLOYEE BENEFITS 427849,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427849,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 427849,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427849,A000000,00700,0000,0700HOUSEKEEPING 427849,A000000,00800,0000,0800DIETARY 427849,A000000,00900,0000,0900NURSING ADMINISTRATION 427849,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427849,A000000,01100,0000,1100PHARMACY 427849,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427849,A000000,01300,0000,1300SOCIAL SERVICE 427849,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 427849,A000000,01500,0000,1350RECREATION 427849,A000000,01600,0000,1600SKILLED NURSING FACILITY 427849,A000000,01810,0000,1810ICF/MR 427849,A000000,02100,0000,2100RADIOLOGY 427849,A000000,02200,0000,2200LABORATORY 427849,A000000,02300,0000,2300INTRAVENOUS THERAPY 427849,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427849,A000000,02500,0000,2500PHYSICAL THERAPY 427849,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427849,A000000,02700,0000,2700SPEECH PATHOLOGY 427849,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427849,A000000,03550,0000,3550FQHC 427849,A000000,04801,0000,4801AMBULANCE 427849,A000000,04802,0000,4802AMBULANCE 427849,A000000,04803,0000,4803AMBULANCE 427849,A000000,05000,0000,5000CORF 427849,A000000,05010,0000,5010CMHC 427849,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427849,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427849,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427849,A81000A,00100,0100,Y 427849,A81000B,00100,0300,SEE ATTACHED 427849,A81000B,00200,0300,HOME OFFICE INTEREST 427849,A81000B,00300,0300,HOME OFFICE ADMIN 427849,A81000B,00400,0300,HOME OFFICE CAPITAL 427849,A81000C,00100,0100,B 427849,A81000C,00100,0400,SEE ATTACHED 427849,A81000C,00100,0600,VARIOUS 427849,A81000C,00200,0100,B 427849,A81000C,00200,0400,GHC 427849,A81000C,00200,0600,LONG TERM CARE 427849,A81000C,00300,0100,B 427849,A81000C,00300,0400,GHC 427849,A81000C,00300,0600,LONG TERM CARE 427849,A81000C,00400,0100,B 427849,A81000C,00400,0400,GHC 427849,A81000C,00400,0600,LONG TERM CARE 427849,B100000,00000,0100,0100SQUARE FEET 427849,B100000,00000,0200,0200SQUARE FEET 427849,B100000,00000,0300,0300GROSS SALARIES 427849,B100000,00000,0400,0400ACCUM COST 427849,B100000,00000,0500,0500SQUARE FEET 427849,B100000,00000,0600,0600PATIENT DAYS 427849,B100000,00000,0700,0700SQUARE FEET 427849,B100000,00000,0800,0800MEALS SERVED 427849,B100000,00000,0900,0900NURSING SALARIES 427849,B100000,00000,1000,1000COSTED REQUIS 427849,B100000,00000,1100,1100COSTED REQUIS 427849,B100000,00000,1200,1200PATIENT DAYS 427849,B100000,00000,1300,1300PATIENT DAYS 427849,B100000,00000,1400,1400ASSIGNED TIME 427849,B100000,00000,1500,1350PATIENT DAYS 427849,S000000,00100,0200,02/27/12 427849,S200000,00100,0100,9 HAYWOOD AVENUE 427849,S200000,00200,0100,RUTLAND 427849,S200000,00200,0200,VT 427849,S200000,00200,0300,05701 427849,S200000,00300,0100,RUTLAND 427849,S200000,00300,0201,99947 427849,S200000,00300,0300,R 427849,S200000,00400,0100,MOUNTAIN VIEW CENTER 427849,S200000,00400,0200,475012 427849,S200000,00400,0300,01/01/75 427849,S200000,00400,0500,P 427849,S200000,01500,0100,Y 427849,S200000,01501,0200,Y 427849,S200000,01502,0200,N 427849,S200000,01503,0200,Y 427849,S200000,01504,0200,N 427849,S200000,01600,0100,N 427849,S200000,01700,0100,N 427849,S200000,01800,0100,N 427849,S200000,01900,0100,LLC 427849,S200000,02200,0100,Y 427849,S200000,02800,0100,N 427849,S200000,02900,0100,N 427849,S200000,03000,0100,N 427849,S200000,03100,0100,N 427849,S200000,03200,0100,N 427849,S200000,03300,0100,N 427849,S200000,03300,0200,N 427849,S200000,04200,0100,N 427849,S200000,04300,0100,N 427849,S200000,04600,0100,N 427849,S200000,04700,0100,N 427849,S200000,04900,0100,N 427849,S200000,05200,0100,N 427849,S200000,05300,0100,Y 427849,S200000,05300,0200,HB0067 427849,S200000,05400,0100,GENESIS HEALTHCARE LLC 427849,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 427849,S200000,05400,0300,12001 427849,S200000,05500,0100,101 EAST STATE STREET 427849,S200000,05600,0100,KENNETT SQUARE 427849,S200000,05600,0200,PA 427849,S200000,05600,0300,19348 427856,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427856,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427856,A000000,00300,0000,0300EMPLOYEE BENEFITS 427856,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427856,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427856,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427856,A000000,00700,0000,0700HOUSEKEEPING 427856,A000000,00800,0000,0800DIETARY 427856,A000000,00900,0000,0900NURSING ADMINISTRATION 427856,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427856,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427856,A000000,01300,0000,1300SOCIAL SERVICE 427856,A000000,01301,0000,1301ACTIVITES 427856,A000000,01500,0000,1350REHABILITATION 427856,A000000,01600,0000,1600SKILLED NURSING FACILITY 427856,A000000,01800,0000,1800NURSING FACILITY 427856,A000000,01900,0000,1900OTHER LONG TERM CARE 427856,A000000,02100,0000,2100RADIOLOGY 427856,A000000,02200,0000,2200LABORATORY 427856,A000000,02300,0000,2300INTRAVENOUS THERAPY 427856,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427856,A000000,02500,0000,2500PHYSICAL THERAPY 427856,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427856,A000000,02700,0000,2700SPEECH PATHOLOGY 427856,A000000,02800,0000,2800ELECTROCARDIOLOGY 427856,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427856,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427856,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427856,A000000,03200,0000,3200SUPPORT SURFACES 427856,A000000,03300,0000,3050EQUIPMENT RENTAL 427856,A000000,03301,0000,3051PEN THERAPY 427856,A000000,04800,0000,4800AMBULANCE 427856,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427856,A000000,05300,0000,5300INTEREST EXPENSE 427856,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427856,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427856,A000000,06200,0000,6200PATIENTS LAUNDRY 427856,A000000,06300,0000,6150VENDING 427856,A000000,06301,0000,6151OTHER NONREIMBURSABLE 427856,A81000A,00100,0100,Y 427856,A81000B,00100,0300,HOME OFFICE COST 427856,A81000C,00100,0100,B 427856,A81000C,00100,0200,FAIRVIEW H & R 427856,A81000C,00100,0400,SSC EQUITY HOLD 427856,A81000C,00100,0600,NSG HOMES 427856,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427856,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427856,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427856,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427856,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427856,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427856,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427856,B100000,00000,0800,0800MEALS SERVED :DIETARY 427856,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427856,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427856,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427856,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427856,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 427856,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 427856,E10A180,00302,0100,04/22/11 427856,S000000,00100,0200,02/24/12 427856,S200000,00100,0100,1028 BESSEMER ROAD 427856,S200000,00200,0100,BIRMINGHAM 427856,S200000,00200,0200,AL 427856,S200000,00200,0300,35228 427856,S200000,00300,0100,JEFFERSON 427856,S200000,00300,0300,U 427856,S200000,00400,0100,FAIRVIEW HEALTH & REHAB CTR 427856,S200000,00400,0200,015303 427856,S200000,00400,0300,02/01/73 427856,S200000,00400,0500,P 427856,S200000,01500,0100,Y 427856,S200000,01501,0200,Y 427856,S200000,01502,0200,Y 427856,S200000,01504,0200,Y 427856,S200000,01600,0100,N 427856,S200000,01700,0100,N 427856,S200000,01800,0100,N 427856,S200000,02200,0100,Y 427856,S200000,02800,0100,N 427856,S200000,02900,0100,N 427856,S200000,03000,0100,N 427856,S200000,03100,0100,N 427856,S200000,03200,0100,N 427856,S200000,03300,0100,N 427856,S200000,03300,0200,N 427856,S200000,04100,0100,N 427856,S200000,04200,0100,N 427856,S200000,04300,0100,N 427856,S200000,04600,0100,N 427856,S200000,04700,0100,N 427856,S200000,04700,0200,N 427856,S200000,04900,0100,N 427856,S200000,05000,0100,N 427856,S200000,05100,0100,N 427856,S200000,05200,0100,N 427856,S200000,05300,0100,Y 427856,S200000,05300,0200,219023 427856,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 427856,S200000,05400,0200,TRAILBLAZER 427856,S200000,05400,0300,04901 427856,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 427856,S200000,05600,0100,HOUSTON 427856,S200000,05600,0200,TX 427856,S200000,05600,0300,77041 427896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427896,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427896,A000000,00300,0000,0300EMPLOYEE BENEFITS 427896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427896,A000000,00700,0000,0700HOUSEKEEPING 427896,A000000,00800,0000,0800DIETARY 427896,A000000,00900,0000,0900NURSING ADMINISTRATION 427896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427896,A000000,01300,0000,1300SOCIAL SERVICE 427896,A000000,01301,0000,1301ACTIVITES 427896,A000000,01500,0000,1350REHABILITATION 427896,A000000,01600,0000,1600SKILLED NURSING FACILITY 427896,A000000,01800,0000,1800NURSING FACILITY 427896,A000000,01900,0000,1900OTHER LONG TERM CARE 427896,A000000,02100,0000,2100RADIOLOGY 427896,A000000,02200,0000,2200LABORATORY 427896,A000000,02300,0000,2300INTRAVENOUS THERAPY 427896,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427896,A000000,02500,0000,2500PHYSICAL THERAPY 427896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427896,A000000,02700,0000,2700SPEECH PATHOLOGY 427896,A000000,02800,0000,2800ELECTROCARDIOLOGY 427896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427896,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427896,A000000,03200,0000,3200SUPPORT SURFACES 427896,A000000,03300,0000,3050EQUIPMENT RENTAL 427896,A000000,03301,0000,3051PEN THERAPY 427896,A000000,04800,0000,4800AMBULANCE 427896,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427896,A000000,05300,0000,5300INTEREST EXPENSE 427896,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427896,A000000,06200,0000,6200PATIENTS LAUNDRY 427896,A000000,06300,0000,6150VENDING 427896,A000000,06301,0000,6151OTHER NONREIMBURSABLE 427896,A81000A,00100,0100,Y 427896,A81000B,00100,0300,HOME OFFICE COST 427896,A81000C,00100,0100,B 427896,A81000C,00100,0200,KOUNTZE NRSG CT 427896,A81000C,00100,0400,SSC EQUITY HOLD 427896,A81000C,00100,0600,NSG HOMES 427896,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427896,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427896,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427896,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427896,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427896,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427896,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427896,B100000,00000,0800,0800MEALS SERVED :DIETARY 427896,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427896,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427896,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427896,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427896,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 427896,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 427896,S000000,00100,0200,02/10/12 427896,S200000,00100,0100,604 FARM RD 1293 427896,S200000,00200,0100,KOUNTZE 427896,S200000,00200,0200,TX 427896,S200000,00200,0300,77625 427896,S200000,00300,0100,HARDIN 427896,S200000,00300,0300,U 427896,S200000,00400,0100,KOUNTZE NURSING CENTER 427896,S200000,00400,0200,455594 427896,S200000,00400,0300,10/23/85 427896,S200000,00400,0500,P 427896,S200000,01500,0100,Y 427896,S200000,01501,0200,Y 427896,S200000,01502,0200,N 427896,S200000,01504,0200,N 427896,S200000,01600,0100,N 427896,S200000,01700,0100,N 427896,S200000,01800,0100,N 427896,S200000,02200,0100,Y 427896,S200000,02800,0100,N 427896,S200000,02900,0100,N 427896,S200000,03000,0100,N 427896,S200000,03100,0100,N 427896,S200000,03200,0100,N 427896,S200000,03300,0100,N 427896,S200000,03300,0200,N 427896,S200000,04100,0100,N 427896,S200000,04200,0100,N 427896,S200000,04300,0100,N 427896,S200000,04600,0100,N 427896,S200000,04700,0100,N 427896,S200000,04700,0200,N 427896,S200000,04900,0100,N 427896,S200000,05000,0100,N 427896,S200000,05100,0100,N 427896,S200000,05200,0100,N 427896,S200000,05300,0100,Y 427896,S200000,05300,0200,219023 427896,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 427896,S200000,05400,0200,TRAILBLAZER 427896,S200000,05400,0300,04901 427896,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 427896,S200000,05600,0100,HOUSTON 427896,S200000,05600,0200,TX 427896,S200000,05600,0300,77041 427902,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427902,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427902,A000000,00300,0000,0300EMPLOYEE BENEFITS 427902,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427902,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427902,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427902,A000000,00700,0000,0700HOUSEKEEPING 427902,A000000,00800,0000,0800DIETARY 427902,A000000,00900,0000,0900NURSING ADMINISTRATION 427902,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427902,A000000,01100,0000,1100PHARMACY 427902,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427902,A000000,01300,0000,1300SOCIAL SERVICE 427902,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427902,A000000,01500,0000,1350RECREATION ACTIVITIES 427902,A000000,01600,0000,1600SKILLED NURSING FACILITY 427902,A000000,01810,0000,1810ICF/MR 427902,A000000,02100,0000,2100RADIOLOGY 427902,A000000,02200,0000,2200LABORATORY 427902,A000000,02500,0000,2500PHYSICAL THERAPY 427902,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427902,A000000,02700,0000,2700SPEECH PATHOLOGY 427902,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427902,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427902,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 427902,A000000,03301,0000,3051ENTERAL FEEDING 427902,A000000,03550,0000,3550FQHC 427902,A000000,05000,0000,5000CORF 427902,A000000,05010,0000,5010CMHC 427902,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427902,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427902,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427902,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427902,A000000,06300,0000,6150ENTERSTOMAL THERAPY 427902,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 427902,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 427902,A000000,06312,0000,6153DIALYSIS 427902,A000000,06320,0000,6154APARTMENTS 427902,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 427902,A000000,06340,0000,6156CLOSED PATIENT AREAS 427902,A000000,06350,0000,6157O/P ADULT DAYCARE 427902,A000000,06360,0000,6158MARKETING 427902,A81000A,00100,0100,Y 427902,A81000B,00100,0300,RELATED PARTY CAPITAL COST 427902,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 427902,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 427902,A81000C,00100,0100,A 427902,A81000C,00100,0200,FUNDAMENTAL HOL 427902,A81000C,00100,0400,FAS FCC FCOS 427902,A81000C,00100,0600,SUPPORT SERVICE 427902,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 427902,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 427902,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427902,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 427902,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 427902,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 427902,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 427902,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 427902,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 427902,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 427902,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 427902,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 427902,G300000,02506,0000,INTEREST INCOME PATIENT A/R 427902,S000000,00100,0200,02/22/12 427902,S200000,00100,0100,3103 AIRLINE DRIVE 427902,S200000,00200,0100,VICTORIA 427902,S200000,00200,0200,TX 427902,S200000,00200,0300,77901 427902,S200000,00300,0100,VICTORIA 427902,S200000,00300,0201,47020 427902,S200000,00300,0300,U 427902,S200000,00400,0100,RETAMA MANOR VICTORIA SOUTH 427902,S200000,00400,0200,455726 427902,S200000,00400,0300,11/30/87 427902,S200000,00400,0500,P 427902,S200000,00400,0600,O 427902,S200000,01500,0100,Y 427902,S200000,01501,0200,Y 427902,S200000,01502,0200,Y 427902,S200000,01503,0200,Y 427902,S200000,01504,0200,Y 427902,S200000,01600,0100,N 427902,S200000,01700,0100,N 427902,S200000,01800,0100,N 427902,S200000,01900,0100,LLC 427902,S200000,02200,0100,N 427902,S200000,02800,0100,N 427902,S200000,02900,0100,N 427902,S200000,03000,0100,N 427902,S200000,03100,0100,N 427902,S200000,03200,0100,N 427902,S200000,03300,0100,N 427902,S200000,03300,0200,N 427902,S200000,04100,0100,N 427902,S200000,04200,0100,N 427902,S200000,04300,0100,N 427902,S200000,04600,0100,N 427902,S200000,04700,0100,N 427902,S200000,04700,0200,N 427902,S200000,04900,0100,N 427902,S200000,05000,0100,N 427902,S200000,05100,0100,N 427902,S200000,05200,0100,N 427902,S200000,05300,0100,Y 427906,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427906,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427906,A000000,00300,0000,0300EMPLOYEE BENEFITS 427906,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427906,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427906,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427906,A000000,00700,0000,0700HOUSEKEEPING 427906,A000000,00800,0000,0800DIETARY 427906,A000000,00900,0000,0900NURSING ADMINISTRATION 427906,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427906,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427906,A000000,01300,0000,1300SOCIAL SERVICE 427906,A000000,01301,0000,1301ACTIVITES 427906,A000000,01500,0000,1350REHABILITATION 427906,A000000,01600,0000,1600SKILLED NURSING FACILITY 427906,A000000,01800,0000,1800NURSING FACILITY 427906,A000000,01900,0000,1900OTHER LONG TERM CARE 427906,A000000,02100,0000,2100RADIOLOGY 427906,A000000,02200,0000,2200LABORATORY 427906,A000000,02300,0000,2300INTRAVENOUS THERAPY 427906,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427906,A000000,02500,0000,2500PHYSICAL THERAPY 427906,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427906,A000000,02700,0000,2700SPEECH PATHOLOGY 427906,A000000,02800,0000,2800ELECTROCARDIOLOGY 427906,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427906,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427906,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427906,A000000,03200,0000,3200SUPPORT SURFACES 427906,A000000,03300,0000,3050EQUIPMENT RENTAL 427906,A000000,03301,0000,3051PEN THERAPY 427906,A000000,04800,0000,4800AMBULANCE 427906,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427906,A000000,05300,0000,5300INTEREST EXPENSE 427906,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427906,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427906,A000000,06200,0000,6200PATIENTS LAUNDRY 427906,A000000,06300,0000,6150VENDING 427906,A000000,06301,0000,6151OTHER NONREIMBURSABLE 427906,A81000A,00100,0100,Y 427906,A81000B,00100,0300,HOME OFFICE COST 427906,A81000C,00100,0100,B 427906,A81000C,00100,0200,SHERIDAN MANOR 427906,A81000C,00100,0400,SSC EQUITY HOLD 427906,A81000C,00100,0600,NSG HOMES 427906,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427906,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427906,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427906,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427906,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427906,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427906,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427906,B100000,00000,0800,0800MEALS SERVED :DIETARY 427906,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427906,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427906,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427906,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427906,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 427906,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 427906,E10A180,00302,0100,05/06/11 427906,G300000,02500,0000, OTHER (SPECIFY) 427906,S000000,00100,0200,02/24/12 427906,S200000,00100,0100,1851 BIG HORN AVENUE 427906,S200000,00200,0100,SHERIDAN 427906,S200000,00200,0200,WY 427906,S200000,00200,0300,82801 427906,S200000,00300,0100,SHERIDAN 427906,S200000,00300,0300,R 427906,S200000,00400,0100,SHERIDAN MANOR 427906,S200000,00400,0200,535026 427906,S200000,00400,0300,01/01/85 427906,S200000,00400,0500,P 427906,S200000,01500,0100,Y 427906,S200000,01501,0200,Y 427906,S200000,01502,0200,Y 427906,S200000,01504,0200,Y 427906,S200000,01600,0100,N 427906,S200000,01700,0100,N 427906,S200000,01800,0100,N 427906,S200000,02200,0100,Y 427906,S200000,02800,0100,N 427906,S200000,02900,0100,N 427906,S200000,03000,0100,N 427906,S200000,03100,0100,N 427906,S200000,03200,0100,N 427906,S200000,03300,0100,N 427906,S200000,03300,0200,N 427906,S200000,04100,0100,N 427906,S200000,04200,0100,N 427906,S200000,04300,0100,N 427906,S200000,04600,0100,N 427906,S200000,04700,0100,N 427906,S200000,04700,0200,N 427906,S200000,04900,0100,N 427906,S200000,05000,0100,N 427906,S200000,05100,0100,N 427906,S200000,05200,0100,N 427906,S200000,05300,0100,Y 427906,S200000,05300,0200,219023 427906,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 427906,S200000,05400,0200,TRAILBLAZER 427906,S200000,05400,0300,04901 427906,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 427906,S200000,05600,0100,HOUSTON 427906,S200000,05600,0200,TX 427906,S200000,05600,0300,77041 427925,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427925,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427925,A000000,00300,0000,0300EMPLOYEE BENEFITS 427925,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427925,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427925,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427925,A000000,00700,0000,0700HOUSEKEEPING 427925,A000000,00800,0000,0800DIETARY 427925,A000000,00900,0000,0900NURSING ADMINISTRATION 427925,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427925,A000000,01100,0000,1100PHARMACY 427925,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427925,A000000,01300,0000,1300SOCIAL SERVICE 427925,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427925,A000000,01500,0000,1350ACTIVITIES 427925,A000000,01600,0000,1600SKILLED NURSING FACILITY 427925,A000000,01810,0000,1810ICF/MR 427925,A000000,02100,0000,2100RADIOLOGY 427925,A000000,02200,0000,2200LABORATORY 427925,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427925,A000000,02500,0000,2500PHYSICAL THERAPY 427925,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427925,A000000,02700,0000,2700SPEECH PATHOLOGY 427925,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427925,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427925,A000000,03550,0000,3550FQHC 427925,A000000,04800,0000,4800AMBULANCE 427925,A000000,05000,0000,5000CORF 427925,A000000,05010,0000,5010CMHC 427925,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427925,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427925,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427925,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427925,A000000,06300,0000,6150NON-REIMBURSABLE 427925,A81000A,00100,0100,Y 427925,A81000B,00100,0300,HO A&G 427925,A81000B,00200,0300,HO INTEREST 427925,A81000B,00300,0300,HO BLDG 427925,A81000B,00400,0300,PT 427925,A81000B,00500,0300,OT 427925,A81000B,00600,0300,ST 427925,A81000B,00700,0300,DIETARY 427925,A81000B,00800,0300,SKILLED NRSG 427925,A81000B,00900,0300,RT 427925,A81000B,01000,0300,MED SUPPLIES 427925,A81000B,01100,0300,ADMINISTRATIVE 427925,A81000C,00100,0100,B 427925,A81000C,00100,0200,GENESIS HEALTH 427925,A81000C,00100,0600,MANAGEMENT COMP 427925,A81000C,00200,0100,B 427925,A81000C,00200,0200,GENESIS HEALTH 427925,A81000C,00200,0600,MANAGEMENT COMP 427925,A81000C,00300,0100,B 427925,A81000C,00300,0200,GENESIS HEALTH 427925,A81000C,00300,0600,MANAGEMENT COMP 427925,A81000C,00400,0100,B 427925,A81000C,00400,0200,GENESIS REHAB 427925,A81000C,00400,0400,GENESIS HEALTH 427925,A81000C,00400,0600,REHAB SERVICES 427925,A81000C,00500,0100,B 427925,A81000C,00500,0200,GENESIS REHAB 427925,A81000C,00500,0400,GENESIS HEALTH 427925,A81000C,00500,0600,REHAB SERVICES 427925,A81000C,00600,0100,B 427925,A81000C,00600,0200,GENESIS REHAB 427925,A81000C,00600,0400,GENESIS HEALTH 427925,A81000C,00600,0600,REHAB SERVICES 427925,A81000C,00700,0100,B 427925,A81000C,00700,0200,GENESIS HOSPITA 427925,A81000C,00700,0400,GENESIS HEALTH 427925,A81000C,00700,0600,CONSULTING SERV 427925,A81000C,00800,0100,B 427925,A81000C,00800,0200,RESPIRATORY HEA 427925,A81000C,00800,0400,GENESIS HEALTH 427925,A81000C,00800,0600,RESPIRATORY THE 427925,A81000C,00900,0100,B 427925,A81000C,00900,0200,RESPIRATORY HEA 427925,A81000C,00900,0400,GENESIS HEALTH 427925,A81000C,00900,0600,RESPIRATORY THE 427925,A81000C,01000,0100,B 427925,A81000C,01000,0200,RESPIRATORY HEA 427925,A81000C,01000,0400,GENESIS HEALTH 427925,A81000C,01000,0600,RESPIRATORY THE 427925,A81000C,01001,0100,B 427925,A81000C,01001,0200,GENESIS PHYSICI 427925,A81000C,01001,0400,GENESIS HEALTH 427925,A81000C,01001,0600,MEDICAL DIRECTO 427925,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427925,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427925,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427925,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427925,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427925,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427925,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427925,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427925,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427925,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427925,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427925,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 427925,E10A180,00550,0100,01/18/12 427925,G300000,02500,0000,MISCELLANEOUS INCOME 427925,S000000,00100,0200,01/18/12 427925,S200000,00100,0100,101 13TH STREET 427925,S200000,00200,0100,HUNTINGTON 427925,S200000,00200,0200,WV 427925,S200000,00200,0300,25701 427925,S200000,00300,0100,CABELL 427925,S200000,00300,0201,26580 427925,S200000,00300,0300,U 427925,S200000,00400,0100,HERITAGE CENTER 427925,S200000,00400,0200,515060 427925,S200000,00400,0300,01/01/78 427925,S200000,00400,0500,P 427925,S200000,01500,0100,Y 427925,S200000,01502,0200,N 427925,S200000,01504,0200,N 427925,S200000,01505,0000,DON BONUS 427925,S200000,01505,0200,N 427925,S200000,01600,0100,N 427925,S200000,01700,0100,N 427925,S200000,01800,0100,N 427925,S200000,02200,0100,Y 427925,S200000,02800,0100,N 427925,S200000,02900,0100,N 427925,S200000,03000,0100,N 427925,S200000,03100,0100,N 427925,S200000,03200,0100,N 427925,S200000,03300,0100,N 427925,S200000,03300,0200,N 427925,S200000,04100,0100,N 427925,S200000,04200,0100,N 427925,S200000,04300,0100,N 427925,S200000,04600,0100,N 427925,S200000,04700,0100,N 427925,S200000,04700,0200,N 427925,S200000,04900,0100,N 427925,S200000,05000,0100,N 427925,S200000,05100,0100,N 427925,S200000,05200,0100,N 427925,S200000,05300,0100,Y 427925,S200000,05300,0200,HB0067 427925,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 427925,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 427925,S200000,05400,0300,12001 427925,S200000,05500,0100,101 EAST STATE STREET 427925,S200000,05600,0100,KENNETT SQUARE 427925,S200000,05600,0200,PA 427925,S200000,05600,0300,19348 427939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427939,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427939,A000000,00300,0000,0300EMPLOYEE BENEFITS 427939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427939,A000000,00700,0000,0700HOUSEKEEPING 427939,A000000,00800,0000,0800DIETARY 427939,A000000,00900,0000,0900NURSING ADMINISTRATION 427939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427939,A000000,01100,0000,1100PHARMACY 427939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427939,A000000,01300,0000,1300SOCIAL SERVICE 427939,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427939,A000000,01500,0000,1350RECREATION 427939,A000000,01600,0000,1600SKILLED NURSING FACILITY 427939,A000000,01800,0000,1800NURSING FACILITY 427939,A000000,01810,0000,1810ICF/MR 427939,A000000,01900,0000,1900OTHER LONG TERM CARE 427939,A000000,02100,0000,2100RADIOLOGY 427939,A000000,02200,0000,2200LABORATORY 427939,A000000,02300,0000,2300INTRAVENOUS THERAPY 427939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427939,A000000,02500,0000,2500PHYSICAL THERAPY 427939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427939,A000000,02700,0000,2700SPEECH PATHOLOGY 427939,A000000,02800,0000,2800ELECTROCARDIOLOGY 427939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427939,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427939,A000000,03200,0000,3200SUPPORT SURFACES 427939,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427939,A000000,03400,0000,3400CLINIC 427939,A000000,03500,0000,3500RURAL HEALTH CLINIC 427939,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427939,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427939,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427939,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427939,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427939,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427939,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427939,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427939,A000000,04400,0000,4400DME RENTED - HHA 427939,A000000,04500,0000,4500DME SOLD - HHA 427939,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427939,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427939,A000000,04710,0000,4710TELEMEDICINE 427939,A000000,04800,0000,4800AMBULANCE 427939,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427939,A000000,05000,0000,5000CORF 427939,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427939,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427939,A000000,05300,0000,5300INTEREST EXPENSE 427939,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427939,A000000,05500,0000,5500HOSPICE 427939,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427939,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427939,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427939,A000000,06100,0000,6100NONPAID WORKERS 427939,A000000,06200,0000,6200PATIENTS LAUNDRY 427939,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427939,A81000A,00100,0100,Y 427939,A81000B,00100,0300,RENT 427939,A81000B,00200,0300,INTEREST EXPENSE 427939,A81000B,00300,0300,DEPRECIATION EXPENSE 427939,A81000B,00400,0300,MANAGEMENT FEE - ADMIN 427939,A81000B,00500,0300,MANAGEMENT FEE - PROPERTY 427939,A81000B,00600,0300,MANAGEMENT FEE - REHAB IN 427939,A81000B,00700,0300,MANAGEMENT FEE - REHAB OUT 427939,A81000C,00100,0100,A 427939,A81000C,00100,0200,FAROOQ KHAN 427939,A81000C,00100,0400,FALEENA REALTY 427939,A81000C,00100,0600,REALTY 427939,A81000C,00200,0100,A 427939,A81000C,00200,0200,EILEEN KHAN 427939,A81000C,00200,0400,FALEENA REALTY 427939,A81000C,00200,0600,REALTY 427939,A81000C,00300,0100,A 427939,A81000C,00300,0200,ESTATE G TANNOIA 427939,A81000C,00300,0400,FALEENA REALTY 427939,A81000C,00300,0600,REALTY 427939,A81000C,00400,0100,A 427939,A81000C,00400,0200,FAROOQ KHAN 427939,A81000C,00400,0400,MONTOWESE HLTH CARE MGMT 427939,A81000C,00400,0600,MANAGEMENT COMPANY 427939,A81000C,00500,0100,A 427939,A81000C,00500,0200,EILEEN KHAN 427939,A81000C,00500,0400,MONTOWESE HLTH CARE MGMT 427939,A81000C,00500,0600,MANAGEMENT COMPANY 427939,A81000C,00600,0100,A 427939,A81000C,00600,0200,ESTATE G TANNOIA 427939,A81000C,00600,0400,MONTOWESE HLTH CARE MGMT 427939,A81000C,00600,0600,MANAGEMENT COMPANY 427939,A81000C,00700,0100,A 427939,A81000C,00700,0200,FAROOQ KHAN 427939,A81000C,00700,0400,CT HANDIVAN 427939,A81000C,00700,0600,PATIENT TRANSPORT COMPANY 427939,A81000C,00800,0100,A 427939,A81000C,00800,0200,MARK PANICO 427939,A81000C,00800,0400,CT HANDIVAN 427939,A81000C,00800,0600,PATIENT TRANSPORT COMPANY 427939,A81000C,00900,0100,A 427939,A81000C,00900,0200,SALEEM KHAN 427939,A81000C,00900,0400,CT HANDIVAN 427939,A81000C,00900,0600,PATIENT TRANSPORT COMPANY 427939,A81000C,01000,0100,A 427939,A81000C,01000,0200,MARK PANICO 427939,A81000C,01000,0400,NELSON & ACCESS AMBULANCE 427939,A81000C,01000,0600,AMBULANCE TRANSPORT 427939,A81000C,01001,0100,A 427939,A81000C,01001,0200,SALEEM KHAN 427939,A81000C,01001,0400,NELSON & ACCESS AMBULANCE 427939,A81000C,01001,0600,AMBULANCE TRANSPORT 427939,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427939,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427939,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427939,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427939,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427939,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427939,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427939,B100000,00000,0800,0800MEALS SERVED :DIETARY 427939,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427939,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427939,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427939,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427939,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427939,G300000,02501,0000,PHYSICIAN ASSISTANT REVENUE 427939,G300000,02502,0000,BARBER AND BEAUTY REVENUE 427939,G300000,02503,0000,MISCELLANEOUS OTHER REVENUE 427939,S000000,00100,0200,03/06/12 427939,S200000,00100,0100,163 QUINNIPIAC AVENUE 427939,S200000,00200,0100,NORTH HAVEN 427939,S200000,00200,0200,CT 427939,S200000,00200,0300,06473 427939,S200000,00300,0100,NEW HAVEN 427939,S200000,00300,0200,5483 427939,S200000,00300,0201,35300 427939,S200000,00300,0300,U 427939,S200000,00400,0100,MONTOWESE HEALTH & REHAB CENTER 427939,S200000,00400,0200,075017 427939,S200000,00400,0300,05/01/82 427939,S200000,00400,0500,P 427939,S200000,01500,0100,Y 427939,S200000,01502,0200,N 427939,S200000,01504,0200,N 427939,S200000,01600,0100,N 427939,S200000,01700,0100,N 427939,S200000,01800,0100,N 427939,S200000,02200,0100,N 427939,S200000,02800,0100,N 427939,S200000,02900,0100,N 427939,S200000,03000,0100,N 427939,S200000,03100,0100,N 427939,S200000,03200,0100,N 427939,S200000,03300,0100,N 427939,S200000,03300,0200,N 427939,S200000,04100,0100,N 427939,S200000,04200,0100,N 427939,S200000,04300,0100,N 427939,S200000,04600,0100,N 427939,S200000,04700,0100,N 427939,S200000,04700,0200,N 427939,S200000,04900,0100,N 427939,S200000,05000,0100,N 427939,S200000,05100,0100,N 427939,S200000,05200,0100,N 427939,S200000,05300,0100,N 427940,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427940,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427940,A000000,00300,0000,0300EMPLOYEE BENEFITS 427940,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427940,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427940,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427940,A000000,00700,0000,0700HOUSEKEEPING 427940,A000000,00800,0000,0800DIETARY 427940,A000000,00900,0000,0900NURSING ADMINISTRATION 427940,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427940,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427940,A000000,01300,0000,1300SOCIAL SERVICE 427940,A000000,01500,0000,1350RECREATION 427940,A000000,01600,0000,1600SKILLED NURSING FACILITY 427940,A000000,01800,0000,1800NURSING FACILITY 427940,A000000,01810,0000,1810ICF/MR 427940,A000000,02100,0000,2100RADIOLOGY 427940,A000000,02200,0000,2200LABORATORY 427940,A000000,02300,0000,2300INTRAVENOUS THERAPY 427940,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427940,A000000,02500,0000,2500PHYSICAL THERAPY 427940,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427940,A000000,02700,0000,2700SPEECH PATHOLOGY 427940,A000000,02800,0000,2800ELECTROCARDIOLOGY 427940,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427940,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427940,A000000,04800,0000,4800AMBULANCE 427940,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427940,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427940,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427940,A81000A,00100,0100,Y 427940,A81000B,00100,0300,RENT EXPENSE 427940,A81000B,00200,0300,INTEREST EXPENSE 427940,A81000B,00300,0300,DEPRECIATION EXP. EST. 427940,A81000B,00400,0300,INTEREST EXPENSE 427940,A81000B,00500,0300,MANAGEMENT FEE 427940,A81000C,00100,0100,B 427940,A81000C,00100,0200,TORTORA FAMILY 427940,A81000C,00100,0400,CMF REALTY 427940,A81000C,00100,0600,REAL ESTATE 427940,A81000C,00200,0100,B 427940,A81000C,00200,0200,TORTORA DYNASTY 427940,A81000C,00200,0400,CMF REALTY 427940,A81000C,00200,0600,REAL ESTATE 427940,A81000C,00300,0100,B 427940,A81000C,00300,0200,TORTORA DYNASTY 427940,A81000C,00300,0400,CMF REALTY 427940,A81000C,00300,0600,REAL ESTATE 427940,A81000C,00400,0100,B 427940,A81000C,00400,0200,TORTORA DYNASTY 427940,A81000C,00400,0400,TTFT 427940,A81000C,00400,0600,MANAGEMENT COMP 427940,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427940,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427940,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427940,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427940,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427940,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427940,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427940,B100000,00000,0800,0800MEALS SERVED :DIETARY 427940,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427940,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427940,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427940,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427940,B100000,00000,1500,1350PATIENT DAYS :RECREATION 427940,G300000,02501,0000,PRIVATE NURSING 427940,G300000,02502,0000,PERSONAL LAUNDRY 427940,G300000,02503,0000,PERSONAL ITEMS 427940,G300000,02504,0000,BARBER AND BEAUTY 427940,S000000,00100,0200,02/27/12 427940,S200000,00100,0100,400 MILL PLAIN ROAD 427940,S200000,00200,0100,FAIRFIELD 427940,S200000,00200,0200,CT 427940,S200000,00200,0300,06824 427940,S200000,00300,0100,FAIRFIELD 427940,S200000,00300,0201,14860 427940,S200000,00300,0300,U 427940,S200000,00400,0100,CAROLTON CHRONIC & CONV. HOSPTIAL 427940,S200000,00400,0200,075034 427940,S200000,00400,0300,01/01/67 427940,S200000,00400,0500,P 427940,S200000,01500,0100,N 427940,S200000,01501,0200,Y 427940,S200000,01502,0200,Y 427940,S200000,01505,0000,OTHER (SPECIFY) EMPLOYEE BENEFITS 427940,S200000,01505,0200,Y 427940,S200000,01600,0100,N 427940,S200000,01700,0100,N 427940,S200000,01800,0100,N 427940,S200000,02200,0100,N 427940,S200000,02800,0100,N 427940,S200000,02900,0100,N 427940,S200000,03000,0100,N 427940,S200000,03100,0100,N 427940,S200000,03200,0100,N 427940,S200000,03300,0100,N 427940,S200000,03300,0200,N 427940,S200000,04100,0100,N 427940,S200000,04200,0100,N 427940,S200000,04300,0100,N 427940,S200000,04600,0100,N 427940,S200000,04700,0100,N 427940,S200000,04700,0200,N 427940,S200000,04900,0100,N 427940,S200000,05000,0100,N 427940,S200000,05100,0100,N 427940,S200000,05200,0100,N 427940,S200000,05300,0100,N 427941,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427941,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427941,A000000,00300,0000,0300EMPLOYEE BENEFITS 427941,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427941,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427941,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427941,A000000,00700,0000,0700HOUSEKEEPING 427941,A000000,00800,0000,0800DIETARY 427941,A000000,00900,0000,0900NURSING ADMINISTRATION 427941,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427941,A000000,01100,0000,1100PHARMACY 427941,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427941,A000000,01300,0000,1300SOCIAL SERVICE 427941,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427941,A000000,01600,0000,1600SKILLED NURSING FACILITY 427941,A000000,01810,0000,1810ICF/MR 427941,A000000,02100,0000,2100RADIOLOGY 427941,A000000,02200,0000,2200LABORATORY 427941,A000000,02300,0000,2300INTRAVENOUS THERAPY 427941,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427941,A000000,02500,0000,2500PHYSICAL THERAPY 427941,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427941,A000000,02700,0000,2700SPEECH PATHOLOGY 427941,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427941,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427941,A000000,03550,0000,3550FQHC 427941,A000000,05000,0000,5000CORF 427941,A000000,05010,0000,5010CMHC 427941,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427941,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427941,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427941,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427941,A81000A,00100,0100,Y 427941,A81000B,00100,0300,RENT 427941,A81000B,00200,0300,AMORTIZATON EXPENSE 427941,A81000B,00300,0300,AUTO EXPENSE 427941,A81000B,00400,0300,BANK FEES 427941,A81000B,00500,0300,INSURANCE 427941,A81000B,00600,0300,MANAGEMENT FEES 427941,A81000B,00700,0300,MISCELLANEOUS 427941,A81000B,00800,0300,POSTAGE 427941,A81000B,00900,0300,PROFESSIONAL FEES 427941,A81000B,01000,0300,SEMINARS 427941,A81000B,01100,0300,MISC. SUPPLIES 427941,A81000B,01200,0300,REPAIRS 427941,A81000B,01300,0300,PROPERTY TAXES 427941,A81000B,01400,0300,UTILITIES 427941,A81000B,01500,0300,INTEREST EXPENSE 427941,A81000B,01600,0300,INSURANCE 427941,A81000C,00100,0100,B 427941,A81000C,00100,0200,WESTVIEW LAND C 427941,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427941,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427941,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427941,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427941,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427941,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427941,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427941,B100000,00000,0800,0800MEALS SERVED :DIETARY 427941,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427941,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 427941,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 427941,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427941,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427941,S000000,00100,0200,03/02/12 427941,S200000,00100,0100,150 WARE ROAD 427941,S200000,00100,0300,428 427941,S200000,00200,0100,DAYVILLE 427941,S200000,00200,0200,CT 427941,S200000,00200,0300,06241 427941,S200000,00300,0100,WINDHAM 427941,S200000,00300,0300,R 427941,S200000,00400,0100,WESTVIEW NRSG CARE & REHAB CENTER 427941,S200000,00400,0200,075078 427941,S200000,00400,0300,10/01/82 427941,S200000,00400,0500,P 427941,S200000,01500,0100,N 427941,S200000,01600,0100,N 427941,S200000,01700,0100,N 427941,S200000,01800,0100,N 427941,S200000,02200,0100,Y 427941,S200000,02800,0100,N 427941,S200000,02900,0100,N 427941,S200000,03000,0100,N 427941,S200000,03100,0100,N 427941,S200000,03200,0100,N 427941,S200000,03300,0100,N 427941,S200000,03300,0200,N 427941,S200000,04100,0100,N 427941,S200000,04200,0100,N 427941,S200000,04300,0100,N 427941,S200000,04600,0100,N 427941,S200000,04700,0100,N 427941,S200000,04700,0200,N 427941,S200000,04900,0100,N 427941,S200000,05000,0100,N 427941,S200000,05100,0100,N 427941,S200000,05200,0100,N 427942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427942,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427942,A000000,00300,0000,0300EMPLOYEE BENEFITS 427942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427942,A000000,00700,0000,0700HOUSEKEEPING 427942,A000000,00800,0000,0800DIETARY 427942,A000000,00900,0000,0900NURSING ADMINISTRATION 427942,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427942,A000000,01100,0000,1100PHARMACY 427942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427942,A000000,01300,0000,1300SOCIAL SERVICE 427942,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427942,A000000,01500,0000,1350RECREATION SERVICES 427942,A000000,01600,0000,1600SKILLED NURSING FACILITY 427942,A000000,01800,0000,1800NURSING FACILITY 427942,A000000,01810,0000,1810ICF/MR 427942,A000000,01900,0000,1900OTHER LONG TERM CARE 427942,A000000,02100,0000,2100RADIOLOGY 427942,A000000,02200,0000,2200LABORATORY 427942,A000000,02300,0000,2300INTRAVENOUS THERAPY 427942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427942,A000000,02500,0000,2500PHYSICAL THERAPY 427942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427942,A000000,02700,0000,2700SPEECH PATHOLOGY 427942,A000000,02800,0000,2800ELECTROCARDIOLOGY 427942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427942,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427942,A000000,03200,0000,3200SUPPORT SURFACES 427942,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427942,A000000,03400,0000,3400CLINIC 427942,A000000,03500,0000,3500RURAL HEALTH CLINIC 427942,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427942,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427942,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427942,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427942,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427942,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427942,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427942,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427942,A000000,04400,0000,4400DME RENTED - HHA 427942,A000000,04500,0000,4500DME SOLD - HHA 427942,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427942,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427942,A000000,04710,0000,4710TELEMEDICINE 427942,A000000,04800,0000,4800AMBULANCE 427942,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427942,A000000,05000,0000,5000CORF 427942,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427942,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427942,A000000,05300,0000,5300INTEREST EXPENSE 427942,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427942,A000000,05500,0000,5500HOSPICE 427942,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427942,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427942,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427942,A000000,06100,0000,6100NONPAID WORKERS 427942,A000000,06200,0000,6200PATIENTS LAUNDRY 427942,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427942,A81000A,00100,0100,Y 427942,A81000B,00100,0300,MANAGEMENT FEE 427942,A81000B,00200,0300,RENT EXPENSE 427942,A81000B,00300,0300,IT SERVICES 427942,A81000B,00400,0300,DEPRECIATION 427942,A81000C,00100,0100,A 427942,A81000C,00100,0200,DONALD L. FRANCO 427942,A81000C,00100,0600,TALMADGE PARK INC. 427942,A81000C,00200,0100,A 427942,A81000C,00200,0200,LORRAINE A. FRANCO 427942,A81000C,00200,0600,TALMADGE PARK INC. 427942,A81000C,00300,0100,A 427942,A81000C,00300,0200,DEBORAH FRANCO 427942,A81000C,00300,0600,TALMADGE PARK INC. 427942,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427942,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427942,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427942,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427942,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427942,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427942,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427942,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427942,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427942,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427942,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427942,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427942,B100000,00000,1500,1350SQUARE FEET :RECREATION SERVICE 427942,G300000,02500,0000,RESIDENT FINANCE CHARGE REVEN 427942,G300000,02501,0000,VENDING REVENUE 427942,G300000,02502,0000,INTEREST INCOME 427942,G300000,02503,0000,OTHER INCOME 427942,G300000,02504,0000,PRIOR YEAR REVENUE 427942,S000000,00100,0200,03/02/12 427942,S200000,00100,0100,725 PARK AVENUE 427942,S200000,00200,0100,BRIDGEPORT 427942,S200000,00200,0200,CT 427942,S200000,00200,0300,06604 427942,S200000,00300,0100,FAIRFIELD 427942,S200000,00300,0201,14860 427942,S200000,00300,0300,U 427942,S200000,00400,0100,ASTORIA PARK INC. 427942,S200000,00400,0200,075104 427942,S200000,00400,0300,01/01/76 427942,S200000,00400,0500,P 427942,S200000,01500,0100,Y 427942,S200000,01502,0200,Y 427942,S200000,01504,0200,Y 427942,S200000,01600,0100,N 427942,S200000,01700,0100,N 427942,S200000,01800,0100,N 427942,S200000,02200,0100,N 427942,S200000,02800,0100,N 427942,S200000,02900,0100,N 427942,S200000,03000,0100,N 427942,S200000,03100,0100,N 427942,S200000,03200,0100,N 427942,S200000,03300,0100,N 427942,S200000,03300,0200,N 427942,S200000,04100,0100,N 427942,S200000,04200,0100,N 427942,S200000,04300,0100,N 427942,S200000,04600,0100,N 427942,S200000,04700,0100,N 427942,S200000,04700,0200,N 427942,S200000,04900,0100,N 427942,S200000,05000,0100,N 427942,S200000,05100,0100,N 427942,S200000,05200,0100,N 427942,S200000,05300,0100,N 427943,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427943,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427943,A000000,00300,0000,0300EMPLOYEE BENEFITS 427943,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427943,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427943,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427943,A000000,00700,0000,0700HOUSEKEEPING 427943,A000000,00800,0000,0800DIETARY 427943,A000000,00900,0000,0900NURSING ADMINISTRATION 427943,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427943,A000000,01100,0000,1100PHARMACY 427943,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427943,A000000,01300,0000,1300SOCIAL SERVICE 427943,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427943,A000000,01500,0000,1350RECREATIONAL SERVICES 427943,A000000,01600,0000,1600SKILLED NURSING FACILITY 427943,A000000,01800,0000,1800NURSING FACILITY 427943,A000000,01810,0000,1810ICF/MR 427943,A000000,01900,0000,1900OTHER LONG TERM CARE 427943,A000000,02100,0000,2100RADIOLOGY 427943,A000000,02200,0000,2200LABORATORY 427943,A000000,02300,0000,2300INTRAVENOUS THERAPY 427943,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427943,A000000,02500,0000,2500PHYSICAL THERAPY 427943,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427943,A000000,02700,0000,2700SPEECH PATHOLOGY 427943,A000000,02800,0000,2800ELECTROCARDIOLOGY 427943,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427943,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427943,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427943,A000000,03200,0000,3200SUPPORT SURFACES 427943,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427943,A000000,03400,0000,3400CLINIC 427943,A000000,03500,0000,3500RURAL HEALTH CLINIC 427943,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427943,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427943,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427943,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427943,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427943,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427943,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427943,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427943,A000000,04400,0000,4400DME RENTED - HHA 427943,A000000,04500,0000,4500DME SOLD - HHA 427943,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427943,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427943,A000000,04710,0000,4710TELEMEDICINE 427943,A000000,04800,0000,4800AMBULANCE 427943,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427943,A000000,05000,0000,5000CORF 427943,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427943,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427943,A000000,05300,0000,5300INTEREST EXPENSE 427943,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427943,A000000,05500,0000,5500HOSPICE 427943,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427943,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427943,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427943,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427943,A000000,06100,0000,6100NONPAID WORKERS 427943,A000000,06200,0000,6200PATIENTS LAUNDRY 427943,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427943,A81000A,00100,0100,Y 427943,A81000B,00100,0300,MANAGEMENT COMPANY 427943,A81000B,00200,0300,WORKERS COMP 427943,A81000B,00300,0300,DISABILITY INSURANCE 427943,A81000B,00400,0300,HEALTH INSURANCE COSTS 427943,A81000C,00100,0100,B 427943,A81000C,00100,0200,PARADIGM MANAGEMENT LLC 427943,A81000C,00200,0100,B 427943,A81000C,00200,0400,PARADIGM HC DEVELOPMENT 427943,A81000C,00300,0100,B 427943,A81000C,00300,0400,PARADIGM HC DEVELOPMENT 427943,A81000C,00400,0100,B 427943,A81000C,00400,0400,PARADIGM HC DEVELOPMENT 427943,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427943,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427943,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427943,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427943,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427943,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427943,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427943,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427943,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427943,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427943,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427943,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 427943,G300000,02500,0000,MISCELLANEOUS INCOME 427943,G300000,02501,0000,VENDING INCOME 427943,G300000,02502,0000,INTEREST INCOME 427943,S000000,00100,0200,03/05/12 427943,S200000,00100,0100,80 FERN DRIVE 427943,S200000,00200,0100,TORRINGTON 427943,S200000,00200,0200,CT 427943,S200000,00200,0300,06790 427943,S200000,00300,0100,LITCHFIELD 427943,S200000,00300,0201,25540 427943,S200000,00300,0300,U 427943,S200000,00400,0100,PARADIGM HC CENTER TORRINGTON LLC 427943,S200000,00400,0200,075105 427943,S200000,00400,0300,07/01/09 427943,S200000,00400,0500,P 427943,S200000,01500,0100,Y 427943,S200000,01502,0200,Y 427943,S200000,01504,0200,Y 427943,S200000,01600,0100,N 427943,S200000,01700,0100,N 427943,S200000,01800,0100,N 427943,S200000,02200,0100,N 427943,S200000,02800,0100,N 427943,S200000,02900,0100,N 427943,S200000,03000,0100,N 427943,S200000,03100,0100,N 427943,S200000,03200,0100,N 427943,S200000,03300,0100,N 427943,S200000,03300,0200,N 427943,S200000,04100,0100,N 427943,S200000,04200,0100,N 427943,S200000,04300,0100,N 427943,S200000,04600,0100,N 427943,S200000,04700,0100,N 427943,S200000,04700,0200,N 427943,S200000,04900,0100,N 427943,S200000,05000,0100,N 427943,S200000,05100,0100,N 427943,S200000,05200,0100,N 427943,S200000,05300,0100,N 427944,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427944,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427944,A000000,00300,0000,0300EMPLOYEE BENEFITS 427944,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427944,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427944,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427944,A000000,00700,0000,0700HOUSEKEEPING 427944,A000000,00800,0000,0800DIETARY 427944,A000000,00900,0000,0900NURSING ADMINISTRATION 427944,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427944,A000000,01100,0000,1100PHARMACY 427944,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427944,A000000,01300,0000,1300SOCIAL SERVICE 427944,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427944,A000000,01500,0000,1350OTHER GENERAL SERVICES 427944,A000000,01600,0000,1600SKILLED NURSING FACILITY 427944,A000000,01800,0000,1800NURSING FACILITY 427944,A000000,01810,0000,1810ICF/MR 427944,A000000,01900,0000,1900OTHER LONG TERM CARE 427944,A000000,02100,0000,2100RADIOLOGY 427944,A000000,02200,0000,2200LABORATORY 427944,A000000,02300,0000,2300INTRAVENOUS THERAPY 427944,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427944,A000000,02500,0000,2500PHYSICAL THERAPY 427944,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427944,A000000,02700,0000,2700SPEECH PATHOLOGY 427944,A000000,02800,0000,2800ELECTROCARDIOLOGY 427944,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427944,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427944,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427944,A000000,03200,0000,3200SUPPORT SURFACES 427944,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427944,A000000,03400,0000,3400CLINIC 427944,A000000,03500,0000,3500RURAL HEALTH CLINIC 427944,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427944,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427944,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427944,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427944,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427944,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427944,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427944,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427944,A000000,04400,0000,4400DME RENTED - HHA 427944,A000000,04500,0000,4500DME SOLD - HHA 427944,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427944,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427944,A000000,04710,0000,4710TELEMEDICINE 427944,A000000,04800,0000,4800AMBULANCE 427944,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427944,A000000,05000,0000,5000CORF 427944,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427944,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427944,A000000,05300,0000,5300INTEREST EXPENSE 427944,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427944,A000000,05500,0000,5500HOSPICE 427944,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427944,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427944,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427944,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427944,A000000,06100,0000,6100NONPAID WORKERS 427944,A000000,06200,0000,6200PATIENTS LAUNDRY 427944,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427944,A81000A,00100,0100,Y 427944,A81000B,00100,0300,RENT 427944,A81000B,00200,0300,MORTGAGE INTEREST 427944,A81000B,00300,0300,DEPRECIATION EXPENSE 427944,A81000B,00400,0300,ADMINS MGMT SVCS 427944,A81000B,00500,0300,NURSING 427944,A81000B,00600,0300,STAUDERMAN REALTY RENT EXP 427944,A81000B,00700,0300,850 SILAS DEANE RENT EXP 427944,A81000B,00800,0300,PHYSICAL THERAPY 427944,A81000B,00900,0300,OCCUPATIONAL THERAPY 427944,A81000B,01000,0300,SPEECH THERAPY 427944,A81000C,00100,0100,A 427944,A81000C,00100,0200,M.J. OSTREICHER 427944,A81000C,00100,0400,BLOOMFIELD REALTY 427944,A81000C,00100,0600,LEASE OF FACILITY 427944,A81000C,00200,0100,A 427944,A81000C,00200,0200,M.J. OSTREICHER 427944,A81000C,00200,0400,NATIONAL HEALTHCARE 427944,A81000C,00200,0600,BOOKKEEPING 427944,A81000C,00300,0100,A 427944,A81000C,00300,0200,M.J. OSTREICHER 427944,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 427944,A81000C,00300,0600,THERAPIES 427944,A81000C,00400,0100,A 427944,A81000C,00400,0200,M.J. OSTREICHER 427944,A81000C,00400,0400,PREFERRED PROF SVC 427944,A81000C,00400,0600,RNS & LPNS SVC 427944,A81000C,00500,0100,A 427944,A81000C,00500,0200,M.J. OSTREICHER 427944,A81000C,00500,0400,STAUDERMAN REALTY 427944,A81000C,00500,0600,RENTAL 427944,A81000C,00600,0100,A 427944,A81000C,00600,0200,M.J. OSTREICHER 427944,A81000C,00600,0400,850 SILAS DEANE 427944,A81000C,00600,0600,RENTAL 427944,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427944,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427944,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427944,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427944,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427944,B100000,00000,0600,0650BED DAYS :LAUNDRY & LINEN SERVI 427944,B100000,00000,0700,0750BED DAYS :HOUSEKEEPING 427944,B100000,00000,0800,0800MEALS SERVED :DIETARY 427944,G300000,02501,0000,MISC OTHER INCOME 427944,G300000,02502,0000,PRIOR PERIOD ADJ 427944,S000000,00100,0200,02/27/12 427944,S200000,00100,0100,355 PARK AVENUE 427944,S200000,00200,0100,BLOOMFIELD 427944,S200000,00200,0200,CT 427944,S200000,00200,0300,06002 427944,S200000,00300,0100,HARTFORD 427944,S200000,00300,0200,3283 427944,S200000,00300,0201,25540 427944,S200000,00300,0300,U 427944,S200000,00400,0100,BLOOMFIELD HEALTH CARE CENTER OF CT 427944,S200000,00400,0200,075138 427944,S200000,00400,0300,10/01/77 427944,S200000,00400,0500,P 427944,S200000,01500,0100,Y 427944,S200000,01501,0200,Y 427944,S200000,01600,0100,N 427944,S200000,01700,0100,N 427944,S200000,01800,0100,N 427944,S200000,02200,0100,N 427944,S200000,02800,0100,N 427944,S200000,02900,0100,N 427944,S200000,03000,0100,N 427944,S200000,03100,0100,N 427944,S200000,03200,0100,N 427944,S200000,03300,0100,N 427944,S200000,03300,0200,N 427944,S200000,04100,0100,N 427944,S200000,04200,0100,N 427944,S200000,04300,0100,N 427944,S200000,04600,0100,N 427944,S200000,04700,0100,N 427944,S200000,04700,0200,N 427944,S200000,04900,0100,N 427944,S200000,05000,0100,N 427944,S200000,05100,0100,N 427944,S200000,05200,0100,N 427944,S200000,05300,0100,N 427945,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427945,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427945,A000000,00300,0000,0300EMPLOYEE BENEFITS 427945,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427945,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427945,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427945,A000000,00700,0000,0700HOUSEKEEPING 427945,A000000,00800,0000,0800DIETARY 427945,A000000,00900,0000,0900NURSING ADMINISTRATION 427945,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427945,A000000,01100,0000,1100PHARMACY 427945,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427945,A000000,01300,0000,1300SOCIAL SERVICE 427945,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427945,A000000,01500,0000,1350RECREATIONAL SERVICES 427945,A000000,01600,0000,1600SKILLED NURSING FACILITY 427945,A000000,01800,0000,1800NURSING FACILITY 427945,A000000,01810,0000,1810ICF/MR 427945,A000000,01900,0000,1900OTHER LONG TERM CARE 427945,A000000,02100,0000,2100RADIOLOGY 427945,A000000,02200,0000,2200LABORATORY 427945,A000000,02300,0000,2300INTRAVENOUS THERAPY 427945,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427945,A000000,02500,0000,2500PHYSICAL THERAPY 427945,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427945,A000000,02700,0000,2700SPEECH PATHOLOGY 427945,A000000,02800,0000,2800ELECTROCARDIOLOGY 427945,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427945,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427945,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427945,A000000,03200,0000,3200SUPPORT SURFACES 427945,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427945,A000000,03400,0000,3400CLINIC 427945,A000000,03500,0000,3500RURAL HEALTH CLINIC 427945,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427945,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427945,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427945,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427945,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427945,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427945,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427945,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427945,A000000,04400,0000,4400DME RENTED - HHA 427945,A000000,04500,0000,4500DME SOLD - HHA 427945,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427945,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427945,A000000,04710,0000,4710TELEMEDICINE 427945,A000000,04800,0000,4800AMBULANCE 427945,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427945,A000000,05000,0000,5000CORF 427945,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427945,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427945,A000000,05300,0000,5300INTEREST EXPENSE 427945,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427945,A000000,05500,0000,5500HOSPICE 427945,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427945,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427945,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427945,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427945,A000000,06100,0000,6100NONPAID WORKERS 427945,A000000,06200,0000,6200PATIENTS LAUNDRY 427945,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427945,A81000A,00100,0100,Y 427945,A81000B,00100,0300,MANAGEMENT COMPANY 427945,A81000B,00200,0300,WORKERS COMP 427945,A81000B,00300,0300,DISABILITY INSURANCE 427945,A81000B,00400,0300,HEALTH INSURANCE COSTS 427945,A81000B,00500,0300,LIABILITY INSURANCE 427945,A81000C,00100,0100,B 427945,A81000C,00100,0200,PARADIGM MANAGEMENT LLC 427945,A81000C,00200,0100,B 427945,A81000C,00200,0400,PARADIGM HC DEVELOPMENT 427945,A81000C,00300,0100,B 427945,A81000C,00300,0400,PARADIGM HC DEVELOPMENT 427945,A81000C,00400,0100,B 427945,A81000C,00400,0400,PARADIGM HC DEVELOPMENT 427945,A81000C,00500,0100,B 427945,A81000C,00500,0400,PARADIGM HC DEVELOPMENT 427945,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427945,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427945,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427945,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427945,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427945,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427945,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427945,B100000,00000,0800,0850PATIENT DAYS :DIETARY 427945,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427945,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427945,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427945,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427945,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 427945,G300000,02500,0000,VENDING INCOME 427945,G300000,02501,0000,INTEREST INCOME 427945,G300000,02502,0000,MISCELLANEOUS INCOME 427945,G300000,02503,0000,CONTRACTUAL ALLOWANCE 427945,S000000,00100,0200,03/05/12 427945,S200000,00100,0100,23 PROSPECT STREET 427945,S200000,00200,0100,NORWALK 427945,S200000,00200,0200,CT 427945,S200000,00200,0300,06850 427945,S200000,00300,0100,FAIRFIELD 427945,S200000,00300,0201,14860 427945,S200000,00300,0300,U 427945,S200000,00400,0100,PARADIGM HC CENTER OF NORWALK LLC 427945,S200000,00400,0200,075159 427945,S200000,00400,0300,07/01/09 427945,S200000,00400,0500,P 427945,S200000,01500,0100,Y 427945,S200000,01502,0200,Y 427945,S200000,01504,0200,Y 427945,S200000,01600,0100,N 427945,S200000,01700,0100,N 427945,S200000,01800,0100,N 427945,S200000,02200,0100,N 427945,S200000,02800,0100,N 427945,S200000,02900,0100,N 427945,S200000,03000,0100,N 427945,S200000,03100,0100,N 427945,S200000,03200,0100,N 427945,S200000,03300,0100,N 427945,S200000,03300,0200,N 427945,S200000,04100,0100,N 427945,S200000,04200,0100,N 427945,S200000,04300,0100,N 427945,S200000,04600,0100,N 427945,S200000,04700,0100,N 427945,S200000,04700,0200,N 427945,S200000,04900,0100,N 427945,S200000,05000,0100,N 427945,S200000,05100,0100,N 427945,S200000,05200,0100,N 427945,S200000,05300,0100,N 427946,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427946,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427946,A000000,00300,0000,0300EMPLOYEE BENEFITS 427946,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427946,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427946,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427946,A000000,00700,0000,0700HOUSEKEEPING 427946,A000000,00800,0000,0800DIETARY 427946,A000000,00900,0000,0900NURSING ADMINISTRATION 427946,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427946,A000000,01100,0000,1100PHARMACY 427946,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427946,A000000,01300,0000,1300SOCIAL SERVICE 427946,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427946,A000000,01500,0000,1350PATIENT ACTIVITIES 427946,A000000,01600,0000,1600SKILLED NURSING FACILITY 427946,A000000,01810,0000,1810ICF/MR 427946,A000000,02100,0000,2100RADIOLOGY 427946,A000000,02200,0000,2200LABORATORY 427946,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427946,A000000,02500,0000,2500PHYSICAL THERAPY 427946,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427946,A000000,02700,0000,2700SPEECH PATHOLOGY 427946,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427946,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427946,A000000,03550,0000,3550FQHC 427946,A000000,05000,0000,5000CORF 427946,A000000,05010,0000,5010CMHC 427946,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427946,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427946,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427946,A000000,05300,0000,5300INTEREST EXPENSE 427946,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427946,A81000A,00100,0100,Y 427946,A81000B,00100,0300,ADMINISTRATOR BENEFITS PAID TH 427946,A81000B,00200,0300,ADMINISTRATOR TAXES PAID THRU 427946,A81000B,00300,0300,FINANCE DEPT. BENEFITS PAID TH 427946,A81000B,00400,0300,FINANCE DEPT. TAXES PAID THRU 427946,A81000B,00500,0300,ACCT MANAGER BENEFITS PAID THR 427946,A81000B,00600,0300,ACCT. MANAGER TAXES PAID THRU 427946,A81000B,00700,0300,ADMINISTRATOR SALARY PAID THRU 427946,A81000B,00800,0300,FINANCE DEPARTMENT SALARY PAID 427946,A81000B,00900,0300,ACCOUNTING MANAGER SALARY PAID 427946,A81000B,01000,0300,CORPORATE OFFICE INDIRECT SALA 427946,A81000B,01100,0300,CORPORATE OFFICE INDIRECT BEN 427946,A81000B,01200,0300,CORPORATE OFFICE INDIRECT TAXE 427946,A81000B,01300,0300,MANAGEMENT FEES 427946,A81000C,00100,0100,B 427946,A81000C,00100,0200,UMH OF CT. INC. 427946,A81000C,00100,0400,UMH OF CT. INC. 427946,A81000C,00100,0600,MANAGEMENT COMP 427946,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427946,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427946,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427946,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427946,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427946,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427946,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427946,B100000,00000,0800,0800MEALS SERVED :DIETARY 427946,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 427946,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427946,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427946,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427946,G300000,02501,0000,MISCELLANEOUS REVENUE 427946,S000000,00100,0200,03/05/12 427946,S200000,00100,0100,584 LONG HILL AVENUE 427946,S200000,00200,0100,SHELTON 427946,S200000,00200,0200,CT 427946,S200000,00200,0300,06484 427946,S200000,00300,0100,FAIRFIELD 427946,S200000,00300,0201,14860 427946,S200000,00300,0300,U 427946,S200000,00400,0100,BISHOP WICKE HEALTH & REHAB CTR 427946,S200000,00400,0200,075163 427946,S200000,00400,0300,05/23/70 427946,S200000,00400,0500,P 427946,S200000,01500,0100,Y 427946,S200000,01501,0200,Y 427946,S200000,01503,0200,Y 427946,S200000,01600,0100,N 427946,S200000,01700,0100,N 427946,S200000,01800,0100,N 427946,S200000,02200,0100,N 427946,S200000,02800,0100,N 427946,S200000,02900,0100,N 427946,S200000,03000,0100,N 427946,S200000,03100,0100,N 427946,S200000,03200,0100,N 427946,S200000,03300,0100,N 427946,S200000,03300,0200,N 427946,S200000,04100,0100,N 427946,S200000,04200,0100,N 427946,S200000,04300,0100,N 427946,S200000,04600,0100,N 427946,S200000,04700,0100,N 427946,S200000,04700,0200,N 427946,S200000,04900,0100,N 427946,S200000,05000,0100,N 427946,S200000,05100,0100,N 427946,S200000,05200,0100,N 427946,S200000,05300,0100,N 427954,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427954,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427954,A000000,00300,0000,0300EMPLOYEE BENEFITS 427954,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427954,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427954,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427954,A000000,00700,0000,0700HOUSEKEEPING 427954,A000000,00800,0000,0800DIETARY 427954,A000000,00900,0000,0900NURSING ADMINISTRATION 427954,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427954,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427954,A000000,01300,0000,1300SOCIAL SERVICE 427954,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427954,A000000,01500,0000,1350OTHER GENERAL SERVICES 427954,A000000,01600,0000,1600SKILLED NURSING FACILITY 427954,A000000,01800,0000,1800NURSING FACILITY 427954,A000000,01810,0000,1810ICF/MR 427954,A000000,01900,0000,1900OTHER LONG TERM CARE 427954,A000000,02100,0000,2100RADIOLOGY 427954,A000000,02200,0000,2200LABORATORY 427954,A000000,02300,0000,2300INTRAVENOUS THERAPY 427954,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427954,A000000,02500,0000,2500PHYSICAL THERAPY 427954,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427954,A000000,02700,0000,2700SPEECH PATHOLOGY 427954,A000000,02800,0000,2800ELECTROCARDIOLOGY 427954,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427954,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427954,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427954,A000000,03200,0000,3200SUPPORT SURFACES 427954,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427954,A000000,03400,0000,3400CLINIC 427954,A000000,03500,0000,3500RURAL HEALTH CLINIC 427954,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427954,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427954,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427954,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427954,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427954,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427954,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427954,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427954,A000000,04400,0000,4400DME RENTED - HHA 427954,A000000,04500,0000,4500DME SOLD - HHA 427954,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427954,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427954,A000000,04710,0000,4710TELEMEDICINE 427954,A000000,04800,0000,4800AMBULANCE 427954,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427954,A000000,05000,0000,5000CORF 427954,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427954,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427954,A000000,05300,0000,5300INTEREST EXPENSE 427954,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427954,A000000,05500,0000,5500HOSPICE 427954,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427954,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427954,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427954,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427954,A000000,06100,0000,6100NONPAID WORKERS 427954,A000000,06200,0000,6200PATIENTS LAUNDRY 427954,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427954,A81000A,00100,0100,Y 427954,A81000B,00100,0300,MANAGEMENT FEE 427954,A81000C,00100,0100,B 427954,A81000C,00100,0200,RELIABLE HEALTHCARE 427954,A81000C,00100,0400,REALIABLE HEALTHCARE 427954,A81000C,00100,0600,MANAGMENT CO 427954,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427954,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427954,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427954,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427954,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427954,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427954,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 427954,B100000,00000,0800,0800MEALS SERVED :DIETARY 427954,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 427954,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 427954,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427954,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427954,S000000,00100,0200,02/23/12 427954,S200000,00100,0100,185 HILL STREET 427954,S200000,00200,0100,MOLENA 427954,S200000,00200,0200,GA 427954,S200000,00200,0300,30258 427954,S200000,00300,0100,PIKE 427954,S200000,00300,0200,11 427954,S200000,00300,0201,99999 427954,S200000,00300,0300,R 427954,S200000,00400,0100,MOLENA NURSING AND REHAB 427954,S200000,00400,0200,115693 427954,S200000,00400,0300,06/01/90 427954,S200000,00400,0500,P 427954,S200000,01500,0100,Y 427954,S200000,01501,0200,Y 427954,S200000,01600,0100,N 427954,S200000,01700,0100,N 427954,S200000,01800,0100,N 427954,S200000,02200,0100,N 427954,S200000,02800,0100,N 427954,S200000,02900,0100,N 427954,S200000,03000,0100,N 427954,S200000,03100,0100,N 427954,S200000,03200,0100,N 427954,S200000,03300,0100,N 427954,S200000,03300,0200,N 427954,S200000,04100,0100,N 427954,S200000,04200,0100,N 427954,S200000,04300,0100,N 427954,S200000,04600,0100,N 427954,S200000,04700,0100,N 427954,S200000,04700,0200,N 427954,S200000,04900,0100,N 427954,S200000,05000,0100,N 427954,S200000,05100,0100,N 427954,S200000,05200,0100,N 427964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427964,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427964,A000000,00300,0000,0300EMPLOYEE BENEFITS 427964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427964,A000000,00700,0000,0700HOUSEKEEPING 427964,A000000,00800,0000,0800DIETARY 427964,A000000,00900,0000,0900NURSING ADMINISTRATION 427964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427964,A000000,01100,0000,1100PHARMACY 427964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427964,A000000,01300,0000,1300SOCIAL SERVICE 427964,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427964,A000000,01600,0000,1600SKILLED NURSING FACILITY 427964,A000000,01810,0000,1810ICF/MR 427964,A000000,01900,0000,1900OTHER LONG TERM CARE 427964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427964,A000000,03550,0000,3550FQHC 427964,A000000,05000,0000,5000CORF 427964,A000000,05010,0000,5010CMHC 427964,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427964,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427964,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427964,A81000A,00100,0100,N 427964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427964,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427964,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427964,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427964,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427964,B100000,00000,0800,0800MEALS SERVED :DIETARY 427964,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 427964,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427964,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427964,G300000,02500,0000,UNRESTRICTED CONTRIBUTIONS 427964,G300000,02501,0000,DONATED FOODS 427964,G300000,02502,0000,FESTIVALS AND EVENTS NET OF EXPENSE 427964,S000000,00100,0200,04/02/12 427964,S200000,00100,0100,1365 ENFIELD STREET 427964,S200000,00200,0100,ENFIELD 427964,S200000,00200,0200,CT 427964,S200000,00200,0300,06482-4900 427964,S200000,00300,0100,HARTFORD 427964,S200000,00300,0300,R 427964,S200000,00400,0100,ST. JOSEPH S RESIDENCE 427964,S200000,00400,0200,075272 427964,S200000,00400,0300,10/01/76 427964,S200000,00400,0500,P 427964,S200000,01500,0100,Y 427964,S200000,01600,0100,N 427964,S200000,01700,0100,N 427964,S200000,01800,0100,N 427964,S200000,02200,0100,Y 427964,S200000,02800,0100,N 427964,S200000,02900,0100,N 427964,S200000,03000,0100,N 427964,S200000,03100,0100,N 427964,S200000,03200,0100,N 427964,S200000,03300,0100,N 427964,S200000,03300,0200,N 427964,S200000,04100,0100,N 427964,S200000,04200,0100,N 427964,S200000,04300,0100,N 427964,S200000,04600,0100,N 427964,S200000,04700,0100,N 427964,S200000,04700,0200,N 427964,S200000,04900,0100,N 427964,S200000,05000,0100,N 427964,S200000,05100,0100,N 427964,S200000,05200,0100,N 427973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427973,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427973,A000000,00300,0000,0300EMPLOYEE BENEFITS 427973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427973,A000000,00700,0000,0700HOUSEKEEPING 427973,A000000,00800,0000,0800DIETARY 427973,A000000,00900,0000,0900NURSING ADMINISTRATION 427973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427973,A000000,01100,0000,1100PHARMACY 427973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427973,A000000,01300,0000,1300SOCIAL SERVICE 427973,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427973,A000000,01500,0000,1350ACTIVITIES 427973,A000000,01600,0000,1600SKILLED NURSING FACILITY 427973,A000000,01800,0000,1800NURSING FACILITY 427973,A000000,01810,0000,1810ICF/MR 427973,A000000,01900,0000,1900OTHER LONG TERM CARE 427973,A000000,02100,0000,2100RADIOLOGY 427973,A000000,02200,0000,2200LABORATORY 427973,A000000,02300,0000,2300INTRAVENOUS THERAPY 427973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427973,A000000,02500,0000,2500PHYSICAL THERAPY 427973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427973,A000000,02700,0000,2700SPEECH PATHOLOGY 427973,A000000,02800,0000,2800ELECTROCARDIOLOGY 427973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427973,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 427973,A000000,03200,0000,3200SUPPORT SURFACES 427973,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 427973,A000000,03400,0000,3400CLINIC 427973,A000000,03500,0000,3500RURAL HEALTH CLINIC 427973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 427973,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 427973,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 427973,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 427973,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 427973,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 427973,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 427973,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 427973,A000000,04400,0000,4400DME RENTED - HHA 427973,A000000,04500,0000,4500DME SOLD - HHA 427973,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 427973,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 427973,A000000,04710,0000,4710TELEMEDICINE 427973,A000000,04800,0000,4800AMBULANCE 427973,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427973,A000000,05000,0000,5000CORF 427973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 427973,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 427973,A000000,05300,0000,5300INTEREST EXPENSE 427973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 427973,A000000,05500,0000,5500HOSPICE 427973,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 427973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427973,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 427973,A000000,06100,0000,6100NONPAID WORKERS 427973,A000000,06200,0000,6200PATIENTS LAUNDRY 427973,A000000,06300,0000,6150MARKETING 427973,A000000,06301,0000,6151RESIDENTS 427973,A81000A,00100,0100,N 427973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427973,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427973,B100000,00000,0800,0800MEALS SERVED :DIETARY 427973,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 427973,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 427973,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 427973,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 427973,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427973,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 427973,G300000,02500,0000,OTHER (SPECIFY) 427973,S000000,00100,0200,03/09/12 427973,S200000,00100,0100,122 PALMERS HILL ROAD 427973,S200000,00200,0100,STAMFORD 427973,S200000,00200,0200,CT 427973,S200000,00200,0300,06912 427973,S200000,00300,0100,FAIRFIELD 427973,S200000,00300,0200,5483 427973,S200000,00300,0201,14860 427973,S200000,00300,0300,U 427973,S200000,00400,0100,EDGEHILL HEALTH CENTER 427973,S200000,00400,0200,075421 427973,S200000,00400,0300,01/13/00 427973,S200000,00400,0500,P 427973,S200000,01500,0100,Y 427973,S200000,01501,0200,Y 427973,S200000,01503,0200,Y 427973,S200000,01504,0200,N 427973,S200000,01600,0100,N 427973,S200000,01700,0100,N 427973,S200000,01800,0100,N 427973,S200000,02200,0100,N 427973,S200000,02800,0100,N 427973,S200000,02900,0100,N 427973,S200000,03000,0100,N 427973,S200000,03100,0100,N 427973,S200000,03200,0100,N 427973,S200000,03300,0100,N 427973,S200000,03300,0200,N 427973,S200000,04100,0100,N 427973,S200000,04200,0100,N 427973,S200000,04300,0100,N 427973,S200000,04600,0100,N 427973,S200000,04700,0100,N 427973,S200000,04700,0200,N 427973,S200000,04900,0100,N 427973,S200000,05000,0100,N 427973,S200000,05100,0100,N 427973,S200000,05200,0100,N 427974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427974,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427974,A000000,00300,0000,0300EMPLOYEE BENEFITS 427974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427974,A000000,00700,0000,0700HOUSEKEEPING 427974,A000000,00800,0000,0800DIETARY 427974,A000000,00900,0000,0900NURSING ADMINISTRATION 427974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427974,A000000,01100,0000,1100PHARMACY 427974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427974,A000000,01300,0000,1300SOCIAL SERVICE 427974,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427974,A000000,01500,0000,1350PATIENT ACTIVITIES 427974,A000000,01600,0000,1600SKILLED NURSING FACILITY 427974,A000000,01810,0000,1810ICF/MR 427974,A000000,02100,0000,2100RADIOLOGY 427974,A000000,02200,0000,2200LABORATORY 427974,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 427974,A000000,02500,0000,2500PHYSICAL THERAPY 427974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427974,A000000,02700,0000,2700SPEECH PATHOLOGY 427974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427974,A000000,03300,0000,3051OTHER ANCILLARY SERVICE COST CEN 427974,A000000,03500,0000,3500RURAL HEALTH CLINIC 427974,A000000,03550,0000,3550FQHC 427974,A000000,05000,0000,5000CORF 427974,A000000,05010,0000,5010CMHC 427974,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427974,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427974,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427974,A000000,05300,0000,5300INTEREST EXPENSE 427974,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 427974,A81000A,00100,0100,Y 427974,A81000B,00100,0300,MANAGEMENT FEES-SHARON (NONE I 427974,A81000B,00200,0300,ADMINISTRATOR BENEFITS PAID TH 427974,A81000B,00300,0300,ADMINISTRATOR TAXES PAID THRU 427974,A81000B,00400,0300,FINANCE DEPT. BENEFITS PAID TH 427974,A81000B,00500,0300,FINANCE DEPT. TAXES PAID THRU 427974,A81000B,00600,0300,ACCT MANAGER BENEFITS PAID THR 427974,A81000B,00700,0300,ACCT. MANAGER TAXES PAID THRU 427974,A81000B,00800,0300,ADMINISTRATOR SALARY PAID THRU 427974,A81000B,00900,0300,FINANCE DEPARTMENT SALARY PAID 427974,A81000B,01000,0300,ACCOUNTING MANAGER SALARY PAID 427974,A81000B,01100,0300,OTHER CORPORATE OFFICE INDIREC 427974,A81000B,01200,0300,OTHER CORPORATE OFFICE INDIREC 427974,A81000B,01300,0300,OTHER CORPORATE OFFICE INDIREC 427974,A81000C,00100,0100,B 427974,A81000C,00100,0200,UMH OF CT. INC. 427974,A81000C,00100,0400,UMH OF CT. INC. 427974,A81000C,00100,0600,MANAGEMENT COMP 427974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427974,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427974,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 427974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 427974,B100000,00000,0800,0800MEALS SERVED :DIETARY 427974,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 427974,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 427974,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 427974,S000000,00100,0200,03/05/12 427974,S200000,00100,0100,27 HOSPITAL HILL ROAD 427974,S200000,00200,0100,SHARON 427974,S200000,00200,0200,CT 427974,S200000,00200,0300,06069 427974,S200000,00300,0100,LITCHFIELD 427974,S200000,00300,0201,R 427974,S200000,00300,0300,R 427974,S200000,00400,0100,SHARON HEALTH CARE CENTER 427974,S200000,00400,0200,075379 427974,S200000,00400,0300,11/18/92 427974,S200000,00400,0500,P 427974,S200000,01500,0100,Y 427974,S200000,01501,0200,N 427974,S200000,01503,0200,N 427974,S200000,01600,0100,N 427974,S200000,01700,0100,N 427974,S200000,01800,0100,N 427974,S200000,02200,0100,N 427974,S200000,02800,0100,N 427974,S200000,02900,0100,N 427974,S200000,03000,0100,N 427974,S200000,03100,0100,N 427974,S200000,03200,0100,N 427974,S200000,03300,0100,N 427974,S200000,03300,0200,N 427974,S200000,04100,0100,N 427974,S200000,04200,0100,N 427974,S200000,04300,0100,N 427974,S200000,04600,0100,N 427974,S200000,04700,0100,N 427974,S200000,04700,0200,N 427974,S200000,04900,0100,N 427974,S200000,05000,0100,N 427974,S200000,05100,0100,N 427974,S200000,05200,0100,N 427974,S200000,05300,0100,N 427975,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427975,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427975,A000000,00300,0000,0300EMPLOYEE BENEFITS 427975,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427975,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427975,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427975,A000000,00700,0000,0700HOUSEKEEPING 427975,A000000,00800,0000,0800DIETARY 427975,A000000,00900,0000,0900NURSING ADMINISTRATION 427975,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427975,A000000,01100,0000,1100PHARMACY 427975,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427975,A000000,01300,0000,1300SOCIAL SERVICE 427975,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427975,A000000,01500,0000,1350ACTIVITIES PROGRAM 427975,A000000,01600,0000,1600SKILLED NURSING FACILITY 427975,A000000,01810,0000,1810ICF/MR 427975,A000000,02100,0000,2100RADIOLOGY 427975,A000000,02200,0000,2200LABORATORY 427975,A000000,02500,0000,2500PHYSICAL THERAPY 427975,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427975,A000000,02700,0000,2700SPEECH PATHOLOGY 427975,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427975,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427975,A000000,03550,0000,3550FQHC 427975,A000000,05000,0000,5000CORF 427975,A000000,05010,0000,5010CMHC 427975,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427975,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427975,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427975,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427975,A000000,06300,0000,6150DENTAL 427975,A81000A,00100,0100,N 427975,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427975,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427975,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427975,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427975,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427975,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427975,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427975,B100000,00000,0800,0800MEALS SERVED :DIETARY 427975,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 427975,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 427975,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 427975,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427975,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427975,B100000,00000,1500,1350NUMBER OF PARTCPNTS :ACTIVITIES 427975,G300000,02500,0000,MISCELLANEOUS INCOME 427975,G300000,02501,0000,DSS NURSE AIDE REIMBURSEMENTS 427975,S000000,00100,0200,03/22/12 427975,S200000,00100,0100,330 CHESTNUT STREET 427975,S200000,00200,0100,ONEONTA 427975,S200000,00200,0200,NY 427975,S200000,00200,0300,13820 427975,S200000,00300,0100,OTSEGO 427975,S200000,00300,0201,RURAL 427975,S200000,00300,0300,R 427975,S200000,00400,0100,ONEONTA NURSING HOME 427975,S200000,00400,0200,335243 427975,S200000,00400,0300,07/01/67 427975,S200000,00400,0500,P 427975,S200000,00400,0600,O 427975,S200000,01500,0100,Y 427975,S200000,01502,0200,Y 427975,S200000,01503,0200,Y 427975,S200000,01600,0100,N 427975,S200000,01700,0100,N 427975,S200000,01800,0100,N 427975,S200000,01900,0100,LIMITED LIABILITY CO 427975,S200000,02200,0100,N 427975,S200000,02800,0100,N 427975,S200000,02900,0100,N 427975,S200000,03000,0100,N 427975,S200000,03100,0100,N 427975,S200000,03200,0100,N 427975,S200000,03300,0100,N 427975,S200000,03300,0200,N 427975,S200000,04100,0100,N 427975,S200000,04200,0100,N 427975,S200000,04300,0100,Y 427975,S200000,04600,0100,N 427975,S200000,04700,0100,N 427975,S200000,04700,0200,N 427975,S200000,04900,0100,N 427975,S200000,05000,0100,N 427975,S200000,05100,0100,N 427975,S200000,05200,0100,N 427976,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 427976,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 427976,A000000,00300,0000,0300EMPLOYEE BENEFITS 427976,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427976,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 427976,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427976,A000000,00700,0000,0700HOUSEKEEPING 427976,A000000,00800,0000,0800DIETARY 427976,A000000,00900,0000,0900NURSING ADMINISTRATION 427976,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427976,A000000,01100,0000,1100PHARMACY 427976,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427976,A000000,01300,0000,1300SOCIAL SERVICE 427976,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 427976,A000000,01500,0000,1350ACTIVITIES PROGRAM 427976,A000000,01600,0000,1600SKILLED NURSING FACILITY 427976,A000000,01810,0000,1810ICF/MR 427976,A000000,02100,0000,2100RADIOLOGY 427976,A000000,02200,0000,2200LABORATORY 427976,A000000,02500,0000,2500PHYSICAL THERAPY 427976,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427976,A000000,02700,0000,2700SPEECH PATHOLOGY 427976,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 427976,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427976,A000000,03550,0000,3550FQHC 427976,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 427976,A000000,05000,0000,5000CORF 427976,A000000,05010,0000,5010CMHC 427976,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427976,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427976,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427976,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427976,A000000,06300,0000,6150DENTAL 427976,A000000,06310,0000,6151ADULT DAY HEALTH CARE 427976,A81000A,00100,0100,Y 427976,A81000B,00100,0300,RENT 427976,A81000B,00200,0300,INTEREST EXPENSE 427976,A81000B,00300,0300,DEPRECIATION 427976,A81000B,00400,0300,AUDITING FEES 427976,A81000B,00500,0300,REAL ESTATE TAXES 427976,A81000B,00600,0300,OTHER EXPENSES 427976,A81000C,00100,0100,A 427976,A81000C,00100,0200,ESTATE OF A SAL 427976,A81000C,00100,0400,160 SENECA STRE 427976,A81000C,00100,0600,REAL ESTATE 427976,A81000C,00200,0100,A 427976,A81000C,00200,0200,HARRY SATIN 427976,A81000C,00200,0400,160 SENECA STRE 427976,A81000C,00200,0600,REAL ESTATE 427976,A81000C,00300,0100,A 427976,A81000C,00300,0200,LOWELL FELDMAN 427976,A81000C,00300,0400,160 SENECA STRE 427976,A81000C,00300,0600,REAL ESTATE 427976,A81000C,00400,0100,A 427976,A81000C,00400,0200,JEFFREY SUNSHIN 427976,A81000C,00400,0400,160 SENECA STRE 427976,A81000C,00400,0600,REAL ESTATE 427976,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 427976,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 427976,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 427976,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 427976,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 427976,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 427976,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 427976,B100000,00000,0800,0800MEALS SERVED :DIETARY 427976,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 427976,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 427976,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 427976,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 427976,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 427976,B100000,00000,1500,1350NUMBER OF PARTCPANTS :ACTIVITIES 427976,G300000,02500,0000,MISCELLANEOUS INCOME 427976,G300000,02501,0000,INTEREST INCOME 427976,S000000,00100,0200,03/23/12 427976,S200000,00100,0100,160 SENECA STREET 427976,S200000,00200,0100,WELLSVILLE 427976,S200000,00200,0200,NY 427976,S200000,00200,0300,14895 427976,S200000,00300,0100,ALLEGANY 427976,S200000,00300,0300,R 427976,S200000,00400,0100,HIGHLAND HEALTHCARE CENTER 427976,S200000,00400,0200,335210 427976,S200000,00400,0300,01/01/67 427976,S200000,00400,0500,P 427976,S200000,00400,0600,O 427976,S200000,01500,0100,Y 427976,S200000,01502,0200,Y 427976,S200000,01503,0200,Y 427976,S200000,01600,0100,N 427976,S200000,01700,0100,N 427976,S200000,01800,0100,N 427976,S200000,01900,0100,LIMITED LIABILITY CO 427976,S200000,02200,0100,N 427976,S200000,02800,0100,N 427976,S200000,02900,0100,N 427976,S200000,03000,0100,N 427976,S200000,03100,0100,N 427976,S200000,03200,0100,N 427976,S200000,03300,0100,N 427976,S200000,03300,0200,N 427976,S200000,04100,0100,N 427976,S200000,04200,0100,N 427976,S200000,04300,0100,Y 427976,S200000,04600,0100,N 427976,S200000,04700,0100,N 427976,S200000,04700,0200,N 427976,S200000,04900,0100,N 427976,S200000,05000,0100,N 427976,S200000,05100,0100,N 427976,S200000,05200,0100,N 427982,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 427982,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 427982,A000000,00300,0000,0300EMPLOYEE BENEFITS 427982,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427982,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 427982,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427982,A000000,00700,0000,0700HOUSEKEEPING 427982,A000000,00800,0000,0800DIETARY 427982,A000000,00900,0000,0900NURSING ADMINISTRATION 427982,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427982,A000000,01100,0000,1100PHARMACY 427982,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427982,A000000,01300,0000,1300SOCIAL SERVICE 427982,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 427982,A000000,01500,0000,1350RECREATION 427982,A000000,01600,0000,1600SKILLED NURSING FACILITY 427982,A000000,01810,0000,1810ICF/MR 427982,A000000,01900,0000,1900OTHER LONG TERM CARE 427982,A000000,02100,0000,2100RADIOLOGY 427982,A000000,02200,0000,2200LABORATORY 427982,A000000,02500,0000,2500PHYSICAL THERAPY 427982,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427982,A000000,02700,0000,2700SPEECH PATHOLOGY 427982,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427982,A000000,03550,0000,3550FQHC 427982,A000000,04801,0000,4801AMBULANCE 427982,A000000,04802,0000,4802AMBULANCE 427982,A000000,04803,0000,4803AMBULANCE 427982,A000000,05000,0000,5000CORF 427982,A000000,05010,0000,5010CMHC 427982,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427982,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427982,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427982,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 427982,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427982,A000000,06300,0000,6150SUSSEX COTTAGE 427982,A81000A,00100,0100,N 427982,B100000,00000,0100,0100SQUARE FEET 427982,B100000,00000,0200,0200SQUARE FEET 427982,B100000,00000,0300,0300GROSS SALARIES 427982,B100000,00000,0400,0400ACCUM COST 427982,B100000,00000,0500,0500SQUARE FEET 427982,B100000,00000,0600,0600POUNDS OF LAUNDRY 427982,B100000,00000,0700,0700HOURS OF SERVICE 427982,B100000,00000,0800,0800MEALS SERVED 427982,B100000,00000,0900,0900DIRECT NURSING 427982,B100000,00000,1000,1000COSTED REQUIS 427982,B100000,00000,1100,1100COSTED REQUIS 427982,B100000,00000,1200,1200TIME SPENT 427982,B100000,00000,1300,1300TIME SPENT 427982,B100000,00000,1400,1400ASSIGNED TIME 427982,B100000,00000,1500,1350CENSUS 427982,G300000,02500,0000,OTHER 427982,S000000,00100,0200,02/24/12 427982,S200000,00100,0100,4800 LANCASTER PIKE 427982,S200000,00200,0100,WILMINGTON 427982,S200000,00200,0200,DE 427982,S200000,00200,0300,19807 427982,S200000,00300,0100,NEW CASTLE 427982,S200000,00300,0201,48864 427982,S200000,00300,0300,R 427982,S200000,00400,0100,MASONIC HOME OF DELAWARE 427982,S200000,00400,0200,085055 427982,S200000,00400,0300,03/24/10 427982,S200000,00400,0500,P 427982,S200000,01500,0100,Y 427982,S200000,01501,0200,Y 427982,S200000,01600,0100,N 427982,S200000,01700,0100,N 427982,S200000,01800,0100,N 427982,S200000,01900,0100,OTHER 427982,S200000,02200,0100,N 427982,S200000,02800,0100,N 427982,S200000,02900,0100,N 427982,S200000,03000,0100,N 427982,S200000,03100,0100,N 427982,S200000,03200,0100,N 427982,S200000,03300,0100,N 427982,S200000,03300,0200,N 427982,S200000,04300,0100,N 427982,S200000,04600,0100,N 427982,S200000,04700,0100,N 427982,S200000,04900,0100,N 427982,S200000,05200,0100,N 427982,S200000,05300,0100,N 427991,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 427991,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 427991,A000000,00300,0000,0300EMPLOYEE BENEFITS 427991,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 427991,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 427991,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 427991,A000000,00700,0000,0700HOUSEKEEPING 427991,A000000,00800,0000,0800DIETARY 427991,A000000,00900,0000,0900NURSING ADMINISTRATION 427991,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 427991,A000000,01100,0000,1100PHARMACY 427991,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 427991,A000000,01300,0000,1300SOCIAL SERVICE 427991,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 427991,A000000,01500,0000,1350ACTIVITIES 427991,A000000,01600,0000,1600SKILLED NURSING FACILITY 427991,A000000,01810,0000,1810ICF/MR 427991,A000000,02100,0000,2100RADIOLOGY 427991,A000000,02200,0000,2200LABORATORY 427991,A000000,02500,0000,2500PHYSICAL THERAPY 427991,A000000,02600,0000,2600OCCUPATIONAL THERAPY 427991,A000000,02700,0000,2700SPEECH PATHOLOGY 427991,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 427991,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 427991,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 427991,A000000,03550,0000,3550FQHC 427991,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 427991,A000000,04800,0000,4800AMBULANCE 427991,A000000,04801,0000,4801AMBULANCE 427991,A000000,04802,0000,4802AMBULANCE 427991,A000000,04803,0000,4803AMBULANCE 427991,A000000,05000,0000,5000CORF 427991,A000000,05010,0000,5010CMHC 427991,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 427991,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 427991,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 427991,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 427991,A000000,05900,0000,5900BARBER & BEAUTY SHOP 427991,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 427991,A81000A,00100,0100,N 427991,B100000,00000,0100,0100SQUARE FEET 427991,B100000,00000,0200,0200SQUARE FEET 427991,B100000,00000,0300,0300GROSS SALARIES 427991,B100000,00000,0400,0400ACCUM COST 427991,B100000,00000,0500,0500SQUARE FEET 427991,B100000,00000,0600,0600PATIENT DAYS 427991,B100000,00000,0700,0700SQUARE FEET 427991,B100000,00000,0800,0800MEALS SERVED 427991,B100000,00000,0900,0900DIRECT NURSING 427991,B100000,00000,1000,1000COSTED REQUIS. 427991,B100000,00000,1100,1100COSTED REQUIS. 427991,B100000,00000,1200,1200PATIENT DAYS 427991,B100000,00000,1300,1300PATIENT DAYS 427991,B100000,00000,1400,1400ASSIGNED TIME 427991,B100000,00000,1500,1350PATIENT DAYS 427991,G300000,02501,0000,PRIVATE ROOM CHARGES 427991,G300000,02502,0000,HOLD BED 427991,G300000,02503,0000,OPERATING TRANSFER IN 427991,G300000,02504,0000,OTHER INCOME 427991,S000000,00100,0200,03/01/12 427991,S200000,00100,0100,505 EAST LAFAYETTE STREET 427991,S200000,00200,0100,MARION 427991,S200000,00200,0200,AL 427991,S200000,00200,0300,36756 427991,S200000,00300,0100,PERRY 427991,S200000,00300,0201,99901 427991,S200000,00300,0300,R 427991,S200000,00400,0100,PERRY COUNTY NURSING HOME 427991,S200000,00400,0200,015158 427991,S200000,00400,0300,05/01/99 427991,S200000,00400,0500,P 427991,S200000,01500,0100,Y 427991,S200000,01501,0200,Y 427991,S200000,01502,0200,N 427991,S200000,01503,0200,N 427991,S200000,01504,0200,N 427991,S200000,01505,0000,OTHER (SPECIFY) 427991,S200000,01505,0200,N 427991,S200000,01600,0100,N 427991,S200000,01700,0100,N 427991,S200000,01800,0100,N 427991,S200000,02200,0100,N 427991,S200000,02800,0100,N 427991,S200000,02900,0100,N 427991,S200000,03000,0100,N 427991,S200000,03100,0100,N 427991,S200000,03200,0100,N 427991,S200000,03300,0100,N 427991,S200000,03300,0200,N 427991,S200000,04200,0100,N 427991,S200000,04300,0100,N 427991,S200000,04600,0100,N 427991,S200000,04700,0100,N 427991,S200000,04900,0100,N 427991,S200000,05200,0100,N 427991,S200000,05300,0100,N 428015,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428015,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428015,A000000,00300,0000,0300EMPLOYEE BENEFITS 428015,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428015,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428015,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428015,A000000,00700,0000,0700HOUSEKEEPING 428015,A000000,00800,0000,0800DIETARY 428015,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428015,A000000,01300,0000,1300SOCIAL SERVICE 428015,A000000,01500,0000,1350RECREATION SERVICES 428015,A000000,01600,0000,1600SKILLED NURSING FACILITY 428015,A000000,02100,0000,2100RADIOLOGY 428015,A000000,02200,0000,2200LABORATORY 428015,A000000,02500,0000,2500PHYSICAL THERAPY 428015,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428015,A000000,02700,0000,2700SPEECH PATHOLOGY 428015,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428015,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428015,A000000,03300,0000,3050PEN THERAPY 428015,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428015,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428015,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428015,A81000A,00100,0100,Y 428015,A81000B,00100,0300,HOME OFFICE BUILDING 428015,A81000B,00200,0300,SHARED WAREHOUSE 428015,A81000B,00300,0300,FACILITY LEASE 428015,A81000B,00400,0300,HOME OFFICE MME 428015,A81000B,00500,0300,HOME OFFICE A & G 428015,A81000B,00600,0300,TRAVEL -AIRCRAFT RENTAL 428015,A81000B,00700,0300,DESIGNS TO ENJOI MAINT 428015,A81000B,00800,0300,DESIGNS TO ENJOI LINENS PURCHASE 428015,A81000C,00100,0100,A 428015,A81000C,00100,0200,DICK STEBBINS 428015,A81000C,00100,0400,STEBBINS FIVE COMPANIES 428015,A81000C,00100,0600,LTC SERVICE 428015,A81000C,00200,0100,A 428015,A81000C,00200,0200,DICK STEBBINS 428015,A81000C,00200,0400,STEBBINS JET CENTER 428015,A81000C,00200,0600,FLIGHT SERVICES 428015,A81000C,00300,0100,A 428015,A81000C,00300,0200,DICK STEBBINS 428015,A81000C,00300,0400,TRIANGLE 428015,A81000C,00300,0600,FACILITY LEASE 428015,A81000C,00400,0100,A 428015,A81000C,00400,0200,DICK STEBBINS 428015,A81000C,00400,0400,DESIGNS TO ENJOI 428015,A81000C,00400,0600,FACILITY MAINTENANCE 428015,A81000C,00500,0100,A 428015,A81000C,00500,0200,DICK STEBBINS 428015,A81000C,00500,0400,TRIANGLE 428015,A81000C,00500,0600,WAREHOUSE RENTAL 428015,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428015,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428015,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428015,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428015,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428015,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428015,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428015,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 428015,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 428015,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 428015,B100000,00000,1500,1350RESIDENT DAYS :RECREATION SERVI 428015,S000000,00100,0200,03/01/12 428015,S200000,00100,0100,3505 S BUCKNER BLVD BIULDING 5 428015,S200000,00200,0100,DALLAS 428015,S200000,00200,0200,TX 428015,S200000,00200,0300,75227-5534 428015,S200000,00300,0100,DALLAS 428015,S200000,00300,0200,1920 428015,S200000,00300,0201,19124 428015,S200000,00300,0300,U 428015,S200000,00400,0100,BRENTWOOD PLACE FOUR - SNF 428015,S200000,00400,0200,676270 428015,S200000,00400,0300,12/15/10 428015,S200000,00400,0500,P 428015,S200000,01500,0100,Y 428015,S200000,01501,0200,Y 428015,S200000,01502,0200,Y 428015,S200000,01503,0200,Y 428015,S200000,01504,0200,Y 428015,S200000,01600,0100,N 428015,S200000,01700,0100,N 428015,S200000,01800,0100,N 428015,S200000,02200,0100,N 428015,S200000,02800,0100,N 428015,S200000,02900,0100,N 428015,S200000,03000,0100,N 428015,S200000,03100,0100,N 428015,S200000,03200,0100,N 428015,S200000,03300,0100,N 428015,S200000,03300,0200,N 428015,S200000,04100,0100,N 428015,S200000,04200,0100,N 428015,S200000,04300,0100,N 428015,S200000,04600,0100,N 428015,S200000,04700,0100,N 428015,S200000,04700,0200,N 428015,S200000,04900,0100,N 428015,S200000,05000,0100,N 428015,S200000,05100,0100,N 428015,S200000,05200,0100,N 428015,S200000,05300,0100,Y 428015,S200000,05300,0200,HB0339 428015,S200000,05400,0100,STEBBINS FIVE COMPANIES 428015,S200000,05400,0200,TRAILBLAZER HEALTH SERVICES 428015,S200000,05400,0300,00400 428015,S200000,05500,0100,600 E WHALEY 428015,S200000,05600,0100,LONGVIEW 428015,S200000,05600,0200,TX 428015,S200000,05600,0300,75601 428016,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428016,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428016,A000000,00300,0000,0300EMPLOYEE BENEFITS 428016,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428016,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428016,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428016,A000000,00700,0000,0700HOUSEKEEPING 428016,A000000,00800,0000,0800DIETARY 428016,A000000,00900,0000,0900NURSING ADMINISTRATION 428016,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428016,A000000,01100,0000,1100PHARMACY 428016,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428016,A000000,01300,0000,1300SOCIAL SERVICE 428016,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428016,A000000,01500,0000,1350OTHER GENERAL SERVICES 428016,A000000,01600,0000,1600SKILLED NURSING FACILITY 428016,A000000,01800,0000,1800NURSING FACILITY 428016,A000000,01810,0000,1810ICF/MR 428016,A000000,01900,0000,1900OTHER LONG TERM CARE 428016,A000000,02100,0000,2100RADIOLOGY 428016,A000000,02200,0000,2200LABORATORY 428016,A000000,02300,0000,2300INTRAVENOUS THERAPY 428016,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428016,A000000,02500,0000,2500PHYSICAL THERAPY 428016,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428016,A000000,02700,0000,2700SPEECH PATHOLOGY 428016,A000000,02800,0000,2800ELECTROCARDIOLOGY 428016,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428016,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428016,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428016,A000000,03200,0000,3200SUPPORT SURFACES 428016,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428016,A000000,03400,0000,3400CLINIC 428016,A000000,03500,0000,3500RURAL HEALTH CLINIC 428016,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428016,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428016,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428016,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428016,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428016,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428016,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428016,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428016,A000000,04400,0000,4400DME RENTED - HHA 428016,A000000,04500,0000,4500DME SOLD - HHA 428016,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428016,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428016,A000000,04710,0000,4710TELEMEDICINE 428016,A000000,04800,0000,4800AMBULANCE 428016,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428016,A000000,05000,0000,5000CORF 428016,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428016,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428016,A000000,05300,0000,5300INTEREST EXPENSE 428016,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428016,A000000,05500,0000,5500HOSPICE 428016,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428016,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428016,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428016,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428016,A000000,06100,0000,6100NONPAID WORKERS 428016,A000000,06200,0000,6200PATIENTS LAUNDRY 428016,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428016,A81000A,00100,0100,N 428016,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428016,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428016,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428016,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428016,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428016,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428016,B100000,00000,0800,0800MEALS SERVED :DIETARY 428016,G300000,02500,0000,OTHER 428016,S000000,00100,0200,02/29/12 428016,S200000,00100,0100,1541 CHESTNUT ST 428016,S200000,00200,0100,COLORADO CITY 428016,S200000,00200,0200,TX 428016,S200000,00200,0300,79512 428016,S200000,00300,0100,MITCHELL 428016,S200000,00300,0200,45 428016,S200000,00300,0201,99945 428016,S200000,00300,0300,R 428016,S200000,00400,0100,VALLEY FAIR LODGE 428016,S200000,00400,0200,676225 428016,S200000,00400,0300,10/15/09 428016,S200000,00400,0500,P 428016,S200000,01500,0100,N 428016,S200000,01501,0200,Y 428016,S200000,01600,0100,Y 428016,S200000,01700,0100,N 428016,S200000,01800,0100,N 428016,S200000,02200,0100,N 428016,S200000,02800,0100,N 428016,S200000,02900,0100,N 428016,S200000,03000,0100,N 428016,S200000,03100,0100,N 428016,S200000,03200,0100,N 428016,S200000,03300,0100,N 428016,S200000,03300,0200,N 428016,S200000,04100,0100,N 428016,S200000,04200,0100,N 428016,S200000,04300,0100,N 428016,S200000,04600,0100,N 428016,S200000,04700,0100,N 428016,S200000,04700,0200,N 428016,S200000,04900,0100,N 428016,S200000,05000,0100,N 428016,S200000,05100,0100,N 428016,S200000,05200,0100,N 428027,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428027,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428027,A000000,00300,0000,0300EMPLOYEE BENEFITS 428027,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428027,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428027,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428027,A000000,00700,0000,0700HOUSEKEEPING 428027,A000000,00800,0000,0800DIETARY 428027,A000000,00900,0000,0900NURSING ADMINISTRATION 428027,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428027,A000000,01100,0000,1100PHARMACY 428027,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428027,A000000,01300,0000,1300SOCIAL SERVICE 428027,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428027,A000000,01500,0000,1350OTHER GENERAL SERVICES 428027,A000000,01600,0000,1600SKILLED NURSING FACILITY 428027,A000000,01800,0000,1800NURSING FACILITY 428027,A000000,01810,0000,1810ICF/MR 428027,A000000,01900,0000,1900OTHER LONG TERM CARE 428027,A000000,02100,0000,2100RADIOLOGY 428027,A000000,02200,0000,2200LABORATORY 428027,A000000,02300,0000,2300INTRAVENOUS THERAPY 428027,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428027,A000000,02500,0000,2500PHYSICAL THERAPY 428027,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428027,A000000,02700,0000,2700SPEECH PATHOLOGY 428027,A000000,02800,0000,2800ELECTROCARDIOLOGY 428027,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428027,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428027,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428027,A000000,03200,0000,3200SUPPORT SURFACES 428027,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428027,A000000,03400,0000,3400CLINIC 428027,A000000,03500,0000,3500RURAL HEALTH CLINIC 428027,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428027,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428027,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428027,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428027,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428027,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428027,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428027,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428027,A000000,04400,0000,4400DME RENTED - HHA 428027,A000000,04500,0000,4500DME SOLD - HHA 428027,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428027,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428027,A000000,04710,0000,4710TELEMEDICINE 428027,A000000,04800,0000,4800AMBULANCE 428027,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428027,A000000,05000,0000,5000CORF 428027,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428027,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428027,A000000,05300,0000,5300INTEREST EXPENSE 428027,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428027,A000000,05500,0000,5500HOSPICE 428027,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428027,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428027,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428027,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428027,A000000,06100,0000,6100NONPAID WORKERS 428027,A000000,06200,0000,6200PATIENTS LAUNDRY 428027,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428027,A81000A,00100,0100,N 428027,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428027,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428027,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428027,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428027,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428027,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428027,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428027,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428027,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428027,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428027,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428027,S000000,00100,0200,02/28/12 428027,S200000,00100,0100,1204 LINDEN ST 428027,S200000,00200,0100,DALLAS CENTER 428027,S200000,00200,0200,IA 428027,S200000,00200,0300,50063 428027,S200000,00300,0100,DALLAS 428027,S200000,00300,0200,2120 428027,S200000,00300,0201,19780 428027,S200000,00300,0300,U 428027,S200000,00400,0100,SPURGEON MANOR 428027,S200000,00400,0200,165591 428027,S200000,00400,0300,02/17/09 428027,S200000,00400,0500,P 428027,S200000,01500,0100,N 428027,S200000,01501,0200,Y 428027,S200000,01502,0200,Y 428027,S200000,01503,0200,N 428027,S200000,01504,0200,N 428027,S200000,01600,0100,Y 428027,S200000,01700,0100,N 428027,S200000,01800,0100,N 428027,S200000,02200,0100,N 428027,S200000,02800,0100,N 428027,S200000,02900,0100,N 428027,S200000,03000,0100,N 428027,S200000,03100,0100,N 428027,S200000,03200,0100,N 428027,S200000,03300,0100,N 428027,S200000,03300,0200,N 428027,S200000,04100,0100,N 428027,S200000,04200,0100,N 428027,S200000,04300,0100,N 428027,S200000,04600,0100,N 428027,S200000,04700,0100,N 428027,S200000,04700,0200,N 428027,S200000,04900,0100,N 428027,S200000,05000,0100,N 428027,S200000,05100,0100,N 428027,S200000,05200,0100,N 428027,S200000,05300,0100,N 428028,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428028,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428028,A000000,00300,0000,0300EMPLOYEE BENEFITS 428028,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428028,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428028,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428028,A000000,00700,0000,0700HOUSEKEEPING 428028,A000000,00800,0000,0800DIETARY 428028,A000000,00900,0000,0900NURSING ADMINISTRATION 428028,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428028,A000000,01100,0000,1100PHARMACY 428028,A000000,01300,0000,1300SOCIAL SERVICE 428028,A000000,01600,0000,1600SKILLED NURSING FACILITY 428028,A000000,02100,0000,2100RADIOLOGY 428028,A000000,02200,0000,2200LABORATORY 428028,A000000,02500,0000,2500PHYSICAL THERAPY 428028,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428028,A000000,02700,0000,2700SPEECH PATHOLOGY 428028,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428028,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428028,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428028,A000000,05300,0000,5300INTEREST EXPENSE 428028,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428028,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428028,A81000A,00100,0100,Y 428028,A81000B,00100,0300,MANAGEMENT FEE 428028,A81000B,00200,0300,HEALTH INSURANCE 428028,A81000B,00300,0300,PHARMACY 428028,A81000B,00400,0300,LOANS (INTEREST EXPENSE) 428028,A81000C,00100,0100,B 428028,A81000C,00100,0200,MARYLAND MGMT GROUP 428028,A81000C,00200,0100,A 428028,A81000C,00200,0200,DAVID RUECKER 428028,A81000C,00300,0100,A 428028,A81000C,00300,0200,BEDELL FAMILY PARTNERSHIP 428028,A81000C,00400,0100,A 428028,A81000C,00400,0200,EDWIN & JOAN WAHL 428028,A81000C,00500,0100,A 428028,A81000C,00500,0200,PAUL NOVELLY 428028,A81000C,00600,0100,A 428028,A81000C,00600,0200,P NOVELLY & JOHN PRUELLAG 428028,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428028,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428028,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428028,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428028,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428028,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428028,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428028,B100000,00000,0800,0800MEALS SERVED :DIETARY 428028,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428028,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428028,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428028,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428028,E00A183,03620,0000,OTHER ADJUSTMENTS (SPECIFY) 428028,G300000,02500,0000,BARBER AND BEAUTY REVENUE 428028,G300000,02501,0000,ROOM RESERVATION 428028,G300000,02502,0000,MISCELLANEOUS INCOME 428028,S000000,00100,0200,03/05/12 428028,S200000,00100,0100,11988 MARK TWAIN MANOR 428028,S200000,00200,0100,BRIDGETON 428028,S200000,00200,0200,MO 428028,S200000,00200,0300,63044 428028,S200000,00300,0100,SAINT LOUIS 428028,S200000,00300,0200,7040 428028,S200000,00300,0201,41180 428028,S200000,00300,0300,U 428028,S200000,00400,0100,MARK TWAIN MANOR 428028,S200000,00400,0200,265236 428028,S200000,00400,0300,04/15/84 428028,S200000,00400,0500,P 428028,S200000,01500,0100,Y 428028,S200000,01501,0200,Y 428028,S200000,01505,0000,OTHER 428028,S200000,01505,0200,Y 428028,S200000,01600,0100,N 428028,S200000,01700,0100,N 428028,S200000,01800,0100,N 428028,S200000,02200,0100,N 428028,S200000,02800,0100,N 428028,S200000,02900,0100,N 428028,S200000,03000,0100,N 428028,S200000,03100,0100,N 428028,S200000,03200,0100,N 428028,S200000,03300,0100,N 428028,S200000,03300,0200,N 428028,S200000,04100,0100,N 428028,S200000,04200,0100,N 428028,S200000,04300,0100,N 428028,S200000,04600,0100,N 428028,S200000,04700,0100,N 428028,S200000,04700,0200,N 428028,S200000,04900,0100,N 428028,S200000,05000,0100,N 428028,S200000,05100,0100,N 428028,S200000,05200,0100,N 428029,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428029,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428029,A000000,00300,0000,0300EMPLOYEE BENEFITS 428029,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428029,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428029,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428029,A000000,00700,0000,0700HOUSEKEEPING 428029,A000000,00800,0000,0800DIETARY 428029,A000000,00900,0000,0900NURSING ADMINISTRATION 428029,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428029,A000000,01100,0000,1100PHARMACY 428029,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428029,A000000,01300,0000,1300SOCIAL SERVICE 428029,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428029,A000000,01500,0000,1350OTHER GENERAL SERVICES 428029,A000000,01600,0000,1600SKILLED NURSING FACILITY 428029,A000000,01800,0000,1800NURSING FACILITY 428029,A000000,01900,0000,1900OTHER LONG TERM CARE 428029,A000000,02100,0000,2100RADIOLOGY 428029,A000000,02200,0000,2200LABORATORY 428029,A000000,02300,0000,2300INTRAVENOUS THERAPY 428029,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428029,A000000,02500,0000,2500PHYSICAL THERAPY 428029,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428029,A000000,02700,0000,2700SPEECH PATHOLOGY 428029,A000000,02800,0000,2800ELECTROCARDIOLOGY 428029,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428029,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428029,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428029,A000000,03200,0000,3200SUPPORT SURFACES 428029,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428029,A000000,03301,0000,3051AIR FLUIDIZATION 428029,A000000,03400,0000,3400CLINIC 428029,A000000,03500,0000,3500RURAL HEALTH CLINIC 428029,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428029,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428029,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428029,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428029,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428029,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428029,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428029,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428029,A000000,04400,0000,4400DME RENTED - HHA 428029,A000000,04500,0000,4500DME SOLD - HHA 428029,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428029,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428029,A000000,04800,0000,4800AMBULANCE 428029,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428029,A000000,05000,0000,5000CORF 428029,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428029,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428029,A000000,05300,0000,5300INTEREST EXPENSE 428029,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428029,A000000,05500,0000,5500HOSPICE 428029,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428029,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428029,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428029,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428029,A000000,06100,0000,6100NONPAID WORKERS 428029,A000000,06200,0000,6200PATIENTS LAUNDRY 428029,A000000,06300,0000,6150ACLF & RESIDENTIAL LIVING 428029,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428029,A81000A,00100,0100,Y 428029,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 428029,A81000B,00200,0300,HOME OFFICE ADMIN 428029,A81000B,00300,0300,HOME OFFICE RES. COSTS 428029,A81000C,00100,0100,B 428029,A81000C,00100,0200,RETIREMENT HOUSING 428029,A81000C,00200,0200,FOUNDATION INC. 428029,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428029,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428029,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428029,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428029,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428029,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428029,B100000,00000,0800,0800MEALS SERVED :DIETARY 428029,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 428029,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428029,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428029,G300000,02500,0000,BEAUTY SHOP REVENUE 428029,G300000,02501,0000,MISCELLANOUE REVENUE 428029,G300000,02502,0000,ENTRANCE FEES 428029,G300000,02503,0000,GRANT INCOME 428029,S000000,00100,0200,03/01/12 428029,S200000,00100,0100,1100 S. COURTENAY PARKWAY 428029,S200000,00200,0100,MERRITT ISLAND 428029,S200000,00200,0200,FL 428029,S200000,00200,0300,32952 428029,S200000,00300,0100,BREVARD 428029,S200000,00300,0200,4900 428029,S200000,00300,0201,37340 428029,S200000,00300,0300,U 428029,S200000,00400,0100,COURTENAY SPRINGS VILLAGE 428029,S200000,00400,0200,105463 428029,S200000,00400,0300,10/01/85 428029,S200000,00400,0500,P 428029,S200000,00400,0600,O 428029,S200000,01500,0100,Y 428029,S200000,01501,0200,N 428029,S200000,01502,0200,N 428029,S200000,01504,0200,Y 428029,S200000,01600,0100,N 428029,S200000,01700,0100,N 428029,S200000,01800,0100,N 428029,S200000,02200,0100,N 428029,S200000,02800,0100,N 428029,S200000,02900,0100,N 428029,S200000,03000,0100,N 428029,S200000,03100,0100,N 428029,S200000,03200,0100,N 428029,S200000,03300,0100,N 428029,S200000,03300,0200,N 428029,S200000,04100,0100,N 428029,S200000,04200,0100,N 428029,S200000,04300,0100,N 428029,S200000,04600,0100,N 428029,S200000,04700,0100,N 428029,S200000,04700,0200,N 428029,S200000,04900,0100,N 428029,S200000,05000,0100,N 428029,S200000,05100,0100,N 428029,S200000,05200,0100,N 428029,S200000,05300,0100,Y 428029,S200000,05300,0200,559008 428029,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 428029,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428029,S200000,05400,0300,52280 428029,S200000,05500,0100,911 NORTH STUDEBAKER ROAD 428029,S200000,05600,0100,LONG BEACH 428029,S200000,05600,0200,CA 428029,S200000,05600,0300,90815 428033,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428033,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428033,A000000,00300,0000,0300EMPLOYEE BENEFITS 428033,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428033,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428033,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428033,A000000,00700,0000,0700HOUSEKEEPING 428033,A000000,00800,0000,0800DIETARY 428033,A000000,00900,0000,0900NURSING ADMINISTRATION 428033,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428033,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428033,A000000,01300,0000,1300SOCIAL SERVICE 428033,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428033,A000000,01500,0000,1350OTHER GENERAL SERVICES 428033,A000000,01600,0000,1600SKILLED NURSING FACILITY 428033,A000000,01800,0000,1800NURSING FACILITY 428033,A000000,01900,0000,1900OTHER LONG TERM CARE 428033,A000000,02100,0000,2100RADIOLOGY 428033,A000000,02200,0000,2200LABORATORY 428033,A000000,02300,0000,2300INTRAVENOUS THERAPY 428033,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428033,A000000,02500,0000,2500PHYSICAL THERAPY 428033,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428033,A000000,02700,0000,2700SPEECH PATHOLOGY 428033,A000000,02800,0000,2800ELECTROCARDIOLOGY 428033,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428033,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428033,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428033,A000000,03200,0000,3200SUPPORT SURFACES 428033,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428033,A000000,03400,0000,3400CLINIC 428033,A000000,03500,0000,3500RURAL HEALTH CLINIC 428033,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428033,A000000,04800,0000,4800AMBULANCE 428033,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428033,A000000,05000,0000,5000CORF 428033,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428033,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428033,A000000,05300,0000,5300INTEREST EXPENSE 428033,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428033,A000000,05500,0000,5500HOSPICE 428033,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428033,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428033,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428033,A000000,06200,0000,6200PATIENTS LAUNDRY 428033,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428033,A81000A,00100,0100,Y 428033,A81000B,00100,0300,HOME OFFICE ALLOCATION 428033,A81000B,00200,0300,HOME OFFICE ALLOCATION 428033,A81000B,00400,0300,REHAB 428033,A81000B,00500,0300,REHAB 428033,A81000B,00600,0300,REHAB 428033,A81000B,00800,0300,IV PHARMACY FLU SHOTS 428033,A81000B,00900,0300,INTERNAL CONTRACT LABOR 428033,A81000C,00100,0100,B 428033,A81000C,00100,0400,PRESITGE CARE OF ANCHORAG 428033,A81000C,00100,0600,OWNS PROVIDER 428033,A81000C,00200,0100,B 428033,A81000C,00200,0400,PRESTIGE CARE INC 428033,A81000C,00200,0600,OWNS ANCHORAGE 428033,A81000C,00300,0100,A 428033,A81000C,00300,0200,RICK DELAMARTER 428033,A81000C,00300,0400,PRESTIGE CARE INC 428033,A81000C,00300,0600,HOME OFFICE 428033,A81000C,00400,0100,A 428033,A81000C,00400,0200,HAROLD DELAMARTER 428033,A81000C,00400,0400,PRESTIGE CARE INC 428033,A81000C,00400,0600,HOME OFFICE 428033,A81000C,00500,0100,A 428033,A81000C,00500,0200,GREG VISLOCKY 428033,A81000C,00500,0400,PRESTIGE CARE INC 428033,A81000C,00500,0600,HOME OFFICE 428033,A81000C,00600,0100,A 428033,A81000C,00600,0200,RICK DELAMARTER 428033,A81000C,00600,0400,CYPRESS VENTURES 428033,A81000C,00600,0600,PROPAC PHARMACY 428033,A81000C,00700,0100,A 428033,A81000C,00700,0200,HAROLD DELAMARTER 428033,A81000C,00700,0400,CYPRESS VENTURES 428033,A81000C,00700,0600,PROPAC PHARMACY 428033,A81000C,00800,0100,A 428033,A81000C,00800,0200,GREG VISLOCKY 428033,A81000C,00800,0400,CYPRESS VENTURES 428033,A81000C,00800,0600,PROPAC PHARMACY 428033,A81000C,01002,0100,G 428033,A81000C,01002,0400,AUGUSTA VENTURES 428033,A81000C,01002,0600,PREMERE REHAB COMPANY 428033,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 428033,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 428033,A81000C,01004,0600,SEE ATTACHED RELATED 428033,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 428033,A81000C,01005,0400,THE 10.10 EXCEPTION 428033,A81000C,01005,0600,PARTY RELATIONSHIPS 428033,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 428033,A81000C,01006,0400,CRITERIA 428033,A81000C,01007,0200,PRESTIGE CARE & ANCHORAGE 428033,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428033,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428033,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428033,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428033,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428033,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428033,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428033,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428033,B100000,00000,0900,0950DIRECT NURSE HRS :NURSING ADMINI 428033,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428033,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428033,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428033,G300000,02500,0000,OTHER INCOME 428033,S000000,00100,0200,03/16/12 428033,S200000,00100,0100,9100 CENTENNIAL DRIVE 428033,S200000,00200,0100,ANCHORAGE 428033,S200000,00200,0200,AK 428033,S200000,00200,0300,99504 428033,S200000,00300,0100,ANCHORAGE 428033,S200000,00300,0201,11260 428033,S200000,00300,0300,U 428033,S200000,00400,0100,PRESTIGE CARE & REHAB CENTER OF ANCH 428033,S200000,00400,0200,025025 428033,S200000,00400,0300,01/01/94 428033,S200000,00400,0500,P 428033,S200000,01500,0100,Y 428033,S200000,01501,0200,Y 428033,S200000,01502,0200,Y 428033,S200000,01504,0200,Y 428033,S200000,01600,0100,N 428033,S200000,01700,0100,N 428033,S200000,01800,0100,N 428033,S200000,02200,0100,N 428033,S200000,02800,0100,Y 428033,S200000,02900,0100,N 428033,S200000,03000,0100,N 428033,S200000,03100,0100,N 428033,S200000,03200,0100,N 428033,S200000,03300,0100,N 428033,S200000,03300,0200,N 428033,S200000,04100,0100,N 428033,S200000,04200,0100,N 428033,S200000,04300,0100,N 428033,S200000,04600,0100,N 428033,S200000,04700,0100,N 428033,S200000,04700,0200,N 428033,S200000,04900,0100,N 428033,S200000,05000,0100,N 428033,S200000,05100,0100,N 428033,S200000,05200,0100,N 428033,S200000,05300,0100,Y 428033,S200000,05300,0200,HB0440 428033,S200000,05400,0100,PRESTIGE CARE INC 428033,S200000,05400,0200,NORDIAN 428033,S200000,05400,0300,00325 428033,S200000,05500,0100,7700 NE PARKWAY DRIVE 428033,S200000,05600,0100,VANCOUVER 428033,S200000,05600,0200,WA 428033,S200000,05600,0300,98662 428039,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428039,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428039,A000000,00300,0000,0300EMPLOYEE BENEFITS 428039,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428039,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428039,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428039,A000000,00700,0000,0700HOUSEKEEPING 428039,A000000,00800,0000,0800DIETARY 428039,A000000,00900,0000,0900NURSING ADMINISTRATION 428039,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428039,A000000,01100,0000,1100PHARMACY 428039,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428039,A000000,01300,0000,1300SOCIAL SERVICE 428039,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428039,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428039,A000000,01600,0000,1600SKILLED NURSING FACILITY 428039,A000000,01800,0000,1800NURSING FACILITY 428039,A000000,01810,0000,1810ICF/MR 428039,A000000,01900,0000,1900OTHER LONG TERM CARE 428039,A000000,02100,0000,2100RADIOLOGY 428039,A000000,02200,0000,2200LABORATORY 428039,A000000,02300,0000,2300INTRAVENOUS THERAPY 428039,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428039,A000000,02500,0000,2500PHYSICAL THERAPY 428039,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428039,A000000,02700,0000,2700SPEECH PATHOLOGY 428039,A000000,02800,0000,2800ELECTROCARDIOLOGY 428039,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428039,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428039,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428039,A000000,03200,0000,3200SUPPORT SURFACES 428039,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428039,A000000,03400,0000,3400CLINIC 428039,A000000,03500,0000,3500RURAL HEALTH CLINIC 428039,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428039,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428039,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428039,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428039,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428039,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428039,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428039,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428039,A000000,04400,0000,4400DME RENTED - HHA 428039,A000000,04500,0000,4500DME SOLD - HHA 428039,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428039,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428039,A000000,04710,0000,4710TELEMEDICINE 428039,A000000,04800,0000,4800AMBULANCE 428039,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428039,A000000,05000,0000,5000CORF 428039,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428039,A000000,05300,0000,5300INTEREST EXPENSE 428039,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428039,A000000,05500,0000,5500HOSPICE 428039,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428039,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428039,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428039,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428039,A000000,06100,0000,6100NONPAID WORKERS 428039,A000000,06200,0000,6200PATIENTS LAUNDRY 428039,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428039,A81000A,00100,0100,Y 428039,A81000C,00100,0100,B 428039,A81000C,00100,0200,VILLA MARIA 428039,A81000C,00100,0400,SMP-LTC 428039,A81000C,00100,0600,HEALTHCARE 428039,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428039,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428039,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428039,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428039,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428039,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428039,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428039,B100000,00000,0800,0800MEALS SERVED :DIETARY 428039,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428039,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428039,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428039,B100000,00000,1500,1350 ACCUM. COST :OTHER GENERAL SERV 428039,G300000,02500,0000, OTHER (SPECIFY) 428039,S000000,00100,0200,03/12/12 428039,S200000,00100,0100,3102 SOUTH UNIVERSITY DRIVE 428039,S200000,00200,0100,FARGO 428039,S200000,00200,0200,ND 428039,S200000,00200,0300,58103 428039,S200000,00300,0100,CASS 428039,S200000,00300,0201,22020 428039,S200000,00300,0300,U 428039,S200000,00400,0100,VILLA MARIA 428039,S200000,00400,0200,355079 428039,S200000,00400,0300,12/31/80 428039,S200000,00400,0500,P 428039,S200000,01500,0100,N 428039,S200000,01501,0200,Y 428039,S200000,01600,0100,N 428039,S200000,01700,0100,N 428039,S200000,01800,0100,N 428039,S200000,02100,0100,E 428039,S200000,02200,0100,N 428039,S200000,02800,0100,N 428039,S200000,02900,0100,N 428039,S200000,03000,0100,N 428039,S200000,03100,0100,N 428039,S200000,03200,0100,N 428039,S200000,03300,0100,N 428039,S200000,03300,0200,N 428039,S200000,04100,0100,N 428039,S200000,04200,0100,N 428039,S200000,04300,0100,N 428039,S200000,04600,0100,N 428039,S200000,04700,0100,N 428039,S200000,04700,0200,N 428039,S200000,04900,0100,N 428039,S200000,05000,0100,N 428039,S200000,05100,0100,N 428039,S200000,05200,0100,N 428039,S200000,05300,0100,Y 428039,S200000,05300,0200,35HO02 428039,S200000,05400,0100,SMPHS 428039,S200000,05400,0200,NORIDIAN 428039,S200000,05400,0300,03001 428039,S200000,05500,0100,1202 PAGE DRIVE SW 428039,S200000,05500,0200,PO BOX 10 428039,S200000,05600,0100,FARGO 428039,S200000,05600,0200,ND 428039,S200000,05600,0300,58106-0007 428040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428040,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428040,A000000,00300,0000,0300EMPLOYEE BENEFITS 428040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428040,A000000,00700,0000,0700HOUSEKEEPING 428040,A000000,00800,0000,0800DIETARY 428040,A000000,00900,0000,0900NURSING ADMINISTRATION 428040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428040,A000000,01300,0000,1300SOCIAL SERVICE 428040,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428040,A000000,01500,0000,1350OTHER GENERAL SERVICES 428040,A000000,01600,0000,1600SKILLED NURSING FACILITY 428040,A000000,01800,0000,1800NURSING FACILITY 428040,A000000,01900,0000,1900OTHER LONG TERM CARE 428040,A000000,02100,0000,2100RADIOLOGY 428040,A000000,02200,0000,2200LABORATORY 428040,A000000,02300,0000,2300INTRAVENOUS THERAPY 428040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428040,A000000,02500,0000,2500PHYSICAL THERAPY 428040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428040,A000000,02700,0000,2700SPEECH PATHOLOGY 428040,A000000,02800,0000,2800ELECTROCARDIOLOGY 428040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428040,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428040,A000000,03200,0000,3200SUPPORT SURFACES 428040,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428040,A000000,03400,0000,3400CLINIC 428040,A000000,03500,0000,3500RURAL HEALTH CLINIC 428040,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428040,A000000,04800,0000,4800AMBULANCE 428040,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428040,A000000,05000,0000,5000CORF 428040,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428040,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428040,A000000,05300,0000,5300INTEREST EXPENSE 428040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428040,A000000,05500,0000,5500HOSPICE 428040,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428040,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428040,A000000,06200,0000,6200PATIENTS LAUNDRY 428040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428040,A81000A,00100,0100,Y 428040,A81000B,00100,0300,HOME OFFICE ALLOCATION 428040,A81000B,00200,0300,HOME OFFICE ALLOCATION 428040,A81000B,00300,0300,EMPLOYEE FLU SHOTS 428040,A81000B,00400,0300,CHARGEABLE MEDICAL SUPPLIES 428040,A81000B,00500,0300,NURSING SUPPLY 428040,A81000B,00600,0300,IV PHARMACY FLU SHOTS 428040,A81000B,00700,0300,REHAB 428040,A81000B,00800,0300,REHAB 428040,A81000B,00900,0300,REHAB 428040,A81000B,01000,0300,EQUIPMENT RENTAL 428040,A81000B,01100,0300,PRESTIGE BUS ALLOCATION 428040,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428040,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428040,A81000B,01400,0300,INTERNAL CONTRACT LABOR 428040,A81000B,01500,0300,INTERNAL CONTRACT LABOR 428040,A81000B,01600,0300,INTERNAL CONTRACT LABOR 428040,A81000B,01700,0300,INTERNAL CONTRACT LABOR 428040,A81000C,00100,0100,B 428040,A81000C,00100,0400,PORTHAVEN HEALTHCARE CTR 428040,A81000C,00100,0600,OWNS PROVIDER 428040,A81000C,00200,0100,B 428040,A81000C,00200,0400,PRESTIGE CARE INC 428040,A81000C,00200,0600,OWNS PORTHAVEN 428040,A81000C,00300,0100,A 428040,A81000C,00300,0200,RICK DELAMARTER 428040,A81000C,00300,0400,PRESTIGE CARE INC 428040,A81000C,00300,0600,HOME OFFICE 428040,A81000C,00400,0100,A 428040,A81000C,00400,0200,HAROLD DELAMARTER 428040,A81000C,00400,0400,PRESTIGE CARE INC 428040,A81000C,00400,0600,HOME OFFICE 428040,A81000C,00500,0100,A 428040,A81000C,00500,0200,GREG VISLOCKY 428040,A81000C,00500,0400,PRESTIGE CARE INC 428040,A81000C,00500,0600,HOME OFFICE 428040,A81000C,00600,0100,A 428040,A81000C,00600,0200,RICK DELAMARTER 428040,A81000C,00600,0400,CYPRESS VENTURES 428040,A81000C,00600,0600,PROPAC PHARMACY 428040,A81000C,00700,0100,A 428040,A81000C,00700,0200,HAROLD DELAMARTER 428040,A81000C,00700,0400,CYPRESS VENTURES 428040,A81000C,00700,0600,PROPAC PHARMACY 428040,A81000C,00800,0100,A 428040,A81000C,00800,0200,GREG VISLOCKY 428040,A81000C,00800,0400,CYPRESS VENTURES 428040,A81000C,00800,0600,PROPAC PHARMACY 428040,A81000C,00900,0100,G 428040,A81000C,00900,0400,AUGUSTA VENTURES 428040,A81000C,00900,0600,PREMERE REHAB COMPANY 428040,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 428040,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 428040,A81000C,01001,0600,SEE ATTACHED RELATED 428040,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 428040,A81000C,01002,0400,THE 10.10 EXCEPTION 428040,A81000C,01002,0600,PARTY RELATIONSHIPS 428040,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 428040,A81000C,01003,0400,CRITERIA 428040,A81000C,01004,0200,PRESTIGE CARE AND PORTHAV 428040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428040,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428040,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428040,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428040,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428040,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428040,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428040,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428040,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428040,E10A180,00301,0100,09/30/11 428040,G300000,02500,0000,OTHER INCOME 428040,S000000,00100,0200,03/01/12 428040,S200000,00100,0100,5330 NE PRESCOTT 428040,S200000,00200,0100,PORTLAND 428040,S200000,00200,0200,OR 428040,S200000,00200,0300,97218 428040,S200000,00300,0100,MULTNOMAH 428040,S200000,00300,0200,6440 428040,S200000,00300,0201,38900 428040,S200000,00300,0300,U 428040,S200000,00400,0100,PORTHAVEN HEALTHCARE CENTER 428040,S200000,00400,0200,385045 428040,S200000,00400,0300,01/01/97 428040,S200000,00400,0500,P 428040,S200000,01500,0100,Y 428040,S200000,01501,0200,Y 428040,S200000,01502,0200,Y 428040,S200000,01504,0200,Y 428040,S200000,01600,0100,N 428040,S200000,01700,0100,N 428040,S200000,01800,0100,N 428040,S200000,02200,0100,N 428040,S200000,02800,0100,N 428040,S200000,02900,0100,N 428040,S200000,03000,0100,N 428040,S200000,03100,0100,N 428040,S200000,03200,0100,N 428040,S200000,03300,0100,N 428040,S200000,03300,0200,N 428040,S200000,04100,0100,N 428040,S200000,04200,0100,N 428040,S200000,04300,0100,N 428040,S200000,04600,0100,N 428040,S200000,04700,0100,N 428040,S200000,04700,0200,N 428040,S200000,04900,0100,N 428040,S200000,05000,0100,N 428040,S200000,05100,0100,N 428040,S200000,05200,0100,N 428040,S200000,05300,0100,Y 428040,S200000,05300,0200,HB0440 428040,S200000,05400,0100,PRESTIGE CARE INC 428040,S200000,05400,0200,NORDIAN 428040,S200000,05400,0300,00325 428040,S200000,05500,0100,7700 NE PARKWAY DRIVE 428040,S200000,05600,0100,VANCOUVER 428040,S200000,05600,0200,WA 428040,S200000,05600,0300,98662 428041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428041,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428041,A000000,00300,0000,0300EMPLOYEE BENEFITS 428041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428041,A000000,00700,0000,0700HOUSEKEEPING 428041,A000000,00800,0000,0800DIETARY 428041,A000000,00900,0000,0900NURSING ADMINISTRATION 428041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428041,A000000,01100,0000,1100PHARMACY 428041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428041,A000000,01300,0000,1300SOCIAL SERVICE 428041,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428041,A000000,01500,0000,1350OTHER GENERAL SERVICES 428041,A000000,01600,0000,1600SKILLED NURSING FACILITY 428041,A000000,01800,0000,1800NURSING FACILITY 428041,A000000,01900,0000,1900OTHER LONG TERM CARE 428041,A000000,02100,0000,2100RADIOLOGY 428041,A000000,02200,0000,2200LABORATORY 428041,A000000,02300,0000,2300INTRAVENOUS THERAPY 428041,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428041,A000000,02500,0000,2500PHYSICAL THERAPY 428041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428041,A000000,02700,0000,2700SPEECH PATHOLOGY 428041,A000000,02800,0000,2800ELECTROCARDIOLOGY 428041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428041,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428041,A000000,03200,0000,3200SUPPORT SURFACES 428041,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428041,A000000,03400,0000,3400CLINIC 428041,A000000,03500,0000,3500RURAL HEALTH CLINIC 428041,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428041,A000000,04800,0000,4800AMBULANCE 428041,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428041,A000000,05000,0000,5000CORF 428041,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428041,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428041,A000000,05300,0000,5300INTEREST EXPENSE 428041,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428041,A000000,05500,0000,5500HOSPICE 428041,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428041,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428041,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428041,A000000,06200,0000,6200PATIENTS LAUNDRY 428041,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428041,A81000A,00100,0100,Y 428041,A81000B,00100,0300,HOME OFFICE ALLOCATION 428041,A81000B,00200,0300,HOME OFFICE ALLOCATION 428041,A81000B,00300,0300,EMPLOYEE FLU SHOTS 428041,A81000B,00400,0300,PHARMACY CONSULTANT 428041,A81000B,00500,0300,NURSING SUPPLY 428041,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 428041,A81000B,00700,0300,IV PHARMACY FLU SHOTS 428041,A81000B,00800,0300,REHAB 428041,A81000B,00900,0300,REHAB 428041,A81000B,01000,0300,REHAB 428041,A81000B,01100,0300,EQUIPMENT RENTAL 428041,A81000B,01200,0300,PRESTIGE BUS ALLOCATION 428041,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428041,A81000B,01400,0300,INTERNAL CONTRACT LABOR 428041,A81000B,01500,0300,INTERNAL CONTRACT LABOR 428041,A81000C,00100,0100,B 428041,A81000C,00100,0400,PCI CARE VENTURES 428041,A81000C,00100,0600,OWNS PROVIDER 428041,A81000C,00200,0100,B 428041,A81000C,00200,0400,PRESTIGE CARE INC 428041,A81000C,00200,0600,OWNS PCI VENTURES 428041,A81000C,00300,0100,A 428041,A81000C,00300,0200,RICK DELAMARTER 428041,A81000C,00300,0400,PRESTIGE CARE INC 428041,A81000C,00300,0600,HOME OFFICE 428041,A81000C,00400,0100,A 428041,A81000C,00400,0200,HAROLD DELAMARTER 428041,A81000C,00400,0400,PRESTIGE CARE INC 428041,A81000C,00400,0600,HOME OFFICE 428041,A81000C,00500,0100,A 428041,A81000C,00500,0200,GREG VISLOCKY 428041,A81000C,00500,0400,PRESTIGE CARE INC 428041,A81000C,00500,0600,HOME OFFICE 428041,A81000C,00600,0100,A 428041,A81000C,00600,0200,RICK DELAMARTER 428041,A81000C,00600,0400,CYPRESS VENTURES 428041,A81000C,00600,0600,PROPAC PHARMACY 428041,A81000C,00700,0100,A 428041,A81000C,00700,0200,HAROLD DELAMARTER 428041,A81000C,00700,0400,CYPRESS VENTURES 428041,A81000C,00700,0600,PROPAC PHARMACY 428041,A81000C,00800,0100,A 428041,A81000C,00800,0200,GREG VISLOCKY 428041,A81000C,00800,0400,CYPRESS VENTURES 428041,A81000C,00800,0600,PROPAC PHARMACY 428041,A81000C,00900,0100,A 428041,A81000C,00900,0200,RICK DELAMARTER 428041,A81000C,00900,0400,TIMBERVIEW LLC 428041,A81000C,00900,0600,LANDLORD 428041,A81000C,01000,0100,A 428041,A81000C,01000,0200,HAROLD DELAMARTER 428041,A81000C,01000,0400,TIMBERVIEW LLC 428041,A81000C,01000,0600,LANDLORD 428041,A81000C,01001,0100,A 428041,A81000C,01001,0200,GREG VISLOCKY 428041,A81000C,01001,0400,TIMBERVIEW LLC 428041,A81000C,01001,0600,LANDLORD 428041,A81000C,01002,0100,G 428041,A81000C,01002,0400,AUGUSTA VENTURES 428041,A81000C,01002,0600,PREMERE REHAB COMPANY 428041,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 428041,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 428041,A81000C,01004,0600,SEE ATTACHED RELATED 428041,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 428041,A81000C,01005,0400,THE 10.10 EXCEPTION 428041,A81000C,01005,0600,PARTY RELATIONSHIPS 428041,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 428041,A81000C,01006,0400,CRITERIA 428041,A81000C,01007,0200,PRESTIGE CARE & PCI VENTU 428041,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428041,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428041,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428041,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428041,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428041,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428041,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428041,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428041,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428041,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428041,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428041,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428041,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428041,G300000,02500,0000,OTHER INCOME 428041,S000000,00100,0200,03/01/12 428041,S200000,00100,0100,1023 W 6TH AVENUE SW 428041,S200000,00200,0100,ALBANY 428041,S200000,00200,0200,OR 428041,S200000,00200,0300,97321 428041,S200000,00300,0100,LINN 428041,S200000,00300,0200,38 428041,S200000,00300,0201,99938 428041,S200000,00300,0300,R 428041,S200000,00400,0100,TIMBERVIEW CARE CENTER 428041,S200000,00400,0200,385107 428041,S200000,00400,0300,06/03/83 428041,S200000,00400,0500,P 428041,S200000,01500,0100,Y 428041,S200000,01501,0200,N 428041,S200000,01502,0200,Y 428041,S200000,01504,0200,Y 428041,S200000,01600,0100,N 428041,S200000,01700,0100,N 428041,S200000,01800,0100,N 428041,S200000,02200,0100,N 428041,S200000,02800,0100,N 428041,S200000,02900,0100,N 428041,S200000,03000,0100,N 428041,S200000,03100,0100,N 428041,S200000,03200,0100,N 428041,S200000,03300,0100,N 428041,S200000,03300,0200,N 428041,S200000,04100,0100,N 428041,S200000,04200,0100,N 428041,S200000,04300,0100,N 428041,S200000,04600,0100,N 428041,S200000,04700,0100,N 428041,S200000,04700,0200,N 428041,S200000,04900,0100,N 428041,S200000,05000,0100,N 428041,S200000,05100,0100,N 428041,S200000,05200,0100,N 428041,S200000,05300,0100,Y 428041,S200000,05300,0200,HB0440 428041,S200000,05400,0100,PRESTIGE CARE INC 428041,S200000,05400,0200,NORDIAN 428041,S200000,05400,0300,00325 428041,S200000,05500,0100,7700 NE PARKWAY DRIVE 428041,S200000,05600,0100,VANCOUVER 428041,S200000,05600,0200,WA 428041,S200000,05600,0300,98662 428042,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428042,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428042,A000000,00300,0000,0300EMPLOYEE BENEFITS 428042,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428042,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428042,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428042,A000000,00700,0000,0700HOUSEKEEPING 428042,A000000,00800,0000,0800DIETARY 428042,A000000,00900,0000,0900NURSING ADMINISTRATION 428042,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428042,A000000,01100,0000,1100PHARMACY 428042,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428042,A000000,01300,0000,1300SOCIAL SERVICE 428042,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428042,A000000,01500,0000,1350OTHER GENERAL SERVICES 428042,A000000,01600,0000,1600SKILLED NURSING FACILITY 428042,A000000,01800,0000,1800NURSING FACILITY 428042,A000000,01900,0000,1900OTHER LONG TERM CARE 428042,A000000,02100,0000,2100RADIOLOGY 428042,A000000,02200,0000,2200LABORATORY 428042,A000000,02300,0000,2300INTRAVENOUS THERAPY 428042,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428042,A000000,02500,0000,2500PHYSICAL THERAPY 428042,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428042,A000000,02700,0000,2700SPEECH PATHOLOGY 428042,A000000,02800,0000,2800ELECTROCARDIOLOGY 428042,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428042,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428042,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428042,A000000,03200,0000,3200SUPPORT SURFACES 428042,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428042,A000000,03400,0000,3400CLINIC 428042,A000000,03500,0000,3500RURAL HEALTH CLINIC 428042,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428042,A000000,04800,0000,4800AMBULANCE 428042,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428042,A000000,05000,0000,5000CORF 428042,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428042,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428042,A000000,05300,0000,5300INTEREST EXPENSE 428042,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428042,A000000,05500,0000,5500HOSPICE 428042,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428042,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428042,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428042,A000000,06200,0000,6200PATIENTS LAUNDRY 428042,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428042,A81000A,00100,0100,Y 428042,A81000B,00100,0300,HOME OFFICE ALLOCATION 428042,A81000B,00200,0300,HOME OFFICE ALLOCATION 428042,A81000B,00300,0300,EQUIPMENT RENTAL 428042,A81000B,00400,0300,REHAB 428042,A81000B,00500,0300,REHAB 428042,A81000B,00600,0300,REHAB 428042,A81000B,00700,0300,MEDICAL SUPPLY 428042,A81000B,00800,0300,PHARMACY 428042,A81000B,00900,0300,PHARMACY CONSULTANT 428042,A81000B,01000,0300,PRESTIGE BUS ALLOCATION 428042,A81000B,01100,0300,INTERNAL CONTRACT LABOR 428042,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428042,A81000C,00100,0100,B 428042,A81000C,00100,0400,CHEHALEM HEALTH AND REHAB 428042,A81000C,00100,0600,OWNS PROVIDER 428042,A81000C,00200,0100,B 428042,A81000C,00200,0400,PRESTIGE CARE INC 428042,A81000C,00200,0600,OWNS CHEHALEM HEALTH 428042,A81000C,00300,0100,A 428042,A81000C,00300,0200,RICK DELAMARTER 428042,A81000C,00300,0400,PRESTIGE CARE INC 428042,A81000C,00300,0600,HOME OFFICE 428042,A81000C,00400,0100,A 428042,A81000C,00400,0200,HAROLD DELAMARTER 428042,A81000C,00400,0400,PRESTIGE CARE INC 428042,A81000C,00400,0600,HOME OFFICE 428042,A81000C,00500,0100,A 428042,A81000C,00500,0200,GREG VISLOCKY 428042,A81000C,00500,0400,PRESTIGE CARE INC 428042,A81000C,00500,0600,HOME OFFICE 428042,A81000C,00600,0100,A 428042,A81000C,00600,0200,RICK DELAMARTER 428042,A81000C,00600,0400,CYPRESS VENTURES 428042,A81000C,00600,0600,PROPAC PHARMACY 428042,A81000C,00700,0100,A 428042,A81000C,00700,0200,HAROLD DELAMARTER 428042,A81000C,00700,0400,CYPRESS VENTURES 428042,A81000C,00700,0600,PROPAC PHARMACY 428042,A81000C,00800,0100,A 428042,A81000C,00800,0200,GREG VISLOCKY 428042,A81000C,00800,0400,CYPRESS VENTURES 428042,A81000C,00800,0600,PROPAC PHARMACY 428042,A81000C,00900,0100,G 428042,A81000C,00900,0400,AUGUSTA VENTURES 428042,A81000C,00900,0600,PREMERE REHAB COMPANY 428042,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 428042,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 428042,A81000C,01001,0600,SEE ATTACHED RELATED 428042,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 428042,A81000C,01002,0400,THE 10.10 EXCEPTION 428042,A81000C,01002,0600,PARTY RELATIONSHIPS 428042,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 428042,A81000C,01003,0400,CRITERIA 428042,A81000C,01004,0200,PRESTIGE CARE & CHEHALEM 428042,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428042,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428042,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428042,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428042,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428042,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428042,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428042,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428042,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428042,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428042,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428042,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428042,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428042,G300000,02500,0000,OTHER INCOME 428042,S000000,00100,0200,03/01/12 428042,S200000,00100,0100,1900 E FULTON ST 428042,S200000,00200,0100,NEWBERG 428042,S200000,00200,0200,OR 428042,S200000,00200,0300,97132 428042,S200000,00300,0100,YAMHILL 428042,S200000,00300,0200,6440 428042,S200000,00300,0201,38900 428042,S200000,00300,0300,U 428042,S200000,00400,0100,CHEHALEM HEALTH AND REHAB 428042,S200000,00400,0200,385199 428042,S200000,00400,0300,08/01/87 428042,S200000,00400,0500,P 428042,S200000,01500,0100,Y 428042,S200000,01501,0200,Y 428042,S200000,01502,0200,N 428042,S200000,01504,0200,Y 428042,S200000,01600,0100,N 428042,S200000,01700,0100,N 428042,S200000,01800,0100,N 428042,S200000,02200,0100,N 428042,S200000,02800,0100,N 428042,S200000,02900,0100,N 428042,S200000,03000,0100,N 428042,S200000,03100,0100,N 428042,S200000,03200,0100,N 428042,S200000,03300,0100,N 428042,S200000,03300,0200,N 428042,S200000,04100,0100,N 428042,S200000,04200,0100,N 428042,S200000,04300,0100,N 428042,S200000,04600,0100,N 428042,S200000,04700,0100,N 428042,S200000,04700,0200,N 428042,S200000,04900,0100,N 428042,S200000,05000,0100,N 428042,S200000,05100,0100,N 428042,S200000,05200,0100,N 428042,S200000,05300,0100,Y 428042,S200000,05300,0200,HB0440 428042,S200000,05400,0100,PRESTIGE CARE INC 428042,S200000,05400,0200,NORDIAN 428042,S200000,05400,0300,00325 428042,S200000,05500,0100,7700 NE PARKWAY DRIVE 428042,S200000,05600,0100,VANCOUVER 428042,S200000,05600,0200,WA 428042,S200000,05600,0300,98662 428043,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428043,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428043,A000000,00300,0000,0300EMPLOYEE BENEFITS 428043,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428043,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428043,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428043,A000000,00700,0000,0700HOUSEKEEPING 428043,A000000,00800,0000,0800DIETARY 428043,A000000,00900,0000,0900NURSING ADMINISTRATION 428043,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428043,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428043,A000000,01300,0000,1300SOCIAL SERVICE 428043,A000000,01600,0000,1600SKILLED NURSING FACILITY 428043,A000000,01800,0000,1800NURSING FACILITY 428043,A000000,01900,0000,1900OTHER LONG TERM CARE 428043,A000000,02100,0000,2100RADIOLOGY 428043,A000000,02200,0000,2200LABORATORY 428043,A000000,02300,0000,2300INTRAVENOUS THERAPY 428043,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428043,A000000,02500,0000,2500PHYSICAL THERAPY 428043,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428043,A000000,02700,0000,2700SPEECH PATHOLOGY 428043,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428043,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428043,A000000,03200,0000,3200SUPPORT SURFACES 428043,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428043,A000000,03400,0000,3400CLINIC 428043,A000000,03500,0000,3500RURAL HEALTH CLINIC 428043,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428043,A000000,04800,0000,4800AMBULANCE 428043,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428043,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428043,A000000,05300,0000,5300INTEREST EXPENSE 428043,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428043,A000000,05500,0000,5500HOSPICE 428043,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428043,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428043,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428043,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428043,A000000,06100,0000,6100NONPAID WORKERS 428043,A000000,06200,0000,6200PATIENTS LAUNDRY 428043,A000000,06300,0000,6150MARKETING 428043,A000000,06301,0000,6151LYDIA S HOUSE RCF-ALZ 428043,A000000,06302,0000,6152RESIDENTIAL 428043,A81000A,00100,0100,Y 428043,A81000B,00100,0300,MGMT WAGES 428043,A81000B,00200,0300,GL/PL INSURANCE 428043,A81000C,00100,0100,B 428043,A81000C,00100,0200,MENNONITE HOME OF ALBANY 428043,A81000C,00100,0400,MENNONITE HOME OF ALBANY 428043,A81000C,00100,0600,MGMT COMPANY 428043,A81000C,00200,0100,B 428043,A81000C,00200,0200,MENNONITE HOME OF ALBANY 428043,A81000C,00200,0400,MENNONITE HOME OF ALBANY 428043,A81000C,00200,0600,GL/PL INSURANCE 428043,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428043,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428043,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428043,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428043,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428043,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428043,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428043,B100000,00000,0800,0800MEALS SERVED :DIETARY 428043,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 428043,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 428043,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428043,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428043,E10A180,00301,0100,09/30/11 428043,G300000,02500,0000,OTHER 428043,S000000,00100,0200,02/14/12 428043,S200000,00100,0100,5353 COLUMBUS STREET SE 428043,S200000,00200,0100,ALBANY 428043,S200000,00200,0200,OR 428043,S200000,00200,0300,97321 428043,S200000,00300,0100,LINN 428043,S200000,00300,0200,38 428043,S200000,00300,0201,99938 428043,S200000,00300,0300,R 428043,S200000,00400,0100,MENNONITE VILLAGE 428043,S200000,00400,0200,385206 428043,S200000,00400,0300,08/01/89 428043,S200000,00400,0500,P 428043,S200000,01500,0100,Y 428043,S200000,01600,0100,N 428043,S200000,01700,0100,N 428043,S200000,01800,0100,N 428043,S200000,02200,0100,N 428043,S200000,02800,0100,N 428043,S200000,02900,0100,N 428043,S200000,03000,0100,N 428043,S200000,03100,0100,N 428043,S200000,03200,0100,N 428043,S200000,03300,0100,N 428043,S200000,03300,0200,N 428043,S200000,04100,0100,N 428043,S200000,04200,0100,N 428043,S200000,04300,0100,N 428043,S200000,04600,0100,N 428043,S200000,04700,0100,N 428043,S200000,04700,0200,N 428043,S200000,04900,0100,N 428043,S200000,05000,0100,N 428043,S200000,05100,0100,N 428043,S200000,05200,0100,N 428043,S200000,05300,0100,Y 428045,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428045,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428045,A000000,00300,0000,0300EMPLOYEE BENEFITS 428045,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428045,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428045,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428045,A000000,00700,0000,0700HOUSEKEEPING 428045,A000000,00800,0000,0800DIETARY 428045,A000000,00801,0000,0801SHARED DIETARY 428045,A000000,00900,0000,0900NURSING ADMINISTRATION 428045,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428045,A000000,01100,0000,1100PHARMACY 428045,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428045,A000000,01201,0000,1201ACTIVITIES 428045,A000000,01300,0000,1300SOCIAL SERVICE 428045,A000000,01301,0000,1301SHARED SOCIAL SERVICES ADMISSION 428045,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428045,A000000,01500,0000,1350OTHER GENERAL SERVICES 428045,A000000,01600,0000,1600SKILLED NURSING FACILITY 428045,A000000,01800,0000,1800NURSING FACILITY 428045,A000000,01810,0000,1810ICF/MR 428045,A000000,01900,0000,1900OTHER LONG TERM CARE 428045,A000000,02100,0000,2100RADIOLOGY 428045,A000000,02200,0000,2200LABORATORY 428045,A000000,02300,0000,2300INTRAVENOUS THERAPY 428045,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428045,A000000,02500,0000,2500PHYSICAL THERAPY 428045,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428045,A000000,02700,0000,2700SPEECH PATHOLOGY 428045,A000000,02800,0000,2800ELECTROCARDIOLOGY 428045,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428045,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428045,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428045,A000000,03200,0000,3200SUPPORT SURFACES 428045,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428045,A000000,03400,0000,3400CLINIC 428045,A000000,03500,0000,3500RURAL HEALTH CLINIC 428045,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428045,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428045,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428045,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428045,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428045,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428045,A000000,06301,0000,6152APARTMENTS 428045,A000000,06302,0000,6153DUPLEXES 428045,A000000,06303,0000,6151SENIOR LIVING 428045,A000000,06304,0000,6154MEALS ON WHEELS 428045,A000000,06305,0000,6155SIOUX FALLS CENTER 428045,A000000,06306,0000,6156LUTHER MANOR 428045,A000000,06307,0000,6157LIFELINE 428045,A000000,06308,0000,6158HOME HEALTH COSTS 428045,A81000A,00100,0100,Y 428045,A81000B,00100,0300,ADMIN / ACCTNG 428045,A81000B,00200,0300,UNEMPLOYMENT INS 428045,A81000B,00300,0300,HEALTH INS 428045,A81000B,00400,0300,WORKERS COMP 428045,A81000B,00500,0300,PROPERTY INS 428045,A81000B,00600,0300,LIABILITY INS 428045,A81000B,00700,0300,VEHICLE INS 428045,A81000B,00800,0300,NURSING EDUCATION 428045,A81000B,00900,0300,SHARED SERVICES DIETARY 428045,A81000B,01000,0300,SHARED SERVICES SOCIAL SERVICES 428045,A81000C,00100,0100,B 428045,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428045,A81000C,00100,0600,HEALTHCARE 428045,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428045,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428045,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428045,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428045,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428045,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428045,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428045,B100000,00000,0800,0800MEALS SERVED :DIETARY 428045,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428045,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428045,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428045,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428045,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428045,B100000,00000,1301,1331ADMISSIONS S :SHARED SOCIAL SER 428045,S000000,00100,0200,01/31/12 428045,S200000,00100,0100,3901 SOUTH MARION ROAD 428045,S200000,00200,0100,SIOUX FALLS 428045,S200000,00200,0200,SD 428045,S200000,00200,0300,57106-1799 428045,S200000,00300,0100,MINNEHAHA 428045,S200000,00300,0200,7760 428045,S200000,00300,0201,43620 428045,S200000,00300,0300,U 428045,S200000,00400,0100,GOOD SAMARITAN SOCIETY - S F VILLAGE 428045,S200000,00400,0200,435045 428045,S200000,00400,0300,07/01/90 428045,S200000,00400,0500,P 428045,S200000,01500,0100,Y 428045,S200000,01501,0200,N 428045,S200000,01502,0200,N 428045,S200000,01504,0200,Y 428045,S200000,01505,0000,HEALTH INSURANCE 428045,S200000,01505,0200,N 428045,S200000,01506,0000,PENSION 428045,S200000,01506,0200,N 428045,S200000,01600,0100,N 428045,S200000,01700,0100,N 428045,S200000,01800,0100,N 428045,S200000,02200,0100,N 428045,S200000,02800,0100,N 428045,S200000,02900,0100,N 428045,S200000,03000,0100,N 428045,S200000,03100,0100,N 428045,S200000,03200,0100,N 428045,S200000,03300,0100,N 428045,S200000,03300,0200,N 428045,S200000,04100,0100,N 428045,S200000,04200,0100,N 428045,S200000,04300,0100,N 428045,S200000,04600,0100,N 428045,S200000,04700,0100,N 428045,S200000,04700,0200,N 428045,S200000,04900,0100,N 428045,S200000,05000,0100,N 428045,S200000,05100,0100,N 428045,S200000,05200,0100,N 428045,S200000,05300,0100,Y 428045,S200000,05300,0200,439100 428045,S200000,05400,0100,ELGSS 428045,S200000,05400,0200,NORIDIAN 428045,S200000,05400,0300,03001 428045,S200000,05500,0100,4800 WEST 57TH STREET 428045,S200000,05500,0200,5038 428045,S200000,05600,0100,SIOUX FALLS 428045,S200000,05600,0200,SD 428045,S200000,05600,0300,57117 428046,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428046,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428046,A000000,00300,0000,0300EMPLOYEE BENEFITS 428046,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428046,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428046,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428046,A000000,00700,0000,0700HOUSEKEEPING 428046,A000000,00800,0000,0800DIETARY 428046,A000000,00801,0000,0801DIETARY SHARED 428046,A000000,00900,0000,0900NURSING ADMINISTRATION 428046,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428046,A000000,01100,0000,1100PHARMACY 428046,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428046,A000000,01201,0000,1201ACTIVITIES 428046,A000000,01300,0000,1300SOCIAL SERVICE 428046,A000000,01301,0000,1301SOCIAL SERVICE SHARED 428046,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428046,A000000,01500,0000,1350OTHER GENERAL SERVICES 428046,A000000,01600,0000,1600SKILLED NURSING FACILITY 428046,A000000,01800,0000,1800NURSING FACILITY 428046,A000000,01810,0000,1810ICF/MR 428046,A000000,01900,0000,1900OTHER LONG TERM CARE 428046,A000000,02100,0000,2100RADIOLOGY 428046,A000000,02200,0000,2200LABORATORY 428046,A000000,02300,0000,2300INTRAVENOUS THERAPY 428046,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428046,A000000,02500,0000,2500PHYSICAL THERAPY 428046,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428046,A000000,02700,0000,2700SPEECH PATHOLOGY 428046,A000000,02800,0000,2800ELECTROCARDIOLOGY 428046,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428046,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428046,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428046,A000000,03200,0000,3200SUPPORT SURFACES 428046,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428046,A000000,03400,0000,3400CLINIC 428046,A000000,03500,0000,3500RURAL HEALTH CLINIC 428046,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428046,A000000,04800,0000,4800AMBULANCE 428046,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428046,A000000,05000,0000,5000CORF 428046,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428046,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428046,A000000,05300,0000,5300INTEREST EXPENSE 428046,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428046,A000000,05500,0000,5500HOSPICE 428046,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428046,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428046,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428046,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428046,A000000,06100,0000,6100NONPAID WORKERS 428046,A000000,06200,0000,6200PATIENTS LAUNDRY 428046,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428046,A81000A,00100,0100,Y 428046,A81000B,00100,0300,ADMIN / ACCTNG 428046,A81000B,00200,0300,UNEMPLOYMENT INS 428046,A81000B,00300,0300,HEALTH INSURANCE 428046,A81000B,00400,0300,WORKERS COMP 428046,A81000B,00500,0300,PROPERTY INS 428046,A81000B,00600,0300,LIABILITY INS 428046,A81000B,00700,0300,VEHICLE INS 428046,A81000B,00800,0300,SHARED DIETARY COSTS 428046,A81000B,00900,0300,SHARED SOCIAL SEVICES 428046,A81000C,00100,0100,B 428046,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428046,A81000C,00100,0600,HEALTHCARE 428046,A81000C,00200,0400,GOOD SAMARITAN VILLAGE 428046,A81000C,00200,0600,SHARED DIETARY ADMITTING 428046,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428046,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428046,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428046,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428046,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428046,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428046,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428046,B100000,00000,0800,0800MEALS SERVED :DIETARY 428046,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428046,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428046,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428046,B100000,00000,1201,1251RESIDENT DAYS :ACTIVITIES 428046,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428046,E10A180,00550,0300,02/24/12 428046,S000000,00100,0200,01/31/12 428046,S200000,00100,0100,401 SECOND ST 428046,S200000,00200,0100,SIOUX FALLS 428046,S200000,00200,0200,SD 428046,S200000,00200,0300,57104-2399 428046,S200000,00300,0100,MINNEHAHA 428046,S200000,00300,0200,7760 428046,S200000,00300,0201,43620 428046,S200000,00300,0300,U 428046,S200000,00400,0100,GOOD SAMARITAN SOCIETY - S F CENTER 428046,S200000,00400,0200,435046 428046,S200000,00400,0300,07/11/90 428046,S200000,00400,0500,P 428046,S200000,01500,0100,Y 428046,S200000,01501,0200,Y 428046,S200000,01504,0200,Y 428046,S200000,01505,0000,HEALTH INSURANCE 428046,S200000,01505,0200,N 428046,S200000,01506,0000,PENSION 428046,S200000,01506,0200,Y 428046,S200000,01600,0100,N 428046,S200000,01700,0100,N 428046,S200000,01800,0100,N 428046,S200000,02200,0100,N 428046,S200000,02800,0100,N 428046,S200000,02900,0100,N 428046,S200000,03000,0100,N 428046,S200000,03100,0100,N 428046,S200000,03200,0100,N 428046,S200000,03300,0100,N 428046,S200000,03300,0200,N 428046,S200000,04100,0100,N 428046,S200000,04200,0100,N 428046,S200000,04300,0100,N 428046,S200000,04600,0100,N 428046,S200000,04700,0100,N 428046,S200000,04700,0200,N 428046,S200000,04900,0100,N 428046,S200000,05000,0100,N 428046,S200000,05100,0100,N 428046,S200000,05200,0100,N 428046,S200000,05300,0100,Y 428046,S200000,05300,0200,439100 428046,S200000,05400,0100,ELGSS 428046,S200000,05400,0200,NORIDIAN 428046,S200000,05400,0300,03001 428046,S200000,05500,0100,4800 WEST 57TH STREET 428046,S200000,05500,0200,5038 428046,S200000,05600,0100,SIOUX FALLS 428046,S200000,05600,0200,SD 428046,S200000,05600,0300,57117 428096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428096,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428096,A000000,00300,0000,0300EMPLOYEE BENEFITS 428096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428096,A000000,00700,0000,0700HOUSEKEEPING 428096,A000000,00800,0000,0800DIETARY 428096,A000000,00900,0000,0900NURSING ADMINISTRATION 428096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428096,A000000,01100,0000,1100PHARMACY 428096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428096,A000000,01300,0000,1300SOCIAL SERVICE 428096,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428096,A000000,01500,0000,1350RECREATION 428096,A000000,01600,0000,1600SKILLED NURSING FACILITY 428096,A000000,01810,0000,1810ICF/MR 428096,A000000,02100,0000,2100RADIOLOGY 428096,A000000,02200,0000,2200LABORATORY 428096,A000000,02300,0000,2300INTRAVENOUS THERAPY 428096,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428096,A000000,02500,0000,2500PHYSICAL THERAPY 428096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428096,A000000,02700,0000,2700SPEECH PATHOLOGY 428096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428096,A000000,03550,0000,3550FQHC 428096,A000000,04801,0000,4801AMBULANCE 428096,A000000,04802,0000,4802AMBULANCE 428096,A000000,04803,0000,4803AMBULANCE 428096,A000000,05000,0000,5000CORF 428096,A000000,05010,0000,5010CMHC 428096,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428096,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428096,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428096,A81000A,00100,0100,Y 428096,A81000B,00100,0300,SEE ATTACHED 428096,A81000B,00200,0300,CAPITAL INTEREST 428096,A81000B,00300,0300,HOME OFFICE 428096,A81000B,00400,0300,HOME OFFICE 428096,A81000C,00100,0100,B 428096,A81000C,00100,0400,SEE ATTACHED 428096,A81000C,00100,0600,VARIOUS 428096,A81000C,00200,0100,B 428096,A81000C,00200,0400,GHC 428096,A81000C,00200,0600,LONG TERM CARE 428096,A81000C,00300,0100,B 428096,A81000C,00300,0400,GHC 428096,A81000C,00300,0600,LONG TERM CARE 428096,A81000C,00400,0100,B 428096,A81000C,00400,0400,GHC 428096,A81000C,00400,0600,LONG TERM CARE 428096,B100000,00000,0100,0100SQUARE FEET 428096,B100000,00000,0200,0200SQUARE FEET 428096,B100000,00000,0300,0300GROSS SALARIES 428096,B100000,00000,0400,0400ACCUM COST 428096,B100000,00000,0500,0500SQUARE FEET 428096,B100000,00000,0600,0600PATIENT DAYS 428096,B100000,00000,0700,0700SQUARE FEET 428096,B100000,00000,0800,0800MEALS SERVED 428096,B100000,00000,0900,0900NURSING SALARIES 428096,B100000,00000,1000,1000COSTED REQUIS 428096,B100000,00000,1100,1100COSTED REQUIS 428096,B100000,00000,1200,1200PATIENT DAYS 428096,B100000,00000,1300,1300PATIENT DAYS 428096,B100000,00000,1400,1400ASSIGNED TIME 428096,B100000,00000,1500,1350PATIENT DAYS 428096,S000000,00100,0200,02/27/12 428096,S200000,00100,0100,91 COUNTRY VILLAGE ROAD 428096,S200000,00200,0100,LANCASTER 428096,S200000,00200,0200,NH 428096,S200000,00200,0300,03584 428096,S200000,00300,0100,COOS 428096,S200000,00300,0201,99930 428096,S200000,00300,0300,R 428096,S200000,00400,0100,COUNTRY VILLAGE CENTER 428096,S200000,00400,0200,305076 428096,S200000,00400,0300,05/01/96 428096,S200000,00400,0500,P 428096,S200000,01500,0100,Y 428096,S200000,01501,0200,Y 428096,S200000,01502,0200,N 428096,S200000,01503,0200,Y 428096,S200000,01504,0200,Y 428096,S200000,01600,0100,N 428096,S200000,01700,0100,N 428096,S200000,01800,0100,N 428096,S200000,01900,0100,LLC 428096,S200000,02200,0100,Y 428096,S200000,02800,0100,N 428096,S200000,02900,0100,N 428096,S200000,03000,0100,N 428096,S200000,03100,0100,N 428096,S200000,03200,0100,N 428096,S200000,03300,0100,N 428096,S200000,03300,0200,N 428096,S200000,04200,0100,N 428096,S200000,04300,0100,N 428096,S200000,04600,0100,N 428096,S200000,04700,0100,N 428096,S200000,04900,0100,N 428096,S200000,05200,0100,N 428096,S200000,05300,0100,Y 428096,S200000,05300,0200,HB0067 428096,S200000,05400,0100,GENESIS HEALTHCARE LLC 428096,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428096,S200000,05400,0300,12001 428096,S200000,05500,0100,101 EAST STATE STREET 428096,S200000,05600,0100,KENNETT SQUARE 428096,S200000,05600,0200,PA 428096,S200000,05600,0300,19348 428097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428097,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428097,A000000,00300,0000,0300EMPLOYEE BENEFITS 428097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428097,A000000,00700,0000,0700HOUSEKEEPING 428097,A000000,00800,0000,0800DIETARY 428097,A000000,00900,0000,0900NURSING ADMINISTRATION 428097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428097,A000000,01100,0000,1100PHARMACY 428097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428097,A000000,01300,0000,1300SOCIAL SERVICE 428097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428097,A000000,01500,0000,1350RECREATION 428097,A000000,01600,0000,1600SKILLED NURSING FACILITY 428097,A000000,01810,0000,1810ICF/MR 428097,A000000,02200,0000,2200LABORATORY 428097,A000000,02300,0000,2300INTRAVENOUS THERAPY 428097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428097,A000000,02500,0000,2500PHYSICAL THERAPY 428097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428097,A000000,02700,0000,2700SPEECH PATHOLOGY 428097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428097,A000000,03550,0000,3550FQHC 428097,A000000,04801,0000,4801AMBULANCE 428097,A000000,04802,0000,4802AMBULANCE 428097,A000000,04803,0000,4803AMBULANCE 428097,A000000,05000,0000,5000CORF 428097,A000000,05010,0000,5010CMHC 428097,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428097,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428097,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428097,A81000A,00100,0100,Y 428097,A81000B,00100,0300,SEE ATTACHED 428097,A81000B,00200,0300,CAPITAL INTEREST 428097,A81000B,00300,0300,HOME OFFICE 428097,A81000B,00400,0300,HOME OFFICE 428097,A81000C,00100,0100,B 428097,A81000C,00100,0400,SEE ATTACHED 428097,A81000C,00100,0600,VARIOUS 428097,A81000C,00200,0100,B 428097,A81000C,00200,0400,GHC 428097,A81000C,00200,0600,LONG TERM CARE 428097,A81000C,00300,0100,B 428097,A81000C,00300,0400,GHC 428097,A81000C,00300,0600,LONG TERM CARE 428097,A81000C,00400,0100,B 428097,A81000C,00400,0400,GHC 428097,A81000C,00400,0600,LONG TERM CARE 428097,B100000,00000,0100,0100SQUARE FEET 428097,B100000,00000,0200,0200SQUARE FEET 428097,B100000,00000,0300,0300GROSS SALARIES 428097,B100000,00000,0400,0400ACCUM COST 428097,B100000,00000,0500,0500SQUARE FEET 428097,B100000,00000,0600,0600PATIENT DAYS 428097,B100000,00000,0700,0700SQUARE FEET 428097,B100000,00000,0800,0800MEALS SERVED 428097,B100000,00000,0900,0900NURSING SALARIES 428097,B100000,00000,1000,1000COSTED REQUIS 428097,B100000,00000,1100,1100COSTED REQUIS 428097,B100000,00000,1200,1200PATIENT DAYS 428097,B100000,00000,1300,1300PATIENT DAYS 428097,B100000,00000,1400,1400ASSIGNED TIME 428097,B100000,00000,1500,1350PATIENT DAYS 428097,S000000,00100,0200,02/27/12 428097,S200000,00100,0100,93 MAIN STREET 428097,S200000,00200,0100,FRANCONIA 428097,S200000,00200,0200,NH 428097,S200000,00200,0300,03580 428097,S200000,00300,0100,GRAFTON 428097,S200000,00300,0201,99930 428097,S200000,00300,0300,R 428097,S200000,00400,0100,LAFAYETTE CENTER 428097,S200000,00400,0200,305077 428097,S200000,00400,0300,05/01/96 428097,S200000,00400,0500,P 428097,S200000,01500,0100,Y 428097,S200000,01501,0200,Y 428097,S200000,01502,0200,N 428097,S200000,01503,0200,Y 428097,S200000,01504,0200,Y 428097,S200000,01600,0100,N 428097,S200000,01700,0100,N 428097,S200000,01800,0100,N 428097,S200000,01900,0100,LLC 428097,S200000,02200,0100,Y 428097,S200000,02800,0100,N 428097,S200000,02900,0100,N 428097,S200000,03000,0100,N 428097,S200000,03100,0100,N 428097,S200000,03200,0100,N 428097,S200000,03300,0100,N 428097,S200000,03300,0200,N 428097,S200000,04200,0100,N 428097,S200000,04300,0100,N 428097,S200000,04600,0100,N 428097,S200000,04700,0100,N 428097,S200000,04900,0100,N 428097,S200000,05200,0100,N 428097,S200000,05300,0100,Y 428097,S200000,05300,0200,HB0067 428097,S200000,05400,0100,GENESIS HEALTHCARE LLC 428097,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428097,S200000,05400,0300,12001 428097,S200000,05500,0100,101 EAST STATE STREET 428097,S200000,05600,0100,KENNETT SQUARE 428097,S200000,05600,0200,PA 428097,S200000,05600,0300,19348 428098,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428098,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428098,A000000,00300,0000,0300EMPLOYEE BENEFITS 428098,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428098,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428098,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428098,A000000,00700,0000,0700HOUSEKEEPING 428098,A000000,00800,0000,0800DIETARY 428098,A000000,00900,0000,0900NURSING ADMINISTRATION 428098,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428098,A000000,01100,0000,1100PHARMACY 428098,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428098,A000000,01300,0000,1300SOCIAL SERVICE 428098,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428098,A000000,01500,0000,1350RECREATION 428098,A000000,01600,0000,1600SKILLED NURSING FACILITY 428098,A000000,01810,0000,1810ICF/MR 428098,A000000,02100,0000,2100RADIOLOGY 428098,A000000,02200,0000,2200LABORATORY 428098,A000000,02300,0000,2300INTRAVENOUS THERAPY 428098,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428098,A000000,02500,0000,2500PHYSICAL THERAPY 428098,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428098,A000000,02700,0000,2700SPEECH PATHOLOGY 428098,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428098,A000000,03550,0000,3550FQHC 428098,A000000,04801,0000,4801AMBULANCE 428098,A000000,04802,0000,4802AMBULANCE 428098,A000000,04803,0000,4803AMBULANCE 428098,A000000,05000,0000,5000CORF 428098,A000000,05010,0000,5010CMHC 428098,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428098,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428098,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428098,A81000A,00100,0100,Y 428098,A81000B,00100,0300,AS ATTACHED 428098,A81000B,00200,0300,HOME OFFICE-INTEREST 428098,A81000B,00300,0300,HOME OFFICE-A&G 428098,A81000B,00400,0300,HOME OFFICE-CAP PIEC 428098,A81000C,00100,0100,B 428098,A81000C,00100,0400,AS ATTACHED 428098,A81000C,00100,0600,VARIOUS 428098,A81000C,00200,0100,B 428098,A81000C,00200,0400,GHC 428098,A81000C,00200,0600,LONG TERM CARE 428098,A81000C,00300,0100,B 428098,A81000C,00300,0400,GHC 428098,A81000C,00300,0600,LONG TERM CARE 428098,A81000C,00400,0100,B 428098,A81000C,00400,0400,GHC 428098,A81000C,00400,0600,LONG TERM CARE 428098,B100000,00000,0100,0100SQUARE FEET 428098,B100000,00000,0200,0200SQUARE FEET 428098,B100000,00000,0300,0300GROSS SALARIES 428098,B100000,00000,0400,0400ACCUM COST 428098,B100000,00000,0500,0500SQUARE FEET 428098,B100000,00000,0600,0600PATIENT DAYS 428098,B100000,00000,0700,0700SQUARE FEET 428098,B100000,00000,0800,0800MEALS SERVED 428098,B100000,00000,0900,0900NURSING SALARIES 428098,B100000,00000,1000,1000COSTED REQUIS 428098,B100000,00000,1100,1100COSTED REQUIS 428098,B100000,00000,1200,1200PATIENT DAYS 428098,B100000,00000,1300,1300PATIENT DAYS 428098,B100000,00000,1400,1400ASSIGNED TIME 428098,B100000,00000,1500,1350PATIENT DAYS 428098,S000000,00100,0200,02/27/12 428098,S200000,00100,0100,20 MAITLAND STREET 428098,S200000,00200,0100,CONCORD 428098,S200000,00200,0200,NH 428098,S200000,00200,0300,03301 428098,S200000,00300,0100,MERRIMACK 428098,S200000,00300,0201,99930 428098,S200000,00300,0300,R 428098,S200000,00400,0100,HARRIS HILL CENTER 428098,S200000,00400,0200,305078 428098,S200000,00400,0300,05/14/96 428098,S200000,00400,0500,P 428098,S200000,01500,0100,Y 428098,S200000,01501,0200,Y 428098,S200000,01502,0200,N 428098,S200000,01503,0200,Y 428098,S200000,01504,0200,Y 428098,S200000,01600,0100,N 428098,S200000,01700,0100,N 428098,S200000,01800,0100,N 428098,S200000,01900,0100,LLC 428098,S200000,02200,0100,Y 428098,S200000,02800,0100,N 428098,S200000,02900,0100,N 428098,S200000,03000,0100,N 428098,S200000,03100,0100,N 428098,S200000,03200,0100,N 428098,S200000,03300,0100,N 428098,S200000,03300,0200,N 428098,S200000,04200,0100,N 428098,S200000,04300,0100,N 428098,S200000,04600,0100,N 428098,S200000,04700,0100,N 428098,S200000,04900,0100,N 428098,S200000,05200,0100,N 428098,S200000,05300,0100,Y 428098,S200000,05300,0200,HB0067 428098,S200000,05400,0100,GENESIS HEALTHCARE LLC 428098,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428098,S200000,05400,0300,12001 428098,S200000,05500,0100,101 EAST STATE STREET 428098,S200000,05600,0100,KENNETT SQUARE 428098,S200000,05600,0200,PA 428098,S200000,05600,0300,19348 428101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428101,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428101,A000000,00300,0000,0300EMPLOYEE BENEFITS 428101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428101,A000000,00700,0000,0700HOUSEKEEPING 428101,A000000,00800,0000,0800DIETARY 428101,A000000,00900,0000,0900NURSING ADMINISTRATION 428101,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428101,A000000,01100,0000,1100PHARMACY 428101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428101,A000000,01300,0000,1300SOCIAL SERVICE 428101,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428101,A000000,01500,0000,1350RECREATION 428101,A000000,01600,0000,1600SKILLED NURSING FACILITY 428101,A000000,01810,0000,1810ICF/MR 428101,A000000,02100,0000,2100RADIOLOGY 428101,A000000,02200,0000,2200LABORATORY 428101,A000000,02300,0000,2300INTRAVENOUS THERAPY 428101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428101,A000000,02500,0000,2500PHYSICAL THERAPY 428101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428101,A000000,02700,0000,2700SPEECH PATHOLOGY 428101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428101,A000000,03550,0000,3550FQHC 428101,A000000,04801,0000,4801AMBULANCE 428101,A000000,04802,0000,4802AMBULANCE 428101,A000000,04803,0000,4803AMBULANCE 428101,A000000,05000,0000,5000CORF 428101,A000000,05010,0000,5010CMHC 428101,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428101,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428101,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428101,A81000A,00100,0100,Y 428101,A81000B,00100,0300,AS ATTACHED 428101,A81000B,00200,0300,HOME OFFICE-INTEREST 428101,A81000B,00300,0300,HOME OFFICE-A&G 428101,A81000B,00400,0300,HOME OFFICE-CAP PIEC 428101,A81000C,00100,0100,B 428101,A81000C,00100,0400,AS ATTACHED 428101,A81000C,00100,0600,VARIOUS 428101,A81000C,00200,0100,B 428101,A81000C,00200,0400,GHC 428101,A81000C,00200,0600,LONG TERM CARE 428101,A81000C,00300,0100,B 428101,A81000C,00300,0400,GHC 428101,A81000C,00300,0600,LONG TERM CARE 428101,A81000C,00400,0100,B 428101,A81000C,00400,0400,GHC 428101,A81000C,00400,0600,LONG TERM CARE 428101,B100000,00000,0100,0100SQUARE FEET 428101,B100000,00000,0200,0200SQUARE FEET 428101,B100000,00000,0300,0300GROSS SALARIES 428101,B100000,00000,0400,0400ACCUM COST 428101,B100000,00000,0500,0500SQUARE FEET 428101,B100000,00000,0600,0600PATIENT DAYS 428101,B100000,00000,0700,0700SQUARE FEET 428101,B100000,00000,0800,0800MEALS SERVED 428101,B100000,00000,0900,0900NURSING SALARIES 428101,B100000,00000,1000,1000COSTED REQUIS 428101,B100000,00000,1100,1100COSTED REQUIS 428101,B100000,00000,1200,1200PATIENT DAYS 428101,B100000,00000,1300,1300PATIENT DAYS 428101,B100000,00000,1400,1400ASSIGNED TIME 428101,B100000,00000,1500,1350PATIENT DAYS 428101,E10A180,00350,0100,06/21/11 428101,G300000,02500,0000,BARBER & BEAUTY 428101,S000000,00100,0200,02/27/12 428101,S200000,00100,0100,239 PLEASANT STREET 428101,S200000,00200,0100,CONCORD 428101,S200000,00200,0200,NH 428101,S200000,00200,0300,03301 428101,S200000,00300,0100,MERRIMACK 428101,S200000,00300,0201,99930 428101,S200000,00300,0300,R 428101,S200000,00400,0100,PLEASANT VIEW CENTER 428101,S200000,00400,0200,305045 428101,S200000,00400,0300,06/01/94 428101,S200000,00400,0500,P 428101,S200000,01500,0100,Y 428101,S200000,01501,0200,Y 428101,S200000,01502,0200,N 428101,S200000,01503,0200,Y 428101,S200000,01504,0200,Y 428101,S200000,01600,0100,N 428101,S200000,01700,0100,N 428101,S200000,01800,0100,N 428101,S200000,01900,0100,LLC 428101,S200000,02200,0100,Y 428101,S200000,02800,0100,N 428101,S200000,02900,0100,N 428101,S200000,03000,0100,N 428101,S200000,03100,0100,N 428101,S200000,03200,0100,N 428101,S200000,03300,0100,N 428101,S200000,03300,0200,N 428101,S200000,04200,0100,N 428101,S200000,04300,0100,N 428101,S200000,04600,0100,N 428101,S200000,04700,0100,N 428101,S200000,04900,0100,N 428101,S200000,05200,0100,N 428101,S200000,05300,0100,Y 428101,S200000,05300,0200,HB0067 428101,S200000,05400,0100,GENESIS HEALTHCARE LLC 428101,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428101,S200000,05400,0300,12001 428101,S200000,05500,0100,101 EAST STATE STREET 428101,S200000,05600,0100,KENNETT SQUARE 428101,S200000,05600,0200,PA 428101,S200000,05600,0300,19348 428102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428102,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428102,A000000,00300,0000,0300EMPLOYEE BENEFITS 428102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428102,A000000,00700,0000,0700HOUSEKEEPING 428102,A000000,00800,0000,0800DIETARY 428102,A000000,00900,0000,0900NURSING ADMINISTRATION 428102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428102,A000000,01100,0000,1100PHARMACY 428102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428102,A000000,01300,0000,1300SOCIAL SERVICE 428102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428102,A000000,01500,0000,1350RECREATION 428102,A000000,01600,0000,1600SKILLED NURSING FACILITY 428102,A000000,01810,0000,1810ICF/MR 428102,A000000,02100,0000,2100RADIOLOGY 428102,A000000,02200,0000,2200LABORATORY 428102,A000000,02300,0000,2300INTRAVENOUS THERAPY 428102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428102,A000000,02500,0000,2500PHYSICAL THERAPY 428102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428102,A000000,02700,0000,2700SPEECH PATHOLOGY 428102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428102,A000000,03550,0000,3550FQHC 428102,A000000,04801,0000,4801AMBULANCE 428102,A000000,04802,0000,4802AMBULANCE 428102,A000000,04803,0000,4803AMBULANCE 428102,A000000,05000,0000,5000CORF 428102,A000000,05010,0000,5010CMHC 428102,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428102,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428102,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428102,A81000A,00100,0100,Y 428102,A81000B,00100,0300,SEE ATTACHED 428102,A81000B,00200,0300,HOME OFFICE INTEREST 428102,A81000B,00300,0300,HOME OFFICE ADMIN 428102,A81000B,00400,0300,HOME OFFICE CAPITAL 428102,A81000C,00100,0100,B 428102,A81000C,00100,0400,SEE ATTACHED 428102,A81000C,00100,0600,VARIOUS 428102,A81000C,00200,0100,B 428102,A81000C,00200,0400,GHC 428102,A81000C,00200,0600,LONG TERM CARE 428102,A81000C,00300,0100,B 428102,A81000C,00300,0400,GHC 428102,A81000C,00300,0600,LONG TERM CARE 428102,A81000C,00400,0100,B 428102,A81000C,00400,0400,GHC 428102,A81000C,00400,0600,LONG TERM CARE 428102,B100000,00000,0100,0100SQUARE FEET 428102,B100000,00000,0200,0200SQUARE FEET 428102,B100000,00000,0300,0300GROSS SALARIES 428102,B100000,00000,0400,0400ACCUM COST 428102,B100000,00000,0500,0500SQUARE FEET 428102,B100000,00000,0600,0600PATIENT DAYS 428102,B100000,00000,0700,0700SQUARE FEET 428102,B100000,00000,0800,0800MEALS SERVED 428102,B100000,00000,0900,0900NURSING SALARIES 428102,B100000,00000,1000,1000COSTED REQUIS 428102,B100000,00000,1100,1100COSTED REQUIS 428102,B100000,00000,1200,1200PATIENT DAYS 428102,B100000,00000,1300,1300PATIENT DAYS 428102,B100000,00000,1400,1400ASSIGNED TIME 428102,B100000,00000,1500,1350PATIENT DAYS 428102,S000000,00100,0200,02/27/12 428102,S200000,00100,0100,25 RIDGEWOOD ROAD 428102,S200000,00200,0100,BEDFORD 428102,S200000,00200,0200,NH 428102,S200000,00200,0300,03110 428102,S200000,00300,0100,HILLSBOROUGH 428102,S200000,00300,0201,31700 428102,S200000,00300,0300,U 428102,S200000,00400,0100,RIDGEWOOD CENTER 428102,S200000,00400,0200,305052 428102,S200000,00400,0300,05/01/95 428102,S200000,00400,0500,P 428102,S200000,01500,0100,Y 428102,S200000,01501,0200,Y 428102,S200000,01502,0200,N 428102,S200000,01503,0200,Y 428102,S200000,01504,0200,Y 428102,S200000,01600,0100,N 428102,S200000,01700,0100,N 428102,S200000,01800,0100,N 428102,S200000,01900,0100,LLC 428102,S200000,02200,0100,Y 428102,S200000,02800,0100,N 428102,S200000,02900,0100,N 428102,S200000,03000,0100,N 428102,S200000,03100,0100,N 428102,S200000,03200,0100,N 428102,S200000,03300,0100,N 428102,S200000,03300,0200,N 428102,S200000,04200,0100,N 428102,S200000,04300,0100,N 428102,S200000,04600,0100,N 428102,S200000,04700,0100,N 428102,S200000,04900,0100,N 428102,S200000,05200,0100,N 428102,S200000,05300,0100,Y 428102,S200000,05300,0200,HB0067 428102,S200000,05400,0100,GENESIS HEALTHCARE LLC 428102,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428102,S200000,05400,0300,12001 428102,S200000,05500,0100,101 EAST STATE STREET 428102,S200000,05600,0100,KENNETT SQUARE 428102,S200000,05600,0200,PA 428102,S200000,05600,0300,19348 428104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428104,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428104,A000000,00300,0000,0300EMPLOYEE BENEFITS 428104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428104,A000000,00700,0000,0700HOUSEKEEPING 428104,A000000,00800,0000,0800DIETARY 428104,A000000,00900,0000,0900NURSING ADMINISTRATION 428104,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428104,A000000,01100,0000,1100PHARMACY 428104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428104,A000000,01300,0000,1300SOCIAL SERVICE 428104,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428104,A000000,01500,0000,1350OTHER GENERAL SERVICES 428104,A000000,01600,0000,1600SKILLED NURSING FACILITY 428104,A000000,01800,0000,1800NURSING FACILITY 428104,A000000,01810,0000,1810ICF/MR 428104,A000000,01900,0000,1900OTHER LONG TERM CARE 428104,A000000,02100,0000,2100RADIOLOGY 428104,A000000,02200,0000,2200LABORATORY 428104,A000000,02300,0000,2300INTRAVENOUS THERAPY 428104,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428104,A000000,02500,0000,2500PHYSICAL THERAPY 428104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428104,A000000,02700,0000,2700SPEECH PATHOLOGY 428104,A000000,02800,0000,2800ELECTROCARDIOLOGY 428104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428104,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428104,A000000,03200,0000,3200SUPPORT SURFACES 428104,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428104,A000000,03400,0000,3400CLINIC 428104,A000000,03500,0000,3500RURAL HEALTH CLINIC 428104,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428104,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428104,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428104,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428104,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428104,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428104,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428104,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428104,A000000,04400,0000,4400DME RENTED - HHA 428104,A000000,04500,0000,4500DME SOLD - HHA 428104,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428104,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428104,A000000,04710,0000,4710TELEMEDICINE 428104,A000000,04800,0000,4800AMBULANCE 428104,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428104,A000000,05000,0000,5000CORF 428104,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428104,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428104,A000000,05300,0000,5300INTEREST EXPENSE 428104,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428104,A000000,05500,0000,5500HOSPICE 428104,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428104,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428104,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428104,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428104,A000000,06100,0000,6100NONPAID WORKERS 428104,A000000,06200,0000,6200PATIENTS LAUNDRY 428104,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428104,A81000B,00100,0300,MANAGEMENT FEES 428104,A81000B,00200,0300,CAPITAL COSTS 428104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428104,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428104,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428104,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428104,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428104,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428104,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428104,E10A180,00301,0100,09/28/11 428104,E10A180,00302,0100,10/12/11 428104,E10A180,00303,0100,10/26/11 428104,S000000,00100,0200,02/29/12 428104,S200000,00100,0100,400 S. 7TH STREET 428104,S200000,00200,0100,MONTROSE 428104,S200000,00200,0200,IA 428104,S200000,00200,0300,52639 428104,S200000,00300,0100,LEE 428104,S200000,00300,0200,16 428104,S200000,00300,0201,99916 428104,S200000,00300,0300,R 428104,S200000,00400,0100,MONTROSE HEALTH CENTER 428104,S200000,00400,0200,165304 428104,S200000,00400,0300,11/01/96 428104,S200000,00400,0500,P 428104,S200000,01500,0100,Y 428104,S200000,01501,0200,Y 428104,S200000,01502,0200,Y 428104,S200000,01503,0200,Y 428104,S200000,01504,0200,N 428104,S200000,01600,0100,N 428104,S200000,01700,0100,N 428104,S200000,01800,0100,N 428104,S200000,02200,0100,N 428104,S200000,02800,0100,N 428104,S200000,02900,0100,N 428104,S200000,03000,0100,N 428104,S200000,03100,0100,N 428104,S200000,03200,0100,N 428104,S200000,03300,0100,N 428104,S200000,03300,0200,N 428104,S200000,04100,0100,N 428104,S200000,04200,0100,N 428104,S200000,04300,0100,N 428104,S200000,04600,0100,N 428104,S200000,04700,0100,N 428104,S200000,04700,0200,N 428104,S200000,04900,0100,N 428104,S200000,05000,0100,N 428104,S200000,05100,0100,N 428104,S200000,05200,0100,N 428104,S200000,05300,0100,Y 428104,S200000,05300,0200,H53370 428104,S200000,05400,0100,INHANCE CORPORATION 428104,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428104,S200000,05400,0300,52280 428104,S200000,05500,0100,609 - 8TH STREET 428104,S200000,05600,0100,FORT MADISON 428104,S200000,05600,0200,IA 428104,S200000,05600,0300,52627 428105,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428105,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428105,A000000,00300,0000,0300EMPLOYEE BENEFITS 428105,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428105,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428105,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428105,A000000,00700,0000,0700HOUSEKEEPING 428105,A000000,00800,0000,0800DIETARY 428105,A000000,00900,0000,0900NURSING ADMINISTRATION 428105,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428105,A000000,01100,0000,1100PHARMACY 428105,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428105,A000000,01300,0000,1300SOCIAL SERVICE 428105,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428105,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428105,A000000,01600,0000,1600SKILLED NURSING FACILITY 428105,A000000,01800,0000,1800NURSING FACILITY 428105,A000000,01810,0000,1810ICF/MR 428105,A000000,01900,0000,1900OTHER LONG TERM CARE 428105,A000000,02100,0000,2100RADIOLOGY 428105,A000000,02200,0000,2200LABORATORY 428105,A000000,02300,0000,2300INTRAVENOUS THERAPY 428105,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428105,A000000,02500,0000,2500PHYSICAL THERAPY 428105,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428105,A000000,02700,0000,2700SPEECH PATHOLOGY 428105,A000000,02800,0000,2800ELECTROCARDIOLOGY 428105,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428105,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428105,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428105,A000000,03200,0000,3200SUPPORT SURFACES 428105,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428105,A000000,03400,0000,3400CLINIC 428105,A000000,03500,0000,3500RURAL HEALTH CLINIC 428105,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428105,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428105,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428105,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428105,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428105,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428105,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428105,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428105,A000000,04400,0000,4400DME RENTED - HHA 428105,A000000,04500,0000,4500DME SOLD - HHA 428105,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428105,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428105,A000000,04710,0000,4710TELEMEDICINE 428105,A000000,04800,0000,4800AMBULANCE 428105,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428105,A000000,05000,0000,5000CORF 428105,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428105,A000000,05300,0000,5300INTEREST EXPENSE 428105,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428105,A000000,05500,0000,5500HOSPICE 428105,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428105,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428105,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428105,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428105,A000000,06100,0000,6100NONPAID WORKERS 428105,A000000,06200,0000,6200PATIENTS LAUNDRY 428105,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428105,A81000A,00100,0100,Y 428105,A81000B,00100,0300,HOME OFFICE COSTS 428105,A81000B,00200,0300,BLDGS & F CAPTIAL COSTS 428105,A81000C,00100,0100,B 428105,A81000C,00100,0200,CRYSTAL INC. 428105,A81000C,00100,0400,CRYSTAL INC. 428105,A81000C,00100,0600,MGMT 428105,A81000C,00200,0100,B 428105,A81000C,00200,0200,CRYSTAL INC. 428105,A81000C,00200,0400,CRYSTAL INC. 428105,A81000C,00200,0600,OWNER 428105,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428105,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428105,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428105,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428105,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428105,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428105,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428105,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428105,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428105,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428105,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428105,G300000,02500,0000,PERSONAL PURCHASES 428105,G300000,02501,0000,MISCELLANEOUS 428105,G300000,02502,0000,OTHER INCOME 428105,S000000,00100,0200,03/14/12 428105,S200000,00100,0100,601 EAST POLK 428105,S200000,00200,0100,WASHINGTON 428105,S200000,00200,0200,IA 428105,S200000,00200,0300,52353 428105,S200000,00300,0100,WASHINGTON 428105,S200000,00300,0200,16 428105,S200000,00300,0201,99916 428105,S200000,00300,0300,R 428105,S200000,00400,0100,WASHINGTON CARE CENTER 428105,S200000,00400,0200,165453 428105,S200000,00400,0300,06/01/02 428105,S200000,00400,0500,P 428105,S200000,01500,0100,Y 428105,S200000,01501,0200,Y 428105,S200000,01600,0100,N 428105,S200000,01700,0100,N 428105,S200000,01800,0100,N 428105,S200000,02200,0100,N 428105,S200000,02800,0100,Y 428105,S200000,02900,0100,N 428105,S200000,03000,0100,N 428105,S200000,03100,0100,Y 428105,S200000,03200,0100,N 428105,S200000,03300,0100,N 428105,S200000,03300,0200,N 428105,S200000,04100,0100,N 428105,S200000,04200,0100,N 428105,S200000,04300,0100,N 428105,S200000,04600,0100,N 428105,S200000,04700,0100,N 428105,S200000,04700,0200,N 428105,S200000,04900,0100,N 428105,S200000,05000,0100,N 428105,S200000,05100,0100,N 428105,S200000,05200,0100,N 428105,S200000,05300,0100,Y 428105,S200000,05300,0200,H58310 428105,S200000,05400,0100,CRYSTAL INC. 428105,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428105,S200000,05400,0300,52280 428105,S200000,05500,0100,2900 WESTOWN PARKWAY STE A 428105,S200000,05600,0100,WEST DES MOINES 428105,S200000,05600,0200,IA 428105,S200000,05600,0300,50266 428108,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428108,A000000,00300,0000,0300EMPLOYEE BENEFITS 428108,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428108,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428108,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428108,A000000,00700,0000,0700HOUSEKEEPING 428108,A000000,00800,0000,0800DIETARY 428108,A000000,00900,0000,0900NURSING ADMINISTRATION 428108,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428108,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428108,A000000,01300,0000,1300SOCIAL SERVICE 428108,A000000,01500,0000,1350OTHER GENERAL SERVICES 428108,A000000,01600,0000,1600SKILLED NURSING FACILITY 428108,A000000,01800,0000,1800NURSING FACILITY 428108,A000000,01810,0000,1810ICF/MR 428108,A000000,01900,0000,1900OTHER LONG TERM CARE 428108,A000000,02100,0000,2100RADIOLOGY 428108,A000000,02200,0000,2200LABORATORY 428108,A000000,02300,0000,2300INTRAVENOUS THERAPY 428108,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428108,A000000,02500,0000,2500PHYSICAL THERAPY 428108,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428108,A000000,02700,0000,2700SPEECH PATHOLOGY 428108,A000000,02800,0000,2800ELECTROCARDIOLOGY 428108,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428108,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428108,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428108,A000000,03200,0000,3200SUPPORT SURFACES 428108,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428108,A000000,03400,0000,3400CLINIC 428108,A000000,03500,0000,3500RURAL HEALTH CLINIC 428108,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428108,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428108,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428108,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428108,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428108,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428108,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428108,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428108,A000000,04400,0000,4400DME RENTED - HHA 428108,A000000,04500,0000,4500DME SOLD - HHA 428108,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428108,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428108,A000000,04710,0000,4710TELEMEDICINE 428108,A000000,04800,0000,4800AMBULANCE 428108,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428108,A000000,05000,0000,5000CORF 428108,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428108,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428108,A000000,05300,0000,5300INTEREST EXPENSE 428108,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428108,A000000,05500,0000,5500HOSPICE 428108,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428108,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428108,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428108,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428108,A000000,06100,0000,6100NONPAID WORKERS 428108,A000000,06200,0000,6200PATIENTS LAUNDRY 428108,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428108,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428108,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428108,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428108,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428108,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428108,B100000,00000,0700,0750SQ FT CLEANED :HOUSEKEEPING 428108,B100000,00000,0800,0800MEALS SERVED :DIETARY 428108,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428108,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428108,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428108,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428108,G300000,02500,0000,OTHER INCOME 428108,S000000,00100,0200,02/28/12 428108,S200000,00100,0100,1104 N MAIN 428108,S200000,00200,0100,NIXA 428108,S200000,00200,0200,MO 428108,S200000,00200,0300,65714 428108,S200000,00300,0100,CHRISTIAN 428108,S200000,00300,0200,7920 428108,S200000,00300,0201,44180 428108,S200000,00300,0300,U 428108,S200000,00400,0100,CHRISTIAN HEALTH CARE OF NIXA 428108,S200000,00400,0200,265322 428108,S200000,00400,0300,04/08/88 428108,S200000,00400,0500,P 428108,S200000,01500,0100,Y 428108,S200000,01501,0200,Y 428108,S200000,01502,0200,N 428108,S200000,01503,0200,N 428108,S200000,01504,0200,N 428108,S200000,01600,0100,N 428108,S200000,01700,0100,N 428108,S200000,01800,0100,N 428108,S200000,02200,0100,N 428108,S200000,02800,0100,Y 428108,S200000,02900,0100,N 428108,S200000,03000,0100,N 428108,S200000,03100,0100,N 428108,S200000,03200,0100,N 428108,S200000,03300,0100,N 428108,S200000,03300,0200,N 428108,S200000,04100,0100,N 428108,S200000,04200,0100,N 428108,S200000,04300,0100,N 428108,S200000,04600,0100,N 428108,S200000,04700,0100,N 428108,S200000,04700,0200,N 428108,S200000,04900,0100,N 428108,S200000,05000,0100,N 428108,S200000,05100,0100,N 428108,S200000,05200,0100,N 428108,S200000,05300,0100,Y 428108,S200000,05300,0200,H57160 428108,S200000,05400,0100,CORNERSTONE HEALTH CARE 428108,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428108,S200000,05400,0300,00020 428108,S200000,05500,0100,222 SOUTH FIRST STREET 428108,S200000,05600,0100,ROGERS 428108,S200000,05600,0200,AR 428108,S200000,05600,0300,72756 428109,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428109,A000000,00300,0000,0300EMPLOYEE BENEFITS 428109,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428109,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428109,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428109,A000000,00700,0000,0700HOUSEKEEPING 428109,A000000,00800,0000,0800DIETARY 428109,A000000,00900,0000,0900NURSING ADMINISTRATION 428109,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428109,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428109,A000000,01300,0000,1300SOCIAL SERVICE 428109,A000000,01500,0000,1350OTHER GENERAL SERVICES 428109,A000000,01600,0000,1600SKILLED NURSING FACILITY 428109,A000000,01800,0000,1800NURSING FACILITY 428109,A000000,01810,0000,1810ICF/MR 428109,A000000,01900,0000,1900OTHER LONG TERM CARE 428109,A000000,02100,0000,2100RADIOLOGY 428109,A000000,02200,0000,2200LABORATORY 428109,A000000,02300,0000,2300INTRAVENOUS THERAPY 428109,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428109,A000000,02500,0000,2500PHYSICAL THERAPY 428109,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428109,A000000,02700,0000,2700SPEECH PATHOLOGY 428109,A000000,02800,0000,2800ELECTROCARDIOLOGY 428109,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428109,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428109,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428109,A000000,03200,0000,3200SUPPORT SURFACES 428109,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428109,A000000,03400,0000,3400CLINIC 428109,A000000,03500,0000,3500RURAL HEALTH CLINIC 428109,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428109,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428109,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428109,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428109,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428109,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428109,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428109,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428109,A000000,04400,0000,4400DME RENTED - HHA 428109,A000000,04500,0000,4500DME SOLD - HHA 428109,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428109,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428109,A000000,04710,0000,4710TELEMEDICINE 428109,A000000,04800,0000,4800AMBULANCE 428109,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428109,A000000,05000,0000,5000CORF 428109,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428109,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428109,A000000,05300,0000,5300INTEREST EXPENSE 428109,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428109,A000000,05500,0000,5500HOSPICE 428109,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428109,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428109,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428109,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428109,A000000,06100,0000,6100NONPAID WORKERS 428109,A000000,06200,0000,6200PATIENTS LAUNDRY 428109,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428109,A81000A,00100,0100,Y 428109,A81000B,00100,0300,HOME OFFICE COSTS 428109,A81000B,00200,0300,HOME OFFICE COSTS 428109,A81000B,00300,0300,ADMINISTRATIVE COSTS 428109,A81000B,00400,0300,PHARMACY COSTS 428109,A81000B,00500,0300,R/P DEPRECIATION 428109,A81000B,00600,0300,PLANT/MAINTENANCE COSTS 428109,A81000B,00700,0300,DIETARY 428109,A81000B,00800,0300,NURSING SERVICES 428109,A81000B,00900,0300,TECHNOLOGY SERVICES 428109,A81000B,01000,0300,LABOR COSTS/SALARIES 428109,A81000B,01100,0300,NURSING ALLOCATION 428109,A81000B,01200,0300,CNA TRAINING 428109,A81000B,01300,0300,EQUIP/BLDG LEASE 428109,A81000B,01400,0300,INTEREST EXPENSE 428109,A81000C,00100,0100,G 428109,A81000C,00100,0200,ALLEN KILGORE 428109,A81000C,00100,0400,CORNERSTONE HEALTH CARE 428109,A81000C,00100,0600,MANAGEMENT COMPANY 428109,A81000C,00200,0100,G 428109,A81000C,00200,0200,ALLEN KILGORE 428109,A81000C,00200,0400,CORNERSTONE PROP INV III 428109,A81000C,00200,0600,EQUIPMENT LEASE 428109,A81000C,00300,0100,G 428109,A81000C,00300,0200,ALLEN KILGORE 428109,A81000C,00300,0400,CENTRAL HEALTH CORP 428109,A81000C,00300,0600,PERSONNEL 428109,A81000C,00400,0100,G 428109,A81000C,00400,0200,ALLEN KILGORE 428109,A81000C,00400,0400,REGIONAL CARE NEVADA 428109,A81000C,00400,0600,BUILDING LEASE 428109,A81000C,00500,0100,G 428109,A81000C,00500,0200,ALLEN KILGORE 428109,A81000C,00500,0400,CHRISTIAN HC PHARMACY 428109,A81000C,00500,0600,PHARMACY 428109,A81000C,00600,0100,G 428109,A81000C,00600,0200,ALLEN KILGORE 428109,A81000C,00600,0400,ENFORMIX TECHNOLOGY SVCS 428109,A81000C,00600,0600,INFORMATION TECHNOLOGY 428109,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 428109,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428109,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428109,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428109,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428109,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428109,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428109,B100000,00000,0800,0800MEALS SERVED :DIETARY 428109,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428109,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428109,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428109,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428109,S000000,00100,0200,02/28/12 428109,S200000,00100,0100,700 EAST HIGHLAND 428109,S200000,00200,0100,NEVADA 428109,S200000,00200,0200,MO 428109,S200000,00200,0300,64772 428109,S200000,00300,0100,VERNON 428109,S200000,00300,0200,26 428109,S200000,00300,0201,99926 428109,S200000,00300,0300,R 428109,S200000,00400,0100,CHRISTIAN HC OF NEVADA 428109,S200000,00400,0200,265558 428109,S200000,00400,0300,10/07/93 428109,S200000,00400,0500,P 428109,S200000,01500,0100,Y 428109,S200000,01501,0200,Y 428109,S200000,01502,0200,Y 428109,S200000,01503,0200,N 428109,S200000,01504,0200,Y 428109,S200000,01600,0100,N 428109,S200000,01700,0100,N 428109,S200000,01800,0100,N 428109,S200000,02200,0100,N 428109,S200000,02800,0100,Y 428109,S200000,02900,0100,N 428109,S200000,03000,0100,N 428109,S200000,03100,0100,N 428109,S200000,03200,0100,N 428109,S200000,03300,0100,N 428109,S200000,03300,0200,N 428109,S200000,04100,0100,N 428109,S200000,04200,0100,N 428109,S200000,04300,0100,N 428109,S200000,04600,0100,N 428109,S200000,04700,0100,N 428109,S200000,04700,0200,N 428109,S200000,04900,0100,N 428109,S200000,05000,0100,N 428109,S200000,05100,0100,N 428109,S200000,05200,0100,N 428109,S200000,05300,0100,Y 428109,S200000,05300,0200,H57160 428109,S200000,05400,0100,CORNERSTONE HEALTH CARE 428109,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428109,S200000,05400,0300,00020 428109,S200000,05500,0100,222 SOUTH FIRST STREET 428109,S200000,05600,0100,ROGERS 428109,S200000,05600,0200,AR 428109,S200000,05600,0300,72756 428110,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428110,A000000,00300,0000,0300EMPLOYEE BENEFITS 428110,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428110,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428110,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428110,A000000,00700,0000,0700HOUSEKEEPING 428110,A000000,00800,0000,0800DIETARY 428110,A000000,00900,0000,0900NURSING ADMINISTRATION 428110,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428110,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428110,A000000,01300,0000,1300SOCIAL SERVICE 428110,A000000,01500,0000,1350OTHER GENERAL SERVICES 428110,A000000,01600,0000,1600SKILLED NURSING FACILITY 428110,A000000,01800,0000,1800NURSING FACILITY 428110,A000000,01810,0000,1810ICF/MR 428110,A000000,01900,0000,1900OTHER LONG TERM CARE 428110,A000000,02100,0000,2100RADIOLOGY 428110,A000000,02200,0000,2200LABORATORY 428110,A000000,02300,0000,2300INTRAVENOUS THERAPY 428110,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428110,A000000,02500,0000,2500PHYSICAL THERAPY 428110,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428110,A000000,02700,0000,2700SPEECH PATHOLOGY 428110,A000000,02800,0000,2800ELECTROCARDIOLOGY 428110,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428110,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428110,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428110,A000000,03200,0000,3200SUPPORT SURFACES 428110,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428110,A000000,03400,0000,3400CLINIC 428110,A000000,03500,0000,3500RURAL HEALTH CLINIC 428110,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428110,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428110,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428110,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428110,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428110,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428110,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428110,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428110,A000000,04400,0000,4400DME RENTED - HHA 428110,A000000,04500,0000,4500DME SOLD - HHA 428110,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428110,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428110,A000000,04710,0000,4710TELEMEDICINE 428110,A000000,04800,0000,4800AMBULANCE 428110,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428110,A000000,05000,0000,5000CORF 428110,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428110,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428110,A000000,05300,0000,5300INTEREST EXPENSE 428110,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428110,A000000,05500,0000,5500HOSPICE 428110,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428110,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428110,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428110,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428110,A000000,06100,0000,6100NONPAID WORKERS 428110,A000000,06200,0000,6200PATIENTS LAUNDRY 428110,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428110,A81000A,00100,0100,Y 428110,A81000B,00100,0300,HOME OFFICE COSTS 428110,A81000B,00200,0300,HOME OFFICE COSTS 428110,A81000B,00300,0300,ADMINISTRATIVE COSTS 428110,A81000B,00400,0300,PHARMACY COSTS 428110,A81000B,00500,0300,TECHNOLOGY SERVICES 428110,A81000B,00600,0300,R/P DEPRECIATION 428110,A81000B,00700,0300,DIETARY 428110,A81000B,00800,0300,NURSING SERVICES 428110,A81000B,00900,0300,INTEREST EXPENSE 428110,A81000B,01000,0300,AUTO LEASE 428110,A81000B,01100,0300,NURSING ALLOCATION 428110,A81000B,01200,0300,EQUIPMENT LEASE 428110,A81000B,01300,0300,PLANT/MAINTENANCE 428110,A81000B,01400,0300,LABOR COSTS/SALARIES 428110,A81000B,01500,0300,NURSE AIDE TRAINING COSTS 428110,A81000C,00100,0100,G 428110,A81000C,00100,0200,ALLEN KILGORE 428110,A81000C,00100,0400,CORNERSTONE HEALTH CARE 428110,A81000C,00100,0600,MANAGEMENT COMPANY 428110,A81000C,00200,0100,G 428110,A81000C,00200,0200,ALLEN KILGORE 428110,A81000C,00200,0400,CHRISTIAN HC PHARMACY 428110,A81000C,00200,0600,PHARMACY 428110,A81000C,00300,0100,G 428110,A81000C,00300,0200,ALLEN KILGORE 428110,A81000C,00300,0400,CENTRAL HEALTH CORP 428110,A81000C,00300,0600,PERSONNEL 428110,A81000C,00400,0100,G 428110,A81000C,00400,0200,ALLEN KILGORE 428110,A81000C,00400,0400,ENFORMIX TECHNOLOGY SERV 428110,A81000C,00400,0600,INFORMATION TECHNOLOGY 428110,A81000C,00500,0100,G 428110,A81000C,00500,0200,ALLEN KILGORE 428110,A81000C,00500,0400,CHRISTIAN HC PHARMACY 428110,A81000C,00500,0600,PHARMACY 428110,A81000C,00600,0100,G 428110,A81000C,00600,0200,ALLEN KILGORE 428110,A81000C,00600,0400,CORNERSTONE PROP INV II 428110,A81000C,00600,0600,EQUIPMENT LEASE 428110,A81000C,00700,0100,G 428110,A81000C,00700,0200,ALLEN KILGORE 428110,A81000C,00700,0400,CHC PERSONNEL SRVCS INC 428110,A81000C,00700,0600,AUTO LEASE 428110,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 428110,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428110,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428110,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428110,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428110,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428110,B100000,00000,0700,0750SQ FT CLEANED :HOUSEKEEPING 428110,B100000,00000,0800,0800MEALS SERVED :DIETARY 428110,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428110,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428110,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428110,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428110,E10A180,00301,0100,07/26/11 428110,S000000,00100,0200,02/28/12 428110,S200000,00100,0100,3405 WEST MT VERNON 428110,S200000,00200,0100,SPRINGFIELD 428110,S200000,00200,0200,MO 428110,S200000,00200,0300,65802 428110,S200000,00300,0100,GREENE 428110,S200000,00300,0200,7920 428110,S200000,00300,0201,44180 428110,S200000,00300,0300,U 428110,S200000,00400,0100,BROOKHAVEN HEALTH CARE 428110,S200000,00400,0200,265835 428110,S200000,00400,0300,04/21/10 428110,S200000,00400,0500,P 428110,S200000,01500,0100,Y 428110,S200000,01600,0100,N 428110,S200000,01700,0100,N 428110,S200000,01800,0100,N 428110,S200000,02200,0100,N 428110,S200000,02800,0100,Y 428110,S200000,02900,0100,N 428110,S200000,03000,0100,N 428110,S200000,03100,0100,N 428110,S200000,03200,0100,N 428110,S200000,03300,0100,N 428110,S200000,03300,0200,N 428110,S200000,04100,0100,N 428110,S200000,04200,0100,N 428110,S200000,04300,0100,N 428110,S200000,04600,0100,N 428110,S200000,04700,0100,N 428110,S200000,04700,0200,N 428110,S200000,04900,0100,N 428110,S200000,05000,0100,N 428110,S200000,05100,0100,N 428110,S200000,05200,0100,N 428110,S200000,05300,0100,Y 428110,S200000,05300,0200,H57160 428110,S200000,05400,0100,CORNERSTONE HEALTH CARE INC 428110,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428110,S200000,05400,0300,00020 428110,S200000,05500,0100,222 SOUTH FIRST STREET 428110,S200000,05600,0100,ROGERS 428110,S200000,05600,0200,AR 428110,S200000,05600,0300,72756 428111,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428111,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428111,A000000,00300,0000,0300EMPLOYEE BENEFITS 428111,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428111,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428111,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428111,A000000,00700,0000,0700HOUSEKEEPING 428111,A000000,00800,0000,0800DIETARY 428111,A000000,00900,0000,0900NURSING ADMINISTRATION 428111,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428111,A000000,01100,0000,1100PHARMACY 428111,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428111,A000000,01300,0000,1300SOCIAL SERVICE 428111,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428111,A000000,01600,0000,1600SKILLED NURSING FACILITY 428111,A000000,01810,0000,1810ICF/MR 428111,A000000,02200,0000,2200LABORATORY 428111,A000000,02500,0000,2500PHYSICAL THERAPY 428111,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428111,A000000,02700,0000,2700SPEECH PATHOLOGY 428111,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428111,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428111,A000000,03550,0000,3550FQHC 428111,A000000,05000,0000,5000CORF 428111,A000000,05010,0000,5010CMHC 428111,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428111,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428111,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428111,A81000A,00100,0100,N 428111,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428111,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428111,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428111,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428111,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428111,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428111,B100000,00000,0800,0800MEALS SERVED :DIETARY 428111,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428111,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428111,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428111,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428111,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428111,G300000,02500,0000,MISCELLANEOUS INCOME 428111,S000000,00100,0200,02/29/12 428111,S200000,00100,0100,148 BROAD STREET 428111,S200000,00200,0100,CAMPBELL 428111,S200000,00200,0200,NE 428111,S200000,00200,0300,68932 428111,S200000,00300,0100,FRANKLIN 428111,S200000,00300,0201,28 428111,S200000,00300,0300,R 428111,S200000,00400,0100,GRANDVIEW MANOR 428111,S200000,00400,0200,285155 428111,S200000,00400,0300,04/01/02 428111,S200000,00400,0500,P 428111,S200000,01500,0100,Y 428111,S200000,01501,0200,Y 428111,S200000,01502,0200,Y 428111,S200000,01504,0200,Y 428111,S200000,01600,0100,N 428111,S200000,01700,0100,N 428111,S200000,01800,0100,N 428111,S200000,02200,0100,N 428111,S200000,02800,0100,N 428111,S200000,02900,0100,N 428111,S200000,03000,0100,N 428111,S200000,03100,0100,N 428111,S200000,03200,0100,N 428111,S200000,03300,0100,N 428111,S200000,03300,0200,N 428111,S200000,04100,0100,N 428111,S200000,04200,0100,N 428111,S200000,04300,0100,N 428111,S200000,04600,0100,N 428111,S200000,04700,0100,N 428111,S200000,04700,0200,N 428111,S200000,04900,0100,N 428111,S200000,05000,0100,N 428111,S200000,05100,0100,N 428111,S200000,05200,0100,N 428111,S200000,05300,0100,N 428119,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428119,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428119,A000000,00300,0000,0300EMPLOYEE BENEFITS 428119,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428119,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428119,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428119,A000000,00700,0000,0700HOUSEKEEPING 428119,A000000,00800,0000,0800DIETARY 428119,A000000,00900,0000,0900NURSING ADMINISTRATION 428119,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428119,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428119,A000000,01300,0000,1300SOCIAL SERVICE 428119,A000000,01600,0000,1600SKILLED NURSING FACILITY 428119,A000000,01800,0000,1800NURSING FACILITY 428119,A000000,01810,0000,1810ICF/MR 428119,A000000,02100,0000,2100RADIOLOGY 428119,A000000,02200,0000,2200LABORATORY 428119,A000000,02300,0000,2300INTRAVENOUS THERAPY 428119,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428119,A000000,02500,0000,2500PHYSICAL THERAPY 428119,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428119,A000000,02700,0000,2700SPEECH PATHOLOGY 428119,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428119,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428119,A000000,03550,0000,3550FQHC 428119,A000000,05000,0000,5000CORF 428119,A000000,05010,0000,5010CMHC 428119,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428119,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428119,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428119,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428119,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428119,A000000,06300,0000,6150VILLA 428119,A000000,06310,0000,6151APARTMENTS 428119,A81000A,00100,0100,N 428119,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428119,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428119,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428119,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428119,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428119,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428119,B100000,00000,0800,0800MEALS SERVED :DIETARY 428119,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428119,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428119,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428119,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428119,G300000,02500,0000,WHEEL CHAIR RENTAL 428119,G300000,02501,0000,PROCESSING FEE 428119,G300000,02502,0000,CERAMIC SALES 428119,G300000,02503,0000,HANDI-RACK SALES 428119,G300000,02504,0000,ICE CREAM SHOPPE 428119,G300000,02505,0000,VILLA MAINTENANCE INCOME 428119,G300000,02506,0000,VILLA LEASE INCOME 428119,G300000,02507,0000,BEAUTY SHOP RENTAL 428119,G300000,02508,0000,MEETING ROOMS RENTAL 428119,G300000,02509,0000,MISCELLANEOUS INCOME 428119,G300000,02510,0000,P OR (L) APARTMENTS 428119,S000000,00100,0200,02/28/12 428119,S200000,00100,0100,418 WASHINGTON STREET 428119,S200000,00200,0100,QUINCY 428119,S200000,00200,0200,IL 428119,S200000,00200,0300,62301 428119,S200000,00300,0100,ADAMS 428119,S200000,00300,0201,99914 428119,S200000,00300,0300,R 428119,S200000,00400,0100,SUNSET HOME 428119,S200000,00400,0200,145800 428119,S200000,00400,0300,10/01/94 428119,S200000,00400,0500,P 428119,S200000,01500,0100,N 428119,S200000,01501,0200,Y 428119,S200000,01504,0200,Y 428119,S200000,01600,0100,Y 428119,S200000,01700,0100,N 428119,S200000,01800,0100,N 428119,S200000,02200,0100,N 428119,S200000,02800,0100,N 428119,S200000,02900,0100,N 428119,S200000,03000,0100,N 428119,S200000,03100,0100,N 428119,S200000,03200,0100,N 428119,S200000,03300,0100,N 428119,S200000,03300,0200,N 428119,S200000,04100,0100,N 428119,S200000,04200,0100,N 428119,S200000,04300,0100,N 428119,S200000,04600,0100,N 428119,S200000,04700,0100,N 428119,S200000,04700,0200,N 428119,S200000,04900,0100,N 428119,S200000,05000,0100,N 428119,S200000,05100,0100,N 428119,S200000,05200,0100,N 428119,S200000,05300,0100,N 428123,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428123,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428123,A000000,00300,0000,0300EMPLOYEE BENEFITS 428123,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428123,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428123,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428123,A000000,00700,0000,0700HOUSEKEEPING 428123,A000000,00800,0000,0800DIETARY 428123,A000000,00900,0000,0900NURSING ADMINISTRATION 428123,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428123,A000000,01100,0000,1100PHARMACY 428123,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428123,A000000,01300,0000,1300SOCIAL SERVICE 428123,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428123,A000000,01600,0000,1600SKILLED NURSING FACILITY 428123,A000000,01800,0000,1800NURSING FACILITY 428123,A000000,01900,0000,1900OTHER LONG TERM CARE 428123,A000000,02100,0000,2100RADIOLOGY 428123,A000000,02200,0000,2200LABORATORY 428123,A000000,02300,0000,2300INTRAVENOUS THERAPY 428123,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428123,A000000,02500,0000,2500PHYSICAL THERAPY 428123,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428123,A000000,02700,0000,2700SPEECH PATHOLOGY 428123,A000000,02800,0000,2800ELECTROCARDIOLOGY 428123,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428123,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428123,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428123,A000000,03200,0000,3200SUPPORT SURFACES 428123,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428123,A000000,03400,0000,3400CLINIC 428123,A000000,03500,0000,3500RURAL HEALTH CLINIC 428123,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428123,A000000,04800,0000,4800AMBULANCE 428123,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428123,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428123,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428123,A000000,05300,0000,5300INTEREST EXPENSE 428123,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428123,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428123,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428123,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428123,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428123,A000000,06100,0000,6100NONPAID WORKERS 428123,A000000,06200,0000,6200PATIENTS LAUNDRY 428123,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428123,A81000A,00100,0100,N 428123,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428123,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428123,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428123,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428123,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428123,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428123,B100000,00000,0800,0800MEALS SERVED :DIETARY 428123,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428123,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428123,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428123,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428123,E10A180,00301,0100,04/25/11 428123,S000000,00100,0200,02/29/12 428123,S200000,00100,0100,530 EAST BEARDSTOWN STREET 428123,S200000,00200,0100,VIRGINIA 428123,S200000,00200,0200,IL 428123,S200000,00200,0300,62691 428123,S200000,00300,0100,CASS 428123,S200000,00300,0200,14 428123,S200000,00300,0201,99914 428123,S200000,00300,0300,R 428123,S200000,00400,0100,WALKER NURSING HOME 428123,S200000,00400,0200,146100 428123,S200000,00400,0300,01/19/06 428123,S200000,00400,0500,P 428123,S200000,01500,0100,Y 428123,S200000,01501,0200,Y 428123,S200000,01600,0100,N 428123,S200000,01700,0100,N 428123,S200000,01800,0100,N 428123,S200000,02200,0100,N 428123,S200000,02800,0100,N 428123,S200000,02900,0100,N 428123,S200000,03000,0100,N 428123,S200000,03100,0100,N 428123,S200000,03200,0100,N 428123,S200000,03300,0100,N 428123,S200000,03300,0200,N 428123,S200000,04100,0100,N 428123,S200000,04200,0100,N 428123,S200000,04300,0100,N 428123,S200000,04600,0100,N 428123,S200000,04700,0100,N 428123,S200000,04700,0200,N 428123,S200000,04900,0100,N 428123,S200000,05000,0100,N 428123,S200000,05100,0100,N 428123,S200000,05200,0100,N 428123,S200000,05300,0100,N 428124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428124,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428124,A000000,00300,0000,0300EMPLOYEE BENEFITS 428124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428124,A000000,00700,0000,0700HOUSEKEEPING 428124,A000000,00800,0000,0800DIETARY 428124,A000000,00900,0000,0900NURSING ADMINISTRATION 428124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428124,A000000,01100,0000,1100PHARMACY 428124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428124,A000000,01300,0000,1300SOCIAL SERVICE 428124,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428124,A000000,01500,0000,1350ACTIVITIES 428124,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428124,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428124,A000000,01600,0000,1600SKILLED NURSING FACILITY 428124,A000000,01800,0000,1800NURSING FACILITY 428124,A000000,01810,0000,1810ICF/MR 428124,A000000,01900,0000,1900OTHER LONG TERM CARE 428124,A000000,02100,0000,2100RADIOLOGY 428124,A000000,02200,0000,2200LABORATORY 428124,A000000,02300,0000,2300INTRAVENOUS THERAPY 428124,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428124,A000000,02500,0000,2500PHYSICAL THERAPY 428124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428124,A000000,02700,0000,2700SPEECH PATHOLOGY 428124,A000000,02800,0000,2800ELECTROCARDIOLOGY 428124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428124,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428124,A000000,03200,0000,3200SUPPORT SURFACES 428124,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428124,A000000,03301,0000,3051AIR FLUID THERAPY 428124,A000000,03302,0000,3052AMBULANCE 428124,A000000,03303,0000,3053PEN THERAPY 428124,A000000,03304,0000,3054ONCOLOGY 428124,A000000,03305,0000,3055CARDIOLOGY 428124,A000000,03306,0000,3056ULTRASOUND 428124,A000000,03307,0000,3057AUDIOLOGY 428124,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428124,A000000,03400,0000,3400CLINIC 428124,A000000,03500,0000,3500RURAL HEALTH CLINIC 428124,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428124,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428124,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428124,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428124,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428124,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428124,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428124,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428124,A000000,04400,0000,4400DME RENTED - HHA 428124,A000000,04500,0000,4500DME SOLD - HHA 428124,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428124,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428124,A000000,04710,0000,4710TELEMEDICINE 428124,A000000,04800,0000,4800AMBULANCE 428124,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428124,A000000,05000,0000,5000CORF 428124,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428124,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428124,A000000,05300,0000,5300INTEREST EXPENSE 428124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428124,A000000,05500,0000,5500HOSPICE 428124,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428124,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428124,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428124,A000000,06100,0000,6100NONPAID WORKERS 428124,A000000,06200,0000,6200PATIENTS LAUNDRY 428124,A000000,06300,0000,6150ADULT DAY HEALTH 428124,A000000,06301,0000,6151ASSISTED LIVING 428124,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428124,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428124,A81000A,00100,0100,Y 428124,A81000B,00500,0300,MGMT FEE - CAP RELATED BLDG 428124,A81000B,00600,0300,MGMT FEE - A&G RELATED 428124,A81000B,00700,0300,MGMT FEE - CAP RELATED MME 428124,A81000C,00100,0100,B 428124,A81000C,00100,0200,CAPE COD HEALTHCARE 428124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428124,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428124,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428124,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428124,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428124,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428124,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428124,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428124,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428124,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428124,G300000,02500,0000,OTHER - SEE GROUPINGS 428124,S000000,00100,0200,02/27/12 428124,S200000,00100,0100,184 TER HEUN DRIVE 428124,S200000,00200,0100,FALMOUTH 428124,S200000,00200,0200,MA 428124,S200000,00200,0300,02540 428124,S200000,00300,0100,BARNSTABLE 428124,S200000,00300,0200,0743 428124,S200000,00300,0201,12700 428124,S200000,00300,0300,U 428124,S200000,00400,0100,JML CARE CENTER INC. 428124,S200000,00400,0200,225369 428124,S200000,00400,0300,06/01/90 428124,S200000,00400,0500,P 428124,S200000,00400,0600,P 428124,S200000,01500,0100,Y 428124,S200000,01501,0200,N 428124,S200000,01502,0200,Y 428124,S200000,01503,0200,Y 428124,S200000,01504,0200,Y 428124,S200000,01600,0100,N 428124,S200000,01700,0100,N 428124,S200000,01800,0100,N 428124,S200000,02200,0100,N 428124,S200000,02800,0100,N 428124,S200000,02900,0100,N 428124,S200000,03000,0100,N 428124,S200000,03100,0100,N 428124,S200000,03200,0100,N 428124,S200000,03300,0100,N 428124,S200000,03300,0200,N 428124,S200000,04100,0100,N 428124,S200000,04200,0100,N 428124,S200000,04300,0100,N 428124,S200000,04600,0100,N 428124,S200000,04700,0100,N 428124,S200000,04700,0200,N 428124,S200000,04900,0100,N 428124,S200000,05000,0100,N 428124,S200000,05100,0100,N 428124,S200000,05200,0100,N 428124,S200000,05300,0100,Y 428124,S200000,05300,0200,229969 428124,S200000,05400,0100,CAPE COD HEALTHCARE INC. 428124,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428124,S200000,05400,0300,52280 428124,S200000,05500,0100,25 COMMUNICATION WAY 428124,S200000,05600,0100,HYANNIS 428124,S200000,05600,0200,MA 428124,S200000,05600,0300,02601 428137,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428137,A000000,00300,0000,0300EMPLOYEE BENEFITS 428137,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428137,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428137,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428137,A000000,00700,0000,0700HOUSEKEEPING 428137,A000000,00800,0000,0800DIETARY 428137,A000000,00900,0000,0900NURSING ADMINISTRATION 428137,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428137,A000000,01100,0000,1100PHARMACY 428137,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428137,A000000,01300,0000,1300SOCIAL SERVICE 428137,A000000,01500,0000,1350ACTIVITIES 428137,A000000,01600,0000,1600SKILLED NURSING FACILITY 428137,A000000,01800,0000,1800NURSING FACILITY 428137,A000000,01810,0000,1810ICF/MR 428137,A000000,01900,0000,1900OTHER LONG TERM CARE 428137,A000000,02100,0000,2100RADIOLOGY 428137,A000000,02200,0000,2200LABORATORY 428137,A000000,02300,0000,2300INTRAVENOUS THERAPY 428137,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428137,A000000,02500,0000,2500PHYSICAL THERAPY 428137,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428137,A000000,02700,0000,2700SPEECH PATHOLOGY 428137,A000000,02800,0000,2800ELECTROCARDIOLOGY 428137,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428137,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428137,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428137,A000000,03200,0000,3200SUPPORT SURFACES 428137,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428137,A000000,03400,0000,3400CLINIC 428137,A000000,03500,0000,3500RURAL HEALTH CLINIC 428137,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428137,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428137,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428137,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428137,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428137,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428137,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428137,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428137,A000000,04400,0000,4400DME RENTED - HHA 428137,A000000,04500,0000,4500DME SOLD - HHA 428137,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428137,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428137,A000000,04800,0000,4800AMBULANCE 428137,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428137,A000000,05000,0000,5000CORF 428137,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428137,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428137,A000000,05300,0000,5300INTEREST EXPENSE 428137,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428137,A000000,05500,0000,5500HOSPICE 428137,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428137,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428137,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428137,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428137,A000000,06100,0000,6100NONPAID WORKERS 428137,A000000,06200,0000,6200PATIENTS LAUNDRY 428137,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428137,A81000A,00100,0100,Y 428137,A81000B,00100,0300,MANAGEMENT FEES 428137,A81000B,00200,0300,MANAGEMENT FEES 428137,A81000B,00300,0300,MANAGEMENT FEES 428137,A81000B,00400,0300,SUPPLIES 428137,A81000B,00500,0300,SUPPLIES 428137,A81000B,00600,0300,SUPPLIES 428137,A81000B,00700,0300,SUPPLIES 428137,A81000B,00800,0300,SUPPLIES 428137,A81000B,00900,0300,SUPPLIES 428137,A81000B,01000,0300,INSURANCE 428137,A81000B,01100,0300,DRUGS - PVT & MCD NON PDP 428137,A81000B,01200,0300,CNA ORIENTATION 428137,A81000B,01300,0300,MINOR EQUIPMENT 428137,A81000B,01400,0300,MINOR EQUIPMENT 428137,A81000B,01500,0300,PHARMACY CONSULTANT 428137,A81000B,01600,0300,OTHER EMP BENEFITS 428137,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428137,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428137,A81000B,01900,0300,OXYGEN 428137,A81000B,02000,0300,OTC DRUGS 428137,A81000B,02100,0300,GLUCOSE SUPPLIES 428137,A81000B,02200,0300,DRUGS - MEDICARE 428137,A81000B,02300,0300,RENT 428137,A81000B,02400,0300,CHG-LOAN COSTS 428137,A81000B,02500,0300,CHG-ACCOUNTING FEES 428137,A81000B,02600,0300,CHG - REPAIRS 428137,A81000B,02700,0300,CHG-MORTGAGE INTEREST 428137,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 428137,A81000B,02900,0300,PHYSICAL THERAPY 428137,A81000C,00100,0100,A 428137,A81000C,00100,0200,MICHAEL H. MCBRIDE 428137,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428137,A81000C,00100,0600,HOME OFFICE 428137,A81000C,00200,0100,A 428137,A81000C,00200,0200,JOHN SWIFT 428137,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428137,A81000C,00200,0600,HOME OFFICE 428137,A81000C,00300,0100,A 428137,A81000C,00300,0200,BILL WILLIAMSON 428137,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428137,A81000C,00300,0600,HOME OFFICE 428137,A81000C,00400,0100,A 428137,A81000C,00400,0200,MICHAEL H. MCBRIDE 428137,A81000C,00400,0400,GROVE MEDICAL INC 428137,A81000C,00400,0600,SUPPLIES 428137,A81000C,00500,0100,A 428137,A81000C,00500,0200,MICHAEL H. MCBRIDE 428137,A81000C,00500,0400,CARDINAL HEALTH GROUP 428137,A81000C,00500,0600,BUILDING LEASE 428137,A81000C,00600,0100,A 428137,A81000C,00600,0200,MICHAEL H. MCBRIDE 428137,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428137,A81000C,00600,0600,THERAPY 428137,A81000C,00700,0100,A 428137,A81000C,00700,0200,JOHN SWIFT 428137,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428137,A81000C,00700,0600,THERAPY 428137,A81000C,00800,0100,A 428137,A81000C,00800,0200,BILL WILLIAMSON 428137,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428137,A81000C,00800,0600,THERAPY 428137,A81000C,00900,0100,A 428137,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428137,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428137,A81000C,00900,0600,INSURANCE 428137,A81000C,01000,0100,A 428137,A81000C,01000,0200,JOHN SWIFT 428137,A81000C,01000,0400,CRESCENT INDEMNITY INC 428137,A81000C,01000,0600,INSURANCE 428137,A81000C,01001,0100,A 428137,A81000C,01001,0200,BILL WILLIAMSON 428137,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428137,A81000C,01001,0600,INSURANCE 428137,A81000C,01002,0100,A 428137,A81000C,01002,0200,MICHAEL H. MCBRIDE 428137,A81000C,01002,0400,PROCARE RX INC. 428137,A81000C,01002,0600,PHARMACY 428137,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428137,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428137,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428137,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428137,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428137,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428137,B100000,00000,0800,0800MEALS SERVED :DIETARY 428137,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428137,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428137,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428137,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428137,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428137,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428137,E10A180,00550,0100,07/11/11 428137,E10A180,00551,0100,08/08/11 428137,G300000,02501,0000,GARNISHMENT FEE 428137,S000000,00100,0200,07/11/11 428137,S200000,00100,0100,809 LAURENS ROAD 428137,S200000,00200,0100,GREENVILLE 428137,S200000,00200,0200,SC 428137,S200000,00200,0300,29607 428137,S200000,00300,0100,GREENVILLE 428137,S200000,00300,0200,3160 428137,S200000,00300,0201,24860 428137,S200000,00300,0300,U 428137,S200000,00400,0100,GREENVILLE LIVING CENTER LLC 428137,S200000,00400,0200,425060 428137,S200000,00400,0300,01/01/88 428137,S200000,00400,0500,P 428137,S200000,01500,0100,Y 428137,S200000,01501,0200,Y 428137,S200000,01502,0200,Y 428137,S200000,01503,0200,N 428137,S200000,01504,0200,N 428137,S200000,01600,0100,N 428137,S200000,01700,0100,N 428137,S200000,01800,0100,N 428137,S200000,02200,0100,N 428137,S200000,02800,0100,Y 428137,S200000,02900,0100,N 428137,S200000,03000,0100,N 428137,S200000,03100,0100,N 428137,S200000,03200,0100,N 428137,S200000,03300,0100,N 428137,S200000,03300,0200,N 428137,S200000,04100,0100,N 428137,S200000,04200,0100,N 428137,S200000,04300,0100,N 428137,S200000,04600,0100,N 428137,S200000,04700,0100,N 428137,S200000,04700,0200,N 428137,S200000,04900,0100,N 428137,S200000,05000,0100,N 428137,S200000,05100,0100,N 428137,S200000,05200,0100,N 428137,S200000,05300,0100,Y 428137,S200000,05300,0200,42HO32 428137,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428137,S200000,05400,0200,PALMETTO GBA 428137,S200000,05400,0300, 00380 428137,S200000,05500,0100,101 GRACE DRIVE 428137,S200000,05600,0100,EASLEY 428137,S200000,05600,0200,SC 428137,S200000,05600,0300,29640 428138,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428138,A000000,00300,0000,0300EMPLOYEE BENEFITS 428138,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428138,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428138,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428138,A000000,00700,0000,0700HOUSEKEEPING 428138,A000000,00800,0000,0800DIETARY 428138,A000000,00900,0000,0900NURSING ADMINISTRATION 428138,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428138,A000000,01100,0000,1100PHARMACY 428138,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428138,A000000,01300,0000,1300SOCIAL SERVICE 428138,A000000,01500,0000,1350ACTIVITIES 428138,A000000,01600,0000,1600SKILLED NURSING FACILITY 428138,A000000,01800,0000,1800NURSING FACILITY 428138,A000000,01810,0000,1810ICF/MR 428138,A000000,01900,0000,1900OTHER LONG TERM CARE 428138,A000000,02100,0000,2100RADIOLOGY 428138,A000000,02200,0000,2200LABORATORY 428138,A000000,02300,0000,2300INTRAVENOUS THERAPY 428138,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428138,A000000,02500,0000,2500PHYSICAL THERAPY 428138,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428138,A000000,02700,0000,2700SPEECH PATHOLOGY 428138,A000000,02800,0000,2800ELECTROCARDIOLOGY 428138,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428138,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428138,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428138,A000000,03200,0000,3200SUPPORT SURFACES 428138,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428138,A000000,03400,0000,3400CLINIC 428138,A000000,03500,0000,3500RURAL HEALTH CLINIC 428138,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428138,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428138,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428138,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428138,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428138,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428138,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428138,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428138,A000000,04400,0000,4400DME RENTED - HHA 428138,A000000,04500,0000,4500DME SOLD - HHA 428138,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428138,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428138,A000000,04800,0000,4800AMBULANCE 428138,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428138,A000000,05000,0000,5000CORF 428138,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428138,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428138,A000000,05300,0000,5300INTEREST EXPENSE 428138,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428138,A000000,05500,0000,5500HOSPICE 428138,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428138,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428138,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428138,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428138,A000000,06100,0000,6100NONPAID WORKERS 428138,A000000,06200,0000,6200PATIENTS LAUNDRY 428138,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428138,A81000A,00100,0100,Y 428138,A81000B,00100,0300,MANAGEMENT FEES 428138,A81000B,00200,0300,MANAGEMENT FEES 428138,A81000B,00300,0300,MANAGEMENT FEES 428138,A81000B,00400,0300,SUPPLIES 428138,A81000B,00500,0300,SUPPLIES 428138,A81000B,00600,0300,SUPPLIES 428138,A81000B,00700,0300,EQUIP LEASE 428138,A81000B,00800,0300,SUPPLIES 428138,A81000B,00900,0300,SUPPLIES 428138,A81000B,01000,0300,INSURANCE 428138,A81000B,01100,0300,DRUGS-PVT 428138,A81000B,01200,0300,CNA ORIENTATION 428138,A81000B,01300,0300,MINOR EQUIPMENT 428138,A81000B,01400,0300,MINOR EQUIPMENT 428138,A81000B,01500,0300,PHARMACY CONSULTANT 428138,A81000B,01600,0300,OTHER EMP BENEFITS 428138,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428138,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428138,A81000B,01900,0300,DRUGS MEDICARE 428138,A81000B,02000,0300,OTC DRUGS 428138,A81000B,02100,0300,GLUCOSE SUPPLIES 428138,A81000B,02200,0300,DRUGS-MCD NON PDP & PVT 428138,A81000B,02300,0300,RENT 428138,A81000B,02400,0300,CHG-LOAN COSTS 428138,A81000B,02500,0300,CHG-ACCOUNTING FEES 428138,A81000B,02600,0300,CHG-TAXES 428138,A81000B,02700,0300,CHG-MORTGAGE INTEREST 428138,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 428138,A81000B,02900,0300,PHYSICAL THERAPY 428138,A81000C,00100,0100,A 428138,A81000C,00100,0200,MICHAEL H. MCBRIDE 428138,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428138,A81000C,00100,0600,HOME OFFICE 428138,A81000C,00200,0100,A 428138,A81000C,00200,0200,JOHN SWIFT 428138,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428138,A81000C,00200,0600,HOME OFFICE 428138,A81000C,00300,0100,A 428138,A81000C,00300,0200,BILL WILLIAMSON 428138,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428138,A81000C,00300,0600,HOME OFFICE 428138,A81000C,00400,0100,A 428138,A81000C,00400,0200,MICHAEL H. MCBRIDE 428138,A81000C,00400,0400,GROVE MEDICAL INC 428138,A81000C,00400,0600,SUPPLIES 428138,A81000C,00500,0100,A 428138,A81000C,00500,0200,MICHAEL H. MCBRIDE 428138,A81000C,00500,0400,CARDINAL HEALTH GROUP 428138,A81000C,00500,0600,BUILDING LEASE 428138,A81000C,00600,0100,A 428138,A81000C,00600,0200,MICHAEL H. MCBRIDE 428138,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428138,A81000C,00600,0600,THERAPY 428138,A81000C,00700,0100,A 428138,A81000C,00700,0200,JOHN SWIFT 428138,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428138,A81000C,00700,0600,THERAPY 428138,A81000C,00800,0100,A 428138,A81000C,00800,0200,BILL WILLIAMSON 428138,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428138,A81000C,00800,0600,THERAPY 428138,A81000C,00900,0100,A 428138,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428138,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428138,A81000C,00900,0600,INSURANCE 428138,A81000C,01000,0100,A 428138,A81000C,01000,0200,JOHN SWIFT 428138,A81000C,01000,0400,CRESCENT INDEMNITY INC 428138,A81000C,01000,0600,INSURANCE 428138,A81000C,01001,0100,A 428138,A81000C,01001,0200,BILL WILLIAMSON 428138,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428138,A81000C,01001,0600,INSURANCE 428138,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428138,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428138,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428138,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428138,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428138,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428138,B100000,00000,0800,0800MEALS SERVED :DIETARY 428138,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428138,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428138,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428138,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428138,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428138,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428138,G300000,02500,0000,NSF CHECK CHARGES 428138,G300000,02501,0000,GARNISHMENT FEE 428138,S000000,00100,0200,06/24/11 428138,S200000,00100,0100,8 NORTH TEXAS AVENUE 428138,S200000,00200,0100,GREENVILLE 428138,S200000,00200,0200,SC 428138,S200000,00200,0300,29611 428138,S200000,00300,0100,GREENVILLE 428138,S200000,00300,0200,3160 428138,S200000,00300,0201,24860 428138,S200000,00300,0300,U 428138,S200000,00400,0100,WESTSIDE LIVING CENTER LLC 428138,S200000,00400,0200,425102 428138,S200000,00400,0300,01/01/88 428138,S200000,00400,0500,P 428138,S200000,01500,0100,Y 428138,S200000,01501,0200,Y 428138,S200000,01502,0200,N 428138,S200000,01503,0200,Y 428138,S200000,01504,0200,Y 428138,S200000,01600,0100,N 428138,S200000,01700,0100,N 428138,S200000,01800,0100,N 428138,S200000,02200,0100,N 428138,S200000,02800,0100,Y 428138,S200000,02900,0100,N 428138,S200000,03000,0100,N 428138,S200000,03100,0100,N 428138,S200000,03200,0100,N 428138,S200000,03300,0100,N 428138,S200000,03300,0200,N 428138,S200000,04100,0100,N 428138,S200000,04200,0100,N 428138,S200000,04300,0100,N 428138,S200000,04600,0100,N 428138,S200000,04700,0100,N 428138,S200000,04700,0200,N 428138,S200000,04900,0100,N 428138,S200000,05000,0100,N 428138,S200000,05100,0100,N 428138,S200000,05200,0100,N 428138,S200000,05300,0100,Y 428138,S200000,05300,0200,42HO32 428138,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428138,S200000,05400,0200,PALMETTO GBA 428138,S200000,05400,0300, 00380 428138,S200000,05500,0100,101 GRACE DRIVE 428138,S200000,05600,0100,EASLEY 428138,S200000,05600,0200,SC 428138,S200000,05600,0300,29640 428139,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428139,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428139,A000000,00300,0000,0300EMPLOYEE BENEFITS 428139,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428139,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428139,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428139,A000000,00700,0000,0700HOUSEKEEPING 428139,A000000,00800,0000,0800DIETARY 428139,A000000,00900,0000,0900NURSING ADMINISTRATION 428139,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428139,A000000,01100,0000,1100PHARMACY 428139,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428139,A000000,01300,0000,1300SOCIAL SERVICE 428139,A000000,01500,0000,1350ACTIVITIES 428139,A000000,01600,0000,1600SKILLED NURSING FACILITY 428139,A000000,01800,0000,1800NURSING FACILITY 428139,A000000,01810,0000,1810ICF/MR 428139,A000000,01900,0000,1900OTHER LONG TERM CARE 428139,A000000,02100,0000,2100RADIOLOGY 428139,A000000,02200,0000,2200LABORATORY 428139,A000000,02300,0000,2300INTRAVENOUS THERAPY 428139,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428139,A000000,02500,0000,2500PHYSICAL THERAPY 428139,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428139,A000000,02700,0000,2700SPEECH PATHOLOGY 428139,A000000,02800,0000,2800ELECTROCARDIOLOGY 428139,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428139,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428139,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428139,A000000,03200,0000,3200SUPPORT SURFACES 428139,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428139,A000000,03400,0000,3400CLINIC 428139,A000000,03500,0000,3500RURAL HEALTH CLINIC 428139,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428139,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428139,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428139,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428139,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428139,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428139,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428139,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428139,A000000,04400,0000,4400DME RENTED - HHA 428139,A000000,04500,0000,4500DME SOLD - HHA 428139,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428139,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428139,A000000,04800,0000,4800AMBULANCE 428139,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428139,A000000,05000,0000,5000CORF 428139,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428139,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428139,A000000,05300,0000,5300INTEREST EXPENSE 428139,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428139,A000000,05500,0000,5500HOSPICE 428139,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428139,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428139,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428139,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428139,A000000,06100,0000,6100NONPAID WORKERS 428139,A000000,06200,0000,6200PATIENTS LAUNDRY 428139,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428139,A81000A,00100,0100,Y 428139,A81000B,00100,0300,MANAGEMENT FEES 428139,A81000B,00200,0300,MANAGEMENT FEES 428139,A81000B,00300,0300,MANAGEMENT FEES 428139,A81000B,00400,0300,SUPPLIES 428139,A81000B,00500,0300,SUPPLIES 428139,A81000B,00600,0300,SUPPLIES 428139,A81000B,00700,0300,EQUIP LEASE 428139,A81000B,00800,0300,SUPPLIES 428139,A81000B,00900,0300,SUPPLIES 428139,A81000B,01000,0300,INSURANCE 428139,A81000B,01100,0300,DRUGS-PVT 428139,A81000B,01200,0300,CNA ORIENTATION 428139,A81000B,01300,0300,MINOR EQUIPMENT 428139,A81000B,01400,0300,MINOR EQUIPMENT 428139,A81000B,01500,0300,PHARMACY CONSULTANT 428139,A81000B,01600,0300,OTHER EMP BENEFITS 428139,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428139,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428139,A81000B,01900,0300,DRUGS MEDICARE 428139,A81000B,02000,0300,OTC DRUGS 428139,A81000B,02100,0300,GLUCOSE SUPPLIES 428139,A81000B,02200,0300,DRUGS-MCD NON PDP & PVT 428139,A81000B,02300,0300,RENT 428139,A81000B,02400,0300,HMR PIEDMONT-LOAN COSTS 428139,A81000B,02500,0300,HMR PIEDMONT-ACCOUNTING FEES 428139,A81000B,02600,0300,HMR PIEDMONT-TAXES 428139,A81000B,02700,0300,HMR PIEDMONT-MORTGAGE INTEREST 428139,A81000B,02800,0300,HMR PIEDMONT-HISTORICAL COST DEPR 428139,A81000B,02900,0300,PHYSICAL THERAPY 428139,A81000C,00100,0100,A 428139,A81000C,00100,0200,MICHAEL H. MCBRIDE 428139,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428139,A81000C,00100,0600,HOME OFFICE 428139,A81000C,00200,0100,A 428139,A81000C,00200,0200,JOHN SWIFT 428139,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428139,A81000C,00200,0600,HOME OFFICE 428139,A81000C,00300,0100,A 428139,A81000C,00300,0200,BILL WILLIAMSON 428139,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428139,A81000C,00300,0600,HOME OFFICE 428139,A81000C,00400,0100,A 428139,A81000C,00400,0200,MICHAEL H. MCBRIDE 428139,A81000C,00400,0400,GROVE MEDICAL INC 428139,A81000C,00400,0600,SUPPLIES 428139,A81000C,00500,0100,A 428139,A81000C,00500,0200,MICHAEL H. MCBRIDE 428139,A81000C,00500,0400,HMR PIEDMONT 428139,A81000C,00500,0600,BUILDING LEASE 428139,A81000C,00600,0100,A 428139,A81000C,00600,0200,MICHAEL H. MCBRIDE 428139,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428139,A81000C,00600,0600,THERAPY 428139,A81000C,00700,0100,A 428139,A81000C,00700,0200,JOHN SWIFT 428139,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428139,A81000C,00700,0600,THERAPY 428139,A81000C,00800,0100,A 428139,A81000C,00800,0200,BILL WILLIAMSON 428139,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428139,A81000C,00800,0600,THERAPY 428139,A81000C,00900,0100,A 428139,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428139,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428139,A81000C,00900,0600,INSURANCE 428139,A81000C,01000,0100,A 428139,A81000C,01000,0200,JOHN SWIFT 428139,A81000C,01000,0400,CRESCENT INDEMNITY INC 428139,A81000C,01000,0600,INSURANCE 428139,A81000C,01001,0100,A 428139,A81000C,01001,0200,BILL WILLIAMSON 428139,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428139,A81000C,01001,0600,INSURANCE 428139,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428139,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428139,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428139,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428139,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428139,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428139,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428139,B100000,00000,0800,0800MEALS SERVED :DIETARY 428139,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428139,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428139,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428139,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428139,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428139,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428139,G300000,02500,0000,GARNISHMENT FEE 428139,G300000,02501,0000,BEARBER & BEAUTY 428139,S000000,00100,0200,06/24/11 428139,S200000,00100,0100,401 CHANDLER ROAD 428139,S200000,00200,0100,GREER 428139,S200000,00200,0200,SC 428139,S200000,00200,0300,29651 428139,S200000,00300,0100,GREENVILLE 428139,S200000,00300,0200,3160 428139,S200000,00300,0201,24860 428139,S200000,00300,0300,U 428139,S200000,00400,0100,PIEDMONT LIVING CENTER LLC 428139,S200000,00400,0200,425138 428139,S200000,00400,0300,12/09/97 428139,S200000,00400,0500,P 428139,S200000,01500,0100,Y 428139,S200000,01501,0200,Y 428139,S200000,01502,0200,N 428139,S200000,01503,0200,Y 428139,S200000,01504,0200,Y 428139,S200000,01600,0100,N 428139,S200000,01700,0100,N 428139,S200000,01800,0100,N 428139,S200000,02200,0100,N 428139,S200000,02800,0100,Y 428139,S200000,02900,0100,N 428139,S200000,03000,0100,N 428139,S200000,03100,0100,N 428139,S200000,03200,0100,N 428139,S200000,03300,0100,N 428139,S200000,03300,0200,N 428139,S200000,04100,0100,N 428139,S200000,04200,0100,N 428139,S200000,04300,0100,N 428139,S200000,04600,0100,N 428139,S200000,04700,0100,N 428139,S200000,04700,0200,N 428139,S200000,04900,0100,N 428139,S200000,05000,0100,N 428139,S200000,05100,0100,N 428139,S200000,05200,0100,N 428139,S200000,05300,0100,Y 428139,S200000,05300,0200,42HO32 428139,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428139,S200000,05400,0200,PALMETTO GBA 428139,S200000,05400,0300, 00380 428139,S200000,05500,0100,101 GRACE DRIVE 428139,S200000,05600,0100,EASLEY 428139,S200000,05600,0200,SC 428139,S200000,05600,0300,29640 428140,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428140,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428140,A000000,00300,0000,0300EMPLOYEE BENEFITS 428140,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428140,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428140,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428140,A000000,00700,0000,0700HOUSEKEEPING 428140,A000000,00800,0000,0800DIETARY 428140,A000000,00900,0000,0900NURSING ADMINISTRATION 428140,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428140,A000000,01100,0000,1100PHARMACY 428140,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428140,A000000,01300,0000,1300SOCIAL SERVICE 428140,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428140,A000000,01500,0000,1350RECREATION 428140,A000000,01600,0000,1600SKILLED NURSING FACILITY 428140,A000000,01810,0000,1810ICF/MR 428140,A000000,02100,0000,2100RADIOLOGY 428140,A000000,02300,0000,2300INTRAVENOUS THERAPY 428140,A000000,02500,0000,2500PHYSICAL THERAPY 428140,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428140,A000000,02700,0000,2700SPEECH PATHOLOGY 428140,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428140,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428140,A000000,03550,0000,3550FQHC 428140,A000000,05000,0000,5000CORF 428140,A000000,05010,0000,5010CMHC 428140,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428140,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428140,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428140,A81000A,00100,0100,N 428140,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428140,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428140,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428140,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428140,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428140,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428140,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428140,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428140,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428140,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428140,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428140,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428140,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428140,G300000,02500,0000,GRIC SUBSIDY 428140,G300000,02501,0000,DISCOUNTS 428140,G300000,02502,0000,MISC INCOME 428140,G300000,02503,0000,TRANSPORTATION 428140,G300000,02504,0000,ROOM RESERVATION 428140,S000000,00100,0200,02/08/12 428140,S200000,00100,0100,510 SOUTH OCOTILLO ROAD 428140,S200000,00200,0100,SACATON 428140,S200000,00200,0200,AZ 428140,S200000,00200,0300,85247 428140,S200000,00300,0100,PIMA 428140,S200000,00300,0201,38060 428140,S200000,00300,0300,U 428140,S200000,00400,0100,GILA RIVER NURSING HOME 428140,S200000,00400,0200,035216 428140,S200000,00400,0300,06/19/93 428140,S200000,00400,0500,P 428140,S200000,00600,0200,035216 428140,S200000,00600,0300,06/19/93 428140,S200000,00600,0600,O 428140,S200000,01500,0100,Y 428140,S200000,01501,0200,Y 428140,S200000,01600,0100,N 428140,S200000,01700,0100,N 428140,S200000,01800,0100,N 428140,S200000,02200,0100,N 428140,S200000,02800,0100,N 428140,S200000,02900,0100,N 428140,S200000,03000,0100,N 428140,S200000,03100,0100,N 428140,S200000,03200,0100,N 428140,S200000,03300,0100,N 428140,S200000,03300,0200,N 428140,S200000,03500,0300,N 428140,S200000,03600,0100,N 428140,S200000,03600,0200,N 428140,S200000,04100,0100,N 428140,S200000,04200,0100,N 428140,S200000,04300,0100,N 428140,S200000,04600,0100,N 428140,S200000,04700,0100,N 428140,S200000,04700,0200,N 428140,S200000,04900,0100,N 428140,S200000,05000,0100,N 428140,S200000,05100,0100,N 428140,S200000,05200,0100,N 428140,S200000,05300,0100,N 428142,S000000,00100,0200,01/23/12 428142,S200000,00100,0100,HC01 428142,S200000,00100,0300,9100 428142,S200000,00200,0100,SELLS 428142,S200000,00200,0200,AZ 428142,S200000,00200,0300,85634 428142,S200000,00300,0100,PIMA 428142,S200000,00400,0100,ARCHIE HENDRICKS 428142,S200000,00400,0300,02/08/06 428151,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428151,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428151,A000000,00300,0000,0300EMPLOYEE BENEFITS 428151,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428151,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428151,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428151,A000000,00700,0000,0700HOUSEKEEPING 428151,A000000,00800,0000,0800DIETARY 428151,A000000,00900,0000,0900NURSING ADMINISTRATION 428151,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428151,A000000,01100,0000,1100PHARMACY 428151,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428151,A000000,01300,0000,1300SOCIAL SERVICE 428151,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428151,A000000,01500,0000,1350OTHER GENERAL SERVICES 428151,A000000,01600,0000,1600SKILLED NURSING FACILITY 428151,A000000,01810,0000,1810ICF/MR 428151,A000000,02100,0000,2100RADIOLOGY 428151,A000000,02200,0000,2200LABORATORY 428151,A000000,02300,0000,2300INTRAVENOUS THERAPY 428151,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428151,A000000,02500,0000,2500PHYSICAL THERAPY 428151,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428151,A000000,02700,0000,2700SPEECH PATHOLOGY 428151,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428151,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428151,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428151,A000000,03550,0000,3550FQHC 428151,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428151,A000000,04710,0000,4710TELEMEDICINE 428151,A000000,04801,0000,4801AMBULANCE 428151,A000000,04802,0000,4802AMBULANCE 428151,A000000,04803,0000,4803AMBULANCE 428151,A000000,05000,0000,5000CORF 428151,A000000,05010,0000,5010CMHC 428151,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428151,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428151,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428151,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428151,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428151,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428151,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428151,A81000A,00100,0100,Y 428151,A81000B,00100,0300,MANAGEMENT FEE 428151,A81000B,00200,0300,WORKERS COMP INSURANCE 428151,A81000B,00300,0300,DISABILITY EXPENSE 428151,A81000B,00400,0300,CORPORATE HEALTH & DENTAL 428151,A81000B,00500,0300,LIABILITY 428151,A81000C,00100,0100,B 428151,A81000C,00100,0200,PARADIGM MANAGEMENT LLC 428151,A81000C,00200,0100,B 428151,A81000C,00200,0400,PARADIGM DEVELOPMENT LLC 428151,A81000C,00300,0100,B 428151,A81000C,00300,0400,PARADIGM DEVELOPMENT LLC 428151,A81000C,00400,0100,B 428151,A81000C,00400,0400,PARADIGM DEVELOPMENT LLC 428151,A81000C,00500,0100,B 428151,A81000C,00500,0400,PARADIGM DEVELOPMENT LLC 428151,B100000,00000,0100,0100SQUARE FEET 428151,B100000,00000,0200,0200SQUARE FEET 428151,B100000,00000,0300,0300GROSS SALARIES 428151,B100000,00000,0400,0400ACCUM COST 428151,B100000,00000,0500,0500SQUARE FEET 428151,B100000,00000,0600,0600PATIENT DAYS 428151,B100000,00000,0700,0700SQUARE FEET 428151,B100000,00000,0800,0800PATIENT DAYS 428151,B100000,00000,0900,0900PATIENT DAYS 428151,B100000,00000,1000,1000COSTED REQUIS. 428151,B100000,00000,1100,1100PATIENT DAYS 428151,B100000,00000,1200,1200PATIENT DAYS 428151,B100000,00000,1300,1300PATIENT DAYS 428151,B100000,00000,1400,1400ASSIGNED TIME 428151,B100000,00000,1500,1350PATIENT DAYS 428151,G300000,02500,0000,MISCELLANEOUS INCOME 428151,G300000,02503,0000,VENDING INCOME 428151,G300000,02504,0000,INTEREST INCOME 428151,S000000,00100,0200,03/05/12 428151,S200000,00100,0100,181 CLIFTON STREET 428151,S200000,00200,0100,NEW HAVEN 428151,S200000,00200,0200,CT 428151,S200000,00200,0300,06513 428151,S200000,00300,0100,NEW HAVEN 428151,S200000,00300,0201,35300 428151,S200000,00300,0300,U 428151,S200000,00400,0100,PARADIGM HC CENTER OF NEW HAVEN LLC 428151,S200000,00400,0200,075397 428151,S200000,00400,0300,07/01/09 428151,S200000,00400,0500,P 428151,S200000,01500,0100,Y 428151,S200000,01502,0200,Y 428151,S200000,01600,0100,N 428151,S200000,01700,0100,N 428151,S200000,01800,0100,N 428151,S200000,02200,0100,N 428151,S200000,02800,0100,N 428151,S200000,02900,0100,N 428151,S200000,03000,0100,N 428151,S200000,03100,0100,N 428151,S200000,03200,0100,N 428151,S200000,03300,0100,N 428151,S200000,03300,0200,N 428151,S200000,04200,0100,N 428151,S200000,04300,0100,N 428151,S200000,04600,0100,N 428151,S200000,04700,0100,N 428151,S200000,04900,0100,N 428151,S200000,05200,0100,N 428151,S200000,05300,0100,N 428152,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428152,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428152,A000000,00300,0000,0300EMPLOYEE BENEFITS 428152,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428152,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428152,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428152,A000000,00700,0000,0700HOUSEKEEPING 428152,A000000,00800,0000,0800DIETARY 428152,A000000,00900,0000,0900NURSING ADMINISTRATION 428152,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428152,A000000,01100,0000,1100PHARMACY 428152,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428152,A000000,01300,0000,1300SOCIAL SERVICE 428152,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428152,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 428152,A000000,01600,0000,1600SKILLED NURSING FACILITY 428152,A000000,01810,0000,1810ICF/MR 428152,A000000,02500,0000,2500PHYSICAL THERAPY 428152,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428152,A000000,02700,0000,2700SPEECH PATHOLOGY 428152,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428152,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428152,A000000,03550,0000,3550FQHC 428152,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428152,A000000,04710,0000,4710TELEMEDICINE 428152,A000000,04801,0000,4801AMBULANCE 428152,A000000,04802,0000,4802AMBULANCE 428152,A000000,04803,0000,4803AMBULANCE 428152,A000000,05000,0000,5000CORF 428152,A000000,05010,0000,5010CMHC 428152,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428152,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428152,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428152,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428152,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428152,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428152,A81000A,00100,0100,N 428152,B100000,00000,0100,0100SQUARE FEET 428152,B100000,00000,0200,0200SQUARE FEET 428152,B100000,00000,0300,0300GROSS SALARIES 428152,B100000,00000,0400,0400ACCUM COST 428152,B100000,00000,0500,0500SQUARE FEET 428152,B100000,00000,0600,0600PATIENT DAYS 428152,B100000,00000,0700,0700SQUARE FEET 428152,B100000,00000,0800,0800PATIENT DAYS 428152,B100000,00000,0900,0900DIRECT NRSING HRS 428152,B100000,00000,1000,1000PATIENT DAYS 428152,B100000,00000,1100,1100PATIENT DAYS 428152,B100000,00000,1200,1200PATIENT DAYS 428152,B100000,00000,1300,1300PATIENT DAYS 428152,B100000,00000,1400,1400PATIENT DAYS 428152,B100000,00000,1500,1350PATIENT DAYS 428152,S000000,00100,0200,02/29/12 428152,S200000,00100,0100,1310 SOUTHERN AVENUE 428152,S200000,00200,0100,WASHINGTON 428152,S200000,00200,0200,DC 428152,S200000,00200,0300,20032 428152,S200000,00300,0100,DC 428152,S200000,00300,0201,47894 428152,S200000,00300,0300,U 428152,S200000,00400,0100,CAPITAL MEDICAL NURSING CENTER 428152,S200000,00400,0200,095039 428152,S200000,00400,0300,02/01/09 428152,S200000,00400,0500,P 428152,S200000,01500,0100,Y 428152,S200000,01501,0200,N 428152,S200000,01600,0100,N 428152,S200000,01700,0100,N 428152,S200000,01800,0100,N 428152,S200000,02200,0100,N 428152,S200000,02800,0100,Y 428152,S200000,02900,0100,N 428152,S200000,03000,0100,N 428152,S200000,03100,0100,N 428152,S200000,03200,0100,N 428152,S200000,03300,0100,N 428152,S200000,03300,0200,N 428152,S200000,04200,0100,N 428152,S200000,04300,0100,N 428152,S200000,04600,0100,N 428152,S200000,04700,0100,N 428152,S200000,04900,0100,N 428152,S200000,05200,0100,N 428152,S200000,05300,0100,N 428155,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428155,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428155,A000000,00300,0000,0300EMPLOYEE BENEFITS 428155,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428155,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428155,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428155,A000000,00700,0000,0700HOUSEKEEPING 428155,A000000,00800,0000,0800DIETARY 428155,A000000,00900,0000,0900NURSING ADMINISTRATION 428155,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428155,A000000,01100,0000,1100PHARMACY 428155,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428155,A000000,01300,0000,1300SOCIAL SERVICE 428155,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428155,A000000,01500,0000,1350RECREATION 428155,A000000,01600,0000,1600SKILLED NURSING FACILITY 428155,A000000,01810,0000,1810ICF/MR 428155,A000000,02100,0000,2100RADIOLOGY 428155,A000000,02200,0000,2200LABORATORY 428155,A000000,02300,0000,2300INTRAVENOUS THERAPY 428155,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428155,A000000,02500,0000,2500PHYSICAL THERAPY 428155,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428155,A000000,02700,0000,2700SPEECH PATHOLOGY 428155,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428155,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428155,A000000,03550,0000,3550FQHC 428155,A000000,04801,0000,4801AMBULANCE 428155,A000000,04802,0000,4802AMBULANCE 428155,A000000,04803,0000,4803AMBULANCE 428155,A000000,05000,0000,5000CORF 428155,A000000,05010,0000,5010CMHC 428155,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428155,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428155,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428155,A81000A,00100,0100,Y 428155,A81000B,00100,0300,SEE ATTACHED 428155,A81000B,00200,0300,CAPITAL INTEREST 428155,A81000B,00300,0300,HOME OFFICE 428155,A81000B,00400,0300,HOME OFFICE 428155,A81000C,00100,0100,B 428155,A81000C,00100,0400,SEE ATTACHED 428155,A81000C,00100,0600,VARIOUS 428155,A81000C,00200,0100,B 428155,A81000C,00200,0400,GHC 428155,A81000C,00200,0600,LONG TERM CARE 428155,A81000C,00300,0100,B 428155,A81000C,00300,0400,GHC 428155,A81000C,00300,0600,LONG TERM CARE 428155,A81000C,00400,0100,B 428155,A81000C,00400,0400,GHC 428155,A81000C,00400,0600,LONG TERM CARE 428155,B100000,00000,0100,0100SQUARE FEET 428155,B100000,00000,0200,0200SQUARE FEET 428155,B100000,00000,0300,0300GROSS SALARIES 428155,B100000,00000,0400,0400ACCUM COST 428155,B100000,00000,0500,0500SQUARE FEET 428155,B100000,00000,0600,0600PATIENT DAYS 428155,B100000,00000,0700,0700SQUARE FEET 428155,B100000,00000,0800,0800MEALS SERVED 428155,B100000,00000,0900,0900NURSING SALARIES 428155,B100000,00000,1000,1000COSTED REQUIS 428155,B100000,00000,1100,1100COSTED REQUIS 428155,B100000,00000,1200,1200PATIENT DAYS 428155,B100000,00000,1300,1300PATIENT DAYS 428155,B100000,00000,1400,1400ASSIGNED TIME 428155,B100000,00000,1500,1350PATIENT DAYS 428155,G300000,02500,0000,BARBER & BEAUTY 428155,S000000,00100,0200,02/27/12 428155,S200000,00100,0100,24 OLD ETNA ROAD 428155,S200000,00200,0100,LEBANON 428155,S200000,00200,0200,NH 428155,S200000,00200,0300,03766 428155,S200000,00300,0100,GRAFTON 428155,S200000,00300,0201,99930 428155,S200000,00300,0300,R 428155,S200000,00400,0100,LEBANON CENTER 428155,S200000,00400,0200,305050 428155,S200000,00400,0300,06/01/95 428155,S200000,00400,0500,P 428155,S200000,01500,0100,Y 428155,S200000,01501,0200,Y 428155,S200000,01502,0200,N 428155,S200000,01503,0200,Y 428155,S200000,01504,0200,Y 428155,S200000,01600,0100,N 428155,S200000,01700,0100,N 428155,S200000,01800,0100,N 428155,S200000,01900,0100,LLC 428155,S200000,02200,0100,Y 428155,S200000,02800,0100,N 428155,S200000,02900,0100,N 428155,S200000,03000,0100,N 428155,S200000,03100,0100,N 428155,S200000,03200,0100,N 428155,S200000,03300,0100,N 428155,S200000,03300,0200,N 428155,S200000,04200,0100,N 428155,S200000,04300,0100,N 428155,S200000,04600,0100,N 428155,S200000,04700,0100,N 428155,S200000,04900,0100,N 428155,S200000,05200,0100,N 428155,S200000,05300,0100,Y 428155,S200000,05300,0200,HB0067 428155,S200000,05400,0100,GENESIS HEALTHCARE LLC 428155,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428155,S200000,05400,0300,12001 428155,S200000,05500,0100,101 EAST STATE STREET 428155,S200000,05600,0100,KENNETT SQUARE 428155,S200000,05600,0200,PA 428155,S200000,05600,0300,19348 428178,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428178,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428178,A000000,00300,0000,0300EMPLOYEE BENEFITS 428178,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428178,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428178,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428178,A000000,00700,0000,0700HOUSEKEEPING 428178,A000000,00800,0000,0800DIETARY 428178,A000000,00900,0000,0900NURSING ADMINISTRATION 428178,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428178,A000000,01100,0000,1100PHARMACY 428178,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428178,A000000,01300,0000,1300SOCIAL SERVICE 428178,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428178,A000000,01500,0000,1350OTHER GENERAL SERVICES 428178,A000000,01600,0000,1600SKILLED NURSING FACILITY 428178,A000000,01800,0000,1800NURSING FACILITY 428178,A000000,01810,0000,1810ICF/MR 428178,A000000,01900,0000,1900OTHER LONG TERM CARE 428178,A000000,02100,0000,2100RADIOLOGY 428178,A000000,02200,0000,2200LABORATORY 428178,A000000,02300,0000,2300INTRAVENOUS THERAPY 428178,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428178,A000000,02500,0000,2500PHYSICAL THERAPY 428178,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428178,A000000,02700,0000,2700SPEECH PATHOLOGY 428178,A000000,02800,0000,2800ELECTROCARDIOLOGY 428178,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428178,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428178,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428178,A000000,03200,0000,3200SUPPORT SURFACES 428178,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428178,A000000,03400,0000,3400CLINIC 428178,A000000,03500,0000,3500RURAL HEALTH CLINIC 428178,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428178,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428178,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428178,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428178,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428178,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428178,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428178,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428178,A000000,04400,0000,4400DME RENTED - HHA 428178,A000000,04500,0000,4500DME SOLD - HHA 428178,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428178,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428178,A000000,04710,0000,4710TELEMEDICINE 428178,A000000,04800,0000,4800AMBULANCE 428178,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428178,A000000,05000,0000,5000CORF 428178,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428178,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428178,A000000,05300,0000,5300INTEREST EXPENSE 428178,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428178,A000000,05500,0000,5500HOSPICE 428178,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428178,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428178,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428178,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428178,A000000,06100,0000,6100NONPAID WORKERS 428178,A000000,06200,0000,6200PATIENTS LAUNDRY 428178,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428178,A81000A,00100,0100,Y 428178,A81000B,00100,0300,HEAT AND UTILITIES 428178,A81000B,00200,0300,OFFICE SUPPLIES 428178,A81000B,00300,0300,TRAVEL AND SEMINAR 428178,A81000B,00400,0300,DEPRECIATION 428178,A81000B,00500,0300,INTEREST 428178,A81000B,00600,0300,REAL ESTATE TAXES 428178,A81000B,00700,0300,ASSISTANT ADMIN SALARY 428178,A81000B,00800,0300,RENT FACILITY & GROUND 428178,A81000C,00100,0100,G 428178,A81000C,00100,0400,JOHS OKSNEVAD 428178,A81000C,00100,0600,REAL ESTATE ENTITY 428178,A81000C,03100,0000,REAL ESTATE ENTITY 428178,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428178,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428178,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428178,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428178,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428178,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428178,B100000,00000,0800,0800PATIENT MEALS :DIETARY 428178,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428178,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428178,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428178,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428178,G300000,02500,0000,BARBER/BEAUTY 428178,G300000,02501,0000,STORE & MISC SALES 428178,G300000,02502,0000,GAIN FROM FORGIVENESS OF DEBT 428178,G300000,02503,0000,GAIN ON SALE OF ASSETS 428178,G300000,02504,0000,MISCELLANEOUS INCOME 428178,G300000,02505,0000,PETTY CASH ADJUSTMENT 428178,S000000,00100,0200,02/29/12 428178,S200000,00100,0100,3650 NORTH ALPINE ROAD 428178,S200000,00200,0100,ROCKFORD 428178,S200000,00200,0200,IL 428178,S200000,00200,0300,61114 428178,S200000,00300,0100,WINNEBAGO 428178,S200000,00300,0201,40420 428178,S200000,00300,0300,U 428178,S200000,00400,0100,ALPINE FIRESIDE HEALTH CENTER LTD 428178,S200000,00400,0200,146066 428178,S200000,00400,0300,08/09/04 428178,S200000,00400,0500,P 428178,S200000,00600,0200,146066 428178,S200000,00600,0300,08/09/04 428178,S200000,00600,0600,O 428178,S200000,01500,0100,N 428178,S200000,01501,0200,Y 428178,S200000,01600,0100,Y 428178,S200000,01700,0100,N 428178,S200000,01800,0100,N 428178,S200000,02200,0100,N 428178,S200000,02800,0100,N 428178,S200000,02900,0100,N 428178,S200000,03000,0100,N 428178,S200000,03100,0100,N 428178,S200000,03200,0100,N 428178,S200000,03300,0100,N 428178,S200000,03300,0200,N 428178,S200000,03500,0300,N 428178,S200000,04100,0100,N 428178,S200000,04200,0100,N 428178,S200000,04300,0100,N 428178,S200000,04600,0100,N 428178,S200000,04700,0100,N 428178,S200000,04700,0200,N 428178,S200000,04900,0100,N 428178,S200000,05000,0100,N 428178,S200000,05100,0100,N 428178,S200000,05200,0100,N 428179,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428179,A000000,00300,0000,0300EMPLOYEE BENEFITS 428179,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428179,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428179,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428179,A000000,00700,0000,0700HOUSEKEEPING 428179,A000000,00800,0000,0800DIETARY 428179,A000000,00900,0000,0900NURSING ADMINISTRATION 428179,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428179,A000000,01100,0000,1100PHARMACY 428179,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428179,A000000,01300,0000,1300SOCIAL SERVICE 428179,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428179,A000000,01500,0000,1351DIVERSIONAL THERAPY 428179,A000000,01600,0000,1600SKILLED NURSING FACILITY 428179,A000000,01800,0000,1800NURSING FACILITY 428179,A000000,01810,0000,1810ICF/MR 428179,A000000,01900,0000,1900OTHER LONG TERM CARE 428179,A000000,02100,0000,2100RADIOLOGY 428179,A000000,02200,0000,2200LABORATORY 428179,A000000,02300,0000,2300INTRAVENOUS THERAPY 428179,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428179,A000000,02500,0000,2500PHYSICAL THERAPY 428179,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428179,A000000,02700,0000,2700SPEECH PATHOLOGY 428179,A000000,02800,0000,2800ELECTROCARDIOLOGY 428179,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428179,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428179,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428179,A000000,03200,0000,3200SUPPORT SURFACES 428179,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428179,A000000,03400,0000,3400CLINIC 428179,A000000,03500,0000,3500RURAL HEALTH CLINIC 428179,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428179,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428179,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428179,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428179,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428179,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428179,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428179,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428179,A000000,04400,0000,4400DME RENTED - HHA 428179,A000000,04500,0000,4500DME SOLD - HHA 428179,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428179,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428179,A000000,04710,0000,4710TELEMEDICINE 428179,A000000,04800,0000,4800AMBULANCE 428179,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428179,A000000,05000,0000,5000CORF 428179,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428179,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428179,A000000,05300,0000,5300INTEREST EXPENSE 428179,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428179,A000000,05500,0000,5500HOSPICE 428179,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428179,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428179,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428179,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428179,A000000,06100,0000,6100NONPAID WORKERS 428179,A000000,06200,0000,6200PATIENTS LAUNDRY 428179,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428179,A81000A,00100,0100,Y 428179,A81000B,00100,0300,BOARD EXPENSES 428179,A81000B,00200,0300,MAINTENANCE OF EFFORT 428179,A81000B,00300,0300,COUNTY EXPENSE 428179,A81000B,00400,0300,PLANT COSTS 428179,A81000C,00100,0100,B 428179,A81000C,00100,0200,MUSKEGON COUNTY 428179,A81000C,00100,0400,COUNTY 428179,A81000C,00100,0600,COUNTY 428179,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428179,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428179,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428179,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428179,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428179,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428179,B100000,00000,0800,0800MEALS SERVED :DIETARY 428179,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428179,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428179,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428179,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428179,B100000,00000,1500,1351TIME SPENT :DIVERSIONAL THERAPY 428179,G300000,02500,0000,OTHER REVENUE 428179,S000000,00100,0200,03/02/12 428179,S200000,00100,0100,1890 APPLE AVENUE 428179,S200000,00200,0100,MUSKEGON 428179,S200000,00200,0200,MI 428179,S200000,00200,0300,49442 428179,S200000,00300,0100,MUSKEGON 428179,S200000,00300,0200,3000 428179,S200000,00300,0201,34740 428179,S200000,00300,0300,U 428179,S200000,00400,0100,BROOKHAVEN MEDICAL CARE FACILITY 428179,S200000,00400,0200,235204 428179,S200000,00400,0300,07/01/66 428179,S200000,00400,0500,P 428179,S200000,01500,0100,Y 428179,S200000,01501,0200,N 428179,S200000,01600,0100,N 428179,S200000,01700,0100,N 428179,S200000,01800,0100,N 428179,S200000,02200,0100,N 428179,S200000,02800,0100,N 428179,S200000,02900,0100,N 428179,S200000,03000,0100,N 428179,S200000,03100,0100,N 428179,S200000,03200,0100,N 428179,S200000,03300,0100,N 428179,S200000,03300,0200,N 428179,S200000,04100,0100,N 428179,S200000,04200,0100,N 428179,S200000,04300,0100,N 428179,S200000,04600,0100,N 428179,S200000,04700,0100,N 428179,S200000,04700,0200,N 428179,S200000,04900,0100,N 428179,S200000,05000,0100,N 428179,S200000,05100,0100,N 428179,S200000,05200,0100,N 428183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428183,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428183,A000000,00300,0000,0300EMPLOYEE BENEFITS 428183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428183,A000000,00700,0000,0700HOUSEKEEPING 428183,A000000,00800,0000,0800DIETARY 428183,A000000,00900,0000,0900NURSING ADMINISTRATION 428183,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428183,A000000,01100,0000,1100PHARMACY 428183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428183,A000000,01300,0000,1300SOCIAL SERVICE 428183,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428183,A000000,01500,0000,1350OTHER GENERAL SERVICES 428183,A000000,01600,0000,1600SKILLED NURSING FACILITY 428183,A000000,01800,0000,1800NURSING FACILITY 428183,A000000,01810,0000,1810ICF/MR 428183,A000000,01900,0000,1900OTHER LONG TERM CARE 428183,A000000,02100,0000,2100RADIOLOGY 428183,A000000,02200,0000,2200LABORATORY 428183,A000000,02300,0000,2300INTRAVENOUS THERAPY 428183,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428183,A000000,02500,0000,2500PHYSICAL THERAPY 428183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428183,A000000,02700,0000,2700SPEECH PATHOLOGY 428183,A000000,02800,0000,2800ELECTROCARDIOLOGY 428183,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428183,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428183,A000000,03200,0000,3200SUPPORT SURFACES 428183,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428183,A000000,03400,0000,3400CLINIC 428183,A000000,03500,0000,3500RURAL HEALTH CLINIC 428183,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428183,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428183,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428183,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428183,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428183,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428183,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428183,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428183,A000000,04400,0000,4400DME RENTED - HHA 428183,A000000,04500,0000,4500DME SOLD - HHA 428183,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428183,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428183,A000000,04710,0000,4710TELEMEDICINE 428183,A000000,04800,0000,4800AMBULANCE 428183,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428183,A000000,05000,0000,5000CORF 428183,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428183,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428183,A000000,05300,0000,5300INTEREST EXPENSE 428183,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428183,A000000,05500,0000,5500HOSPICE 428183,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428183,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428183,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428183,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428183,A000000,06100,0000,6100NONPAID WORKERS 428183,A000000,06200,0000,6200PATIENTS LAUNDRY 428183,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428183,A81000A,00100,0100,Y 428183,A81000B,00100,0300,PT 428183,A81000B,00200,0300,OT 428183,A81000B,00300,0300,ST 428183,A81000B,00400,0300,CAPITAL 428183,A81000B,00500,0300,MGT FEE 428183,A81000B,00600,0300,ADMIN SALARIES 428183,A81000B,00700,0300,CONSULTANT 428183,A81000B,00800,0300,CONSULTANT 428183,A81000B,00900,0300,SUPPLIES 428183,A81000B,01000,0300,SUPPLIES 428183,A81000B,01100,0300,SUPPLIES 428183,A81000B,01200,0300,SUPPLIES 428183,A81000B,01300,0300,SUPPLIES 428183,A81000B,01400,0300,SUPPLIES 428183,A81000B,01500,0300,SUPPLIES 428183,A81000B,01600,0300,SUPPLIES 428183,A81000B,01700,0300,SUPPLIES 428183,A81000B,01800,0300,SUPPLIES 428183,A81000B,01900,0300,SUPPLIES 428183,A81000B,02000,0300,SUPPLIES 428183,A81000B,02100,0300,LAB 428183,A81000B,02200,0300,ST 428183,A81000B,02300,0300,SUPPLIES 428183,A81000B,02400,0300,STOCK DRUGS 428183,A81000B,02500,0300,PRESCRIPTIONS 428183,A81000B,02600,0300,SHARED LAUNDRY 428183,A81000B,02700,0300,CAPITAL 428183,A81000B,02800,0300,A&G 428183,A81000C,00100,0100,G 428183,A81000C,00100,0200,INTEGRA REHAB 428183,A81000C,00200,0100,G 428183,A81000C,00200,0200,INTEGRA REHAB 428183,A81000C,00300,0100,G 428183,A81000C,00300,0200,INTEGRA REHAB 428183,A81000C,00400,0100,G 428183,A81000C,00400,0200,CLINICAL SERVICES INC 428183,A81000C,00500,0100,G 428183,A81000C,00500,0200,CLINICAL SERVICES INC 428183,A81000C,00600,0100,G 428183,A81000C,00600,0200,CLINICAL SERVICES INC 428183,A81000C,00700,0100,G 428183,A81000C,00700,0200,CLINICAL SERVICES INC 428183,A81000C,00800,0100,G 428183,A81000C,00800,0200,CLINICAL SERVICES INC 428183,A81000C,00900,0100,G 428183,A81000C,00900,0200,ECP DISTRIBUTORS INC 428183,A81000C,01000,0100,G 428183,A81000C,01000,0200,ECP DISTRIBUTORS INC 428183,A81000C,01001,0100,G 428183,A81000C,01001,0200,ECP DISTRIBUTORS INC 428183,A81000C,01002,0100,G 428183,A81000C,01002,0200,ECP DISTRIBUTORS INC 428183,A81000C,01003,0100,G 428183,A81000C,01003,0200,ECP DISTRIBUTORS INC 428183,A81000C,01004,0100,G 428183,A81000C,01004,0200,ECP DISTRIBUTORS INC 428183,A81000C,01005,0100,G 428183,A81000C,01005,0200,ECP DISTRIBUTORS INC 428183,A81000C,01006,0100,G 428183,A81000C,01006,0200,ELDER CARE PHARMACY INC 428183,A81000C,01007,0100,G 428183,A81000C,01007,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01008,0100,G 428183,A81000C,01008,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01009,0100,G 428183,A81000C,01009,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01010,0100,G 428183,A81000C,01010,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01011,0100,G 428183,A81000C,01011,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01012,0100,G 428183,A81000C,01012,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01013,0100,G 428183,A81000C,01013,0200,HAMILTON MEDICAL CENTER 428183,A81000C,01014,0100,G 428183,A81000C,01014,0200,HAMILTON PHARMACY 428183,A81000C,01015,0100,G 428183,A81000C,01015,0200,HAMILTON PHARMACY 428183,A81000C,01016,0100,G 428183,A81000C,01016,0200,RIDGEWOOD MANOR LAUNDRY 428183,A81000C,01017,0100,G 428183,A81000C,01017,0200,HLTC INC 428183,A81000C,01018,0100,G 428183,A81000C,01018,0200,HLTC INC 428183,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428183,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428183,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428183,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428183,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428183,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428183,B100000,00000,0800,0800MEALS SERVED :DIETARY 428183,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428183,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428183,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428183,E10A180,00301,0100,09/30/11 428183,E10A180,00302,0100,09/30/11 428183,G300000,02501,0000,TRAINING INCOME 428183,G300000,02502,0000,MISC INCOME 428183,S000000,00100,0200,03/19/12 428183,S200000,00100,0100,1102 BURLEYSON DRIVE 428183,S200000,00200,0100,DALTON 428183,S200000,00200,0200,GA 428183,S200000,00200,0300,30720 428183,S200000,00300,0100,WHITFIELD 428183,S200000,00300,0200,0011 428183,S200000,00300,0201,19140 428183,S200000,00300,0300,U 428183,S200000,00400,0100,WOOD DALE HEALTH CARE CENTER 428183,S200000,00400,0200,115374 428183,S200000,00400,0300,05/01/89 428183,S200000,00400,0500,P 428183,S200000,01500,0100,Y 428183,S200000,01501,0200,Y 428183,S200000,01600,0100,N 428183,S200000,01700,0100,N 428183,S200000,01800,0100,N 428183,S200000,02200,0100,N 428183,S200000,02800,0100,N 428183,S200000,02900,0100,N 428183,S200000,03000,0100,N 428183,S200000,03100,0100,N 428183,S200000,03200,0100,N 428183,S200000,03300,0100,N 428183,S200000,03300,0200,N 428183,S200000,04100,0100,N 428183,S200000,04200,0100,N 428183,S200000,04300,0100,N 428183,S200000,04600,0100,N 428183,S200000,04700,0100,N 428183,S200000,04700,0200,N 428183,S200000,04900,0100,N 428183,S200000,05000,0100,N 428183,S200000,05100,0100,N 428183,S200000,05200,0100,N 428206,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428206,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428206,A000000,00300,0000,0300EMPLOYEE BENEFITS 428206,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428206,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428206,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428206,A000000,00700,0000,0700HOUSEKEEPING 428206,A000000,00800,0000,0800DIETARY 428206,A000000,00900,0000,0900NURSING ADMINISTRATION 428206,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428206,A000000,01100,0000,1100PHARMACY 428206,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428206,A000000,01300,0000,1300SOCIAL SERVICE 428206,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428206,A000000,01600,0000,1600SKILLED NURSING FACILITY 428206,A000000,01800,0000,1800NURSING FACILITY 428206,A000000,01900,0000,1900OTHER LONG TERM CARE 428206,A000000,02100,0000,2100RADIOLOGY 428206,A000000,02200,0000,2200LABORATORY 428206,A000000,02300,0000,2300INTRAVENOUS THERAPY 428206,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428206,A000000,02500,0000,2500PHYSICAL THERAPY 428206,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428206,A000000,02700,0000,2700SPEECH PATHOLOGY 428206,A000000,02800,0000,2800ELECTROCARDIOLOGY 428206,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428206,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428206,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428206,A000000,03200,0000,3200SUPPORT SURFACES 428206,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428206,A000000,03400,0000,3400CLINIC 428206,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428206,A000000,04800,0000,4800AMBULANCE 428206,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428206,A000000,05000,0000,5000CORF 428206,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428206,A000000,05300,0000,5300INTEREST EXPENSE 428206,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428206,A000000,05500,0000,5500HOSPICE 428206,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428206,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428206,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428206,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428206,A000000,06100,0000,6100NONPAID WORKERS 428206,A000000,06200,0000,6200PATIENTS LAUNDRY 428206,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428206,A81000A,00100,0100,Y 428206,A81000B,00100,0300,NURSING CONSULTING 428206,A81000B,00200,0300,DIETARY CONSULTING 428206,A81000B,00300,0300,HOME OFFICE 428206,A81000B,00400,0300,INTEREST EXPENSE 428206,A81000B,00500,0300,WORKERS COMP EXPENSE 428206,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 428206,A81000B,00700,0300,MAINTENANCE SUPPLIES 428206,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 428206,A81000B,00900,0300,REPAIRS - EQUIPMENT 428206,A81000B,01000,0300,LINEN & BEDDING 428206,A81000B,01100,0300,SUPPLIES 428206,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 428206,A81000B,01300,0300,DIETARY SUPPLEMENTS 428206,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 428206,A81000B,01500,0300,DIETARY SUPPLIES 428206,A81000B,01600,0300,BIO-MEDICAL WASTE 428206,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 428206,A81000B,01800,0300,PERSONAL CARE SUPPLIES 428206,A81000B,01900,0300,INCONTINENCE SUPPLIES 428206,A81000B,02000,0300,MEDICAL SUPPLIES 428206,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 428206,A81000B,02200,0300,PHYSICAL THERPY SUPPLIES 428206,A81000B,02300,0300,SUPPLIES 428206,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 428206,A81000B,02500,0300,AUTO EXPENSE 428206,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 428206,A81000B,02700,0300,NON-LEGEND DRUGS 428206,A81000B,02800,0300,PHARMACY CONSULTANT 428206,A81000B,02900,0300,MED REC SUPPLIES 428206,A81000C,00100,0100,B 428206,A81000C,00100,0400,BRITTHAVEN INC 428206,A81000C,00100,0600,MGMT SERVICES 428206,A81000C,00200,0100,B 428206,A81000C,00200,0400,BRITTHAVEN INC 428206,A81000C,00200,0600,MGMT SERVICES 428206,A81000C,00300,0100,B 428206,A81000C,00300,0400,BRITTHAVEN INC 428206,A81000C,00300,0600,MGMT SERVICES 428206,A81000C,00400,0100,B 428206,A81000C,00400,0400,BRITTHAVEN INC 428206,A81000C,00400,0600,MGMT SERVICES 428206,A81000C,00500,0100,A 428206,A81000C,00500,0200,DISCOVER INSURA 428206,A81000C,00500,0600,INSURANCE 428206,A81000C,00600,0100,A 428206,A81000C,00600,0200,QUEENSLAND ASSU 428206,A81000C,00600,0600,INSURANCE 428206,A81000C,00700,0100,B 428206,A81000C,00700,0400,KARE MEDICAL 428206,A81000C,00700,0600,WHOLESALE SUPPL 428206,A81000C,00800,0100,B 428206,A81000C,00800,0400,KARE MEDICAL 428206,A81000C,00800,0600,WHOLESALE SUPPL 428206,A81000C,00900,0100,B 428206,A81000C,00900,0400,KARE MEDICAL 428206,A81000C,00900,0600,WHOLESALE SUPPL 428206,A81000C,01000,0100,B 428206,A81000C,01000,0400,KARE MEDICAL 428206,A81000C,01000,0600,WHOLESALE SUPPL 428206,A81000C,01001,0100,B 428206,A81000C,01001,0400,KARE MEDICAL 428206,A81000C,01001,0600,WHOLESALE SUPPL 428206,A81000C,01002,0100,B 428206,A81000C,01002,0400,KARE MEDICAL 428206,A81000C,01002,0600,WHOLESALE SUPPL 428206,A81000C,01003,0100,B 428206,A81000C,01003,0400,KARE MEDICAL 428206,A81000C,01003,0600,WHOLESALE SUPPL 428206,A81000C,01004,0100,B 428206,A81000C,01004,0400,KARE MEDICAL 428206,A81000C,01004,0600,WHOLESALE SUPPL 428206,A81000C,01005,0100,B 428206,A81000C,01005,0400,KARE MEDICAL 428206,A81000C,01005,0600,WHOLESALE SUPPL 428206,A81000C,01006,0100,B 428206,A81000C,01006,0400,KARE MEDICAL 428206,A81000C,01006,0600,WHOLESALE SUPPL 428206,A81000C,01007,0100,B 428206,A81000C,01007,0400,KARE MEDICAL 428206,A81000C,01007,0600,WHOLESALE SUPPL 428206,A81000C,01008,0100,B 428206,A81000C,01008,0400,KARE MEDICAL 428206,A81000C,01008,0600,WHOLESALE SUPPL 428206,A81000C,01009,0100,B 428206,A81000C,01009,0400,KARE MEDICAL 428206,A81000C,01009,0600,WHOLESALE SUPPL 428206,A81000C,01010,0100,B 428206,A81000C,01010,0400,KARE MEDICAL 428206,A81000C,01010,0600,WHOLESALE SUPPL 428206,A81000C,01011,0100,B 428206,A81000C,01011,0400,KARE MEDICAL 428206,A81000C,01011,0600,WHOLESALE SUPPL 428206,A81000C,01012,0100,B 428206,A81000C,01012,0400,KARE MEDICAL 428206,A81000C,01012,0600,WHOLESALE SUPPL 428206,A81000C,01013,0100,B 428206,A81000C,01013,0400,KARE MEDICAL 428206,A81000C,01013,0600,WHOLESALE SUPPL 428206,A81000C,01014,0100,B 428206,A81000C,01014,0400,KARE MEDICAL 428206,A81000C,01014,0600,WHOLESALE SUPPL 428206,A81000C,01015,0100,B 428206,A81000C,01015,0400,PHARMSAVE 428206,A81000C,01015,0600,RX SUPPLY 428206,A81000C,01016,0100,B 428206,A81000C,01016,0400,PHARMSAVE 428206,A81000C,01016,0600,RX SUPPLY 428206,A81000C,01017,0100,B 428206,A81000C,01017,0400,PHARMSAVE 428206,A81000C,01017,0600,RX SUPPLY 428206,A81000C,01018,0100,B 428206,A81000C,01018,0400,PHARMSAVE 428206,A81000C,01018,0600,RX SUPPLY 428206,A81000C,01019,0100,B 428206,A81000C,01019,0400,PHARMSAVE 428206,A81000C,01019,0600,RX SUPPLY 428206,A81000C,01020,0100,B 428206,A81000C,01020,0400,PHARMSAVE 428206,A81000C,01020,0600,RX SUPPLY 428206,A81000C,01021,0100,B 428206,A81000C,01021,0400,ROBERT HILL CON 428206,A81000C,01021,0600,CONSTRUCTION 428206,A81000C,01022,0100,B 428206,A81000C,01022,0400,ROBERT HILL CON 428206,A81000C,01022,0600,CONSTRUCTION 428206,A81000C,01023,0100,B 428206,A81000C,01023,0400,ROBERT HILL CON 428206,A81000C,01023,0600,CONSTRUCTION 428206,A81000C,01024,0100,B 428206,A81000C,01024,0400,ROBERT HILL CON 428206,A81000C,01024,0600,CONSTRUCTION 428206,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428206,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428206,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428206,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428206,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428206,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428206,B100000,00000,0800,0800MEALS SERVED :DIETARY 428206,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428206,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428206,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428206,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428206,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428206,G300000,02500,0000, OTHER (SPECIFY) 428206,S000000,00100,0200,09/06/11 428206,S200000,00100,0100,1341 PARADISE ROAD 428206,S200000,00200,0100,EDENTON 428206,S200000,00200,0200,NC 428206,S200000,00200,0300,28932 428206,S200000,00300,0100,CHOWAN 428206,S200000,00300,0201,99934 428206,S200000,00300,0300,R 428206,S200000,00400,0100,BRITTHAVEN OF EDENTON 428206,S200000,00400,0200,345164 428206,S200000,00400,0300,10/01/84 428206,S200000,00400,0500,P 428206,S200000,01500,0100,N 428206,S200000,01501,0200,Y 428206,S200000,01503,0200,Y 428206,S200000,01504,0200,Y 428206,S200000,01505,0000,OTHER (SPECIFY) 428206,S200000,01505,0200,Y 428206,S200000,01600,0100,Y 428206,S200000,01700,0100,N 428206,S200000,01800,0100,N 428206,S200000,02200,0100,N 428206,S200000,02800,0100,N 428206,S200000,02900,0100,N 428206,S200000,03000,0100,N 428206,S200000,03100,0100,N 428206,S200000,03200,0100,N 428206,S200000,03300,0100,N 428206,S200000,03300,0200,N 428206,S200000,04100,0100,N 428206,S200000,04200,0100,N 428206,S200000,04300,0100,N 428206,S200000,04600,0100,N 428206,S200000,04700,0100,N 428206,S200000,04700,0200,N 428206,S200000,04900,0100,N 428206,S200000,05000,0100,N 428206,S200000,05100,0100,N 428206,S200000,05200,0100,N 428206,S200000,05300,0100,Y 428206,S200000,05300,0200,349011 428206,S200000,05400,0100,BRITTHAVEN INC. 428206,S200000,05400,0200,PALMETTO GBA 428206,S200000,05400,0300,11501 428206,S200000,05500,0100,1435 HWY 258 NORTH 428206,S200000,05500,0200,PO BOX 61 428206,S200000,05600,0100,KINSTON 428206,S200000,05600,0200,NC 428206,S200000,05600,0300,28502 428217,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428217,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428217,A000000,00300,0000,0300EMPLOYEE BENEFITS 428217,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428217,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428217,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428217,A000000,00700,0000,0700HOUSEKEEPING 428217,A000000,00800,0000,0800DIETARY 428217,A000000,00900,0000,0900NURSING ADMINISTRATION 428217,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428217,A000000,01100,0000,1100PHARMACY 428217,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428217,A000000,01300,0000,1300SOCIAL SERVICE 428217,A000000,01500,0000,1350ACTIVITIES 428217,A000000,01600,0000,1600SKILLED NURSING FACILITY 428217,A000000,01800,0000,1800NURSING FACILITY 428217,A000000,01810,0000,1810ICF/MR 428217,A000000,01900,0000,1900OTHER LONG TERM CARE 428217,A000000,02100,0000,2100RADIOLOGY 428217,A000000,02200,0000,2200LABORATORY 428217,A000000,02300,0000,2300INTRAVENOUS THERAPY 428217,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428217,A000000,02500,0000,2500PHYSICAL THERAPY 428217,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428217,A000000,02700,0000,2700SPEECH PATHOLOGY 428217,A000000,02800,0000,2800ELECTROCARDIOLOGY 428217,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428217,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428217,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428217,A000000,03200,0000,3200SUPPORT SURFACES 428217,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428217,A000000,03400,0000,3400CLINIC 428217,A000000,03500,0000,3500RURAL HEALTH CLINIC 428217,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428217,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428217,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428217,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428217,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428217,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428217,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428217,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428217,A000000,04400,0000,4400DME RENTED - HHA 428217,A000000,04500,0000,4500DME SOLD - HHA 428217,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428217,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428217,A000000,04800,0000,4800AMBULANCE 428217,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428217,A000000,05000,0000,5000CORF 428217,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428217,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428217,A000000,05300,0000,5300INTEREST EXPENSE 428217,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428217,A000000,05500,0000,5500HOSPICE 428217,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428217,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428217,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428217,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428217,A000000,06100,0000,6100NONPAID WORKERS 428217,A000000,06200,0000,6200PATIENTS LAUNDRY 428217,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428217,A81000A,00100,0100,Y 428217,A81000B,00100,0300,MANAGEMENT FEES 428217,A81000B,00200,0300,MANAGEMENT FEES 428217,A81000B,00300,0300,MANAGEMENT FEES 428217,A81000B,00400,0300,SUPPLIES 428217,A81000B,00500,0300,SUPPLIES 428217,A81000B,00600,0300,SUPPLIES 428217,A81000B,00700,0300,SUPPLIES 428217,A81000B,00800,0300,SUPPLIES 428217,A81000B,00900,0300,SUPPLIES 428217,A81000B,01000,0300,INSURANCE 428217,A81000B,01100,0300,MINOR EQUIPMENT 428217,A81000B,01200,0300,CNA ORIENTATION 428217,A81000B,01300,0300,THERAPY SERVICES 428217,A81000B,01400,0300,MINOR EQUIPMENT 428217,A81000B,01500,0300,PHARMACY CONSULTANT 428217,A81000B,01600,0300,OTHER EMP BENEFITS 428217,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428217,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428217,A81000B,01900,0300,OTHER MEDICARE SUPPLIES 428217,A81000B,02000,0300,OTC DRUGS 428217,A81000B,02100,0300,GLUCOSE SUPPLIES 428217,A81000B,02200,0300,DRUGS-MCD NON PDP 428217,A81000B,02300,0300,RENT 428217,A81000B,02400,0300,SLP-LOAN COSTS 428217,A81000B,02500,0300,SLP-ACCOUNTING FEES 428217,A81000B,02600,0300,SLP-TAXES 428217,A81000B,02700,0300,SLP-MORTGAGE INTEREST 428217,A81000B,02800,0300,SLP-HISTORICAL COST DEPRECIATION 428217,A81000B,02900,0300,PHYSICAL THERAPY 428217,A81000C,00100,0100,A 428217,A81000C,00100,0200,MICHAEL H. MCBRIDE 428217,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428217,A81000C,00100,0600,HOME OFFICE 428217,A81000C,00200,0100,A 428217,A81000C,00200,0200,JOHN SWIFT 428217,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428217,A81000C,00200,0600,HOME OFFICE 428217,A81000C,00300,0100,A 428217,A81000C,00300,0200,BILL WILLIAMSON 428217,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428217,A81000C,00300,0600,HOME OFFICE 428217,A81000C,00400,0100,A 428217,A81000C,00400,0200,MICHAEL H. MCBRIDE 428217,A81000C,00400,0400,GROVE MEDICAL INC 428217,A81000C,00400,0600,SUPPLIES 428217,A81000C,00500,0100,A 428217,A81000C,00500,0200,MICHAEL H. MCBRIDE 428217,A81000C,00500,0400,SENIOR LIVING PROPERTIES 428217,A81000C,00500,0600,BUILDING LEASE 428217,A81000C,00600,0100,A 428217,A81000C,00600,0200,MICHAEL H. MCBRIDE 428217,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428217,A81000C,00600,0600,THERAPY 428217,A81000C,00700,0100,A 428217,A81000C,00700,0200,JOHN SWIFT 428217,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428217,A81000C,00700,0600,THERAPY 428217,A81000C,00800,0100,A 428217,A81000C,00800,0200,BILL WILLIAMSON 428217,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428217,A81000C,00800,0600,THERAPY 428217,A81000C,00900,0100,A 428217,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428217,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428217,A81000C,00900,0600,INSURANCE 428217,A81000C,01000,0100,A 428217,A81000C,01000,0200,JOHN SWIFT 428217,A81000C,01000,0400,CRESCENT INDEMNITY INC 428217,A81000C,01000,0600,INSURANCE 428217,A81000C,01001,0100,A 428217,A81000C,01001,0200,BILL WILLIAMSON 428217,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428217,A81000C,01001,0600,INSURANCE 428217,A81000C,01002,0100,A 428217,A81000C,01002,0200,WILLIAM BIGGS 428217,A81000C,01002,0400,CRESCENT INDEMNITY INC 428217,A81000C,01002,0600,INSURANCE 428217,A81000C,01003,0100,A 428217,A81000C,01003,0200,MICHAEL H. MCBRIDE 428217,A81000C,01003,0400,PROCARE RX INC. 428217,A81000C,01003,0600,PHARMACY 428217,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428217,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428217,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428217,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428217,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428217,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428217,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428217,B100000,00000,0800,0800MEALS SERVED :DIETARY 428217,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428217,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428217,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428217,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428217,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428217,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428217,E10A180,00550,0100,07/05/11 428217,G300000,02500,0000,BARBER AND BEAUTY 428217,G300000,02501,0000,GARNISHMENT FEE 428217,S000000,00100,0200,07/05/11 428217,S200000,00100,0100,2906 MARIETTA 428217,S200000,00100,0300,216 428217,S200000,00200,0100,MARIETTA 428217,S200000,00200,0200,SC 428217,S200000,00200,0300,29661 428217,S200000,00300,0100,GREENVILLE 428217,S200000,00300,0201,24860 428217,S200000,00300,0300,U 428217,S200000,00400,0100,FALLS CREEK LIVING CENTER LLC 428217,S200000,00400,0200,425307 428217,S200000,00400,0300,04/01/91 428217,S200000,00400,0500,P 428217,S200000,01500,0100,Y 428217,S200000,01501,0200,Y 428217,S200000,01502,0200,Y 428217,S200000,01503,0200,N 428217,S200000,01504,0200,N 428217,S200000,01600,0100,N 428217,S200000,01700,0100,N 428217,S200000,01800,0100,N 428217,S200000,02200,0100,N 428217,S200000,02800,0100,Y 428217,S200000,02900,0100,N 428217,S200000,03000,0100,N 428217,S200000,03100,0100,N 428217,S200000,03200,0100,N 428217,S200000,03300,0100,N 428217,S200000,03300,0200,N 428217,S200000,04100,0100,N 428217,S200000,04200,0100,N 428217,S200000,04300,0100,N 428217,S200000,04600,0100,N 428217,S200000,04700,0100,N 428217,S200000,04700,0200,N 428217,S200000,04900,0100,N 428217,S200000,05000,0100,N 428217,S200000,05100,0100,N 428217,S200000,05200,0100,N 428217,S200000,05300,0100,Y 428217,S200000,05300,0200,42HO32 428217,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428217,S200000,05400,0200,PALMETTO GBA 428217,S200000,05400,0300, 00380 428217,S200000,05500,0100,101 GRACE DRIVE 428217,S200000,05600,0100,EASLEY 428217,S200000,05600,0200,SC 428217,S200000,05600,0300,29640 428218,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428218,A000000,00300,0000,0300EMPLOYEE BENEFITS 428218,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428218,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428218,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428218,A000000,00700,0000,0700HOUSEKEEPING 428218,A000000,00800,0000,0800DIETARY 428218,A000000,00900,0000,0900NURSING ADMINISTRATION 428218,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428218,A000000,01100,0000,1100PHARMACY 428218,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428218,A000000,01300,0000,1300SOCIAL SERVICE 428218,A000000,01500,0000,1350ACTIVITIES 428218,A000000,01600,0000,1600SKILLED NURSING FACILITY 428218,A000000,01800,0000,1800NURSING FACILITY 428218,A000000,01810,0000,1810ICF/MR 428218,A000000,01900,0000,1900OTHER LONG TERM CARE 428218,A000000,02100,0000,2100RADIOLOGY 428218,A000000,02200,0000,2200LABORATORY 428218,A000000,02300,0000,2300INTRAVENOUS THERAPY 428218,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428218,A000000,02500,0000,2500PHYSICAL THERAPY 428218,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428218,A000000,02700,0000,2700SPEECH PATHOLOGY 428218,A000000,02800,0000,2800ELECTROCARDIOLOGY 428218,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428218,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428218,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428218,A000000,03200,0000,3200SUPPORT SURFACES 428218,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428218,A000000,03400,0000,3400CLINIC 428218,A000000,03500,0000,3500RURAL HEALTH CLINIC 428218,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428218,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428218,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428218,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428218,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428218,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428218,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428218,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428218,A000000,04400,0000,4400DME RENTED - HHA 428218,A000000,04500,0000,4500DME SOLD - HHA 428218,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428218,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428218,A000000,04800,0000,4800AMBULANCE 428218,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428218,A000000,05000,0000,5000CORF 428218,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428218,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428218,A000000,05300,0000,5300INTEREST EXPENSE 428218,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428218,A000000,05500,0000,5500HOSPICE 428218,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428218,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428218,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428218,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428218,A000000,06100,0000,6100NONPAID WORKERS 428218,A000000,06200,0000,6200PATIENTS LAUNDRY 428218,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428218,A81000A,00100,0100,Y 428218,A81000B,00100,0300,MANAGEMENT FEES 428218,A81000B,00200,0300,MANAGEMENT FEES 428218,A81000B,00300,0300,MANAGEMENT FEES 428218,A81000B,00400,0300,SUPPLIES 428218,A81000B,00500,0300,SUPPLIES 428218,A81000B,00600,0300,SUPPLIES 428218,A81000B,00700,0300,SUPPLIES 428218,A81000B,00800,0300,SUPPLIES 428218,A81000B,00900,0300,SUPPLIES 428218,A81000B,01000,0300,INSURANCE 428218,A81000B,01100,0300,MINOR EQUIPMENT 428218,A81000B,01200,0300,CNA ORIENTATION 428218,A81000B,01300,0300,DRUGS - MCD NON PCP AND VA 428218,A81000B,01400,0300,MINOR EQUIPMENT 428218,A81000B,01500,0300,PHARMACY CONSULTANT 428218,A81000B,01600,0300,OTHER EMP BENEFITS 428218,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428218,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428218,A81000B,01900,0300,DRUGS - MEDICARE 428218,A81000B,02000,0300,OTC DRUGS 428218,A81000B,02100,0300,GLUCOSE SUPPLIES 428218,A81000B,02200,0300,HEPATITIS B VACCINE 428218,A81000B,02300,0300,RENT 428218,A81000B,02400,0300,CHG-LOAN COSTS 428218,A81000B,02500,0300,CHG-ACCOUNTING FEES 428218,A81000B,02600,0300,CHG-TAXES 428218,A81000B,02700,0300,CHG-MORTGAGE INTEREST 428218,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 428218,A81000B,02900,0300,PHYSICAL THERAPY 428218,A81000C,00100,0100,A 428218,A81000C,00100,0200,MICHAEL H. MCBRIDE 428218,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428218,A81000C,00100,0600,HOME OFFICE 428218,A81000C,00200,0100,A 428218,A81000C,00200,0200,JOHN SWIFT 428218,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428218,A81000C,00200,0600,HOME OFFICE 428218,A81000C,00300,0100,A 428218,A81000C,00300,0200,BILL WILLIAMSON 428218,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428218,A81000C,00300,0600,HOME OFFICE 428218,A81000C,00400,0100,A 428218,A81000C,00400,0200,MICHAEL H. MCBRIDE 428218,A81000C,00400,0400,GROVE MEDICAL INC 428218,A81000C,00400,0600,SUPPLIES 428218,A81000C,00500,0100,A 428218,A81000C,00500,0200,MICHAEL H. MCBRIDE 428218,A81000C,00500,0400,CARDINAL HEALTH GROUP 428218,A81000C,00500,0600,BUILDING LEASE 428218,A81000C,00600,0100,A 428218,A81000C,00600,0200,MICHAEL H. MCBRIDE 428218,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428218,A81000C,00600,0600,THERAPY 428218,A81000C,00700,0100,A 428218,A81000C,00700,0200,JOHN SWIFT 428218,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428218,A81000C,00700,0600,THERAPY 428218,A81000C,00800,0100,A 428218,A81000C,00800,0200,BILL WILLIAMSON 428218,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428218,A81000C,00800,0600,THERAPY 428218,A81000C,00900,0100,A 428218,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428218,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428218,A81000C,00900,0600,INSURANCE 428218,A81000C,01000,0100,A 428218,A81000C,01000,0200,JOHN SWIFT 428218,A81000C,01000,0400,CRESCENT INDEMNITY INC 428218,A81000C,01000,0600,INSURANCE 428218,A81000C,01001,0100,A 428218,A81000C,01001,0200,BILL WILLIAMSON 428218,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428218,A81000C,01001,0600,INSURANCE 428218,A81000C,01002,0100,A 428218,A81000C,01002,0200,MICHAEL H. MCBRIDE 428218,A81000C,01002,0400,PROCARE RX INC. 428218,A81000C,01002,0600,PHARMACY 428218,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428218,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428218,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428218,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428218,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428218,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428218,B100000,00000,0800,0800MEALS SERVED :DIETARY 428218,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428218,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428218,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428218,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428218,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428218,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428218,E10A180,00550,0100,07/11/11 428218,G300000,02501,0000,GARNISHMENT FEE 428218,S000000,00100,0200,07/11/11 428218,S200000,00100,0100,406 WEST BROAD STREET 428218,S200000,00200,0100,IVA 428218,S200000,00200,0200,SC 428218,S200000,00200,0300,29655 428218,S200000,00300,0100,ANDERSON 428218,S200000,00300,0200,3160 428218,S200000,00300,0201,11340 428218,S200000,00300,0300,U 428218,S200000,00400,0100,WILLOW CREEK LIVING CENTER LLC 428218,S200000,00400,0200,425317 428218,S200000,00400,0300,06/01/95 428218,S200000,00400,0500,P 428218,S200000,01500,0100,Y 428218,S200000,01501,0200,N 428218,S200000,01502,0200,Y 428218,S200000,01503,0200,Y 428218,S200000,01504,0200,N 428218,S200000,01600,0100,N 428218,S200000,01700,0100,N 428218,S200000,01800,0100,N 428218,S200000,02200,0100,N 428218,S200000,02800,0100,Y 428218,S200000,02900,0100,N 428218,S200000,03000,0100,N 428218,S200000,03100,0100,N 428218,S200000,03200,0100,N 428218,S200000,03300,0100,N 428218,S200000,03300,0200,N 428218,S200000,04100,0100,N 428218,S200000,04200,0100,N 428218,S200000,04300,0100,N 428218,S200000,04600,0100,N 428218,S200000,04700,0100,N 428218,S200000,04700,0200,N 428218,S200000,04900,0100,N 428218,S200000,05000,0100,N 428218,S200000,05100,0100,N 428218,S200000,05200,0100,N 428218,S200000,05300,0100,Y 428218,S200000,05300,0200,42HO32 428218,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428218,S200000,05400,0200,PALMETTO GBA 428218,S200000,05400,0300, 00380 428218,S200000,05500,0100,101 GRACE DRIVE 428218,S200000,05600,0100,EASLEY 428218,S200000,05600,0200,SC 428218,S200000,05600,0300,29640 428219,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428219,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428219,A000000,00201,0000,0201CAPITAL INTEREST 428219,A000000,00300,0000,0300EMPLOYEE BENEFITS 428219,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428219,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428219,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428219,A000000,00700,0000,0700HOUSEKEEPING 428219,A000000,00800,0000,0800DIETARY 428219,A000000,00900,0000,0900NURSING ADMINISTRATION 428219,A000000,01300,0000,1300SOCIAL SERVICE 428219,A000000,01600,0000,1600SKILLED NURSING FACILITY 428219,A000000,02100,0000,2100RADIOLOGY 428219,A000000,02200,0000,2200LABORATORY 428219,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428219,A000000,02500,0000,2500PHYSICAL THERAPY 428219,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428219,A000000,02700,0000,2700SPEECH PATHOLOGY 428219,A000000,02800,0000,2800ELECTROCARDIOLOGY 428219,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428219,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428219,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 428219,A000000,05300,0000,5300INTEREST EXPENSE 428219,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428219,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428219,A000000,06300,0000,6150PARKVIEW COURT 428219,A81000A,00100,0100,N 428219,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428219,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428219,B100000,00000,0201,0201SQUARE FEET :CAPITAL INTEREST 428219,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428219,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428219,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428219,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428219,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428219,B100000,00000,0800,0800MEALS SERVED :DIETARY 428219,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428219,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428219,G300000,02500,0000,PARKVIEW COURT RENTAL REVENUE 428219,G300000,02501,0000,PARKVIEW COURT OTHER INCOME 428219,G300000,02502,0000,OTHER REVENUE 428219,G300000,02503,0000,GIFTS 428219,G300000,02504,0000,RENTAL REVENUE 428219,G300000,02505,0000,MEAL REVENUE - PARKVIEW COURT 428219,G300000,02506,0000,CHAPLAIN 428219,G300000,02507,0000,CABLE TV 428219,G300000,02508,0000,GAIN ON SALE OF EQUIPMENT 428219,S000000,00100,0200,02/22/12 428219,S200000,00100,0100,719 S.E. SECOND STREET 428219,S200000,00200,0100,GLENWOOD 428219,S200000,00200,0200,MN 428219,S200000,00200,0300,56334-1899 428219,S200000,00300,0100,POPE 428219,S200000,00300,0200,24 428219,S200000,00300,0201,99924 428219,S200000,00300,0300,R 428219,S200000,00400,0100,GLENWOOD VILLAGE CARE CENTER 428219,S200000,00400,0200,245402 428219,S200000,00400,0300,12/01/86 428219,S200000,00400,0500,P 428219,S200000,01500,0100,Y 428219,S200000,01501,0200,N 428219,S200000,01502,0200,Y 428219,S200000,01503,0200,N 428219,S200000,01504,0200,N 428219,S200000,01600,0100,N 428219,S200000,01700,0100,N 428219,S200000,01800,0100,N 428219,S200000,02200,0100,N 428219,S200000,02800,0100,N 428219,S200000,02900,0100,N 428219,S200000,03000,0100,N 428219,S200000,03100,0100,N 428219,S200000,03200,0100,N 428219,S200000,03300,0100,N 428219,S200000,03300,0200,N 428219,S200000,04100,0100,N 428219,S200000,04200,0100,N 428219,S200000,04300,0100,N 428219,S200000,04600,0100,N 428219,S200000,04700,0100,N 428219,S200000,04700,0200,N 428219,S200000,04900,0100,N 428219,S200000,05000,0100,N 428219,S200000,05100,0100,N 428219,S200000,05200,0100,N 428220,S000000,00100,0200,02/28/12 428220,S200000,00100,0100,208 OPPEGARD AVE NW 428220,S200000,00100,0300,480 428220,S200000,00200,0100,TWIN VALLEY 428220,S200000,00200,0200,MN 428220,S200000,00200,0300,56584-0480 428220,S200000,00300,0100,NORMAN 428220,S200000,00400,0100,TWIN VALLEY LIVING CENTER 428220,S200000,00400,0300,10/01/89 428232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428232,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428232,A000000,00300,0000,0300EMPLOYEE BENEFITS 428232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428232,A000000,00700,0000,0700HOUSEKEEPING 428232,A000000,00800,0000,0800DIETARY 428232,A000000,00900,0000,0900NURSING ADMINISTRATION 428232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428232,A000000,01100,0000,1100PHARMACY 428232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428232,A000000,01300,0000,1300SOCIAL SERVICE 428232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428232,A000000,01500,0000,1350OTHER GENERAL SERVICES 428232,A000000,01600,0000,1600SKILLED NURSING FACILITY 428232,A000000,01800,0000,1800NURSING FACILITY 428232,A000000,01810,0000,1810ICF/MR 428232,A000000,01900,0000,1900OTHER LONG TERM CARE 428232,A000000,02100,0000,2100RADIOLOGY 428232,A000000,02200,0000,2200LABORATORY 428232,A000000,02300,0000,2300INTRAVENOUS THERAPY 428232,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428232,A000000,02500,0000,2500PHYSICAL THERAPY 428232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428232,A000000,02700,0000,2700SPEECH PATHOLOGY 428232,A000000,02800,0000,2800ELECTROCARDIOLOGY 428232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428232,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428232,A000000,03200,0000,3200SUPPORT SURFACES 428232,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428232,A000000,03400,0000,3400CLINIC 428232,A000000,03500,0000,3500RURAL HEALTH CLINIC 428232,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428232,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428232,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428232,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428232,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428232,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428232,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428232,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428232,A000000,04400,0000,4400DME RENTED - HHA 428232,A000000,04500,0000,4500DME SOLD - HHA 428232,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428232,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428232,A000000,04710,0000,4710TELEMEDICINE 428232,A000000,04800,0000,4800AMBULANCE 428232,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428232,A000000,05000,0000,5000CORF 428232,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428232,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428232,A000000,05300,0000,5300INTEREST EXPENSE 428232,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428232,A000000,05500,0000,5500HOSPICE 428232,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428232,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428232,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428232,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428232,A000000,06100,0000,6100NONPAID WORKERS 428232,A000000,06200,0000,6200PATIENTS LAUNDRY 428232,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428232,A81000A,00100,0100,Y 428232,A81000B,00100,0300,HOME OFFICE COSTS 428232,A81000C,00100,0100,A 428232,A81000C,00100,0200,JUCKETTE FAMILY 428232,A81000C,00100,0400,WITT & JUCKETT CONST 428232,A81000C,00100,0600,MANAGEMENT COMPANY 428232,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428232,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428232,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428232,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428232,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428232,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428232,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428232,G300000,02500,0000,VAN USAGE 428232,G300000,02501,0000,OTHER NONOPERATING 428232,G300000,02502,0000,MISCELLANEOUS PATIENT CHARGES 428232,G300000,02503,0000,SUPPLIES TO EMPLOYEES 428232,S000000,00100,0200,04/03/12 428232,S200000,00100,0100,413 N BROADWAY ST 428232,S200000,00200,0100,MT PLEASANT 428232,S200000,00200,0200,IA 428232,S200000,00200,0300,52641 428232,S200000,00300,0100,HENRY 428232,S200000,00300,0200,16 428232,S200000,00300,0201,99916 428232,S200000,00300,0300,R 428232,S200000,00400,0100,PLEASANT MANOR CARE CENTER 428232,S200000,00400,0200,165592 428232,S200000,00400,0300,01/22/09 428232,S200000,00400,0500,P 428232,S200000,00400,0600,P 428232,S200000,01500,0100,Y 428232,S200000,01600,0100,N 428232,S200000,01700,0100,N 428232,S200000,01800,0100,N 428232,S200000,02200,0100,N 428232,S200000,02800,0100,N 428232,S200000,02900,0100,N 428232,S200000,03000,0100,N 428232,S200000,03100,0100,N 428232,S200000,03200,0100,N 428232,S200000,03300,0100,N 428232,S200000,03300,0200,N 428232,S200000,04100,0100,N 428232,S200000,04200,0100,N 428232,S200000,04300,0100,N 428232,S200000,04600,0100,N 428232,S200000,04700,0100,N 428232,S200000,04700,0200,N 428232,S200000,04900,0100,N 428232,S200000,05000,0100,N 428232,S200000,05100,0100,N 428232,S200000,05200,0100,N 428232,S200000,05300,0100,Y 428232,S200000,05300,0200,H54330 428232,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 428232,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 428232,S200000,05400,0300,05301 428232,S200000,05500,0100,HIGHWAY 36 EAST 428232,S200000,05600,0100,CHILLICOTHE 428232,S200000,05600,0200,MO 428232,S200000,05600,0300,64601 428234,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428234,A000000,00300,0000,0300EMPLOYEE BENEFITS 428234,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428234,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428234,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428234,A000000,00700,0000,0700HOUSEKEEPING 428234,A000000,00800,0000,0800DIETARY 428234,A000000,00900,0000,0900NURSING ADMINISTRATION 428234,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428234,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428234,A000000,01300,0000,1300SOCIAL SERVICE 428234,A000000,01500,0000,1350OTHER GENERAL SERVICES 428234,A000000,01600,0000,1600SKILLED NURSING FACILITY 428234,A000000,01800,0000,1800NURSING FACILITY 428234,A000000,01810,0000,1810ICF/MR 428234,A000000,01900,0000,1900OTHER LONG TERM CARE 428234,A000000,02100,0000,2100RADIOLOGY 428234,A000000,02200,0000,2200LABORATORY 428234,A000000,02300,0000,2300INTRAVENOUS THERAPY 428234,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428234,A000000,02500,0000,2500PHYSICAL THERAPY 428234,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428234,A000000,02700,0000,2700SPEECH PATHOLOGY 428234,A000000,02800,0000,2800ELECTROCARDIOLOGY 428234,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428234,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428234,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428234,A000000,03200,0000,3200SUPPORT SURFACES 428234,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428234,A000000,03400,0000,3400CLINIC 428234,A000000,03500,0000,3500RURAL HEALTH CLINIC 428234,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428234,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428234,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428234,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428234,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428234,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428234,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428234,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428234,A000000,04400,0000,4400DME RENTED - HHA 428234,A000000,04500,0000,4500DME SOLD - HHA 428234,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428234,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428234,A000000,04710,0000,4710TELEMEDICINE 428234,A000000,04800,0000,4800AMBULANCE 428234,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428234,A000000,05000,0000,5000CORF 428234,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428234,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428234,A000000,05300,0000,5300INTEREST EXPENSE 428234,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428234,A000000,05500,0000,5500HOSPICE 428234,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428234,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428234,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428234,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428234,A000000,06100,0000,6100NONPAID WORKERS 428234,A000000,06200,0000,6200PATIENTS LAUNDRY 428234,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428234,A81000A,00100,0100,Y 428234,A81000B,00100,0300,HOME OFFICE COSTS 428234,A81000B,00200,0300,HOME OFFICE COSTS 428234,A81000B,00300,0300,ADMINISTRATIVE COSTS 428234,A81000B,00400,0300,PHARMACY COSTS 428234,A81000B,00500,0300,TECHNOLOGY SERVICES 428234,A81000B,00600,0300,DEPRECIATION 428234,A81000B,00700,0300,DIETARY 428234,A81000B,00800,0300,NURSING SERVICES 428234,A81000B,00900,0300,AUTO LEASE 428234,A81000B,01000,0300,NURSING ALLOCATION 428234,A81000B,01100,0300,EQUIPMENT LEASE 428234,A81000B,01200,0300,INTEREST EXPENSE 428234,A81000B,01300,0300,LABOR COSTS/SALARIES 428234,A81000B,01400,0300,PLANT/MAINTENANCE COSTS 428234,A81000C,00100,0100,G 428234,A81000C,00100,0200,ALLEN KILGORE 428234,A81000C,00100,0400,CORNERSTONE HEALTH CARE 428234,A81000C,00100,0600,MANAGEMENT COMPANY 428234,A81000C,00200,0100,G 428234,A81000C,00200,0200,ALLEN KILGORE 428234,A81000C,00200,0400,CORNERSTONE PROP INV II 428234,A81000C,00200,0600,EQUIPMENT LEASE 428234,A81000C,00300,0100,G 428234,A81000C,00300,0200,ALLEN KILGORE 428234,A81000C,00300,0400,CENTRAL HEALTH CORP 428234,A81000C,00300,0600,PERSONNEL SERVICES CO 428234,A81000C,00400,0100,G 428234,A81000C,00400,0200,ALLEN KILGORE 428234,A81000C,00400,0400,CHRISTIAN HC PHARMACY 428234,A81000C,00400,0600,PHARMACY 428234,A81000C,00500,0100,G 428234,A81000C,00500,0200,ALLEN KILGORE 428234,A81000C,00500,0400,ENFORMIX TECHNOLOGY SERV 428234,A81000C,00500,0600,INFORMATION TECHNOLOGY 428234,A81000C,00600,0100,G 428234,A81000C,00600,0200,ALLEN KILGORE 428234,A81000C,00600,0400,CHC PERSONNEL SRVCS INC 428234,A81000C,00600,0600,AUTO LEASE 428234,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 428234,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428234,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428234,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428234,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428234,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428234,B100000,00000,0700,0750SQ FT CLEANED :HOUSEKEEPING 428234,B100000,00000,0800,0800MEALS SERVED :DIETARY 428234,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428234,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428234,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428234,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428234,G300000,02500,0000,OTHER INCOME 428234,S000000,00100,0200,02/28/12 428234,S200000,00100,0100,1ST STREET & US HWY 54 428234,S200000,00200,0100,HERMITAGE 428234,S200000,00200,0200,MO 428234,S200000,00200,0300,65669 428234,S200000,00300,0100,HICKORY 428234,S200000,00300,0200,26 428234,S200000,00300,0201,99926 428234,S200000,00300,0300,R 428234,S200000,00400,0100,CHRISTIAN HEALTH CARE OF HERMITAGE 428234,S200000,00400,0200,265239 428234,S200000,00400,0300,07/02/84 428234,S200000,00400,0500,P 428234,S200000,01500,0100,Y 428234,S200000,01501,0200,Y 428234,S200000,01502,0200,Y 428234,S200000,01503,0200,Y 428234,S200000,01504,0200,Y 428234,S200000,01600,0100,N 428234,S200000,01700,0100,N 428234,S200000,01800,0100,N 428234,S200000,02200,0100,N 428234,S200000,02800,0100,Y 428234,S200000,02900,0100,N 428234,S200000,03000,0100,N 428234,S200000,03100,0100,N 428234,S200000,03200,0100,N 428234,S200000,03300,0100,N 428234,S200000,03300,0200,N 428234,S200000,04100,0100,N 428234,S200000,04200,0100,N 428234,S200000,04300,0100,N 428234,S200000,04600,0100,N 428234,S200000,04700,0100,N 428234,S200000,04700,0200,N 428234,S200000,04900,0100,N 428234,S200000,05000,0100,N 428234,S200000,05100,0100,N 428234,S200000,05200,0100,N 428234,S200000,05300,0100,Y 428234,S200000,05300,0200,H57160 428234,S200000,05400,0100,CORNERSTONE HEALTH CARE INC. 428234,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428234,S200000,05400,0300,00020 428234,S200000,05500,0100,222 SOUTH FIRST STREET 428234,S200000,05600,0100,ROGERS 428234,S200000,05600,0200,AR 428234,S200000,05600,0300,72756 428236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428236,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428236,A000000,00300,0000,0300EMPLOYEE BENEFITS 428236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428236,A000000,00700,0000,0700HOUSEKEEPING 428236,A000000,00800,0000,0800DIETARY 428236,A000000,00900,0000,0900NURSING ADMINISTRATION 428236,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428236,A000000,01100,0000,1100PHARMACY 428236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428236,A000000,01300,0000,1300SOCIAL SERVICE 428236,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428236,A000000,01500,0000,1350OTHER GENERAL SERVICES 428236,A000000,01600,0000,1600SKILLED NURSING FACILITY 428236,A000000,01800,0000,1800NURSING FACILITY 428236,A000000,01810,0000,1810ICF/MR 428236,A000000,01900,0000,1900OTHER LONG TERM CARE 428236,A000000,02100,0000,2100RADIOLOGY 428236,A000000,02200,0000,2200LABORATORY 428236,A000000,02300,0000,2300INTRAVENOUS THERAPY 428236,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428236,A000000,02500,0000,2500PHYSICAL THERAPY 428236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428236,A000000,02700,0000,2700SPEECH PATHOLOGY 428236,A000000,02800,0000,2800ELECTROCARDIOLOGY 428236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428236,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428236,A000000,03200,0000,3200SUPPORT SURFACES 428236,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428236,A000000,03400,0000,3400CLINIC 428236,A000000,03500,0000,3500RURAL HEALTH CLINIC 428236,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428236,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428236,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428236,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428236,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428236,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428236,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428236,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428236,A000000,04400,0000,4400DME RENTED - HHA 428236,A000000,04500,0000,4500DME SOLD - HHA 428236,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428236,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428236,A000000,04800,0000,4800AMBULANCE 428236,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428236,A000000,05000,0000,5000CORF 428236,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428236,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428236,A000000,05300,0000,5300INTEREST EXPENSE 428236,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428236,A000000,05500,0000,5500HOSPICE 428236,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428236,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428236,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428236,A000000,06100,0000,6100NONPAID WORKERS 428236,A000000,06200,0000,6200PATIENTS LAUNDRY 428236,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428236,A81000A,00100,0100,Y 428236,A81000B,00100,0300,CAP REL COSTS - BLDGS & F POOLED 428236,A81000B,00200,0300,CAP REL COSTS - MOVABLE F POOLED 428236,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED 428236,A81000C,00100,0100,B 428236,A81000C,00100,0200,MEDICALODGES INC 428236,A81000C,00100,0600,HEALTHCARE 428236,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428236,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428236,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428236,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428236,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428236,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428236,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428236,B100000,00000,0800,0800MEALS SERVED :DIETARY 428236,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428236,E10A180,00301,0100,10/31/11 428236,E10A180,00302,0100,05/03/11 428236,G300000,02500,0000,FINANCE CHARGE 428236,G300000,02501,0000,MEDICARE BAD DEBT RECOVERY 428236,S000000,00100,0200,04/03/12 428236,S200000,00100,0100,103 EAST NURSERY ST 428236,S200000,00200,0100,BUTLER 428236,S200000,00200,0200,MO 428236,S200000,00200,0300,64730-9309 428236,S200000,00300,0100,BATES 428236,S200000,00300,0200,9926 428236,S200000,00300,0201,28140 428236,S200000,00300,0300,U 428236,S200000,00400,0100,MEDICALODGE OF BUTLER 428236,S200000,00400,0200,265564 428236,S200000,00400,0300,02/01/94 428236,S200000,00400,0500,P 428236,S200000,01500,0100,Y 428236,S200000,01501,0200,N 428236,S200000,01600,0100,N 428236,S200000,01700,0100,N 428236,S200000,01800,0100,N 428236,S200000,02200,0100,N 428236,S200000,02800,0100,Y 428236,S200000,02900,0100,N 428236,S200000,03000,0100,N 428236,S200000,03100,0100,N 428236,S200000,03200,0100,N 428236,S200000,03300,0100,N 428236,S200000,03300,0200,N 428236,S200000,04100,0100,N 428236,S200000,04200,0100,N 428236,S200000,04300,0100,N 428236,S200000,04600,0100,N 428236,S200000,04700,0100,N 428236,S200000,04700,0200,N 428236,S200000,04900,0100,N 428236,S200000,05000,0100,N 428236,S200000,05100,0100,N 428236,S200000,05200,0100,N 428236,S200000,05300,0100,Y 428236,S200000,05300,0200,H08004 428236,S200000,05400,0100,MEDICALODGES INC 428236,S200000,05400,0200,WISCONSIN PHYSICIANS 428236,S200000,05400,0300,05201 428236,S200000,05500,0200,POBOX 509 428236,S200000,05600,0100,COFFEYVILLE 428236,S200000,05600,0200,KS 428236,S200000,05600,0300,67337 428242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428242,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428242,A000000,00300,0000,0300EMPLOYEE BENEFITS 428242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428242,A000000,00700,0000,0700HOUSEKEEPING 428242,A000000,00800,0000,0800DIETARY 428242,A000000,00900,0000,0900NURSING ADMINISTRATION 428242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428242,A000000,01300,0000,1300SOCIAL SERVICE 428242,A000000,01600,0000,1600SKILLED NURSING FACILITY 428242,A000000,02200,0000,2200LABORATORY 428242,A000000,02500,0000,2500PHYSICAL THERAPY 428242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428242,A000000,02700,0000,2700SPEECH PATHOLOGY 428242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428242,A000000,04800,0000,4800AMBULANCE 428242,A000000,05300,0000,5300INTEREST EXPENSE 428242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428242,A81000A,00100,0100,N 428242,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 428242,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 428242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428242,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 428242,B100000,00000,0600,0650(RESIDENT DAYS) :LAUNDRY & LINE 428242,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 428242,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 428242,B100000,00000,0900,0950(DIRECT NRSG HRS) :NURSING ADMIN 428242,B100000,00000,1000,1050(RESIDENT DAYS) :CENTRAL SERVIC 428242,B100000,00000,1300,1330(RESIDENT DAYS) :SOCIAL SERVICE 428242,G300000,02500,0000,BARBER & BEAUTY SHOP REVENUE 428242,G300000,02501,0000,PERSONAL PURCHASES INCOME 428242,S000000,00100,0200,03/01/12 428242,S200000,00100,0100,308 SOUTH SECOND STREET 428242,S200000,00200,0100,WALNUT 428242,S200000,00200,0200,IL 428242,S200000,00200,0300,61376 428242,S200000,00300,0100,BUREAU 428242,S200000,00300,0201,99914 428242,S200000,00300,0300,R 428242,S200000,00400,0100,WALNUT MANOR NURSING HOME 428242,S200000,00400,0200,146063 428242,S200000,00400,0300,06/01/04 428242,S200000,00400,0500,P 428242,S200000,00400,0600,O 428242,S200000,01500,0100,Y 428242,S200000,01600,0100,N 428242,S200000,01700,0100,N 428242,S200000,01800,0100,N 428242,S200000,02200,0100,Y 428242,S200000,02800,0100,N 428242,S200000,02900,0100,N 428242,S200000,03000,0100,N 428242,S200000,03100,0100,N 428242,S200000,03200,0100,N 428242,S200000,03300,0100,N 428242,S200000,03300,0200,N 428242,S200000,04100,0100,N 428242,S200000,04200,0100,N 428242,S200000,04300,0100,N 428242,S200000,04600,0100,N 428242,S200000,04700,0100,N 428242,S200000,04700,0200,N 428242,S200000,04900,0100,N 428242,S200000,05000,0100,N 428242,S200000,05100,0100,N 428242,S200000,05200,0100,N 428242,S200000,05300,0100,N 428243,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428243,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428243,A000000,00300,0000,0300EMPLOYEE BENEFITS 428243,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428243,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428243,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428243,A000000,00700,0000,0700HOUSEKEEPING 428243,A000000,00800,0000,0800DIETARY 428243,A000000,00900,0000,0900NURSING ADMINISTRATION 428243,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428243,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428243,A000000,01300,0000,1300SOCIAL SERVICE 428243,A000000,01500,0000,1350ACTIVITIES 428243,A000000,01600,0000,1600SKILLED NURSING FACILITY 428243,A000000,01800,0000,1800NURSING FACILITY 428243,A000000,01900,0000,1900OTHER LONG TERM CARE 428243,A000000,02100,0000,2100RADIOLOGY 428243,A000000,02200,0000,2200LABORATORY 428243,A000000,02300,0000,2300INTRAVENOUS THERAPY 428243,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428243,A000000,02500,0000,2500PHYSICAL THERAPY 428243,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428243,A000000,02700,0000,2700SPEECH PATHOLOGY 428243,A000000,02800,0000,2800ELECTROCARDIOLOGY 428243,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428243,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428243,A000000,03200,0000,3200SUPPORT SURFACES 428243,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428243,A000000,04800,0000,4800AMBULANCE 428243,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428243,A000000,05300,0000,5300INTEREST EXPENSE 428243,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428243,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428243,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428243,A000000,06200,0000,6200PATIENTS LAUNDRY 428243,A000000,06300,0000,6150OTHER NON-REIMBURSABLE COSTS 428243,A000000,06301,0000,6151ASSISTED LIVING 428243,A000000,06302,0000,6152RESIDENTIAL 428243,A81000A,00100,0100,Y 428243,A81000B,00100,0300,HOME OFFICE ALLOCATION 428243,A81000B,00200,0300,HOME OFFICE ALLOCATION 428243,A81000B,00300,0300,HOME OFFICE ALLOCATION 428243,A81000B,00400,0300,HOME OFFICE ALLOCATION 428243,A81000B,00500,0300,HOME OFFICE ALLOCATION 428243,A81000C,00100,0100,B 428243,A81000C,00100,0200,RHF 428243,A81000C,00100,0400,RHF 428243,A81000C,00100,0600,MANAGEMENT COMPANY 428243,A81000C,00200,0100,B 428243,A81000C,00200,0200,RHF 428243,A81000C,00200,0400,RHF 428243,A81000C,00200,0600,MANAGEMENT COMPANY 428243,A81000C,00300,0100,B 428243,A81000C,00300,0200,RHF 428243,A81000C,00300,0400,RHF 428243,A81000C,00300,0600,MANAGEMENT COMPANY 428243,A81000C,00400,0100,B 428243,A81000C,00400,0200,RHF 428243,A81000C,00400,0400,RHF 428243,A81000C,00400,0600,MANAGEMENT COMPANY 428243,A81000C,00500,0100,B 428243,A81000C,00500,0200,RHF 428243,A81000C,00500,0400,RHF 428243,A81000C,00500,0600,MANAGEMENT COMPANY 428243,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428243,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428243,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428243,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428243,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428243,B100000,00000,0700,0750WEIGHTED PATIENT DA :HOUSEKEEPIN 428243,B100000,00000,0800,0800MEALS SERVED :DIETARY 428243,B100000,00000,0900,0900NURSING ADMIN HOUR :NURSING ADMI 428243,B100000,00000,1000,1050NF PATIENT DA :CENTRAL SERVICES 428243,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428243,B100000,00000,1300,1330NF PATIENT DA :SOCIAL SERVICE 428243,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428243,G300000,02500,0000,OTHER REVENUE 428243,G300000,02501,0000,RESIDENTIAL REVENUE 428243,S000000,00100,0200,02/29/12 428243,S200000,00100,0100,2200 GREENTREE NORTH 428243,S200000,00200,0100,CLARKSVILLE 428243,S200000,00200,0200,IN 428243,S200000,00200,0300,47129 428243,S200000,00300,0100,CLARK 428243,S200000,00300,0201,15090 428243,S200000,00300,0300,U 428243,S200000,00400,0100,WESTMINSTER HEALTH CARE CENTER 428243,S200000,00400,0200,155191 428243,S200000,00400,0300,05/19/80 428243,S200000,00400,0500,P 428243,S200000,01500,0100,Y 428243,S200000,01501,0200,Y 428243,S200000,01503,0200,Y 428243,S200000,01504,0200,Y 428243,S200000,01600,0100,N 428243,S200000,01700,0100,N 428243,S200000,01800,0100,N 428243,S200000,02200,0100,N 428243,S200000,02800,0100,N 428243,S200000,02900,0100,N 428243,S200000,03000,0100,N 428243,S200000,03100,0100,N 428243,S200000,03200,0100,N 428243,S200000,03300,0100,N 428243,S200000,03300,0200,N 428243,S200000,04100,0100,N 428243,S200000,04200,0100,N 428243,S200000,04300,0100,N 428243,S200000,04600,0100,N 428243,S200000,04700,0100,N 428243,S200000,04700,0200,N 428243,S200000,04900,0100,N 428243,S200000,05000,0100,N 428243,S200000,05100,0100,N 428243,S200000,05200,0100,N 428243,S200000,05300,0100,Y 428243,S200000,05300,0200,559008 428243,S200000,05400,0100,RETIREMENT HOUSING FOUNDATION 428243,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 428243,S200000,05400,0300,52280 428243,S200000,05500,0100,911 NORTH STUDEBAKER ROAD 428243,S200000,05600,0100,LONG BEACH 428243,S200000,05600,0200,CA 428243,S200000,05600,0300,90815-4900 428250,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428250,A000000,00300,0000,0300EMPLOYEE BENEFITS 428250,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428250,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428250,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428250,A000000,00700,0000,0700HOUSEKEEPING 428250,A000000,00800,0000,0800DIETARY 428250,A000000,00900,0000,0900NURSING ADMINISTRATION 428250,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428250,A000000,01100,0000,1100PHARMACY 428250,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428250,A000000,01300,0000,1300SOCIAL SERVICE 428250,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428250,A000000,01500,0000,1350DIVERSIONAL THERAPY 428250,A000000,01600,0000,1600SKILLED NURSING FACILITY 428250,A000000,01800,0000,1800NURSING FACILITY 428250,A000000,01810,0000,1810ICF/MR 428250,A000000,01900,0000,1900OTHER LONG TERM CARE 428250,A000000,02100,0000,2100RADIOLOGY 428250,A000000,02200,0000,2200LABORATORY 428250,A000000,02300,0000,2300INTRAVENOUS THERAPY 428250,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428250,A000000,02500,0000,2500PHYSICAL THERAPY 428250,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428250,A000000,02700,0000,2700SPEECH PATHOLOGY 428250,A000000,02800,0000,2800ELECTROCARDIOLOGY 428250,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428250,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428250,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428250,A000000,03200,0000,3200SUPPORT SURFACES 428250,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428250,A000000,03400,0000,3400CLINIC 428250,A000000,03500,0000,3500RURAL HEALTH CLINIC 428250,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428250,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428250,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428250,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428250,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428250,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428250,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428250,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428250,A000000,04400,0000,4400DME RENTED - HHA 428250,A000000,04500,0000,4500DME SOLD - HHA 428250,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428250,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428250,A000000,04710,0000,4710TELEMEDICINE HHA 428250,A000000,04800,0000,4800AMBULANCE 428250,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428250,A000000,05000,0000,5000CORF 428250,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428250,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428250,A000000,05300,0000,5300INTEREST EXPENSE 428250,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428250,A000000,05500,0000,5500HOSPICE 428250,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428250,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428250,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428250,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428250,A000000,06100,0000,6100NONPAID WORKERS 428250,A000000,06200,0000,6200PATIENTS LAUNDRY 428250,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428250,A81000A,00100,0100,N 428250,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428250,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428250,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428250,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428250,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428250,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428250,B100000,00000,0800,0800MEALS SERVED :DIETARY 428250,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428250,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428250,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428250,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428250,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 428250,G300000,02500,0000,OPERATING MILEAGE 428250,G300000,02501,0000,SALE OF STEAM 428250,G300000,02502,0000,SALE OF GAS 428250,G300000,02503,0000,INTEREST EARNINGS BOARD DESIGNATED 428250,G300000,02504,0000,SALE OF FIXED ASSETS 428250,G300000,02505,0000,INTEREST EARNINGS OPERATING FUND 428250,G300000,02506,0000,PHONE SERVICE FEES 428250,G300000,02507,0000,ADMINISTRATIVE FEE NATURAL GAS 428250,G300000,02508,0000,MISCELLANEOUS ADMINISTRATION 428250,G300000,02509,0000,MISCELLANEOUS DIETARY 428250,G300000,02510,0000,RECOVERY OF EMBEZZLEMENT 428250,G300000,02511,0000,MISCELLANEOUS NURSING REVENUE 428250,G300000,02512,0000,LOCAL REVENUE SHARING BOARD 428250,S000000,00100,0200,02/29/12 428250,S200000,00100,0100,1505 E PARKDALE 428250,S200000,00200,0100,MANISTEE 428250,S200000,00200,0200,MI 428250,S200000,00200,0300,49660 428250,S200000,00300,0100,MANISTEE 428250,S200000,00300,0200,23 428250,S200000,00300,0201,99923 428250,S200000,00300,0300,R 428250,S200000,00400,0100,MANISTEE COUNTY MCF 428250,S200000,00400,0200,235003 428250,S200000,00400,0300,07/01/66 428250,S200000,00400,0500,P 428250,S200000,01500,0100,Y 428250,S200000,01501,0200,Y 428250,S200000,01600,0100,N 428250,S200000,01700,0100,N 428250,S200000,01800,0100,N 428250,S200000,02200,0100,N 428250,S200000,02800,0100,N 428250,S200000,02900,0100,N 428250,S200000,03000,0100,N 428250,S200000,03100,0100,N 428250,S200000,03200,0100,N 428250,S200000,03300,0100,N 428250,S200000,03300,0200,N 428250,S200000,04100,0100,N 428250,S200000,04200,0100,N 428250,S200000,04300,0100,N 428250,S200000,04600,0100,N 428250,S200000,04700,0100,N 428250,S200000,04700,0200,N 428250,S200000,04900,0100,N 428250,S200000,05000,0100,N 428250,S200000,05100,0100,N 428250,S200000,05200,0100,N 428251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428251,A000000,00300,0000,0300EMPLOYEE BENEFITS 428251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428251,A000000,00700,0000,0700HOUSEKEEPING 428251,A000000,00800,0000,0800DIETARY 428251,A000000,00900,0000,0900NURSING ADMINISTRATION 428251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428251,A000000,01100,0000,1100PHARMACY 428251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428251,A000000,01300,0000,1300SOCIAL SERVICE 428251,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428251,A000000,01500,0000,1350DIVERSIONAL THERAPY 428251,A000000,01600,0000,1600SKILLED NURSING FACILITY 428251,A000000,01800,0000,1800NURSING FACILITY 428251,A000000,01810,0000,1810ICF/MR 428251,A000000,01900,0000,1900OTHER LONG TERM CARE 428251,A000000,02100,0000,2100RADIOLOGY 428251,A000000,02200,0000,2200LABORATORY 428251,A000000,02300,0000,2300INTRAVENOUS THERAPY 428251,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428251,A000000,02500,0000,2500PHYSICAL THERAPY 428251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428251,A000000,02700,0000,2700SPEECH PATHOLOGY 428251,A000000,02800,0000,2800ELECTROCARDIOLOGY 428251,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428251,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428251,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428251,A000000,03200,0000,3200SUPPORT SURFACES 428251,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428251,A000000,03400,0000,3400CLINIC 428251,A000000,03500,0000,3500RURAL HEALTH CLINIC 428251,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428251,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428251,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428251,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428251,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428251,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428251,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428251,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428251,A000000,04400,0000,4400DME RENTED - HHA 428251,A000000,04500,0000,4500DME SOLD - HHA 428251,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428251,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428251,A000000,04710,0000,4710TELEMEDICINE HHA 428251,A000000,04800,0000,4800AMBULANCE 428251,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428251,A000000,05000,0000,5000CORF 428251,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428251,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428251,A000000,05300,0000,5300INTEREST EXPENSE 428251,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428251,A000000,05500,0000,5500HOSPICE 428251,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428251,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428251,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428251,A000000,06100,0000,6100NONPAID WORKERS 428251,A000000,06200,0000,6200PATIENTS LAUNDRY 428251,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428251,A81000A,00100,0100,Y 428251,A81000B,00100,0300,PHARMACY SUPPLIES 428251,A81000B,00200,0300,LABORATORY 428251,A81000B,00300,0300,RADIOLOGY 428251,A81000B,00400,0300,TRANSCRIPTION 428251,A81000B,00500,0300,MEDICAL DIRECTOR 428251,A81000B,00600,0300,FINANCE 428251,A81000B,00700,0300,BASEMENT RENTAL 428251,A81000B,00800,0300,SOFTWARE MAINTENANCE 428251,A81000B,00900,0300,FINGERPRINTING 428251,A81000C,00100,0100,B 428251,A81000C,00100,0200,BARAGA CO MEMORIAL HSPT 428251,A81000C,00100,0400,BARAGA CO MEMORIAL HSPT 428251,A81000C,00100,0600,HOSPITAL 428251,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428251,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428251,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428251,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428251,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 428251,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428251,B100000,00000,0800,0800MEALS SERVED :DIETARY 428251,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428251,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428251,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428251,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 428251,G300000,02500,0000,OTHER 428251,S000000,00100,0200,02/29/12 428251,S200000,00100,0100,832 SICOTTE STREET 428251,S200000,00200,0100,L ANSE 428251,S200000,00200,0200,MI 428251,S200000,00200,0300,49946 428251,S200000,00300,0100,BARAGA 428251,S200000,00300,0200,23 428251,S200000,00300,0201,99923 428251,S200000,00300,0300,R 428251,S200000,00400,0100,DR. LOUIS & ANNE GUY BAYSIDE VILLAGE 428251,S200000,00400,0200,235144 428251,S200000,00400,0300,12/01/95 428251,S200000,00400,0500,P 428251,S200000,00400,0600,P 428251,S200000,01500,0100,Y 428251,S200000,01501,0200,N 428251,S200000,01502,0200,Y 428251,S200000,01504,0200,N 428251,S200000,01600,0100,N 428251,S200000,01700,0100,N 428251,S200000,01800,0100,N 428251,S200000,02200,0100,N 428251,S200000,02800,0100,N 428251,S200000,02900,0100,N 428251,S200000,03000,0100,N 428251,S200000,03100,0100,N 428251,S200000,03200,0100,N 428251,S200000,03300,0100,N 428251,S200000,03300,0200,N 428251,S200000,04100,0100,N 428251,S200000,04200,0100,N 428251,S200000,04300,0100,Y 428251,S200000,04600,0100,N 428251,S200000,04700,0100,N 428251,S200000,04700,0200,N 428251,S200000,04900,0100,N 428251,S200000,05000,0100,N 428251,S200000,05100,0100,N 428251,S200000,05200,0100,N 428251,S200000,05300,0100,N 428252,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428252,A000000,00300,0000,0300EMPLOYEE BENEFITS 428252,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428252,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428252,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428252,A000000,00700,0000,0700HOUSEKEEPING 428252,A000000,00800,0000,0800DIETARY 428252,A000000,00900,0000,0900NURSING ADMINISTRATION 428252,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428252,A000000,01300,0000,1300SOCIAL SERVICE 428252,A000000,01500,0000,1350ACTIVITIES 428252,A000000,01600,0000,1600SKILLED NURSING FACILITY 428252,A000000,01800,0000,1800NURSING FACILITY 428252,A000000,01900,0000,1900OTHER LONG TERM CARE 428252,A000000,02100,0000,2100RADIOLOGY 428252,A000000,02200,0000,2200LABORATORY 428252,A000000,02300,0000,2300INTRAVENOUS THERAPY 428252,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428252,A000000,02500,0000,2500PHYSICAL THERAPY 428252,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428252,A000000,02700,0000,2700SPEECH PATHOLOGY 428252,A000000,02800,0000,2800ELECTROCARDIOLOGY 428252,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428252,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428252,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428252,A000000,03200,0000,3200SUPPORT SURFACES 428252,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428252,A000000,03400,0000,3400CLINIC 428252,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428252,A000000,04800,0000,4800AMBULANCE 428252,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428252,A000000,05000,0000,5000CORF 428252,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428252,A000000,05300,0000,5300INTEREST EXPENSE 428252,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428252,A000000,05500,0000,5500HOSPICE 428252,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428252,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428252,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428252,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428252,A000000,06100,0000,6100NONPAID WORKERS 428252,A000000,06200,0000,6200PATIENTS LAUNDRY 428252,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428252,A81000A,00100,0100,Y 428252,A81000B,00100,0300,HOME OFFICE 428252,A81000B,00200,0300,HOME OFFCIE-CAPITAL 428252,A81000B,00300,0300,RENT 428252,A81000B,00400,0300,INTEREST EXPENSE-FMW INVESTMENT COMP 428252,A81000B,00500,0300,PROPERTY TAXES-FMW INVESTMENT COMPAN 428252,A81000B,00600,0300,DEPRECIATION-FMW INVESTMENT COMPANY 428252,A81000B,00700,0300,OTHER EXPENSE-FMW INVESTMENT COMPANY 428252,A81000B,00800,0300,NURSING SUPPLIES-ALL MED MEDICAL 428252,A81000B,00900,0300,PHYSICAL THERAPY-ENCORE REHAB 428252,A81000B,01000,0300,OCCUPATIONAL THERAPY-ENCORE REHAB 428252,A81000B,01100,0300,SPEECH THERAPY-ENCORE REHAB 428252,A81000B,01200,0300,NON-LEGEND DRUGS & SUPPLIES-APOTHECA 428252,A81000B,01300,0300,PHARMACY DRUGS-APOTHECARY 428252,A81000B,01400,0300,PHARMACY CONSULTANT-APOTHECARY 428252,A81000C,00100,0100,A 428252,A81000C,00100,0200,FRANK WRONSKI 428252,A81000C,00100,0400,THE MEDILODGE G 428252,A81000C,00100,0600,HOME OFFICE 428252,A81000C,00200,0100,A 428252,A81000C,00200,0200,FRANK WRONSKI 428252,A81000C,00200,0400,FMW INVESTMENT 428252,A81000C,00200,0600,RENTAL 428252,A81000C,00300,0100,A 428252,A81000C,00300,0200,LEO EISENBERG 428252,A81000C,00300,0400,FMW INVESTMENT 428252,A81000C,00300,0600,RENTAL 428252,A81000C,00400,0100,A 428252,A81000C,00400,0200,FRANK WRONSKI 428252,A81000C,00400,0400,ALL MED MEDICAL 428252,A81000C,00400,0600,MED NRS SUPPLY 428252,A81000C,00500,0100,A 428252,A81000C,00500,0200,2002 EISENBERG 428252,A81000C,00500,0400,ENCORE REHABILI 428252,A81000C,00500,0600,THERAPY SERVCIE 428252,A81000C,00600,0100,A 428252,A81000C,00600,0200,FRANK WRONSKI 428252,A81000C,00600,0400,ENCORE REHABILI 428252,A81000C,00600,0600,THERAPY SERVCIE 428252,A81000C,00700,0100,D 428252,A81000C,00700,0200,TODD SANGSTER 428252,A81000C,00700,0400,ENCORE REHABILI 428252,A81000C,00700,0600,THERAPY SERVCIE 428252,A81000C,00800,0100,G 428252,A81000C,00800,0200,JOE WRONSKI 428252,A81000C,00800,0400,JW DESIGN 428252,A81000C,00800,0600,CONSULTING 428252,A81000C,00900,0100,A 428252,A81000C,00900,0200,FRANK WRONSKI 428252,A81000C,00900,0400,THE APOTHECARY 428252,A81000C,00900,0600,PHARMACY AND SU 428252,A81000C,01000,0100,A 428252,A81000C,01000,0200,LEO EISENBERG 428252,A81000C,01000,0400,THE APOTHECARY 428252,A81000C,01000,0600,PHARMACY AND SU 428252,A81000C,01001,0100,D 428252,A81000C,01001,0200,TODD SANGSTER 428252,A81000C,01001,0400,THE APOTHECARY 428252,A81000C,01001,0600,PHARMACY AND SU 428252,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428252,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428252,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428252,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428252,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428252,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428252,B100000,00000,0800,0800MEALS SERVED :DIETARY 428252,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428252,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428252,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428252,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428252,G300000,02500,0000,MISC INCOME 428252,G300000,02501,0000,BARBER & BEAUTY INCOME 428252,S000000,00100,0200,02/27/12 428252,S200000,00100,0100,1333 W GRAND RIVER AVE 428252,S200000,00200,0100,HOWELL 428252,S200000,00200,0200,MI 428252,S200000,00200,0300,48843 428252,S200000,00300,0100,LIVINGSTON 428252,S200000,00300,0201,47644 428252,S200000,00300,0300,U 428252,S200000,00400,0100,MEDILODGE OF HOWELL 428252,S200000,00400,0200,235331 428252,S200000,00400,0300,10/01/91 428252,S200000,00400,0500,P 428252,S200000,01500,0100,Y 428252,S200000,01501,0200,Y 428252,S200000,01600,0100,N 428252,S200000,01700,0100,N 428252,S200000,01800,0100,N 428252,S200000,02200,0100,N 428252,S200000,02800,0100,N 428252,S200000,02900,0100,N 428252,S200000,03000,0100,N 428252,S200000,03100,0100,N 428252,S200000,03200,0100,N 428252,S200000,03300,0100,N 428252,S200000,03300,0200,N 428252,S200000,04100,0100,N 428252,S200000,04200,0100,N 428252,S200000,04300,0100,N 428252,S200000,04600,0100,N 428252,S200000,04700,0100,N 428252,S200000,04700,0200,N 428252,S200000,04900,0100,N 428252,S200000,05000,0100,N 428252,S200000,05100,0100,N 428252,S200000,05200,0100,N 428252,S200000,05300,0100,Y 428252,S200000,05300,0200,231141 428252,S200000,05400,0100,THE MEDILODGE GROUP 428252,S200000,05400,0200,NGS 428252,S200000,05400,0300,231141 428252,S200000,05500,0100,64500 VAN DYKE 428252,S200000,05600,0100,WASHINGTON 428252,S200000,05600,0200,MI 428252,S200000,05600,0300,48095 428253,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428253,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 428253,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428253,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 428253,A000000,00300,0000,0300EMPLOYEE BENEFITS 428253,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428253,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428253,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428253,A000000,00700,0000,0700HOUSEKEEPING 428253,A000000,00800,0000,0800DIETARY 428253,A000000,00801,0000,0801CAFETERIA 428253,A000000,00900,0000,0900NURSING ADMINISTRATION 428253,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428253,A000000,01100,0000,1100PHARMACY 428253,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428253,A000000,01300,0000,1300SOCIAL SERVICE 428253,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428253,A000000,01500,0000,1350ACTIVITIES 428253,A000000,01600,0000,1600SKILLED NURSING FACILITY 428253,A000000,01800,0000,1800NURSING FACILITY 428253,A000000,01900,0000,1900OTHER LONG TERM CARE 428253,A000000,02100,0000,2100RADIOLOGY 428253,A000000,02200,0000,2200LABORATORY 428253,A000000,02300,0000,2300INTRAVENOUS THERAPY 428253,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428253,A000000,02500,0000,2500PHYSICAL THERAPY 428253,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428253,A000000,02700,0000,2700SPEECH PATHOLOGY 428253,A000000,02800,0000,2800ELECTROCARDIOLOGY 428253,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428253,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428253,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428253,A000000,03200,0000,3200SUPPORT SURFACES 428253,A000000,03300,0000,3050ENTERALS 428253,A000000,03301,0000,3051OXYGEN 428253,A000000,03302,0000,3052OTHER ANCILLARY III 428253,A000000,03400,0000,3400CLINIC 428253,A000000,03500,0000,3500RURAL HEALTH CLINIC 428253,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 428253,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428253,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428253,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428253,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428253,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428253,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428253,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428253,A000000,04400,0000,4400DME RENTED - HHA 428253,A000000,04500,0000,4500DME SOLD - HHA 428253,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428253,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428253,A000000,04710,0000,4710TELEMEDICINE 428253,A000000,04800,0000,4800AMBULANCE 428253,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428253,A000000,05000,0000,5000CORF 428253,A000000,05001,0000,5001CMHC I 428253,A000000,05020,0000,5020OPT I 428253,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428253,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428253,A000000,05300,0000,5300INTEREST EXPENSE 428253,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428253,A000000,05500,0000,5500HOSPICE 428253,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 428253,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 428253,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428253,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428253,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428253,A000000,06100,0000,6100NONPAID WORKERS 428253,A000000,06200,0000,6200PATIENTS LAUNDRY 428253,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428253,A81000A,00100,0100,Y 428253,A81000B,00100,0300,RENT 428253,A81000B,00200,0300,MGMT FEES 428253,A81000C,00100,0100,A 428253,A81000C,00100,0200,CHARLES DUNN 428253,A81000C,00100,0400,METRO MAN III 428253,A81000C,00100,0600,REAL ESTATE 428253,A81000C,00200,0100,A 428253,A81000C,00200,0200,CHARLES DUNN 428253,A81000C,00200,0400,METRO MGMT 428253,A81000C,00200,0600,MANAGEMENT 428253,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428253,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428253,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428253,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428253,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428253,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428253,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428253,B100000,00000,0800,0800MEALS SERVED :DIETARY 428253,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428253,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428253,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428253,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 428253,G300000,02500,0000, MISCELLANEOUS INCOME 428253,S000000,00100,0200,02/16/12 428253,S200000,00100,0100,18591 QUARRY ROAD 428253,S200000,00200,0100,RIVERVIEW 428253,S200000,00200,0200,MI 428253,S200000,00200,0300,48195 428253,S200000,00300,0100,WAYNE 428253,S200000,00300,0200,2160 428253,S200000,00300,0201,19804 428253,S200000,00300,0300,U 428253,S200000,00400,0100,BELLE FOUNTAIN NURSING & REHAB 428253,S200000,00400,0200,235376 428253,S200000,00400,0300,05/30/06 428253,S200000,00400,0500,P 428253,S200000,01500,0100,Y 428253,S200000,01501,0200,Y 428253,S200000,01502,0200,Y 428253,S200000,01503,0200,Y 428253,S200000,01504,0200,Y 428253,S200000,01600,0100,N 428253,S200000,01700,0100,N 428253,S200000,01800,0100,N 428253,S200000,02200,0100,N 428253,S200000,02800,0100,N 428253,S200000,02900,0100,N 428253,S200000,03000,0100,N 428253,S200000,03100,0100,N 428253,S200000,03200,0100,N 428253,S200000,03300,0100,N 428253,S200000,03300,0200,N 428253,S200000,04100,0100,N 428253,S200000,04200,0100,N 428253,S200000,04300,0100,N 428253,S200000,04600,0100,N 428253,S200000,04700,0100,N 428253,S200000,04700,0200,N 428253,S200000,04900,0100,N 428253,S200000,05000,0100,N 428253,S200000,05100,0100,N 428253,S200000,05200,0100,N 428253,S200000,05300,0100,N 428254,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428254,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428254,A000000,00300,0000,0300EMPLOYEE BENEFITS 428254,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428254,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428254,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428254,A000000,00700,0000,0700HOUSEKEEPING 428254,A000000,00800,0000,0800DIETARY 428254,A000000,00900,0000,0900NURSING ADMINISTRATION 428254,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428254,A000000,01100,0000,1100PHARMACY 428254,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428254,A000000,01300,0000,1300SOCIAL SERVICE 428254,A000000,01600,0000,1600SKILLED NURSING FACILITY 428254,A000000,01800,0000,1800NURSING FACILITY 428254,A000000,01900,0000,1900OTHER LONG TERM CARE 428254,A000000,02100,0000,2100RADIOLOGY 428254,A000000,02200,0000,2200LABORATORY 428254,A000000,02300,0000,2300INTRAVENOUS THERAPY 428254,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428254,A000000,02500,0000,2500PHYSICAL THERAPY 428254,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428254,A000000,02700,0000,2700SPEECH PATHOLOGY 428254,A000000,02800,0000,2800ELECTROCARDIOLOGY 428254,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428254,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428254,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428254,A000000,03200,0000,3200SUPPORT SURFACES 428254,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428254,A000000,04800,0000,4800AMBULANCE 428254,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428254,A000000,05000,0000,5000CORF 428254,A000000,05300,0000,5300INTEREST EXPENSE 428254,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428254,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428254,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428254,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428254,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428254,A81000A,00100,0100,Y 428254,A81000B,00100,0300,MANAGEMENT FEE 428254,A81000B,00200,0300,HOME OFFICE- CAPITAL 428254,A81000B,00300,0300,HOME OFFICE- NON-CAPITAL 428254,A81000C,00100,0100,B 428254,A81000C,00100,0400,PACIFIC RETIREM 428254,A81000C,00100,0600,PARENT ORGANIZA 428254,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428254,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428254,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428254,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428254,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428254,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428254,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428254,B100000,00000,0800,0800MEALS SERVED :DIETARY 428254,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428254,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428254,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428254,G300000,02500,0000, OTHER (SPECIFY) 428254,S000000,00100,0200,03/01/12 428254,S200000,00100,0100,334 WEST DOTY STREET 428254,S200000,00200,0100,MADISON 428254,S200000,00200,0200,WI 428254,S200000,00200,0300,53703 428254,S200000,00300,0100,DANE 428254,S200000,00300,0201,31540 428254,S200000,00300,0300,U 428254,S200000,00400,0100,MERITER RETIREMENT SERVICES 428254,S200000,00400,0200,525305 428254,S200000,00400,0300,09/04/80 428254,S200000,00400,0500,P 428254,S200000,01500,0100,Y 428254,S200000,01600,0100,N 428254,S200000,01700,0100,N 428254,S200000,01800,0100,N 428254,S200000,02200,0100,N 428254,S200000,02800,0100,N 428254,S200000,02900,0100,N 428254,S200000,03000,0100,N 428254,S200000,03100,0100,N 428254,S200000,03200,0100,N 428254,S200000,03300,0100,N 428254,S200000,03300,0200,N 428254,S200000,04100,0100,N 428254,S200000,04200,0100,N 428254,S200000,04300,0100,N 428254,S200000,04600,0100,N 428254,S200000,04700,0100,N 428254,S200000,04700,0200,N 428254,S200000,04900,0100,N 428254,S200000,05000,0100,N 428254,S200000,05100,0100,N 428254,S200000,05200,0100,N 428254,S200000,05300,0100,N 428255,S000000,00100,0200,03/02/12 428255,S200000,00100,0100,207 PARKER ST 428255,S200000,00200,0100,BOSCOBEL 428255,S200000,00200,0200,WI 428255,S200000,00200,0300,53805-1642 428255,S200000,00300,0100,GRANT 428255,S200000,00400,0100,SENIOR MANAGEMENT INC 428255,S200000,00400,0300,10/01/84 428256,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428256,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428256,A000000,00300,0000,0300EMPLOYEE BENEFITS 428256,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428256,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428256,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428256,A000000,00700,0000,0700HOUSEKEEPING 428256,A000000,00800,0000,0800DIETARY 428256,A000000,00900,0000,0900NURSING ADMINISTRATION 428256,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428256,A000000,01100,0000,1100PHARMACY 428256,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428256,A000000,01300,0000,1300SOCIAL SERVICE 428256,A000000,01301,0000,1301ACTIVITIES 428256,A000000,01302,0000,1302RELIGOUS SERVICES 428256,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428256,A000000,01500,0000,1350OTHER GENERAL SERVICES 428256,A000000,01600,0000,1600SKILLED NURSING FACILITY 428256,A000000,01800,0000,1800NURSING FACILITY 428256,A000000,01810,0000,1810ICF/MR 428256,A000000,01900,0000,1900OTHER LONG TERM CARE 428256,A000000,02100,0000,2100RADIOLOGY 428256,A000000,02200,0000,2200LABORATORY 428256,A000000,02300,0000,2300INTRAVENOUS THERAPY 428256,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428256,A000000,02500,0000,2500PHYSICAL THERAPY 428256,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428256,A000000,02700,0000,2700SPEECH PATHOLOGY 428256,A000000,02800,0000,2800ELECTROCARDIOLOGY 428256,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428256,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428256,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428256,A000000,03200,0000,3200SUPPORT SURFACES 428256,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428256,A000000,03400,0000,3400CLINIC 428256,A000000,03500,0000,3500RURAL HEALTH CLINIC 428256,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428256,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428256,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428256,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428256,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428256,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428256,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428256,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428256,A000000,04400,0000,4400DME RENTED - HHA 428256,A000000,04500,0000,4500DME SOLD - HHA 428256,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428256,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428256,A000000,04710,0000,4710TELEMEDICINE 428256,A000000,04800,0000,4800AMBULANCE 428256,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428256,A000000,05000,0000,5000CORF 428256,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428256,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428256,A000000,05300,0000,5300INTEREST EXPENSE 428256,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428256,A000000,05500,0000,5500HOSPICE 428256,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428256,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428256,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428256,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428256,A000000,06100,0000,6100NONPAID WORKERS 428256,A000000,06200,0000,6200PATIENTS LAUNDRY 428256,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428256,A000000,06301,0000,6151KINDER CARE 428256,A000000,06302,0000,6152SUPPORTED HOME CARE 428256,A000000,06303,0000,6153WELLHAVEN 428256,A81000A,00100,0100,Y 428256,A81000B,00100,0300,HOME OFFICE - NURSING HOME 428256,A81000C,00100,0100,B 428256,A81000C,00100,0200,THE LUTHERAN HOME ASSOCIA 428256,A81000C,00100,0400,4 428256,A81000C,00100,0600,HEALTH CARE SERVICES 428256,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428256,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428256,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428256,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428256,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428256,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428256,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 428256,B100000,00000,0800,0800MEALS SERVED :DIETARY 428256,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428256,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428256,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 428256,B100000,00000,1302,1332PATIENT DAYS :RELIGOUS SERVICES 428256,G300000,02500,0000,ADULT DAY CARE REVENUE 428256,G300000,02501,0000,CONV CARE/MACHINE INCOME 428256,G300000,02502,0000,OBRA SCREENING REVENUE 428256,S000000,00100,0200,03/01/12 428256,S200000,00100,0100,640 NORTH MAIN STREET 428256,S200000,00200,0100,RIVER FALLS 428256,S200000,00200,0200,WI 428256,S200000,00200,0300,54022 428256,S200000,00300,0100,ST CROIX 428256,S200000,00300,0200,5120 428256,S200000,00300,0201,33460 428256,S200000,00300,0300,U 428256,S200000,00400,0100,THE LUTHERAN HOME - RIVER FALLLS 428256,S200000,00400,0200,525385 428256,S200000,00400,0300,08/01/87 428256,S200000,00400,0500,P 428256,S200000,01500,0100,Y 428256,S200000,01501,0200,Y 428256,S200000,01600,0100,N 428256,S200000,01700,0100,N 428256,S200000,01800,0100,N 428256,S200000,02200,0100,N 428256,S200000,02800,0100,N 428256,S200000,02900,0100,N 428256,S200000,03000,0100,N 428256,S200000,03100,0100,N 428256,S200000,03200,0100,N 428256,S200000,03300,0100,N 428256,S200000,03300,0200,N 428256,S200000,04100,0100,N 428256,S200000,04200,0100,N 428256,S200000,04300,0100,N 428256,S200000,04600,0100,N 428256,S200000,04700,0100,N 428256,S200000,04700,0200,N 428256,S200000,04900,0100,N 428256,S200000,05000,0100,N 428256,S200000,05100,0100,N 428256,S200000,05200,0100,N 428256,S200000,05300,0100,Y 428256,S200000,05300,0200,00-220 428256,S200000,05400,0100,THE LUTHERAN HOME ASSOCIATION 428256,S200000,05400,0200,NORIDIAN ADMINSTRATIVE SERVICES 428256,S200000,05400,0300,00-220 428256,S200000,05500,0100,337 S MERIDIAN AVENUE 428256,S200000,05600,0100,BELLE PLAINE 428256,S200000,05600,0200,MN 428256,S200000,05600,0300,56001 428257,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428257,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428257,A000000,00300,0000,0300EMPLOYEE BENEFITS 428257,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428257,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428257,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428257,A000000,00700,0000,0700HOUSEKEEPING 428257,A000000,00800,0000,0800DIETARY 428257,A000000,00900,0000,0900NURSING ADMINISTRATION 428257,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428257,A000000,01100,0000,1100PHARMACY 428257,A000000,01300,0000,1300SOCIAL SERVICE 428257,A000000,01301,0000,1301ACTIVITIES 428257,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428257,A000000,01500,0000,1350OTHER GENERAL SERVICES 428257,A000000,01600,0000,1600SKILLED NURSING FACILITY 428257,A000000,01800,0000,1800NURSING FACILITY 428257,A000000,01900,0000,1900OTHER LONG TERM CARE 428257,A000000,02100,0000,2100RADIOLOGY 428257,A000000,02200,0000,2200LABORATORY 428257,A000000,02300,0000,2300INTRAVENOUS THERAPY 428257,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428257,A000000,02500,0000,2500PHYSICAL THERAPY 428257,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428257,A000000,02700,0000,2700SPEECH PATHOLOGY 428257,A000000,02800,0000,2800ELECTROCARDIOLOGY 428257,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428257,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428257,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428257,A000000,03200,0000,3200SUPPORT SURFACES 428257,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428257,A000000,03400,0000,3400CLINIC 428257,A000000,03500,0000,3500RURAL HEALTH CLINIC 428257,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428257,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428257,A000000,05000,0000,5000CORF 428257,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428257,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428257,A000000,05300,0000,5300INTEREST EXPENSE 428257,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428257,A000000,05500,0000,5500HOSPICE 428257,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428257,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428257,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428257,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428257,A000000,06100,0000,6100NONPAID WORKERS 428257,A000000,06200,0000,6200PATIENTS LAUNDRY 428257,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428257,A81000A,00100,0100,N 428257,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428257,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428257,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428257,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428257,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428257,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428257,B100000,00000,0800,0800MEALS SERVED :DIETARY 428257,B100000,00000,1301,1331RESIDENT DAYS :ACTIVITIES 428257,G300000,02500,0000,OTHER 428257,G300000,02501,0000,LAUREL GROVE - REVENUE 428257,S000000,00100,0200,03/01/12 428257,S200000,00100,0100,1235 S 24TH STREET 428257,S200000,00200,0100,MANITOWOC 428257,S200000,00200,0200,WI 428257,S200000,00200,0300,54220 428257,S200000,00300,0100,MANITOWOC 428257,S200000,00300,0200,52 428257,S200000,00300,0201,99952 428257,S200000,00300,0300,R 428257,S200000,00400,0100,SHADY LANE INC. 428257,S200000,00400,0200,525575 428257,S200000,00400,0300,10/01/95 428257,S200000,00400,0500,P 428257,S200000,01500,0100,Y 428257,S200000,01501,0200,Y 428257,S200000,01600,0100,N 428257,S200000,01700,0100,N 428257,S200000,01800,0100,N 428257,S200000,02200,0100,N 428257,S200000,02800,0100,Y 428257,S200000,02900,0100,N 428257,S200000,03000,0100,N 428257,S200000,03100,0100,N 428257,S200000,03200,0100,N 428257,S200000,03300,0100,N 428257,S200000,03300,0200,N 428257,S200000,04100,0100,N 428257,S200000,04200,0100,N 428257,S200000,04300,0100,N 428257,S200000,04600,0100,N 428257,S200000,04700,0100,N 428257,S200000,04700,0200,N 428257,S200000,04900,0100,N 428257,S200000,05000,0100,N 428257,S200000,05100,0100,N 428257,S200000,05200,0100,N 428258,S000000,00100,0200,03/01/12 428258,S200000,00100,0100,270 NORTH STREET 428258,S200000,00200,0100,FOUNTAI N CITY 428258,S200000,00200,0200,WI 428258,S200000,00200,0300,54629-0007 428258,S200000,00300,0100,BUFFALO 428258,S200000,00400,0100,ST MICHAELS LUTHERAN HOME 428258,S200000,00400,0300,01/01/97 428259,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428259,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428259,A000000,00300,0000,0300EMPLOYEE BENEFITS 428259,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428259,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428259,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428259,A000000,00700,0000,0700HOUSEKEEPING 428259,A000000,00800,0000,0800DIETARY 428259,A000000,00900,0000,0900NURSING ADMINISTRATION 428259,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428259,A000000,01100,0000,1100PHARMACY 428259,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428259,A000000,01300,0000,1300SOCIAL SERVICE 428259,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428259,A000000,01500,0000,1350ACTIVITIES 428259,A000000,01600,0000,1600SKILLED NURSING FACILITY 428259,A000000,01800,0000,1800NURSING FACILITY 428259,A000000,01810,0000,1810ICF/MR 428259,A000000,01900,0000,1900OTHER LONG TERM CARE 428259,A000000,02100,0000,2100RADIOLOGY 428259,A000000,02200,0000,2200LABORATORY 428259,A000000,02300,0000,2300INTRAVENOUS THERAPY 428259,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428259,A000000,02500,0000,2500PHYSICAL THERAPY 428259,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428259,A000000,02700,0000,2700SPEECH PATHOLOGY 428259,A000000,02800,0000,2800ELECTROCARDIOLOGY 428259,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428259,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428259,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428259,A000000,03200,0000,3200SUPPORT SURFACES 428259,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428259,A000000,03400,0000,3400CLINIC 428259,A000000,03500,0000,3500RURAL HEALTH CLINIC 428259,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428259,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428259,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428259,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428259,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428259,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428259,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428259,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428259,A000000,04400,0000,4400DME RENTED - HHA 428259,A000000,04500,0000,4500DME SOLD - HHA 428259,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428259,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428259,A000000,04710,0000,4710TELEMEDICINE 428259,A000000,04800,0000,4800AMBULANCE 428259,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428259,A000000,05000,0000,5000CORF 428259,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428259,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428259,A000000,05300,0000,5300INTEREST EXPENSE 428259,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428259,A000000,05500,0000,5500HOSPICE 428259,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428259,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428259,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428259,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428259,A000000,06100,0000,6100NONPAID WORKERS 428259,A000000,06200,0000,6200PATIENTS LAUNDRY 428259,A000000,06300,0000,6150AQUATIC CENTER 428259,A000000,06301,0000,6151ASSISTED LIVING 428259,A000000,06302,0000,6152INDEPENDENT LIVING 428259,A81000A,00100,0100,N 428259,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428259,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428259,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428259,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428259,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428259,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428259,B100000,00000,0800,0800MEALS SERVED :DIETARY 428259,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428259,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428259,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428259,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428259,G300000,02500,0000,MISCELLANEOUS 428259,S000000,00100,0200,02/27/12 428259,S200000,00100,0100,12600 N. PORT WASHINGTO ROAD 428259,S200000,00200,0100,MEQUON 428259,S200000,00200,0200,WI 428259,S200000,00200,0300,53092 428259,S200000,00300,0100,OZAUKEE 428259,S200000,00300,0201,33340 428259,S200000,00300,0300,U 428259,S200000,00400,0100,NEWCASTLE PLACE INC. 428259,S200000,00400,0200,525668 428259,S200000,00400,0300,05/07/03 428259,S200000,00400,0500,P 428259,S200000,01500,0100,Y 428259,S200000,01501,0200,Y 428259,S200000,01600,0100,N 428259,S200000,01700,0100,N 428259,S200000,01800,0100,N 428259,S200000,02200,0100,N 428259,S200000,02800,0100,N 428259,S200000,02900,0100,N 428259,S200000,03000,0100,N 428259,S200000,03100,0100,N 428259,S200000,03200,0100,N 428259,S200000,03300,0100,N 428259,S200000,03300,0200,N 428259,S200000,04100,0100,N 428259,S200000,04200,0100,N 428259,S200000,04300,0100,N 428259,S200000,04600,0100,N 428259,S200000,04700,0100,N 428259,S200000,04700,0200,N 428259,S200000,04900,0100,N 428259,S200000,05000,0100,N 428259,S200000,05100,0100,N 428259,S200000,05200,0100,N 428259,S200000,05300,0100,N 428261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428261,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428261,A000000,00300,0000,0300EMPLOYEE BENEFITS 428261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428261,A000000,00700,0000,0700HOUSEKEEPING 428261,A000000,00800,0000,0800DIETARY 428261,A000000,00900,0000,0900NURSING ADMINISTRATION 428261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428261,A000000,01100,0000,1100PHARMACY 428261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428261,A000000,01300,0000,1300SOCIAL SERVICE 428261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428261,A000000,01500,0000,1350RECREATION ACTIVITIES 428261,A000000,01600,0000,1600SKILLED NURSING FACILITY 428261,A000000,01810,0000,1810ICF/MR 428261,A000000,02100,0000,2100RADIOLOGY 428261,A000000,02200,0000,2200LABORATORY 428261,A000000,02500,0000,2500PHYSICAL THERAPY 428261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428261,A000000,02700,0000,2700SPEECH PATHOLOGY 428261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428261,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428261,A000000,03301,0000,3051ENTERAL FEEDING 428261,A000000,03550,0000,3550FQHC 428261,A000000,05000,0000,5000CORF 428261,A000000,05010,0000,5010CMHC 428261,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428261,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428261,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428261,A000000,06300,0000,6150ENTERSTOMAL THERAPY 428261,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 428261,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 428261,A000000,06312,0000,6153DIALYSIS 428261,A000000,06320,0000,6154APARTMENTS 428261,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 428261,A000000,06340,0000,6156CLOSED PATIENT AREAS 428261,A000000,06350,0000,6157O/P ADULT DAYCARE 428261,A000000,06360,0000,6158MARKETING 428261,A81000A,00100,0100,Y 428261,A81000B,00100,0300,RELATED PARTY CAPITAL COST 428261,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 428261,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 428261,A81000C,00100,0100,A 428261,A81000C,00100,0200,FUNDAMENTAL HOL 428261,A81000C,00100,0400,FAS FCC FCOS 428261,A81000C,00100,0600,SUPPORT SERVICE 428261,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 428261,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 428261,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428261,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 428261,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 428261,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 428261,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 428261,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 428261,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 428261,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 428261,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 428261,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 428261,S000000,00100,0200,03/26/12 428261,S200000,00100,0100,714 SOUTH AUSTIN 428261,S200000,00200,0100,TULIA 428261,S200000,00200,0200,TX 428261,S200000,00200,0300,79088 428261,S200000,00300,0100,SWISHER 428261,S200000,00300,0201,45 428261,S200000,00300,0300,R 428261,S200000,00400,0100,TULIA HEALTH & REHAB CTR 428261,S200000,00400,0200,675256 428261,S200000,00400,0300,02/24/94 428261,S200000,00400,0500,P 428261,S200000,00400,0600,O 428261,S200000,01500,0100,Y 428261,S200000,01501,0200,Y 428261,S200000,01502,0200,Y 428261,S200000,01503,0200,Y 428261,S200000,01504,0200,Y 428261,S200000,01600,0100,N 428261,S200000,01700,0100,N 428261,S200000,01800,0100,N 428261,S200000,01900,0100,LLC 428261,S200000,02200,0100,N 428261,S200000,02800,0100,N 428261,S200000,02900,0100,N 428261,S200000,03000,0100,N 428261,S200000,03100,0100,N 428261,S200000,03200,0100,N 428261,S200000,03300,0100,N 428261,S200000,03300,0200,N 428261,S200000,04100,0100,N 428261,S200000,04200,0100,N 428261,S200000,04300,0100,N 428261,S200000,04600,0100,N 428261,S200000,04700,0100,N 428261,S200000,04700,0200,N 428261,S200000,04900,0100,N 428261,S200000,05000,0100,N 428261,S200000,05100,0100,N 428261,S200000,05200,0100,N 428261,S200000,05300,0100,Y 428262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428262,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428262,A000000,00300,0000,0300EMPLOYEE BENEFITS 428262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428262,A000000,00700,0000,0700HOUSEKEEPING 428262,A000000,00800,0000,0800DIETARY 428262,A000000,00900,0000,0900NURSING ADMINISTRATION 428262,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428262,A000000,01100,0000,1100PHARMACY 428262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428262,A000000,01300,0000,1300SOCIAL SERVICE 428262,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428262,A000000,01500,0000,1350RECREATION ACTIVITIES 428262,A000000,01600,0000,1600SKILLED NURSING FACILITY 428262,A000000,01810,0000,1810ICF/MR 428262,A000000,02100,0000,2100RADIOLOGY 428262,A000000,02200,0000,2200LABORATORY 428262,A000000,02500,0000,2500PHYSICAL THERAPY 428262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428262,A000000,02700,0000,2700SPEECH PATHOLOGY 428262,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428262,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428262,A000000,03301,0000,3051ENTERAL FEEDING 428262,A000000,03550,0000,3550FQHC 428262,A000000,05000,0000,5000CORF 428262,A000000,05010,0000,5010CMHC 428262,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428262,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428262,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428262,A000000,06300,0000,6150ENTERSTOMAL THERAPY 428262,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 428262,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 428262,A000000,06312,0000,6153DIALYSIS 428262,A000000,06320,0000,6154APARTMENTS 428262,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 428262,A000000,06340,0000,6156CLOSED PATIENT AREAS 428262,A000000,06350,0000,6157O/P ADULT DAYCARE 428262,A000000,06360,0000,6158MARKETING 428262,A81000A,00100,0100,Y 428262,A81000B,00100,0300,RELATED PARTY CAPITAL COST 428262,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 428262,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 428262,A81000C,00100,0100,A 428262,A81000C,00100,0200,FUNDAMENTAL HOL 428262,A81000C,00100,0400,FAS FCC FCOS 428262,A81000C,00100,0600,SUPPORT SERVICE 428262,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 428262,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 428262,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428262,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 428262,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 428262,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 428262,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 428262,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 428262,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 428262,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 428262,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 428262,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 428262,S000000,00100,0200,02/27/12 428262,S200000,00100,0100,401 NORTH MAIN STREET 428262,S200000,00200,0100,LOCKNEY 428262,S200000,00200,0200,TX 428262,S200000,00200,0300,79241 428262,S200000,00300,0100,FLOYD 428262,S200000,00300,0201,45 428262,S200000,00300,0300,R 428262,S200000,00400,0100,LOCKNEY HEALTH & REHAB CTR 428262,S200000,00400,0200,675485 428262,S200000,00400,0300,05/17/95 428262,S200000,00400,0500,P 428262,S200000,00400,0600,O 428262,S200000,01500,0100,Y 428262,S200000,01501,0200,Y 428262,S200000,01502,0200,Y 428262,S200000,01503,0200,Y 428262,S200000,01504,0200,Y 428262,S200000,01600,0100,N 428262,S200000,01700,0100,N 428262,S200000,01800,0100,N 428262,S200000,01900,0100,LLC 428262,S200000,02200,0100,N 428262,S200000,02800,0100,N 428262,S200000,02900,0100,N 428262,S200000,03000,0100,N 428262,S200000,03100,0100,N 428262,S200000,03200,0100,N 428262,S200000,03300,0100,N 428262,S200000,03300,0200,N 428262,S200000,04100,0100,N 428262,S200000,04200,0100,N 428262,S200000,04300,0100,N 428262,S200000,04600,0100,N 428262,S200000,04700,0100,N 428262,S200000,04700,0200,N 428262,S200000,04900,0100,N 428262,S200000,05000,0100,N 428262,S200000,05100,0100,N 428262,S200000,05200,0100,N 428262,S200000,05300,0100,Y 428263,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428263,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428263,A000000,00300,0000,0300EMPLOYEE BENEFITS 428263,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428263,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428263,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428263,A000000,00700,0000,0700HOUSEKEEPING 428263,A000000,00800,0000,0800DIETARY 428263,A000000,00900,0000,0900NURSING ADMINISTRATION 428263,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428263,A000000,01100,0000,1100PHARMACY 428263,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428263,A000000,01300,0000,1300SOCIAL SERVICE 428263,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428263,A000000,01600,0000,1600SKILLED NURSING FACILITY 428263,A000000,01800,0000,1800NURSING FACILITY 428263,A000000,01810,0000,1810ICF/MR 428263,A000000,01900,0000,1900OTHER LONG TERM CARE 428263,A000000,02100,0000,2100RADIOLOGY 428263,A000000,02200,0000,2200LABORATORY 428263,A000000,02300,0000,2300INTRAVENOUS THERAPY 428263,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428263,A000000,02500,0000,2500PHYSICAL THERAPY 428263,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428263,A000000,02700,0000,2700SPEECH PATHOLOGY 428263,A000000,02800,0000,2800ELECTROCARDIOLOGY 428263,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428263,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428263,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428263,A000000,03200,0000,3200SUPPORT SURFACES 428263,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428263,A000000,03400,0000,3400CLINIC 428263,A000000,03500,0000,3500RURAL HEALTH CLINIC 428263,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428263,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428263,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428263,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428263,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428263,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428263,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428263,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428263,A000000,04400,0000,4400DME RENTED - HHA 428263,A000000,04500,0000,4500DME SOLD - HHA 428263,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428263,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428263,A000000,04710,0000,4710TELEMEDICINE 428263,A000000,04800,0000,4800AMBULANCE 428263,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428263,A000000,05000,0000,5000CORF 428263,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428263,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428263,A000000,05300,0000,5300INTEREST EXPENSE 428263,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428263,A000000,05500,0000,5500HOSPICE 428263,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428263,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428263,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428263,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428263,A000000,06100,0000,6100NONPAID WORKERS 428263,A000000,06200,0000,6200PATIENTS LAUNDRY 428263,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428263,A81000A,00100,0100,Y 428263,A81000B,00100,0300,BUILDING LEASE 428263,A81000C,00100,0100,B 428263,A81000C,00100,0200,MSPF II GRANBURY OE LP 428263,A81000C,00100,0400,MSPF II GRANBURY SNF LP 428263,A81000C,00100,0600,REAL ESTATE 428263,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428263,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428263,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428263,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428263,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428263,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428263,B100000,00000,0700,0750CLEANED SQ. FT. :HOUSEKEEPING 428263,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428263,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428263,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428263,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428263,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428263,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428263,G300000,02500,0000,OTHER INCOME 428263,S000000,00100,0200,01/30/12 428263,S200000,00100,0100,1300 2ND STREET 428263,S200000,00200,0100,GRANBURY 428263,S200000,00200,0200,TX 428263,S200000,00200,0300,76048 428263,S200000,00300,0100,HOOD 428263,S200000,00300,0200,00 428263,S200000,00300,0201,99945 428263,S200000,00300,0300,R 428263,S200000,00400,0100,HARBOR LAKES PLAZA NURSING 428263,S200000,00400,0200,676185 428263,S200000,00400,0300,06/03/08 428263,S200000,00400,0500,P 428263,S200000,01500,0100,Y 428263,S200000,01501,0200,Y 428263,S200000,01502,0200,Y 428263,S200000,01503,0200,Y 428263,S200000,01600,0100,N 428263,S200000,01700,0100,N 428263,S200000,01800,0100,N 428263,S200000,02200,0100,N 428263,S200000,02800,0100,N 428263,S200000,02900,0100,N 428263,S200000,03000,0100,N 428263,S200000,03100,0100,N 428263,S200000,03200,0100,N 428263,S200000,03300,0100,N 428263,S200000,03300,0200,N 428263,S200000,04100,0100,N 428263,S200000,04200,0100,N 428263,S200000,04300,0100,N 428263,S200000,04600,0100,N 428263,S200000,04700,0100,N 428263,S200000,04700,0200,N 428263,S200000,04900,0100,N 428263,S200000,05000,0100,N 428263,S200000,05100,0100,N 428263,S200000,05200,0100,N 428263,S200000,05300,0100,N 428264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428264,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428264,A000000,00300,0000,0300EMPLOYEE BENEFITS 428264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428264,A000000,00700,0000,0700HOUSEKEEPING 428264,A000000,00800,0000,0800DIETARY 428264,A000000,00900,0000,0900NURSING ADMINISTRATION 428264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428264,A000000,01100,0000,1100PHARMACY 428264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428264,A000000,01300,0000,1300SOCIAL SERVICE 428264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428264,A000000,01500,0000,1350RECREATION 428264,A000000,01600,0000,1600SKILLED NURSING FACILITY 428264,A000000,01810,0000,1810ICF/MR 428264,A000000,02100,0000,2100RADIOLOGY 428264,A000000,02200,0000,2200LABORATORY 428264,A000000,02300,0000,2300INTRAVENOUS THERAPY 428264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428264,A000000,02500,0000,2500PHYSICAL THERAPY 428264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428264,A000000,02700,0000,2700SPEECH PATHOLOGY 428264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428264,A000000,03550,0000,3550FQHC 428264,A000000,05000,0000,5000CORF 428264,A000000,05010,0000,5010CMHC 428264,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428264,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428264,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428264,A000000,06300,0000,6150RESIDENTIAL 428264,A81000A,00100,0100,Y 428264,A81000B,00100,0300,SEE ATTACHED 428264,A81000B,00200,0300,HOME OFFICE INTEREST 428264,A81000B,00300,0300,HOME OFFICE ADMIN 428264,A81000B,00400,0300,HOME OFFICE CAPITAL 428264,A81000C,00100,0100,B 428264,A81000C,00100,0400,SEE ATTACHED 428264,A81000C,00100,0600,VARIOUS 428264,A81000C,00200,0100,B 428264,A81000C,00200,0400,GHC 428264,A81000C,00200,0600,LONG TERM CARE 428264,A81000C,00300,0100,B 428264,A81000C,00300,0400,GHC 428264,A81000C,00300,0600,LONG TERM CARE 428264,A81000C,00400,0100,B 428264,A81000C,00400,0400,GHC 428264,A81000C,00400,0600,LONG TERM CARE 428264,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428264,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428264,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428264,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428264,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428264,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428264,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428264,B100000,00000,0800,0800MEALS SERVED :DIETARY 428264,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428264,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428264,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428264,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428264,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428264,G300000,02500,0000,ASSISTED LIVING 428264,S000000,00100,0200,02/27/12 428264,S200000,00100,0100,67 PINE POINT ROAD 428264,S200000,00200,0100,SCARBOROUGH 428264,S200000,00200,0200,ME 428264,S200000,00200,0300,04074-8813 428264,S200000,00300,0100,CUMBERLAND 428264,S200000,00300,0201,38860 428264,S200000,00300,0300,U 428264,S200000,00400,0100,PINE POINT CENTER 428264,S200000,00400,0200,205070 428264,S200000,00400,0300,10/09/91 428264,S200000,00400,0500,P 428264,S200000,01500,0100,Y 428264,S200000,01501,0200,N 428264,S200000,01502,0200,N 428264,S200000,01503,0200,Y 428264,S200000,01504,0200,Y 428264,S200000,01600,0100,N 428264,S200000,01700,0100,N 428264,S200000,01800,0100,N 428264,S200000,01900,0100,LLC 428264,S200000,02200,0100,Y 428264,S200000,02800,0100,N 428264,S200000,02900,0100,N 428264,S200000,03000,0100,N 428264,S200000,03100,0100,N 428264,S200000,03200,0100,N 428264,S200000,03300,0100,N 428264,S200000,03300,0200,N 428264,S200000,04100,0100,N 428264,S200000,04200,0100,N 428264,S200000,04300,0100,N 428264,S200000,04600,0100,N 428264,S200000,04700,0100,N 428264,S200000,04700,0200,N 428264,S200000,04900,0100,N 428264,S200000,05000,0100,N 428264,S200000,05100,0100,N 428264,S200000,05200,0100,N 428264,S200000,05300,0100,Y 428264,S200000,05300,0200,HB0067 428264,S200000,05400,0100,GENESIS HEALTHCARE LLC 428264,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428264,S200000,05400,0300,12001 428264,S200000,05500,0100,101 EAST STATE STREET 428264,S200000,05600,0100,KENNETT SQUARE 428264,S200000,05600,0200,PA 428264,S200000,05600,0300,19348 428265,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428265,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428265,A000000,00300,0000,0300EMPLOYEE BENEFITS 428265,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428265,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428265,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428265,A000000,00700,0000,0700HOUSEKEEPING 428265,A000000,00800,0000,0800DIETARY 428265,A000000,00900,0000,0900NURSING ADMINISTRATION 428265,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428265,A000000,01100,0000,1100PHARMACY 428265,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428265,A000000,01300,0000,1300SOCIAL SERVICE 428265,A000000,01301,0000,1301ACTIVITIES 428265,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428265,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428265,A000000,01600,0000,1600SKILLED NURSING FACILITY 428265,A000000,01800,0000,1800NURSING FACILITY 428265,A000000,01900,0000,1900OTHER LONG TERM CARE 428265,A000000,02100,0000,2100RADIOLOGY 428265,A000000,02200,0000,2200LABORATORY 428265,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428265,A000000,02500,0000,2500PHYSICAL THERAPY 428265,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428265,A000000,02700,0000,2700SPEECH PATHOLOGY 428265,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428265,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428265,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428265,A000000,04800,0000,4800AMBULANCE 428265,A81000A,00100,0100,Y 428265,A81000B,00100,0300,PURCHASED SERVICES 428265,A81000B,00200,0300,DHA ASSESSMENT 428265,A81000B,00300,0300,SENIOR MANAGEMENT ALLOCATION 428265,A81000B,00400,0300,UNALLOCATED BENEFITS 428265,A81000C,00100,0100,B 428265,A81000C,00100,0400,CENTRAL VT MED 428265,A81000C,00100,0600,MGMT SVC 428265,A81000C,00200,0100,B 428265,A81000C,00200,0400,DARTMOUTH HIR+T 428265,A81000C,00200,0600,ALLIANCE 428265,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428265,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428265,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428265,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428265,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428265,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428265,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428265,B100000,00000,0800,0800MEALS SERVED :DIETARY 428265,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 428265,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428265,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428265,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428265,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428265,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 428265,G300000,02501,0000,VHA REBATES 428265,G300000,02502,0000,MISCELLANEOUS 428265,G300000,02504,0000,FUNDS RELEASED FROM RESTRICTIONS 428265,G300000,02505,0000,FUNDED DEP N INT 428265,G300000,02506,0000,TRUSTEE INT INC - S1996 428265,G300000,02508,0000,ROUNDING 428265,S000000,00100,0200,02/24/12 428265,S200000,00100,0100,142 WOODRIDGE ROAD 428265,S200000,00100,0300,550 428265,S200000,00200,0100,BARRE 428265,S200000,00200,0200,VT 428265,S200000,00200,0300,05641 428265,S200000,00300,0100,WASHINGTON 428265,S200000,00300,0200,0047 428265,S200000,00300,0201,99947 428265,S200000,00300,0300,R 428265,S200000,00400,0100,WOODRIDGE NURSING HOME 428265,S200000,00400,0200,475045 428265,S200000,00400,0300,03/15/94 428265,S200000,00400,0500,P 428265,S200000,01500,0100,Y 428265,S200000,01501,0200,N 428265,S200000,01502,0200,N 428265,S200000,01503,0200,N 428265,S200000,01504,0200,N 428265,S200000,01600,0100,N 428265,S200000,01700,0100,N 428265,S200000,01800,0100,N 428265,S200000,02200,0100,N 428265,S200000,02800,0100,N 428265,S200000,02900,0100,N 428265,S200000,03000,0100,N 428265,S200000,03100,0100,N 428265,S200000,03200,0100,N 428265,S200000,03300,0100,N 428265,S200000,03300,0200,N 428265,S200000,04100,0100,N 428265,S200000,04200,0100,N 428265,S200000,04300,0100,N 428265,S200000,04600,0100,N 428265,S200000,04700,0100,N 428265,S200000,04700,0200,N 428265,S200000,04900,0100,N 428265,S200000,05000,0100,N 428265,S200000,05100,0100,N 428265,S200000,05200,0100,N 428265,S200000,05300,0100,N 428273,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428273,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428273,A000000,00300,0000,0300EMPLOYEE BENEFITS 428273,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428273,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428273,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428273,A000000,00700,0000,0700HOUSEKEEPING 428273,A000000,00800,0000,0800DIETARY 428273,A000000,00900,0000,0900NURSING ADMINISTRATION 428273,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428273,A000000,01100,0000,1100PHARMACY 428273,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428273,A000000,01300,0000,1300SOCIAL SERVICE 428273,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428273,A000000,01500,0000,1350OTHER GENERAL SERVICES 428273,A000000,01600,0000,1600SKILLED NURSING FACILITY 428273,A000000,01800,0000,1800NURSING FACILITY 428273,A000000,01810,0000,1810ICF/MR 428273,A000000,01900,0000,1900OTHER LONG TERM CARE 428273,A000000,02100,0000,2100RADIOLOGY 428273,A000000,02200,0000,2200LABORATORY 428273,A000000,02300,0000,2300INTRAVENOUS THERAPY 428273,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428273,A000000,02500,0000,2500PHYSICAL THERAPY 428273,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428273,A000000,02700,0000,2700SPEECH PATHOLOGY 428273,A000000,02800,0000,2800ELECTROCARDIOLOGY 428273,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428273,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428273,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428273,A000000,03200,0000,3200SUPPORT SURFACES 428273,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428273,A000000,03400,0000,3400CLINIC 428273,A000000,03500,0000,3500RURAL HEALTH CLINIC 428273,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428273,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428273,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428273,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428273,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428273,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428273,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428273,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428273,A000000,04400,0000,4400DME RENTED - HHA 428273,A000000,04500,0000,4500DME SOLD - HHA 428273,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428273,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428273,A000000,04710,0000,4710TELEMEDICINE 428273,A000000,04800,0000,4800AMBULANCE 428273,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428273,A000000,05000,0000,5000CORF 428273,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428273,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428273,A000000,05300,0000,5300INTEREST EXPENSE 428273,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428273,A000000,05500,0000,5500HOSPICE 428273,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428273,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428273,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428273,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428273,A000000,06100,0000,6100NONPAID WORKERS 428273,A000000,06200,0000,6200PATIENTS LAUNDRY 428273,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428273,A81000A,00100,0100,Y 428273,A81000B,00100,0300,MANAGEMENT FEES 428273,A81000B,00200,0300,CAPITAL COSTS 428273,A81000C,00100,0100,B 428273,A81000C,00100,0200,INHANCE CORPORATION 428273,A81000C,00100,0400,INHANCE CORPORATION 428273,A81000C,00100,0600,MANAGEMENT 428273,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428273,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428273,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428273,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428273,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428273,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428273,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428273,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428273,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428273,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428273,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428273,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428273,E10A180,00301,0100,04/13/11 428273,G300000,02500,0000,TRANSPORTATION 428273,G300000,02510,0000,GAIN ASSET SALE 428273,G300000,02520,0000,BEAUTY SHOP 428273,S000000,00100,0200,02/29/12 428273,S200000,00100,0100,901 STATE STREET 428273,S200000,00200,0100,DONNELLSON 428273,S200000,00200,0200,IA 428273,S200000,00200,0300,52625 428273,S200000,00300,0100,LEE 428273,S200000,00300,0200,16 428273,S200000,00300,0201,99916 428273,S200000,00300,0300,R 428273,S200000,00400,0100,DONNELLSON HEALTH CENTER 428273,S200000,00400,0200,165260 428273,S200000,00400,0300,09/01/95 428273,S200000,00400,0500,P 428273,S200000,01500,0100,Y 428273,S200000,01501,0200,N 428273,S200000,01502,0200,Y 428273,S200000,01503,0200,N 428273,S200000,01504,0200,Y 428273,S200000,01600,0100,N 428273,S200000,01700,0100,N 428273,S200000,01800,0100,N 428273,S200000,02200,0100,N 428273,S200000,02800,0100,N 428273,S200000,02900,0100,N 428273,S200000,03000,0100,N 428273,S200000,03100,0100,N 428273,S200000,03200,0100,N 428273,S200000,03300,0100,N 428273,S200000,03300,0200,N 428273,S200000,04100,0100,N 428273,S200000,04200,0100,N 428273,S200000,04300,0100,N 428273,S200000,04600,0100,N 428273,S200000,04700,0100,N 428273,S200000,04700,0200,N 428273,S200000,04900,0100,N 428273,S200000,05000,0100,N 428273,S200000,05100,0100,N 428273,S200000,05200,0100,N 428273,S200000,05300,0100,Y 428273,S200000,05300,0200,H53370 428273,S200000,05400,0100,INHANCE CORPORATION 428273,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428273,S200000,05400,0300,52280 428273,S200000,05500,0100,609 - 8TH STREET 428273,S200000,05600,0100,FORT MADISON 428273,S200000,05600,0200,IA 428273,S200000,05600,0300,52627 428274,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428274,A000000,00300,0000,0300EMPLOYEE BENEFITS 428274,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428274,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428274,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428274,A000000,00700,0000,0700HOUSEKEEPING 428274,A000000,00800,0000,0800DIETARY 428274,A000000,00900,0000,0900NURSING ADMINISTRATION 428274,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428274,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428274,A000000,01300,0000,1300SOCIAL SERVICE 428274,A000000,01500,0000,1350OTHER GENERAL SERVICES 428274,A000000,01600,0000,1600SKILLED NURSING FACILITY 428274,A000000,01800,0000,1800NURSING FACILITY 428274,A000000,01810,0000,1810ICF/MR 428274,A000000,01900,0000,1900OTHER LONG TERM CARE 428274,A000000,02100,0000,2100RADIOLOGY 428274,A000000,02200,0000,2200LABORATORY 428274,A000000,02300,0000,2300INTRAVENOUS THERAPY 428274,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428274,A000000,02500,0000,2500PHYSICAL THERAPY 428274,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428274,A000000,02700,0000,2700SPEECH PATHOLOGY 428274,A000000,02800,0000,2800ELECTROCARDIOLOGY 428274,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428274,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428274,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428274,A000000,03200,0000,3200SUPPORT SURFACES 428274,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428274,A000000,03400,0000,3400CLINIC 428274,A000000,03500,0000,3500RURAL HEALTH CLINIC 428274,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428274,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428274,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428274,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428274,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428274,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428274,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428274,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428274,A000000,04400,0000,4400DME RENTED - HHA 428274,A000000,04500,0000,4500DME SOLD - HHA 428274,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428274,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428274,A000000,04710,0000,4710TELEMEDICINE 428274,A000000,04800,0000,4800AMBULANCE 428274,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428274,A000000,05000,0000,5000CORF 428274,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428274,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428274,A000000,05300,0000,5300INTEREST EXPENSE 428274,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428274,A000000,05500,0000,5500HOSPICE 428274,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428274,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428274,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428274,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428274,A000000,06100,0000,6100NONPAID WORKERS 428274,A000000,06200,0000,6200PATIENTS LAUNDRY 428274,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428274,A81000A,00100,0100,Y 428274,A81000B,00100,0300,HOME OFFICE COSTS 428274,A81000B,00200,0300,HOME OFFICE COSTS 428274,A81000B,00300,0300,ADMINISTRATIVE COSTS 428274,A81000B,00400,0300,PHARMACY COSTS 428274,A81000B,00500,0300,PHARMACY COSTS 428274,A81000B,00600,0300,HOUSEKEEPING 428274,A81000B,00700,0300,DIETARY 428274,A81000B,00800,0300,NURSING SERVICES 428274,A81000B,00900,0300,TECHNOLOGY SERVICES 428274,A81000B,01000,0300,NURSING SERVICES 428274,A81000B,01100,0300,NURSING ALLOCATION 428274,A81000B,01200,0300,CNA TRAINING 428274,A81000B,01300,0300,EQUIPMENT LEASE 428274,A81000B,01400,0300,INTEREST EXPENSE 428274,A81000B,01500,0300,LABOR COSTS/SALARIES 428274,A81000B,01600,0300,PLANT/MAINTENANCE 428274,A81000B,01700,0300,R/P DEPRECIATION 428274,A81000C,00100,0100,G 428274,A81000C,00100,0200,ALLEN KILGORE 428274,A81000C,00100,0400,CORNERSTONE HEALTH CARE 428274,A81000C,00100,0600,MANAGEMENT COMPANY 428274,A81000C,00200,0100,G 428274,A81000C,00200,0200,ALLEN KILGORE 428274,A81000C,00200,0400,CORNERSTONE PROP INV II 428274,A81000C,00200,0600,EQUIPMENT LEASE 428274,A81000C,00300,0100,G 428274,A81000C,00300,0200,ALLEN KILGORE 428274,A81000C,00300,0400,CENTRAL HEALTH CORP 428274,A81000C,00300,0600,PERSONNEL 428274,A81000C,00400,0100,G 428274,A81000C,00400,0200,ALLEN KILGORE 428274,A81000C,00400,0400,CHC PERSONNEL SERVICES 428274,A81000C,00400,0600,EQUIPMENT LEASE 428274,A81000C,00500,0100,G 428274,A81000C,00500,0200,ALLEN KILGORE 428274,A81000C,00500,0400,CHRISTIAN HC PHARMACY 428274,A81000C,00500,0600,PHARMACY 428274,A81000C,00600,0100,G 428274,A81000C,00600,0200,ALLEN KILGORE 428274,A81000C,00600,0400,ENFORMIX TECHNOLOGY SERV 428274,A81000C,00600,0600,INFORMATION TECHNOLOGY 428274,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 428274,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428274,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428274,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428274,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428274,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428274,B100000,00000,0700,0750SQ FT CLEANED :HOUSEKEEPING 428274,B100000,00000,0800,0800MEALS SERVED :DIETARY 428274,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428274,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428274,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428274,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428274,G300000,02500,0000,OTHER INCOME 428274,S000000,00100,0200,02/28/12 428274,S200000,00100,0100,3403 WEST MT VERNON 428274,S200000,00200,0100,SPRINGFIELD 428274,S200000,00200,0200,MO 428274,S200000,00200,0300,65802 428274,S200000,00300,0100,GREENE 428274,S200000,00300,0200,7920 428274,S200000,00300,0201,44180 428274,S200000,00300,0300,U 428274,S200000,00400,0100,CHRISTIAN HEALTH CARE OF SPFD WEST 428274,S200000,00400,0200,265161 428274,S200000,00400,0300,01/11/82 428274,S200000,00400,0500,P 428274,S200000,01500,0100,Y 428274,S200000,01501,0200,Y 428274,S200000,01502,0200,Y 428274,S200000,01503,0200,N 428274,S200000,01504,0200,N 428274,S200000,01600,0100,N 428274,S200000,01700,0100,N 428274,S200000,01800,0100,N 428274,S200000,02200,0100,N 428274,S200000,02800,0100,Y 428274,S200000,02900,0100,N 428274,S200000,03000,0100,N 428274,S200000,03100,0100,N 428274,S200000,03200,0100,N 428274,S200000,03300,0100,N 428274,S200000,03300,0200,N 428274,S200000,04100,0100,N 428274,S200000,04200,0100,N 428274,S200000,04300,0100,N 428274,S200000,04600,0100,N 428274,S200000,04700,0100,N 428274,S200000,04700,0200,N 428274,S200000,04900,0100,N 428274,S200000,05000,0100,N 428274,S200000,05100,0100,N 428274,S200000,05200,0100,N 428274,S200000,05300,0100,Y 428274,S200000,05300,0200,H57160 428274,S200000,05400,0100,CORNERSTONE HEALTH CARE INC 428274,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428274,S200000,05400,0300,00020 428274,S200000,05500,0100,222 SOUTH FIRST STREET 428274,S200000,05600,0100,ROGERS 428274,S200000,05600,0200,AR 428274,S200000,05600,0300,72756 428301,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428301,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428301,A000000,00300,0000,0300EMPLOYEE BENEFITS 428301,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428301,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428301,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428301,A000000,00700,0000,0700HOUSEKEEPING 428301,A000000,00800,0000,0800DIETARY 428301,A000000,00900,0000,0900NURSING ADMINISTRATION 428301,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428301,A000000,01100,0000,1100PHARMACY 428301,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428301,A000000,01300,0000,1300SOCIAL SERVICE 428301,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428301,A000000,01500,0000,1350OTHER GENERAL SERVICES 428301,A000000,01600,0000,1600SKILLED NURSING FACILITY 428301,A000000,01800,0000,1800NURSING FACILITY 428301,A000000,01810,0000,1810ICF/MR 428301,A000000,01900,0000,1900OTHER LONG TERM CARE 428301,A000000,02100,0000,2100RADIOLOGY 428301,A000000,02200,0000,2200LABORATORY 428301,A000000,02300,0000,2300INTRAVENOUS THERAPY 428301,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428301,A000000,02500,0000,2500PHYSICAL THERAPY 428301,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428301,A000000,02700,0000,2700SPEECH PATHOLOGY 428301,A000000,02800,0000,2800ELECTROCARDIOLOGY 428301,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428301,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428301,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428301,A000000,03200,0000,3200SUPPORT SURFACES 428301,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428301,A000000,03400,0000,3400CLINIC 428301,A000000,03500,0000,3500RURAL HEALTH CLINIC 428301,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428301,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428301,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428301,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428301,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428301,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428301,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428301,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428301,A000000,04400,0000,4400DME RENTED - HHA 428301,A000000,04500,0000,4500DME SOLD - HHA 428301,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428301,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428301,A000000,04710,0000,4710TELEMEDICINE 428301,A000000,04800,0000,4800AMBULANCE 428301,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428301,A000000,05000,0000,5000CORF 428301,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428301,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428301,A000000,05300,0000,5300INTEREST EXPENSE 428301,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428301,A000000,05500,0000,5500HOSPICE 428301,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428301,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428301,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428301,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428301,A000000,06100,0000,6100NONPAID WORKERS 428301,A000000,06200,0000,6200PATIENTS LAUNDRY 428301,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428301,A81000A,00100,0100,Y 428301,A81000B,00100,0300,MANAGEMENT FEES 428301,A81000B,00200,0300,CAPITAL COSTS 428301,A81000C,00100,0100,B 428301,A81000C,00100,0200,INHANCE CORPORATION 428301,A81000C,00100,0400,INHANCE CORPORATION 428301,A81000C,00100,0600,MANAGEMENT 428301,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428301,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428301,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428301,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428301,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428301,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428301,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428301,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428301,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428301,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428301,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428301,E10A180,00301,0100,09/28/11 428301,E10A180,00302,0100,10/12/11 428301,E10A180,00303,0100,10/26/11 428301,G300000,02500,0000,BEAUTY SHOP 428301,G300000,02510,0000,MISCELLANEOUS 428301,G300000,02511,0000,RENTAL INCOME 428301,G300000,02512,0000,TRANSPORTATION 428301,G300000,02513,0000,GAIN ASSET SALE 428301,G300000,02514,0000,RECOVERY - MEDICAID WRITE-OFFS 428301,G300000,02515,0000,RECOVERY - BAD DEBT 428301,S000000,00100,0200,02/29/12 428301,S200000,00100,0100,1702 - 41ST STREET 428301,S200000,00200,0100,FORT MADISON 428301,S200000,00200,0200,IA 428301,S200000,00200,0300,52627 428301,S200000,00300,0100,LEE 428301,S200000,00300,0200,16 428301,S200000,00300,0201,99916 428301,S200000,00300,0300,R 428301,S200000,00400,0100,FORT MADISON HEALTH CENTER 428301,S200000,00400,0200,165227 428301,S200000,00400,0300,01/01/95 428301,S200000,00400,0500,P 428301,S200000,01500,0100,Y 428301,S200000,01501,0200,N 428301,S200000,01502,0200,Y 428301,S200000,01503,0200,N 428301,S200000,01504,0200,N 428301,S200000,01600,0100,N 428301,S200000,01700,0100,N 428301,S200000,01800,0100,N 428301,S200000,02200,0100,N 428301,S200000,02800,0100,N 428301,S200000,02900,0100,N 428301,S200000,03000,0100,N 428301,S200000,03100,0100,N 428301,S200000,03200,0100,N 428301,S200000,03300,0100,N 428301,S200000,03300,0200,N 428301,S200000,04100,0100,N 428301,S200000,04200,0100,N 428301,S200000,04300,0100,N 428301,S200000,04600,0100,N 428301,S200000,04700,0100,N 428301,S200000,04700,0200,N 428301,S200000,04900,0100,N 428301,S200000,05000,0100,N 428301,S200000,05100,0100,N 428301,S200000,05200,0100,N 428301,S200000,05300,0100,Y 428301,S200000,05300,0200,H53370 428301,S200000,05400,0100,INHANCE CORPORATION 428301,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428301,S200000,05400,0300,52280 428301,S200000,05500,0100,609 - 8TH STREET 428301,S200000,05600,0100,FORT MADISON 428301,S200000,05600,0200,IA 428301,S200000,05600,0300,52627 428302,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428302,A000000,00300,0000,0300EMPLOYEE BENEFITS 428302,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428302,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428302,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428302,A000000,00700,0000,0700HOUSEKEEPING 428302,A000000,00800,0000,0800DIETARY 428302,A000000,00900,0000,0900NURSING ADMINISTRATION 428302,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428302,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428302,A000000,01300,0000,1300SOCIAL SERVICE 428302,A000000,01500,0000,1350OTHER GENERAL SERVICES 428302,A000000,01600,0000,1600SKILLED NURSING FACILITY 428302,A000000,01800,0000,1800NURSING FACILITY 428302,A000000,01810,0000,1810ICF/MR 428302,A000000,01900,0000,1900OTHER LONG TERM CARE 428302,A000000,02100,0000,2100RADIOLOGY 428302,A000000,02200,0000,2200LABORATORY 428302,A000000,02300,0000,2300INTRAVENOUS THERAPY 428302,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428302,A000000,02500,0000,2500PHYSICAL THERAPY 428302,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428302,A000000,02700,0000,2700SPEECH PATHOLOGY 428302,A000000,02800,0000,2800ELECTROCARDIOLOGY 428302,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428302,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428302,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428302,A000000,03200,0000,3200SUPPORT SURFACES 428302,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428302,A000000,03400,0000,3400CLINIC 428302,A000000,03500,0000,3500RURAL HEALTH CLINIC 428302,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428302,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428302,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428302,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428302,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428302,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428302,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428302,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428302,A000000,04400,0000,4400DME RENTED - HHA 428302,A000000,04500,0000,4500DME SOLD - HHA 428302,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428302,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428302,A000000,04710,0000,4710TELEMEDICINE 428302,A000000,04800,0000,4800AMBULANCE 428302,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428302,A000000,05000,0000,5000CORF 428302,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428302,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428302,A000000,05300,0000,5300INTEREST EXPENSE 428302,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428302,A000000,05500,0000,5500HOSPICE 428302,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428302,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428302,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428302,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428302,A000000,06100,0000,6100NONPAID WORKERS 428302,A000000,06200,0000,6200PATIENTS LAUNDRY 428302,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428302,A81000A,00100,0100,Y 428302,A81000B,00100,0300,HOME OFFICE COSTS 428302,A81000B,00200,0300,HOME OFFICE COSTS 428302,A81000B,00300,0300,PLANT/MAINTENANCE 428302,A81000B,00400,0300,PHARMACY COSTS 428302,A81000B,00700,0300,DIETARY 428302,A81000B,00800,0300,DEPRECIATION 428302,A81000B,00900,0300,NURSING SERVICES 428302,A81000B,01000,0300,NURSING ALLOCATION 428302,A81000B,01100,0300,EQUIP / BLDG LEASE 428302,A81000B,01200,0300,INTEREST EXPENSE 428302,A81000B,01300,0300,LABOR COSTS/SALARIES P/R TAXES 428302,A81000B,01400,0300,CNA TRAINING 428302,A81000B,01500,0300,TECHNOLOGY SERVICES 428302,A81000B,01600,0300,ADMINISTRATIVE COSTS 428302,A81000C,00100,0100,G 428302,A81000C,00100,0200,ALLEN KILGORE 428302,A81000C,00100,0400,CORNERSTONE HEALTH CARE 428302,A81000C,00100,0600,MANAGEMENT COMPANY 428302,A81000C,00200,0100,G 428302,A81000C,00200,0200,ALLEN KILGORE 428302,A81000C,00200,0400,CORNERSTONE PROP INV III 428302,A81000C,00200,0600,EQUIPMENT LEASE 428302,A81000C,00300,0100,G 428302,A81000C,00300,0200,ALLEN KILGORE 428302,A81000C,00300,0400,CENTRAL HEALTH CORP 428302,A81000C,00300,0600,PERSONNEL 428302,A81000C,00400,0100,G 428302,A81000C,00400,0200,ALLEN KILGORE 428302,A81000C,00400,0400,ENFORMIX TECHNOLOGY SERV 428302,A81000C,00400,0600,INFORMATION TECHNOLOGY 428302,A81000C,00500,0100,G 428302,A81000C,00500,0200,ALLEN KILGORE 428302,A81000C,00500,0400,CHRISTIAN HC PHARMACY 428302,A81000C,00500,0600,PHARMACY 428302,A81000C,00600,0100,G 428302,A81000C,00600,0200,ALLEN KILGORE 428302,A81000C,00600,0400,REGIONAL CARE OF REPUBLIC 428302,A81000C,00600,0600,PROPERTY LEASE 428302,A81000C,03100,0000,CONTRACT RELATIONSHIP 428302,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428302,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428302,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428302,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428302,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428302,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428302,B100000,00000,0800,0800MEALS SERVED :DIETARY 428302,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428302,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428302,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 428302,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 428302,G300000,02500,0000,OTHER INCOME 428302,S000000,00100,0200,02/28/12 428302,S200000,00100,0100,901 E HIGHWAY 174 428302,S200000,00200,0100,REPUBLIC 428302,S200000,00200,0200,MO 428302,S200000,00200,0300,65738 428302,S200000,00300,0100,GREENE 428302,S200000,00300,0200,7920 428302,S200000,00300,0201,44180 428302,S200000,00300,0300,U 428302,S200000,00400,0100,CHRISTIAN HEALTH CARE OF REPUBLIC 428302,S200000,00400,0200,265326 428302,S200000,00400,0300,05/15/88 428302,S200000,00400,0500,P 428302,S200000,01500,0100,Y 428302,S200000,01501,0200,Y 428302,S200000,01502,0200,N 428302,S200000,01503,0200,N 428302,S200000,01504,0200,N 428302,S200000,01600,0100,N 428302,S200000,01700,0100,N 428302,S200000,01800,0100,N 428302,S200000,02200,0100,N 428302,S200000,02800,0100,Y 428302,S200000,02900,0100,N 428302,S200000,03000,0100,N 428302,S200000,03100,0100,N 428302,S200000,03200,0100,N 428302,S200000,03300,0100,N 428302,S200000,03300,0200,N 428302,S200000,04100,0100,N 428302,S200000,04200,0100,N 428302,S200000,04300,0100,N 428302,S200000,04600,0100,N 428302,S200000,04700,0100,N 428302,S200000,04700,0200,N 428302,S200000,04900,0100,N 428302,S200000,05000,0100,N 428302,S200000,05100,0100,N 428302,S200000,05200,0100,N 428302,S200000,05300,0100,Y 428302,S200000,05300,0200,H57160 428302,S200000,05400,0100,CORNERSTONE HEALTH CARE INC 428302,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 428302,S200000,05400,0300,00020 428302,S200000,05500,0100,222 SOUTH FIRST STREET 428302,S200000,05600,0100,ROGERS 428302,S200000,05600,0200,AR 428302,S200000,05600,0300,72756 428303,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428303,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428303,A000000,00300,0000,0300EMPLOYEE BENEFITS 428303,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428303,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428303,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428303,A000000,00700,0000,0700HOUSEKEEPING 428303,A000000,00800,0000,0800DIETARY 428303,A000000,00900,0000,0900NURSING ADMINISTRATION 428303,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428303,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428303,A000000,01300,0000,1300SOCIAL SERVICE 428303,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428303,A000000,01500,0000,1350OTHER GENERAL SERVICES 428303,A000000,01600,0000,1600SKILLED NURSING FACILITY 428303,A000000,01800,0000,1800NURSING FACILITY 428303,A000000,01810,0000,1810ICF/MR 428303,A000000,01900,0000,1900OTHER LONG TERM CARE 428303,A000000,02100,0000,2100RADIOLOGY 428303,A000000,02200,0000,2200LABORATORY 428303,A000000,02300,0000,2300INTRAVENOUS THERAPY 428303,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428303,A000000,02500,0000,2500PHYSICAL THERAPY 428303,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428303,A000000,02700,0000,2700SPEECH PATHOLOGY 428303,A000000,02800,0000,2800ELECTROCARDIOLOGY 428303,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428303,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428303,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428303,A000000,03200,0000,3200SUPPORT SURFACES 428303,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428303,A000000,03400,0000,3400CLINIC 428303,A000000,03500,0000,3500RURAL HEALTH CLINIC 428303,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428303,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428303,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428303,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428303,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428303,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428303,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428303,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428303,A000000,04400,0000,4400DME RENTED - HHA 428303,A000000,04500,0000,4500DME SOLD - HHA 428303,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428303,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428303,A000000,04710,0000,4710TELEMEDICINE 428303,A000000,04800,0000,4800AMBULANCE 428303,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428303,A000000,05000,0000,5000CORF 428303,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428303,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428303,A000000,05300,0000,5300INTEREST EXPENSE 428303,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428303,A000000,05500,0000,5500HOSPICE 428303,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428303,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428303,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428303,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428303,A000000,06100,0000,6100NONPAID WORKERS 428303,A000000,06200,0000,6200PATIENTS LAUNDRY 428303,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428303,A81000A,00100,0100,Y 428303,A81000B,00100,0300,FACILITY LEASE 428303,A81000B,00200,0300,HOME OFFICE 428303,A81000B,00300,0300,HOME OFFICE 428303,A81000B,00400,0300,HOME OFFICE 428303,A81000B,00500,0300,WORKERS COMP INS 428303,A81000B,00600,0300,LIABILITY INS 428303,A81000B,00700,0300,INTEREST 428303,A81000C,00100,0100,A 428303,A81000C,00100,0200,JAMES J GIARDINA 428303,A81000C,00100,0400,COMMUNITY CARE CTR INC 428303,A81000C,00100,0600,MANAGEMENT CO 428303,A81000C,00200,0100,A 428303,A81000C,00200,0200,JAMES J GIARDINA 428303,A81000C,00200,0400,JAMES J GIARDINA 428303,A81000C,00200,0600,INDIVIDUAL 428303,A81000C,00300,0100,A 428303,A81000C,00300,0200,JAMES J GIARDINA 428303,A81000C,00300,0400,RISA 428303,A81000C,00300,0600,WORKERS COMP INS 428303,A81000C,00400,0100,A 428303,A81000C,00400,0200,JAMES J GIARDINA 428303,A81000C,00400,0400,RISA 428303,A81000C,00400,0600,LIABILITY INS 428303,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428303,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428303,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428303,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428303,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428303,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428303,B100000,00000,0800,0800MEALS SERVED :DIETARY 428303,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428303,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428303,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428303,G300000,02500,0000,OTHER INCOME 428303,S000000,00100,0200,02/21/12 428303,S200000,00100,0100,6 SOUTH 20TH 428303,S200000,00200,0100,BOWLING GREEN 428303,S200000,00200,0200,MO 428303,S200000,00200,0300,63334 428303,S200000,00300,0100,PIKE 428303,S200000,00300,0200,26 428303,S200000,00300,0201,99926 428303,S200000,00300,0300,R 428303,S200000,00400,0100,COUNTRY VIEW NURSING FACILITY 428303,S200000,00400,0200,265419 428303,S200000,00400,0300,02/06/90 428303,S200000,00400,0500,P 428303,S200000,01500,0100,Y 428303,S200000,01501,0200,Y 428303,S200000,01502,0200,Y 428303,S200000,01503,0200,N 428303,S200000,01504,0200,N 428303,S200000,01600,0100,N 428303,S200000,01700,0100,N 428303,S200000,01800,0100,N 428303,S200000,02200,0100,N 428303,S200000,02800,0100,Y 428303,S200000,02900,0100,N 428303,S200000,03000,0100,N 428303,S200000,03100,0100,N 428303,S200000,03200,0100,N 428303,S200000,03300,0100,N 428303,S200000,03300,0200,N 428303,S200000,04100,0100,N 428303,S200000,04200,0100,N 428303,S200000,04300,0100,N 428303,S200000,04600,0100,N 428303,S200000,04700,0100,N 428303,S200000,04700,0200,N 428303,S200000,04900,0100,N 428303,S200000,05000,0100,N 428303,S200000,05100,0100,N 428303,S200000,05200,0100,N 428303,S200000,05300,0100,Y 428303,S200000,05300,0200,H69957 428303,S200000,05400,0100,COMMUNITY CARE CENTERS INC 428303,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428303,S200000,05400,0300,05301 428303,S200000,05500,0100,312 SOLLEY DRIVE - REAR 428303,S200000,05600,0100,BALLWIN 428303,S200000,05600,0200,MO 428303,S200000,05600,0300,63021-2100 428304,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428304,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428304,A000000,00300,0000,0300EMPLOYEE BENEFITS 428304,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428304,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428304,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428304,A000000,00700,0000,0700HOUSEKEEPING 428304,A000000,00800,0000,0800DIETARY 428304,A000000,00900,0000,0900NURSING ADMINISTRATION 428304,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428304,A000000,01100,0000,1100PHARMACY 428304,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428304,A000000,01300,0000,1300SOCIAL SERVICE 428304,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428304,A000000,01500,0000,1350OTHER GENERAL SERVICES 428304,A000000,01600,0000,1600SKILLED NURSING FACILITY 428304,A000000,01800,0000,1800NURSING FACILITY 428304,A000000,01810,0000,1810ICF/MR 428304,A000000,01900,0000,1900OTHER LONG TERM CARE 428304,A000000,02100,0000,2100RADIOLOGY 428304,A000000,02200,0000,2200LABORATORY 428304,A000000,02300,0000,2300INTRAVENOUS THERAPY 428304,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428304,A000000,02500,0000,2500PHYSICAL THERAPY 428304,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428304,A000000,02700,0000,2700SPEECH PATHOLOGY 428304,A000000,02800,0000,2800ELECTROCARDIOLOGY 428304,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428304,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428304,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428304,A000000,03200,0000,3200SUPPORT SURFACES 428304,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428304,A000000,03400,0000,3400CLINIC 428304,A000000,03500,0000,3500RURAL HEALTH CLINIC 428304,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428304,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428304,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428304,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428304,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428304,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428304,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428304,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428304,A000000,04400,0000,4400DME RENTED - HHA 428304,A000000,04500,0000,4500DME SOLD - HHA 428304,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428304,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428304,A000000,04710,0000,4710TELEMEDICINE 428304,A000000,04800,0000,4800AMBULANCE 428304,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428304,A000000,05000,0000,5000CORF 428304,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428304,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428304,A000000,05300,0000,5300INTEREST EXPENSE 428304,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428304,A000000,05500,0000,5500HOSPICE 428304,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428304,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428304,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428304,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428304,A000000,06100,0000,6100NONPAID WORKERS 428304,A000000,06200,0000,6200PATIENTS LAUNDRY 428304,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428304,A81000A,00100,0100,N 428304,B100000,00000,0100,0150CENSUS :CAP REL COSTS - BLDGS 428304,B100000,00000,0200,0250CENSUS :CAP REL COSTS - MOVEAB 428304,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428304,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428304,B100000,00000,0500,0550CENSUS :PLANT OPERATION MAINT 428304,B100000,00000,0600,0650CENSUS :LAUNDRY & LINEN SERVIC 428304,B100000,00000,0700,0750CENSUS :HOUSEKEEPING 428304,B100000,00000,0800,0850CENSUS :DIETARY 428304,B100000,00000,1300,1330CENSUS :SOCIAL SERVICE 428304,G300000,02500,0000,BEAUTY & BARBER INCOME 428304,G300000,02501,0000,OPERATING TAX LEVY 428304,G300000,02502,0000,MISCELLANEOUS 428304,S000000,00100,0200,03/05/12 428304,S200000,00100,0100,ROUTE 1 BOX 212 428304,S200000,00200,0100,QUEEN CITY 428304,S200000,00200,0200,MO 428304,S200000,00200,0300,63561 428304,S200000,00300,0100,SCHUYLER 428304,S200000,00300,0200,26 428304,S200000,00300,0201,99926 428304,S200000,00300,0300,R 428304,S200000,00400,0100,SCHUYLER COUNTY NURSING HOME 428304,S200000,00400,0200,265816 428304,S200000,00400,0300,07/16/07 428304,S200000,00400,0500,P 428304,S200000,00400,0600,P 428304,S200000,01500,0100,Y 428304,S200000,01501,0200,Y 428304,S200000,01600,0100,N 428304,S200000,01700,0100,N 428304,S200000,01800,0100,N 428304,S200000,02200,0100,Y 428304,S200000,02800,0100,Y 428304,S200000,02900,0100,N 428304,S200000,03000,0100,N 428304,S200000,03100,0100,N 428304,S200000,03200,0100,Y 428304,S200000,03300,0100,N 428304,S200000,03300,0200,N 428304,S200000,04100,0100,N 428304,S200000,04200,0100,N 428304,S200000,04300,0100,N 428304,S200000,04600,0100,N 428304,S200000,04700,0100,N 428304,S200000,04700,0200,N 428304,S200000,04900,0100,N 428304,S200000,05000,0100,N 428304,S200000,05100,0100,N 428304,S200000,05200,0100,N 428304,S200000,05300,0100,N 428305,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428305,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428305,A000000,00300,0000,0300EMPLOYEE BENEFITS 428305,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428305,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428305,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428305,A000000,00700,0000,0700HOUSEKEEPING 428305,A000000,00800,0000,0800DIETARY 428305,A000000,00900,0000,0900NURSING ADMINISTRATION 428305,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428305,A000000,01100,0000,1100PHARMACY 428305,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428305,A000000,01300,0000,1300SOCIAL SERVICE 428305,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428305,A000000,01600,0000,1600SKILLED NURSING FACILITY 428305,A000000,01810,0000,1810ICF/MR 428305,A000000,01900,0000,1900OTHER LONG TERM CARE 428305,A000000,02200,0000,2200LABORATORY 428305,A000000,02500,0000,2500PHYSICAL THERAPY 428305,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428305,A000000,02700,0000,2700SPEECH PATHOLOGY 428305,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428305,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428305,A000000,03550,0000,3550FQHC 428305,A000000,05000,0000,5000CORF 428305,A000000,05010,0000,5010CMHC 428305,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428305,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428305,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428305,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428305,A81000A,00100,0100,N 428305,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428305,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428305,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428305,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428305,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428305,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428305,B100000,00000,0800,0800MEALS SERVED :DIETARY 428305,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428305,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428305,G300000,02500,0000,TRANSPORTATION 428305,G300000,02501,0000,FINANCE CHARGES 428305,G300000,02502,0000,MISCELLANEOUS INCOME 428305,S000000,00100,0200,03/09/12 428305,S200000,00100,0100,400 E. 7TH STREET 428305,S200000,00100,0300,546 428305,S200000,00200,0100,HARVARD 428305,S200000,00200,0200,NE 428305,S200000,00200,0300,68944 428305,S200000,00300,0100,CLAY 428305,S200000,00300,0201,28 428305,S200000,00300,0300,R 428305,S200000,00400,0100,HARVARD REST HOME 428305,S200000,00400,0200,285272 428305,S200000,00400,0300,05/01/06 428305,S200000,00400,0500,P 428305,S200000,01500,0100,Y 428305,S200000,01501,0200,Y 428305,S200000,01504,0200,Y 428305,S200000,01600,0100,N 428305,S200000,01700,0100,N 428305,S200000,01800,0100,N 428305,S200000,02200,0100,N 428305,S200000,02800,0100,Y 428305,S200000,02900,0100,N 428305,S200000,03000,0100,N 428305,S200000,03100,0100,N 428305,S200000,03200,0100,N 428305,S200000,03300,0100,N 428305,S200000,03300,0200,N 428305,S200000,04100,0100,N 428305,S200000,04200,0100,N 428305,S200000,04300,0100,N 428305,S200000,04600,0100,N 428305,S200000,04700,0100,N 428305,S200000,04700,0200,N 428305,S200000,04900,0100,N 428305,S200000,05000,0100,N 428305,S200000,05100,0100,N 428305,S200000,05200,0100,N 428305,S200000,05300,0100,N 428308,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428308,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428308,A000000,00300,0000,0300EMPLOYEE BENEFITS 428308,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428308,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428308,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428308,A000000,00700,0000,0700HOUSEKEEPING 428308,A000000,00800,0000,0800DIETARY 428308,A000000,00900,0000,0900NURSING ADMINISTRATION 428308,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428308,A000000,01100,0000,1100PHARMACY 428308,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428308,A000000,01300,0000,1300SOCIAL SERVICE 428308,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428308,A000000,01600,0000,1600SKILLED NURSING FACILITY 428308,A000000,01800,0000,1800NURSING FACILITY 428308,A000000,01810,0000,1810ICF/MR 428308,A000000,02100,0000,2100RADIOLOGY 428308,A000000,02200,0000,2200LABORATORY 428308,A000000,02500,0000,2500PHYSICAL THERAPY 428308,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428308,A000000,02700,0000,2700SPEECH PATHOLOGY 428308,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428308,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428308,A000000,03550,0000,3550FQHC 428308,A000000,05000,0000,5000CORF 428308,A000000,05010,0000,5010CMHC 428308,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428308,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428308,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428308,A000000,05300,0000,5300INTEREST EXPENSE 428308,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428308,A81000A,00100,0100,Y 428308,A81000B,00100,0300,HOME OFFICE COSTS 428308,A81000C,00100,0100,B 428308,A81000C,00100,0200,SAINT CLARE HOM 428308,A81000C,00100,0400,OSF HEALTHCARE 428308,A81000C,00100,0600,HEALTHCARE PARE 428308,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428308,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428308,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428308,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428308,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428308,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428308,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428308,B100000,00000,0800,0800MEALS SERVED :DIETARY 428308,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428308,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428308,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428308,E10A180,00301,0100,04/20/11 428308,G300000,02500,0000,MANAGEMENT FEE 428308,G300000,02501,0000,PHYSICIAN OFFICE RENTAL 428308,G300000,02502,0000,BEAUTY SHOP 428308,G300000,02503,0000,MISCELLANEOUS INCOME 428308,S000000,00100,0200,02/23/12 428308,S200000,00100,0100,5533 N. GALENA ROAD 428308,S200000,00200,0100,PEORIA HEIGHTS 428308,S200000,00200,0200,IL 428308,S200000,00200,0300,61614 428308,S200000,00300,0100,PEORIA 428308,S200000,00300,0201,37900 428308,S200000,00300,0300,U 428308,S200000,00400,0100,ST. CLARE HOME 428308,S200000,00400,0200,145239 428308,S200000,00400,0300,08/31/98 428308,S200000,00400,0500,P 428308,S200000,00600,0200,145239 428308,S200000,00600,0300,08/31/98 428308,S200000,00600,0600,O 428308,S200000,01500,0100,N 428308,S200000,01600,0100,Y 428308,S200000,01700,0100,N 428308,S200000,01800,0100,N 428308,S200000,02200,0100,Y 428308,S200000,02800,0100,N 428308,S200000,02900,0100,N 428308,S200000,03000,0100,N 428308,S200000,03100,0100,N 428308,S200000,03200,0100,N 428308,S200000,03300,0100,N 428308,S200000,03300,0200,N 428308,S200000,03500,0300,N 428308,S200000,04100,0100,N 428308,S200000,04200,0100,N 428308,S200000,04300,0100,N 428308,S200000,04600,0100,N 428308,S200000,04700,0100,N 428308,S200000,04700,0200,N 428308,S200000,04900,0100,N 428308,S200000,05000,0100,N 428308,S200000,05100,0100,N 428308,S200000,05200,0100,N 428308,S200000,05300,0100,Y 428308,S200000,05300,0200,149006 428308,S200000,05400,0100,OSF HEALTHCARE SYSTEM 428308,S200000,05400,0200,WPS 428308,S200000,05400,0300,52280 428308,S200000,05500,0100,800 NE GLEN OAK AVE 428308,S200000,05600,0100,PEORIA 428308,S200000,05600,0200,IL 428308,S200000,05600,0300,61603 428312,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428312,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428312,A000000,00300,0000,0300EMPLOYEE BENEFITS 428312,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428312,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428312,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428312,A000000,00700,0000,0700HOUSEKEEPING 428312,A000000,00800,0000,0800DIETARY 428312,A000000,00900,0000,0900NURSING ADMINISTRATION 428312,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428312,A000000,01100,0000,1100PHARMACY 428312,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428312,A000000,01300,0000,1300SOCIAL SERVICE 428312,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428312,A000000,01500,0000,1350RECREATION 428312,A000000,01600,0000,1600SKILLED NURSING FACILITY 428312,A000000,01810,0000,1810ICF/MR 428312,A000000,02100,0000,2100RADIOLOGY 428312,A000000,02200,0000,2200LABORATORY 428312,A000000,02300,0000,2300INTRAVENOUS THERAPY 428312,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428312,A000000,02500,0000,2500PHYSICAL THERAPY 428312,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428312,A000000,02700,0000,2700SPEECH PATHOLOGY 428312,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428312,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428312,A000000,03550,0000,3550FQHC 428312,A000000,05000,0000,5000CORF 428312,A000000,05010,0000,5010CMHC 428312,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428312,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428312,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428312,A81000A,00100,0100,Y 428312,A81000B,00100,0300,SEE ATTACHED 428312,A81000B,00200,0300,CAPITAL INTEREST 428312,A81000B,00300,0300,HOME OFFICE 428312,A81000B,00400,0300,HOME OFFICE 428312,A81000C,00100,0100,B 428312,A81000C,00100,0400,SEE ATTACHED 428312,A81000C,00100,0600,VARIOUS 428312,A81000C,00200,0100,B 428312,A81000C,00200,0400,GHC 428312,A81000C,00200,0600,LONG TERM CARE 428312,A81000C,00300,0100,B 428312,A81000C,00300,0400,GHC 428312,A81000C,00300,0600,LONG TERM CARE 428312,A81000C,00400,0100,B 428312,A81000C,00400,0400,GHC 428312,A81000C,00400,0600,LONG TERM CARE 428312,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428312,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428312,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428312,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428312,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428312,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428312,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428312,B100000,00000,0800,0800MEALS SERVED :DIETARY 428312,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428312,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428312,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428312,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428312,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428312,S000000,00100,0200,02/27/12 428312,S200000,00100,0100,27 COOL STREET 428312,S200000,00200,0100,WATERVILLE 428312,S200000,00200,0200,ME 428312,S200000,00200,0300,04901 428312,S200000,00300,0100,KENNEBEC 428312,S200000,00300,0201,99920 428312,S200000,00300,0300,R 428312,S200000,00400,0100,OAK GROVE CENTER 428312,S200000,00400,0200,205091 428312,S200000,00400,0300,01/01/93 428312,S200000,00400,0500,P 428312,S200000,01500,0100,Y 428312,S200000,01501,0200,N 428312,S200000,01502,0200,N 428312,S200000,01503,0200,Y 428312,S200000,01504,0200,Y 428312,S200000,01600,0100,N 428312,S200000,01700,0100,N 428312,S200000,01800,0100,N 428312,S200000,01900,0100,LLC 428312,S200000,02200,0100,Y 428312,S200000,02800,0100,N 428312,S200000,02900,0100,N 428312,S200000,03000,0100,N 428312,S200000,03100,0100,N 428312,S200000,03200,0100,N 428312,S200000,03300,0100,N 428312,S200000,03300,0200,N 428312,S200000,04100,0100,N 428312,S200000,04200,0100,N 428312,S200000,04300,0100,N 428312,S200000,04600,0100,N 428312,S200000,04700,0100,N 428312,S200000,04700,0200,N 428312,S200000,04900,0100,N 428312,S200000,05000,0100,N 428312,S200000,05100,0100,N 428312,S200000,05200,0100,N 428312,S200000,05300,0100,Y 428312,S200000,05300,0200,HB0067 428312,S200000,05400,0100,GENESIS HEALTHCARE LLC 428312,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428312,S200000,05400,0300,12001 428312,S200000,05500,0100,101 EAST STATE STREET 428312,S200000,05600,0100,KENNETT SQUARE 428312,S200000,05600,0200,PA 428312,S200000,05600,0300,19348 428313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428313,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428313,A000000,00300,0000,0300EMPLOYEE BENEFITS 428313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428313,A000000,00700,0000,0700HOUSEKEEPING 428313,A000000,00800,0000,0800DIETARY 428313,A000000,00900,0000,0900NURSING ADMINISTRATION 428313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428313,A000000,01100,0000,1100PHARMACY 428313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428313,A000000,01300,0000,1300SOCIAL SERVICE 428313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428313,A000000,01500,0000,1350RECREATION 428313,A000000,01600,0000,1600SKILLED NURSING FACILITY 428313,A000000,01810,0000,1810ICF/MR 428313,A000000,02100,0000,2100RADIOLOGY 428313,A000000,02200,0000,2200LABORATORY 428313,A000000,02300,0000,2300INTRAVENOUS THERAPY 428313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428313,A000000,02500,0000,2500PHYSICAL THERAPY 428313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428313,A000000,02700,0000,2700SPEECH PATHOLOGY 428313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428313,A000000,03550,0000,3550FQHC 428313,A000000,05000,0000,5000CORF 428313,A000000,05010,0000,5010CMHC 428313,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428313,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428313,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428313,A000000,06300,0000,6150RESIDENTIAL 428313,A81000A,00100,0100,Y 428313,A81000B,00100,0300,SEE ATTACHED 428313,A81000B,00200,0300,HOME OFFICE INTEREST 428313,A81000B,00300,0300,HOME OFFICE ADMIN 428313,A81000B,00400,0300,HOME OFFICE CAPITAL 428313,A81000C,00100,0100,B 428313,A81000C,00100,0400,SEE ATTACHED 428313,A81000C,00100,0600,VARIOUS 428313,A81000C,00200,0100,B 428313,A81000C,00200,0400,GHC 428313,A81000C,00200,0600,LONG TERM CARE 428313,A81000C,00300,0100,B 428313,A81000C,00300,0400,GHC 428313,A81000C,00300,0600,LONG TERM CARE 428313,A81000C,00400,0100,B 428313,A81000C,00400,0400,GHC 428313,A81000C,00400,0600,LONG TERM CARE 428313,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428313,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428313,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428313,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428313,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428313,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428313,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428313,B100000,00000,0800,0800MEALS SERVED :DIETARY 428313,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428313,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428313,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428313,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428313,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428313,G300000,02500,0000,ASSISTED LIVING 428313,S000000,00100,0200,02/27/12 428313,S200000,00100,0100,2 FOOTBRIDGE ROAD 428313,S200000,00200,0100,BELFAST 428313,S200000,00200,0200,ME 428313,S200000,00200,0300,04915-7206 428313,S200000,00300,0100,WALDO 428313,S200000,00300,0201,99920 428313,S200000,00300,0300,R 428313,S200000,00400,0100,HARBOR HILL CENTER 428313,S200000,00400,0200,205122 428313,S200000,00400,0300,01/25/95 428313,S200000,00400,0500,P 428313,S200000,01500,0100,Y 428313,S200000,01501,0200,Y 428313,S200000,01502,0200,N 428313,S200000,01503,0200,N 428313,S200000,01504,0200,N 428313,S200000,01600,0100,N 428313,S200000,01700,0100,N 428313,S200000,01800,0100,N 428313,S200000,01900,0100,LLC 428313,S200000,02200,0100,Y 428313,S200000,02800,0100,N 428313,S200000,02900,0100,N 428313,S200000,03000,0100,N 428313,S200000,03100,0100,N 428313,S200000,03200,0100,N 428313,S200000,03300,0100,N 428313,S200000,03300,0200,N 428313,S200000,04100,0100,N 428313,S200000,04200,0100,N 428313,S200000,04300,0100,N 428313,S200000,04600,0100,N 428313,S200000,04700,0100,N 428313,S200000,04700,0200,N 428313,S200000,04900,0100,N 428313,S200000,05000,0100,N 428313,S200000,05100,0100,N 428313,S200000,05200,0100,N 428313,S200000,05300,0100,Y 428313,S200000,05300,0200,HB0067 428313,S200000,05400,0100,GENESIS HEALTHCARE LLC 428313,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428313,S200000,05400,0300,12001 428313,S200000,05500,0100,101 EAST STATE STREET 428313,S200000,05600,0100,KENNETT SQUARE 428313,S200000,05600,0200,PA 428313,S200000,05600,0300,19348 428314,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428314,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428314,A000000,00300,0000,0300EMPLOYEE BENEFITS 428314,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428314,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428314,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428314,A000000,00700,0000,0700HOUSEKEEPING 428314,A000000,00800,0000,0800DIETARY 428314,A000000,00900,0000,0900NURSING ADMINISTRATION 428314,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428314,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428314,A000000,01300,0000,1300SOCIAL SERVICE 428314,A000000,01500,0000,1350RECREATION 428314,A000000,01600,0000,1600SKILLED NURSING FACILITY 428314,A000000,01810,0000,1810ICF/MR 428314,A000000,02100,0000,2100RADIOLOGY 428314,A000000,02200,0000,2200LABORATORY 428314,A000000,02300,0000,2300INTRAVENOUS THERAPY 428314,A000000,02500,0000,2500PHYSICAL THERAPY 428314,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428314,A000000,02700,0000,2700SPEECH PATHOLOGY 428314,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428314,A000000,03550,0000,3550FQHC 428314,A000000,05000,0000,5000CORF 428314,A000000,05010,0000,5010CMHC 428314,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428314,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428314,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428314,A000000,06300,0000,6150RESIDENTIAL 428314,A81000A,00100,0100,Y 428314,A81000B,00100,0300,AS ATTACHED 428314,A81000B,00200,0300,HOME OFFICE-INTEREST 428314,A81000B,00300,0300,HOME OFFICE-A&G 428314,A81000B,00400,0300,HOME OFFICE-CAP PIEC 428314,A81000C,00100,0100,B 428314,A81000C,00100,0400,AS ATTACHED 428314,A81000C,00100,0600,VARIOUS 428314,A81000C,00200,0100,B 428314,A81000C,00200,0400,GHC 428314,A81000C,00200,0600,LONG TERM CARE 428314,A81000C,00300,0100,B 428314,A81000C,00300,0400,GHC 428314,A81000C,00300,0600,LONG TERM CARE 428314,A81000C,00400,0100,B 428314,A81000C,00400,0400,GHC 428314,A81000C,00400,0600,LONG TERM CARE 428314,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428314,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428314,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428314,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428314,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428314,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428314,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428314,B100000,00000,0800,0800MEALS SERVED :DIETARY 428314,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428314,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428314,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428314,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428314,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428314,G300000,02500,0000, INTEREST INCOME 428314,G300000,02501,0000, ASSISTED LIVING 428314,S000000,00100,0200,02/27/12 428314,S200000,00100,0100,105 MECHANIC STREET 428314,S200000,00200,0100,CAMDEN 428314,S200000,00200,0200,ME 428314,S200000,00200,0300,04843 428314,S200000,00300,0100,KNOX 428314,S200000,00300,0201,99920 428314,S200000,00300,0300,R 428314,S200000,00400,0100,WINDWARD GARDENS 428314,S200000,00400,0200,205180 428314,S200000,00400,0300,04/23/94 428314,S200000,00400,0500,P 428314,S200000,01500,0100,Y 428314,S200000,01501,0200,N 428314,S200000,01502,0200,N 428314,S200000,01503,0200,N 428314,S200000,01504,0200,N 428314,S200000,01600,0100,N 428314,S200000,01700,0100,N 428314,S200000,01800,0100,N 428314,S200000,01900,0100,LLC 428314,S200000,02200,0100,Y 428314,S200000,02800,0100,N 428314,S200000,02900,0100,N 428314,S200000,03000,0100,N 428314,S200000,03100,0100,N 428314,S200000,03200,0100,N 428314,S200000,03300,0100,N 428314,S200000,03300,0200,N 428314,S200000,04100,0100,N 428314,S200000,04200,0100,N 428314,S200000,04300,0100,N 428314,S200000,04600,0100,N 428314,S200000,04700,0100,N 428314,S200000,04700,0200,N 428314,S200000,04900,0100,N 428314,S200000,05000,0100,N 428314,S200000,05100,0100,N 428314,S200000,05200,0100,N 428314,S200000,05300,0100,Y 428314,S200000,05300,0200,HB0067 428314,S200000,05400,0100,GENESIS HEALTHCARE LLC 428314,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428314,S200000,05400,0300,12001 428314,S200000,05500,0100,101 EAST STATE STREET 428314,S200000,05600,0100,KENNETT SQUARE 428314,S200000,05600,0200,PA 428314,S200000,05600,0300,19348 428315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428315,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428315,A000000,00300,0000,0300EMPLOYEE BENEFITS 428315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428315,A000000,00700,0000,0700HOUSEKEEPING 428315,A000000,00800,0000,0800DIETARY 428315,A000000,00900,0000,0900NURSING ADMINISTRATION 428315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428315,A000000,01100,0000,1100PHARMACY 428315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428315,A000000,01300,0000,1300SOCIAL SERVICE 428315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428315,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428315,A000000,01600,0000,1600SKILLED NURSING FACILITY 428315,A000000,01800,0000,1800NURSING FACILITY 428315,A000000,01900,0000,1900OTHER LONG TERM CARE 428315,A000000,02100,0000,2100RADIOLOGY 428315,A000000,02200,0000,2200LABORATORY 428315,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428315,A000000,02500,0000,2500PHYSICAL THERAPY 428315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428315,A000000,02700,0000,2700SPEECH PATHOLOGY 428315,A000000,02800,0000,2800ELECTROCARDIOLOGY 428315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428315,A000000,04800,0000,4800AMBULANCE 428315,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428315,A81000A,00100,0100,Y 428315,A81000B,00100,0300,OFFICE SPACE RENTAL 428315,A81000B,00200,0300,BLDG DEPRECIATION - HILL HOUSE DAYCA 428315,A81000B,00300,0300,DAYCARE COSTS 428315,A81000C,00100,0100,A 428315,A81000C,00100,0200,MARGARET PERRY 428315,A81000C,00100,0400,HILL HOUSE DAYC 428315,A81000C,00100,0600,CORP 428315,A81000C,00200,0100,A 428315,A81000C,00200,0200,MARGARET PERRY 428315,A81000C,00200,0400,PICARD PLACE 428315,A81000C,00200,0600,CORP 428315,A81000C,00300,0100,A 428315,A81000C,00300,0200,MARGARET PERRY 428315,A81000C,00300,0400,HILL HOUSE DAYC 428315,A81000C,00300,0600,CORP 428315,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428315,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428315,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428315,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428315,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428315,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428315,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428315,B100000,00000,0800,0800MEALS SERVED :DIETARY 428315,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428315,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428315,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428315,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428315,G300000,02501,0000,MISC INCOME 428315,G300000,02502,0000,BEAUTY & BARBER 428315,G300000,02503,0000,BAD DEBT RECOVERY 428315,G300000,02504,0000,OFFICER INTEREST INCOME 428315,S000000,00100,0200,02/27/12 428315,S200000,00100,0100,33 ATKINSON STREET 428315,S200000,00200,0100,BELLOWS FALLS 428315,S200000,00200,0200,VT 428315,S200000,00200,0300,05101 428315,S200000,00300,0100,WINDSOR 428315,S200000,00300,0200,0047 428315,S200000,00300,0201,99947 428315,S200000,00300,0300,R 428315,S200000,00400,0100,MCGIRR NURSING HOME 428315,S200000,00400,0200,475054 428315,S200000,00400,0300,05/01/96 428315,S200000,00400,0500,P 428315,S200000,01500,0100,Y 428315,S200000,01501,0200,Y 428315,S200000,01502,0200,N 428315,S200000,01504,0200,Y 428315,S200000,01600,0100,N 428315,S200000,01700,0100,N 428315,S200000,01800,0100,N 428315,S200000,02200,0100,N 428315,S200000,02800,0100,N 428315,S200000,02900,0100,N 428315,S200000,03000,0100,N 428315,S200000,03100,0100,N 428315,S200000,03200,0100,N 428315,S200000,03300,0100,N 428315,S200000,03300,0200,N 428315,S200000,04100,0100,N 428315,S200000,04200,0100,N 428315,S200000,04300,0100,N 428315,S200000,04600,0100,N 428315,S200000,04700,0100,N 428315,S200000,04700,0200,N 428315,S200000,04900,0100,N 428315,S200000,05000,0100,N 428315,S200000,05100,0100,N 428315,S200000,05200,0100,N 428315,S200000,05300,0100,N 428323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428323,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428323,A000000,00300,0000,0300EMPLOYEE BENEFITS 428323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428323,A000000,00700,0000,0700HOUSEKEEPING 428323,A000000,00800,0000,0800DIETARY 428323,A000000,00900,0000,0900NURSING ADMINISTRATION 428323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428323,A000000,01300,0000,1300SOCIAL SERVICE 428323,A000000,01600,0000,1600SKILLED NURSING FACILITY 428323,A000000,01800,0000,1800NURSING FACILITY 428323,A000000,01900,0000,1900OTHER LONG TERM CARE 428323,A000000,02100,0000,2100RADIOLOGY 428323,A000000,02200,0000,2200LABORATORY 428323,A000000,02300,0000,2300INTRAVENOUS THERAPY 428323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428323,A000000,02500,0000,2500PHYSICAL THERAPY 428323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428323,A000000,02700,0000,2700SPEECH PATHOLOGY 428323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428323,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428323,A000000,03200,0000,3200SUPPORT SURFACES 428323,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428323,A000000,04800,0000,4800AMBULANCE 428323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428323,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428323,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428323,A81000A,00100,0100,Y 428323,A81000B,00100,0300,MANAGEMENT FEES 428323,A81000B,00200,0300,HO ALLOWABLE - CAPITAL BLDG 428323,A81000B,00300,0300,HO ALLOWABLE - NON CAPITAL 428323,A81000B,00400,0300,HO ALLOWABLE - CAPITAL EQUIP 428323,A81000C,00100,0100,B 428323,A81000C,00100,0400,PACIFIC RETIREM 428323,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428323,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428323,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428323,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428323,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428323,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428323,B100000,00000,0800,0800MEALS SERVED :DIETARY 428323,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428323,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428323,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428323,G300000,02500,0000, OTHER (SPECIFY) 428323,S000000,00100,0200,02/29/12 428323,S200000,00100,0100,1300 NE 16TH AVENUE 428323,S200000,00200,0100,PORTLAND 428323,S200000,00200,0200,OR 428323,S200000,00200,0300,97232 428323,S200000,00300,0100,MULTNOMAH 428323,S200000,00300,0201,38900 428323,S200000,00300,0300,U 428323,S200000,00400,0100,HOLIDAY PARK PLAZA 428323,S200000,00400,0200,385259 428323,S200000,00400,0300,11/24/98 428323,S200000,00400,0500,P 428323,S200000,01500,0100,N 428323,S200000,01600,0100,N 428323,S200000,01700,0100,N 428323,S200000,01800,0100,N 428323,S200000,02200,0100,N 428323,S200000,02800,0100,N 428323,S200000,02900,0100,N 428323,S200000,03000,0100,N 428323,S200000,03100,0100,N 428323,S200000,03200,0100,N 428323,S200000,03300,0100,N 428323,S200000,03300,0200,N 428323,S200000,04100,0100,N 428323,S200000,04200,0100,N 428323,S200000,04300,0100,N 428323,S200000,04600,0100,N 428323,S200000,04700,0100,N 428323,S200000,04700,0200,N 428323,S200000,04900,0100,N 428323,S200000,05000,0100,N 428323,S200000,05100,0100,N 428323,S200000,05200,0100,N 428323,S200000,05300,0100,Y 428323,S200000,05300,0200,389109 428323,S200000,05400,0100,PACIFIC RETIREMENT SVCS 428323,S200000,05400,0200,WPS 428323,S200000,05400,0300,01001 428323,S200000,05500,0100,1200 MIRA MAR AVENUE 428323,S200000,05600,0100,MEDFORD 428323,S200000,05600,0200,OR 428323,S200000,05600,0300,97504 428324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428324,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428324,A000000,00300,0000,0300EMPLOYEE BENEFITS 428324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428324,A000000,00700,0000,0700HOUSEKEEPING 428324,A000000,00800,0000,0800DIETARY 428324,A000000,00801,0000,0801SHARED DIETARY SERVICES 428324,A000000,00900,0000,0900NURSING ADMINISTRATION 428324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428324,A000000,01100,0000,1100PHARMACY 428324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428324,A000000,01201,0000,1201ACTIVITIES 428324,A000000,01300,0000,1300SOCIAL SERVICE 428324,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428324,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428324,A000000,01500,0000,1350OTHER GENERAL SERVICES 428324,A000000,01600,0000,1600SKILLED NURSING FACILITY 428324,A000000,01800,0000,1800NURSING FACILITY 428324,A000000,01810,0000,1810ICF/MR 428324,A000000,01900,0000,1900OTHER LONG TERM CARE 428324,A000000,02100,0000,2100RADIOLOGY 428324,A000000,02200,0000,2200LABORATORY 428324,A000000,02300,0000,2300INTRAVENOUS THERAPY 428324,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428324,A000000,02500,0000,2500PHYSICAL THERAPY 428324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428324,A000000,02700,0000,2700SPEECH PATHOLOGY 428324,A000000,02800,0000,2800ELECTROCARDIOLOGY 428324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428324,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428324,A000000,03200,0000,3200SUPPORT SURFACES 428324,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428324,A000000,03400,0000,3400CLINIC 428324,A000000,03500,0000,3500RURAL HEALTH CLINIC 428324,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428324,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428324,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428324,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428324,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428324,A000000,05300,0000,5300INTEREST EXPENSE 428324,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428324,A000000,05500,0000,5500HOSPICE 428324,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428324,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428324,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428324,A000000,06100,0000,6100NONPAID WORKERS 428324,A000000,06200,0000,6200PATIENTS LAUNDRY 428324,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428324,A000000,06301,0000,6151MEALS ON WHEELS 428324,A000000,06302,0000,6152HOSPITAL SERVICES 428324,A000000,06303,0000,6153ADULT DAY CARE 428324,A81000A,00100,0100,Y 428324,A81000B,00100,0300,ADMIN/ACCOUNTING 428324,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428324,A81000B,00300,0300,HEALTH INSURANCE 428324,A81000B,00400,0300,WORKERS COMP 428324,A81000B,00500,0300,PROPERTY INSURANCE 428324,A81000B,00600,0300,LIABILITY INSURANCE 428324,A81000B,00700,0300,VEHICLE INSURANCE 428324,A81000B,00800,0300,NURSING EDUCATION 428324,A81000C,00100,0100,B 428324,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428324,A81000C,00100,0600,HEALTH CARE 428324,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428324,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428324,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428324,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428324,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428324,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428324,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428324,B100000,00000,0800,0800MEALS SERVED :DIETARY 428324,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428324,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428324,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428324,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428324,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428324,S000000,00100,0200,01/31/12 428324,S200000,00100,0100,411 CALUMET AVENUE 428324,S200000,00200,0100,DE SMET 428324,S200000,00200,0200,SD 428324,S200000,00200,0300,57231 428324,S200000,00300,0100,KINGSBURY 428324,S200000,00300,0201,99943 428324,S200000,00300,0300,R 428324,S200000,00400,0100,GOOD SAMARITAN SOCIETY- DESMET 428324,S200000,00400,0200,435074 428324,S200000,00400,0300,03/01/94 428324,S200000,00400,0500,P 428324,S200000,01500,0100,Y 428324,S200000,01501,0200,Y 428324,S200000,01502,0200,Y 428324,S200000,01504,0200,Y 428324,S200000,01505,0000,HEALTH INSURANCE 428324,S200000,01505,0200,N 428324,S200000,01506,0000,PENSION 428324,S200000,01506,0200,N 428324,S200000,01600,0100,N 428324,S200000,01700,0100,N 428324,S200000,01800,0100,N 428324,S200000,02200,0100,N 428324,S200000,02800,0100,N 428324,S200000,02900,0100,N 428324,S200000,03000,0100,N 428324,S200000,03100,0100,N 428324,S200000,03200,0100,N 428324,S200000,03300,0100,N 428324,S200000,03300,0200,N 428324,S200000,04100,0100,N 428324,S200000,04200,0100,N 428324,S200000,04300,0100,N 428324,S200000,04600,0100,N 428324,S200000,04700,0100,N 428324,S200000,04700,0200,N 428324,S200000,04900,0100,N 428324,S200000,05000,0100,N 428324,S200000,05100,0100,N 428324,S200000,05200,0100,N 428324,S200000,05300,0100,Y 428324,S200000,05300,0200,439100 428324,S200000,05400,0100,ELGSS 428324,S200000,05400,0200,NORIDIAN 428324,S200000,05400,0300,03001 428324,S200000,05500,0100,4800 WEST 57TH STREET 428324,S200000,05500,0200,5038 428324,S200000,05600,0100,SIOUX FALLS 428324,S200000,05600,0200,SD 428324,S200000,05600,0300,57117-5038 428325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428325,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428325,A000000,00300,0000,0300EMPLOYEE BENEFITS 428325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428325,A000000,00700,0000,0700HOUSEKEEPING 428325,A000000,00800,0000,0800DIETARY 428325,A000000,00801,0000,0801SHARED DIETARY SERVICES 428325,A000000,00900,0000,0900NURSING ADMINISTRATION 428325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428325,A000000,01100,0000,1100PHARMACY 428325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428325,A000000,01201,0000,1201ACTIVITIES 428325,A000000,01300,0000,1300SOCIAL SERVICE 428325,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428325,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428325,A000000,01500,0000,1350OTHER GENERAL SERVICES 428325,A000000,01600,0000,1600SKILLED NURSING FACILITY 428325,A000000,01800,0000,1800NURSING FACILITY 428325,A000000,01810,0000,1810ICF/MR 428325,A000000,01900,0000,1900OTHER LONG TERM CARE 428325,A000000,02100,0000,2100RADIOLOGY 428325,A000000,02200,0000,2200LABORATORY 428325,A000000,02300,0000,2300INTRAVENOUS THERAPY 428325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428325,A000000,02500,0000,2500PHYSICAL THERAPY 428325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428325,A000000,02700,0000,2700SPEECH PATHOLOGY 428325,A000000,02800,0000,2800ELECTROCARDIOLOGY 428325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428325,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428325,A000000,03200,0000,3200SUPPORT SURFACES 428325,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428325,A000000,03400,0000,3400CLINIC 428325,A000000,03500,0000,3500RURAL HEALTH CLINIC 428325,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428325,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428325,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428325,A000000,05300,0000,5300INTEREST EXPENSE 428325,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428325,A000000,05500,0000,5500HOSPICE 428325,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428325,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428325,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428325,A000000,06100,0000,6100NONPAID WORKERS 428325,A000000,06200,0000,6200PATIENTS LAUNDRY 428325,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428325,A000000,06301,0000,6151DUPLEXES 428325,A000000,06302,0000,6152MEALS ON WHEELS 428325,A81000A,00100,0100,Y 428325,A81000B,00100,0300,ADMIN/ACCOUNTING 428325,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428325,A81000B,00300,0300,HEALTH INSURANCE 428325,A81000B,00400,0300,WORKERS COMP 428325,A81000B,00500,0300,PROPERTY INSURANCE 428325,A81000B,00600,0300,LIABILITY INSURANCE 428325,A81000B,00700,0300,VEHICLE INSURANCE 428325,A81000B,00800,0300,EDUCATION EXPENSE 428325,A81000C,00100,0100,B 428325,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428325,A81000C,00100,0600,HEALTH CARE 428325,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428325,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428325,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428325,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428325,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428325,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428325,B100000,00000,0800,0800MEALS SERVED :DIETARY 428325,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428325,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428325,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428325,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428325,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428325,S000000,00100,0200,01/31/12 428325,S200000,00100,0100,300 W HAZEL AVENUE 428325,S200000,00200,0100,HOWARD 428325,S200000,00200,0200,SD 428325,S200000,00200,0300,57349-8700 428325,S200000,00300,0100,MINER 428325,S200000,00300,0201,99943 428325,S200000,00300,0300,R 428325,S200000,00400,0100,GOOD SAMARITAN SOCIETY-HOWARD 428325,S200000,00400,0200,435075 428325,S200000,00400,0300,03/01/94 428325,S200000,00400,0500,P 428325,S200000,01500,0100,Y 428325,S200000,01501,0200,Y 428325,S200000,01504,0200,Y 428325,S200000,01505,0000,HEALTH INSURANCE 428325,S200000,01505,0200,N 428325,S200000,01506,0000,PENSION 428325,S200000,01506,0200,Y 428325,S200000,01600,0100,N 428325,S200000,01700,0100,N 428325,S200000,01800,0100,N 428325,S200000,02200,0100,N 428325,S200000,02800,0100,N 428325,S200000,02900,0100,N 428325,S200000,03000,0100,N 428325,S200000,03100,0100,N 428325,S200000,03200,0100,N 428325,S200000,03300,0100,N 428325,S200000,03300,0200,N 428325,S200000,04100,0100,N 428325,S200000,04200,0100,N 428325,S200000,04300,0100,N 428325,S200000,04600,0100,N 428325,S200000,04700,0100,N 428325,S200000,04700,0200,N 428325,S200000,04900,0100,N 428325,S200000,05000,0100,N 428325,S200000,05100,0100,N 428325,S200000,05200,0100,N 428325,S200000,05300,0100,Y 428325,S200000,05300,0200,439100 428325,S200000,05400,0100,ELGSS 428325,S200000,05400,0200,NORIDIAN 428325,S200000,05400,0300,03001 428325,S200000,05500,0100,4800 WEST 57TH STREET 428325,S200000,05500,0200,5038 428325,S200000,05600,0100,SIOUX FALLS 428325,S200000,05600,0200,SD 428325,S200000,05600,0300,57117-5038 428326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428326,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428326,A000000,00300,0000,0300EMPLOYEE BENEFITS 428326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428326,A000000,00700,0000,0700HOUSEKEEPING 428326,A000000,00800,0000,0800DIETARY 428326,A000000,00801,0000,0801SHARED DIETARY SERVICES 428326,A000000,00900,0000,0900NURSING ADMINISTRATION 428326,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428326,A000000,01100,0000,1100PHARMACY 428326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428326,A000000,01201,0000,1201ACTIVITIES 428326,A000000,01300,0000,1300SOCIAL SERVICE 428326,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428326,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428326,A000000,01500,0000,1350OTHER GENERAL SERVICES 428326,A000000,01600,0000,1600SKILLED NURSING FACILITY 428326,A000000,01800,0000,1800NURSING FACILITY 428326,A000000,01810,0000,1810ICF/MR 428326,A000000,01900,0000,1900OTHER LONG TERM CARE 428326,A000000,02100,0000,2100RADIOLOGY 428326,A000000,02200,0000,2200LABORATORY 428326,A000000,02300,0000,2300INTRAVENOUS THERAPY 428326,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428326,A000000,02500,0000,2500PHYSICAL THERAPY 428326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428326,A000000,02700,0000,2700SPEECH PATHOLOGY 428326,A000000,02800,0000,2800ELECTROCARDIOLOGY 428326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428326,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428326,A000000,03200,0000,3200SUPPORT SURFACES 428326,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428326,A000000,03400,0000,3400CLINIC 428326,A000000,03500,0000,3500RURAL HEALTH CLINIC 428326,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428326,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428326,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428326,A000000,05300,0000,5300INTEREST EXPENSE 428326,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428326,A000000,05500,0000,5500HOSPICE 428326,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428326,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428326,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428326,A000000,06100,0000,6100NONPAID WORKERS 428326,A000000,06200,0000,6200PATIENTS LAUNDRY 428326,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428326,A81000A,00100,0100,Y 428326,A81000B,00100,0300,ADMIN/ACCOUNTING 428326,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428326,A81000B,00300,0300,HEALTH INSURANCE 428326,A81000B,00400,0300,WORKERS COMP 428326,A81000B,00500,0300,PROPERTY INSURANCE 428326,A81000B,00600,0300,LIABILITY INSURANCE 428326,A81000B,00700,0300,VEHICLE INSURANCE 428326,A81000C,00100,0100,B 428326,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428326,A81000C,00100,0600,HEALTH CARE 428326,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428326,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428326,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428326,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428326,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428326,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428326,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428326,B100000,00000,0800,0800MEALS SERVED :DIETARY 428326,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428326,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428326,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428326,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428326,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428326,S000000,00100,0200,01/31/12 428326,S200000,00100,0100,404 EAST 6TH AVE 428326,S200000,00200,0100,LENNOX 428326,S200000,00200,0200,SD 428326,S200000,00200,0300,57039-0078 428326,S200000,00300,0100,LINCOLN 428326,S200000,00300,0200,7760 428326,S200000,00300,0201,43620 428326,S200000,00300,0300,U 428326,S200000,00400,0100,GOOD SAMARITAN SOCIETY-LENNOX 428326,S200000,00400,0200,435082 428326,S200000,00400,0300,01/01/95 428326,S200000,00400,0500,P 428326,S200000,01500,0100,Y 428326,S200000,01501,0200,N 428326,S200000,01504,0200,Y 428326,S200000,01505,0000,HEALTH INSURANCE 428326,S200000,01505,0200,N 428326,S200000,01506,0000,PENSION 428326,S200000,01506,0200,Y 428326,S200000,01600,0100,N 428326,S200000,01700,0100,N 428326,S200000,01800,0100,N 428326,S200000,02200,0100,N 428326,S200000,02800,0100,N 428326,S200000,02900,0100,N 428326,S200000,03000,0100,N 428326,S200000,03100,0100,N 428326,S200000,03200,0100,N 428326,S200000,03300,0100,N 428326,S200000,03300,0200,N 428326,S200000,04100,0100,N 428326,S200000,04200,0100,N 428326,S200000,04300,0100,N 428326,S200000,04600,0100,N 428326,S200000,04700,0100,N 428326,S200000,04700,0200,N 428326,S200000,04900,0100,N 428326,S200000,05000,0100,N 428326,S200000,05100,0100,N 428326,S200000,05200,0100,N 428326,S200000,05300,0100,Y 428326,S200000,05300,0200,439100 428326,S200000,05400,0100,ELGSS 428326,S200000,05400,0200,NORIDIAN 428326,S200000,05400,0300,03001 428326,S200000,05500,0100,4800 WEST 57TH STREET 428326,S200000,05500,0200,5038 428326,S200000,05600,0100,SIOUX FALLS 428326,S200000,05600,0200,SD 428326,S200000,05600,0300,57117-5038 428327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428327,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428327,A000000,00300,0000,0300EMPLOYEE BENEFITS 428327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428327,A000000,00700,0000,0700HOUSEKEEPING 428327,A000000,00800,0000,0800DIETARY 428327,A000000,00801,0000,0801DIETARY SHARED SERVICES 428327,A000000,00900,0000,0900NURSING ADMINISTRATION 428327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428327,A000000,01100,0000,1100PHARMACY 428327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428327,A000000,01201,0000,1202ACTIVITIES 428327,A000000,01300,0000,1300SOCIAL SERVICE 428327,A000000,01301,0000,1301SOCIAL SERVICE SHARED SERVICES 428327,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428327,A000000,01500,0000,1350OTHER GENERAL SERVICES 428327,A000000,01600,0000,1600SKILLED NURSING FACILITY 428327,A000000,01800,0000,1800NURSING FACILITY 428327,A000000,01810,0000,1810ICF/MR 428327,A000000,01900,0000,1900OTHER LONG TERM CARE 428327,A000000,02100,0000,2100RADIOLOGY 428327,A000000,02200,0000,2200LABORATORY 428327,A000000,02300,0000,2300INTRAVENOUS THERAPY 428327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428327,A000000,02500,0000,2500PHYSICAL THERAPY 428327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428327,A000000,02700,0000,2700SPEECH PATHOLOGY 428327,A000000,02800,0000,2800ELECTROCARDIOLOGY 428327,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428327,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428327,A000000,03200,0000,3200SUPPORT SURFACES 428327,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428327,A000000,03400,0000,3400CLINIC 428327,A000000,03500,0000,3500RURAL HEALTH CLINIC 428327,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428327,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428327,A000000,05000,0000,5000CORF 428327,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428327,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428327,A000000,05300,0000,5300INTEREST EXPENSE 428327,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428327,A000000,05500,0000,5500HOSPICE 428327,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428327,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428327,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428327,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428327,A000000,06100,0000,6100NONPAID WORKERS 428327,A000000,06200,0000,6200PATIENTS LAUNDRY 428327,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428327,A000000,06301,0000,6151MEALS ON WHEELS 428327,A81000A,00100,0100,Y 428327,A81000B,00100,0300,ADMIN/ACCOUNTING 428327,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428327,A81000B,00300,0300,HEALTH INSURANCE 428327,A81000B,00400,0300,WORKERS COMP 428327,A81000B,00500,0300,PROPERTY INSURANCE 428327,A81000B,00600,0300,LIABILITY INSURANCE 428327,A81000B,00700,0300,VEHICLE INSURANCE 428327,A81000C,00100,0100,B 428327,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428327,A81000C,00100,0600,HEALTH CARE 428327,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428327,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428327,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428327,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428327,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428327,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428327,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428327,B100000,00000,0800,0800MEALS SERVED :DIETARY 428327,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428327,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428327,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428327,B100000,00000,1201,1252PATIENT DAYS :ACTIVITIES 428327,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428327,S000000,00100,0200,01/31/12 428327,S200000,00100,0100,700 W MAIN STREET 428327,S200000,00200,0100,CANISTOTA 428327,S200000,00200,0200,SD 428327,S200000,00200,0300,57012-2005 428327,S200000,00300,0100,MC COOK 428327,S200000,00300,0200,43 428327,S200000,00300,0201,99943 428327,S200000,00300,0300,R 428327,S200000,00400,0100,GOOD SAMARITAN SOCIETY-CANISTOTA 428327,S200000,00400,0200,435087 428327,S200000,00400,0300,07/01/95 428327,S200000,00400,0500,P 428327,S200000,01500,0100,Y 428327,S200000,01501,0200,N 428327,S200000,01504,0200,N 428327,S200000,01505,0000,HEALTH INSURANCE 428327,S200000,01505,0200,N 428327,S200000,01506,0000,PENSION 428327,S200000,01506,0200,Y 428327,S200000,01600,0100,N 428327,S200000,01700,0100,N 428327,S200000,01800,0100,N 428327,S200000,02200,0100,N 428327,S200000,02800,0100,N 428327,S200000,02900,0100,N 428327,S200000,03000,0100,N 428327,S200000,03100,0100,N 428327,S200000,03200,0100,N 428327,S200000,03300,0100,N 428327,S200000,03300,0200,N 428327,S200000,04100,0100,N 428327,S200000,04200,0100,N 428327,S200000,04300,0100,N 428327,S200000,04600,0100,N 428327,S200000,04700,0100,N 428327,S200000,04700,0200,N 428327,S200000,04900,0100,N 428327,S200000,05000,0100,N 428327,S200000,05100,0100,N 428327,S200000,05200,0100,N 428327,S200000,05300,0100,Y 428327,S200000,05300,0200,439100 428327,S200000,05400,0100,ELGSS 428327,S200000,05400,0200,NORIDIAN 428327,S200000,05400,0300,03001 428327,S200000,05500,0100,4800WEST 57TH STREET 428327,S200000,05500,0200,5038 428327,S200000,05600,0100,SIOUX FALLS 428327,S200000,05600,0200,SD 428327,S200000,05600,0300,57117 428328,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428328,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428328,A000000,00300,0000,0300EMPLOYEE BENEFITS 428328,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428328,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428328,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428328,A000000,00700,0000,0700HOUSEKEEPING 428328,A000000,00800,0000,0800DIETARY 428328,A000000,00801,0000,0801DIETARY SHARED 428328,A000000,00900,0000,0900NURSING ADMINISTRATION 428328,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428328,A000000,01100,0000,1100PHARMACY 428328,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428328,A000000,01201,0000,1201ACTIVITIES 428328,A000000,01300,0000,1300SOCIAL SERVICE 428328,A000000,01301,0000,1301SOCIAL SERVICE 428328,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428328,A000000,01500,0000,1350OTHER GENERAL SERVICES 428328,A000000,01600,0000,1600SKILLED NURSING FACILITY 428328,A000000,01800,0000,1800NURSING FACILITY 428328,A000000,01810,0000,1810ICF/MR 428328,A000000,01900,0000,1900OTHER LONG TERM CARE 428328,A000000,02100,0000,2100RADIOLOGY 428328,A000000,02200,0000,2200LABORATORY 428328,A000000,02300,0000,2300INTRAVENOUS THERAPY 428328,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428328,A000000,02500,0000,2500PHYSICAL THERAPY 428328,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428328,A000000,02700,0000,2700SPEECH PATHOLOGY 428328,A000000,02800,0000,2800ELECTROCARDIOLOGY 428328,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428328,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428328,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428328,A000000,03200,0000,3200SUPPORT SURFACES 428328,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428328,A000000,03400,0000,3400CLINIC 428328,A000000,03500,0000,3500RURAL HEALTH CLINIC 428328,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428328,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428328,A000000,05300,0000,5300INTEREST EXPENSE 428328,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428328,A000000,05500,0000,5500HOSPICE 428328,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428328,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428328,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428328,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428328,A000000,06100,0000,6100NONPAID WORKERS 428328,A000000,06200,0000,6200PATIENTS LAUNDRY 428328,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428328,A81000A,00100,0100,Y 428328,A81000B,00100,0300,ADMIN/ACCOUNTING 428328,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428328,A81000B,00300,0300,HEALTH INSURANCE 428328,A81000B,00400,0300,WORKERS COMPENSATION 428328,A81000B,00500,0300,PROPERTY INSURANCE 428328,A81000B,00600,0300,LIABILITY INSURANCE 428328,A81000B,00700,0300,VEHICLE INSURANCE 428328,A81000C,00100,0100,B 428328,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428328,A81000C,00100,0600,HEALT CARE 428328,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428328,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428328,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428328,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428328,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428328,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428328,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428328,B100000,00000,0800,0800MEALS SERVED :DIETARY 428328,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428328,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428328,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428328,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428328,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428328,S000000,00100,0200,01/31/12 428328,S200000,00100,0100,500 VERMILLION STREET 428328,S200000,00200,0100,CENTERVILLE 428328,S200000,00200,0200,SD 428328,S200000,00200,0300,57014-0190 428328,S200000,00300,0100,TURNER 428328,S200000,00300,0200,0043 428328,S200000,00300,0201,43620 428328,S200000,00300,0300,U 428328,S200000,00400,0100,GOOD SAMARITAIN SOCIETY-CENTERVILLE 428328,S200000,00400,0200,435088 428328,S200000,00400,0300,07/05/95 428328,S200000,00400,0500,P 428328,S200000,01500,0100,Y 428328,S200000,01501,0200,N 428328,S200000,01504,0200,N 428328,S200000,01505,0000,HEALTH INSURANCE 428328,S200000,01505,0200,N 428328,S200000,01506,0000,PENSION 428328,S200000,01506,0200,N 428328,S200000,01600,0100,N 428328,S200000,01700,0100,N 428328,S200000,01800,0100,N 428328,S200000,02200,0100,N 428328,S200000,02800,0100,N 428328,S200000,02900,0100,N 428328,S200000,03000,0100,N 428328,S200000,03100,0100,N 428328,S200000,03200,0100,N 428328,S200000,03300,0100,N 428328,S200000,03300,0200,N 428328,S200000,04100,0100,N 428328,S200000,04200,0100,N 428328,S200000,04300,0100,N 428328,S200000,04600,0100,N 428328,S200000,04700,0100,N 428328,S200000,04700,0200,N 428328,S200000,04900,0100,N 428328,S200000,05000,0100,N 428328,S200000,05100,0100,N 428328,S200000,05200,0100,N 428328,S200000,05300,0100,Y 428328,S200000,05300,0200,439100 428328,S200000,05400,0100,ELGSS 428328,S200000,05400,0200,NORIDIAN 428328,S200000,05400,0300,03001 428328,S200000,05500,0100,4800 WEST 57TH STREET 428328,S200000,05500,0200,5038 428328,S200000,05600,0100,SIOUX FALLS 428328,S200000,05600,0200,SD 428328,S200000,05600,0300,57117 428329,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428329,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428329,A000000,00300,0000,0300EMPLOYEE BENEFITS 428329,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428329,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428329,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428329,A000000,00700,0000,0700HOUSEKEEPING 428329,A000000,00800,0000,0800DIETARY 428329,A000000,00801,0000,0801SHARED DIETARY SERVICES 428329,A000000,00900,0000,0900NURSING ADMINISTRATION 428329,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428329,A000000,01100,0000,1100PHARMACY 428329,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428329,A000000,01201,0000,1201ACTIVITIES 428329,A000000,01300,0000,1300SOCIAL SERVICE 428329,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428329,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428329,A000000,01500,0000,1350OTHER GENERAL SERVICES 428329,A000000,01600,0000,1600SKILLED NURSING FACILITY 428329,A000000,01800,0000,1800NURSING FACILITY 428329,A000000,01810,0000,1810ICF/MR 428329,A000000,01900,0000,1900OTHER LONG TERM CARE 428329,A000000,02100,0000,2100RADIOLOGY 428329,A000000,02200,0000,2200LABORATORY 428329,A000000,02300,0000,2300INTRAVENOUS THERAPY 428329,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428329,A000000,02500,0000,2500PHYSICAL THERAPY 428329,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428329,A000000,02700,0000,2700SPEECH PATHOLOGY 428329,A000000,02800,0000,2800ELECTROCARDIOLOGY 428329,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428329,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428329,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428329,A000000,03200,0000,3200SUPPORT SURFACES 428329,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428329,A000000,03400,0000,3400CLINIC 428329,A000000,03500,0000,3500RURAL HEALTH CLINIC 428329,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428329,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428329,A000000,05000,0000,5000CORF 428329,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428329,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428329,A000000,05300,0000,5300INTEREST EXPENSE 428329,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428329,A000000,05500,0000,5500HOSPICE 428329,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428329,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428329,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428329,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428329,A000000,06100,0000,6100NONPAID WORKERS 428329,A000000,06200,0000,6200PATIENTS LAUNDRY 428329,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428329,A000000,06301,0000,6151ADULT DAY CARE 428329,A000000,06302,0000,6152MEALS ON WHEELS 428329,A81000A,00100,0100,Y 428329,A81000B,00100,0300,ADMIN/ACCOUNTING 428329,A81000B,00200,0300,UNEMPLOYMENT CLAIMS 428329,A81000B,00300,0300,HEALTH INSURANCE 428329,A81000B,00400,0300,WORKERS COMP 428329,A81000B,00500,0300,PROPERTY INSURANCE 428329,A81000B,00600,0300,LIABILITY INSURANCE 428329,A81000B,00700,0300,VEHICLE INSURANCE 428329,A81000C,00100,0100,B 428329,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428329,A81000C,00100,0600,HEALTH CARE 428329,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428329,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428329,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428329,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428329,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428329,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428329,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428329,B100000,00000,0800,0800MEALS SERVED :DIETARY 428329,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428329,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428329,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428329,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428329,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428329,S000000,00100,0200,01/31/12 428329,S200000,00100,0100,455 N DAKOTA AVE 428329,S200000,00200,0100,CORSICA 428329,S200000,00200,0200,SD 428329,S200000,00200,0300,57328-2110 428329,S200000,00300,0100,DOUGLAS 428329,S200000,00300,0201,99943 428329,S200000,00300,0300,R 428329,S200000,00400,0100,GOOD SAMARITAN SOCIETY-CORSICA 428329,S200000,00400,0200,435089 428329,S200000,00400,0300,08/01/95 428329,S200000,00400,0500,P 428329,S200000,01500,0100,Y 428329,S200000,01501,0200,Y 428329,S200000,01502,0200,Y 428329,S200000,01504,0200,Y 428329,S200000,01505,0000,HEALTH INSURANCE 428329,S200000,01505,0200,N 428329,S200000,01506,0000,PENSION 428329,S200000,01506,0200,Y 428329,S200000,01600,0100,N 428329,S200000,01700,0100,N 428329,S200000,01800,0100,N 428329,S200000,02200,0100,N 428329,S200000,02800,0100,N 428329,S200000,02900,0100,N 428329,S200000,03000,0100,N 428329,S200000,03100,0100,N 428329,S200000,03200,0100,N 428329,S200000,03300,0100,N 428329,S200000,03300,0200,N 428329,S200000,04100,0100,N 428329,S200000,04200,0100,N 428329,S200000,04300,0100,N 428329,S200000,04600,0100,N 428329,S200000,04700,0100,N 428329,S200000,04700,0200,N 428329,S200000,04900,0100,N 428329,S200000,05000,0100,N 428329,S200000,05100,0100,N 428329,S200000,05200,0100,N 428329,S200000,05300,0100,Y 428329,S200000,05300,0200,439100 428329,S200000,05400,0100,ELGSS 428329,S200000,05400,0200,NORIDIAN 428329,S200000,05400,0300,03001 428329,S200000,05500,0100,4800 WEST 57TH STREET 428329,S200000,05500,0200,5038 428329,S200000,05600,0100,SIOUX FALLS 428329,S200000,05600,0200,SD 428329,S200000,05600,0300,57117-5038 428330,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428330,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428330,A000000,00300,0000,0300EMPLOYEE BENEFITS 428330,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428330,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428330,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428330,A000000,00700,0000,0700HOUSEKEEPING 428330,A000000,00800,0000,0800DIETARY 428330,A000000,00801,0000,0801SHARED DIETARY SERVICES 428330,A000000,00900,0000,0900NURSING ADMINISTRATION 428330,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428330,A000000,01100,0000,1100PHARMACY 428330,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428330,A000000,01201,0000,1201ACTIVITIES 428330,A000000,01300,0000,1300SOCIAL SERVICE 428330,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428330,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428330,A000000,01500,0000,1350OTHER GENERAL SERVICES 428330,A000000,01600,0000,1600SKILLED NURSING FACILITY 428330,A000000,01800,0000,1800NURSING FACILITY 428330,A000000,01810,0000,1810ICF/MR 428330,A000000,01900,0000,1900OTHER LONG TERM CARE 428330,A000000,02100,0000,2100RADIOLOGY 428330,A000000,02200,0000,2200LABORATORY 428330,A000000,02300,0000,2300INTRAVENOUS THERAPY 428330,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428330,A000000,02500,0000,2500PHYSICAL THERAPY 428330,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428330,A000000,02700,0000,2700SPEECH PATHOLOGY 428330,A000000,02800,0000,2800ELECTROCARDIOLOGY 428330,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428330,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428330,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428330,A000000,03200,0000,3200SUPPORT SURFACES 428330,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428330,A000000,03400,0000,3400CLINIC 428330,A000000,03500,0000,3500RURAL HEALTH CLINIC 428330,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428330,A000000,05000,0000,5000CORF 428330,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428330,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428330,A000000,05300,0000,5300INTEREST EXPENSE 428330,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428330,A000000,05500,0000,5500HOSPICE 428330,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428330,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428330,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428330,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428330,A000000,06100,0000,6100NONPAID WORKERS 428330,A000000,06200,0000,6200PATIENTS LAUNDRY 428330,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428330,A000000,06301,0000,6151SENIOR LIVING 428330,A81000A,00100,0100,Y 428330,A81000B,00100,0300,ADMIN/ACCOUNTING 428330,A81000B,00200,0300,UNEMPLOYMENT CLAIMS 428330,A81000B,00300,0300,HEALTH INSURANCE 428330,A81000B,00400,0300,WORKERS COMP 428330,A81000B,00500,0300,PROPERTY INSURANCE 428330,A81000B,00600,0300,LIABILITY INSURANCE 428330,A81000B,00700,0300,VEHICLE INSURANCE 428330,A81000B,00800,0300,NURSING EDUCATION 428330,A81000C,00100,0100,B 428330,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428330,A81000C,00100,0600,HEALTH CARE 428330,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428330,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428330,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428330,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428330,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428330,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428330,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428330,B100000,00000,0800,0800MEALS SERVED :DIETARY 428330,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428330,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428330,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428330,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428330,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428330,S000000,00100,0200,01/31/12 428330,S200000,00100,0100,913 COL PETE ST S 428330,S200000,00200,0100,CLEAR LAKE 428330,S200000,00200,0200,SD 428330,S200000,00200,0300,57226-2124 428330,S200000,00300,0100,DEUEL 428330,S200000,00300,0201,99943 428330,S200000,00300,0300,R 428330,S200000,00400,0100,GOOD SAMARITAN SOCIETY- DEUEL COUNTY 428330,S200000,00400,0200,435117 428330,S200000,00400,0300,06/01/01 428330,S200000,00400,0500,P 428330,S200000,01500,0100,Y 428330,S200000,01501,0200,N 428330,S200000,01502,0200,Y 428330,S200000,01504,0200,N 428330,S200000,01505,0000,HEALTH INSURANCE 428330,S200000,01505,0200,N 428330,S200000,01506,0000,PENSION 428330,S200000,01506,0200,N 428330,S200000,01600,0100,N 428330,S200000,01700,0100,N 428330,S200000,01800,0100,N 428330,S200000,02200,0100,N 428330,S200000,02800,0100,N 428330,S200000,02900,0100,N 428330,S200000,03000,0100,N 428330,S200000,03100,0100,N 428330,S200000,03200,0100,N 428330,S200000,03300,0100,N 428330,S200000,03300,0200,N 428330,S200000,04100,0100,N 428330,S200000,04200,0100,N 428330,S200000,04300,0100,N 428330,S200000,04600,0100,N 428330,S200000,04700,0100,N 428330,S200000,04700,0200,N 428330,S200000,04900,0100,N 428330,S200000,05000,0100,N 428330,S200000,05100,0100,N 428330,S200000,05200,0100,N 428330,S200000,05300,0100,Y 428330,S200000,05300,0200,439100 428330,S200000,05400,0100,ELGSS 428330,S200000,05400,0200,NORIDIAN 428330,S200000,05400,0300,03001 428330,S200000,05500,0100,4800 WEST 57TH STREET 428330,S200000,05500,0200,5038 428330,S200000,05600,0100,SIOUX FALLS 428330,S200000,05600,0200,SD 428330,S200000,05600,0300,57117-5038 428332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428332,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428332,A000000,00300,0000,0300EMPLOYEE BENEFITS 428332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428332,A000000,00700,0000,0700HOUSEKEEPING 428332,A000000,00800,0000,0800DIETARY 428332,A000000,00801,0000,0801SHARED DIETARY SERVICES 428332,A000000,00900,0000,0900NURSING ADMINISTRATION 428332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428332,A000000,01100,0000,1100PHARMACY 428332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428332,A000000,01201,0000,1201ACTIVITIES 428332,A000000,01300,0000,1300SOCIAL SERVICE 428332,A000000,01301,0000,1301SHARED SOCIAL SERVICES 428332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428332,A000000,01500,0000,1350OTHER GENERAL SERVICES 428332,A000000,01600,0000,1600SKILLED NURSING FACILITY 428332,A000000,01800,0000,1800NURSING FACILITY 428332,A000000,01810,0000,1810ICF/MR 428332,A000000,01900,0000,1900OTHER LONG TERM CARE 428332,A000000,02100,0000,2100RADIOLOGY 428332,A000000,02200,0000,2200LABORATORY 428332,A000000,02300,0000,2300INTRAVENOUS THERAPY 428332,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428332,A000000,02500,0000,2500PHYSICAL THERAPY 428332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428332,A000000,02700,0000,2700SPEECH PATHOLOGY 428332,A000000,02800,0000,2800ELECTROCARDIOLOGY 428332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428332,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428332,A000000,03200,0000,3200SUPPORT SURFACES 428332,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428332,A000000,03400,0000,3400CLINIC 428332,A000000,03500,0000,3500RURAL HEALTH CLINIC 428332,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428332,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428332,A000000,05000,0000,5000CORF 428332,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428332,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428332,A000000,05300,0000,5300INTEREST EXPENSE 428332,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428332,A000000,05500,0000,5500HOSPICE 428332,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428332,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428332,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428332,A000000,06100,0000,6100NONPAID WORKERS 428332,A000000,06200,0000,6200PATIENTS LAUNDRY 428332,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428332,A81000A,00100,0100,Y 428332,A81000B,00100,0300,ADMIN/ACCOUNTING 428332,A81000B,00200,0300,UNEMPLOYMENT INSURANCE 428332,A81000B,00300,0300,HEALTH INSURANCE 428332,A81000B,00400,0300,WORKERS COMP 428332,A81000B,00500,0300,PROPERTY INSURANCE 428332,A81000B,00600,0300,LIABILITY INSURANCE 428332,A81000B,00700,0300,VEHICLE INSURANCE 428332,A81000C,00100,0100,B 428332,A81000C,00100,0400,GOOD SAMARITAN SOCIETY 428332,A81000C,00100,0600,HEALTH CARE 428332,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428332,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428332,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428332,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428332,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428332,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428332,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 428332,B100000,00000,0800,0800MEALS SERVED :DIETARY 428332,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428332,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428332,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428332,B100000,00000,1201,1251PATIENT DAYS :ACTIVITIES 428332,B100000,00000,1300,1330ADMISSIONS S :SOCIAL SERVICE 428332,G300000,02500,0000,OTHER (SPECIFY) 428332,S000000,00100,0200,01/31/12 428332,S200000,00100,0100,421 E FOURTH ST 428332,S200000,00200,0100,MILLER 428332,S200000,00200,0200,SD 428332,S200000,00200,0300,57362-1599 428332,S200000,00300,0100,HAND 428332,S200000,00300,0201,99943 428332,S200000,00300,0300,R 428332,S200000,00400,0100,GOOD SAMARITAN SOCIETY-MILLER 428332,S200000,00400,0200,435124 428332,S200000,00400,0300,05/01/08 428332,S200000,00400,0500,P 428332,S200000,01500,0100,Y 428332,S200000,01501,0200,N 428332,S200000,01504,0200,N 428332,S200000,01505,0000,HEALTH INSURANCE 428332,S200000,01505,0200,N 428332,S200000,01506,0000,PENSION 428332,S200000,01506,0200,Y 428332,S200000,01600,0100,N 428332,S200000,01700,0100,N 428332,S200000,01800,0100,N 428332,S200000,02200,0100,N 428332,S200000,02800,0100,N 428332,S200000,02900,0100,N 428332,S200000,03000,0100,N 428332,S200000,03100,0100,N 428332,S200000,03200,0100,N 428332,S200000,03300,0100,N 428332,S200000,03300,0200,N 428332,S200000,04100,0100,N 428332,S200000,04200,0100,N 428332,S200000,04300,0100,N 428332,S200000,04600,0100,N 428332,S200000,04700,0100,N 428332,S200000,04700,0200,N 428332,S200000,04900,0100,N 428332,S200000,05000,0100,N 428332,S200000,05100,0100,N 428332,S200000,05200,0100,N 428332,S200000,05300,0100,Y 428332,S200000,05300,0200,439100 428332,S200000,05400,0100,ELGSS 428332,S200000,05400,0200,NORIDIAN 428332,S200000,05400,0300,03001 428332,S200000,05500,0100,4800 WEST 57TH STREET 428332,S200000,05500,0200,5038 428332,S200000,05600,0100,SIOUX FALLS 428332,S200000,05600,0200,SD 428332,S200000,05600,0300,57117-5038 428340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428340,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428340,A000000,00300,0000,0300EMPLOYEE BENEFITS 428340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428340,A000000,00700,0000,0700HOUSEKEEPING 428340,A000000,00800,0000,0800DIETARY 428340,A000000,00900,0000,0900NURSING ADMINISTRATION 428340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428340,A000000,01100,0000,1100PHARMACY 428340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428340,A000000,01300,0000,1300SOCIAL SERVICE 428340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428340,A000000,01500,0000,1350OTHER GENERAL SERVICES 428340,A000000,01600,0000,1600SKILLED NURSING FACILITY 428340,A000000,01800,0000,1800NURSING FACILITY 428340,A000000,01900,0000,1900OTHER LONG TERM CARE 428340,A000000,02100,0000,2100RADIOLOGY 428340,A000000,02200,0000,2200LABORATORY 428340,A000000,02300,0000,2300INTRAVENOUS THERAPY 428340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428340,A000000,02500,0000,2500PHYSICAL THERAPY 428340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428340,A000000,02700,0000,2700SPEECH PATHOLOGY 428340,A000000,02800,0000,2800ELECTROCARDIOLOGY 428340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428340,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428340,A000000,03200,0000,3200SUPPORT SURFACES 428340,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428340,A000000,03400,0000,3400CLINIC 428340,A000000,03500,0000,3500RURAL HEALTH CLINIC 428340,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428340,A000000,04800,0000,4800AMBULANCE 428340,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428340,A000000,05000,0000,5000CORF 428340,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428340,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428340,A000000,05300,0000,5300INTEREST EXPENSE 428340,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428340,A000000,05500,0000,5500HOSPICE 428340,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428340,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428340,A000000,06200,0000,6200PATIENTS LAUNDRY 428340,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428340,A81000A,00100,0100,Y 428340,A81000B,00100,0300,HOME OFFICE ALLOCATION 428340,A81000B,00200,0300,HOME OFFICE ALLOCATION 428340,A81000B,00400,0300,IV PHARMACY FLU SHOTS 428340,A81000B,00500,0300,REHAB 428340,A81000B,00600,0300,REHAB 428340,A81000B,00700,0300,REHAB 428340,A81000B,00800,0300,INTERNAL CONTRACT LABOR 428340,A81000B,01000,0300,PRESTIGE BUS ALLOCATION 428340,A81000B,01100,0300,INTERNAL CONTRACT LABOR 428340,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428340,A81000C,00100,0100,B 428340,A81000C,00100,0400,MIDWAY CARE CENTER INC 428340,A81000C,00100,0600,OWNS PROVIDER 428340,A81000C,00200,0100,B 428340,A81000C,00200,0400,PRESTIGE CARE INC 428340,A81000C,00200,0600,OWNS MIDWAY CARE CENTER 428340,A81000C,00300,0100,A 428340,A81000C,00300,0200,RICK DELAMARTER 428340,A81000C,00300,0400,PRESTIGE CARE INC 428340,A81000C,00300,0600,HOME OFFICE 428340,A81000C,00400,0100,A 428340,A81000C,00400,0200,HAROLD DELAMARTER 428340,A81000C,00400,0400,PRESTIGE CARE INC 428340,A81000C,00400,0600,HOME OFFICE 428340,A81000C,00500,0100,A 428340,A81000C,00500,0200,GREG VISLOCKY 428340,A81000C,00500,0400,PRESTIGE CARE INC 428340,A81000C,00500,0600,HOME OFFICE 428340,A81000C,00600,0100,A 428340,A81000C,00600,0200,RICK DELAMARTER 428340,A81000C,00600,0400,CYPRESS VENTURES 428340,A81000C,00600,0600,PROPAC PHARMACY 428340,A81000C,00700,0100,A 428340,A81000C,00700,0200,HAROLD DELAMARTER 428340,A81000C,00700,0400,CYPRESS VENTURES 428340,A81000C,00700,0600,PROPAC PHARMACY 428340,A81000C,00800,0100,A 428340,A81000C,00800,0200,GREG VISLOCKY 428340,A81000C,00800,0400,CYPRESS VENTURES 428340,A81000C,00800,0600,PROPAC PHARMACY 428340,A81000C,00900,0100,A 428340,A81000C,00900,0200,RICK DELAMARTER 428340,A81000C,00900,0400,CASCADE LLC 428340,A81000C,00900,0600,LANDLORD 428340,A81000C,01000,0100,A 428340,A81000C,01000,0200,HAROLD DELAMARTER 428340,A81000C,01000,0400,CASCADE LLC 428340,A81000C,01000,0600,LANDLORD 428340,A81000C,01001,0100,A 428340,A81000C,01001,0200,GREG VISLOCKY 428340,A81000C,01001,0400,CASCADE LLC 428340,A81000C,01001,0600,LANDLORD 428340,A81000C,01002,0100,G 428340,A81000C,01002,0400,AUGUSTA VENTURES 428340,A81000C,01002,0600,PREMERE REHAB COMPANY 428340,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 428340,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 428340,A81000C,01004,0600,SEE ATTACHED RELATED 428340,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 428340,A81000C,01005,0400,THE 10.10 EXCEPTION 428340,A81000C,01005,0600,PARTY RELATIONSHIPS 428340,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 428340,A81000C,01006,0400,CRITERIA 428340,A81000C,01007,0200,PRESTIGE CARE & MIDWAY CA 428340,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428340,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428340,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428340,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428340,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428340,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428340,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428340,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428340,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428340,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428340,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428340,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428340,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428340,G300000,02500,0000,OTHER INCOME 428340,S000000,00100,0200,03/01/12 428340,S200000,00100,0100,5601 SE 122ND 428340,S200000,00200,0100,PORTLAND 428340,S200000,00200,0200,OR 428340,S200000,00200,0300,97236 428340,S200000,00300,0100,MULTNOMAH 428340,S200000,00300,0200,6440 428340,S200000,00300,0201,38900 428340,S200000,00300,0300,U 428340,S200000,00400,0100,CASCADE TERRACE NURSING HOME 428340,S200000,00400,0200,385187 428340,S200000,00400,0300,07/11/88 428340,S200000,00400,0500,P 428340,S200000,01500,0100,Y 428340,S200000,01501,0200,N 428340,S200000,01502,0200,N 428340,S200000,01504,0200,Y 428340,S200000,01600,0100,N 428340,S200000,01700,0100,N 428340,S200000,01800,0100,N 428340,S200000,02200,0100,N 428340,S200000,02800,0100,N 428340,S200000,02900,0100,N 428340,S200000,03000,0100,N 428340,S200000,03100,0100,N 428340,S200000,03200,0100,N 428340,S200000,03300,0100,N 428340,S200000,03300,0200,N 428340,S200000,04100,0100,N 428340,S200000,04200,0100,N 428340,S200000,04300,0100,N 428340,S200000,04600,0100,N 428340,S200000,04700,0100,N 428340,S200000,04700,0200,N 428340,S200000,04900,0100,N 428340,S200000,05000,0100,N 428340,S200000,05100,0100,N 428340,S200000,05200,0100,N 428340,S200000,05300,0100,Y 428340,S200000,05300,0200,HB0440 428340,S200000,05400,0100,PRESTIGE CARE INC 428340,S200000,05400,0200,NORDIAN 428340,S200000,05400,0300,00325 428340,S200000,05500,0100,7700 NE PARKWAY DRIVE 428340,S200000,05600,0100,VANCOUVER 428340,S200000,05600,0200,WA 428340,S200000,05600,0300,98662 428341,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428341,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428341,A000000,00300,0000,0300EMPLOYEE BENEFITS 428341,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428341,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428341,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428341,A000000,00700,0000,0700HOUSEKEEPING 428341,A000000,00800,0000,0800DIETARY 428341,A000000,00900,0000,0900NURSING ADMINISTRATION 428341,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428341,A000000,01100,0000,1100PHARMACY 428341,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428341,A000000,01300,0000,1300SOCIAL SERVICE 428341,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428341,A000000,01500,0000,1350OTHER GENERAL SERVICES 428341,A000000,01600,0000,1600SKILLED NURSING FACILITY 428341,A000000,01800,0000,1800NURSING FACILITY 428341,A000000,01900,0000,1900OTHER LONG TERM CARE 428341,A000000,02100,0000,2100RADIOLOGY 428341,A000000,02200,0000,2200LABORATORY 428341,A000000,02300,0000,2300INTRAVENOUS THERAPY 428341,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428341,A000000,02500,0000,2500PHYSICAL THERAPY 428341,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428341,A000000,02700,0000,2700SPEECH PATHOLOGY 428341,A000000,02800,0000,2800ELECTROCARDIOLOGY 428341,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428341,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428341,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428341,A000000,03200,0000,3200SUPPORT SURFACES 428341,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428341,A000000,03400,0000,3400CLINIC 428341,A000000,03500,0000,3500RURAL HEALTH CLINIC 428341,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428341,A000000,04800,0000,4800AMBULANCE 428341,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428341,A000000,05000,0000,5000CORF 428341,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428341,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428341,A000000,05300,0000,5300INTEREST EXPENSE 428341,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428341,A000000,05500,0000,5500HOSPICE 428341,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428341,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428341,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428341,A000000,06200,0000,6200PATIENTS LAUNDRY 428341,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428341,A81000A,00100,0100,Y 428341,A81000B,00100,0300,HOME OFFICE ALLOCATION 428341,A81000B,00200,0300,HOME OFFICE ALLOCATION 428341,A81000B,00300,0300,EMPLOYEE FLU SHOTS 428341,A81000B,00400,0300,PHARMACY CONSULTANT 428341,A81000B,00500,0300,MEDICAL SUPPLY 428341,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 428341,A81000B,00700,0300,IV PHARMACY FLU SHOTS 428341,A81000B,00800,0300,REHAB 428341,A81000B,00900,0300,REHAB 428341,A81000B,01000,0300,REHAB 428341,A81000B,01100,0300,EQUIPMENT RENTAL 428341,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428341,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428341,A81000B,01400,0300,INTERNAL CONTRACT LABOR 428341,A81000C,00100,0100,B 428341,A81000C,00100,0400,CARE CENTER INC 428341,A81000C,00100,0600,OWNS PROVIDER 428341,A81000C,00200,0100,B 428341,A81000C,00200,0400,PRESTIGE CARE INC 428341,A81000C,00200,0600,OWNS CARE CENTER 428341,A81000C,00300,0100,A 428341,A81000C,00300,0200,RICK DELAMARTER 428341,A81000C,00300,0400,PRESTIGE CARE INC 428341,A81000C,00300,0600,HOME OFFICE 428341,A81000C,00400,0100,A 428341,A81000C,00400,0200,HAROLD DELAMARTER 428341,A81000C,00400,0400,PRESTIGE CARE INC 428341,A81000C,00400,0600,HOME OFFICE 428341,A81000C,00500,0100,A 428341,A81000C,00500,0200,GREG VISLOCKY 428341,A81000C,00500,0400,PRESTIGE CARE INC 428341,A81000C,00500,0600,HOME OFFICE 428341,A81000C,00600,0100,A 428341,A81000C,00600,0200,RICK DELAMARTER 428341,A81000C,00600,0400,CYPRESS VENTURES 428341,A81000C,00600,0600,PROPAC PHARMACY 428341,A81000C,00700,0100,A 428341,A81000C,00700,0200,HAROLD DELAMARTER 428341,A81000C,00700,0400,CYPRESS VENTURES 428341,A81000C,00700,0600,PROPAC PHARMACY 428341,A81000C,00800,0100,A 428341,A81000C,00800,0200,GREG VISLOCKY 428341,A81000C,00800,0400,CYPRESS VENTURES 428341,A81000C,00800,0600,PROPAC PHARMACY 428341,A81000C,00900,0100,G 428341,A81000C,00900,0400,AUGUSTA VENTURES 428341,A81000C,00900,0600,PREMERE REHAB COMPANY 428341,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 428341,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 428341,A81000C,01001,0600,SEE ATTACHED RELATED 428341,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 428341,A81000C,01002,0400,THE 10.10 EXCEPTION 428341,A81000C,01002,0600,PARTY RELATIONSHIPS 428341,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 428341,A81000C,01003,0400,CRITERIA 428341,A81000C,01004,0200,PRESTIGE CARE & CARE CTR 428341,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428341,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428341,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428341,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428341,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428341,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428341,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428341,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428341,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428341,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428341,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428341,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428341,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428341,G300000,02500,0000,OTHER INCOME 428341,S000000,00100,0200,03/01/12 428341,S200000,00100,0100,135 MAPLE STREET 428341,S200000,00200,0100,ASHLAND 428341,S200000,00200,0200,OR 428341,S200000,00200,0300,97520 428341,S200000,00300,0100,JACKSON 428341,S200000,00300,0200,4890 428341,S200000,00300,0201,32780 428341,S200000,00300,0300,U 428341,S200000,00400,0100,LINDA VISTA NURSING & REHAB CENTER 428341,S200000,00400,0200,385197 428341,S200000,00400,0300,05/23/89 428341,S200000,00400,0500,P 428341,S200000,01500,0100,Y 428341,S200000,01501,0200,N 428341,S200000,01502,0200,N 428341,S200000,01504,0200,Y 428341,S200000,01600,0100,N 428341,S200000,01700,0100,N 428341,S200000,01800,0100,N 428341,S200000,02200,0100,N 428341,S200000,02800,0100,N 428341,S200000,02900,0100,N 428341,S200000,03000,0100,N 428341,S200000,03100,0100,N 428341,S200000,03200,0100,N 428341,S200000,03300,0100,N 428341,S200000,03300,0200,N 428341,S200000,04100,0100,N 428341,S200000,04200,0100,N 428341,S200000,04300,0100,N 428341,S200000,04600,0100,N 428341,S200000,04700,0100,N 428341,S200000,04700,0200,N 428341,S200000,04900,0100,N 428341,S200000,05000,0100,N 428341,S200000,05100,0100,N 428341,S200000,05200,0100,N 428341,S200000,05300,0100,Y 428341,S200000,05300,0200,HB0440 428341,S200000,05400,0100,PRESTIGE CARE INC 428341,S200000,05400,0200,NORDIAN 428341,S200000,05400,0300,00325 428341,S200000,05500,0100,7700 NE PARKWAY DRIVE 428341,S200000,05600,0100,VANCOUVER 428341,S200000,05600,0200,WA 428341,S200000,05600,0300,98662 428342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428342,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428342,A000000,00300,0000,0300EMPLOYEE BENEFITS 428342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428342,A000000,00700,0000,0700HOUSEKEEPING 428342,A000000,00800,0000,0800DIETARY 428342,A000000,00900,0000,0900NURSING ADMINISTRATION 428342,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428342,A000000,01100,0000,1100PHARMACY 428342,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428342,A000000,01300,0000,1300SOCIAL SERVICE 428342,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428342,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428342,A000000,01600,0000,1600SKILLED NURSING FACILITY 428342,A000000,01800,0000,1800NURSING FACILITY 428342,A000000,01900,0000,1900OTHER LONG TERM CARE 428342,A000000,02100,0000,2100RADIOLOGY 428342,A000000,02200,0000,2200LABORATORY 428342,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428342,A000000,02500,0000,2500PHYSICAL THERAPY 428342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428342,A000000,02700,0000,2700SPEECH PATHOLOGY 428342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428342,A000000,05300,0000,5300INTEREST EXPENSE 428342,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428342,A81000A,00100,0100,N 428342,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428342,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428342,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428342,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428342,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428342,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428342,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428342,B100000,00000,0800,0800MEALS SERVED :DIETARY 428342,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 428342,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428342,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428342,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428342,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428342,G300000,02501,0000,MISC 428342,S000000,00100,0200,02/13/12 428342,S200000,00100,0100,577 WASHINGTON HIGHWAY 428342,S200000,00200,0100,MORRISVILLE 428342,S200000,00200,0200,VT 428342,S200000,00200,0300,05661 428342,S200000,00300,0100,LAMOILLE 428342,S200000,00300,0200,47 428342,S200000,00300,0201,99947 428342,S200000,00300,0300,R 428342,S200000,00400,0100,THE MANOR INC. 428342,S200000,00400,0200,475057 428342,S200000,00400,0300,10/01/99 428342,S200000,00400,0500,P 428342,S200000,01500,0100,Y 428342,S200000,01501,0200,Y 428342,S200000,01502,0200,Y 428342,S200000,01503,0200,Y 428342,S200000,01504,0200,Y 428342,S200000,01600,0100,N 428342,S200000,01700,0100,N 428342,S200000,01800,0100,N 428342,S200000,02200,0100,N 428342,S200000,02800,0100,N 428342,S200000,02900,0100,N 428342,S200000,03000,0100,N 428342,S200000,03100,0100,N 428342,S200000,03200,0100,N 428342,S200000,03300,0100,N 428342,S200000,03300,0200,N 428342,S200000,04100,0100,N 428342,S200000,04200,0100,N 428342,S200000,04300,0100,N 428342,S200000,04600,0100,N 428342,S200000,04700,0100,N 428342,S200000,04700,0200,N 428342,S200000,04900,0100,N 428342,S200000,05000,0100,N 428342,S200000,05100,0100,N 428342,S200000,05200,0100,N 428342,S200000,05300,0100,N 428372,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428372,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428372,A000000,00300,0000,0300EMPLOYEE BENEFITS 428372,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428372,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428372,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428372,A000000,00700,0000,0700HOUSEKEEPING 428372,A000000,00800,0000,0800DIETARY 428372,A000000,00900,0000,0900NURSING ADMINISTRATION 428372,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428372,A000000,01100,0000,1100PHARMACY 428372,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428372,A000000,01300,0000,1300SOCIAL SERVICE 428372,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428372,A000000,01500,0000,1350ACTIVITIES 428372,A000000,01600,0000,1600SKILLED NURSING FACILITY 428372,A000000,01810,0000,1810ICF/MR 428372,A000000,02100,0000,2100RADIOLOGY 428372,A000000,02200,0000,2200LABORATORY 428372,A000000,02300,0000,2300INTRAVENOUS THERAPY 428372,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428372,A000000,02500,0000,2500PHYSICAL THERAPY 428372,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428372,A000000,02700,0000,2700SPEECH PATHOLOGY 428372,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428372,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428372,A000000,03200,0000,3200SUPPORT SURFACES 428372,A000000,03300,0000,3050AMBULANCE 428372,A000000,03550,0000,3550FQHC 428372,A000000,04801,0000,4801AMBULANCE 428372,A000000,04802,0000,4802AMBULANCE 428372,A000000,04803,0000,4803AMBULANCE 428372,A000000,05000,0000,5000CORF 428372,A000000,05010,0000,5010CMHC 428372,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428372,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428372,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428372,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 428372,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428372,A000000,06300,0000,6150MARKETING 428372,A81000A,00100,0100,Y 428372,A81000B,00100,0300,HOME OFFICE COSTS 428372,A81000B,00300,0300,PT ALLOCATIOM 428372,A81000B,00400,0300,OT ALLOCATION 428372,A81000B,00500,0300,ST ALLOCATION 428372,A81000B,00600,0300,INTERIOR DESIGN - 05 428372,A81000B,00700,0300,AUTO INS 428372,A81000B,00800,0300,BUILDING LEASE 428372,A81000B,00900,0300,INTERIOR DESIGN - 10 428372,A81000B,01000,0300,ABT 428372,A81000B,01100,0300,LIAB INS 428372,A81000B,01200,0300,WORKERS COMP 428372,A81000C,00100,0100,A 428372,A81000C,00100,0200,FORREST PRESTON 428372,A81000C,00100,0400,LIFE CARE CENTE 428372,A81000C,00100,0600,MANAGEMENT FEES 428372,A81000C,00200,0100,A 428372,A81000C,00200,0200,FORREST PRESTON 428372,A81000C,00200,0400,LIFE CARE DESIG 428372,A81000C,00200,0600,INTERIOR DESIGN 428372,A81000C,00300,0100,A 428372,A81000C,00300,0200,FORREST PRESTON 428372,A81000C,00300,0400,ABT 428372,A81000C,00300,0600,GROUP HEALTH 428372,A81000C,00400,0100,A 428372,A81000C,00400,0200,FORREST PRESTON 428372,A81000C,00400,0400,LEADER CARE 428372,A81000C,00400,0600,WORKERS COMP 428372,A81000C,00500,0100,A 428372,A81000C,00500,0200,FORREST PRESTON 428372,A81000C,00500,0400,FLASH TEL 428372,A81000C,00500,0600,PHONE MESSAGE S 428372,A81000C,00600,0100,A 428372,A81000C,00600,0200,FORREST PRESTON 428372,A81000C,00600,0400,COOS BAY LLC 428372,A81000C,00600,0600,LESSOR 428372,A81000C,00700,0100,A 428372,A81000C,00700,0200,FORREST PRESTON 428372,A81000C,00700,0400,RANGELINE CAPIT 428372,A81000C,00700,0600,FINANCING 428372,B100000,00000,0100,0100SQUARE FEET 428372,B100000,00000,0200,0200SQUARE FEET 428372,B100000,00000,0300,0300GROSS SALARIES 428372,B100000,00000,0400,0400ACCUM COST 428372,B100000,00000,0500,0500SQUARE FEET 428372,B100000,00000,0600,0600PATIENT DAYS 428372,B100000,00000,0700,0700SQUARE FEET 428372,B100000,00000,0800,0800MEALS SERVED 428372,B100000,00000,0900,0900DIRECT NRSG HRS 428372,B100000,00000,1000,1000COSTED REQUIS 428372,B100000,00000,1100,1100COSTED REQUIS 428372,B100000,00000,1200,1200GROSS REVENUE 428372,B100000,00000,1300,1300PATIENT DAYS 428372,B100000,00000,1400,1400ASSIGNED TIME 428372,B100000,00000,1500,1350PATIENT DAYS 428372,G300000,02500,0000,ACTIVITIES 428372,G300000,02501,0000,MEDICAL RECORDS 428372,G300000,02502,0000,UNIFORMS 428372,G300000,02503,0000,EQUIPMENT RENTAL 428372,G300000,02504,0000,MISC 428372,S000000,00100,0200,02/21/12 428372,S200000,00100,0100,2890 OCEAN BOULEVARD 428372,S200000,00200,0100,COOS BAY 428372,S200000,00200,0200,OR 428372,S200000,00200,0300,94720 428372,S200000,00300,0100,COOS 428372,S200000,00300,0201,99938 428372,S200000,00300,0300,R 428372,S200000,00400,0100,LIFE CARE CENTER OF COOS BAY 428372,S200000,00400,0200,385157 428372,S200000,00400,0300,01/01/78 428372,S200000,00400,0500,P 428372,S200000,01500,0100,Y 428372,S200000,01501,0200,N 428372,S200000,01502,0200,N 428372,S200000,01503,0200,Y 428372,S200000,01504,0200,N 428372,S200000,01505,0000,OTHER 428372,S200000,01505,0200,Y 428372,S200000,01600,0100,N 428372,S200000,01700,0100,N 428372,S200000,01800,0100,N 428372,S200000,02200,0100,Y 428372,S200000,02800,0100,Y 428372,S200000,02900,0100,N 428372,S200000,03000,0100,N 428372,S200000,03100,0100,N 428372,S200000,03200,0100,N 428372,S200000,03300,0100,N 428372,S200000,03300,0200,N 428372,S200000,04200,0100,N 428372,S200000,04300,0100,Y 428372,S200000,04600,0100,N 428372,S200000,04700,0100,N 428372,S200000,04900,0100,N 428372,S200000,05200,0100,N 428372,S200000,05300,0100,Y 428372,S200000,05300,0200,44H017 428372,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 428372,S200000,05400,0200,CAHABA GOVERNMENT BENEFITS ADMIN 428372,S200000,05400,0300,10301 428372,S200000,05500,0100,3570 KEITH STREET NW 428372,S200000,05500,0200,3480 428372,S200000,05600,0100,CLEVELAND 428372,S200000,05600,0200,TN 428372,S200000,05600,0300,37320 428379,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428379,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428379,A000000,00300,0000,0300EMPLOYEE BENEFITS 428379,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428379,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428379,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428379,A000000,00700,0000,0700HOUSEKEEPING 428379,A000000,00800,0000,0800DIETARY 428379,A000000,00900,0000,0900NURSING ADMINISTRATION 428379,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428379,A000000,01100,0000,1100PHARMACY 428379,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428379,A000000,01300,0000,1300SOCIAL SERVICE 428379,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428379,A000000,01500,0000,1350ACTIVITIES 428379,A000000,01600,0000,1600SKILLED NURSING FACILITY 428379,A000000,01800,0000,1800NURSING FACILITY 428379,A000000,01810,0000,1810ICF/MR 428379,A000000,02100,0000,2100RADIOLOGY 428379,A000000,02200,0000,2200LABORATORY 428379,A000000,02300,0000,2300INTRAVENOUS THERAPY 428379,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428379,A000000,02500,0000,2500PHYSICAL THERAPY 428379,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428379,A000000,02700,0000,2700SPEECH PATHOLOGY 428379,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428379,A000000,02901,0000,2901PEN THERAPY 428379,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428379,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 428379,A000000,03301,0000,3051AMBULANCE 428379,A000000,03550,0000,3550FQHC 428379,A000000,04801,0000,4801AMBULANCE 428379,A000000,04802,0000,4802AMBULANCE 428379,A000000,04803,0000,4803AMBULANCE 428379,A000000,05000,0000,5000CORF 428379,A000000,05010,0000,5010CMHC 428379,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428379,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428379,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428379,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428379,A000000,06300,0000,6150COMMUNICATIONS SALARY 428379,A81000A,00100,0100,Y 428379,A81000B,00100,0300,LCCA MANAGEMENT FEES 428379,A81000B,00200,0300,LIFE CARE DESIGNS 428379,A81000B,00300,0300,ALLOCATED FEES PT 428379,A81000B,00400,0300,ALLOCATED FEES OT 428379,A81000B,00500,0300,ALLOCATED FEES ST 428379,A81000B,00600,0300,LEADER CARE W/C 428379,A81000B,00700,0300,LEADER CARE LIAB INS 428379,A81000B,00800,0300,LEADER CARE AUTO INS 428379,A81000B,00900,0300,ABT 428379,A81000B,01000,0300,BUILDING LEASE 428379,A81000B,01100,0300,LCCA INTEREST 428379,A81000C,00100,0100,A 428379,A81000C,00100,0200,FORREST PRESTON 428379,A81000C,00100,0400,LIFE CARE CENTE 428379,A81000C,00100,0600,NURSING HOME MG 428379,A81000C,00200,0100,A 428379,A81000C,00200,0200,FORREST PRESTON 428379,A81000C,00200,0400,LIFE CARE DESIG 428379,A81000C,00200,0600,INTERIOR DESIGN 428379,A81000C,00300,0100,A 428379,A81000C,00300,0200,FORREST PRESTON 428379,A81000C,00300,0400,LEADER CARE 428379,A81000C,00300,0600,W/C GEN/PRO LIA 428379,A81000C,00400,0100,A 428379,A81000C,00400,0200,FORREST PRESTON 428379,A81000C,00400,0400,ABT 428379,A81000C,00400,0600,GRP LIFE/HEALTH 428379,A81000C,00500,0100,A 428379,A81000C,00500,0200,FORREST PRESTON 428379,A81000C,00500,0400,LC HEALTHCARE H 428379,A81000C,00500,0600,BUILDING LEASE 428379,B100000,00000,0100,0100(SQUARE FEET) 428379,B100000,00000,0200,0200(SQUARE FEET) 428379,B100000,00000,0300,0300(GROSS SALARIES) 428379,B100000,00000,0400,0400ACCUM COST 428379,B100000,00000,0500,0500(SQUARE FEET) 428379,B100000,00000,0600,0600PATIENT DAYS 428379,B100000,00000,0700,0700(SQUARE FEET) 428379,B100000,00000,0800,0800(MEALS SERVED) 428379,B100000,00000,0900,0900DIRECT HRS SUPERVISED 428379,B100000,00000,1000,1000(COSTED REQUIS) 428379,B100000,00000,1100,1100(COSTED REQUIS) 428379,B100000,00000,1200,1200GROSS REVENUES 428379,B100000,00000,1300,1300PATIENT DAYS 428379,B100000,00000,1400,1400(ASSIGNED TIME) 428379,B100000,00000,1500,1350PATIENT DAYS 428379,G300000,02500,0000,MISCELLANEOUS 428379,S000000,00100,0200,02/21/12 428379,S200000,00100,0100,1101 SOUTH ALAMEDA 428379,S200000,00200,0100,CORPUS CHRISTI 428379,S200000,00200,0200,TX 428379,S200000,00200,0300,78404 428379,S200000,00300,0100,NUECES 428379,S200000,00300,0201,18580 428379,S200000,00300,0300,U 428379,S200000,00400,0100,ALAMEDA OAKS NURSING CENTER 428379,S200000,00400,0200,455687 428379,S200000,00400,0300,03/23/87 428379,S200000,00400,0500,P 428379,S200000,00600,0200,455687 428379,S200000,00600,0300,03/23/87 428379,S200000,00600,0600,O 428379,S200000,01500,0100,Y 428379,S200000,01501,0200,Y 428379,S200000,01502,0200,Y 428379,S200000,01503,0200,N 428379,S200000,01504,0200,N 428379,S200000,01505,0000,OTHER 428379,S200000,01505,0200,N 428379,S200000,01600,0100,N 428379,S200000,01700,0100,N 428379,S200000,01800,0100,N 428379,S200000,02200,0100,Y 428379,S200000,02800,0100,Y 428379,S200000,02900,0100,N 428379,S200000,03000,0100,N 428379,S200000,03100,0100,N 428379,S200000,03200,0100,N 428379,S200000,03300,0100,N 428379,S200000,03300,0200,N 428379,S200000,04200,0100,N 428379,S200000,04300,0100,N 428379,S200000,04600,0100,N 428379,S200000,04700,0100,N 428379,S200000,04900,0100,N 428379,S200000,05200,0100,N 428379,S200000,05300,0100,Y 428379,S200000,05300,0200,44H017 428379,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 428379,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMIN 428379,S200000,05400,0300,10301 428379,S200000,05500,0100,3570 KEITH STREET NW 428379,S200000,05600,0100,CLEVELAND 428379,S200000,05600,0200,TN 428379,S200000,05600,0300,37312 428382,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428382,A000000,00300,0000,0300EMPLOYEE BENEFITS 428382,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428382,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428382,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428382,A000000,00700,0000,0700HOUSEKEEPING 428382,A000000,00800,0000,0800DIETARY 428382,A000000,00900,0000,0900NURSING ADMINISTRATION 428382,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428382,A000000,01100,0000,1100PHARMACY 428382,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428382,A000000,01300,0000,1300SOCIAL SERVICE 428382,A000000,01500,0000,1350ACTIVITIES 428382,A000000,01600,0000,1600SKILLED NURSING FACILITY 428382,A000000,01800,0000,1800NURSING FACILITY 428382,A000000,01810,0000,1810ICF/MR 428382,A000000,01900,0000,1900OTHER LONG TERM CARE 428382,A000000,02100,0000,2100RADIOLOGY 428382,A000000,02200,0000,2200LABORATORY 428382,A000000,02300,0000,2300INTRAVENOUS THERAPY 428382,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428382,A000000,02500,0000,2500PHYSICAL THERAPY 428382,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428382,A000000,02700,0000,2700SPEECH PATHOLOGY 428382,A000000,02800,0000,2800ELECTROCARDIOLOGY 428382,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428382,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428382,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428382,A000000,03200,0000,3200SUPPORT SURFACES 428382,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428382,A000000,03400,0000,3400CLINIC 428382,A000000,03500,0000,3500RURAL HEALTH CLINIC 428382,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428382,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428382,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428382,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428382,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428382,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428382,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428382,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428382,A000000,04400,0000,4400DME RENTED - HHA 428382,A000000,04500,0000,4500DME SOLD - HHA 428382,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428382,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428382,A000000,04800,0000,4800AMBULANCE 428382,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428382,A000000,05000,0000,5000CORF 428382,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428382,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428382,A000000,05300,0000,5300INTEREST EXPENSE 428382,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428382,A000000,05500,0000,5500HOSPICE 428382,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428382,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428382,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428382,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428382,A000000,06100,0000,6100NONPAID WORKERS 428382,A000000,06200,0000,6200PATIENTS LAUNDRY 428382,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428382,A81000A,00100,0100,Y 428382,A81000B,00100,0300,MANAGEMENT FEES 428382,A81000B,00200,0300,MANAGEMENT FEES 428382,A81000B,00300,0300,MANAGEMENT FEES 428382,A81000B,00400,0300,SUPPLIES 428382,A81000B,00500,0300,SUPPLIES 428382,A81000B,00600,0300,SUPPLIES 428382,A81000B,00700,0300,SUPPLIES 428382,A81000B,00800,0300,SUPPLIES 428382,A81000B,00900,0300,SUPPLIES 428382,A81000B,01000,0300,INSURANCE 428382,A81000B,01100,0300,MINOR EQUIPMENT 428382,A81000B,01200,0300,CNA ORIENTATION 428382,A81000B,01300,0300,THERAPY SERVICES 428382,A81000B,01400,0300,DRUGS - PVT/VA/MCD NON PDP 428382,A81000B,01500,0300,PHARMACY CONSULTANT 428382,A81000B,01600,0300,OTHER EMP BENEFITS 428382,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428382,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428382,A81000B,01900,0300,HEPATITIS B VACCINE 428382,A81000B,02000,0300,OTC DRUGS 428382,A81000B,02100,0300,GLUCOSE SUPPLIES 428382,A81000B,02200,0300,DRUGS - MEDICARE 428382,A81000B,02300,0300,PHYSICAL THERAPY 428382,A81000B,02400,0300,OCCUPATIONAL THERAPY 428382,A81000B,02500,0300,SPEECH THERAPY 428382,A81000C,00100,0100,A 428382,A81000C,00100,0200,MICHAEL H. MCBRIDE 428382,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428382,A81000C,00100,0600,HOME OFFICE 428382,A81000C,00200,0100,A 428382,A81000C,00200,0200,JOHN SWIFT 428382,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428382,A81000C,00200,0600,HOME OFFICE 428382,A81000C,00300,0100,A 428382,A81000C,00300,0200,BILL WILLIAMSON 428382,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428382,A81000C,00300,0600,HOME OFFICE 428382,A81000C,00400,0100,A 428382,A81000C,00400,0200,MICHAEL H. MCBRIDE 428382,A81000C,00400,0400,GROVE MEDICAL INC 428382,A81000C,00400,0600,SUPPLIES 428382,A81000C,00500,0100,A 428382,A81000C,00500,0200,MICHAEL H. MCBRIDE 428382,A81000C,00500,0400,PROCARE RX INC. 428382,A81000C,00500,0600,PHARMACY 428382,A81000C,00600,0100,A 428382,A81000C,00600,0200,MICHAEL H. MCBRIDE 428382,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428382,A81000C,00600,0600,THERAPY 428382,A81000C,00700,0100,A 428382,A81000C,00700,0200,JOHN SWIFT 428382,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428382,A81000C,00700,0600,THERAPY 428382,A81000C,00800,0100,A 428382,A81000C,00800,0200,BILL WILLIAMSON 428382,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428382,A81000C,00800,0600,THERAPY 428382,A81000C,00900,0100,A 428382,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428382,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428382,A81000C,00900,0600,INSURANCE 428382,A81000C,01000,0100,A 428382,A81000C,01000,0200,JOHN SWIFT 428382,A81000C,01000,0400,CRESCENT INDEMNITY INC 428382,A81000C,01000,0600,INSURANCE 428382,A81000C,01001,0100,A 428382,A81000C,01001,0200,BILL WILLIAMSON 428382,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428382,A81000C,01001,0600,INSURANCE 428382,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428382,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428382,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428382,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428382,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428382,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428382,B100000,00000,0800,0800MEALS SERVED :DIETARY 428382,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428382,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428382,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428382,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428382,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428382,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428382,G300000,02501,0000,GARNISHMENT FEE 428382,S000000,00100,0200,07/07/11 428382,S200000,00100,0100,3647 MAYBANK HIGHWAY 428382,S200000,00200,0100,JOHNS ISLAND 428382,S200000,00200,0200,SC 428382,S200000,00200,0300,29455 428382,S200000,00300,0100,CHARLESTON 428382,S200000,00300,0200,1440 428382,S200000,00300,0201,16700 428382,S200000,00300,0300,U 428382,S200000,00400,0100,ISLAND OAKS LIVING CENTER LLC 428382,S200000,00400,0200,425368 428382,S200000,00400,0300,12/17/99 428382,S200000,00400,0500,P 428382,S200000,01500,0100,Y 428382,S200000,01501,0200,Y 428382,S200000,01502,0200,Y 428382,S200000,01503,0200,N 428382,S200000,01504,0200,N 428382,S200000,01600,0100,N 428382,S200000,01700,0100,N 428382,S200000,01800,0100,N 428382,S200000,02200,0100,N 428382,S200000,02800,0100,Y 428382,S200000,02900,0100,N 428382,S200000,03000,0100,N 428382,S200000,03100,0100,N 428382,S200000,03200,0100,N 428382,S200000,03300,0100,N 428382,S200000,03300,0200,N 428382,S200000,04100,0100,N 428382,S200000,04200,0100,N 428382,S200000,04300,0100,N 428382,S200000,04600,0100,N 428382,S200000,04700,0100,N 428382,S200000,04700,0200,N 428382,S200000,04900,0100,N 428382,S200000,05000,0100,N 428382,S200000,05100,0100,N 428382,S200000,05200,0100,N 428382,S200000,05300,0100,Y 428382,S200000,05300,0200,42HO32 428382,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428382,S200000,05400,0200,PALMETTO GBA 428382,S200000,05400,0300, 00380 428382,S200000,05500,0100,101 GRACE DRIVE 428382,S200000,05600,0100,EASLEY 428382,S200000,05600,0200,SC 428382,S200000,05600,0300,29640 428383,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428383,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428383,A000000,00300,0000,0300EMPLOYEE BENEFITS 428383,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428383,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428383,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428383,A000000,00700,0000,0700HOUSEKEEPING 428383,A000000,00800,0000,0800DIETARY 428383,A000000,00900,0000,0900NURSING ADMINISTRATION 428383,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428383,A000000,01100,0000,1100PHARMACY 428383,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428383,A000000,01300,0000,1300SOCIAL SERVICE 428383,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428383,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428383,A000000,01600,0000,1600SKILLED NURSING FACILITY 428383,A000000,01800,0000,1800NURSING FACILITY 428383,A000000,01810,0000,1810ICF/MR 428383,A000000,01900,0000,1900OTHER LONG TERM CARE 428383,A000000,02100,0000,2100RADIOLOGY 428383,A000000,02200,0000,2200LABORATORY 428383,A000000,02300,0000,2300INTRAVENOUS THERAPY 428383,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428383,A000000,02500,0000,2500PHYSICAL THERAPY 428383,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428383,A000000,02700,0000,2700SPEECH PATHOLOGY 428383,A000000,02800,0000,2800ELECTROCARDIOLOGY 428383,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428383,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428383,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428383,A000000,03200,0000,3200SUPPORT SURFACES 428383,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428383,A000000,03400,0000,3400CLINIC 428383,A000000,03500,0000,3500RURAL HEALTH CLINIC 428383,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428383,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428383,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428383,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428383,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428383,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428383,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428383,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428383,A000000,04400,0000,4400DME RENTED - HHA 428383,A000000,04500,0000,4500DME SOLD - HHA 428383,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428383,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428383,A000000,04710,0000,4710TELEMEDICINE 428383,A000000,04800,0000,4800AMBULANCE 428383,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428383,A000000,05000,0000,5000CORF 428383,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428383,A000000,05300,0000,5300INTEREST EXPENSE 428383,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428383,A000000,05500,0000,5500HOSPICE 428383,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428383,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428383,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428383,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428383,A000000,06100,0000,6100NONPAID WORKERS 428383,A000000,06200,0000,6200PATIENTS LAUNDRY 428383,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428383,A81000A,00100,0100,Y 428383,A81000B,00100,0300,HOME OFFICE COSTS 428383,A81000B,00200,0300,BLDGS & F CAPTIAL COSTS 428383,A81000B,00300,0300,BLDGS & F CAPTIAL COSTS 428383,A81000C,00100,0100,B 428383,A81000C,00100,0200,CRYSTAL INC. 428383,A81000C,00100,0400,CRYSTAL INC. 428383,A81000C,00100,0600,MGMT 428383,A81000C,00200,0100,B 428383,A81000C,00200,0200,CRYSTAL INC. 428383,A81000C,00200,0400,CRYSTAL INC. 428383,A81000C,00200,0600,OWNER 428383,A81000C,00300,0100,B 428383,A81000C,00300,0200,CRYSTAL INC. 428383,A81000C,00300,0400,CRYSTAL INC. 428383,A81000C,00300,0600,OWNER 428383,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428383,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428383,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428383,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428383,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428383,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428383,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428383,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428383,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428383,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428383,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428383,G300000,02500,0000,MISCELLANEOUS 428383,G300000,02501,0000,PERSONAL PURCHASE INCOME 428383,S000000,00100,0200,02/29/12 428383,S200000,00100,0100,815 HIGH ROAD 428383,S200000,00200,0100,NORWALK 428383,S200000,00200,0200,IA 428383,S200000,00200,0300,50211 428383,S200000,00300,0100,WARREN 428383,S200000,00300,0200,1624 428383,S200000,00300,0201,19780 428383,S200000,00300,0300,U 428383,S200000,00400,0100,REGENCY CARE CENTER 428383,S200000,00400,0200,165399 428383,S200000,00400,0300,09/22/98 428383,S200000,00400,0500,P 428383,S200000,01500,0100,Y 428383,S200000,01501,0200,Y 428383,S200000,01600,0100,N 428383,S200000,01700,0100,N 428383,S200000,01800,0100,N 428383,S200000,02200,0100,N 428383,S200000,02800,0100,Y 428383,S200000,02900,0100,N 428383,S200000,03000,0100,N 428383,S200000,03100,0100,Y 428383,S200000,03200,0100,N 428383,S200000,03300,0100,N 428383,S200000,03300,0200,N 428383,S200000,04100,0100,N 428383,S200000,04200,0100,N 428383,S200000,04300,0100,N 428383,S200000,04600,0100,N 428383,S200000,04700,0100,N 428383,S200000,04700,0200,N 428383,S200000,04900,0100,N 428383,S200000,05000,0100,N 428383,S200000,05100,0100,N 428383,S200000,05200,0100,N 428383,S200000,05300,0100,Y 428383,S200000,05300,0200,H58310 428383,S200000,05400,0100,CRYSTAL INC. 428383,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428383,S200000,05400,0300,52280 428383,S200000,05500,0100,2900 WESTOWN PARKWAY STE A 428383,S200000,05600,0100,WEST DES MOINES 428383,S200000,05600,0200,IA 428383,S200000,05600,0300,50266 428393,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428393,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428393,A000000,00300,0000,0300EMPLOYEE BENEFITS 428393,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428393,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428393,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428393,A000000,00700,0000,0700HOUSEKEEPING 428393,A000000,00800,0000,0800DIETARY 428393,A000000,00900,0000,0900NURSING ADMINISTRATION 428393,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428393,A000000,01100,0000,1100PHARMACY 428393,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428393,A000000,01300,0000,1300SOCIAL SERVICE 428393,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428393,A000000,01600,0000,1600SKILLED NURSING FACILITY 428393,A000000,01800,0000,1800NURSING FACILITY 428393,A000000,01810,0000,1810ICF/MR 428393,A000000,01900,0000,1900OTHER LONG TERM CARE 428393,A000000,02200,0000,2200LABORATORY 428393,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428393,A000000,02500,0000,2500PHYSICAL THERAPY 428393,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428393,A000000,02700,0000,2700SPEECH PATHOLOGY 428393,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428393,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428393,A000000,03550,0000,3550FQHC 428393,A000000,05000,0000,5000CORF 428393,A000000,05010,0000,5010CMHC 428393,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428393,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428393,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428393,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428393,A81000A,00100,0100,N 428393,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428393,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428393,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428393,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428393,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428393,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428393,B100000,00000,0800,0800MEALS SERVED :DIETARY 428393,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428393,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428393,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428393,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428393,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428393,S000000,00100,0200,02/24/12 428393,S200000,00100,0100,607 SMITH AVE 428393,S200000,00100,0300,315 428393,S200000,00200,0100,ELWOOD 428393,S200000,00200,0200,NE 428393,S200000,00200,0300,68937-0315 428393,S200000,00300,0100,GOSPER 428393,S200000,00300,0300,R 428393,S200000,00400,0100,ELWOOD CARE CENTER 428393,S200000,00400,0200,285215 428393,S200000,00400,0300,01/01/98 428393,S200000,00400,0500,P 428393,S200000,01500,0100,Y 428393,S200000,01501,0200,Y 428393,S200000,01504,0200,Y 428393,S200000,01600,0100,N 428393,S200000,01700,0100,N 428393,S200000,01800,0100,N 428393,S200000,02200,0100,N 428393,S200000,02800,0100,N 428393,S200000,02900,0100,N 428393,S200000,03000,0100,N 428393,S200000,03100,0100,N 428393,S200000,03200,0100,N 428393,S200000,03300,0100,N 428393,S200000,03300,0200,N 428393,S200000,04100,0100,N 428393,S200000,04200,0100,N 428393,S200000,04300,0100,N 428393,S200000,04600,0100,N 428393,S200000,04700,0100,N 428393,S200000,04700,0200,N 428393,S200000,04900,0100,N 428393,S200000,05000,0100,N 428393,S200000,05100,0100,N 428393,S200000,05200,0100,N 428393,S200000,05300,0100,N 428402,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428402,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428402,A000000,00300,0000,0300EMPLOYEE BENEFITS 428402,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428402,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428402,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428402,A000000,00700,0000,0700HOUSEKEEPING 428402,A000000,00800,0000,0800DIETARY 428402,A000000,00900,0000,0900NURSING ADMINISTRATION 428402,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428402,A000000,01100,0000,1100PHARMACY 428402,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428402,A000000,01300,0000,1300SOCIAL SERVICE 428402,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428402,A000000,01500,0000,1350RECREATIONAL SERVICES 428402,A000000,01600,0000,1600SKILLED NURSING FACILITY 428402,A000000,01810,0000,1810ICF/MR 428402,A000000,02100,0000,2100RADIOLOGY 428402,A000000,02200,0000,2200LABORATORY 428402,A000000,02300,0000,2300INTRAVENOUS THERAPY 428402,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428402,A000000,02500,0000,2500PHYSICAL THERAPY 428402,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428402,A000000,02700,0000,2700SPEECH PATHOLOGY 428402,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428402,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428402,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428402,A000000,03550,0000,3550FQHC 428402,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428402,A000000,04710,0000,4710TELEMEDICINE 428402,A000000,04801,0000,4801AMBULANCE 428402,A000000,04802,0000,4802AMBULANCE 428402,A000000,04803,0000,4803AMBULANCE 428402,A000000,05000,0000,5000CORF 428402,A000000,05010,0000,5010CMHC 428402,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428402,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428402,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428402,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428402,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428402,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428402,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428402,A81000A,00100,0100,Y 428402,A81000B,00100,0300,MANAGEMENT COMPANY 428402,A81000B,00200,0300,WORKERS COMP 428402,A81000B,00300,0300,DISABILITY INSURANCE 428402,A81000B,00400,0300,HEALTH INSURANCE COSTS 428402,A81000C,00100,0100,B 428402,A81000C,00100,0200,PARADIGM MGMT LLC 428402,A81000C,00200,0100,B 428402,A81000C,00200,0400,PARADIGM HC DEVELOPMENT 428402,A81000C,00300,0100,B 428402,A81000C,00300,0400,PARADIGM HC DEVELOPMENT 428402,A81000C,00400,0100,B 428402,A81000C,00400,0400,PARADIGM HC DEVELOPMENT 428402,B100000,00000,0100,0100SQUARE FEET 428402,B100000,00000,0200,0200SQUARE FEET 428402,B100000,00000,0300,0300GROSS SALARIES 428402,B100000,00000,0400,0400ACCUM COST 428402,B100000,00000,0500,0500SQUARE FEET 428402,B100000,00000,0600,0600PATIENT DAYS 428402,B100000,00000,0700,0700SQUARE FEET 428402,B100000,00000,0800,0800PATIENT DAYS 428402,B100000,00000,0900,0900PATIENT DAYS 428402,B100000,00000,1000,1000COST REQUIS 428402,B100000,00000,1100,1100PATIENT DAYS 428402,B100000,00000,1200,1200PATIENT DAYS 428402,B100000,00000,1300,1300PATIENT DAYS 428402,B100000,00000,1400,1400ASSIGNED TIME 428402,B100000,00000,1500,1350PATIENT DAYS 428402,G300000,02500,0000,VENDING MACHINE INCOME 428402,G300000,02501,0000,INTEREST INCOME 428402,S000000,00100,0200,03/05/12 428402,S200000,00100,0100,177 WHITEWOOD RD 428402,S200000,00200,0100,WATERBURY 428402,S200000,00200,0200,CT 428402,S200000,00200,0300,06708 428402,S200000,00300,0100,NEW HAVEN 428402,S200000,00300,0201,35300 428402,S200000,00300,0300,U 428402,S200000,00400,0100,PARADIGM HC CENTER OF WATERBURY LLC 428402,S200000,00400,0200,075219 428402,S200000,00400,0300,10/01/09 428402,S200000,00400,0500,P 428402,S200000,01500,0100,Y 428402,S200000,01502,0200,Y 428402,S200000,01504,0200,Y 428402,S200000,01600,0100,N 428402,S200000,01700,0100,N 428402,S200000,01800,0100,N 428402,S200000,02200,0100,N 428402,S200000,02800,0100,N 428402,S200000,02900,0100,N 428402,S200000,03000,0100,N 428402,S200000,03100,0100,N 428402,S200000,03200,0100,N 428402,S200000,03300,0100,N 428402,S200000,03300,0200,N 428402,S200000,04200,0100,N 428402,S200000,04300,0100,N 428402,S200000,04600,0100,N 428402,S200000,04700,0100,N 428402,S200000,04900,0100,N 428402,S200000,05200,0100,N 428402,S200000,05300,0100,N 428415,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428415,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428415,A000000,00300,0000,0300EMPLOYEE BENEFITS 428415,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428415,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428415,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428415,A000000,00700,0000,0700HOUSEKEEPING 428415,A000000,00800,0000,0800DIETARY 428415,A000000,00900,0000,0900NURSING ADMINISTRATION 428415,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428415,A000000,01100,0000,1100PHARMACY 428415,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428415,A000000,01300,0000,1300SOCIAL SERVICE 428415,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428415,A000000,01600,0000,1600SKILLED NURSING FACILITY 428415,A000000,01800,0000,1800NURSING FACILITY 428415,A000000,01900,0000,1900OTHER LONG TERM CARE 428415,A000000,02100,0000,2100RADIOLOGY 428415,A000000,02200,0000,2200LABORATORY 428415,A000000,02300,0000,2300INTRAVENOUS THERAPY 428415,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428415,A000000,02500,0000,2500PHYSICAL THERAPY 428415,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428415,A000000,02700,0000,2700SPEECH PATHOLOGY 428415,A000000,02800,0000,2800ELECTROCARDIOLOGY 428415,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428415,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428415,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428415,A000000,03200,0000,3200SUPPORT SURFACES 428415,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428415,A000000,03400,0000,3400CLINIC 428415,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428415,A000000,04800,0000,4800AMBULANCE 428415,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428415,A000000,05000,0000,5000CORF 428415,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428415,A000000,05300,0000,5300INTEREST EXPENSE 428415,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428415,A000000,05500,0000,5500HOSPICE 428415,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428415,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428415,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428415,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428415,A000000,06100,0000,6100NONPAID WORKERS 428415,A000000,06200,0000,6200PATIENTS LAUNDRY 428415,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428415,A81000A,00100,0100,Y 428415,A81000B,00100,0300,NURSING CONSULTING 428415,A81000B,00200,0300,DIETARY CONSULTING 428415,A81000B,00300,0300,HOME OFFICE 428415,A81000B,00400,0300,INTEREST EXPENSE 428415,A81000B,00500,0300,WORKERS COMP EXPENSE 428415,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 428415,A81000B,00700,0300,MAINTENANCE SUPPLIES 428415,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 428415,A81000B,00900,0300,REPAIRS - EQUIPMENT 428415,A81000B,01000,0300,LINEN & BEDDING 428415,A81000B,01100,0300,LAUNDRY SUPPLIES 428415,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 428415,A81000B,01300,0300,PAPER PRODUCTS & HAND SOAP 428415,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 428415,A81000B,01500,0300,DIETARY SUPPLEMENTS 428415,A81000B,01600,0300,DIETARY SUPPLIES 428415,A81000B,01700,0300,BIO-MEDICAL WASTE 428415,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 428415,A81000B,01900,0300,PERSONAL CARE SUPPLIES 428415,A81000B,02000,0300,INCONTINENCE SUPPLIES 428415,A81000B,02100,0300,MEDICAL SUPPLIES 428415,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 428415,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 428415,A81000B,02400,0300,PT SUPPLIES 428415,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 428415,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 428415,A81000B,02700,0300,NON-LEGEND DRUGS 428415,A81000B,02800,0300,PHARMACY CONSULTANT 428415,A81000B,02900,0300,MED REC SUPPLIES 428415,A81000C,00100,0100,B 428415,A81000C,00100,0400,BRITTHAVEN INC 428415,A81000C,00100,0600,MGMT SERVICES 428415,A81000C,00200,0100,B 428415,A81000C,00200,0400,BRITTHAVEN INC 428415,A81000C,00200,0600,MGMT SERVICES 428415,A81000C,00300,0100,B 428415,A81000C,00300,0400,BRITTHAVEN INC 428415,A81000C,00300,0600,MGMT SERVICES 428415,A81000C,00400,0100,B 428415,A81000C,00400,0400,BRITTHAVEN INC 428415,A81000C,00400,0600,MGMT SERVICES 428415,A81000C,00500,0100,A 428415,A81000C,00500,0200,DISCOVERY INSUR 428415,A81000C,00500,0600,INSURANCE 428415,A81000C,00600,0100,A 428415,A81000C,00600,0200,QUEENSLAND ASSU 428415,A81000C,00600,0600,INSURANCE 428415,A81000C,00700,0100,B 428415,A81000C,00700,0400,KARE MEDICAL 428415,A81000C,00700,0600,WHOLESALE SUPPL 428415,A81000C,00800,0100,B 428415,A81000C,00800,0400,KARE MEDICAL 428415,A81000C,00800,0600,WHOLESALE SUPPL 428415,A81000C,00900,0100,B 428415,A81000C,00900,0400,KARE MEDICAL 428415,A81000C,00900,0600,WHOLESALE SUPPL 428415,A81000C,01000,0100,B 428415,A81000C,01000,0400,KARE MEDICAL 428415,A81000C,01000,0600,WHOLESALE SUPPL 428415,A81000C,01001,0100,B 428415,A81000C,01001,0400,KARE MEDICAL 428415,A81000C,01001,0600,WHOLESALE SUPPL 428415,A81000C,01002,0100,B 428415,A81000C,01002,0400,KARE MEDICAL 428415,A81000C,01002,0600,WHOLESALE SUPPL 428415,A81000C,01003,0100,B 428415,A81000C,01003,0400,KARE MEDICAL 428415,A81000C,01003,0600,WHOLESALE SUPPL 428415,A81000C,01004,0100,B 428415,A81000C,01004,0400,KARE MEDICAL 428415,A81000C,01004,0600,WHOLESALE SUPPL 428415,A81000C,01005,0100,B 428415,A81000C,01005,0400,KARE MEDICAL 428415,A81000C,01005,0600,WHOLESALE SUPPL 428415,A81000C,01006,0100,B 428415,A81000C,01006,0400,KARE MEDICAL 428415,A81000C,01006,0600,WHOLESALE SUPPL 428415,A81000C,01007,0100,B 428415,A81000C,01007,0400,KARE MEDICAL 428415,A81000C,01007,0600,WHOLESALE SUPPL 428415,A81000C,01008,0100,B 428415,A81000C,01008,0400,KARE MEDICAL 428415,A81000C,01008,0600,WHOLESALE SUPPL 428415,A81000C,01009,0100,B 428415,A81000C,01009,0400,KARE MEDICAL 428415,A81000C,01009,0600,WHOLESALE SUPPL 428415,A81000C,01010,0100,B 428415,A81000C,01010,0400,KARE MEDICAL 428415,A81000C,01010,0600,WHOLESALE SUPPL 428415,A81000C,01011,0100,B 428415,A81000C,01011,0400,KARE MEDICAL 428415,A81000C,01011,0600,WHOLESALE SUPPL 428415,A81000C,01012,0100,B 428415,A81000C,01012,0400,KARE MEDICAL 428415,A81000C,01012,0600,WHOLESALE SUPPL 428415,A81000C,01013,0100,B 428415,A81000C,01013,0400,KARE MEDICAL 428415,A81000C,01013,0600,WHOLESALE SUPPL 428415,A81000C,01014,0100,B 428415,A81000C,01014,0400,KARE MEDICAL 428415,A81000C,01014,0600,WHOLESALE SUPPL 428415,A81000C,01015,0100,B 428415,A81000C,01015,0400,KARE MEDICAL 428415,A81000C,01015,0600,WHOLESALE SUPPL 428415,A81000C,01016,0100,B 428415,A81000C,01016,0400,PHARMSAVE 428415,A81000C,01016,0600,RX SUPPLY 428415,A81000C,01017,0100,B 428415,A81000C,01017,0400,PHARMSAVE 428415,A81000C,01017,0600,RX SUPPLY 428415,A81000C,01018,0100,B 428415,A81000C,01018,0400,PHARMSAVE 428415,A81000C,01018,0600,RX SUPPLY 428415,A81000C,01019,0100,B 428415,A81000C,01019,0400,PHARMSAVE 428415,A81000C,01019,0600,RX SUPPLY 428415,A81000C,01020,0100,B 428415,A81000C,01020,0400,PHARMSAVE 428415,A81000C,01020,0600,RX SUPPLY 428415,A81000C,01021,0100,B 428415,A81000C,01021,0400,ROBERT HILL CON 428415,A81000C,01021,0600,CONSTRUCTION 428415,A81000C,01022,0100,B 428415,A81000C,01022,0400,ROBERT HILL CON 428415,A81000C,01022,0600,CONSTRUCTION 428415,A81000C,01023,0100,B 428415,A81000C,01023,0400,ROBERT HILL CON 428415,A81000C,01023,0600,CONSTRUCTION 428415,A81000C,01024,0100,B 428415,A81000C,01024,0400,ROBERT HILL CON 428415,A81000C,01024,0600,CONSTRUCTION 428415,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428415,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428415,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428415,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428415,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428415,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428415,B100000,00000,0800,0800MEALS SERVED :DIETARY 428415,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428415,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428415,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428415,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428415,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428415,G300000,02500,0000, OTHER (SPECIFY) 428415,S000000,00100,0200,07/25/11 428415,S200000,00100,0100,604 LUCAS ROAD 428415,S200000,00200,0100,DUNN 428415,S200000,00200,0200,NC 428415,S200000,00200,0300,28335 428415,S200000,00300,0100,HARNETT 428415,S200000,00300,0201,99934 428415,S200000,00300,0300,R 428415,S200000,00400,0100,BRITTHAVEN OF HARNETT 428415,S200000,00400,0200,345478 428415,S200000,00400,0300,09/26/96 428415,S200000,00400,0500,P 428415,S200000,01500,0100,Y 428415,S200000,01501,0200,Y 428415,S200000,01502,0200,Y 428415,S200000,01503,0200,Y 428415,S200000,01505,0000,OTHER (SPECIFY) 428415,S200000,01505,0200,Y 428415,S200000,01600,0100,N 428415,S200000,01700,0100,N 428415,S200000,01800,0100,N 428415,S200000,02200,0100,N 428415,S200000,02800,0100,N 428415,S200000,02900,0100,N 428415,S200000,03000,0100,N 428415,S200000,03100,0100,Y 428415,S200000,03200,0100,N 428415,S200000,03300,0100,N 428415,S200000,03300,0200,N 428415,S200000,04100,0100,N 428415,S200000,04200,0100,N 428415,S200000,04300,0100,N 428415,S200000,04600,0100,N 428415,S200000,04700,0100,N 428415,S200000,04700,0200,N 428415,S200000,04900,0100,N 428415,S200000,05000,0100,N 428415,S200000,05100,0100,N 428415,S200000,05200,0100,N 428415,S200000,05300,0100,Y 428415,S200000,05300,0200,349011 428415,S200000,05400,0100,BRITTHAVEN INC. 428415,S200000,05400,0200,PALMETTO GBA 428415,S200000,05400,0300,11501 428415,S200000,05500,0100,1435 HWY 258 NORTH 428415,S200000,05500,0200,P.O. BOX 428415,S200000,05600,0100,KINSTON 428415,S200000,05600,0200,NC 428415,S200000,05600,0300,28502 428448,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428448,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428448,A000000,00300,0000,0300EMPLOYEE BENEFITS 428448,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428448,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428448,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428448,A000000,00700,0000,0700HOUSEKEEPING 428448,A000000,00800,0000,0800DIETARY 428448,A000000,00900,0000,0900NURSING ADMINISTRATION 428448,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428448,A000000,01300,0000,1300SOCIAL SERVICE 428448,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428448,A000000,01600,0000,1600SKILLED NURSING FACILITY 428448,A000000,01800,0000,1800NURSING FACILITY 428448,A000000,01900,0000,1900OTHER LONG TERM CARE 428448,A000000,02100,0000,2100RADIOLOGY 428448,A000000,02200,0000,2200LABORATORY 428448,A000000,02300,0000,2300INTRAVENOUS THERAPY 428448,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428448,A000000,02500,0000,2500PHYSICAL THERAPY 428448,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428448,A000000,02700,0000,2700SPEECH PATHOLOGY 428448,A000000,02800,0000,2800ELECTROCARDIOLOGY 428448,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428448,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428448,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428448,A000000,03200,0000,3200SUPPORT SURFACES 428448,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428448,A000000,04800,0000,4800AMBULANCE 428448,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428448,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428448,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428448,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428448,A81000A,00100,0100,N 428448,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428448,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428448,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428448,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428448,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428448,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428448,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428448,B100000,00000,0800,0800MEALS SERVED :DIETARY 428448,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428448,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428448,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428448,G300000,02500,0000, OTHER (SPECIFY) 428448,S000000,00100,0200,04/04/12 428448,S200000,00100,0100,930 WEST MAIN STREET 428448,S200000,00200,0100,RIPON 428448,S200000,00200,0200,CA 428448,S200000,00200,0300,95366 428448,S200000,00300,0100,SAN JOAQUIN 428448,S200000,00300,0201,44700 428448,S200000,00300,0300,U 428448,S200000,00400,0100,BETHANY HOME SOCIETY OF SAN JOAQUIN 428448,S200000,00400,0200,055662 428448,S200000,00400,0300,02/25/67 428448,S200000,00400,0500,P 428448,S200000,01500,0100,N 428448,S200000,01600,0100,N 428448,S200000,01700,0100,N 428448,S200000,01800,0100,N 428448,S200000,02200,0100,N 428448,S200000,02800,0100,N 428448,S200000,02900,0100,N 428448,S200000,03000,0100,N 428448,S200000,03100,0100,N 428448,S200000,03200,0100,N 428448,S200000,03300,0100,N 428448,S200000,03300,0200,N 428448,S200000,04100,0100,N 428448,S200000,04200,0100,N 428448,S200000,04300,0100,N 428448,S200000,04600,0100,N 428448,S200000,04700,0100,N 428448,S200000,04700,0200,N 428448,S200000,04900,0100,N 428448,S200000,05000,0100,N 428448,S200000,05100,0100,N 428448,S200000,05200,0100,N 428448,S200000,05300,0100,N 428449,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428449,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428449,A000000,00300,0000,0300EMPLOYEE BENEFITS 428449,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428449,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428449,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428449,A000000,00700,0000,0700HOUSEKEEPING 428449,A000000,00800,0000,0800DIETARY 428449,A000000,00900,0000,0900NURSING ADMINISTRATION 428449,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428449,A000000,01100,0000,1100PHARMACY 428449,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428449,A000000,01300,0000,1300SOCIAL SERVICE 428449,A000000,01600,0000,1600SKILLED NURSING FACILITY 428449,A000000,01800,0000,1800NURSING FACILITY 428449,A000000,01900,0000,1900OTHER LONG TERM CARE 428449,A000000,02100,0000,2100RADIOLOGY 428449,A000000,02200,0000,2200LABORATORY 428449,A000000,02300,0000,2300INTRAVENOUS THERAPY 428449,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428449,A000000,02500,0000,2500PHYSICAL THERAPY 428449,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428449,A000000,02700,0000,2700SPEECH PATHOLOGY 428449,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428449,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428449,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428449,A000000,03200,0000,3200SUPPORT SURFACES 428449,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428449,A000000,04800,0000,4800AMBULANCE 428449,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428449,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428449,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428449,A81000A,00100,0100,Y 428449,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428449,A81000B,00200,0300,LEASE BUILDING 428449,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428449,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428449,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428449,A81000B,00600,0300,ANCILL SUPP - MEDICAL MATERIALS 428449,A81000B,00700,0300,ANCILLARY SUPPLIES - ENTERALS 428449,A81000B,00800,0300,PHARMACY EXP PHARMACEUTICALS 428449,A81000B,00900,0300,PHARMACY EXPENSE - CENSUS ERRORS 428449,A81000B,01000,0300,PHARMACEUTICALS-SOC 428449,A81000B,01100,0300,GLUCOSE MONITORING SUPPLIES 428449,A81000B,01200,0300,I.V. THERAPY SUPPLIES 428449,A81000C,00100,0100,C 428449,A81000C,00100,0400,PACIFIC WEST PH 428449,A81000C,00100,0600,PHARMACY 428449,A81000C,00200,0100,C 428449,A81000C,00200,0400,EMERALD DISTRIB 428449,A81000C,00200,0600,DISTRIBUTORSHIP 428449,A81000C,00300,0100,F 428449,A81000C,00300,0400,HORIZON WEST HE 428449,A81000C,00300,0600,HOME OFFICE 428449,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428449,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428449,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428449,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428449,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428449,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428449,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428449,B100000,00000,0800,0800MEALS SERVED :DIETARY 428449,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428449,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428449,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428449,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428449,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428449,G300000,02500,0000, OTHER (SPECIFY) 428449,S000000,00100,0200,04/11/12 428449,S200000,00100,0100,715 POLE LINE ROAD 428449,S200000,00200,0100,DAVIS 428449,S200000,00200,0200,CA 428449,S200000,00200,0300,95616 428449,S200000,00300,0100,YOLO 428449,S200000,00300,0201,40900 428449,S200000,00300,0300,U 428449,S200000,00400,0100,HORIZON WEST-DAVIS 428449,S200000,00400,0200,055681 428449,S200000,00400,0300,03/01/81 428449,S200000,00400,0500,P 428449,S200000,01500,0100,Y 428449,S200000,01501,0200,Y 428449,S200000,01600,0100,N 428449,S200000,01700,0100,N 428449,S200000,01800,0100,N 428449,S200000,02200,0100,N 428449,S200000,02800,0100,N 428449,S200000,02900,0100,N 428449,S200000,03000,0100,N 428449,S200000,03100,0100,N 428449,S200000,03200,0100,N 428449,S200000,03300,0100,N 428449,S200000,03300,0200,N 428449,S200000,04100,0100,N 428449,S200000,04200,0100,N 428449,S200000,04300,0100,N 428449,S200000,04600,0100,N 428449,S200000,04700,0100,N 428449,S200000,04700,0200,N 428449,S200000,04900,0100,N 428449,S200000,05000,0100,N 428449,S200000,05100,0100,N 428449,S200000,05200,0100,N 428449,S200000,05300,0100,Y 428449,S200000,05300,0200,951175 428449,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428449,S200000,05400,0200,PALMETTO GBA 428449,S200000,05400,0300,01001 428449,S200000,05500,0100,4020 SIERRA COLLEGE 428449,S200000,05600,0100,ROCKLIN 428449,S200000,05600,0200,CA 428449,S200000,05600,0300,95677 428452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428452,A000000,00700,0000,0700HOUSEKEEPING 428452,A000000,00800,0000,0800DIETARY 428452,A000000,00900,0000,0900NURSING ADMINISTRATION 428452,A000000,01300,0000,1300SOCIAL SERVICE 428452,A000000,01600,0000,1600SKILLED NURSING FACILITY 428452,A000000,01800,0000,1800NURSING FACILITY 428452,A000000,01810,0000,1810ICF/MR 428452,A000000,01900,0000,1900OTHER LONG TERM CARE 428452,A000000,02100,0000,2100RADIOLOGY 428452,A000000,02200,0000,2200LABORATORY 428452,A000000,02300,0000,2300INTRAVENOUS THERAPY 428452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428452,A000000,02500,0000,2500PHYSICAL THERAPY 428452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428452,A000000,02700,0000,2700SPEECH PATHOLOGY 428452,A000000,02800,0000,2800ELECTROCARDIOLOGY 428452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428452,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428452,A000000,03200,0000,3200SUPPORT SURFACES 428452,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428452,A000000,03400,0000,3400CLINIC 428452,A000000,03500,0000,3500RURAL HEALTH CLINIC 428452,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428452,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428452,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428452,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428452,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428452,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428452,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428452,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428452,A000000,04400,0000,4400DME RENTED - HHA 428452,A000000,04500,0000,4500DME SOLD - HHA 428452,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428452,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428452,A000000,04710,0000,4710TELEMEDICINE 428452,A000000,04800,0000,4800AMBULANCE 428452,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428452,A000000,05000,0000,5000CORF 428452,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428452,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428452,A000000,05300,0000,5300INTEREST EXPENSE 428452,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428452,A000000,05500,0000,5500HOSPICE 428452,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428452,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428452,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428452,A000000,06100,0000,6100NONPAID WORKERS 428452,A000000,06200,0000,6200PATIENTS LAUNDRY 428452,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428452,A81000A,00100,0100,Y 428452,A81000B,00100,0300,BUILDING RENT & LEASES 428452,A81000C,00100,0100,A 428452,A81000C,00100,0400,DAVID ROSS LLC 428452,A81000C,00100,0600,HEALTHCARE 428452,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428452,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428452,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428452,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428452,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428452,B100000,00000,0800,0800MEALS SERVED :DIETARY 428452,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428452,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428452,G300000,02500,0000,PRIOR YEAR ADJ / OTHER REVENUE 428452,S000000,00100,0200,04/04/12 428452,S200000,00100,0100,1899 NORTH RAYMOND 428452,S200000,00200,0100,PASADENA 428452,S200000,00200,0200,CA 428452,S200000,00200,0300,91103 428452,S200000,00300,0100,LOS ANGELES 428452,S200000,00300,0200,4480 428452,S200000,00300,0300,U 428452,S200000,00400,0100,ROSE GARDEN CONVALESCENT CENTER 428452,S200000,00400,0200,055862 428452,S200000,00400,0300,11/01/84 428452,S200000,00400,0500,P 428452,S200000,01500,0100,Y 428452,S200000,01501,0200,Y 428452,S200000,01600,0100,N 428452,S200000,01700,0100,N 428452,S200000,01800,0100,N 428452,S200000,02200,0100,Y 428452,S200000,02800,0100,N 428452,S200000,02900,0100,N 428452,S200000,03000,0100,N 428452,S200000,03100,0100,N 428452,S200000,03200,0100,N 428452,S200000,03300,0100,N 428452,S200000,03300,0200,N 428452,S200000,04100,0100,N 428452,S200000,04200,0100,N 428452,S200000,04300,0100,N 428452,S200000,04600,0100,N 428452,S200000,04700,0100,N 428452,S200000,04700,0200,N 428452,S200000,04900,0100,N 428452,S200000,05000,0100,N 428452,S200000,05100,0100,N 428452,S200000,05200,0100,N 428462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428462,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428462,A000000,00300,0000,0300EMPLOYEE BENEFITS 428462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428462,A000000,00700,0000,0700HOUSEKEEPING 428462,A000000,00800,0000,0800DIETARY 428462,A000000,00900,0000,0900NURSING ADMINISTRATION 428462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428462,A000000,01300,0000,1300SOCIAL SERVICE 428462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428462,A000000,01600,0000,1600SKILLED NURSING FACILITY 428462,A000000,01800,0000,1800NURSING FACILITY 428462,A000000,01900,0000,1900OTHER LONG TERM CARE 428462,A000000,02100,0000,2100RADIOLOGY 428462,A000000,02200,0000,2200LABORATORY 428462,A000000,02300,0000,2300INTRAVENOUS THERAPY 428462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428462,A000000,02500,0000,2500PHYSICAL THERAPY 428462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428462,A000000,02700,0000,2700SPEECH PATHOLOGY 428462,A000000,02800,0000,2800ELECTROCARDIOLOGY 428462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428462,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428462,A000000,03200,0000,3200SUPPORT SURFACES 428462,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428462,A000000,04800,0000,4800AMBULANCE 428462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428462,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428462,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428462,A81000A,00100,0100,N 428462,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428462,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428462,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428462,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428462,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428462,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428462,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428462,B100000,00000,0800,0800MEALS SERVED :DIETARY 428462,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428462,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428462,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428462,S000000,00100,0200,04/03/12 428462,S200000,00100,0100,1210 A STREET 428462,S200000,00200,0100,ANTIOCH 428462,S200000,00200,0200,CA 428462,S200000,00200,0300,94509 428462,S200000,00300,0100,CONTRA COSTA 428462,S200000,00300,0201,05060 428462,S200000,00300,0300,U 428462,S200000,00400,0100,ANTIOCH CONVALESCENT HOSPITAL 428462,S200000,00400,0200,056381 428462,S200000,00400,0300,01/01/88 428462,S200000,00400,0500,P 428462,S200000,01500,0100,N 428462,S200000,01600,0100,Y 428462,S200000,01700,0100,N 428462,S200000,01800,0100,N 428462,S200000,02200,0100,N 428462,S200000,02800,0100,N 428462,S200000,02900,0100,N 428462,S200000,03000,0100,N 428462,S200000,03100,0100,N 428462,S200000,03200,0100,N 428462,S200000,03300,0100,N 428462,S200000,03300,0200,N 428462,S200000,04100,0100,N 428462,S200000,04200,0100,N 428462,S200000,04300,0100,N 428462,S200000,04600,0100,N 428462,S200000,04700,0100,N 428462,S200000,04700,0200,N 428462,S200000,04900,0100,N 428462,S200000,05000,0100,N 428462,S200000,05100,0100,N 428462,S200000,05200,0100,N 428462,S200000,05300,0100,N 428465,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428465,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428465,A000000,00300,0000,0300EMPLOYEE BENEFITS 428465,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428465,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428465,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428465,A000000,00700,0000,0700HOUSEKEEPING 428465,A000000,00800,0000,0800DIETARY 428465,A000000,00900,0000,0900NURSING ADMINISTRATION 428465,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428465,A000000,01100,0000,1100PHARMACY 428465,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428465,A000000,01300,0000,1300SOCIAL SERVICE 428465,A000000,01600,0000,1600SKILLED NURSING FACILITY 428465,A000000,01800,0000,1800NURSING FACILITY 428465,A000000,01900,0000,1900OTHER LONG TERM CARE 428465,A000000,02100,0000,2100RADIOLOGY 428465,A000000,02200,0000,2200LABORATORY 428465,A000000,02300,0000,2300INTRAVENOUS THERAPY 428465,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428465,A000000,02500,0000,2500PHYSICAL THERAPY 428465,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428465,A000000,02700,0000,2700SPEECH PATHOLOGY 428465,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428465,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428465,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428465,A000000,03200,0000,3200SUPPORT SURFACES 428465,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428465,A000000,04800,0000,4800AMBULANCE 428465,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428465,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428465,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428465,A81000A,00100,0100,Y 428465,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428465,A81000B,00200,0300,LEASE BUILDING 428465,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428465,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428465,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428465,A81000B,00600,0300,ANCILL SUPP - MEDICAL MATERIALS 428465,A81000B,00700,0300,PHARMACY EXP PHARMACEUTICALS 428465,A81000B,00800,0300,PHARMACY EXPENSE - CENSUS ERRORS 428465,A81000B,00900,0300,PHARMACEUTICALS - SOC 428465,A81000B,01000,0300,GLUCOSE MONITORING SUPPLIES 428465,A81000B,01100,0300,I.V. THERAPY SUPPLIES 428465,A81000C,00100,0100,C 428465,A81000C,00100,0400,PACIFIC WEST PH 428465,A81000C,00100,0600,PHARMACY 428465,A81000C,00200,0100,C 428465,A81000C,00200,0400,EMERALD DISTRBU 428465,A81000C,00200,0600,DISTRIBUTORSHIP 428465,A81000C,00300,0100,F 428465,A81000C,00300,0400,HORIZON WEST HE 428465,A81000C,00300,0600,HOME OFFICE 428465,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428465,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428465,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428465,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428465,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428465,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428465,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428465,B100000,00000,0800,0800MEALS SERVED :DIETARY 428465,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428465,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428465,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428465,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428465,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428465,G300000,02500,0000, OTHER (SPECIFY) 428465,S000000,00100,0200,04/11/12 428465,S200000,00100,0100,1501 SKYLINE DRIVE 428465,S200000,00200,0100,MONTEREY 428465,S200000,00200,0200,CA 428465,S200000,00200,0300,93940 428465,S200000,00300,0100,MONTEREY 428465,S200000,00300,0201,41500 428465,S200000,00300,0300,U 428465,S200000,00400,0100,MONTEREY PINES SKLLD NRSNG FACILITY 428465,S200000,00400,0200,056437 428465,S200000,00400,0300,08/01/81 428465,S200000,00400,0500,P 428465,S200000,01500,0100,Y 428465,S200000,01501,0200,Y 428465,S200000,01600,0100,N 428465,S200000,01700,0100,N 428465,S200000,01800,0100,N 428465,S200000,02200,0100,N 428465,S200000,02800,0100,N 428465,S200000,02900,0100,N 428465,S200000,03000,0100,N 428465,S200000,03100,0100,N 428465,S200000,03200,0100,N 428465,S200000,03300,0100,N 428465,S200000,03300,0200,N 428465,S200000,04100,0100,N 428465,S200000,04200,0100,N 428465,S200000,04300,0100,N 428465,S200000,04600,0100,N 428465,S200000,04700,0100,N 428465,S200000,04700,0200,N 428465,S200000,04900,0100,N 428465,S200000,05000,0100,N 428465,S200000,05100,0100,N 428465,S200000,05200,0100,N 428465,S200000,05300,0100,Y 428465,S200000,05300,0200,951175 428465,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428465,S200000,05400,0200,PALMETTO GBA 428465,S200000,05400,0300,01001 428465,S200000,05500,0100,4020 SIERRA COLLEGE 428465,S200000,05600,0100,ROCKLIN 428465,S200000,05600,0200,CA 428465,S200000,05600,0300,95677 428515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428515,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428515,A000000,00300,0000,0300EMPLOYEE BENEFITS 428515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428515,A000000,00700,0000,0700HOUSEKEEPING 428515,A000000,00800,0000,0800DIETARY 428515,A000000,00900,0000,0900NURSING ADMINISTRATION 428515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428515,A000000,01100,0000,1100PHARMACY 428515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428515,A000000,01300,0000,1300SOCIAL SERVICE 428515,A000000,01600,0000,1600SKILLED NURSING FACILITY 428515,A000000,01800,0000,1800NURSING FACILITY 428515,A000000,01900,0000,1900OTHER LONG TERM CARE 428515,A000000,02100,0000,2100RADIOLOGY 428515,A000000,02200,0000,2200LABORATORY 428515,A000000,02300,0000,2300INTRAVENOUS THERAPY 428515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428515,A000000,02500,0000,2500PHYSICAL THERAPY 428515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428515,A000000,02700,0000,2700SPEECH PATHOLOGY 428515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428515,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428515,A000000,03200,0000,3200SUPPORT SURFACES 428515,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428515,A000000,04800,0000,4800AMBULANCE 428515,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428515,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428515,A81000A,00100,0100,Y 428515,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428515,A81000B,00200,0300,LEASE BUILDING 428515,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428515,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428515,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428515,A81000B,00600,0300,ADMIN SUPPLIES 428515,A81000B,00700,0300,ADMIN PURCHASED SERVICES 428515,A81000B,00800,0300,ANCILL SUPP - MEDICAL MATERIALS 428515,A81000B,00900,0300,ANCILLARY SUPPLIES - ENTERALS 428515,A81000B,01000,0300,PHARMACY EXP PHARMACEUTICALS 428515,A81000B,01100,0300,PHARMACY EXPENSE - CENSUS ERRORS 428515,A81000B,01200,0300,PHARMACEUTICALS-SOC 428515,A81000B,01300,0300,GLUCOSE MONITORING SUPPLIES 428515,A81000B,01400,0300,I.V. THERAPY FEES 428515,A81000B,01500,0300,I.V. THERAPY SUPPLIES 428515,A81000C,00100,0100,C 428515,A81000C,00100,0400,PACIFIC WEST PH 428515,A81000C,00100,0600,PHARMACY 428515,A81000C,00200,0100,C 428515,A81000C,00200,0400,EMERALD DISTRIB 428515,A81000C,00200,0600,DISTRIBUTORSHIP 428515,A81000C,00300,0100,F 428515,A81000C,00300,0400,HORIZON WEST HE 428515,A81000C,00300,0600,HOME OFFICE 428515,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428515,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428515,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428515,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428515,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428515,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428515,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428515,B100000,00000,0800,0800MEALS SERVED :DIETARY 428515,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428515,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428515,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428515,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428515,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428515,G300000,02500,0000, OTHER (SPECIFY) 428515,S000000,00100,0200,04/11/12 428515,S200000,00100,0100,3700 H STREET 428515,S200000,00200,0100,SACRAMENTO 428515,S200000,00200,0200,CA 428515,S200000,00200,0300,95816 428515,S200000,00300,0100,SACRAMENTO 428515,S200000,00300,0201,40900 428515,S200000,00300,0300,U 428515,S200000,00400,0100,HORIZON WEST - MCKINLEY PARK 428515,S200000,00400,0200,555122 428515,S200000,00400,0300,11/01/79 428515,S200000,00400,0500,P 428515,S200000,01500,0100,Y 428515,S200000,01501,0200,Y 428515,S200000,01600,0100,N 428515,S200000,01700,0100,N 428515,S200000,01800,0100,N 428515,S200000,02200,0100,N 428515,S200000,02800,0100,N 428515,S200000,02900,0100,N 428515,S200000,03000,0100,N 428515,S200000,03100,0100,N 428515,S200000,03200,0100,N 428515,S200000,03300,0100,N 428515,S200000,03300,0200,N 428515,S200000,04100,0100,N 428515,S200000,04200,0100,N 428515,S200000,04300,0100,N 428515,S200000,04600,0100,N 428515,S200000,04700,0100,N 428515,S200000,04700,0200,N 428515,S200000,04900,0100,N 428515,S200000,05000,0100,N 428515,S200000,05100,0100,N 428515,S200000,05200,0100,N 428515,S200000,05300,0100,Y 428515,S200000,05300,0200,951175 428515,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428515,S200000,05400,0200,PALMETTO GBA 428515,S200000,05400,0300,01001 428515,S200000,05500,0100,4020 SIERRA COLLEGE 428515,S200000,05600,0100,ROCKLIN 428515,S200000,05600,0200,CA 428515,S200000,05600,0300,95677 428516,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428516,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428516,A000000,00300,0000,0300EMPLOYEE BENEFITS 428516,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428516,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428516,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428516,A000000,00700,0000,0700HOUSEKEEPING 428516,A000000,00800,0000,0800DIETARY 428516,A000000,00900,0000,0900NURSING ADMINISTRATION 428516,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428516,A000000,01100,0000,1100PHARMACY 428516,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428516,A000000,01300,0000,1300SOCIAL SERVICE 428516,A000000,01600,0000,1600SKILLED NURSING FACILITY 428516,A000000,01800,0000,1800NURSING FACILITY 428516,A000000,01900,0000,1900OTHER LONG TERM CARE 428516,A000000,02100,0000,2100RADIOLOGY 428516,A000000,02200,0000,2200LABORATORY 428516,A000000,02300,0000,2300INTRAVENOUS THERAPY 428516,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428516,A000000,02500,0000,2500PHYSICAL THERAPY 428516,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428516,A000000,02700,0000,2700SPEECH PATHOLOGY 428516,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428516,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428516,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428516,A000000,03200,0000,3200SUPPORT SURFACES 428516,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428516,A000000,04800,0000,4800AMBULANCE 428516,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428516,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428516,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428516,A81000A,00100,0100,Y 428516,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428516,A81000B,00200,0300,LEASE BUILDING 428516,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428516,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428516,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428516,A81000B,00600,0300,ANCILL SUPP - MEDICAL MATERIALS 428516,A81000B,00700,0300,ANCILLARY SUPPLIES - ENTERALS 428516,A81000B,00800,0300,PHARMACY EXP PHARMACEUTICALS 428516,A81000B,00900,0300,PHARMACY EXPENSE - CENSUS ERRORS 428516,A81000B,01000,0300,PHARMACEUTICALS-SOC 428516,A81000B,01100,0300,GLUCOSE MONITORING SUPPLIES 428516,A81000B,01200,0300,I.V. THERAPY FEES 428516,A81000B,01300,0300,I.V. THERAPY SUPPLIES 428516,A81000C,00100,0100,C 428516,A81000C,00100,0400,PACIFIC WEST PH 428516,A81000C,00100,0600,PHARMACY 428516,A81000C,00200,0100,C 428516,A81000C,00200,0400,EMERALD DISTRIB 428516,A81000C,00200,0600,DISTRIBUTORSHIP 428516,A81000C,00300,0100,F 428516,A81000C,00300,0400,HORIZON WEST HE 428516,A81000C,00300,0600,HOME OFFICE 428516,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428516,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428516,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428516,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428516,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428516,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428516,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428516,B100000,00000,0800,0800MEALS SERVED :DIETARY 428516,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428516,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428516,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428516,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428516,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428516,G300000,02500,0000, OTHER (SPECIFY) 428516,S000000,00100,0200,04/11/12 428516,S200000,00100,0100,3400 BELL ROAD 428516,S200000,00200,0100,AUBURN 428516,S200000,00200,0200,CA 428516,S200000,00200,0300,95603 428516,S200000,00300,0100,PLACER 428516,S200000,00300,0201,40900 428516,S200000,00300,0300,U 428516,S200000,00400,0100,HORIZON WEST - AUBURN OAKS 428516,S200000,00400,0200,555219 428516,S200000,00400,0300,03/01/86 428516,S200000,00400,0500,P 428516,S200000,01500,0100,Y 428516,S200000,01501,0200,Y 428516,S200000,01600,0100,N 428516,S200000,01700,0100,N 428516,S200000,01800,0100,N 428516,S200000,02200,0100,N 428516,S200000,02800,0100,N 428516,S200000,02900,0100,N 428516,S200000,03000,0100,N 428516,S200000,03100,0100,N 428516,S200000,03200,0100,N 428516,S200000,03300,0100,N 428516,S200000,03300,0200,N 428516,S200000,04100,0100,N 428516,S200000,04200,0100,N 428516,S200000,04300,0100,N 428516,S200000,04600,0100,N 428516,S200000,04700,0100,N 428516,S200000,04700,0200,N 428516,S200000,04900,0100,N 428516,S200000,05000,0100,N 428516,S200000,05100,0100,N 428516,S200000,05200,0100,N 428516,S200000,05300,0100,Y 428516,S200000,05300,0200,951175 428516,S200000,05400,0100,HORIZAON WEST HEADQUARTERS 428516,S200000,05400,0200,PALMETTO GBA 428516,S200000,05400,0300,01001 428516,S200000,05500,0100,4020 SIERRA COLLEGE 428516,S200000,05600,0100,ROCKLIN 428516,S200000,05600,0200,CA 428516,S200000,05600,0300,95677 428518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428518,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428518,A000000,00300,0000,0300EMPLOYEE BENEFITS 428518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428518,A000000,00700,0000,0700HOUSEKEEPING 428518,A000000,00800,0000,0800DIETARY 428518,A000000,00900,0000,0900NURSING ADMINISTRATION 428518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428518,A000000,01100,0000,1100PHARMACY 428518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428518,A000000,01300,0000,1300SOCIAL SERVICE 428518,A000000,01600,0000,1600SKILLED NURSING FACILITY 428518,A000000,01800,0000,1800NURSING FACILITY 428518,A000000,01900,0000,1900OTHER LONG TERM CARE 428518,A000000,02100,0000,2100RADIOLOGY 428518,A000000,02200,0000,2200LABORATORY 428518,A000000,02300,0000,2300INTRAVENOUS THERAPY 428518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428518,A000000,02500,0000,2500PHYSICAL THERAPY 428518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428518,A000000,02700,0000,2700SPEECH PATHOLOGY 428518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428518,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428518,A000000,03200,0000,3200SUPPORT SURFACES 428518,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428518,A000000,04800,0000,4800AMBULANCE 428518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428518,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428518,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428518,A81000A,00100,0100,Y 428518,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428518,A81000B,00200,0300,LEASE BUILDING 428518,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428518,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428518,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428518,A81000B,00600,0300,ADMIN SUPPLIES 428518,A81000B,00700,0300,ADMIN SEMINARS EMPLOYEE EDUCATION 428518,A81000B,00800,0300,ANCILL SUPP - MEDICAL MATERIALS 428518,A81000B,00900,0300,ANCILLARY SUPPLIES - ENTERALS 428518,A81000B,01000,0300,PHARMACY EXP PHARMACEUTICALS 428518,A81000B,01100,0300,PHARMACY EXPENSE - CENSUS ERRORS 428518,A81000B,01200,0300,PHARMACEUTICALS-SOC 428518,A81000B,01300,0300,GLUCOSE MONITORING SUPPLIES 428518,A81000B,01400,0300,I.V. THERAPY SUPPLIES 428518,A81000C,00100,0100,C 428518,A81000C,00100,0400,PACIFIC WEST PH 428518,A81000C,00100,0600,PHARMACY 428518,A81000C,00200,0100,C 428518,A81000C,00200,0400,EMERALD DISTRIB 428518,A81000C,00200,0600,DISTRIBUTORSHIP 428518,A81000C,00300,0100,F 428518,A81000C,00300,0400,HORIZON WEST HE 428518,A81000C,00300,0600,HOME OFFICE 428518,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428518,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428518,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428518,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428518,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428518,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428518,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428518,B100000,00000,0800,0800MEALS SERVED :DIETARY 428518,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428518,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428518,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428518,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428518,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428518,G300000,02500,0000, OTHER (SPECIFY) 428518,S000000,00100,0200,04/11/12 428518,S200000,00100,0100,396 DORSEY DRIVE 428518,S200000,00200,0100,GRASS VALLEY 428518,S200000,00200,0200,CA 428518,S200000,00200,0300,95945 428518,S200000,00300,0100,NEVADA 428518,S200000,00300,0201,99905 428518,S200000,00300,0300,R 428518,S200000,00400,0100,MEADOW VIEW MANOR 428518,S200000,00400,0200,555283 428518,S200000,00400,0300,07/01/89 428518,S200000,00400,0500,P 428518,S200000,01500,0100,Y 428518,S200000,01501,0200,Y 428518,S200000,01600,0100,N 428518,S200000,01700,0100,N 428518,S200000,01800,0100,N 428518,S200000,02200,0100,N 428518,S200000,02800,0100,N 428518,S200000,02900,0100,N 428518,S200000,03000,0100,N 428518,S200000,03100,0100,N 428518,S200000,03200,0100,N 428518,S200000,03300,0100,N 428518,S200000,03300,0200,N 428518,S200000,04100,0100,N 428518,S200000,04200,0100,N 428518,S200000,04300,0100,N 428518,S200000,04600,0100,N 428518,S200000,04700,0100,N 428518,S200000,04700,0200,N 428518,S200000,04900,0100,N 428518,S200000,05000,0100,N 428518,S200000,05100,0100,N 428518,S200000,05200,0100,N 428518,S200000,05300,0100,Y 428518,S200000,05300,0200,951175 428518,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428518,S200000,05400,0200,PALMETTO GBA 428518,S200000,05400,0300,01001 428518,S200000,05500,0100,4020 SIERRA COLLEGE 428518,S200000,05600,0100,ROCKLIN 428518,S200000,05600,0200,CA 428518,S200000,05600,0300,95677 428519,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428519,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428519,A000000,00300,0000,0300EMPLOYEE BENEFITS 428519,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428519,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428519,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428519,A000000,00700,0000,0700HOUSEKEEPING 428519,A000000,00800,0000,0800DIETARY 428519,A000000,00900,0000,0900NURSING ADMINISTRATION 428519,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428519,A000000,01100,0000,1100PHARMACY 428519,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428519,A000000,01300,0000,1300SOCIAL SERVICE 428519,A000000,01600,0000,1600SKILLED NURSING FACILITY 428519,A000000,01800,0000,1800NURSING FACILITY 428519,A000000,01900,0000,1900OTHER LONG TERM CARE 428519,A000000,02100,0000,2100RADIOLOGY 428519,A000000,02200,0000,2200LABORATORY 428519,A000000,02300,0000,2300INTRAVENOUS THERAPY 428519,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428519,A000000,02500,0000,2500PHYSICAL THERAPY 428519,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428519,A000000,02700,0000,2700SPEECH PATHOLOGY 428519,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428519,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428519,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428519,A000000,03200,0000,3200SUPPORT SURFACES 428519,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428519,A000000,04800,0000,4800AMBULANCE 428519,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428519,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428519,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428519,A81000A,00100,0100,N 428519,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428519,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428519,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428519,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428519,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428519,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428519,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428519,B100000,00000,0800,0800MEALS SERVED :DIETARY 428519,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428519,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428519,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428519,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428519,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428519,G300000,02500,0000, OTHER (SPECIFY) 428519,S000000,00100,0200,04/02/12 428519,S200000,00100,0100,5017 EAST CHAPMAN AVENUE 428519,S200000,00200,0100,ORANGE 428519,S200000,00200,0200,CA 428519,S200000,00200,0300,92869 428519,S200000,00300,0100,ORANGE 428519,S200000,00300,0201,42044 428519,S200000,00300,0300,U 428519,S200000,00400,0100,NEW ORANGE HILLS 428519,S200000,00400,0200,555286 428519,S200000,00400,0300,08/01/92 428519,S200000,00400,0500,P 428519,S200000,01500,0100,Y 428519,S200000,01501,0200,Y 428519,S200000,01600,0100,N 428519,S200000,01700,0100,N 428519,S200000,01800,0100,N 428519,S200000,02200,0100,N 428519,S200000,02800,0100,N 428519,S200000,02900,0100,N 428519,S200000,03000,0100,N 428519,S200000,03100,0100,N 428519,S200000,03200,0100,N 428519,S200000,03300,0100,N 428519,S200000,03300,0200,N 428519,S200000,04100,0100,N 428519,S200000,04200,0100,N 428519,S200000,04300,0100,N 428519,S200000,04600,0100,N 428519,S200000,04700,0100,N 428519,S200000,04700,0200,N 428519,S200000,04900,0100,N 428519,S200000,05000,0100,N 428519,S200000,05100,0100,N 428519,S200000,05200,0100,N 428519,S200000,05300,0100,N 428520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428520,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428520,A000000,00300,0000,0300EMPLOYEE BENEFITS 428520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428520,A000000,00700,0000,0700HOUSEKEEPING 428520,A000000,00800,0000,0800DIETARY 428520,A000000,00900,0000,0900NURSING ADMINISTRATION 428520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428520,A000000,01100,0000,1100PHARMACY 428520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428520,A000000,01300,0000,1300SOCIAL SERVICE 428520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428520,A000000,01500,0000,1350OTHER GENERAL SERVICES 428520,A000000,01600,0000,1600SKILLED NURSING FACILITY 428520,A000000,01800,0000,1800NURSING FACILITY 428520,A000000,01810,0000,1810ICF/MR 428520,A000000,01900,0000,1900OTHER LONG TERM CARE 428520,A000000,02100,0000,2100RADIOLOGY 428520,A000000,02200,0000,2200LABORATORY 428520,A000000,02300,0000,2300INTRAVENOUS THERAPY 428520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428520,A000000,02500,0000,2500PHYSICAL THERAPY 428520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428520,A000000,02700,0000,2700SPEECH PATHOLOGY 428520,A000000,02800,0000,2800ELECTROCARDIOLOGY 428520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428520,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428520,A000000,03200,0000,3200SUPPORT SURFACES 428520,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428520,A000000,03400,0000,3400CLINIC 428520,A000000,03500,0000,3500RURAL HEALTH CLINIC 428520,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428520,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428520,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428520,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428520,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428520,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428520,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428520,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428520,A000000,04400,0000,4400DME RENTED - HHA 428520,A000000,04500,0000,4500DME SOLD - HHA 428520,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428520,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428520,A000000,04710,0000,4710TELEMEDICINE 428520,A000000,04800,0000,4800AMBULANCE 428520,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428520,A000000,05000,0000,5000CORF 428520,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428520,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428520,A000000,05300,0000,5300INTEREST EXPENSE 428520,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428520,A000000,05500,0000,5500HOSPICE 428520,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428520,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428520,A000000,06100,0000,6100NONPAID WORKERS 428520,A000000,06200,0000,6200PATIENTS LAUNDRY 428520,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428520,A81000A,00100,0100,Y 428520,A81000B,00100,0300,HOME OFFICE ADMINISTRATION 428520,A81000B,00200,0300,BUILDING & FIXTURES 428520,A81000B,00300,0300,MOVABLE EQUIPMENT 428520,A81000C,00100,0100,B 428520,A81000C,00100,0200,KEIRO SERVICES INC 428520,A81000C,00100,0400,KEIRO SERVICES INC 428520,A81000C,00100,0600,HOME OFFICE 428520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428520,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428520,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428520,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428520,B100000,00000,0800,0800MEALS SERVED :DIETARY 428520,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428520,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428520,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428520,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428520,G300000,02500,0000,BARBER & BEAUTY 428520,G300000,02501,0000,NON-HEALTHCARE INTEREST INCOME 428520,G300000,02502,0000,OTHER INCOME 428520,S000000,00100,0200,04/02/12 428520,S200000,00100,0100,15115 SOUTH VERMONT AVE 428520,S200000,00200,0100,GARDENA 428520,S200000,00200,0200,CA 428520,S200000,00200,0300,90247 428520,S200000,00300,0100,LOS ANGELES 428520,S200000,00300,0200,4480 428520,S200000,00300,0201,31084 428520,S200000,00300,0300,U 428520,S200000,00400,0100,SOUTH BAY KEIRO NURSING HOME 428520,S200000,00400,0200,555306 428520,S200000,00400,0300,10/01/87 428520,S200000,00400,0500,P 428520,S200000,01500,0100,Y 428520,S200000,01505,0000,NURSING EMPLOYEE BENEFITS 428520,S200000,01505,0200,Y 428520,S200000,01600,0100,N 428520,S200000,01700,0100,N 428520,S200000,01800,0100,N 428520,S200000,02200,0100,N 428520,S200000,02800,0100,N 428520,S200000,02900,0100,N 428520,S200000,03000,0100,N 428520,S200000,03100,0100,N 428520,S200000,03200,0100,N 428520,S200000,03300,0100,N 428520,S200000,03300,0200,N 428520,S200000,04100,0100,N 428520,S200000,04200,0100,N 428520,S200000,04300,0100,N 428520,S200000,04600,0100,N 428520,S200000,04700,0100,N 428520,S200000,04700,0200,N 428520,S200000,04900,0100,N 428520,S200000,05000,0100,N 428520,S200000,05100,0100,N 428520,S200000,05200,0100,N 428523,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428523,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428523,A000000,00300,0000,0300EMPLOYEE BENEFITS 428523,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428523,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428523,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428523,A000000,00700,0000,0700HOUSEKEEPING 428523,A000000,00800,0000,0800DIETARY 428523,A000000,00900,0000,0900NURSING ADMINISTRATION 428523,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428523,A000000,01100,0000,1100PHARMACY 428523,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428523,A000000,01300,0000,1300SOCIAL SERVICE 428523,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428523,A000000,01500,0000,1350OTHER GENERAL SERVICES 428523,A000000,01600,0000,1600SKILLED NURSING FACILITY 428523,A000000,01800,0000,1800NURSING FACILITY 428523,A000000,01810,0000,1810ICF/MR 428523,A000000,01900,0000,1900OTHER LONG TERM CARE 428523,A000000,02100,0000,2100RADIOLOGY 428523,A000000,02200,0000,2200LABORATORY 428523,A000000,02300,0000,2300INTRAVENOUS THERAPY 428523,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428523,A000000,02500,0000,2500PHYSICAL THERAPY 428523,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428523,A000000,02700,0000,2700SPEECH PATHOLOGY 428523,A000000,02800,0000,2800ELECTROCARDIOLOGY 428523,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428523,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428523,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428523,A000000,03200,0000,3200SUPPORT SURFACES 428523,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428523,A000000,03400,0000,3400CLINIC 428523,A000000,03500,0000,3500RURAL HEALTH CLINIC 428523,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428523,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428523,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428523,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428523,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428523,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428523,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428523,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428523,A000000,04400,0000,4400DME RENTED - HHA 428523,A000000,04500,0000,4500DME SOLD - HHA 428523,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428523,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428523,A000000,04710,0000,4710TELEMEDICINE 428523,A000000,04800,0000,4800AMBULANCE 428523,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428523,A000000,05000,0000,5000CORF 428523,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428523,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428523,A000000,05300,0000,5300INTEREST EXPENSE 428523,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428523,A000000,05500,0000,5500HOSPICE 428523,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428523,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428523,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428523,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428523,A000000,06100,0000,6100NONPAID WORKERS 428523,A000000,06200,0000,6200PATIENTS LAUNDRY 428523,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428523,A81000A,00100,0100,Y 428523,A81000B,00100,0300,HOME OFFICE ADMINISTRATION 428523,A81000B,00200,0300,BUILDING & FIXTURES 428523,A81000B,00300,0300,MOVABLE EQUIPMENT 428523,A81000C,00100,0100,B 428523,A81000C,00100,0200,KEIRO SERVICES INC 428523,A81000C,00100,0400,KEIRO SERVICES INC 428523,A81000C,00100,0600,HOME OFFICE 428523,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428523,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428523,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428523,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428523,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428523,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428523,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428523,B100000,00000,0800,0800MEALS SERVED :DIETARY 428523,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428523,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428523,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428523,G300000,02500,0000,OTHER INCOME 428523,G300000,02501,0000,BARBER & BEAUTY 428523,S000000,00100,0200,04/02/12 428523,S200000,00100,0100,2221 LINCOLN PARK AVE 428523,S200000,00200,0100,LOS ANGELES 428523,S200000,00200,0200,CA 428523,S200000,00200,0300,90031 428523,S200000,00300,0100,LOS ANGELS 428523,S200000,00300,0200,4480 428523,S200000,00300,0201,31084 428523,S200000,00300,0300,U 428523,S200000,00400,0100,KEIRO NURSING HOME 428523,S200000,00400,0200,555438 428523,S200000,00400,0300,09/30/90 428523,S200000,00400,0500,P 428523,S200000,00600,0200,555438 428523,S200000,00600,0300,09/30/90 428523,S200000,00600,0600,O 428523,S200000,01500,0100,N 428523,S200000,01505,0000,NURSING BENEFITS 428523,S200000,01505,0200,Y 428523,S200000,01506,0000,NURSING ADMINISTRATION 428523,S200000,01506,0200,Y 428523,S200000,01600,0100,Y 428523,S200000,01700,0100,N 428523,S200000,01800,0100,N 428523,S200000,02200,0100,N 428523,S200000,02800,0100,N 428523,S200000,02900,0100,N 428523,S200000,03000,0100,N 428523,S200000,03100,0100,N 428523,S200000,03200,0100,N 428523,S200000,03300,0100,N 428523,S200000,03300,0200,N 428523,S200000,03500,0300,N 428523,S200000,04100,0100,N 428523,S200000,04200,0100,N 428523,S200000,04300,0100,N 428523,S200000,04600,0100,N 428523,S200000,04700,0100,N 428523,S200000,04700,0200,N 428523,S200000,04900,0100,N 428523,S200000,05000,0100,N 428523,S200000,05100,0100,N 428523,S200000,05200,0100,N 428524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428524,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428524,A000000,00300,0000,0300EMPLOYEE BENEFITS 428524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428524,A000000,00700,0000,0700HOUSEKEEPING 428524,A000000,00800,0000,0800DIETARY 428524,A000000,00900,0000,0900NURSING ADMINISTRATION 428524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428524,A000000,01100,0000,1100PHARMACY 428524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428524,A000000,01300,0000,1300SOCIAL SERVICE 428524,A000000,01600,0000,1600SKILLED NURSING FACILITY 428524,A000000,01800,0000,1800NURSING FACILITY 428524,A000000,01900,0000,1900OTHER LONG TERM CARE 428524,A000000,02100,0000,2100RADIOLOGY 428524,A000000,02200,0000,2200LABORATORY 428524,A000000,02300,0000,2300INTRAVENOUS THERAPY 428524,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428524,A000000,02500,0000,2500PHYSICAL THERAPY 428524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428524,A000000,02700,0000,2700SPEECH PATHOLOGY 428524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428524,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428524,A000000,03200,0000,3200SUPPORT SURFACES 428524,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428524,A000000,04800,0000,4800AMBULANCE 428524,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428524,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428524,A81000A,00100,0100,Y 428524,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428524,A81000B,00200,0300,LEASE BUILDING 428524,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428524,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428524,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428524,A81000B,00600,0300,MEDICAL CARE SUPPLIES (SNF) 428524,A81000B,00700,0300,ADMIN SUPPLIES 428524,A81000B,00800,0300,ADMIN PURCHASED SERVICES 428524,A81000B,00900,0300,ANCILL SUPP - MEDICAL MATERIALS 428524,A81000B,01000,0300,ANCILLARY SUPPLIES - ENTERALS 428524,A81000B,01100,0300,PHARMACY EXP PHARMACEUTICALS 428524,A81000B,01200,0300,PHARMACY EXPENSE - CENSUS ERRORS 428524,A81000B,01300,0300,PHARMACEUTICALS-SOC 428524,A81000B,01400,0300,GLUCOSE MONITORING SUPPLIES 428524,A81000B,01500,0300,I.V. THERAPY SUPPLIES 428524,A81000C,00100,0100,C 428524,A81000C,00100,0400,PACIFIC WEST PH 428524,A81000C,00100,0600,PHARMACY 428524,A81000C,00200,0100,C 428524,A81000C,00200,0400,EMERALD DISTRIB 428524,A81000C,00200,0600,DISTRIBUTORSHIP 428524,A81000C,00300,0100,F 428524,A81000C,00300,0400,HORIZON WEST HE 428524,A81000C,00300,0600,HOME OFFICE 428524,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428524,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428524,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428524,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428524,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428524,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428524,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428524,B100000,00000,0800,0800MEALS SERVED :DIETARY 428524,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428524,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428524,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428524,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428524,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428524,G300000,02500,0000, OTHER (SPECIFY) 428524,S000000,00100,0200,04/11/12 428524,S200000,00100,0100,9000 LARKIN 428524,S200000,00200,0100,LIVE OAK 428524,S200000,00200,0200,CA 428524,S200000,00200,0300,95953 428524,S200000,00300,0100,SUTTER 428524,S200000,00300,0201,49700 428524,S200000,00300,0300,U 428524,S200000,00400,0100,HORIZON WEST - LIVE OAK 428524,S200000,00400,0200,555535 428524,S200000,00400,0300,06/01/95 428524,S200000,00400,0500,P 428524,S200000,01500,0100,Y 428524,S200000,01501,0200,Y 428524,S200000,01600,0100,N 428524,S200000,01700,0100,N 428524,S200000,01800,0100,N 428524,S200000,02200,0100,N 428524,S200000,02800,0100,N 428524,S200000,02900,0100,N 428524,S200000,03000,0100,N 428524,S200000,03100,0100,N 428524,S200000,03200,0100,N 428524,S200000,03300,0100,N 428524,S200000,03300,0200,N 428524,S200000,04100,0100,N 428524,S200000,04200,0100,N 428524,S200000,04300,0100,N 428524,S200000,04600,0100,N 428524,S200000,04700,0100,N 428524,S200000,04700,0200,N 428524,S200000,04900,0100,N 428524,S200000,05000,0100,N 428524,S200000,05100,0100,N 428524,S200000,05200,0100,N 428524,S200000,05300,0100,Y 428524,S200000,05300,0200,951175 428524,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428524,S200000,05400,0200,PALMETTO GBA 428524,S200000,05400,0300,01001 428524,S200000,05500,0100,4020 SIERRA COLLEGE 428524,S200000,05600,0100,ROCKLIN 428524,S200000,05600,0200,CA 428524,S200000,05600,0300,95677 428528,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428528,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428528,A000000,00300,0000,0300EMPLOYEE BENEFITS 428528,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428528,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428528,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428528,A000000,00700,0000,0700HOUSEKEEPING 428528,A000000,00800,0000,0800DIETARY 428528,A000000,00900,0000,0900NURSING ADMINISTRATION 428528,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428528,A000000,01100,0000,1100PHARMACY 428528,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428528,A000000,01300,0000,1300SOCIAL SERVICE 428528,A000000,01600,0000,1600SKILLED NURSING FACILITY 428528,A000000,01800,0000,1800NURSING FACILITY 428528,A000000,01900,0000,1900OTHER LONG TERM CARE 428528,A000000,02100,0000,2100RADIOLOGY 428528,A000000,02200,0000,2200LABORATORY 428528,A000000,02300,0000,2300INTRAVENOUS THERAPY 428528,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428528,A000000,02500,0000,2500PHYSICAL THERAPY 428528,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428528,A000000,02700,0000,2700SPEECH PATHOLOGY 428528,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428528,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428528,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428528,A000000,03200,0000,3200SUPPORT SURFACES 428528,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428528,A000000,04800,0000,4800AMBULANCE 428528,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428528,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428528,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428528,A81000A,00100,0100,Y 428528,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428528,A81000B,00200,0300,LEASE BUILDING 428528,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428528,A81000B,00400,0300,PHARMACY OTC SUPPLIES 428528,A81000B,00500,0300,ANCILLARY SUPPLIES - ENTERALS 428528,A81000B,00600,0300,GLUCOSE MONITORING SUPPLIES 428528,A81000C,00100,0100,C 428528,A81000C,00100,0400,PACIFIC WEST PH 428528,A81000C,00100,0600,PHARMACY 428528,A81000C,00200,0100,C 428528,A81000C,00200,0400,EMERALD DISTRIB 428528,A81000C,00200,0600,DISTRIBUTORSHIP 428528,A81000C,00300,0100,F 428528,A81000C,00300,0400,HORIZON WEST HE 428528,A81000C,00300,0600,HOME OFFICE 428528,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428528,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428528,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428528,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428528,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428528,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428528,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428528,B100000,00000,0800,0800MEALS SERVED :DIETARY 428528,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428528,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428528,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428528,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428528,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428528,G300000,02500,0000, OTHER (SPECIFY) 428528,S000000,00100,0200,04/11/12 428528,S200000,00100,0100,151 PIONEER LANE 428528,S200000,00200,0100,BISHOP 428528,S200000,00200,0200,CA 428528,S200000,00200,0300,93514 428528,S200000,00300,0100,INYO 428528,S200000,00300,0201,00005 428528,S200000,00300,0300,R 428528,S200000,00400,0100,BISHOP CARE CENTER 428528,S200000,00400,0200,555777 428528,S200000,00400,0300,11/16/01 428528,S200000,00400,0500,P 428528,S200000,01500,0100,Y 428528,S200000,01501,0200,Y 428528,S200000,01600,0100,N 428528,S200000,01700,0100,N 428528,S200000,01800,0100,N 428528,S200000,02200,0100,N 428528,S200000,02800,0100,N 428528,S200000,02900,0100,N 428528,S200000,03000,0100,N 428528,S200000,03100,0100,N 428528,S200000,03200,0100,N 428528,S200000,03300,0100,N 428528,S200000,03300,0200,N 428528,S200000,04100,0100,N 428528,S200000,04200,0100,N 428528,S200000,04300,0100,N 428528,S200000,04600,0100,N 428528,S200000,04700,0100,N 428528,S200000,04700,0200,N 428528,S200000,04900,0100,N 428528,S200000,05000,0100,N 428528,S200000,05100,0100,N 428528,S200000,05200,0100,N 428528,S200000,05300,0100,Y 428528,S200000,05300,0200,951175 428528,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428528,S200000,05400,0200,PALMETTO GBA 428528,S200000,05400,0300,01001 428528,S200000,05500,0100,4020 SIERRA COLLEGE 428528,S200000,05600,0100,ROCKLIN 428528,S200000,05600,0200,CA 428528,S200000,05600,0300,95677 428529,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428529,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428529,A000000,00300,0000,0300EMPLOYEE BENEFITS 428529,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428529,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428529,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428529,A000000,00700,0000,0700HOUSEKEEPING 428529,A000000,00800,0000,0800DIETARY 428529,A000000,00900,0000,0900NURSING ADMINISTRATION 428529,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428529,A000000,01100,0000,1100PHARMACY 428529,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428529,A000000,01300,0000,1300SOCIAL SERVICE 428529,A000000,01600,0000,1600SKILLED NURSING FACILITY 428529,A000000,01800,0000,1800NURSING FACILITY 428529,A000000,01900,0000,1900OTHER LONG TERM CARE 428529,A000000,02100,0000,2100RADIOLOGY 428529,A000000,02200,0000,2200LABORATORY 428529,A000000,02300,0000,2300INTRAVENOUS THERAPY 428529,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428529,A000000,02500,0000,2500PHYSICAL THERAPY 428529,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428529,A000000,02700,0000,2700SPEECH PATHOLOGY 428529,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428529,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428529,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428529,A000000,03200,0000,3200SUPPORT SURFACES 428529,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428529,A000000,04800,0000,4800AMBULANCE 428529,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428529,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428529,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428529,A81000A,00100,0100,Y 428529,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 428529,A81000B,00200,0300,LEASE BUILDING 428529,A81000B,00300,0300,ALLOWABLE HOME OFFICE 428529,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 428529,A81000B,00500,0300,PHARMACY OTC SUPPLIES 428529,A81000B,00600,0300,FOOD SUPPLEMENTS 428529,A81000B,00700,0300,ADMIN SUPPLIES 428529,A81000B,00800,0300,ADMIN PURCHASED SERVICES 428529,A81000B,00900,0300,ANCILL SUPP - MEDICAL MATERIALS 428529,A81000B,01000,0300,ANCILLARY SUPPLIES - ENTERALS 428529,A81000B,01100,0300,PHARMACY EXP PHARMACEUTICALS 428529,A81000B,01200,0300,PHARMACY EXPENSE - CENSUS ERRORS 428529,A81000B,01300,0300,PHARMACEUTICALS-SOC 428529,A81000B,01400,0300,GLUCOSE MONITORING SUPPLIES 428529,A81000B,01500,0300,I.V. THERAPIST FEES 428529,A81000C,00100,0100,C 428529,A81000C,00100,0400,PACIFIC WEST PH 428529,A81000C,00100,0600,PHARMACY 428529,A81000C,00200,0100,C 428529,A81000C,00200,0400,EMERALD DISTRIB 428529,A81000C,00200,0600,DISTRIBUTORSHIP 428529,A81000C,00300,0100,F 428529,A81000C,00300,0400,HORIZON WEST HE 428529,A81000C,00300,0600,HOME OFFICE 428529,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428529,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428529,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428529,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428529,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428529,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428529,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428529,B100000,00000,0800,0800MEALS SERVED :DIETARY 428529,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428529,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428529,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428529,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 428529,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428529,G300000,02500,0000, OTHER (SPECIFY) 428529,S000000,00100,0200,04/11/12 428529,S200000,00100,0100,1139 CIRBY WAY 428529,S200000,00200,0100,ROSEVILLE 428529,S200000,00200,0200,CA 428529,S200000,00200,0300,95661 428529,S200000,00300,0100,PLACER 428529,S200000,00300,0201,40900 428529,S200000,00300,0300,U 428529,S200000,00400,0100,HORIZON WEST-SIERRA HILLS 428529,S200000,00400,0200,555801 428529,S200000,00400,0300,04/17/03 428529,S200000,00400,0500,P 428529,S200000,01500,0100,Y 428529,S200000,01501,0200,Y 428529,S200000,01600,0100,N 428529,S200000,01700,0100,N 428529,S200000,01800,0100,N 428529,S200000,02200,0100,N 428529,S200000,02800,0100,N 428529,S200000,02900,0100,N 428529,S200000,03000,0100,N 428529,S200000,03100,0100,N 428529,S200000,03200,0100,N 428529,S200000,03300,0100,N 428529,S200000,03300,0200,N 428529,S200000,04100,0100,N 428529,S200000,04200,0100,N 428529,S200000,04300,0100,N 428529,S200000,04600,0100,N 428529,S200000,04700,0100,N 428529,S200000,04700,0200,N 428529,S200000,04900,0100,N 428529,S200000,05000,0100,N 428529,S200000,05100,0100,N 428529,S200000,05200,0100,N 428529,S200000,05300,0100,Y 428529,S200000,05300,0200,951175 428529,S200000,05400,0100,HORIZON WEST HEADQUARTERS 428529,S200000,05400,0200,PALMETTO GBA 428529,S200000,05400,0300,01001 428529,S200000,05500,0100,4020 SIERRA COLLEGE 428529,S200000,05600,0100,ROCKLIN 428529,S200000,05600,0200,CA 428529,S200000,05600,0300,95677 428547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428547,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428547,A000000,00300,0000,0300EMPLOYEE BENEFITS 428547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428547,A000000,00700,0000,0700HOUSEKEEPING 428547,A000000,00800,0000,0800DIETARY 428547,A000000,00900,0000,0900NURSING ADMINISTRATION 428547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428547,A000000,01100,0000,1100PHARMACY 428547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428547,A000000,01300,0000,1300SOCIAL SERVICE 428547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428547,A000000,01600,0000,1600SKILLED NURSING FACILITY 428547,A000000,01810,0000,1810ICF/MR 428547,A000000,02100,0000,2100RADIOLOGY 428547,A000000,02200,0000,2200LABORATORY 428547,A000000,02300,0000,2300INTRAVENOUS THERAPY 428547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428547,A000000,02500,0000,2500PHYSICAL THERAPY 428547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428547,A000000,02700,0000,2700SPEECH PATHOLOGY 428547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428547,A000000,03550,0000,3550FQHC 428547,A000000,05000,0000,5000CORF 428547,A000000,05010,0000,5010CMHC 428547,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428547,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428547,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428547,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428547,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428547,A81000A,00100,0100,N 428547,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428547,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428547,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428547,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428547,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428547,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428547,B100000,00000,0800,0800MEALS SERVED :DIETARY 428547,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428547,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428547,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428547,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428547,E10A180,00501,0300,05/09/11 428547,E10A180,00550,0100,05/09/11 428547,S000000,00100,0200,05/12/11 428547,S200000,00100,0100,4000 KINGS HIGHWAY 428547,S200000,00100,0300,9056 428547,S200000,00200,0100,PORT CHARLOTTE 428547,S200000,00200,0200,FL 428547,S200000,00200,0300,33980 428547,S200000,00300,0100,CHARLOTTE 428547,S200000,00300,0201,39460 428547,S200000,00300,0300,U 428547,S200000,00400,0100,CHARLOTTE HARBOR HEALTHCARE 428547,S200000,00400,0200,105859 428547,S200000,00400,0300,06/02/94 428547,S200000,00400,0500,P 428547,S200000,00600,0200,105859 428547,S200000,00600,0300,06/02/94 428547,S200000,00600,0600,O 428547,S200000,01500,0100,N 428547,S200000,01501,0200,Y 428547,S200000,01600,0100,Y 428547,S200000,01700,0100,N 428547,S200000,01800,0100,N 428547,S200000,02200,0100,N 428547,S200000,02800,0100,N 428547,S200000,02900,0100,N 428547,S200000,03000,0100,N 428547,S200000,03100,0100,N 428547,S200000,03200,0100,N 428547,S200000,03300,0100,N 428547,S200000,03300,0200,N 428547,S200000,03500,0300,N 428547,S200000,04100,0100,N 428547,S200000,04200,0100,N 428547,S200000,04300,0100,N 428547,S200000,04600,0100,N 428547,S200000,04700,0100,N 428547,S200000,04700,0200,N 428547,S200000,04900,0100,N 428547,S200000,05000,0100,N 428547,S200000,05100,0100,N 428547,S200000,05200,0100,N 428556,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428556,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428556,A000000,00300,0000,0300EMPLOYEE BENEFITS 428556,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428556,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428556,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428556,A000000,00700,0000,0700HOUSEKEEPING 428556,A000000,00800,0000,0800DIETARY 428556,A000000,00900,0000,0900NURSING ADMINISTRATION 428556,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428556,A000000,01100,0000,1100PHARMACY 428556,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428556,A000000,01300,0000,1300SOCIAL SERVICE 428556,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428556,A000000,01600,0000,1600SKILLED NURSING FACILITY 428556,A000000,01800,0000,1800NURSING FACILITY 428556,A000000,01810,0000,1810ICF/MR 428556,A000000,01900,0000,1900OTHER LONG TERM CARE 428556,A000000,02100,0000,2100RADIOLOGY 428556,A000000,02200,0000,2200LABORATORY 428556,A000000,02300,0000,2300INTRAVENOUS THERAPY 428556,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428556,A000000,02500,0000,2500PHYSICAL THERAPY 428556,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428556,A000000,02700,0000,2700SPEECH PATHOLOGY 428556,A000000,02800,0000,2800ELECTROCARDIOLOGY 428556,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428556,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428556,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428556,A000000,03200,0000,3200SUPPORT SURFACES 428556,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428556,A000000,03400,0000,3400CLINIC 428556,A000000,03500,0000,3500RURAL HEALTH CLINIC 428556,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428556,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428556,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428556,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428556,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428556,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428556,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428556,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428556,A000000,04400,0000,4400DME RENTED - HHA 428556,A000000,04500,0000,4500DME SOLD - HHA 428556,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428556,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428556,A000000,04710,0000,4710TELEMEDICINE 428556,A000000,04800,0000,4800AMBULANCE 428556,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428556,A000000,05000,0000,5000CORF 428556,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428556,A000000,05300,0000,5300INTEREST EXPENSE 428556,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428556,A000000,05500,0000,5500HOSPICE 428556,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428556,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428556,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428556,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428556,A000000,06100,0000,6100NONPAID WORKERS 428556,A000000,06200,0000,6200PATIENTS LAUNDRY 428556,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428556,A81000A,00100,0100,N 428556,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428556,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428556,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428556,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428556,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428556,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428556,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 428556,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428556,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428556,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428556,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428556,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428556,E10A180,00301,0100,09/30/11 428556,S000000,00100,0200,03/09/12 428556,S200000,00100,0100,SEVEN ELLIOTT STREET 428556,S200000,00200,0100,COUNCIL BLUFFS 428556,S200000,00200,0200,IA 428556,S200000,00200,0300,51503 428556,S200000,00300,0100,POTTAWATTAMIE 428556,S200000,00300,0201,36540 428556,S200000,00300,0300,U 428556,S200000,00400,0100,BETHANY LUTHERAN HOME 428556,S200000,00400,0200,165524 428556,S200000,00400,0300,11/01/03 428556,S200000,00400,0500,P 428556,S200000,01500,0100,Y 428556,S200000,01600,0100,N 428556,S200000,01700,0100,N 428556,S200000,01800,0100,N 428556,S200000,02200,0100,N 428556,S200000,02800,0100,N 428556,S200000,02900,0100,N 428556,S200000,03000,0100,N 428556,S200000,03100,0100,N 428556,S200000,03200,0100,N 428556,S200000,03300,0100,N 428556,S200000,03300,0200,N 428556,S200000,04100,0100,N 428556,S200000,04200,0100,N 428556,S200000,04300,0100,N 428556,S200000,04600,0100,N 428556,S200000,04700,0100,N 428556,S200000,04700,0200,N 428556,S200000,04900,0100,N 428556,S200000,05000,0100,N 428556,S200000,05100,0100,N 428556,S200000,05200,0100,N 428556,S200000,05300,0100,N 428558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428558,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428558,A000000,00300,0000,0300EMPLOYEE BENEFITS 428558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428558,A000000,00700,0000,0700HOUSEKEEPING 428558,A000000,00800,0000,0800DIETARY 428558,A000000,00900,0000,0900NURSING ADMINISTRATION 428558,A000000,01500,0000,1350OTHER GENERAL SERVICES 428558,A000000,01600,0000,1600SKILLED NURSING FACILITY 428558,A000000,01800,0000,1800NURSING FACILITY 428558,A000000,01810,0000,1810ICF/MR 428558,A000000,01900,0000,1900OTHER LONG TERM CARE 428558,A000000,02100,0000,2100RADIOLOGY 428558,A000000,02200,0000,2200LABORATORY 428558,A000000,02300,0000,2300INTRAVENOUS THERAPY 428558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428558,A000000,02500,0000,2500PHYSICAL THERAPY 428558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428558,A000000,02700,0000,2700SPEECH PATHOLOGY 428558,A000000,02800,0000,2800ELECTROCARDIOLOGY 428558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428558,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428558,A000000,03200,0000,3200SUPPORT SURFACES 428558,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428558,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428558,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428558,A81000A,00100,0100,N 428558,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428558,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428558,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428558,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428558,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428558,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428558,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428558,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 428558,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428558,G300000,02500,0000,VAN CHARGES 428558,G300000,02501,0000,MISCELLANEOUS 428558,G300000,02502,0000,INSURANCE CLAIM 428558,S000000,00100,0200,03/22/12 428558,S200000,00100,0100,1105 9TH STREET 428558,S200000,00200,0100,WISNER 428558,S200000,00200,0200,NE 428558,S200000,00200,0300,68791 428558,S200000,00300,0100,CUMING 428558,S200000,00300,0200,28 428558,S200000,00300,0201,99928 428558,S200000,00300,0300,R 428558,S200000,00400,0100,WISNER CARE CENTER 428558,S200000,00400,0200,285151 428558,S200000,00400,0300,08/01/94 428558,S200000,00400,0500,P 428558,S200000,01500,0100,Y 428558,S200000,01501,0200,N 428558,S200000,01600,0100,N 428558,S200000,01700,0100,N 428558,S200000,01800,0100,N 428558,S200000,02200,0100,N 428558,S200000,02800,0100,Y 428558,S200000,02900,0100,N 428558,S200000,03000,0100,N 428558,S200000,03100,0100,N 428558,S200000,03200,0100,N 428558,S200000,03300,0100,N 428558,S200000,03300,0200,N 428558,S200000,04100,0100,N 428558,S200000,04200,0100,N 428558,S200000,04300,0100,N 428558,S200000,04600,0100,N 428558,S200000,04700,0100,N 428558,S200000,04700,0200,N 428558,S200000,04900,0100,N 428558,S200000,05000,0100,N 428558,S200000,05100,0100,N 428558,S200000,05200,0100,N 428558,S200000,05300,0100,N 428559,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428559,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428559,A000000,00300,0000,0300EMPLOYEE BENEFITS 428559,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428559,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428559,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428559,A000000,00700,0000,0700HOUSEKEEPING 428559,A000000,00800,0000,0800DIETARY 428559,A000000,00900,0000,0900NURSING ADMINISTRATION 428559,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428559,A000000,01100,0000,1100PHARMACY 428559,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428559,A000000,01300,0000,1300SOCIAL SERVICE 428559,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428559,A000000,01500,0000,1350ACTIVITIES 428559,A000000,01600,0000,1600SKILLED NURSING FACILITY 428559,A000000,01800,0000,1800NURSING FACILITY 428559,A000000,01810,0000,1810ICF/MR 428559,A000000,01900,0000,1900OTHER LONG TERM CARE 428559,A000000,02100,0000,2100RADIOLOGY 428559,A000000,02200,0000,2200LABORATORY 428559,A000000,02300,0000,2300INTRAVENOUS THERAPY 428559,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428559,A000000,02500,0000,2500PHYSICAL THERAPY 428559,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428559,A000000,02700,0000,2700SPEECH PATHOLOGY 428559,A000000,02800,0000,2800ELECTROCARDIOLOGY 428559,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428559,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428559,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428559,A000000,03200,0000,3200SUPPORT SURFACES 428559,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428559,A000000,03400,0000,3400CLINIC 428559,A000000,03500,0000,3500RURAL HEALTH CLINIC 428559,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428559,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428559,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428559,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428559,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428559,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428559,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428559,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428559,A000000,04400,0000,4400DME RENTED - HHA 428559,A000000,04500,0000,4500DME SOLD - HHA 428559,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428559,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428559,A000000,04710,0000,4710TELEMEDICINE 428559,A000000,04800,0000,4800AMBULANCE 428559,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428559,A000000,05000,0000,5000CORF 428559,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428559,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428559,A000000,05300,0000,5300INTEREST EXPENSE 428559,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428559,A000000,05500,0000,5500HOSPICE 428559,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428559,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428559,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428559,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428559,A000000,06100,0000,6100NONPAID WORKERS 428559,A000000,06200,0000,6200PATIENTS LAUNDRY 428559,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428559,A81000A,00100,0100,Y 428559,A81000B,00100,0300,ADMIN C/S 428559,A81000B,00200,0300,ADMIN SALARY 428559,A81000B,00300,0300,ADMIN PR TAX 428559,A81000B,00400,0300,ADMIN BENEFITS 428559,A81000B,00500,0300,DON C/S 428559,A81000B,00600,0300,DON SALARY 428559,A81000B,00700,0300,DON PR TAX 428559,A81000B,00800,0300,DON BENEFITS 428559,A81000B,00900,0300,NURSE CONSULTANT 428559,A81000B,01000,0300,RN SALARY 428559,A81000B,01100,0300,RN PR TAX 428559,A81000B,01200,0300,RN BENEFITS 428559,A81000B,01300,0300,MANAGEMENT FEES 428559,A81000C,00100,0100,A 428559,A81000C,00100,0200,HAROLD NUNN 428559,A81000C,00100,0400,PEAK RESOURCES 428559,A81000C,00100,0600,MANAGEMENT SERVICES 428559,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428559,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428559,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428559,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428559,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428559,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428559,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428559,B100000,00000,0800,0800MEALS SERVED :DIETARY 428559,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428559,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428559,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428559,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428559,G300000,02500,0000,OTHER (SPECIFY) 428559,G300000,02501,0000,MEDICARE BAD DEBT 428559,S000000,00100,0200,03/02/12 428559,S200000,00100,0100,779 WOODY DR 428559,S200000,00200,0100,ALAMANCE 428559,S200000,00200,0200,NC 428559,S200000,00200,0300,27253 428559,S200000,00300,0100,GRAHAM 428559,S200000,00300,0201,15500 428559,S200000,00300,0300,U 428559,S200000,00400,0100,PEAK RESOURCES ALAMANCE 428559,S200000,00400,0200,345337 428559,S200000,00400,0300,11/08/90 428559,S200000,00400,0500,P 428559,S200000,01500,0100,Y 428559,S200000,01503,0200,N 428559,S200000,01504,0200,Y 428559,S200000,01600,0100,N 428559,S200000,01700,0100,N 428559,S200000,01800,0100,N 428559,S200000,02200,0100,Y 428559,S200000,02800,0100,N 428559,S200000,02900,0100,N 428559,S200000,03000,0100,N 428559,S200000,03100,0100,N 428559,S200000,03200,0100,N 428559,S200000,03300,0100,N 428559,S200000,03300,0200,N 428559,S200000,04100,0100,N 428559,S200000,04200,0100,N 428559,S200000,04300,0100,N 428559,S200000,04600,0100,N 428559,S200000,04700,0100,N 428559,S200000,04700,0200,N 428559,S200000,04900,0100,N 428559,S200000,05000,0100,N 428559,S200000,05100,0100,N 428559,S200000,05200,0100,N 428578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428578,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428578,A000000,00300,0000,0300EMPLOYEE BENEFITS 428578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428578,A000000,00700,0000,0700HOUSEKEEPING 428578,A000000,00800,0000,0800DIETARY 428578,A000000,00900,0000,0900NURSING ADMINISTRATION 428578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428578,A000000,01100,0000,1100PHARMACY 428578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428578,A000000,01300,0000,1300SOCIAL SERVICE 428578,A000000,01500,0000,1350ACTIVITIES 428578,A000000,01600,0000,1600SKILLED NURSING FACILITY 428578,A000000,01800,0000,1800NURSING FACILITY 428578,A000000,01810,0000,1810ICF/MR 428578,A000000,01900,0000,1900OTHER LONG TERM CARE 428578,A000000,02100,0000,2100RADIOLOGY 428578,A000000,02200,0000,2200LABORATORY 428578,A000000,02300,0000,2300INTRAVENOUS THERAPY 428578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428578,A000000,02500,0000,2500PHYSICAL THERAPY 428578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428578,A000000,02700,0000,2700SPEECH PATHOLOGY 428578,A000000,02800,0000,2800ELECTROCARDIOLOGY 428578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428578,A000000,03200,0000,3200SUPPORT SURFACES 428578,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428578,A000000,03400,0000,3400CLINIC 428578,A000000,03500,0000,3500RURAL HEALTH CLINIC 428578,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428578,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428578,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428578,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428578,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428578,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428578,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428578,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428578,A000000,04400,0000,4400DME RENTED - HHA 428578,A000000,04500,0000,4500DME SOLD - HHA 428578,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428578,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428578,A000000,04710,0000,4710TELEMEDICINE 428578,A000000,04800,0000,4800AMBULANCE 428578,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428578,A000000,05000,0000,5000CORF 428578,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428578,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428578,A000000,05300,0000,5300INTEREST EXPENSE 428578,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428578,A000000,05500,0000,5500HOSPICE 428578,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428578,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428578,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428578,A000000,06100,0000,6100NONPAID WORKERS 428578,A000000,06200,0000,6200PATIENTS LAUNDRY 428578,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428578,A000000,06301,0000,6151OLTC 428578,A81000A,00100,0100,Y 428578,A81000B,00100,0300,HOME OFFICE - MGT FEES 428578,A81000B,00200,0300,HOME OFFICE - CAP BLDG 428578,A81000B,00300,0300,HOME OFFICE - CAP ME 428578,A81000C,00100,0100,B 428578,A81000C,00100,0400,EMERITUS SENIOR LIVING 428578,A81000C,00100,0600,MANAGEMENT COMPANY 428578,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428578,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428578,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428578,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428578,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428578,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428578,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428578,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428578,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428578,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428578,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428578,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428578,S000000,00100,0200,10/14/11 428578,S200000,00100,0100,17803 IMPERIAL HIGHWAY 428578,S200000,00200,0100,YORBA LINDA 428578,S200000,00200,0200,CA 428578,S200000,00200,0300,92886-2371 428578,S200000,00300,0100,ORANGE 428578,S200000,00300,0201,42044 428578,S200000,00300,0300,U 428578,S200000,00400,0100,EMERITUS AT YORBA LINDA 428578,S200000,00400,0200,555768 428578,S200000,00400,0300,02/15/01 428578,S200000,00400,0500,P 428578,S200000,01500,0100,Y 428578,S200000,01600,0100,N 428578,S200000,01700,0100,N 428578,S200000,01800,0100,N 428578,S200000,02200,0100,N 428578,S200000,02800,0100,N 428578,S200000,02900,0100,N 428578,S200000,03000,0100,N 428578,S200000,03100,0100,N 428578,S200000,03200,0100,N 428578,S200000,03300,0100,N 428578,S200000,03300,0200,N 428578,S200000,04100,0100,N 428578,S200000,04200,0100,N 428578,S200000,04300,0100,N 428578,S200000,04600,0100,N 428578,S200000,04700,0100,N 428578,S200000,04700,0200,N 428578,S200000,04900,0100,N 428578,S200000,05000,0100,N 428578,S200000,05100,0100,N 428578,S200000,05200,0100,N 428578,S200000,05300,0100,Y 428578,S200000,05300,0200,99999 428578,S200000,05400,0100,EMERITUS SENIOR LIVING INC. 428578,S200000,05400,0200,NGS 428578,S200000,05400,0300,00454 428578,S200000,05500,0100,3131 ELLIOTT AVE STE 500 428578,S200000,05600,0100,SEATTLE 428578,S200000,05600,0200,WA 428578,S200000,05600,0300,98121 428580,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428580,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428580,A000000,00300,0000,0300EMPLOYEE BENEFITS 428580,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428580,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428580,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428580,A000000,00700,0000,0700HOUSEKEEPING 428580,A000000,00800,0000,0800DIETARY 428580,A000000,00900,0000,0900NURSING ADMINISTRATION 428580,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428580,A000000,01100,0000,1100PHARMACY 428580,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428580,A000000,01300,0000,1300SOCIAL SERVICE 428580,A000000,01500,0000,1350ACTIVITIES 428580,A000000,01600,0000,1600SKILLED NURSING FACILITY 428580,A000000,01800,0000,1800NURSING FACILITY 428580,A000000,01810,0000,1810ICF/MR 428580,A000000,01900,0000,1900OTHER LONG TERM CARE 428580,A000000,02100,0000,2100RADIOLOGY 428580,A000000,02200,0000,2200LABORATORY 428580,A000000,02300,0000,2300INTRAVENOUS THERAPY 428580,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428580,A000000,02500,0000,2500PHYSICAL THERAPY 428580,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428580,A000000,02700,0000,2700SPEECH PATHOLOGY 428580,A000000,02800,0000,2800ELECTROCARDIOLOGY 428580,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428580,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428580,A000000,03200,0000,3200SUPPORT SURFACES 428580,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428580,A000000,03400,0000,3400CLINIC 428580,A000000,03500,0000,3500RURAL HEALTH CLINIC 428580,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428580,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428580,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428580,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428580,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428580,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428580,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428580,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428580,A000000,04400,0000,4400DME RENTED - HHA 428580,A000000,04500,0000,4500DME SOLD - HHA 428580,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428580,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428580,A000000,04710,0000,4710TELEMEDICINE 428580,A000000,04800,0000,4800AMBULANCE 428580,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428580,A000000,05000,0000,5000CORF 428580,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428580,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428580,A000000,05300,0000,5300INTEREST EXPENSE 428580,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428580,A000000,05500,0000,5500HOSPICE 428580,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428580,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428580,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428580,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428580,A000000,06100,0000,6100NONPAID WORKERS 428580,A000000,06200,0000,6200PATIENTS LAUNDRY 428580,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428580,A000000,06301,0000,6151OLTC 428580,A81000A,00100,0100,Y 428580,A81000B,00100,0300,HOME OFFICE - MGT FEES 428580,A81000B,00200,0300,HOME OFFICE - CAP BLDG 428580,A81000B,00300,0300,HOME OFFICE - CAP ME 428580,A81000C,00100,0100,B 428580,A81000C,00100,0400,EMERITUS SENIOR LIVING 428580,A81000C,00100,0600,MANAGEMENT COMPANY 428580,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428580,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428580,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428580,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428580,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428580,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428580,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428580,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428580,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428580,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428580,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428580,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428580,S000000,00100,0200,10/14/11 428580,S200000,00100,0100,72201 COUNTRY CLUB DRIVE 428580,S200000,00200,0100,RANCHO MIRAGE 428580,S200000,00200,0200,CA 428580,S200000,00200,0300,92270-4001 428580,S200000,00300,0100,RIVERSIDE 428580,S200000,00300,0201,40140 428580,S200000,00300,0300,U 428580,S200000,00400,0100,EMERITUS AT RANCHO MIRAGE 428580,S200000,00400,0200,555775 428580,S200000,00400,0300,07/19/01 428580,S200000,00400,0500,P 428580,S200000,01500,0100,Y 428580,S200000,01600,0100,N 428580,S200000,01700,0100,N 428580,S200000,01800,0100,N 428580,S200000,02200,0100,N 428580,S200000,02800,0100,N 428580,S200000,02900,0100,N 428580,S200000,03000,0100,N 428580,S200000,03100,0100,N 428580,S200000,03200,0100,N 428580,S200000,03300,0100,N 428580,S200000,03300,0200,N 428580,S200000,04100,0100,N 428580,S200000,04200,0100,N 428580,S200000,04300,0100,N 428580,S200000,04600,0100,N 428580,S200000,04700,0100,N 428580,S200000,04700,0200,N 428580,S200000,04900,0100,N 428580,S200000,05000,0100,N 428580,S200000,05100,0100,N 428580,S200000,05200,0100,N 428580,S200000,05300,0100,Y 428580,S200000,05300,0200,99999 428580,S200000,05400,0100,EMERITUS SENIOR LIVING 428580,S200000,05400,0200,NGS 428580,S200000,05400,0300,00454 428580,S200000,05500,0100,3131 ELLIOTT AVE STE 500 428580,S200000,05600,0100,SEATTLE 428580,S200000,05600,0200,WA 428580,S200000,05600,0300,98121 428582,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428582,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428582,A000000,00300,0000,0300EMPLOYEE BENEFITS 428582,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428582,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428582,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428582,A000000,00700,0000,0700HOUSEKEEPING 428582,A000000,00800,0000,0800DIETARY 428582,A000000,00900,0000,0900NURSING ADMINISTRATION 428582,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428582,A000000,01100,0000,1100PHARMACY 428582,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428582,A000000,01300,0000,1300SOCIAL SERVICE 428582,A000000,01500,0000,1350ACTIVITIES 428582,A000000,01600,0000,1600SKILLED NURSING FACILITY 428582,A000000,01800,0000,1800NURSING FACILITY 428582,A000000,01810,0000,1810ICF/MR 428582,A000000,01900,0000,1900OTHER LONG TERM CARE 428582,A000000,02100,0000,2100RADIOLOGY 428582,A000000,02200,0000,2200LABORATORY 428582,A000000,02300,0000,2300INTRAVENOUS THERAPY 428582,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428582,A000000,02500,0000,2500PHYSICAL THERAPY 428582,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428582,A000000,02700,0000,2700SPEECH PATHOLOGY 428582,A000000,02800,0000,2800ELECTROCARDIOLOGY 428582,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428582,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428582,A000000,03200,0000,3200SUPPORT SURFACES 428582,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428582,A000000,03400,0000,3400CLINIC 428582,A000000,03500,0000,3500RURAL HEALTH CLINIC 428582,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428582,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428582,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428582,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428582,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428582,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428582,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428582,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428582,A000000,04400,0000,4400DME RENTED - HHA 428582,A000000,04500,0000,4500DME SOLD - HHA 428582,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428582,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428582,A000000,04710,0000,4710TELEMEDICINE 428582,A000000,04800,0000,4800AMBULANCE 428582,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428582,A000000,05000,0000,5000CORF 428582,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428582,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428582,A000000,05300,0000,5300INTEREST EXPENSE 428582,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428582,A000000,05500,0000,5500HOSPICE 428582,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428582,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428582,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428582,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428582,A000000,06100,0000,6100NONPAID WORKERS 428582,A000000,06200,0000,6200PATIENTS LAUNDRY 428582,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428582,A000000,06301,0000,6151OLTC 428582,A81000A,00100,0100,Y 428582,A81000B,00100,0300,HOME OFFICE - MGT FEES 428582,A81000B,00200,0300,HOME OFFICE - CAP BLDG 428582,A81000B,00300,0300,HOME OFFICE - CAP ME 428582,A81000C,00100,0100,B 428582,A81000C,00100,0400,EMERITUS SENIOR LIVING 428582,A81000C,00100,0600,MANAGEMENT COMPANY 428582,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428582,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428582,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428582,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428582,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428582,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428582,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428582,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428582,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428582,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428582,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428582,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428582,S000000,00100,0200,10/14/11 428582,S200000,00100,0100,17650 DEVONSHIRE STREET 428582,S200000,00200,0100,NORTHRIDGE 428582,S200000,00200,0200,CA 428582,S200000,00200,0300,91325-1445 428582,S200000,00300,0100,LOS ANGELES 428582,S200000,00300,0201,31084 428582,S200000,00300,0300,U 428582,S200000,00400,0100,EMERITUS AT NORTHRIDGE 428582,S200000,00400,0200,555791 428582,S200000,00400,0300,06/15/02 428582,S200000,00400,0500,P 428582,S200000,01500,0100,Y 428582,S200000,01600,0100,N 428582,S200000,01700,0100,N 428582,S200000,01800,0100,N 428582,S200000,02200,0100,N 428582,S200000,02800,0100,N 428582,S200000,02900,0100,N 428582,S200000,03000,0100,N 428582,S200000,03100,0100,N 428582,S200000,03200,0100,N 428582,S200000,03300,0100,N 428582,S200000,03300,0200,N 428582,S200000,04100,0100,N 428582,S200000,04200,0100,N 428582,S200000,04300,0100,N 428582,S200000,04600,0100,N 428582,S200000,04700,0100,N 428582,S200000,04700,0200,N 428582,S200000,04900,0100,N 428582,S200000,05000,0100,N 428582,S200000,05100,0100,N 428582,S200000,05200,0100,N 428582,S200000,05300,0100,Y 428582,S200000,05300,0200,99999 428582,S200000,05400,0100,EMERITUS SENIOR LIVING INC. 428582,S200000,05400,0200,NGS 428582,S200000,05400,0300,00454 428582,S200000,05500,0100,3131 ELLIOTT AVE STE 500 428582,S200000,05600,0100,SEATTLE 428582,S200000,05600,0200,WA 428582,S200000,05600,0300,98121 428584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428584,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428584,A000000,00300,0000,0300EMPLOYEE BENEFITS 428584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428584,A000000,00700,0000,0700HOUSEKEEPING 428584,A000000,00800,0000,0800DIETARY 428584,A000000,00900,0000,0900NURSING ADMINISTRATION 428584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428584,A000000,01100,0000,1100PHARMACY 428584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428584,A000000,01300,0000,1300SOCIAL SERVICE 428584,A000000,01500,0000,1350ACTIVITIES 428584,A000000,01600,0000,1600SKILLED NURSING FACILITY 428584,A000000,01800,0000,1800NURSING FACILITY 428584,A000000,01810,0000,1810ICF/MR 428584,A000000,01900,0000,1900OTHER LONG TERM CARE 428584,A000000,02100,0000,2100RADIOLOGY 428584,A000000,02200,0000,2200LABORATORY 428584,A000000,02300,0000,2300INTRAVENOUS THERAPY 428584,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428584,A000000,02500,0000,2500PHYSICAL THERAPY 428584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428584,A000000,02700,0000,2700SPEECH PATHOLOGY 428584,A000000,02800,0000,2800ELECTROCARDIOLOGY 428584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428584,A000000,03200,0000,3200SUPPORT SURFACES 428584,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428584,A000000,03400,0000,3400CLINIC 428584,A000000,03500,0000,3500RURAL HEALTH CLINIC 428584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428584,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428584,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428584,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428584,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428584,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428584,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428584,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428584,A000000,04400,0000,4400DME RENTED - HHA 428584,A000000,04500,0000,4500DME SOLD - HHA 428584,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428584,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428584,A000000,04710,0000,4710TELEMEDICINE 428584,A000000,04800,0000,4800AMBULANCE 428584,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428584,A000000,05000,0000,5000CORF 428584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428584,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428584,A000000,05300,0000,5300INTEREST EXPENSE 428584,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428584,A000000,05500,0000,5500HOSPICE 428584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428584,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428584,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428584,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428584,A000000,06100,0000,6100NONPAID WORKERS 428584,A000000,06200,0000,6200PATIENTS LAUNDRY 428584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428584,A000000,06301,0000,6151OLTC 428584,A81000A,00100,0100,Y 428584,A81000B,00100,0300,HOME OFFICE - MGT FEES 428584,A81000B,00200,0300,HOME OFFICE - CAP BLDG 428584,A81000B,00300,0300,HOME OFFICE - CAP ME 428584,A81000C,00100,0100,B 428584,A81000C,00100,0400,EMERITUS SENIOR LIVING 428584,A81000C,00100,0600,MANAGEMENT COMPANY 428584,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428584,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428584,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428584,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428584,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428584,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428584,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428584,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428584,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428584,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428584,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428584,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428584,S000000,00100,0200,10/14/11 428584,S200000,00100,0100,300 FOUNTAINGROVE PARKWAY 428584,S200000,00200,0100,SANTA ROSA 428584,S200000,00200,0200,CA 428584,S200000,00200,0300,95403-5724 428584,S200000,00300,0100,SONOMA 428584,S200000,00300,0201,42220 428584,S200000,00300,0300,U 428584,S200000,00400,0100,EMERITUS AT SANTA ROSA 428584,S200000,00400,0200,555836 428584,S200000,00400,0300,01/02/07 428584,S200000,00400,0500,P 428584,S200000,01500,0100,Y 428584,S200000,01600,0100,N 428584,S200000,01700,0100,N 428584,S200000,01800,0100,N 428584,S200000,02200,0100,N 428584,S200000,02800,0100,N 428584,S200000,02900,0100,N 428584,S200000,03000,0100,N 428584,S200000,03100,0100,N 428584,S200000,03200,0100,N 428584,S200000,03300,0100,N 428584,S200000,03300,0200,N 428584,S200000,04100,0100,N 428584,S200000,04200,0100,N 428584,S200000,04300,0100,N 428584,S200000,04600,0100,N 428584,S200000,04700,0100,N 428584,S200000,04700,0200,N 428584,S200000,04900,0100,N 428584,S200000,05000,0100,N 428584,S200000,05100,0100,N 428584,S200000,05200,0100,N 428584,S200000,05300,0100,Y 428584,S200000,05300,0200,99999 428584,S200000,05400,0100,EMERITUS SENIOR LIVING INC. 428584,S200000,05400,0200,NGS 428584,S200000,05400,0300,00454 428584,S200000,05500,0100,3131 ELLIOTT AVE STE 500 428584,S200000,05600,0100,SEATTLE 428584,S200000,05600,0200,WA 428584,S200000,05600,0300,98121 428597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428597,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428597,A000000,00300,0000,0300EMPLOYEE BENEFITS 428597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428597,A000000,00700,0000,0700HOUSEKEEPING 428597,A000000,00800,0000,0800DIETARY 428597,A000000,00900,0000,0900NURSING ADMINISTRATION 428597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428597,A000000,01300,0000,1300SOCIAL SERVICE 428597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428597,A000000,01500,0000,1350PATIENT ACTIVITIES 428597,A000000,01600,0000,1600SKILLED NURSING FACILITY 428597,A000000,01800,0000,1800NURSING FACILITY 428597,A000000,02100,0000,2100RADIOLOGY 428597,A000000,02200,0000,2200LABORATORY 428597,A000000,02300,0000,2300INTRAVENOUS THERAPY 428597,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428597,A000000,02500,0000,2500PHYSICAL THERAPY 428597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428597,A000000,02700,0000,2700SPEECH PATHOLOGY 428597,A000000,02800,0000,2800ELECTROCARDIOLOGY 428597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428597,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428597,A000000,05300,0000,5300INTEREST EXPENSE 428597,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428597,A000000,05500,0000,5500HOSPICE 428597,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428597,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428597,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428597,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428597,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428597,A81000A,00100,0100,Y 428597,A81000B,00100,0300,HOME OFFICE ALLOCATION 428597,A81000B,00200,0300,VARIOUS DIRECT EXPENSE REIMBURSEMENT 428597,A81000B,00300,0300,DIRECT EXPENSE REIMBURSEMENT 428597,A81000B,00400,0300,RENT 428597,A81000C,00100,0100,F 428597,A81000C,00100,0400,TUTERA HOME OFF 428597,A81000C,00100,0600,MGT COMPANY 428597,A81000C,00200,0100,F 428597,A81000C,00200,0400,THCS 428597,A81000C,00200,0600,MGT 428597,A81000C,00300,0100,F 428597,A81000C,00300,0400,WALNUT CREEK MG 428597,A81000C,00300,0600,MGT 428597,A81000C,00400,0100,F 428597,A81000C,00400,0400,TI CRYSTAL LAKE 428597,A81000C,00400,0600,LANDLORD 428597,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428597,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428597,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428597,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428597,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428597,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428597,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428597,B100000,00000,0800,0800MEALS SERVED :DIETARY 428597,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428597,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428597,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428597,B100000,00000,1500,1350 :PATIENT ACTIVITIES 428597,E10A180,00501,0100,11/03/11 428597,G300000,02500,0000,OTHER INCOME 428597,S000000,00100,0200,09/23/11 428597,S200000,00100,0100,335 NORTH ILLINOIS STREET 428597,S200000,00200,0100,CRYSTAL LAKE 428597,S200000,00200,0200,IL 428597,S200000,00200,0300,60014 428597,S200000,00300,0100,MCHENRY 428597,S200000,00300,0201,16974 428597,S200000,00300,0300,U 428597,S200000,00400,0100,CRYSTAL PINES 428597,S200000,00400,0200,145257 428597,S200000,00400,0300,09/15/94 428597,S200000,00400,0500,P 428597,S200000,01500,0100,Y 428597,S200000,01600,0100,N 428597,S200000,01700,0100,N 428597,S200000,01800,0100,N 428597,S200000,02200,0100,N 428597,S200000,02800,0100,N 428597,S200000,02900,0100,N 428597,S200000,03000,0100,N 428597,S200000,03100,0100,N 428597,S200000,03200,0100,N 428597,S200000,03300,0100,N 428597,S200000,03300,0200,N 428597,S200000,04100,0100,N 428597,S200000,04200,0100,N 428597,S200000,04300,0100,N 428597,S200000,04600,0100,N 428597,S200000,04700,0100,N 428597,S200000,04700,0200,N 428597,S200000,04900,0100,N 428597,S200000,05000,0100,N 428597,S200000,05100,0100,N 428597,S200000,05200,0100,N 428597,S200000,05300,0100,Y 428597,S200000,05300,0200,269032 428597,S200000,05400,0100,TUTERA/WALNUT CREEK MGT 428597,S200000,05400,0200,WPS 428597,S200000,05400,0300,UNKNOW 428597,S200000,05500,0100,7611 STATE LINE ROAD SUITE 301 428597,S200000,05600,0100,KANSAS CITY 428597,S200000,05600,0200,MO 428597,S200000,05600,0300,64114-1698 428610,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428610,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428610,A000000,00300,0000,0300EMPLOYEE BENEFITS 428610,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428610,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428610,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428610,A000000,00700,0000,0700HOUSEKEEPING 428610,A000000,00800,0000,0800DIETARY 428610,A000000,00900,0000,0900NURSING ADMINISTRATION 428610,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428610,A000000,01100,0000,1100PHARMACY 428610,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428610,A000000,01300,0000,1300SOCIAL SERVICE 428610,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428610,A000000,01500,0000,1350ACTIVITIES 428610,A000000,01600,0000,1600SKILLED NURSING FACILITY 428610,A000000,01800,0000,1800NURSING FACILITY 428610,A000000,01810,0000,1810ICF/MR 428610,A000000,01900,0000,1900OTHER LONG TERM CARE 428610,A000000,02100,0000,2100RADIOLOGY 428610,A000000,02200,0000,2200LABORATORY 428610,A000000,02300,0000,2300INTRAVENOUS THERAPY 428610,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428610,A000000,02500,0000,2500PHYSICAL THERAPY 428610,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428610,A000000,02700,0000,2700SPEECH PATHOLOGY 428610,A000000,02800,0000,2800ELECTROCARDIOLOGY 428610,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428610,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428610,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428610,A000000,03200,0000,3200SUPPORT SURFACES 428610,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428610,A000000,03400,0000,3400CLINIC 428610,A000000,03500,0000,3500RURAL HEALTH CLINIC 428610,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428610,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428610,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428610,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428610,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428610,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428610,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428610,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428610,A000000,04400,0000,4400DME RENTED - HHA 428610,A000000,04500,0000,4500DME SOLD - HHA 428610,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428610,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428610,A000000,04710,0000,4710TELEMEDICINE 428610,A000000,04800,0000,4800AMBULANCE 428610,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428610,A000000,05000,0000,5000CORF 428610,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428610,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428610,A000000,05300,0000,5300INTEREST EXPENSE 428610,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428610,A000000,05500,0000,5500HOSPICE 428610,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428610,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428610,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428610,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428610,A000000,06100,0000,6100NONPAID WORKERS 428610,A000000,06200,0000,6200PATIENTS LAUNDRY 428610,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428610,A81000A,00100,0100,Y 428610,A81000B,00100,0300,MALPRACTICE INSURANCE 428610,A81000B,00200,0300,GENERAL INSURANCE 428610,A81000B,00300,0300,ADMINISTRATIVE AND GENERAL 428610,A81000B,00400,0300,ALLIED WASTE 428610,A81000B,00500,0300,MANAGEMENT & ACCOUNTING 428610,A81000B,00600,0300,MANAGEMENT AND ACCOUNTING 428610,A81000C,00100,0100,B 428610,A81000C,00100,0200,MCLAREN OAKLAND MED CTR 428610,A81000C,00100,0400,MCLAREN OAKLAND MED CTR 428610,A81000C,00100,0600,PARENT ORGANIZATION 428610,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428610,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428610,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428610,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428610,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428610,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428610,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428610,B100000,00000,0800,0800MEALS SERVED :DIETARY 428610,B100000,00000,0900,0950TOTAL PATIENT DA :NURSING ADMINI 428610,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428610,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428610,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428610,G300000,02500,0000,BEAUTY AND BARBER 428610,G300000,02501,0000,OTHER 428610,S000000,00100,0200,02/28/12 428610,S200000,00100,0100,585 EAST FLINT STREET 428610,S200000,00200,0100,LAKE ORION 428610,S200000,00200,0200,MI 428610,S200000,00200,0300,48362 428610,S200000,00300,0100,OAKLAND 428610,S200000,00300,0200,2160 428610,S200000,00300,0201,47644 428610,S200000,00300,0300,U 428610,S200000,00400,0100,LAKE ORION NURSING CENTER 428610,S200000,00400,0200,235481 428610,S200000,00400,0300,01/01/80 428610,S200000,00400,0500,P 428610,S200000,01500,0100,Y 428610,S200000,01501,0200,N 428610,S200000,01600,0100,N 428610,S200000,01700,0100,N 428610,S200000,01800,0100,N 428610,S200000,02200,0100,N 428610,S200000,02800,0100,N 428610,S200000,02900,0100,N 428610,S200000,03000,0100,N 428610,S200000,03100,0100,N 428610,S200000,03200,0100,N 428610,S200000,03300,0100,N 428610,S200000,03300,0200,N 428610,S200000,04100,0100,N 428610,S200000,04200,0100,N 428610,S200000,04300,0100,Y 428610,S200000,04600,0100,N 428610,S200000,04700,0100,N 428610,S200000,04700,0200,N 428610,S200000,04900,0100,N 428610,S200000,05000,0100,N 428610,S200000,05100,0100,N 428610,S200000,05200,0100,N 428611,S000000,00100,0200,02/20/12 428611,S200000,00100,0100,W846 CIUNTY ROAD EE 428611,S200000,00200,0100,DE PERE 428611,S200000,00200,0200,WI 428611,S200000,00200,0300,54115 428611,S200000,00300,0100,BROWN 428611,S200000,00400,0100,ANNA JOHN NURSING HOME 428611,S200000,00400,0300,10/01/08 428612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428612,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428612,A000000,00300,0000,0300EMPLOYEE BENEFITS 428612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428612,A000000,00700,0000,0700HOUSEKEEPING 428612,A000000,00800,0000,0800DIETARY 428612,A000000,00900,0000,0900NURSING ADMINISTRATION 428612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428612,A000000,01100,0000,1100PHARMACY 428612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428612,A000000,01300,0000,1300SOCIAL SERVICE 428612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428612,A000000,01500,0000,1350ACTIVITIES 428612,A000000,01600,0000,1600SKILLED NURSING FACILITY 428612,A000000,01810,0000,1810ICF/MR 428612,A000000,02100,0000,2100RADIOLOGY 428612,A000000,02200,0000,2200LABORATORY 428612,A000000,02300,0000,2300INTRAVENOUS THERAPY 428612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428612,A000000,02500,0000,2500PHYSICAL THERAPY 428612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428612,A000000,02700,0000,2700SPEECH PATHOLOGY 428612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428612,A000000,03200,0000,3200SUPPORT SURFACES 428612,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 428612,A000000,03550,0000,3550FQHC 428612,A000000,04801,0000,4801AMBULANCE 428612,A000000,04802,0000,4802AMBULANCE 428612,A000000,04803,0000,4803AMBULANCE 428612,A000000,05000,0000,5000CORF 428612,A000000,05010,0000,5010CMHC 428612,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428612,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428612,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428612,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 428612,A000000,05300,0000,5300INTEREST EXPENSE 428612,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 428612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428612,A81000A,00100,0100,Y 428612,A81000B,00100,0300,HOME OFFICE COST 428612,A81000C,00100,0100,B 428612,A81000C,00100,0200,MANOR CARE OF DALLAS TX 428612,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 428612,A81000C,00100,0600,LONG TERM CARE FACILITIES 428612,B100000,00000,0100,0100SQUARE FEET 428612,B100000,00000,0200,0200SQUARE FEET 428612,B100000,00000,0300,0300GROSS SALARIES 428612,B100000,00000,0400,0400ACCUM COST 428612,B100000,00000,0500,0500SQUARE FEET 428612,B100000,00000,0600,0600PATIENT DAYS 428612,B100000,00000,0700,0700SQUARE FEET 428612,B100000,00000,0800,0800MEALS SERVED 428612,B100000,00000,0900,0900PATIENT DAYS 428612,B100000,00000,1000,1000PATIENT DAYS 428612,B100000,00000,1100,1100PATIENT DAYS 428612,B100000,00000,1200,1200PATIENT DAYS 428612,B100000,00000,1300,1300PATIENT DAYS 428612,B100000,00000,1400,1400PATIENT DAYS 428612,B100000,00000,1500,1350PATIENT DAYS 428612,G300000,02500,0000,BEAUTY AND BARBER 428612,S000000,00100,0200,03/07/12 428612,S200000,00100,0100,3326 BURGOYNE 428612,S200000,00200,0100,DALLAS 428612,S200000,00200,0200,TX 428612,S200000,00200,0300,75233 428612,S200000,00300,0100,DALLAS 428612,S200000,00300,0201,19124 428612,S200000,00300,0300,U 428612,S200000,00400,0100,MANOR CARE OF DALLAS TX LLC D.B.A. 428612,S200000,00400,0200,455653 428612,S200000,00400,0300,03/26/86 428612,S200000,00400,0500,P 428612,S200000,00400,0600,P 428612,S200000,01500,0100,Y 428612,S200000,01501,0200,Y 428612,S200000,01502,0200,N 428612,S200000,01503,0200,Y 428612,S200000,01504,0200,N 428612,S200000,01600,0100,N 428612,S200000,01700,0100,N 428612,S200000,01800,0100,N 428612,S200000,02200,0100,Y 428612,S200000,02800,0100,N 428612,S200000,02900,0100,N 428612,S200000,03000,0100,N 428612,S200000,03100,0100,N 428612,S200000,03200,0100,N 428612,S200000,03300,0100,N 428612,S200000,03300,0200,N 428612,S200000,04200,0100,N 428612,S200000,04300,0100,N 428612,S200000,04600,0100,N 428612,S200000,04700,0100,N 428612,S200000,04900,0100,N 428612,S200000,05200,0100,N 428612,S200000,05300,0100,Y 428612,S200000,05300,0200,36HO15 428612,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 428612,S200000,05400,0200,CGS ADMINISTRATORS LLC 428612,S200000,05400,0300,15201 428612,S200000,05500,0100,333 N. SUMMIT ST. 428612,S200000,05500,0200,PO 10086 428612,S200000,05600,0100,TOLEDO 428612,S200000,05600,0200,OH 428612,S200000,05600,0300,43699-0086 428625,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428625,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428625,A000000,00300,0000,0300EMPLOYEE BENEFITS 428625,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428625,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428625,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428625,A000000,00700,0000,0700HOUSEKEEPING 428625,A000000,00800,0000,0800DIETARY 428625,A000000,00900,0000,0900NURSING ADMINISTRATION 428625,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428625,A000000,01100,0000,1100PHARMACY 428625,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428625,A000000,01300,0000,1300SOCIAL SERVICE 428625,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428625,A000000,01500,0000,1350RECREATIONAL SERVICES 428625,A000000,01600,0000,1600SKILLED NURSING FACILITY 428625,A000000,01800,0000,1800NURSING FACILITY 428625,A000000,01810,0000,1810ICF/MR 428625,A000000,01900,0000,1900OTHER LONG TERM CARE 428625,A000000,02100,0000,2100RADIOLOGY 428625,A000000,02200,0000,2200LABORATORY 428625,A000000,02300,0000,2300INTRAVENOUS THERAPY 428625,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428625,A000000,02500,0000,2500PHYSICAL THERAPY 428625,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428625,A000000,02700,0000,2700SPEECH PATHOLOGY 428625,A000000,02800,0000,2800ELECTROCARDIOLOGY 428625,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428625,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428625,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428625,A000000,03200,0000,3200SUPPORT SURFACES 428625,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428625,A000000,03400,0000,3400CLINIC 428625,A000000,03500,0000,3500RURAL HEALTH CLINIC 428625,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428625,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428625,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428625,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428625,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428625,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428625,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428625,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428625,A000000,04400,0000,4400DME RENTED - HHA 428625,A000000,04500,0000,4500DME SOLD - HHA 428625,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428625,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428625,A000000,04710,0000,4710TELEMEDICINE 428625,A000000,04800,0000,4800AMBULANCE 428625,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428625,A000000,05000,0000,5000CORF 428625,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428625,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428625,A000000,05300,0000,5300INTEREST EXPENSE 428625,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428625,A000000,05500,0000,5500HOSPICE 428625,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428625,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428625,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428625,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428625,A000000,06100,0000,6100NONPAID WORKERS 428625,A000000,06200,0000,6200PATIENTS LAUNDRY 428625,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428625,A81000A,00100,0100,Y 428625,A81000B,00100,0300,MANAGEMENT COMPANY 428625,A81000B,00200,0300,WORKERS COMP 428625,A81000B,00300,0300,DISABILITY INSURANCE 428625,A81000B,00400,0300,HEALTH INSURANCE COSTS 428625,A81000C,00100,0100,B 428625,A81000C,00100,0200,PARADIGM MANAGEMENT LLC 428625,A81000C,00200,0100,B 428625,A81000C,00200,0400,PARADIGM HC DEVELOPMENT 428625,A81000C,00300,0100,B 428625,A81000C,00300,0400,PARADIGM HC DEVELOPMENT 428625,A81000C,00400,0100,B 428625,A81000C,00400,0400,PARADIGM HC DEVELOPMENT 428625,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428625,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428625,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428625,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428625,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428625,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428625,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428625,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428625,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428625,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428625,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428625,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428625,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 428625,G300000,02500,0000,INTEREST INCOME 428625,G300000,02501,0000,VENDING MACHINE REVENUE 428625,G300000,02502,0000,MISCELLANEOUS INCOME 428625,S000000,00100,0200,03/05/12 428625,S200000,00100,0100,310 TERRACE AVE 428625,S200000,00200,0100,WEST HAVEN 428625,S200000,00200,0200,CT 428625,S200000,00200,0300,06091 428625,S200000,00300,0100,NEW HAVEN 428625,S200000,00300,0201,35300 428625,S200000,00300,0300,U 428625,S200000,00400,0100,PARADIGM HC CENTER OF W. HAVEN LLC 428625,S200000,00400,0200,075201 428625,S200000,00400,0300,07/01/09 428625,S200000,00400,0500,P 428625,S200000,01500,0100,Y 428625,S200000,01504,0200,Y 428625,S200000,01600,0100,N 428625,S200000,01700,0100,N 428625,S200000,01800,0100,N 428625,S200000,02200,0100,N 428625,S200000,02800,0100,N 428625,S200000,02900,0100,N 428625,S200000,03000,0100,N 428625,S200000,03100,0100,N 428625,S200000,03200,0100,N 428625,S200000,03300,0100,N 428625,S200000,03300,0200,N 428625,S200000,04100,0100,N 428625,S200000,04200,0100,N 428625,S200000,04300,0100,N 428625,S200000,04600,0100,N 428625,S200000,04700,0100,N 428625,S200000,04700,0200,N 428625,S200000,04900,0100,N 428625,S200000,05000,0100,N 428625,S200000,05100,0100,N 428625,S200000,05200,0100,N 428625,S200000,05300,0100,N 428636,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428636,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428636,A000000,00300,0000,0300EMPLOYEE BENEFITS 428636,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428636,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428636,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428636,A000000,00700,0000,0700HOUSEKEEPING 428636,A000000,00800,0000,0800DIETARY 428636,A000000,00900,0000,0900NURSING ADMINISTRATION 428636,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428636,A000000,01100,0000,1100PHARMACY 428636,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428636,A000000,01300,0000,1300SOCIAL SERVICE 428636,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428636,A000000,01500,0000,1350ACTIVITIES 428636,A000000,01600,0000,1600SKILLED NURSING FACILITY 428636,A000000,01810,0000,1810ICF/MR 428636,A000000,02100,0000,2100RADIOLOGY 428636,A000000,02200,0000,2200LABORATORY 428636,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428636,A000000,02500,0000,2500PHYSICAL THERAPY 428636,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428636,A000000,02700,0000,2700SPEECH PATHOLOGY 428636,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428636,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428636,A000000,03550,0000,3550FQHC 428636,A000000,04800,0000,4800AMBULANCE 428636,A000000,05000,0000,5000CORF 428636,A000000,05010,0000,5010CMHC 428636,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428636,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428636,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428636,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428636,A000000,06300,0000,6150NON-REIMBURSABLE 428636,A81000A,00100,0100,Y 428636,A81000B,00100,0300,HO A&G 428636,A81000B,00200,0300,HO BLDG 428636,A81000B,00300,0300,HO INTEREST 428636,A81000B,00400,0300,PT 428636,A81000B,00500,0300,OT 428636,A81000B,00600,0300,ST 428636,A81000B,00700,0300,DIETARY 428636,A81000B,00800,0300,SKILLED NRSG 428636,A81000B,00900,0300,RT 428636,A81000B,01000,0300,MED SUPPLIES 428636,A81000B,01100,0300,ADMINISTRATIVE 428636,A81000C,00100,0100,B 428636,A81000C,00100,0200,GENESIS HEALTH 428636,A81000C,00100,0600,MANAGEMENT COMP 428636,A81000C,00200,0100,B 428636,A81000C,00200,0200,GENESIS HEALTH 428636,A81000C,00200,0600,MANAGEMENT COMP 428636,A81000C,00300,0100,B 428636,A81000C,00300,0200,GENESIS HEALTH 428636,A81000C,00300,0600,MANAGEMENT COMP 428636,A81000C,00400,0100,B 428636,A81000C,00400,0200,GENESIS REHAB 428636,A81000C,00400,0400,GENESIS HEALTH 428636,A81000C,00400,0600,REHAB SERVICES 428636,A81000C,00500,0100,B 428636,A81000C,00500,0200,GENESIS REHAB 428636,A81000C,00500,0400,GENESIS HEALTH 428636,A81000C,00500,0600,REHAB SERVICES 428636,A81000C,00600,0100,B 428636,A81000C,00600,0200,GENESIS REHAB 428636,A81000C,00600,0400,GENESIS HEALTH 428636,A81000C,00600,0600,REHAB SERVICES 428636,A81000C,00700,0100,B 428636,A81000C,00700,0200,GENESIS HOSPITA 428636,A81000C,00700,0400,GENESIS HEALTH 428636,A81000C,00700,0600,CONSULTING SERV 428636,A81000C,00800,0100,B 428636,A81000C,00800,0200,RESPIRATORY HEA 428636,A81000C,00800,0400,GENESIS HEALTH 428636,A81000C,00800,0600,RESPIRATORY THE 428636,A81000C,00900,0100,B 428636,A81000C,00900,0200,RESPIRATORY HEA 428636,A81000C,00900,0400,GENESIS HEALTH 428636,A81000C,00900,0600,RESPIRATORY THE 428636,A81000C,01000,0100,B 428636,A81000C,01000,0200,RESPIRATORY HEA 428636,A81000C,01000,0400,GENESIS HEALTH 428636,A81000C,01000,0600,RESPIRATORY THE 428636,A81000C,01001,0100,B 428636,A81000C,01001,0200,GENESIS PHYSICI 428636,A81000C,01001,0400,GENESIS HEALTH 428636,A81000C,01001,0600,MEDICAL DIRECTO 428636,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428636,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428636,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428636,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428636,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428636,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428636,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428636,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428636,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428636,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428636,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428636,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428636,E10A180,00550,0100,09/15/11 428636,G300000,02500,0000,MISCELLANEOUS INCOME 428636,S000000,00100,0200,09/27/11 428636,S200000,00100,0100,723 SUMMERS STREET 428636,S200000,00200,0100,PARKERSBURG 428636,S200000,00200,0200,WV 428636,S200000,00200,0300,26101 428636,S200000,00300,0100,WOOD 428636,S200000,00300,0201,37620 428636,S200000,00300,0300,U 428636,S200000,00400,0100,THE WILLOWS 428636,S200000,00400,0200,515085 428636,S200000,00400,0300,10/28/88 428636,S200000,00400,0500,P 428636,S200000,01500,0100,Y 428636,S200000,01502,0200,N 428636,S200000,01503,0200,N 428636,S200000,01504,0200,N 428636,S200000,01505,0000,DON BONUS 428636,S200000,01505,0200,Y 428636,S200000,01600,0100,N 428636,S200000,01700,0100,N 428636,S200000,01800,0100,N 428636,S200000,02200,0100,Y 428636,S200000,02800,0100,N 428636,S200000,02900,0100,N 428636,S200000,03000,0100,N 428636,S200000,03100,0100,N 428636,S200000,03200,0100,N 428636,S200000,03300,0100,N 428636,S200000,03300,0200,N 428636,S200000,04100,0100,N 428636,S200000,04200,0100,N 428636,S200000,04300,0100,N 428636,S200000,04600,0100,N 428636,S200000,04700,0100,N 428636,S200000,04700,0200,N 428636,S200000,04900,0100,N 428636,S200000,05000,0100,N 428636,S200000,05100,0100,N 428636,S200000,05200,0100,N 428636,S200000,05300,0100,Y 428636,S200000,05300,0200,HB0067 428636,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428636,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428636,S200000,05400,0300,12001 428636,S200000,05500,0100,101 EAST STATE STREET 428636,S200000,05600,0100,KENNETT SQUARE 428636,S200000,05600,0200,PA 428636,S200000,05600,0300,19348 428637,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428637,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428637,A000000,00300,0000,0300EMPLOYEE BENEFITS 428637,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428637,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428637,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428637,A000000,00700,0000,0700HOUSEKEEPING 428637,A000000,00800,0000,0800DIETARY 428637,A000000,00900,0000,0900NURSING ADMINISTRATION 428637,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428637,A000000,01100,0000,1100PHARMACY 428637,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428637,A000000,01300,0000,1300SOCIAL SERVICE 428637,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428637,A000000,01500,0000,1350ACTIVITIES 428637,A000000,01600,0000,1600SKILLED NURSING FACILITY 428637,A000000,01810,0000,1810ICF/MR 428637,A000000,02100,0000,2100RADIOLOGY 428637,A000000,02200,0000,2200LABORATORY 428637,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428637,A000000,02500,0000,2500PHYSICAL THERAPY 428637,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428637,A000000,02700,0000,2700SPEECH PATHOLOGY 428637,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428637,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428637,A000000,03550,0000,3550FQHC 428637,A000000,05000,0000,5000CORF 428637,A000000,05010,0000,5010CMHC 428637,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428637,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428637,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428637,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428637,A000000,06300,0000,6150NON-REIMBURSABLE 428637,A81000A,00100,0100,Y 428637,A81000B,00100,0300,HO A&G 428637,A81000B,00200,0300,HO INTEREST 428637,A81000B,00300,0300,HO BLDG 428637,A81000B,00400,0300,BLDG 428637,A81000B,00500,0300,EQUIPMENT 428637,A81000B,00600,0300,PT 428637,A81000B,00700,0300,OT 428637,A81000B,00800,0300,ST 428637,A81000B,00900,0300,DIETARY 428637,A81000B,01000,0300,SKILLED NRSG 428637,A81000B,01100,0300,RT 428637,A81000B,01200,0300,MED SUPPLIES 428637,A81000B,01300,0300,ADMINISTRATIVE 428637,A81000C,00100,0100,B 428637,A81000C,00100,0200,GENESIS HEALTH 428637,A81000C,00100,0600,MANAGEMENT COMP 428637,A81000C,00200,0100,B 428637,A81000C,00200,0200,GENESIS HEALTH 428637,A81000C,00200,0600,MANAGEMENT COMP 428637,A81000C,00300,0100,B 428637,A81000C,00300,0200,GENESIS HEALTH 428637,A81000C,00300,0600,MANAGEMENT COMP 428637,A81000C,00400,0100,B 428637,A81000C,00400,0200,GLENMARK PROP I 428637,A81000C,00400,0400,GENESIS HEALTH 428637,A81000C,00400,0600,PROPERTY HOLDER 428637,A81000C,00500,0100,B 428637,A81000C,00500,0200,GLENMARK PROP I 428637,A81000C,00500,0400,GENESIS HEALTH 428637,A81000C,00500,0600,PROPERTY HOLDER 428637,A81000C,00600,0100,B 428637,A81000C,00600,0200,GENESIS REHAB 428637,A81000C,00600,0400,GENESIS HEALTH 428637,A81000C,00600,0600,REHAB SERVICES 428637,A81000C,00700,0100,B 428637,A81000C,00700,0200,GENESIS REHAB 428637,A81000C,00700,0400,GENESIS HEALTH 428637,A81000C,00700,0600,REHAB SERVICES 428637,A81000C,00800,0100,B 428637,A81000C,00800,0200,GENESIS REHAB 428637,A81000C,00800,0400,GENESIS HEALTH 428637,A81000C,00800,0600,REHAB SERVICES 428637,A81000C,00900,0100,B 428637,A81000C,00900,0200,GENESIS HOSPITA 428637,A81000C,00900,0400,GENESIS HEALTH 428637,A81000C,00900,0600,CONSULTING SERV 428637,A81000C,01000,0100,B 428637,A81000C,01000,0200,RESPIRATORY HEA 428637,A81000C,01000,0400,GENESIS HEALTH 428637,A81000C,01000,0600,RESPIRATORY THE 428637,A81000C,01001,0100,B 428637,A81000C,01001,0200,RESPIRATORY HEA 428637,A81000C,01001,0400,GENESIS HEALTH 428637,A81000C,01001,0600,RESPIRATORY THE 428637,A81000C,01002,0100,B 428637,A81000C,01002,0200,RESPIRATORY HEA 428637,A81000C,01002,0400,GENESIS HEALTH 428637,A81000C,01002,0600,RESPIRATORY THE 428637,A81000C,01003,0100,B 428637,A81000C,01003,0200,GENESIS PHYSICI 428637,A81000C,01003,0400,GENESIS HEALTH 428637,A81000C,01003,0600,MEDICAL DIRECTO 428637,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428637,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428637,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428637,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428637,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428637,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428637,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428637,B100000,00000,0800,0850PATIENT DAY :DIETARY 428637,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428637,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428637,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428637,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428637,E10A180,00550,0100,09/15/11 428637,G300000,02500,0000,MISCELLANEOUS INCOME 428637,S000000,00100,0200,09/27/11 428637,S200000,00100,0100,825 SUMMIT STREET 428637,S200000,00200,0100,SPENCER 428637,S200000,00200,0200,WV 428637,S200000,00200,0300,25276 428637,S200000,00300,0100,ROANE 428637,S200000,00300,0201,99951 428637,S200000,00300,0300,R 428637,S200000,00400,0100,MILETREE CENTER 428637,S200000,00400,0200,515182 428637,S200000,00400,0300,12/01/02 428637,S200000,00400,0500,P 428637,S200000,01500,0100,Y 428637,S200000,01502,0200,N 428637,S200000,01504,0200,N 428637,S200000,01505,0000,DON BONUS 428637,S200000,01505,0200,Y 428637,S200000,01600,0100,N 428637,S200000,01700,0100,N 428637,S200000,01800,0100,N 428637,S200000,02200,0100,Y 428637,S200000,02800,0100,N 428637,S200000,02900,0100,N 428637,S200000,03000,0100,N 428637,S200000,03100,0100,N 428637,S200000,03200,0100,N 428637,S200000,03300,0100,N 428637,S200000,03300,0200,N 428637,S200000,04100,0100,N 428637,S200000,04200,0100,N 428637,S200000,04300,0100,N 428637,S200000,04600,0100,N 428637,S200000,04700,0100,N 428637,S200000,04700,0200,N 428637,S200000,04900,0100,N 428637,S200000,05000,0100,N 428637,S200000,05100,0100,N 428637,S200000,05200,0100,N 428637,S200000,05300,0100,Y 428637,S200000,05300,0200,HB0067 428637,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428637,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428637,S200000,05400,0300,12001 428637,S200000,05500,0100,101 EAST STATE STREET 428637,S200000,05600,0100,KENNETT SQUARE 428637,S200000,05600,0200,PA 428637,S200000,05600,0300,19348 428638,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428638,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428638,A000000,00300,0000,0300EMPLOYEE BENEFITS 428638,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428638,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428638,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428638,A000000,00700,0000,0700HOUSEKEEPING 428638,A000000,00800,0000,0800DIETARY 428638,A000000,00900,0000,0900NURSING ADMINISTRATION 428638,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428638,A000000,01100,0000,1100PHARMACY 428638,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428638,A000000,01300,0000,1300SOCIAL SERVICE 428638,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428638,A000000,01500,0000,1350RECREATIONAL SERVICES 428638,A000000,01600,0000,1600SKILLED NURSING FACILITY 428638,A000000,01800,0000,1800NURSING FACILITY 428638,A000000,01810,0000,1810ICF/MR 428638,A000000,01900,0000,1900OTHER LONG TERM CARE 428638,A000000,02100,0000,2100RADIOLOGY 428638,A000000,02200,0000,2200LABORATORY 428638,A000000,02300,0000,2300INTRAVENOUS THERAPY 428638,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428638,A000000,02500,0000,2500PHYSICAL THERAPY 428638,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428638,A000000,02700,0000,2700SPEECH PATHOLOGY 428638,A000000,02800,0000,2800ELECTROCARDIOLOGY 428638,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428638,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428638,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428638,A000000,03200,0000,3200SUPPORT SURFACES 428638,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428638,A000000,03400,0000,3400CLINIC 428638,A000000,03500,0000,3500RURAL HEALTH CLINIC 428638,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428638,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428638,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428638,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428638,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428638,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428638,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428638,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428638,A000000,04400,0000,4400DME RENTED - HHA 428638,A000000,04500,0000,4500DME SOLD - HHA 428638,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428638,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428638,A000000,04710,0000,4710TELEMEDICINE 428638,A000000,04800,0000,4800AMBULANCE 428638,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428638,A000000,05000,0000,5000CORF 428638,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428638,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428638,A000000,05300,0000,5300INTEREST EXPENSE 428638,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428638,A000000,05500,0000,5500HOSPICE 428638,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428638,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428638,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428638,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428638,A000000,06100,0000,6100NONPAID WORKERS 428638,A000000,06200,0000,6200PATIENTS LAUNDRY 428638,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428638,A81000A,00100,0100,Y 428638,A81000B,00100,0300,MANAGEMENT FEE 428638,A81000B,00200,0300,RENT EXPENSE 428638,A81000C,00100,0100,A 428638,A81000C,00100,0200,MARTIN SBRIGLIO 428638,A81000C,00100,0600,RYDERS HEALTH MANAGEMENT 428638,A81000C,00200,0100,A 428638,A81000C,00200,0200,ROBERT SBRIGLIO 428638,A81000C,00200,0600,RYDERS HEALTH MANAGEMENT 428638,A81000C,00300,0100,A 428638,A81000C,00300,0200,KEN KOPCHIK 428638,A81000C,00300,0400,MYSTIC REALTY 428638,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428638,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428638,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428638,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428638,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428638,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428638,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428638,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428638,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428638,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428638,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428638,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428638,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 428638,G300000,02501,0000,INTEREST INCOME 428638,G300000,02502,0000,MEDICARE PRIOR PERIOD RATE ADJUSTME 428638,S000000,00100,0200,02/29/12 428638,S200000,00100,0100,475 HIGH STREET 428638,S200000,00200,0100,MYSTIC 428638,S200000,00200,0200,CT 428638,S200000,00200,0300,06355 428638,S200000,00300,0100,NEW LONDON 428638,S200000,00300,0201,35980 428638,S200000,00300,0300,U 428638,S200000,00400,0100,MYSTIC MANOR INC. 428638,S200000,00400,0200,075271 428638,S200000,00400,0300,08/01/76 428638,S200000,00400,0500,P 428638,S200000,01500,0100,Y 428638,S200000,01502,0200,Y 428638,S200000,01504,0200,Y 428638,S200000,01600,0100,N 428638,S200000,01700,0100,N 428638,S200000,01800,0100,N 428638,S200000,02200,0100,N 428638,S200000,02800,0100,N 428638,S200000,02900,0100,N 428638,S200000,03000,0100,N 428638,S200000,03100,0100,N 428638,S200000,03200,0100,N 428638,S200000,03300,0100,N 428638,S200000,03300,0200,N 428638,S200000,04100,0100,N 428638,S200000,04200,0100,N 428638,S200000,04300,0100,N 428638,S200000,04600,0100,N 428638,S200000,04700,0100,N 428638,S200000,04700,0200,N 428638,S200000,04900,0100,N 428638,S200000,05000,0100,N 428638,S200000,05100,0100,N 428638,S200000,05200,0100,N 428638,S200000,05300,0100,Y 428638,S200000,05300,0200,071115 428638,S200000,05400,0100,RYDERS HEALTH MANAGEMENT 428638,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 428638,S200000,05400,0300,13101 428638,S200000,05500,0100,88 RYDERS LANDING 428638,S200000,05600,0100,STRATFORD 428638,S200000,05600,0200,CT 428638,S200000,05600,0300,06614 428648,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428648,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428648,A000000,00300,0000,0300EMPLOYEE BENEFITS 428648,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428648,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428648,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428648,A000000,00700,0000,0700HOUSEKEEPING 428648,A000000,00800,0000,0800DIETARY 428648,A000000,00900,0000,0900NURSING ADMINISTRATION 428648,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428648,A000000,01100,0000,1100PHARMACY 428648,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428648,A000000,01300,0000,1300SOCIAL SERVICE 428648,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428648,A000000,01500,0000,1350RECREATION 428648,A000000,01600,0000,1600SKILLED NURSING FACILITY 428648,A000000,01810,0000,1810ICF/MR 428648,A000000,02100,0000,2100RADIOLOGY 428648,A000000,02200,0000,2200LABORATORY 428648,A000000,02300,0000,2300INTRAVENOUS THERAPY 428648,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428648,A000000,02500,0000,2500PHYSICAL THERAPY 428648,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428648,A000000,02700,0000,2700SPEECH PATHOLOGY 428648,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428648,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428648,A000000,03550,0000,3550FQHC 428648,A000000,05000,0000,5000CORF 428648,A000000,05010,0000,5010CMHC 428648,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428648,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428648,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428648,A000000,06300,0000,6150RESIDENTIAL 428648,A81000A,00100,0100,Y 428648,A81000B,00100,0300,SEE ATTACHED 428648,A81000B,00200,0300,HOME OFFICE INTEREST 428648,A81000B,00300,0300,HOME OFFICE ADMIN 428648,A81000B,00400,0300,HOME OFFICE CAPITAL 428648,A81000C,00100,0100,B 428648,A81000C,00100,0400,SEE ATTACHED 428648,A81000C,00100,0600,VARIOUS 428648,A81000C,00200,0100,B 428648,A81000C,00200,0400,GHC 428648,A81000C,00200,0600,LONG TERM CARE 428648,A81000C,00300,0100,B 428648,A81000C,00300,0400,GHC 428648,A81000C,00300,0600,LONG TERM CARE 428648,A81000C,00400,0100,B 428648,A81000C,00400,0400,GHC 428648,A81000C,00400,0600,LONG TERM CARE 428648,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428648,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428648,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428648,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428648,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428648,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428648,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428648,B100000,00000,0800,0800MEALS SERVED :DIETARY 428648,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428648,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428648,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428648,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428648,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428648,G300000,02500,0000,ASSISTED LIVING 428648,S000000,00100,0200,02/27/12 428648,S200000,00100,0100,117 BENNOCH ROAD 428648,S200000,00200,0100,ORONO 428648,S200000,00200,0200,ME 428648,S200000,00200,0300,04473-3620 428648,S200000,00300,0100,PENOBSCOT 428648,S200000,00300,0201,12620 428648,S200000,00300,0300,U 428648,S200000,00400,0100,ORONO COMMONS 428648,S200000,00400,0200,205031 428648,S200000,00400,0300,03/01/74 428648,S200000,00400,0500,P 428648,S200000,01500,0100,Y 428648,S200000,01501,0200,N 428648,S200000,01502,0200,N 428648,S200000,01503,0200,Y 428648,S200000,01504,0200,Y 428648,S200000,01600,0100,N 428648,S200000,01700,0100,N 428648,S200000,01800,0100,N 428648,S200000,01900,0100,LLC 428648,S200000,02200,0100,Y 428648,S200000,02800,0100,N 428648,S200000,02900,0100,N 428648,S200000,03000,0100,N 428648,S200000,03100,0100,N 428648,S200000,03200,0100,N 428648,S200000,03300,0100,N 428648,S200000,03300,0200,N 428648,S200000,04100,0100,N 428648,S200000,04200,0100,N 428648,S200000,04300,0100,N 428648,S200000,04600,0100,N 428648,S200000,04700,0100,N 428648,S200000,04700,0200,N 428648,S200000,04900,0100,N 428648,S200000,05000,0100,N 428648,S200000,05100,0100,N 428648,S200000,05200,0100,N 428648,S200000,05300,0100,Y 428648,S200000,05300,0200,HB0067 428648,S200000,05400,0100,GENESIS HEALTHCARE LLC 428648,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428648,S200000,05400,0300,12001 428648,S200000,05500,0100,101 EAST STATE STREET 428648,S200000,05600,0100,KENNETT SQUARE 428648,S200000,05600,0200,PA 428648,S200000,05600,0300,19348 428649,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428649,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428649,A000000,00300,0000,0300EMPLOYEE BENEFITS 428649,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428649,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428649,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428649,A000000,00700,0000,0700HOUSEKEEPING 428649,A000000,00800,0000,0800DIETARY 428649,A000000,00900,0000,0900NURSING ADMINISTRATION 428649,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428649,A000000,01100,0000,1100PHARMACY 428649,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428649,A000000,01300,0000,1300SOCIAL SERVICE 428649,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428649,A000000,01500,0000,1350RECREATION 428649,A000000,01600,0000,1600SKILLED NURSING FACILITY 428649,A000000,01810,0000,1810ICF/MR 428649,A000000,02100,0000,2100RADIOLOGY 428649,A000000,02200,0000,2200LABORATORY 428649,A000000,02300,0000,2300INTRAVENOUS THERAPY 428649,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428649,A000000,02500,0000,2500PHYSICAL THERAPY 428649,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428649,A000000,02700,0000,2700SPEECH PATHOLOGY 428649,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428649,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428649,A000000,03550,0000,3550FQHC 428649,A000000,05000,0000,5000CORF 428649,A000000,05010,0000,5010CMHC 428649,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428649,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428649,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428649,A81000A,00100,0100,Y 428649,A81000B,00100,0300,SEE ATTACHED 428649,A81000B,00200,0300,HOME OFFICE INTEREST 428649,A81000B,00300,0300,HOME OFFICE ADMIN 428649,A81000B,00400,0300,HOME OFFICE CAPITAL 428649,A81000C,00100,0100,B 428649,A81000C,00100,0400,SEE ATTACHED 428649,A81000C,00100,0600,VARIOUS 428649,A81000C,00200,0100,B 428649,A81000C,00200,0400,GHC 428649,A81000C,00200,0600,LONG TERM CARE 428649,A81000C,00300,0100,B 428649,A81000C,00300,0400,GHC 428649,A81000C,00300,0600,LONG TERM CARE 428649,A81000C,00400,0100,B 428649,A81000C,00400,0400,GHC 428649,A81000C,00400,0600,LONG TERM CARE 428649,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428649,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428649,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428649,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428649,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428649,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428649,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428649,B100000,00000,0800,0800MEALS SERVED :DIETARY 428649,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428649,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428649,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428649,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428649,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428649,S000000,00100,0200,02/27/12 428649,S200000,00100,0100,23 CEDAR RIDGE DRIVE 428649,S200000,00200,0100,SKOWHEGAN 428649,S200000,00200,0200,ME 428649,S200000,00200,0300,04976-4160 428649,S200000,00300,0100,SOMERSET 428649,S200000,00300,0201,99920 428649,S200000,00300,0300,R 428649,S200000,00400,0100,CEDAR RIDGE CENTER 428649,S200000,00400,0200,205060 428649,S200000,00400,0300,08/08/89 428649,S200000,00400,0500,P 428649,S200000,01500,0100,Y 428649,S200000,01501,0200,N 428649,S200000,01502,0200,N 428649,S200000,01503,0200,N 428649,S200000,01504,0200,N 428649,S200000,01600,0100,N 428649,S200000,01700,0100,N 428649,S200000,01800,0100,N 428649,S200000,01900,0100,LLC 428649,S200000,02200,0100,Y 428649,S200000,02800,0100,N 428649,S200000,02900,0100,N 428649,S200000,03000,0100,N 428649,S200000,03100,0100,N 428649,S200000,03200,0100,N 428649,S200000,03300,0100,N 428649,S200000,03300,0200,N 428649,S200000,04100,0100,N 428649,S200000,04200,0100,N 428649,S200000,04300,0100,N 428649,S200000,04600,0100,N 428649,S200000,04700,0100,N 428649,S200000,04700,0200,N 428649,S200000,04900,0100,N 428649,S200000,05000,0100,N 428649,S200000,05100,0100,N 428649,S200000,05200,0100,N 428649,S200000,05300,0100,Y 428649,S200000,05300,0200,HB0067 428649,S200000,05400,0100,GENESIS HEALTHCARE LLC 428649,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428649,S200000,05400,0300,12001 428649,S200000,05500,0100,101 EAST STATE STREET 428649,S200000,05600,0100,KENNETT SQUARE 428649,S200000,05600,0200,PA 428649,S200000,05600,0300,19348 428650,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428650,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428650,A000000,00300,0000,0300EMPLOYEE BENEFITS 428650,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428650,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428650,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428650,A000000,00700,0000,0700HOUSEKEEPING 428650,A000000,00800,0000,0800DIETARY 428650,A000000,00900,0000,0900NURSING ADMINISTRATION 428650,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428650,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428650,A000000,01300,0000,1300SOCIAL SERVICE 428650,A000000,01500,0000,1350RECREATION 428650,A000000,01600,0000,1600SKILLED NURSING FACILITY 428650,A000000,01810,0000,1810ICF/MR 428650,A000000,02100,0000,2100RADIOLOGY 428650,A000000,02300,0000,2300INTRAVENOUS THERAPY 428650,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428650,A000000,02500,0000,2500PHYSICAL THERAPY 428650,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428650,A000000,02700,0000,2700SPEECH PATHOLOGY 428650,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428650,A000000,03550,0000,3550FQHC 428650,A000000,05000,0000,5000CORF 428650,A000000,05010,0000,5010CMHC 428650,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428650,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428650,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428650,A000000,06300,0000,6150RESIDENTIAL 428650,A81000A,00100,0100,Y 428650,A81000B,00100,0300,AS ATTACHED 428650,A81000B,00200,0300,HOME OFFICE-INTEREST 428650,A81000B,00300,0300,HOME OFFICE A&G 428650,A81000B,00400,0300,HOME OFFICE-CAP 428650,A81000C,00100,0100,B 428650,A81000C,00100,0400,AS ATTACHED 428650,A81000C,00100,0600,VARIOUS 428650,A81000C,00200,0100,B 428650,A81000C,00200,0400,GHC 428650,A81000C,00200,0600,LONG TERM CARE 428650,A81000C,00300,0100,B 428650,A81000C,00300,0400,GHC 428650,A81000C,00300,0600,LONG TERM CARE 428650,A81000C,00400,0100,B 428650,A81000C,00400,0400,GHC 428650,A81000C,00400,0600,LONG TERM CARE 428650,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428650,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428650,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428650,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428650,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428650,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428650,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428650,B100000,00000,0800,0800MEALS SERVED :DIETARY 428650,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428650,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428650,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428650,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428650,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428650,G300000,02500,0000, INTEREST INCOME 428650,G300000,02501,0000, ASSISTED LIVING 428650,S000000,00100,0200,02/27/12 428650,S200000,00100,0100,300 SPRING STREET 428650,S200000,00200,0100,WESTBROOK 428650,S200000,00200,0200,ME 428650,S200000,00200,0300,04092-3915 428650,S200000,00300,0100,CUMBERLAND 428650,S200000,00300,0201,38860 428650,S200000,00300,0300,U 428650,S200000,00400,0100,SPRINGBROOK CENTER 428650,S200000,00400,0200,205068 428650,S200000,00400,0300,07/15/91 428650,S200000,00400,0500,P 428650,S200000,01500,0100,Y 428650,S200000,01501,0200,N 428650,S200000,01502,0200,N 428650,S200000,01503,0200,Y 428650,S200000,01504,0200,Y 428650,S200000,01600,0100,N 428650,S200000,01700,0100,N 428650,S200000,01800,0100,N 428650,S200000,01900,0100,LLC 428650,S200000,02200,0100,Y 428650,S200000,02800,0100,N 428650,S200000,02900,0100,N 428650,S200000,03000,0100,N 428650,S200000,03100,0100,N 428650,S200000,03200,0100,N 428650,S200000,03300,0100,N 428650,S200000,03300,0200,N 428650,S200000,04100,0100,N 428650,S200000,04200,0100,N 428650,S200000,04300,0100,N 428650,S200000,04600,0100,N 428650,S200000,04700,0100,N 428650,S200000,04700,0200,N 428650,S200000,04900,0100,N 428650,S200000,05000,0100,N 428650,S200000,05100,0100,N 428650,S200000,05200,0100,N 428650,S200000,05300,0100,Y 428650,S200000,05300,0200,HB0067 428650,S200000,05400,0100,GENESIS HEALTHCARE LLC 428650,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428650,S200000,05400,0300,12001 428650,S200000,05500,0100,101 EAST STATE STREET 428650,S200000,05600,0100,KENNETT SQUARE 428650,S200000,05600,0200,PA 428650,S200000,05600,0300,19348 428654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428654,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428654,A000000,00300,0000,0300EMPLOYEE BENEFITS 428654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428654,A000000,00700,0000,0700HOUSEKEEPING 428654,A000000,00800,0000,0800DIETARY 428654,A000000,00900,0000,0900NURSING ADMINISTRATION 428654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428654,A000000,01100,0000,1100PHARMACY 428654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428654,A000000,01300,0000,1300SOCIAL SERVICE 428654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428654,A000000,01500,0000,1350OTHER GENERAL SERVICES 428654,A000000,01600,0000,1600SKILLED NURSING FACILITY 428654,A000000,01800,0000,1800NURSING FACILITY 428654,A000000,01810,0000,1810ICF/MR 428654,A000000,01900,0000,1900OTHER LONG TERM CARE 428654,A000000,02100,0000,2100RADIOLOGY 428654,A000000,02200,0000,2200LABORATORY 428654,A000000,02300,0000,2300INTRAVENOUS THERAPY 428654,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428654,A000000,02500,0000,2500PHYSICAL THERAPY 428654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428654,A000000,02700,0000,2700SPEECH PATHOLOGY 428654,A000000,02800,0000,2800ELECTROCARDIOLOGY 428654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428654,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428654,A000000,03200,0000,3200SUPPORT SURFACES 428654,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428654,A000000,03400,0000,3400CLINIC 428654,A000000,03500,0000,3500RURAL HEALTH CLINIC 428654,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428654,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428654,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428654,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428654,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428654,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428654,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428654,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428654,A000000,04400,0000,4400DME RENTED - HHA 428654,A000000,04500,0000,4500DME SOLD - HHA 428654,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428654,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428654,A000000,04710,0000,4710TELEMEDICINE 428654,A000000,04800,0000,4800AMBULANCE 428654,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428654,A000000,05000,0000,5000CORF 428654,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428654,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428654,A000000,05300,0000,5300INTEREST EXPENSE 428654,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428654,A000000,05500,0000,5500HOSPICE 428654,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428654,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428654,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428654,A000000,06100,0000,6100NONPAID WORKERS 428654,A000000,06200,0000,6200PATIENTS LAUNDRY 428654,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428654,A81000A,00100,0100,N 428654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428654,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428654,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428654,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428654,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428654,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428654,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428654,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428654,G300000,02500,0000,MISCELLANEOUS 428654,S000000,00100,0200,03/08/12 428654,S200000,00100,0100,250 - 5TH STREET 428654,S200000,00200,0100,KEYSTONE 428654,S200000,00200,0200,IA 428654,S200000,00200,0300,52449 428654,S200000,00300,0100,BENTON 428654,S200000,00300,0200,1656 428654,S200000,00300,0201,16300 428654,S200000,00300,0300,U 428654,S200000,00400,0100,KEYSTONE NURSING CARE CENTER 428654,S200000,00400,0200,165604 428654,S200000,00400,0300,07/01/11 428654,S200000,00400,0500,P 428654,S200000,01500,0100,Y 428654,S200000,01501,0200,Y 428654,S200000,01502,0200,Y 428654,S200000,01503,0200,Y 428654,S200000,01504,0200,Y 428654,S200000,01600,0100,N 428654,S200000,01700,0100,N 428654,S200000,01800,0100,N 428654,S200000,02200,0100,N 428654,S200000,02800,0100,N 428654,S200000,02900,0100,N 428654,S200000,03000,0100,N 428654,S200000,03100,0100,N 428654,S200000,03200,0100,N 428654,S200000,03300,0100,N 428654,S200000,03300,0200,N 428654,S200000,04100,0100,N 428654,S200000,04200,0100,N 428654,S200000,04300,0100,N 428654,S200000,04600,0100,N 428654,S200000,04700,0100,N 428654,S200000,04700,0200,N 428654,S200000,04900,0100,N 428654,S200000,05000,0100,N 428654,S200000,05100,0100,N 428654,S200000,05200,0100,N 428654,S200000,05300,0100,N 428683,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428683,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428683,A000000,00300,0000,0300EMPLOYEE BENEFITS 428683,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428683,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428683,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428683,A000000,00700,0000,0700HOUSEKEEPING 428683,A000000,00800,0000,0800DIETARY 428683,A000000,00900,0000,0900NURSING ADMINISTRATION 428683,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428683,A000000,01100,0000,1100PHARMACY 428683,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428683,A000000,01300,0000,1300SOCIAL SERVICE 428683,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428683,A000000,01500,0000,1350OTHER GENERAL SERVICES 428683,A000000,01600,0000,1600SKILLED NURSING FACILITY 428683,A000000,01800,0000,1800NURSING FACILITY 428683,A000000,01810,0000,1810ICF/MR 428683,A000000,01900,0000,1900OTHER LONG TERM CARE 428683,A000000,02100,0000,2100RADIOLOGY 428683,A000000,02200,0000,2200LABORATORY 428683,A000000,02300,0000,2300INTRAVENOUS THERAPY 428683,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428683,A000000,02500,0000,2500PHYSICAL THERAPY 428683,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428683,A000000,02700,0000,2700SPEECH PATHOLOGY 428683,A000000,02800,0000,2800ELECTROCARDIOLOGY 428683,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428683,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428683,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428683,A000000,03200,0000,3200SUPPORT SURFACES 428683,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428683,A000000,03400,0000,3400CLINIC 428683,A000000,03500,0000,3500RURAL HEALTH CLINIC 428683,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428683,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428683,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428683,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428683,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428683,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428683,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428683,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428683,A000000,04400,0000,4400DME RENTED - HHA 428683,A000000,04500,0000,4500DME SOLD - HHA 428683,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428683,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428683,A000000,04800,0000,4800AMBULANCE 428683,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428683,A000000,05000,0000,5000CORF 428683,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428683,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428683,A000000,05300,0000,5300INTEREST EXPENSE 428683,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428683,A000000,05500,0000,5500HOSPICE 428683,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428683,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428683,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428683,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428683,A000000,06100,0000,6100NONPAID WORKERS 428683,A000000,06200,0000,6200PATIENTS LAUNDRY 428683,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428683,A81000A,00100,0100,Y 428683,A81000B,00100,0300,CAP REL COSTS - BLDGS & FURN POOLED 428683,A81000B,00200,0300,CAP REL COSTS - MOVEABLE EQU POOLED 428683,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED 428683,A81000C,00100,0100,B 428683,A81000C,00100,0200,MEDICALODGES INC 428683,A81000C,00100,0600,HEALTHCARE 428683,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428683,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428683,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428683,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428683,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428683,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428683,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428683,B100000,00000,0800,0800MEALS SERVED :DIETARY 428683,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428683,E10A180,00301,0100,10/31/11 428683,G300000,02500,0000,INTEREST INCOME 428683,G300000,02501,0000,FINANCE CHARGE 428683,G300000,02502,0000,PROCESSING FEES 428683,G300000,02505,0000,MCARE BAD DEBT RECOVERY 428683,G300000,02506,0000,MCAID INCOME 428683,G300000,02507,0000,STATE REDUCTION 428683,S000000,00100,0200,04/03/12 428683,S200000,00100,0100,1503 WEST OHIO STREET 428683,S200000,00200,0100,LEAVENWORTH 428683,S200000,00200,0200,KS 428683,S200000,00200,0300,66048-2932 428683,S200000,00300,0100,LEAVENWORTH 428683,S200000,00300,0200,3760 428683,S200000,00300,0201,28140 428683,S200000,00300,0300,U 428683,S200000,00400,0100,MEDICALODGE OF LEAVENWORTH 428683,S200000,00400,0200,175162 428683,S200000,00400,0300,04/20/93 428683,S200000,00400,0500,P 428683,S200000,01500,0100,Y 428683,S200000,01501,0200,N 428683,S200000,01600,0100,N 428683,S200000,01700,0100,N 428683,S200000,01800,0100,N 428683,S200000,02200,0100,N 428683,S200000,02800,0100,Y 428683,S200000,02900,0100,N 428683,S200000,03000,0100,N 428683,S200000,03100,0100,N 428683,S200000,03200,0100,N 428683,S200000,03300,0100,N 428683,S200000,03300,0200,N 428683,S200000,04100,0100,N 428683,S200000,04200,0100,N 428683,S200000,04300,0100,N 428683,S200000,04600,0100,N 428683,S200000,04700,0100,N 428683,S200000,04700,0200,N 428683,S200000,04900,0100,N 428683,S200000,05000,0100,N 428683,S200000,05100,0100,N 428683,S200000,05200,0100,N 428683,S200000,05300,0100,Y 428683,S200000,05300,0200,H08004 428683,S200000,05400,0100,MEDICALODGES INC 428683,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 428683,S200000,05400,0300,05201 428683,S200000,05500,0200,POBOX 509 428683,S200000,05600,0100,COFFEYVILLE 428683,S200000,05600,0200,KS 428683,S200000,05600,0300,67337 428690,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428690,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428690,A000000,00300,0000,0300EMPLOYEE BENEFITS 428690,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428690,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428690,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428690,A000000,00700,0000,0700HOUSEKEEPING 428690,A000000,00800,0000,0800DIETARY 428690,A000000,00900,0000,0900NURSING ADMINISTRATION 428690,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428690,A000000,01100,0000,1100PHARMACY 428690,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428690,A000000,01300,0000,1300SOCIAL SERVICE 428690,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428690,A000000,01600,0000,1600SKILLED NURSING FACILITY 428690,A000000,01810,0000,1810ICF/MR 428690,A000000,01900,0000,1900OTHER LONG TERM CARE 428690,A000000,02100,0000,2100RADIOLOGY 428690,A000000,02200,0000,2200LABORATORY 428690,A000000,02500,0000,2500PHYSICAL THERAPY 428690,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428690,A000000,02700,0000,2700SPEECH PATHOLOGY 428690,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428690,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428690,A000000,03550,0000,3550FQHC 428690,A000000,05000,0000,5000CORF 428690,A000000,05010,0000,5010CMHC 428690,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428690,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428690,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428690,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428690,A81000A,00100,0100,N 428690,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428690,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428690,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428690,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428690,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428690,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428690,B100000,00000,0800,0800MEALS SERVED :DIETARY 428690,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428690,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428690,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428690,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428690,G300000,02500,0000,BEAUTY SHOP NET INCOME 428690,G300000,02501,0000,MISCELLANEOUS INCOME 428690,S000000,00100,0200,03/01/12 428690,S200000,00100,0100,703 N. MAIN 428690,S200000,00200,0100,MADISON 428690,S200000,00200,0200,NE 428690,S200000,00200,0300,68748 428690,S200000,00300,0100,MADISON 428690,S200000,00300,0201,28 428690,S200000,00300,0300,R 428690,S200000,00400,0100,COUNTRYSIDE HOME 428690,S200000,00400,0200,285207 428690,S200000,00400,0300,04/01/97 428690,S200000,00400,0500,P 428690,S200000,01500,0100,Y 428690,S200000,01501,0200,Y 428690,S200000,01502,0200,Y 428690,S200000,01504,0200,Y 428690,S200000,01600,0100,N 428690,S200000,01700,0100,N 428690,S200000,01800,0100,N 428690,S200000,02200,0100,N 428690,S200000,02800,0100,N 428690,S200000,02900,0100,N 428690,S200000,03000,0100,N 428690,S200000,03100,0100,N 428690,S200000,03200,0100,N 428690,S200000,03300,0100,N 428690,S200000,03300,0200,N 428690,S200000,04100,0100,N 428690,S200000,04200,0100,N 428690,S200000,04300,0100,N 428690,S200000,04600,0100,N 428690,S200000,04700,0100,N 428690,S200000,04700,0200,N 428690,S200000,04900,0100,N 428690,S200000,05000,0100,N 428690,S200000,05100,0100,N 428690,S200000,05200,0100,N 428690,S200000,05300,0100,N 428695,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428695,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428695,A000000,00300,0000,0300EMPLOYEE BENEFITS 428695,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428695,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428695,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428695,A000000,00700,0000,0700HOUSEKEEPING 428695,A000000,00800,0000,0800DIETARY 428695,A000000,00900,0000,0900NURSING ADMINISTRATION 428695,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428695,A000000,01100,0000,1100PHARMACY 428695,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428695,A000000,01300,0000,1300SOCIAL SERVICE 428695,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428695,A000000,01600,0000,1600SKILLED NURSING FACILITY 428695,A000000,01800,0000,1800NURSING FACILITY 428695,A000000,01900,0000,1900OTHER LONG TERM CARE 428695,A000000,02100,0000,2100RADIOLOGY 428695,A000000,02200,0000,2200LABORATORY 428695,A000000,02300,0000,2300INTRAVENOUS THERAPY 428695,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428695,A000000,02500,0000,2500PHYSICAL THERAPY 428695,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428695,A000000,02700,0000,2700SPEECH PATHOLOGY 428695,A000000,02800,0000,2800ELECTROCARDIOLOGY 428695,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428695,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428695,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428695,A000000,03200,0000,3200SUPPORT SURFACES 428695,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428695,A000000,03400,0000,3400CLINIC 428695,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428695,A000000,04800,0000,4800AMBULANCE 428695,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428695,A000000,05000,0000,5000CORF 428695,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428695,A000000,05300,0000,5300INTEREST EXPENSE 428695,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428695,A000000,05500,0000,5500HOSPICE 428695,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428695,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428695,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428695,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428695,A000000,06100,0000,6100NONPAID WORKERS 428695,A000000,06200,0000,6200PATIENTS LAUNDRY 428695,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428695,A81000A,00100,0100,Y 428695,A81000B,00100,0300,NURSING CONSULTING 428695,A81000B,00200,0300,DIETARY CONSULTING 428695,A81000B,00300,0300,HOME OFFICE 428695,A81000B,00400,0300,INTEREST EXPENSE 428695,A81000B,00500,0300,WORKERS COMP EXPENSE 428695,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 428695,A81000B,00700,0300,MAINTENANCE SUPPLIES 428695,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 428695,A81000B,00900,0300,REPAIRS - EQUIPMENT 428695,A81000B,01000,0300,LINEN & BEDDING 428695,A81000B,01100,0300,LAUNDRY SUPPLIES 428695,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 428695,A81000B,01300,0300,DIETARY SUPPLEMENTS 428695,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 428695,A81000B,01500,0300,DIETARY SUPPLIES 428695,A81000B,01600,0300,BIO-MEDICAL WASTE 428695,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 428695,A81000B,01800,0300,PERSONAL CARE SUPPLIES 428695,A81000B,01900,0300,INCONTINENCE SUPPLIES 428695,A81000B,02000,0300,MEDICAL SUPPLIES 428695,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 428695,A81000B,02200,0300,PT SUPPLIES 428695,A81000B,02300,0300,OT SUPPLIES 428695,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 428695,A81000B,02500,0300,NON-LEGEND DRUGS 428695,A81000B,02600,0300,PHARMACY CONSULTANT 428695,A81000B,02700,0300,MED REC SUPPLIES 428695,A81000B,02800,0300,LEGENED DRUGS 428695,A81000B,02900,0300,OFFICE SUPPLIES 428695,A81000C,00100,0100,B 428695,A81000C,00100,0400,BRITTHAVEN INC 428695,A81000C,00100,0600,MGMT SERVICES 428695,A81000C,00200,0100,B 428695,A81000C,00200,0400,BRITTHAVEN INC 428695,A81000C,00200,0600,MGMT SERVICES 428695,A81000C,00300,0100,B 428695,A81000C,00300,0400,BRITTHAVEN INC 428695,A81000C,00300,0600,MGMT SERVICES 428695,A81000C,00400,0100,B 428695,A81000C,00400,0400,BRITTHAVEN INC 428695,A81000C,00400,0600,MGMT SERVICES 428695,A81000C,00500,0100,A 428695,A81000C,00500,0200,DISCOVERY INSUR 428695,A81000C,00500,0600,INSURANCE 428695,A81000C,00600,0100,A 428695,A81000C,00600,0200,QUEENSLAND ASSU 428695,A81000C,00600,0600,INSURANCE 428695,A81000C,00700,0100,B 428695,A81000C,00700,0400,KARE MEDICAL 428695,A81000C,00700,0600,WHOLESALE SUPPL 428695,A81000C,00800,0100,B 428695,A81000C,00800,0400,KARE MEDICAL 428695,A81000C,00800,0600,WHOLESALE SUPPL 428695,A81000C,00900,0100,B 428695,A81000C,00900,0400,KARE MEDICAL 428695,A81000C,00900,0600,WHOLESALE SUPPL 428695,A81000C,01000,0100,B 428695,A81000C,01000,0400,KARE MEDICAL 428695,A81000C,01000,0600,WHOLESALE SUPPL 428695,A81000C,01001,0100,B 428695,A81000C,01001,0400,KARE MEDICAL 428695,A81000C,01001,0600,WHOLESALE SUPPL 428695,A81000C,01002,0100,B 428695,A81000C,01002,0400,KARE MEDICAL 428695,A81000C,01002,0600,WHOLESALE SUPPL 428695,A81000C,01003,0100,B 428695,A81000C,01003,0400,KARE MEDICAL 428695,A81000C,01003,0600,WHOLESALE SUPPL 428695,A81000C,01004,0100,B 428695,A81000C,01004,0400,KARE MEDICAL 428695,A81000C,01004,0600,WHOLESALE SUPPL 428695,A81000C,01005,0100,B 428695,A81000C,01005,0400,KARE MEDICAL 428695,A81000C,01005,0600,WHOLESALE SUPPL 428695,A81000C,01006,0100,B 428695,A81000C,01006,0400,KARE MEDICAL 428695,A81000C,01006,0600,WHOLESALE SUPPL 428695,A81000C,01007,0100,B 428695,A81000C,01007,0400,KARE MEDICAL 428695,A81000C,01007,0600,WHOLESALE SUPPL 428695,A81000C,01008,0100,B 428695,A81000C,01008,0400,KARE MEDICAL 428695,A81000C,01008,0600,WHOLESALE SUPPL 428695,A81000C,01009,0100,B 428695,A81000C,01009,0400,KARE MEDICAL 428695,A81000C,01009,0600,WHOLESALE SUPPL 428695,A81000C,01010,0100,B 428695,A81000C,01010,0400,KARE MEDICAL 428695,A81000C,01010,0600,WHOLESALE SUPPL 428695,A81000C,01011,0100,B 428695,A81000C,01011,0400,KARE MEDICAL 428695,A81000C,01011,0600,WHOLESALE SUPPL 428695,A81000C,01012,0100,B 428695,A81000C,01012,0400,KARE MEDICAL 428695,A81000C,01012,0600,WHOLESALE SUPPL 428695,A81000C,01013,0100,B 428695,A81000C,01013,0400,KARE MEDICAL 428695,A81000C,01013,0600,WHOLESALE SUPPL 428695,A81000C,01014,0100,B 428695,A81000C,01014,0400,KARE MEDICAL 428695,A81000C,01014,0600,WHOLESALE SUPPL 428695,A81000C,01015,0100,B 428695,A81000C,01015,0400,PHARMSAVE 428695,A81000C,01015,0600,RX SUPPLY 428695,A81000C,01016,0100,B 428695,A81000C,01016,0400,PHARMSAVE 428695,A81000C,01016,0600,RX SUPPLY 428695,A81000C,01017,0100,B 428695,A81000C,01017,0400,PHARMSAVE 428695,A81000C,01017,0600,RX SUPPLY 428695,A81000C,01018,0100,B 428695,A81000C,01018,0400,PHARMSAVE 428695,A81000C,01018,0600,RX SUPPLY 428695,A81000C,01019,0100,B 428695,A81000C,01019,0400,ROBERT HILL CON 428695,A81000C,01019,0600,CONSTRUCTION 428695,A81000C,01020,0100,B 428695,A81000C,01020,0400,ROBERT HILL CON 428695,A81000C,01020,0600,CONSTRUCTION 428695,A81000C,01021,0100,B 428695,A81000C,01021,0400,ROBERT HILL CON 428695,A81000C,01021,0600,CONSTRUCTION 428695,A81000C,01022,0100,B 428695,A81000C,01022,0400,ROBERT HILL CON 428695,A81000C,01022,0600,CONSTRUCTION 428695,A81000C,01023,0100,B 428695,A81000C,01023,0400,ROBERT HILL CON 428695,A81000C,01023,0600,CONSTRUCTION 428695,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428695,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428695,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428695,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428695,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428695,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428695,B100000,00000,0800,0800MEALS SERVED :DIETARY 428695,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428695,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428695,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428695,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428695,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428695,G300000,02500,0000, OTHER (SPECIFY) 428695,S000000,00100,0200,08/11/11 428695,S200000,00100,0100,317 RHODES AVENUE 428695,S200000,00200,0100,KINSTON 428695,S200000,00200,0200,NC 428695,S200000,00200,0300,28501 428695,S200000,00300,0100,LENIOR 428695,S200000,00300,0201,99934 428695,S200000,00300,0300,R 428695,S200000,00400,0100,BRITTHAVEN OF KINSTON 428695,S200000,00400,0200,345156 428695,S200000,00400,0300,10/01/83 428695,S200000,00400,0500,P 428695,S200000,01500,0100,Y 428695,S200000,01501,0200,Y 428695,S200000,01502,0200,Y 428695,S200000,01503,0200,Y 428695,S200000,01504,0200,Y 428695,S200000,01505,0000,OTHER (SPECIFY) 428695,S200000,01505,0200,Y 428695,S200000,01600,0100,N 428695,S200000,01700,0100,N 428695,S200000,01800,0100,N 428695,S200000,02200,0100,N 428695,S200000,02800,0100,N 428695,S200000,02900,0100,N 428695,S200000,03000,0100,N 428695,S200000,03100,0100,Y 428695,S200000,03200,0100,N 428695,S200000,03300,0100,N 428695,S200000,03300,0200,N 428695,S200000,04100,0100,N 428695,S200000,04200,0100,N 428695,S200000,04300,0100,N 428695,S200000,04600,0100,N 428695,S200000,04700,0100,N 428695,S200000,04700,0200,N 428695,S200000,04900,0100,N 428695,S200000,05000,0100,N 428695,S200000,05100,0100,N 428695,S200000,05200,0100,N 428695,S200000,05300,0100,Y 428695,S200000,05300,0200,349011 428695,S200000,05400,0100,BRITTHAVEN INC. 428695,S200000,05400,0200,PALMETTO GBA 428695,S200000,05400,0300,11501 428695,S200000,05500,0100,1435 HWY 258 NORTH 428695,S200000,05500,0200,P.O. BOX 428695,S200000,05600,0100,KINSTON 428695,S200000,05600,0200,NC 428695,S200000,05600,0300,28502 428700,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428700,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428700,A000000,00300,0000,0300EMPLOYEE BENEFITS 428700,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428700,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428700,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428700,A000000,00700,0000,0700HOUSEKEEPING 428700,A000000,00800,0000,0800DIETARY 428700,A000000,00900,0000,0900NURSING ADMINISTRATION 428700,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428700,A000000,01100,0000,1100PHARMACY 428700,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428700,A000000,01300,0000,1300SOCIAL SERVICE 428700,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428700,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428700,A000000,01600,0000,1600SKILLED NURSING FACILITY 428700,A000000,01800,0000,1800NURSING FACILITY 428700,A000000,01810,0000,1810ICF/MR 428700,A000000,01900,0000,1900OTHER LONG TERM CARE 428700,A000000,02100,0000,2100RADIOLOGY 428700,A000000,02200,0000,2200LABORATORY 428700,A000000,02300,0000,2300INTRAVENOUS THERAPY 428700,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428700,A000000,02500,0000,2500PHYSICAL THERAPY 428700,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428700,A000000,02700,0000,2700SPEECH PATHOLOGY 428700,A000000,02800,0000,2800ELECTROCARDIOLOGY 428700,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428700,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428700,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428700,A000000,03200,0000,3200SUPPORT SURFACES 428700,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428700,A000000,03400,0000,3400CLINIC 428700,A000000,03500,0000,3500RURAL HEALTH CLINIC 428700,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428700,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428700,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428700,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428700,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428700,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428700,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428700,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428700,A000000,04400,0000,4400DME RENTED - HHA 428700,A000000,04500,0000,4500DME SOLD - HHA 428700,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428700,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428700,A000000,04710,0000,4710TELEMEDICINE 428700,A000000,04800,0000,4800AMBULANCE 428700,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428700,A000000,05000,0000,5000CORF 428700,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428700,A000000,05300,0000,5300INTEREST EXPENSE 428700,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428700,A000000,05500,0000,5500HOSPICE 428700,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428700,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428700,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428700,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428700,A000000,06100,0000,6100NONPAID WORKERS 428700,A000000,06200,0000,6200PATIENTS LAUNDRY 428700,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428700,A81000A,00100,0100,Y 428700,A81000B,00100,0300,ADMINISTRATION FEE 428700,A81000B,00200,0300,CAPITAL PORTION HOME OFFICE 428700,A81000C,00100,0100,B 428700,A81000C,00100,0400,SMP LONG TERM C 428700,A81000C,00100,0600,6 428700,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428700,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428700,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428700,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428700,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428700,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428700,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428700,B100000,00000,0800,0800MEALS SERVED :DIETARY 428700,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428700,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428700,E10A180,00550,0100,03/22/12 428700,E10A180,00550,0300,03/22/12 428700,G300000,02500,0000, NON LTC; BEAUTY SHOP; MISC. 428700,S000000,00100,0200,02/28/12 428700,S200000,00100,0100,501 19TH STREET NE 428700,S200000,00200,0100,JAMESTOWN 428700,S200000,00200,0200,ND 428700,S200000,00200,0300,58401 428700,S200000,00300,0100,STUTSMAN 428700,S200000,00300,0201,99935 428700,S200000,00300,0300,R 428700,S200000,00400,0100,AVE MARIA VILLAGE 428700,S200000,00400,0200,355082 428700,S200000,00400,0300,10/01/78 428700,S200000,00400,0500,P 428700,S200000,01500,0100,Y 428700,S200000,01501,0200,Y 428700,S200000,01502,0200,Y 428700,S200000,01503,0200,Y 428700,S200000,01504,0200,Y 428700,S200000,01600,0100,N 428700,S200000,01700,0100,N 428700,S200000,01800,0100,N 428700,S200000,02200,0100,N 428700,S200000,02800,0100,N 428700,S200000,02900,0100,N 428700,S200000,03000,0100,N 428700,S200000,03100,0100,N 428700,S200000,03200,0100,N 428700,S200000,03300,0100,N 428700,S200000,03300,0200,N 428700,S200000,04100,0100,N 428700,S200000,04200,0100,N 428700,S200000,04300,0100,N 428700,S200000,04600,0100,N 428700,S200000,04700,0100,N 428700,S200000,04700,0200,N 428700,S200000,04900,0100,N 428700,S200000,05000,0100,N 428700,S200000,05100,0100,N 428700,S200000,05200,0100,N 428700,S200000,05300,0100,Y 428700,S200000,05300,0200,35H002 428700,S200000,05400,0100,SMP-LTC 428700,S200000,05400,0200,NORIDIAN 428700,S200000,05400,0300,03101 428700,S200000,05500,0100,1202 PAGE DRIVE SW 428700,S200000,05600,0100,FARGO 428700,S200000,05600,0200,ND 428700,S200000,05600,0300,58106 428701,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428701,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428701,A000000,00300,0000,0300EMPLOYEE BENEFITS 428701,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428701,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428701,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428701,A000000,00700,0000,0700HOUSEKEEPING 428701,A000000,00800,0000,0800DIETARY 428701,A000000,00900,0000,0900NURSING ADMINISTRATION 428701,A000000,01300,0000,1300SOCIAL SERVICE 428701,A000000,01600,0000,1600SKILLED NURSING FACILITY 428701,A000000,02100,0000,2100RADIOLOGY 428701,A000000,02200,0000,2200LABORATORY 428701,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428701,A000000,02500,0000,2500PHYSICAL THERAPY 428701,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428701,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428701,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428701,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428701,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428701,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428701,A000000,05300,0000,5300INTEREST EXPENSE 428701,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428701,A000000,05500,0000,5500HOSPICE 428701,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428701,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428701,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428701,A000000,06200,0000,6200PATIENTS LAUNDRY 428701,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428701,A81000A,00100,0100,Y 428701,A81000B,00100,0300,MANAGEMENT FEES 428701,A81000C,00100,0100,B 428701,A81000C,00100,0200,SHEYNNE CROSSINGS 428701,A81000C,00100,0400,EVENTIDE 428701,A81000C,00100,0600,ELDERLY CARE 428701,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428701,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428701,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428701,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428701,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428701,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 428701,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428701,B100000,00000,0800,0800MEALS SERVED :DIETARY 428701,B100000,00000,0900,0950DAYS :NURSING ADMINISTRATION 428701,B100000,00000,1300,1330DAYS :SOCIAL SERVICE 428701,G300000,02500,0000,OTHER REVENUE 428701,S000000,00100,0200,02/27/12 428701,S200000,00100,0100,125 13TH AVE W 428701,S200000,00200,0100,WEST FARGO 428701,S200000,00200,0200,ND 428701,S200000,00200,0300,58078 428701,S200000,00300,0100,CASS 428701,S200000,00300,0200,0024 428701,S200000,00300,0201,22020 428701,S200000,00300,0300,U 428701,S200000,00400,0100,EVENTIDE SHEYENNE CROSSINGS CARE CTR 428701,S200000,00400,0200,355124 428701,S200000,00400,0300,03/25/10 428701,S200000,00400,0500,P 428701,S200000,01500,0100,Y 428701,S200000,01501,0200,Y 428701,S200000,01600,0100,N 428701,S200000,01700,0100,N 428701,S200000,01800,0100,N 428701,S200000,02200,0100,N 428701,S200000,02800,0100,N 428701,S200000,02900,0100,N 428701,S200000,03000,0100,N 428701,S200000,03100,0100,N 428701,S200000,03200,0100,N 428701,S200000,03300,0100,N 428701,S200000,03300,0200,N 428701,S200000,04100,0100,N 428701,S200000,04200,0100,N 428701,S200000,04300,0100,N 428701,S200000,04600,0100,N 428701,S200000,04700,0100,N 428701,S200000,04700,0200,N 428701,S200000,04900,0100,N 428701,S200000,05000,0100,N 428701,S200000,05100,0100,N 428701,S200000,05200,0100,N 428701,S200000,05300,0100,Y 428701,S200000,05300,0200,245461 428701,S200000,05400,0100,EVENTIDE 428701,S200000,05400,0200,NORIDIAN 428701,S200000,05400,0300,00320 428701,S200000,05500,0100,2405 8TH ST S STE A 428701,S200000,05600,0100,MOORHEAD 428701,S200000,05600,0200,MN 428701,S200000,05600,0300,56560 428702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428702,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428702,A000000,00300,0000,0300EMPLOYEE BENEFITS 428702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428702,A000000,00700,0000,0700HOUSEKEEPING 428702,A000000,00800,0000,0800DIETARY 428702,A000000,00900,0000,0900NURSING ADMINISTRATION 428702,A000000,01600,0000,1600SKILLED NURSING FACILITY 428702,A000000,02100,0000,2100RADIOLOGY 428702,A000000,02200,0000,2200LABORATORY 428702,A000000,02500,0000,2500PHYSICAL THERAPY 428702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428702,A000000,02700,0000,2700SPEECH PATHOLOGY 428702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428702,A000000,05300,0000,5300INTEREST EXPENSE 428702,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428702,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428702,A000000,06300,0000,6150HERITAGE VILLAGE 428702,A000000,06301,0000,6151ASSISTED LIVING CENTER 428702,A000000,06302,0000,6152MEALS ON WHEELS 428702,A81000A,00100,0100,N 428702,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428702,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428702,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428702,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428702,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428702,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428702,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428702,B100000,00000,0800,0800MEALS SERVED :DIETARY 428702,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428702,E10A180,00550,0300,03/22/12 428702,G300000,02500,0000,HERITAGE VILLAGE APTS 428702,G300000,02501,0000,BUS TRANSPORTATION INCOME 428702,G300000,02502,0000,MULTI-PURPOSE ROOM INCOME 428702,G300000,02503,0000,CHANGE IN INVESTMENT IN FOUNDATION 428702,G300000,02504,0000,MISC INCOME 428702,G300000,02505,0000,MEALS ON WHEELS 428702,S000000,00100,0200,03/02/12 428702,S200000,00100,0100,515 OHIO STREET 428702,S200000,00200,0100,WAKONDA 428702,S200000,00200,0200,SD 428702,S200000,00200,0300,57073 428702,S200000,00300,0100,CLAY 428702,S200000,00300,0200,43 428702,S200000,00300,0201,99943 428702,S200000,00300,0300,R 428702,S200000,00400,0100,WAKONDA HERITAGE MANOR 428702,S200000,00400,0200,435094 428702,S200000,00400,0300,02/01/96 428702,S200000,00400,0500,P 428702,S200000,01500,0100,Y 428702,S200000,01501,0200,N 428702,S200000,01502,0200,N 428702,S200000,01503,0200,Y 428702,S200000,01504,0200,Y 428702,S200000,01600,0100,N 428702,S200000,01700,0100,N 428702,S200000,01800,0100,N 428702,S200000,02200,0100,N 428702,S200000,02800,0100,N 428702,S200000,02900,0100,N 428702,S200000,03000,0100,N 428702,S200000,03100,0100,N 428702,S200000,03200,0100,N 428702,S200000,03300,0100,N 428702,S200000,03300,0200,N 428702,S200000,04100,0100,N 428702,S200000,04200,0100,N 428702,S200000,04300,0100,N 428702,S200000,04600,0100,N 428702,S200000,04700,0100,N 428702,S200000,04700,0200,N 428702,S200000,04900,0100,N 428702,S200000,05000,0100,N 428702,S200000,05100,0100,N 428702,S200000,05200,0100,N 428717,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428717,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428717,A000000,00300,0000,0300EMPLOYEE BENEFITS 428717,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428717,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428717,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428717,A000000,00700,0000,0700HOUSEKEEPING 428717,A000000,00800,0000,0800DIETARY 428717,A000000,00900,0000,0900NURSING ADMINISTRATION 428717,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428717,A000000,01100,0000,1100PHARMACY 428717,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428717,A000000,01300,0000,1300SOCIAL SERVICE 428717,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428717,A000000,01500,0000,1350ACTIVITIES 428717,A000000,01600,0000,1600SKILLED NURSING FACILITY 428717,A000000,01810,0000,1810ICF/MR 428717,A000000,02100,0000,2100RADIOLOGY 428717,A000000,02200,0000,2200LABORATORY 428717,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428717,A000000,02500,0000,2500PHYSICAL THERAPY 428717,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428717,A000000,02700,0000,2700SPEECH PATHOLOGY 428717,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428717,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428717,A000000,03550,0000,3550FQHC 428717,A000000,04800,0000,4800AMBULANCE 428717,A000000,05000,0000,5000CORF 428717,A000000,05010,0000,5010CMHC 428717,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428717,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428717,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428717,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428717,A000000,06300,0000,6150NON-REIMBURSABLE 428717,A81000A,00100,0100,Y 428717,A81000B,00100,0300,HO A&G 428717,A81000B,00200,0300,HO BLDG 428717,A81000B,00300,0300,HO INTEREST 428717,A81000B,00400,0300,PT 428717,A81000B,00500,0300,OT 428717,A81000B,00600,0300,ST 428717,A81000B,00700,0300,DIETARY 428717,A81000B,00800,0300,SKILLED NRSG 428717,A81000B,00900,0300,RT 428717,A81000B,01000,0300,MED SUPPLIES 428717,A81000B,01100,0300,ADMINISTRATIVE 428717,A81000C,00100,0100,B 428717,A81000C,00100,0200,GENESIS HEALTH 428717,A81000C,00100,0600,MANAGEMENT COMP 428717,A81000C,00200,0100,B 428717,A81000C,00200,0200,GENESIS HEALTH 428717,A81000C,00200,0600,MANAGEMENT COMP 428717,A81000C,00300,0100,B 428717,A81000C,00300,0200,GENESIS HEALTH 428717,A81000C,00300,0600,MANAGEMENT COMP 428717,A81000C,00400,0100,B 428717,A81000C,00400,0200,GENESIS REHAB 428717,A81000C,00400,0400,GENESIS HEALTH 428717,A81000C,00400,0600,REHAB SERVICES 428717,A81000C,00500,0100,B 428717,A81000C,00500,0200,GENESIS REHAB 428717,A81000C,00500,0400,GENESIS HEALTH 428717,A81000C,00500,0600,REHAB SERVICES 428717,A81000C,00600,0100,B 428717,A81000C,00600,0200,GENESIS REHAB 428717,A81000C,00600,0400,GENESIS HEALTH 428717,A81000C,00600,0600,REHAB SERVICES 428717,A81000C,00700,0100,B 428717,A81000C,00700,0200,GENESIS HOSPTIA 428717,A81000C,00700,0400,GENESIS HEALTH 428717,A81000C,00700,0600,CONSULTING SERV 428717,A81000C,00800,0100,B 428717,A81000C,00800,0200,RESPIRATORY HEA 428717,A81000C,00800,0400,GENESIS HEALTH 428717,A81000C,00800,0600,RESPIRATORY THE 428717,A81000C,00900,0100,B 428717,A81000C,00900,0200,RESPIRATORY HEA 428717,A81000C,00900,0400,GENESIS HEALTH 428717,A81000C,00900,0600,RESPIRATORY THE 428717,A81000C,01000,0100,B 428717,A81000C,01000,0200,RESPIRATORY HEA 428717,A81000C,01000,0400,GENESIS HEALTH 428717,A81000C,01000,0600,RESPIRATORY THE 428717,A81000C,01001,0100,B 428717,A81000C,01001,0200,GENESIS PHYSICI 428717,A81000C,01001,0400,GENESIS HEALTH 428717,A81000C,01001,0600,MEDICAL DIRECTO 428717,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428717,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428717,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428717,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428717,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428717,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428717,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428717,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428717,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428717,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428717,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428717,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428717,E10A180,00550,0100,12/09/11 428717,G300000,02500,0000,MISCELLANEOUS INCOME 428717,S000000,00100,0200,12/09/11 428717,S200000,00100,0100,ROUTE 92 BOX H 428717,S200000,00200,0100,WHITE SULPHUR SPRINGS 428717,S200000,00200,0200,WV 428717,S200000,00200,0300,24986 428717,S200000,00300,0100,GREENBRIAR 428717,S200000,00300,0201,99951 428717,S200000,00300,0300,R 428717,S200000,00400,0100,WHITE SULPHUR SPRINGS CENTER 428717,S200000,00400,0200,515100 428717,S200000,00400,0300,06/09/89 428717,S200000,00400,0500,P 428717,S200000,01500,0100,Y 428717,S200000,01502,0200,N 428717,S200000,01503,0200,N 428717,S200000,01504,0200,N 428717,S200000,01505,0000,DON BONUS 428717,S200000,01505,0200,Y 428717,S200000,01600,0100,N 428717,S200000,01700,0100,N 428717,S200000,01800,0100,N 428717,S200000,02200,0100,Y 428717,S200000,02800,0100,N 428717,S200000,02900,0100,N 428717,S200000,03000,0100,N 428717,S200000,03100,0100,N 428717,S200000,03200,0100,N 428717,S200000,03300,0100,N 428717,S200000,03300,0200,N 428717,S200000,04100,0100,N 428717,S200000,04200,0100,N 428717,S200000,04300,0100,N 428717,S200000,04600,0100,N 428717,S200000,04700,0100,N 428717,S200000,04700,0200,N 428717,S200000,04900,0100,N 428717,S200000,05000,0100,N 428717,S200000,05100,0100,N 428717,S200000,05200,0100,N 428717,S200000,05300,0100,Y 428717,S200000,05300,0200,HB0067 428717,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428717,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428717,S200000,05400,0300,12001 428717,S200000,05500,0100,101 EAST STATE STREET 428717,S200000,05600,0100,KENNETT SQUARE 428717,S200000,05600,0200,PA 428717,S200000,05600,0300,19348 428719,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428719,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428719,A000000,00300,0000,0300EMPLOYEE BENEFITS 428719,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428719,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428719,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428719,A000000,00700,0000,0700HOUSEKEEPING 428719,A000000,00800,0000,0800DIETARY 428719,A000000,00900,0000,0900NURSING ADMINISTRATION 428719,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428719,A000000,01100,0000,1100PHARMACY 428719,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428719,A000000,01300,0000,1300SOCIAL SERVICE 428719,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428719,A000000,01500,0000,1350ACTIVITIES 428719,A000000,01600,0000,1600SKILLED NURSING FACILITY 428719,A000000,01810,0000,1810ICF/MR 428719,A000000,02100,0000,2100RADIOLOGY 428719,A000000,02200,0000,2200LABORATORY 428719,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428719,A000000,02500,0000,2500PHYSICAL THERAPY 428719,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428719,A000000,02700,0000,2700SPEECH PATHOLOGY 428719,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428719,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428719,A000000,03550,0000,3550FQHC 428719,A000000,04800,0000,4800AMBULANCE 428719,A000000,05000,0000,5000CORF 428719,A000000,05010,0000,5010CMHC 428719,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428719,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428719,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428719,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428719,A000000,06300,0000,6150NON-REIMBURSABLE 428719,A81000A,00100,0100,Y 428719,A81000B,00100,0300,HO A&G 428719,A81000B,00200,0300,HO BLDG 428719,A81000B,00300,0300,HO INTERST 428719,A81000B,00400,0300,BLDG 428719,A81000B,00500,0300,EQUIPMENT 428719,A81000B,00600,0300,PT 428719,A81000B,00700,0300,OT 428719,A81000B,00800,0300,ST 428719,A81000B,00900,0300,DIETARY 428719,A81000B,01000,0300,SKILLED NRSG 428719,A81000B,01100,0300,RT 428719,A81000B,01200,0300,MED SUPPLIES 428719,A81000B,01300,0300,ADMINISTRATIVE 428719,A81000C,00100,0100,B 428719,A81000C,00100,0200,GENESIS HEALTH 428719,A81000C,00100,0600,MANAGEMENT COMP 428719,A81000C,00200,0100,B 428719,A81000C,00200,0200,GENESIS HEALTH 428719,A81000C,00200,0600,MANAGEMENT COMP 428719,A81000C,00300,0100,B 428719,A81000C,00300,0200,GENESIS HEALTH 428719,A81000C,00300,0600,MANAGEMENT COMP 428719,A81000C,00400,0100,B 428719,A81000C,00400,0200,CAREHAVEN ASSOC 428719,A81000C,00400,0400,GENESIS HEALTH 428719,A81000C,00400,0600,PROPERTY HOLDER 428719,A81000C,00500,0100,B 428719,A81000C,00500,0200,CAREHAVEN ASSOC 428719,A81000C,00500,0400,GENESIS HEALTH 428719,A81000C,00500,0600,PROPERTY HOLDER 428719,A81000C,00600,0100,B 428719,A81000C,00600,0200,GENESIS REHAB 428719,A81000C,00600,0400,GENESIS HEALTH 428719,A81000C,00600,0600,REHAB SERVICES 428719,A81000C,00700,0100,B 428719,A81000C,00700,0200,GENESIS REHAB 428719,A81000C,00700,0400,GENESIS HEALTH 428719,A81000C,00700,0600,REHAB SERVICES 428719,A81000C,00800,0100,B 428719,A81000C,00800,0200,GENESIS REHAB 428719,A81000C,00800,0400,GENESIS HEALTH 428719,A81000C,00800,0600,REHAB SERVICES 428719,A81000C,00900,0100,B 428719,A81000C,00900,0200,GENESIS HOSPITA 428719,A81000C,00900,0400,GENESIS HEALTH 428719,A81000C,00900,0600,CONSULTING SERV 428719,A81000C,01000,0100,B 428719,A81000C,01000,0200,RESPIRATORY HEA 428719,A81000C,01000,0400,GENESIS HEALTH 428719,A81000C,01000,0600,RESPIRATORY THE 428719,A81000C,01001,0100,B 428719,A81000C,01001,0200,RESPIRATORY HEA 428719,A81000C,01001,0400,GENESIS HEALTH 428719,A81000C,01001,0600,RESPIRATORY THE 428719,A81000C,01002,0100,B 428719,A81000C,01002,0200,RESPIRATORY HEA 428719,A81000C,01002,0400,GENESIS HEALTH 428719,A81000C,01002,0600,RESPIRATORY THE 428719,A81000C,01003,0100,B 428719,A81000C,01003,0200,GENESIS PHYSICI 428719,A81000C,01003,0400,GENESIS HEALTH 428719,A81000C,01003,0600,MEDICAL DIRECTO 428719,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428719,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428719,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428719,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428719,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428719,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428719,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428719,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428719,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428719,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428719,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428719,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428719,E10A180,00550,0100,09/27/11 428719,G300000,02500,0000,MISCELLANEOUS INCOME 428719,S000000,00100,0200,09/27/11 428719,S200000,00100,0100,201 WOOD STREET 428719,S200000,00200,0100,SISTERSVILLE 428719,S200000,00200,0200,WV 428719,S200000,00200,0300,26175 428719,S200000,00300,0100,TYLER 428719,S200000,00300,0201,99951 428719,S200000,00300,0300,R 428719,S200000,00400,0100,SISTERSVILLE CENTER 428719,S200000,00400,0200,515131 428719,S200000,00400,0300,08/31/94 428719,S200000,00400,0500,P 428719,S200000,01500,0100,Y 428719,S200000,01501,0200,Y 428719,S200000,01502,0200,N 428719,S200000,01504,0200,N 428719,S200000,01505,0000,DON BONUS 428719,S200000,01505,0200,Y 428719,S200000,01600,0100,N 428719,S200000,01700,0100,N 428719,S200000,01800,0100,N 428719,S200000,02200,0100,Y 428719,S200000,02800,0100,N 428719,S200000,02900,0100,N 428719,S200000,03000,0100,N 428719,S200000,03100,0100,N 428719,S200000,03200,0100,N 428719,S200000,03300,0100,N 428719,S200000,03300,0200,N 428719,S200000,04100,0100,N 428719,S200000,04200,0100,N 428719,S200000,04300,0100,N 428719,S200000,04600,0100,N 428719,S200000,04700,0100,N 428719,S200000,04700,0200,N 428719,S200000,04900,0100,N 428719,S200000,05000,0100,N 428719,S200000,05100,0100,N 428719,S200000,05200,0100,N 428719,S200000,05300,0100,Y 428719,S200000,05300,0200,HB0067 428719,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428719,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428719,S200000,05400,0300,12001 428719,S200000,05500,0100,101 EAST STATE STREET 428719,S200000,05600,0100,KENNETT SQUARE 428719,S200000,05600,0200,PA 428719,S200000,05600,0300,19348 428727,S000000,00100,0200,02/29/12 428727,S200000,00100,0100,227 MCKINLEY AVE 428727,S200000,00200,0100,EVELETH 428727,S200000,00200,0200,MN 428727,S200000,00200,0300,55734-1606 428727,S200000,00300,0100,ST LOUIS 428727,S200000,00400,0100,EVELETH HEALTH SERVICES PARK 428727,S200000,00400,0300,05/15/67 428728,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428728,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428728,A000000,00300,0000,0300EMPLOYEE BENEFITS 428728,A000000,00401,0000,0401NONPATIENT PHONES 428728,A000000,00403,0000,0403PURCHASING AND RECEIVING 428728,A000000,00405,0000,0405ADMITTING 428728,A000000,00406,0000,0406ADMINISTRATIVE & GENERAL 428728,A000000,00407,0000,0407ADMINISTRATIVE & GENERAL 428728,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428728,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428728,A000000,00700,0000,0700HOUSEKEEPING 428728,A000000,00800,0000,0800DIETARY 428728,A000000,00900,0000,0900NURSING ADMINISTRATION 428728,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428728,A000000,01300,0000,1300SOCIAL SERVICE 428728,A000000,01600,0000,1600SKILLED NURSING FACILITY 428728,A000000,02100,0000,2100RADIOLOGY 428728,A000000,02200,0000,2200LABORATORY 428728,A000000,02300,0000,2300INTRAVENOUS THERAPY 428728,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428728,A000000,02500,0000,2500PHYSICAL THERAPY 428728,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428728,A000000,02700,0000,2700SPEECH PATHOLOGY 428728,A000000,02800,0000,2800ELECTROCARDIOLOGY 428728,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428728,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428728,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428728,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428728,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428728,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428728,A000000,06100,0000,6100NONPAID WORKERS 428728,A000000,06200,0000,6200PATIENTS LAUNDRY 428728,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428728,A81000A,00100,0100,Y 428728,A81000B,00100,0300,BLDG DEPREC 428728,A81000B,00200,0300,MME DEPREC 428728,A81000B,00300,0300,BENEFITS 428728,A81000B,00400,0300,NONPATIENT PHONES 428728,A81000B,00500,0300,PURCHASING 428728,A81000B,00600,0300,ADMITTING 428728,A81000B,00700,0300,BUSINESS OFFICE 428728,A81000B,00800,0300,A&G 428728,A81000B,00900,0300,PLANT 428728,A81000B,01000,0300,LAUNDRY 428728,A81000B,01100,0300,HOUSEKEEPING 428728,A81000B,01200,0300,DIETARY 428728,A81000B,01300,0300,MED RECORDS 428728,A81000B,01400,0300,RADIOLOGY 428728,A81000B,01500,0300,LABORATORY 428728,A81000B,01600,0300,RESPIRATORY THERAPY COSTS 428728,A81000B,01700,0300,PHYSICAL THERAPY COSTS 428728,A81000B,01800,0300,OCCUPATIONAL THERAPY COSTS 428728,A81000B,01900,0300,SPEECH THERAPY COSTS 428728,A81000B,02000,0300,DRUGS COSTS 428728,A81000C,00100,0100,B 428728,A81000C,00100,0200,WINONA HOSPITAL 428728,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428728,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 428728,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428728,B100000,00000,0401,0401NON PATIENT PH :NONPATIENT PHONE 428728,B100000,00000,0403,0403SUPPLIES EXPENSE :PURCHASING AN 428728,B100000,00000,0405,0405ADMITS :ADMITTING 428728,B100000,00000,0406,0406REVENUE :ADMINISTRATIVE & GENE 428728,B100000,00000,0407,0407 ACCUM. COST :ADMINISTRATIVE & G 428728,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428728,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428728,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428728,B100000,00000,0800,0800MEALS SERVED :DIETARY 428728,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428728,G300000,02500,0000,OTHER REVENUE 428728,G300000,02501,0000,INCOME FROM INVESTMENTS 428728,G300000,02502,0000,HOME HEALTH/HOSPICE/AL REVENUE 428728,S000000,00100,0200,02/28/12 428728,S200000,00100,0100,855 MANKATO AVE 428728,S200000,00200,0100,WINONA 428728,S200000,00200,0200,MN 428728,S200000,00200,0300,55987-0600 428728,S200000,00300,0100,WINONA 428728,S200000,00300,0200,24 428728,S200000,00300,0201,99924 428728,S200000,00300,0300,R 428728,S200000,00400,0100,WINONA SENIOR SERVICES INC. SNF 428728,S200000,00400,0200,245240 428728,S200000,00400,0300,07/01/99 428728,S200000,00400,0500,P 428728,S200000,01500,0100,Y 428728,S200000,01501,0200,Y 428728,S200000,01502,0200,Y 428728,S200000,01504,0200,Y 428728,S200000,01600,0100,N 428728,S200000,01700,0100,N 428728,S200000,01800,0100,N 428728,S200000,02200,0100,N 428728,S200000,02800,0100,N 428728,S200000,02900,0100,N 428728,S200000,03000,0100,N 428728,S200000,03100,0100,N 428728,S200000,03200,0100,N 428728,S200000,03300,0100,N 428728,S200000,03300,0200,N 428728,S200000,04100,0100,N 428728,S200000,04200,0100,N 428728,S200000,04300,0100,N 428728,S200000,04600,0100,N 428728,S200000,04700,0100,N 428728,S200000,04700,0200,N 428728,S200000,04900,0100,N 428728,S200000,05000,0100,N 428728,S200000,05100,0100,N 428728,S200000,05200,0100,N 428728,S200000,05300,0100,Y 428728,S200000,05300,0200,240044 428728,S200000,05400,0100,WINONA HEALTH 428728,S200000,05400,0200,NORIDIAN 428728,S200000,05400,0300,00320 428728,S200000,05500,0100,855 MANKATO AVE 428728,S200000,05500,0200,5600 428728,S200000,05600,0100,WINONA 428728,S200000,05600,0200,MN 428728,S200000,05600,0300,55987 428729,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428729,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428729,A000000,00300,0000,0300EMPLOYEE BENEFITS 428729,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428729,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428729,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428729,A000000,00700,0000,0700HOUSEKEEPING 428729,A000000,00800,0000,0800DIETARY 428729,A000000,00900,0000,0900NURSING ADMINISTRATION 428729,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428729,A000000,01100,0000,1100PHARMACY 428729,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428729,A000000,01300,0000,1300SOCIAL SERVICE 428729,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428729,A000000,01500,0000,1350OTHER GENERAL SERVICES 428729,A000000,01600,0000,1600SKILLED NURSING FACILITY 428729,A000000,01800,0000,1800NURSING FACILITY 428729,A000000,01810,0000,1810ICF/MR 428729,A000000,01900,0000,1900OTHER LONG TERM CARE 428729,A000000,02100,0000,2100RADIOLOGY 428729,A000000,02200,0000,2200LABORATORY 428729,A000000,02300,0000,2300INTRAVENOUS THERAPY 428729,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428729,A000000,02500,0000,2500PHYSICAL THERAPY 428729,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428729,A000000,02700,0000,2700SPEECH PATHOLOGY 428729,A000000,02800,0000,2800ELECTROCARDIOLOGY 428729,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428729,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428729,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428729,A000000,03200,0000,3200SUPPORT SURFACES 428729,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428729,A000000,03400,0000,3400CLINIC 428729,A000000,03500,0000,3500RURAL HEALTH CLINIC 428729,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428729,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428729,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428729,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428729,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428729,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428729,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428729,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428729,A000000,04400,0000,4400DME RENTED - HHA 428729,A000000,04500,0000,4500DME SOLD - HHA 428729,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428729,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428729,A000000,04710,0000,4710TELEMEDICINE 428729,A000000,04800,0000,4800AMBULANCE 428729,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428729,A000000,05000,0000,5000CORF 428729,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428729,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428729,A000000,05300,0000,5300INTEREST EXPENSE 428729,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428729,A000000,05500,0000,5500HOSPICE 428729,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428729,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428729,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428729,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428729,A000000,06100,0000,6100NONPAID WORKERS 428729,A000000,06200,0000,6200PATIENTS LAUNDRY 428729,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428729,A81000A,00100,0100,N 428729,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428729,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428729,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428729,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428729,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428729,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428729,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428729,B100000,00000,0800,0800MEALS SERVED :DIETARY 428729,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428729,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428729,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428729,E10A180,00301,0100,10/01/11 428729,G300000,02500,0000,CARING PARTNERS REVENUE 428729,G300000,02501,0000,AL REVENUE 428729,G300000,02502,0000,MAPLEWOOD RESIDENCE CONTRACT 428729,G300000,02503,0000,LAKEWOOD FOUNDATION CONTRACT 428729,G300000,02504,0000,AL MANAGEMENT FEES 428729,G300000,02505,0000,GAIN ON ASSET DISPOSAL 428729,S000000,00100,0200,02/29/12 428729,S200000,00100,0100,610 SUMMIT AVENUE 428729,S200000,00200,0100,FAIRMONT 428729,S200000,00200,0200,MN 428729,S200000,00200,0300,56031 428729,S200000,00300,0100,MARTIN 428729,S200000,00300,0200,24 428729,S200000,00300,0201,99924 428729,S200000,00300,0300,R 428729,S200000,00400,0100,LAKEVIEW METHODIST 428729,S200000,00400,0200,245280 428729,S200000,00400,0300,06/01/85 428729,S200000,00400,0500,P 428729,S200000,01500,0100,Y 428729,S200000,01501,0200,Y 428729,S200000,01600,0100,N 428729,S200000,01700,0100,N 428729,S200000,01800,0100,N 428729,S200000,02200,0100,N 428729,S200000,02800,0100,N 428729,S200000,02900,0100,N 428729,S200000,03000,0100,N 428729,S200000,03100,0100,N 428729,S200000,03200,0100,N 428729,S200000,03300,0100,N 428729,S200000,03300,0200,N 428729,S200000,04100,0100,N 428729,S200000,04200,0100,N 428729,S200000,04300,0100,N 428729,S200000,04600,0100,N 428729,S200000,04700,0100,N 428729,S200000,04700,0200,N 428729,S200000,04900,0100,N 428729,S200000,05000,0100,N 428729,S200000,05100,0100,N 428729,S200000,05200,0100,N 428729,S200000,05300,0100,N 428730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428730,A000000,00300,0000,0300EMPLOYEE BENEFITS 428730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428730,A000000,00700,0000,0700HOUSEKEEPING 428730,A000000,00800,0000,0800DIETARY 428730,A000000,00900,0000,0900NURSING ADMINISTRATION 428730,A000000,01300,0000,1300SOCIAL SERVICE 428730,A000000,01600,0000,1600SKILLED NURSING FACILITY 428730,A000000,01800,0000,1800NURSING FACILITY 428730,A000000,01810,0000,1810ICF/MR 428730,A000000,01900,0000,1900OTHER LONG TERM CARE 428730,A000000,02100,0000,2100RADIOLOGY 428730,A000000,02200,0000,2200LABORATORY 428730,A000000,02300,0000,2300INTRAVENOUS THERAPY 428730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428730,A000000,02500,0000,2500PHYSICAL THERAPY 428730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428730,A000000,02700,0000,2700SPEECH PATHOLOGY 428730,A000000,02800,0000,2800ELECTROCARDIOLOGY 428730,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428730,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428730,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428730,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428730,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428730,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428730,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428730,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428730,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428730,A000000,04400,0000,4400DME RENTED - HHA 428730,A000000,04500,0000,4500DME SOLD - HHA 428730,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428730,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428730,A000000,04710,0000,4710TELEMEDICINE 428730,A000000,04800,0000,4800AMBULANCE 428730,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428730,A000000,05000,0000,5000CORF 428730,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428730,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428730,A000000,05300,0000,5300INTEREST EXPENSE 428730,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428730,A000000,05500,0000,5500HOSPICE 428730,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428730,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428730,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428730,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428730,A000000,06100,0000,6100NONPAID WORKERS 428730,A000000,06200,0000,6200PATIENTS LAUNDRY 428730,A000000,06300,0000,6150ADULT DAY HEALTH 428730,A000000,06301,0000,6151MEALS ON WHEELS 428730,A81000A,00100,0100,N 428730,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428730,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428730,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428730,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428730,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428730,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428730,B100000,00000,0800,0800MEALS SERVED :DIETARY 428730,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428730,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428730,G300000,02500,0000,OTHER - SEE GROUPINGS 428730,S000000,00100,0200,03/01/12 428730,S200000,00100,0100,312 1ST STREET NE 428730,S200000,00200,0100,NEW RICHLAND 428730,S200000,00200,0200,MN 428730,S200000,00200,0300,56072 428730,S200000,00300,0100,WASECA 428730,S200000,00300,0200,24 428730,S200000,00300,0201,99924 428730,S200000,00300,0300,R 428730,S200000,00400,0100,NEW RICHLAND CARE CENTER 428730,S200000,00400,0200,245316 428730,S200000,00400,0300,06/01/86 428730,S200000,00400,0500,P 428730,S200000,00400,0600,P 428730,S200000,01500,0100,Y 428730,S200000,01501,0200,Y 428730,S200000,01504,0200,Y 428730,S200000,01600,0100,N 428730,S200000,01700,0100,N 428730,S200000,01800,0100,N 428730,S200000,02200,0100,N 428730,S200000,02800,0100,Y 428730,S200000,02900,0100,N 428730,S200000,03000,0100,N 428730,S200000,03100,0100,N 428730,S200000,03200,0100,N 428730,S200000,03300,0100,N 428730,S200000,03300,0200,N 428730,S200000,04100,0100,N 428730,S200000,04200,0100,N 428730,S200000,04300,0100,N 428730,S200000,04600,0100,N 428730,S200000,04700,0100,N 428730,S200000,04700,0200,N 428730,S200000,04900,0100,N 428730,S200000,05000,0100,N 428730,S200000,05100,0100,N 428730,S200000,05200,0100,N 428730,S200000,05300,0100,N 428732,S000000,00100,0200,02/21/12 428732,S200000,00100,0100,200 9TH AVE E 428732,S200000,00200,0100,LAMERTON 428732,S200000,00200,0200,MN 428732,S200000,00200,0300,56152-1024 428732,S200000,00300,0100,REDWOOD 428732,S200000,00400,0100,VALLEY VIEW MANOR 428732,S200000,00400,0300,01/01/87 428733,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428733,A000000,00300,0000,0300EMPLOYEE BENEFITS 428733,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428733,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428733,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428733,A000000,00700,0000,0700HOUSEKEEPING 428733,A000000,00800,0000,0800DIETARY 428733,A000000,00900,0000,0900NURSING ADMINISTRATION 428733,A000000,01100,0000,1100PHARMACY 428733,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428733,A000000,01300,0000,1300SOCIAL SERVICE 428733,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428733,A000000,01500,0000,1350ACTIVITIES 428733,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428733,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428733,A000000,01600,0000,1600SKILLED NURSING FACILITY 428733,A000000,01800,0000,1800NURSING FACILITY 428733,A000000,01810,0000,1810ICF/MR 428733,A000000,01900,0000,1900OTHER LONG TERM CARE 428733,A000000,02100,0000,2100RADIOLOGY 428733,A000000,02200,0000,2200LABORATORY 428733,A000000,02300,0000,2300INTRAVENOUS THERAPY 428733,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428733,A000000,02500,0000,2500PHYSICAL THERAPY 428733,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428733,A000000,02700,0000,2700SPEECH PATHOLOGY 428733,A000000,02800,0000,2800ELECTROCARDIOLOGY 428733,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428733,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428733,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428733,A000000,03200,0000,3200SUPPORT SURFACES 428733,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428733,A000000,03301,0000,3051AIR FLUID THERAPY 428733,A000000,03302,0000,3052AMBULANCE 428733,A000000,03303,0000,3053PEN THERAPY 428733,A000000,03304,0000,3054ONCOLOGY 428733,A000000,03305,0000,3055CARDIOLOGY 428733,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428733,A000000,03307,0000,3057AUDIOLOGY 428733,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428733,A000000,03400,0000,3400CLINIC 428733,A000000,03500,0000,3500RURAL HEALTH CLINIC 428733,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428733,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428733,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428733,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428733,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428733,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428733,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428733,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428733,A000000,04400,0000,4400DME RENTED - HHA 428733,A000000,04500,0000,4500DME SOLD - HHA 428733,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428733,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428733,A000000,04710,0000,4710TELEMEDICINE 428733,A000000,04800,0000,4800AMBULANCE 428733,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428733,A000000,05000,0000,5000CORF 428733,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428733,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428733,A000000,05300,0000,5300INTEREST EXPENSE 428733,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428733,A000000,05500,0000,5500HOSPICE 428733,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428733,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428733,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428733,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428733,A000000,06100,0000,6100NONPAID WORKERS 428733,A000000,06200,0000,6200PATIENTS LAUNDRY 428733,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428733,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428733,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428733,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428733,A81000A,00100,0100,Y 428733,A81000B,00600,0300,MGMT FEE - A&G RELATED 428733,A81000B,00700,0300,MGMT FEE - A&G RELATED 428733,A81000C,00100,0100,B 428733,A81000C,00100,0200,ARDEN HILLS 428733,A81000C,00100,0400,PRESBYTERIAN HOMES & SERV 428733,A81000C,00100,0600,MANAGEMENT COMPANY 428733,A81000C,00200,0100,B 428733,A81000C,00200,0200,ARDEN HILLS 428733,A81000C,00200,0400,PHS MANAGEMENT LLC 428733,A81000C,00200,0600,MANAGEMENT COMPANY 428733,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428733,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428733,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428733,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428733,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428733,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 428733,B100000,00000,0800,0800MEALS SERVED :DIETARY 428733,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428733,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428733,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428733,G300000,02500,0000,OTHER INCOME 428733,G300000,02501,0000,ASSISTED LIVING REVENUE 428733,S000000,00100,0200,02/28/12 428733,S200000,00100,0100,3220 LAKE JOHANNA BLVD 428733,S200000,00200,0100,ARDEN HILLS 428733,S200000,00200,0200,MN 428733,S200000,00200,0300,55112-7997 428733,S200000,00300,0100,RAMSEY 428733,S200000,00300,0300,U 428733,S200000,00400,0100,PRESBYTERIAN HOMES OF ARDEN HILLS 428733,S200000,00400,0200,245424 428733,S200000,00400,0300,02/01/87 428733,S200000,00400,0500,P 428733,S200000,00400,0600,P 428733,S200000,01500,0100,N 428733,S200000,01501,0200,Y 428733,S200000,01502,0200,Y 428733,S200000,01503,0200,Y 428733,S200000,01504,0200,Y 428733,S200000,01600,0100,Y 428733,S200000,01700,0100,N 428733,S200000,01800,0100,N 428733,S200000,02200,0100,N 428733,S200000,02800,0100,Y 428733,S200000,02900,0100,N 428733,S200000,03000,0100,N 428733,S200000,03100,0100,N 428733,S200000,03200,0100,N 428733,S200000,03300,0100,N 428733,S200000,03300,0200,N 428733,S200000,04100,0100,N 428733,S200000,04200,0100,N 428733,S200000,04300,0100,N 428733,S200000,04600,0100,N 428733,S200000,04700,0100,N 428733,S200000,04700,0200,N 428733,S200000,04900,0100,N 428733,S200000,05000,0100,N 428733,S200000,05100,0100,N 428733,S200000,05200,0100,N 428733,S200000,05300,0100,Y 428733,S200000,05300,0200,HB0584 428733,S200000,05400,0100,PHS MANAGEMENT LLC 428733,S200000,05400,0200,N/A 428733,S200000,05400,0300, 00N/A 428733,S200000,05500,0100,2845 HAMLINE AVENUE NORTH 428733,S200000,05600,0100,ROSEVILLE 428733,S200000,05600,0200,MN 428733,S200000,05600,0300,55113 428734,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428734,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428734,A000000,00300,0000,0300EMPLOYEE BENEFITS 428734,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428734,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428734,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428734,A000000,00700,0000,0700HOUSEKEEPING 428734,A000000,00800,0000,0800DIETARY 428734,A000000,00900,0000,0900NURSING ADMINISTRATION 428734,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428734,A000000,01300,0000,1300SOCIAL SERVICE 428734,A000000,01301,0000,1301ACTIVITIES 428734,A000000,01600,0000,1600SKILLED NURSING FACILITY 428734,A000000,02100,0000,2100RADIOLOGY 428734,A000000,02200,0000,2200LABORATORY 428734,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428734,A000000,02500,0000,2500PHYSICAL THERAPY 428734,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428734,A000000,02700,0000,2700SPEECH PATHOLOGY 428734,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428734,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428734,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428734,A000000,05300,0000,5300INTEREST EXPENSE 428734,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428734,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428734,A000000,06300,0000,6150RENTAL SPACE CLINIC 428734,A81000A,00100,0100,N 428734,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428734,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428734,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428734,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428734,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428734,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428734,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428734,B100000,00000,0800,0800MEALS SERVED :DIETARY 428734,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 428734,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 428734,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 428734,B100000,00000,1301,1331RESIDENT DAYS :ACTIVITIES 428734,G300000,02500,0000,CONTRACTED SERVICES - HARMONY 428734,G300000,02502,0000,MISC INCOME 428734,G300000,02503,0000,RENTAL INCOME 428734,G300000,02505,0000,CABLE TV REVENUE 428734,G300000,02506,0000,GAIN/LOSS DISPOSAL ASSET 428734,G300000,02507,0000,BUSINESS REIMBURSEMENT - HARMONY 428734,S000000,00100,0200,02/22/12 428734,S200000,00100,0100,125 FIFTH AVENUE SE 428734,S200000,00200,0100,SPRING GROVE 428734,S200000,00200,0200,MN 428734,S200000,00200,0300,55974-0725 428734,S200000,00300,0100,HOUSTON 428734,S200000,00300,0200,3870 428734,S200000,00300,0201,29100 428734,S200000,00300,0300,U 428734,S200000,00400,0100,TWEETEN LUTHERAN HEALTHCARE CENTER 428734,S200000,00400,0200,245429 428734,S200000,00400,0300,04/01/88 428734,S200000,00400,0500,P 428734,S200000,01500,0100,Y 428734,S200000,01501,0200,N 428734,S200000,01502,0200,Y 428734,S200000,01503,0200,N 428734,S200000,01504,0200,Y 428734,S200000,01600,0100,N 428734,S200000,01700,0100,N 428734,S200000,01800,0100,N 428734,S200000,02200,0100,N 428734,S200000,02800,0100,Y 428734,S200000,02900,0100,N 428734,S200000,03000,0100,N 428734,S200000,03100,0100,N 428734,S200000,03200,0100,N 428734,S200000,03300,0100,N 428734,S200000,03300,0200,N 428734,S200000,04100,0100,N 428734,S200000,04200,0100,N 428734,S200000,04300,0100,N 428734,S200000,04600,0100,N 428734,S200000,04700,0100,N 428734,S200000,04700,0200,N 428734,S200000,04900,0100,N 428734,S200000,05000,0100,N 428734,S200000,05100,0100,N 428734,S200000,05200,0100,N 428734,S200000,05300,0100,N 428735,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428735,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428735,A000000,00300,0000,0300EMPLOYEE BENEFITS 428735,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428735,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428735,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428735,A000000,00700,0000,0700HOUSEKEEPING 428735,A000000,00800,0000,0800DIETARY 428735,A000000,00900,0000,0900NURSING ADMINISTRATION 428735,A000000,01100,0000,1100PHARMACY 428735,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428735,A000000,01300,0000,1300SOCIAL SERVICE 428735,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428735,A000000,01500,0000,1350ACTIVITIES 428735,A000000,01600,0000,1600SKILLED NURSING FACILITY 428735,A000000,01800,0000,1800NURSING FACILITY 428735,A000000,01810,0000,1810ICF/MR 428735,A000000,01900,0000,1900OTHER LONG TERM CARE 428735,A000000,02100,0000,2100RADIOLOGY 428735,A000000,02200,0000,2200LABORATORY 428735,A000000,02300,0000,2300INTRAVENOUS THERAPY 428735,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428735,A000000,02500,0000,2500PHYSICAL THERAPY 428735,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428735,A000000,02700,0000,2700SPEECH PATHOLOGY 428735,A000000,02800,0000,2800ELECTROCARDIOLOGY 428735,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428735,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428735,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428735,A000000,03200,0000,3200SUPPORT SURFACES 428735,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428735,A000000,03301,0000,3051AIR FLUID THERAPY 428735,A000000,03302,0000,3052AMBULANCE 428735,A000000,03303,0000,3053PEN THERAPY 428735,A000000,03304,0000,3054ONCOLOGY 428735,A000000,03305,0000,3055CARDIOLOGY 428735,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428735,A000000,03307,0000,3057AUDIOLOGY 428735,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428735,A000000,03400,0000,3400CLINIC 428735,A000000,03500,0000,3500RURAL HEALTH CLINIC 428735,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428735,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428735,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428735,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428735,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428735,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428735,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428735,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428735,A000000,04400,0000,4400DME RENTED - HHA 428735,A000000,04500,0000,4500DME SOLD - HHA 428735,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428735,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428735,A000000,04710,0000,4710TELEMEDICINE 428735,A000000,04800,0000,4800AMBULANCE 428735,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428735,A000000,05000,0000,5000CORF 428735,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428735,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428735,A000000,05300,0000,5300INTEREST EXPENSE 428735,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428735,A000000,05500,0000,5500HOSPICE 428735,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428735,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428735,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428735,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428735,A000000,06100,0000,6100NONPAID WORKERS 428735,A000000,06200,0000,6200PATIENTS LAUNDRY 428735,A000000,06300,0000,6150ADULT DAY HEALTH 428735,A000000,06301,0000,6151ASSISTED LIVING 428735,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428735,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428735,A000000,06304,0000,6154OTHER NONREIMBURSABLE COST 428735,A000000,06305,0000,6155OTHER NONREIMBURSABLE COST 428735,A81000A,00100,0100,N 428735,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428735,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428735,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428735,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428735,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428735,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428735,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428735,B100000,00000,0800,0800MEALS SERVED :DIETARY 428735,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428735,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428735,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428735,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428735,G300000,02500,0000,OTHER 428735,G300000,02501,0000,ASSISTED LIVING 428735,G300000,02502,0000,DAY CARE 428735,G300000,02503,0000,OTHER - SEE GROUPINGS 428735,G300000,02504,0000,OTHER - SEE GROUPINGS 428735,G300000,02505,0000,OTHER - SEE GROUPINGS 428735,G300000,02506,0000,OTHER - SEE GROUPINGS 428735,S000000,00100,0200,02/25/12 428735,S200000,00100,0100,817 MAIN ST NE 428735,S200000,00200,0100,MINNEAPOLIS 428735,S200000,00200,0200,MN 428735,S200000,00200,0300,55413 428735,S200000,00300,0100,HENNEPIN 428735,S200000,00300,0200,5120 428735,S200000,00300,0201,33460 428735,S200000,00300,0300,U 428735,S200000,00400,0100,CATHOLIC ELDERCARE ON MAIN 428735,S200000,00400,0200,245439 428735,S200000,00400,0300,03/01/87 428735,S200000,00400,0500,P 428735,S200000,00400,0600,P 428735,S200000,01500,0100,N 428735,S200000,01501,0200,Y 428735,S200000,01502,0200,Y 428735,S200000,01503,0200,Y 428735,S200000,01600,0100,Y 428735,S200000,01700,0100,N 428735,S200000,01800,0100,N 428735,S200000,02200,0100,N 428735,S200000,02800,0100,N 428735,S200000,02900,0100,N 428735,S200000,03000,0100,N 428735,S200000,03100,0100,N 428735,S200000,03200,0100,N 428735,S200000,03300,0100,N 428735,S200000,03300,0200,N 428735,S200000,04100,0100,N 428735,S200000,04200,0100,N 428735,S200000,04300,0100,N 428735,S200000,04600,0100,N 428735,S200000,04700,0100,N 428735,S200000,04700,0200,N 428735,S200000,04900,0100,N 428735,S200000,05000,0100,N 428735,S200000,05100,0100,N 428735,S200000,05200,0100,N 428735,S200000,05300,0100,N 428736,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428736,A000000,00101,0000,0101CAPITAL RELATED COSTS - DYCKMAN 428736,A000000,00102,0000,0102CAPITAL RELATED COSTS - LAKESIDE 428736,A000000,00103,0000,0103CAPITAL RELATED COSTS - WEST BLD 428736,A000000,00104,0000,0104CAPITAL RELATED COSTS - INTEREST 428736,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428736,A000000,00300,0000,0300EMPLOYEE BENEFITS 428736,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428736,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428736,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428736,A000000,00700,0000,0700HOUSEKEEPING 428736,A000000,00800,0000,0800DIETARY 428736,A000000,00900,0000,0900NURSING ADMINISTRATION 428736,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428736,A000000,01300,0000,1300SOCIAL SERVICE 428736,A000000,01600,0000,1600SKILLED NURSING FACILITY 428736,A000000,01800,0000,1800NURSING FACILITY 428736,A000000,01810,0000,1810ICF/MR 428736,A000000,01900,0000,1900OTHER LONG TERM CARE 428736,A000000,02100,0000,2100RADIOLOGY 428736,A000000,02200,0000,2200LABORATORY 428736,A000000,02300,0000,2300INTRAVENOUS THERAPY 428736,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428736,A000000,02500,0000,2500PHYSICAL THERAPY 428736,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428736,A000000,02700,0000,2700SPEECH PATHOLOGY 428736,A000000,02800,0000,2800ELECTROCARDIOLOGY 428736,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428736,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428736,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428736,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428736,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428736,A000000,05300,0000,5300INTEREST EXPENSE 428736,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428736,A000000,05500,0000,5500HOSPICE 428736,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428736,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428736,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428736,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428736,A000000,06100,0000,6100NONPAID WORKERS 428736,A000000,06200,0000,6200PATIENTS LAUNDRY 428736,A000000,06201,0000,6201DEVELOPMENT 428736,A000000,06202,0000,6202ASSISTED LIVING 428736,A000000,06204,0000,6204JHR CLUB 428736,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428736,A81000A,00100,0100,N 428736,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428736,B100000,00000,0101,0101SQUARE FEET D :CAPITAL RELATED C 428736,B100000,00000,0102,0102SQUARE FEET LA :CAPITAL RELATED 428736,B100000,00000,0103,0103SQUARE FEET :CAPITAL RELATED CO 428736,B100000,00000,0104,0104SQUARE FEET :CAPITAL RELATED CO 428736,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428736,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428736,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428736,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428736,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428736,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428736,B100000,00000,0800,0800MEALS SERVED :DIETARY 428736,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428736,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 428736,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 428736,G300000,02500,0000,OTHER MISC 428736,G300000,02502,0000,CLUB JHR REVENUE 428736,G300000,02506,0000,GAIN IN ASSETS 428736,S000000,00100,0200,02/21/12 428736,S200000,00100,0100,3700 CEDAR LAKE AVENUE 428736,S200000,00200,0100,ST. LOUIS PARK 428736,S200000,00200,0200,MN 428736,S200000,00200,0300,55416 428736,S200000,00300,0100,HENNEPIN 428736,S200000,00300,0200,5120 428736,S200000,00300,0201,33460 428736,S200000,00300,0300,U 428736,S200000,00400,0100,JONES-HARRISON RESIDENCE 428736,S200000,00400,0200,245460 428736,S200000,00400,0300,04/01/87 428736,S200000,00400,0500,P 428736,S200000,01500,0100,Y 428736,S200000,01501,0200,Y 428736,S200000,01502,0200,Y 428736,S200000,01503,0200,Y 428736,S200000,01504,0200,Y 428736,S200000,01600,0100,N 428736,S200000,01700,0100,N 428736,S200000,01800,0100,N 428736,S200000,02200,0100,N 428736,S200000,02800,0100,N 428736,S200000,02900,0100,N 428736,S200000,03000,0100,N 428736,S200000,03100,0100,N 428736,S200000,03200,0100,N 428736,S200000,03300,0100,N 428736,S200000,03300,0200,N 428736,S200000,04100,0100,N 428736,S200000,04200,0100,N 428736,S200000,04300,0100,N 428736,S200000,04600,0100,N 428736,S200000,04700,0100,N 428736,S200000,04700,0200,N 428736,S200000,04900,0100,N 428736,S200000,05000,0100,N 428736,S200000,05100,0100,N 428736,S200000,05200,0100,N 428737,S000000,00100,0200,02/23/12 428737,S200000,00100,0100,102 COUNTY STATE AID HWY 9 428737,S200000,00200,0100,BELVIEW 428737,S200000,00200,0200,MN 428737,S200000,00200,0300,56214-1102 428737,S200000,00300,0100,REDWOOD 428737,S200000,00400,0100,PARKVIEW HOME 428737,S200000,00400,0300,05/01/87 428738,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428738,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428738,A000000,00300,0000,0300EMPLOYEE BENEFITS 428738,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428738,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428738,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428738,A000000,00700,0000,0700HOUSEKEEPING 428738,A000000,00800,0000,0800DIETARY 428738,A000000,00900,0000,0900NURSING ADMINISTRATION 428738,A000000,01100,0000,1100PHARMACY 428738,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428738,A000000,01300,0000,1300SOCIAL SERVICE 428738,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428738,A000000,01600,0000,1600SKILLED NURSING FACILITY 428738,A000000,01800,0000,1800NURSING FACILITY 428738,A000000,01810,0000,1810ICF/MR 428738,A000000,01900,0000,1900OTHER LONG TERM CARE 428738,A000000,02100,0000,2100RADIOLOGY 428738,A000000,02200,0000,2200LABORATORY 428738,A000000,02300,0000,2300INTRAVENOUS THERAPY 428738,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428738,A000000,02500,0000,2500PHYSICAL THERAPY 428738,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428738,A000000,02700,0000,2700SPEECH PATHOLOGY 428738,A000000,02800,0000,2800ELECTROCARDIOLOGY 428738,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428738,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428738,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428738,A000000,03200,0000,3200SUPPORT SURFACES 428738,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428738,A000000,03301,0000,3051AIR FLUID THERAPY 428738,A000000,03302,0000,3052AMBULANCE 428738,A000000,03303,0000,3053PEN THERAPY 428738,A000000,03304,0000,3054ONCOLOGY 428738,A000000,03305,0000,3055CARDIOLOGY 428738,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428738,A000000,03307,0000,3057AUDIOLOGY 428738,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428738,A000000,03400,0000,3400CLINIC 428738,A000000,03500,0000,3500RURAL HEALTH CLINIC 428738,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428738,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428738,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428738,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428738,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428738,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428738,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428738,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428738,A000000,04400,0000,4400DME RENTED - HHA 428738,A000000,04500,0000,4500DME SOLD - HHA 428738,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428738,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428738,A000000,04710,0000,4710TELEMEDICINE 428738,A000000,04800,0000,4800AMBULANCE 428738,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428738,A000000,05000,0000,5000CORF 428738,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428738,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428738,A000000,05300,0000,5300INTEREST EXPENSE 428738,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428738,A000000,05500,0000,5500HOSPICE 428738,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428738,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428738,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428738,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428738,A000000,06100,0000,6100NONPAID WORKERS 428738,A000000,06200,0000,6200PATIENTS LAUNDRY 428738,A81000A,00100,0100,Y 428738,A81000B,00100,0300,RENT - CAPITAL RELATED BLDG 428738,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428738,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428738,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428738,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428738,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428738,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428738,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428738,B100000,00000,0800,0800MEALS SERVED :DIETARY 428738,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428738,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428738,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428738,S000000,00100,0200,02/28/12 428738,S200000,00100,0100,1520 WYMAN AVENUE 428738,S200000,00200,0100,MAPLE PLAIN 428738,S200000,00200,0200,MN 428738,S200000,00200,0300,55359 428738,S200000,00300,0100,HENNEPIN 428738,S200000,00300,0200,5120 428738,S200000,00300,0201,33460 428738,S200000,00300,0300,U 428738,S200000,00400,0100,HAVEN HOMES MAPLE PLAIN 428738,S200000,00400,0200,245497 428738,S200000,00400,0300,10/01/97 428738,S200000,00400,0500,P 428738,S200000,01500,0100,Y 428738,S200000,01501,0200,Y 428738,S200000,01502,0200,Y 428738,S200000,01504,0200,N 428738,S200000,01600,0100,N 428738,S200000,01700,0100,N 428738,S200000,01800,0100,N 428738,S200000,02200,0100,N 428738,S200000,02800,0100,N 428738,S200000,02900,0100,N 428738,S200000,03000,0100,N 428738,S200000,03100,0100,N 428738,S200000,03200,0100,N 428738,S200000,03300,0100,N 428738,S200000,03300,0200,N 428738,S200000,04100,0100,N 428738,S200000,04200,0100,N 428738,S200000,04300,0100,N 428738,S200000,04600,0100,N 428738,S200000,04700,0100,N 428738,S200000,04700,0200,N 428738,S200000,04900,0100,N 428738,S200000,05000,0100,N 428738,S200000,05100,0100,N 428738,S200000,05200,0100,N 428739,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428739,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428739,A000000,00300,0000,0300EMPLOYEE BENEFITS 428739,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428739,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428739,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428739,A000000,00700,0000,0700HOUSEKEEPING 428739,A000000,00800,0000,0800DIETARY 428739,A000000,00900,0000,0900NURSING ADMINISTRATION 428739,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428739,A000000,01300,0000,1300SOCIAL SERVICE 428739,A000000,01301,0000,1301ACTIVITIES 428739,A000000,01600,0000,1600SKILLED NURSING FACILITY 428739,A000000,02100,0000,2100RADIOLOGY 428739,A000000,02200,0000,2200LABORATORY 428739,A000000,02300,0000,2300INTRAVENOUS THERAPY 428739,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428739,A000000,02500,0000,2500PHYSICAL THERAPY 428739,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428739,A000000,02700,0000,2700SPEECH PATHOLOGY 428739,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428739,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428739,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428739,A000000,05300,0000,5300INTEREST EXPENSE 428739,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428739,A000000,06300,0000,6150RENTAL SPACE -CLINIC 428739,A81000A,00100,0100,N 428739,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428739,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428739,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428739,B100000,00000,0400,0400ACCUM. COST :ADMINISTRATIVE & G 428739,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428739,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 428739,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428739,B100000,00000,0800,0800MEALS SERVED :DIETARY 428739,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 428739,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 428739,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 428739,B100000,00000,1301,1331RESIDENT DAYS :ACTIVITIES 428739,G300000,02500,0000,MISCELLANEOUS REVENUE 428739,G300000,02501,0000,MGMT FEES - HERITAGE GROVES 428739,G300000,02502,0000,GRANT INCOME 428739,S000000,00100,0200,02/22/12 428739,S200000,00100,0100,815 SOUTH MAIN STREET 428739,S200000,00200,0100,HARMONY 428739,S200000,00200,0200,MN 428739,S200000,00200,0300,55939 428739,S200000,00300,0100,FILLMORE 428739,S200000,00300,0200,24 428739,S200000,00300,0201,99924 428739,S200000,00300,0300,R 428739,S200000,00400,0100,HARMONY HEALTHCARE 428739,S200000,00400,0200,245528 428739,S200000,00400,0300,04/01/88 428739,S200000,00400,0500,P 428739,S200000,01500,0100,Y 428739,S200000,01501,0200,N 428739,S200000,01502,0200,Y 428739,S200000,01503,0200,N 428739,S200000,01504,0200,Y 428739,S200000,01600,0100,N 428739,S200000,01700,0100,N 428739,S200000,01800,0100,N 428739,S200000,02200,0100,N 428739,S200000,02800,0100,N 428739,S200000,02900,0100,N 428739,S200000,03000,0100,N 428739,S200000,03100,0100,N 428739,S200000,03200,0100,N 428739,S200000,03300,0100,N 428739,S200000,03300,0200,N 428739,S200000,04100,0100,N 428739,S200000,04200,0100,N 428739,S200000,04300,0100,N 428739,S200000,04600,0100,N 428739,S200000,04700,0100,N 428739,S200000,04700,0200,N 428739,S200000,04900,0100,N 428739,S200000,05000,0100,N 428739,S200000,05100,0100,N 428739,S200000,05200,0100,N 428739,S200000,05300,0100,N 428740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428740,A000000,00300,0000,0300EMPLOYEE BENEFITS 428740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428740,A000000,00700,0000,0700HOUSEKEEPING 428740,A000000,00800,0000,0800DIETARY 428740,A000000,00900,0000,0900NURSING ADMINISTRATION 428740,A000000,01100,0000,1100PHARMACY 428740,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428740,A000000,01300,0000,1300SOCIAL SERVICE 428740,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428740,A000000,01500,0000,1350ACTIVITIES 428740,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428740,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428740,A000000,01600,0000,1600SKILLED NURSING FACILITY 428740,A000000,01800,0000,1800NURSING FACILITY 428740,A000000,01810,0000,1810ICF/MR 428740,A000000,01900,0000,1900OTHER LONG TERM CARE 428740,A000000,02100,0000,2100RADIOLOGY 428740,A000000,02200,0000,2200LABORATORY 428740,A000000,02300,0000,2300INTRAVENOUS THERAPY 428740,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428740,A000000,02500,0000,2500PHYSICAL THERAPY 428740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428740,A000000,02700,0000,2700SPEECH PATHOLOGY 428740,A000000,02800,0000,2800ELECTROCARDIOLOGY 428740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428740,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428740,A000000,03200,0000,3200SUPPORT SURFACES 428740,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428740,A000000,03301,0000,3051AIR FLUID THERAPY 428740,A000000,03302,0000,3052AMBULANCE 428740,A000000,03303,0000,3053PEN THERAPY 428740,A000000,03304,0000,3054ONCOLOGY 428740,A000000,03305,0000,3055CARDIOLOGY 428740,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428740,A000000,03307,0000,3057AUDIOLOGY 428740,A000000,03308,0000,3058OTHER ANCILLARY SERVICES 428740,A000000,03400,0000,3400CLINIC 428740,A000000,03500,0000,3500RURAL HEALTH CLINIC 428740,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428740,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428740,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428740,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428740,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428740,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428740,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428740,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428740,A000000,04400,0000,4400DME RENTED - HHA 428740,A000000,04500,0000,4500DME SOLD - HHA 428740,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428740,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428740,A000000,04710,0000,4710TELEMEDICINE 428740,A000000,04800,0000,4800AMBULANCE 428740,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428740,A000000,05000,0000,5000CORF 428740,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428740,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428740,A000000,05300,0000,5300INTEREST EXPENSE 428740,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428740,A000000,05500,0000,5500HOSPICE 428740,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428740,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428740,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428740,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428740,A000000,06100,0000,6100NONPAID WORKERS 428740,A000000,06200,0000,6200PATIENTS LAUNDRY 428740,A000000,06300,0000,6150ADULT DAY HEALTH 428740,A000000,06301,0000,6151ASSISTED LIVING 428740,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428740,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428740,A81000A,00100,0100,N 428740,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428740,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428740,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428740,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428740,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428740,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428740,B100000,00000,0800,0800MEALS SERVED :DIETARY 428740,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428740,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428740,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428740,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428740,E10A180,00550,0100,03/15/12 428740,G300000,02500,0000,OTHER - SEE GROUPINGS 428740,S000000,00100,0200,02/28/12 428740,S200000,00100,0100,1012 EAST THIRD STREET 428740,S200000,00200,0100,WILLMAR 428740,S200000,00200,0200,MN 428740,S200000,00200,0300,56201 428740,S200000,00300,0100,KANDIYOHI 428740,S200000,00300,0200,24 428740,S200000,00300,0201,99924 428740,S200000,00300,0300,R 428740,S200000,00400,0100,BETHESDA- HERITAGE 428740,S200000,00400,0200,245532 428740,S200000,00400,0300,01/10/89 428740,S200000,00400,0500,P 428740,S200000,00400,0600,P 428740,S200000,01500,0100,Y 428740,S200000,01501,0200,Y 428740,S200000,01503,0200,Y 428740,S200000,01600,0100,N 428740,S200000,01700,0100,N 428740,S200000,01800,0100,N 428740,S200000,02200,0100,N 428740,S200000,02800,0100,N 428740,S200000,02900,0100,N 428740,S200000,03000,0100,N 428740,S200000,03100,0100,N 428740,S200000,03200,0100,N 428740,S200000,03300,0100,N 428740,S200000,03300,0200,N 428740,S200000,04100,0100,N 428740,S200000,04200,0100,N 428740,S200000,04300,0100,N 428740,S200000,04600,0100,N 428740,S200000,04700,0100,N 428740,S200000,04700,0200,N 428740,S200000,04900,0100,N 428740,S200000,05000,0100,N 428740,S200000,05100,0100,N 428740,S200000,05200,0100,N 428740,S200000,05300,0100,N 428742,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428742,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428742,A000000,00300,0000,0300EMPLOYEE BENEFITS 428742,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428742,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428742,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428742,A000000,00700,0000,0700HOUSEKEEPING 428742,A000000,00800,0000,0800DIETARY 428742,A000000,00900,0000,0900NURSING ADMINISTRATION 428742,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428742,A000000,01100,0000,1100PHARMACY 428742,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428742,A000000,01300,0000,1300SOCIAL SERVICE 428742,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428742,A000000,01500,0000,1350OTHER GENERAL SERVICES 428742,A000000,01600,0000,1600SKILLED NURSING FACILITY 428742,A000000,01800,0000,1800NURSING FACILITY 428742,A000000,01810,0000,1810ICF/MR 428742,A000000,01900,0000,1900OTHER LONG TERM CARE 428742,A000000,02100,0000,2100RADIOLOGY 428742,A000000,02200,0000,2200LABORATORY 428742,A000000,02300,0000,2300INTRAVENOUS THERAPY 428742,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428742,A000000,02500,0000,2500PHYSICAL THERAPY 428742,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428742,A000000,02700,0000,2700SPEECH PATHOLOGY 428742,A000000,02800,0000,2800ELECTROCARDIOLOGY 428742,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428742,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428742,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428742,A000000,03200,0000,3200SUPPORT SURFACES 428742,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428742,A000000,03400,0000,3400CLINIC 428742,A000000,03500,0000,3500RURAL HEALTH CLINIC 428742,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428742,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428742,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428742,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428742,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428742,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428742,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428742,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428742,A000000,04400,0000,4400DME RENTED - HHA 428742,A000000,04500,0000,4500DME SOLD - HHA 428742,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428742,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428742,A000000,04710,0000,4710TELEMEDICINE 428742,A000000,04800,0000,4800AMBULANCE 428742,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428742,A000000,05000,0000,5000CORF 428742,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428742,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428742,A000000,05300,0000,5300INTEREST EXPENSE 428742,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428742,A000000,05500,0000,5500HOSPICE 428742,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428742,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428742,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428742,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428742,A000000,06100,0000,6100NONPAID WORKERS 428742,A000000,06200,0000,6200PATIENTS LAUNDRY 428742,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428742,A81000A,00100,0100,N 428742,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428742,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428742,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428742,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428742,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428742,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 428742,B100000,00000,0800,0800MEALS SERVED :DIETARY 428742,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428742,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428742,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428742,G300000,02500,0000,EH SENIOR NUTRITION REVENUE 428742,G300000,02501,0000,MGMT. FEE REV/HM 428742,G300000,02502,0000,EH HERITAGE MANOR BOOKKEEPING FEE 428742,G300000,02503,0000,EH SC. SUNDRY REV 428742,G300000,02504,0000,HERITAGE MANOR 19% BENEFITS 428742,G300000,02505,0000,EH OTHER MISC REVENUE 428742,S000000,00100,0200,03/01/12 428742,S200000,00100,0100,215 TOUSLEY AVE S. 428742,S200000,00200,0100,NEW YORK MILLS 428742,S200000,00200,0200,MN 428742,S200000,00200,0300,56567 428742,S200000,00300,0100,OTTERTAIL 428742,S200000,00300,0200,24 428742,S200000,00300,0201,99924 428742,S200000,00300,0300,R 428742,S200000,00400,0100,ELDERS HOME INC. 428742,S200000,00400,0200,245562 428742,S200000,00400,0300,10/01/90 428742,S200000,00400,0500,P 428742,S200000,01500,0100,Y 428742,S200000,01501,0200,Y 428742,S200000,01600,0100,N 428742,S200000,01700,0100,N 428742,S200000,01800,0100,N 428742,S200000,02200,0100,N 428742,S200000,02800,0100,N 428742,S200000,02900,0100,N 428742,S200000,03000,0100,N 428742,S200000,03100,0100,N 428742,S200000,03200,0100,N 428742,S200000,03300,0100,N 428742,S200000,03300,0200,N 428742,S200000,04100,0100,N 428742,S200000,04200,0100,N 428742,S200000,04300,0100,N 428742,S200000,04600,0100,N 428742,S200000,04700,0100,N 428742,S200000,04700,0200,N 428742,S200000,04900,0100,N 428742,S200000,05000,0100,N 428742,S200000,05100,0100,N 428742,S200000,05200,0100,N 428742,S200000,05300,0100,N 428743,S000000,00100,0200,03/01/12 428743,S200000,00100,0100,510 E CEDAR ST 428743,S200000,00200,0100,HOUSTON 428743,S200000,00200,0200,MN 428743,S200000,00200,0300,55943-8618 428743,S200000,00300,0100,HOUSTON 428743,S200000,00400,0100,VALLEY VIEW NURSING HOME 428743,S200000,00400,0300,07/01/91 428744,S000000,00100,0200,02/17/12 428744,S200000,00100,0100,400 7TH ST NE 428744,S200000,00200,0100,FULDA 428744,S200000,00200,0200,MN 428744,S200000,00200,0300,56131-0278 428744,S200000,00300,0100,MURRAY 428744,S200000,00400,0100,MAPLE LAWN NURSING HOME 428744,S200000,00400,0300,08/01/91 428745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428745,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428745,A000000,00300,0000,0300EMPLOYEE BENEFITS 428745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428745,A000000,00700,0000,0700HOUSEKEEPING 428745,A000000,00800,0000,0800DIETARY 428745,A000000,00900,0000,0900NURSING ADMINISTRATION 428745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428745,A000000,01100,0000,1100PHARMACY 428745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428745,A000000,01300,0000,1300SOCIAL SERVICE 428745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428745,A000000,01500,0000,1350ACTIVITIES 428745,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428745,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428745,A000000,01600,0000,1600SKILLED NURSING FACILITY 428745,A000000,01800,0000,1800NURSING FACILITY 428745,A000000,01810,0000,1810ICF/MR 428745,A000000,01900,0000,1900OTHER LONG TERM CARE 428745,A000000,02100,0000,2100RADIOLOGY 428745,A000000,02200,0000,2200LABORATORY 428745,A000000,02300,0000,2300INTRAVENOUS THERAPY 428745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428745,A000000,02500,0000,2500PHYSICAL THERAPY 428745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428745,A000000,02700,0000,2700SPEECH PATHOLOGY 428745,A000000,02800,0000,2800ELECTROCARDIOLOGY 428745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428745,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428745,A000000,03200,0000,3200SUPPORT SURFACES 428745,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428745,A000000,03301,0000,3051AIR FLUID THERAPY 428745,A000000,03302,0000,3052AMBULANCE 428745,A000000,03303,0000,3053PEN THERAPY 428745,A000000,03304,0000,3054ONCOLOGY 428745,A000000,03305,0000,3055CARDIOLOGY 428745,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428745,A000000,03307,0000,3057AUDIOLOGY 428745,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428745,A000000,03400,0000,3400CLINIC 428745,A000000,03500,0000,3500RURAL HEALTH CLINIC 428745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428745,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428745,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428745,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428745,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428745,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428745,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428745,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428745,A000000,04400,0000,4400DME RENTED - HHA 428745,A000000,04500,0000,4500DME SOLD - HHA 428745,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428745,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428745,A000000,04710,0000,4710TELEMEDICINE 428745,A000000,04800,0000,4800AMBULANCE 428745,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428745,A000000,05000,0000,5000CORF 428745,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428745,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428745,A000000,05300,0000,5300INTEREST EXPENSE 428745,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428745,A000000,05500,0000,5500HOSPICE 428745,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428745,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428745,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428745,A000000,06100,0000,6100NONPAID WORKERS 428745,A000000,06200,0000,6200PATIENTS LAUNDRY 428745,A000000,06300,0000,6150ADULT DAY HEALTH 428745,A000000,06301,0000,6151ASSISTED LIVING 428745,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428745,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428745,A81000A,00100,0100,Y 428745,A81000B,00100,0300,MGMT FEE - A&G RELATED 428745,A81000C,00100,0100,G 428745,A81000C,00100,0200,SHOLOM COMMUNITY ALLIANCE 428745,A81000C,00100,0400,SHOLOM COMMUNITY ALLIANCE 428745,A81000C,00100,0600,MANAGEMENT COMPANY 428745,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428745,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428745,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428745,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428745,B100000,00000,0600,0650PATIENT DAY :LAUNDRY & LINEN SE 428745,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428745,B100000,00000,0800,0850PATIENT DAY :DIETARY 428745,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428745,B100000,00000,1200,1250PATIENT DAY :MEDICAL RECORDS & 428745,B100000,00000,1300,1330PATIENT DAY :SOCIAL SERVICE 428745,G300000,02500,0000,OTHER - SEE GROUPINGS 428745,S000000,00100,0200,02/29/12 428745,S200000,00100,0100,3620 PHILLIPS PARKWAY 428745,S200000,00200,0100,ST. LOUIS PARK 428745,S200000,00200,0200,MN 428745,S200000,00200,0300,55426 428745,S200000,00300,0100,HENNEPIN 428745,S200000,00300,0200,0024 428745,S200000,00300,0201,33460 428745,S200000,00300,0300,U 428745,S200000,00400,0100,SHOLOM HOME WEST 428745,S200000,00400,0200,245574 428745,S200000,00400,0300,07/16/91 428745,S200000,00400,0500,P 428745,S200000,00400,0600,P 428745,S200000,01500,0100,Y 428745,S200000,01501,0200,N 428745,S200000,01503,0200,Y 428745,S200000,01600,0100,N 428745,S200000,01700,0100,N 428745,S200000,01800,0100,N 428745,S200000,02200,0100,N 428745,S200000,02800,0100,Y 428745,S200000,02900,0100,N 428745,S200000,03000,0100,N 428745,S200000,03100,0100,N 428745,S200000,03200,0100,N 428745,S200000,03300,0100,N 428745,S200000,03300,0200,N 428745,S200000,04100,0100,N 428745,S200000,04200,0100,N 428745,S200000,04300,0100,N 428745,S200000,04600,0100,N 428745,S200000,04700,0100,N 428745,S200000,04700,0200,N 428745,S200000,04900,0100,N 428745,S200000,05000,0100,N 428745,S200000,05100,0100,N 428745,S200000,05200,0100,N 428745,S200000,05300,0100,Y 428745,S200000,05300,0200,HB0194 428745,S200000,05400,0100,SHOLOM COMMUNITY ALLIANCE 428745,S200000,05400,0200,NORIDIAN 428745,S200000,05400,0300,00320 428745,S200000,05500,0100,3620 PHILLIPS PARKWAY 428745,S200000,05600,0100,ST. LOUIS PARK 428745,S200000,05600,0200,MN 428745,S200000,05600,0300,55426 428746,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428746,A000000,00300,0000,0300EMPLOYEE BENEFITS 428746,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428746,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428746,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428746,A000000,00700,0000,0700HOUSEKEEPING 428746,A000000,00800,0000,0800DIETARY 428746,A000000,00900,0000,0900NURSING ADMINISTRATION 428746,A000000,01100,0000,1100PHARMACY 428746,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428746,A000000,01300,0000,1300SOCIAL SERVICE 428746,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428746,A000000,01500,0000,1350ACTIVITIES 428746,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428746,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428746,A000000,01600,0000,1600SKILLED NURSING FACILITY 428746,A000000,01800,0000,1800NURSING FACILITY 428746,A000000,01810,0000,1810ICF/MR 428746,A000000,01900,0000,1900OTHER LONG TERM CARE 428746,A000000,02100,0000,2100RADIOLOGY 428746,A000000,02200,0000,2200LABORATORY 428746,A000000,02300,0000,2300INTRAVENOUS THERAPY 428746,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428746,A000000,02500,0000,2500PHYSICAL THERAPY 428746,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428746,A000000,02700,0000,2700SPEECH PATHOLOGY 428746,A000000,02800,0000,2800ELECTROCARDIOLOGY 428746,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428746,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428746,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428746,A000000,03200,0000,3200SUPPORT SURFACES 428746,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428746,A000000,03301,0000,3051AIR FLUID THERAPY 428746,A000000,03302,0000,3052AMBULANCE 428746,A000000,03303,0000,3053PEN THERAPY 428746,A000000,03304,0000,3054ONCOLOGY 428746,A000000,03305,0000,3055CARDIOLOGY 428746,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428746,A000000,03307,0000,3057AUDIOLOGY 428746,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428746,A000000,03400,0000,3400CLINIC 428746,A000000,03500,0000,3500RURAL HEALTH CLINIC 428746,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428746,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428746,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428746,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428746,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428746,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428746,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428746,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428746,A000000,04400,0000,4400DME RENTED - HHA 428746,A000000,04500,0000,4500DME SOLD - HHA 428746,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428746,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428746,A000000,04710,0000,4710TELEMEDICINE 428746,A000000,04800,0000,4800AMBULANCE 428746,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428746,A000000,05000,0000,5000CORF 428746,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428746,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428746,A000000,05300,0000,5300INTEREST EXPENSE 428746,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428746,A000000,05500,0000,5500HOSPICE 428746,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428746,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428746,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428746,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428746,A000000,06100,0000,6100NONPAID WORKERS 428746,A000000,06200,0000,6200PATIENTS LAUNDRY 428746,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428746,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428746,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428746,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428746,A81000A,00100,0100,Y 428746,A81000B,00500,0300,MGMT FEE - A&G RELATED 428746,A81000B,00600,0300,MGMT FEE - A&G RELATED 428746,A81000C,00100,0100,B 428746,A81000C,00100,0200,NORTH OAKS INC. 428746,A81000C,00100,0400,PRES HOMES MANAGEMENT & S 428746,A81000C,00100,0600,MGMT COMPANY 428746,A81000C,00200,0100,B 428746,A81000C,00200,0200,NORTH OAKS INC. 428746,A81000C,00200,0400,PHS MANAGEMENT LLC 428746,A81000C,00200,0600,MGMT COMPANY 428746,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428746,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428746,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428746,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428746,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428746,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428746,B100000,00000,0800,0800MEALS SERVED :DIETARY 428746,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428746,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428746,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428746,G300000,02500,0000,OTHER - SEE GROUPINGS 428746,G300000,02502,0000,OTHER - SEE GROUPINGS 428746,G300000,02504,0000,OTHER - SEE GROUPINGS 428746,S000000,00100,0200,02/28/12 428746,S200000,00100,0100,5919 CENTERVILLE ROAD 428746,S200000,00200,0100,NORTH OAKS 428746,S200000,00200,0200,MN 428746,S200000,00200,0300,55127 428746,S200000,00300,0100,RAMSEY 428746,S200000,00300,0200,5120 428746,S200000,00300,0201,33460 428746,S200000,00300,0300,U 428746,S200000,00400,0100,PRES HOMES - NORTH OAKS 428746,S200000,00400,0200,245613 428746,S200000,00400,0300,10/01/06 428746,S200000,00400,0500,P 428746,S200000,00400,0600,P 428746,S200000,01500,0100,Y 428746,S200000,01501,0200,Y 428746,S200000,01503,0200,Y 428746,S200000,01600,0100,N 428746,S200000,01700,0100,N 428746,S200000,01800,0100,N 428746,S200000,02200,0100,N 428746,S200000,02800,0100,N 428746,S200000,02900,0100,N 428746,S200000,03000,0100,N 428746,S200000,03100,0100,N 428746,S200000,03200,0100,N 428746,S200000,03300,0100,N 428746,S200000,03300,0200,N 428746,S200000,04100,0100,N 428746,S200000,04200,0100,N 428746,S200000,04300,0100,N 428746,S200000,04600,0100,N 428746,S200000,04700,0100,N 428746,S200000,04700,0200,N 428746,S200000,04900,0100,N 428746,S200000,05000,0100,N 428746,S200000,05100,0100,N 428746,S200000,05200,0100,N 428746,S200000,05300,0100,Y 428746,S200000,05300,0200,HB0584 428746,S200000,05400,0100,PHS MANAGEMENT LLC 428746,S200000,05400,0200,N/A 428746,S200000,05400,0300,00N/A 428746,S200000,05500,0100,2845 HAMLINE AVE N 428746,S200000,05600,0100,ROSEVILLE 428746,S200000,05600,0200,MN 428746,S200000,05600,0300,55113 428747,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428747,A000000,00300,0000,0300EMPLOYEE BENEFITS 428747,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428747,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428747,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428747,A000000,00700,0000,0700HOUSEKEEPING 428747,A000000,00800,0000,0800DIETARY 428747,A000000,00900,0000,0900NURSING ADMINISTRATION 428747,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428747,A000000,01300,0000,1300SOCIAL SERVICE 428747,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428747,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428747,A000000,01600,0000,1600SKILLED NURSING FACILITY 428747,A000000,01800,0000,1800NURSING FACILITY 428747,A000000,01810,0000,1810ICF/MR 428747,A000000,01900,0000,1900OTHER LONG TERM CARE 428747,A000000,02100,0000,2100RADIOLOGY 428747,A000000,02200,0000,2200LABORATORY 428747,A000000,02300,0000,2300INTRAVENOUS THERAPY 428747,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428747,A000000,02500,0000,2500PHYSICAL THERAPY 428747,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428747,A000000,02700,0000,2700SPEECH PATHOLOGY 428747,A000000,02800,0000,2800ELECTROCARDIOLOGY 428747,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428747,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428747,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428747,A000000,03200,0000,3200SUPPORT SURFACES 428747,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428747,A000000,03301,0000,3051AIR FLUID THERAPY 428747,A000000,03302,0000,3052AMBULANCE 428747,A000000,03303,0000,3053PEN THERAPY 428747,A000000,03304,0000,3054ONCOLOGY 428747,A000000,03305,0000,3055CARDIOLOGY 428747,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428747,A000000,03307,0000,3057AUDIOLOGY 428747,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428747,A000000,03400,0000,3400CLINIC 428747,A000000,03500,0000,3500RURAL HEALTH CLINIC 428747,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428747,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428747,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428747,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428747,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428747,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428747,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428747,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428747,A000000,04400,0000,4400DME RENTED - HHA 428747,A000000,04500,0000,4500DME SOLD - HHA 428747,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428747,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428747,A000000,04710,0000,4710TELEMEDICINE 428747,A000000,04800,0000,4800AMBULANCE 428747,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428747,A000000,05000,0000,5000CORF 428747,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428747,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428747,A000000,05300,0000,5300INTEREST EXPENSE 428747,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428747,A000000,05500,0000,5500HOSPICE 428747,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428747,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428747,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428747,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428747,A000000,06100,0000,6100NONPAID WORKERS 428747,A000000,06200,0000,6200PATIENTS LAUNDRY 428747,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428747,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428747,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428747,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428747,A81000A,00100,0100,Y 428747,A81000B,00100,0300,MGMT FEE - A&G RELATED 428747,A81000B,00200,0300,MGMT FEE - A&G RELATED 428747,A81000C,00100,0100,B 428747,A81000C,00100,0200,ADMINISTRATIVE & GENERAL 428747,A81000C,00100,0400,PRES HOMES MGMT & SRVCS 428747,A81000C,00100,0600,MANAGEMENT COMPANY 428747,A81000C,00200,0100,B 428747,A81000C,00200,0200,ADMINISTRATIVE & GENERAL 428747,A81000C,00200,0400,PHS MANAGEMENT LLC 428747,A81000C,00200,0600,MANAGEMENT COMPANY 428747,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428747,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428747,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428747,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428747,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428747,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428747,B100000,00000,0800,0800MEALS SERVED :DIETARY 428747,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 428747,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428747,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428747,G300000,02500,0000,OTHER INCOME 428747,G300000,02501,0000,DIETARY REVENUE 428747,G300000,02503,0000,ASSISTED LIVING REVENUES 428747,S000000,00100,0200,02/28/12 428747,S200000,00100,0100,13575 58TH STREET 428747,S200000,00200,0100,OAK PARK HEIGHTS 428747,S200000,00200,0200,MN 428747,S200000,00200,0300,55082 428747,S200000,00300,0100,WASHINGTON 428747,S200000,00300,0200,5120 428747,S200000,00300,0201,33460 428747,S200000,00300,0300,U 428747,S200000,00400,0100,VSSA CARE CENTER LLC 428747,S200000,00400,0200,245615 428747,S200000,00400,0300,03/04/09 428747,S200000,00400,0500,P 428747,S200000,00400,0600,P 428747,S200000,01500,0100,Y 428747,S200000,01501,0200,N 428747,S200000,01503,0200,N 428747,S200000,01600,0100,N 428747,S200000,01700,0100,N 428747,S200000,01800,0100,N 428747,S200000,02200,0100,N 428747,S200000,02800,0100,N 428747,S200000,02900,0100,N 428747,S200000,03000,0100,N 428747,S200000,03100,0100,N 428747,S200000,03200,0100,N 428747,S200000,03300,0100,N 428747,S200000,03300,0200,N 428747,S200000,04100,0100,N 428747,S200000,04200,0100,N 428747,S200000,04300,0100,N 428747,S200000,04600,0100,N 428747,S200000,04700,0100,N 428747,S200000,04700,0200,N 428747,S200000,04900,0100,N 428747,S200000,05000,0100,N 428747,S200000,05100,0100,N 428747,S200000,05200,0100,N 428747,S200000,05300,0100,Y 428747,S200000,05300,0200,HB0584 428747,S200000,05400,0100,PHS/MANAGEMENT LLC 428747,S200000,05400,0200,N/A 428747,S200000,05400,0300,00N/A 428747,S200000,05500,0100,2845 HAMLINE AVENUE NORTH 428747,S200000,05600,0100,ROSEVILLE 428747,S200000,05600,0200,MN 428747,S200000,05600,0300,55113 428755,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428755,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428755,A000000,00300,0000,0300EMPLOYEE BENEFITS 428755,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428755,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428755,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428755,A000000,00700,0000,0700HOUSEKEEPING 428755,A000000,00800,0000,0800DIETARY 428755,A000000,00900,0000,0900NURSING ADMINISTRATION 428755,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428755,A000000,01100,0000,1100PHARMACY 428755,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428755,A000000,01300,0000,1300SOCIAL SERVICE 428755,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428755,A000000,01500,0000,1350OTHER GENERAL SERVICES 428755,A000000,01600,0000,1600SKILLED NURSING FACILITY 428755,A000000,01800,0000,1800NURSING FACILITY 428755,A000000,01810,0000,1810ICF/MR 428755,A000000,01900,0000,1900OTHER LONG TERM CARE 428755,A000000,02100,0000,2100RADIOLOGY 428755,A000000,02200,0000,2200LABORATORY 428755,A000000,02300,0000,2300INTRAVENOUS THERAPY 428755,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428755,A000000,02500,0000,2500PHYSICAL THERAPY 428755,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428755,A000000,02700,0000,2700SPEECH PATHOLOGY 428755,A000000,02800,0000,2800ELECTROCARDIOLOGY 428755,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428755,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428755,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428755,A000000,03200,0000,3200SUPPORT SURFACES 428755,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428755,A000000,03400,0000,3400CLINIC 428755,A000000,03500,0000,3500RURAL HEALTH CLINIC 428755,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428755,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428755,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428755,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428755,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428755,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428755,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428755,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428755,A000000,04400,0000,4400DME RENTED - HHA 428755,A000000,04500,0000,4500DME SOLD - HHA 428755,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428755,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428755,A000000,04710,0000,4710TELEMEDICINE 428755,A000000,04800,0000,4800AMBULANCE 428755,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428755,A000000,05000,0000,5000CORF 428755,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428755,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428755,A000000,05300,0000,5300INTEREST EXPENSE 428755,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428755,A000000,05500,0000,5500HOSPICE 428755,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428755,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428755,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428755,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428755,A000000,06100,0000,6100NONPAID WORKERS 428755,A000000,06200,0000,6200PATIENTS LAUNDRY 428755,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428755,A81000A,00100,0100,N 428755,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428755,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428755,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428755,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428755,B100000,00000,0600,0650PATIETN DAYS :LAUNDRY & LINEN S 428755,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428755,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428755,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428755,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428755,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428755,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428755,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 428755,S000000,00100,0200,03/02/12 428755,S200000,00100,0100,701 JOHNSON STREET NW 428755,S200000,00200,0100,CASCADE 428755,S200000,00200,0200,IA 428755,S200000,00200,0300,52033 428755,S200000,00300,0100,DUBUQUE 428755,S200000,00300,0200,1676 428755,S200000,00300,0201,20220 428755,S200000,00300,0300,U 428755,S200000,00400,0100,SHADY REST CARE CENTER 428755,S200000,00400,0200,165568 428755,S200000,00400,0300,01/01/06 428755,S200000,00400,0500,P 428755,S200000,01500,0100,Y 428755,S200000,01501,0200,N 428755,S200000,01502,0200,N 428755,S200000,01503,0200,N 428755,S200000,01504,0200,N 428755,S200000,01600,0100,N 428755,S200000,01700,0100,N 428755,S200000,01800,0100,N 428755,S200000,02200,0100,N 428755,S200000,02800,0100,N 428755,S200000,02900,0100,N 428755,S200000,03000,0100,N 428755,S200000,03100,0100,N 428755,S200000,03200,0100,N 428755,S200000,03300,0100,N 428755,S200000,03300,0200,N 428755,S200000,04100,0100,N 428755,S200000,04200,0100,N 428755,S200000,04300,0100,N 428755,S200000,04600,0100,N 428755,S200000,04700,0100,N 428755,S200000,04700,0200,N 428755,S200000,04900,0100,N 428755,S200000,05000,0100,N 428755,S200000,05100,0100,N 428755,S200000,05200,0100,N 428755,S200000,05300,0100,N 428756,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428756,A000000,00300,0000,0300EMPLOYEE BENEFITS 428756,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428756,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428756,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428756,A000000,00700,0000,0700HOUSEKEEPING 428756,A000000,00800,0000,0800DIETARY 428756,A000000,00900,0000,0900NURSING ADMINISTRATION 428756,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428756,A000000,01100,0000,1100PHARMACY 428756,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428756,A000000,01300,0000,1300SOCIAL SERVICE 428756,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428756,A000000,01500,0000,1350ACTIVITIES 428756,A000000,01600,0000,1600SKILLED NURSING FACILITY 428756,A000000,01800,0000,1800NURSING FACILITY 428756,A000000,01810,0000,1810ICF/MR 428756,A000000,01900,0000,1900OTHER LONG TERM CARE 428756,A000000,02100,0000,2100RADIOLOGY 428756,A000000,02200,0000,2200LABORATORY 428756,A000000,02300,0000,2300INTRAVENOUS THERAPY 428756,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428756,A000000,02500,0000,2500PHYSICAL THERAPY 428756,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428756,A000000,02700,0000,2700SPEECH PATHOLOGY 428756,A000000,02800,0000,2800ELECTROCARDIOLOGY 428756,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428756,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428756,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428756,A000000,03200,0000,3200SUPPORT SURFACES 428756,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428756,A000000,03400,0000,3400CLINIC 428756,A000000,03500,0000,3500RURAL HEALTH CLINIC 428756,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428756,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428756,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428756,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428756,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428756,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428756,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428756,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428756,A000000,04400,0000,4400DME RENTED - HHA 428756,A000000,04500,0000,4500DME SOLD - HHA 428756,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428756,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428756,A000000,04710,0000,4710TELEMEDICINE 428756,A000000,04800,0000,4800AMBULANCE 428756,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428756,A000000,05000,0000,5000CORF 428756,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428756,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428756,A000000,05300,0000,5300INTEREST EXPENSE 428756,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428756,A000000,05500,0000,5500HOSPICE 428756,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428756,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428756,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428756,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428756,A000000,06100,0000,6100NONPAID WORKERS 428756,A000000,06101,0000,6101ASSISTED LIVING 428756,A000000,06200,0000,6200PATIENTS LAUNDRY 428756,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428756,A81000A,00100,0100,N 428756,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428756,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428756,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428756,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428756,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428756,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428756,B100000,00000,0800,0800MEALS SERVED :DIETARY 428756,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428756,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428756,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428756,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428756,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 428756,G300000,02500,0000,MISC INCOME 428756,S000000,00100,0200,03/01/12 428756,S200000,00100,0100,1400 DRAKE ROAD 428756,S200000,00200,0100,KALAMAZOO 428756,S200000,00200,0200,MI 428756,S200000,00200,0300,49007 428756,S200000,00300,0100,KALAMAZOO 428756,S200000,00300,0200,3720 428756,S200000,00300,0201,28020 428756,S200000,00300,0300,U 428756,S200000,00400,0100,FRIENDSHIP VILLAGE 428756,S200000,00400,0200,235248 428756,S200000,00400,0300,03/11/86 428756,S200000,00400,0500,P 428756,S200000,01500,0100,Y 428756,S200000,01501,0200,N 428756,S200000,01600,0100,N 428756,S200000,01700,0100,N 428756,S200000,01800,0100,N 428756,S200000,02200,0100,N 428756,S200000,02800,0100,Y 428756,S200000,02900,0100,N 428756,S200000,03000,0100,N 428756,S200000,03100,0100,N 428756,S200000,03200,0100,N 428756,S200000,03300,0100,N 428756,S200000,03300,0200,N 428756,S200000,04100,0100,N 428756,S200000,04200,0100,N 428756,S200000,04300,0100,Y 428756,S200000,04600,0100,N 428756,S200000,04700,0100,N 428756,S200000,04700,0200,N 428756,S200000,04900,0100,N 428756,S200000,05000,0100,N 428756,S200000,05100,0100,N 428756,S200000,05200,0100,N 428757,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428757,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428757,A000000,00300,0000,0300EMPLOYEE BENEFITS 428757,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428757,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428757,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428757,A000000,00700,0000,0700HOUSEKEEPING 428757,A000000,00800,0000,0800DIETARY 428757,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428757,A000000,01300,0000,1300SOCIAL SERVICE 428757,A000000,01600,0000,1600SKILLED NURSING FACILITY 428757,A000000,01800,0000,1800NURSING FACILITY 428757,A000000,01810,0000,1810ICF/MR 428757,A000000,01900,0000,1900OTHER LONG TERM CARE 428757,A000000,02100,0000,2100RADIOLOGY 428757,A000000,02200,0000,2200LABORATORY 428757,A000000,02300,0000,2300INTRAVENOUS THERAPY 428757,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428757,A000000,02500,0000,2500PHYSICAL THERAPY 428757,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428757,A000000,02700,0000,2700SPEECH PATHOLOGY 428757,A000000,02800,0000,2800ELECTROCARDIOLOGY 428757,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428757,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428757,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428757,A000000,03200,0000,3200SUPPORT SURFACES 428757,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428757,A000000,03400,0000,3400CLINIC 428757,A000000,03500,0000,3500RURAL HEALTH CLINIC 428757,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428757,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428757,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428757,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428757,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428757,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428757,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428757,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428757,A000000,04400,0000,4400DME RENTED - HHA 428757,A000000,04500,0000,4500DME SOLD - HHA 428757,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428757,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428757,A000000,04710,0000,4710TELEMEDICINE 428757,A000000,04800,0000,4800AMBULANCE 428757,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428757,A000000,05000,0000,5000CORF 428757,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428757,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428757,A000000,05300,0000,5300INTEREST EXPENSE 428757,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428757,A000000,05500,0000,5500HOSPICE 428757,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428757,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428757,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428757,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428757,A000000,06100,0000,6100NONPAID WORKERS 428757,A000000,06200,0000,6200PATIENTS LAUNDRY 428757,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428757,A81000A,00100,0100,Y 428757,A81000B,00100,0300,RAW FOOD 428757,A81000B,00200,0300,SUPPLEMENTS/VITAMINS 428757,A81000B,00300,0300,CONSULTATIONS 428757,A81000B,00400,0300,GIFT CARDS 428757,A81000B,00500,0300,ACTIVITY SUPPLIES 428757,A81000B,00600,0300,BUILDING LEASE 428757,A81000B,00700,0300,MANAGEMENT FEES 428757,A81000B,00800,0300,HOME OFFICE SALARIES 428757,A81000B,00900,0300,HOME OFFICE PAYROLL TAXES 428757,A81000B,01000,0300,HOME OFFICE WORK COMP 428757,A81000B,01100,0300,HOME OFFICE SUPPLIES 428757,A81000B,01200,0300,HOME OFFICE RENT 428757,A81000B,01300,0300,INTERCOMPANY INTEREST EXPENSE 428757,A81000C,00100,0100,B 428757,A81000C,00100,0400,SAXTON S INC. 428757,A81000C,00100,0600,LEASING FACILITY 428757,A81000C,00200,0100,B 428757,A81000C,00200,0400,QOL HEALTH MANAGEMENT 428757,A81000C,00200,0600,PARENT COMPANY 428757,A81000C,00300,0100,A 428757,A81000C,00300,0200,TIMOTHY SAXTON 428757,A81000C,00300,0400,QOL HEALTH MANAGEMENT 428757,A81000C,00300,0600,PARENT COMPANY 428757,A81000C,00400,0100,A 428757,A81000C,00400,0200,CONSTANCE SAXTON 428757,A81000C,00400,0400,QOL HEALTH MANAGEMENT 428757,A81000C,00400,0600,PARENT COMPANY 428757,A81000C,00500,0100,A 428757,A81000C,00500,0200,CALVIN SAXTON 428757,A81000C,00500,0400,QOL HEALTH MANAGEMENT 428757,A81000C,00500,0600,PARENT COMPANY 428757,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428757,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428757,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428757,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428757,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428757,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428757,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428757,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428757,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 428757,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428757,S000000,00100,0200,03/05/12 428757,S200000,00100,0100,1616 WEISENBORN ROAD 428757,S200000,00200,0100,ST. JOSEPH 428757,S200000,00200,0200,MO 428757,S200000,00200,0300,63450 428757,S200000,00300,0100,BUCHANAN 428757,S200000,00300,0201,41140 428757,S200000,00300,0300,U 428757,S200000,00400,0100,SENIOR LIFE INC. 428757,S200000,00400,0200,265827 428757,S200000,00400,0300,03/27/08 428757,S200000,00400,0500,P 428757,S200000,01500,0100,Y 428757,S200000,01501,0200,Y 428757,S200000,01504,0200,N 428757,S200000,01600,0100,N 428757,S200000,01700,0100,N 428757,S200000,01800,0100,N 428757,S200000,02200,0100,Y 428757,S200000,02800,0100,N 428757,S200000,02900,0100,N 428757,S200000,03000,0100,N 428757,S200000,03100,0100,N 428757,S200000,03200,0100,N 428757,S200000,03300,0100,N 428757,S200000,03300,0200,N 428757,S200000,04100,0100,N 428757,S200000,04200,0100,N 428757,S200000,04300,0100,N 428757,S200000,04600,0100,N 428757,S200000,04700,0100,N 428757,S200000,04700,0200,N 428757,S200000,04900,0100,N 428757,S200000,05000,0100,N 428757,S200000,05100,0100,N 428757,S200000,05200,0100,N 428757,S200000,05300,0100,Y 428757,S200000,05300,0200,N/A 428757,S200000,05400,0100,SAXTON S HOME OFFICE 428757,S200000,05400,0200,N/A 428757,S200000,05400,0300, 00N/A 428757,S200000,05500,0100,1603 WEISENBORN ROAD 428757,S200000,05600,0100,ST. JOSEPH 428757,S200000,05600,0200,MO 428757,S200000,05600,0300,64507 428762,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428762,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428762,A000000,00300,0000,0300EMPLOYEE BENEFITS 428762,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428762,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428762,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428762,A000000,00700,0000,0700HOUSEKEEPING 428762,A000000,00800,0000,0800DIETARY 428762,A000000,00900,0000,0900NURSING ADMINISTRATION 428762,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428762,A000000,01100,0000,1100PHARMACY 428762,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428762,A000000,01300,0000,1300SOCIAL SERVICE 428762,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428762,A000000,01500,0000,1350OTHER GENERAL SERVICES 428762,A000000,01600,0000,1600SKILLED NURSING FACILITY 428762,A000000,01800,0000,1800NURSING FACILITY 428762,A000000,01810,0000,1810ICF/MR 428762,A000000,01900,0000,1900OTHER LONG TERM CARE 428762,A000000,02100,0000,2100RADIOLOGY 428762,A000000,02200,0000,2200LABORATORY 428762,A000000,02300,0000,2300INTRAVENOUS THERAPY 428762,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428762,A000000,02500,0000,2500PHYSICAL THERAPY 428762,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428762,A000000,02700,0000,2700SPEECH PATHOLOGY 428762,A000000,02800,0000,2800ELECTROCARDIOLOGY 428762,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428762,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428762,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428762,A000000,03200,0000,3200SUPPORT SURFACES 428762,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428762,A000000,03400,0000,3400CLINIC 428762,A000000,03500,0000,3500RURAL HEALTH CLINIC 428762,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428762,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428762,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428762,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428762,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428762,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428762,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428762,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428762,A000000,04400,0000,4400DME RENTED - HHA 428762,A000000,04500,0000,4500DME SOLD - HHA 428762,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428762,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428762,A000000,04710,0000,4710TELEMEDICINE 428762,A000000,04800,0000,4800AMBULANCE 428762,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428762,A000000,05000,0000,5000CORF 428762,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428762,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428762,A000000,05300,0000,5300INTEREST EXPENSE 428762,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428762,A000000,05500,0000,5500HOSPICE 428762,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428762,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428762,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428762,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428762,A000000,06100,0000,6100NONPAID WORKERS 428762,A000000,06200,0000,6200PATIENTS LAUNDRY 428762,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428762,A81000A,00100,0100,Y 428762,A81000B,00100,0300,MANAGEMENT FEES 428762,A81000C,00100,0100,A 428762,A81000C,00100,0200,JUCKETTE FAMILY 428762,A81000C,00100,0400,WITT & JUCKETTE CONST 428762,A81000C,00100,0600,MANAGEMENT COMPANY 428762,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428762,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428762,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428762,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428762,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428762,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428762,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428762,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428762,E10A180,00301,0100,10/31/11 428762,G300000,02500,0000,RESIDENT PURCHASE 428762,G300000,02501,0000,MISC PATIENT CHARGE 428762,G300000,02502,0000,SUPPLIES TO EMPLOYEES 428762,S000000,00100,0200,03/23/12 428762,S200000,00100,0100,2610 SOUTH 5TH 428762,S200000,00200,0100,BURLINGTON 428762,S200000,00200,0200,IA 428762,S200000,00200,0300,52601 428762,S200000,00300,0100,DES MOINES 428762,S200000,00300,0200,16 428762,S200000,00300,0201,99916 428762,S200000,00300,0300,R 428762,S200000,00400,0100,BURLINGTON CARE CENTER INC. 428762,S200000,00400,0200,165572 428762,S200000,00400,0300,08/01/06 428762,S200000,00400,0500,P 428762,S200000,01500,0100,Y 428762,S200000,01600,0100,N 428762,S200000,01700,0100,N 428762,S200000,01800,0100,N 428762,S200000,02200,0100,N 428762,S200000,02800,0100,N 428762,S200000,02900,0100,N 428762,S200000,03000,0100,N 428762,S200000,03100,0100,N 428762,S200000,03200,0100,N 428762,S200000,03300,0100,N 428762,S200000,03300,0200,N 428762,S200000,04100,0100,N 428762,S200000,04200,0100,N 428762,S200000,04300,0100,N 428762,S200000,04600,0100,N 428762,S200000,04700,0100,N 428762,S200000,04700,0200,N 428762,S200000,04900,0100,N 428762,S200000,05000,0100,N 428762,S200000,05100,0100,N 428762,S200000,05200,0100,N 428762,S200000,05300,0100,Y 428762,S200000,05300,0200,H54330 428762,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 428762,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428762,S200000,05400,0300,05301 428762,S200000,05500,0100,HIGHWAY 36 EAST 428762,S200000,05600,0100,CHILLICOTHE 428762,S200000,05600,0200,MO 428762,S200000,05600,0300,64601 428763,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428763,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428763,A000000,00300,0000,0300EMPLOYEE BENEFITS 428763,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428763,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428763,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428763,A000000,00700,0000,0700HOUSEKEEPING 428763,A000000,00800,0000,0800DIETARY 428763,A000000,00900,0000,0900NURSING ADMINISTRATION 428763,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428763,A000000,01100,0000,1100PHARMACY 428763,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428763,A000000,01300,0000,1300SOCIAL SERVICE 428763,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428763,A000000,01500,0000,1350OTHER GENERAL SERVICES 428763,A000000,01600,0000,1600SKILLED NURSING FACILITY 428763,A000000,01800,0000,1800NURSING FACILITY 428763,A000000,01810,0000,1810ICF/MR 428763,A000000,01900,0000,1900OTHER LONG TERM CARE 428763,A000000,02100,0000,2100RADIOLOGY 428763,A000000,02200,0000,2200LABORATORY 428763,A000000,02300,0000,2300INTRAVENOUS THERAPY 428763,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428763,A000000,02500,0000,2500PHYSICAL THERAPY 428763,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428763,A000000,02700,0000,2700SPEECH PATHOLOGY 428763,A000000,02800,0000,2800ELECTROCARDIOLOGY 428763,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428763,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428763,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428763,A000000,03200,0000,3200SUPPORT SURFACES 428763,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428763,A000000,03400,0000,3400CLINIC 428763,A000000,03500,0000,3500RURAL HEALTH CLINIC 428763,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428763,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428763,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428763,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428763,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428763,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428763,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428763,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428763,A000000,04400,0000,4400DME RENTED - HHA 428763,A000000,04500,0000,4500DME SOLD - HHA 428763,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428763,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428763,A000000,04710,0000,4710TELEMEDICINE 428763,A000000,04800,0000,4800AMBULANCE 428763,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428763,A000000,05000,0000,5000CORF 428763,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428763,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428763,A000000,05300,0000,5300INTEREST EXPENSE 428763,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428763,A000000,05500,0000,5500HOSPICE 428763,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428763,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428763,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428763,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428763,A000000,06100,0000,6100NONPAID WORKERS 428763,A000000,06200,0000,6200PATIENTS LAUNDRY 428763,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428763,A81000A,00100,0100,Y 428763,A81000B,00100,0300,MANAGEMENT FEES 428763,A81000B,00200,0300,ACCOUNTING / COMPUTER 428763,A81000B,00300,0300,BOOKKEEPING SUPPLIES 428763,A81000C,00100,0100,A 428763,A81000C,00100,0200,JUCKETTE FAMILY 428763,A81000C,00100,0400,JUCKETTE MGMT SERVICES 428763,A81000C,00100,0600,MANAGEMENT COMPANY 428763,A81000C,00200,0100,A 428763,A81000C,00200,0200,JUCKETTE FAMILY 428763,A81000C,00200,0400,JUCKETTE MGMT SERVICES 428763,A81000C,00200,0600,MANAGEMENT COMPANY 428763,A81000C,00300,0100,A 428763,A81000C,00300,0200,JUCKETTE FAMILY 428763,A81000C,00300,0400,KIRKSVILLE MANOR 428763,A81000C,00300,0600,NURSING HOME 428763,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428763,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428763,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428763,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428763,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428763,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428763,B100000,00000,0800,0800MEALS SERVED :DIETARY 428763,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428763,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428763,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428763,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428763,G300000,02500,0000,BEAUTY/BARBER SHOP 428763,G300000,02501,0000,CNA TRAINING REIMBURSEMENT 428763,G300000,02502,0000,MISCELLANEOUS INCOME 428763,G300000,02503,0000,BAD DEBT RECOVERY 428763,S000000,00100,0200,03/27/12 428763,S200000,00100,0100,814 W. SOUTH AVE 428763,S200000,00200,0100,MARYVILLE 428763,S200000,00200,0200,MO 428763,S200000,00200,0300,64468 428763,S200000,00300,0100,NODAWAY 428763,S200000,00300,0200,26 428763,S200000,00300,0201,99926 428763,S200000,00300,0300,R 428763,S200000,00400,0100,PARKDALE MANOR CARE CENTER 428763,S200000,00400,0200,265591 428763,S200000,00400,0300,11/01/94 428763,S200000,00400,0500,P 428763,S200000,01500,0100,Y 428763,S200000,01600,0100,N 428763,S200000,01700,0100,N 428763,S200000,01800,0100,N 428763,S200000,02200,0100,N 428763,S200000,02800,0100,N 428763,S200000,02900,0100,N 428763,S200000,03000,0100,N 428763,S200000,03100,0100,N 428763,S200000,03200,0100,N 428763,S200000,03300,0100,N 428763,S200000,03300,0200,N 428763,S200000,04100,0100,N 428763,S200000,04200,0100,N 428763,S200000,04300,0100,N 428763,S200000,04600,0100,N 428763,S200000,04700,0100,N 428763,S200000,04700,0200,N 428763,S200000,04900,0100,N 428763,S200000,05000,0100,N 428763,S200000,05100,0100,N 428763,S200000,05200,0100,N 428763,S200000,05300,0100,Y 428763,S200000,05300,0200,H54330 428763,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 428763,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 428763,S200000,05400,0300,05301 428763,S200000,05500,0100,HIGHWAY 36 EAST 428763,S200000,05600,0100,CHILLICOTHE 428763,S200000,05600,0200,MO 428763,S200000,05600,0300,64601 428769,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428769,A000000,00300,0000,0300EMPLOYEE BENEFITS 428769,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428769,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428769,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428769,A000000,00700,0000,0700HOUSEKEEPING 428769,A000000,00800,0000,0800DIETARY 428769,A000000,00900,0000,0900NURSING ADMINISTRATION 428769,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428769,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428769,A000000,01300,0000,1300SOCIAL SERVICE 428769,A000000,01600,0000,1600SKILLED NURSING FACILITY 428769,A000000,01800,0000,1800NURSING FACILITY 428769,A000000,01900,0000,1900OTHER LONG TERM CARE 428769,A000000,02100,0000,2100RADIOLOGY 428769,A000000,02200,0000,2200LABORATORY 428769,A000000,02500,0000,2500PHYSICAL THERAPY 428769,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428769,A000000,02700,0000,2700SPEECH PATHOLOGY 428769,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428769,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428769,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428769,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428769,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428769,A000000,06300,0000,6150OTHER NON-REIMBURSABLE 428769,A81000A,00100,0100,N 428769,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428769,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428769,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428769,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428769,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428769,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428769,B100000,00000,0800,0800MEALS SERVED :DIETARY 428769,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428769,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428769,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428769,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428769,G300000,02500,0000,GAIN ON OTHER INVESTMENTS 428769,G300000,02501,0000,OTHER ANCILLARY REVENUE 428769,G300000,02502,0000,OTHER REVENUE 428769,G300000,02503,0000,CABLE REVENUE 428769,G300000,02504,0000,PHONE REVENUE 428769,G300000,02505,0000,BEAUTY SALON REVENUE 428769,G300000,02506,0000,ROYALTY REVENUE 428769,S000000,00100,0200,04/16/12 428769,S200000,00100,0100,250 VILLAGE ROAD 428769,S200000,00200,0100,DOWNERS GROVE 428769,S200000,00200,0200,IL 428769,S200000,00200,0300,60516 428769,S200000,00300,0100,DUPAGE 428769,S200000,00300,0201,16974 428769,S200000,00300,0300,U 428769,S200000,00400,0100,FAIRVIEW BAPTIST HOME 428769,S200000,00400,0200,145804 428769,S200000,00400,0300,09/01/94 428769,S200000,00400,0500,P 428769,S200000,01500,0100,N 428769,S200000,01501,0200,Y 428769,S200000,01502,0200,Y 428769,S200000,01600,0100,Y 428769,S200000,01700,0100,N 428769,S200000,01800,0100,N 428769,S200000,02200,0100,N 428769,S200000,02800,0100,N 428769,S200000,02900,0100,N 428769,S200000,03000,0100,N 428769,S200000,03100,0100,N 428769,S200000,03200,0100,N 428769,S200000,03300,0100,N 428769,S200000,03300,0200,N 428769,S200000,04100,0100,N 428769,S200000,04200,0100,N 428769,S200000,04300,0100,N 428769,S200000,04600,0100,N 428769,S200000,04700,0100,N 428769,S200000,04700,0200,N 428769,S200000,04900,0100,N 428769,S200000,05000,0100,N 428769,S200000,05100,0100,N 428769,S200000,05200,0100,N 428769,S200000,05300,0100,N 428772,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428772,A000000,00300,0000,0300EMPLOYEE BENEFITS 428772,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428772,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428772,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428772,A000000,00700,0000,0700HOUSEKEEPING 428772,A000000,00800,0000,0800DIETARY 428772,A000000,00900,0000,0900NURSING ADMINISTRATION 428772,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428772,A000000,01300,0000,1300SOCIAL SERVICE 428772,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 428772,A000000,01600,0000,1600SKILLED NURSING FACILITY 428772,A000000,02100,0000,2100RADIOLOGY 428772,A000000,02200,0000,2200LABORATORY 428772,A000000,02500,0000,2500PHYSICAL THERAPY 428772,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428772,A000000,02700,0000,2700SPEECH PATHOLOGY 428772,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428772,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428772,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428772,A000000,06300,0000,6150HOME OFFICE (NRCC) 428772,A81000A,00100,0100,Y 428772,A81000B,00100,0300,RENT 428772,A81000B,00200,0300,MANAGEMENT FEES 428772,A81000B,00300,0300,ENTERALS 428772,A81000C,00100,0100,A 428772,A81000C,00100,0200,D J BORTZ JR 428772,A81000C,00100,0400,D J BORTZ JR 428772,A81000C,00100,0600,REAL ESTATE 428772,A81000C,00200,0100,A 428772,A81000C,00200,0200,D J BORTZ JR 428772,A81000C,00200,0400,BORTZ FACILITIE 428772,A81000C,00200,0600,MANAGEMENT 428772,A81000C,00300,0100,A 428772,A81000C,00300,0200,D J BORTZ JR 428772,A81000C,00300,0400,JBS CARE COMPAN 428772,A81000C,00300,0600,NURSING SUPPLIE 428772,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428772,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428772,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428772,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428772,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428772,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428772,B100000,00000,0800,0800MEALS SERVED :DIETARY 428772,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428772,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428772,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428772,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 428772,G300000,02500,0000,BOOKKEEPING SERVICES 428772,G300000,02501,0000,BARBER AND BEAUTY 428772,G300000,02502,0000,MISCELLANEOUS INCOME 428772,S000000,00100,0200,04/02/12 428772,S200000,00100,0100,11700 E TEN MILE ROAD 428772,S200000,00200,0100,WARREN 428772,S200000,00200,0200,MI 428772,S200000,00200,0300,48089 428772,S200000,00300,0100,MACOMB 428772,S200000,00300,0201,47644 428772,S200000,00300,0300,U 428772,S200000,00400,0100,WARREN GERIATRIC VILLAGE INC. 428772,S200000,00400,0200,235325 428772,S200000,00400,0300,01/24/79 428772,S200000,00400,0500,P 428772,S200000,01500,0100,Y 428772,S200000,01501,0200,Y 428772,S200000,01600,0100,N 428772,S200000,01700,0100,N 428772,S200000,01800,0100,N 428772,S200000,02200,0100,N 428772,S200000,02800,0100,Y 428772,S200000,02900,0100,N 428772,S200000,03000,0100,N 428772,S200000,03100,0100,N 428772,S200000,03200,0100,N 428772,S200000,03300,0100,N 428772,S200000,03300,0200,N 428772,S200000,04100,0100,N 428772,S200000,04200,0100,N 428772,S200000,04300,0100,N 428772,S200000,04600,0100,N 428772,S200000,04700,0100,N 428772,S200000,04700,0200,N 428772,S200000,04900,0100,N 428772,S200000,05000,0100,N 428772,S200000,05100,0100,N 428772,S200000,05200,0100,N 428772,S200000,05300,0100,Y 428772,S200000,05300,0200,90-200 428772,S200000,05400,0100,BORTZ HEALTH CARE FACILITIES 428772,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 428772,S200000,05400,0300,00450 428772,S200000,05500,0100,11700 E TEN MILE ROAD 428772,S200000,05600,0100,WARREN 428772,S200000,05600,0200,MI 428772,S200000,05600,0300,48089 428773,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428773,A000000,00300,0000,0300EMPLOYEE BENEFITS 428773,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428773,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428773,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428773,A000000,00700,0000,0700HOUSEKEEPING 428773,A000000,00800,0000,0800DIETARY 428773,A000000,00900,0000,0900NURSING ADMINISTRATION 428773,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428773,A000000,01300,0000,1300SOCIAL SERVICE 428773,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 428773,A000000,01600,0000,1600SKILLED NURSING FACILITY 428773,A000000,02100,0000,2100RADIOLOGY 428773,A000000,02200,0000,2200LABORATORY 428773,A000000,02500,0000,2500PHYSICAL THERAPY 428773,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428773,A000000,02700,0000,2700SPEECH PATHOLOGY 428773,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428773,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428773,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428773,A81000A,00100,0100,Y 428773,A81000B,00100,0300,RENT 428773,A81000B,00200,0300,MANAGEMENT FEES 428773,A81000B,00300,0300,NURSING SUPPLIES 428773,A81000C,00100,0100,A 428773,A81000C,00100,0200,D.J. BORTZ JR. 428773,A81000C,00100,0400,D.J. BORTZ JR. 428773,A81000C,00100,0600,REAL ESTATE 428773,A81000C,00200,0100,A 428773,A81000C,00200,0200,D.J. BORTZ JR. 428773,A81000C,00200,0400,BORTZ FACILITIE 428773,A81000C,00200,0600,MANAGEMENT 428773,A81000C,00300,0100,A 428773,A81000C,00300,0200,D.J. BORTZ JR. 428773,A81000C,00300,0400,JBS CARE COMPAN 428773,A81000C,00300,0600,NURSING SUPPLIE 428773,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428773,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428773,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428773,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428773,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428773,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428773,B100000,00000,0800,0800MEALS SERVED :DIETARY 428773,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428773,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428773,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428773,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 428773,G300000,02500,0000,BARBER AND BEAUTY 428773,S000000,00100,0200,04/02/12 428773,S200000,00100,0100,517 W PAGE ST 428773,S200000,00200,0100,ROSE CITY 428773,S200000,00200,0200,MI 428773,S200000,00200,0300,48654 428773,S200000,00300,0100,OGEMAW 428773,S200000,00300,0201,23 428773,S200000,00300,0300,R 428773,S200000,00400,0100,ROSE CITY GERIATRIC VILLAGE INC. 428773,S200000,00400,0200,235380 428773,S200000,00400,0300,09/28/84 428773,S200000,00400,0500,P 428773,S200000,01500,0100,Y 428773,S200000,01501,0200,Y 428773,S200000,01600,0100,N 428773,S200000,01700,0100,N 428773,S200000,01800,0100,N 428773,S200000,02200,0100,N 428773,S200000,02800,0100,N 428773,S200000,02900,0100,N 428773,S200000,03000,0100,N 428773,S200000,03100,0100,N 428773,S200000,03200,0100,N 428773,S200000,03300,0100,N 428773,S200000,03300,0200,N 428773,S200000,04100,0100,N 428773,S200000,04200,0100,N 428773,S200000,04300,0100,N 428773,S200000,04600,0100,N 428773,S200000,04700,0100,N 428773,S200000,04700,0200,N 428773,S200000,04900,0100,N 428773,S200000,05000,0100,N 428773,S200000,05100,0100,N 428773,S200000,05200,0100,N 428773,S200000,05300,0100,Y 428773,S200000,05300,0200,90-200 428773,S200000,05400,0100,BORTZ HEALTH CARE FACILITIES 428773,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 428773,S200000,05400,0300,00450 428773,S200000,05500,0100,11700 E TEN MILE ROAD 428773,S200000,05600,0100,WARREN 428773,S200000,05600,0200,MI 428773,S200000,05600,0300,48909 428774,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428774,A000000,00300,0000,0300EMPLOYEE BENEFITS 428774,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428774,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428774,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428774,A000000,00700,0000,0700HOUSEKEEPING 428774,A000000,00800,0000,0800DIETARY 428774,A000000,00900,0000,0900NURSING ADMINISTRATION 428774,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428774,A000000,01300,0000,1300SOCIAL SERVICE 428774,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 428774,A000000,01600,0000,1600SKILLED NURSING FACILITY 428774,A000000,02100,0000,2100RADIOLOGY 428774,A000000,02200,0000,2200LABORATORY 428774,A000000,02500,0000,2500PHYSICAL THERAPY 428774,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428774,A000000,02700,0000,2700SPEECH PATHOLOGY 428774,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428774,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428774,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428774,A81000A,00100,0100,Y 428774,A81000B,00100,0300,MANAGEMENT FEES 428774,A81000B,00200,0300,NURSING SUPPLIES 428774,A81000C,00100,0100,A 428774,A81000C,00100,0200,D.J. BORTZ JR. 428774,A81000C,00100,0400,BORTZ FACILITIE 428774,A81000C,00100,0600,MANAGEMENT 428774,A81000C,00200,0100,A 428774,A81000C,00200,0200,D.J. BORTZ JR. 428774,A81000C,00200,0400,JBS CARE COMPAN 428774,A81000C,00200,0600,NURSING SUPPLIE 428774,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428774,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428774,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428774,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428774,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428774,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428774,B100000,00000,0800,0800MEALS SERVED :DIETARY 428774,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428774,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428774,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428774,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 428774,G300000,02500,0000,BARBER AND BEAUTY 428774,G300000,02501,0000,MISCELLANEOUS INCOME 428774,S000000,00100,0200,04/02/12 428774,S200000,00100,0100,445 W VALLEY ST 428774,S200000,00200,0100,WEST BRANCH 428774,S200000,00200,0200,MI 428774,S200000,00200,0300,48661 428774,S200000,00300,0100,OGEMAW 428774,S200000,00300,0201,23 428774,S200000,00300,0300,R 428774,S200000,00400,0100,WEST BRANCH GERIATRIC VILLAGE INC. 428774,S200000,00400,0200,235414 428774,S200000,00400,0300,07/01/81 428774,S200000,00400,0500,P 428774,S200000,01500,0100,N 428774,S200000,01501,0200,Y 428774,S200000,01600,0100,N 428774,S200000,01700,0100,N 428774,S200000,01800,0100,N 428774,S200000,02200,0100,N 428774,S200000,02800,0100,Y 428774,S200000,02900,0100,N 428774,S200000,03000,0100,N 428774,S200000,03100,0100,N 428774,S200000,03200,0100,N 428774,S200000,03300,0100,N 428774,S200000,03300,0200,N 428774,S200000,04100,0100,N 428774,S200000,04200,0100,N 428774,S200000,04300,0100,N 428774,S200000,04600,0100,N 428774,S200000,04700,0100,N 428774,S200000,04700,0200,N 428774,S200000,04900,0100,N 428774,S200000,05000,0100,N 428774,S200000,05100,0100,N 428774,S200000,05200,0100,N 428774,S200000,05300,0100,Y 428774,S200000,05300,0200,90-200 428774,S200000,05400,0100,BORTZ HEALTH CARE FACILITIES 428774,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 428774,S200000,05400,0300,00450 428774,S200000,05500,0100,11700 E TEN MILE ROAD 428774,S200000,05600,0100,WARREN 428774,S200000,05600,0200,MI 428774,S200000,05600,0300,48909 428775,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428775,A000000,00300,0000,0300EMPLOYEE BENEFITS 428775,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428775,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428775,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428775,A000000,00700,0000,0700HOUSEKEEPING 428775,A000000,00800,0000,0800DIETARY 428775,A000000,00900,0000,0900NURSING ADMINISTRATION 428775,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428775,A000000,01300,0000,1300SOCIAL SERVICE 428775,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 428775,A000000,01600,0000,1600SKILLED NURSING FACILITY 428775,A000000,02100,0000,2100RADIOLOGY 428775,A000000,02200,0000,2200LABORATORY 428775,A000000,02500,0000,2500PHYSICAL THERAPY 428775,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428775,A000000,02700,0000,2700SPEECH PATHOLOGY 428775,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428775,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428775,A81000A,00100,0100,Y 428775,A81000B,00100,0300,RENT 428775,A81000B,00200,0300,MANAGEMENT FEES 428775,A81000B,00300,0300,NURSING SUPPLIES 428775,A81000C,00100,0100,A 428775,A81000C,00100,0200,D.J. BORTZ JR. 428775,A81000C,00100,0400,D.J. BORTZ. JR. 428775,A81000C,00100,0600,REAL ESTATE 428775,A81000C,00200,0100,A 428775,A81000C,00200,0200,D.J. BORTZ JR. 428775,A81000C,00200,0400,BORTZ FACILITIE 428775,A81000C,00200,0600,MANAGEMENT 428775,A81000C,00300,0100,A 428775,A81000C,00300,0200,D.J. BORTZ JR. 428775,A81000C,00300,0400,JBS CARE COMPAN 428775,A81000C,00300,0600,NURSING SUPPLIE 428775,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428775,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428775,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428775,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428775,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428775,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428775,B100000,00000,0800,0800MEALS SERVED :DIETARY 428775,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428775,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428775,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428775,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 428775,S000000,00100,0200,04/02/12 428775,S200000,00100,0100,111 FORD AVE 428775,S200000,00200,0100,HIGHLAND PARK 428775,S200000,00200,0200,MI 428775,S200000,00200,0300,48203 428775,S200000,00300,0100,WAYNE 428775,S200000,00300,0201,19804 428775,S200000,00300,0300,U 428775,S200000,00400,0100,PARK GERIATRIC VILLAGE INC. 428775,S200000,00400,0200,235463 428775,S200000,00400,0300,02/07/87 428775,S200000,00400,0500,P 428775,S200000,01500,0100,Y 428775,S200000,01501,0200,Y 428775,S200000,01600,0100,N 428775,S200000,01700,0100,N 428775,S200000,01800,0100,N 428775,S200000,02200,0100,N 428775,S200000,02800,0100,Y 428775,S200000,02900,0100,N 428775,S200000,03000,0100,N 428775,S200000,03100,0100,N 428775,S200000,03200,0100,N 428775,S200000,03300,0100,N 428775,S200000,03300,0200,N 428775,S200000,04100,0100,N 428775,S200000,04200,0100,N 428775,S200000,04300,0100,N 428775,S200000,04600,0100,N 428775,S200000,04700,0100,N 428775,S200000,04700,0200,N 428775,S200000,04900,0100,N 428775,S200000,05000,0100,N 428775,S200000,05100,0100,N 428775,S200000,05200,0100,N 428775,S200000,05300,0100,Y 428775,S200000,05300,0200,90-200 428775,S200000,05400,0100,BORTZ HEALTH CARE FACILITIES 428775,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 428775,S200000,05400,0300,00450 428775,S200000,05500,0100,11700 E TEN MILE 428775,S200000,05600,0100,WARREN 428775,S200000,05600,0200,MI 428775,S200000,05600,0300,48909 428776,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428776,A000000,00300,0000,0300EMPLOYEE BENEFITS 428776,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428776,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428776,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428776,A000000,00700,0000,0700HOUSEKEEPING 428776,A000000,00800,0000,0800DIETARY 428776,A000000,00900,0000,0900NURSING ADMINISTRATION 428776,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428776,A000000,01300,0000,1300SOCIAL SERVICE 428776,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 428776,A000000,01600,0000,1600SKILLED NURSING FACILITY 428776,A000000,02100,0000,2100RADIOLOGY 428776,A000000,02200,0000,2200LABORATORY 428776,A000000,02500,0000,2500PHYSICAL THERAPY 428776,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428776,A000000,02700,0000,2700SPEECH PATHOLOGY 428776,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428776,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428776,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428776,A81000A,00100,0100,Y 428776,A81000B,00100,0300,RENT 428776,A81000C,00100,0100,A 428776,A81000C,00100,0200,EMIL KOVACS 428776,A81000C,00100,0400,EMIL KOVACS 428776,A81000C,00100,0600,REAL ESTATE 428776,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428776,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428776,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428776,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428776,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428776,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428776,B100000,00000,0800,0800MEALS SERVED :DIETARY 428776,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428776,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428776,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428776,B100000,00000,1500,1350PATIENT DAYS :DIVERSIONAL ACTIV 428776,G300000,02500,0000,MISCELLANEOUS INCOME 428776,S000000,00100,0200,04/02/12 428776,S200000,00100,0100,9051 SILVER LAKE RAOD 428776,S200000,00200,0100,LINDEN 428776,S200000,00200,0200,MI 428776,S200000,00200,0300,48451 428776,S200000,00300,0100,GENESSEE 428776,S200000,00300,0201,22420 428776,S200000,00300,0300,U 428776,S200000,00400,0100,ARGENTINE CARE CENTER 428776,S200000,00400,0200,235584 428776,S200000,00400,0300,02/06/98 428776,S200000,00400,0500,P 428776,S200000,01500,0100,Y 428776,S200000,01501,0200,Y 428776,S200000,01600,0100,N 428776,S200000,01700,0100,N 428776,S200000,01800,0100,N 428776,S200000,02200,0100,N 428776,S200000,02800,0100,Y 428776,S200000,02900,0100,N 428776,S200000,03000,0100,N 428776,S200000,03100,0100,N 428776,S200000,03200,0100,N 428776,S200000,03300,0100,N 428776,S200000,03300,0200,N 428776,S200000,04100,0100,N 428776,S200000,04200,0100,N 428776,S200000,04300,0100,N 428776,S200000,04600,0100,N 428776,S200000,04700,0100,N 428776,S200000,04700,0200,N 428776,S200000,04900,0100,N 428776,S200000,05000,0100,N 428776,S200000,05100,0100,N 428776,S200000,05200,0100,N 428776,S200000,05300,0100,N 428777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428777,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428777,A000000,00300,0000,0300EMPLOYEE BENEFITS 428777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428777,A000000,00700,0000,0700HOUSEKEEPING 428777,A000000,00800,0000,0800DIETARY 428777,A000000,00900,0000,0900NURSING ADMINISTRATION 428777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428777,A000000,01100,0000,1100PHARMACY 428777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428777,A000000,01300,0000,1300SOCIAL SERVICE 428777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428777,A000000,01500,0000,1350OTHER GENERAL SERVICES 428777,A000000,01600,0000,1600SKILLED NURSING FACILITY 428777,A000000,01800,0000,1800NURSING FACILITY 428777,A000000,01810,0000,1810ICF/MR 428777,A000000,01900,0000,1900OTHER LONG TERM CARE 428777,A000000,02100,0000,2100RADIOLOGY 428777,A000000,02200,0000,2200LABORATORY 428777,A000000,02300,0000,2300INTRAVENOUS THERAPY 428777,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428777,A000000,02500,0000,2500PHYSICAL THERAPY 428777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428777,A000000,02700,0000,2700SPEECH PATHOLOGY 428777,A000000,02800,0000,2800ELECTROCARDIOLOGY 428777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428777,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428777,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428777,A000000,03200,0000,3200SUPPORT SURFACES 428777,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428777,A000000,03400,0000,3400CLINIC 428777,A000000,03500,0000,3500RURAL HEALTH CLINIC 428777,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428777,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428777,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428777,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428777,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428777,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428777,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428777,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428777,A000000,04400,0000,4400DME RENTED - HHA 428777,A000000,04500,0000,4500DME SOLD - HHA 428777,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428777,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428777,A000000,04710,0000,4710TELEMEDICINE HHA 428777,A000000,04800,0000,4800AMBULANCE 428777,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428777,A000000,05000,0000,5000CORF 428777,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428777,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428777,A000000,05300,0000,5300INTEREST EXPENSE 428777,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428777,A000000,05500,0000,5500HOSPICE 428777,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428777,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428777,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428777,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428777,A000000,06100,0000,6100NONPAID WORKERS 428777,A000000,06200,0000,6200PATIENTS LAUNDRY 428777,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428777,A81000A,00100,0100,Y 428777,A81000B,00100,0300,52-0109 WRKSHEET B 428777,A81000B,00200,0300,52-0109 WRKSHEET B 428777,A81000B,00300,0300,52-0109 WRKSHEET B 428777,A81000B,00400,0300,52-0109 WRKSHEET B 428777,A81000B,00500,0300,52-0109 WRKSHEET B 428777,A81000B,00600,0300,52-0109 WRKSHEET B 428777,A81000B,00700,0300,52-0109 WRKSHEET B 428777,A81000B,00800,0300,52-0109 WRKSHEET B 428777,A81000B,00900,0300,52-0109 WRKSHEET B 428777,A81000B,01000,0300,52-0109 WRKSHEET B 428777,A81000B,01100,0300,52-0109 WRKSHEET B 428777,A81000B,01200,0300,52-0109 WRKSHEET B 428777,A81000B,01300,0300,52-0109 WRKSHEET B 428777,A81000B,01400,0300,52-0109 WRKSHEET B 428777,A81000B,01500,0300,52-0109 WRKSHEET B 428777,A81000B,01600,0300,52-0109 WRKSHEET B 428777,A81000C,00100,0100,B 428777,A81000C,00100,0400,HESS MEMORIAL HOSPITAL 428777,A81000C,00100,0600,HOSPITAL 428777,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428777,B100000,00000,0200,0250DIRECT :CAP REL COSTS - MOVEAB 428777,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428777,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428777,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428777,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428777,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428777,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428777,S000000,00100,0200,03/16/12 428777,S200000,00100,0100,1050 DIVISION STREET 428777,S200000,00200,0100,MAUSTON 428777,S200000,00200,0200,WI 428777,S200000,00200,0300,53948 428777,S200000,00300,0100,JUNEAU 428777,S200000,00300,0200,52 428777,S200000,00300,0201,99952 428777,S200000,00300,0300,R 428777,S200000,00400,0100,CREST VIEW HOME 428777,S200000,00400,0200,525581 428777,S200000,00400,0300,11/01/01 428777,S200000,00400,0500,P 428777,S200000,01500,0100,Y 428777,S200000,01501,0200,Y 428777,S200000,01504,0200,Y 428777,S200000,01600,0100,N 428777,S200000,01700,0100,N 428777,S200000,01800,0100,N 428777,S200000,02200,0100,N 428777,S200000,02800,0100,N 428777,S200000,02900,0100,N 428777,S200000,03000,0100,N 428777,S200000,03100,0100,N 428777,S200000,03200,0100,N 428777,S200000,03300,0100,N 428777,S200000,03300,0200,N 428777,S200000,04100,0100,N 428777,S200000,04200,0100,N 428777,S200000,04300,0100,N 428777,S200000,04600,0100,N 428777,S200000,04700,0100,N 428777,S200000,04700,0200,N 428777,S200000,04900,0100,N 428777,S200000,05000,0100,N 428777,S200000,05100,0100,N 428777,S200000,05200,0100,N 428778,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428778,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428778,A000000,00300,0000,0300EMPLOYEE BENEFITS 428778,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428778,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428778,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428778,A000000,00700,0000,0700HOUSEKEEPING 428778,A000000,00800,0000,0800DIETARY 428778,A000000,00900,0000,0900NURSING ADMINISTRATION 428778,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428778,A000000,01100,0000,1100PHARMACY 428778,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428778,A000000,01300,0000,1300SOCIAL SERVICE 428778,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428778,A000000,01500,0000,1350OTHER GENERAL SERVICES 428778,A000000,01600,0000,1600SKILLED NURSING FACILITY 428778,A000000,01800,0000,1800NURSING FACILITY 428778,A000000,01810,0000,1810ICF/MR 428778,A000000,01900,0000,1900OTHER LONG TERM CARE 428778,A000000,02100,0000,2100RADIOLOGY 428778,A000000,02200,0000,2200LABORATORY 428778,A000000,02300,0000,2300INTRAVENOUS THERAPY 428778,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428778,A000000,02500,0000,2500PHYSICAL THERAPY 428778,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428778,A000000,02700,0000,2700SPEECH PATHOLOGY 428778,A000000,02800,0000,2800ELECTROCARDIOLOGY 428778,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428778,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428778,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428778,A000000,03200,0000,3200SUPPORT SURFACES 428778,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428778,A000000,03400,0000,3400CLINIC 428778,A000000,03500,0000,3500RURAL HEALTH CLINIC 428778,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428778,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428778,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428778,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428778,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428778,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428778,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428778,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428778,A000000,04400,0000,4400DME RENTED - HHA 428778,A000000,04500,0000,4500DME SOLD - HHA 428778,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428778,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428778,A000000,04710,0000,4710TELEMEDICINE 428778,A000000,04800,0000,4800AMBULANCE 428778,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428778,A000000,05000,0000,5000CORF 428778,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428778,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428778,A000000,05300,0000,5300INTEREST EXPENSE 428778,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428778,A000000,05500,0000,5500HOSPICE 428778,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428778,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428778,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428778,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428778,A000000,06100,0000,6100NONPAID WORKERS 428778,A000000,06200,0000,6200PATIENTS LAUNDRY 428778,A000000,06300,0000,6150ASSISTED LIVING 428778,A81000A,00100,0100,N 428778,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428778,B100000,00000,0200,0250EQUIP DEP :CAP REL COSTS - MOVE 428778,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428778,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428778,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428778,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428778,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428778,B100000,00000,0800,0800MEALS SERVED :DIETARY 428778,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428778,G300000,02500,0000,OTHER 428778,S000000,00100,0200,03/13/12 428778,S200000,00100,0100,2000 NORTH DEWEY STREET 428778,S200000,00200,0100,REEDSBURG 428778,S200000,00200,0200,WI 428778,S200000,00200,0300,53959 428778,S200000,00300,0100,SAUK 428778,S200000,00300,0200,52 428778,S200000,00300,0201,99952 428778,S200000,00300,0300,R 428778,S200000,00400,0100,REEDSBURG AREA SENIOR LIFE 428778,S200000,00400,0200,525667 428778,S200000,00400,0300,04/07/03 428778,S200000,00400,0500,P 428778,S200000,00400,0600,P 428778,S200000,01500,0100,Y 428778,S200000,01501,0200,Y 428778,S200000,01600,0100,N 428778,S200000,01700,0100,N 428778,S200000,01800,0100,N 428778,S200000,02200,0100,N 428778,S200000,02800,0100,N 428778,S200000,02900,0100,N 428778,S200000,03000,0100,N 428778,S200000,03100,0100,N 428778,S200000,03200,0100,N 428778,S200000,03300,0100,N 428778,S200000,03300,0200,N 428778,S200000,04100,0100,N 428778,S200000,04200,0100,N 428778,S200000,04300,0100,N 428778,S200000,04600,0100,N 428778,S200000,04700,0100,N 428778,S200000,04700,0200,N 428778,S200000,04900,0100,N 428778,S200000,05000,0100,N 428778,S200000,05100,0100,N 428778,S200000,05200,0100,N 428796,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428796,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428796,A000000,00300,0000,0300EMPLOYEE BENEFITS 428796,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428796,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428796,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428796,A000000,00700,0000,0700HOUSEKEEPING 428796,A000000,00800,0000,0800DIETARY 428796,A000000,00900,0000,0900NURSING ADMINISTRATION 428796,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428796,A000000,01100,0000,1100PHARMACY 428796,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428796,A000000,01300,0000,1300SOCIAL SERVICE 428796,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428796,A000000,01600,0000,1600SKILLED NURSING FACILITY 428796,A000000,01800,0000,1800NURSING FACILITY 428796,A000000,01900,0000,1900OTHER LONG TERM CARE 428796,A000000,02100,0000,2100RADIOLOGY 428796,A000000,02200,0000,2200LABORATORY 428796,A000000,02300,0000,2300INTRAVENOUS THERAPY 428796,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428796,A000000,02500,0000,2500PHYSICAL THERAPY 428796,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428796,A000000,02700,0000,2700SPEECH PATHOLOGY 428796,A000000,02800,0000,2800ELECTROCARDIOLOGY 428796,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428796,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428796,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428796,A000000,03200,0000,3200SUPPORT SURFACES 428796,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428796,A000000,03400,0000,3400CLINIC 428796,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428796,A000000,04800,0000,4800AMBULANCE 428796,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428796,A000000,05000,0000,5000CORF 428796,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428796,A000000,05300,0000,5300INTEREST EXPENSE 428796,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428796,A000000,05500,0000,5500HOSPICE 428796,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428796,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428796,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428796,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428796,A000000,06100,0000,6100NONPAID WORKERS 428796,A000000,06200,0000,6200PATIENTS LAUNDRY 428796,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428796,A81000A,00100,0100,Y 428796,A81000B,00100,0300,NURSING CONSULTING 428796,A81000B,00200,0300,DIETARY CONSULTING 428796,A81000B,00300,0300,HOME OFFICE 428796,A81000B,00400,0300,INTEREST EXPENSE 428796,A81000B,00500,0300,WORKERS COMP EXPENSE 428796,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 428796,A81000B,00700,0300,COPIER 428796,A81000B,00800,0300,LINEN & BEDDING 428796,A81000B,00900,0300,LAUNDRY SUPPLIES 428796,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 428796,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 428796,A81000B,01200,0300,DIETARY SUPPLEMENTS 428796,A81000B,01300,0300,DIETARY SUPPLIES 428796,A81000B,01400,0300,BIO-MEDICAL WASTE 428796,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 428796,A81000B,01600,0300,PERSONAL CARE SUPPLIES 428796,A81000B,01700,0300,INCONTINENCE SUPPLIES 428796,A81000B,01800,0300,MEDICAL SUPPLIES 428796,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 428796,A81000B,02000,0300,PHYSICAL THERAPY SUPPLIES 428796,A81000B,02100,0300,OCCUPATIONAL THERAPY SUPPLIES 428796,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 428796,A81000B,02300,0300,NURSING EQUIPMENT RENTAL 428796,A81000B,02400,0300,NON-LEGEND DRUGS 428796,A81000B,02500,0300,PHARMACY CONSULTANT 428796,A81000B,02600,0300,SUPPLIES 428796,A81000B,02700,0300,LEGEND DRUGS 428796,A81000B,02800,0300,OFFICE SUPPLIES 428796,A81000B,02900,0300,REPAIRS - BUILDING 428796,A81000C,00100,0100,B 428796,A81000C,00100,0400,BRITTHAVEN INC 428796,A81000C,00100,0600,MGMT SERVICES 428796,A81000C,00200,0100,B 428796,A81000C,00200,0400,BRITTHAVEN INC 428796,A81000C,00200,0600,MGMT SERVICES 428796,A81000C,00300,0100,B 428796,A81000C,00300,0400,BRITTHAVEN INC 428796,A81000C,00300,0600,MGMT SERVICES 428796,A81000C,00400,0100,B 428796,A81000C,00400,0400,BRITTHAVEN INC 428796,A81000C,00400,0600,MGMT SERVICES 428796,A81000C,00500,0100,A 428796,A81000C,00500,0200,DISCOVERY INSUR 428796,A81000C,00500,0600,INSURANCE 428796,A81000C,00600,0100,A 428796,A81000C,00600,0200,QUEENSLAND ASSU 428796,A81000C,00600,0600,INSURANCE 428796,A81000C,00700,0100,B 428796,A81000C,00700,0400,KARE MEDICAL 428796,A81000C,00700,0600,WHOLESALE SUPPL 428796,A81000C,00800,0100,B 428796,A81000C,00800,0400,KARE MEDICAL 428796,A81000C,00800,0600,WHOLESALE SUPPL 428796,A81000C,00900,0100,B 428796,A81000C,00900,0400,KARE MEDICAL 428796,A81000C,00900,0600,WHOLESALE SUPPL 428796,A81000C,01000,0100,B 428796,A81000C,01000,0400,KARE MEDICAL 428796,A81000C,01000,0600,WHOLESALE SUPPL 428796,A81000C,01001,0100,B 428796,A81000C,01001,0400,KARE MEDICAL 428796,A81000C,01001,0600,WHOLESALE SUPPL 428796,A81000C,01002,0100,B 428796,A81000C,01002,0400,KARE MEDICAL 428796,A81000C,01002,0600,WHOLESALE SUPPL 428796,A81000C,01003,0100,B 428796,A81000C,01003,0400,KARE MEDICAL 428796,A81000C,01003,0600,WHOLESALE SUPPL 428796,A81000C,01004,0100,B 428796,A81000C,01004,0400,KARE MEDICAL 428796,A81000C,01004,0600,WHOLESALE SUPPL 428796,A81000C,01005,0100,B 428796,A81000C,01005,0400,KARE MEDICAL 428796,A81000C,01005,0600,WHOLESALE SUPPL 428796,A81000C,01006,0100,B 428796,A81000C,01006,0400,KARE MEDICAL 428796,A81000C,01006,0600,WHOLESALE SUPPL 428796,A81000C,01007,0100,B 428796,A81000C,01007,0400,KARE MEDICAL 428796,A81000C,01007,0600,WHOLESALE SUPPL 428796,A81000C,01008,0100,B 428796,A81000C,01008,0400,KARE MEDICAL 428796,A81000C,01008,0600,WHOLESALE SUPPL 428796,A81000C,01009,0100,B 428796,A81000C,01009,0400,KARE MEDICAL 428796,A81000C,01009,0600,WHOLESALE SUPPL 428796,A81000C,01010,0100,B 428796,A81000C,01010,0400,KARE MEDICAL 428796,A81000C,01010,0600,WHOLESALE SUPPL 428796,A81000C,01011,0100,B 428796,A81000C,01011,0400,KARE MEDICAL 428796,A81000C,01011,0600,WHOLESALE SUPPL 428796,A81000C,01012,0100,B 428796,A81000C,01012,0400,KARE MEDICAL 428796,A81000C,01012,0600,WHOLESALE SUPPL 428796,A81000C,01013,0100,B 428796,A81000C,01013,0400,PHARMSAVE 428796,A81000C,01013,0600,RX SUPPLY 428796,A81000C,01014,0100,B 428796,A81000C,01014,0400,PHARMSAVE 428796,A81000C,01014,0600,RX SUPPLY 428796,A81000C,01015,0100,B 428796,A81000C,01015,0400,PHARMSAVE 428796,A81000C,01015,0600,RX SUPPLY 428796,A81000C,01016,0100,B 428796,A81000C,01016,0400,PHARMSAVE 428796,A81000C,01016,0600,RX SUPPLY 428796,A81000C,01017,0100,B 428796,A81000C,01017,0400,PHARMSAVE 428796,A81000C,01017,0600,RX SUPPLY 428796,A81000C,01018,0100,B 428796,A81000C,01018,0400,ROBERT HILL CON 428796,A81000C,01018,0600,CONSTRUCTION 428796,A81000C,01019,0100,B 428796,A81000C,01019,0400,ROBERT HILL CON 428796,A81000C,01019,0600,CONSTRUCTION 428796,A81000C,01020,0100,B 428796,A81000C,01020,0400,ROBERT HILL CON 428796,A81000C,01020,0600,CONSTRUCTION 428796,A81000C,01021,0100,A 428796,A81000C,01021,0400,NEIL REALTY 428796,A81000C,01021,0600,REAL ESTATE 428796,A81000C,01022,0100,A 428796,A81000C,01022,0400,NEIL REALTY 428796,A81000C,01022,0600,REAL ESTATE 428796,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428796,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428796,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428796,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428796,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428796,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428796,B100000,00000,0800,0800MEALS SERVED :DIETARY 428796,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428796,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428796,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428796,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428796,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428796,G300000,02500,0000, OTHER (SPECIFY) 428796,S000000,00100,0200,08/11/11 428796,S200000,00100,0100,208 CARY STREET 428796,S200000,00200,0100,ENFIELD 428796,S200000,00200,0200,NC 428796,S200000,00200,0300,27823 428796,S200000,00300,0100,HALIFAX 428796,S200000,00300,0201,99934 428796,S200000,00300,0300,R 428796,S200000,00400,0100,BRITTHAVEN OF ENFIELD 428796,S200000,00400,0200,345101 428796,S200000,00400,0300,08/01/79 428796,S200000,00400,0500,P 428796,S200000,01500,0100,Y 428796,S200000,01501,0200,Y 428796,S200000,01502,0200,Y 428796,S200000,01503,0200,Y 428796,S200000,01504,0200,Y 428796,S200000,01505,0000,OTHER (SPECIFY) 428796,S200000,01505,0200,Y 428796,S200000,01600,0100,N 428796,S200000,01700,0100,N 428796,S200000,01800,0100,N 428796,S200000,02200,0100,N 428796,S200000,02800,0100,N 428796,S200000,02900,0100,N 428796,S200000,03000,0100,N 428796,S200000,03100,0100,Y 428796,S200000,03200,0100,N 428796,S200000,03300,0100,N 428796,S200000,03300,0200,N 428796,S200000,04100,0100,N 428796,S200000,04200,0100,N 428796,S200000,04300,0100,N 428796,S200000,04600,0100,N 428796,S200000,04700,0100,N 428796,S200000,04700,0200,N 428796,S200000,04900,0100,N 428796,S200000,05000,0100,N 428796,S200000,05100,0100,N 428796,S200000,05200,0100,N 428796,S200000,05300,0100,Y 428796,S200000,05300,0200,349011 428796,S200000,05400,0100,BRITTHAVEN INC. 428796,S200000,05400,0200,PALMETTO GBA 428796,S200000,05400,0300,11501 428796,S200000,05500,0100,1435 HWY 258 NORTH 428796,S200000,05500,0200,PO BOX 61 428796,S200000,05600,0100,KINSTON 428796,S200000,05600,0200,NC 428796,S200000,05600,0300,28502 428798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428798,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428798,A000000,00300,0000,0300EMPLOYEE BENEFITS 428798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428798,A000000,00700,0000,0700HOUSEKEEPING 428798,A000000,00800,0000,0800DIETARY 428798,A000000,00900,0000,0900NURSING ADMINISTRATION 428798,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428798,A000000,01100,0000,1100PHARMACY 428798,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428798,A000000,01300,0000,1300SOCIAL SERVICE 428798,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428798,A000000,01600,0000,1600SKILLED NURSING FACILITY 428798,A000000,01800,0000,1800NURSING FACILITY 428798,A000000,01900,0000,1900OTHER LONG TERM CARE 428798,A000000,02100,0000,2100RADIOLOGY 428798,A000000,02200,0000,2200LABORATORY 428798,A000000,02300,0000,2300INTRAVENOUS THERAPY 428798,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428798,A000000,02500,0000,2500PHYSICAL THERAPY 428798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428798,A000000,02700,0000,2700SPEECH PATHOLOGY 428798,A000000,02800,0000,2800ELECTROCARDIOLOGY 428798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428798,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428798,A000000,03200,0000,3200SUPPORT SURFACES 428798,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428798,A000000,03400,0000,3400CLINIC 428798,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428798,A000000,04800,0000,4800AMBULANCE 428798,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428798,A000000,05000,0000,5000CORF 428798,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428798,A000000,05300,0000,5300INTEREST EXPENSE 428798,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428798,A000000,05500,0000,5500HOSPICE 428798,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428798,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428798,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428798,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428798,A000000,06100,0000,6100NONPAID WORKERS 428798,A000000,06200,0000,6200PATIENTS LAUNDRY 428798,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428798,A81000A,00100,0100,Y 428798,A81000B,00100,0300,NURSING CONSULTING 428798,A81000B,00200,0300,DIETARY CONSULTING 428798,A81000B,00300,0300,HOME OFFICE 428798,A81000B,00400,0300,INTEREST EXPENSE 428798,A81000B,00500,0300,WORKERS COMP EXPENSE 428798,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 428798,A81000B,00700,0300,MAINTENANCE SUPPLIES 428798,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 428798,A81000B,00900,0300,LINEN & BEDDING 428798,A81000B,01000,0300,LAUNDRY SUPPLIES 428798,A81000B,01100,0300,HSKP SUPPLIES 428798,A81000B,01200,0300,DIETARY SUPPLEMENTS 428798,A81000B,01300,0300,DIETARY SUPPLIES 428798,A81000B,01400,0300,BIO-MEDICAL WASTE 428798,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 428798,A81000B,01600,0300,PERSONAL CARE SUPPLIES 428798,A81000B,01700,0300,INCONTINENCE SUPPLIES 428798,A81000B,01800,0300,MEDICAL SUPPLIES 428798,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 428798,A81000B,02000,0300,PT SUPPLIES 428798,A81000B,02100,0300,OT SUPPLIES 428798,A81000B,02200,0300,SP SUPPLIES 428798,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 428798,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 428798,A81000B,02500,0300,NON-LEGEND DRUGS 428798,A81000B,02600,0300,PHARMACY CONSULTANT 428798,A81000B,02700,0300,MED REC SUPPLIES 428798,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 428798,A81000B,02900,0300,LEGEND DRUGS 428798,A81000C,00100,0100,B 428798,A81000C,00100,0400,BRITTHAVEN INC 428798,A81000C,00100,0600,MGMT SERVICES 428798,A81000C,00200,0100,B 428798,A81000C,00200,0400,BRITTHAVEN INC 428798,A81000C,00200,0600,MGMT SERVICES 428798,A81000C,00300,0100,B 428798,A81000C,00300,0400,BRITTHAVEN INC 428798,A81000C,00300,0600,MGMT SERVICES 428798,A81000C,00400,0100,B 428798,A81000C,00400,0400,BRITTHAVEN INC 428798,A81000C,00400,0600,MGMT SERVICES 428798,A81000C,00500,0100,A 428798,A81000C,00500,0200,DISCOVERY INSUR 428798,A81000C,00500,0600,INSURANCE 428798,A81000C,00600,0100,A 428798,A81000C,00600,0200,QUEENSLAND ASSU 428798,A81000C,00600,0600,INSURANCE 428798,A81000C,00700,0100,B 428798,A81000C,00700,0400,KARE MEDICAL 428798,A81000C,00700,0600,WHOLESALE SUPPL 428798,A81000C,00800,0100,B 428798,A81000C,00800,0400,KARE MEDICAL 428798,A81000C,00800,0600,WHOLESALE SUPPL 428798,A81000C,00900,0100,B 428798,A81000C,00900,0400,KARE MEDICAL 428798,A81000C,00900,0600,WHOLESALE SUPPL 428798,A81000C,01000,0100,B 428798,A81000C,01000,0400,KARE MEDICAL 428798,A81000C,01000,0600,WHOLESALE SUPPL 428798,A81000C,01001,0100,B 428798,A81000C,01001,0400,KARE MEDICAL 428798,A81000C,01001,0600,WHOLESALE SUPPL 428798,A81000C,01002,0100,B 428798,A81000C,01002,0400,KARE MEDICAL 428798,A81000C,01002,0600,WHOLESALE SUPPL 428798,A81000C,01003,0100,B 428798,A81000C,01003,0400,KARE MEDICAL 428798,A81000C,01003,0600,WHOLESALE SUPPL 428798,A81000C,01004,0100,B 428798,A81000C,01004,0400,KARE MEDICAL 428798,A81000C,01004,0600,WHOLESALE SUPPL 428798,A81000C,01005,0100,B 428798,A81000C,01005,0400,KARE MEDICAL 428798,A81000C,01005,0600,WHOLESALE SUPPL 428798,A81000C,01006,0100,B 428798,A81000C,01006,0400,KARE MEDICAL 428798,A81000C,01006,0600,WHOLESALE SUPPL 428798,A81000C,01007,0100,B 428798,A81000C,01007,0400,KARE MEDICAL 428798,A81000C,01007,0600,WHOLESALE SUPPL 428798,A81000C,01008,0100,B 428798,A81000C,01008,0400,KARE MEDICAL 428798,A81000C,01008,0600,WHOLESALE SUPPL 428798,A81000C,01009,0100,B 428798,A81000C,01009,0400,KARE MEDICAL 428798,A81000C,01009,0600,WHOLESALE SUPPL 428798,A81000C,01010,0100,B 428798,A81000C,01010,0400,KARE MEDICAL 428798,A81000C,01010,0600,WHOLESALE SUPPL 428798,A81000C,01011,0100,B 428798,A81000C,01011,0400,KARE MEDICAL 428798,A81000C,01011,0600,WHOLESALE SUPPL 428798,A81000C,01012,0100,B 428798,A81000C,01012,0400,KARE MEDICAL 428798,A81000C,01012,0600,WHOLESALE SUPPL 428798,A81000C,01013,0100,B 428798,A81000C,01013,0400,KARE MEDICAL 428798,A81000C,01013,0600,WHOLESALE SUPPL 428798,A81000C,01014,0100,B 428798,A81000C,01014,0400,PHARMSAVE 428798,A81000C,01014,0600,RX SUPPLY 428798,A81000C,01015,0100,B 428798,A81000C,01015,0400,PHARMSAVE 428798,A81000C,01015,0600,RX SUPPLY 428798,A81000C,01016,0100,B 428798,A81000C,01016,0400,PHARMSAVE 428798,A81000C,01016,0600,RX SUPPLY 428798,A81000C,01017,0100,B 428798,A81000C,01017,0400,PHARMSAVE 428798,A81000C,01017,0600,RX SUPPLY 428798,A81000C,01018,0100,B 428798,A81000C,01018,0400,PHARMSAVE 428798,A81000C,01018,0600,RX SUPPLY 428798,A81000C,01019,0100,B 428798,A81000C,01019,0400,PHARMSAVE 428798,A81000C,01019,0600,RX SUPPLY 428798,A81000C,01020,0100,B 428798,A81000C,01020,0400,ROBERT HILL CON 428798,A81000C,01020,0600,CONSTRUCTION 428798,A81000C,01021,0100,B 428798,A81000C,01021,0400,ROBERT HILL CON 428798,A81000C,01021,0600,CONSTRUCTION 428798,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428798,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428798,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428798,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428798,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428798,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428798,B100000,00000,0800,0800MEALS SERVED :DIETARY 428798,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428798,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428798,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428798,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428798,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428798,E10A180,00550,0100,08/08/11 428798,G300000,02500,0000, OTHER (SPECIFY) 428798,S000000,00100,0200,08/08/11 428798,S200000,00100,0100,3195 OLD MURPHY ROAD 428798,S200000,00200,0100,FRANKLIN 428798,S200000,00200,0200,NC 428798,S200000,00200,0300,28744 428798,S200000,00300,0100,MACON 428798,S200000,00300,0201,99934 428798,S200000,00300,0300,R 428798,S200000,00400,0100,BRITTHAVEN OF FRANKLIN 428798,S200000,00400,0200,345263 428798,S200000,00400,0300,07/14/87 428798,S200000,00400,0500,P 428798,S200000,01500,0100,Y 428798,S200000,01501,0200,Y 428798,S200000,01502,0200,Y 428798,S200000,01503,0200,Y 428798,S200000,01504,0200,Y 428798,S200000,01505,0000,OTHER (SPECIFY) 428798,S200000,01505,0200,Y 428798,S200000,01600,0100,N 428798,S200000,01700,0100,N 428798,S200000,01800,0100,N 428798,S200000,02200,0100,N 428798,S200000,02800,0100,N 428798,S200000,02900,0100,N 428798,S200000,03000,0100,N 428798,S200000,03100,0100,Y 428798,S200000,03200,0100,N 428798,S200000,03300,0100,N 428798,S200000,03300,0200,N 428798,S200000,04100,0100,N 428798,S200000,04200,0100,N 428798,S200000,04300,0100,N 428798,S200000,04600,0100,N 428798,S200000,04700,0100,N 428798,S200000,04700,0200,N 428798,S200000,04900,0100,N 428798,S200000,05000,0100,N 428798,S200000,05100,0100,N 428798,S200000,05200,0100,N 428798,S200000,05300,0100,Y 428798,S200000,05300,0200,349011 428798,S200000,05400,0100,BRITTHAVEN INC. 428798,S200000,05400,0200,PALMETTO GBA 428798,S200000,05400,0300,11501 428798,S200000,05500,0100,1435 HWY 258 NORTH 428798,S200000,05600,0100,KINSTON 428798,S200000,05600,0200,NC 428798,S200000,05600,0300,28502 428803,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428803,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428803,A000000,00300,0000,0300EMPLOYEE BENEFITS 428803,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428803,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428803,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428803,A000000,00700,0000,0700HOUSEKEEPING 428803,A000000,00800,0000,0800DIETARY 428803,A000000,00900,0000,0900NURSING ADMINISTRATION 428803,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428803,A000000,01100,0000,1100PHARMACY 428803,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428803,A000000,01300,0000,1300SOCIAL SERVICE 428803,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428803,A000000,01500,0000,1350ACTIVITIES 428803,A000000,01600,0000,1600SKILLED NURSING FACILITY 428803,A000000,01810,0000,1810ICF/MR 428803,A000000,02100,0000,2100RADIOLOGY 428803,A000000,02200,0000,2200LABORATORY 428803,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428803,A000000,02500,0000,2500PHYSICAL THERAPY 428803,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428803,A000000,02700,0000,2700SPEECH PATHOLOGY 428803,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428803,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428803,A000000,03550,0000,3550FQHC 428803,A000000,04800,0000,4800AMBULANCE 428803,A000000,05000,0000,5000CORF 428803,A000000,05010,0000,5010CMHC 428803,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428803,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428803,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428803,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428803,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 428803,A81000A,00100,0100,Y 428803,A81000B,00100,0300,PHYSICAL THERAPY 428803,A81000B,00200,0300,OCCUPATION THERAPY 428803,A81000B,00300,0300,SPEECH THERAPY 428803,A81000B,00400,0300,DIETARY 428803,A81000B,00500,0300,RESPIRATORY THERAPY 428803,A81000B,00600,0300,RESPIRATORY THERAPY 428803,A81000B,00700,0300,MEDICAL DIRECTOR 428803,A81000B,00800,0300,ADMINISTRATION - HO 428803,A81000B,00900,0300,INTEREST - HO 428803,A81000C,00100,0100,B 428803,A81000C,00100,0200,GENESIS REHAB 428803,A81000C,00100,0400,GENESIS HEALTHC 428803,A81000C,00100,0600,REHAB SERVICES 428803,A81000C,00200,0100,B 428803,A81000C,00200,0200,GENESIS REHAB 428803,A81000C,00200,0400,GENESIS HEALTHC 428803,A81000C,00200,0600,REHAB SERVICES 428803,A81000C,00300,0100,B 428803,A81000C,00300,0200,GENESIS REHAB 428803,A81000C,00300,0400,GENESIS HEALTHC 428803,A81000C,00300,0600,REHAB SERVICES 428803,A81000C,00400,0100,B 428803,A81000C,00400,0200,GENESIS HOSPITA 428803,A81000C,00400,0400,GENESIS HEALTHC 428803,A81000C,00400,0600,CONSULTING SERV 428803,A81000C,00500,0100,B 428803,A81000C,00500,0200,RESPIRATORY HEA 428803,A81000C,00500,0400,GENESIS HEALTHC 428803,A81000C,00500,0600,RESPIRATORY SER 428803,A81000C,00600,0100,B 428803,A81000C,00600,0200,RESPIRATORY HEA 428803,A81000C,00600,0400,GENESIS HEALTHC 428803,A81000C,00600,0600,RESPIRATORY SER 428803,A81000C,00700,0100,B 428803,A81000C,00700,0200,GENESIS PHYSICI 428803,A81000C,00700,0400,GENESIS HEALTHC 428803,A81000C,00700,0600,MEDICAL DIRECTO 428803,A81000C,00800,0100,B 428803,A81000C,00800,0200,GENESIS HEALTHC 428803,A81000C,00800,0600,MANAGEMENT COMP 428803,A81000C,00900,0100,B 428803,A81000C,00900,0200,GENESIS HEALTHC 428803,A81000C,00900,0600,MANAGEMENT COMP 428803,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428803,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428803,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428803,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428803,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428803,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428803,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428803,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428803,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428803,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428803,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428803,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428803,G300000,02500,0000,MISCELLANEOUS REVENUE 428803,G300000,02501,0000,BARBER/BEAUTY REVENUE 428803,S000000,00100,0200,12/09/11 428803,S200000,00100,0100,161 BAKERS RIDGE ROAD 428803,S200000,00200,0100,MORGANTOWN 428803,S200000,00200,0200,WV 428803,S200000,00200,0300,26505 428803,S200000,00300,0100,MONONGALIA 428803,S200000,00300,0201,34060 428803,S200000,00300,0300,U 428803,S200000,00400,0100,THE MADISON CENTER 428803,S200000,00400,0200,515104 428803,S200000,00400,0300,10/11/89 428803,S200000,00400,0500,P 428803,S200000,01500,0100,Y 428803,S200000,01501,0200,Y 428803,S200000,01502,0200,N 428803,S200000,01504,0200,N 428803,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 428803,S200000,01505,0200,Y 428803,S200000,01600,0100,N 428803,S200000,01700,0100,N 428803,S200000,01800,0100,N 428803,S200000,02200,0100,Y 428803,S200000,02800,0100,N 428803,S200000,02900,0100,N 428803,S200000,03000,0100,N 428803,S200000,03100,0100,N 428803,S200000,03200,0100,N 428803,S200000,03300,0100,N 428803,S200000,03300,0200,N 428803,S200000,04100,0100,N 428803,S200000,04200,0100,N 428803,S200000,04300,0100,N 428803,S200000,04600,0100,N 428803,S200000,04700,0100,N 428803,S200000,04700,0200,N 428803,S200000,04900,0100,N 428803,S200000,05000,0100,N 428803,S200000,05100,0100,N 428803,S200000,05200,0100,N 428803,S200000,05300,0100,Y 428803,S200000,05300,0200,HB0067 428803,S200000,05400,0100,GENESIS HEALTHCARE CORP 428803,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428803,S200000,05400,0300,12001 428803,S200000,05500,0100,101 EAST STATE STREET 428803,S200000,05600,0100,KENNETT SQUARE 428803,S200000,05600,0200,PA 428803,S200000,05600,0300,19348 428807,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428807,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428807,A000000,00300,0000,0300EMPLOYEE BENEFITS 428807,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428807,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428807,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428807,A000000,00700,0000,0700HOUSEKEEPING 428807,A000000,00800,0000,0800DIETARY 428807,A000000,00900,0000,0900NURSING ADMINISTRATION 428807,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428807,A000000,01100,0000,1100PHARMACY 428807,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428807,A000000,01300,0000,1300SOCIAL SERVICE 428807,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428807,A000000,01500,0000,1350OTHER GENERAL SERVICES 428807,A000000,01600,0000,1600SKILLED NURSING FACILITY 428807,A000000,01800,0000,1800NURSING FACILITY 428807,A000000,01810,0000,1810ICF/MR 428807,A000000,01900,0000,1900OTHER LONG TERM CARE 428807,A000000,02100,0000,2100RADIOLOGY 428807,A000000,02200,0000,2200LABORATORY 428807,A000000,02300,0000,2300INTRAVENOUS THERAPY 428807,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428807,A000000,02500,0000,2500PHYSICAL THERAPY 428807,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428807,A000000,02700,0000,2700SPEECH PATHOLOGY 428807,A000000,02800,0000,2800ELECTROCARDIOLOGY 428807,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428807,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428807,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428807,A000000,03200,0000,3200SUPPORT SURFACES 428807,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428807,A000000,03400,0000,3400CLINIC 428807,A000000,03500,0000,3500RURAL HEALTH CLINIC 428807,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428807,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428807,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428807,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428807,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428807,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428807,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428807,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428807,A000000,04400,0000,4400DME RENTED - HHA 428807,A000000,04500,0000,4500DME SOLD - HHA 428807,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428807,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428807,A000000,04800,0000,4800AMBULANCE 428807,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428807,A000000,05000,0000,5000CORF 428807,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428807,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428807,A000000,05300,0000,5300INTEREST EXPENSE 428807,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428807,A000000,05500,0000,5500HOSPICE 428807,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428807,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428807,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428807,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428807,A000000,06100,0000,6100NONPAID WORKERS 428807,A000000,06200,0000,6200PATIENTS LAUNDRY 428807,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428807,A81000A,00100,0100,Y 428807,A81000B,00100,0300,POOLED - CAPITAL RELATED 428807,A81000B,00200,0300,POOLED - CAPITAL RELATED 428807,A81000B,00300,0300,POOLED - HOME OFFICE 428807,A81000C,00100,0100,B 428807,A81000C,00100,0200,MEDICALODGES INC 428807,A81000C,00100,0600,HEALTHCARE 428807,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428807,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428807,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428807,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428807,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428807,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428807,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428807,B100000,00000,0800,0800MEALS SERVED :DIETARY 428807,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428807,E10A180,00301,0100,10/31/11 428807,E10A180,00303,0100,04/28/11 428807,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 428807,G300000,02501,0000,FINANCE CHARGE 428807,G300000,02502,0000,MEDICAID INCOME ADJM (2000 2010) 428807,G300000,02503,0000,MEDICAID INCOME ADJM (2001 2011) 428807,S000000,00100,0200,04/03/12 428807,S200000,00100,0100,2520 SOUTH ROUSE 428807,S200000,00200,0100,PITTSBURG 428807,S200000,00200,0200,KS 428807,S200000,00200,0300,66762-6605 428807,S200000,00300,0100,CRAWFORD 428807,S200000,00300,0200,17 428807,S200000,00300,0201,99917 428807,S200000,00300,0300,R 428807,S200000,00400,0100,MEDICALODGE SOUTH OF PITTSBURG 428807,S200000,00400,0200,175070 428807,S200000,00400,0300,06/01/93 428807,S200000,00400,0500,P 428807,S200000,01500,0100,Y 428807,S200000,01501,0200,N 428807,S200000,01600,0100,N 428807,S200000,01700,0100,N 428807,S200000,01800,0100,N 428807,S200000,02200,0100,N 428807,S200000,02800,0100,N 428807,S200000,02900,0100,N 428807,S200000,03000,0100,N 428807,S200000,03100,0100,N 428807,S200000,03200,0100,N 428807,S200000,03300,0100,N 428807,S200000,03300,0200,N 428807,S200000,04100,0100,N 428807,S200000,04200,0100,N 428807,S200000,04300,0100,N 428807,S200000,04600,0100,N 428807,S200000,04700,0100,N 428807,S200000,04700,0200,N 428807,S200000,04900,0100,N 428807,S200000,05000,0100,N 428807,S200000,05100,0100,N 428807,S200000,05200,0100,N 428808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428808,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428808,A000000,00300,0000,0300EMPLOYEE BENEFITS 428808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428808,A000000,00700,0000,0700HOUSEKEEPING 428808,A000000,00800,0000,0800DIETARY 428808,A000000,00900,0000,0900NURSING ADMINISTRATION 428808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428808,A000000,01100,0000,1100PHARMACY 428808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428808,A000000,01300,0000,1300SOCIAL SERVICE 428808,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428808,A000000,01500,0000,1350OTHER GENERAL SERVICES 428808,A000000,01600,0000,1600SKILLED NURSING FACILITY 428808,A000000,01800,0000,1800NURSING FACILITY 428808,A000000,01810,0000,1810ICF/MR 428808,A000000,01900,0000,1900OTHER LONG TERM CARE 428808,A000000,02100,0000,2100RADIOLOGY 428808,A000000,02200,0000,2200LABORATORY 428808,A000000,02300,0000,2300INTRAVENOUS THERAPY 428808,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428808,A000000,02500,0000,2500PHYSICAL THERAPY 428808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428808,A000000,02700,0000,2700SPEECH PATHOLOGY 428808,A000000,02800,0000,2800ELECTROCARDIOLOGY 428808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428808,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428808,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428808,A000000,03200,0000,3200SUPPORT SURFACES 428808,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428808,A000000,03400,0000,3400CLINIC 428808,A000000,03500,0000,3500RURAL HEALTH CLINIC 428808,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428808,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428808,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428808,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428808,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428808,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428808,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428808,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428808,A000000,04400,0000,4400DME RENTED - HHA 428808,A000000,04500,0000,4500DME SOLD - HHA 428808,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428808,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428808,A000000,04710,0000,4710TELEMEDICINE 428808,A000000,04800,0000,4800AMBULANCE 428808,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428808,A000000,05000,0000,5000CORF 428808,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428808,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428808,A000000,05300,0000,5300INTEREST EXPENSE 428808,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428808,A000000,05500,0000,5500HOSPICE 428808,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428808,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428808,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428808,A000000,06100,0000,6100NONPAID WORKERS 428808,A000000,06200,0000,6200PATIENTS LAUNDRY 428808,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428808,A81000A,00100,0100,Y 428808,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 428808,A81000B,00200,0300,CAP REL COSTS - MOVABLE EQUIPMENT 428808,A81000B,00300,0300,GENERAL AND ADMINISTRATIVE 428808,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428808,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428808,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428808,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428808,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428808,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428808,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428808,B100000,00000,0800,0800MEALS SERVED :DIETARY 428808,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428808,E10A180,00301,0100,10/31/11 428808,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 428808,G300000,02501,0000,MCAID INCOME ADJ 2010 428808,G300000,02502,0000,MCAID INCOME ADJ 2011 428808,G300000,02503,0000,MCARE INCOME ADJ PRIOR YEARS 428808,G300000,02504,0000,STATE REDUCTION TO MEDICAID 428808,G300000,02505,0000,FINANCE CHARGE 428808,S000000,00100,0200,04/03/12 428808,S200000,00100,0100,501 ASSEMBLY LANDE 428808,S200000,00200,0100,PAOLA 428808,S200000,00200,0200,KS 428808,S200000,00200,0300,66071-1854 428808,S200000,00300,0100,MIAMI 428808,S200000,00300,0200,3760 428808,S200000,00300,0201,28140 428808,S200000,00300,0300,U 428808,S200000,00400,0100,MEDICALODGES PAOLA 428808,S200000,00400,0200,175413 428808,S200000,00400,0300,02/01/97 428808,S200000,00400,0500,P 428808,S200000,01500,0100,Y 428808,S200000,01501,0200,Y 428808,S200000,01600,0100,N 428808,S200000,01700,0100,N 428808,S200000,01800,0100,N 428808,S200000,02200,0100,N 428808,S200000,02800,0100,N 428808,S200000,02900,0100,N 428808,S200000,03000,0100,N 428808,S200000,03100,0100,N 428808,S200000,03200,0100,N 428808,S200000,03300,0100,N 428808,S200000,03300,0200,N 428808,S200000,04100,0100,N 428808,S200000,04200,0100,N 428808,S200000,04300,0100,N 428808,S200000,04600,0100,N 428808,S200000,04700,0100,N 428808,S200000,04700,0200,N 428808,S200000,04900,0100,N 428808,S200000,05000,0100,N 428808,S200000,05100,0100,N 428808,S200000,05200,0100,N 428808,S200000,05300,0100,Y 428808,S200000,05300,0200,HO8004 428808,S200000,05400,0100,MEDICALODGES INC 428808,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 428808,S200000,05400,0300,05201 428808,S200000,05500,0200,509 428808,S200000,05600,0100,COFFEYVILLE 428808,S200000,05600,0200,KS 428808,S200000,05600,0300,67337 428811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428811,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428811,A000000,00300,0000,0300EMPLOYEE BENEFITS 428811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428811,A000000,00700,0000,0700HOUSEKEEPING 428811,A000000,00800,0000,0800DIETARY 428811,A000000,00900,0000,0900NURSING ADMINISTRATION 428811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428811,A000000,01100,0000,1100PHARMACY 428811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428811,A000000,01300,0000,1300SOCIAL SERVICE 428811,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428811,A000000,01600,0000,1600SKILLED NURSING FACILITY 428811,A000000,01800,0000,1800NURSING FACILITY 428811,A000000,01900,0000,1900OTHER LONG TERM CARE 428811,A000000,02100,0000,2100RADIOLOGY 428811,A000000,02200,0000,2200LABORATORY 428811,A000000,02300,0000,2300INTRAVENOUS THERAPY 428811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428811,A000000,02500,0000,2500PHYSICAL THERAPY 428811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428811,A000000,02700,0000,2700SPEECH PATHOLOGY 428811,A000000,02800,0000,2800ELECTROCARDIOLOGY 428811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428811,A000000,03200,0000,3200SUPPORT SURFACES 428811,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428811,A000000,03400,0000,3400CLINIC 428811,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428811,A000000,04800,0000,4800AMBULANCE 428811,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428811,A000000,05000,0000,5000CORF 428811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428811,A000000,05300,0000,5300INTEREST EXPENSE 428811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428811,A000000,05500,0000,5500HOSPICE 428811,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428811,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428811,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428811,A000000,06100,0000,6100NONPAID WORKERS 428811,A000000,06200,0000,6200PATIENTS LAUNDRY 428811,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428811,A81000A,00100,0100,Y 428811,A81000B,00100,0300,NURSING CONSULTING 428811,A81000B,00200,0300,DIETARY CONSULTING 428811,A81000B,00300,0300,HOME OFFICE 428811,A81000B,00400,0300,INTEREST EXPENSE 428811,A81000B,00500,0300,WORKERS COMP EXPENSE 428811,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 428811,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 428811,A81000B,00800,0300,REPAIRS-EQUIPMENT 428811,A81000B,00900,0300,REPAIRS-GROUNDS 428811,A81000B,01000,0300,LINEN & BEDDING 428811,A81000B,01100,0300,LAUNDRY SUPPLIES 428811,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 428811,A81000B,01300,0300,PAPER PRODUCTS & HAND SOAP 428811,A81000B,01400,0300,HSKP SUPPLIES 428811,A81000B,01500,0300,DIETARY SUPPLEMENTS 428811,A81000B,01600,0300,DIETARY SUPPLIES 428811,A81000B,01700,0300,BIO-MEDICAL WASTE 428811,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 428811,A81000B,01900,0300,PERSONAL CARE SUPPLIES 428811,A81000B,02000,0300,INCONTINENCE SUPPLIES 428811,A81000B,02100,0300,MEDICAL SUPPLIES 428811,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 428811,A81000B,02300,0300,RT SUPPLIES 428811,A81000B,02400,0300,MINOR EQUIPMENT EXPENSE 428811,A81000B,02500,0300,PT SUPPLIES 428811,A81000B,02600,0300,OT SUPPLIES 428811,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 428811,A81000B,02800,0300,NURSING EQUIPMENT RENTAL 428811,A81000B,02900,0300,NON-LEGEND DRUGS 428811,A81000C,00100,0100,B 428811,A81000C,00100,0400,BRITTHAVEN INC 428811,A81000C,00100,0600,MGMT SERVICES 428811,A81000C,00200,0100,B 428811,A81000C,00200,0400,BRITTHAVEN INC 428811,A81000C,00200,0600,MGMT SERVICES 428811,A81000C,00300,0100,B 428811,A81000C,00300,0400,BRITTHAVEN INC 428811,A81000C,00300,0600,MGMT SERVICES 428811,A81000C,00400,0100,B 428811,A81000C,00400,0400,BRITTHAVEN INC 428811,A81000C,00400,0600,MGMT SERVICES 428811,A81000C,00500,0100,A 428811,A81000C,00500,0200,DISCOVERY INSUR 428811,A81000C,00500,0600,INSURANCE 428811,A81000C,00600,0100,A 428811,A81000C,00600,0200,QUEENSLAND ASSU 428811,A81000C,00600,0600,INSURANCE 428811,A81000C,00700,0100,B 428811,A81000C,00700,0400,KARE MEDICAL 428811,A81000C,00700,0600,WHOLESALE SUPPL 428811,A81000C,00800,0100,B 428811,A81000C,00800,0400,KARE MEDICAL 428811,A81000C,00800,0600,WHOLESALE SUPPL 428811,A81000C,00900,0100,B 428811,A81000C,00900,0400,KARE MEDICAL 428811,A81000C,00900,0600,WHOLESALE SUPPL 428811,A81000C,01000,0100,B 428811,A81000C,01000,0400,KARE MEDICAL 428811,A81000C,01000,0600,WHOLESALE SUPPL 428811,A81000C,01001,0100,B 428811,A81000C,01001,0400,KARE MEDICAL 428811,A81000C,01001,0600,WHOLESALE SUPPL 428811,A81000C,01002,0100,B 428811,A81000C,01002,0400,KARE MEDICAL 428811,A81000C,01002,0600,WHOLESALE SUPPL 428811,A81000C,01003,0100,B 428811,A81000C,01003,0400,KARE MEDICAL 428811,A81000C,01003,0600,WHOLESALE SUPPL 428811,A81000C,01004,0100,B 428811,A81000C,01004,0400,KARE MEDICAL 428811,A81000C,01004,0600,WHOLESALE SUPPL 428811,A81000C,01005,0100,B 428811,A81000C,01005,0400,KARE MEDICAL 428811,A81000C,01005,0600,WHOLESALE SUPPL 428811,A81000C,01006,0100,B 428811,A81000C,01006,0400,KARE MEDICAL 428811,A81000C,01006,0600,WHOLESALE SUPPL 428811,A81000C,01007,0100,B 428811,A81000C,01007,0400,KARE MEDICAL 428811,A81000C,01007,0600,WHOLESALE SUPPL 428811,A81000C,01008,0100,B 428811,A81000C,01008,0400,KARE MEDICAL 428811,A81000C,01008,0600,WHOLESALE SUPPL 428811,A81000C,01009,0100,B 428811,A81000C,01009,0400,KARE MEDICAL 428811,A81000C,01009,0600,WHOLESALE SUPPL 428811,A81000C,01010,0100,B 428811,A81000C,01010,0400,KARE MEDICAL 428811,A81000C,01010,0600,WHOLESALE SUPPL 428811,A81000C,01011,0100,B 428811,A81000C,01011,0400,KARE MEDICAL 428811,A81000C,01011,0600,WHOLESALE SUPPL 428811,A81000C,01012,0100,B 428811,A81000C,01012,0400,KARE MEDICAL 428811,A81000C,01012,0600,WHOLESALE SUPPL 428811,A81000C,01013,0100,B 428811,A81000C,01013,0400,KARE MEDICAL 428811,A81000C,01013,0600,WHOLESALE SUPPL 428811,A81000C,01014,0100,B 428811,A81000C,01014,0400,KARE MEDICAL 428811,A81000C,01014,0600,WHOLESALE SUPPL 428811,A81000C,01015,0100,B 428811,A81000C,01015,0400,KARE MEDICAL 428811,A81000C,01015,0600,WHOLESALE SUPPL 428811,A81000C,01016,0100,B 428811,A81000C,01016,0400,KARE MEDICAL 428811,A81000C,01016,0600,WHOLESALE SUPPL 428811,A81000C,01017,0100,B 428811,A81000C,01017,0400,KARE MEDICAL 428811,A81000C,01017,0600,WHOLESALE SUPPL 428811,A81000C,01018,0100,B 428811,A81000C,01018,0400,PHARMSAVE 428811,A81000C,01018,0600,RX SUPPLY 428811,A81000C,01019,0100,B 428811,A81000C,01019,0400,PHARMSAVE 428811,A81000C,01019,0600,RX SUPPLY 428811,A81000C,01020,0100,B 428811,A81000C,01020,0400,PHARMSAVE 428811,A81000C,01020,0600,RX SUPPLY 428811,A81000C,01021,0100,B 428811,A81000C,01021,0400,PHARMSAVE 428811,A81000C,01021,0600,RX SUPPLY 428811,A81000C,01022,0100,B 428811,A81000C,01022,0400,PHARMSAVE 428811,A81000C,01022,0600,RX SUPPLY 428811,A81000C,01023,0100,B 428811,A81000C,01023,0400,ROBERT HILL CON 428811,A81000C,01023,0600,CONSTRUCTION 428811,A81000C,01024,0100,B 428811,A81000C,01024,0400,ROBERT HILL CON 428811,A81000C,01024,0600,CONSTRUCTION 428811,A81000C,01025,0100,B 428811,A81000C,01025,0400,ROBERT HILL CON 428811,A81000C,01025,0600,CONSTRUCTION 428811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428811,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428811,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428811,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428811,B100000,00000,0800,0800MEALS SERVED :DIETARY 428811,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428811,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428811,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428811,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428811,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428811,G300000,02500,0000, OTHER (SPECIFY) 428811,S000000,00100,0200,07/25/11 428811,S200000,00100,0100,711 SUSAN TART ROAD 428811,S200000,00200,0100,DUNN 428811,S200000,00200,0200,NC 428811,S200000,00200,0300,28334 428811,S200000,00300,0100,HARNETT 428811,S200000,00300,0201,99934 428811,S200000,00300,0300,R 428811,S200000,00400,0100,DUNN REHAB & NURSING CENTER 428811,S200000,00400,0200,345325 428811,S200000,00400,0300,09/05/90 428811,S200000,00400,0500,P 428811,S200000,01500,0100,N 428811,S200000,01501,0200,Y 428811,S200000,01502,0200,Y 428811,S200000,01503,0200,Y 428811,S200000,01504,0200,Y 428811,S200000,01505,0000,OTHER (SPECIFY) 428811,S200000,01505,0200,Y 428811,S200000,01600,0100,Y 428811,S200000,01700,0100,N 428811,S200000,01800,0100,N 428811,S200000,02200,0100,N 428811,S200000,02800,0100,N 428811,S200000,02900,0100,N 428811,S200000,03000,0100,N 428811,S200000,03100,0100,Y 428811,S200000,03200,0100,N 428811,S200000,03300,0100,N 428811,S200000,03300,0200,N 428811,S200000,04100,0100,N 428811,S200000,04200,0100,N 428811,S200000,04300,0100,N 428811,S200000,04600,0100,N 428811,S200000,04700,0100,N 428811,S200000,04700,0200,N 428811,S200000,04900,0100,N 428811,S200000,05000,0100,N 428811,S200000,05100,0100,N 428811,S200000,05200,0100,N 428811,S200000,05300,0100,Y 428811,S200000,05300,0200,349011 428811,S200000,05400,0100,BRITTHAVEN INC. 428811,S200000,05400,0200,PALMETTO GBA 428811,S200000,05400,0300,11501 428811,S200000,05500,0100,1435 HWY 258 NORTH 428811,S200000,05500,0200,PO BOX 61 428811,S200000,05600,0100,KINSTON 428811,S200000,05600,0200,NC 428811,S200000,05600,0300,28502 428814,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428814,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428814,A000000,00300,0000,0300EMPLOYEE BENEFITS 428814,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428814,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428814,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428814,A000000,00700,0000,0700HOUSEKEEPING 428814,A000000,00800,0000,0800DIETARY 428814,A000000,00900,0000,0900NURSING ADMINISTRATION 428814,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428814,A000000,01100,0000,1100PHARMACY 428814,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428814,A000000,01300,0000,1300SOCIAL SERVICE 428814,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428814,A000000,01500,0000,1350ACTIVITIES 428814,A000000,01600,0000,1600SKILLED NURSING FACILITY 428814,A000000,01810,0000,1810ICF/MR 428814,A000000,02100,0000,2100RADIOLOGY 428814,A000000,02200,0000,2200LABORATORY 428814,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428814,A000000,02500,0000,2500PHYSICAL THERAPY 428814,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428814,A000000,02700,0000,2700SPEECH PATHOLOGY 428814,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428814,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428814,A000000,03550,0000,3550FQHC 428814,A000000,04800,0000,4800AMBULANCE 428814,A000000,05000,0000,5000CORF 428814,A000000,05010,0000,5010CMHC 428814,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428814,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428814,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428814,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428814,A000000,06300,0000,6150NON-REIMBURSABLE 428814,A81000A,00100,0100,Y 428814,A81000B,00100,0300,HO BLDG 428814,A81000B,00200,0300,HO INTEREST 428814,A81000B,00300,0300,HO A&G 428814,A81000B,00400,0300,PT 428814,A81000B,00500,0300,OT 428814,A81000B,00600,0300,ST 428814,A81000B,00700,0300,DIETARY 428814,A81000B,00800,0300,SKILLED NRSG 428814,A81000B,00900,0300,RT 428814,A81000B,01000,0300,ADMINISTRATIVE 428814,A81000C,00100,0100,B 428814,A81000C,00100,0200,GENESIS HEALTH 428814,A81000C,00100,0600,MANAGEMENT COMP 428814,A81000C,00200,0100,B 428814,A81000C,00200,0200,GENESIS HEALTH 428814,A81000C,00200,0600,MANAGEMENT COMP 428814,A81000C,00300,0100,B 428814,A81000C,00300,0200,GENESIS HEALTH 428814,A81000C,00300,0600,MANAGEMENT COMP 428814,A81000C,00400,0100,B 428814,A81000C,00400,0200,GENESIS REHAB 428814,A81000C,00400,0400,GENESIS HEALTH 428814,A81000C,00400,0600,REHAB SERVICES 428814,A81000C,00500,0100,B 428814,A81000C,00500,0200,GENESIS REHAB 428814,A81000C,00500,0400,GENESIS HEALTH 428814,A81000C,00500,0600,REHAB SERVICES 428814,A81000C,00600,0100,B 428814,A81000C,00600,0200,GENESIS REHAB 428814,A81000C,00600,0400,GENESIS HEALTH 428814,A81000C,00600,0600,REHAB SERVICES 428814,A81000C,00700,0100,B 428814,A81000C,00700,0200,GENESIS HOSPITA 428814,A81000C,00700,0400,GENESIS HEALTH 428814,A81000C,00700,0600,CONSULTING SERV 428814,A81000C,00800,0100,B 428814,A81000C,00800,0200,RESPIRATORY HEA 428814,A81000C,00800,0400,GENESIS HEALTH 428814,A81000C,00800,0600,RESPIRATORY THE 428814,A81000C,00900,0100,B 428814,A81000C,00900,0200,RESPIRATORY HEA 428814,A81000C,00900,0400,GENESIS HEALTH 428814,A81000C,00900,0600,RESPIRATORY THE 428814,A81000C,01000,0100,B 428814,A81000C,01000,0200,GENESIS PHYSICI 428814,A81000C,01000,0400,GENESIS HEALTH 428814,A81000C,01000,0600,MEDICAL DIRECTO 428814,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428814,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428814,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428814,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428814,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428814,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428814,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428814,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428814,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428814,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428814,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428814,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428814,G300000,02500,0000,MISCELLANEOUS INCOME 428814,S000000,00100,0200,09/27/11 428814,S200000,00100,0100,1631 RITTER DRIVE 428814,S200000,00200,0100,DANIELS 428814,S200000,00200,0200,WV 428814,S200000,00200,0300,25832 428814,S200000,00300,0100,RALEIGH 428814,S200000,00300,0201,99951 428814,S200000,00300,0300,R 428814,S200000,00400,0100,RALEIGH CENTER 428814,S200000,00400,0200,515088 428814,S200000,00400,0300,03/30/89 428814,S200000,00400,0500,P 428814,S200000,01500,0100,Y 428814,S200000,01502,0200,N 428814,S200000,01503,0200,N 428814,S200000,01504,0200,N 428814,S200000,01505,0000,DON BONUS 428814,S200000,01505,0200,Y 428814,S200000,01600,0100,N 428814,S200000,01700,0100,N 428814,S200000,01800,0100,N 428814,S200000,02200,0100,Y 428814,S200000,02800,0100,N 428814,S200000,02900,0100,N 428814,S200000,03000,0100,N 428814,S200000,03100,0100,N 428814,S200000,03200,0100,N 428814,S200000,03300,0100,N 428814,S200000,03300,0200,N 428814,S200000,04100,0100,N 428814,S200000,04200,0100,N 428814,S200000,04300,0100,N 428814,S200000,04600,0100,N 428814,S200000,04700,0100,N 428814,S200000,04700,0200,N 428814,S200000,04900,0100,N 428814,S200000,05000,0100,N 428814,S200000,05100,0100,N 428814,S200000,05200,0100,N 428814,S200000,05300,0100,Y 428814,S200000,05300,0200,HB0067 428814,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428814,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428814,S200000,05400,0300,12001 428814,S200000,05500,0100,101 EAST STATE STREET 428814,S200000,05600,0100,KENNETT SQUARE 428814,S200000,05600,0200,PA 428814,S200000,05600,0300,19348 428816,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428816,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428816,A000000,00300,0000,0300EMPLOYEE BENEFITS 428816,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428816,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428816,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428816,A000000,00700,0000,0700HOUSEKEEPING 428816,A000000,00800,0000,0800DIETARY 428816,A000000,00900,0000,0900NURSING ADMINISTRATION 428816,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428816,A000000,01100,0000,1100PHARMACY 428816,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428816,A000000,01300,0000,1300SOCIAL SERVICE 428816,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428816,A000000,01500,0000,1350ACTIVITIES 428816,A000000,01600,0000,1600SKILLED NURSING FACILITY 428816,A000000,01800,0000,1800NURSING FACILITY 428816,A000000,01810,0000,1810ICF/MR 428816,A000000,01900,0000,1900OTHER LONG TERM CARE 428816,A000000,02100,0000,2100RADIOLOGY 428816,A000000,02200,0000,2200LABORATORY 428816,A000000,02300,0000,2300INTRAVENOUS THERAPY 428816,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428816,A000000,02500,0000,2500PHYSICAL THERAPY 428816,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428816,A000000,02700,0000,2700SPEECH PATHOLOGY 428816,A000000,02800,0000,2800ELECTROCARDIOLOGY 428816,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428816,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428816,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428816,A000000,03200,0000,3200SUPPORT SURFACES 428816,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428816,A000000,03400,0000,3400CLINIC 428816,A000000,03500,0000,3500RURAL HEALTH CLINIC 428816,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428816,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428816,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428816,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428816,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428816,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428816,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428816,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428816,A000000,04400,0000,4400DME RENTED - HHA 428816,A000000,04500,0000,4500DME SOLD - HHA 428816,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428816,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428816,A000000,04710,0000,4710TELEMEDICINE 428816,A000000,04800,0000,4800AMBULANCE 428816,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428816,A000000,05000,0000,5000CORF 428816,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428816,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428816,A000000,05300,0000,5300INTEREST EXPENSE 428816,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428816,A000000,05500,0000,5500HOSPICE 428816,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428816,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428816,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428816,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428816,A000000,06100,0000,6100NONPAID WORKERS 428816,A000000,06200,0000,6200PATIENTS LAUNDRY 428816,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428816,A81000A,00100,0100,Y 428816,A81000B,00100,0300,ACCOUNTING SERVICES 428816,A81000B,00200,0300,LAB SERVICES 428816,A81000B,00300,0300,X-RAY SERVICES 428816,A81000B,00400,0300,OTHER ANCILLARY SERVICES 428816,A81000B,00500,0300,PHYSICIAN FEES 428816,A81000B,00600,0300,CONSULTING 428816,A81000B,00700,0300,CONSULTING 428816,A81000C,00100,0100,B 428816,A81000C,00100,0400,PEN BAY MEDICAL CENTER 428816,A81000C,00100,0600,HOSPITAL 428816,A81000C,00200,0100,B 428816,A81000C,00200,0200,PEN BAY HEALTHCARE 428816,A81000C,00200,0600,PARENT COMPANY 428816,A81000C,00300,0100,B 428816,A81000C,00300,0400,KNO-WAL-LIN HOME CARE 428816,A81000C,00300,0600,HHA 428816,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428816,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428816,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428816,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428816,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428816,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428816,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428816,B100000,00000,0800,0800MEALS SERVED :DIETARY 428816,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428816,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428816,G300000,02500,0000,IND LIVING APTS AND OTHER RENTAL IN 428816,G300000,02501,0000,MANAGEMENT FEE 428816,G300000,02502,0000,NET ASSETS RELEASED 428816,G300000,02503,0000,OTHER 428816,S000000,00100,0200,03/01/12 428816,S200000,00100,0100,30 COMMUNITY DRIVE 428816,S200000,00200,0100,CAMDEN 428816,S200000,00200,0200,ME 428816,S200000,00200,0300,04843 428816,S200000,00300,0100,KNOX 428816,S200000,00300,0200,20 428816,S200000,00300,0201,99920 428816,S200000,00300,0300,R 428816,S200000,00400,0100,QUARRY HILL 428816,S200000,00400,0200,205051 428816,S200000,00400,0300,08/15/97 428816,S200000,00400,0500,P 428816,S200000,00400,0600,O 428816,S200000,01500,0100,Y 428816,S200000,01501,0200,N 428816,S200000,01502,0200,N 428816,S200000,01600,0100,N 428816,S200000,01700,0100,N 428816,S200000,01800,0100,N 428816,S200000,02200,0100,Y 428816,S200000,02800,0100,N 428816,S200000,02900,0100,N 428816,S200000,03000,0100,N 428816,S200000,03100,0100,N 428816,S200000,03200,0100,N 428816,S200000,03300,0100,N 428816,S200000,03300,0200,N 428816,S200000,03600,0100,N 428816,S200000,03600,0200,N 428816,S200000,04100,0100,N 428816,S200000,04200,0100,N 428816,S200000,04300,0100,N 428816,S200000,04600,0100,N 428816,S200000,04700,0100,N 428816,S200000,04700,0200,N 428816,S200000,04900,0100,N 428816,S200000,05000,0100,N 428816,S200000,05100,0100,N 428816,S200000,05200,0100,N 428816,S200000,05300,0100,Y 428816,S200000,05300,0200,HB0123 428816,S200000,05400,0100,PEN BAY HEALTHCARE 428816,S200000,05400,0200,NGS 428816,S200000,05400,0300,00180 428816,S200000,05500,0100,22 WHITE STREET 428816,S200000,05600,0100,ROCKLAND 428816,S200000,05600,0200,ME 428816,S200000,05600,0300,04841 428817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428817,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428817,A000000,00300,0000,0300EMPLOYEE BENEFITS 428817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428817,A000000,00700,0000,0700HOUSEKEEPING 428817,A000000,00800,0000,0800DIETARY 428817,A000000,00900,0000,0900NURSING ADMINISTRATION 428817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428817,A000000,01100,0000,1100PHARMACY 428817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428817,A000000,01300,0000,1300SOCIAL SERVICE 428817,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428817,A000000,01500,0000,1350RECREATION 428817,A000000,01600,0000,1600SKILLED NURSING FACILITY 428817,A000000,01810,0000,1810ICF/MR 428817,A000000,02100,0000,2100RADIOLOGY 428817,A000000,02200,0000,2200LABORATORY 428817,A000000,02300,0000,2300INTRAVENOUS THERAPY 428817,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428817,A000000,02500,0000,2500PHYSICAL THERAPY 428817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428817,A000000,02700,0000,2700SPEECH PATHOLOGY 428817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428817,A000000,03550,0000,3550FQHC 428817,A000000,05000,0000,5000CORF 428817,A000000,05010,0000,5010CMHC 428817,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428817,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428817,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428817,A000000,06300,0000,6150RESIDENTIAL 428817,A81000A,00100,0100,Y 428817,A81000B,00100,0300,SEE ATTACHED 428817,A81000B,00200,0300,HOME OFFICE INTEREST 428817,A81000B,00300,0300,HOME OFFICE ADMIN 428817,A81000B,00400,0300,HOME OFFICE CAPITAL 428817,A81000C,00100,0100,B 428817,A81000C,00100,0400,SEE ATTACHED 428817,A81000C,00100,0600,VARIOUS 428817,A81000C,00200,0100,B 428817,A81000C,00200,0400,GHC 428817,A81000C,00200,0600,LONG TERM CARE 428817,A81000C,00300,0100,B 428817,A81000C,00300,0400,GHC 428817,A81000C,00300,0600,LONG TERM CARE 428817,A81000C,00400,0100,B 428817,A81000C,00400,0400,GHC 428817,A81000C,00400,0600,LONG TERM CARE 428817,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428817,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428817,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428817,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428817,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428817,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428817,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428817,B100000,00000,0800,0800MEALS SERVED :DIETARY 428817,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428817,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428817,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428817,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428817,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428817,G300000,02500,0000,ASSISTED LIVING 428817,S000000,00100,0200,02/27/12 428817,S200000,00100,0100,3 BRAZIER LANE 428817,S200000,00200,0100,KENNEBUNK 428817,S200000,00200,0200,ME 428817,S200000,00200,0300,04043-6924 428817,S200000,00300,0100,YORK 428817,S200000,00300,0201,38860 428817,S200000,00300,0300,U 428817,S200000,00400,0100,RIVERRIDGE CENTER 428817,S200000,00400,0200,205065 428817,S200000,00400,0300,02/04/91 428817,S200000,00400,0500,P 428817,S200000,01500,0100,Y 428817,S200000,01501,0200,Y 428817,S200000,01502,0200,Y 428817,S200000,01503,0200,N 428817,S200000,01504,0200,Y 428817,S200000,01600,0100,N 428817,S200000,01700,0100,N 428817,S200000,01800,0100,N 428817,S200000,01900,0100,LLC 428817,S200000,02200,0100,Y 428817,S200000,02800,0100,N 428817,S200000,02900,0100,N 428817,S200000,03000,0100,N 428817,S200000,03100,0100,N 428817,S200000,03200,0100,N 428817,S200000,03300,0100,N 428817,S200000,03300,0200,N 428817,S200000,04100,0100,N 428817,S200000,04200,0100,N 428817,S200000,04300,0100,N 428817,S200000,04600,0100,N 428817,S200000,04700,0100,N 428817,S200000,04700,0200,N 428817,S200000,04900,0100,N 428817,S200000,05000,0100,N 428817,S200000,05100,0100,N 428817,S200000,05200,0100,N 428817,S200000,05300,0100,Y 428817,S200000,05300,0200,HB0067 428817,S200000,05400,0100,GENESIS HEALTHCARE LLC 428817,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428817,S200000,05400,0300,12001 428817,S200000,05500,0100,101 EAST STATE STREET 428817,S200000,05600,0100,KENNETT SQUARE 428817,S200000,05600,0200,PA 428817,S200000,05600,0300,19348 428818,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428818,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428818,A000000,00300,0000,0300EMPLOYEE BENEFITS 428818,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428818,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428818,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428818,A000000,00700,0000,0700HOUSEKEEPING 428818,A000000,00800,0000,0800DIETARY 428818,A000000,00900,0000,0900NURSING ADMINISTRATION 428818,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428818,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428818,A000000,01300,0000,1300SOCIAL SERVICE 428818,A000000,01500,0000,1350RECREATION 428818,A000000,01600,0000,1600SKILLED NURSING FACILITY 428818,A000000,01810,0000,1810ICF/MR 428818,A000000,02100,0000,2100RADIOLOGY 428818,A000000,02200,0000,2200LABORATORY 428818,A000000,02300,0000,2300INTRAVENOUS THERAPY 428818,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428818,A000000,02500,0000,2500PHYSICAL THERAPY 428818,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428818,A000000,02700,0000,2700SPEECH PATHOLOGY 428818,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428818,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428818,A000000,03550,0000,3550FQHC 428818,A000000,05000,0000,5000CORF 428818,A000000,05010,0000,5010CMHC 428818,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428818,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428818,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428818,A000000,06300,0000,6150RESIDENTIAL 428818,A81000A,00100,0100,Y 428818,A81000B,00100,0300,AS ATTACHED 428818,A81000B,00200,0300,HOME OFFICE-INTEREST 428818,A81000B,00300,0300,HOME OFFICE-A&G 428818,A81000B,00400,0300,HOME OFFICE-CAP PIEC 428818,A81000C,00100,0100,B 428818,A81000C,00100,0400,AS ATTACHED 428818,A81000C,00100,0600,VARIOUS 428818,A81000C,00200,0100,B 428818,A81000C,00200,0400,GHC 428818,A81000C,00200,0600,LONG TERM CARE 428818,A81000C,00300,0100,B 428818,A81000C,00300,0400,GHC 428818,A81000C,00300,0600,LONG TERM CARE 428818,A81000C,00400,0100,B 428818,A81000C,00400,0400,GHC 428818,A81000C,00400,0600,LONG TERM CARE 428818,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428818,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428818,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428818,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428818,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428818,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428818,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428818,B100000,00000,0800,0800MEALS SERVED :DIETARY 428818,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428818,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428818,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428818,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428818,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428818,G300000,02500,0000, INTEREST INCOME 428818,G300000,02501,0000, ASSISTED LIVING 428818,S000000,00100,0200,02/27/12 428818,S200000,00100,0100,119 LIVERMORE FALLS ROAD 428818,S200000,00200,0100,FARMINGTON 428818,S200000,00200,0200,ME 428818,S200000,00200,0300,04938 428818,S200000,00300,0100,FRANKLIN 428818,S200000,00300,0201,99920 428818,S200000,00300,0300,R 428818,S200000,00400,0100,SANDY RIVER CENTER 428818,S200000,00400,0200,205069 428818,S200000,00400,0300,10/01/91 428818,S200000,00400,0500,P 428818,S200000,01500,0100,Y 428818,S200000,01501,0200,Y 428818,S200000,01502,0200,N 428818,S200000,01503,0200,Y 428818,S200000,01504,0200,Y 428818,S200000,01600,0100,N 428818,S200000,01700,0100,N 428818,S200000,01800,0100,N 428818,S200000,01900,0100,LLC 428818,S200000,02200,0100,Y 428818,S200000,02800,0100,N 428818,S200000,02900,0100,N 428818,S200000,03000,0100,N 428818,S200000,03100,0100,N 428818,S200000,03200,0100,N 428818,S200000,03300,0100,N 428818,S200000,03300,0200,N 428818,S200000,04100,0100,N 428818,S200000,04200,0100,N 428818,S200000,04300,0100,N 428818,S200000,04600,0100,N 428818,S200000,04700,0100,N 428818,S200000,04700,0200,N 428818,S200000,04900,0100,N 428818,S200000,05000,0100,N 428818,S200000,05100,0100,N 428818,S200000,05200,0100,N 428818,S200000,05300,0100,Y 428818,S200000,05300,0200,HB0067 428818,S200000,05400,0100,GENESIS HEALTHCARE LLC 428818,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428818,S200000,05400,0300,12001 428818,S200000,05500,0100,101 EAST STATE STREET 428818,S200000,05600,0100,KENNETT SQUARE 428818,S200000,05600,0200,PA 428818,S200000,05600,0300,19348 428819,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428819,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428819,A000000,00300,0000,0300EMPLOYEE BENEFITS 428819,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428819,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428819,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428819,A000000,00700,0000,0700HOUSEKEEPING 428819,A000000,00800,0000,0800DIETARY 428819,A000000,00900,0000,0900NURSING ADMINISTRATION 428819,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428819,A000000,01100,0000,1100PHARMACY 428819,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428819,A000000,01300,0000,1300SOCIAL SERVICE 428819,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428819,A000000,01500,0000,1350ACTIVITIES 428819,A000000,01600,0000,1600SKILLED NURSING FACILITY 428819,A000000,01800,0000,1800NURSING FACILITY 428819,A000000,01810,0000,1810ICF/MR 428819,A000000,01900,0000,1900OTHER LONG TERM CARE 428819,A000000,02100,0000,2100RADIOLOGY 428819,A000000,02200,0000,2200LABORATORY 428819,A000000,02300,0000,2300INTRAVENOUS THERAPY 428819,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428819,A000000,02500,0000,2500PHYSICAL THERAPY 428819,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428819,A000000,02700,0000,2700SPEECH PATHOLOGY 428819,A000000,02800,0000,2800ELECTROCARDIOLOGY 428819,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428819,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428819,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428819,A000000,03200,0000,3200SUPPORT SURFACES 428819,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428819,A000000,03400,0000,3400CLINIC 428819,A000000,03500,0000,3500RURAL HEALTH CLINIC 428819,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428819,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428819,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428819,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428819,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428819,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428819,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428819,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428819,A000000,04400,0000,4400DME RENTED - HHA 428819,A000000,04500,0000,4500DME SOLD - HHA 428819,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428819,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428819,A000000,04710,0000,4710TELEMEDICINE 428819,A000000,04800,0000,4800AMBULANCE 428819,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428819,A000000,05000,0000,5000CORF 428819,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428819,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428819,A000000,05300,0000,5300INTEREST EXPENSE 428819,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428819,A000000,05500,0000,5500HOSPICE 428819,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428819,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428819,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428819,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428819,A000000,06100,0000,6100NONPAID WORKERS 428819,A000000,06200,0000,6200PATIENTS LAUNDRY 428819,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428819,A81000A,00100,0100,Y 428819,A81000B,00100,0300,DEPRECIATION 428819,A81000B,00200,0300,INTEREST 428819,A81000B,00300,0300,EMPLOYEE BENEFITS 428819,A81000B,00400,0300,EMPLOYEE BENEFITS 428819,A81000B,00500,0300,CONTRACTED SERVICES 428819,A81000B,00600,0300,ADMINISTRATOR SALARY 428819,A81000B,00700,0300,HOME OFFICE COSTS 428819,A81000C,00100,0100,B 428819,A81000C,00100,0400,WESTERN MAINE HEALTH 428819,A81000C,00100,0600,PARENT CORPORATION 428819,A81000C,00200,0100,B 428819,A81000C,00200,0400,STEPHENS MEMORIAL HOSP 428819,A81000C,00200,0600,ACUTE CARE HOSPITAL 428819,A81000C,00300,0100,B 428819,A81000C,00300,0400,MAINE HEALTH 428819,A81000C,00300,0600,PARENT CORPORATION 428819,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428819,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428819,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428819,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428819,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428819,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428819,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428819,B100000,00000,0800,0800MEALS SERVED :DIETARY 428819,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428819,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428819,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428819,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428819,G300000,02500,0000,MISCELLANEOUS 428819,S000000,00100,0200,03/05/12 428819,S200000,00100,0100,3 MARKET SQUARE 428819,S200000,00200,0100,SOUTH PARIS 428819,S200000,00200,0200,ME 428819,S200000,00200,0300,04281 428819,S200000,00300,0100,OXFORD 428819,S200000,00300,0200,20 428819,S200000,00300,0201,99920 428819,S200000,00300,0300,R 428819,S200000,00400,0100,MARKET SQUARE HEALTH CARE 428819,S200000,00400,0200,205076 428819,S200000,00400,0300,04/01/92 428819,S200000,00400,0500,P 428819,S200000,00600,0200,205076 428819,S200000,00600,0300,01/01/93 428819,S200000,00600,0600,O 428819,S200000,01500,0100,Y 428819,S200000,01501,0200,Y 428819,S200000,01503,0200,Y 428819,S200000,01504,0200,Y 428819,S200000,01600,0100,N 428819,S200000,01700,0100,N 428819,S200000,01800,0100,N 428819,S200000,02200,0100,N 428819,S200000,02800,0100,Y 428819,S200000,02900,0100,N 428819,S200000,03000,0100,N 428819,S200000,03100,0100,N 428819,S200000,03200,0100,N 428819,S200000,03300,0100,N 428819,S200000,03300,0200,N 428819,S200000,03500,0300,N 428819,S200000,03600,0100,N 428819,S200000,03600,0200,N 428819,S200000,04100,0100,N 428819,S200000,04200,0100,N 428819,S200000,04300,0100,N 428819,S200000,04600,0100,N 428819,S200000,04700,0100,N 428819,S200000,04700,0200,N 428819,S200000,04900,0100,N 428819,S200000,05000,0100,N 428819,S200000,05100,0100,N 428819,S200000,05200,0100,N 428819,S200000,05300,0100,Y 428820,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428820,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428820,A000000,00300,0000,0300EMPLOYEE BENEFITS 428820,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428820,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428820,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428820,A000000,00700,0000,0700HOUSEKEEPING 428820,A000000,00800,0000,0800DIETARY 428820,A000000,00900,0000,0900NURSING ADMINISTRATION 428820,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428820,A000000,01100,0000,1100PHARMACY 428820,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428820,A000000,01300,0000,1300SOCIAL SERVICE 428820,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428820,A000000,01500,0000,1350PATIENT ACTIVITIES 428820,A000000,01600,0000,1600SKILLED NURSING FACILITY 428820,A000000,01800,0000,1800NURSING FACILITY 428820,A000000,01810,0000,1810ICF/MR 428820,A000000,01900,0000,1900OTHER LONG TERM CARE 428820,A000000,02100,0000,2100RADIOLOGY 428820,A000000,02200,0000,2200LABORATORY 428820,A000000,02300,0000,2300INTRAVENOUS THERAPY 428820,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428820,A000000,02500,0000,2500PHYSICAL THERAPY 428820,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428820,A000000,02700,0000,2700SPEECH PATHOLOGY 428820,A000000,02800,0000,2800ELECTROCARDIOLOGY 428820,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428820,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428820,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428820,A000000,03200,0000,3200SUPPORT SURFACES 428820,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428820,A000000,03400,0000,3400CLINIC 428820,A000000,03500,0000,3500RURAL HEALTH CLINIC 428820,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428820,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428820,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428820,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428820,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428820,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428820,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428820,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428820,A000000,04400,0000,4400DME RENTED - HHA 428820,A000000,04500,0000,4500DME SOLD - HHA 428820,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428820,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428820,A000000,04710,0000,4710TELEMEDICINE 428820,A000000,04800,0000,4800AMBULANCE 428820,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428820,A000000,05000,0000,5000CORF 428820,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428820,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428820,A000000,05300,0000,5300INTEREST EXPENSE 428820,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428820,A000000,05500,0000,5500HOSPICE 428820,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428820,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428820,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428820,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428820,A000000,06100,0000,6100NONPAID WORKERS 428820,A000000,06200,0000,6200PATIENTS LAUNDRY 428820,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428820,A81000A,00100,0100,Y 428820,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 428820,A81000B,00200,0300,LABORATORY 428820,A81000B,00300,0300,PHYSICAL THERAPY 428820,A81000B,00400,0300,OCCUPATION THERAPY 428820,A81000B,00500,0300,SPEECH PATHOLOGY 428820,A81000B,00600,0300,OTHER NRCC 428820,A81000B,00700,0300,MME 428820,A81000B,00800,0300,HOME OFFICE 428820,A81000C,00100,0100,B 428820,A81000C,00100,0400,MCSHC 428820,A81000C,00100,0600,HOSPITAL 428820,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428820,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428820,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428820,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428820,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428820,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428820,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428820,B100000,00000,0800,0800MEALS SERVED :DIETARY 428820,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428820,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428820,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 428820,G300000,02500,0000,RENTAL OTHER AL/MEM IMP FEES ETC 428820,S000000,00100,0200,03/01/12 428820,S200000,00100,0100,58 BARIBEAU DRIVE 428820,S200000,00200,0100,BRUNSWICK 428820,S200000,00200,0200,ME 428820,S200000,00200,0300,04011 428820,S200000,00300,0100,CUMBERLAND 428820,S200000,00300,0200,6403 428820,S200000,00300,0201,38860 428820,S200000,00300,0300,U 428820,S200000,00400,0100,MID COAST GERIATRIC SERVICES CORP 428820,S200000,00400,0200,205163 428820,S200000,00400,0300,01/01/94 428820,S200000,00400,0500,P 428820,S200000,01500,0100,N 428820,S200000,01501,0200,Y 428820,S200000,01502,0200,Y 428820,S200000,01503,0200,Y 428820,S200000,01504,0200,Y 428820,S200000,01600,0100,N 428820,S200000,01700,0100,N 428820,S200000,01800,0100,N 428820,S200000,02200,0100,N 428820,S200000,02800,0100,N 428820,S200000,02900,0100,N 428820,S200000,03000,0100,N 428820,S200000,03100,0100,N 428820,S200000,03200,0100,N 428820,S200000,03300,0100,N 428820,S200000,03300,0200,N 428820,S200000,04100,0100,N 428820,S200000,04200,0100,N 428820,S200000,04300,0100,N 428820,S200000,04600,0100,N 428820,S200000,04700,0100,N 428820,S200000,04700,0200,N 428820,S200000,04900,0100,N 428820,S200000,05000,0100,N 428820,S200000,05100,0100,N 428820,S200000,05200,0100,N 428820,S200000,05300,0100,Y 428820,S200000,05300,0200,HB0096 428820,S200000,05400,0100,N 428820,S200000,05400,0200,N 428820,S200000,05400,0300, 0000N 428820,S200000,05500,0100,123 MEDICAL CENTER DRIVE 428820,S200000,05600,0100,BRUNSWICK 428820,S200000,05600,0200,ME 428820,S200000,05600,0300,04011 428821,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428821,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428821,A000000,00300,0000,0300EMPLOYEE BENEFITS 428821,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428821,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428821,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428821,A000000,00700,0000,0700HOUSEKEEPING 428821,A000000,00800,0000,0800DIETARY 428821,A000000,00900,0000,0900NURSING ADMINISTRATION 428821,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428821,A000000,01100,0000,1100PHARMACY 428821,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428821,A000000,01300,0000,1300SOCIAL SERVICE 428821,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428821,A000000,01500,0000,1350ACTIVITIES 428821,A000000,01600,0000,1600SKILLED NURSING FACILITY 428821,A000000,01810,0000,1810ICF/MR 428821,A000000,02100,0000,2100RADIOLOGY 428821,A000000,02200,0000,2200LABORATORY 428821,A000000,02300,0000,2300INTRAVENOUS THERAPY 428821,A000000,02500,0000,2500PHYSICAL THERAPY 428821,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428821,A000000,02700,0000,2700SPEECH PATHOLOGY 428821,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428821,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428821,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428821,A000000,03301,0000,3051AIR FLUID THERAPY 428821,A000000,03302,0000,3052AMBULANCE 428821,A000000,03550,0000,3550FQHC 428821,A000000,05000,0000,5000CORF 428821,A000000,05010,0000,5010CMHC 428821,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428821,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428821,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428821,A81000A,00100,0100,Y 428821,A81000B,00100,0300,MGMT FEE - A&G OTHER 428821,A81000B,00200,0300,LAB - PURCHASED SVC 428821,A81000B,00300,0300,LOCAL TRANSPORATION 428821,A81000B,00400,0300,MISC O/S SVC EXP 428821,A81000B,00500,0300,CORPORATE ALLOCATION 428821,A81000B,00600,0300,S&W MDS - GENERAL 428821,A81000B,00700,0300,RN SALARIES 428821,A81000B,00800,0300,S&W PROF - SPRVSR/MG 428821,A81000B,00900,0300,PT SALARIES 428821,A81000B,01000,0300,OT SALARIES 428821,A81000B,01100,0300,SLP SALARIES 428821,A81000B,01200,0300,LPN SALARIES 428821,A81000B,01300,0300,CNA SALARIES 428821,A81000B,01400,0300,CLERICAL SALARIES 428821,A81000B,01500,0300,DIETARY SALARIES 428821,A81000B,01600,0300,ADMIN SALARIES 428821,A81000B,01700,0300,FRINGE BENEFITS 428821,A81000B,01800,0300,NON CAPITAL EQUIP 428821,A81000B,01900,0300,COMPUTER PERIPHERALS 428821,A81000B,02000,0300,TRAIN/EDU EXP 428821,A81000B,02100,0300,TELE - PAGERS & BEEP 428821,A81000B,02200,0300,LEGAL FEES 428821,A81000B,02300,0300,OTHER OUTSIDE SVC 428821,A81000B,02400,0300,MISC O/S SVC EXP 428821,A81000B,02500,0300,TELEPHONE CHARGEBACK 428821,A81000B,02600,0300,PT SALARIES 428821,A81000B,02700,0300,OT SALARIES 428821,A81000B,02800,0300,SLP SALARIES 428821,A81000B,02900,0300,FRINGE BENEFITS 428821,A81000C,00100,0100,B 428821,A81000C,00100,0200,FRC INC. 428821,A81000C,00100,0400,NORTH END REHAB 428821,A81000C,00100,0600,NURSING HOME 428821,A81000C,00200,0400,PARTNERS CORP 428821,A81000C,00200,0600,HEALTHCARE 428821,A81000C,00300,0400,SPAULDING REHAB 428821,A81000C,00300,0600,REHAB HOSPITAL 428821,A81000C,00400,0400,PARTNERS CONT C 428821,A81000C,00400,0600,HEALTHCARE 428821,A81000C,00500,0400,PARTNERS HEALTH 428821,A81000C,00500,0600,HEALTHCARE SYST 428821,A81000C,00600,0400,BRIGHAM AND WOM 428821,A81000C,00600,0600,ACUTE CARE HOSP 428821,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428821,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428821,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428821,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428821,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428821,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428821,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428821,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428821,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 428821,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428821,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428821,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428821,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428821,G300000,02500,0000,OPERATING 428821,S000000,00100,0200,03/01/12 428821,S200000,00100,0100,1245 CENTRE STREET 428821,S200000,00200,0100,ROSLINDALE 428821,S200000,00200,0200,MA 428821,S200000,00200,0300,02131 428821,S200000,00300,0100,SUFFOLK 428821,S200000,00300,0201,14484 428821,S200000,00300,0300,U 428821,S200000,00400,0100,BOSTON CENTER FOR REHAB & SUBCARE 428821,S200000,00400,0200,225014 428821,S200000,00400,0300,07/01/90 428821,S200000,00400,0500,P 428821,S200000,00400,0600,P 428821,S200000,01500,0100,Y 428821,S200000,01501,0200,N 428821,S200000,01503,0200,N 428821,S200000,01504,0200,N 428821,S200000,01600,0100,N 428821,S200000,01700,0100,N 428821,S200000,01800,0100,N 428821,S200000,02200,0100,N 428821,S200000,02800,0100,N 428821,S200000,02900,0100,N 428821,S200000,03000,0100,N 428821,S200000,03100,0100,N 428821,S200000,03200,0100,N 428821,S200000,03300,0100,N 428821,S200000,03300,0200,N 428821,S200000,04100,0100,N 428821,S200000,04200,0100,N 428821,S200000,04300,0100,N 428821,S200000,04600,0100,N 428821,S200000,04700,0100,N 428821,S200000,04700,0200,N 428821,S200000,04900,0100,N 428821,S200000,05000,0100,N 428821,S200000,05100,0100,N 428821,S200000,05200,0100,N 428821,S200000,05300,0100,Y 428821,S200000,05300,0200,229974 428821,S200000,05400,0100,PARTNERS HEALTHCARE SYSTEMS INC. 428821,S200000,05400,0200,NHIC CORP C/O NATIONAL GOVT SERVICE 428821,S200000,05400,0300,13201 428821,S200000,05500,0100,101 MERRIMAC STREET SUITE 60 428821,S200000,05600,0100,BOSTON 428821,S200000,05600,0200,MA 428821,S200000,05600,0300,02114 428822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428822,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428822,A000000,00300,0000,0300EMPLOYEE BENEFITS 428822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428822,A000000,00700,0000,0700HOUSEKEEPING 428822,A000000,00800,0000,0800DIETARY 428822,A000000,00900,0000,0900NURSING ADMINISTRATION 428822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428822,A000000,01100,0000,1100PHARMACY 428822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428822,A000000,01300,0000,1300SOCIAL SERVICE 428822,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428822,A000000,01500,0000,1350ACTIVITIES 428822,A000000,01600,0000,1600SKILLED NURSING FACILITY 428822,A000000,01810,0000,1810ICF/MR 428822,A000000,02100,0000,2100RADIOLOGY 428822,A000000,02200,0000,2200LABORATORY 428822,A000000,02300,0000,2300INTRAVENOUS THERAPY 428822,A000000,02500,0000,2500PHYSICAL THERAPY 428822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428822,A000000,02700,0000,2700SPEECH PATHOLOGY 428822,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428822,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428822,A000000,03301,0000,3051AIR FLUID THERAPY 428822,A000000,03302,0000,3052AMBULANCE 428822,A000000,03303,0000,3053PEN THERAPY 428822,A000000,03304,0000,3054ONCOLOGY 428822,A000000,03305,0000,3055CARDIOLOGY 428822,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428822,A000000,03307,0000,3057AUDIOLOGY 428822,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CTR 428822,A000000,03550,0000,3550FQHC 428822,A000000,05000,0000,5000CORF 428822,A000000,05010,0000,5010CMHC 428822,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428822,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428822,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428822,A81000A,00100,0100,Y 428822,A81000B,00400,0300,INTEREST 428822,A81000B,00600,0300,PHS CORP ALLOCATIONS 428822,A81000B,00700,0300,TELEPHONE 428822,A81000B,00800,0300,PURCHASED SERV ICE 428822,A81000B,00900,0300,PROGRAM SUPPORT 428822,A81000B,01000,0300,FRINGE BENEFIT COSTS 428822,A81000B,01100,0300,PHARMACEUTICALS 428822,A81000B,01200,0300,AMBULANCE SERVICE 428822,A81000B,01300,0300,PCC CORP ALLOCATIONS 428822,A81000B,01400,0300,S&W DIRECT DEPT HEAD 428822,A81000B,01500,0300,MBTA SUBSIDY 428822,A81000C,00100,0100,B 428822,A81000C,00100,0200,FRC. INC. 428822,A81000C,00100,0400,THE BOSTON CENT 428822,A81000C,00100,0600,NURSING HOME 428822,A81000C,00200,0400,PARTNERS HEALTH 428822,A81000C,00200,0600,HEALTHCARE ORGA 428822,A81000C,00300,0400,MASS GENERAL HO 428822,A81000C,00300,0600,ACUTE CARE HOSP 428822,A81000C,00400,0400,SPAULDING REHAB 428822,A81000C,00400,0600,REHAB FACILITY 428822,A81000C,00500,0400,PART. CORP HEAL 428822,A81000C,00500,0600,HEALTHCARE ORGA 428822,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428822,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428822,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428822,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428822,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428822,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428822,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428822,B100000,00000,0800,0800MEALS SERVED :DIETARY 428822,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 428822,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428822,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428822,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428822,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428822,G300000,02500,0000,OTHER 428822,G300000,02501,0000,TRANSFER 428822,S000000,00100,0200,03/01/12 428822,S200000,00100,0100,70 FULTON STREET 428822,S200000,00200,0100,BOSTON 428822,S200000,00200,0200,MA 428822,S200000,00200,0300,02109 428822,S200000,00300,0100,SUFFOLK 428822,S200000,00300,0201,14484 428822,S200000,00300,0300,U 428822,S200000,00400,0100,NORTH END REHAB & NURSING CENTER 428822,S200000,00400,0200,225506 428822,S200000,00400,0300,07/01/90 428822,S200000,00400,0500,P 428822,S200000,00400,0600,P 428822,S200000,01500,0100,Y 428822,S200000,01501,0200,N 428822,S200000,01502,0200,N 428822,S200000,01503,0200,N 428822,S200000,01504,0200,N 428822,S200000,01600,0100,N 428822,S200000,01700,0100,N 428822,S200000,01800,0100,N 428822,S200000,02200,0100,N 428822,S200000,02800,0100,N 428822,S200000,02900,0100,N 428822,S200000,03000,0100,N 428822,S200000,03100,0100,N 428822,S200000,03200,0100,N 428822,S200000,03300,0100,N 428822,S200000,03300,0200,N 428822,S200000,04100,0100,N 428822,S200000,04200,0100,N 428822,S200000,04300,0100,N 428822,S200000,04600,0100,N 428822,S200000,04700,0100,N 428822,S200000,04700,0200,N 428822,S200000,04900,0100,N 428822,S200000,05000,0100,N 428822,S200000,05100,0100,N 428822,S200000,05200,0100,N 428822,S200000,05300,0100,Y 428822,S200000,05300,0200,229974 428822,S200000,05400,0100,PARTNERS HEALTHCARE SYSTEM 428822,S200000,05400,0200,NHIC C/O NATIONAL GOVT SERVICES 428822,S200000,05400,0300,13201 428822,S200000,05500,0100,529 MAIN STREET 428822,S200000,05600,0100,CHARLESTOWN 428822,S200000,05600,0200,MA 428822,S200000,05600,0300,02129 428823,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428823,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428823,A000000,00300,0000,0300EMPLOYEE BENEFITS 428823,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428823,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428823,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428823,A000000,00700,0000,0700HOUSEKEEPING 428823,A000000,00800,0000,0800DIETARY 428823,A000000,00900,0000,0900NURSING ADMINISTRATION 428823,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428823,A000000,01100,0000,1100PHARMACY 428823,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428823,A000000,01300,0000,1300SOCIAL SERVICE 428823,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428823,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428823,A000000,01600,0000,1600SKILLED NURSING FACILITY 428823,A000000,01800,0000,1800NURSING FACILITY 428823,A000000,01810,0000,1810ICF/MR 428823,A000000,01900,0000,1900OTHER LONG TERM CARE 428823,A000000,02100,0000,2100RADIOLOGY 428823,A000000,02200,0000,2200LABORATORY 428823,A000000,02300,0000,2300INTRAVENOUS THERAPY 428823,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428823,A000000,02500,0000,2500PHYSICAL THERAPY 428823,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428823,A000000,02700,0000,2700SPEECH PATHOLOGY 428823,A000000,02800,0000,2800ELECTROCARDIOLOGY 428823,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428823,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428823,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428823,A000000,03200,0000,3200SUPPORT SURFACES 428823,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428823,A000000,03400,0000,3400CLINIC 428823,A000000,03500,0000,3500RURAL HEALTH CLINIC 428823,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428823,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428823,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428823,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428823,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428823,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428823,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428823,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428823,A000000,04400,0000,4400DME RENTED - HHA 428823,A000000,04500,0000,4500DME SOLD - HHA 428823,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428823,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428823,A000000,04710,0000,4710TELEMEDICINE 428823,A000000,04800,0000,4800AMBULANCE 428823,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428823,A000000,05000,0000,5000CORF 428823,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428823,A000000,05300,0000,5300INTEREST EXPENSE 428823,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428823,A000000,05500,0000,5500HOSPICE 428823,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428823,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428823,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428823,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428823,A000000,06100,0000,6100NONPAID WORKERS 428823,A000000,06200,0000,6200PATIENTS LAUNDRY 428823,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428823,A81000A,00100,0100,Y 428823,A81000B,00100,0300,MANAGEMENT FEE 428823,A81000B,00200,0300,MANAGEMENT FEE 428823,A81000C,00100,0100,D 428823,A81000C,00100,0200,HEBREW SENIORLI 428823,A81000C,00100,0400,HEBREW SENIORLI 428823,A81000C,00100,0600,D 428823,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428823,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428823,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428823,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428823,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428823,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428823,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428823,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428823,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428823,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428823,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428823,B100000,00000,1500,1350 ACCUM. COST :OTHER GENERAL SERV 428823,S000000,00100,0200,02/29/12 428823,S200000,00100,0100,7000 GREAT MEADOW ROAD 428823,S200000,00200,0100,DEDHAM 428823,S200000,00200,0200,MA 428823,S200000,00200,0300,02026 428823,S200000,00300,0100,NORFOLK 428823,S200000,00300,0300,U 428823,S200000,00400,0100,NEWBRIDGE ON THE CHARLES INC. 428823,S200000,00400,0200,225774 428823,S200000,00400,0300,12/15/09 428823,S200000,00400,0500,P 428823,S200000,01500,0100,Y 428823,S200000,01600,0100,N 428823,S200000,01700,0100,N 428823,S200000,01800,0100,N 428823,S200000,02200,0100,N 428823,S200000,02800,0100,N 428823,S200000,02900,0100,N 428823,S200000,03000,0100,N 428823,S200000,03100,0100,N 428823,S200000,03200,0100,N 428823,S200000,03300,0100,N 428823,S200000,03300,0200,N 428823,S200000,04100,0100,N 428823,S200000,04200,0100,N 428823,S200000,04300,0100,N 428823,S200000,04600,0100,N 428823,S200000,04700,0100,N 428823,S200000,04700,0200,N 428823,S200000,04900,0100,N 428823,S200000,05000,0100,N 428823,S200000,05100,0100,N 428823,S200000,05200,0100,N 428823,S200000,05300,0100,Y 428823,S200000,05300,0200,HO200B 428823,S200000,05400,0100,HEBREW SENIORLIFE 428823,S200000,05400,0200,I HSL 428823,S200000,05400,0300, 0200B 428823,S200000,05500,0100,1200 CENTRE STREET 428823,S200000,05600,0100,ROSLINDALE 428823,S200000,05600,0200,MA 428823,S200000,05600,0300,02131 428825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428825,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428825,A000000,00300,0000,0300EMPLOYEE BENEFITS 428825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428825,A000000,00700,0000,0700HOUSEKEEPING 428825,A000000,00800,0000,0800DIETARY 428825,A000000,00900,0000,0900NURSING ADMINISTRATION 428825,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428825,A000000,01100,0000,1100PHARMACY 428825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428825,A000000,01300,0000,1300SOCIAL SERVICE 428825,A000000,01301,0000,1301ACTIVITIES 428825,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428825,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428825,A000000,01600,0000,1600SKILLED NURSING FACILITY 428825,A000000,01800,0000,1800NURSING FACILITY 428825,A000000,01900,0000,1900OTHER LONG TERM CARE 428825,A000000,02100,0000,2100RADIOLOGY 428825,A000000,02200,0000,2200LABORATORY 428825,A000000,02300,0000,2300INTRAVENOUS THERAPY 428825,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428825,A000000,02500,0000,2500PHYSICAL THERAPY 428825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428825,A000000,02700,0000,2700SPEECH PATHOLOGY 428825,A000000,02800,0000,2800ELECTROCARDIOLOGY 428825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428825,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428825,A000000,04800,0000,4800AMBULANCE 428825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428825,A81000A,00100,0100,Y 428825,A81000B,00200,0300,MEDICAL DIRECTOR 428825,A81000B,00300,0300,ADMIN SVCS 428825,A81000B,00400,0300,SPEECH THERAPY 428825,A81000B,00600,0300,RES MED TESTING 428825,A81000B,00700,0300,EMPLOYEE PHYSICALS 428825,A81000C,00100,0100,B 428825,A81000C,00100,0200,PORTER MEDICAL 428825,A81000C,00100,0400,PORTER MEDICAL 428825,A81000C,00100,0600,FOUNDATIO 428825,A81000C,00200,0100,B 428825,A81000C,00200,0200,PORTER HOSPITAL 428825,A81000C,00200,0400,PORTER HOSPITAL 428825,A81000C,00200,0600,HOSPITAL 428825,A81000C,00300,0100,B 428825,A81000C,00300,0200,PORTER MGMT SVC 428825,A81000C,00300,0400,PORTER MGMT SVC 428825,A81000C,00300,0600,MGMT COMPANY 428825,A81000C,00400,0100,B 428825,A81000C,00400,0200,PORTER HOSPITAL 428825,A81000C,00400,0400,PORTER HOSPITAL 428825,A81000C,00400,0600,HOSPITAL 428825,A81000C,00500,0100,B 428825,A81000C,00500,0200,PORTER MGMT SVC 428825,A81000C,00500,0400,PORTER MGMT SVC 428825,A81000C,00500,0600,MGMT 428825,A81000C,00600,0100,B 428825,A81000C,00600,0200,PORTER HOSPITAL 428825,A81000C,00600,0400,PORTER HOSPITAL 428825,A81000C,00600,0600,HOSPITAL 428825,A81000C,00700,0100,B 428825,A81000C,00700,0200,PORTER HOSPITAL 428825,A81000C,00700,0400,PORTER HOSPITAL 428825,A81000C,00700,0600,HOSPITAL 428825,A81000C,00800,0100,B 428825,A81000C,00800,0200,PORTER HOSPITAL 428825,A81000C,00800,0400,PORTER HOSPITAL 428825,A81000C,00800,0600,HOSPITAL 428825,A81000C,00900,0100,B 428825,A81000C,00900,0200,PORTER HOSPITAL 428825,A81000C,00900,0400,PORTER HOSPITAL 428825,A81000C,00900,0600,HOSPITAL 428825,A81000C,01000,0100,B 428825,A81000C,01000,0200,PORTER HEALTH S 428825,A81000C,01000,0400,PORTER HEALTH S 428825,A81000C,01000,0600,HEALTH CARE 428825,A81000C,01001,0100,B 428825,A81000C,01001,0200,PORTER MGMT SVC 428825,A81000C,01001,0400,PORTER MGMT SVC 428825,A81000C,01001,0600,MGMT 428825,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428825,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428825,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428825,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428825,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428825,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428825,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428825,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428825,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 428825,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428825,B100000,00000,1100,1150GROSS REVENUES :PHARMACY 428825,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428825,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428825,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 428825,G300000,02500,0000,TELEVISION TELEPHONE 428825,G300000,02501,0000,ASSETS RELEASED FROM RESTRICTION 428825,G300000,02502,0000,MISCELLANEOUS INCOME 428825,G300000,02503,0000,LIFELINE INCOME 428825,S000000,00100,0200,02/28/12 428825,S200000,00100,0100,SOUTH STREET 428825,S200000,00200,0100,MIDDLEBURY 428825,S200000,00200,0200,VT 428825,S200000,00200,0300,05753 428825,S200000,00300,0100,ADDISON 428825,S200000,00300,0200,0047 428825,S200000,00300,0201,99947 428825,S200000,00300,0300,R 428825,S200000,00400,0100,HELEN PORTER HEALTHCARE & REHAB CTR. 428825,S200000,00400,0200,475017 428825,S200000,00400,0300,06/29/70 428825,S200000,00400,0500,P 428825,S200000,01500,0100,Y 428825,S200000,01501,0200,N 428825,S200000,01502,0200,N 428825,S200000,01600,0100,N 428825,S200000,01700,0100,N 428825,S200000,01800,0100,N 428825,S200000,02200,0100,N 428825,S200000,02800,0100,N 428825,S200000,02900,0100,N 428825,S200000,03000,0100,N 428825,S200000,03100,0100,N 428825,S200000,03200,0100,N 428825,S200000,03300,0100,N 428825,S200000,03300,0200,N 428825,S200000,04100,0100,N 428825,S200000,04200,0100,N 428825,S200000,04300,0100,N 428825,S200000,04600,0100,N 428825,S200000,04700,0100,N 428825,S200000,04700,0200,N 428825,S200000,04900,0100,N 428825,S200000,05000,0100,N 428825,S200000,05100,0100,N 428825,S200000,05200,0100,N 428825,S200000,05300,0100,N 428826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428826,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428826,A000000,00300,0000,0300EMPLOYEE BENEFITS 428826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428826,A000000,00700,0000,0700HOUSEKEEPING 428826,A000000,00800,0000,0800DIETARY 428826,A000000,00900,0000,0900NURSING ADMINISTRATION 428826,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428826,A000000,01100,0000,1100PHARMACY 428826,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428826,A000000,01300,0000,1300SOCIAL SERVICE 428826,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428826,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 428826,A000000,01600,0000,1600SKILLED NURSING FACILITY 428826,A000000,01800,0000,1800NURSING FACILITY 428826,A000000,01900,0000,1900OTHER LONG TERM CARE 428826,A000000,02100,0000,2100RADIOLOGY 428826,A000000,02200,0000,2200LABORATORY 428826,A000000,02300,0000,2300INTRAVENOUS THERAPY 428826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428826,A000000,02500,0000,2500PHYSICAL THERAPY 428826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428826,A000000,02700,0000,2700SPEECH PATHOLOGY 428826,A000000,02800,0000,2800ELECTROCARDIOLOGY 428826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428826,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428826,A000000,04800,0000,4800AMBULANCE 428826,A000000,05300,0000,5300INTEREST EXPENSE 428826,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428826,A81000A,00100,0100,Y 428826,A81000B,00100,0300,EMPLOYEE BENEFITS 428826,A81000B,00200,0300,ADMIN & GENERAL SERVICES 428826,A81000B,00300,0300,PLANT OPERATIONS AND MAINTENANCE SVC 428826,A81000B,00400,0300,LAUNDRY SERVICES/SUPPLIES 428826,A81000B,00500,0300,HOUSEKEEPING SERVICES/SUPPLIES 428826,A81000B,00600,0300,DIETARY SERVICES/SUPPLIES 428826,A81000B,00700,0300,NURSING SUPPLIES 428826,A81000B,00800,0300,NURSING SUPPLIES 428826,A81000B,00900,0300,MEDICAL SUPPLIES 428826,A81000B,01000,0300,PT 428826,A81000B,01100,0300,OT 428826,A81000B,01200,0300,ST 428826,A81000B,01300,0300,NURSING ADMINISTRATION 428826,A81000B,01400,0300,SOCIAL SERVICES 428826,A81000B,01500,0300,PROPERTY INSURANCE 428826,A81000C,00100,0100,B 428826,A81000C,00100,0200,HOSPITAL 428826,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428826,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 428826,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428826,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428826,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428826,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428826,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428826,B100000,00000,0800,0800MEALS SERVED :DIETARY 428826,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 428826,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 428826,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428826,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428826,G300000,02500,0000,STATE GRANT REVENUE 428826,G300000,02501,0000,INC FROM FUNDED DEP N 428826,G300000,02502,0000,REALIZED GAIN ON INVESTMENT 428826,G300000,02503,0000,ACTIVITIES INCOME 428826,G300000,02504,0000,PRIOR YEAR MEDICARE 428826,G300000,02505,0000,QUALITY INCENTIVE GRANT 428826,G300000,02506,0000,AR INTEREST CHARGES 428826,G300000,02507,0000,VPQHC MDRO COLLABERATIVE 428826,G300000,02508,0000,INVESTMENT INCOME 428826,S000000,00100,0200,02/27/12 428826,S200000,00100,0100,MAIN STREET 428826,S200000,00200,0100,DERBY 428826,S200000,00200,0200,VT 428826,S200000,00200,0300,05829 428826,S200000,00300,0100,ORLEANS 428826,S200000,00300,0200,0047 428826,S200000,00300,0201,99947 428826,S200000,00300,0300,R 428826,S200000,00400,0100,DERBY GREEN NURSING HOME 428826,S200000,00400,0200,475048 428826,S200000,00400,0300,10/01/94 428826,S200000,00400,0500,P 428826,S200000,01500,0100,Y 428826,S200000,01501,0200,N 428826,S200000,01502,0200,N 428826,S200000,01504,0200,N 428826,S200000,01600,0100,N 428826,S200000,01700,0100,N 428826,S200000,01800,0100,N 428826,S200000,02200,0100,N 428826,S200000,02800,0100,Y 428826,S200000,02900,0100,N 428826,S200000,03000,0100,N 428826,S200000,03100,0100,N 428826,S200000,03200,0100,N 428826,S200000,03300,0100,N 428826,S200000,03300,0200,N 428826,S200000,04100,0100,N 428826,S200000,04200,0100,N 428826,S200000,04300,0100,N 428826,S200000,04600,0100,N 428826,S200000,04700,0100,N 428826,S200000,04700,0200,N 428826,S200000,04900,0100,N 428826,S200000,05000,0100,N 428826,S200000,05100,0100,N 428826,S200000,05200,0100,N 428826,S200000,05300,0100,N 428856,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428856,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428856,A000000,00300,0000,0300EMPLOYEE BENEFITS 428856,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428856,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428856,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428856,A000000,00700,0000,0700HOUSEKEEPING 428856,A000000,00800,0000,0800DIETARY 428856,A000000,00900,0000,0900NURSING ADMINISTRATION 428856,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428856,A000000,01100,0000,1100PHARMACY 428856,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428856,A000000,01300,0000,1300SOCIAL SERVICE 428856,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428856,A000000,01500,0000,1350RECREATION SERVICES 428856,A000000,01600,0000,1600SKILLED NURSING FACILITY 428856,A000000,01800,0000,1800NURSING FACILITY 428856,A000000,01810,0000,1810ICF/MR 428856,A000000,01900,0000,1900OTHER LONG TERM CARE 428856,A000000,02100,0000,2100RADIOLOGY 428856,A000000,02200,0000,2200LABORATORY 428856,A000000,02300,0000,2300INTRAVENOUS THERAPY 428856,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428856,A000000,02500,0000,2500PHYSICAL THERAPY 428856,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428856,A000000,02700,0000,2700SPEECH PATHOLOGY 428856,A000000,02800,0000,2800ELECTROCARDIOLOGY 428856,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428856,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428856,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428856,A000000,03200,0000,3200SUPPORT SURFACES 428856,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428856,A000000,03400,0000,3400CLINIC 428856,A000000,03500,0000,3500RURAL HEALTH CLINIC 428856,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428856,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428856,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428856,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428856,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428856,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428856,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428856,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428856,A000000,04400,0000,4400DME RENTED - HHA 428856,A000000,04500,0000,4500DME SOLD - HHA 428856,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428856,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428856,A000000,04710,0000,4710TELEMEDICINE 428856,A000000,04800,0000,4800AMBULANCE 428856,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428856,A000000,05000,0000,5000CORF 428856,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428856,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428856,A000000,05300,0000,5300INTEREST EXPENSE 428856,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428856,A000000,05500,0000,5500HOSPICE 428856,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428856,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428856,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428856,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428856,A000000,06100,0000,6100NONPAID WORKERS 428856,A000000,06200,0000,6200PATIENTS LAUNDRY 428856,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428856,A81000A,00100,0100,Y 428856,A81000B,00100,0300,MANAGEMENT FEE 428856,A81000B,00200,0300,RENT EXPENSE 428856,A81000B,00300,0300,DEPRECIATION 428856,A81000B,00400,0300,RECREATION 428856,A81000C,00100,0100,A 428856,A81000C,00100,0200,DONALD L. FRANCO 428856,A81000C,00100,0600,TALMADGE PARK INC. 428856,A81000C,00200,0100,A 428856,A81000C,00200,0200,LORRAINE A. FRANCO 428856,A81000C,00200,0600,TALMADGE PARK INC. 428856,A81000C,00300,0100,A 428856,A81000C,00300,0200,LEONARD FRANCO 428856,A81000C,00300,0600,TALMADGE PARK INC. 428856,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428856,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428856,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428856,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428856,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428856,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428856,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428856,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428856,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428856,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428856,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428856,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428856,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 428856,G300000,02500,0000,OTHER INCOME 428856,S000000,00100,0200,03/02/12 428856,S200000,00100,0100,38 TALMADGE AVENUE 428856,S200000,00200,0100,EAST HAVEN 428856,S200000,00200,0200,CT 428856,S200000,00200,0300,06512 428856,S200000,00300,0100,NEW HAVEN 428856,S200000,00300,0201,35300 428856,S200000,00300,0300,U 428856,S200000,00400,0100,TALMADGE PARK INC 428856,S200000,00400,0200,075294 428856,S200000,00400,0300,11/30/79 428856,S200000,00400,0500,P 428856,S200000,01500,0100,Y 428856,S200000,01502,0200,Y 428856,S200000,01504,0200,Y 428856,S200000,01600,0100,N 428856,S200000,01700,0100,N 428856,S200000,01800,0100,N 428856,S200000,02200,0100,N 428856,S200000,02800,0100,N 428856,S200000,02900,0100,N 428856,S200000,03000,0100,N 428856,S200000,03100,0100,N 428856,S200000,03200,0100,N 428856,S200000,03300,0100,N 428856,S200000,03300,0200,N 428856,S200000,04100,0100,N 428856,S200000,04200,0100,N 428856,S200000,04300,0100,N 428856,S200000,04600,0100,N 428856,S200000,04700,0100,N 428856,S200000,04700,0200,N 428856,S200000,04900,0100,N 428856,S200000,05000,0100,N 428856,S200000,05100,0100,N 428856,S200000,05200,0100,N 428856,S200000,05300,0100,N 428859,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428859,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428859,A000000,00300,0000,0300EMPLOYEE BENEFITS 428859,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428859,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428859,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428859,A000000,00700,0000,0700HOUSEKEEPING 428859,A000000,00800,0000,0800DIETARY 428859,A000000,00900,0000,0900NURSING ADMINISTRATION 428859,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428859,A000000,01100,0000,1100PHARMACY 428859,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428859,A000000,01300,0000,1300SOCIAL SERVICE 428859,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428859,A000000,01500,0000,1350ACTIVITIES PROGRAM 428859,A000000,01600,0000,1600SKILLED NURSING FACILITY 428859,A000000,01810,0000,1810ICF/MR 428859,A000000,02100,0000,2100RADIOLOGY 428859,A000000,02200,0000,2200LABORATORY 428859,A000000,02500,0000,2500PHYSICAL THERAPY 428859,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428859,A000000,02700,0000,2700SPEECH PATHOLOGY 428859,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428859,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428859,A000000,03550,0000,3550FQHC 428859,A000000,05000,0000,5000CORF 428859,A000000,05010,0000,5010CMHC 428859,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428859,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428859,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428859,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428859,A000000,06300,0000,6150DENTAL 428859,A81000A,00100,0100,N 428859,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428859,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428859,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428859,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428859,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428859,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428859,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428859,B100000,00000,0800,0800MEALS SERVED :DIETARY 428859,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 428859,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428859,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428859,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428859,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428859,B100000,00000,1500,1350NUMBER OF PARTICPANT :ACTIVITIES 428859,G300000,02500,0000,MISCELLANEOUS INCOME 428859,S000000,00100,0200,03/28/12 428859,S200000,00100,0100,193 CLINTON AVENUE 428859,S200000,00200,0100,CORTLAND 428859,S200000,00200,0200,NY 428859,S200000,00200,0300,13045 428859,S200000,00300,0100,CORTLAND 428859,S200000,00300,0201,UTICA 428859,S200000,00300,0300,R 428859,S200000,00400,0100,CORTLAND CARE CENTER 428859,S200000,00400,0200,335218 428859,S200000,00400,0300,01/01/67 428859,S200000,00400,0500,P 428859,S200000,00400,0600,O 428859,S200000,01500,0100,Y 428859,S200000,01502,0200,Y 428859,S200000,01503,0200,Y 428859,S200000,01600,0100,N 428859,S200000,01700,0100,N 428859,S200000,01800,0100,N 428859,S200000,01900,0100,LIMITED LIABILITY CO 428859,S200000,02200,0100,N 428859,S200000,02800,0100,N 428859,S200000,02900,0100,N 428859,S200000,03000,0100,N 428859,S200000,03100,0100,N 428859,S200000,03200,0100,N 428859,S200000,03300,0100,N 428859,S200000,03300,0200,N 428859,S200000,04100,0100,N 428859,S200000,04200,0100,N 428859,S200000,04300,0100,Y 428859,S200000,04600,0100,N 428859,S200000,04700,0100,N 428859,S200000,04700,0200,N 428859,S200000,04900,0100,N 428859,S200000,05000,0100,N 428859,S200000,05100,0100,N 428859,S200000,05200,0100,N 428860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428860,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428860,A000000,00300,0000,0300EMPLOYEE BENEFITS 428860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428860,A000000,00700,0000,0700HOUSEKEEPING 428860,A000000,00800,0000,0800DIETARY 428860,A000000,00900,0000,0900NURSING ADMINISTRATION 428860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428860,A000000,01100,0000,1100PHARMACY 428860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428860,A000000,01300,0000,1300SOCIAL SERVICE 428860,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428860,A000000,01500,0000,1350ACTIVITIES PROGRAM 428860,A000000,01600,0000,1600SKILLED NURSING FACILITY 428860,A000000,01810,0000,1810ICF/MR 428860,A000000,02100,0000,2100RADIOLOGY 428860,A000000,02200,0000,2200LABORATORY 428860,A000000,02500,0000,2500PHYSICAL THERAPY 428860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428860,A000000,02700,0000,2700SPEECH PATHOLOGY 428860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428860,A000000,03550,0000,3550FQHC 428860,A000000,05000,0000,5000CORF 428860,A000000,05010,0000,5010CMHC 428860,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428860,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428860,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428860,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428860,A000000,06300,0000,6150DENTAL 428860,A81000A,00100,0100,N 428860,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428860,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428860,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428860,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428860,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428860,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428860,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428860,B100000,00000,0800,0800MEALS SERVED :DIETARY 428860,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 428860,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428860,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 428860,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428860,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428860,B100000,00000,1500,1350NUMBER OF PARTCPANTS :ACTIVITIES 428860,G300000,02500,0000,MISCELLANEOUS INCOME 428860,G300000,02501,0000,NURSERY SCHOOL TUITION 428860,G300000,02503,0000,DSS NURSE ADIE REIMBURSEMENT 428860,S000000,00100,0200,03/29/12 428860,S200000,00100,0100,860 OLD VESTAL LANE 428860,S200000,00200,0100,VESTAL 428860,S200000,00200,0200,NY 428860,S200000,00200,0300,13850 428860,S200000,00300,0100,BROOME 428860,S200000,00300,0201,BROOM 428860,S200000,00300,0300,U 428860,S200000,00400,0100,VESTAL NURSING CENTER 428860,S200000,00400,0200,335226 428860,S200000,00400,0300,01/01/67 428860,S200000,00400,0500,P 428860,S200000,00400,0600,O 428860,S200000,01500,0100,Y 428860,S200000,01503,0200,Y 428860,S200000,01600,0100,N 428860,S200000,01700,0100,N 428860,S200000,01800,0100,N 428860,S200000,01900,0100,LIMITED LIABILITY CO 428860,S200000,02200,0100,N 428860,S200000,02800,0100,N 428860,S200000,02900,0100,N 428860,S200000,03000,0100,N 428860,S200000,03100,0100,N 428860,S200000,03200,0100,N 428860,S200000,03300,0100,N 428860,S200000,03300,0200,N 428860,S200000,04100,0100,N 428860,S200000,04200,0100,N 428860,S200000,04300,0100,Y 428860,S200000,04600,0100,N 428860,S200000,04700,0100,N 428860,S200000,04700,0200,N 428860,S200000,04900,0100,N 428860,S200000,05000,0100,N 428860,S200000,05100,0100,N 428860,S200000,05200,0100,N 428863,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428863,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428863,A000000,00300,0000,0300EMPLOYEE BENEFITS 428863,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428863,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428863,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428863,A000000,00700,0000,0700HOUSEKEEPING 428863,A000000,00800,0000,0800DIETARY 428863,A000000,00900,0000,0900NURSING ADMINISTRATION 428863,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428863,A000000,01100,0000,1100PHARMACY 428863,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428863,A000000,01300,0000,1300SOCIAL SERVICE 428863,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428863,A000000,01500,0000,1350RECREATION SERVICES 428863,A000000,01600,0000,1600SKILLED NURSING FACILITY 428863,A000000,01800,0000,1800NURSING FACILITY 428863,A000000,01810,0000,1810ICF/MR 428863,A000000,01900,0000,1900OTHER LONG TERM CARE 428863,A000000,02100,0000,2100RADIOLOGY 428863,A000000,02200,0000,2200LABORATORY 428863,A000000,02300,0000,2300INTRAVENOUS THERAPY 428863,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428863,A000000,02500,0000,2500PHYSICAL THERAPY 428863,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428863,A000000,02700,0000,2700SPEECH PATHOLOGY 428863,A000000,02800,0000,2800ELECTROCARDIOLOGY 428863,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428863,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428863,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428863,A000000,03200,0000,3200SUPPORT SURFACES 428863,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428863,A000000,03400,0000,3400CLINIC 428863,A000000,03500,0000,3500RURAL HEALTH CLINIC 428863,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428863,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428863,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428863,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428863,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428863,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428863,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428863,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428863,A000000,04400,0000,4400DME RENTED - HHA 428863,A000000,04500,0000,4500DME SOLD - HHA 428863,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428863,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428863,A000000,04710,0000,4710TELEMEDICINE 428863,A000000,04800,0000,4800AMBULANCE 428863,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428863,A000000,05000,0000,5000CORF 428863,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428863,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428863,A000000,05300,0000,5300INTEREST EXPENSE 428863,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428863,A000000,05500,0000,5500HOSPICE 428863,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428863,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428863,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428863,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428863,A000000,06100,0000,6100NONPAID WORKERS 428863,A000000,06200,0000,6200PATIENTS LAUNDRY 428863,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428863,A81000A,00100,0100,Y 428863,A81000B,00100,0300,ACCOUNTING MANAGEMENT SERVICES 428863,A81000B,00200,0300,LEASED RENTAL PROPERTY 428863,A81000B,00300,0300,MORTGAGE INTEREST 428863,A81000B,00400,0300,REAL ESTATE TAXES 428863,A81000B,00500,0300,PROPERTY INSURANCE 428863,A81000B,00600,0300,LEASEHOLD IMPROVEMENTS 428863,A81000C,00100,0100,C 428863,A81000C,00100,0200,WALNUT HILL HOLDINGS LLC 428863,A81000C,00100,0400,WALNUT HILL HOLDINGS LLC 428863,A81000C,00200,0100,C 428863,A81000C,00200,0200,WALNUT HILL REAL ESTATE 428863,A81000C,00200,0400,WALNUT HILL REAL ESTATE 428863,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428863,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428863,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428863,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428863,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428863,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428863,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428863,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428863,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428863,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428863,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 428863,G300000,02500,0000,SEE ATTACHED 428863,S000000,00100,0200,01/25/12 428863,S200000,00100,0100,55 GRAND ST 428863,S200000,00200,0100,NEW BRITIAN 428863,S200000,00200,0200,CT 428863,S200000,00200,0300,06052-1860 428863,S200000,00300,0100,HARTFORD 428863,S200000,00300,0200,3283 428863,S200000,00300,0201,25540 428863,S200000,00300,0300,U 428863,S200000,00400,0100,WALNUT HILL INC 428863,S200000,00400,0200,075182 428863,S200000,00400,0300,10/01/77 428863,S200000,00400,0500,P 428863,S200000,01500,0100,Y 428863,S200000,01502,0200,Y 428863,S200000,01504,0200,Y 428863,S200000,01600,0100,N 428863,S200000,01700,0100,N 428863,S200000,01800,0100,N 428863,S200000,02200,0100,N 428863,S200000,02800,0100,N 428863,S200000,02900,0100,N 428863,S200000,03000,0100,N 428863,S200000,03100,0100,N 428863,S200000,03200,0100,N 428863,S200000,03300,0100,N 428863,S200000,03300,0200,N 428863,S200000,04100,0100,N 428863,S200000,04200,0100,N 428863,S200000,04300,0100,N 428863,S200000,04600,0100,N 428863,S200000,04700,0100,N 428863,S200000,04700,0200,N 428863,S200000,04900,0100,N 428863,S200000,05000,0100,N 428863,S200000,05100,0100,N 428863,S200000,05200,0100,N 428863,S200000,05300,0100,N 428873,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428873,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428873,A000000,00300,0000,0300EMPLOYEE BENEFITS 428873,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428873,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428873,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428873,A000000,00700,0000,0700HOUSEKEEPING 428873,A000000,00800,0000,0800DIETARY 428873,A000000,00900,0000,0900NURSING ADMINISTRATION 428873,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428873,A000000,01100,0000,1100PHARMACY 428873,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428873,A000000,01300,0000,1300SOCIAL SERVICE 428873,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428873,A000000,01500,0000,1350ACTIVITIES 428873,A000000,01600,0000,1600SKILLED NURSING FACILITY 428873,A000000,01810,0000,1810ICF/MR 428873,A000000,02100,0000,2100RADIOLOGY 428873,A000000,02200,0000,2200LABORATORY 428873,A000000,02300,0000,2300INTRAVENOUS THERAPY 428873,A000000,02500,0000,2500PHYSICAL THERAPY 428873,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428873,A000000,02700,0000,2700SPEECH PATHOLOGY 428873,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428873,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428873,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 428873,A000000,03550,0000,3550FQHC 428873,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428873,A000000,04801,0000,4801AMBULANCE 428873,A000000,04802,0000,4802AMBULANCE 428873,A000000,04803,0000,4803AMBULANCE 428873,A000000,05000,0000,5000CORF 428873,A000000,05010,0000,5010CMHC 428873,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428873,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428873,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428873,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428873,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428873,A81000A,00100,0100,N 428873,B100000,00000,0100,0100SQUARE FEET 428873,B100000,00000,0200,0200SQUARE FEET 428873,B100000,00000,0300,0300GROSS SALARIES 428873,B100000,00000,0400,0400ACCUM COST 428873,B100000,00000,0500,0500SQUARE FEET 428873,B100000,00000,0600,0600PATIENT DAYS 428873,B100000,00000,0700,0700SQUARE FEET 428873,B100000,00000,0800,0800MEALS SERVED 428873,B100000,00000,0900,0900DIRECT NURSING 428873,B100000,00000,1000,1000PATIENT DAYS 428873,B100000,00000,1100,1100COSTED REQUIS. 428873,B100000,00000,1200,1200PATIENT DAYS 428873,B100000,00000,1300,1300PATIENT DAYS 428873,B100000,00000,1400,1400ASSIGNED TIME 428873,B100000,00000,1500,1350PATIENT DAYS 428873,S000000,00100,0200,02/27/12 428873,S200000,00100,0100,200 NORTH PINE HILL ROAD 428873,S200000,00200,0100,BIRMINGHAM 428873,S200000,00200,0200,AL 428873,S200000,00200,0300,35217 428873,S200000,00300,0100,JEFFERSON 428873,S200000,00300,0201,13820 428873,S200000,00300,0300,U 428873,S200000,00400,0100,JEFFERSON REHAB & HEALTH CENTER 428873,S200000,00400,0200,015349 428873,S200000,00400,0300,01/01/06 428873,S200000,00400,0500,P 428873,S200000,01500,0100,Y 428873,S200000,01501,0200,Y 428873,S200000,01502,0200,N 428873,S200000,01503,0200,N 428873,S200000,01504,0200,N 428873,S200000,01505,0000,OTHER (SPECIFY) 428873,S200000,01505,0200,N 428873,S200000,01600,0100,N 428873,S200000,01700,0100,N 428873,S200000,01800,0100,N 428873,S200000,02200,0100,N 428873,S200000,02800,0100,N 428873,S200000,02900,0100,N 428873,S200000,03000,0100,N 428873,S200000,03100,0100,N 428873,S200000,03200,0100,N 428873,S200000,03300,0100,N 428873,S200000,03300,0200,N 428873,S200000,04200,0100,N 428873,S200000,04300,0100,N 428873,S200000,04600,0100,N 428873,S200000,04700,0100,N 428873,S200000,04900,0100,N 428873,S200000,05200,0100,N 428873,S200000,05300,0100,N 428882,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 428882,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 428882,A000000,00300,0000,0300EMPLOYEE BENEFITS 428882,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428882,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 428882,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428882,A000000,00700,0000,0700HOUSEKEEPING 428882,A000000,00800,0000,0800DIETARY 428882,A000000,00900,0000,0900NURSING ADMINISTRATION 428882,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428882,A000000,01100,0000,1100PHARMACY 428882,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428882,A000000,01300,0000,1300SOCIAL SERVICE 428882,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 428882,A000000,01500,0000,1350OTHER GENERAL SERVICES 428882,A000000,01600,0000,1600SKILLED NURSING FACILITY 428882,A000000,01810,0000,1810ICF/MR 428882,A000000,02100,0000,2100RADIOLOGY 428882,A000000,02101,0000,2101PEN THERAPY 428882,A000000,02200,0000,2200LABORATORY 428882,A000000,02500,0000,2500PHYSICAL THERAPY 428882,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428882,A000000,02700,0000,2700SPEECH PATHOLOGY 428882,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 428882,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428882,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428882,A000000,03550,0000,3550FQHC 428882,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428882,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428882,A000000,04710,0000,4710TELEMEDICINE 428882,A000000,04800,0000,4800AMBULANCE 428882,A000000,04801,0000,4801AMBULANCE 428882,A000000,04802,0000,4802AMBULANCE 428882,A000000,04803,0000,4803AMBULANCE 428882,A000000,05000,0000,5000CORF 428882,A000000,05010,0000,5010CMHC 428882,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428882,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428882,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428882,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428882,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428882,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428882,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428882,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428882,A81000A,00100,0100,Y 428882,A81000B,00100,0300,MANAGEMENT FEES 428882,A81000B,00200,0300,MANAGEMENT FEES 428882,A81000B,00300,0300,MANAGEMENT FEES 428882,A81000B,00800,0300,MINOR EQUIPMENT 428882,A81000B,00900,0300,SUPPLIES 428882,A81000B,01000,0300,SUPPLIES 428882,A81000B,01100,0300,SUPPLIES 428882,A81000B,01500,0300,SUPPLIES 428882,A81000B,01600,0300,INSURANCE 428882,A81000B,01700,0300,HISTORICAL COSTS 428882,A81000B,01800,0300,HISTORICAL COSTS 428882,A81000B,01900,0300,THERAPY SERVICES 428882,A81000B,02000,0300,THERAPY SERVICES 428882,A81000B,02100,0300,THERAPY SERVICES 428882,A81000B,02200,0300,AMORTIZATION - LOAN COSTS 428882,A81000B,02300,0300,ACCOUNTING FEES 428882,A81000B,02400,0300,TELEPHONE 428882,A81000B,02500,0300,LEGAL FEES 428882,A81000B,02600,0300,MORTGAGE 428882,A81000C,00100,0100,A 428882,A81000C,00100,0200,MICHAEL H. MCBRIDE 428882,A81000C,00100,0400,HMR ADVANTAGE HEALTH SYST 428882,A81000C,00100,0600,HOME OFFICE 428882,A81000C,00200,0100,A 428882,A81000C,00200,0200,JOHN SWIFT 428882,A81000C,00200,0400,HMR ADVANTAGE HEALTH SYST 428882,A81000C,00200,0600,HOME OFFICE 428882,A81000C,00300,0100,A 428882,A81000C,00300,0200,BILL WILLIAMSON 428882,A81000C,00300,0400,HMR ADVANTAGE HEALTH SYST 428882,A81000C,00300,0600,HOME OFFICE 428882,A81000C,00400,0100,A 428882,A81000C,00400,0200,MICHAEL H. MCBRIDE 428882,A81000C,00400,0400,GROVE MEDICAL INC 428882,A81000C,00400,0600,SUPPLIES 428882,A81000C,00500,0100,A 428882,A81000C,00500,0200,MICHAEL H. MCBRIDE 428882,A81000C,00500,0400,HMR PROPERTIES 428882,A81000C,00500,0600,RENTAL LEASING 428882,A81000C,00600,0100,A 428882,A81000C,00600,0200,MICHAEL H. MCBRIDE 428882,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428882,A81000C,00600,0600,THERAPY 428882,A81000C,00700,0100,A 428882,A81000C,00700,0200,JOHN SWIFT 428882,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428882,A81000C,00700,0600,THERAPY 428882,A81000C,00800,0100,A 428882,A81000C,00800,0200,BILL WILLIAMSON 428882,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428882,A81000C,00800,0600,THERAPY 428882,A81000C,00900,0100,A 428882,A81000C,00900,0200,MICHAEL H. MCBRIDE 428882,A81000C,00900,0400,CRESCENT INDEMNITY 428882,A81000C,00900,0600,INSURANCE 428882,A81000C,01000,0100,A 428882,A81000C,01000,0200,JOHN SWIFT 428882,A81000C,01000,0400,CRESCENT INDEMNITY 428882,A81000C,01000,0600,INSURANCE 428882,A81000C,01100,0100,A 428882,A81000C,01100,0200,BILL WILLIAMSON 428882,A81000C,01100,0400,CRESCENT INDEMNITY 428882,A81000C,01100,0600,INSURANCE 428882,B100000,00000,0100,0100SQUARE FEET 428882,B100000,00000,0200,0200SQUARE FEET 428882,B100000,00000,0300,0300GROSS SALARIES 428882,B100000,00000,0400,0400ACCUM COST 428882,B100000,00000,0500,0500SQUARE FEET 428882,B100000,00000,0600,0600PATIENT DAYS 428882,B100000,00000,0700,0700SQUARE FEET 428882,B100000,00000,0800,0800MEALS SERVED 428882,B100000,00000,0900,0900DIRECT NRSING HRS 428882,B100000,00000,1000,1000PATIENT DAYS 428882,B100000,00000,1100,1100GROSS CHARGES 428882,B100000,00000,1200,1200PATIENT DAYS 428882,B100000,00000,1300,1300PATIENT DAYS 428882,B100000,00000,1400,1400ASSIGNED TIME 428882,B100000,00000,1500,1350PATIENT DAYS 428882,E10A180,00550,0100,06/01/11 428882,G300000,02500,0000,BARBER AND BEAUTY 428882,G300000,02501,0000,OTHER INCOME 428882,S000000,00100,0200,04/26/11 428882,S200000,00100,0100,3000 LENORA CHURCH ROAD 428882,S200000,00200,0100,SNELLVILLE 428882,S200000,00200,0200,GA 428882,S200000,00200,0300,30078 428882,S200000,00300,0100,GWINNETT 428882,S200000,00300,0201,12060 428882,S200000,00300,0300,U 428882,S200000,00400,0100,PARKWOOD LIVING CENTER LLC 428882,S200000,00400,0200,115643 428882,S200000,00400,0300,08/01/97 428882,S200000,00400,0500,P 428882,S200000,01500,0100,Y 428882,S200000,01501,0200,N 428882,S200000,01502,0200,N 428882,S200000,01503,0200,N 428882,S200000,01504,0200,N 428882,S200000,01600,0100,N 428882,S200000,01700,0100,N 428882,S200000,01800,0100,N 428882,S200000,02200,0100,N 428882,S200000,02800,0100,Y 428882,S200000,02900,0100,N 428882,S200000,03000,0100,N 428882,S200000,03100,0100,N 428882,S200000,03200,0100,N 428882,S200000,03300,0100,N 428882,S200000,03300,0200,N 428882,S200000,04200,0100,N 428882,S200000,04300,0100,N 428882,S200000,04600,0100,N 428882,S200000,04700,0100,N 428882,S200000,04900,0100,N 428882,S200000,05200,0100,N 428882,S200000,05300,0100,Y 428882,S200000,05300,0200,42HO32 428882,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428882,S200000,05400,0200,PALMETTO GBA 428882,S200000,05400,0300,00380 428882,S200000,05500,0100,101 GRACE DRIVE 428882,S200000,05600,0100,EASLEY 428882,S200000,05600,0200,SC 428882,S200000,05600,0300,29640 428925,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428925,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428925,A000000,00300,0000,0300EMPLOYEE BENEFITS 428925,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428925,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428925,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428925,A000000,00700,0000,0700HOUSEKEEPING 428925,A000000,00800,0000,0800DIETARY 428925,A000000,00900,0000,0900NURSING ADMINISTRATION 428925,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428925,A000000,01100,0000,1100PHARMACY 428925,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428925,A000000,01300,0000,1300SOCIAL SERVICE 428925,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428925,A000000,01500,0000,1350OTHER GENERAL SERVICES 428925,A000000,01600,0000,1600SKILLED NURSING FACILITY 428925,A000000,02100,0000,2100RADIOLOGY 428925,A000000,02200,0000,2200LABORATORY 428925,A000000,02500,0000,2500PHYSICAL THERAPY 428925,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428925,A000000,02700,0000,2700SPEECH PATHOLOGY 428925,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428925,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428925,A000000,05300,0000,5300INTEREST EXPENSE 428925,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428925,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428925,A81000A,00100,0100,N 428925,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428925,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428925,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428925,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428925,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428925,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428925,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428925,B100000,00000,0800,0800MEALS SERVED :DIETARY 428925,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428925,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428925,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428925,G300000,02500,0000,OTHER (SPECIFY) 428925,S000000,00100,0200,04/23/12 428925,S200000,00100,0100,1341 ROSEBUD LANE 428925,S200000,00200,0100,BILLINGS 428925,S200000,00200,0200,MT 428925,S200000,00200,0300,59101 428925,S200000,00300,0100,YELLOWSTONE 428925,S200000,00300,0200,27 428925,S200000,00300,0201,99927 428925,S200000,00300,0300,R 428925,S200000,00400,0100,PONDEROSA PINES 428925,S200000,00400,0200,275096 428925,S200000,00400,0300,10/01/07 428925,S200000,00400,0500,P 428925,S200000,00400,0600,O 428925,S200000,01500,0100,Y 428925,S200000,01501,0200,N 428925,S200000,01600,0100,N 428925,S200000,01700,0100,N 428925,S200000,01800,0100,N 428925,S200000,02200,0100,N 428925,S200000,02800,0100,N 428925,S200000,02900,0100,N 428925,S200000,03000,0100,N 428925,S200000,03100,0100,N 428925,S200000,03200,0100,N 428925,S200000,03300,0100,N 428925,S200000,03300,0200,N 428925,S200000,04100,0100,N 428925,S200000,04200,0100,N 428925,S200000,04300,0100,N 428925,S200000,04600,0100,N 428925,S200000,04700,0100,N 428925,S200000,04700,0200,N 428925,S200000,04900,0100,N 428925,S200000,05000,0100,N 428925,S200000,05100,0100,N 428925,S200000,05200,0100,N 428925,S200000,05300,0100,N 428929,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428929,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428929,A000000,00300,0000,0300EMPLOYEE BENEFITS 428929,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428929,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428929,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428929,A000000,00700,0000,0700HOUSEKEEPING 428929,A000000,00800,0000,0800DIETARY 428929,A000000,00900,0000,0900NURSING ADMINISTRATION 428929,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428929,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428929,A000000,01300,0000,1300SOCIAL SERVICE 428929,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428929,A000000,01500,0000,1350OTHER GENERAL SERVICES 428929,A000000,01600,0000,1600SKILLED NURSING FACILITY 428929,A000000,01800,0000,1800NURSING FACILITY 428929,A000000,01900,0000,1900OTHER LONG TERM CARE 428929,A000000,02100,0000,2100RADIOLOGY 428929,A000000,02200,0000,2200LABORATORY 428929,A000000,02300,0000,2300INTRAVENOUS THERAPY 428929,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428929,A000000,02500,0000,2500PHYSICAL THERAPY 428929,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428929,A000000,02700,0000,2700SPEECH PATHOLOGY 428929,A000000,02800,0000,2800ELECTROCARDIOLOGY 428929,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428929,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428929,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428929,A000000,03200,0000,3200SUPPORT SURFACES 428929,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428929,A000000,03400,0000,3400CLINIC 428929,A000000,03500,0000,3500RURAL HEALTH CLINIC 428929,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428929,A000000,04800,0000,4800AMBULANCE 428929,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428929,A000000,05000,0000,5000CORF 428929,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428929,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428929,A000000,05300,0000,5300INTEREST EXPENSE 428929,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428929,A000000,05500,0000,5500HOSPICE 428929,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428929,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428929,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428929,A000000,06200,0000,6200PATIENTS LAUNDRY 428929,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428929,A81000A,00100,0100,Y 428929,A81000B,00100,0300,HOME OFFICE ALLOCATION 428929,A81000B,00200,0300,HOME OFFICE ALLOCATION 428929,A81000B,00300,0300,REHAB 428929,A81000B,00400,0300,REHAB 428929,A81000B,00500,0300,REHAB 428929,A81000B,00600,0300,MEDICAL SUPPLY 428929,A81000B,00700,0300,PHARMACY 428929,A81000B,00800,0300,EQU RENTAL EXP 428929,A81000B,00900,0300,PHARMACY CONSULTANT 428929,A81000B,01000,0300,PRESTIGE BUS ALLOCATION 428929,A81000B,01100,0300,INTERNAL CONTRACT LABOR 428929,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428929,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428929,A81000B,01400,0300,INTERNAL CONTRACT LABOR 428929,A81000C,00100,0100,B 428929,A81000C,00100,0400,CARE CENTER INC 428929,A81000C,00100,0600,OWNS PROVIDER 428929,A81000C,00200,0100,B 428929,A81000C,00200,0400,PRESTIGE CARE INC 428929,A81000C,00200,0600,OWNS CARE CENTER INC 428929,A81000C,00300,0100,A 428929,A81000C,00300,0200,RICK DELAMARTER 428929,A81000C,00300,0400,PRESTIGE CARE INC 428929,A81000C,00300,0600,HOME OFFICE 428929,A81000C,00400,0100,A 428929,A81000C,00400,0200,HAROLD DELAMARTER 428929,A81000C,00400,0400,PRESITGE CARE INC 428929,A81000C,00400,0600,HOME OFFICE 428929,A81000C,00500,0100,A 428929,A81000C,00500,0200,GREG VISLOCKY 428929,A81000C,00500,0400,PRESTIGE CARE INC 428929,A81000C,00500,0600,HOME OFFICE 428929,A81000C,00600,0100,A 428929,A81000C,00600,0200,RICK DELAMARTER 428929,A81000C,00600,0400,CYPRESS VENTURES 428929,A81000C,00600,0600,PROPAC PHARMACY 428929,A81000C,00700,0100,A 428929,A81000C,00700,0200,HAROLD DELAMARTER 428929,A81000C,00700,0400,CYPRESS VENTURES 428929,A81000C,00700,0600,PROPAC PHARMACY 428929,A81000C,00800,0100,A 428929,A81000C,00800,0200,GREG VISLOCKY 428929,A81000C,00800,0400,CYPRESS VENTURES 428929,A81000C,00800,0600,PROPAC PHARMACY 428929,A81000C,00900,0100,A 428929,A81000C,00900,0200,RICK DELAMARTER 428929,A81000C,00900,0400,CRESWELL LLC 428929,A81000C,00900,0600,LANDLORD 428929,A81000C,01000,0100,A 428929,A81000C,01000,0200,HAROLD DELAMARTER 428929,A81000C,01000,0400,CRESWELL LLC 428929,A81000C,01000,0600,LANDLORD 428929,A81000C,01001,0100,A 428929,A81000C,01001,0200,GREG VISLOCKY 428929,A81000C,01001,0400,CRESWELL LLC 428929,A81000C,01001,0600,LANDLORD 428929,A81000C,01002,0100,G 428929,A81000C,01002,0400,AUGUSTA VENTURES 428929,A81000C,01002,0600,PREMERE REHAB COMPANY 428929,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 428929,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 428929,A81000C,01004,0600,SEE ATTACHED RELATED 428929,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 428929,A81000C,01005,0400,THE 10.10 EXCEPTION 428929,A81000C,01005,0600,PARTY RELATIONSHIPS 428929,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 428929,A81000C,01006,0400,CRITERIA 428929,A81000C,01007,0200,PRESTIGE CARE & CARE CTR 428929,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428929,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428929,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428929,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428929,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428929,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428929,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428929,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428929,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428929,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428929,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428929,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428929,G300000,02500,0000,OTHER INCOME 428929,S000000,00100,0200,03/01/12 428929,S200000,00100,0100,735 SOUTH 2ND ST 428929,S200000,00200,0100,CRESWELL 428929,S200000,00200,0200,OR 428929,S200000,00200,0300,97426 428929,S200000,00300,0100,LANE 428929,S200000,00300,0200,2400 428929,S200000,00300,0201,21660 428929,S200000,00300,0300,U 428929,S200000,00400,0100,CRESWELL CARE CENTER 428929,S200000,00400,0200,385182 428929,S200000,00400,0300,04/28/98 428929,S200000,00400,0500,P 428929,S200000,01500,0100,Y 428929,S200000,01501,0200,Y 428929,S200000,01502,0200,N 428929,S200000,01504,0200,Y 428929,S200000,01600,0100,N 428929,S200000,01700,0100,N 428929,S200000,01800,0100,N 428929,S200000,02200,0100,N 428929,S200000,02800,0100,N 428929,S200000,02900,0100,N 428929,S200000,03000,0100,N 428929,S200000,03100,0100,N 428929,S200000,03200,0100,N 428929,S200000,03300,0100,N 428929,S200000,03300,0200,N 428929,S200000,04100,0100,N 428929,S200000,04200,0100,N 428929,S200000,04300,0100,N 428929,S200000,04600,0100,N 428929,S200000,04700,0100,N 428929,S200000,04700,0200,N 428929,S200000,04900,0100,N 428929,S200000,05000,0100,N 428929,S200000,05100,0100,N 428929,S200000,05200,0100,N 428929,S200000,05300,0100,Y 428929,S200000,05300,0200,HB0440 428929,S200000,05400,0100,PRESTIGE CARE INC 428929,S200000,05400,0200,NORDIAN 428929,S200000,05400,0300,00325 428929,S200000,05500,0100,7700 NE PARKWAY DRIVE 428929,S200000,05600,0100,VANCOUVER 428929,S200000,05600,0200,WA 428929,S200000,05600,0300,98662 428930,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428930,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428930,A000000,00300,0000,0300EMPLOYEE BENEFITS 428930,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428930,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428930,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428930,A000000,00700,0000,0700HOUSEKEEPING 428930,A000000,00800,0000,0800DIETARY 428930,A000000,00900,0000,0900NURSING ADMINISTRATION 428930,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428930,A000000,01100,0000,1100PHARMACY 428930,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428930,A000000,01300,0000,1300SOCIAL SERVICE 428930,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428930,A000000,01500,0000,1350OTHER GENERAL SERVICES 428930,A000000,01600,0000,1600SKILLED NURSING FACILITY 428930,A000000,01800,0000,1800NURSING FACILITY 428930,A000000,01900,0000,1900OTHER LONG TERM CARE 428930,A000000,02100,0000,2100RADIOLOGY 428930,A000000,02200,0000,2200LABORATORY 428930,A000000,02300,0000,2300INTRAVENOUS THERAPY 428930,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428930,A000000,02500,0000,2500PHYSICAL THERAPY 428930,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428930,A000000,02700,0000,2700SPEECH PATHOLOGY 428930,A000000,02800,0000,2800ELECTROCARDIOLOGY 428930,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428930,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428930,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428930,A000000,03200,0000,3200SUPPORT SURFACES 428930,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428930,A000000,03400,0000,3400CLINIC 428930,A000000,03500,0000,3500RURAL HEALTH CLINIC 428930,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428930,A000000,04800,0000,4800AMBULANCE 428930,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428930,A000000,05000,0000,5000CORF 428930,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428930,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428930,A000000,05300,0000,5300INTEREST EXPENSE 428930,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428930,A000000,05500,0000,5500HOSPICE 428930,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428930,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428930,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428930,A000000,06200,0000,6200PATIENTS LAUNDRY 428930,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428930,A81000A,00100,0100,Y 428930,A81000B,00100,0300,HOME OFFICE ALLOCATION 428930,A81000B,00200,0300,HOME OFFICE ALLOCATION 428930,A81000B,00500,0300,NURSING SUPPLY 428930,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 428930,A81000B,00700,0300,IV PHARMACY FLU SHOTS 428930,A81000B,00800,0300,REHAB 428930,A81000B,00900,0300,REHAB 428930,A81000B,01000,0300,REHAB 428930,A81000B,01100,0300,EQUIPMENT RENTAL 428930,A81000B,01200,0300,INTERNAL CONTRACT LABOR 428930,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428930,A81000C,00100,0100,B 428930,A81000C,00100,0400,WILLOWBROOK CARE CENTER 428930,A81000C,00100,0600,OWNS PROVIDER 428930,A81000C,00200,0100,B 428930,A81000C,00200,0400,PRESTIGE CARE INC 428930,A81000C,00200,0600,OWNS WILLOWBROOK 428930,A81000C,00300,0100,A 428930,A81000C,00300,0200,RICK DELAMARTER 428930,A81000C,00300,0400,PRESTIGE CARE INC 428930,A81000C,00300,0600,HOME OFFICE 428930,A81000C,00400,0100,A 428930,A81000C,00400,0200,HAROLD DELAMARTER 428930,A81000C,00400,0400,PERSTIGE CARE INC 428930,A81000C,00400,0600,HOME OFFICE 428930,A81000C,00500,0100,A 428930,A81000C,00500,0200,GREG VISLOCKY 428930,A81000C,00500,0400,PRESTIGE CARE INC 428930,A81000C,00500,0600,HOME OFFICE 428930,A81000C,00600,0100,A 428930,A81000C,00600,0200,RICK DELAMARTER 428930,A81000C,00600,0400,CYPRESS VENTURES 428930,A81000C,00600,0600,PROPAC PHARMACY 428930,A81000C,00700,0100,A 428930,A81000C,00700,0200,HAROLD DELAMARTER 428930,A81000C,00700,0400,CYPRESS VENTURES 428930,A81000C,00700,0600,PROPAC PHARMACY 428930,A81000C,00800,0100,A 428930,A81000C,00800,0200,GREG VISLOCKY 428930,A81000C,00800,0400,CYPRESS VENTURES 428930,A81000C,00800,0600,PROPAC PHARMACY 428930,A81000C,00900,0100,G 428930,A81000C,00900,0400,AUGUSTA VENTURES 428930,A81000C,00900,0600,PREMERE REHAB COMPANY 428930,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 428930,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 428930,A81000C,01001,0600,SEE ATTACHED RELATED 428930,A81000C,01002,0200,HAVE OWNERSHIP INTEREST 428930,A81000C,01002,0400,THE 10.10 EXCEPTION 428930,A81000C,01002,0600,PARTY RELATIONSHIPS 428930,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 428930,A81000C,01003,0400,CRITERIA 428930,A81000C,01004,0200,PRESTIGE CARE & WILLOWBRO 428930,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428930,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428930,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428930,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428930,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428930,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428930,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428930,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428930,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428930,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428930,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428930,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428930,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428930,G300000,02500,0000,OTHER INCOME 428930,S000000,00100,0200,03/01/12 428930,S200000,00100,0100,707 SW 37TH STREET 428930,S200000,00200,0100,PENDLETON 428930,S200000,00200,0200,OR 428930,S200000,00200,0300,97801 428930,S200000,00300,0100,UMATILLA 428930,S200000,00300,0200,38 428930,S200000,00300,0201,99938 428930,S200000,00300,0300,R 428930,S200000,00400,0100,WILLOWBROOK TERRACE 428930,S200000,00400,0200,385201 428930,S200000,00400,0300,05/18/89 428930,S200000,00400,0500,P 428930,S200000,01500,0100,Y 428930,S200000,01501,0200,N 428930,S200000,01600,0100,N 428930,S200000,01700,0100,N 428930,S200000,01800,0100,N 428930,S200000,02200,0100,N 428930,S200000,02800,0100,N 428930,S200000,02900,0100,N 428930,S200000,03000,0100,N 428930,S200000,03100,0100,N 428930,S200000,03200,0100,N 428930,S200000,03300,0100,N 428930,S200000,03300,0200,N 428930,S200000,04100,0100,N 428930,S200000,04200,0100,N 428930,S200000,04300,0100,N 428930,S200000,04600,0100,N 428930,S200000,04700,0100,N 428930,S200000,04700,0200,N 428930,S200000,04900,0100,N 428930,S200000,05000,0100,N 428930,S200000,05100,0100,N 428930,S200000,05200,0100,N 428930,S200000,05300,0100,Y 428930,S200000,05300,0200,HB0440 428930,S200000,05400,0100,PRESTIGE CARE INC 428930,S200000,05400,0200,NORDIAN 428930,S200000,05400,0300,00325 428930,S200000,05500,0100,7700 NE PARKWAY DRIVE 428930,S200000,05600,0100,VANCOUVER 428930,S200000,05600,0200,WA 428930,S200000,05600,0300,98662 428931,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428931,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428931,A000000,00300,0000,0300EMPLOYEE BENEFITS 428931,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428931,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428931,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428931,A000000,00700,0000,0700HOUSEKEEPING 428931,A000000,00800,0000,0800DIETARY 428931,A000000,00900,0000,0900NURSING ADMINISTRATION 428931,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428931,A000000,01100,0000,1100PHARMACY 428931,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428931,A000000,01300,0000,1300SOCIAL SERVICE 428931,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428931,A000000,01500,0000,1350OTHER GENERAL SERVICES 428931,A000000,01600,0000,1600SKILLED NURSING FACILITY 428931,A000000,01800,0000,1800NURSING FACILITY 428931,A000000,01900,0000,1900OTHER LONG TERM CARE 428931,A000000,02100,0000,2100RADIOLOGY 428931,A000000,02200,0000,2200LABORATORY 428931,A000000,02300,0000,2300INTRAVENOUS THERAPY 428931,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428931,A000000,02500,0000,2500PHYSICAL THERAPY 428931,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428931,A000000,02700,0000,2700SPEECH PATHOLOGY 428931,A000000,02800,0000,2800ELECTROCARDIOLOGY 428931,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428931,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428931,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428931,A000000,03200,0000,3200SUPPORT SURFACES 428931,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428931,A000000,03400,0000,3400CLINIC 428931,A000000,03500,0000,3500RURAL HEALTH CLINIC 428931,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428931,A000000,04800,0000,4800AMBULANCE 428931,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428931,A000000,05000,0000,5000CORF 428931,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428931,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428931,A000000,05300,0000,5300INTEREST EXPENSE 428931,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428931,A000000,05500,0000,5500HOSPICE 428931,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428931,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428931,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428931,A000000,06200,0000,6200PATIENTS LAUNDRY 428931,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428931,A81000A,00100,0100,Y 428931,A81000B,00100,0300,HOME OFFICE ALLOCATION 428931,A81000B,00200,0300,HOME OFFICE ALLOCATION 428931,A81000B,00300,0300,INTERNAL CONTRACT LABOR 428931,A81000B,00400,0300,INTERNAL CONTRACT LABOR 428931,A81000B,00500,0300,NURSING SUPPLY 428931,A81000B,00600,0300,PHARMACY FORMS 428931,A81000B,00700,0300,IV PHARMACY FLU SHOTS 428931,A81000B,00800,0300,REHAB 428931,A81000B,00900,0300,REHAB 428931,A81000B,01000,0300,REHAB 428931,A81000B,01100,0300,EQUIPMENT RENTAL 428931,A81000B,01200,0300,PRESTIGE BUS ALLOCATION 428931,A81000B,01300,0300,INTERNAL CONTRACT LABOR 428931,A81000B,01400,0300,INTERNAL CONTRACT LABOR 428931,A81000C,00100,0100,B 428931,A81000C,00100,0400,PARK FOREST CARE CENTER 428931,A81000C,00100,0600,OWNS PROVIDER 428931,A81000C,00200,0100,B 428931,A81000C,00200,0400,PRESTIGE CARE INC 428931,A81000C,00200,0600,OWNS PARK FOREST 428931,A81000C,00300,0100,A 428931,A81000C,00300,0200,RICK DELAMARTER 428931,A81000C,00300,0400,PRESTIGE CARE INC 428931,A81000C,00300,0600,HOME OFFICE 428931,A81000C,00400,0100,A 428931,A81000C,00400,0200,HAROLD DELAMARTER 428931,A81000C,00400,0400,PRESTIGE CARE INC 428931,A81000C,00400,0600,HOME OFFICE 428931,A81000C,00500,0100,A 428931,A81000C,00500,0200,GREG VISLOCKY 428931,A81000C,00500,0400,PRESTIGE CARE INC 428931,A81000C,00500,0600,HOME OFFICE 428931,A81000C,00600,0100,A 428931,A81000C,00600,0200,RICK DELAMARTER 428931,A81000C,00600,0400,CYPRESS VENTURES 428931,A81000C,00600,0600,PROPAC PHARMACY 428931,A81000C,00700,0100,A 428931,A81000C,00700,0200,HAROLD DELAMARTER 428931,A81000C,00700,0400,CYPRESS VENTURES 428931,A81000C,00700,0600,PROPAC PHARMACY 428931,A81000C,00800,0100,A 428931,A81000C,00800,0200,GREG VISLOCKY 428931,A81000C,00800,0400,CYPRESS VENTURES 428931,A81000C,00800,0600,PROPAC PHARMACY 428931,A81000C,00900,0100,A 428931,A81000C,00900,0200,RICK DELAMARTER 428931,A81000C,00900,0400,PARK FOREST LLC 428931,A81000C,00900,0600,LANDLORD 428931,A81000C,01000,0100,A 428931,A81000C,01000,0200,HAROLD DELAMARTER 428931,A81000C,01000,0400,PARK FOREST LLC 428931,A81000C,01000,0600,LANDLORD 428931,A81000C,01001,0100,A 428931,A81000C,01001,0200,GREG VISLOCKY 428931,A81000C,01001,0400,PARK FOREST LLC 428931,A81000C,01001,0600,LANDLORD 428931,A81000C,01002,0100,G 428931,A81000C,01002,0400,AUGUSTA VENTURES 428931,A81000C,01002,0600,PREMERE REHAB COMPANY 428931,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 428931,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 428931,A81000C,01004,0600,SEE ATTACHED RELATED 428931,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 428931,A81000C,01005,0400,THE 10.10 EXCEPTION 428931,A81000C,01005,0600,PARTY RELATIONSHIPS 428931,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 428931,A81000C,01006,0400,CRITERIA 428931,A81000C,01007,0200,PRESTIGE CARE & PARK FORE 428931,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428931,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428931,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428931,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428931,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428931,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428931,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428931,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428931,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428931,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428931,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428931,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428931,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428931,G300000,02500,0000,OTHER INCOME 428931,S000000,00100,0200,03/01/12 428931,S200000,00100,0100,8643 NE BEACH STREET 428931,S200000,00200,0100,PORTLAND 428931,S200000,00200,0200,OR 428931,S200000,00200,0300,97220 428931,S200000,00300,0100,MULTNOMAH 428931,S200000,00300,0200,6440 428931,S200000,00300,0201,38900 428931,S200000,00300,0300,U 428931,S200000,00400,0100,PARK FOREST CARE CENTER 428931,S200000,00400,0200,385258 428931,S200000,00400,0300,06/01/98 428931,S200000,00400,0500,P 428931,S200000,01500,0100,Y 428931,S200000,01501,0200,N 428931,S200000,01502,0200,Y 428931,S200000,01600,0100,N 428931,S200000,01700,0100,N 428931,S200000,01800,0100,N 428931,S200000,02200,0100,N 428931,S200000,02800,0100,N 428931,S200000,02900,0100,N 428931,S200000,03000,0100,N 428931,S200000,03100,0100,N 428931,S200000,03200,0100,N 428931,S200000,03300,0100,N 428931,S200000,03300,0200,N 428931,S200000,04100,0100,N 428931,S200000,04200,0100,N 428931,S200000,04300,0100,N 428931,S200000,04600,0100,N 428931,S200000,04700,0100,N 428931,S200000,04700,0200,N 428931,S200000,04900,0100,N 428931,S200000,05000,0100,N 428931,S200000,05100,0100,N 428931,S200000,05200,0100,N 428931,S200000,05300,0100,Y 428931,S200000,05300,0200,HB0440 428931,S200000,05400,0100,PRESTIGE CARE INC 428931,S200000,05400,0200,NORDIAN 428931,S200000,05400,0300,00325 428931,S200000,05500,0100,7700 NE PARKWAY DRIVE 428931,S200000,05600,0100,VANCOUVER 428931,S200000,05600,0200,WA 428931,S200000,05600,0300,98662 428934,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428934,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428934,A000000,00300,0000,0300EMPLOYEE BENEFITS 428934,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428934,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428934,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428934,A000000,00700,0000,0700HOUSEKEEPING 428934,A000000,00800,0000,0800DIETARY 428934,A000000,00900,0000,0900NURSING ADMINISTRATION 428934,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428934,A000000,01100,0000,1100PHARMACY 428934,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428934,A000000,01300,0000,1300SOCIAL SERVICE 428934,A000000,01600,0000,1600SKILLED NURSING FACILITY 428934,A000000,01800,0000,1800NURSING FACILITY 428934,A000000,01900,0000,1900OTHER LONG TERM CARE 428934,A000000,02100,0000,2100RADIOLOGY 428934,A000000,02200,0000,2200LABORATORY 428934,A000000,02300,0000,2300INTRAVENOUS THERAPY 428934,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428934,A000000,02500,0000,2500PHYSICAL THERAPY 428934,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428934,A000000,02700,0000,2700SPEECH PATHOLOGY 428934,A000000,02800,0000,2800ELECTROCARDIOLOGY 428934,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428934,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428934,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428934,A000000,03200,0000,3200SUPPORT SURFACES 428934,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428934,A000000,03400,0000,3400CLINIC 428934,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428934,A000000,04800,0000,4800AMBULANCE 428934,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428934,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428934,A000000,05300,0000,5300INTEREST EXPENSE 428934,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428934,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428934,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428934,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428934,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428934,A000000,06100,0000,6100NONPAID WORKERS 428934,A000000,06200,0000,6200PATIENTS LAUNDRY 428934,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428934,A81000A,00100,0100,N 428934,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428934,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428934,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428934,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428934,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428934,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428934,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428934,B100000,00000,0800,0800MEALS SERVED :DIETARY 428934,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428934,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428934,B100000,00000,1100,1150GROSS REVENUES :PHARMACY 428934,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428934,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428934,G300000,02500,0000, GROUP REFUND 428934,G300000,02501,0000, MISC INCOME 428934,S000000,00100,0200,03/05/12 428934,S200000,00100,0100,2321 SCHOLD PLACE NW 428934,S200000,00200,0100,SILVERDALE 428934,S200000,00200,0200,WA 428934,S200000,00200,0300,98383 428934,S200000,00300,0100,KITSAP 428934,S200000,00300,0201,14740 428934,S200000,00300,0300,U 428934,S200000,00400,0100,CLEARBROOK LODGE INC. 428934,S200000,00400,0200,505484 428934,S200000,00400,0300,02/01/94 428934,S200000,00400,0500,P 428934,S200000,01500,0100,Y 428934,S200000,01501,0200,Y 428934,S200000,01600,0100,N 428934,S200000,01700,0100,N 428934,S200000,01800,0100,N 428934,S200000,02200,0100,N 428934,S200000,02800,0100,Y 428934,S200000,02900,0100,N 428934,S200000,03000,0100,N 428934,S200000,03100,0100,N 428934,S200000,03200,0100,N 428934,S200000,03300,0100,N 428934,S200000,03300,0200,N 428934,S200000,04100,0100,N 428934,S200000,04200,0100,N 428934,S200000,04300,0100,N 428934,S200000,04600,0100,N 428934,S200000,04700,0100,N 428934,S200000,04700,0200,N 428934,S200000,04900,0100,N 428934,S200000,05000,0100,N 428934,S200000,05100,0100,N 428934,S200000,05200,0100,N 428934,S200000,05300,0100,N 428936,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428936,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428936,A000000,00300,0000,0300EMPLOYEE BENEFITS 428936,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428936,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428936,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428936,A000000,00700,0000,0700HOUSEKEEPING 428936,A000000,00800,0000,0800DIETARY 428936,A000000,00900,0000,0900NURSING ADMINISTRATION 428936,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428936,A000000,01100,0000,1100PHARMACY 428936,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428936,A000000,01300,0000,1300SOCIAL SERVICE 428936,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428936,A000000,01500,0000,1350RECREATION 428936,A000000,01600,0000,1600SKILLED NURSING FACILITY 428936,A000000,01810,0000,1810ICF/MR 428936,A000000,02100,0000,2100RADIOLOGY 428936,A000000,02200,0000,2200LABORATORY 428936,A000000,02300,0000,2300INTRAVENOUS THERAPY 428936,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428936,A000000,02500,0000,2500PHYSICAL THERAPY 428936,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428936,A000000,02700,0000,2700SPEECH PATHOLOGY 428936,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428936,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428936,A000000,03550,0000,3550FQHC 428936,A000000,05000,0000,5000CORF 428936,A000000,05010,0000,5010CMHC 428936,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428936,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428936,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428936,A000000,06300,0000,6150RESIDENTIAL 428936,A81000A,00100,0100,Y 428936,A81000B,00100,0300,SEE ATTACHED 428936,A81000B,00200,0300,CAPITAL INTEREST 428936,A81000B,00300,0300,HOME OFFICE 428936,A81000B,00400,0300,HOME OFFICE 428936,A81000C,00100,0100,B 428936,A81000C,00100,0400,SEE ATTACHED 428936,A81000C,00100,0600,VARIOUS 428936,A81000C,00200,0100,B 428936,A81000C,00200,0400,GHC 428936,A81000C,00200,0600,LONG TERM CARE 428936,A81000C,00300,0100,B 428936,A81000C,00300,0400,GHC 428936,A81000C,00300,0600,LONG TERM CARE 428936,A81000C,00400,0100,B 428936,A81000C,00400,0400,GHC 428936,A81000C,00400,0600,LONG TERM CARE 428936,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428936,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428936,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428936,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428936,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428936,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428936,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428936,B100000,00000,0800,0800MEALS SERVED :DIETARY 428936,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 428936,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 428936,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428936,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428936,B100000,00000,1500,1350PATIENT DAYS :RECREATION 428936,G300000,02500,0000,ASSISTED LIVING 428936,S000000,00100,0200,02/27/12 428936,S200000,00100,0100,33 ROGER STREET 428936,S200000,00200,0100,LEWISTON 428936,S200000,00200,0200,ME 428936,S200000,00200,0300,04240 428936,S200000,00300,0100,ANDROSCOGGIN 428936,S200000,00300,0201,30340 428936,S200000,00300,0300,U 428936,S200000,00400,0100,MARSHWOOD CENTER 428936,S200000,00400,0200,205072 428936,S200000,00400,0300,10/01/91 428936,S200000,00400,0500,P 428936,S200000,01500,0100,Y 428936,S200000,01501,0200,Y 428936,S200000,01502,0200,N 428936,S200000,01503,0200,Y 428936,S200000,01504,0200,Y 428936,S200000,01600,0100,N 428936,S200000,01700,0100,N 428936,S200000,01800,0100,N 428936,S200000,01900,0100,LLC 428936,S200000,02200,0100,Y 428936,S200000,02800,0100,N 428936,S200000,02900,0100,N 428936,S200000,03000,0100,N 428936,S200000,03100,0100,N 428936,S200000,03200,0100,N 428936,S200000,03300,0100,N 428936,S200000,03300,0200,N 428936,S200000,04100,0100,N 428936,S200000,04200,0100,N 428936,S200000,04300,0100,N 428936,S200000,04600,0100,N 428936,S200000,04700,0100,N 428936,S200000,04700,0200,N 428936,S200000,04900,0100,N 428936,S200000,05000,0100,N 428936,S200000,05100,0100,N 428936,S200000,05200,0100,N 428936,S200000,05300,0100,Y 428936,S200000,05300,0200,HB0067 428936,S200000,05400,0100,GENESIS HEALTHCARE LLC 428936,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428936,S200000,05400,0300,12001 428936,S200000,05500,0100,101 EAST STATE STREET 428936,S200000,05600,0100,KENNETT SQUARE 428936,S200000,05600,0200,PA 428936,S200000,05600,0300,19348 428937,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428937,A000000,00101,0000,0101CAP REL COSTS - LAND IMPROVEMENT 428937,A000000,00102,0000,0102CAP REL COSTS - FIXED EQUIPMENT 428937,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428937,A000000,00300,0000,0300EMPLOYEE BENEFITS 428937,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428937,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428937,A000000,00501,0000,0501OPERATION OF PLANT 428937,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428937,A000000,00700,0000,0700HOUSEKEEPING 428937,A000000,00800,0000,0800DIETARY 428937,A000000,00900,0000,0900NURSING ADMINISTRATION 428937,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428937,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428937,A000000,01300,0000,1300SOCIAL SERVICE 428937,A000000,01600,0000,1600SKILLED NURSING FACILITY 428937,A000000,02100,0000,2100RADIOLOGY 428937,A000000,02200,0000,2200LABORATORY 428937,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428937,A000000,02500,0000,2500PHYSICAL THERAPY 428937,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428937,A000000,02700,0000,2700SPEECH PATHOLOGY 428937,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428937,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428937,A000000,03300,0000,3050ENTERALS 428937,A000000,05300,0000,5300INTEREST EXPENSE 428937,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428937,A000000,05901,0000,5901DRIVERS REHAB 428937,A81000A,00100,0100,Y 428937,A81000B,00100,0300,MANAGEMENT FEES 428937,A81000C,00100,0100,B 428937,A81000C,00100,0400,EXETER HEALTH RESOURCES 428937,A81000C,00100,0600,MANAGEMENT 428937,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428937,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - LA 428937,B100000,00000,0102,0102SQUARE FEET :CAP REL COSTS - FI 428937,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428937,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428937,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428937,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428937,B100000,00000,0501,0501SQUARE FEET :OPERATION OF PLANT 428937,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428937,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428937,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428937,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428937,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428937,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428937,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428937,G300000,02501,0000,RENTAL INCOME 428937,G300000,02502,0000,INTEREST RECV D ON OVERDUE AR 428937,S000000,00100,0200,02/29/12 428937,S200000,00100,0100,4 ALUMNI DRIVE 428937,S200000,00200,0100,EXETER 428937,S200000,00200,0200,NH 428937,S200000,00200,0300,03833 428937,S200000,00300,0100,ROCKINGHAM 428937,S200000,00300,0200,1123 428937,S200000,00300,0201,40484 428937,S200000,00300,0300,U 428937,S200000,00400,0100,EXETER HEALTHCARE 428937,S200000,00400,0200,305019 428937,S200000,00400,0300,01/01/75 428937,S200000,00400,0500,P 428937,S200000,00400,0600,O 428937,S200000,01500,0100,Y 428937,S200000,01501,0200,Y 428937,S200000,01600,0100,N 428937,S200000,01700,0100,N 428937,S200000,01800,0100,N 428937,S200000,01900,0100,FULLY PARTICIPATING 428937,S200000,02200,0100,N 428937,S200000,02800,0100,Y 428937,S200000,02900,0100,N 428937,S200000,03000,0100,N 428937,S200000,03100,0100,N 428937,S200000,03200,0100,N 428937,S200000,03300,0100,N 428937,S200000,03300,0200,N 428937,S200000,03600,0100,N 428937,S200000,03600,0200,N 428937,S200000,04100,0100,N 428937,S200000,04200,0100,N 428937,S200000,04300,0100,N 428937,S200000,04600,0100,N 428937,S200000,04700,0100,N 428937,S200000,04700,0200,N 428937,S200000,04900,0100,N 428937,S200000,05000,0100,N 428937,S200000,05100,0100,N 428937,S200000,05200,0100,N 428937,S200000,05300,0100,Y 428937,S200000,05300,0200,HB0147 428937,S200000,05400,0100,EXETER HEALTH RESOURCES INC. 428937,S200000,05400,0300, 00000 428937,S200000,05500,0100,5 ALUMNI DRIVE 428937,S200000,05600,0100,EXETER 428937,S200000,05600,0200,NH 428937,S200000,05600,0300,03833 428945,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428945,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428945,A000000,00300,0000,0300EMPLOYEE BENEFITS 428945,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428945,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428945,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428945,A000000,00700,0000,0700HOUSEKEEPING 428945,A000000,00800,0000,0800DIETARY 428945,A000000,00900,0000,0900NURSING ADMINISTRATION 428945,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428945,A000000,01100,0000,1100PHARMACY 428945,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428945,A000000,01300,0000,1300SOCIAL SERVICE 428945,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428945,A000000,01500,0000,1350OTHER GENERAL SERVICES 428945,A000000,01600,0000,1600SKILLED NURSING FACILITY 428945,A000000,01800,0000,1800NURSING FACILITY 428945,A000000,01810,0000,1810ICF/MR 428945,A000000,01900,0000,1900OTHER LONG TERM CARE 428945,A000000,02100,0000,2100RADIOLOGY 428945,A000000,02200,0000,2200LABORATORY 428945,A000000,02300,0000,2300INTRAVENOUS THERAPY 428945,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428945,A000000,02500,0000,2500PHYSICAL THERAPY 428945,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428945,A000000,02700,0000,2700SPEECH PATHOLOGY 428945,A000000,02800,0000,2800ELECTROCARDIOLOGY 428945,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428945,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428945,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428945,A000000,03200,0000,3200SUPPORT SURFACES 428945,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428945,A000000,03400,0000,3400CLINIC 428945,A000000,03500,0000,3500RURAL HEALTH CLINIC 428945,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428945,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428945,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428945,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428945,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428945,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428945,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428945,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428945,A000000,04400,0000,4400DME RENTED - HHA 428945,A000000,04500,0000,4500DME SOLD - HHA 428945,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428945,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428945,A000000,04800,0000,4800AMBULANCE 428945,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428945,A000000,05000,0000,5000CORF 428945,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428945,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428945,A000000,05300,0000,5300INTEREST EXPENSE 428945,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428945,A000000,05500,0000,5500HOSPICE 428945,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428945,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428945,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428945,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428945,A000000,06100,0000,6100NONPAID WORKERS 428945,A000000,06200,0000,6200PATIENTS LAUNDRY 428945,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428945,A000000,06301,0000,6151ASSISTED LIVING 428945,A81000A,00100,0100,Y 428945,A81000B,00100,0300,BLDGS & FURNITURE POOLED 428945,A81000B,00200,0300,MOVABLE EQUIP POOLED 428945,A81000B,00300,0300,GEN & ADMIN CENTRAL OFFICE POOLED 428945,A81000C,00100,0100,B 428945,A81000C,00100,0200,MEDICALODGES INC 428945,A81000C,00100,0600,HEALTHCARE 428945,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428945,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428945,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428945,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428945,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428945,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428945,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428945,B100000,00000,0800,0800MEALS SERVED :DIETARY 428945,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428945,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 428945,G300000,02501,0000,MCAID INCOME ADJ 2010 428945,G300000,02502,0000,MCAID INCOME ADJ 2011 428945,G300000,02503,0000,RENTAL INCOME COTTAGES 428945,G300000,02504,0000,STATE REDUCTION TO MEDICAID 428945,G300000,02505,0000,MEDICAL ATTND CARE AL SECTION 428945,G300000,02506,0000,FINANCE CHARGE 428945,S000000,00100,0200,04/03/12 428945,S200000,00100,0100,ROUTE 2 BOX 65A 428945,S200000,00200,0100,KINSLEY 428945,S200000,00200,0200,KS 428945,S200000,00200,0300,67547-9500 428945,S200000,00300,0100,EDWARDS 428945,S200000,00300,0200,17 428945,S200000,00300,0201,99917 428945,S200000,00300,0300,R 428945,S200000,00400,0100,MEDICALODGE OF KINSLEY 428945,S200000,00400,0200,175275 428945,S200000,00400,0300,01/01/94 428945,S200000,00400,0500,P 428945,S200000,01500,0100,Y 428945,S200000,01501,0200,N 428945,S200000,01600,0100,N 428945,S200000,01700,0100,N 428945,S200000,01800,0100,N 428945,S200000,02200,0100,N 428945,S200000,02800,0100,N 428945,S200000,02900,0100,N 428945,S200000,03000,0100,N 428945,S200000,03100,0100,N 428945,S200000,03200,0100,N 428945,S200000,03300,0100,N 428945,S200000,03300,0200,N 428945,S200000,04100,0100,N 428945,S200000,04200,0100,N 428945,S200000,04300,0100,N 428945,S200000,04600,0100,N 428945,S200000,04700,0100,N 428945,S200000,04700,0200,N 428945,S200000,04900,0100,N 428945,S200000,05000,0100,N 428945,S200000,05100,0100,N 428945,S200000,05200,0100,N 428946,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428946,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428946,A000000,00300,0000,0300EMPLOYEE BENEFITS 428946,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428946,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428946,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428946,A000000,00700,0000,0700HOUSEKEEPING 428946,A000000,00800,0000,0800DIETARY 428946,A000000,00900,0000,0900NURSING ADMINISTRATION 428946,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428946,A000000,01100,0000,1100PHARMACY 428946,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428946,A000000,01300,0000,1300SOCIAL SERVICE 428946,A000000,01600,0000,1600SKILLED NURSING FACILITY 428946,A000000,01800,0000,1800NURSING FACILITY 428946,A000000,01810,0000,1810ICF/MR 428946,A000000,01900,0000,1900OTHER LONG TERM CARE 428946,A000000,02100,0000,2100RADIOLOGY 428946,A000000,02200,0000,2200LABORATORY 428946,A000000,02300,0000,2300INTRAVENOUS THERAPY 428946,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428946,A000000,02500,0000,2500PHYSICAL THERAPY 428946,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428946,A000000,02700,0000,2700SPEECH PATHOLOGY 428946,A000000,02800,0000,2800ELECTROCARDIOLOGY 428946,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428946,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428946,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428946,A000000,05300,0000,5300INTEREST EXPENSE 428946,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428946,A000000,05500,0000,5500HOSPICE 428946,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428946,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428946,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428946,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428946,A000000,06100,0000,6100NONPAID WORKERS 428946,A000000,06200,0000,6200PATIENTS LAUNDRY 428946,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428946,A81000A,00100,0100,Y 428946,A81000B,00100,0300,CAPITAL RELATED 428946,A81000B,00200,0300,ADMINISTRATIVE AND GENERAL 428946,A81000C,00100,0100,A 428946,A81000C,00100,0200,STEVEN WOLF 428946,A81000C,00100,0400,ELDERCARE INC. 428946,A81000C,00100,0600,MGMT CO 428946,A81000C,00200,0100,A 428946,A81000C,00200,0200,PRUDENCE WOLF 428946,A81000C,00300,0100,A 428946,A81000C,00300,0200,SCOTT WOLF 428946,A81000C,00400,0100,A 428946,A81000C,00400,0200,MICHAEL WOLF 428946,A81000C,00500,0100,A 428946,A81000C,00500,0200,GARY WOLF 428946,A81000C,00600,0100,A 428946,A81000C,00600,0200,JESSICA PATTON 428946,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428946,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428946,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428946,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428946,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428946,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428946,B100000,00000,0800,0800MEALS SERVED :DIETARY 428946,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 428946,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428946,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428946,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428946,E10A180,00301,0100,08/08/11 428946,E10A180,00501,0100,12/21/11 428946,G300000,02501,0000,BARBER & BEAUTY 428946,G300000,02502,0000,MISC INC 428946,S000000,00100,0200,11/02/11 428946,S200000,00100,0100,3523 WICKENHAUSER 428946,S200000,00200,0100,ALTON 428946,S200000,00200,0200,IL 428946,S200000,00200,0300,62002 428946,S200000,00300,0100,MADISON 428946,S200000,00300,0201,41180 428946,S200000,00300,0300,U 428946,S200000,00400,0100,ELDERCARE OF ALTON 428946,S200000,00400,0200,145427 428946,S200000,00400,0300,04/11/77 428946,S200000,00400,0500,P 428946,S200000,01500,0100,N 428946,S200000,01501,0200,N 428946,S200000,01502,0200,Y 428946,S200000,01503,0200,Y 428946,S200000,01504,0200,Y 428946,S200000,01600,0100,N 428946,S200000,01700,0100,N 428946,S200000,01800,0100,N 428946,S200000,02200,0100,N 428946,S200000,02800,0100,N 428946,S200000,02900,0100,N 428946,S200000,03000,0100,N 428946,S200000,03100,0100,Y 428946,S200000,03200,0100,N 428946,S200000,03300,0100,N 428946,S200000,03300,0200,N 428946,S200000,04100,0100,N 428946,S200000,04200,0100,N 428946,S200000,04300,0100,N 428946,S200000,04600,0100,N 428946,S200000,04700,0100,N 428946,S200000,04700,0200,N 428946,S200000,04900,0100,N 428946,S200000,05000,0100,N 428946,S200000,05100,0100,N 428946,S200000,05200,0100,N 428946,S200000,05300,0100,Y 428946,S200000,05300,0200,149004 428946,S200000,05400,0100,ELDERCARE INC. 428946,S200000,05400,0200,WPS 428946,S200000,05400,0300,52280 428946,S200000,05500,0100,2810 FRANK SCOTT PKWAY W. STE 820 428946,S200000,05600,0100,BELLEVILLE 428946,S200000,05600,0200,IL 428946,S200000,05600,0300,62223 428953,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428953,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428953,A000000,00300,0000,0300EMPLOYEE BENEFITS 428953,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428953,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428953,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428953,A000000,00700,0000,0700HOUSEKEEPING 428953,A000000,00800,0000,0800DIETARY 428953,A000000,00900,0000,0900NURSING ADMINISTRATION 428953,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428953,A000000,01100,0000,1100PHARMACY 428953,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428953,A000000,01300,0000,1300SOCIAL SERVICE 428953,A000000,01500,0000,1350ACTIVITIES 428953,A000000,01600,0000,1600SKILLED NURSING FACILITY 428953,A000000,01800,0000,1800NURSING FACILITY 428953,A000000,01810,0000,1810ICF/MR 428953,A000000,01900,0000,1900OTHER LONG TERM CARE 428953,A000000,02100,0000,2100RADIOLOGY 428953,A000000,02200,0000,2200LABORATORY 428953,A000000,02300,0000,2300INTRAVENOUS THERAPY 428953,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428953,A000000,02500,0000,2500PHYSICAL THERAPY 428953,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428953,A000000,02700,0000,2700SPEECH PATHOLOGY 428953,A000000,02800,0000,2800ELECTROCARDIOLOGY 428953,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428953,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428953,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428953,A000000,03200,0000,3200SUPPORT SURFACES 428953,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428953,A000000,03400,0000,3400CLINIC 428953,A000000,03500,0000,3500RURAL HEALTH CLINIC 428953,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428953,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428953,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428953,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428953,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428953,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428953,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428953,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428953,A000000,04400,0000,4400DME RENTED - HHA 428953,A000000,04500,0000,4500DME SOLD - HHA 428953,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428953,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428953,A000000,04800,0000,4800AMBULANCE 428953,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428953,A000000,05000,0000,5000CORF 428953,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428953,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428953,A000000,05300,0000,5300INTEREST EXPENSE 428953,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428953,A000000,05500,0000,5500HOSPICE 428953,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428953,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428953,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428953,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428953,A000000,06100,0000,6100NONPAID WORKERS 428953,A000000,06200,0000,6200PATIENTS LAUNDRY 428953,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428953,A81000A,00100,0100,Y 428953,A81000B,00100,0300,MANAGEMENT FEES 428953,A81000B,00200,0300,MANAGEMENT FEES 428953,A81000B,00300,0300,MANAGEMENT FEES 428953,A81000B,00400,0300,SUPPLIES 428953,A81000B,00500,0300,SUPPLIES 428953,A81000B,00600,0300,SUPPLIES 428953,A81000B,00700,0300,SUPPLIES 428953,A81000B,00800,0300,SUPPLIES 428953,A81000B,00900,0300,SUPPLIES 428953,A81000B,01000,0300,INSURANCE 428953,A81000B,01100,0300,MINOR EQUIPMENT 428953,A81000B,01200,0300,CNA ORIENTATION 428953,A81000B,01300,0300,DRUGS - MCD NON PDP 428953,A81000B,01400,0300,MINOR EQUIPMENT 428953,A81000B,01500,0300,PHARMACY CONSULTANT 428953,A81000B,01600,0300,OTHER EMP BENEFITS 428953,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428953,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428953,A81000B,01900,0300,HEPATITIS B VACCINE 428953,A81000B,02000,0300,OTC DRUGS 428953,A81000B,02100,0300,DRUGS - PVT 428953,A81000B,02200,0300,DRUGS - MEDICARE 428953,A81000B,02300,0300,RENT 428953,A81000B,02400,0300,CHG-LOAN COSTS 428953,A81000B,02500,0300,CHG-ACCOUNTING FEES 428953,A81000B,02600,0300,CHG-TAXES 428953,A81000B,02700,0300,CHG-MORTGAGE INTEREST 428953,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 428953,A81000B,02900,0300,PHYSICAL THERAPY 428953,A81000C,00100,0100,A 428953,A81000C,00100,0200,MICHAEL H. MCBRIDE 428953,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428953,A81000C,00100,0600,HOME OFFICE 428953,A81000C,00200,0100,A 428953,A81000C,00200,0200,JOHN SWIFT 428953,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428953,A81000C,00200,0600,HOME OFFICE 428953,A81000C,00300,0100,A 428953,A81000C,00300,0200,BILL WILLIAMSON 428953,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428953,A81000C,00300,0600,HOME OFFICE 428953,A81000C,00400,0100,A 428953,A81000C,00400,0200,MICHAEL H. MCBRIDE 428953,A81000C,00400,0400,GROVE MEDICAL INC 428953,A81000C,00400,0600,SUPPLIES 428953,A81000C,00500,0100,A 428953,A81000C,00500,0200,MICHAEL H. MCBRIDE 428953,A81000C,00500,0400,CARDINAL HEALTH GROUP 428953,A81000C,00500,0600,BUILDING LEASE 428953,A81000C,00600,0100,A 428953,A81000C,00600,0200,MICHAEL H. MCBRIDE 428953,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428953,A81000C,00600,0600,THERAPY 428953,A81000C,00700,0100,A 428953,A81000C,00700,0200,JOHN SWIFT 428953,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428953,A81000C,00700,0600,THERAPY 428953,A81000C,00800,0100,A 428953,A81000C,00800,0200,BILL WILLIAMSON 428953,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428953,A81000C,00800,0600,THERAPY 428953,A81000C,00900,0100,A 428953,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428953,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428953,A81000C,00900,0600,INSURANCE 428953,A81000C,01000,0100,A 428953,A81000C,01000,0200,JOHN SWIFT 428953,A81000C,01000,0400,CRESCENT INDEMNITY INC 428953,A81000C,01000,0600,INSURANCE 428953,A81000C,01001,0100,A 428953,A81000C,01001,0200,BILL WILLIAMSON 428953,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428953,A81000C,01001,0600,INSURANCE 428953,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428953,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428953,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428953,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428953,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428953,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428953,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428953,B100000,00000,0800,0800MEALS SERVED :DIETARY 428953,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428953,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428953,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428953,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428953,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428953,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428953,G300000,02501,0000,GARNISHMENT FEE 428953,S000000,00100,0200,07/01/11 428953,S200000,00100,0100,200 ANNE DRIVE 428953,S200000,00200,0100,EASLEY 428953,S200000,00200,0200,SC 428953,S200000,00200,0300,29640 428953,S200000,00300,0100,PICKENS 428953,S200000,00300,0201,24860 428953,S200000,00300,0300,R 428953,S200000,00400,0100,EASLEY LIVING CENTER LLC 428953,S200000,00400,0200,425018 428953,S200000,00400,0300,01/01/88 428953,S200000,00400,0500,P 428953,S200000,01500,0100,Y 428953,S200000,01501,0200,N 428953,S200000,01502,0200,N 428953,S200000,01503,0200,N 428953,S200000,01504,0200,N 428953,S200000,01600,0100,N 428953,S200000,01700,0100,N 428953,S200000,01800,0100,N 428953,S200000,02200,0100,N 428953,S200000,02800,0100,Y 428953,S200000,02900,0100,N 428953,S200000,03000,0100,N 428953,S200000,03100,0100,N 428953,S200000,03200,0100,N 428953,S200000,03300,0100,N 428953,S200000,03300,0200,N 428953,S200000,04100,0100,N 428953,S200000,04200,0100,N 428953,S200000,04300,0100,N 428953,S200000,04600,0100,N 428953,S200000,04700,0100,N 428953,S200000,04700,0200,N 428953,S200000,04900,0100,N 428953,S200000,05000,0100,N 428953,S200000,05100,0100,N 428953,S200000,05200,0100,N 428953,S200000,05300,0100,Y 428953,S200000,05300,0200,42HO32 428953,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428953,S200000,05400,0200,PALMETTO GBA 428953,S200000,05400,0300, 00380 428953,S200000,05500,0100,101 GRACE DRIVE 428953,S200000,05600,0100,EASLEY 428953,S200000,05600,0200,SC 428953,S200000,05600,0300,29640 428954,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428954,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428954,A000000,00300,0000,0300EMPLOYEE BENEFITS 428954,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428954,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428954,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428954,A000000,00700,0000,0700HOUSEKEEPING 428954,A000000,00800,0000,0800DIETARY 428954,A000000,00900,0000,0900NURSING ADMINISTRATION 428954,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428954,A000000,01100,0000,1100PHARMACY 428954,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428954,A000000,01300,0000,1300SOCIAL SERVICE 428954,A000000,01500,0000,1350ACTIVITIES 428954,A000000,01600,0000,1600SKILLED NURSING FACILITY 428954,A000000,01800,0000,1800NURSING FACILITY 428954,A000000,01810,0000,1810ICF/MR 428954,A000000,01900,0000,1900OTHER LONG TERM CARE 428954,A000000,02100,0000,2100RADIOLOGY 428954,A000000,02200,0000,2200LABORATORY 428954,A000000,02300,0000,2300INTRAVENOUS THERAPY 428954,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428954,A000000,02500,0000,2500PHYSICAL THERAPY 428954,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428954,A000000,02700,0000,2700SPEECH PATHOLOGY 428954,A000000,02800,0000,2800ELECTROCARDIOLOGY 428954,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428954,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428954,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428954,A000000,03200,0000,3200SUPPORT SURFACES 428954,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428954,A000000,03400,0000,3400CLINIC 428954,A000000,03500,0000,3500RURAL HEALTH CLINIC 428954,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428954,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428954,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428954,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428954,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428954,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428954,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428954,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428954,A000000,04400,0000,4400DME RENTED - HHA 428954,A000000,04500,0000,4500DME SOLD - HHA 428954,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428954,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428954,A000000,04800,0000,4800AMBULANCE 428954,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428954,A000000,05000,0000,5000CORF 428954,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428954,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428954,A000000,05300,0000,5300INTEREST EXPENSE 428954,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428954,A000000,05500,0000,5500HOSPICE 428954,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428954,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428954,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428954,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428954,A000000,06100,0000,6100NONPAID WORKERS 428954,A000000,06200,0000,6200PATIENTS LAUNDRY 428954,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428954,A81000A,00100,0100,Y 428954,A81000B,00100,0300,MANAGEMENT FEES 428954,A81000B,00200,0300,MANAGEMENT FEES 428954,A81000B,00300,0300,MANAGEMENT FEES 428954,A81000B,00400,0300,SUPPLIES 428954,A81000B,00500,0300,SUPPLIES 428954,A81000B,00600,0300,SUPPLIES 428954,A81000B,00700,0300,SUPPLIES 428954,A81000B,00800,0300,SUPPLIES 428954,A81000B,00900,0300,SUPPLIES 428954,A81000B,01000,0300,SUPPLIES 428954,A81000B,01100,0300,DRUGS - VA 428954,A81000B,01200,0300,DRUGS -MCD NON PDP 428954,A81000B,01300,0300,HEPATITIS B VACCINE 428954,A81000B,01400,0300,MINOR EQUIPMENT 428954,A81000B,01500,0300,PHARMACY CONSULTANT 428954,A81000B,01600,0300,OTHER EMP BENEFITS 428954,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428954,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428954,A81000B,01900,0300,DRUGS - MEDICARE 428954,A81000B,02000,0300,OTC DRUGS 428954,A81000B,02100,0300,GLUCOSE SUPPLIES 428954,A81000B,02200,0300,DRUGS - PVT 428954,A81000B,02300,0300,RENT 428954,A81000B,02400,0300,CHG-LOAN COSTS 428954,A81000B,02500,0300,CHG-ACCOUNTING FEES 428954,A81000B,02600,0300,CHG - REPAIRS 428954,A81000B,02700,0300,CHG-MORTGAGE INTEREST 428954,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 428954,A81000B,02900,0300,PHYSICAL THERAPY 428954,A81000C,00100,0100,A 428954,A81000C,00100,0200,MICHAEL H. MCBRIDE 428954,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428954,A81000C,00100,0600,HOME OFFICE 428954,A81000C,00200,0100,A 428954,A81000C,00200,0200,JOHN SWIFT 428954,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428954,A81000C,00200,0600,HOME OFFICE 428954,A81000C,00300,0100,A 428954,A81000C,00300,0200,BILL WILLIAMSON 428954,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428954,A81000C,00300,0600,HOME OFFICE 428954,A81000C,00400,0100,A 428954,A81000C,00400,0200,MICHAEL H. MCBRIDE 428954,A81000C,00400,0400,GROVE MEDICAL INC 428954,A81000C,00400,0600,SUPPLIES 428954,A81000C,00500,0100,A 428954,A81000C,00500,0200,MICHAEL H. MCBRIDE 428954,A81000C,00500,0400,CARDINAL HEALTH GROUP 428954,A81000C,00500,0600,RENTAL LEASING 428954,A81000C,00600,0100,A 428954,A81000C,00600,0200,MICHAEL H. MCBRIDE 428954,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428954,A81000C,00600,0600,THERAPY 428954,A81000C,00700,0100,A 428954,A81000C,00700,0200,JOHN SWIFT 428954,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428954,A81000C,00700,0600,THERAPY 428954,A81000C,00800,0100,A 428954,A81000C,00800,0200,BILL WILLIAMSON 428954,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428954,A81000C,00800,0600,THERAPY 428954,A81000C,00900,0100,A 428954,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428954,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428954,A81000C,00900,0600,INSURANCE 428954,A81000C,01000,0100,A 428954,A81000C,01000,0200,JOHN SWIFT 428954,A81000C,01000,0400,CRESCENT INDEMNITY INC 428954,A81000C,01000,0600,INSURANCE 428954,A81000C,01001,0100,A 428954,A81000C,01001,0200,BILL WILLIAMSON 428954,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428954,A81000C,01001,0600,INSURANCE 428954,A81000C,01002,0100,A 428954,A81000C,01002,0200,MICHAEL H. MCBRIDE 428954,A81000C,01002,0400,PROCARE RX INC. 428954,A81000C,01002,0600,PHARMACY 428954,A81000C,01003,0100,A 428954,A81000C,01003,0200,MICHAEL H. MCBRIDE 428954,A81000C,01003,0400,ADVANTAGE CAREER SERVICES 428954,A81000C,01003,0600,CNA ORIENTATION - CERT 428954,A81000C,01004,0100,A 428954,A81000C,01004,0200,JOHN SWIFT 428954,A81000C,01004,0400,ADVANTAGE CAREER SERVICES 428954,A81000C,01004,0600,CNA ORIENTATION - CERT 428954,A81000C,01005,0100,A 428954,A81000C,01005,0200,BILL WILLIAMSON 428954,A81000C,01005,0400,ADVANTAGE CAREER SERVICES 428954,A81000C,01005,0600,CNA ORIENTATION - CERT 428954,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428954,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428954,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428954,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428954,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428954,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428954,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428954,B100000,00000,0800,0800MEALS SERVED :DIETARY 428954,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428954,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428954,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428954,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428954,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428954,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428954,G300000,02501,0000,GARNISHMENT FEE 428954,S000000,00100,0200,07/25/11 428954,S200000,00100,0100,807 SOUTH EAST MAIN STREET 428954,S200000,00200,0100,SIMPSONVILLE 428954,S200000,00200,0200,SC 428954,S200000,00200,0300,29681 428954,S200000,00300,0100,GREENVILLE 428954,S200000,00300,0200,3160 428954,S200000,00300,0300,U 428954,S200000,00400,0100,SUMMIT PLACE LIVING CENTER LLC 428954,S200000,00400,0200,425112 428954,S200000,00400,0300,01/01/88 428954,S200000,00400,0500,P 428954,S200000,01500,0100,Y 428954,S200000,01501,0200,N 428954,S200000,01502,0200,N 428954,S200000,01503,0200,N 428954,S200000,01504,0200,N 428954,S200000,01600,0100,N 428954,S200000,01700,0100,N 428954,S200000,01800,0100,N 428954,S200000,02200,0100,N 428954,S200000,02800,0100,Y 428954,S200000,02900,0100,N 428954,S200000,03000,0100,N 428954,S200000,03100,0100,N 428954,S200000,03200,0100,N 428954,S200000,03300,0100,N 428954,S200000,03300,0200,N 428954,S200000,04100,0100,N 428954,S200000,04200,0100,N 428954,S200000,04300,0100,N 428954,S200000,04600,0100,N 428954,S200000,04700,0100,N 428954,S200000,04700,0200,N 428954,S200000,04900,0100,N 428954,S200000,05000,0100,N 428954,S200000,05100,0100,N 428954,S200000,05200,0100,N 428954,S200000,05300,0100,Y 428954,S200000,05300,0200,42HO32 428954,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428954,S200000,05400,0200,PALMETTO GBA 428954,S200000,05400,0300, 00380 428954,S200000,05500,0100,101 GRACE DRIVE 428954,S200000,05600,0100,EASLEY 428954,S200000,05600,0200,SC 428954,S200000,05600,0300,29640 428955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428955,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428955,A000000,00300,0000,0300EMPLOYEE BENEFITS 428955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428955,A000000,00700,0000,0700HOUSEKEEPING 428955,A000000,00800,0000,0800DIETARY 428955,A000000,00900,0000,0900NURSING ADMINISTRATION 428955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428955,A000000,01100,0000,1100PHARMACY 428955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428955,A000000,01300,0000,1300SOCIAL SERVICE 428955,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428955,A000000,01500,0000,1350ACTIVITIES 428955,A000000,01600,0000,1600SKILLED NURSING FACILITY 428955,A000000,01800,0000,1800NURSING FACILITY 428955,A000000,01900,0000,1900OTHER LONG TERM CARE 428955,A000000,02100,0000,2100RADIOLOGY 428955,A000000,02200,0000,2200LABORATORY 428955,A000000,02300,0000,2300INTRAVENOUS THERAPY 428955,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428955,A000000,02500,0000,2500PHYSICAL THERAPY 428955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428955,A000000,02700,0000,2700SPEECH PATHOLOGY 428955,A000000,02800,0000,2800ELECTROCARDIOLOGY 428955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428955,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428955,A000000,03200,0000,3200SUPPORT SURFACES 428955,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428955,A000000,03400,0000,3400CLINIC 428955,A000000,03500,0000,3500RURAL HEALTH CLINIC 428955,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428955,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428955,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428955,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428955,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428955,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428955,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428955,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428955,A000000,04400,0000,4400DME RENTED - HHA 428955,A000000,04500,0000,4500DME SOLD - HHA 428955,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428955,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428955,A000000,04710,0000,4710TELEMEDICINE 428955,A000000,04800,0000,4800AMBULANCE 428955,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428955,A000000,05000,0000,5000CORF 428955,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428955,A000000,05300,0000,5300INTEREST EXPENSE 428955,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428955,A000000,05500,0000,5500HOSPICE 428955,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428955,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428955,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428955,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428955,A000000,06100,0000,6100NONPAID WORKERS 428955,A000000,06200,0000,6200PATIENTS LAUNDRY 428955,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428955,A81000A,00100,0100,Y 428955,A81000B,00100,0300,BUILDING LEASE 428955,A81000B,00200,0300,MANAGEMENT FEES 428955,A81000B,00300,0300,ACCOUNTING FEES 428955,A81000C,00100,0100,A 428955,A81000C,00100,0200,DOUGLAS MITTLEI 428955,A81000C,00100,0400,ALTACARE CORPOR 428955,A81000C,00100,0600,LTC MGT 428955,A81000C,00200,0100,A 428955,A81000C,00200,0200,MIKE FOXWORTHY 428955,A81000C,00200,0600,LTC MGT 428955,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428955,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428955,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428955,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428955,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428955,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428955,B100000,00000,0800,0800MEALS SERVED :DIETARY 428955,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428955,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428955,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428955,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428955,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428955,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428955,S000000,00100,0200,07/26/11 428955,S200000,00100,0100,1761 PINEWOOD ROAD 428955,S200000,00200,0100,SUMTER 428955,S200000,00200,0200,SC 428955,S200000,00200,0300,29151 428955,S200000,00300,0100,SUMTER 428955,S200000,00300,0201,44940 428955,S200000,00300,0300,U 428955,S200000,00400,0100,HOPEWELL HEALTH CARE CENTER 428955,S200000,00400,0200,425310 428955,S200000,00400,0300,12/01/97 428955,S200000,00400,0500,P 428955,S200000,01500,0100,Y 428955,S200000,01501,0200,Y 428955,S200000,01503,0200,Y 428955,S200000,01504,0200,Y 428955,S200000,01600,0100,N 428955,S200000,01700,0100,N 428955,S200000,01800,0100,N 428955,S200000,02200,0100,N 428955,S200000,02800,0100,N 428955,S200000,02900,0100,N 428955,S200000,03000,0100,N 428955,S200000,03100,0100,N 428955,S200000,03200,0100,N 428955,S200000,03300,0100,N 428955,S200000,03300,0200,N 428955,S200000,04100,0100,N 428955,S200000,04200,0100,N 428955,S200000,04300,0100,N 428955,S200000,04600,0100,N 428955,S200000,04700,0100,N 428955,S200000,04700,0200,N 428955,S200000,04900,0100,N 428955,S200000,05000,0100,N 428955,S200000,05100,0100,N 428955,S200000,05200,0100,N 428955,S200000,05300,0100,Y 428956,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428956,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428956,A000000,00300,0000,0300EMPLOYEE BENEFITS 428956,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428956,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428956,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428956,A000000,00700,0000,0700HOUSEKEEPING 428956,A000000,00800,0000,0800DIETARY 428956,A000000,00900,0000,0900NURSING ADMINISTRATION 428956,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428956,A000000,01100,0000,1100PHARMACY 428956,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428956,A000000,01300,0000,1300SOCIAL SERVICE 428956,A000000,01500,0000,1350ACTIVITIES 428956,A000000,01600,0000,1600SKILLED NURSING FACILITY 428956,A000000,01800,0000,1800NURSING FACILITY 428956,A000000,01810,0000,1810ICF/MR 428956,A000000,01900,0000,1900OTHER LONG TERM CARE 428956,A000000,02100,0000,2100RADIOLOGY 428956,A000000,02200,0000,2200LABORATORY 428956,A000000,02300,0000,2300INTRAVENOUS THERAPY 428956,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428956,A000000,02500,0000,2500PHYSICAL THERAPY 428956,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428956,A000000,02700,0000,2700SPEECH PATHOLOGY 428956,A000000,02800,0000,2800ELECTROCARDIOLOGY 428956,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428956,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428956,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428956,A000000,03200,0000,3200SUPPORT SURFACES 428956,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428956,A000000,03400,0000,3400CLINIC 428956,A000000,03500,0000,3500RURAL HEALTH CLINIC 428956,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428956,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428956,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428956,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428956,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428956,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428956,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428956,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428956,A000000,04400,0000,4400DME RENTED - HHA 428956,A000000,04500,0000,4500DME SOLD - HHA 428956,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428956,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428956,A000000,04800,0000,4800AMBULANCE 428956,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428956,A000000,05000,0000,5000CORF 428956,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428956,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428956,A000000,05300,0000,5300INTEREST EXPENSE 428956,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428956,A000000,05500,0000,5500HOSPICE 428956,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428956,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428956,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428956,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428956,A000000,06100,0000,6100NONPAID WORKERS 428956,A000000,06200,0000,6200PATIENTS LAUNDRY 428956,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428956,A81000A,00100,0100,Y 428956,A81000B,00100,0300,MANAGEMENT FEES 428956,A81000B,00200,0300,MANAGEMENT FEES 428956,A81000B,00300,0300,MANAGEMENT FEES 428956,A81000B,00400,0300,SUPPLIES 428956,A81000B,00500,0300,SUPPLIES 428956,A81000B,00600,0300,SUPPLIES 428956,A81000B,00700,0300,SUPPLIES 428956,A81000B,00800,0300,SUPPLIES 428956,A81000B,00900,0300,SUPPLIES 428956,A81000B,01000,0300,INSURANCE 428956,A81000B,01100,0300,MINOR EQUIPMENT 428956,A81000B,01200,0300,CNA ORIENTATION 428956,A81000B,01300,0300,THERAPY SERVICES 428956,A81000B,01400,0300,MINOR EQUIPMENT 428956,A81000B,01500,0300,PHARMACY CONSULTANT 428956,A81000B,01600,0300,OTHER EMP BENEFITS 428956,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 428956,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 428956,A81000B,01900,0300,DRUGS - PVT & MCD NON PDP 428956,A81000B,02000,0300,OTC DRUGS 428956,A81000B,02100,0300,GLUCOSE SUPPLIES 428956,A81000B,02200,0300,DRUGS - MEDICARE 428956,A81000B,02300,0300,RENT 428956,A81000B,02400,0300,PHP-LOAN COSTS 428956,A81000B,02500,0300,PHP-ACCOUNTING FEES 428956,A81000B,02600,0300,PHP-TAXES 428956,A81000B,02700,0300,PHP-MORTGAGE INTEREST 428956,A81000B,02800,0300,PHP - REPAIRS 428956,A81000B,02900,0300,PHYSICAL THERAPY 428956,A81000C,00100,0100,A 428956,A81000C,00100,0200,MICHAEL H. MCBRIDE 428956,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 428956,A81000C,00100,0600,HOME OFFICE 428956,A81000C,00200,0100,A 428956,A81000C,00200,0200,JOHN SWIFT 428956,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 428956,A81000C,00200,0600,HOME OFFICE 428956,A81000C,00300,0100,A 428956,A81000C,00300,0200,BILL WILLIAMSON 428956,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 428956,A81000C,00300,0600,HOME OFFICE 428956,A81000C,00400,0100,A 428956,A81000C,00400,0200,MICHAEL H. MCBRIDE 428956,A81000C,00400,0400,GROVE MEDICAL INC 428956,A81000C,00400,0600,SUPPLIES 428956,A81000C,00500,0100,A 428956,A81000C,00500,0200,MICHAEL H. MCBRIDE 428956,A81000C,00500,0400,PREFERRED HEALTH PROPERTI 428956,A81000C,00500,0600,BUILDING LEASE 428956,A81000C,00600,0100,A 428956,A81000C,00600,0200,MICHAEL H. MCBRIDE 428956,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 428956,A81000C,00600,0600,THERAPY 428956,A81000C,00700,0100,A 428956,A81000C,00700,0200,JOHN SWIFT 428956,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 428956,A81000C,00700,0600,THERAPY 428956,A81000C,00800,0100,A 428956,A81000C,00800,0200,BILL WILLIAMSON 428956,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 428956,A81000C,00800,0600,THERAPY 428956,A81000C,00900,0100,A 428956,A81000C,00900,0200,MICHAEL H. MCBRIDGE 428956,A81000C,00900,0400,CRESCENT INDEMNITY INC. 428956,A81000C,00900,0600,INSURANCE 428956,A81000C,01000,0100,A 428956,A81000C,01000,0200,JOHN SWIFT 428956,A81000C,01000,0400,CRESCENT INDEMNITY INC 428956,A81000C,01000,0600,INSURANCE 428956,A81000C,01001,0100,A 428956,A81000C,01001,0200,BILL WILLIAMSON 428956,A81000C,01001,0400,CRESCENT INDEMNTIY INC 428956,A81000C,01001,0600,INSURANCE 428956,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428956,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428956,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428956,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428956,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428956,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428956,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428956,B100000,00000,0800,0800MEALS SERVED :DIETARY 428956,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 428956,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 428956,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 428956,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428956,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428956,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428956,S000000,00100,0200,07/25/11 428956,S200000,00100,0100,138 ROSEMOND STREET 428956,S200000,00200,0100,PICKENS 428956,S200000,00200,0200,SC 428956,S200000,00200,0300,29671 428956,S200000,00300,0100,PICKENS 428956,S200000,00300,0200,3160 428956,S200000,00300,0201,24860 428956,S200000,00300,0300,U 428956,S200000,00400,0100,ROSEMOND LIVING CENTER LLC 428956,S200000,00400,0200,425318 428956,S200000,00400,0300,01/26/94 428956,S200000,00400,0500,P 428956,S200000,01500,0100,Y 428956,S200000,01501,0200,N 428956,S200000,01502,0200,Y 428956,S200000,01503,0200,N 428956,S200000,01504,0200,N 428956,S200000,01600,0100,N 428956,S200000,01700,0100,N 428956,S200000,01800,0100,N 428956,S200000,02200,0100,N 428956,S200000,02800,0100,Y 428956,S200000,02900,0100,N 428956,S200000,03000,0100,N 428956,S200000,03100,0100,N 428956,S200000,03200,0100,N 428956,S200000,03300,0100,N 428956,S200000,03300,0200,N 428956,S200000,04100,0100,N 428956,S200000,04200,0100,N 428956,S200000,04300,0100,N 428956,S200000,04600,0100,N 428956,S200000,04700,0100,N 428956,S200000,04700,0200,N 428956,S200000,04900,0100,N 428956,S200000,05000,0100,N 428956,S200000,05100,0100,N 428956,S200000,05200,0100,N 428956,S200000,05300,0100,Y 428956,S200000,05300,0200,42HO32 428956,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 428956,S200000,05400,0200,PALMETTO GBA 428956,S200000,05400,0300, 00380 428956,S200000,05500,0100,101 GRACE DRIVE 428956,S200000,05600,0100,EASLEY 428956,S200000,05600,0200,SC 428956,S200000,05600,0300,29640 428962,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428962,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428962,A000000,00300,0000,0300EMPLOYEE BENEFITS 428962,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428962,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428962,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428962,A000000,00700,0000,0700HOUSEKEEPING 428962,A000000,00800,0000,0800DIETARY 428962,A000000,00900,0000,0900NURSING ADMINISTRATION 428962,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428962,A000000,01100,0000,1100PHARMACY 428962,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428962,A000000,01300,0000,1300SOCIAL SERVICE 428962,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428962,A000000,01600,0000,1600SKILLED NURSING FACILITY 428962,A000000,01800,0000,1800NURSING FACILITY 428962,A000000,01900,0000,1900OTHER LONG TERM CARE 428962,A000000,02100,0000,2100RADIOLOGY 428962,A000000,02200,0000,2200LABORATORY 428962,A000000,02300,0000,2300INTRAVENOUS THERAPY 428962,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428962,A000000,02500,0000,2500PHYSICAL THERAPY 428962,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428962,A000000,02700,0000,2700SPEECH PATHOLOGY 428962,A000000,02800,0000,2800ELECTROCARDIOLOGY 428962,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428962,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428962,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428962,A000000,03200,0000,3200SUPPORT SURFACES 428962,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 428962,A000000,03400,0000,3400CLINIC 428962,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 428962,A000000,04800,0000,4800AMBULANCE 428962,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428962,A000000,05000,0000,5000CORF 428962,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428962,A000000,05300,0000,5300INTEREST EXPENSE 428962,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428962,A000000,05500,0000,5500HOSPICE 428962,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428962,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428962,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428962,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428962,A000000,06100,0000,6100NONPAID WORKERS 428962,A000000,06200,0000,6200PATIENTS LAUNDRY 428962,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 428962,A81000A,00100,0100,Y 428962,A81000B,00100,0300,NURSING CONSULTING 428962,A81000B,00200,0300,DIETARY CONSULTING 428962,A81000B,00300,0300,HOME OFFICE 428962,A81000B,00400,0300,INTEREST EXPENSE 428962,A81000B,00500,0300,WORKERS COMP EXPENSE 428962,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 428962,A81000B,00700,0300,MAINTENANCE SUPPLIES 428962,A81000B,00800,0300,REPAIRS - EQUIPMENT 428962,A81000B,00900,0300,LINEN & BEDDING 428962,A81000B,01000,0300,LAUNDRY SUPPLIES 428962,A81000B,01100,0300,PAPER PRODUCTS & HAND SOAP 428962,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 428962,A81000B,01300,0300,DIETARY SUPPLEMENTS 428962,A81000B,01400,0300,DIETARY SUPPLIES 428962,A81000B,01500,0300,BIO-MEDICAL WASTE 428962,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 428962,A81000B,01700,0300,PERSONAL CARE SUPPLIES 428962,A81000B,01800,0300,INCONTINENCE SUPPLIES 428962,A81000B,01900,0300,MEDICAL SUPPLIES 428962,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 428962,A81000B,02100,0300,PHYSICAL THERAPY SUPPLIES 428962,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 428962,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 428962,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 428962,A81000B,02500,0300,NON-LEGEND DRUGS 428962,A81000B,02600,0300,PHARMACY CONSULTANT 428962,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 428962,A81000B,02800,0300,LEGEND DRUGS 428962,A81000B,02900,0300,OFFICE SUPPLIES 428962,A81000C,00100,0100,B 428962,A81000C,00100,0400,BRITTHAVEN INC 428962,A81000C,00100,0600,MGMT SERVICES 428962,A81000C,00200,0100,B 428962,A81000C,00200,0400,BRITTHAVEN INC 428962,A81000C,00200,0600,MGMT SERVICES 428962,A81000C,00300,0100,B 428962,A81000C,00300,0400,BRITTHAVEN INC 428962,A81000C,00300,0600,MGMT SERVICES 428962,A81000C,00400,0100,B 428962,A81000C,00400,0400,BRITTHAVEN INC 428962,A81000C,00400,0600,MGMT SERVICES 428962,A81000C,00500,0100,A 428962,A81000C,00500,0200,DISCOVERY INSUR 428962,A81000C,00500,0600,INSURANCE 428962,A81000C,00600,0100,A 428962,A81000C,00600,0200,QUEENSLAND ASSU 428962,A81000C,00600,0600,INSURANCE 428962,A81000C,00700,0100,B 428962,A81000C,00700,0400,KARE MEDICAL 428962,A81000C,00700,0600,WHOLESALE SUPPL 428962,A81000C,00800,0100,B 428962,A81000C,00800,0400,KARE MEDICAL 428962,A81000C,00800,0600,WHOLESALE SUPPL 428962,A81000C,00900,0100,B 428962,A81000C,00900,0400,KARE MEDICAL 428962,A81000C,00900,0600,WHOLESALE SUPPL 428962,A81000C,01000,0100,B 428962,A81000C,01000,0400,KARE MEDICAL 428962,A81000C,01000,0600,WHOLESALE SUPPL 428962,A81000C,01001,0100,B 428962,A81000C,01001,0400,KARE MEDICAL 428962,A81000C,01001,0600,WHOLESALE SUPPL 428962,A81000C,01002,0100,B 428962,A81000C,01002,0400,KARE MEDICAL 428962,A81000C,01002,0600,WHOLESALE SUPPL 428962,A81000C,01003,0100,B 428962,A81000C,01003,0400,KARE MEDICAL 428962,A81000C,01003,0600,WHOLESALE SUPPL 428962,A81000C,01004,0100,B 428962,A81000C,01004,0400,KARE MEDICAL 428962,A81000C,01004,0600,WHOLESALE SUPPL 428962,A81000C,01005,0100,B 428962,A81000C,01005,0400,KARE MEDICAL 428962,A81000C,01005,0600,WHOLESALE SUPPL 428962,A81000C,01006,0100,B 428962,A81000C,01006,0400,KARE MEDICAL 428962,A81000C,01006,0600,WHOLESALE SUPPL 428962,A81000C,01007,0100,B 428962,A81000C,01007,0400,KARE MEDICAL 428962,A81000C,01007,0600,WHOLESALE SUPPL 428962,A81000C,01008,0100,B 428962,A81000C,01008,0400,KARE MEDICAL 428962,A81000C,01008,0600,WHOLESALE SUPPL 428962,A81000C,01009,0100,B 428962,A81000C,01009,0400,KARE MEDICAL 428962,A81000C,01009,0600,WHOLESALE SUPPL 428962,A81000C,01010,0100,B 428962,A81000C,01010,0400,KARE MEDICAL 428962,A81000C,01010,0600,WHOLESALE SUPPL 428962,A81000C,01011,0100,B 428962,A81000C,01011,0400,KARE MEDICAL 428962,A81000C,01011,0600,WHOLESALE SUPPL 428962,A81000C,01012,0100,B 428962,A81000C,01012,0400,KARE MEDICAL 428962,A81000C,01012,0600,WHOLESALE SUPPL 428962,A81000C,01013,0100,B 428962,A81000C,01013,0400,KARE MEDICAL 428962,A81000C,01013,0600,WHOLESALE SUPPL 428962,A81000C,01014,0100,B 428962,A81000C,01014,0400,PHARMSAVE 428962,A81000C,01014,0600,RX SUPPLY 428962,A81000C,01015,0100,B 428962,A81000C,01015,0400,PHARMSAVE 428962,A81000C,01015,0600,RX SUPPLY 428962,A81000C,01016,0100,B 428962,A81000C,01016,0400,PHARMSAVE 428962,A81000C,01016,0600,RX SUPPLY 428962,A81000C,01017,0100,B 428962,A81000C,01017,0400,PHARMSAVE 428962,A81000C,01017,0600,RX SUPPLY 428962,A81000C,01018,0100,B 428962,A81000C,01018,0400,PHARMSAVE 428962,A81000C,01018,0600,RX SUPPLY 428962,A81000C,01019,0100,B 428962,A81000C,01019,0400,ROBERT HILL CON 428962,A81000C,01019,0600,CONSTRUCTION 428962,A81000C,01020,0100,B 428962,A81000C,01020,0400,ROBERT HILL CON 428962,A81000C,01020,0600,CONSTRUCTION 428962,A81000C,01021,0100,B 428962,A81000C,01021,0400,ROBERT HILL CON 428962,A81000C,01021,0600,CONSTRUCTION 428962,A81000C,01022,0100,B 428962,A81000C,01022,0400,ROBERT HILL CON 428962,A81000C,01022,0600,CONSTRUCTION 428962,A81000C,01023,0100,B 428962,A81000C,01023,0400,ROBERT HILL CON 428962,A81000C,01023,0600,CONSTRUCTION 428962,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428962,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428962,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428962,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428962,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428962,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428962,B100000,00000,0800,0800MEALS SERVED :DIETARY 428962,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 428962,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 428962,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 428962,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 428962,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428962,G300000,02500,0000, OTHER (SPECIFY) 428962,S000000,00100,0200,08/11/11 428962,S200000,00100,0100,110 MCCOTTER BLVD 428962,S200000,00200,0100,HAVELOCK 428962,S200000,00200,0200,NC 428962,S200000,00200,0300,28532 428962,S200000,00300,0100,CRAVEN 428962,S200000,00300,0201,99934 428962,S200000,00300,0300,R 428962,S200000,00400,0100,BRITTHAVEN OF HAVELOCK 428962,S200000,00400,0200,345487 428962,S200000,00400,0300,03/13/98 428962,S200000,00400,0500,P 428962,S200000,01500,0100,Y 428962,S200000,01501,0200,Y 428962,S200000,01503,0200,Y 428962,S200000,01504,0200,Y 428962,S200000,01505,0000,OTHER (SPECIFY) 428962,S200000,01505,0200,Y 428962,S200000,01600,0100,N 428962,S200000,01700,0100,N 428962,S200000,01800,0100,N 428962,S200000,02200,0100,N 428962,S200000,02800,0100,N 428962,S200000,02900,0100,N 428962,S200000,03000,0100,N 428962,S200000,03100,0100,Y 428962,S200000,03200,0100,N 428962,S200000,03300,0100,N 428962,S200000,03300,0200,N 428962,S200000,04100,0100,N 428962,S200000,04200,0100,N 428962,S200000,04300,0100,N 428962,S200000,04600,0100,N 428962,S200000,04700,0100,N 428962,S200000,04700,0200,N 428962,S200000,04900,0100,N 428962,S200000,05000,0100,N 428962,S200000,05100,0100,N 428962,S200000,05200,0100,N 428962,S200000,05300,0100,Y 428962,S200000,05300,0200,349011 428962,S200000,05400,0100,BRITTHAVEN INC. 428962,S200000,05400,0200,PALMETTO GBA 428962,S200000,05400,0300,11501 428962,S200000,05500,0100,1435 HWY 258 NORTH 428962,S200000,05500,0200,PO BOX 61 428962,S200000,05600,0100,KINSTON 428962,S200000,05600,0200,NC 428962,S200000,05600,0300,28502 428969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428969,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428969,A000000,00300,0000,0300EMPLOYEE BENEFITS 428969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428969,A000000,00700,0000,0700HOUSEKEEPING 428969,A000000,00800,0000,0800DIETARY 428969,A000000,00900,0000,0900NURSING ADMINISTRATION 428969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428969,A000000,01100,0000,1100PHARMACY 428969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428969,A000000,01300,0000,1300SOCIAL SERVICE 428969,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428969,A000000,01500,0000,1350ACTIVITIES 428969,A000000,01600,0000,1600SKILLED NURSING FACILITY 428969,A000000,01810,0000,1810ICF/MR 428969,A000000,02100,0000,2100RADIOLOGY 428969,A000000,02200,0000,2200LABORATORY 428969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428969,A000000,02500,0000,2500PHYSICAL THERAPY 428969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428969,A000000,02700,0000,2700SPEECH PATHOLOGY 428969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428969,A000000,03550,0000,3550FQHC 428969,A000000,04800,0000,4800AMBULANCE 428969,A000000,05000,0000,5000CORF 428969,A000000,05010,0000,5010CMHC 428969,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428969,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428969,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428969,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 428969,A81000A,00100,0100,Y 428969,A81000B,00100,0300,PHYSICAL THERAPY 428969,A81000B,00200,0300,OCCUPATIONAL THERAPY 428969,A81000B,00300,0300,SPEECH THERAPY 428969,A81000B,00400,0300,DIETARY 428969,A81000B,00500,0300,RESPIRATORY THERAPY 428969,A81000B,00600,0300,RESPIRATORY THERAPY 428969,A81000B,00700,0300,MEDICAL DIRECTOR 428969,A81000B,00800,0300,BUILDING 428969,A81000B,00900,0300,EQUIPMENT 428969,A81000B,01000,0300,ADMINISTRATION - HO 428969,A81000B,01100,0300,INTEREST - HO 428969,A81000B,01200,0300,BUILDING - HO 428969,A81000C,00100,0100,B 428969,A81000C,00100,0200,GENESIS REHAB 428969,A81000C,00100,0400,GENESIS HEALTHC 428969,A81000C,00100,0600,REHAB SERVICES 428969,A81000C,00200,0100,B 428969,A81000C,00200,0200,GENESIS REHAB 428969,A81000C,00200,0400,GENESIS HEALTHC 428969,A81000C,00200,0600,REHAB SERVICES 428969,A81000C,00300,0100,B 428969,A81000C,00300,0200,GENESIS REHAB 428969,A81000C,00300,0400,GENESIS HEALTHC 428969,A81000C,00300,0600,REHAB SERVICES 428969,A81000C,00400,0100,B 428969,A81000C,00400,0200,GENESIS HOSPITA 428969,A81000C,00400,0400,GENESIS HEALTHC 428969,A81000C,00400,0600,CONSULTING SERV 428969,A81000C,00500,0100,B 428969,A81000C,00500,0200,RESPIRATORY HEA 428969,A81000C,00500,0400,GENESIS HEALTHC 428969,A81000C,00500,0600,RESPIRATORY SER 428969,A81000C,00600,0100,B 428969,A81000C,00600,0200,RESPIRATORY HEA 428969,A81000C,00600,0400,GENESIS HEALTHC 428969,A81000C,00600,0600,RESPIRATORY SER 428969,A81000C,00700,0100,B 428969,A81000C,00700,0200,GENESIS PHYSICI 428969,A81000C,00700,0400,GENESIS HEALTHC 428969,A81000C,00700,0600,MEDICAL DIRECTO 428969,A81000C,00800,0100,B 428969,A81000C,00800,0200,GLENMARK PROPER 428969,A81000C,00800,0400,GENESIS HEALTHC 428969,A81000C,00800,0600,PROPERTY OWNER 428969,A81000C,00900,0100,B 428969,A81000C,00900,0200,GLENMARK PROPER 428969,A81000C,00900,0400,GENESIS HEALTHC 428969,A81000C,00900,0600,PROPERTY OWNER 428969,A81000C,01000,0100,B 428969,A81000C,01000,0200,GENESIS HEALTHC 428969,A81000C,01000,0600,MANAGEMENT COMP 428969,A81000C,01001,0100,B 428969,A81000C,01001,0200,GENESIS HEALTHC 428969,A81000C,01001,0600,MANAGEMENT COMP 428969,A81000C,01002,0100,B 428969,A81000C,01002,0200,GENESIS HEALTHC 428969,A81000C,01002,0600,MANAGEMENT COMP 428969,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428969,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428969,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428969,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428969,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428969,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428969,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428969,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428969,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428969,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428969,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428969,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428969,G300000,02500,0000,MISCELLANEOUS REVENUE 428969,S000000,00100,0200,10/17/11 428969,S200000,00100,0100,302 CEDAR RIDGE RD 428969,S200000,00200,0100,SISSONVILLE 428969,S200000,00200,0200,WV 428969,S200000,00200,0300,25320 428969,S200000,00300,0100,KANAWHA 428969,S200000,00300,0201,16620 428969,S200000,00300,0300,U 428969,S200000,00400,0100,CEDAR RIDGE CENTER 428969,S200000,00400,0200,515087 428969,S200000,00400,0300,04/14/89 428969,S200000,00400,0500,P 428969,S200000,01500,0100,Y 428969,S200000,01501,0200,Y 428969,S200000,01502,0200,N 428969,S200000,01504,0200,N 428969,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 428969,S200000,01505,0200,Y 428969,S200000,01600,0100,N 428969,S200000,01700,0100,N 428969,S200000,01800,0100,N 428969,S200000,02200,0100,Y 428969,S200000,02800,0100,N 428969,S200000,02900,0100,N 428969,S200000,03000,0100,N 428969,S200000,03100,0100,N 428969,S200000,03200,0100,N 428969,S200000,03300,0100,N 428969,S200000,03300,0200,N 428969,S200000,04100,0100,N 428969,S200000,04200,0100,N 428969,S200000,04300,0100,N 428969,S200000,04600,0100,N 428969,S200000,04700,0100,N 428969,S200000,04700,0200,N 428969,S200000,04900,0100,N 428969,S200000,05000,0100,N 428969,S200000,05100,0100,N 428969,S200000,05200,0100,N 428969,S200000,05300,0100,Y 428969,S200000,05300,0200,HB0067 428969,S200000,05400,0100,GENESIS HEALTHCARE COR 428969,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428969,S200000,05400,0300,12001 428969,S200000,05500,0100,101 EAST STATE STREET 428969,S200000,05600,0100,KENNETT SQUARE 428969,S200000,05600,0200,PA 428969,S200000,05600,0300,19348 428981,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428981,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428981,A000000,00300,0000,0300EMPLOYEE BENEFITS 428981,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428981,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428981,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428981,A000000,00700,0000,0700HOUSEKEEPING 428981,A000000,00800,0000,0800DIETARY 428981,A000000,00900,0000,0900NURSING ADMINISTRATION 428981,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428981,A000000,01100,0000,1100PHARMACY 428981,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428981,A000000,01300,0000,1300SOCIAL SERVICE 428981,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428981,A000000,01500,0000,1350ACTIVITIES 428981,A000000,01600,0000,1600SKILLED NURSING FACILITY 428981,A000000,01810,0000,1810ICF/MR 428981,A000000,02200,0000,2200LABORATORY 428981,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428981,A000000,02500,0000,2500PHYSICAL THERAPY 428981,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428981,A000000,02700,0000,2700SPEECH PATHOLOGY 428981,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428981,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428981,A000000,03550,0000,3550FQHC 428981,A000000,05000,0000,5000CORF 428981,A000000,05010,0000,5010CMHC 428981,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428981,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428981,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428981,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428981,A000000,06300,0000,6150NON-REIMBURSABLE 428981,A81000A,00100,0100,Y 428981,A81000B,00100,0300,HO A&G 428981,A81000B,00200,0300,HO BLDG 428981,A81000B,00300,0300,HO INTEREST 428981,A81000B,00400,0300,BLDG 428981,A81000B,00500,0300,EQUIPMENT 428981,A81000B,00600,0300,PT 428981,A81000B,00700,0300,OT 428981,A81000B,00800,0300,ST 428981,A81000B,00900,0300,SKILLED NRSG 428981,A81000B,01000,0300,RT 428981,A81000B,01100,0300,MED SUPPLIES 428981,A81000B,01200,0300,ADMINISTRATIVE 428981,A81000C,00100,0100,B 428981,A81000C,00100,0200,GENESIS HEALTH 428981,A81000C,00100,0600,MANAGEMENT COMP 428981,A81000C,00200,0100,B 428981,A81000C,00200,0200,GENESIS HEALTH 428981,A81000C,00200,0600,MANAGEMENT COMP 428981,A81000C,00300,0100,B 428981,A81000C,00300,0200,GENESIS HEALTH 428981,A81000C,00300,0600,MANAGEMENT COMP 428981,A81000C,00400,0100,B 428981,A81000C,00400,0200,MARLINTON ASSOC 428981,A81000C,00400,0400,GENESIS HEALTH 428981,A81000C,00400,0600,PROPERTY HOLDER 428981,A81000C,00500,0100,B 428981,A81000C,00500,0200,MARLINTON ASSOC 428981,A81000C,00500,0400,GENESIS HEALTH 428981,A81000C,00500,0600,PROPERTY HOLDER 428981,A81000C,00600,0100,B 428981,A81000C,00600,0200,GENESIS REHAB 428981,A81000C,00600,0400,GENESIS HEALTH 428981,A81000C,00600,0600,REHAB SERVICES 428981,A81000C,00700,0100,B 428981,A81000C,00700,0200,GENESIS REHAB 428981,A81000C,00700,0400,GENESIS HEALTH 428981,A81000C,00700,0600,REHAB SERVICES 428981,A81000C,00800,0100,B 428981,A81000C,00800,0200,GENESIS REHAB 428981,A81000C,00800,0400,GENESIS HEALTH 428981,A81000C,00800,0600,REHAB SERVICES 428981,A81000C,00900,0100,B 428981,A81000C,00900,0200,RESPIRATORY HEA 428981,A81000C,00900,0400,GENESIS HEALTH 428981,A81000C,00900,0600,RESPIRATORY THE 428981,A81000C,01000,0100,B 428981,A81000C,01000,0200,RESPIRATORY HEA 428981,A81000C,01000,0400,GENESIS HEALTH 428981,A81000C,01000,0600,RESPIRATORY THE 428981,A81000C,01001,0100,B 428981,A81000C,01001,0200,RESPIRATORY HEA 428981,A81000C,01001,0400,GENESIS HEALTH 428981,A81000C,01001,0600,RESPIRATORY THE 428981,A81000C,01002,0100,B 428981,A81000C,01002,0200,GENESIS PHYSICI 428981,A81000C,01002,0400,GENESIS HEALTH 428981,A81000C,01002,0600,MEDICAL DIRECTO 428981,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428981,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428981,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428981,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428981,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428981,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428981,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428981,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428981,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428981,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428981,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428981,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428981,G300000,02500,0000,MISCELLANEOUS INCOME 428981,S000000,00100,0200,09/27/11 428981,S200000,00100,0100,RT 1 BOX 500 428981,S200000,00200,0100,MARLINTON 428981,S200000,00200,0200,WV 428981,S200000,00200,0300,24954 428981,S200000,00300,0100,POCAHONTAS 428981,S200000,00300,0201,99951 428981,S200000,00300,0300,R 428981,S200000,00400,0100,POCAHONTAS CENTER 428981,S200000,00400,0200,515183 428981,S200000,00400,0300,02/01/03 428981,S200000,00400,0500,P 428981,S200000,01500,0100,Y 428981,S200000,01501,0200,Y 428981,S200000,01502,0200,N 428981,S200000,01503,0200,Y 428981,S200000,01504,0200,N 428981,S200000,01505,0000,DON BONUS 428981,S200000,01505,0200,N 428981,S200000,01600,0100,N 428981,S200000,01700,0100,N 428981,S200000,01800,0100,N 428981,S200000,02200,0100,Y 428981,S200000,02800,0100,N 428981,S200000,02900,0100,N 428981,S200000,03000,0100,N 428981,S200000,03100,0100,N 428981,S200000,03200,0100,N 428981,S200000,03300,0100,N 428981,S200000,03300,0200,N 428981,S200000,04100,0100,N 428981,S200000,04200,0100,N 428981,S200000,04300,0100,N 428981,S200000,04600,0100,N 428981,S200000,04700,0100,N 428981,S200000,04700,0200,N 428981,S200000,04900,0100,N 428981,S200000,05000,0100,N 428981,S200000,05100,0100,N 428981,S200000,05200,0100,N 428981,S200000,05300,0100,Y 428981,S200000,05300,0200,HB0067 428981,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 428981,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 428981,S200000,05400,0300,12001 428981,S200000,05500,0100,101 EAST STATE STREET 428981,S200000,05600,0100,KENNETT SQUARE 428981,S200000,05600,0200,PA 428981,S200000,05600,0300,19348 428987,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428987,A000000,00300,0000,0300EMPLOYEE BENEFITS 428987,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428987,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428987,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428987,A000000,00700,0000,0700HOUSEKEEPING 428987,A000000,00800,0000,0800DIETARY 428987,A000000,00900,0000,0900NURSING ADMINISTRATION 428987,A000000,01100,0000,1100PHARMACY 428987,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428987,A000000,01300,0000,1300SOCIAL SERVICE 428987,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428987,A000000,01500,0000,1350ACTIVITIES 428987,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428987,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428987,A000000,01600,0000,1600SKILLED NURSING FACILITY 428987,A000000,01800,0000,1800NURSING FACILITY 428987,A000000,01810,0000,1810ICF/MR 428987,A000000,01900,0000,1900OTHER LONG TERM CARE 428987,A000000,02100,0000,2100RADIOLOGY 428987,A000000,02200,0000,2200LABORATORY 428987,A000000,02300,0000,2300INTRAVENOUS THERAPY 428987,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428987,A000000,02500,0000,2500PHYSICAL THERAPY 428987,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428987,A000000,02700,0000,2700SPEECH PATHOLOGY 428987,A000000,02800,0000,2800ELECTROCARDIOLOGY 428987,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428987,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428987,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428987,A000000,03200,0000,3200SUPPORT SURFACES 428987,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428987,A000000,03301,0000,3051AIR FLUID THERAPY 428987,A000000,03302,0000,3052AMBULANCE 428987,A000000,03303,0000,3053PEN THERAPY 428987,A000000,03304,0000,3054ONCOLOGY 428987,A000000,03305,0000,3055CARDIOLOGY 428987,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428987,A000000,03307,0000,3057AUDIOLOGY 428987,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428987,A000000,03400,0000,3400CLINIC 428987,A000000,03500,0000,3500RURAL HEALTH CLINIC 428987,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428987,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428987,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428987,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428987,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428987,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428987,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428987,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428987,A000000,04400,0000,4400DME RENTED - HHA 428987,A000000,04500,0000,4500DME SOLD - HHA 428987,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428987,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428987,A000000,04710,0000,4710TELEMEDICINE 428987,A000000,04800,0000,4800AMBULANCE 428987,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428987,A000000,05000,0000,5000CORF 428987,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428987,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428987,A000000,05300,0000,5300INTEREST EXPENSE 428987,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428987,A000000,05500,0000,5500HOSPICE 428987,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428987,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428987,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428987,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428987,A000000,06100,0000,6100NONPAID WORKERS 428987,A000000,06200,0000,6200PATIENTS LAUNDRY 428987,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428987,A000000,06301,0000,6151ADULT DAY CARE 428987,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428987,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428987,A81000A,00100,0100,Y 428987,A81000B,00500,0300,MGMT FEE - A&G RELATED 428987,A81000B,00600,0300,MGMT FEE - A&G RELATED 428987,A81000C,00100,0100,B 428987,A81000C,00100,0200,GRACE POINTE EAST 428987,A81000C,00100,0400,PRESBYTERIAN HOMES & SERV 428987,A81000C,00100,0600,MANAGEMENT COMPANY 428987,A81000C,00200,0100,B 428987,A81000C,00200,0200,GRACE POINTE EAST 428987,A81000C,00200,0400,PHS MANAGEMENT LLC 428987,A81000C,00200,0600,MANAGEMENT COMPANY 428987,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428987,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428987,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428987,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428987,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428987,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428987,B100000,00000,0800,0850PATIENT DAYS :DIETARY 428987,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428987,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428987,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428987,G300000,02500,0000,OTHER INCOME 428987,S000000,00100,0200,02/28/12 428987,S200000,00100,0100,548 WEST FIRST AVENUE 428987,S200000,00200,0100,CAMBRIDGE 428987,S200000,00200,0200,MN 428987,S200000,00200,0300,55008 428987,S200000,00300,0100,ISANTI 428987,S200000,00300,0200,5120 428987,S200000,00300,0201,33460 428987,S200000,00300,0300,U 428987,S200000,00400,0100,GRACEPOINTE - GABLES EAST 428987,S200000,00400,0200,245120 428987,S200000,00400,0300,04/17/67 428987,S200000,00400,0500,P 428987,S200000,00400,0600,P 428987,S200000,01500,0100,N 428987,S200000,01501,0200,Y 428987,S200000,01502,0200,N 428987,S200000,01503,0200,Y 428987,S200000,01504,0200,N 428987,S200000,01600,0100,Y 428987,S200000,01700,0100,N 428987,S200000,01800,0100,N 428987,S200000,02200,0100,N 428987,S200000,02800,0100,N 428987,S200000,02900,0100,N 428987,S200000,03000,0100,N 428987,S200000,03100,0100,N 428987,S200000,03200,0100,N 428987,S200000,03300,0100,N 428987,S200000,03300,0200,N 428987,S200000,04100,0100,N 428987,S200000,04200,0100,N 428987,S200000,04300,0100,N 428987,S200000,04600,0100,N 428987,S200000,04700,0100,N 428987,S200000,04700,0200,N 428987,S200000,04900,0100,N 428987,S200000,05000,0100,N 428987,S200000,05100,0100,N 428987,S200000,05200,0100,N 428987,S200000,05300,0100,Y 428987,S200000,05300,0200,HB0584 428987,S200000,05400,0100,PRESBYTERIAN HOMES OF MN 428987,S200000,05400,0200,NORIDIAN 428987,S200000,05400,0300,00320 428987,S200000,05500,0100,2845 HAMLINE AVENUE NORTH 428987,S200000,05600,0100,ROSEVILLE 428987,S200000,05600,0200,MN 428987,S200000,05600,0300,55113 428988,S000000,00100,0200,02/28/12 428988,S200000,00100,0100,625 PRAIRIE CENTER DR 428988,S200000,00200,0100,EDEN PRAIRIE 428988,S200000,00200,0200,MN 428988,S200000,00200,0300,55344-5326 428988,S200000,00300,0100,HENNEPIN 428988,S200000,00400,0100,CASTLE RIDGE CARE CENTER 428988,S200000,00400,0300,05/01/86 428990,S000000,00100,0200,02/28/12 428990,S200000,00100,0100,200 W 1ST ST 428990,S200000,00200,0100,PAYNESVILLE 428990,S200000,00200,0200,MN 428990,S200000,00200,0300,56362 428990,S200000,00300,0100,MEEKER 428990,S200000,00400,0100,HILLTOP CARE CENTER 428990,S200000,00400,0300,10/31/92 428991,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428991,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428991,A000000,00300,0000,0300EMPLOYEE BENEFITS 428991,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428991,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428991,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428991,A000000,00700,0000,0700HOUSEKEEPING 428991,A000000,00800,0000,0800DIETARY 428991,A000000,00900,0000,0900NURSING ADMINISTRATION 428991,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428991,A000000,01100,0000,1100PHARMACY 428991,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428991,A000000,01300,0000,1300SOCIAL SERVICE 428991,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428991,A000000,01500,0000,1350OTHER GENERAL SERVICES 428991,A000000,01600,0000,1600SKILLED NURSING FACILITY 428991,A000000,01800,0000,1800NURSING FACILITY 428991,A000000,01810,0000,1810ICF/MR 428991,A000000,01900,0000,1900OTHER LONG TERM CARE 428991,A000000,02100,0000,2100RADIOLOGY 428991,A000000,02200,0000,2200LABORATORY 428991,A000000,02300,0000,2300INTRAVENOUS THERAPY 428991,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428991,A000000,02500,0000,2500PHYSICAL THERAPY 428991,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428991,A000000,02700,0000,2700SPEECH PATHOLOGY 428991,A000000,02800,0000,2800ELECTROCARDIOLOGY 428991,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428991,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428991,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428991,A000000,03200,0000,3200SUPPORT SURFACES 428991,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 428991,A000000,03400,0000,3400CLINIC 428991,A000000,03500,0000,3500RURAL HEALTH CLINIC 428991,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428991,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428991,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428991,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428991,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428991,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428991,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428991,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428991,A000000,04400,0000,4400DME RENTED - HHA 428991,A000000,04500,0000,4500DME SOLD - HHA 428991,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428991,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428991,A000000,04710,0000,4710TELEMEDICINE 428991,A000000,04800,0000,4800AMBULANCE 428991,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428991,A000000,05000,0000,5000CORF 428991,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428991,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428991,A000000,05300,0000,5300INTEREST EXPENSE 428991,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428991,A000000,05500,0000,5500HOSPICE 428991,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428991,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428991,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428991,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428991,A000000,06100,0000,6100NONPAID WORKERS 428991,A000000,06200,0000,6200PATIENTS LAUNDRY 428991,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428991,A81000A,00100,0100,N 428991,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428991,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428991,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428991,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428991,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428991,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428991,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 428991,B100000,00000,0800,0800MEALS SERVED :DIETARY 428991,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428991,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428991,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428991,G300000,02500,0000,MEAL INCOME 428991,G300000,02501,0000,ACTIVITY INCOME 428991,G300000,02502,0000,MISCELLANEOUS INCOME 428991,S000000,00100,0200,02/29/12 428991,S200000,00100,0100,210 NW THIRD ST 428991,S200000,00200,0100,PINE ISLAND 428991,S200000,00200,0200,MN 428991,S200000,00200,0300,55963 428991,S200000,00300,0100,GOODHUE 428991,S200000,00300,0200,24 428991,S200000,00300,0201,99924 428991,S200000,00300,0300,R 428991,S200000,00400,0100,PINE HAVEN INC 428991,S200000,00400,0200,245359 428991,S200000,00400,0300,11/01/86 428991,S200000,00400,0500,P 428991,S200000,01500,0100,Y 428991,S200000,01501,0200,N 428991,S200000,01600,0100,N 428991,S200000,01700,0100,N 428991,S200000,01800,0100,N 428991,S200000,02200,0100,N 428991,S200000,02800,0100,Y 428991,S200000,02900,0100,N 428991,S200000,03000,0100,N 428991,S200000,03100,0100,N 428991,S200000,03200,0100,N 428991,S200000,03300,0100,N 428991,S200000,03300,0200,N 428991,S200000,04100,0100,N 428991,S200000,04200,0100,N 428991,S200000,04300,0100,N 428991,S200000,04600,0100,N 428991,S200000,04700,0100,N 428991,S200000,04700,0200,N 428991,S200000,04900,0100,N 428991,S200000,05000,0100,N 428991,S200000,05100,0100,N 428991,S200000,05200,0100,N 428992,S000000,00100,0200,02/28/12 428992,S200000,00100,0100,211 EAST MILL ST 428992,S200000,00100,0300,645 428992,S200000,00200,0100,PELICAN RAPIDS 428992,S200000,00200,0200,MN 428992,S200000,00200,0300,56572-4233 428992,S200000,00300,0100,OTTERTAIL 428992,S200000,00400,0100,PELICAN VALLEY HEALTH CENTER 428992,S200000,00400,0300,12/01/86 428994,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428994,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428994,A000000,00300,0000,0300EMPLOYEE BENEFITS 428994,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428994,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428994,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428994,A000000,00700,0000,0700HOUSEKEEPING 428994,A000000,00800,0000,0800DIETARY 428994,A000000,00900,0000,0900NURSING ADMINISTRATION 428994,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428994,A000000,01100,0000,1100PHARMACY 428994,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428994,A000000,01300,0000,1300SOCIAL SERVICE 428994,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428994,A000000,01500,0000,1350ACTIVITIES 428994,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428994,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428994,A000000,01600,0000,1600SKILLED NURSING FACILITY 428994,A000000,01800,0000,1800NURSING FACILITY 428994,A000000,01810,0000,1810ICF/MR 428994,A000000,01900,0000,1900OTHER LONG TERM CARE 428994,A000000,02100,0000,2100RADIOLOGY 428994,A000000,02200,0000,2200LABORATORY 428994,A000000,02300,0000,2300INTRAVENOUS THERAPY 428994,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428994,A000000,02500,0000,2500PHYSICAL THERAPY 428994,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428994,A000000,02700,0000,2700SPEECH PATHOLOGY 428994,A000000,02800,0000,2800ELECTROCARDIOLOGY 428994,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428994,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428994,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428994,A000000,03200,0000,3200SUPPORT SURFACES 428994,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428994,A000000,03301,0000,3051AIR FLUID THERAPY 428994,A000000,03302,0000,3052AMBULANCE 428994,A000000,03303,0000,3053PEN THERAPY 428994,A000000,03304,0000,3054ONCOLOGY 428994,A000000,03305,0000,3055CARDIOLOGY 428994,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428994,A000000,03307,0000,3057AUDIOLOGY 428994,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428994,A000000,03400,0000,3400CLINIC 428994,A000000,03500,0000,3500RURAL HEALTH CLINIC 428994,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428994,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428994,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428994,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428994,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428994,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428994,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428994,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428994,A000000,04400,0000,4400DME RENTED - HHA 428994,A000000,04500,0000,4500DME SOLD - HHA 428994,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428994,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428994,A000000,04710,0000,4710TELEMEDICINE 428994,A000000,04800,0000,4800AMBULANCE 428994,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428994,A000000,05000,0000,5000CORF 428994,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428994,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428994,A000000,05300,0000,5300INTEREST EXPENSE 428994,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428994,A000000,05500,0000,5500HOSPICE 428994,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428994,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428994,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428994,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428994,A000000,06100,0000,6100NONPAID WORKERS 428994,A000000,06200,0000,6200PATIENTS LAUNDRY 428994,A000000,06300,0000,6150ADULT DAY HEALTH 428994,A000000,06301,0000,6151ASSISTED LIVING 428994,A000000,06302,0000,6152MIDWAY 428994,A000000,06303,0000,6153MEALS ON WHEELS 428994,A81000A,00100,0100,Y 428994,A81000B,00600,0300,MGMT FEE - A&G RELATED 428994,A81000B,00700,0300,MGMT FEE - A&G RELATED 428994,A81000C,00100,0100,G 428994,A81000C,00100,0200,SHOLOM COMMUNITY ALLIANCE 428994,A81000C,00100,0400,SCHOLOM COMMUNITY ALLIANC 428994,A81000C,00100,0600,MANAGEMENT COMPANY 428994,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428994,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428994,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428994,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428994,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428994,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428994,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428994,B100000,00000,0800,0800MEALS SERVED :DIETARY 428994,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428994,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 428994,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428994,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428994,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 428994,B100000,00000,1501,1351PATIENT DAYS :OTHER GENERAL SER 428994,E10A180,00550,0300,03/22/12 428994,G300000,02500,0000,OTHER - SEE GROUPINGS 428994,G300000,02501,0000,OTHER - SEE GROUPINGS 428994,S000000,00100,0200,02/29/12 428994,S200000,00100,0100,3620 PHILLIPS PARKWAY 428994,S200000,00200,0100,ST. LOUIS PARK 428994,S200000,00200,0200,MN 428994,S200000,00200,0300,55426 428994,S200000,00300,0100,HENNEPIN 428994,S200000,00300,0200,0024 428994,S200000,00300,0201,33460 428994,S200000,00300,0300,U 428994,S200000,00400,0100,SHOLOM HOME EAST INC. 428994,S200000,00400,0200,245411 428994,S200000,00400,0300,02/01/87 428994,S200000,00400,0500,P 428994,S200000,00400,0600,P 428994,S200000,01500,0100,Y 428994,S200000,01501,0200,N 428994,S200000,01503,0200,N 428994,S200000,01600,0100,N 428994,S200000,01700,0100,N 428994,S200000,01800,0100,N 428994,S200000,02200,0100,N 428994,S200000,02800,0100,Y 428994,S200000,02900,0100,N 428994,S200000,03000,0100,N 428994,S200000,03100,0100,N 428994,S200000,03200,0100,N 428994,S200000,03300,0100,N 428994,S200000,03300,0200,N 428994,S200000,04100,0100,N 428994,S200000,04200,0100,N 428994,S200000,04300,0100,N 428994,S200000,04600,0100,N 428994,S200000,04700,0100,N 428994,S200000,04700,0200,N 428994,S200000,04900,0100,N 428994,S200000,05000,0100,N 428994,S200000,05100,0100,N 428994,S200000,05200,0100,N 428994,S200000,05300,0100,Y 428994,S200000,05300,0200,HB0194 428994,S200000,05400,0100,SHOLOM COMMUNITY ALLIANCE 428994,S200000,05400,0200,NORIDIAN 428994,S200000,05400,0300,00320 428994,S200000,05500,0100,3620 PHILLIPS PARKWAY 428994,S200000,05600,0100,ST. LOUIS PARK 428994,S200000,05600,0200,MN 428994,S200000,05600,0300,55426 428995,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428995,A000000,00300,0000,0300EMPLOYEE BENEFITS 428995,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428995,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428995,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428995,A000000,00700,0000,0700HOUSEKEEPING 428995,A000000,00800,0000,0800DIETARY 428995,A000000,00900,0000,0900NURSING ADMINISTRATION 428995,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428995,A000000,01300,0000,1300SOCIAL SERVICE 428995,A000000,01500,0000,1350ACTIVITIES 428995,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428995,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428995,A000000,01600,0000,1600SKILLED NURSING FACILITY 428995,A000000,01800,0000,1800NURSING FACILITY 428995,A000000,01810,0000,1810ICF/MR 428995,A000000,01900,0000,1900OTHER LONG TERM CARE 428995,A000000,02100,0000,2100RADIOLOGY 428995,A000000,02200,0000,2200LABORATORY 428995,A000000,02300,0000,2300INTRAVENOUS THERAPY 428995,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428995,A000000,02500,0000,2500PHYSICAL THERAPY 428995,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428995,A000000,02700,0000,2700SPEECH PATHOLOGY 428995,A000000,02800,0000,2800ELECTROCARDIOLOGY 428995,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428995,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428995,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428995,A000000,03200,0000,3200SUPPORT SURFACES 428995,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428995,A000000,03301,0000,3051AIR FLUID THERAPY 428995,A000000,03302,0000,3052AMBULANCE 428995,A000000,03303,0000,3053PEN THERAPY 428995,A000000,03304,0000,3054ONCOLOGY 428995,A000000,03305,0000,3055CARDIOLOGY 428995,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428995,A000000,03307,0000,3057AUDIOLOGY 428995,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428995,A000000,03400,0000,3400CLINIC 428995,A000000,03500,0000,3500RURAL HEALTH CLINIC 428995,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428995,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428995,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428995,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428995,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428995,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428995,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428995,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428995,A000000,04400,0000,4400DME RENTED - HHA 428995,A000000,04500,0000,4500DME SOLD - HHA 428995,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428995,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428995,A000000,04710,0000,4710TELEMEDICINE 428995,A000000,04800,0000,4800AMBULANCE 428995,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428995,A000000,05000,0000,5000CORF 428995,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428995,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428995,A000000,05300,0000,5300INTEREST EXPENSE 428995,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428995,A000000,05500,0000,5500HOSPICE 428995,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428995,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428995,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428995,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428995,A000000,06100,0000,6100NONPAID WORKERS 428995,A000000,06200,0000,6200PATIENTS LAUNDRY 428995,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428995,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428995,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428995,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428995,A81000A,00100,0100,Y 428995,A81000B,00600,0300,MGMT FEE - A&F RELATED 428995,A81000C,00100,0100,B 428995,A81000C,00100,0200,MARANATHA CONSERVATIVE BA 428995,A81000C,00100,0400,PRES HOMES MGMT & SERVICE 428995,A81000C,00100,0600,MANAGEMENT COMPANY 428995,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428995,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428995,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428995,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428995,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428995,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428995,B100000,00000,0800,0800MEALS SERVED :DIETARY 428995,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428995,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428995,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428995,G300000,02500,0000,OTHER - SEE GROUPINGS 428995,G300000,02502,0000,OTHER - SEE GROUPINGS 428995,S000000,00100,0200,02/28/12 428995,S200000,00100,0100,5401 69TH AVE N 428995,S200000,00200,0100,BROOKLYN CENTER 428995,S200000,00200,0200,MN 428995,S200000,00200,0300,55429 428995,S200000,00300,0100,HENNEPIN 428995,S200000,00300,0200,5120 428995,S200000,00300,0201,33460 428995,S200000,00300,0300,U 428995,S200000,00400,0100,PRESBYTERIAN - MARANATHA 428995,S200000,00400,0200,245462 428995,S200000,00400,0300,04/01/97 428995,S200000,00400,0500,P 428995,S200000,00400,0600,P 428995,S200000,01500,0100,Y 428995,S200000,01501,0200,Y 428995,S200000,01503,0200,Y 428995,S200000,01600,0100,N 428995,S200000,01700,0100,N 428995,S200000,01800,0100,N 428995,S200000,02200,0100,N 428995,S200000,02800,0100,N 428995,S200000,02900,0100,N 428995,S200000,03000,0100,N 428995,S200000,03100,0100,N 428995,S200000,03200,0100,N 428995,S200000,03300,0100,N 428995,S200000,03300,0200,N 428995,S200000,04100,0100,N 428995,S200000,04200,0100,N 428995,S200000,04300,0100,N 428995,S200000,04600,0100,N 428995,S200000,04700,0100,N 428995,S200000,04700,0200,N 428995,S200000,04900,0100,N 428995,S200000,05000,0100,N 428995,S200000,05100,0100,N 428995,S200000,05200,0100,N 428995,S200000,05300,0100,N 428998,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428998,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428998,A000000,00300,0000,0300EMPLOYEE BENEFITS 428998,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428998,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428998,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428998,A000000,00700,0000,0700HOUSEKEEPING 428998,A000000,00800,0000,0800DIETARY 428998,A000000,00900,0000,0900NURSING ADMINISTRATION 428998,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428998,A000000,01100,0000,1100PHARMACY 428998,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428998,A000000,01300,0000,1300SOCIAL SERVICE 428998,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428998,A000000,01600,0000,1600SKILLED NURSING FACILITY 428998,A000000,01800,0000,1800NURSING FACILITY 428998,A000000,01810,0000,1810ICF/MR 428998,A000000,01900,0000,1900OTHER LONG TERM CARE 428998,A000000,02100,0000,2100RADIOLOGY 428998,A000000,02200,0000,2200LABORATORY 428998,A000000,02300,0000,2300INTRAVENOUS THERAPY 428998,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428998,A000000,02500,0000,2500PHYSICAL THERAPY 428998,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428998,A000000,02700,0000,2700SPEECH PATHOLOGY 428998,A000000,02800,0000,2800ELECTROCARDIOLOGY 428998,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428998,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428998,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428998,A000000,03200,0000,3200SUPPORT SURFACES 428998,A000000,03400,0000,3400CLINIC 428998,A000000,03500,0000,3500RURAL HEALTH CLINIC 428998,A000000,03550,0000,3550FQHC 428998,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428998,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428998,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428998,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428998,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428998,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428998,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428998,A000000,04400,0000,4400DME RENTED - HHA 428998,A000000,04500,0000,4500DME SOLD - HHA 428998,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428998,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428998,A000000,04800,0000,4800AMBULANCE 428998,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428998,A000000,05000,0000,5000CORF 428998,A000000,05010,0000,5010CMHC 428998,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 428998,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428998,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428998,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428998,A000000,05300,0000,5300INTEREST EXPENSE 428998,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428998,A000000,05500,0000,5500HOSPICE 428998,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428998,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428998,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428998,A000000,06100,0000,6100NONPAID WORKERS 428998,A000000,06200,0000,6200PATIENTS LAUNDRY 428998,A000000,06300,0000,6150NON-REIMBURSABLE COST CENTERS 428998,A81000A,00100,0100,N 428998,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428998,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428998,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428998,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428998,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 428998,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 428998,B100000,00000,0800,0800MEALS SERVED :DIETARY 428998,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 428998,G300000,02500,0000,NON-REIMBURSABLE COST CENTER - APTS 428998,S000000,00100,0200,02/29/12 428998,S200000,00100,0100,406 HWY 71 SOUTH 428998,S200000,00100,0300,38 428998,S200000,00200,0100,CLARISSA 428998,S200000,00200,0200,MN 428998,S200000,00200,0300,56440 428998,S200000,00300,0100,TODD 428998,S200000,00300,0300,R 428998,S200000,00400,0100,CENTRAL TODD COUNTY CARE CENTER 428998,S200000,00400,0200,245521 428998,S200000,00400,0300,02/01/98 428998,S200000,00400,0500,P 428998,S200000,01500,0100,Y 428998,S200000,01600,0100,N 428998,S200000,01700,0100,N 428998,S200000,01800,0100,N 428998,S200000,02200,0100,N 428998,S200000,02800,0100,N 428998,S200000,02900,0100,N 428998,S200000,03000,0100,N 428998,S200000,03100,0100,N 428998,S200000,03200,0100,N 428998,S200000,03300,0100,N 428998,S200000,03300,0200,N 428998,S200000,04100,0100,N 428998,S200000,04200,0100,N 428998,S200000,04300,0100,N 428998,S200000,04600,0100,N 428998,S200000,04700,0100,N 428998,S200000,04700,0200,N 428998,S200000,04900,0100,N 428998,S200000,05000,0100,N 428998,S200000,05100,0100,N 428998,S200000,05200,0100,N 428998,S61C000,02000,0100,N 428998,S61D000,02000,0100,N 428998,S61E000,02000,0100,N 428998,S61F000,02000,0100,N 428998,S61G000,02000,0100,N 428999,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428999,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428999,A000000,00300,0000,0300EMPLOYEE BENEFITS 428999,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428999,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428999,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428999,A000000,00700,0000,0700HOUSEKEEPING 428999,A000000,00800,0000,0800DIETARY 428999,A000000,00900,0000,0900NURSING ADMINISTRATION 428999,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428999,A000000,01300,0000,1300SOCIAL SERVICE 428999,A000000,01500,0000,1350ACTIVITIES 428999,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 428999,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 428999,A000000,01600,0000,1600SKILLED NURSING FACILITY 428999,A000000,01800,0000,1800NURSING FACILITY 428999,A000000,01810,0000,1810ICF/MR 428999,A000000,01900,0000,1900OTHER LONG TERM CARE 428999,A000000,02100,0000,2100RADIOLOGY 428999,A000000,02200,0000,2200LABORATORY 428999,A000000,02300,0000,2300INTRAVENOUS THERAPY 428999,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428999,A000000,02500,0000,2500PHYSICAL THERAPY 428999,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428999,A000000,02700,0000,2700SPEECH PATHOLOGY 428999,A000000,02800,0000,2800ELECTROCARDIOLOGY 428999,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428999,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428999,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428999,A000000,03200,0000,3200SUPPORT SURFACES 428999,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 428999,A000000,03301,0000,3051AIR FLUID THERAPY 428999,A000000,03302,0000,3052AMBULANCE 428999,A000000,03303,0000,3053PEN THERAPY 428999,A000000,03304,0000,3054ONCOLOGY 428999,A000000,03305,0000,3055CARDIOLOGY 428999,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 428999,A000000,03307,0000,3057AUDIOLOGY 428999,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 428999,A000000,03400,0000,3400CLINIC 428999,A000000,03500,0000,3500RURAL HEALTH CLINIC 428999,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 428999,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428999,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428999,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428999,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428999,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428999,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428999,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428999,A000000,04400,0000,4400DME RENTED - HHA 428999,A000000,04500,0000,4500DME SOLD - HHA 428999,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428999,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428999,A000000,04710,0000,4710TELEMEDICINE 428999,A000000,04800,0000,4800AMBULANCE 428999,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428999,A000000,05000,0000,5000CORF 428999,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428999,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428999,A000000,05300,0000,5300INTEREST EXPENSE 428999,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428999,A000000,05500,0000,5500HOSPICE 428999,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 428999,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428999,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428999,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428999,A000000,06100,0000,6100NONPAID WORKERS 428999,A000000,06200,0000,6200PATIENTS LAUNDRY 428999,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428999,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 428999,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 428999,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 428999,A81000A,00100,0100,Y 428999,A81000B,00600,0300,MGMT FEE - A&G RELATED 428999,A81000B,00700,0300,MGMT FEE - A&G RELATED 428999,A81000C,00100,0100,B 428999,A81000C,00100,0200,PH OF BLOOMINGTON 428999,A81000C,00100,0400,PRES HOMES MGMT & SRVCS 428999,A81000C,00100,0600,MANAGEMENT COMPANY 428999,A81000C,00200,0100,B 428999,A81000C,00200,0200,PH OF BLOOMINGTON 428999,A81000C,00200,0400,PHS MANAGEMENT LLC 428999,A81000C,00200,0600,MANAGEMENT COMPANY 428999,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 428999,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 428999,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 428999,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428999,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 428999,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 428999,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 428999,B100000,00000,0800,0800MEALS SERVED :DIETARY 428999,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 428999,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 428999,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 428999,G300000,02500,0000,OTHER - SEE GROUPINGS 428999,G300000,02501,0000,OTHER - SEE GROUPINGS 428999,G300000,02504,0000,OTHER - SEE GROUPINGS 428999,S000000,00100,0200,02/28/12 428999,S200000,00100,0100,9889 PENN AVENUE 428999,S200000,00200,0100,BLOOMINGTON 428999,S200000,00200,0200,MN 428999,S200000,00200,0300,55431 428999,S200000,00300,0100,HENNEPIN 428999,S200000,00300,0200,5120 428999,S200000,00300,0201,33460 428999,S200000,00300,0300,U 428999,S200000,00400,0100,PRESBYTERIAN HOMES BLOOMINGTON 428999,S200000,00400,0200,245556 428999,S200000,00400,0300,04/01/91 428999,S200000,00400,0500,P 428999,S200000,00400,0600,P 428999,S200000,01500,0100,Y 428999,S200000,01501,0200,Y 428999,S200000,01502,0200,N 428999,S200000,01503,0200,Y 428999,S200000,01504,0200,Y 428999,S200000,01600,0100,N 428999,S200000,01700,0100,N 428999,S200000,01800,0100,N 428999,S200000,02200,0100,N 428999,S200000,02800,0100,N 428999,S200000,02900,0100,N 428999,S200000,03000,0100,N 428999,S200000,03100,0100,N 428999,S200000,03200,0100,N 428999,S200000,03300,0100,N 428999,S200000,03300,0200,N 428999,S200000,04100,0100,N 428999,S200000,04200,0100,N 428999,S200000,04300,0100,N 428999,S200000,04600,0100,N 428999,S200000,04700,0100,N 428999,S200000,04700,0200,N 428999,S200000,04900,0100,N 428999,S200000,05000,0100,N 428999,S200000,05100,0100,N 428999,S200000,05200,0100,N 428999,S200000,05300,0100,Y 428999,S200000,05300,0200,HB0584 428999,S200000,05400,0100,PHS/MANAGEMENT LLC 428999,S200000,05400,0200,N/A 428999,S200000,05400,0300,00N/A 428999,S200000,05500,0100,2845 HAMLINE AVE NO 428999,S200000,05600,0100,ROSEVILLE 428999,S200000,05600,0200,MN 428999,S200000,05600,0300,55113 429000,S000000,00100,0200,02/28/12 429000,S200000,00100,0100,133 4TH AVE E 429000,S200000,00200,0100,HALSTAD 429000,S200000,00200,0200,MN 429000,S200000,00200,0300,56548-9503 429000,S200000,00300,0100,NORMAN 429000,S200000,00400,0100,HALSTAD LUTHERAN MEMORIAL HOME 429000,S200000,00400,0300,07/01/91 429019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429019,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429019,A000000,00300,0000,0300EMPLOYEE BENEFITS 429019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429019,A000000,00700,0000,0700HOUSEKEEPING 429019,A000000,00800,0000,0800DIETARY 429019,A000000,00900,0000,0900NURSING ADMINISTRATION 429019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429019,A000000,01100,0000,1100PHARMACY 429019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429019,A000000,01300,0000,1300SOCIAL SERVICE 429019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429019,A000000,01500,0000,1350ACTIVITES 429019,A000000,01600,0000,1600SKILLED NURSING FACILITY 429019,A000000,01800,0000,1800NURSING FACILITY 429019,A000000,01810,0000,1810ICF/MR 429019,A000000,01900,0000,1900OTHER LONG TERM CARE 429019,A000000,02100,0000,2100RADIOLOGY 429019,A000000,02200,0000,2200LABORATORY 429019,A000000,02300,0000,2300INTRAVENOUS THERAPY 429019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429019,A000000,02500,0000,2500PHYSICAL THERAPY 429019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429019,A000000,02700,0000,2700SPEECH PATHOLOGY 429019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429019,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429019,A000000,03200,0000,3200SUPPORT SURFACES 429019,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429019,A000000,03400,0000,3400CLINIC 429019,A000000,03500,0000,3500RURAL HEALTH CLINIC 429019,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429019,A000000,04800,0000,4800AMBULANCE 429019,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429019,A000000,05000,0000,5000CORF 429019,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429019,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429019,A000000,05300,0000,5300INTEREST EXPENSE 429019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429019,A000000,05500,0000,5500HOSPICE 429019,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429019,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429019,A000000,05901,0000,5901DIALYSIS 429019,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429019,A000000,06100,0000,6100NONPAID WORKERS 429019,A000000,06200,0000,6200PATIENTS LAUNDRY 429019,A000000,06300,0000,6150PASTORAL CARE URSABLE COST 429019,A81000A,00100,0100,N 429019,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429019,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429019,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429019,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429019,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429019,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 429019,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429019,B100000,00000,0800,0850TIME SPENT :DIETARY 429019,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429019,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429019,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429019,B100000,00000,1500,1350TIME SPENT :ACTIVITES 429019,G300000,02500,0000,INSURANCE PROCEEDS 429019,G300000,02501,0000,INTEREST INCOME 429019,G300000,02502,0000,DONATIONS 429019,G300000,02503,0000,TAX REVENUE BAILEY COUNTY 429019,G300000,02504,0000,TAX REVENUE PARMER COUNTY 429019,G300000,02505,0000,MISCELLANEOUS 429019,S000000,00100,0200,03/15/12 429019,S200000,00100,0100,708 SOUTH 1ST 429019,S200000,00200,0100,MULESHOE 429019,S200000,00200,0200,TX 429019,S200000,00200,0300,79347 429019,S200000,00300,0100,BAILEY 429019,S200000,00300,0200,45 429019,S200000,00300,0201,00045 429019,S200000,00300,0300,R 429019,S200000,00400,0100,PARKVIEW NURSING HOME 429019,S200000,00400,0200,676079 429019,S200000,00400,0300,12/02/05 429019,S200000,00400,0500,P 429019,S200000,01500,0100,N 429019,S200000,01600,0100,Y 429019,S200000,01700,0100,N 429019,S200000,01800,0100,N 429019,S200000,02200,0100,N 429019,S200000,02800,0100,N 429019,S200000,02900,0100,N 429019,S200000,03000,0100,N 429019,S200000,03100,0100,N 429019,S200000,03200,0100,N 429019,S200000,03300,0100,N 429019,S200000,03300,0200,N 429019,S200000,04100,0100,N 429019,S200000,04200,0100,N 429019,S200000,04300,0100,N 429019,S200000,04600,0100,N 429019,S200000,04700,0100,N 429019,S200000,04700,0200,N 429019,S200000,04900,0100,N 429019,S200000,05000,0100,N 429019,S200000,05100,0100,N 429019,S200000,05200,0100,N 429019,S200000,05300,0100,N 429020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429020,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429020,A000000,00300,0000,0300EMPLOYEE BENEFITS 429020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429020,A000000,00700,0000,0700HOUSEKEEPING 429020,A000000,00800,0000,0800DIETARY 429020,A000000,00900,0000,0900NURSING ADMINISTRATION 429020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429020,A000000,01100,0000,1100PHARMACY 429020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429020,A000000,01300,0000,1300SOCIAL SERVICE 429020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429020,A000000,01500,0000,1350ACTIVITIES 429020,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 429020,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 429020,A000000,01600,0000,1600SKILLED NURSING FACILITY 429020,A000000,01800,0000,1800NURSING FACILITY 429020,A000000,01810,0000,1810ICF/MR 429020,A000000,01900,0000,1900OTHER LONG TERM CARE 429020,A000000,02100,0000,2100RADIOLOGY 429020,A000000,02200,0000,2200LABORATORY 429020,A000000,02300,0000,2300INTRAVENOUS THERAPY 429020,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429020,A000000,02500,0000,2500PHYSICAL THERAPY 429020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429020,A000000,02700,0000,2700SPEECH PATHOLOGY 429020,A000000,02800,0000,2800ELECTROCARDIOLOGY 429020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429020,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429020,A000000,03200,0000,3200SUPPORT SURFACES 429020,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 429020,A000000,03301,0000,3051AIR FLUID THERAPY 429020,A000000,03302,0000,3052AMBULANCE 429020,A000000,03303,0000,3053PEN THERAPY 429020,A000000,03304,0000,3054ONCOLOGY 429020,A000000,03305,0000,3055CARDIOLOGY 429020,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 429020,A000000,03307,0000,3057AUDIOLOGY 429020,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 429020,A000000,03400,0000,3400CLINIC 429020,A000000,03500,0000,3500RURAL HEALTH CLINIC 429020,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429020,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429020,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429020,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429020,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429020,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429020,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429020,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429020,A000000,04400,0000,4400DME RENTED - HHA 429020,A000000,04500,0000,4500DME SOLD - HHA 429020,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429020,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429020,A000000,04710,0000,4710TELEMEDICINE 429020,A000000,04800,0000,4800AMBULANCE 429020,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429020,A000000,05000,0000,5000CORF 429020,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429020,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429020,A000000,05300,0000,5300INTEREST EXPENSE 429020,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429020,A000000,05500,0000,5500HOSPICE 429020,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429020,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429020,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429020,A000000,06100,0000,6100NONPAID WORKERS 429020,A000000,06200,0000,6200PATIENTS LAUNDRY 429020,A000000,06300,0000,6150ADULT DAY HEALTH 429020,A000000,06301,0000,6151ASSISTED LIVING 429020,A000000,06302,0000,6152MARKETING 429020,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 429020,A81000A,00100,0100,Y 429020,A81000B,00600,0300,MGMT FEE - A&G RELATED 429020,A81000B,00700,0300,HOME OFFICE-BUILDNG 429020,A81000B,00800,0300,HOME OFFICE-EQUIPMENT 429020,A81000B,00900,0300,HOME OFFICE INTEREST 429020,A81000B,01000,0300,PHYSICAL THERAPY 429020,A81000B,01100,0300,OCCUPATIONAL THERAPY 429020,A81000B,01200,0300,SPEECH THERAPY 429020,A81000C,00100,0100,B 429020,A81000C,00100,0200,SEARS METHODIST RET SYSTE 429020,A81000C,00100,0400,SEARS METHODIST RET SYSTE 429020,A81000C,00100,0600,HOME OFFICE 429020,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429020,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429020,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429020,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429020,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429020,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429020,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429020,B100000,00000,0800,0800MEALS SERVED :DIETARY 429020,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429020,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429020,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429020,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429020,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429020,G300000,02500,0000,OTHER INCOME 429020,G300000,02501,0000,BEAUTY SHOP INCOME 429020,G300000,02503,0000,TRANSFER FROM FOUNDATION 429020,S000000,00100,0200,03/28/12 429020,S200000,00100,0100,6050 HOSPITAL DIRVE 429020,S200000,00200,0100,ABILENE 429020,S200000,00200,0200,TX 429020,S200000,00200,0300,79606 429020,S200000,00300,0100,TAYLOR 429020,S200000,00300,0201,10180 429020,S200000,00300,0300,U 429020,S200000,00400,0100,WINDCREST ALZHEIMER S CARE CENTER 429020,S200000,00400,0200,676219 429020,S200000,00400,0300,02/01/09 429020,S200000,00400,0500,P 429020,S200000,01500,0100,N 429020,S200000,01501,0200,Y 429020,S200000,01503,0200,Y 429020,S200000,01600,0100,Y 429020,S200000,01700,0100,N 429020,S200000,01800,0100,N 429020,S200000,02200,0100,N 429020,S200000,02800,0100,N 429020,S200000,02900,0100,N 429020,S200000,03000,0100,N 429020,S200000,03100,0100,N 429020,S200000,03200,0100,N 429020,S200000,03300,0100,N 429020,S200000,03300,0200,N 429020,S200000,04100,0100,N 429020,S200000,04200,0100,N 429020,S200000,04300,0100,N 429020,S200000,04600,0100,N 429020,S200000,04700,0100,N 429020,S200000,04700,0200,N 429020,S200000,04900,0100,N 429020,S200000,05000,0100,N 429020,S200000,05100,0100,N 429020,S200000,05200,0100,N 429020,S200000,05300,0100,Y 429020,S200000,05300,0200,325-69 429020,S200000,05400,0100,SEARS METHODIST RETIREMENT SYSTEM I 429020,S200000,05400,0200,TRAILBLAZER HEALTH ENTERPRISES LLC 429020,S200000,05400,0300,04301 429020,S200000,05500,0100,ONE VILLAGE DRIVE SUITE 400 429020,S200000,05600,0100,ABILENE 429020,S200000,05600,0200,TX 429020,S200000,05600,0300,79606 429027,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429027,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429027,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429027,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429027,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429027,A000000,00700,0000,0700HOUSEKEEPING 429027,A000000,00800,0000,0800DIETARY 429027,A000000,00801,0000,0801CAFETRIA 429027,A000000,00900,0000,0900NURSING ADMINISTRATION 429027,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429027,A000000,01100,0000,1100PHARMACY 429027,A000000,01300,0000,1300SOCIAL SERVICE 429027,A000000,01600,0000,1600SKILLED NURSING FACILITY 429027,A000000,01900,0000,1900OTHER LONG TERM CARE 429027,A000000,02100,0000,2100RADIOLOGY 429027,A000000,02200,0000,2200LABORATORY 429027,A000000,02500,0000,2500PHYSICAL THERAPY 429027,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429027,A000000,02700,0000,2700SPEECH PATHOLOGY 429027,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429027,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429027,A000000,04800,0000,4800AMBULANCE 429027,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429027,A000000,05300,0000,5300INTEREST EXPENSE 429027,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429027,A000000,06300,0000,6150SRC ASSISTED LIVING 429027,A000000,06301,0000,6151RENTAL PROPERTY 429027,A81000A,00100,0100,N 429027,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429027,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429027,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429027,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429027,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429027,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429027,B100000,00000,0800,0800MEALS SERVED :DIETARY 429027,B100000,00000,0801,0851FTE S :CAFETRIA 429027,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429027,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429027,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429027,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429027,G300000,02500,0000,QUALITY ASSESSMENT 429027,G300000,02501,0000,MORRISON TRUST INCOME 429027,G300000,02502,0000,J WILLEY ANNUITY 429027,G300000,02503,0000,MISCELLANEOUS 429027,G300000,02505,0000,GRANT INCOME 429027,G300000,02506,0000,ADULT DAY CARE 429027,G300000,02507,0000,ACTIVITIES INCOME 429027,S000000,00100,0200,02/29/12 429027,S200000,00100,0100,6 TERRACE STREET 429027,S200000,00200,0100,WHITEFIELD 429027,S200000,00200,0200,NH 429027,S200000,00200,0300,03598 429027,S200000,00300,0100,COOS 429027,S200000,00300,0200,30 429027,S200000,00300,0201,00030 429027,S200000,00300,0300,R 429027,S200000,00400,0100,MORRISON NURSING HOME 429027,S200000,00400,0200,305094 429027,S200000,00400,0300,08/01/02 429027,S200000,00400,0500,P 429027,S200000,01500,0100,Y 429027,S200000,01501,0200,Y 429027,S200000,01502,0200,Y 429027,S200000,01503,0200,Y 429027,S200000,01504,0200,Y 429027,S200000,01600,0100,N 429027,S200000,01700,0100,N 429027,S200000,01800,0100,N 429027,S200000,02200,0100,Y 429027,S200000,02800,0100,N 429027,S200000,02900,0100,N 429027,S200000,03000,0100,N 429027,S200000,03100,0100,N 429027,S200000,03200,0100,N 429027,S200000,03300,0100,N 429027,S200000,03300,0200,N 429027,S200000,04100,0100,N 429027,S200000,04200,0100,N 429027,S200000,04300,0100,N 429027,S200000,04600,0100,N 429027,S200000,04700,0100,N 429027,S200000,04700,0200,N 429027,S200000,04900,0100,N 429027,S200000,05000,0100,N 429027,S200000,05100,0100,N 429027,S200000,05200,0100,N 429042,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429042,A000000,00300,0000,0300EMPLOYEE BENEFITS 429042,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429042,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429042,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429042,A000000,00700,0000,0700HOUSEKEEPING 429042,A000000,00800,0000,0800DIETARY 429042,A000000,00900,0000,0900NURSING ADMINISTRATION 429042,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429042,A000000,01100,0000,1100PHARMACY 429042,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429042,A000000,01300,0000,1300SOCIAL SERVICE 429042,A000000,01500,0000,1350PATIENT ACTIVITIES 429042,A000000,01600,0000,1600SKILLED NURSING FACILITY 429042,A000000,02100,0000,2100RADIOLOGY 429042,A000000,02200,0000,2200LABORATORY 429042,A000000,02300,0000,2300INTRAVENOUS THERAPY 429042,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429042,A000000,02500,0000,2500PHYSICAL THERAPY 429042,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429042,A000000,02700,0000,2700SPEECH PATHOLOGY 429042,A000000,02800,0000,2800ELECTROCARDIOLOGY 429042,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429042,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429042,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429042,A000000,03200,0000,3200SUPPORT SURFACES 429042,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429042,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429042,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429042,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429042,A000000,06100,0000,6100NONPAID WORKERS 429042,A000000,06200,0000,6200PATIENTS LAUNDRY 429042,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429042,A81000A,00100,0100,Y 429042,A81000B,00100,0300,POOLED HOME OFFICE CAP 429042,A81000B,00200,0300,DIRECT HOME OFFICE CAP 429042,A81000B,00300,0300,EMP BENEFITS ALLOC 429042,A81000B,00400,0300,POOLED NON CAPITAL 429042,A81000B,00500,0300,DIRECT NON CAPITAL 429042,A81000B,00600,0300,OUTSIDE SERVICES 429042,A81000B,00700,0300,REPAIRS 429042,A81000B,00800,0300,OUTSIDE SERVICES 429042,A81000B,00900,0300,OUTSIDE SERVICES 429042,A81000B,01000,0300,OUTSIDE SERVICES 429042,A81000B,01100,0300,OUTSIDE SERVICES 429042,A81000B,01200,0300,OUTSIDE SERVICES 429042,A81000B,01300,0300,OUTSIDE SERVICES 429042,A81000B,01400,0300,OUTSIDE SERVICES 429042,A81000B,01500,0300,OUTSIDE SERVICES 429042,A81000C,00100,0100,B 429042,A81000C,00100,0200,THE OAKS AT FORSYTH 429042,A81000C,00100,0400, NOVANT HEALTH 429042,A81000C,00100,0600, MANAGEMENT SVCS 429042,A81000C,00200,0100,B 429042,A81000C,00200,0200,THE OAKS AT FORSYTH 429042,A81000C,00200,0400, NOVANT HEALTH 429042,A81000C,00200,0600, MANAGEMENT SVCS 429042,A81000C,00300,0100,B 429042,A81000C,00300,0200,THE OAKS AT FORSYTH 429042,A81000C,00300,0400, NOVANT HEALTH 429042,A81000C,00300,0600, MANAGEMENT SVCS 429042,A81000C,00400,0100,B 429042,A81000C,00400,0200,THE OAKS AT FORSYTH 429042,A81000C,00400,0400, NOVANT HEALTH 429042,A81000C,00400,0600, MANAGEMENT SVCS 429042,A81000C,00500,0100,B 429042,A81000C,00500,0200,THE OAKS AT FORSYTH 429042,A81000C,00500,0400, NOVANT HEALTH 429042,A81000C,00500,0600, MANAGEMENT SVCS 429042,A81000C,00600,0100,B 429042,A81000C,00600,0200,THE OAKS AT FORSYTH 429042,A81000C,00600,0400, PRIMECARE 429042,A81000C,00600,0600, PHYSICIAN PRACTICE 429042,A81000C,00700,0100,B 429042,A81000C,00700,0200,THE OAKS AT FORSYTH 429042,A81000C,00700,0400, FORSYTH MED CENTER 429042,A81000C,00700,0600, HOSPITAL 429042,A81000C,00800,0100,B 429042,A81000C,00800,0200,THE OAKS AT FORSYTH 429042,A81000C,00800,0400, ADVANCED HOME CARE 429042,A81000C,00800,0600, HOME HEALTH CARE 429042,A81000C,00900,0100,B 429042,A81000C,00900,0200,THE OAKS AT FORSYTH 429042,A81000C,00900,0400, FORSYTH MED CENTER 429042,A81000C,00900,0600, HOSPITAL 429042,A81000C,01000,0100,B 429042,A81000C,01000,0200,THE OAKS AT FORSYTH 429042,A81000C,01000,0400, ORTHO SPECIALISTS 429042,A81000C,01000,0600, ORTHOPAEDIC SERVICES 429042,A81000C,01001,0100,B 429042,A81000C,01001,0200,THE OAKS AT FORSYTH 429042,A81000C,01001,0400, ADVANCED HOME CARE 429042,A81000C,01001,0600, HOME HEALTH CARE 429042,A81000C,01002,0100,B 429042,A81000C,01002,0200,THE OAKS AT FORSYTH 429042,A81000C,01002,0400, FORSYTH MED CENTER 429042,A81000C,01002,0600, HOSPITAL 429042,A81000C,01003,0100,B 429042,A81000C,01003,0200,THE OAKS AT FORSYTH 429042,A81000C,01003,0400, ORTHO SPECIALISTS 429042,A81000C,01003,0600, ORTHOPAEDIC SERVICES 429042,A81000C,01004,0100,B 429042,A81000C,01004,0200,THE OAKS AT FORSYTH 429042,A81000C,01004,0400, ADVANCED HOME CARE 429042,A81000C,01004,0600, HOME HEALTH CARE 429042,A81000C,01005,0100,B 429042,A81000C,01005,0200,THE OAKS AT FORSYTH 429042,A81000C,01005,0400, FORSYTH MED CENTER 429042,A81000C,01005,0600, HOSPITAL 429042,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429042,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429042,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429042,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429042,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429042,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429042,B100000,00000,0800,0800PATIENT MEALS :DIETARY 429042,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429042,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429042,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429042,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429042,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429042,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 429042,E10A180,00550,0100,09/30/11 429042,G300000,02500,0000,OTHER (SPECIFY) 429042,S000000,00100,0200,09/30/11 429042,S200000,00100,0100,901 BETHESDA RD. 429042,S200000,00200,0100,WINSTON-SALEM 429042,S200000,00200,0200,NC 429042,S200000,00200,0300,27103 429042,S200000,00300,0100,FORSYTH 429042,S200000,00300,0200,3120 429042,S200000,00300,0201,49180 429042,S200000,00300,0300,U 429042,S200000,00400,0100,THE OAKS AT FORSYTH 429042,S200000,00400,0200,345284 429042,S200000,00400,0300,06/30/88 429042,S200000,00400,0500,P 429042,S200000,01500,0100,Y 429042,S200000,01501,0200,N 429042,S200000,01505,0000,PHYSICAL THERAPY 429042,S200000,01505,0200,N 429042,S200000,01506,0000,OCCUPATIONAL THERAPY 429042,S200000,01506,0200,Y 429042,S200000,01600,0100,N 429042,S200000,01700,0100,N 429042,S200000,01800,0100,N 429042,S200000,02200,0100,N 429042,S200000,02800,0100,N 429042,S200000,02900,0100,N 429042,S200000,03000,0100,N 429042,S200000,03100,0100,N 429042,S200000,03200,0100,N 429042,S200000,03300,0100,N 429042,S200000,03300,0200,N 429042,S200000,04100,0100,N 429042,S200000,04200,0100,N 429042,S200000,04300,0100,N 429042,S200000,04600,0100,N 429042,S200000,04700,0100,N 429042,S200000,04700,0200,N 429042,S200000,04900,0100,N 429042,S200000,05000,0100,N 429042,S200000,05100,0100,N 429042,S200000,05200,0100,N 429042,S200000,05300,0100,Y 429042,S200000,05300,0200,349073 429042,S200000,05400,0100,NOVANT HEALTH INC. 429042,S200000,05400,0200,PALMETTO GBA 429042,S200000,05400,0300,11001 429042,S200000,05500,0100,2085 FRONTIS PLAZA BLVD 429042,S200000,05600,0100,WINSTON SALEM 429042,S200000,05600,0200,NC 429042,S200000,05600,0300,27103 429051,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429051,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429051,A000000,00300,0000,0300EMPLOYEE BENEFITS 429051,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429051,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429051,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429051,A000000,00700,0000,0700HOUSEKEEPING 429051,A000000,00800,0000,0800DIETARY 429051,A000000,00900,0000,0900NURSING ADMINISTRATION 429051,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429051,A000000,01100,0000,1100PHARMACY 429051,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429051,A000000,01300,0000,1300SOCIAL SERVICE 429051,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429051,A000000,01500,0000,1350ACTIVITIES 429051,A000000,01600,0000,1600SKILLED NURSING FACILITY 429051,A000000,01810,0000,1810ICF/MR 429051,A000000,02100,0000,2100RADIOLOGY 429051,A000000,02200,0000,2200LABORATORY 429051,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429051,A000000,02500,0000,2500PHYSICAL THERAPY 429051,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429051,A000000,02700,0000,2700SPEECH PATHOLOGY 429051,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429051,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429051,A000000,03550,0000,3550FQHC 429051,A000000,04800,0000,4800AMBULANCE 429051,A000000,05000,0000,5000CORF 429051,A000000,05010,0000,5010CMHC 429051,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429051,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429051,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429051,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429051,A000000,06300,0000,6150NON-REIMBURSABLE 429051,A81000A,00100,0100,Y 429051,A81000B,00100,0300,HO A&G 429051,A81000B,00200,0300,HO BLDG 429051,A81000B,00300,0300,HO INTEREST 429051,A81000B,00400,0300,PT 429051,A81000B,00500,0300,OT 429051,A81000B,00600,0300,ST 429051,A81000B,00700,0300,DIETARY 429051,A81000B,00800,0300,SKILLED NRSG 429051,A81000B,00900,0300,RT 429051,A81000B,01000,0300,MED SUPPLIES 429051,A81000B,01100,0300,ADMINISTRATIVE 429051,A81000C,00100,0100,B 429051,A81000C,00100,0200,GENESIS HEALTH 429051,A81000C,00100,0600,MANAGEMENT COMP 429051,A81000C,00200,0100,B 429051,A81000C,00200,0200,GENESIS HEALTH 429051,A81000C,00200,0600,MANAGEMENT COMP 429051,A81000C,00300,0100,B 429051,A81000C,00300,0200,GENESIS HEALTH 429051,A81000C,00300,0600,MANAGEMENT COMP 429051,A81000C,00400,0100,B 429051,A81000C,00400,0200,GENESIS REHAB 429051,A81000C,00400,0400,GENESIS HEALTH 429051,A81000C,00400,0600,REHAB SERVICES 429051,A81000C,00500,0100,B 429051,A81000C,00500,0200,GENESIS REHAB 429051,A81000C,00500,0400,GENESIS HEALTH 429051,A81000C,00500,0600,REHAB SERVICES 429051,A81000C,00600,0100,B 429051,A81000C,00600,0200,GENESIS REHAB 429051,A81000C,00600,0400,GENESIS HEALTH 429051,A81000C,00600,0600,REHAB SERVICES 429051,A81000C,00700,0100,B 429051,A81000C,00700,0200,GENESIS HOSPITA 429051,A81000C,00700,0400,GENESIS HEALTH 429051,A81000C,00700,0600,CONSULTING SERV 429051,A81000C,00800,0100,B 429051,A81000C,00800,0200,RESPIRATORY HEA 429051,A81000C,00800,0400,GENESIS HEALTH 429051,A81000C,00800,0600,RESPIRATORY THE 429051,A81000C,00900,0100,B 429051,A81000C,00900,0200,RESPIRATORY HEA 429051,A81000C,00900,0400,GENESIS HEALTH 429051,A81000C,00900,0600,RESPIRATORY THE 429051,A81000C,01000,0100,B 429051,A81000C,01000,0200,RESPIRATORY HEA 429051,A81000C,01000,0400,GENESIS HEALTH 429051,A81000C,01000,0600,RESPIRATORY THE 429051,A81000C,01001,0100,B 429051,A81000C,01001,0200,GENESIS PHYSICI 429051,A81000C,01001,0400,GENESIS HEALTH 429051,A81000C,01001,0600,MEDICAL DIRECTO 429051,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429051,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429051,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429051,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429051,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429051,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429051,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429051,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429051,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429051,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429051,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429051,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429051,G300000,02500,0000,MISCELLANEOUS INCOME 429051,S000000,00100,0200,09/27/11 429051,S200000,00100,0100,590 N. POPULAR FORK ROAD 429051,S200000,00200,0100,HURRICANE 429051,S200000,00200,0200,WV 429051,S200000,00200,0300,25526 429051,S200000,00300,0100,PUTNAM 429051,S200000,00300,0201,16620 429051,S200000,00300,0300,U 429051,S200000,00400,0100,TEAYS VALLEY CENTER 429051,S200000,00400,0200,515106 429051,S200000,00400,0300,01/06/90 429051,S200000,00400,0500,P 429051,S200000,01500,0100,Y 429051,S200000,01502,0200,N 429051,S200000,01503,0200,N 429051,S200000,01504,0200,N 429051,S200000,01600,0100,N 429051,S200000,01700,0100,N 429051,S200000,01800,0100,N 429051,S200000,02200,0100,Y 429051,S200000,02800,0100,N 429051,S200000,02900,0100,N 429051,S200000,03000,0100,N 429051,S200000,03100,0100,N 429051,S200000,03200,0100,N 429051,S200000,03300,0100,N 429051,S200000,03300,0200,N 429051,S200000,03600,0100,N 429051,S200000,03600,0200,N 429051,S200000,04100,0100,N 429051,S200000,04200,0100,N 429051,S200000,04300,0100,N 429051,S200000,04600,0100,N 429051,S200000,04700,0100,N 429051,S200000,04700,0200,N 429051,S200000,04900,0100,N 429051,S200000,05000,0100,N 429051,S200000,05100,0100,N 429051,S200000,05200,0100,N 429051,S200000,05300,0100,Y 429051,S200000,05300,0200,HB0067 429051,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 429051,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429051,S200000,05400,0300,12001 429051,S200000,05500,0100,101 EAST STATE STREET 429051,S200000,05600,0100,KENNETT SQUARE 429051,S200000,05600,0200,PA 429051,S200000,05600,0300,19348 429053,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429053,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429053,A000000,00300,0000,0300EMPLOYEE BENEFITS 429053,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429053,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429053,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429053,A000000,00700,0000,0700HOUSEKEEPING 429053,A000000,00800,0000,0800DIETARY 429053,A000000,00900,0000,0900NURSING ADMINISTRATION 429053,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429053,A000000,01100,0000,1100PHARMACY 429053,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429053,A000000,01300,0000,1300SOCIAL SERVICE 429053,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429053,A000000,01500,0000,1350ACTIVITIES 429053,A000000,01600,0000,1600SKILLED NURSING FACILITY 429053,A000000,01810,0000,1810ICF/MR 429053,A000000,02100,0000,2100RADIOLOGY 429053,A000000,02200,0000,2200LABORATORY 429053,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429053,A000000,02500,0000,2500PHYSICAL THERAPY 429053,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429053,A000000,02700,0000,2700SPEECH PATHOLOGY 429053,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429053,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429053,A000000,03550,0000,3550FQHC 429053,A000000,04800,0000,4800AMBULANCE 429053,A000000,05000,0000,5000CORF 429053,A000000,05010,0000,5010CMHC 429053,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429053,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429053,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429053,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429053,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 429053,A81000A,00100,0100,Y 429053,A81000B,00100,0300,PHYSICAL THERAPY 429053,A81000B,00200,0300,OCCUPATIONAL THERAPY 429053,A81000B,00300,0300,SPEECH THERAPY 429053,A81000B,00400,0300,RESPIRATORY THERAPY 429053,A81000B,00500,0300,RESPIRATORY THERAPY 429053,A81000B,00600,0300,MEDICAL DIRECTOR 429053,A81000B,00700,0300,BUILDING 429053,A81000B,00800,0300,EQUIPMENT 429053,A81000B,00900,0300,ADMINISTRATION - HO 429053,A81000B,01000,0300,INTEREST - HO 429053,A81000B,01100,0300,BUILDING - HO 429053,A81000C,00100,0100,B 429053,A81000C,00100,0200,GENESIS REHAB 429053,A81000C,00100,0400,GENESIS HEALTHC 429053,A81000C,00100,0600,REHAB SERVICES 429053,A81000C,00200,0100,B 429053,A81000C,00200,0200,GENESIS REHAB 429053,A81000C,00200,0400,GENESIS HEALTHC 429053,A81000C,00200,0600,REHAB SERVICES 429053,A81000C,00300,0100,B 429053,A81000C,00300,0200,GENESIS REHAB 429053,A81000C,00300,0400,GENESIS HEALTHC 429053,A81000C,00300,0600,REHAB SERVICES 429053,A81000C,00400,0100,B 429053,A81000C,00400,0200,RESPIRATORY HEA 429053,A81000C,00400,0400,GENESIS HEALTHC 429053,A81000C,00400,0600,RESPIRATORY SER 429053,A81000C,00500,0100,B 429053,A81000C,00500,0200,RESPIRATORY HEA 429053,A81000C,00500,0400,GENESIS HEALTHC 429053,A81000C,00500,0600,RESPIRATORY SER 429053,A81000C,00600,0100,B 429053,A81000C,00600,0200,GENESIS PHYSICI 429053,A81000C,00600,0400,GENESIS HEALTHC 429053,A81000C,00600,0600,MEDICAL DIRECTO 429053,A81000C,00700,0100,B 429053,A81000C,00700,0200,GMA DAWNVIEW 429053,A81000C,00700,0400,GENESIS HEALTHC 429053,A81000C,00700,0600,PROPERTY OWNER 429053,A81000C,00800,0100,B 429053,A81000C,00800,0200,GMA DAWNVIEW 429053,A81000C,00800,0400,GENESIS HEALTHC 429053,A81000C,00800,0600,PROPERTY OWNER 429053,A81000C,00900,0100,B 429053,A81000C,00900,0200,GENESIS HEALTHC 429053,A81000C,00900,0600,MANAGEMENT COMP 429053,A81000C,01000,0100,B 429053,A81000C,01000,0200,GENESIS HEALTHC 429053,A81000C,01000,0600,MANAGEMENT COMP 429053,A81000C,01001,0100,B 429053,A81000C,01001,0200,GENESIS HEALTHC 429053,A81000C,01001,0600,MANAGEMENT COMP 429053,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429053,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429053,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429053,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429053,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429053,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429053,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429053,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429053,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429053,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429053,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429053,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429053,G300000,02500,0000,BARBER/BEAUTY REVENUE 429053,S000000,00100,0200,12/09/11 429053,S200000,00100,0100,DIANE DRIVE 429053,S200000,00200,0100,FORT ASHBY 429053,S200000,00200,0200,WV 429053,S200000,00200,0300,26719 429053,S200000,00300,0100,MINERAL 429053,S200000,00300,0201,19060 429053,S200000,00300,0300,U 429053,S200000,00400,0100,DAWNVIEW CENTER 429053,S200000,00400,0200,515163 429053,S200000,00400,0300,06/15/98 429053,S200000,00400,0500,P 429053,S200000,01500,0100,Y 429053,S200000,01502,0200,N 429053,S200000,01504,0200,N 429053,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 429053,S200000,01505,0200,Y 429053,S200000,01600,0100,N 429053,S200000,01700,0100,N 429053,S200000,01800,0100,N 429053,S200000,02200,0100,Y 429053,S200000,02800,0100,N 429053,S200000,02900,0100,N 429053,S200000,03000,0100,N 429053,S200000,03100,0100,N 429053,S200000,03200,0100,N 429053,S200000,03300,0100,N 429053,S200000,03300,0200,N 429053,S200000,04100,0100,N 429053,S200000,04200,0100,N 429053,S200000,04300,0100,N 429053,S200000,04600,0100,N 429053,S200000,04700,0100,N 429053,S200000,04700,0200,N 429053,S200000,04900,0100,N 429053,S200000,05000,0100,N 429053,S200000,05100,0100,N 429053,S200000,05200,0100,N 429053,S200000,05300,0100,Y 429053,S200000,05300,0200,HB0067 429053,S200000,05400,0100,GENESIS HEALTHCARE CORP 429053,S200000,05400,0200,HIGHMARK MEDICARE SRVICES 429053,S200000,05400,0300,12001 429053,S200000,05500,0100,101 EAST STATE STREET 429053,S200000,05600,0100,KENNETT SQUARE 429053,S200000,05600,0200,PA 429053,S200000,05600,0300,19348 429085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429085,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429085,A000000,00300,0000,0300EMPLOYEE BENEFITS 429085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429085,A000000,00700,0000,0700HOUSEKEEPING 429085,A000000,00800,0000,0800DIETARY 429085,A000000,00900,0000,0900NURSING ADMINISTRATION 429085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429085,A000000,01100,0000,1100PHARMACY 429085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429085,A000000,01300,0000,1300SOCIAL SERVICE 429085,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429085,A000000,01600,0000,1600SKILLED NURSING FACILITY 429085,A000000,01800,0000,1800NURSING FACILITY 429085,A000000,01810,0000,1810ICF/MR 429085,A000000,02100,0000,2100RADIOLOGY 429085,A000000,02200,0000,2200LABORATORY 429085,A000000,02300,0000,2300INTRAVENOUS THERAPY 429085,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429085,A000000,02500,0000,2500PHYSICAL THERAPY 429085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429085,A000000,02700,0000,2700SPEECH PATHOLOGY 429085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429085,A000000,03550,0000,3550FQHC 429085,A000000,05000,0000,5000CORF 429085,A000000,05010,0000,5010CMHC 429085,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429085,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429085,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429085,A000000,05300,0000,5300INTEREST EXPENSE 429085,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429085,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429085,A81000A,00100,0100,N 429085,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429085,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429085,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429085,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429085,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429085,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429085,B100000,00000,0800,0800MEALS SERVED :DIETARY 429085,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429085,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 429085,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429085,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429085,G300000,02500,0000,LOSS ON DISPOSAL OF ASSETS 429085,G300000,02501,0000,CONTRACTUAL ADJUSTMENT 429085,S000000,00100,0200,05/23/11 429085,S200000,00100,0100,10949 PARNU STREET 429085,S200000,00100,0300,110247 429085,S200000,00200,0100,NAPLES 429085,S200000,00200,0200,FL 429085,S200000,00200,0300,34109 429085,S200000,00300,0100,COLLIER 429085,S200000,00300,0201,34940 429085,S200000,00300,0300,U 429085,S200000,00400,0100,THE ARISTOCRAT 429085,S200000,00400,0200,105790 429085,S200000,00400,0300,03/11/93 429085,S200000,00400,0500,P 429085,S200000,00600,0200,105790 429085,S200000,00600,0300,03/11/93 429085,S200000,00600,0600,O 429085,S200000,01500,0100,N 429085,S200000,01501,0200,N 429085,S200000,01600,0100,Y 429085,S200000,01700,0100,N 429085,S200000,01800,0100,N 429085,S200000,02200,0100,N 429085,S200000,02800,0100,N 429085,S200000,02900,0100,N 429085,S200000,03000,0100,N 429085,S200000,03100,0100,N 429085,S200000,03200,0100,N 429085,S200000,03300,0100,N 429085,S200000,03300,0200,N 429085,S200000,03500,0300,N 429085,S200000,03600,0100,N 429085,S200000,03600,0200,N 429085,S200000,04100,0100,N 429085,S200000,04200,0100,N 429085,S200000,04300,0100,N 429085,S200000,04600,0100,N 429085,S200000,04700,0100,N 429085,S200000,04700,0200,N 429085,S200000,04900,0100,N 429085,S200000,05000,0100,N 429085,S200000,05100,0100,N 429085,S200000,05200,0100,N 429085,S200000,05300,0100,N 429096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429096,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429096,A000000,00300,0000,0300EMPLOYEE BENEFITS 429096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429096,A000000,00700,0000,0700HOUSEKEEPING 429096,A000000,00800,0000,0800DIETARY 429096,A000000,00900,0000,0900NURSING ADMINISTRATION 429096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429096,A000000,01100,0000,1100PHARMACY 429096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429096,A000000,01300,0000,1300SOCIAL SERVICE 429096,A000000,01600,0000,1600SKILLED NURSING FACILITY 429096,A000000,01800,0000,1800NURSING FACILITY 429096,A000000,01900,0000,1900OTHER LONG TERM CARE 429096,A000000,02100,0000,2100RADIOLOGY 429096,A000000,02200,0000,2200LABORATORY 429096,A000000,02300,0000,2300INTRAVENOUS THERAPY 429096,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429096,A000000,02500,0000,2500PHYSICAL THERAPY 429096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429096,A000000,02700,0000,2700SPEECH PATHOLOGY 429096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429096,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429096,A000000,03200,0000,3200SUPPORT SURFACES 429096,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429096,A000000,03400,0000,3400CLINIC 429096,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429096,A000000,04800,0000,4800AMBULANCE 429096,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429096,A000000,05300,0000,5300INTEREST EXPENSE 429096,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429096,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429096,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429096,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429096,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429096,A000000,06100,0000,6100NONPAID WORKERS 429096,A000000,06200,0000,6200PATIENTS LAUNDRY 429096,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429096,A81000A,00100,0100,Y 429096,A81000B,00100,0300,ADMINISTRATIVE SERVICES 429096,A81000B,00200,0300,ROUTINE SUPPLIES 429096,A81000B,00300,0300,DIETARY 429096,A81000B,00400,0300,LAUNDRY SUPPLIES 429096,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 429096,A81000B,00600,0300,BUILDING LEASE 429096,A81000C,00100,0100,B 429096,A81000C,00100,0200,BRIUS LLC 429096,A81000C,00100,0600,ADMINISTRATIVE 429096,A81000C,00200,0100,F 429096,A81000C,00200,0200,TWIN MED LLC 429096,A81000C,00200,0600,SUPPLY COMPANY 429096,A81000C,00300,0100,G 429096,A81000C,00300,0200,EUREKA-LET LP 429096,A81000C,00300,0600,BLDG LEASE 429096,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429096,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429096,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429096,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429096,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429096,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429096,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429096,B100000,00000,0800,0800MEALS SERVED :DIETARY 429096,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429096,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429096,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429096,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429096,G300000,02500,0000,LEAVE/OTHER REVENUE 429096,S000000,00100,0200,04/09/12 429096,S200000,00100,0100,2353 TWENTY-THIRD STREET 429096,S200000,00200,0100,EUREKA 429096,S200000,00200,0200,CA 429096,S200000,00200,0300,95501 429096,S200000,00300,0100,HUMBOLDT 429096,S200000,00300,0201,99905 429096,S200000,00300,0300,R 429096,S200000,00400,0100,EUREKA REHAB & WELLNESS CENTER 429096,S200000,00400,0200,055003 429096,S200000,00400,0300,01/01/67 429096,S200000,00400,0500,P 429096,S200000,01500,0100,Y 429096,S200000,01501,0200,Y 429096,S200000,01600,0100,N 429096,S200000,01700,0100,N 429096,S200000,01800,0100,N 429096,S200000,02200,0100,N 429096,S200000,02800,0100,N 429096,S200000,02900,0100,N 429096,S200000,03000,0100,N 429096,S200000,03100,0100,N 429096,S200000,03200,0100,N 429096,S200000,03300,0100,N 429096,S200000,03300,0200,N 429096,S200000,04100,0100,N 429096,S200000,04200,0100,N 429096,S200000,04300,0100,N 429096,S200000,04600,0100,N 429096,S200000,04700,0100,N 429096,S200000,04700,0200,N 429096,S200000,04900,0100,N 429096,S200000,05000,0100,N 429096,S200000,05100,0100,N 429096,S200000,05200,0100,N 429096,S200000,05300,0100,Y 429097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429097,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429097,A000000,00300,0000,0300EMPLOYEE BENEFITS 429097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429097,A000000,00700,0000,0700HOUSEKEEPING 429097,A000000,00800,0000,0800DIETARY 429097,A000000,00900,0000,0900NURSING ADMINISTRATION 429097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429097,A000000,01100,0000,1100PHARMACY 429097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429097,A000000,01300,0000,1300SOCIAL SERVICE 429097,A000000,01600,0000,1600SKILLED NURSING FACILITY 429097,A000000,01800,0000,1800NURSING FACILITY 429097,A000000,01900,0000,1900OTHER LONG TERM CARE 429097,A000000,02100,0000,2100RADIOLOGY 429097,A000000,02200,0000,2200LABORATORY 429097,A000000,02300,0000,2300INTRAVENOUS THERAPY 429097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429097,A000000,02500,0000,2500PHYSICAL THERAPY 429097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429097,A000000,02700,0000,2700SPEECH PATHOLOGY 429097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429097,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429097,A000000,03200,0000,3200SUPPORT SURFACES 429097,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429097,A000000,04800,0000,4800AMBULANCE 429097,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429097,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429097,A81000A,00100,0100,Y 429097,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES 429097,A81000B,00200,0300,LEASE BUILDING 429097,A81000B,00300,0300,ALLOWABLE HOME OFFICE 429097,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 429097,A81000B,00500,0300,PHARMACY OTC SUPPLIES 429097,A81000B,00600,0300,ADMIN PURCHASED SERVICES 429097,A81000B,00700,0300,ANCILL SUPP - MEDICAL MATERIALS 429097,A81000B,00800,0300,ANCILLARY SUPPLIES - ENTERALS 429097,A81000B,00900,0300,PHARMACY EXP PHARMACEUTICALS 429097,A81000B,01000,0300,PHARMACY EXPENSE - CENSUS ERRORS 429097,A81000B,01100,0300,PHARMACEUTICALS-SOC 429097,A81000B,01200,0300,GLUCOSE MONITORING SUPPLIES 429097,A81000B,01300,0300,I.V. THERAPY SUPPLIES 429097,A81000C,00100,0100,C 429097,A81000C,00100,0400,PACIFIC WEST PH 429097,A81000C,00100,0600,PHARMACY 429097,A81000C,00200,0100,C 429097,A81000C,00200,0400,EMERALD DISTRIB 429097,A81000C,00200,0600,DISTRIBUTORSHIP 429097,A81000C,00300,0100,F 429097,A81000C,00300,0400,HORIZON WEST HE 429097,A81000C,00300,0600,HOME OFFICE 429097,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429097,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429097,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429097,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429097,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429097,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429097,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429097,B100000,00000,0800,0800MEALS SERVED :DIETARY 429097,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429097,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429097,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429097,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429097,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429097,G300000,02500,0000, OTHER (SPECIFY) 429097,S000000,00100,0200,04/23/12 429097,S200000,00100,0100,3510 EAST SHIELDS AVENUE 429097,S200000,00200,0100,FRESNO 429097,S200000,00200,0200,CA 429097,S200000,00200,0300,93726 429097,S200000,00300,0100,FRESNO 429097,S200000,00300,0201,23420 429097,S200000,00300,0300,U 429097,S200000,00400,0100,HY-PANA HOUSE CARE CENTER - FRESNO 429097,S200000,00400,0200,055204 429097,S200000,00400,0300,07/01/67 429097,S200000,00400,0500,P 429097,S200000,01500,0100,Y 429097,S200000,01501,0200,Y 429097,S200000,01600,0100,N 429097,S200000,01700,0100,N 429097,S200000,01800,0100,N 429097,S200000,02200,0100,N 429097,S200000,02800,0100,N 429097,S200000,02900,0100,N 429097,S200000,03000,0100,N 429097,S200000,03100,0100,N 429097,S200000,03200,0100,N 429097,S200000,03300,0100,N 429097,S200000,03300,0200,N 429097,S200000,04100,0100,N 429097,S200000,04200,0100,N 429097,S200000,04300,0100,N 429097,S200000,04600,0100,N 429097,S200000,04700,0100,N 429097,S200000,04700,0200,N 429097,S200000,04900,0100,N 429097,S200000,05000,0100,N 429097,S200000,05100,0100,N 429097,S200000,05200,0100,N 429097,S200000,05300,0100,Y 429097,S200000,05300,0200,951175 429097,S200000,05400,0100,HORIZON WEST HEADQUARTERS 429097,S200000,05400,0200,PALMETTO GBA 429097,S200000,05400,0300,01001 429097,S200000,05500,0100,4020 SIERRA COLLEGE 429097,S200000,05600,0100,ROCKLIN 429097,S200000,05600,0200,CA 429097,S200000,05600,0300,95677 429098,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429098,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429098,A000000,00300,0000,0300EMPLOYEE BENEFITS 429098,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429098,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429098,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429098,A000000,00700,0000,0700HOUSEKEEPING 429098,A000000,00800,0000,0800DIETARY 429098,A000000,00900,0000,0900NURSING ADMINISTRATION 429098,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429098,A000000,01100,0000,1100PHARMACY 429098,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429098,A000000,01300,0000,1300SOCIAL SERVICE 429098,A000000,01600,0000,1600SKILLED NURSING FACILITY 429098,A000000,01800,0000,1800NURSING FACILITY 429098,A000000,01900,0000,1900OTHER LONG TERM CARE 429098,A000000,02100,0000,2100RADIOLOGY 429098,A000000,02200,0000,2200LABORATORY 429098,A000000,02300,0000,2300INTRAVENOUS THERAPY 429098,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429098,A000000,02500,0000,2500PHYSICAL THERAPY 429098,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429098,A000000,02700,0000,2700SPEECH PATHOLOGY 429098,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429098,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429098,A000000,03200,0000,3200SUPPORT SURFACES 429098,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429098,A000000,04800,0000,4800AMBULANCE 429098,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429098,A000000,05300,0000,5300INTEREST EXPENSE 429098,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429098,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429098,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429098,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429098,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429098,A000000,06100,0000,6100NONPAID WORKERS 429098,A000000,06200,0000,6200PATIENTS LAUNDRY 429098,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429098,A81000A,00100,0100,Y 429098,A81000B,00100,0300,ADMINISTRATIVE SERVICES 429098,A81000B,00200,0300,NURSING SUPPLIES 429098,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 429098,A81000B,00400,0300,LAUNDRY & LINEN SERVICE 429098,A81000B,00500,0300,DIETARY SUPPLIES 429098,A81000B,00600,0300,MAINTENANCE SUPPLIES 429098,A81000B,00700,0300,BUILDING LEASE 429098,A81000C,00100,0100,B 429098,A81000C,00100,0400,BRIUS LLC 429098,A81000C,00100,0600,ADMINISTRATIVE 429098,A81000C,00200,0100,F 429098,A81000C,00200,0400,TWIN MED LLC 429098,A81000C,00200,0600,SUPPLY COMPANY 429098,A81000C,00300,0100,G 429098,A81000C,00300,0400,EUREKA-LET LP 429098,A81000C,00300,0600,BUILDING LEASE 429098,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429098,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429098,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429098,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429098,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429098,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429098,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429098,B100000,00000,0800,0800MEALS SERVED :DIETARY 429098,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429098,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429098,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429098,G300000,02500,0000,LEAVE/OTHER REVENUE 429098,S000000,00100,0200,04/09/12 429098,S200000,00100,0100,6400 PURDUE DRIVE 429098,S200000,00200,0100,EUREKA 429098,S200000,00200,0200,CA 429098,S200000,00200,0300,95503 429098,S200000,00300,0100,HUMBOLDT 429098,S200000,00300,0201,99905 429098,S200000,00300,0300,R 429098,S200000,00400,0100,SEAVIEW REHAB & WELLNESS CNETER 429098,S200000,00400,0200,055208 429098,S200000,00400,0300,01/01/67 429098,S200000,00400,0500,P 429098,S200000,01500,0100,Y 429098,S200000,01501,0200,Y 429098,S200000,01600,0100,N 429098,S200000,01700,0100,N 429098,S200000,01800,0100,N 429098,S200000,02200,0100,N 429098,S200000,02800,0100,N 429098,S200000,02900,0100,N 429098,S200000,03000,0100,N 429098,S200000,03100,0100,N 429098,S200000,03200,0100,N 429098,S200000,03300,0100,N 429098,S200000,03300,0200,N 429098,S200000,04100,0100,N 429098,S200000,04200,0100,N 429098,S200000,04300,0100,N 429098,S200000,04600,0100,N 429098,S200000,04700,0100,N 429098,S200000,04700,0200,N 429098,S200000,04900,0100,N 429098,S200000,05000,0100,N 429098,S200000,05100,0100,N 429098,S200000,05200,0100,N 429098,S200000,05300,0100,Y 429099,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429099,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429099,A000000,00300,0000,0300EMPLOYEE BENEFITS 429099,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429099,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429099,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429099,A000000,00700,0000,0700HOUSEKEEPING 429099,A000000,00800,0000,0800DIETARY 429099,A000000,00900,0000,0900NURSING ADMINISTRATION 429099,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429099,A000000,01100,0000,1100PHARMACY 429099,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429099,A000000,01300,0000,1300SOCIAL SERVICE 429099,A000000,01600,0000,1600SKILLED NURSING FACILITY 429099,A000000,01800,0000,1800NURSING FACILITY 429099,A000000,01900,0000,1900OTHER LONG TERM CARE 429099,A000000,02100,0000,2100RADIOLOGY 429099,A000000,02200,0000,2200LABORATORY 429099,A000000,02300,0000,2300INTRAVENOUS THERAPY 429099,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429099,A000000,02500,0000,2500PHYSICAL THERAPY 429099,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429099,A000000,02700,0000,2700SPEECH PATHOLOGY 429099,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429099,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429099,A000000,03200,0000,3200SUPPORT SURFACES 429099,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429099,A000000,03400,0000,3400CLINIC 429099,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429099,A000000,04800,0000,4800AMBULANCE 429099,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429099,A000000,05300,0000,5300INTEREST EXPENSE 429099,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429099,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429099,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429099,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429099,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429099,A000000,06100,0000,6100NONPAID WORKERS 429099,A000000,06200,0000,6200PATIENTS LAUNDRY 429099,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429099,A81000A,00100,0100,Y 429099,A81000B,00100,0300,ADMINISTRATIVE SERVICES 429099,A81000B,00200,0300,NURSING SUPPLIES 429099,A81000B,00300,0300,MAINTENANCE SUPPLIES 429099,A81000B,00400,0300,DIETARY SUPPLIES 429099,A81000B,00500,0300,LAUNDRY SUPPLIES 429099,A81000B,00600,0300,BUILDING LEASE 429099,A81000C,00100,0100,B 429099,A81000C,00100,0400,BRIUS LLC 429099,A81000C,00100,0600,ADMINISTRATIVE 429099,A81000C,00200,0100,F 429099,A81000C,00200,0400,TWIN MED LLC 429099,A81000C,00200,0600,SUPPLY COMPANY 429099,A81000C,00300,0100,G 429099,A81000C,00300,0400,EUREKA-LET LP 429099,A81000C,00300,0600,BUILDING LEASE 429099,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429099,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429099,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429099,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429099,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429099,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429099,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429099,B100000,00000,0800,0800MEALS SERVED :DIETARY 429099,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429099,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429099,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429099,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429099,G300000,02500,0000,BEDHOLD/OTHER REVENUE 429099,S000000,00100,0200,04/09/12 429099,S200000,00100,0100,2211 HARRISON AVENUE 429099,S200000,00200,0100,EUREKA 429099,S200000,00200,0200,CA 429099,S200000,00200,0300,95501 429099,S200000,00300,0100,HUMBOLDT 429099,S200000,00300,0201,99905 429099,S200000,00300,0300,R 429099,S200000,00400,0100,PACIFIC REHAB & WELLNESS CENTER 429099,S200000,00400,0200,055334 429099,S200000,00400,0300,01/01/67 429099,S200000,00400,0500,P 429099,S200000,01500,0100,Y 429099,S200000,01501,0200,Y 429099,S200000,01600,0100,N 429099,S200000,01700,0100,N 429099,S200000,01800,0100,N 429099,S200000,02200,0100,N 429099,S200000,02800,0100,N 429099,S200000,02900,0100,N 429099,S200000,03000,0100,N 429099,S200000,03100,0100,N 429099,S200000,03200,0100,N 429099,S200000,03300,0100,N 429099,S200000,03300,0200,N 429099,S200000,04100,0100,N 429099,S200000,04200,0100,N 429099,S200000,04300,0100,N 429099,S200000,04600,0100,N 429099,S200000,04700,0100,N 429099,S200000,04700,0200,N 429099,S200000,04900,0100,N 429099,S200000,05000,0100,N 429099,S200000,05100,0100,N 429099,S200000,05200,0100,N 429099,S200000,05300,0100,Y 429104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429104,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429104,A000000,00300,0000,0300EMPLOYEE BENEFITS 429104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429104,A000000,00700,0000,0700HOUSEKEEPING 429104,A000000,00800,0000,0800DIETARY 429104,A000000,00900,0000,0900NURSING ADMINISTRATION 429104,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429104,A000000,01100,0000,1100PHARMACY 429104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429104,A000000,01300,0000,1300SOCIAL SERVICE 429104,A000000,01600,0000,1600SKILLED NURSING FACILITY 429104,A000000,01800,0000,1800NURSING FACILITY 429104,A000000,01900,0000,1900OTHER LONG TERM CARE 429104,A000000,02100,0000,2100RADIOLOGY 429104,A000000,02200,0000,2200LABORATORY 429104,A000000,02300,0000,2300INTRAVENOUS THERAPY 429104,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429104,A000000,02500,0000,2500PHYSICAL THERAPY 429104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429104,A000000,02700,0000,2700SPEECH PATHOLOGY 429104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429104,A000000,03200,0000,3200SUPPORT SURFACES 429104,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429104,A000000,03400,0000,3400CLINIC 429104,A000000,04800,0000,4800AMBULANCE 429104,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429104,A000000,05300,0000,5300INTEREST EXPENSE 429104,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429104,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429104,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429104,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429104,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429104,A000000,06100,0000,6100NONPAID WORKERS 429104,A000000,06200,0000,6200PATIENTS LAUNDRY 429104,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429104,A81000A,00100,0100,Y 429104,A81000B,00100,0300,ADMINISTRATIVE SERVICES 429104,A81000B,00200,0300,ROUTINE SUPPLIES 429104,A81000B,00300,0300,LAUNDRY SUPPLIES 429104,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 429104,A81000B,00500,0300,BUILDING LEASE 429104,A81000C,00100,0100,B 429104,A81000C,00100,0400,BRIUS LLC 429104,A81000C,00100,0600,ADMINISTRATIVE 429104,A81000C,00200,0100,F 429104,A81000C,00200,0400,TWIN MED LLC 429104,A81000C,00200,0600,SUPPLY COMPANY 429104,A81000C,00300,0100,G 429104,A81000C,00300,0400,EUREKA-LET LP 429104,A81000C,00300,0600,BUILDING LEASE 429104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429104,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429104,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429104,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429104,B100000,00000,0800,0800MEALS SERVED :DIETARY 429104,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429104,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429104,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429104,G300000,02500,0000,LEAAVE/OTHER REVENUE 429104,S000000,00100,0200,04/09/12 429104,S200000,00100,0100,2885 HARRIS STREET 429104,S200000,00200,0100,EUREKA 429104,S200000,00200,0200,CA 429104,S200000,00200,0300,95503 429104,S200000,00300,0100,HUMBOLDT 429104,S200000,00300,0201,99905 429104,S200000,00300,0300,R 429104,S200000,00400,0100,GRANADA REHAB & WELLNESS CENTER 429104,S200000,00400,0200,056300 429104,S200000,00400,0300,01/01/67 429104,S200000,00400,0500,P 429104,S200000,01500,0100,Y 429104,S200000,01501,0200,Y 429104,S200000,01600,0100,N 429104,S200000,01700,0100,N 429104,S200000,01800,0100,N 429104,S200000,02200,0100,N 429104,S200000,02800,0100,N 429104,S200000,02900,0100,N 429104,S200000,03000,0100,N 429104,S200000,03100,0100,N 429104,S200000,03200,0100,N 429104,S200000,03300,0100,N 429104,S200000,03300,0200,N 429104,S200000,04100,0100,N 429104,S200000,04200,0100,N 429104,S200000,04300,0100,N 429104,S200000,04600,0100,N 429104,S200000,04700,0100,N 429104,S200000,04700,0200,N 429104,S200000,04900,0100,N 429104,S200000,05000,0100,N 429104,S200000,05100,0100,N 429104,S200000,05200,0100,N 429104,S200000,05300,0100,Y 429106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429106,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429106,A000000,00300,0000,0300EMPLOYEE BENEFITS 429106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429106,A000000,00700,0000,0700HOUSEKEEPING 429106,A000000,00800,0000,0800DIETARY 429106,A000000,00900,0000,0900NURSING ADMINISTRATION 429106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429106,A000000,01100,0000,1100PHARMACY 429106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429106,A000000,01300,0000,1300SOCIAL SERVICE 429106,A000000,01600,0000,1600SKILLED NURSING FACILITY 429106,A000000,01800,0000,1800NURSING FACILITY 429106,A000000,01900,0000,1900OTHER LONG TERM CARE 429106,A000000,02100,0000,2100RADIOLOGY 429106,A000000,02200,0000,2200LABORATORY 429106,A000000,02300,0000,2300INTRAVENOUS THERAPY 429106,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429106,A000000,02500,0000,2500PHYSICAL THERAPY 429106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429106,A000000,02700,0000,2700SPEECH PATHOLOGY 429106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429106,A000000,03200,0000,3200SUPPORT SURFACES 429106,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429106,A000000,03400,0000,3400CLINIC 429106,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429106,A000000,04800,0000,4800AMBULANCE 429106,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429106,A000000,05300,0000,5300INTEREST EXPENSE 429106,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429106,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429106,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429106,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429106,A000000,06100,0000,6100NONPAID WORKERS 429106,A000000,06200,0000,6200PATIENTS LAUNDRY 429106,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429106,A81000A,00100,0100,Y 429106,A81000B,00100,0300,ADMINISTRATIVE SERVICES 429106,A81000B,00200,0300,NURSING SUPPLIES 429106,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 429106,A81000B,00400,0300,DIETARY 429106,A81000B,00500,0300,LAUNDRY SUPPLIES 429106,A81000B,00600,0300,BUILDING LEASE 429106,A81000C,00100,0100,B 429106,A81000C,00100,0400,BRIUS LLC 429106,A81000C,00100,0600,ADMINISTRATIVE 429106,A81000C,00200,0100,F 429106,A81000C,00200,0400,TWIN MED LLC 429106,A81000C,00200,0600,SUPPLY CO. 429106,A81000C,00300,0100,G 429106,A81000C,00300,0400,EUREKA-LET LP 429106,A81000C,00300,0600,BUILDING LEASE 429106,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429106,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429106,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429106,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429106,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429106,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429106,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429106,B100000,00000,0800,0800MEALS SERVED :DIETARY 429106,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429106,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429106,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429106,G300000,02500,0000,BEDHOLD/LEAVE/OTHER REV 429106,S000000,00100,0200,04/09/12 429106,S200000,00100,0100,2321 NEWBURG ROAD 429106,S200000,00200,0100,FORTUNA 429106,S200000,00200,0200,CA 429106,S200000,00200,0300,95540 429106,S200000,00300,0100,HUMBOLT 429106,S200000,00300,0201,99905 429106,S200000,00300,0300,R 429106,S200000,00400,0100,FORTUNA REHAB & WELLNESS CENTER 429106,S200000,00400,0200,056361 429106,S200000,00400,0300,02/22/73 429106,S200000,00400,0500,P 429106,S200000,01500,0100,Y 429106,S200000,01501,0200,Y 429106,S200000,01600,0100,N 429106,S200000,01700,0100,N 429106,S200000,01800,0100,N 429106,S200000,02200,0100,N 429106,S200000,02800,0100,N 429106,S200000,02900,0100,N 429106,S200000,03000,0100,N 429106,S200000,03100,0100,N 429106,S200000,03200,0100,N 429106,S200000,03300,0100,N 429106,S200000,03300,0200,N 429106,S200000,04100,0100,N 429106,S200000,04200,0100,N 429106,S200000,04300,0100,N 429106,S200000,04600,0100,N 429106,S200000,04700,0100,N 429106,S200000,04700,0200,N 429106,S200000,04900,0100,N 429106,S200000,05000,0100,N 429106,S200000,05100,0100,N 429106,S200000,05200,0100,N 429106,S200000,05300,0100,Y 429107,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429107,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429107,A000000,00300,0000,0300EMPLOYEE BENEFITS 429107,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429107,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429107,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429107,A000000,00700,0000,0700HOUSEKEEPING 429107,A000000,00800,0000,0800DIETARY 429107,A000000,00900,0000,0900NURSING ADMINISTRATION 429107,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429107,A000000,01100,0000,1100PHARMACY 429107,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429107,A000000,01300,0000,1300SOCIAL SERVICE 429107,A000000,01600,0000,1600SKILLED NURSING FACILITY 429107,A000000,01800,0000,1800NURSING FACILITY 429107,A000000,01900,0000,1900OTHER LONG TERM CARE 429107,A000000,02100,0000,2100RADIOLOGY 429107,A000000,02200,0000,2200LABORATORY 429107,A000000,02300,0000,2300INTRAVENOUS THERAPY 429107,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429107,A000000,02500,0000,2500PHYSICAL THERAPY 429107,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429107,A000000,02700,0000,2700SPEECH PATHOLOGY 429107,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429107,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429107,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429107,A000000,03200,0000,3200SUPPORT SURFACES 429107,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429107,A000000,04800,0000,4800AMBULANCE 429107,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429107,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429107,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429107,A81000A,00100,0100,Y 429107,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 429107,A81000B,00200,0300,LEASE BUILDING 429107,A81000B,00300,0300,ALLOWABLE HOME OFFICE 429107,A81000B,00400,0300,GLUCOSE MONITORING SUPPLIES 429107,A81000C,00100,0100,C 429107,A81000C,00100,0400,PACIFIC WEST PH 429107,A81000C,00100,0600,PHARMACY 429107,A81000C,00200,0100,C 429107,A81000C,00200,0400,EMERALD DISTRIB 429107,A81000C,00200,0600,DISTRIBUTORSHIP 429107,A81000C,00300,0100,F 429107,A81000C,00300,0400,HORIZON WEST HE 429107,A81000C,00300,0600,HOME OFFICE 429107,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429107,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429107,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429107,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429107,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429107,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429107,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429107,B100000,00000,0800,0800MEALS SERVED :DIETARY 429107,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429107,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429107,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429107,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429107,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429107,G300000,02500,0000, OTHER (SPECIFY) 429107,S000000,00100,0200,04/23/12 429107,S200000,00100,0100,3766 NYE AVENUE 429107,S200000,00200,0100,RIVERSIDE 429107,S200000,00200,0200,CA 429107,S200000,00200,0300,92505 429107,S200000,00300,0100,RIVERSIDE 429107,S200000,00300,0201,40140 429107,S200000,00300,0300,U 429107,S200000,00400,0100,ARLINGTON GARDENS CONV. HOSPITAL 429107,S200000,00400,0200,056485 429107,S200000,00400,0300,01/01/82 429107,S200000,00400,0500,P 429107,S200000,01500,0100,Y 429107,S200000,01501,0200,Y 429107,S200000,01600,0100,N 429107,S200000,01700,0100,N 429107,S200000,01800,0100,N 429107,S200000,02200,0100,N 429107,S200000,02800,0100,N 429107,S200000,02900,0100,N 429107,S200000,03000,0100,N 429107,S200000,03100,0100,N 429107,S200000,03200,0100,N 429107,S200000,03300,0100,N 429107,S200000,03300,0200,N 429107,S200000,04100,0100,N 429107,S200000,04200,0100,N 429107,S200000,04300,0100,N 429107,S200000,04600,0100,N 429107,S200000,04700,0100,N 429107,S200000,04700,0200,N 429107,S200000,04900,0100,N 429107,S200000,05000,0100,N 429107,S200000,05100,0100,N 429107,S200000,05200,0100,N 429107,S200000,05300,0100,Y 429107,S200000,05300,0200,951175 429107,S200000,05400,0100,HORIZON WEST HEADQUARTERS 429107,S200000,05400,0200,PALMETTO GBA 429107,S200000,05400,0300,01001 429107,S200000,05500,0100,4020 SIERRA COLLEGE 429107,S200000,05600,0100,ROCKLIN 429107,S200000,05600,0200,CA 429107,S200000,05600,0300,95677 429170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429170,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429170,A000000,00300,0000,0300EMPLOYEE BENEFITS 429170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429170,A000000,00700,0000,0700HOUSEKEEPING 429170,A000000,00800,0000,0800DIETARY 429170,A000000,00900,0000,0900NURSING ADMINISTRATION 429170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429170,A000000,01100,0000,1100PHARMACY 429170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429170,A000000,01300,0000,1300SOCIAL SERVICE 429170,A000000,01600,0000,1600SKILLED NURSING FACILITY 429170,A000000,01800,0000,1800NURSING FACILITY 429170,A000000,01900,0000,1900OTHER LONG TERM CARE 429170,A000000,02100,0000,2100RADIOLOGY 429170,A000000,02200,0000,2200LABORATORY 429170,A000000,02300,0000,2300INTRAVENOUS THERAPY 429170,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429170,A000000,02500,0000,2500PHYSICAL THERAPY 429170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429170,A000000,02700,0000,2700SPEECH PATHOLOGY 429170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429170,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429170,A000000,03200,0000,3200SUPPORT SURFACES 429170,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429170,A000000,04800,0000,4800AMBULANCE 429170,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429170,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429170,A81000A,00100,0100,Y 429170,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 429170,A81000B,00200,0300,LEASE BUILDING 429170,A81000B,00300,0300,ALLOWABLE HOME OFFICE 429170,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 429170,A81000B,00500,0300,PHARMACY OTC SUPPLIES 429170,A81000B,00600,0300,ANCILL SUPP - MEDICAL MATERIALS 429170,A81000B,00700,0300,ANCILLARY SUPPLIES - ENTERALS 429170,A81000B,00800,0300,PHARMACY EXP PHARMACEUTICALS 429170,A81000B,00900,0300,PHARMACY EXPENSE - CENSUS ERRORS 429170,A81000B,01000,0300,PHARMACEUTICALS-SOC 429170,A81000B,01100,0300,GLUCOSE MONITORING SUPPLIES 429170,A81000B,01200,0300,I.V. THERAPY SUPPLIES 429170,A81000C,00100,0100,C 429170,A81000C,00100,0400,PACIFIC WEST PH 429170,A81000C,00100,0600,PHARMACY 429170,A81000C,00200,0100,C 429170,A81000C,00200,0400,EMERALD DISTRIB 429170,A81000C,00200,0600,DISTRIBUTORSHIP 429170,A81000C,00300,0100,F 429170,A81000C,00300,0400,HORIZON WEST HE 429170,A81000C,00300,0600,HOME OFFICE 429170,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429170,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429170,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429170,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429170,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429170,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429170,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429170,B100000,00000,0800,0800MEALS SERVED :DIETARY 429170,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429170,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429170,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429170,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429170,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429170,G300000,02500,0000, OTHER (SPECIFY) 429170,S000000,00100,0200,04/23/12 429170,S200000,00100,0100,4444 WEST MEADOW LANE 429170,S200000,00200,0100,VISALIA 429170,S200000,00200,0200,CA 429170,S200000,00200,0300,93277 429170,S200000,00300,0100,TULARE 429170,S200000,00300,0201,47300 429170,S200000,00300,0300,U 429170,S200000,00400,0100,LINWOOD GARDENS CARE CENTER 429170,S200000,00400,0200,555125 429170,S200000,00400,0300,04/01/80 429170,S200000,00400,0500,P 429170,S200000,01500,0100,Y 429170,S200000,01501,0200,Y 429170,S200000,01600,0100,N 429170,S200000,01700,0100,N 429170,S200000,01800,0100,N 429170,S200000,02200,0100,N 429170,S200000,02800,0100,N 429170,S200000,02900,0100,N 429170,S200000,03000,0100,N 429170,S200000,03100,0100,N 429170,S200000,03200,0100,N 429170,S200000,03300,0100,N 429170,S200000,03300,0200,N 429170,S200000,04100,0100,N 429170,S200000,04200,0100,N 429170,S200000,04300,0100,N 429170,S200000,04600,0100,N 429170,S200000,04700,0100,N 429170,S200000,04700,0200,N 429170,S200000,04900,0100,N 429170,S200000,05000,0100,N 429170,S200000,05100,0100,N 429170,S200000,05200,0100,N 429170,S200000,05300,0100,Y 429170,S200000,05300,0200,951175 429170,S200000,05400,0100,HORIZON WEST HEADQUARTERS 429170,S200000,05400,0200,PALMETTO GBA 429170,S200000,05400,0300,01001 429170,S200000,05500,0100,4020 SIERRA COLLEGE 429170,S200000,05600,0100,ROCKLIN 429170,S200000,05600,0200,CA 429170,S200000,05600,0300,95677 429171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429171,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429171,A000000,00300,0000,0300EMPLOYEE BENEFITS 429171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429171,A000000,00700,0000,0700HOUSEKEEPING 429171,A000000,00800,0000,0800DIETARY 429171,A000000,00900,0000,0900NURSING ADMINISTRATION 429171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429171,A000000,01100,0000,1100PHARMACY 429171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429171,A000000,01300,0000,1300SOCIAL SERVICE 429171,A000000,01600,0000,1600SKILLED NURSING FACILITY 429171,A000000,01800,0000,1800NURSING FACILITY 429171,A000000,01900,0000,1900OTHER LONG TERM CARE 429171,A000000,02100,0000,2100RADIOLOGY 429171,A000000,02200,0000,2200LABORATORY 429171,A000000,02300,0000,2300INTRAVENOUS THERAPY 429171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429171,A000000,02500,0000,2500PHYSICAL THERAPY 429171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429171,A000000,02700,0000,2700SPEECH PATHOLOGY 429171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429171,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429171,A000000,03200,0000,3200SUPPORT SURFACES 429171,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429171,A000000,04800,0000,4800AMBULANCE 429171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429171,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429171,A81000A,00100,0100,Y 429171,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 429171,A81000B,00200,0300,LEASE BUILDING 429171,A81000B,00300,0300,ALLOWABLE HOME OFFICE 429171,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 429171,A81000B,00500,0300,PHARMACY OTC SUPPLIES 429171,A81000B,00600,0300,ANCILL SUPP - MEDICAL MATERIALS 429171,A81000B,00700,0300,ANCILLARY SUPPLIES - ENTERALS 429171,A81000B,00800,0300,PHARMACY EXP PHARMACEUTICALS 429171,A81000B,00900,0300,PHARMACY EXPENSE - CENSUS ERRORS 429171,A81000B,01000,0300,PHARMACEUTICALS - SOC 429171,A81000B,01100,0300,GLUCOSE MONITORING SUPPLIES 429171,A81000C,00100,0100,C 429171,A81000C,00100,0400,PACIFIC WEST PH 429171,A81000C,00100,0600,PHARMACY 429171,A81000C,00200,0100,C 429171,A81000C,00200,0400,EMERALD DISTRIB 429171,A81000C,00200,0600,DISTRIBUTORSHIP 429171,A81000C,00300,0100,F 429171,A81000C,00300,0400,HORIZON WEST HE 429171,A81000C,00300,0600,HOME OFFICE 429171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429171,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429171,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429171,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429171,B100000,00000,0800,0800MEALS SERVED :DIETARY 429171,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429171,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429171,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429171,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429171,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429171,G300000,02500,0000, OTHER (SPECIFY) 429171,S000000,00100,0200,04/23/12 429171,S200000,00100,0100,4525 WEST TULARE AVENUE 429171,S200000,00200,0100,VISALIA 429171,S200000,00200,0200,CA 429171,S200000,00200,0300,93277 429171,S200000,00300,0100,TULARE 429171,S200000,00300,0201,47300 429171,S200000,00300,0300,U 429171,S200000,00400,0100,WESTGATE GARDENS CONVALESCENT CENTER 429171,S200000,00400,0200,555208 429171,S200000,00400,0300,09/30/85 429171,S200000,00400,0500,P 429171,S200000,01500,0100,Y 429171,S200000,01501,0200,Y 429171,S200000,01600,0100,N 429171,S200000,01700,0100,N 429171,S200000,01800,0100,N 429171,S200000,02200,0100,N 429171,S200000,02800,0100,N 429171,S200000,02900,0100,N 429171,S200000,03000,0100,N 429171,S200000,03100,0100,N 429171,S200000,03200,0100,N 429171,S200000,03300,0100,N 429171,S200000,03300,0200,N 429171,S200000,04100,0100,N 429171,S200000,04200,0100,N 429171,S200000,04300,0100,N 429171,S200000,04600,0100,N 429171,S200000,04700,0100,N 429171,S200000,04700,0200,N 429171,S200000,04900,0100,N 429171,S200000,05000,0100,N 429171,S200000,05100,0100,N 429171,S200000,05200,0100,N 429171,S200000,05300,0100,Y 429171,S200000,05300,0200,951175 429171,S200000,05400,0100,HORIZON WEST HEADQUARTERS 429171,S200000,05400,0200,PALMETTO GBA 429171,S200000,05400,0300,01001 429171,S200000,05500,0100,4020 SIERRA COLLEGE 429171,S200000,05600,0100,ROCKLIN 429171,S200000,05600,0200,CA 429171,S200000,05600,0300,95677 429172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429172,A000000,00300,0000,0300EMPLOYEE BENEFITS 429172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429172,A000000,00700,0000,0700HOUSEKEEPING 429172,A000000,00800,0000,0800DIETARY 429172,A000000,00900,0000,0900NURSING ADMINISTRATION 429172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429172,A000000,01100,0000,1100PHARMACY 429172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429172,A000000,01300,0000,1300SOCIAL SERVICE 429172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429172,A000000,01600,0000,1600SKILLED NURSING FACILITY 429172,A000000,01810,0000,1810ICF/MR 429172,A000000,01900,0000,1900OTHER LONG TERM CARE 429172,A000000,02100,0000,2100RADIOLOGY 429172,A000000,02200,0000,2200LABORATORY 429172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429172,A000000,02500,0000,2500PHYSICAL THERAPY 429172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429172,A000000,02700,0000,2700SPEECH PATHOLOGY 429172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429172,A000000,03550,0000,3550FQHC 429172,A000000,05000,0000,5000CORF 429172,A000000,05010,0000,5010CMHC 429172,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429172,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429172,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429172,A81000A,00100,0100,Y 429172,A81000C,00100,0100,B 429172,A81000C,00100,0200,REDLANDS HEALTH 429172,A81000C,00100,0400,REDLANDS COMMUN 429172,A81000C,00100,0600,HOSPITAL 429172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429172,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429172,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429172,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429172,B100000,00000,0800,0800MEALS SERVED :DIETARY 429172,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 429172,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429172,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429172,G300000,02502,0000,PATIENT PERSONAL SUPPLY SNF 429172,G300000,02504,0000,GAIN & LOSS UNREALIZED INV NON-OPER 429172,G300000,02506,0000,NON OPERATING REVENUE 429172,S000000,00100,0200,04/18/12 429172,S200000,00100,0100,1875 BARTON ROAD 429172,S200000,00200,0100,REDLANDS 429172,S200000,00200,0200,CA 429172,S200000,00200,0300,92373 429172,S200000,00300,0100,SAN BERNARDINO 429172,S200000,00300,0201,40140 429172,S200000,00300,0300,U 429172,S200000,00400,0100,ASISTENCIA VILLA CONVALESCENT CENTE 429172,S200000,00400,0200,555379 429172,S200000,00400,0300,08/04/89 429172,S200000,00400,0500,P 429172,S200000,01500,0100,N 429172,S200000,01501,0200,Y 429172,S200000,01502,0200,Y 429172,S200000,01504,0200,N 429172,S200000,01600,0100,Y 429172,S200000,01700,0100,N 429172,S200000,01800,0100,N 429172,S200000,01900,0100,COMMUNITY HOSPITAL 429172,S200000,02200,0100,N 429172,S200000,02800,0100,Y 429172,S200000,02900,0100,N 429172,S200000,03000,0100,N 429172,S200000,03100,0100,N 429172,S200000,03200,0100,N 429172,S200000,03300,0100,N 429172,S200000,03300,0200,N 429172,S200000,04100,0100,N 429172,S200000,04200,0100,N 429172,S200000,04300,0100,N 429172,S200000,04600,0100,N 429172,S200000,04700,0100,N 429172,S200000,04700,0200,N 429172,S200000,04900,0100,N 429172,S200000,05000,0100,N 429172,S200000,05100,0100,N 429172,S200000,05200,0100,N 429182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429182,A000000,00300,0000,0300EMPLOYEE BENEFITS 429182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429182,A000000,00700,0000,0700HOUSEKEEPING 429182,A000000,00800,0000,0800DIETARY 429182,A000000,00900,0000,0900NURSING ADMINISTRATION 429182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429182,A000000,01100,0000,1100PHARMACY 429182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429182,A000000,01300,0000,1300SOCIAL SERVICE 429182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429182,A000000,01600,0000,1600SKILLED NURSING FACILITY 429182,A000000,01800,0000,1800NURSING FACILITY 429182,A000000,01900,0000,1900OTHER LONG TERM CARE 429182,A000000,02100,0000,2100RADIOLOGY 429182,A000000,02200,0000,2200LABORATORY 429182,A000000,02300,0000,2300INTRAVENOUS THERAPY 429182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429182,A000000,02500,0000,2500PHYSICAL THERAPY 429182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429182,A000000,02700,0000,2700SPEECH PATHOLOGY 429182,A000000,02800,0000,2800ELECTROCARDIOLOGY 429182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429182,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429182,A000000,03200,0000,3200SUPPORT SURFACES 429182,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429182,A000000,03400,0000,3400CLINIC 429182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429182,A000000,04800,0000,4800AMBULANCE 429182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429182,A000000,05000,0000,5000CORF 429182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429182,A000000,05300,0000,5300INTEREST EXPENSE 429182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429182,A000000,05500,0000,5500HOSPICE 429182,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429182,A000000,06100,0000,6100NONPAID WORKERS 429182,A000000,06200,0000,6200PATIENTS LAUNDRY 429182,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429182,A81000A,00100,0100,Y 429182,A81000B,00100,0300,NURSING CONSULTING 429182,A81000B,00200,0300,DIETARY CONSULTING 429182,A81000B,00300,0300,HOME OFFICE 429182,A81000B,00400,0300,INTEREST EXPENSE 429182,A81000B,00500,0300,INSURANCE - PROFESSIONAL LIABILITY 429182,A81000B,00600,0300,MAINTENANCE SUPPLIES 429182,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 429182,A81000B,00800,0300,LINEN & BEDDING 429182,A81000B,00900,0300,SUPPLIES 429182,A81000B,01000,0300,SUPPLIES 429182,A81000B,01100,0300,DIETARY SUPPLIES 429182,A81000B,01200,0300,SUPPLIES 429182,A81000B,01300,0300,BIO-MEDICAL WASTE 429182,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 429182,A81000B,01500,0300,PERSONAL CARE SUPPLIES 429182,A81000B,01600,0300,INCONTINENCE SUPPLIES 429182,A81000B,01700,0300,MEDICAL SUPPLIES 429182,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 429182,A81000B,01900,0300,SUPPLIES 429182,A81000B,02000,0300,BILLABLE MEDICAL SUPPLIES 429182,A81000B,02100,0300,NURSING EQUIPMENT RENTAL 429182,A81000B,02200,0300,NON-LEGEND DRUGS 429182,A81000B,02300,0300,PHARMACY CONSULTANT 429182,A81000B,02400,0300,SUPPLIES 429182,A81000B,02500,0300,LEGEND DRUGS 429182,A81000B,02600,0300,OFFICE SUPPLIES 429182,A81000B,02700,0300,SUPPLIES 429182,A81000C,00100,0100,B 429182,A81000C,00100,0400,BRITTHAVEN INC 429182,A81000C,00100,0600,MGMT SERVICES 429182,A81000C,00200,0100,B 429182,A81000C,00200,0400,BRITTHAVEN INC 429182,A81000C,00200,0600,MGMT SERVICES 429182,A81000C,00300,0100,B 429182,A81000C,00300,0400,BRITTHAVEN INC 429182,A81000C,00300,0600,MGMT SERVICES 429182,A81000C,00400,0100,B 429182,A81000C,00400,0400,BRITTHAVEN INC 429182,A81000C,00400,0600,MGMT SERVICES 429182,A81000C,00500,0100,A 429182,A81000C,00500,0200,QUEENSLAND ASSU 429182,A81000C,00500,0600,INSURANCE 429182,A81000C,00600,0100,B 429182,A81000C,00600,0400,KARE MEDICAL 429182,A81000C,00600,0600,WHOLESALE SUPPL 429182,A81000C,00700,0100,B 429182,A81000C,00700,0400,KARE MEDICAL 429182,A81000C,00700,0600,WHOLESALE SUPPL 429182,A81000C,00800,0100,B 429182,A81000C,00800,0400,KARE MEDICAL 429182,A81000C,00800,0600,WHOLESALE SUPPL 429182,A81000C,00900,0100,B 429182,A81000C,00900,0400,KARE MEDICAL 429182,A81000C,00900,0600,WHOLESALE SUPPL 429182,A81000C,01000,0100,B 429182,A81000C,01000,0400,KARE MEDICAL 429182,A81000C,01000,0600,WHOLESALE SUPPL 429182,A81000C,01001,0100,B 429182,A81000C,01001,0400,KARE MEDICAL 429182,A81000C,01001,0600,WHOLESALE SUPPL 429182,A81000C,01002,0100,B 429182,A81000C,01002,0400,KARE MEDICAL 429182,A81000C,01002,0600,WHOLESALE SUPPL 429182,A81000C,01003,0100,B 429182,A81000C,01003,0400,KARE MEDICAL 429182,A81000C,01003,0600,WHOLESALE SUPPL 429182,A81000C,01004,0100,B 429182,A81000C,01004,0400,KARE MEDICAL 429182,A81000C,01004,0600,WHOLESALE SUPPL 429182,A81000C,01005,0100,B 429182,A81000C,01005,0400,KARE MEDICAL 429182,A81000C,01005,0600,WHOLESALE SUPPL 429182,A81000C,01006,0100,B 429182,A81000C,01006,0400,KARE MEDICAL 429182,A81000C,01006,0600,WHOLESALE SUPPL 429182,A81000C,01007,0100,B 429182,A81000C,01007,0400,KARE MEDICAL 429182,A81000C,01007,0600,WHOLESALE SUPPL 429182,A81000C,01008,0100,B 429182,A81000C,01008,0400,KARE MEDICAL 429182,A81000C,01008,0600,WHOLESALE SUPPL 429182,A81000C,01009,0100,B 429182,A81000C,01009,0400,KARE MEDICAL 429182,A81000C,01009,0600,WHOLESALE SUPPL 429182,A81000C,01010,0100,B 429182,A81000C,01010,0400,KARE MEDICAL 429182,A81000C,01010,0600,WHOLESALE SUPPL 429182,A81000C,01011,0100,B 429182,A81000C,01011,0400,PHARMSAVE 429182,A81000C,01011,0600,RX SUPPLY 429182,A81000C,01012,0100,B 429182,A81000C,01012,0400,PHARMSAVE 429182,A81000C,01012,0600,RX SUPPLY 429182,A81000C,01013,0100,B 429182,A81000C,01013,0400,PHARMSAVE 429182,A81000C,01013,0600,RX SUPPLY 429182,A81000C,01014,0100,B 429182,A81000C,01014,0400,PHARMSAVE 429182,A81000C,01014,0600,RX SUPPLY 429182,A81000C,01015,0100,B 429182,A81000C,01015,0400,PHARMSAVE 429182,A81000C,01015,0600,RX SUPPLY 429182,A81000C,01016,0100,B 429182,A81000C,01016,0400,ROBERT HILL CON 429182,A81000C,01016,0600,CONSTRUCTION 429182,A81000C,01017,0100,B 429182,A81000C,01017,0400,ROBERT HILL CON 429182,A81000C,01017,0600,CONSTRUCTION 429182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429182,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429182,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429182,B100000,00000,0800,0800MEALS SERVED :DIETARY 429182,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429182,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429182,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429182,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429182,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429182,G300000,02500,0000, OTHER (SPECIFY) 429182,S000000,00100,0200,08/04/11 429182,S200000,00100,0100,730 LUNENBURG HWY 429182,S200000,00200,0100,KEYSVILLE 429182,S200000,00200,0200,VA 429182,S200000,00200,0300,23947 429182,S200000,00300,0100,CHARLOTTE 429182,S200000,00300,0201,49190 429182,S200000,00300,0300,R 429182,S200000,00400,0100,BRITTHAVEN OF KEYSVILLE 429182,S200000,00400,0200,495226 429182,S200000,00400,0300,03/03/94 429182,S200000,00400,0500,P 429182,S200000,01500,0100,Y 429182,S200000,01501,0200,Y 429182,S200000,01503,0200,Y 429182,S200000,01504,0200,Y 429182,S200000,01505,0000,OTHER (SPECIFY) 429182,S200000,01505,0200,Y 429182,S200000,01600,0100,N 429182,S200000,01700,0100,N 429182,S200000,01800,0100,N 429182,S200000,02200,0100,N 429182,S200000,02800,0100,N 429182,S200000,02900,0100,N 429182,S200000,03000,0100,N 429182,S200000,03100,0100,Y 429182,S200000,03200,0100,N 429182,S200000,03300,0100,N 429182,S200000,03300,0200,N 429182,S200000,04100,0100,N 429182,S200000,04200,0100,N 429182,S200000,04300,0100,N 429182,S200000,04600,0100,N 429182,S200000,04700,0100,N 429182,S200000,04700,0200,N 429182,S200000,04900,0100,N 429182,S200000,05000,0100,N 429182,S200000,05100,0100,N 429182,S200000,05200,0100,N 429182,S200000,05300,0100,Y 429182,S200000,05300,0200,349011 429182,S200000,05400,0100,BRITTHAVEN INC. 429182,S200000,05400,0200,NAT L GOVT 429182,S200000,05400,0300,00453 429182,S200000,05500,0100,1435 HWY 258 S 429182,S200000,05500,0200,PO BOX 61 429182,S200000,05600,0100,KINSTON 429182,S200000,05600,0200,NC 429182,S200000,05600,0300,28502 429203,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429203,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429203,A000000,00300,0000,0300EMPLOYEE BENEFITS 429203,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429203,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429203,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429203,A000000,00700,0000,0700HOUSEKEEPING 429203,A000000,00800,0000,0800DIETARY 429203,A000000,00900,0000,0900NURSING ADMINISTRATION 429203,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429203,A000000,01100,0000,1100PHARMACY 429203,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429203,A000000,01300,0000,1300SOCIAL SERVICE 429203,A000000,01600,0000,1600SKILLED NURSING FACILITY 429203,A000000,01800,0000,1800NURSING FACILITY 429203,A000000,01810,0000,1810ICF/MR 429203,A000000,01900,0000,1900OTHER LONG TERM CARE 429203,A000000,02100,0000,2100RADIOLOGY 429203,A000000,02200,0000,2200LABORATORY 429203,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429203,A000000,02500,0000,2500PHYSICAL THERAPY 429203,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429203,A000000,02700,0000,2700SPEECH PATHOLOGY 429203,A000000,02800,0000,2800ELECTROCARDIOLOGY 429203,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429203,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429203,A000000,03200,0000,3200SUPPORT SURFACES 429203,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429203,A000000,03400,0000,3400CLINIC 429203,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429203,A000000,04800,0000,4800AMBULANCE 429203,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429203,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429203,A000000,05300,0000,5300INTEREST EXPENSE 429203,A000000,05500,0000,5500HOSPICE 429203,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429203,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429203,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429203,A000000,06200,0000,6200PATIENTS LAUNDRY 429203,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429203,A81000A,00100,0100,Y 429203,A81000B,00100,0300,MANAGEMENT FEES 429203,A81000B,00200,0300,DIETARY CONSULTANT 429203,A81000B,00300,0300,NURSE CONSULTANT 429203,A81000C,00100,0100,A 429203,A81000C,00100,0200,KIMBERLY SCHAAP 429203,A81000C,00100,0400,KMJ MANAGEMENT LLC 429203,A81000C,00100,0600,NURSING HOME OPERATIONS 429203,A81000C,00200,0100,A 429203,A81000C,00200,0200,MICHELE HATHORN 429203,A81000C,00200,0400,KMJ MANAGEMENT LLC 429203,A81000C,00200,0600,NURSING HOME OPERATIONS 429203,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429203,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429203,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429203,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429203,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429203,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429203,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429203,B100000,00000,0800,0800MEALS SERVED :DIETARY 429203,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429203,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429203,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429203,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429203,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429203,E10A180,00301,0100,07/27/11 429203,G300000,02500,0000,OTHER INCOME 429203,S000000,00100,0200,03/28/12 429203,S200000,00100,0100,ROUTE 1 BOX 289A OLD EXETER RD 429203,S200000,00200,0100,CASSVILLE 429203,S200000,00200,0200,MO 429203,S200000,00200,0300,65625 429203,S200000,00300,0100,BARRY 429203,S200000,00300,0201,99926 429203,S200000,00300,0300,R 429203,S200000,00400,0100,RED ROSE INN OF CASSVILLE 429203,S200000,00400,0200,265538 429203,S200000,00400,0300,01/01/03 429203,S200000,00400,0500,P 429203,S200000,01500,0100,Y 429203,S200000,01501,0200,Y 429203,S200000,01502,0200,Y 429203,S200000,01503,0200,Y 429203,S200000,01504,0200,Y 429203,S200000,01600,0100,N 429203,S200000,01700,0100,N 429203,S200000,01800,0100,N 429203,S200000,02200,0100,N 429203,S200000,02800,0100,N 429203,S200000,02900,0100,N 429203,S200000,03000,0100,N 429203,S200000,03100,0100,N 429203,S200000,03200,0100,N 429203,S200000,03300,0100,N 429203,S200000,03300,0200,N 429203,S200000,04100,0100,N 429203,S200000,04200,0100,N 429203,S200000,04300,0100,N 429203,S200000,04600,0100,N 429203,S200000,04700,0100,N 429203,S200000,04700,0200,N 429203,S200000,04900,0100,N 429203,S200000,05000,0100,N 429203,S200000,05100,0100,N 429203,S200000,05200,0100,N 429204,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429204,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429204,A000000,00300,0000,0300EMPLOYEE BENEFITS 429204,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429204,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429204,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429204,A000000,00700,0000,0700HOUSEKEEPING 429204,A000000,00800,0000,0800DIETARY 429204,A000000,00900,0000,0900NURSING ADMINISTRATION 429204,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429204,A000000,01100,0000,1100PHARMACY 429204,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429204,A000000,01300,0000,1300SOCIAL SERVICE 429204,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429204,A000000,01600,0000,1600SKILLED NURSING FACILITY 429204,A000000,01800,0000,1800NURSING FACILITY 429204,A000000,01810,0000,1810ICF/MR 429204,A000000,02100,0000,2100RADIOLOGY 429204,A000000,02200,0000,2200LABORATORY 429204,A000000,02300,0000,2300INTRAVENOUS THERAPY 429204,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429204,A000000,02500,0000,2500PHYSICAL THERAPY 429204,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429204,A000000,02700,0000,2700SPEECH PATHOLOGY 429204,A000000,02800,0000,2800ELECTROCARDIOLOGY 429204,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429204,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429204,A000000,03550,0000,3550FQHC 429204,A000000,05000,0000,5000CORF 429204,A000000,05010,0000,5010CMHC 429204,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429204,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429204,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429204,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429204,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429204,A81000A,00100,0100,Y 429204,A81000B,00100,0300,INTEREST EXPENSE 429204,A81000B,00200,0300,INTEREST EXPENSE 429204,A81000B,00300,0300,INTEREST EXPENSE 429204,A81000B,00400,0300,MANAGEMENT FEE 429204,A81000B,00500,0300,MANAGEMENT FEE 429204,A81000C,00100,0100,A 429204,A81000C,00100,0200,MICHAEL GREER 429204,A81000C,00200,0100,A 429204,A81000C,00200,0200,GAIL GREER 429204,A81000C,00300,0100,A 429204,A81000C,00300,0200,BLAIN RICHARD 429204,A81000C,00400,0100,B 429204,A81000C,00400,0400,RDR MANAGEMENT 429204,A81000C,00400,0600,HEALTHCARE MANA 429204,A81000C,00500,0100,B 429204,A81000C,00500,0400,GREER MANAGEMEN 429204,A81000C,00500,0600,HEALTHCARE MANA 429204,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429204,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429204,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429204,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429204,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429204,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429204,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 429204,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429204,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429204,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429204,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429204,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429204,E10A180,00550,0100,12/30/11 429204,G300000,02500,0000,BEAUTY AND BARBER 429204,G300000,02501,0000,INSURANCE REFUND 429204,G300000,02502,0000,PERSONAL PURCHASES 429204,G300000,02503,0000,UNIFORM SALES 429204,G300000,02504,0000,ROUNDING 429204,S000000,00100,0200,11/16/11 429204,S200000,00100,0100,770 STATE STREET 429204,S200000,00200,0100,CHESTER 429204,S200000,00200,0200,IL 429204,S200000,00200,0300,62233 429204,S200000,00300,0100,RANDOLPH 429204,S200000,00300,0201,14 429204,S200000,00300,0300,R 429204,S200000,00400,0100,ST. ANN S HEALTHCARE CENTER INC 429204,S200000,00400,0200,145475 429204,S200000,00400,0300,01/01/93 429204,S200000,00400,0500,P 429204,S200000,00400,0600,O 429204,S200000,01500,0100,N 429204,S200000,01501,0200,Y 429204,S200000,01600,0100,Y 429204,S200000,01700,0100,N 429204,S200000,01800,0100,N 429204,S200000,02200,0100,N 429204,S200000,02800,0100,N 429204,S200000,02900,0100,N 429204,S200000,03000,0100,N 429204,S200000,03100,0100,N 429204,S200000,03200,0100,N 429204,S200000,03300,0100,N 429204,S200000,03300,0200,N 429204,S200000,04100,0100,N 429204,S200000,04200,0100,N 429204,S200000,04300,0100,N 429204,S200000,04600,0100,N 429204,S200000,04700,0100,N 429204,S200000,04700,0200,N 429204,S200000,04900,0100,N 429204,S200000,05000,0100,N 429204,S200000,05100,0100,N 429204,S200000,05200,0100,N 429204,S200000,05300,0100,N 429210,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429210,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429210,A000000,00300,0000,0300EMPLOYEE BENEFITS 429210,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429210,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429210,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429210,A000000,00700,0000,0700HOUSEKEEPING 429210,A000000,00800,0000,0800DIETARY 429210,A000000,00900,0000,0900NURSING ADMINISTRATION 429210,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429210,A000000,01100,0000,1100PHARMACY 429210,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429210,A000000,01300,0000,1300SOCIAL SERVICE 429210,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429210,A000000,01600,0000,1600SKILLED NURSING FACILITY 429210,A000000,01800,0000,1800NURSING FACILITY 429210,A000000,01900,0000,1900OTHER LONG TERM CARE 429210,A000000,02100,0000,2100RADIOLOGY 429210,A000000,02200,0000,2200LABORATORY 429210,A000000,02300,0000,2300INTRAVENOUS THERAPY 429210,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429210,A000000,02500,0000,2500PHYSICAL THERAPY 429210,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429210,A000000,02700,0000,2700SPEECH PATHOLOGY 429210,A000000,02800,0000,2800ELECTROCARDIOLOGY 429210,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429210,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429210,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429210,A000000,03200,0000,3200SUPPORT SURFACES 429210,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429210,A000000,03400,0000,3400CLINIC 429210,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429210,A000000,04800,0000,4800AMBULANCE 429210,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429210,A000000,05000,0000,5000CORF 429210,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429210,A000000,05300,0000,5300INTEREST EXPENSE 429210,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429210,A000000,05500,0000,5500HOSPICE 429210,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429210,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429210,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429210,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429210,A000000,06100,0000,6100NONPAID WORKERS 429210,A000000,06200,0000,6200PATIENTS LAUNDRY 429210,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429210,A81000A,00100,0100,Y 429210,A81000B,00100,0300,NURSING CONSULTING 429210,A81000B,00200,0300,DIETARY CONSULTING 429210,A81000B,00300,0300,HOME OFFICE 429210,A81000B,00400,0300,INTEREST EXPENSE 429210,A81000B,00500,0300,WORKERS COMP EXPENSE 429210,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 429210,A81000B,00700,0300,MAINTENANCE SUPPLIES 429210,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 429210,A81000B,00900,0300,REPAIRS - EQUIPMENT 429210,A81000B,01000,0300,LINEN & BEDDING 429210,A81000B,01100,0300,SUPPLIES 429210,A81000B,01200,0300,SUPPLIES 429210,A81000B,01300,0300,DIETARY SUPPLEMENTS 429210,A81000B,01400,0300,SUPPLIES 429210,A81000B,01500,0300,BIO-MEDICAL WASTE 429210,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 429210,A81000B,01700,0300,PERSONAL CARE SUPPLIES 429210,A81000B,01800,0300,INCONTINENCE SUPPLIES 429210,A81000B,01900,0300,MEDICAL SUPPLIES 429210,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 429210,A81000B,02100,0300,SUPPLIES 429210,A81000B,02200,0300,SUPPLIES 429210,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 429210,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 429210,A81000B,02500,0300,NON-LEGEND DRUGS 429210,A81000B,02600,0300,PHARMACY CONSULTANT 429210,A81000B,02700,0300,SUPPLIES 429210,A81000B,02800,0300,LEGEND DRUGS 429210,A81000B,02900,0300,OFFICE SUPPLIES 429210,A81000C,00100,0100,B 429210,A81000C,00100,0400,BRITTHAVEN INC 429210,A81000C,00100,0600,MGMT SERVICES 429210,A81000C,00200,0100,B 429210,A81000C,00200,0400,BRITTHAVEN INC 429210,A81000C,00200,0600,MGMT SERIVCES 429210,A81000C,00300,0100,B 429210,A81000C,00300,0400,BRITTHAVEN INC 429210,A81000C,00300,0600,MGMT SERVICES 429210,A81000C,00400,0100,B 429210,A81000C,00400,0400,BRITTHAVEN INC 429210,A81000C,00400,0600,MGMT SERVICES 429210,A81000C,00500,0100,A 429210,A81000C,00500,0200,DISCOVERY INSUR 429210,A81000C,00500,0600,INSURANCE 429210,A81000C,00600,0100,A 429210,A81000C,00600,0200,QUEENSLAND ASSU 429210,A81000C,00600,0600,INSURANCE 429210,A81000C,00700,0100,B 429210,A81000C,00700,0400,KARE MEDICAL 429210,A81000C,00700,0600,WHOLESALE SUPPL 429210,A81000C,00800,0100,B 429210,A81000C,00800,0400,KARE MEDICAL 429210,A81000C,00800,0600,WHOLESALE SUPPL 429210,A81000C,00900,0100,B 429210,A81000C,00900,0400,KARE MEDICAL 429210,A81000C,00900,0600,WHOLESALE SUPPL 429210,A81000C,01000,0100,B 429210,A81000C,01000,0400,KARE MEDICAL 429210,A81000C,01000,0600,WHOLESALE SUPPL 429210,A81000C,01001,0100,B 429210,A81000C,01001,0400,KARE MEDICAL 429210,A81000C,01001,0600,WHOLESALE SUPPL 429210,A81000C,01002,0100,B 429210,A81000C,01002,0400,KARE MEDICAL 429210,A81000C,01002,0600,WHOLESALE SUPPL 429210,A81000C,01003,0100,B 429210,A81000C,01003,0400,KARE MEDICAL 429210,A81000C,01003,0600,WHOLESALE SUPPL 429210,A81000C,01004,0100,B 429210,A81000C,01004,0400,KARE MEDICAL 429210,A81000C,01004,0600,WHOLESALE SUPPL 429210,A81000C,01005,0100,B 429210,A81000C,01005,0400,KARE MEDICAL 429210,A81000C,01005,0600,WHOLESALE SUPPL 429210,A81000C,01006,0100,B 429210,A81000C,01006,0400,KARE MEDICAL 429210,A81000C,01006,0600,WHOLESALE SUPPL 429210,A81000C,01007,0100,B 429210,A81000C,01007,0400,KARE MEDICAL 429210,A81000C,01007,0600,WHOLESALE SUPPL 429210,A81000C,01008,0100,B 429210,A81000C,01008,0400,KARE MEDICAL 429210,A81000C,01008,0600,WHOLESALE SUPPL 429210,A81000C,01009,0100,B 429210,A81000C,01009,0400,KARE MEDICAL 429210,A81000C,01009,0600,WHOLESALE SUPPL 429210,A81000C,01010,0100,B 429210,A81000C,01010,0400,KARE MEDICAL 429210,A81000C,01010,0600,WHOLESALE SUPPL 429210,A81000C,01011,0100,B 429210,A81000C,01011,0400,KARE MEDICAL 429210,A81000C,01011,0600,WHOLESALE SUPPL 429210,A81000C,01012,0100,B 429210,A81000C,01012,0400,KARE MEDICAL 429210,A81000C,01012,0600,WHOLESALE SUPPL 429210,A81000C,01013,0100,B 429210,A81000C,01013,0400,KARE MEDICAL 429210,A81000C,01013,0600,WHOLESALE SUPPL 429210,A81000C,01014,0100,B 429210,A81000C,01014,0400,PHARMSAVE 429210,A81000C,01014,0600,RX SUPPLY 429210,A81000C,01015,0100,B 429210,A81000C,01015,0400,PHARMSAVE 429210,A81000C,01015,0600,RX SUPPLY 429210,A81000C,01016,0100,B 429210,A81000C,01016,0400,PHARMSAVE 429210,A81000C,01016,0600,RX SUPPLY 429210,A81000C,01017,0100,B 429210,A81000C,01017,0400,PHARMSAVE 429210,A81000C,01017,0600,RX SUPPLY 429210,A81000C,01018,0100,B 429210,A81000C,01018,0400,PHARMSAVE 429210,A81000C,01018,0600,RX SUPPLY 429210,A81000C,01019,0100,B 429210,A81000C,01019,0400,ROBERT HILL CON 429210,A81000C,01019,0600,CONSTRUCTION 429210,A81000C,01020,0100,B 429210,A81000C,01020,0400,ROBERT HILL CON 429210,A81000C,01020,0600,CONSTRUCTION 429210,A81000C,01021,0100,B 429210,A81000C,01021,0400,ROBERT HILL CON 429210,A81000C,01021,0600,CONSTRUCTION 429210,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429210,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429210,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429210,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429210,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429210,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429210,B100000,00000,0800,0800MEALS SERVED :DIETARY 429210,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429210,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429210,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429210,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429210,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429210,E10A180,00501,0300,07/25/11 429210,E10A180,00550,0100,07/25/11 429210,G300000,02500,0000, OTHER (SPECIFY) 429210,S000000,00100,0200,07/25/11 429210,S200000,00100,0100,128 SNOWHILL ROAD 429210,S200000,00200,0100,AYDEN 429210,S200000,00200,0200,NC 429210,S200000,00200,0300,28153 429210,S200000,00300,0100,PITT 429210,S200000,00300,0201,24780 429210,S200000,00300,0300,U 429210,S200000,00400,0100,BRITTHAVEN OF AYDEN 429210,S200000,00400,0200,345490 429210,S200000,00400,0300,02/05/99 429210,S200000,00400,0500,P 429210,S200000,01500,0100,Y 429210,S200000,01501,0200,Y 429210,S200000,01502,0200,Y 429210,S200000,01503,0200,Y 429210,S200000,01505,0000,OTHER (SPECIFY) 429210,S200000,01505,0200,Y 429210,S200000,01600,0100,N 429210,S200000,01700,0100,N 429210,S200000,01800,0100,N 429210,S200000,02200,0100,N 429210,S200000,02800,0100,N 429210,S200000,02900,0100,N 429210,S200000,03000,0100,N 429210,S200000,03100,0100,Y 429210,S200000,03200,0100,N 429210,S200000,03300,0100,N 429210,S200000,03300,0200,N 429210,S200000,04100,0100,N 429210,S200000,04200,0100,N 429210,S200000,04300,0100,N 429210,S200000,04600,0100,N 429210,S200000,04700,0100,N 429210,S200000,04700,0200,N 429210,S200000,04900,0100,N 429210,S200000,05000,0100,N 429210,S200000,05100,0100,N 429210,S200000,05200,0100,N 429210,S200000,05300,0100,Y 429210,S200000,05300,0200,349011 429210,S200000,05400,0100,BRITTHAVEN INC. 429210,S200000,05400,0200,PALMETTO GBA 429210,S200000,05400,0300,11501 429210,S200000,05500,0100,1435 HWY 258 NORTH 429210,S200000,05500,0200,PO BOX 61 429210,S200000,05600,0100,KINSTON 429210,S200000,05600,0200,NC 429210,S200000,05600,0300,28502 429213,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429213,A000000,00300,0000,0300EMPLOYEE BENEFITS 429213,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429213,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429213,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429213,A000000,00700,0000,0700HOUSEKEEPING 429213,A000000,00800,0000,0800DIETARY 429213,A000000,00900,0000,0900NURSING ADMINISTRATION 429213,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429213,A000000,01100,0000,1100PHARMACY 429213,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429213,A000000,01300,0000,1300SOCIAL SERVICE 429213,A000000,01500,0000,1350ACTIVITIES 429213,A000000,01600,0000,1600SKILLED NURSING FACILITY 429213,A000000,01800,0000,1800NURSING FACILITY 429213,A000000,01810,0000,1810ICF/MR 429213,A000000,01900,0000,1900OTHER LONG TERM CARE 429213,A000000,02100,0000,2100RADIOLOGY 429213,A000000,02200,0000,2200LABORATORY 429213,A000000,02300,0000,2300INTRAVENOUS THERAPY 429213,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429213,A000000,02500,0000,2500PHYSICAL THERAPY 429213,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429213,A000000,02700,0000,2700SPEECH PATHOLOGY 429213,A000000,02800,0000,2800ELECTROCARDIOLOGY 429213,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429213,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429213,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429213,A000000,03200,0000,3200SUPPORT SURFACES 429213,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429213,A000000,03400,0000,3400CLINIC 429213,A000000,03500,0000,3500RURAL HEALTH CLINIC 429213,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429213,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429213,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429213,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429213,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429213,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429213,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429213,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429213,A000000,04400,0000,4400DME RENTED - HHA 429213,A000000,04500,0000,4500DME SOLD - HHA 429213,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429213,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429213,A000000,04800,0000,4800AMBULANCE 429213,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429213,A000000,05000,0000,5000CORF 429213,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429213,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429213,A000000,05300,0000,5300INTEREST EXPENSE 429213,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429213,A000000,05500,0000,5500HOSPICE 429213,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429213,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429213,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429213,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429213,A000000,06100,0000,6100NONPAID WORKERS 429213,A000000,06200,0000,6200PATIENTS LAUNDRY 429213,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429213,A81000A,00100,0100,Y 429213,A81000B,00100,0300,MANAGEMENT FEES 429213,A81000B,00200,0300,MANAGEMENT FEES 429213,A81000B,00300,0300,MANAGEMENT FEES 429213,A81000B,00400,0300,SUPPLIES 429213,A81000B,00500,0300,OTHER MCR A 429213,A81000B,00600,0300,SUPPLIES 429213,A81000B,00700,0300,SUPPLIES 429213,A81000B,00800,0300,SUPPLIES 429213,A81000B,00900,0300,SUPPLIES 429213,A81000B,01000,0300,INSURANCE 429213,A81000B,01100,0300,DRUGS - VA 429213,A81000B,01200,0300,CNA ORIENTATION 429213,A81000B,01300,0300,DRUGS - PVT 429213,A81000B,01400,0300,MINOR EQUIPMENT 429213,A81000B,01500,0300,PHARMACY CONSULTANT 429213,A81000B,01600,0300,OTHER EMP BENEFITS 429213,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 429213,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 429213,A81000B,01900,0300,DRUGS - MEDICARE 429213,A81000B,02000,0300,OTC DRUGS 429213,A81000B,02100,0300,GLUCOSE SUPPLIES 429213,A81000B,02200,0300,DRUGS-MCD NON PDP 429213,A81000B,02300,0300,RENT 429213,A81000B,02400,0300,CHG-LOAN COSTS 429213,A81000B,02500,0300,CHG-ACCOUNTING FEES 429213,A81000B,02600,0300,CHG-TAXES 429213,A81000B,02700,0300,CHG-MORTGAGE INTEREST 429213,A81000B,02800,0300,CHG-HISTORICAL COST DEPRECIATION 429213,A81000B,02900,0300,PHYSICAL THERAPY 429213,A81000C,00100,0100,A 429213,A81000C,00100,0200,MICHAEL H. MCBRIDE 429213,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 429213,A81000C,00100,0600,HOME OFFICE 429213,A81000C,00200,0100,A 429213,A81000C,00200,0200,JOHN SWIFT 429213,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 429213,A81000C,00200,0600,HOME OFFICE 429213,A81000C,00300,0100,A 429213,A81000C,00300,0200,BILL WILLIAMSON 429213,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 429213,A81000C,00300,0600,HOME OFFICE 429213,A81000C,00400,0100,A 429213,A81000C,00400,0200,MICHAEL H. MCBRIDE 429213,A81000C,00400,0400,GROVE MEDICAL INC 429213,A81000C,00400,0600,SUPPLIES 429213,A81000C,00500,0100,A 429213,A81000C,00500,0200,MICHAEL H. MCBRIDE 429213,A81000C,00500,0400,CARDINAL HEALTH GROUP 429213,A81000C,00500,0600,BUILDING LEASE 429213,A81000C,00600,0100,A 429213,A81000C,00600,0200,MICHAEL H. MCBRIDE 429213,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 429213,A81000C,00600,0600,THERAPY 429213,A81000C,00700,0100,A 429213,A81000C,00700,0200,JOHN SWIFT 429213,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 429213,A81000C,00700,0600,THERAPY 429213,A81000C,00800,0100,A 429213,A81000C,00800,0200,BILL WILLIAMSON 429213,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 429213,A81000C,00800,0600,THERAPY 429213,A81000C,00900,0100,A 429213,A81000C,00900,0200,MICHAEL H. MCBRIDGE 429213,A81000C,00900,0400,CRESCENT INDEMNITY INC. 429213,A81000C,00900,0600,INSURANCE 429213,A81000C,01000,0100,A 429213,A81000C,01000,0200,JOHN SWIFT 429213,A81000C,01000,0400,CRESCENT INDEMNITY INC 429213,A81000C,01000,0600,INSURANCE 429213,A81000C,01001,0100,A 429213,A81000C,01001,0200,BILL WILLIAMSON 429213,A81000C,01001,0400,CRESCENT INDEMNTIY INC 429213,A81000C,01001,0600,INSURANCE 429213,A81000C,01002,0100,A 429213,A81000C,01002,0200,MICHAEL H. MCBRIDE 429213,A81000C,01002,0400,PROCARE RX 429213,A81000C,01002,0600,PHARMACY 429213,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429213,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429213,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429213,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429213,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429213,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429213,B100000,00000,0800,0800MEALS SERVED :DIETARY 429213,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429213,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429213,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429213,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429213,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429213,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429213,E10A180,00550,0100,07/07/11 429213,G300000,02501,0000,GARNISHMENT FEE 429213,S000000,00100,0200,07/07/11 429213,S200000,00100,0100,109 BENTZ ROAD 429213,S200000,00200,0100,PIEDMONT 429213,S200000,00200,0200,SC 429213,S200000,00200,0300,29673 429213,S200000,00300,0100,ANDERSON 429213,S200000,00300,0200,3160 429213,S200000,00300,0201,11340 429213,S200000,00300,0300,U 429213,S200000,00400,0100,RIVERSIDE LIVING CENTER LLC 429213,S200000,00400,0200,425314 429213,S200000,00400,0300,07/01/93 429213,S200000,00400,0500,P 429213,S200000,01500,0100,Y 429213,S200000,01501,0200,N 429213,S200000,01502,0200,N 429213,S200000,01503,0200,N 429213,S200000,01504,0200,N 429213,S200000,01600,0100,N 429213,S200000,01700,0100,N 429213,S200000,01800,0100,N 429213,S200000,02200,0100,N 429213,S200000,02800,0100,Y 429213,S200000,02900,0100,N 429213,S200000,03000,0100,N 429213,S200000,03100,0100,N 429213,S200000,03200,0100,N 429213,S200000,03300,0100,N 429213,S200000,03300,0200,N 429213,S200000,04100,0100,N 429213,S200000,04200,0100,N 429213,S200000,04300,0100,N 429213,S200000,04600,0100,N 429213,S200000,04700,0100,N 429213,S200000,04700,0200,N 429213,S200000,04900,0100,N 429213,S200000,05000,0100,N 429213,S200000,05100,0100,N 429213,S200000,05200,0100,N 429213,S200000,05300,0100,Y 429213,S200000,05300,0200,42HO32 429213,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 429213,S200000,05400,0200,PALMETTO GBA 429213,S200000,05400,0300, 00380 429213,S200000,05500,0100,101 GRACE DRIVE 429213,S200000,05600,0100,EASLEY 429213,S200000,05600,0200,SC 429213,S200000,05600,0300,29640 429220,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429220,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429220,A000000,00300,0000,0300EMPLOYEE BENEFITS 429220,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429220,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429220,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429220,A000000,00700,0000,0700HOUSEKEEPING 429220,A000000,00800,0000,0800DIETARY 429220,A000000,00900,0000,0900NURSING ADMINISTRATION 429220,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429220,A000000,01100,0000,1100PHARMACY 429220,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429220,A000000,01300,0000,1300SOCIAL SERVICE 429220,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429220,A000000,01600,0000,1600SKILLED NURSING FACILITY 429220,A000000,01800,0000,1800NURSING FACILITY 429220,A000000,01900,0000,1900OTHER LONG TERM CARE 429220,A000000,02100,0000,2100RADIOLOGY 429220,A000000,02200,0000,2200LABORATORY 429220,A000000,02300,0000,2300INTRAVENOUS THERAPY 429220,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429220,A000000,02500,0000,2500PHYSICAL THERAPY 429220,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429220,A000000,02700,0000,2700SPEECH PATHOLOGY 429220,A000000,02800,0000,2800ELECTROCARDIOLOGY 429220,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429220,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429220,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429220,A000000,03200,0000,3200SUPPORT SURFACES 429220,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429220,A000000,03400,0000,3400CLINIC 429220,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429220,A000000,04800,0000,4800AMBULANCE 429220,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429220,A000000,05000,0000,5000CORF 429220,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429220,A000000,05300,0000,5300INTEREST EXPENSE 429220,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429220,A000000,05500,0000,5500HOSPICE 429220,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429220,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429220,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429220,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429220,A000000,06100,0000,6100NONPAID WORKERS 429220,A000000,06200,0000,6200PATIENTS LAUNDRY 429220,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429220,A81000A,00100,0100,Y 429220,A81000B,00100,0300,NURSING CONSULTING 429220,A81000B,00200,0300,DIETARY CONSULTING 429220,A81000B,00300,0300,HOME OFFICE 429220,A81000B,00400,0300,INTEREST EXPENSE 429220,A81000B,00500,0300,WORKERS COMPENSATION 429220,A81000B,00600,0300,PROFESSIONAL LIABILITY 429220,A81000B,00700,0300,MAINTENANCE SUPPLIES 429220,A81000B,00800,0300,REPARIS-EQUIPMENT 429220,A81000B,00900,0300,PAPER PRODUCTS 429220,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 429220,A81000B,01100,0300,DIETARY SUPPLEMENTS 429220,A81000B,01200,0300,DIETARY SUPPLIES 429220,A81000B,01300,0300,INCONTINENCE SUPPLIES 429220,A81000B,01400,0300,MEDICAL SUPPLIES 429220,A81000B,01500,0300,PERSONAL CARE SUPPLIES 429220,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 429220,A81000B,01700,0300,BIO-MEDICAL WASTE 429220,A81000B,01800,0300,LINEN & BEDDING 429220,A81000B,01900,0300,LAUNDRY SUPPLIES 429220,A81000B,02000,0300,PT SUPPLIES 429220,A81000B,02100,0300,OXYGEN SUPPLIES 429220,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 429220,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 429220,A81000B,02400,0300,NON-LEGEND DRUGS 429220,A81000B,02500,0300,MEDICAL RECORDS SUPPLIES 429220,A81000B,02600,0300,PHARMACY CONSULTING 429220,A81000B,02700,0300,LEGEND DRUGS 429220,A81000B,02800,0300,REPAIRS-GROUND 429220,A81000B,02900,0300,MEDICAL RECORDS SUPPLIES 429220,A81000C,00100,0100,B 429220,A81000C,00100,0200,HILLCO LTD 429220,A81000C,00100,0400,BRITTHAVEN INC 429220,A81000C,00100,0600,MGMT SERVICES 429220,A81000C,00200,0100,B 429220,A81000C,00200,0200,HILLCO LTD 429220,A81000C,00200,0400,BRITTHAVEN INC 429220,A81000C,00200,0600,MGMT SERVICES 429220,A81000C,00300,0100,B 429220,A81000C,00300,0200,HILLCO LTD 429220,A81000C,00300,0400,BRITTHAVEN INC 429220,A81000C,00300,0600,MGMT SERVICES 429220,A81000C,00400,0100,B 429220,A81000C,00400,0200,HILLCO LTD 429220,A81000C,00400,0400,BRITTHAVEN INC 429220,A81000C,00400,0600,MGMT SERVICES 429220,A81000C,00500,0100,A 429220,A81000C,00500,0200,HILLCO LTD 429220,A81000C,00500,0400,DISCOVERY INSUR 429220,A81000C,00500,0600,INSURANCE 429220,A81000C,00600,0100,A 429220,A81000C,00600,0200,HILLCO LTD 429220,A81000C,00600,0400,QUEENSLAND ASSU 429220,A81000C,00600,0600,INSURANCE 429220,A81000C,00700,0100,B 429220,A81000C,00700,0200,HILLCO LTD 429220,A81000C,00700,0400,KARE MEDICAL 429220,A81000C,00700,0600,WHOLESALE SUPPL 429220,A81000C,00800,0100,B 429220,A81000C,00800,0200,HILLCO LTD 429220,A81000C,00800,0400,KARE MEDICAL 429220,A81000C,00800,0600,WHOLESALE SUPPL 429220,A81000C,00900,0100,B 429220,A81000C,00900,0200,HILLCO LTD 429220,A81000C,00900,0400,KARE MEDICAL 429220,A81000C,00900,0600,WHOLESALE SUPPL 429220,A81000C,01000,0100,B 429220,A81000C,01000,0200,HILLCO LTD 429220,A81000C,01000,0400,KARE MEDICAL 429220,A81000C,01000,0600,WHOLESALE SUPPL 429220,A81000C,01001,0100,B 429220,A81000C,01001,0200,HILLCO LTD 429220,A81000C,01001,0400,KARE MEDICAL 429220,A81000C,01001,0600,WHOLESALE SUPPL 429220,A81000C,01002,0100,B 429220,A81000C,01002,0200,HILLCO LTD 429220,A81000C,01002,0400,KARE MEDICAL 429220,A81000C,01002,0600,WHOLESALE SUPPL 429220,A81000C,01003,0100,B 429220,A81000C,01003,0200,HILLCO LTD 429220,A81000C,01003,0400,KARE MEDICAL 429220,A81000C,01003,0600,WHOLESALE SUPPL 429220,A81000C,01004,0100,B 429220,A81000C,01004,0200,HILLCO LTD 429220,A81000C,01004,0400,KARE MEDICAL 429220,A81000C,01004,0600,WHOLESALE SUPPL 429220,A81000C,01005,0100,B 429220,A81000C,01005,0200,HILLCO LTD 429220,A81000C,01005,0400,KARE MEDICAL 429220,A81000C,01005,0600,WHOLESALE SUPPL 429220,A81000C,01006,0100,B 429220,A81000C,01006,0200,HILLCO LTD 429220,A81000C,01006,0400,KARE MEDICAL 429220,A81000C,01006,0600,WHOLESALE SUPPL 429220,A81000C,01007,0100,B 429220,A81000C,01007,0200,HILLCO LTD 429220,A81000C,01007,0400,KARE MEDICAL 429220,A81000C,01007,0600,WHOLESALE SUPPL 429220,A81000C,01008,0100,B 429220,A81000C,01008,0200,HILLCO LTD 429220,A81000C,01008,0400,KARE MEDICAL 429220,A81000C,01008,0600,WHOLESALE SUPPL 429220,A81000C,01009,0100,B 429220,A81000C,01009,0200,HILLCO LTD 429220,A81000C,01009,0400,KARE MEDICAL 429220,A81000C,01009,0600,WHOLESALE SUPPL 429220,A81000C,01010,0100,B 429220,A81000C,01010,0200,HILLCO LTD 429220,A81000C,01010,0400,KARE MEDICAL 429220,A81000C,01010,0600,WHOLESALE SUPPL 429220,A81000C,01011,0100,B 429220,A81000C,01011,0200,HILLCO LTD 429220,A81000C,01011,0400,KARE MEDICAL 429220,A81000C,01011,0600,WHOLESALE SUPPL 429220,A81000C,01012,0100,B 429220,A81000C,01012,0200,HILLCO LTD 429220,A81000C,01012,0400,KARE MEDICAL 429220,A81000C,01012,0600,WHOLESALE SUPPL 429220,A81000C,01013,0100,B 429220,A81000C,01013,0200,HILLCO LTD 429220,A81000C,01013,0400,KARE MEDICAL 429220,A81000C,01013,0600,WHOLESALE SUPPL 429220,A81000C,01014,0100,B 429220,A81000C,01014,0200,HILLCO LTD 429220,A81000C,01014,0400,PHARMSAVE 429220,A81000C,01014,0600,RX SUPPLY 429220,A81000C,01015,0100,B 429220,A81000C,01015,0200,HILLCO LTD 429220,A81000C,01015,0400,PHARMSAVE 429220,A81000C,01015,0600,RX SUPPLY 429220,A81000C,01016,0100,B 429220,A81000C,01016,0200,HILLCO LTD 429220,A81000C,01016,0400,PHARMSAVE 429220,A81000C,01016,0600,RX SUPPLY 429220,A81000C,01017,0100,B 429220,A81000C,01017,0200,HILLCO LTD 429220,A81000C,01017,0400,PHARMSAVE 429220,A81000C,01017,0600,RX SUPPLY 429220,A81000C,01018,0100,B 429220,A81000C,01018,0200,HILLCO LTD 429220,A81000C,01018,0400,ROBERT HILL CON 429220,A81000C,01018,0600,CONSTRUCTION 429220,A81000C,01019,0100,B 429220,A81000C,01019,0200,HILLCO LTD 429220,A81000C,01019,0400,ROBERT HILL CON 429220,A81000C,01019,0600,CONSTRUCTION 429220,A81000C,01020,0100,B 429220,A81000C,01020,0200,HILLCO LTD 429220,A81000C,01020,0400,ROBERT HILL CON 429220,A81000C,01020,0600,CONSTRUCTION 429220,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429220,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429220,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429220,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429220,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429220,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429220,B100000,00000,0800,0800MEALS SERVED :DIETARY 429220,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429220,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429220,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429220,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429220,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429220,G300000,02500,0000, OTHER (SPECIFY) 429220,S000000,00100,0200,10/06/11 429220,S200000,00100,0100,2461 LEGION ROAD 429220,S200000,00200,0100,FAYETTEVILLE 429220,S200000,00200,0200,NC 429220,S200000,00200,0300,28304 429220,S200000,00300,0100,CUMBERLAND 429220,S200000,00300,0201,22180 429220,S200000,00300,0300,U 429220,S200000,00400,0100,CAMPBELLTON HEALTH CARE CENTER 429220,S200000,00400,0200,345376 429220,S200000,00400,0300,06/13/91 429220,S200000,00400,0500,P 429220,S200000,01500,0100,N 429220,S200000,01501,0200,Y 429220,S200000,01502,0200,Y 429220,S200000,01503,0200,Y 429220,S200000,01504,0200,Y 429220,S200000,01505,0000,OTHER (SPECIFY) 429220,S200000,01505,0200,Y 429220,S200000,01600,0100,N 429220,S200000,01700,0100,N 429220,S200000,01800,0100,N 429220,S200000,02200,0100,N 429220,S200000,02800,0100,N 429220,S200000,02900,0100,N 429220,S200000,03000,0100,N 429220,S200000,03100,0100,N 429220,S200000,03200,0100,N 429220,S200000,03300,0100,N 429220,S200000,03300,0200,N 429220,S200000,04100,0100,N 429220,S200000,04200,0100,N 429220,S200000,04300,0100,N 429220,S200000,04600,0100,N 429220,S200000,04700,0100,N 429220,S200000,04700,0200,N 429220,S200000,04900,0100,N 429220,S200000,05000,0100,N 429220,S200000,05100,0100,N 429220,S200000,05200,0100,N 429220,S200000,05300,0100,Y 429220,S200000,05300,0200,349011 429220,S200000,05400,0100,BRITTHAVEN INC. 429220,S200000,05400,0200,PALMETTO GBA 429220,S200000,05400,0300,11501 429220,S200000,05500,0100,1435 HWY 258 NORTH 429220,S200000,05600,0100,KINSTON 429220,S200000,05600,0200,NC 429220,S200000,05600,0300,28502 429243,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429243,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429243,A000000,00300,0000,0300EMPLOYEE BENEFITS 429243,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429243,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429243,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429243,A000000,00700,0000,0700HOUSEKEEPING 429243,A000000,00800,0000,0800DIETARY 429243,A000000,00900,0000,0900NURSING ADMINISTRATION 429243,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429243,A000000,01100,0000,1100PHARMACY 429243,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429243,A000000,01300,0000,1300SOCIAL SERVICE 429243,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429243,A000000,01500,0000,1350ACTIVITIES 429243,A000000,01600,0000,1600SKILLED NURSING FACILITY 429243,A000000,01810,0000,1810ICF/MR 429243,A000000,02100,0000,2100RADIOLOGY 429243,A000000,02200,0000,2200LABORATORY 429243,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429243,A000000,02500,0000,2500PHYSICAL THERAPY 429243,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429243,A000000,02700,0000,2700SPEECH PATHOLOGY 429243,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429243,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429243,A000000,03550,0000,3550FQHC 429243,A000000,04800,0000,4800AMBULANCE 429243,A000000,05000,0000,5000CORF 429243,A000000,05010,0000,5010CMHC 429243,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429243,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429243,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429243,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429243,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 429243,A81000A,00100,0100,Y 429243,A81000B,00100,0300,PHYSICAL THERAPY 429243,A81000B,00200,0300,OCCUPATION THERAPY 429243,A81000B,00300,0300,SPEECH THERAPY 429243,A81000B,00400,0300,DIETARY 429243,A81000B,00500,0300,RESPIRATORY THERAPY 429243,A81000B,00600,0300,RESPIRATORY THERAPY 429243,A81000B,00700,0300,MEDICAL DIRECTOR 429243,A81000B,00800,0300,ADMINISTRATION - HO 429243,A81000B,00900,0300,INTEREST - HO 429243,A81000B,01000,0300,BUILDING - HO 429243,A81000C,00100,0100,B 429243,A81000C,00100,0200,GENESIS REHAB 429243,A81000C,00100,0400,GENESIS HEALTHC 429243,A81000C,00100,0600,REHAB SERVICES 429243,A81000C,00200,0100,B 429243,A81000C,00200,0200,GENESIS REHAB 429243,A81000C,00200,0400,GENESIS HEALTHC 429243,A81000C,00200,0600,REHAB SERVICES 429243,A81000C,00300,0100,B 429243,A81000C,00300,0200,GENESIS REHAB 429243,A81000C,00300,0400,GENESIS HEALTHC 429243,A81000C,00300,0600,REHAB SERVICES 429243,A81000C,00400,0100,B 429243,A81000C,00400,0200,GENESIS HOSPITA 429243,A81000C,00400,0400,GENESIS HEALTHC 429243,A81000C,00400,0600,CONSULTING SERV 429243,A81000C,00500,0100,B 429243,A81000C,00500,0200,RESPIRATORY HEA 429243,A81000C,00500,0400,GENESIS HEALTHC 429243,A81000C,00500,0600,RESPIRATORY SER 429243,A81000C,00600,0100,B 429243,A81000C,00600,0200,RESPIRATORY HEA 429243,A81000C,00600,0400,GENESIS HEALTHC 429243,A81000C,00600,0600,RESPIRATORY SER 429243,A81000C,00700,0100,B 429243,A81000C,00700,0200,GENESIS PHYSICI 429243,A81000C,00700,0400,GENESIS HEALTHC 429243,A81000C,00700,0600,MEDICAL DIRECTO 429243,A81000C,00800,0100,B 429243,A81000C,00800,0200,GENESIS HEALTHC 429243,A81000C,00800,0600,MANAGEMENT COMP 429243,A81000C,00900,0100,B 429243,A81000C,00900,0200,GENESIS HEALTHC 429243,A81000C,00900,0600,MANAGEMENT COMP 429243,A81000C,01000,0100,B 429243,A81000C,01000,0200,GENESIS HEALTHC 429243,A81000C,01000,0600,MANAGEMENT COMP 429243,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429243,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429243,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429243,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429243,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429243,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429243,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429243,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429243,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429243,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429243,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429243,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429243,E10A180,00550,0100,11/15/11 429243,G300000,02500,0000,BARBER/BEAUTY REVENUE 429243,S000000,00100,0200,11/15/11 429243,S200000,00100,0100,ROUTE 5 429243,S200000,00200,0100,MARTINSBURG 429243,S200000,00200,0200,WV 429243,S200000,00200,0300,25401 429243,S200000,00300,0100,BERKELEY 429243,S200000,00300,0201,25180 429243,S200000,00300,0300,U 429243,S200000,00400,0100,CAREHAVEN CENTER 429243,S200000,00400,0200,515178 429243,S200000,00400,0300,06/01/02 429243,S200000,00400,0500,P 429243,S200000,01500,0100,Y 429243,S200000,01501,0200,Y 429243,S200000,01502,0200,N 429243,S200000,01503,0200,N 429243,S200000,01504,0200,N 429243,S200000,01600,0100,N 429243,S200000,01700,0100,N 429243,S200000,01800,0100,N 429243,S200000,02200,0100,Y 429243,S200000,02800,0100,N 429243,S200000,02900,0100,N 429243,S200000,03000,0100,N 429243,S200000,03100,0100,N 429243,S200000,03200,0100,N 429243,S200000,03300,0100,N 429243,S200000,03300,0200,N 429243,S200000,03600,0100,N 429243,S200000,03600,0200,N 429243,S200000,04100,0100,N 429243,S200000,04200,0100,N 429243,S200000,04300,0100,N 429243,S200000,04600,0100,N 429243,S200000,04700,0100,N 429243,S200000,04700,0200,N 429243,S200000,04900,0100,N 429243,S200000,05000,0100,N 429243,S200000,05100,0100,N 429243,S200000,05200,0100,N 429243,S200000,05300,0100,Y 429243,S200000,05300,0200,HB0067 429243,S200000,05400,0100,GENESIS HEALTHCARE CORP 429243,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429243,S200000,05400,0300,12001 429243,S200000,05500,0100,101 EAST STATE STREET 429243,S200000,05600,0100,KENNETT SQUARE 429243,S200000,05600,0200,PA 429243,S200000,05600,0300,19348 429276,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429276,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429276,A000000,00300,0000,0300EMPLOYEE BENEFITS 429276,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429276,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429276,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429276,A000000,00700,0000,0700HOUSEKEEPING 429276,A000000,00800,0000,0800DIETARY 429276,A000000,00900,0000,0900NURSING ADMINISTRATION 429276,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429276,A000000,01100,0000,1100PHARMACY 429276,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429276,A000000,01300,0000,1300SOCIAL SERVICE 429276,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429276,A000000,01500,0000,1350ACTIVITIES 429276,A000000,01600,0000,1600SKILLED NURSING FACILITY 429276,A000000,01810,0000,1810ICF/MR 429276,A000000,02100,0000,2100RADIOLOGY 429276,A000000,02200,0000,2200LABORATORY 429276,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429276,A000000,02500,0000,2500PHYSICAL THERAPY 429276,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429276,A000000,02700,0000,2700SPEECH PATHOLOGY 429276,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429276,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429276,A000000,03550,0000,3550FQHC 429276,A000000,04800,0000,4800AMBULANCE 429276,A000000,05000,0000,5000CORF 429276,A000000,05010,0000,5010CMHC 429276,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429276,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429276,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429276,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429276,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 429276,A81000A,00100,0100,Y 429276,A81000B,00100,0300,PHYSICAL THERAPY 429276,A81000B,00200,0300,OCCUPATIONAL THERAPY 429276,A81000B,00300,0300,SPEECH THERAPY 429276,A81000B,00400,0300,DIETARY 429276,A81000B,00500,0300,RESPIRATORY THERAPY 429276,A81000B,00600,0300,RESPIRATORY THERAPY 429276,A81000B,00700,0300,BUILDING 429276,A81000B,00800,0300,EQUIPMENT 429276,A81000B,00900,0300,ADMINISTRATION - HO 429276,A81000B,01000,0300,INTEREST - HO 429276,A81000B,01100,0300,BUILDING - HO 429276,A81000C,00100,0100,B 429276,A81000C,00100,0200,GENESIS REHAB 429276,A81000C,00100,0400,GENESIS HEALTHC 429276,A81000C,00100,0600,REHAB SERVICES 429276,A81000C,00200,0100,B 429276,A81000C,00200,0200,GENESIS REHAB 429276,A81000C,00200,0400,GENESIS HEALTHC 429276,A81000C,00200,0600,REHAB SERVICES 429276,A81000C,00300,0100,B 429276,A81000C,00300,0200,GENESIS REHAB 429276,A81000C,00300,0400,GENESIS HEALTHC 429276,A81000C,00300,0600,REHAB SERVICES 429276,A81000C,00400,0100,B 429276,A81000C,00400,0200,GENESIS HOSPITA 429276,A81000C,00400,0400,GENESIS HEALTHC 429276,A81000C,00400,0600,CONSULTING SERV 429276,A81000C,00500,0100,B 429276,A81000C,00500,0200,RESPIRATORY HEA 429276,A81000C,00500,0400,GENESIS HEALTHC 429276,A81000C,00500,0600,RESPIRATORY SER 429276,A81000C,00600,0100,B 429276,A81000C,00600,0200,RESPIRATORY HEA 429276,A81000C,00600,0400,GENESIS HEALTHC 429276,A81000C,00600,0600,RESPIRATORY SER 429276,A81000C,00700,0100,B 429276,A81000C,00700,0200,1 SUTPHIN DRIVE 429276,A81000C,00700,0400,GENESIS HEALTHC 429276,A81000C,00700,0600,PROPERTY OWNER 429276,A81000C,00800,0100,B 429276,A81000C,00800,0200,1 SUTPHIN DRIVE 429276,A81000C,00800,0400,GENESIS HEALTHC 429276,A81000C,00800,0600,PROPERTY OWNER 429276,A81000C,00900,0100,B 429276,A81000C,00900,0200,GENESIS HEALTHC 429276,A81000C,00900,0600,MANAGEMENT COMP 429276,A81000C,01000,0100,B 429276,A81000C,01000,0200,GENESIS HEALTHC 429276,A81000C,01000,0600,MANAGEMENT COMP 429276,A81000C,01001,0100,B 429276,A81000C,01001,0200,GENESIS HEALTHC 429276,A81000C,01001,0600,MANAGEMENT COMP 429276,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429276,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429276,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429276,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429276,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429276,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429276,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429276,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429276,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429276,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429276,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429276,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429276,G300000,02500,0000,MISCELLANEOUS REVENUE 429276,G300000,02501,0000,BARBER & BEAUTY REVENUE 429276,S000000,00100,0200,09/27/11 429276,S200000,00100,0100,1 SUTPHIN DRIVE 429276,S200000,00200,0100,MARMET 429276,S200000,00200,0200,WV 429276,S200000,00200,0300,25315 429276,S200000,00300,0100,KANAWHA 429276,S200000,00300,0201,16620 429276,S200000,00300,0300,U 429276,S200000,00400,0100,MARMET CENTER 429276,S200000,00400,0200,515146 429276,S200000,00400,0300,10/02/96 429276,S200000,00400,0500,P 429276,S200000,01500,0100,Y 429276,S200000,01501,0200,Y 429276,S200000,01502,0200,N 429276,S200000,01504,0200,N 429276,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 429276,S200000,01505,0200,Y 429276,S200000,01600,0100,N 429276,S200000,01700,0100,N 429276,S200000,01800,0100,N 429276,S200000,02200,0100,Y 429276,S200000,02800,0100,N 429276,S200000,02900,0100,N 429276,S200000,03000,0100,N 429276,S200000,03100,0100,N 429276,S200000,03200,0100,N 429276,S200000,03300,0100,N 429276,S200000,03300,0200,N 429276,S200000,04100,0100,N 429276,S200000,04200,0100,N 429276,S200000,04300,0100,N 429276,S200000,04600,0100,N 429276,S200000,04700,0100,N 429276,S200000,04700,0200,N 429276,S200000,04900,0100,N 429276,S200000,05000,0100,N 429276,S200000,05100,0100,N 429276,S200000,05200,0100,N 429276,S200000,05300,0100,Y 429276,S200000,05300,0200,HB0067 429276,S200000,05400,0100,GENESIS HEALTHCARE CORP 429276,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429276,S200000,05400,0300,12001 429276,S200000,05500,0100,101 EAST STATE STREET 429276,S200000,05600,0100,KENNETT SQUARE 429276,S200000,05600,0200,PA 429276,S200000,05600,0300,19348 429278,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429278,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429278,A000000,00300,0000,0300EMPLOYEE BENEFITS 429278,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429278,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429278,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429278,A000000,00700,0000,0700HOUSEKEEPING 429278,A000000,00800,0000,0800DIETARY 429278,A000000,00900,0000,0900NURSING ADMINISTRATION 429278,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429278,A000000,01100,0000,1100PHARMACY 429278,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429278,A000000,01300,0000,1300SOCIAL SERVICE 429278,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429278,A000000,01500,0000,1350ACTIVITIES 429278,A000000,01600,0000,1600SKILLED NURSING FACILITY 429278,A000000,01810,0000,1810ICF/MR 429278,A000000,02100,0000,2100RADIOLOGY 429278,A000000,02200,0000,2200LABORATORY 429278,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429278,A000000,02500,0000,2500PHYSICAL THERAPY 429278,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429278,A000000,02700,0000,2700SPEECH PATHOLOGY 429278,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429278,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429278,A000000,03550,0000,3550FQHC 429278,A000000,04800,0000,4800AMBULANCE 429278,A000000,05000,0000,5000CORF 429278,A000000,05010,0000,5010CMHC 429278,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429278,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429278,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429278,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429278,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 429278,A81000A,00100,0100,Y 429278,A81000B,00100,0300,PHYSICAL THERAPY 429278,A81000B,00200,0300,OCCUPATIONAL THERAPY 429278,A81000B,00300,0300,SPEECH THERAPY 429278,A81000B,00400,0300,DIETARY 429278,A81000B,00500,0300,RESPIRATORY THERAPY 429278,A81000B,00600,0300,RESPIRATORY THERAPY 429278,A81000B,00700,0300,MEDICAL DIRECTOR 429278,A81000B,00800,0300,BUILDING 429278,A81000B,00900,0300,EQUIPMENT 429278,A81000B,01000,0300,BUILDING - HO 429278,A81000B,01100,0300,INTEREST - HO 429278,A81000B,01200,0300,ADMINISTRATION - HO 429278,A81000C,00100,0100,B 429278,A81000C,00100,0200,GENESIS REHAB 429278,A81000C,00100,0400,GENESIS HEALTHC 429278,A81000C,00100,0600,REHAB SERVICES 429278,A81000C,00200,0100,B 429278,A81000C,00200,0200,GENESIS REHAB 429278,A81000C,00200,0400,GENESIS HEALTHC 429278,A81000C,00200,0600,REHAB SERVICES 429278,A81000C,00300,0100,B 429278,A81000C,00300,0200,GENESIS REHAB 429278,A81000C,00300,0400,GENESIS HEALTHC 429278,A81000C,00300,0600,REHAB SERVICES 429278,A81000C,00400,0100,B 429278,A81000C,00400,0200,GENESIS HOSPITA 429278,A81000C,00400,0400,GENESIS HEALTHC 429278,A81000C,00400,0600,CONSULTING SERV 429278,A81000C,00500,0100,B 429278,A81000C,00500,0200,RESPIRATORY HEA 429278,A81000C,00500,0400,GENESIS HEALTHC 429278,A81000C,00500,0600,RESPIRATORY SER 429278,A81000C,00600,0100,B 429278,A81000C,00600,0200,RESPIRATORY HEA 429278,A81000C,00600,0400,GENESIS HEALTHC 429278,A81000C,00600,0600,RESPIRATORY SER 429278,A81000C,00700,0100,B 429278,A81000C,00700,0200,GENESIS PHYSICI 429278,A81000C,00700,0400,GENESIS HEALTHC 429278,A81000C,00700,0600,MEDICAL DIRECTO 429278,A81000C,00800,0100,B 429278,A81000C,00800,0200,OAK RIDGE RE EN 429278,A81000C,00800,0400,GENESIS HEALTHC 429278,A81000C,00800,0600,PROPERTY OWNER 429278,A81000C,00900,0100,B 429278,A81000C,00900,0200,OAK RIDGE RE EN 429278,A81000C,00900,0400,GENESIS HEALTHC 429278,A81000C,00900,0600,PROPERTY OWNER 429278,A81000C,01000,0100,B 429278,A81000C,01000,0200,GENESIS HEALTHC 429278,A81000C,01000,0600,MANAGEMENT COMP 429278,A81000C,01001,0100,B 429278,A81000C,01001,0200,GENESIS HEALTHC 429278,A81000C,01001,0600,MANAGEMENT COMP 429278,A81000C,01002,0100,B 429278,A81000C,01002,0200,GENESIS HEALTHC 429278,A81000C,01002,0600,MANAGEMENT COMP 429278,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429278,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429278,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429278,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429278,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429278,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429278,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429278,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429278,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429278,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429278,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429278,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429278,G300000,02500,0000,MISCELLANEOUS REVENUE 429278,G300000,02501,0000,BARBER/BEAUTY REVENUE 429278,S000000,00100,0200,09/27/11 429278,S200000,00100,0100,1000 ASSOCIATION DRIVE 429278,S200000,00200,0100,CHARLESTON 429278,S200000,00200,0200,WV 429278,S200000,00200,0300,25311 429278,S200000,00300,0100,KANAWHA 429278,S200000,00300,0201,16620 429278,S200000,00300,0300,U 429278,S200000,00400,0100,OAK RIDGE CENTER 429278,S200000,00400,0200,515174 429278,S200000,00400,0300,10/01/00 429278,S200000,00400,0500,P 429278,S200000,01500,0100,Y 429278,S200000,01502,0200,N 429278,S200000,01504,0200,N 429278,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 429278,S200000,01505,0200,Y 429278,S200000,01600,0100,N 429278,S200000,01700,0100,N 429278,S200000,01800,0100,N 429278,S200000,02200,0100,Y 429278,S200000,02800,0100,N 429278,S200000,02900,0100,N 429278,S200000,03000,0100,N 429278,S200000,03100,0100,N 429278,S200000,03200,0100,N 429278,S200000,03300,0100,N 429278,S200000,03300,0200,N 429278,S200000,04100,0100,N 429278,S200000,04200,0100,N 429278,S200000,04300,0100,N 429278,S200000,04600,0100,N 429278,S200000,04700,0100,N 429278,S200000,04700,0200,N 429278,S200000,04900,0100,N 429278,S200000,05000,0100,N 429278,S200000,05100,0100,N 429278,S200000,05200,0100,N 429278,S200000,05300,0100,Y 429278,S200000,05300,0200,HB0067 429278,S200000,05400,0100,GENESIS HEALTHCARE CORP 429278,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429278,S200000,05400,0300,12001 429278,S200000,05500,0100,101 EAST STATE STREET 429278,S200000,05600,0100,KENNETT SQUARE 429278,S200000,05600,0200,PA 429278,S200000,05600,0300,19348 429307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429307,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429307,A000000,00300,0000,0300EMPLOYEE BENEFITS 429307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429307,A000000,00700,0000,0700HOUSEKEEPING 429307,A000000,00800,0000,0800DIETARY 429307,A000000,00900,0000,0900NURSING ADMINISTRATION 429307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429307,A000000,01100,0000,1100PHARMACY 429307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429307,A000000,01300,0000,1300SOCIAL SERVICE 429307,A000000,01600,0000,1600SKILLED NURSING FACILITY 429307,A000000,02500,0000,2500PHYSICAL THERAPY 429307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429307,A000000,02700,0000,2700SPEECH PATHOLOGY 429307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429307,A000000,05300,0000,5300INTEREST EXPENSE 429307,A81000A,00100,0100,Y 429307,A81000B,00100,0300,BUILDING DEPRECIATION 429307,A81000C,00100,0100,B 429307,A81000C,00100,0200,AWE KUALAWAACHE 429307,A81000C,00100,0400,CROW TRIBE 429307,A81000C,00100,0600,TRIBAL GOVERNMENT 429307,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429307,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429307,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429307,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429307,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429307,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429307,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429307,B100000,00000,0800,0800MEALS SERVED :DIETARY 429307,B100000,00000,0900,0950DIRECT NRGS HRS :NURSING ADMINIS 429307,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429307,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429307,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429307,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429307,G300000,02500,0000,CROW TRIBE SUPPORT 429307,G300000,02501,0000,MEDICAID IGT 429307,G300000,02502,0000,MEDICAID RATE ADJ 429307,G300000,02503,0000,OTHER NON-OPERATING INCOME 429307,S000000,00100,0200,02/29/12 429307,S200000,00100,0100,PO BOX 999 429307,S200000,00100,0300,999 429307,S200000,00200,0100,CROW AGENCY 429307,S200000,00200,0200,MT 429307,S200000,00200,0300,59022 429307,S200000,00300,0100,BIG HORN 429307,S200000,00300,0200,27 429307,S200000,00300,0201,99927 429307,S200000,00300,0300,R 429307,S200000,00400,0100,AWE KUALAWAACHE CARE CENTER 429307,S200000,00400,0200,275153 429307,S200000,00400,0300,06/09/98 429307,S200000,00400,0500,P 429307,S200000,01500,0100,Y 429307,S200000,01501,0200,Y 429307,S200000,01502,0200,Y 429307,S200000,01503,0200,N 429307,S200000,01504,0200,Y 429307,S200000,01600,0100,N 429307,S200000,01700,0100,N 429307,S200000,01800,0100,N 429307,S200000,01900,0100,TRIBAL 429307,S200000,02200,0100,N 429307,S200000,02800,0100,N 429307,S200000,02900,0100,N 429307,S200000,03000,0100,N 429307,S200000,03100,0100,N 429307,S200000,03200,0100,N 429307,S200000,03300,0100,N 429307,S200000,03300,0200,N 429307,S200000,04100,0100,N 429307,S200000,04200,0100,N 429307,S200000,04300,0100,N 429307,S200000,04600,0100,N 429307,S200000,04700,0100,N 429307,S200000,04700,0200,N 429307,S200000,04900,0100,N 429307,S200000,05000,0100,N 429307,S200000,05100,0100,N 429307,S200000,05200,0100,N 429307,S200000,05300,0100,N 429309,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429309,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429309,A000000,00300,0000,0300EMPLOYEE BENEFITS 429309,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429309,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429309,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429309,A000000,00700,0000,0700HOUSEKEEPING 429309,A000000,00800,0000,0800DIETARY 429309,A000000,00900,0000,0900NURSING ADMINISTRATION 429309,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429309,A000000,01100,0000,1100PHARMACY 429309,A000000,01300,0000,1300SOCIAL SERVICE 429309,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429309,A000000,01600,0000,1600SKILLED NURSING FACILITY 429309,A000000,01800,0000,1800NURSING FACILITY 429309,A000000,01810,0000,1810ICF/MR 429309,A000000,01900,0000,1900OTHER LONG TERM CARE 429309,A000000,02100,0000,2100RADIOLOGY 429309,A000000,02200,0000,2200LABORATORY 429309,A000000,02300,0000,2300INTRAVENOUS THERAPY 429309,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429309,A000000,02500,0000,2500PHYSICAL THERAPY 429309,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429309,A000000,02700,0000,2700SPEECH PATHOLOGY 429309,A000000,02800,0000,2800ELECTROCARDIOLOGY 429309,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429309,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429309,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429309,A000000,03200,0000,3200SUPPORT SURFACES 429309,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429309,A000000,03400,0000,3400CLINIC 429309,A000000,03500,0000,3500RURAL HEALTH CLINIC 429309,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429309,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429309,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429309,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429309,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429309,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429309,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429309,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429309,A000000,04400,0000,4400DME RENTED - HHA 429309,A000000,04500,0000,4500DME SOLD - HHA 429309,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429309,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429309,A000000,04710,0000,4710TELEMEDICINE 429309,A000000,04800,0000,4800AMBULANCE 429309,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429309,A000000,05000,0000,5000CORF 429309,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429309,A000000,05300,0000,5300INTEREST EXPENSE 429309,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429309,A000000,05500,0000,5500HOSPICE 429309,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429309,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429309,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429309,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429309,A000000,06100,0000,6100NONPAID WORKERS 429309,A000000,06200,0000,6200PATIENTS LAUNDRY 429309,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429309,A81000A,00100,0100,Y 429309,A81000B,00100,0300,ADMINISTRATION FEES 429309,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOCATION 429309,A81000C,00100,0100,B 429309,A81000C,00100,0200,ROSEWOOD ON BRO 429309,A81000C,00100,0400,SISTERS OF MARY 429309,A81000C,00100,0600,HEALTHCARE 429309,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429309,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429309,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429309,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429309,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429309,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429309,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429309,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429309,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429309,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429309,G300000,02500,0000,REVENUE FROM ADULT DAYCARE 429309,G300000,02501,0000,CAFETERIA INCOME 429309,G300000,02502,0000,INTEREST INCOME 429309,G300000,02503,0000,GRANT INCOME 429309,G300000,02504,0000,GAIN ON DISPOSAL OF ASSETS 429309,S000000,00100,0200,02/29/12 429309,S200000,00100,0100,1351 BROADWAY 429309,S200000,00200,0100,FARGO 429309,S200000,00200,0200,ND 429309,S200000,00200,0300,58102 429309,S200000,00300,0100,CASS 429309,S200000,00300,0201,22020 429309,S200000,00300,0300,U 429309,S200000,00400,0100,ROSEWOOD ON BROADWAY 429309,S200000,00400,0200,355047 429309,S200000,00400,0300,06/01/78 429309,S200000,00400,0500,P 429309,S200000,01500,0100,Y 429309,S200000,01501,0200,Y 429309,S200000,01600,0100,N 429309,S200000,01700,0100,N 429309,S200000,01800,0100,N 429309,S200000,02100,0100,E 429309,S200000,02200,0100,N 429309,S200000,02800,0100,N 429309,S200000,02900,0100,N 429309,S200000,03000,0100,N 429309,S200000,03100,0100,N 429309,S200000,03200,0100,N 429309,S200000,03300,0100,N 429309,S200000,03300,0200,N 429309,S200000,04100,0100,N 429309,S200000,04200,0100,N 429309,S200000,04300,0100,N 429309,S200000,04600,0100,N 429309,S200000,04700,0100,N 429309,S200000,04700,0200,N 429309,S200000,04900,0100,N 429309,S200000,05000,0100,N 429309,S200000,05100,0100,N 429309,S200000,05200,0100,N 429309,S200000,05300,0100,Y 429309,S200000,05300,0200,35HO02 429309,S200000,05400,0100,SMPHS 429309,S200000,05400,0200,NORIDIAN 429309,S200000,05400,0300,03001 429309,S200000,05500,0200,10007 429309,S200000,05600,0100,FARGO 429309,S200000,05600,0200,ND 429309,S200000,05600,0300,58106-0007 429310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429310,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429310,A000000,00300,0000,0300EMPLOYEE BENEFITS 429310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429310,A000000,00700,0000,0700HOUSEKEEPING 429310,A000000,00800,0000,0800DIETARY 429310,A000000,00900,0000,0900NURSING ADMINISTRATION 429310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429310,A000000,01100,0000,1100PHARMACY 429310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429310,A000000,01300,0000,1300SOCIAL SERVICE 429310,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429310,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429310,A000000,01600,0000,1600SKILLED NURSING FACILITY 429310,A000000,01800,0000,1800NURSING FACILITY 429310,A000000,01810,0000,1810ICF/MR 429310,A000000,01900,0000,1900OTHER LONG TERM CARE 429310,A000000,02100,0000,2100RADIOLOGY 429310,A000000,02200,0000,2200LABORATORY 429310,A000000,02300,0000,2300INTRAVENOUS THERAPY 429310,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429310,A000000,02500,0000,2500PHYSICAL THERAPY 429310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429310,A000000,02700,0000,2700SPEECH PATHOLOGY 429310,A000000,02800,0000,2800ELECTROCARDIOLOGY 429310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429310,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429310,A000000,03200,0000,3200SUPPORT SURFACES 429310,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429310,A000000,03400,0000,3400CLINIC 429310,A000000,03500,0000,3500RURAL HEALTH CLINIC 429310,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429310,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429310,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429310,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429310,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429310,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429310,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429310,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429310,A000000,04400,0000,4400DME RENTED - HHA 429310,A000000,04500,0000,4500DME SOLD - HHA 429310,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429310,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429310,A000000,04710,0000,4710TELEMEDICINE 429310,A000000,04800,0000,4800AMBULANCE 429310,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429310,A000000,05000,0000,5000CORF 429310,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429310,A000000,05300,0000,5300INTEREST EXPENSE 429310,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429310,A000000,05500,0000,5500HOSPICE 429310,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429310,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429310,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429310,A000000,06100,0000,6100NONPAID WORKERS 429310,A000000,06200,0000,6200PATIENTS LAUNDRY 429310,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429310,A81000A,00100,0100,Y 429310,A81000B,00100,0300,HOME OFFICE ADMIN FEE 429310,A81000B,00200,0300,HOME OFFICE CAPITAL 429310,A81000C,00100,0100,B 429310,A81000C,00100,0200,SHEYENNE CARE C 429310,A81000C,00100,0400,SMP HEALTH SYST 429310,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429310,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429310,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429310,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429310,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429310,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429310,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429310,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429310,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429310,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429310,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429310,E10A180,00550,0300,03/27/12 429310,G300000,02501,0000,SHOPPING CART 429310,G300000,02502,0000,ARTS & CRAFTS 429310,G300000,02503,0000,LIFELINE 429310,G300000,02504,0000,INTEREST 429310,G300000,02505,0000,DISPOSALS 429310,S000000,00100,0200,02/29/12 429310,S200000,00100,0100,979 CENTRAL AVE N 429310,S200000,00200,0100,VALLEY CITY 429310,S200000,00200,0200,ND 429310,S200000,00200,0300,58072 429310,S200000,00300,0100,BARNES 429310,S200000,00300,0201,99935 429310,S200000,00300,0300,R 429310,S200000,00400,0100,SHEYENNE CARE CENTER 429310,S200000,00400,0200,355077 429310,S200000,00400,0300,10/01/78 429310,S200000,00400,0500,P 429310,S200000,01500,0100,N 429310,S200000,01501,0200,Y 429310,S200000,01502,0200,Y 429310,S200000,01504,0200,Y 429310,S200000,01505,0000,OTHER (SPECIFY) NURSING ADMIN 429310,S200000,01505,0200,Y 429310,S200000,01600,0100,N 429310,S200000,01700,0100,N 429310,S200000,01800,0100,N 429310,S200000,02100,0100,E 429310,S200000,02200,0100,N 429310,S200000,02800,0100,N 429310,S200000,02900,0100,N 429310,S200000,03000,0100,N 429310,S200000,03100,0100,N 429310,S200000,03200,0100,N 429310,S200000,03300,0100,N 429310,S200000,03300,0200,N 429310,S200000,04100,0100,N 429310,S200000,04200,0100,N 429310,S200000,04300,0100,N 429310,S200000,04600,0100,N 429310,S200000,04700,0100,N 429310,S200000,04700,0200,N 429310,S200000,04900,0100,N 429310,S200000,05000,0100,N 429310,S200000,05100,0100,N 429310,S200000,05200,0100,N 429310,S200000,05300,0100,Y 429310,S200000,05300,0200,35HO02 429310,S200000,05400,0100,SMPHS 429310,S200000,05400,0200,NORIDIAN 429310,S200000,05400,0300,03101 429310,S200000,05500,0100,1202 PAGE DRIVE SW 429310,S200000,05500,0200,PO BOX 10 429310,S200000,05600,0100,FARGO 429310,S200000,05600,0200,ND 429310,S200000,05600,0300,58106-0007 429312,S000000,00100,0200,02/23/12 429312,S200000,00100,0100,110 HILLCREST DR 429312,S200000,00200,0100,ENDERLIN 429312,S200000,00200,0200,ND 429312,S200000,00200,0300,58027-1129 429312,S200000,00300,0100,RANSOM 429312,S200000,00400,0100,MARYHILL MANOR 429312,S200000,00400,0300,09/01/91 429313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429313,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429313,A000000,00300,0000,0300EMPLOYEE BENEFITS 429313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429313,A000000,00700,0000,0700HOUSEKEEPING 429313,A000000,00800,0000,0800DIETARY 429313,A000000,00900,0000,0900NURSING ADMINISTRATION 429313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429313,A000000,01300,0000,1300SOCIAL SERVICE 429313,A000000,01500,0000,1350ACTIVITIES 429313,A000000,01600,0000,1600SKILLED NURSING FACILITY 429313,A000000,01800,0000,1800NURSING FACILITY 429313,A000000,01810,0000,1810ICF/MR 429313,A000000,01900,0000,1900OTHER LONG TERM CARE 429313,A000000,02100,0000,2100RADIOLOGY 429313,A000000,02200,0000,2200LABORATORY 429313,A000000,02300,0000,2300INTRAVENOUS THERAPY 429313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429313,A000000,02500,0000,2500PHYSICAL THERAPY 429313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429313,A000000,02700,0000,2700SPEECH PATHOLOGY 429313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429313,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429313,A000000,03200,0000,3200SUPPORT SURFACES 429313,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429313,A000000,03400,0000,3400CLINIC 429313,A000000,03500,0000,3500RURAL HEALTH CLINIC 429313,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429313,A000000,04800,0000,4800AMBULANCE 429313,A000000,05000,0000,5000CORF 429313,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429313,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429313,A000000,05300,0000,5300INTEREST EXPENSE 429313,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429313,A000000,05500,0000,5500HOSPICE 429313,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429313,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429313,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429313,A000000,06100,0000,6100NONPAID WORKERS 429313,A000000,06200,0000,6200PATIENTS LAUNDRY 429313,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429313,A81000A,00100,0100,Y 429313,A81000B,00100,0300,LEASE EXPENSE 429313,A81000B,00200,0300,DEPRECIATION 429313,A81000B,00300,0300,INTEREST 429313,A81000B,00400,0300,OTHER PROPERTY 429313,A81000B,00500,0300,MANAGEMENT FEES 429313,A81000B,00600,0300,ALLOWABLE H.O. COSTS 429313,A81000B,00700,0300,CAPITAL - BUILDING 429313,A81000B,00800,0300,CAPITAL - EQUIPMENT 429313,A81000C,00100,0100,A 429313,A81000C,00100,0200,MERLIN HART 429313,A81000C,00100,0400,PINNACLE HEALTHCARE INC. 429313,A81000C,00100,0600,ACCTG MGMT & THERAPY 429313,A81000C,00200,0100,A 429313,A81000C,00200,0200,MARK GARBER 429313,A81000C,00200,0400,PINNACLE HEALTHCARE INC. 429313,A81000C,00200,0600,ACCTG MGMT & THERAPY 429313,A81000C,00300,0100,A 429313,A81000C,00300,0200,MERLIN HART 429313,A81000C,00300,0400,LINCOLN CITY PROPERTY LLC 429313,A81000C,00300,0600,OWNER OF REAL PROPERTY 429313,A81000C,00400,0100,A 429313,A81000C,00400,0200,MARK GARBER 429313,A81000C,00400,0400,LINCOLN CITY PROPERTY LLC 429313,A81000C,00400,0600,OWNER OF REAL PROPERTY 429313,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429313,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429313,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429313,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429313,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429313,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429313,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429313,B100000,00000,0800,0800MEALS SERVED :DIETARY 429313,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429313,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 429313,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429313,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429313,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429313,S000000,00100,0200,03/07/12 429313,S200000,00100,0100,3011 NE 28TH STREET 429313,S200000,00200,0100,LINCOLN CITY 429313,S200000,00200,0200,OR 429313,S200000,00200,0300,97367 429313,S200000,00300,0100,LINCOLN 429313,S200000,00300,0201,00038 429313,S200000,00300,0300,R 429313,S200000,00400,0100,PINNACLE - LINCOLN CITY 429313,S200000,00400,0200,385212 429313,S200000,00400,0300,07/01/00 429313,S200000,00400,0500,P 429313,S200000,01500,0100,Y 429313,S200000,01501,0200,N 429313,S200000,01600,0100,N 429313,S200000,01700,0100,N 429313,S200000,01800,0100,N 429313,S200000,02200,0100,N 429313,S200000,02800,0100,N 429313,S200000,02900,0100,N 429313,S200000,03000,0100,N 429313,S200000,03100,0100,Y 429313,S200000,03200,0100,N 429313,S200000,03300,0100,N 429313,S200000,03300,0200,N 429313,S200000,04100,0100,N 429313,S200000,04200,0100,N 429313,S200000,04300,0100,N 429313,S200000,04600,0100,N 429313,S200000,04700,0100,N 429313,S200000,04700,0200,N 429313,S200000,04900,0100,N 429313,S200000,05000,0100,N 429313,S200000,05100,0100,N 429313,S200000,05200,0100,N 429314,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429314,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429314,A000000,00300,0000,0300EMPLOYEE BENEFITS 429314,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429314,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429314,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429314,A000000,00700,0000,0700HOUSEKEEPING 429314,A000000,00800,0000,0800DIETARY 429314,A000000,00900,0000,0900NURSING ADMINISTRATION 429314,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429314,A000000,01100,0000,1100PHARMACY 429314,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429314,A000000,01300,0000,1300SOCIAL SERVICE 429314,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429314,A000000,01500,0000,1350OTHER GENERAL SERVICES 429314,A000000,01600,0000,1600SKILLED NURSING FACILITY 429314,A000000,01800,0000,1800NURSING FACILITY 429314,A000000,01900,0000,1900OTHER LONG TERM CARE 429314,A000000,02100,0000,2100RADIOLOGY 429314,A000000,02200,0000,2200LABORATORY 429314,A000000,02300,0000,2300INTRAVENOUS THERAPY 429314,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429314,A000000,02500,0000,2500PHYSICAL THERAPY 429314,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429314,A000000,02700,0000,2700SPEECH PATHOLOGY 429314,A000000,02800,0000,2800ELECTROCARDIOLOGY 429314,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429314,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429314,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429314,A000000,03200,0000,3200SUPPORT SURFACES 429314,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429314,A000000,03400,0000,3400CLINIC 429314,A000000,03500,0000,3500RURAL HEALTH CLINIC 429314,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429314,A000000,04800,0000,4800AMBULANCE 429314,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429314,A000000,05000,0000,5000CORF 429314,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429314,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429314,A000000,05300,0000,5300INTEREST EXPENSE 429314,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429314,A000000,05500,0000,5500HOSPICE 429314,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429314,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429314,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429314,A000000,06200,0000,6200PATIENTS LAUNDRY 429314,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429314,A81000A,00100,0100,Y 429314,A81000B,00100,0300,HOME OFFICE ALLOCATION 429314,A81000B,00200,0300,HOME OFFICE ALLOCATION 429314,A81000B,00300,0300,EMPLOYEE FLU SHOTS 429314,A81000B,00400,0300,MEDICAL SUPPLIES CHARGEABLE 429314,A81000B,00500,0300,NURSING SUPPLY 429314,A81000B,00600,0300,IV PHARMACY FLU SHOTS 429314,A81000B,00700,0300,REHAB 429314,A81000B,00800,0300,REHAB 429314,A81000B,00900,0300,REHAB 429314,A81000B,01000,0300,EQUIPMENT RENTAL 429314,A81000B,01100,0300,PRESTIGE BUS DRIVER 429314,A81000B,01200,0300,INTERNAL CONTRACT LABOR 429314,A81000B,01300,0300,INTERNAL CONTRACT LABOR 429314,A81000B,01400,0300,INTERNAL CONTRACT LABOR 429314,A81000B,01500,0300,INTERNAL CONTRACT LABOR 429314,A81000C,00100,0100,B 429314,A81000C,00100,0400,OREGON CITY HEALTHCARE 429314,A81000C,00100,0600,OWNS PROVIDER 429314,A81000C,00200,0100,B 429314,A81000C,00200,0400,PRESTIGE CARE INC 429314,A81000C,00200,0600,OWNS OREGON CITY 429314,A81000C,00300,0100,A 429314,A81000C,00300,0200,RICK DELAMARTER 429314,A81000C,00300,0400,PRESTIGE CARE INC 429314,A81000C,00300,0600,HOME OFFICE 429314,A81000C,00400,0100,A 429314,A81000C,00400,0200,HAROLD DELAMARTER 429314,A81000C,00400,0400,PRESTIGE CARE INC 429314,A81000C,00400,0600,HOME OFFICE 429314,A81000C,00500,0100,A 429314,A81000C,00500,0200,GREG VISLOCKY 429314,A81000C,00500,0400,PRESTIGE CARE INC 429314,A81000C,00500,0600,HOME OFFICE 429314,A81000C,00600,0100,A 429314,A81000C,00600,0200,RICK DELAMARTER 429314,A81000C,00600,0400,CYPRESS VENTURES 429314,A81000C,00600,0600,PROPAC PHARMACY 429314,A81000C,00700,0100,A 429314,A81000C,00700,0200,HAROLD DELAMARTER 429314,A81000C,00700,0400,CYPRESS VENTURES 429314,A81000C,00700,0600,PROPAC PHARMACY 429314,A81000C,00800,0100,A 429314,A81000C,00800,0200,GREG VISLOCKY 429314,A81000C,00800,0400,CYPRESS VENTURES 429314,A81000C,00800,0600,PROPAC PHARMACY 429314,A81000C,00900,0100,A 429314,A81000C,00900,0200,RICK DELAMARTER 429314,A81000C,00900,0400,OREGON CITY LLC 429314,A81000C,00900,0600,LANDLORD 429314,A81000C,01000,0100,A 429314,A81000C,01000,0200,HAROLD DELAMARTER 429314,A81000C,01000,0400,OREGON CITY LLC 429314,A81000C,01000,0600,LANDLORD 429314,A81000C,01001,0100,A 429314,A81000C,01001,0200,GREG VISLOCKY 429314,A81000C,01001,0400,OREGON CITY LLC 429314,A81000C,01001,0600,LANDLORD 429314,A81000C,01002,0100,G 429314,A81000C,01002,0400,AUGUSTA VENTURES 429314,A81000C,01002,0600,PREMERE REHAB COMPANY 429314,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 429314,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 429314,A81000C,01004,0600,SEE ATTACHED RELATED 429314,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 429314,A81000C,01005,0400,THE 10.10 EXCEPTION 429314,A81000C,01005,0600,PARTY RELATIONSHIPS 429314,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 429314,A81000C,01006,0400,CRITERIA 429314,A81000C,01007,0200,PRESTIGE CARE & OREGON CI 429314,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429314,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429314,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429314,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429314,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429314,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429314,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429314,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429314,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429314,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429314,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429314,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429314,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429314,G300000,02500,0000,OTHER INCOME 429314,S000000,00100,0200,03/01/12 429314,S200000,00100,0100,148 HOOD STREET 429314,S200000,00200,0100,OREGON CITY 429314,S200000,00200,0200,OR 429314,S200000,00200,0300,97045 429314,S200000,00300,0100,CLACKAMAS 429314,S200000,00300,0200,6440 429314,S200000,00300,0201,38900 429314,S200000,00300,0300,U 429314,S200000,00400,0100,OREGON CITY HEALTH CARE CENTER 429314,S200000,00400,0200,385245 429314,S200000,00400,0300,08/31/89 429314,S200000,00400,0500,P 429314,S200000,01500,0100,Y 429314,S200000,01501,0200,Y 429314,S200000,01502,0200,Y 429314,S200000,01600,0100,N 429314,S200000,01700,0100,N 429314,S200000,01800,0100,N 429314,S200000,02200,0100,N 429314,S200000,02800,0100,N 429314,S200000,02900,0100,N 429314,S200000,03000,0100,N 429314,S200000,03100,0100,N 429314,S200000,03200,0100,N 429314,S200000,03300,0100,N 429314,S200000,03300,0200,N 429314,S200000,04100,0100,N 429314,S200000,04200,0100,N 429314,S200000,04300,0100,N 429314,S200000,04600,0100,N 429314,S200000,04700,0100,N 429314,S200000,04700,0200,N 429314,S200000,04900,0100,N 429314,S200000,05000,0100,N 429314,S200000,05100,0100,N 429314,S200000,05200,0100,N 429314,S200000,05300,0100,Y 429314,S200000,05300,0200,HB0440 429314,S200000,05400,0100,PRESTIGE CARE INC 429314,S200000,05400,0200,NORDIAN 429314,S200000,05400,0300,00325 429314,S200000,05500,0100,7700 NE PARKWAY DRIVE 429314,S200000,05600,0100,VANCOUVER 429314,S200000,05600,0200,WA 429314,S200000,05600,0300,98662 429315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429315,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429315,A000000,00300,0000,0300EMPLOYEE BENEFITS 429315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429315,A000000,00700,0000,0700HOUSEKEEPING 429315,A000000,00800,0000,0800DIETARY 429315,A000000,00900,0000,0900NURSING ADMINISTRATION 429315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429315,A000000,01300,0000,1300SOCIAL SERVICE 429315,A000000,01600,0000,1600SKILLED NURSING FACILITY 429315,A000000,01800,0000,1800NURSING FACILITY 429315,A000000,01900,0000,1900OTHER LONG TERM CARE 429315,A000000,02100,0000,2100RADIOLOGY 429315,A000000,02200,0000,2200LABORATORY 429315,A000000,02300,0000,2300INTRAVENOUS THERAPY 429315,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429315,A000000,02500,0000,2500PHYSICAL THERAPY 429315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429315,A000000,02700,0000,2700SPEECH PATHOLOGY 429315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429315,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429315,A000000,03200,0000,3200SUPPORT SURFACES 429315,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429315,A000000,03400,0000,3400CLINIC 429315,A000000,04800,0000,4800AMBULANCE 429315,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429315,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429315,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429315,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429315,A81000A,00100,0100,Y 429315,A81000B,00100,0300,MANAGEMENT FEE 429315,A81000B,00200,0300,HO ALLOWABLE - CAPITAL BLDG 429315,A81000B,00300,0300,HO ALLOWABLE - NON CAPITAL 429315,A81000B,00400,0300,HO ALLOWABLE - CAPITAL EQUIP 429315,A81000C,00100,0100,B 429315,A81000C,00100,0400,PACIFIC RETIREM 429315,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429315,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429315,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429315,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429315,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429315,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429315,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429315,B100000,00000,0800,0800MEALS SERVED :DIETARY 429315,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429315,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429315,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429315,G300000,02500,0000, OTHER (SPECIFY) 429315,S000000,00100,0200,03/01/12 429315,S200000,00100,0100,1200 MIRA MAR AVE 429315,S200000,00200,0100,MEDFORD 429315,S200000,00200,0200,OR 429315,S200000,00200,0300,97504 429315,S200000,00300,0100,JACKSON 429315,S200000,00300,0201,32780 429315,S200000,00300,0300,U 429315,S200000,00400,0100,ROGUE VALLEY MANOR 429315,S200000,00400,0200,385250 429315,S200000,00400,0300,09/07/95 429315,S200000,00400,0500,P 429315,S200000,01500,0100,Y 429315,S200000,01600,0100,N 429315,S200000,01700,0100,N 429315,S200000,01800,0100,N 429315,S200000,02200,0100,N 429315,S200000,02800,0100,N 429315,S200000,02900,0100,N 429315,S200000,03000,0100,N 429315,S200000,03100,0100,N 429315,S200000,03200,0100,N 429315,S200000,03300,0100,N 429315,S200000,03300,0200,N 429315,S200000,04100,0100,N 429315,S200000,04200,0100,N 429315,S200000,04300,0100,N 429315,S200000,04600,0100,N 429315,S200000,04700,0100,N 429315,S200000,04700,0200,N 429315,S200000,04900,0100,N 429315,S200000,05000,0100,N 429315,S200000,05100,0100,N 429315,S200000,05200,0100,N 429315,S200000,05300,0100,Y 429315,S200000,05300,0200,389109 429315,S200000,05400,0100,PACIFIC RETIREMENT SERVICES 429315,S200000,05400,0200,NORIDIAN 429315,S200000,05400,0300,010001 429315,S200000,05500,0100,1200 MIRA MAR AVE 429315,S200000,05600,0100,MEDFORD 429315,S200000,05600,0200,OR 429315,S200000,05600,0300,97504 429322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429322,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429322,A000000,00700,0000,0700HOUSEKEEPING 429322,A000000,00800,0000,0800DIETARY 429322,A000000,00900,0000,0900NURSING ADMINISTRATION 429322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429322,A000000,01300,0000,1300SOCIAL SERVICE 429322,A000000,01600,0000,1600SKILLED NURSING FACILITY 429322,A000000,01800,0000,1800NURSING FACILITY 429322,A000000,01900,0000,1900OTHER LONG TERM CARE 429322,A000000,02100,0000,2100RADIOLOGY 429322,A000000,02200,0000,2200LABORATORY 429322,A000000,02300,0000,2300INTRAVENOUS THERAPY 429322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429322,A000000,02500,0000,2500PHYSICAL THERAPY 429322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429322,A000000,02700,0000,2700SPEECH PATHOLOGY 429322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429322,A000000,04800,0000,4800AMBULANCE 429322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429322,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429322,A81000A,00100,0100,Y 429322,A81000B,00100,0300,MANAGEMENT FEES-NURSING HOME ONLY 429322,A81000C,00100,0100,B 429322,A81000C,00100,0200,PRESBYTERIAN RE 429322,A81000C,00100,0400,PRESBYTERIAN RE 429322,A81000C,00100,0600,MANAGEMENT CO. 429322,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429322,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429322,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429322,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429322,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429322,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429322,B100000,00000,0800,0800MEALS SERVED :DIETARY 429322,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429322,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429322,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429322,G300000,02501,0000,ENTRANCE FEES 429322,G300000,02502,0000,GARAGE 429322,G300000,02503,0000,CATERING REVENUE 429322,G300000,02504,0000,OTHER REVENUE 429322,S000000,00100,0200,03/05/12 429322,S200000,00100,0100,715 9TH AVENUE 429322,S200000,00200,0100,SEATTLE 429322,S200000,00200,0200,WA 429322,S200000,00200,0300,98104-2066 429322,S200000,00300,0100,KING 429322,S200000,00300,0201,50160 429322,S200000,00300,0300,U 429322,S200000,00400,0100,THE TERRACES AT SKYLINE 429322,S200000,00400,0200,505469 429322,S200000,00400,0300,08/01/92 429322,S200000,00400,0500,P 429322,S200000,01500,0100,Y 429322,S200000,01501,0200,Y 429322,S200000,01502,0200,N 429322,S200000,01503,0200,Y 429322,S200000,01504,0200,Y 429322,S200000,01600,0100,N 429322,S200000,01700,0100,N 429322,S200000,01800,0100,N 429322,S200000,02200,0100,N 429322,S200000,02800,0100,N 429322,S200000,02900,0100,N 429322,S200000,03000,0100,N 429322,S200000,03100,0100,N 429322,S200000,03200,0100,N 429322,S200000,03300,0100,N 429322,S200000,03300,0200,N 429322,S200000,04100,0100,N 429322,S200000,04200,0100,N 429322,S200000,04300,0100,N 429322,S200000,04600,0100,N 429322,S200000,04700,0100,N 429322,S200000,04700,0200,N 429322,S200000,04900,0100,N 429322,S200000,05000,0100,N 429322,S200000,05100,0100,N 429322,S200000,05200,0100,N 429322,S200000,05300,0100,N 429324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429324,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429324,A000000,00300,0000,0300EMPLOYEE BENEFITS 429324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429324,A000000,00700,0000,0700HOUSEKEEPING 429324,A000000,00800,0000,0800DIETARY 429324,A000000,00900,0000,0900NURSING ADMINISTRATION 429324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429324,A000000,01300,0000,1300SOCIAL SERVICE 429324,A000000,01600,0000,1600SKILLED NURSING FACILITY 429324,A000000,01800,0000,1800NURSING FACILITY 429324,A000000,01900,0000,1900OTHER LONG TERM CARE 429324,A000000,02100,0000,2100RADIOLOGY 429324,A000000,02200,0000,2200LABORATORY 429324,A000000,02300,0000,2300INTRAVENOUS THERAPY 429324,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429324,A000000,02500,0000,2500PHYSICAL THERAPY 429324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429324,A000000,02700,0000,2700SPEECH PATHOLOGY 429324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429324,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429324,A000000,03200,0000,3200SUPPORT SURFACES 429324,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429324,A000000,04800,0000,4800AMBULANCE 429324,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429324,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429324,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429324,A81000A,00100,0100,Y 429324,A81000B,00100,0300,MANAGEMENT FEES 429324,A81000B,00200,0300,HO ALLOWABLE - CAPITAL BLDG 429324,A81000B,00300,0300,HO ALLOWABLE - NON CAPITAL 429324,A81000B,00400,0300,HO ALLOWABLE - CAPITAL EQUIP 429324,A81000C,00100,0100,B 429324,A81000C,00100,0400,PACIFIC RETIREM 429324,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429324,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429324,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429324,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429324,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429324,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429324,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429324,B100000,00000,0800,0800MEALS SERVED :DIETARY 429324,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429324,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429324,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429324,G300000,02500,0000, OTHER (SPECIFY) 429324,S000000,00100,0200,02/29/12 429324,S200000,00100,0100,116 FAIRVIEW AVENUE NORTH 429324,S200000,00200,0100,SEATTLE 429324,S200000,00200,0200,WA 429324,S200000,00200,0300,98109 429324,S200000,00300,0100,KING 429324,S200000,00300,0201,42644 429324,S200000,00300,0300,U 429324,S200000,00400,0100,MIRABELLA SEATTLE 429324,S200000,00400,0200,505520 429324,S200000,00400,0300,04/28/09 429324,S200000,00400,0500,P 429324,S200000,01500,0100,Y 429324,S200000,01600,0100,N 429324,S200000,01700,0100,N 429324,S200000,01800,0100,N 429324,S200000,02200,0100,N 429324,S200000,02800,0100,N 429324,S200000,02900,0100,N 429324,S200000,03000,0100,N 429324,S200000,03100,0100,N 429324,S200000,03200,0100,N 429324,S200000,03300,0100,N 429324,S200000,03300,0200,N 429324,S200000,04100,0100,N 429324,S200000,04200,0100,N 429324,S200000,04300,0100,N 429324,S200000,04600,0100,N 429324,S200000,04700,0100,N 429324,S200000,04700,0200,N 429324,S200000,04900,0100,N 429324,S200000,05000,0100,N 429324,S200000,05100,0100,N 429324,S200000,05200,0100,N 429324,S200000,05300,0100,Y 429324,S200000,05300,0200,389109 429324,S200000,05400,0100,PACIFIC RETIREMENT SVCS 429324,S200000,05400,0200,WPS 429324,S200000,05400,0300,01001 429324,S200000,05500,0100,1200 MIRA MAR AVE 429324,S200000,05600,0100,MEDFORD 429324,S200000,05600,0200,OR 429324,S200000,05600,0300,97504 429326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429326,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429326,A000000,00300,0000,0300EMPLOYEE BENEFITS 429326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429326,A000000,00700,0000,0700HOUSEKEEPING 429326,A000000,00800,0000,0800DIETARY 429326,A000000,00900,0000,0900NURSING ADMINISTRATION 429326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429326,A000000,01300,0000,1300SOCIAL SERVICE 429326,A000000,01600,0000,1600SKILLED NURSING FACILITY 429326,A000000,01800,0000,1800NURSING FACILITY 429326,A000000,01810,0000,1810ICF/MR 429326,A000000,01900,0000,1900OTHER LONG TERM CARE 429326,A000000,02100,0000,2100RADIOLOGY 429326,A000000,02200,0000,2200LABORATORY 429326,A000000,02300,0000,2300INTRAVENOUS THERAPY 429326,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429326,A000000,02500,0000,2500PHYSICAL THERAPY 429326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429326,A000000,02700,0000,2700SPEECH PATHOLOGY 429326,A000000,02800,0000,2800ELECTROCARDIOLOGY 429326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429326,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429326,A000000,03200,0000,3200SUPPORT SURFACES 429326,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429326,A000000,03400,0000,3400CLINIC 429326,A000000,03500,0000,3500RURAL HEALTH CLINIC 429326,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429326,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429326,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429326,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429326,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429326,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429326,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429326,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429326,A000000,04400,0000,4400DME RENTED - HHA 429326,A000000,04500,0000,4500DME SOLD - HHA 429326,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429326,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429326,A000000,04710,0000,4710TELEMEDICINE 429326,A000000,04800,0000,4800AMBULANCE 429326,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429326,A000000,05000,0000,5000CORF 429326,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429326,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429326,A000000,05300,0000,5300INTEREST EXPENSE 429326,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429326,A000000,05500,0000,5500HOSPICE 429326,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429326,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429326,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429326,A000000,06100,0000,6100NONPAID WORKERS 429326,A000000,06200,0000,6200PATIENTS LAUNDRY 429326,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429326,A81000A,00100,0100,N 429326,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429326,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429326,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429326,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429326,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429326,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429326,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 429326,B100000,00000,0800,0800MEALS SERVED :DIETARY 429326,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429326,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429326,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429326,E10A180,00550,0300,04/03/12 429326,G300000,02500,0000,BEAUTY SHOP REVENUE 429326,G300000,02502,0000,MANAGEMENT FEE - MGM 429326,G300000,02503,0000,INSURANCE FEE - MGM 429326,G300000,02504,0000,MISC REVENUE 429326,G300000,02505,0000,DAYCARE RENTAL INCOME 429326,G300000,02506,0000,LATIENDA STORE RENTAL INCOME 429326,S000000,00100,0200,03/05/12 429326,S200000,00100,0100,60 MAGNOLIA 429326,S200000,00200,0100,CASPER 429326,S200000,00200,0200,WY 429326,S200000,00200,0300,82604 429326,S200000,00300,0100,CASPER 429326,S200000,00300,0200,2080 429326,S200000,00300,0201,16220 429326,S200000,00300,0300,U 429326,S200000,00400,0100,SHEPHERD OF THE VALLEY 429326,S200000,00400,0200,535042 429326,S200000,00400,0300,01/01/91 429326,S200000,00400,0500,P 429326,S200000,01500,0100,Y 429326,S200000,01501,0200,Y 429326,S200000,01502,0200,Y 429326,S200000,01504,0200,Y 429326,S200000,01600,0100,N 429326,S200000,01700,0100,N 429326,S200000,01800,0100,N 429326,S200000,02200,0100,N 429326,S200000,02800,0100,N 429326,S200000,02900,0100,N 429326,S200000,03000,0100,N 429326,S200000,03100,0100,N 429326,S200000,03200,0100,N 429326,S200000,03300,0100,N 429326,S200000,03300,0200,N 429326,S200000,04100,0100,N 429326,S200000,04200,0100,N 429326,S200000,04300,0100,N 429326,S200000,04600,0100,N 429326,S200000,04700,0100,N 429326,S200000,04700,0200,N 429326,S200000,04900,0100,N 429326,S200000,05000,0100,N 429326,S200000,05100,0100,N 429326,S200000,05200,0100,N 429332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429332,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429332,A000000,00300,0000,0300EMPLOYEE BENEFITS 429332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429332,A000000,00700,0000,0700HOUSEKEEPING 429332,A000000,00800,0000,0800DIETARY 429332,A000000,00900,0000,0900NURSING ADMINISTRATION 429332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429332,A000000,01100,0000,1100PHARMACY 429332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429332,A000000,01300,0000,1300SOCIAL SERVICE 429332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429332,A000000,01500,0000,1350OTHER GENERAL SERVICES 429332,A000000,01600,0000,1600SKILLED NURSING FACILITY 429332,A000000,01800,0000,1800NURSING FACILITY 429332,A000000,01810,0000,1810ICF/MR 429332,A000000,01900,0000,1900OTHER LONG TERM CARE 429332,A000000,02100,0000,2100RADIOLOGY 429332,A000000,02200,0000,2200LABORATORY 429332,A000000,02300,0000,2300INTRAVENOUS THERAPY 429332,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429332,A000000,02500,0000,2500PHYSICAL THERAPY 429332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429332,A000000,02700,0000,2700SPEECH PATHOLOGY 429332,A000000,02800,0000,2800ELECTROCARDIOLOGY 429332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429332,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429332,A000000,03200,0000,3200SUPPORT SURFACES 429332,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429332,A000000,03400,0000,3400CLINIC 429332,A000000,03500,0000,3500RURAL HEALTH CLINIC 429332,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429332,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429332,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429332,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429332,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429332,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429332,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429332,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429332,A000000,04400,0000,4400DME RENTED - HHA 429332,A000000,04500,0000,4500DME SOLD - HHA 429332,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429332,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429332,A000000,04710,0000,4710TELEMEDICINE 429332,A000000,04800,0000,4800AMBULANCE 429332,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429332,A000000,05000,0000,5000CORF 429332,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429332,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429332,A000000,05300,0000,5300INTEREST EXPENSE 429332,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429332,A000000,05500,0000,5500HOSPICE 429332,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429332,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429332,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429332,A000000,06100,0000,6100NONPAID WORKERS 429332,A000000,06200,0000,6200PATIENTS LAUNDRY 429332,A000000,06300,0000,6150ASSISTED LIVING 429332,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429332,A81000A,00100,0100,Y 429332,A81000B,00100,0300,CAP REL COSTS - BLGS & F POOLED 429332,A81000B,00200,0300,CAP REL COSTS - MOVABLE E POOLED 429332,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED 429332,A81000C,00100,0100,B 429332,A81000C,00100,0200,MEDICALODGES INC 429332,A81000C,00100,0600,HEALTHCARE 429332,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429332,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429332,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429332,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429332,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429332,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429332,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429332,B100000,00000,0800,0800MEALS SERVED :DIETARY 429332,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429332,E10A180,00301,0100,10/31/11 429332,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429332,G300000,02501,0000,MCAID INCOME ADJUSTMENT 2010 429332,G300000,02502,0000,MCAID INCOME ADJUSTMENT 2011 429332,G300000,02503,0000,INTERCO SUPPLIES 429332,G300000,02504,0000,INTEREST INCOME AND FINANCE CHARGES 429332,G300000,02505,0000,M/CARE INCOME ADJ PRIOR YEARS 429332,G300000,02506,0000,STATE REDUCTION TO MEDICAID 429332,G300000,02507,0000,ASSISTED LIVING SECTION 429332,S000000,00100,0200,04/03/12 429332,S200000,00100,0100,2 E. ASH ST. 429332,S200000,00200,0100,HERINGTON 429332,S200000,00200,0200,KS 429332,S200000,00200,0300,67449-1662 429332,S200000,00300,0100,DICKINSON 429332,S200000,00300,0200,17 429332,S200000,00300,0201,99917 429332,S200000,00300,0300,R 429332,S200000,00400,0100,MEDICALODGES OF HERINGTON 429332,S200000,00400,0200,175490 429332,S200000,00400,0300,11/01/06 429332,S200000,00400,0500,P 429332,S200000,01500,0100,Y 429332,S200000,01501,0200,N 429332,S200000,01600,0100,N 429332,S200000,01700,0100,N 429332,S200000,01800,0100,N 429332,S200000,02200,0100,N 429332,S200000,02800,0100,N 429332,S200000,02900,0100,N 429332,S200000,03000,0100,N 429332,S200000,03100,0100,N 429332,S200000,03200,0100,N 429332,S200000,03300,0100,N 429332,S200000,03300,0200,N 429332,S200000,04100,0100,N 429332,S200000,04200,0100,N 429332,S200000,04300,0100,N 429332,S200000,04600,0100,N 429332,S200000,04700,0100,N 429332,S200000,04700,0200,N 429332,S200000,04900,0100,N 429332,S200000,05000,0100,N 429332,S200000,05100,0100,N 429332,S200000,05200,0100,N 429335,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429335,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429335,A000000,00300,0000,0300EMPLOYEE BENEFITS 429335,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429335,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429335,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429335,A000000,00700,0000,0700HOUSEKEEPING 429335,A000000,00800,0000,0800DIETARY 429335,A000000,00900,0000,0900NURSING ADMINISTRATION 429335,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429335,A000000,01100,0000,1100PHARMACY 429335,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429335,A000000,01300,0000,1300SOCIAL SERVICE 429335,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429335,A000000,01500,0000,1350OTHER GENERAL SERVICES 429335,A000000,01600,0000,1600SKILLED NURSING FACILITY 429335,A000000,01800,0000,1800NURSING FACILITY 429335,A000000,01900,0000,1900OTHER LONG TERM CARE 429335,A000000,02100,0000,2100RADIOLOGY 429335,A000000,02200,0000,2200LABORATORY 429335,A000000,02300,0000,2300INTRAVENOUS THERAPY 429335,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429335,A000000,02500,0000,2500PHYSICAL THERAPY 429335,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429335,A000000,02700,0000,2700SPEECH PATHOLOGY 429335,A000000,02800,0000,2800ELECTROCARDIOLOGY 429335,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429335,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429335,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429335,A000000,03200,0000,3200SUPPORT SURFACES 429335,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429335,A000000,03400,0000,3400CLINIC 429335,A000000,03500,0000,3500RURAL HEALTH CLINIC 429335,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429335,A000000,04800,0000,4800AMBULANCE 429335,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429335,A000000,05000,0000,5000CORF 429335,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429335,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429335,A000000,05300,0000,5300INTEREST EXPENSE 429335,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429335,A000000,05500,0000,5500HOSPICE 429335,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429335,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429335,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429335,A000000,06200,0000,6200PATIENTS LAUNDRY 429335,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429335,A81000A,00100,0100,N 429335,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429335,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429335,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429335,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429335,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429335,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429335,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429335,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429335,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429335,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429335,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429335,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429335,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429335,G300000,02500,0000,OTHER INCOME 429335,S000000,00100,0200,03/01/12 429335,S200000,00100,0100,1712 WEST GLENDALE AVE 429335,S200000,00200,0100,PHOENIX 429335,S200000,00200,0200,AZ 429335,S200000,00200,0300,85021 429335,S200000,00300,0100,MARICOPA 429335,S200000,00300,0200,6200 429335,S200000,00300,0201,38060 429335,S200000,00300,0300,U 429335,S200000,00400,0100,BEATITUDES CAMPUS 429335,S200000,00400,0200,035176 429335,S200000,00400,0300,10/28/98 429335,S200000,00400,0500,P 429335,S200000,01500,0100,Y 429335,S200000,01501,0200,Y 429335,S200000,01502,0200,Y 429335,S200000,01504,0200,N 429335,S200000,01600,0100,N 429335,S200000,01700,0100,Y 429335,S200000,01800,0100,N 429335,S200000,02200,0100,N 429335,S200000,02800,0100,Y 429335,S200000,02900,0100,N 429335,S200000,03000,0100,N 429335,S200000,03100,0100,N 429335,S200000,03200,0100,N 429335,S200000,03300,0100,N 429335,S200000,03300,0200,N 429335,S200000,04100,0100,N 429335,S200000,04200,0100,N 429335,S200000,04300,0100,N 429335,S200000,04600,0100,N 429335,S200000,04700,0100,N 429335,S200000,04700,0200,N 429335,S200000,04900,0100,N 429335,S200000,05000,0100,N 429335,S200000,05100,0100,N 429335,S200000,05200,0100,N 429338,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429338,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429338,A000000,00300,0000,0300EMPLOYEE BENEFITS 429338,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429338,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429338,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429338,A000000,00700,0000,0700HOUSEKEEPING 429338,A000000,00800,0000,0800DIETARY 429338,A000000,00900,0000,0900NURSING ADMINISTRATION 429338,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429338,A000000,01100,0000,1100PHARMACY 429338,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429338,A000000,01300,0000,1300SOCIAL SERVICE 429338,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429338,A000000,01500,0000,1350RECREATIONAL SERVICES 429338,A000000,01600,0000,1600SKILLED NURSING FACILITY 429338,A000000,01800,0000,1800NURSING FACILITY 429338,A000000,01810,0000,1810ICF/MR 429338,A000000,01900,0000,1900OTHER LONG TERM CARE 429338,A000000,02100,0000,2100RADIOLOGY 429338,A000000,02200,0000,2200LABORATORY 429338,A000000,02300,0000,2300INTRAVENOUS THERAPY 429338,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429338,A000000,02500,0000,2500PHYSICAL THERAPY 429338,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429338,A000000,02700,0000,2700SPEECH PATHOLOGY 429338,A000000,02800,0000,2800ELECTROCARDIOLOGY 429338,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429338,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429338,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429338,A000000,03200,0000,3200SUPPORT SURFACES 429338,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429338,A000000,03400,0000,3400CLINIC 429338,A000000,03500,0000,3500RURAL HEALTH CLINIC 429338,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429338,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429338,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429338,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429338,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429338,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429338,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429338,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429338,A000000,04400,0000,4400DME RENTED - HHA 429338,A000000,04500,0000,4500DME SOLD - HHA 429338,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429338,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429338,A000000,04710,0000,4710TELEMEDICINE 429338,A000000,04800,0000,4800AMBULANCE 429338,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429338,A000000,05000,0000,5000CORF 429338,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429338,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429338,A000000,05300,0000,5300INTEREST EXPENSE 429338,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429338,A000000,05500,0000,5500HOSPICE 429338,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429338,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429338,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429338,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429338,A000000,06100,0000,6100NONPAID WORKERS 429338,A000000,06200,0000,6200PATIENTS LAUNDRY 429338,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429338,A81000A,00100,0100,Y 429338,A81000B,00100,0300,MAINTENANCE SUPPLIES 429338,A81000B,00200,0300,MEDICAL DIRECTOR 429338,A81000B,00300,0300,MEDICAL DIRECTOR 429338,A81000B,00400,0300,FUEL & OIL 429338,A81000B,00500,0300,PLUMBING AND HEATING 429338,A81000B,00600,0300,RENTAL EQQUIPMENT 429338,A81000B,00700,0300,MANAGEMENT SERVICES 429338,A81000C,00100,0100,D 429338,A81000C,00100,0200,RUSSELL RIVA 429338,A81000C,00100,0400,LINDELL & SONS 429338,A81000C,00200,0100,D 429338,A81000C,00200,0200,DR. JOEL DANISI 429338,A81000C,00200,0400,DR. JOEL DANISI 429338,A81000C,00300,0100,D 429338,A81000C,00300,0200,DR. DENNIS KOBYLARZ 429338,A81000C,00300,0400,DR. DENNIS KOBYLARZ 429338,A81000C,00400,0100,D 429338,A81000C,00400,0200,RUSSELL RIVA 429338,A81000C,00400,0400,LINDELL & SONS 429338,A81000C,00500,0100,D 429338,A81000C,00500,0200,FRANK PEROTTI 429338,A81000C,00500,0400,PEROTTI & SONS 429338,A81000C,00600,0100,D 429338,A81000C,00600,0200,RUSSELL RIVA 429338,A81000C,00600,0400,JUST ASK RENTAL 429338,A81000C,00700,0100,C 429338,A81000C,00700,0200,GEER CORPORATION 429338,A81000C,00700,0400,GEER CORPORATION 429338,A81000C,00800,0100,C 429338,A81000C,00800,0200,GEER WOODS 429338,A81000C,00800,0400,GEER WOODS 429338,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429338,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429338,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429338,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429338,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429338,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429338,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 429338,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429338,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429338,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429338,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429338,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429338,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL SERV 429338,G300000,02500,0000,OTHER INCOME (SEE ATTACHED G-3A) 429338,S000000,00100,0200,01/23/12 429338,S200000,00100,0100,99 SOUTH CANAAN ROAD 429338,S200000,00200,0100,CANAAN 429338,S200000,00200,0200,CT 429338,S200000,00200,0300,06018 429338,S200000,00300,0100,LITCHFIELD 429338,S200000,00300,0201,25540 429338,S200000,00300,0300,U 429338,S200000,00400,0100,GEER NUSING & REHAB CENTER 429338,S200000,00400,0200,075202 429338,S200000,00400,0300,02/01/74 429338,S200000,00400,0500,P 429338,S200000,01500,0100,Y 429338,S200000,01502,0200,Y 429338,S200000,01504,0200,Y 429338,S200000,01600,0100,N 429338,S200000,01700,0100,N 429338,S200000,01800,0100,N 429338,S200000,02200,0100,N 429338,S200000,02800,0100,N 429338,S200000,02900,0100,N 429338,S200000,03000,0100,N 429338,S200000,03100,0100,N 429338,S200000,03200,0100,N 429338,S200000,03300,0100,N 429338,S200000,03300,0200,N 429338,S200000,04100,0100,N 429338,S200000,04200,0100,N 429338,S200000,04300,0100,N 429338,S200000,04600,0100,N 429338,S200000,04700,0100,N 429338,S200000,04700,0200,N 429338,S200000,04900,0100,N 429338,S200000,05000,0100,N 429338,S200000,05100,0100,N 429338,S200000,05200,0100,N 429338,S200000,05300,0100,N 429339,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429339,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429339,A000000,00300,0000,0300EMPLOYEE BENEFITS 429339,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429339,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429339,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429339,A000000,00700,0000,0700HOUSEKEEPING 429339,A000000,00800,0000,0800DIETARY 429339,A000000,00900,0000,0900NURSING ADMINISTRATION 429339,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429339,A000000,01100,0000,1100PHARMACY 429339,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429339,A000000,01300,0000,1300SOCIAL SERVICE 429339,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429339,A000000,01500,0000,1350ACTIVITIES 429339,A000000,01600,0000,1600SKILLED NURSING FACILITY 429339,A000000,01810,0000,1810ICF/MR 429339,A000000,02100,0000,2100RADIOLOGY 429339,A000000,02200,0000,2200LABORATORY 429339,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429339,A000000,02500,0000,2500PHYSICAL THERAPY 429339,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429339,A000000,02700,0000,2700SPEECH PATHOLOGY 429339,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429339,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429339,A000000,03550,0000,3550FQHC 429339,A000000,04800,0000,4800AMBULANCE 429339,A000000,05000,0000,5000CORF 429339,A000000,05010,0000,5010CMHC 429339,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429339,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429339,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429339,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429339,A000000,06300,0000,6150NON-REIMBURSABLE 429339,A81000A,00100,0100,Y 429339,A81000B,00100,0300,HO A&G 429339,A81000B,00200,0300,HO INTEREST 429339,A81000B,00300,0300,HO BLDG 429339,A81000B,00400,0300,BLDG 429339,A81000B,00500,0300,EQUIPMENT 429339,A81000B,00600,0300,PT 429339,A81000B,00700,0300,OT 429339,A81000B,00800,0300,ST 429339,A81000B,00900,0300,DIETARY 429339,A81000B,01000,0300,SKILLED NRSG 429339,A81000B,01100,0300,RT 429339,A81000B,01200,0300,ADMINISTRATIVE 429339,A81000C,00100,0100,B 429339,A81000C,00100,0200,GENESIS HEALTH 429339,A81000C,00100,0600,MANAGEMENT COMP 429339,A81000C,00200,0100,B 429339,A81000C,00200,0200,GENESIS HEALTH 429339,A81000C,00200,0600,MANAGEMENT COMP 429339,A81000C,00300,0100,B 429339,A81000C,00300,0200,GENESIS HEALTH 429339,A81000C,00300,0600,MANAGEMENT COMP 429339,A81000C,00400,0100,B 429339,A81000C,00400,0200,422 23RD STREET 429339,A81000C,00400,0400,GENESIS HEALTH 429339,A81000C,00400,0600,PROPERTY HOLDER 429339,A81000C,00500,0100,B 429339,A81000C,00500,0200,422 23RD STREET 429339,A81000C,00500,0400,GENESIS HEALTH 429339,A81000C,00500,0600,PROPERTY HOLDER 429339,A81000C,00600,0100,B 429339,A81000C,00600,0200,GENESIS REHAB 429339,A81000C,00600,0400,GENESIS HEALTH 429339,A81000C,00600,0600,REHAB SERVICES 429339,A81000C,00700,0100,B 429339,A81000C,00700,0200,GENESIS REHAB 429339,A81000C,00700,0400,GENESIS HEALTH 429339,A81000C,00700,0600,REHAB SERVICES 429339,A81000C,00800,0100,B 429339,A81000C,00800,0200,GENESIS REHAB 429339,A81000C,00800,0400,GENESIS HEALTH 429339,A81000C,00800,0600,REHAB SERVICES 429339,A81000C,00900,0100,B 429339,A81000C,00900,0200,GENESIS HOSPITA 429339,A81000C,00900,0400,GENESIS HEALTH 429339,A81000C,00900,0600,CONSULTING SERV 429339,A81000C,01000,0100,B 429339,A81000C,01000,0200,RESPIRATORY HEA 429339,A81000C,01000,0400,GENESIS HEALTH 429339,A81000C,01000,0600,RESPIRATORYTHER 429339,A81000C,01001,0100,B 429339,A81000C,01001,0200,RESPIRATORY HEA 429339,A81000C,01001,0400,GENESIS HEALTH 429339,A81000C,01001,0600,RESPIRATORY THE 429339,A81000C,01002,0100,B 429339,A81000C,01002,0200,GENESIS PHYSICI 429339,A81000C,01002,0400,GENESIS HEALTH 429339,A81000C,01002,0600,MEDICAL DIRECTO 429339,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429339,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429339,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429339,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429339,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429339,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429339,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429339,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429339,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429339,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429339,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429339,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429339,G300000,02500,0000,MISCELLANEOUS INCOME 429339,S000000,00100,0200,09/27/11 429339,S200000,00100,0100,422 23RD STREET 429339,S200000,00200,0100,OAK HILL 429339,S200000,00200,0200,WV 429339,S200000,00200,0300,25901 429339,S200000,00300,0100,FAYETTE 429339,S200000,00300,0201,99951 429339,S200000,00300,0300,R 429339,S200000,00400,0100,HIDDEN VALLEY CENTER 429339,S200000,00400,0200,515147 429339,S200000,00400,0300,10/02/96 429339,S200000,00400,0500,P 429339,S200000,01500,0100,Y 429339,S200000,01502,0200,N 429339,S200000,01503,0200,N 429339,S200000,01504,0200,N 429339,S200000,01505,0000,DON BONUS 429339,S200000,01505,0200,N 429339,S200000,01600,0100,N 429339,S200000,01700,0100,N 429339,S200000,01800,0100,N 429339,S200000,02200,0100,Y 429339,S200000,02800,0100,N 429339,S200000,02900,0100,N 429339,S200000,03000,0100,N 429339,S200000,03100,0100,N 429339,S200000,03200,0100,N 429339,S200000,03300,0100,N 429339,S200000,03300,0200,N 429339,S200000,04100,0100,N 429339,S200000,04200,0100,N 429339,S200000,04300,0100,N 429339,S200000,04600,0100,N 429339,S200000,04700,0100,N 429339,S200000,04700,0200,N 429339,S200000,04900,0100,N 429339,S200000,05000,0100,N 429339,S200000,05100,0100,N 429339,S200000,05200,0100,N 429339,S200000,05300,0100,Y 429339,S200000,05300,0200,HB0067 429339,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 429339,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429339,S200000,05400,0300,12001 429339,S200000,05500,0100,101 EAST STATE STREET 429339,S200000,05600,0100,KENNETT SQUARE 429339,S200000,05600,0200,PA 429339,S200000,05600,0300,19348 429340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429340,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429340,A000000,00300,0000,0300EMPLOYEE BENEFITS 429340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429340,A000000,00700,0000,0700HOUSEKEEPING 429340,A000000,00800,0000,0800DIETARY 429340,A000000,00900,0000,0900NURSING ADMINISTRATION 429340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429340,A000000,01100,0000,1100PHARMACY 429340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429340,A000000,01300,0000,1300SOCIAL SERVICE 429340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429340,A000000,01600,0000,1600SKILLED NURSING FACILITY 429340,A000000,01800,0000,1800NURSING FACILITY 429340,A000000,01900,0000,1900OTHER LONG TERM CARE 429340,A000000,02100,0000,2100RADIOLOGY 429340,A000000,02200,0000,2200LABORATORY 429340,A000000,02300,0000,2300INTRAVENOUS THERAPY 429340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429340,A000000,02500,0000,2500PHYSICAL THERAPY 429340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429340,A000000,02700,0000,2700SPEECH PATHOLOGY 429340,A000000,02800,0000,2800ELECTROCARDIOLOGY 429340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429340,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429340,A000000,03200,0000,3200SUPPORT SURFACES 429340,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429340,A000000,03400,0000,3400CLINIC 429340,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429340,A000000,04800,0000,4800AMBULANCE 429340,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429340,A000000,05000,0000,5000CORF 429340,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429340,A000000,05300,0000,5300INTEREST EXPENSE 429340,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429340,A000000,05500,0000,5500HOSPICE 429340,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429340,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429340,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429340,A000000,06100,0000,6100NONPAID WORKERS 429340,A000000,06200,0000,6200PATIENTS LAUNDRY 429340,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429340,A81000A,00100,0100,Y 429340,A81000B,00100,0300,NURSING CONSULTING 429340,A81000B,00200,0300,DIETARY CONSULTING 429340,A81000B,00300,0300,HOME OFFICE 429340,A81000B,00400,0300,INTEREST EXPENSE 429340,A81000B,00500,0300,WORKERS COMP EXPENSE 429340,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 429340,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 429340,A81000B,00800,0300,REPAIRS - EQUIPMENT 429340,A81000B,00900,0300,REPAIRS - GROUND 429340,A81000B,01000,0300,LINEN & BEDDING 429340,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 429340,A81000B,01200,0300,LAUNDRY SUPPLIES 429340,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 429340,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 429340,A81000B,01500,0300,DIETARY SUPPLEMENTS 429340,A81000B,01600,0300,DIETARY SUPPLIES 429340,A81000B,01700,0300,BIO-MEDICAL WASTE 429340,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 429340,A81000B,01900,0300,PERSONAL CARE SUPPLIES 429340,A81000B,02000,0300,INCONTINENCE SUPPLIES 429340,A81000B,02100,0300,MEDICAL SUPPLIES 429340,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 429340,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 429340,A81000B,02400,0300,PT SUPPLIES 429340,A81000B,02500,0300,OT SUPPLIES 429340,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 429340,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 429340,A81000B,02800,0300,NON-LEGEND DRUGS 429340,A81000B,02900,0300,PHARMACY CONSULTANT 429340,A81000C,00100,0100,B 429340,A81000C,00100,0400,BRITTHAVEN INC 429340,A81000C,00100,0600,MGMT SERVICES 429340,A81000C,00200,0100,B 429340,A81000C,00200,0400,BRITTHAVEN INC 429340,A81000C,00200,0600,MGMT SERVICES 429340,A81000C,00300,0100,B 429340,A81000C,00300,0400,BRITTHAVEN INC 429340,A81000C,00300,0600,MGMT SERVICES 429340,A81000C,00400,0100,B 429340,A81000C,00400,0400,BRITTHAVEN INC 429340,A81000C,00400,0600,MGMT SERVICES 429340,A81000C,00500,0100,A 429340,A81000C,00500,0200,DISCOVERY INSUR 429340,A81000C,00500,0600,INSURANCE 429340,A81000C,00600,0100,A 429340,A81000C,00600,0200,QUEENSLAND ASSU 429340,A81000C,00600,0600,INSURANCE 429340,A81000C,00700,0100,B 429340,A81000C,00700,0400,KARE MEDICAL 429340,A81000C,00700,0600,WHOLESALE SUPPL 429340,A81000C,00800,0100,B 429340,A81000C,00800,0400,KARE MEDICAL 429340,A81000C,00800,0600,WHOLESALE SUPPL 429340,A81000C,00900,0100,B 429340,A81000C,00900,0400,KARE MEDICAL 429340,A81000C,00900,0600,WHOLESALE SUPPL 429340,A81000C,01000,0100,B 429340,A81000C,01000,0400,KARE MEDICAL 429340,A81000C,01000,0600,WHOLESALE SUPPL 429340,A81000C,01001,0100,B 429340,A81000C,01001,0400,KARE MEDICAL 429340,A81000C,01001,0600,WHOLESALE SUPPL 429340,A81000C,01002,0100,B 429340,A81000C,01002,0400,KARE MEDICAL 429340,A81000C,01002,0600,WHOLESALE SUPPL 429340,A81000C,01003,0100,B 429340,A81000C,01003,0400,KARE MEDICAL 429340,A81000C,01003,0600,WHOLESALE SUPPL 429340,A81000C,01004,0100,B 429340,A81000C,01004,0400,KARE MEDICAL 429340,A81000C,01004,0600,WHOLESALE SUPPL 429340,A81000C,01005,0100,B 429340,A81000C,01005,0400,KARE MEDICAL 429340,A81000C,01005,0600,WHOLESALE SUPPL 429340,A81000C,01006,0100,B 429340,A81000C,01006,0400,KARE MEDICAL 429340,A81000C,01006,0600,WHOLESALE SUPPL 429340,A81000C,01007,0100,B 429340,A81000C,01007,0400,KARE MEDICAL 429340,A81000C,01007,0600,WHOLESALE SUPPL 429340,A81000C,01008,0100,B 429340,A81000C,01008,0400,KARE MEDICAL 429340,A81000C,01008,0600,WHOLESALE SUPPL 429340,A81000C,01009,0100,B 429340,A81000C,01009,0400,KARE MEDICAL 429340,A81000C,01009,0600,WHOLESALE SUPPL 429340,A81000C,01010,0100,B 429340,A81000C,01010,0400,KARE MEDICAL 429340,A81000C,01010,0600,WHOLESALE SUPPL 429340,A81000C,01011,0100,B 429340,A81000C,01011,0400,KARE MEDICAL 429340,A81000C,01011,0600,WHOLESALE SUPPL 429340,A81000C,01012,0100,B 429340,A81000C,01012,0400,KARE MEDICAL 429340,A81000C,01012,0600,WHOLESALE SUPPL 429340,A81000C,01013,0100,B 429340,A81000C,01013,0400,KARE MEDICAL 429340,A81000C,01013,0600,WHOLESALE SUPPL 429340,A81000C,01014,0100,B 429340,A81000C,01014,0400,KARE MEDICAL 429340,A81000C,01014,0600,WHOLESALE SUPPL 429340,A81000C,01015,0100,B 429340,A81000C,01015,0400,KARE MEDICAL 429340,A81000C,01015,0600,WHOLESALE SUPPL 429340,A81000C,01016,0100,B 429340,A81000C,01016,0400,KARE MEDICAL 429340,A81000C,01016,0600,WHOLESALE SUPPL 429340,A81000C,01017,0100,B 429340,A81000C,01017,0400,PHARMSAVE 429340,A81000C,01017,0600,RX SUPPLY 429340,A81000C,01018,0100,B 429340,A81000C,01018,0400,PHARMSAVE 429340,A81000C,01018,0600,RX SUPPLY 429340,A81000C,01019,0100,B 429340,A81000C,01019,0400,PHARMSAVE 429340,A81000C,01019,0600,RX SUPPLY 429340,A81000C,01020,0100,B 429340,A81000C,01020,0400,PHARMSAVE 429340,A81000C,01020,0600,RX SUPPLY 429340,A81000C,01021,0100,B 429340,A81000C,01021,0400,PHARMSAVE 429340,A81000C,01021,0600,RX SUPPLY 429340,A81000C,01022,0100,B 429340,A81000C,01022,0400,ROBERT HILL CON 429340,A81000C,01022,0600,CONSTRUCTION 429340,A81000C,01023,0100,B 429340,A81000C,01023,0400,ROBERT HILL CON 429340,A81000C,01023,0600,CONSTRUCTION 429340,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429340,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429340,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429340,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429340,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429340,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429340,B100000,00000,0800,0800MEALS SERVED :DIETARY 429340,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429340,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429340,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429340,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429340,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429340,G300000,02500,0000, OTHER (SPECIFY) 429340,S000000,00100,0200,07/25/11 429340,S200000,00100,0100,1016 FLETCHER STREET 429340,S200000,00200,0100,WILKESBORO 429340,S200000,00200,0200,NC 429340,S200000,00200,0300,28697 429340,S200000,00300,0100,WILKES 429340,S200000,00300,0201,99934 429340,S200000,00300,0300,R 429340,S200000,00400,0100,BRITTHAVEN OF WILKESBORO 429340,S200000,00400,0200,345205 429340,S200000,00400,0300,07/30/81 429340,S200000,00400,0500,P 429340,S200000,01500,0100,N 429340,S200000,01501,0200,Y 429340,S200000,01503,0200,Y 429340,S200000,01504,0200,Y 429340,S200000,01505,0000,OTHER (SPECIFY) 429340,S200000,01505,0200,Y 429340,S200000,01600,0100,Y 429340,S200000,01700,0100,N 429340,S200000,01800,0100,N 429340,S200000,02200,0100,N 429340,S200000,02800,0100,N 429340,S200000,02900,0100,N 429340,S200000,03000,0100,N 429340,S200000,03100,0100,Y 429340,S200000,03200,0100,N 429340,S200000,03300,0100,N 429340,S200000,03300,0200,N 429340,S200000,04100,0100,N 429340,S200000,04200,0100,N 429340,S200000,04300,0100,N 429340,S200000,04600,0100,N 429340,S200000,04700,0100,N 429340,S200000,04700,0200,N 429340,S200000,04900,0100,N 429340,S200000,05000,0100,N 429340,S200000,05100,0100,N 429340,S200000,05200,0100,N 429340,S200000,05300,0100,Y 429340,S200000,05300,0200,349011 429340,S200000,05400,0100,BRITTHAVEN INC 429340,S200000,05400,0200,PALMETTO GBA 429340,S200000,05400,0300,11501 429340,S200000,05500,0100,1435 HWY 258 NORTH 429340,S200000,05500,0200,PO BOX 61 429340,S200000,05600,0100,KINSTON 429340,S200000,05600,0200,NC 429340,S200000,05600,0300,28502 429341,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429341,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429341,A000000,00300,0000,0300EMPLOYEE BENEFITS 429341,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429341,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429341,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429341,A000000,00700,0000,0700HOUSEKEEPING 429341,A000000,00800,0000,0800DIETARY 429341,A000000,00900,0000,0900NURSING ADMINISTRATION 429341,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429341,A000000,01100,0000,1100PHARMACY 429341,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429341,A000000,01300,0000,1300SOCIAL SERVICE 429341,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429341,A000000,01600,0000,1600SKILLED NURSING FACILITY 429341,A000000,01800,0000,1800NURSING FACILITY 429341,A000000,01900,0000,1900OTHER LONG TERM CARE 429341,A000000,02100,0000,2100RADIOLOGY 429341,A000000,02200,0000,2200LABORATORY 429341,A000000,02300,0000,2300INTRAVENOUS THERAPY 429341,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429341,A000000,02500,0000,2500PHYSICAL THERAPY 429341,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429341,A000000,02700,0000,2700SPEECH PATHOLOGY 429341,A000000,02800,0000,2800ELECTROCARDIOLOGY 429341,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429341,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429341,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429341,A000000,03200,0000,3200SUPPORT SURFACES 429341,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429341,A000000,03400,0000,3400CLINIC 429341,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429341,A000000,04800,0000,4800AMBULANCE 429341,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429341,A000000,05000,0000,5000CORF 429341,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429341,A000000,05300,0000,5300INTEREST EXPENSE 429341,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429341,A000000,05500,0000,5500HOSPICE 429341,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429341,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429341,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429341,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429341,A000000,06100,0000,6100NONPAID WORKERS 429341,A000000,06200,0000,6200PATIENTS LAUNDRY 429341,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429341,A81000A,00100,0100,Y 429341,A81000B,00100,0300,NURSING CONSULTING 429341,A81000B,00200,0300,DIETARY CONSULTING 429341,A81000B,00300,0300,HOME OFFICE 429341,A81000B,00400,0300,INTEREST EXPENSE 429341,A81000B,00500,0300,WORKERS COMPENSATION 429341,A81000B,00600,0300,PROFESSIONAL LIABILITY 429341,A81000B,00700,0300,MAINTENANCE SUPPLIES 429341,A81000B,00800,0300,REPAIRS-EQUIPMENT 429341,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 429341,A81000B,01000,0300,PAPER PRODUCTS 429341,A81000B,01100,0300,DIETARY SUPPLEMENTS 429341,A81000B,01200,0300,DIETARY SUPPLIES 429341,A81000B,01300,0300,INCONTINENCE SUPPLIES 429341,A81000B,01400,0300,MEDICAL SUPPLIES 429341,A81000B,01500,0300,PERSONAL CARE SUPPLIES 429341,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 429341,A81000B,01700,0300,BIO-MEDICAL WASTE 429341,A81000B,01800,0300,LINEN & BEDDING 429341,A81000B,01900,0300,LAUNDRY SUPPLIES 429341,A81000B,02000,0300,PT SUPPLIES 429341,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 429341,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 429341,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 429341,A81000B,02400,0300,EQUIPMENT RENTAL 429341,A81000B,02500,0300,NON-LEGEND DRUGS 429341,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 429341,A81000B,02700,0300,PHARMACY CONSULTANTS 429341,A81000B,02800,0300,LEGEND DRUGS 429341,A81000B,02900,0300,REPAIRS-BUILDING 429341,A81000C,00100,0100,B 429341,A81000C,00100,0400,BRITTHAVEN INC 429341,A81000C,00100,0600,MGMT SERVICE 429341,A81000C,00200,0100,B 429341,A81000C,00200,0400,BRITTHAVEN INC 429341,A81000C,00200,0600,MGMT SERVICE 429341,A81000C,00300,0100,B 429341,A81000C,00300,0400,BRITTHAVEN INC 429341,A81000C,00300,0600,MGMT SERVICE 429341,A81000C,00400,0100,B 429341,A81000C,00400,0400,BRITTHAVEN INC 429341,A81000C,00400,0600,MGMT SERVICES 429341,A81000C,00500,0100,A 429341,A81000C,00500,0200,DISCOVERY INSUR 429341,A81000C,00500,0600,INSURANCE 429341,A81000C,00600,0100,A 429341,A81000C,00600,0200,QUEENSLAND ASSU 429341,A81000C,00600,0600,INSURANCE 429341,A81000C,00700,0100,B 429341,A81000C,00700,0400,KARE MEDICAL 429341,A81000C,00700,0600,WHOLESALE SUPPL 429341,A81000C,00800,0100,B 429341,A81000C,00800,0400,KARE MEDICAL 429341,A81000C,00800,0600,WHOLESALE SUPPL 429341,A81000C,00900,0100,B 429341,A81000C,00900,0400,KARE MEDICAL 429341,A81000C,00900,0600,WHOLESALE SUPPL 429341,A81000C,01000,0100,B 429341,A81000C,01000,0400,KARE MEDICAL 429341,A81000C,01000,0600,WHOLESALE SUPPL 429341,A81000C,01001,0100,B 429341,A81000C,01001,0400,KARE MEDICAL 429341,A81000C,01001,0600,WHOLESALE SUPPL 429341,A81000C,01002,0100,B 429341,A81000C,01002,0400,KARE MEDICAL 429341,A81000C,01002,0600,WHOLESALE SUPPL 429341,A81000C,01003,0100,B 429341,A81000C,01003,0400,KARE MEDICAL 429341,A81000C,01003,0600,WHOLESALE SUPPL 429341,A81000C,01004,0100,B 429341,A81000C,01004,0400,KARE MEDICAL 429341,A81000C,01004,0600,WHOLESALE SUPPL 429341,A81000C,01005,0100,B 429341,A81000C,01005,0400,KARE MEDICAL 429341,A81000C,01005,0600,WHOLESALE SUPPL 429341,A81000C,01006,0100,B 429341,A81000C,01006,0400,KARE MEDICAL 429341,A81000C,01006,0600,WHOLESALE SUPPL 429341,A81000C,01007,0100,B 429341,A81000C,01007,0400,KARE MEDICAL 429341,A81000C,01007,0600,WHOLESALE SUPPL 429341,A81000C,01008,0100,B 429341,A81000C,01008,0400,KARE MEDICAL 429341,A81000C,01008,0600,WHOLESALE SUPPL 429341,A81000C,01009,0100,B 429341,A81000C,01009,0400,KARE MEDICAL 429341,A81000C,01009,0600,WHOLESALE SUPPL 429341,A81000C,01010,0100,B 429341,A81000C,01010,0400,KARE MEDICAL 429341,A81000C,01010,0600,WHOLESALE SUPPL 429341,A81000C,01011,0100,B 429341,A81000C,01011,0400,KARE MEDICAL 429341,A81000C,01011,0600,WHOLESALE SUPPL 429341,A81000C,01012,0100,B 429341,A81000C,01012,0400,KARE MEDICAL 429341,A81000C,01012,0600,WHOLESALE SUPPL 429341,A81000C,01013,0100,B 429341,A81000C,01013,0400,KARE MEDICAL 429341,A81000C,01013,0600,WHOLESALE SUPPL 429341,A81000C,01014,0100,B 429341,A81000C,01014,0400,PHARMSAVE 429341,A81000C,01014,0600,RX SUPPLY 429341,A81000C,01015,0100,B 429341,A81000C,01015,0400,PHARMSAVE 429341,A81000C,01015,0600,RX SUPPLY 429341,A81000C,01016,0100,B 429341,A81000C,01016,0400,PHARMSAVE 429341,A81000C,01016,0600,RX SUPPLY 429341,A81000C,01017,0100,B 429341,A81000C,01017,0400,PHARMSAVE 429341,A81000C,01017,0600,RX SUPPLY 429341,A81000C,01018,0100,B 429341,A81000C,01018,0400,PHARMSAVE 429341,A81000C,01018,0600,RX SUPPLY 429341,A81000C,01019,0100,B 429341,A81000C,01019,0400,ROBERT HILL CON 429341,A81000C,01019,0600,CONSTRUCTION 429341,A81000C,01020,0100,B 429341,A81000C,01020,0400,ROBERT HILL CON 429341,A81000C,01020,0600,CONSTRUCTION 429341,A81000C,01021,0100,B 429341,A81000C,01021,0400,ROBERT HILL CON 429341,A81000C,01021,0600,CONSTRUCTION 429341,A81000C,01022,0100,B 429341,A81000C,01022,0400,ROBERT HILL CON 429341,A81000C,01022,0600,CONSTRUCTION 429341,A81000C,01023,0100,B 429341,A81000C,01023,0400,ROBERT HILL CON 429341,A81000C,01023,0600,CONSTRUCTION 429341,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429341,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429341,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429341,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429341,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429341,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429341,B100000,00000,0800,0800MEALS SERVED :DIETARY 429341,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429341,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429341,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429341,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429341,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429341,G300000,02500,0000, OTHER (SPECIFY) 429341,S000000,00100,0200,07/25/11 429341,S200000,00100,0100,1304 S.E. 2ND STREET 429341,S200000,00200,0100,SNOW HILL 429341,S200000,00200,0200,NC 429341,S200000,00200,0300,28580 429341,S200000,00300,0100,GREENE 429341,S200000,00300,0201,24780 429341,S200000,00300,0300,U 429341,S200000,00400,0100,BRITTHAVEN OF SNOW HILL 429341,S200000,00400,0200,345366 429341,S200000,00400,0300,05/13/91 429341,S200000,00400,0500,P 429341,S200000,01500,0100,N 429341,S200000,01501,0200,Y 429341,S200000,01502,0200,Y 429341,S200000,01503,0200,Y 429341,S200000,01504,0200,Y 429341,S200000,01505,0000,OTHER (SPECIFY) 429341,S200000,01505,0200,Y 429341,S200000,01600,0100,Y 429341,S200000,01700,0100,N 429341,S200000,01800,0100,N 429341,S200000,02200,0100,N 429341,S200000,02800,0100,N 429341,S200000,02900,0100,N 429341,S200000,03000,0100,N 429341,S200000,03100,0100,Y 429341,S200000,03200,0100,N 429341,S200000,03300,0100,N 429341,S200000,03300,0200,N 429341,S200000,04100,0100,N 429341,S200000,04200,0100,N 429341,S200000,04300,0100,N 429341,S200000,04600,0100,N 429341,S200000,04700,0100,N 429341,S200000,04700,0200,N 429341,S200000,04900,0100,N 429341,S200000,05000,0100,N 429341,S200000,05100,0100,N 429341,S200000,05200,0100,N 429341,S200000,05300,0100,Y 429341,S200000,05300,0200,349011 429341,S200000,05400,0100,BRITTHAVEN INC. 429341,S200000,05400,0200,PALMETTO GBA 429341,S200000,05400,0300,11501 429341,S200000,05500,0100,1435 HWY 258 NORTH 429341,S200000,05500,0200,PO BOX 61 429341,S200000,05600,0100,KINSTON 429341,S200000,05600,0200,NC 429341,S200000,05600,0300,28502 429343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429343,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429343,A000000,00300,0000,0300EMPLOYEE BENEFITS 429343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429343,A000000,00700,0000,0700HOUSEKEEPING 429343,A000000,00800,0000,0800DIETARY 429343,A000000,00900,0000,0900NURSING ADMINISTRATION 429343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429343,A000000,01100,0000,1100PHARMACY 429343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429343,A000000,01300,0000,1300SOCIAL SERVICE 429343,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429343,A000000,01600,0000,1600SKILLED NURSING FACILITY 429343,A000000,01800,0000,1800NURSING FACILITY 429343,A000000,01900,0000,1900OTHER LONG TERM CARE 429343,A000000,02100,0000,2100RADIOLOGY 429343,A000000,02200,0000,2200LABORATORY 429343,A000000,02300,0000,2300INTRAVENOUS THERAPY 429343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429343,A000000,02500,0000,2500PHYSICAL THERAPY 429343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429343,A000000,02700,0000,2700SPEECH PATHOLOGY 429343,A000000,02800,0000,2800ELECTROCARDIOLOGY 429343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429343,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429343,A000000,03200,0000,3200SUPPORT SURFACES 429343,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429343,A000000,03400,0000,3400CLINIC 429343,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429343,A000000,04800,0000,4800AMBULANCE 429343,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429343,A000000,05000,0000,5000CORF 429343,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429343,A000000,05300,0000,5300INTEREST EXPENSE 429343,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429343,A000000,05500,0000,5500HOSPICE 429343,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429343,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429343,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429343,A000000,06100,0000,6100NONPAID WORKERS 429343,A000000,06200,0000,6200PATIENTS LAUNDRY 429343,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429343,A81000A,00100,0100,Y 429343,A81000B,00100,0300,NURSING CONSULTING 429343,A81000B,00200,0300,DIETARY CONSULTING 429343,A81000B,00300,0300,HOME OFFICE 429343,A81000B,00400,0300,INTEREST EXPENSE 429343,A81000B,00500,0300,WORKERS COMP EXPENSE 429343,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 429343,A81000B,00700,0300,MAINTENANCE SUPPLIES 429343,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 429343,A81000B,00900,0300,REPAIRS - EQUIPMENT 429343,A81000B,01000,0300,LINEN & BEDDING 429343,A81000B,01100,0300,LAUNDRY SUPPLIES 429343,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 429343,A81000B,01300,0300,HSKP SUPPLIES 429343,A81000B,01400,0300,DIETARY SUPPLEMENTS 429343,A81000B,01500,0300,DIETARY SUPPLIES 429343,A81000B,01600,0300,BIO-MEDICAL WASTE 429343,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 429343,A81000B,01800,0300,NURSING EQUIPMENT RENTAL 429343,A81000B,01900,0300,PERSONAL CARE SUPPLIES 429343,A81000B,02000,0300,INCONTINENCE SUPPLIES 429343,A81000B,02100,0300,MEDICAL SUPPLIES 429343,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 429343,A81000B,02300,0300,PT SUPPLIES 429343,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 429343,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 429343,A81000B,02600,0300,NON-LEGEND DRUGS 429343,A81000B,02700,0300,PHARMACY CONSULTANT 429343,A81000B,02800,0300,MED REC SUPPLIES 429343,A81000B,02900,0300,LEGEND DRUGS 429343,A81000C,00100,0100,B 429343,A81000C,00100,0400,BRITTHAVEN INC 429343,A81000C,00100,0600,MGMT SERVICES 429343,A81000C,00200,0100,B 429343,A81000C,00200,0400,BRITTHAVEN INC 429343,A81000C,00200,0600,MGMT SERVICES 429343,A81000C,00300,0100,B 429343,A81000C,00300,0400,BRITTHAVEN INC 429343,A81000C,00300,0600,MGMT SERVICES 429343,A81000C,00400,0100,B 429343,A81000C,00400,0400,BRITTHAVEN INC 429343,A81000C,00400,0600,MGMT SERVICES 429343,A81000C,00500,0100,A 429343,A81000C,00500,0200,DISCOVERY INSUR 429343,A81000C,00500,0600,INSURANCE 429343,A81000C,00600,0100,A 429343,A81000C,00600,0200,QUEENSLAND ASSU 429343,A81000C,00600,0600,INSURANCE 429343,A81000C,00700,0100,B 429343,A81000C,00700,0400,KARE MEDICAL 429343,A81000C,00700,0600,WHOLESALE SUPPL 429343,A81000C,00800,0100,B 429343,A81000C,00800,0400,KARE MEDICAL 429343,A81000C,00800,0600,WHOLESALE SUPPL 429343,A81000C,00900,0100,B 429343,A81000C,00900,0400,KARE MEDICAL 429343,A81000C,00900,0600,WHOLESALE SUPPL 429343,A81000C,01000,0100,B 429343,A81000C,01000,0400,KARE MEDICAL 429343,A81000C,01000,0600,WHOLESALE SUPPL 429343,A81000C,01001,0100,B 429343,A81000C,01001,0400,KARE MEDICAL 429343,A81000C,01001,0600,WHOLESALE SUPPL 429343,A81000C,01002,0100,B 429343,A81000C,01002,0400,KARE MEDICAL 429343,A81000C,01002,0600,WHOLESALE SUPPL 429343,A81000C,01003,0100,B 429343,A81000C,01003,0400,KARE MEDICAL 429343,A81000C,01003,0600,WHOLESALE SUPPL 429343,A81000C,01004,0100,B 429343,A81000C,01004,0400,KARE MEDICAL 429343,A81000C,01004,0600,WHOLESALE SUPPL 429343,A81000C,01005,0100,B 429343,A81000C,01005,0400,KARE MEDICAL 429343,A81000C,01005,0600,WHOLESALE SUPPL 429343,A81000C,01006,0100,B 429343,A81000C,01006,0400,KARE MEDICAL 429343,A81000C,01006,0600,WHOLESALE SUPPL 429343,A81000C,01007,0100,B 429343,A81000C,01007,0400,KARE MEDICAL 429343,A81000C,01007,0600,WHOLESALE SUPPL 429343,A81000C,01008,0100,B 429343,A81000C,01008,0400,KARE MEDICAL 429343,A81000C,01008,0600,WHOLESALE SUPPL 429343,A81000C,01009,0100,B 429343,A81000C,01009,0400,KARE MEDICAL 429343,A81000C,01009,0600,WHOLESALE SUPPL 429343,A81000C,01010,0100,B 429343,A81000C,01010,0400,KARE MEDICAL 429343,A81000C,01010,0600,WHOLESALE SUPPL 429343,A81000C,01011,0100,B 429343,A81000C,01011,0400,KARE MEDICAL 429343,A81000C,01011,0600,WHOLESALE SUPPL 429343,A81000C,01012,0100,B 429343,A81000C,01012,0400,KARE MEDICAL 429343,A81000C,01012,0600,WHOLESALE SUPPL 429343,A81000C,01013,0100,B 429343,A81000C,01013,0400,KARE MEDICAL 429343,A81000C,01013,0600,WHOLESALE SUPPL 429343,A81000C,01014,0100,B 429343,A81000C,01014,0400,KARE MEDICAL 429343,A81000C,01014,0600,WHOLESALE SUPPL 429343,A81000C,01015,0100,B 429343,A81000C,01015,0400,PHARMSAVE 429343,A81000C,01015,0600,RX SUPPLY 429343,A81000C,01016,0100,B 429343,A81000C,01016,0400,PHARMSAVE 429343,A81000C,01016,0600,RX SUPPLY 429343,A81000C,01017,0100,B 429343,A81000C,01017,0400,PHARMSAVE 429343,A81000C,01017,0600,RX SUPPLY 429343,A81000C,01018,0100,B 429343,A81000C,01018,0400,PHARMSAVE 429343,A81000C,01018,0600,RX SUPPLY 429343,A81000C,01019,0100,B 429343,A81000C,01019,0400,PHARMSAVE 429343,A81000C,01019,0600,RX SUPPLY 429343,A81000C,01020,0100,B 429343,A81000C,01020,0400,ROBERT HILL CON 429343,A81000C,01020,0600,CONSTRUCTION 429343,A81000C,01021,0100,B 429343,A81000C,01021,0400,ROBERT HILL CON 429343,A81000C,01021,0600,CONSTRUCTION 429343,A81000C,01022,0100,B 429343,A81000C,01022,0400,ROBERT HILL CON 429343,A81000C,01022,0600,CONSTRUCTION 429343,A81000C,01023,0100,B 429343,A81000C,01023,0400,ROBERT HILL CON 429343,A81000C,01023,0600,CONSTRUCTION 429343,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429343,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429343,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429343,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429343,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429343,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429343,B100000,00000,0800,0800MEALS SERVED :DIETARY 429343,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 429343,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429343,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429343,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429343,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429343,G300000,02500,0000, OTHER (SPECIFY) 429343,S000000,00100,0200,07/25/11 429343,S200000,00100,0100,250 LOVERS LANE 429343,S200000,00200,0100,WASHINGTON 429343,S200000,00200,0200,NC 429343,S200000,00200,0300,27889 429343,S200000,00300,0100,BEAUFORT 429343,S200000,00300,0201,99934 429343,S200000,00300,0300,R 429343,S200000,00400,0100,BRITTHAVEN OF WASHINGTON 429343,S200000,00400,0200,345215 429343,S200000,00400,0300,04/01/83 429343,S200000,00400,0500,P 429343,S200000,01500,0100,N 429343,S200000,01501,0200,Y 429343,S200000,01502,0200,Y 429343,S200000,01503,0200,Y 429343,S200000,01504,0200,Y 429343,S200000,01505,0000,OTHER (SPECIFY) 429343,S200000,01505,0200,Y 429343,S200000,01600,0100,Y 429343,S200000,01700,0100,N 429343,S200000,01800,0100,N 429343,S200000,02200,0100,N 429343,S200000,02800,0100,N 429343,S200000,02900,0100,N 429343,S200000,03000,0100,N 429343,S200000,03100,0100,Y 429343,S200000,03200,0100,N 429343,S200000,03300,0100,N 429343,S200000,03300,0200,N 429343,S200000,04100,0100,N 429343,S200000,04200,0100,N 429343,S200000,04300,0100,N 429343,S200000,04600,0100,N 429343,S200000,04700,0100,N 429343,S200000,04700,0200,N 429343,S200000,04900,0100,N 429343,S200000,05000,0100,N 429343,S200000,05100,0100,N 429343,S200000,05200,0100,N 429343,S200000,05300,0100,Y 429343,S200000,05300,0200,349011 429343,S200000,05400,0100,BRITTHAVEN INC. 429343,S200000,05400,0200,PALMETTO GBA 429343,S200000,05400,0300,11501 429343,S200000,05500,0100,1435 HWY 258 NORTH 429343,S200000,05500,0200,P.O. BOX 429343,S200000,05600,0100,KINSTON 429343,S200000,05600,0200,NC 429343,S200000,05600,0300,28502 429344,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429344,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429344,A000000,00300,0000,0300EMPLOYEE BENEFITS 429344,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429344,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429344,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429344,A000000,00700,0000,0700HOUSEKEEPING 429344,A000000,00800,0000,0800DIETARY 429344,A000000,00900,0000,0900NURSING ADMINISTRATION 429344,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429344,A000000,01100,0000,1100PHARMACY 429344,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429344,A000000,01300,0000,1300SOCIAL SERVICE 429344,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429344,A000000,01500,0000,1350OTHER GENERAL SERVICES 429344,A000000,01600,0000,1600SKILLED NURSING FACILITY 429344,A000000,01800,0000,1800NURSING FACILITY 429344,A000000,01810,0000,1810ICF/MR 429344,A000000,01900,0000,1900OTHER LONG TERM CARE 429344,A000000,02100,0000,2100RADIOLOGY 429344,A000000,02200,0000,2200LABORATORY 429344,A000000,02300,0000,2300INTRAVENOUS THERAPY 429344,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429344,A000000,02500,0000,2500PHYSICAL THERAPY 429344,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429344,A000000,02700,0000,2700SPEECH PATHOLOGY 429344,A000000,02800,0000,2800ELECTROCARDIOLOGY 429344,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429344,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429344,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429344,A000000,03200,0000,3200SUPPORT SURFACES 429344,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429344,A000000,03400,0000,3400CLINIC 429344,A000000,03500,0000,3500RURAL HEALTH CLINIC 429344,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429344,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429344,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429344,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429344,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429344,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429344,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429344,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429344,A000000,04400,0000,4400DME RENTED - HHA 429344,A000000,04500,0000,4500DME SOLD - HHA 429344,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429344,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429344,A000000,04800,0000,4800AMBULANCE 429344,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429344,A000000,05000,0000,5000CORF 429344,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429344,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429344,A000000,05300,0000,5300INTEREST EXPENSE 429344,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429344,A000000,05500,0000,5500HOSPICE 429344,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429344,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429344,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429344,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429344,A000000,06100,0000,6100NONPAID WORKERS 429344,A000000,06200,0000,6200PATIENTS LAUNDRY 429344,A000000,06300,0000,6150RENTAL PROPERTY 429344,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429344,A81000A,00100,0100,Y 429344,A81000B,00100,0300,POOLED - CAPITAL RELATED 429344,A81000B,00200,0300,POOLED - CAPITAL RELATED 429344,A81000B,00300,0300,POOLED - CENTRAL OFFICE 429344,A81000C,00100,0100,B 429344,A81000C,00100,0200,MEDICALODGES INC 429344,A81000C,00100,0600,HEALTHCARE 429344,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429344,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429344,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429344,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429344,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429344,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429344,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429344,B100000,00000,0800,0800MEALS SERVED :DIETARY 429344,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429344,E10A180,00301,0100,10/31/11 429344,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429344,G300000,02501,0000,FINANCE CHARGES PROC. FEES INTERE 429344,G300000,02502,0000,MEDICAID INCOME ADJM (2000 2010) 429344,G300000,02503,0000,MEDICAID INCOME ADJM (2001 2011) 429344,S000000,00100,0200,04/03/12 429344,S200000,00100,0100,203 EAST OSAGE 429344,S200000,00200,0100,ARKANSAS CITY 429344,S200000,00200,0200,KS 429344,S200000,00200,0300,67005-1255 429344,S200000,00300,0100,COWLEY 429344,S200000,00300,0200,17 429344,S200000,00300,0201,99917 429344,S200000,00300,0300,R 429344,S200000,00400,0100,MEDICALODGE HEALTH CARE CENTER 429344,S200000,00400,0200,175313 429344,S200000,00400,0300,08/01/94 429344,S200000,00400,0500,P 429344,S200000,01500,0100,Y 429344,S200000,01501,0200,N 429344,S200000,01600,0100,N 429344,S200000,01700,0100,N 429344,S200000,01800,0100,N 429344,S200000,02200,0100,N 429344,S200000,02800,0100,Y 429344,S200000,02900,0100,N 429344,S200000,03000,0100,N 429344,S200000,03100,0100,N 429344,S200000,03200,0100,N 429344,S200000,03300,0100,N 429344,S200000,03300,0200,N 429344,S200000,04100,0100,N 429344,S200000,04200,0100,N 429344,S200000,04300,0100,N 429344,S200000,04600,0100,N 429344,S200000,04700,0100,N 429344,S200000,04700,0200,N 429344,S200000,04900,0100,N 429344,S200000,05000,0100,N 429344,S200000,05100,0100,N 429344,S200000,05200,0100,N 429344,S200000,05300,0100,Y 429344,S200000,05300,0200,HO8004 429344,S200000,05400,0100,MEDICALODGES INC 429344,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 429344,S200000,05400,0300,05201 429344,S200000,05500,0200,POBOX 509 429344,S200000,05600,0100,COFFEYVILLE 429344,S200000,05600,0200,KS 429344,S200000,05600,0300,67337 429345,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429345,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429345,A000000,00300,0000,0300EMPLOYEE BENEFITS 429345,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429345,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429345,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429345,A000000,00700,0000,0700HOUSEKEEPING 429345,A000000,00800,0000,0800DIETARY 429345,A000000,00900,0000,0900NURSING ADMINISTRATION 429345,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429345,A000000,01100,0000,1100PHARMACY 429345,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429345,A000000,01300,0000,1300SOCIAL SERVICE 429345,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429345,A000000,01500,0000,1350OTHER GENERAL SERVICES 429345,A000000,01600,0000,1600SKILLED NURSING FACILITY 429345,A000000,01800,0000,1800NURSING FACILITY 429345,A000000,01810,0000,1810ICF/MR 429345,A000000,01900,0000,1900OTHER LONG TERM CARE 429345,A000000,02100,0000,2100RADIOLOGY 429345,A000000,02200,0000,2200LABORATORY 429345,A000000,02300,0000,2300INTRAVENOUS THERAPY 429345,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429345,A000000,02500,0000,2500PHYSICAL THERAPY 429345,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429345,A000000,02700,0000,2700SPEECH PATHOLOGY 429345,A000000,02800,0000,2800ELECTROCARDIOLOGY 429345,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429345,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429345,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429345,A000000,03200,0000,3200SUPPORT SURFACES 429345,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429345,A000000,03400,0000,3400CLINIC 429345,A000000,03500,0000,3500RURAL HEALTH CLINIC 429345,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429345,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429345,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429345,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429345,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429345,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429345,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429345,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429345,A000000,04400,0000,4400DME RENTED - HHA 429345,A000000,04500,0000,4500DME SOLD - HHA 429345,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429345,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429345,A000000,04800,0000,4800AMBULANCE 429345,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429345,A000000,05000,0000,5000CORF 429345,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429345,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429345,A000000,05300,0000,5300INTEREST EXPENSE 429345,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429345,A000000,05500,0000,5500HOSPICE 429345,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429345,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429345,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429345,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429345,A000000,06100,0000,6100NONPAID WORKERS 429345,A000000,06200,0000,6200PATIENTS LAUNDRY 429345,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429345,A81000A,00100,0100,Y 429345,A81000B,00100,0300,CAP REL COSTS - BLDGS & POOLED 429345,A81000B,00200,0300,CAP REL COSTS - MOVEABLE E POOLED 429345,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED 429345,A81000C,00100,0100,B 429345,A81000C,00100,0200,MEDICALODGES INC 429345,A81000C,00100,0600,HEALTHCARE 429345,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429345,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429345,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429345,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429345,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429345,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429345,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429345,B100000,00000,0800,0800MEALS SERVED :DIETARY 429345,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429345,E10A180,00301,0100,10/31/11 429345,E10A180,00302,0100,05/09/11 429345,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429345,G300000,02501,0000,FINANCE CHARGE 429345,S000000,00100,0200,04/03/12 429345,S200000,00100,0100,HIGHWAY 123 429345,S200000,00200,0100,DEWEY 429345,S200000,00200,0200,OK 429345,S200000,00200,0300,74029-0520 429345,S200000,00300,0100,WASHINGTON 429345,S200000,00300,0200,37 429345,S200000,00300,0201,99937 429345,S200000,00300,0300,R 429345,S200000,00400,0100,MEDICALODGE OF DEWEY 429345,S200000,00400,0200,375150 429345,S200000,00400,0300,01/01/94 429345,S200000,00400,0500,P 429345,S200000,01500,0100,Y 429345,S200000,01501,0200,N 429345,S200000,01600,0100,N 429345,S200000,01700,0100,N 429345,S200000,01800,0100,N 429345,S200000,02200,0100,N 429345,S200000,02800,0100,N 429345,S200000,02900,0100,N 429345,S200000,03000,0100,N 429345,S200000,03100,0100,N 429345,S200000,03200,0100,N 429345,S200000,03300,0100,N 429345,S200000,03300,0200,N 429345,S200000,04100,0100,N 429345,S200000,04200,0100,N 429345,S200000,04300,0100,N 429345,S200000,04600,0100,N 429345,S200000,04700,0100,N 429345,S200000,04700,0200,N 429345,S200000,04900,0100,N 429345,S200000,05000,0100,N 429345,S200000,05100,0100,N 429345,S200000,05200,0100,N 429348,S000000,00100,0200,02/27/12 429348,S200000,00100,0100,19120 200TH ST 429348,S200000,00200,0100,GREENBUSH 429348,S200000,00200,0200,MN 429348,S200000,00200,0300,56726-0250 429348,S200000,00300,0100,ROSEAU 429348,S200000,00400,0100,LIFECARE MEDICAL CENTER 429348,S200000,00400,0300,10/01/09 429350,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429350,A000000,00300,0000,0300EMPLOYEE BENEFITS 429350,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429350,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429350,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429350,A000000,00700,0000,0700HOUSEKEEPING 429350,A000000,00800,0000,0800DIETARY 429350,A000000,00900,0000,0900NURSING ADMINISTRATION 429350,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429350,A000000,01300,0000,1300SOCIAL SERVICE 429350,A000000,01600,0000,1600SKILLED NURSING FACILITY 429350,A000000,01800,0000,1800NURSING FACILITY 429350,A000000,01810,0000,1810ICF/MR 429350,A000000,01900,0000,1900OTHER LONG TERM CARE 429350,A000000,02100,0000,2100RADIOLOGY 429350,A000000,02200,0000,2200LABORATORY 429350,A000000,02300,0000,2300INTRAVENOUS THERAPY 429350,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429350,A000000,02500,0000,2500PHYSICAL THERAPY 429350,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429350,A000000,02700,0000,2700SPEECH PATHOLOGY 429350,A000000,02800,0000,2800ELECTROCARDIOLOGY 429350,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429350,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429350,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429350,A000000,03200,0000,3200SUPPORT SURFACES 429350,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 429350,A000000,03301,0000,3051AIR FLUID THERAPY 429350,A000000,03302,0000,3052AMBULANCE 429350,A000000,03303,0000,3053PEN THERAPY 429350,A000000,03304,0000,3054ONCOLOGY 429350,A000000,03305,0000,3055CARDIOLOGY 429350,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 429350,A000000,03307,0000,3057AUDIOLOGY 429350,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 429350,A000000,03400,0000,3400CLINIC 429350,A000000,03500,0000,3500RURAL HEALTH CLINIC 429350,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429350,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429350,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429350,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429350,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429350,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429350,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429350,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429350,A000000,04400,0000,4400DME RENTED - HHA 429350,A000000,04500,0000,4500DME SOLD - HHA 429350,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429350,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429350,A000000,04710,0000,4710TELEMEDICINE 429350,A000000,04800,0000,4800AMBULANCE 429350,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429350,A000000,05000,0000,5000CORF 429350,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429350,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429350,A000000,05300,0000,5300INTEREST EXPENSE 429350,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429350,A000000,05500,0000,5500HOSPICE 429350,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429350,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429350,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429350,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429350,A000000,06100,0000,6100NONPAID WORKERS 429350,A000000,06200,0000,6200PATIENTS LAUNDRY 429350,A000000,06300,0000,6150ADULT DAY HEALTH 429350,A000000,06301,0000,6151OTHER NONREIMBURSABLE 429350,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 429350,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 429350,A81000A,00100,0100,Y 429350,A81000B,00100,0300,RENT - CAPITAL RELATED BLDG 429350,A81000C,00100,0100,B 429350,A81000C,00100,0200,PRESBYTERIAN HOMES OF LAK 429350,A81000C,00100,0400,PRESBYTERIAN MGMNT & SVCS 429350,A81000C,00100,0600,MANAGEMENT COMPANY 429350,A81000C,00200,0100,B 429350,A81000C,00200,0200,PRESBYTERIAN HOMES OF LAK 429350,A81000C,00200,0400,PHS MANAGEMENT LLC 429350,A81000C,00200,0600,MANAGEMENT COMPANY 429350,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429350,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429350,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429350,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429350,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429350,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 429350,B100000,00000,0800,0800MEALS SERVED :DIETARY 429350,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429350,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429350,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429350,E10A180,00550,0100,03/28/12 429350,G300000,02500,0000,OTHER - SEE GROUPINGS 429350,S000000,00100,0200,02/28/12 429350,S200000,00100,0100,4527 SHORELINE DRIVE 429350,S200000,00200,0100,SPRINGPARK 429350,S200000,00200,0200,MN 429350,S200000,00200,0300,55384 429350,S200000,00300,0100,HENNEPIN 429350,S200000,00300,0200,5120 429350,S200000,00300,0201,33460 429350,S200000,00300,0300,U 429350,S200000,00400,0100,PRESBYTERIAN HOMES OF LAKE MINNETONK 429350,S200000,00400,0200,245210 429350,S200000,00400,0300,01/01/97 429350,S200000,00400,0500,P 429350,S200000,01500,0100,Y 429350,S200000,01501,0200,N 429350,S200000,01502,0200,Y 429350,S200000,01503,0200,N 429350,S200000,01504,0200,Y 429350,S200000,01600,0100,N 429350,S200000,01700,0100,N 429350,S200000,01800,0100,N 429350,S200000,02200,0100,N 429350,S200000,02800,0100,N 429350,S200000,02900,0100,N 429350,S200000,03000,0100,N 429350,S200000,03100,0100,N 429350,S200000,03200,0100,N 429350,S200000,03300,0100,N 429350,S200000,03300,0200,N 429350,S200000,04100,0100,N 429350,S200000,04200,0100,N 429350,S200000,04300,0100,N 429350,S200000,04600,0100,N 429350,S200000,04700,0100,N 429350,S200000,04700,0200,N 429350,S200000,04900,0100,N 429350,S200000,05000,0100,N 429350,S200000,05100,0100,N 429350,S200000,05200,0100,N 429350,S200000,05300,0100,Y 429350,S200000,05300,0200,HB0584 429350,S200000,05400,0100,PHS MANAGEMENT LLC 429350,S200000,05400,0200,NORIDIAN 429350,S200000,05400,0300,00320 429350,S200000,05500,0100,2845 HAMLINE AVENUE NORTH 429350,S200000,05600,0100,ROSEVILLE 429350,S200000,05600,0200,MN 429350,S200000,05600,0300,55113 429351,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429351,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429351,A000000,00300,0000,0300EMPLOYEE BENEFITS 429351,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429351,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429351,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429351,A000000,00700,0000,0700HOUSEKEEPING 429351,A000000,00800,0000,0800DIETARY 429351,A000000,00900,0000,0900NURSING ADMINISTRATION 429351,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429351,A000000,01100,0000,1100PHARMACY 429351,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429351,A000000,01300,0000,1300SOCIAL SERVICE 429351,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429351,A000000,01500,0000,1350OTHER GENERAL SERVICES 429351,A000000,01600,0000,1600SKILLED NURSING FACILITY 429351,A000000,01800,0000,1800NURSING FACILITY 429351,A000000,01810,0000,1810ICF/MR 429351,A000000,01900,0000,1900OTHER LONG TERM CARE 429351,A000000,02100,0000,2100RADIOLOGY 429351,A000000,02200,0000,2200LABORATORY 429351,A000000,02300,0000,2300INTRAVENOUS THERAPY 429351,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429351,A000000,02500,0000,2500PHYSICAL THERAPY 429351,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429351,A000000,02700,0000,2700SPEECH PATHOLOGY 429351,A000000,02800,0000,2800ELECTROCARDIOLOGY 429351,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429351,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429351,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429351,A000000,03200,0000,3200SUPPORT SURFACES 429351,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429351,A000000,03400,0000,3400CLINIC 429351,A000000,03500,0000,3500RURAL HEALTH CLINIC 429351,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429351,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429351,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429351,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429351,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429351,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429351,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429351,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429351,A000000,04400,0000,4400DME RENTED - HHA 429351,A000000,04500,0000,4500DME SOLD - HHA 429351,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429351,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429351,A000000,04710,0000,4710TELEMEDICINE 429351,A000000,04800,0000,4800AMBULANCE 429351,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429351,A000000,05000,0000,5000CORF 429351,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429351,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429351,A000000,05300,0000,5300INTEREST EXPENSE 429351,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429351,A000000,05500,0000,5500HOSPICE 429351,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429351,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429351,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429351,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429351,A000000,06100,0000,6100NONPAID WORKERS 429351,A000000,06200,0000,6200PATIENTS LAUNDRY 429351,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429351,A81000A,00100,0100,Y 429351,A81000B,00100,0300,LAUNDRY SERVICE 429351,A81000C,00100,0100,A 429351,A81000C,00100,0200,MAX BLAUFUSS 429351,A81000C,00100,0400,LAKE SUPERIOR LAUNDRY 429351,A81000C,00100,0600,LAUNDRY 429351,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429351,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429351,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429351,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429351,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429351,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429351,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429351,B100000,00000,0800,0800MEALS SERVED :DIETARY 429351,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429351,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429351,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429351,G300000,02500,0000,OTHER REVENUE 429351,S000000,00100,0200,03/22/12 429351,S200000,00100,0100,129 EAST SIXTH AVENUE 429351,S200000,00200,0100,PINE CITY 429351,S200000,00200,0200,MN 429351,S200000,00200,0300,55063 429351,S200000,00300,0100,PINE 429351,S200000,00300,0201,99924 429351,S200000,00300,0300,R 429351,S200000,00400,0100,LAKESIDE MEDICAL CENTER INC 429351,S200000,00400,0200,245374 429351,S200000,00400,0300,02/01/87 429351,S200000,00400,0500,P 429351,S200000,01500,0100,Y 429351,S200000,01501,0200,Y 429351,S200000,01600,0100,N 429351,S200000,01700,0100,N 429351,S200000,01800,0100,N 429351,S200000,02200,0100,N 429351,S200000,02800,0100,N 429351,S200000,02900,0100,N 429351,S200000,03000,0100,N 429351,S200000,03100,0100,N 429351,S200000,03200,0100,N 429351,S200000,03300,0100,N 429351,S200000,03300,0200,N 429351,S200000,04100,0100,N 429351,S200000,04200,0100,N 429351,S200000,04300,0100,N 429351,S200000,04600,0100,N 429351,S200000,04700,0100,N 429351,S200000,04700,0200,N 429351,S200000,04900,0100,N 429351,S200000,05000,0100,N 429351,S200000,05100,0100,N 429351,S200000,05200,0100,N 429352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429352,A000000,00300,0000,0300EMPLOYEE BENEFITS 429352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429352,A000000,00700,0000,0700HOUSEKEEPING 429352,A000000,00800,0000,0800DIETARY 429352,A000000,00900,0000,0900NURSING ADMINISTRATION 429352,A000000,01100,0000,1100PHARMACY 429352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429352,A000000,01300,0000,1300SOCIAL SERVICE 429352,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429352,A000000,01500,0000,1350ACTIVITIES 429352,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 429352,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 429352,A000000,01600,0000,1600SKILLED NURSING FACILITY 429352,A000000,01800,0000,1800NURSING FACILITY 429352,A000000,01810,0000,1810ICF/MR 429352,A000000,01900,0000,1900OTHER LONG TERM CARE 429352,A000000,02100,0000,2100RADIOLOGY 429352,A000000,02200,0000,2200LABORATORY 429352,A000000,02300,0000,2300INTRAVENOUS THERAPY 429352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429352,A000000,02500,0000,2500PHYSICAL THERAPY 429352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429352,A000000,02700,0000,2700SPEECH PATHOLOGY 429352,A000000,02800,0000,2800ELECTROCARDIOLOGY 429352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429352,A000000,03200,0000,3200SUPPORT SURFACES 429352,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 429352,A000000,03301,0000,3051AIR FLUID THERAPY 429352,A000000,03302,0000,3052AMBULANCE 429352,A000000,03303,0000,3053PEN THERAPY 429352,A000000,03304,0000,3054ONCOLOGY 429352,A000000,03305,0000,3055CARDIOLOGY 429352,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 429352,A000000,03307,0000,3057AUDIOLOGY 429352,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 429352,A000000,03400,0000,3400CLINIC 429352,A000000,03500,0000,3500RURAL HEALTH CLINIC 429352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429352,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429352,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429352,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429352,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429352,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429352,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429352,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429352,A000000,04400,0000,4400DME RENTED - HHA 429352,A000000,04500,0000,4500DME SOLD - HHA 429352,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429352,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429352,A000000,04710,0000,4710TELEMEDICINE 429352,A000000,04800,0000,4800AMBULANCE 429352,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429352,A000000,05000,0000,5000CORF 429352,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429352,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429352,A000000,05300,0000,5300INTEREST EXPENSE 429352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429352,A000000,05500,0000,5500HOSPICE 429352,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429352,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429352,A000000,06100,0000,6100NONPAID WORKERS 429352,A000000,06200,0000,6200PATIENTS LAUNDRY 429352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429352,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429352,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 429352,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 429352,A81000A,00100,0100,Y 429352,A81000B,00600,0300,MGMT FEE - A&G RELATED 429352,A81000C,00100,0100,B 429352,A81000C,00100,0200,GRANDVIEW CHRISTIAN 429352,A81000C,00100,0400,PRESBYTERIAN MGMT & SERVI 429352,A81000C,00100,0600,MANAGEMENT COMPANY 429352,A81000C,00200,0100,B 429352,A81000C,00200,0200,GRANDVIEW CHRISTIAN 429352,A81000C,00200,0400,PHS MANAGEMENT LLC 429352,A81000C,00200,0600,MANAGEMENT COMPANY 429352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429352,B100000,00000,0800,0800MEALS SERVED :DIETARY 429352,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429352,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429352,E10A180,00301,0100,09/30/11 429352,E10A180,00550,0100,03/28/12 429352,G300000,02500,0000,OTHER INCOME 429352,S000000,00100,0200,02/28/12 429352,S200000,00100,0100,135 FERN STREET N 429352,S200000,00200,0100,CAMBRIDGE 429352,S200000,00200,0200,MN 429352,S200000,00200,0300,55008 429352,S200000,00300,0100,ISANTI 429352,S200000,00300,0200,5120 429352,S200000,00300,0201,33460 429352,S200000,00300,0300,U 429352,S200000,00400,0100,PRESBYTERIAN - GRANDVIEW 429352,S200000,00400,0200,245432 429352,S200000,00400,0300,03/01/87 429352,S200000,00400,0500,P 429352,S200000,00400,0600,P 429352,S200000,01500,0100,Y 429352,S200000,01501,0200,Y 429352,S200000,01503,0200,N 429352,S200000,01600,0100,N 429352,S200000,01700,0100,N 429352,S200000,01800,0100,N 429352,S200000,02200,0100,N 429352,S200000,02800,0100,N 429352,S200000,02900,0100,N 429352,S200000,03000,0100,N 429352,S200000,03100,0100,N 429352,S200000,03200,0100,N 429352,S200000,03300,0100,N 429352,S200000,03300,0200,N 429352,S200000,04100,0100,N 429352,S200000,04200,0100,N 429352,S200000,04300,0100,N 429352,S200000,04600,0100,N 429352,S200000,04700,0100,N 429352,S200000,04700,0200,N 429352,S200000,04900,0100,N 429352,S200000,05000,0100,N 429352,S200000,05100,0100,N 429352,S200000,05200,0100,N 429352,S200000,05300,0100,Y 429352,S200000,05300,0200,HB0584 429352,S200000,05400,0100,PHS MANAGEMENT LLC 429352,S200000,05400,0200,N/A 429352,S200000,05400,0300,00N/A 429352,S200000,05500,0100,2845 HAMLINE AVE NO 429352,S200000,05600,0100,ROSEVILLE 429352,S200000,05600,0200,MN 429352,S200000,05600,0300,55113 429354,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429354,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429354,A000000,00300,0000,0300EMPLOYEE BENEFITS 429354,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429354,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429354,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429354,A000000,00700,0000,0700HOUSEKEEPING 429354,A000000,00800,0000,0800DIETARY 429354,A000000,00900,0000,0900NURSING ADMINISTRATION 429354,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429354,A000000,01100,0000,1100PHARMACY 429354,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429354,A000000,01300,0000,1300SOCIAL SERVICE 429354,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429354,A000000,01600,0000,1600SKILLED NURSING FACILITY 429354,A000000,01810,0000,1810ICF/MR 429354,A000000,02500,0000,2500PHYSICAL THERAPY 429354,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429354,A000000,02700,0000,2700SPEECH PATHOLOGY 429354,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429354,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429354,A000000,03550,0000,3550FQHC 429354,A000000,05000,0000,5000CORF 429354,A000000,05010,0000,5010CMHC 429354,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429354,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429354,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429354,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429354,A000000,05910,0000,5901UNREIMBURSED MEALS 429354,A81000A,00100,0100,N 429354,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429354,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429354,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429354,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429354,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429354,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429354,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429354,B100000,00000,0800,0800MEALS SERVED :DIETARY 429354,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429354,E10A180,00550,0100,03/27/12 429354,G300000,02500,0000,MAINTENANCE FEE 429354,G300000,02501,0000,HOUSEKEEPING FEE 429354,G300000,02502,0000,PERA AID 429354,G300000,02503,0000,MISCELLANEOUS 429354,G300000,02505,0000,INTEREST INCOME 429354,G300000,02506,0000,OTHER REVENUE 429354,S000000,00100,0200,03/05/12 429354,S200000,00100,0100,1012 DIVISION ST NORTH 429354,S200000,00100,0300,797 429354,S200000,00200,0100,CLARA CITY 429354,S200000,00200,0200,MN 429354,S200000,00200,0300,56222 429354,S200000,00300,0100,CHIPPEWA 429354,S200000,00300,0300,R 429354,S200000,00400,0100,CLARA CITY CARE CENTER 429354,S200000,00400,0200,245573 429354,S200000,00400,0300,10/01/91 429354,S200000,00400,0500,P 429354,S200000,00400,0600,P 429354,S200000,01500,0100,Y 429354,S200000,01502,0200,Y 429354,S200000,01600,0100,N 429354,S200000,01700,0100,N 429354,S200000,01800,0100,N 429354,S200000,02200,0100,N 429354,S200000,02800,0100,Y 429354,S200000,02900,0100,N 429354,S200000,03000,0100,N 429354,S200000,03100,0100,N 429354,S200000,03200,0100,N 429354,S200000,03300,0100,N 429354,S200000,03300,0200,N 429354,S200000,03600,0100,N 429354,S200000,03600,0200,N 429354,S200000,04100,0100,N 429354,S200000,04200,0100,N 429354,S200000,04300,0100,N 429354,S200000,04600,0100,N 429354,S200000,04700,0100,N 429354,S200000,04700,0200,N 429354,S200000,04900,0100,N 429354,S200000,05000,0100,N 429354,S200000,05100,0100,N 429354,S200000,05200,0100,N 429354,S200000,05300,0100,N 429355,S000000,00100,0200,03/14/12 429355,S200000,00100,0100,20395 SUMMERVILLE ROAD 429355,S200000,00200,0100,DEEPHAVEN 429355,S200000,00200,0200,MN 429355,S200000,00200,0300,55331 429355,S200000,00300,0100,HENNEPIN 429355,S200000,00400,0100,LAKE MINNETONKA CARE CENTER 429355,S200000,00400,0300,01/01/93 429384,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429384,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429384,A000000,00300,0000,0300EMPLOYEE BENEFITS 429384,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429384,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429384,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429384,A000000,00700,0000,0700HOUSEKEEPING 429384,A000000,00800,0000,0800DIETARY 429384,A000000,00900,0000,0900NURSING ADMINISTRATION 429384,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429384,A000000,01100,0000,1100PHARMACY 429384,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429384,A000000,01300,0000,1300SOCIAL SERVICE 429384,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429384,A000000,01500,0000,1350OTHER GENERAL SERVICES 429384,A000000,01600,0000,1600SKILLED NURSING FACILITY 429384,A000000,01800,0000,1800NURSING FACILITY 429384,A000000,01810,0000,1810ICF/MR 429384,A000000,01900,0000,1900OTHER LONG TERM CARE 429384,A000000,02100,0000,2100RADIOLOGY 429384,A000000,02200,0000,2200LABORATORY 429384,A000000,02300,0000,2300INTRAVENOUS THERAPY 429384,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429384,A000000,02500,0000,2500PHYSICAL THERAPY 429384,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429384,A000000,02700,0000,2700SPEECH PATHOLOGY 429384,A000000,02800,0000,2800ELECTROCARDIOLOGY 429384,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429384,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429384,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429384,A000000,03200,0000,3200SUPPORT SURFACES 429384,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429384,A000000,03400,0000,3400CLINIC 429384,A000000,03500,0000,3500RURAL HEALTH CLINIC 429384,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429384,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429384,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429384,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429384,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429384,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429384,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429384,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429384,A000000,04400,0000,4400DME RENTED - HHA 429384,A000000,04500,0000,4500DME SOLD - HHA 429384,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429384,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429384,A000000,04710,0000,4710TELEMEDICINE 429384,A000000,04800,0000,4800AMBULANCE 429384,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429384,A000000,05000,0000,5000CORF 429384,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429384,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429384,A000000,05300,0000,5300INTEREST EXPENSE 429384,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429384,A000000,05500,0000,5500HOSPICE 429384,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429384,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429384,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429384,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429384,A000000,06100,0000,6100NONPAID WORKERS 429384,A000000,06200,0000,6200PATIENTS LAUNDRY 429384,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429384,A81000A,00100,0100,N 429384,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429384,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429384,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429384,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429384,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429384,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429384,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429384,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429384,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429384,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429384,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429384,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 429384,E10A180,00301,0100,04/27/11 429384,S000000,00100,0200,03/14/12 429384,S200000,00100,0100,100 CEDAR LANE 429384,S200000,00200,0100,SIBLEY 429384,S200000,00200,0200,IA 429384,S200000,00200,0300,51249 429384,S200000,00300,0100,OSCEOLA 429384,S200000,00300,0200,16 429384,S200000,00300,0201,99916 429384,S200000,00300,0300,R 429384,S200000,00400,0100,COUNTRY VIEW MANOR 429384,S200000,00400,0200,165554 429384,S200000,00400,0300,01/01/05 429384,S200000,00400,0500,P 429384,S200000,01500,0100,Y 429384,S200000,01501,0200,Y 429384,S200000,01502,0200,N 429384,S200000,01503,0200,Y 429384,S200000,01504,0200,N 429384,S200000,01600,0100,N 429384,S200000,01700,0100,N 429384,S200000,01800,0100,N 429384,S200000,02200,0100,N 429384,S200000,02800,0100,N 429384,S200000,02900,0100,N 429384,S200000,03000,0100,N 429384,S200000,03100,0100,N 429384,S200000,03200,0100,N 429384,S200000,03300,0100,N 429384,S200000,03300,0200,N 429384,S200000,04100,0100,N 429384,S200000,04200,0100,N 429384,S200000,04300,0100,N 429384,S200000,04600,0100,N 429384,S200000,04700,0100,N 429384,S200000,04700,0200,N 429384,S200000,04900,0100,N 429384,S200000,05000,0100,N 429384,S200000,05100,0100,N 429384,S200000,05200,0100,N 429384,S200000,05300,0100,N 429386,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429386,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429386,A000000,00300,0000,0300EMPLOYEE BENEFITS 429386,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429386,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429386,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429386,A000000,00700,0000,0700HOUSEKEEPING 429386,A000000,00800,0000,0800DIETARY 429386,A000000,00900,0000,0900NURSING ADMINISTRATION 429386,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429386,A000000,01100,0000,1100PHARMACY 429386,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429386,A000000,01300,0000,1300SOCIAL SERVICE 429386,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429386,A000000,01500,0000,1350OTHER GENERAL SERVICES 429386,A000000,01600,0000,1600SKILLED NURSING FACILITY 429386,A000000,01800,0000,1800NURSING FACILITY 429386,A000000,01810,0000,1810ICF/MR 429386,A000000,01900,0000,1900OTHER LONG TERM CARE 429386,A000000,02100,0000,2100RADIOLOGY 429386,A000000,02200,0000,2200LABORATORY 429386,A000000,02300,0000,2300INTRAVENOUS THERAPY 429386,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429386,A000000,02500,0000,2500PHYSICAL THERAPY 429386,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429386,A000000,02700,0000,2700SPEECH PATHOLOGY 429386,A000000,02800,0000,2800ELECTROCARDIOLOGY 429386,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429386,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429386,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429386,A000000,03200,0000,3200SUPPORT SURFACES 429386,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429386,A000000,03400,0000,3400CLINIC 429386,A000000,03500,0000,3500RURAL HEALTH CLINIC 429386,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429386,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429386,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429386,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429386,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429386,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429386,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429386,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429386,A000000,04400,0000,4400DME RENTED - HHA 429386,A000000,04500,0000,4500DME SOLD - HHA 429386,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429386,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429386,A000000,04710,0000,4710TELEMEDICINE 429386,A000000,04800,0000,4800AMBULANCE 429386,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429386,A000000,05000,0000,5000CORF 429386,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429386,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429386,A000000,05300,0000,5300INTEREST EXPENSE 429386,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429386,A000000,05500,0000,5500HOSPICE 429386,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429386,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429386,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429386,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429386,A000000,06100,0000,6100NONPAID WORKERS 429386,A000000,06200,0000,6200PATIENTS LAUNDRY 429386,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429386,A81000A,00100,0100,Y 429386,A81000B,00100,0300,MANAGEMENT COMPANY COSTS 429386,A81000B,00200,0300,MANAGEMENT COMPANY COSTS 429386,A81000C,00100,0100,A 429386,A81000C,00100,0200,SHAFIQ MALIK 429386,A81000C,00100,0400,FOUNTAINBLEAU MGMT GROUP 429386,A81000C,00100,0600,MANAGEMENT COMPANY 429386,A81000C,00200,0100,A 429386,A81000C,00200,0200,ALI MALIK 429386,A81000C,00200,0400,FOUNTAINBLEAU MGMT GROUP 429386,A81000C,00200,0600,MANAGEMENT COMPANY 429386,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429386,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429386,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429386,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429386,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429386,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429386,B100000,00000,0800,0800MEALS SERVED :DIETARY 429386,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429386,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429386,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429386,S000000,00100,0200,03/29/12 429386,S200000,00100,0100,2001 N. KINGSHIGHWAY 429386,S200000,00200,0100,CAPE GIRARDEAU 429386,S200000,00200,0200,MO 429386,S200000,00200,0300,63701 429386,S200000,00300,0100,CAPE GIRARDEAU 429386,S200000,00300,0200,0026 429386,S200000,00300,0201,16020 429386,S200000,00300,0300,U 429386,S200000,00400,0100,FOUNTAINBLEAU LODGE 429386,S200000,00400,0200,265383 429386,S200000,00400,0300,12/01/89 429386,S200000,00400,0500,P 429386,S200000,01500,0100,Y 429386,S200000,01501,0200,Y 429386,S200000,01502,0200,Y 429386,S200000,01503,0200,Y 429386,S200000,01504,0200,Y 429386,S200000,01600,0100,N 429386,S200000,01700,0100,N 429386,S200000,01800,0100,N 429386,S200000,02200,0100,N 429386,S200000,02800,0100,N 429386,S200000,02900,0100,N 429386,S200000,03000,0100,N 429386,S200000,03100,0100,N 429386,S200000,03200,0100,N 429386,S200000,03300,0100,N 429386,S200000,03300,0200,N 429386,S200000,04100,0100,N 429386,S200000,04200,0100,N 429386,S200000,04300,0100,N 429386,S200000,04600,0100,N 429386,S200000,04700,0100,N 429386,S200000,04700,0200,N 429386,S200000,04900,0100,N 429386,S200000,05000,0100,N 429386,S200000,05100,0100,N 429386,S200000,05200,0100,N 429386,S200000,05300,0100,Y 429386,S200000,05400,0100,FOUNTAINBLEAU MANAGEMENT COMPANY 429386,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 429386,S200000,05400,0300, 05301 429386,S200000,05500,0100,2732 BLOOMFIELD RD 429386,S200000,05600,0100,CAPE GIRARDEAU 429386,S200000,05600,0200,MO 429386,S200000,05600,0300,63703 429390,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429390,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429390,A000000,00300,0000,0300EMPLOYEE BENEFITS 429390,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429390,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429390,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429390,A000000,00700,0000,0700HOUSEKEEPING 429390,A000000,00800,0000,0800DIETARY 429390,A000000,00900,0000,0900NURSING ADMINISTRATION 429390,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429390,A000000,01100,0000,1100PHARMACY 429390,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429390,A000000,01300,0000,1300SOCIAL SERVICE 429390,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429390,A000000,01500,0000,1350OTHER GENERAL SERVICES 429390,A000000,01600,0000,1600SKILLED NURSING FACILITY 429390,A000000,01800,0000,1800NURSING FACILITY 429390,A000000,01810,0000,1810ICF/MR 429390,A000000,01900,0000,1900OTHER LONG TERM CARE 429390,A000000,02100,0000,2100RADIOLOGY 429390,A000000,02200,0000,2200LABORATORY 429390,A000000,02300,0000,2300INTRAVENOUS THERAPY 429390,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429390,A000000,02500,0000,2500PHYSICAL THERAPY 429390,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429390,A000000,02700,0000,2700SPEECH PATHOLOGY 429390,A000000,02800,0000,2800ELECTROCARDIOLOGY 429390,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429390,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429390,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429390,A000000,03200,0000,3200SUPPORT SURFACES 429390,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429390,A000000,03400,0000,3400CLINIC 429390,A000000,03500,0000,3500RURAL HEALTH CLINIC 429390,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429390,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429390,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429390,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429390,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429390,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429390,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429390,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429390,A000000,04400,0000,4400DME RENTED - HHA 429390,A000000,04500,0000,4500DME SOLD - HHA 429390,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429390,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429390,A000000,04710,0000,4710TELEMEDICINE 429390,A000000,04800,0000,4800AMBULANCE 429390,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429390,A000000,05000,0000,5000CORF 429390,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429390,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429390,A000000,05300,0000,5300INTEREST EXPENSE 429390,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429390,A000000,05500,0000,5500HOSPICE 429390,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429390,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429390,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429390,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429390,A000000,06100,0000,6100NONPAID WORKERS 429390,A000000,06200,0000,6200PATIENTS LAUNDRY 429390,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429390,A81000A,00100,0100,Y 429390,A81000B,00100,0300,BLDG ENTITY-PROFESSIONAL FEES 429390,A81000B,00200,0300,BLDG ENTITY-REAL ESTATE TAXES 429390,A81000B,00300,0300,BLDG ENTITY-AMORTIZATION 429390,A81000B,00400,0300,BLDG ENTITY-MORTGAGE INSURANCE 429390,A81000B,00500,0300,BLDG ENTITY-GENERAL INSURANCE 429390,A81000B,00600,0300,BLDG ENTITY-INTEREST 429390,A81000B,00700,0300,BLDG ENTITY-LEASE PAYMENT 429390,A81000B,00800,0300,BLDG ENTITY-DEPRECIATION 429390,A81000B,00900,0300,BLDG ENTITY-LICENSES PERMITS ETC. 429390,A81000B,01000,0300,BLDG ENTITY-OFFICE EXPENSE 429390,A81000B,01100,0300,S&E MEDICAL-MEDICAL SUPPLIES 429390,A81000B,01200,0300,S&E MEDICAL-FOOD 429390,A81000B,01300,0300,HO-CAPITAL EXPENSE 429390,A81000B,01400,0300,HO-ADMIN & GENERAL 429390,A81000B,01500,0300,HO-MANAGEMENT FEES 429390,A81000B,01600,0300,HO-SALARY 429390,A81000C,00100,0100,A 429390,A81000C,00100,0200,ALBERT MILSTEIN 429390,A81000C,00100,0400,VIRGIL CALVERT PROP LLC 429390,A81000C,00100,0600,BLDG. PARTNERSHIP 429390,A81000C,00200,0100,A 429390,A81000C,00200,0200,SHELDON WOLFE 429390,A81000C,00200,0400,VIRGIL CALVERT PROP LLC 429390,A81000C,00200,0600,BLDG. PARTNERSHIP 429390,A81000C,00300,0100,A 429390,A81000C,00300,0200,RONNIE KLEIN 429390,A81000C,00300,0400,VIRGIL CALVERT PROP LLC 429390,A81000C,00300,0600,BLDG. PARTNERSHIP 429390,A81000C,00400,0100,A 429390,A81000C,00400,0200,SHELDON WOLFE 429390,A81000C,00400,0400,SW MANAGEMENT 429390,A81000C,00400,0600,MANAGEMENT SERVICE 429390,A81000C,00500,0100,A 429390,A81000C,00500,0200,SHELDON WOLFE 429390,A81000C,00500,0400,S & E MEDICAL SUPPLY CO. 429390,A81000C,00500,0600,MEDICAL SUPPLIES 429390,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429390,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429390,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429390,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429390,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429390,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429390,B100000,00000,0800,0800MEALS SERVED :DIETARY 429390,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429390,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429390,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429390,E10A180,00501,0100,12/22/11 429390,G300000,02500,0000,OTHER MEDICAL SERVICES 429390,G300000,02502,0000,MISCELLANEOUS INCOME 429390,S000000,00100,0200,10/31/11 429390,S200000,00100,0100,5050 SUMMIT AVENUE 429390,S200000,00200,0100,EAST ST. LOUIS 429390,S200000,00200,0200,IL 429390,S200000,00200,0300,62202 429390,S200000,00300,0100,ST. CLAIR 429390,S200000,00300,0200,7040 429390,S200000,00300,0201,41180 429390,S200000,00300,0300,U 429390,S200000,00400,0100,VIRGIL CALVERT NURSING&REHAB CENTER 429390,S200000,00400,0200,145705 429390,S200000,00400,0300,10/01/91 429390,S200000,00400,0500,P 429390,S200000,00600,0200,145705 429390,S200000,00600,0300,10/01/91 429390,S200000,00600,0600,O 429390,S200000,01500,0100,N 429390,S200000,01501,0200,Y 429390,S200000,01600,0100,Y 429390,S200000,01700,0100,N 429390,S200000,01800,0100,N 429390,S200000,02200,0100,N 429390,S200000,02800,0100,N 429390,S200000,02900,0100,N 429390,S200000,03000,0100,N 429390,S200000,03100,0100,N 429390,S200000,03200,0100,N 429390,S200000,03300,0100,N 429390,S200000,03300,0200,N 429390,S200000,03500,0300,N 429390,S200000,04100,0100,N 429390,S200000,04200,0100,N 429390,S200000,04300,0100,N 429390,S200000,04600,0100,N 429390,S200000,04700,0100,N 429390,S200000,04700,0200,N 429390,S200000,04900,0100,N 429390,S200000,05000,0100,N 429390,S200000,05100,0100,N 429390,S200000,05200,0100,N 429390,S200000,05300,0100,Y 429390,S200000,05300,0200,149016 429390,S200000,05400,0100,SW MANAGEMENT CO. 429390,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 429390,S200000,05400,0300,05401 429390,S200000,05500,0200,1604 429390,S200000,05600,0100,OMAHA 429390,S200000,05600,0200,NE 429390,S200000,05600,0300,68101 429393,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429393,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429393,A000000,00300,0000,0300EMPLOYEE BENEFITS 429393,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429393,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429393,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429393,A000000,00700,0000,0700HOUSEKEEPING 429393,A000000,00800,0000,0800DIETARY 429393,A000000,00900,0000,0900NURSING ADMINISTRATION 429393,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429393,A000000,01100,0000,1100PHARMACY 429393,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429393,A000000,01300,0000,1300SOCIAL SERVICE 429393,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429393,A000000,01500,0000,1350ACTIVITIES 429393,A000000,01600,0000,1600SKILLED NURSING FACILITY 429393,A000000,01800,0000,1800NURSING FACILITY 429393,A000000,01810,0000,1810ICF/MR 429393,A000000,01900,0000,1900OTHER LONG TERM CARE 429393,A000000,02100,0000,2100RADIOLOGY 429393,A000000,02200,0000,2200LABORATORY 429393,A000000,02300,0000,2300INTRAVENOUS THERAPY 429393,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429393,A000000,02500,0000,2500PHYSICAL THERAPY 429393,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429393,A000000,02700,0000,2700SPEECH PATHOLOGY 429393,A000000,02800,0000,2800ELECTROCARDIOLOGY 429393,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429393,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429393,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429393,A000000,03200,0000,3200SUPPORT SURFACES 429393,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429393,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429393,A000000,04710,0000,4710TELEMEDICINE 429393,A000000,04800,0000,4800AMBULANCE 429393,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429393,A000000,05000,0000,5000CORF 429393,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429393,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429393,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429393,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429393,A000000,06100,0000,6100NONPAID WORKERS 429393,A000000,06200,0000,6200PATIENTS LAUNDRY 429393,A000000,06300,0000,6150ASSESSMENT FEE 429393,A81000A,00100,0100,Y 429393,A81000B,00100,0300,WATERS CONSULTING 429393,A81000B,00200,0300,WATERS CONSULTING 429393,A81000B,00300,0300,WATERS CONSULTING 429393,A81000B,00400,0300,WATERS CONSULTING 429393,A81000B,00500,0300,WATERS CONSULTING 429393,A81000B,00600,0300,ADDDIT/SVP LLC 429393,A81000B,00700,0300,ADDDIT/SVP LLC 429393,A81000B,00800,0300,ADDDIT/SVP LLC 429393,A81000B,00900,0300,ADDDIT/SVP LLC 429393,A81000B,01000,0300,ADDDIT/SVP LLC 429393,A81000B,01100,0300,ADDDIT/SVP LLC 429393,A81000B,01200,0300,ADDDIT/SVP LLC 429393,A81000C,00100,0100,B 429393,A81000C,00100,0200,THE WATERS OF INDIANA II 429393,A81000C,00100,0400,THE WATERS CONSULTING 429393,A81000C,00100,0600,CONSULTING SERVICES 429393,A81000C,00200,0400,ADDIT LLC 429393,A81000C,00200,0600,CONSULTING SERVICES 429393,A81000C,00300,0400,SENIOR VANTAGE PT. LLC 429393,A81000C,00300,0600,MANAGEMENT COMPANY 429393,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429393,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429393,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429393,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429393,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429393,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429393,B100000,00000,0800,0800MEALS SERVED :DIETARY 429393,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429393,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429393,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429393,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429393,E10A180,00301,0100,02/28/11 429393,E10A180,00501,0100,11/30/11 429393,G300000,02500,0000,PERSONAL PURCHASES 429393,G300000,02501,0000,MISCELLANEOUS 429393,S000000,00100,0200,10/18/11 429393,S200000,00100,0100,2940 NORTH CLINTON ST 429393,S200000,00200,0100,FORT WAYNE 429393,S200000,00200,0200,IN 429393,S200000,00200,0300,46805 429393,S200000,00300,0100,ALLEN 429393,S200000,00300,0201,23060 429393,S200000,00300,0300,U 429393,S200000,00400,0100,THE WATERS OF SUMMIT CITY LLC 429393,S200000,00400,0200,155159 429393,S200000,00400,0300,01/01/82 429393,S200000,00400,0500,P 429393,S200000,01500,0100,Y 429393,S200000,01600,0100,N 429393,S200000,01700,0100,N 429393,S200000,01800,0100,N 429393,S200000,02200,0100,N 429393,S200000,02800,0100,N 429393,S200000,02900,0100,N 429393,S200000,03000,0100,N 429393,S200000,03100,0100,N 429393,S200000,03200,0100,N 429393,S200000,03300,0100,N 429393,S200000,03300,0200,N 429393,S200000,04100,0100,N 429393,S200000,04200,0100,N 429393,S200000,04300,0100,N 429393,S200000,04600,0100,N 429393,S200000,04700,0100,N 429393,S200000,04700,0200,N 429393,S200000,04900,0100,N 429393,S200000,05000,0100,N 429393,S200000,05100,0100,N 429393,S200000,05200,0100,N 429410,S000000,00100,0200,02/29/12 429410,S200000,00100,0100,3810 HERITAGE DRIVE 429410,S200000,00200,0100,BURLINGTON 429410,S200000,00200,0200,NC 429410,S200000,00200,0300,27215 429410,S200000,00300,0100,ALAMANCE 429410,S200000,00400,0100,TWIN LAKES COMMUNITY - MEMORY CARE 429410,S200000,00400,0300,11/05/08 429419,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429419,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429419,A000000,00300,0000,0300EMPLOYEE BENEFITS 429419,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429419,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429419,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429419,A000000,00700,0000,0700HOUSEKEEPING 429419,A000000,00800,0000,0800DIETARY 429419,A000000,00900,0000,0900NURSING ADMINISTRATION 429419,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429419,A000000,01100,0000,1100PHARMACY 429419,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429419,A000000,01300,0000,1300SOCIAL SERVICE 429419,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429419,A000000,01500,0000,1350RECREATION 429419,A000000,01600,0000,1600SKILLED NURSING FACILITY 429419,A000000,01800,0000,1800NURSING FACILITY 429419,A000000,01810,0000,1810ICF/MR 429419,A000000,01900,0000,1900OTHER LONG TERM CARE 429419,A000000,02100,0000,2100RADIOLOGY 429419,A000000,02200,0000,2200LABORATORY 429419,A000000,02300,0000,2300INTRAVENOUS THERAPY 429419,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429419,A000000,02500,0000,2500PHYSICAL THERAPY 429419,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429419,A000000,02700,0000,2700SPEECH PATHOLOGY 429419,A000000,02800,0000,2800ELECTROCARDIOLOGY 429419,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429419,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429419,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429419,A000000,03200,0000,3200SUPPORT SURFACES 429419,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429419,A000000,03400,0000,3400CLINIC 429419,A000000,03500,0000,3500RURAL HEALTH CLINIC 429419,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429419,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429419,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429419,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429419,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429419,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429419,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429419,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429419,A000000,04400,0000,4400DME RENTED - HHA 429419,A000000,04500,0000,4500DME SOLD - HHA 429419,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429419,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429419,A000000,04710,0000,4710TELEMEDICINE 429419,A000000,04800,0000,4800AMBULANCE 429419,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429419,A000000,05000,0000,5000CORF 429419,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429419,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429419,A000000,05300,0000,5300INTEREST EXPENSE 429419,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429419,A000000,05500,0000,5500HOSPICE 429419,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429419,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429419,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429419,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429419,A000000,06100,0000,6100NONPAID WORKERS 429419,A000000,06200,0000,6200PATIENTS LAUNDRY 429419,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429419,A81000A,00100,0100,Y 429419,A81000B,00100,0300,RENT EXP 429419,A81000B,00200,0300,CAP RELATED-BLDG-REALTY 429419,A81000B,00300,0300,CAP RELATED-EQUIP-REALTY 429419,A81000B,00400,0300,MGMT FEES 429419,A81000B,00500,0300,HOME OFFICE 429419,A81000B,00600,0300,REHAB DIR SALARY 429419,A81000B,00700,0300,HOME OFFICE 429419,A81000B,00800,0300,EXEC AND REGIONAL DIRECT SAL 429419,A81000B,00900,0300,NON-CAPITAL-REALTY 429419,A81000C,00100,0100,D 429419,A81000C,00100,0200,DAVID ROUSH 429419,A81000C,00100,0400,RADIUS MGMT SVC II 429419,A81000C,00100,0600,MGMT CO 429419,A81000C,00200,0100,D 429419,A81000C,00200,0200,CHRISTINE BASSETT 429419,A81000C,00200,0400,RADIUS MGMT SVC II 429419,A81000C,00200,0600,MGMT CO 429419,A81000C,00300,0100,B 429419,A81000C,00300,0200,RADIUS 1275 REALTY LLC 429419,A81000C,00300,0400,REALTY CO 429419,A81000C,00300,0600,REAL ESTATE RENTAL 429419,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429419,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429419,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429419,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429419,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429419,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429419,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429419,B100000,00000,0800,0800MEALS SERVED :DIETARY 429419,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429419,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429419,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429419,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429419,B100000,00000,1500,1350PATIENT DAYS :RECREATION 429419,G300000,02500,0000,MISCELLANEOUS 429419,S000000,00100,0200,03/21/12 429419,S200000,00100,0100,1275 SOUTH BROADWAY 429419,S200000,00200,0100,EAST PROVIDENCE 429419,S200000,00200,0200,RI 429419,S200000,00200,0300,02914 429419,S200000,00300,0100,PROVIDENCE 429419,S200000,00300,0201,39300 429419,S200000,00300,0300,U 429419,S200000,00400,0100,WATERVIEW VILLA NRSG & REHAB CTR 429419,S200000,00400,0200,415042 429419,S200000,00400,0300,04/06/76 429419,S200000,00400,0500,P 429419,S200000,00400,0600,O 429419,S200000,01500,0100,Y 429419,S200000,01501,0200,N 429419,S200000,01600,0100,N 429419,S200000,01700,0100,N 429419,S200000,01800,0100,N 429419,S200000,02200,0100,N 429419,S200000,02800,0100,N 429419,S200000,02900,0100,N 429419,S200000,03000,0100,N 429419,S200000,03100,0100,N 429419,S200000,03200,0100,N 429419,S200000,03300,0100,N 429419,S200000,03300,0200,N 429419,S200000,04100,0100,N 429419,S200000,04200,0100,N 429419,S200000,04300,0100,N 429419,S200000,04600,0100,N 429419,S200000,04700,0100,N 429419,S200000,04700,0200,N 429419,S200000,04900,0100,N 429419,S200000,05000,0100,N 429419,S200000,05100,0100,N 429419,S200000,05200,0100,N 429419,S200000,05300,0100,Y 429419,S200000,05300,0200,229913 429419,S200000,05400,0100,RADIUS MANAGEMENT SERVICES II INC 429419,S200000,05400,0200,NHIC CORP 429419,S200000,05400,0300,14001 429419,S200000,05500,0100,92 MONTVALE AVE STE 2300 429419,S200000,05600,0100,STONEHAM 429419,S200000,05600,0200,MA 429419,S200000,05600,0300,02180-3638 429421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429421,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429421,A000000,00300,0000,0300EMPLOYEE BENEFITS 429421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429421,A000000,00700,0000,0700HOUSEKEEPING 429421,A000000,00800,0000,0800DIETARY 429421,A000000,00900,0000,0900NURSING ADMINISTRATION 429421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429421,A000000,01100,0000,1100PHARMACY 429421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429421,A000000,01300,0000,1300SOCIAL SERVICE 429421,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429421,A000000,01500,0000,1350RECREATION 429421,A000000,01600,0000,1600SKILLED NURSING FACILITY 429421,A000000,01800,0000,1800NURSING FACILITY 429421,A000000,01810,0000,1810ICF/MR 429421,A000000,01900,0000,1900OTHER LONG TERM CARE 429421,A000000,02100,0000,2100RADIOLOGY 429421,A000000,02200,0000,2200LABORATORY 429421,A000000,02300,0000,2300INTRAVENOUS THERAPY 429421,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429421,A000000,02500,0000,2500PHYSICAL THERAPY 429421,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429421,A000000,02700,0000,2700SPEECH PATHOLOGY 429421,A000000,02800,0000,2800ELECTROCARDIOLOGY 429421,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429421,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429421,A000000,03200,0000,3200SUPPORT SURFACES 429421,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429421,A000000,03400,0000,3400CLINIC 429421,A000000,03500,0000,3500RURAL HEALTH CLINIC 429421,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429421,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429421,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429421,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429421,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429421,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429421,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429421,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429421,A000000,04400,0000,4400DME RENTED - HHA 429421,A000000,04500,0000,4500DME SOLD - HHA 429421,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429421,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429421,A000000,04710,0000,4710TELEMEDICINE 429421,A000000,04800,0000,4800AMBULANCE 429421,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429421,A000000,05000,0000,5000CORF 429421,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429421,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429421,A000000,05300,0000,5300INTEREST EXPENSE 429421,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429421,A000000,05500,0000,5500HOSPICE 429421,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429421,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429421,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429421,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429421,A000000,06100,0000,6100NONPAID WORKERS 429421,A000000,06200,0000,6200PATIENTS LAUNDRY 429421,A000000,06300,0000,6150UNUSED SPACE/ALF 429421,A81000A,00100,0100,Y 429421,A81000B,00100,0300,RENT 429421,A81000B,00200,0300,CAP RELATED-REALTY 429421,A81000B,00300,0300,CAP RELATED-REALTY 429421,A81000B,00400,0300,NON CAPITAL RELATED-REALTY 429421,A81000B,00500,0300,MANAGEMENT FEES 429421,A81000B,00600,0300,HOME OFFICE 429421,A81000B,00700,0300,HOME OFFICE 429421,A81000B,00800,0300,ADMINISTRATOR 429421,A81000C,00100,0100,B 429421,A81000C,00100,0200,RADIUS 99 REALTY LLC 429421,A81000C,00100,0400,REALTY COMPANY 429421,A81000C,00100,0600,REAL ESTATE RENTAL 429421,A81000C,00200,0100,B 429421,A81000C,00200,0200,RADIUS MGMT SVC II 429421,A81000C,00200,0400,MGMT COMPANY 429421,A81000C,00300,0100,D 429421,A81000C,00300,0200,DAVID ROUSH 429421,A81000C,00300,0400,RADIUS MGMT SVC II 429421,A81000C,00300,0600,MGMT CO 429421,A81000C,00400,0100,D 429421,A81000C,00400,0200,CHRISTINE BASSETT 429421,A81000C,00400,0400,RADIUS MGMT SVC II 429421,A81000C,00400,0600,MGMT CO 429421,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429421,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429421,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429421,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429421,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429421,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429421,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429421,B100000,00000,0800,0800MEALS SERVED :DIETARY 429421,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429421,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429421,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429421,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429421,B100000,00000,1500,1350PATIENT DAYS :RECREATION 429421,G300000,02500,0000,MISCELLANEOUS 429421,G300000,02501,0000,BEAUTICIAN INCOME 429421,S000000,00100,0200,03/21/12 429421,S200000,00100,0100,99 HILLSIDE AVENUE 429421,S200000,00200,0100,PROVIDENCE 429421,S200000,00200,0200,RI 429421,S200000,00200,0300,02906-2943 429421,S200000,00300,0100,PROVIDENCE 429421,S200000,00300,0201,39300 429421,S200000,00300,0300,U 429421,S200000,00400,0100,SUMMIT COMMONS SKILLED NRSG & REHAB 429421,S200000,00400,0200,415129 429421,S200000,00400,0300,08/26/08 429421,S200000,00400,0500,P 429421,S200000,00400,0600,O 429421,S200000,01500,0100,Y 429421,S200000,01501,0200,N 429421,S200000,01600,0100,N 429421,S200000,01700,0100,N 429421,S200000,01800,0100,N 429421,S200000,02200,0100,N 429421,S200000,02800,0100,N 429421,S200000,02900,0100,N 429421,S200000,03000,0100,N 429421,S200000,03100,0100,N 429421,S200000,03200,0100,N 429421,S200000,03300,0100,N 429421,S200000,03300,0200,N 429421,S200000,04100,0100,N 429421,S200000,04200,0100,N 429421,S200000,04300,0100,N 429421,S200000,04600,0100,N 429421,S200000,04700,0100,N 429421,S200000,04700,0200,N 429421,S200000,04900,0100,N 429421,S200000,05000,0100,N 429421,S200000,05100,0100,N 429421,S200000,05200,0100,N 429421,S200000,05300,0100,Y 429421,S200000,05300,0200,229913 429421,S200000,05400,0100,RADIUS MANAGEMENT SERVICES II INC. 429421,S200000,05400,0200,NHIC CORP 429421,S200000,05400,0300,14001 429421,S200000,05500,0100,92 MONTVALE AVE STE 2300 429421,S200000,05600,0100,STONEHAM 429421,S200000,05600,0200,MA 429421,S200000,05600,0300,02180-3638 429429,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429429,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429429,A000000,00300,0000,0300EMPLOYEE BENEFITS 429429,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429429,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429429,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429429,A000000,00700,0000,0700HOUSEKEEPING 429429,A000000,00800,0000,0800DIETARY 429429,A000000,00900,0000,0900NURSING ADMINISTRATION 429429,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429429,A000000,01100,0000,1100PHARMACY 429429,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429429,A000000,01300,0000,1300SOCIAL SERVICE 429429,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429429,A000000,01500,0000,1350OTHER GENERAL SERVICES 429429,A000000,01600,0000,1600SKILLED NURSING FACILITY 429429,A000000,01800,0000,1800NURSING FACILITY 429429,A000000,01810,0000,1810ICF/MR 429429,A000000,01900,0000,1900OTHER LONG TERM CARE 429429,A000000,02100,0000,2100RADIOLOGY 429429,A000000,02200,0000,2200LABORATORY 429429,A000000,02300,0000,2300INTRAVENOUS THERAPY 429429,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429429,A000000,02500,0000,2500PHYSICAL THERAPY 429429,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429429,A000000,02700,0000,2700SPEECH PATHOLOGY 429429,A000000,02800,0000,2800ELECTROCARDIOLOGY 429429,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429429,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429429,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429429,A000000,03200,0000,3200SUPPORT SURFACES 429429,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429429,A000000,03400,0000,3400CLINIC 429429,A000000,03500,0000,3500RURAL HEALTH CLINIC 429429,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429429,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429429,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429429,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429429,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429429,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429429,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429429,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429429,A000000,04400,0000,4400DME RENTED - HHA 429429,A000000,04500,0000,4500DME SOLD - HHA 429429,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429429,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429429,A000000,04800,0000,4800AMBULANCE 429429,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429429,A000000,05000,0000,5000CORF 429429,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429429,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429429,A000000,05300,0000,5300INTEREST EXPENSE 429429,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429429,A000000,05500,0000,5500HOSPICE 429429,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429429,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429429,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429429,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429429,A000000,06100,0000,6100NONPAID WORKERS 429429,A000000,06200,0000,6200PATIENTS LAUNDRY 429429,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429429,A81000A,00100,0100,Y 429429,A81000B,00100,0300,BLDGS & FIXTURES POOLED 429429,A81000B,00200,0300,MOVABLE EQUIP POOLED 429429,A81000B,00300,0300,GEN & ADMIN CENTRAL OFFICE POOLED 429429,A81000C,00100,0100,B 429429,A81000C,00100,0200,MEDICALODGES INC 429429,A81000C,00100,0600,HEALTHCARE 429429,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429429,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429429,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429429,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429429,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429429,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429429,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429429,B100000,00000,0800,0800MEALS SERVED :DIETARY 429429,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429429,E10A180,00303,0100,05/05/11 429429,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429429,G300000,02501,0000,INTEREST AND FINANCE CHARGE 429429,G300000,02502,0000,MEDICARE INCOME ADJM (2000 2010) 429429,G300000,02503,0000,MEDICAID INCOME ADJM (2000 2010) 429429,G300000,02504,0000,MEDICAID INCOME ADJM (2001 2011) 429429,S000000,00100,0200,04/02/12 429429,S200000,00100,0100,6500 GREELEY 429429,S200000,00200,0100,KANSAS CITY 429429,S200000,00200,0200,KS 429429,S200000,00200,0300,66104-2647 429429,S200000,00300,0100,WYANDOTTE 429429,S200000,00300,0200,3760 429429,S200000,00300,0201,28140 429429,S200000,00300,0300,U 429429,S200000,00400,0100,MEDICALODGE POST ACUTE CARE CENTER 429429,S200000,00400,0200,175135 429429,S200000,00400,0300,01/01/92 429429,S200000,00400,0500,P 429429,S200000,01500,0100,Y 429429,S200000,01501,0200,N 429429,S200000,01600,0100,N 429429,S200000,01700,0100,N 429429,S200000,01800,0100,N 429429,S200000,02200,0100,N 429429,S200000,02800,0100,N 429429,S200000,02900,0100,N 429429,S200000,03000,0100,N 429429,S200000,03100,0100,N 429429,S200000,03200,0100,N 429429,S200000,03300,0100,N 429429,S200000,03300,0200,N 429429,S200000,04100,0100,N 429429,S200000,04200,0100,N 429429,S200000,04300,0100,N 429429,S200000,04600,0100,N 429429,S200000,04700,0100,N 429429,S200000,04700,0200,N 429429,S200000,04900,0100,N 429429,S200000,05000,0100,N 429429,S200000,05100,0100,N 429429,S200000,05200,0100,N 429431,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429431,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429431,A000000,00300,0000,0300EMPLOYEE BENEFITS 429431,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429431,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429431,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429431,A000000,00700,0000,0700HOUSEKEEPING 429431,A000000,00800,0000,0800DIETARY 429431,A000000,00900,0000,0900NURSING ADMINISTRATION 429431,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429431,A000000,01100,0000,1100PHARMACY 429431,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429431,A000000,01300,0000,1300SOCIAL SERVICE 429431,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429431,A000000,01500,0000,1350OTHER GENERAL SERVICES 429431,A000000,01600,0000,1600SKILLED NURSING FACILITY 429431,A000000,01800,0000,1800NURSING FACILITY 429431,A000000,01810,0000,1810ICF/MR 429431,A000000,01900,0000,1900OTHER LONG TERM CARE 429431,A000000,02100,0000,2100RADIOLOGY 429431,A000000,02200,0000,2200LABORATORY 429431,A000000,02300,0000,2300INTRAVENOUS THERAPY 429431,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429431,A000000,02500,0000,2500PHYSICAL THERAPY 429431,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429431,A000000,02700,0000,2700SPEECH PATHOLOGY 429431,A000000,02800,0000,2800ELECTROCARDIOLOGY 429431,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429431,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429431,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429431,A000000,03200,0000,3200SUPPORT SURFACES 429431,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429431,A000000,03400,0000,3400CLINIC 429431,A000000,03500,0000,3500RURAL HEALTH CLINIC 429431,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429431,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429431,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429431,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429431,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429431,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429431,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429431,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429431,A000000,04400,0000,4400DME RENTED - HHA 429431,A000000,04500,0000,4500DME SOLD - HHA 429431,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429431,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429431,A000000,04710,0000,4710TELEMEDICINE 429431,A000000,04800,0000,4800AMBULANCE 429431,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429431,A000000,05000,0000,5000CORF 429431,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429431,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429431,A000000,05300,0000,5300INTEREST EXPENSE 429431,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429431,A000000,05500,0000,5500HOSPICE 429431,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429431,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429431,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429431,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429431,A000000,06100,0000,6100NONPAID WORKERS 429431,A000000,06200,0000,6200PATIENTS LAUNDRY 429431,A000000,06300,0000,6150RENTAL PROPERTY 429431,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429431,A81000A,00100,0100,Y 429431,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 429431,A81000B,00200,0300,CAP REL COSTS - MOVEABLE EQUIP 429431,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 429431,A81000C,00100,0100,B 429431,A81000C,00100,0200,MEDICALODGES INC 429431,A81000C,00100,0600,HEALTHCARE 429431,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429431,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429431,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429431,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429431,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429431,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429431,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429431,B100000,00000,0800,0800MEALS SERVED :DIETARY 429431,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429431,E10A180,00301,0100,10/31/11 429431,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429431,G300000,02501,0000,RENTAL INCOME COTTAGES 429431,G300000,02502,0000,MEDICAID INCOME ADJ (2000 2010) 429431,G300000,02503,0000,MEDICAID INCOME ADJ (2001 2011) 429431,G300000,02504,0000,INTEREST INCOME 429431,S000000,00100,0200,04/03/12 429431,S200000,00100,0100,6261 LEAVENWORTH ROAD 429431,S200000,00200,0100,KANSAS CITY 429431,S200000,00200,0200,KS 429431,S200000,00200,0300,66104-1445 429431,S200000,00300,0100,WYANDOTTE 429431,S200000,00300,0200,3760 429431,S200000,00300,0201,28140 429431,S200000,00300,0300,U 429431,S200000,00400,0100,MEDICALODGES OF KANSAS CITY 429431,S200000,00400,0200,175307 429431,S200000,00400,0300,08/01/94 429431,S200000,00400,0500,P 429431,S200000,01500,0100,Y 429431,S200000,01501,0200,N 429431,S200000,01600,0100,N 429431,S200000,01700,0100,N 429431,S200000,01800,0100,N 429431,S200000,02200,0100,N 429431,S200000,02800,0100,N 429431,S200000,02900,0100,N 429431,S200000,03000,0100,N 429431,S200000,03100,0100,N 429431,S200000,03200,0100,N 429431,S200000,03300,0100,N 429431,S200000,03300,0200,N 429431,S200000,04100,0100,N 429431,S200000,04200,0100,N 429431,S200000,04300,0100,N 429431,S200000,04600,0100,N 429431,S200000,04700,0100,N 429431,S200000,04700,0200,N 429431,S200000,04900,0100,N 429431,S200000,05000,0100,N 429431,S200000,05100,0100,N 429431,S200000,05200,0100,N 429431,S200000,05300,0100,Y 429431,S200000,05300,0200,HO8004 429431,S200000,05400,0100,MEDICALODGES INC 429431,S200000,05400,0200,WISCONSIN PHYSICAN SERVICE 429431,S200000,05400,0300,05201 429431,S200000,05500,0200,POBOX 509 429431,S200000,05600,0100,COFFEYVILLE 429431,S200000,05600,0200,KS 429431,S200000,05600,0300,67337 429432,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429432,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429432,A000000,00300,0000,0300EMPLOYEE BENEFITS 429432,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429432,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429432,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429432,A000000,00700,0000,0700HOUSEKEEPING 429432,A000000,00800,0000,0800DIETARY 429432,A000000,00900,0000,0900NURSING ADMINISTRATION 429432,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429432,A000000,01100,0000,1100PHARMACY 429432,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429432,A000000,01300,0000,1300SOCIAL SERVICE 429432,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429432,A000000,01500,0000,1350OTHER GENERAL SERVICES 429432,A000000,01600,0000,1600SKILLED NURSING FACILITY 429432,A000000,01800,0000,1800NURSING FACILITY 429432,A000000,01810,0000,1810ICF/MR 429432,A000000,01900,0000,1900OTHER LONG TERM CARE 429432,A000000,02100,0000,2100RADIOLOGY 429432,A000000,02200,0000,2200LABORATORY 429432,A000000,02300,0000,2300INTRAVENOUS THERAPY 429432,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429432,A000000,02500,0000,2500PHYSICAL THERAPY 429432,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429432,A000000,02700,0000,2700SPEECH PATHOLOGY 429432,A000000,02800,0000,2800ELECTROCARDIOLOGY 429432,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429432,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429432,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429432,A000000,03200,0000,3200SUPPORT SURFACES 429432,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429432,A000000,03400,0000,3400CLINIC 429432,A000000,03500,0000,3500RURAL HEALTH CLINIC 429432,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429432,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429432,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429432,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429432,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429432,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429432,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429432,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429432,A000000,04400,0000,4400DME RENTED - HHA 429432,A000000,04500,0000,4500DME SOLD - HHA 429432,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429432,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429432,A000000,04710,0000,4710TELEMEDICINE 429432,A000000,04800,0000,4800AMBULANCE 429432,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429432,A000000,05000,0000,5000CORF 429432,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429432,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429432,A000000,05300,0000,5300INTEREST EXPENSE 429432,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429432,A000000,05500,0000,5500HOSPICE 429432,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429432,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429432,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429432,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429432,A000000,06100,0000,6100NONPAID WORKERS 429432,A000000,06200,0000,6200PATIENTS LAUNDRY 429432,A000000,06300,0000,6150RENTAL PROPERTY 429432,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429432,A81000A,00100,0100,Y 429432,A81000B,00100,0300,CAP REL COSTS - BLDGS & F POOLED 429432,A81000B,00200,0300,CAP REL COSTS - MOVEABLE EQUIP POOLE 429432,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED - HO 429432,A81000C,00100,0100,B 429432,A81000C,00100,0200,MEDICALODGES INC 429432,A81000C,00100,0600,HEALTHCARE 429432,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429432,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429432,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429432,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429432,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429432,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429432,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429432,B100000,00000,0800,0800MEALS SERVED :DIETARY 429432,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429432,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429432,G300000,02501,0000,RENTAL INCOME 429432,G300000,02502,0000,MCAID INCOME 429432,G300000,02503,0000,STATE REDUCTION 429432,G300000,02504,0000,FINANCE CHARGE 429432,G300000,02505,0000,PROCESSING FEE 429432,S000000,00100,0200,04/03/12 429432,S200000,00100,0100,1121 W. SEVENTH ST. 429432,S200000,00200,0100,HOLTON 429432,S200000,00200,0200,KS 429432,S200000,00200,0300,66436-1123 429432,S200000,00300,0100,JACKSON 429432,S200000,00300,0200,8440 429432,S200000,00300,0201,45820 429432,S200000,00300,0300,U 429432,S200000,00400,0100,MEDICALODGES OF JACKSON COUNTY 429432,S200000,00400,0200,175435 429432,S200000,00400,0300,04/01/07 429432,S200000,00400,0500,P 429432,S200000,01500,0100,Y 429432,S200000,01501,0200,N 429432,S200000,01600,0100,N 429432,S200000,01700,0100,N 429432,S200000,01800,0100,N 429432,S200000,02200,0100,N 429432,S200000,02800,0100,N 429432,S200000,02900,0100,N 429432,S200000,03000,0100,N 429432,S200000,03100,0100,N 429432,S200000,03200,0100,N 429432,S200000,03300,0100,N 429432,S200000,03300,0200,N 429432,S200000,04100,0100,N 429432,S200000,04200,0100,N 429432,S200000,04300,0100,N 429432,S200000,04600,0100,N 429432,S200000,04700,0100,N 429432,S200000,04700,0200,N 429432,S200000,04900,0100,N 429432,S200000,05000,0100,N 429432,S200000,05100,0100,N 429432,S200000,05200,0100,N 429432,S200000,05300,0100,Y 429432,S200000,05300,0200,H08004 429432,S200000,05400,0100,MEDICALODGES INC 429432,S200000,05400,0200,WISCONSIN PHYSICIAN 429432,S200000,05400,0300,05201 429432,S200000,05500,0200,POBOX 509 429432,S200000,05600,0100,COFFEYVILLE 429432,S200000,05600,0200,KS 429432,S200000,05600,0300,67337 429437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429437,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429437,A000000,00300,0000,0300EMPLOYEE BENEFITS 429437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429437,A000000,00700,0000,0700HOUSEKEEPING 429437,A000000,00800,0000,0800DIETARY 429437,A000000,00900,0000,0900NURSING ADMINISTRATION 429437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429437,A000000,01300,0000,1300SOCIAL SERVICE 429437,A000000,01500,0000,1350ACTIVITIES 429437,A000000,01600,0000,1600SKILLED NURSING FACILITY 429437,A000000,01800,0000,1800NURSING FACILITY 429437,A000000,02100,0000,2100RADIOLOGY 429437,A000000,02200,0000,2200LABORATORY 429437,A000000,02500,0000,2500PHYSICAL THERAPY 429437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429437,A000000,02700,0000,2700SPEECH PATHOLOGY 429437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429437,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429437,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429437,A81000A,00100,0100,Y 429437,A81000B,00400,0300,MANAGEMENT FEE 429437,A81000B,00500,0300,MANAGEMENT FEE 429437,A81000C,00400,0100,A 429437,A81000C,00400,0200,CONTINIUM HEALTHCARE MGT. 429437,A81000C,00400,0600,MANAGEMENT COMPANY 429437,A81000C,00500,0100,A 429437,A81000C,00500,0200,CONTINIUM HEALTHCARE MGT. 429437,A81000C,00500,0600,MANAGEMENT COMPANY 429437,B100000,00000,0100,0100SQUARE FT :CAP REL COSTS - BLDG 429437,B100000,00000,0200,0200SQUARE FT :CAP REL COSTS - MOVE 429437,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429437,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429437,B100000,00000,0500,0500SQUARE FT :PLANT OPERATION MAI 429437,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 429437,B100000,00000,0700,0750SQUARE FT :HOUSEKEEPING 429437,B100000,00000,0800,0850DAYS :DIETARY 429437,B100000,00000,0900,0950DAYS :NURSING ADMINISTRATION 429437,B100000,00000,1000,1050DAYS :CENTRAL SERVICES & SUPPL 429437,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 429437,B100000,00000,1300,1330DAYS :SOCIAL SERVICE 429437,B100000,00000,1500,1350DAYS :ACTIVITIES 429437,E10A180,00302,0100,10/31/11 429437,E10A180,00303,0100,10/31/11 429437,G300000,02500,0000,MISC 429437,S000000,00100,0200,03/29/12 429437,S200000,00100,0100,105 CLONCE STREET 429437,S200000,00200,0100,WEBER CITY 429437,S200000,00200,0200,VA 429437,S200000,00200,0300,24290 429437,S200000,00300,0100,SCOTT 429437,S200000,00300,0200,3660 429437,S200000,00300,0201,28700 429437,S200000,00300,0300,U 429437,S200000,00400,0100,BRIAN CENTER - WEBER CITY 429437,S200000,00400,0200,495208 429437,S200000,00400,0300,03/01/90 429437,S200000,00400,0500,P 429437,S200000,00600,0200,495208 429437,S200000,00600,0300,03/01/90 429437,S200000,00600,0600,O 429437,S200000,01500,0100,N 429437,S200000,01501,0200,Y 429437,S200000,01600,0100,Y 429437,S200000,01700,0100,N 429437,S200000,01800,0100,N 429437,S200000,01900,0100,ICF/HFA 429437,S200000,02200,0100,N 429437,S200000,02800,0100,N 429437,S200000,02900,0100,N 429437,S200000,03000,0100,N 429437,S200000,03100,0100,N 429437,S200000,03200,0100,N 429437,S200000,03300,0100,N 429437,S200000,03300,0200,N 429437,S200000,03500,0300,N 429437,S200000,04100,0100,N 429437,S200000,04200,0100,N 429437,S200000,04300,0100,N 429437,S200000,04600,0100,N 429437,S200000,04700,0100,N 429437,S200000,04700,0200,N 429437,S200000,04900,0100,N 429437,S200000,05000,0100,N 429437,S200000,05100,0100,N 429437,S200000,05200,0100,N 429445,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429445,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429445,A000000,00300,0000,0300EMPLOYEE BENEFITS 429445,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429445,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429445,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429445,A000000,00700,0000,0700HOUSEKEEPING 429445,A000000,00800,0000,0800DIETARY 429445,A000000,00900,0000,0900NURSING ADMINISTRATION 429445,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429445,A000000,01100,0000,1100PHARMACY 429445,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429445,A000000,01300,0000,1300SOCIAL SERVICE 429445,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429445,A000000,01500,0000,1350PATIENT ACTIVITIES 429445,A000000,01600,0000,1600SKILLED NURSING FACILITY 429445,A000000,01800,0000,1800NURSING FACILITY 429445,A000000,01810,0000,1810ICF/MR 429445,A000000,01900,0000,1900OTHER LONG TERM CARE 429445,A000000,02100,0000,2100RADIOLOGY 429445,A000000,02200,0000,2200LABORATORY 429445,A000000,02300,0000,2300INTRAVENOUS THERAPY 429445,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429445,A000000,02500,0000,2500PHYSICAL THERAPY 429445,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429445,A000000,02700,0000,2700SPEECH PATHOLOGY 429445,A000000,02800,0000,2800ELECTROCARDIOLOGY 429445,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429445,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429445,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429445,A000000,03200,0000,3200SUPPORT SURFACES 429445,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429445,A000000,03400,0000,3400CLINIC 429445,A000000,03500,0000,3500RURAL HEALTH CLINIC 429445,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429445,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429445,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429445,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429445,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429445,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429445,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429445,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429445,A000000,04400,0000,4400DME RENTED - HHA 429445,A000000,04500,0000,4500DME SOLD - HHA 429445,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429445,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429445,A000000,04710,0000,4710TELEMEDICINE 429445,A000000,04800,0000,4800AMBULANCE 429445,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429445,A000000,05000,0000,5000CORF 429445,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429445,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429445,A000000,05300,0000,5300INTEREST EXPENSE 429445,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429445,A000000,05500,0000,5500HOSPICE 429445,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429445,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429445,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429445,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429445,A000000,06100,0000,6100NONPAID WORKERS 429445,A000000,06200,0000,6200PATIENTS LAUNDRY 429445,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429445,A81000A,00100,0100,Y 429445,A81000B,00100,0300,MANAGEMENT FEES 429445,A81000B,00200,0300,CAP REL BLDG 429445,A81000B,00300,0300,CAP REL EQUIP 429445,A81000B,00400,0300,NON CAPITAL 429445,A81000B,00500,0300,CONTRACT SERVICES 429445,A81000B,00600,0300,CONTRACT SERVICES 429445,A81000B,00700,0300,CONTRACT SERVICES 429445,A81000B,00800,0300,RESTORATIVE NURSING 429445,A81000B,00900,0300,CONSULTANT 429445,A81000B,01000,0300,CONSULTANT 429445,A81000B,01100,0300,LEGEND DRUGS 429445,A81000B,01200,0300,MEDICAL SUPPLIES 429445,A81000B,01300,0300,NON LEGEND DRUGS 429445,A81000B,01400,0300,THERAPEUTIC BEDS 429445,A81000B,01500,0300,P/E SUPPLIES 429445,A81000B,01600,0300,RAW FOOD 429445,A81000B,01700,0300,RENT- BLDG 429445,A81000B,01800,0300,DEPN - BLDG 429445,A81000B,01900,0300,DEPN - EQUIP 429445,A81000B,02000,0300,MORT INTEREST 429445,A81000C,00100,0100,B 429445,A81000C,00100,0200,NOAH DUNCAN TRUST 429445,A81000C,00100,0400,CC MANAGEMENT 429445,A81000C,00100,0600,MANAGEMENT 429445,A81000C,00200,0100,B 429445,A81000C,00200,0200,NOAH DUNCAN TRUST 429445,A81000C,00200,0400,CC MANAGEMENT 429445,A81000C,00200,0600,MANAGEMENT 429445,A81000C,00300,0100,B 429445,A81000C,00300,0200,NOAH DUNCAN TRUST 429445,A81000C,00300,0400,CC MANAGEMENT 429445,A81000C,00300,0600,MANAGEMENT 429445,A81000C,00400,0100,B 429445,A81000C,00400,0200,NOAH DUNCAN TRUST 429445,A81000C,00400,0400,CC MANAGEMENT 429445,A81000C,00400,0600,MANAGEMENT 429445,A81000C,00500,0100,B 429445,A81000C,00500,0200,NOAH DUNCAN TRUST 429445,A81000C,00500,0400,CTS 429445,A81000C,00500,0600,THERAPY 429445,A81000C,00600,0100,B 429445,A81000C,00600,0200,NOAH DUNCAN TRUST 429445,A81000C,00600,0400,CTS 429445,A81000C,00600,0600,THERAPY 429445,A81000C,00700,0100,B 429445,A81000C,00700,0200,NOAH DUNCAN TRUST 429445,A81000C,00700,0400,CTS 429445,A81000C,00700,0600,THERAPY 429445,A81000C,00800,0100,B 429445,A81000C,00800,0200,NOAH DUNCAN TRUST 429445,A81000C,00800,0400,CTS 429445,A81000C,00800,0600,THERAPY 429445,A81000C,00900,0100,B 429445,A81000C,00900,0200,NOAH DUNCAN TRUST 429445,A81000C,00900,0400,CTS 429445,A81000C,00900,0600,THERAPY 429445,A81000C,01000,0100,B 429445,A81000C,01000,0200,NOAH DUNCAN TRUST 429445,A81000C,01000,0400,SERVANT PHARMACY 429445,A81000C,01000,0600,PHARMACY 429445,A81000C,01001,0100,B 429445,A81000C,01001,0200,NOAH DUNCAN TRUST 429445,A81000C,01001,0400,SERVANT PHARMACY 429445,A81000C,01001,0600,PHARMACY 429445,A81000C,01002,0100,B 429445,A81000C,01002,0200,NOAH DUNCAN TRUST 429445,A81000C,01002,0400,SERVANT PHARMACY 429445,A81000C,01002,0600,PHARMACY 429445,A81000C,01003,0100,B 429445,A81000C,01003,0200,NOAH DUNCAN TRUST 429445,A81000C,01003,0400,SERVANT PHARMACY 429445,A81000C,01003,0600,PHARMACY 429445,A81000C,01004,0100,B 429445,A81000C,01004,0200,NOAH DUNCAN TRUST 429445,A81000C,01004,0400,CC PEN THERAPY 429445,A81000C,01004,0600,SUPPLIES 429445,A81000C,01005,0100,B 429445,A81000C,01005,0200,NOAH DUNCAN TRUST 429445,A81000C,01005,0400,CC PEN THERAPY 429445,A81000C,01005,0600,SUPPLIES 429445,A81000C,01006,0100,B 429445,A81000C,01006,0200,NOAH DUNCAN TRUST 429445,A81000C,01006,0400,CC PEN THERAPY 429445,A81000C,01006,0600,SUPPLIES 429445,A81000C,01007,0100,B 429445,A81000C,01007,0200,NOAH DUNCAN TRUST 429445,A81000C,01007,0400,THE BLUFFS 429445,A81000C,01007,0600,RENTAL 429445,A81000C,01008,0100,B 429445,A81000C,01008,0200,NOAH DUNCAN TRUST 429445,A81000C,01008,0400,THE BLUFFS 429445,A81000C,01008,0600,RENTAL 429445,A81000C,01009,0100,B 429445,A81000C,01009,0200,NOAH DUNCAN TRUST 429445,A81000C,01009,0400,THE BLUFFS 429445,A81000C,01009,0600,RENTAL 429445,A81000C,01010,0100,B 429445,A81000C,01010,0200,NOAH DUNCAN TRUST 429445,A81000C,01010,0400,THE BLUFFS 429445,A81000C,01010,0600,RENTAL 429445,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429445,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429445,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429445,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429445,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429445,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429445,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429445,B100000,00000,0800,0800MEALS SERVED :DIETARY 429445,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429445,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429445,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429445,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 429445,E10A180,00301,0100,04/30/11 429445,G300000,02500,0000,MEDICARE A BAD DEBT REVENUE 429445,G300000,02501,0000,CABLE TV REVENUE 429445,G300000,02502,0000,ROOM HOLD 429445,G300000,02503,0000,PATIENT PERSONAL ITEMS 429445,G300000,02504,0000,MISCELLANEOUS REVENUE 429445,S000000,00100,0200,02/29/12 429445,S200000,00100,0100,4010 BRIDGES STREET EXT 429445,S200000,00200,0100,MOREHEAD CITY 429445,S200000,00200,0200,NC 429445,S200000,00200,0300,28557 429445,S200000,00300,0100,CARTERET 429445,S200000,00300,0200,34 429445,S200000,00300,0201,99934 429445,S200000,00300,0300,R 429445,S200000,00400,0100,CRYSTAL BLUFFS HEALTH & REHAB 429445,S200000,00400,0200,345170 429445,S200000,00400,0300,10/01/99 429445,S200000,00400,0500,P 429445,S200000,01500,0100,N 429445,S200000,01502,0200,Y 429445,S200000,01503,0200,N 429445,S200000,01504,0200,N 429445,S200000,01505,0000,IN2L 429445,S200000,01505,0200,Y 429445,S200000,01600,0100,Y 429445,S200000,01700,0100,N 429445,S200000,01800,0100,N 429445,S200000,02200,0100,N 429445,S200000,02800,0100,N 429445,S200000,02900,0100,N 429445,S200000,03000,0100,N 429445,S200000,03100,0100,N 429445,S200000,03200,0100,N 429445,S200000,03300,0100,N 429445,S200000,03300,0200,N 429445,S200000,04100,0100,N 429445,S200000,04200,0100,N 429445,S200000,04300,0100,N 429445,S200000,04600,0100,N 429445,S200000,04700,0100,N 429445,S200000,04700,0200,N 429445,S200000,04900,0100,N 429445,S200000,05000,0100,N 429445,S200000,05100,0100,N 429445,S200000,05200,0100,N 429446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429446,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429446,A000000,00300,0000,0300EMPLOYEE BENEFITS 429446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429446,A000000,00700,0000,0700HOUSEKEEPING 429446,A000000,00800,0000,0800DIETARY 429446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429446,A000000,01300,0000,1300SOCIAL SERVICE 429446,A000000,01600,0000,1600SKILLED NURSING FACILITY 429446,A000000,02100,0000,2100RADIOLOGY 429446,A000000,02200,0000,2200LABORATORY 429446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429446,A000000,02500,0000,2500PHYSICAL THERAPY 429446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429446,A000000,02700,0000,2700SPEECH PATHOLOGY 429446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429446,A000000,03300,0000,3050RESTORATIVE SERVICES 429446,A000000,05300,0000,5300INTEREST EXPENSE 429446,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429446,A000000,06300,0000,6150GUEST MEALS 429446,A000000,06301,0000,6151ASSISTED LIVING 429446,A000000,06302,0000,6152COMMUNITY LIVING 429446,A81000A,00100,0100,Y 429446,A81000B,00100,0300,SALARIES AND BENEFITS 429446,A81000B,00200,0300,SALARIES AND BENEFITS 429446,A81000B,00300,0300,SALARIES AND BENEFITS 429446,A81000B,00400,0300,DIETARY CONSULTANT 429446,A81000B,00500,0300,SOFTWARE MAINTENANCE FEE 429446,A81000B,00600,0300,MANAGEMENT FEES 429446,A81000C,00100,0100,B 429446,A81000C,00100,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00100,0600,MANAGEMENT 429446,A81000C,00200,0100,B 429446,A81000C,00200,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00200,0600,MANAGEMENT 429446,A81000C,00300,0100,B 429446,A81000C,00300,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00300,0600,MANAGEMENT 429446,A81000C,00400,0100,B 429446,A81000C,00400,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00400,0600,MANAGEMENT 429446,A81000C,00500,0100,B 429446,A81000C,00500,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00500,0600,MANAGEMENT 429446,A81000C,00600,0100,B 429446,A81000C,00600,0400,VIA CHRISTI VILLAGES INC 429446,A81000C,00600,0600,MANAGEMENT 429446,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429446,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429446,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429446,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429446,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 429446,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429446,B100000,00000,0800,0800MEALS SERVED :DIETARY 429446,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 429446,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 429446,S000000,00100,0200,02/29/12 429446,S200000,00100,0100,1601 ACADEMY ROAD 429446,S200000,00200,0100,PONCA CITY 429446,S200000,00200,0200,OK 429446,S200000,00200,0300,74604 429446,S200000,00300,0100,KAY 429446,S200000,00300,0200,37 429446,S200000,00300,0201,99937 429446,S200000,00300,0300,R 429446,S200000,00400,0100,VIA CHRISTI VILLAGE PONCA CITY INC 429446,S200000,00400,0200,375521 429446,S200000,00400,0300,03/23/08 429446,S200000,00400,0500,P 429446,S200000,01500,0100,Y 429446,S200000,01501,0200,Y 429446,S200000,01600,0100,N 429446,S200000,01700,0100,N 429446,S200000,01800,0100,N 429446,S200000,02200,0100,N 429446,S200000,02800,0100,N 429446,S200000,02900,0100,N 429446,S200000,03000,0100,N 429446,S200000,03100,0100,N 429446,S200000,03200,0100,N 429446,S200000,03300,0100,N 429446,S200000,03300,0200,N 429446,S200000,04100,0100,N 429446,S200000,04200,0100,N 429446,S200000,04300,0100,N 429446,S200000,04600,0100,N 429446,S200000,04700,0100,N 429446,S200000,04700,0200,N 429446,S200000,04900,0100,N 429446,S200000,05000,0100,N 429446,S200000,05100,0100,N 429446,S200000,05200,0100,N 429446,S200000,05300,0100,Y 429446,S200000,05400,0100,VIA CHRISTI VILLAGES INC. 429446,S200000,05400,0200,TRAILBLAZER HEATLH ENTERPRISES LLC 429446,S200000,05400,0300,04301 429446,S200000,05500,0100,2622 W. CENTRAL 429446,S200000,05600,0100,WICHITA 429446,S200000,05600,0200,KS 429446,S200000,05600,0300,67203 429522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429522,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429522,A000000,00300,0000,0300EMPLOYEE BENEFITS 429522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429522,A000000,00700,0000,0700HOUSEKEEPING 429522,A000000,00800,0000,0800DIETARY 429522,A000000,00900,0000,0900NURSING ADMINISTRATION 429522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429522,A000000,01100,0000,1100PHARMACY 429522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429522,A000000,01300,0000,1300SOCIAL SERVICE 429522,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429522,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429522,A000000,01600,0000,1600SKILLED NURSING FACILITY 429522,A000000,01800,0000,1800NURSING FACILITY 429522,A000000,01810,0000,1810ICF/MR 429522,A000000,01900,0000,1900OTHER LONG TERM CARE 429522,A000000,02100,0000,2100RADIOLOGY 429522,A000000,02200,0000,2200LABORATORY 429522,A000000,02300,0000,2300INTRAVENOUS THERAPY 429522,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429522,A000000,02500,0000,2500PHYSICAL THERAPY 429522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429522,A000000,02700,0000,2700SPEECH PATHOLOGY 429522,A000000,02800,0000,2800ELECTROCARDIOLOGY 429522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429522,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429522,A000000,03200,0000,3200SUPPORT SURFACES 429522,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429522,A000000,03400,0000,3400CLINIC 429522,A000000,03500,0000,3500RURAL HEALTH CLINIC 429522,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429522,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429522,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429522,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429522,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429522,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429522,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429522,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429522,A000000,04400,0000,4400DME RENTED - HHA 429522,A000000,04500,0000,4500DME SOLD - HHA 429522,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429522,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429522,A000000,04710,0000,4710TELEMEDICINE 429522,A000000,04800,0000,4800AMBULANCE 429522,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429522,A000000,05000,0000,5000CORF 429522,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429522,A000000,05300,0000,5300INTEREST EXPENSE 429522,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429522,A000000,05500,0000,5500HOSPICE 429522,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429522,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429522,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429522,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429522,A000000,06100,0000,6100NONPAID WORKERS 429522,A000000,06200,0000,6200PATIENTS LAUNDRY 429522,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429522,A81000A,00100,0100,Y 429522,A81000B,00100,0300,OWNERSHIP COST FOR RENT 429522,A81000B,00200,0300,EQUIPMENT RENTAL 429522,A81000B,00300,0300,MEDICAL SUPPLIES 429522,A81000C,00100,0100,A 429522,A81000C,00100,0200,FELIX SAVON 429522,A81000C,00100,0400,RON JOY NURSING 429522,A81000C,00100,0600,REALTY 429522,A81000C,00200,0100,A 429522,A81000C,00200,0200,FELIX SAVON 429522,A81000C,00200,0400,BOARDMAN MEDICA 429522,A81000C,00200,0600,MEDICAL SUPPLIE 429522,A81000C,00300,0100,A 429522,A81000C,00300,0200,FELIX SAVON 429522,A81000C,00300,0400,SAVON ENTERPRIS 429522,A81000C,00300,0600,LANDLORD 429522,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429522,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429522,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429522,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429522,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429522,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429522,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429522,B100000,00000,0800,0800MEALS SERVED :DIETARY 429522,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429522,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429522,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 429522,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429522,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429522,G300000,02500,0000, OTHER (SPECIFY):MISC INCOME 429522,G300000,02501,0000, GAIN ON SALE OF ASSETS 429522,S000000,00100,0200,05/12/11 429522,S200000,00100,0100,830 BOARDMAN-CANFIELD RD 429522,S200000,00200,0100,YOUNGSTOWN 429522,S200000,00200,0200,OH 429522,S200000,00200,0300,44512 429522,S200000,00300,0100,MAHONING 429522,S200000,00300,0201,49660 429522,S200000,00300,0300,U 429522,S200000,00400,0100,RON JOY NURSING HOME 429522,S200000,00400,0200,365760 429522,S200000,00400,0300,08/24/89 429522,S200000,00400,0500,P 429522,S200000,01500,0100,Y 429522,S200000,01600,0100,N 429522,S200000,01700,0100,N 429522,S200000,01800,0100,N 429522,S200000,02200,0100,N 429522,S200000,02800,0100,Y 429522,S200000,02900,0100,N 429522,S200000,03000,0100,N 429522,S200000,03100,0100,N 429522,S200000,03200,0100,N 429522,S200000,03300,0100,N 429522,S200000,03300,0200,N 429522,S200000,04100,0100,N 429522,S200000,04200,0100,N 429522,S200000,04300,0100,N 429522,S200000,04600,0100,N 429522,S200000,04700,0100,N 429522,S200000,04700,0200,N 429522,S200000,04900,0100,N 429522,S200000,05000,0100,N 429522,S200000,05100,0100,N 429522,S200000,05200,0100,N 429522,S200000,05300,0100,Y 429556,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429556,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429556,A000000,00300,0000,0300EMPLOYEE BENEFITS 429556,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429556,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429556,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429556,A000000,00700,0000,0700HOUSEKEEPING 429556,A000000,00800,0000,0800DIETARY 429556,A000000,00900,0000,0900NURSING ADMINISTRATION 429556,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429556,A000000,01100,0000,1100PHARMACY 429556,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429556,A000000,01300,0000,1300SOCIAL SERVICE 429556,A000000,01500,0000,1350ACTIVITIES 429556,A000000,01600,0000,1600SKILLED NURSING FACILITY 429556,A000000,01800,0000,1800NURSING FACILITY 429556,A000000,01810,0000,1810ICF/MR 429556,A000000,01900,0000,1900OTHER LONG TERM CARE 429556,A000000,02100,0000,2100RADIOLOGY 429556,A000000,02200,0000,2200LABORATORY 429556,A000000,02300,0000,2300INTRAVENOUS THERAPY 429556,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429556,A000000,02500,0000,2500PHYSICAL THERAPY 429556,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429556,A000000,02700,0000,2700SPEECH PATHOLOGY 429556,A000000,02800,0000,2800ELECTROCARDIOLOGY 429556,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429556,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429556,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429556,A000000,03200,0000,3200SUPPORT SURFACES 429556,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429556,A000000,03400,0000,3400CLINIC 429556,A000000,03500,0000,3500RURAL HEALTH CLINIC 429556,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429556,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429556,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429556,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429556,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429556,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429556,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429556,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429556,A000000,04400,0000,4400DME RENTED - HHA 429556,A000000,04500,0000,4500DME SOLD - HHA 429556,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429556,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429556,A000000,04710,0000,4710TELEMEDICINE 429556,A000000,04800,0000,4800AMBULANCE 429556,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429556,A000000,05000,0000,5000CORF 429556,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429556,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429556,A000000,05300,0000,5300INTEREST EXPENSE 429556,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429556,A000000,05500,0000,5500HOSPICE 429556,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429556,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429556,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429556,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429556,A000000,06100,0000,6100NONPAID WORKERS 429556,A000000,06200,0000,6200PATIENTS LAUNDRY 429556,A000000,06300,0000,6150MARKETING 429556,A000000,06301,0000,6151RESIDENTS 429556,A81000A,00100,0100,N 429556,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429556,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429556,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429556,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429556,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429556,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429556,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429556,B100000,00000,0800,0800MEALS SERVED :DIETARY 429556,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429556,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429556,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429556,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429556,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 429556,G300000,02500,0000,OTHER (SPECIFY) 429556,S000000,00100,0200,04/04/12 429556,S200000,00100,0100,17300 NORTH 88TH AVE 429556,S200000,00200,0100,PEORIA 429556,S200000,00200,0200,AZ 429556,S200000,00200,0300,85382 429556,S200000,00300,0100,MARICOPA 429556,S200000,00300,0200,6200 429556,S200000,00300,0201,38060 429556,S200000,00300,0300,U 429556,S200000,00400,0100,SIERRA WINDS 429556,S200000,00400,0200,035231 429556,S200000,00400,0300,03/07/95 429556,S200000,00400,0500,P 429556,S200000,00600,0200,035231 429556,S200000,00600,0300,03/07/95 429556,S200000,00600,0600,P 429556,S200000,01500,0100,N 429556,S200000,01501,0200,Y 429556,S200000,01502,0200,Y 429556,S200000,01504,0200,Y 429556,S200000,01600,0100,Y 429556,S200000,01700,0100,N 429556,S200000,01800,0100,N 429556,S200000,02200,0100,N 429556,S200000,02800,0100,N 429556,S200000,02900,0100,N 429556,S200000,03000,0100,N 429556,S200000,03100,0100,N 429556,S200000,03200,0100,N 429556,S200000,03300,0100,N 429556,S200000,03300,0200,N 429556,S200000,03500,0300,N 429556,S200000,04100,0100,N 429556,S200000,04200,0100,N 429556,S200000,04300,0100,N 429556,S200000,04600,0100,N 429556,S200000,04700,0100,N 429556,S200000,04700,0200,N 429556,S200000,04900,0100,N 429556,S200000,05000,0100,N 429556,S200000,05100,0100,N 429556,S200000,05200,0100,N 429557,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429557,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429557,A000000,00300,0000,0300EMPLOYEE BENEFITS 429557,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429557,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429557,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429557,A000000,00700,0000,0700HOUSEKEEPING 429557,A000000,00800,0000,0800DIETARY 429557,A000000,00900,0000,0900NURSING ADMINISTRATION 429557,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429557,A000000,01100,0000,1100PHARMACY 429557,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429557,A000000,01300,0000,1300SOCIAL SERVICE 429557,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429557,A000000,01500,0000,1350OTHER GENERAL SERVICES 429557,A000000,01600,0000,1600SKILLED NURSING FACILITY 429557,A000000,01800,0000,1800NURSING FACILITY 429557,A000000,01810,0000,1810ICF/MR 429557,A000000,01900,0000,1900OTHER LONG TERM CARE 429557,A000000,02100,0000,2100RADIOLOGY 429557,A000000,02200,0000,2200LABORATORY 429557,A000000,02300,0000,2300INTRAVENOUS THERAPY 429557,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429557,A000000,02500,0000,2500PHYSICAL THERAPY 429557,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429557,A000000,02700,0000,2700SPEECH PATHOLOGY 429557,A000000,02800,0000,2800ELECTROCARDIOLOGY 429557,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429557,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429557,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429557,A000000,03200,0000,3200SUPPORT SURFACES 429557,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429557,A000000,03400,0000,3400CLINIC 429557,A000000,03500,0000,3500RURAL HEALTH CLINIC 429557,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429557,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429557,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429557,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429557,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429557,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429557,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429557,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429557,A000000,04400,0000,4400DME RENTED - HHA 429557,A000000,04500,0000,4500DME SOLD - HHA 429557,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429557,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429557,A000000,04710,0000,4710TELEMEDICINE 429557,A000000,04800,0000,4800AMBULANCE 429557,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429557,A000000,05000,0000,5000CORF 429557,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429557,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429557,A000000,05300,0000,5300INTEREST EXPENSE 429557,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429557,A000000,05500,0000,5500HOSPICE 429557,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429557,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429557,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429557,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429557,A000000,06100,0000,6100NONPAID WORKERS 429557,A000000,06200,0000,6200PATIENTS LAUNDRY 429557,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429557,A81000A,00100,0100,Y 429557,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 429557,A81000B,00200,0300,CAP REL COSTS - MOVEABLE EQUIP 429557,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 429557,A81000C,00100,0100,B 429557,A81000C,00100,0200,MEDICALODGES INC 429557,A81000C,00100,0600,HEALTHCARE 429557,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429557,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429557,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429557,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429557,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429557,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429557,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429557,B100000,00000,0800,0800MEALS SERVED :DIETARY 429557,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429557,E10A180,00301,0100,10/31/11 429557,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429557,G300000,02501,0000,INTEREST AND FINANCE CHARGE 429557,G300000,02502,0000,MEDICAID INCOME ADJM (2000 2010) 429557,G300000,02503,0000,MEDICAID INCOME ADJM (2001 2011) 429557,G300000,02504,0000,GAIN ON SALE OF ASSETS 429557,S000000,00100,0200,04/03/12 429557,S200000,00100,0100,2280 S. MINNEAPOLIS ST. 429557,S200000,00200,0100,WICHITA 429557,S200000,00200,0200,KS 429557,S200000,00200,0300,67211-5318 429557,S200000,00300,0100,SEDGEICK 429557,S200000,00300,0200,9040 429557,S200000,00300,0201,48620 429557,S200000,00300,0300,U 429557,S200000,00400,0100,MEDICALODGES OF WICHITA 429557,S200000,00400,0200,175008 429557,S200000,00400,0300,07/01/92 429557,S200000,00400,0500,P 429557,S200000,01500,0100,Y 429557,S200000,01501,0200,N 429557,S200000,01600,0100,N 429557,S200000,01700,0100,N 429557,S200000,01800,0100,N 429557,S200000,02200,0100,N 429557,S200000,02800,0100,N 429557,S200000,02900,0100,N 429557,S200000,03000,0100,N 429557,S200000,03100,0100,N 429557,S200000,03200,0100,N 429557,S200000,03300,0100,N 429557,S200000,03300,0200,N 429557,S200000,04100,0100,N 429557,S200000,04200,0100,N 429557,S200000,04300,0100,N 429557,S200000,04600,0100,N 429557,S200000,04700,0100,N 429557,S200000,04700,0200,N 429557,S200000,04900,0100,N 429557,S200000,05000,0100,N 429557,S200000,05100,0100,N 429557,S200000,05200,0100,N 429557,S200000,05300,0100,Y 429557,S200000,05300,0200,HO8004 429557,S200000,05400,0100,MEDICALODGES INC 429557,S200000,05400,0200,WISCONSIN PHYSICAN SERVICE 429557,S200000,05400,0300,05201 429557,S200000,05500,0200,POBOX 509 429557,S200000,05600,0100,COFFEYVILLE 429557,S200000,05600,0200,KS 429557,S200000,05600,0300,67337 429558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429558,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429558,A000000,00300,0000,0300EMPLOYEE BENEFITS 429558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429558,A000000,00700,0000,0700HOUSEKEEPING 429558,A000000,00800,0000,0800DIETARY 429558,A000000,00900,0000,0900NURSING ADMINISTRATION 429558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429558,A000000,01100,0000,1100PHARMACY 429558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429558,A000000,01300,0000,1300SOCIAL SERVICE 429558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429558,A000000,01500,0000,1350OTHER GENERAL SERVICES 429558,A000000,01600,0000,1600SKILLED NURSING FACILITY 429558,A000000,01800,0000,1800NURSING FACILITY 429558,A000000,01810,0000,1810ICF/MR 429558,A000000,01900,0000,1900OTHER LONG TERM CARE 429558,A000000,02100,0000,2100RADIOLOGY 429558,A000000,02200,0000,2200LABORATORY 429558,A000000,02300,0000,2300INTRAVENOUS THERAPY 429558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429558,A000000,02500,0000,2500PHYSICAL THERAPY 429558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429558,A000000,02700,0000,2700SPEECH PATHOLOGY 429558,A000000,02800,0000,2800ELECTROCARDIOLOGY 429558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429558,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429558,A000000,03200,0000,3200SUPPORT SURFACES 429558,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429558,A000000,03400,0000,3400CLINIC 429558,A000000,03500,0000,3500RURAL HEALTH CLINIC 429558,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429558,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429558,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429558,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429558,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429558,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429558,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429558,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429558,A000000,04400,0000,4400DME RENTED - HHA 429558,A000000,04500,0000,4500DME SOLD - HHA 429558,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429558,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429558,A000000,04800,0000,4800AMBULANCE 429558,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429558,A000000,05000,0000,5000CORF 429558,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429558,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429558,A000000,05300,0000,5300INTEREST EXPENSE 429558,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429558,A000000,05500,0000,5500HOSPICE 429558,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429558,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429558,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429558,A000000,06100,0000,6100NONPAID WORKERS 429558,A000000,06200,0000,6200PATIENTS LAUNDRY 429558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429558,A81000A,00100,0100,Y 429558,A81000B,00100,0300,BLDGS & FURNITURE POOLED 429558,A81000B,00200,0300,MOVABLE EQUIP POOLED 429558,A81000B,00300,0300,GEN & ADMIN CENTRAL OFFICE POOLED 429558,A81000C,00100,0100,B 429558,A81000C,00100,0200,MEDICALODGES INC 429558,A81000C,00100,0600,HEALTHCARE 429558,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429558,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429558,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429558,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429558,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429558,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429558,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429558,B100000,00000,0800,0800MEALS SERVED :DIETARY 429558,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429558,E10A180,00301,0100,10/31/11 429558,G300000,02500,0000,FINANCE CHARGE 429558,G300000,02501,0000,GAIN ON SALES 429558,G300000,02502,0000,MCARE BAD DEBT RECOVERY 429558,G300000,02503,0000,MCAID INCOME 429558,G300000,02504,0000,STATE REDUCTION 429558,S000000,00100,0200,04/03/12 429558,S200000,00100,0100,1637 RILEY 429558,S200000,00200,0100,ATCHISON 429558,S200000,00200,0200,KS 429558,S200000,00200,0300,66002-1514 429558,S200000,00300,0100,ATCHISON 429558,S200000,00300,0200,17 429558,S200000,00300,0201,99917 429558,S200000,00300,0300,R 429558,S200000,00400,0100,MEDICALODGE OF ATCHISON 429558,S200000,00400,0200,175141 429558,S200000,00400,0300,02/01/92 429558,S200000,00400,0500,P 429558,S200000,01500,0100,Y 429558,S200000,01501,0200,N 429558,S200000,01600,0100,N 429558,S200000,01700,0100,N 429558,S200000,01800,0100,N 429558,S200000,02200,0100,N 429558,S200000,02800,0100,N 429558,S200000,02900,0100,N 429558,S200000,03000,0100,N 429558,S200000,03100,0100,N 429558,S200000,03200,0100,N 429558,S200000,03300,0100,N 429558,S200000,03300,0200,N 429558,S200000,04100,0100,N 429558,S200000,04200,0100,N 429558,S200000,04300,0100,N 429558,S200000,04600,0100,N 429558,S200000,04700,0100,N 429558,S200000,04700,0200,N 429558,S200000,04900,0100,N 429558,S200000,05000,0100,N 429558,S200000,05100,0100,N 429558,S200000,05200,0100,N 429558,S200000,05300,0100,Y 429558,S200000,05300,0200,H08004 429558,S200000,05400,0100,MEDICALODGES INC 429558,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 429558,S200000,05400,0300,05201 429558,S200000,05500,0200,POBOX 509 429558,S200000,05600,0100,COFFEYVILLE 429558,S200000,05600,0200,KS 429558,S200000,05600,0300,67337 429559,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429559,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429559,A000000,00300,0000,0300EMPLOYEE BENEFITS 429559,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429559,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429559,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429559,A000000,00700,0000,0700HOUSEKEEPING 429559,A000000,00800,0000,0800DIETARY 429559,A000000,00900,0000,0900NURSING ADMINISTRATION 429559,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429559,A000000,01100,0000,1100PHARMACY 429559,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429559,A000000,01300,0000,1300SOCIAL SERVICE 429559,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429559,A000000,01500,0000,1350OTHER GENERAL SERVICES 429559,A000000,01600,0000,1600SKILLED NURSING FACILITY 429559,A000000,01800,0000,1800NURSING FACILITY 429559,A000000,01810,0000,1810ICF/MR 429559,A000000,01900,0000,1900OTHER LONG TERM CARE 429559,A000000,02100,0000,2100RADIOLOGY 429559,A000000,02200,0000,2200LABORATORY 429559,A000000,02300,0000,2300INTRAVENOUS THERAPY 429559,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429559,A000000,02500,0000,2500PHYSICAL THERAPY 429559,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429559,A000000,02700,0000,2700SPEECH PATHOLOGY 429559,A000000,02800,0000,2800ELECTROCARDIOLOGY 429559,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429559,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429559,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429559,A000000,03200,0000,3200SUPPORT SURFACES 429559,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429559,A000000,03400,0000,3400CLINIC 429559,A000000,03500,0000,3500RURAL HEALTH CLINIC 429559,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429559,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429559,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429559,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429559,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429559,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429559,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429559,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429559,A000000,04400,0000,4400DME RENTED - HHA 429559,A000000,04500,0000,4500DME SOLD - HHA 429559,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429559,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429559,A000000,04800,0000,4800AMBULANCE 429559,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429559,A000000,05000,0000,5000CORF 429559,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429559,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429559,A000000,05300,0000,5300INTEREST EXPENSE 429559,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429559,A000000,05500,0000,5500HOSPICE 429559,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429559,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429559,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429559,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429559,A000000,06100,0000,6100NONPAID WORKERS 429559,A000000,06200,0000,6200PATIENTS LAUNDRY 429559,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429559,A81000A,00100,0100,Y 429559,A81000B,00100,0300,POOLED - CAPITAL RELATED 429559,A81000B,00200,0300,POOLED - CAPITAL RELATED 429559,A81000B,00300,0300,POOLED - HOME OFFICE 429559,A81000C,00100,0100,B 429559,A81000C,00100,0200,MEDICALODGES INC 429559,A81000C,00100,0600,HEALTHCARE 429559,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429559,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429559,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429559,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429559,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429559,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429559,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429559,B100000,00000,0800,0800MEALS SERVED :DIETARY 429559,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429559,E10A180,00301,0100,10/31/11 429559,G300000,02500,0000,INTEREST INCOME 429559,G300000,02501,0000,MEDICARE BAD DEBT RECOVERY 429559,G300000,02502,0000,MCAID INOCME ADJ 2010 429559,G300000,02504,0000,STATE REDUCTION TO MCAID 429559,S000000,00100,0200,04/03/12 429559,S200000,00100,0100,720 WEST FIRST STREET 429559,S200000,00200,0100,COFFEYVILLE 429559,S200000,00200,0200,KS 429559,S200000,00200,0300,67337 429559,S200000,00300,0100,MONTGOMERY 429559,S200000,00300,0200,17 429559,S200000,00300,0201,99917 429559,S200000,00300,0300,R 429559,S200000,00400,0100,MEDICALODGE OF COFFEYVILLE 429559,S200000,00400,0200,175237 429559,S200000,00400,0300,02/05/93 429559,S200000,00400,0500,P 429559,S200000,01500,0100,Y 429559,S200000,01501,0200,N 429559,S200000,01600,0100,N 429559,S200000,01700,0100,N 429559,S200000,01800,0100,N 429559,S200000,02200,0100,N 429559,S200000,02800,0100,Y 429559,S200000,02900,0100,N 429559,S200000,03000,0100,N 429559,S200000,03100,0100,N 429559,S200000,03200,0100,N 429559,S200000,03300,0100,N 429559,S200000,03300,0200,N 429559,S200000,04100,0100,N 429559,S200000,04200,0100,N 429559,S200000,04300,0100,N 429559,S200000,04600,0100,N 429559,S200000,04700,0100,N 429559,S200000,04700,0200,N 429559,S200000,04900,0100,N 429559,S200000,05000,0100,N 429559,S200000,05100,0100,N 429559,S200000,05200,0100,N 429561,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429561,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429561,A000000,00300,0000,0300EMPLOYEE BENEFITS 429561,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429561,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429561,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429561,A000000,00700,0000,0700HOUSEKEEPING 429561,A000000,00800,0000,0800DIETARY 429561,A000000,00900,0000,0900NURSING ADMINISTRATION 429561,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429561,A000000,01100,0000,1100PHARMACY 429561,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429561,A000000,01300,0000,1300SOCIAL SERVICE 429561,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429561,A000000,01500,0000,1350OTHER GENERAL SERVICES 429561,A000000,01600,0000,1600SKILLED NURSING FACILITY 429561,A000000,01800,0000,1800NURSING FACILITY 429561,A000000,01810,0000,1810ICF/MR 429561,A000000,01900,0000,1900OTHER LONG TERM CARE 429561,A000000,02100,0000,2100RADIOLOGY 429561,A000000,02200,0000,2200LABORATORY 429561,A000000,02300,0000,2300INTRAVENOUS THERAPY 429561,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429561,A000000,02500,0000,2500PHYSICAL THERAPY 429561,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429561,A000000,02700,0000,2700SPEECH PATHOLOGY 429561,A000000,02800,0000,2800ELECTROCARDIOLOGY 429561,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429561,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429561,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429561,A000000,03200,0000,3200SUPPORT SURFACES 429561,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429561,A000000,03400,0000,3400CLINIC 429561,A000000,03500,0000,3500RURAL HEALTH CLINIC 429561,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429561,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429561,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429561,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429561,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429561,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429561,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429561,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429561,A000000,04400,0000,4400DME RENTED - HHA 429561,A000000,04500,0000,4500DME SOLD - HHA 429561,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429561,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429561,A000000,04800,0000,4800AMBULANCE 429561,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429561,A000000,05000,0000,5000CORF 429561,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429561,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429561,A000000,05300,0000,5300INTEREST EXPENSE 429561,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429561,A000000,05500,0000,5500HOSPICE 429561,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429561,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429561,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429561,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429561,A000000,06100,0000,6100NONPAID WORKERS 429561,A000000,06200,0000,6200PATIENTS LAUNDRY 429561,A000000,06300,0000,6150RENTAL PROPERTY 429561,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429561,A81000A,00100,0100,Y 429561,A81000B,00100,0300,CAP REL COSTS BLDGS & F POOLED 429561,A81000B,00200,0300,CAP REL COSTST - MOVEABLE E POOLED 429561,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED 429561,A81000C,00100,0100,B 429561,A81000C,00100,0200,MEDICALODGES INC 429561,A81000C,00100,0600,HEALTHCARE 429561,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429561,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429561,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429561,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429561,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429561,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429561,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429561,B100000,00000,0800,0800MEALS SERVED :DIETARY 429561,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429561,E10A180,00302,0100,05/04/11 429561,G300000,02500,0000,MCAID INCOME ADJ 2010 429561,G300000,02501,0000,MCAIND INDOME ADJ 2011 429561,G300000,02502,0000,MEDICARE BAD DEBT RECOVERY 429561,G300000,02503,0000,STATE REDUCTION TO MEDICAID 429561,G300000,02504,0000,INTEREST INCOME AND FINANCE CHARGE 429561,G300000,02505,0000,MCARE INCOME ADJ - PRIOR YEARS 429561,S000000,00100,0200,04/03/12 429561,S200000,00100,0100,223 BEDFORD ST 429561,S200000,00200,0100,GARDNER 429561,S200000,00200,0200,KS 429561,S200000,00200,0300,66030 429561,S200000,00300,0100,JOHNSON 429561,S200000,00300,0200,3760 429561,S200000,00300,0201,28140 429561,S200000,00300,0300,U 429561,S200000,00400,0100,MEDICALODGE OF GARDNER 429561,S200000,00400,0200,175243 429561,S200000,00400,0300,03/01/99 429561,S200000,00400,0500,P 429561,S200000,01500,0100,Y 429561,S200000,01501,0200,N 429561,S200000,01600,0100,N 429561,S200000,01700,0100,N 429561,S200000,01800,0100,N 429561,S200000,02200,0100,N 429561,S200000,02800,0100,Y 429561,S200000,02900,0100,N 429561,S200000,03000,0100,N 429561,S200000,03100,0100,N 429561,S200000,03200,0100,N 429561,S200000,03300,0100,N 429561,S200000,03300,0200,N 429561,S200000,04100,0100,N 429561,S200000,04200,0100,N 429561,S200000,04300,0100,N 429561,S200000,04600,0100,N 429561,S200000,04700,0100,N 429561,S200000,04700,0200,N 429561,S200000,04900,0100,N 429561,S200000,05000,0100,N 429561,S200000,05100,0100,N 429561,S200000,05200,0100,N 429562,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429562,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429562,A000000,00300,0000,0300EMPLOYEE BENEFITS 429562,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429562,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429562,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429562,A000000,00700,0000,0700HOUSEKEEPING 429562,A000000,00800,0000,0800DIETARY 429562,A000000,00900,0000,0900NURSING ADMINISTRATION 429562,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429562,A000000,01100,0000,1100PHARMACY 429562,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429562,A000000,01300,0000,1300SOCIAL SERVICE 429562,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429562,A000000,01500,0000,1350OTHER GENERAL SERVICES 429562,A000000,01600,0000,1600SKILLED NURSING FACILITY 429562,A000000,01800,0000,1800NURSING FACILITY 429562,A000000,01810,0000,1810ICF/MR 429562,A000000,01900,0000,1900OTHER LONG TERM CARE 429562,A000000,02100,0000,2100RADIOLOGY 429562,A000000,02200,0000,2200LABORATORY 429562,A000000,02300,0000,2300INTRAVENOUS THERAPY 429562,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429562,A000000,02500,0000,2500PHYSICAL THERAPY 429562,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429562,A000000,02700,0000,2700SPEECH PATHOLOGY 429562,A000000,02800,0000,2800ELECTROCARDIOLOGY 429562,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429562,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429562,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429562,A000000,03200,0000,3200SUPPORT SURFACES 429562,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429562,A000000,03400,0000,3400CLINIC 429562,A000000,03500,0000,3500RURAL HEALTH CLINIC 429562,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429562,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429562,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429562,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429562,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429562,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429562,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429562,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429562,A000000,04400,0000,4400DME RENTED - HHA 429562,A000000,04500,0000,4500DME SOLD - HHA 429562,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429562,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429562,A000000,04800,0000,4800AMBULANCE 429562,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429562,A000000,05000,0000,5000CORF 429562,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429562,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429562,A000000,05300,0000,5300INTEREST EXPENSE 429562,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429562,A000000,05500,0000,5500HOSPICE 429562,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429562,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429562,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429562,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429562,A000000,06100,0000,6100NONPAID WORKERS 429562,A000000,06200,0000,6200PATIENTS LAUNDRY 429562,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429562,A81000A,00100,0100,Y 429562,A81000B,00100,0300,CAP REL COSTS - BLDGS POOLED 429562,A81000B,00200,0300,CAP REL COST - MOVABLE POOLED 429562,A81000B,00300,0300,ADMIN & GENERAL - POOLED HOME OFFICE 429562,A81000C,00100,0100,B 429562,A81000C,00100,0200,MEDICALODGES INC 429562,A81000C,00100,0600,HEALTHCARE 429562,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429562,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429562,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429562,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429562,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429562,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429562,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429562,B100000,00000,0800,0800MEALS SERVED :DIETARY 429562,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429562,E10A180,00301,0100,10/31/11 429562,E10A180,00302,0100,05/04/11 429562,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429562,G300000,02501,0000,STATE REDUCTION TO MCAID PAYMENT 429562,G300000,02502,0000,MCAID INCOME ADJ 2010 429562,G300000,02503,0000,MCAID INCOME ADJ 2011 429562,G300000,02504,0000,MCARE INCOME ADJ 2008 429562,G300000,02506,0000,FINACE CHARGE 429562,S000000,00100,0200,04/03/12 429562,S200000,00100,0100,915 SOUTH HORTON STREET 429562,S200000,00200,0100,FT. SCOTT 429562,S200000,00200,0200,KS 429562,S200000,00200,0300,66701-0510 429562,S200000,00300,0100,BOURBON 429562,S200000,00300,0200,17 429562,S200000,00300,0201,99917 429562,S200000,00300,0300,R 429562,S200000,00400,0100,MEDICALODGE OF FT. SCOTT 429562,S200000,00400,0200,175258 429562,S200000,00400,0300,08/16/93 429562,S200000,00400,0500,P 429562,S200000,01500,0100,Y 429562,S200000,01501,0200,N 429562,S200000,01600,0100,N 429562,S200000,01700,0100,N 429562,S200000,01800,0100,N 429562,S200000,02200,0100,N 429562,S200000,02800,0100,N 429562,S200000,02900,0100,N 429562,S200000,03000,0100,N 429562,S200000,03100,0100,N 429562,S200000,03200,0100,N 429562,S200000,03300,0100,N 429562,S200000,03300,0200,N 429562,S200000,04100,0100,N 429562,S200000,04200,0100,N 429562,S200000,04300,0100,N 429562,S200000,04600,0100,N 429562,S200000,04700,0100,N 429562,S200000,04700,0200,N 429562,S200000,04900,0100,N 429562,S200000,05000,0100,N 429562,S200000,05100,0100,N 429562,S200000,05200,0100,N 429563,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429563,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429563,A000000,00300,0000,0300EMPLOYEE BENEFITS 429563,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429563,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429563,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429563,A000000,00700,0000,0700HOUSEKEEPING 429563,A000000,00800,0000,0800DIETARY 429563,A000000,00900,0000,0900NURSING ADMINISTRATION 429563,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429563,A000000,01100,0000,1100PHARMACY 429563,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429563,A000000,01300,0000,1300SOCIAL SERVICE 429563,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429563,A000000,01500,0000,1350OTHER GENERAL SERVICES 429563,A000000,01600,0000,1600SKILLED NURSING FACILITY 429563,A000000,01800,0000,1800NURSING FACILITY 429563,A000000,01810,0000,1810ICF/MR 429563,A000000,01900,0000,1900OTHER LONG TERM CARE 429563,A000000,02100,0000,2100RADIOLOGY 429563,A000000,02200,0000,2200LABORATORY 429563,A000000,02300,0000,2300INTRAVENOUS THERAPY 429563,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429563,A000000,02500,0000,2500PHYSICAL THERAPY 429563,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429563,A000000,02700,0000,2700SPEECH PATHOLOGY 429563,A000000,02800,0000,2800ELECTROCARDIOLOGY 429563,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429563,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429563,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429563,A000000,03200,0000,3200SUPPORT SURFACES 429563,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429563,A000000,03400,0000,3400CLINIC 429563,A000000,03500,0000,3500RURAL HEALTH CLINIC 429563,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429563,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429563,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429563,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429563,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429563,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429563,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429563,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429563,A000000,04400,0000,4400DME RENTED - HHA 429563,A000000,04500,0000,4500DME SOLD - HHA 429563,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429563,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429563,A000000,04800,0000,4800AMBULANCE 429563,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429563,A000000,05000,0000,5000CORF 429563,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429563,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429563,A000000,05300,0000,5300INTEREST EXPENSE 429563,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429563,A000000,05500,0000,5500HOSPICE 429563,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429563,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429563,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429563,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429563,A000000,06100,0000,6100NONPAID WORKERS 429563,A000000,06200,0000,6200PATIENTS LAUNDRY 429563,A000000,06300,0000,6150ASSISTED LIVING 429563,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429563,A81000A,00100,0100,Y 429563,A81000B,00100,0300,CAP REL COSTS - BLGS & F POOLED 429563,A81000B,00200,0300,CAP REL COSTS - MOVABLE EQUIP POOLED 429563,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 429563,A81000C,00100,0100,B 429563,A81000C,00100,0200,MEDICALODGES INC 429563,A81000C,00100,0600,HEALTHCARE 429563,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429563,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429563,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429563,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429563,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429563,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429563,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429563,B100000,00000,0800,0800MEALS SERVED :DIETARY 429563,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429563,E10A180,00301,0100,10/31/11 429563,E10A180,00302,0100,05/05/11 429563,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 429563,G300000,02501,0000,MCAID INCOME ADJ 2010 429563,G300000,02502,0000,MCAID INCOME ADJ 2011 429563,G300000,02503,0000,STATEREDUCTION TO MCAID 429563,G300000,02504,0000,MEDICAL ATTND CARE AL SECTION 429563,G300000,02505,0000,WELLNESS MONITORING AL SECTION 429563,G300000,02506,0000,FINANCE CHARGE 429563,S000000,00100,0200,04/03/12 429563,S200000,00100,0100,101 NORTH LEE 429563,S200000,00200,0100,COLUMBUS 429563,S200000,00200,0200,KS 429563,S200000,00200,0300,66725-1021 429563,S200000,00300,0100,CHEROKEE 429563,S200000,00300,0200,17 429563,S200000,00300,0201,99917 429563,S200000,00300,0300,R 429563,S200000,00400,0100,MEDICALODGE OF COLUMBUS 429563,S200000,00400,0200,175264 429563,S200000,00400,0300,11/19/93 429563,S200000,00400,0500,P 429563,S200000,01500,0100,Y 429563,S200000,01501,0200,N 429563,S200000,01600,0100,N 429563,S200000,01700,0100,N 429563,S200000,01800,0100,N 429563,S200000,02200,0100,N 429563,S200000,02800,0100,Y 429563,S200000,02900,0100,N 429563,S200000,03000,0100,N 429563,S200000,03100,0100,N 429563,S200000,03200,0100,N 429563,S200000,03300,0100,N 429563,S200000,03300,0200,N 429563,S200000,04100,0100,N 429563,S200000,04200,0100,N 429563,S200000,04300,0100,N 429563,S200000,04600,0100,N 429563,S200000,04700,0100,N 429563,S200000,04700,0200,N 429563,S200000,04900,0100,N 429563,S200000,05000,0100,N 429563,S200000,05100,0100,N 429563,S200000,05200,0100,N 429564,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429564,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429564,A000000,00300,0000,0300EMPLOYEE BENEFITS 429564,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429564,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429564,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429564,A000000,00700,0000,0700HOUSEKEEPING 429564,A000000,00800,0000,0800DIETARY 429564,A000000,00900,0000,0900NURSING ADMINISTRATION 429564,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429564,A000000,01100,0000,1100PHARMACY 429564,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429564,A000000,01300,0000,1300SOCIAL SERVICE 429564,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429564,A000000,01500,0000,1350OTHER GENERAL SERVICES 429564,A000000,01600,0000,1600SKILLED NURSING FACILITY 429564,A000000,01800,0000,1800NURSING FACILITY 429564,A000000,01810,0000,1810ICF/MR 429564,A000000,01900,0000,1900OTHER LONG TERM CARE 429564,A000000,02100,0000,2100RADIOLOGY 429564,A000000,02200,0000,2200LABORATORY 429564,A000000,02300,0000,2300INTRAVENOUS THERAPY 429564,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429564,A000000,02500,0000,2500PHYSICAL THERAPY 429564,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429564,A000000,02700,0000,2700SPEECH PATHOLOGY 429564,A000000,02800,0000,2800ELECTROCARDIOLOGY 429564,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429564,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429564,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429564,A000000,03200,0000,3200SUPPORT SURFACES 429564,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429564,A000000,03400,0000,3400CLINIC 429564,A000000,03500,0000,3500RURAL HEALTH CLINIC 429564,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429564,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429564,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429564,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429564,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429564,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429564,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429564,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429564,A000000,04400,0000,4400DME RENTED - HHA 429564,A000000,04500,0000,4500DME SOLD - HHA 429564,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429564,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429564,A000000,04800,0000,4800AMBULANCE 429564,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429564,A000000,05000,0000,5000CORF 429564,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429564,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429564,A000000,05300,0000,5300INTEREST EXPENSE 429564,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429564,A000000,05500,0000,5500HOSPICE 429564,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429564,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429564,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429564,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429564,A000000,06100,0000,6100NONPAID WORKERS 429564,A000000,06200,0000,6200PATIENTS LAUNDRY 429564,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429564,A81000A,00100,0100,Y 429564,A81000B,00100,0300,POOLED - CAPITAL RELATED 429564,A81000B,00200,0300,POOLED - CAPITAL RELATED 429564,A81000B,00300,0300,POOLED - CENTRAL OFFICE 429564,A81000C,00100,0100,B 429564,A81000C,00100,0200,MEDICALODGES INC 429564,A81000C,00100,0600,HEALTHCARE 429564,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429564,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429564,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429564,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429564,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429564,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429564,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429564,B100000,00000,0800,0800MEALS SERVED :DIETARY 429564,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429564,E10A180,00301,0100,10/31/11 429564,E10A180,00302,0100,05/06/11 429564,G300000,02500,0000,INTEREST INCOME 429564,G300000,02501,0000,FINANCE CHARGE 429564,G300000,02502,0000,PROCESSING 429564,G300000,02503,0000,MEDICARE BAD DEBT RECOVERY 429564,S000000,00100,0200,04/03/12 429564,S200000,00100,0100,400 LYON DRIVE 429564,S200000,00200,0100,NEOSHO 429564,S200000,00200,0200,MO 429564,S200000,00200,0300,64850-9194 429564,S200000,00300,0100,NEWTON 429564,S200000,00300,0200,3710 429564,S200000,00300,0201,27900 429564,S200000,00300,0300,U 429564,S200000,00400,0100,MEDICALODGE OF NEOSHO 429564,S200000,00400,0200,265266 429564,S200000,00400,0300,01/01/65 429564,S200000,00400,0500,P 429564,S200000,01500,0100,Y 429564,S200000,01501,0200,N 429564,S200000,01600,0100,N 429564,S200000,01700,0100,N 429564,S200000,01800,0100,N 429564,S200000,02200,0100,N 429564,S200000,02800,0100,Y 429564,S200000,02900,0100,N 429564,S200000,03000,0100,N 429564,S200000,03100,0100,N 429564,S200000,03200,0100,N 429564,S200000,03300,0100,N 429564,S200000,03300,0200,N 429564,S200000,04100,0100,N 429564,S200000,04200,0100,N 429564,S200000,04300,0100,N 429564,S200000,04600,0100,N 429564,S200000,04700,0100,N 429564,S200000,04700,0200,N 429564,S200000,04900,0100,N 429564,S200000,05000,0100,N 429564,S200000,05100,0100,N 429564,S200000,05200,0100,N 429564,S200000,05300,0100,Y 429564,S200000,05300,0200,H08004 429564,S200000,05400,0100,MEDICALODGES INC 429564,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 429564,S200000,05400,0300,05201 429564,S200000,05500,0200,POBOX 509 429564,S200000,05600,0100,COFFEYVILLE 429564,S200000,05600,0200,KS 429564,S200000,05600,0300,67337 429566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429566,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429566,A000000,00300,0000,0300EMPLOYEE BENEFITS 429566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429566,A000000,00700,0000,0700HOUSEKEEPING 429566,A000000,00800,0000,0800DIETARY 429566,A000000,00900,0000,0900NURSING ADMINISTRATION 429566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429566,A000000,01100,0000,1100PHARMACY 429566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429566,A000000,01300,0000,1300SOCIAL SERVICE 429566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429566,A000000,01500,0000,1350OTHER GENERAL SERVICES 429566,A000000,01600,0000,1600SKILLED NURSING FACILITY 429566,A000000,01800,0000,1800NURSING FACILITY 429566,A000000,01810,0000,1810ICF/MR 429566,A000000,01900,0000,1900OTHER LONG TERM CARE 429566,A000000,02100,0000,2100RADIOLOGY 429566,A000000,02200,0000,2200LABORATORY 429566,A000000,02300,0000,2300INTRAVENOUS THERAPY 429566,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429566,A000000,02500,0000,2500PHYSICAL THERAPY 429566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429566,A000000,02700,0000,2700SPEECH PATHOLOGY 429566,A000000,02800,0000,2800ELECTROCARDIOLOGY 429566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429566,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429566,A000000,03200,0000,3200SUPPORT SURFACES 429566,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429566,A000000,03400,0000,3400CLINIC 429566,A000000,03500,0000,3500RURAL HEALTH CLINIC 429566,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429566,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429566,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429566,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429566,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429566,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429566,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429566,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429566,A000000,04400,0000,4400DME RENTED - HHA 429566,A000000,04500,0000,4500DME SOLD - HHA 429566,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429566,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429566,A000000,04800,0000,4800AMBULANCE 429566,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429566,A000000,05000,0000,5000CORF 429566,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429566,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429566,A000000,05300,0000,5300INTEREST EXPENSE 429566,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429566,A000000,05500,0000,5500HOSPICE 429566,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429566,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429566,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429566,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429566,A000000,06100,0000,6100NONPAID WORKERS 429566,A000000,06200,0000,6200PATIENTS LAUNDRY 429566,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429566,A81000A,00100,0100,Y 429566,A81000B,00100,0300,POOLED - CAP RELATED 429566,A81000B,00200,0300,POOLED - CAP RELATED 429566,A81000B,00300,0300,POOLED - CENTRAL OFFICE 429566,A81000C,00100,0100,B 429566,A81000C,00100,0200,MEDICALODGES INC 429566,A81000C,00100,0600,HEALTHCARE 429566,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429566,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429566,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429566,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429566,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429566,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429566,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429566,B100000,00000,0800,0800MEALS SERVED :DIETARY 429566,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429566,E10A180,00301,0100,10/31/11 429566,G300000,02500,0000,FINANCE CHARGE 429566,G300000,02501,0000,MCARE INCOME 429566,G300000,02502,0000,MCARE BAD DEBT RECOVERY 429566,S000000,00100,0200,04/03/12 429566,S200000,00100,0100,1210 WEST ASHLAND 429566,S200000,00200,0100,NEVADA 429566,S200000,00200,0200,MO 429566,S200000,00200,0300,64772-1906 429566,S200000,00300,0100,VERNON 429566,S200000,00300,0200,26 429566,S200000,00300,0201,99926 429566,S200000,00300,0300,R 429566,S200000,00400,0100,MEDICALODGES OF NEVADA 429566,S200000,00400,0200,265493 429566,S200000,00400,0300,03/01/04 429566,S200000,00400,0500,P 429566,S200000,01500,0100,Y 429566,S200000,01501,0200,N 429566,S200000,01600,0100,N 429566,S200000,01700,0100,N 429566,S200000,01800,0100,N 429566,S200000,02200,0100,N 429566,S200000,02800,0100,Y 429566,S200000,02900,0100,N 429566,S200000,03000,0100,N 429566,S200000,03100,0100,N 429566,S200000,03200,0100,N 429566,S200000,03300,0100,N 429566,S200000,03300,0200,N 429566,S200000,04100,0100,N 429566,S200000,04200,0100,N 429566,S200000,04300,0100,N 429566,S200000,04600,0100,N 429566,S200000,04700,0100,N 429566,S200000,04700,0200,N 429566,S200000,04900,0100,N 429566,S200000,05000,0100,N 429566,S200000,05100,0100,N 429566,S200000,05200,0100,N 429566,S200000,05300,0100,Y 429566,S200000,05300,0200,H08004 429566,S200000,05400,0100,MEDICALODGES INC 429566,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 429566,S200000,05400,0300,05301 429566,S200000,05500,0200,POBOX 509 429566,S200000,05600,0100,COFFEYVILLE 429566,S200000,05600,0200,KS 429566,S200000,05600,0300,67337 429568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429568,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429568,A000000,00300,0000,0300EMPLOYEE BENEFITS 429568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429568,A000000,00700,0000,0700HOUSEKEEPING 429568,A000000,00800,0000,0800DIETARY 429568,A000000,00900,0000,0900NURSING ADMINISTRATION 429568,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429568,A000000,01100,0000,1100PHARMACY 429568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429568,A000000,01300,0000,1300SOCIAL SERVICE 429568,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429568,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429568,A000000,01600,0000,1600SKILLED NURSING FACILITY 429568,A000000,01800,0000,1800NURSING FACILITY 429568,A000000,01810,0000,1810ICF/MR 429568,A000000,01900,0000,1900OTHER LONG TERM CARE 429568,A000000,02100,0000,2100RADIOLOGY 429568,A000000,02200,0000,2200LABORATORY 429568,A000000,02300,0000,2300INTRAVENOUS THERAPY 429568,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429568,A000000,02500,0000,2500PHYSICAL THERAPY 429568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429568,A000000,02700,0000,2700SPEECH PATHOLOGY 429568,A000000,02800,0000,2800ELECTROCARDIOLOGY 429568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429568,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429568,A000000,03200,0000,3200SUPPORT SURFACES 429568,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429568,A000000,03400,0000,3400CLINIC 429568,A000000,03500,0000,3500RURAL HEALTH CLINIC 429568,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429568,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429568,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429568,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429568,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429568,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429568,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429568,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429568,A000000,04400,0000,4400DME RENTED - HHA 429568,A000000,04500,0000,4500DME SOLD - HHA 429568,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429568,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429568,A000000,04710,0000,4710TELEMEDICINE 429568,A000000,04800,0000,4800AMBULANCE 429568,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429568,A000000,05000,0000,5000CORF 429568,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429568,A000000,05300,0000,5300INTEREST EXPENSE 429568,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429568,A000000,05500,0000,5500HOSPICE 429568,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429568,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429568,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429568,A000000,06100,0000,6100NONPAID WORKERS 429568,A000000,06200,0000,6200PATIENTS LAUNDRY 429568,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429568,A81000A,00100,0100,Y 429568,A81000B,00100,0300,HOME OFFICE COSTS 429568,A81000B,00200,0300,BLDGS & F CAPTIAL COSTS 429568,A81000B,00300,0300,BLDGS & F CAPTIAL COSTS 429568,A81000C,00100,0100,B 429568,A81000C,00100,0200,CRYSTAL INC. 429568,A81000C,00100,0400,CRYSTAL INC. 429568,A81000C,00100,0600,MGMT 429568,A81000C,00200,0100,B 429568,A81000C,00200,0200,CRYSTAL INC. 429568,A81000C,00200,0400,CRYSTAL INC. 429568,A81000C,00200,0600,OWNER 429568,A81000C,00300,0100,B 429568,A81000C,00300,0200,CRYSTAL INC. 429568,A81000C,00300,0400,CRYSTAL INC. 429568,A81000C,00300,0600,OWNER 429568,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429568,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429568,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429568,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429568,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429568,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429568,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429568,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429568,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429568,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429568,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 429568,G300000,02501,0000,MISCELLANEOUS 429568,S000000,00100,0200,03/06/12 429568,S200000,00100,0100,5608 SW 9TH STREET 429568,S200000,00200,0100,DES MOINES 429568,S200000,00200,0200,IA 429568,S200000,00200,0300,50315 429568,S200000,00300,0100,POLK 429568,S200000,00300,0200,1624 429568,S200000,00300,0201,19780 429568,S200000,00300,0300,U 429568,S200000,00400,0100,GENESIS SENIOR LIVING CENTER 429568,S200000,00400,0200,165175 429568,S200000,00400,0300,08/11/95 429568,S200000,00400,0500,P 429568,S200000,01500,0100,Y 429568,S200000,01501,0200,Y 429568,S200000,01600,0100,N 429568,S200000,01700,0100,N 429568,S200000,01800,0100,N 429568,S200000,02200,0100,N 429568,S200000,02800,0100,N 429568,S200000,02900,0100,N 429568,S200000,03000,0100,N 429568,S200000,03100,0100,N 429568,S200000,03200,0100,N 429568,S200000,03300,0100,N 429568,S200000,03300,0200,N 429568,S200000,04100,0100,N 429568,S200000,04200,0100,N 429568,S200000,04300,0100,N 429568,S200000,04600,0100,N 429568,S200000,04700,0100,N 429568,S200000,04700,0200,N 429568,S200000,04900,0100,N 429568,S200000,05000,0100,N 429568,S200000,05100,0100,N 429568,S200000,05200,0100,N 429568,S200000,05300,0100,Y 429568,S200000,05300,0200,H58310 429568,S200000,05400,0100,CRYSTAL INC. 429568,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 429568,S200000,05400,0300,52280 429568,S200000,05500,0100,2900 WESTOWN PARKWAY STE A 429568,S200000,05600,0100,WEST DES MOINES 429568,S200000,05600,0200,IA 429568,S200000,05600,0300,50266 429569,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429569,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429569,A000000,00300,0000,0300EMPLOYEE BENEFITS 429569,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429569,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429569,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429569,A000000,00700,0000,0700HOUSEKEEPING 429569,A000000,00800,0000,0800DIETARY 429569,A000000,00900,0000,0900NURSING ADMINISTRATION 429569,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429569,A000000,01100,0000,1100PHARMACY 429569,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429569,A000000,01300,0000,1300SOCIAL SERVICE 429569,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429569,A000000,01600,0000,1600SKILLED NURSING FACILITY 429569,A000000,01800,0000,1800NURSING FACILITY 429569,A000000,01810,0000,1810ICF/MR 429569,A000000,01900,0000,1900OTHER LONG TERM CARE 429569,A000000,02100,0000,2100RADIOLOGY 429569,A000000,02200,0000,2200LABORATORY 429569,A000000,02300,0000,2300INTRAVENOUS THERAPY 429569,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429569,A000000,02500,0000,2500PHYSICAL THERAPY 429569,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429569,A000000,02700,0000,2700SPEECH PATHOLOGY 429569,A000000,02800,0000,2800ELECTROCARDIOLOGY 429569,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429569,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429569,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429569,A000000,03200,0000,3200SUPPORT SURFACES 429569,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429569,A000000,03400,0000,3400CLINIC 429569,A000000,03500,0000,3500RURAL HEALTH CLINIC 429569,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429569,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429569,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429569,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429569,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429569,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429569,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429569,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429569,A000000,04400,0000,4400DME RENTED - HHA 429569,A000000,04500,0000,4500DME SOLD - HHA 429569,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429569,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429569,A000000,04710,0000,4710TELEMEDICINE 429569,A000000,04800,0000,4800AMBULANCE 429569,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429569,A000000,05000,0000,5000CORF 429569,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429569,A000000,05300,0000,5300INTEREST EXPENSE 429569,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429569,A000000,05500,0000,5500HOSPICE 429569,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429569,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429569,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429569,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429569,A000000,06100,0000,6100NONPAID WORKERS 429569,A000000,06200,0000,6200PATIENTS LAUNDRY 429569,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429569,A81000A,00100,0100,N 429569,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429569,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429569,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429569,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429569,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429569,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 429569,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429569,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429569,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429569,G300000,02500,0000, B&B HOUSEKEEPING MAINT MISC 429569,S000000,00100,0200,03/26/12 429569,S200000,00100,0100,2909 WOODLAND AVENUE 429569,S200000,00200,0100,DES MOINES 429569,S200000,00200,0200,IA 429569,S200000,00200,0300,50312 429569,S200000,00300,0100,POLK 429569,S200000,00300,0201,19780 429569,S200000,00300,0300,U 429569,S200000,00400,0100,SCOTTISH RITE PARK HEALTH CARE CTR 429569,S200000,00400,0200,165593 429569,S200000,00400,0300,05/22/09 429569,S200000,00400,0500,P 429569,S200000,01500,0100,Y 429569,S200000,01600,0100,N 429569,S200000,01700,0100,N 429569,S200000,01800,0100,N 429569,S200000,02200,0100,N 429569,S200000,02800,0100,N 429569,S200000,02900,0100,N 429569,S200000,03000,0100,N 429569,S200000,03100,0100,N 429569,S200000,03200,0100,N 429569,S200000,03300,0100,N 429569,S200000,03300,0200,N 429569,S200000,04100,0100,N 429569,S200000,04200,0100,N 429569,S200000,04300,0100,N 429569,S200000,04600,0100,N 429569,S200000,04700,0100,N 429569,S200000,04700,0200,N 429569,S200000,04900,0100,N 429569,S200000,05000,0100,N 429569,S200000,05100,0100,N 429569,S200000,05200,0100,N 429569,S200000,05300,0100,N 429570,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429570,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429570,A000000,00300,0000,0300EMPLOYEE BENEFITS 429570,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429570,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429570,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429570,A000000,00700,0000,0700HOUSEKEEPING 429570,A000000,00800,0000,0800DIETARY 429570,A000000,00900,0000,0900NURSING ADMINISTRATION 429570,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429570,A000000,01100,0000,1100PHARMACY 429570,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429570,A000000,01300,0000,1300SOCIAL SERVICE 429570,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429570,A000000,01500,0000,1350OTHER GENERAL SERVICES 429570,A000000,01600,0000,1600SKILLED NURSING FACILITY 429570,A000000,01800,0000,1800NURSING FACILITY 429570,A000000,01810,0000,1810ICF/MR 429570,A000000,01900,0000,1900OTHER LONG TERM CARE 429570,A000000,02100,0000,2100RADIOLOGY 429570,A000000,02200,0000,2200LABORATORY 429570,A000000,02300,0000,2300INTRAVENOUS THERAPY 429570,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429570,A000000,02500,0000,2500PHYSICAL THERAPY 429570,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429570,A000000,02700,0000,2700SPEECH PATHOLOGY 429570,A000000,02800,0000,2800ELECTROCARDIOLOGY 429570,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429570,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429570,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429570,A000000,03200,0000,3200SUPPORT SURFACES 429570,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429570,A000000,03400,0000,3400CLINIC 429570,A000000,03500,0000,3500RURAL HEALTH CLINIC 429570,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429570,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429570,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429570,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429570,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429570,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429570,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429570,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429570,A000000,04400,0000,4400DME RENTED - HHA 429570,A000000,04500,0000,4500DME SOLD - HHA 429570,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429570,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429570,A000000,04710,0000,4710TELEMEDICINE HHA 429570,A000000,04800,0000,4800AMBULANCE 429570,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429570,A000000,05000,0000,5000CORF 429570,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429570,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429570,A000000,05300,0000,5300INTEREST EXPENSE 429570,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429570,A000000,05500,0000,5500HOSPICE 429570,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429570,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429570,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429570,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429570,A000000,06100,0000,6100NONPAID WORKERS 429570,A000000,06200,0000,6200PATIENTS LAUNDRY 429570,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429570,A81000A,00100,0100,N 429570,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429570,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429570,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429570,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429570,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429570,B100000,00000,0700,0750SQUARE FT CLEANED :HOUSEKEEPING 429570,B100000,00000,0800,0800MEALS SERVED :DIETARY 429570,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429570,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 429570,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429570,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429570,G300000,02500,0000,BARBER & BEAUTY INCOME 429570,G300000,02501,0000,ROOM RESERVATION INCOME 429570,G300000,02502,0000,OTHER INCOME 429570,S000000,00100,0200,03/13/12 429570,S200000,00100,0100,17528 STATE HWY 81 429570,S200000,00200,0100,CANTON 429570,S200000,00200,0200,MO 429570,S200000,00200,0300,63435 429570,S200000,00300,0100,LEWIS 429570,S200000,00300,0200,26 429570,S200000,00300,0201,99926 429570,S200000,00300,0300,R 429570,S200000,00400,0100,LEWIS COUNTY NURSING HOME DISTRICT 429570,S200000,00400,0200,265360 429570,S200000,00400,0300,04/18/89 429570,S200000,00400,0500,P 429570,S200000,01500,0100,Y 429570,S200000,01501,0200,Y 429570,S200000,01502,0200,Y 429570,S200000,01503,0200,Y 429570,S200000,01504,0200,N 429570,S200000,01600,0100,N 429570,S200000,01700,0100,N 429570,S200000,01800,0100,N 429570,S200000,02200,0100,N 429570,S200000,02800,0100,N 429570,S200000,02900,0100,N 429570,S200000,03000,0100,N 429570,S200000,03100,0100,N 429570,S200000,03200,0100,N 429570,S200000,03300,0100,N 429570,S200000,03300,0200,N 429570,S200000,04100,0100,N 429570,S200000,04200,0100,N 429570,S200000,04300,0100,N 429570,S200000,04600,0100,N 429570,S200000,04700,0100,N 429570,S200000,04700,0200,N 429570,S200000,04900,0100,N 429570,S200000,05000,0100,N 429570,S200000,05100,0100,N 429570,S200000,05200,0100,N 429570,S200000,05300,0100,N 429571,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429571,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429571,A000000,00300,0000,0300EMPLOYEE BENEFITS 429571,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429571,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429571,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429571,A000000,00700,0000,0700HOUSEKEEPING 429571,A000000,00800,0000,0800DIETARY 429571,A000000,00900,0000,0900NURSING ADMINISTRATION 429571,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429571,A000000,01100,0000,1100PHARMACY 429571,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429571,A000000,01300,0000,1300SOCIAL SERVICE 429571,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429571,A000000,01500,0000,1350OTHER GENERAL SERVICES 429571,A000000,01600,0000,1600SKILLED NURSING FACILITY 429571,A000000,01800,0000,1800NURSING FACILITY 429571,A000000,01810,0000,1810ICF/MR 429571,A000000,01900,0000,1900OTHER LONG TERM CARE 429571,A000000,02100,0000,2100RADIOLOGY 429571,A000000,02200,0000,2200LABORATORY 429571,A000000,02300,0000,2300INTRAVENOUS THERAPY 429571,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429571,A000000,02500,0000,2500PHYSICAL THERAPY 429571,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429571,A000000,02700,0000,2700SPEECH PATHOLOGY 429571,A000000,02800,0000,2800ELECTROCARDIOLOGY 429571,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429571,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429571,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429571,A000000,03200,0000,3200SUPPORT SURFACES 429571,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429571,A000000,03400,0000,3400CLINIC 429571,A000000,03500,0000,3500RURAL HEALTH CLINIC 429571,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429571,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429571,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429571,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429571,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429571,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429571,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429571,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429571,A000000,04400,0000,4400DME RENTED - HHA 429571,A000000,04500,0000,4500DME SOLD - HHA 429571,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429571,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429571,A000000,04710,0000,4710TELEMEDICINE 429571,A000000,04800,0000,4800AMBULANCE 429571,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429571,A000000,05000,0000,5000CORF 429571,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429571,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429571,A000000,05300,0000,5300INTEREST EXPENSE 429571,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429571,A000000,05500,0000,5500HOSPICE 429571,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429571,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429571,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429571,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429571,A000000,06100,0000,6100NONPAID WORKERS 429571,A000000,06200,0000,6200PATIENTS LAUNDRY 429571,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429571,A81000A,00100,0100,Y 429571,A81000B,00100,0300,MANAGEMENT FEES 429571,A81000B,00200,0300,ACCOUNTING 429571,A81000B,00300,0300,BOOKKEEPING SUPPLIES 429571,A81000B,00400,0300,VEHICLE & EQUIP OVERHEAD 429571,A81000C,00100,0100,A 429571,A81000C,00100,0200,JUCKETTE FAMILY 429571,A81000C,00100,0400,JUCKETTE MANAGEMENT SVCS 429571,A81000C,00100,0600,NURSING HOME MANAGEMENT 429571,A81000C,00200,0100,A 429571,A81000C,00200,0200,JUCKETTE FAMILY 429571,A81000C,00200,0400,KIRKSVILLE MANOR 429571,A81000C,00200,0600,NURSING HOME 429571,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429571,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429571,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429571,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429571,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429571,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429571,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429571,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429571,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429571,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429571,E10A180,00301,0100,10/31/11 429571,G300000,02500,0000,BEAUTY/BARBER SHOP INCOME 429571,G300000,02501,0000,CNA REIMBURSEMENT 429571,G300000,02502,0000,RESIDENT PERSONAL REV 429571,G300000,02503,0000,BAD DEBT RECOVERIES 429571,G300000,02504,0000,MISCELLANEOUS INCOME 429571,S000000,00100,0200,03/29/12 429571,S200000,00100,0100,520 MANOR DRIVE 429571,S200000,00200,0100,FULTON 429571,S200000,00200,0200,MO 429571,S200000,00200,0300,65251 429571,S200000,00300,0100,CALLAWAY 429571,S200000,00300,0200,0026 429571,S200000,00300,0201,27620 429571,S200000,00300,0300,U 429571,S200000,00400,0100,FULTON MANOR CARE CENTER 429571,S200000,00400,0200,265760 429571,S200000,00400,0300,08/01/03 429571,S200000,00400,0500,P 429571,S200000,01500,0100,Y 429571,S200000,01600,0100,N 429571,S200000,01700,0100,N 429571,S200000,01800,0100,N 429571,S200000,02200,0100,N 429571,S200000,02800,0100,N 429571,S200000,02900,0100,N 429571,S200000,03000,0100,N 429571,S200000,03100,0100,N 429571,S200000,03200,0100,N 429571,S200000,03300,0100,N 429571,S200000,03300,0200,N 429571,S200000,04100,0100,N 429571,S200000,04200,0100,N 429571,S200000,04300,0100,N 429571,S200000,04600,0100,N 429571,S200000,04700,0100,N 429571,S200000,04700,0200,N 429571,S200000,04900,0100,N 429571,S200000,05000,0100,N 429571,S200000,05100,0100,N 429571,S200000,05200,0100,N 429571,S200000,05300,0100,Y 429571,S200000,05300,0200,H54330 429571,S200000,05400,0100,JUCKETTE MANAGEMENT SERVICES INC. 429571,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 429571,S200000,05400,0300,05301 429571,S200000,05500,0100,HIGHWAY 36 EAST 429571,S200000,05600,0100,CHILLICOTHE 429571,S200000,05600,0200,MO 429571,S200000,05600,0300,64601 429581,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 429581,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 429581,A000000,00300,0000,0300EMPLOYEE BENEFITS 429581,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429581,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 429581,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429581,A000000,00700,0000,0700HOUSEKEEPING 429581,A000000,00800,0000,0800DIETARY 429581,A000000,00900,0000,0900NURSING ADMINISTRATION 429581,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429581,A000000,01100,0000,1100PHARMACY 429581,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429581,A000000,01300,0000,1300SOCIAL SERVICE 429581,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 429581,A000000,01500,0000,1350ACTIVITIES 429581,A000000,01600,0000,1600SKILLED NURSING FACILITY 429581,A000000,01810,0000,1810ICF/MR 429581,A000000,02100,0000,2100RADIOLOGY 429581,A000000,02200,0000,2200LABORATORY 429581,A000000,02300,0000,2300INTRAVENOUS THERAPY 429581,A000000,02500,0000,2500PHYSICAL THERAPY 429581,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429581,A000000,02700,0000,2700SPEECH PATHOLOGY 429581,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 429581,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429581,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 429581,A000000,03550,0000,3550FQHC 429581,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 429581,A000000,04800,0000,4800AMBULANCE 429581,A000000,04801,0000,4801AMBULANCE 429581,A000000,04802,0000,4802AMBULANCE 429581,A000000,04803,0000,4803AMBULANCE 429581,A000000,05000,0000,5000CORF 429581,A000000,05010,0000,5010CMHC 429581,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429581,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429581,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429581,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429581,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429581,A81000A,00100,0100,N 429581,B100000,00000,0100,0100PATIENT DAYS 429581,B100000,00000,0200,0200SQUARE FEET 429581,B100000,00000,0300,0300GROSS SALARIES 429581,B100000,00000,0400,0400ACCUM COST 429581,B100000,00000,0500,0500PATIENT DAYS 429581,B100000,00000,0600,0600PATIENT DAYS 429581,B100000,00000,0700,0700PATIENT DAYS 429581,B100000,00000,0800,0800MEALS SERVED 429581,B100000,00000,0900,0900DIRECT NURSING 429581,B100000,00000,1000,1000COSTED REQUIS. 429581,B100000,00000,1100,1100COSTED REQUIS. 429581,B100000,00000,1200,1200PATIENT DAYS 429581,B100000,00000,1300,1300PATIENT DAYS 429581,B100000,00000,1400,1400ASSIGNED TIME 429581,B100000,00000,1500,1350PATIENT DAYS 429581,G300000,02501,0000,PRIVATE ROOM CHARGES 429581,G300000,02502,0000,HOLD BED REVENUE 429581,G300000,02503,0000,OTHER INCOME 429581,S000000,00100,0200,03/06/12 429581,S200000,00100,0100,122 BROCKFORD ROAD 429581,S200000,00200,0100,HEFLIN 429581,S200000,00200,0200,AL 429581,S200000,00200,0300,36264 429581,S200000,00300,0100,CLEBURNE 429581,S200000,00300,0201,99901 429581,S200000,00300,0300,R 429581,S200000,00400,0100,CLEBURNE COUNTY NURSING HOME 429581,S200000,00400,0200,015053 429581,S200000,00400,0300,01/01/67 429581,S200000,00400,0500,P 429581,S200000,01500,0100,Y 429581,S200000,01501,0200,Y 429581,S200000,01502,0200,N 429581,S200000,01503,0200,N 429581,S200000,01504,0200,N 429581,S200000,01505,0000,OTHER (SPECIFY) 429581,S200000,01505,0200,N 429581,S200000,01600,0100,N 429581,S200000,01700,0100,N 429581,S200000,01800,0100,N 429581,S200000,02200,0100,N 429581,S200000,02800,0100,N 429581,S200000,02900,0100,N 429581,S200000,03000,0100,N 429581,S200000,03100,0100,N 429581,S200000,03200,0100,N 429581,S200000,03300,0100,N 429581,S200000,03300,0200,N 429581,S200000,04200,0100,N 429581,S200000,04300,0100,N 429581,S200000,04600,0100,N 429581,S200000,04700,0100,N 429581,S200000,04900,0100,N 429581,S200000,05200,0100,N 429581,S200000,05300,0100,N 429584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 429584,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 429584,A000000,00300,0000,0300EMPLOYEE BENEFITS 429584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 429584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429584,A000000,00700,0000,0700HOUSEKEEPING 429584,A000000,00800,0000,0800DIETARY 429584,A000000,00900,0000,0900NURSING ADMINISTRATION 429584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429584,A000000,01100,0000,1100PHARMACY 429584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429584,A000000,01300,0000,1300SOCIAL SERVICE 429584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 429584,A000000,01500,0000,1350ACTIVITIES 429584,A000000,01600,0000,1600SKILLED NURSING FACILITY 429584,A000000,01810,0000,1810ICF/MR 429584,A000000,02100,0000,2100RADIOLOGY 429584,A000000,02200,0000,2200LABORATORY 429584,A000000,02500,0000,2500PHYSICAL THERAPY 429584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429584,A000000,02700,0000,2700SPEECH PATHOLOGY 429584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 429584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429584,A000000,03200,0000,3200SUPPORT SURFACES 429584,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429584,A000000,03550,0000,3550FQHC 429584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429584,A000000,04710,0000,4710TELEMEDICINE 429584,A000000,04801,0000,4801AMBULANCE 429584,A000000,04802,0000,4802AMBULANCE 429584,A000000,04803,0000,4803AMBULANCE 429584,A000000,05000,0000,5000CORF 429584,A000000,05010,0000,5010CMHC 429584,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429584,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429584,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429584,A81000A,00100,0100,Y 429584,A81000B,00100,0300,MANAGEMENT FEES 429584,A81000B,00200,0300,MANAGEMENT FEES 429584,A81000B,00300,0300,MANAGEMENT FEES 429584,A81000B,00400,0300,SUPPLIES 429584,A81000B,00500,0300,SUPPLIES 429584,A81000B,00600,0300,MINOR EQUIPMENT 429584,A81000B,00700,0300,SUPPLIES 429584,A81000B,00800,0300,OTC DRUGS 429584,A81000B,00900,0300,SUPPLIES 429584,A81000B,01000,0300,SUPPLIES 429584,A81000B,01100,0300,SUPPLIES 429584,A81000B,01200,0300,SUPPLIES 429584,A81000B,01300,0300,SUPPLIES 429584,A81000B,01400,0300,HISTORICAL COSTS 429584,A81000B,01500,0300,HISTORICAL COSTS 429584,A81000B,01600,0300,INSURANCE 429584,A81000B,01700,0300,CARDINAL - LOAN COSTS 429584,A81000B,01800,0300,CARDINAL - ACCTG FEES 429584,A81000B,01900,0300,CARDINAL - MORTGAGE INTEREST 429584,A81000B,02000,0300,THERAPY SERVICES 429584,A81000B,02100,0300,THERAPY SERVICES 429584,A81000B,02200,0300,THERAPY SERVICES 429584,A81000B,02300,0300,INS - PROF LIAB 429584,A81000C,00100,0100,A 429584,A81000C,00100,0200,MICHAEL H. MCBRIDE 429584,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 429584,A81000C,00100,0600,HOME OFFICE 429584,A81000C,00200,0100,A 429584,A81000C,00200,0200,JOHN SWIFT 429584,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 429584,A81000C,00200,0600,HOME OFFICE 429584,A81000C,00300,0100,A 429584,A81000C,00300,0200,BILL WILLIAMSON 429584,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 429584,A81000C,00300,0600,HOME OFFICE 429584,A81000C,00400,0100,A 429584,A81000C,00400,0200,MICHAEL H. MCBRIDE 429584,A81000C,00400,0400,GROVE MEDICAL INC 429584,A81000C,00400,0600,SUPPLIES 429584,A81000C,00500,0100,A 429584,A81000C,00500,0200,MICHAEL H. MCBRIDE 429584,A81000C,00500,0400,SENIOR LIVING PROPERTIES 429584,A81000C,00500,0600,RENTAL LEASING 429584,A81000C,00600,0100,A 429584,A81000C,00600,0200,MICHAEL H. MCBRIDE 429584,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 429584,A81000C,00600,0600,THERAPY 429584,A81000C,00700,0100,A 429584,A81000C,00700,0200,JOHN SWIFT 429584,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 429584,A81000C,00700,0600,THERAPY 429584,A81000C,00800,0100,A 429584,A81000C,00800,0200,BILL WILLIAMSON 429584,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 429584,A81000C,00800,0600,THERAPY 429584,A81000C,00900,0100,A 429584,A81000C,00900,0200,MICHAEL H. MCBRIDGE 429584,A81000C,00900,0400,CRESCENT INDEMNITY INC. 429584,A81000C,00900,0600,INSURANCE 429584,A81000C,01000,0100,A 429584,A81000C,01000,0200,JOHN SWIFT 429584,A81000C,01000,0400,CRESCENT INDEMNITY INC 429584,A81000C,01000,0600,INSURANCE 429584,A81000C,01100,0100,A 429584,A81000C,01100,0200,BILL WILLIAMSON 429584,A81000C,01100,0400,CRESCENT INDEMNTIY INC 429584,A81000C,01100,0600,INSURANCE 429584,B100000,00000,0100,0100SQUARE FEET 429584,B100000,00000,0200,0200SQUARE FEET 429584,B100000,00000,0300,0300GROSS SALARIES 429584,B100000,00000,0400,0400ACCUM COST 429584,B100000,00000,0500,0500SQUARE FEET 429584,B100000,00000,0600,0600PATIENT DAYS 429584,B100000,00000,0700,0700SQUARE FEET 429584,B100000,00000,0800,0800MEALS SERVED 429584,B100000,00000,0900,0900DIRECT NRSING HRS 429584,B100000,00000,1000,1000PATIENT DAYS 429584,B100000,00000,1100,1100GROSS CHARGES 429584,B100000,00000,1200,1200PATIENT DAYS 429584,B100000,00000,1300,1300PATIENT DAYS 429584,B100000,00000,1400,1400ASSIGNED TIME 429584,B100000,00000,1500,1350PATIENT DAYS 429584,E10A180,00550,0100,04/25/11 429584,G300000,02500,0000,BARBER AND BEAUTY 429584,G300000,02501,0000,OTHER INCOME 429584,S000000,00100,0200,04/26/11 429584,S200000,00100,0100,101 COBBLESTONE TRACE SE 429584,S200000,00200,0100,MOULTRIE 429584,S200000,00200,0200,GA 429584,S200000,00200,0300,31768 429584,S200000,00300,0100,COLQUITT 429584,S200000,00300,0201,99911 429584,S200000,00300,0300,R 429584,S200000,00400,0100,WOODLANDS LIVING CENTER LLC 429584,S200000,00400,0200,115667 429584,S200000,00400,0300,05/30/00 429584,S200000,00400,0500,P 429584,S200000,01500,0100,Y 429584,S200000,01501,0200,N 429584,S200000,01502,0200,N 429584,S200000,01503,0200,N 429584,S200000,01504,0200,N 429584,S200000,01600,0100,Y 429584,S200000,01700,0100,N 429584,S200000,01800,0100,N 429584,S200000,02200,0100,N 429584,S200000,02800,0100,N 429584,S200000,02900,0100,N 429584,S200000,03000,0100,N 429584,S200000,03100,0100,N 429584,S200000,03200,0100,N 429584,S200000,03300,0100,N 429584,S200000,03300,0200,N 429584,S200000,04200,0100,N 429584,S200000,04300,0100,N 429584,S200000,04600,0100,N 429584,S200000,04700,0100,N 429584,S200000,04900,0100,N 429584,S200000,05200,0100,N 429584,S200000,05300,0100,Y 429584,S200000,05300,0200,42HO32 429584,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 429584,S200000,05400,0200,PALMETTO GBA 429584,S200000,05400,0300,00380 429584,S200000,05500,0100,101 GRACE DRIVE 429584,S200000,05600,0100,EASLEY 429584,S200000,05600,0200,SC 429584,S200000,05600,0300,29640 429656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429656,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429656,A000000,00300,0000,0300EMPLOYEE BENEFITS 429656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429656,A000000,00700,0000,0700HOUSEKEEPING 429656,A000000,00800,0000,0800DIETARY 429656,A000000,00900,0000,0900NURSING ADMINISTRATION 429656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429656,A000000,01300,0000,1300SOCIAL SERVICE 429656,A000000,01500,0000,1350RECREATION 429656,A000000,01600,0000,1600SKILLED NURSING FACILITY 429656,A000000,01810,0000,1810ICF/MR 429656,A000000,02100,0000,2100RADIOLOGY 429656,A000000,02200,0000,2200LABORATORY 429656,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429656,A000000,02500,0000,2500PHYSICAL THERAPY 429656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429656,A000000,02700,0000,2700SPEECH PATHOLOGY 429656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429656,A000000,03550,0000,3550FQHC 429656,A000000,05000,0000,5000CORF 429656,A000000,05010,0000,5010CMHC 429656,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429656,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429656,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429656,A000000,06300,0000,6150RESIDENTIAL 429656,A81000A,00100,0100,Y 429656,A81000B,00100,0300,AS ATTACHED 429656,A81000B,00200,0300,HOME OFFICE-INTEREST 429656,A81000B,00300,0300,HOME OFFICE-A&G 429656,A81000B,00400,0300,HOME OFFICE-CAP PIEC 429656,A81000C,00100,0100,B 429656,A81000C,00100,0400,AS ATTACHED 429656,A81000C,00100,0600,VARIOUS 429656,A81000C,00200,0100,B 429656,A81000C,00200,0400,GHC 429656,A81000C,00200,0600,LONG TERM CARE 429656,A81000C,00300,0100,B 429656,A81000C,00300,0400,GHC 429656,A81000C,00300,0600,LONG TERM CARE 429656,A81000C,00400,0100,B 429656,A81000C,00400,0400,GHC 429656,A81000C,00400,0600,LONG TERM CARE 429656,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429656,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429656,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429656,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429656,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429656,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429656,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429656,B100000,00000,0800,0800MEALS SERVED :DIETARY 429656,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 429656,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 429656,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429656,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429656,B100000,00000,1500,1350PATIENT DAYS :RECREATION 429656,G300000,02500,0000, DAYCARE 429656,G300000,02501,0000, INTEREST INCOME 429656,G300000,02502,0000, ASSISTED LIVING 429656,S000000,00100,0200,02/27/12 429656,S200000,00100,0100,22 NORTHBROOK DRIVE 429656,S200000,00200,0100,FALMOUTH 429656,S200000,00200,0200,ME 429656,S200000,00200,0300,04105-1318 429656,S200000,00300,0100,CUMBERLAND 429656,S200000,00300,0201,38860 429656,S200000,00300,0300,U 429656,S200000,00400,0100,SEDGEWOOD COMMONS 429656,S200000,00400,0200,205159 429656,S200000,00400,0300,01/19/94 429656,S200000,00400,0500,P 429656,S200000,01500,0100,Y 429656,S200000,01501,0200,Y 429656,S200000,01502,0200,N 429656,S200000,01503,0200,Y 429656,S200000,01504,0200,Y 429656,S200000,01600,0100,N 429656,S200000,01700,0100,N 429656,S200000,01800,0100,N 429656,S200000,01900,0100,LLC 429656,S200000,02200,0100,Y 429656,S200000,02800,0100,N 429656,S200000,02900,0100,N 429656,S200000,03000,0100,N 429656,S200000,03100,0100,N 429656,S200000,03200,0100,N 429656,S200000,03300,0100,N 429656,S200000,03300,0200,N 429656,S200000,04100,0100,N 429656,S200000,04200,0100,N 429656,S200000,04300,0100,N 429656,S200000,04600,0100,N 429656,S200000,04700,0100,N 429656,S200000,04700,0200,N 429656,S200000,04900,0100,N 429656,S200000,05000,0100,N 429656,S200000,05100,0100,N 429656,S200000,05200,0100,N 429656,S200000,05300,0100,Y 429656,S200000,05300,0200,HB0067 429656,S200000,05400,0100,GENESIS HEALTHCARE LLC 429656,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429656,S200000,05400,0300,12001 429656,S200000,05500,0100,101 EAST STATE STREET 429656,S200000,05600,0100,KENNETT SQUARE 429656,S200000,05600,0200,PA 429656,S200000,05600,0300,19348 429657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429657,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429657,A000000,00300,0000,0300EMPLOYEE BENEFITS 429657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429657,A000000,00700,0000,0700HOUSEKEEPING 429657,A000000,00800,0000,0800DIETARY 429657,A000000,00900,0000,0900NURSING ADMINISTRATION 429657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429657,A000000,01100,0000,1100PHARMACY 429657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429657,A000000,01300,0000,1300SOCIAL SERVICE 429657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429657,A000000,01500,0000,1350OTHER GENERAL SERVICES 429657,A000000,01600,0000,1600SKILLED NURSING FACILITY 429657,A000000,01800,0000,1800NURSING FACILITY 429657,A000000,01810,0000,1810ICF/MR 429657,A000000,01900,0000,1900OTHER LONG TERM CARE 429657,A000000,02100,0000,2100RADIOLOGY 429657,A000000,02200,0000,2200LABORATORY 429657,A000000,02300,0000,2300INTRAVENOUS THERAPY 429657,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429657,A000000,02500,0000,2500PHYSICAL THERAPY 429657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429657,A000000,02700,0000,2700SPEECH PATHOLOGY 429657,A000000,02800,0000,2800ELECTROCARDIOLOGY 429657,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429657,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429657,A000000,03200,0000,3200SUPPORT SURFACES 429657,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429657,A000000,03400,0000,3400CLINIC 429657,A000000,03500,0000,3500RURAL HEALTH CLINIC 429657,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429657,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429657,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429657,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429657,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429657,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429657,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429657,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429657,A000000,04400,0000,4400DME RENTED - HHA 429657,A000000,04500,0000,4500DME SOLD - HHA 429657,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429657,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429657,A000000,04710,0000,4710TELEMEDICINE 429657,A000000,04800,0000,4800AMBULANCE 429657,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429657,A000000,05000,0000,5000CORF 429657,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429657,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429657,A000000,05300,0000,5300INTEREST EXPENSE 429657,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429657,A000000,05500,0000,5500HOSPICE 429657,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429657,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429657,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429657,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429657,A000000,06100,0000,6100NONPAID WORKERS 429657,A000000,06200,0000,6200PATIENTS LAUNDRY 429657,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429657,A81000A,00100,0100,N 429657,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429657,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429657,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429657,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429657,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429657,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429657,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429657,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429657,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429657,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429657,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 429657,E10A180,00301,0100,08/31/11 429657,E10A180,00302,0100,09/14/11 429657,G300000,02500,0000,VEHICLE USE 429657,G300000,02510,0000,BAD DEBT RECOVERY 429657,S000000,00100,0200,04/19/12 429657,S200000,00100,0100,516 - 13TH STREET 429657,S200000,00200,0100,WELLMAN 429657,S200000,00200,0200,IA 429657,S200000,00200,0300,52356 429657,S200000,00300,0100,WASHINGTON 429657,S200000,00300,0200,1690 429657,S200000,00300,0201,26980 429657,S200000,00300,0300,U 429657,S200000,00400,0100,PARKVIEW MANOR 429657,S200000,00400,0200,165234 429657,S200000,00400,0300,11/01/94 429657,S200000,00400,0500,P 429657,S200000,01500,0100,Y 429657,S200000,01501,0200,N 429657,S200000,01502,0200,Y 429657,S200000,01503,0200,Y 429657,S200000,01504,0200,Y 429657,S200000,01600,0100,N 429657,S200000,01700,0100,N 429657,S200000,01800,0100,N 429657,S200000,02200,0100,N 429657,S200000,02800,0100,N 429657,S200000,02900,0100,N 429657,S200000,03000,0100,N 429657,S200000,03100,0100,N 429657,S200000,03200,0100,N 429657,S200000,03300,0100,N 429657,S200000,03300,0200,N 429657,S200000,04100,0100,N 429657,S200000,04200,0100,N 429657,S200000,04300,0100,N 429657,S200000,04600,0100,N 429657,S200000,04700,0100,N 429657,S200000,04700,0200,N 429657,S200000,04900,0100,N 429657,S200000,05000,0100,N 429657,S200000,05100,0100,N 429657,S200000,05200,0100,N 429657,S200000,05300,0100,N 429658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429658,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429658,A000000,00300,0000,0300EMPLOYEE BENEFITS 429658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429658,A000000,00700,0000,0700HOUSEKEEPING 429658,A000000,00800,0000,0800DIETARY 429658,A000000,00900,0000,0900NURSING ADMINISTRATION 429658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429658,A000000,01100,0000,1100PHARMACY 429658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429658,A000000,01300,0000,1300SOCIAL SERVICE 429658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429658,A000000,01500,0000,1350OTHER GENERAL SERVICES 429658,A000000,01600,0000,1600SKILLED NURSING FACILITY 429658,A000000,01800,0000,1800NURSING FACILITY 429658,A000000,01810,0000,1810ICF/MR 429658,A000000,01900,0000,1900OTHER LONG TERM CARE 429658,A000000,02100,0000,2100RADIOLOGY 429658,A000000,02200,0000,2200LABORATORY 429658,A000000,02300,0000,2300INTRAVENOUS THERAPY 429658,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429658,A000000,02500,0000,2500PHYSICAL THERAPY 429658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429658,A000000,02700,0000,2700SPEECH PATHOLOGY 429658,A000000,02800,0000,2800ELECTROCARDIOLOGY 429658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429658,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429658,A000000,03200,0000,3200SUPPORT SURFACES 429658,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429658,A000000,03400,0000,3400CLINIC 429658,A000000,03500,0000,3500RURAL HEALTH CLINIC 429658,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429658,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429658,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429658,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429658,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429658,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429658,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429658,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429658,A000000,04400,0000,4400DME RENTED - HHA 429658,A000000,04500,0000,4500DME SOLD - HHA 429658,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429658,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429658,A000000,04800,0000,4800AMBULANCE 429658,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429658,A000000,05000,0000,5000CORF 429658,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429658,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429658,A000000,05300,0000,5300INTEREST EXPENSE 429658,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429658,A000000,05500,0000,5500HOSPICE 429658,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429658,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429658,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429658,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429658,A000000,06100,0000,6100NONPAID WORKERS 429658,A000000,06200,0000,6200PATIENTS LAUNDRY 429658,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429658,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 429658,A81000A,00100,0100,Y 429658,A81000B,00100,0300,CAP REL COSTS - BLDGS & F 429658,A81000B,00200,0300,CAP REL COSTS - MOVABLE E 429658,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 429658,A81000C,00100,0100,B 429658,A81000C,00100,0200,MEDICALODGES INC 429658,A81000C,00100,0600,HEALTHCARE 429658,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429658,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429658,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429658,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429658,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429658,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429658,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429658,B100000,00000,0800,0800MEALS SERVED :DIETARY 429658,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429658,E10A180,00301,0100,10/31/11 429658,G300000,02500,0000,PROCESSING FEE 429658,G300000,02501,0000,RENTAL 429658,G300000,02502,0000,MEDICAL ATTND 429658,G300000,02503,0000,WELLNESS MONITORING 429658,G300000,02504,0000,MEDICARE BAD DEBT RECOVERY 429658,G300000,02505,0000,MEDICAID INCOME 429658,G300000,02506,0000,STATE REDUCTION 429658,S000000,00100,0200,04/03/12 429658,S200000,00100,0100,715 LIBERTY 429658,S200000,00200,0100,CLAY CENTER 429658,S200000,00200,0200,KS 429658,S200000,00200,0300,67432-0517 429658,S200000,00300,0100,CLAY 429658,S200000,00300,0200,17 429658,S200000,00300,0201,99917 429658,S200000,00300,0300,R 429658,S200000,00400,0100,MEDICALODGE OF CLAY CENTER 429658,S200000,00400,0200,175351 429658,S200000,00400,0300,05/01/95 429658,S200000,00400,0500,P 429658,S200000,01500,0100,Y 429658,S200000,01501,0200,N 429658,S200000,01600,0100,N 429658,S200000,01700,0100,N 429658,S200000,01800,0100,N 429658,S200000,02200,0100,N 429658,S200000,02800,0100,N 429658,S200000,02900,0100,N 429658,S200000,03000,0100,N 429658,S200000,03100,0100,N 429658,S200000,03200,0100,N 429658,S200000,03300,0100,N 429658,S200000,03300,0200,N 429658,S200000,04100,0100,N 429658,S200000,04200,0100,N 429658,S200000,04300,0100,N 429658,S200000,04600,0100,N 429658,S200000,04700,0100,N 429658,S200000,04700,0200,N 429658,S200000,04900,0100,N 429658,S200000,05000,0100,N 429658,S200000,05100,0100,N 429658,S200000,05200,0100,N 429658,S200000,05300,0100,Y 429658,S200000,05300,0200,H08004 429658,S200000,05400,0100,MEDICALODGES INC 429658,S200000,05400,0200,WISCONSIN PHYSICIANS 429658,S200000,05400,0300,05201 429658,S200000,05500,0200,POBOX509 429658,S200000,05600,0100,COFFEYVILLE 429658,S200000,05600,0200,KS 429658,S200000,05600,0300,67337 429834,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429834,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429834,A000000,00300,0000,0300EMPLOYEE BENEFITS 429834,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429834,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429834,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429834,A000000,00700,0000,0700HOUSEKEEPING 429834,A000000,00800,0000,0800DIETARY 429834,A000000,00900,0000,0900NURSING ADMINISTRATION 429834,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429834,A000000,01100,0000,1100PHARMACY 429834,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429834,A000000,01300,0000,1300SOCIAL SERVICE 429834,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429834,A000000,01600,0000,1600SKILLED NURSING FACILITY 429834,A000000,01810,0000,1810ICF/MR 429834,A000000,02100,0000,2100RADIOLOGY 429834,A000000,02200,0000,2200LABORATORY 429834,A000000,02300,0000,2300INTRAVENOUS THERAPY 429834,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429834,A000000,02500,0000,2500PHYSICAL THERAPY 429834,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429834,A000000,02700,0000,2700SPEECH PATHOLOGY 429834,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429834,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429834,A000000,03550,0000,3550FQHC 429834,A000000,05000,0000,5000CORF 429834,A000000,05010,0000,5010CMHC 429834,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429834,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429834,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429834,A000000,05300,0000,5300INTEREST EXPENSE 429834,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429834,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429834,A81000A,00100,0100,N 429834,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429834,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429834,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429834,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429834,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429834,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429834,B100000,00000,0800,0800MEALS SERVED :DIETARY 429834,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429834,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 429834,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429834,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429834,S000000,00100,0200,06/01/11 429834,S200000,00100,0100,900 IMPERIAL GOLF COURSE BLVD. 429834,S200000,00200,0100,NAPLES 429834,S200000,00200,0200,FL 429834,S200000,00200,0300,34110 429834,S200000,00300,0100,COLLIER 429834,S200000,00300,0201,34940 429834,S200000,00300,0300,U 429834,S200000,00400,0100,IMPERIAL HEALTH CARE CENTER 429834,S200000,00400,0200,105738 429834,S200000,00400,0300,06/21/91 429834,S200000,00400,0500,P 429834,S200000,00600,0200,105738 429834,S200000,00600,0300,06/21/91 429834,S200000,00600,0600,O 429834,S200000,01500,0100,N 429834,S200000,01501,0200,Y 429834,S200000,01600,0100,Y 429834,S200000,01700,0100,N 429834,S200000,01800,0100,N 429834,S200000,02200,0100,N 429834,S200000,02800,0100,N 429834,S200000,02900,0100,N 429834,S200000,03000,0100,N 429834,S200000,03100,0100,N 429834,S200000,03200,0100,N 429834,S200000,03300,0100,N 429834,S200000,03300,0200,N 429834,S200000,03500,0300,N 429834,S200000,03600,0100,N 429834,S200000,03600,0200,N 429834,S200000,04100,0100,N 429834,S200000,04200,0100,N 429834,S200000,04300,0100,N 429834,S200000,04600,0100,N 429834,S200000,04700,0100,N 429834,S200000,04700,0200,N 429834,S200000,04900,0100,N 429834,S200000,05000,0100,N 429834,S200000,05100,0100,N 429834,S200000,05200,0100,N 429852,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 429852,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 429852,A000000,00300,0000,0300EMPLOYEE BENEFITS 429852,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429852,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 429852,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429852,A000000,00700,0000,0700HOUSEKEEPING 429852,A000000,00800,0000,0800DIETARY 429852,A000000,00900,0000,0900NURSING ADMINISTRATION 429852,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429852,A000000,01100,0000,1100PHARMACY 429852,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429852,A000000,01300,0000,1300SOCIAL SERVICE 429852,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 429852,A000000,01500,0000,1350OTHER GENERAL SERVICES 429852,A000000,01600,0000,1600SKILLED NURSING FACILITY 429852,A000000,01810,0000,1810ICF/MR 429852,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429852,A000000,02500,0000,2500PHYSICAL THERAPY 429852,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429852,A000000,02700,0000,2700SPEECH PATHOLOGY 429852,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 429852,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429852,A000000,03550,0000,3550FQHC 429852,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429852,A000000,04710,0000,4710TELEMEDICINE 429852,A000000,04801,0000,4801AMBULANCE 429852,A000000,04802,0000,4802AMBULANCE 429852,A000000,04803,0000,4803AMBULANCE 429852,A000000,05000,0000,5000CORF 429852,A000000,05010,0000,5010CMHC 429852,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429852,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429852,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429852,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429852,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429852,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429852,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429852,A81000A,00100,0100,N 429852,B100000,00000,0100,0100SQUARE FEET 429852,B100000,00000,0200,0200SQUARE FEET 429852,B100000,00000,0300,0300GROSS SALARIES 429852,B100000,00000,0400,0400ACCUM COST 429852,B100000,00000,0500,0500SQUARE FEET 429852,B100000,00000,0600,0600POUNDS OF LAUNDRY 429852,B100000,00000,0700,0700HOURS OF SERVICE 429852,B100000,00000,0800,0800MEALS SERVED 429852,B100000,00000,0900,0900DIRECT NRSING HRS 429852,B100000,00000,1000,1000COSTED REQUIS. 429852,B100000,00000,1100,1100COSTED REQUIS. 429852,B100000,00000,1200,1200TIME SPENT 429852,B100000,00000,1300,1300TIME SPENT 429852,B100000,00000,1400,1400ASSIGNED TIME 429852,B100000,00000,1500,1350 429852,S000000,00100,0200,03/16/12 429852,S200000,00100,0100,2000 PEPPERELL PARKWAY 429852,S200000,00200,0100,OPELIKA 429852,S200000,00200,0200,AL 429852,S200000,00200,0300,36801 429852,S200000,00300,0100,LEE 429852,S200000,00300,0201,12220 429852,S200000,00300,0300,U 429852,S200000,00400,0100,EAMC - OAK PARK 429852,S200000,00400,0200,015452 429852,S200000,00400,0300,07/19/04 429852,S200000,00400,0500,P 429852,S200000,01500,0100,Y 429852,S200000,01501,0200,Y 429852,S200000,01600,0100,N 429852,S200000,01700,0100,N 429852,S200000,01800,0100,N 429852,S200000,02200,0100,N 429852,S200000,02800,0100,N 429852,S200000,02900,0100,N 429852,S200000,03000,0100,N 429852,S200000,03100,0100,N 429852,S200000,03200,0100,N 429852,S200000,03300,0100,N 429852,S200000,03300,0200,N 429852,S200000,04200,0100,N 429852,S200000,04300,0100,N 429852,S200000,04600,0100,N 429852,S200000,04700,0100,N 429852,S200000,04900,0100,N 429852,S200000,05200,0100,N 429852,S200000,05300,0100,Y 429852,S200000,05300,0200,019049 429852,S200000,05400,0100,EAST ALABAMA HEALTHCARE AUTHORITY 429852,S200000,05400,0200,CAHABA 429852,S200000,05400,0300,010029 429852,S200000,05500,0100,2000 PEPPERELL PARKWAY 429852,S200000,05600,0100,OPELIKA 429852,S200000,05600,0200,AL 429852,S200000,05600,0300,36801 429904,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429904,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429904,A000000,00300,0000,0300EMPLOYEE BENEFITS 429904,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429904,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429904,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429904,A000000,00700,0000,0700HOUSEKEEPING 429904,A000000,00800,0000,0800DIETARY 429904,A000000,00900,0000,0900NURSING ADMINISTRATION 429904,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429904,A000000,01100,0000,1100PHARMACY 429904,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429904,A000000,01300,0000,1300SOCIAL SERVICE 429904,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429904,A000000,01500,0000,1350RECREATION 429904,A000000,01600,0000,1600SKILLED NURSING FACILITY 429904,A000000,01810,0000,1810ICF/MR 429904,A000000,02100,0000,2100RADIOLOGY 429904,A000000,02200,0000,2200LABORATORY 429904,A000000,02500,0000,2500PHYSICAL THERAPY 429904,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429904,A000000,02700,0000,2700SPEECH PATHOLOGY 429904,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429904,A000000,03550,0000,3550FQHC 429904,A000000,05000,0000,5000CORF 429904,A000000,05010,0000,5010CMHC 429904,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429904,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429904,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429904,A81000A,00100,0100,Y 429904,A81000B,00100,0300,RENT 429904,A81000C,00100,0100,B 429904,A81000C,00100,0200,STOCKHOLDERS OF 429904,A81000C,00100,0400,560 WOODBURY RD 429904,A81000C,00100,0600,REAL ESTATE LLC 429904,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429904,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429904,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429904,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429904,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429904,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429904,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429904,B100000,00000,0800,0800MEALS SERVED :DIETARY 429904,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429904,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429904,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429904,B100000,00000,1500,1350 :RECREATION 429904,G300000,02500,0000,CLAIM INTEREST PAYMENTS 429904,S000000,00100,0200,03/30/12 429904,S200000,00100,0100,560 WOODBURY ROAD 429904,S200000,00200,0100,WATERTOWN 429904,S200000,00200,0200,CT 429904,S200000,00200,0300,06795-1725 429904,S200000,00300,0100,LITCHFIELD 429904,S200000,00300,0201,45860 429904,S200000,00300,0300,R 429904,S200000,00400,0100,MVM INC. D/B/A WATERTOWN CONVALARIU 429904,S200000,00400,0200,075340 429904,S200000,00400,0300,07/01/90 429904,S200000,00400,0500,P 429904,S200000,01500,0100,N 429904,S200000,01600,0100,N 429904,S200000,01700,0100,N 429904,S200000,01800,0100,N 429904,S200000,02200,0100,N 429904,S200000,02800,0100,N 429904,S200000,02900,0100,N 429904,S200000,03000,0100,N 429904,S200000,03100,0100,N 429904,S200000,03200,0100,N 429904,S200000,03300,0100,N 429904,S200000,03300,0200,N 429904,S200000,03600,0100,N 429904,S200000,03600,0200,N 429904,S200000,04100,0100,N 429904,S200000,04200,0100,N 429904,S200000,04300,0100,N 429904,S200000,04600,0100,N 429904,S200000,04700,0100,N 429904,S200000,04700,0200,N 429904,S200000,04900,0100,N 429904,S200000,05000,0100,N 429904,S200000,05100,0100,N 429904,S200000,05200,0100,N 429904,S200000,05300,0100,N 429905,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429905,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429905,A000000,00300,0000,0300EMPLOYEE BENEFITS 429905,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429905,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429905,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429905,A000000,00700,0000,0700HOUSEKEEPING 429905,A000000,00800,0000,0800DIETARY 429905,A000000,00900,0000,0900NURSING ADMINISTRATION 429905,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429905,A000000,01100,0000,1100PHARMACY 429905,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429905,A000000,01300,0000,1300SOCIAL SERVICE 429905,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429905,A000000,01500,0000,1350ACTIVITIES PROGRAM 429905,A000000,01600,0000,1600SKILLED NURSING FACILITY 429905,A000000,01810,0000,1810ICF/MR 429905,A000000,02100,0000,2100RADIOLOGY 429905,A000000,02200,0000,2200LABORATORY 429905,A000000,02500,0000,2500PHYSICAL THERAPY 429905,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429905,A000000,02700,0000,2700SPEECH PATHOLOGY 429905,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429905,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429905,A000000,03550,0000,3550FQHC 429905,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429905,A000000,05000,0000,5000CORF 429905,A000000,05010,0000,5010CMHC 429905,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429905,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429905,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429905,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429905,A000000,06300,0000,6150DENTAL 429905,A81000A,00100,0100,Y 429905,A81000B,00100,0300,RENT 429905,A81000B,00200,0300,MORTGAGE INTEREST 429905,A81000B,00300,0300,DEPRECIATION 429905,A81000B,00400,0300,REAL ESTATE TAXES 429905,A81000B,00500,0300,PROPERTY INSURANCE 429905,A81000B,00600,0300,DEPRECIATION 429905,A81000B,00700,0300,MORTGAGE INSURANCE 429905,A81000B,00800,0300,MORTGAGE EXPENSE 429905,A81000B,00900,0300,AUDITING FEES AND OT 429905,A81000B,01000,0300,BAD DEBTS 429905,A81000C,00100,0100,A 429905,A81000C,00100,0200,ESTATE OF A SAL 429905,A81000C,00100,0400,AHNH INC 429905,A81000C,00100,0600,REAL ESTATE 429905,A81000C,00200,0100,A 429905,A81000C,00200,0200,HARRY SATIN 429905,A81000C,00200,0400,AHNH INC 429905,A81000C,00200,0600,REAL ESTATE 429905,A81000C,00300,0100,A 429905,A81000C,00300,0200,JEFFREY SUNSHIN 429905,A81000C,00300,0400,AHNH INC 429905,A81000C,00300,0600,REAL ESTATE 429905,A81000C,00400,0100,A 429905,A81000C,00400,0200,LOWELL FELDMAN 429905,A81000C,00400,0400,AHNH INC 429905,A81000C,00400,0600,REAL ESTATE 429905,A81000C,00500,0100,A 429905,A81000C,00500,0200,PATRICK DONNELL 429905,A81000C,00500,0400,AHNH INC 429905,A81000C,00500,0600,REAL ESTATE 429905,A81000C,00600,0100,A 429905,A81000C,00600,0200,JOEL MORRIS 429905,A81000C,00600,0400,AHNH INC 429905,A81000C,00600,0600,REAL ESTATE 429905,A81000C,00700,0100,A 429905,A81000C,00700,0200,MARY JANE BLANE 429905,A81000C,00700,0400,AHNH INC 429905,A81000C,00700,0600,REAL ESTATE 429905,A81000C,00800,0100,A 429905,A81000C,00800,0200,LORRAINE SALMON 429905,A81000C,00800,0400,AHNH INC 429905,A81000C,00800,0600,REAL ESTATE 429905,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429905,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429905,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429905,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429905,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429905,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429905,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429905,B100000,00000,0800,0800MEALS SERVED :DIETARY 429905,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 429905,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 429905,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 429905,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429905,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429905,B100000,00000,1500,1350NUMBER OF PARTCPANTS :ACTIVITIES 429905,G300000,02500,0000,BARBER & BEAUTY SHOPS 429905,G300000,02501,0000, MISCELLANEOUS 429905,S000000,00100,0200,03/28/12 429905,S200000,00100,0100,325 NORTHERN BOULEVARD 429905,S200000,00200,0100,ALBANY 429905,S200000,00200,0200,NY 429905,S200000,00200,0300,12204 429905,S200000,00300,0100,ALBANY 429905,S200000,00300,0201,ALBAN 429905,S200000,00300,0300,U 429905,S200000,00400,0100,JULIE BLAIR NURSING & REHAB CTR 429905,S200000,00400,0200,335812 429905,S200000,00400,0300,01/31/99 429905,S200000,00400,0500,P 429905,S200000,00400,0600,O 429905,S200000,01500,0100,Y 429905,S200000,01503,0200,Y 429905,S200000,01600,0100,N 429905,S200000,01700,0100,N 429905,S200000,01800,0100,N 429905,S200000,01900,0100,LIMITED LIABILITY CO 429905,S200000,02200,0100,N 429905,S200000,02800,0100,N 429905,S200000,02900,0100,N 429905,S200000,03000,0100,N 429905,S200000,03100,0100,N 429905,S200000,03200,0100,N 429905,S200000,03300,0100,N 429905,S200000,03300,0200,N 429905,S200000,04100,0100,N 429905,S200000,04200,0100,N 429905,S200000,04300,0100,Y 429905,S200000,04600,0100,N 429905,S200000,04700,0100,N 429905,S200000,04700,0200,N 429905,S200000,04900,0100,N 429905,S200000,05000,0100,N 429905,S200000,05100,0100,N 429905,S200000,05200,0100,N 429906,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429906,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429906,A000000,00300,0000,0300EMPLOYEE BENEFITS 429906,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429906,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429906,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429906,A000000,00700,0000,0700HOUSEKEEPING 429906,A000000,00800,0000,0800DIETARY 429906,A000000,00900,0000,0900NURSING ADMINISTRATION 429906,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429906,A000000,01100,0000,1100PHARMACY 429906,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429906,A000000,01300,0000,1300SOCIAL SERVICE 429906,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429906,A000000,01600,0000,1600SKILLED NURSING FACILITY 429906,A000000,01800,0000,1800NURSING FACILITY 429906,A000000,01900,0000,1900OTHER LONG TERM CARE 429906,A000000,02100,0000,2100RADIOLOGY 429906,A000000,02200,0000,2200LABORATORY 429906,A000000,02300,0000,2300INTRAVENOUS THERAPY 429906,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429906,A000000,02500,0000,2500PHYSICAL THERAPY 429906,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429906,A000000,02700,0000,2700SPEECH PATHOLOGY 429906,A000000,02800,0000,2800ELECTROCARDIOLOGY 429906,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429906,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429906,A000000,03200,0000,3200SUPPORT SURFACES 429906,A000000,03300,0000,3050PEN & UROLOGICALS 429906,A000000,04800,0000,4800AMBULANCE 429906,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429906,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429906,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429906,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429906,A000000,06300,0000,6150DENTAL 429906,A81000A,00100,0100,N 429906,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429906,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429906,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429906,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429906,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429906,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429906,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429906,B100000,00000,0800,0800MEALS SERVED :DIETARY 429906,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429906,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429906,S000000,00100,0200,04/04/12 429906,S200000,00100,0100,600 BOND ST 429906,S200000,00200,0100,BRIDGEPORT 429906,S200000,00200,0200,CT 429906,S200000,00200,0300,06619 429906,S200000,00300,0100,FAIRFIELD 429906,S200000,00300,0201,14860 429906,S200000,00300,0300,U 429906,S200000,00400,0100,BRIDGEPORT NURSING HOME 429906,S200000,00400,0200,075370 429906,S200000,00400,0300,10/01/04 429906,S200000,00400,0500,P 429906,S200000,01500,0100,Y 429906,S200000,01501,0200,Y 429906,S200000,01503,0200,Y 429906,S200000,01600,0100,N 429906,S200000,01700,0100,N 429906,S200000,01800,0100,N 429906,S200000,02200,0100,N 429906,S200000,02800,0100,N 429906,S200000,02900,0100,N 429906,S200000,03000,0100,N 429906,S200000,03100,0100,N 429906,S200000,03200,0100,N 429906,S200000,03300,0100,N 429906,S200000,03300,0200,N 429906,S200000,04100,0100,N 429906,S200000,04200,0100,N 429906,S200000,04300,0100,N 429906,S200000,04600,0100,N 429906,S200000,04700,0100,N 429906,S200000,04700,0200,N 429906,S200000,04900,0100,N 429906,S200000,05000,0100,N 429906,S200000,05100,0100,N 429906,S200000,05200,0100,N 429906,S200000,05300,0100,N 429907,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429907,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429907,A000000,00300,0000,0300EMPLOYEE BENEFITS 429907,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429907,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429907,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429907,A000000,00700,0000,0700HOUSEKEEPING 429907,A000000,00800,0000,0800DIETARY 429907,A000000,00900,0000,0900NURSING ADMINISTRATION 429907,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429907,A000000,01100,0000,1100PHARMACY 429907,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429907,A000000,01300,0000,1300SOCIAL SERVICE 429907,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429907,A000000,01600,0000,1600SKILLED NURSING FACILITY 429907,A000000,01800,0000,1800NURSING FACILITY 429907,A000000,01900,0000,1900OTHER LONG TERM CARE 429907,A000000,02100,0000,2100RADIOLOGY 429907,A000000,02200,0000,2200LABORATORY 429907,A000000,02300,0000,2300INTRAVENOUS THERAPY 429907,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429907,A000000,02500,0000,2500PHYSICAL THERAPY 429907,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429907,A000000,02700,0000,2700SPEECH PATHOLOGY 429907,A000000,02800,0000,2800ELECTROCARDIOLOGY 429907,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429907,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429907,A000000,03200,0000,3200SUPPORT SURFACES 429907,A000000,03300,0000,3050PEN & UROLOGICALS 429907,A000000,04800,0000,4800AMBULANCE 429907,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429907,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429907,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429907,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429907,A000000,06300,0000,6150DENTAL 429907,A81000A,00100,0100,N 429907,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429907,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429907,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429907,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429907,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429907,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429907,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429907,B100000,00000,0800,0800MEALS SERVED :DIETARY 429907,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429907,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429907,S000000,00100,0200,04/04/12 429907,S200000,00100,0100,600 BOND ST 429907,S200000,00200,0100,BRIDGEPORT 429907,S200000,00200,0200,CT 429907,S200000,00200,0300,06619 429907,S200000,00300,0100,FAIRFIELD 429907,S200000,00300,0201,14860 429907,S200000,00300,0300,U 429907,S200000,00400,0100,BRIDGEPORT MANOR 429907,S200000,00400,0200,075369 429907,S200000,00400,0300,03/13/90 429907,S200000,00400,0500,P 429907,S200000,01500,0100,Y 429907,S200000,01501,0200,Y 429907,S200000,01503,0200,Y 429907,S200000,01600,0100,N 429907,S200000,01700,0100,N 429907,S200000,01800,0100,N 429907,S200000,02200,0100,N 429907,S200000,02800,0100,N 429907,S200000,02900,0100,N 429907,S200000,03000,0100,N 429907,S200000,03100,0100,N 429907,S200000,03200,0100,N 429907,S200000,03300,0100,N 429907,S200000,03300,0200,N 429907,S200000,04100,0100,N 429907,S200000,04200,0100,N 429907,S200000,04300,0100,N 429907,S200000,04600,0100,N 429907,S200000,04700,0100,N 429907,S200000,04700,0200,N 429907,S200000,04900,0100,N 429907,S200000,05000,0100,N 429907,S200000,05100,0100,N 429907,S200000,05200,0100,N 429907,S200000,05300,0100,N 429908,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429908,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429908,A000000,00300,0000,0300EMPLOYEE BENEFITS 429908,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429908,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429908,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429908,A000000,00700,0000,0700HOUSEKEEPING 429908,A000000,00800,0000,0800DIETARY 429908,A000000,00900,0000,0900NURSING ADMINISTRATION 429908,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429908,A000000,01100,0000,1100PHARMACY 429908,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429908,A000000,01300,0000,1300SOCIAL SERVICE 429908,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 429908,A000000,01600,0000,1600SKILLED NURSING FACILITY 429908,A000000,01800,0000,1800NURSING FACILITY 429908,A000000,01900,0000,1900OTHER LONG TERM CARE 429908,A000000,02100,0000,2100RADIOLOGY 429908,A000000,02200,0000,2200LABORATORY 429908,A000000,02300,0000,2300INTRAVENOUS THERAPY 429908,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429908,A000000,02500,0000,2500PHYSICAL THERAPY 429908,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429908,A000000,02700,0000,2700SPEECH PATHOLOGY 429908,A000000,02800,0000,2800ELECTROCARDIOLOGY 429908,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429908,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429908,A000000,03200,0000,3200SUPPORT SURFACES 429908,A000000,03300,0000,3050PEN & UROLOGICALS 429908,A000000,04800,0000,4800AMBULANCE 429908,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429908,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429908,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429908,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429908,A000000,06300,0000,6150DENTAL 429908,A81000A,00100,0100,Y 429908,A81000B,00100,0300,RENT/DEPRECIATION/MORTGAGE INTEREST 429908,A81000C,00100,0100,A 429908,A81000C,00100,0200,RACHEL BLASS 429908,A81000C,00100,0400,PARADISE OF WAT 429908,A81000C,00100,0600,REALTY 429908,A81000C,00200,0100,A 429908,A81000C,00200,0200,NORMA LOREN 429908,A81000C,00200,0400,PARADISE OF WAT 429908,A81000C,00200,0600,REALTY 429908,A81000C,00300,0100,A 429908,A81000C,00300,0200,GLADYS NEUMAN 429908,A81000C,00300,0400,PARADISE OF WAT 429908,A81000C,00300,0600,REALTY 429908,A81000C,00400,0100,A 429908,A81000C,00400,0200,MIRIAM STERN 429908,A81000C,00400,0400,PARADISE OF WAT 429908,A81000C,00400,0600,REALTY 429908,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429908,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429908,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429908,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429908,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429908,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429908,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429908,B100000,00000,0800,0800MEALS SERVED :DIETARY 429908,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429908,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429908,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429908,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429908,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 429908,G300000,02501,0000,GAIN OF ASSET SALE 429908,S000000,00100,0200,04/04/12 429908,S200000,00100,0100,3584 E MAIN STREET 429908,S200000,00200,0100,WATERBURY 429908,S200000,00200,0200,CT 429908,S200000,00200,0300,06705 429908,S200000,00300,0100,FAIRFIELD 429908,S200000,00300,0201,14860 429908,S200000,00300,0300,U 429908,S200000,00400,0100,ROSEGARDEN HEALTH & REHAB CTR 429908,S200000,00400,0200,075399 429908,S200000,00400,0300,11/13/04 429908,S200000,00400,0500,P 429908,S200000,01500,0100,Y 429908,S200000,01501,0200,Y 429908,S200000,01503,0200,Y 429908,S200000,01600,0100,N 429908,S200000,01700,0100,N 429908,S200000,01800,0100,N 429908,S200000,02200,0100,N 429908,S200000,02800,0100,N 429908,S200000,02900,0100,N 429908,S200000,03000,0100,N 429908,S200000,03100,0100,N 429908,S200000,03200,0100,N 429908,S200000,03300,0100,N 429908,S200000,03300,0200,N 429908,S200000,04100,0100,N 429908,S200000,04200,0100,N 429908,S200000,04300,0100,N 429908,S200000,04600,0100,N 429908,S200000,04700,0100,N 429908,S200000,04700,0200,N 429908,S200000,04900,0100,N 429908,S200000,05000,0100,N 429908,S200000,05100,0100,N 429908,S200000,05200,0100,N 429908,S200000,05300,0100,N 429913,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429913,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429913,A000000,00300,0000,0300EMPLOYEE BENEFITS 429913,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429913,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429913,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429913,A000000,00700,0000,0700HOUSEKEEPING 429913,A000000,00800,0000,0800DIETARY 429913,A000000,00900,0000,0900NURSING ADMINISTRATION 429913,A000000,01100,0000,1100PHARMACY 429913,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429913,A000000,01300,0000,1300SOCIAL SERVICE 429913,A000000,01600,0000,1600SKILLED NURSING FACILITY 429913,A000000,02100,0000,2100RADIOLOGY 429913,A000000,02200,0000,2200LABORATORY 429913,A000000,02300,0000,2300INTRAVENOUS THERAPY 429913,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429913,A000000,02500,0000,2500PHYSICAL THERAPY 429913,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429913,A000000,02700,0000,2700SPEECH PATHOLOGY 429913,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429913,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429913,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429913,A81000A,00100,0100,Y 429913,A81000B,00100,0300,HOME OFFICE COSTS 429913,A81000C,00100,0100,B 429913,A81000C,00100,0400,BLUE DOLPHIN HE 429913,A81000C,00100,0600,HEALTH CARE 429913,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429913,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429913,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429913,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429913,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429913,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429913,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429913,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429913,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429913,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429913,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429913,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429913,E10A180,00302,0100,10/01/11 429913,G300000,02500,0000, OTHER (SPECIFY) 429913,S000000,00100,0200,05/11/12 429913,S200000,00100,0100,1400 SOUTH MAIN 429913,S200000,00200,0100,GROVE 429913,S200000,00200,0200,OK 429913,S200000,00200,0300,74344 429913,S200000,00300,0100,DELAWARE 429913,S200000,00300,0200,037 429913,S200000,00300,0201,99937 429913,S200000,00300,0300,R 429913,S200000,00400,0100,BETTY ANN NURSING CENTER 429913,S200000,00400,0200,375457 429913,S200000,00400,0300,01/01/99 429913,S200000,00400,0500,P 429913,S200000,01500,0100,N 429913,S200000,01600,0100,Y 429913,S200000,01700,0100,N 429913,S200000,01800,0100,N 429913,S200000,02200,0100,N 429913,S200000,02800,0100,N 429913,S200000,02900,0100,N 429913,S200000,03000,0100,N 429913,S200000,03100,0100,N 429913,S200000,03200,0100,N 429913,S200000,03300,0100,N 429913,S200000,03300,0200,N 429913,S200000,04100,0100,N 429913,S200000,04200,0100,N 429913,S200000,04300,0100,N 429913,S200000,04600,0100,N 429913,S200000,04700,0100,N 429913,S200000,04700,0200,N 429913,S200000,04900,0100,N 429913,S200000,05000,0100,N 429913,S200000,05100,0100,N 429913,S200000,05200,0100,N 429913,S200000,05300,0100,Y 429913,S200000,05300,0200,179002 429913,S200000,05400,0100,BLUE DOLPHIN HEALTH MGMT 429913,S200000,05400,0200,TRAILBLAZER 429913,S200000,05400,0300,52280 429913,S200000,05500,0100,30 HOMEWOOD DR 429913,S200000,05600,0100,MORRISTOWN 429913,S200000,05600,0200,NJ 429913,S200000,05600,0300,07960 429914,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429914,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429914,A000000,00300,0000,0300EMPLOYEE BENEFITS 429914,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429914,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429914,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429914,A000000,00700,0000,0700HOUSEKEEPING 429914,A000000,00800,0000,0800DIETARY 429914,A000000,00900,0000,0900NURSING ADMINISTRATION 429914,A000000,01100,0000,1100PHARMACY 429914,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429914,A000000,01300,0000,1300SOCIAL SERVICE 429914,A000000,01600,0000,1600SKILLED NURSING FACILITY 429914,A000000,01800,0000,1800NURSING FACILITY 429914,A000000,02100,0000,2100RADIOLOGY 429914,A000000,02200,0000,2200LABORATORY 429914,A000000,02300,0000,2300INTRAVENOUS THERAPY 429914,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429914,A000000,02500,0000,2500PHYSICAL THERAPY 429914,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429914,A000000,02700,0000,2700SPEECH PATHOLOGY 429914,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429914,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429914,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429914,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429914,A81000A,00100,0100,Y 429914,A81000B,00100,0300,HOME OFFICE COSTS 429914,A81000C,00100,0100,B 429914,A81000C,00100,0400,BLUE DOLPHIN HE 429914,A81000C,00100,0600,HEALTH CARE 429914,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429914,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429914,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429914,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429914,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429914,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429914,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429914,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429914,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429914,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429914,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429914,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429914,G300000,02500,0000, OTHER (SPECIFY) 429914,S000000,00100,0200,05/11/12 429914,S200000,00100,0100,1409 N. 17TH ST 429914,S200000,00200,0100,ENID 429914,S200000,00200,0200,OK 429914,S200000,00200,0300,73701 429914,S200000,00300,0100,GARFIELD 429914,S200000,00300,0200,2340 429914,S200000,00300,0201,99937 429914,S200000,00300,0300,R 429914,S200000,00400,0100,THE LIVING CENTER LLC 429914,S200000,00400,0200,375458 429914,S200000,00400,0300,07/01/04 429914,S200000,00400,0500,P 429914,S200000,01500,0100,Y 429914,S200000,01501,0200,Y 429914,S200000,01502,0200,Y 429914,S200000,01503,0200,Y 429914,S200000,01504,0200,Y 429914,S200000,01505,0000,OTHER (SPECIFY) 429914,S200000,01505,0200,Y 429914,S200000,01600,0100,N 429914,S200000,01700,0100,N 429914,S200000,01800,0100,N 429914,S200000,02200,0100,N 429914,S200000,02800,0100,N 429914,S200000,02900,0100,N 429914,S200000,03000,0100,N 429914,S200000,03100,0100,N 429914,S200000,03200,0100,N 429914,S200000,03300,0100,N 429914,S200000,03300,0200,N 429914,S200000,04100,0100,N 429914,S200000,04200,0100,N 429914,S200000,04300,0100,N 429914,S200000,04600,0100,N 429914,S200000,04700,0100,N 429914,S200000,04700,0200,N 429914,S200000,04900,0100,N 429914,S200000,05000,0100,N 429914,S200000,05100,0100,N 429914,S200000,05200,0100,N 429914,S200000,05300,0100,Y 429914,S200000,05300,0200,179002 429914,S200000,05400,0100,BLUE DOLPHIN HEALTH MGMT 429914,S200000,05400,0200,TRAILBLAZER 429914,S200000,05400,0300,52280 429914,S200000,05500,0100,30 HOMEWOOD DR 429914,S200000,05600,0100,MORRISTOWN 429914,S200000,05600,0200,NJ 429914,S200000,05600,0300,07960 429915,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429915,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429915,A000000,00300,0000,0300EMPLOYEE BENEFITS 429915,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429915,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429915,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429915,A000000,00700,0000,0700HOUSEKEEPING 429915,A000000,00800,0000,0800DIETARY 429915,A000000,00900,0000,0900NURSING ADMINISTRATION 429915,A000000,01100,0000,1100PHARMACY 429915,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429915,A000000,01300,0000,1300SOCIAL SERVICE 429915,A000000,01600,0000,1600SKILLED NURSING FACILITY 429915,A000000,01800,0000,1800NURSING FACILITY 429915,A000000,02100,0000,2100RADIOLOGY 429915,A000000,02200,0000,2200LABORATORY 429915,A000000,02300,0000,2300INTRAVENOUS THERAPY 429915,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429915,A000000,02500,0000,2500PHYSICAL THERAPY 429915,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429915,A000000,02700,0000,2700SPEECH PATHOLOGY 429915,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429915,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429915,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429915,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429915,A81000A,00100,0100,Y 429915,A81000B,00100,0300,HOME OFFICE COSTS 429915,A81000C,00100,0100,B 429915,A81000C,00100,0400,BLUE DOLPHIN HE 429915,A81000C,00100,0600,HEALTH CARE 429915,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429915,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429915,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429915,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429915,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429915,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429915,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429915,B100000,00000,0800,0850PATIENT DAYS :DIETARY 429915,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 429915,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 429915,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429915,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429915,E10A180,00302,0100,09/21/11 429915,S000000,00100,0200,05/11/12 429915,S200000,00100,0100,502 WEST PINE 429915,S200000,00200,0100,ENID 429915,S200000,00200,0200,OK 429915,S200000,00200,0300,73701 429915,S200000,00300,0100,GARFIELD 429915,S200000,00300,0200,2340 429915,S200000,00300,0201,99937 429915,S200000,00300,0300,R 429915,S200000,00400,0100,KENWOOD MANOR LLC 429915,S200000,00400,0200,375459 429915,S200000,00400,0300,07/01/04 429915,S200000,00400,0500,P 429915,S200000,01500,0100,Y 429915,S200000,01501,0200,Y 429915,S200000,01502,0200,Y 429915,S200000,01503,0200,Y 429915,S200000,01504,0200,Y 429915,S200000,01505,0000,OTHER (SPECIFY) 429915,S200000,01505,0200,Y 429915,S200000,01600,0100,N 429915,S200000,01700,0100,N 429915,S200000,01800,0100,N 429915,S200000,02200,0100,N 429915,S200000,02800,0100,N 429915,S200000,02900,0100,N 429915,S200000,03000,0100,N 429915,S200000,03100,0100,N 429915,S200000,03200,0100,N 429915,S200000,03300,0100,N 429915,S200000,03300,0200,N 429915,S200000,04100,0100,N 429915,S200000,04200,0100,N 429915,S200000,04300,0100,N 429915,S200000,04600,0100,N 429915,S200000,04700,0100,N 429915,S200000,04700,0200,N 429915,S200000,04900,0100,N 429915,S200000,05000,0100,N 429915,S200000,05100,0100,N 429915,S200000,05200,0100,N 429915,S200000,05300,0100,Y 429915,S200000,05300,0200,179002 429915,S200000,05400,0100,BLUE DOLPHIN HEALTH MGMT 429915,S200000,05400,0200,TRAILBLAZER 429915,S200000,05400,0300,52280 429915,S200000,05500,0100,30 HOMEWOOD DR 429915,S200000,05600,0100,MORRISTOWN 429915,S200000,05600,0200,NJ 429915,S200000,05600,0300,07960 429953,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429953,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429953,A000000,00300,0000,0300EMPLOYEE BENEFITS 429953,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429953,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429953,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429953,A000000,00700,0000,0700HOUSEKEEPING 429953,A000000,00800,0000,0800DIETARY 429953,A000000,00900,0000,0900NURSING ADMINISTRATION 429953,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429953,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429953,A000000,01300,0000,1300SOCIAL SERVICE 429953,A000000,01301,0000,1301ACTIVITES 429953,A000000,01500,0000,1350REHABILITATION 429953,A000000,01600,0000,1600SKILLED NURSING FACILITY 429953,A000000,01800,0000,1800NURSING FACILITY 429953,A000000,01900,0000,1900OTHER LONG TERM CARE 429953,A000000,02100,0000,2100RADIOLOGY 429953,A000000,02200,0000,2200LABORATORY 429953,A000000,02300,0000,2300INTRAVENOUS THERAPY 429953,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429953,A000000,02500,0000,2500PHYSICAL THERAPY 429953,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429953,A000000,02700,0000,2700SPEECH PATHOLOGY 429953,A000000,02800,0000,2800ELECTROCARDIOLOGY 429953,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429953,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429953,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429953,A000000,03200,0000,3200SUPPORT SURFACES 429953,A000000,03300,0000,3050EQUIPMENT RENTAL 429953,A000000,03301,0000,3051PEN THERAPY 429953,A000000,04800,0000,4800AMBULANCE 429953,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429953,A000000,05300,0000,5300INTEREST EXPENSE 429953,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429953,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429953,A000000,06200,0000,6200PATIENTS LAUNDRY 429953,A000000,06300,0000,6150VENDING 429953,A000000,06301,0000,6151OTHER NONREIMBURSABLE 429953,A81000A,00100,0100,Y 429953,A81000B,00100,0300,HOME OFFICE COST 429953,A81000C,00100,0100,B 429953,A81000C,00100,0200,WEATHERFORD HCC 429953,A81000C,00100,0400,SSC EQUITY HOLD 429953,A81000C,00100,0600,NSG HOMES 429953,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429953,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429953,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429953,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429953,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429953,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429953,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429953,B100000,00000,0800,0800MEALS SERVED :DIETARY 429953,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429953,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429953,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429953,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429953,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 429953,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 429953,E10A180,00352,0100,05/10/11 429953,S000000,00100,0200,02/24/12 429953,S200000,00100,0100,521 W 7TH ST> 429953,S200000,00200,0100,WEATHERFORD 429953,S200000,00200,0200,TX 429953,S200000,00200,0300,76086 429953,S200000,00300,0100,PARKER 429953,S200000,00300,0300,U 429953,S200000,00400,0100,WEATHERFORD HEALTHCARE CENTER 429953,S200000,00400,0200,455574 429953,S200000,00400,0300,11/01/85 429953,S200000,00400,0500,P 429953,S200000,01500,0100,Y 429953,S200000,01501,0200,Y 429953,S200000,01502,0200,N 429953,S200000,01504,0200,N 429953,S200000,01600,0100,N 429953,S200000,01700,0100,N 429953,S200000,01800,0100,N 429953,S200000,02200,0100,Y 429953,S200000,02800,0100,N 429953,S200000,02900,0100,N 429953,S200000,03000,0100,N 429953,S200000,03100,0100,N 429953,S200000,03200,0100,N 429953,S200000,03300,0100,N 429953,S200000,03300,0200,N 429953,S200000,04100,0100,N 429953,S200000,04200,0100,N 429953,S200000,04300,0100,N 429953,S200000,04600,0100,N 429953,S200000,04700,0100,N 429953,S200000,04700,0200,N 429953,S200000,04900,0100,N 429953,S200000,05000,0100,N 429953,S200000,05100,0100,N 429953,S200000,05200,0100,N 429953,S200000,05300,0100,Y 429953,S200000,05300,0200,219023 429953,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 429953,S200000,05400,0200,TRAILBLAZER 429953,S200000,05400,0300,04901 429953,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 429953,S200000,05600,0100,HOUSTON 429953,S200000,05600,0200,TX 429953,S200000,05600,0300,77041 429954,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429954,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429954,A000000,00300,0000,0300EMPLOYEE BENEFITS 429954,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429954,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429954,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429954,A000000,00700,0000,0700HOUSEKEEPING 429954,A000000,00800,0000,0800DIETARY 429954,A000000,00900,0000,0900NURSING ADMINISTRATION 429954,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429954,A000000,01100,0000,1100PHARMACY 429954,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429954,A000000,01300,0000,1300SOCIAL SERVICE 429954,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429954,A000000,01500,0000,1350RECREATION ACTIVITIES 429954,A000000,01600,0000,1600SKILLED NURSING FACILITY 429954,A000000,01810,0000,1810ICF/MR 429954,A000000,02100,0000,2100RADIOLOGY 429954,A000000,02200,0000,2200LABORATORY 429954,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429954,A000000,02500,0000,2500PHYSICAL THERAPY 429954,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429954,A000000,02700,0000,2700SPEECH PATHOLOGY 429954,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429954,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429954,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 429954,A000000,03301,0000,3051ENTERAL FEEDING 429954,A000000,03550,0000,3550FQHC 429954,A000000,05000,0000,5000CORF 429954,A000000,05010,0000,5010CMHC 429954,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429954,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429954,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429954,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429954,A000000,06300,0000,6150ENTERSTOMAL THERAPY 429954,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 429954,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 429954,A000000,06312,0000,6153DIALYSIS 429954,A000000,06320,0000,6154APARTMENTS 429954,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 429954,A000000,06340,0000,6156CLOSED PATIENT AREAS 429954,A000000,06350,0000,6157O/P ADULT DAYCARE 429954,A000000,06360,0000,6158MARKETING 429954,A81000A,00100,0100,Y 429954,A81000B,00100,0300,RELATED PARTY CAPITAL COST 429954,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 429954,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 429954,A81000B,00400,0300,BUILDING RENT ADJUST 429954,A81000C,00100,0100,A 429954,A81000C,00100,0200,FUNDAMENTAL HOL 429954,A81000C,00100,0400,FAS FCC FCOS 429954,A81000C,00100,0600,SUPPORT SERVICE 429954,A81000C,00200,0100,A 429954,A81000C,00200,0200,FORMAN/L. GRUNS 429954,A81000C,00200,0400,MULBERRY MANOR 429954,A81000C,00200,0600,REALTY SERVICES 429954,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 429954,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 429954,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429954,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 429954,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 429954,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 429954,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 429954,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 429954,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 429954,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 429954,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 429954,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 429954,G300000,02506,0000,INTEREST INCOME PATIENT A/R 429954,S000000,00100,0200,02/22/12 429954,S200000,00100,0100,1670 LINGLEVILLE ROAD 429954,S200000,00200,0100,STEPHENVILLE 429954,S200000,00200,0200,TX 429954,S200000,00200,0300,76401 429954,S200000,00300,0100,ERATH 429954,S200000,00300,0201,45 429954,S200000,00300,0300,R 429954,S200000,00400,0100,MULBERRY MANOR 429954,S200000,00400,0200,455744 429954,S200000,00400,0300,06/16/88 429954,S200000,00400,0500,P 429954,S200000,00400,0600,O 429954,S200000,01500,0100,Y 429954,S200000,01501,0200,Y 429954,S200000,01502,0200,Y 429954,S200000,01503,0200,Y 429954,S200000,01504,0200,Y 429954,S200000,01600,0100,N 429954,S200000,01700,0100,N 429954,S200000,01800,0100,N 429954,S200000,01900,0100,LLC 429954,S200000,02200,0100,N 429954,S200000,02800,0100,N 429954,S200000,02900,0100,N 429954,S200000,03000,0100,N 429954,S200000,03100,0100,N 429954,S200000,03200,0100,N 429954,S200000,03300,0100,N 429954,S200000,03300,0200,N 429954,S200000,04100,0100,N 429954,S200000,04200,0100,N 429954,S200000,04300,0100,N 429954,S200000,04600,0100,N 429954,S200000,04700,0100,N 429954,S200000,04700,0200,N 429954,S200000,04900,0100,N 429954,S200000,05000,0100,N 429954,S200000,05100,0100,N 429954,S200000,05200,0100,N 429954,S200000,05300,0100,Y 429955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429955,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429955,A000000,00300,0000,0300EMPLOYEE BENEFITS 429955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429955,A000000,00700,0000,0700HOUSEKEEPING 429955,A000000,00800,0000,0800DIETARY 429955,A000000,00900,0000,0900NURSING ADMINISTRATION 429955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429955,A000000,01300,0000,1300SOCIAL SERVICE 429955,A000000,01600,0000,1600SKILLED NURSING FACILITY 429955,A000000,01800,0000,1800NURSING FACILITY 429955,A000000,01900,0000,1900OTHER LONG TERM CARE 429955,A000000,02100,0000,2100RADIOLOGY 429955,A000000,02200,0000,2200LABORATORY 429955,A000000,02300,0000,2300INTRAVENOUS THERAPY 429955,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429955,A000000,02500,0000,2500PHYSICAL THERAPY 429955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429955,A000000,02700,0000,2700SPEECH PATHOLOGY 429955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429955,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429955,A000000,03200,0000,3200SUPPORT SURFACES 429955,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 429955,A000000,04800,0000,4800AMBULANCE 429955,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429955,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429955,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429955,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 429955,A81000A,00100,0100,Y 429955,A81000B,00100,0300,MANAGEMENT FEE 429955,A81000B,00200,0300,HO ALLOWABLE - CAPITAL BLDG 429955,A81000B,00300,0300,HO ALLOWABLE - NON CAPITAL 429955,A81000B,00400,0300,HO ALLOWABLE - CAPITAL EQUIP 429955,A81000C,00100,0100,B 429955,A81000C,00100,0400,PACIFIC RETIREM 429955,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429955,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429955,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429955,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429955,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429955,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429955,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429955,B100000,00000,0800,0800MEALS SERVED :DIETARY 429955,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429955,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429955,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 429955,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429955,G300000,02500,0000, OTHER (SPECIFY) 429955,S000000,00100,0200,02/29/12 429955,S200000,00100,0100,1600 TEXAS STREET 429955,S200000,00200,0100,FORT WORTH 429955,S200000,00200,0200,TX 429955,S200000,00200,0300,76102-3434 429955,S200000,00300,0100,TARRANT 429955,S200000,00300,0201,23104 429955,S200000,00300,0300,U 429955,S200000,00400,0100,TRINITY TERRACE 429955,S200000,00400,0200,675238 429955,S200000,00400,0300,01/01/94 429955,S200000,00400,0500,P 429955,S200000,01500,0100,Y 429955,S200000,01600,0100,N 429955,S200000,01700,0100,N 429955,S200000,01800,0100,N 429955,S200000,02200,0100,N 429955,S200000,02800,0100,N 429955,S200000,02900,0100,N 429955,S200000,03000,0100,N 429955,S200000,03100,0100,N 429955,S200000,03200,0100,N 429955,S200000,03300,0100,N 429955,S200000,03300,0200,N 429955,S200000,04100,0100,N 429955,S200000,04200,0100,N 429955,S200000,04300,0100,N 429955,S200000,04600,0100,N 429955,S200000,04700,0100,N 429955,S200000,04700,0200,N 429955,S200000,04900,0100,N 429955,S200000,05000,0100,N 429955,S200000,05100,0100,N 429955,S200000,05200,0100,N 429955,S200000,05300,0100,Y 429955,S200000,05300,0200,389109 429955,S200000,05400,0100,PACIFIC RETIREMENT SERVICES 429955,S200000,05400,0200,NORIDIAN 429955,S200000,05400,0300,01001 429955,S200000,05500,0100,1200 MIRA MAR AVE 429955,S200000,05600,0100,MEDFORD 429955,S200000,05600,0200,OR 429955,S200000,05600,0300,97504 429956,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429956,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 429956,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429956,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPMEN 429956,A000000,00300,0000,0300EMPLOYEE BENEFITS 429956,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429956,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429956,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429956,A000000,00700,0000,0700HOUSEKEEPING 429956,A000000,00800,0000,0800DIETARY 429956,A000000,00900,0000,0900NURSING ADMINISTRATION 429956,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429956,A000000,01100,0000,1100PHARMACY 429956,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429956,A000000,01600,0000,1600SKILLED NURSING FACILITY 429956,A000000,01800,0000,1800NURSING FACILITY 429956,A000000,01900,0000,1900OTHER LONG TERM CARE 429956,A000000,02100,0000,2100RADIOLOGY 429956,A000000,02200,0000,2200LABORATORY 429956,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429956,A000000,02500,0000,2500PHYSICAL THERAPY 429956,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429956,A000000,02700,0000,2700SPEECH PATHOLOGY 429956,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429956,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429956,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429956,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429956,A81000A,00100,0100,N 429956,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429956,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 429956,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429956,B100000,00000,0201,0201SQUARE FEET :CAP REL COSTS - MO 429956,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429956,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429956,B100000,00000,0500,0500TOTAL SQ FEET :PLANT OPERATION 429956,B100000,00000,0600,0650SVCS NF ONLY :LAUNDRY & LINEN SE 429956,B100000,00000,0700,0750TOTAL SQ FEET :HOUSEKEEPING 429956,B100000,00000,0800,0800TOTAL MEALS :DIETARY 429956,B100000,00000,0900,0950SVCS NF ONLY :NURSING ADMINISTRA 429956,B100000,00000,1000,1050COSTED CHGS :CENTRAL SERVICES & 429956,B100000,00000,1100,1150COSTED CHGS :PHARMACY 429956,B100000,00000,1200,1250SVCS NF ONLY :MEDICAL RECORDS & 429956,G300000,02501,0000,INTEREST INCOME 429956,S000000,00100,0200,02/28/12 429956,S200000,00100,0100,201 EAST 15TH STREET 429956,S200000,00200,0100,FRIONA 429956,S200000,00200,0200,TX 429956,S200000,00200,0300,79035 429956,S200000,00300,0100,PARMER 429956,S200000,00300,0201,99945 429956,S200000,00300,0300,R 429956,S200000,00400,0100,PRAIRIE ACRES 429956,S200000,00400,0200,675443 429956,S200000,00400,0300,01/10/95 429956,S200000,00400,0500,P 429956,S200000,01500,0100,Y 429956,S200000,01501,0200,Y 429956,S200000,01502,0200,N 429956,S200000,01503,0200,N 429956,S200000,01504,0200,N 429956,S200000,01600,0100,N 429956,S200000,01700,0100,N 429956,S200000,01800,0100,N 429956,S200000,02200,0100,N 429956,S200000,02800,0100,N 429956,S200000,02900,0100,N 429956,S200000,03000,0100,N 429956,S200000,03100,0100,N 429956,S200000,03200,0100,N 429956,S200000,03300,0100,N 429956,S200000,03300,0200,N 429956,S200000,03600,0100,N 429956,S200000,03600,0200,N 429956,S200000,04100,0100,N 429956,S200000,04200,0100,N 429956,S200000,04300,0100,N 429956,S200000,04600,0100,N 429956,S200000,04700,0100,N 429956,S200000,04700,0200,N 429956,S200000,04900,0100,N 429956,S200000,05000,0100,N 429956,S200000,05100,0100,N 429956,S200000,05200,0100,N 429957,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429957,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429957,A000000,00300,0000,0300EMPLOYEE BENEFITS 429957,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429957,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429957,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429957,A000000,00700,0000,0700HOUSEKEEPING 429957,A000000,00800,0000,0800DIETARY 429957,A000000,00900,0000,0900NURSING ADMINISTRATION 429957,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429957,A000000,01100,0000,1100PHARMACY 429957,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429957,A000000,01300,0000,1300SOCIAL SERVICE 429957,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429957,A000000,01500,0000,1350OTHER GENERAL SERVICES 429957,A000000,01600,0000,1600SKILLED NURSING FACILITY 429957,A000000,01800,0000,1800NURSING FACILITY 429957,A000000,01810,0000,1810ICF/MR 429957,A000000,01900,0000,1900OTHER LONG TERM CARE 429957,A000000,02100,0000,2100RADIOLOGY 429957,A000000,02200,0000,2200LABORATORY 429957,A000000,02300,0000,2300INTRAVENOUS THERAPY 429957,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429957,A000000,02500,0000,2500PHYSICAL THERAPY 429957,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429957,A000000,02700,0000,2700SPEECH PATHOLOGY 429957,A000000,02800,0000,2800ELECTROCARDIOLOGY 429957,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429957,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429957,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429957,A000000,03200,0000,3200SUPPORT SURFACES 429957,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429957,A000000,03400,0000,3400CLINIC 429957,A000000,03500,0000,3500RURAL HEALTH CLINIC 429957,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429957,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429957,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429957,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429957,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429957,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429957,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429957,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429957,A000000,04400,0000,4400DME RENTED - HHA 429957,A000000,04500,0000,4500DME SOLD - HHA 429957,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429957,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429957,A000000,04710,0000,4710TELEMEDICINE 429957,A000000,04800,0000,4800AMBULANCE 429957,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429957,A000000,05000,0000,5000CORF 429957,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429957,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429957,A000000,05300,0000,5300INTEREST EXPENSE 429957,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429957,A000000,05500,0000,5500HOSPICE 429957,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429957,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429957,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429957,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429957,A000000,06100,0000,6100NONPAID WORKERS 429957,A000000,06200,0000,6200PATIENTS LAUNDRY 429957,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429957,A81000A,00100,0100,N 429957,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429957,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429957,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429957,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429957,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429957,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429957,B100000,00000,0800,0800MEALS SERVED :DIETARY 429957,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429957,G300000,02500,0000,OTHER (SPECIFY) 429957,S000000,00100,0200,03/02/12 429957,S200000,00100,0100,309 FIFTH STREET 429957,S200000,00100,0300,46 429957,S200000,00200,0100,STERLING 429957,S200000,00200,0200,TX 429957,S200000,00200,0300,76951-0046 429957,S200000,00300,0100,STERLING 429957,S200000,00300,0200,45 429957,S200000,00300,0201,99945 429957,S200000,00300,0300,R 429957,S200000,00400,0100,STERLING COUNTY NURSING HOME 429957,S200000,00400,0200,675880 429957,S200000,00400,0300,10/01/99 429957,S200000,00400,0500,P 429957,S200000,01500,0100,N 429957,S200000,01501,0200,Y 429957,S200000,01600,0100,Y 429957,S200000,01700,0100,N 429957,S200000,01800,0100,N 429957,S200000,02200,0100,N 429957,S200000,02800,0100,N 429957,S200000,02900,0100,N 429957,S200000,03000,0100,N 429957,S200000,03100,0100,N 429957,S200000,03200,0100,N 429957,S200000,03300,0100,N 429957,S200000,03300,0200,N 429957,S200000,04100,0100,N 429957,S200000,04200,0100,N 429957,S200000,04300,0100,N 429957,S200000,04600,0100,N 429957,S200000,04700,0100,N 429957,S200000,04700,0200,N 429957,S200000,04900,0100,N 429957,S200000,05000,0100,N 429957,S200000,05100,0100,N 429957,S200000,05200,0100,N 429965,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429965,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429965,A000000,00300,0000,0300EMPLOYEE BENEFITS 429965,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429965,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429965,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429965,A000000,00700,0000,0700HOUSEKEEPING 429965,A000000,00800,0000,0800DIETARY 429965,A000000,00900,0000,0900NURSING ADMINISTRATION 429965,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429965,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429965,A000000,01300,0000,1300SOCIAL SERVICE 429965,A000000,01301,0000,1301ACTIVITES 429965,A000000,01500,0000,1350REHABILITATION 429965,A000000,01600,0000,1600SKILLED NURSING FACILITY 429965,A000000,01800,0000,1800NURSING FACILITY 429965,A000000,01900,0000,1900OTHER LONG TERM CARE 429965,A000000,02100,0000,2100RADIOLOGY 429965,A000000,02200,0000,2200LABORATORY 429965,A000000,02300,0000,2300INTRAVENOUS THERAPY 429965,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429965,A000000,02500,0000,2500PHYSICAL THERAPY 429965,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429965,A000000,02700,0000,2700SPEECH PATHOLOGY 429965,A000000,02800,0000,2800ELECTROCARDIOLOGY 429965,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429965,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429965,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429965,A000000,03200,0000,3200SUPPORT SURFACES 429965,A000000,03300,0000,3050EQUIPMENT RENTAL 429965,A000000,03301,0000,3051PEN THERAPY 429965,A000000,04800,0000,4800AMBULANCE 429965,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429965,A000000,05300,0000,5300INTEREST EXPENSE 429965,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429965,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429965,A000000,06200,0000,6200PATIENTS LAUNDRY 429965,A000000,06300,0000,6150VENDING 429965,A000000,06301,0000,6151OTHER NONREIMBURSABLE 429965,A81000A,00100,0100,Y 429965,A81000B,00100,0300,HOME OFFICE COST 429965,A81000C,00100,0100,B 429965,A81000C,00100,0200,CHEYENNE HCC 429965,A81000C,00100,0400,SSC EQUITY HOLD 429965,A81000C,00100,0600,NSG HOMES 429965,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429965,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429965,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429965,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429965,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429965,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 429965,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 429965,B100000,00000,0800,0800MEALS SERVED :DIETARY 429965,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 429965,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 429965,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 429965,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 429965,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 429965,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 429965,E10A180,00303,0100,05/19/11 429965,S000000,00100,0200,02/22/12 429965,S200000,00100,0100,2700 EAST 12TH STREET 429965,S200000,00200,0100,CHEYENNE 429965,S200000,00200,0200,WY 429965,S200000,00200,0300,82001 429965,S200000,00300,0100,LARAMIE 429965,S200000,00300,0300,U 429965,S200000,00400,0100,CHEYENNE HEALTHCARE CENTER 429965,S200000,00400,0200,535025 429965,S200000,00400,0300,10/16/84 429965,S200000,00400,0500,P 429965,S200000,01500,0100,Y 429965,S200000,01501,0200,Y 429965,S200000,01502,0200,Y 429965,S200000,01504,0200,Y 429965,S200000,01600,0100,N 429965,S200000,01700,0100,N 429965,S200000,01800,0100,N 429965,S200000,02200,0100,Y 429965,S200000,02800,0100,N 429965,S200000,02900,0100,N 429965,S200000,03000,0100,N 429965,S200000,03100,0100,N 429965,S200000,03200,0100,N 429965,S200000,03300,0100,N 429965,S200000,03300,0200,N 429965,S200000,04100,0100,N 429965,S200000,04200,0100,N 429965,S200000,04300,0100,N 429965,S200000,04600,0100,N 429965,S200000,04700,0100,N 429965,S200000,04700,0200,N 429965,S200000,04900,0100,N 429965,S200000,05000,0100,N 429965,S200000,05100,0100,N 429965,S200000,05200,0100,N 429965,S200000,05300,0100,Y 429965,S200000,05300,0200,219023 429965,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 429965,S200000,05400,0200,TRAILBLAZER 429965,S200000,05400,0300,04901 429965,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 429965,S200000,05600,0100,HOUSTON 429965,S200000,05600,0200,TX 429965,S200000,05600,0300,77041 429967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 429967,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 429967,A000000,00300,0000,0300EMPLOYEE BENEFITS 429967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 429967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429967,A000000,00700,0000,0700HOUSEKEEPING 429967,A000000,00800,0000,0800DIETARY 429967,A000000,00900,0000,0900NURSING ADMINISTRATION 429967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429967,A000000,01100,0000,1100PHARMACY 429967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429967,A000000,01300,0000,1300SOCIAL SERVICE 429967,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 429967,A000000,01500,0000,1350OTHER GENERAL SERVICES 429967,A000000,01600,0000,1600SKILLED NURSING FACILITY 429967,A000000,01800,0000,1800NURSING FACILITY 429967,A000000,01810,0000,1810ICF/MR 429967,A000000,01900,0000,1900OTHER LONG TERM CARE 429967,A000000,02100,0000,2100RADIOLOGY 429967,A000000,02200,0000,2200LABORATORY 429967,A000000,02300,0000,2300INTRAVENOUS THERAPY 429967,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429967,A000000,02500,0000,2500PHYSICAL THERAPY 429967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429967,A000000,02700,0000,2700SPEECH PATHOLOGY 429967,A000000,02800,0000,2800ELECTROCARDIOLOGY 429967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 429967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429967,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 429967,A000000,03200,0000,3200SUPPORT SURFACES 429967,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 429967,A000000,03400,0000,3400CLINIC 429967,A000000,03500,0000,3500RURAL HEALTH CLINIC 429967,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 429967,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 429967,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 429967,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 429967,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 429967,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 429967,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 429967,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 429967,A000000,04400,0000,4400DME RENTED - HHA 429967,A000000,04500,0000,4500DME SOLD - HHA 429967,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 429967,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 429967,A000000,04710,0000,4710TELEMEDICINE 429967,A000000,04800,0000,4800AMBULANCE 429967,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 429967,A000000,05000,0000,5000CORF 429967,A000000,05100,0000,4750OTHER REIMBURSABLE COST 429967,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 429967,A000000,05300,0000,5300INTEREST EXPENSE 429967,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 429967,A000000,05500,0000,5500HOSPICE 429967,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 429967,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 429967,A000000,05900,0000,5900BARBER & BEAUTY SHOP 429967,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 429967,A000000,06100,0000,6100NONPAID WORKERS 429967,A000000,06200,0000,6200PATIENTS LAUNDRY 429967,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 429967,A81000A,00100,0100,N 429967,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 429967,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 429967,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 429967,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 429967,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 429967,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 429967,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 429967,B100000,00000,0800,0800MEALS SERVED :DIETARY 429967,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 429967,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 429967,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 429967,G300000,02500,0000,OTHER (SPECIFY) 429967,S000000,00100,0200,03/07/12 429967,S200000,00100,0100,1611 W. ROYAL BLVD 429967,S200000,00100,0300,560 429967,S200000,00200,0100,MALAKOFF 429967,S200000,00200,0200,TX 429967,S200000,00200,0300,75148 429967,S200000,00300,0100,HENDERSON 429967,S200000,00300,0200,20 429967,S200000,00300,0201,99945 429967,S200000,00300,0300,R 429967,S200000,00400,0100,CEDAR LAKE NURSING HOME 429967,S200000,00400,0200,675898 429967,S200000,00400,0300,11/20/01 429967,S200000,00400,0500,P 429967,S200000,00400,0600,O 429967,S200000,01500,0100,Y 429967,S200000,01501,0200,Y 429967,S200000,01600,0100,N 429967,S200000,01700,0100,N 429967,S200000,01800,0100,N 429967,S200000,02200,0100,Y 429967,S200000,02800,0100,N 429967,S200000,02900,0100,N 429967,S200000,03000,0100,N 429967,S200000,03100,0100,N 429967,S200000,03200,0100,N 429967,S200000,03300,0100,N 429967,S200000,03300,0200,N 429967,S200000,04100,0100,N 429967,S200000,04200,0100,N 429967,S200000,04300,0100,N 429967,S200000,04600,0100,N 429967,S200000,04700,0100,N 429967,S200000,04700,0200,N 429967,S200000,04900,0100,N 429967,S200000,05000,0100,N 429967,S200000,05100,0100,N 429967,S200000,05200,0100,N 429982,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 429982,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 429982,A000000,00300,0000,0300EMPLOYEE BENEFITS 429982,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 429982,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 429982,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 429982,A000000,00700,0000,0700HOUSEKEEPING 429982,A000000,00800,0000,0800DIETARY 429982,A000000,00900,0000,0900NURSING ADMINISTRATION 429982,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 429982,A000000,01100,0000,1100PHARMACY 429982,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 429982,A000000,01300,0000,1300SOCIAL SERVICE 429982,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 429982,A000000,01500,0000,1350RECREATION 429982,A000000,01600,0000,1600SKILLED NURSING FACILITY 429982,A000000,01810,0000,1810ICF/MR 429982,A000000,02100,0000,2100RADIOLOGY 429982,A000000,02200,0000,2200LABORATORY 429982,A000000,02300,0000,2300INTRAVENOUS THERAPY 429982,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 429982,A000000,02500,0000,2500PHYSICAL THERAPY 429982,A000000,02600,0000,2600OCCUPATIONAL THERAPY 429982,A000000,02700,0000,2700SPEECH PATHOLOGY 429982,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 429982,A000000,03550,0000,3550FQHC 429982,A000000,04801,0000,4801AMBULANCE 429982,A000000,04802,0000,4802AMBULANCE 429982,A000000,04803,0000,4803AMBULANCE 429982,A000000,05000,0000,5000CORF 429982,A000000,05010,0000,5010CMHC 429982,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 429982,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 429982,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 429982,A81000A,00100,0100,Y 429982,A81000B,00100,0300,AS ATTACHED 429982,A81000B,00200,0300,HOME OFFICE INTEREST 429982,A81000B,00300,0300,HOME OFFICE A&G 429982,A81000B,00400,0300,HOME OFFICE CAP PIEC 429982,A81000C,00100,0100,B 429982,A81000C,00100,0400,AS ATTACHED 429982,A81000C,00100,0600,VARIOUS 429982,A81000C,00200,0100,B 429982,A81000C,00200,0400,GHC 429982,A81000C,00200,0600,LONG TERM CARE 429982,A81000C,00300,0100,B 429982,A81000C,00300,0400,GHC 429982,A81000C,00300,0600,LONG TERM CARE 429982,A81000C,00400,0100,B 429982,A81000C,00400,0400,GHC 429982,A81000C,00400,0600,LONG TERM CARE 429982,B100000,00000,0100,0100SQUARE FEET 429982,B100000,00000,0200,0200SQUARE FEET 429982,B100000,00000,0300,0300GROSS SALARIES 429982,B100000,00000,0400,0400ACCUM COST 429982,B100000,00000,0500,0500SQUARE FEET 429982,B100000,00000,0600,0600PATIENT DAYS 429982,B100000,00000,0700,0700SQUARE FEET 429982,B100000,00000,0800,0800MEALS SERVED 429982,B100000,00000,0900,0900NURSING SALARIES 429982,B100000,00000,1000,1000COSTED REQUIS 429982,B100000,00000,1100,1100COSTED REQUIS 429982,B100000,00000,1200,1200PATIENT DAYS 429982,B100000,00000,1300,1300PATIENT DAYS 429982,B100000,00000,1400,1400ASSIGNED TIME 429982,B100000,00000,1500,1350PATIENT DAYS 429982,E10A180,00301,0100,03/24/11 429982,E10A180,00501,0300,10/24/11 429982,E10A180,00550,0100,10/24/11 429982,G300000,02500,0000,INTEREST INCOME 429982,G300000,02501,0000,BARBER & BEAUTY 429982,S000000,00100,0200,09/12/11 429982,S200000,00100,0100,184 BETHLEHEM PIKE 429982,S200000,00200,0100,PHILADELPHIA 429982,S200000,00200,0200,PA 429982,S200000,00200,0300,19118 429982,S200000,00300,0100,PHILADELPHIA 429982,S200000,00300,0201,37964 429982,S200000,00300,0300,U 429982,S200000,00400,0100,FAIRVIEW CARE CENTER OF BETHLEHEM PK 429982,S200000,00400,0200,395782 429982,S200000,00400,0300,03/02/89 429982,S200000,00400,0500,P 429982,S200000,01500,0100,Y 429982,S200000,01501,0200,N 429982,S200000,01502,0200,N 429982,S200000,01503,0200,N 429982,S200000,01504,0200,N 429982,S200000,01600,0100,N 429982,S200000,01700,0100,N 429982,S200000,01800,0100,N 429982,S200000,02200,0100,Y 429982,S200000,02800,0100,N 429982,S200000,02900,0100,N 429982,S200000,03000,0100,N 429982,S200000,03100,0100,N 429982,S200000,03200,0100,N 429982,S200000,03300,0100,N 429982,S200000,03300,0200,N 429982,S200000,04200,0100,N 429982,S200000,04300,0100,N 429982,S200000,04600,0100,N 429982,S200000,04700,0100,N 429982,S200000,04900,0100,N 429982,S200000,05200,0100,N 429982,S200000,05300,0100,Y 429982,S200000,05300,0200,HB0067 429982,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 429982,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 429982,S200000,05400,0300,12001 429982,S200000,05500,0100,101 EAST STATE STREET 429982,S200000,05600,0100,KENNETT SQUARE 429982,S200000,05600,0200,PA 429982,S200000,05600,0300,19348 430013,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430013,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430013,A000000,00300,0000,0300EMPLOYEE BENEFITS 430013,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430013,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430013,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430013,A000000,00700,0000,0700HOUSEKEEPING 430013,A000000,00800,0000,0800DIETARY 430013,A000000,00900,0000,0900NURSING ADMINISTRATION 430013,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430013,A000000,01100,0000,1100PHARMACY 430013,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430013,A000000,01300,0000,1300SOCIAL SERVICE 430013,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430013,A000000,01500,0000,1350OTHER GENERAL SERVICES 430013,A000000,01600,0000,1600SKILLED NURSING FACILITY 430013,A000000,01800,0000,1800NURSING FACILITY 430013,A000000,01810,0000,1810ICF/MR 430013,A000000,01900,0000,1900OTHER LONG TERM CARE 430013,A000000,02100,0000,2100RADIOLOGY 430013,A000000,02200,0000,2200LABORATORY 430013,A000000,02300,0000,2300INTRAVENOUS THERAPY 430013,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430013,A000000,02500,0000,2500PHYSICAL THERAPY 430013,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430013,A000000,02700,0000,2700SPEECH PATHOLOGY 430013,A000000,02800,0000,2800ELECTROCARDIOLOGY 430013,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430013,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430013,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430013,A000000,03200,0000,3200SUPPORT SURFACES 430013,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430013,A000000,03400,0000,3400CLINIC 430013,A000000,03500,0000,3500RURAL HEALTH CLINIC 430013,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430013,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430013,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430013,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430013,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430013,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430013,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430013,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430013,A000000,04400,0000,4400DME RENTED - HHA 430013,A000000,04500,0000,4500DME SOLD - HHA 430013,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430013,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430013,A000000,04800,0000,4800AMBULANCE 430013,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430013,A000000,05000,0000,5000CORF 430013,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430013,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430013,A000000,05300,0000,5300INTEREST EXPENSE 430013,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430013,A000000,05500,0000,5500HOSPICE 430013,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430013,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430013,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430013,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430013,A000000,06100,0000,6100NONPAID WORKERS 430013,A000000,06200,0000,6200PATIENTS LAUNDRY 430013,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430013,A81000A,00100,0100,Y 430013,A81000B,00100,0300,POOLED - CAPITAL RELATED 430013,A81000B,00200,0300,POOLED - CAPITAL RELATED 430013,A81000B,00300,0300,POOLED - HOME OFFICE 430013,A81000C,00100,0100,B 430013,A81000C,00100,0200,MEDICALODGES INC 430013,A81000C,00100,0600,HEALTHCARE 430013,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430013,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430013,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430013,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430013,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430013,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430013,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430013,B100000,00000,0800,0800MEALS SERVED :DIETARY 430013,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 430013,E10A180,00301,0100,10/31/11 430013,G300000,02500,0000,RENTAL INOCME - COTTAGES 430013,G300000,02501,0000,MEDICARE BAD DEBT RECOVERY 430013,G300000,02502,0000,MCAID INCOME ADJ 2010 430013,G300000,02503,0000,MCAID INCOME ADJ 2011 430013,G300000,02504,0000,STATE REDUCTION TO MEDICAID 430013,S000000,00100,0200,04/03/12 430013,S200000,00100,0100,619 SOUTH HIGHWAY 77 430013,S200000,00200,0100,DOUGLASS 430013,S200000,00200,0200,KS 430013,S200000,00200,0300,67039-8321 430013,S200000,00300,0100,SEDGWICK 430013,S200000,00300,0200,9040 430013,S200000,00300,0201,48620 430013,S200000,00300,0300,U 430013,S200000,00400,0100,MEDICALODGE OF DOUGLASS 430013,S200000,00400,0200,175292 430013,S200000,00400,0300,06/01/94 430013,S200000,00400,0500,P 430013,S200000,01500,0100,Y 430013,S200000,01501,0200,N 430013,S200000,01600,0100,N 430013,S200000,01700,0100,N 430013,S200000,01800,0100,N 430013,S200000,02200,0100,N 430013,S200000,02800,0100,Y 430013,S200000,02900,0100,N 430013,S200000,03000,0100,N 430013,S200000,03100,0100,N 430013,S200000,03200,0100,N 430013,S200000,03300,0100,N 430013,S200000,03300,0200,N 430013,S200000,04100,0100,N 430013,S200000,04200,0100,N 430013,S200000,04300,0100,N 430013,S200000,04600,0100,N 430013,S200000,04700,0100,N 430013,S200000,04700,0200,N 430013,S200000,04900,0100,N 430013,S200000,05000,0100,N 430013,S200000,05100,0100,N 430013,S200000,05200,0100,N 430013,S200000,05300,0100,Y 430013,S200000,05300,0200,HO8004 430013,S200000,05400,0100,MEDICALODGES INC 430013,S200000,05400,0200,WISCONSIN PHYSICAN SERVICE 430013,S200000,05400,0300,05201 430013,S200000,05500,0200,POBOX 509 430013,S200000,05600,0100,COFFEYVILLE 430013,S200000,05600,0200,KS 430013,S200000,05600,0300,67337 430014,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430014,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430014,A000000,00300,0000,0300EMPLOYEE BENEFITS 430014,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430014,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430014,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430014,A000000,00700,0000,0700HOUSEKEEPING 430014,A000000,00800,0000,0800DIETARY 430014,A000000,00900,0000,0900NURSING ADMINISTRATION 430014,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430014,A000000,01100,0000,1100PHARMACY 430014,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430014,A000000,01300,0000,1300SOCIAL SERVICE 430014,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430014,A000000,01500,0000,1350OTHER GENERAL SERVICES 430014,A000000,01600,0000,1600SKILLED NURSING FACILITY 430014,A000000,01800,0000,1800NURSING FACILITY 430014,A000000,01810,0000,1810ICF/MR 430014,A000000,01900,0000,1900OTHER LONG TERM CARE 430014,A000000,02100,0000,2100RADIOLOGY 430014,A000000,02200,0000,2200LABORATORY 430014,A000000,02300,0000,2300INTRAVENOUS THERAPY 430014,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430014,A000000,02500,0000,2500PHYSICAL THERAPY 430014,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430014,A000000,02700,0000,2700SPEECH PATHOLOGY 430014,A000000,02800,0000,2800ELECTROCARDIOLOGY 430014,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430014,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430014,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430014,A000000,03200,0000,3200SUPPORT SURFACES 430014,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430014,A000000,03400,0000,3400CLINIC 430014,A000000,03500,0000,3500RURAL HEALTH CLINIC 430014,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430014,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430014,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430014,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430014,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430014,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430014,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430014,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430014,A000000,04400,0000,4400DME RENTED - HHA 430014,A000000,04500,0000,4500DME SOLD - HHA 430014,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430014,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430014,A000000,04710,0000,4710TELEMEDICINE 430014,A000000,04800,0000,4800AMBULANCE 430014,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430014,A000000,05000,0000,5000CORF 430014,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430014,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430014,A000000,05300,0000,5300INTEREST EXPENSE 430014,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430014,A000000,05500,0000,5500HOSPICE 430014,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430014,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430014,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430014,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430014,A000000,06100,0000,6100NONPAID WORKERS 430014,A000000,06200,0000,6200PATIENTS LAUNDRY 430014,A000000,06300,0000,6152OTHER NONREIMBURSABLE COST 430014,A81000A,00100,0100,Y 430014,A81000B,00100,0300,CAP REL COSTS - BLDGS & F 430014,A81000B,00200,0300,CAP REL COSTS - MOVABLE E 430014,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 430014,A81000C,00100,0100,B 430014,A81000C,00100,0200,MEDICALOGES INC 430014,A81000C,00100,0600,HEALTHCARE 430014,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430014,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430014,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430014,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430014,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430014,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430014,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430014,B100000,00000,0800,0800MEALS SERVED :DIETARY 430014,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 430014,E10A180,00301,0100,10/31/11 430014,G300000,02500,0000,MEDICARE BAD DEBT RECOVERY 430014,G300000,02501,0000,INTEREST AND FINANCE CHARGE 430014,G300000,02502,0000,MEDICAID INCOME ADJM (2000 2010) 430014,G300000,02503,0000,MEDICAID INCOME ADJM (2001 2011) 430014,G300000,02504,0000,RENTAL INCOME COTTAGES 430014,G300000,02505,0000,MISC INCOME - CONDO 430014,S000000,00100,0200,04/03/12 430014,S200000,00100,0100,1415 MAPLE 430014,S200000,00200,0100,EUDORA 430014,S200000,00200,0200,KS 430014,S200000,00200,0300,66025-9419 430014,S200000,00300,0100,DOUGLAS 430014,S200000,00300,0200,4150 430014,S200000,00300,0201,29940 430014,S200000,00300,0300,U 430014,S200000,00400,0100,MEDICALODGES EUDORA 430014,S200000,00400,0200,175502 430014,S200000,00400,0300,11/01/07 430014,S200000,00400,0500,P 430014,S200000,01500,0100,Y 430014,S200000,01501,0200,N 430014,S200000,01600,0100,N 430014,S200000,01700,0100,N 430014,S200000,01800,0100,N 430014,S200000,02200,0100,N 430014,S200000,02800,0100,N 430014,S200000,02900,0100,N 430014,S200000,03000,0100,N 430014,S200000,03100,0100,N 430014,S200000,03200,0100,N 430014,S200000,03300,0100,N 430014,S200000,03300,0200,N 430014,S200000,04100,0100,N 430014,S200000,04200,0100,N 430014,S200000,04300,0100,N 430014,S200000,04600,0100,N 430014,S200000,04700,0100,N 430014,S200000,04700,0200,N 430014,S200000,04900,0100,N 430014,S200000,05000,0100,N 430014,S200000,05100,0100,N 430014,S200000,05200,0100,N 430014,S200000,05300,0100,Y 430014,S200000,05300,0200,HO8004 430014,S200000,05400,0100,MEDICALODGES INC 430014,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 430014,S200000,05400,0300,05201 430014,S200000,05500,0200,POBOX 509 430014,S200000,05600,0100,COFFEYVILLE 430014,S200000,05600,0200,KS 430014,S200000,05600,0300,67337 430018,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430018,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430018,A000000,00300,0000,0300EMPLOYEE BENEFITS 430018,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430018,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430018,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430018,A000000,00700,0000,0700HOUSEKEEPING 430018,A000000,00800,0000,0800DIETARY 430018,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430018,A000000,01300,0000,1300SOCIAL SERVICE 430018,A000000,01600,0000,1600SKILLED NURSING FACILITY 430018,A000000,02200,0000,2200LABORATORY 430018,A000000,02500,0000,2500PHYSICAL THERAPY 430018,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430018,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430018,A000000,05300,0000,5300INTEREST EXPENSE 430018,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430018,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430018,A000000,06301,0000,6151RENAL DIALYSIS CENTER 430018,A000000,06302,0000,6152ASSISTED LIVING CENTER 430018,A000000,06303,0000,6153BEAUTY SALON 430018,A81000A,00100,0100,N 430018,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430018,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430018,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430018,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430018,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430018,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430018,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 430018,B100000,00000,0800,0800MEALS SERVED :DIETARY 430018,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 430018,B100000,00000,1300,1330GROSS REVENUE :SOCIAL SERVICE 430018,G300000,02500,0000,MISC INCOME 430018,G300000,02501,0000,TRANSPORTATION REVENUE 430018,G300000,02502,0000,UNIFORM REVENUE 430018,S000000,00100,0200,03/01/12 430018,S200000,00100,0100,454 LIPAN DRIVE 430018,S200000,00200,0100,MESCALERO 430018,S200000,00200,0200,NM 430018,S200000,00200,0300,88340-0359 430018,S200000,00300,0100,OTERO 430018,S200000,00300,0200,32 430018,S200000,00300,0201,99932 430018,S200000,00300,0300,R 430018,S200000,00400,0100,MESCALERO CARE CENTER 430018,S200000,00400,0200,325116 430018,S200000,00400,0300,12/17/03 430018,S200000,00400,0500,P 430018,S200000,00400,0600,O 430018,S200000,01500,0100,Y 430018,S200000,01501,0200,Y 430018,S200000,01502,0200,N 430018,S200000,01503,0200,N 430018,S200000,01504,0200,Y 430018,S200000,01600,0100,N 430018,S200000,01700,0100,N 430018,S200000,01800,0100,N 430018,S200000,02200,0100,N 430018,S200000,02800,0100,N 430018,S200000,02900,0100,N 430018,S200000,03000,0100,N 430018,S200000,03100,0100,N 430018,S200000,03200,0100,N 430018,S200000,03300,0100,N 430018,S200000,03300,0200,N 430018,S200000,04100,0100,N 430018,S200000,04200,0100,N 430018,S200000,04300,0100,N 430018,S200000,04600,0100,N 430018,S200000,04700,0100,N 430018,S200000,04700,0200,N 430018,S200000,04900,0100,N 430018,S200000,05000,0100,N 430018,S200000,05100,0100,N 430018,S200000,05200,0100,N 430018,S200000,05300,0100,N 430045,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430045,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430045,A000000,00300,0000,0300EMPLOYEE BENEFITS 430045,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430045,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430045,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430045,A000000,00700,0000,0700HOUSEKEEPING 430045,A000000,00800,0000,0800DIETARY 430045,A000000,00900,0000,0900NURSING ADMINISTRATION 430045,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430045,A000000,01100,0000,1100PHARMACY 430045,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430045,A000000,01300,0000,1300SOCIAL SERVICE 430045,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430045,A000000,01500,0000,1350OTHER GENERAL SERVICES 430045,A000000,01600,0000,1600SKILLED NURSING FACILITY 430045,A000000,01800,0000,1800NURSING FACILITY 430045,A000000,01810,0000,1810ICF/MR 430045,A000000,01900,0000,1900OTHER LONG TERM CARE 430045,A000000,02100,0000,2100RADIOLOGY 430045,A000000,02200,0000,2200LABORATORY 430045,A000000,02300,0000,2300INTRAVENOUS THERAPY 430045,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430045,A000000,02500,0000,2500PHYSICAL THERAPY 430045,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430045,A000000,02700,0000,2700SPEECH PATHOLOGY 430045,A000000,02800,0000,2800ELECTROCARDIOLOGY 430045,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430045,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430045,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430045,A000000,03200,0000,3200SUPPORT SURFACES 430045,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430045,A000000,03400,0000,3400CLINIC 430045,A000000,03500,0000,3500RURAL HEALTH CLINIC 430045,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430045,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430045,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430045,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430045,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430045,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430045,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430045,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430045,A000000,04400,0000,4400DME RENTED - HHA 430045,A000000,04500,0000,4500DME SOLD - HHA 430045,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430045,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430045,A000000,04800,0000,4800AMBULANCE 430045,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430045,A000000,05000,0000,5000CORF 430045,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430045,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430045,A000000,05300,0000,5300INTEREST EXPENSE 430045,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430045,A000000,05500,0000,5500HOSPICE 430045,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430045,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430045,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430045,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430045,A000000,06100,0000,6100NONPAID WORKERS 430045,A000000,06200,0000,6200PATIENTS LAUNDRY 430045,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430045,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 430045,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 430045,A81000A,00100,0100,Y 430045,A81000B,00100,0300,POOLED - CAPITAL RELATED 430045,A81000B,00200,0300,POOLED - CAPITAL RELATED 430045,A81000B,00300,0300,POOLED - HOME OFFICE 430045,A81000C,00100,0100,B 430045,A81000C,00100,0200,MEDICALODGES INC. 430045,A81000C,00100,0600,HEALTHCARE 430045,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430045,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430045,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430045,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430045,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430045,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430045,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430045,B100000,00000,0800,0800MEALS SERVED :DIETARY 430045,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 430045,E10A180,00301,0100,10/31/11 430045,G300000,02500,0000,INTEREST INCOME 430045,G300000,02501,0000,FINANCE CHARGE 430045,G300000,02502,0000,RENTAL 430045,G300000,02503,0000,MEDICAL ATTND 430045,G300000,02504,0000,WELLNESS MONITORING 430045,G300000,02505,0000,RENTAL INCOME 430045,G300000,02506,0000,MANAGEMENT 430045,G300000,02508,0000,MEDICARE BAD DEBT RECOVERY 430045,G300000,02509,0000,MCAID INCOME 430045,S000000,00100,0200,04/03/12 430045,S200000,00100,0100,501 EASY STREET 430045,S200000,00200,0100,GODDARD 430045,S200000,00200,0200,KS 430045,S200000,00200,0300,67052-9235 430045,S200000,00300,0100,SEDGWICK 430045,S200000,00300,0200,9040 430045,S200000,00300,0201,48620 430045,S200000,00300,0300,U 430045,S200000,00400,0100,MEDICALODGE OF GODDARD 430045,S200000,00400,0200,175294 430045,S200000,00400,0300,06/01/94 430045,S200000,00400,0500,P 430045,S200000,01500,0100,Y 430045,S200000,01501,0200,N 430045,S200000,01600,0100,N 430045,S200000,01700,0100,N 430045,S200000,01800,0100,N 430045,S200000,02200,0100,N 430045,S200000,02800,0100,Y 430045,S200000,02900,0100,N 430045,S200000,03000,0100,N 430045,S200000,03100,0100,N 430045,S200000,03200,0100,N 430045,S200000,03300,0100,N 430045,S200000,03300,0200,N 430045,S200000,04100,0100,N 430045,S200000,04200,0100,N 430045,S200000,04300,0100,N 430045,S200000,04600,0100,N 430045,S200000,04700,0100,N 430045,S200000,04700,0200,N 430045,S200000,04900,0100,N 430045,S200000,05000,0100,N 430045,S200000,05100,0100,N 430045,S200000,05200,0100,N 430045,S200000,05300,0100,Y 430045,S200000,05300,0200,H08004 430045,S200000,05400,0100,MEDICALODGES INC 430045,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICE 430045,S200000,05400,0300,05201 430045,S200000,05500,0200,POBOX 509 430045,S200000,05600,0100,COFFEYVILLE 430045,S200000,05600,0200,KS 430045,S200000,05600,0300,67337 430048,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430048,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430048,A000000,00300,0000,0300EMPLOYEE BENEFITS 430048,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430048,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430048,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430048,A000000,00700,0000,0700HOUSEKEEPING 430048,A000000,00800,0000,0800DIETARY 430048,A000000,00900,0000,0900NURSING ADMINISTRATION 430048,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430048,A000000,01100,0000,1100PHARMACY 430048,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430048,A000000,01300,0000,1300SOCIAL SERVICE 430048,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430048,A000000,01500,0000,1350OTHER GENERAL SERVICES 430048,A000000,01600,0000,1600SKILLED NURSING FACILITY 430048,A000000,01800,0000,1800NURSING FACILITY 430048,A000000,01810,0000,1810ICF/MR 430048,A000000,01900,0000,1900OTHER LONG TERM CARE 430048,A000000,02100,0000,2100RADIOLOGY 430048,A000000,02200,0000,2200LABORATORY 430048,A000000,02300,0000,2300INTRAVENOUS THERAPY 430048,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430048,A000000,02500,0000,2500PHYSICAL THERAPY 430048,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430048,A000000,02700,0000,2700SPEECH PATHOLOGY 430048,A000000,02800,0000,2800ELECTROCARDIOLOGY 430048,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430048,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430048,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430048,A000000,03200,0000,3200SUPPORT SURFACES 430048,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430048,A000000,03400,0000,3400CLINIC 430048,A000000,03500,0000,3500RURAL HEALTH CLINIC 430048,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430048,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430048,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430048,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430048,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430048,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430048,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430048,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430048,A000000,04400,0000,4400DME RENTED - HHA 430048,A000000,04500,0000,4500DME SOLD - HHA 430048,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430048,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430048,A000000,04710,0000,4710TELEMEDICINE 430048,A000000,04800,0000,4800AMBULANCE 430048,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430048,A000000,05000,0000,5000CORF 430048,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430048,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430048,A000000,05300,0000,5300INTEREST EXPENSE 430048,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430048,A000000,05500,0000,5500HOSPICE 430048,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430048,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430048,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430048,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430048,A000000,06100,0000,6100NONPAID WORKERS 430048,A000000,06200,0000,6200PATIENTS LAUNDRY 430048,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430048,A81000A,00100,0100,Y 430048,A81000B,00100,0300,RENT 430048,A81000B,00200,0300,DEPRECIATION 430048,A81000B,00300,0300,MORTGAGE INTEREST 430048,A81000B,00400,0300,SHARED EXPENSES 430048,A81000B,00500,0300,PT 430048,A81000B,00600,0300,OT 430048,A81000B,00700,0300,ST 430048,A81000B,00800,0300,STAUDERMAN REALTY EXPENSE 430048,A81000B,00900,0300,850 SILAS DEANE RENT EXP 430048,A81000B,01000,0300,LPN & RN SERVICES 430048,A81000B,01100,0300,AMORTIZATION EXPENSE 430048,A81000B,01200,0300,BANK CHARGES 430048,A81000C,00100,0100,A 430048,A81000C,00100,0200,M.J. OSTREICHER 430048,A81000C,00100,0400,CAMBRIDGE MANOR REALTY 430048,A81000C,00100,0600,REAL ESTATE 430048,A81000C,00200,0100,A 430048,A81000C,00200,0200,M.J. OSTREICHER 430048,A81000C,00200,0400,NATIONAL HEALTHCARE 430048,A81000C,00200,0600,OFFICE 430048,A81000C,00300,0100,A 430048,A81000C,00300,0200,M.J. OSTREICHER 430048,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 430048,A81000C,00300,0600,PT ST OT 430048,A81000C,00400,0100,A 430048,A81000C,00400,0200,M.J. OSTRECHER 430048,A81000C,00400,0400,STAUDERMAN REALTY 430048,A81000C,00400,0600,RENT 430048,A81000C,00500,0100,A 430048,A81000C,00500,0200,M.J. OSTREICHER 430048,A81000C,00500,0400,850 SILAS DEANE 430048,A81000C,00500,0600,RENT 430048,A81000C,00600,0100,A 430048,A81000C,00600,0200,M.J. OSTREICHER 430048,A81000C,00600,0400,PREFERRED PROFESSIONAL 430048,A81000C,00600,0600,RN & LPN SERVICES 430048,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430048,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430048,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430048,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430048,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430048,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430048,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 430048,B100000,00000,0800,0800MEALS SERVED :DIETARY 430048,E10A180,00501,0100,04/19/12 430048,G300000,02501,0000,MISCELLANEOUS OTHER INCOME 430048,G300000,02504,0000,PRIOR PERIOD ADJUSTMENT 430048,S000000,00100,0200,02/27/12 430048,S200000,00100,0100,2428 EASTON TPKE 430048,S200000,00200,0100,FAIRFIELD 430048,S200000,00200,0200,CT 430048,S200000,00200,0300,06430 430048,S200000,00300,0100,FAIRFIELD 430048,S200000,00300,0200,5483 430048,S200000,00300,0201,14860 430048,S200000,00300,0300,U 430048,S200000,00400,0100,CAMBRIDGE MANOR OF FAIRFIELD INC 430048,S200000,00400,0200,075323 430048,S200000,00400,0300,05/01/89 430048,S200000,00400,0500,P 430048,S200000,01500,0100,Y 430048,S200000,01501,0200,N 430048,S200000,01600,0100,N 430048,S200000,01700,0100,N 430048,S200000,01800,0100,N 430048,S200000,02200,0100,N 430048,S200000,02800,0100,N 430048,S200000,02900,0100,N 430048,S200000,03000,0100,N 430048,S200000,03100,0100,N 430048,S200000,03200,0100,N 430048,S200000,03300,0100,N 430048,S200000,03300,0200,N 430048,S200000,04100,0100,N 430048,S200000,04200,0100,N 430048,S200000,04300,0100,N 430048,S200000,04600,0100,N 430048,S200000,04700,0100,N 430048,S200000,04700,0200,N 430048,S200000,04900,0100,N 430048,S200000,05000,0100,N 430048,S200000,05100,0100,N 430048,S200000,05200,0100,N 430048,S200000,05300,0100,N 430104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 430104,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 430104,A000000,00300,0000,0300EMPLOYEE BENEFITS 430104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 430104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430104,A000000,00700,0000,0700HOUSEKEEPING 430104,A000000,00800,0000,0800DIETARY 430104,A000000,00900,0000,0900NURSING ADMINISTRATION 430104,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430104,A000000,01100,0000,1100PHARMACY 430104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430104,A000000,01300,0000,1300SOCIAL SERVICE 430104,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 430104,A000000,01500,0000,1350OTHER GENERAL SERVICES 430104,A000000,01600,0000,1600SKILLED NURSING FACILITY 430104,A000000,01810,0000,1810ICF/MR 430104,A000000,02500,0000,2500PHYSICAL THERAPY 430104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430104,A000000,02700,0000,2700SPEECH PATHOLOGY 430104,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430104,A000000,03550,0000,3550FQHC 430104,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430104,A000000,04710,0000,4710TELEMEDICINE 430104,A000000,04801,0000,4801AMBULANCE 430104,A000000,04802,0000,4802AMBULANCE 430104,A000000,04803,0000,4803AMBULANCE 430104,A000000,05000,0000,5000CORF 430104,A000000,05010,0000,5010CMHC 430104,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430104,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430104,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430104,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430104,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430104,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430104,A81000A,00100,0100,Y 430104,A81000B,00100,0300,ALLOCATED FROM HOSPITAL 430104,A81000B,00200,0300,ALLOCATED FROM HOSPITAL 430104,A81000B,00300,0300,ALLOCATED FROM HOSPITAL 430104,A81000B,00400,0300,ALLOCATED FROM HOSPITAL 430104,A81000C,00100,0100,G 430104,A81000C,00100,0200,ARRINGTON LIVING CENTER 430104,A81000C,00100,0400,COVINGTON COUNTY HOSPITAL 430104,A81000C,00100,0600,COUNTY OWNED HOSPITAL 430104,A81000C,03100,0000,COVINGTON COUNTY HOSPITAL 430104,B100000,00000,0100,0100SQUARE FEET 430104,B100000,00000,0200,0200SQUARE FEET 430104,B100000,00000,0300,0300GROSS SALARIES 430104,B100000,00000,0400,0400ACCUM COST 430104,B100000,00000,0500,0500SQUARE FEET 430104,B100000,00000,0600,0600RESIDENT DAYS 430104,B100000,00000,0700,0700SQUARE FEET 430104,B100000,00000,0800,0800RESIDENT DAYS 430104,B100000,00000,0900,0900RESIDENT DAYS 430104,B100000,00000,1000,1000COSTED REQUIS. 430104,B100000,00000,1100,1100COSTED REQUIS. 430104,B100000,00000,1200,1200RESIENT DAYS 430104,B100000,00000,1300,1300RESIDENT DAYS 430104,B100000,00000,1400,1400ASSIGNED TIME 430104,B100000,00000,1500,1350 430104,S000000,00100,0200,03/20/12 430104,S200000,00100,0100,711 SOUTH HOLLY AVENUE 430104,S200000,00200,0100,COLLINS 430104,S200000,00200,0200,MS 430104,S200000,00200,0300,39428 430104,S200000,00300,0100,COVINGTON 430104,S200000,00300,0201,99925 430104,S200000,00300,0300,R 430104,S200000,00400,0100,ARRINGTON LIVING CENTER 430104,S200000,00400,0200,255331 430104,S200000,00400,0300,04/08/11 430104,S200000,00400,0500,P 430104,S200000,00400,0600,O 430104,S200000,01500,0100,Y 430104,S200000,01501,0200,Y 430104,S200000,01504,0200,Y 430104,S200000,01600,0100,N 430104,S200000,01700,0100,N 430104,S200000,01800,0100,N 430104,S200000,02200,0100,N 430104,S200000,02800,0100,N 430104,S200000,02900,0100,N 430104,S200000,03000,0100,N 430104,S200000,03100,0100,N 430104,S200000,03200,0100,N 430104,S200000,03300,0100,N 430104,S200000,03300,0200,N 430104,S200000,04200,0100,N 430104,S200000,04300,0100,N 430104,S200000,04600,0100,N 430104,S200000,04700,0100,N 430104,S200000,04900,0100,N 430104,S200000,05200,0100,N 430117,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430117,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430117,A000000,00300,0000,0300EMPLOYEE BENEFITS 430117,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430117,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430117,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430117,A000000,00700,0000,0700HOUSEKEEPING 430117,A000000,00800,0000,0800DIETARY 430117,A000000,00900,0000,0900NURSING ADMINISTRATION 430117,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430117,A000000,01100,0000,1100PHARMACY 430117,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430117,A000000,01300,0000,1300SOCIAL SERVICE 430117,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430117,A000000,01500,0000,1350ACTIVITIES 430117,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 430117,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 430117,A000000,01600,0000,1600SKILLED NURSING FACILITY 430117,A000000,01800,0000,1800NURSING FACILITY 430117,A000000,01810,0000,1810ICF/MR 430117,A000000,01900,0000,1900OTHER LONG TERM CARE 430117,A000000,02100,0000,2100RADIOLOGY 430117,A000000,02200,0000,2200LABORATORY 430117,A000000,02300,0000,2300INTRAVENOUS THERAPY 430117,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430117,A000000,02500,0000,2500PHYSICAL THERAPY 430117,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430117,A000000,02700,0000,2700SPEECH PATHOLOGY 430117,A000000,02800,0000,2800ELECTROCARDIOLOGY 430117,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430117,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430117,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430117,A000000,03200,0000,3200SUPPORT SURFACES 430117,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 430117,A000000,03301,0000,3051AIR FLUID THERAPY 430117,A000000,03302,0000,3052AMBULANCE 430117,A000000,03303,0000,3053PEN THERAPY 430117,A000000,03304,0000,3054ONCOLOGY 430117,A000000,03305,0000,3055CARDIOLOGY 430117,A000000,03306,0000,3056ULTRASOUND 430117,A000000,03307,0000,3057AUDIOLOGY 430117,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 430117,A000000,03400,0000,3400CLINIC 430117,A000000,03500,0000,3500RURAL HEALTH CLINIC 430117,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430117,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430117,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430117,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430117,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430117,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430117,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430117,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430117,A000000,04400,0000,4400DME RENTED - HHA 430117,A000000,04500,0000,4500DME SOLD - HHA 430117,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430117,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430117,A000000,04710,0000,4710TELEMEDICINE 430117,A000000,04800,0000,4800AMBULANCE 430117,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430117,A000000,05000,0000,5000CORF 430117,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430117,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430117,A000000,05300,0000,5300INTEREST EXPENSE 430117,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430117,A000000,05500,0000,5500HOSPICE 430117,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430117,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430117,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430117,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430117,A000000,06100,0000,6100NONPAID WORKERS 430117,A000000,06200,0000,6200PATIENTS LAUNDRY 430117,A000000,06300,0000,6150ADULT DAY HEALTH 430117,A000000,06301,0000,6151ASSISTED LIVING 430117,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 430117,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 430117,A81000A,00100,0100,Y 430117,A81000B,00700,0300,A&G MANANGEMENT CONSULTING 430117,A81000B,00800,0300,A&G ACCOUNTING SERVICES 430117,A81000B,00900,0300,A&G HURMAN RESOURCES CONSULTANT 430117,A81000C,00100,0100,B 430117,A81000C,00100,0400,LUTHERAN SOCIAL SERVICES 430117,A81000C,00100,0600,MANAGEMENT CO 430117,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430117,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430117,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430117,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430117,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430117,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430117,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 430117,B100000,00000,0800,0850PATIENT DAYS :DIETARY 430117,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 430117,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 430117,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 430117,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 430117,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 430117,E10A180,00501,0100,03/22/12 430117,G300000,02500,0000,OTHER - SEE GROUPINGS 430117,S000000,00100,0200,02/09/12 430117,S200000,00100,0100,990 MAIN STREET NORTH 430117,S200000,00200,0100,SOUTHBURY 430117,S200000,00200,0200,CT 430117,S200000,00200,0300,06488 430117,S200000,00300,0100,NEW HAVEN 430117,S200000,00300,0200,5483 430117,S200000,00300,0201,35300 430117,S200000,00300,0300,U 430117,S200000,00400,0100,LUTHERAN HOME OF SOUTHBURY 430117,S200000,00400,0200,075371 430117,S200000,00400,0300,10/01/91 430117,S200000,00400,0500,P 430117,S200000,00400,0600,P 430117,S200000,01500,0100,N 430117,S200000,01501,0200,N 430117,S200000,01502,0200,N 430117,S200000,01503,0200,N 430117,S200000,01504,0200,N 430117,S200000,01600,0100,Y 430117,S200000,01700,0100,N 430117,S200000,01800,0100,N 430117,S200000,02200,0100,N 430117,S200000,02800,0100,N 430117,S200000,02900,0100,N 430117,S200000,03000,0100,N 430117,S200000,03100,0100,N 430117,S200000,03200,0100,N 430117,S200000,03300,0100,N 430117,S200000,03300,0200,N 430117,S200000,04100,0100,N 430117,S200000,04200,0100,N 430117,S200000,04300,0100,N 430117,S200000,04600,0100,N 430117,S200000,04700,0100,N 430117,S200000,04700,0200,N 430117,S200000,04900,0100,N 430117,S200000,05000,0100,N 430117,S200000,05100,0100,N 430117,S200000,05200,0100,N 430117,S200000,05300,0100,N 430246,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430246,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430246,A000000,00300,0000,0300EMPLOYEE BENEFITS 430246,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430246,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430246,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430246,A000000,00700,0000,0700HOUSEKEEPING 430246,A000000,00800,0000,0800DIETARY 430246,A000000,00900,0000,0900NURSING ADMINISTRATION 430246,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430246,A000000,01100,0000,1100PHARMACY 430246,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430246,A000000,01300,0000,1300SOCIAL SERVICE 430246,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430246,A000000,01500,0000,1350OTHER GENERAL SERVICES 430246,A000000,01600,0000,1600SKILLED NURSING FACILITY 430246,A000000,01800,0000,1800NURSING FACILITY 430246,A000000,01810,0000,1810ICF/MR 430246,A000000,01900,0000,1900OTHER LONG TERM CARE 430246,A000000,02100,0000,2100RADIOLOGY 430246,A000000,02200,0000,2200LABORATORY 430246,A000000,02300,0000,2300INTRAVENOUS THERAPY 430246,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430246,A000000,02500,0000,2500PHYSICAL THERAPY 430246,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430246,A000000,02700,0000,2700SPEECH PATHOLOGY 430246,A000000,02800,0000,2800ELECTROCARDIOLOGY 430246,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430246,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430246,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430246,A000000,03200,0000,3200SUPPORT SURFACES 430246,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430246,A000000,03400,0000,3400CLINIC 430246,A000000,03500,0000,3500RURAL HEALTH CLINIC 430246,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430246,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430246,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430246,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430246,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430246,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430246,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430246,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430246,A000000,04400,0000,4400DME RENTED - HHA 430246,A000000,04500,0000,4500DME SOLD - HHA 430246,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430246,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430246,A000000,04710,0000,4710TELEMEDICINE 430246,A000000,04800,0000,4800AMBULANCE 430246,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430246,A000000,05000,0000,5000CORF 430246,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430246,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430246,A000000,05300,0000,5300INTEREST EXPENSE 430246,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430246,A000000,05500,0000,5500HOSPICE 430246,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430246,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430246,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430246,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430246,A000000,06100,0000,6100NONPAID WORKERS 430246,A000000,06200,0000,6200PATIENTS LAUNDRY 430246,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430246,A81000A,00100,0100,N 430246,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 430246,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430246,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430246,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 430246,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430246,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 430246,B100000,00000,0800,0800MEALS SERVED :DIETARY 430246,B100000,00000,0900,0900HOURS :NURSING ADMINISTRATION 430246,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 430246,G300000,02500,0000,OTHER (SPECIFY) 430246,S000000,00100,0200,03/05/12 430246,S200000,00100,0100,100 GAY STREET 430246,S200000,00100,0300,608 430246,S200000,00200,0100,MENARD 430246,S200000,00200,0200,TX 430246,S200000,00200,0300,76859 430246,S200000,00300,0100,MENARD 430246,S200000,00300,0200,45 430246,S200000,00300,0201,99945 430246,S200000,00300,0300,R 430246,S200000,00400,0100,MENARD MANOR 430246,S200000,00400,0200,676020 430246,S200000,00400,0300,10/01/04 430246,S200000,00400,0500,P 430246,S200000,01500,0100,N 430246,S200000,01501,0200,N 430246,S200000,01600,0100,Y 430246,S200000,01700,0100,N 430246,S200000,01800,0100,N 430246,S200000,02200,0100,N 430246,S200000,02800,0100,N 430246,S200000,02900,0100,N 430246,S200000,03000,0100,N 430246,S200000,03100,0100,N 430246,S200000,03200,0100,N 430246,S200000,03300,0100,N 430246,S200000,03300,0200,N 430246,S200000,04100,0100,N 430246,S200000,04200,0100,N 430246,S200000,04300,0100,N 430246,S200000,04600,0100,N 430246,S200000,04700,0100,N 430246,S200000,04700,0200,N 430246,S200000,04900,0100,N 430246,S200000,05000,0100,N 430246,S200000,05100,0100,N 430246,S200000,05200,0100,N 430254,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430254,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430254,A000000,00300,0000,0300EMPLOYEE BENEFITS 430254,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430254,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430254,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430254,A000000,00700,0000,0700HOUSEKEEPING 430254,A000000,00800,0000,0800DIETARY 430254,A000000,00900,0000,0900NURSING ADMINISTRATION 430254,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430254,A000000,01100,0000,1100PHARMACY 430254,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430254,A000000,01300,0000,1300SOCIAL SERVICE 430254,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430254,A000000,01600,0000,1600SKILLED NURSING FACILITY 430254,A000000,01810,0000,1810ICF/MR 430254,A000000,02100,0000,2100RADIOLOGY 430254,A000000,02200,0000,2200LABORATORY 430254,A000000,02500,0000,2500PHYSICAL THERAPY 430254,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430254,A000000,02700,0000,2700SPEECH PATHOLOGY 430254,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430254,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430254,A000000,03550,0000,3550FQHC 430254,A000000,05000,0000,5000CORF 430254,A000000,05010,0000,5010CMHC 430254,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430254,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430254,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430254,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430254,A81000A,00100,0100,N 430254,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430254,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430254,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430254,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430254,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430254,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430254,B100000,00000,0800,0800MEALS SERVED :DIETARY 430254,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 430254,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 430254,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 430254,S000000,00100,0200,04/18/12 430254,S200000,00100,0100,120 DODGE AVENUE 430254,S200000,00200,0100,EVANSTON 430254,S200000,00200,0200,IL 430254,S200000,00200,0300,60202 430254,S200000,00300,0100,COOK 430254,S200000,00300,0201,16974 430254,S200000,00300,0300,U 430254,S200000,00400,0100,DOBSON PLAZA INC. 430254,S200000,00400,0200,145122 430254,S200000,00400,0300,01/01/76 430254,S200000,00400,0500,P 430254,S200000,01500,0100,Y 430254,S200000,01600,0100,N 430254,S200000,01700,0100,N 430254,S200000,01800,0100,N 430254,S200000,02200,0100,N 430254,S200000,02800,0100,N 430254,S200000,02900,0100,N 430254,S200000,03000,0100,N 430254,S200000,03100,0100,N 430254,S200000,03200,0100,N 430254,S200000,03300,0100,N 430254,S200000,03300,0200,N 430254,S200000,04100,0100,N 430254,S200000,04200,0100,N 430254,S200000,04300,0100,N 430254,S200000,04600,0100,N 430254,S200000,04700,0100,N 430254,S200000,04700,0200,N 430254,S200000,04900,0100,N 430254,S200000,05000,0100,N 430254,S200000,05100,0100,N 430254,S200000,05200,0100,N 430254,S200000,05300,0100,N 430261,S000000,00100,0200,04/25/12 430261,S200000,00100,0100,365 ALPHA STREET 430261,S200000,00200,0100,CAMDEN 430261,S200000,00200,0200,AR 430261,S200000,00200,0300,71701 430261,S200000,00300,0100,OUACHITA 430261,S200000,00400,0100,LONGMEADOW NURSING CENTER- CAMDEN 430261,S200000,00400,0300,12/30/98 430272,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 430272,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 430272,A000000,00300,0000,0300EMPLOYEE BENEFITS 430272,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430272,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 430272,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430272,A000000,00700,0000,0700HOUSEKEEPING 430272,A000000,00800,0000,0800DIETARY 430272,A000000,00900,0000,0900NURSING ADMINISTRATION 430272,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430272,A000000,01100,0000,1100PHARMACY 430272,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430272,A000000,01300,0000,1300SOCIAL SERVICE 430272,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 430272,A000000,01600,0000,1600SKILLED NURSING FACILITY 430272,A000000,01810,0000,1810ICF/MR 430272,A000000,02100,0000,2100RADIOLOGY 430272,A000000,02200,0000,2200LABORATORY 430272,A000000,02500,0000,2500PHYSICAL THERAPY 430272,A000000,02800,0000,2800ELECTROCARDIOLOGY 430272,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 430272,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430272,A000000,03550,0000,3550FQHC 430272,A000000,04800,0000,4800AMBULANCE 430272,A000000,04801,0000,4801AMBULANCE 430272,A000000,04802,0000,4802AMBULANCE 430272,A000000,04803,0000,4803AMBULANCE 430272,A000000,05000,0000,5000CORF 430272,A000000,05010,0000,5010CMHC 430272,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430272,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430272,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430272,A000000,05300,0000,5300INTEREST EXPENSE 430272,A000000,06300,0000,6150HOME OFFICE 430272,A81000A,00100,0100,Y 430272,A81000B,00100,0300,HOME OFFICE 430272,A81000C,00100,0100,B 430272,A81000C,00100,0400,JCHCA 430272,A81000C,00100,0600,HEALTHCARE AUTHORITY 430272,B100000,00000,0100,0100SQUARE FEET 430272,B100000,00000,0200,0200SQUARE FEET 430272,B100000,00000,0300,0300GROSS SALARIES 430272,B100000,00000,0400,0400ACCUM COST 430272,B100000,00000,0500,0500SQUARE FEET 430272,B100000,00000,0600,0600POUNDS OF LAUNDRY 430272,B100000,00000,0700,0700SQUARE FEET 430272,B100000,00000,0800,0800MEALS SERVED 430272,B100000,00000,0900,0900DIRECT NRSING HRS 430272,B100000,00000,1000,1000COSTED REQUIS 430272,B100000,00000,1100,1100COSTED REQUIS 430272,B100000,00000,1200,1200TIME SPENT 430272,B100000,00000,1300,1300TIME SPENT 430272,B100000,00000,1400,1400ASSIGNED TIME 430272,G300000,02500,0000,OTHER INCOME 430272,S000000,00100,0200,03/05/12 430272,S200000,00100,0100,47065 ALABAMA H WAY 377 430272,S200000,00100,0300,1002 430272,S200000,00200,0100,BRIDGEPORT 430272,S200000,00200,0200,AL 430272,S200000,00200,0300,35740 430272,S200000,00300,0100,JACKSON 430272,S200000,00300,0201,99901 430272,S200000,00300,0300,R 430272,S200000,00400,0100,CUMBERLAND HEALTH & REHAB 430272,S200000,00400,0200,015420 430272,S200000,00400,0300,05/11/94 430272,S200000,00400,0500,P 430272,S200000,01500,0100,Y 430272,S200000,01600,0100,N 430272,S200000,01700,0100,N 430272,S200000,01800,0100,N 430272,S200000,02200,0100,N 430272,S200000,02800,0100,N 430272,S200000,02900,0100,N 430272,S200000,03000,0100,N 430272,S200000,03100,0100,N 430272,S200000,03200,0100,N 430272,S200000,03300,0100,N 430272,S200000,03300,0200,N 430272,S200000,04200,0100,N 430272,S200000,04300,0100,N 430272,S200000,04600,0100,N 430272,S200000,04700,0100,N 430272,S200000,04900,0100,N 430272,S200000,05200,0100,N 430272,S200000,05300,0100,Y 430272,S200000,05300,0200,019048 430272,S200000,05400,0100,JACKSON CO HC AUTHORITY 430272,S200000,05400,0200,CAHABA GBA 430272,S200000,05400,0300,01 430272,S200000,05500,0100,380 WOODS COVE ROAD 430272,S200000,05500,0200,1050 430272,S200000,05600,0100,SCOTTSBORO 430272,S200000,05600,0200,AL 430272,S200000,05600,0300,35768 430279,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 430279,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 430279,A000000,00300,0000,0300EMPLOYEE BENEFITS 430279,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430279,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 430279,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430279,A000000,00700,0000,0700HOUSEKEEPING 430279,A000000,00800,0000,0800DIETARY 430279,A000000,00900,0000,0900NURSING ADMINISTRATION 430279,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430279,A000000,01100,0000,1100PHARMACY 430279,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430279,A000000,01300,0000,1300SOCIAL SERVICE 430279,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 430279,A000000,01500,0000,1350OTHER GENERAL SERVICES 430279,A000000,01600,0000,1600SKILLED NURSING FACILITY 430279,A000000,01810,0000,1810ICF/MR 430279,A000000,02100,0000,2100RADIOLOGY 430279,A000000,02200,0000,2200LABORATORY 430279,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430279,A000000,02500,0000,2500PHYSICAL THERAPY 430279,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430279,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 430279,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430279,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430279,A000000,03550,0000,3550FQHC 430279,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430279,A000000,04710,0000,4710TELEMEDICINE 430279,A000000,04801,0000,4801AMBULANCE 430279,A000000,04802,0000,4802AMBULANCE 430279,A000000,04803,0000,4803AMBULANCE 430279,A000000,05000,0000,5000CORF 430279,A000000,05010,0000,5010CMHC 430279,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430279,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430279,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430279,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430279,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430279,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 430279,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430279,A000000,06300,0000,6150MARKETING 430279,A000000,06301,0000,6151ASSISTED LIVING 430279,A000000,06302,0000,6153DEMENTIA UNIT 430279,A000000,06303,0000,6152WELLNESS & RESIDENT LIFE 430279,A81000A,00100,0100,Y 430279,A81000B,00100,0300,MANAGEMENT ALLOCATION 430279,A81000C,00100,0100,B 430279,A81000C,00100,0400,CENTRAL GEORGIA HEALTH 430279,A81000C,00100,0600,HEALTH SYSTEM 430279,B100000,00000,0100,0100SQUARE FEET 430279,B100000,00000,0200,0200SQUARE FEET 430279,B100000,00000,0300,0300GROSS SALARIES 430279,B100000,00000,0400,0400ACCUM COST 430279,B100000,00000,0500,0500SQUARE FEET 430279,B100000,00000,0600,0600POUNDS OF LAUNDRY 430279,B100000,00000,0700,0700SQUARE FEET 430279,B100000,00000,0800,0800MEALS SERVED 430279,B100000,00000,0900,0900GROSS SALARIES 430279,B100000,00000,1000,1000COSTED REQUIS. 430279,B100000,00000,1100,1100COSTED REQUIS. 430279,B100000,00000,1200,1200TIME SPENT 430279,B100000,00000,1300,1300TIME SPENT 430279,B100000,00000,1400,1400ASSIGNED TIME 430279,B100000,00000,1500,1350 430279,G300000,02500,0000,MISC INCOME 430279,S000000,00100,0200,03/07/12 430279,S200000,00100,0100,5300 ZEBULON ROAD 430279,S200000,00200,0100,MACON 430279,S200000,00200,0200,GA 430279,S200000,00200,0300,31210 430279,S200000,00300,0100,BIBB 430279,S200000,00300,0201,31420 430279,S200000,00300,0300,U 430279,S200000,00400,0100,CENTRAL GEORGIA SENIOR HEALTH INC. 430279,S200000,00400,0200,115680 430279,S200000,00400,0300,12/09/02 430279,S200000,00400,0500,P 430279,S200000,01500,0100,N 430279,S200000,01600,0100,Y 430279,S200000,01700,0100,N 430279,S200000,01800,0100,N 430279,S200000,02200,0100,N 430279,S200000,02800,0100,N 430279,S200000,02900,0100,N 430279,S200000,03000,0100,N 430279,S200000,03100,0100,N 430279,S200000,03200,0100,N 430279,S200000,03300,0100,N 430279,S200000,03300,0200,N 430279,S200000,04200,0100,N 430279,S200000,04300,0100,N 430279,S200000,04600,0100,N 430279,S200000,04700,0100,N 430279,S200000,04900,0100,N 430279,S200000,05200,0100,N 430381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430381,A000000,00300,0000,0300EMPLOYEE BENEFITS 430381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430381,A000000,00700,0000,0700HOUSEKEEPING 430381,A000000,00800,0000,0800DIETARY 430381,A000000,00900,0000,0900NURSING ADMINISTRATION 430381,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430381,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430381,A000000,01300,0000,1300SOCIAL SERVICE 430381,A000000,01500,0000,1350OTHER GENERAL SERVICES 430381,A000000,01600,0000,1600SKILLED NURSING FACILITY 430381,A000000,01800,0000,1800NURSING FACILITY 430381,A000000,01810,0000,1810ICF/MR 430381,A000000,01900,0000,1900OTHER LONG TERM CARE 430381,A000000,02100,0000,2100RADIOLOGY 430381,A000000,02200,0000,2200LABORATORY 430381,A000000,02300,0000,2300INTRAVENOUS THERAPY 430381,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430381,A000000,02500,0000,2500PHYSICAL THERAPY 430381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430381,A000000,02700,0000,2700SPEECH PATHOLOGY 430381,A000000,02800,0000,2800ELECTROCARDIOLOGY 430381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430381,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430381,A000000,03200,0000,3200SUPPORT SURFACES 430381,A000000,03300,0000,3050DRUGS CHARGED TO PATIENTS 430381,A000000,03400,0000,3400CLINIC 430381,A000000,03500,0000,3500RURAL HEALTH CLINIC 430381,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430381,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430381,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430381,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430381,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430381,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430381,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430381,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430381,A000000,04400,0000,4400DME RENTED - HHA 430381,A000000,04500,0000,4500DME SOLD - HHA 430381,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430381,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430381,A000000,04710,0000,4710TELEMEDICINE 430381,A000000,04800,0000,4800AMBULANCE 430381,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430381,A000000,05000,0000,5000CORF 430381,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430381,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430381,A000000,05300,0000,5300INTEREST EXPENSE 430381,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430381,A000000,05500,0000,5500HOSPICE 430381,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430381,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430381,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430381,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430381,A000000,06100,0000,6100NONPAID WORKERS 430381,A000000,06200,0000,6200PATIENTS LAUNDRY 430381,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430381,A81000A,00100,0100,Y 430381,A81000B,00100,0300,HOME OFFICE COSTS 430381,A81000B,00200,0300,HOME OFFICE COSTS 430381,A81000B,00300,0300,ADMINISTRATIVE COSTS 430381,A81000B,00400,0300,PHARMACY COSTS 430381,A81000B,00500,0300,AUTO LEASE 430381,A81000B,00600,0300,DEPRECIATION 430381,A81000B,00700,0300,DIETARY 430381,A81000B,00800,0300,NURSING SERVICES 430381,A81000B,00900,0300,INFORMATION TECHNOLOGY 430381,A81000B,01000,0300,SOFTWARE SUPPORT 430381,A81000B,01100,0300,EQUIPMENT LEASE 430381,A81000B,01200,0300,INTEREST EXPENSE 430381,A81000B,01300,0300,LABOR COSTS/SALARIES 430381,A81000B,01400,0300,PLANT/MAINTENANCE COSTS 430381,A81000C,00100,0100,G 430381,A81000C,00100,0200,ALLEN KILGORE 430381,A81000C,00100,0400,CORNERSTONE HEALTH CARE 430381,A81000C,00100,0600,MANAGEMENT COMPANY 430381,A81000C,00200,0100,G 430381,A81000C,00200,0200,ALLEN KILGORE 430381,A81000C,00200,0400,CORNERSTONE PROP INV II 430381,A81000C,00200,0600,EQUIPMENT LEASE 430381,A81000C,00300,0100,G 430381,A81000C,00300,0200,ALLEN KILGORE 430381,A81000C,00300,0400,ENFORMIX TECHNOLOGY SVCS 430381,A81000C,00300,0600,INFORMATION TECHNOLOGY 430381,A81000C,00400,0100,G 430381,A81000C,00400,0200,ALLEN KILGORE 430381,A81000C,00400,0400,CENTRAL HEALTH CORP 430381,A81000C,00400,0600,PERSONNEL 430381,A81000C,00500,0100,G 430381,A81000C,00500,0200,ALLEN KILGORE 430381,A81000C,00500,0400,CHRISTIAN HC PHARMACY 430381,A81000C,00500,0600,PHARMACY 430381,A81000C,00600,0100,G 430381,A81000C,00600,0200,ALLEN KILGORE 430381,A81000C,00600,0400,CHC PERSONNEL SRVCS INC 430381,A81000C,00600,0600,AUTO LEASE 430381,A81000C,03100,0000,CONTRACTUAL RELATIONSHIP 430381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430381,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430381,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430381,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 430381,B100000,00000,0800,0800MEALS SERVED :DIETARY 430381,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 430381,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 430381,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 430381,B100000,00000,1300,1330GROSS CHARGES :SOCIAL SERVICE 430381,G300000,02500,0000,OTHER INCOME 430381,S000000,00100,0200,04/09/12 430381,S200000,00100,0100,514 WEST FREMONT RD 430381,S200000,00200,0100,LEBANON 430381,S200000,00200,0200,MO 430381,S200000,00200,0300,65536 430381,S200000,00300,0100,LACLEDE 430381,S200000,00300,0200,26 430381,S200000,00300,0201,99926 430381,S200000,00300,0300,R 430381,S200000,00400,0100,CHRISTIAN HC OF LEBANON SOUTH 430381,S200000,00400,0200,265428 430381,S200000,00400,0300,05/09/90 430381,S200000,00400,0500,P 430381,S200000,01500,0100,Y 430381,S200000,01501,0200,Y 430381,S200000,01502,0200,Y 430381,S200000,01503,0200,N 430381,S200000,01504,0200,Y 430381,S200000,01600,0100,N 430381,S200000,01700,0100,N 430381,S200000,01800,0100,N 430381,S200000,02200,0100,N 430381,S200000,02800,0100,Y 430381,S200000,02900,0100,N 430381,S200000,03000,0100,N 430381,S200000,03100,0100,N 430381,S200000,03200,0100,N 430381,S200000,03300,0100,N 430381,S200000,03300,0200,N 430381,S200000,04100,0100,N 430381,S200000,04200,0100,N 430381,S200000,04300,0100,N 430381,S200000,04600,0100,N 430381,S200000,04700,0100,N 430381,S200000,04700,0200,N 430381,S200000,04900,0100,N 430381,S200000,05000,0100,N 430381,S200000,05100,0100,N 430381,S200000,05200,0100,N 430381,S200000,05300,0100,Y 430381,S200000,05300,0200,H57160 430381,S200000,05400,0100,CORNERSTONE HEALTH CARE INC. 430381,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 430381,S200000,05400,0300,00020 430381,S200000,05500,0100,222 SOUTH FIRST STREET 430381,S200000,05600,0100,ROGERS 430381,S200000,05600,0200,AR 430381,S200000,05600,0300,72756 430462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430462,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430462,A000000,00700,0000,0700HOUSEKEEPING 430462,A000000,00800,0000,0800DIETARY 430462,A000000,00900,0000,0900NURSING ADMINISTRATION 430462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430462,A000000,01300,0000,1300SOCIAL SERVICE 430462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430462,A000000,01600,0000,1600SKILLED NURSING FACILITY 430462,A000000,01800,0000,1800NURSING FACILITY 430462,A000000,01900,0000,1900OTHER LONG TERM CARE 430462,A000000,02100,0000,2100RADIOLOGY 430462,A000000,02200,0000,2200LABORATORY 430462,A000000,02300,0000,2300INTRAVENOUS THERAPY 430462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430462,A000000,02500,0000,2500PHYSICAL THERAPY 430462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430462,A000000,02700,0000,2700SPEECH PATHOLOGY 430462,A000000,02800,0000,2800ELECTROCARDIOLOGY 430462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430462,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430462,A000000,03200,0000,3200SUPPORT SURFACES 430462,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 430462,A000000,04800,0000,4800AMBULANCE 430462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430462,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430462,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 430462,A81000A,00100,0100,Y 430462,A81000B,00100,0300,MANAGEMENT FEES 430462,A81000B,00200,0300,HO ALLOWABLE-CAPITAL BUILDING 430462,A81000B,00300,0300,HO ALLOWABLE NON CAPITAL 430462,A81000B,00400,0300,HO ALLOWABLE CAPITAL EQUIPMENT 430462,A81000C,00100,0100,B 430462,A81000C,00100,0200,MIRABELLA PORTL 430462,A81000C,00100,0400,PACIFIC RETIREM 430462,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430462,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430462,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430462,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430462,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430462,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 430462,B100000,00000,0800,0800MEALS SERVED :DIETARY 430462,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 430462,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 430462,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 430462,G300000,02500,0000, OTHER (SPECIFY) 430462,S000000,00100,0200,03/19/12 430462,S200000,00100,0100,3550 SW BOND 430462,S200000,00200,0100,PORTLAND 430462,S200000,00200,0200,OR 430462,S200000,00200,0300,97239 430462,S200000,00300,0100,MULTNOMAH COUNTY 430462,S200000,00300,0201,38900 430462,S200000,00300,0300,U 430462,S200000,00400,0100,MIRABELLA PORTLAND 430462,S200000,00400,0200,385274 430462,S200000,00400,0300,09/01/10 430462,S200000,00400,0500,P 430462,S200000,01500,0100,Y 430462,S200000,01600,0100,N 430462,S200000,01700,0100,N 430462,S200000,01800,0100,N 430462,S200000,02200,0100,N 430462,S200000,02800,0100,N 430462,S200000,02900,0100,N 430462,S200000,03000,0100,N 430462,S200000,03100,0100,N 430462,S200000,03200,0100,N 430462,S200000,03300,0100,N 430462,S200000,03300,0200,N 430462,S200000,04100,0100,N 430462,S200000,04200,0100,N 430462,S200000,04300,0100,N 430462,S200000,04600,0100,N 430462,S200000,04700,0100,N 430462,S200000,04700,0200,N 430462,S200000,04900,0100,N 430462,S200000,05000,0100,N 430462,S200000,05100,0100,N 430462,S200000,05200,0100,N 430462,S200000,05300,0100,Y 430462,S200000,05300,0200,389109 430462,S200000,05400,0100,PACIFIC RETIREMENT SERVICES 430462,S200000,05400,0200,WPS 430462,S200000,05400,0300,01001 430462,S200000,05500,0100,1200 MIRA MAR AVENUE 430462,S200000,05600,0100,MEDFORD 430462,S200000,05600,0200,OR 430462,S200000,05600,0300,97504 430464,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430464,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430464,A000000,00300,0000,0300EMPLOYEE BENEFITS 430464,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430464,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430464,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430464,A000000,00700,0000,0700HOUSEKEEPING 430464,A000000,00800,0000,0800DIETARY 430464,A000000,00900,0000,0900NURSING ADMINISTRATION 430464,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430464,A000000,01100,0000,1100PHARMACY 430464,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430464,A000000,01300,0000,1300SOCIAL SERVICE 430464,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430464,A000000,01500,0000,1350OTHER GENERAL SERVICES 430464,A000000,01600,0000,1600SKILLED NURSING FACILITY 430464,A000000,01800,0000,1800NURSING FACILITY 430464,A000000,01810,0000,1810ICF/MR 430464,A000000,01900,0000,1900OTHER LONG TERM CARE 430464,A000000,02100,0000,2100RADIOLOGY 430464,A000000,02200,0000,2200LABORATORY 430464,A000000,02300,0000,2300INTRAVENOUS THERAPY 430464,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430464,A000000,02500,0000,2500PHYSICAL THERAPY 430464,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430464,A000000,02700,0000,2700SPEECH PATHOLOGY 430464,A000000,02800,0000,2800ELECTROCARDIOLOGY 430464,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430464,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430464,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430464,A000000,03200,0000,3200SUPPORT SURFACES 430464,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430464,A000000,03400,0000,3400CLINIC 430464,A000000,03500,0000,3500RURAL HEALTH CLINIC 430464,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430464,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430464,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430464,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430464,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430464,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430464,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430464,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430464,A000000,04400,0000,4400DME RENTED - HHA 430464,A000000,04500,0000,4500DME SOLD - HHA 430464,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430464,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430464,A000000,04710,0000,4710TELEMEDICINE 430464,A000000,04800,0000,4800AMBULANCE 430464,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430464,A000000,05000,0000,5000CORF 430464,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430464,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430464,A000000,05300,0000,5300INTEREST EXPENSE 430464,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430464,A000000,05500,0000,5500HOSPICE 430464,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430464,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430464,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430464,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430464,A000000,06100,0000,6100NONPAID WORKERS 430464,A000000,06200,0000,6200PATIENTS LAUNDRY 430464,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430464,A81000A,00100,0100,N 430464,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430464,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430464,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430464,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430464,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430464,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430464,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430464,B100000,00000,0800,0800MEALS SERVED :DIETARY 430464,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 430464,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 430464,S000000,00100,0200,02/29/12 430464,S200000,00100,0100,10 THURBER RD 430464,S200000,00200,0100,PUTNAM 430464,S200000,00200,0200,CT 430464,S200000,00200,0300,06260 430464,S200000,00300,0100,WINDHAM 430464,S200000,00300,0200,0007 430464,S200000,00300,0201,25540 430464,S200000,00300,0300,U 430464,S200000,00400,0100,MATULAITIS NURSING HOME INC. 430464,S200000,00400,0200,075411 430464,S200000,00400,0300,02/01/96 430464,S200000,00400,0500,P 430464,S200000,01500,0100,Y 430464,S200000,01501,0200,Y 430464,S200000,01600,0100,N 430464,S200000,01700,0100,N 430464,S200000,01800,0100,N 430464,S200000,02200,0100,N 430464,S200000,02800,0100,N 430464,S200000,02900,0100,N 430464,S200000,03000,0100,N 430464,S200000,03100,0100,N 430464,S200000,03200,0100,N 430464,S200000,03300,0100,N 430464,S200000,03300,0200,N 430464,S200000,04100,0100,N 430464,S200000,04200,0100,N 430464,S200000,04300,0100,N 430464,S200000,04600,0100,N 430464,S200000,04700,0100,N 430464,S200000,04700,0200,N 430464,S200000,04900,0100,N 430464,S200000,05000,0100,N 430464,S200000,05100,0100,N 430464,S200000,05200,0100,N 430467,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430467,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430467,A000000,00300,0000,0300EMPLOYEE BENEFITS 430467,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430467,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430467,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430467,A000000,00700,0000,0700HOUSEKEEPING 430467,A000000,00800,0000,0800DIETARY 430467,A000000,00900,0000,0900NURSING ADMINISTRATION 430467,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430467,A000000,01100,0000,1100PHARMACY 430467,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430467,A000000,01300,0000,1300SOCIAL SERVICE 430467,A000000,01600,0000,1600SKILLED NURSING FACILITY 430467,A000000,01800,0000,1800NURSING FACILITY 430467,A000000,01810,0000,1810ICF/MR 430467,A000000,01900,0000,1900OTHER LONG TERM CARE 430467,A000000,02100,0000,2100RADIOLOGY 430467,A000000,02200,0000,2200LABORATORY 430467,A000000,02300,0000,2300INTRAVENOUS THERAPY 430467,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430467,A000000,02500,0000,2500PHYSICAL THERAPY 430467,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430467,A000000,02700,0000,2700SPEECH PATHOLOGY 430467,A000000,02800,0000,2800ELECTROCARDIOLOGY 430467,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430467,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430467,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430467,A000000,03200,0000,3200SUPPORT SURFACES 430467,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430467,A000000,03400,0000,3400CLINIC 430467,A000000,03500,0000,3500RURAL HEALTH CLINIC 430467,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430467,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430467,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430467,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430467,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430467,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430467,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430467,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430467,A000000,04400,0000,4400DME RENTED - HHA 430467,A000000,04500,0000,4500DME SOLD - HHA 430467,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430467,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430467,A000000,04710,0000,4710TELEMEDICINE 430467,A000000,04800,0000,4800AMBULANCE 430467,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430467,A000000,05000,0000,5000CORF 430467,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430467,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430467,A000000,05300,0000,5300INTEREST EXPENSE 430467,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430467,A000000,05500,0000,5500HOSPICE 430467,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430467,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430467,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430467,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430467,A000000,06100,0000,6100NONPAID WORKERS 430467,A000000,06200,0000,6200PATIENTS LAUNDRY 430467,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430467,A81000A,00100,0100,Y 430467,A81000C,00100,0100,A 430467,A81000C,00100,0200,MICHAEL E WINGET SR 430467,A81000C,00100,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00100,0600,MGMT COMPANY 430467,A81000C,00200,0100,A 430467,A81000C,00200,0200,LOUISA D WINGET 430467,A81000C,00200,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00200,0600,MGMT COMPANY 430467,A81000C,00300,0100,A 430467,A81000C,00300,0200,MICHAEL E WINGET JR 430467,A81000C,00300,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00300,0600,MGMT COMPANY 430467,A81000C,00400,0100,A 430467,A81000C,00400,0200,BYRON C WINGET 430467,A81000C,00400,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00400,0600,MGMT COMPANY 430467,A81000C,00500,0100,A 430467,A81000C,00500,0200,LAURA C MARTIN 430467,A81000C,00500,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00500,0600,MGMT COMPANY 430467,A81000C,00600,0100,A 430467,A81000C,00600,0200,BRANDON K WINGET 430467,A81000C,00600,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00600,0600,MGMT COMPANY 430467,A81000C,00700,0100,A 430467,A81000C,00700,0200,JONATHAN G MARTIN 430467,A81000C,00700,0400,MEDICAL MANAGMENT CONCEPT 430467,A81000C,00700,0600,MGMT COMPANY 430467,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430467,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430467,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430467,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430467,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430467,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430467,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 430467,B100000,00000,0800,0800MEALS SERVED :DIETARY 430467,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 430467,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 430467,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 430467,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 430467,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 430467,E10A180,00301,0100,10/31/11 430467,S000000,00100,0200,04/05/12 430467,S200000,00100,0100,HIGHWAY 17 NORTH 430467,S200000,00100,0300,270 430467,S200000,00200,0100,MIDWAY 430467,S200000,00200,0200,GA 430467,S200000,00200,0300,31320 430467,S200000,00300,0100,LIBERTY 430467,S200000,00300,0200,0011 430467,S200000,00300,0201,25980 430467,S200000,00300,0300,U 430467,S200000,00400,0100,WOODLAND HEALTHCARE 430467,S200000,00400,0200,115553 430467,S200000,00400,0300,01/01/05 430467,S200000,00400,0500,P 430467,S200000,01500,0100,Y 430467,S200000,01501,0200,Y 430467,S200000,01600,0100,N 430467,S200000,01700,0100,N 430467,S200000,01800,0100,N 430467,S200000,02200,0100,N 430467,S200000,02800,0100,N 430467,S200000,02900,0100,N 430467,S200000,03000,0100,N 430467,S200000,03100,0100,N 430467,S200000,03200,0100,N 430467,S200000,03300,0100,N 430467,S200000,03300,0200,N 430467,S200000,04100,0100,N 430467,S200000,04200,0100,N 430467,S200000,04300,0100,N 430467,S200000,04600,0100,N 430467,S200000,04700,0100,N 430467,S200000,04700,0200,N 430467,S200000,04900,0100,N 430467,S200000,05000,0100,N 430467,S200000,05100,0100,N 430467,S200000,05200,0100,N 430468,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430468,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430468,A000000,00300,0000,0300EMPLOYEE BENEFITS 430468,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430468,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430468,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430468,A000000,00700,0000,0700HOUSEKEEPING 430468,A000000,00800,0000,0800DIETARY 430468,A000000,00900,0000,0900NURSING ADMINISTRATION 430468,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430468,A000000,01100,0000,1100PHARMACY 430468,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430468,A000000,01300,0000,1300SOCIAL SERVICE 430468,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430468,A000000,01600,0000,1600SKILLED NURSING FACILITY 430468,A000000,01800,0000,1800NURSING FACILITY 430468,A000000,01810,0000,1810ICF/MR 430468,A000000,01900,0000,1900OTHER LONG TERM CARE 430468,A000000,02100,0000,2100RADIOLOGY 430468,A000000,02200,0000,2200LABORATORY 430468,A000000,02300,0000,2300INTRAVENOUS THERAPY 430468,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430468,A000000,02500,0000,2500PHYSICAL THERAPY 430468,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430468,A000000,02700,0000,2700SPEECH PATHOLOGY 430468,A000000,02800,0000,2800ELECTROCARDIOLOGY 430468,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430468,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430468,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430468,A000000,03200,0000,3200SUPPORT SURFACES 430468,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 430468,A000000,03400,0000,3400CLINIC 430468,A000000,03500,0000,3500RURAL HEALTH CLINIC 430468,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 430468,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430468,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430468,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430468,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430468,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430468,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430468,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430468,A000000,04400,0000,4400DME RENTED - HHA 430468,A000000,04500,0000,4500DME SOLD - HHA 430468,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430468,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430468,A000000,04710,0000,4710TELEMEDICINE 430468,A000000,04800,0000,4800AMBULANCE 430468,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430468,A000000,05000,0000,5000CORF 430468,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430468,A000000,05300,0000,5300INTEREST EXPENSE 430468,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430468,A000000,05500,0000,5500HOSPICE 430468,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430468,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430468,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430468,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430468,A000000,06100,0000,6100NONPAID WORKERS 430468,A000000,06200,0000,6200PATIENTS LAUNDRY 430468,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 430468,A81000A,00100,0100,Y 430468,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 430468,A81000C,00100,0100,A 430468,A81000C,00100,0200,R H MONTGOMERY 430468,A81000C,00100,0400,AMERICARE SYSTE 430468,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430468,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430468,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430468,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430468,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430468,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430468,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 430468,B100000,00000,0800,0850PATIENT DAYS :DIETARY 430468,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 430468,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 430468,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 430468,E10A180,00301,0100,06/21/11 430468,S000000,00100,0200,04/17/12 430468,S200000,00100,0100,1220 EAST MARSHALL 430468,S200000,00200,0100,CHARLESTON 430468,S200000,00200,0200,MO 430468,S200000,00200,0300,63834 430468,S200000,00300,0100,MISSISSIPPI 430468,S200000,00300,0200,26 430468,S200000,00300,0201,99926 430468,S200000,00300,0300,R 430468,S200000,00400,0100,CHARLESTON MANOR 430468,S200000,00400,0200,265165 430468,S200000,00400,0300,06/04/82 430468,S200000,00400,0500,P 430468,S200000,01500,0100,N 430468,S200000,01600,0100,Y 430468,S200000,01700,0100,N 430468,S200000,01800,0100,N 430468,S200000,02200,0100,Y 430468,S200000,02800,0100,N 430468,S200000,02900,0100,N 430468,S200000,03000,0100,N 430468,S200000,03100,0100,N 430468,S200000,03200,0100,N 430468,S200000,03300,0100,N 430468,S200000,03300,0200,N 430468,S200000,04100,0100,N 430468,S200000,04200,0100,N 430468,S200000,04300,0100,Y 430468,S200000,04600,0100,N 430468,S200000,04700,0100,N 430468,S200000,04700,0200,N 430468,S200000,04900,0100,N 430468,S200000,05000,0100,N 430468,S200000,05100,0100,N 430468,S200000,05200,0100,N 430468,S200000,05300,0100,Y 430468,S200000,05300,0200,269001 430468,S200000,05400,0100,AMERICARE SYSTEMS INC. 430468,S200000,05400,0200,WISC PHYSICIANS 430468,S200000,05400,0300,52880 430468,S200000,05500,0100,214 SCOTT STREET 430468,S200000,05500,0200,P.O. BOX 430468,S200000,05600,0100,SIKESTON 430468,S200000,05600,0200,MO 430468,S200000,05600,0300,63801 430591,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 430591,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 430591,A000000,00300,0000,0300EMPLOYEE BENEFITS 430591,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430591,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 430591,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430591,A000000,00700,0000,0700HOUSEKEEPING 430591,A000000,00800,0000,0800DIETARY 430591,A000000,00900,0000,0900NURSING ADMINISTRATION 430591,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430591,A000000,01100,0000,1100PHARMACY 430591,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430591,A000000,01300,0000,1300SOCIAL SERVICE 430591,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 430591,A000000,01500,0000,1350ACTIVITIES 430591,A000000,01600,0000,1600SKILLED NURSING FACILITY 430591,A000000,01800,0000,1800NURSING FACILITY 430591,A000000,01810,0000,1810ICF/MR 430591,A000000,02100,0000,2100RADIOLOGY 430591,A000000,02200,0000,2200LABORATORY 430591,A000000,02300,0000,2300INTRAVENOUS THERAPY 430591,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430591,A000000,02500,0000,2500PHYSICAL THERAPY 430591,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430591,A000000,02700,0000,2700SPEECH PATHOLOGY 430591,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 430591,A000000,02901,0000,2901PEN THERAPY 430591,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430591,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 430591,A000000,03301,0000,3051AMBULANCE 430591,A000000,03550,0000,3550FQHC 430591,A000000,04801,0000,4801AMBULANCE 430591,A000000,04802,0000,4802AMBULANCE 430591,A000000,04803,0000,4803AMBULANCE 430591,A000000,05000,0000,5000CORF 430591,A000000,05010,0000,5010CMHC 430591,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430591,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430591,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430591,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430591,A000000,06300,0000,6150COMMUNICATIONS 430591,A81000A,00100,0100,Y 430591,A81000B,00100,0300,BLDG LEASE PYMT 430591,A81000B,00200,0300,POOLED OPER & CAP 430591,A81000B,00300,0300,ALLOCATED COST - PT 430591,A81000B,00400,0300,ALLOCATED COST - OT 430591,A81000B,00500,0300,ALLOCATED COST - ST 430591,A81000B,00600,0300,ABT - DESIGN & FURN 430591,A81000B,00700,0300,LEADER CARE - W COMP 430591,A81000B,00800,0300,LEADER CARE - LIAB 430591,A81000B,00900,0300,LEADER CARE - AUTO 430591,A81000B,01000,0300,ABT - ASSOC BENEFIT 430591,A81000C,00100,0100,A 430591,A81000C,00100,0200,FORREST PRESTON 430591,A81000C,00100,0400,LCCA 430591,A81000C,00100,0600,MGMT SERVICES 430591,A81000C,00200,0100,A 430591,A81000C,00200,0200,FORREST PRESTON 430591,A81000C,00200,0400,LIFE CARE DESIG 430591,A81000C,00200,0600,INTERIOR DESIGN 430591,A81000C,00300,0100,A 430591,A81000C,00300,0200,FORREST PRESTON 430591,A81000C,00300,0400,AUBURN/WORCHEST 430591,A81000C,00300,0600,SPE FINANCING 430591,A81000C,00400,0100,A 430591,A81000C,00400,0200,FORREST PRESTON 430591,A81000C,00400,0400,LEADERCARE INC 430591,A81000C,00400,0600,WCOMP/GEN/AUTO 430591,A81000C,00500,0100,A 430591,A81000C,00500,0200,FORREST PRESTON 430591,A81000C,00500,0400,ASSOC BENEFIT T 430591,A81000C,00500,0600,GRP HLTH/LIFE I 430591,A81000C,00600,0100,A 430591,A81000C,00600,0200,FORREST PRESTON 430591,A81000C,00600,0400,DEVELOPMENT ENT 430591,A81000C,00600,0600,ACQUISITIONS/RE 430591,B100000,00000,0100,0100(SQUARE FEET) 430591,B100000,00000,0200,0200(SQUARE FEET) 430591,B100000,00000,0300,0300(GROSS SALARIES) 430591,B100000,00000,0400,0400ACCUM COST 430591,B100000,00000,0500,0500(SQUARE FEET) 430591,B100000,00000,0600,0600PATIENT DAYS 430591,B100000,00000,0700,0700(SQUARE FEET) 430591,B100000,00000,0800,0800(MEALS SERVED) 430591,B100000,00000,0900,0900DIRECT NRSG HRS 430591,B100000,00000,1000,1000(COSTED REQUIS) 430591,B100000,00000,1100,1100COSTED REQUIS 430591,B100000,00000,1200,1200GROSS REVENUES 430591,B100000,00000,1300,1300PATIENT DAYS 430591,B100000,00000,1400,1400ASSIGNED TIME 430591,B100000,00000,1500,1350PATIENT DAYS 430591,G300000,02500,0000,BEAUTY & BARBER 430591,G300000,02501,0000,UNITED HLTH CARE SERV - DIVIDENDS 430591,G300000,02502,0000,LARRY HYATT - SALES TAX REFUND 430591,S000000,00100,0200,03/20/12 430591,S200000,00100,0100,14 MASONIC CIRCLE 430591,S200000,00200,0100,AUBURN 430591,S200000,00200,0200,MA 430591,S200000,00200,0300,01501 430591,S200000,00300,0100,WORCESTER 430591,S200000,00300,0201,49340 430591,S200000,00300,0300,U 430591,S200000,00400,0100,LIFE CARE CENTER OF AUBURN 430591,S200000,00400,0200,225661 430591,S200000,00400,0300,12/01/94 430591,S200000,00400,0500,P 430591,S200000,00400,0600,O 430591,S200000,01500,0100,Y 430591,S200000,01501,0200,Y 430591,S200000,01502,0200,Y 430591,S200000,01503,0200,N 430591,S200000,01504,0200,N 430591,S200000,01505,0000,OTHER 430591,S200000,01505,0200,N 430591,S200000,01600,0100,N 430591,S200000,01700,0100,N 430591,S200000,01800,0100,N 430591,S200000,02200,0100,Y 430591,S200000,02800,0100,N 430591,S200000,02900,0100,N 430591,S200000,03000,0100,N 430591,S200000,03100,0100,N 430591,S200000,03200,0100,N 430591,S200000,03300,0100,N 430591,S200000,03300,0200,N 430591,S200000,04200,0100,N 430591,S200000,04300,0100,N 430591,S200000,04600,0100,N 430591,S200000,04700,0100,N 430591,S200000,04900,0100,N 430591,S200000,05200,0100,N 430591,S200000,05300,0100,Y 430591,S200000,05300,0200,44H017 430591,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA 430591,S200000,05400,0200,CAHABA GOV T BENEFITS ADMIN 430591,S200000,05400,0300,10301 430591,S200000,05500,0100,3570 KEITH STREET N.W. 430591,S200000,05600,0100,CLEVELAND 430591,S200000,05600,0200,TN 430591,S200000,05600,0300,37312 430592,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 430592,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 430592,A000000,00300,0000,0300EMPLOYEE BENEFITS 430592,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430592,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 430592,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430592,A000000,00700,0000,0700HOUSEKEEPING 430592,A000000,00800,0000,0800DIETARY 430592,A000000,00900,0000,0900NURSING ADMINISTRATION 430592,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430592,A000000,01100,0000,1100PHARMACY 430592,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430592,A000000,01300,0000,1300SOCIAL SERVICE 430592,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 430592,A000000,01500,0000,1350ACTIVITIES 430592,A000000,01600,0000,1600SKILLED NURSING FACILITY 430592,A000000,01800,0000,1800NURSING FACILITY 430592,A000000,01810,0000,1810ICF/MR 430592,A000000,02100,0000,2100RADIOLOGY 430592,A000000,02200,0000,2200LABORATORY 430592,A000000,02300,0000,2300INTRAVENOUS THERAPY 430592,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430592,A000000,02500,0000,2500PHYSICAL THERAPY 430592,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430592,A000000,02700,0000,2700SPEECH PATHOLOGY 430592,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 430592,A000000,02901,0000,2901PEN THERAPY 430592,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430592,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 430592,A000000,03301,0000,3051AMBULANCE 430592,A000000,03550,0000,3550FQHC 430592,A000000,04801,0000,4801AMBULANCE 430592,A000000,04802,0000,4802AMBULANCE 430592,A000000,04803,0000,4803AMBULANCE 430592,A000000,05000,0000,5000CORF 430592,A000000,05010,0000,5010CMHC 430592,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430592,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430592,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430592,A000000,06300,0000,6150COMMUNICATIONS 430592,A81000A,00100,0100,Y 430592,A81000B,00100,0300,JOHNSTON MED INVEST 430592,A81000B,00200,0300,ALLOCATED COST - PT 430592,A81000B,00300,0300,ALLOCATED COST - OT 430592,A81000B,00400,0300,ALLOCATED COST - ST 430592,A81000B,00500,0300,INT DESIGN & FUNISH 430592,A81000B,00600,0300,ADD L COMPENSATION 430592,A81000B,00700,0300,LEADER CARE W COMP 430592,A81000B,00800,0300,LEADER CARE LIAB INS 430592,A81000B,00900,0300,LEADER CARE AUTO INS 430592,A81000B,01000,0300,ABT HLTH/LIFE INS 430592,A81000B,01100,0300,POOLED OPER & CAP 430592,A81000C,00100,0100,A 430592,A81000C,00100,0200,FORREST PRESTON 430592,A81000C,00100,0400,LCCA 430592,A81000C,00100,0600,MGMT SERVICES 430592,A81000C,00200,0100,A 430592,A81000C,00200,0200,FORREST PRESTON 430592,A81000C,00200,0400,LIFE CARE DESIG 430592,A81000C,00200,0600,INT DESIGN & FU 430592,A81000C,00300,0100,A 430592,A81000C,00300,0200,FORREST PRESTON 430592,A81000C,00300,0400,LEADER CARE IN 430592,A81000C,00300,0600,WCOMP/GEN&AUTO 430592,A81000C,00400,0100,A 430592,A81000C,00400,0200,FORREST PRESTON 430592,A81000C,00400,0400,ASSOC BENEFIT T 430592,A81000C,00400,0600,GRP HLTH / LIFE 430592,A81000C,00500,0100,A 430592,A81000C,00500,0200,FORREST PRESTON 430592,A81000C,00500,0400,JOHNSTON MED IN 430592,A81000C,00500,0600,SPE - REALTY CO 430592,B100000,00000,0100,0100(SQUARE FEET) 430592,B100000,00000,0200,0200(SQUARE FEET) 430592,B100000,00000,0300,0300(GROSS SALARIES) 430592,B100000,00000,0400,0400ACCUM COST 430592,B100000,00000,0500,0500(SQUARE FEET) 430592,B100000,00000,0600,0600PATIENT DAYS 430592,B100000,00000,0700,0700(SQUARE FEET) 430592,B100000,00000,0800,0800(MEALS SERVED) 430592,B100000,00000,0900,0900DIRECT NRSG HRS 430592,B100000,00000,1000,1000(COSTED REQUIS) 430592,B100000,00000,1100,1100COSTED REQUIS 430592,B100000,00000,1200,1200GROSS REVENUES 430592,B100000,00000,1300,1300PATIENT DAYS 430592,B100000,00000,1400,1400ASSIGNED TIME 430592,B100000,00000,1500,1350PATIENT DAYS 430592,G300000,02500,0000,MISCELLANEOUS 430592,G300000,02501,0000,MISCELLANEOUS 430592,S000000,00100,0200,03/20/12 430592,S200000,00100,0100,2 CHERRY HILL ROAD 430592,S200000,00200,0100,JOHNSON 430592,S200000,00200,0200,RI 430592,S200000,00200,0300,02919 430592,S200000,00300,0100,PROVIDENCE 430592,S200000,00300,0201,39300 430592,S200000,00300,0300,U 430592,S200000,00400,0100,CHERRY HILL MANOR 430592,S200000,00400,0200,415053 430592,S200000,00400,0300,10/01/96 430592,S200000,00400,0500,P 430592,S200000,00400,0600,O 430592,S200000,01500,0100,Y 430592,S200000,01501,0200,Y 430592,S200000,01502,0200,N 430592,S200000,01503,0200,Y 430592,S200000,01504,0200,Y 430592,S200000,01505,0000,OTHER 430592,S200000,01505,0200,N 430592,S200000,01600,0100,N 430592,S200000,01700,0100,N 430592,S200000,01800,0100,N 430592,S200000,01900,0100,LIMITED LIABILITY COMPANY 430592,S200000,02200,0100,Y 430592,S200000,02800,0100,Y 430592,S200000,02900,0100,N 430592,S200000,03000,0100,N 430592,S200000,03100,0100,N 430592,S200000,03200,0100,N 430592,S200000,03300,0100,N 430592,S200000,03300,0200,N 430592,S200000,04200,0100,N 430592,S200000,04300,0100,N 430592,S200000,04600,0100,N 430592,S200000,04700,0100,N 430592,S200000,04900,0100,N 430592,S200000,05200,0100,N 430592,S200000,05300,0100,Y 430592,S200000,05300,0200,44H017 430592,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA 430592,S200000,05400,0200,CAHABA GOV T BENEFITS ADMIN 430592,S200000,05400,0300,10301 430592,S200000,05500,0100,3570 KEITH STREET N.W. 430592,S200000,05600,0100,CLEVELAND 430592,S200000,05600,0200,TN 430592,S200000,05600,0300,37312 430690,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430690,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430690,A000000,00300,0000,0300EMPLOYEE BENEFITS 430690,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430690,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430690,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430690,A000000,00700,0000,0700HOUSEKEEPING 430690,A000000,00800,0000,0800DIETARY 430690,A000000,00900,0000,0900NURSING ADMINISTRATION 430690,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430690,A000000,01100,0000,1100PHARMACY 430690,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430690,A000000,01300,0000,1300SOCIAL SERVICE 430690,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430690,A000000,01500,0000,1350ACTIVITIES 430690,A000000,01600,0000,1600SKILLED NURSING FACILITY 430690,A000000,01800,0000,1800NURSING FACILITY 430690,A000000,01810,0000,1810ICF/MR 430690,A000000,01900,0000,1900OTHER LONG TERM CARE 430690,A000000,02100,0000,2100RADIOLOGY 430690,A000000,02200,0000,2200LABORATORY 430690,A000000,02300,0000,2300INTRAVENOUS THERAPY 430690,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 430690,A000000,02500,0000,2500PHYSICAL THERAPY 430690,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430690,A000000,02700,0000,2700SPEECH PATHOLOGY 430690,A000000,02800,0000,2800ELECTROCARDIOLOGY 430690,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430690,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430690,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 430690,A000000,03200,0000,3200SUPPORT SURFACES 430690,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 430690,A000000,03400,0000,3400CLINIC 430690,A000000,03500,0000,3500RURAL HEALTH CLINIC 430690,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 430690,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 430690,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 430690,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 430690,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 430690,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 430690,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 430690,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 430690,A000000,04400,0000,4400DME RENTED - HHA 430690,A000000,04500,0000,4500DME SOLD - HHA 430690,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 430690,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 430690,A000000,04710,0000,4710TELEMEDICINE 430690,A000000,04800,0000,4800AMBULANCE 430690,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 430690,A000000,05000,0000,5000CORF 430690,A000000,05100,0000,4750OTHER REIMBURSABLE COST 430690,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 430690,A000000,05300,0000,5300INTEREST EXPENSE 430690,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 430690,A000000,05500,0000,5500HOSPICE 430690,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 430690,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 430690,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430690,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 430690,A000000,06100,0000,6100NONPAID WORKERS 430690,A000000,06200,0000,6200PATIENTS LAUNDRY 430690,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 430690,A81000A,00100,0100,Y 430690,A81000B,00100,0300,RENT 430690,A81000B,00200,0300,SHARED EXPENSE 430690,A81000B,00300,0300,PT 430690,A81000B,00400,0300,OT 430690,A81000B,00500,0300,ST 430690,A81000B,00600,0300,STAUDERMAN REALTY RENT EXPENSE 430690,A81000B,00700,0300,850 SILAS DEANE RENT EXPENSE 430690,A81000B,00800,0300,INTEREST EXPENSE 430690,A81000B,00900,0300,AMORTIZATION EXPENSE 430690,A81000B,01000,0300,DEPRECIATION EXPENSE 430690,A81000C,00100,0100,A 430690,A81000C,00100,0200,M.J. OSTREICHER 430690,A81000C,00100,0400,BRISTOL REALTY 430690,A81000C,00100,0600,LEASE OF THE FACILITY 430690,A81000C,00200,0100,A 430690,A81000C,00200,0200,M.J. OSTREICHER 430690,A81000C,00200,0400,NATIONAL HEALTH CARE 430690,A81000C,00200,0600,BOOKKEEPING 430690,A81000C,00300,0100,A 430690,A81000C,00300,0200,M.J. OSTREICHER 430690,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 430690,A81000C,00300,0600,PT OT ST 430690,A81000C,00400,0100,A 430690,A81000C,00400,0200,M.J. OSTREICHER 430690,A81000C,00400,0400,STAUDERMAN REALTY 430690,A81000C,00400,0600,REAL ESTATE 430690,A81000C,00500,0100,A 430690,A81000C,00500,0200,M.J. OSTREICHER 430690,A81000C,00500,0400,850 SILAS DEANE RENT 430690,A81000C,00500,0600,REAL ESTATE 430690,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430690,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430690,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430690,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430690,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430690,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 430690,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 430690,B100000,00000,0800,0800MEALS SERVED :DIETARY 430690,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 430690,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 430690,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 430690,E10A180,00501,0100,04/13/12 430690,G300000,02500,0000,PRIOR PERIOD OTHER 430690,G300000,02501,0000,MISC. OTHER INCOME 430690,S000000,00100,0200,02/27/12 430690,S200000,00100,0100,61 BELLEVUE AVENUE 430690,S200000,00200,0100,BRISTOL 430690,S200000,00200,0200,CT 430690,S200000,00200,0300,06010 430690,S200000,00300,0100,HARTFORD 430690,S200000,00300,0200,3283 430690,S200000,00300,0201,25540 430690,S200000,00300,0300,U 430690,S200000,00400,0100,BRISTOL CROSSINGS LLC 430690,S200000,00400,0200,075221 430690,S200000,00400,0300,09/01/72 430690,S200000,00400,0500,P 430690,S200000,01500,0100,Y 430690,S200000,01501,0200,N 430690,S200000,01600,0100,N 430690,S200000,01700,0100,N 430690,S200000,01800,0100,N 430690,S200000,02200,0100,N 430690,S200000,02800,0100,N 430690,S200000,02900,0100,N 430690,S200000,03000,0100,N 430690,S200000,03100,0100,N 430690,S200000,03200,0100,N 430690,S200000,03300,0100,N 430690,S200000,03300,0200,N 430690,S200000,04100,0100,N 430690,S200000,04200,0100,N 430690,S200000,04300,0100,N 430690,S200000,04600,0100,N 430690,S200000,04700,0100,N 430690,S200000,04700,0200,N 430690,S200000,04900,0100,N 430690,S200000,05000,0100,N 430690,S200000,05100,0100,N 430690,S200000,05200,0100,N 430690,S200000,05300,0100,N 430779,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 430779,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 430779,A000000,00300,0000,0300EMPLOYEE BENEFITS 430779,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 430779,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 430779,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 430779,A000000,00700,0000,0700HOUSEKEEPING 430779,A000000,00800,0000,0800DIETARY 430779,A000000,00900,0000,0900NURSING ADMINISTRATION 430779,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 430779,A000000,01100,0000,1100PHARMACY 430779,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 430779,A000000,01300,0000,1300SOCIAL SERVICE 430779,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 430779,A000000,01600,0000,1600SKILLED NURSING FACILITY 430779,A000000,01800,0000,1800NURSING FACILITY 430779,A000000,01810,0000,1810ICF/MR 430779,A000000,01900,0000,1900OTHER LONG TERM CARE 430779,A000000,02100,0000,2100RADIOLOGY 430779,A000000,02200,0000,2200LABORATORY 430779,A000000,02500,0000,2500PHYSICAL THERAPY 430779,A000000,02600,0000,2600OCCUPATIONAL THERAPY 430779,A000000,02700,0000,2700SPEECH PATHOLOGY 430779,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 430779,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 430779,A000000,03550,0000,3550FQHC 430779,A000000,05000,0000,5000CORF 430779,A000000,05010,0000,5010CMHC 430779,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 430779,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 430779,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 430779,A000000,05900,0000,5900BARBER & BEAUTY SHOP 430779,A000000,06300,0000,6150MARKETING 430779,A81000A,00100,0100,N 430779,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 430779,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 430779,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 430779,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 430779,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 430779,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 430779,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 430779,B100000,00000,0800,0800MEALS SERVED :DIETARY 430779,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 430779,G300000,02500,0000,BEAUTY AND BARBER 430779,G300000,02501,0000,OTHER INCOME 430779,S000000,00100,0200,05/18/12 430779,S200000,00100,0100,1425 S. CONGRESS AVENUE 430779,S200000,00200,0100,BOYNTON BEACH 430779,S200000,00200,0200,FL 430779,S200000,00200,0300,33426 430779,S200000,00300,0100,PALM BEACH 430779,S200000,00300,0201,48424 430779,S200000,00300,0300,R 430779,S200000,00400,0100,BARRINGTON TERRACE OF BOYNTON BEACH 430779,S200000,00400,0200,105850 430779,S200000,00400,0300,12/21/05 430779,S200000,00400,0500,P 430779,S200000,01500,0100,Y 430779,S200000,01501,0200,N 430779,S200000,01502,0200,N 430779,S200000,01503,0200,N 430779,S200000,01504,0200,N 430779,S200000,01600,0100,Y 430779,S200000,01700,0100,N 430779,S200000,01800,0100,N 430779,S200000,02200,0100,Y 430779,S200000,02800,0100,N 430779,S200000,02900,0100,N 430779,S200000,03000,0100,N 430779,S200000,03100,0100,N 430779,S200000,03200,0100,N 430779,S200000,03300,0100,N 430779,S200000,03300,0200,N 430779,S200000,03600,0100,N 430779,S200000,03600,0200,N 430779,S200000,04100,0100,N 430779,S200000,04200,0100,N 430779,S200000,04300,0100,N 430779,S200000,04600,0100,N 430779,S200000,04700,0100,N 430779,S200000,04700,0200,N 430779,S200000,04900,0100,N 430779,S200000,05000,0100,N 430779,S200000,05100,0100,N 430779,S200000,05200,0100,N 430780,S000000,00100,0200,05/29/12 430780,S200000,00100,0100,909 FIRST AVENUE 430780,S200000,00200,0100,EVANSVILLE 430780,S200000,00200,0200,IN 430780,S200000,00200,0300,47710 430780,S200000,00300,0100,VANDERBURGH 430780,S200000,00400,0100,BRAUN S NURSING HOME 430780,S200000,00400,0300,04/01/94 431063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431063,A000000,00300,0000,0300EMPLOYEE BENEFITS 431063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431063,A000000,00700,0000,0700HOUSEKEEPING 431063,A000000,00800,0000,0800DIETARY 431063,A000000,00900,0000,0900NURSING ADMINISTRATION 431063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431063,A000000,01300,0000,1300SOCIAL SERVICE 431063,A000000,01600,0000,1600SKILLED NURSING FACILITY 431063,A000000,02100,0000,2100RADIOLOGY 431063,A000000,02200,0000,2200LABORATORY 431063,A000000,02500,0000,2500PHYSICAL THERAPY 431063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431063,A000000,02700,0000,2700SPEECH PATHOLOGY 431063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431063,A000000,03200,0000,3200SUPPORT SURFACES 431063,A000000,03550,0000,3550FQHC 431063,A000000,05000,0000,5000CORF 431063,A000000,05010,0000,5010CMHC 431063,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431063,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431063,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431063,A81000A,00100,0100,Y 431063,A81000B,00100,0300,PLANT OPERATION 431063,A81000B,00200,0300,EMPLOYEE BENEFITS 431063,A81000B,00300,0300,A&G 431063,A81000B,00400,0300,CAPITAL RELATED 431063,A81000B,00500,0300,EMPLOYEE BENEFITS 431063,A81000B,00600,0300,A&G 431063,A81000B,00700,0300,CAPITAL RELATED 431063,A81000B,00800,0300,DIETARY 431063,A81000B,00900,0300,NURSING 431063,A81000B,01000,0300,SOCIAL SERVICE 431063,A81000B,01100,0300,PLANT OPERATION 431063,A81000B,01200,0300,A&G 431063,A81000B,01300,0300,CAPITAL RELATED 431063,A81000B,01400,0300,ACCOUNTING/BOOKKEEP 431063,A81000B,01500,0300,RENT 431063,A81000B,01600,0300,NURSING CONSULT 431063,A81000B,01700,0300,ADMIN CONSULT 431063,A81000B,01800,0300,DATA PROCESSING 431063,A81000B,01900,0300,MARKETING 431063,A81000B,02000,0300,RENT 431063,A81000C,00100,0100,A 431063,A81000C,00100,0400,YAM MANAGEMENT 431063,A81000C,00100,0600,MANAGEMENT COMP 431063,A81000C,00200,0100,A 431063,A81000C,00200,0400,YAM CONSULTING 431063,A81000C,00200,0600,CONSULTING SERV 431063,A81000C,00300,0100,A 431063,A81000C,00300,0400,8131 N. MONTICE 431063,A81000C,00300,0600,BUILDING CON 431063,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431063,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431063,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431063,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431063,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431063,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 431063,B100000,00000,0800,0800MEALS SERVED :DIETARY 431063,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431063,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431063,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431063,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431063,E10A180,00501,0100,08/26/11 431063,E10A180,00501,0300,05/31/11 431063,E10A180,00550,0100,05/31/11 431063,G300000,02500,0000,OTHER UNCLASSIFIED INCOME 431063,S000000,00100,0200,06/28/11 431063,S200000,00100,0100,14325 SOUTH BLACKSTONE 431063,S200000,00200,0100,DOLTON 431063,S200000,00200,0200,IL 431063,S200000,00200,0300,60419 431063,S200000,00300,0100,COOK 431063,S200000,00300,0201,16974 431063,S200000,00300,0300,U 431063,S200000,00400,0100,DOLTON NURSING & REHAB LLC 431063,S200000,00400,0200,145877 431063,S200000,00400,0300,05/01/96 431063,S200000,00400,0500,P 431063,S200000,01500,0100,Y 431063,S200000,01501,0200,Y 431063,S200000,01600,0100,N 431063,S200000,01700,0100,N 431063,S200000,01800,0100,N 431063,S200000,01900,0100,LLC 431063,S200000,02200,0100,N 431063,S200000,02800,0100,N 431063,S200000,02900,0100,N 431063,S200000,03000,0100,N 431063,S200000,03100,0100,N 431063,S200000,03200,0100,N 431063,S200000,03300,0100,N 431063,S200000,03300,0200,N 431063,S200000,03600,0100,N 431063,S200000,03600,0200,N 431063,S200000,04100,0100,N 431063,S200000,04200,0100,N 431063,S200000,04300,0100,N 431063,S200000,04600,0100,N 431063,S200000,04700,0100,N 431063,S200000,04700,0200,N 431063,S200000,04900,0100,N 431063,S200000,05000,0100,N 431063,S200000,05100,0100,N 431063,S200000,05200,0100,N 431063,S200000,05300,0100,N 431064,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431064,A000000,00300,0000,0300EMPLOYEE BENEFITS 431064,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431064,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431064,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431064,A000000,00700,0000,0700HOUSEKEEPING 431064,A000000,00800,0000,0800DIETARY 431064,A000000,00900,0000,0900NURSING ADMINISTRATION 431064,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431064,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431064,A000000,01300,0000,1300SOCIAL SERVICE 431064,A000000,01600,0000,1600SKILLED NURSING FACILITY 431064,A000000,01800,0000,1800NURSING FACILITY 431064,A000000,02100,0000,2100RADIOLOGY 431064,A000000,02200,0000,2200LABORATORY 431064,A000000,02500,0000,2500PHYSICAL THERAPY 431064,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431064,A000000,02700,0000,2700SPEECH PATHOLOGY 431064,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431064,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431064,A000000,03550,0000,3550FQHC 431064,A000000,05000,0000,5000CORF 431064,A000000,05010,0000,5010CMHC 431064,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431064,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431064,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431064,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431064,A81000A,00100,0100,Y 431064,A81000B,00100,0300,BOOKKEEPING FEES 431064,A81000B,00200,0300,ACCOUNTING 431064,A81000B,00300,0300,RENT 431064,A81000B,00400,0300,CAPITAL RELATED 431064,A81000B,00500,0300,EMPLOYEE BENEFITS 431064,A81000B,00600,0300,A&G 431064,A81000B,00700,0300,PLANT OPERATION 431064,A81000B,00800,0300,DIETARY CONSULTING 431064,A81000B,00900,0300,NURSING CONSULTING 431064,A81000B,01000,0300,ADMIN CONSULTING 431064,A81000B,01100,0300,DATA PROCESSING 431064,A81000B,01200,0300,MARKETING 431064,A81000B,01300,0300,CAPITAL RELATED 431064,A81000B,01400,0300,EMPLOYEE BENEFITS 431064,A81000B,01500,0300,A&G 431064,A81000B,01600,0300,DIETARY 431064,A81000B,01700,0300,NURSING SALARY 431064,A81000B,01800,0300,SS SALARY 431064,A81000B,01900,0300,RENT 431064,A81000B,02000,0300,R/E TAXES 431064,A81000B,02100,0300,PLANT OPERATION 431064,A81000B,02200,0300,A&G 431064,A81000B,02300,0300,CAPITAL RELATED 431064,A81000C,00100,0100,A 431064,A81000C,00100,0400,YAM MANAGEMENT 431064,A81000C,00100,0600,MANAGEMENT 431064,A81000C,00200,0100,A 431064,A81000C,00200,0400,YAM CONSULTING 431064,A81000C,00200,0600,CONSULTING 431064,A81000C,00300,0100,A 431064,A81000C,00300,0400,8131 N. MONTICE 431064,A81000C,00300,0600,BUILDING CO 431064,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431064,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431064,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431064,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431064,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431064,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 431064,B100000,00000,0800,0800MEALS SERVED :DIETARY 431064,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431064,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431064,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431064,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431064,E10A180,00501,0100,02/17/12 431064,G300000,02500,0000,BAD DEBT 431064,S000000,00100,0200,01/04/12 431064,S200000,00100,0100,1920 NORTH MAIN STREET 431064,S200000,00200,0100,ROCKFORD 431064,S200000,00200,0200,IL 431064,S200000,00200,0300,61103 431064,S200000,00300,0100,WINNEBAGO 431064,S200000,00300,0201,40420 431064,S200000,00300,0300,U 431064,S200000,00400,0100,ROCKFORD NURSING & REHAB CTR 431064,S200000,00400,0200,145919 431064,S200000,00400,0300,04/01/09 431064,S200000,00400,0500,P 431064,S200000,01500,0100,N 431064,S200000,01501,0200,Y 431064,S200000,01502,0200,Y 431064,S200000,01600,0100,Y 431064,S200000,01700,0100,N 431064,S200000,01800,0100,N 431064,S200000,01900,0100,LLC 431064,S200000,02200,0100,N 431064,S200000,02800,0100,N 431064,S200000,02900,0100,N 431064,S200000,03000,0100,N 431064,S200000,03100,0100,N 431064,S200000,03200,0100,N 431064,S200000,03300,0100,N 431064,S200000,03300,0200,N 431064,S200000,04100,0100,N 431064,S200000,04200,0100,N 431064,S200000,04300,0100,N 431064,S200000,04600,0100,N 431064,S200000,04700,0100,N 431064,S200000,04700,0200,N 431064,S200000,04900,0100,N 431064,S200000,05000,0100,N 431064,S200000,05100,0100,N 431064,S200000,05200,0100,N 431064,S200000,05300,0100,N 431083,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431083,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431083,A000000,00300,0000,0300EMPLOYEE BENEFITS 431083,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431083,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431083,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431083,A000000,00700,0000,0700HOUSEKEEPING 431083,A000000,00800,0000,0800DIETARY 431083,A000000,00900,0000,0900NURSING ADMINISTRATION 431083,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431083,A000000,01100,0000,1100PHARMACY 431083,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431083,A000000,01300,0000,1300SOCIAL SERVICE 431083,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431083,A000000,01600,0000,1600SKILLED NURSING FACILITY 431083,A000000,01800,0000,1800NURSING FACILITY 431083,A000000,01810,0000,1810ICF/MR 431083,A000000,01900,0000,1900OTHER LONG TERM CARE 431083,A000000,02100,0000,2100RADIOLOGY 431083,A000000,02200,0000,2200LABORATORY 431083,A000000,02300,0000,2300INTRAVENOUS THERAPY 431083,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431083,A000000,02500,0000,2500PHYSICAL THERAPY 431083,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431083,A000000,02700,0000,2700SPEECH PATHOLOGY 431083,A000000,02800,0000,2800ELECTROCARDIOLOGY 431083,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431083,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431083,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431083,A000000,03200,0000,3200SUPPORT SURFACES 431083,A000000,03400,0000,3400CLINIC 431083,A000000,03500,0000,3500RURAL HEALTH CLINIC 431083,A000000,03550,0000,3550FQHC 431083,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431083,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431083,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431083,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431083,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431083,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431083,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431083,A000000,04400,0000,4400DME RENTED - HHA 431083,A000000,04500,0000,4500DME SOLD - HHA 431083,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431083,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431083,A000000,04800,0000,4800AMBULANCE 431083,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431083,A000000,05000,0000,5000CORF 431083,A000000,05010,0000,5010CMHC 431083,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431083,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431083,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431083,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431083,A000000,05300,0000,5300INTEREST EXPENSE 431083,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431083,A000000,05500,0000,5500HOSPICE 431083,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431083,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431083,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431083,A000000,06100,0000,6100NONPAID WORKERS 431083,A000000,06200,0000,6200PATIENTS LAUNDRY 431083,A81000A,00100,0100,Y 431083,A81000B,00100,0300,HOME OFFICE ALLOCATION 431083,A81000B,00200,0300,HOME OFFICE ALLOCATION 431083,A81000B,00300,0300,HOME OFFICE ALLOCATION 431083,A81000B,00400,0300,HOME OFFICE ALLOCATION 431083,A81000B,00500,0300,HOME OFFICE ALLOCATION 431083,A81000B,01000,0300,DESERET THERAPY ALLOCATIO 431083,A81000B,01100,0300,DESERET THERAPY ALLOCATIO 431083,A81000B,01200,0300,DESERET THERAPY ALLOCATIO 431083,A81000B,01300,0300,DESERET THERAPY ALLOCATIO 431083,A81000B,01400,0300,DESERET THERAPY ALLOCATIO 431083,A81000B,01500,0300,DESERET THERAPY ALLOCATIO 431083,A81000C,00100,0100,A 431083,A81000C,00100,0200,SHAUNA ROBERTSON 431083,A81000C,00100,0400,DESERET HEALTH GROUP 431083,A81000C,00100,0600,MANAGEMENT 431083,A81000C,00200,0100,A 431083,A81000C,00200,0200,JON ROBERTSON 431083,A81000C,00200,0400,DESERET THERAPY 431083,A81000C,00200,0600,THERAPY 431083,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431083,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431083,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431083,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431083,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431083,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431083,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431083,B100000,00000,0800,0800MEALS SERVED :DIETARY 431083,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431083,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431083,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431083,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431083,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431083,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 431083,E10A180,00550,0100,04/30/12 431083,S000000,00100,0200,04/19/12 431083,S200000,00100,0100,1600 S WOODLAWN 431083,S200000,00200,0100,WICHITA 431083,S200000,00200,0200,KS 431083,S200000,00200,0300,67218 431083,S200000,00300,0100,SEDGWICK 431083,S200000,00300,0201,48620 431083,S200000,00300,0300,U 431083,S200000,00400,0100,DESERET NURSING & REHABILITATION AT 431083,S200000,00400,0200,175452 431083,S200000,00400,0300,11/30/07 431083,S200000,00400,0500,P 431083,S200000,01500,0100,Y 431083,S200000,01501,0200,Y 431083,S200000,01600,0100,N 431083,S200000,01700,0100,N 431083,S200000,01800,0100,N 431083,S200000,02200,0100,N 431083,S200000,02800,0100,N 431083,S200000,02900,0100,N 431083,S200000,03000,0100,N 431083,S200000,03100,0100,N 431083,S200000,03200,0100,N 431083,S200000,03300,0100,N 431083,S200000,03300,0200,N 431083,S200000,03600,0100,N 431083,S200000,03600,0200,N 431083,S200000,04100,0100,N 431083,S200000,04200,0100,N 431083,S200000,04300,0100,N 431083,S200000,04600,0100,N 431083,S200000,04700,0100,N 431083,S200000,04700,0200,N 431083,S200000,04900,0100,N 431083,S200000,05000,0100,N 431083,S200000,05100,0100,N 431083,S200000,05200,0100,N 431083,S200000,05300,0100,Y 431083,S200000,05300,0200,H00000 431083,S200000,05400,0100,DESERET NURSING AND REHABILIATION 431083,S200000,05400,0200,NORIDIAN 431083,S200000,05400,0300,03001 431083,S200000,05500,0100,190 S MAIN ST 431083,S200000,05600,0100,BOUNTIFUL 431083,S200000,05600,0200,UT 431083,S200000,05600,0300,84010 431083,S61C000,02000,0100,N 431083,S61D000,02000,0100,N 431083,S61E000,02000,0100,N 431083,S61F000,02000,0100,N 431083,S61G000,02000,0100,N 431085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431085,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 431085,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431085,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 431085,A000000,00300,0000,0300EMPLOYEE BENEFITS 431085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431085,A000000,00700,0000,0700HOUSEKEEPING 431085,A000000,00800,0000,0800DIETARY 431085,A000000,00801,0000,0801CAFETERIA 431085,A000000,00900,0000,0900NURSING ADMINISTRATION 431085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431085,A000000,01100,0000,1100PHARMACY 431085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431085,A000000,01300,0000,1300SOCIAL SERVICE 431085,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431085,A000000,01500,0000,1350ACTIVITIES 431085,A000000,01600,0000,1600SKILLED NURSING FACILITY 431085,A000000,01800,0000,1800NURSING FACILITY 431085,A000000,01900,0000,1900OTHER LONG TERM CARE 431085,A000000,02100,0000,2100RADIOLOGY 431085,A000000,02200,0000,2200LABORATORY 431085,A000000,02300,0000,2300INTRAVENOUS THERAPY 431085,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431085,A000000,02500,0000,2500PHYSICAL THERAPY 431085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431085,A000000,02700,0000,2700SPEECH PATHOLOGY 431085,A000000,02800,0000,2800ELECTROCARDIOLOGY 431085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431085,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431085,A000000,03200,0000,3200SUPPORT SURFACES 431085,A000000,03300,0000,3050ENTERALS 431085,A000000,03301,0000,3051OXYGEN 431085,A000000,03302,0000,3052OTHER ANCILLARY III 431085,A000000,03400,0000,3400CLINIC 431085,A000000,03500,0000,3500RURAL HEALTH CLINIC 431085,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 431085,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431085,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431085,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431085,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431085,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431085,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431085,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431085,A000000,04400,0000,4400DME RENTED - HHA 431085,A000000,04500,0000,4500DME SOLD - HHA 431085,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431085,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431085,A000000,04710,0000,4710TELEMEDICINE 431085,A000000,04800,0000,4800AMBULANCE 431085,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431085,A000000,05000,0000,5000CORF 431085,A000000,05001,0000,5001CMHC I 431085,A000000,05020,0000,5020OPT I 431085,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431085,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431085,A000000,05300,0000,5300INTEREST EXPENSE 431085,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431085,A000000,05500,0000,5500HOSPICE 431085,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 431085,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 431085,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431085,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431085,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431085,A000000,06100,0000,6100NONPAID WORKERS 431085,A000000,06200,0000,6200PATIENTS LAUNDRY 431085,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431085,A81000A,00100,0100,N 431085,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431085,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431085,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431085,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431085,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431085,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431085,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431085,B100000,00000,0800,0800MEALS SERVED :DIETARY 431085,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 431085,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431085,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431085,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431085,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431085,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431085,E10A180,00550,0100,04/12/12 431085,G300000,02500,0000, OTHER (SPECIFY) 431085,H513100,00000,0000,50308 431085,S000000,00100,0200,04/03/12 431085,S200000,00100,0100,255 TEXAS STREET 431085,S200000,00200,0100,RAPID CITY 431085,S200000,00200,0200,SD 431085,S200000,00200,0300,57769 431085,S200000,00300,0100,PENNINGTON 431085,S200000,00300,0200,6660 431085,S200000,00300,0201,39660 431085,S200000,00300,0300,U 431085,S200000,00400,0100,WESTHILLS VILLAGE 431085,S200000,00400,0200,435033 431085,S200000,00400,0300,03/01/85 431085,S200000,00400,0500,P 431085,S200000,00800,0200,437039 431085,S200000,00800,0300,01/01/92 431085,S200000,00800,0500,P 431085,S200000,00800,0600,P 431085,S200000,01500,0100,Y 431085,S200000,01501,0200,Y 431085,S200000,01502,0200,Y 431085,S200000,01503,0200,Y 431085,S200000,01504,0200,Y 431085,S200000,01600,0100,N 431085,S200000,01700,0100,N 431085,S200000,01800,0100,N 431085,S200000,02200,0100,N 431085,S200000,02800,0100,N 431085,S200000,02900,0100,N 431085,S200000,03000,0100,N 431085,S200000,03100,0100,N 431085,S200000,03200,0100,N 431085,S200000,03300,0100,N 431085,S200000,03300,0200,N 431085,S200000,03700,0100,N 431085,S200000,03700,0200,N 431085,S200000,04100,0100,N 431085,S200000,04200,0100,N 431085,S200000,04300,0100,Y 431085,S200000,04600,0100,N 431085,S200000,04700,0100,N 431085,S200000,04700,0200,N 431085,S200000,04900,0100,N 431085,S200000,05000,0100,N 431085,S200000,05100,0100,N 431085,S200000,05200,0100,N 431085,S200000,05300,0100,N 431085,S410002,01700,0101,50308 431150,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431150,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 431150,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431150,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 431150,A000000,00300,0000,0300EMPLOYEE BENEFITS 431150,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431150,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431150,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431150,A000000,00700,0000,0700HOUSEKEEPING 431150,A000000,00800,0000,0800DIETARY 431150,A000000,00801,0000,0801CAFETERIA 431150,A000000,00900,0000,0900NURSING ADMINISTRATION 431150,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431150,A000000,01100,0000,1100PHARMACY 431150,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431150,A000000,01300,0000,1300SOCIAL SERVICE 431150,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431150,A000000,01500,0000,1350ACTIVITIES 431150,A000000,01600,0000,1600SKILLED NURSING FACILITY 431150,A000000,01800,0000,1800NURSING FACILITY 431150,A000000,01900,0000,1900OTHER LONG TERM CARE 431150,A000000,02100,0000,2100RADIOLOGY 431150,A000000,02200,0000,2200LABORATORY 431150,A000000,02300,0000,2300INTRAVENOUS THERAPY 431150,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431150,A000000,02500,0000,2500PHYSICAL THERAPY 431150,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431150,A000000,02700,0000,2700SPEECH PATHOLOGY 431150,A000000,02800,0000,2800ELECTROCARDIOLOGY 431150,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431150,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431150,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431150,A000000,03200,0000,3200SUPPORT SURFACES 431150,A000000,03300,0000,3050ENTERALS 431150,A000000,03301,0000,3051OXYGEN 431150,A000000,03302,0000,3052OTHER ANCILLARY III 431150,A000000,03400,0000,3400CLINIC 431150,A000000,03500,0000,3500RURAL HEALTH CLINIC 431150,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 431150,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431150,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431150,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431150,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431150,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431150,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431150,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431150,A000000,04400,0000,4400DME RENTED - HHA 431150,A000000,04500,0000,4500DME SOLD - HHA 431150,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431150,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431150,A000000,04710,0000,4710TELEMEDICINE 431150,A000000,04800,0000,4800AMBULANCE 431150,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431150,A000000,05000,0000,5000CORF 431150,A000000,05001,0000,5001CMHC I 431150,A000000,05020,0000,5020OPT I 431150,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431150,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431150,A000000,05300,0000,5300INTEREST EXPENSE 431150,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431150,A000000,05500,0000,5500HOSPICE 431150,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 431150,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 431150,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431150,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431150,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431150,A000000,06100,0000,6100NONPAID WORKERS 431150,A000000,06200,0000,6200PATIENTS LAUNDRY 431150,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431150,A81000A,00100,0100,Y 431150,A81000B,00100,0300,SALARY 431150,A81000B,00200,0300,RENT 431150,A81000C,00100,0100,A 431150,A81000C,00100,0200,BEVRLY HARRISON 431150,A81000C,00200,0100,D 431150,A81000C,00200,0400,CLARK INC. 431150,A81000C,00200,0600,LESSOR 431150,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431150,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431150,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431150,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431150,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431150,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431150,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431150,B100000,00000,0800,0800MEALS SERVED :DIETARY 431150,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 431150,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431150,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431150,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431150,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431150,E10A180,00301,0100,06/09/11 431150,G300000,02500,0000, OTHER (SPECIFY) 431150,S000000,00100,0200,03/30/12 431150,S200000,00100,0100,221 2ND STREET 431150,S200000,00100,0300,398 431150,S200000,00200,0100,FOWLER 431150,S200000,00200,0200,CO 431150,S200000,00200,0300,81039 431150,S200000,00300,0100,OTERO 431150,S200000,00300,0200,06 431150,S200000,00300,0201,99906 431150,S200000,00300,0300,R 431150,S200000,00400,0100,FOWLER HEALTH CARE CENTER 431150,S200000,00400,0200,065360 431150,S200000,00400,0300,06/23/97 431150,S200000,00400,0500,P 431150,S200000,01500,0100,Y 431150,S200000,01501,0200,Y 431150,S200000,01502,0200,Y 431150,S200000,01503,0200,Y 431150,S200000,01504,0200,N 431150,S200000,01600,0100,N 431150,S200000,01700,0100,N 431150,S200000,01800,0100,N 431150,S200000,02200,0100,Y 431150,S200000,02800,0100,N 431150,S200000,02900,0100,N 431150,S200000,03000,0100,N 431150,S200000,03100,0100,N 431150,S200000,03200,0100,N 431150,S200000,03300,0100,N 431150,S200000,03300,0200,N 431150,S200000,04100,0100,N 431150,S200000,04200,0100,N 431150,S200000,04300,0100,N 431150,S200000,04600,0100,N 431150,S200000,04700,0100,N 431150,S200000,04700,0200,N 431150,S200000,04900,0100,N 431150,S200000,05000,0100,N 431150,S200000,05100,0100,N 431150,S200000,05200,0100,N 431150,S200000,05300,0100,N 431160,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431160,A000000,00300,0000,0300EMPLOYEE BENEFITS 431160,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431160,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431160,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431160,A000000,00700,0000,0700HOUSEKEEPING 431160,A000000,00800,0000,0800DIETARY 431160,A000000,00900,0000,0900NURSING ADMINISTRATION 431160,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431160,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431160,A000000,01300,0000,1300SOCIAL SERVICE 431160,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431160,A000000,01500,0000,1350OTHER GENERAL SERVICES 431160,A000000,01600,0000,1600SKILLED NURSING FACILITY 431160,A000000,01800,0000,1800NURSING FACILITY 431160,A000000,01810,0000,1810ICF/MR 431160,A000000,01900,0000,1900OTHER LONG TERM CARE 431160,A000000,02100,0000,2100RADIOLOGY 431160,A000000,02200,0000,2200LABORATORY 431160,A000000,02300,0000,2300INTRAVENOUS THERAPY 431160,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431160,A000000,02500,0000,2500PHYSICAL THERAPY 431160,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431160,A000000,02700,0000,2700SPEECH PATHOLOGY 431160,A000000,02800,0000,2800ELECTROCARDIOLOGY 431160,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431160,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431160,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431160,A000000,03200,0000,3200SUPPORT SURFACES 431160,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431160,A000000,03400,0000,3400CLINIC 431160,A000000,03500,0000,3500RURAL HEALTH CLINIC 431160,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431160,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431160,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431160,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431160,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431160,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431160,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431160,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431160,A000000,04400,0000,4400DME RENTED - HHA 431160,A000000,04500,0000,4500DME SOLD - HHA 431160,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431160,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431160,A000000,04710,0000,4710TELEMEDICINE 431160,A000000,04800,0000,4800AMBULANCE 431160,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431160,A000000,05000,0000,5000CORF 431160,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431160,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431160,A000000,05300,0000,5300INTEREST EXPENSE 431160,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431160,A000000,05500,0000,5500HOSPICE 431160,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431160,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431160,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431160,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431160,A000000,06100,0000,6100NONPAID WORKERS 431160,A000000,06200,0000,6200PATIENTS LAUNDRY 431160,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431160,A81000A,00100,0100,Y 431160,A81000B,00100,0300,RENT EXPENSE 431160,A81000B,00200,0300,OWNERS COMP 431160,A81000C,00100,0100,A 431160,A81000C,00100,0200,CRG EM HOLDING-A GUTNICKI 431160,A81000C,00100,0400,CRG EM REALTY LLC 431160,A81000C,00100,0600,REALTY COMPANY 431160,A81000C,00200,0100,A 431160,A81000C,00200,0200,CRG EM HOLDING-NOAH TRUST 431160,A81000C,00200,0400,CRG EM REALTY LLC 431160,A81000C,00200,0600,REALTY COMPANY 431160,A81000C,00300,0100,A 431160,A81000C,00300,0200,CRG EM HOLDING-DANIEL LEV 431160,A81000C,00300,0400,CRG EM REALTY LLC 431160,A81000C,00300,0600,REALTY COMPANY 431160,A81000C,00400,0100,A 431160,A81000C,00400,0200,CRG EM HOLDING-J KAGAN 431160,A81000C,00400,0400,CRG EM REALTY LLC 431160,A81000C,00400,0600,REALTY COMPANY 431160,A81000C,00500,0100,A 431160,A81000C,00500,0200,CRG EM HOLDING-M MAGENCE 431160,A81000C,00500,0400,CRG EM REALTY LLC 431160,A81000C,00500,0600,REALTY COMPANY 431160,A81000C,00600,0100,A 431160,A81000C,00600,0200,ABRAHAM GUTNICKI 431160,A81000C,00600,0400,CRG MANAGEMENT LLC 431160,A81000C,00600,0600,OWNERS COMP 431160,A81000C,00700,0100,A 431160,A81000C,00700,0200,DANIEL LEV 431160,A81000C,00700,0400,CRG MANAGEMENT LLC 431160,A81000C,00700,0600,OWNERS COMP 431160,A81000C,00800,0100,A 431160,A81000C,00800,0200,JEFFREY KAGAN 431160,A81000C,00800,0400,CRG MANAGEMENT LLC 431160,A81000C,00800,0600,OWNERS COMP 431160,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431160,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431160,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431160,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431160,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431160,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431160,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431160,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431160,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431160,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431160,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431160,E10A180,00501,0100,08/19/11 431160,E10A180,00550,0100,06/01/11 431160,S000000,00100,0200,07/15/11 431160,S200000,00100,0100,430 SOUTH 30TH AVENUE 431160,S200000,00200,0100,EAST MOLINE 431160,S200000,00200,0200,IL 431160,S200000,00200,0300,61244 431160,S200000,00300,0100,ROCK ISLAND 431160,S200000,00300,0201,40816 431160,S200000,00300,0300,U 431160,S200000,00400,0100,EAST MOLINE NURSING & REHAB 431160,S200000,00400,0200,146041 431160,S200000,00400,0300,12/13/02 431160,S200000,00400,0500,P 431160,S200000,01500,0100,N 431160,S200000,01600,0100,Y 431160,S200000,01700,0100,N 431160,S200000,01800,0100,N 431160,S200000,02200,0100,N 431160,S200000,02800,0100,N 431160,S200000,02900,0100,N 431160,S200000,03000,0100,N 431160,S200000,03100,0100,N 431160,S200000,03200,0100,N 431160,S200000,03300,0100,N 431160,S200000,03300,0200,N 431160,S200000,04100,0100,N 431160,S200000,04200,0100,N 431160,S200000,04300,0100,N 431160,S200000,04600,0100,N 431160,S200000,04700,0100,N 431160,S200000,04700,0200,N 431160,S200000,04900,0100,N 431160,S200000,05000,0100,N 431160,S200000,05100,0100,N 431160,S200000,05200,0100,N 431160,S200000,05300,0100,N 431196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431196,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431196,A000000,00300,0000,0300EMPLOYEE BENEFITS 431196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431196,A000000,00700,0000,0700HOUSEKEEPING 431196,A000000,00800,0000,0800DIETARY 431196,A000000,00900,0000,0900NURSING ADMINISTRATION 431196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431196,A000000,01100,0000,1100PHARMACY 431196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431196,A000000,01300,0000,1300SOCIAL SERVICE 431196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431196,A000000,01500,0000,1350OTHER GENERAL SERVICES 431196,A000000,01600,0000,1600SKILLED NURSING FACILITY 431196,A000000,01800,0000,1800NURSING FACILITY 431196,A000000,01810,0000,1810ICF/MR 431196,A000000,01900,0000,1900OTHER LONG TERM CARE 431196,A000000,02100,0000,2100RADIOLOGY 431196,A000000,02200,0000,2200LABORATORY 431196,A000000,02300,0000,2300INTRAVENOUS THERAPY 431196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431196,A000000,02500,0000,2500PHYSICAL THERAPY 431196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431196,A000000,02700,0000,2700SPEECH PATHOLOGY 431196,A000000,02800,0000,2800ELECTROCARDIOLOGY 431196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431196,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431196,A000000,03200,0000,3200SUPPORT SURFACES 431196,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431196,A000000,03400,0000,3400CLINIC 431196,A000000,03500,0000,3500RURAL HEALTH CLINIC 431196,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431196,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431196,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431196,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431196,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431196,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431196,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431196,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431196,A000000,04400,0000,4400DME RENTED - HHA 431196,A000000,04500,0000,4500DME SOLD - HHA 431196,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431196,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431196,A000000,04710,0000,4710TELEMEDICINE 431196,A000000,04800,0000,4800AMBULANCE 431196,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431196,A000000,05000,0000,5000CORF 431196,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431196,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431196,A000000,05300,0000,5300INTEREST EXPENSE 431196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431196,A000000,05500,0000,5500HOSPICE 431196,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431196,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431196,A000000,06100,0000,6100NONPAID WORKERS 431196,A000000,06200,0000,6200PATIENTS LAUNDRY 431196,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431196,A81000A,00100,0100,N 431196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431196,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431196,B100000,00000,0800,0800MEALS SERVED :DIETARY 431196,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431196,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431196,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431196,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431196,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431196,S000000,00100,0200,05/04/12 431196,S200000,00100,0100,815 EAST GRAYSON 431196,S200000,00200,0100,SAN ANTONIO 431196,S200000,00200,0200,TX 431196,S200000,00200,0300,78208 431196,S200000,00300,0100,BEXAR 431196,S200000,00300,0201,41700 431196,S200000,00300,0300,U 431196,S200000,00400,0100,GRAYSON SQUARE HEALTHCARE CENTER 431196,S200000,00400,0200,675615 431196,S200000,00400,0300,07/23/96 431196,S200000,00400,0500,P 431196,S200000,00600,0200,675615 431196,S200000,00600,0300,07/23/96 431196,S200000,00600,0600,P 431196,S200000,01500,0100,N 431196,S200000,01501,0200,Y 431196,S200000,01503,0200,Y 431196,S200000,01600,0100,Y 431196,S200000,01700,0100,N 431196,S200000,01800,0100,N 431196,S200000,02200,0100,N 431196,S200000,02800,0100,Y 431196,S200000,02900,0100,N 431196,S200000,03000,0100,N 431196,S200000,03100,0100,N 431196,S200000,03200,0100,N 431196,S200000,03300,0100,N 431196,S200000,03300,0200,N 431196,S200000,03500,0300,N 431196,S200000,04100,0100,N 431196,S200000,04200,0100,N 431196,S200000,04300,0100,N 431196,S200000,04600,0100,N 431196,S200000,04700,0100,N 431196,S200000,04700,0200,N 431196,S200000,04900,0100,N 431196,S200000,05000,0100,N 431196,S200000,05100,0100,N 431196,S200000,05200,0100,N 431352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431352,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431352,A000000,00300,0000,0300EMPLOYEE BENEFITS 431352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431352,A000000,00700,0000,0700HOUSEKEEPING 431352,A000000,00800,0000,0800DIETARY 431352,A000000,00900,0000,0900NURSING ADMINISTRATION 431352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431352,A000000,01100,0000,1100PHARMACY 431352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431352,A000000,01300,0000,1300SOCIAL SERVICE 431352,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431352,A000000,01600,0000,1600SKILLED NURSING FACILITY 431352,A000000,01800,0000,1800NURSING FACILITY 431352,A000000,01900,0000,1900OTHER LONG TERM CARE 431352,A000000,02100,0000,2100RADIOLOGY 431352,A000000,02200,0000,2200LABORATORY 431352,A000000,02300,0000,2300INTRAVENOUS THERAPY 431352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431352,A000000,02500,0000,2500PHYSICAL THERAPY 431352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431352,A000000,02700,0000,2700SPEECH PATHOLOGY 431352,A000000,02800,0000,2800ELECTROCARDIOLOGY 431352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431352,A000000,03200,0000,3200SUPPORT SURFACES 431352,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431352,A000000,03400,0000,3400CLINIC 431352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431352,A000000,04800,0000,4800AMBULANCE 431352,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431352,A000000,05000,0000,5000CORF 431352,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431352,A000000,05300,0000,5300INTEREST EXPENSE 431352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431352,A000000,05500,0000,5500HOSPICE 431352,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431352,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431352,A000000,06100,0000,6100NONPAID WORKERS 431352,A000000,06200,0000,6200PATIENTS LAUNDRY 431352,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431352,A81000A,00100,0100,Y 431352,A81000B,00100,0300,REPAIRS-EQUIPMENT 431352,A81000B,00200,0300,LINEN & BEDDING 431352,A81000B,00300,0300,SUPPLIES 431352,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 431352,A81000B,00500,0300,PAPER PRODUCTS & HAND SOAP 431352,A81000B,00600,0300,SUPPLIES 431352,A81000B,00700,0300,DIETARY SUPPLIES 431352,A81000B,00800,0300,SUPPLIES 431352,A81000B,00900,0300,BIO-MEDICAL WASTE 431352,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 431352,A81000B,01100,0300,PERSONAL CARE SUPPLIES 431352,A81000B,01200,0300,INCONTENENCE SUPPLIES 431352,A81000B,01300,0300,MEDICAL SUPPLIES 431352,A81000B,01400,0300,OXYGEN THERAPY SUPPLIES 431352,A81000B,01500,0300,SUPPLIES 431352,A81000B,01600,0300,BILLABLE MEDICAL SUPPLIES 431352,A81000B,01700,0300,AUTO EXPENSE 431352,A81000B,01800,0300,NURSING EQUIPMENT RENTAL 431352,A81000B,01900,0300,NON-LEGEND DRUGS 431352,A81000B,02000,0300,PHARMACY CONSULTANT 431352,A81000B,02100,0300,SUPPLIES 431352,A81000B,02200,0300,LEGEND DRUGS 431352,A81000B,02300,0300,OFFICE SUPPLIES 431352,A81000B,02400,0300,REPAIRS-BUILDING 431352,A81000B,02500,0300,SUPPLIES 431352,A81000B,02600,0300,NURSING CONSULTING 431352,A81000B,02700,0300,DIETARY CONSULTING 431352,A81000B,02800,0300,HOME OFFICE 431352,A81000B,02900,0300,INTEREST EXPENSE 431352,A81000C,00100,0100,B 431352,A81000C,00100,0400,KARE MEDICAL 431352,A81000C,00100,0600,WHOLESALE SUPPL 431352,A81000C,00200,0100,B 431352,A81000C,00200,0400,KARE MEDICAL 431352,A81000C,00200,0600,WHOLESALE SUPPL 431352,A81000C,00300,0100,B 431352,A81000C,00300,0400,KARE MEDICAL 431352,A81000C,00300,0600,WHOLESALE SUPPL 431352,A81000C,00400,0100,B 431352,A81000C,00400,0400,KARE MEDICAL 431352,A81000C,00400,0600,WHOLESALE SUPPL 431352,A81000C,00500,0100,B 431352,A81000C,00500,0400,KARE MEDICAL 431352,A81000C,00500,0600,WHOLESALE SUPPL 431352,A81000C,00600,0100,B 431352,A81000C,00600,0400,KARE MEDICAL 431352,A81000C,00600,0600,WHOLESALE SUPPL 431352,A81000C,00700,0100,B 431352,A81000C,00700,0400,KARE MEDICAL 431352,A81000C,00700,0600,WHOLESALE SUPPL 431352,A81000C,00800,0100,B 431352,A81000C,00800,0400,KARE MEDICAL 431352,A81000C,00800,0600,WHOLESALE SUPPL 431352,A81000C,00900,0100,B 431352,A81000C,00900,0400,KARE MEDICAL 431352,A81000C,00900,0600,WHOLESALE SUPPL 431352,A81000C,01000,0100,B 431352,A81000C,01000,0400,KARE MEDICAL 431352,A81000C,01000,0600,WHOLESALE SUPPL 431352,A81000C,01001,0100,B 431352,A81000C,01001,0400,KARE MEDICAL 431352,A81000C,01001,0600,WHOLESALE SUPPL 431352,A81000C,01002,0100,B 431352,A81000C,01002,0400,KARE MEDICAL 431352,A81000C,01002,0600,WHOLESALE SUPPL 431352,A81000C,01003,0100,B 431352,A81000C,01003,0400,KARE MEDICAL 431352,A81000C,01003,0600,WHOLESALE SUPPL 431352,A81000C,01004,0100,B 431352,A81000C,01004,0400,KARE MEDICAL 431352,A81000C,01004,0600,WHOLESALE SUPPL 431352,A81000C,01005,0100,B 431352,A81000C,01005,0400,KARE MEDICAL 431352,A81000C,01005,0600,WHOLESALE SUPPL 431352,A81000C,01006,0100,B 431352,A81000C,01006,0400,KARE MEDICAL 431352,A81000C,01006,0600,WHOLESALE SUPPL 431352,A81000C,01007,0100,B 431352,A81000C,01007,0400,PHARMSAVE 431352,A81000C,01007,0600,RX SUPPLIES 431352,A81000C,01008,0100,B 431352,A81000C,01008,0400,PHARMSAVE 431352,A81000C,01008,0600,RX SUPPLIES 431352,A81000C,01009,0100,B 431352,A81000C,01009,0400,PHARMSAVE 431352,A81000C,01009,0600,RX SUPPLIES 431352,A81000C,01010,0100,B 431352,A81000C,01010,0400,PHARMSAVE 431352,A81000C,01010,0600,RX SUPPLIES 431352,A81000C,01011,0100,B 431352,A81000C,01011,0400,PHARMSAVE 431352,A81000C,01011,0600,RX SUPPLIES 431352,A81000C,01012,0100,B 431352,A81000C,01012,0400,PHARMSAVE 431352,A81000C,01012,0600,RX SUPPLIES 431352,A81000C,01013,0100,B 431352,A81000C,01013,0400,ROBERT HILL CON 431352,A81000C,01013,0600,CONSTRUCTION 431352,A81000C,01014,0100,B 431352,A81000C,01014,0400,ROBERT HILL CON 431352,A81000C,01014,0600,CONSTRUCTION 431352,A81000C,01015,0100,B 431352,A81000C,01015,0400,ROBERT HILL CON 431352,A81000C,01015,0600,CONSTRUCTION 431352,A81000C,01016,0100,B 431352,A81000C,01016,0400,BRITTHAVEN INC 431352,A81000C,01016,0600,MGMT SERVICES 431352,A81000C,01017,0100,B 431352,A81000C,01017,0400,BRITTHAVEN INC 431352,A81000C,01017,0600,MGMT SERVICES 431352,A81000C,01018,0100,B 431352,A81000C,01018,0400,BRITTHAVEN INC 431352,A81000C,01018,0600,MGMT SERVICES 431352,A81000C,01019,0100,B 431352,A81000C,01019,0400,BRITTHAVEN INC 431352,A81000C,01019,0600,MGMT SERVICES 431352,A81000C,01020,0100,B 431352,A81000C,01020,0200,DISCOVERY INSUR 431352,A81000C,01020,0600,INSURANCE 431352,A81000C,01021,0100,B 431352,A81000C,01021,0200,QUEENSLAND ASSU 431352,A81000C,01021,0600,INSURANCE 431352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431352,B100000,00000,0800,0800MEALS SERVED :DIETARY 431352,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431352,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431352,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431352,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431352,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431352,G300000,02500,0000, OTHER (SPECIFY) 431352,S000000,00100,0200,02/24/12 431352,S200000,00100,0100,225 WHITE STREET 431352,S200000,00200,0100,JACKSONVILLE 431352,S200000,00200,0200,NC 431352,S200000,00200,0300,28540 431352,S200000,00300,0100,ONSLOW 431352,S200000,00300,0201,27340 431352,S200000,00300,0300,U 431352,S200000,00400,0100,BRITTHAVEN OF JACKSONVILLE 431352,S200000,00400,0200,345217 431352,S200000,00400,0300,11/25/81 431352,S200000,00400,0500,P 431352,S200000,01500,0100,N 431352,S200000,01501,0200,Y 431352,S200000,01503,0200,Y 431352,S200000,01505,0000,OTHER (SPECIFY) 431352,S200000,01505,0200,Y 431352,S200000,01600,0100,Y 431352,S200000,01700,0100,N 431352,S200000,01800,0100,N 431352,S200000,02200,0100,N 431352,S200000,02800,0100,N 431352,S200000,02900,0100,N 431352,S200000,03000,0100,N 431352,S200000,03100,0100,Y 431352,S200000,03200,0100,N 431352,S200000,03300,0100,N 431352,S200000,03300,0200,N 431352,S200000,04100,0100,N 431352,S200000,04200,0100,N 431352,S200000,04300,0100,N 431352,S200000,04600,0100,N 431352,S200000,04700,0100,N 431352,S200000,04700,0200,N 431352,S200000,04900,0100,N 431352,S200000,05000,0100,N 431352,S200000,05100,0100,N 431352,S200000,05200,0100,N 431352,S200000,05300,0100,Y 431352,S200000,05300,0200,349011 431352,S200000,05400,0100,BRITTHAVEN INC. 431352,S200000,05400,0200,PALMETTO GBA 431352,S200000,05400,0300,11501 431352,S200000,05500,0100,1435 HWY 258 NORTH 431352,S200000,05500,0200,PO BOX 61 431352,S200000,05600,0100,KINSTON 431352,S200000,05600,0200,NC 431352,S200000,05600,0300,28502 431405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431405,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431405,A000000,00300,0000,0300EMPLOYEE BENEFITS 431405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431405,A000000,00700,0000,0700HOUSEKEEPING 431405,A000000,00800,0000,0800DIETARY 431405,A000000,00900,0000,0900NURSING ADMINISTRATION 431405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431405,A000000,01100,0000,1100PHARMACY 431405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431405,A000000,01300,0000,1300SOCIAL SERVICE 431405,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431405,A000000,01500,0000,1350RECREATION 431405,A000000,01600,0000,1600SKILLED NURSING FACILITY 431405,A000000,01810,0000,1810ICF/MR 431405,A000000,02100,0000,2100RADIOLOGY 431405,A000000,02200,0000,2200LABORATORY 431405,A000000,02300,0000,2300INTRAVENOUS THERAPY 431405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431405,A000000,02500,0000,2500PHYSICAL THERAPY 431405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431405,A000000,02700,0000,2700SPEECH PATHOLOGY 431405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431405,A000000,03550,0000,3550FQHC 431405,A000000,04801,0000,4801AMBULANCE 431405,A000000,04802,0000,4802AMBULANCE 431405,A000000,04803,0000,4803AMBULANCE 431405,A000000,05000,0000,5000CORF 431405,A000000,05010,0000,5010CMHC 431405,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431405,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431405,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431405,A81000A,00100,0100,Y 431405,A81000B,00100,0300,AS ATTACHED 431405,A81000B,00200,0300,HOME OFFICE INTEREST 431405,A81000B,00300,0300,HOME OFFICE A&G 431405,A81000B,00400,0300,HOME OFFICE CAP PIEC 431405,A81000C,00100,0100,B 431405,A81000C,00100,0400,AS ATTACHED 431405,A81000C,00100,0600,VARIOUS 431405,A81000C,00200,0100,B 431405,A81000C,00200,0400,GHC 431405,A81000C,00200,0600,LONG TERM CARE 431405,A81000C,00300,0100,B 431405,A81000C,00300,0400,GHC 431405,A81000C,00300,0600,LONG TERM CARE 431405,A81000C,00400,0100,B 431405,A81000C,00400,0400,GHC 431405,A81000C,00400,0600,LONG TERM CARE 431405,B100000,00000,0100,0100SQUARE FEET 431405,B100000,00000,0200,0200SQUARE FEET 431405,B100000,00000,0300,0300GROSS SALARIES 431405,B100000,00000,0400,0400ACCUM COST 431405,B100000,00000,0500,0500SQUARE FEET 431405,B100000,00000,0600,0600PATIENT DAYS 431405,B100000,00000,0700,0700SQUARE FEET 431405,B100000,00000,0800,0800MEALS SERVED 431405,B100000,00000,0900,0900NURSING SALARIES 431405,B100000,00000,1000,1000COSTED REQUIS 431405,B100000,00000,1100,1100COSTED REQUIS 431405,B100000,00000,1200,1200PATIENT DAYS 431405,B100000,00000,1300,1300PATIENT DAYS 431405,B100000,00000,1400,1400ASSIGNED TIME 431405,B100000,00000,1500,1350PATIENT DAYS 431405,E10A180,00301,0100,03/24/11 431405,E10A180,00501,0300,10/11/11 431405,E10A180,00550,0100,10/11/11 431405,G300000,02500,0000,BARBER & BEAUTY 431405,S000000,00100,0200,09/07/11 431405,S200000,00100,0100,800 WEST MINER STREET 431405,S200000,00200,0100,WEST CHESTER 431405,S200000,00200,0200,PA 431405,S200000,00200,0300,19382 431405,S200000,00300,0100,CHESTER 431405,S200000,00300,0201,37964 431405,S200000,00300,0300,U 431405,S200000,00400,0100,BRANDYWINE HALL 431405,S200000,00400,0200,395740 431405,S200000,00400,0300,07/31/87 431405,S200000,00400,0500,P 431405,S200000,01500,0100,Y 431405,S200000,01501,0200,N 431405,S200000,01502,0200,N 431405,S200000,01503,0200,N 431405,S200000,01504,0200,N 431405,S200000,01600,0100,N 431405,S200000,01700,0100,N 431405,S200000,01800,0100,N 431405,S200000,02200,0100,Y 431405,S200000,02800,0100,N 431405,S200000,02900,0100,N 431405,S200000,03000,0100,N 431405,S200000,03100,0100,N 431405,S200000,03200,0100,N 431405,S200000,03300,0100,N 431405,S200000,03300,0200,N 431405,S200000,04200,0100,N 431405,S200000,04300,0100,N 431405,S200000,04600,0100,N 431405,S200000,04700,0100,N 431405,S200000,04900,0100,N 431405,S200000,05200,0100,N 431405,S200000,05300,0100,Y 431405,S200000,05300,0200,HB0067 431405,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431405,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431405,S200000,05400,0300,12001 431405,S200000,05500,0100,101 EAST STATE STREET 431405,S200000,05600,0100,KENNETT SQUARE 431405,S200000,05600,0200,PA 431405,S200000,05600,0300,19348 431413,S000000,00100,0200,05/21/12 431413,S200000,00100,0100,400 EAST FOURTH STREET 431413,S200000,00200,0100,MANAWA 431413,S200000,00200,0200,WI 431413,S200000,00200,0300,54949 431413,S200000,00300,0100,WAUPACA 431413,S200000,00400,0100,MANAWA COMMUNITY NURSING CENTER 431413,S200000,00400,0300,03/09/82 431424,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431424,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431424,A000000,00300,0000,0300EMPLOYEE BENEFITS 431424,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431424,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431424,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431424,A000000,00700,0000,0700HOUSEKEEPING 431424,A000000,00800,0000,0800DIETARY 431424,A000000,00900,0000,0900NURSING ADMINISTRATION 431424,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431424,A000000,01100,0000,1100PHARMACY 431424,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431424,A000000,01300,0000,1300SOCIAL SERVICE 431424,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431424,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 431424,A000000,01600,0000,1600SKILLED NURSING FACILITY 431424,A000000,01800,0000,1800NURSING FACILITY 431424,A000000,01900,0000,1900OTHER LONG TERM CARE 431424,A000000,02100,0000,2100RADIOLOGY 431424,A000000,02200,0000,2200LABORATORY 431424,A000000,02300,0000,2300INTRAVENOUS THERAPY 431424,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431424,A000000,02500,0000,2500PHYSICAL THERAPY 431424,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431424,A000000,02700,0000,2700SPEECH PATHOLOGY 431424,A000000,02800,0000,2800ELECTROCARDIOLOGY 431424,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431424,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431424,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431424,A000000,03200,0000,3200SUPPORT SURFACES 431424,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431424,A000000,03400,0000,3400CLINIC 431424,A000000,03500,0000,3500RURAL HEALTH CLINIC 431424,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 431424,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431424,A000000,05000,0000,5000CORF 431424,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 431424,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431424,A000000,05300,0000,5300INTEREST EXPENSE 431424,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431424,A000000,05500,0000,5500HOSPICE 431424,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 431424,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431424,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431424,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431424,A000000,06100,0000,6100NONPAID WORKERS 431424,A000000,06200,0000,6200PATIENTS LAUNDRY 431424,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431424,A81000A,00100,0100,Y 431424,A81000B,00100,0300,HOME OFFICE - PROPERTY 431424,A81000B,00200,0300,HOME OFFICE - PATIENT CARE 431424,A81000B,00300,0300,HOME OFFICE - OPERATING 431424,A81000B,00400,0300,ACCOUNTING FEES 431424,A81000B,00500,0300,DATA PROCESSING 431424,A81000B,00800,0300,PHYSICAL THERAPY 431424,A81000B,00900,0300,OCCUPATIONAL THERAPY 431424,A81000B,01000,0300,SPEECH THERAPY 431424,A81000B,01100,0300,PHARMACY 431424,A81000C,00100,0100,A 431424,A81000C,00100,0200,JOSEPH D. MITCHELL 431424,A81000C,00100,0400,SUMMIT CARE II INC. 431424,A81000C,00100,0600,MANAGEMENT 431424,A81000C,00200,0100,A 431424,A81000C,00200,0200,C. GUY FARMER 431424,A81000C,00200,0400,SUMMIT CARE II INC. 431424,A81000C,00200,0600,MANAGEMENT 431424,A81000C,00300,0100,A 431424,A81000C,00300,0200,JOSEPH D. MITCHELL 431424,A81000C,00300,0400,REMINGTON FINANCIAL SOLUT 431424,A81000C,00300,0600,BILLING COMPANY 431424,A81000C,00400,0100,A 431424,A81000C,00400,0200,C. GUY FARMER 431424,A81000C,00400,0400,REMINGTON FINANCIAL SOLUT 431424,A81000C,00400,0600,BILLING COMPANY 431424,A81000C,00500,0100,A 431424,A81000C,00500,0200,JOSEPH D. MITCHELL 431424,A81000C,00500,0400,MITCHELL & COMPANY CPA S 431424,A81000C,00500,0600,ACCOUNTING FIRM 431424,A81000C,00600,0100,A 431424,A81000C,00600,0200,C. GUY FARMER 431424,A81000C,00600,0400,MITCHELL & COMPANY CPA S 431424,A81000C,00600,0600,ACCOUNTING FIRM 431424,A81000C,00700,0100,A 431424,A81000C,00700,0200,JOSEPH D. MITCHELL 431424,A81000C,00700,0400,SANTALAND INC. 431424,A81000C,00700,0600,LESSOR 431424,A81000C,00800,0100,A 431424,A81000C,00800,0200,C. GUY FARMER 431424,A81000C,00800,0400,SANTALAND INC. 431424,A81000C,00800,0600,LESSOR 431424,A81000C,00900,0100,A 431424,A81000C,00900,0200,JOSEPH D. MITCHELL 431424,A81000C,00900,0400,HEALTH CONN. REHAB SRV. 431424,A81000C,00900,0600,THERAPY COMPANY 431424,A81000C,01000,0100,A 431424,A81000C,01000,0200,C. GUY FARMER 431424,A81000C,01000,0400,HEALTH CONN. REHAB SRV. 431424,A81000C,01000,0600,THERAPY COMPANY 431424,A81000C,01001,0100,A 431424,A81000C,01001,0200,JOSEPH D. MITCHELL 431424,A81000C,01001,0400,GUARDIAN PHARMACY 431424,A81000C,01001,0600,PHARMACY 431424,A81000C,01002,0100,A 431424,A81000C,01002,0200,C. GUY FARMER 431424,A81000C,01002,0400,GUARDIAN PHARMACY 431424,A81000C,01002,0600,PHARMACY 431424,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431424,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431424,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431424,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431424,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431424,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431424,B100000,00000,0800,0800MEALS SERVED :DIETARY 431424,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 431424,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431424,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431424,E10A180,00501,0100,03/08/12 431424,E10A180,00501,0300,03/08/12 431424,G300000,02506,0000,REVENUE PEN THERAPY AND WOUND CARE 431424,G300000,02507,0000,MISC. INCOME 431424,S000000,00100,0200,02/14/12 431424,S200000,00100,0100,3333 CAPITAL MEDICAL BLVD 431424,S200000,00200,0100,TALLAHASSEE 431424,S200000,00200,0200,FL 431424,S200000,00200,0300,32308 431424,S200000,00300,0100,LEON 431424,S200000,00300,0200,8240 431424,S200000,00300,0201,45220 431424,S200000,00300,0300,U 431424,S200000,00400,0100,SEVEN HILLS HEALTH & REHAB CENTER 431424,S200000,00400,0200,105364 431424,S200000,00400,0300,12/01/10 431424,S200000,00400,0500,P 431424,S200000,01500,0100,Y 431424,S200000,01501,0200,N 431424,S200000,01502,0200,N 431424,S200000,01503,0200,N 431424,S200000,01504,0200,N 431424,S200000,01600,0100,N 431424,S200000,01700,0100,N 431424,S200000,01800,0100,N 431424,S200000,02200,0100,N 431424,S200000,02800,0100,N 431424,S200000,02900,0100,N 431424,S200000,03000,0100,N 431424,S200000,03100,0100,N 431424,S200000,03200,0100,N 431424,S200000,03300,0100,N 431424,S200000,03300,0200,N 431424,S200000,04100,0100,N 431424,S200000,04200,0100,N 431424,S200000,04300,0100,N 431424,S200000,04600,0100,N 431424,S200000,04700,0100,N 431424,S200000,04700,0200,N 431424,S200000,04900,0100,N 431424,S200000,05000,0100,N 431424,S200000,05100,0100,N 431424,S200000,05200,0100,N 431424,S200000,05300,0100,Y 431424,S200000,05300,0200,108160 431424,S200000,05400,0100,SUMMIT CARE II INC 431424,S200000,05400,0200,FCSO 431424,S200000,05400,0300,00090 431424,S200000,05500,0100,2851 REMINGTON GREEN CIRCLE STE D 431424,S200000,05600,0100,TALLAHASSEE 431424,S200000,05600,0200,FL 431424,S200000,05600,0300,32308 431434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431434,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431434,A000000,00300,0000,0300EMPLOYEE BENEFITS 431434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431434,A000000,00700,0000,0700HOUSEKEEPING 431434,A000000,00800,0000,0800DIETARY 431434,A000000,00900,0000,0900NURSING ADMINISTRATION 431434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431434,A000000,01100,0000,1100PHARMACY 431434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431434,A000000,01300,0000,1300SOCIAL SERVICE 431434,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431434,A000000,01500,0000,1350OTHER GENERAL SERVICES 431434,A000000,01600,0000,1600SKILLED NURSING FACILITY 431434,A000000,01800,0000,1800NURSING FACILITY 431434,A000000,01810,0000,1810ICF/MR 431434,A000000,01900,0000,1900OTHER LONG TERM CARE 431434,A000000,02100,0000,2100RADIOLOGY 431434,A000000,02200,0000,2200LABORATORY 431434,A000000,02300,0000,2300INTRAVENOUS THERAPY 431434,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431434,A000000,02500,0000,2500PHYSICAL THERAPY 431434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431434,A000000,02700,0000,2700SPEECH PATHOLOGY 431434,A000000,02800,0000,2800ELECTROCARDIOLOGY 431434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431434,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431434,A000000,03200,0000,3200SUPPORT SURFACES 431434,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431434,A000000,03400,0000,3400CLINIC 431434,A000000,03500,0000,3500RURAL HEALTH CLINIC 431434,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431434,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431434,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431434,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431434,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431434,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431434,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431434,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431434,A000000,04400,0000,4400DME RENTED - HHA 431434,A000000,04500,0000,4500DME SOLD - HHA 431434,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431434,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431434,A000000,04710,0000,4710TELEMEDICINE 431434,A000000,04800,0000,4800AMBULANCE 431434,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431434,A000000,05000,0000,5000CORF 431434,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431434,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431434,A000000,05300,0000,5300INTEREST EXPENSE 431434,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431434,A000000,05500,0000,5500HOSPICE 431434,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431434,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431434,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431434,A000000,06100,0000,6100NONPAID WORKERS 431434,A000000,06200,0000,6200PATIENTS LAUNDRY 431434,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431434,A81000A,00100,0100,Y 431434,A81000B,00100,0300,RENT 431434,A81000B,00200,0300,INTEEST 431434,A81000B,00300,0300,DEPRECIATION 431434,A81000B,00400,0300,PROPERTY ADMIN COSTS 431434,A81000B,00500,0300,MANAGEMENT FEES 431434,A81000B,00600,0300,ACCOUNTING FEES 431434,A81000B,00700,0300,TRAVEL EXPENSE 431434,A81000B,00800,0300,NURSING SALARIES 431434,A81000B,00900,0300,NURSING ADMIN. SALARIES 431434,A81000B,01000,0300,ADMIN SALARIES 431434,A81000B,01100,0300,SOCIAL SERV SALARIES 431434,A81000B,01200,0300,EMPLOYEE BENEFITS 431434,A81000B,01300,0300,HUMAN RESOURCE EXPENSE 431434,A81000C,00100,0100,A 431434,A81000C,00100,0200,KC CROSS 431434,A81000C,00100,0400,VOLUNTEER PROP - MONTICEL 431434,A81000C,00100,0600,LANDLORD 431434,A81000C,00200,0100,A 431434,A81000C,00200,0200,KC CROSS 431434,A81000C,00200,0400,VOLUNTEER PROP - MONTICEL 431434,A81000C,00200,0600,LANDLORD 431434,A81000C,00300,0100,A 431434,A81000C,00300,0200,KC CROSS 431434,A81000C,00300,0400,VOLUNTEER PROP - MONTICEL 431434,A81000C,00300,0600,LANDLORD 431434,A81000C,00400,0100,A 431434,A81000C,00400,0200,KC CROSS 431434,A81000C,00400,0400,VOLUNTEER PROP - MONTICEL 431434,A81000C,00400,0600,LANDLORD 431434,A81000C,00500,0100,A 431434,A81000C,00500,0200,KC CROSS 431434,A81000C,00500,0400,ELDERCARE MGMT NF LLC 431434,A81000C,00500,0600,HOME OFFICE 431434,A81000C,00600,0100,A 431434,A81000C,00600,0200,KC CROSS 431434,A81000C,00600,0400,TK PRACTITIONERS 431434,A81000C,00600,0600,ACCOUNTING CONSULTANTS 431434,A81000C,00700,0100,A 431434,A81000C,00700,0200,KC CROSS 431434,A81000C,00700,0400,ELDER HOLDINGS LLC 431434,A81000C,00700,0600,TRAVEL SERVICE 431434,A81000C,00800,0100,A 431434,A81000C,00800,0200,KC CROSS 431434,A81000C,00800,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,00800,0600,STAFFING COMPANY 431434,A81000C,00900,0100,A 431434,A81000C,00900,0200,KC CROSS 431434,A81000C,00900,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,00900,0600,STAFFING COMPANY 431434,A81000C,01000,0100,A 431434,A81000C,01000,0200,KC CROSS 431434,A81000C,01000,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,01000,0600,STAFFING COMPANY 431434,A81000C,01001,0100,A 431434,A81000C,01001,0200,KC CROSS 431434,A81000C,01001,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,01001,0600,STAFFING COMPANY 431434,A81000C,01002,0100,A 431434,A81000C,01002,0200,KC CROSS 431434,A81000C,01002,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,01002,0600,STAFFING COMPANY 431434,A81000C,01003,0100,A 431434,A81000C,01003,0200,KC CROSS 431434,A81000C,01003,0400,PAYROLL PROCESS & PERSONN 431434,A81000C,01003,0600,STAFFING COMPANY 431434,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431434,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431434,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431434,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431434,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431434,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431434,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431434,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431434,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431434,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431434,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431434,G300000,02500,0000,OUTPATIENT BILLING 431434,S000000,00100,0200,03/20/12 431434,S200000,00100,0100,1780 N. JEFFERSON ST. 431434,S200000,00200,0100,MONTICELLO 431434,S200000,00200,0200,FL 431434,S200000,00200,0300,32344 431434,S200000,00300,0100,JEFFERSON 431434,S200000,00300,0200,0010 431434,S200000,00300,0201,45220 431434,S200000,00300,0300,U 431434,S200000,00400,0100,CROSS LANDINGS 431434,S200000,00400,0200,105802 431434,S200000,00400,0300,04/01/09 431434,S200000,00400,0500,P 431434,S200000,01500,0100,Y 431434,S200000,01501,0200,Y 431434,S200000,01502,0200,Y 431434,S200000,01503,0200,Y 431434,S200000,01504,0200,Y 431434,S200000,01600,0100,N 431434,S200000,01700,0100,N 431434,S200000,01800,0100,N 431434,S200000,02200,0100,N 431434,S200000,02800,0100,N 431434,S200000,02900,0100,N 431434,S200000,03000,0100,N 431434,S200000,03100,0100,N 431434,S200000,03200,0100,N 431434,S200000,03300,0100,N 431434,S200000,03300,0200,N 431434,S200000,04100,0100,N 431434,S200000,04200,0100,N 431434,S200000,04300,0100,N 431434,S200000,04600,0100,N 431434,S200000,04700,0100,N 431434,S200000,04700,0200,N 431434,S200000,04900,0100,N 431434,S200000,05000,0100,N 431434,S200000,05100,0100,N 431434,S200000,05200,0100,N 431442,S000000,00100,0200,05/31/12 431442,S200000,00100,0100,83 LINCOLN AVE 431442,S200000,00100,0300,10 431442,S200000,00200,0100,UNDERWOOD 431442,S200000,00200,0200,ND 431442,S200000,00200,0300,58576 431442,S200000,00300,0100,MCLEAN 431442,S200000,00400,0100,PRAIRIEVIEW HEALTH CENTER 431442,S200000,00400,0300,06/01/78 431444,S000000,00100,0200,04/24/12 431444,S200000,00100,0100,410 SECOND STREET 431444,S200000,00100,0300,337 431444,S200000,00200,0100,BRISTOL 431444,S200000,00200,0200,SD 431444,S200000,00200,0300,57219-0337 431444,S200000,00300,0100,DAY 431444,S200000,00400,0100,SUN DIAL MANOR INC 431444,S200000,00400,0300,01/01/96 431450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431450,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431450,A000000,00300,0000,0300EMPLOYEE BENEFITS 431450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431450,A000000,00700,0000,0700HOUSEKEEPING 431450,A000000,00800,0000,0800DIETARY 431450,A000000,00900,0000,0900NURSING ADMINISTRATION 431450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431450,A000000,01100,0000,1100PHARMACY 431450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431450,A000000,01300,0000,1300SOCIAL SERVICE 431450,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431450,A000000,01500,0000,1350OTHER GENERAL SERVICES 431450,A000000,01600,0000,1600SKILLED NURSING FACILITY 431450,A000000,01800,0000,1800NURSING FACILITY 431450,A000000,01810,0000,1810ICF/MR 431450,A000000,01900,0000,1900OTHER LONG TERM CARE 431450,A000000,02100,0000,2100RADIOLOGY 431450,A000000,02200,0000,2200LABORATORY 431450,A000000,02300,0000,2300INTRAVENOUS THERAPY 431450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431450,A000000,02500,0000,2500PHYSICAL THERAPY 431450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431450,A000000,02700,0000,2700SPEECH PATHOLOGY 431450,A000000,02800,0000,2800ELECTROCARDIOLOGY 431450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431450,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431450,A000000,03200,0000,3200SUPPORT SURFACES 431450,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431450,A000000,03400,0000,3400CLINIC 431450,A000000,03500,0000,3500RURAL HEALTH CLINIC 431450,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431450,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431450,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431450,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431450,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431450,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431450,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431450,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431450,A000000,04400,0000,4400DME RENTED - HHA 431450,A000000,04500,0000,4500DME SOLD - HHA 431450,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431450,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431450,A000000,04710,0000,4710TELEMEDICINE 431450,A000000,04800,0000,4800AMBULANCE 431450,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431450,A000000,05000,0000,5000CORF 431450,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431450,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431450,A000000,05300,0000,5300INTEREST EXPENSE 431450,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431450,A000000,05500,0000,5500HOSPICE 431450,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431450,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431450,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431450,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431450,A000000,06100,0000,6100NONPAID WORKERS 431450,A000000,06200,0000,6200PATIENTS LAUNDRY 431450,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431450,A81000A,00100,0100,Y 431450,A81000B,00100,0300,SUBLEASE LAND & BUILDING 431450,A81000B,00200,0300,SHARED EXPENSES 431450,A81000B,00300,0300,PT 431450,A81000B,00400,0300,OT 431450,A81000B,00500,0300,ST 431450,A81000B,00600,0300,NURSING 431450,A81000B,00700,0300,850 SILAS DEANE RENT EXPENSE 431450,A81000B,00800,0300,STAUDERMAN RELATY RENT EXPENSE 431450,A81000B,00900,0300,DEPRECIATION EXPENSE 431450,A81000B,01000,0300,BANK CHARGES 431450,A81000B,01100,0300,MORTGAGE INTEREST 431450,A81000B,01200,0300,AMORTIZATION INTEREST 431450,A81000C,00100,0100,A 431450,A81000C,00100,0200,M.J. OSTREICHER 431450,A81000C,00100,0400,NATIONAL HEALTH CARE 431450,A81000C,00100,0600,BOOKKEPPING OFFICE RENTA 431450,A81000C,00200,0100,A 431450,A81000C,00200,0200,M.J. OSTREICHER 431450,A81000C,00200,0400,WALLINGFORD REALTY 431450,A81000C,00200,0600,SUBLEASE LAND & BUILDING 431450,A81000C,00300,0100,A 431450,A81000C,00300,0200,M.J. OSTREICHER 431450,A81000C,00300,0400,PREFERRED THPY SOLUTIONS 431450,A81000C,00300,0600,PT OT ST SERVICES 431450,A81000C,00400,0100,A 431450,A81000C,00400,0200,M.J. OSTREICHER 431450,A81000C,00400,0400,PREFERRED PRF SERVICES 431450,A81000C,00400,0600,RN & LPN SERVICES 431450,A81000C,00500,0100,A 431450,A81000C,00500,0200,M.J. OSTREICHER 431450,A81000C,00500,0400,850 SILAS DEANE 431450,A81000C,00500,0600,RENT EXPENSE 431450,A81000C,00600,0100,A 431450,A81000C,00600,0200,M.J. OSTREICHER 431450,A81000C,00600,0400,STAUDERMAN REALTY 431450,A81000C,00600,0600,RENT EXPENSE 431450,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431450,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431450,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431450,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431450,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431450,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431450,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 431450,B100000,00000,0800,0800MEALS SERVED :DIETARY 431450,E10A180,00501,0100,04/19/12 431450,G300000,02500,0000,MISC. OTHER INCOME 431450,G300000,02501,0000,PRIOR PERIOD ADJUSTMENT 431450,S000000,00100,0200,02/27/12 431450,S200000,00100,0100,181 EAST MAIN STREET 431450,S200000,00200,0100,WALLINGFORD 431450,S200000,00200,0200,CT 431450,S200000,00200,0300,06492 431450,S200000,00300,0100,NEW HAVEN 431450,S200000,00300,0200,5483 431450,S200000,00300,0201,35300 431450,S200000,00300,0300,U 431450,S200000,00400,0100,REGENCY HOUSE OF WALLINGFORD INC 431450,S200000,00400,0200,075261 431450,S200000,00400,0300,12/01/72 431450,S200000,00400,0500,P 431450,S200000,01500,0100,N 431450,S200000,01501,0200,Y 431450,S200000,01600,0100,Y 431450,S200000,01700,0100,N 431450,S200000,01800,0100,N 431450,S200000,02200,0100,N 431450,S200000,02800,0100,N 431450,S200000,02900,0100,N 431450,S200000,03000,0100,N 431450,S200000,03100,0100,N 431450,S200000,03200,0100,N 431450,S200000,03300,0100,N 431450,S200000,03300,0200,N 431450,S200000,04100,0100,N 431450,S200000,04200,0100,N 431450,S200000,04300,0100,N 431450,S200000,04600,0100,N 431450,S200000,04700,0100,N 431450,S200000,04700,0200,N 431450,S200000,04900,0100,N 431450,S200000,05000,0100,N 431450,S200000,05100,0100,N 431450,S200000,05200,0100,N 431450,S200000,05300,0100,N 431460,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431460,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431460,A000000,00300,0000,0300EMPLOYEE BENEFITS 431460,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431460,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431460,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431460,A000000,00700,0000,0700HOUSEKEEPING 431460,A000000,00800,0000,0800DIETARY 431460,A000000,00900,0000,0900NURSING ADMINISTRATION 431460,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431460,A000000,01100,0000,1100PHARMACY 431460,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431460,A000000,01300,0000,1300SOCIAL SERVICE 431460,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431460,A000000,01600,0000,1600SKILLED NURSING FACILITY 431460,A000000,01800,0000,1800NURSING FACILITY 431460,A000000,01900,0000,1900OTHER LONG TERM CARE 431460,A000000,02100,0000,2100RADIOLOGY 431460,A000000,02200,0000,2200LABORATORY 431460,A000000,02300,0000,2300INTRAVENOUS THERAPY 431460,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431460,A000000,02500,0000,2500PHYSICAL THERAPY 431460,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431460,A000000,02700,0000,2700SPEECH PATHOLOGY 431460,A000000,02800,0000,2800ELECTROCARDIOLOGY 431460,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431460,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431460,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431460,A000000,03200,0000,3200SUPPORT SURFACES 431460,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431460,A000000,03400,0000,3400CLINIC 431460,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431460,A000000,04800,0000,4800AMBULANCE 431460,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431460,A000000,05000,0000,5000CORF 431460,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431460,A000000,05300,0000,5300INTEREST EXPENSE 431460,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431460,A000000,05500,0000,5500HOSPICE 431460,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431460,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431460,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431460,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431460,A000000,06100,0000,6100NONPAID WORKERS 431460,A000000,06200,0000,6200PATIENTS LAUNDRY 431460,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431460,A81000A,00100,0100,Y 431460,A81000B,00100,0300,NURSING CONSULTING 431460,A81000B,00200,0300,DIETARY CONSULTING 431460,A81000B,00300,0300,HOME OFFICE 431460,A81000B,00400,0300,INTEREST EXPENSE 431460,A81000B,00500,0300,WORKERS COMP EXPENSE 431460,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431460,A81000B,00700,0300,MAINTENANCE SUPPLIES 431460,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431460,A81000B,00900,0300,REPAIRS - EQUIPMENT 431460,A81000B,01000,0300,LINEN & BEDDING 431460,A81000B,01100,0300,LAUNDRY SUPPLIES 431460,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 431460,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 431460,A81000B,01400,0300,DIETARY SUPPLEMENTS 431460,A81000B,01500,0300,DIETARY SUPPLIES 431460,A81000B,01600,0300,BIO-MEDICAL WASTE 431460,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431460,A81000B,01800,0300,PERSONAL CARE SUPPLIES 431460,A81000B,01900,0300,INCONTINENCE SUPPLIES 431460,A81000B,02000,0300,MEDICAL SUPPLIES 431460,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 431460,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 431460,A81000B,02300,0300,PT SUPPLIES 431460,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 431460,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 431460,A81000B,02600,0300,NON-LEGEND DRUGS 431460,A81000B,02700,0300,PHARMACY CONSULTANT 431460,A81000B,02800,0300,MEDICAL RECORDS SUPPLIES 431460,A81000B,02900,0300,LEGEND DRUGS 431460,A81000C,00100,0100,B 431460,A81000C,00100,0400,BRITTHAVEN INC 431460,A81000C,00100,0600,MGMT SERVICES 431460,A81000C,00200,0100,B 431460,A81000C,00200,0400,BRITTHAVEN INC 431460,A81000C,00200,0600,MGMT SERVICES 431460,A81000C,00300,0100,B 431460,A81000C,00300,0400,BRITTHAVEN INC 431460,A81000C,00300,0600,MGMT SERVICES 431460,A81000C,00400,0100,B 431460,A81000C,00400,0400,BRITTHAVEN INC 431460,A81000C,00400,0600,MGMT SERVICES 431460,A81000C,00500,0100,A 431460,A81000C,00500,0200,DISCOVERY INSUR 431460,A81000C,00500,0600,INSURANCE 431460,A81000C,00600,0100,A 431460,A81000C,00600,0200,QUEENSLAND ASSU 431460,A81000C,00600,0600,INSURANCE 431460,A81000C,00700,0100,B 431460,A81000C,00700,0400,KARE MEDICAL 431460,A81000C,00700,0600,WHOLESALE SUPPL 431460,A81000C,00800,0100,B 431460,A81000C,00800,0400,KARE MEDICAL 431460,A81000C,00800,0600,WHOLESALE SUPPL 431460,A81000C,00900,0100,B 431460,A81000C,00900,0400,KARE MEDICAL 431460,A81000C,00900,0600,WHOLESALE SUPPL 431460,A81000C,01000,0100,B 431460,A81000C,01000,0400,KARE MEDICAL 431460,A81000C,01000,0600,WHOLESALE SUPPL 431460,A81000C,01001,0100,B 431460,A81000C,01001,0400,KARE MEDICAL 431460,A81000C,01001,0600,WHOLESALE SUPPL 431460,A81000C,01002,0100,B 431460,A81000C,01002,0400,KARE MEDICAL 431460,A81000C,01002,0600,WHOLESALE SUPPL 431460,A81000C,01003,0100,B 431460,A81000C,01003,0400,KARE MEDICAL 431460,A81000C,01003,0600,WHOLESALE SUPPL 431460,A81000C,01004,0100,B 431460,A81000C,01004,0400,KARE MEDICAL 431460,A81000C,01004,0600,WHOLESALE SUPPL 431460,A81000C,01005,0100,B 431460,A81000C,01005,0400,KARE MEDICAL 431460,A81000C,01005,0600,WHOLESALE SUPPL 431460,A81000C,01006,0100,B 431460,A81000C,01006,0400,KARE MEDICAL 431460,A81000C,01006,0600,WHOLESALE SUPPL 431460,A81000C,01007,0100,B 431460,A81000C,01007,0400,KARE MEDICAL 431460,A81000C,01007,0600,WHOLESALE SUPPL 431460,A81000C,01008,0100,B 431460,A81000C,01008,0400,KARE MEDICAL 431460,A81000C,01008,0600,WHOLESALE SUPPL 431460,A81000C,01009,0100,B 431460,A81000C,01009,0400,KARE MEDICAL 431460,A81000C,01009,0600,WHOLESALE SUPPL 431460,A81000C,01010,0100,B 431460,A81000C,01010,0400,KARE MEDICAL 431460,A81000C,01010,0600,WHOLESALE SUPPL 431460,A81000C,01011,0100,B 431460,A81000C,01011,0400,KARE MEDICAL 431460,A81000C,01011,0600,WHOLESALE SUPPL 431460,A81000C,01012,0100,B 431460,A81000C,01012,0400,KARE MEDICAL 431460,A81000C,01012,0600,WHOLESALE SUPPL 431460,A81000C,01013,0100,B 431460,A81000C,01013,0400,KARE MEDICAL 431460,A81000C,01013,0600,WHOLESALE SUPPL 431460,A81000C,01014,0100,B 431460,A81000C,01014,0400,KARE MEDICAL 431460,A81000C,01014,0600,WHOLESALE SUPPL 431460,A81000C,01015,0100,B 431460,A81000C,01015,0400,PHARMSAVE 431460,A81000C,01015,0600,RX SUPPLY 431460,A81000C,01016,0100,B 431460,A81000C,01016,0400,PHARMSAVE 431460,A81000C,01016,0600,RX SUPPLY 431460,A81000C,01017,0100,B 431460,A81000C,01017,0400,PHARMSAVE 431460,A81000C,01017,0600,RX SUPPLY 431460,A81000C,01018,0100,B 431460,A81000C,01018,0400,PHARMSAVE 431460,A81000C,01018,0600,RX SUPPLY 431460,A81000C,01019,0100,B 431460,A81000C,01019,0400,PHARMSAVE 431460,A81000C,01019,0600,RX SUPPLY 431460,A81000C,01020,0100,B 431460,A81000C,01020,0400,ROBERT HILL CON 431460,A81000C,01020,0600,CONSTRUCTION 431460,A81000C,01021,0100,B 431460,A81000C,01021,0400,ROBERT HILL CON 431460,A81000C,01021,0600,CONSTRUCTION 431460,A81000C,01022,0100,B 431460,A81000C,01022,0400,ROBERT HILL CON 431460,A81000C,01022,0600,CONSTRUCTION 431460,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431460,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431460,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431460,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431460,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431460,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431460,B100000,00000,0800,0800MEALS SERVED :DIETARY 431460,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431460,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431460,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431460,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431460,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431460,G300000,02500,0000, OTHER (SPECIFY) 431460,S000000,00100,0200,02/24/12 431460,S200000,00100,0100,2401 WAYNE MEMORIAL DRIVE 431460,S200000,00200,0100,GOLDSBORO 431460,S200000,00200,0200,NC 431460,S200000,00200,0300,27530 431460,S200000,00300,0100,WAYNE 431460,S200000,00300,0201,24140 431460,S200000,00300,0300,U 431460,S200000,00400,0100,BRITTHAVEN OF GOLDSBORO 431460,S200000,00400,0200,345113 431460,S200000,00400,0300,10/01/85 431460,S200000,00400,0500,P 431460,S200000,01500,0100,Y 431460,S200000,01501,0200,Y 431460,S200000,01502,0200,Y 431460,S200000,01503,0200,Y 431460,S200000,01504,0200,Y 431460,S200000,01505,0000,OTHER (SPECIFY) 431460,S200000,01505,0200,Y 431460,S200000,01600,0100,N 431460,S200000,01700,0100,N 431460,S200000,01800,0100,N 431460,S200000,02200,0100,N 431460,S200000,02800,0100,N 431460,S200000,02900,0100,N 431460,S200000,03000,0100,N 431460,S200000,03100,0100,Y 431460,S200000,03200,0100,N 431460,S200000,03300,0100,N 431460,S200000,03300,0200,N 431460,S200000,04100,0100,N 431460,S200000,04200,0100,N 431460,S200000,04300,0100,N 431460,S200000,04600,0100,N 431460,S200000,04700,0100,N 431460,S200000,04700,0200,N 431460,S200000,04900,0100,N 431460,S200000,05000,0100,N 431460,S200000,05100,0100,N 431460,S200000,05200,0100,N 431460,S200000,05300,0100,Y 431460,S200000,05300,0200,349011 431460,S200000,05400,0100,BRITTHAVEN INC. 431460,S200000,05400,0200,PALMETTO GBA 431460,S200000,05400,0300,11501 431460,S200000,05500,0100,1435 HWY 258 NORTH 431460,S200000,05500,0200,PO BOX 61 431460,S200000,05600,0100,KINSTON 431460,S200000,05600,0200,NC 431460,S200000,05600,0300,28502 431461,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431461,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431461,A000000,00300,0000,0300EMPLOYEE BENEFITS 431461,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431461,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431461,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431461,A000000,00700,0000,0700HOUSEKEEPING 431461,A000000,00800,0000,0800DIETARY 431461,A000000,00900,0000,0900NURSING ADMINISTRATION 431461,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431461,A000000,01100,0000,1100PHARMACY 431461,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431461,A000000,01300,0000,1300SOCIAL SERVICE 431461,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431461,A000000,01600,0000,1600SKILLED NURSING FACILITY 431461,A000000,01800,0000,1800NURSING FACILITY 431461,A000000,01900,0000,1900OTHER LONG TERM CARE 431461,A000000,02100,0000,2100RADIOLOGY 431461,A000000,02200,0000,2200LABORATORY 431461,A000000,02300,0000,2300INTRAVENOUS THERAPY 431461,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431461,A000000,02500,0000,2500PHYSICAL THERAPY 431461,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431461,A000000,02700,0000,2700SPEECH PATHOLOGY 431461,A000000,02800,0000,2800ELECTROCARDIOLOGY 431461,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431461,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431461,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431461,A000000,03200,0000,3200SUPPORT SURFACES 431461,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431461,A000000,03400,0000,3400CLINIC 431461,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431461,A000000,04800,0000,4800AMBULANCE 431461,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431461,A000000,05000,0000,5000CORF 431461,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431461,A000000,05300,0000,5300INTEREST EXPENSE 431461,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431461,A000000,05500,0000,5500HOSPICE 431461,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431461,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431461,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431461,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431461,A000000,06100,0000,6100NONPAID WORKERS 431461,A000000,06200,0000,6200PATIENTS LAUNDRY 431461,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431461,A81000A,00100,0100,Y 431461,A81000B,00100,0300,NURSING CONSULTING 431461,A81000B,00200,0300,DIETARY CONSULTING 431461,A81000B,00300,0300,HOME OFFICE 431461,A81000B,00400,0300,INTEREST EXPENSE 431461,A81000B,00500,0300,WORKERS COMPENSATION 431461,A81000B,00600,0300,PROFESSIONAL LIABILITY 431461,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 431461,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 431461,A81000B,00900,0300,DIETARY SUPPLEMENTS 431461,A81000B,01000,0300,INCONTINENCE SUPPLIES 431461,A81000B,01100,0300,MEDICAL SUPPLIES 431461,A81000B,01200,0300,PERSONAL CARE SUPPLIES 431461,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 431461,A81000B,01400,0300,LINEN & BEDDING 431461,A81000B,01500,0300,PATIENT ACTIVITY SUPPLIES 431461,A81000B,01600,0300,PT SUPPLIES 431461,A81000B,01700,0300,OXYGEN THERAPY SUPPLIES 431461,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 431461,A81000B,01900,0300,EQUIPMENT RENTAL 431461,A81000B,02000,0300,NON-LEGEND DRUGS 431461,A81000B,02100,0300,MEDICAL RECORDS SUPPLIES 431461,A81000B,02200,0300,PHARMACY CONSULTANTS 431461,A81000B,02300,0300,LEGEND DRUGS 431461,A81000B,02400,0300,MEDICAL RECORDS SUPPLIES 431461,A81000B,02500,0300,OFFICE SUPPLIES 431461,A81000B,02600,0300,BIO-MEDICAL WASTE 431461,A81000C,00100,0100,B 431461,A81000C,00100,0200,HILLCO LTD 431461,A81000C,00100,0400,BRITTHAVEN INC 431461,A81000C,00100,0600,MGMT SERVICES 431461,A81000C,00200,0100,B 431461,A81000C,00200,0200,HILLCO LTD 431461,A81000C,00200,0400,BRITTHAVE INC. 431461,A81000C,00200,0600,MGMT SERVICES 431461,A81000C,00300,0100,B 431461,A81000C,00300,0200,HILLCO LTD 431461,A81000C,00300,0400,BRITTHAVEN INC 431461,A81000C,00300,0600,MGMT SERVICES 431461,A81000C,00400,0100,B 431461,A81000C,00400,0200,HILLCO LTD 431461,A81000C,00400,0400,BRITTHAVEN INC 431461,A81000C,00400,0600,MGMT SERVICES 431461,A81000C,00500,0100,A 431461,A81000C,00500,0200,HILLCO LTD 431461,A81000C,00500,0400,DISCOVERY INSUR 431461,A81000C,00500,0600,INSURANCE 431461,A81000C,00600,0100,A 431461,A81000C,00600,0200,HILLCO LTD 431461,A81000C,00600,0400,QUEENSLAND ASSU 431461,A81000C,00600,0600,INSURANCE 431461,A81000C,00700,0100,B 431461,A81000C,00700,0200,HILLCO LTD 431461,A81000C,00700,0400,KARE MEDICAL 431461,A81000C,00700,0600,WHOLESALE SUPPL 431461,A81000C,00800,0100,B 431461,A81000C,00800,0200,HILLCO LTD 431461,A81000C,00800,0400,KARE MEDICAL 431461,A81000C,00800,0600,WHOLESALE SUPPL 431461,A81000C,00900,0100,B 431461,A81000C,00900,0200,HILLCO LTD 431461,A81000C,00900,0400,KARE MEDICAL 431461,A81000C,00900,0600,WHOLESALE SUPPL 431461,A81000C,01000,0100,B 431461,A81000C,01000,0200,HILLCO LTD 431461,A81000C,01000,0400,KARE MEDICAL 431461,A81000C,01000,0600,WHOLESALE SUPPL 431461,A81000C,01001,0100,B 431461,A81000C,01001,0200,HILLCO LTD 431461,A81000C,01001,0400,KARE MEDICAL 431461,A81000C,01001,0600,WHOLESALE SUPPL 431461,A81000C,01002,0100,B 431461,A81000C,01002,0200,HILLCO LTD 431461,A81000C,01002,0400,KARE MEDICAL 431461,A81000C,01002,0600,WHOLESALE SUPPL 431461,A81000C,01003,0100,B 431461,A81000C,01003,0200,HILLCO LTD 431461,A81000C,01003,0400,KARE MEDICAL 431461,A81000C,01003,0600,WHOLESALE SUPPL 431461,A81000C,01004,0100,B 431461,A81000C,01004,0200,HILLCO LTD 431461,A81000C,01004,0400,KARE MEDICAL 431461,A81000C,01004,0600,WHOLESALE SUPPL 431461,A81000C,01005,0100,B 431461,A81000C,01005,0200,HILLCO LTD 431461,A81000C,01005,0400,KARE MEDICAL 431461,A81000C,01005,0600,WHOLESALE SUPPL 431461,A81000C,01006,0100,B 431461,A81000C,01006,0200,HILLCO LTD 431461,A81000C,01006,0400,KARE MEDICAL 431461,A81000C,01006,0600,WHOLESALE SUPPL 431461,A81000C,01007,0100,B 431461,A81000C,01007,0200,HILLCO LTD 431461,A81000C,01007,0400,KARE MEDICAL 431461,A81000C,01007,0600,WHOLESALE SUPPL 431461,A81000C,01008,0100,B 431461,A81000C,01008,0200,HILLCO LTD 431461,A81000C,01008,0400,KARE MEDICAL 431461,A81000C,01008,0600,WHOLESALE SUPPL 431461,A81000C,01009,0100,B 431461,A81000C,01009,0200,HILLCO LTD 431461,A81000C,01009,0400,PHARMSAVE 431461,A81000C,01009,0600,RX SUPPLY 431461,A81000C,01010,0100,B 431461,A81000C,01010,0200,HILLCO LTD 431461,A81000C,01010,0400,PHARMSAVE 431461,A81000C,01010,0600,RX SUPPLY 431461,A81000C,01011,0100,B 431461,A81000C,01011,0200,HILLCO LTD 431461,A81000C,01011,0400,PHARMSAVE 431461,A81000C,01011,0600,RX SUPPLY 431461,A81000C,01012,0100,B 431461,A81000C,01012,0200,HILLCO LTD 431461,A81000C,01012,0400,PHARMSAVE 431461,A81000C,01012,0600,RX SUPPLY 431461,A81000C,01013,0100,B 431461,A81000C,01013,0200,HILLCO LTD 431461,A81000C,01013,0400,PHARMSAVE 431461,A81000C,01013,0600,RX SUPPLY 431461,A81000C,01014,0100,B 431461,A81000C,01014,0200,HILLCO LTD 431461,A81000C,01014,0400,ROBERT HILL CON 431461,A81000C,01014,0600,CONSTRUCTION 431461,A81000C,01015,0100,B 431461,A81000C,01015,0200,HILLCO LTD 431461,A81000C,01015,0400,ROBERT HILL CON 431461,A81000C,01015,0600,CONSTRUCTION 431461,A81000C,01016,0100,B 431461,A81000C,01016,0200,HILLCO LTD 431461,A81000C,01016,0400,ROBERT HILL 431461,A81000C,01016,0600,CONSTRUCT 431461,A81000C,01017,0100,B 431461,A81000C,01017,0200,HILLCO LTD 431461,A81000C,01017,0400,KARE MEDICAL 431461,A81000C,01017,0600,WHOLESALE 431461,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431461,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431461,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431461,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431461,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431461,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431461,B100000,00000,0800,0800MEALS SERVED :DIETARY 431461,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431461,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431461,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431461,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431461,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431461,G300000,02500,0000, OTHER (SPECIFY) 431461,S000000,00100,0200,12/19/11 431461,S200000,00100,0100,1084 U.S. 64 EAST 431461,S200000,00200,0100,PLYMOTH 431461,S200000,00200,0200,NC 431461,S200000,00200,0300,27962 431461,S200000,00300,0100,WASHINGTON 431461,S200000,00300,0201,99934 431461,S200000,00300,0300,R 431461,S200000,00400,0100,PLUMBLEE NURSING CENTER 431461,S200000,00400,0200,345266 431461,S200000,00400,0300,11/11/87 431461,S200000,00400,0500,P 431461,S200000,01500,0100,N 431461,S200000,01501,0200,Y 431461,S200000,01502,0200,Y 431461,S200000,01503,0200,Y 431461,S200000,01504,0200,Y 431461,S200000,01505,0000,OTHER (SPECIFY) 431461,S200000,01505,0200,Y 431461,S200000,01600,0100,N 431461,S200000,01700,0100,N 431461,S200000,01800,0100,N 431461,S200000,02200,0100,N 431461,S200000,02800,0100,N 431461,S200000,02900,0100,N 431461,S200000,03000,0100,N 431461,S200000,03100,0100,Y 431461,S200000,03200,0100,N 431461,S200000,03300,0100,N 431461,S200000,03300,0200,N 431461,S200000,04100,0100,N 431461,S200000,04200,0100,N 431461,S200000,04300,0100,N 431461,S200000,04600,0100,N 431461,S200000,04700,0100,N 431461,S200000,04700,0200,N 431461,S200000,04900,0100,N 431461,S200000,05000,0100,N 431461,S200000,05100,0100,N 431461,S200000,05200,0100,N 431461,S200000,05300,0100,Y 431461,S200000,05300,0200,349011 431461,S200000,05400,0100,BRITTHAVEN INC. 431461,S200000,05400,0200,PALMETTO GBA 431461,S200000,05400,0300,11501 431461,S200000,05500,0100,1435 HWY 258 NORTH 431461,S200000,05600,0100,KINSTON 431461,S200000,05600,0200,NC 431461,S200000,05600,0300,28502 431462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431462,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431462,A000000,00300,0000,0300EMPLOYEE BENEFITS 431462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431462,A000000,00700,0000,0700HOUSEKEEPING 431462,A000000,00800,0000,0800DIETARY 431462,A000000,00900,0000,0900NURSING ADMINISTRATION 431462,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431462,A000000,01100,0000,1100PHARMACY 431462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431462,A000000,01300,0000,1300SOCIAL SERVICE 431462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431462,A000000,01600,0000,1600SKILLED NURSING FACILITY 431462,A000000,01800,0000,1800NURSING FACILITY 431462,A000000,01900,0000,1900OTHER LONG TERM CARE 431462,A000000,02100,0000,2100RADIOLOGY 431462,A000000,02200,0000,2200LABORATORY 431462,A000000,02300,0000,2300INTRAVENOUS THERAPY 431462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431462,A000000,02500,0000,2500PHYSICAL THERAPY 431462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431462,A000000,02700,0000,2700SPEECH PATHOLOGY 431462,A000000,02800,0000,2800ELECTROCARDIOLOGY 431462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431462,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431462,A000000,03200,0000,3200SUPPORT SURFACES 431462,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431462,A000000,03400,0000,3400CLINIC 431462,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431462,A000000,04800,0000,4800AMBULANCE 431462,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431462,A000000,05000,0000,5000CORF 431462,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431462,A000000,05300,0000,5300INTEREST EXPENSE 431462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431462,A000000,05500,0000,5500HOSPICE 431462,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431462,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431462,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431462,A000000,06100,0000,6100NONPAID WORKERS 431462,A000000,06200,0000,6200PATIENTS LAUNDRY 431462,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431462,A81000A,00100,0100,Y 431462,A81000B,00100,0300,NURSING CONSULTING 431462,A81000B,00200,0300,DIETARY CONSULTING 431462,A81000B,00300,0300,HOME OFFICE 431462,A81000B,00400,0300,INTEREST EXPENSE 431462,A81000B,00500,0300,WORKERS COMP EXPENSE 431462,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431462,A81000B,00700,0300,REPAIRS-EQUIPMENT 431462,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431462,A81000B,00900,0300,PAPER PRODUCTS 431462,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 431462,A81000B,01100,0300,DIETARY SUPPLEMENT 431462,A81000B,01200,0300,DIETARY SUPPLIES 431462,A81000B,01300,0300,INCONTINENCE SUPPLIES 431462,A81000B,01400,0300,MEDICAL SUPPLIES 431462,A81000B,01500,0300,PERSONAL CARE SUPPLIES 431462,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 431462,A81000B,01700,0300,BIO-MEDICAL WASTE 431462,A81000B,01800,0300,LINEN&BEDDING 431462,A81000B,01900,0300,LAUNDRY SUPPLIES 431462,A81000B,02000,0300,PT SUPPLIES 431462,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 431462,A81000B,02200,0300,OT SUPPLIES 431462,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 431462,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 431462,A81000B,02500,0300,NON-LEGEND DRUGS 431462,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 431462,A81000B,02700,0300,PHARMACY CONSULTING 431462,A81000B,02800,0300,REPAIRS-GROUNDS 431462,A81000B,02900,0300,MEDICAL RECORDS SUPPLIES 431462,A81000C,00100,0100,B 431462,A81000C,00100,0200,HILLCO LTD 431462,A81000C,00100,0400,BRITTHAVEN INC 431462,A81000C,00100,0600,MGMT SERVICES 431462,A81000C,00200,0100,B 431462,A81000C,00200,0200,HILLCO LTD 431462,A81000C,00200,0400,BRITTHAVEN INC 431462,A81000C,00200,0600,MGMT SERVICES 431462,A81000C,00300,0100,B 431462,A81000C,00300,0200,HILLCO LTD 431462,A81000C,00300,0400,BRITTHAVEN INC 431462,A81000C,00300,0600,MGMT SERVICES 431462,A81000C,00400,0100,B 431462,A81000C,00400,0200,HILLCO LTD 431462,A81000C,00400,0400,BRITTHAVEN INC 431462,A81000C,00400,0600,MGMT SERVICES 431462,A81000C,00500,0100,A 431462,A81000C,00500,0200,HILLCO LTD 431462,A81000C,00500,0400,DISCOVERY INSUR 431462,A81000C,00500,0600,INSURANCE 431462,A81000C,00600,0100,A 431462,A81000C,00600,0200,HILLCO LTD 431462,A81000C,00600,0400,QUEENSLAND ASSU 431462,A81000C,00600,0600,INSURANCE 431462,A81000C,00700,0100,B 431462,A81000C,00700,0200,HILLCO LTD 431462,A81000C,00700,0400,KARE MEDICAL 431462,A81000C,00700,0600,WHOLESALE SUPPL 431462,A81000C,00800,0100,B 431462,A81000C,00800,0200,HILLCO LTD 431462,A81000C,00800,0400,KARE MEDICAL 431462,A81000C,00800,0600,WHOLESALE SUPPL 431462,A81000C,00900,0100,B 431462,A81000C,00900,0200,HILLCO LTD 431462,A81000C,00900,0400,KARE MEDICAL 431462,A81000C,00900,0600,WHOLESALE SUPPL 431462,A81000C,01000,0100,B 431462,A81000C,01000,0200,HILLCO LTD 431462,A81000C,01000,0400,KARE MEDICAL 431462,A81000C,01000,0600,WHOLESALE SUPPL 431462,A81000C,01001,0100,B 431462,A81000C,01001,0200,HILLCO LTD 431462,A81000C,01001,0400,KARE MEDICAL 431462,A81000C,01001,0600,WHOLESALE SUPPL 431462,A81000C,01002,0100,B 431462,A81000C,01002,0200,HILLCO LTD 431462,A81000C,01002,0400,KARE MEDICAL 431462,A81000C,01002,0600,WHOLESALE SUPPL 431462,A81000C,01003,0100,B 431462,A81000C,01003,0200,HILLCO LTD 431462,A81000C,01003,0400,KARE MEDICAL 431462,A81000C,01003,0600,WHOLESALE SUPPL 431462,A81000C,01004,0100,B 431462,A81000C,01004,0200,HILLCO LTD 431462,A81000C,01004,0400,KARE MEDICAL 431462,A81000C,01004,0600,WHOLESALE SUPPL 431462,A81000C,01005,0100,B 431462,A81000C,01005,0200,HILLCO LTD 431462,A81000C,01005,0400,KARE MEDICAL 431462,A81000C,01005,0600,WHOLESALE SUPPL 431462,A81000C,01006,0100,B 431462,A81000C,01006,0200,HILLCO LTD 431462,A81000C,01006,0400,KARE MEDICAL 431462,A81000C,01006,0600,WHOLESALE SUPPL 431462,A81000C,01007,0100,B 431462,A81000C,01007,0200,HILLCO LTD 431462,A81000C,01007,0400,KARE MEDICAL 431462,A81000C,01007,0600,WHOLESALE SUPPL 431462,A81000C,01008,0100,B 431462,A81000C,01008,0200,HILLCO LTD 431462,A81000C,01008,0400,KARE MEDICAL 431462,A81000C,01008,0600,WHOLESALE SUPPL 431462,A81000C,01009,0100,B 431462,A81000C,01009,0200,HILLCO LTD 431462,A81000C,01009,0400,KARE MEDICAL 431462,A81000C,01009,0600,WHOLESALE SUPPL 431462,A81000C,01010,0100,B 431462,A81000C,01010,0200,HILLCO LTD 431462,A81000C,01010,0400,KARE MEDICAL 431462,A81000C,01010,0600,WHOLESALE SUPPL 431462,A81000C,01011,0100,B 431462,A81000C,01011,0200,HILLCO LTD 431462,A81000C,01011,0400,KARE MEDICAL 431462,A81000C,01011,0600,WHOLESALE SUPPL 431462,A81000C,01012,0100,B 431462,A81000C,01012,0200,HILLCO LTD 431462,A81000C,01012,0400,KARE MEDICAL 431462,A81000C,01012,0600,WHOLESALE SUPPL 431462,A81000C,01013,0100,B 431462,A81000C,01013,0200,HILLCO LTD 431462,A81000C,01013,0400,KARE MEDICAL 431462,A81000C,01013,0600,WHOLESALE SUPPL 431462,A81000C,01014,0100,B 431462,A81000C,01014,0200,HILLCO LTD 431462,A81000C,01014,0400,KARE MEDICAL 431462,A81000C,01014,0600,WHOLESALE SUPPL 431462,A81000C,01015,0100,B 431462,A81000C,01015,0200,HILLCO LTD 431462,A81000C,01015,0400,PHARMSAVE 431462,A81000C,01015,0600,RX SUPPLY 431462,A81000C,01016,0100,B 431462,A81000C,01016,0200,HILLCO LTD 431462,A81000C,01016,0400,PHARMSAVE 431462,A81000C,01016,0600,RX SUPPLY 431462,A81000C,01017,0100,B 431462,A81000C,01017,0200,HILLCO LTD 431462,A81000C,01017,0400,PHARMSAVE 431462,A81000C,01017,0600,RX SUPPLY 431462,A81000C,01018,0100,B 431462,A81000C,01018,0200,HILLCO LTD 431462,A81000C,01018,0400,ROBERT HILL CON 431462,A81000C,01018,0600,CONSTRUCTION 431462,A81000C,01019,0100,B 431462,A81000C,01019,0200,HILLCO LTD 431462,A81000C,01019,0400,ROBERT HILL CON 431462,A81000C,01019,0600,CONSTRUCTION 431462,A81000C,01020,0100,B 431462,A81000C,01020,0200,HILLCO LTD 431462,A81000C,01020,0400,ROBERT HILL CON 431462,A81000C,01020,0600,CONSTRUCTION 431462,A81000C,01021,0100,B 431462,A81000C,01021,0200,HILLCO LTD 431462,A81000C,01021,0400,KARE MEDICAL 431462,A81000C,01021,0600,WHOLESALE SUPPL 431462,A81000C,01022,0100,B 431462,A81000C,01022,0200,HILLCO LTD 431462,A81000C,01022,0400,KARE MEDICAL 431462,A81000C,01022,0600,WHOLESALE SUPPL 431462,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431462,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431462,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431462,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431462,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431462,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431462,B100000,00000,0800,0800MEALS SERVED :DIETARY 431462,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431462,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431462,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431462,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431462,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431462,E10A180,00550,0100,04/10/12 431462,G300000,02500,0000, OTHER (SPECIFY) 431462,S000000,00100,0200,04/10/12 431462,S200000,00100,0100,3069 BOND STREET 431462,S200000,00200,0100,RALEIGH 431462,S200000,00200,0200,NC 431462,S200000,00200,0300,27604 431462,S200000,00300,0100,WAKE 431462,S200000,00300,0201,39580 431462,S200000,00300,0300,U 431462,S200000,00400,0100,CITY OF OAKS HEALTH & REHAB CENTER 431462,S200000,00400,0200,345513 431462,S200000,00400,0300,03/14/02 431462,S200000,00400,0500,P 431462,S200000,01500,0100,N 431462,S200000,01501,0200,Y 431462,S200000,01502,0200,Y 431462,S200000,01503,0200,Y 431462,S200000,01505,0000,OTHER (SPECIFY) 431462,S200000,01505,0200,Y 431462,S200000,01600,0100,Y 431462,S200000,01700,0100,N 431462,S200000,01800,0100,N 431462,S200000,02200,0100,N 431462,S200000,02800,0100,N 431462,S200000,02900,0100,N 431462,S200000,03000,0100,N 431462,S200000,03100,0100,Y 431462,S200000,03200,0100,N 431462,S200000,03300,0100,N 431462,S200000,03300,0200,N 431462,S200000,04100,0100,N 431462,S200000,04200,0100,N 431462,S200000,04300,0100,N 431462,S200000,04600,0100,N 431462,S200000,04700,0100,N 431462,S200000,04700,0200,N 431462,S200000,04900,0100,N 431462,S200000,05000,0100,N 431462,S200000,05100,0100,N 431462,S200000,05200,0100,N 431462,S200000,05300,0100,Y 431462,S200000,05300,0200,349011 431462,S200000,05400,0100,BRITTHAVEN INC. 431462,S200000,05400,0200,PALMETTO GBA 431462,S200000,05400,0300,11501 431462,S200000,05500,0100,1435 HWY 258 NORTH 431462,S200000,05600,0100,KINSTON 431462,S200000,05600,0200,NC 431462,S200000,05600,0300,28502 431483,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431483,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431483,A000000,00300,0000,0300EMPLOYEE BENEFITS 431483,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431483,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431483,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431483,A000000,00700,0000,0700HOUSEKEEPING 431483,A000000,00800,0000,0800DIETARY 431483,A000000,00900,0000,0900NURSING ADMINISTRATION 431483,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431483,A000000,01100,0000,1100PHARMACY 431483,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431483,A000000,01300,0000,1300SOCIAL SERVICE 431483,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431483,A000000,01500,0000,1350RECREATION 431483,A000000,01600,0000,1600SKILLED NURSING FACILITY 431483,A000000,01810,0000,1810ICF/MR 431483,A000000,02100,0000,2100RADIOLOGY 431483,A000000,02200,0000,2200LABORATORY 431483,A000000,02300,0000,2300INTRAVENOUS THERAPY 431483,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431483,A000000,02500,0000,2500PHYSICAL THERAPY 431483,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431483,A000000,02700,0000,2700SPEECH PATHOLOGY 431483,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431483,A000000,03550,0000,3550FQHC 431483,A000000,04801,0000,4801AMBULANCE 431483,A000000,04802,0000,4802AMBULANCE 431483,A000000,04803,0000,4803AMBULANCE 431483,A000000,05000,0000,5000CORF 431483,A000000,05010,0000,5010CMHC 431483,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431483,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431483,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431483,A81000A,00100,0100,Y 431483,A81000B,00100,0300,SEE ATTACHED 431483,A81000B,00200,0300,HOME OFFICE INTEREST 431483,A81000B,00300,0300,HOME OFFICE A & G 431483,A81000B,00400,0300,HOME OFFICE CAPITAL 431483,A81000C,00100,0100,B 431483,A81000C,00100,0400,SEE ATTACHED 431483,A81000C,00100,0600,VARIOUS 431483,A81000C,00200,0100,B 431483,A81000C,00200,0400,GHC 431483,A81000C,00200,0600,LONG TERM CARE 431483,A81000C,00300,0100,B 431483,A81000C,00300,0400,GHC 431483,A81000C,00300,0600,LONG TERM CARE 431483,A81000C,00400,0100,B 431483,A81000C,00400,0400,GHC 431483,A81000C,00400,0600,LONG TERM CARE 431483,B100000,00000,0100,0100SQUARE FEET 431483,B100000,00000,0200,0200SQUARE FEET 431483,B100000,00000,0300,0300GROSS SALARIES 431483,B100000,00000,0400,0400ACCUM COST 431483,B100000,00000,0500,0500SQUARE FEET 431483,B100000,00000,0600,0600PATIENT DAYS 431483,B100000,00000,0700,0700SQUARE FEET 431483,B100000,00000,0800,0800MEALS SERVED 431483,B100000,00000,0900,0900NURSING SALARIES 431483,B100000,00000,1000,1000COSTED REQUIS 431483,B100000,00000,1100,1100COSTED REQUIS 431483,B100000,00000,1200,1200PATIENT DAYS 431483,B100000,00000,1300,1300PATIENT DAYS 431483,B100000,00000,1400,1400ASSIGNED TIME 431483,B100000,00000,1500,1350PATIENT DAYS 431483,E10A180,00350,0100,03/28/11 431483,E10A180,00501,0100,10/04/11 431483,E10A180,00501,0300,10/04/11 431483,G300000,02500,0000,BARBER AND BEAUTY 431483,S000000,00100,0200,09/07/11 431483,S200000,00100,0100,650 EDISON AVENUE 431483,S200000,00200,0100,PHILADELPHIA 431483,S200000,00200,0200,PA 431483,S200000,00200,0300,19116 431483,S200000,00300,0100,PHILADELPHIA 431483,S200000,00300,0201,37964 431483,S200000,00300,0300,U 431483,S200000,00400,0100,SOMERTON CENTER 431483,S200000,00400,0200,395084 431483,S200000,00400,0300,06/01/73 431483,S200000,00400,0500,P 431483,S200000,01500,0100,Y 431483,S200000,01501,0200,N 431483,S200000,01502,0200,N 431483,S200000,01503,0200,N 431483,S200000,01504,0200,N 431483,S200000,01600,0100,N 431483,S200000,01700,0100,N 431483,S200000,01800,0100,N 431483,S200000,02200,0100,Y 431483,S200000,02800,0100,N 431483,S200000,02900,0100,N 431483,S200000,03000,0100,N 431483,S200000,03100,0100,N 431483,S200000,03200,0100,N 431483,S200000,03300,0100,N 431483,S200000,03300,0200,N 431483,S200000,04200,0100,N 431483,S200000,04300,0100,N 431483,S200000,04600,0100,N 431483,S200000,04700,0100,N 431483,S200000,04900,0100,N 431483,S200000,05200,0100,N 431483,S200000,05300,0100,Y 431483,S200000,05300,0200,HB0067 431483,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431483,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431483,S200000,05400,0300,12001 431483,S200000,05500,0100,101 EAST STATE STREET 431483,S200000,05600,0100,KENNETT SQUARE 431483,S200000,05600,0200,PA 431483,S200000,05600,0300,19348 431484,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431484,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431484,A000000,00300,0000,0300EMPLOYEE BENEFITS 431484,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431484,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431484,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431484,A000000,00700,0000,0700HOUSEKEEPING 431484,A000000,00800,0000,0800DIETARY 431484,A000000,00900,0000,0900NURSING ADMINISTRATION 431484,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431484,A000000,01100,0000,1100PHARMACY 431484,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431484,A000000,01300,0000,1300SOCIAL SERVICE 431484,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431484,A000000,01500,0000,1350RECREATION 431484,A000000,01600,0000,1600SKILLED NURSING FACILITY 431484,A000000,01810,0000,1810ICF/MR 431484,A000000,02100,0000,2100RADIOLOGY 431484,A000000,02200,0000,2200LABORATORY 431484,A000000,02300,0000,2300INTRAVENOUS THERAPY 431484,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431484,A000000,02500,0000,2500PHYSICAL THERAPY 431484,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431484,A000000,02700,0000,2700SPEECH PATHOLOGY 431484,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431484,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431484,A000000,03550,0000,3550FQHC 431484,A000000,04801,0000,4801AMBULANCE 431484,A000000,04802,0000,4802AMBULANCE 431484,A000000,04803,0000,4803AMBULANCE 431484,A000000,05000,0000,5000CORF 431484,A000000,05010,0000,5010CMHC 431484,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431484,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431484,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431484,A81000A,00100,0100,Y 431484,A81000B,00100,0300,SEE ATTACHED 431484,A81000B,00200,0300,HOME OFFICE INTEREST 431484,A81000B,00300,0300,HOME OFFICE A & G 431484,A81000B,00400,0300,HOME OFFICE CAP PIEC 431484,A81000C,00100,0100,B 431484,A81000C,00100,0400,SEE ATTACHED 431484,A81000C,00100,0600,VARIOUS 431484,A81000C,00200,0100,B 431484,A81000C,00200,0400,GHC 431484,A81000C,00200,0600,LONG TERM CARE 431484,A81000C,00300,0100,B 431484,A81000C,00300,0400,GHC 431484,A81000C,00300,0600,LONG TERM CARE 431484,A81000C,00400,0100,B 431484,A81000C,00400,0400,GHC 431484,A81000C,00400,0600,LONG TERM CARE 431484,B100000,00000,0100,0100SQUARE FEET 431484,B100000,00000,0200,0200SQUARE FEET 431484,B100000,00000,0300,0300GROSS SALARIES 431484,B100000,00000,0400,0400ACCUM COST 431484,B100000,00000,0500,0500SQUARE FEET 431484,B100000,00000,0600,0600PATIENT DAYS 431484,B100000,00000,0700,0700SQUARE FEET 431484,B100000,00000,0800,0800MEALS SERVED 431484,B100000,00000,0900,0900NURSING SALARIES 431484,B100000,00000,1000,1000COSTED REQUIS 431484,B100000,00000,1100,1100COSTED REQUIS 431484,B100000,00000,1200,1200PATIENT DAYS 431484,B100000,00000,1300,1300PATIENT DAYS 431484,B100000,00000,1400,1400ASSIGNED TIME 431484,B100000,00000,1500,1350PATIENT DAYS 431484,E10A180,00301,0100,03/24/11 431484,E10A180,00501,0300,10/04/11 431484,E10A180,00550,0100,10/04/11 431484,G300000,02500,0000,BARBER AND BEAUTY 431484,S000000,00100,0200,09/07/11 431484,S200000,00100,0100,262 TOLL GATE ROAD 431484,S200000,00200,0100,LANGHORNE 431484,S200000,00200,0200,PA 431484,S200000,00200,0300,19047 431484,S200000,00300,0100,BUCKS 431484,S200000,00300,0201,37964 431484,S200000,00300,0300,U 431484,S200000,00400,0100,CRESTVIEW CENTER 431484,S200000,00400,0200,395459 431484,S200000,00400,0300,05/31/81 431484,S200000,00400,0500,P 431484,S200000,01500,0100,Y 431484,S200000,01501,0200,N 431484,S200000,01502,0200,N 431484,S200000,01503,0200,N 431484,S200000,01504,0200,N 431484,S200000,01600,0100,N 431484,S200000,01700,0100,N 431484,S200000,01800,0100,N 431484,S200000,02200,0100,Y 431484,S200000,02800,0100,N 431484,S200000,02900,0100,N 431484,S200000,03000,0100,N 431484,S200000,03100,0100,N 431484,S200000,03200,0100,N 431484,S200000,03300,0100,N 431484,S200000,03300,0200,N 431484,S200000,04200,0100,N 431484,S200000,04300,0100,N 431484,S200000,04600,0100,N 431484,S200000,04700,0100,N 431484,S200000,04900,0100,N 431484,S200000,05200,0100,N 431484,S200000,05300,0100,Y 431484,S200000,05300,0200,HB0067 431484,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431484,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431484,S200000,05400,0300,12001 431484,S200000,05500,0100,101 EAST STATE STREET 431484,S200000,05600,0100,KENNETT SQUARE 431484,S200000,05600,0200,PA 431484,S200000,05600,0300,19348 431485,S000000,00100,0200,04/26/12 431485,S200000,00100,0100,129 WEST HIGHWAY 12 431485,S200000,00200,0100,WEBSTER 431485,S200000,00200,0200,SD 431485,S200000,00200,0300,57274 431485,S200000,00300,0100,DAY 431485,S200000,00400,0100,BETHESDA HOME 431485,S200000,00400,0300,07/01/93 431487,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431487,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431487,A000000,00300,0000,0300EMPLOYEE BENEFITS 431487,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431487,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431487,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431487,A000000,00700,0000,0700HOUSEKEEPING 431487,A000000,00800,0000,0800DIETARY 431487,A000000,00900,0000,0900NURSING ADMINISTRATION 431487,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431487,A000000,01100,0000,1100PHARMACY 431487,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431487,A000000,01300,0000,1300SOCIAL SERVICE 431487,A000000,01500,0000,1350ACTIVITIES 431487,A000000,01600,0000,1600SKILLED NURSING FACILITY 431487,A000000,01800,0000,1800NURSING FACILITY 431487,A000000,01810,0000,1810ICF/MR 431487,A000000,01900,0000,1900OTHER LONG TERM CARE 431487,A000000,02100,0000,2100RADIOLOGY 431487,A000000,02200,0000,2200LABORATORY 431487,A000000,02300,0000,2300INTRAVENOUS THERAPY 431487,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431487,A000000,02500,0000,2500PHYSICAL THERAPY 431487,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431487,A000000,02700,0000,2700SPEECH PATHOLOGY 431487,A000000,02800,0000,2800ELECTROCARDIOLOGY 431487,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431487,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431487,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431487,A000000,03200,0000,3200SUPPORT SURFACES 431487,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431487,A000000,03400,0000,3400CLINIC 431487,A000000,03500,0000,3500RURAL HEALTH CLINIC 431487,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431487,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431487,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431487,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431487,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431487,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431487,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431487,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431487,A000000,04400,0000,4400DME RENTED - HHA 431487,A000000,04500,0000,4500DME SOLD - HHA 431487,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431487,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431487,A000000,04800,0000,4800AMBULANCE 431487,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431487,A000000,05000,0000,5000CORF 431487,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431487,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431487,A000000,05300,0000,5300INTEREST EXPENSE 431487,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431487,A000000,05500,0000,5500HOSPICE 431487,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431487,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431487,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431487,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431487,A000000,06100,0000,6100NONPAID WORKERS 431487,A000000,06200,0000,6200PATIENTS LAUNDRY 431487,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431487,A81000A,00100,0100,Y 431487,A81000B,00100,0300,MANAGEMENT FEES 431487,A81000B,00200,0300,MANAGEMENT FEES 431487,A81000B,00300,0300,MANAGEMENT FEES 431487,A81000B,00400,0300,SUPPLIES 431487,A81000B,00500,0300,SUPPLIES 431487,A81000B,00600,0300,SUPPLIES 431487,A81000B,00700,0300,SUPPLIES 431487,A81000B,00800,0300,SUPPLIES 431487,A81000B,00900,0300,SUPPLIES 431487,A81000B,01000,0300,INSURANCE 431487,A81000B,01100,0300,BIOHAZARDOUS WASTER 431487,A81000B,01200,0300,MINOR EQUIPMENT 431487,A81000B,01300,0300,DRUGS - PVT AND MCD NON PDP 431487,A81000B,01400,0300,MINOR EQUIPMENT 431487,A81000B,01500,0300,PHARMACY CONSULTANT 431487,A81000B,01600,0300,OTHER EMP BENEFITS 431487,A81000B,01700,0300,MEDICAL SUPPLIES-BILLABLE 431487,A81000B,01800,0300,MEDICAL SUPPLIES-NONBILLABLE 431487,A81000B,01900,0300,DRUGS -MEDICARE 431487,A81000B,02000,0300,OTC DRUGS 431487,A81000B,02100,0300,GLUCOSE SUPPLIES 431487,A81000B,02200,0300,DRUGS-MCD NON PDP 431487,A81000B,02300,0300,RENT 431487,A81000B,02400,0300,SLP-LOAN COSTS 431487,A81000B,02500,0300,SLP-ACCOUNTING FEES 431487,A81000B,02600,0300,SLP-TAXES 431487,A81000B,02700,0300,SLP-MORTGAGE INTEREST 431487,A81000B,02800,0300,SLP-HISTORICAL COST DEPRECIATION 431487,A81000B,02900,0300,PHYSICAL THERAPY 431487,A81000C,00100,0100,A 431487,A81000C,00100,0200,MICHAEL H. MCBRIDE 431487,A81000C,00100,0400,HMR ADVANTAGE HLTH SYS 431487,A81000C,00100,0600,HOME OFFICE 431487,A81000C,00200,0100,A 431487,A81000C,00200,0200,JOHN SWIFT 431487,A81000C,00200,0400,HMR ADVANTAGE HLTH SYS 431487,A81000C,00200,0600,HOME OFFICE 431487,A81000C,00300,0100,A 431487,A81000C,00300,0200,BILL WILLIAMSON 431487,A81000C,00300,0400,HMR ADVANTAGE HLTH SYS 431487,A81000C,00300,0600,HOME OFFICE 431487,A81000C,00400,0100,A 431487,A81000C,00400,0200,MICHAEL H. MCBRIDE 431487,A81000C,00400,0400,GROVE MEDICAL INC 431487,A81000C,00400,0600,SUPPLIES 431487,A81000C,00500,0100,A 431487,A81000C,00500,0200,MICHAEL H. MCBRIDE 431487,A81000C,00500,0400,SENIOR LIVING PROPERTIES 431487,A81000C,00500,0600,BUILDING LEASE 431487,A81000C,00600,0100,A 431487,A81000C,00600,0200,MICHAEL H. MCBRIDE 431487,A81000C,00600,0400,ADVANTAGE REHAB SYSTEMS 431487,A81000C,00600,0600,THERAPY 431487,A81000C,00700,0100,A 431487,A81000C,00700,0200,JOHN SWIFT 431487,A81000C,00700,0400,ADVANTAGE REHAB SYSTEMS 431487,A81000C,00700,0600,THERAPY 431487,A81000C,00800,0100,A 431487,A81000C,00800,0200,BILL WILLIAMSON 431487,A81000C,00800,0400,ADVANTAGE REHAB SYSTEMS 431487,A81000C,00800,0600,THERAPY 431487,A81000C,00900,0100,A 431487,A81000C,00900,0200,MICHAEL H. MCBRIDGE 431487,A81000C,00900,0400,CRESCENT INDEMNITY INC. 431487,A81000C,00900,0600,INSURANCE 431487,A81000C,01000,0100,A 431487,A81000C,01000,0200,JOHN SWIFT 431487,A81000C,01000,0400,CRESCENT INDEMNITY INC 431487,A81000C,01000,0600,INSURANCE 431487,A81000C,01001,0100,A 431487,A81000C,01001,0200,BILL WILLIAMSON 431487,A81000C,01001,0400,CRESCENT INDEMNTIY INC 431487,A81000C,01001,0600,INSURANCE 431487,A81000C,01002,0100,A 431487,A81000C,01002,0200,WILLIAM BIGGS 431487,A81000C,01002,0400,CRESCENT INDEMNITY INC 431487,A81000C,01002,0600,INSURANCE 431487,A81000C,01003,0100,A 431487,A81000C,01003,0200,MICHAEL H. MCBRIDE 431487,A81000C,01003,0400,PROCARE RX INC. 431487,A81000C,01003,0600,PHARMACY 431487,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431487,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431487,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431487,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431487,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431487,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431487,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431487,B100000,00000,0800,0800MEALS SERVED :DIETARY 431487,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431487,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431487,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431487,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431487,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431487,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431487,E10A180,00550,0100,07/11/11 431487,G300000,02500,0000,NSF CHARGES 431487,G300000,02501,0000,GARNISHMENT FEE 431487,S000000,00100,0200,07/11/11 431487,S200000,00100,0100,1 HOLIDAY ROAD 431487,S200000,00200,0100,MCCORMICK 431487,S200000,00200,0200,SC 431487,S200000,00200,0300,29835 431487,S200000,00300,0100,MCCORMICK 431487,S200000,00300,0201,00042 431487,S200000,00300,0300,R 431487,S200000,00400,0100,SAVANNAH HEIGHTS LIVING CENTER LLC 431487,S200000,00400,0200,425171 431487,S200000,00400,0300,08/01/89 431487,S200000,00400,0500,P 431487,S200000,01500,0100,Y 431487,S200000,01501,0200,N 431487,S200000,01502,0200,Y 431487,S200000,01503,0200,N 431487,S200000,01504,0200,N 431487,S200000,01600,0100,N 431487,S200000,01700,0100,N 431487,S200000,01800,0100,N 431487,S200000,02200,0100,N 431487,S200000,02800,0100,Y 431487,S200000,02900,0100,N 431487,S200000,03000,0100,N 431487,S200000,03100,0100,N 431487,S200000,03200,0100,N 431487,S200000,03300,0100,N 431487,S200000,03300,0200,N 431487,S200000,04100,0100,N 431487,S200000,04200,0100,N 431487,S200000,04300,0100,N 431487,S200000,04600,0100,N 431487,S200000,04700,0100,N 431487,S200000,04700,0200,N 431487,S200000,04900,0100,N 431487,S200000,05000,0100,N 431487,S200000,05100,0100,N 431487,S200000,05200,0100,N 431487,S200000,05300,0100,Y 431487,S200000,05300,0200,42HO32 431487,S200000,05400,0100,HMR ADVANTAGE HEALTH SYSTEMS INC 431487,S200000,05400,0200,PALMETTO GBA 431487,S200000,05400,0300, 00380 431487,S200000,05500,0100,101 GRACE DRIVE 431487,S200000,05600,0100,EASLEY 431487,S200000,05600,0200,SC 431487,S200000,05600,0300,29640 431503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431503,A000000,00300,0000,0300EMPLOYEE BENEFITS 431503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431503,A000000,00700,0000,0700HOUSEKEEPING 431503,A000000,00800,0000,0800DIETARY 431503,A000000,00900,0000,0900NURSING ADMINISTRATION 431503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431503,A000000,01100,0000,1100PHARMACY 431503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431503,A000000,01300,0000,1300SOCIAL SERVICE 431503,A000000,01500,0000,1350PATIENT ACTIVITIES 431503,A000000,01600,0000,1600SKILLED NURSING FACILITY 431503,A000000,02100,0000,2100RADIOLOGY 431503,A000000,02200,0000,2200LABORATORY 431503,A000000,02300,0000,2300INTRAVENOUS THERAPY 431503,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431503,A000000,02500,0000,2500PHYSICAL THERAPY 431503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431503,A000000,02700,0000,2700SPEECH PATHOLOGY 431503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431503,A000000,03200,0000,3200SUPPORT SURFACES 431503,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431503,A000000,04800,0000,4800AMBULANCE 431503,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431503,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431503,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431503,A000000,06200,0000,6200PATIENTS LAUNDRY 431503,A000000,06300,0000,6150NONREIMBURSABLE 431503,A81000A,00100,0100,Y 431503,A81000B,00100,0300,DEPRECIATION 431503,A81000B,00200,0300,RENT 431503,A81000B,00300,0300,INTEREST 431503,A81000B,00400,0300,PROP INSURANCE 431503,A81000B,00500,0300,PROPERTY TAX 431503,A81000B,00600,0300,MISC ADMIN 431503,A81000B,00700,0300,HOME OFFICE 431503,A81000B,00800,0300,HOME OFFICE 431503,A81000B,00900,0300,STOCK DRUGS 431503,A81000B,01000,0300,LEGEND DRUGS 431503,A81000B,01100,0300,PHARMACY CONSULTANT 431503,A81000C,00100,0100,B 431503,A81000C,00100,0200,LSA MANAGEMENT 431503,A81000C,00100,0400,LH W-S PROPERTY 431503,A81000C,00100,0600,LESSOR 431503,A81000C,00200,0100,B 431503,A81000C,00200,0200,LSA MANAGEMENT 431503,A81000C,00200,0400,LH W-S PROPERTY 431503,A81000C,00200,0600,LESSOR 431503,A81000C,00300,0100,B 431503,A81000C,00300,0200,LSA MANAGEMENT 431503,A81000C,00300,0400,LH W-S PROPERTY 431503,A81000C,00300,0600,LESSOR 431503,A81000C,00400,0100,B 431503,A81000C,00400,0200,LSA MANAGEMENT 431503,A81000C,00400,0400,LH W-S PROPERTY 431503,A81000C,00400,0600,LESSOR 431503,A81000C,00500,0100,B 431503,A81000C,00500,0200,LSA MANAGEMENT 431503,A81000C,00500,0400,LH W-S PROPERTY 431503,A81000C,00500,0600,LESSOR 431503,A81000C,00600,0100,B 431503,A81000C,00600,0200,LSA MANAGEMENT 431503,A81000C,00600,0400,LH W-S PROPERTY 431503,A81000C,00600,0600,LESSOR 431503,A81000C,00700,0100,B 431503,A81000C,00700,0200,LSA MANAGEMENT 431503,A81000C,00700,0400,LSA MANAGEMENT 431503,A81000C,00700,0600,HOME OFFICE 431503,A81000C,00800,0100,B 431503,A81000C,00800,0200,LSA MANAGEMENT 431503,A81000C,00800,0400,LSA MANAGEMENT 431503,A81000C,00800,0600,HOME OFFICE 431503,A81000C,00900,0100,B 431503,A81000C,00900,0200,LSA MANAGEMENT 431503,A81000C,00900,0400,LSA PHARMACY 431503,A81000C,00900,0600,PHARMACY 431503,A81000C,01000,0100,B 431503,A81000C,01000,0200,LSA MANAGEMENT 431503,A81000C,01000,0400,LSA PHARMACY 431503,A81000C,01000,0600,PHARMACY 431503,A81000C,01001,0100,B 431503,A81000C,01001,0200,LSA MANAGEMENT 431503,A81000C,01001,0400,LSA PHARMACY 431503,A81000C,01001,0600,PHARMACY 431503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431503,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431503,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431503,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431503,B100000,00000,0800,0800MEALS SERVED :DIETARY 431503,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431503,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431503,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431503,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431503,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431503,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431503,E10A180,00501,0100,05/10/12 431503,G300000,02500,0000,BARBER AND BEAUTY 431503,G300000,02501,0000,PERSONAL PURCHASES 431503,G300000,02502,0000,OTHER INCOME 431503,S000000,00100,0200,02/27/12 431503,S200000,00100,0100,5350 OLD WALKERTOWN RD 431503,S200000,00200,0100,WINSTON-SALEM 431503,S200000,00200,0200,NC 431503,S200000,00200,0300,27105 431503,S200000,00300,0100,FORSYTH 431503,S200000,00300,0200,3120 431503,S200000,00300,0201,49180 431503,S200000,00300,0300,U 431503,S200000,00400,0100,LUTHERAN HOME WINSTON SALEM 431503,S200000,00400,0200,345088 431503,S200000,00400,0300,10/01/85 431503,S200000,00400,0500,P 431503,S200000,01500,0100,Y 431503,S200000,01501,0200,N 431503,S200000,01503,0200,N 431503,S200000,01600,0100,N 431503,S200000,01700,0100,N 431503,S200000,01800,0100,N 431503,S200000,02200,0100,N 431503,S200000,02800,0100,N 431503,S200000,02900,0100,N 431503,S200000,03000,0100,N 431503,S200000,03100,0100,N 431503,S200000,03200,0100,N 431503,S200000,03300,0100,N 431503,S200000,03300,0200,N 431503,S200000,04100,0100,N 431503,S200000,04200,0100,N 431503,S200000,04300,0100,N 431503,S200000,04600,0100,N 431503,S200000,04700,0100,N 431503,S200000,04700,0200,N 431503,S200000,04900,0100,N 431503,S200000,05000,0100,N 431503,S200000,05100,0100,N 431503,S200000,05200,0100,N 431503,S200000,05300,0100,Y 431503,S200000,05300,0200,349086 431503,S200000,05400,0100,LSA MANAGEMENT INC. 431503,S200000,05400,0200,PALMETTO GBA 431503,S200000,05400,0300,11001 431503,S200000,05500,0200,PO BX 947 431503,S200000,05600,0100,SALISBURY 431503,S200000,05600,0200,NC 431503,S200000,05600,0300,28145-0947 431504,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431504,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431504,A000000,00300,0000,0300EMPLOYEE BENEFITS 431504,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431504,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431504,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431504,A000000,00700,0000,0700HOUSEKEEPING 431504,A000000,00800,0000,0800DIETARY 431504,A000000,00900,0000,0900NURSING ADMINISTRATION 431504,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431504,A000000,01100,0000,1100PHARMACY 431504,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431504,A000000,01300,0000,1300SOCIAL SERVICE 431504,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431504,A000000,01600,0000,1600SKILLED NURSING FACILITY 431504,A000000,01810,0000,1810ICF/MR 431504,A000000,02100,0000,2100RADIOLOGY 431504,A000000,02200,0000,2200LABORATORY 431504,A000000,02500,0000,2500PHYSICAL THERAPY 431504,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431504,A000000,02700,0000,2700SPEECH PATHOLOGY 431504,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431504,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431504,A000000,03550,0000,3550FQHC 431504,A000000,05000,0000,5000CORF 431504,A000000,05010,0000,5010CMHC 431504,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431504,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431504,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431504,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431504,A81000A,00100,0100,Y 431504,A81000B,00100,0300,LEASE 431504,A81000B,00200,0300,MANAGEMENT FEES 431504,A81000C,00100,0100,A 431504,A81000C,00100,0200,C TREFZGER 431504,A81000C,00100,0400,CGM INVESTMENTS 431504,A81000C,00100,0600,LANDLORD 431504,A81000C,00200,0100,A 431504,A81000C,00200,0200,C TREFZGER/M JO 431504,A81000C,00200,0400,CNH LLC 431504,A81000C,00200,0600,RELATED PARTY M 431504,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431504,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431504,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431504,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431504,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431504,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431504,B100000,00000,0800,0800MEALS SERVED :DIETARY 431504,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431504,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431504,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431504,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431504,E10A180,00550,0100,02/29/12 431504,S000000,00100,0200,02/29/12 431504,S200000,00100,0100,75 FISHER LOOP 431504,S200000,00200,0100,MAGGIE VALLEY 431504,S200000,00200,0200,NC 431504,S200000,00200,0300,28751 431504,S200000,00300,0100,HAYWOOD 431504,S200000,00300,0201,11700 431504,S200000,00300,0300,R 431504,S200000,00400,0100,CANTON CHRISTIAN CONVALESCENT CTR 431504,S200000,00400,0200,345102 431504,S200000,00400,0300,11/23/73 431504,S200000,00400,0500,P 431504,S200000,00400,0600,P 431504,S200000,01500,0100,Y 431504,S200000,01501,0200,Y 431504,S200000,01600,0100,N 431504,S200000,01700,0100,N 431504,S200000,01800,0100,N 431504,S200000,02200,0100,N 431504,S200000,02800,0100,N 431504,S200000,02900,0100,N 431504,S200000,03000,0100,N 431504,S200000,03100,0100,N 431504,S200000,03200,0100,N 431504,S200000,03300,0100,N 431504,S200000,03300,0200,N 431504,S200000,03600,0100,N 431504,S200000,03600,0200,N 431504,S200000,04100,0100,N 431504,S200000,04200,0100,N 431504,S200000,04300,0100,N 431504,S200000,04600,0100,N 431504,S200000,04700,0100,N 431504,S200000,04700,0200,N 431504,S200000,04900,0100,N 431504,S200000,05000,0100,N 431504,S200000,05100,0100,N 431504,S200000,05200,0100,N 431505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431505,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431505,A000000,00300,0000,0300EMPLOYEE BENEFITS 431505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431505,A000000,00700,0000,0700HOUSEKEEPING 431505,A000000,00800,0000,0800DIETARY 431505,A000000,00900,0000,0900NURSING ADMINISTRATION 431505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431505,A000000,01100,0000,1100PHARMACY 431505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431505,A000000,01300,0000,1300SOCIAL SERVICE 431505,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431505,A000000,01600,0000,1600SKILLED NURSING FACILITY 431505,A000000,01800,0000,1800NURSING FACILITY 431505,A000000,01900,0000,1900OTHER LONG TERM CARE 431505,A000000,02100,0000,2100RADIOLOGY 431505,A000000,02200,0000,2200LABORATORY 431505,A000000,02300,0000,2300INTRAVENOUS THERAPY 431505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431505,A000000,02500,0000,2500PHYSICAL THERAPY 431505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431505,A000000,02700,0000,2700SPEECH PATHOLOGY 431505,A000000,02800,0000,2800ELECTROCARDIOLOGY 431505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431505,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431505,A000000,03200,0000,3200SUPPORT SURFACES 431505,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431505,A000000,03400,0000,3400CLINIC 431505,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431505,A000000,04800,0000,4800AMBULANCE 431505,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431505,A000000,05000,0000,5000CORF 431505,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431505,A000000,05300,0000,5300INTEREST EXPENSE 431505,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431505,A000000,05500,0000,5500HOSPICE 431505,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431505,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431505,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431505,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431505,A000000,06100,0000,6100NONPAID WORKERS 431505,A000000,06200,0000,6200PATIENTS LAUNDRY 431505,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431505,A81000A,00100,0100,Y 431505,A81000B,00100,0300,NURSING CONSULTING 431505,A81000B,00200,0300,DIETARY CONSULTING 431505,A81000B,00300,0300,HOME OFFICE 431505,A81000B,00400,0300,INTEREST EXPENSE 431505,A81000B,00500,0300,WORKERS COMPENSATION EXPENSE 431505,A81000B,00600,0300,PROFESSIONAL LIABILITY 431505,A81000B,00700,0300,MAINTENANCE SUPPLIES 431505,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431505,A81000B,01000,0300,REPAIRS-EQUIPMENT 431505,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 431505,A81000B,01200,0300,LINEN & BEDDING 431505,A81000B,01300,0300,SUPPLIES 431505,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 431505,A81000B,01500,0300,SUPPLIES 431505,A81000B,01600,0300,DIETARY SUPPLEMENTS 431505,A81000B,01700,0300,SUPPLIES 431505,A81000B,01800,0300,BIO-MEDICAL WASTE 431505,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 431505,A81000B,02000,0300,PERSONAL CARE SUPPLIES 431505,A81000B,02100,0300,INCONTINENCE SUPPLIES 431505,A81000B,02200,0300,MEDICAL SUPPLIES 431505,A81000B,02300,0300,SUPPLIES 431505,A81000B,02400,0300,SUPPLIES 431505,A81000B,02500,0300,SUPPLIES 431505,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 431505,A81000B,02700,0300,OXYGEN THERAPY SUPPLIES 431505,A81000B,02800,0300,NURSING EQUIPMENT RENTAL 431505,A81000B,02900,0300,NON-LEGEND DRUGS 431505,A81000B,02901,0300,PHARMACY CONSULTANT 431505,A81000C,00100,0100,B 431505,A81000C,00100,0200,HILLCO LTD 431505,A81000C,00100,0400,BRITTHAVEN INC 431505,A81000C,00100,0600,MANAGEMENT SERV 431505,A81000C,00200,0100,B 431505,A81000C,00200,0200,HILLCO LTD 431505,A81000C,00200,0400,BRITTHAVEN INC 431505,A81000C,00200,0600,MANAGEMENT SERV 431505,A81000C,00300,0100,B 431505,A81000C,00300,0200,HILLCO LTD 431505,A81000C,00300,0400,BRITTHAVEN INC 431505,A81000C,00300,0600,MANAGEMENT SERV 431505,A81000C,00400,0100,B 431505,A81000C,00400,0200,HILLCO LTD 431505,A81000C,00400,0400,BRITTHAVEN INC 431505,A81000C,00400,0600,MANAGEMENT SERV 431505,A81000C,00500,0100,A 431505,A81000C,00500,0200,DISCOVERY INS. 431505,A81000C,00500,0400,DISCOVERY INS. 431505,A81000C,00500,0600,INSURANCE 431505,A81000C,00600,0100,A 431505,A81000C,00600,0200,QUEENSLAND ASSU 431505,A81000C,00600,0400,QUEENSLAND ASSU 431505,A81000C,00600,0600,INSURANCE 431505,A81000C,00700,0100,B 431505,A81000C,00700,0200,HILLCO LTD 431505,A81000C,00700,0400,KARE MEDICAL 431505,A81000C,00700,0600,WHOLESALE SUPPL 431505,A81000C,00800,0100,B 431505,A81000C,00800,0200,HILLCO LTD 431505,A81000C,00800,0400,KARE MEDICAL 431505,A81000C,00800,0600,WHOLESALE SUPPL 431505,A81000C,00900,0100,B 431505,A81000C,00900,0200,HILLCO LTD 431505,A81000C,00900,0400,KARE MEDICAL 431505,A81000C,00900,0600,WHOLESALE SUPPL 431505,A81000C,01000,0100,B 431505,A81000C,01000,0200,HILLCO LTD 431505,A81000C,01000,0400,KARE MEDICAL 431505,A81000C,01000,0600,WHOLESALE SUPPL 431505,A81000C,01001,0100,B 431505,A81000C,01001,0200,HILLCO LTD 431505,A81000C,01001,0400,KARE MEDICAL 431505,A81000C,01001,0600,WHOLESALE SUPPL 431505,A81000C,01002,0100,B 431505,A81000C,01002,0200,HILLCO LTD 431505,A81000C,01002,0400,KARE MEDICAL 431505,A81000C,01002,0600,WHOLESALE SUPPL 431505,A81000C,01003,0100,B 431505,A81000C,01003,0200,HILLCO LTD 431505,A81000C,01003,0400,KARE MEDICAL 431505,A81000C,01003,0600,WHOLESALE SUPPL 431505,A81000C,01004,0100,B 431505,A81000C,01004,0200,HILLCO LTD 431505,A81000C,01004,0400,KARE MEDICAL 431505,A81000C,01004,0600,WHOLESALE SUPPL 431505,A81000C,01005,0100,B 431505,A81000C,01005,0200,HILLCO LTD 431505,A81000C,01005,0400,KARE MEDICAL 431505,A81000C,01005,0600,WHOLESALE SUPPL 431505,A81000C,01006,0100,B 431505,A81000C,01006,0200,HILLCO LTD 431505,A81000C,01006,0400,KARE MEDICAL 431505,A81000C,01006,0600,WHOLESALE SUPPL 431505,A81000C,01007,0100,B 431505,A81000C,01007,0200,HILLCO LTD 431505,A81000C,01007,0400,KARE MEDICAL 431505,A81000C,01007,0600,WHOLESALE SUPPL 431505,A81000C,01008,0100,B 431505,A81000C,01008,0200,HILLCO LTD 431505,A81000C,01008,0400,KARE MEDICAL 431505,A81000C,01008,0600,WHOLESALE SUPPL 431505,A81000C,01009,0100,B 431505,A81000C,01009,0200,HILLCO LTD 431505,A81000C,01009,0400,KARE MEDICAL 431505,A81000C,01009,0600,WHOLESALE SUPPL 431505,A81000C,01010,0100,B 431505,A81000C,01010,0200,HILLCO LTD 431505,A81000C,01010,0400,KARE MEDICAL 431505,A81000C,01010,0600,WHOLESALE SUPPL 431505,A81000C,01011,0100,B 431505,A81000C,01011,0200,HILLCO LTD 431505,A81000C,01011,0400,KARE MEDICAL 431505,A81000C,01011,0600,WHOLESALE SUPPL 431505,A81000C,01012,0100,B 431505,A81000C,01012,0200,HILLCO LTD 431505,A81000C,01012,0400,KARE MEDICAL 431505,A81000C,01012,0600,WHOLESALE SUPPL 431505,A81000C,01013,0100,B 431505,A81000C,01013,0200,HILLCO LTD 431505,A81000C,01013,0400,PHARMSAVE 431505,A81000C,01013,0600,RX SUPPLY 431505,A81000C,01014,0100,B 431505,A81000C,01014,0200,HILLCO LTD 431505,A81000C,01014,0400,PHARMSAVE 431505,A81000C,01014,0600,RX SUPPLY 431505,A81000C,01015,0100,B 431505,A81000C,01015,0200,HILLCO LTD 431505,A81000C,01015,0400,PHARMSAVE 431505,A81000C,01015,0600,RX SUPPLY 431505,A81000C,01016,0100,B 431505,A81000C,01016,0200,HILLCO LTD 431505,A81000C,01016,0400,PHARMSAVE 431505,A81000C,01016,0600,RX SUPPLY 431505,A81000C,01017,0100,B 431505,A81000C,01017,0200,HILLCO LTD 431505,A81000C,01017,0400,ROBERT HILL CON 431505,A81000C,01017,0600,CONSTRUCTION 431505,A81000C,01018,0100,B 431505,A81000C,01018,0200,HILLCO LTD 431505,A81000C,01018,0400,ROBERT HILL CON 431505,A81000C,01018,0600,CONTSTRUCTION 431505,A81000C,01019,0100,B 431505,A81000C,01019,0200,HILLCO LTD 431505,A81000C,01019,0400,ROBERT HILL CON 431505,A81000C,01019,0600,CONSTRUCTION 431505,A81000C,01020,0100,B 431505,A81000C,01020,0200,HILLCO LTD 431505,A81000C,01020,0400,PHARMSAVE 431505,A81000C,01020,0600,RX SUPPLY 431505,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431505,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431505,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431505,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431505,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431505,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431505,B100000,00000,0800,0800MEALS SERVED :DIETARY 431505,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431505,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431505,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431505,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431505,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431505,E10A180,00501,0300,02/24/12 431505,E10A180,00550,0100,02/24/12 431505,G300000,02500,0000, OTHER (SPECIFY) 431505,S000000,00100,0200,02/24/12 431505,S200000,00100,0100,2600 OLD CHERRY POINT ROAD 431505,S200000,00200,0100,NEW BERN 431505,S200000,00200,0200,NC 431505,S200000,00200,0300,28563 431505,S200000,00300,0100,CRAVEN 431505,S200000,00300,0201,99934 431505,S200000,00300,0300,R 431505,S200000,00400,0100,BRITTHAVEN OF NEW BERN 431505,S200000,00400,0200,345211 431505,S200000,00400,0300,04/01/83 431505,S200000,00400,0500,P 431505,S200000,01500,0100,N 431505,S200000,01501,0200,Y 431505,S200000,01502,0200,Y 431505,S200000,01503,0200,Y 431505,S200000,01504,0200,Y 431505,S200000,01505,0000,OTHER (SPECIFY) 431505,S200000,01505,0200,Y 431505,S200000,01600,0100,Y 431505,S200000,01700,0100,N 431505,S200000,01800,0100,N 431505,S200000,02200,0100,N 431505,S200000,02800,0100,N 431505,S200000,02900,0100,N 431505,S200000,03000,0100,N 431505,S200000,03100,0100,Y 431505,S200000,03200,0100,N 431505,S200000,03300,0100,N 431505,S200000,03300,0200,N 431505,S200000,04100,0100,N 431505,S200000,04200,0100,N 431505,S200000,04300,0100,N 431505,S200000,04600,0100,N 431505,S200000,04700,0100,N 431505,S200000,04700,0200,N 431505,S200000,04900,0100,N 431505,S200000,05000,0100,N 431505,S200000,05100,0100,N 431505,S200000,05200,0100,N 431505,S200000,05300,0100,Y 431505,S200000,05300,0200,349011 431505,S200000,05400,0100,BRITTHAVEN INC. 431505,S200000,05400,0200,PALMETTO GBA 431505,S200000,05400,0300,11501 431505,S200000,05500,0100,1435 HWY 258 NORTH 431505,S200000,05600,0100,KINSTON 431505,S200000,05600,0200,NC 431505,S200000,05600,0300,28502 431506,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431506,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431506,A000000,00300,0000,0300EMPLOYEE BENEFITS 431506,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431506,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431506,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431506,A000000,00700,0000,0700HOUSEKEEPING 431506,A000000,00800,0000,0800DIETARY 431506,A000000,00900,0000,0900NURSING ADMINISTRATION 431506,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431506,A000000,01100,0000,1100PHARMACY 431506,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431506,A000000,01300,0000,1300SOCIAL SERVICE 431506,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431506,A000000,01600,0000,1600SKILLED NURSING FACILITY 431506,A000000,01800,0000,1800NURSING FACILITY 431506,A000000,01900,0000,1900OTHER LONG TERM CARE 431506,A000000,02100,0000,2100RADIOLOGY 431506,A000000,02200,0000,2200LABORATORY 431506,A000000,02300,0000,2300INTRAVENOUS THERAPY 431506,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431506,A000000,02500,0000,2500PHYSICAL THERAPY 431506,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431506,A000000,02700,0000,2700SPEECH PATHOLOGY 431506,A000000,02800,0000,2800ELECTROCARDIOLOGY 431506,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431506,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431506,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431506,A000000,03200,0000,3200SUPPORT SURFACES 431506,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431506,A000000,03400,0000,3400CLINIC 431506,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431506,A000000,04800,0000,4800AMBULANCE 431506,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431506,A000000,05000,0000,5000CORF 431506,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431506,A000000,05300,0000,5300INTEREST EXPENSE 431506,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431506,A000000,05500,0000,5500HOSPICE 431506,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431506,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431506,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431506,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431506,A000000,06100,0000,6100NONPAID WORKERS 431506,A000000,06200,0000,6200PATIENTS LAUNDRY 431506,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431506,A81000A,00100,0100,Y 431506,A81000B,00100,0300,NURSING CONSULTING 431506,A81000B,00200,0300,DIETARY CONSULTING 431506,A81000B,00300,0300,HOME OFFICE EXPENSE 431506,A81000B,00400,0300,INTEREST EXPENSE 431506,A81000B,00500,0300,WORKERS COMPENSATION 431506,A81000B,00600,0300,PROFESSIONAL LIABILITY 431506,A81000B,00700,0300,MAINTENANCE SUPPLIES 431506,A81000B,00800,0300,REPAIRS-EQUIPMENT 431506,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 431506,A81000B,01000,0300,DIETARY SUPPLEMENTS 431506,A81000B,01100,0300,DIETARY SUPPLIES 431506,A81000B,01200,0300,INCONTINENCE SUPPLIES 431506,A81000B,01300,0300,MEDICAL SUPPLIES 431506,A81000B,01400,0300,PERSONAL CARE SUPPLIES 431506,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 431506,A81000B,01600,0300,BIO-MEDICAL WASTE 431506,A81000B,01700,0300,PT SUPPLIES 431506,A81000B,01800,0300,OT SUPPLIES 431506,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 431506,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 431506,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 431506,A81000B,02200,0300,EQUIPMENT RENTAL 431506,A81000B,02300,0300,NON-LEGEND DRUGS 431506,A81000B,02400,0300,MEDICAL RECORDS SUPPLIES 431506,A81000B,02500,0300,PHARMACY CONSULTING 431506,A81000B,02600,0300,LEGEND DRUGS 431506,A81000B,02700,0300,REPAIRS-BUILDING 431506,A81000B,02800,0300,MEDICAL RECORDS SUPPLIES 431506,A81000B,02900,0300,OFFICE SUPPLIES 431506,A81000C,00100,0100,B 431506,A81000C,00100,0400,BRITTHAVEN INC 431506,A81000C,00100,0600,MGMT SERVICES 431506,A81000C,00200,0100,B 431506,A81000C,00200,0400,BRITTHAVEN INC 431506,A81000C,00200,0600,MGMT SERVICES 431506,A81000C,00300,0100,B 431506,A81000C,00300,0400,BRITTHAVEN INC 431506,A81000C,00300,0600,MGMT SERVICES 431506,A81000C,00400,0100,B 431506,A81000C,00400,0400,BRITTHAVEN INC 431506,A81000C,00400,0600,MGMT SERVICES 431506,A81000C,00500,0100,A 431506,A81000C,00500,0200,DISCOVERY INSUR 431506,A81000C,00500,0600,INSURANCE 431506,A81000C,00600,0100,A 431506,A81000C,00600,0200,QUEENSLAND ASSU 431506,A81000C,00600,0600,INSURANCE 431506,A81000C,00700,0100,B 431506,A81000C,00700,0400,KARE MEDICAL 431506,A81000C,00700,0600,WHOLESALE SUPPL 431506,A81000C,00800,0100,B 431506,A81000C,00800,0400,KARE MEDICAL 431506,A81000C,00800,0600,WHOLESALE SUPPL 431506,A81000C,00900,0100,B 431506,A81000C,00900,0400,KARE MEDICAL 431506,A81000C,00900,0600,WHOLESALE SUPPL 431506,A81000C,01000,0100,B 431506,A81000C,01000,0400,KARE MEDICAL 431506,A81000C,01000,0600,WHOLESALE SUPPL 431506,A81000C,01001,0100,B 431506,A81000C,01001,0400,KARE MEDICAL 431506,A81000C,01001,0600,WHOLESALE SUPPL 431506,A81000C,01002,0100,B 431506,A81000C,01002,0400,KARE MEDICAL 431506,A81000C,01002,0600,WHOLESALE SUPPL 431506,A81000C,01003,0100,B 431506,A81000C,01003,0400,KARE MEDICAL 431506,A81000C,01003,0600,WHOLESALE SUPPL 431506,A81000C,01004,0100,B 431506,A81000C,01004,0400,KARE MEDICAL 431506,A81000C,01004,0600,WHOLESALE SUPPL 431506,A81000C,01005,0100,B 431506,A81000C,01005,0400,KARE MEDICAL 431506,A81000C,01005,0600,WHOLESALE SUPPL 431506,A81000C,01006,0100,B 431506,A81000C,01006,0400,KARE MEDICAL 431506,A81000C,01006,0600,WHOLESALE SUPPL 431506,A81000C,01007,0100,B 431506,A81000C,01007,0400,KARE MEDICAL 431506,A81000C,01007,0600,WHOLESALE SUPPL 431506,A81000C,01008,0100,B 431506,A81000C,01008,0400,KARE MEDICAL 431506,A81000C,01008,0600,WHOLESALE SUPPL 431506,A81000C,01009,0100,B 431506,A81000C,01009,0400,KARE MEDICAL 431506,A81000C,01009,0600,WHOLESALE SUPPL 431506,A81000C,01010,0100,B 431506,A81000C,01010,0400,KARE MEDICAL 431506,A81000C,01010,0600,WHOLESALE SUPPL 431506,A81000C,01011,0100,B 431506,A81000C,01011,0400,KARE MEDICAL 431506,A81000C,01011,0600,WHOLESALE SUPPL 431506,A81000C,01012,0100,B 431506,A81000C,01012,0400,PHARMSAVE 431506,A81000C,01012,0600,RX SUPPLY 431506,A81000C,01013,0100,B 431506,A81000C,01013,0400,PHARMSAVE 431506,A81000C,01013,0600,RX SUPPLY 431506,A81000C,01014,0100,B 431506,A81000C,01014,0400,PHARMSAVE 431506,A81000C,01014,0600,RX SUPPLY 431506,A81000C,01015,0100,B 431506,A81000C,01015,0400,PHARMSAVE 431506,A81000C,01015,0600,RX SUPPLY 431506,A81000C,01016,0100,B 431506,A81000C,01016,0400,PHARMSAVE 431506,A81000C,01016,0600,RX SUPPLY 431506,A81000C,01017,0100,B 431506,A81000C,01017,0400,ROBERT HILL CON 431506,A81000C,01017,0600,CONSTRUCTION 431506,A81000C,01018,0100,B 431506,A81000C,01018,0400,ROBERT HILL CON 431506,A81000C,01018,0600,CONSTRUCTION 431506,A81000C,01019,0100,B 431506,A81000C,01019,0400,ROBERT HILL CON 431506,A81000C,01019,0600,CONSTRUCTION 431506,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431506,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431506,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431506,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431506,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431506,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431506,B100000,00000,0800,0800MEALS SERVED :DIETARY 431506,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431506,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431506,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431506,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431506,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431506,G300000,02500,0000, OTHER (SPECIFY) 431506,S000000,00100,0200,02/24/12 431506,S200000,00100,0100,200 HAMPTON WOODS COMPLEX 431506,S200000,00200,0100,JACKSON 431506,S200000,00200,0200,NC 431506,S200000,00200,0300,27845 431506,S200000,00300,0100,NORTH HAMPTON 431506,S200000,00300,0201,99934 431506,S200000,00300,0300,R 431506,S200000,00400,0100,HAMPTON WOODS HEALTH & REHAB CTR 431506,S200000,00400,0200,345313 431506,S200000,00400,0300,02/27/90 431506,S200000,00400,0500,P 431506,S200000,01500,0100,Y 431506,S200000,01501,0200,Y 431506,S200000,01502,0200,Y 431506,S200000,01503,0200,Y 431506,S200000,01504,0200,Y 431506,S200000,01505,0000,OTHER (SPECIFY) 431506,S200000,01505,0200,Y 431506,S200000,01600,0100,N 431506,S200000,01700,0100,N 431506,S200000,01800,0100,N 431506,S200000,02200,0100,N 431506,S200000,02800,0100,N 431506,S200000,02900,0100,N 431506,S200000,03000,0100,N 431506,S200000,03100,0100,Y 431506,S200000,03200,0100,N 431506,S200000,03300,0100,N 431506,S200000,03300,0200,N 431506,S200000,04100,0100,N 431506,S200000,04200,0100,N 431506,S200000,04300,0100,N 431506,S200000,04600,0100,N 431506,S200000,04700,0100,N 431506,S200000,04700,0200,N 431506,S200000,04900,0100,N 431506,S200000,05000,0100,N 431506,S200000,05100,0100,N 431506,S200000,05200,0100,N 431506,S200000,05300,0100,Y 431506,S200000,05300,0200,349011 431506,S200000,05400,0100,BRITTHAVEN INC. 431506,S200000,05400,0200,PALMETTO GBA 431506,S200000,05400,0300,11501 431506,S200000,05500,0100,1435 HWY 258 NORTH 431506,S200000,05500,0200,PO BOX 65 431506,S200000,05600,0100,KINSTON 431506,S200000,05600,0200,NC 431506,S200000,05600,0300,28502 431507,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431507,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431507,A000000,00300,0000,0300EMPLOYEE BENEFITS 431507,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431507,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431507,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431507,A000000,00700,0000,0700HOUSEKEEPING 431507,A000000,00800,0000,0800DIETARY 431507,A000000,00900,0000,0900NURSING ADMINISTRATION 431507,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431507,A000000,01100,0000,1100PHARMACY 431507,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431507,A000000,01300,0000,1300SOCIAL SERVICE 431507,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431507,A000000,01600,0000,1600SKILLED NURSING FACILITY 431507,A000000,01800,0000,1800NURSING FACILITY 431507,A000000,01900,0000,1900OTHER LONG TERM CARE 431507,A000000,02100,0000,2100RADIOLOGY 431507,A000000,02200,0000,2200LABORATORY 431507,A000000,02300,0000,2300INTRAVENOUS THERAPY 431507,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431507,A000000,02500,0000,2500PHYSICAL THERAPY 431507,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431507,A000000,02700,0000,2700SPEECH PATHOLOGY 431507,A000000,02800,0000,2800ELECTROCARDIOLOGY 431507,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431507,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431507,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431507,A000000,03200,0000,3200SUPPORT SURFACES 431507,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431507,A000000,03400,0000,3400CLINIC 431507,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431507,A000000,04800,0000,4800AMBULANCE 431507,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431507,A000000,05000,0000,5000CORF 431507,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431507,A000000,05300,0000,5300INTEREST EXPENSE 431507,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431507,A000000,05500,0000,5500HOSPICE 431507,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431507,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431507,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431507,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431507,A000000,06100,0000,6100NONPAID WORKERS 431507,A000000,06200,0000,6200PATIENTS LAUNDRY 431507,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431507,A81000A,00100,0100,Y 431507,A81000B,00100,0300,NURSING CONSULTING 431507,A81000B,00200,0300,DIETARY CONSULTING 431507,A81000B,00300,0300,HOME OFFICE 431507,A81000B,00400,0300,INTEREST EXPENSE 431507,A81000B,00500,0300,WORKERS COMP EXPENSE 431507,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 431507,A81000B,00700,0300,MAINTENANCE SUPPLIES 431507,A81000B,00800,0300,REPAIRS - EQUIPMENT 431507,A81000B,00900,0300,LINEN & BEDDING 431507,A81000B,01000,0300,LAUNDRY SUPPLIES 431507,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 431507,A81000B,01200,0300,DIETARY SUPPLEMENTS 431507,A81000B,01300,0300,DIETARY SUPPLIES 431507,A81000B,01400,0300,BIO-MEDICAL WASTE 431507,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 431507,A81000B,01600,0300,PERSONAL CARE SUPPLIES 431507,A81000B,01700,0300,INCONTINENCE SUPPLIES 431507,A81000B,01800,0300,MEDICAL SUPPLIES 431507,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 431507,A81000B,02000,0300,PHYSICAL THERAPY SUPPLIES 431507,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 431507,A81000B,02200,0300,NURSING EQUIPMENT RENTAL 431507,A81000B,02300,0300,NON-LEGEND DRUGS 431507,A81000B,02400,0300,PHARMACY CONSULTANT 431507,A81000B,02500,0300,MED REC SUPPLIES 431507,A81000B,02600,0300,LEGEND DRUGS 431507,A81000B,02700,0300,OFFICE SUPPLIES 431507,A81000B,02800,0300,MED REC SUPPLIES 431507,A81000C,00100,0100,B 431507,A81000C,00100,0400,BRITTHAVEN INC 431507,A81000C,00100,0600,MGMT SERVICES 431507,A81000C,00200,0100,B 431507,A81000C,00200,0400,BRITTHAVEN INC 431507,A81000C,00200,0600,MGMT SERVICES 431507,A81000C,00300,0100,B 431507,A81000C,00300,0400,BRITTHAVEN INC 431507,A81000C,00300,0600,MGMT SERVICES 431507,A81000C,00400,0100,B 431507,A81000C,00400,0400,BRITTHAVEN INC 431507,A81000C,00400,0600,MGMT SERVICES 431507,A81000C,00500,0100,A 431507,A81000C,00500,0200,QUEENSLAND ASSU 431507,A81000C,00500,0400,KARE MEDICAL 431507,A81000C,00500,0600,INSURANCE 431507,A81000C,00600,0100,A 431507,A81000C,00600,0200,DISCOVERY INSUR 431507,A81000C,00600,0400,KARE MEDICAL 431507,A81000C,00600,0600,INSURANCE 431507,A81000C,00700,0100,B 431507,A81000C,00700,0400,KARE MEDICAL 431507,A81000C,00700,0600,WHOLESALE SUPPL 431507,A81000C,00800,0100,B 431507,A81000C,00800,0400,KARE MEDICAL 431507,A81000C,00800,0600,WHOLESALE SUPPL 431507,A81000C,00900,0100,B 431507,A81000C,00900,0400,KARE MEDICAL 431507,A81000C,00900,0600,WHOLESALE SUPPL 431507,A81000C,01000,0100,B 431507,A81000C,01000,0400,KARE MEDICAL 431507,A81000C,01000,0600,WHOLESALE SUPPL 431507,A81000C,01001,0100,B 431507,A81000C,01001,0400,KARE MEDICAL 431507,A81000C,01001,0600,WHOLESALE SUPPL 431507,A81000C,01002,0100,B 431507,A81000C,01002,0400,KARE MEDICAL 431507,A81000C,01002,0600,WHOLESALE SUPPL 431507,A81000C,01003,0100,B 431507,A81000C,01003,0400,KARE MEDICAL 431507,A81000C,01003,0600,WHOLESALE SUPPL 431507,A81000C,01004,0100,B 431507,A81000C,01004,0400,KARE MEDICAL 431507,A81000C,01004,0600,WHOLESALE SUPPL 431507,A81000C,01005,0100,B 431507,A81000C,01005,0400,KARE MEDICAL 431507,A81000C,01005,0600,WHOLESALE SUPPL 431507,A81000C,01006,0100,B 431507,A81000C,01006,0400,KARE MEDICAL 431507,A81000C,01006,0600,WHOLESALE SUPPL 431507,A81000C,01007,0100,B 431507,A81000C,01007,0400,KARE MEDICAL 431507,A81000C,01007,0600,WHOLESALE SUPPL 431507,A81000C,01008,0100,B 431507,A81000C,01008,0400,KARE MEDICAL 431507,A81000C,01008,0600,WHOLESALE SUPPL 431507,A81000C,01009,0100,B 431507,A81000C,01009,0400,KARE MEDICAL 431507,A81000C,01009,0600,WHOLESALE SUPPL 431507,A81000C,01010,0100,B 431507,A81000C,01010,0400,KARE MEDICAL 431507,A81000C,01010,0600,WHOLESALE SUPPL 431507,A81000C,01011,0100,B 431507,A81000C,01011,0400,KARE MEDICAL 431507,A81000C,01011,0600,WHOLESALE SUPPL 431507,A81000C,01012,0100,B 431507,A81000C,01012,0400,PHARMSAVE 431507,A81000C,01012,0600,RX SUPPLY 431507,A81000C,01013,0100,B 431507,A81000C,01013,0400,PHARMSAVE 431507,A81000C,01013,0600,RX SUPPLY 431507,A81000C,01014,0100,B 431507,A81000C,01014,0400,PHARMSAVE 431507,A81000C,01014,0600,RX SUPPLY 431507,A81000C,01015,0100,B 431507,A81000C,01015,0400,PHARMSAVE 431507,A81000C,01015,0600,RX SUPPLY 431507,A81000C,01016,0100,B 431507,A81000C,01016,0400,PHARMSAVE 431507,A81000C,01016,0600,RX SUPPLY 431507,A81000C,01017,0100,B 431507,A81000C,01017,0400,ROBERT HILL CON 431507,A81000C,01017,0600,CONSTRUCTION 431507,A81000C,01018,0100,B 431507,A81000C,01018,0400,ROBERT HILL CON 431507,A81000C,01018,0600,CONSTRUCTION 431507,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431507,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431507,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431507,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431507,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431507,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431507,B100000,00000,0800,0800MEALS SERVED :DIETARY 431507,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431507,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431507,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431507,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431507,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431507,G300000,02500,0000, OTHER (SPECIFY) 431507,S000000,00100,0200,12/29/11 431507,S200000,00100,0100,728 PINEY GROVE ROAD 431507,S200000,00200,0100,KERNERSVILLE 431507,S200000,00200,0200,NC 431507,S200000,00200,0300,27284 431507,S200000,00300,0100,FORSYTH 431507,S200000,00300,0201,49180 431507,S200000,00300,0300,U 431507,S200000,00400,0100,BRITTHAVEN OF KERNERSVILLE 431507,S200000,00400,0200,345354 431507,S200000,00400,0300,03/07/91 431507,S200000,00400,0500,P 431507,S200000,01500,0100,Y 431507,S200000,01501,0200,Y 431507,S200000,01503,0200,Y 431507,S200000,01504,0200,Y 431507,S200000,01505,0000,OTHER (SPECIFY) 431507,S200000,01505,0200,Y 431507,S200000,01600,0100,N 431507,S200000,01700,0100,N 431507,S200000,01800,0100,N 431507,S200000,02200,0100,N 431507,S200000,02800,0100,N 431507,S200000,02900,0100,N 431507,S200000,03000,0100,N 431507,S200000,03100,0100,Y 431507,S200000,03200,0100,N 431507,S200000,03300,0100,N 431507,S200000,03300,0200,N 431507,S200000,04100,0100,N 431507,S200000,04200,0100,N 431507,S200000,04300,0100,N 431507,S200000,04600,0100,N 431507,S200000,04700,0100,N 431507,S200000,04700,0200,N 431507,S200000,04900,0100,N 431507,S200000,05000,0100,N 431507,S200000,05100,0100,N 431507,S200000,05200,0100,N 431507,S200000,05300,0100,Y 431507,S200000,05300,0200,349011 431507,S200000,05400,0100,BRITTHAVEN INC. 431507,S200000,05400,0200,PALMETTO GBA 431507,S200000,05400,0300,11501 431507,S200000,05500,0100,1435 HWY 258 NORTH 431507,S200000,05500,0200,P.O. BOX 431507,S200000,05600,0100,KINSTON 431507,S200000,05600,0200,NC 431507,S200000,05600,0300,28502 431514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431514,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431514,A000000,00300,0000,0300EMPLOYEE BENEFITS 431514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431514,A000000,00700,0000,0700HOUSEKEEPING 431514,A000000,00800,0000,0800DIETARY 431514,A000000,00900,0000,0900NURSING ADMINISTRATION 431514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431514,A000000,01100,0000,1100PHARMACY 431514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431514,A000000,01300,0000,1300SOCIAL SERVICE 431514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431514,A000000,01500,0000,1350OTHER GENERAL SERVICES 431514,A000000,01600,0000,1600SKILLED NURSING FACILITY 431514,A000000,01800,0000,1800NURSING FACILITY 431514,A000000,01810,0000,1810ICF/MR 431514,A000000,01900,0000,1900OTHER LONG TERM CARE 431514,A000000,02100,0000,2100RADIOLOGY 431514,A000000,02200,0000,2200LABORATORY 431514,A000000,02300,0000,2300INTRAVENOUS THERAPY 431514,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431514,A000000,02500,0000,2500PHYSICAL THERAPY 431514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431514,A000000,02700,0000,2700SPEECH PATHOLOGY 431514,A000000,02800,0000,2800ELECTROCARDIOLOGY 431514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431514,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431514,A000000,03200,0000,3200SUPPORT SURFACES 431514,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431514,A000000,03400,0000,3400CLINIC 431514,A000000,03500,0000,3500RURAL HEALTH CLINIC 431514,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431514,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431514,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431514,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431514,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431514,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431514,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431514,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431514,A000000,04400,0000,4400DME RENTED - HHA 431514,A000000,04500,0000,4500DME SOLD - HHA 431514,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431514,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431514,A000000,04710,0000,4710TELEMEDICINE 431514,A000000,04800,0000,4800AMBULANCE 431514,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431514,A000000,05000,0000,5000CORF 431514,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431514,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431514,A000000,05300,0000,5300INTEREST EXPENSE 431514,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431514,A000000,05500,0000,5500HOSPICE 431514,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431514,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431514,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431514,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431514,A000000,06100,0000,6100NONPAID WORKERS 431514,A000000,06200,0000,6200PATIENTS LAUNDRY 431514,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431514,A81000A,00100,0100,Y 431514,A81000B,00100,0300,PT 431514,A81000B,00200,0300,OT 431514,A81000B,00300,0300,ST 431514,A81000B,00400,0300,RENT 431514,A81000B,00500,0300,SHARED EXPENSES 431514,A81000B,00600,0300,STAUDERMAN RENT EXPENSE 431514,A81000B,00700,0300,850 SILAS DEANE RENT EXPENSE 431514,A81000B,00800,0300,DEPRECIATION EXPENSE 431514,A81000B,00900,0300,AMORTIZATION EXPENSE 431514,A81000B,01000,0300,MORTGAGE INTEREST EXPENSE 431514,A81000C,00100,0100,A 431514,A81000C,00100,0200,M.J. OSTREICHER 431514,A81000C,00100,0400,RIVERSIDE REALTY 431514,A81000C,00100,0600,REAL ESTATE 431514,A81000C,00200,0100,A 431514,A81000C,00200,0200,M.J. OSTREICHER 431514,A81000C,00200,0400,NATIONAL HEALTHCARE 431514,A81000C,00200,0600,BOOKKEEPING 431514,A81000C,00300,0100,A 431514,A81000C,00300,0200,M.J. OSTREICHER 431514,A81000C,00300,0400,PREFERRED THERAPY SOLUTIO 431514,A81000C,00300,0600,PT OT ST THERAPIES 431514,A81000C,00400,0100,A 431514,A81000C,00400,0200,M.J. OSTREICHER 431514,A81000C,00400,0400,PREFERRED PROF SVC 431514,A81000C,00400,0600,RN & LPN SERVICES 431514,A81000C,00500,0100,A 431514,A81000C,00500,0200,M.J. OSTREICHER 431514,A81000C,00500,0400,STAUDERMAN REALTY 431514,A81000C,00500,0600,RENT EXPENSE 431514,A81000C,00600,0100,A 431514,A81000C,00600,0200,M.J. OSTREICHER 431514,A81000C,00600,0400,850 SILAS DEANE 431514,A81000C,00600,0600,RENT EXPENSE 431514,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431514,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431514,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431514,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431514,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431514,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431514,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 431514,B100000,00000,0800,0800MEALS SERVED :DIETARY 431514,E10A180,00501,0100,04/19/12 431514,G300000,02500,0000,PRIOR PERIOD ADJUSTMENT 431514,G300000,02501,0000,MISCELLANEOUS INCOME 431514,S000000,00100,0200,02/27/12 431514,S200000,00100,0100,745 MAIN ST. 431514,S200000,00200,0100,EAST HARTFORD 431514,S200000,00200,0200,CT 431514,S200000,00200,0300,06108 431514,S200000,00300,0100,HARTFORD 431514,S200000,00300,0200,3283 431514,S200000,00300,0201,25540 431514,S200000,00300,0300,U 431514,S200000,00400,0100,RIVERSIDE HEALTH CARE CENTER INC 431514,S200000,00400,0200,075257 431514,S200000,00400,0300,10/01/80 431514,S200000,00400,0500,P 431514,S200000,01500,0100,Y 431514,S200000,01501,0200,N 431514,S200000,01600,0100,N 431514,S200000,01700,0100,N 431514,S200000,01800,0100,N 431514,S200000,02200,0100,N 431514,S200000,02800,0100,N 431514,S200000,02900,0100,N 431514,S200000,03000,0100,N 431514,S200000,03100,0100,N 431514,S200000,03200,0100,N 431514,S200000,03300,0100,N 431514,S200000,03300,0200,N 431514,S200000,04100,0100,N 431514,S200000,04200,0100,N 431514,S200000,04300,0100,N 431514,S200000,04600,0100,N 431514,S200000,04700,0100,N 431514,S200000,04700,0200,N 431514,S200000,04900,0100,N 431514,S200000,05000,0100,N 431514,S200000,05100,0100,N 431514,S200000,05200,0100,N 431514,S200000,05300,0100,N 431554,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431554,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431554,A000000,00300,0000,0300EMPLOYEE BENEFITS 431554,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431554,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431554,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431554,A000000,00700,0000,0700HOUSEKEEPING 431554,A000000,00800,0000,0800DIETARY 431554,A000000,00900,0000,0900NURSING ADMINISTRATION 431554,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431554,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431554,A000000,01300,0000,1300SOCIAL SERVICE 431554,A000000,01600,0000,1600SKILLED NURSING FACILITY 431554,A000000,02100,0000,2100RADIOLOGY 431554,A000000,02200,0000,2200LABORATORY 431554,A000000,02300,0000,2300INTRAVENOUS THERAPY 431554,A000000,02500,0000,2500PHYSICAL THERAPY 431554,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431554,A000000,02700,0000,2700SPEECH PATHOLOGY 431554,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431554,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431554,A000000,03200,0000,3200SUPPORT SURFACES 431554,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431554,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431554,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431554,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431554,A81000A,00100,0100,Y 431554,A81000B,00100,0300,HOME OFFICE EXPENSE 431554,A81000B,00200,0300,HOME OFFICE EXPENSE 431554,A81000B,00300,0300,CORPORATE QUALITY ASSURANCE NRS 431554,A81000C,00100,0100,A 431554,A81000C,00100,0400,COMMONWEALTH CARE 431554,A81000C,00100,0600,NURSING HOME MGT 431554,A81000C,00200,0100,A 431554,A81000C,00200,0400,COMMONWEALTH CARE 431554,A81000C,00200,0600,NURSING HOME MGT 431554,A81000C,00300,0100,A 431554,A81000C,00300,0400,COMMONWEALTH CARE 431554,A81000C,00300,0600,NURSING HOME MGT 431554,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431554,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431554,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431554,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431554,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431554,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431554,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431554,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431554,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431554,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431554,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 431554,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431554,E10A180,00301,0100,12/31/11 431554,G300000,02500,0000,MISC. REVENUE 431554,S000000,00100,0200,05/15/12 431554,S200000,00100,0100,4315 CHAIN BRIDGE ROAD 431554,S200000,00200,0100,FAIRFAX 431554,S200000,00200,0200,VA 431554,S200000,00200,0300,22030 431554,S200000,00300,0100,FAIRFAX 431554,S200000,00300,0200,8840 431554,S200000,00300,0201,47894 431554,S200000,00300,0300,U 431554,S200000,00400,0100,COMMONWEALTH HEALTH & REHAB CENTER 431554,S200000,00400,0200,495174 431554,S200000,00400,0300,12/01/87 431554,S200000,00400,0500,P 431554,S200000,01500,0100,Y 431554,S200000,01501,0200,Y 431554,S200000,01600,0100,N 431554,S200000,01700,0100,N 431554,S200000,01800,0100,N 431554,S200000,02200,0100,N 431554,S200000,02800,0100,N 431554,S200000,02900,0100,N 431554,S200000,03000,0100,N 431554,S200000,03100,0100,N 431554,S200000,03200,0100,N 431554,S200000,03300,0100,N 431554,S200000,03300,0200,N 431554,S200000,04100,0100,N 431554,S200000,04200,0100,N 431554,S200000,04300,0100,N 431554,S200000,04600,0100,N 431554,S200000,04700,0100,N 431554,S200000,04700,0200,N 431554,S200000,04900,0100,N 431554,S200000,05000,0100,N 431554,S200000,05100,0100,N 431554,S200000,05200,0100,N 431554,S200000,05300,0100,Y 431554,S200000,05300,0200,941020 431554,S200000,05400,0100,COMMONWEALTH CARE OF ROANOKE INC. 431554,S200000,05400,0200,PALMETTO GBA 431554,S200000,05400,0300,11001 431554,S200000,05500,0100,4423 PHEASANT RIDGE ROAD 431554,S200000,05600,0100,ROANOKE 431554,S200000,05600,0200,VA 431554,S200000,05600,0300,24014 431555,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431555,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431555,A000000,00300,0000,0300EMPLOYEE BENEFITS 431555,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431555,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431555,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431555,A000000,00700,0000,0700HOUSEKEEPING 431555,A000000,00800,0000,0800DIETARY 431555,A000000,00900,0000,0900NURSING ADMINISTRATION 431555,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431555,A000000,01300,0000,1300SOCIAL SERVICE 431555,A000000,01600,0000,1600SKILLED NURSING FACILITY 431555,A000000,01800,0000,1800NURSING FACILITY 431555,A000000,01810,0000,1810ICF/MR 431555,A000000,01900,0000,1900OTHER LONG TERM CARE 431555,A000000,02100,0000,2100RADIOLOGY 431555,A000000,02200,0000,2200LABORATORY 431555,A000000,02300,0000,2300INTRAVENOUS THERAPY 431555,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431555,A000000,02500,0000,2500PHYSICAL THERAPY 431555,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431555,A000000,02700,0000,2700SPEECH PATHOLOGY 431555,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431555,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431555,A000000,03200,0000,3200SUPPORT SURFACES 431555,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431555,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 431555,A000000,05601,0000,5351SPECIALIZED CARE COSTS 431555,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431555,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431555,A81000A,00100,0100,Y 431555,A81000B,00100,0300,HOME OFFICE EXPENSE 431555,A81000B,00200,0300,HOME OFFICE EXPENSE 431555,A81000B,00300,0300,CORPORATE QUALITY ASSURANCE NRS 431555,A81000C,00100,0100,A 431555,A81000C,00100,0400,COMMONWEALTH CARE 431555,A81000C,00100,0600,NURSING HOME MGT 431555,A81000C,00200,0100,A 431555,A81000C,00200,0400,COMMONWEALTH CARE 431555,A81000C,00200,0600,NURSING HOME MGT 431555,A81000C,00300,0100,A 431555,A81000C,00300,0400,COMMONWEALTH CARE 431555,A81000C,00300,0600,NURSING HOME MGT 431555,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431555,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431555,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431555,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431555,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431555,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431555,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431555,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431555,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 431555,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 431555,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431555,G300000,02500,0000,MISC. REVENUE 431555,G300000,02501,0000,ROUNDING 431555,S000000,00100,0200,05/15/12 431555,S200000,00100,0100,1800 CAMERON GLEN DRIVE 431555,S200000,00200,0100,RESTON 431555,S200000,00200,0200,VA 431555,S200000,00200,0300,20190 431555,S200000,00300,0100,FAIRFAX 431555,S200000,00300,0200,8840 431555,S200000,00300,0201,47894 431555,S200000,00300,0300,U 431555,S200000,00400,0100,CAMERON GLEN HEALTH & REHAB CENTER 431555,S200000,00400,0200,495179 431555,S200000,00400,0300,03/01/98 431555,S200000,00400,0500,P 431555,S200000,00600,0200,495179 431555,S200000,00600,0300,03/01/98 431555,S200000,00600,0600,O 431555,S200000,01500,0100,Y 431555,S200000,01501,0200,Y 431555,S200000,01600,0100,N 431555,S200000,01700,0100,N 431555,S200000,01800,0100,N 431555,S200000,02200,0100,N 431555,S200000,02800,0100,N 431555,S200000,02900,0100,N 431555,S200000,03000,0100,N 431555,S200000,03100,0100,N 431555,S200000,03200,0100,N 431555,S200000,03300,0100,N 431555,S200000,03300,0200,N 431555,S200000,03500,0300,N 431555,S200000,04100,0100,N 431555,S200000,04200,0100,N 431555,S200000,04300,0100,N 431555,S200000,04600,0100,N 431555,S200000,04700,0100,N 431555,S200000,04700,0200,N 431555,S200000,04900,0100,N 431555,S200000,05000,0100,N 431555,S200000,05100,0100,N 431555,S200000,05200,0100,N 431555,S200000,05300,0100,Y 431555,S200000,05300,0200,941020 431555,S200000,05400,0100,COMMONWEALTH CARE OF ROANOKE INC. 431555,S200000,05400,0200,PALMETTO GBA 431555,S200000,05400,0300,11001 431555,S200000,05500,0100,4423 PHEASANT RIDGE ROAD SUITE 200 431555,S200000,05600,0100,ROANOKE 431555,S200000,05600,0200,VA 431555,S200000,05600,0300,24014 431596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431596,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431596,A000000,00300,0000,0300EMPLOYEE BENEFITS 431596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431596,A000000,00700,0000,0700HOUSEKEEPING 431596,A000000,00800,0000,0800DIETARY 431596,A000000,00900,0000,0900NURSING ADMINISTRATION 431596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431596,A000000,01100,0000,1100PHARMACY 431596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431596,A000000,01300,0000,1300SOCIAL SERVICE 431596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431596,A000000,01600,0000,1600SKILLED NURSING FACILITY 431596,A000000,01800,0000,1800NURSING FACILITY 431596,A000000,01900,0000,1900OTHER LONG TERM CARE 431596,A000000,02100,0000,2100RADIOLOGY 431596,A000000,02200,0000,2200LABORATORY 431596,A000000,02300,0000,2300INTRAVENOUS THERAPY 431596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431596,A000000,02500,0000,2500PHYSICAL THERAPY 431596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431596,A000000,02700,0000,2700SPEECH PATHOLOGY 431596,A000000,02800,0000,2800ELECTROCARDIOLOGY 431596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431596,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431596,A000000,03200,0000,3200SUPPORT SURFACES 431596,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431596,A000000,03400,0000,3400CLINIC 431596,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431596,A000000,04800,0000,4800AMBULANCE 431596,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431596,A000000,05000,0000,5000CORF 431596,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431596,A000000,05300,0000,5300INTEREST EXPENSE 431596,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431596,A000000,05500,0000,5500HOSPICE 431596,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431596,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431596,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431596,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431596,A000000,06100,0000,6100NONPAID WORKERS 431596,A000000,06200,0000,6200PATIENTS LAUNDRY 431596,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431596,A81000A,00100,0100,Y 431596,A81000B,00100,0300,NURSING CONSULTING 431596,A81000B,00200,0300,DIETARY CONSULTING 431596,A81000B,00300,0300,HOME OFFICE 431596,A81000B,00400,0300,INTEREST EXPENSE 431596,A81000B,00500,0300,WORKERS COMP INSURANCE 431596,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431596,A81000B,00700,0300,MAINTENANCE SUPPLIES 431596,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431596,A81000B,00900,0300,LINEN & BEDDING 431596,A81000B,01000,0300,LAUNDRY SUPPLIES 431596,A81000B,01100,0300,PAPER PRODUCTS & HAND SOAP 431596,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 431596,A81000B,01300,0300,DIETARY SUPPLEMENTS 431596,A81000B,01400,0300,RAW FOOD 431596,A81000B,01500,0300,DIETARY SUPPLIES 431596,A81000B,01600,0300,BIO-MEDICAL WASTE 431596,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431596,A81000B,01800,0300,NURSING EQUIPMENT RENTAL 431596,A81000B,01900,0300,PERSONAL CARE SUPPLIES 431596,A81000B,02000,0300,INCONTINENCE SUPPLIES 431596,A81000B,02100,0300,MEDICAL SUPPLIES 431596,A81000B,02200,0300,MED REC SUPPLIES 431596,A81000B,02300,0300,SUPPLIES 431596,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 431596,A81000B,02500,0300,PT SUPPLIES 431596,A81000B,02600,0300,OT SUPPLIES 431596,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 431596,A81000B,02800,0300,AUTO EXPENSE 431596,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 431596,A81000C,00100,0100,B 431596,A81000C,00100,0200,PLTC & PITS INC 431596,A81000C,00100,0400,PLTC & PITS INC 431596,A81000C,00100,0600,MGMT SERVICES 431596,A81000C,00200,0100,B 431596,A81000C,00200,0200,PLTC & PITS INC 431596,A81000C,00200,0400,PLTC & PITS INC 431596,A81000C,00200,0600,MGMT SERVICES 431596,A81000C,00300,0100,B 431596,A81000C,00300,0200,PLTC & PITS INC 431596,A81000C,00300,0400,PLTC & PITS INC 431596,A81000C,00300,0600,MGMT SERVICES 431596,A81000C,00400,0100,B 431596,A81000C,00400,0200,PLTC & PITS INC 431596,A81000C,00400,0400,PLTC & PITS INC 431596,A81000C,00400,0600,MGMT SERVICES 431596,A81000C,00500,0100,A 431596,A81000C,00500,0200,SHAREHOLDERS 431596,A81000C,00500,0400,DISCOVERY INSUR 431596,A81000C,00500,0600,INSURANCE 431596,A81000C,00600,0100,A 431596,A81000C,00600,0200,SHAREHOLDERS 431596,A81000C,00600,0400,QUEENSLAND ASSU 431596,A81000C,00600,0600,INSURANCE 431596,A81000C,00700,0100,A 431596,A81000C,00700,0200,SHAREHOLDERS 431596,A81000C,00700,0400,KARE MEDICAL 431596,A81000C,00700,0600,WHOLESALE SUPPL 431596,A81000C,00800,0100,A 431596,A81000C,00800,0200,SHAREHOLDERS 431596,A81000C,00800,0400,KARE MEDICAL 431596,A81000C,00800,0600,WHOLESALE SUPPL 431596,A81000C,00900,0100,A 431596,A81000C,00900,0200,SHAREHOLDERS 431596,A81000C,00900,0400,KARE MEDICAL 431596,A81000C,00900,0600,WHOLESALE SUPPL 431596,A81000C,01000,0100,A 431596,A81000C,01000,0200,SHAREHOLDERS 431596,A81000C,01000,0400,KARE MEDICAL 431596,A81000C,01000,0600,WHOLESALE SUPPL 431596,A81000C,01001,0100,A 431596,A81000C,01001,0200,SHAREHOLDERS 431596,A81000C,01001,0400,KARE MEDICAL 431596,A81000C,01001,0600,WHOLESALE SUPPL 431596,A81000C,01002,0100,A 431596,A81000C,01002,0200,SHAREHOLDERS 431596,A81000C,01002,0400,KARE MEDICAL 431596,A81000C,01002,0600,WHOLESALE SUPPL 431596,A81000C,01003,0100,A 431596,A81000C,01003,0200,SHAREHOLDERS 431596,A81000C,01003,0400,KARE MEDICAL 431596,A81000C,01003,0600,WHOLESALE SUPPL 431596,A81000C,01004,0100,A 431596,A81000C,01004,0200,SHAREHOLDERS 431596,A81000C,01004,0400,KARE MEDICAL 431596,A81000C,01004,0600,WHOLESALE SUPPL 431596,A81000C,01005,0100,A 431596,A81000C,01005,0200,SHAREHOLDERS 431596,A81000C,01005,0400,KARE MEDICAL 431596,A81000C,01005,0600,WHOLESALE SUPPL 431596,A81000C,01006,0100,A 431596,A81000C,01006,0200,SHAREHOLDERS 431596,A81000C,01006,0400,KARE MEDICAL 431596,A81000C,01006,0600,WHOLESALE SUPPL 431596,A81000C,01007,0100,A 431596,A81000C,01007,0200,SHAREHOLDERS 431596,A81000C,01007,0400,KARE MEDICAL 431596,A81000C,01007,0600,WHOLESALE SUPPL 431596,A81000C,01008,0100,A 431596,A81000C,01008,0200,SHAREHOLDERS 431596,A81000C,01008,0400,KARE MEDICAL 431596,A81000C,01008,0600,WHOLESALE SUPPL 431596,A81000C,01009,0100,A 431596,A81000C,01009,0200,SHAREHOLDERS 431596,A81000C,01009,0400,KARE MEDICAL 431596,A81000C,01009,0600,WHOLESALE SUPPL 431596,A81000C,01010,0100,A 431596,A81000C,01010,0200,SHAREHOLDERS 431596,A81000C,01010,0400,KARE MEDICAL 431596,A81000C,01010,0600,WHOLESALE SUPPL 431596,A81000C,01011,0100,A 431596,A81000C,01011,0200,SHAREHOLDERS 431596,A81000C,01011,0400,KARE MEDICAL 431596,A81000C,01011,0600,WHOLESALE SUPPL 431596,A81000C,01012,0100,A 431596,A81000C,01012,0200,SHAREHOLDERS 431596,A81000C,01012,0400,KARE MEDICAL 431596,A81000C,01012,0600,WHOLESALE SUPPL 431596,A81000C,01013,0100,A 431596,A81000C,01013,0200,SHAREHOLDERS 431596,A81000C,01013,0400,KARE MEDICAL 431596,A81000C,01013,0600,WHOLESALE SUPPL 431596,A81000C,01014,0100,A 431596,A81000C,01014,0200,SHAREHOLDERS 431596,A81000C,01014,0400,KARE MEDICAL 431596,A81000C,01014,0600,WHOLESALE SUPPL 431596,A81000C,01015,0100,A 431596,A81000C,01015,0200,SHAREHOLDERS 431596,A81000C,01015,0400,KARE MEDICAL 431596,A81000C,01015,0600,WHOLESALE SUPPL 431596,A81000C,01016,0100,A 431596,A81000C,01016,0200,SHAREHOLDERS 431596,A81000C,01016,0400,KARE MEDICAL 431596,A81000C,01016,0600,WHOLESALE SUPPL 431596,A81000C,01017,0100,A 431596,A81000C,01017,0200,SHAREHOLDERS 431596,A81000C,01017,0400,KARE MEDICAL 431596,A81000C,01017,0600,WHOLESALE SUPPL 431596,A81000C,01018,0100,A 431596,A81000C,01018,0200,SHAREHOLDERS 431596,A81000C,01018,0400,PHARMSAVE 431596,A81000C,01018,0600,RX SUPPLY 431596,A81000C,01019,0100,A 431596,A81000C,01019,0200,SHAREHOLDERS 431596,A81000C,01019,0400,PHARMSAVE 431596,A81000C,01019,0600,RX SUPPLY 431596,A81000C,01020,0100,A 431596,A81000C,01020,0200,SHAREHOLDERS 431596,A81000C,01020,0400,PHARMSAVE 431596,A81000C,01020,0600,RX SUPPLY 431596,A81000C,01021,0100,A 431596,A81000C,01021,0200,SHAREHOLDERS 431596,A81000C,01021,0400,PHARMSAVE 431596,A81000C,01021,0600,RX SUPPLY 431596,A81000C,01022,0100,A 431596,A81000C,01022,0200,SHAREHOLDERS 431596,A81000C,01022,0400,PHARMSAVE 431596,A81000C,01022,0600,RX SUPPLY 431596,A81000C,01023,0100,A 431596,A81000C,01023,0200,SHAREHOLDERS 431596,A81000C,01023,0400,PHARMSAVE 431596,A81000C,01023,0600,RX SUPPLY 431596,A81000C,01024,0100,A 431596,A81000C,01024,0200,SHAREHOLDERS 431596,A81000C,01024,0400,ROBERT HILL CON 431596,A81000C,01024,0600,CONSTRUCTION 431596,A81000C,01025,0100,A 431596,A81000C,01025,0200,SHAREHOLDERS 431596,A81000C,01025,0400,ROBERT HILL CON 431596,A81000C,01025,0600,CONSTRUCTION 431596,A81000C,01026,0100,A 431596,A81000C,01026,0200,SHAREHOLDERS 431596,A81000C,01026,0400,HILLCO LTD. 431596,A81000C,01026,0600,REAL ESTATE 431596,A81000C,01027,0100,A 431596,A81000C,01027,0200,SHAREHOLDERS 431596,A81000C,01027,0400,BRITTHAVEN INC. 431596,A81000C,01027,0600,REAL ESTATE 431596,A81000C,01028,0100,A 431596,A81000C,01028,0200,SHAREHOLDERS 431596,A81000C,01028,0400,BRITTHAVEN INC. 431596,A81000C,01028,0600,REAL ESTATE 431596,A81000C,01029,0100,A 431596,A81000C,01029,0200,SHAREHOLDERS 431596,A81000C,01029,0400,BRITTHAVEN INC. 431596,A81000C,01029,0600,REAL ESTATE 431596,A81000C,01030,0100,A 431596,A81000C,01030,0200,SHAREHOLDERS 431596,A81000C,01030,0400,BRITTHAVEN INC. 431596,A81000C,01030,0600,REAL ESTATE 431596,A81000C,01031,0100,A 431596,A81000C,01031,0200,SHAREHOLDERS 431596,A81000C,01031,0400,BRITTHAVEN INC. 431596,A81000C,01031,0600,REAL ESTATE 431596,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431596,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431596,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431596,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431596,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431596,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431596,B100000,00000,0800,0800MEALS SERVED :DIETARY 431596,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431596,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431596,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431596,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431596,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431596,E10A180,00350,0100,07/27/11 431596,E10A180,00501,0100,05/21/12 431596,G300000,02500,0000, OTHER (SPECIFY) 431596,S000000,00100,0200,02/29/12 431596,S200000,00100,0100,1839 ONSLOW DRIVE 431596,S200000,00200,0100,JACKSONVILLE 431596,S200000,00200,0200,NC 431596,S200000,00200,0300,28540 431596,S200000,00300,0100,ONSLOW 431596,S200000,00300,0201,27340 431596,S200000,00300,0300,U 431596,S200000,00400,0100,CAROLINA RIVERS NURSING & REHAB CTR 431596,S200000,00400,0200,345072 431596,S200000,00400,0300,01/01/11 431596,S200000,00400,0500,P 431596,S200000,01500,0100,Y 431596,S200000,01501,0200,Y 431596,S200000,01502,0200,Y 431596,S200000,01503,0200,Y 431596,S200000,01504,0200,Y 431596,S200000,01505,0000,OTHER (SPECIFY) 431596,S200000,01505,0200,Y 431596,S200000,01600,0100,N 431596,S200000,01700,0100,N 431596,S200000,01800,0100,N 431596,S200000,02200,0100,N 431596,S200000,02800,0100,N 431596,S200000,02900,0100,N 431596,S200000,03000,0100,N 431596,S200000,03100,0100,N 431596,S200000,03200,0100,N 431596,S200000,03300,0100,N 431596,S200000,03300,0200,N 431596,S200000,04100,0100,N 431596,S200000,04200,0100,N 431596,S200000,04300,0100,N 431596,S200000,04600,0100,N 431596,S200000,04700,0100,N 431596,S200000,04700,0200,N 431596,S200000,04900,0100,N 431596,S200000,05000,0100,N 431596,S200000,05100,0100,N 431596,S200000,05200,0100,N 431596,S200000,05300,0100,Y 431596,S200000,05300,0200,349011 431596,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 431596,S200000,05400,0200,PALMETTO GBA 431596,S200000,05400,0300,11501 431596,S200000,05500,0100,1435 HWY 258 NORTH 431596,S200000,05500,0200,PO BOX 61 431596,S200000,05600,0100,KINSTON 431596,S200000,05600,0200,NC 431596,S200000,05600,0300,28501 431597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431597,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431597,A000000,00300,0000,0300EMPLOYEE BENEFITS 431597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431597,A000000,00700,0000,0700HOUSEKEEPING 431597,A000000,00800,0000,0800DIETARY 431597,A000000,00900,0000,0900NURSING ADMINISTRATION 431597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431597,A000000,01100,0000,1100PHARMACY 431597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431597,A000000,01300,0000,1300SOCIAL SERVICE 431597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431597,A000000,01600,0000,1600SKILLED NURSING FACILITY 431597,A000000,01800,0000,1800NURSING FACILITY 431597,A000000,01900,0000,1900OTHER LONG TERM CARE 431597,A000000,02100,0000,2100RADIOLOGY 431597,A000000,02200,0000,2200LABORATORY 431597,A000000,02300,0000,2300INTRAVENOUS THERAPY 431597,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431597,A000000,02500,0000,2500PHYSICAL THERAPY 431597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431597,A000000,02700,0000,2700SPEECH PATHOLOGY 431597,A000000,02800,0000,2800ELECTROCARDIOLOGY 431597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431597,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431597,A000000,03200,0000,3200SUPPORT SURFACES 431597,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431597,A000000,03400,0000,3400CLINIC 431597,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431597,A000000,04800,0000,4800AMBULANCE 431597,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431597,A000000,05000,0000,5000CORF 431597,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431597,A000000,05300,0000,5300INTEREST EXPENSE 431597,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431597,A000000,05500,0000,5500HOSPICE 431597,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431597,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431597,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431597,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431597,A000000,06100,0000,6100NONPAID WORKERS 431597,A000000,06200,0000,6200PATIENTS LAUNDRY 431597,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431597,A81000A,00100,0100,Y 431597,A81000B,00100,0300,NURSING CONSULTING 431597,A81000B,00200,0300,DIETARY CONSULTING 431597,A81000B,00300,0300,HOME OFFICE 431597,A81000B,00400,0300,INTEREST EXPENSE 431597,A81000B,00500,0300,WORKERS COMP EXPENSE 431597,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431597,A81000B,00700,0300,COPIER 431597,A81000B,00800,0300,MAINTENANCE SUPPLIES 431597,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 431597,A81000B,01000,0300,REPAIRS-EQUIPMENT 431597,A81000B,01100,0300,LINEN & BEDDING 431597,A81000B,01200,0300,LAUNDRY SUPPLIES 431597,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 431597,A81000B,01400,0300,DIETARY SUPPLEMENTS 431597,A81000B,01500,0300,RAW FOOD 431597,A81000B,01600,0300,DIETARY SUPPLIES 431597,A81000B,01700,0300,BIO-MEDICAL WASTE 431597,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 431597,A81000B,01900,0300,PERSONAL CARE SUPPLIES 431597,A81000B,02000,0300,INCONTINENCE SUPPLIES 431597,A81000B,02100,0300,MEDICAL SUPPLIES 431597,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 431597,A81000B,02300,0300,PHYSICAL THERAPY SUPPLIES 431597,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 431597,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 431597,A81000B,02600,0300,NON-LEGEND DRUGS 431597,A81000B,02700,0300,PHARMACY CONSULTANT 431597,A81000B,02800,0300,SUPPLIES 431597,A81000B,02900,0300,LEGEND DRUGS 431597,A81000C,00100,0100,B 431597,A81000C,00100,0200,PLTC & PITS INC 431597,A81000C,00100,0400,PLTC & PITS INC 431597,A81000C,00100,0600,MGMT SERVICES 431597,A81000C,00200,0100,B 431597,A81000C,00200,0200,PLTC & PITS INC 431597,A81000C,00200,0400,PLTC & PITS INC 431597,A81000C,00200,0600,MGMT SERVICES 431597,A81000C,00300,0100,B 431597,A81000C,00300,0200,PLTC & PITS INC 431597,A81000C,00300,0400,PLTC & PITS INC 431597,A81000C,00300,0600,MGMT SERVICES 431597,A81000C,00400,0100,B 431597,A81000C,00400,0200,PLTC & PITS INC 431597,A81000C,00400,0400,PLTC & PITS INC 431597,A81000C,00400,0600,MGMT SERVICES 431597,A81000C,00500,0100,A 431597,A81000C,00500,0200,SHAREHOLDERS 431597,A81000C,00500,0400,DISCOVERY INSUR 431597,A81000C,00500,0600,INSURANCE 431597,A81000C,00600,0100,A 431597,A81000C,00600,0200,SHAREHOLDERS 431597,A81000C,00600,0400,QUEENSLAND ASSU 431597,A81000C,00600,0600,INSURANCE 431597,A81000C,00700,0100,A 431597,A81000C,00700,0200,SHAREHOLDERS 431597,A81000C,00700,0400,KARE MEDICAL 431597,A81000C,00700,0600,WHOLESALE SUPPL 431597,A81000C,00800,0100,A 431597,A81000C,00800,0200,SHAREHOLDERS 431597,A81000C,00800,0400,KARE MEDICAL 431597,A81000C,00800,0600,WHOLESALE SUPPL 431597,A81000C,00900,0100,A 431597,A81000C,00900,0200,SHAREHOLDERS 431597,A81000C,00900,0400,KARE MEDICAL 431597,A81000C,00900,0600,WHOLESALE SUPPL 431597,A81000C,01000,0100,A 431597,A81000C,01000,0200,SHAREHOLDERS 431597,A81000C,01000,0400,KARE MEDICAL 431597,A81000C,01000,0600,WHOLESALE SUPPL 431597,A81000C,01001,0100,A 431597,A81000C,01001,0200,SHAREHOLDERS 431597,A81000C,01001,0400,KARE MEDICAL 431597,A81000C,01001,0600,WHOLESALE SUPPL 431597,A81000C,01002,0100,A 431597,A81000C,01002,0200,SHAREHOLDERS 431597,A81000C,01002,0400,KARE MEDICAL 431597,A81000C,01002,0600,WHOLESALE SUPPL 431597,A81000C,01003,0100,A 431597,A81000C,01003,0200,SHAREHOLDERS 431597,A81000C,01003,0400,KARE MEDICAL 431597,A81000C,01003,0600,WHOLESALE SUPPL 431597,A81000C,01004,0100,A 431597,A81000C,01004,0200,SHAREHOLDERS 431597,A81000C,01004,0400,KARE MEDICAL 431597,A81000C,01004,0600,WHOLESALE SUPPL 431597,A81000C,01005,0100,A 431597,A81000C,01005,0200,SHAREHOLDERS 431597,A81000C,01005,0400,KARE MEDICAL 431597,A81000C,01005,0600,WHOLESALE SUPPL 431597,A81000C,01006,0100,A 431597,A81000C,01006,0200,SHAREHOLDERS 431597,A81000C,01006,0400,KARE MEDICAL 431597,A81000C,01006,0600,WHOLESALE SUPPL 431597,A81000C,01007,0100,A 431597,A81000C,01007,0200,SHAREHOLDERS 431597,A81000C,01007,0400,KARE MEDICAL 431597,A81000C,01007,0600,WHOLESALE SUPPL 431597,A81000C,01008,0100,A 431597,A81000C,01008,0200,SHAREHOLDERS 431597,A81000C,01008,0400,KARE MEDICAL 431597,A81000C,01008,0600,WHOLESALE SUPPL 431597,A81000C,01009,0100,A 431597,A81000C,01009,0200,SHAREHOLDERS 431597,A81000C,01009,0400,KARE MEDICAL 431597,A81000C,01009,0600,WHOLESALE SUPPL 431597,A81000C,01010,0100,A 431597,A81000C,01010,0200,SHAREHOLDERS 431597,A81000C,01010,0400,KARE MEDICAL 431597,A81000C,01010,0600,WHOLESALE SUPPL 431597,A81000C,01011,0100,A 431597,A81000C,01011,0200,SHAREHOLDERS 431597,A81000C,01011,0400,KARE MEDICAL 431597,A81000C,01011,0600,WHOLESALE SUPPL 431597,A81000C,01012,0100,A 431597,A81000C,01012,0200,SHAREHOLDERS 431597,A81000C,01012,0400,KARE MEDICAL 431597,A81000C,01012,0600,WHOLESALE SUPPL 431597,A81000C,01013,0100,A 431597,A81000C,01013,0200,SHAREHOLDERS 431597,A81000C,01013,0400,KARE MEDICAL 431597,A81000C,01013,0600,WHOLESALE SUPPL 431597,A81000C,01014,0100,A 431597,A81000C,01014,0200,SHAREHOLDERS 431597,A81000C,01014,0400,KARE MEDICAL 431597,A81000C,01014,0600,WHOLESALE SUPPL 431597,A81000C,01015,0100,A 431597,A81000C,01015,0200,SHAREHOLDERS 431597,A81000C,01015,0400,PHARMSAVE 431597,A81000C,01015,0600,RX SUPPLY 431597,A81000C,01016,0100,A 431597,A81000C,01016,0200,SHAREHOLDERS 431597,A81000C,01016,0400,PHARMSAVE 431597,A81000C,01016,0600,RX SUPPLY 431597,A81000C,01017,0100,A 431597,A81000C,01017,0200,SHAREHOLDERS 431597,A81000C,01017,0400,PHARMSAVE 431597,A81000C,01017,0600,RX SUPPLY 431597,A81000C,01018,0100,A 431597,A81000C,01018,0200,SHAREHOLDERS 431597,A81000C,01018,0400,PHARMSAVE 431597,A81000C,01018,0600,RX SUPPLY 431597,A81000C,01019,0100,A 431597,A81000C,01019,0200,SHAREHOLDERS 431597,A81000C,01019,0400,PHARMSAVE 431597,A81000C,01019,0600,RX SUPPLY 431597,A81000C,01020,0100,A 431597,A81000C,01020,0200,SHAREHOLDERS 431597,A81000C,01020,0400,ROBERT HILL CON 431597,A81000C,01020,0600,CONSTRUCTION 431597,A81000C,01021,0100,A 431597,A81000C,01021,0200,SHAREHOLDERS 431597,A81000C,01021,0400,NEIL REALTY CO 431597,A81000C,01021,0600,REAL ESTATE 431597,A81000C,01022,0100,A 431597,A81000C,01022,0200,SHAREHOLDERS 431597,A81000C,01022,0400,BRITTHAVEN INC 431597,A81000C,01022,0600,REAL ESTATE 431597,A81000C,01023,0100,A 431597,A81000C,01023,0200,SHAREHOLDERS 431597,A81000C,01023,0400,BRITTHAVEN INC 431597,A81000C,01023,0600,REAL ESTATE 431597,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431597,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431597,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431597,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431597,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431597,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431597,B100000,00000,0800,0800MEALS SERVED :DIETARY 431597,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431597,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431597,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431597,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431597,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431597,E10A180,00501,0100,05/21/12 431597,G300000,02500,0000, OTHER (SPECIFY) 431597,S000000,00100,0200,02/29/12 431597,S200000,00100,0100,208 CARY STREET 431597,S200000,00200,0100,ENFIELD 431597,S200000,00200,0200,NC 431597,S200000,00200,0300,27823 431597,S200000,00300,0100,HALIFAX 431597,S200000,00300,0201,99934 431597,S200000,00300,0300,R 431597,S200000,00400,0100,ENFIELD OAKS NURSING & REHAB CENTER 431597,S200000,00400,0200,345101 431597,S200000,00400,0300,01/01/11 431597,S200000,00400,0500,P 431597,S200000,01500,0100,Y 431597,S200000,01501,0200,Y 431597,S200000,01502,0200,Y 431597,S200000,01503,0200,Y 431597,S200000,01504,0200,Y 431597,S200000,01505,0000,OTHER (SPECIFY) 431597,S200000,01505,0200,Y 431597,S200000,01600,0100,N 431597,S200000,01700,0100,N 431597,S200000,01800,0100,N 431597,S200000,02200,0100,N 431597,S200000,02800,0100,N 431597,S200000,02900,0100,N 431597,S200000,03000,0100,N 431597,S200000,03100,0100,N 431597,S200000,03200,0100,N 431597,S200000,03300,0100,N 431597,S200000,03300,0200,N 431597,S200000,04100,0100,N 431597,S200000,04200,0100,N 431597,S200000,04300,0100,N 431597,S200000,04600,0100,N 431597,S200000,04700,0100,N 431597,S200000,04700,0200,N 431597,S200000,04900,0100,N 431597,S200000,05000,0100,N 431597,S200000,05100,0100,N 431597,S200000,05200,0100,N 431597,S200000,05300,0100,Y 431597,S200000,05300,0200,349011 431597,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 431597,S200000,05400,0200,PALMETTO GBA 431597,S200000,05400,0300,11501 431597,S200000,05500,0100,1435 HWY 258 NORTH 431597,S200000,05600,0100,KINSTON 431597,S200000,05600,0200,NC 431597,S200000,05600,0300,28502 431599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431599,A000000,00300,0000,0300EMPLOYEE BENEFITS 431599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431599,A000000,00700,0000,0700HOUSEKEEPING 431599,A000000,00800,0000,0800DIETARY 431599,A000000,00900,0000,0900NURSING ADMINISTRATION 431599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431599,A000000,01100,0000,1100PHARMACY 431599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431599,A000000,01300,0000,1300SOCIAL SERVICE 431599,A000000,01500,0000,1350PATIENT ACTIVITIES 431599,A000000,01600,0000,1600SKILLED NURSING FACILITY 431599,A000000,02100,0000,2100RADIOLOGY 431599,A000000,02200,0000,2200LABORATORY 431599,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431599,A000000,02500,0000,2500PHYSICAL THERAPY 431599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431599,A000000,02700,0000,2700SPEECH PATHOLOGY 431599,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431599,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431599,A000000,03200,0000,3200SUPPORT SURFACES 431599,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431599,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431599,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431599,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431599,A000000,06200,0000,6200PATIENTS LAUNDRY 431599,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431599,A81000A,00100,0100,Y 431599,A81000B,00100,0300,DEPRECIATION 431599,A81000B,00200,0300,RENT 431599,A81000B,00300,0300,INTEREST 431599,A81000B,00400,0300,PROPERTY INSURANCE 431599,A81000B,00500,0300,PROPERTY TAX 431599,A81000B,00600,0300,MISC ADMIN 431599,A81000B,00700,0300,HOME OFFICE 431599,A81000B,00800,0300,HOME OFFICE 431599,A81000B,00900,0300,STOCK DRUGS 431599,A81000B,01000,0300,LEGEND DRUGS 431599,A81000B,01100,0300,PHARMACY CONSULTANT 431599,A81000C,00100,0100,B 431599,A81000C,00100,0200,LSA MANAGEMENT 431599,A81000C,00100,0400,LH HW PROPERTY 431599,A81000C,00100,0600,LESSOR 431599,A81000C,00200,0100,B 431599,A81000C,00200,0200,LSA MANAGEMENT 431599,A81000C,00200,0400,LH HW PROPERTY 431599,A81000C,00200,0600,LESSOR 431599,A81000C,00300,0100,B 431599,A81000C,00300,0200,LSA MANAGEMENT 431599,A81000C,00300,0400,LH HW PROPERTY 431599,A81000C,00300,0600,LESSOR 431599,A81000C,00400,0100,B 431599,A81000C,00400,0200,LSA MANAGEMENT 431599,A81000C,00400,0400,LH HW PROPERTY 431599,A81000C,00400,0600,LESSOR 431599,A81000C,00500,0100,B 431599,A81000C,00500,0200,LSA MANAGEMENT 431599,A81000C,00500,0400,LH HW PROPERTY 431599,A81000C,00500,0600,LESSOR 431599,A81000C,00600,0100,B 431599,A81000C,00600,0200,LSA MANAGEMENT 431599,A81000C,00600,0400,LH HW PROPERTY 431599,A81000C,00600,0600,LESSOR 431599,A81000C,00700,0100,B 431599,A81000C,00700,0200,LSA MANAGEMENT 431599,A81000C,00700,0400,LSA MANAGEMENT 431599,A81000C,00700,0600,HOME OFFICE 431599,A81000C,00800,0100,B 431599,A81000C,00800,0200,LSA MANAGEMENT 431599,A81000C,00800,0400,LSA MANAGEMENT 431599,A81000C,00800,0600,HOME OFFICE 431599,A81000C,00900,0100,B 431599,A81000C,00900,0200,LSA MANAGEMENT 431599,A81000C,00900,0400,LSA PHARMACY 431599,A81000C,00900,0600,PHARMACY 431599,A81000C,01000,0100,B 431599,A81000C,01000,0200,LSA MANAGEMENT 431599,A81000C,01000,0400,LSA PHARMACY 431599,A81000C,01000,0600,PHARMACY 431599,A81000C,01001,0100,B 431599,A81000C,01001,0200,LSA MANAGEMENT 431599,A81000C,01001,0400,LSA PHARMACY 431599,A81000C,01001,0600,PHARMACY 431599,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431599,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431599,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431599,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431599,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431599,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431599,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431599,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431599,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431599,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431599,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431599,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431599,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431599,E10A180,00501,0100,05/10/12 431599,G300000,02500,0000,BARBER AND BEAUTY 431599,G300000,02501,0000,PERSONAL PURCHASES 431599,G300000,02502,0000,OTHER INCOME 431599,S000000,00100,0200,02/27/12 431599,S200000,00100,0100,1125 10TH STREET BLVD NW 431599,S200000,00200,0100,HICKORY 431599,S200000,00200,0200,NC 431599,S200000,00200,0300,28601 431599,S200000,00300,0100,CATAWBA 431599,S200000,00300,0200,3290 431599,S200000,00300,0201,25860 431599,S200000,00300,0300,U 431599,S200000,00400,0100,LUTHERAN HOME HICKORY WEST 431599,S200000,00400,0200,345106 431599,S200000,00400,0300,10/01/85 431599,S200000,00400,0500,P 431599,S200000,01500,0100,Y 431599,S200000,01501,0200,N 431599,S200000,01503,0200,N 431599,S200000,01600,0100,N 431599,S200000,01700,0100,N 431599,S200000,01800,0100,N 431599,S200000,02200,0100,N 431599,S200000,02800,0100,N 431599,S200000,02900,0100,N 431599,S200000,03000,0100,N 431599,S200000,03100,0100,N 431599,S200000,03200,0100,N 431599,S200000,03300,0100,N 431599,S200000,03300,0200,N 431599,S200000,04100,0100,N 431599,S200000,04200,0100,N 431599,S200000,04300,0100,N 431599,S200000,04600,0100,N 431599,S200000,04700,0100,N 431599,S200000,04700,0200,N 431599,S200000,04900,0100,N 431599,S200000,05000,0100,N 431599,S200000,05100,0100,N 431599,S200000,05200,0100,N 431599,S200000,05300,0100,Y 431599,S200000,05300,0200,349086 431599,S200000,05400,0100,LSA MANAGEMENT INC. 431599,S200000,05400,0200,PALMETTO GBA 431599,S200000,05400,0300,11001 431599,S200000,05500,0200,PO BX 947 431599,S200000,05600,0100,SALISBURY 431599,S200000,05600,0200,NC 431599,S200000,05600,0300,28145-0947 431600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431600,A000000,00300,0000,0300EMPLOYEE BENEFITS 431600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431600,A000000,00700,0000,0700HOUSEKEEPING 431600,A000000,00800,0000,0800DIETARY 431600,A000000,00900,0000,0900NURSING ADMINISTRATION 431600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431600,A000000,01100,0000,1100PHARMACY 431600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431600,A000000,01300,0000,1300SOCIAL SERVICE 431600,A000000,01500,0000,1350PATIENT ACTIVITIES 431600,A000000,01600,0000,1600SKILLED NURSING FACILITY 431600,A000000,01900,0000,1900OTHER LONG TERM CARE 431600,A000000,02100,0000,2100RADIOLOGY 431600,A000000,02200,0000,2200LABORATORY 431600,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431600,A000000,02500,0000,2500PHYSICAL THERAPY 431600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431600,A000000,02700,0000,2700SPEECH PATHOLOGY 431600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431600,A000000,03200,0000,3200SUPPORT SURFACES 431600,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431600,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431600,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431600,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431600,A000000,06100,0000,6100NONPAID WORKERS 431600,A000000,06200,0000,6200PATIENTS LAUNDRY 431600,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431600,A81000A,00100,0100,Y 431600,A81000B,00100,0300,DEPRECIATION 431600,A81000B,00200,0300,RENT 431600,A81000B,00300,0300,PROPERTY INSURANCE 431600,A81000B,00400,0300,MISC ADMIN 431600,A81000B,00500,0300,CONTRACT LABOR 431600,A81000B,00600,0300,HOME OFFICE 431600,A81000B,00700,0300,HOME OFFICE 431600,A81000B,00800,0300,STOCK DRUGS 431600,A81000B,00900,0300,LEGEND DRUGS 431600,A81000B,01000,0300,PHARMACY CONSULTANT 431600,A81000C,00100,0100,B 431600,A81000C,00100,0200,LSA MANAGEMENT 431600,A81000C,00100,0400,LH - ALBEMARLE PROPERTY 431600,A81000C,00100,0600,LESSOR 431600,A81000C,00200,0100,B 431600,A81000C,00200,0200,LSA MANAGEMENT 431600,A81000C,00200,0400,LH - ALBEMARLE PROPERTY 431600,A81000C,00200,0600,LESSOR 431600,A81000C,00300,0100,B 431600,A81000C,00300,0200,LSA MANAGEMENT 431600,A81000C,00300,0400,LH - ALBEMARLE PROPERTY 431600,A81000C,00300,0600,LESSOR 431600,A81000C,00400,0100,B 431600,A81000C,00400,0200,LSA MANAGEMENT 431600,A81000C,00400,0400,LH - ALBEMARLE PROPERTY 431600,A81000C,00400,0600,LESSOR 431600,A81000C,00500,0100,B 431600,A81000C,00500,0200,LSA MANAGEMENT 431600,A81000C,00500,0400,LH - ALBEMARLE PROPERTY 431600,A81000C,00500,0600,LESSOR 431600,A81000C,00600,0100,B 431600,A81000C,00600,0200,LSA MANAGEMENT 431600,A81000C,00600,0400,LSA MANAGEMENT INC. 431600,A81000C,00600,0600,HOME OFFICE 431600,A81000C,00700,0100,B 431600,A81000C,00700,0200,LSA MANAGEMENT 431600,A81000C,00700,0400,LSA MANAGEMENT INC. 431600,A81000C,00700,0600,HOME OFFICE 431600,A81000C,00800,0100,B 431600,A81000C,00800,0200,LSA MANAGEMENT 431600,A81000C,00800,0400,LSA PHARMACY INC. 431600,A81000C,00800,0600,PHARMACY 431600,A81000C,00900,0100,B 431600,A81000C,00900,0200,LSA MANAGEMENT 431600,A81000C,00900,0400,LSA PHARMACY INC. 431600,A81000C,00900,0600,PHARMACY 431600,A81000C,01000,0100,B 431600,A81000C,01000,0200,LSA MANAGEMENT 431600,A81000C,01000,0400,LSA PHARMACY INC. 431600,A81000C,01000,0600,PHARMACY 431600,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431600,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431600,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431600,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431600,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431600,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431600,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431600,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431600,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431600,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431600,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431600,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431600,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431600,E10A180,00501,0300,04/27/12 431600,E10A180,00550,0100,04/27/12 431600,G300000,02500,0000,BARBER AND BEAUTY 431600,G300000,02501,0000,PERSONAL PURCHASES 431600,G300000,02502,0000,OTHER INCOME 431600,S000000,00100,0200,02/27/12 431600,S200000,00100,0100,24724 HIGHWAY 52 SOUTH 431600,S200000,00100,0300,308 431600,S200000,00200,0100,ALBEMARLE 431600,S200000,00200,0200,NC 431600,S200000,00200,0300,28002 431600,S200000,00300,0100,STANLY 431600,S200000,00300,0200,34 431600,S200000,00300,0201,99934 431600,S200000,00300,0300,R 431600,S200000,00400,0100,LUTHERAN HOME - ALBEMARLE 431600,S200000,00400,0200,345109 431600,S200000,00400,0300,10/04/73 431600,S200000,00400,0500,P 431600,S200000,01500,0100,N 431600,S200000,01501,0200,N 431600,S200000,01503,0200,Y 431600,S200000,01600,0100,Y 431600,S200000,01700,0100,N 431600,S200000,01800,0100,N 431600,S200000,02200,0100,N 431600,S200000,02800,0100,N 431600,S200000,02900,0100,N 431600,S200000,03000,0100,N 431600,S200000,03100,0100,N 431600,S200000,03200,0100,N 431600,S200000,03300,0100,N 431600,S200000,03300,0200,N 431600,S200000,04100,0100,N 431600,S200000,04200,0100,N 431600,S200000,04300,0100,N 431600,S200000,04600,0100,N 431600,S200000,04700,0100,N 431600,S200000,04700,0200,N 431600,S200000,04900,0100,N 431600,S200000,05000,0100,N 431600,S200000,05100,0100,N 431600,S200000,05200,0100,N 431600,S200000,05300,0100,Y 431600,S200000,05300,0200,349086 431600,S200000,05400,0100,LSA MANAGEMENT INC. 431600,S200000,05400,0200,PALMETTO GBA 431600,S200000,05400,0300,11001 431600,S200000,05500,0200,PO BOX 94 431600,S200000,05600,0100,SALISBURY 431600,S200000,05600,0200,NC 431600,S200000,05600,0300,28145-0947 431601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431601,A000000,00300,0000,0300EMPLOYEE BENEFITS 431601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431601,A000000,00700,0000,0700HOUSEKEEPING 431601,A000000,00800,0000,0800DIETARY 431601,A000000,01100,0000,1100PHARMACY 431601,A000000,01500,0000,1350PATIENT ACTIVITIES 431601,A000000,01600,0000,1600SKILLED NURSING FACILITY 431601,A000000,01800,0000,1800NURSING FACILITY 431601,A000000,01900,0000,1900OTHER LONG TERM CARE 431601,A000000,02100,0000,2100RADIOLOGY 431601,A000000,02200,0000,2200LABORATORY 431601,A000000,02300,0000,2300INTRAVENOUS THERAPY 431601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431601,A000000,02500,0000,2500PHYSICAL THERAPY 431601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431601,A000000,02700,0000,2700SPEECH PATHOLOGY 431601,A000000,02800,0000,2800ELECTROCARDIOLOGY 431601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431601,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431601,A000000,03200,0000,3200SUPPORT SURFACES 431601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431601,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431601,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431601,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431601,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431601,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431601,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431601,A000000,06100,0000,6100NONPAID WORKERS 431601,A000000,06200,0000,6200PATIENTS LAUNDRY 431601,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431601,A81000A,00100,0100,Y 431601,A81000B,00100,0300,CENTRAL OFFICE OVHD 431601,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431601,A81000B,00300,0300,SUPPLIES 431601,A81000B,00400,0300,SUPPLIES 431601,A81000B,00500,0300,SUPPLIES 431601,A81000B,00600,0300,PHARMACY 431601,A81000B,00700,0300,PHARMACY 431601,A81000B,00800,0300,PHARMACY 431601,A81000B,00900,0300,PHARMACY 431601,A81000B,01000,0300,PHARMACY 431601,A81000C,00100,0100,B 431601,A81000C,00100,0200,AUTUMN CORPORATION 431601,A81000C,00100,0400,AUTUMN CORPORATION 431601,A81000C,00100,0600,HOME OFFICE 431601,A81000C,00200,0100,B 431601,A81000C,00200,0200,AUTUMN CORPORATION 431601,A81000C,00200,0400,AUTUMN CORPORATION 431601,A81000C,00200,0600,HOME OFFICE CAPITAL 431601,A81000C,00300,0100,A 431601,A81000C,00300,0200,WINCARE 431601,A81000C,00300,0400,AUTUMN CORPORATION 431601,A81000C,00300,0600,SUPPLIES 431601,A81000C,00400,0100,A 431601,A81000C,00400,0200,LEGACY 431601,A81000C,00400,0400,AUTUMN CORPORATION 431601,A81000C,00400,0600,PHARMACY 431601,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431601,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431601,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431601,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431601,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431601,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431601,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431601,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431601,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431601,E10A180,00501,0100,05/07/12 431601,G300000,02500,0000,MISC 431601,S000000,00100,0200,02/16/12 431601,S200000,00100,0100,TIMBERLANE ROAD 431601,S200000,00100,0300,330 431601,S200000,00200,0100,WAYNESVILLE 431601,S200000,00200,0200,NC 431601,S200000,00200,0300,28786 431601,S200000,00300,0100,HAYWOOD 431601,S200000,00300,0200,0034 431601,S200000,00300,0201,11700 431601,S200000,00300,0300,U 431601,S200000,00400,0100,AUTUMN CARE OF WAYNESVILLE 431601,S200000,00400,0200,345110 431601,S200000,00400,0300,06/28/84 431601,S200000,00400,0500,P 431601,S200000,01500,0100,Y 431601,S200000,01501,0200,Y 431601,S200000,01600,0100,N 431601,S200000,01700,0100,N 431601,S200000,01800,0100,N 431601,S200000,02200,0100,N 431601,S200000,02800,0100,N 431601,S200000,02900,0100,N 431601,S200000,03000,0100,N 431601,S200000,03100,0100,N 431601,S200000,03200,0100,N 431601,S200000,03300,0100,N 431601,S200000,03300,0200,N 431601,S200000,04100,0100,N 431601,S200000,04200,0100,N 431601,S200000,04300,0100,N 431601,S200000,04600,0100,N 431601,S200000,04700,0100,N 431601,S200000,04700,0200,N 431601,S200000,04900,0100,N 431601,S200000,05000,0100,N 431601,S200000,05100,0100,N 431601,S200000,05200,0100,N 431602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431602,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431602,A000000,00300,0000,0300EMPLOYEE BENEFITS 431602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431602,A000000,00700,0000,0700HOUSEKEEPING 431602,A000000,00800,0000,0800DIETARY 431602,A000000,00900,0000,0900NURSING ADMINISTRATION 431602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431602,A000000,01100,0000,1100PHARMACY 431602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431602,A000000,01300,0000,1300SOCIAL SERVICE 431602,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431602,A000000,01600,0000,1600SKILLED NURSING FACILITY 431602,A000000,01800,0000,1800NURSING FACILITY 431602,A000000,01900,0000,1900OTHER LONG TERM CARE 431602,A000000,02100,0000,2100RADIOLOGY 431602,A000000,02200,0000,2200LABORATORY 431602,A000000,02300,0000,2300INTRAVENOUS THERAPY 431602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431602,A000000,02500,0000,2500PHYSICAL THERAPY 431602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431602,A000000,02700,0000,2700SPEECH PATHOLOGY 431602,A000000,02800,0000,2800ELECTROCARDIOLOGY 431602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431602,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431602,A000000,03200,0000,3200SUPPORT SURFACES 431602,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431602,A000000,03400,0000,3400CLINIC 431602,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431602,A000000,04800,0000,4800AMBULANCE 431602,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431602,A000000,05000,0000,5000CORF 431602,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431602,A000000,05300,0000,5300INTEREST EXPENSE 431602,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431602,A000000,05500,0000,5500HOSPICE 431602,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431602,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431602,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431602,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431602,A000000,06100,0000,6100NONPAID WORKERS 431602,A000000,06200,0000,6200PATIENTS LAUNDRY 431602,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431602,A81000A,00100,0100,Y 431602,A81000B,00100,0300,NURSING CONSULTING 431602,A81000B,00200,0300,DIETARY CONSULTING 431602,A81000B,00300,0300,HOME OFFICE 431602,A81000B,00400,0300,INTEREST EXPENSE 431602,A81000B,00500,0300,WORKERS COMPENSATION 431602,A81000B,00600,0300,PROFESSIONAL LIABILITY 431602,A81000B,00700,0300,MAINTENANCE SUPPLIES 431602,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431602,A81000B,00900,0300,REPAIRS - BUILDING 431602,A81000B,01000,0300,REPAIRS - EQUIPMENT 431602,A81000B,01100,0300,LINEN & BEDDING 431602,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 431602,A81000B,01300,0300,LAUNDRY SUPPLIES 431602,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 431602,A81000B,01500,0300,CONTRACT SERVICES 431602,A81000B,01600,0300,DIETARY SUPPLEMENTS 431602,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431602,A81000B,01800,0300,DIETARY SUPPLIES 431602,A81000B,01900,0300,BIO-MEDICAL WASTE 431602,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 431602,A81000B,02100,0300,PERSONAL CARE SUPPLIES 431602,A81000B,02200,0300,INCONTINENCE SUPPLIES 431602,A81000B,02300,0300,MEDICAL SUPPLIES 431602,A81000B,02400,0300,PATIENT ACTIVITY SUPPLIES 431602,A81000B,02500,0300,OXYGEN THERAPY SUPPLIES 431602,A81000B,02600,0300,PT SUPPLIES 431602,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 431602,A81000B,02800,0300,VACCINE COSTS 431602,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 431602,A81000C,00100,0100,B 431602,A81000C,00100,0200,PLTC & PITS INC 431602,A81000C,00100,0400,PLTC & PITS INC 431602,A81000C,00100,0600,MGMT SERVICES 431602,A81000C,00200,0100,B 431602,A81000C,00200,0200,PLTC & PITS INC 431602,A81000C,00200,0400,PLTC & PITS INC 431602,A81000C,00200,0600,MGMT SERVICES 431602,A81000C,00300,0100,B 431602,A81000C,00300,0200,PLTC & PITS INC 431602,A81000C,00300,0400,PLTC & PITS INC 431602,A81000C,00300,0600,MGMT SERVICES 431602,A81000C,00400,0100,B 431602,A81000C,00400,0200,PLTC & PITS INC 431602,A81000C,00400,0400,PLTC & PITS INC 431602,A81000C,00400,0600,MGMT SERVICES 431602,A81000C,00500,0100,A 431602,A81000C,00500,0200,SHAREHOLDERS 431602,A81000C,00500,0400,DISCOVERY INSUR 431602,A81000C,00500,0600,INSURANCE 431602,A81000C,00600,0100,A 431602,A81000C,00600,0200,SHAREHOLDERS 431602,A81000C,00600,0400,QUEENSLAND ASSU 431602,A81000C,00600,0600,INSURANCE 431602,A81000C,00700,0100,A 431602,A81000C,00700,0200,SHAREHOLDERS 431602,A81000C,00700,0400,KARE MEDICAL 431602,A81000C,00700,0600,WHOLESALE SUPPL 431602,A81000C,00800,0100,A 431602,A81000C,00800,0200,SHAREHOLDERS 431602,A81000C,00800,0400,KARE MEDICAL 431602,A81000C,00800,0600,WHOLESALE SUPPL 431602,A81000C,00900,0100,A 431602,A81000C,00900,0200,SHAREHOLDERS 431602,A81000C,00900,0400,KARE MEDICAL 431602,A81000C,00900,0600,WHOLESALE SUPPL 431602,A81000C,01000,0100,A 431602,A81000C,01000,0200,SHAREHOLDERS 431602,A81000C,01000,0400,KARE MEDICAL 431602,A81000C,01000,0600,WHOLESALE SUPPL 431602,A81000C,01001,0100,A 431602,A81000C,01001,0200,SHAREHOLDERS 431602,A81000C,01001,0400,KARE MEDICAL 431602,A81000C,01001,0600,WHOLESALE SUPPL 431602,A81000C,01002,0100,A 431602,A81000C,01002,0200,SHAREHOLDERS 431602,A81000C,01002,0400,KARE MEDICAL 431602,A81000C,01002,0600,WHOLESALE SUPPL 431602,A81000C,01003,0100,A 431602,A81000C,01003,0200,SHAREHOLDERS 431602,A81000C,01003,0400,KARE MEDICAL 431602,A81000C,01003,0600,WHOLESALE SUPPL 431602,A81000C,01004,0100,A 431602,A81000C,01004,0200,SHAREHOLDERS 431602,A81000C,01004,0400,KARE MEDICAL 431602,A81000C,01004,0600,WHOLESALE SUPPL 431602,A81000C,01005,0100,A 431602,A81000C,01005,0200,SHAREHOLDERS 431602,A81000C,01005,0400,KARE MEDICAL 431602,A81000C,01005,0600,WHOLESALE SUPPL 431602,A81000C,01006,0100,A 431602,A81000C,01006,0200,SHAREHOLDERS 431602,A81000C,01006,0400,KARE MEDICAL 431602,A81000C,01006,0600,WHOLESALE SUPPL 431602,A81000C,01007,0100,A 431602,A81000C,01007,0200,SHAREHOLDERS 431602,A81000C,01007,0400,KARE MEDICAL 431602,A81000C,01007,0600,WHOLESALE SUPPL 431602,A81000C,01008,0100,A 431602,A81000C,01008,0200,SHAREHOLDERS 431602,A81000C,01008,0400,KARE MEDICAL 431602,A81000C,01008,0600,WHOLESALE SUPPL 431602,A81000C,01009,0100,A 431602,A81000C,01009,0200,SHAREHOLDERS 431602,A81000C,01009,0400,KARE MEDICAL 431602,A81000C,01009,0600,WHOLESALE SUPPL 431602,A81000C,01010,0100,A 431602,A81000C,01010,0200,SHAREHOLDERS 431602,A81000C,01010,0400,KARE MEDICAL 431602,A81000C,01010,0600,WHOLESALE SUPPL 431602,A81000C,01011,0100,A 431602,A81000C,01011,0200,SHAREHOLDERS 431602,A81000C,01011,0400,KARE MEDICAL 431602,A81000C,01011,0600,WHOLESALE SUPPL 431602,A81000C,01012,0100,A 431602,A81000C,01012,0200,SHAREHOLDERS 431602,A81000C,01012,0400,KARE MEDICAL 431602,A81000C,01012,0600,WHOLESALE SUPPL 431602,A81000C,01013,0100,A 431602,A81000C,01013,0200,SHAREHOLDERS 431602,A81000C,01013,0400,KARE MEDICAL 431602,A81000C,01013,0600,WHOLESALE SUPPL 431602,A81000C,01014,0100,A 431602,A81000C,01014,0200,SHAREHOLDERS 431602,A81000C,01014,0400,KARE MEDICAL 431602,A81000C,01014,0600,WHOLESALE SUPPL 431602,A81000C,01015,0100,A 431602,A81000C,01015,0200,SHAREHOLDERS 431602,A81000C,01015,0400,KARE MEDICAL 431602,A81000C,01015,0600,WHOLESALE SUPPL 431602,A81000C,01016,0100,A 431602,A81000C,01016,0200,SHAREHOLDERS 431602,A81000C,01016,0400,KARE MEDICAL 431602,A81000C,01016,0600,WHOLESALE SUPPL 431602,A81000C,01017,0100,A 431602,A81000C,01017,0200,SHAREHOLDERS 431602,A81000C,01017,0400,KARE MEDICAL 431602,A81000C,01017,0600,WHOLESALE SUPPL 431602,A81000C,01018,0100,A 431602,A81000C,01018,0200,SHAREHOLDERS 431602,A81000C,01018,0400,KARE MEDICAL 431602,A81000C,01018,0600,WHOLESALE SUPPL 431602,A81000C,01019,0100,A 431602,A81000C,01019,0200,SHAREHOLDERS 431602,A81000C,01019,0400,PHARMSAVE 431602,A81000C,01019,0600,RX SUPPLY 431602,A81000C,01020,0100,A 431602,A81000C,01020,0200,SHAREHOLDERS 431602,A81000C,01020,0400,PHARMSAVE 431602,A81000C,01020,0600,RX SUPPLY 431602,A81000C,01021,0100,A 431602,A81000C,01021,0200,SHAREHOLDERS 431602,A81000C,01021,0400,PHARMSAVE 431602,A81000C,01021,0600,RX SUPPLY 431602,A81000C,01022,0100,A 431602,A81000C,01022,0200,SHAREHOLDERS 431602,A81000C,01022,0400,PHARMSAVE 431602,A81000C,01022,0600,RX SUPPLY 431602,A81000C,01023,0100,A 431602,A81000C,01023,0200,SHAREHOLDERS 431602,A81000C,01023,0400,PHARMSAVE 431602,A81000C,01023,0600,RX SUPPLY 431602,A81000C,01024,0100,A 431602,A81000C,01024,0200,SHAREHOLDERS 431602,A81000C,01024,0400,ROBERT HILL CON 431602,A81000C,01024,0600,CONSTRUCTION 431602,A81000C,01025,0100,A 431602,A81000C,01025,0200,SHAREHOLDERS 431602,A81000C,01025,0400,ROBERT HILL CON 431602,A81000C,01025,0600,CONSTRUCTION 431602,A81000C,01026,0100,A 431602,A81000C,01026,0200,SHAREHOLDERS 431602,A81000C,01026,0400,BRITTHAVEN INC 431602,A81000C,01026,0600,REAL ESTATE 431602,A81000C,01027,0100,A 431602,A81000C,01027,0200,SHAREHOLDERS 431602,A81000C,01027,0400,BRITTHAVEN INC 431602,A81000C,01027,0600,REAL ESTATE 431602,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431602,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431602,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431602,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431602,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431602,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431602,B100000,00000,0800,0800MEALS SERVED :DIETARY 431602,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431602,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431602,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431602,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431602,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431602,E10A180,00501,0100,05/22/12 431602,G300000,02500,0000, OTHER (SPECIFY) 431602,S000000,00100,0200,02/29/12 431602,S200000,00100,0100,1084 U.S. 64 EAST 431602,S200000,00200,0100,PLYMOUTH 431602,S200000,00200,0200,NC 431602,S200000,00200,0300,27962 431602,S200000,00300,0100,WASHINGTON 431602,S200000,00300,0201,99934 431602,S200000,00300,0300,R 431602,S200000,00400,0100,ROANOKE LANDING NURSING & REHAB CTR 431602,S200000,00400,0200,345266 431602,S200000,00400,0300,01/01/11 431602,S200000,00400,0500,P 431602,S200000,01500,0100,N 431602,S200000,01501,0200,Y 431602,S200000,01502,0200,Y 431602,S200000,01503,0200,Y 431602,S200000,01504,0200,Y 431602,S200000,01505,0000,OTHER (SPECIFY) 431602,S200000,01505,0200,Y 431602,S200000,01600,0100,Y 431602,S200000,01700,0100,N 431602,S200000,01800,0100,N 431602,S200000,02200,0100,N 431602,S200000,02800,0100,N 431602,S200000,02900,0100,N 431602,S200000,03000,0100,N 431602,S200000,03100,0100,N 431602,S200000,03200,0100,N 431602,S200000,03300,0100,N 431602,S200000,03300,0200,N 431602,S200000,04100,0100,N 431602,S200000,04200,0100,N 431602,S200000,04300,0100,N 431602,S200000,04600,0100,N 431602,S200000,04700,0100,N 431602,S200000,04700,0200,N 431602,S200000,04900,0100,N 431602,S200000,05000,0100,N 431602,S200000,05100,0100,N 431602,S200000,05200,0100,N 431602,S200000,05300,0100,Y 431602,S200000,05300,0200,349011 431602,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 431602,S200000,05400,0200,PALMETTO GBA 431602,S200000,05400,0300,11501 431602,S200000,05500,0100,1435 HWY 258 NORTH 431602,S200000,05600,0100,KINSTON 431602,S200000,05600,0200,NC 431602,S200000,05600,0300,28502 431603,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431603,A000000,00300,0000,0300EMPLOYEE BENEFITS 431603,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431603,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431603,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431603,A000000,00700,0000,0700HOUSEKEEPING 431603,A000000,00800,0000,0800DIETARY 431603,A000000,00900,0000,0900NURSING ADMINISTRATION 431603,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431603,A000000,01300,0000,1300SOCIAL SERVICE 431603,A000000,01500,0000,1350PATIENT ACTIVITES 431603,A000000,01600,0000,1600SKILLED NURSING FACILITY 431603,A000000,01800,0000,1800NURSING FACILITY 431603,A000000,01810,0000,1810ICF/MR 431603,A000000,01900,0000,1900OTHER LONG TERM CARE 431603,A000000,02100,0000,2100RADIOLOGY 431603,A000000,02200,0000,2200LABORATORY 431603,A000000,02300,0000,2300INTRAVENOUS THERAPY 431603,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431603,A000000,02500,0000,2500PHYSICAL THERAPY 431603,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431603,A000000,02700,0000,2700SPEECH PATHOLOGY 431603,A000000,02800,0000,2800ELECTROCARDIOLOGY 431603,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431603,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431603,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431603,A000000,03200,0000,3200SUPPORT SURFACES 431603,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431603,A000000,03400,0000,3400CLINIC 431603,A000000,03500,0000,3500RURAL HEALTH CLINIC 431603,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431603,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431603,A000000,04710,0000,4710TELEMEDICINE 431603,A000000,04800,0000,4800AMBULANCE 431603,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431603,A000000,05000,0000,5000CORF 431603,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431603,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431603,A000000,05300,0000,5300INTEREST EXPENSE 431603,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431603,A000000,05500,0000,5500HOSPICE 431603,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431603,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431603,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431603,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431603,A000000,06100,0000,6100NONPAID WORKERS 431603,A000000,06200,0000,6200PATIENTS LAUNDRY 431603,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431603,A81000A,00100,0100,Y 431603,A81000B,00100,0300,RENT 431603,A81000B,00200,0300,INTEREST 431603,A81000B,00300,0300,INSURANCE 431603,A81000B,00400,0300,TAXES 431603,A81000B,00500,0300,LOAN AMTZ 431603,A81000B,00600,0300,DEPRECIATION 431603,A81000B,00700,0300,DEPRECIATION 431603,A81000B,00800,0300,DEPRECIATION 431603,A81000B,00900,0300,DEPRECIATION 431603,A81000B,01000,0300,DEPRECIATION 431603,A81000C,00100,0100,B 431603,A81000C,00100,0200,MAX AND JEAN LONGLEY 431603,A81000C,00100,0400,SILVER BLUFF REALTY 431603,A81000C,00100,0600,PROPERTY 431603,A81000C,00200,0100,B 431603,A81000C,00200,0200,MAX AND JEAN LONGLEY 431603,A81000C,00200,0400,SILVER BLUFF REALTY 431603,A81000C,00200,0600,PROPERTY 431603,A81000C,00300,0100,B 431603,A81000C,00300,0200,MAX AND JEAN LONGLEY 431603,A81000C,00300,0400,SILVER BLUFF REALTY 431603,A81000C,00300,0600,PROPERTY 431603,A81000C,00400,0100,B 431603,A81000C,00400,0200,MAX AND JEAN LONGLEY 431603,A81000C,00400,0400,SILVER BLUFF REALTY 431603,A81000C,00400,0600,PROPERTY 431603,A81000C,00500,0100,B 431603,A81000C,00500,0200,MAX AND JEAN LONGLEY 431603,A81000C,00500,0400,SILVER BLUFF REALTY 431603,A81000C,00500,0600,PROPERTY 431603,A81000C,00600,0100,B 431603,A81000C,00600,0200,MAX AND JEAN LONGLEY 431603,A81000C,00600,0400,SILVER BLUFF REALTY 431603,A81000C,00600,0600,PROPERTY 431603,A81000C,00700,0100,B 431603,A81000C,00700,0200,MAX AND JEAN LONGLEY 431603,A81000C,00700,0400,SILVER BLUFF REALTY 431603,A81000C,00700,0600,PROPERTY 431603,A81000C,00800,0100,B 431603,A81000C,00800,0200,MAX AND JEAN LONGLEY 431603,A81000C,00800,0400,SILVER BLUFF REALTY 431603,A81000C,00800,0600,PROPERTY 431603,A81000C,00900,0100,B 431603,A81000C,00900,0200,MAX AND JEAN LONGLEY 431603,A81000C,00900,0400,SILVER BLUFF REALTY 431603,A81000C,00900,0600,PROPERTY 431603,A81000C,01000,0100,B 431603,A81000C,01000,0200,MAX AND JEAN LONGLEY 431603,A81000C,01000,0400,SILVER BLUFF REALTY 431603,A81000C,01000,0600,PROPERTY 431603,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431603,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431603,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431603,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431603,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431603,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431603,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431603,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431603,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431603,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431603,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITES 431603,E10A180,00501,0100,04/27/12 431603,G300000,02500,0000,BARBER & BEAUTY 431603,G300000,02501,0000,OTHER INCOME 431603,S000000,00100,0200,02/13/12 431603,S200000,00100,0100,100 SILVER BLUFF DRIVE 431603,S200000,00200,0100,CANTON 431603,S200000,00200,0200,NC 431603,S200000,00200,0300,28716 431603,S200000,00300,0100,HAYWOOD 431603,S200000,00300,0200,0034 431603,S200000,00300,0201,11700 431603,S200000,00300,0300,U 431603,S200000,00400,0100,SILVER BLUFF INC. 431603,S200000,00400,0200,345341 431603,S200000,00400,0300,09/24/90 431603,S200000,00400,0500,P 431603,S200000,01500,0100,N 431603,S200000,01501,0200,Y 431603,S200000,01503,0200,Y 431603,S200000,01600,0100,Y 431603,S200000,01700,0100,N 431603,S200000,01800,0100,N 431603,S200000,02200,0100,N 431603,S200000,02800,0100,N 431603,S200000,02900,0100,N 431603,S200000,03000,0100,N 431603,S200000,03100,0100,N 431603,S200000,03200,0100,N 431603,S200000,03300,0100,N 431603,S200000,03300,0200,N 431603,S200000,04100,0100,N 431603,S200000,04200,0100,N 431603,S200000,04300,0100,N 431603,S200000,04600,0100,N 431603,S200000,04700,0100,N 431603,S200000,04700,0200,N 431603,S200000,04900,0100,N 431603,S200000,05000,0100,N 431603,S200000,05100,0100,N 431603,S200000,05200,0100,N 431604,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431604,A000000,00300,0000,0300EMPLOYEE BENEFITS 431604,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431604,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431604,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431604,A000000,00700,0000,0700HOUSEKEEPING 431604,A000000,00800,0000,0800DIETARY 431604,A000000,00900,0000,0900NURSING ADMINISTRATION 431604,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431604,A000000,01100,0000,1100PHARMACY 431604,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431604,A000000,01300,0000,1300SOCIAL SERVICE 431604,A000000,01500,0000,1350PATIENT ACTIVITIES 431604,A000000,01600,0000,1600SKILLED NURSING FACILITY 431604,A000000,01900,0000,1900OTHER LONG TERM CARE 431604,A000000,02100,0000,2100RADIOLOGY 431604,A000000,02200,0000,2200LABORATORY 431604,A000000,02500,0000,2500PHYSICAL THERAPY 431604,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431604,A000000,02700,0000,2700SPEECH PATHOLOGY 431604,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431604,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431604,A000000,03200,0000,3200SUPPORT SURFACES 431604,A000000,04800,0000,4800AMBULANCE 431604,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431604,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431604,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431604,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431604,A81000A,00100,0100,Y 431604,A81000B,00100,0300,HOME OFFICE 431604,A81000B,00200,0300,HOME OFFICE 431604,A81000C,00100,0100,B 431604,A81000C,00100,0200,UCRH - CORP 431604,A81000C,00100,0400,UCRH-CORP 431604,A81000C,00100,0600,HOME OFFICE 431604,A81000C,00200,0100,B 431604,A81000C,00200,0200,UCRH - CORP 431604,A81000C,00200,0400,UCRH-CORP 431604,A81000C,00200,0600,HOME OFFICE 431604,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431604,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431604,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431604,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431604,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431604,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431604,B100000,00000,0800,0800MEALS SERVED :DIETARY 431604,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431604,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431604,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431604,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431604,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431604,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431604,E10A180,00550,0100,02/20/12 431604,G300000,02500,0000,BARBER AND BEAUTY 431604,G300000,02501,0000,OTHER INCOME 431604,S000000,00100,0200,02/20/12 431604,S200000,00100,0100,185 YOUNTZ ROAD 431604,S200000,00200,0100,LEXINGTON 431604,S200000,00200,0200,NC 431604,S200000,00200,0300,27292 431604,S200000,00300,0100,DAVIDSON 431604,S200000,00300,0200,20 431604,S200000,00300,0201,99934 431604,S200000,00300,0300,R 431604,S200000,00400,0100,CENTERCLAIR 431604,S200000,00400,0200,345347 431604,S200000,00400,0300,03/01/91 431604,S200000,00400,0500,P 431604,S200000,01500,0100,N 431604,S200000,01501,0200,N 431604,S200000,01600,0100,Y 431604,S200000,01700,0100,N 431604,S200000,01800,0100,N 431604,S200000,02200,0100,N 431604,S200000,02800,0100,N 431604,S200000,02900,0100,N 431604,S200000,03000,0100,N 431604,S200000,03100,0100,N 431604,S200000,03200,0100,N 431604,S200000,03300,0100,N 431604,S200000,03300,0200,N 431604,S200000,04100,0100,N 431604,S200000,04200,0100,N 431604,S200000,04300,0100,N 431604,S200000,04600,0100,N 431604,S200000,04700,0100,N 431604,S200000,04700,0200,N 431604,S200000,04900,0100,N 431604,S200000,05000,0100,N 431604,S200000,05100,0100,N 431604,S200000,05200,0100,N 431604,S200000,05300,0100,Y 431604,S200000,05300,0200,349040 431604,S200000,05400,0100,UNITED CHURCH RETIREMENT HOMES INC 431604,S200000,05400,0200,PALMETTO GBA 431604,S200000,05400,0300,11001 431604,S200000,05500,0100,100 LEONARD AVENUE 431604,S200000,05600,0100,NEWTON 431604,S200000,05600,0200,NC 431604,S200000,05600,0300,28658 431605,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431605,A000000,00300,0000,0300EMPLOYEE BENEFITS 431605,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431605,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431605,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431605,A000000,00700,0000,0700HOUSEKEEPING 431605,A000000,00800,0000,0800DIETARY 431605,A000000,00900,0000,0900NURSING ADMINISTRATION 431605,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431605,A000000,01100,0000,1100PHARMACY 431605,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431605,A000000,01300,0000,1300SOCIAL SERVICE 431605,A000000,01500,0000,1350PATIENT ACTIVITIES 431605,A000000,01600,0000,1600SKILLED NURSING FACILITY 431605,A000000,01900,0000,1900OTHER LONG TERM CARE 431605,A000000,02100,0000,2100RADIOLOGY 431605,A000000,02200,0000,2200LABORATORY 431605,A000000,02500,0000,2500PHYSICAL THERAPY 431605,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431605,A000000,02700,0000,2700SPEECH PATHOLOGY 431605,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431605,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431605,A000000,03200,0000,3200SUPPORT SURFACES 431605,A000000,04800,0000,4800AMBULANCE 431605,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431605,A000000,06200,0000,6200PATIENTS LAUNDRY 431605,A81000A,00100,0100,Y 431605,A81000B,00100,0300,RENT 431605,A81000B,00200,0300,INTEREST 431605,A81000B,00300,0300,DEPRECIATION 431605,A81000B,00400,0300,TAXES 431605,A81000B,00600,0300,NON LEGEND DRUGS 431605,A81000B,00700,0300,LEGEND DRUGS 431605,A81000B,00800,0300,CONTRACTED LAUNDRY 431605,A81000C,00100,0100,A 431605,A81000C,00100,0200,MR & MRS FLOREN 431605,A81000C,00100,0400,BUILDING COST 431605,A81000C,00100,0600,BUILDING COST 431605,A81000C,00200,0100,A 431605,A81000C,00200,0200,MR & MRS FLOREN 431605,A81000C,00200,0400,BUILDING COST 431605,A81000C,00200,0600,BUILDING COST 431605,A81000C,00300,0100,A 431605,A81000C,00300,0200,MR & MRS FLOREN 431605,A81000C,00300,0400,BUILDING COST 431605,A81000C,00300,0600,BUILDING COST 431605,A81000C,00400,0100,A 431605,A81000C,00400,0200,MR & MRS FLOREN 431605,A81000C,00400,0400,BUILDING COST 431605,A81000C,00400,0600,BUILDING COST 431605,A81000C,00600,0100,A 431605,A81000C,00600,0200,ROGER FLOREN 431605,A81000C,00600,0400,CANE CREEK PHARMACY 431605,A81000C,00600,0600,PHARMACY 431605,A81000C,00700,0100,A 431605,A81000C,00700,0200,ROGER FLOREN 431605,A81000C,00700,0400,CANE CREEK PHARMACY 431605,A81000C,00700,0600,PHARMACY 431605,A81000C,00800,0100,A 431605,A81000C,00800,0200,CHERI/SUSAN/LISA 431605,A81000C,00800,0400,CLST LAUNDRY 431605,A81000C,00800,0600,LAUNDRY 431605,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431605,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431605,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431605,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431605,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431605,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431605,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431605,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431605,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431605,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431605,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431605,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431605,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431605,E10A180,00550,0100,02/17/12 431605,G300000,02500,0000,BARBER AND BEAUTY INCOME 431605,S000000,00100,0200,02/17/12 431605,S200000,00100,0100,3016 CANE CREEK ROAD 431605,S200000,00100,0300,1160 431605,S200000,00200,0100,FAIRVIEW 431605,S200000,00200,0200,NC 431605,S200000,00200,0300,28730 431605,S200000,00300,0100,BUNCOMBE 431605,S200000,00300,0200,0480 431605,S200000,00300,0201,11700 431605,S200000,00300,0300,U 431605,S200000,00400,0100,FLESHER S FAIRVIEW HEALTH CARE CENTE 431605,S200000,00400,0200,345413 431605,S200000,00400,0300,01/30/92 431605,S200000,00400,0500,P 431605,S200000,01500,0100,Y 431605,S200000,01501,0200,Y 431605,S200000,01600,0100,N 431605,S200000,01700,0100,N 431605,S200000,01800,0100,N 431605,S200000,02200,0100,N 431605,S200000,02800,0100,N 431605,S200000,02900,0100,N 431605,S200000,03000,0100,N 431605,S200000,03100,0100,N 431605,S200000,03200,0100,N 431605,S200000,03300,0100,N 431605,S200000,03300,0200,N 431605,S200000,04100,0100,N 431605,S200000,04200,0100,N 431605,S200000,04300,0100,N 431605,S200000,04600,0100,N 431605,S200000,04700,0100,N 431605,S200000,04700,0200,N 431605,S200000,04900,0100,N 431605,S200000,05000,0100,N 431605,S200000,05100,0100,N 431605,S200000,05200,0100,N 431612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431612,A000000,00300,0000,0300EMPLOYEE BENEFITS 431612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431612,A000000,00700,0000,0700HOUSEKEEPING 431612,A000000,00800,0000,0800DIETARY 431612,A000000,00900,0000,0900NURSING ADMINISTRATION 431612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431612,A000000,01100,0000,1100PHARMACY 431612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431612,A000000,01300,0000,1300SOCIAL SERVICE 431612,A000000,01500,0000,1350PATIENT ACTIVITIES 431612,A000000,01600,0000,1600SKILLED NURSING FACILITY 431612,A000000,02100,0000,2100RADIOLOGY 431612,A000000,02200,0000,2200LABORATORY 431612,A000000,02500,0000,2500PHYSICAL THERAPY 431612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431612,A000000,02700,0000,2700SPEECH PATHOLOGY 431612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431612,A000000,03200,0000,3200SUPPORT SURFACES 431612,A000000,03400,0000,3400CLINIC 431612,A000000,04800,0000,4800AMBULANCE 431612,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431612,A81000A,00100,0100,Y 431612,A81000B,00100,0300,RENT 431612,A81000B,00200,0300,INTEREST 431612,A81000B,00400,0300,DEPRECIATION 431612,A81000C,00100,0100,A 431612,A81000C,00100,0200,GEORGE D. CLAPP 431612,A81000C,00100,0400,GEORGE D. CLAPP 431612,A81000C,00100,0600,OWNER 431612,A81000C,00200,0100,A 431612,A81000C,00200,0200,GEORGE D. CLAPP 431612,A81000C,00200,0400,GEORGE D. CLAPP 431612,A81000C,00200,0600,OWNER 431612,A81000C,00400,0100,A 431612,A81000C,00400,0200,GEORGE D. CLAPP 431612,A81000C,00400,0400,GEORGE D. CLAPP 431612,A81000C,00400,0600,OWNER 431612,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431612,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431612,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431612,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431612,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431612,B100000,00000,0700,0750SQR FTG EXC DIET:HOUSEKEEPING 431612,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431612,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431612,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431612,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431612,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431612,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431612,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431612,E10A180,00550,0100,02/15/12 431612,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 431612,G300000,02501,0000,OTHER 431612,S000000,00100,0200,02/15/12 431612,S200000,00100,0100,500 MOUNTAIN TOP DRIVE 431612,S200000,00200,0100,ASHEBORO 431612,S200000,00200,0200,NC 431612,S200000,00200,0300,27203 431612,S200000,00300,0100,RANDOLPH 431612,S200000,00300,0200,3120 431612,S200000,00300,0201,24660 431612,S200000,00300,0300,U 431612,S200000,00400,0100,CLAPP S CONVALESCENT NURSING HOME I 431612,S200000,00400,0200,345015 431612,S200000,00400,0300,01/01/67 431612,S200000,00400,0500,P 431612,S200000,01500,0100,Y 431612,S200000,01501,0200,N 431612,S200000,01600,0100,N 431612,S200000,01700,0100,N 431612,S200000,01800,0100,N 431612,S200000,02200,0100,N 431612,S200000,02800,0100,N 431612,S200000,02900,0100,N 431612,S200000,03000,0100,N 431612,S200000,03100,0100,N 431612,S200000,03200,0100,N 431612,S200000,03300,0100,N 431612,S200000,03300,0200,N 431612,S200000,04100,0100,N 431612,S200000,04200,0100,N 431612,S200000,04300,0100,N 431612,S200000,04600,0100,N 431612,S200000,04700,0100,N 431612,S200000,04700,0200,N 431612,S200000,04900,0100,N 431612,S200000,05000,0100,N 431612,S200000,05100,0100,N 431612,S200000,05200,0100,N 431612,S200000,05300,0100,N 431613,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431613,A000000,00300,0000,0300EMPLOYEE BENEFITS 431613,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431613,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431613,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431613,A000000,00700,0000,0700HOUSEKEEPING 431613,A000000,00800,0000,0800DIETARY 431613,A000000,00900,0000,0900NURSING ADMINISTRATION 431613,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431613,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431613,A000000,01300,0000,1300SOCIAL SERVICE 431613,A000000,01500,0000,1350PATIENT ACTIVITIES 431613,A000000,01600,0000,1600SKILLED NURSING FACILITY 431613,A000000,02100,0000,2100RADIOLOGY 431613,A000000,02200,0000,2200LABORATORY 431613,A000000,02300,0000,2300INTRAVENOUS THERAPY 431613,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431613,A000000,02500,0000,2500PHYSICAL THERAPY 431613,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431613,A000000,02700,0000,2700SPEECH PATHOLOGY 431613,A000000,02800,0000,2800ELECTROCARDIOLOGY 431613,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431613,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431613,A000000,03200,0000,3200SUPPORT SURFACES 431613,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431613,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431613,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431613,A000000,06200,0000,6200PATIENTS LAUNDRY 431613,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431613,A81000A,00100,0100,Y 431613,A81000B,00100,0300,RENT 431613,A81000B,00200,0300,HO COST 431613,A81000B,00300,0300,HO COST 431613,A81000B,00400,0300,CHAPLAIN 431613,A81000B,00500,0300,CONTRIBUTE 431613,A81000C,00100,0100,G 431613,A81000C,00100,0200,W. R. WINSLOW 431613,A81000C,00100,0400,CAROLINA CONF 431613,A81000C,00100,0600,CHURCH HQ 431613,A81000C,00200,0100,B 431613,A81000C,00200,0200,W. R. WINSLOW 431613,A81000C,00200,0400,CAR ADVENT RETIREMENT 431613,A81000C,00200,0600,HO 431613,A81000C,00300,0100,B 431613,A81000C,00300,0200,W. R. WINSLOW 431613,A81000C,00300,0400,CAR ADVENT RETIREMENT 431613,A81000C,00300,0600,HO 431613,A81000C,00400,0100,G 431613,A81000C,00400,0200,W. R. WINSLOW 431613,A81000C,00400,0400,CAROLINA CONF 431613,A81000C,00400,0600,CHURCH HQ 431613,A81000C,00500,0100,G 431613,A81000C,00500,0200,W. R. WINSLOW 431613,A81000C,00500,0400,CAROLINA CONF 431613,A81000C,00500,0600,CHURCH HQ 431613,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431613,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431613,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431613,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431613,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431613,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431613,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431613,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431613,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431613,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431613,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431613,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431613,E10A180,00501,0100,04/27/12 431613,G300000,02500,0000,BARBER AND BEAUTY 431613,S000000,00100,0200,02/16/12 431613,S200000,00100,0100,1075 U. S. HIGHWAY 17 SOUTH 431613,S200000,00200,0100,ELIZABETH CITY 431613,S200000,00200,0200,NC 431613,S200000,00200,0300,27909-7628 431613,S200000,00300,0100,PASQUOTANK 431613,S200000,00300,0200,34 431613,S200000,00300,0201,99934 431613,S200000,00300,0300,R 431613,S200000,00400,0100,W.R. WINSLOW MEMORIAL HOME INC. 431613,S200000,00400,0200,345036 431613,S200000,00400,0300,02/13/67 431613,S200000,00400,0500,P 431613,S200000,01500,0100,Y 431613,S200000,01505,0000,NURSING ADMIN 431613,S200000,01505,0200,Y 431613,S200000,01506,0000,NURSING 431613,S200000,01506,0200,Y 431613,S200000,01507,0000,MEDICAL RECORDS 431613,S200000,01507,0200,Y 431613,S200000,01508,0000,DIETARY 431613,S200000,01508,0200,Y 431613,S200000,01509,0000,ACTIVITIES 431613,S200000,01509,0200,Y 431613,S200000,01510,0000,SOCIAL SERVICES 431613,S200000,01510,0200,Y 431613,S200000,01511,0000,ALLOWABLE ANCILLARIES 431613,S200000,01511,0200,Y 431613,S200000,01600,0100,N 431613,S200000,01700,0100,N 431613,S200000,01800,0100,N 431613,S200000,02200,0100,N 431613,S200000,02800,0100,N 431613,S200000,02900,0100,N 431613,S200000,03000,0100,N 431613,S200000,03100,0100,N 431613,S200000,03200,0100,N 431613,S200000,03300,0100,N 431613,S200000,03300,0200,N 431613,S200000,04100,0100,N 431613,S200000,04200,0100,N 431613,S200000,04300,0100,N 431613,S200000,04600,0100,N 431613,S200000,04700,0100,N 431613,S200000,04700,0200,N 431613,S200000,04900,0100,N 431613,S200000,05000,0100,N 431613,S200000,05100,0100,N 431613,S200000,05200,0100,N 431614,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431614,A000000,00300,0000,0300EMPLOYEE BENEFITS 431614,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431614,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431614,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431614,A000000,00700,0000,0700HOUSEKEEPING 431614,A000000,00800,0000,0800DIETARY 431614,A000000,00900,0000,0900NURSING ADMINISTRATION 431614,A000000,01100,0000,1100PHARMACY 431614,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431614,A000000,01300,0000,1300SOCIAL SERVICE 431614,A000000,01500,0000,1350PATIENT ACTIVITIES 431614,A000000,01600,0000,1600SKILLED NURSING FACILITY 431614,A000000,01800,0000,1800NURSING FACILITY 431614,A000000,02100,0000,2100RADIOLOGY 431614,A000000,02200,0000,2200LABORATORY 431614,A000000,02300,0000,2300INTRAVENOUS THERAPY 431614,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431614,A000000,02500,0000,2500PHYSICAL THERAPY 431614,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431614,A000000,02700,0000,2700SPEECH PATHOLOGY 431614,A000000,02800,0000,2800ELECTROCARDIOLOGY 431614,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431614,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431614,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431614,A000000,03200,0000,3200SUPPORT SURFACES 431614,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431614,A000000,03400,0000,3400CLINIC 431614,A000000,03500,0000,3500RURAL HEALTH CLINIC 431614,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431614,A000000,04800,0000,4800AMBULANCE 431614,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431614,A000000,05000,0000,5000CORF 431614,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431614,A000000,05500,0000,5500HOSPICE 431614,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431614,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431614,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431614,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431614,A000000,06100,0000,6100NONPAID WORKERS 431614,A000000,06200,0000,6200PATIENTS LAUNDRY 431614,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431614,A81000A,00100,0100,Y 431614,A81000B,00100,0300,NON LEGEND DRUGS 431614,A81000B,00200,0300,LEGEND DRUGS 431614,A81000C,00100,0100,B 431614,A81000C,00100,0200,JUDITH BARLOW 431614,A81000C,00100,0400,ROYAL APOTHECARY 431614,A81000C,00100,0600,PHARM 431614,A81000C,00200,0100,B 431614,A81000C,00200,0200,JUDITH BARLOW 431614,A81000C,00200,0400,ROYAL APOTHECARY 431614,A81000C,00200,0600,PHARM 431614,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431614,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431614,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431614,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431614,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431614,B100000,00000,0700,0750SQ/ FTG. XC. DIET:HOUSEKEEPING 431614,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431614,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431614,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431614,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431614,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431614,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431614,E10A180,00501,0100,04/20/12 431614,G300000,02500,0000,BARBER & BEAUTY 431614,G300000,02501,0000,OTHER 431614,S000000,00100,0200,02/10/12 431614,S200000,00100,0100,100 SUNSET STREET 431614,S200000,00200,0100,GRANITE FALLS 431614,S200000,00200,0200,NC 431614,S200000,00200,0300,28630 431614,S200000,00300,0100,CALDWELL 431614,S200000,00300,0200,3290 431614,S200000,00300,0201,25860 431614,S200000,00300,0300,U 431614,S200000,00400,0100,CAMELOT MANOR NURSING CARE 431614,S200000,00400,0200,345246 431614,S200000,00400,0300,12/03/85 431614,S200000,00400,0500,P 431614,S200000,01500,0100,Y 431614,S200000,01501,0200,N 431614,S200000,01503,0200,Y 431614,S200000,01505,0000,THERAPY 431614,S200000,01505,0200,Y 431614,S200000,01506,0000,CAPITAL RELATED 431614,S200000,01506,0200,N 431614,S200000,01600,0100,N 431614,S200000,01700,0100,N 431614,S200000,01800,0100,N 431614,S200000,02200,0100,N 431614,S200000,02800,0100,N 431614,S200000,02900,0100,N 431614,S200000,03000,0100,N 431614,S200000,03100,0100,N 431614,S200000,03200,0100,N 431614,S200000,03300,0100,N 431614,S200000,03300,0200,N 431614,S200000,04100,0100,N 431614,S200000,04200,0100,N 431614,S200000,04300,0100,N 431614,S200000,04600,0100,N 431614,S200000,04700,0100,N 431614,S200000,04700,0200,N 431614,S200000,04900,0100,N 431614,S200000,05000,0100,N 431614,S200000,05100,0100,N 431614,S200000,05200,0100,N 431614,S200000,05300,0100,N 431615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431615,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431615,A000000,00300,0000,0300EMPLOYEE BENEFITS 431615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431615,A000000,00700,0000,0700HOUSEKEEPING 431615,A000000,00800,0000,0800DIETARY 431615,A000000,00900,0000,0900NURSING ADMINISTRATION 431615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431615,A000000,01100,0000,1100PHARMACY 431615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431615,A000000,01300,0000,1300SOCIAL SERVICE 431615,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431615,A000000,01500,0000,1350ACTIVITIES 431615,A000000,01600,0000,1600SKILLED NURSING FACILITY 431615,A000000,01810,0000,1810ICF/MR 431615,A000000,02100,0000,2100RADIOLOGY 431615,A000000,02200,0000,2200LABORATORY 431615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431615,A000000,02500,0000,2500PHYSICAL THERAPY 431615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431615,A000000,02700,0000,2700SPEECH PATHOLOGY 431615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431615,A000000,03550,0000,3550FQHC 431615,A000000,04800,0000,4800AMBULANCE 431615,A000000,05000,0000,5000CORF 431615,A000000,05010,0000,5010CMHC 431615,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431615,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431615,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431615,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431615,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 431615,A81000A,00100,0100,Y 431615,A81000B,00100,0300,PHYSICAL THERAPY 431615,A81000B,00200,0300,OCCUPATIONAL THERAPY 431615,A81000B,00300,0300,SPEECH THERAPY 431615,A81000B,00400,0300,DIETARY 431615,A81000B,00500,0300,RESPIRATORY THERAPY 431615,A81000B,00600,0300,RESPIRATORY THERAPY 431615,A81000B,00700,0300,MEDICAL DIRECTOR 431615,A81000B,00800,0300,ADMINISTRATION - HO 431615,A81000B,00900,0300,INTEREST - HO 431615,A81000B,01000,0300,BUILDING - HO 431615,A81000C,00100,0100,B 431615,A81000C,00100,0200,GENESIS REHAB 431615,A81000C,00100,0400,GENESIS HEALTHC 431615,A81000C,00100,0600,REHAB SERVICES 431615,A81000C,00200,0100,B 431615,A81000C,00200,0200,GENESIS REHAB 431615,A81000C,00200,0400,GENESIS HEALTHC 431615,A81000C,00200,0600,REHAB SERVICES 431615,A81000C,00300,0100,B 431615,A81000C,00300,0200,GENESIS REHAB 431615,A81000C,00300,0400,GENESIS HEALTHC 431615,A81000C,00300,0600,REHAB SERVICES 431615,A81000C,00400,0100,B 431615,A81000C,00400,0200,GENESIS HOSPITA 431615,A81000C,00400,0400,GENESIS HEALTHC 431615,A81000C,00400,0600,CONSULTING SERV 431615,A81000C,00500,0100,B 431615,A81000C,00500,0200,RESPIRATORY HEA 431615,A81000C,00500,0400,GENESIS HEALTHC 431615,A81000C,00500,0600,RESPIRATORY SER 431615,A81000C,00600,0100,B 431615,A81000C,00600,0200,RESPIRATORY HEA 431615,A81000C,00600,0400,GENESIS HEALTHC 431615,A81000C,00600,0600,RESPIRATORY SER 431615,A81000C,00700,0100,B 431615,A81000C,00700,0200,GENESIS PHYSICI 431615,A81000C,00700,0400,GENESIS HEALTHC 431615,A81000C,00700,0600,MEDICAL DIRECTO 431615,A81000C,00800,0100,B 431615,A81000C,00800,0200,GENESIS HEALTHC 431615,A81000C,00800,0600,MANAGEMENT COMP 431615,A81000C,00900,0100,B 431615,A81000C,00900,0200,GENESIS HEALTHC 431615,A81000C,00900,0600,MANAGEMENT COMP 431615,A81000C,01000,0100,B 431615,A81000C,01000,0200,GENESIS HEALTHC 431615,A81000C,01000,0600,MANAGEMENT COMP 431615,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431615,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431615,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431615,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431615,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431615,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431615,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431615,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431615,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431615,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431615,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431615,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431615,G300000,02500,0000,MISCELLANEOUS REVENUE 431615,G300000,02501,0000,BARBER/BEAUTY REVENUE 431615,S000000,00100,0200,04/30/12 431615,S200000,00100,0100,8 ROSE STREET 431615,S200000,00200,0100,GRAFTON 431615,S200000,00200,0200,WV 431615,S200000,00200,0300,26354 431615,S200000,00300,0100,TAYLOR 431615,S200000,00300,0201,99951 431615,S200000,00300,0300,R 431615,S200000,00400,0100,ROSEWOOD CENTER 431615,S200000,00400,0200,515105 431615,S200000,00400,0300,08/28/89 431615,S200000,00400,0500,P 431615,S200000,01500,0100,Y 431615,S200000,01502,0200,N 431615,S200000,01504,0200,N 431615,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 431615,S200000,01505,0200,Y 431615,S200000,01600,0100,N 431615,S200000,01700,0100,N 431615,S200000,01800,0100,N 431615,S200000,02200,0100,Y 431615,S200000,02800,0100,N 431615,S200000,02900,0100,N 431615,S200000,03000,0100,N 431615,S200000,03100,0100,N 431615,S200000,03200,0100,N 431615,S200000,03300,0100,N 431615,S200000,03300,0200,N 431615,S200000,03600,0100,N 431615,S200000,03600,0200,N 431615,S200000,04100,0100,N 431615,S200000,04200,0100,N 431615,S200000,04300,0100,N 431615,S200000,04600,0100,N 431615,S200000,04700,0100,N 431615,S200000,04700,0200,N 431615,S200000,04900,0100,N 431615,S200000,05000,0100,N 431615,S200000,05100,0100,N 431615,S200000,05200,0100,N 431615,S200000,05300,0100,Y 431615,S200000,05300,0200,HB0067 431615,S200000,05400,0100,GENESIS HEALTHCARE CORP 431615,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431615,S200000,05400,0300,12001 431615,S200000,05500,0100,101 EAST STATE STREET 431615,S200000,05600,0100,KENNETT SQUARE 431615,S200000,05600,0200,PA 431615,S200000,05600,0300,19348 431616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431616,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431616,A000000,00300,0000,0300EMPLOYEE BENEFITS 431616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431616,A000000,00700,0000,0700HOUSEKEEPING 431616,A000000,00800,0000,0800DIETARY 431616,A000000,00900,0000,0900NURSING ADMINISTRATION 431616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431616,A000000,01100,0000,1100PHARMACY 431616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431616,A000000,01300,0000,1300SOCIAL SERVICE 431616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431616,A000000,01600,0000,1600SKILLED NURSING FACILITY 431616,A000000,01810,0000,1810ICF/MR 431616,A000000,02100,0000,2100RADIOLOGY 431616,A000000,02200,0000,2200LABORATORY 431616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431616,A000000,02500,0000,2500PHYSICAL THERAPY 431616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431616,A000000,02700,0000,2700SPEECH PATHOLOGY 431616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431616,A000000,03200,0000,3200SUPPORT SURFACES 431616,A000000,03300,0000,3050ENTERALS 431616,A000000,03550,0000,3550FQHC 431616,A000000,04800,0000,4800AMBULANCE 431616,A000000,05000,0000,5000CORF 431616,A000000,05010,0000,5010CMHC 431616,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431616,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431616,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431616,A81000A,00100,0100,Y 431616,A81000B,00100,0300,DEPRE/INTEREST/AMORT 431616,A81000B,00200,0300,MAINTENANCE 431616,A81000B,00300,0300,ADMINISTRATION 431616,A81000B,00400,0300,FRONT LINE SALARIES 431616,A81000B,00500,0300,FRONT LINE SALARIES 431616,A81000B,00600,0300,MANAGEMENT FEES 431616,A81000C,00100,0100,A 431616,A81000C,00100,0200,WADE H. JONES 431616,A81000C,00100,0400,PEPPER HILL IN 431616,A81000C,00100,0600,ASSET HOLDING C 431616,A81000C,00200,0100,A 431616,A81000C,00200,0200,WADE H. JONES 431616,A81000C,00200,0400,PEPPER HILL IN 431616,A81000C,00200,0600,ASSET HOLDING C 431616,A81000C,00300,0100,A 431616,A81000C,00300,0200,WADE H. JONES 431616,A81000C,00300,0400,PEPPER HILL IN 431616,A81000C,00300,0600,ASSET HOLDING C 431616,A81000C,00400,0100,A 431616,A81000C,00400,0200,WADE H. JONES 431616,A81000C,00400,0400,SHILOH MANAGEME 431616,A81000C,00400,0600,MANAGEMENT CO. 431616,A81000C,00500,0100,A 431616,A81000C,00500,0200,WADE H. JONES 431616,A81000C,00500,0400,SHILOH MANAGEME 431616,A81000C,00500,0600,MANAGEMENT CO. 431616,A81000C,00600,0100,A 431616,A81000C,00600,0200,WADE H. JONES 431616,A81000C,00600,0400,SHILOH MANAGEME 431616,A81000C,00600,0600,MANAGEMENT CO. 431616,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431616,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431616,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431616,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431616,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431616,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431616,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431616,B100000,00000,0800,0800MEALS SERVED :DIETARY 431616,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431616,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431616,E10A180,00301,0100,09/30/11 431616,E10A180,00301,0300,09/30/11 431616,E10A180,00550,0100,03/06/12 431616,G300000,02500,0000, CONTRACTUAL ALLOWANCES 431616,G300000,02501,0000,OTHER INCOME 431616,S000000,00100,0200,03/05/12 431616,S200000,00100,0100,3525 AUGUSTUS DRIVE 431616,S200000,00200,0100,AIKEN 431616,S200000,00200,0200,SC 431616,S200000,00200,0300,29801 431616,S200000,00300,0100,AIKEN 431616,S200000,00300,0201,12260 431616,S200000,00300,0300,U 431616,S200000,00400,0100,PEPPER HILL NURSING AND REHAB CTR 431616,S200000,00400,0200,425308 431616,S200000,00400,0300,05/23/91 431616,S200000,00400,0500,P 431616,S200000,01500,0100,Y 431616,S200000,01501,0200,Y 431616,S200000,01502,0200,N 431616,S200000,01503,0200,Y 431616,S200000,01504,0200,Y 431616,S200000,01600,0100,N 431616,S200000,01700,0100,N 431616,S200000,01800,0100,N 431616,S200000,01900,0100,LLC 431616,S200000,02200,0100,Y 431616,S200000,02800,0100,N 431616,S200000,02900,0100,N 431616,S200000,03000,0100,N 431616,S200000,03100,0100,N 431616,S200000,03200,0100,N 431616,S200000,03300,0100,N 431616,S200000,03300,0200,N 431616,S200000,04100,0100,N 431616,S200000,04200,0100,N 431616,S200000,04300,0100,N 431616,S200000,04600,0100,N 431616,S200000,04700,0100,N 431616,S200000,04700,0200,N 431616,S200000,04900,0100,N 431616,S200000,05000,0100,N 431616,S200000,05100,0100,N 431616,S200000,05200,0100,N 431616,S200000,05300,0100,N 431620,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431620,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431620,A000000,00300,0000,0300EMPLOYEE BENEFITS 431620,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431620,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431620,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431620,A000000,00700,0000,0700HOUSEKEEPING 431620,A000000,00800,0000,0800DIETARY 431620,A000000,00900,0000,0900NURSING ADMINISTRATION 431620,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431620,A000000,01100,0000,1100PHARMACY 431620,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431620,A000000,01300,0000,1300SOCIAL SERVICE 431620,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431620,A000000,01500,0000,1350RECREATION 431620,A000000,01600,0000,1600SKILLED NURSING FACILITY 431620,A000000,01810,0000,1810ICF/MR 431620,A000000,02100,0000,2100RADIOLOGY 431620,A000000,02200,0000,2200LABORATORY 431620,A000000,02300,0000,2300INTRAVENOUS THERAPY 431620,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431620,A000000,02500,0000,2500PHYSICAL THERAPY 431620,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431620,A000000,02700,0000,2700SPEECH PATHOLOGY 431620,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431620,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431620,A000000,03550,0000,3550FQHC 431620,A000000,04801,0000,4801AMBULANCE 431620,A000000,04802,0000,4802AMBULANCE 431620,A000000,04803,0000,4803AMBULANCE 431620,A000000,05000,0000,5000CORF 431620,A000000,05010,0000,5010CMHC 431620,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431620,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431620,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431620,A81000A,00100,0100,Y 431620,A81000B,00100,0300,SEE ATTACHED 431620,A81000B,00200,0300,HOME OFFICE INTEREST 431620,A81000B,00300,0300,HOME OFFICE A & G 431620,A81000B,00400,0300,HOME OFFICE CAPITAL 431620,A81000C,00100,0100,B 431620,A81000C,00100,0400,SEE ATTACHED 431620,A81000C,00100,0600,VARIOUS 431620,A81000C,00200,0100,B 431620,A81000C,00200,0400,GHC 431620,A81000C,00200,0600,LONG TERM CARE 431620,A81000C,00300,0100,B 431620,A81000C,00300,0400,GHC 431620,A81000C,00300,0600,LONG TERM CARE 431620,A81000C,00400,0100,B 431620,A81000C,00400,0400,GHC 431620,A81000C,00400,0600,LONG TERM CARE 431620,B100000,00000,0100,0100SQUARE FEET 431620,B100000,00000,0200,0200SQUARE FEET 431620,B100000,00000,0300,0300GROSS SALARIES 431620,B100000,00000,0400,0400ACCUM COST 431620,B100000,00000,0500,0500SQUARE FEET 431620,B100000,00000,0600,0600PATIENT DAYS 431620,B100000,00000,0700,0700SQUARE FEET 431620,B100000,00000,0800,0800MEALS SERVED 431620,B100000,00000,0900,0900NURSING SALARIES 431620,B100000,00000,1000,1000COSTED REQUIS 431620,B100000,00000,1100,1100COSTED REQUIS 431620,B100000,00000,1200,1200PATIENT DAYS 431620,B100000,00000,1300,1300PATIENT DAYS 431620,B100000,00000,1400,1400ASSIGNED TIME 431620,B100000,00000,1500,1350PATIENT DAYS 431620,E10A180,00301,0100,03/23/11 431620,E10A180,00501,0300,10/13/11 431620,E10A180,00550,0100,10/13/11 431620,G300000,02500,0000,BARBER AND BEAUTY 431620,S000000,00100,0200,09/12/11 431620,S200000,00100,0100,1245 CHURCH ROAD 431620,S200000,00200,0100,WYNCOTE 431620,S200000,00200,0200,PA 431620,S200000,00200,0300,19095 431620,S200000,00300,0100,MONTGOMERY 431620,S200000,00300,0201,37964 431620,S200000,00300,0300,U 431620,S200000,00400,0100,HILLCREST CENTER 431620,S200000,00400,0200,395481 431620,S200000,00400,0300,07/01/81 431620,S200000,00400,0500,P 431620,S200000,01500,0100,Y 431620,S200000,01501,0200,N 431620,S200000,01502,0200,N 431620,S200000,01503,0200,N 431620,S200000,01504,0200,N 431620,S200000,01600,0100,N 431620,S200000,01700,0100,N 431620,S200000,01800,0100,N 431620,S200000,02200,0100,Y 431620,S200000,02800,0100,N 431620,S200000,02900,0100,N 431620,S200000,03000,0100,N 431620,S200000,03100,0100,N 431620,S200000,03200,0100,N 431620,S200000,03300,0100,N 431620,S200000,03300,0200,N 431620,S200000,04200,0100,N 431620,S200000,04300,0100,N 431620,S200000,04600,0100,N 431620,S200000,04700,0100,N 431620,S200000,04900,0100,N 431620,S200000,05200,0100,N 431620,S200000,05300,0100,Y 431620,S200000,05300,0200,HB0067 431620,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431620,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431620,S200000,05400,0300,12001 431620,S200000,05500,0100,101 EAST STATE STREET 431620,S200000,05600,0100,KENNETT SQUARE 431620,S200000,05600,0200,PA 431620,S200000,05600,0300,19348 431621,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431621,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431621,A000000,00300,0000,0300EMPLOYEE BENEFITS 431621,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431621,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431621,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431621,A000000,00700,0000,0700HOUSEKEEPING 431621,A000000,00800,0000,0800DIETARY 431621,A000000,00900,0000,0900NURSING ADMINISTRATION 431621,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431621,A000000,01100,0000,1100PHARMACY 431621,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431621,A000000,01300,0000,1300SOCIAL SERVICE 431621,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431621,A000000,01500,0000,1350RECREATION 431621,A000000,01600,0000,1600SKILLED NURSING FACILITY 431621,A000000,01810,0000,1810ICF/MR 431621,A000000,02100,0000,2100RADIOLOGY 431621,A000000,02200,0000,2200LABORATORY 431621,A000000,02300,0000,2300INTRAVENOUS THERAPY 431621,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431621,A000000,02500,0000,2500PHYSICAL THERAPY 431621,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431621,A000000,02700,0000,2700SPEECH PATHOLOGY 431621,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431621,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431621,A000000,03550,0000,3550FQHC 431621,A000000,04801,0000,4801AMBULANCE 431621,A000000,04802,0000,4802AMBULANCE 431621,A000000,04803,0000,4803AMBULANCE 431621,A000000,05000,0000,5000CORF 431621,A000000,05010,0000,5010CMHC 431621,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431621,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431621,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431621,A81000A,00100,0100,Y 431621,A81000B,00100,0300,SEE ATTACHED 431621,A81000B,00200,0300,HOME OFFICE INTEREST 431621,A81000B,00300,0300,HOME OFFICE A & G 431621,A81000B,00400,0300,HOME OFFICE CAPITAL 431621,A81000C,00100,0100,B 431621,A81000C,00100,0400,SEE ATTACHED 431621,A81000C,00100,0600,VARIOUS 431621,A81000C,00200,0100,B 431621,A81000C,00200,0400,GHC 431621,A81000C,00200,0600,LONG TERM CARE 431621,A81000C,00300,0100,B 431621,A81000C,00300,0400,GHC 431621,A81000C,00300,0600,LONG TERM CARE 431621,A81000C,00400,0100,B 431621,A81000C,00400,0400,GHC 431621,A81000C,00400,0600,LONG TERM CARE 431621,B100000,00000,0100,0100SQUARE FEET 431621,B100000,00000,0200,0200SQUARE FEET 431621,B100000,00000,0300,0300GROSS SALARIES 431621,B100000,00000,0400,0400ACCUM COST 431621,B100000,00000,0500,0500SQUARE FEET 431621,B100000,00000,0600,0600PATIENT DAYS 431621,B100000,00000,0700,0700SQUARE FEET 431621,B100000,00000,0800,0800MEALS SERVED 431621,B100000,00000,0900,0900NURSING SALARIES 431621,B100000,00000,1000,1000COSTED REQUIS 431621,B100000,00000,1100,1100COSTED REQUIS 431621,B100000,00000,1200,1200PATIENT DAYS 431621,B100000,00000,1300,1300PATIENT DAYS 431621,B100000,00000,1400,1400ASSIGNED TIME 431621,B100000,00000,1500,1350PATIENT DAYS 431621,E10A180,00501,0300,10/13/11 431621,E10A180,00550,0100,10/13/11 431621,G300000,02500,0000,BARBER AND BEAUTY 431621,S000000,00100,0200,09/07/11 431621,S200000,00100,0100,850 PAPER MILL ROAD 431621,S200000,00200,0100,GLENSIDE 431621,S200000,00200,0200,PA 431621,S200000,00200,0300,19038 431621,S200000,00300,0100,MONTGOMERY 431621,S200000,00300,0201,37964 431621,S200000,00300,0300,U 431621,S200000,00400,0100,FAIRVIEW CARE CENTER OF PAPERMILL RD 431621,S200000,00400,0200,395545 431621,S200000,00400,0300,01/01/80 431621,S200000,00400,0500,P 431621,S200000,01500,0100,Y 431621,S200000,01501,0200,N 431621,S200000,01502,0200,N 431621,S200000,01503,0200,N 431621,S200000,01504,0200,N 431621,S200000,01600,0100,N 431621,S200000,01700,0100,N 431621,S200000,01800,0100,N 431621,S200000,02200,0100,Y 431621,S200000,02800,0100,N 431621,S200000,02900,0100,N 431621,S200000,03000,0100,N 431621,S200000,03100,0100,N 431621,S200000,03200,0100,N 431621,S200000,03300,0100,N 431621,S200000,03300,0200,N 431621,S200000,04200,0100,N 431621,S200000,04300,0100,N 431621,S200000,04600,0100,N 431621,S200000,04700,0100,N 431621,S200000,04900,0100,N 431621,S200000,05200,0100,N 431621,S200000,05300,0100,Y 431621,S200000,05300,0200,HB0067 431621,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431621,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431621,S200000,05400,0300,12001 431621,S200000,05500,0100,101 EAST STATE STREET 431621,S200000,05600,0100,KENNETT SQUARE 431621,S200000,05600,0200,PA 431621,S200000,05600,0300,19348 431622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431622,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431622,A000000,00300,0000,0300EMPLOYEE BENEFITS 431622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431622,A000000,00700,0000,0700HOUSEKEEPING 431622,A000000,00800,0000,0800DIETARY 431622,A000000,00900,0000,0900NURSING ADMINISTRATION 431622,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431622,A000000,01100,0000,1100PHARMACY 431622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431622,A000000,01300,0000,1300SOCIAL SERVICE 431622,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431622,A000000,01500,0000,1350RECREATION 431622,A000000,01600,0000,1600SKILLED NURSING FACILITY 431622,A000000,01810,0000,1810ICF/MR 431622,A000000,02100,0000,2100RADIOLOGY 431622,A000000,02200,0000,2200LABORATORY 431622,A000000,02300,0000,2300INTRAVENOUS THERAPY 431622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431622,A000000,02500,0000,2500PHYSICAL THERAPY 431622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431622,A000000,02700,0000,2700SPEECH PATHOLOGY 431622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431622,A000000,03550,0000,3550FQHC 431622,A000000,04801,0000,4801AMBULANCE 431622,A000000,04802,0000,4802AMBULANCE 431622,A000000,04803,0000,4803AMBULANCE 431622,A000000,05000,0000,5000CORF 431622,A000000,05010,0000,5010CMHC 431622,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431622,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431622,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431622,A81000A,00100,0100,Y 431622,A81000B,00100,0300,SEE ATTACHED 431622,A81000B,00200,0300,CAPITAL INTEREST 431622,A81000B,00300,0300,HOME OFFICE 431622,A81000B,00400,0300,HOME OFFICE 431622,A81000C,00100,0100,B 431622,A81000C,00100,0400,SEE ATTACHED 431622,A81000C,00100,0600,VARIOUS 431622,A81000C,00200,0100,B 431622,A81000C,00200,0400,GHC 431622,A81000C,00200,0600,LONG TERM CARE 431622,A81000C,00300,0100,B 431622,A81000C,00300,0400,GHC 431622,A81000C,00300,0600,LONG TERM CARE 431622,A81000C,00400,0100,B 431622,A81000C,00400,0400,GHC 431622,A81000C,00400,0600,LONG TERM CARE 431622,B100000,00000,0100,0100SQUARE FEET 431622,B100000,00000,0200,0200SQUARE FEET 431622,B100000,00000,0300,0300GROSS SALARIES 431622,B100000,00000,0400,0400ACCUM COST 431622,B100000,00000,0500,0500SQUARE FEET 431622,B100000,00000,0600,0600PATIENT DAYS 431622,B100000,00000,0700,0700SQUARE FEET 431622,B100000,00000,0800,0800MEALS SERVED 431622,B100000,00000,0900,0900NURSING SALARIES 431622,B100000,00000,1000,1000COSTED REQUIS 431622,B100000,00000,1100,1100COSTED REQUIS 431622,B100000,00000,1200,1200PATIENT DAYS 431622,B100000,00000,1300,1300PATIENT DAYS 431622,B100000,00000,1400,1400ASSIGNED TIME 431622,B100000,00000,1500,1350PATIENT DAYS 431622,E10A180,00350,0100,03/28/11 431622,E10A180,00501,0100,10/13/11 431622,E10A180,00501,0300,10/13/11 431622,G300000,02500,0000,BARBER & BEAUTY 431622,S000000,00100,0200,09/12/11 431622,S200000,00100,0100,350 HAWS LANE 431622,S200000,00200,0100,FLOURTOWN 431622,S200000,00200,0200,PA 431622,S200000,00200,0300,19031 431622,S200000,00300,0100,MONTGOMERY 431622,S200000,00300,0201,37964 431622,S200000,00300,0300,U 431622,S200000,00400,0100,HARSTON HALL 431622,S200000,00400,0200,395791 431622,S200000,00400,0300,06/01/89 431622,S200000,00400,0500,P 431622,S200000,01500,0100,Y 431622,S200000,01501,0200,N 431622,S200000,01502,0200,N 431622,S200000,01503,0200,N 431622,S200000,01504,0200,N 431622,S200000,01600,0100,N 431622,S200000,01700,0100,N 431622,S200000,01800,0100,N 431622,S200000,02200,0100,Y 431622,S200000,02800,0100,N 431622,S200000,02900,0100,N 431622,S200000,03000,0100,N 431622,S200000,03100,0100,N 431622,S200000,03200,0100,N 431622,S200000,03300,0100,N 431622,S200000,03300,0200,N 431622,S200000,04200,0100,N 431622,S200000,04300,0100,N 431622,S200000,04600,0100,N 431622,S200000,04700,0100,N 431622,S200000,04900,0100,N 431622,S200000,05200,0100,N 431622,S200000,05300,0100,Y 431622,S200000,05300,0200,HB0067 431622,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431622,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431622,S200000,05400,0300,12001 431622,S200000,05500,0100,101 EAST STATE STREET 431622,S200000,05600,0100,KENNETT SQUARE 431622,S200000,05600,0200,PA 431622,S200000,05600,0300,19348 431629,S000000,00100,0200,05/31/12 431629,S200000,00100,0100,1519 60TH ST 431629,S200000,00200,0100,KENOSHA 431629,S200000,00200,0200,WI 431629,S200000,00200,0300,53140-3994 431629,S200000,00300,0100,KENOSHA 431629,S200000,00400,0100,CLARIDGE HOUSE KENOSHA 431629,S200000,00400,0300,08/01/89 431631,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431631,A000000,00300,0000,0300EMPLOYEE BENEFITS 431631,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431631,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431631,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431631,A000000,00700,0000,0700HOUSEKEEPING 431631,A000000,00800,0000,0800DIETARY 431631,A000000,01100,0000,1100PHARMACY 431631,A000000,01500,0000,1400PATIENT ACTIVITIES 431631,A000000,01600,0000,1600SKILLED NURSING FACILITY 431631,A000000,01800,0000,1800NURSING FACILITY 431631,A000000,01900,0000,1900OTHER LONG TERM CARE 431631,A000000,02100,0000,2100RADIOLOGY 431631,A000000,02200,0000,2200LABORATORY 431631,A000000,02300,0000,2300INTRAVENOUS THERAPY 431631,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431631,A000000,02500,0000,2500PHYSICAL THERAPY 431631,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431631,A000000,02700,0000,2700SPEECH PATHOLOGY 431631,A000000,02800,0000,2800ELECTROCARDIOLOGY 431631,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431631,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431631,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431631,A000000,03200,0000,3200SUPPORT SURFACES 431631,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431631,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431631,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431631,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431631,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431631,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431631,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431631,A000000,06100,0000,6100NONPAID WORKERS 431631,A000000,06200,0000,6200PATIENTS LAUNDRY 431631,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431631,A81000A,00100,0100,Y 431631,A81000B,00100,0300,CENTRAL OFFICE OVHD 431631,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431631,A81000B,00300,0300,BUILDING RENT 431631,A81000B,00400,0300,SUPPLIES 431631,A81000B,00500,0300,SUPPLIES 431631,A81000B,00600,0300,PHARMACY 431631,A81000B,00700,0300,PHARMACY 431631,A81000B,00800,0300,PHARMACY 431631,A81000B,00900,0300,PHARMACY 431631,A81000C,00100,0100,A 431631,A81000C,00100,0200,AUTUMN CORPORATION 431631,A81000C,00100,0400,AUTUMN CORPORATION 431631,A81000C,00100,0600,HOME OFFICE 431631,A81000C,00200,0100,A 431631,A81000C,00200,0200,AUTUMN CORPORATION 431631,A81000C,00200,0400,AUTUMN CORPORATION 431631,A81000C,00200,0600,HOME OFFICE 431631,A81000C,00300,0100,A 431631,A81000C,00300,0200,AUTUMN CARE OF DREXEL LLP 431631,A81000C,00300,0400,AUTUMN CORPORATION 431631,A81000C,00300,0600,LEASING 431631,A81000C,00400,0100,A 431631,A81000C,00400,0200,WINCARE 431631,A81000C,00400,0400,AUTUMN CORPORATION 431631,A81000C,00400,0600,SUPPLIES 431631,A81000C,00500,0100,A 431631,A81000C,00500,0200,LEGACY 431631,A81000C,00500,0400,AUTUMN CORPORATION 431631,A81000C,00500,0600,PHARMACY 431631,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431631,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431631,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431631,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431631,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431631,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431631,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431631,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431631,B100000,00000,1500,1400PATIENT DAYS :PATIENT ACTIVITIE 431631,E10A180,00501,0100,05/08/12 431631,G300000,02500,0000,MISC 431631,S000000,00100,0200,02/16/12 431631,S200000,00100,0100,OAKLAND DRIVE 431631,S200000,00100,0300,1278 431631,S200000,00200,0100,DREXEL 431631,S200000,00200,0200,NC 431631,S200000,00200,0300,28619 431631,S200000,00300,0100,BURKE 431631,S200000,00300,0200,3290 431631,S200000,00300,0201,25860 431631,S200000,00300,0300,U 431631,S200000,00400,0100,AUTUMN CARE OF DREXEL 431631,S200000,00400,0200,345222 431631,S200000,00400,0300,04/29/83 431631,S200000,00400,0500,P 431631,S200000,01500,0100,N 431631,S200000,01501,0200,Y 431631,S200000,01600,0100,Y 431631,S200000,01700,0100,N 431631,S200000,01800,0100,N 431631,S200000,02200,0100,N 431631,S200000,02800,0100,N 431631,S200000,02900,0100,N 431631,S200000,03000,0100,N 431631,S200000,03100,0100,N 431631,S200000,03200,0100,N 431631,S200000,03300,0100,N 431631,S200000,03300,0200,N 431631,S200000,04100,0100,N 431631,S200000,04200,0100,N 431631,S200000,04300,0100,N 431631,S200000,04600,0100,N 431631,S200000,04700,0100,N 431631,S200000,04700,0200,N 431631,S200000,04900,0100,N 431631,S200000,05000,0100,N 431631,S200000,05100,0100,N 431631,S200000,05200,0100,N 431632,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431632,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431632,A000000,00300,0000,0300EMPLOYEE BENEFITS 431632,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431632,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431632,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431632,A000000,00700,0000,0700HOUSEKEEPING 431632,A000000,00800,0000,0800DIETARY 431632,A000000,00900,0000,0900NURSING ADMINISTRATION 431632,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431632,A000000,01100,0000,1100PHARMACY 431632,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431632,A000000,01300,0000,1300SOCIAL SERVICE 431632,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431632,A000000,01500,0000,1350ACTIVITIES 431632,A000000,01600,0000,1600SKILLED NURSING FACILITY 431632,A000000,01800,0000,1800NURSING FACILITY 431632,A000000,01810,0000,1810ICF/MR 431632,A000000,01900,0000,1900OTHER LONG TERM CARE 431632,A000000,02100,0000,2100RADIOLOGY 431632,A000000,02200,0000,2200LABORATORY 431632,A000000,02300,0000,2300INTRAVENOUS THERAPY 431632,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431632,A000000,02500,0000,2500PHYSICAL THERAPY 431632,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431632,A000000,02700,0000,2700SPEECH PATHOLOGY 431632,A000000,02800,0000,2800ELECTROCARDIOLOGY 431632,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431632,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431632,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431632,A000000,03200,0000,3200SUPPORT SURFACES 431632,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431632,A000000,03400,0000,3400CLINIC 431632,A000000,03500,0000,3500RURAL HEALTH CLINIC 431632,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431632,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431632,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431632,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431632,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431632,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431632,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431632,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431632,A000000,04400,0000,4400DME RENTED - HHA 431632,A000000,04500,0000,4500DME SOLD - HHA 431632,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431632,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431632,A000000,04710,0000,4710TELEMEDICINE 431632,A000000,04800,0000,4800AMBULANCE 431632,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431632,A000000,05000,0000,5000CORF 431632,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431632,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431632,A000000,05300,0000,5300INTEREST EXPENSE 431632,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431632,A000000,05500,0000,5500HOSPICE 431632,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431632,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431632,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431632,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431632,A000000,06100,0000,6100NONPAID WORKERS 431632,A000000,06200,0000,6200PATIENTS LAUNDRY 431632,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431632,A81000A,00100,0100,Y 431632,A81000B,00100,0300,INTERCOMPANY INTEREST 431632,A81000B,00200,0300,HO MGMT FEES 431632,A81000B,00300,0300,HO NURSING COSTS 431632,A81000B,00400,0300,HO CAPITAL COSTS 431632,A81000B,00500,0300,LHCC PROPERTIES COSTS 431632,A81000C,00100,0100,B 431632,A81000C,00100,0400,LAUREL HOLDINGS 431632,A81000C,00100,0600,PARENT COMPANY 431632,A81000C,00200,0100,B 431632,A81000C,00200,0400,LAUREL HEALTH CARE CO 431632,A81000C,00200,0600,HOME OFFICE MGMT CO 431632,A81000C,00300,0100,B 431632,A81000C,00300,0400,LHCC PROPERTIES 431632,A81000C,00300,0600,MASTER TENANT 431632,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431632,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431632,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431632,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431632,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431632,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431632,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431632,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431632,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431632,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431632,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431632,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431632,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431632,G300000,02500,0000,BARBER & BEAUTY REVENUE 431632,S000000,00100,0200,02/27/12 431632,S200000,00100,0100,70 SWEETEN CREEK ROAD 431632,S200000,00200,0100,ASHEVILLE 431632,S200000,00200,0200,NC 431632,S200000,00200,0300,28803 431632,S200000,00300,0100,BUNCOMBE 431632,S200000,00300,0200,3720 431632,S200000,00300,0201,11700 431632,S200000,00300,0300,U 431632,S200000,00400,0100,THE LAURELS OF GREENTREE RIDGE 431632,S200000,00400,0200,345303 431632,S200000,00400,0300,05/17/89 431632,S200000,00400,0500,P 431632,S200000,01500,0100,N 431632,S200000,01501,0200,N 431632,S200000,01502,0200,Y 431632,S200000,01504,0200,N 431632,S200000,01600,0100,Y 431632,S200000,01700,0100,N 431632,S200000,01800,0100,N 431632,S200000,02200,0100,N 431632,S200000,02800,0100,N 431632,S200000,02900,0100,N 431632,S200000,03000,0100,N 431632,S200000,03100,0100,N 431632,S200000,03200,0100,N 431632,S200000,03300,0100,N 431632,S200000,03300,0200,N 431632,S200000,04100,0100,N 431632,S200000,04200,0100,N 431632,S200000,04300,0100,N 431632,S200000,04600,0100,N 431632,S200000,04700,0100,N 431632,S200000,04700,0200,N 431632,S200000,04900,0100,N 431632,S200000,05000,0100,N 431632,S200000,05100,0100,N 431632,S200000,05200,0100,N 431632,S200000,05300,0100,Y 431632,S200000,05300,0200,349095 431632,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 431632,S200000,05400,0200,PALMETTO GBA 431632,S200000,05400,0300,11501 431632,S200000,05500,0100,8181 WORTHINGTON ROAD 431632,S200000,05600,0100,WESTERVILLE 431632,S200000,05600,0200,OH 431632,S200000,05600,0300,43082 431633,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431633,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431633,A000000,00300,0000,0300EMPLOYEE BENEFITS 431633,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431633,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431633,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431633,A000000,00700,0000,0700HOUSEKEEPING 431633,A000000,00800,0000,0800DIETARY 431633,A000000,00900,0000,0900NURSING ADMINISTRATION 431633,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431633,A000000,01100,0000,1100PHARMACY 431633,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431633,A000000,01300,0000,1300SOCIAL SERVICE 431633,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431633,A000000,01600,0000,1600SKILLED NURSING FACILITY 431633,A000000,01800,0000,1800NURSING FACILITY 431633,A000000,01900,0000,1900OTHER LONG TERM CARE 431633,A000000,02100,0000,2100RADIOLOGY 431633,A000000,02200,0000,2200LABORATORY 431633,A000000,02300,0000,2300INTRAVENOUS THERAPY 431633,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431633,A000000,02500,0000,2500PHYSICAL THERAPY 431633,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431633,A000000,02700,0000,2700SPEECH PATHOLOGY 431633,A000000,02800,0000,2800ELECTROCARDIOLOGY 431633,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431633,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431633,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431633,A000000,03200,0000,3200SUPPORT SURFACES 431633,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431633,A000000,03400,0000,3400CLINIC 431633,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431633,A000000,04800,0000,4800AMBULANCE 431633,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431633,A000000,05000,0000,5000CORF 431633,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431633,A000000,05300,0000,5300INTEREST EXPENSE 431633,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431633,A000000,05500,0000,5500HOSPICE 431633,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431633,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431633,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431633,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431633,A000000,06100,0000,6100NONPAID WORKERS 431633,A000000,06200,0000,6200PATIENTS LAUNDRY 431633,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431633,A81000A,00100,0100,Y 431633,A81000B,00100,0300,NURSING CONSULTING 431633,A81000B,00200,0300,DIETARY CONSULTING 431633,A81000B,00300,0300,HOME OFFICE 431633,A81000B,00400,0300,INTEREST EXPENSE 431633,A81000B,00500,0300,WORKERS COMP EXPENSE 431633,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 431633,A81000B,00700,0300,MAINTENANCE SUPPLIES 431633,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431633,A81000B,00900,0300,LINEN & BEDDING 431633,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 431633,A81000B,01100,0300,LAUNDRY SUPPLIES 431633,A81000B,01200,0300,MINOR EQUIPMENT SUPPLIES 431633,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 431633,A81000B,01400,0300,DIETARY SUPPLEMENTS 431633,A81000B,01500,0300,DIETARY SUPPLIES 431633,A81000B,01600,0300,BIO-MEDICAL WASTE 431633,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431633,A81000B,01800,0300,PERSONAL CARE SUPPLIES 431633,A81000B,01900,0300,INCONTINENCE SUPPLIES 431633,A81000B,02000,0300,MEDICAL SUPPLIES 431633,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 431633,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 431633,A81000B,02300,0300,RT SUPPLIES 431633,A81000B,02400,0300,PT SUPPLIES 431633,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 431633,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 431633,A81000B,02700,0300,NON-LEGEND DRUGS 431633,A81000B,02800,0300,PHARMACY CONSULTANT 431633,A81000B,02900,0300,MED REC SUPPLIES 431633,A81000C,00100,0100,B 431633,A81000C,00100,0400,BRITTHAVEN INC 431633,A81000C,00100,0600,MGMT SERVICES 431633,A81000C,00200,0100,B 431633,A81000C,00200,0400,BRITTHAVEN INC 431633,A81000C,00200,0600,MGMT SERVICES 431633,A81000C,00300,0100,B 431633,A81000C,00300,0400,BRITTHAVEN INC 431633,A81000C,00300,0600,MGMT SERVICES 431633,A81000C,00400,0100,B 431633,A81000C,00400,0400,BRITTHAVEN INC 431633,A81000C,00400,0600,MGMT SERVICES 431633,A81000C,00500,0100,A 431633,A81000C,00500,0200,DISCOVERY INSUR 431633,A81000C,00500,0600,INSURANCE 431633,A81000C,00600,0100,A 431633,A81000C,00600,0200,QUEENSLAND ASSU 431633,A81000C,00600,0600,INSURANCE 431633,A81000C,00700,0100,B 431633,A81000C,00700,0400,KARE MEDICAL 431633,A81000C,00700,0600,WHOLESALE SUPPL 431633,A81000C,00800,0100,B 431633,A81000C,00800,0400,KARE MEDICAL 431633,A81000C,00800,0600,WHOLESALE SUPPL 431633,A81000C,00900,0100,B 431633,A81000C,00900,0400,KARE MEDICAL 431633,A81000C,00900,0600,WHOLESALE SUPPL 431633,A81000C,01000,0100,B 431633,A81000C,01000,0400,KARE MEDICAL 431633,A81000C,01000,0600,WHOLESALE SUPPL 431633,A81000C,01001,0100,B 431633,A81000C,01001,0400,KARE MEDICAL 431633,A81000C,01001,0600,WHOLESALE SUPPL 431633,A81000C,01002,0100,B 431633,A81000C,01002,0400,KARE MEDICAL 431633,A81000C,01002,0600,WHOLESALE SUPPL 431633,A81000C,01003,0100,B 431633,A81000C,01003,0400,KARE MEDICAL 431633,A81000C,01003,0600,WHOLESALE SUPPL 431633,A81000C,01004,0100,B 431633,A81000C,01004,0400,KARE MEDICAL 431633,A81000C,01004,0600,WHOLESALE SUPPL 431633,A81000C,01005,0100,B 431633,A81000C,01005,0400,KARE MEDICAL 431633,A81000C,01005,0600,WHOLESALE SUPPL 431633,A81000C,01006,0100,B 431633,A81000C,01006,0400,KARE MEDICAL 431633,A81000C,01006,0600,WHOLESALE SUPPL 431633,A81000C,01007,0100,B 431633,A81000C,01007,0400,KARE MEDICAL 431633,A81000C,01007,0600,WHOLESALE SUPPL 431633,A81000C,01008,0100,B 431633,A81000C,01008,0400,KARE MEDICAL 431633,A81000C,01008,0600,WHOLESALE SUPPL 431633,A81000C,01009,0100,B 431633,A81000C,01009,0400,KARE MEDICAL 431633,A81000C,01009,0600,WHOLESALE SUPPL 431633,A81000C,01010,0100,B 431633,A81000C,01010,0400,KARE MEDICAL 431633,A81000C,01010,0600,WHOLESALE SUPPL 431633,A81000C,01011,0100,B 431633,A81000C,01011,0400,KARE MEDICAL 431633,A81000C,01011,0600,WHOLESALE SUPPL 431633,A81000C,01012,0100,B 431633,A81000C,01012,0400,KARE MEDICAL 431633,A81000C,01012,0600,WHOLESALE SUPPL 431633,A81000C,01013,0100,B 431633,A81000C,01013,0400,KARE MEDICAL 431633,A81000C,01013,0600,WHOLESALE SUPPL 431633,A81000C,01014,0100,B 431633,A81000C,01014,0400,KARE MEDICAL 431633,A81000C,01014,0600,WHOLESALE SUPPL 431633,A81000C,01015,0100,B 431633,A81000C,01015,0400,KARE MEDICAL 431633,A81000C,01015,0600,WHOLESALE SUPPL 431633,A81000C,01016,0100,B 431633,A81000C,01016,0400,PHARMSAVE 431633,A81000C,01016,0600,RX SUPPLY 431633,A81000C,01017,0100,B 431633,A81000C,01017,0400,PHARMSAVE 431633,A81000C,01017,0600,RX SUPPLY 431633,A81000C,01018,0100,B 431633,A81000C,01018,0400,PHARMSAVE 431633,A81000C,01018,0600,RX SUPPLY 431633,A81000C,01019,0100,B 431633,A81000C,01019,0400,PHARMSAVE 431633,A81000C,01019,0600,RX SUPPLY 431633,A81000C,01020,0100,B 431633,A81000C,01020,0400,PHARMSAVE 431633,A81000C,01020,0600,RX SUPPLY 431633,A81000C,01021,0100,B 431633,A81000C,01021,0400,ROBERT HILL CON 431633,A81000C,01021,0600,CONSTRUCTION 431633,A81000C,01022,0100,B 431633,A81000C,01022,0400,ROBERT HILL CON 431633,A81000C,01022,0600,CONSTRUCTION 431633,A81000C,01023,0100,B 431633,A81000C,01023,0400,ROBERT HILL CON 431633,A81000C,01023,0600,CONSTRUCTION 431633,A81000C,01024,0100,B 431633,A81000C,01024,0400,ROBERT HILL CON 431633,A81000C,01024,0600,CONSTRUCTION 431633,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431633,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431633,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431633,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431633,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431633,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431633,B100000,00000,0800,0800MEALS SERVED :DIETARY 431633,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431633,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431633,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431633,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431633,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431633,G300000,02500,0000, OTHER (SPECIFY) 431633,S000000,00100,0200,02/24/12 431633,S200000,00100,0100,403 CRESTVIEW AVENUE 431633,S200000,00200,0100,WILSON 431633,S200000,00200,0200,NC 431633,S200000,00200,0300,27893 431633,S200000,00300,0100,WILSON 431633,S200000,00300,0201,99934 431633,S200000,00300,0300,R 431633,S200000,00400,0100,BRITTHAVEN OF WILSON 431633,S200000,00400,0200,345372 431633,S200000,00400,0300,05/23/91 431633,S200000,00400,0500,P 431633,S200000,01500,0100,N 431633,S200000,01501,0200,Y 431633,S200000,01503,0200,Y 431633,S200000,01504,0200,Y 431633,S200000,01505,0000,OTHER (SPECIFY) 431633,S200000,01505,0200,Y 431633,S200000,01600,0100,Y 431633,S200000,01700,0100,N 431633,S200000,01800,0100,N 431633,S200000,02200,0100,N 431633,S200000,02800,0100,N 431633,S200000,02900,0100,N 431633,S200000,03000,0100,N 431633,S200000,03100,0100,Y 431633,S200000,03200,0100,N 431633,S200000,03300,0100,N 431633,S200000,03300,0200,N 431633,S200000,04100,0100,N 431633,S200000,04200,0100,N 431633,S200000,04300,0100,N 431633,S200000,04600,0100,N 431633,S200000,04700,0100,N 431633,S200000,04700,0200,N 431633,S200000,04900,0100,N 431633,S200000,05000,0100,N 431633,S200000,05100,0100,N 431633,S200000,05200,0100,N 431633,S200000,05300,0100,Y 431633,S200000,05300,0200,349011 431633,S200000,05400,0100,BRITTHAVEN INC. 431633,S200000,05400,0200,PALMETTO GBA 431633,S200000,05400,0300,11501 431633,S200000,05500,0100,1435 HWY 258 NORTH 431633,S200000,05500,0200,PO BOX 61 431633,S200000,05600,0100,KINSTON 431633,S200000,05600,0200,NC 431633,S200000,05600,0300,28502 431635,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431635,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431635,A000000,00300,0000,0300EMPLOYEE BENEFITS 431635,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431635,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431635,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431635,A000000,00700,0000,0700HOUSEKEEPING 431635,A000000,00800,0000,0800DIETARY 431635,A000000,00900,0000,0900NURSING ADMINISTRATION 431635,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431635,A000000,01100,0000,1100PHARMACY 431635,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431635,A000000,01300,0000,1300SOCIAL SERVICE 431635,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431635,A000000,01600,0000,1600SKILLED NURSING FACILITY 431635,A000000,01810,0000,1810ICF/MR 431635,A000000,01900,0000,1900OTHER LONG TERM CARE 431635,A000000,02100,0000,2100RADIOLOGY 431635,A000000,02200,0000,2200LABORATORY 431635,A000000,02500,0000,2500PHYSICAL THERAPY 431635,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431635,A000000,02700,0000,2700SPEECH PATHOLOGY 431635,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431635,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431635,A000000,03300,0000,3050TRANSPORTATION 431635,A000000,03550,0000,3550FQHC 431635,A000000,04800,0000,4800AMBULANCE 431635,A000000,05000,0000,5000CORF 431635,A000000,05010,0000,5010CMHC 431635,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431635,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431635,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431635,A000000,06300,0000,6150PATIENT PERSONAL ITEMS 431635,A81000A,00100,0100,Y 431635,A81000B,00100,0300,MANAGEMENT SERVICES 431635,A81000B,00200,0300,RENT - BUILDING 431635,A81000C,00100,0100,A 431635,A81000C,00100,0200,MILLER/CAMPBELL 431635,A81000C,00100,0400,HEDGEHOG HEATLH 431635,A81000C,00100,0600,MANAGEMENT COMP 431635,A81000C,00200,0100,D 431635,A81000C,00200,0200,R & W MILLER 431635,A81000C,00200,0400,TRENT VILLAGE L 431635,A81000C,00200,0600,BUILDING RENTAL 431635,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431635,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431635,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431635,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431635,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431635,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431635,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 431635,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431635,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431635,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431635,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431635,E10A180,00350,0100,07/27/10 431635,E10A180,00501,0100,04/27/12 431635,G300000,02500,0000,MISCELLANEOUS 431635,S000000,00100,0200,02/13/12 431635,S200000,00100,0100,8990 HIGHWAY 17 SOUTH 431635,S200000,00200,0100,POLLOCKSVILLE 431635,S200000,00200,0200,NC 431635,S200000,00200,0300,28573 431635,S200000,00300,0100,JONES 431635,S200000,00300,0201,48900 431635,S200000,00300,0300,R 431635,S200000,00400,0100,TRENT VILLAGE NURSING HOME INC. 431635,S200000,00400,0200,345394 431635,S200000,00400,0300,09/01/04 431635,S200000,00400,0500,P 431635,S200000,01500,0100,Y 431635,S200000,01501,0200,N 431635,S200000,01502,0200,N 431635,S200000,01504,0200,N 431635,S200000,01600,0100,N 431635,S200000,01700,0100,N 431635,S200000,01800,0100,N 431635,S200000,01900,0100,LIMITED LIABILITY CO 431635,S200000,02200,0100,N 431635,S200000,02800,0100,N 431635,S200000,02900,0100,N 431635,S200000,03000,0100,N 431635,S200000,03100,0100,N 431635,S200000,03200,0100,N 431635,S200000,03300,0100,N 431635,S200000,03300,0200,N 431635,S200000,04100,0100,N 431635,S200000,04200,0100,N 431635,S200000,04300,0100,N 431635,S200000,04600,0100,N 431635,S200000,04700,0100,N 431635,S200000,04700,0200,N 431635,S200000,04900,0100,N 431635,S200000,05000,0100,N 431635,S200000,05100,0100,N 431635,S200000,05200,0100,N 431635,S200000,05300,0100,Y 431635,S200000,05300,0200,HO-111 431635,S200000,05400,0100,HEDGEHOG HEALTHCARE ASSOCIATES 431635,S200000,05400,0200,PALMETTO GBA 431635,S200000,05400,0300,00382 431635,S200000,05500,0100,210 N. FRONT STREET 431635,S200000,05600,0100,WILMINGTON 431635,S200000,05600,0200,NC 431635,S200000,05600,0300,28401 431640,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431640,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431640,A000000,00300,0000,0300EMPLOYEE BENEFITS 431640,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431640,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431640,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431640,A000000,00700,0000,0700HOUSEKEEPING 431640,A000000,00800,0000,0800DIETARY 431640,A000000,00900,0000,0900NURSING ADMINISTRATION 431640,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431640,A000000,01100,0000,1100PHARMACY 431640,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431640,A000000,01300,0000,1300SOCIAL SERVICE 431640,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431640,A000000,01500,0000,1350OTHER GENERAL SERVICES 431640,A000000,01600,0000,1600SKILLED NURSING FACILITY 431640,A000000,01800,0000,1800NURSING FACILITY 431640,A000000,01810,0000,1810ICF/MR 431640,A000000,01900,0000,1900OTHER LONG TERM CARE 431640,A000000,02100,0000,2100RADIOLOGY 431640,A000000,02200,0000,2200LABORATORY 431640,A000000,02300,0000,2300INTRAVENOUS THERAPY 431640,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431640,A000000,02500,0000,2500PHYSICAL THERAPY 431640,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431640,A000000,02700,0000,2700SPEECH PATHOLOGY 431640,A000000,02800,0000,2800ELECTROCARDIOLOGY 431640,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431640,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431640,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431640,A000000,03200,0000,3200SUPPORT SURFACES 431640,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431640,A000000,03400,0000,3400CLINIC 431640,A000000,03500,0000,3500RURAL HEALTH CLINIC 431640,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431640,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431640,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431640,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431640,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431640,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431640,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431640,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431640,A000000,04400,0000,4400DME RENTED - HHA 431640,A000000,04500,0000,4500DME SOLD - HHA 431640,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431640,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431640,A000000,04710,0000,4710TELEMEDICINE 431640,A000000,04800,0000,4800AMBULANCE 431640,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431640,A000000,05000,0000,5000CORF 431640,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431640,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431640,A000000,05300,0000,5300INTEREST EXPENSE 431640,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431640,A000000,05500,0000,5500HOSPICE 431640,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431640,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431640,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431640,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431640,A000000,06100,0000,6100NONPAID WORKERS 431640,A000000,06200,0000,6200PATIENTS LAUNDRY 431640,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431640,A81000A,00100,0100,N 431640,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431640,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431640,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431640,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431640,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431640,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431640,B100000,00000,0800,0800MEALS SERVED :DIETARY 431640,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431640,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431640,E10A180,00350,0100,07/27/11 431640,G300000,02500,0000,BARBER & BEAUTY INCOME 431640,S000000,00100,0200,02/15/12 431640,S200000,00100,0100,4748 OLD LEXINGTON ROAD 431640,S200000,00200,0100,LEXINGTON 431640,S200000,00200,0200,NC 431640,S200000,00200,0300,27295-7827 431640,S200000,00300,0100,DAVIDSON 431640,S200000,00300,0200,20 431640,S200000,00300,0201,99934 431640,S200000,00300,0300,R 431640,S200000,00400,0100,GOLDEN AGE OF LEXINGTON 431640,S200000,00400,0200,345066 431640,S200000,00400,0300,07/01/06 431640,S200000,00400,0500,P 431640,S200000,00400,0600,O 431640,S200000,00610,0200,346038 431640,S200000,00610,0300,07/01/06 431640,S200000,00610,0600,O 431640,S200000,01500,0100,N 431640,S200000,01600,0100,Y 431640,S200000,01700,0100,N 431640,S200000,01800,0100,N 431640,S200000,02200,0100,N 431640,S200000,02800,0100,N 431640,S200000,02900,0100,N 431640,S200000,03000,0100,N 431640,S200000,03100,0100,N 431640,S200000,03200,0100,N 431640,S200000,03300,0100,N 431640,S200000,03300,0200,N 431640,S200000,03510,0300,N 431640,S200000,04100,0100,N 431640,S200000,04200,0100,N 431640,S200000,04300,0100,N 431640,S200000,04600,0100,N 431640,S200000,04700,0100,N 431640,S200000,04700,0200,N 431640,S200000,04900,0100,N 431640,S200000,05000,0100,N 431640,S200000,05100,0100,N 431640,S200000,05200,0100,N 431641,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431641,A000000,00300,0000,0300EMPLOYEE BENEFITS 431641,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431641,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431641,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431641,A000000,00700,0000,0700HOUSEKEEPING 431641,A000000,00800,0000,0800DIETARY 431641,A000000,01100,0000,1100PHARMACY 431641,A000000,01500,0000,1350PATIENT ACTIVITIES 431641,A000000,01600,0000,1600SKILLED NURSING FACILITY 431641,A000000,01800,0000,1800NURSING FACILITY 431641,A000000,01900,0000,1900OTHER LONG TERM CARE 431641,A000000,02100,0000,2100RADIOLOGY 431641,A000000,02200,0000,2200LABORATORY 431641,A000000,02300,0000,2300INTRAVENOUS THERAPY 431641,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431641,A000000,02500,0000,2500PHYSICAL THERAPY 431641,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431641,A000000,02700,0000,2700SPEECH PATHOLOGY 431641,A000000,02800,0000,2800ELECTROCARDIOLOGY 431641,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431641,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431641,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431641,A000000,03200,0000,3200SUPPORT SURFACES 431641,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431641,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431641,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431641,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431641,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431641,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431641,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431641,A000000,06100,0000,6100NONPAID WORKERS 431641,A000000,06200,0000,6200PATIENTS LAUNDRY 431641,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431641,A81000A,00100,0100,Y 431641,A81000B,00100,0300,CENTRAL OFFICE OVHD 431641,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431641,A81000B,00300,0300,RENT 431641,A81000B,00400,0300,SUPPLIES 431641,A81000B,00500,0300,SUPPLIES 431641,A81000B,00600,0300,SUPPLIES 431641,A81000B,00700,0300,PHARMACY 431641,A81000B,00800,0300,PHARMACY 431641,A81000B,00900,0300,PHARMACY 431641,A81000B,01000,0300,PHARMACY 431641,A81000B,01100,0300,PHARMACY 431641,A81000B,01200,0300,PHARMACY 431641,A81000C,00100,0100,A 431641,A81000C,00100,0200,AUTUMN CORPORATION 431641,A81000C,00100,0400,AUTUMN CORPORATION 431641,A81000C,00100,0600,HOME OFFICE 431641,A81000C,00200,0100,A 431641,A81000C,00200,0200,AUTUMN CORPORATION 431641,A81000C,00200,0400,AUTUMN CORPORATION 431641,A81000C,00200,0600,HOME OFFICE 431641,A81000C,00300,0100,B 431641,A81000C,00300,0200,AUTUMN CARE OF MOCKSVILLE 431641,A81000C,00300,0400,AUTUMN CORPORATION 431641,A81000C,00300,0600,BUILDING RENTAL 431641,A81000C,00400,0100,B 431641,A81000C,00400,0200,WINCARE 431641,A81000C,00400,0400,AUTUMN CORPORATION 431641,A81000C,00400,0600,SUPPLIES 431641,A81000C,00500,0100,B 431641,A81000C,00500,0200,LEGACY 431641,A81000C,00500,0400,AUTUMN CORPORATION 431641,A81000C,00500,0600,PHARMACY 431641,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431641,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431641,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431641,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431641,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431641,B100000,00000,0700,0750SQ FEET W/O DI:HOUSEKEEPING 431641,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431641,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431641,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431641,E10A180,00350,0100,07/27/11 431641,E10A180,00501,0100,05/07/12 431641,G300000,02500,0000,MISC 431641,S000000,00100,0200,02/16/12 431641,S200000,00100,0100,1007 HOWARD STREET 431641,S200000,00200,0100,MOCKSVILLE 431641,S200000,00200,0200,NC 431641,S200000,00200,0300,27028 431641,S200000,00300,0100,DAVIE 431641,S200000,00300,0200,3120 431641,S200000,00300,0201,49180 431641,S200000,00300,0300,U 431641,S200000,00400,0100,AUTUMN CARE OF MOCKSVILLE 431641,S200000,00400,0200,345129 431641,S200000,00400,0300,10/01/74 431641,S200000,00400,0500,P 431641,S200000,01500,0100,N 431641,S200000,01501,0200,Y 431641,S200000,01600,0100,Y 431641,S200000,01700,0100,N 431641,S200000,01800,0100,N 431641,S200000,02200,0100,N 431641,S200000,02800,0100,N 431641,S200000,02900,0100,N 431641,S200000,03000,0100,N 431641,S200000,03100,0100,N 431641,S200000,03200,0100,N 431641,S200000,03300,0100,N 431641,S200000,03300,0200,N 431641,S200000,04100,0100,N 431641,S200000,04200,0100,N 431641,S200000,04300,0100,N 431641,S200000,04600,0100,N 431641,S200000,04700,0100,N 431641,S200000,04700,0200,N 431641,S200000,04900,0100,N 431641,S200000,05000,0100,N 431641,S200000,05100,0100,N 431641,S200000,05200,0100,N 431642,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431642,A000000,00300,0000,0300EMPLOYEE BENEFITS 431642,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431642,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431642,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431642,A000000,00700,0000,0700HOUSEKEEPING 431642,A000000,00800,0000,0800DIETARY 431642,A000000,01100,0000,1100PHARMACY 431642,A000000,01500,0000,1350PATIENT ACTIVITIES 431642,A000000,01600,0000,1600SKILLED NURSING FACILITY 431642,A000000,01800,0000,1800NURSING FACILITY 431642,A000000,01900,0000,1900OTHER LONG TERM CARE 431642,A000000,02100,0000,2100RADIOLOGY 431642,A000000,02200,0000,2200LABORATORY 431642,A000000,02300,0000,2300INTRAVENOUS THERAPY 431642,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431642,A000000,02500,0000,2500PHYSICAL THERAPY 431642,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431642,A000000,02700,0000,2700SPEECH PATHOLOGY 431642,A000000,02800,0000,2800ELECTROCARDIOLOGY 431642,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431642,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431642,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431642,A000000,03200,0000,3200SUPPORT SURFACES 431642,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431642,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431642,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431642,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431642,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431642,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431642,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431642,A000000,06100,0000,6100NONPAID WORKERS 431642,A000000,06200,0000,6200PATIENTS LAUNDRY 431642,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431642,A81000A,00100,0100,Y 431642,A81000B,00100,0300,CENTRAL OFFICE OVHD 431642,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431642,A81000B,00300,0300,SUPPLIES 431642,A81000B,00400,0300,SUPPLIES 431642,A81000B,00500,0300,SUPPLIES 431642,A81000B,00600,0300,PHARMACY 431642,A81000B,00700,0300,PHARMACY 431642,A81000B,00800,0300,PHARMACY 431642,A81000B,00900,0300,PHARMACY 431642,A81000C,00100,0100,B 431642,A81000C,00100,0200,AUTUMN CORPORATION 431642,A81000C,00100,0400,AUTUMN CORPORATION 431642,A81000C,00100,0600,HOME OFFICE 431642,A81000C,00200,0100,B 431642,A81000C,00200,0200,AUTUMN CORPORATION 431642,A81000C,00200,0400,AUTUMN CORPORATION 431642,A81000C,00200,0600,HOME OFFICE 431642,A81000C,00300,0100,A 431642,A81000C,00300,0200,WINCARE 431642,A81000C,00300,0400,AUTUMN CORPORATION 431642,A81000C,00300,0600,SUPPLIES 431642,A81000C,00400,0100,A 431642,A81000C,00400,0200,LEGACY 431642,A81000C,00400,0400,AUTUMN CORPORATION 431642,A81000C,00400,0600,PHARMACY 431642,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431642,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431642,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431642,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431642,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431642,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431642,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431642,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431642,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431642,E10A180,00501,0100,05/08/12 431642,G300000,02500,0000,MISC 431642,S000000,00100,0200,02/16/12 431642,S200000,00100,0100,ESSEOLA DRIVE 431642,S200000,00100,0300,488 431642,S200000,00200,0100,SALUDA 431642,S200000,00200,0200,NC 431642,S200000,00200,0300,28773 431642,S200000,00300,0100,POLK 431642,S200000,00300,0201,00034 431642,S200000,00300,0300,R 431642,S200000,00400,0100,AUTUMN CARE OF SALUDA 431642,S200000,00400,0200,345351 431642,S200000,00400,0300,03/01/91 431642,S200000,00400,0500,P 431642,S200000,01500,0100,Y 431642,S200000,01501,0200,Y 431642,S200000,01600,0100,N 431642,S200000,01700,0100,N 431642,S200000,01800,0100,N 431642,S200000,02200,0100,N 431642,S200000,02800,0100,N 431642,S200000,02900,0100,N 431642,S200000,03000,0100,N 431642,S200000,03100,0100,N 431642,S200000,03200,0100,N 431642,S200000,03300,0100,N 431642,S200000,03300,0200,N 431642,S200000,04100,0100,N 431642,S200000,04200,0100,N 431642,S200000,04300,0100,N 431642,S200000,04600,0100,N 431642,S200000,04700,0100,N 431642,S200000,04700,0200,N 431642,S200000,04900,0100,N 431642,S200000,05000,0100,N 431642,S200000,05100,0100,N 431642,S200000,05200,0100,N 431643,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431643,A000000,00300,0000,0300EMPLOYEE BENEFITS 431643,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431643,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431643,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431643,A000000,00700,0000,0700HOUSEKEEPING 431643,A000000,00800,0000,0800DIETARY 431643,A000000,00900,0000,0900NURSING ADMINISTRATION 431643,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431643,A000000,01100,0000,1100PHARMACY 431643,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431643,A000000,01300,0000,1300SOCIAL SERVICE 431643,A000000,01500,0000,1350PATIENT ACTIVITIES 431643,A000000,01600,0000,1600SKILLED NURSING FACILITY 431643,A000000,02100,0000,2100RADIOLOGY 431643,A000000,02200,0000,2200LABORATORY 431643,A000000,02500,0000,2500PHYSICAL THERAPY 431643,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431643,A000000,02700,0000,2700SPEECH PATHOLOGY 431643,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431643,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431643,A000000,03200,0000,3200SUPPORT SURFACES 431643,A000000,04800,0000,4800AMBULANCE 431643,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431643,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431643,A81000A,00100,0100,Y 431643,A81000B,00100,0300,LEASE 431643,A81000B,00200,0300,DEPRECIATION 431643,A81000C,00100,0100,B 431643,A81000C,00100,0400,CCC ASSOC 431643,A81000C,00100,0600,RELATED LEASE 431643,A81000C,00200,0100,B 431643,A81000C,00200,0400,CCC ASSOC 431643,A81000C,00200,0600,RELATED LEASE 431643,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431643,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431643,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431643,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431643,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431643,B100000,00000,0700,0750SQR FTG EXC DIETA:HOUSEKEEPING 431643,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431643,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431643,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431643,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431643,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431643,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431643,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431643,E10A180,00501,0100,04/27/12 431643,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 431643,G300000,02501,0000,OTHER 431643,S000000,00100,0200,02/20/12 431643,S200000,00100,0100,1287 NEWSOME STREET 431643,S200000,00200,0100,MOUNT AIRY 431643,S200000,00200,0200,NC 431643,S200000,00200,0300,27030 431643,S200000,00300,0100,SURRY 431643,S200000,00300,0200,34 431643,S200000,00300,0201,99934 431643,S200000,00300,0300,R 431643,S200000,00400,0100,CENTRAL CONTINUING CARE 431643,S200000,00400,0200,345410 431643,S200000,00400,0300,12/19/91 431643,S200000,00400,0500,P 431643,S200000,01500,0100,Y 431643,S200000,01501,0200,N 431643,S200000,01600,0100,N 431643,S200000,01700,0100,N 431643,S200000,01800,0100,N 431643,S200000,02200,0100,N 431643,S200000,02800,0100,N 431643,S200000,02900,0100,N 431643,S200000,03000,0100,N 431643,S200000,03100,0100,N 431643,S200000,03200,0100,N 431643,S200000,03300,0100,N 431643,S200000,03300,0200,N 431643,S200000,04100,0100,N 431643,S200000,04200,0100,N 431643,S200000,04300,0100,N 431643,S200000,04600,0100,N 431643,S200000,04700,0100,N 431643,S200000,04700,0200,N 431643,S200000,04900,0100,N 431643,S200000,05000,0100,N 431643,S200000,05100,0100,N 431643,S200000,05200,0100,N 431652,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431652,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431652,A000000,00300,0000,0300EMPLOYEE BENEFITS 431652,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431652,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431652,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431652,A000000,00700,0000,0700HOUSEKEEPING 431652,A000000,00800,0000,0800DIETARY 431652,A000000,00900,0000,0900NURSING ADMINISTRATION 431652,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431652,A000000,01100,0000,1100PHARMACY 431652,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431652,A000000,01300,0000,1300SOCIAL SERVICE 431652,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431652,A000000,01500,0000,1350RECREATION 431652,A000000,01600,0000,1600SKILLED NURSING FACILITY 431652,A000000,01810,0000,1810ICF/MR 431652,A000000,02100,0000,2100RADIOLOGY 431652,A000000,02200,0000,2200LABORATORY 431652,A000000,02300,0000,2300INTRAVENOUS THERAPY 431652,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431652,A000000,02500,0000,2500PHYSICAL THERAPY 431652,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431652,A000000,02700,0000,2700SPEECH PATHOLOGY 431652,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431652,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431652,A000000,03550,0000,3550FQHC 431652,A000000,04801,0000,4801AMBULANCE 431652,A000000,04802,0000,4802AMBULANCE 431652,A000000,04803,0000,4803AMBULANCE 431652,A000000,05000,0000,5000CORF 431652,A000000,05010,0000,5010CMHC 431652,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431652,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431652,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431652,A81000A,00100,0100,Y 431652,A81000B,00100,0300,SEE ATTACHED 431652,A81000B,00200,0300,HOME OFFICE INTEREST 431652,A81000B,00300,0300,HOME OFFICE A&G 431652,A81000B,00400,0300,HOME OFFICE CAP PIEC 431652,A81000C,00100,0100,B 431652,A81000C,00100,0400,SEE ATTACHED 431652,A81000C,00100,0600,VARIOUS 431652,A81000C,00200,0100,B 431652,A81000C,00200,0400,GHC 431652,A81000C,00200,0600,LONG TERM CARE 431652,A81000C,00300,0100,B 431652,A81000C,00300,0400,GHC 431652,A81000C,00300,0600,LONG TERM CARE 431652,A81000C,00400,0100,B 431652,A81000C,00400,0400,GHC 431652,A81000C,00400,0600,LONG TERM CARE 431652,B100000,00000,0100,0100SQUARE FEET 431652,B100000,00000,0200,0200SQUARE FEET 431652,B100000,00000,0300,0300GROSS SALARIES 431652,B100000,00000,0400,0400ACCUM COST 431652,B100000,00000,0500,0500SQUARE FEET 431652,B100000,00000,0600,0600PATIENT DAYS 431652,B100000,00000,0700,0700SQUARE FEET 431652,B100000,00000,0800,0800MEALS SERVED 431652,B100000,00000,0900,0900NURSING SALARIES 431652,B100000,00000,1000,1000COSTED REQUIS 431652,B100000,00000,1100,1100COSTED REQUIS 431652,B100000,00000,1200,1200PATIENT DAYS 431652,B100000,00000,1300,1300PATIENT DAYS 431652,B100000,00000,1400,1400ASSIGNED TIME 431652,B100000,00000,1500,1350PATIENT DAYS 431652,E10A180,00350,0100,03/24/11 431652,E10A180,00501,0300,10/24/11 431652,E10A180,00550,0100,10/24/11 431652,G300000,02500,0000,BARBER AND BEAUTY 431652,S000000,00100,0200,09/12/11 431652,S200000,00100,0100,500 EAST PHILADELPHIA AVENUE 431652,S200000,00200,0100,SHILLINGTON 431652,S200000,00200,0200,PA 431652,S200000,00200,0300,19607 431652,S200000,00300,0100,BERKS 431652,S200000,00300,0201,39740 431652,S200000,00300,0300,U 431652,S200000,00400,0100,MIFFLIN CENTER 431652,S200000,00400,0200,395138 431652,S200000,00400,0300,01/01/67 431652,S200000,00400,0500,P 431652,S200000,01500,0100,Y 431652,S200000,01501,0200,N 431652,S200000,01502,0200,N 431652,S200000,01503,0200,N 431652,S200000,01504,0200,N 431652,S200000,01600,0100,N 431652,S200000,01700,0100,N 431652,S200000,01800,0100,N 431652,S200000,02200,0100,Y 431652,S200000,02800,0100,N 431652,S200000,02900,0100,N 431652,S200000,03000,0100,N 431652,S200000,03100,0100,N 431652,S200000,03200,0100,N 431652,S200000,03300,0100,N 431652,S200000,03300,0200,N 431652,S200000,04200,0100,N 431652,S200000,04300,0100,N 431652,S200000,04600,0100,N 431652,S200000,04700,0100,N 431652,S200000,04900,0100,N 431652,S200000,05200,0100,N 431652,S200000,05300,0100,Y 431652,S200000,05300,0200,HB0067 431652,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431652,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431652,S200000,05400,0300,12001 431652,S200000,05500,0100,101 EAST STATE STREET 431652,S200000,05600,0100,KENNETT SQUARE 431652,S200000,05600,0200,PA 431652,S200000,05600,0300,19348 431654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431654,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431654,A000000,00300,0000,0300EMPLOYEE BENEFITS 431654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431654,A000000,00700,0000,0700HOUSEKEEPING 431654,A000000,00800,0000,0800DIETARY 431654,A000000,00900,0000,0900NURSING ADMINISTRATION 431654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431654,A000000,01100,0000,1100PHARMACY 431654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431654,A000000,01300,0000,1300SOCIAL SERVICE 431654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431654,A000000,01500,0000,1350RECREATION 431654,A000000,01600,0000,1600SKILLED NURSING FACILITY 431654,A000000,01810,0000,1810ICF/MR 431654,A000000,02100,0000,2100RADIOLOGY 431654,A000000,02200,0000,2200LABORATORY 431654,A000000,02300,0000,2300INTRAVENOUS THERAPY 431654,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431654,A000000,02500,0000,2500PHYSICAL THERAPY 431654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431654,A000000,02700,0000,2700SPEECH PATHOLOGY 431654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431654,A000000,03550,0000,3550FQHC 431654,A000000,04801,0000,4801AMBULANCE 431654,A000000,04802,0000,4802AMBULANCE 431654,A000000,04803,0000,4803AMBULANCE 431654,A000000,05000,0000,5000CORF 431654,A000000,05010,0000,5010CMHC 431654,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431654,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431654,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431654,A000000,06300,0000,6150RESIDENTIAL 431654,A81000A,00100,0100,Y 431654,A81000B,00100,0300,AS ATTACHED 431654,A81000B,00200,0300,HOME OFFICE INTEREST 431654,A81000B,00300,0300,HOME OFFICE A & G 431654,A81000B,00400,0300,HOME OFFICE CAP PIEC 431654,A81000C,00100,0100,B 431654,A81000C,00100,0400,AS ATTACHED 431654,A81000C,00100,0600,VARIOUS 431654,A81000C,00200,0100,B 431654,A81000C,00200,0400,GHC 431654,A81000C,00200,0600,LONG TERM CARE 431654,A81000C,00300,0100,B 431654,A81000C,00300,0400,GHC 431654,A81000C,00300,0600,LONG TERM CARE 431654,A81000C,00400,0100,B 431654,A81000C,00400,0400,GHC 431654,A81000C,00400,0600,LONG TERM CARE 431654,B100000,00000,0100,0100SQUARE FEET 431654,B100000,00000,0200,0200SQUARE FEET 431654,B100000,00000,0300,0300GROSS SALARIES 431654,B100000,00000,0400,0400ACCUM COST 431654,B100000,00000,0500,0500SQUARE FEET 431654,B100000,00000,0600,0600PATIENT DAYS 431654,B100000,00000,0700,0700SQUARE FEET 431654,B100000,00000,0800,0800MEALS SERVED 431654,B100000,00000,0900,0900NURSING SALARIES 431654,B100000,00000,1000,1000COSTED REQUIS 431654,B100000,00000,1100,1100COSTED REQUIS 431654,B100000,00000,1200,1200PATIENT DAYS 431654,B100000,00000,1300,1300PATIENT DAYS 431654,B100000,00000,1400,1400ASSIGNED TIME 431654,B100000,00000,1500,1350PATIENT DAYS 431654,E10A180,00501,0300,10/12/11 431654,E10A180,00550,0100,10/12/11 431654,G300000,02500,0000,BARBER & BEAUTY 431654,G300000,02501,0000,ASSISTED LIVING 431654,S000000,00100,0200,09/12/11 431654,S200000,00100,0100,125 HOLLY ROAD 431654,S200000,00200,0100,HAMBURG 431654,S200000,00200,0200,PA 431654,S200000,00200,0300,19526 431654,S200000,00300,0100,BERKS 431654,S200000,00300,0201,39740 431654,S200000,00300,0300,U 431654,S200000,00400,0100,LAUREL CENTER 431654,S200000,00400,0200,395408 431654,S200000,00400,0300,08/16/77 431654,S200000,00400,0500,P 431654,S200000,01500,0100,Y 431654,S200000,01501,0200,N 431654,S200000,01502,0200,N 431654,S200000,01503,0200,N 431654,S200000,01504,0200,N 431654,S200000,01600,0100,N 431654,S200000,01700,0100,N 431654,S200000,01800,0100,N 431654,S200000,02200,0100,Y 431654,S200000,02800,0100,N 431654,S200000,02900,0100,N 431654,S200000,03000,0100,N 431654,S200000,03100,0100,N 431654,S200000,03200,0100,N 431654,S200000,03300,0100,N 431654,S200000,03300,0200,N 431654,S200000,04200,0100,N 431654,S200000,04300,0100,N 431654,S200000,04600,0100,N 431654,S200000,04700,0100,N 431654,S200000,04900,0100,N 431654,S200000,05200,0100,N 431654,S200000,05300,0100,Y 431654,S200000,05300,0200,HB0067 431654,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431654,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431654,S200000,05400,0300,12001 431654,S200000,05500,0100,101 EAST STATE STREET 431654,S200000,05600,0100,KENNETT SQUARE 431654,S200000,05600,0200,PA 431654,S200000,05600,0300,19348 431655,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431655,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431655,A000000,00300,0000,0300EMPLOYEE BENEFITS 431655,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431655,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431655,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431655,A000000,00700,0000,0700HOUSEKEEPING 431655,A000000,00800,0000,0800DIETARY 431655,A000000,00900,0000,0900NURSING ADMINISTRATION 431655,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431655,A000000,01100,0000,1100PHARMACY 431655,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431655,A000000,01300,0000,1300SOCIAL SERVICE 431655,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431655,A000000,01500,0000,1350RECREATION 431655,A000000,01600,0000,1600SKILLED NURSING FACILITY 431655,A000000,01810,0000,1810ICF/MR 431655,A000000,02100,0000,2100RADIOLOGY 431655,A000000,02200,0000,2200LABORATORY 431655,A000000,02300,0000,2300INTRAVENOUS THERAPY 431655,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431655,A000000,02500,0000,2500PHYSICAL THERAPY 431655,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431655,A000000,02700,0000,2700SPEECH PATHOLOGY 431655,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431655,A000000,03550,0000,3550FQHC 431655,A000000,04801,0000,4801AMBULANCE 431655,A000000,04802,0000,4802AMBULANCE 431655,A000000,04803,0000,4803AMBULANCE 431655,A000000,05000,0000,5000CORF 431655,A000000,05010,0000,5010CMHC 431655,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431655,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431655,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431655,A81000A,00100,0100,Y 431655,A81000B,00100,0300,SEE ATTACHED 431655,A81000B,00200,0300,HOME OFFICE 431655,A81000B,00300,0300,HOME OFFICE 431655,A81000C,00100,0100,B 431655,A81000C,00100,0400,SEE ATTACHED 431655,A81000C,00100,0600,VARIOUS 431655,A81000C,00200,0100,B 431655,A81000C,00200,0400,GHC 431655,A81000C,00200,0600,LONG TERM CARE 431655,A81000C,00300,0100,B 431655,A81000C,00300,0400,GHC 431655,A81000C,00300,0600,LONG TERM CARE 431655,B100000,00000,0100,0100SQUARE FEET 431655,B100000,00000,0200,0200SQUARE FEET 431655,B100000,00000,0300,0300GROSS SALARIES 431655,B100000,00000,0400,0400ACCUM COST 431655,B100000,00000,0500,0500SQUARE FEET 431655,B100000,00000,0600,0600PATIENT DAYS 431655,B100000,00000,0700,0700SQUARE FEET 431655,B100000,00000,0800,0800MEALS SERVED 431655,B100000,00000,0900,0900NURSING SALARIES 431655,B100000,00000,1000,1000COSTED REQUIS 431655,B100000,00000,1100,1100COSTED REQUIS 431655,B100000,00000,1200,1200PATIENT DAYS 431655,B100000,00000,1300,1300PATIENT DAYS 431655,B100000,00000,1400,1400ASSIGNED TIME 431655,B100000,00000,1500,1350PATIENT DAYS 431655,E10A180,00350,0100,03/24/11 431655,E10A180,00501,0300,10/11/11 431655,E10A180,00550,0100,10/11/11 431655,G300000,02500,0000,BARBER & BEAUTY 431655,S000000,00100,0200,09/07/11 431655,S200000,00100,0100,100 EDELLA ROAD 431655,S200000,00200,0100,CLARKS SUMMIT 431655,S200000,00200,0200,PA 431655,S200000,00200,0300,18411 431655,S200000,00300,0100,LACKAWANNA 431655,S200000,00300,0201,42540 431655,S200000,00300,0300,U 431655,S200000,00400,0100,ABINGTON MANOR 431655,S200000,00400,0200,395701 431655,S200000,00400,0300,07/08/85 431655,S200000,00400,0500,P 431655,S200000,01500,0100,Y 431655,S200000,01501,0200,N 431655,S200000,01502,0200,N 431655,S200000,01503,0200,N 431655,S200000,01504,0200,N 431655,S200000,01600,0100,N 431655,S200000,01700,0100,N 431655,S200000,01800,0100,N 431655,S200000,02200,0100,Y 431655,S200000,02800,0100,N 431655,S200000,02900,0100,N 431655,S200000,03000,0100,N 431655,S200000,03100,0100,N 431655,S200000,03200,0100,N 431655,S200000,03300,0100,N 431655,S200000,03300,0200,N 431655,S200000,04200,0100,N 431655,S200000,04300,0100,N 431655,S200000,04600,0100,N 431655,S200000,04700,0100,N 431655,S200000,04900,0100,N 431655,S200000,05200,0100,N 431655,S200000,05300,0100,Y 431655,S200000,05300,0200,HB0067 431655,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431655,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431655,S200000,05400,0300,12001 431655,S200000,05500,0100,101 EAST STATE STREET 431655,S200000,05600,0100,KENNETT SQUARE 431655,S200000,05600,0200,PA 431655,S200000,05600,0300,19348 431658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431658,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431658,A000000,00300,0000,0300EMPLOYEE BENEFITS 431658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431658,A000000,00700,0000,0700HOUSEKEEPING 431658,A000000,00800,0000,0800DIETARY 431658,A000000,00900,0000,0900NURSING ADMINISTRATION 431658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431658,A000000,01100,0000,1100PHARMACY 431658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431658,A000000,01300,0000,1300SOCIAL SERVICE 431658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431658,A000000,01500,0000,1350RECREATION 431658,A000000,01600,0000,1600SKILLED NURSING FACILITY 431658,A000000,01810,0000,1810ICF/MR 431658,A000000,02100,0000,2100RADIOLOGY 431658,A000000,02200,0000,2200LABORATORY 431658,A000000,02300,0000,2300INTRAVENOUS THERAPY 431658,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431658,A000000,02500,0000,2500PHYSICAL THERAPY 431658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431658,A000000,02700,0000,2700SPEECH PATHOLOGY 431658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431658,A000000,03550,0000,3550FQHC 431658,A000000,04801,0000,4801AMBULANCE 431658,A000000,04802,0000,4802AMBULANCE 431658,A000000,04803,0000,4803AMBULANCE 431658,A000000,05000,0000,5000CORF 431658,A000000,05010,0000,5010CMHC 431658,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431658,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431658,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431658,A81000A,00100,0100,Y 431658,A81000B,00100,0300,SEE ATTACHED 431658,A81000B,00200,0300,HOME OFFICE INTEREST 431658,A81000B,00300,0300,HOME OFFICE A&G 431658,A81000B,00400,0300,HOME OFFICE CAP PIEC 431658,A81000C,00100,0100,B 431658,A81000C,00100,0400,SEE ATTACHED 431658,A81000C,00100,0600,VARIOUS 431658,A81000C,00200,0100,B 431658,A81000C,00200,0400,GHC 431658,A81000C,00200,0600,LONG TERM CARE 431658,A81000C,00300,0100,B 431658,A81000C,00300,0400,GHC 431658,A81000C,00300,0600,LONG TERM CARE 431658,A81000C,00400,0100,B 431658,A81000C,00400,0400,GHC 431658,A81000C,00400,0600,LONG TERM CARE 431658,B100000,00000,0100,0100SQUARE FEET 431658,B100000,00000,0200,0200SQUARE FEET 431658,B100000,00000,0300,0300GROSS SALARIES 431658,B100000,00000,0400,0400ACCUM COST 431658,B100000,00000,0500,0500SQUARE FEET 431658,B100000,00000,0600,0600PATIENT DAYS 431658,B100000,00000,0700,0700SQUARE FEET 431658,B100000,00000,0800,0800MEALS SERVED 431658,B100000,00000,0900,0900NURSING SALARIES 431658,B100000,00000,1000,1000COSTED REQUIS 431658,B100000,00000,1100,1100COSTED REQUIS 431658,B100000,00000,1200,1200PATIENT DAYS 431658,B100000,00000,1300,1300PATIENT DAYS 431658,B100000,00000,1400,1400ASSIGNED TIME 431658,B100000,00000,1500,1350PATIENT DAYS 431658,E10A180,00301,0100,03/24/11 431658,E10A180,00501,0300,10/24/11 431658,E10A180,00550,0100,10/24/11 431658,G300000,02500,0000,BARBER AND BEAUTY 431658,S000000,00100,0200,09/12/11 431658,S200000,00100,0100,549 BALTIMORE PIKE 431658,S200000,00200,0100,GLEN MILLS 431658,S200000,00200,0200,PA 431658,S200000,00200,0300,19342 431658,S200000,00300,0100,DELAWARE 431658,S200000,00300,0201,37964 431658,S200000,00300,0300,U 431658,S200000,00400,0100,BRINTON MANOR 431658,S200000,00400,0200,395917 431658,S200000,00400,0300,12/01/93 431658,S200000,00400,0500,P 431658,S200000,01500,0100,Y 431658,S200000,01501,0200,N 431658,S200000,01502,0200,N 431658,S200000,01503,0200,N 431658,S200000,01504,0200,N 431658,S200000,01600,0100,N 431658,S200000,01700,0100,N 431658,S200000,01800,0100,N 431658,S200000,02200,0100,Y 431658,S200000,02800,0100,N 431658,S200000,02900,0100,N 431658,S200000,03000,0100,N 431658,S200000,03100,0100,N 431658,S200000,03200,0100,N 431658,S200000,03300,0100,N 431658,S200000,03300,0200,N 431658,S200000,04200,0100,N 431658,S200000,04300,0100,N 431658,S200000,04600,0100,N 431658,S200000,04700,0100,N 431658,S200000,04900,0100,N 431658,S200000,05200,0100,N 431658,S200000,05300,0100,Y 431658,S200000,05300,0200,HB0067 431658,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431658,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431658,S200000,05400,0300,12001 431658,S200000,05500,0100,101 EAST STATE STREET 431658,S200000,05600,0100,KENNETT SQUARE 431658,S200000,05600,0200,PA 431658,S200000,05600,0300,19348 431659,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431659,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431659,A000000,00300,0000,0300EMPLOYEE BENEFITS 431659,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431659,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431659,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431659,A000000,00700,0000,0700HOUSEKEEPING 431659,A000000,00800,0000,0800DIETARY 431659,A000000,00900,0000,0900NURSING ADMINISTRATION 431659,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431659,A000000,01100,0000,1100PHARMACY 431659,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431659,A000000,01300,0000,1300SOCIAL SERVICE 431659,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431659,A000000,01500,0000,1350ACTIVITIES / RECREATION 431659,A000000,01600,0000,1600SKILLED NURSING FACILITY 431659,A000000,01810,0000,1810ICF/MR 431659,A000000,01900,0000,1900OTHER LONG TERM CARE 431659,A000000,02100,0000,2100RADIOLOGY 431659,A000000,02200,0000,2200LABORATORY 431659,A000000,02300,0000,2300INTRAVENOUS THERAPY 431659,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431659,A000000,02500,0000,2500PHYSICAL THERAPY 431659,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431659,A000000,02700,0000,2700SPEECH PATHOLOGY 431659,A000000,02800,0000,2800ELECTROCARDIOLOGY 431659,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431659,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431659,A000000,03200,0000,3200SUPPORT SURFACES 431659,A000000,03300,0000,3050PEN SERVICES 431659,A000000,03550,0000,3550FQHC 431659,A000000,04801,0000,4801AMBULANCE 431659,A000000,04802,0000,4802AMBULANCE 431659,A000000,04803,0000,4803AMBULANCE 431659,A000000,05000,0000,5000CORF 431659,A000000,05010,0000,5010CMHC 431659,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431659,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431659,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431659,A81000A,00100,0100,Y 431659,A81000B,00100,0300,H O A & G 431659,A81000B,00200,0300,H O INTEREST & AMORT 431659,A81000B,00300,0300,H O CAPITAL RELATED 431659,A81000B,00400,0300,PT 431659,A81000B,00500,0300,OT 431659,A81000B,00600,0300,ST 431659,A81000B,00700,0300,SUPP. & NUTRITIONIST 431659,A81000B,00800,0300,RT 431659,A81000B,00900,0300,MEDICAL DIRECTOR 431659,A81000B,01000,0300,PURCHASED SERVICES 431659,A81000C,00100,0100,B 431659,A81000C,00100,0200,GENESIS HEALTHC 431659,A81000C,00100,0600,MGMT COMPANY 431659,A81000C,00200,0100,B 431659,A81000C,00200,0200,GENESIS SERVICE 431659,A81000C,00200,0600,VARIOUS 431659,A81000C,00300,0100,B 431659,A81000C,00300,0200,GENESIS REHAB 431659,A81000C,00300,0600,REHAB 431659,A81000C,00400,0100,B 431659,A81000C,00400,0200,GENESIS HOSPITA 431659,A81000C,00400,0600,NUTRITIONIST 431659,A81000C,00500,0100,B 431659,A81000C,00500,0200,RHS 431659,A81000C,00500,0600,RT 431659,B100000,00000,0100,0100SQUARE FEET 431659,B100000,00000,0200,0200SQUARE FEET 431659,B100000,00000,0300,0300GROSS SALARIES 431659,B100000,00000,0400,0400ACCUM COST 431659,B100000,00000,0500,0500SQUARE FEET 431659,B100000,00000,0600,0600PATIENT DAYS 431659,B100000,00000,0700,0700SQUARE FEET 431659,B100000,00000,0800,0800MEALS SERVED 431659,B100000,00000,0900,0900PATIENT DAYS 431659,B100000,00000,1000,1000COSTED REQUIS 431659,B100000,00000,1100,1100COSTED REQUIS 431659,B100000,00000,1200,1200GROSS CHARGES 431659,B100000,00000,1300,1300PATIENT DAYS 431659,B100000,00000,1400,1400ASSIGNED TIME 431659,B100000,00000,1500,1350PATIENT DAYS 431659,E10A180,00501,0300,10/31/11 431659,E10A180,00550,0100,10/31/11 431659,G300000,02500,0000,MISC. REVENUE 431659,G300000,02501,0000,CONTRACTUALS / COST SETTLEMENTS 431659,S000000,00100,0200,09/06/11 431659,S200000,00100,0100,WESTWOOD MEDICAL PARK 431659,S200000,00200,0100,BLUEFIELD 431659,S200000,00200,0200,VA 431659,S200000,00200,0300,24605 431659,S200000,00300,0100,TAZEWELL 431659,S200000,00300,0201,99949 431659,S200000,00300,0300,R 431659,S200000,00400,0100,WESTWOOD NURSING & REHAB CENTER 431659,S200000,00400,0200,495200 431659,S200000,00400,0300,01/01/96 431659,S200000,00400,0500,P 431659,S200000,01500,0100,Y 431659,S200000,01501,0200,N 431659,S200000,01502,0200,N 431659,S200000,01503,0200,N 431659,S200000,01504,0200,N 431659,S200000,01600,0100,N 431659,S200000,01700,0100,N 431659,S200000,01800,0100,N 431659,S200000,02200,0100,Y 431659,S200000,02800,0100,N 431659,S200000,02900,0100,N 431659,S200000,03000,0100,N 431659,S200000,03100,0100,N 431659,S200000,03200,0100,N 431659,S200000,03300,0100,N 431659,S200000,03300,0200,N 431659,S200000,04200,0100,N 431659,S200000,04300,0100,N 431659,S200000,04600,0100,N 431659,S200000,04700,0100,N 431659,S200000,04900,0100,N 431659,S200000,05200,0100,N 431659,S200000,05300,0100,Y 431659,S200000,05300,0200,HB0067 431659,S200000,05400,0100,GENESIS HEALTHCARE 431659,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431659,S200000,05400,0300,12001 431659,S200000,05500,0100,101 EAST STATE STREET 431659,S200000,05600,0100,KENNETT SQUARE 431659,S200000,05600,0200,PA 431659,S200000,05600,0300,19348 431660,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431660,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431660,A000000,00300,0000,0300EMPLOYEE BENEFITS 431660,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431660,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431660,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431660,A000000,00700,0000,0700HOUSEKEEPING 431660,A000000,00800,0000,0800DIETARY 431660,A000000,00900,0000,0900NURSING ADMINISTRATION 431660,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431660,A000000,01100,0000,1100PHARMACY 431660,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431660,A000000,01300,0000,1300SOCIAL SERVICE 431660,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431660,A000000,01500,0000,1350ACTIVITIES 431660,A000000,01600,0000,1600SKILLED NURSING FACILITY 431660,A000000,01810,0000,1810ICF/MR 431660,A000000,02100,0000,2100RADIOLOGY 431660,A000000,02200,0000,2200LABORATORY 431660,A000000,02300,0000,2300INTRAVENOUS THERAPY 431660,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431660,A000000,02500,0000,2500PHYSICAL THERAPY 431660,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431660,A000000,02700,0000,2700SPEECH PATHOLOGY 431660,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431660,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431660,A000000,03200,0000,3200SUPPORT SURFACES 431660,A000000,03300,0000,3050PEN BILLING 431660,A000000,03550,0000,3550FQHC 431660,A000000,04801,0000,4801AMBULANCE 431660,A000000,04802,0000,4802AMBULANCE 431660,A000000,04803,0000,4803AMBULANCE 431660,A000000,05000,0000,5000CORF 431660,A000000,05010,0000,5010CMHC 431660,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431660,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431660,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431660,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431660,A81000A,00100,0100,Y 431660,A81000B,00100,0300,HOME OFFICE ALLOC 431660,A81000B,00200,0300,DIRECT INT & AMORT 431660,A81000B,00300,0300,HOME OFFICE CAPITAL 431660,A81000B,00400,0300,PT 431660,A81000B,00500,0300,OT 431660,A81000B,00600,0300,ST 431660,A81000B,00700,0300,NUTRITIONIST 431660,A81000B,00800,0300,RT 431660,A81000B,00900,0300,MEDICAL DIRECTOR 431660,A81000B,01000,0300,NURS PURC SVCS 431660,A81000C,00100,0100,B 431660,A81000C,00100,0200,GENESIS HEALTHC 431660,A81000C,00100,0600,MGMT COMPANY 431660,A81000C,00200,0100,B 431660,A81000C,00200,0200,GENESIS REHAB S 431660,A81000C,00200,0600,PT OT ST 431660,A81000C,00300,0100,B 431660,A81000C,00300,0200,GENESIS HOSPITA 431660,A81000C,00300,0600,NUTRITIONIST 431660,A81000C,00400,0100,B 431660,A81000C,00400,0200,RESPIRATORY HEA 431660,A81000C,00400,0600,RT 431660,A81000C,00500,0100,B 431660,A81000C,00500,0200,GENESIS PHYS SV 431660,A81000C,00500,0600,MEDICAL DIRECTO 431660,A81000C,00600,0100,B 431660,A81000C,00600,0200,GENESIS STAFFIN 431660,A81000C,00600,0600,NURS PURC SVCS 431660,B100000,00000,0100,0100SQUARE FEET 431660,B100000,00000,0200,0200SQUARE FEET 431660,B100000,00000,0300,0300GROSS SALARIES 431660,B100000,00000,0400,0400ACCUM COST 431660,B100000,00000,0500,0500SQUARE FEET 431660,B100000,00000,0600,0600PT DAYS 431660,B100000,00000,0700,0700SQ FT 431660,B100000,00000,0800,0800MEALS SERVED 431660,B100000,00000,0900,0900PT DAYS 431660,B100000,00000,1000,1000COSTED REQUIS 431660,B100000,00000,1100,1100COSTED REQUIS 431660,B100000,00000,1200,1200GROSS CHARGES 431660,B100000,00000,1300,1300PT DAYS 431660,B100000,00000,1400,1400ASSIGNED TIME 431660,B100000,00000,1500,1350PT DAYS 431660,E10A180,00301,0100,03/25/11 431660,E10A180,00501,0100,10/12/11 431660,E10A180,00501,0300,10/12/11 431660,G300000,02500,0000,MISC REVENUE 431660,S000000,00100,0200,09/06/11 431660,S200000,00100,0100,1801 WENTWORTH AVENUE 431660,S200000,00200,0100,BALTIMORE 431660,S200000,00200,0200,MD 431660,S200000,00200,0300,21234 431660,S200000,00300,0100,BALTIMORE 431660,S200000,00300,0201,12580 431660,S200000,00300,0300,U 431660,S200000,00400,0100,PERRING PARKWAY CENTER 431660,S200000,00400,0200,215081 431660,S200000,00400,0300,05/01/90 431660,S200000,00400,0500,P 431660,S200000,01500,0100,Y 431660,S200000,01501,0200,N 431660,S200000,01502,0200,N 431660,S200000,01503,0200,N 431660,S200000,01504,0200,N 431660,S200000,01505,0000,DON BONUS 431660,S200000,01505,0200,N 431660,S200000,01600,0100,N 431660,S200000,01700,0100,N 431660,S200000,01800,0100,N 431660,S200000,02200,0100,Y 431660,S200000,02800,0100,N 431660,S200000,02900,0100,N 431660,S200000,03000,0100,N 431660,S200000,03100,0100,N 431660,S200000,03200,0100,N 431660,S200000,03300,0100,N 431660,S200000,03300,0200,N 431660,S200000,04200,0100,N 431660,S200000,04300,0100,N 431660,S200000,04600,0100,N 431660,S200000,04700,0100,N 431660,S200000,04900,0100,N 431660,S200000,05200,0100,N 431660,S200000,05300,0100,Y 431660,S200000,05300,0200,HB0067 431660,S200000,05400,0100,GENESIS HEALTHCARE 431660,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431660,S200000,05400,0300,12001 431660,S200000,05500,0100,101 EAST STATE STREET 431660,S200000,05600,0100,KENNETT SQUARE 431660,S200000,05600,0200,PA 431660,S200000,05600,0300,19348 431669,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431669,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431669,A000000,00300,0000,0300EMPLOYEE BENEFITS 431669,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431669,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431669,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431669,A000000,00700,0000,0700HOUSEKEEPING 431669,A000000,00800,0000,0800DIETARY 431669,A000000,00900,0000,0900NURSING ADMINISTRATION 431669,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431669,A000000,01100,0000,1100PHARMACY 431669,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431669,A000000,01300,0000,1300SOCIAL SERVICE 431669,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431669,A000000,01500,0000,1350ACTIVITIES 431669,A000000,01600,0000,1600SKILLED NURSING FACILITY 431669,A000000,01810,0000,1810ICF/MR 431669,A000000,02100,0000,2100RADIOLOGY 431669,A000000,02200,0000,2200LABORATORY 431669,A000000,02500,0000,2500PHYSICAL THERAPY 431669,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431669,A000000,02700,0000,2700SPEECH PATHOLOGY 431669,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431669,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431669,A000000,03200,0000,3200SUPPORT SURFACES 431669,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 431669,A000000,03550,0000,3550FQHC 431669,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431669,A000000,04801,0000,4801AMBULANCE 431669,A000000,04802,0000,4802AMBULANCE 431669,A000000,04803,0000,4803AMBULANCE 431669,A000000,05000,0000,5000CORF 431669,A000000,05010,0000,5010CMHC 431669,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431669,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431669,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431669,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 431669,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431669,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 431669,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431669,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431669,A81000A,00100,0100,Y 431669,A81000B,00100,0300,HOME OFFICE-ADMIN DIRECT ALLOC 431669,A81000B,00200,0300,HOME OFFICE-MAINTENANCE DIRECT 431669,A81000B,00300,0300,HOME OFFICE-CAPITAL RELATED 431669,A81000B,00400,0300,HOME OFFICE-POOLED COST 431669,A81000B,00500,0300,UNITED CLINICAL-NURSING 431669,A81000B,00600,0300,UNITED CLINICAL-DIETARY 431669,A81000B,00700,0300,UNITED CLINICAL-ADMIN 431669,A81000B,00800,0300,UNITED REHAB-PHYSICAL THERAPY 431669,A81000B,00900,0300,UNITED REHAB-SPEECH THERAPY 431669,A81000B,01000,0300,UNITED REHAB-OCCUPATIONAL THER 431669,A81000B,01100,0300,UNITED MEDICAL-CAPITAL 431669,A81000B,01200,0300,UNITED MEDICAL-ADMIN 431669,A81000B,01300,0300,UNITED MEDICAL-PLANT OPERATION 431669,A81000B,01400,0300,UNITED MEDICAL-LAUNDRY 431669,A81000B,01500,0300,UNITED MEDICAL-HOUSEKEEPING 431669,A81000B,01600,0300,UNITED MEDICAL-DIETARY 431669,A81000B,01700,0300,UNITED MEDICAL-NURSING ADMIN 431669,A81000B,01800,0300,UNITED MEDICAL-MEDICAL RECORDS 431669,A81000B,01900,0300,UNITED MEDICAL-SOCIAL SERVICES 431669,A81000B,02000,0300,UNITED MEDICAL-ACTIVITIES 431669,A81000B,02100,0300,UNITED MEDICAL-NURSING 431669,A81000B,02200,0300,UNITED MEDICAL-PHYSICAL THERAP 431669,A81000B,02300,0300,UNITED MEDICAL-MEDICAL SUPPLIE 431669,A81000B,02400,0300,UNITED MEDICAL-SUPPORT SURFACE 431669,A81000B,02500,0300,UNICHOICE ENVIRONMENTAL-MAINTE 431669,A81000B,02600,0300,UNITED PHARMACY-PHARMACY CONSU 431669,A81000B,02700,0300,UNITED PHARMACY-MEDICAL RECORD 431669,A81000C,00100,0100,B 431669,A81000C,00100,0200,PRUITT CORPORAT 431669,A81000C,00100,0400,PRUITT CORPORAT 431669,A81000C,00100,0600,MANAGEMENT 431669,A81000C,00200,0100,B 431669,A81000C,00200,0200,PRUITT CORPORAT 431669,A81000C,00200,0600,RENTAL 431669,A81000C,00300,0100,B 431669,A81000C,00300,0200,PRUITT CORPORAT 431669,A81000C,00300,0400,UNITED COLLECTI 431669,A81000C,00300,0600,COLLECTIONS 431669,A81000C,00400,0100,B 431669,A81000C,00400,0200,PRUITT CORPORAT 431669,A81000C,00400,0400,UNITED CLINICAL 431669,A81000C,00400,0600,CONSULTING 431669,A81000C,00500,0100,B 431669,A81000C,00500,0200,PRUITT CORPORAT 431669,A81000C,00500,0400,UNITED PHARMACY 431669,A81000C,00500,0600,PHARMACY 431669,A81000C,00600,0100,B 431669,A81000C,00600,0200,PRUITT CORPORAT 431669,A81000C,00600,0400,UNITED MEDICAL 431669,A81000C,00600,0600,MEDICAL 431669,A81000C,00700,0100,B 431669,A81000C,00700,0200,PRUITT CORPORAT 431669,A81000C,00700,0400,UNITED REHAB 431669,A81000C,00700,0600,REHAB 431669,A81000C,00800,0100,B 431669,A81000C,00800,0200,PRUITT CORPORAT 431669,A81000C,00800,0400,UNICHOICE ENVIR 431669,A81000C,00800,0600,MAINTENANCE 431669,B100000,00000,0100,0100SQUARE FEET 431669,B100000,00000,0200,0200SQUARE FEET 431669,B100000,00000,0300,0300GROSS SALARIES 431669,B100000,00000,0400,0400ACCUM COST 431669,B100000,00000,0500,0500SQUARE FEET 431669,B100000,00000,0600,0600PATIENT DAYS 431669,B100000,00000,0700,0700SQUARE FEET 431669,B100000,00000,0800,0800MEALS SERVED 431669,B100000,00000,0900,0900DIRECT NURSING 431669,B100000,00000,1000,1000COSTED REQUIS. 431669,B100000,00000,1100,1100COSTED REQUIS. 431669,B100000,00000,1200,1200PATIENT DAYS 431669,B100000,00000,1300,1300PATIENT DAYS 431669,B100000,00000,1400,1400ASSIGNED TIME 431669,B100000,00000,1500,1350PATIENT DAYS 431669,E10A180,00550,0100,01/19/12 431669,G300000,02501,0000,PRIVATE ROOM CHARGES 431669,G300000,02502,0000,OTHER INCOME 431669,S000000,00100,0200,12/01/11 431669,S200000,00100,0100,1305 NORTH STREET EAST 431669,S200000,00200,0100,VIDALIA 431669,S200000,00200,0200,GA 431669,S200000,00200,0300,31788 431669,S200000,00300,0100,TOOMS 431669,S200000,00300,0201,99911 431669,S200000,00300,0300,R 431669,S200000,00400,0100,BETHANY NURSING CENTER OF VIDALIA 431669,S200000,00400,0200,115705 431669,S200000,00400,0300,11/01/10 431669,S200000,00400,0500,P 431669,S200000,01500,0100,Y 431669,S200000,01501,0200,Y 431669,S200000,01502,0200,N 431669,S200000,01503,0200,N 431669,S200000,01504,0200,N 431669,S200000,01505,0000,OTHER (SPECIFY) 431669,S200000,01505,0200,N 431669,S200000,01600,0100,N 431669,S200000,01700,0100,N 431669,S200000,01800,0100,N 431669,S200000,02200,0100,N 431669,S200000,02800,0100,N 431669,S200000,02900,0100,N 431669,S200000,03000,0100,N 431669,S200000,03100,0100,N 431669,S200000,03200,0100,N 431669,S200000,03300,0100,N 431669,S200000,03300,0200,N 431669,S200000,04200,0100,N 431669,S200000,04300,0100,N 431669,S200000,04600,0100,N 431669,S200000,04700,0100,N 431669,S200000,04900,0100,N 431669,S200000,05200,0100,N 431669,S200000,05300,0100,Y 431669,S200000,05300,0200,HO9013 431669,S200000,05400,0100,PRUITT CORPORATION 431669,S200000,05400,0200,WPS 431669,S200000,05400,0300,HO-901 431669,S200000,05500,0100,409 EAST DOYLE STREET 431669,S200000,05600,0100,TOCCOA 431669,S200000,05600,0200,GA 431669,S200000,05600,0300,30577 431678,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431678,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431678,A000000,00300,0000,0300EMPLOYEE BENEFITS 431678,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431678,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431678,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431678,A000000,00700,0000,0700HOUSEKEEPING 431678,A000000,00800,0000,0800DIETARY 431678,A000000,00900,0000,0900NURSING ADMINISTRATION 431678,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431678,A000000,01100,0000,1100PHARMACY 431678,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431678,A000000,01300,0000,1300SOCIAL SERVICE 431678,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431678,A000000,01500,0000,1350RECREATION 431678,A000000,01600,0000,1600SKILLED NURSING FACILITY 431678,A000000,01810,0000,1810ICF/MR 431678,A000000,02100,0000,2100RADIOLOGY 431678,A000000,02200,0000,2200LABORATORY 431678,A000000,02300,0000,2300INTRAVENOUS THERAPY 431678,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431678,A000000,02500,0000,2500PHYSICAL THERAPY 431678,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431678,A000000,02700,0000,2700SPEECH PATHOLOGY 431678,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431678,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431678,A000000,03550,0000,3550FQHC 431678,A000000,04801,0000,4801AMBULANCE 431678,A000000,04802,0000,4802AMBULANCE 431678,A000000,04803,0000,4803AMBULANCE 431678,A000000,05000,0000,5000CORF 431678,A000000,05010,0000,5010CMHC 431678,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431678,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431678,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431678,A81000A,00100,0100,Y 431678,A81000B,00100,0300,SEE ATTACHED 431678,A81000B,00200,0300,HOME OFFICE INTEREST 431678,A81000B,00300,0300,HOME OFFICE A & G 431678,A81000B,00400,0300,HOME OFFICE CAP PIEC 431678,A81000C,00100,0100,B 431678,A81000C,00100,0400,SEE ATTACHED 431678,A81000C,00100,0600,VARIOUS 431678,A81000C,00200,0100,B 431678,A81000C,00200,0400,GHC 431678,A81000C,00200,0600,LONG TERM CARE 431678,A81000C,00300,0100,B 431678,A81000C,00300,0400,GHC 431678,A81000C,00300,0600,LONG TERM CARE 431678,A81000C,00400,0100,B 431678,A81000C,00400,0400,GHC 431678,A81000C,00400,0600,LONG TERM CARE 431678,B100000,00000,0100,0100SQUARE FEET 431678,B100000,00000,0200,0200SQUARE FEET 431678,B100000,00000,0300,0300GROSS SALARIES 431678,B100000,00000,0400,0400ACCUM COST 431678,B100000,00000,0500,0500SQUARE FEET 431678,B100000,00000,0600,0600PATIENT DAYS 431678,B100000,00000,0700,0700SQUARE FEET 431678,B100000,00000,0800,0800MEALS SERVED 431678,B100000,00000,0900,0900NURSING SALARIES 431678,B100000,00000,1000,1000COSTED REQUIS 431678,B100000,00000,1100,1100COSTED REQUIS 431678,B100000,00000,1200,1200PATIENT DAYS 431678,B100000,00000,1300,1300PATIENT DAYS 431678,B100000,00000,1400,1400ASSIGNED TIME 431678,B100000,00000,1500,1350PATIENT DAYS 431678,E10A180,00301,0100,03/23/11 431678,E10A180,00501,0300,10/13/11 431678,E10A180,00550,0100,10/13/11 431678,G300000,02500,0000,BARBER AND BEAUTY 431678,S000000,00100,0200,09/12/11 431678,S200000,00100,0100,336 SOUTH WEST END AVENUE 431678,S200000,00200,0100,LANCASTER 431678,S200000,00200,0200,PA 431678,S200000,00200,0300,17603 431678,S200000,00300,0100,LANCASTER 431678,S200000,00300,0201,29540 431678,S200000,00300,0300,U 431678,S200000,00400,0100,HAMILTON ARMS CENTER 431678,S200000,00400,0200,395224 431678,S200000,00400,0300,03/31/85 431678,S200000,00400,0500,P 431678,S200000,01500,0100,Y 431678,S200000,01501,0200,N 431678,S200000,01502,0200,N 431678,S200000,01503,0200,N 431678,S200000,01504,0200,N 431678,S200000,01600,0100,N 431678,S200000,01700,0100,N 431678,S200000,01800,0100,N 431678,S200000,02200,0100,Y 431678,S200000,02800,0100,N 431678,S200000,02900,0100,N 431678,S200000,03000,0100,N 431678,S200000,03100,0100,N 431678,S200000,03200,0100,N 431678,S200000,03300,0100,N 431678,S200000,03300,0200,N 431678,S200000,04200,0100,N 431678,S200000,04300,0100,N 431678,S200000,04600,0100,N 431678,S200000,04700,0100,N 431678,S200000,04900,0100,N 431678,S200000,05200,0100,N 431678,S200000,05300,0100,Y 431678,S200000,05300,0200,HB0067 431678,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431678,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431678,S200000,05400,0300,12001 431678,S200000,05500,0100,101 EAST STATE STREET 431678,S200000,05600,0100,KENNETT SQUARE 431678,S200000,05600,0200,PA 431678,S200000,05600,0300,19348 431679,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431679,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431679,A000000,00300,0000,0300EMPLOYEE BENEFITS 431679,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431679,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431679,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431679,A000000,00700,0000,0700HOUSEKEEPING 431679,A000000,00800,0000,0800DIETARY 431679,A000000,00900,0000,0900NURSING ADMINISTRATION 431679,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431679,A000000,01100,0000,1100PHARMACY 431679,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431679,A000000,01300,0000,1300SOCIAL SERVICE 431679,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431679,A000000,01500,0000,1350RECREATION 431679,A000000,01600,0000,1600SKILLED NURSING FACILITY 431679,A000000,01810,0000,1810ICF/MR 431679,A000000,02100,0000,2100RADIOLOGY 431679,A000000,02200,0000,2200LABORATORY 431679,A000000,02300,0000,2300INTRAVENOUS THERAPY 431679,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431679,A000000,02500,0000,2500PHYSICAL THERAPY 431679,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431679,A000000,02700,0000,2700SPEECH PATHOLOGY 431679,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431679,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431679,A000000,03550,0000,3550FQHC 431679,A000000,04801,0000,4801AMBULANCE 431679,A000000,04802,0000,4802AMBULANCE 431679,A000000,04803,0000,4803AMBULANCE 431679,A000000,05000,0000,5000CORF 431679,A000000,05010,0000,5010CMHC 431679,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431679,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431679,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431679,A81000A,00100,0100,Y 431679,A81000B,00100,0300,SEE ATTACHED 431679,A81000B,00200,0300,CAPITAL INTEREST 431679,A81000B,00300,0300,HOME OFFICE 431679,A81000B,00400,0300,HOME OFFICE 431679,A81000C,00100,0100,B 431679,A81000C,00100,0400,SEE ATTACHED 431679,A81000C,00100,0600,VARIOUS 431679,A81000C,00200,0100,B 431679,A81000C,00200,0400,GHC 431679,A81000C,00200,0600,LONG TERM CARE 431679,A81000C,00300,0100,B 431679,A81000C,00300,0400,GHC 431679,A81000C,00300,0600,LONG TERM CARE 431679,A81000C,00400,0100,B 431679,A81000C,00400,0400,GHC 431679,A81000C,00400,0600,LONG TERM CARE 431679,B100000,00000,0100,0100SQUARE FEET 431679,B100000,00000,0200,0200SQUARE FEET 431679,B100000,00000,0300,0300GROSS SALARIES 431679,B100000,00000,0400,0400ACCUM COST 431679,B100000,00000,0500,0500SQUARE FEET 431679,B100000,00000,0600,0600PATIENT DAYS 431679,B100000,00000,0700,0700SQUARE FEET 431679,B100000,00000,0800,0800MEALS SERVED 431679,B100000,00000,0900,0900NURSING SALARIES 431679,B100000,00000,1000,1000COSTED REQUIS 431679,B100000,00000,1100,1100COSTED REQUIS 431679,B100000,00000,1200,1200PATIENT DAYS 431679,B100000,00000,1300,1300PATIENT DAYS 431679,B100000,00000,1400,1400ASSIGNED TIME 431679,B100000,00000,1500,1350PATIENT DAYS 431679,E10A180,00501,0100,10/04/11 431679,E10A180,00501,0300,10/04/11 431679,G300000,02500,0000,BARBER & BEAUTY 431679,S000000,00100,0200,09/07/11 431679,S200000,00100,0100,3485 DAVISVILLE ROAD 431679,S200000,00200,0100,HATBORO 431679,S200000,00200,0200,PA 431679,S200000,00200,0300,19040 431679,S200000,00300,0100,MONTGOMERY 431679,S200000,00300,0201,37964 431679,S200000,00300,0300,U 431679,S200000,00400,0100,WILLOW RIDGE CENTER 431679,S200000,00400,0200,396017 431679,S200000,00400,0300,01/17/97 431679,S200000,00400,0500,P 431679,S200000,01500,0100,Y 431679,S200000,01501,0200,N 431679,S200000,01502,0200,N 431679,S200000,01503,0200,N 431679,S200000,01504,0200,N 431679,S200000,01600,0100,N 431679,S200000,01700,0100,N 431679,S200000,01800,0100,N 431679,S200000,02200,0100,Y 431679,S200000,02800,0100,N 431679,S200000,02900,0100,N 431679,S200000,03000,0100,N 431679,S200000,03100,0100,N 431679,S200000,03200,0100,N 431679,S200000,03300,0100,N 431679,S200000,03300,0200,N 431679,S200000,04200,0100,N 431679,S200000,04300,0100,N 431679,S200000,04600,0100,N 431679,S200000,04700,0100,N 431679,S200000,04900,0100,N 431679,S200000,05200,0100,N 431679,S200000,05300,0100,Y 431679,S200000,05300,0200,HB0067 431679,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431679,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431679,S200000,05400,0300,12001 431679,S200000,05500,0100,101 EAST STATE STREET 431679,S200000,05600,0100,KENNETT SQUARE 431679,S200000,05600,0200,PA 431679,S200000,05600,0300,19348 431753,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431753,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431753,A000000,00300,0000,0300EMPLOYEE BENEFITS 431753,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431753,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431753,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431753,A000000,00700,0000,0700HOUSEKEEPING 431753,A000000,00800,0000,0800DIETARY 431753,A000000,00900,0000,0900NURSING ADMINISTRATION 431753,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431753,A000000,01100,0000,1100PHARMACY 431753,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431753,A000000,01300,0000,1300SOCIAL SERVICE 431753,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431753,A000000,01500,0000,1350ACTIVITIES / RECREATION 431753,A000000,01600,0000,1600SKILLED NURSING FACILITY 431753,A000000,01810,0000,1810ICF/MR 431753,A000000,01900,0000,1900OTHER LONG TERM CARE 431753,A000000,02100,0000,2100RADIOLOGY 431753,A000000,02200,0000,2200LABORATORY 431753,A000000,02300,0000,2300INTRAVENOUS THERAPY 431753,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431753,A000000,02500,0000,2500PHYSICAL THERAPY 431753,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431753,A000000,02700,0000,2700SPEECH PATHOLOGY 431753,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431753,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431753,A000000,03200,0000,3200SUPPORT SURFACES 431753,A000000,03300,0000,3050PEN SERVICES 431753,A000000,03550,0000,3550FQHC 431753,A000000,04801,0000,4801AMBULANCE 431753,A000000,04802,0000,4802AMBULANCE 431753,A000000,04803,0000,4803AMBULANCE 431753,A000000,05000,0000,5000CORF 431753,A000000,05010,0000,5010CMHC 431753,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431753,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431753,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431753,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431753,A81000A,00100,0100,Y 431753,A81000B,00100,0300,HOME OFFICE A & G 431753,A81000B,00200,0300,DIRECT INT. & AMORT. 431753,A81000B,00300,0300,H. O. CAPITAL 431753,A81000B,00400,0300,PT 431753,A81000B,00500,0300,OT 431753,A81000B,00600,0300,ST 431753,A81000B,00700,0300,NUTRTIONIST 431753,A81000B,00800,0300,RT 431753,A81000B,00900,0300,MEDICAL DIRECTOR 431753,A81000B,01000,0300,PURCH. SERVICES 431753,A81000C,00100,0100,B 431753,A81000C,00100,0200,GENESIS HEALTHC 431753,A81000C,00100,0600,MGMT. COMPANY 431753,A81000C,00200,0100,B 431753,A81000C,00200,0200,GENESIS STAFF. 431753,A81000C,00200,0600,VARIOUS PURCH. 431753,A81000C,00300,0100,B 431753,A81000C,00300,0200,GENESIS REHAB 431753,A81000C,00300,0600,REHAB 431753,A81000C,00400,0100,B 431753,A81000C,00400,0200,GENESIS HOSPITA 431753,A81000C,00400,0600,NUTRITIONIST 431753,A81000C,00500,0100,B 431753,A81000C,00500,0200,RESPIRATORY HEA 431753,A81000C,00500,0600,RT 431753,A81000C,00600,0100,B 431753,A81000C,00600,0200,PHYSICIAN SERVI 431753,A81000C,00600,0600,MEDICAL DIRECTO 431753,B100000,00000,0100,0100SQUARE FEET 431753,B100000,00000,0200,0200SQUARE FEET 431753,B100000,00000,0300,0300GROSS SALARIES 431753,B100000,00000,0400,0400ACCUM COST 431753,B100000,00000,0500,0500SQUARE FEET 431753,B100000,00000,0600,0600PATIENT DAYS 431753,B100000,00000,0700,0700SQUARE FEET 431753,B100000,00000,0800,0800MEALS SERVED 431753,B100000,00000,0900,0900PATIENT DAYS 431753,B100000,00000,1000,1000COSTED REQUIS 431753,B100000,00000,1100,1100COSTED REQUIS 431753,B100000,00000,1200,1200GROSS CHARGES 431753,B100000,00000,1300,1300PATIENT DAYS 431753,B100000,00000,1400,1400ASSIGNED TIME 431753,B100000,00000,1500,1350PATIENT DAYS 431753,E10A180,00301,0100,03/21/11 431753,E10A180,00502,0300,11/08/11 431753,E10A180,00550,0100,11/08/11 431753,G300000,02500,0000,MISC. REVENUE 431753,G300000,02501,0000,CONTRACTUALS / 431753,S000000,00100,0200,09/06/11 431753,S200000,00100,0100,4140 OLD WASHINGTON HIGHWAY 431753,S200000,00200,0100,WALDORF 431753,S200000,00200,0200,MD 431753,S200000,00200,0300,20602 431753,S200000,00300,0100,CHARLES 431753,S200000,00300,0201,47894 431753,S200000,00300,0300,R 431753,S200000,00400,0100,WALDORF CENTER 431753,S200000,00400,0200,215273 431753,S200000,00400,0300,11/01/06 431753,S200000,00400,0500,P 431753,S200000,01500,0100,Y 431753,S200000,01501,0200,N 431753,S200000,01502,0200,N 431753,S200000,01503,0200,N 431753,S200000,01504,0200,N 431753,S200000,01505,0000,DON BONUS 431753,S200000,01505,0200,N 431753,S200000,01600,0100,N 431753,S200000,01700,0100,N 431753,S200000,01800,0100,N 431753,S200000,02200,0100,Y 431753,S200000,02800,0100,N 431753,S200000,02900,0100,N 431753,S200000,03000,0100,N 431753,S200000,03100,0100,N 431753,S200000,03200,0100,N 431753,S200000,03300,0100,N 431753,S200000,03300,0200,N 431753,S200000,04200,0100,N 431753,S200000,04300,0100,N 431753,S200000,04600,0100,N 431753,S200000,04700,0100,N 431753,S200000,04900,0100,N 431753,S200000,05200,0100,N 431753,S200000,05300,0100,Y 431753,S200000,05300,0200,HB0067 431753,S200000,05400,0100,GENESIS HEALTHCARE 431753,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431753,S200000,05400,0300,12001 431753,S200000,05500,0100,101 EAST STATE STREET 431753,S200000,05600,0100,KENNETT SQUARE 431753,S200000,05600,0200,PA 431753,S200000,05600,0300,19348 431759,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431759,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431759,A000000,00300,0000,0300EMPLOYEE BENEFITS 431759,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431759,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431759,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431759,A000000,00700,0000,0700HOUSEKEEPING 431759,A000000,00800,0000,0800DIETARY 431759,A000000,00900,0000,0900NURSING ADMINISTRATION 431759,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431759,A000000,01100,0000,1100PHARMACY 431759,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431759,A000000,01300,0000,1300SOCIAL SERVICE 431759,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431759,A000000,01500,0000,1350OTHER GENERAL SERVICES 431759,A000000,01600,0000,1600SKILLED NURSING FACILITY 431759,A000000,01800,0000,1800NURSING FACILITY 431759,A000000,01810,0000,1810ICF/MR 431759,A000000,01900,0000,1900OTHER LONG TERM CARE 431759,A000000,02100,0000,2100RADIOLOGY 431759,A000000,02200,0000,2200LABORATORY 431759,A000000,02300,0000,2300INTRAVENOUS THERAPY 431759,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431759,A000000,02500,0000,2500PHYSICAL THERAPY 431759,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431759,A000000,02700,0000,2700SPEECH PATHOLOGY 431759,A000000,02800,0000,2800ELECTROCARDIOLOGY 431759,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431759,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431759,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431759,A000000,03200,0000,3200SUPPORT SURFACES 431759,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431759,A000000,03400,0000,3400CLINIC 431759,A000000,03500,0000,3500RURAL HEALTH CLINIC 431759,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431759,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431759,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431759,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431759,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431759,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431759,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431759,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431759,A000000,04400,0000,4400DME RENTED - HHA 431759,A000000,04500,0000,4500DME SOLD - HHA 431759,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431759,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431759,A000000,04710,0000,4710TELEMEDICINE 431759,A000000,04800,0000,4800AMBULANCE 431759,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431759,A000000,05000,0000,5000CORF 431759,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431759,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431759,A000000,05300,0000,5300INTEREST EXPENSE 431759,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431759,A000000,05500,0000,5500HOSPICE 431759,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431759,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431759,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431759,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431759,A000000,06100,0000,6100NONPAID WORKERS 431759,A000000,06200,0000,6200PATIENTS LAUNDRY 431759,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431759,A81000A,00100,0100,Y 431759,A81000B,00100,0300,WORK COMP 431759,A81000B,00200,0300,TELEPHONE EXPENSE 431759,A81000B,00300,0300,ADMINISTRATIVE EXPENSE 431759,A81000B,00400,0300,MAINTENANCE EXPENSE 431759,A81000B,00500,0300,GL/PL 431759,A81000B,00600,0300,HEALTH INSURANCE 431759,A81000C,00100,0100,B 431759,A81000C,00100,0200,JUPITER MEDICAL CENTER 431759,A81000C,00100,0400,JUPITER MEDICAL CENTER 431759,A81000C,00100,0600,HOSPITAL 431759,A81000C,00200,0100,B 431759,A81000C,00200,0200,JUPITER MEDICAL CENTER 431759,A81000C,00200,0400,JUPITER MEDICAL CENTER 431759,A81000C,00200,0600,HOSPITAL 431759,A81000C,00300,0100,B 431759,A81000C,00300,0200,JUPITER MEDICAL CENTER 431759,A81000C,00300,0400,JUPITER MEDICAL CENTER 431759,A81000C,00300,0600,HOSPITAL 431759,A81000C,00400,0100,B 431759,A81000C,00400,0200,JUPITER MEDICAL CENTER 431759,A81000C,00400,0400,JUPITER MEDICAL CENTER 431759,A81000C,00400,0600,HOSPITAL 431759,A81000C,00500,0100,B 431759,A81000C,00500,0200,JUPITER MEDICAL CENTER 431759,A81000C,00500,0400,JUPITER MEDICAL CENTER 431759,A81000C,00500,0600,HOSPITAL 431759,A81000C,00600,0100,B 431759,A81000C,00600,0200,JUPITER MEDICAL CENTER 431759,A81000C,00600,0400,JUPITER MEDICAL CENTER 431759,A81000C,00600,0600,HOSPITAL 431759,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431759,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431759,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431759,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431759,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431759,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431759,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431759,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431759,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431759,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431759,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431759,E10A180,00501,0100,04/03/12 431759,G300000,02500,0000,OTHER NON-SNF 431759,G300000,02501,0000,GAIN ON SALE 431759,G300000,02502,0000,BARBER & BEAUTY 431759,G300000,02503,0000,PRIOR YEAR MEDICARE 431759,S000000,00100,0200,03/01/12 431759,S200000,00100,0100,1230 SOUTH OLD DIXIE HIGHWAY 431759,S200000,00200,0100,JUPITER 431759,S200000,00200,0200,FL 431759,S200000,00200,0300,33458 431759,S200000,00300,0100,PALM BEACH 431759,S200000,00300,0200,8960 431759,S200000,00300,0201,48424 431759,S200000,00300,0300,U 431759,S200000,00400,0100,JUPITER MEDICAL CENTER PAVILION 431759,S200000,00400,0200,105047 431759,S200000,00400,0300,09/01/71 431759,S200000,00400,0500,P 431759,S200000,01500,0100,Y 431759,S200000,01501,0200,Y 431759,S200000,01503,0200,Y 431759,S200000,01504,0200,Y 431759,S200000,01600,0100,N 431759,S200000,01700,0100,N 431759,S200000,01800,0100,N 431759,S200000,02200,0100,N 431759,S200000,02800,0100,N 431759,S200000,02900,0100,N 431759,S200000,03000,0100,N 431759,S200000,03100,0100,N 431759,S200000,03200,0100,N 431759,S200000,03300,0100,N 431759,S200000,03300,0200,N 431759,S200000,04100,0100,N 431759,S200000,04200,0100,N 431759,S200000,04300,0100,N 431759,S200000,04600,0100,N 431759,S200000,04700,0100,N 431759,S200000,04700,0200,N 431759,S200000,04900,0100,N 431759,S200000,05000,0100,N 431759,S200000,05100,0100,N 431759,S200000,05200,0100,N 431765,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431765,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431765,A000000,00300,0000,0300EMPLOYEE BENEFITS 431765,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431765,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431765,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431765,A000000,00700,0000,0700HOUSEKEEPING 431765,A000000,00800,0000,0800DIETARY 431765,A000000,00900,0000,0900NURSING ADMINISTRATION 431765,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431765,A000000,01100,0000,1100PHARMACY 431765,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431765,A000000,01300,0000,1300SOCIAL SERVICE 431765,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431765,A000000,01600,0000,1600SKILLED NURSING FACILITY 431765,A000000,01810,0000,1810ICF/MR 431765,A000000,02100,0000,2100RADIOLOGY 431765,A000000,02200,0000,2200LABORATORY 431765,A000000,02300,0000,2300INTRAVENOUS THERAPY 431765,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431765,A000000,02500,0000,2500PHYSICAL THERAPY 431765,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431765,A000000,02700,0000,2700SPEECH PATHOLOGY 431765,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431765,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431765,A000000,03550,0000,3550FQHC 431765,A000000,05000,0000,5000CORF 431765,A000000,05010,0000,5010CMHC 431765,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431765,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431765,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431765,A000000,05300,0000,5300INTEREST EXPENSE 431765,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431765,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431765,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431765,A81000A,00100,0100,Y 431765,A81000B,00100,0300,CONSULTING SERVICES 431765,A81000B,00200,0300,QA 431765,A81000B,00300,0300,QA 431765,A81000B,00400,0300,CLIN CASE MGT/CONSUL 431765,A81000B,00500,0300,QA 431765,A81000B,00600,0300,H.O. CAPITAL 431765,A81000B,00700,0300,MANAGEMENT FEES 431765,A81000C,00100,0100,B 431765,A81000C,00100,0200,HSM INC. 431765,A81000C,00100,0400,HSM INC. 431765,A81000C,00100,0600,HOME OFFICE 431765,A81000C,00200,0100,D 431765,A81000C,00200,0200,HEALTHCARE ADVI 431765,A81000C,00200,0400,HSM INC. 431765,A81000C,00200,0600,CONSULTING 431765,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431765,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431765,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431765,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431765,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431765,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431765,B100000,00000,0800,0800MEALS SERVED :DIETARY 431765,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431765,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431765,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431765,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431765,E10A180,00301,0100,08/24/11 431765,E10A180,00501,0300,02/25/12 431765,E10A180,00550,0100,02/25/12 431765,G300000,02500,0000,OTHER OPERATING 431765,G300000,02501,0000,PHYSICIAN VISITS 431765,G300000,02502,0000,BEAUTY & BARBER 431765,S000000,00100,0200,02/27/12 431765,S200000,00100,0100,37300 ROYAL OAK LANE 431765,S200000,00100,0300,1976 431765,S200000,00200,0100,DADE CITY 431765,S200000,00200,0200,FL 431765,S200000,00200,0300,33525 431765,S200000,00300,0100,PASCO 431765,S200000,00300,0201,45300 431765,S200000,00300,0300,U 431765,S200000,00400,0100,ROYAL OAK NURSING CENTER 431765,S200000,00400,0200,105385 431765,S200000,00400,0300,10/01/73 431765,S200000,00400,0500,P 431765,S200000,00600,0200,105385 431765,S200000,00600,0300,10/01/73 431765,S200000,00600,0600,O 431765,S200000,01500,0100,Y 431765,S200000,01501,0200,Y 431765,S200000,01600,0100,Y 431765,S200000,01700,0100,N 431765,S200000,01800,0100,N 431765,S200000,02200,0100,N 431765,S200000,02800,0100,N 431765,S200000,02900,0100,N 431765,S200000,03000,0100,N 431765,S200000,03100,0100,N 431765,S200000,03200,0100,N 431765,S200000,03300,0100,N 431765,S200000,03300,0200,N 431765,S200000,03500,0300,N 431765,S200000,04100,0100,N 431765,S200000,04200,0100,N 431765,S200000,04300,0100,N 431765,S200000,04600,0100,N 431765,S200000,04700,0100,N 431765,S200000,04700,0200,N 431765,S200000,04900,0100,N 431765,S200000,05000,0100,N 431765,S200000,05100,0100,N 431765,S200000,05200,0100,N 431765,S200000,05300,0100,Y 431765,S200000,05300,0200,44-HO9 431765,S200000,05400,0100,HSM INC. 431765,S200000,05400,0200,CAHABA GBA 431765,S200000,05400,0300,10301 431765,S200000,05500,0100,206 FORTRESS BLVD 431765,S200000,05600,0100,MURFREESBORO 431765,S200000,05600,0200,TN 431765,S200000,05600,0300,37128 431770,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431770,A000000,00300,0000,0300EMPLOYEE BENEFITS 431770,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431770,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431770,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431770,A000000,00700,0000,0700HOUSEKEEPING 431770,A000000,00800,0000,0800DIETARY 431770,A000000,00900,0000,0900NURSING ADMINISTRATION 431770,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431770,A000000,01300,0000,1300SOCIAL SERVICE 431770,A000000,01600,0000,1600SKILLED NURSING FACILITY 431770,A000000,02100,0000,2100RADIOLOGY 431770,A000000,02200,0000,2200LABORATORY 431770,A000000,02500,0000,2500PHYSICAL THERAPY 431770,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431770,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431770,A000000,05300,0000,5300INTEREST EXPENSE 431770,A81000A,00100,0100,Y 431770,A81000B,00100,0300,HOME OFFICE CAPITAL 431770,A81000B,00200,0300,HOME OFFICE WRKS COM 431770,A81000B,00300,0300,HOME OFFICE A&G 431770,A81000B,00400,0300,LAUNDRY EXPENSE 431770,A81000C,00100,0100,G 431770,A81000C,00100,0400,BAPTIST HEALTH 431770,A81000C,00100,0600,HOME OFFICE 431770,A81000C,00200,0100,G 431770,A81000C,00200,0400,BAPTIST HOSPITA 431770,A81000C,00200,0600,HOSPITAL 431770,A81000C,03100,0000,NONFINANCIAL 431770,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431770,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431770,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431770,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431770,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431770,B100000,00000,0800,0800MEALS SERVED :DIETARY 431770,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431770,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431770,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431770,E10A180,00501,0100,03/22/12 431770,G300000,02500,0000,OTHER OPERATING REVENUES 431770,G300000,02501,0000,OTHER NONOPERATING 431770,S000000,00100,0200,02/28/12 431770,S200000,00100,0100,10095 HILLVIEW ROAD 431770,S200000,00200,0100,PENSACOLA 431770,S200000,00200,0200,FL 431770,S200000,00200,0300,32514 431770,S200000,00300,0100,ESCAMBIA 431770,S200000,00300,0201,37860 431770,S200000,00300,0300,U 431770,S200000,00400,0100,BAPTIST MANOR 431770,S200000,00400,0200,105532 431770,S200000,00400,0300,12/21/85 431770,S200000,00400,0500,P 431770,S200000,01500,0100,Y 431770,S200000,01501,0200,Y 431770,S200000,01600,0100,N 431770,S200000,01700,0100,N 431770,S200000,01800,0100,N 431770,S200000,01900,0100,COMMUNITY 431770,S200000,02200,0100,N 431770,S200000,02800,0100,N 431770,S200000,02900,0100,N 431770,S200000,03000,0100,N 431770,S200000,03100,0100,N 431770,S200000,03200,0100,N 431770,S200000,03300,0100,N 431770,S200000,03300,0200,N 431770,S200000,04100,0100,Y 431770,S200000,04200,0100,N 431770,S200000,04300,0100,N 431770,S200000,04600,0100,N 431770,S200000,04700,0100,N 431770,S200000,04700,0200,N 431770,S200000,04900,0100,N 431770,S200000,05000,0100,N 431770,S200000,05100,0100,N 431770,S200000,05200,0100,N 431770,S200000,05300,0100,Y 431770,S200000,05300,0200,108018 431770,S200000,05400,0100,BAPTIST HEALTH CARE 431770,S200000,05400,0200,FIRST COAST SERVICE OPTIONS 431770,S200000,05400,0300,00090 431770,S200000,05500,0100,532 RIVERSIDE AVENUE 431770,S200000,05600,0100,JACKSONVILLE 431770,S200000,05600,0200,FL 431770,S200000,05600,0300,32202 431776,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431776,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431776,A000000,00300,0000,0300EMPLOYEE BENEFITS 431776,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431776,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431776,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431776,A000000,00700,0000,0700HOUSEKEEPING 431776,A000000,00800,0000,0800DIETARY 431776,A000000,00900,0000,0900NURSING ADMINISTRATION 431776,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431776,A000000,01100,0000,1100PHARMACY 431776,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431776,A000000,01300,0000,1300SOCIAL SERVICE 431776,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431776,A000000,01600,0000,1600SKILLED NURSING FACILITY 431776,A000000,01800,0000,1800NURSING FACILITY 431776,A000000,01810,0000,1810ICF/MR 431776,A000000,02100,0000,2100RADIOLOGY 431776,A000000,02200,0000,2200LABORATORY 431776,A000000,02300,0000,2300INTRAVENOUS THERAPY 431776,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431776,A000000,02500,0000,2500PHYSICAL THERAPY 431776,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431776,A000000,02700,0000,2700SPEECH PATHOLOGY 431776,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431776,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431776,A000000,03550,0000,3550FQHC 431776,A000000,05000,0000,5000CORF 431776,A000000,05010,0000,5010CMHC 431776,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431776,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431776,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431776,A000000,05300,0000,5300INTEREST EXPENSE 431776,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431776,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431776,A81000A,00100,0100,N 431776,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431776,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431776,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431776,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431776,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431776,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431776,B100000,00000,0800,0800MEALS SERVED :DIETARY 431776,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431776,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431776,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431776,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431776,E10A180,00301,0100,03/01/11 431776,E10A180,00550,0100,02/03/12 431776,E10A180,00551,0100,03/06/12 431776,G300000,02500,0000,BEAUTY & BARBER 431776,G300000,02501,0000,POSITIVE C/A 431776,S000000,00100,0200,02/06/12 431776,S200000,00100,0100,10949 PARNU STREET 431776,S200000,00100,0300,110247 431776,S200000,00200,0100,NAPLES 431776,S200000,00200,0200,FL 431776,S200000,00200,0300,34109 431776,S200000,00300,0100,COLLIER 431776,S200000,00300,0201,34940 431776,S200000,00300,0300,U 431776,S200000,00400,0100,THE ARISTOCRAT 431776,S200000,00400,0200,105790 431776,S200000,00400,0300,03/11/93 431776,S200000,00400,0500,P 431776,S200000,00600,0200,105790 431776,S200000,00600,0300,03/11/93 431776,S200000,00600,0600,O 431776,S200000,01500,0100,N 431776,S200000,01501,0200,Y 431776,S200000,01600,0100,Y 431776,S200000,01700,0100,N 431776,S200000,01800,0100,N 431776,S200000,02200,0100,N 431776,S200000,02800,0100,N 431776,S200000,02900,0100,N 431776,S200000,03000,0100,N 431776,S200000,03100,0100,N 431776,S200000,03200,0100,N 431776,S200000,03300,0100,N 431776,S200000,03300,0200,N 431776,S200000,03500,0300,N 431776,S200000,04100,0100,N 431776,S200000,04200,0100,N 431776,S200000,04300,0100,N 431776,S200000,04600,0100,N 431776,S200000,04700,0100,N 431776,S200000,04700,0200,N 431776,S200000,04900,0100,N 431776,S200000,05000,0100,N 431776,S200000,05100,0100,N 431776,S200000,05200,0100,N 431779,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431779,A000000,00300,0000,0300EMPLOYEE BENEFITS 431779,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431779,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431779,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431779,A000000,00700,0000,0700HOUSEKEEPING 431779,A000000,00800,0000,0800DIETARY 431779,A000000,00900,0000,0900NURSING ADMINISTRATION 431779,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431779,A000000,01100,0000,1100PHARMACY 431779,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431779,A000000,01300,0000,1300SOCIAL SERVICE 431779,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431779,A000000,01500,0000,1350OTHER GENERAL SERVICES 431779,A000000,01600,0000,1600SKILLED NURSING FACILITY 431779,A000000,01800,0000,1800NURSING FACILITY 431779,A000000,01810,0000,1810ICF/MR 431779,A000000,01900,0000,1900OTHER LONG TERM CARE 431779,A000000,02100,0000,2100RADIOLOGY 431779,A000000,02200,0000,2200LABORATORY 431779,A000000,02300,0000,2300INTRAVENOUS THERAPY 431779,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431779,A000000,02500,0000,2500PHYSICAL THERAPY 431779,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431779,A000000,02700,0000,2700SPEECH PATHOLOGY 431779,A000000,02800,0000,2800ELECTROCARDIOLOGY 431779,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431779,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431779,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431779,A000000,03200,0000,3200SUPPORT SURFACES 431779,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431779,A000000,03400,0000,3400CLINIC 431779,A000000,03500,0000,3500RURAL HEALTH CLINIC 431779,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431779,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431779,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431779,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431779,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431779,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431779,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431779,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431779,A000000,04400,0000,4400DME RENTED - HHA 431779,A000000,04500,0000,4500DME SOLD - HHA 431779,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431779,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431779,A000000,04710,0000,4710TELEMEDICINE 431779,A000000,04800,0000,4800AMBULANCE 431779,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431779,A000000,05000,0000,5000CORF 431779,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431779,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431779,A000000,05300,0000,5300INTEREST EXPENSE 431779,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431779,A000000,05500,0000,5500HOSPICE 431779,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431779,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431779,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431779,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431779,A000000,06100,0000,6100NONPAID WORKERS 431779,A000000,06200,0000,6200PATIENTS LAUNDRY 431779,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431779,A81000A,00100,0100,Y 431779,A81000B,00100,0300,HOME OFFICE PROPERTY 431779,A81000B,00200,0300,HOME OFFICE ADMIN 431779,A81000B,00300,0300,RENT EXPENSE 431779,A81000B,00400,0300,ACCOUNTING FEES 431779,A81000B,00500,0300,SERVICE FEES 431779,A81000B,00600,0300,PROPERTY TAXES 431779,A81000B,00700,0300,PROPERTY INSURANCE 431779,A81000B,00800,0300,GEN/LIAB INSURANCE 431779,A81000B,00900,0300,INTEREST EXPENSE 431779,A81000B,01000,0300,MISCELLANEOUS EXP 431779,A81000B,01100,0300,DEPRECIATION EXP 431779,A81000B,01200,0300,SOFTWARE & SUPPORT 431779,A81000C,00100,0100,A 431779,A81000C,00100,0200,ELVA GONZALEZ 431779,A81000C,00100,0400,SYNERGY HEALTHCARE 431779,A81000C,00100,0600,HOME OFFICE 431779,A81000C,00200,0100,A 431779,A81000C,00200,0200,ELVA GONZALEZ 431779,A81000C,00200,0400,SYNERGY HEALTHCARE 431779,A81000C,00200,0600,HOME OFFICE 431779,A81000C,00300,0100,A 431779,A81000C,00300,0200,ELVA GONZALEZ 431779,A81000C,00300,0400,SHS OF FLORIDA 431779,A81000C,00300,0600,SHS OF FLORIDA 431779,A81000C,00400,0100,A 431779,A81000C,00400,0200,ELVA GONZALEZ 431779,A81000C,00400,0400,SHS OF FLORIDA 431779,A81000C,00400,0600,SHS OF FLORIDA 431779,A81000C,00500,0100,A 431779,A81000C,00500,0200,ELVA GONZALEZ 431779,A81000C,00500,0400,SHS OF FLORIDA 431779,A81000C,00500,0600,SHS OF FLORIDA 431779,A81000C,00600,0100,A 431779,A81000C,00600,0200,ELVA GONZALEZ 431779,A81000C,00600,0400,SHS OF FLORIDA 431779,A81000C,00600,0600,SHS OF FLORIDA 431779,A81000C,00700,0100,A 431779,A81000C,00700,0200,ELVA GONZALEZ 431779,A81000C,00700,0400,SHS OF FLORIDA 431779,A81000C,00700,0600,SHS OF FLORIDA 431779,A81000C,00800,0100,A 431779,A81000C,00800,0200,ELVA GONZALEZ 431779,A81000C,00800,0400,SHS OF FLORIDA 431779,A81000C,00800,0600,SHS OF FLORIDA 431779,A81000C,00900,0100,A 431779,A81000C,00900,0200,ELVA GONZALEZ 431779,A81000C,00900,0400,SHS OF FLORIDA 431779,A81000C,00900,0600,SHS OF FLORIDA 431779,A81000C,01000,0100,A 431779,A81000C,01000,0200,ELVA GONZALEZ 431779,A81000C,01000,0400,SHS OF FLORIDA 431779,A81000C,01000,0600,SHS OF FLORIDA 431779,A81000C,01001,0100,A 431779,A81000C,01001,0200,ELVA GONZALEZ 431779,A81000C,01001,0400,SHS OF FLORIDA 431779,A81000C,01001,0600,SHS OF FLORIDA 431779,A81000C,01002,0100,A 431779,A81000C,01002,0200,ELVA GONZALEZ 431779,A81000C,01002,0400,SYNTRICITY NETWORKS 431779,A81000C,01002,0600,NETWORK/SOFTWARE/SUPPORT 431779,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431779,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431779,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431779,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431779,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431779,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431779,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431779,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431779,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431779,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431779,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431779,E10A180,00301,0100,04/19/11 431779,E10A180,00501,0300,02/27/12 431779,E10A180,00550,0100,02/27/12 431779,G300000,02500,0000,MISCELLANEOUS REVENUE 431779,S000000,00100,0200,02/28/12 431779,S200000,00100,0100,700 SOUTH 29TH STREET 431779,S200000,00200,0100,FT. PIERCE 431779,S200000,00200,0200,FL 431779,S200000,00200,0300,34954 431779,S200000,00300,0100,ST. LUCIE 431779,S200000,00300,0200,2710 431779,S200000,00300,0201,38940 431779,S200000,00300,0300,U 431779,S200000,00400,0100,ABBIEJEAN RUSSELL CARE CENTER 431779,S200000,00400,0200,105804 431779,S200000,00400,0300,05/01/04 431779,S200000,00400,0500,P 431779,S200000,01500,0100,Y 431779,S200000,01501,0200,Y 431779,S200000,01502,0200,Y 431779,S200000,01503,0200,Y 431779,S200000,01504,0200,Y 431779,S200000,01600,0100,N 431779,S200000,01700,0100,N 431779,S200000,01800,0100,N 431779,S200000,02200,0100,N 431779,S200000,02800,0100,N 431779,S200000,02900,0100,N 431779,S200000,03000,0100,N 431779,S200000,03100,0100,N 431779,S200000,03200,0100,N 431779,S200000,03300,0100,N 431779,S200000,03300,0200,N 431779,S200000,04100,0100,N 431779,S200000,04200,0100,N 431779,S200000,04300,0100,N 431779,S200000,04600,0100,N 431779,S200000,04700,0100,N 431779,S200000,04700,0200,N 431779,S200000,04900,0100,N 431779,S200000,05000,0100,N 431779,S200000,05100,0100,N 431779,S200000,05200,0100,N 431781,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431781,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431781,A000000,00300,0000,0300EMPLOYEE BENEFITS 431781,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431781,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431781,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431781,A000000,00700,0000,0700HOUSEKEEPING 431781,A000000,00800,0000,0800DIETARY 431781,A000000,00900,0000,0900NURSING ADMINISTRATION 431781,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431781,A000000,01100,0000,1100PHARMACY 431781,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431781,A000000,01300,0000,1300SOCIAL SERVICE 431781,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431781,A000000,01500,0000,1350OTHER GENERAL SERVICES 431781,A000000,01600,0000,1600SKILLED NURSING FACILITY 431781,A000000,01800,0000,1800NURSING FACILITY 431781,A000000,01810,0000,1810ICF/MR 431781,A000000,01900,0000,1900OTHER LONG TERM CARE 431781,A000000,02100,0000,2100RADIOLOGY 431781,A000000,02200,0000,2200LABORATORY 431781,A000000,02300,0000,2300INTRAVENOUS THERAPY 431781,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431781,A000000,02500,0000,2500PHYSICAL THERAPY 431781,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431781,A000000,02700,0000,2700SPEECH PATHOLOGY 431781,A000000,02800,0000,2800ELECTROCARDIOLOGY 431781,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431781,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431781,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431781,A000000,03200,0000,3200SUPPORT SURFACES 431781,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431781,A000000,03400,0000,3400CLINIC 431781,A000000,03500,0000,3500RURAL HEALTH CLINIC 431781,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431781,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431781,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431781,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431781,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431781,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431781,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431781,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431781,A000000,04400,0000,4400DME RENTED - HHA 431781,A000000,04500,0000,4500DME SOLD - HHA 431781,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431781,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431781,A000000,04710,0000,4710TELEMEDICINE 431781,A000000,04800,0000,4800AMBULANCE 431781,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431781,A000000,05000,0000,5000CORF 431781,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431781,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431781,A000000,05300,0000,5300INTEREST EXPENSE 431781,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431781,A000000,05500,0000,5500HOSPICE 431781,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431781,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431781,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431781,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431781,A000000,06100,0000,6100NONPAID WORKERS 431781,A000000,06200,0000,6200PATIENTS LAUNDRY 431781,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431781,A81000A,00100,0100,Y 431781,A81000B,00100,0300,RENT 431781,A81000B,00200,0300,INTEREST 431781,A81000B,00300,0300,DEPRECIATION 431781,A81000B,00400,0300,PROPERTY ADMIN COSTS 431781,A81000B,00500,0300,MANAGEMENT FEES 431781,A81000B,00600,0300,ACCOUNTING FEES 431781,A81000B,00700,0300,TRAVEL EXPENSE 431781,A81000B,00800,0300,NURSING SALARIES 431781,A81000B,00900,0300,NURSING ADMIN SALARIES 431781,A81000B,01000,0300,ADMIN SALARIES 431781,A81000B,01100,0300,SOCIAL SERVICES SALARIES 431781,A81000B,01200,0300,EMPLOYEE BENEFITS 431781,A81000B,01300,0300,HUMAN RESOURCE EXPENSE 431781,A81000C,00100,0100,A 431781,A81000C,00100,0200,KC CROSS 431781,A81000C,00100,0400,VOLUNTEER PROP-GREENVILLE 431781,A81000C,00100,0600,LANDLORD 431781,A81000C,00200,0100,A 431781,A81000C,00200,0200,KC CROSS 431781,A81000C,00200,0400,VOLUNTEER PROP-GREENVILLE 431781,A81000C,00200,0600,LANDLORD 431781,A81000C,00300,0100,A 431781,A81000C,00300,0200,KC CROSS 431781,A81000C,00300,0400,VOLUNTEER PROP-GREENVILLE 431781,A81000C,00300,0600,LANDLORD 431781,A81000C,00400,0100,A 431781,A81000C,00400,0200,KC CROSS 431781,A81000C,00400,0400,VOLUNTEER PROP-GREENVILLE 431781,A81000C,00400,0600,LANDLORD 431781,A81000C,00500,0100,A 431781,A81000C,00500,0200,KC CROSS 431781,A81000C,00500,0400,ELDERCARE MGMT 58 LLC 431781,A81000C,00500,0600,HOME OFFICE 431781,A81000C,00600,0100,A 431781,A81000C,00600,0200,KC CROSS 431781,A81000C,00600,0400,TK PRACTITIONERS 431781,A81000C,00600,0600,ACCOUNTING CONSULTANT 431781,A81000C,00700,0100,A 431781,A81000C,00700,0200,KC CROSS 431781,A81000C,00700,0400,ELDER HOLDINGS LLC 431781,A81000C,00700,0600,TRAVEL SERVICES 431781,A81000C,00800,0100,A 431781,A81000C,00800,0200,KC CROSS 431781,A81000C,00800,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,00800,0600,STAFFING COMPANY 431781,A81000C,00900,0100,A 431781,A81000C,00900,0200,KC CROSS 431781,A81000C,00900,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,00900,0600,STAFFING COMPANY 431781,A81000C,01000,0100,A 431781,A81000C,01000,0200,KC CROSS 431781,A81000C,01000,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,01000,0600,STAFFING COMPANY 431781,A81000C,01001,0100,A 431781,A81000C,01001,0200,KC CROSS 431781,A81000C,01001,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,01001,0600,STAFFING COMPANY 431781,A81000C,01002,0100,A 431781,A81000C,01002,0200,KC CROSS 431781,A81000C,01002,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,01002,0600,STAFFING COMPANY 431781,A81000C,01003,0100,A 431781,A81000C,01003,0200,KC CROSS 431781,A81000C,01003,0400,PAYROLL PROCESS & PERSONN 431781,A81000C,01003,0600,STAFFING COMPANY 431781,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431781,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431781,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431781,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431781,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431781,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431781,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431781,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431781,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431781,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431781,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431781,E10A180,00350,0100,10/12/11 431781,G300000,02500,0000,OUTPATIENT BILLING 431781,S000000,00100,0200,03/20/12 431781,S200000,00100,0100,U.S. HIGHWYA 90 E. 431781,S200000,00200,0100,GREENVILLE 431781,S200000,00200,0200,FL 431781,S200000,00200,0300,32331 431781,S200000,00300,0100,MADISON 431781,S200000,00300,0200,10 431781,S200000,00300,0201,99910 431781,S200000,00300,0300,R 431781,S200000,00400,0100,CROSSWINDS 431781,S200000,00400,0200,105824 431781,S200000,00400,0300,04/01/09 431781,S200000,00400,0500,P 431781,S200000,01500,0100,Y 431781,S200000,01501,0200,Y 431781,S200000,01503,0200,Y 431781,S200000,01504,0200,Y 431781,S200000,01600,0100,N 431781,S200000,01700,0100,N 431781,S200000,01800,0100,N 431781,S200000,02200,0100,N 431781,S200000,02800,0100,N 431781,S200000,02900,0100,N 431781,S200000,03000,0100,N 431781,S200000,03100,0100,N 431781,S200000,03200,0100,N 431781,S200000,03300,0100,N 431781,S200000,03300,0200,N 431781,S200000,04100,0100,N 431781,S200000,04200,0100,N 431781,S200000,04300,0100,N 431781,S200000,04600,0100,N 431781,S200000,04700,0100,N 431781,S200000,04700,0200,N 431781,S200000,04900,0100,N 431781,S200000,05000,0100,N 431781,S200000,05100,0100,N 431781,S200000,05200,0100,N 431783,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431783,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431783,A000000,00300,0000,0300EMPLOYEE BENEFITS 431783,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431783,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431783,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431783,A000000,00700,0000,0700HOUSEKEEPING 431783,A000000,00800,0000,0800DIETARY 431783,A000000,00900,0000,0900NURSING ADMINISTRATION 431783,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431783,A000000,01100,0000,1100PHARMACY 431783,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431783,A000000,01300,0000,1300SOCIAL SERVICE 431783,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431783,A000000,01500,0000,1350OTHER GENERAL SERVICES 431783,A000000,01600,0000,1600SKILLED NURSING FACILITY 431783,A000000,01800,0000,1800NURSING FACILITY 431783,A000000,01810,0000,1810ICF/MR 431783,A000000,01900,0000,1900OTHER LONG TERM CARE 431783,A000000,02100,0000,2100RADIOLOGY 431783,A000000,02200,0000,2200LABORATORY 431783,A000000,02300,0000,2300INTRAVENOUS THERAPY 431783,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431783,A000000,02500,0000,2500PHYSICAL THERAPY 431783,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431783,A000000,02700,0000,2700SPEECH PATHOLOGY 431783,A000000,02800,0000,2800ELECTROCARDIOLOGY 431783,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431783,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431783,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431783,A000000,03200,0000,3200SUPPORT SURFACES 431783,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431783,A000000,03400,0000,3400CLINIC 431783,A000000,03500,0000,3500RURAL HEALTH CLINIC 431783,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431783,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431783,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431783,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431783,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431783,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431783,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431783,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431783,A000000,04400,0000,4400DME RENTED - HHA 431783,A000000,04500,0000,4500DME SOLD - HHA 431783,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431783,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431783,A000000,04710,0000,4710TELEMEDICINE 431783,A000000,04800,0000,4800AMBULANCE 431783,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431783,A000000,05000,0000,5000CORF 431783,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431783,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431783,A000000,05300,0000,5300INTEREST EXPENSE 431783,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431783,A000000,05500,0000,5500HOSPICE 431783,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431783,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431783,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431783,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431783,A000000,06100,0000,6100NONPAID WORKERS 431783,A000000,06200,0000,6200PATIENTS LAUNDRY 431783,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431783,A81000A,00100,0100,N 431783,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431783,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431783,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431783,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431783,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431783,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431783,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431783,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431783,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431783,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431783,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431783,G300000,02500,0000,MISCELLANEOUS REVENUES 431783,G300000,02501,0000,SUBROGATION LIENS 431783,G300000,02502,0000,PLAM BEACH COUNTY REVENUES 431783,G300000,02503,0000,OTHER REVENUES 431783,S000000,00100,0200,02/15/12 431783,S200000,00100,0100,1200 45TH STREET 431783,S200000,00200,0100,WEST PALM BEACH 431783,S200000,00200,0200,FL 431783,S200000,00200,0300,33401 431783,S200000,00300,0100,PALM BEACH 431783,S200000,00300,0200,8960 431783,S200000,00300,0201,48424 431783,S200000,00300,0300,U 431783,S200000,00400,0100,EJ HEALEY REHAB & NURSING CENTER 431783,S200000,00400,0200,105838 431783,S200000,00400,0300,01/01/70 431783,S200000,00400,0500,P 431783,S200000,01500,0100,Y 431783,S200000,01501,0200,Y 431783,S200000,01502,0200,Y 431783,S200000,01503,0200,Y 431783,S200000,01504,0200,Y 431783,S200000,01600,0100,N 431783,S200000,01700,0100,N 431783,S200000,01800,0100,N 431783,S200000,02200,0100,N 431783,S200000,02800,0100,N 431783,S200000,02900,0100,N 431783,S200000,03000,0100,N 431783,S200000,03100,0100,N 431783,S200000,03200,0100,N 431783,S200000,03300,0100,N 431783,S200000,03300,0200,N 431783,S200000,04100,0100,N 431783,S200000,04200,0100,N 431783,S200000,04300,0100,N 431783,S200000,04600,0100,N 431783,S200000,04700,0100,N 431783,S200000,04700,0200,N 431783,S200000,04900,0100,N 431783,S200000,05000,0100,N 431783,S200000,05100,0100,N 431783,S200000,05200,0100,N 431794,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431794,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431794,A000000,00300,0000,0300EMPLOYEE BENEFITS 431794,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431794,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431794,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431794,A000000,00700,0000,0700HOUSEKEEPING 431794,A000000,00800,0000,0800DIETARY 431794,A000000,00900,0000,0900NURSING ADMINISTRATION 431794,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431794,A000000,01100,0000,1100PHARMACY 431794,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431794,A000000,01300,0000,1300SOCIAL SERVICE 431794,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431794,A000000,01500,0000,1350ACTIVITIES 431794,A000000,01600,0000,1600SKILLED NURSING FACILITY 431794,A000000,01800,0000,1800NURSING FACILITY 431794,A000000,01810,0000,1810ICF/MR 431794,A000000,01900,0000,1900OTHER LONG TERM CARE 431794,A000000,02100,0000,2100RADIOLOGY 431794,A000000,02200,0000,2200LABORATORY 431794,A000000,02300,0000,2300INTRAVENOUS THERAPY 431794,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431794,A000000,02500,0000,2500PHYSICAL THERAPY 431794,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431794,A000000,02700,0000,2700SPEECH PATHOLOGY 431794,A000000,02800,0000,2800ELECTROCARDIOLOGY 431794,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431794,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431794,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431794,A000000,03200,0000,3200SUPPORT SURFACES 431794,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431794,A000000,03400,0000,3400CLINIC 431794,A000000,03500,0000,3500RURAL HEALTH CLINIC 431794,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431794,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431794,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431794,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431794,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431794,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431794,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431794,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431794,A000000,04400,0000,4400DME RENTED - HHA 431794,A000000,04500,0000,4500DME SOLD - HHA 431794,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431794,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431794,A000000,04710,0000,4710TELEMEDICINE 431794,A000000,04800,0000,4800AMBULANCE 431794,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431794,A000000,05000,0000,5000CORF 431794,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431794,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431794,A000000,05300,0000,5300INTEREST EXPENSE 431794,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431794,A000000,05500,0000,5500HOSPICE 431794,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431794,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431794,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431794,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431794,A000000,06100,0000,6100NONPAID WORKERS 431794,A000000,06200,0000,6200PATIENTS LAUNDRY 431794,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431794,A81000A,00100,0100,Y 431794,A81000B,00100,0300,ADMIN C/S 431794,A81000B,00200,0300,ADMIN SALARY 431794,A81000B,00300,0300,ADMIN PR TAX 431794,A81000B,00400,0300,ADMIN BENEFIT 431794,A81000B,00500,0300,DON C/S 431794,A81000B,00600,0300,DON SALARY 431794,A81000B,00700,0300,DON PR TAX 431794,A81000B,00800,0300,DON BENEFITS 431794,A81000B,00900,0300,NURSE CONSULT 431794,A81000B,01000,0300,RN SALARY 431794,A81000B,01100,0300,RN PR TAX 431794,A81000B,01200,0300,RN BENEFIT 431794,A81000B,01300,0300,MANAGEMENT FEE 431794,A81000B,01400,0300,PT C/S 431794,A81000B,01500,0300,OT C/S 431794,A81000B,01600,0300,ST C/S 431794,A81000B,01700,0300,VEHICLE DEPRECIATION 431794,A81000B,01800,0300,RENT 431794,A81000B,01900,0300,BUILDING DEPRECIATION 431794,A81000B,02000,0300,MORTGAGE INTEREST 431794,A81000B,02100,0300,EQUIPMENT DEPRECIATION 431794,A81000B,02200,0300,LAND IMPROVEMENT DEPRECIATION 431794,A81000B,02300,0300,P/E NUTRIENTS 431794,A81000B,02400,0300,NON CAP NURSE EQUIP 431794,A81000B,02500,0300,MEDICAL SUPPLIES 431794,A81000B,02600,0300,THERAPEUTIC BEDS 431794,A81000B,02700,0300,OXYGEN 431794,A81000B,02800,0300,P/E SUPPLIES 431794,A81000B,02900,0300,LIFE SUST EQUIPMENT RENTAL 431794,A81000C,00100,0100,A 431794,A81000C,00100,0200,HAROLD NUNN 431794,A81000C,00100,0400,PEAK RESOURCES INC 431794,A81000C,00100,0600,MANAGEMENT SERVICES 431794,A81000C,00200,0100,A 431794,A81000C,00200,0200,HAROLD NUNN 431794,A81000C,00200,0400,PEAK RESOURCES INC 431794,A81000C,00200,0600,MANAGEMENT SERVICES 431794,A81000C,00300,0100,A 431794,A81000C,00300,0200,HAROLD NUNN 431794,A81000C,00300,0400,PEAK RESOURCES INC 431794,A81000C,00300,0600,MANAGEMENT SERVICES 431794,A81000C,00400,0100,A 431794,A81000C,00400,0200,HAROLD NUNN 431794,A81000C,00400,0400,PEAK RESOURCES INC 431794,A81000C,00400,0600,MANAGEMENT SERVICES 431794,A81000C,00500,0100,A 431794,A81000C,00500,0200,HAROLD NUNN 431794,A81000C,00500,0400,PEAK RESOURCES INC 431794,A81000C,00500,0600,MANAGEMENT SERVICES 431794,A81000C,00600,0100,A 431794,A81000C,00600,0200,HAROLD NUNN 431794,A81000C,00600,0400,PEAK RESOURCES INC 431794,A81000C,00600,0600,MANAGEMENT SERVICES 431794,A81000C,00700,0100,A 431794,A81000C,00700,0200,HAROLD NUNN 431794,A81000C,00700,0400,PEAK RESOURCES INC 431794,A81000C,00700,0600,MANAGEMENT SERVICES 431794,A81000C,00800,0100,A 431794,A81000C,00800,0200,HAROLD NUNN 431794,A81000C,00800,0400,PEAK RESOURCES INC 431794,A81000C,00800,0600,MANAGEMENT SERVICES 431794,A81000C,00900,0100,A 431794,A81000C,00900,0200,HAROLD NUNN 431794,A81000C,00900,0400,PEAK RESOURCES INC 431794,A81000C,00900,0600,MANAGEMENT SERVICES 431794,A81000C,01000,0100,A 431794,A81000C,01000,0200,HAROLD NUNN 431794,A81000C,01000,0400,PEAK RESOURCES INC 431794,A81000C,01000,0600,MANAGEMENT SERVICES 431794,A81000C,01001,0100,A 431794,A81000C,01001,0200,HAROLD NUNN 431794,A81000C,01001,0400,PEAK RESOURCES INC 431794,A81000C,01001,0600,MANAGEMENT SERVICES 431794,A81000C,01002,0100,A 431794,A81000C,01002,0200,HAROLD NUNN 431794,A81000C,01002,0400,PEAK RESOURCES INC 431794,A81000C,01002,0600,MANAGEMENT SERVICES 431794,A81000C,01003,0100,A 431794,A81000C,01003,0200,HAROLD NUNN 431794,A81000C,01003,0400,PEAK RESOURCES INC 431794,A81000C,01003,0600,MANAGEMENT SERVICES 431794,A81000C,01004,0100,A 431794,A81000C,01004,0200,HAROLD NUNN 431794,A81000C,01004,0400,SUMMIT THERPAY SERVICES 431794,A81000C,01004,0600,THERAPY C/S 431794,A81000C,01005,0100,A 431794,A81000C,01005,0200,HAROLD NUNN 431794,A81000C,01005,0400,SUMMIT THERPAY SERVICES 431794,A81000C,01005,0600,THERAPY C/S 431794,A81000C,01006,0100,A 431794,A81000C,01006,0200,HAROLD NUNN 431794,A81000C,01006,0400,SUMMIT THERPAY SERVICES 431794,A81000C,01006,0600,THERAPY C/S 431794,A81000C,01007,0100,A 431794,A81000C,01007,0200,HAROLD NUNN 431794,A81000C,01007,0400,PEAK RESOURCES INC 431794,A81000C,01007,0600,MANAGEMENT SERVICES 431794,A81000C,01008,0100,A 431794,A81000C,01008,0200,HAROLD NUNN 431794,A81000C,01008,0400,PARK VIEW VILLAGE LLC 431794,A81000C,01008,0600,RENTAL 431794,A81000C,01009,0100,A 431794,A81000C,01009,0200,HAROLD NUNN 431794,A81000C,01009,0400,PARK VIEW VILLAGE LLC 431794,A81000C,01009,0600,RENTAL 431794,A81000C,01010,0100,A 431794,A81000C,01010,0200,HAROLD NUNN 431794,A81000C,01010,0400,PARK VIEW VILLAGE LLC 431794,A81000C,01010,0600,RENTAL 431794,A81000C,01011,0100,A 431794,A81000C,01011,0200,HAROLD NUNN 431794,A81000C,01011,0400,PARK VIEW VILLAGE LLC 431794,A81000C,01011,0600,RENTAL 431794,A81000C,01012,0100,A 431794,A81000C,01012,0200,HAROLD NUNN 431794,A81000C,01012,0400,PARK VIEW VILLAGE LLC 431794,A81000C,01012,0600,RENTAL 431794,A81000C,01013,0100,A 431794,A81000C,01013,0200,HAROLD NUNN 431794,A81000C,01013,0400,BILLING SPECIALISTS INC 431794,A81000C,01013,0600,MEDICAL SUPPLIES 431794,A81000C,01014,0100,A 431794,A81000C,01014,0200,HAROLD NUNN 431794,A81000C,01014,0400,BILLING SPECIALISTS INC 431794,A81000C,01014,0600,MEDICAL SUPPLIES 431794,A81000C,01015,0100,A 431794,A81000C,01015,0200,HAROLD NUNN 431794,A81000C,01015,0400,BILLING SPECIALISTS INC 431794,A81000C,01015,0600,MEDICAL SUPPLIES 431794,A81000C,01016,0100,A 431794,A81000C,01016,0200,HAROLD NUNN 431794,A81000C,01016,0400,BILLING SPECIALISTS INC 431794,A81000C,01016,0600,MEDICAL SUPPLIES 431794,A81000C,01017,0100,A 431794,A81000C,01017,0200,HAROLD NUNN 431794,A81000C,01017,0400,BILLING SPECIALISTS INC 431794,A81000C,01017,0600,MEDICAL SUPPLIES 431794,A81000C,01018,0100,A 431794,A81000C,01018,0200,HAROLD NUNN 431794,A81000C,01018,0400,BILLING SPECIALISTS INC 431794,A81000C,01018,0600,MEDICAL SUPPLIES 431794,A81000C,01019,0100,A 431794,A81000C,01019,0200,HAROLD NUNN 431794,A81000C,01019,0400,BILLING SPECIALISTS INC 431794,A81000C,01019,0600,MEDICAL SUPPLIES 431794,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431794,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431794,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431794,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431794,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431794,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431794,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431794,B100000,00000,0800,0800MEALS SERVED :DIETARY 431794,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431794,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431794,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431794,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431794,E10A180,00350,0100,07/27/11 431794,E10A180,00501,0100,07/02/12 431794,G300000,02501,0000,MEDICARE BAD DEBT REVENUE 431794,G300000,02502,0000,PRIOR YEAR R&B ADJ 431794,G300000,02503,0000,MISC REVENUE 431794,S000000,00100,0200,04/27/12 431794,S200000,00100,0100,333 HAWTHORNE LN 431794,S200000,00200,0100,CHARLOTTE 431794,S200000,00200,0200,NC 431794,S200000,00200,0300,28204 431794,S200000,00300,0100,MECKLENBURG 431794,S200000,00300,0200,1520 431794,S200000,00300,0201,16740 431794,S200000,00300,0300,U 431794,S200000,00400,0100,PEAK RESOURCES CHARLOTTE 431794,S200000,00400,0200,345013 431794,S200000,00400,0300,04/01/93 431794,S200000,00400,0500,P 431794,S200000,01500,0100,Y 431794,S200000,01503,0200,N 431794,S200000,01504,0200,N 431794,S200000,01600,0100,N 431794,S200000,01700,0100,N 431794,S200000,01800,0100,N 431794,S200000,02200,0100,N 431794,S200000,02800,0100,N 431794,S200000,02900,0100,N 431794,S200000,03000,0100,N 431794,S200000,03100,0100,N 431794,S200000,03200,0100,N 431794,S200000,03300,0100,N 431794,S200000,03300,0200,N 431794,S200000,04100,0100,N 431794,S200000,04200,0100,N 431794,S200000,04300,0100,N 431794,S200000,04600,0100,N 431794,S200000,04700,0100,N 431794,S200000,04700,0200,N 431794,S200000,04900,0100,N 431794,S200000,05000,0100,N 431794,S200000,05100,0100,N 431794,S200000,05200,0100,N 431795,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431795,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431795,A000000,00300,0000,0300EMPLOYEE BENEFITS 431795,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431795,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431795,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431795,A000000,00700,0000,0700HOUSEKEEPING 431795,A000000,00800,0000,0800DIETARY 431795,A000000,01300,0000,1300SOCIAL SERVICE 431795,A000000,01600,0000,1600SKILLED NURSING FACILITY 431795,A000000,02100,0000,2100RADIOLOGY 431795,A000000,02200,0000,2200LABORATORY 431795,A000000,02500,0000,2500PHYSICAL THERAPY 431795,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431795,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431795,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431795,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431795,A000000,06200,0000,6200PATIENTS LAUNDRY 431795,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431795,A000000,06301,0000,6151BELL MEADE 431795,A000000,06302,0000,6152COVENTRY 431795,A000000,06303,0000,6153NEESE 431795,A000000,06304,0000,6154ST JOSEPH LIFE 431795,A000000,06305,0000,6155PINE KNOLL 431795,A000000,06306,0000,6157HUD 431795,A81000A,00100,0100,Y 431795,A81000B,00100,0300,HOME OFFICE COST 431795,A81000C,00100,0100,B 431795,A81000C,00100,0200,CATHOLIC HEALTH EAST 431795,A81000C,00100,0400,HOME OFFICE COST 431795,A81000C,00100,0600,HEALTHCARE 431795,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431795,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431795,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431795,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431795,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431795,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431795,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431795,B100000,00000,0800,0800MEALS SERVED :DIETARY 431795,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431795,E10A180,00550,0100,02/29/12 431795,G300000,02500,0000,OTHER NON-REIMB AREAS 431795,G300000,02501,0000,BEAUTY AND BARBER 431795,G300000,02502,0000,TRANSFER FOR CAPITAL 431795,G300000,02503,0000,MISC AND OTHER 431795,S000000,00100,0200,02/29/12 431795,S200000,00100,0100,100 GROSSMAN DRIVE 431795,S200000,00200,0100,SOUTHERN PINES 431795,S200000,00200,0200,NC 431795,S200000,00200,0300,28374 431795,S200000,00300,0100,MOORE 431795,S200000,00300,0200,34 431795,S200000,00300,0300,R 431795,S200000,00400,0100,ST JOSEPH OF THE PINES 431795,S200000,00400,0200,345044 431795,S200000,00400,0300,04/01/92 431795,S200000,00400,0500,P 431795,S200000,01500,0100,Y 431795,S200000,01501,0200,Y 431795,S200000,01600,0100,N 431795,S200000,01700,0100,N 431795,S200000,01800,0100,N 431795,S200000,02200,0100,N 431795,S200000,02800,0100,N 431795,S200000,02900,0100,N 431795,S200000,03000,0100,N 431795,S200000,03100,0100,N 431795,S200000,03200,0100,N 431795,S200000,03300,0100,N 431795,S200000,03300,0200,N 431795,S200000,04100,0100,N 431795,S200000,04200,0100,N 431795,S200000,04300,0100,N 431795,S200000,04600,0100,N 431795,S200000,04700,0100,N 431795,S200000,04700,0200,N 431795,S200000,04900,0100,N 431795,S200000,05000,0100,N 431795,S200000,05100,0100,N 431795,S200000,05200,0100,N 431795,S200000,05300,0100,Y 431795,S200000,05300,0200,HO2063 431795,S200000,05400,0100,CATHOLIC HEALTH EAST 431795,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431795,S200000,05400,0300,00363 431795,S200000,05500,0100,3805 WEST CHESTER PIKE 431795,S200000,05600,0100,NEWTOWN SQUARE 431795,S200000,05600,0200,NJ 431795,S200000,05600,0300,19073 431796,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431796,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431796,A000000,00300,0000,0300EMPLOYEE BENEFITS 431796,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431796,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431796,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431796,A000000,00700,0000,0700HOUSEKEEPING 431796,A000000,00800,0000,0800DIETARY 431796,A000000,00900,0000,0900NURSING ADMINISTRATION 431796,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431796,A000000,01100,0000,1100PHARMACY 431796,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431796,A000000,01300,0000,1300SOCIAL SERVICE 431796,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431796,A000000,01600,0000,1600SKILLED NURSING FACILITY 431796,A000000,01800,0000,1800NURSING FACILITY 431796,A000000,01900,0000,1900OTHER LONG TERM CARE 431796,A000000,02100,0000,2100RADIOLOGY 431796,A000000,02200,0000,2200LABORATORY 431796,A000000,02300,0000,2300INTRAVENOUS THERAPY 431796,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431796,A000000,02500,0000,2500PHYSICAL THERAPY 431796,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431796,A000000,02700,0000,2700SPEECH PATHOLOGY 431796,A000000,02800,0000,2800ELECTROCARDIOLOGY 431796,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431796,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431796,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431796,A000000,03200,0000,3200SUPPORT SURFACES 431796,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431796,A000000,03400,0000,3400CLINIC 431796,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431796,A000000,04800,0000,4800AMBULANCE 431796,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431796,A000000,05000,0000,5000CORF 431796,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431796,A000000,05300,0000,5300INTEREST EXPENSE 431796,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431796,A000000,05500,0000,5500HOSPICE 431796,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431796,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431796,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431796,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431796,A000000,06100,0000,6100NONPAID WORKERS 431796,A000000,06200,0000,6200PATIENTS LAUNDRY 431796,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431796,A81000A,00100,0100,Y 431796,A81000B,00100,0300,NURSING CONSULTING 431796,A81000B,00200,0300,DIETARY CONSULTING 431796,A81000B,00300,0300,HOME OFFICE 431796,A81000B,00400,0300,INTEREST EXPENSE 431796,A81000B,00500,0300,WORKERS COMP EXPENSE 431796,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 431796,A81000B,00700,0300,MAINTENANCE SUPPLIES 431796,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431796,A81000B,00900,0300,LINEN & BEDDING 431796,A81000B,01000,0300,LAUNDRY SUPPLIES 431796,A81000B,01100,0300,PAPER PRODUCTS & HAND SOAP 431796,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 431796,A81000B,01300,0300,DIETARY SUPPLEMENTS 431796,A81000B,01400,0300,DIETARY SUPPLIES 431796,A81000B,01500,0300,BIO-MEDICAL WASTE 431796,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 431796,A81000B,01700,0300,PERSONAL CARE SUPPLIES 431796,A81000B,01800,0300,INCONTINENCE SUPPLIES 431796,A81000B,01900,0300,MEDICAL SUPPLIES 431796,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 431796,A81000B,02100,0300,PT SUPPLIES 431796,A81000B,02200,0300,OT SUPPLIES 431796,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 431796,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 431796,A81000B,02500,0300,NON-LEGEND DRUGS 431796,A81000B,02600,0300,PHARMACY CONSULTANT 431796,A81000B,02700,0300,MED REC SUPPLIES 431796,A81000B,02800,0300,LEGEND DRUGS 431796,A81000B,02900,0300,OFFICE SUPPLIES 431796,A81000C,00100,0100,B 431796,A81000C,00100,0400,BRITTHAVEN INC 431796,A81000C,00100,0600,MGMT SERVICES 431796,A81000C,00200,0100,B 431796,A81000C,00200,0400,BRITTHAVEN INC 431796,A81000C,00200,0600,MGMT SERVICES 431796,A81000C,00300,0100,B 431796,A81000C,00300,0400,BRITTHAVEN INC 431796,A81000C,00300,0600,MGMT SERVICES 431796,A81000C,00400,0100,B 431796,A81000C,00400,0400,BRITTHAVEN INC 431796,A81000C,00400,0600,MGMT SERVICES 431796,A81000C,00500,0100,A 431796,A81000C,00500,0200,DISCOVERY INSUR 431796,A81000C,00500,0400,KARE MEDICAL 431796,A81000C,00500,0600,INSURANCE 431796,A81000C,00600,0100,A 431796,A81000C,00600,0200,QUEENSLAND ASSU 431796,A81000C,00600,0400,KARE MEDICAL 431796,A81000C,00600,0600,INSURANCE 431796,A81000C,00700,0100,B 431796,A81000C,00700,0400,KARE MEDICAL 431796,A81000C,00700,0600,WHOLESALE SUPPL 431796,A81000C,00800,0100,B 431796,A81000C,00800,0400,KARE MEDICAL 431796,A81000C,00800,0600,WHOLESALE SUPPL 431796,A81000C,00900,0100,B 431796,A81000C,00900,0400,KARE MEDICAL 431796,A81000C,00900,0600,WHOLESALE SUPPL 431796,A81000C,01000,0100,B 431796,A81000C,01000,0400,KARE MEDICAL 431796,A81000C,01000,0600,WHOLESALE SUPPL 431796,A81000C,01001,0100,B 431796,A81000C,01001,0400,KARE MEDICAL 431796,A81000C,01001,0600,WHOLESALE SUPPL 431796,A81000C,01002,0100,B 431796,A81000C,01002,0400,KARE MEDICAL 431796,A81000C,01002,0600,WHOLESALE SUPPL 431796,A81000C,01003,0100,B 431796,A81000C,01003,0400,KARE MEDICAL 431796,A81000C,01003,0600,WHOLESALE SUPPL 431796,A81000C,01004,0100,B 431796,A81000C,01004,0400,KARE MEDICAL 431796,A81000C,01004,0600,WHOLESALE SUPPL 431796,A81000C,01005,0100,B 431796,A81000C,01005,0400,KARE MEDICAL 431796,A81000C,01005,0600,WHOLESALE SUPPL 431796,A81000C,01006,0100,B 431796,A81000C,01006,0400,KARE MEDICAL 431796,A81000C,01006,0600,WHOLESALE SUPPL 431796,A81000C,01007,0100,B 431796,A81000C,01007,0400,KARE MEDICAL 431796,A81000C,01007,0600,WHOLESALE SUPPL 431796,A81000C,01008,0100,B 431796,A81000C,01008,0400,KARE MEDICAL 431796,A81000C,01008,0600,WHOLESALE SUPPL 431796,A81000C,01009,0100,B 431796,A81000C,01009,0400,KARE MEDICAL 431796,A81000C,01009,0600,WHOLESALE SUPPL 431796,A81000C,01010,0100,B 431796,A81000C,01010,0400,KARE MEDICAL 431796,A81000C,01010,0600,WHOLESALE SUPPL 431796,A81000C,01011,0100,B 431796,A81000C,01011,0400,KARE MEDICAL 431796,A81000C,01011,0600,WHOLESALE SUPPL 431796,A81000C,01012,0100,B 431796,A81000C,01012,0400,KARE MEDICAL 431796,A81000C,01012,0600,WHOLESALE SUPPL 431796,A81000C,01013,0100,B 431796,A81000C,01013,0400,KARE MEDICAL 431796,A81000C,01013,0600,WHOLESALE SUPPL 431796,A81000C,01014,0100,B 431796,A81000C,01014,0400,PHARMSAVE 431796,A81000C,01014,0600,RX SUPPLY 431796,A81000C,01015,0100,B 431796,A81000C,01015,0400,PHARMSAVE 431796,A81000C,01015,0600,RX SUPPLY 431796,A81000C,01016,0100,B 431796,A81000C,01016,0400,PHARMSAVE 431796,A81000C,01016,0600,RX SUPPLY 431796,A81000C,01017,0100,B 431796,A81000C,01017,0400,PHARMSAVE 431796,A81000C,01017,0600,RX SUPPLY 431796,A81000C,01018,0100,B 431796,A81000C,01018,0400,PHARMSAVE 431796,A81000C,01018,0600,RX SUPPLY 431796,A81000C,01019,0100,B 431796,A81000C,01019,0400,ROBERT HILL CON 431796,A81000C,01019,0600,CONSTRUCTION 431796,A81000C,01020,0100,B 431796,A81000C,01020,0400,ROBERT HILL CON 431796,A81000C,01020,0600,CONSTRUCTION 431796,A81000C,01021,0100,B 431796,A81000C,01021,0400,ROBERT HILL CON 431796,A81000C,01021,0600,CONSTRUCTION 431796,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431796,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431796,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431796,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431796,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431796,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431796,B100000,00000,0800,0800MEALS SERVED :DIETARY 431796,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431796,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431796,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431796,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431796,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431796,G300000,02500,0000, OTHER (SPECIFY) 431796,S000000,00100,0200,02/24/12 431796,S200000,00100,0100,1839 ONSLOW DRIVE 431796,S200000,00200,0100,JACKSONVILLE 431796,S200000,00200,0200,NC 431796,S200000,00200,0300,28540 431796,S200000,00300,0100,ONSLOW 431796,S200000,00300,0201,27340 431796,S200000,00300,0300,U 431796,S200000,00400,0100,BRITTHAVEN OF ONSLOW 431796,S200000,00400,0200,345072 431796,S200000,00400,0300,10/01/84 431796,S200000,00400,0500,P 431796,S200000,01500,0100,Y 431796,S200000,01501,0200,Y 431796,S200000,01502,0200,Y 431796,S200000,01503,0200,Y 431796,S200000,01505,0000,OTHER (SPECIFY) 431796,S200000,01505,0200,Y 431796,S200000,01600,0100,N 431796,S200000,01700,0100,N 431796,S200000,01800,0100,N 431796,S200000,02200,0100,N 431796,S200000,02800,0100,N 431796,S200000,02900,0100,N 431796,S200000,03000,0100,N 431796,S200000,03100,0100,Y 431796,S200000,03200,0100,N 431796,S200000,03300,0100,N 431796,S200000,03300,0200,N 431796,S200000,04100,0100,N 431796,S200000,04200,0100,N 431796,S200000,04300,0100,N 431796,S200000,04600,0100,N 431796,S200000,04700,0100,N 431796,S200000,04700,0200,N 431796,S200000,04900,0100,N 431796,S200000,05000,0100,N 431796,S200000,05100,0100,N 431796,S200000,05200,0100,N 431796,S200000,05300,0100,Y 431796,S200000,05300,0200,349011 431796,S200000,05400,0100,BRITTHAVEN INC. 431796,S200000,05400,0200,PALMETTO GBA 431796,S200000,05400,0300,11501 431796,S200000,05500,0100,1435 HWY 258 NORTH 431796,S200000,05500,0200,PO BOX 61 431796,S200000,05600,0100,KINSTON 431796,S200000,05600,0200,NC 431796,S200000,05600,0300,28502 431797,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431797,A000000,00300,0000,0300EMPLOYEE BENEFITS 431797,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431797,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431797,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431797,A000000,00700,0000,0700HOUSEKEEPING 431797,A000000,00800,0000,0800DIETARY 431797,A000000,00900,0000,0900NURSING ADMINISTRATION 431797,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431797,A000000,01100,0000,1100PHARMACY 431797,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431797,A000000,01300,0000,1300SOCIAL SERVICE 431797,A000000,01500,0000,1350PATIENT ACTIVITIES 431797,A000000,01600,0000,1600SKILLED NURSING FACILITY 431797,A000000,01900,0000,1900OTHER LONG TERM CARE 431797,A000000,02100,0000,2100RADIOLOGY 431797,A000000,02200,0000,2200LABORATORY 431797,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431797,A000000,02500,0000,2500PHYSICAL THERAPY 431797,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431797,A000000,02700,0000,2700SPEECH PATHOLOGY 431797,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431797,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431797,A000000,03200,0000,3200SUPPORT SURFACES 431797,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431797,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431797,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431797,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431797,A000000,06200,0000,6200PATIENTS LAUNDRY 431797,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431797,A81000A,00100,0100,Y 431797,A81000B,00100,0300,DEPRECIATION 431797,A81000B,00200,0300,RENT 431797,A81000B,00300,0300,PROPERTY INSURANCE 431797,A81000B,00400,0300,MISC ADMIN 431797,A81000B,00500,0300,HOME OFFICE 431797,A81000B,00600,0300,HOME OFFICE 431797,A81000B,00700,0300,STOCK DRUGS 431797,A81000B,00800,0300,LEGEND DRUGS 431797,A81000B,00900,0300,PHARMACY CONSULTANT 431797,A81000C,00100,0100,B 431797,A81000C,00100,0200,LSA MANAGEMENT 431797,A81000C,00100,0400,LH@TO PROPERTY 431797,A81000C,00100,0600,LESSOR 431797,A81000C,00200,0100,B 431797,A81000C,00200,0200,LSA MANAGEMENT 431797,A81000C,00200,0400,LH@TO PROPERTY 431797,A81000C,00200,0600,LESSOR 431797,A81000C,00300,0100,B 431797,A81000C,00300,0200,LSA MANAGEMENT 431797,A81000C,00300,0400,LH@TO PROPERTY 431797,A81000C,00300,0600,LESSOR 431797,A81000C,00400,0100,B 431797,A81000C,00400,0200,LSA MANAGEMENT 431797,A81000C,00400,0400,LH@TO PROPERTY 431797,A81000C,00400,0600,LESSOR 431797,A81000C,00500,0100,B 431797,A81000C,00500,0200,LSA MANAGEMENT 431797,A81000C,00500,0400,LSA MANAGEMENT 431797,A81000C,00500,0600,HOME OFFICE 431797,A81000C,00600,0100,B 431797,A81000C,00600,0200,LSA MANAGEMENT 431797,A81000C,00600,0400,LSA MANAGEMENT 431797,A81000C,00600,0600,HOME OFFICE 431797,A81000C,00700,0100,B 431797,A81000C,00700,0200,LSA MANAGEMENT 431797,A81000C,00700,0400,LSA PHARMACY 431797,A81000C,00700,0600,PHARMACY 431797,A81000C,00800,0100,B 431797,A81000C,00800,0200,LSA MANAGEMENT 431797,A81000C,00800,0400,LSA PHARMACY 431797,A81000C,00800,0600,PHARMACY 431797,A81000C,00900,0100,B 431797,A81000C,00900,0200,LSA MANAGEMENT 431797,A81000C,00900,0400,LSA PHARMACY 431797,A81000C,00900,0600,PHARMACY 431797,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431797,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431797,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431797,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431797,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431797,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431797,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431797,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431797,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431797,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431797,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431797,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431797,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431797,E10A180,00350,0100,07/27/11 431797,E10A180,00501,0100,05/10/12 431797,G300000,02500,0000,BARBER AND BEAUTY 431797,G300000,02501,0000,PERSONAL PURCHASES 431797,G300000,02502,0000,OTHER INCOME 431797,S000000,00100,0200,02/27/12 431797,S200000,00100,0100,820 KLUMAC ROAD 431797,S200000,00200,0100,SALISBURY 431797,S200000,00200,0200,NC 431797,S200000,00200,0300,28144 431797,S200000,00300,0100,ROWAN 431797,S200000,00300,0200,34 431797,S200000,00300,0201,99934 431797,S200000,00300,0300,R 431797,S200000,00400,0100,LUTHERAN HOME AT TRINITY OAKS 431797,S200000,00400,0200,345153 431797,S200000,00400,0300,04/01/76 431797,S200000,00400,0500,P 431797,S200000,01500,0100,N 431797,S200000,01501,0200,N 431797,S200000,01503,0200,Y 431797,S200000,01600,0100,Y 431797,S200000,01700,0100,N 431797,S200000,01800,0100,N 431797,S200000,02200,0100,N 431797,S200000,02800,0100,N 431797,S200000,02900,0100,N 431797,S200000,03000,0100,N 431797,S200000,03100,0100,N 431797,S200000,03200,0100,N 431797,S200000,03300,0100,N 431797,S200000,03300,0200,N 431797,S200000,04100,0100,N 431797,S200000,04200,0100,N 431797,S200000,04300,0100,N 431797,S200000,04600,0100,N 431797,S200000,04700,0100,N 431797,S200000,04700,0200,N 431797,S200000,04900,0100,N 431797,S200000,05000,0100,N 431797,S200000,05100,0100,N 431797,S200000,05200,0100,N 431797,S200000,05300,0100,Y 431797,S200000,05300,0200,349086 431797,S200000,05400,0100,LSA MANAGEMENT INC. 431797,S200000,05400,0200,PALMETTO GBA 431797,S200000,05400,0300,11001 431797,S200000,05500,0200,PO BX 947 431797,S200000,05600,0100,SALISBURY 431797,S200000,05600,0200,NC 431797,S200000,05600,0300,28145-0947 431798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431798,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431798,A000000,00300,0000,0300EMPLOYEE BENEFITS 431798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431798,A000000,00700,0000,0700HOUSEKEEPING 431798,A000000,00800,0000,0800DIETARY 431798,A000000,00900,0000,0900NURSING ADMINISTRATION 431798,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431798,A000000,01100,0000,1100PHARMACY 431798,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431798,A000000,01300,0000,1300SOCIAL SERVICE 431798,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431798,A000000,01500,0000,1350OTHER GENERAL SERVICES 431798,A000000,01600,0000,1600SKILLED NURSING FACILITY 431798,A000000,01800,0000,1800NURSING FACILITY 431798,A000000,01810,0000,1810ICF/MR 431798,A000000,01900,0000,1900OTHER LONG TERM CARE 431798,A000000,02100,0000,2100RADIOLOGY 431798,A000000,02200,0000,2200LABORATORY 431798,A000000,02300,0000,2300INTRAVENOUS THERAPY 431798,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431798,A000000,02500,0000,2500PHYSICAL THERAPY 431798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431798,A000000,02700,0000,2700SPEECH PATHOLOGY 431798,A000000,02800,0000,2800ELECTROCARDIOLOGY 431798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431798,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431798,A000000,03200,0000,3200SUPPORT SURFACES 431798,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431798,A000000,03400,0000,3400CLINIC 431798,A000000,03500,0000,3500RURAL HEALTH CLINIC 431798,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431798,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431798,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431798,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431798,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431798,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431798,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431798,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431798,A000000,04400,0000,4400DME RENTED - HHA 431798,A000000,04500,0000,4500DME SOLD - HHA 431798,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431798,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431798,A000000,04710,0000,4710TELEMEDICINE 431798,A000000,04800,0000,4800AMBULANCE 431798,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431798,A000000,05000,0000,5000CORF 431798,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431798,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431798,A000000,05300,0000,5300INTEREST EXPENSE 431798,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431798,A000000,05500,0000,5500HOSPICE 431798,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431798,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431798,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431798,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431798,A000000,06100,0000,6100NONPAID WORKERS 431798,A000000,06200,0000,6200PATIENTS LAUNDRY 431798,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431798,A81000A,00100,0100,N 431798,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431798,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431798,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431798,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431798,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431798,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431798,B100000,00000,0800,0800MEALS SERVED :DIETARY 431798,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431798,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431798,G300000,02500,0000,BARBER AND BEAUTY INCOME 431798,S000000,00100,0200,02/15/12 431798,S200000,00100,0100,514 OLD MT HOLLY ROAD 431798,S200000,00200,0100,STANLEY 431798,S200000,00200,0200,NC 431798,S200000,00200,0300,28164 431798,S200000,00300,0100,GASTON 431798,S200000,00300,0200,1520 431798,S200000,00300,0201,16740 431798,S200000,00300,0300,U 431798,S200000,00400,0100,STANLEY TOTAL LIVING CENTER 431798,S200000,00400,0200,345264 431798,S200000,00400,0300,10/01/84 431798,S200000,00400,0500,P 431798,S200000,00400,0600,O 431798,S200000,00610,0200,346382 431798,S200000,00610,0300,10/01/84 431798,S200000,00610,0600,O 431798,S200000,01500,0100,N 431798,S200000,01600,0100,Y 431798,S200000,01700,0100,N 431798,S200000,01800,0100,N 431798,S200000,02200,0100,N 431798,S200000,02800,0100,N 431798,S200000,02900,0100,N 431798,S200000,03000,0100,N 431798,S200000,03100,0100,N 431798,S200000,03200,0100,N 431798,S200000,03300,0100,N 431798,S200000,03300,0200,N 431798,S200000,03510,0300,N 431798,S200000,04100,0100,N 431798,S200000,04200,0100,N 431798,S200000,04300,0100,N 431798,S200000,04600,0100,N 431798,S200000,04700,0100,N 431798,S200000,04700,0200,N 431798,S200000,04900,0100,N 431798,S200000,05000,0100,N 431798,S200000,05100,0100,N 431798,S200000,05200,0100,N 431799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431799,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431799,A000000,00300,0000,0300EMPLOYEE BENEFITS 431799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431799,A000000,00700,0000,0700HOUSEKEEPING 431799,A000000,00800,0000,0800DIETARY 431799,A000000,00900,0000,0900NURSING ADMINISTRATION 431799,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431799,A000000,01100,0000,1100PHARMACY 431799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431799,A000000,01300,0000,1300SOCIAL SERVICE 431799,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431799,A000000,01600,0000,1600SKILLED NURSING FACILITY 431799,A000000,01800,0000,1800NURSING FACILITY 431799,A000000,01900,0000,1900OTHER LONG TERM CARE 431799,A000000,02100,0000,2100RADIOLOGY 431799,A000000,02200,0000,2200LABORATORY 431799,A000000,02300,0000,2300INTRAVENOUS THERAPY 431799,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431799,A000000,02500,0000,2500PHYSICAL THERAPY 431799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431799,A000000,02700,0000,2700SPEECH PATHOLOGY 431799,A000000,02800,0000,2800ELECTROCARDIOLOGY 431799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431799,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431799,A000000,03200,0000,3200SUPPORT SURFACES 431799,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431799,A000000,03400,0000,3400CLINIC 431799,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431799,A000000,04800,0000,4800AMBULANCE 431799,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431799,A000000,05000,0000,5000CORF 431799,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431799,A000000,05300,0000,5300INTEREST EXPENSE 431799,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431799,A000000,05500,0000,5500HOSPICE 431799,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431799,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431799,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431799,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431799,A000000,06100,0000,6100NONPAID WORKERS 431799,A000000,06200,0000,6200PATIENTS LAUNDRY 431799,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431799,A81000A,00100,0100,Y 431799,A81000B,00100,0300,NURSING CONSULTING 431799,A81000B,00200,0300,DIETARY CONSULTING 431799,A81000B,00300,0300,HOME OFFICE 431799,A81000B,00400,0300,INTEREST EXPENSE 431799,A81000B,00500,0300,WORKERS COMP EXPENSE 431799,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431799,A81000B,00700,0300,OFFICE SUPPLIES 431799,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431799,A81000B,00900,0300,REPAIRS - EQUIPMENT 431799,A81000B,01000,0300,LINEN & BEDDING 431799,A81000B,01100,0300,LAUNDRY SUPPLIES 431799,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 431799,A81000B,01300,0300,DIETARY SUPPLEMENTS 431799,A81000B,01400,0300,DIETARY SUPPLIES 431799,A81000B,01500,0300,BIO-MEDICAL WASTE 431799,A81000B,01600,0300,MEDICAL DIRECTOR 431799,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431799,A81000B,01800,0300,PERSONAL CARE SUPPLIES 431799,A81000B,01900,0300,INCONTINENCE SUPPLIES 431799,A81000B,02000,0300,MEDICAL SUPPLIES 431799,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 431799,A81000B,02200,0300,PT SUPPLIES 431799,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 431799,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 431799,A81000B,02500,0300,NON-LEGEND DRUGS 431799,A81000B,02600,0300,PHARMACY CONSULTANT 431799,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 431799,A81000B,02800,0300,LEGEND DRUGS 431799,A81000B,02900,0300,OFFICE SUPPLIES 431799,A81000C,00100,0100,B 431799,A81000C,00100,0400,BRITTHAVEN INC 431799,A81000C,00100,0600,MGMT SERVICES 431799,A81000C,00200,0100,B 431799,A81000C,00200,0400,BRITTHAVEN INC 431799,A81000C,00200,0600,MGMT SERVICES 431799,A81000C,00300,0100,B 431799,A81000C,00300,0400,BRITTHAVEN INC 431799,A81000C,00300,0600,MGMT SERVICES 431799,A81000C,00400,0100,B 431799,A81000C,00400,0400,BRITTHAVEN INC 431799,A81000C,00400,0600,MGMT SERVICES 431799,A81000C,00500,0100,A 431799,A81000C,00500,0200,DISCOVERY INSUR 431799,A81000C,00500,0600,INSURANCE 431799,A81000C,00600,0100,A 431799,A81000C,00600,0200,QUEENSLAND ASSU 431799,A81000C,00600,0600,INSURANCE 431799,A81000C,00700,0100,B 431799,A81000C,00700,0400,KARE MEDICAL 431799,A81000C,00700,0600,WHOLESALE SUPPL 431799,A81000C,00800,0100,B 431799,A81000C,00800,0400,KARE MEDICAL 431799,A81000C,00800,0600,WHOLESALE SUPPL 431799,A81000C,00900,0100,B 431799,A81000C,00900,0400,KARE MEDICAL 431799,A81000C,00900,0600,WHOLESALE SUPPL 431799,A81000C,01000,0100,B 431799,A81000C,01000,0400,KARE MEDICAL 431799,A81000C,01000,0600,WHOLESALE SUPPL 431799,A81000C,01001,0100,B 431799,A81000C,01001,0400,KARE MEDICAL 431799,A81000C,01001,0600,WHOLESALE SUPPL 431799,A81000C,01002,0100,B 431799,A81000C,01002,0400,KARE MEDICAL 431799,A81000C,01002,0600,WHOLESALE SUPPL 431799,A81000C,01003,0100,B 431799,A81000C,01003,0400,KARE MEDICAL 431799,A81000C,01003,0600,WHOLESALE SUPPL 431799,A81000C,01004,0100,B 431799,A81000C,01004,0400,KARE MEDICAL 431799,A81000C,01004,0600,WHOLESALE SUPPL 431799,A81000C,01005,0100,B 431799,A81000C,01005,0400,KARE MEDICAL 431799,A81000C,01005,0600,WHOLESALE SUPPL 431799,A81000C,01006,0100,B 431799,A81000C,01006,0400,KARE MEDICAL 431799,A81000C,01006,0600,WHOLESALE SUPPL 431799,A81000C,01007,0100,B 431799,A81000C,01007,0400,KARE MEDICAL 431799,A81000C,01007,0600,WHOLESALE SUPPL 431799,A81000C,01008,0100,B 431799,A81000C,01008,0400,KARE MEDICAL 431799,A81000C,01008,0600,WHOLESALE SUPPL 431799,A81000C,01009,0100,B 431799,A81000C,01009,0400,KARE MEDICAL 431799,A81000C,01009,0600,WHOLESALE SUPPL 431799,A81000C,01010,0100,B 431799,A81000C,01010,0400,KARE MEDICAL 431799,A81000C,01010,0600,WHOLESALE SUPPL 431799,A81000C,01011,0100,B 431799,A81000C,01011,0400,KARE MEDICAL 431799,A81000C,01011,0600,WHOLESALE SUPPL 431799,A81000C,01012,0100,B 431799,A81000C,01012,0400,KARE MEDICAL 431799,A81000C,01012,0600,WHOLESALE SUPPL 431799,A81000C,01013,0100,B 431799,A81000C,01013,0400,KARE MEDICAL 431799,A81000C,01013,0600,WHOLESALE SUPPL 431799,A81000C,01014,0100,B 431799,A81000C,01014,0400,PHARMSAVE 431799,A81000C,01014,0600,RX SUPPLY 431799,A81000C,01015,0100,B 431799,A81000C,01015,0400,PHARMSAVE 431799,A81000C,01015,0600,RX SUPPLY 431799,A81000C,01016,0100,B 431799,A81000C,01016,0400,PHARMSAVE 431799,A81000C,01016,0600,RX SUPPLY 431799,A81000C,01017,0100,B 431799,A81000C,01017,0400,PHARMSAVE 431799,A81000C,01017,0600,RX SUPPLY 431799,A81000C,01018,0100,B 431799,A81000C,01018,0400,PHARMSAVE 431799,A81000C,01018,0600,RX SUPPLY 431799,A81000C,01019,0100,B 431799,A81000C,01019,0400,ROBERT HILL CON 431799,A81000C,01019,0600,CONSTRUCTION 431799,A81000C,01020,0100,B 431799,A81000C,01020,0400,ROBERT HILL CON 431799,A81000C,01020,0600,CONSTRUCTION 431799,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431799,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431799,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431799,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431799,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431799,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431799,B100000,00000,0800,0800MEALS SERVED :DIETARY 431799,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431799,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431799,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431799,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431799,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431799,E10A180,00550,0100,02/27/12 431799,G300000,02500,0000, OTHER (SPECIFY) 431799,S000000,00100,0200,02/24/12 431799,S200000,00100,0100,1704 HWY 39 NORTH 431799,S200000,00200,0100,LOUISBURG 431799,S200000,00200,0200,NC 431799,S200000,00200,0300,27549 431799,S200000,00300,0100,FRANKLIN 431799,S200000,00300,0201,39580 431799,S200000,00300,0300,U 431799,S200000,00400,0100,BRITTHAVEN OF LOUISBURG 431799,S200000,00400,0200,345335 431799,S200000,00400,0300,11/02/90 431799,S200000,00400,0500,P 431799,S200000,01500,0100,N 431799,S200000,01501,0200,Y 431799,S200000,01502,0200,Y 431799,S200000,01503,0200,Y 431799,S200000,01504,0200,Y 431799,S200000,01505,0000,OTHER (SPECIFY) 431799,S200000,01505,0200,Y 431799,S200000,01600,0100,Y 431799,S200000,01700,0100,N 431799,S200000,01800,0100,N 431799,S200000,02200,0100,N 431799,S200000,02800,0100,N 431799,S200000,02900,0100,N 431799,S200000,03000,0100,N 431799,S200000,03100,0100,Y 431799,S200000,03200,0100,N 431799,S200000,03300,0100,N 431799,S200000,03300,0200,N 431799,S200000,04100,0100,N 431799,S200000,04200,0100,N 431799,S200000,04300,0100,N 431799,S200000,04600,0100,N 431799,S200000,04700,0100,N 431799,S200000,04700,0200,N 431799,S200000,04900,0100,N 431799,S200000,05000,0100,N 431799,S200000,05100,0100,N 431799,S200000,05200,0100,N 431799,S200000,05300,0100,Y 431799,S200000,05300,0200,349011 431799,S200000,05400,0100,BRITTHAVEN INC. 431799,S200000,05400,0200,PALMETTO GBA 431799,S200000,05400,0300,11501 431799,S200000,05500,0100,1435 HWY 258 NORTH 431799,S200000,05500,0200,PO BOX 61 431799,S200000,05600,0100,KINSTON 431799,S200000,05600,0200,NC 431799,S200000,05600,0300,28502 431800,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431800,A000000,00300,0000,0300EMPLOYEE BENEFITS 431800,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431800,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431800,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431800,A000000,00700,0000,0700HOUSEKEEPING 431800,A000000,00800,0000,0800DIETARY 431800,A000000,01100,0000,1100PHARMACY 431800,A000000,01500,0000,1350PATIENT ACTIVITIES 431800,A000000,01600,0000,1600SKILLED NURSING FACILITY 431800,A000000,01800,0000,1800NURSING FACILITY 431800,A000000,01900,0000,1900OTHER LONG TERM CARE 431800,A000000,02100,0000,2100RADIOLOGY 431800,A000000,02200,0000,2200LABORATORY 431800,A000000,02300,0000,2300INTRAVENOUS THERAPY 431800,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431800,A000000,02500,0000,2500PHYSICAL THERAPY 431800,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431800,A000000,02700,0000,2700SPEECH PATHOLOGY 431800,A000000,02800,0000,2800ELECTROCARDIOLOGY 431800,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431800,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431800,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431800,A000000,03200,0000,3200SUPPORT SURFACES 431800,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431800,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431800,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431800,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431800,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431800,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431800,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431800,A000000,06100,0000,6100NONPAID WORKERS 431800,A000000,06200,0000,6200PATIENTS LAUNDRY 431800,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431800,A81000A,00100,0100,Y 431800,A81000B,00100,0300,CENTRAL OFFICE OVHD 431800,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431800,A81000B,00300,0300,SUPPLIES 431800,A81000B,00400,0300,SUPPLIES 431800,A81000B,00500,0300,SUPPLIES 431800,A81000B,00600,0300,PHARMACY 431800,A81000B,00700,0300,PHARMACY 431800,A81000B,00800,0300,PHARMACY 431800,A81000B,00900,0300,PHARMACY 431800,A81000B,01000,0300,PHARMACY 431800,A81000B,01100,0300,PHARMACY 431800,A81000C,00100,0100,B 431800,A81000C,00100,0200,AUTUMN CORPORATION 431800,A81000C,00100,0400,AUTUMN CORPORATION 431800,A81000C,00100,0600,HOME OFFICE 431800,A81000C,00200,0100,B 431800,A81000C,00200,0200,AUTUMN CORPORATION 431800,A81000C,00200,0400,AUTUMN CORPORATION 431800,A81000C,00200,0600,HOME OFFICE 431800,A81000C,00300,0100,A 431800,A81000C,00300,0200,WINCARE 431800,A81000C,00300,0400,AUTUMN CORPORATION 431800,A81000C,00300,0600,SUPPLIES 431800,A81000C,00400,0100,A 431800,A81000C,00400,0200,LEGACY 431800,A81000C,00400,0400,AUTUMN CORPORATION 431800,A81000C,00400,0600,PHARMACY 431800,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431800,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431800,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431800,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431800,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431800,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431800,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431800,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431800,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431800,E10A180,00350,0100,07/27/11 431800,E10A180,00501,0100,05/08/12 431800,G300000,02500,0000,MISC 431800,S000000,00100,0200,02/16/12 431800,S200000,00100,0100,440 INGRAM ROAD EXT 431800,S200000,00100,0300,1750 431800,S200000,00200,0100,KING 431800,S200000,00200,0200,NC 431800,S200000,00200,0300,27021 431800,S200000,00300,0100,STOKES 431800,S200000,00300,0200,3120 431800,S200000,00300,0201,49180 431800,S200000,00300,0300,U 431800,S200000,00400,0100,VILLAGE CARE OF KING 431800,S200000,00400,0200,345381 431800,S200000,00400,0300,06/11/91 431800,S200000,00400,0500,P 431800,S200000,01500,0100,Y 431800,S200000,01501,0200,Y 431800,S200000,01600,0100,N 431800,S200000,01700,0100,N 431800,S200000,01800,0100,N 431800,S200000,02200,0100,N 431800,S200000,02800,0100,N 431800,S200000,02900,0100,N 431800,S200000,03000,0100,N 431800,S200000,03100,0100,N 431800,S200000,03200,0100,N 431800,S200000,03300,0100,N 431800,S200000,03300,0200,N 431800,S200000,04100,0100,N 431800,S200000,04200,0100,N 431800,S200000,04300,0100,N 431800,S200000,04600,0100,N 431800,S200000,04700,0100,N 431800,S200000,04700,0200,N 431800,S200000,04900,0100,N 431800,S200000,05000,0100,N 431800,S200000,05100,0100,N 431800,S200000,05200,0100,N 431801,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431801,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431801,A000000,00300,0000,0300EMPLOYEE BENEFITS 431801,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431801,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431801,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431801,A000000,00700,0000,0700HOUSEKEEPING 431801,A000000,00800,0000,0800DIETARY 431801,A000000,00900,0000,0900NURSING ADMINISTRATION 431801,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431801,A000000,01100,0000,1100PHARMACY 431801,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431801,A000000,01300,0000,1300SOCIAL SERVICE 431801,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431801,A000000,01500,0000,1350OTHER GENERAL SERVICES 431801,A000000,01600,0000,1600SKILLED NURSING FACILITY 431801,A000000,01800,0000,1800NURSING FACILITY 431801,A000000,01810,0000,1810ICF/MR 431801,A000000,01900,0000,1900OTHER LONG TERM CARE 431801,A000000,02100,0000,2100RADIOLOGY 431801,A000000,02200,0000,2200LABORATORY 431801,A000000,02300,0000,2300INTRAVENOUS THERAPY 431801,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431801,A000000,02500,0000,2500PHYSICAL THERAPY 431801,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431801,A000000,02700,0000,2700SPEECH PATHOLOGY 431801,A000000,02800,0000,2800ELECTROCARDIOLOGY 431801,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431801,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431801,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431801,A000000,03200,0000,3200SUPPORT SURFACES 431801,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431801,A000000,03400,0000,3400CLINIC 431801,A000000,03500,0000,3500RURAL HEALTH CLINIC 431801,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431801,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431801,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431801,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431801,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431801,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431801,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431801,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431801,A000000,04400,0000,4400DME RENTED - HHA 431801,A000000,04500,0000,4500DME SOLD - HHA 431801,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431801,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431801,A000000,04710,0000,4710TELEMEDICINE 431801,A000000,04800,0000,4800AMBULANCE 431801,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431801,A000000,05000,0000,5000CORF 431801,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431801,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431801,A000000,05300,0000,5300INTEREST EXPENSE 431801,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431801,A000000,05500,0000,5500HOSPICE 431801,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431801,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431801,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431801,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431801,A000000,06100,0000,6100NONPAID WORKERS 431801,A000000,06200,0000,6200PATIENTS LAUNDRY 431801,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431801,A81000A,00100,0100,N 431801,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431801,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431801,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431801,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431801,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431801,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431801,B100000,00000,0800,0800MEALS SERVED :DIETARY 431801,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431801,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431801,E10A180,00350,0100,07/27/11 431801,E10A180,00501,0100,05/07/12 431801,G300000,02500,0000,BARBER & BEAUTY INCOME 431801,S000000,00100,0200,02/15/12 431801,S200000,00100,0100,1770 OAK HOLLOW ROAD 431801,S200000,00200,0100,GASTONIA 431801,S200000,00200,0200,NC 431801,S200000,00200,0300,28054 431801,S200000,00300,0100,GASTON 431801,S200000,00300,0200,0152 431801,S200000,00300,0201,16740 431801,S200000,00300,0300,U 431801,S200000,00400,0100,ALEXANDRIA PLACE 431801,S200000,00400,0200,345441 431801,S200000,00400,0300,10/01/98 431801,S200000,00400,0500,P 431801,S200000,00400,0600,O 431801,S200000,00610,0200,341605 431801,S200000,00610,0300,10/01/98 431801,S200000,00610,0600,O 431801,S200000,01500,0100,N 431801,S200000,01600,0100,Y 431801,S200000,01700,0100,N 431801,S200000,01800,0100,N 431801,S200000,02200,0100,N 431801,S200000,02800,0100,N 431801,S200000,02900,0100,N 431801,S200000,03000,0100,N 431801,S200000,03100,0100,N 431801,S200000,03200,0100,N 431801,S200000,03300,0100,N 431801,S200000,03300,0200,N 431801,S200000,03510,0300,N 431801,S200000,04100,0100,N 431801,S200000,04200,0100,N 431801,S200000,04300,0100,N 431801,S200000,04600,0100,N 431801,S200000,04700,0100,N 431801,S200000,04700,0200,N 431801,S200000,04900,0100,N 431801,S200000,05000,0100,N 431801,S200000,05100,0100,N 431801,S200000,05200,0100,N 431802,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431802,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431802,A000000,00300,0000,0300EMPLOYEE BENEFITS 431802,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431802,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431802,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431802,A000000,00700,0000,0700HOUSEKEEPING 431802,A000000,00800,0000,0800DIETARY 431802,A000000,00900,0000,0900NURSING ADMINISTRATION 431802,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431802,A000000,01100,0000,1100PHARMACY 431802,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431802,A000000,01300,0000,1300SOCIAL SERVICE 431802,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431802,A000000,01600,0000,1600SKILLED NURSING FACILITY 431802,A000000,01800,0000,1800NURSING FACILITY 431802,A000000,01900,0000,1900OTHER LONG TERM CARE 431802,A000000,02100,0000,2100RADIOLOGY 431802,A000000,02200,0000,2200LABORATORY 431802,A000000,02300,0000,2300INTRAVENOUS THERAPY 431802,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431802,A000000,02500,0000,2500PHYSICAL THERAPY 431802,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431802,A000000,02700,0000,2700SPEECH PATHOLOGY 431802,A000000,02800,0000,2800ELECTROCARDIOLOGY 431802,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431802,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431802,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431802,A000000,03200,0000,3200SUPPORT SURFACES 431802,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431802,A000000,03400,0000,3400CLINIC 431802,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431802,A000000,04800,0000,4800AMBULANCE 431802,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431802,A000000,05000,0000,5000CORF 431802,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431802,A000000,05300,0000,5300INTEREST EXPENSE 431802,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431802,A000000,05500,0000,5500HOSPICE 431802,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431802,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431802,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431802,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431802,A000000,06100,0000,6100NONPAID WORKERS 431802,A000000,06200,0000,6200PATIENTS LAUNDRY 431802,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431802,A81000A,00100,0100,Y 431802,A81000B,00100,0300,NURSING CONSULTING 431802,A81000B,00200,0300,DIETARY CONSULTING 431802,A81000B,00300,0300,HOME OFFICE 431802,A81000B,00400,0300,INTEREST EXPENSE 431802,A81000B,00500,0300,WORKERS COMP EXPENSE 431802,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 431802,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 431802,A81000B,00800,0300,LINEN & BEDDING 431802,A81000B,00900,0300,LAUNDRY SUPPLIES 431802,A81000B,01000,0300,PAPER PRODUCTS & HAND SOAP 431802,A81000B,01100,0300,HSKP SUPPLIES 431802,A81000B,01200,0300,DIETARY SUPPLEMENTS 431802,A81000B,01300,0300,DIETARY SUPPLIES 431802,A81000B,01400,0300,BIO-MEDICAL WASTE 431802,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 431802,A81000B,01600,0300,PERSONAL CARE SUPPLIES 431802,A81000B,01700,0300,INCONTINENCE SUPPLIES 431802,A81000B,01800,0300,MEDICAL SUPPLIES 431802,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 431802,A81000B,02000,0300,PT SUPPLIES 431802,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 431802,A81000B,02200,0300,NURSING EQUIPMENT RENTAL 431802,A81000B,02300,0300,NON-LEGEND DRUGS 431802,A81000B,02400,0300,PHARMACY CONSULTANT 431802,A81000B,02500,0300,MED REC SUPPLIES 431802,A81000B,02600,0300,LEGEND DRUGS 431802,A81000B,02700,0300,OFFICE SUPPLIES 431802,A81000B,02800,0300,REPAIRS - EQUIPMENT 431802,A81000B,02900,0300,MED REC SUPPLIES 431802,A81000C,00100,0100,B 431802,A81000C,00100,0400,BRITTHAVEN INC 431802,A81000C,00100,0600,MGMT SERVICES 431802,A81000C,00200,0100,B 431802,A81000C,00200,0400,BRITTHAVEN INC 431802,A81000C,00200,0600,MGMT SERVICES 431802,A81000C,00300,0100,B 431802,A81000C,00300,0400,BRITTHAVEN INC 431802,A81000C,00300,0600,MGMT SERVICES 431802,A81000C,00400,0100,B 431802,A81000C,00400,0400,BRITTHAVEN INC 431802,A81000C,00400,0600,MGMT SERVICES 431802,A81000C,00500,0100,A 431802,A81000C,00500,0200,DISCOVERY INSUR 431802,A81000C,00500,0600,INSURANCE 431802,A81000C,00600,0100,A 431802,A81000C,00600,0200,QUEENSLAND ASSU 431802,A81000C,00600,0600,INSURANCE 431802,A81000C,00700,0100,B 431802,A81000C,00700,0400,KARE MEDICAL 431802,A81000C,00700,0600,WHOLESALE SUPPL 431802,A81000C,00800,0100,B 431802,A81000C,00800,0400,KARE MEDICAL 431802,A81000C,00800,0600,WHOLESALE SUPPL 431802,A81000C,00900,0100,B 431802,A81000C,00900,0400,KARE MEDICAL 431802,A81000C,00900,0600,WHOLESALE SUPPL 431802,A81000C,01000,0100,B 431802,A81000C,01000,0400,KARE MEDICAL 431802,A81000C,01000,0600,WHOLESALE SUPPL 431802,A81000C,01001,0100,B 431802,A81000C,01001,0400,KARE MEDICAL 431802,A81000C,01001,0600,WHOLESALE SUPPL 431802,A81000C,01002,0100,B 431802,A81000C,01002,0400,KARE MEDICAL 431802,A81000C,01002,0600,WHOLESALE SUPPL 431802,A81000C,01003,0100,B 431802,A81000C,01003,0400,KARE MEDICAL 431802,A81000C,01003,0600,WHOLESALE SUPPL 431802,A81000C,01004,0100,B 431802,A81000C,01004,0400,KARE MEDICAL 431802,A81000C,01004,0600,WHOLESALE SUPPL 431802,A81000C,01005,0100,B 431802,A81000C,01005,0400,KARE MEDICAL 431802,A81000C,01005,0600,WHOLESALE SUPPL 431802,A81000C,01006,0100,B 431802,A81000C,01006,0400,KARE MEDICAL 431802,A81000C,01006,0600,WHOLESALE SUPPL 431802,A81000C,01007,0100,B 431802,A81000C,01007,0400,KARE MEDICAL 431802,A81000C,01007,0600,WHOLESALE SUPPL 431802,A81000C,01008,0100,B 431802,A81000C,01008,0400,KARE MEDICAL 431802,A81000C,01008,0600,WHOLESALE SUPPL 431802,A81000C,01009,0100,B 431802,A81000C,01009,0400,KARE MEDICAL 431802,A81000C,01009,0600,WHOLESALE SUPPL 431802,A81000C,01010,0100,B 431802,A81000C,01010,0400,KARE MEDICAL 431802,A81000C,01010,0600,WHOLESALE SUPPL 431802,A81000C,01011,0100,B 431802,A81000C,01011,0400,KARE MEDICAL 431802,A81000C,01011,0600,WHOLESALE SUPPL 431802,A81000C,01012,0100,B 431802,A81000C,01012,0400,PHARM SAVE 431802,A81000C,01012,0600,RX SUPPLY 431802,A81000C,01013,0100,B 431802,A81000C,01013,0400,PHARM SAVE 431802,A81000C,01013,0600,RX SUPPLY 431802,A81000C,01014,0100,B 431802,A81000C,01014,0400,PHARM SAVE 431802,A81000C,01014,0600,RX SUPPLY 431802,A81000C,01015,0100,B 431802,A81000C,01015,0400,PHARM SAVE 431802,A81000C,01015,0600,RX SUPPLY 431802,A81000C,01016,0100,B 431802,A81000C,01016,0400,PHARM SAVE 431802,A81000C,01016,0600,RX SUPPLY 431802,A81000C,01017,0100,B 431802,A81000C,01017,0400,ROBERT HILL CON 431802,A81000C,01017,0600,CONSTRUCTION 431802,A81000C,01018,0100,B 431802,A81000C,01018,0400,ROBERT HILL CON 431802,A81000C,01018,0600,CONSTRUCTION 431802,A81000C,01019,0100,B 431802,A81000C,01019,0400,ROBERT HILL CON 431802,A81000C,01019,0600,CONSTRUCTION 431802,A81000C,01020,0100,A 431802,A81000C,01020,0200,NEUSE RIVER COR 431802,A81000C,01020,0400,NEUSE RIVER COR 431802,A81000C,01020,0600,REAL ESTATE 431802,A81000C,01021,0100,A 431802,A81000C,01021,0200,NEUSE RIVER COR 431802,A81000C,01021,0400,NEUSE RIVER COR 431802,A81000C,01021,0600,REAL ESTATE 431802,A81000C,01022,0100,A 431802,A81000C,01022,0200,NEUSE RIVER COR 431802,A81000C,01022,0400,NEUSE RIVER COR 431802,A81000C,01022,0600,REAL ESTATE 431802,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431802,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431802,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431802,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431802,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431802,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431802,B100000,00000,0800,0800MEALS SERVED :DIETARY 431802,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431802,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431802,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431802,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431802,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431802,E10A180,00550,0100,02/24/12 431802,E10A180,00550,0300,02/24/12 431802,G300000,02500,0000, OTHER (SPECIFY) 431802,S000000,00100,0200,02/24/12 431802,S200000,00100,0100,210 FOXHALL ROAD 431802,S200000,00200,0100,NEWPORT 431802,S200000,00200,0200,NC 431802,S200000,00200,0300,28570 431802,S200000,00300,0100,CARTERET 431802,S200000,00300,0201,99934 431802,S200000,00300,0300,R 431802,S200000,00400,0100,BRITTHAVEN OF NEWPORT 431802,S200000,00400,0200,345491 431802,S200000,00400,0300,02/04/99 431802,S200000,00400,0500,P 431802,S200000,01500,0100,Y 431802,S200000,01501,0200,Y 431802,S200000,01502,0200,Y 431802,S200000,01503,0200,Y 431802,S200000,01504,0200,Y 431802,S200000,01505,0000,OTHER (SPECIFY) 431802,S200000,01505,0200,Y 431802,S200000,01600,0100,N 431802,S200000,01700,0100,N 431802,S200000,01800,0100,N 431802,S200000,02200,0100,N 431802,S200000,02800,0100,N 431802,S200000,02900,0100,N 431802,S200000,03000,0100,N 431802,S200000,03100,0100,Y 431802,S200000,03200,0100,N 431802,S200000,03300,0100,N 431802,S200000,03300,0200,N 431802,S200000,04100,0100,N 431802,S200000,04200,0100,N 431802,S200000,04300,0100,N 431802,S200000,04600,0100,N 431802,S200000,04700,0100,N 431802,S200000,04700,0200,N 431802,S200000,04900,0100,N 431802,S200000,05000,0100,N 431802,S200000,05100,0100,N 431802,S200000,05200,0100,N 431802,S200000,05300,0100,Y 431802,S200000,05300,0200,349011 431802,S200000,05400,0100,BRITTHAVEN INC. 431802,S200000,05400,0200,PALMETTO GBA 431802,S200000,05400,0300,11501 431802,S200000,05500,0100,1435 HWY 258 NORTH 431802,S200000,05500,0200,PO BOX 61 431802,S200000,05600,0100,KINSTON 431802,S200000,05600,0200,NC 431802,S200000,05600,0300,28502 431803,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431803,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431803,A000000,00300,0000,0300EMPLOYEE BENEFITS 431803,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431803,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431803,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431803,A000000,00700,0000,0700HOUSEKEEPING 431803,A000000,00800,0000,0800DIETARY 431803,A000000,00900,0000,0900NURSING ADMINISTRATION 431803,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431803,A000000,01100,0000,1100PHARMACY 431803,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431803,A000000,01300,0000,1300SOCIAL SERVICE 431803,A000000,01500,0000,1350PATIENT ACTIVITIES 431803,A000000,01600,0000,1600SKILLED NURSING FACILITY 431803,A000000,01800,0000,1800NURSING FACILITY 431803,A000000,01900,0000,1900OTHER LONG TERM CARE 431803,A000000,02100,0000,2100RADIOLOGY 431803,A000000,02200,0000,2200LABORATORY 431803,A000000,02300,0000,2300INTRAVENOUS THERAPY 431803,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431803,A000000,02500,0000,2500PHYSICAL THERAPY 431803,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431803,A000000,02700,0000,2700SPEECH PATHOLOGY 431803,A000000,02800,0000,2800ELECTROCARDIOLOGY 431803,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431803,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431803,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431803,A000000,03200,0000,3200SUPPORT SURFACES 431803,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431803,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431803,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431803,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431803,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431803,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431803,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431803,A000000,06100,0000,6100NONPAID WORKERS 431803,A000000,06200,0000,6200PATIENTS LAUNDRY 431803,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431803,A81000A,00100,0100,Y 431803,A81000B,00100,0300,CENTRAL OFFICE OVHD 431803,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431803,A81000B,00300,0300,SUPPLIES 431803,A81000B,00400,0300,SUPPLIES 431803,A81000B,00500,0300,PHARMACY 431803,A81000B,00600,0300,PHARMACY 431803,A81000B,00700,0300,PHARMACY 431803,A81000B,00800,0300,PHARMACY 431803,A81000B,00900,0300,PHARMACY 431803,A81000B,01000,0300,PHARMACY 431803,A81000C,00100,0100,B 431803,A81000C,00100,0200,AUTUMN CORPORATION 431803,A81000C,00100,0400,AUTUMN CORPORATION 431803,A81000C,00100,0600,HOME OFFICE 431803,A81000C,00200,0100,B 431803,A81000C,00200,0200,AUTUMN CORPORATION 431803,A81000C,00200,0400,AUTUMN CORPORATION 431803,A81000C,00200,0600,HOME OFFICE 431803,A81000C,00300,0100,B 431803,A81000C,00300,0200,WINCARE 431803,A81000C,00300,0400,AUTUMN CORPORATION 431803,A81000C,00300,0600,SUPPLIES 431803,A81000C,00400,0100,B 431803,A81000C,00400,0200,LEGACY 431803,A81000C,00400,0400,AUTUMN CORPORATION 431803,A81000C,00400,0600,PHARMACY 431803,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431803,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431803,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431803,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431803,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431803,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431803,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431803,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431803,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431803,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431803,E10A180,00501,0100,05/07/12 431803,G300000,02500,0000,MISC 431803,S000000,00100,0200,02/16/12 431803,S200000,00100,0100,ONE AUTUMN COURT 431803,S200000,00100,0300,420 431803,S200000,00200,0100,MADISON 431803,S200000,00200,0200,VA 431803,S200000,00200,0300,22727 431803,S200000,00300,0100,MADISON 431803,S200000,00300,0200,49 431803,S200000,00300,0201,00049 431803,S200000,00300,0300,R 431803,S200000,00400,0100,AUTUMN CARE OF MADISON 431803,S200000,00400,0200,495244 431803,S200000,00400,0300,07/01/91 431803,S200000,00400,0500,P 431803,S200000,01500,0100,N 431803,S200000,01501,0200,Y 431803,S200000,01600,0100,Y 431803,S200000,01700,0100,N 431803,S200000,01800,0100,N 431803,S200000,02200,0100,N 431803,S200000,02800,0100,N 431803,S200000,02900,0100,N 431803,S200000,03000,0100,N 431803,S200000,03100,0100,N 431803,S200000,03200,0100,N 431803,S200000,03300,0100,N 431803,S200000,03300,0200,N 431803,S200000,04100,0100,N 431803,S200000,04200,0100,N 431803,S200000,04300,0100,N 431803,S200000,04600,0100,N 431803,S200000,04700,0100,N 431803,S200000,04700,0200,N 431803,S200000,04900,0100,N 431803,S200000,05000,0100,N 431803,S200000,05100,0100,N 431803,S200000,05200,0100,N 431804,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431804,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431804,A000000,00300,0000,0300EMPLOYEE BENEFITS 431804,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431804,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431804,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431804,A000000,00700,0000,0700HOUSEKEEPING 431804,A000000,00800,0000,0800DIETARY 431804,A000000,00900,0000,0900NURSING ADMINISTRATION 431804,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431804,A000000,01100,0000,1100PHARMACY 431804,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431804,A000000,01300,0000,1300SOCIAL SERVICE 431804,A000000,01500,0000,1350PATIENT ACTIVITIES 431804,A000000,01600,0000,1600SKILLED NURSING FACILITY 431804,A000000,01800,0000,1800NURSING FACILITY 431804,A000000,01900,0000,1900OTHER LONG TERM CARE 431804,A000000,02100,0000,2100RADIOLOGY 431804,A000000,02200,0000,2200LABORATORY 431804,A000000,02300,0000,2300INTRAVENOUS THERAPY 431804,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431804,A000000,02500,0000,2500PHYSICAL THERAPY 431804,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431804,A000000,02700,0000,2700SPEECH PATHOLOGY 431804,A000000,02800,0000,2800ELECTROCARDIOLOGY 431804,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431804,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431804,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431804,A000000,03200,0000,3200SUPPORT SURFACES 431804,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431804,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431804,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431804,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431804,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431804,A000000,06100,0000,6100NONPAID WORKERS 431804,A000000,06200,0000,6200PATIENTS LAUNDRY 431804,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431804,A81000A,00100,0100,Y 431804,A81000B,00100,0300,CENTRAL OFFICE OVHD 431804,A81000B,00200,0300,CENTRAL OFICE CAPITAL 431804,A81000B,00300,0300,SUPPLIES 431804,A81000B,00400,0300,SUPPLIES 431804,A81000B,00500,0300,SUPPLIES 431804,A81000B,00600,0300,PHARMACY 431804,A81000B,00700,0300,PHARMACY 431804,A81000B,00800,0300,PHARMACY 431804,A81000B,00900,0300,PHARMACY 431804,A81000B,01000,0300,PHARMACY 431804,A81000B,01100,0300,PHARMACY 431804,A81000C,00100,0100,B 431804,A81000C,00100,0200,AUTUMN CORPORATION 431804,A81000C,00100,0400,AUTUMN CORPORATION 431804,A81000C,00100,0600,HOME OFFICE 431804,A81000C,00200,0100,B 431804,A81000C,00200,0200,AUTUMN CORPORATION 431804,A81000C,00200,0400,AUTUMN CORPORATION 431804,A81000C,00200,0600,HOME OFFICE 431804,A81000C,00300,0100,B 431804,A81000C,00300,0200,AUTUMN CARE OF PORTSMOUTH 431804,A81000C,00300,0400,AUTUMN CORPORATION 431804,A81000C,00300,0600,BUILDING RENTAL 431804,A81000C,00400,0100,A 431804,A81000C,00400,0200,WINCARE 431804,A81000C,00400,0400,AUTUMN CORPORATION 431804,A81000C,00400,0600,SUPPLIES 431804,A81000C,00500,0100,A 431804,A81000C,00500,0200,LEGACY 431804,A81000C,00500,0400,AUTUMN CORPORATION 431804,A81000C,00500,0600,PHARMACY 431804,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431804,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431804,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431804,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431804,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431804,B100000,00000,0700,0750SQ FT EXCLUD ING:HOUSEKEEPING 431804,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431804,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431804,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431804,E10A180,00550,0100,02/16/12 431804,G300000,02500,0000,MISC 431804,S000000,00100,0200,02/16/12 431804,S200000,00100,0100,715 ARGYLL ROAD 431804,S200000,00200,0100,CHESAPEAKE 431804,S200000,00200,0200,VA 431804,S200000,00200,0300,23320 431804,S200000,00300,0100,TIDEWATER DISTRICT 431804,S200000,00300,0200,5720 431804,S200000,00300,0201,47260 431804,S200000,00300,0300,U 431804,S200000,00400,0100,AUTUMN CARE OF CHESAPEAKE 431804,S200000,00400,0200,495256 431804,S200000,00400,0300,05/24/91 431804,S200000,00400,0500,P 431804,S200000,01500,0100,Y 431804,S200000,01501,0200,Y 431804,S200000,01600,0100,N 431804,S200000,01700,0100,N 431804,S200000,01800,0100,N 431804,S200000,02200,0100,N 431804,S200000,02800,0100,N 431804,S200000,02900,0100,N 431804,S200000,03000,0100,N 431804,S200000,03100,0100,N 431804,S200000,03200,0100,N 431804,S200000,03300,0100,N 431804,S200000,03300,0200,N 431804,S200000,04100,0100,N 431804,S200000,04200,0100,N 431804,S200000,04300,0100,N 431804,S200000,04600,0100,N 431804,S200000,04700,0100,N 431804,S200000,04700,0200,N 431804,S200000,04900,0100,N 431804,S200000,05000,0100,N 431804,S200000,05100,0100,N 431804,S200000,05200,0100,N 431805,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431805,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431805,A000000,00300,0000,0300EMPLOYEE BENEFITS 431805,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431805,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431805,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431805,A000000,00700,0000,0700HOUSEKEEPING 431805,A000000,00800,0000,0800DIETARY 431805,A000000,00900,0000,0900NURSING ADMINISTRATION 431805,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431805,A000000,01100,0000,1100PHARMACY 431805,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431805,A000000,01300,0000,1300SOCIAL SERVICE 431805,A000000,01500,0000,1350PATIENT ACTIVITIES 431805,A000000,01600,0000,1600SKILLED NURSING FACILITY 431805,A000000,01800,0000,1800NURSING FACILITY 431805,A000000,01900,0000,1900OTHER LONG TERM CARE 431805,A000000,02100,0000,2100RADIOLOGY 431805,A000000,02200,0000,2200LABORATORY 431805,A000000,02300,0000,2300INTRAVENOUS THERAPY 431805,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431805,A000000,02500,0000,2500PHYSICAL THERAPY 431805,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431805,A000000,02700,0000,2700SPEECH PATHOLOGY 431805,A000000,02800,0000,2800ELECTROCARDIOLOGY 431805,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431805,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431805,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431805,A000000,03200,0000,3200SUPPORT SURFACES 431805,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431805,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431805,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431805,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431805,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431805,A000000,06100,0000,6100NONPAID WORKERS 431805,A000000,06200,0000,6200PATIENTS LAUNDRY 431805,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431805,A81000A,00100,0100,Y 431805,A81000B,00100,0300,CENTRAL OFFICE OVHD 431805,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 431805,A81000B,00300,0300,BUILDING RENTAL 431805,A81000B,00400,0300,SUPPLIES 431805,A81000B,00500,0300,SUPPLIES 431805,A81000B,00600,0300,SUPPLIES 431805,A81000B,00700,0300,SUPPLIES 431805,A81000B,00800,0300,PHARMACY 431805,A81000B,00900,0300,PHARMACY 431805,A81000B,01000,0300,PHARMACY 431805,A81000B,01100,0300,PHARMACY 431805,A81000B,01200,0300,PHARMACY 431805,A81000B,01300,0300,PHARMACY 431805,A81000C,00100,0100,B 431805,A81000C,00100,0200,AUTUMN CORPORATION 431805,A81000C,00100,0400,AUTUMN CORPORATION 431805,A81000C,00100,0600,HOME OFFICE 431805,A81000C,00200,0100,B 431805,A81000C,00200,0200,AUTUMN CORPORATION 431805,A81000C,00200,0400,AUTUMN CORPORATION 431805,A81000C,00200,0600,HOME OFFICE 431805,A81000C,00300,0100,B 431805,A81000C,00300,0200,AUTUMN CARE FACILITIES LP 431805,A81000C,00300,0400,AUTUMN CORPORATION 431805,A81000C,00300,0600,BUILDING RENTAL 431805,A81000C,00400,0100,A 431805,A81000C,00400,0200,WINCARE 431805,A81000C,00400,0400,AUTUMN CORPORATION 431805,A81000C,00400,0600,SUPPLIES 431805,A81000C,00500,0100,A 431805,A81000C,00500,0200,LEGACY 431805,A81000C,00500,0400,AUTUMN CORPORATION 431805,A81000C,00500,0600,PHARMACY 431805,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431805,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431805,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431805,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431805,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431805,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431805,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 431805,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431805,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431805,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431805,E10A180,00501,0100,05/07/12 431805,G300000,02500,0000,MISC 431805,S000000,00100,0200,02/16/12 431805,S200000,00100,0100,2580 PRUDEN BLVD 431805,S200000,00100,0300,1548 431805,S200000,00200,0100,SUFFOLK 431805,S200000,00200,0200,VA 431805,S200000,00200,0300,23434 431805,S200000,00300,0100,TIDEWATER DISTRICT 431805,S200000,00300,0200,5720 431805,S200000,00300,0201,47260 431805,S200000,00300,0300,U 431805,S200000,00400,0100,AUTUMN CARE OF SUFFOLK 431805,S200000,00400,0200,495258 431805,S200000,00400,0300,10/15/91 431805,S200000,00400,0500,P 431805,S200000,01500,0100,Y 431805,S200000,01501,0200,Y 431805,S200000,01600,0100,N 431805,S200000,01700,0100,N 431805,S200000,01800,0100,N 431805,S200000,02200,0100,N 431805,S200000,02800,0100,N 431805,S200000,02900,0100,N 431805,S200000,03000,0100,N 431805,S200000,03100,0100,N 431805,S200000,03200,0100,N 431805,S200000,03300,0100,N 431805,S200000,03300,0200,N 431805,S200000,04100,0100,N 431805,S200000,04200,0100,N 431805,S200000,04300,0100,N 431805,S200000,04600,0100,N 431805,S200000,04700,0100,N 431805,S200000,04700,0200,N 431805,S200000,04900,0100,N 431805,S200000,05000,0100,N 431805,S200000,05100,0100,N 431805,S200000,05200,0100,N 431812,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431812,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431812,A000000,00300,0000,0300EMPLOYEE BENEFITS 431812,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431812,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431812,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431812,A000000,00700,0000,0700HOUSEKEEPING 431812,A000000,00800,0000,0800DIETARY 431812,A000000,00900,0000,0900NURSING ADMINISTRATION 431812,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431812,A000000,01100,0000,1100PHARMACY 431812,A000000,01300,0000,1300SOCIAL SERVICE 431812,A000000,01500,0000,1350OTHER GENERAL SERVICES 431812,A000000,01600,0000,1600SKILLED NURSING FACILITY 431812,A000000,01800,0000,1800NURSING FACILITY 431812,A000000,01900,0000,1900OTHER LONG TERM CARE 431812,A000000,02100,0000,2100RADIOLOGY 431812,A000000,02200,0000,2200LABORATORY 431812,A000000,02500,0000,2500PHYSICAL THERAPY 431812,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431812,A000000,02700,0000,2700SPEECH PATHOLOGY 431812,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431812,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431812,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431812,A000000,04800,0000,4800AMBULANCE 431812,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431812,A000000,05300,0000,5300INTEREST EXPENSE 431812,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431812,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431812,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431812,A000000,06200,0000,6200PATIENTS LAUNDRY 431812,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431812,A81000A,00100,0100,Y 431812,A81000B,00100,0300,MANAGEMENT FEES 431812,A81000C,00100,0100,B 431812,A81000C,00100,0200,SLC NORTH BAY LP 431812,A81000C,00100,0400,HCP HB2 NORTH BAY MANOR 431812,A81000C,00100,0600,HOME OFFICE 431812,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431812,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431812,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431812,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431812,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431812,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431812,B100000,00000,0800,0800MEALS SERVED :DIETARY 431812,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431812,G300000,02500,0000,BARBER & BEAUTY 431812,S000000,00100,0200,05/09/12 431812,S200000,00100,0100,171 PLEASANT VIEW AVENUE 431812,S200000,00200,0100,SMITHFIELD 431812,S200000,00200,0200,RI 431812,S200000,00200,0300,02917 431812,S200000,00300,0100,PROVIDENCE 431812,S200000,00300,0201,39300 431812,S200000,00300,0300,U 431812,S200000,00400,0100,NORTH BAY MANOR 431812,S200000,00400,0200,415086 431812,S200000,00400,0300,04/01/99 431812,S200000,00400,0500,P 431812,S200000,01500,0100,N 431812,S200000,01501,0200,N 431812,S200000,01502,0200,Y 431812,S200000,01503,0200,N 431812,S200000,01504,0200,N 431812,S200000,01600,0100,Y 431812,S200000,01700,0100,N 431812,S200000,01800,0100,N 431812,S200000,02200,0100,N 431812,S200000,02800,0100,N 431812,S200000,02900,0100,N 431812,S200000,03000,0100,N 431812,S200000,03100,0100,N 431812,S200000,03200,0100,N 431812,S200000,03300,0100,N 431812,S200000,03300,0200,N 431812,S200000,04100,0100,N 431812,S200000,04200,0100,N 431812,S200000,04300,0100,N 431812,S200000,04600,0100,N 431812,S200000,04700,0100,N 431812,S200000,04700,0200,N 431812,S200000,04900,0100,N 431812,S200000,05000,0100,N 431812,S200000,05100,0100,N 431812,S200000,05200,0100,N 431812,S200000,05300,0100,N 431813,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431813,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431813,A000000,00300,0000,0300EMPLOYEE BENEFITS 431813,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431813,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431813,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431813,A000000,00700,0000,0700HOUSEKEEPING 431813,A000000,00800,0000,0800DIETARY 431813,A000000,00900,0000,0900NURSING ADMINISTRATION 431813,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431813,A000000,01100,0000,1100PHARMACY 431813,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431813,A000000,01300,0000,1300SOCIAL SERVICE 431813,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431813,A000000,01500,0000,1350RECREATION 431813,A000000,01600,0000,1600SKILLED NURSING FACILITY 431813,A000000,01810,0000,1810ICF/MR 431813,A000000,02100,0000,2100RADIOLOGY 431813,A000000,02200,0000,2200LABORATORY 431813,A000000,02300,0000,2300INTRAVENOUS THERAPY 431813,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431813,A000000,02500,0000,2500PHYSICAL THERAPY 431813,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431813,A000000,02700,0000,2700SPEECH PATHOLOGY 431813,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431813,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431813,A000000,03550,0000,3550FQHC 431813,A000000,04801,0000,4801AMBULANCE 431813,A000000,04802,0000,4802AMBULANCE 431813,A000000,04803,0000,4803AMBULANCE 431813,A000000,05000,0000,5000CORF 431813,A000000,05010,0000,5010CMHC 431813,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431813,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431813,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431813,A81000A,00100,0100,Y 431813,A81000B,00100,0300,SEE ATTACHED 431813,A81000B,00200,0300,CAPITAL INTEREST 431813,A81000B,00300,0300,HOME OFFICE 431813,A81000B,00400,0300,HOME OFFICE 431813,A81000C,00100,0100,B 431813,A81000C,00100,0400,SEE ATTACHED 431813,A81000C,00100,0600,VARIOUS 431813,A81000C,00200,0100,B 431813,A81000C,00200,0400,GHC 431813,A81000C,00200,0600,LONG TERM CARE 431813,A81000C,00300,0100,B 431813,A81000C,00300,0400,GHC 431813,A81000C,00300,0600,LONG TERM CARE 431813,A81000C,00400,0100,B 431813,A81000C,00400,0400,GHC 431813,A81000C,00400,0600,LONG TERM CARE 431813,B100000,00000,0100,0100SQUARE FEET 431813,B100000,00000,0200,0200SQUARE FEET 431813,B100000,00000,0300,0300GROSS SALARIES 431813,B100000,00000,0400,0400ACCUM COST 431813,B100000,00000,0500,0500SQUARE FEET 431813,B100000,00000,0600,0600PATIENT DAYS 431813,B100000,00000,0700,0700SQUARE FEET 431813,B100000,00000,0800,0800MEALS SERVED 431813,B100000,00000,0900,0900NURSING SALARIES 431813,B100000,00000,1000,1000COSTED REQUIS 431813,B100000,00000,1100,1100COSTED REQUIS 431813,B100000,00000,1200,1200PATIENT DAYS 431813,B100000,00000,1300,1300PATIENT DAYS 431813,B100000,00000,1400,1400ASSIGNED TIME 431813,B100000,00000,1500,1350PATIENT DAYS 431813,E10A180,00350,0100,03/24/11 431813,E10A180,00501,0300,10/04/11 431813,E10A180,00550,0100,10/04/11 431813,G300000,02500,0000,BARBER & BEAUTY 431813,S000000,00100,0200,09/07/11 431813,S200000,00100,0100,1104 WELSH ROAD 431813,S200000,00200,0100,PHILADELPHIA 431813,S200000,00200,0200,PA 431813,S200000,00200,0300,19115 431813,S200000,00300,0100,PHILADELPHIA 431813,S200000,00300,0201,37964 431813,S200000,00300,0300,U 431813,S200000,00400,0100,CHAPEL MANOR 431813,S200000,00400,0200,395449 431813,S200000,00400,0300,06/01/88 431813,S200000,00400,0500,P 431813,S200000,01500,0100,Y 431813,S200000,01501,0200,N 431813,S200000,01502,0200,N 431813,S200000,01503,0200,N 431813,S200000,01504,0200,N 431813,S200000,01600,0100,N 431813,S200000,01700,0100,N 431813,S200000,01800,0100,N 431813,S200000,02200,0100,Y 431813,S200000,02800,0100,N 431813,S200000,02900,0100,N 431813,S200000,03000,0100,N 431813,S200000,03100,0100,N 431813,S200000,03200,0100,N 431813,S200000,03300,0100,N 431813,S200000,03300,0200,N 431813,S200000,04200,0100,N 431813,S200000,04300,0100,N 431813,S200000,04600,0100,N 431813,S200000,04700,0100,N 431813,S200000,04900,0100,N 431813,S200000,05200,0100,N 431813,S200000,05300,0100,Y 431813,S200000,05300,0200,HB0067 431813,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431813,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431813,S200000,05400,0300,12001 431813,S200000,05500,0100,101 EAST STATE STREET 431813,S200000,05600,0100,KENNETT SQUARE 431813,S200000,05600,0200,PA 431813,S200000,05600,0300,19348 431814,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431814,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431814,A000000,00300,0000,0300EMPLOYEE BENEFITS 431814,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431814,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431814,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431814,A000000,00700,0000,0700HOUSEKEEPING 431814,A000000,00800,0000,0800DIETARY 431814,A000000,00900,0000,0900NURSING ADMINISTRATION 431814,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431814,A000000,01100,0000,1100PHARMACY 431814,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431814,A000000,01300,0000,1300SOCIAL SERVICE 431814,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431814,A000000,01500,0000,1350RECREATION 431814,A000000,01600,0000,1600SKILLED NURSING FACILITY 431814,A000000,01810,0000,1810ICF/MR 431814,A000000,02100,0000,2100RADIOLOGY 431814,A000000,02200,0000,2200LABORATORY 431814,A000000,02300,0000,2300INTRAVENOUS THERAPY 431814,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431814,A000000,02500,0000,2500PHYSICAL THERAPY 431814,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431814,A000000,02700,0000,2700SPEECH PATHOLOGY 431814,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431814,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431814,A000000,03550,0000,3550FQHC 431814,A000000,04801,0000,4801AMBULANCE 431814,A000000,04802,0000,4802AMBULANCE 431814,A000000,04803,0000,4803AMBULANCE 431814,A000000,05000,0000,5000CORF 431814,A000000,05010,0000,5010CMHC 431814,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431814,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431814,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431814,A81000A,00100,0100,Y 431814,A81000B,00100,0300,SEE ATTACHED 431814,A81000B,00200,0300,HOME OFFICE INTEREST 431814,A81000B,00300,0300,HOME OFFICE A & G 431814,A81000B,00400,0300,HOME OFFICE CAPITAL 431814,A81000C,00100,0100,B 431814,A81000C,00100,0400,SEE ATTACHED 431814,A81000C,00100,0600,VARIOUS 431814,A81000C,00200,0100,B 431814,A81000C,00200,0400,GHC 431814,A81000C,00200,0600,LONG TERM CARE 431814,A81000C,00300,0100,B 431814,A81000C,00300,0400,GHC 431814,A81000C,00300,0600,LONG TERM CARE 431814,A81000C,00400,0100,B 431814,A81000C,00400,0400,GHC 431814,A81000C,00400,0600,LONG TERM CARE 431814,B100000,00000,0100,0100SQUARE FEET 431814,B100000,00000,0200,0200SQUARE FEET 431814,B100000,00000,0300,0300GROSS SALARIES 431814,B100000,00000,0400,0400ACCUM COST 431814,B100000,00000,0500,0500SQUARE FEET 431814,B100000,00000,0600,0600PATIENT DAYS 431814,B100000,00000,0700,0700SQUARE FEET 431814,B100000,00000,0800,0800MEALS SERVED 431814,B100000,00000,0900,0900NURSING SALARIES 431814,B100000,00000,1000,1000COSTED REQUIS 431814,B100000,00000,1100,1100COSTED REQUIS 431814,B100000,00000,1200,1200PATIENT DAYS 431814,B100000,00000,1300,1300PATIENT DAYS 431814,B100000,00000,1400,1400ASSIGNED TIME 431814,B100000,00000,1500,1350PATIENT DAYS 431814,E10A180,00301,0100,03/24/11 431814,E10A180,00501,0300,10/13/11 431814,E10A180,00550,0100,10/13/11 431814,G300000,02500,0000,BARBER AND BEAUTY 431814,S000000,00100,0200,09/12/11 431814,S200000,00100,0100,530 MACOBY STREET 431814,S200000,00200,0100,PENNSBURG 431814,S200000,00200,0200,PA 431814,S200000,00200,0300,18073 431814,S200000,00300,0100,MONTGOMERY 431814,S200000,00300,0201,37964 431814,S200000,00300,0300,U 431814,S200000,00400,0100,PENNSBURG MANOR 431814,S200000,00400,0200,395555 431814,S200000,00400,0300,02/08/89 431814,S200000,00400,0500,P 431814,S200000,01500,0100,Y 431814,S200000,01501,0200,N 431814,S200000,01502,0200,N 431814,S200000,01503,0200,N 431814,S200000,01504,0200,N 431814,S200000,01600,0100,N 431814,S200000,01700,0100,N 431814,S200000,01800,0100,N 431814,S200000,02200,0100,Y 431814,S200000,02800,0100,N 431814,S200000,02900,0100,N 431814,S200000,03000,0100,N 431814,S200000,03100,0100,N 431814,S200000,03200,0100,N 431814,S200000,03300,0100,N 431814,S200000,03300,0200,N 431814,S200000,04200,0100,N 431814,S200000,04300,0100,N 431814,S200000,04600,0100,N 431814,S200000,04700,0100,N 431814,S200000,04900,0100,N 431814,S200000,05200,0100,N 431814,S200000,05300,0100,Y 431814,S200000,05300,0200,HB0067 431814,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431814,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431814,S200000,05400,0300,12001 431814,S200000,05500,0100,101 EAST STATE STREET 431814,S200000,05600,0100,KENNETT SQUARE 431814,S200000,05600,0200,PA 431814,S200000,05600,0300,19348 431815,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431815,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431815,A000000,00300,0000,0300EMPLOYEE BENEFITS 431815,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431815,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431815,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431815,A000000,00700,0000,0700HOUSEKEEPING 431815,A000000,00800,0000,0800DIETARY 431815,A000000,00900,0000,0900NURSING ADMINISTRATION 431815,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431815,A000000,01300,0000,1300SOCIAL SERVICE 431815,A000000,01500,0000,1350ACTIVITIES 431815,A000000,01600,0000,1600SKILLED NURSING FACILITY 431815,A000000,01800,0000,1800NURSING FACILITY 431815,A000000,01900,0000,1900OTHER LONG TERM CARE 431815,A000000,02100,0000,2100RADIOLOGY 431815,A000000,02200,0000,2200LABORATORY 431815,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431815,A000000,02500,0000,2500PHYSICAL THERAPY 431815,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431815,A000000,02700,0000,2700SPEECH PATHOLOGY 431815,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431815,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431815,A000000,03200,0000,3200SUPPORT SURFACES 431815,A000000,05300,0000,5300INTEREST EXPENSE 431815,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431815,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431815,A000000,06100,0000,6100NONPAID WORKERS 431815,A000000,06101,0000,6101DENTAL 431815,A000000,06300,0000,6150ASSISTED LIVING/ IL 431815,A81000A,00100,0100,Y 431815,A81000B,00100,0300,ADMINISTRATOR SALARY 431815,A81000B,00400,0300,RELIGIOUS CONSEL 431815,A81000C,00100,0100,B 431815,A81000C,00100,0400,SERVANTS OF MOTHER OF GOD 431815,A81000C,00100,0600,RELIGIOUS ORDER 431815,A81000C,00400,0100,B 431815,A81000C,00400,0400,SERVNATS OF MOTHER OF GOD 431815,A81000C,00400,0600,RELIGIOUS ORDER 431815,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431815,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431815,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431815,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431815,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431815,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431815,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431815,B100000,00000,0800,0800MEALS SERVED :DIETARY 431815,B100000,00000,0900,0950PERCENT OF TIME S:NURSING ADMINI 431815,B100000,00000,1200,1200PERCENT OF TIME S:MEDICAL RECORD 431815,B100000,00000,1300,1300PERCENT OF TIME S:SOCIAL SERVICE 431815,B100000,00000,1500,1350PERCENT OF TIME S:ACTIVITIES 431815,E10A180,00501,0100,05/22/12 431815,G300000,02500,0000,OTHER REVENUES 431815,S000000,00100,0200,02/29/12 431815,S200000,00100,0100,1315 GREENSBORO ROAD 431815,S200000,00200,0100,HIGH POINT 431815,S200000,00200,0200,NC 431815,S200000,00200,0300,27260 431815,S200000,00300,0100,GUILFORD 431815,S200000,00300,0200,3120 431815,S200000,00300,0201,24660 431815,S200000,00300,0300,U 431815,S200000,00400,0100,MARYFIELD NURSING HOME 431815,S200000,00400,0200,345093 431815,S200000,00400,0300,07/01/73 431815,S200000,00400,0500,P 431815,S200000,01500,0100,Y 431815,S200000,01501,0200,Y 431815,S200000,01504,0200,Y 431815,S200000,01505,0000,OTHER 431815,S200000,01505,0200,Y 431815,S200000,01600,0100,N 431815,S200000,01700,0100,N 431815,S200000,01800,0100,N 431815,S200000,02200,0100,N 431815,S200000,02800,0100,N 431815,S200000,02900,0100,N 431815,S200000,03000,0100,N 431815,S200000,03100,0100,N 431815,S200000,03200,0100,N 431815,S200000,03300,0100,N 431815,S200000,03300,0200,N 431815,S200000,04100,0100,N 431815,S200000,04200,0100,N 431815,S200000,04300,0100,N 431815,S200000,04600,0100,N 431815,S200000,04700,0100,N 431815,S200000,04700,0200,N 431815,S200000,04900,0100,N 431815,S200000,05000,0100,N 431815,S200000,05100,0100,N 431815,S200000,05200,0100,N 431816,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431816,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431816,A000000,00300,0000,0300EMPLOYEE BENEFITS 431816,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431816,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431816,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431816,A000000,00700,0000,0700HOUSEKEEPING 431816,A000000,00800,0000,0800DIETARY 431816,A000000,00900,0000,0900NURSING ADMINISTRATION 431816,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431816,A000000,01100,0000,1100PHARMACY 431816,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431816,A000000,01300,0000,1300SOCIAL SERVICE 431816,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431816,A000000,01600,0000,1600SKILLED NURSING FACILITY 431816,A000000,01800,0000,1800NURSING FACILITY 431816,A000000,01900,0000,1900OTHER LONG TERM CARE 431816,A000000,02100,0000,2100RADIOLOGY 431816,A000000,02200,0000,2200LABORATORY 431816,A000000,02300,0000,2300INTRAVENOUS THERAPY 431816,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431816,A000000,02500,0000,2500PHYSICAL THERAPY 431816,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431816,A000000,02700,0000,2700SPEECH PATHOLOGY 431816,A000000,02800,0000,2800ELECTROCARDIOLOGY 431816,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431816,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431816,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431816,A000000,03200,0000,3200SUPPORT SURFACES 431816,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431816,A000000,03400,0000,3400CLINIC 431816,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431816,A000000,04800,0000,4800AMBULANCE 431816,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431816,A000000,05000,0000,5000CORF 431816,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431816,A000000,05300,0000,5300INTEREST EXPENSE 431816,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431816,A000000,05500,0000,5500HOSPICE 431816,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431816,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431816,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431816,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431816,A000000,06100,0000,6100NONPAID WORKERS 431816,A000000,06200,0000,6200PATIENTS LAUNDRY 431816,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431816,A81000A,00100,0100,Y 431816,A81000B,00100,0300,NURSING CONSULTING 431816,A81000B,00200,0300,DIETARY CONSULTING 431816,A81000B,00300,0300,HOME OFFICE 431816,A81000B,00400,0300,INTEREST EXPENSE 431816,A81000B,00500,0300,WORKERS COMP EXPENSE 431816,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 431816,A81000B,00700,0300,COPIER 431816,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431816,A81000B,00900,0300,REPAIRS - EQUIPMENT 431816,A81000B,01000,0300,LINEN & BEDDING 431816,A81000B,01100,0300,LAUNDRY SUPPLIES 431816,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 431816,A81000B,01300,0300,DIETARY SUPPLEMENTS 431816,A81000B,01400,0300,DIETARY SUPPLIES 431816,A81000B,01500,0300,BIO-MEDICAL WASTE 431816,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 431816,A81000B,01700,0300,PERSONAL CARE SUPPLIES 431816,A81000B,01800,0300,INCONTINENCE SUPPLIES 431816,A81000B,01900,0300,MEDICAL SUPPLIES 431816,A81000B,02000,0300,NON-LEGEND DRUGS 431816,A81000B,02100,0300,PHARMACY CONSULTANT 431816,A81000B,02200,0300,MED REC SUPPLIES 431816,A81000B,02300,0300,PATIENT ACTIVITIES SUPPLIES 431816,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 431816,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 431816,A81000B,02600,0300,LEGEND DRUGS 431816,A81000B,02700,0300,NON-LEGEND DRUGS 431816,A81000B,02800,0300,PHARMACY CONSULTANT 431816,A81000B,02900,0300,MED REC SUPPLIES 431816,A81000C,00100,0100,B 431816,A81000C,00100,0400,BRITTHAVEN INC 431816,A81000C,00100,0600,MGMT SERVICES 431816,A81000C,00200,0100,B 431816,A81000C,00200,0400,BRITTHAVEN INC 431816,A81000C,00200,0600,MGMT SERVICES 431816,A81000C,00300,0100,B 431816,A81000C,00300,0400,BRITTHAVEN INC 431816,A81000C,00300,0600,MGMT SERVICES 431816,A81000C,00400,0100,B 431816,A81000C,00400,0400,BRITTHAVEN INC 431816,A81000C,00400,0600,MGMT SERVICES 431816,A81000C,00500,0100,A 431816,A81000C,00500,0200,DISCOVERY INSUR 431816,A81000C,00500,0600,INSURANCE 431816,A81000C,00600,0100,A 431816,A81000C,00600,0200,QUEENSLAND ASSU 431816,A81000C,00600,0600,INSURANCE 431816,A81000C,00700,0100,B 431816,A81000C,00700,0400,KARE MEDICAL 431816,A81000C,00700,0600,WHOLESALE SUPPL 431816,A81000C,00800,0100,B 431816,A81000C,00800,0400,KARE MEDICAL 431816,A81000C,00800,0600,WHOLESALE SUPPL 431816,A81000C,00900,0100,B 431816,A81000C,00900,0400,KARE MEDICAL 431816,A81000C,00900,0600,WHOLESALE SUPPL 431816,A81000C,01000,0100,B 431816,A81000C,01000,0400,KARE MEDICAL 431816,A81000C,01000,0600,WHOLESALE SUPPL 431816,A81000C,01001,0100,B 431816,A81000C,01001,0400,KARE MEDICAL 431816,A81000C,01001,0600,WHOLESALE SUPPL 431816,A81000C,01002,0100,B 431816,A81000C,01002,0400,KARE MEDICAL 431816,A81000C,01002,0600,WHOLESALE SUPPL 431816,A81000C,01003,0100,B 431816,A81000C,01003,0400,KARE MEDICAL 431816,A81000C,01003,0600,WHOLESALE SUPPL 431816,A81000C,01004,0100,B 431816,A81000C,01004,0400,KARE MEDICAL 431816,A81000C,01004,0600,WHOLESALE SUPPL 431816,A81000C,01005,0100,B 431816,A81000C,01005,0400,KARE MEDICAL 431816,A81000C,01005,0600,WHOLESALE SUPPL 431816,A81000C,01006,0100,B 431816,A81000C,01006,0400,KARE MEDICAL 431816,A81000C,01006,0600,WHOLESALE SUPPL 431816,A81000C,01007,0100,B 431816,A81000C,01007,0400,KARE MEDICAL 431816,A81000C,01007,0600,WHOLESALE SUPPL 431816,A81000C,01008,0100,B 431816,A81000C,01008,0400,KARE MEDICAL 431816,A81000C,01008,0600,WHOLESALE SUPPL 431816,A81000C,01009,0100,B 431816,A81000C,01009,0400,KARE MEDICAL 431816,A81000C,01009,0600,WHOLESALE SUPPL 431816,A81000C,01010,0100,B 431816,A81000C,01010,0400,KARE MEDICAL 431816,A81000C,01010,0600,WHOLESALE SUPPL 431816,A81000C,01011,0100,B 431816,A81000C,01011,0400,KARE MEDICAL 431816,A81000C,01011,0600,WHOLESALE SUPPL 431816,A81000C,01012,0100,B 431816,A81000C,01012,0400,KARE MEDICAL 431816,A81000C,01012,0600,WHOLESALE SUPPL 431816,A81000C,01013,0100,B 431816,A81000C,01013,0400,KARE MEDICAL 431816,A81000C,01013,0600,WHOLESALE SUPPL 431816,A81000C,01014,0100,B 431816,A81000C,01014,0400,KARE MEDICAL 431816,A81000C,01014,0600,WHOLESALE SUPPL 431816,A81000C,01015,0100,B 431816,A81000C,01015,0400,KARE MEDICAL 431816,A81000C,01015,0600,WHOLESALE SUPPL 431816,A81000C,01016,0100,B 431816,A81000C,01016,0400,KARE MEDICAL 431816,A81000C,01016,0600,WHOLESALE SUPPL 431816,A81000C,01017,0100,B 431816,A81000C,01017,0400,PHARMSAVE 431816,A81000C,01017,0600,RX SUPPLY 431816,A81000C,01018,0100,B 431816,A81000C,01018,0400,PHARMSAVE 431816,A81000C,01018,0600,RX SUPPLY 431816,A81000C,01019,0100,B 431816,A81000C,01019,0400,PHARMSAVE 431816,A81000C,01019,0600,RX SUPPLY 431816,A81000C,01020,0100,B 431816,A81000C,01020,0400,PHARMSAVE 431816,A81000C,01020,0600,RX SUPPLY 431816,A81000C,01021,0100,B 431816,A81000C,01021,0400,ROBERT HILL CON 431816,A81000C,01021,0600,CONSTRUCTION 431816,A81000C,01022,0100,B 431816,A81000C,01022,0400,ROBERT HILL CON 431816,A81000C,01022,0600,CONSTRUCTION 431816,A81000C,01023,0100,B 431816,A81000C,01023,0400,ROBERT HILL CON 431816,A81000C,01023,0600,CONSTRUCTION 431816,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431816,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431816,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431816,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431816,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431816,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431816,B100000,00000,0800,0800MEALS SERVED :DIETARY 431816,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431816,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431816,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431816,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431816,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431816,E10A180,00501,0300,11/29/11 431816,E10A180,00550,0100,11/29/11 431816,G300000,02500,0000, OTHER (SPECIFY) 431816,S000000,00100,0200,11/29/11 431816,S200000,00100,0100,706 PINEY WOOD ROAD 431816,S200000,00200,0100,THOMASVILLE 431816,S200000,00200,0200,NC 431816,S200000,00200,0300,27630 431816,S200000,00300,0100,DAVIDSON 431816,S200000,00300,0201,99934 431816,S200000,00300,0300,R 431816,S200000,00400,0100,BRITTHAVEN OF DAVIDSON 431816,S200000,00400,0200,345144 431816,S200000,00400,0300,04/21/75 431816,S200000,00400,0500,P 431816,S200000,01500,0100,N 431816,S200000,01501,0200,Y 431816,S200000,01502,0200,Y 431816,S200000,01503,0200,Y 431816,S200000,01504,0200,Y 431816,S200000,01505,0000,OTHER (SPECIFY) 431816,S200000,01505,0200,Y 431816,S200000,01600,0100,Y 431816,S200000,01700,0100,N 431816,S200000,01800,0100,N 431816,S200000,02200,0100,N 431816,S200000,02800,0100,N 431816,S200000,02900,0100,N 431816,S200000,03000,0100,N 431816,S200000,03100,0100,Y 431816,S200000,03200,0100,N 431816,S200000,03300,0100,N 431816,S200000,03300,0200,N 431816,S200000,04100,0100,N 431816,S200000,04200,0100,N 431816,S200000,04300,0100,N 431816,S200000,04600,0100,N 431816,S200000,04700,0100,N 431816,S200000,04700,0200,N 431816,S200000,04900,0100,N 431816,S200000,05000,0100,N 431816,S200000,05100,0100,N 431816,S200000,05200,0100,N 431816,S200000,05300,0100,Y 431816,S200000,05300,0200,349011 431816,S200000,05400,0100,BRITTHAVEN INC. 431816,S200000,05400,0200,PALMETTO GBA 431816,S200000,05400,0300,11501 431816,S200000,05500,0100,1435 HWY 258 NORTH 431816,S200000,05500,0200,PO BOX 61 431816,S200000,05600,0100,KINSTON 431816,S200000,05600,0200,NC 431816,S200000,05600,0300,28502 431817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431817,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431817,A000000,00300,0000,0300EMPLOYEE BENEFITS 431817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431817,A000000,00700,0000,0700HOUSEKEEPING 431817,A000000,00800,0000,0800DIETARY 431817,A000000,00900,0000,0900NURSING ADMINISTRATION 431817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431817,A000000,01100,0000,1100PHARMACY 431817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431817,A000000,01300,0000,1300SOCIAL SERVICE 431817,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431817,A000000,01600,0000,1600SKILLED NURSING FACILITY 431817,A000000,01800,0000,1800NURSING FACILITY 431817,A000000,01900,0000,1900OTHER LONG TERM CARE 431817,A000000,02100,0000,2100RADIOLOGY 431817,A000000,02200,0000,2200LABORATORY 431817,A000000,02300,0000,2300INTRAVENOUS THERAPY 431817,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431817,A000000,02500,0000,2500PHYSICAL THERAPY 431817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431817,A000000,02700,0000,2700SPEECH PATHOLOGY 431817,A000000,02800,0000,2800ELECTROCARDIOLOGY 431817,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431817,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431817,A000000,03200,0000,3200SUPPORT SURFACES 431817,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431817,A000000,03400,0000,3400CLINIC 431817,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431817,A000000,04800,0000,4800AMBULANCE 431817,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431817,A000000,05000,0000,5000CORF 431817,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431817,A000000,05300,0000,5300INTEREST EXPENSE 431817,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431817,A000000,05500,0000,5500HOSPICE 431817,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431817,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431817,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431817,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431817,A000000,06100,0000,6100NONPAID WORKERS 431817,A000000,06200,0000,6200PATIENTS LAUNDRY 431817,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431817,A81000A,00100,0100,Y 431817,A81000B,00100,0300,NURSING CONSULTING 431817,A81000B,00200,0300,DIETARY CONSULTING 431817,A81000B,00300,0300,HOME OFFICE 431817,A81000B,00400,0300,INTEREST EXPENSE 431817,A81000B,00500,0300,WORKERS COMP EXPENSE 431817,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 431817,A81000B,00700,0300,MAINTENANCE SUPPLIES 431817,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431817,A81000B,00900,0300,REPAIRS - EQUIPMENT 431817,A81000B,01000,0300,LINEN & BEDDING 431817,A81000B,01100,0300,LAUNDRY SUPPLIES 431817,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 431817,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 431817,A81000B,01400,0300,DIETARY SUPPLEMENTS 431817,A81000B,01500,0300,DIETARY SUPPLIES 431817,A81000B,01600,0300,BIO-MEDICAL WASTE 431817,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431817,A81000B,01800,0300,PERSONAL CARE SUPPLIES 431817,A81000B,01900,0300,INCONTINENCE SUPPLIES 431817,A81000B,02000,0300,MEDICAL SUPPLIES 431817,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 431817,A81000B,02200,0300,PT SUPPLIES 431817,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 431817,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 431817,A81000B,02500,0300,NON-LEGEND DRUGS 431817,A81000B,02600,0300,PHARMACY CONSULTANT 431817,A81000B,02700,0300,MED REC SUPPLIES 431817,A81000B,02800,0300,LEGEND DRUGS 431817,A81000B,02900,0300,OFFICE SUPPLIES 431817,A81000C,00100,0100,B 431817,A81000C,00100,0400,BRITTHAVEN INC 431817,A81000C,00100,0600,MGMT SERVICES 431817,A81000C,00200,0100,B 431817,A81000C,00200,0400,BRITTHAVEN INC 431817,A81000C,00200,0600,MGMT SERVICES 431817,A81000C,00300,0100,B 431817,A81000C,00300,0400,BRITTHAVEN INC 431817,A81000C,00300,0600,MGMT SERVICES 431817,A81000C,00400,0100,B 431817,A81000C,00400,0400,BRITTHAVEN INC 431817,A81000C,00400,0600,MGMT SERVICES 431817,A81000C,00500,0100,A 431817,A81000C,00500,0200,DISCOVERY INSUR 431817,A81000C,00500,0600,INSURANCE 431817,A81000C,00600,0100,A 431817,A81000C,00600,0200,QUEENSLAND ASSU 431817,A81000C,00600,0600,INSURANCE 431817,A81000C,00700,0100,B 431817,A81000C,00700,0400,KARE MEDICAL 431817,A81000C,00700,0600,WHOLESALE SUPPL 431817,A81000C,00800,0100,B 431817,A81000C,00800,0400,KARE MEDICAL 431817,A81000C,00800,0600,WHOLESALE SUPPL 431817,A81000C,00900,0100,B 431817,A81000C,00900,0400,KARE MEDICAL 431817,A81000C,00900,0600,WHOLESALE SUPPL 431817,A81000C,01000,0100,B 431817,A81000C,01000,0400,KARE MEDICAL 431817,A81000C,01000,0600,WHOLESALE SUPPL 431817,A81000C,01001,0100,B 431817,A81000C,01001,0400,KARE MEDICAL 431817,A81000C,01001,0600,WHOLESALE SUPPL 431817,A81000C,01002,0100,B 431817,A81000C,01002,0400,KARE MEDICAL 431817,A81000C,01002,0600,WHOLESALE SUPPL 431817,A81000C,01003,0100,B 431817,A81000C,01003,0400,KARE MEDICAL 431817,A81000C,01003,0600,WHOLESALE SUPPL 431817,A81000C,01004,0100,B 431817,A81000C,01004,0400,KARE MEDICAL 431817,A81000C,01004,0600,WHOLESALE SUPPL 431817,A81000C,01005,0100,B 431817,A81000C,01005,0400,KARE MEDICAL 431817,A81000C,01005,0600,WHOLESALE SUPPL 431817,A81000C,01006,0100,B 431817,A81000C,01006,0400,KARE MEDICAL 431817,A81000C,01006,0600,WHOLESALE SUPPL 431817,A81000C,01007,0100,B 431817,A81000C,01007,0400,KARE MEDICAL 431817,A81000C,01007,0600,WHOLESALE SUPPL 431817,A81000C,01008,0100,B 431817,A81000C,01008,0400,KARE MEDICAL 431817,A81000C,01008,0600,WHOLESALE SUPPL 431817,A81000C,01009,0100,B 431817,A81000C,01009,0400,KARE MEDICAL 431817,A81000C,01009,0600,WHOLESALE SUPPL 431817,A81000C,01010,0100,B 431817,A81000C,01010,0400,KARE MEDICAL 431817,A81000C,01010,0600,WHOLESALE SUPPL 431817,A81000C,01011,0100,B 431817,A81000C,01011,0400,KARE MEDICAL 431817,A81000C,01011,0600,WHOLESALE SUPPL 431817,A81000C,01012,0100,B 431817,A81000C,01012,0400,KARE MEDICAL 431817,A81000C,01012,0600,WHOLESALE SUPPL 431817,A81000C,01013,0100,B 431817,A81000C,01013,0400,KARE MEDICAL 431817,A81000C,01013,0600,WHOLESALE SUPPL 431817,A81000C,01014,0100,B 431817,A81000C,01014,0400,PHARMSAVE 431817,A81000C,01014,0600,RX SUPPLY 431817,A81000C,01015,0100,B 431817,A81000C,01015,0400,PHARMSAVE 431817,A81000C,01015,0600,RX SUPPLY 431817,A81000C,01016,0100,B 431817,A81000C,01016,0400,PHARMSAVE 431817,A81000C,01016,0600,RX SUPPLY 431817,A81000C,01017,0100,B 431817,A81000C,01017,0400,PHARMSAVE 431817,A81000C,01017,0600,RX SUPPLY 431817,A81000C,01018,0100,B 431817,A81000C,01018,0400,PHARMSAVE 431817,A81000C,01018,0600,RX SUPPLY 431817,A81000C,01019,0100,B 431817,A81000C,01019,0400,ROBERT HILL CON 431817,A81000C,01019,0600,CONSTRUCTION 431817,A81000C,01020,0100,B 431817,A81000C,01020,0400,ROBERT HILL CON 431817,A81000C,01020,0600,CONSTRUCTION 431817,A81000C,01021,0100,B 431817,A81000C,01021,0400,ROBERT HILL CON 431817,A81000C,01021,0600,CONSTRUCTION 431817,A81000C,01022,0100,A 431817,A81000C,01022,0200,HILL CHILD LLC 431817,A81000C,01022,0400,HILL CHILD LLC 431817,A81000C,01022,0600,REAL ESTATE 431817,A81000C,01023,0100,A 431817,A81000C,01023,0200,HILL CHILD LLC 431817,A81000C,01023,0400,HILL CHILD LLC 431817,A81000C,01023,0600,REAL ESTATE 431817,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431817,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431817,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431817,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431817,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431817,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431817,B100000,00000,0800,0800MEALS SERVED :DIETARY 431817,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431817,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431817,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431817,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431817,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431817,E10A180,00550,0100,02/24/12 431817,E10A180,00550,0300,02/24/12 431817,G300000,02500,0000, OTHER (SPECIFY) 431817,S000000,00100,0200,02/24/12 431817,S200000,00100,0100,1245 PARK AVENUE 431817,S200000,00200,0100,HENDERSON 431817,S200000,00200,0200,NC 431817,S200000,00200,0300,27536 431817,S200000,00300,0100,VANCE 431817,S200000,00300,0201,99934 431817,S200000,00300,0300,R 431817,S200000,00400,0100,BRITTHAVEN OF HENDERSON 431817,S200000,00400,0200,345321 431817,S200000,00400,0300,11/01/98 431817,S200000,00400,0500,P 431817,S200000,01500,0100,N 431817,S200000,01501,0200,Y 431817,S200000,01502,0200,Y 431817,S200000,01503,0200,Y 431817,S200000,01504,0200,Y 431817,S200000,01505,0000,OTHER (SPECIFY) 431817,S200000,01505,0200,Y 431817,S200000,01600,0100,Y 431817,S200000,01700,0100,N 431817,S200000,01800,0100,N 431817,S200000,02200,0100,N 431817,S200000,02800,0100,N 431817,S200000,02900,0100,N 431817,S200000,03000,0100,N 431817,S200000,03100,0100,Y 431817,S200000,03200,0100,N 431817,S200000,03300,0100,N 431817,S200000,03300,0200,N 431817,S200000,04100,0100,N 431817,S200000,04200,0100,N 431817,S200000,04300,0100,N 431817,S200000,04600,0100,N 431817,S200000,04700,0100,N 431817,S200000,04700,0200,N 431817,S200000,04900,0100,N 431817,S200000,05000,0100,N 431817,S200000,05100,0100,N 431817,S200000,05200,0100,N 431817,S200000,05300,0100,Y 431817,S200000,05300,0200,349011 431817,S200000,05400,0100,BRITTHAVEN INC. 431817,S200000,05400,0200,PALMETTO GBA 431817,S200000,05400,0300,11501 431817,S200000,05500,0100,1435 HWY 258 NORTH 431817,S200000,05500,0200,P.O. BOX 431817,S200000,05600,0100,KINSTON 431817,S200000,05600,0200,NC 431817,S200000,05600,0300,28502 431818,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431818,A000000,00300,0000,0300EMPLOYEE BENEFITS 431818,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431818,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431818,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431818,A000000,00700,0000,0700HOUSEKEEPING 431818,A000000,00800,0000,0800DIETARY 431818,A000000,00900,0000,0900NURSING ADMINISTRATION 431818,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431818,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431818,A000000,01300,0000,1300SOCIAL SERVICE 431818,A000000,01500,0000,1350PATIENT ACTIVITIES 431818,A000000,01600,0000,1600SKILLED NURSING FACILITY 431818,A000000,02100,0000,2100RADIOLOGY 431818,A000000,02200,0000,2200LABORATORY 431818,A000000,02300,0000,2300INTRAVENOUS THERAPY 431818,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431818,A000000,02500,0000,2500PHYSICAL THERAPY 431818,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431818,A000000,02700,0000,2700SPEECH PATHOLOGY 431818,A000000,02800,0000,2800ELECTROCARDIOLOGY 431818,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431818,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431818,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431818,A000000,03200,0000,3200SUPPORT SURFACES 431818,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431818,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431818,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431818,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431818,A000000,06100,0000,6100NONPAID WORKERS 431818,A000000,06200,0000,6200PATIENTS LAUNDRY 431818,A000000,06201,0000,6201CORPORATE ALLOCATION 431818,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431818,A81000A,00100,0100,Y 431818,A81000B,00100,0300,HOME OFFICE 431818,A81000B,00200,0300,HOME OFFICE 431818,A81000C,00100,0100,B 431818,A81000C,00100,0200,PISGAH MANOR INC. 431818,A81000C,00100,0400,CAROLINA ADVENTIST RET SY 431818,A81000C,00100,0600,HOME OFFICE 431818,A81000C,00200,0100,B 431818,A81000C,00200,0200,PISGAH MANOR INC. 431818,A81000C,00200,0400,CAROLINA ADVENTIST RET SY 431818,A81000C,00200,0600,HOME OFFICE 431818,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431818,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431818,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431818,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431818,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431818,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431818,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431818,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431818,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431818,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431818,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431818,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 431818,E10A180,00550,0100,02/16/12 431818,G300000,02500,0000,BARBER AND BEAUTY 431818,G300000,02501,0000,PERSONAL PURCHASES 431818,S000000,00100,0200,02/16/12 431818,S200000,00100,0100,95 HOLCOMBE COVE ROAD 431818,S200000,00200,0100,CANDLER 431818,S200000,00200,0200,NC 431818,S200000,00200,0300,28715 431818,S200000,00300,0100,BUNCOMBE 431818,S200000,00300,0200,0480 431818,S200000,00300,0201,11700 431818,S200000,00300,0300,U 431818,S200000,00400,0100,PISGAH MANOR INC. 431818,S200000,00400,0200,345393 431818,S200000,00400,0300,07/16/91 431818,S200000,00400,0500,P 431818,S200000,01500,0100,Y 431818,S200000,01505,0000,NURSING ADMINISTRATION 431818,S200000,01505,0200,Y 431818,S200000,01506,0000,NURSING 431818,S200000,01506,0200,N 431818,S200000,01507,0000,MEDICAL RECORDS 431818,S200000,01507,0200,Y 431818,S200000,01508,0000,DIETARY 431818,S200000,01508,0200,N 431818,S200000,01509,0000,ACTIVITIES 431818,S200000,01509,0200,Y 431818,S200000,01510,0000,SOCIAL SERVICES 431818,S200000,01510,0200,Y 431818,S200000,01511,0000,ALLOWABLE ANCILLARIES 431818,S200000,01511,0200,N 431818,S200000,01600,0100,N 431818,S200000,01700,0100,N 431818,S200000,01800,0100,N 431818,S200000,02200,0100,N 431818,S200000,02800,0100,N 431818,S200000,02900,0100,N 431818,S200000,03000,0100,N 431818,S200000,03100,0100,N 431818,S200000,03200,0100,N 431818,S200000,03300,0100,N 431818,S200000,03300,0200,N 431818,S200000,04100,0100,N 431818,S200000,04200,0100,N 431818,S200000,04300,0100,N 431818,S200000,04600,0100,N 431818,S200000,04700,0100,N 431818,S200000,04700,0200,N 431818,S200000,04900,0100,N 431818,S200000,05000,0100,N 431818,S200000,05100,0100,N 431818,S200000,05200,0100,N 431820,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431820,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431820,A000000,00300,0000,0300EMPLOYEE BENEFITS 431820,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431820,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431820,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431820,A000000,00700,0000,0700HOUSEKEEPING 431820,A000000,00800,0000,0800DIETARY 431820,A000000,00900,0000,0900NURSING ADMINISTRATION 431820,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431820,A000000,01100,0000,1100PHARMACY 431820,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431820,A000000,01300,0000,1300SOCIAL SERVICE 431820,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431820,A000000,01500,0000,1350ACTIVITIES 431820,A000000,01600,0000,1600SKILLED NURSING FACILITY 431820,A000000,01800,0000,1800NURSING FACILITY 431820,A000000,01810,0000,1810ICF/MR 431820,A000000,01900,0000,1900OTHER LONG TERM CARE 431820,A000000,02100,0000,2100RADIOLOGY 431820,A000000,02200,0000,2200LABORATORY 431820,A000000,02300,0000,2300INTRAVENOUS THERAPY 431820,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431820,A000000,02500,0000,2500PHYSICAL THERAPY 431820,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431820,A000000,02700,0000,2700SPEECH PATHOLOGY 431820,A000000,02800,0000,2800ELECTROCARDIOLOGY 431820,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431820,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431820,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431820,A000000,03200,0000,3200SUPPORT SURFACES 431820,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431820,A000000,03400,0000,3400CLINIC 431820,A000000,03500,0000,3500RURAL HEALTH CLINIC 431820,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431820,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431820,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431820,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431820,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431820,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431820,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431820,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431820,A000000,04400,0000,4400DME RENTED - HHA 431820,A000000,04500,0000,4500DME SOLD - HHA 431820,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431820,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431820,A000000,04710,0000,4710TELEMEDICINE 431820,A000000,04800,0000,4800AMBULANCE 431820,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431820,A000000,05000,0000,5000CORF 431820,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431820,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431820,A000000,05300,0000,5300INTEREST EXPENSE 431820,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431820,A000000,05500,0000,5500HOSPICE 431820,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431820,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431820,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431820,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431820,A000000,06100,0000,6100NONPAID WORKERS 431820,A000000,06200,0000,6200PATIENTS LAUNDRY 431820,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431820,A81000A,00100,0100,Y 431820,A81000B,00100,0300,HOME OFFICE COSTS 431820,A81000B,00200,0300,WORKERS COMPENSATION 431820,A81000B,00300,0300,HOME OFFICE COSTS 431820,A81000B,00400,0300,HOME OFFICE COSTS 431820,A81000B,00500,0300,HOME OFFICE COSTS 431820,A81000B,00600,0300,HOME OFFICE COSTS 431820,A81000B,00700,0300,HOME OFFICE COSTS 431820,A81000B,00800,0300,TRANSPORTATION SERVICES 431820,A81000B,00900,0300,PHYSICAL THERAPY 431820,A81000B,01000,0300,OCCUPATIONAL THERAPY 431820,A81000B,01100,0300,SPEECH THERAPY 431820,A81000C,00100,0100,A 431820,A81000C,00100,0200,STUART AND MIKE REED 431820,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00100,0600,NURSING HOMES 431820,A81000C,00200,0100,D 431820,A81000C,00200,0200,SUZANNE REED 431820,A81000C,00200,0400,INDIANA FITNESS WORKS 431820,A81000C,00200,0600,THERAPY 431820,A81000C,00300,0100,A 431820,A81000C,00300,0200,STUART AND MIKE REED 431820,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00300,0600,NURSING HOMES 431820,A81000C,00400,0100,A 431820,A81000C,00400,0200,STUART AND MIKE REED 431820,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00400,0600,NURSING HOMES 431820,A81000C,00500,0100,A 431820,A81000C,00500,0200,STUART AND MIKE REED 431820,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00500,0600,NURSING HOMES 431820,A81000C,00600,0100,A 431820,A81000C,00600,0200,STUART AND MIKE REED 431820,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00600,0600,NURSING HOMES 431820,A81000C,00700,0100,A 431820,A81000C,00700,0200,STUART AND MIKE REED 431820,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 431820,A81000C,00700,0600,NURSING HOMES 431820,A81000C,00800,0100,A 431820,A81000C,00800,0200,STUART REED 431820,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 431820,A81000C,00800,0600,TRANSPORTATION 431820,A81000C,00900,0100,D 431820,A81000C,00900,0200,SUZANNE REED 431820,A81000C,00900,0400,INDIANA FITNESS WORKS 431820,A81000C,00900,0600,THERAPY 431820,A81000C,01000,0100,D 431820,A81000C,01000,0200,SUZANNE REED 431820,A81000C,01000,0400,INDIANA FITNESS WORKS 431820,A81000C,01000,0600,THERAPY 431820,A81000C,01001,0100,D 431820,A81000C,01001,0200,SUZANNE REED 431820,A81000C,01001,0400,INDIANA FITNESS WORKS 431820,A81000C,01001,0600,THERAPY 431820,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431820,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431820,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431820,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431820,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431820,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431820,B100000,00000,0800,0800MEALS SERVED :DIETARY 431820,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 431820,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431820,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431820,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431820,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431820,G300000,02500,0000,OTHER REVENUE 431820,S000000,00100,0200,05/22/12 431820,S200000,00100,0100,200 N PARK ST 431820,S200000,00200,0100,PORTLAND 431820,S200000,00200,0200,IN 431820,S200000,00200,0300,47371 431820,S200000,00300,0100,JAY 431820,S200000,00300,0201,99915 431820,S200000,00300,0300,R 431820,S200000,00400,0100,PERSIMMON RIDGE REHAB CENTRE 431820,S200000,00400,0200,155526 431820,S200000,00400,0300,07/01/03 431820,S200000,00400,0500,P 431820,S200000,01500,0100,Y 431820,S200000,01501,0200,Y 431820,S200000,01502,0200,Y 431820,S200000,01503,0200,Y 431820,S200000,01504,0200,Y 431820,S200000,01600,0100,N 431820,S200000,01700,0100,N 431820,S200000,01800,0100,N 431820,S200000,02200,0100,N 431820,S200000,02800,0100,N 431820,S200000,02900,0100,N 431820,S200000,03000,0100,N 431820,S200000,03100,0100,N 431820,S200000,03200,0100,N 431820,S200000,03300,0100,N 431820,S200000,03300,0200,N 431820,S200000,04100,0100,N 431820,S200000,04200,0100,N 431820,S200000,04300,0100,N 431820,S200000,04600,0100,N 431820,S200000,04700,0100,N 431820,S200000,04700,0200,N 431820,S200000,04900,0100,N 431820,S200000,05000,0100,N 431820,S200000,05100,0100,N 431820,S200000,05200,0100,N 431820,S200000,05300,0100,Y 431820,S200000,05300,0200,15H049 431820,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 431820,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 431820,S200000,05400,0300,00130 431820,S200000,05500,0100,9450 PRIORITY WAY WEST 431820,S200000,05600,0100,INDIANAPOLIS 431820,S200000,05600,0200,IN 431820,S200000,05600,0300,46240 431821,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431821,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431821,A000000,00300,0000,0300EMPLOYEE BENEFITS 431821,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431821,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431821,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431821,A000000,00700,0000,0700HOUSEKEEPING 431821,A000000,00800,0000,0800DIETARY 431821,A000000,00900,0000,0900NURSING ADMINISTRATION 431821,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431821,A000000,01100,0000,1100PHARMACY 431821,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431821,A000000,01300,0000,1300SOCIAL SERVICE 431821,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431821,A000000,01500,0000,1350ACTVITIES 431821,A000000,01600,0000,1600SKILLED NURSING FACILITY 431821,A000000,01800,0000,1800NURSING FACILITY 431821,A000000,01810,0000,1810ICF/MR 431821,A000000,01900,0000,1900OTHER LONG TERM CARE 431821,A000000,02100,0000,2100RADIOLOGY 431821,A000000,02200,0000,2200LABORATORY 431821,A000000,02300,0000,2300INTRAVENOUS THERAPY 431821,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431821,A000000,02500,0000,2500PHYSICAL THERAPY 431821,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431821,A000000,02700,0000,2700SPEECH PATHOLOGY 431821,A000000,02800,0000,2800ELECTROCARDIOLOGY 431821,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431821,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431821,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431821,A000000,03200,0000,3200SUPPORT SURFACES 431821,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431821,A000000,03400,0000,3400CLINIC 431821,A000000,03500,0000,3500RURAL HEALTH CLINIC 431821,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431821,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431821,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431821,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431821,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431821,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431821,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431821,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431821,A000000,04400,0000,4400DME RENTED - HHA 431821,A000000,04500,0000,4500DME SOLD - HHA 431821,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431821,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431821,A000000,04710,0000,4710TELEMEDICINE 431821,A000000,04800,0000,4800AMBULANCE 431821,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431821,A000000,05000,0000,5000CORF 431821,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431821,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431821,A000000,05300,0000,5300INTEREST EXPENSE 431821,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431821,A000000,05500,0000,5500HOSPICE 431821,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431821,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431821,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431821,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431821,A000000,06100,0000,6100NONPAID WORKERS 431821,A000000,06200,0000,6200PATIENTS LAUNDRY 431821,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431821,A81000A,00100,0100,Y 431821,A81000B,00100,0300,HOME OFFICE COSTS 431821,A81000B,00200,0300,WORKERS COMPENSATION 431821,A81000B,00300,0300,HOME OFFICE COSTS 431821,A81000B,00400,0300,HOME OFFICE COSTS 431821,A81000B,00500,0300,HOME OFFICE COSTS 431821,A81000B,00600,0300,HOME OFFICE COSTS 431821,A81000B,00700,0300,HOME OFFICE COSTS 431821,A81000B,00800,0300,TRANSPORTATION SERVICES 431821,A81000B,00900,0300,PHYSICAL THERAPY 431821,A81000B,01000,0300,OCCUPATIONAL THERAPY 431821,A81000B,01100,0300,SPEECH THERAPY 431821,A81000C,00100,0100,A 431821,A81000C,00100,0200,STUART AND MIKE REED 431821,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00100,0600,NURSING HOMES 431821,A81000C,00200,0100,D 431821,A81000C,00200,0200,SUZANNE REED 431821,A81000C,00200,0400,INDIANA FITNESS WORKS 431821,A81000C,00200,0600,THERAPY 431821,A81000C,00300,0100,A 431821,A81000C,00300,0200,STUART AND MIKE REED 431821,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00300,0600,NURSING HOMES 431821,A81000C,00400,0100,A 431821,A81000C,00400,0200,STUART AND MIKE REED 431821,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00400,0600,NURSING HOMES 431821,A81000C,00500,0100,A 431821,A81000C,00500,0200,STUART AND MIKE REED 431821,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00500,0600,NURSING HOMES 431821,A81000C,00600,0100,A 431821,A81000C,00600,0200,STUART AND MIKE REED 431821,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00600,0600,NURSING HOMES 431821,A81000C,00700,0100,A 431821,A81000C,00700,0200,STUART AND MIKE REED 431821,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 431821,A81000C,00700,0600,NURSING HOMES 431821,A81000C,00800,0100,A 431821,A81000C,00800,0200,STUART REED 431821,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 431821,A81000C,00800,0600,TRANSPORTATION 431821,A81000C,00900,0100,D 431821,A81000C,00900,0200,SUZANNE REED 431821,A81000C,00900,0400,INDIANA FITNESS WORKS 431821,A81000C,00900,0600,THERAPY 431821,A81000C,01000,0100,D 431821,A81000C,01000,0200,SUZANNE REED 431821,A81000C,01000,0400,INDIANA FITNESS WORKS 431821,A81000C,01000,0600,THERAPY 431821,A81000C,01001,0100,D 431821,A81000C,01001,0200,SUZANNE REED 431821,A81000C,01001,0400,INDIANA FITNESS WORKS 431821,A81000C,01001,0600,THERAPY 431821,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431821,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431821,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431821,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431821,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431821,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431821,B100000,00000,0800,0800MEALS SERVED :DIETARY 431821,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431821,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431821,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431821,B100000,00000,1500,1350PATIENT DAYS :ACTVITIES 431821,E10A180,00301,0100,08/09/11 431821,G300000,02500,0000,OTHER REVENUE 431821,S000000,00100,0200,06/02/12 431821,S200000,00100,0100,850 ASH STREET 431821,S200000,00200,0100,HUNTINGTON 431821,S200000,00200,0200,IN 431821,S200000,00200,0300,46750 431821,S200000,00300,0100,HUNTINGTON 431821,S200000,00300,0201,99915 431821,S200000,00300,0300,R 431821,S200000,00400,0100,OAKBROOK VILLAGE 431821,S200000,00400,0200,155531 431821,S200000,00400,0300,12/20/01 431821,S200000,00400,0500,P 431821,S200000,01500,0100,Y 431821,S200000,01501,0200,Y 431821,S200000,01502,0200,Y 431821,S200000,01503,0200,Y 431821,S200000,01504,0200,Y 431821,S200000,01600,0100,N 431821,S200000,01700,0100,N 431821,S200000,01800,0100,N 431821,S200000,02200,0100,N 431821,S200000,02800,0100,N 431821,S200000,02900,0100,N 431821,S200000,03000,0100,N 431821,S200000,03100,0100,N 431821,S200000,03200,0100,N 431821,S200000,03300,0100,N 431821,S200000,03300,0200,N 431821,S200000,04100,0100,N 431821,S200000,04200,0100,N 431821,S200000,04300,0100,N 431821,S200000,04600,0100,N 431821,S200000,04700,0100,N 431821,S200000,04700,0200,N 431821,S200000,04900,0100,N 431821,S200000,05000,0100,N 431821,S200000,05100,0100,N 431821,S200000,05200,0100,N 431821,S200000,05300,0100,Y 431821,S200000,05300,0200,15H049 431821,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 431821,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 431821,S200000,05400,0300,00130 431821,S200000,05500,0100,9450 PRIORITY WAY WEST 431821,S200000,05600,0100,INDIANAPOLIS 431821,S200000,05600,0200,IN 431821,S200000,05600,0300,46240 431827,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431827,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431827,A000000,00300,0000,0300EMPLOYEE BENEFITS 431827,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431827,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431827,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431827,A000000,00700,0000,0700HOUSEKEEPING 431827,A000000,00800,0000,0800DIETARY 431827,A000000,00900,0000,0900NURSING ADMINISTRATION 431827,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431827,A000000,01100,0000,1100PHARMACY 431827,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431827,A000000,01300,0000,1300SOCIAL SERVICE 431827,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431827,A000000,01500,0000,1350RECREATION 431827,A000000,01600,0000,1600SKILLED NURSING FACILITY 431827,A000000,01810,0000,1810ICF/MR 431827,A000000,02100,0000,2100RADIOLOGY 431827,A000000,02200,0000,2200LABORATORY 431827,A000000,02300,0000,2300INTRAVENOUS THERAPY 431827,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431827,A000000,02500,0000,2500PHYSICAL THERAPY 431827,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431827,A000000,02700,0000,2700SPEECH PATHOLOGY 431827,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431827,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431827,A000000,03550,0000,3550FQHC 431827,A000000,04801,0000,4801AMBULANCE 431827,A000000,04802,0000,4802AMBULANCE 431827,A000000,04803,0000,4803AMBULANCE 431827,A000000,05000,0000,5000CORF 431827,A000000,05010,0000,5010CMHC 431827,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431827,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431827,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431827,A81000A,00100,0100,Y 431827,A81000B,00100,0300,SEE ATTACHED 431827,A81000B,00200,0300,HOME OFFICE INTEREST 431827,A81000B,00300,0300,HOME OFFICE A&G 431827,A81000B,00400,0300,HOME OFFICE CAP PIEC 431827,A81000C,00100,0100,B 431827,A81000C,00100,0400,SEE ATTACHED 431827,A81000C,00100,0600,VARIOUS 431827,A81000C,00200,0100,B 431827,A81000C,00200,0400,GHC 431827,A81000C,00200,0600,LONG TERM CARE 431827,A81000C,00300,0100,B 431827,A81000C,00300,0400,GHC 431827,A81000C,00300,0600,LONG TERM CARE 431827,A81000C,00400,0100,B 431827,A81000C,00400,0400,GHC 431827,A81000C,00400,0600,LONG TERM CARE 431827,B100000,00000,0100,0100SQUARE FEET 431827,B100000,00000,0200,0200SQUARE FEET 431827,B100000,00000,0300,0300GROSS SALARIES 431827,B100000,00000,0400,0400ACCUM COST 431827,B100000,00000,0500,0500SQUARE FEET 431827,B100000,00000,0600,0600PATIENT DAYS 431827,B100000,00000,0700,0700SQUARE FEET 431827,B100000,00000,0800,0800MEALS SERVED 431827,B100000,00000,0900,0900NURSING SALARIES 431827,B100000,00000,1000,1000COSTED REQUIS 431827,B100000,00000,1100,1100COSTED REQUIS 431827,B100000,00000,1200,1200PATIENT DAYS 431827,B100000,00000,1300,1300PATIENT DAYS 431827,B100000,00000,1400,1400ASSIGNED TIME 431827,B100000,00000,1500,1350PATIENT DAYS 431827,E10A180,00301,0100,03/23/11 431827,E10A180,00501,0100,10/24/11 431827,E10A180,00501,0300,10/24/11 431827,G300000,02500,0000,BARBER AND BEAUTY 431827,S000000,00100,0200,09/12/11 431827,S200000,00100,0100,1113 NORTH EASTON ROAD 431827,S200000,00200,0100,WILLOW GROVE 431827,S200000,00200,0200,PA 431827,S200000,00200,0300,19090 431827,S200000,00300,0100,MONTGOMERY 431827,S200000,00300,0201,37964 431827,S200000,00300,0300,U 431827,S200000,00400,0100,GARDEN SPRING CENTER 431827,S200000,00400,0200,395077 431827,S200000,00400,0300,01/01/86 431827,S200000,00400,0500,P 431827,S200000,01500,0100,Y 431827,S200000,01501,0200,N 431827,S200000,01502,0200,N 431827,S200000,01503,0200,N 431827,S200000,01504,0200,N 431827,S200000,01600,0100,N 431827,S200000,01700,0100,N 431827,S200000,01800,0100,N 431827,S200000,02200,0100,Y 431827,S200000,02800,0100,N 431827,S200000,02900,0100,N 431827,S200000,03000,0100,N 431827,S200000,03100,0100,N 431827,S200000,03200,0100,N 431827,S200000,03300,0100,N 431827,S200000,03300,0200,N 431827,S200000,04200,0100,N 431827,S200000,04300,0100,N 431827,S200000,04600,0100,N 431827,S200000,04700,0100,N 431827,S200000,04900,0100,N 431827,S200000,05200,0100,N 431827,S200000,05300,0100,Y 431827,S200000,05300,0200,HB0067 431827,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 431827,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431827,S200000,05400,0300,12001 431827,S200000,05500,0100,101 EAST STATE STREET 431827,S200000,05600,0100,KENNETT SQUARE 431827,S200000,05600,0200,PA 431827,S200000,05600,0300,19348 431886,S000000,00100,0200,05/29/12 431886,S200000,00100,0100,650 LAKE ROAD 431886,S200000,00200,0100,ATWOOD 431886,S200000,00200,0200,KS 431886,S200000,00200,0300,67730-1599 431886,S200000,00300,0100,RAWLINS 431886,S200000,00400,0100,GOOD SAMARITAN ATWOOD 431886,S200000,00400,0300,04/01/96 431887,S000000,00100,0200,06/15/12 431887,S200000,00100,0100,408 EAST 6TH 431887,S200000,00200,0100,SHARON SPRINGS 431887,S200000,00200,0200,KS 431887,S200000,00200,0300,67758-9762 431887,S200000,00300,0100,WALLACE 431887,S200000,00400,0100,GOOD SAMARITAN PRAIRIE MANOR 431887,S200000,00400,0300,08/01/04 431888,S000000,00100,0200,05/22/12 431888,S200000,00100,0100,750 MAIN STREET EAST 431888,S200000,00200,0100,MAYVILLE 431888,S200000,00200,0200,ND 431888,S200000,00200,0300,58257-1698 431888,S200000,00300,0100,TRAILL 431888,S200000,00400,0100,LUTHER MEMORIAL HOME 431888,S200000,00400,0300,06/01/78 431889,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431889,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431889,A000000,00300,0000,0300EMPLOYEE BENEFITS 431889,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431889,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431889,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431889,A000000,00700,0000,0700HOUSEKEEPING 431889,A000000,00800,0000,0800DIETARY 431889,A000000,00900,0000,0900NURSING ADMINISTRATION 431889,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431889,A000000,01100,0000,1100PHARMACY 431889,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431889,A000000,01300,0000,1300SOCIAL SERVICE 431889,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431889,A000000,01600,0000,1600SKILLED NURSING FACILITY 431889,A000000,01810,0000,1810ICF/MR 431889,A000000,02100,0000,2100RADIOLOGY 431889,A000000,02200,0000,2200LABORATORY 431889,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431889,A000000,02500,0000,2500PHYSICAL THERAPY 431889,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431889,A000000,02700,0000,2700SPEECH PATHOLOGY 431889,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431889,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431889,A000000,03200,0000,3200SUPPORT SURFACES 431889,A000000,03550,0000,3550FQHC 431889,A000000,04800,0000,4800AMBULANCE 431889,A000000,05000,0000,5000CORF 431889,A000000,05010,0000,5010CMHC 431889,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431889,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431889,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431889,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431889,A81000A,00100,0100,Y 431889,A81000B,00100,0300,MGMT FEES 431889,A81000B,00200,0300,MGMT FEES CAP RELATED 431889,A81000B,00300,0300,WORKERS COMP 431889,A81000B,00400,0300,GENERAL INSURANCE 431889,A81000B,00500,0300,PROFESSIONAL FEES 431889,A81000B,00600,0300,EQUIPMENT RENTAL 431889,A81000B,00700,0300,ENTERAL FEEDING 431889,A81000B,00800,0300,SUPPLEMENTS 431889,A81000B,00900,0300,MINOR EQUIPMENT 431889,A81000B,01000,0300,SUPPLIES 431889,A81000B,01100,0300,SUPPLIES 431889,A81000B,01200,0300,UNIFORMS 431889,A81000B,01300,0300,CONTRACT THERAPY 431889,A81000B,01400,0300,CONTRACT THERAPY 431889,A81000B,01500,0300,CONTRACT THERAPY 431889,A81000C,00100,0100,A 431889,A81000C,00100,0200,D WHEELER/ T TILLER 431889,A81000C,00100,0400,LAUREL BAYE H/C OF SC 431889,A81000C,00100,0600,MGMT COMPANY 431889,A81000C,00200,0100,A 431889,A81000C,00200,0200,D WHEELER/ T TILLER 431889,A81000C,00200,0400,RESPIRATORY CARE CONSULTA 431889,A81000C,00200,0600,MEDICAL SUPPLIES 431889,A81000C,00300,0100,A 431889,A81000C,00300,0200,D WHEELER/ T TILLER 431889,A81000C,00300,0400,MEDICAL NECESSITIES 431889,A81000C,00300,0600,MEDCIAL SUPPLIES 431889,A81000C,00400,0100,A 431889,A81000C,00400,0200,D WHEELER/ T TILLER 431889,A81000C,00400,0400,PALMETTO H/C ASSURANCE 431889,A81000C,00400,0600,INSURANCE COMPANY 431889,A81000C,00500,0100,A 431889,A81000C,00500,0200,D WHEELER/ T TILLER 431889,A81000C,00500,0400,LAUREL BAYE MEDICAL 431889,A81000C,00500,0600,MEDICAL SUPPLIES 431889,A81000C,00600,0100,A 431889,A81000C,00600,0200,D WHEELER/ T TILLER 431889,A81000C,00600,0400,IMPACT THERAPY 431889,A81000C,00600,0600,THERAPY COMPANY 431889,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431889,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431889,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431889,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431889,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431889,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431889,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431889,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431889,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 431889,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431889,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431889,E10A180,00501,0100,03/20/12 431889,G300000,02500,0000,MISCELLANEOUS INCOME 431889,S000000,00100,0200,01/17/12 431889,S200000,00100,0100,HIGHWAY 39 431889,S200000,00100,0300,250 431889,S200000,00200,0100,WILLISTON 431889,S200000,00200,0200,SC 431889,S200000,00200,0300,29853 431889,S200000,00300,0100,BARNWELL 431889,S200000,00300,0200,0042 431889,S200000,00300,0201,00042 431889,S200000,00300,0300,U 431889,S200000,00400,0100,LAUREL BAYE HEALTHCARE OF WILLISTON 431889,S200000,00400,0200,425297 431889,S200000,00400,0300,03/12/91 431889,S200000,00400,0500,P 431889,S200000,01500,0100,Y 431889,S200000,01501,0200,N 431889,S200000,01502,0200,Y 431889,S200000,01503,0200,Y 431889,S200000,01504,0200,N 431889,S200000,01600,0100,N 431889,S200000,01700,0100,N 431889,S200000,01800,0100,N 431889,S200000,02200,0100,Y 431889,S200000,02800,0100,N 431889,S200000,02900,0100,N 431889,S200000,03000,0100,N 431889,S200000,03100,0100,N 431889,S200000,03200,0100,N 431889,S200000,03300,0100,N 431889,S200000,03300,0200,N 431889,S200000,04100,0100,N 431889,S200000,04200,0100,N 431889,S200000,04300,0100,Y 431889,S200000,04600,0100,N 431889,S200000,04700,0100,N 431889,S200000,04700,0200,N 431889,S200000,04900,0100,N 431889,S200000,05000,0100,N 431889,S200000,05100,0100,N 431889,S200000,05200,0100,N 431890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431890,A000000,00300,0000,0300EMPLOYEE BENEFITS 431890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431890,A000000,00700,0000,0700HOUSEKEEPING 431890,A000000,00800,0000,0800DIETARY 431890,A000000,00900,0000,0900NURSING ADMINISTRATION 431890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431890,A000000,01100,0000,1100PHARMACY 431890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431890,A000000,01300,0000,1300SOCIAL SERVICE 431890,A000000,01500,0000,1350PAIIENT ACITVITIES 431890,A000000,01600,0000,1600SKILLED NURSING FACILITY 431890,A000000,01900,0000,1900OTHER LONG TERM CARE 431890,A000000,02100,0000,2100RADIOLOGY 431890,A000000,02200,0000,2200LABORATORY 431890,A000000,02300,0000,2300INTRAVENOUS THERAPY 431890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431890,A000000,02500,0000,2500PHYSICAL THERAPY 431890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431890,A000000,02700,0000,2700SPEECH PATHOLOGY 431890,A000000,02800,0000,2800ELECTROCARDIOLOGY 431890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431890,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431890,A000000,03200,0000,3200SUPPORT SURFACES 431890,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431890,A000000,04800,0000,4800AMBULANCE 431890,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431890,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431890,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431890,A81000A,00100,0100,Y 431890,A81000B,00100,0300,HO 431890,A81000B,00200,0300,HO- CAPITAL 431890,A81000C,00100,0100,B 431890,A81000C,00100,0200,WESLEY PINES 431890,A81000C,00100,0400,METHODIST RETIREMENT HOME 431890,A81000C,00100,0600,HOME OFFICE 431890,A81000C,00200,0100,B 431890,A81000C,00200,0200,WESLEY PINES 431890,A81000C,00200,0400,METHODIST RETIREMENT HOME 431890,A81000C,00200,0600,HOME OFFICE 431890,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431890,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431890,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431890,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431890,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431890,B100000,00000,0700,0750PRO RATED SQ. FOOTAG:HOUSEKEEPIN 431890,B100000,00000,0800,0800MEALS SERVED :DIETARY 431890,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431890,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431890,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431890,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431890,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431890,B100000,00000,1500,1350PATIENT DAYS :PAIIENT ACITVITIE 431890,E10A180,00350,0100,07/27/11 431890,E10A180,00501,0100,05/04/12 431890,G300000,02500,0000,BARBER AND BEAUTY 431890,G300000,02501,0000,PERSONAL PURCHASES 431890,G300000,02502,0000,OTHER INCOME 431890,S000000,00100,0200,02/09/12 431890,S200000,00100,0100,1000 WESLEY PINES ROAD 431890,S200000,00200,0100,LUMBERTON 431890,S200000,00200,0200,NC 431890,S200000,00200,0300,28358 431890,S200000,00300,0100,ROBESON 431890,S200000,00300,0200,34 431890,S200000,00300,0201,99934 431890,S200000,00300,0300,R 431890,S200000,00400,0100,WESLEY PINES RETIREMENT HOME 431890,S200000,00400,0200,345180 431890,S200000,00400,0300,06/01/78 431890,S200000,00400,0500,P 431890,S200000,01500,0100,N 431890,S200000,01501,0200,Y 431890,S200000,01502,0200,N 431890,S200000,01503,0200,Y 431890,S200000,01504,0200,Y 431890,S200000,01505,0000,OTHER 431890,S200000,01505,0200,Y 431890,S200000,01600,0100,Y 431890,S200000,01700,0100,N 431890,S200000,01800,0100,N 431890,S200000,02200,0100,N 431890,S200000,02800,0100,N 431890,S200000,02900,0100,N 431890,S200000,03000,0100,N 431890,S200000,03100,0100,N 431890,S200000,03200,0100,N 431890,S200000,03300,0100,N 431890,S200000,03300,0200,N 431890,S200000,04100,0100,N 431890,S200000,04200,0100,N 431890,S200000,04300,0100,N 431890,S200000,04600,0100,N 431890,S200000,04700,0100,N 431890,S200000,04700,0200,N 431890,S200000,04900,0100,N 431890,S200000,05000,0100,N 431890,S200000,05100,0100,N 431890,S200000,05200,0100,N 431891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431891,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431891,A000000,00300,0000,0300EMPLOYEE BENEFITS 431891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431891,A000000,00700,0000,0700HOUSEKEEPING 431891,A000000,00800,0000,0800DIETARY 431891,A000000,00900,0000,0900NURSING ADMINISTRATION 431891,A000000,01300,0000,1300SOCIAL SERVICE 431891,A000000,01500,0000,1350ACTIVITIES 431891,A000000,01600,0000,1600SKILLED NURSING FACILITY 431891,A000000,01800,0000,1800NURSING FACILITY 431891,A000000,01900,0000,1900OTHER LONG TERM CARE 431891,A000000,02100,0000,2100RADIOLOGY 431891,A000000,02200,0000,2200LABORATORY 431891,A000000,02500,0000,2500PHYSICAL THERAPY 431891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431891,A000000,02700,0000,2700SPEECH PATHOLOGY 431891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431891,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431891,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431891,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431891,A81000A,00100,0100,Y 431891,A81000B,00100,0300,HOME OFFICE OPERATING 431891,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 431891,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 431891,A81000B,00400,0300,HOME OFFICE NURSING 431891,A81000B,00500,0300,HOME OFFICE ACTIVITIES 431891,A81000B,00600,0300,VEHICLE RENTAL 431891,A81000B,00800,0300,MAINTENANCE AND REPAIRS 431891,A81000B,01000,0300,MAINTENANCE SUPPLIES 431891,A81000B,01100,0300,LAUNDRY SUPPLIES & LINEN 431891,A81000B,01200,0300,HSKPING SUPPLIES 431891,A81000B,01300,0300,FOOD SUPPLIES 431891,A81000B,01400,0300,NURSING SUPPLIES 431891,A81000B,01500,0300,PT SUPPLIES 431891,A81000B,01600,0300,MEDICAL SUPPLIES 431891,A81000B,01700,0300,NURSING SUPPLIES 431891,A81000B,01800,0300,MEDCAL SUPPLIES 431891,A81000B,01900,0300,DRUGS 431891,A81000B,02000,0300,PRINTING 431891,A81000B,02100,0300,PRINTING 431891,A81000B,02200,0300,PRINTING 431891,A81000B,02300,0300,PRINTING 431891,A81000B,02400,0300,PRINTING 431891,A81000C,00100,0100,A 431891,A81000C,00100,0200,TRIAD MEDICAL SERVICES 431891,A81000C,00100,0400,NOLAN G. BROWN 431891,A81000C,00100,0600,MGMT SERVICES 431891,A81000C,00200,0100,A 431891,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 431891,A81000C,00200,0400,NOLAN G. BROWN 431891,A81000C,00200,0600,PRINTING 431891,A81000C,00300,0100,A 431891,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 431891,A81000C,00300,0400,NOLAN G. BROWN 431891,A81000C,00300,0600,PHARMACY 431891,A81000C,00400,0100,A 431891,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 431891,A81000C,00400,0400,NOLAN G. BROWN 431891,A81000C,00400,0600,MEDICAL SUPPLIES 431891,A81000C,00500,0100,A 431891,A81000C,00500,0200,TMS CONSTRUCTION 431891,A81000C,00500,0400,NOLAN G BROWN 431891,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 431891,A81000C,00600,0100,A 431891,A81000C,00600,0200,NGB ENTERPRISES 431891,A81000C,00600,0400,NOLAN G. BROWN 431891,A81000C,00600,0600,LESSOR 431891,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431891,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431891,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431891,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431891,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431891,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431891,B100000,00000,0800,0800MEALS SERVED :DIETARY 431891,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431891,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431891,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 431891,E10A180,00350,0100,07/27/11 431891,E10A180,00501,0100,05/08/12 431891,G300000,02500,0000,OTHER INCOME 431891,S000000,00100,0200,02/22/12 431891,S200000,00100,0100,1401 SOUTHSALISBURY AVENUE 431891,S200000,00200,0100,SPENCER 431891,S200000,00200,0200,NC 431891,S200000,00200,0300,28159 431891,S200000,00300,0100,ROWAN 431891,S200000,00300,0200,34 431891,S200000,00300,0201,99934 431891,S200000,00300,0300,R 431891,S200000,00400,0100,MAGNOLIA ESTATES SKILLED CARE FACILI 431891,S200000,00400,0200,345288 431891,S200000,00400,0300,08/11/88 431891,S200000,00400,0500,P 431891,S200000,00400,0600,O 431891,S200000,01500,0100,N 431891,S200000,01501,0200,Y 431891,S200000,01505,0000,SUPPLIES AND SUPPLEMENTS 431891,S200000,01505,0200,Y 431891,S200000,01600,0100,Y 431891,S200000,01700,0100,N 431891,S200000,01800,0100,N 431891,S200000,02200,0100,N 431891,S200000,02800,0100,N 431891,S200000,02900,0100,N 431891,S200000,03000,0100,N 431891,S200000,03100,0100,N 431891,S200000,03200,0100,N 431891,S200000,03300,0100,N 431891,S200000,03300,0200,N 431891,S200000,04100,0100,N 431891,S200000,04200,0100,N 431891,S200000,04300,0100,N 431891,S200000,04600,0100,N 431891,S200000,04700,0100,N 431891,S200000,04700,0200,N 431891,S200000,04900,0100,N 431891,S200000,05000,0100,N 431891,S200000,05100,0100,N 431891,S200000,05200,0100,N 431891,S200000,05300,0100,Y 431891,S200000,05300,0200,349009 431891,S200000,05400,0100,TRIAD MEDICAL SERVICES 431891,S200000,05400,0200,PALMETTO GBA 431891,S200000,05400,0300, 00038 431891,S200000,05500,0200,969 431891,S200000,05600,0100,YADKINVILLE 431891,S200000,05600,0200,NC 431891,S200000,05600,0300,27055 431892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431892,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431892,A000000,00300,0000,0300EMPLOYEE BENEFITS 431892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431892,A000000,00700,0000,0700HOUSEKEEPING 431892,A000000,00800,0000,0800DIETARY 431892,A000000,00900,0000,0900NURSING ADMINISTRATION 431892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431892,A000000,01100,0000,1100PHARMACY 431892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431892,A000000,01300,0000,1300SOCIAL SERVICE 431892,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431892,A000000,01600,0000,1600SKILLED NURSING FACILITY 431892,A000000,01800,0000,1800NURSING FACILITY 431892,A000000,01900,0000,1900OTHER LONG TERM CARE 431892,A000000,02100,0000,2100RADIOLOGY 431892,A000000,02200,0000,2200LABORATORY 431892,A000000,02300,0000,2300INTRAVENOUS THERAPY 431892,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431892,A000000,02500,0000,2500PHYSICAL THERAPY 431892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431892,A000000,02700,0000,2700SPEECH PATHOLOGY 431892,A000000,02800,0000,2800ELECTROCARDIOLOGY 431892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431892,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431892,A000000,03200,0000,3200SUPPORT SURFACES 431892,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431892,A000000,03400,0000,3400CLINIC 431892,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431892,A000000,04800,0000,4800AMBULANCE 431892,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431892,A000000,05000,0000,5000CORF 431892,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431892,A000000,05300,0000,5300INTEREST EXPENSE 431892,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431892,A000000,05500,0000,5500HOSPICE 431892,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431892,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431892,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431892,A000000,06100,0000,6100NONPAID WORKERS 431892,A000000,06200,0000,6200PATIENTS LAUNDRY 431892,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431892,A81000A,00100,0100,Y 431892,A81000B,00100,0300,NURSING CONSULTING 431892,A81000B,00200,0300,DIETARY CONSULTING 431892,A81000B,00300,0300,HOME OFFICE 431892,A81000B,00400,0300,INTEREST EXPENSE 431892,A81000B,00500,0300,WORKERS COMP EXPENSE 431892,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABLITY 431892,A81000B,00700,0300,MAINTENANCE SUPPLIES 431892,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 431892,A81000B,00900,0300,REPAIRS-EQUIPMENT 431892,A81000B,01000,0300,REPAIRS-GROUND 431892,A81000B,01100,0300,LINEN & BEDDING 431892,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 431892,A81000B,01300,0300,SUPPLIES 431892,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 431892,A81000B,01500,0300,PAPER PRODUCTS & HAND SOAP 431892,A81000B,01600,0300,SUPPLIES 431892,A81000B,01700,0300,DIETARY SUPPLEMENTS 431892,A81000B,01800,0300,SUPPLIES 431892,A81000B,01900,0300,BIO-MEDICAL WASTE 431892,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 431892,A81000B,02100,0300,PERSONAL CARE SUPPLIES 431892,A81000B,02200,0300,INCONTINENCE SUPPLIES 431892,A81000B,02300,0300,MEDICAL SUPPLIES 431892,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 431892,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 431892,A81000B,02600,0300,BUILDING RENT 431892,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 431892,A81000B,02800,0300,NON-LEGEND DRUGS 431892,A81000B,02900,0300,PHARMACY CONSULTANT 431892,A81000C,00100,0100,B 431892,A81000C,00100,0200,HILLCO LTD. 431892,A81000C,00100,0400,BRITTHAVEN INC 431892,A81000C,00100,0600,MGMT SERVICES 431892,A81000C,00200,0100,B 431892,A81000C,00200,0200,HILLCO LTD. 431892,A81000C,00200,0400,BRITTHAVEN INC 431892,A81000C,00200,0600,MGMT SERVICES 431892,A81000C,00300,0100,B 431892,A81000C,00300,0200,HILLCO LTD. 431892,A81000C,00300,0400,BRITTHAVEN INC 431892,A81000C,00300,0600,MGMT SERVICES 431892,A81000C,00400,0100,B 431892,A81000C,00400,0200,HILLCO LTD. 431892,A81000C,00400,0400,BRITTHAVEN INC 431892,A81000C,00400,0600,MGMT SERVICES 431892,A81000C,00500,0100,A 431892,A81000C,00500,0200,DISCOVERY INSUR 431892,A81000C,00500,0400,DISCOVERY INSUR 431892,A81000C,00500,0600,INSURANCE 431892,A81000C,00600,0100,A 431892,A81000C,00600,0200,QUEENSLAND ASSU 431892,A81000C,00600,0400,QUEENSLAND ASSU 431892,A81000C,00600,0600,INSURANCE 431892,A81000C,00700,0100,B 431892,A81000C,00700,0200,HILLCO LTD. 431892,A81000C,00700,0400,KARE MEDICAL 431892,A81000C,00700,0600,WHOLESALE SUPPL 431892,A81000C,00800,0100,B 431892,A81000C,00800,0200,HILLCO LTD. 431892,A81000C,00800,0400,KARE MEDICAL 431892,A81000C,00800,0600,WHOLESALE SUPPL 431892,A81000C,00900,0100,B 431892,A81000C,00900,0200,HILLCO LTD. 431892,A81000C,00900,0400,KARE MEDICAL 431892,A81000C,00900,0600,WHOLESALE SUPPL 431892,A81000C,01000,0100,B 431892,A81000C,01000,0200,HILLCO LTD. 431892,A81000C,01000,0400,KARE MEDICAL 431892,A81000C,01000,0600,WHOLESALE SUPPL 431892,A81000C,01001,0100,B 431892,A81000C,01001,0200,HILLCO LTD. 431892,A81000C,01001,0400,KARE MEDICAL 431892,A81000C,01001,0600,WHOLESALE SUPPL 431892,A81000C,01002,0100,B 431892,A81000C,01002,0200,HILLCO LTD. 431892,A81000C,01002,0400,KARE MEDICAL 431892,A81000C,01002,0600,WHOLESALE SUPPL 431892,A81000C,01003,0100,B 431892,A81000C,01003,0200,HILLCO LTD. 431892,A81000C,01003,0400,KARE MEDICAL 431892,A81000C,01003,0600,WHOLESALE SUPPL 431892,A81000C,01004,0100,B 431892,A81000C,01004,0200,HILLCO LTD. 431892,A81000C,01004,0400,KARE MEDICAL 431892,A81000C,01004,0600,WHOLESALE SUPPL 431892,A81000C,01005,0100,B 431892,A81000C,01005,0200,HILLCO LTD. 431892,A81000C,01005,0400,KARE MEDICAL 431892,A81000C,01005,0600,WHOLESALE SUPPL 431892,A81000C,01006,0100,B 431892,A81000C,01006,0200,HILLCO LTD. 431892,A81000C,01006,0400,KARE MEDICAL 431892,A81000C,01006,0600,WHOLESALE SUPPL 431892,A81000C,01007,0100,B 431892,A81000C,01007,0200,HILLCO LTD. 431892,A81000C,01007,0400,KARE MEDICAL 431892,A81000C,01007,0600,WHOLESALE SUPPL 431892,A81000C,01008,0100,B 431892,A81000C,01008,0200,HILLCO LTD. 431892,A81000C,01008,0400,KARE MEDICAL 431892,A81000C,01008,0600,WHOLESALE SUPPL 431892,A81000C,01009,0100,B 431892,A81000C,01009,0200,HILLCO LTD. 431892,A81000C,01009,0400,KARE MEDICAL 431892,A81000C,01009,0600,WHOLESALE SUPPL 431892,A81000C,01010,0100,B 431892,A81000C,01010,0200,HILLCO LTD. 431892,A81000C,01010,0400,KARE MEDICAL 431892,A81000C,01010,0600,WHOLESALE SUPPL 431892,A81000C,01011,0100,B 431892,A81000C,01011,0200,HILLCO LTD. 431892,A81000C,01011,0400,KARE MEDICAL 431892,A81000C,01011,0600,WHOLESALE SUPPL 431892,A81000C,01012,0100,B 431892,A81000C,01012,0200,HILLCO LTD. 431892,A81000C,01012,0400,KARE MEDICAL 431892,A81000C,01012,0600,WHOLESALE SUPPL 431892,A81000C,01013,0100,B 431892,A81000C,01013,0200,HILLCO LTD. 431892,A81000C,01013,0400,KARE MEDICAL 431892,A81000C,01013,0600,WHOLESALE SUPPL 431892,A81000C,01014,0100,B 431892,A81000C,01014,0200,HILLCO LTD. 431892,A81000C,01014,0400,KARE MEDICAL 431892,A81000C,01014,0600,WHOLESALE SUPPL 431892,A81000C,01015,0100,B 431892,A81000C,01015,0200,HILLCO LTD. 431892,A81000C,01015,0400,KARE MEDICAL 431892,A81000C,01015,0600,WHOLESALE SUPPL 431892,A81000C,01016,0100,A 431892,A81000C,01016,0200,NEIL REALTY CO. 431892,A81000C,01016,0400,NEIL REALTY CO. 431892,A81000C,01016,0600,REAL ESTATE 431892,A81000C,01017,0100,B 431892,A81000C,01017,0200,PHARMSAVE 431892,A81000C,01017,0400,PHARMSAVE 431892,A81000C,01017,0600,RX SUPPLY 431892,A81000C,01018,0100,B 431892,A81000C,01018,0200,PHARMSAVE 431892,A81000C,01018,0400,PHARMSAVE 431892,A81000C,01018,0600,RX SUPPLY 431892,A81000C,01019,0100,B 431892,A81000C,01019,0200,PHARMSAVE 431892,A81000C,01019,0400,PHARMSAVE 431892,A81000C,01019,0600,RX SUPPLY 431892,A81000C,01020,0100,B 431892,A81000C,01020,0200,PHARMSAVE 431892,A81000C,01020,0400,PHARMSAVE 431892,A81000C,01020,0600,RX SUPPLY 431892,A81000C,01021,0100,B 431892,A81000C,01021,0200,ROBERT HILL CON 431892,A81000C,01021,0400,ROBERT HILL CON 431892,A81000C,01021,0600,CONSTRUCTION 431892,A81000C,01022,0100,B 431892,A81000C,01022,0200,ROBERT HILL CON 431892,A81000C,01022,0400,ROBERT HILL CON 431892,A81000C,01022,0600,CONSTRUCTION 431892,A81000C,01023,0100,A 431892,A81000C,01023,0200,NEIL REALTY CO 431892,A81000C,01023,0400,NEIL REALTY CO 431892,A81000C,01023,0600,REAL ESTATE 431892,A81000C,01024,0100,A 431892,A81000C,01024,0200,NEIL REALTY CO 431892,A81000C,01024,0400,NEIL REALTY CO 431892,A81000C,01024,0600,REAL ESTATE 431892,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431892,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431892,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431892,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431892,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431892,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431892,B100000,00000,0800,0800MEALS SERVED :DIETARY 431892,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431892,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431892,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431892,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431892,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431892,E10A180,00501,0300,02/24/12 431892,E10A180,00550,0100,02/24/12 431892,G300000,02500,0000, OTHER (SPECIFY) 431892,S000000,00100,0200,02/24/12 431892,S200000,00100,0100,308 MEADOWVIEW ROAD 431892,S200000,00200,0100,GREENSBORO 431892,S200000,00200,0200,NC 431892,S200000,00200,0300,27406 431892,S200000,00300,0100,GUILFORD 431892,S200000,00300,0201,24660 431892,S200000,00300,0300,U 431892,S200000,00400,0100,CAROLINA COMMONS 431892,S200000,00400,0200,345448 431892,S200000,00400,0300,02/09/95 431892,S200000,00400,0500,P 431892,S200000,01500,0100,N 431892,S200000,01501,0200,Y 431892,S200000,01502,0200,Y 431892,S200000,01503,0200,Y 431892,S200000,01504,0200,Y 431892,S200000,01505,0000,OTHER (SPECIFY) 431892,S200000,01505,0200,Y 431892,S200000,01600,0100,Y 431892,S200000,01700,0100,N 431892,S200000,01800,0100,N 431892,S200000,02200,0100,N 431892,S200000,02800,0100,N 431892,S200000,02900,0100,N 431892,S200000,03000,0100,N 431892,S200000,03100,0100,Y 431892,S200000,03200,0100,N 431892,S200000,03300,0100,N 431892,S200000,03300,0200,N 431892,S200000,04100,0100,N 431892,S200000,04200,0100,N 431892,S200000,04300,0100,N 431892,S200000,04600,0100,N 431892,S200000,04700,0100,N 431892,S200000,04700,0200,N 431892,S200000,04900,0100,N 431892,S200000,05000,0100,N 431892,S200000,05100,0100,N 431892,S200000,05200,0100,N 431892,S200000,05300,0100,Y 431892,S200000,05300,0200,349011 431892,S200000,05400,0100,BRITTHAVEN INC 431892,S200000,05400,0200,PALMETTO GBA 431892,S200000,05400,0300,11501 431892,S200000,05500,0100,1435 HWY 258 NORTH 431892,S200000,05600,0100,KINGSTON 431892,S200000,05600,0200,NC 431892,S200000,05600,0300,28502 431893,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431893,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431893,A000000,00300,0000,0300EMPLOYEE BENEFITS 431893,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431893,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431893,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431893,A000000,00700,0000,0700HOUSEKEEPING 431893,A000000,00800,0000,0800DIETARY 431893,A000000,00900,0000,0900NURSING ADMINISTRATION 431893,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431893,A000000,01100,0000,1100PHARMACY 431893,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431893,A000000,01300,0000,1300SOCIAL SERVICE 431893,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431893,A000000,01600,0000,1600SKILLED NURSING FACILITY 431893,A000000,01800,0000,1800NURSING FACILITY 431893,A000000,01900,0000,1900OTHER LONG TERM CARE 431893,A000000,02100,0000,2100RADIOLOGY 431893,A000000,02200,0000,2200LABORATORY 431893,A000000,02300,0000,2300INTRAVENOUS THERAPY 431893,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431893,A000000,02500,0000,2500PHYSICAL THERAPY 431893,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431893,A000000,02700,0000,2700SPEECH PATHOLOGY 431893,A000000,02800,0000,2800ELECTROCARDIOLOGY 431893,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431893,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431893,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431893,A000000,03200,0000,3200SUPPORT SURFACES 431893,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431893,A000000,03400,0000,3400CLINIC 431893,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431893,A000000,04800,0000,4800AMBULANCE 431893,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431893,A000000,05000,0000,5000CORF 431893,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431893,A000000,05300,0000,5300INTEREST EXPENSE 431893,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431893,A000000,05500,0000,5500HOSPICE 431893,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431893,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431893,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431893,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431893,A000000,06100,0000,6100NONPAID WORKERS 431893,A000000,06200,0000,6200PATIENTS LAUNDRY 431893,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431893,A81000A,00100,0100,Y 431893,A81000B,00100,0300,MINOR EQUIPMENT EXPENSE 431893,A81000B,00200,0300,REPAIRS - EQUIPMENT 431893,A81000B,00300,0300,LINEN & BEDDING 431893,A81000B,00400,0300,SUPPLIES 431893,A81000B,00500,0300,SUPPLIES 431893,A81000B,00600,0300,DIETARY SUPPLEMENTS 431893,A81000B,00700,0300,SUPPLIES 431893,A81000B,00800,0300,BIO-MEDICAL WASTE 431893,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 431893,A81000B,01000,0300,PERSONAL CARE SUPPLIES 431893,A81000B,01100,0300,INCONTINENCE SUPPLIES 431893,A81000B,01200,0300,MEDICAL SUPPLIES 431893,A81000B,01300,0300,SUPPLIES 431893,A81000B,01400,0300,OXYGEN THERAPY SUPPLIES 431893,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 431893,A81000B,01600,0300,SUPPLIES 431893,A81000B,01700,0300,SUPPLIES 431893,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 431893,A81000B,01900,0300,NURSING EQUIPMENT RENTAL 431893,A81000B,02000,0300,NON-LEGEND DRUGS 431893,A81000B,02100,0300,PHARMACY CONSULTANT 431893,A81000B,02200,0300,SUPPLIES 431893,A81000B,02300,0300,LEGEND DRUGS 431893,A81000B,02400,0300,OFFICE SUPPLIES 431893,A81000B,02500,0300,REPAIRS-BUILDING 431893,A81000B,02600,0300,NURSING ADMINISTRATION 431893,A81000B,02700,0300,DIETARY CONSULTING 431893,A81000B,02800,0300,HOME OFFICE 431893,A81000B,02900,0300,INTEREST EXPENSE 431893,A81000C,00100,0100,A 431893,A81000C,00100,0200,SHAREHOLDERS 431893,A81000C,00100,0400,KARE MEDICAL 431893,A81000C,00100,0600,WHOLESALE SUPPL 431893,A81000C,00200,0100,A 431893,A81000C,00200,0200,SHAREHOLDERS 431893,A81000C,00200,0400,KARE MEDICAL 431893,A81000C,00200,0600,WHOLESALE SUPPL 431893,A81000C,00300,0100,A 431893,A81000C,00300,0200,SHAREHOLDERS 431893,A81000C,00300,0400,KARE MEDICAL 431893,A81000C,00300,0600,WHOLESALE SUPPL 431893,A81000C,00400,0100,A 431893,A81000C,00400,0200,SHAREHOLDERS 431893,A81000C,00400,0400,KARE MEDICAL 431893,A81000C,00400,0600,WHOLESALE SUPPL 431893,A81000C,00500,0100,A 431893,A81000C,00500,0200,SHAREHOLDERS 431893,A81000C,00500,0400,KARE MEDICAL 431893,A81000C,00500,0600,WHOLESALE SUPPL 431893,A81000C,00600,0100,A 431893,A81000C,00600,0200,SHAREHOLDERS 431893,A81000C,00600,0400,KARE MEDICAL 431893,A81000C,00600,0600,WHOLESALE SUPPL 431893,A81000C,00700,0100,A 431893,A81000C,00700,0200,SHAREHOLDERS 431893,A81000C,00700,0400,KARE MEDICAL 431893,A81000C,00700,0600,WHOLESALE SUPPL 431893,A81000C,00800,0100,A 431893,A81000C,00800,0200,SHAREHOLDERS 431893,A81000C,00800,0400,KARE MEDICAL 431893,A81000C,00800,0600,WHOLESALE SUPPL 431893,A81000C,00900,0100,A 431893,A81000C,00900,0200,SHAREHOLDERS 431893,A81000C,00900,0400,KARE MEDICAL 431893,A81000C,00900,0600,WHOLESALE SUPPL 431893,A81000C,01000,0100,A 431893,A81000C,01000,0200,SHAREHOLDERS 431893,A81000C,01000,0400,KARE MEDICAL 431893,A81000C,01000,0600,WHOLESALE SUPPL 431893,A81000C,01001,0100,A 431893,A81000C,01001,0200,SHAREHOLDERS 431893,A81000C,01001,0400,KARE MEDICAL 431893,A81000C,01001,0600,WHOLESALE SUPPL 431893,A81000C,01002,0100,A 431893,A81000C,01002,0200,SHAREHOLDERS 431893,A81000C,01002,0400,KARE MEDICAL 431893,A81000C,01002,0600,WHOLESALE SUPPL 431893,A81000C,01003,0100,A 431893,A81000C,01003,0200,SHAREHOLDERS 431893,A81000C,01003,0400,KARE MEDICAL 431893,A81000C,01003,0600,WHOLESALE SUPPL 431893,A81000C,01004,0100,A 431893,A81000C,01004,0200,SHAREHOLDERS 431893,A81000C,01004,0400,KARE MEDICAL 431893,A81000C,01004,0600,WHOLESALE SUPPL 431893,A81000C,01005,0100,A 431893,A81000C,01005,0200,SHAREHOLDERS 431893,A81000C,01005,0400,KARE MEDICAL 431893,A81000C,01005,0600,WHOLESALE SUPPL 431893,A81000C,01006,0100,A 431893,A81000C,01006,0200,SHAREHOLDERS 431893,A81000C,01006,0400,KARE MEDICAL 431893,A81000C,01006,0600,WHOLESALE SUPPL 431893,A81000C,01007,0100,A 431893,A81000C,01007,0200,SHAREHOLDERS 431893,A81000C,01007,0400,KARE MEDICAL 431893,A81000C,01007,0600,WHOLESALE SUPPL 431893,A81000C,01008,0100,A 431893,A81000C,01008,0200,SHAREHOLDERS 431893,A81000C,01008,0400,KARE MEDICAL 431893,A81000C,01008,0600,WHOLSEALE SUPPL 431893,A81000C,01009,0100,A 431893,A81000C,01009,0200,SHAREHOLDERS 431893,A81000C,01009,0400,PHARMSAVE 431893,A81000C,01009,0600,RX SUPPLY 431893,A81000C,01010,0100,A 431893,A81000C,01010,0200,SHAREHOLDERS 431893,A81000C,01010,0400,PHARMSAVE 431893,A81000C,01010,0600,RX SUPPLY 431893,A81000C,01011,0100,A 431893,A81000C,01011,0200,SHAREHOLDERS 431893,A81000C,01011,0400,PHARMSAVE 431893,A81000C,01011,0600,RX SUPPLY 431893,A81000C,01012,0100,A 431893,A81000C,01012,0200,SHAREHOLDERS 431893,A81000C,01012,0400,PHARMSAVE 431893,A81000C,01012,0600,RX SUPPLY 431893,A81000C,01013,0100,A 431893,A81000C,01013,0200,SHAREHOLDERS 431893,A81000C,01013,0400,PHARMSAVE 431893,A81000C,01013,0600,RX SUPPLY 431893,A81000C,01014,0100,A 431893,A81000C,01014,0200,SHAREHOLDERS 431893,A81000C,01014,0400,ROBERT HILL CON 431893,A81000C,01014,0600,CONSTRUCTION 431893,A81000C,01015,0100,A 431893,A81000C,01015,0200,SHAREHOLDERS 431893,A81000C,01015,0400,ROBERT HILL CON 431893,A81000C,01015,0600,CONSTRUCTION 431893,A81000C,01016,0100,B 431893,A81000C,01016,0200,PLTC INC. & PI 431893,A81000C,01016,0400,PLTC INC. & PI 431893,A81000C,01016,0600,MGMT SERVICES 431893,A81000C,01017,0100,B 431893,A81000C,01017,0200,PLTC INC. & PI 431893,A81000C,01017,0400,PLTC INC. & PI 431893,A81000C,01017,0600,MGMT SERVICES 431893,A81000C,01018,0100,B 431893,A81000C,01018,0200,PLTC INC. & PI 431893,A81000C,01018,0400,PLTC INC. & PI 431893,A81000C,01018,0600,MGMT SERVICES 431893,A81000C,01019,0100,B 431893,A81000C,01019,0200,PLTC INC. & PI 431893,A81000C,01019,0400,PLTC INC. & PI 431893,A81000C,01019,0600,MGMT SERVICES 431893,A81000C,01020,0100,A 431893,A81000C,01020,0200,SHAREHOLDERS 431893,A81000C,01020,0400,QUEENSLAND ASSU 431893,A81000C,01020,0600,INSURANCE 431893,A81000C,01021,0100,A 431893,A81000C,01021,0200,SHAREHOLDERS 431893,A81000C,01021,0400,BRITTHAVEN INC 431893,A81000C,01021,0600,REAL ESTATE 431893,A81000C,01022,0100,A 431893,A81000C,01022,0200,SHAREHOLDERS 431893,A81000C,01022,0400,BRITTHAVEN INC 431893,A81000C,01022,0600,REAL ESTATE 431893,A81000C,01023,0100,A 431893,A81000C,01023,0200,SHAREHOLDERS 431893,A81000C,01023,0400,BRITTHAVEN INC 431893,A81000C,01023,0600,REAL ESTATE 431893,A81000C,01024,0100,A 431893,A81000C,01024,0200,SHAREHOLDERS 431893,A81000C,01024,0400,BRITTHAVEN INC 431893,A81000C,01024,0600,REAL ESTATE 431893,A81000C,01025,0100,A 431893,A81000C,01025,0200,SHAREHOLDERS 431893,A81000C,01025,0400,BRITTHAVEN INC 431893,A81000C,01025,0600,REAL ESTATE 431893,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431893,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431893,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431893,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431893,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431893,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431893,B100000,00000,0800,0800MEALS SERVED :DIETARY 431893,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431893,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431893,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431893,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431893,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431893,E10A180,00501,0100,05/21/12 431893,G300000,02500,0000, OTHER (SPECIFY) 431893,S000000,00100,0200,02/29/12 431893,S200000,00100,0100,730 LUNENBURG HWY 431893,S200000,00200,0100,KEYSVILLE 431893,S200000,00200,0200,VA 431893,S200000,00200,0300,23947 431893,S200000,00300,0100,CHARLOTTE 431893,S200000,00300,0201,49190 431893,S200000,00300,0300,R 431893,S200000,00400,0100,WAYLAND NURSING & REHAB CENTER 431893,S200000,00400,0200,495226 431893,S200000,00400,0300,01/16/11 431893,S200000,00400,0500,P 431893,S200000,01500,0100,Y 431893,S200000,01501,0200,Y 431893,S200000,01502,0200,Y 431893,S200000,01503,0200,Y 431893,S200000,01504,0200,Y 431893,S200000,01505,0000,OTHER (SPECIFY) 431893,S200000,01505,0200,Y 431893,S200000,01600,0100,N 431893,S200000,01700,0100,N 431893,S200000,01800,0100,N 431893,S200000,02200,0100,N 431893,S200000,02800,0100,N 431893,S200000,02900,0100,N 431893,S200000,03000,0100,N 431893,S200000,03100,0100,N 431893,S200000,03200,0100,N 431893,S200000,03300,0100,N 431893,S200000,03300,0200,N 431893,S200000,04100,0100,N 431893,S200000,04200,0100,N 431893,S200000,04300,0100,N 431893,S200000,04600,0100,N 431893,S200000,04700,0100,N 431893,S200000,04700,0200,N 431893,S200000,04900,0100,N 431893,S200000,05000,0100,N 431893,S200000,05100,0100,N 431893,S200000,05200,0100,N 431893,S200000,05300,0100,Y 431893,S200000,05300,0200,349011 431893,S200000,05400,0100,PRINCIPLE LTC INC. 431893,S200000,05400,0200,PALMETTO GBA 431893,S200000,05400,0300,11001 431893,S200000,05500,0100,1435 HWY 258 S 431893,S200000,05500,0200,PO BOX 61 431893,S200000,05600,0100,KINSTON 431893,S200000,05600,0200,NC 431893,S200000,05600,0300,28502 431907,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431907,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431907,A000000,00300,0000,0300EMPLOYEE BENEFITS 431907,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431907,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431907,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431907,A000000,00700,0000,0700HOUSEKEEPING 431907,A000000,00800,0000,0800DIETARY 431907,A000000,00900,0000,0900NURSING ADMINISTRATION 431907,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431907,A000000,01100,0000,1100PHARMACY 431907,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431907,A000000,01300,0000,1300SOCIAL SERVICE 431907,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431907,A000000,01500,0000,1350OTHER GENERAL SERVICES 431907,A000000,01600,0000,1600SKILLED NURSING FACILITY 431907,A000000,01810,0000,1810ICF/MR 431907,A000000,01900,0000,1900OTHER LONG TERM CARE 431907,A000000,02100,0000,2100RADIOLOGY 431907,A000000,02200,0000,2200LABORATORY 431907,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431907,A000000,02500,0000,2500PHYSICAL THERAPY 431907,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431907,A000000,02700,0000,2700SPEECH PATHOLOGY 431907,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431907,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431907,A000000,03200,0000,3200SUPPORT SURFACES 431907,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431907,A000000,03550,0000,3550FQHC 431907,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431907,A000000,04710,0000,4710TELEMEDICINE 431907,A000000,04801,0000,4801AMBULANCE 431907,A000000,04802,0000,4802AMBULANCE 431907,A000000,04803,0000,4803AMBULANCE 431907,A000000,05000,0000,5000CORF 431907,A000000,05010,0000,5010CMHC 431907,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431907,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431907,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431907,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431907,A000000,05300,0000,5300INTEREST EXPENSE 431907,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431907,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431907,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431907,A81000A,00100,0100,N 431907,B100000,00000,0100,0100SQUARE FEET 431907,B100000,00000,0200,0200SQUARE FEET 431907,B100000,00000,0300,0300GROSS SALARIES 431907,B100000,00000,0400,0400ACCUM COST 431907,B100000,00000,0500,0500SQUARE FEET 431907,B100000,00000,0600,0600PATIENT DAYS 431907,B100000,00000,0700,0700SQUARE FEET 431907,B100000,00000,0800,0800MEALS SERVED 431907,B100000,00000,0900,0900PATIENT DAYS 431907,B100000,00000,1000,1000PATIENT DAYS 431907,B100000,00000,1100,1100COSTED REQUIS 431907,B100000,00000,1200,1200PATIENT DAYS 431907,B100000,00000,1300,1300PATIENT DAYS 431907,B100000,00000,1400,1400ASSIGNED TIME 431907,B100000,00000,1500,1350 431907,E10A180,00501,0100,02/23/12 431907,G300000,02500,0000,OTHER: MISCELLANEOUS 431907,G300000,02501,0000,NONPATIENT DRUGS: FLU VACCINES 431907,S000000,00100,0200,12/01/11 431907,S200000,00100,0100,6801 MIDDLEBROOK PIKE 431907,S200000,00200,0100,KNOXVILLE 431907,S200000,00200,0200,TN 431907,S200000,00200,0300,37909 431907,S200000,00300,0100,KNOX 431907,S200000,00300,0201,28940 431907,S200000,00300,0300,U 431907,S200000,00400,0100,HILLCREST- WEST 431907,S200000,00400,0200,445501 431907,S200000,00400,0300,01/20/11 431907,S200000,00400,0500,P 431907,S200000,00400,0600,O 431907,S200000,01500,0100,Y 431907,S200000,01600,0100,N 431907,S200000,01700,0100,N 431907,S200000,01800,0100,N 431907,S200000,02200,0100,N 431907,S200000,02800,0100,N 431907,S200000,02900,0100,N 431907,S200000,03000,0100,N 431907,S200000,03100,0100,N 431907,S200000,03200,0100,N 431907,S200000,03300,0100,N 431907,S200000,03300,0200,N 431907,S200000,04200,0100,N 431907,S200000,04300,0100,N 431907,S200000,04600,0100,N 431907,S200000,04700,0100,N 431907,S200000,04900,0100,N 431907,S200000,05200,0100,N 431907,S200000,05300,0100,Y 431907,S200000,05300,0200,H90004 431907,S200000,05400,0100,GRACE HEALTHCARE LLC 431907,S200000,05400,0200,CAHABA 431907,S200000,05400,0300,00390 431907,S200000,05500,0100,7201 SHALLOWFORD ROAD 431907,S200000,05600,0100,CHATTANOOGA 431907,S200000,05600,0200,TN 431907,S200000,05600,0300,37421 431916,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 431916,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 431916,A000000,00300,0000,0300EMPLOYEE BENEFITS 431916,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431916,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 431916,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431916,A000000,00700,0000,0700HOUSEKEEPING 431916,A000000,00800,0000,0800DIETARY 431916,A000000,00900,0000,0900NURSING ADMINISTRATION 431916,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431916,A000000,01100,0000,1100PHARMACY 431916,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431916,A000000,01300,0000,1300SOCIAL SERVICE 431916,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 431916,A000000,01500,0000,1350ACTIVITIES 431916,A000000,01600,0000,1600SKILLED NURSING FACILITY 431916,A000000,01810,0000,1810ICF/MR 431916,A000000,02100,0000,2100RADIOLOGY 431916,A000000,02200,0000,2200LABORATORY 431916,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431916,A000000,02500,0000,2500PHYSICAL THERAPY 431916,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431916,A000000,02700,0000,2700SPEECH PATHOLOGY 431916,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 431916,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431916,A000000,03550,0000,3550FQHC 431916,A000000,04800,0000,4800AMBULANCE 431916,A000000,04801,0000,4801AMBULANCE 431916,A000000,04802,0000,4802AMBULANCE 431916,A000000,04803,0000,4803AMBULANCE 431916,A000000,05000,0000,5000CORF 431916,A000000,05010,0000,5010CMHC 431916,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431916,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431916,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431916,A000000,06300,0000,6150NON-REIMBURSABLE 431916,A81000A,00100,0100,Y 431916,A81000B,00100,0300,CAPITAL INTEREST 431916,A81000B,00200,0300,HO A&G 431916,A81000B,00300,0300,HO CAPITAL 431916,A81000B,00400,0300,PT 431916,A81000B,00500,0300,OT 431916,A81000B,00600,0300,ST 431916,A81000B,00700,0300,DIETARY 431916,A81000B,00800,0300,SKILLED NRSG 431916,A81000B,00900,0300,RT 431916,A81000B,01000,0300,MED SUPPLIES 431916,A81000B,01100,0300,ADMINISTRATIVE 431916,A81000C,00100,0100,B 431916,A81000C,00100,0200,GENESIS HEALTH 431916,A81000C,00100,0600,MANAGEMENT COMP 431916,A81000C,00200,0100,B 431916,A81000C,00200,0200,GENESIS HEALTH 431916,A81000C,00200,0600,MANAGEMENT COMP 431916,A81000C,00300,0100,B 431916,A81000C,00300,0200,GENESIS HEALTH 431916,A81000C,00300,0600,MANAGEMENT COMP 431916,A81000C,00400,0100,B 431916,A81000C,00400,0200,GENESIS REHAB 431916,A81000C,00400,0400,GENESIS HEALTH 431916,A81000C,00400,0600,REHAB SERVICES 431916,A81000C,00500,0100,B 431916,A81000C,00500,0200,GENESIS REHAB 431916,A81000C,00500,0400,GENESIS HEALTH 431916,A81000C,00500,0600,REHAB SERVICES 431916,A81000C,00600,0100,B 431916,A81000C,00600,0200,GENESIS REHAB 431916,A81000C,00600,0400,GENESIS HEALTH 431916,A81000C,00600,0600,REHAB SERVICES 431916,A81000C,00700,0100,B 431916,A81000C,00700,0200,GENESIS HOSPITA 431916,A81000C,00700,0400,GENESIS HEALTH 431916,A81000C,00700,0600,CONSULTING SERV 431916,A81000C,00800,0100,B 431916,A81000C,00800,0200,RESPIRATORY HEA 431916,A81000C,00800,0400,GENESIS HEALTH 431916,A81000C,00800,0600,RESPIRATORY THE 431916,A81000C,00900,0100,B 431916,A81000C,00900,0200,RESPIRATORY HEA 431916,A81000C,00900,0400,GENESIS HEALTH 431916,A81000C,00900,0600,RESPIRATORY THE 431916,A81000C,01000,0100,B 431916,A81000C,01000,0200,RESPIRATORY HEL 431916,A81000C,01000,0400,GENESIS HEALTH 431916,A81000C,01000,0600,RESPIRATORY THE 431916,A81000C,01100,0100,B 431916,A81000C,01100,0200,GENESIS PHYSICI 431916,A81000C,01100,0400,GENESIS HEALTH 431916,A81000C,01100,0600,MEDICAL DIRECTO 431916,B100000,00000,0100,0100SQUARE FEET 431916,B100000,00000,0200,0200SQUARE FEET 431916,B100000,00000,0300,0300GROSS SALARIES 431916,B100000,00000,0400,0400ACCUM COST 431916,B100000,00000,0500,0500SQUARE FEET 431916,B100000,00000,0600,0600PATIENT DAYS 431916,B100000,00000,0700,0700SQUARE FEET 431916,B100000,00000,0800,0800PATIENT DAYS 431916,B100000,00000,0900,0900PATIENT DAYS 431916,B100000,00000,1000,1000COSTED REQUIS 431916,B100000,00000,1100,1100COSTED REQUIS 431916,B100000,00000,1200,1200PATIENT DAYS 431916,B100000,00000,1300,1300PATIENT DAYS 431916,B100000,00000,1400,1400ASSIGNED TIME 431916,B100000,00000,1500,1350PATIENT DAYS 431916,E10A180,00350,0100,03/23/11 431916,E10A180,00501,0100,10/13/11 431916,E10A180,00501,0300,10/13/11 431916,G300000,02500,0000,MISCELLANEOUS INCOME 431916,S000000,00100,0200,09/08/11 431916,S200000,00100,0100,SADDLE SHOP ROAD 431916,S200000,00200,0100,HILLTOP 431916,S200000,00200,0200,WV 431916,S200000,00200,0300,25855 431916,S200000,00300,0100,FAYETTE 431916,S200000,00300,0201,99951 431916,S200000,00300,0300,R 431916,S200000,00400,0100,HILLTOP CENTER 431916,S200000,00400,0200,515061 431916,S200000,00400,0300,08/01/97 431916,S200000,00400,0500,P 431916,S200000,01500,0100,Y 431916,S200000,01501,0200,N 431916,S200000,01502,0200,N 431916,S200000,01503,0200,N 431916,S200000,01504,0200,N 431916,S200000,01505,0000,DON BONUS 431916,S200000,01505,0200,N 431916,S200000,01600,0100,N 431916,S200000,01700,0100,N 431916,S200000,01800,0100,N 431916,S200000,02200,0100,Y 431916,S200000,02800,0100,N 431916,S200000,02900,0100,N 431916,S200000,03000,0100,N 431916,S200000,03100,0100,N 431916,S200000,03200,0100,N 431916,S200000,03300,0100,N 431916,S200000,03300,0200,N 431916,S200000,04200,0100,N 431916,S200000,04300,0100,N 431916,S200000,04600,0100,N 431916,S200000,04700,0100,N 431916,S200000,04900,0100,N 431916,S200000,05200,0100,N 431916,S200000,05300,0100,Y 431916,S200000,05300,0200,HB0067 431916,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 431916,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 431916,S200000,05400,0300,12001 431916,S200000,05500,0100,101 EAST STATE STREET 431916,S200000,05600,0100,KENNETT SQUARE 431916,S200000,05600,0200,PA 431916,S200000,05600,0300,19348 431921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431921,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431921,A000000,00300,0000,0300EMPLOYEE BENEFITS 431921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431921,A000000,00700,0000,0700HOUSEKEEPING 431921,A000000,00800,0000,0800DIETARY 431921,A000000,00900,0000,0900NURSING ADMINISTRATION 431921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431921,A000000,01100,0000,1100PHARMACY 431921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431921,A000000,01300,0000,1300SOCIAL SERVICE 431921,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431921,A000000,01600,0000,1600SKILLED NURSING FACILITY 431921,A000000,01800,0000,1800NURSING FACILITY 431921,A000000,01900,0000,1900OTHER LONG TERM CARE 431921,A000000,02100,0000,2100RADIOLOGY 431921,A000000,02200,0000,2200LABORATORY 431921,A000000,02300,0000,2300INTRAVENOUS THERAPY 431921,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431921,A000000,02500,0000,2500PHYSICAL THERAPY 431921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431921,A000000,02700,0000,2700SPEECH PATHOLOGY 431921,A000000,02800,0000,2800ELECTROCARDIOLOGY 431921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431921,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431921,A000000,03200,0000,3200SUPPORT SURFACES 431921,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431921,A000000,03400,0000,3400CLINIC 431921,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431921,A000000,04800,0000,4800AMBULANCE 431921,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431921,A000000,05000,0000,5000CORF 431921,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431921,A000000,05300,0000,5300INTEREST EXPENSE 431921,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431921,A000000,05500,0000,5500HOSPICE 431921,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431921,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431921,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431921,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431921,A000000,06100,0000,6100NONPAID WORKERS 431921,A000000,06200,0000,6200PATIENTS LAUNDRY 431921,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431921,A81000A,00100,0100,Y 431921,A81000B,00100,0300,MAINTENANCE SUPPLIES 431921,A81000B,00200,0300,REPAIRS - EQUIPMENT 431921,A81000B,00300,0300,MINOR EQUIPMENT EXPENSE 431921,A81000B,00400,0300,PAPER PRODUCTS 431921,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 431921,A81000B,00600,0300,MINOR EQUIPMENT EXPENSE 431921,A81000B,00700,0300,DIETARY SUPPLEMENTS 431921,A81000B,00800,0300,DIETARY SUPPLIES 431921,A81000B,00900,0300,INCONTINENCE SUPPLIES 431921,A81000B,01000,0300,MEDICAL SUPPLIES 431921,A81000B,01100,0300,PERSONAL CARE 431921,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 431921,A81000B,01300,0300,BIO-MEDICAL WASTE 431921,A81000B,01400,0300,LINEN & BEDDING 431921,A81000B,01500,0300,LAUNDRY SUPPLIES 431921,A81000B,01600,0300,PHYSICAL THERAPY SUPPLIES 431921,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 431921,A81000B,01800,0300,OCCUPATIONAL THERAPY SUPPLIES 431921,A81000B,01900,0300,SPEECH THERAPY SUPPLIES 431921,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 431921,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 431921,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 431921,A81000B,02300,0300,EQUIPMENT RENTAL 431921,A81000B,02400,0300,NON-LEGEND DRUGS 431921,A81000B,02500,0300,MEDICAL RECORDS SUPPLIES 431921,A81000B,02600,0300,PHARMACY CONSULTANT 431921,A81000B,02700,0300,LEGEND DRUGS 431921,A81000B,02800,0300,MAINTENANCE SUPPLIES 431921,A81000B,02900,0300,REPAIRS - BUILDING 431921,A81000C,00100,0100,A 431921,A81000C,00100,0200,SHAREHOLDERS 431921,A81000C,00100,0400,KARE MEDICAL 431921,A81000C,00100,0600,WHOLESALE SUPPL 431921,A81000C,00200,0100,A 431921,A81000C,00200,0200,SHAREHOLDERS 431921,A81000C,00200,0400,KARE MEDICAL 431921,A81000C,00200,0600,WHOLESALE SUPPL 431921,A81000C,00300,0100,A 431921,A81000C,00300,0200,SHAREHOLDERS 431921,A81000C,00300,0400,KARE MEDICAL 431921,A81000C,00300,0600,WHOLESALE SUPPL 431921,A81000C,00400,0100,A 431921,A81000C,00400,0200,SHAREHOLDERS 431921,A81000C,00400,0400,KARE MEDICAL 431921,A81000C,00400,0600,WHOLESALE SUPPL 431921,A81000C,00500,0100,A 431921,A81000C,00500,0200,SHAREHOLDERS 431921,A81000C,00500,0400,KARE MEDICAL 431921,A81000C,00500,0600,WHOLESALE SUPPL 431921,A81000C,00600,0100,A 431921,A81000C,00600,0200,SHAREHOLDERS 431921,A81000C,00600,0400,KARE MEDICAL 431921,A81000C,00600,0600,WHOLESALE SUPPL 431921,A81000C,00700,0100,A 431921,A81000C,00700,0200,SHAREHOLDERS 431921,A81000C,00700,0400,KARE MEDICAL 431921,A81000C,00700,0600,WHOLESALE SUPPL 431921,A81000C,00800,0100,A 431921,A81000C,00800,0200,SHAREHOLDERS 431921,A81000C,00800,0400,KARE MEDICAL 431921,A81000C,00800,0600,WHOLESALE SUPPL 431921,A81000C,00900,0100,A 431921,A81000C,00900,0200,SHAREHOLDERS 431921,A81000C,00900,0400,KARE MEDICAL 431921,A81000C,00900,0600,WHOLESALE SUPPL 431921,A81000C,01000,0100,A 431921,A81000C,01000,0200,SHAREHOLDERS 431921,A81000C,01000,0400,KARE MEDICAL 431921,A81000C,01000,0600,WHOLESALE SUPPL 431921,A81000C,01001,0100,A 431921,A81000C,01001,0200,SHAREHOLDERS 431921,A81000C,01001,0400,KARE MEDICAL 431921,A81000C,01001,0600,WHOLESALE SUPPL 431921,A81000C,01002,0100,A 431921,A81000C,01002,0200,SHAREHOLDERS 431921,A81000C,01002,0400,KARE MEDICAL 431921,A81000C,01002,0600,WHOLESALE SUPPL 431921,A81000C,01003,0100,A 431921,A81000C,01003,0200,SHAREHOLDERS 431921,A81000C,01003,0400,KARE MEDICAL 431921,A81000C,01003,0600,WHOLESALE SUPPL 431921,A81000C,01004,0100,A 431921,A81000C,01004,0200,SHAREHOLDERS 431921,A81000C,01004,0400,KARE MEDICAL 431921,A81000C,01004,0600,WHOLESALE SUPPL 431921,A81000C,01005,0100,A 431921,A81000C,01005,0200,SHAREHOLDERS 431921,A81000C,01005,0400,KARE MEDICAL 431921,A81000C,01005,0600,WHOLESALE SUPPL 431921,A81000C,01006,0100,A 431921,A81000C,01006,0200,SHAREHOLDERS 431921,A81000C,01006,0400,KARE MEDICAL 431921,A81000C,01006,0600,WHOLESALE SUPPL 431921,A81000C,01007,0100,A 431921,A81000C,01007,0200,SHAREHOLDERS 431921,A81000C,01007,0400,KARE MEDICAL 431921,A81000C,01007,0600,WHOLESALE SUPPL 431921,A81000C,01008,0100,A 431921,A81000C,01008,0200,SHAREHOLDERS 431921,A81000C,01008,0400,KARE MEDICAL 431921,A81000C,01008,0600,WHOLESALE SUPPL 431921,A81000C,01009,0100,A 431921,A81000C,01009,0200,SHAREHOLDERS 431921,A81000C,01009,0400,KARE MEDICAL 431921,A81000C,01009,0600,WHOLESALE SUPPL 431921,A81000C,01010,0100,A 431921,A81000C,01010,0200,SHAREHOLDERS 431921,A81000C,01010,0400,KARE MEDICAL 431921,A81000C,01010,0600,WHOLESALE SUPPL 431921,A81000C,01011,0100,A 431921,A81000C,01011,0200,SHAREHOLDERS 431921,A81000C,01011,0400,KARE MEDICAL 431921,A81000C,01011,0600,WHOLESALE SUPPL 431921,A81000C,01012,0100,A 431921,A81000C,01012,0200,SHAREHOLDERS 431921,A81000C,01012,0400,KARE MEDICAL 431921,A81000C,01012,0600,WHOLESALE SUPPL 431921,A81000C,01013,0100,A 431921,A81000C,01013,0200,SHAREHOLDERS 431921,A81000C,01013,0400,PHARMSAVE 431921,A81000C,01013,0600,RX SUPPLY 431921,A81000C,01014,0100,A 431921,A81000C,01014,0200,SHAREHOLDERS 431921,A81000C,01014,0400,PHARMSAVE 431921,A81000C,01014,0600,RX SUPPLY 431921,A81000C,01015,0100,A 431921,A81000C,01015,0200,SHAREHOLDERS 431921,A81000C,01015,0400,PHARMSAVE 431921,A81000C,01015,0600,RX SUPPLY 431921,A81000C,01016,0100,A 431921,A81000C,01016,0200,SHAREHOLDERS 431921,A81000C,01016,0400,PHARMSAVE 431921,A81000C,01016,0600,RX SUPPLY 431921,A81000C,01017,0100,A 431921,A81000C,01017,0200,SHAREHOLDERS 431921,A81000C,01017,0400,PHARMSAVE 431921,A81000C,01017,0600,RX SUPPLY 431921,A81000C,01018,0100,A 431921,A81000C,01018,0200,SHAREHOLDERS 431921,A81000C,01018,0400,ROBERT HILL CON 431921,A81000C,01018,0600,CONSTRUCTION 431921,A81000C,01019,0100,A 431921,A81000C,01019,0200,SHAREHOLDERS 431921,A81000C,01019,0400,ROBERT HILL CON 431921,A81000C,01019,0600,CONSTRUCTION 431921,A81000C,01020,0100,A 431921,A81000C,01020,0200,SHAREHOLDERS 431921,A81000C,01020,0400,ROBERT HILL CON 431921,A81000C,01020,0600,CONSTRUCTION 431921,A81000C,01021,0100,B 431921,A81000C,01021,0200,PLTC & PITS IN 431921,A81000C,01021,0400,PLTC & PITS IN 431921,A81000C,01021,0600,MGMT SERVICES 431921,A81000C,01022,0100,B 431921,A81000C,01022,0200,PLTC & PITS IN 431921,A81000C,01022,0400,PLTC & PITS IN 431921,A81000C,01022,0600,MGMT SERVICES 431921,A81000C,01023,0100,B 431921,A81000C,01023,0200,PLTC & PITS IN 431921,A81000C,01023,0400,PLTC & PITS IN 431921,A81000C,01023,0600,MGMT SERVICES 431921,A81000C,01024,0100,A 431921,A81000C,01024,0200,SHAREHOLDERS 431921,A81000C,01024,0400,DISCOVERY INSUR 431921,A81000C,01024,0600,INSURANCE 431921,A81000C,01025,0100,A 431921,A81000C,01025,0200,SHAREHOLDERS 431921,A81000C,01025,0400,QUEENSLAND ASSU 431921,A81000C,01025,0600,INSURANCE 431921,A81000C,01026,0100,A 431921,A81000C,01026,0200,SHAREHOLDERS 431921,A81000C,01026,0400,BRITTHAVEN INC 431921,A81000C,01026,0600,REAL ESTATE 431921,A81000C,01027,0100,A 431921,A81000C,01027,0200,SHAREHOLDERS 431921,A81000C,01027,0400,BRITTHAVEN INC 431921,A81000C,01027,0600,REAL ESTATE 431921,A81000C,01028,0100,A 431921,A81000C,01028,0200,SHAREHOLDERS 431921,A81000C,01028,0400,BRITTHAVEN INC 431921,A81000C,01028,0600,REAL ESTATE 431921,A81000C,01029,0100,A 431921,A81000C,01029,0200,SHAREHOLDERS 431921,A81000C,01029,0400,BRITTHAVEN INC 431921,A81000C,01029,0600,REAL ESTATE 431921,A81000C,01030,0100,A 431921,A81000C,01030,0200,SHAREHOLDERS 431921,A81000C,01030,0400,BRITTHAVEN INC 431921,A81000C,01030,0600,REAL ESTATE 431921,A81000C,01031,0100,B 431921,A81000C,01031,0200,PLTC & PITS IN 431921,A81000C,01031,0400,PLTC & PITS IN 431921,A81000C,01031,0600,MGMT SERVICES 431921,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431921,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431921,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431921,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431921,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431921,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431921,B100000,00000,0800,0800MEALS SERVED :DIETARY 431921,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431921,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431921,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431921,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431921,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431921,E10A180,00501,0300,02/29/12 431921,E10A180,00502,0100,05/22/12 431921,E10A180,00550,0100,02/29/12 431921,G300000,02500,0000, OTHER (SPECIFY) 431921,S000000,00100,0200,02/29/12 431921,S200000,00100,0100,200 HAMPTON WOODS COMPLEX 431921,S200000,00200,0100,JACKSON 431921,S200000,00200,0200,NC 431921,S200000,00200,0300,27845 431921,S200000,00300,0100,NORTHAMPTON 431921,S200000,00300,0201,99934 431921,S200000,00300,0300,R 431921,S200000,00400,0100,NORTHAMPTON NURSING & REHAB CENTER 431921,S200000,00400,0200,345313 431921,S200000,00400,0300,01/01/11 431921,S200000,00400,0500,P 431921,S200000,01500,0100,Y 431921,S200000,01501,0200,Y 431921,S200000,01502,0200,Y 431921,S200000,01503,0200,Y 431921,S200000,01504,0200,Y 431921,S200000,01505,0000,OTHER (SPECIFY) 431921,S200000,01505,0200,Y 431921,S200000,01600,0100,N 431921,S200000,01700,0100,N 431921,S200000,01800,0100,N 431921,S200000,02200,0100,N 431921,S200000,02800,0100,N 431921,S200000,02900,0100,N 431921,S200000,03000,0100,N 431921,S200000,03100,0100,N 431921,S200000,03200,0100,N 431921,S200000,03300,0100,N 431921,S200000,03300,0200,N 431921,S200000,04100,0100,N 431921,S200000,04200,0100,N 431921,S200000,04300,0100,N 431921,S200000,04600,0100,N 431921,S200000,04700,0100,N 431921,S200000,04700,0200,N 431921,S200000,04900,0100,N 431921,S200000,05000,0100,N 431921,S200000,05100,0100,N 431921,S200000,05200,0100,N 431921,S200000,05300,0100,Y 431921,S200000,05300,0200,349011 431921,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 431921,S200000,05400,0200,PALMETTO GBA 431921,S200000,05400,0300,11501 431921,S200000,05500,0100,1435 HWY 258 NORTH 431921,S200000,05600,0100,KINSTON 431921,S200000,05600,0200,NC 431921,S200000,05600,0300,28502 431922,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431922,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431922,A000000,00300,0000,0300EMPLOYEE BENEFITS 431922,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431922,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431922,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431922,A000000,00700,0000,0700HOUSEKEEPING 431922,A000000,00800,0000,0800DIETARY 431922,A000000,00900,0000,0900NURSING ADMINISTRATION 431922,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431922,A000000,01100,0000,1100PHARMACY 431922,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431922,A000000,01300,0000,1300SOCIAL SERVICE 431922,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431922,A000000,01600,0000,1600SKILLED NURSING FACILITY 431922,A000000,01800,0000,1800NURSING FACILITY 431922,A000000,01900,0000,1900OTHER LONG TERM CARE 431922,A000000,02100,0000,2100RADIOLOGY 431922,A000000,02200,0000,2200LABORATORY 431922,A000000,02300,0000,2300INTRAVENOUS THERAPY 431922,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431922,A000000,02500,0000,2500PHYSICAL THERAPY 431922,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431922,A000000,02700,0000,2700SPEECH PATHOLOGY 431922,A000000,02800,0000,2800ELECTROCARDIOLOGY 431922,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431922,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431922,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431922,A000000,03200,0000,3200SUPPORT SURFACES 431922,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431922,A000000,03400,0000,3400CLINIC 431922,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 431922,A000000,04800,0000,4800AMBULANCE 431922,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431922,A000000,05000,0000,5000CORF 431922,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431922,A000000,05300,0000,5300INTEREST EXPENSE 431922,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431922,A000000,05500,0000,5500HOSPICE 431922,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431922,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431922,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431922,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431922,A000000,06100,0000,6100NONPAID WORKERS 431922,A000000,06200,0000,6200PATIENTS LAUNDRY 431922,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 431922,A81000A,00100,0100,Y 431922,A81000B,00100,0300,NUSRING CONSULTING 431922,A81000B,00200,0300,DIETARY CONSULTING 431922,A81000B,00300,0300,HOME OFFICE 431922,A81000B,00400,0300,INTEREST EXPENSE 431922,A81000B,00500,0300,WORKERS COMPENSATION 431922,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 431922,A81000B,00700,0300,REPAIRS-EQUIPMENT 431922,A81000B,00800,0300,PAPER PRODUCTS 431922,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 431922,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 431922,A81000B,01100,0300,DIETARY SUPPLEMENTS 431922,A81000B,01200,0300,DIETARY SUPPLY 431922,A81000B,01300,0300,INCONTINENCE SUPPLIES 431922,A81000B,01400,0300,MEDICAL SUPPLIES 431922,A81000B,01500,0300,PERSONAL CARE SUPPLIES 431922,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 431922,A81000B,01700,0300,BIO-MEDICAL WASTE 431922,A81000B,01800,0300,LINEN & BEDDING 431922,A81000B,01900,0300,LAUNDRY SUPPLIES 431922,A81000B,02000,0300,COPIER 431922,A81000B,02100,0300,PT SUPPLIES 431922,A81000B,02200,0300,SPEECH THERAPY SUPPLIES 431922,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 431922,A81000B,02400,0300,RT SUPPLIES 431922,A81000B,02500,0300,EQUIPMENT RENTAL 431922,A81000B,02600,0300,NON-LEGEND DRUGS 431922,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 431922,A81000B,02800,0300,PHARMACY CONSULTING 431922,A81000B,02900,0300,REPAIRS-BUILDING 431922,A81000C,00100,0100,B 431922,A81000C,00100,0200,HILLCO LTD 431922,A81000C,00100,0400,BRITTHAVEN INC 431922,A81000C,00100,0600,MGMT SERVICES 431922,A81000C,00200,0100,B 431922,A81000C,00200,0200,HILLCO LTD 431922,A81000C,00200,0400,BRITTHAVEN INC 431922,A81000C,00200,0600,MGMT SERVICES 431922,A81000C,00300,0100,B 431922,A81000C,00300,0200,HILLCO LTD 431922,A81000C,00300,0400,BRITTHAVEN INC 431922,A81000C,00300,0600,MGMT SERVICES 431922,A81000C,00400,0100,B 431922,A81000C,00400,0200,HILLCO LTD 431922,A81000C,00400,0400,BRITTHAVEN INC 431922,A81000C,00400,0600,MGMT SERVICES 431922,A81000C,00500,0100,A 431922,A81000C,00500,0200,HILLCO LTD 431922,A81000C,00500,0400,DISCOVERY INSUR 431922,A81000C,00500,0600,INSURANCE 431922,A81000C,00600,0100,A 431922,A81000C,00600,0200,HILLCO LTD 431922,A81000C,00600,0400,QUEENSLAND ASSU 431922,A81000C,00600,0600,INSURANCE 431922,A81000C,00700,0100,B 431922,A81000C,00700,0200,HILLCO LTD 431922,A81000C,00700,0400,KARE MEDICAL 431922,A81000C,00700,0600,WHOLESALE SUPPL 431922,A81000C,00800,0100,B 431922,A81000C,00800,0200,HILLCO LTD 431922,A81000C,00800,0400,KARE MEDICAL 431922,A81000C,00800,0600,WHOLESALE SUPPL 431922,A81000C,00900,0100,B 431922,A81000C,00900,0200,HILLCO LTD 431922,A81000C,00900,0400,KARE MEDICAL 431922,A81000C,00900,0600,WHOLESALE SUPPL 431922,A81000C,01000,0100,B 431922,A81000C,01000,0200,HILLCO LTD 431922,A81000C,01000,0400,KARE MEDICAL 431922,A81000C,01000,0600,WHOLESALE SUPPL 431922,A81000C,01001,0100,B 431922,A81000C,01001,0200,HILLCO LTD 431922,A81000C,01001,0400,KARE MEDICAL 431922,A81000C,01001,0600,WHOLESALE SUPPL 431922,A81000C,01002,0100,B 431922,A81000C,01002,0200,HILLCO LTD 431922,A81000C,01002,0400,KARE MEDICAL 431922,A81000C,01002,0600,WHOLESALE SUPPL 431922,A81000C,01003,0100,B 431922,A81000C,01003,0200,HILLCO LTD 431922,A81000C,01003,0400,KARE MEDICAL 431922,A81000C,01003,0600,WHOLESALE SUPPL 431922,A81000C,01004,0100,B 431922,A81000C,01004,0200,HILLCO LTD 431922,A81000C,01004,0400,KARE MEDICAL 431922,A81000C,01004,0600,WHOLESALE SUPPL 431922,A81000C,01005,0100,B 431922,A81000C,01005,0200,HILLCO LTD 431922,A81000C,01005,0400,KARE MEDCIAL 431922,A81000C,01005,0600,WHOLESALE SUPPL 431922,A81000C,01006,0100,B 431922,A81000C,01006,0200,HILLCO LTD 431922,A81000C,01006,0400,KARE MEDICAL 431922,A81000C,01006,0600,WHOLESALE SUPPL 431922,A81000C,01007,0100,B 431922,A81000C,01007,0200,HILLCO LTD 431922,A81000C,01007,0400,KARE MEDICAL 431922,A81000C,01007,0600,WHOLESALE SUPPL 431922,A81000C,01008,0100,B 431922,A81000C,01008,0200,HILLCO LTD 431922,A81000C,01008,0400,KARE MEDICAL 431922,A81000C,01008,0600,WHOLESALE SUPPL 431922,A81000C,01009,0100,B 431922,A81000C,01009,0200,HILLCO LTD 431922,A81000C,01009,0400,KARE MEDICAL 431922,A81000C,01009,0600,WHOLESALE SUPPL 431922,A81000C,01010,0100,B 431922,A81000C,01010,0200,HILLCO LTD 431922,A81000C,01010,0400,KARE MEDICAL 431922,A81000C,01010,0600,WHOLESALE SUPPL 431922,A81000C,01011,0100,B 431922,A81000C,01011,0200,HILLCO LTD 431922,A81000C,01011,0400,KARE MEDICAL 431922,A81000C,01011,0600,WHOLESALE SUPPL 431922,A81000C,01012,0100,B 431922,A81000C,01012,0200,HILLCO LTD 431922,A81000C,01012,0400,KARE MEDICAL 431922,A81000C,01012,0600,WHOLESALE SUPPL 431922,A81000C,01013,0100,B 431922,A81000C,01013,0200,HILLCO LTD 431922,A81000C,01013,0400,KARE MEDICAL 431922,A81000C,01013,0600,WHOLESALE SUPPL 431922,A81000C,01014,0100,B 431922,A81000C,01014,0200,HILLCO LTD 431922,A81000C,01014,0400,KARE MEDICAL 431922,A81000C,01014,0600,WHOLESALE SUPPL 431922,A81000C,01015,0100,B 431922,A81000C,01015,0200,HILLCO LTD 431922,A81000C,01015,0400,KARE MEDICAL 431922,A81000C,01015,0600,WHOLESALE SUPPL 431922,A81000C,01016,0100,B 431922,A81000C,01016,0200,HILLCO LTD 431922,A81000C,01016,0400,PHARMSAVE 431922,A81000C,01016,0600,RX SUPPLY 431922,A81000C,01017,0100,B 431922,A81000C,01017,0200,HILLCO LTD 431922,A81000C,01017,0400,PHARMSAVE 431922,A81000C,01017,0600,RX SUPPLY 431922,A81000C,01018,0100,B 431922,A81000C,01018,0200,HILLCO LTD 431922,A81000C,01018,0400,PHARMSAVE 431922,A81000C,01018,0600,RX SUPPLY 431922,A81000C,01019,0100,B 431922,A81000C,01019,0200,HILLCO LTD 431922,A81000C,01019,0400,PHARMSAVE 431922,A81000C,01019,0600,RX SUPPLY 431922,A81000C,01020,0100,B 431922,A81000C,01020,0200,HILLCO LTD 431922,A81000C,01020,0400,ROBERT HILL CON 431922,A81000C,01020,0600,CONSTRUCTION 431922,A81000C,01021,0100,B 431922,A81000C,01021,0200,HILLCO LTD 431922,A81000C,01021,0400,ROBERT HILL CON 431922,A81000C,01021,0600,CONSTRUCTION 431922,A81000C,01022,0100,B 431922,A81000C,01022,0200,HILLCO LTD 431922,A81000C,01022,0400,ROBERT HILL CON 431922,A81000C,01022,0600,CONSTRUCTION 431922,A81000C,01023,0100,B 431922,A81000C,01023,0200,HILLCO LTD 431922,A81000C,01023,0400,ROBERT HILL CON 431922,A81000C,01023,0600,CONSTRUCTION 431922,A81000C,01024,0100,B 431922,A81000C,01024,0200,HILLCO LTD 431922,A81000C,01024,0400,KARE MEDICAL 431922,A81000C,01024,0600,WHOLESALE SUPPL 431922,A81000C,01025,0100,B 431922,A81000C,01025,0200,HILLCO LTD 431922,A81000C,01025,0400,PHARMSAVE 431922,A81000C,01025,0600,RX SUPPLY 431922,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431922,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431922,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431922,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431922,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431922,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431922,B100000,00000,0800,0800MEALS SERVED :DIETARY 431922,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 431922,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431922,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431922,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431922,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431922,G300000,02500,0000, OTHER (SPECIFY) 431922,S000000,00100,0200,02/24/12 431922,S200000,00100,0100,1716 LEGION ROAD 431922,S200000,00200,0100,CHAPEL HILL 431922,S200000,00200,0200,NC 431922,S200000,00200,0300,27514 431922,S200000,00300,0100,ORANGE 431922,S200000,00300,0201,20500 431922,S200000,00300,0300,U 431922,S200000,00400,0100,BRITTHAVEN OF CHAPEL HILL 431922,S200000,00400,0200,345334 431922,S200000,00400,0300,11/20/90 431922,S200000,00400,0500,P 431922,S200000,01500,0100,N 431922,S200000,01501,0200,Y 431922,S200000,01502,0200,Y 431922,S200000,01503,0200,Y 431922,S200000,01504,0200,Y 431922,S200000,01505,0000,OTHER (SPECIFY) 431922,S200000,01505,0200,Y 431922,S200000,01600,0100,Y 431922,S200000,01700,0100,N 431922,S200000,01800,0100,N 431922,S200000,02200,0100,N 431922,S200000,02800,0100,N 431922,S200000,02900,0100,N 431922,S200000,03000,0100,N 431922,S200000,03100,0100,Y 431922,S200000,03200,0100,N 431922,S200000,03300,0100,N 431922,S200000,03300,0200,N 431922,S200000,04100,0100,N 431922,S200000,04200,0100,N 431922,S200000,04300,0100,N 431922,S200000,04600,0100,N 431922,S200000,04700,0100,N 431922,S200000,04700,0200,N 431922,S200000,04900,0100,N 431922,S200000,05000,0100,N 431922,S200000,05100,0100,N 431922,S200000,05200,0100,N 431922,S200000,05300,0100,Y 431922,S200000,05300,0200,349011 431922,S200000,05400,0100,BRITTHAVEN INC. 431922,S200000,05400,0200,PALMETTO GBA 431922,S200000,05400,0300,11501 431922,S200000,05500,0100,1435 HWY 258 NORTH 431922,S200000,05600,0100,KINSTON 431922,S200000,05600,0200,NC 431922,S200000,05600,0300,28502 431924,S000000,00100,0200,05/31/12 431924,S200000,00100,0100,301 CHERRY ST 431924,S200000,00200,0100,PLUM CITY 431924,S200000,00200,0200,WI 431924,S200000,00200,0300,54761 431924,S200000,00300,0100,PIERCE 431924,S200000,00400,0100,PLUM CITY CARE CENTER 431924,S200000,00400,0300,10/01/89 431926,S000000,00100,0200,06/01/12 431926,S200000,00100,0100,402 SOUTH PINE 431926,S200000,00100,0300,487 431926,S200000,00200,0100,MENNO 431926,S200000,00200,0200,SD 431926,S200000,00200,0300,57045 431926,S200000,00300,0100,HUTCHINSON 431926,S200000,00400,0100,MENNO OLIVET CARE CENTER 431926,S200000,00400,0300,04/01/98 431952,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431952,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431952,A000000,00300,0000,0300EMPLOYEE BENEFITS 431952,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431952,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431952,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431952,A000000,00700,0000,0700HOUSEKEEPING 431952,A000000,00800,0000,0800DIETARY 431952,A000000,00900,0000,0900NURSING ADMINISTRATION 431952,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431952,A000000,01100,0000,1100PHARMACY 431952,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431952,A000000,01300,0000,1300SOCIAL SERVICE 431952,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431952,A000000,01600,0000,1600SKILLED NURSING FACILITY 431952,A000000,01810,0000,1810ICF/MR 431952,A000000,02100,0000,2100RADIOLOGY 431952,A000000,02200,0000,2200LABORATORY 431952,A000000,02300,0000,2300INTRAVENOUS THERAPY 431952,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431952,A000000,02500,0000,2500PHYSICAL THERAPY 431952,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431952,A000000,02700,0000,2700SPEECH PATHOLOGY 431952,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431952,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431952,A000000,03550,0000,3550FQHC 431952,A000000,05000,0000,5000CORF 431952,A000000,05010,0000,5010CMHC 431952,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431952,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431952,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431952,A000000,05300,0000,5300INTEREST EXPENSE 431952,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431952,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431952,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431952,A81000A,00100,0100,Y 431952,A81000B,00100,0300,HOME OFFICE CAPITAL 431952,A81000B,00200,0300,HOME OFFICE COST 431952,A81000B,00300,0300,CONSULTING SVCS 431952,A81000B,00400,0300,DIETARY QA 431952,A81000B,00500,0300,MR QA 431952,A81000B,00600,0300,NSG CLIN CASE MGT/QA 431952,A81000B,00700,0300,SOC WORK QA 431952,A81000C,00100,0100,B 431952,A81000C,00100,0200,HSM INC. 431952,A81000C,00100,0400,HSM INC. 431952,A81000C,00100,0600,HOME OFFICE 431952,A81000C,00200,0100,D 431952,A81000C,00200,0200,HEALTHCARE ADVI 431952,A81000C,00200,0400,HMS INC. 431952,A81000C,00200,0600,CONSULTING 431952,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431952,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431952,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431952,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431952,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431952,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431952,B100000,00000,0800,0800MEALS SERVED :DIETARY 431952,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431952,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431952,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431952,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431952,E10A180,00501,0100,03/28/12 431952,G300000,02500,0000,TUBE FEEDING 431952,G300000,02501,0000,MED SVCS/BEAUTY & BARBER 431952,S000000,00100,0200,02/27/12 431952,S200000,00100,0100,1114 CHATMAN BLVD. 431952,S200000,00100,0300,10255 431952,S200000,00200,0100,BROOKSVILLE 431952,S200000,00200,0200,FL 431952,S200000,00200,0300,34601 431952,S200000,00300,0100,HERNANDO 431952,S200000,00300,0201,45300 431952,S200000,00300,0300,U 431952,S200000,00400,0100,BROOKSVILLE HEALTHCARE CENTER 431952,S200000,00400,0200,105297 431952,S200000,00400,0300,10/01/73 431952,S200000,00400,0500,P 431952,S200000,00600,0200,105297 431952,S200000,00600,0300,10/01/73 431952,S200000,00600,0600,O 431952,S200000,01500,0100,Y 431952,S200000,01501,0200,Y 431952,S200000,01600,0100,Y 431952,S200000,01700,0100,N 431952,S200000,01800,0100,N 431952,S200000,02200,0100,N 431952,S200000,02800,0100,N 431952,S200000,02900,0100,N 431952,S200000,03000,0100,N 431952,S200000,03100,0100,N 431952,S200000,03200,0100,N 431952,S200000,03300,0100,N 431952,S200000,03300,0200,N 431952,S200000,03500,0300,N 431952,S200000,04100,0100,N 431952,S200000,04200,0100,N 431952,S200000,04300,0100,N 431952,S200000,04600,0100,N 431952,S200000,04700,0100,N 431952,S200000,04700,0200,N 431952,S200000,04900,0100,N 431952,S200000,05000,0100,N 431952,S200000,05100,0100,N 431952,S200000,05200,0100,N 431958,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431958,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431958,A000000,00300,0000,0300EMPLOYEE BENEFITS 431958,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431958,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431958,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431958,A000000,00700,0000,0700HOUSEKEEPING 431958,A000000,00800,0000,0800DIETARY 431958,A000000,00900,0000,0900NURSING ADMINISTRATION 431958,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431958,A000000,01100,0000,1100PHARMACY 431958,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431958,A000000,01300,0000,1300SOCIAL SERVICE 431958,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431958,A000000,01600,0000,1600SKILLED NURSING FACILITY 431958,A000000,01810,0000,1810ICF/MR 431958,A000000,02100,0000,2100RADIOLOGY 431958,A000000,02200,0000,2200LABORATORY 431958,A000000,02300,0000,2300INTRAVENOUS THERAPY 431958,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431958,A000000,02500,0000,2500PHYSICAL THERAPY 431958,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431958,A000000,02700,0000,2700SPEECH PATHOLOGY 431958,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431958,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431958,A000000,03550,0000,3550FQHC 431958,A000000,05000,0000,5000CORF 431958,A000000,05010,0000,5010CMHC 431958,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 431958,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 431958,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 431958,A000000,05300,0000,5300INTEREST EXPENSE 431958,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431958,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431958,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431958,A81000A,00100,0100,Y 431958,A81000B,00100,0300,CONSULTING SERVICES 431958,A81000B,00200,0300,QA 431958,A81000B,00300,0300,QA 431958,A81000B,00400,0300,CLINICAL CASE MGT/QA 431958,A81000B,00500,0300,QA 431958,A81000B,00600,0300,H.O. CAPITAL 431958,A81000B,00700,0300,HOME OFFICE COST 431958,A81000C,00100,0100,B 431958,A81000C,00100,0200,HSM. INC. 431958,A81000C,00100,0400,HSM INC. 431958,A81000C,00100,0600,HOME OFFICE 431958,A81000C,00200,0100,D 431958,A81000C,00200,0200,HSM INC. 431958,A81000C,00200,0400,HEALTHCARE ADVI 431958,A81000C,00200,0600,CONSULTING/QA 431958,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431958,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431958,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431958,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431958,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431958,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 431958,B100000,00000,0800,0800MEALS SERVED :DIETARY 431958,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431958,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 431958,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 431958,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 431958,E10A180,00350,0100,06/09/11 431958,E10A180,00501,0100,03/21/12 431958,E10A180,00501,0300,03/21/12 431958,G300000,02500,0000,OTHER OPER REV 431958,G300000,02501,0000,BEAUTY & BARBER 431958,S000000,00100,0200,02/23/12 431958,S200000,00100,0100,606 NE 7TH STREET 431958,S200000,00100,0300,229 431958,S200000,00200,0100,TRENTON 431958,S200000,00200,0200,FL 431958,S200000,00200,0300,32693 431958,S200000,00300,0100,GILCHRIST 431958,S200000,00300,0201,23540 431958,S200000,00300,0300,U 431958,S200000,00400,0100,AYERS HEALTH & REHABILITATION 431958,S200000,00400,0200,105401 431958,S200000,00400,0300,10/01/73 431958,S200000,00400,0500,P 431958,S200000,00600,0200,105401 431958,S200000,00600,0300,10/01/73 431958,S200000,00600,0600,O 431958,S200000,01500,0100,Y 431958,S200000,01501,0200,Y 431958,S200000,01600,0100,N 431958,S200000,01700,0100,N 431958,S200000,01800,0100,N 431958,S200000,02200,0100,N 431958,S200000,02800,0100,N 431958,S200000,02900,0100,N 431958,S200000,03000,0100,N 431958,S200000,03100,0100,N 431958,S200000,03200,0100,N 431958,S200000,03300,0100,N 431958,S200000,03300,0200,N 431958,S200000,03500,0300,N 431958,S200000,04100,0100,N 431958,S200000,04200,0100,N 431958,S200000,04300,0100,N 431958,S200000,04600,0100,N 431958,S200000,04700,0100,N 431958,S200000,04700,0200,N 431958,S200000,04900,0100,N 431958,S200000,05000,0100,N 431958,S200000,05100,0100,N 431958,S200000,05200,0100,N 431959,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431959,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431959,A000000,00300,0000,0300EMPLOYEE BENEFITS 431959,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431959,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431959,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431959,A000000,00700,0000,0700HOUSEKEEPING 431959,A000000,00800,0000,0800DIETARY 431959,A000000,00900,0000,0900NURSING ADMINISTRATION 431959,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431959,A000000,01100,0000,1100PHARMACY 431959,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431959,A000000,01300,0000,1300SOCIAL SERVICE 431959,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431959,A000000,01500,0000,1350OTHER GENERAL SERVICES 431959,A000000,01600,0000,1600SKILLED NURSING FACILITY 431959,A000000,01800,0000,1800NURSING FACILITY 431959,A000000,01810,0000,1810ICF/MR 431959,A000000,01900,0000,1900OTHER LONG TERM CARE 431959,A000000,02100,0000,2100RADIOLOGY 431959,A000000,02200,0000,2200LABORATORY 431959,A000000,02300,0000,2300INTRAVENOUS THERAPY 431959,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431959,A000000,02500,0000,2500PHYSICAL THERAPY 431959,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431959,A000000,02700,0000,2700SPEECH PATHOLOGY 431959,A000000,02800,0000,2800ELECTROCARDIOLOGY 431959,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431959,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431959,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431959,A000000,03200,0000,3200SUPPORT SURFACES 431959,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431959,A000000,03400,0000,3400CLINIC 431959,A000000,03500,0000,3500RURAL HEALTH CLINIC 431959,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431959,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431959,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431959,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431959,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431959,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431959,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431959,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431959,A000000,04400,0000,4400DME RENTED - HHA 431959,A000000,04500,0000,4500DME SOLD - HHA 431959,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431959,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431959,A000000,04710,0000,4710TELEMEDICINE 431959,A000000,04800,0000,4800AMBULANCE 431959,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431959,A000000,05000,0000,5000CORF 431959,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431959,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431959,A000000,05300,0000,5300INTEREST EXPENSE 431959,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431959,A000000,05500,0000,5500HOSPICE 431959,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431959,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431959,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431959,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431959,A000000,06100,0000,6100NONPAID WORKERS 431959,A000000,06200,0000,6200PATIENTS LAUNDRY 431959,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431959,A81000A,00100,0100,Y 431959,A81000B,00100,0300,OTHER ADMIN EXPENSE 431959,A81000B,00200,0300,DATA PROCESSING EXPENSE 431959,A81000B,00300,0300,PROPERTY COSTS 431959,A81000B,00400,0300,CENTRAL SUPPLIES EXPENSE 431959,A81000B,00500,0300,COMMUNITY RELATIONS 431959,A81000B,00600,0300,HUMAN RESOURCES 431959,A81000B,00700,0300,INSURANCE 431959,A81000B,00800,0300,PROPERTY INSURANCE 431959,A81000B,00900,0300,PL/GL INSURANCE 431959,A81000B,01000,0300,WORKERS COMPENSATION 431959,A81000C,00100,0100,B 431959,A81000C,00100,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00100,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00100,0600,PARENT COMPANY 431959,A81000C,00200,0100,B 431959,A81000C,00200,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00200,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00200,0600,PARENT COMPANY 431959,A81000C,00300,0100,B 431959,A81000C,00300,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00300,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00300,0600,PARENT COMPANY 431959,A81000C,00400,0100,B 431959,A81000C,00400,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00400,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00400,0600,PARENT COMPANY 431959,A81000C,00500,0100,B 431959,A81000C,00500,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00500,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00500,0600,PARENT COMPANY 431959,A81000C,00600,0100,B 431959,A81000C,00600,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00600,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00600,0600,PARENT COMPANY 431959,A81000C,00700,0100,B 431959,A81000C,00700,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00700,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00700,0600,PARENT COMPANY 431959,A81000C,00800,0100,B 431959,A81000C,00800,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00800,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00800,0600,PARENT COMPANY 431959,A81000C,00900,0100,B 431959,A81000C,00900,0200,WEST ORANGE HC DISTRICT 431959,A81000C,00900,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,00900,0600,PARENT COMPANY 431959,A81000C,01000,0100,B 431959,A81000C,01000,0200,WEST ORANGE HC DISTRICT 431959,A81000C,01000,0400,HEALTH CENTRAL HOSPITAL 431959,A81000C,01000,0600,PARENT COMPANY 431959,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431959,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431959,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431959,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431959,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431959,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431959,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431959,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431959,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431959,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431959,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431959,E10A180,00301,0100,03/18/11 431959,E10A180,00501,0300,02/29/12 431959,E10A180,00550,0100,02/29/12 431959,G300000,02500,0000,BARBER & BEAUTY INCOME 431959,G300000,02501,0000,MISCELLANEOUS INCOME 431959,S000000,00100,0200,03/01/12 431959,S200000,00100,0100,411 NORTH DILLARD STREET 431959,S200000,00200,0100,WINTER GARDEN 431959,S200000,00200,0200,FL 431959,S200000,00200,0300,34787 431959,S200000,00300,0100,ORANGE 431959,S200000,00300,0200,5960 431959,S200000,00300,0201,36740 431959,S200000,00300,0300,U 431959,S200000,00400,0100,HEALTH CENTRAL PARK 431959,S200000,00400,0200,105479 431959,S200000,00400,0300,10/11/98 431959,S200000,00400,0500,P 431959,S200000,01500,0100,Y 431959,S200000,01501,0200,Y 431959,S200000,01502,0200,Y 431959,S200000,01503,0200,Y 431959,S200000,01504,0200,Y 431959,S200000,01600,0100,N 431959,S200000,01700,0100,N 431959,S200000,01800,0100,N 431959,S200000,02200,0100,N 431959,S200000,02800,0100,N 431959,S200000,02900,0100,N 431959,S200000,03000,0100,N 431959,S200000,03100,0100,N 431959,S200000,03200,0100,N 431959,S200000,03300,0100,N 431959,S200000,03300,0200,N 431959,S200000,04100,0100,N 431959,S200000,04200,0100,N 431959,S200000,04300,0100,N 431959,S200000,04600,0100,N 431959,S200000,04700,0100,N 431959,S200000,04700,0200,N 431959,S200000,04900,0100,N 431959,S200000,05000,0100,N 431959,S200000,05100,0100,N 431959,S200000,05200,0100,N 431964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431964,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431964,A000000,00300,0000,0300EMPLOYEE BENEFITS 431964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431964,A000000,00700,0000,0700HOUSEKEEPING 431964,A000000,00800,0000,0800DIETARY 431964,A000000,00900,0000,0900NURSING ADMINISTRATION 431964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431964,A000000,01100,0000,1100PHARMACY 431964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431964,A000000,01300,0000,1300SOCIAL SERVICE 431964,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431964,A000000,01500,0000,1350OTHER GENERAL SERVICES 431964,A000000,01600,0000,1600SKILLED NURSING FACILITY 431964,A000000,01800,0000,1800NURSING FACILITY 431964,A000000,01810,0000,1810ICF/MR 431964,A000000,01900,0000,1900OTHER LONG TERM CARE 431964,A000000,02100,0000,2100RADIOLOGY 431964,A000000,02200,0000,2200LABORATORY 431964,A000000,02300,0000,2300INTRAVENOUS THERAPY 431964,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431964,A000000,02500,0000,2500PHYSICAL THERAPY 431964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431964,A000000,02700,0000,2700SPEECH PATHOLOGY 431964,A000000,02800,0000,2800ELECTROCARDIOLOGY 431964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431964,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431964,A000000,03200,0000,3200SUPPORT SURFACES 431964,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431964,A000000,03400,0000,3400CLINIC 431964,A000000,03500,0000,3500RURAL HEALTH CLINIC 431964,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431964,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431964,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431964,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431964,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431964,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431964,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431964,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431964,A000000,04400,0000,4400DME RENTED - HHA 431964,A000000,04500,0000,4500DME SOLD - HHA 431964,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431964,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431964,A000000,04710,0000,4710TELEMEDICINE 431964,A000000,04800,0000,4800AMBULANCE 431964,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431964,A000000,05000,0000,5000CORF 431964,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431964,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431964,A000000,05300,0000,5300INTEREST EXPENSE 431964,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431964,A000000,05500,0000,5500HOSPICE 431964,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431964,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431964,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431964,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431964,A000000,06100,0000,6100NONPAID WORKERS 431964,A000000,06200,0000,6200PATIENTS LAUNDRY 431964,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431964,A81000A,00100,0100,N 431964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431964,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431964,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431964,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431964,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431964,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 431964,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 431964,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 431964,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431964,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431964,E10A180,00501,0100,03/19/12 431964,G300000,02500,0000,BEAUTY AND BARBER SERVICES 431964,S000000,00100,0200,02/21/12 431964,S200000,00100,0100,5640 RAND BLVD 431964,S200000,00200,0100,SARASOTA 431964,S200000,00200,0200,FL 431964,S200000,00200,0300,34238 431964,S200000,00300,0100,SARASOTA 431964,S200000,00300,0200,7510 431964,S200000,00300,0201,14600 431964,S200000,00300,0300,U 431964,S200000,00400,0100,SARASOTA CO PUBLIC HOSP DISTR 431964,S200000,00400,0200,105584 431964,S200000,00400,0300,07/20/87 431964,S200000,00400,0500,P 431964,S200000,00400,0600,P 431964,S200000,01500,0100,Y 431964,S200000,01501,0200,Y 431964,S200000,01600,0100,N 431964,S200000,01700,0100,N 431964,S200000,01800,0100,N 431964,S200000,02200,0100,N 431964,S200000,02800,0100,N 431964,S200000,02900,0100,N 431964,S200000,03000,0100,N 431964,S200000,03100,0100,N 431964,S200000,03200,0100,N 431964,S200000,03300,0100,N 431964,S200000,03300,0200,N 431964,S200000,04100,0100,N 431964,S200000,04200,0100,N 431964,S200000,04300,0100,Y 431964,S200000,04600,0100,N 431964,S200000,04700,0100,N 431964,S200000,04700,0200,N 431964,S200000,04900,0100,N 431964,S200000,05000,0100,N 431964,S200000,05100,0100,N 431964,S200000,05200,0100,N 431969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431969,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431969,A000000,00300,0000,0300EMPLOYEE BENEFITS 431969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431969,A000000,00700,0000,0700HOUSEKEEPING 431969,A000000,00800,0000,0800DIETARY 431969,A000000,00900,0000,0900NURSING ADMINISTRATION 431969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431969,A000000,01100,0000,1100PHARMACY 431969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431969,A000000,01300,0000,1300SOCIAL SERVICE 431969,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 431969,A000000,01600,0000,1600SKILLED NURSING FACILITY 431969,A000000,01800,0000,1800NURSING FACILITY 431969,A000000,01900,0000,1900OTHER LONG TERM CARE 431969,A000000,02100,0000,2100RADIOLOGY 431969,A000000,02200,0000,2200LABORATORY 431969,A000000,02300,0000,2300INTRAVENOUS THERAPY 431969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431969,A000000,02500,0000,2500PHYSICAL THERAPY 431969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431969,A000000,02700,0000,2700SPEECH PATHOLOGY 431969,A000000,02800,0000,2800ELECTROCARDIOLOGY 431969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431969,A000000,03200,0000,3200SUPPORT SURFACES 431969,A000000,03300,0000,3050PEN & UROLOGICALS 431969,A000000,04800,0000,4800AMBULANCE 431969,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431969,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431969,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431969,A000000,06300,0000,6150DENTAL 431969,A81000A,00100,0100,N 431969,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431969,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431969,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431969,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431969,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431969,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431969,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431969,B100000,00000,0800,0800MEALS SERVED :DIETARY 431969,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431969,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431969,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431969,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431969,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431969,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 431969,E10A180,00301,0100,08/23/11 431969,E10A180,00501,0300,02/28/12 431969,E10A180,00550,0100,02/28/12 431969,E10A180,00551,0100,04/02/12 431969,G300000,02501,0000,MISCELLANEOUS INCOME 431969,G300000,02502,0000,NUTRITIONAL SUPLEMENTS 431969,S000000,00100,0200,02/29/12 431969,S200000,00100,0100,250 BROOKFIELD AVENUE 431969,S200000,00200,0100,MOUNT DORO 431969,S200000,00200,0200,FL 431969,S200000,00200,0300,32757 431969,S200000,00300,0100,LAKE 431969,S200000,00300,0201,34740 431969,S200000,00300,0300,U 431969,S200000,00400,0100,EDGEWATER AT WATERMAN S VILLAGE 431969,S200000,00400,0200,105796 431969,S200000,00400,0300,05/03/93 431969,S200000,00400,0500,P 431969,S200000,01500,0100,Y 431969,S200000,01501,0200,Y 431969,S200000,01503,0200,Y 431969,S200000,01600,0100,N 431969,S200000,01700,0100,N 431969,S200000,01800,0100,N 431969,S200000,02200,0100,N 431969,S200000,02800,0100,N 431969,S200000,02900,0100,N 431969,S200000,03000,0100,N 431969,S200000,03100,0100,N 431969,S200000,03200,0100,N 431969,S200000,03300,0100,N 431969,S200000,03300,0200,N 431969,S200000,04100,0100,N 431969,S200000,04200,0100,N 431969,S200000,04300,0100,N 431969,S200000,04600,0100,N 431969,S200000,04700,0100,N 431969,S200000,04700,0200,N 431969,S200000,04900,0100,N 431969,S200000,05000,0100,N 431969,S200000,05100,0100,N 431969,S200000,05200,0100,N 431969,S200000,05300,0100,N 431971,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431971,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431971,A000000,00300,0000,0300EMPLOYEE BENEFITS 431971,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431971,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431971,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431971,A000000,00700,0000,0700HOUSEKEEPING 431971,A000000,00800,0000,0800DIETARY 431971,A000000,00900,0000,0900NURSING ADMINISTRATION 431971,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431971,A000000,01100,0000,1100PHARMACY 431971,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431971,A000000,01300,0000,1300SOCIAL SERVICE 431971,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431971,A000000,01500,0000,1350OTHER GENERAL SERVICES 431971,A000000,01600,0000,1600SKILLED NURSING FACILITY 431971,A000000,01800,0000,1800NURSING FACILITY 431971,A000000,01810,0000,1810ICF/MR 431971,A000000,01900,0000,1900OTHER LONG TERM CARE 431971,A000000,02100,0000,2100RADIOLOGY 431971,A000000,02200,0000,2200LABORATORY 431971,A000000,02300,0000,2300INTRAVENOUS THERAPY 431971,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431971,A000000,02500,0000,2500PHYSICAL THERAPY 431971,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431971,A000000,02700,0000,2700SPEECH PATHOLOGY 431971,A000000,02800,0000,2800ELECTROCARDIOLOGY 431971,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431971,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431971,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431971,A000000,03200,0000,3200SUPPORT SURFACES 431971,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431971,A000000,03400,0000,3400CLINIC 431971,A000000,03500,0000,3500RURAL HEALTH CLINIC 431971,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431971,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431971,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431971,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431971,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431971,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431971,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431971,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431971,A000000,04400,0000,4400DME RENTED - HHA 431971,A000000,04500,0000,4500DME SOLD - HHA 431971,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431971,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431971,A000000,04710,0000,4710TELEMEDICINE 431971,A000000,04800,0000,4800AMBULANCE 431971,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431971,A000000,05000,0000,5000CORF 431971,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431971,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431971,A000000,05300,0000,5300INTEREST EXPENSE 431971,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431971,A000000,05500,0000,5500HOSPICE 431971,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431971,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431971,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431971,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431971,A000000,06100,0000,6100NONPAID WORKERS 431971,A000000,06200,0000,6200PATIENTS LAUNDRY 431971,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431971,A81000A,00100,0100,Y 431971,A81000B,00100,0300,INSURANCE PROPERTY 431971,A81000B,00200,0300,INSURANCE GL/PL 431971,A81000C,00100,0100,C 431971,A81000C,00100,0200,ST JOHNS COUNTY WELFARE 431971,A81000C,00100,0400,SUPERIOR PROVIDERS GROUP 431971,A81000C,00100,0600,CAPTIVE INSURANCE 431971,A81000C,00200,0100,C 431971,A81000C,00200,0200,ST JOHNS COUNTY WELFARE 431971,A81000C,00200,0400,SUPERIOR PROVIDERS GROUP 431971,A81000C,00200,0600,CAPTIVE INSURANCE 431971,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431971,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431971,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431971,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431971,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431971,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431971,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431971,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 431971,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431971,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431971,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431971,E10A180,00550,0100,02/28/12 431971,G300000,02500,0000,MISCELLANEOUS INCOME 431971,G300000,02501,0000,TRANSPORTATION REVENUE 431971,G300000,02502,0000,BARBER AND BEAUTY REVENUE 431971,G300000,02503,0000,OTHER REVENUE 431971,G300000,02504,0000,-ACTIVITIES REVENUE- 431971,S000000,00100,0200,02/29/12 431971,S200000,00100,0100,161 MARINE STREET 431971,S200000,00200,0100,ST AUGUSTINE 431971,S200000,00200,0200,FL 431971,S200000,00200,0300,32084 431971,S200000,00300,0100,ST JOHNS 431971,S200000,00300,0200,3600 431971,S200000,00300,0201,27260 431971,S200000,00300,0300,U 431971,S200000,00400,0100,SAMANTHA R. WILSON CARE CENTER 431971,S200000,00400,0200,105816 431971,S200000,00400,0300,07/01/93 431971,S200000,00400,0500,P 431971,S200000,01500,0100,Y 431971,S200000,01501,0200,Y 431971,S200000,01502,0200,Y 431971,S200000,01503,0200,Y 431971,S200000,01504,0200,Y 431971,S200000,01600,0100,N 431971,S200000,01700,0100,N 431971,S200000,01800,0100,N 431971,S200000,02200,0100,N 431971,S200000,02800,0100,N 431971,S200000,02900,0100,N 431971,S200000,03000,0100,N 431971,S200000,03100,0100,N 431971,S200000,03200,0100,N 431971,S200000,03300,0100,N 431971,S200000,03300,0200,N 431971,S200000,04100,0100,N 431971,S200000,04200,0100,N 431971,S200000,04300,0100,N 431971,S200000,04600,0100,N 431971,S200000,04700,0100,N 431971,S200000,04700,0200,N 431971,S200000,04900,0100,N 431971,S200000,05000,0100,N 431971,S200000,05100,0100,N 431971,S200000,05200,0100,N 431973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431973,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431973,A000000,00300,0000,0300EMPLOYEE BENEFITS 431973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431973,A000000,00700,0000,0700HOUSEKEEPING 431973,A000000,00800,0000,0800DIETARY 431973,A000000,00900,0000,0900NURSING ADMINISTRATION 431973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431973,A000000,01100,0000,1100PHARMACY 431973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431973,A000000,01300,0000,1300SOCIAL SERVICE 431973,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431973,A000000,01500,0000,1350OTHER GENERAL SERVICES 431973,A000000,01600,0000,1600SKILLED NURSING FACILITY 431973,A000000,01800,0000,1800NURSING FACILITY 431973,A000000,01900,0000,1900OTHER LONG TERM CARE 431973,A000000,02100,0000,2100RADIOLOGY 431973,A000000,02200,0000,2200LABORATORY 431973,A000000,02300,0000,2300INTRAVENOUS THERAPY 431973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431973,A000000,02500,0000,2500PHYSICAL THERAPY 431973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431973,A000000,02700,0000,2700SPEECH PATHOLOGY 431973,A000000,02800,0000,2800ELECTROCARDIOLOGY 431973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431973,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431973,A000000,03200,0000,3200SUPPORT SURFACES 431973,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 431973,A000000,03400,0000,3400CLINIC 431973,A000000,03500,0000,3500RURAL HEALTH CLINIC 431973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431973,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431973,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431973,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431973,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431973,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431973,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431973,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431973,A000000,04400,0000,4400DME RENTED - HHA 431973,A000000,04500,0000,4500DME SOLD - HHA 431973,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431973,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431973,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431973,A000000,05000,0000,5000CORF 431973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431973,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431973,A000000,05300,0000,5300INTEREST EXPENSE 431973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431973,A000000,05500,0000,5500HOSPICE 431973,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431973,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431973,A000000,06100,0000,6100NONPAID WORKERS 431973,A000000,06200,0000,6200PATIENTS LAUNDRY 431973,A000000,06300,0000,6150PEN PART B - NONREIMBURSEABLE 431973,A81000A,00100,0100,Y 431973,A81000B,00100,0300,HOME OFFICE - CAPITAL 431973,A81000B,00200,0300,HOME OFFICE - ADMIN COSTS 431973,A81000B,00300,0300,HOMEOFFICE - DIETARY 431973,A81000C,00100,0100,G 431973,A81000C,00100,0200,CATHEDRAL GERONTOLOGY 431973,A81000C,00100,0400,CATHEDRAL FOUNDATION OF 431973,A81000C,00100,0600,NON-PROFIT SERVICES 431973,A81000C,00200,0200,CENTER INC. 431973,A81000C,00200,0400,JACKSONVILLE INC. 431973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431973,B100000,00000,0800,0800MEALS SERVED :DIETARY 431973,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 431973,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431973,E10A180,00501,0100,03/22/12 431973,G300000,02501,0000,MISCELLNEOUS REVENUE 431973,S000000,00100,0200,02/24/12 431973,S200000,00100,0100,333 EAST ASHLEY STREET 431973,S200000,00200,0100,JACKSONVILLE 431973,S200000,00200,0200,FL 431973,S200000,00200,0300,32202 431973,S200000,00300,0100,DUVAL 431973,S200000,00300,0200,3600 431973,S200000,00300,0201,27260 431973,S200000,00300,0300,U 431973,S200000,00400,0100,CATHEDRAL GERONTOLOGY CENTER 431973,S200000,00400,0200,105834 431973,S200000,00400,0300,10/15/93 431973,S200000,00400,0500,P 431973,S200000,01500,0100,Y 431973,S200000,01501,0200,N 431973,S200000,01502,0200,Y 431973,S200000,01503,0200,N 431973,S200000,01600,0100,N 431973,S200000,01700,0100,N 431973,S200000,01800,0100,N 431973,S200000,02200,0100,N 431973,S200000,02800,0100,N 431973,S200000,02900,0100,N 431973,S200000,03000,0100,N 431973,S200000,03100,0100,N 431973,S200000,03200,0100,N 431973,S200000,03300,0100,N 431973,S200000,03300,0200,N 431973,S200000,04100,0100,N 431973,S200000,04200,0100,N 431973,S200000,04300,0100,N 431973,S200000,04600,0100,N 431973,S200000,04700,0100,N 431973,S200000,04700,0200,N 431973,S200000,04900,0100,N 431973,S200000,05000,0100,N 431973,S200000,05100,0100,N 431973,S200000,05200,0100,N 431973,S200000,05300,0100,Y 431973,S200000,05300,0200,HB0620 431973,S200000,05400,0100,CATHEDRAL GERONTOLOGY CENTER INC. 431973,S200000,05400,0200,FIRST COAST SERVICE OPTIONS 431973,S200000,05400,0300,00090 431973,S200000,05500,0100,4250 LAKESIDE DRIVE SUITE 300 431973,S200000,05600,0100,JACKSONVILLE 431973,S200000,05600,0200,FL 431973,S200000,05600,0300,32210 431977,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431977,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431977,A000000,00300,0000,0300EMPLOYEE BENEFITS 431977,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431977,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431977,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431977,A000000,00700,0000,0700HOUSEKEEPING 431977,A000000,00800,0000,0800DIETARY 431977,A000000,00900,0000,0900NURSING ADMINISTRATION 431977,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431977,A000000,01100,0000,1100PHARMACY 431977,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431977,A000000,01300,0000,1300SOCIAL SERVICE 431977,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431977,A000000,01500,0000,1350OTHER GENERAL SERVICES 431977,A000000,01600,0000,1600SKILLED NURSING FACILITY 431977,A000000,01800,0000,1800NURSING FACILITY 431977,A000000,01900,0000,1900OTHER LONG TERM CARE 431977,A000000,02100,0000,2100RADIOLOGY 431977,A000000,02200,0000,2200LABORATORY 431977,A000000,02300,0000,2300INTRAVENOUS THERAPY 431977,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431977,A000000,02500,0000,2500PHYSICAL THERAPY 431977,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431977,A000000,02700,0000,2700SPEECH PATHOLOGY 431977,A000000,02800,0000,2800ELECTROCARDIOLOGY 431977,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431977,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431977,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431977,A000000,03200,0000,3200SUPPORT SURFACES 431977,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 431977,A000000,03400,0000,3400CLINIC 431977,A000000,03500,0000,3500RURAL HEALTH CLINIC 431977,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431977,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431977,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431977,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431977,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431977,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431977,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431977,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431977,A000000,04400,0000,4400DME RENTED - HHA 431977,A000000,04500,0000,4500DME SOLD - HHA 431977,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431977,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431977,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431977,A000000,05000,0000,5000CORF 431977,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431977,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431977,A000000,05300,0000,5300INTEREST EXPENSE 431977,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431977,A000000,05500,0000,5500HOSPICE 431977,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431977,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431977,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431977,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431977,A000000,06100,0000,6100NONPAID WORKERS 431977,A000000,06200,0000,6200PATIENTS LAUNDRY 431977,A000000,06300,0000,6150PEN PART B - NONREIMBURSEABLE 431977,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 431977,A81000A,00100,0100,Y 431977,A81000B,00100,0300,FOUNDATION LEASE COSTS 431977,A81000B,00200,0300,OVERHEAD ALLOCATION 431977,A81000C,00100,0100,E 431977,A81000C,00100,0400,SHADY REST CARE DEVELOPME 431977,A81000C,00100,0600,LESSOR 431977,A81000C,00200,0100,E 431977,A81000C,00200,0400,PAGE HEALTHCARE 431977,A81000C,00200,0600,MANAGER 431977,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431977,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431977,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431977,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431977,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431977,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431977,B100000,00000,0800,0800MEALS SERVED :DIETARY 431977,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 431977,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431977,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431977,E10A180,00301,0100,08/23/11 431977,E10A180,00501,0300,02/29/12 431977,E10A180,00550,0100,02/29/12 431977,G300000,02500,0000,MISC. REVENUE 431977,S000000,00100,0200,03/01/12 431977,S200000,00100,0100,2310 NORTH AIRPORT RD 431977,S200000,00200,0100,FORT MYERS 431977,S200000,00200,0200,FL 431977,S200000,00200,0300,33907 431977,S200000,00300,0100,LEE 431977,S200000,00300,0200,2700 431977,S200000,00300,0201,15980 431977,S200000,00300,0300,U 431977,S200000,00400,0100,SHADY REST CARE PAVILION INC 431977,S200000,00400,0200,105864 431977,S200000,00400,0300,10/01/94 431977,S200000,00400,0500,P 431977,S200000,01500,0100,N 431977,S200000,01501,0200,Y 431977,S200000,01502,0200,Y 431977,S200000,01504,0200,Y 431977,S200000,01600,0100,Y 431977,S200000,01700,0100,N 431977,S200000,01800,0100,N 431977,S200000,02200,0100,N 431977,S200000,02800,0100,N 431977,S200000,02900,0100,N 431977,S200000,03000,0100,N 431977,S200000,03100,0100,N 431977,S200000,03200,0100,N 431977,S200000,03300,0100,N 431977,S200000,03300,0200,N 431977,S200000,04100,0100,N 431977,S200000,04200,0100,N 431977,S200000,04300,0100,N 431977,S200000,04600,0100,N 431977,S200000,04700,0100,N 431977,S200000,04700,0200,N 431977,S200000,04900,0100,N 431977,S200000,05000,0100,N 431977,S200000,05100,0100,N 431977,S200000,05200,0100,N 431983,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431983,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431983,A000000,00300,0000,0300EMPLOYEE BENEFITS 431983,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431983,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431983,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431983,A000000,00700,0000,0700HOUSEKEEPING 431983,A000000,00800,0000,0800DIETARY 431983,A000000,00900,0000,0900NURSING ADMINISTRATION 431983,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431983,A000000,01100,0000,1100PHARMACY 431983,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431983,A000000,01300,0000,1300SOCIAL SERVICE 431983,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 431983,A000000,01500,0000,1350ACTIVITIES 431983,A000000,01600,0000,1600SKILLED NURSING FACILITY 431983,A000000,01800,0000,1800NURSING FACILITY 431983,A000000,01810,0000,1810ICF/MR 431983,A000000,01900,0000,1900OTHER LONG TERM CARE 431983,A000000,02100,0000,2100RADIOLOGY 431983,A000000,02200,0000,2200LABORATORY 431983,A000000,02300,0000,2300INTRAVENOUS THERAPY 431983,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431983,A000000,02500,0000,2500PHYSICAL THERAPY 431983,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431983,A000000,02700,0000,2700SPEECH PATHOLOGY 431983,A000000,02800,0000,2800ELECTROCARDIOLOGY 431983,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431983,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431983,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431983,A000000,03200,0000,3200SUPPORT SURFACES 431983,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 431983,A000000,03400,0000,3400CLINIC 431983,A000000,03500,0000,3500RURAL HEALTH CLINIC 431983,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 431983,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 431983,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 431983,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 431983,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 431983,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 431983,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 431983,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 431983,A000000,04400,0000,4400DME RENTED - HHA 431983,A000000,04500,0000,4500DME SOLD - HHA 431983,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 431983,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 431983,A000000,04710,0000,4710TELEMEDICINE 431983,A000000,04800,0000,4800AMBULANCE 431983,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 431983,A000000,05000,0000,5000CORF 431983,A000000,05100,0000,4750OTHER REIMBURSABLE COST 431983,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 431983,A000000,05300,0000,5300INTEREST EXPENSE 431983,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431983,A000000,05500,0000,5500HOSPICE 431983,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 431983,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431983,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431983,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 431983,A000000,06100,0000,6100NONPAID WORKERS 431983,A000000,06200,0000,6200PATIENTS LAUNDRY 431983,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 431983,A81000A,00100,0100,Y 431983,A81000B,00100,0300,DIETARY SALARIES & OTHER 431983,A81000B,00200,0300,EMPLOYEE BENEFITS 431983,A81000B,00300,0300,INTERCOMPANY LABOR FEES 431983,A81000B,00400,0300,MANAGEMENT FEE 431983,A81000B,00500,0300,LEASE EXPENSE - NURSING 431983,A81000B,00600,0300,LEASE EXPENSE - CORPORATE 431983,A81000B,00700,0300,RELATED PARTY LABOR FEES 431983,A81000B,00800,0300,INTERCOMPANY LABOR FEES 431983,A81000B,00900,0300,INTERCOMPANY LABOR FEES 431983,A81000B,01000,0300,INTERCOMPANY LABOR FEES 431983,A81000B,01100,0300,INTERCOMPANY LABOR FEES 431983,A81000C,00100,0100,A 431983,A81000C,00100,0200,ROBERT G. SCHEMEL 431983,A81000C,00100,0400,HERITAGE PARK OF W DELRAY 431983,A81000C,00100,0600,SUPPORT SERVICES 431983,A81000C,00200,0100,A 431983,A81000C,00200,0200,ROBERT G. SCHEMEL 431983,A81000C,00200,0400,HERITAGE PARK OF W DELRAY 431983,A81000C,00200,0600,SUPPORT SERVICES 431983,A81000C,00300,0100,A 431983,A81000C,00300,0200,ROBERT G. SCHEMEL 431983,A81000C,00300,0400,AEC INC./HERITAGE HH 431983,A81000C,00300,0600,SUPPORT SERVICES 431983,A81000C,00400,0100,A 431983,A81000C,00400,0200,ROBERT G. SCHEMEL 431983,A81000C,00400,0600,OWNER S COMPENSATION 431983,A81000C,00500,0100,A 431983,A81000C,00500,0200,ROBERT G. SCHEMEL 431983,A81000C,00500,0400,HERITAGE PARK OF W DELRAY 431983,A81000C,00500,0600,PROPERTY OWNERSHIP 431983,A81000C,00600,0100,A 431983,A81000C,00600,0200,ROBERT G. SCHEMEL 431983,A81000C,00600,0400,HERITAGE PARK RC. LLC 431983,A81000C,00600,0600,HOME OFFICE 431983,A81000C,00700,0100,A 431983,A81000C,00700,0200,ROBERT G. SCHEMEL 431983,A81000C,00700,0400,HERITAGE PARK RC. LLC 431983,A81000C,00700,0600,HOME OFFICE 431983,A81000C,00800,0100,A 431983,A81000C,00800,0200,ROBERT G. SCHEMEL 431983,A81000C,00800,0400,HERITAGE PARK OF W DELRAY 431983,A81000C,00800,0600,SUPPORT SERVICE 431983,A81000C,00900,0100,A 431983,A81000C,00900,0200,ROBERT G. SCHEMEL 431983,A81000C,00900,0400,HERITAGE PARK OF W DELRAY 431983,A81000C,00900,0600,SUPPORT SERVICE 431983,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431983,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431983,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431983,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431983,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 431983,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431983,B100000,00000,0800,0850PATIENT DAYS :DIETARY 431983,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 431983,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431983,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 431983,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431983,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 431983,E10A180,00501,0100,03/28/12 431983,G300000,02500,0000,OTHER REVENUE 431983,S000000,00100,0200,02/27/12 431983,S200000,00100,0100,5858 HERITAGE PARK WAY 431983,S200000,00200,0100,DELRAY BEACH 431983,S200000,00200,0200,FL 431983,S200000,00200,0300,33484 431983,S200000,00300,0100,PALM BEACH 431983,S200000,00300,0200,8960 431983,S200000,00300,0201,48424 431983,S200000,00300,0300,U 431983,S200000,00400,0100,LIBERTY INN LLC D/B/A LIBERTY INN 431983,S200000,00400,0200,106023 431983,S200000,00400,0300,05/23/00 431983,S200000,00400,0500,P 431983,S200000,01500,0100,Y 431983,S200000,01501,0200,Y 431983,S200000,01600,0100,N 431983,S200000,01700,0100,N 431983,S200000,01800,0100,N 431983,S200000,02200,0100,N 431983,S200000,02800,0100,N 431983,S200000,02900,0100,N 431983,S200000,03000,0100,N 431983,S200000,03100,0100,N 431983,S200000,03200,0100,N 431983,S200000,03300,0100,N 431983,S200000,03300,0200,N 431983,S200000,04100,0100,N 431983,S200000,04200,0100,N 431983,S200000,04300,0100,N 431983,S200000,04600,0100,N 431983,S200000,04700,0100,N 431983,S200000,04700,0200,N 431983,S200000,04900,0100,N 431983,S200000,05000,0100,N 431983,S200000,05100,0100,N 431983,S200000,05200,0100,N 431983,S200000,05300,0100,N 431993,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 431993,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 431993,A000000,00300,0000,0300EMPLOYEE BENEFITS 431993,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 431993,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 431993,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 431993,A000000,00700,0000,0700HOUSEKEEPING 431993,A000000,00800,0000,0800DIETARY 431993,A000000,00900,0000,0900NURSING ADMINISTRATION 431993,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 431993,A000000,01100,0000,1100PHARMACY 431993,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 431993,A000000,01300,0000,1300SOCIAL SERVICE 431993,A000000,01600,0000,1600SKILLED NURSING FACILITY 431993,A000000,01800,0000,1800NURSING FACILITY 431993,A000000,01900,0000,1900OTHER LONG TERM CARE 431993,A000000,02100,0000,2100RADIOLOGY 431993,A000000,02200,0000,2200LABORATORY 431993,A000000,02300,0000,2300INTRAVENOUS THERAPY 431993,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 431993,A000000,02500,0000,2500PHYSICAL THERAPY 431993,A000000,02600,0000,2600OCCUPATIONAL THERAPY 431993,A000000,02700,0000,2700SPEECH PATHOLOGY 431993,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 431993,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 431993,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 431993,A000000,03200,0000,3200SUPPORT SURFACES 431993,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 431993,A000000,04800,0000,4800AMBULANCE 431993,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 431993,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 431993,A000000,05900,0000,5900BARBER & BEAUTY SHOP 431993,A81000A,00100,0100,Y 431993,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 431993,A81000B,00200,0300,LEASE BUILDING 431993,A81000B,00300,0300,ALLOWABLE HOME OFFICE 431993,A81000B,00400,0300,ANCILLARY SUPPLIES - ENTERALS 431993,A81000B,00500,0300,GLUCOSE MONITORING SUPPLIES 431993,A81000C,00100,0100,C 431993,A81000C,00100,0400,PACIFIC WEST PH 431993,A81000C,00100,0600,PHARMACY 431993,A81000C,00200,0100,C 431993,A81000C,00200,0400,EMERALD DISTRIB 431993,A81000C,00200,0600,DISTRIBUTORSHIP 431993,A81000C,00300,0100,F 431993,A81000C,00300,0400,HORIZON WEST HE 431993,A81000C,00300,0600,HOME OFFICE 431993,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 431993,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 431993,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 431993,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 431993,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 431993,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 431993,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 431993,B100000,00000,0800,0800MEALS SERVED :DIETARY 431993,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 431993,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 431993,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 431993,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 431993,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 431993,G300000,02500,0000, OTHER (SPECIFY) 431993,S000000,00100,0200,01/30/12 431993,S200000,00100,0100,50 EAST 9000 SOUTH 431993,S200000,00200,0100,SANDY 431993,S200000,00200,0200,UT 431993,S200000,00200,0300,84070 431993,S200000,00300,0100,SALT LAKE 431993,S200000,00300,0201,41620 431993,S200000,00300,0300,U 431993,S200000,00400,0100,SANDY REGIONAL CONVALESCENT 431993,S200000,00400,0200,465111 431993,S200000,00400,0300,03/19/87 431993,S200000,00400,0500,P 431993,S200000,01500,0100,Y 431993,S200000,01501,0200,Y 431993,S200000,01600,0100,N 431993,S200000,01700,0100,N 431993,S200000,01800,0100,N 431993,S200000,02200,0100,N 431993,S200000,02800,0100,N 431993,S200000,02900,0100,N 431993,S200000,03000,0100,N 431993,S200000,03100,0100,N 431993,S200000,03200,0100,N 431993,S200000,03300,0100,N 431993,S200000,03300,0200,N 431993,S200000,04100,0100,N 431993,S200000,04200,0100,N 431993,S200000,04300,0100,N 431993,S200000,04600,0100,N 431993,S200000,04700,0100,N 431993,S200000,04700,0200,N 431993,S200000,04900,0100,N 431993,S200000,05000,0100,N 431993,S200000,05100,0100,N 431993,S200000,05200,0100,N 431993,S200000,05300,0100,Y 431993,S200000,05300,0200,951175 431993,S200000,05400,0100,HORIZON WEST HEADQUARTERS 431993,S200000,05400,0200,PALMETTO GBA 431993,S200000,05400,0300,01001 431993,S200000,05500,0100,4020 SIERRA COLLEGE 431993,S200000,05600,0100,ROCKLIN 431993,S200000,05600,0200,CA 431993,S200000,05600,0300,95677 432004,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432004,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432004,A000000,00300,0000,0300EMPLOYEE BENEFITS 432004,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432004,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432004,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432004,A000000,00700,0000,0700HOUSEKEEPING 432004,A000000,00800,0000,0800DIETARY 432004,A000000,00900,0000,0900NURSING ADMINISTRATION 432004,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432004,A000000,01100,0000,1100PHARMACY 432004,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432004,A000000,01300,0000,1300SOCIAL SERVICE 432004,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432004,A000000,01500,0000,1350ACTIVITIES 432004,A000000,01600,0000,1600SKILLED NURSING FACILITY 432004,A000000,01800,0000,1800NURSING FACILITY 432004,A000000,01810,0000,1810ICF/MR 432004,A000000,01900,0000,1900OTHER LONG TERM CARE 432004,A000000,02100,0000,2100RADIOLOGY 432004,A000000,02200,0000,2200LABORATORY 432004,A000000,02300,0000,2300INTRAVENOUS THERAPY 432004,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432004,A000000,02500,0000,2500PHYSICAL THERAPY 432004,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432004,A000000,02700,0000,2700SPEECH PATHOLOGY 432004,A000000,02800,0000,2800ELECTROCARDIOLOGY 432004,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432004,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432004,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432004,A000000,03200,0000,3200SUPPORT SURFACES 432004,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432004,A000000,03400,0000,3400CLINIC 432004,A000000,03500,0000,3500RURAL HEALTH CLINIC 432004,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432004,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432004,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432004,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432004,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432004,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432004,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432004,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432004,A000000,04400,0000,4400DME RENTED - HHA 432004,A000000,04500,0000,4500DME SOLD - HHA 432004,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432004,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432004,A000000,04710,0000,4710TELEMEDICINE 432004,A000000,04800,0000,4800AMBULANCE 432004,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432004,A000000,05000,0000,5000CORF 432004,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432004,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432004,A000000,05300,0000,5300INTEREST EXPENSE 432004,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432004,A000000,05500,0000,5500HOSPICE 432004,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432004,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432004,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432004,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432004,A000000,06100,0000,6100NONPAID WORKERS 432004,A000000,06200,0000,6200PATIENTS LAUNDRY 432004,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432004,A81000A,00100,0100,Y 432004,A81000B,00100,0300,HOME OFFICE COSTS 432004,A81000B,00200,0300,WORKERS COMPENSATION 432004,A81000B,00300,0300,HOME OFFICE COSTS 432004,A81000B,00400,0300,HOME OFFICE COSTS 432004,A81000B,00500,0300,HOME OFFICE COSTS 432004,A81000B,00600,0300,HOME OFFICE COSTS 432004,A81000B,00700,0300,HOME OFFICE COSTS 432004,A81000B,00800,0300,PHYSICAL THERAPY 432004,A81000B,00900,0300,OCCUPATIONAL THERAPY 432004,A81000B,01000,0300,SPEECH THERAPY 432004,A81000C,00100,0100,A 432004,A81000C,00100,0200,STUART AND MIKE REED 432004,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00100,0600,NURSING HOMES 432004,A81000C,00200,0100,D 432004,A81000C,00200,0200,SUZANNE REED 432004,A81000C,00200,0400,INDIANA FITNESS WORKS 432004,A81000C,00200,0600,THERAPY 432004,A81000C,00300,0100,A 432004,A81000C,00300,0200,STUART AND MIKE REED 432004,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00300,0600,NURSING HOMES 432004,A81000C,00400,0100,A 432004,A81000C,00400,0200,STUART AND MIKE REED 432004,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00400,0600,NURSING HOMES 432004,A81000C,00500,0100,A 432004,A81000C,00500,0200,STUART AND MIKE REED 432004,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00500,0600,NURSING HOMES 432004,A81000C,00600,0100,A 432004,A81000C,00600,0200,STUART AND MIKE REED 432004,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00600,0600,NURSING HOMES 432004,A81000C,00700,0100,A 432004,A81000C,00700,0200,STUART AND MIKE REED 432004,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432004,A81000C,00700,0600,NURSING HOMES 432004,A81000C,00800,0100,D 432004,A81000C,00800,0200,SUZANNE REED 432004,A81000C,00800,0400,INDIANA FITNESS WORKS 432004,A81000C,00800,0600,THERAPY 432004,A81000C,00900,0100,D 432004,A81000C,00900,0200,SUZANNE REED 432004,A81000C,00900,0400,INDIANA FITNESS WORKS 432004,A81000C,00900,0600,THERAPY 432004,A81000C,01000,0100,D 432004,A81000C,01000,0200,SUZANNE REED 432004,A81000C,01000,0400,INDIANA FITNESS WORKS 432004,A81000C,01000,0600,THERAPY 432004,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432004,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432004,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432004,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432004,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432004,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432004,B100000,00000,0800,0800MEALS SERVED :DIETARY 432004,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432004,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432004,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432004,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432004,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432004,G300000,02500,0000,OTHER REVENUE 432004,S000000,00100,0200,05/22/12 432004,S200000,00100,0100,3550 CENTRAL AVE 432004,S200000,00200,0100,COLUMBUS 432004,S200000,00200,0200,IN 432004,S200000,00200,0300,47203 432004,S200000,00300,0100,BARTHOLOMEW 432004,S200000,00300,0201,18020 432004,S200000,00300,0300,U 432004,S200000,00400,0100,WILLOW CROSSING HEALTH & REHAB CTR. 432004,S200000,00400,0200,155535 432004,S200000,00400,0300,12/20/01 432004,S200000,00400,0500,P 432004,S200000,01500,0100,Y 432004,S200000,01501,0200,Y 432004,S200000,01502,0200,Y 432004,S200000,01503,0200,Y 432004,S200000,01504,0200,Y 432004,S200000,01600,0100,N 432004,S200000,01700,0100,N 432004,S200000,01800,0100,N 432004,S200000,02200,0100,N 432004,S200000,02800,0100,N 432004,S200000,02900,0100,N 432004,S200000,03000,0100,N 432004,S200000,03100,0100,N 432004,S200000,03200,0100,N 432004,S200000,03300,0100,N 432004,S200000,03300,0200,N 432004,S200000,04100,0100,N 432004,S200000,04200,0100,N 432004,S200000,04300,0100,N 432004,S200000,04600,0100,N 432004,S200000,04700,0100,N 432004,S200000,04700,0200,N 432004,S200000,04900,0100,N 432004,S200000,05000,0100,N 432004,S200000,05100,0100,N 432004,S200000,05200,0100,N 432004,S200000,05300,0100,Y 432004,S200000,05300,0200,15H049 432004,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432004,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432004,S200000,05400,0300,00130 432004,S200000,05500,0100,9450 PRIORITY WAY WEST 432004,S200000,05600,0100,INDIANAPOLIS 432004,S200000,05600,0200,IN 432004,S200000,05600,0300,46240 432005,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432005,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432005,A000000,00300,0000,0300EMPLOYEE BENEFITS 432005,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432005,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432005,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432005,A000000,00700,0000,0700HOUSEKEEPING 432005,A000000,00800,0000,0800DIETARY 432005,A000000,00900,0000,0900NURSING ADMINISTRATION 432005,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432005,A000000,01100,0000,1100PHARMACY 432005,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432005,A000000,01300,0000,1300SOCIAL SERVICE 432005,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432005,A000000,01500,0000,1350ACTIVITIES 432005,A000000,01600,0000,1600SKILLED NURSING FACILITY 432005,A000000,01800,0000,1800NURSING FACILITY 432005,A000000,01810,0000,1810ICF/MR 432005,A000000,01900,0000,1900OTHER LONG TERM CARE 432005,A000000,02100,0000,2100RADIOLOGY 432005,A000000,02200,0000,2200LABORATORY 432005,A000000,02300,0000,2300INTRAVENOUS THERAPY 432005,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432005,A000000,02500,0000,2500PHYSICAL THERAPY 432005,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432005,A000000,02700,0000,2700SPEECH PATHOLOGY 432005,A000000,02800,0000,2800ELECTROCARDIOLOGY 432005,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432005,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432005,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432005,A000000,03200,0000,3200SUPPORT SURFACES 432005,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432005,A000000,03400,0000,3400CLINIC 432005,A000000,03500,0000,3500RURAL HEALTH CLINIC 432005,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432005,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432005,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432005,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432005,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432005,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432005,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432005,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432005,A000000,04400,0000,4400DME RENTED - HHA 432005,A000000,04500,0000,4500DME SOLD - HHA 432005,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432005,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432005,A000000,04710,0000,4710TELEMEDICINE 432005,A000000,04800,0000,4800AMBULANCE 432005,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432005,A000000,05000,0000,5000CORF 432005,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432005,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432005,A000000,05300,0000,5300INTEREST EXPENSE 432005,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432005,A000000,05500,0000,5500HOSPICE 432005,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432005,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432005,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432005,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432005,A000000,06100,0000,6100NONPAID WORKERS 432005,A000000,06200,0000,6200PATIENTS LAUNDRY 432005,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432005,A81000A,00100,0100,Y 432005,A81000B,00100,0300,HOME OFFICE COSTS 432005,A81000B,00200,0300,WORKERS COMPENSATION 432005,A81000B,00300,0300,HOME OFFICE COSTS 432005,A81000B,00400,0300,HOME OFFICE COSTS 432005,A81000B,00500,0300,HOME OFFICE COSTS 432005,A81000B,00600,0300,HOME OFFICE COSTS 432005,A81000B,00700,0300,HOME OFFICE COSTS 432005,A81000B,00800,0300,TRANSPORTATION SERVICES 432005,A81000B,00900,0300,PHYSICAL THERAPY 432005,A81000B,01000,0300,OCCUPATIONAL THERAPY 432005,A81000B,01100,0300,SPEECH THERAPY 432005,A81000C,00100,0100,A 432005,A81000C,00100,0200,STUART AND MIKE REED 432005,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00100,0600,NURSING HOMES 432005,A81000C,00200,0100,D 432005,A81000C,00200,0200,SUZANNE REED 432005,A81000C,00200,0400,INDIANA FITNESS WORKS 432005,A81000C,00200,0600,THERAPY 432005,A81000C,00300,0100,A 432005,A81000C,00300,0200,STUART AND MIKE REED 432005,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00300,0600,NURSING HOMES 432005,A81000C,00400,0100,A 432005,A81000C,00400,0200,STUART AND MIKE REED 432005,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00400,0600,NURSING HOMES 432005,A81000C,00500,0100,A 432005,A81000C,00500,0200,STUART AND MIKE REED 432005,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00500,0600,NURSING HOMES 432005,A81000C,00600,0100,A 432005,A81000C,00600,0200,STUART AND MIKE REED 432005,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00600,0600,NURSING HOMES 432005,A81000C,00700,0100,A 432005,A81000C,00700,0200,STUART AND MIKE REED 432005,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432005,A81000C,00700,0600,NURSING HOMES 432005,A81000C,00800,0100,A 432005,A81000C,00800,0200,STUART REED 432005,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 432005,A81000C,00800,0600,TRANSPORTATION 432005,A81000C,00900,0100,D 432005,A81000C,00900,0200,SUZANNE REED 432005,A81000C,00900,0400,INDIANA FITNESS WORKS 432005,A81000C,00900,0600,THERAPY 432005,A81000C,01000,0100,D 432005,A81000C,01000,0200,SUZANNE REED 432005,A81000C,01000,0400,INDIANA FITNESS WORKS 432005,A81000C,01000,0600,THERAPY 432005,A81000C,01001,0100,D 432005,A81000C,01001,0200,SUZANNE REED 432005,A81000C,01001,0400,INDIANA FITNESS WORKS 432005,A81000C,01001,0600,THERAPY 432005,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432005,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432005,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432005,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432005,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432005,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432005,B100000,00000,0800,0800MEALS SERVED :DIETARY 432005,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432005,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432005,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432005,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432005,E10A180,00301,0100,08/22/11 432005,G300000,02500,0000,OTHER REVENUE 432005,S000000,00100,0200,05/22/12 432005,S200000,00100,0100,501 N LINCOLN AVENUE 432005,S200000,00200,0100,FOWLER 432005,S200000,00200,0200,IN 432005,S200000,00200,0300,47944 432005,S200000,00300,0100,BENTON 432005,S200000,00300,0201,29140 432005,S200000,00300,0300,U 432005,S200000,00400,0100,GREEN-HILL MANOR 432005,S200000,00400,0200,155743 432005,S200000,00400,0300,09/19/05 432005,S200000,00400,0500,P 432005,S200000,01500,0100,Y 432005,S200000,01501,0200,Y 432005,S200000,01502,0200,Y 432005,S200000,01503,0200,Y 432005,S200000,01504,0200,Y 432005,S200000,01600,0100,N 432005,S200000,01700,0100,N 432005,S200000,01800,0100,N 432005,S200000,02200,0100,N 432005,S200000,02800,0100,N 432005,S200000,02900,0100,N 432005,S200000,03000,0100,N 432005,S200000,03100,0100,N 432005,S200000,03200,0100,N 432005,S200000,03300,0100,N 432005,S200000,03300,0200,N 432005,S200000,04100,0100,N 432005,S200000,04200,0100,N 432005,S200000,04300,0100,N 432005,S200000,04600,0100,N 432005,S200000,04700,0100,N 432005,S200000,04700,0200,N 432005,S200000,04900,0100,N 432005,S200000,05000,0100,N 432005,S200000,05100,0100,N 432005,S200000,05200,0100,N 432005,S200000,05300,0100,Y 432005,S200000,05300,0200,15H049 432005,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432005,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432005,S200000,05400,0300,00130 432005,S200000,05500,0100,9450 PRIORITY WAY WEST 432005,S200000,05600,0100,INDIANAPOLIS 432005,S200000,05600,0200,IN 432005,S200000,05600,0300,46240 432011,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432011,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432011,A000000,00300,0000,0300EMPLOYEE BENEFITS 432011,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432011,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432011,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432011,A000000,00700,0000,0700HOUSEKEEPING 432011,A000000,00800,0000,0800DIETARY 432011,A000000,00900,0000,0900NURSING ADMINISTRATION 432011,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432011,A000000,01100,0000,1100PHARMACY 432011,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432011,A000000,01300,0000,1300SOCIAL SERVICE 432011,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432011,A000000,01500,0000,1350ACTIVITIES 432011,A000000,01600,0000,1600SKILLED NURSING FACILITY 432011,A000000,01800,0000,1800NURSING FACILITY 432011,A000000,01810,0000,1810ICF/MR 432011,A000000,01900,0000,1900OTHER LONG TERM CARE 432011,A000000,02100,0000,2100RADIOLOGY 432011,A000000,02200,0000,2200LABORATORY 432011,A000000,02300,0000,2300INTRAVENOUS THERAPY 432011,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432011,A000000,02500,0000,2500PHYSICAL THERAPY 432011,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432011,A000000,02700,0000,2700SPEECH PATHOLOGY 432011,A000000,02800,0000,2800ELECTROCARDIOLOGY 432011,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432011,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432011,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432011,A000000,03200,0000,3200SUPPORT SURFACES 432011,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432011,A000000,03400,0000,3400CLINIC 432011,A000000,03500,0000,3500RURAL HEALTH CLINIC 432011,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432011,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432011,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432011,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432011,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432011,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432011,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432011,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432011,A000000,04400,0000,4400DME RENTED - HHA 432011,A000000,04500,0000,4500DME SOLD - HHA 432011,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432011,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432011,A000000,04710,0000,4710TELEMEDICINE 432011,A000000,04800,0000,4800AMBULANCE 432011,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432011,A000000,05000,0000,5000CORF 432011,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432011,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432011,A000000,05300,0000,5300INTEREST EXPENSE 432011,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432011,A000000,05500,0000,5500HOSPICE 432011,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432011,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432011,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432011,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432011,A000000,06100,0000,6100NONPAID WORKERS 432011,A000000,06200,0000,6200PATIENTS LAUNDRY 432011,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432011,A81000A,00100,0100,Y 432011,A81000B,00100,0300,HOME OFFICE COSTS 432011,A81000B,00200,0300,WORKERS COMPENSATION 432011,A81000B,00300,0300,HOME OFFICE COSTS 432011,A81000B,00400,0300,HOME OFFICE COSTS 432011,A81000B,00500,0300,HOME OFFICE COSTS 432011,A81000B,00600,0300,HOME OFFICE COSTS 432011,A81000B,00700,0300,HOME OFFICE COSTS 432011,A81000B,00800,0300,TRANSPORTATION SERVICES 432011,A81000B,00900,0300,PHYSICAL THERAPY 432011,A81000B,01000,0300,OCCUPATIONAL THERAPY 432011,A81000B,01100,0300,SPEECH THERAPY 432011,A81000C,00100,0100,A 432011,A81000C,00100,0200,STUART AND MIKE REED 432011,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00100,0600,NURSING HOMES 432011,A81000C,00200,0100,D 432011,A81000C,00200,0200,SUZANNE REED 432011,A81000C,00200,0400,INDIANA FITNESS WORKS 432011,A81000C,00200,0600,THERAPY 432011,A81000C,00300,0100,A 432011,A81000C,00300,0200,STUART AND MIKE REED 432011,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00300,0600,NURSING HOMES 432011,A81000C,00400,0100,A 432011,A81000C,00400,0200,STUART AND MIKE REED 432011,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00400,0600,NURSING HOMES 432011,A81000C,00500,0100,A 432011,A81000C,00500,0200,STUART AND MIKE REED 432011,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00500,0600,NURSING HOMES 432011,A81000C,00600,0100,A 432011,A81000C,00600,0200,STUART AND MIKE REED 432011,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00600,0600,NURSING HOMES 432011,A81000C,00700,0100,A 432011,A81000C,00700,0200,STUART AND MIKE REED 432011,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432011,A81000C,00700,0600,NURSING HOMES 432011,A81000C,00800,0100,A 432011,A81000C,00800,0200,STUART REED 432011,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 432011,A81000C,00800,0600,TRANSPORTATION 432011,A81000C,00900,0100,D 432011,A81000C,00900,0200,SUZANNE REED 432011,A81000C,00900,0400,INDIANA FITNESS WORKS 432011,A81000C,00900,0600,THERAPY 432011,A81000C,01000,0100,D 432011,A81000C,01000,0200,SUZANNE REED 432011,A81000C,01000,0400,INDIANA FITNESS WORKS 432011,A81000C,01000,0600,THERAPY 432011,A81000C,01001,0100,D 432011,A81000C,01001,0200,SUZANNE REED 432011,A81000C,01001,0400,INDIANA FITNESS WORKS 432011,A81000C,01001,0600,THERAPY 432011,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432011,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432011,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432011,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432011,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432011,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432011,B100000,00000,0800,0800MEALS SERVED :DIETARY 432011,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432011,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432011,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432011,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432011,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432011,E10A180,00301,0100,11/28/11 432011,G300000,02500,0000,OTHER INCOME 432011,S000000,00100,0200,05/22/12 432011,S200000,00100,0100,603 EAST NATIONAL HWY 432011,S200000,00200,0100,WASHINGTON 432011,S200000,00200,0200,IN 432011,S200000,00200,0300,47501 432011,S200000,00300,0100,DAVIES 432011,S200000,00300,0201,99915 432011,S200000,00300,0300,R 432011,S200000,00400,0100,WASHINGTON NURSING CENTER 432011,S200000,00400,0200,155145 432011,S200000,00400,0300,04/01/94 432011,S200000,00400,0500,P 432011,S200000,01500,0100,Y 432011,S200000,01501,0200,Y 432011,S200000,01502,0200,Y 432011,S200000,01503,0200,Y 432011,S200000,01504,0200,Y 432011,S200000,01600,0100,N 432011,S200000,01700,0100,N 432011,S200000,01800,0100,N 432011,S200000,02200,0100,N 432011,S200000,02800,0100,N 432011,S200000,02900,0100,N 432011,S200000,03000,0100,N 432011,S200000,03100,0100,N 432011,S200000,03200,0100,N 432011,S200000,03300,0100,N 432011,S200000,03300,0200,N 432011,S200000,04100,0100,N 432011,S200000,04200,0100,N 432011,S200000,04300,0100,N 432011,S200000,04600,0100,N 432011,S200000,04700,0100,N 432011,S200000,04700,0200,N 432011,S200000,04900,0100,N 432011,S200000,05000,0100,N 432011,S200000,05100,0100,N 432011,S200000,05200,0100,N 432011,S200000,05300,0100,Y 432011,S200000,05300,0200,15HO49 432011,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432011,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432011,S200000,05400,0300,00130 432011,S200000,05500,0100,9450 PRIORITY WAY WEST 432011,S200000,05600,0100,INDIANAPOLIS 432011,S200000,05600,0200,IN 432011,S200000,05600,0300,46240 432012,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432012,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432012,A000000,00300,0000,0300EMPLOYEE BENEFITS 432012,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432012,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432012,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432012,A000000,00700,0000,0700HOUSEKEEPING 432012,A000000,00800,0000,0800DIETARY 432012,A000000,00900,0000,0900NURSING ADMINISTRATION 432012,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432012,A000000,01100,0000,1100PHARMACY 432012,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432012,A000000,01300,0000,1300SOCIAL SERVICE 432012,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432012,A000000,01500,0000,1350ACTIVITIES 432012,A000000,01600,0000,1600SKILLED NURSING FACILITY 432012,A000000,01800,0000,1800NURSING FACILITY 432012,A000000,01810,0000,1810ICF/MR 432012,A000000,01900,0000,1900OTHER LONG TERM CARE 432012,A000000,02100,0000,2100RADIOLOGY 432012,A000000,02200,0000,2200LABORATORY 432012,A000000,02300,0000,2300INTRAVENOUS THERAPY 432012,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432012,A000000,02500,0000,2500PHYSICAL THERAPY 432012,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432012,A000000,02700,0000,2700SPEECH PATHOLOGY 432012,A000000,02800,0000,2800ELECTROCARDIOLOGY 432012,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432012,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432012,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432012,A000000,03200,0000,3200SUPPORT SURFACES 432012,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432012,A000000,03400,0000,3400CLINIC 432012,A000000,03500,0000,3500RURAL HEALTH CLINIC 432012,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432012,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432012,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432012,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432012,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432012,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432012,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432012,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432012,A000000,04400,0000,4400DME RENTED - HHA 432012,A000000,04500,0000,4500DME SOLD - HHA 432012,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432012,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432012,A000000,04710,0000,4710TELEMEDICINE 432012,A000000,04800,0000,4800AMBULANCE 432012,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432012,A000000,05000,0000,5000CORF 432012,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432012,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432012,A000000,05300,0000,5300INTEREST EXPENSE 432012,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432012,A000000,05500,0000,5500HOSPICE 432012,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432012,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432012,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432012,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432012,A000000,06100,0000,6100NONPAID WORKERS 432012,A000000,06200,0000,6200PATIENTS LAUNDRY 432012,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432012,A81000A,00100,0100,Y 432012,A81000B,00100,0300,HOME OFFICE COSTS 432012,A81000B,00200,0300,WORKERS COMPENSATION 432012,A81000B,00300,0300,HOME OFFICE COSTS 432012,A81000B,00400,0300,HOME OFFICE COSTS 432012,A81000B,00500,0300,HOME OFFICE COSTS 432012,A81000B,00600,0300,HOME OFFICE COSTS 432012,A81000B,00700,0300,HOME OFFICE COSTS 432012,A81000B,00800,0300,TRANSPORTATION SERVICES 432012,A81000B,00900,0300,PHYSICAL THERAPY 432012,A81000B,01000,0300,OCCUPATIONAL THERAPY 432012,A81000B,01100,0300,SPEECH THERAPY 432012,A81000C,00100,0100,A 432012,A81000C,00100,0200,STUART AND MIKE REED 432012,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00100,0600,NURSING HOMES 432012,A81000C,00200,0100,D 432012,A81000C,00200,0200,SUZANNE REED 432012,A81000C,00200,0400,INDIANA FITNESS WORKS 432012,A81000C,00200,0600,THERAPY 432012,A81000C,00300,0100,A 432012,A81000C,00300,0200,STUART AND MIKE REED 432012,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00300,0600,NURSING HOMES 432012,A81000C,00400,0100,A 432012,A81000C,00400,0200,STUART AND MIKE REED 432012,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00400,0600,NURSING HOMES 432012,A81000C,00500,0100,A 432012,A81000C,00500,0200,STUART AND MIKE REED 432012,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00500,0600,NURSING HOMES 432012,A81000C,00600,0100,A 432012,A81000C,00600,0200,STUART AND MIKE REED 432012,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00600,0600,NURSING HOMES 432012,A81000C,00700,0100,A 432012,A81000C,00700,0200,STUART AND MIKE REED 432012,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432012,A81000C,00700,0600,NURSING HOMES 432012,A81000C,00800,0100,A 432012,A81000C,00800,0200,STUART REED 432012,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 432012,A81000C,00800,0600,TRANSPORTATION 432012,A81000C,00900,0100,D 432012,A81000C,00900,0200,SUZANNE REED 432012,A81000C,00900,0400,INDIANA FITNESS WORKS 432012,A81000C,00900,0600,THERAPY 432012,A81000C,01000,0100,D 432012,A81000C,01000,0200,SUZANNE REED 432012,A81000C,01000,0400,INDIANA FITNESS WORKS 432012,A81000C,01000,0600,THERAPY 432012,A81000C,01001,0100,D 432012,A81000C,01001,0200,SUZANNE REED 432012,A81000C,01001,0400,INDIANA FITNESS WORKS 432012,A81000C,01001,0600,THERAPY 432012,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432012,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432012,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432012,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432012,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432012,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432012,B100000,00000,0800,0800MEALS SERVED :DIETARY 432012,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432012,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432012,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432012,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432012,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432012,G300000,02500,0000,OTHER REVENUE 432012,S000000,00100,0200,06/02/12 432012,S200000,00100,0100,410 W LAGRANGE ROAD 432012,S200000,00200,0100,HANOVER 432012,S200000,00200,0200,IN 432012,S200000,00200,0300,47243-9439 432012,S200000,00300,0100,JEFFERSON 432012,S200000,00300,0201,99915 432012,S200000,00300,0300,R 432012,S200000,00400,0100,HANOVER NURSING CENTER 432012,S200000,00400,0200,155208 432012,S200000,00400,0300,12/10/82 432012,S200000,00400,0500,P 432012,S200000,01500,0100,Y 432012,S200000,01501,0200,Y 432012,S200000,01502,0200,Y 432012,S200000,01503,0200,Y 432012,S200000,01504,0200,Y 432012,S200000,01600,0100,N 432012,S200000,01700,0100,N 432012,S200000,01800,0100,N 432012,S200000,02200,0100,N 432012,S200000,02800,0100,N 432012,S200000,02900,0100,N 432012,S200000,03000,0100,N 432012,S200000,03100,0100,N 432012,S200000,03200,0100,N 432012,S200000,03300,0100,N 432012,S200000,03300,0200,N 432012,S200000,04100,0100,N 432012,S200000,04200,0100,N 432012,S200000,04300,0100,N 432012,S200000,04600,0100,N 432012,S200000,04700,0100,N 432012,S200000,04700,0200,N 432012,S200000,04900,0100,N 432012,S200000,05000,0100,N 432012,S200000,05100,0100,N 432012,S200000,05200,0100,N 432012,S200000,05300,0100,Y 432012,S200000,05300,0200,15HO49 432012,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432012,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432012,S200000,05400,0300,00130 432012,S200000,05500,0100,9450 PRIORITY WAY WEST 432012,S200000,05600,0100,INDIANAPOLIS 432012,S200000,05600,0200,IN 432012,S200000,05600,0300,46240 432013,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432013,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432013,A000000,00300,0000,0300EMPLOYEE BENEFITS 432013,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432013,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432013,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432013,A000000,00700,0000,0700HOUSEKEEPING 432013,A000000,00800,0000,0800DIETARY 432013,A000000,00900,0000,0900NURSING ADMINISTRATION 432013,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432013,A000000,01100,0000,1100PHARMACY 432013,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432013,A000000,01300,0000,1300SOCIAL SERVICE 432013,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432013,A000000,01500,0000,1350OTHER GENERAL SERVICES 432013,A000000,01600,0000,1600SKILLED NURSING FACILITY 432013,A000000,01800,0000,1800NURSING FACILITY 432013,A000000,01810,0000,1810ICF/MR 432013,A000000,01900,0000,1900OTHER LONG TERM CARE 432013,A000000,02100,0000,2100RADIOLOGY 432013,A000000,02200,0000,2200LABORATORY 432013,A000000,02300,0000,2300INTRAVENOUS THERAPY 432013,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432013,A000000,02500,0000,2500PHYSICAL THERAPY 432013,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432013,A000000,02700,0000,2700SPEECH PATHOLOGY 432013,A000000,02800,0000,2800ELECTROCARDIOLOGY 432013,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432013,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432013,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432013,A000000,03200,0000,3200SUPPORT SURFACES 432013,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432013,A000000,03400,0000,3400CLINIC 432013,A000000,03500,0000,3500RURAL HEALTH CLINIC 432013,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432013,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432013,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432013,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432013,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432013,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432013,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432013,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432013,A000000,04400,0000,4400DME RENTED - HHA 432013,A000000,04500,0000,4500DME SOLD - HHA 432013,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432013,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432013,A000000,04710,0000,4710TELEMEDICINE 432013,A000000,04800,0000,4800AMBULANCE 432013,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432013,A000000,05000,0000,5000CORF 432013,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432013,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432013,A000000,05300,0000,5300INTEREST EXPENSE 432013,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432013,A000000,05500,0000,5500HOSPICE 432013,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432013,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432013,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432013,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432013,A000000,06100,0000,6100NONPAID WORKERS 432013,A000000,06200,0000,6200PATIENTS LAUNDRY 432013,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432013,A81000A,00100,0100,Y 432013,A81000B,00100,0300,CAPITAL 432013,A81000B,00200,0300,BENEFITS 432013,A81000B,00300,0300,ADMIN 432013,A81000B,00400,0300,PLANT 432013,A81000B,00500,0300,NURSING 432013,A81000B,00600,0300,PT 432013,A81000C,00100,0100,G 432013,A81000C,00100,0200,AMERICAN SR COMM 432013,A81000C,00100,0600,HOME OFFICE 432013,A81000C,00200,0100,G 432013,A81000C,00200,0200,AMERICAN SR COMM 432013,A81000C,00200,0600,HOME OFFICE 432013,A81000C,00300,0100,G 432013,A81000C,00300,0200,AMERICAN SR COMM 432013,A81000C,00300,0600,HOME OFFICE 432013,A81000C,00400,0100,G 432013,A81000C,00400,0200,AMERICAN SR COMM 432013,A81000C,00400,0600,HOME OFFICE 432013,A81000C,00500,0100,G 432013,A81000C,00500,0200,AMERICAN SR COMM 432013,A81000C,00500,0600,HOME OFFICE 432013,A81000C,00600,0100,G 432013,A81000C,00600,0200,AMERICAN SR COMM 432013,A81000C,00600,0600,HOME OFFICE 432013,A81000C,03100,0000,HOME OFFICE 432013,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432013,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432013,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432013,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432013,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432013,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432013,B100000,00000,0800,0800MEALS SERVED :DIETARY 432013,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432013,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432013,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432013,G300000,02500,0000,OTHER (SPECIFY) 432013,S000000,00100,0200,06/21/12 432013,S200000,00100,0100,10312 ALLISONVILLE ROAD 432013,S200000,00200,0100,FISHERS 432013,S200000,00200,0200,IN 432013,S200000,00200,0300,46038 432013,S200000,00300,0100,HAMILTON 432013,S200000,00300,0201,26900 432013,S200000,00300,0300,U 432013,S200000,00400,0100,ALLISONVILLE MEADOWS 432013,S200000,00400,0200,155786 432013,S200000,00400,0300,02/08/11 432013,S200000,00400,0500,P 432013,S200000,01500,0100,Y 432013,S200000,01600,0100,N 432013,S200000,01700,0100,N 432013,S200000,01800,0100,N 432013,S200000,02200,0100,N 432013,S200000,02800,0100,N 432013,S200000,02900,0100,N 432013,S200000,03000,0100,N 432013,S200000,03100,0100,N 432013,S200000,03200,0100,N 432013,S200000,03300,0100,N 432013,S200000,03300,0200,N 432013,S200000,04100,0100,N 432013,S200000,04200,0100,N 432013,S200000,04300,0100,N 432013,S200000,04600,0100,N 432013,S200000,04700,0100,N 432013,S200000,04700,0200,N 432013,S200000,04900,0100,N 432013,S200000,05000,0100,N 432013,S200000,05100,0100,N 432013,S200000,05200,0100,N 432013,S200000,05300,0100,Y 432013,S200000,05300,0200,15H050 432013,S200000,05400,0100,AMERICAN SR COMMUNITIES 432013,S200000,05400,0200,NGS 432013,S200000,05400,0300,00130 432013,S200000,05500,0100,6900 S. GRAY ROAD 432013,S200000,05600,0100,INDIANAPOLIS 432013,S200000,05600,0200,IN 432013,S200000,05600,0300,46237 432016,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432016,A000000,00300,0000,0300EMPLOYEE BENEFITS 432016,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432016,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432016,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432016,A000000,00700,0000,0700HOUSEKEEPING 432016,A000000,00800,0000,0800DIETARY 432016,A000000,00801,0000,0801CAFETERIA 432016,A000000,00900,0000,0900NURSING ADMINISTRATION 432016,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432016,A000000,01100,0000,1100PHARMACY 432016,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432016,A000000,01300,0000,1300SOCIAL SERVICE 432016,A000000,01500,0000,1350PATIENT ACTIVITIES 432016,A000000,01600,0000,1600SKILLED NURSING FACILITY 432016,A000000,02100,0000,2100RADIOLOGY 432016,A000000,02200,0000,2200LABORATORY 432016,A000000,02300,0000,2300INTRAVENOUS THERAPY 432016,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432016,A000000,02500,0000,2500PHYSICAL THERAPY 432016,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432016,A000000,02700,0000,2700SPEECH PATHOLOGY 432016,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432016,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432016,A000000,03200,0000,3200SUPPORT SURFACES 432016,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432016,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432016,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432016,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432016,A000000,06100,0000,6100NONPAID WORKERS 432016,A000000,06200,0000,6200PATIENTS LAUNDRY 432016,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432016,A81000A,00100,0100,Y 432016,A81000B,00100,0300,LAB SERVICE 432016,A81000B,00200,0300,RADIOLOGY SERVICE 432016,A81000B,00300,0300,SALARIES 432016,A81000B,00400,0300,ADP 432016,A81000B,00500,0300,AUDIT FEES 432016,A81000B,00600,0300,SALARIES 432016,A81000B,00700,0300,FICA 432016,A81000C,00100,0100,B 432016,A81000C,00100,0200,TAYLOR EXTENDED CARE 432016,A81000C,00100,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00100,0600,PARENT ORGANIZATION 432016,A81000C,00200,0100,B 432016,A81000C,00200,0200,TAYLOR EXTENDED CARE 432016,A81000C,00200,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00200,0600,PARENT ORGANIZATION 432016,A81000C,00300,0100,B 432016,A81000C,00300,0200,TAYLOR EXTENDED CARE 432016,A81000C,00300,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00300,0600,PARENT ORGANIZATION 432016,A81000C,00400,0100,B 432016,A81000C,00400,0200,TAYLOR EXTENDED CARE 432016,A81000C,00400,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00400,0600,PARENT ORGANIZATION 432016,A81000C,00500,0100,B 432016,A81000C,00500,0200,TAYLOR EXTENDED CARE 432016,A81000C,00500,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00500,0600,PARENT ORGANIZATION 432016,A81000C,00600,0100,B 432016,A81000C,00600,0200,TAYLOR EXTENDED CARE 432016,A81000C,00600,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00600,0600,PARENT ORGANIZATION 432016,A81000C,00700,0100,B 432016,A81000C,00700,0200,TAYLOR EXTENDED CARE 432016,A81000C,00700,0400,CARTERET GENERAL HOSPITAL 432016,A81000C,00700,0600,PARENT ORGANIZATION 432016,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432016,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432016,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432016,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432016,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432016,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432016,B100000,00000,0800,0800MEALS SERVED :DIETARY 432016,B100000,00000,0801,0851FTES :CAFETERIA 432016,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432016,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432016,B100000,00000,1100,1150CHARGES :PHARMACY 432016,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432016,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432016,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432016,E10A180,00550,0100,05/08/12 432016,G300000,02500,0000,OTHER (SPECIFY) 432016,S000000,00100,0200,02/16/12 432016,S200000,00100,0100,468 HIGHWAY 70 432016,S200000,00200,0100,SEA LEVEL 432016,S200000,00200,0200,NC 432016,S200000,00200,0300,28577 432016,S200000,00300,0100,CARTERET 432016,S200000,00300,0200,34 432016,S200000,00300,0201,99934 432016,S200000,00300,0300,R 432016,S200000,00400,0100,TAYLOR EXTENDED CARE 432016,S200000,00400,0200,345182 432016,S200000,00400,0300,11/02/99 432016,S200000,00400,0500,P 432016,S200000,01500,0100,Y 432016,S200000,01501,0200,N 432016,S200000,01503,0200,N 432016,S200000,01505,0000,OTHER 432016,S200000,01505,0200,N 432016,S200000,01600,0100,N 432016,S200000,01700,0100,N 432016,S200000,01800,0100,N 432016,S200000,02200,0100,N 432016,S200000,02800,0100,N 432016,S200000,02900,0100,N 432016,S200000,03000,0100,N 432016,S200000,03100,0100,N 432016,S200000,03200,0100,N 432016,S200000,03300,0100,N 432016,S200000,03300,0200,N 432016,S200000,04100,0100,N 432016,S200000,04200,0100,N 432016,S200000,04300,0100,N 432016,S200000,04600,0100,N 432016,S200000,04700,0100,N 432016,S200000,04700,0200,N 432016,S200000,04900,0100,N 432016,S200000,05000,0100,N 432016,S200000,05100,0100,N 432016,S200000,05200,0100,N 432018,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432018,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432018,A000000,00300,0000,0300EMPLOYEE BENEFITS 432018,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432018,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432018,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432018,A000000,00700,0000,0700HOUSEKEEPING 432018,A000000,00800,0000,0800DIETARY 432018,A000000,00900,0000,0900NURSING ADMINISTRATION 432018,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432018,A000000,01100,0000,1100PHARMACY 432018,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432018,A000000,01300,0000,1300SOCIAL SERVICE 432018,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432018,A000000,01500,0000,1350ACTIVITIES 432018,A000000,01600,0000,1600SKILLED NURSING FACILITY 432018,A000000,01810,0000,1810ICF/MR 432018,A000000,02100,0000,2100RADIOLOGY 432018,A000000,02200,0000,2200LABORATORY 432018,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432018,A000000,02500,0000,2500PHYSICAL THERAPY 432018,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432018,A000000,02700,0000,2700SPEECH PATHOLOGY 432018,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432018,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432018,A000000,03550,0000,3550FQHC 432018,A000000,04800,0000,4800AMBULANCE 432018,A000000,05000,0000,5000CORF 432018,A000000,05010,0000,5010CMHC 432018,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432018,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432018,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432018,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432018,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 432018,A81000A,00100,0100,Y 432018,A81000B,00100,0300,PHYSICAL THERAPY 432018,A81000B,00200,0300,OCCUPATIONAL THERAPY 432018,A81000B,00300,0300,SPEECH THERAPY 432018,A81000B,00400,0300,DIETARY 432018,A81000B,00500,0300,RESPIRATORY THERAPY 432018,A81000B,00600,0300,RESPIRATORY THERAPY 432018,A81000B,00700,0300,MEDICAL DIRECTOR 432018,A81000B,00800,0300,ADMINISTRATION - HO 432018,A81000B,00900,0300,BUILDING - HO 432018,A81000B,01000,0300,INTEREST - HO 432018,A81000C,00100,0100,B 432018,A81000C,00100,0200,GENESIS REHAB 432018,A81000C,00100,0400,GENESIS HEALTHC 432018,A81000C,00100,0600,REHAB SERVICES 432018,A81000C,00200,0100,B 432018,A81000C,00200,0200,GENESIS REHAB 432018,A81000C,00200,0400,GENESIS HEALTHC 432018,A81000C,00200,0600,REHAB SERVICES 432018,A81000C,00300,0100,B 432018,A81000C,00300,0200,GENESIS REHAB 432018,A81000C,00300,0400,GENESIS HEALTHC 432018,A81000C,00300,0600,REHAB SERVICES 432018,A81000C,00400,0100,B 432018,A81000C,00400,0200,GENESIS HOSPITA 432018,A81000C,00400,0400,GENESIS HEALTHC 432018,A81000C,00400,0600,CONSULTING SERV 432018,A81000C,00500,0100,B 432018,A81000C,00500,0200,RESPIRATORY HEA 432018,A81000C,00500,0400,GENESIS HEALTHC 432018,A81000C,00500,0600,RESPIRATORY SER 432018,A81000C,00600,0100,B 432018,A81000C,00600,0200,RESPIRATORY HEA 432018,A81000C,00600,0400,GENESIS HEALTHC 432018,A81000C,00600,0600,RESPIRATORY SER 432018,A81000C,00700,0100,B 432018,A81000C,00700,0200,GENESIS PHYSICI 432018,A81000C,00700,0400,GENESIS HEALTHC 432018,A81000C,00700,0600,MEDICAL DIRECTO 432018,A81000C,00800,0100,B 432018,A81000C,00800,0200,GENESIS HEALTHC 432018,A81000C,00800,0600,MANAGEMENT COMP 432018,A81000C,00900,0100,B 432018,A81000C,00900,0200,GENESIS HEALTHC 432018,A81000C,00900,0600,MANAGEMENT COMP 432018,A81000C,01000,0100,B 432018,A81000C,01000,0200,GENESIS HEALTHC 432018,A81000C,01000,0600,MANAGEMENT COMP 432018,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432018,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432018,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432018,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432018,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432018,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432018,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432018,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432018,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432018,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432018,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432018,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432018,E10A180,00550,0100,01/18/12 432018,G300000,02500,0000,MISCELLANEOUS REVENUE 432018,G300000,02501,0000,BARBER & BEAUTY REVENUE 432018,S000000,00100,0200,01/18/12 432018,S200000,00100,0100,50 MULBERRY TREE STREET 432018,S200000,00200,0100,CHARLES TOWN 432018,S200000,00200,0200,WV 432018,S200000,00200,0300,25414 432018,S200000,00300,0100,JEFFERSON 432018,S200000,00300,0201,47894 432018,S200000,00300,0300,U 432018,S200000,00400,0100,SHENANDOAH CENTER 432018,S200000,00400,0200,515167 432018,S200000,00400,0300,04/16/98 432018,S200000,00400,0500,P 432018,S200000,01500,0100,Y 432018,S200000,01502,0200,N 432018,S200000,01503,0200,N 432018,S200000,01504,0200,N 432018,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 432018,S200000,01505,0200,Y 432018,S200000,01600,0100,N 432018,S200000,01700,0100,N 432018,S200000,01800,0100,N 432018,S200000,02200,0100,Y 432018,S200000,02800,0100,N 432018,S200000,02900,0100,N 432018,S200000,03000,0100,N 432018,S200000,03100,0100,N 432018,S200000,03200,0100,N 432018,S200000,03300,0100,N 432018,S200000,03300,0200,N 432018,S200000,04100,0100,N 432018,S200000,04200,0100,N 432018,S200000,04300,0100,N 432018,S200000,04600,0100,N 432018,S200000,04700,0100,N 432018,S200000,04700,0200,N 432018,S200000,04900,0100,N 432018,S200000,05000,0100,N 432018,S200000,05100,0100,N 432018,S200000,05200,0100,N 432018,S200000,05300,0100,Y 432018,S200000,05300,0200,HB0067 432018,S200000,05400,0100,GENESIS HEALTHCARE CORP 432018,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432018,S200000,05400,0300,12001 432018,S200000,05500,0100,101 EAST STATE STREET 432018,S200000,05600,0100,KENNETT SQUARE 432018,S200000,05600,0200,PA 432018,S200000,05600,0300,19348 432049,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432049,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432049,A000000,00300,0000,0300EMPLOYEE BENEFITS 432049,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432049,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432049,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432049,A000000,00700,0000,0700HOUSEKEEPING 432049,A000000,00800,0000,0800DIETARY 432049,A000000,00900,0000,0900NURSING ADMINISTRATION 432049,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432049,A000000,01100,0000,1100PHARMACY 432049,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432049,A000000,01300,0000,1300SOCIAL SERVICE 432049,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432049,A000000,01500,0000,1350RECREATION 432049,A000000,01600,0000,1600SKILLED NURSING FACILITY 432049,A000000,01810,0000,1810ICF/MR 432049,A000000,02100,0000,2100RADIOLOGY 432049,A000000,02200,0000,2200LABORATORY 432049,A000000,02300,0000,2300INTRAVENOUS THERAPY 432049,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432049,A000000,02500,0000,2500PHYSICAL THERAPY 432049,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432049,A000000,02700,0000,2700SPEECH PATHOLOGY 432049,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432049,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432049,A000000,03550,0000,3550FQHC 432049,A000000,04801,0000,4801AMBULANCE 432049,A000000,04802,0000,4802AMBULANCE 432049,A000000,04803,0000,4803AMBULANCE 432049,A000000,05000,0000,5000CORF 432049,A000000,05010,0000,5010CMHC 432049,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432049,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432049,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432049,A81000A,00100,0100,Y 432049,A81000B,00100,0300,AS ATTACHED 432049,A81000B,00200,0300,HOME OFFICE INTEREST 432049,A81000B,00300,0300,HOME OFFICE A&G 432049,A81000B,00400,0300,HOME OFFICE CAP PIEC 432049,A81000C,00100,0100,B 432049,A81000C,00100,0400,AS ATTACHED 432049,A81000C,00100,0600,VARIOUS 432049,A81000C,00200,0100,B 432049,A81000C,00200,0400,GHC 432049,A81000C,00200,0600,LONG TERM CARE 432049,A81000C,00300,0100,B 432049,A81000C,00300,0400,GHC 432049,A81000C,00300,0600,LONG TERM CARE 432049,A81000C,00400,0100,B 432049,A81000C,00400,0400,GHC 432049,A81000C,00400,0600,LONG TERM CARE 432049,B100000,00000,0100,0100SQUARE FEET 432049,B100000,00000,0200,0200SQUARE FEET 432049,B100000,00000,0300,0300GROSS SALARIES 432049,B100000,00000,0400,0400ACCUM COST 432049,B100000,00000,0500,0500SQUARE FEET 432049,B100000,00000,0600,0600PATIENT DAYS 432049,B100000,00000,0700,0700SQUARE FEET 432049,B100000,00000,0800,0800MEALS SERVED 432049,B100000,00000,0900,0900NURSING SALARIES 432049,B100000,00000,1000,1000COSTED REQUIS 432049,B100000,00000,1100,1100COSTED REQUIS 432049,B100000,00000,1200,1200PATIENT DAYS 432049,B100000,00000,1300,1300PATIENT DAYS 432049,B100000,00000,1400,1400ASSIGNED TIME 432049,B100000,00000,1500,1350PATIENT DAYS 432049,E10A180,00501,0300,03/26/12 432049,E10A180,00550,0100,03/26/12 432049,G300000,02500,0000,BARBER & BEAUTY 432049,S000000,00100,0200,09/12/11 432049,S200000,00100,0100,12-15 SADDLE RIVER ROAD 432049,S200000,00200,0100,FAIR LAWN 432049,S200000,00200,0200,NJ 432049,S200000,00200,0300,07410 432049,S200000,00300,0100,BERGEN 432049,S200000,00300,0201,35644 432049,S200000,00300,0300,U 432049,S200000,00400,0100,MAPLE GLEN CENTER 432049,S200000,00400,0200,315328 432049,S200000,00400,0300,07/01/76 432049,S200000,00400,0500,P 432049,S200000,01500,0100,Y 432049,S200000,01501,0200,N 432049,S200000,01502,0200,N 432049,S200000,01503,0200,N 432049,S200000,01504,0200,N 432049,S200000,01600,0100,N 432049,S200000,01700,0100,N 432049,S200000,01800,0100,N 432049,S200000,02200,0100,Y 432049,S200000,02800,0100,N 432049,S200000,02900,0100,N 432049,S200000,03000,0100,N 432049,S200000,03100,0100,N 432049,S200000,03200,0100,N 432049,S200000,03300,0100,N 432049,S200000,03300,0200,N 432049,S200000,04200,0100,N 432049,S200000,04300,0100,N 432049,S200000,04600,0100,N 432049,S200000,04700,0100,N 432049,S200000,04900,0100,N 432049,S200000,05200,0100,N 432049,S200000,05300,0100,Y 432049,S200000,05300,0200,HB0067 432049,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432049,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432049,S200000,05400,0300,12001 432049,S200000,05500,0100,101 EAST STATE STREET 432049,S200000,05600,0100,KENNETT SQUARE 432049,S200000,05600,0200,PA 432049,S200000,05600,0300,19348 432054,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432054,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432054,A000000,00300,0000,0300EMPLOYEE BENEFITS 432054,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432054,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432054,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432054,A000000,00700,0000,0700HOUSEKEEPING 432054,A000000,00800,0000,0800DIETARY 432054,A000000,00900,0000,0900NURSING ADMINISTRATION 432054,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432054,A000000,01100,0000,1100PHARMACY 432054,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432054,A000000,01300,0000,1300SOCIAL SERVICE 432054,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432054,A000000,01500,0000,1350ACTIVITIES / RECREATION 432054,A000000,01600,0000,1600SKILLED NURSING FACILITY 432054,A000000,01810,0000,1810ICF/MR 432054,A000000,02100,0000,2100RADIOLOGY 432054,A000000,02200,0000,2200LABORATORY 432054,A000000,02300,0000,2300INTRAVENOUS THERAPY 432054,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432054,A000000,02500,0000,2500PHYSICAL THERAPY 432054,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432054,A000000,02700,0000,2700SPEECH PATHOLOGY 432054,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432054,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432054,A000000,03200,0000,3200SUPPORT SURFACES 432054,A000000,03300,0000,3050PEN SERVICES 432054,A000000,03550,0000,3550FQHC 432054,A000000,04801,0000,4801AMBULANCE 432054,A000000,04802,0000,4802AMBULANCE 432054,A000000,04803,0000,4803AMBULANCE 432054,A000000,05000,0000,5000CORF 432054,A000000,05010,0000,5010CMHC 432054,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432054,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432054,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432054,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432054,A000000,06300,0000,6150DIALYSIS 432054,A81000A,00100,0100,Y 432054,A81000B,00100,0300,H O A & G 432054,A81000B,00200,0300,H O INTEREST & AMORT 432054,A81000B,00300,0300,H O CAPITAL RELATED 432054,A81000B,00400,0300,PT 432054,A81000B,00500,0300,OT 432054,A81000B,00600,0300,ST 432054,A81000B,00700,0300,SUPP. & NUTRITIONIST 432054,A81000B,00800,0300,RT 432054,A81000B,00900,0300,MEDICAL DIRECTOR 432054,A81000B,01000,0300,PURCHASED SERVICES 432054,A81000C,00100,0100,B 432054,A81000C,00100,0200,GENESIS HEALTHC 432054,A81000C,00100,0600,MGMT COMPANY 432054,A81000C,00200,0100,B 432054,A81000C,00200,0200,GENESIS SERVICE 432054,A81000C,00200,0600,VARIOUS 432054,A81000C,00300,0100,B 432054,A81000C,00300,0200,GENESIS REHAB 432054,A81000C,00300,0600,REHAB 432054,A81000C,00400,0100,B 432054,A81000C,00400,0200,GENESIS HOSPITA 432054,A81000C,00400,0600,NUTRITIONIST 432054,A81000C,00500,0100,B 432054,A81000C,00500,0200,RHS 432054,A81000C,00500,0600,RT 432054,B100000,00000,0100,0100SQUARE FEET 432054,B100000,00000,0200,0200SQUARE FEET 432054,B100000,00000,0300,0300GROSS SALARIES 432054,B100000,00000,0400,0400ACCUM COST 432054,B100000,00000,0500,0500SQUARE FEET 432054,B100000,00000,0600,0600PATIENT DAYS 432054,B100000,00000,0700,0700SQUARE FEET 432054,B100000,00000,0800,0800MEALS SERVED 432054,B100000,00000,0900,0900PATIENT DAYS 432054,B100000,00000,1000,1000COSTED REQUIS 432054,B100000,00000,1100,1100COSTED REQUIS 432054,B100000,00000,1200,1200GROSS CHARGES 432054,B100000,00000,1300,1300PATIENT DAYS 432054,B100000,00000,1400,1400ASSIGNED TIME 432054,B100000,00000,1500,1350PATIENT DAYS 432054,E10A180,00353,0100,03/25/11 432054,E10A180,00501,0100,10/24/11 432054,E10A180,00501,0300,10/24/11 432054,S000000,00100,0200,09/06/11 432054,S200000,00100,0100,1785 HATES STREET 432054,S200000,00200,0100,ARLINGTON 432054,S200000,00200,0200,VA 432054,S200000,00200,0300,22202 432054,S200000,00300,0100,ARLINGTON 432054,S200000,00300,0201,47894 432054,S200000,00300,0300,U 432054,S200000,00400,0100,POTOMAC CENTER 432054,S200000,00400,0200,495114 432054,S200000,00400,0300,08/01/98 432054,S200000,00400,0500,P 432054,S200000,01500,0100,Y 432054,S200000,01501,0200,N 432054,S200000,01502,0200,N 432054,S200000,01503,0200,N 432054,S200000,01504,0200,N 432054,S200000,01505,0000,DON BONUS 432054,S200000,01505,0200,N 432054,S200000,01600,0100,N 432054,S200000,01700,0100,N 432054,S200000,01800,0100,N 432054,S200000,02200,0100,Y 432054,S200000,02800,0100,N 432054,S200000,02900,0100,N 432054,S200000,03000,0100,N 432054,S200000,03100,0100,N 432054,S200000,03200,0100,N 432054,S200000,03300,0100,N 432054,S200000,03300,0200,N 432054,S200000,04200,0100,N 432054,S200000,04300,0100,N 432054,S200000,04600,0100,N 432054,S200000,04700,0100,N 432054,S200000,04900,0100,N 432054,S200000,05200,0100,N 432054,S200000,05300,0100,Y 432054,S200000,05300,0200,HB0067 432054,S200000,05400,0100,GENESIS HEALTHCARE 432054,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432054,S200000,05400,0300,12001 432054,S200000,05500,0100,101 EAST STATE STREET 432054,S200000,05600,0100,KENNETT SQUARE 432054,S200000,05600,0200,PA 432054,S200000,05600,0300,19348 432056,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432056,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432056,A000000,00300,0000,0300EMPLOYEE BENEFITS 432056,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432056,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432056,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432056,A000000,00700,0000,0700HOUSEKEEPING 432056,A000000,00800,0000,0800DIETARY 432056,A000000,00900,0000,0900NURSING ADMINISTRATION 432056,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432056,A000000,01100,0000,1100PHARMACY 432056,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432056,A000000,01300,0000,1300SOCIAL SERVICE 432056,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432056,A000000,01500,0000,1350RECREATION 432056,A000000,01600,0000,1600SKILLED NURSING FACILITY 432056,A000000,01810,0000,1810ICF/MR 432056,A000000,02100,0000,2100RADIOLOGY 432056,A000000,02200,0000,2200LABORATORY 432056,A000000,02300,0000,2300INTRAVENOUS THERAPY 432056,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432056,A000000,02500,0000,2500PHYSICAL THERAPY 432056,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432056,A000000,02700,0000,2700SPEECH PATHOLOGY 432056,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432056,A000000,03550,0000,3550FQHC 432056,A000000,04801,0000,4801AMBULANCE 432056,A000000,04802,0000,4802AMBULANCE 432056,A000000,04803,0000,4803AMBULANCE 432056,A000000,05000,0000,5000CORF 432056,A000000,05010,0000,5010CMHC 432056,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432056,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432056,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432056,A81000A,00100,0100,Y 432056,A81000B,00100,0300,SEE ATTACHED 432056,A81000B,00200,0300,HOME OFFICE INTEREST 432056,A81000B,00300,0300,HOME OFFICE A & G 432056,A81000B,00400,0300,HOME OFFICE CAPITAL 432056,A81000C,00100,0100,B 432056,A81000C,00100,0400,SEE ATTACHED 432056,A81000C,00100,0600,VARIOUS 432056,A81000C,00200,0100,B 432056,A81000C,00200,0400,GHC 432056,A81000C,00200,0600,LONG TERM CARE 432056,A81000C,00300,0100,B 432056,A81000C,00300,0400,GHC 432056,A81000C,00300,0600,LONG TERM CARE 432056,A81000C,00400,0100,B 432056,A81000C,00400,0400,GHC 432056,A81000C,00400,0600,LONG TERM CARE 432056,B100000,00000,0100,0100SQUARE FEET 432056,B100000,00000,0200,0200SQUARE FEET 432056,B100000,00000,0300,0300GROSS SALARIES 432056,B100000,00000,0400,0400ACCUM COST 432056,B100000,00000,0500,0500SQUARE FEET 432056,B100000,00000,0600,0600PATIENT DAYS 432056,B100000,00000,0700,0700SQUARE FEET 432056,B100000,00000,0800,0800MEALS SERVED 432056,B100000,00000,0900,0900NURSING SALARIES 432056,B100000,00000,1000,1000COSTED REQUIS 432056,B100000,00000,1100,1100COSTED REQUIS 432056,B100000,00000,1200,1200PATIENT DAYS 432056,B100000,00000,1300,1300PATIENT DAYS 432056,B100000,00000,1400,1400ASSIGNED TIME 432056,B100000,00000,1500,1350PATIENT DAYS 432056,E10A180,00301,0100,03/24/11 432056,E10A180,00501,0300,10/11/11 432056,E10A180,00550,0100,10/11/11 432056,G300000,02500,0000,BARBER AND BEAUTY 432056,S000000,00100,0200,09/07/11 432056,S200000,00100,0100,440 NORTH RIVER STREET 432056,S200000,00200,0100,WILKES-BARRE 432056,S200000,00200,0200,PA 432056,S200000,00200,0300,18702 432056,S200000,00300,0100,LUZERNE 432056,S200000,00300,0201,42540 432056,S200000,00300,0300,U 432056,S200000,00400,0100,RIVERSTREET MANOR 432056,S200000,00400,0200,395691 432056,S200000,00400,0300,06/01/86 432056,S200000,00400,0500,P 432056,S200000,01500,0100,Y 432056,S200000,01501,0200,N 432056,S200000,01502,0200,N 432056,S200000,01503,0200,N 432056,S200000,01504,0200,N 432056,S200000,01600,0100,N 432056,S200000,01700,0100,N 432056,S200000,01800,0100,N 432056,S200000,02200,0100,Y 432056,S200000,02800,0100,N 432056,S200000,02900,0100,N 432056,S200000,03000,0100,N 432056,S200000,03100,0100,N 432056,S200000,03200,0100,N 432056,S200000,03300,0100,N 432056,S200000,03300,0200,N 432056,S200000,04200,0100,N 432056,S200000,04300,0100,N 432056,S200000,04600,0100,N 432056,S200000,04700,0100,N 432056,S200000,04900,0100,N 432056,S200000,05200,0100,N 432056,S200000,05300,0100,Y 432056,S200000,05300,0200,HB0067 432056,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432056,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432056,S200000,05400,0300,12001 432056,S200000,05500,0100,101 EAST STATE STREET 432056,S200000,05600,0100,KENNETT SQUARE 432056,S200000,05600,0200,PA 432056,S200000,05600,0300,19348 432058,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432058,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432058,A000000,00300,0000,0300EMPLOYEE BENEFITS 432058,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432058,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432058,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432058,A000000,00700,0000,0700HOUSEKEEPING 432058,A000000,00800,0000,0800DIETARY 432058,A000000,00900,0000,0900NURSING ADMINISTRATION 432058,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432058,A000000,01100,0000,1100PHARMACY 432058,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432058,A000000,01300,0000,1300SOCIAL SERVICE 432058,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432058,A000000,01500,0000,1350ACTIVITIES 432058,A000000,01600,0000,1600SKILLED NURSING FACILITY 432058,A000000,01810,0000,1810ICF/MR 432058,A000000,02100,0000,2100RADIOLOGY 432058,A000000,02200,0000,2200LABORATORY 432058,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432058,A000000,02500,0000,2500PHYSICAL THERAPY 432058,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432058,A000000,02700,0000,2700SPEECH PATHOLOGY 432058,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432058,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432058,A000000,03550,0000,3550FQHC 432058,A000000,04800,0000,4800AMBULANCE 432058,A000000,04801,0000,4801AMBULANCE 432058,A000000,04802,0000,4802AMBULANCE 432058,A000000,04803,0000,4803AMBULANCE 432058,A000000,05000,0000,5000CORF 432058,A000000,05010,0000,5010CMHC 432058,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432058,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432058,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432058,A000000,06300,0000,6150NON-REIMBURSABLE 432058,A81000A,00100,0100,Y 432058,A81000B,00100,0300,HO CAPITAL 432058,A81000B,00200,0300,HO INTEREST 432058,A81000B,00300,0300,HO A&G 432058,A81000B,00400,0300,PT 432058,A81000B,00500,0300,OT 432058,A81000B,00600,0300,ST 432058,A81000B,00700,0300,DIETARY 432058,A81000B,00800,0300,SKILLED NRSG 432058,A81000B,00900,0300,RT 432058,A81000B,01000,0300,MED SUPPLIES 432058,A81000B,01100,0300,ADMINISTRATIVE 432058,A81000C,00100,0100,B 432058,A81000C,00100,0200,GENESIS HEALTH 432058,A81000C,00100,0600,MANAGEMENT COMP 432058,A81000C,00200,0100,B 432058,A81000C,00200,0200,GENESIS HEALTH 432058,A81000C,00200,0600,MANAGEMENT COMP 432058,A81000C,00300,0100,B 432058,A81000C,00300,0200,GENESIS HEALTH 432058,A81000C,00300,0600,MANAGEMENT COMP 432058,A81000C,00400,0100,B 432058,A81000C,00400,0200,GENESIS REHAB 432058,A81000C,00400,0400,GENESIS HEALTH 432058,A81000C,00400,0600,REHAB SERVICES 432058,A81000C,00500,0100,B 432058,A81000C,00500,0200,GENESIS REHAB 432058,A81000C,00500,0400,GENESIS HEALTH 432058,A81000C,00500,0600,REHAB SERVICES 432058,A81000C,00600,0100,B 432058,A81000C,00600,0200,GENESIS REHAB 432058,A81000C,00600,0400,GENESIS HEALTH 432058,A81000C,00600,0600,REHAB SERVICES 432058,A81000C,00700,0100,B 432058,A81000C,00700,0200,GENESIS HOSPITA 432058,A81000C,00700,0400,GENESIS HEALTH 432058,A81000C,00700,0600,CONSULTING SERV 432058,A81000C,00800,0100,B 432058,A81000C,00800,0200,RESPIRATORY HEA 432058,A81000C,00800,0400,GENESIS HEALTH 432058,A81000C,00800,0600,RESPIRATORY THE 432058,A81000C,00900,0100,B 432058,A81000C,00900,0200,RESPIRATORY HEA 432058,A81000C,00900,0400,GENESIS HEALTH 432058,A81000C,00900,0600,RESPIRATORY THE 432058,A81000C,01000,0100,B 432058,A81000C,01000,0200,RESPIRATORY HEA 432058,A81000C,01000,0400,GENESIS HEALTH 432058,A81000C,01000,0600,RESPIRATORY THE 432058,A81000C,01100,0100,B 432058,A81000C,01100,0200,GENESIS PHYSICI 432058,A81000C,01100,0400,GENESIS HEALTH 432058,A81000C,01100,0600,MEDICAL DIRECTO 432058,B100000,00000,0100,0100SQUARE FEET 432058,B100000,00000,0200,0200SQUARE FEET 432058,B100000,00000,0300,0300GROSS SALARIES 432058,B100000,00000,0400,0400ACCUM COST 432058,B100000,00000,0500,0500SQUARE FEET 432058,B100000,00000,0600,0600PATIENT DAYS 432058,B100000,00000,0700,0700SQUARE FEET 432058,B100000,00000,0800,0800PATIENT DAYS 432058,B100000,00000,0900,0900PATIENT DAYS 432058,B100000,00000,1000,1000COSTED REQUIS 432058,B100000,00000,1100,1100COSTED REQUIS 432058,B100000,00000,1200,1200PATIENT DAYS 432058,B100000,00000,1300,1300PATIENT DAYS 432058,B100000,00000,1400,1400ASSIGNED TIME 432058,B100000,00000,1500,1350PATIENT DAYS 432058,E10A180,00301,0100,03/24/11 432058,E10A180,00501,0100,10/12/11 432058,E10A180,00501,0300,10/12/11 432058,S000000,00100,0200,09/08/11 432058,S200000,00100,0100,OLD ROUTE 60 432058,S200000,00200,0100,ANSTED 432058,S200000,00200,0200,WV 432058,S200000,00200,0300,25812 432058,S200000,00300,0100,FAYETTE 432058,S200000,00300,0201,99951 432058,S200000,00300,0300,R 432058,S200000,00400,0100,ANSTED CENTER 432058,S200000,00400,0200,515133 432058,S200000,00400,0300,08/01/87 432058,S200000,00400,0500,P 432058,S200000,01500,0100,Y 432058,S200000,01501,0200,Y 432058,S200000,01502,0200,N 432058,S200000,01503,0200,N 432058,S200000,01504,0200,N 432058,S200000,01505,0000,DON BONUS 432058,S200000,01505,0200,Y 432058,S200000,01600,0100,N 432058,S200000,01700,0100,N 432058,S200000,01800,0100,N 432058,S200000,02200,0100,Y 432058,S200000,02800,0100,N 432058,S200000,02900,0100,N 432058,S200000,03000,0100,N 432058,S200000,03100,0100,N 432058,S200000,03200,0100,N 432058,S200000,03300,0100,N 432058,S200000,03300,0200,N 432058,S200000,04200,0100,N 432058,S200000,04300,0100,N 432058,S200000,04600,0100,N 432058,S200000,04700,0100,N 432058,S200000,04900,0100,N 432058,S200000,05200,0100,N 432058,S200000,05300,0100,Y 432058,S200000,05300,0200,HB0067 432058,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 432058,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432058,S200000,05400,0300,12001 432058,S200000,05500,0100,101 EAST STATE STREET 432058,S200000,05600,0100,KENNETT SQUARE 432058,S200000,05600,0200,PA 432058,S200000,05600,0300,19348 432061,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432061,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432061,A000000,00300,0000,0300EMPLOYEE BENEFITS 432061,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432061,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432061,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432061,A000000,00700,0000,0700HOUSEKEEPING 432061,A000000,00800,0000,0800DIETARY 432061,A000000,00900,0000,0900NURSING ADMINISTRATION 432061,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432061,A000000,01100,0000,1100PHARMACY 432061,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432061,A000000,01300,0000,1300SOCIAL SERVICE 432061,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432061,A000000,01500,0000,1350ACTIVITIES 432061,A000000,01600,0000,1600SKILLED NURSING FACILITY 432061,A000000,01810,0000,1810ICF/MR 432061,A000000,02100,0000,2100RADIOLOGY 432061,A000000,02200,0000,2200LABORATORY 432061,A000000,02300,0000,2300INTRAVENOUS THERAPY 432061,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432061,A000000,02500,0000,2500PHYSICAL THERAPY 432061,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432061,A000000,02700,0000,2700SPEECH PATHOLOGY 432061,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432061,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432061,A000000,03200,0000,3200SUPPORT SURFACES 432061,A000000,03300,0000,3050PEN BILLING 432061,A000000,03550,0000,3550FQHC 432061,A000000,04801,0000,4801AMBULANCE 432061,A000000,04802,0000,4802AMBULANCE 432061,A000000,04803,0000,4803AMBULANCE 432061,A000000,05000,0000,5000CORF 432061,A000000,05010,0000,5010CMHC 432061,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432061,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432061,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432061,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432061,A81000A,00100,0100,Y 432061,A81000B,00100,0300,HOME OFFICE ALLOC 432061,A81000B,00200,0300,DIRECT INT & AMORT 432061,A81000B,00300,0300,HOME OFFICE CAPITAL 432061,A81000B,00400,0300,PT 432061,A81000B,00500,0300,OT 432061,A81000B,00600,0300,ST 432061,A81000B,00700,0300,NUTRITIONIST 432061,A81000B,00800,0300,RT 432061,A81000B,00900,0300,MEDICAL DIRECTOR 432061,A81000B,01000,0300,VARI NURS PURC SVCS 432061,A81000C,00100,0100,B 432061,A81000C,00100,0200,GENESIS HEALTHC 432061,A81000C,00100,0600,MGMT COMPANY 432061,A81000C,00200,0100,B 432061,A81000C,00200,0200,GENESIS REHAB S 432061,A81000C,00200,0600,PT OT ST 432061,A81000C,00300,0100,B 432061,A81000C,00300,0200,GENESIS HOSPITA 432061,A81000C,00300,0600,NUTRITIONIST 432061,A81000C,00400,0100,B 432061,A81000C,00400,0200,RESPIRATORY HEA 432061,A81000C,00400,0600,RT 432061,A81000C,00500,0100,B 432061,A81000C,00500,0200,GENESIS PHYS SV 432061,A81000C,00500,0600,MEDICAL DIRECTO 432061,A81000C,00600,0100,B 432061,A81000C,00600,0200,GENESIS STAFFIN 432061,A81000C,00600,0600,VARI NURS PURC 432061,B100000,00000,0100,0100SQUARE FEET 432061,B100000,00000,0200,0200SQUARE FEET 432061,B100000,00000,0300,0300GROSS SALARIES 432061,B100000,00000,0400,0400ACCUM COST 432061,B100000,00000,0500,0500SQUARE FEET 432061,B100000,00000,0600,0600PT DAYS 432061,B100000,00000,0700,0700SQ FT 432061,B100000,00000,0800,0800MEALS SERVED 432061,B100000,00000,0900,0900PT DAYS 432061,B100000,00000,1000,1000COSTED REQUIS 432061,B100000,00000,1100,1100COSTED REQUIS 432061,B100000,00000,1200,1200GROSS CHARGES 432061,B100000,00000,1300,1300PT DAYS 432061,B100000,00000,1400,1400ASSIGNED TIME 432061,B100000,00000,1500,1350PT DAYS 432061,E10A180,00301,0100,03/28/11 432061,E10A180,00501,0100,10/19/11 432061,E10A180,00501,0300,10/19/11 432061,G300000,02500,0000,MISC 432061,S000000,00100,0200,09/06/11 432061,S200000,00100,0100,8710 EMGE ROAD 432061,S200000,00200,0100,BALTIMORE 432061,S200000,00200,0200,MD 432061,S200000,00200,0300,21234 432061,S200000,00300,0100,BALTIMORE 432061,S200000,00300,0201,12580 432061,S200000,00300,0300,U 432061,S200000,00400,0100,CROMWELL CENTER 432061,S200000,00400,0200,215129 432061,S200000,00400,0300,01/01/88 432061,S200000,00400,0500,P 432061,S200000,00600,0200,215129 432061,S200000,00600,0300,01/01/88 432061,S200000,00600,0600,O 432061,S200000,01500,0100,Y 432061,S200000,01501,0200,N 432061,S200000,01502,0200,N 432061,S200000,01503,0200,N 432061,S200000,01504,0200,N 432061,S200000,01505,0000,DON BONUS 432061,S200000,01505,0200,N 432061,S200000,01600,0100,N 432061,S200000,01700,0100,N 432061,S200000,01800,0100,N 432061,S200000,02200,0100,Y 432061,S200000,02800,0100,N 432061,S200000,02900,0100,N 432061,S200000,03000,0100,N 432061,S200000,03100,0100,N 432061,S200000,03200,0100,N 432061,S200000,03300,0100,N 432061,S200000,03300,0200,N 432061,S200000,04200,0100,N 432061,S200000,04300,0100,N 432061,S200000,04600,0100,N 432061,S200000,04700,0100,N 432061,S200000,04900,0100,N 432061,S200000,05200,0100,N 432061,S200000,05300,0100,Y 432061,S200000,05300,0200,HB0067 432061,S200000,05400,0100,GENESIS HEALTH CARE 432061,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432061,S200000,05400,0300,12001 432061,S200000,05500,0100,101 EAST STATE STREET 432061,S200000,05600,0100,KENNETT SQUARE 432061,S200000,05600,0200,PA 432061,S200000,05600,0300,19348 432063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432063,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432063,A000000,00300,0000,0300EMPLOYEE BENEFITS 432063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432063,A000000,00700,0000,0700HOUSEKEEPING 432063,A000000,00800,0000,0800DIETARY 432063,A000000,00900,0000,0900NURSING ADMINISTRATION 432063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432063,A000000,01100,0000,1100PHARMACY 432063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432063,A000000,01300,0000,1300SOCIAL SERVICE 432063,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432063,A000000,01500,0000,1350ACTIVITIES 432063,A000000,01600,0000,1600SKILLED NURSING FACILITY 432063,A000000,01810,0000,1810ICF/MR 432063,A000000,02100,0000,2100RADIOLOGY 432063,A000000,02200,0000,2200LABORATORY 432063,A000000,02300,0000,2300INTRAVENOUS THERAPY 432063,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432063,A000000,02500,0000,2500PHYSICAL THERAPY 432063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432063,A000000,02700,0000,2700SPEECH PATHOLOGY 432063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432063,A000000,03200,0000,3200SUPPORT SURFACES 432063,A000000,03300,0000,3050PEN BILLING 432063,A000000,03550,0000,3550FQHC 432063,A000000,04801,0000,4801AMBULANCE 432063,A000000,04802,0000,4802AMBULANCE 432063,A000000,04803,0000,4803AMBULANCE 432063,A000000,05000,0000,5000CORF 432063,A000000,05010,0000,5010CMHC 432063,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432063,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432063,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432063,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 432063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432063,A81000A,00100,0100,Y 432063,A81000B,00100,0300,HOME OFFICE ALLOC 432063,A81000B,00200,0300,DIRECT INT & AMORT 432063,A81000B,00300,0300,HO CAPITAL 432063,A81000B,00400,0300,PT 432063,A81000B,00500,0300,OT 432063,A81000B,00600,0300,ST 432063,A81000B,00700,0300,NUTRITIONIST 432063,A81000B,00800,0300,RT 432063,A81000B,00900,0300,MEDICAL DIRECTOR 432063,A81000B,01000,0300,VARI NURS PURC SVCS 432063,A81000C,00100,0100,B 432063,A81000C,00100,0200,GENESIS HEALTHC 432063,A81000C,00100,0600,MGMT COMPANY 432063,A81000C,00200,0100,B 432063,A81000C,00200,0200,GENESIS REHAB S 432063,A81000C,00200,0600,PT OT ST 432063,A81000C,00300,0100,B 432063,A81000C,00300,0200,GENESIS HOSPITA 432063,A81000C,00300,0600,NUTRITIONIST 432063,A81000C,00400,0100,B 432063,A81000C,00400,0200,RESPIRATORY HEA 432063,A81000C,00400,0600,RT 432063,A81000C,00500,0100,B 432063,A81000C,00500,0200,GENESIS PHYS SV 432063,A81000C,00500,0600,MEDICAL DIRECTO 432063,A81000C,00600,0100,B 432063,A81000C,00600,0200,GENESIS STAFFIN 432063,A81000C,00600,0600,VARI NURS PURC 432063,B100000,00000,0100,0100SQUARE FEET 432063,B100000,00000,0200,0200SQUARE FEET 432063,B100000,00000,0300,0300GROSS SALARIES 432063,B100000,00000,0400,0400ACCUM COST 432063,B100000,00000,0500,0500SQUARE FEET 432063,B100000,00000,0600,0600PT DAYS 432063,B100000,00000,0700,0700SQ FT 432063,B100000,00000,0800,0800MEALS SERVED 432063,B100000,00000,0900,0900PT DAYS 432063,B100000,00000,1000,1000COSTED REQUIS 432063,B100000,00000,1100,1100COSTED REQUIS 432063,B100000,00000,1200,1200GROSS CHARGES 432063,B100000,00000,1300,1300PT DAYS 432063,B100000,00000,1400,1400ASSIGNED TIME 432063,B100000,00000,1500,1350PT DAYS 432063,E10A180,00501,0300,10/19/11 432063,E10A180,00550,0100,10/19/11 432063,G300000,02500,0000,OTHER 432063,G300000,02501,0000,CONTRACTUAL 432063,S000000,00100,0200,09/06/11 432063,S200000,00100,0100,525 GLENBURN AVENUE 432063,S200000,00200,0100,CAMBRIDGE 432063,S200000,00200,0200,MD 432063,S200000,00200,0300,21613 432063,S200000,00300,0100,DORCHESTER 432063,S200000,00300,0201,99921 432063,S200000,00300,0300,R 432063,S200000,00400,0100,CHESAPEAKE WOODS CENTER 432063,S200000,00400,0200,215221 432063,S200000,00400,0300,07/25/90 432063,S200000,00400,0500,P 432063,S200000,01500,0100,Y 432063,S200000,01501,0200,N 432063,S200000,01502,0200,N 432063,S200000,01503,0200,N 432063,S200000,01504,0200,N 432063,S200000,01505,0000,DON BONUS 432063,S200000,01505,0200,N 432063,S200000,01600,0100,N 432063,S200000,01700,0100,N 432063,S200000,01800,0100,N 432063,S200000,02200,0100,Y 432063,S200000,02800,0100,N 432063,S200000,02900,0100,N 432063,S200000,03000,0100,N 432063,S200000,03100,0100,N 432063,S200000,03200,0100,N 432063,S200000,03300,0100,N 432063,S200000,03300,0200,N 432063,S200000,04200,0100,N 432063,S200000,04300,0100,N 432063,S200000,04600,0100,N 432063,S200000,04700,0100,N 432063,S200000,04900,0100,N 432063,S200000,05200,0100,N 432063,S200000,05300,0100,Y 432063,S200000,05300,0200,HB0067 432063,S200000,05400,0100,GENESIS HEALTHCARE 432063,S200000,05400,0200,HIGMARK MEDICARE SERVICES 432063,S200000,05400,0300,12001 432063,S200000,05500,0100,101 EAST STATE STREET 432063,S200000,05600,0100,KENNETT SQUARE 432063,S200000,05600,0200,PA 432063,S200000,05600,0300,19348 432082,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432082,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432082,A000000,00300,0000,0300EMPLOYEE BENEFITS 432082,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432082,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432082,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432082,A000000,00700,0000,0700HOUSEKEEPING 432082,A000000,00800,0000,0800DIETARY 432082,A000000,00900,0000,0900NURSING ADMINISTRATION 432082,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432082,A000000,01100,0000,1100PHARMACY 432082,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432082,A000000,01300,0000,1300SOCIAL SERVICE 432082,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432082,A000000,01500,0000,1350ACTIVITIES 432082,A000000,01600,0000,1600SKILLED NURSING FACILITY 432082,A000000,01800,0000,1800NURSING FACILITY 432082,A000000,01810,0000,1810ICF/MR 432082,A000000,01900,0000,1900OTHER LONG TERM CARE 432082,A000000,02100,0000,2100RADIOLOGY 432082,A000000,02200,0000,2200LABORATORY 432082,A000000,02300,0000,2300INTRAVENOUS THERAPY 432082,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432082,A000000,02500,0000,2500PHYSICAL THERAPY 432082,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432082,A000000,02700,0000,2700SPEECH PATHOLOGY 432082,A000000,02800,0000,2800ELECTROCARDIOLOGY 432082,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432082,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432082,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432082,A000000,03200,0000,3200SUPPORT SURFACES 432082,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432082,A000000,03400,0000,3400CLINIC 432082,A000000,03500,0000,3500RURAL HEALTH CLINIC 432082,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432082,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432082,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432082,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432082,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432082,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432082,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432082,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432082,A000000,04400,0000,4400DME RENTED - HHA 432082,A000000,04500,0000,4500DME SOLD - HHA 432082,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432082,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432082,A000000,04710,0000,4710TELEMEDICINE 432082,A000000,04800,0000,4800AMBULANCE 432082,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432082,A000000,05000,0000,5000CORF 432082,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432082,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432082,A000000,05300,0000,5300INTEREST EXPENSE 432082,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432082,A000000,05500,0000,5500HOSPICE 432082,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432082,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432082,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432082,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432082,A000000,06100,0000,6100NONPAID WORKERS 432082,A000000,06200,0000,6200PATIENTS LAUNDRY 432082,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432082,A81000A,00100,0100,Y 432082,A81000B,00100,0300,HOME OFFICE COSTS 432082,A81000B,00200,0300,WORKMANS COMPENSATION 432082,A81000B,00300,0300,HOME OFFICE COSTS 432082,A81000B,00400,0300,HOME OFFICE COSTS 432082,A81000B,00500,0300,HOME OFFICE COSTS 432082,A81000B,00600,0300,HOME OFFICE COSTS 432082,A81000B,00700,0300,HOME OFFICE COSTS 432082,A81000B,00800,0300,PHYSICAL THERAPY 432082,A81000B,00900,0300,OCCUPATIONAL THERAPY 432082,A81000B,01000,0300,SPEECH THERAPY 432082,A81000C,00100,0100,A 432082,A81000C,00100,0200,STUART AND MIKE REED 432082,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00100,0600,NURSING HOMES 432082,A81000C,00200,0100,D 432082,A81000C,00200,0200,SUZANNE REED 432082,A81000C,00200,0400,INDIANA FITNESS WORKS 432082,A81000C,00200,0600,THERAPY 432082,A81000C,00300,0100,A 432082,A81000C,00300,0200,STUART AND MIKE REED 432082,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00300,0600,NURSING HOMES 432082,A81000C,00400,0100,A 432082,A81000C,00400,0200,STUART AND MIKE REED 432082,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00400,0600,NURSING HOMES 432082,A81000C,00500,0100,A 432082,A81000C,00500,0200,STUART AND MIKE REED 432082,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00500,0600,NURSING HOMES 432082,A81000C,00600,0100,A 432082,A81000C,00600,0200,STUART AND MIKE REED 432082,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00600,0600,NURSING HOMES 432082,A81000C,00700,0100,D 432082,A81000C,00700,0200,STUART AND MIKE REED 432082,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432082,A81000C,00700,0600,NURSING HOMES 432082,A81000C,00800,0100,D 432082,A81000C,00800,0200,SUZANNE REED 432082,A81000C,00800,0400,INDIANA FITNESS WORKS 432082,A81000C,00800,0600,THERAPY 432082,A81000C,00900,0100,D 432082,A81000C,00900,0200,SUZANNE REED 432082,A81000C,00900,0400,INDIANA FITNESS WORKS 432082,A81000C,00900,0600,THERAPY 432082,A81000C,01000,0100,D 432082,A81000C,01000,0200,SUZANNE REED 432082,A81000C,01000,0400,INDIANA FITNESS WORKS 432082,A81000C,01000,0600,THERAPY 432082,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432082,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432082,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432082,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432082,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432082,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432082,B100000,00000,0800,0800MEALS SERVED :DIETARY 432082,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 432082,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432082,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432082,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432082,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432082,E10A180,00301,0100,11/28/11 432082,G300000,02500,0000,OTHER REVENUE 432082,S000000,00100,0200,05/22/12 432082,S200000,00100,0100,1705 S. MAIN STREET 432082,S200000,00200,0100,CLINTON 432082,S200000,00200,0200,IN 432082,S200000,00200,0300,47842 432082,S200000,00300,0100,VERMILLION 432082,S200000,00300,0201,45460 432082,S200000,00300,0300,U 432082,S200000,00400,0100,VERMILLION CONVALESCENT CENTER 432082,S200000,00400,0200,155124 432082,S200000,00400,0300,05/19/77 432082,S200000,00400,0500,P 432082,S200000,01500,0100,Y 432082,S200000,01501,0200,Y 432082,S200000,01502,0200,Y 432082,S200000,01503,0200,Y 432082,S200000,01504,0200,Y 432082,S200000,01600,0100,N 432082,S200000,01700,0100,N 432082,S200000,01800,0100,N 432082,S200000,02200,0100,N 432082,S200000,02800,0100,N 432082,S200000,02900,0100,N 432082,S200000,03000,0100,N 432082,S200000,03100,0100,N 432082,S200000,03200,0100,N 432082,S200000,03300,0100,N 432082,S200000,03300,0200,N 432082,S200000,04100,0100,N 432082,S200000,04200,0100,N 432082,S200000,04300,0100,N 432082,S200000,04600,0100,N 432082,S200000,04700,0100,N 432082,S200000,04700,0200,N 432082,S200000,04900,0100,N 432082,S200000,05000,0100,N 432082,S200000,05100,0100,N 432082,S200000,05200,0100,N 432082,S200000,05300,0100,Y 432082,S200000,05300,0200,15HO49 432082,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432082,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432082,S200000,05400,0300,00130 432082,S200000,05500,0100,9450 PRIORITY WAY WEST 432082,S200000,05600,0100,INDIANAPOLIS 432082,S200000,05600,0200,IN 432082,S200000,05600,0300,46240 432085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432085,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432085,A000000,00300,0000,0300EMPLOYEE BENEFITS 432085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432085,A000000,00700,0000,0700HOUSEKEEPING 432085,A000000,00800,0000,0800DIETARY 432085,A000000,00900,0000,0900NURSING ADMINISTRATION 432085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432085,A000000,01100,0000,1100PHARMACY 432085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432085,A000000,01300,0000,1300SOCIAL SERVICE 432085,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432085,A000000,01500,0000,1350RECREATION 432085,A000000,01600,0000,1600SKILLED NURSING FACILITY 432085,A000000,01810,0000,1810ICF/MR 432085,A000000,02100,0000,2100RADIOLOGY 432085,A000000,02200,0000,2200LABORATORY 432085,A000000,02300,0000,2300INTRAVENOUS THERAPY 432085,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432085,A000000,02500,0000,2500PHYSICAL THERAPY 432085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432085,A000000,02700,0000,2700SPEECH PATHOLOGY 432085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432085,A000000,03550,0000,3550FQHC 432085,A000000,04801,0000,4801AMBULANCE 432085,A000000,04802,0000,4802AMBULANCE 432085,A000000,04803,0000,4803AMBULANCE 432085,A000000,05000,0000,5000CORF 432085,A000000,05010,0000,5010CMHC 432085,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432085,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432085,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432085,A81000A,00100,0100,Y 432085,A81000B,00100,0300,AS ATTACHED 432085,A81000B,00200,0300,HOME OFFICE INTEREST 432085,A81000B,00300,0300,HOME OFFICE A&G 432085,A81000B,00400,0300,HOME OFFICE CAP PIEC 432085,A81000C,00100,0100,B 432085,A81000C,00100,0400,AS ATTACHED 432085,A81000C,00100,0600,VARIOUS 432085,A81000C,00200,0100,B 432085,A81000C,00200,0400,GHC 432085,A81000C,00200,0600,LONG TERM CARE 432085,A81000C,00300,0100,B 432085,A81000C,00300,0400,GHC 432085,A81000C,00300,0600,LONG TERM CARE 432085,A81000C,00400,0100,B 432085,A81000C,00400,0400,GHC 432085,A81000C,00400,0600,LONG TERM CARE 432085,B100000,00000,0100,0100SQUARE FEET 432085,B100000,00000,0200,0200SQUARE FEET 432085,B100000,00000,0300,0300GROSS SALARIES 432085,B100000,00000,0400,0400ACCUM COST 432085,B100000,00000,0500,0500SQUARE FEET 432085,B100000,00000,0600,0600PATIENT DAYS 432085,B100000,00000,0700,0700SQUARE FEET 432085,B100000,00000,0800,0800MEALS SERVED 432085,B100000,00000,0900,0900NURSING SALARIES 432085,B100000,00000,1000,1000COSTED REQUIS 432085,B100000,00000,1100,1100COSTED REQUIS 432085,B100000,00000,1200,1200PATIENT DAYS 432085,B100000,00000,1300,1300PATIENT DAYS 432085,B100000,00000,1400,1400ASSIGNED TIME 432085,B100000,00000,1500,1350PATIENT DAYS 432085,E10A180,00301,0100,03/24/11 432085,G300000,02500,0000,BARBER & BEAUTY 432085,S000000,00100,0200,09/07/11 432085,S200000,00100,0100,2507 CHESTNUT STREET 432085,S200000,00200,0100,CHESTER 432085,S200000,00200,0200,PA 432085,S200000,00200,0300,19013 432085,S200000,00300,0100,DELAWARE 432085,S200000,00300,0201,37964 432085,S200000,00300,0300,U 432085,S200000,00400,0100,THE BELVEDERE CENTER 432085,S200000,00400,0200,395595 432085,S200000,00400,0300,05/09/88 432085,S200000,00400,0500,P 432085,S200000,01500,0100,Y 432085,S200000,01501,0200,N 432085,S200000,01502,0200,N 432085,S200000,01503,0200,N 432085,S200000,01504,0200,N 432085,S200000,01600,0100,N 432085,S200000,01700,0100,N 432085,S200000,01800,0100,N 432085,S200000,02200,0100,Y 432085,S200000,02800,0100,N 432085,S200000,02900,0100,N 432085,S200000,03000,0100,N 432085,S200000,03100,0100,N 432085,S200000,03200,0100,N 432085,S200000,03300,0100,N 432085,S200000,03300,0200,N 432085,S200000,04200,0100,N 432085,S200000,04300,0100,N 432085,S200000,04600,0100,N 432085,S200000,04700,0100,N 432085,S200000,04900,0100,N 432085,S200000,05200,0100,N 432085,S200000,05300,0100,Y 432085,S200000,05300,0200,HB0067 432085,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432085,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432085,S200000,05400,0300,12001 432085,S200000,05500,0100,101 EAST STATE STREET 432085,S200000,05600,0100,KENNETT SQUARE 432085,S200000,05600,0200,PA 432085,S200000,05600,0300,19348 432087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432087,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432087,A000000,00300,0000,0300EMPLOYEE BENEFITS 432087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432087,A000000,00700,0000,0700HOUSEKEEPING 432087,A000000,00800,0000,0800DIETARY 432087,A000000,00900,0000,0900NURSING ADMINISTRATION 432087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432087,A000000,01100,0000,1100PHARMACY 432087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432087,A000000,01300,0000,1300SOCIAL SERVICE 432087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432087,A000000,01500,0000,1350ACTIVITIES 432087,A000000,01600,0000,1600SKILLED NURSING FACILITY 432087,A000000,01800,0000,1800NURSING FACILITY 432087,A000000,01810,0000,1810ICF/MR 432087,A000000,01900,0000,1900OTHER LONG TERM CARE 432087,A000000,02100,0000,2100RADIOLOGY 432087,A000000,02200,0000,2200LABORATORY 432087,A000000,02300,0000,2300INTRAVENOUS THERAPY 432087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432087,A000000,02500,0000,2500PHYSICAL THERAPY 432087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432087,A000000,02700,0000,2700SPEECH PATHOLOGY 432087,A000000,02800,0000,2800ELECTROCARDIOLOGY 432087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432087,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432087,A000000,03200,0000,3200SUPPORT SURFACES 432087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432087,A000000,03400,0000,3400CLINIC 432087,A000000,03500,0000,3500RURAL HEALTH CLINIC 432087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432087,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432087,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432087,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432087,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432087,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432087,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432087,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432087,A000000,04400,0000,4400DME RENTED - HHA 432087,A000000,04500,0000,4500DME SOLD - HHA 432087,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432087,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432087,A000000,04710,0000,4710TELEMEDICINE 432087,A000000,04800,0000,4800AMBULANCE 432087,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432087,A000000,05000,0000,5000CORF 432087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432087,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432087,A000000,05300,0000,5300INTEREST EXPENSE 432087,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432087,A000000,05500,0000,5500HOSPICE 432087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432087,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432087,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432087,A000000,06100,0000,6100NONPAID WORKERS 432087,A000000,06200,0000,6200PATIENTS LAUNDRY 432087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432087,A81000A,00100,0100,Y 432087,A81000B,00100,0300,HOME OFFICE COSTS 432087,A81000B,00200,0300,HOME OFFICE COSTS 432087,A81000B,00300,0300,HOME OFFICE COSTS 432087,A81000B,00400,0300,HOME OFFICE COSTS 432087,A81000B,00500,0300,HOME OFFICE COSTS 432087,A81000B,00600,0300,HOME OFFICE COSTS 432087,A81000B,00700,0300,PHYSICAL THERAPY 432087,A81000B,00800,0300,OCCUPATIONAL THERAPY 432087,A81000B,00900,0300,SPEECH THERAPY 432087,A81000C,00100,0100,A 432087,A81000C,00100,0200,STUART AND MIKE REED 432087,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00100,0600,NURSING HOMES 432087,A81000C,00200,0100,A 432087,A81000C,00200,0200,STUART AND MIKE REED 432087,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00200,0600,NURSING HOMES 432087,A81000C,00300,0100,A 432087,A81000C,00300,0200,STUART AND MIKE REED 432087,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00300,0600,NURSING HOMES 432087,A81000C,00400,0100,A 432087,A81000C,00400,0200,STUART AND MIKE REED 432087,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00400,0600,NURSING HOMES 432087,A81000C,00500,0100,A 432087,A81000C,00500,0200,STUART AND MIKE REED 432087,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00500,0600,NURSING HOMES 432087,A81000C,00600,0100,A 432087,A81000C,00600,0200,STUART AND MIKE REED 432087,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432087,A81000C,00600,0600,NURSING HOMES 432087,A81000C,00700,0100,D 432087,A81000C,00700,0200,SUZANNE REED 432087,A81000C,00700,0400,INDIANA FITNESS WORKS 432087,A81000C,00700,0600,THERAPY 432087,A81000C,00800,0100,D 432087,A81000C,00800,0200,SUZANNE REED 432087,A81000C,00800,0400,INDIANA FITNESS WORKS 432087,A81000C,00800,0600,THERAPY 432087,A81000C,00900,0100,D 432087,A81000C,00900,0200,SUZANNE REED 432087,A81000C,00900,0400,INDIANA FITNESS WORKS 432087,A81000C,00900,0600,THERAPY 432087,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432087,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432087,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432087,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432087,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432087,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432087,B100000,00000,0800,0800MEALS SERVED :DIETARY 432087,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432087,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432087,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432087,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432087,G300000,02500,0000,OTHER REVENUE 432087,S000000,00100,0200,06/02/12 432087,S200000,00100,0100,325 WEST NORTHWOOD AVENUE 432087,S200000,00100,0300,447 432087,S200000,00200,0100,SULLIVAN 432087,S200000,00200,0200,IN 432087,S200000,00200,0300,47882 432087,S200000,00300,0100,SULLIVAN 432087,S200000,00300,0201,45460 432087,S200000,00300,0300,U 432087,S200000,00400,0100,BRECKENRIDGE HEALTH & REHABILITATION 432087,S200000,00400,0200,155468 432087,S200000,00400,0300,10/01/92 432087,S200000,00400,0500,P 432087,S200000,01500,0100,Y 432087,S200000,01501,0200,Y 432087,S200000,01502,0200,Y 432087,S200000,01503,0200,Y 432087,S200000,01504,0200,Y 432087,S200000,01600,0100,N 432087,S200000,01700,0100,N 432087,S200000,01800,0100,N 432087,S200000,02200,0100,N 432087,S200000,02800,0100,N 432087,S200000,02900,0100,N 432087,S200000,03000,0100,N 432087,S200000,03100,0100,N 432087,S200000,03200,0100,N 432087,S200000,03300,0100,N 432087,S200000,03300,0200,N 432087,S200000,04100,0100,N 432087,S200000,04200,0100,N 432087,S200000,04300,0100,N 432087,S200000,04600,0100,N 432087,S200000,04700,0100,N 432087,S200000,04700,0200,N 432087,S200000,04900,0100,N 432087,S200000,05000,0100,N 432087,S200000,05100,0100,N 432087,S200000,05200,0100,N 432087,S200000,05300,0100,Y 432087,S200000,05300,0200,15H049 432087,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432087,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432087,S200000,05400,0300,00130 432087,S200000,05500,0100,9455 DELEGATES ROW 432087,S200000,05600,0100,INDIANAPOLIS 432087,S200000,05600,0200,IN 432087,S200000,05600,0300,46240 432095,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432095,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432095,A000000,00300,0000,0300EMPLOYEE BENEFITS 432095,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432095,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432095,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432095,A000000,00700,0000,0700HOUSEKEEPING 432095,A000000,00800,0000,0800DIETARY 432095,A000000,00900,0000,0900NURSING ADMINISTRATION 432095,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432095,A000000,01100,0000,1100PHARMACY 432095,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432095,A000000,01300,0000,1300SOCIAL SERVICE 432095,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432095,A000000,01500,0000,1350ACTIVITIES 432095,A000000,01600,0000,1600SKILLED NURSING FACILITY 432095,A000000,01810,0000,1810ICF/MR 432095,A000000,02100,0000,2100RADIOLOGY 432095,A000000,02200,0000,2200LABORATORY 432095,A000000,02300,0000,2300INTRAVENOUS THERAPY 432095,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432095,A000000,02500,0000,2500PHYSICAL THERAPY 432095,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432095,A000000,02700,0000,2700SPEECH PATHOLOGY 432095,A000000,02800,0000,2800ELECTROCARDIOLOGY 432095,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432095,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432095,A000000,03200,0000,3200SUPPORT SURFACES 432095,A000000,03300,0000,3050PEN BILLING 432095,A000000,03550,0000,3550FQHC 432095,A000000,04801,0000,4801AMBULANCE 432095,A000000,04802,0000,4802AMBULANCE 432095,A000000,04803,0000,4803AMBULANCE 432095,A000000,05000,0000,5000CORF 432095,A000000,05010,0000,5010CMHC 432095,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432095,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432095,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432095,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432095,A81000A,00100,0100,N 432095,B100000,00000,0100,0100SQUARE FEET 432095,B100000,00000,0200,0200SQUARE FEET 432095,B100000,00000,0300,0300GROSS SALARIES 432095,B100000,00000,0400,0400ACCUM COST 432095,B100000,00000,0500,0500SQUARE FEET 432095,B100000,00000,0600,0600PT DAYS 432095,B100000,00000,0700,0700SQ FT 432095,B100000,00000,0800,0800MEALS SERVED 432095,B100000,00000,0900,0900PT DAYS 432095,B100000,00000,1000,1000COSTED REQUIS 432095,B100000,00000,1100,1100COSTED REQUIS 432095,B100000,00000,1200,1200GROSS CHARGES 432095,B100000,00000,1300,1300PT DAYS 432095,B100000,00000,1400,1400ASSIGNED TIME 432095,B100000,00000,1500,1350PT DAYS 432095,G300000,02500,0000,MISC REVENUE 432095,S000000,00100,0200,09/26/11 432095,S200000,00100,0100,6040 HARFORD ROAD 432095,S200000,00200,0100,BALTIMORE 432095,S200000,00200,0200,MD 432095,S200000,00200,0300,21214 432095,S200000,00300,0100,BALTIMORE CITY 432095,S200000,00300,0201,12580 432095,S200000,00300,0300,U 432095,S200000,00400,0100,HAMILTON CENTER 432095,S200000,00400,0200,215087 432095,S200000,00400,0300,10/01/87 432095,S200000,00400,0500,P 432095,S200000,01500,0100,Y 432095,S200000,01501,0200,N 432095,S200000,01502,0200,N 432095,S200000,01503,0200,N 432095,S200000,01504,0200,N 432095,S200000,01505,0000,DON BONUS 432095,S200000,01505,0200,N 432095,S200000,01600,0100,N 432095,S200000,01700,0100,N 432095,S200000,01800,0100,N 432095,S200000,02200,0100,Y 432095,S200000,02800,0100,N 432095,S200000,02900,0100,N 432095,S200000,03000,0100,N 432095,S200000,03100,0100,N 432095,S200000,03200,0100,N 432095,S200000,03300,0100,N 432095,S200000,03300,0200,N 432095,S200000,04200,0100,N 432095,S200000,04300,0100,N 432095,S200000,04600,0100,N 432095,S200000,04700,0100,N 432095,S200000,04900,0100,N 432095,S200000,05200,0100,N 432095,S200000,05300,0100,N 432100,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432100,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432100,A000000,00300,0000,0300EMPLOYEE BENEFITS 432100,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432100,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432100,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432100,A000000,00700,0000,0700HOUSEKEEPING 432100,A000000,00800,0000,0800DIETARY 432100,A000000,00900,0000,0900NURSING ADMINISTRATION 432100,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432100,A000000,01100,0000,1100PHARMACY 432100,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432100,A000000,01300,0000,1300SOCIAL SERVICE 432100,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432100,A000000,01500,0000,1350RECREATION 432100,A000000,01600,0000,1600SKILLED NURSING FACILITY 432100,A000000,01810,0000,1810ICF/MR 432100,A000000,02100,0000,2100RADIOLOGY 432100,A000000,02200,0000,2200LABORATORY 432100,A000000,02300,0000,2300INTRAVENOUS THERAPY 432100,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432100,A000000,02500,0000,2500PHYSICAL THERAPY 432100,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432100,A000000,02700,0000,2700SPEECH PATHOLOGY 432100,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432100,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432100,A000000,03550,0000,3550FQHC 432100,A000000,04801,0000,4801AMBULANCE 432100,A000000,04802,0000,4802AMBULANCE 432100,A000000,04803,0000,4803AMBULANCE 432100,A000000,05000,0000,5000CORF 432100,A000000,05010,0000,5010CMHC 432100,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432100,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432100,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432100,A81000A,00100,0100,Y 432100,A81000B,00100,0300,SEE ATTACHED 432100,A81000B,00200,0300,HOME OFFICE INTEREST 432100,A81000B,00300,0300,HOME OFFICE A&G 432100,A81000B,00400,0300,HOME OFFICE CAP PIEC 432100,A81000C,00100,0100,B 432100,A81000C,00100,0400,SEE ATTACHED 432100,A81000C,00100,0600,VARIOUS 432100,A81000C,00200,0100,B 432100,A81000C,00200,0400,GHC 432100,A81000C,00200,0600,LONG TERM CARE 432100,A81000C,00300,0100,B 432100,A81000C,00300,0400,GHC 432100,A81000C,00300,0600,LONG TERM CARE 432100,A81000C,00400,0100,B 432100,A81000C,00400,0400,GHC 432100,A81000C,00400,0600,LONG TERM CARE 432100,B100000,00000,0100,0100SQUARE FEET 432100,B100000,00000,0200,0200SQUARE FEET 432100,B100000,00000,0300,0300GROSS SALARIES 432100,B100000,00000,0400,0400ACCUM COST 432100,B100000,00000,0500,0500SQUARE FEET 432100,B100000,00000,0600,0600PATIENT DAYS 432100,B100000,00000,0700,0700SQUARE FEET 432100,B100000,00000,0800,0800MEALS SERVED 432100,B100000,00000,0900,0900NURSING SALARIES 432100,B100000,00000,1000,1000COSTED REQUIS 432100,B100000,00000,1100,1100COSTED REQUIS 432100,B100000,00000,1200,1200PATIENT DAYS 432100,B100000,00000,1300,1300PATIENT DAYS 432100,B100000,00000,1400,1400ASSIGNED TIME 432100,B100000,00000,1500,1350PATIENT DAYS 432100,E10A180,00501,0100,01/04/12 432100,E10A180,00502,0300,01/04/12 432100,G300000,02500,0000,BARBER AND BEAUTY 432100,S000000,00100,0200,12/02/11 432100,S200000,00100,0100,549 BALTIMORE PIKE 432100,S200000,00200,0100,GLEN MILLS 432100,S200000,00200,0200,PA 432100,S200000,00200,0300,19342 432100,S200000,00300,0100,DELAWARE 432100,S200000,00300,0201,37964 432100,S200000,00300,0300,U 432100,S200000,00400,0100,BRINTON MANOR 432100,S200000,00400,0200,395917 432100,S200000,00400,0300,12/01/93 432100,S200000,00400,0500,P 432100,S200000,01500,0100,Y 432100,S200000,01501,0200,N 432100,S200000,01502,0200,N 432100,S200000,01503,0200,N 432100,S200000,01504,0200,N 432100,S200000,01600,0100,N 432100,S200000,01700,0100,N 432100,S200000,01800,0100,N 432100,S200000,01900,0100,LLC 432100,S200000,02200,0100,Y 432100,S200000,02800,0100,N 432100,S200000,02900,0100,N 432100,S200000,03000,0100,N 432100,S200000,03100,0100,N 432100,S200000,03200,0100,N 432100,S200000,03300,0100,N 432100,S200000,03300,0200,N 432100,S200000,04200,0100,N 432100,S200000,04300,0100,N 432100,S200000,04600,0100,N 432100,S200000,04700,0100,N 432100,S200000,04900,0100,N 432100,S200000,05200,0100,N 432100,S200000,05300,0100,Y 432100,S200000,05300,0200,HB0067 432100,S200000,05400,0100,GENESIS HEALTHCARE LLC 432100,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432100,S200000,05400,0300,12001 432100,S200000,05500,0100,101 EAST STATE STREET 432100,S200000,05600,0100,KENNETT SQUARE 432100,S200000,05600,0200,PA 432100,S200000,05600,0300,19348 432102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432102,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432102,A000000,00300,0000,0300EMPLOYEE BENEFITS 432102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432102,A000000,00700,0000,0700HOUSEKEEPING 432102,A000000,00800,0000,0800DIETARY 432102,A000000,00900,0000,0900NURSING ADMINISTRATION 432102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432102,A000000,01100,0000,1100PHARMACY 432102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432102,A000000,01300,0000,1300SOCIAL SERVICE 432102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432102,A000000,01600,0000,1600SKILLED NURSING FACILITY 432102,A000000,01810,0000,1810ICF/MR 432102,A000000,02100,0000,2100RADIOLOGY 432102,A000000,02200,0000,2200LABORATORY 432102,A000000,02500,0000,2500PHYSICAL THERAPY 432102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432102,A000000,02700,0000,2700SPEECH PATHOLOGY 432102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432102,A000000,03200,0000,3200SUPPORT SURFACES 432102,A000000,03550,0000,3550FQHC 432102,A000000,04800,0000,4800AMBULANCE 432102,A000000,04801,0000,4801AMBULANCE 432102,A000000,04802,0000,4802AMBULANCE 432102,A000000,04803,0000,4803AMBULANCE 432102,A000000,05000,0000,5000CORF 432102,A000000,05010,0000,5010CMHC 432102,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432102,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432102,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432102,A81000A,00100,0100,Y 432102,A81000B,00100,0300,NURSING CONSULTANT 432102,A81000B,00200,0300,HOME OFFICE COSTS 432102,A81000C,00100,0100,B 432102,A81000C,00100,0200,EPIC GROUP 432102,A81000C,00100,0400,EPIC GROUP 432102,A81000C,00100,0600,HOME OFFICE 432102,A81000C,00200,0100,B 432102,A81000C,00200,0200,EPIC GROUP 432102,A81000C,00200,0400,EPIC GROUP 432102,A81000C,00200,0600,HOME OFFICE 432102,B100000,00000,0100,0100SQUARE FEET 432102,B100000,00000,0200,0200SQUARE FEET 432102,B100000,00000,0300,0300GROSS SALARIES 432102,B100000,00000,0400,0400ACCUM COST 432102,B100000,00000,0500,0500SQUARE FEET 432102,B100000,00000,0600,0600POUNDS OF LAUNDRY 432102,B100000,00000,0700,0700HOURS OF SERVICE 432102,B100000,00000,0800,0800MEALS SERVED 432102,B100000,00000,0900,0900DIRECT NURSING 432102,B100000,00000,1000,1000COSTED REQUIS 432102,B100000,00000,1100,1100COSTED REQUIS 432102,B100000,00000,1200,1200TIME SPENT 432102,B100000,00000,1300,1300TIME SPENT 432102,B100000,00000,1400,1400ASSIGNED TIME 432102,E10A180,00301,0100,03/21/11 432102,E10A180,00501,0100,04/12/12 432102,E10A180,00502,0300,04/12/12 432102,S000000,00100,0200,02/29/12 432102,S200000,00100,0100,114 EAST GEORGIA ROAD 432102,S200000,00100,0300,879 432102,S200000,00200,0100,WOODRUFF 432102,S200000,00200,0200,SC 432102,S200000,00200,0300,29388 432102,S200000,00300,0100,SPARTANBURG 432102,S200000,00300,0201,43900 432102,S200000,00300,0300,R 432102,S200000,00400,0100,WOODRUFF MANOR LLC 432102,S200000,00400,0200,425179 432102,S200000,00400,0300,09/17/01 432102,S200000,00400,0500,P 432102,S200000,01500,0100,Y 432102,S200000,01501,0200,N 432102,S200000,01502,0200,N 432102,S200000,01503,0200,N 432102,S200000,01504,0200,Y 432102,S200000,01600,0100,N 432102,S200000,01700,0100,N 432102,S200000,01800,0100,N 432102,S200000,02200,0100,N 432102,S200000,02800,0100,N 432102,S200000,02900,0100,N 432102,S200000,03000,0100,N 432102,S200000,03100,0100,N 432102,S200000,03200,0100,N 432102,S200000,03300,0100,N 432102,S200000,03300,0200,N 432102,S200000,04200,0100,N 432102,S200000,04300,0100,N 432102,S200000,04600,0100,N 432102,S200000,04700,0100,N 432102,S200000,04900,0100,N 432102,S200000,05200,0100,N 432102,S200000,05300,0100,Y 432102,S200000,05300,0200,58-420 432102,S200000,05400,0100,EPIC MANAGEMENT LLC 432102,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432102,S200000,05400,0300,00000 432102,S200000,05500,0200,1907 432102,S200000,05600,0100,KENNERSVILLE 432102,S200000,05600,0200,NC 432102,S200000,05600,0300,27285 432103,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432103,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432103,A000000,00300,0000,0300EMPLOYEE BENEFITS 432103,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432103,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432103,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432103,A000000,00700,0000,0700HOUSEKEEPING 432103,A000000,00800,0000,0800DIETARY 432103,A000000,00900,0000,0900NURSING ADMINISTRATION 432103,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432103,A000000,01100,0000,1100PHARMACY 432103,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432103,A000000,01300,0000,1300SOCIAL SERVICE 432103,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432103,A000000,01500,0000,1350ACTIVITIES 432103,A000000,01600,0000,1600SKILLED NURSING FACILITY 432103,A000000,01810,0000,1810ICF/MR 432103,A000000,02100,0000,2100RADIOLOGY 432103,A000000,02200,0000,2200LABORATORY 432103,A000000,02300,0000,2300INTRAVENOUS THERAPY 432103,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432103,A000000,02500,0000,2500PHYSICAL THERAPY 432103,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432103,A000000,02700,0000,2700SPEECH PATHOLOGY 432103,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432103,A000000,03200,0000,3200SUPPORT SURFACES 432103,A000000,03300,0000,3050PEN BILLING 432103,A000000,03550,0000,3550FQHC 432103,A000000,04801,0000,4801AMBULANCE 432103,A000000,04802,0000,4802AMBULANCE 432103,A000000,04803,0000,4803AMBULANCE 432103,A000000,05000,0000,5000CORF 432103,A000000,05010,0000,5010CMHC 432103,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432103,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432103,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432103,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432103,A81000A,00100,0100,Y 432103,A81000B,00100,0300,HOME OFFICE A AND G 432103,A81000B,00200,0300,DIR INT AND AMORT 432103,A81000B,00300,0300,HOME OFFICE CAP REL 432103,A81000B,00400,0300,PT 432103,A81000B,00500,0300,OT 432103,A81000B,00600,0300,ST 432103,A81000B,00700,0300,DIETARY 432103,A81000B,00800,0300,RT/OXYGEN 432103,A81000B,00900,0300,MED DIR FEES 432103,A81000B,01000,0300,VAR NURS PURCH SERV 432103,A81000C,00100,0100,B 432103,A81000C,00100,0200,GENE HEALTHCARE 432103,A81000C,00100,0600,MNGT CO 432103,A81000C,00200,0100,B 432103,A81000C,00200,0200,THERAPY SER 432103,A81000C,00200,0600,PT OT ST 432103,A81000C,00300,0100,B 432103,A81000C,00300,0200,GENE HOSP SER 432103,A81000C,00300,0600,NUTRITIONIST 432103,A81000C,00400,0100,B 432103,A81000C,00400,0200,GENE PHYS SER 432103,A81000C,00400,0600,MED DIRECTORS 432103,A81000C,00500,0100,B 432103,A81000C,00500,0200,GENE STAFFING S 432103,A81000C,00500,0600,NUR PUR SER 432103,B100000,00000,0100,0100SQUARE FEET 432103,B100000,00000,0200,0200SQUARE FEET 432103,B100000,00000,0300,0300GROSS SALARIES 432103,B100000,00000,0400,0400ACCUM COST 432103,B100000,00000,0500,0500SQUARE FEET 432103,B100000,00000,0600,0600PT DAYS 432103,B100000,00000,0700,0700SQ FEET 432103,B100000,00000,0800,0800MEALS SERVED 432103,B100000,00000,0900,0900PT DAYS 432103,B100000,00000,1000,1000COSTED REQUIS 432103,B100000,00000,1100,1100COSTED REQUIS 432103,B100000,00000,1200,1200GROSS CHARGES 432103,B100000,00000,1300,1300PT DAYS 432103,B100000,00000,1400,1400ASSIGNED TIME 432103,B100000,00000,1500,1350PT DAYS 432103,E10A180,00302,0100,03/25/11 432103,E10A180,00502,0300,11/11/11 432103,E10A180,00550,0100,11/11/11 432103,S000000,00100,0200,09/06/11 432103,S200000,00100,0100,89 CECIL AVENUE 432103,S200000,00200,0100,MILLERSVILLE 432103,S200000,00200,0200,MD 432103,S200000,00200,0300,21108 432103,S200000,00300,0100,ANNE ARUNDEL 432103,S200000,00300,0201,12580 432103,S200000,00300,0300,U 432103,S200000,00400,0100,KNOLLWOOD MANOR 432103,S200000,00400,0200,215148 432103,S200000,00400,0300,01/01/86 432103,S200000,00400,0500,P 432103,S200000,01500,0100,Y 432103,S200000,01501,0200,N 432103,S200000,01502,0200,N 432103,S200000,01503,0200,N 432103,S200000,01504,0200,N 432103,S200000,01505,0000,DON BONUS 432103,S200000,01505,0200,N 432103,S200000,01600,0100,N 432103,S200000,01700,0100,N 432103,S200000,01800,0100,N 432103,S200000,02200,0100,Y 432103,S200000,02800,0100,N 432103,S200000,02900,0100,N 432103,S200000,03000,0100,N 432103,S200000,03100,0100,N 432103,S200000,03200,0100,N 432103,S200000,03300,0100,N 432103,S200000,03300,0200,N 432103,S200000,04200,0100,N 432103,S200000,04300,0100,N 432103,S200000,04600,0100,N 432103,S200000,04700,0100,N 432103,S200000,04900,0100,N 432103,S200000,05200,0100,N 432103,S200000,05300,0100,Y 432103,S200000,05300,0200,HB0067 432103,S200000,05400,0100,GENESIS HEALTHCARE 432103,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432103,S200000,05400,0300,12001 432103,S200000,05500,0100,101 EAST STATE STREET 432103,S200000,05600,0100,KENNETT SQUARE 432103,S200000,05600,0200,PA 432103,S200000,05600,0300,19348 432156,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432156,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432156,A000000,00300,0000,0300EMPLOYEE BENEFITS 432156,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432156,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432156,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432156,A000000,00700,0000,0700HOUSEKEEPING 432156,A000000,00800,0000,0800DIETARY 432156,A000000,00900,0000,0900NURSING ADMINISTRATION 432156,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432156,A000000,01100,0000,1100PHARMACY 432156,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432156,A000000,01300,0000,1300SOCIAL SERVICE 432156,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432156,A000000,01500,0000,1350RECREATION 432156,A000000,01600,0000,1600SKILLED NURSING FACILITY 432156,A000000,01810,0000,1810ICF/MR 432156,A000000,02100,0000,2100RADIOLOGY 432156,A000000,02200,0000,2200LABORATORY 432156,A000000,02300,0000,2300INTRAVENOUS THERAPY 432156,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432156,A000000,02500,0000,2500PHYSICAL THERAPY 432156,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432156,A000000,02700,0000,2700SPEECH PATHOLOGY 432156,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432156,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432156,A000000,03550,0000,3550FQHC 432156,A000000,04801,0000,4801AMBULANCE 432156,A000000,04802,0000,4802AMBULANCE 432156,A000000,04803,0000,4803AMBULANCE 432156,A000000,05000,0000,5000CORF 432156,A000000,05010,0000,5010CMHC 432156,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432156,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432156,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432156,A81000A,00100,0100,Y 432156,A81000B,00100,0300,SEE ATTACHED 432156,A81000B,00200,0300,CAPITAL INTEREST 432156,A81000B,00300,0300,HOME OFFICE 432156,A81000B,00400,0300,HOME OFFICE 432156,A81000C,00100,0100,B 432156,A81000C,00100,0400,SEE ATTACHED 432156,A81000C,00100,0600,VARIOUS 432156,A81000C,00200,0100,B 432156,A81000C,00200,0400,GHC 432156,A81000C,00200,0600,LONG TERM CARE 432156,A81000C,00300,0100,B 432156,A81000C,00300,0400,GHC 432156,A81000C,00300,0600,LONG TERM CARE 432156,A81000C,00400,0100,B 432156,A81000C,00400,0400,GHC 432156,A81000C,00400,0600,LONG TERM CARE 432156,B100000,00000,0100,0100SQUARE FEET 432156,B100000,00000,0200,0200SQUARE FEET 432156,B100000,00000,0300,0300GROSS SALARIES 432156,B100000,00000,0400,0400ACCUM COST 432156,B100000,00000,0500,0500SQUARE FEET 432156,B100000,00000,0600,0600PATIENT DAYS 432156,B100000,00000,0700,0700SQUARE FEET 432156,B100000,00000,0800,0800MEALS SERVED 432156,B100000,00000,0900,0900NURSING SALARIES 432156,B100000,00000,1000,1000COSTED REQUIS 432156,B100000,00000,1100,1100COSTED REQUIS 432156,B100000,00000,1200,1200PATIENT DAYS 432156,B100000,00000,1300,1300PATIENT DAYS 432156,B100000,00000,1400,1400ASSIGNED TIME 432156,B100000,00000,1500,1350PATIENT DAYS 432156,E10A180,00301,0100,03/24/11 432156,E10A180,00501,0300,10/13/11 432156,E10A180,00550,0100,10/13/11 432156,G300000,02500,0000,BARBER & BEAUTY 432156,S000000,00100,0200,09/12/11 432156,S200000,00100,0100,1700 PINE STREET 432156,S200000,00200,0100,NORRISTOWN 432156,S200000,00200,0200,PA 432156,S200000,00200,0300,19401 432156,S200000,00300,0100,MONTGOMERY 432156,S200000,00300,0201,37964 432156,S200000,00300,0300,U 432156,S200000,00400,0100,RITTENHOUSE PINE CENTER 432156,S200000,00400,0200,396009 432156,S200000,00400,0300,09/10/96 432156,S200000,00400,0500,P 432156,S200000,01500,0100,Y 432156,S200000,01501,0200,N 432156,S200000,01502,0200,N 432156,S200000,01503,0200,N 432156,S200000,01504,0200,N 432156,S200000,01600,0100,N 432156,S200000,01700,0100,N 432156,S200000,01800,0100,N 432156,S200000,02200,0100,Y 432156,S200000,02800,0100,N 432156,S200000,02900,0100,N 432156,S200000,03000,0100,N 432156,S200000,03100,0100,N 432156,S200000,03200,0100,N 432156,S200000,03300,0100,N 432156,S200000,03300,0200,N 432156,S200000,04200,0100,N 432156,S200000,04300,0100,N 432156,S200000,04600,0100,N 432156,S200000,04700,0100,N 432156,S200000,04900,0100,N 432156,S200000,05200,0100,N 432156,S200000,05300,0100,Y 432156,S200000,05300,0200,HB0067 432156,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432156,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432156,S200000,05400,0300,12001 432156,S200000,05500,0100,101 EAST STATE STREET 432156,S200000,05600,0100,KENNETT SQUARE 432156,S200000,05600,0200,PA 432156,S200000,05600,0300,19348 432161,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432161,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432161,A000000,00300,0000,0300EMPLOYEE BENEFITS 432161,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432161,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432161,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432161,A000000,00700,0000,0700HOUSEKEEPING 432161,A000000,00800,0000,0800DIETARY 432161,A000000,00900,0000,0900NURSING ADMINISTRATION 432161,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432161,A000000,01100,0000,1100PHARMACY 432161,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432161,A000000,01300,0000,1300SOCIAL SERVICE 432161,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432161,A000000,01500,0000,1350ACTIVITIES 432161,A000000,01600,0000,1600SKILLED NURSING FACILITY 432161,A000000,01810,0000,1810ICF/MR 432161,A000000,02100,0000,2100RADIOLOGY 432161,A000000,02200,0000,2200LABORATORY 432161,A000000,02300,0000,2300INTRAVENOUS THERAPY 432161,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432161,A000000,02500,0000,2500PHYSICAL THERAPY 432161,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432161,A000000,02700,0000,2700SPEECH PATHOLOGY 432161,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432161,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432161,A000000,03200,0000,3200SUPPORT SURFACES 432161,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432161,A000000,03550,0000,3550FQHC 432161,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432161,A000000,04801,0000,4801AMBULANCE 432161,A000000,04802,0000,4802AMBULANCE 432161,A000000,04803,0000,4803AMBULANCE 432161,A000000,05000,0000,5000CORF 432161,A000000,05010,0000,5010CMHC 432161,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432161,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432161,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432161,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432161,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432161,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432161,A81000A,00100,0100,Y 432161,A81000B,00100,0300,HOME OFFICE/MGMT FEE 432161,A81000C,00100,0100,B 432161,A81000C,00100,0200,BRIGHTEN HEALTH GROUP LLC 432161,A81000C,00100,0400,BRIGHTEN HEALTH GROUP LLC 432161,A81000C,00100,0600,PARENT COMPANY 432161,B100000,00000,0100,0100SQUARE FEET 432161,B100000,00000,0200,0200SQUARE FEET 432161,B100000,00000,0300,0300GROSS SALARIES 432161,B100000,00000,0400,0400ACCUM COST 432161,B100000,00000,0500,0500SQUARE FEET 432161,B100000,00000,0600,0600PATIENT DAYS 432161,B100000,00000,0700,0700SQUARE FEET 432161,B100000,00000,0800,0800MEALS SERVED 432161,B100000,00000,0900,0900NURSING SALARIES 432161,B100000,00000,1000,1000PATIENT DAYS 432161,B100000,00000,1100,1100PATIENT DAYS 432161,B100000,00000,1200,1200PATIENT DAYS 432161,B100000,00000,1300,1300PATIENT DAYS 432161,B100000,00000,1400,1400ASSIGNED TIME 432161,B100000,00000,1500,1350PATIENT DAYS 432161,G300000,02500,0000,OTHER REVENUE 432161,S000000,00100,0200,09/28/11 432161,S200000,00100,0100,1404 GOLF PARK DRIVE 432161,S200000,00200,0100,LAKE ARIEL 432161,S200000,00200,0200,PA 432161,S200000,00200,0300,18436 432161,S200000,00300,0100,WAYNE 432161,S200000,00300,0201,11020 432161,S200000,00300,0300,U 432161,S200000,00400,0100,BRIGHTEN AT JULIA RIBAUDO 432161,S200000,00400,0200,395493 432161,S200000,00400,0300,01/26/87 432161,S200000,00400,0500,P 432161,S200000,01500,0100,Y 432161,S200000,01501,0200,Y 432161,S200000,01600,0100,N 432161,S200000,01700,0100,N 432161,S200000,01800,0100,N 432161,S200000,02200,0100,N 432161,S200000,02800,0100,N 432161,S200000,02900,0100,N 432161,S200000,03000,0100,N 432161,S200000,03100,0100,N 432161,S200000,03200,0100,N 432161,S200000,03300,0100,N 432161,S200000,03300,0200,N 432161,S200000,04200,0100,N 432161,S200000,04300,0100,N 432161,S200000,04600,0100,N 432161,S200000,04700,0100,N 432161,S200000,04900,0100,N 432161,S200000,05200,0100,N 432161,S200000,05300,0100,Y 432161,S200000,05300,0200,NA 432161,S200000,05400,0100,BRIGHTEN HEALTH GROUP LLC 432161,S200000,05400,0200,NA 432161,S200000,05400,0300,NA 432161,S200000,05500,0100,956 E RAILROAD AVENUE SUITE 201 432161,S200000,05600,0100,BRYN MAWR 432161,S200000,05600,0200,PA 432161,S200000,05600,0300,19010 432162,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432162,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432162,A000000,00300,0000,0300EMPLOYEE BENEFITS 432162,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432162,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432162,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432162,A000000,00700,0000,0700HOUSEKEEPING 432162,A000000,00800,0000,0800DIETARY 432162,A000000,00900,0000,0900NURSING ADMINISTRATION 432162,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432162,A000000,01100,0000,1100PHARMACY 432162,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432162,A000000,01300,0000,1300SOCIAL SERVICE 432162,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432162,A000000,01500,0000,1350RECREATION 432162,A000000,01600,0000,1600SKILLED NURSING FACILITY 432162,A000000,01810,0000,1810ICF/MR 432162,A000000,02100,0000,2100RADIOLOGY 432162,A000000,02200,0000,2200LABORATORY 432162,A000000,02300,0000,2300INTRAVENOUS THERAPY 432162,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432162,A000000,02500,0000,2500PHYSICAL THERAPY 432162,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432162,A000000,02700,0000,2700SPEECH PATHOLOGY 432162,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432162,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432162,A000000,03550,0000,3550FQHC 432162,A000000,04801,0000,4801AMBULANCE 432162,A000000,04802,0000,4802AMBULANCE 432162,A000000,04803,0000,4803AMBULANCE 432162,A000000,05000,0000,5000CORF 432162,A000000,05010,0000,5010CMHC 432162,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432162,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432162,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432162,A81000A,00100,0100,Y 432162,A81000B,00100,0300,SEE ATTACHED 432162,A81000B,00200,0300,HOME OFFICE INTEREST 432162,A81000B,00300,0300,HOME OFFICE ADMIN 432162,A81000B,00400,0300,HOME OFFICE CAPITAL 432162,A81000C,00100,0100,B 432162,A81000C,00100,0400,SEE ATTACHED 432162,A81000C,00100,0600,VARIOUS 432162,A81000C,00200,0100,B 432162,A81000C,00200,0400,GHC 432162,A81000C,00200,0600,LONG TERM CARE 432162,A81000C,00300,0100,B 432162,A81000C,00300,0400,GHC 432162,A81000C,00300,0600,LONG TERM CARE 432162,A81000C,00400,0100,B 432162,A81000C,00400,0400,GHC 432162,A81000C,00400,0600,LONG TERM CARE 432162,B100000,00000,0100,0100SQUARE FEET 432162,B100000,00000,0200,0200SQUARE FEET 432162,B100000,00000,0300,0300GROSS SALARIES 432162,B100000,00000,0400,0400ACCUM COST 432162,B100000,00000,0500,0500SQUARE FEET 432162,B100000,00000,0600,0600PATIENT DAYS 432162,B100000,00000,0700,0700SQUARE FEET 432162,B100000,00000,0800,0800MEALS SERVED 432162,B100000,00000,0900,0900NURSING SALARIES 432162,B100000,00000,1000,1000COSTED REQUIS 432162,B100000,00000,1100,1100COSTED REQUIS 432162,B100000,00000,1200,1200PATIENT DAYS 432162,B100000,00000,1300,1300PATIENT DAYS 432162,B100000,00000,1400,1400ASSIGNED TIME 432162,B100000,00000,1500,1350PATIENT DAYS 432162,G300000,02500,0000,BARBER AND BEAUTY 432162,S000000,00100,0200,09/07/11 432162,S200000,00100,0100,1020 SOUTH MAIN STREET 432162,S200000,00200,0100,QUAKERTOWN 432162,S200000,00200,0200,PA 432162,S200000,00200,0300,18951 432162,S200000,00300,0100,BUCKS 432162,S200000,00300,0201,37964 432162,S200000,00300,0300,U 432162,S200000,00400,0100,QUAKERTOWN CENTER 432162,S200000,00400,0200,395405 432162,S200000,00400,0300,03/01/89 432162,S200000,00400,0500,P 432162,S200000,01500,0100,Y 432162,S200000,01501,0200,N 432162,S200000,01502,0200,N 432162,S200000,01503,0200,N 432162,S200000,01504,0200,N 432162,S200000,01600,0100,N 432162,S200000,01700,0100,N 432162,S200000,01800,0100,N 432162,S200000,02200,0100,Y 432162,S200000,02800,0100,N 432162,S200000,02900,0100,N 432162,S200000,03000,0100,N 432162,S200000,03100,0100,N 432162,S200000,03200,0100,N 432162,S200000,03300,0100,N 432162,S200000,03300,0200,N 432162,S200000,04200,0100,N 432162,S200000,04300,0100,N 432162,S200000,04600,0100,N 432162,S200000,04700,0100,N 432162,S200000,04900,0100,N 432162,S200000,05200,0100,N 432162,S200000,05300,0100,Y 432162,S200000,05300,0200,HB0067 432162,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432162,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432162,S200000,05400,0300,12001 432162,S200000,05500,0100,101 EAST STATE STREET 432162,S200000,05600,0100,KENNETT SQUARE 432162,S200000,05600,0200,PA 432162,S200000,05600,0300,19348 432166,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432166,A000000,00300,0000,0300EMPLOYEE BENEFITS 432166,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432166,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432166,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432166,A000000,00700,0000,0700HOUSEKEEPING 432166,A000000,00800,0000,0800DIETARY 432166,A000000,00900,0000,0900NURSING ADMINISTRATION 432166,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432166,A000000,01100,0000,1100PHARMACY 432166,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432166,A000000,01300,0000,1300SOCIAL SERVICE 432166,A000000,01500,0000,1350PATIENT ACTIVITIES 432166,A000000,01600,0000,1600SKILLED NURSING FACILITY 432166,A000000,01900,0000,1900OTHER LONG TERM CARE 432166,A000000,02100,0000,2100RADIOLOGY 432166,A000000,02200,0000,2200LABORATORY 432166,A000000,02500,0000,2500PHYSICAL THERAPY 432166,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432166,A000000,02700,0000,2700SPEECH PATHOLOGY 432166,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432166,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432166,A000000,03200,0000,3200SUPPORT SURFACES 432166,A000000,04800,0000,4800AMBULANCE 432166,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432166,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432166,A81000A,00100,0100,Y 432166,A81000B,00100,0300,ACCOUNTING 432166,A81000B,00200,0300,LEASE 432166,A81000B,00300,0300,INTEREST 432166,A81000B,00500,0300,OTHER 432166,A81000B,00600,0300,DEPRECIATION 432166,A81000C,00100,0100,A 432166,A81000C,00100,0200,OSCAR HARRIS 432166,A81000C,00100,0400,OSCAR HARRIS & ASSOC 432166,A81000C,00100,0600,ACCOUNTING 432166,A81000C,00200,0100,A 432166,A81000C,00200,0200,DAVID ARNN 432166,A81000C,00200,0400,ARNN INVESTMENTS 432166,A81000C,00200,0600,PROPERTY 432166,A81000C,00300,0100,A 432166,A81000C,00300,0200,DAVID ARNN 432166,A81000C,00300,0400,ARNN INVESTMENTS 432166,A81000C,00300,0600,PROPERTY 432166,A81000C,00500,0100,A 432166,A81000C,00500,0200,DAVID ARNN 432166,A81000C,00500,0400,ARNN INVESTMENTS 432166,A81000C,00500,0600,PROPERTY 432166,A81000C,00600,0100,A 432166,A81000C,00600,0200,DAVID ARNN 432166,A81000C,00600,0400,ARNN INVESTMENTS 432166,A81000C,00600,0600,PROPERTY 432166,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432166,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432166,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432166,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432166,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432166,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432166,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432166,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432166,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432166,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432166,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432166,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432166,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432166,E10A180,00550,0100,02/29/12 432166,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 432166,G300000,02501,0000,OTHER 432166,S000000,00100,0200,02/29/12 432166,S200000,00100,0100,902 BERKSHIRE ROAD 432166,S200000,00100,0300,1940 432166,S200000,00200,0100,SMITHFIELD 432166,S200000,00200,0200,NC 432166,S200000,00200,0300,27577 432166,S200000,00300,0100,JOHNSTON 432166,S200000,00300,0200,6640 432166,S200000,00300,0201,39580 432166,S200000,00300,0300,U 432166,S200000,00400,0100,SMITHFIELD MANOR INC 432166,S200000,00400,0200,345175 432166,S200000,00400,0300,04/27/90 432166,S200000,00400,0500,P 432166,S200000,01500,0100,N 432166,S200000,01501,0200,Y 432166,S200000,01503,0200,Y 432166,S200000,01600,0100,Y 432166,S200000,01700,0100,N 432166,S200000,01800,0100,N 432166,S200000,02200,0100,N 432166,S200000,02800,0100,N 432166,S200000,02900,0100,N 432166,S200000,03000,0100,N 432166,S200000,03100,0100,N 432166,S200000,03200,0100,N 432166,S200000,03300,0100,N 432166,S200000,03300,0200,N 432166,S200000,04100,0100,N 432166,S200000,04200,0100,N 432166,S200000,04300,0100,N 432166,S200000,04600,0100,N 432166,S200000,04700,0100,N 432166,S200000,04700,0200,N 432166,S200000,04900,0100,N 432166,S200000,05000,0100,N 432166,S200000,05100,0100,N 432166,S200000,05200,0100,N 432167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432167,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432167,A000000,00300,0000,0300EMPLOYEE BENEFITS 432167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432167,A000000,00700,0000,0700HOUSEKEEPING 432167,A000000,00800,0000,0800DIETARY 432167,A000000,00900,0000,0900NURSING ADMINISTRATION 432167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432167,A000000,01100,0000,1100PHARMACY 432167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432167,A000000,01300,0000,1300SOCIAL SERVICE 432167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432167,A000000,01500,0000,1350ACTIVITIES 432167,A000000,01600,0000,1600SKILLED NURSING FACILITY 432167,A000000,01800,0000,1800NURSING FACILITY 432167,A000000,01810,0000,1810ICF/MR 432167,A000000,01900,0000,1900OTHER LONG TERM CARE 432167,A000000,02100,0000,2100RADIOLOGY 432167,A000000,02200,0000,2200LABORATORY 432167,A000000,02300,0000,2300INTRAVENOUS THERAPY 432167,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432167,A000000,02500,0000,2500PHYSICAL THERAPY 432167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432167,A000000,02700,0000,2700SPEECH PATHOLOGY 432167,A000000,02800,0000,2800ELECTROCARDIOLOGY 432167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432167,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432167,A000000,03200,0000,3200SUPPORT SURFACES 432167,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432167,A000000,03400,0000,3400CLINIC 432167,A000000,03500,0000,3500RURAL HEALTH CLINIC 432167,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432167,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432167,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432167,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432167,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432167,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432167,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432167,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432167,A000000,04400,0000,4400DME RENTED - HHA 432167,A000000,04500,0000,4500DME SOLD - HHA 432167,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432167,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432167,A000000,04710,0000,4710TELEMEDICINE 432167,A000000,04800,0000,4800AMBULANCE 432167,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432167,A000000,05000,0000,5000CORF 432167,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432167,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432167,A000000,05300,0000,5300INTEREST EXPENSE 432167,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432167,A000000,05500,0000,5500HOSPICE 432167,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432167,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432167,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432167,A000000,06100,0000,6100NONPAID WORKERS 432167,A000000,06200,0000,6200PATIENTS LAUNDRY 432167,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432167,A81000A,00100,0100,Y 432167,A81000B,00100,0300,HOME OFFICE COSTS 432167,A81000B,00200,0300,HOME OFFICE COSTS 432167,A81000B,00300,0300,WORKERS COMPENSATION 432167,A81000B,00400,0300,HOME OFFICE COSTS 432167,A81000B,00500,0300,HOME OFFICE COSTS 432167,A81000B,00600,0300,HOME OFFICE COSTS 432167,A81000B,00700,0300,HOME OFFICE COSTS 432167,A81000B,00800,0300,PHYSICAL THERAPY 432167,A81000B,00900,0300,OCCUPATIONAL THERAPY 432167,A81000B,01000,0300,SPEECH THERAPY 432167,A81000B,01100,0300,TRANSPORTATION SERVICES 432167,A81000C,00100,0100,A 432167,A81000C,00100,0200,STUART AND MIKE REED 432167,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00100,0600,NURSING HOMES 432167,A81000C,00200,0100,A 432167,A81000C,00200,0200,STUART AND MIKE REED 432167,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00200,0600,NURSING HOMES 432167,A81000C,00300,0100,D 432167,A81000C,00300,0200,SUZANNE REED 432167,A81000C,00300,0400,INDIANA FITNESS WORKS 432167,A81000C,00300,0600,THERAPY 432167,A81000C,00400,0100,A 432167,A81000C,00400,0200,STUART AND MIKE REED 432167,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00400,0600,NURSING HOMES 432167,A81000C,00500,0100,A 432167,A81000C,00500,0200,STUART AND MIKE REED 432167,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00500,0600,NURSING HOMES 432167,A81000C,00600,0100,A 432167,A81000C,00600,0200,STUART AND MIKE REED 432167,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00600,0600,NURSING HOMES 432167,A81000C,00700,0100,A 432167,A81000C,00700,0200,STUART AND MIKE REED 432167,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432167,A81000C,00700,0600,NURSING HOMES 432167,A81000C,00800,0100,D 432167,A81000C,00800,0200,SUZANNE REED 432167,A81000C,00800,0400,INDIANA FITNESS WORKS 432167,A81000C,00800,0600,THERAPY 432167,A81000C,00900,0100,D 432167,A81000C,00900,0200,SUZANNE REED 432167,A81000C,00900,0400,INDIANA FITNESS WORKS 432167,A81000C,00900,0600,THERAPY 432167,A81000C,01000,0100,D 432167,A81000C,01000,0200,SUZANNE REED 432167,A81000C,01000,0400,INDIANA FITNESS WORKS 432167,A81000C,01000,0600,THERAPY 432167,A81000C,01001,0100,A 432167,A81000C,01001,0200,STUART REED 432167,A81000C,01001,0400,DISTINCTIVE TRANS. SYSTEM 432167,A81000C,01001,0600,TRANSPORTATION 432167,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432167,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432167,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432167,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432167,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432167,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432167,B100000,00000,0800,0800MEALS SERVED :DIETARY 432167,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 432167,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432167,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432167,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432167,G300000,02500,0000,OTHER REVENUE 432167,S000000,00100,0200,05/22/12 432167,S200000,00100,0100,177 N CR 100 E 432167,S200000,00200,0100,WINCHESTER 432167,S200000,00200,0200,IN 432167,S200000,00200,0300,47394 432167,S200000,00300,0100,RANDOLPH 432167,S200000,00300,0201,99915 432167,S200000,00300,0300,R 432167,S200000,00400,0100,PINEKNOLL REHABILITATION CENTRE 432167,S200000,00400,0200,155527 432167,S200000,00400,0300,07/01/03 432167,S200000,00400,0500,P 432167,S200000,01500,0100,Y 432167,S200000,01501,0200,Y 432167,S200000,01502,0200,Y 432167,S200000,01503,0200,Y 432167,S200000,01504,0200,Y 432167,S200000,01600,0100,N 432167,S200000,01700,0100,N 432167,S200000,01800,0100,N 432167,S200000,02200,0100,N 432167,S200000,02800,0100,N 432167,S200000,02900,0100,N 432167,S200000,03000,0100,N 432167,S200000,03100,0100,N 432167,S200000,03200,0100,N 432167,S200000,03300,0100,N 432167,S200000,03300,0200,N 432167,S200000,04100,0100,N 432167,S200000,04200,0100,N 432167,S200000,04300,0100,N 432167,S200000,04600,0100,N 432167,S200000,04700,0100,N 432167,S200000,04700,0200,N 432167,S200000,04900,0100,N 432167,S200000,05000,0100,N 432167,S200000,05100,0100,N 432167,S200000,05200,0100,N 432167,S200000,05300,0100,Y 432167,S200000,05300,0200,15HO49 432167,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432167,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432167,S200000,05400,0300,00130 432167,S200000,05500,0100,9450 PRIORITY WAY WEST 432167,S200000,05600,0100,INDIANAPOLIS 432167,S200000,05600,0200,IN 432167,S200000,05600,0300,46240 432169,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432169,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432169,A000000,00300,0000,0300EMPLOYEE BENEFITS 432169,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432169,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432169,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432169,A000000,00700,0000,0700HOUSEKEEPING 432169,A000000,00800,0000,0800DIETARY 432169,A000000,00900,0000,0900NURSING ADMINISTRATION 432169,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432169,A000000,01100,0000,1100PHARMACY 432169,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432169,A000000,01300,0000,1300SOCIAL SERVICE 432169,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432169,A000000,01500,0000,1350OTHER GENERAL SERVICES 432169,A000000,01600,0000,1600SKILLED NURSING FACILITY 432169,A000000,01800,0000,1800NURSING FACILITY 432169,A000000,01810,0000,1810ICF/MR 432169,A000000,01900,0000,1900OTHER LONG TERM CARE 432169,A000000,02100,0000,2100RADIOLOGY 432169,A000000,02200,0000,2200LABORATORY 432169,A000000,02300,0000,2300INTRAVENOUS THERAPY 432169,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432169,A000000,02500,0000,2500PHYSICAL THERAPY 432169,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432169,A000000,02700,0000,2700SPEECH PATHOLOGY 432169,A000000,02800,0000,2800ELECTROCARDIOLOGY 432169,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432169,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432169,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432169,A000000,03200,0000,3200SUPPORT SURFACES 432169,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432169,A000000,03400,0000,3400CLINIC 432169,A000000,03500,0000,3500RURAL HEALTH CLINIC 432169,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432169,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432169,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432169,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432169,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432169,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432169,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432169,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432169,A000000,04400,0000,4400DME RENTED - HHA 432169,A000000,04500,0000,4500DME SOLD - HHA 432169,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432169,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432169,A000000,04710,0000,4710TELEMEDICINE 432169,A000000,04800,0000,4800AMBULANCE 432169,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432169,A000000,05000,0000,5000CORF 432169,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432169,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432169,A000000,05300,0000,5300INTEREST EXPENSE 432169,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432169,A000000,05500,0000,5500HOSPICE 432169,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432169,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432169,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432169,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432169,A000000,06100,0000,6100NONPAID WORKERS 432169,A000000,06200,0000,6200PATIENTS LAUNDRY 432169,A000000,06300,0000,6150PCU PV ILA RLA AND FUNDRAISIN 432169,A81000A,00100,0100,N 432169,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432169,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432169,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432169,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432169,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432169,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432169,B100000,00000,0800,0800MEALS SERVED :DIETARY 432169,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432169,B100000,00000,1200,1250GROSS REV :MEDICAL RECORDS & LI 432169,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432169,G300000,02500,0000,REVENUE FOR PCU ILA RLA AND PV 432169,G300000,02501,0000,BEAUTY SHOP 432169,G300000,02502,0000,MISC FOR HCC 432169,G300000,02503,0000,QA FEE 432169,G300000,02504,0000,MISC ADMIN 432169,G300000,02505,0000,INTEREST 432169,G300000,02506,0000,SERVICE FEES- TRANSPORTATION 432169,G300000,02507,0000,IN KIND SERVICE 432169,G300000,02508,0000,SERVICE FEES 432169,G300000,02509,0000,MISCELLANEOUS 432169,G300000,02510,0000,EQUIPMENT- ILA 432169,S000000,00100,0200,03/02/12 432169,S200000,00100,0100,40 CAMINO ALTO 432169,S200000,00200,0100,MILL VALLEY 432169,S200000,00200,0200,CA 432169,S200000,00200,0300,94941 432169,S200000,00300,0100,MARIN 432169,S200000,00300,0200,7360 432169,S200000,00300,0201,41884 432169,S200000,00300,0300,U 432169,S200000,00400,0100,THE REDWOODS 432169,S200000,00400,0200,555826 432169,S200000,00400,0300,04/04/05 432169,S200000,00400,0500,P 432169,S200000,01500,0100,N 432169,S200000,01501,0200,Y 432169,S200000,01600,0100,Y 432169,S200000,01700,0100,N 432169,S200000,01800,0100,N 432169,S200000,02200,0100,N 432169,S200000,02800,0100,N 432169,S200000,02900,0100,N 432169,S200000,03000,0100,N 432169,S200000,03100,0100,N 432169,S200000,03200,0100,N 432169,S200000,03300,0100,N 432169,S200000,03300,0200,N 432169,S200000,04100,0100,N 432169,S200000,04200,0100,N 432169,S200000,04300,0100,N 432169,S200000,04600,0100,N 432169,S200000,04700,0100,N 432169,S200000,04700,0200,N 432169,S200000,04900,0100,N 432169,S200000,05000,0100,N 432169,S200000,05100,0100,N 432169,S200000,05200,0100,N 432169,S200000,05300,0100,N 432171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432171,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432171,A000000,00300,0000,0300EMPLOYEE BENEFITS 432171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432171,A000000,00700,0000,0700HOUSEKEEPING 432171,A000000,00800,0000,0800DIETARY 432171,A000000,00900,0000,0900NURSING ADMINISTRATION 432171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432171,A000000,01100,0000,1100PHARMACY 432171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432171,A000000,01300,0000,1300SOCIAL SERVICE 432171,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432171,A000000,01600,0000,1600SKILLED NURSING FACILITY 432171,A000000,01810,0000,1810ICF/MR 432171,A000000,02100,0000,2100RADIOLOGY 432171,A000000,02200,0000,2200LABORATORY 432171,A000000,02300,0000,2300INTRAVENOUS THERAPY 432171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432171,A000000,02500,0000,2500PHYSICAL THERAPY 432171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432171,A000000,02700,0000,2700SPEECH PATHOLOGY 432171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432171,A000000,03550,0000,3550FQHC 432171,A000000,05000,0000,5000CORF 432171,A000000,05010,0000,5010CMHC 432171,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432171,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432171,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432171,A000000,05300,0000,5300INTEREST EXPENSE 432171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432171,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432171,A81000A,00100,0100,Y 432171,A81000B,00100,0300,HOME OFFICE CAPITAL 432171,A81000B,00200,0300,HOME OFFICE COST 432171,A81000B,00300,0300,CONSULTING SERVICES 432171,A81000B,00400,0300,QA 432171,A81000B,00500,0300,QA 432171,A81000B,00600,0300,CONSULTING SVCS 432171,A81000B,00700,0300,QA 432171,A81000C,00100,0100,B 432171,A81000C,00100,0200,HSM INC. 432171,A81000C,00100,0400,HSM INC. 432171,A81000C,00100,0600,HOME OFFICE 432171,A81000C,00200,0100,D 432171,A81000C,00200,0200,HEALTHCARE ADVI 432171,A81000C,00200,0400,HSM INC. 432171,A81000C,00200,0600,CONSULTING 432171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432171,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432171,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432171,B100000,00000,0800,0800MEALS SERVED :DIETARY 432171,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432171,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432171,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432171,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432171,E10A180,00301,0100,03/16/11 432171,E10A180,00501,0100,03/20/12 432171,E10A180,00501,0300,03/20/12 432171,G300000,02500,0000,TUBE FEEDING 432171,G300000,02501,0000,PHYS VISITS 432171,G300000,02502,0000,BEAUTY & BARBER 432171,S000000,00100,0200,02/27/12 432171,S200000,00100,0100,6630 KENTUCKY AVENUE 432171,S200000,00100,0300,638 432171,S200000,00200,0100,NEW PORT RICHEY 432171,S200000,00200,0200,FL 432171,S200000,00200,0300,34653 432171,S200000,00300,0100,PASCO 432171,S200000,00300,0201,45300 432171,S200000,00300,0300,U 432171,S200000,00400,0100,HEATHER HILL NURSING HOME 432171,S200000,00400,0200,105343 432171,S200000,00400,0300,10/01/73 432171,S200000,00400,0500,P 432171,S200000,00600,0200,105343 432171,S200000,00600,0300,10/01/73 432171,S200000,00600,0600,O 432171,S200000,01500,0100,Y 432171,S200000,01501,0200,Y 432171,S200000,01600,0100,Y 432171,S200000,01700,0100,N 432171,S200000,01800,0100,N 432171,S200000,02200,0100,N 432171,S200000,02800,0100,N 432171,S200000,02900,0100,N 432171,S200000,03000,0100,N 432171,S200000,03100,0100,N 432171,S200000,03200,0100,N 432171,S200000,03300,0100,N 432171,S200000,03300,0200,N 432171,S200000,03500,0300,N 432171,S200000,04100,0100,N 432171,S200000,04200,0100,N 432171,S200000,04300,0100,N 432171,S200000,04600,0100,N 432171,S200000,04700,0100,N 432171,S200000,04700,0200,N 432171,S200000,04900,0100,N 432171,S200000,05000,0100,N 432171,S200000,05100,0100,N 432171,S200000,05200,0100,N 432171,S200000,05300,0100,Y 432171,S200000,05300,0200,44-HO9 432171,S200000,05400,0100,HSM INC. 432171,S200000,05400,0200,CAHABA GBA 432171,S200000,05400,0300,10301 432171,S200000,05500,0100,206 FORTRESS BLVD 432171,S200000,05600,0100,MURFREESBORO 432171,S200000,05600,0200,TN 432171,S200000,05600,0300,37128 432172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432172,A000000,00300,0000,0300EMPLOYEE BENEFITS 432172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432172,A000000,00700,0000,0700HOUSEKEEPING 432172,A000000,00800,0000,0800DIETARY 432172,A000000,00900,0000,0900NURSING ADMINISTRATION 432172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432172,A000000,01100,0000,1100PHARMACY 432172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432172,A000000,01300,0000,1300SOCIAL SERVICE 432172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432172,A000000,01600,0000,1600SKILLED NURSING FACILITY 432172,A000000,01800,0000,1800NURSING FACILITY 432172,A000000,01810,0000,1810ICF/MR 432172,A000000,02100,0000,2100RADIOLOGY 432172,A000000,02200,0000,2200LABORATORY 432172,A000000,02300,0000,2300INTRAVENOUS THERAPY 432172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432172,A000000,02500,0000,2500PHYSICAL THERAPY 432172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432172,A000000,02700,0000,2700SPEECH PATHOLOGY 432172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432172,A000000,03550,0000,3550FQHC 432172,A000000,05000,0000,5000CORF 432172,A000000,05010,0000,5010CMHC 432172,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432172,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432172,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432172,A000000,05300,0000,5300INTEREST EXPENSE 432172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432172,A81000A,00100,0100,Y 432172,A81000B,00100,0300,HOME OFFICE CAPITAL 432172,A81000B,00200,0300,HOME OFFICE COST 432172,A81000B,00300,0300,CONSULTING SERVICES 432172,A81000B,00400,0300,DIETARY QA 432172,A81000B,00500,0300,MR QA 432172,A81000B,00600,0300,NSG CLIN CASE MGT 432172,A81000C,00100,0100,B 432172,A81000C,00100,0200,HSM INC. 432172,A81000C,00100,0400,HSM INC. 432172,A81000C,00100,0600,HOME OFFICE 432172,A81000C,00200,0100,D 432172,A81000C,00200,0200,HEALTHCARE ADVI 432172,A81000C,00200,0400,HSM INC. 432172,A81000C,00200,0600,CONSULTING 432172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432172,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432172,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432172,B100000,00000,0800,0800MEALS SERVED :DIETARY 432172,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432172,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432172,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432172,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432172,E10A180,00501,0100,01/19/12 432172,E10A180,00501,0300,01/19/12 432172,G300000,02500,0000,OTHER OPERATING REVENUE 432172,G300000,02501,0000,MEDICAL SERVICES 432172,G300000,02502,0000,BEAUTY & BARBER 432172,S000000,00100,0200,01/09/12 432172,S200000,00100,0100,700 SE 8TH AVENUE 432172,S200000,00100,0300,880 432172,S200000,00200,0100,CRYSTAL RIVER 432172,S200000,00200,0200,FL 432172,S200000,00200,0300,34429 432172,S200000,00300,0100,CITRUS 432172,S200000,00300,0201,99910 432172,S200000,00300,0300,U 432172,S200000,00400,0100,CYPRESS COVE CARE CENTER 432172,S200000,00400,0200,105437 432172,S200000,00400,0300,10/01/73 432172,S200000,00400,0500,P 432172,S200000,00600,0200,105437 432172,S200000,00600,0300,10/01/73 432172,S200000,00600,0600,O 432172,S200000,01500,0100,Y 432172,S200000,01501,0200,Y 432172,S200000,01600,0100,Y 432172,S200000,01700,0100,N 432172,S200000,01800,0100,N 432172,S200000,02200,0100,N 432172,S200000,02800,0100,N 432172,S200000,02900,0100,N 432172,S200000,03000,0100,N 432172,S200000,03100,0100,N 432172,S200000,03200,0100,N 432172,S200000,03300,0100,N 432172,S200000,03300,0200,N 432172,S200000,03500,0300,N 432172,S200000,04100,0100,N 432172,S200000,04200,0100,N 432172,S200000,04300,0100,N 432172,S200000,04600,0100,N 432172,S200000,04700,0100,N 432172,S200000,04700,0200,N 432172,S200000,04900,0100,N 432172,S200000,05000,0100,N 432172,S200000,05100,0100,N 432172,S200000,05200,0100,N 432172,S200000,05300,0100,Y 432172,S200000,05300,0200,44-HO9 432172,S200000,05400,0100,HSM INC. 432172,S200000,05400,0200,CAHABA 432172,S200000,05400,0300,10301 432172,S200000,05500,0100,206 FORTRESS BLVD 432172,S200000,05600,0100,MURFREESBORO 432172,S200000,05600,0200,TN 432172,S200000,05600,0300,37128 432174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432174,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432174,A000000,00300,0000,0300EMPLOYEE BENEFITS 432174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432174,A000000,00700,0000,0700HOUSEKEEPING 432174,A000000,00800,0000,0800DIETARY 432174,A000000,00900,0000,0900NURSING ADMINISTRATION 432174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432174,A000000,01100,0000,1100PHARMACY 432174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432174,A000000,01300,0000,1300SOCIAL SERVICE 432174,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432174,A000000,01500,0000,1350OTHER GENERAL SERVICES 432174,A000000,01600,0000,1600SKILLED NURSING FACILITY 432174,A000000,01800,0000,1800NURSING FACILITY 432174,A000000,01810,0000,1810ICF/MR 432174,A000000,01900,0000,1900OTHER LONG TERM CARE 432174,A000000,02100,0000,2100RADIOLOGY 432174,A000000,02200,0000,2200LABORATORY 432174,A000000,02300,0000,2300INTRAVENOUS THERAPY 432174,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432174,A000000,02500,0000,2500PHYSICAL THERAPY 432174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432174,A000000,02700,0000,2700SPEECH PATHOLOGY 432174,A000000,02800,0000,2800ELECTROCARDIOLOGY 432174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432174,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432174,A000000,03200,0000,3200SUPPORT SURFACES 432174,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432174,A000000,03400,0000,3400CLINIC 432174,A000000,03500,0000,3500RURAL HEALTH CLINIC 432174,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432174,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432174,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432174,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432174,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432174,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432174,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432174,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432174,A000000,04400,0000,4400DME RENTED - HHA 432174,A000000,04500,0000,4500DME SOLD - HHA 432174,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432174,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432174,A000000,04710,0000,4710TELEMEDICINE 432174,A000000,04800,0000,4800AMBULANCE 432174,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432174,A000000,05000,0000,5000CORF 432174,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432174,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432174,A000000,05300,0000,5300INTEREST EXPENSE 432174,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432174,A000000,05500,0000,5500HOSPICE 432174,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432174,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432174,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432174,A000000,06100,0000,6100NONPAID WORKERS 432174,A000000,06200,0000,6200PATIENTS LAUNDRY 432174,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432174,A81000A,00100,0100,Y 432174,A81000B,00100,0300,PROPERTY 432174,A81000B,00200,0300,ACCOUNTING SERVICES 432174,A81000C,00100,0100,A 432174,A81000C,00100,0200,STEVE BOGOMILSKY 432174,A81000C,00100,0400,HALLMARK ACCOUNTING LLC 432174,A81000C,00100,0600,CONSULTING SERVICES 432174,A81000C,00200,0100,A 432174,A81000C,00200,0200,STEVE BOGOMILSKY 432174,A81000C,00200,0400,HALLMARK ACCOUNTING LLC 432174,A81000C,00200,0600,CONSULTING SERVICES 432174,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432174,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432174,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432174,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432174,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432174,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432174,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432174,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432174,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432174,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432174,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432174,E00A183,01620,0000,RECOVERY OF NON-DUAL ELIGIBLE @70% 432174,G300000,02500,0000,OTHER (SPECIFY) 432174,S000000,00100,0200,02/03/12 432174,S200000,00100,0100,700 N. PALMETTO STREET 432174,S200000,00200,0100,LEESBURG 432174,S200000,00200,0200,FL 432174,S200000,00200,0300,34748 432174,S200000,00300,0100,LAKE 432174,S200000,00300,0201,36740 432174,S200000,00300,0300,U 432174,S200000,00400,0100,NORTH CAMPUS REHABILITATION & NURSIN 432174,S200000,00400,0200,105621 432174,S200000,00400,0300,09/01/08 432174,S200000,00400,0500,P 432174,S200000,01500,0100,Y 432174,S200000,01501,0200,Y 432174,S200000,01503,0200,Y 432174,S200000,01504,0200,Y 432174,S200000,01600,0100,N 432174,S200000,01700,0100,N 432174,S200000,01800,0100,N 432174,S200000,02200,0100,N 432174,S200000,02800,0100,N 432174,S200000,02900,0100,N 432174,S200000,03000,0100,N 432174,S200000,03100,0100,N 432174,S200000,03200,0100,N 432174,S200000,03300,0100,N 432174,S200000,03300,0200,N 432174,S200000,04100,0100,N 432174,S200000,04200,0100,N 432174,S200000,04300,0100,N 432174,S200000,04600,0100,N 432174,S200000,04700,0100,N 432174,S200000,04700,0200,N 432174,S200000,04900,0100,N 432174,S200000,05000,0100,N 432174,S200000,05100,0100,N 432174,S200000,05200,0100,N 432175,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432175,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432175,A000000,00300,0000,0300EMPLOYEE BENEFITS 432175,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432175,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432175,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432175,A000000,00700,0000,0700HOUSEKEEPING 432175,A000000,00800,0000,0800DIETARY 432175,A000000,00900,0000,0900NURSING ADMINISTRATION 432175,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432175,A000000,01100,0000,1100PHARMACY 432175,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432175,A000000,01300,0000,1300SOCIAL SERVICE 432175,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432175,A000000,01600,0000,1600SKILLED NURSING FACILITY 432175,A000000,01810,0000,1810ICF/MR 432175,A000000,02100,0000,2100RADIOLOGY 432175,A000000,02200,0000,2200LABORATORY 432175,A000000,02300,0000,2300INTRAVENOUS THERAPY 432175,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432175,A000000,02500,0000,2500PHYSICAL THERAPY 432175,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432175,A000000,02700,0000,2700SPEECH PATHOLOGY 432175,A000000,02800,0000,2800ELECTROCARDIOLOGY 432175,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432175,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432175,A000000,03550,0000,3550FQHC 432175,A000000,05000,0000,5000CORF 432175,A000000,05010,0000,5010CMHC 432175,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432175,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432175,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432175,A000000,05300,0000,5300INTEREST EXPENSE 432175,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432175,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432175,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432175,A81000A,00100,0100,N 432175,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432175,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432175,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432175,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432175,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432175,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432175,B100000,00000,0800,0800MEALS SERVED :DIETARY 432175,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432175,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432175,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432175,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432175,E10A180,00501,0100,01/27/12 432175,G300000,02500,0000,TUBE FEEDING 432175,G300000,02501,0000,MEDICAL SERVICES 432175,G300000,02502,0000,BEAUTY & BARBER 432175,S000000,00100,0200,01/10/12 432175,S200000,00100,0100,800 SE CENTRAL PARKWAY 432175,S200000,00100,0300,2420 432175,S200000,00200,0100,STUART 432175,S200000,00200,0200,FL 432175,S200000,00200,0300,34994 432175,S200000,00300,0100,MARTIN 432175,S200000,00300,0201,38940 432175,S200000,00300,0300,U 432175,S200000,00400,0100,PARKWAY HEALTH AND REHABILITATION C 432175,S200000,00400,0200,105687 432175,S200000,00400,0300,03/22/90 432175,S200000,00400,0500,P 432175,S200000,00600,0200,105687 432175,S200000,00600,0300,03/22/90 432175,S200000,00600,0600,O 432175,S200000,01500,0100,N 432175,S200000,01501,0200,Y 432175,S200000,01600,0100,Y 432175,S200000,01700,0100,N 432175,S200000,01800,0100,N 432175,S200000,02200,0100,N 432175,S200000,02800,0100,N 432175,S200000,02900,0100,N 432175,S200000,03000,0100,N 432175,S200000,03100,0100,N 432175,S200000,03200,0100,N 432175,S200000,03300,0100,N 432175,S200000,03300,0200,N 432175,S200000,03500,0300,N 432175,S200000,04100,0100,N 432175,S200000,04200,0100,N 432175,S200000,04300,0100,N 432175,S200000,04600,0100,N 432175,S200000,04700,0100,N 432175,S200000,04700,0200,N 432175,S200000,04900,0100,N 432175,S200000,05000,0100,N 432175,S200000,05100,0100,N 432175,S200000,05200,0100,N 432176,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432176,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432176,A000000,00300,0000,0300EMPLOYEE BENEFITS 432176,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432176,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432176,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432176,A000000,00700,0000,0700HOUSEKEEPING 432176,A000000,00800,0000,0800DIETARY 432176,A000000,00900,0000,0900NURSING ADMINISTRATION 432176,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432176,A000000,01100,0000,1100PHARMACY 432176,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432176,A000000,01300,0000,1300SOCIAL SERVICE 432176,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432176,A000000,01500,0000,1350OTHER GENERAL SERVICES 432176,A000000,01600,0000,1600SKILLED NURSING FACILITY 432176,A000000,01800,0000,1800NURSING FACILITY 432176,A000000,01810,0000,1810ICF/MR 432176,A000000,01900,0000,1900OTHER LONG TERM CARE 432176,A000000,02100,0000,2100RADIOLOGY 432176,A000000,02200,0000,2200LABORATORY 432176,A000000,02300,0000,2300INTRAVENOUS THERAPY 432176,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432176,A000000,02500,0000,2500PHYSICAL THERAPY 432176,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432176,A000000,02700,0000,2700SPEECH PATHOLOGY 432176,A000000,02800,0000,2800ELECTROCARDIOLOGY 432176,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432176,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432176,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432176,A000000,03200,0000,3200SUPPORT SURFACES 432176,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432176,A000000,03400,0000,3400CLINIC 432176,A000000,03500,0000,3500RURAL HEALTH CLINIC 432176,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432176,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432176,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432176,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432176,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432176,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432176,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432176,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432176,A000000,04400,0000,4400DME RENTED - HHA 432176,A000000,04500,0000,4500DME SOLD - HHA 432176,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432176,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432176,A000000,04710,0000,4710TELEMEDICINE 432176,A000000,04800,0000,4800AMBULANCE 432176,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432176,A000000,05000,0000,5000CORF 432176,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432176,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432176,A000000,05300,0000,5300INTEREST EXPENSE 432176,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432176,A000000,05500,0000,5500HOSPICE 432176,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432176,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432176,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432176,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432176,A000000,06100,0000,6100NONPAID WORKERS 432176,A000000,06200,0000,6200PATIENTS LAUNDRY 432176,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432176,A81000A,00100,0100,Y 432176,A81000B,00100,0300,LEASE/RENT EXPENSE 432176,A81000B,00200,0300,DEPRECIATION EXPENSE 432176,A81000B,00300,0300,AMORTIZATION 432176,A81000B,00400,0300,INTEREST EXPENSE 432176,A81000B,00500,0300,BANK SERVICE CHARGES 432176,A81000B,00600,0300,RELATED PARTY INTEREST 432176,A81000C,00100,0100,B 432176,A81000C,00100,0200,BETTY STERN TRUST 432176,A81000C,00100,0400,A&B HEALTHCARE INC. 432176,A81000C,00100,0600,LANDLORD 432176,A81000C,00200,0100,B 432176,A81000C,00200,0200,BETTY STERN TRUST 432176,A81000C,00200,0400,A&B HEALTHCARE INC. 432176,A81000C,00200,0600,LANDLORD 432176,A81000C,00300,0100,B 432176,A81000C,00300,0200,BETTY STERN TRUST 432176,A81000C,00300,0400,A&B HEALTHCARE INC. 432176,A81000C,00300,0600,LANDLORD 432176,A81000C,00400,0100,B 432176,A81000C,00400,0200,BETTY STERN TRUST 432176,A81000C,00400,0400,A&B HEALTHCARE INC. 432176,A81000C,00400,0600,LANDLORD 432176,A81000C,00500,0100,E 432176,A81000C,00500,0200,HELAYNE STERN 432176,A81000C,00500,0600,PATIENT CARE COORDINATOR 432176,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432176,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432176,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432176,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432176,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432176,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432176,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432176,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432176,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432176,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432176,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432176,E10A180,00550,0100,02/29/12 432176,E10A180,00550,0300,02/29/12 432176,G300000,02500,0000,BARBER AND BEAUTY 432176,S000000,00100,0200,03/01/12 432176,S200000,00100,0100,16100 NW 2ND AVENUE 432176,S200000,00200,0100,NORTH MIAMI BEACH 432176,S200000,00200,0200,FL 432176,S200000,00200,0300,33169 432176,S200000,00300,0100,MIAMI DADE 432176,S200000,00300,0200,5000 432176,S200000,00300,0201,33124 432176,S200000,00300,0300,U 432176,S200000,00400,0100,HAMPTON COURT 432176,S200000,00400,0200,105715 432176,S200000,00400,0300,11/01/07 432176,S200000,00400,0500,P 432176,S200000,01500,0100,Y 432176,S200000,01501,0200,Y 432176,S200000,01502,0200,Y 432176,S200000,01503,0200,Y 432176,S200000,01504,0200,Y 432176,S200000,01600,0100,N 432176,S200000,01700,0100,N 432176,S200000,01800,0100,N 432176,S200000,02200,0100,N 432176,S200000,02800,0100,N 432176,S200000,02900,0100,N 432176,S200000,03000,0100,N 432176,S200000,03100,0100,N 432176,S200000,03200,0100,N 432176,S200000,03300,0100,N 432176,S200000,03300,0200,N 432176,S200000,04100,0100,N 432176,S200000,04200,0100,N 432176,S200000,04300,0100,N 432176,S200000,04600,0100,N 432176,S200000,04700,0100,N 432176,S200000,04700,0200,N 432176,S200000,04900,0100,N 432176,S200000,05000,0100,N 432176,S200000,05100,0100,N 432176,S200000,05200,0100,N 432182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432182,A000000,00300,0000,0300EMPLOYEE BENEFITS 432182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432182,A000000,00700,0000,0700HOUSEKEEPING 432182,A000000,00800,0000,0800DIETARY 432182,A000000,00900,0000,0900NURSING ADMINISTRATION 432182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432182,A000000,01100,0000,1100PHARMACY 432182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432182,A000000,01300,0000,1300SOCIAL SERVICE 432182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432182,A000000,01500,0000,1350ACTIVITIES 432182,A000000,01600,0000,1600SKILLED NURSING FACILITY 432182,A000000,01810,0000,1810ICF/MR 432182,A000000,02100,0000,2100RADIOLOGY 432182,A000000,02200,0000,2200LABORATORY 432182,A000000,02300,0000,2300INTRAVENOUS THERAPY 432182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432182,A000000,02500,0000,2500PHYSICAL THERAPY 432182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432182,A000000,02700,0000,2700SPEECH PATHOLOGY 432182,A000000,02800,0000,2800ELECTROCARDIOLOGY 432182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432182,A000000,03200,0000,3200SUPPORT SURFACES 432182,A000000,03300,0000,3050PEN BILLING 432182,A000000,03550,0000,3550FQHC 432182,A000000,04801,0000,4801AMBULANCE 432182,A000000,04802,0000,4802AMBULANCE 432182,A000000,04803,0000,4803AMBULANCE 432182,A000000,05000,0000,5000CORF 432182,A000000,05010,0000,5010CMHC 432182,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432182,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432182,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432182,A81000A,00100,0100,Y 432182,A81000B,00100,0300,HOME OFFICE ALLOC 432182,A81000B,00200,0300,DIRECT INT & AMORT 432182,A81000B,00300,0300,HOME OFFICE CAPITAL 432182,A81000B,00400,0300,PT 432182,A81000B,00500,0300,OT 432182,A81000B,00600,0300,ST 432182,A81000B,00700,0300,NUTRITIONIST 432182,A81000B,00800,0300,RT 432182,A81000B,00900,0300,MEDICAL DIRECTOR 432182,A81000B,01000,0300,NURS PURC SVCS 432182,A81000C,00100,0100,B 432182,A81000C,00100,0200,GENESIS HEALTHC 432182,A81000C,00100,0600,MGMT CO 432182,A81000C,00200,0100,B 432182,A81000C,00200,0200,GENESIS REHAB S 432182,A81000C,00200,0600,PT OT ST 432182,A81000C,00300,0100,B 432182,A81000C,00300,0200,GENESIS HOSPITA 432182,A81000C,00300,0600,NUTRITIONIST 432182,A81000C,00400,0100,B 432182,A81000C,00400,0200,RESPIRATORY HEA 432182,A81000C,00400,0600,RT 432182,A81000C,00500,0100,B 432182,A81000C,00500,0200,GENESIS PHYS SV 432182,A81000C,00500,0600,MEDICAL DIRECTO 432182,A81000C,00600,0100,B 432182,A81000C,00600,0200,GENESIS STAFFIN 432182,A81000C,00600,0600,NURS PURC SVCS 432182,B100000,00000,0100,0100SQUARE FEET 432182,B100000,00000,0200,0200SQUARE FEET 432182,B100000,00000,0300,0300GROSS SALARIES 432182,B100000,00000,0400,0400ACCUM COST 432182,B100000,00000,0500,0500SQUARE FEET 432182,B100000,00000,0600,0600PT DAYS 432182,B100000,00000,0700,0700SQ FT 432182,B100000,00000,0800,0800MEALS SERVED 432182,B100000,00000,0900,0900PT DAYS 432182,B100000,00000,1000,1000COSTED REQUIS 432182,B100000,00000,1100,1100COSTED REQUIS 432182,B100000,00000,1200,1200GROSS CHARGES 432182,B100000,00000,1300,1300PT DAYS 432182,B100000,00000,1400,1400ASSIGNED TIME 432182,B100000,00000,1500,1350PT DAYS 432182,E10A180,00350,0100,03/28/11 432182,E10A180,00502,0300,11/08/11 432182,E10A180,00550,0100,11/08/11 432182,G300000,02500,0000,MISC REVENUE 432182,S000000,00100,0200,09/06/11 432182,S200000,00100,0100,6000 BELONA AVENUE 432182,S200000,00200,0100,BALTIMORE 432182,S200000,00200,0200,MD 432182,S200000,00200,0300,21212 432182,S200000,00300,0100,BALTIMORE 432182,S200000,00300,0201,12580 432182,S200000,00300,0300,U 432182,S200000,00400,0100,HOMEWOOD CENTER 432182,S200000,00400,0200,215074 432182,S200000,00400,0300,01/01/88 432182,S200000,00400,0500,P 432182,S200000,01500,0100,Y 432182,S200000,01501,0200,N 432182,S200000,01502,0200,N 432182,S200000,01503,0200,N 432182,S200000,01504,0200,N 432182,S200000,01505,0000,DON BONUS 432182,S200000,01505,0200,N 432182,S200000,01600,0100,N 432182,S200000,01700,0100,N 432182,S200000,01800,0100,N 432182,S200000,02200,0100,Y 432182,S200000,02800,0100,N 432182,S200000,02900,0100,N 432182,S200000,03000,0100,N 432182,S200000,03100,0100,N 432182,S200000,03200,0100,N 432182,S200000,03300,0100,N 432182,S200000,03300,0200,N 432182,S200000,04200,0100,N 432182,S200000,04300,0100,N 432182,S200000,04600,0100,N 432182,S200000,04700,0100,N 432182,S200000,04900,0100,N 432182,S200000,05200,0100,N 432182,S200000,05300,0100,Y 432182,S200000,05300,0200,HB0067 432182,S200000,05400,0100,GENESIS HEALTHCARE 432182,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432182,S200000,05400,0300,12001 432182,S200000,05500,0100,101 EAST STATE STREET 432182,S200000,05600,0100,KENNETT SQUARE 432182,S200000,05600,0200,PA 432182,S200000,05600,0300,19348 432183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432183,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432183,A000000,00300,0000,0300EMPLOYEE BENEFITS 432183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432183,A000000,00700,0000,0700HOUSEKEEPING 432183,A000000,00800,0000,0800DIETARY 432183,A000000,00900,0000,0900NURSING ADMINISTRATION 432183,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432183,A000000,01100,0000,1100PHARMACY 432183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432183,A000000,01300,0000,1300SOCIAL SERVICE 432183,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432183,A000000,01500,0000,1350RECREATION 432183,A000000,01600,0000,1600SKILLED NURSING FACILITY 432183,A000000,01810,0000,1810ICF/MR 432183,A000000,02100,0000,2100RADIOLOGY 432183,A000000,02200,0000,2200LABORATORY 432183,A000000,02300,0000,2300INTRAVENOUS THERAPY 432183,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432183,A000000,02500,0000,2500PHYSICAL THERAPY 432183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432183,A000000,02700,0000,2700SPEECH PATHOLOGY 432183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432183,A000000,03550,0000,3550FQHC 432183,A000000,04801,0000,4801AMBULANCE 432183,A000000,04802,0000,4802AMBULANCE 432183,A000000,04803,0000,4803AMBULANCE 432183,A000000,05000,0000,5000CORF 432183,A000000,05010,0000,5010CMHC 432183,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432183,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432183,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432183,A81000A,00100,0100,Y 432183,A81000B,00100,0300,SEE ATTACHED 432183,A81000B,00200,0300,HOME OFFICE INTEREST 432183,A81000B,00300,0300,HOME OFFICE A&G 432183,A81000B,00400,0300,HOME OFFICE CAP PIEC 432183,A81000C,00100,0100,B 432183,A81000C,00100,0400,SEE ATTACHED 432183,A81000C,00100,0600,VARIOUS 432183,A81000C,00200,0100,B 432183,A81000C,00200,0400,GHC 432183,A81000C,00200,0600,LONG TERM CARE 432183,A81000C,00300,0100,B 432183,A81000C,00300,0400,GHC 432183,A81000C,00300,0600,LONG TERM CARE 432183,A81000C,00400,0100,B 432183,A81000C,00400,0400,GHC 432183,A81000C,00400,0600,LONG TERM CARE 432183,B100000,00000,0100,0100SQUARE FEET 432183,B100000,00000,0200,0200SQUARE FEET 432183,B100000,00000,0300,0300GROSS SALARIES 432183,B100000,00000,0400,0400ACCUM COST 432183,B100000,00000,0500,0500SQUARE FEET 432183,B100000,00000,0600,0600PATIENT DAYS 432183,B100000,00000,0700,0700SQUARE FEET 432183,B100000,00000,0800,0800MEALS SERVED 432183,B100000,00000,0900,0900NURSING SALARIES 432183,B100000,00000,1000,1000COSTED REQUIS 432183,B100000,00000,1100,1100COSTED REQUIS 432183,B100000,00000,1200,1200PATIENT DAYS 432183,B100000,00000,1300,1300PATIENT DAYS 432183,B100000,00000,1400,1400ASSIGNED TIME 432183,B100000,00000,1500,1350PATIENT DAYS 432183,E10A180,00501,0100,10/12/11 432183,E10A180,00501,0300,10/12/11 432183,G300000,02500,0000,BARBER AND BEAUTY 432183,S000000,00100,0200,09/12/11 432183,S200000,00100,0100,75 HICKLE STREET 432183,S200000,00200,0100,UNIONTOWN 432183,S200000,00200,0200,PA 432183,S200000,00200,0300,15401 432183,S200000,00300,0100,FAYETTE 432183,S200000,00300,0201,38300 432183,S200000,00300,0300,U 432183,S200000,00400,0100,LAUREL RIDGE CENTER 432183,S200000,00400,0200,395243 432183,S200000,00400,0300,01/01/67 432183,S200000,00400,0500,P 432183,S200000,01500,0100,Y 432183,S200000,01501,0200,N 432183,S200000,01502,0200,N 432183,S200000,01503,0200,N 432183,S200000,01504,0200,N 432183,S200000,01600,0100,N 432183,S200000,01700,0100,N 432183,S200000,01800,0100,N 432183,S200000,02200,0100,Y 432183,S200000,02800,0100,N 432183,S200000,02900,0100,N 432183,S200000,03000,0100,N 432183,S200000,03100,0100,N 432183,S200000,03200,0100,N 432183,S200000,03300,0100,N 432183,S200000,03300,0200,N 432183,S200000,04200,0100,N 432183,S200000,04300,0100,N 432183,S200000,04600,0100,N 432183,S200000,04700,0100,N 432183,S200000,04900,0100,N 432183,S200000,05200,0100,N 432183,S200000,05300,0100,Y 432183,S200000,05300,0200,HB0067 432183,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432183,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432183,S200000,05400,0300,12001 432183,S200000,05500,0100,101 EAST STATE STREET 432183,S200000,05600,0100,KENNETT SQUARE 432183,S200000,05600,0200,PA 432183,S200000,05600,0300,19348 432184,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432184,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432184,A000000,00300,0000,0300EMPLOYEE BENEFITS 432184,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432184,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432184,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432184,A000000,00700,0000,0700HOUSEKEEPING 432184,A000000,00800,0000,0800DIETARY 432184,A000000,00900,0000,0900NURSING ADMINISTRATION 432184,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432184,A000000,01100,0000,1100PHARMACY 432184,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432184,A000000,01300,0000,1300SOCIAL SERVICE 432184,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432184,A000000,01500,0000,1350RECREATION 432184,A000000,01600,0000,1600SKILLED NURSING FACILITY 432184,A000000,01810,0000,1810ICF/MR 432184,A000000,02100,0000,2100RADIOLOGY 432184,A000000,02200,0000,2200LABORATORY 432184,A000000,02300,0000,2300INTRAVENOUS THERAPY 432184,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432184,A000000,02500,0000,2500PHYSICAL THERAPY 432184,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432184,A000000,02700,0000,2700SPEECH PATHOLOGY 432184,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432184,A000000,03550,0000,3550FQHC 432184,A000000,04801,0000,4801AMBULANCE 432184,A000000,04802,0000,4802AMBULANCE 432184,A000000,04803,0000,4803AMBULANCE 432184,A000000,05000,0000,5000CORF 432184,A000000,05010,0000,5010CMHC 432184,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432184,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432184,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432184,A81000A,00100,0100,Y 432184,A81000B,00100,0300,SEE ATTACHED 432184,A81000B,00200,0300,HOME OFFICE INTEREST 432184,A81000B,00300,0300,HOME OFFICE A & G 432184,A81000B,00400,0300,HOME OFFICE CAPITAL 432184,A81000C,00100,0100,B 432184,A81000C,00100,0400,SEE ATTACHED 432184,A81000C,00100,0600,VARIOUS 432184,A81000C,00200,0100,B 432184,A81000C,00200,0400,GHC 432184,A81000C,00200,0600,LONG TERM CARE 432184,A81000C,00300,0100,B 432184,A81000C,00300,0400,GHC 432184,A81000C,00300,0600,LONG TERM CARE 432184,A81000C,00400,0100,B 432184,A81000C,00400,0400,GHC 432184,A81000C,00400,0600,LONG TERM CARE 432184,B100000,00000,0100,0100SQUARE FEET 432184,B100000,00000,0200,0200SQUARE FEET 432184,B100000,00000,0300,0300GROSS SALARIES 432184,B100000,00000,0400,0400ACCUM COST 432184,B100000,00000,0500,0500SQUARE FEET 432184,B100000,00000,0600,0600PATIENT DAYS 432184,B100000,00000,0700,0700SQUARE FEET 432184,B100000,00000,0800,0800MEALS SERVED 432184,B100000,00000,0900,0900NURSING SALARIES 432184,B100000,00000,1000,1000COSTED REQUIS 432184,B100000,00000,1100,1100COSTED REQUIS 432184,B100000,00000,1200,1200PATIENT DAYS 432184,B100000,00000,1300,1300PATIENT DAYS 432184,B100000,00000,1400,1400ASSIGNED TIME 432184,B100000,00000,1500,1350PATIENT DAYS 432184,E10A180,00350,0100,03/23/11 432184,E10A180,00501,0100,10/24/11 432184,E10A180,00501,0300,10/24/11 432184,G300000,02500,0000,BARBER AND BEAUTY 432184,S000000,00100,0200,09/12/11 432184,S200000,00100,0100,905 PENLLYN PIKE 432184,S200000,00200,0100,SPRING HOUSE 432184,S200000,00200,0200,PA 432184,S200000,00200,0300,19477 432184,S200000,00300,0100,MONTGOMERY 432184,S200000,00300,0201,37964 432184,S200000,00300,0300,U 432184,S200000,00400,0100,SILVER STREAM CENTER 432184,S200000,00400,0200,395354 432184,S200000,00400,0300,07/01/82 432184,S200000,00400,0500,P 432184,S200000,01500,0100,Y 432184,S200000,01501,0200,N 432184,S200000,01502,0200,N 432184,S200000,01503,0200,N 432184,S200000,01504,0200,N 432184,S200000,01600,0100,N 432184,S200000,01700,0100,N 432184,S200000,01800,0100,N 432184,S200000,02200,0100,Y 432184,S200000,02800,0100,N 432184,S200000,02900,0100,N 432184,S200000,03000,0100,N 432184,S200000,03100,0100,N 432184,S200000,03200,0100,N 432184,S200000,03300,0100,N 432184,S200000,03300,0200,N 432184,S200000,04200,0100,N 432184,S200000,04300,0100,N 432184,S200000,04600,0100,N 432184,S200000,04700,0100,N 432184,S200000,04900,0100,N 432184,S200000,05200,0100,N 432184,S200000,05300,0100,Y 432184,S200000,05300,0200,HB0067 432184,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432184,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432184,S200000,05400,0300,12001 432184,S200000,05500,0100,101 EAST STATE STREET 432184,S200000,05600,0100,KENNETT SQUARE 432184,S200000,05600,0200,PA 432184,S200000,05600,0300,19348 432188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432188,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432188,A000000,00300,0000,0300EMPLOYEE BENEFITS 432188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432188,A000000,00700,0000,0700HOUSEKEEPING 432188,A000000,00800,0000,0800DIETARY 432188,A000000,00900,0000,0900NURSING ADMINISTRATION 432188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432188,A000000,01100,0000,1100PHARMACY 432188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432188,A000000,01300,0000,1300SOCIAL SERVICE 432188,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432188,A000000,01500,0000,1350ACTIVITIES / RECREATION 432188,A000000,01600,0000,1600SKILLED NURSING FACILITY 432188,A000000,01800,0000,1800NURSING FACILITY 432188,A000000,01810,0000,1810ICF/MR 432188,A000000,02100,0000,2100RADIOLOGY 432188,A000000,02200,0000,2200LABORATORY 432188,A000000,02300,0000,2300INTRAVENOUS THERAPY 432188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432188,A000000,02500,0000,2500PHYSICAL THERAPY 432188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432188,A000000,02700,0000,2700SPEECH PATHOLOGY 432188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432188,A000000,03200,0000,3200SUPPORT SURFACES 432188,A000000,03300,0000,3050PEN SERVICES 432188,A000000,03550,0000,3550FQHC 432188,A000000,04801,0000,4801AMBULANCE 432188,A000000,04802,0000,4802AMBULANCE 432188,A000000,04803,0000,4803AMBULANCE 432188,A000000,05000,0000,5000CORF 432188,A000000,05010,0000,5010CMHC 432188,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432188,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432188,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432188,A81000A,00100,0100,Y 432188,A81000B,00100,0300,H O A & G 432188,A81000B,00200,0300,H O INTEREST & AMORT 432188,A81000B,00300,0300,H O CAPITAL RELATED 432188,A81000B,00400,0300,PT 432188,A81000B,00500,0300,OT 432188,A81000B,00600,0300,ST 432188,A81000B,00700,0300,SUPP. & NUTRITIONIST 432188,A81000B,00800,0300,RT 432188,A81000B,00900,0300,MEDICAL DIRECTOR 432188,A81000B,01000,0300,PURCHASED SERVICES 432188,A81000C,00100,0100,B 432188,A81000C,00100,0200,GENESIS HEALTHC 432188,A81000C,00100,0600,MGMT COMPANY 432188,A81000C,00200,0100,B 432188,A81000C,00200,0200,GENESIS SERVICE 432188,A81000C,00200,0600,VARIOUS 432188,A81000C,00300,0100,B 432188,A81000C,00300,0200,GENESIS REHAB 432188,A81000C,00300,0600,REHAB 432188,A81000C,00400,0100,B 432188,A81000C,00400,0200,GENESIS HOSPITA 432188,A81000C,00400,0600,NUTRITIONIST 432188,A81000C,00500,0100,B 432188,A81000C,00500,0200,RHS 432188,A81000C,00500,0600,RT 432188,A81000C,00600,0100,B 432188,A81000C,00600,0200,GENESIS STAFFIN 432188,A81000C,00600,0600,PURCH. SERV. NU 432188,B100000,00000,0100,0100SQUARE FEET 432188,B100000,00000,0200,0200SQUARE FEET 432188,B100000,00000,0300,0300GROSS SALARIES 432188,B100000,00000,0400,0400ACCUM COST 432188,B100000,00000,0500,0500SQUARE FEET 432188,B100000,00000,0600,0600PATIENT DAYS 432188,B100000,00000,0700,0700SQUARE FEET 432188,B100000,00000,0800,0800MEALS SERVED 432188,B100000,00000,0900,0900PATIENT DAYS 432188,B100000,00000,1000,1000COSTED REQUIS 432188,B100000,00000,1100,1100COSTED REQUIS 432188,B100000,00000,1200,1200GROSS CHARGES 432188,B100000,00000,1300,1300PATIENT DAYS 432188,B100000,00000,1400,1400ASSIGNED TIME 432188,B100000,00000,1500,1350PATIENT DAYS 432188,E10A180,00301,0100,03/28/11 432188,E10A180,00501,0100,10/17/11 432188,E10A180,00501,0300,10/17/11 432188,G300000,02500,0000,MISC. REVENUE 432188,G300000,02501,0000,CONTRACTUALS / COST SETTLEMENTS 432188,S000000,00100,0200,09/06/11 432188,S200000,00100,0100,11DAIRY LANE 432188,S200000,00200,0100,FREDERICKSBURG 432188,S200000,00200,0200,VA 432188,S200000,00200,0300,22404 432188,S200000,00300,0100,STAFORD 432188,S200000,00300,0201,47894 432188,S200000,00300,0300,U 432188,S200000,00400,0100,WOODMONT CENTER 432188,S200000,00400,0200,495246 432188,S200000,00400,0300,01/01/88 432188,S200000,00400,0500,P 432188,S200000,01500,0100,Y 432188,S200000,01501,0200,N 432188,S200000,01502,0200,N 432188,S200000,01503,0200,N 432188,S200000,01504,0200,N 432188,S200000,01505,0000,DON BONUS 432188,S200000,01505,0200,N 432188,S200000,01600,0100,N 432188,S200000,01700,0100,N 432188,S200000,01800,0100,N 432188,S200000,02200,0100,Y 432188,S200000,02800,0100,N 432188,S200000,02900,0100,N 432188,S200000,03000,0100,N 432188,S200000,03100,0100,N 432188,S200000,03200,0100,N 432188,S200000,03300,0100,N 432188,S200000,03300,0200,N 432188,S200000,04200,0100,N 432188,S200000,04300,0100,N 432188,S200000,04600,0100,N 432188,S200000,04700,0100,N 432188,S200000,04900,0100,N 432188,S200000,05200,0100,N 432188,S200000,05300,0100,Y 432188,S200000,05300,0200,HB0067 432188,S200000,05400,0100,GENESIS HEALTHCARE 432188,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432188,S200000,05400,0300,12001 432188,S200000,05500,0100,101 EAST STATE STREET 432188,S200000,05600,0100,KENNETT SQUARE 432188,S200000,05600,0200,PA 432188,S200000,05600,0300,19348 432189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432189,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432189,A000000,00300,0000,0300EMPLOYEE BENEFITS 432189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432189,A000000,00700,0000,0700HOUSEKEEPING 432189,A000000,00800,0000,0800DIETARY 432189,A000000,00900,0000,0900NURSING ADMINISTRATION 432189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432189,A000000,01100,0000,1100PHARMACY 432189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432189,A000000,01300,0000,1300SOCIAL SERVICE 432189,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432189,A000000,01500,0000,1350ACTIVITIES 432189,A000000,01600,0000,1600SKILLED NURSING FACILITY 432189,A000000,01810,0000,1810ICF/MR 432189,A000000,02100,0000,2100RADIOLOGY 432189,A000000,02200,0000,2200LABORATORY 432189,A000000,02300,0000,2300INTRAVENOUS THERAPY 432189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432189,A000000,02500,0000,2500PHYSICAL THERAPY 432189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432189,A000000,02700,0000,2700SPEECH PATHOLOGY 432189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432189,A000000,03200,0000,3200SUPPORT SURFACES 432189,A000000,03300,0000,3050PEN BILLING 432189,A000000,03550,0000,3550FQHC 432189,A000000,04801,0000,4801AMBULANCE 432189,A000000,04802,0000,4802AMBULANCE 432189,A000000,04803,0000,4803AMBULANCE 432189,A000000,05000,0000,5000CORF 432189,A000000,05010,0000,5010CMHC 432189,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432189,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432189,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432189,A81000A,00100,0100,Y 432189,A81000B,00100,0300,HOME OFFICE ALLOC 432189,A81000B,00200,0300,DIRECT INT & AMORT 432189,A81000B,00300,0300,HOME OFICE CAPITAL 432189,A81000B,00400,0300,PT 432189,A81000B,00500,0300,OT 432189,A81000B,00600,0300,ST 432189,A81000B,00700,0300,NUTRITIONIST 432189,A81000B,00800,0300,RT 432189,A81000B,00900,0300,MEDICAL DIRECTOR 432189,A81000B,01000,0300,NURS PURC SVCS 432189,A81000C,00100,0100,B 432189,A81000C,00100,0200,GENESIS HEALTHC 432189,A81000C,00100,0600,MGMT COMPANY 432189,A81000C,00200,0100,B 432189,A81000C,00200,0200,GENESIS REHAB S 432189,A81000C,00200,0600,PT OT ST 432189,A81000C,00300,0100,B 432189,A81000C,00300,0200,GENESIS HOSPITA 432189,A81000C,00300,0600,NUTRITIONIST 432189,A81000C,00400,0100,B 432189,A81000C,00400,0200,RESPIRATORY HEA 432189,A81000C,00400,0600,RT 432189,A81000C,00500,0100,B 432189,A81000C,00500,0200,GENESIS PHYS SV 432189,A81000C,00500,0600,MEDICAL DIRECTO 432189,A81000C,00600,0100,B 432189,A81000C,00600,0200,GENESIS STAFFIN 432189,A81000C,00600,0600,NURS PURC SVCS 432189,B100000,00000,0100,0100SQUARE FEET 432189,B100000,00000,0200,0200SQUARE FEET 432189,B100000,00000,0300,0300GROSS SALARIES 432189,B100000,00000,0400,0400ACCUM COST 432189,B100000,00000,0500,0500SQUARE FEET 432189,B100000,00000,0600,0600PT DAYS 432189,B100000,00000,0700,0700SQ FT SERVICE 432189,B100000,00000,0800,0800MEALS SERVED 432189,B100000,00000,0900,0900PT DAYS 432189,B100000,00000,1000,1000COSTED REQUIS 432189,B100000,00000,1100,1100COSTED REQUIS 432189,B100000,00000,1200,1200GROSS CHARGES 432189,B100000,00000,1300,1300PT DAYS 432189,B100000,00000,1400,1400ASSIGNED TIME 432189,B100000,00000,1500,1350PT DAYS 432189,E10A180,00353,0100,03/28/11 432189,E10A180,00501,0100,10/17/11 432189,E10A180,00501,0300,10/17/11 432189,G300000,02500,0000,MISC REVENUE 432189,S000000,00100,0200,09/06/11 432189,S200000,00100,0100,8720 EMGE ROAD 432189,S200000,00200,0100,BALTIMORE 432189,S200000,00200,0200,MD 432189,S200000,00200,0300,21234 432189,S200000,00300,0100,BALTIMORE 432189,S200000,00300,0201,12580 432189,S200000,00300,0300,U 432189,S200000,00400,0100,LOCH RAVEN CENTER 432189,S200000,00400,0200,215090 432189,S200000,00400,0300,08/01/87 432189,S200000,00400,0500,P 432189,S200000,00600,0200,215090 432189,S200000,00600,0300,08/01/87 432189,S200000,00600,0600,O 432189,S200000,01500,0100,Y 432189,S200000,01501,0200,N 432189,S200000,01502,0200,N 432189,S200000,01503,0200,N 432189,S200000,01504,0200,N 432189,S200000,01505,0000,DON BONUS 432189,S200000,01505,0200,N 432189,S200000,01600,0100,N 432189,S200000,01700,0100,N 432189,S200000,01800,0100,N 432189,S200000,02200,0100,Y 432189,S200000,02800,0100,N 432189,S200000,02900,0100,N 432189,S200000,03000,0100,N 432189,S200000,03100,0100,N 432189,S200000,03200,0100,N 432189,S200000,03300,0100,N 432189,S200000,03300,0200,N 432189,S200000,04200,0100,N 432189,S200000,04300,0100,N 432189,S200000,04600,0100,N 432189,S200000,04700,0100,N 432189,S200000,04900,0100,N 432189,S200000,05200,0100,N 432189,S200000,05300,0100,Y 432189,S200000,05300,0200,HB0067 432189,S200000,05400,0100,GENESIS HEALTH CARE 432189,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432189,S200000,05400,0300,12001 432189,S200000,05500,0100,101 EAST STATE STREET 432189,S200000,05600,0100,KENNETT SQUARE 432189,S200000,05600,0200,PA 432189,S200000,05600,0300,19348 432190,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432190,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432190,A000000,00300,0000,0300EMPLOYEE BENEFITS 432190,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432190,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432190,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432190,A000000,00700,0000,0700HOUSEKEEPING 432190,A000000,00800,0000,0800DIETARY 432190,A000000,00900,0000,0900NURSING ADMINISTRATION 432190,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432190,A000000,01100,0000,1100PHARMACY 432190,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432190,A000000,01300,0000,1300SOCIAL SERVICE 432190,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432190,A000000,01500,0000,1350ACTIVITIES 432190,A000000,01600,0000,1600SKILLED NURSING FACILITY 432190,A000000,01810,0000,1810ICF/MR 432190,A000000,02100,0000,2100RADIOLOGY 432190,A000000,02200,0000,2200LABORATORY 432190,A000000,02300,0000,2300INTRAVENOUS THERAPY 432190,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432190,A000000,02500,0000,2500PHYSICAL THERAPY 432190,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432190,A000000,02700,0000,2700SPEECH PATHOLOGY 432190,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432190,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432190,A000000,03200,0000,3200SUPPORT SURFACES 432190,A000000,03300,0000,3050PEN BILLING 432190,A000000,03550,0000,3550FQHC 432190,A000000,04801,0000,4801AMBULANCE 432190,A000000,04802,0000,4802AMBULANCE 432190,A000000,04803,0000,4803AMBULANCE 432190,A000000,05000,0000,5000CORF 432190,A000000,05010,0000,5010CMHC 432190,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432190,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432190,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432190,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432190,A81000A,00100,0100,Y 432190,A81000B,00100,0300,HOME OFFICE A AND G 432190,A81000B,00200,0300,DIR INT AND AMORT 432190,A81000B,00300,0300,HOME OFFICE CAP REL 432190,A81000B,00400,0300,PT 432190,A81000B,00500,0300,OT 432190,A81000B,00600,0300,ST 432190,A81000B,00700,0300,DIETARY 432190,A81000B,00800,0300,RT/OXYGEN 432190,A81000B,00900,0300,MED DIRECTOR FEES 432190,A81000B,01000,0300,VAR NURS PURCH SERV 432190,A81000C,00100,0100,B 432190,A81000C,00100,0200,GENESIS HEALTHC 432190,A81000C,00100,0600,MNGT CO 432190,A81000C,00200,0100,B 432190,A81000C,00200,0200,GENESIS HOSP SE 432190,A81000C,00200,0600,NUTRITIONIST 432190,A81000C,00300,0100,B 432190,A81000C,00300,0200,GENESIS SERV 432190,A81000C,00300,0600,THERAPY SERVICE 432190,A81000C,00400,0100,B 432190,A81000C,00400,0200,GENESIS STAFFIN 432190,A81000C,00400,0600,PURCHASED SERVI 432190,A81000C,00500,0100,B 432190,A81000C,00500,0200,RESP HEALTH SER 432190,A81000C,00500,0600,RT 432190,A81000C,00600,0100,B 432190,A81000C,00600,0200,GENESIS PHYS SE 432190,A81000C,00600,0600,MED DIRECTOR 432190,B100000,00000,0100,0100SQUARE FEET 432190,B100000,00000,0200,0200SQUARE FEET 432190,B100000,00000,0300,0300GROSS SALARIES 432190,B100000,00000,0400,0400ACCUM COST 432190,B100000,00000,0500,0500SQUARE FEET 432190,B100000,00000,0600,0600PT DAYS 432190,B100000,00000,0700,0700SQUARE FEET 432190,B100000,00000,0800,0800MEALS SERVED 432190,B100000,00000,0900,0900PT DAYS 432190,B100000,00000,1000,1000COSTED REQUIS 432190,B100000,00000,1100,1100COSTED REQUIS 432190,B100000,00000,1200,1200GROSS CHARGES 432190,B100000,00000,1300,1300PT DAYS 432190,B100000,00000,1400,1400ASSIGNED TIME 432190,B100000,00000,1500,1350PT DAYS 432190,E10A180,00302,0100,03/24/11 432190,E10A180,00550,0100,10/17/11 432190,E10A180,00550,0300,10/17/11 432190,S000000,00100,0200,09/06/11 432190,S200000,00100,0100,7700 YORK ROAD 432190,S200000,00200,0100,BALTIMORE 432190,S200000,00200,0200,MD 432190,S200000,00200,0300,21204 432190,S200000,00300,0100,BALTIMORE 432190,S200000,00300,0201,12580 432190,S200000,00300,0300,U 432190,S200000,00400,0100,MULTI MEDICAL CENTER 432190,S200000,00400,0200,215096 432190,S200000,00400,0300,12/01/92 432190,S200000,00400,0500,P 432190,S200000,01500,0100,Y 432190,S200000,01501,0200,N 432190,S200000,01502,0200,N 432190,S200000,01503,0200,N 432190,S200000,01504,0200,N 432190,S200000,01505,0000,DON BONUS 432190,S200000,01505,0200,N 432190,S200000,01600,0100,Y 432190,S200000,01700,0100,N 432190,S200000,01800,0100,N 432190,S200000,02200,0100,Y 432190,S200000,02800,0100,N 432190,S200000,02900,0100,N 432190,S200000,03000,0100,N 432190,S200000,03100,0100,N 432190,S200000,03200,0100,N 432190,S200000,03300,0100,N 432190,S200000,03300,0200,N 432190,S200000,04200,0100,N 432190,S200000,04300,0100,N 432190,S200000,04600,0100,N 432190,S200000,04700,0100,N 432190,S200000,04900,0100,N 432190,S200000,05200,0100,N 432190,S200000,05300,0100,Y 432190,S200000,05300,0200,HB0067 432190,S200000,05400,0100,GENESIS HEALTHCARE 432190,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432190,S200000,05400,0300,12001 432190,S200000,05500,0100,101 EAST STATE STREET 432190,S200000,05600,0100,KENNETT SQUARE 432190,S200000,05600,0200,PA 432190,S200000,05600,0300,19348 432196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432196,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432196,A000000,00300,0000,0300EMPLOYEE BENEFITS 432196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432196,A000000,00700,0000,0700HOUSEKEEPING 432196,A000000,00800,0000,0800DIETARY 432196,A000000,00900,0000,0900NURSING ADMINISTRATION 432196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432196,A000000,01100,0000,1100PHARMACY 432196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432196,A000000,01300,0000,1300SOCIAL SERVICE 432196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432196,A000000,01500,0000,1350ACTIVITIES / RECREATION 432196,A000000,01600,0000,1600SKILLED NURSING FACILITY 432196,A000000,01810,0000,1810ICF/MR 432196,A000000,02100,0000,2100RADIOLOGY 432196,A000000,02200,0000,2200LABORATORY 432196,A000000,02300,0000,2300INTRAVENOUS THERAPY 432196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432196,A000000,02500,0000,2500PHYSICAL THERAPY 432196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432196,A000000,02700,0000,2700SPEECH PATHOLOGY 432196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432196,A000000,03200,0000,3200SUPPORT SURFACES 432196,A000000,03300,0000,3050PEN SERVICES 432196,A000000,03550,0000,3550FQHC 432196,A000000,04801,0000,4801AMBULANCE 432196,A000000,04802,0000,4802AMBULANCE 432196,A000000,04803,0000,4803AMBULANCE 432196,A000000,05000,0000,5000CORF 432196,A000000,05010,0000,5010CMHC 432196,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432196,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432196,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432196,A81000A,00100,0100,Y 432196,A81000B,00100,0300,HOME OFFICE A & G 432196,A81000B,00200,0300,DIRECT INT. & AMORT. 432196,A81000B,00300,0300,H. O. CAPITAL 432196,A81000B,00400,0300,PT 432196,A81000B,00500,0300,OT 432196,A81000B,00600,0300,ST 432196,A81000B,00700,0300,NUTRTIONIST 432196,A81000B,00800,0300,RT 432196,A81000B,00900,0300,MEDICAL DIRECTOR 432196,A81000B,01000,0300,PURCH. SERVICES 432196,A81000C,00100,0100,B 432196,A81000C,00100,0200,GENESIS HEALTHC 432196,A81000C,00100,0600,MGMT. COMPANY 432196,A81000C,00200,0100,B 432196,A81000C,00200,0200,GENESIS SERVICE 432196,A81000C,00200,0600,VARIOUS 432196,A81000C,00300,0100,B 432196,A81000C,00300,0200,GENESIS REHAB 432196,A81000C,00300,0600,REHAB 432196,A81000C,00400,0100,B 432196,A81000C,00400,0200,GENESIS HOSPITA 432196,A81000C,00400,0600,NUTRITIONIST 432196,A81000C,00500,0100,B 432196,A81000C,00500,0200,RESPIRATORY HEA 432196,A81000C,00500,0600,RT 432196,A81000C,00600,0100,B 432196,A81000C,00600,0200,GENESIS STAFFIN 432196,A81000C,00600,0600,PURCH. SERV. NR 432196,B100000,00000,0100,0100SQUARE FEET 432196,B100000,00000,0200,0200SQUARE FEET 432196,B100000,00000,0300,0300GROSS SALARIES 432196,B100000,00000,0400,0400ACCUM COST 432196,B100000,00000,0500,0500SQUARE FEET 432196,B100000,00000,0600,0600PATIENT DAYS 432196,B100000,00000,0700,0700SQUARE FEET 432196,B100000,00000,0800,0800MEALS SERVED 432196,B100000,00000,0900,0900PATIENT DAYS 432196,B100000,00000,1000,1000COSTED REQUIS 432196,B100000,00000,1100,1100COSTED REQUIS 432196,B100000,00000,1200,1200GROSS CHARGES 432196,B100000,00000,1300,1300PATIENT DAYS 432196,B100000,00000,1400,1400ASSIGNED TIME 432196,B100000,00000,1500,1350PATIENT DAYS 432196,E10A180,00353,0100,03/28/11 432196,E10A180,00501,0100,10/18/11 432196,E10A180,00501,0300,10/18/11 432196,G300000,02500,0000,MISC. REVENUE 432196,G300000,02501,0000,CONTRA ALLOW. / COST SETT. / CO-INSU 432196,S000000,00100,0200,09/06/11 432196,S200000,00100,0100,16 FUSTING AVE. 432196,S200000,00200,0100,BALTIMORE 432196,S200000,00200,0200,MD 432196,S200000,00200,0300,21228 432196,S200000,00300,0100,BALTIMORE 432196,S200000,00300,0201,12580 432196,S200000,00300,0300,U 432196,S200000,00400,0100,CATONSVILLE COMMONS 432196,S200000,00400,0200,215097 432196,S200000,00400,0300,10/01/90 432196,S200000,00400,0500,P 432196,S200000,01500,0100,Y 432196,S200000,01501,0200,N 432196,S200000,01502,0200,N 432196,S200000,01503,0200,N 432196,S200000,01504,0200,N 432196,S200000,01505,0000,DON BONUS 432196,S200000,01505,0200,N 432196,S200000,01600,0100,N 432196,S200000,01700,0100,N 432196,S200000,01800,0100,N 432196,S200000,02200,0100,Y 432196,S200000,02800,0100,N 432196,S200000,02900,0100,N 432196,S200000,03000,0100,N 432196,S200000,03100,0100,N 432196,S200000,03200,0100,N 432196,S200000,03300,0100,N 432196,S200000,03300,0200,N 432196,S200000,04200,0100,N 432196,S200000,04300,0100,N 432196,S200000,04600,0100,N 432196,S200000,04700,0100,N 432196,S200000,04900,0100,N 432196,S200000,05200,0100,N 432196,S200000,05300,0100,Y 432196,S200000,05300,0200,HB0067 432196,S200000,05400,0100,GENESIS HEALTHCARE 432196,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432196,S200000,05400,0300,12001 432196,S200000,05500,0100,101 EAST STATE STREET 432196,S200000,05600,0100,KENNETT SQUARE 432196,S200000,05600,0200,PA 432196,S200000,05600,0300,19348 432200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432200,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432200,A000000,00300,0000,0300EMPLOYEE BENEFITS 432200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432200,A000000,00700,0000,0700HOUSEKEEPING 432200,A000000,00800,0000,0800DIETARY 432200,A000000,00900,0000,0900NURSING ADMINISTRATION 432200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432200,A000000,01100,0000,1100PHARMACY 432200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432200,A000000,01300,0000,1300SOCIAL SERVICE 432200,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432200,A000000,01500,0000,1350RECREATION 432200,A000000,01600,0000,1600SKILLED NURSING FACILITY 432200,A000000,01810,0000,1810ICF/MR 432200,A000000,02100,0000,2100RADIOLOGY 432200,A000000,02200,0000,2200LABORATORY 432200,A000000,02300,0000,2300INTRAVENOUS THERAPY 432200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432200,A000000,02500,0000,2500PHYSICAL THERAPY 432200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432200,A000000,02700,0000,2700SPEECH PATHOLOGY 432200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432200,A000000,03550,0000,3550FQHC 432200,A000000,04801,0000,4801AMBULANCE 432200,A000000,04802,0000,4802AMBULANCE 432200,A000000,04803,0000,4803AMBULANCE 432200,A000000,05000,0000,5000CORF 432200,A000000,05010,0000,5010CMHC 432200,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432200,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432200,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432200,A81000A,00100,0100,Y 432200,A81000B,00100,0300,SEE ATTACHED 432200,A81000B,00200,0300,HOME OFFICE INTEREST 432200,A81000B,00300,0300,HOME OFFICE ADMIN 432200,A81000B,00400,0300,HOME OFFICE CAPITAL 432200,A81000C,00100,0100,B 432200,A81000C,00100,0400,SEE ATTACHED 432200,A81000C,00100,0600,VARIOUS 432200,A81000C,00200,0100,B 432200,A81000C,00200,0400,GHC 432200,A81000C,00200,0600,LONG TERM CARE 432200,A81000C,00300,0100,B 432200,A81000C,00300,0400,GHC 432200,A81000C,00300,0600,LONG TERM CARE 432200,A81000C,00400,0100,B 432200,A81000C,00400,0400,GHC 432200,A81000C,00400,0600,LONG TERM CARE 432200,B100000,00000,0100,0100SQUARE FEET 432200,B100000,00000,0200,0200SQUARE FEET 432200,B100000,00000,0300,0300GROSS SALARIES 432200,B100000,00000,0400,0400ACCUM COST 432200,B100000,00000,0500,0500SQUARE FEET 432200,B100000,00000,0600,0600PATIENT DAYS 432200,B100000,00000,0700,0700SQUARE FEET 432200,B100000,00000,0800,0800MEALS SERVED 432200,B100000,00000,0900,0900NURSING SALARIES 432200,B100000,00000,1000,1000COSTED REQUIS 432200,B100000,00000,1100,1100COSTED REQUIS 432200,B100000,00000,1200,1200PATIENT DAYS 432200,B100000,00000,1300,1300PATIENT DAYS 432200,B100000,00000,1400,1400ASSIGNED TIME 432200,B100000,00000,1500,1350PATIENT DAYS 432200,E10A180,00501,0100,10/04/11 432200,E10A180,00501,0300,10/04/11 432200,G300000,02500,0000,BARBER AND BEAUTY 432200,S000000,00100,0200,09/07/11 432200,S200000,00100,0100,8015 LAWNDALE STREET 432200,S200000,00200,0100,PHILADELPHIA 432200,S200000,00200,0200,PA 432200,S200000,00200,0300,19111 432200,S200000,00300,0100,PHILADELPHIA 432200,S200000,00300,0201,37964 432200,S200000,00300,0300,U 432200,S200000,00400,0100,PENNYPACK CENTER 432200,S200000,00400,0200,395135 432200,S200000,00400,0300,01/01/67 432200,S200000,00400,0500,P 432200,S200000,01500,0100,Y 432200,S200000,01501,0200,N 432200,S200000,01502,0200,N 432200,S200000,01503,0200,N 432200,S200000,01504,0200,N 432200,S200000,01600,0100,N 432200,S200000,01700,0100,N 432200,S200000,01800,0100,N 432200,S200000,02200,0100,Y 432200,S200000,02800,0100,N 432200,S200000,02900,0100,N 432200,S200000,03000,0100,N 432200,S200000,03100,0100,N 432200,S200000,03200,0100,N 432200,S200000,03300,0100,N 432200,S200000,03300,0200,N 432200,S200000,04200,0100,N 432200,S200000,04300,0100,N 432200,S200000,04600,0100,N 432200,S200000,04700,0100,N 432200,S200000,04900,0100,N 432200,S200000,05200,0100,N 432200,S200000,05300,0100,Y 432200,S200000,05300,0200,HB0067 432200,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432200,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432200,S200000,05400,0300,12001 432200,S200000,05500,0100,101 EAST STATE STREET 432200,S200000,05600,0100,KENNETT SQUARE 432200,S200000,05600,0200,PA 432200,S200000,05600,0300,19348 432206,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432206,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432206,A000000,00300,0000,0300EMPLOYEE BENEFITS 432206,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432206,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432206,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432206,A000000,00700,0000,0700HOUSEKEEPING 432206,A000000,00800,0000,0800DIETARY 432206,A000000,00900,0000,0900NURSING ADMINISTRATION 432206,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432206,A000000,01300,0000,1300SOCIAL SERVICE 432206,A000000,01500,0000,1350PATIENT ACTIVITIES 432206,A000000,01600,0000,1600SKILLED NURSING FACILITY 432206,A000000,01800,0000,1800NURSING FACILITY 432206,A000000,01900,0000,1900OTHER LONG TERM CARE 432206,A000000,02100,0000,2100RADIOLOGY 432206,A000000,02200,0000,2200LABORATORY 432206,A000000,02500,0000,2500PHYSICAL THERAPY 432206,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432206,A000000,02700,0000,2700SPEECH PATHOLOGY 432206,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432206,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432206,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432206,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432206,A000000,05300,0000,5300INTEREST EXPENSE 432206,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432206,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432206,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432206,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432206,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432206,A000000,06100,0000,6100NONPAID WORKERS 432206,A000000,06200,0000,6200PATIENTS LAUNDRY 432206,A000000,06300,0000,6150MARKETING LE COST 432206,A000000,06301,0000,6151INDEPENDENT LIVING UNITS 432206,A000000,06302,0000,6152SPECIAL SERVICES 432206,A000000,06303,0000,6153WELLNESS CENTER 432206,A81000A,00100,0100,Y 432206,A81000B,00100,0300,EMPLOYEE BENEFITS 432206,A81000B,00200,0300,HOME OFFICE 432206,A81000C,00100,0100,A 432206,A81000C,00100,0400,FRIENDS HOME INC. 432206,A81000C,00100,0600,HOME OFFICE 432206,A81000C,00200,0100,A 432206,A81000C,00200,0400,FRIENDS HOME INC. 432206,A81000C,00200,0600,HOME OFFICE 432206,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432206,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432206,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432206,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432206,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432206,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432206,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432206,B100000,00000,0800,0800MEALS SERVED :DIETARY 432206,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432206,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432206,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432206,G300000,02500,0000,OTHER INCOME 432206,G300000,02501,0000,OTHER INCOME CONTRACTUAL ADJ 432206,S000000,00100,0200,02/17/12 432206,S200000,00100,0100,6100 WEST FRIENDLY AVE. 432206,S200000,00200,0100,GREENSBORO 432206,S200000,00200,0200,NC 432206,S200000,00200,0300,27410 432206,S200000,00300,0100,GUILFORD 432206,S200000,00300,0200,3120 432206,S200000,00300,0201,24660 432206,S200000,00300,0300,U 432206,S200000,00400,0100,FRIENDS HOMES INC. -WEST 432206,S200000,00400,0200,345474 432206,S200000,00400,0300,08/01/95 432206,S200000,00400,0500,P 432206,S200000,01500,0100,N 432206,S200000,01501,0200,Y 432206,S200000,01504,0200,Y 432206,S200000,01505,0000,OTHER 432206,S200000,01505,0200,Y 432206,S200000,01600,0100,Y 432206,S200000,01700,0100,N 432206,S200000,01800,0100,N 432206,S200000,02200,0100,N 432206,S200000,02800,0100,Y 432206,S200000,02900,0100,N 432206,S200000,03000,0100,N 432206,S200000,03100,0100,N 432206,S200000,03200,0100,N 432206,S200000,03300,0100,N 432206,S200000,03300,0200,N 432206,S200000,04100,0100,N 432206,S200000,04200,0100,N 432206,S200000,04300,0100,N 432206,S200000,04600,0100,N 432206,S200000,04700,0100,N 432206,S200000,04700,0200,N 432206,S200000,04900,0100,N 432206,S200000,05000,0100,N 432206,S200000,05100,0100,N 432206,S200000,05200,0100,N 432206,S200000,05300,0100,Y 432206,S200000,05300,0200,349055 432206,S200000,05400,0100,FRIENDS HOME INC. 432206,S200000,05400,0200,PALMETTO GBA 432206,S200000,05400,0300,11001 432206,S200000,05500,0100,925 NEW GARDEN ROAD 432206,S200000,05600,0100,GREENSBORO 432206,S200000,05600,0200,NC 432206,S200000,05600,0300,27410 432225,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432225,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432225,A000000,00300,0000,0300EMPLOYEE BENEFITS 432225,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432225,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432225,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432225,A000000,00700,0000,0700HOUSEKEEPING 432225,A000000,00800,0000,0800DIETARY 432225,A000000,00900,0000,0900NURSING ADMINISTRATION 432225,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432225,A000000,01100,0000,1100PHARMACY 432225,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432225,A000000,01300,0000,1300SOCIAL SERVICE 432225,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432225,A000000,01500,0000,1350OTHER GENERAL SERVICES 432225,A000000,01600,0000,1600SKILLED NURSING FACILITY 432225,A000000,01800,0000,1800NURSING FACILITY 432225,A000000,01810,0000,1810ICF/MR 432225,A000000,01900,0000,1900OTHER LONG TERM CARE 432225,A000000,02100,0000,2100RADIOLOGY 432225,A000000,02200,0000,2200LABORATORY 432225,A000000,02300,0000,2300INTRAVENOUS THERAPY 432225,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432225,A000000,02500,0000,2500PHYSICAL THERAPY 432225,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432225,A000000,02700,0000,2700SPEECH PATHOLOGY 432225,A000000,02800,0000,2800ELECTROCARDIOLOGY 432225,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432225,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432225,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432225,A000000,03200,0000,3200SUPPORT SURFACES 432225,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432225,A000000,03400,0000,3400CLINIC 432225,A000000,03500,0000,3500RURAL HEALTH CLINIC 432225,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432225,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432225,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432225,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432225,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432225,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432225,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432225,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432225,A000000,04400,0000,4400DME RENTED - HHA 432225,A000000,04500,0000,4500DME SOLD - HHA 432225,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432225,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432225,A000000,04710,0000,4710TELEMEDICINE 432225,A000000,04800,0000,4800AMBULANCE 432225,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432225,A000000,05000,0000,5000CORF 432225,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432225,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432225,A000000,05300,0000,5300INTEREST EXPENSE 432225,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432225,A000000,05500,0000,5500HOSPICE 432225,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432225,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432225,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432225,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432225,A000000,06100,0000,6100NONPAID WORKERS 432225,A000000,06200,0000,6200PATIENTS LAUNDRY 432225,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432225,A81000A,00100,0100,N 432225,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432225,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432225,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432225,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432225,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432225,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432225,B100000,00000,0800,0800MEALS SERVED :DIETARY 432225,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432225,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432225,E10A180,00350,0100,07/27/11 432225,E10A180,00550,0100,02/15/12 432225,G300000,02500,0000,BARBER & BEAUTY 432225,S000000,00100,0200,02/15/12 432225,S200000,00100,0100,600 FULLWOOD LANE 432225,S200000,00200,0100,MATTHEWS 432225,S200000,00200,0200,NC 432225,S200000,00200,0300,28105 432225,S200000,00300,0100,MECKLENBERG 432225,S200000,00300,0200,1520 432225,S200000,00300,0201,16740 432225,S200000,00300,0300,U 432225,S200000,00400,0100,CARRINGTON PLACE 432225,S200000,00400,0200,345103 432225,S200000,00400,0300,10/01/85 432225,S200000,00400,0500,P 432225,S200000,00400,0600,O 432225,S200000,01500,0100,N 432225,S200000,01600,0100,Y 432225,S200000,01700,0100,N 432225,S200000,01800,0100,N 432225,S200000,02200,0100,N 432225,S200000,02800,0100,N 432225,S200000,02900,0100,N 432225,S200000,03000,0100,N 432225,S200000,03100,0100,N 432225,S200000,03200,0100,N 432225,S200000,03300,0100,N 432225,S200000,03300,0200,N 432225,S200000,03600,0100,N 432225,S200000,03600,0200,N 432225,S200000,04100,0100,N 432225,S200000,04200,0100,N 432225,S200000,04300,0100,N 432225,S200000,04600,0100,N 432225,S200000,04700,0100,N 432225,S200000,04700,0200,N 432225,S200000,04900,0100,N 432225,S200000,05000,0100,N 432225,S200000,05100,0100,N 432225,S200000,05200,0100,N 432228,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432228,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432228,A000000,00300,0000,0300EMPLOYEE BENEFITS 432228,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432228,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432228,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432228,A000000,00700,0000,0700HOUSEKEEPING 432228,A000000,00800,0000,0800DIETARY 432228,A000000,00900,0000,0900NURSING ADMINISTRATION 432228,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432228,A000000,01100,0000,1100PHARMACY 432228,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432228,A000000,01300,0000,1300SOCIAL SERVICE 432228,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432228,A000000,01500,0000,1350OTHER GENERAL SERVICES 432228,A000000,01600,0000,1600SKILLED NURSING FACILITY 432228,A000000,01800,0000,1800NURSING FACILITY 432228,A000000,01810,0000,1810ICF/MR 432228,A000000,01900,0000,1900OTHER LONG TERM CARE 432228,A000000,02100,0000,2100RADIOLOGY 432228,A000000,02200,0000,2200LABORATORY 432228,A000000,02300,0000,2300INTRAVENOUS THERAPY 432228,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432228,A000000,02500,0000,2500PHYSICAL THERAPY 432228,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432228,A000000,02700,0000,2700SPEECH PATHOLOGY 432228,A000000,02800,0000,2800ELECTROCARDIOLOGY 432228,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432228,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432228,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432228,A000000,03200,0000,3200SUPPORT SURFACES 432228,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432228,A000000,03400,0000,3400CLINIC 432228,A000000,03500,0000,3500RURAL HEALTH CLINIC 432228,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432228,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432228,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432228,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432228,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432228,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432228,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432228,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432228,A000000,04400,0000,4400DME RENTED - HHA 432228,A000000,04500,0000,4500DME SOLD - HHA 432228,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432228,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432228,A000000,04710,0000,4710TELEMEDICINE 432228,A000000,04800,0000,4800AMBULANCE 432228,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432228,A000000,05000,0000,5000CORF 432228,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432228,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432228,A000000,05300,0000,5300INTEREST EXPENSE 432228,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432228,A000000,05500,0000,5500HOSPICE 432228,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432228,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432228,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432228,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432228,A000000,06100,0000,6100NONPAID WORKERS 432228,A000000,06200,0000,6200PATIENTS LAUNDRY 432228,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432228,A81000A,00100,0100,N 432228,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432228,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432228,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432228,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432228,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432228,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432228,B100000,00000,0800,0800MEALS SERVED :DIETARY 432228,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432228,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432228,E10A180,00350,0100,07/27/11 432228,G300000,02500,0000,BARBER & BEAUTY INCOME 432228,S000000,00100,0200,02/01/12 432228,S200000,00100,0100,7700 HWY 158 E 432228,S200000,00100,0300,829 432228,S200000,00200,0100,STOKESDALE 432228,S200000,00200,0200,NC 432228,S200000,00200,0300,27357 432228,S200000,00300,0100,GUILFORD 432228,S200000,00300,0201,24660 432228,S200000,00300,0300,U 432228,S200000,00400,0100,COUNTRYSIDE MANOR 432228,S200000,00400,0200,345390 432228,S200000,00400,0300,10/01/97 432228,S200000,00400,0500,P 432228,S200000,00400,0600,O 432228,S200000,01500,0100,N 432228,S200000,01600,0100,Y 432228,S200000,01700,0100,N 432228,S200000,01800,0100,N 432228,S200000,02200,0100,N 432228,S200000,02800,0100,N 432228,S200000,02900,0100,N 432228,S200000,03000,0100,N 432228,S200000,03100,0100,N 432228,S200000,03200,0100,N 432228,S200000,03300,0100,N 432228,S200000,03300,0200,N 432228,S200000,03600,0100,N 432228,S200000,03600,0200,N 432228,S200000,04100,0100,N 432228,S200000,04200,0100,N 432228,S200000,04300,0100,N 432228,S200000,04600,0100,N 432228,S200000,04700,0100,N 432228,S200000,04700,0200,N 432228,S200000,04900,0100,N 432228,S200000,05000,0100,N 432228,S200000,05100,0100,N 432228,S200000,05200,0100,N 432235,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432235,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432235,A000000,00300,0000,0300EMPLOYEE BENEFITS 432235,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432235,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432235,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432235,A000000,00700,0000,0700HOUSEKEEPING 432235,A000000,00800,0000,0800DIETARY 432235,A000000,00900,0000,0900NURSING ADMINISTRATION 432235,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432235,A000000,01100,0000,1100PHARMACY 432235,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432235,A000000,01300,0000,1300SOCIAL SERVICE 432235,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432235,A000000,01500,0000,1350OTHER GENERAL SERVICES 432235,A000000,01600,0000,1600SKILLED NURSING FACILITY 432235,A000000,01800,0000,1800NURSING FACILITY 432235,A000000,01810,0000,1810ICF/MR 432235,A000000,01900,0000,1900OTHER LONG TERM CARE 432235,A000000,02100,0000,2100RADIOLOGY 432235,A000000,02200,0000,2200LABORATORY 432235,A000000,02300,0000,2300INTRAVENOUS THERAPY 432235,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432235,A000000,02500,0000,2500PHYSICAL THERAPY 432235,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432235,A000000,02700,0000,2700SPEECH PATHOLOGY 432235,A000000,02800,0000,2800ELECTROCARDIOLOGY 432235,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432235,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432235,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432235,A000000,03200,0000,3200SUPPORT SURFACES 432235,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432235,A000000,03400,0000,3400CLINIC 432235,A000000,03500,0000,3500RURAL HEALTH CLINIC 432235,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432235,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432235,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432235,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432235,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432235,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432235,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432235,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432235,A000000,04400,0000,4400DME RENTED - HHA 432235,A000000,04500,0000,4500DME SOLD - HHA 432235,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432235,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432235,A000000,04710,0000,4710TELEMEDICINE 432235,A000000,04800,0000,4800AMBULANCE 432235,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432235,A000000,05000,0000,5000CORF 432235,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432235,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432235,A000000,05300,0000,5300INTEREST EXPENSE 432235,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432235,A000000,05500,0000,5500HOSPICE 432235,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432235,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432235,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432235,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432235,A000000,06100,0000,6100NONPAID WORKERS 432235,A000000,06200,0000,6200PATIENTS LAUNDRY 432235,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432235,A81000A,00100,0100,N 432235,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432235,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432235,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432235,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432235,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432235,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432235,B100000,00000,0800,0800MEALS SERVED :DIETARY 432235,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432235,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432235,E10A180,00350,0100,08/01/11 432235,G300000,02500,0000,BARBER AND BEAUTY INCOME 432235,S000000,00100,0200,02/15/12 432235,S200000,00100,0100,812 SHEPARD STREET 432235,S200000,00200,0100,MOREHEAD CITY 432235,S200000,00200,0200,NC 432235,S200000,00200,0300,28557 432235,S200000,00300,0100,CARTERET 432235,S200000,00300,0200,34 432235,S200000,00300,0201,99934 432235,S200000,00300,0300,R 432235,S200000,00400,0100,HARBORVIEW HEALTH CARE CENTER 432235,S200000,00400,0200,345244 432235,S200000,00400,0300,03/23/10 432235,S200000,00400,0500,P 432235,S200000,00400,0600,O 432235,S200000,01500,0100,Y 432235,S200000,01600,0100,N 432235,S200000,01700,0100,N 432235,S200000,01800,0100,N 432235,S200000,02200,0100,N 432235,S200000,02800,0100,N 432235,S200000,02900,0100,N 432235,S200000,03000,0100,N 432235,S200000,03100,0100,N 432235,S200000,03200,0100,N 432235,S200000,03300,0100,N 432235,S200000,03300,0200,N 432235,S200000,03600,0100,N 432235,S200000,03600,0200,N 432235,S200000,04100,0100,N 432235,S200000,04200,0100,N 432235,S200000,04300,0100,N 432235,S200000,04600,0100,N 432235,S200000,04700,0100,N 432235,S200000,04700,0200,N 432235,S200000,04900,0100,N 432235,S200000,05000,0100,N 432235,S200000,05100,0100,N 432235,S200000,05200,0100,N 432238,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432238,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432238,A000000,00300,0000,0300EMPLOYEE BENEFITS 432238,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432238,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432238,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432238,A000000,00700,0000,0700HOUSEKEEPING 432238,A000000,00800,0000,0800DIETARY 432238,A000000,00900,0000,0900NURSING ADMINISTRATION 432238,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432238,A000000,01100,0000,1100PHARMACY 432238,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432238,A000000,01300,0000,1300SOCIAL SERVICE 432238,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432238,A000000,01500,0000,1350ACTIVITIES 432238,A000000,01600,0000,1600SKILLED NURSING FACILITY 432238,A000000,01800,0000,1800NURSING FACILITY 432238,A000000,01810,0000,1810ICF/MR 432238,A000000,01900,0000,1900OTHER LONG TERM CARE 432238,A000000,02100,0000,2100RADIOLOGY 432238,A000000,02200,0000,2200LABORATORY 432238,A000000,02300,0000,2300INTRAVENOUS THERAPY 432238,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432238,A000000,02500,0000,2500PHYSICAL THERAPY 432238,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432238,A000000,02700,0000,2700SPEECH PATHOLOGY 432238,A000000,02800,0000,2800ELECTROCARDIOLOGY 432238,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432238,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432238,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432238,A000000,03200,0000,3200SUPPORT SURFACES 432238,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432238,A000000,03400,0000,3400CLINIC 432238,A000000,03500,0000,3500RURAL HEALTH CLINIC 432238,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432238,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432238,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432238,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432238,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432238,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432238,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432238,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432238,A000000,04400,0000,4400DME RENTED - HHA 432238,A000000,04500,0000,4500DME SOLD - HHA 432238,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432238,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432238,A000000,04710,0000,4710TELEMEDICINE 432238,A000000,04800,0000,4800AMBULANCE 432238,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432238,A000000,05000,0000,5000CORF 432238,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432238,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432238,A000000,05300,0000,5300INTEREST EXPENSE 432238,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432238,A000000,05500,0000,5500HOSPICE 432238,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432238,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432238,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432238,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432238,A000000,06100,0000,6100NONPAID WORKERS 432238,A000000,06200,0000,6200PATIENTS LAUNDRY 432238,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432238,A81000A,00100,0100,Y 432238,A81000B,00100,0300,HOME OFFICE COSTS 432238,A81000B,00200,0300,HOME OFFICE COSTS 432238,A81000B,00300,0300,HOME OFFICE COSTS 432238,A81000B,00400,0300,HOME OFFICE COSTS 432238,A81000B,00500,0300,HOME OFFICE COSTS 432238,A81000B,00600,0300,HOME OFFICE COSTS 432238,A81000B,00700,0300,TRANSPORTATION SERVICES 432238,A81000B,00800,0300,PHYSICAL THERAPY 432238,A81000B,00900,0300,OCCUPATIONAL THERAPY 432238,A81000B,01000,0300,SPEECH THERAPY 432238,A81000C,00100,0100,A 432238,A81000C,00100,0200,STUART AND MIKE REED 432238,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00100,0600,NURSING HOMES 432238,A81000C,00200,0100,A 432238,A81000C,00200,0200,STUART AND MIKE REED 432238,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00200,0600,NURSING HOMES 432238,A81000C,00300,0100,A 432238,A81000C,00300,0200,STUART AND MIKE REED 432238,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00300,0600,NURSING HOMES 432238,A81000C,00400,0100,A 432238,A81000C,00400,0200,STUART AND MIKE REED 432238,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00400,0600,NURSING HOMES 432238,A81000C,00500,0100,A 432238,A81000C,00500,0200,STUART AND MIKE REED 432238,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00500,0600,NURSING HOMES 432238,A81000C,00600,0100,A 432238,A81000C,00600,0200,STUART AND MIKE REED 432238,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432238,A81000C,00600,0600,NURSING HOMES 432238,A81000C,00700,0100,A 432238,A81000C,00700,0200,STUART REED 432238,A81000C,00700,0400,DISTINCTIVE TRANS. SYSTEM 432238,A81000C,00700,0600,TRANSPORTATION 432238,A81000C,00800,0100,D 432238,A81000C,00800,0200,SUZANNE REED 432238,A81000C,00800,0400,INDIANA FITNESS WORKS 432238,A81000C,00800,0600,THERAPY 432238,A81000C,00900,0100,D 432238,A81000C,00900,0200,SUZANNE REED 432238,A81000C,00900,0400,INDIANA FITNESS WORKS 432238,A81000C,00900,0600,THERAPY 432238,A81000C,01000,0100,D 432238,A81000C,01000,0200,SUZANNE REED 432238,A81000C,01000,0400,INDIANA FITNESS WORKS 432238,A81000C,01000,0600,THERAPY 432238,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432238,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432238,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432238,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432238,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432238,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432238,B100000,00000,0800,0800MEALS SERVED :DIETARY 432238,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432238,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432238,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432238,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432238,G300000,02500,0000,OTHER REVENUE 432238,S000000,00100,0200,05/22/12 432238,S200000,00100,0100,1065 PARKWAY STREET 432238,S200000,00200,0100,BERNE 432238,S200000,00200,0200,IN 432238,S200000,00200,0300,46711 432238,S200000,00300,0100,ADAMS 432238,S200000,00300,0201,99915 432238,S200000,00300,0300,R 432238,S200000,00400,0100,CHALET VILLAGE HEALTH & REHAB CENTER 432238,S200000,00400,0200,155473 432238,S200000,00400,0300,10/27/92 432238,S200000,00400,0500,P 432238,S200000,01500,0100,Y 432238,S200000,01501,0200,Y 432238,S200000,01502,0200,Y 432238,S200000,01503,0200,Y 432238,S200000,01504,0200,Y 432238,S200000,01600,0100,N 432238,S200000,01700,0100,N 432238,S200000,01800,0100,N 432238,S200000,02200,0100,N 432238,S200000,02800,0100,N 432238,S200000,02900,0100,N 432238,S200000,03000,0100,N 432238,S200000,03100,0100,N 432238,S200000,03200,0100,N 432238,S200000,03300,0100,N 432238,S200000,03300,0200,N 432238,S200000,04100,0100,N 432238,S200000,04200,0100,N 432238,S200000,04300,0100,N 432238,S200000,04600,0100,N 432238,S200000,04700,0100,N 432238,S200000,04700,0200,N 432238,S200000,04900,0100,N 432238,S200000,05000,0100,N 432238,S200000,05100,0100,N 432238,S200000,05200,0100,N 432238,S200000,05300,0100,Y 432238,S200000,05300,0200,15HO49 432238,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432238,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432238,S200000,05400,0300,00130 432238,S200000,05500,0100,9450 PRIORITY WAY WEST 432238,S200000,05600,0100,INDIANAPOLIS 432238,S200000,05600,0200,IN 432238,S200000,05600,0300,46240 432239,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432239,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432239,A000000,00300,0000,0300EMPLOYEE BENEFITS 432239,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432239,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432239,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432239,A000000,00700,0000,0700HOUSEKEEPING 432239,A000000,00800,0000,0800DIETARY 432239,A000000,00900,0000,0900NURSING ADMINISTRATION 432239,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432239,A000000,01100,0000,1100PHARMACY 432239,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432239,A000000,01300,0000,1300SOCIAL SERVICE 432239,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432239,A000000,01500,0000,1350ACTIVITIES 432239,A000000,01600,0000,1600SKILLED NURSING FACILITY 432239,A000000,01800,0000,1800NURSING FACILITY 432239,A000000,01810,0000,1810ICF/MR 432239,A000000,01900,0000,1900OTHER LONG TERM CARE 432239,A000000,02100,0000,2100RADIOLOGY 432239,A000000,02200,0000,2200LABORATORY 432239,A000000,02300,0000,2300INTRAVENOUS THERAPY 432239,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432239,A000000,02500,0000,2500PHYSICAL THERAPY 432239,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432239,A000000,02700,0000,2700SPEECH PATHOLOGY 432239,A000000,02800,0000,2800ELECTROCARDIOLOGY 432239,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432239,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432239,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432239,A000000,03200,0000,3200SUPPORT SURFACES 432239,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432239,A000000,03400,0000,3400CLINIC 432239,A000000,03500,0000,3500RURAL HEALTH CLINIC 432239,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432239,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432239,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432239,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432239,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432239,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432239,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432239,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432239,A000000,04400,0000,4400DME RENTED - HHA 432239,A000000,04500,0000,4500DME SOLD - HHA 432239,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432239,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432239,A000000,04710,0000,4710TELEMEDICINE 432239,A000000,04800,0000,4800AMBULANCE 432239,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432239,A000000,05000,0000,5000CORF 432239,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432239,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432239,A000000,05300,0000,5300INTEREST EXPENSE 432239,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432239,A000000,05500,0000,5500HOSPICE 432239,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432239,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432239,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432239,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432239,A000000,06100,0000,6100NONPAID WORKERS 432239,A000000,06200,0000,6200PATIENTS LAUNDRY 432239,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432239,A81000A,00100,0100,Y 432239,A81000B,00100,0300,HOME OFFICE COSTS 432239,A81000B,00200,0300,WORKERS COMPENSATION 432239,A81000B,00300,0300,HOME OFFICE COSTS 432239,A81000B,00400,0300,HOME OFFICE COSTS 432239,A81000B,00500,0300,HOME OFFICE COSTS 432239,A81000B,00600,0300,HOME OFFICE COSTS 432239,A81000B,00700,0300,HOME OFFICE COSTS 432239,A81000B,00800,0300,PHYSICAL THERAPY 432239,A81000B,00900,0300,OCCUPATIONAL THERAPY 432239,A81000B,01000,0300,SPEECH THERAPY 432239,A81000C,00100,0100,A 432239,A81000C,00100,0200,STUART AND MIKE REED 432239,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00100,0600,NURSING HOMES 432239,A81000C,00200,0100,D 432239,A81000C,00200,0200,SUZANNE REED 432239,A81000C,00200,0400,INDIANA FITNESS WORKS 432239,A81000C,00200,0600,THERAPY 432239,A81000C,00300,0100,A 432239,A81000C,00300,0200,STUART AND MIKE REED 432239,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00300,0600,NURSING HOMES 432239,A81000C,00400,0100,A 432239,A81000C,00400,0200,STUART AND MIKE REED 432239,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00400,0600,NURSING HOMES 432239,A81000C,00500,0100,A 432239,A81000C,00500,0200,STUART AND MIKE REED 432239,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00500,0600,NURSING HOMES 432239,A81000C,00600,0100,A 432239,A81000C,00600,0200,STUART AND MIKE REED 432239,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00600,0600,NURSING HOMES 432239,A81000C,00700,0100,A 432239,A81000C,00700,0200,STUART AND MIKE REED 432239,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432239,A81000C,00700,0600,NURSING HOMES 432239,A81000C,00800,0100,D 432239,A81000C,00800,0200,SUZANNE REED 432239,A81000C,00800,0400,INDIANA FITNESS WORKS 432239,A81000C,00800,0600,THERAPY 432239,A81000C,00900,0100,D 432239,A81000C,00900,0200,SUZANNE REED 432239,A81000C,00900,0400,INDIANA FITNESS WORKS 432239,A81000C,00900,0600,THERAPY 432239,A81000C,01000,0100,D 432239,A81000C,01000,0200,SUZANNE REED 432239,A81000C,01000,0400,INDIANA FITNESS WORKS 432239,A81000C,01000,0600,THERAPY 432239,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432239,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432239,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432239,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432239,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432239,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432239,B100000,00000,0800,0800MEALS SERVED :DIETARY 432239,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 432239,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432239,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432239,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432239,E10A180,00301,0100,08/22/11 432239,G300000,02500,0000,OTHER REVENUES 432239,S000000,00100,0200,06/02/12 432239,S200000,00100,0100,215 WEST HIGH 432239,S200000,00200,0100,LIBERTY 432239,S200000,00200,0200,IN 432239,S200000,00200,0300,47353 432239,S200000,00300,0100,UNION 432239,S200000,00300,0201,99915 432239,S200000,00300,0300,R 432239,S200000,00400,0100,SYCAMORE SPRINGS REHAB CENTRE 432239,S200000,00400,0200,155507 432239,S200000,00400,0300,07/01/03 432239,S200000,00400,0500,P 432239,S200000,01500,0100,Y 432239,S200000,01501,0200,Y 432239,S200000,01502,0200,Y 432239,S200000,01503,0200,Y 432239,S200000,01504,0200,Y 432239,S200000,01600,0100,N 432239,S200000,01700,0100,N 432239,S200000,01800,0100,N 432239,S200000,02200,0100,N 432239,S200000,02800,0100,N 432239,S200000,02900,0100,N 432239,S200000,03000,0100,N 432239,S200000,03100,0100,N 432239,S200000,03200,0100,N 432239,S200000,03300,0100,N 432239,S200000,03300,0200,N 432239,S200000,04100,0100,N 432239,S200000,04200,0100,N 432239,S200000,04300,0100,N 432239,S200000,04600,0100,N 432239,S200000,04700,0100,N 432239,S200000,04700,0200,N 432239,S200000,04900,0100,N 432239,S200000,05000,0100,N 432239,S200000,05100,0100,N 432239,S200000,05200,0100,N 432239,S200000,05300,0100,Y 432239,S200000,05300,0200,15H049 432239,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC 432239,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432239,S200000,05400,0300,00130 432239,S200000,05500,0100,9455 DELEGATES ROW 432239,S200000,05600,0100,INDIANAPOLIS 432239,S200000,05600,0200,IN 432239,S200000,05600,0300,46240 432240,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432240,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432240,A000000,00300,0000,0300EMPLOYEE BENEFITS 432240,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432240,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432240,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432240,A000000,00700,0000,0700HOUSEKEEPING 432240,A000000,00800,0000,0800DIETARY 432240,A000000,00900,0000,0900NURSING ADMINISTRATION 432240,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432240,A000000,01100,0000,1100PHARMACY 432240,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432240,A000000,01300,0000,1300SOCIAL SERVICE 432240,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432240,A000000,01500,0000,1350ACTIVITIES 432240,A000000,01600,0000,1600SKILLED NURSING FACILITY 432240,A000000,01800,0000,1800NURSING FACILITY 432240,A000000,01810,0000,1810ICF/MR 432240,A000000,01900,0000,1900OTHER LONG TERM CARE 432240,A000000,02100,0000,2100RADIOLOGY 432240,A000000,02200,0000,2200LABORATORY 432240,A000000,02300,0000,2300INTRAVENOUS THERAPY 432240,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432240,A000000,02500,0000,2500PHYSICAL THERAPY 432240,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432240,A000000,02700,0000,2700SPEECH PATHOLOGY 432240,A000000,02800,0000,2800ELECTROCARDIOLOGY 432240,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432240,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432240,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432240,A000000,03200,0000,3200SUPPORT SURFACES 432240,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432240,A000000,03400,0000,3400CLINIC 432240,A000000,03500,0000,3500RURAL HEALTH CLINIC 432240,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432240,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432240,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432240,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432240,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432240,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432240,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432240,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432240,A000000,04400,0000,4400DME RENTED - HHA 432240,A000000,04500,0000,4500DME SOLD - HHA 432240,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432240,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432240,A000000,04710,0000,4710TELEMEDICINE 432240,A000000,04800,0000,4800AMBULANCE 432240,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432240,A000000,05000,0000,5000CORF 432240,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432240,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432240,A000000,05300,0000,5300INTEREST EXPENSE 432240,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432240,A000000,05500,0000,5500HOSPICE 432240,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432240,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432240,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432240,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432240,A000000,06100,0000,6100NONPAID WORKERS 432240,A000000,06200,0000,6200PATIENTS LAUNDRY 432240,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432240,A81000A,00100,0100,Y 432240,A81000B,00100,0300,HOME OFFICE COSTS 432240,A81000B,00200,0300,WORKERS COMPENSATION 432240,A81000B,00300,0300,HOME OFFICE COSTS 432240,A81000B,00400,0300,HOME OFFICE COSTS 432240,A81000B,00500,0300,HOME OFFICE COSTS 432240,A81000B,00600,0300,HOME OFFICE COSTS 432240,A81000B,00700,0300,HOME OFFICE COSTS 432240,A81000B,00800,0300,TRANSPORTATION SERVICES 432240,A81000B,00900,0300,PHYSICAL THERAPY 432240,A81000B,01000,0300,OCCUPATIONAL THERAPY 432240,A81000B,01100,0300,SPEECH THERAPY 432240,A81000C,00100,0100,A 432240,A81000C,00100,0200,STUART AND MIKE REED 432240,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00100,0600,NURSING HOMES 432240,A81000C,00200,0100,D 432240,A81000C,00200,0200,SUZANNE REED 432240,A81000C,00200,0400,INDIANA FITNESS WORKS 432240,A81000C,00200,0600,THERAPY 432240,A81000C,00300,0100,A 432240,A81000C,00300,0200,STUART AND MIKE REED 432240,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00300,0600,NURSING HOMES 432240,A81000C,00400,0100,A 432240,A81000C,00400,0200,STUART AND MIKE REED 432240,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00400,0600,NURSING HOMES 432240,A81000C,00500,0100,A 432240,A81000C,00500,0200,STUART AND MIKE REED 432240,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00500,0600,NURSING HOMES 432240,A81000C,00600,0100,A 432240,A81000C,00600,0200,STUART AND MIKE REED 432240,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00600,0600,NURSING HOMES 432240,A81000C,00700,0100,A 432240,A81000C,00700,0200,STUART AND MIKE REED 432240,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432240,A81000C,00700,0600,NURSING HOMES 432240,A81000C,00800,0100,A 432240,A81000C,00800,0200,STUART REED 432240,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 432240,A81000C,00800,0600,TRANSPORTATION 432240,A81000C,00900,0100,D 432240,A81000C,00900,0200,SUZANNE REED 432240,A81000C,00900,0400,INDIANA FITNESS WORKS 432240,A81000C,00900,0600,THERAPY 432240,A81000C,01000,0100,D 432240,A81000C,01000,0200,SUZANNE REED 432240,A81000C,01000,0400,INDIANA FITNESS WORKS 432240,A81000C,01000,0600,THERAPY 432240,A81000C,01001,0100,D 432240,A81000C,01001,0200,SUZANNE REED 432240,A81000C,01001,0400,INDIANA FITNESS WORKS 432240,A81000C,01001,0600,THERAPY 432240,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432240,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432240,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432240,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432240,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432240,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432240,B100000,00000,0800,0800MEALS SERVED :DIETARY 432240,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432240,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432240,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432240,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432240,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432240,G300000,02500,0000,OTHER REVENUE 432240,S000000,00100,0200,05/22/12 432240,S200000,00100,0100,7524 EAST JACKSON STREET 432240,S200000,00200,0100,MUNCIE 432240,S200000,00200,0200,IN 432240,S200000,00200,0300,47302 432240,S200000,00300,0100,DELAWARE 432240,S200000,00300,0201,34620 432240,S200000,00300,0300,U 432240,S200000,00400,0100,WILLOWBEND LIVING CENTER 432240,S200000,00400,0200,155549 432240,S200000,00400,0300,11/03/94 432240,S200000,00400,0500,P 432240,S200000,01500,0100,Y 432240,S200000,01501,0200,Y 432240,S200000,01502,0200,Y 432240,S200000,01503,0200,Y 432240,S200000,01504,0200,Y 432240,S200000,01600,0100,N 432240,S200000,01700,0100,N 432240,S200000,01800,0100,N 432240,S200000,02200,0100,N 432240,S200000,02800,0100,N 432240,S200000,02900,0100,N 432240,S200000,03000,0100,N 432240,S200000,03100,0100,N 432240,S200000,03200,0100,N 432240,S200000,03300,0100,N 432240,S200000,03300,0200,N 432240,S200000,04100,0100,N 432240,S200000,04200,0100,N 432240,S200000,04300,0100,N 432240,S200000,04600,0100,N 432240,S200000,04700,0100,N 432240,S200000,04700,0200,N 432240,S200000,04900,0100,N 432240,S200000,05000,0100,N 432240,S200000,05100,0100,N 432240,S200000,05200,0100,N 432240,S200000,05300,0100,Y 432240,S200000,05300,0200,15HO49 432240,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC 432240,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 432240,S200000,05400,0300,00130 432240,S200000,05500,0100,9450 PRIORITY WAY WEST 432240,S200000,05600,0100,INDIANAPOLIS 432240,S200000,05600,0200,IN 432240,S200000,05600,0300,46240 432241,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432241,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432241,A000000,00300,0000,0300EMPLOYEE BENEFITS 432241,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432241,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432241,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432241,A000000,00700,0000,0700HOUSEKEEPING 432241,A000000,00800,0000,0800DIETARY 432241,A000000,00900,0000,0900NURSING ADMINISTRATION 432241,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432241,A000000,01100,0000,1100PHARMACY 432241,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432241,A000000,01300,0000,1300SOCIAL SERVICE 432241,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432241,A000000,01500,0000,1350ACTIVITIES 432241,A000000,01600,0000,1600SKILLED NURSING FACILITY 432241,A000000,01800,0000,1800NURSING FACILITY 432241,A000000,01810,0000,1810ICF/MR 432241,A000000,01900,0000,1900OTHER LONG TERM CARE 432241,A000000,02100,0000,2100RADIOLOGY 432241,A000000,02200,0000,2200LABORATORY 432241,A000000,02300,0000,2300INTRAVENOUS THERAPY 432241,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432241,A000000,02500,0000,2500PHYSICAL THERAPY 432241,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432241,A000000,02700,0000,2700SPEECH PATHOLOGY 432241,A000000,02800,0000,2800ELECTROCARDIOLOGY 432241,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432241,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432241,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432241,A000000,03200,0000,3200SUPPORT SURFACES 432241,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432241,A000000,03400,0000,3400CLINIC 432241,A000000,03500,0000,3500RURAL HEALTH CLINIC 432241,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432241,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432241,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432241,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432241,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432241,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432241,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432241,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432241,A000000,04400,0000,4400DME RENTED - HHA 432241,A000000,04500,0000,4500DME SOLD - HHA 432241,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432241,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432241,A000000,04710,0000,4710TELEMEDICINE 432241,A000000,04800,0000,4800AMBULANCE 432241,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432241,A000000,05000,0000,5000CORF 432241,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432241,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432241,A000000,05300,0000,5300INTEREST EXPENSE 432241,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432241,A000000,05500,0000,5500HOSPICE 432241,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432241,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432241,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432241,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432241,A000000,06100,0000,6100NONPAID WORKERS 432241,A000000,06200,0000,6200PATIENTS LAUNDRY 432241,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432241,A81000A,00100,0100,Y 432241,A81000B,00100,0300,TWCG HOME OFFICE 432241,A81000B,00200,0300,TWCG HOME OFFICE 432241,A81000B,00300,0300,TWCG HOME OFFICE 432241,A81000B,00400,0300,TWCG HOME OFFICE 432241,A81000B,00500,0300,TWCG HOME OFFICE 432241,A81000B,00600,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,00700,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,00800,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,00900,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,01000,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,01100,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000B,01200,0300,ADDIT SVP AND QR HOME OFFICE 432241,A81000C,00100,0100,B 432241,A81000C,00100,0200,THE WATERS OF INDIANA III 432241,A81000C,00100,0400,TWCG 432241,A81000C,00100,0600,CONSULTING SERVICES 432241,A81000C,00200,0400,ADDIT LLC SVP LLC & QR 432241,A81000C,00200,0600,CONSULTING SERVICES 432241,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432241,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432241,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432241,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432241,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432241,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432241,B100000,00000,0800,0800MEALS SERVED :DIETARY 432241,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432241,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432241,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432241,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432241,E10A180,00301,0100,02/28/11 432241,G300000,02500,0000,PERSONAL PURCHASES 432241,G300000,02501,0000,RENT 432241,G300000,02502,0000,VENDOR REFUNDS 432241,G300000,02503,0000,MISC 432241,S000000,00100,0200,09/29/11 432241,S200000,00100,0100,200 SHORT STREET 432241,S200000,00200,0100,WILLIAMSPORT 432241,S200000,00200,0200,IN 432241,S200000,00200,0300,47993 432241,S200000,00300,0100,WARREN 432241,S200000,00300,0201,99915 432241,S200000,00300,0300,R 432241,S200000,00400,0100,THE WATERS OF WILLIAMSPORT LLC 432241,S200000,00400,0200,155568 432241,S200000,00400,0300,03/22/95 432241,S200000,00400,0500,P 432241,S200000,01500,0100,Y 432241,S200000,01600,0100,N 432241,S200000,01700,0100,N 432241,S200000,01800,0100,N 432241,S200000,02200,0100,N 432241,S200000,02800,0100,N 432241,S200000,02900,0100,N 432241,S200000,03000,0100,N 432241,S200000,03100,0100,N 432241,S200000,03200,0100,N 432241,S200000,03300,0100,N 432241,S200000,03300,0200,N 432241,S200000,04100,0100,N 432241,S200000,04200,0100,N 432241,S200000,04300,0100,N 432241,S200000,04600,0100,N 432241,S200000,04700,0100,N 432241,S200000,04700,0200,N 432241,S200000,04900,0100,N 432241,S200000,05000,0100,N 432241,S200000,05100,0100,N 432241,S200000,05200,0100,N 432242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432242,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432242,A000000,00300,0000,0300EMPLOYEE BENEFITS 432242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432242,A000000,00700,0000,0700HOUSEKEEPING 432242,A000000,00800,0000,0800DIETARY 432242,A000000,00900,0000,0900NURSING ADMINISTRATION 432242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432242,A000000,01100,0000,1100PHARMACY 432242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432242,A000000,01300,0000,1300SOCIAL SERVICE 432242,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432242,A000000,01500,0000,1350ACTIVITIES 432242,A000000,01600,0000,1600SKILLED NURSING FACILITY 432242,A000000,01800,0000,1800NURSING FACILITY 432242,A000000,01810,0000,1810ICF/MR 432242,A000000,01900,0000,1900OTHER LONG TERM CARE 432242,A000000,02100,0000,2100RADIOLOGY 432242,A000000,02200,0000,2200LABORATORY 432242,A000000,02300,0000,2300INTRAVENOUS THERAPY 432242,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432242,A000000,02500,0000,2500PHYSICAL THERAPY 432242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432242,A000000,02700,0000,2700SPEECH PATHOLOGY 432242,A000000,02800,0000,2800ELECTROCARDIOLOGY 432242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432242,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432242,A000000,03200,0000,3200SUPPORT SURFACES 432242,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432242,A000000,03400,0000,3400CLINIC 432242,A000000,03500,0000,3500RURAL HEALTH CLINIC 432242,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432242,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432242,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432242,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432242,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432242,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432242,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432242,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432242,A000000,04400,0000,4400DME RENTED - HHA 432242,A000000,04500,0000,4500DME SOLD - HHA 432242,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432242,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432242,A000000,04710,0000,4710TELEMEDICINE 432242,A000000,04800,0000,4800AMBULANCE 432242,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432242,A000000,05000,0000,5000CORF 432242,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432242,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432242,A000000,05300,0000,5300INTEREST EXPENSE 432242,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432242,A000000,05500,0000,5500HOSPICE 432242,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432242,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432242,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432242,A000000,06100,0000,6100NONPAID WORKERS 432242,A000000,06200,0000,6200PATIENTS LAUNDRY 432242,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432242,A81000A,00100,0100,Y 432242,A81000B,00100,0300,HOME OFFICE COSTS 432242,A81000B,00200,0300,HOME OFFICE COSTS 432242,A81000B,00300,0300,HOME OFFICE COSTS 432242,A81000B,00400,0300,HOME OFFICE COSTS 432242,A81000B,00500,0300,HOME OFFICE COSTS 432242,A81000B,00600,0300,HOME OFFICE COSTS 432242,A81000B,00700,0300,PHYSICAL THERAPY 432242,A81000B,00800,0300,OCCUPATIONAL THERAPY 432242,A81000B,00900,0300,SPEECH THERAPY 432242,A81000B,01000,0300,ACTIVITIES 432242,A81000C,00100,0100,A 432242,A81000C,00100,0200,STUART AND MIKE REED 432242,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00100,0600,NURSING HOMES 432242,A81000C,00200,0100,A 432242,A81000C,00200,0200,STUART AND MIKE REED 432242,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00200,0600,NURSING HOMES 432242,A81000C,00300,0100,A 432242,A81000C,00300,0200,STUART AND MIKE REED 432242,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00300,0600,NURSING HOMES 432242,A81000C,00400,0100,A 432242,A81000C,00400,0200,STUART AND MIKE REED 432242,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00400,0600,NURSING HOMES 432242,A81000C,00500,0100,A 432242,A81000C,00500,0200,STUART AND MIKE REED 432242,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00500,0600,NURSING HOMES 432242,A81000C,00600,0100,A 432242,A81000C,00600,0200,STUART AND MIKE REED 432242,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432242,A81000C,00600,0600,NURSING HOMES 432242,A81000C,00700,0100,D 432242,A81000C,00700,0200,SUZANNE REED 432242,A81000C,00700,0400,INDIANA FITNESS WORKS 432242,A81000C,00700,0600,THERAPY 432242,A81000C,00800,0100,D 432242,A81000C,00800,0200,SUZANNE REED 432242,A81000C,00800,0400,INDIANA FITNESS WORKS 432242,A81000C,00800,0600,THERAPY 432242,A81000C,00900,0100,D 432242,A81000C,00900,0200,SUZANNE REED 432242,A81000C,00900,0400,INDIANA FITNESS WORKS 432242,A81000C,00900,0600,THERAPY 432242,A81000C,01000,0100,A 432242,A81000C,01000,0200,STUART REED 432242,A81000C,01000,0400,DISTINCTIVE TRANS. SYSTEM 432242,A81000C,01000,0600,TRANSPORTATION 432242,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432242,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432242,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432242,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432242,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432242,B100000,00000,0800,0800MEALS SERVED :DIETARY 432242,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432242,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432242,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432242,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432242,G300000,02500,0000,OTHER REVENUE 432242,S000000,00100,0200,05/22/12 432242,S200000,00100,0100,715 NORTH MILL STREET 432242,S200000,00200,0100,HARTFORD CITY 432242,S200000,00200,0200,IN 432242,S200000,00200,0300,47348 432242,S200000,00300,0100,BLACKFORD 432242,S200000,00300,0201,99915 432242,S200000,00300,0300,R 432242,S200000,00400,0100,BRIDGEWATER REHABILITATION CENTRE 432242,S200000,00400,0200,155699 432242,S200000,00400,0300,07/01/03 432242,S200000,00400,0500,P 432242,S200000,01500,0100,Y 432242,S200000,01501,0200,Y 432242,S200000,01502,0200,Y 432242,S200000,01503,0200,Y 432242,S200000,01504,0200,Y 432242,S200000,01600,0100,N 432242,S200000,01700,0100,N 432242,S200000,01800,0100,N 432242,S200000,02200,0100,N 432242,S200000,02800,0100,N 432242,S200000,02900,0100,N 432242,S200000,03000,0100,N 432242,S200000,03100,0100,N 432242,S200000,03200,0100,N 432242,S200000,03300,0100,N 432242,S200000,03300,0200,N 432242,S200000,04100,0100,N 432242,S200000,04200,0100,N 432242,S200000,04300,0100,N 432242,S200000,04600,0100,N 432242,S200000,04700,0100,N 432242,S200000,04700,0200,N 432242,S200000,04900,0100,N 432242,S200000,05000,0100,N 432242,S200000,05100,0100,N 432242,S200000,05200,0100,N 432242,S200000,05300,0100,Y 432242,S200000,05300,0200,15HO49 432242,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432242,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 432242,S200000,05400,0300,00130 432242,S200000,05500,0100,9450 PRIORITY WAY WEST 432242,S200000,05600,0100,INDIANAPOLIS 432242,S200000,05600,0200,IN 432242,S200000,05600,0300,46240 432248,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432248,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432248,A000000,00300,0000,0300EMPLOYEE BENEFITS 432248,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432248,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432248,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432248,A000000,00700,0000,0700HOUSEKEEPING 432248,A000000,00800,0000,0800DIETARY 432248,A000000,00900,0000,0900NURSING ADMINISTRATION 432248,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432248,A000000,01100,0000,1100PHARMACY 432248,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432248,A000000,01300,0000,1300SOCIAL SERVICE 432248,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432248,A000000,01500,0000,1350ACTIVITIES 432248,A000000,01600,0000,1600SKILLED NURSING FACILITY 432248,A000000,02100,0000,2100RADIOLOGY 432248,A000000,02200,0000,2200LABORATORY 432248,A000000,02500,0000,2500PHYSICAL THERAPY 432248,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432248,A000000,02700,0000,2700SPEECH PATHOLOGY 432248,A000000,02800,0000,2800ELECTROCARDIOLOGY 432248,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432248,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432248,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432248,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432248,A000000,05300,0000,5300INTEREST EXPENSE 432248,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432248,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432248,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432248,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432248,A81000A,00100,0100,N 432248,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432248,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432248,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432248,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432248,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432248,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432248,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432248,B100000,00000,0800,0800MEALS SERVED :DIETARY 432248,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432248,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432248,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432248,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 432248,G300000,02500,0000,MISC INCOME 432248,S000000,00100,0200,07/11/12 432248,S200000,00100,0100,1210 CANYON HILLS ROAD 432248,S200000,00200,0100,THERMOPLIS 432248,S200000,00200,0200,WY 432248,S200000,00200,0300,82443 432248,S200000,00300,0100,HOT SPRINGS 432248,S200000,00300,0200,53 432248,S200000,00300,0201,99953 432248,S200000,00300,0300,R 432248,S200000,00400,0100,THERMOPOLIS REHABILITATION 432248,S200000,00400,0200,535051 432248,S200000,00400,0300,01/01/07 432248,S200000,00400,0500,P 432248,S200000,01500,0100,Y 432248,S200000,01501,0200,N 432248,S200000,01600,0100,N 432248,S200000,01700,0100,N 432248,S200000,01800,0100,N 432248,S200000,02200,0100,N 432248,S200000,02800,0100,N 432248,S200000,02900,0100,N 432248,S200000,03000,0100,N 432248,S200000,03100,0100,N 432248,S200000,03200,0100,N 432248,S200000,03300,0100,N 432248,S200000,03300,0200,N 432248,S200000,04100,0100,N 432248,S200000,04200,0100,N 432248,S200000,04300,0100,N 432248,S200000,04600,0100,N 432248,S200000,04700,0100,N 432248,S200000,04700,0200,N 432248,S200000,04900,0100,N 432248,S200000,05000,0100,N 432248,S200000,05100,0100,N 432248,S200000,05200,0100,N 432248,S200000,05300,0100,N 432257,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432257,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432257,A000000,00300,0000,0300EMPLOYEE BENEFITS 432257,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432257,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432257,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432257,A000000,00700,0000,0700HOUSEKEEPING 432257,A000000,00800,0000,0800DIETARY 432257,A000000,00900,0000,0900NURSING ADMINISTRATION 432257,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432257,A000000,01100,0000,1100PHARMACY 432257,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432257,A000000,01300,0000,1300SOCIAL SERVICE 432257,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432257,A000000,01500,0000,1350RECREATION 432257,A000000,01600,0000,1600SKILLED NURSING FACILITY 432257,A000000,01810,0000,1810ICF/MR 432257,A000000,02100,0000,2100RADIOLOGY 432257,A000000,02300,0000,2300INTRAVENOUS THERAPY 432257,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432257,A000000,02500,0000,2500PHYSICAL THERAPY 432257,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432257,A000000,02700,0000,2700SPEECH PATHOLOGY 432257,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432257,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432257,A000000,03550,0000,3550FQHC 432257,A000000,04801,0000,4801AMBULANCE 432257,A000000,04802,0000,4802AMBULANCE 432257,A000000,04803,0000,4803AMBULANCE 432257,A000000,05000,0000,5000CORF 432257,A000000,05010,0000,5010CMHC 432257,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432257,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432257,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432257,A81000A,00100,0100,Y 432257,A81000B,00100,0300,SEE ATTACHED 432257,A81000B,00200,0300,CAPITAL INTEREST 432257,A81000B,00300,0300,HOME OFFICE 432257,A81000B,00400,0300,HOME OFFICE 432257,A81000C,00100,0100,B 432257,A81000C,00100,0400,SEE ATTACHED 432257,A81000C,00100,0600,VARIOUS 432257,A81000C,00200,0100,B 432257,A81000C,00200,0400,GHC 432257,A81000C,00200,0600,LONG TERM CARE 432257,A81000C,00300,0100,B 432257,A81000C,00300,0400,GHC 432257,A81000C,00300,0600,LONG TERM CARE 432257,A81000C,00400,0100,B 432257,A81000C,00400,0400,GHC 432257,A81000C,00400,0600,LONG TERM CARE 432257,B100000,00000,0100,0100SQUARE FEET 432257,B100000,00000,0200,0200SQUARE FEET 432257,B100000,00000,0300,0300GROSS SALARIES 432257,B100000,00000,0400,0400ACCUM COST 432257,B100000,00000,0500,0500SQUARE FEET 432257,B100000,00000,0600,0600PATIENT DAYS 432257,B100000,00000,0700,0700SQUARE FEET 432257,B100000,00000,0800,0800MEALS SERVED 432257,B100000,00000,0900,0900NURSING SALARIES 432257,B100000,00000,1000,1000COSTED REQUIS 432257,B100000,00000,1100,1100COSTED REQUIS 432257,B100000,00000,1200,1200PATIENT DAYS 432257,B100000,00000,1300,1300PATIENT DAYS 432257,B100000,00000,1400,1400ASSIGNED TIME 432257,B100000,00000,1500,1350PATIENT DAYS 432257,E10A180,00501,0100,01/12/12 432257,E10A180,00501,0300,01/12/12 432257,G300000,02500,0000,BARBER & BEAUTY 432257,S000000,00100,0200,12/02/11 432257,S200000,00100,0100,350 HAWS LANE 432257,S200000,00200,0100,FLOURTOWN 432257,S200000,00200,0200,PA 432257,S200000,00200,0300,19031 432257,S200000,00300,0100,MONTGOMERY 432257,S200000,00300,0201,37964 432257,S200000,00300,0300,U 432257,S200000,00400,0100,HARSTON HALL 432257,S200000,00400,0200,395791 432257,S200000,00400,0300,06/01/89 432257,S200000,00400,0500,P 432257,S200000,01500,0100,Y 432257,S200000,01501,0200,N 432257,S200000,01502,0200,N 432257,S200000,01503,0200,N 432257,S200000,01504,0200,N 432257,S200000,01600,0100,N 432257,S200000,01700,0100,N 432257,S200000,01800,0100,N 432257,S200000,01900,0100,LLC 432257,S200000,02200,0100,Y 432257,S200000,02800,0100,N 432257,S200000,02900,0100,N 432257,S200000,03000,0100,N 432257,S200000,03100,0100,N 432257,S200000,03200,0100,N 432257,S200000,03300,0100,N 432257,S200000,03300,0200,N 432257,S200000,04200,0100,N 432257,S200000,04300,0100,N 432257,S200000,04600,0100,N 432257,S200000,04700,0100,N 432257,S200000,04900,0100,N 432257,S200000,05200,0100,N 432257,S200000,05300,0100,Y 432257,S200000,05300,0200,HB0067 432257,S200000,05400,0100,GENESIS HEALTHCARE LLC 432257,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432257,S200000,05400,0300,12001 432257,S200000,05500,0100,101 EAST STATE STREET 432257,S200000,05600,0100,KENNETT SQUARE 432257,S200000,05600,0200,PA 432257,S200000,05600,0300,19348 432260,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432260,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432260,A000000,00300,0000,0300EMPLOYEE BENEFITS 432260,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432260,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432260,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432260,A000000,00700,0000,0700HOUSEKEEPING 432260,A000000,00800,0000,0800DIETARY 432260,A000000,00900,0000,0900NURSING ADMINISTRATION 432260,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432260,A000000,01100,0000,1100PHARMACY 432260,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432260,A000000,01300,0000,1300SOCIAL SERVICE 432260,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432260,A000000,01500,0000,1350RECREATION 432260,A000000,01600,0000,1600SKILLED NURSING FACILITY 432260,A000000,01810,0000,1810ICF/MR 432260,A000000,02100,0000,2100RADIOLOGY 432260,A000000,02200,0000,2200LABORATORY 432260,A000000,02300,0000,2300INTRAVENOUS THERAPY 432260,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432260,A000000,02500,0000,2500PHYSICAL THERAPY 432260,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432260,A000000,02700,0000,2700SPEECH PATHOLOGY 432260,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432260,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432260,A000000,03550,0000,3550FQHC 432260,A000000,04801,0000,4801AMBULANCE 432260,A000000,04802,0000,4802AMBULANCE 432260,A000000,04803,0000,4803AMBULANCE 432260,A000000,05000,0000,5000CORF 432260,A000000,05010,0000,5010CMHC 432260,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432260,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432260,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432260,A81000A,00100,0100,Y 432260,A81000B,00100,0300,SEE ATTACHED 432260,A81000B,00200,0300,HOME OFFICE INTEREST 432260,A81000B,00300,0300,HOME OFFICE A&G 432260,A81000B,00400,0300,HOME OFFICE CAP PIEC 432260,A81000C,00100,0100,B 432260,A81000C,00100,0400,SEE ATTACHED 432260,A81000C,00100,0600,VARIOUS 432260,A81000C,00200,0100,B 432260,A81000C,00200,0400,GHC 432260,A81000C,00200,0600,LONG TERM CARE 432260,A81000C,00300,0100,B 432260,A81000C,00300,0400,GHC 432260,A81000C,00300,0600,LONG TERM CARE 432260,A81000C,00400,0100,B 432260,A81000C,00400,0400,GHC 432260,A81000C,00400,0600,LONG TERM CARE 432260,B100000,00000,0100,0100SQUARE FEET 432260,B100000,00000,0200,0200SQUARE FEET 432260,B100000,00000,0300,0300GROSS SALARIES 432260,B100000,00000,0400,0400ACCUM COST 432260,B100000,00000,0500,0500SQUARE FEET 432260,B100000,00000,0600,0600PATIENT DAYS 432260,B100000,00000,0700,0700SQUARE FEET 432260,B100000,00000,0800,0800MEALS SERVED 432260,B100000,00000,0900,0900NURSING SALARIES 432260,B100000,00000,1000,1000COSTED REQUIS 432260,B100000,00000,1100,1100COSTED REQUIS 432260,B100000,00000,1200,1200PATIENT DAYS 432260,B100000,00000,1300,1300PATIENT DAYS 432260,B100000,00000,1400,1400ASSIGNED TIME 432260,B100000,00000,1500,1350PATIENT DAYS 432260,E10A180,00501,0300,01/12/12 432260,E10A180,00550,0100,01/12/12 432260,G300000,02500,0000,BARBER AND BEAUTY 432260,S000000,00100,0200,12/02/11 432260,S200000,00100,0100,650 EDISON AVENUE 432260,S200000,00200,0100,PHILADELPHIA 432260,S200000,00200,0200,PA 432260,S200000,00200,0300,19116 432260,S200000,00300,0100,PHILADELPHIA 432260,S200000,00300,0201,37964 432260,S200000,00300,0300,U 432260,S200000,00400,0100,SOMERTON CENTER 432260,S200000,00400,0200,395084 432260,S200000,00400,0300,06/01/73 432260,S200000,00400,0500,P 432260,S200000,01500,0100,Y 432260,S200000,01501,0200,N 432260,S200000,01502,0200,N 432260,S200000,01503,0200,N 432260,S200000,01504,0200,N 432260,S200000,01600,0100,N 432260,S200000,01700,0100,N 432260,S200000,01800,0100,N 432260,S200000,01900,0100,LLC 432260,S200000,02200,0100,Y 432260,S200000,02800,0100,N 432260,S200000,02900,0100,N 432260,S200000,03000,0100,N 432260,S200000,03100,0100,N 432260,S200000,03200,0100,N 432260,S200000,03300,0100,N 432260,S200000,03300,0200,N 432260,S200000,04200,0100,N 432260,S200000,04300,0100,N 432260,S200000,04600,0100,N 432260,S200000,04700,0100,N 432260,S200000,04900,0100,N 432260,S200000,05200,0100,N 432260,S200000,05300,0100,Y 432260,S200000,05300,0200,HB0067 432260,S200000,05400,0100,GENESIS HEALTHCARE LLC 432260,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432260,S200000,05400,0300,12001 432260,S200000,05500,0100,101 EAST STATE STREET 432260,S200000,05600,0100,KENNETT SQUARE 432260,S200000,05600,0200,PA 432260,S200000,05600,0300,19348 432261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432261,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432261,A000000,00300,0000,0300EMPLOYEE BENEFITS 432261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432261,A000000,00700,0000,0700HOUSEKEEPING 432261,A000000,00800,0000,0800DIETARY 432261,A000000,00900,0000,0900NURSING ADMINISTRATION 432261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432261,A000000,01100,0000,1100PHARMACY 432261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432261,A000000,01300,0000,1300SOCIAL SERVICE 432261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432261,A000000,01500,0000,1350RECREATION 432261,A000000,01600,0000,1600SKILLED NURSING FACILITY 432261,A000000,01810,0000,1810ICF/MR 432261,A000000,02100,0000,2100RADIOLOGY 432261,A000000,02200,0000,2200LABORATORY 432261,A000000,02300,0000,2300INTRAVENOUS THERAPY 432261,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432261,A000000,02500,0000,2500PHYSICAL THERAPY 432261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432261,A000000,02700,0000,2700SPEECH PATHOLOGY 432261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432261,A000000,03550,0000,3550FQHC 432261,A000000,04801,0000,4801AMBULANCE 432261,A000000,04802,0000,4802AMBULANCE 432261,A000000,04803,0000,4803AMBULANCE 432261,A000000,05000,0000,5000CORF 432261,A000000,05010,0000,5010CMHC 432261,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432261,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432261,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432261,A81000A,00100,0100,Y 432261,A81000B,00100,0300,SEE ATTACHED 432261,A81000B,00200,0300,HOME OFFICE INTEREST 432261,A81000B,00300,0300,HOME OFFICE A&G 432261,A81000B,00400,0300,HOME OFFICE CAP PIEC 432261,A81000C,00100,0100,B 432261,A81000C,00100,0400,SEE ATTACHED 432261,A81000C,00100,0600,VARIOUS 432261,A81000C,00200,0100,B 432261,A81000C,00200,0400,GHC 432261,A81000C,00200,0600,LONG TERM CARE 432261,A81000C,00300,0100,B 432261,A81000C,00300,0400,GHC 432261,A81000C,00300,0600,LONG TERM CARE 432261,A81000C,00400,0100,B 432261,A81000C,00400,0400,GHC 432261,A81000C,00400,0600,LONG TERM CARE 432261,B100000,00000,0100,0100SQUARE FEET 432261,B100000,00000,0200,0200SQUARE FEET 432261,B100000,00000,0300,0300GROSS SALARIES 432261,B100000,00000,0400,0400ACCUM COST 432261,B100000,00000,0500,0500SQUARE FEET 432261,B100000,00000,0600,0600PATIENT DAYS 432261,B100000,00000,0700,0700SQUARE FEET 432261,B100000,00000,0800,0800MEALS SERVED 432261,B100000,00000,0900,0900NURSING SALARIES 432261,B100000,00000,1000,1000COSTED REQUIS 432261,B100000,00000,1100,1100COSTED REQUIS 432261,B100000,00000,1200,1200PATIENT DAYS 432261,B100000,00000,1300,1300PATIENT DAYS 432261,B100000,00000,1400,1400ASSIGNED TIME 432261,B100000,00000,1500,1350PATIENT DAYS 432261,E10A180,00501,0300,01/12/12 432261,E10A180,00550,0100,01/12/12 432261,G300000,02500,0000,BARBER AND BEAUTY 432261,S000000,00100,0200,12/02/11 432261,S200000,00100,0100,336 SOUTH WEST END AVENUE 432261,S200000,00200,0100,LANCASTER 432261,S200000,00200,0200,PA 432261,S200000,00200,0300,17603 432261,S200000,00300,0100,LANCASTER 432261,S200000,00300,0201,29540 432261,S200000,00300,0300,U 432261,S200000,00400,0100,HAMILTON ARMS CENTER 432261,S200000,00400,0200,395224 432261,S200000,00400,0300,03/31/85 432261,S200000,00400,0500,P 432261,S200000,01500,0100,Y 432261,S200000,01501,0200,N 432261,S200000,01502,0200,N 432261,S200000,01503,0200,N 432261,S200000,01504,0200,N 432261,S200000,01600,0100,N 432261,S200000,01700,0100,N 432261,S200000,01800,0100,N 432261,S200000,01900,0100,LLC 432261,S200000,02200,0100,Y 432261,S200000,02800,0100,N 432261,S200000,02900,0100,N 432261,S200000,03000,0100,N 432261,S200000,03100,0100,N 432261,S200000,03200,0100,N 432261,S200000,03300,0100,N 432261,S200000,03300,0200,N 432261,S200000,04200,0100,N 432261,S200000,04300,0100,N 432261,S200000,04600,0100,N 432261,S200000,04700,0100,N 432261,S200000,04900,0100,N 432261,S200000,05200,0100,N 432261,S200000,05300,0100,Y 432261,S200000,05300,0200,HB0067 432261,S200000,05400,0100,GENESIS HEALTHCARE LLC 432261,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432261,S200000,05400,0300,12001 432261,S200000,05500,0100,101 EAST STATE STREET 432261,S200000,05600,0100,KENNETT SQUARE 432261,S200000,05600,0200,PA 432261,S200000,05600,0300,19348 432262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432262,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432262,A000000,00300,0000,0300EMPLOYEE BENEFITS 432262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432262,A000000,00700,0000,0700HOUSEKEEPING 432262,A000000,00800,0000,0800DIETARY 432262,A000000,00900,0000,0900NURSING ADMINISTRATION 432262,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432262,A000000,01100,0000,1100PHARMACY 432262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432262,A000000,01300,0000,1300SOCIAL SERVICE 432262,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432262,A000000,01500,0000,1350RECREATION 432262,A000000,01600,0000,1600SKILLED NURSING FACILITY 432262,A000000,01810,0000,1810ICF/MR 432262,A000000,02100,0000,2100RADIOLOGY 432262,A000000,02200,0000,2200LABORATORY 432262,A000000,02300,0000,2300INTRAVENOUS THERAPY 432262,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432262,A000000,02500,0000,2500PHYSICAL THERAPY 432262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432262,A000000,02700,0000,2700SPEECH PATHOLOGY 432262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432262,A000000,03550,0000,3550FQHC 432262,A000000,04801,0000,4801AMBULANCE 432262,A000000,04802,0000,4802AMBULANCE 432262,A000000,04803,0000,4803AMBULANCE 432262,A000000,05000,0000,5000CORF 432262,A000000,05010,0000,5010CMHC 432262,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432262,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432262,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432262,A81000A,00100,0100,Y 432262,A81000B,00100,0300,SEE ATTACHED 432262,A81000B,00200,0300,HOME OFFICE INTEREST 432262,A81000B,00300,0300,HOME OFFICE A&G 432262,A81000B,00400,0300,HOME OFFICE CAP PIEC 432262,A81000C,00100,0100,B 432262,A81000C,00100,0400,SEE ATTACHED 432262,A81000C,00100,0600,VARIOUS 432262,A81000C,00200,0100,B 432262,A81000C,00200,0400,GHC 432262,A81000C,00200,0600,LONG TERM CARE 432262,A81000C,00300,0100,B 432262,A81000C,00300,0400,GHC 432262,A81000C,00300,0600,LONG TERM CARE 432262,A81000C,00400,0100,B 432262,A81000C,00400,0400,GHC 432262,A81000C,00400,0600,LONG TERM CARE 432262,B100000,00000,0100,0100SQUARE FEET 432262,B100000,00000,0200,0200SQUARE FEET 432262,B100000,00000,0300,0300GROSS SALARIES 432262,B100000,00000,0400,0400ACCUM COST 432262,B100000,00000,0500,0500SQUARE FEET 432262,B100000,00000,0600,0600PATIENT DAYS 432262,B100000,00000,0700,0700SQUARE FEET 432262,B100000,00000,0800,0800MEALS SERVED 432262,B100000,00000,0900,0900NURSING SALARIES 432262,B100000,00000,1000,1000COSTED REQUIS 432262,B100000,00000,1100,1100COSTED REQUIS 432262,B100000,00000,1200,1200PATIENT DAYS 432262,B100000,00000,1300,1300PATIENT DAYS 432262,B100000,00000,1400,1400ASSIGNED TIME 432262,B100000,00000,1500,1350PATIENT DAYS 432262,E10A180,00301,0100,06/14/11 432262,E10A180,00501,0300,01/13/12 432262,E10A180,00550,0100,01/13/12 432262,G300000,02500,0000,BARBER AND BEAUTY 432262,S000000,00100,0200,12/02/11 432262,S200000,00100,0100,75 HICKLE STREET 432262,S200000,00200,0100,UNIONTOWN 432262,S200000,00200,0200,PA 432262,S200000,00200,0300,15401 432262,S200000,00300,0100,FAYETTE 432262,S200000,00300,0201,38300 432262,S200000,00300,0300,U 432262,S200000,00400,0100,LAUREL RIDGE CENTER 432262,S200000,00400,0200,395243 432262,S200000,00400,0300,01/01/67 432262,S200000,00400,0500,P 432262,S200000,01500,0100,Y 432262,S200000,01501,0200,N 432262,S200000,01502,0200,N 432262,S200000,01503,0200,Y 432262,S200000,01504,0200,Y 432262,S200000,01600,0100,N 432262,S200000,01700,0100,N 432262,S200000,01800,0100,N 432262,S200000,01900,0100,LLC 432262,S200000,02200,0100,Y 432262,S200000,02800,0100,N 432262,S200000,02900,0100,N 432262,S200000,03000,0100,N 432262,S200000,03100,0100,N 432262,S200000,03200,0100,N 432262,S200000,03300,0100,N 432262,S200000,03300,0200,N 432262,S200000,04200,0100,N 432262,S200000,04300,0100,N 432262,S200000,04600,0100,N 432262,S200000,04700,0100,N 432262,S200000,04900,0100,N 432262,S200000,05200,0100,N 432262,S200000,05300,0100,Y 432262,S200000,05300,0200,HB0067 432262,S200000,05400,0100,GENESIS HEALTHCARE LLC 432262,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432262,S200000,05400,0300,12001 432262,S200000,05500,0100,101 EAST STATE STREET 432262,S200000,05600,0100,KENNETT SQUARE 432262,S200000,05600,0200,PA 432262,S200000,05600,0300,19348 432266,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432266,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432266,A000000,00300,0000,0300EMPLOYEE BENEFITS 432266,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432266,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432266,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432266,A000000,00700,0000,0700HOUSEKEEPING 432266,A000000,00800,0000,0800DIETARY 432266,A000000,00900,0000,0900NURSING ADMINISTRATION 432266,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432266,A000000,01100,0000,1100PHARMACY 432266,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432266,A000000,01300,0000,1300SOCIAL SERVICE 432266,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432266,A000000,01500,0000,1350OTHER GENERAL SERVICES 432266,A000000,01600,0000,1600SKILLED NURSING FACILITY 432266,A000000,01800,0000,1800NURSING FACILITY 432266,A000000,01810,0000,1810ICF/MR 432266,A000000,01900,0000,1900OTHER LONG TERM CARE 432266,A000000,02100,0000,2100RADIOLOGY 432266,A000000,02200,0000,2200LABORATORY 432266,A000000,02300,0000,2300INTRAVENOUS THERAPY 432266,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432266,A000000,02500,0000,2500PHYSICAL THERAPY 432266,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432266,A000000,02700,0000,2700SPEECH PATHOLOGY 432266,A000000,02800,0000,2800ELECTROCARDIOLOGY 432266,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432266,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432266,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432266,A000000,03200,0000,3200SUPPORT SURFACES 432266,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432266,A000000,03400,0000,3400CLINIC 432266,A000000,03500,0000,3500RURAL HEALTH CLINIC 432266,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432266,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432266,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432266,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432266,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432266,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432266,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432266,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432266,A000000,04400,0000,4400DME RENTED - HHA 432266,A000000,04500,0000,4500DME SOLD - HHA 432266,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432266,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432266,A000000,04710,0000,4710TELEMEDICINE 432266,A000000,04800,0000,4800AMBULANCE 432266,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432266,A000000,05000,0000,5000CORF 432266,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432266,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432266,A000000,05300,0000,5300INTEREST EXPENSE 432266,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432266,A000000,05500,0000,5500HOSPICE 432266,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432266,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432266,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432266,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432266,A000000,06100,0000,6100NONPAID WORKERS 432266,A000000,06200,0000,6200PATIENTS LAUNDRY 432266,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432266,A81000A,00100,0100,Y 432266,A81000B,00100,0300,CAPITAL 432266,A81000B,00200,0300,BENEFITS 432266,A81000B,00300,0300,ADMIN 432266,A81000B,00400,0300,PLANT 432266,A81000B,00500,0300,NURSING 432266,A81000B,00600,0300,PT 432266,A81000C,00100,0100,G 432266,A81000C,00100,0400,AMERICAN SR COMM 432266,A81000C,00100,0600,HOME OFFICE 432266,A81000C,00200,0100,G 432266,A81000C,00200,0400,AMERICAN SR COMM 432266,A81000C,00200,0600,HOME OFFICE 432266,A81000C,00300,0100,G 432266,A81000C,00300,0400,AMERICAN SR COMM 432266,A81000C,00300,0600,HOME OFFICE 432266,A81000C,00400,0100,G 432266,A81000C,00400,0400,AMERICAN SR COMM 432266,A81000C,00400,0600,HOME OFFICE 432266,A81000C,00500,0100,G 432266,A81000C,00500,0400,AMERICAN SR COMM 432266,A81000C,00500,0600,HOME OFFICE 432266,A81000C,00600,0100,G 432266,A81000C,00600,0400,AMERICAN SR COMM 432266,A81000C,00600,0600,HOME OFFICE 432266,A81000C,03100,0000,HOME OFFICE 432266,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432266,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432266,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432266,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432266,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432266,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432266,B100000,00000,0800,0800MEALS SERVED :DIETARY 432266,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432266,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432266,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432266,G300000,02500,0000,OTHER (SPECIFY) 432266,S000000,00100,0200,06/01/12 432266,S200000,00100,0100,7510 ROSEGATE DRIVE 432266,S200000,00200,0100,INDIANAPOLIS 432266,S200000,00200,0200,IN 432266,S200000,00200,0300,46237 432266,S200000,00300,0100,MARION 432266,S200000,00300,0201,26900 432266,S200000,00300,0300,U 432266,S200000,00400,0100,ROSEGATE VILLAGE 432266,S200000,00400,0200,155757 432266,S200000,00400,0300,01/01/06 432266,S200000,00400,0500,P 432266,S200000,01500,0100,Y 432266,S200000,01600,0100,N 432266,S200000,01700,0100,N 432266,S200000,01800,0100,N 432266,S200000,02200,0100,N 432266,S200000,02800,0100,N 432266,S200000,02900,0100,N 432266,S200000,03000,0100,N 432266,S200000,03100,0100,N 432266,S200000,03200,0100,N 432266,S200000,03300,0100,N 432266,S200000,03300,0200,N 432266,S200000,04100,0100,N 432266,S200000,04200,0100,N 432266,S200000,04300,0100,N 432266,S200000,04600,0100,N 432266,S200000,04700,0100,N 432266,S200000,04700,0200,N 432266,S200000,04900,0100,N 432266,S200000,05000,0100,N 432266,S200000,05100,0100,N 432266,S200000,05200,0100,N 432266,S200000,05300,0100,Y 432266,S200000,05300,0200,15H050 432266,S200000,05400,0100,AMERICAN SR COMMUNITIES 432266,S200000,05400,0200,NGS 432266,S200000,05400,0300,00130 432266,S200000,05500,0100,6900 S. GRAY ROAD 432266,S200000,05600,0100,INDIANAPOLIS 432266,S200000,05600,0200,IN 432266,S200000,05600,0300,46237 432269,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432269,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432269,A000000,00300,0000,0300EMPLOYEE BENEFITS 432269,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432269,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432269,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432269,A000000,00700,0000,0700HOUSEKEEPING 432269,A000000,00800,0000,0800DIETARY 432269,A000000,00900,0000,0900NURSING ADMINISTRATION 432269,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432269,A000000,01100,0000,1100PHARMACY 432269,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432269,A000000,01300,0000,1300SOCIAL SERVICE 432269,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432269,A000000,01500,0000,1350OTHER GENERAL SERVICES 432269,A000000,01600,0000,1600SKILLED NURSING FACILITY 432269,A000000,01800,0000,1800NURSING FACILITY 432269,A000000,01810,0000,1810ICF/MR 432269,A000000,01900,0000,1900OTHER LONG TERM CARE 432269,A000000,02100,0000,2100RADIOLOGY 432269,A000000,02200,0000,2200LABORATORY 432269,A000000,02300,0000,2300INTRAVENOUS THERAPY 432269,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432269,A000000,02500,0000,2500PHYSICAL THERAPY 432269,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432269,A000000,02700,0000,2700SPEECH PATHOLOGY 432269,A000000,02800,0000,2800ELECTROCARDIOLOGY 432269,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432269,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432269,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432269,A000000,03200,0000,3200SUPPORT SURFACES 432269,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432269,A000000,03400,0000,3400CLINIC 432269,A000000,03500,0000,3500RURAL HEALTH CLINIC 432269,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432269,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432269,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432269,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432269,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432269,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432269,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432269,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432269,A000000,04400,0000,4400DME RENTED - HHA 432269,A000000,04500,0000,4500DME SOLD - HHA 432269,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432269,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432269,A000000,04710,0000,4710TELEMEDICINE 432269,A000000,04800,0000,4800AMBULANCE 432269,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432269,A000000,05000,0000,5000CORF 432269,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432269,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432269,A000000,05300,0000,5300INTEREST EXPENSE 432269,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432269,A000000,05500,0000,5500HOSPICE 432269,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432269,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432269,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432269,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432269,A000000,06100,0000,6100NONPAID WORKERS 432269,A000000,06200,0000,6200PATIENTS LAUNDRY 432269,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432269,A81000A,00100,0100,Y 432269,A81000B,00100,0300,CENTRAL OFFICE-BHS 432269,A81000B,00200,0300,CENTRAL OFFICE-BHS 432269,A81000B,00300,0300,CENTRAL OFFICE-BHS 432269,A81000B,00400,0300,COMPUTER USER FEE 432269,A81000B,00500,0300,ADMIN SAL/TAXES/BENEFITS 432269,A81000B,00600,0300,INTEREST EXP 432269,A81000B,00700,0300,PREADMISSION SCREENING 432269,A81000C,00100,0100,G 432269,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 432269,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 432269,A81000C,00100,0600,MANAGAMENT 432269,A81000C,00200,0100,G 432269,A81000C,00200,0200,STEELE COUNTY 432269,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432269,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432269,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432269,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432269,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432269,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 432269,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432269,B100000,00000,0800,0800MEALS SERVED :DIETARY 432269,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 432269,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 432269,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 432269,E10A180,00501,0100,01/23/12 432269,E10A180,00550,0100,12/16/11 432269,E10A180,00550,0300,12/16/11 432269,G300000,02500,0000,MISC INCOME 432269,G300000,02501,0000,ASSISTED LIVING 432269,S000000,00100,0200,11/30/11 432269,S200000,00100,0100,1409 SOUTH CEDAR AVE 432269,S200000,00200,0100,OWATONNA 432269,S200000,00200,0200,MN 432269,S200000,00200,0300,55060 432269,S200000,00300,0100,STEELE 432269,S200000,00300,0200,24 432269,S200000,00300,0201,99924 432269,S200000,00300,0300,R 432269,S200000,00400,0100,STEELE COUNTY COMMUNITIES FOR A LIFE 432269,S200000,00400,0200,245426 432269,S200000,00400,0300,02/01/87 432269,S200000,00400,0500,P 432269,S200000,01500,0100,Y 432269,S200000,01501,0200,Y 432269,S200000,01502,0200,N 432269,S200000,01503,0200,Y 432269,S200000,01504,0200,Y 432269,S200000,01600,0100,N 432269,S200000,01700,0100,N 432269,S200000,01800,0100,N 432269,S200000,02200,0100,N 432269,S200000,02800,0100,N 432269,S200000,02900,0100,N 432269,S200000,03000,0100,N 432269,S200000,03100,0100,N 432269,S200000,03200,0100,N 432269,S200000,03300,0100,N 432269,S200000,03300,0200,N 432269,S200000,04100,0100,N 432269,S200000,04200,0100,N 432269,S200000,04300,0100,N 432269,S200000,04600,0100,N 432269,S200000,04700,0100,N 432269,S200000,04700,0200,N 432269,S200000,04900,0100,N 432269,S200000,05000,0100,N 432269,S200000,05100,0100,N 432269,S200000,05200,0100,N 432273,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432273,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432273,A000000,00300,0000,0300EMPLOYEE BENEFITS 432273,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432273,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432273,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432273,A000000,00700,0000,0700HOUSEKEEPING 432273,A000000,00800,0000,0800DIETARY 432273,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432273,A000000,01300,0000,1300SOCIAL SERVICE 432273,A000000,01500,0000,1350RECREATION SERVICES 432273,A000000,01600,0000,1600SKILLED NURSING FACILITY 432273,A000000,02100,0000,2100RADIOLOGY 432273,A000000,02200,0000,2200LABORATORY 432273,A000000,02500,0000,2500PHYSICAL THERAPY 432273,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432273,A000000,02700,0000,2700SPEECH PATHOLOGY 432273,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432273,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432273,A000000,03001,0000,3050OTHER ANCILLARY SERVICE COST CEN 432273,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432273,A81000A,00100,0100,Y 432273,A81000B,00100,0300,FACILITY RENT 432273,A81000C,00100,0100,A 432273,A81000C,00100,0200,SHARON WETZEL 432273,A81000C,00100,0600,LANDLORD 432273,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432273,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432273,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432273,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432273,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432273,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 432273,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432273,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 432273,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 432273,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 432273,B100000,00000,1500,1350RESIDENT DAYS :RECREATION SERVI 432273,S000000,00100,0200,05/31/12 432273,S200000,00100,0100,405 COLLINS 432273,S200000,00200,0100,CLAUDE 432273,S200000,00200,0200,TX 432273,S200000,00200,0300,79019 432273,S200000,00300,0100,ARMSTRONG 432273,S200000,00300,0200,0045 432273,S200000,00300,0201,11100 432273,S200000,00300,0300,U 432273,S200000,00400,0100,PALO DURO NURSING HOME INC 432273,S200000,00400,0200,455641 432273,S200000,00400,0300,12/01/86 432273,S200000,00400,0500,P 432273,S200000,01500,0100,Y 432273,S200000,01501,0200,Y 432273,S200000,01502,0200,Y 432273,S200000,01503,0200,Y 432273,S200000,01504,0200,Y 432273,S200000,01600,0100,N 432273,S200000,01700,0100,N 432273,S200000,01800,0100,N 432273,S200000,02200,0100,N 432273,S200000,02800,0100,N 432273,S200000,02900,0100,N 432273,S200000,03000,0100,N 432273,S200000,03100,0100,N 432273,S200000,03200,0100,N 432273,S200000,03300,0100,N 432273,S200000,03300,0200,N 432273,S200000,03600,0100,N 432273,S200000,03600,0200,N 432273,S200000,04100,0100,N 432273,S200000,04200,0100,N 432273,S200000,04300,0100,N 432273,S200000,04600,0100,N 432273,S200000,04700,0100,N 432273,S200000,04700,0200,N 432273,S200000,04900,0100,N 432273,S200000,05000,0100,N 432273,S200000,05100,0100,N 432273,S200000,05200,0100,N 432280,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432280,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432280,A000000,00300,0000,0300EMPLOYEE BENEFITS 432280,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432280,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432280,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432280,A000000,00700,0000,0700HOUSEKEEPING 432280,A000000,00800,0000,0800DIETARY 432280,A000000,00900,0000,0900NURSING ADMINISTRATION 432280,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432280,A000000,01100,0000,1100PHARMACY 432280,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432280,A000000,01300,0000,1300SOCIAL SERVICE 432280,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432280,A000000,01500,0000,1350ACTIVITIES 432280,A000000,01600,0000,1600SKILLED NURSING FACILITY 432280,A000000,01810,0000,1810ICF/MR 432280,A000000,02100,0000,2100RADIOLOGY 432280,A000000,02200,0000,2200LABORATORY 432280,A000000,02300,0000,2300INTRAVENOUS THERAPY 432280,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432280,A000000,02500,0000,2500PHYSICAL THERAPY 432280,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432280,A000000,02700,0000,2700SPEECH PATHOLOGY 432280,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432280,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432280,A000000,03200,0000,3200SUPPORT SURFACES 432280,A000000,03300,0000,3050PEN BILLING 432280,A000000,03550,0000,3550FQHC 432280,A000000,04801,0000,4801AMBULANCE 432280,A000000,04802,0000,4802AMBULANCE 432280,A000000,04803,0000,4803AMBULANCE 432280,A000000,05000,0000,5000CORF 432280,A000000,05010,0000,5010CMHC 432280,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432280,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432280,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432280,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432280,A000000,06300,0000,6150DIALYSIS 432280,A81000A,00100,0100,N 432280,B100000,00000,0100,0100SQUARE FEET 432280,B100000,00000,0200,0200SQUARE FEET 432280,B100000,00000,0300,0300GROSS SALARIES 432280,B100000,00000,0400,0400ACCUM COST 432280,B100000,00000,0500,0500SQUARE FEET 432280,B100000,00000,0600,0600PT DAYS 432280,B100000,00000,0700,0700SQ FT 432280,B100000,00000,0800,0800MEALS SERVED 432280,B100000,00000,0900,0900PT DAYS 432280,B100000,00000,1000,1000COSTED REQUIS 432280,B100000,00000,1100,1100COSTED REQUIS 432280,B100000,00000,1200,1200GROSS CHARGES 432280,B100000,00000,1300,1300PT DAYS 432280,B100000,00000,1400,1400ASSIGNED TIME 432280,B100000,00000,1500,1350PT DAYS 432280,E10A180,00501,0300,10/20/11 432280,E10A180,00550,0100,10/20/11 432280,G300000,02500,0000,MISC INCOME 432280,S000000,00100,0200,09/26/11 432280,S200000,00100,0100,9109 LIBERTY ROAD 432280,S200000,00200,0100,RANDALLSTOWN 432280,S200000,00200,0200,MD 432280,S200000,00200,0300,21133 432280,S200000,00300,0100,BALTIMORE 432280,S200000,00300,0201,12580 432280,S200000,00300,0300,U 432280,S200000,00400,0100,RANDALLSTOWN CENTER 432280,S200000,00400,0200,215084 432280,S200000,00400,0300,08/01/87 432280,S200000,00400,0500,P 432280,S200000,01500,0100,Y 432280,S200000,01501,0200,N 432280,S200000,01502,0200,N 432280,S200000,01503,0200,N 432280,S200000,01504,0200,N 432280,S200000,01505,0000,DON BONUS 432280,S200000,01505,0200,N 432280,S200000,01600,0100,N 432280,S200000,01700,0100,N 432280,S200000,01800,0100,N 432280,S200000,02200,0100,Y 432280,S200000,02800,0100,N 432280,S200000,02900,0100,N 432280,S200000,03000,0100,N 432280,S200000,03100,0100,N 432280,S200000,03200,0100,N 432280,S200000,03300,0100,N 432280,S200000,03300,0200,N 432280,S200000,04200,0100,N 432280,S200000,04300,0100,N 432280,S200000,04600,0100,N 432280,S200000,04700,0100,N 432280,S200000,04900,0100,N 432280,S200000,05200,0100,N 432280,S200000,05300,0100,N 432281,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432281,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432281,A000000,00300,0000,0300EMPLOYEE BENEFITS 432281,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432281,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432281,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432281,A000000,00700,0000,0700HOUSEKEEPING 432281,A000000,00800,0000,0800DIETARY 432281,A000000,00900,0000,0900NURSING ADMINISTRATION 432281,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432281,A000000,01100,0000,1100PHARMACY 432281,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432281,A000000,01300,0000,1300SOCIAL SERVICE 432281,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432281,A000000,01500,0000,1350RECREATION 432281,A000000,01600,0000,1600SKILLED NURSING FACILITY 432281,A000000,01810,0000,1810ICF/MR 432281,A000000,02100,0000,2100RADIOLOGY 432281,A000000,02200,0000,2200LABORATORY 432281,A000000,02300,0000,2300INTRAVENOUS THERAPY 432281,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432281,A000000,02500,0000,2500PHYSICAL THERAPY 432281,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432281,A000000,02700,0000,2700SPEECH PATHOLOGY 432281,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432281,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432281,A000000,03550,0000,3550FQHC 432281,A000000,04801,0000,4801AMBULANCE 432281,A000000,04802,0000,4802AMBULANCE 432281,A000000,04803,0000,4803AMBULANCE 432281,A000000,05000,0000,5000CORF 432281,A000000,05010,0000,5010CMHC 432281,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432281,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432281,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432281,A81000A,00100,0100,Y 432281,A81000B,00100,0300,AS ATTACHED 432281,A81000B,00200,0300,HOME OFFICE INTEREST 432281,A81000B,00300,0300,HOME OFFICE A&G 432281,A81000B,00400,0300,HOME OFFICE CAP PIEC 432281,A81000C,00100,0100,B 432281,A81000C,00100,0400,AS ATTACHED 432281,A81000C,00100,0600,VARIOUS 432281,A81000C,00200,0100,B 432281,A81000C,00200,0400,GHC 432281,A81000C,00200,0600,LONG TERM CARE 432281,A81000C,00300,0100,B 432281,A81000C,00300,0400,GHC 432281,A81000C,00300,0600,LONG TERM CARE 432281,A81000C,00400,0100,B 432281,A81000C,00400,0400,GHC 432281,A81000C,00400,0600,LONG TERM CARE 432281,B100000,00000,0100,0100SQUARE FEET 432281,B100000,00000,0200,0200SQUARE FEET 432281,B100000,00000,0300,0300GROSS SALARIES 432281,B100000,00000,0400,0400ACCUM COST 432281,B100000,00000,0500,0500SQUARE FEET 432281,B100000,00000,0600,0600PATIENT DAYS 432281,B100000,00000,0700,0700SQUARE FEET 432281,B100000,00000,0800,0800MEALS SERVED 432281,B100000,00000,0900,0900NURSING SALARIES 432281,B100000,00000,1000,1000COSTED REQUIS 432281,B100000,00000,1100,1100COSTED REQUIS 432281,B100000,00000,1200,1200PATIENT DAYS 432281,B100000,00000,1300,1300PATIENT DAYS 432281,B100000,00000,1400,1400ASSIGNED TIME 432281,B100000,00000,1500,1350PATIENT DAYS 432281,E10A180,00301,0100,03/23/11 432281,E10A180,00501,0300,10/24/11 432281,E10A180,00550,0100,10/24/11 432281,G300000,02500,0000,BARBER & BEAUTY 432281,S000000,00100,0200,09/12/11 432281,S200000,00100,0100,1526 LOMBARD STREET 432281,S200000,00200,0100,PHILADELPHIA 432281,S200000,00200,0200,PA 432281,S200000,00200,0300,19146 432281,S200000,00300,0100,PHILADELPHIA 432281,S200000,00300,0201,37964 432281,S200000,00300,0300,U 432281,S200000,00400,0100,LIBERTY COURT 432281,S200000,00400,0200,395485 432281,S200000,00400,0300,06/01/66 432281,S200000,00400,0500,P 432281,S200000,01500,0100,Y 432281,S200000,01501,0200,N 432281,S200000,01502,0200,N 432281,S200000,01503,0200,N 432281,S200000,01504,0200,N 432281,S200000,01600,0100,N 432281,S200000,01700,0100,N 432281,S200000,01800,0100,N 432281,S200000,02200,0100,Y 432281,S200000,02800,0100,N 432281,S200000,02900,0100,N 432281,S200000,03000,0100,N 432281,S200000,03100,0100,N 432281,S200000,03200,0100,N 432281,S200000,03300,0100,N 432281,S200000,03300,0200,N 432281,S200000,04200,0100,N 432281,S200000,04300,0100,N 432281,S200000,04600,0100,N 432281,S200000,04700,0100,N 432281,S200000,04900,0100,N 432281,S200000,05200,0100,N 432281,S200000,05300,0100,Y 432281,S200000,05300,0200,HB0067 432281,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432281,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432281,S200000,05400,0300,12001 432281,S200000,05500,0100,101 EAST STATE STREET 432281,S200000,05600,0100,KENNETT SQUARE 432281,S200000,05600,0200,PA 432281,S200000,05600,0300,19348 432289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432289,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432289,A000000,00300,0000,0300EMPLOYEE BENEFITS 432289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432289,A000000,00700,0000,0700HOUSEKEEPING 432289,A000000,00800,0000,0800DIETARY 432289,A000000,00900,0000,0900NURSING ADMINISTRATION 432289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432289,A000000,01100,0000,1100PHARMACY 432289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432289,A000000,01300,0000,1300SOCIAL SERVICE 432289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432289,A000000,01500,0000,1350RECREATION 432289,A000000,01600,0000,1600SKILLED NURSING FACILITY 432289,A000000,01810,0000,1810ICF/MR 432289,A000000,02100,0000,2100RADIOLOGY 432289,A000000,02200,0000,2200LABORATORY 432289,A000000,02300,0000,2300INTRAVENOUS THERAPY 432289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432289,A000000,02500,0000,2500PHYSICAL THERAPY 432289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432289,A000000,02700,0000,2700SPEECH PATHOLOGY 432289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432289,A000000,03550,0000,3550FQHC 432289,A000000,04801,0000,4801AMBULANCE 432289,A000000,04802,0000,4802AMBULANCE 432289,A000000,04803,0000,4803AMBULANCE 432289,A000000,05000,0000,5000CORF 432289,A000000,05010,0000,5010CMHC 432289,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432289,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432289,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432289,A000000,06300,0000,6150RESIDENTIAL 432289,A81000A,00100,0100,N 432289,B100000,00000,0100,0100SQUARE FEET 432289,B100000,00000,0200,0200SQUARE FEET 432289,B100000,00000,0300,0300GROSS SALARIES 432289,B100000,00000,0400,0400ACCUM COST 432289,B100000,00000,0500,0500SQUARE FEET 432289,B100000,00000,0600,0600PATIENT DAYS 432289,B100000,00000,0700,0700SQUARE FEET 432289,B100000,00000,0800,0800MEALS SERVED 432289,B100000,00000,0900,0900NURSING SALARIES 432289,B100000,00000,1000,1000COSTED REQUIS 432289,B100000,00000,1100,1100COSTED REQUIS 432289,B100000,00000,1200,1200PATIENT DAYS 432289,B100000,00000,1300,1300PATIENT DAYS 432289,B100000,00000,1400,1400ASSIGNED TIME 432289,B100000,00000,1500,1350PATIENT DAYS 432289,E10A180,00501,0100,11/07/11 432289,E10A180,00501,0300,11/07/11 432289,G300000,02500,0000,BARBER & BEAUTY 432289,G300000,02501,0000,ASSISTED LIVING 432289,S000000,00100,0200,10/07/11 432289,S200000,00100,0100,1400 WOODLAND AVENUE 432289,S200000,00200,0100,PLAINFIELD 432289,S200000,00200,0200,NJ 432289,S200000,00200,0300,07060 432289,S200000,00300,0100,UNION 432289,S200000,00300,0201,35084 432289,S200000,00300,0300,U 432289,S200000,00400,0100,THE WOODLANDS 432289,S200000,00400,0200,315273 432289,S200000,00400,0300,05/01/89 432289,S200000,00400,0500,P 432289,S200000,01500,0100,Y 432289,S200000,01501,0200,N 432289,S200000,01502,0200,N 432289,S200000,01503,0200,N 432289,S200000,01504,0200,N 432289,S200000,01600,0100,N 432289,S200000,01700,0100,N 432289,S200000,01800,0100,N 432289,S200000,02200,0100,Y 432289,S200000,02800,0100,N 432289,S200000,02900,0100,N 432289,S200000,03000,0100,N 432289,S200000,03100,0100,N 432289,S200000,03200,0100,N 432289,S200000,03300,0100,N 432289,S200000,03300,0200,N 432289,S200000,04200,0100,N 432289,S200000,04300,0100,N 432289,S200000,04600,0100,N 432289,S200000,04700,0100,N 432289,S200000,04900,0100,N 432289,S200000,05200,0100,N 432289,S200000,05300,0100,N 432296,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432296,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432296,A000000,00300,0000,0300EMPLOYEE BENEFITS 432296,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432296,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432296,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432296,A000000,00700,0000,0700HOUSEKEEPING 432296,A000000,00800,0000,0800DIETARY 432296,A000000,00900,0000,0900NURSING ADMINISTRATION 432296,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432296,A000000,01100,0000,1100PHARMACY 432296,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432296,A000000,01300,0000,1300SOCIAL SERVICE 432296,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432296,A000000,01500,0000,1350ACTIVITIES 432296,A000000,01600,0000,1600SKILLED NURSING FACILITY 432296,A000000,01800,0000,1800NURSING FACILITY 432296,A000000,01810,0000,1810ICF/MR 432296,A000000,01900,0000,1900OTHER LONG TERM CARE 432296,A000000,02100,0000,2100RADIOLOGY 432296,A000000,02200,0000,2200LABORATORY 432296,A000000,02300,0000,2300INTRAVENOUS THERAPY 432296,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432296,A000000,02500,0000,2500PHYSICAL THERAPY 432296,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432296,A000000,02700,0000,2700SPEECH PATHOLOGY 432296,A000000,02800,0000,2800ELECTROCARDIOLOGY 432296,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432296,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432296,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432296,A000000,03200,0000,3200SUPPORT SURFACES 432296,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432296,A000000,03400,0000,3400CLINIC 432296,A000000,03500,0000,3500RURAL HEALTH CLINIC 432296,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432296,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432296,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432296,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432296,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432296,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432296,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432296,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432296,A000000,04400,0000,4400DME RENTED - HHA 432296,A000000,04500,0000,4500DME SOLD - HHA 432296,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432296,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432296,A000000,04710,0000,4710TELEMEDICINE 432296,A000000,04800,0000,4800AMBULANCE 432296,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432296,A000000,05000,0000,5000CORF 432296,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432296,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432296,A000000,05300,0000,5300INTEREST EXPENSE 432296,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432296,A000000,05500,0000,5500HOSPICE 432296,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432296,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432296,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432296,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432296,A000000,06100,0000,6100NONPAID WORKERS 432296,A000000,06200,0000,6200PATIENTS LAUNDRY 432296,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432296,A81000A,00100,0100,Y 432296,A81000B,00100,0300,HOME OFFICE COSTS 432296,A81000B,00200,0300,HOME OFFICE COSTS 432296,A81000B,00300,0300,WORKERS COMPENSATION 432296,A81000B,00400,0300,HOME OFFICE COSTS 432296,A81000B,00500,0300,HOME OFFICE COSTS 432296,A81000B,00600,0300,HOME OFFICE COSTS 432296,A81000B,00700,0300,HOME OFFICE COSTS 432296,A81000B,00800,0300,TRANSPORTATION SERVICES 432296,A81000B,00900,0300,PHYSICAL THERAPY 432296,A81000B,01000,0300,OCCUPATIONAL THERAPY 432296,A81000B,01100,0300,SPEECH THERAPY 432296,A81000C,00100,0100,A 432296,A81000C,00100,0200,STUART AND MIKE REED 432296,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00100,0600,NURSING HOMES 432296,A81000C,00200,0100,A 432296,A81000C,00200,0200,STUART AND MIKE REED 432296,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00200,0600,NURSING HOMES 432296,A81000C,00300,0100,D 432296,A81000C,00300,0200,SUZANNE REED 432296,A81000C,00300,0400,INDIANA FITNESS WORKS 432296,A81000C,00300,0600,THERAPY 432296,A81000C,00400,0100,A 432296,A81000C,00400,0200,STUART AND MIKE REED 432296,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00400,0600,NURSING HOMES 432296,A81000C,00500,0100,A 432296,A81000C,00500,0200,STUART AND MIKE REED 432296,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00500,0600,NURSING HOMES 432296,A81000C,00600,0100,A 432296,A81000C,00600,0200,STUART AND MIKE REED 432296,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00600,0600,NURSING HOMES 432296,A81000C,00700,0100,A 432296,A81000C,00700,0200,STUART AND MIKE REED 432296,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432296,A81000C,00700,0600,NURSING HOMES 432296,A81000C,00800,0100,A 432296,A81000C,00800,0200,STUART REED 432296,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 432296,A81000C,00800,0600,TRANSPORTATION 432296,A81000C,00900,0100,D 432296,A81000C,00900,0200,SUZANNE REED 432296,A81000C,00900,0400,INDIANA FITNESS WORKS 432296,A81000C,00900,0600,THERAPY 432296,A81000C,01000,0100,D 432296,A81000C,01000,0200,SUZANNE REED 432296,A81000C,01000,0400,INDIANA FITNESS WORKS 432296,A81000C,01000,0600,THERAPY 432296,A81000C,01001,0100,D 432296,A81000C,01001,0200,SUZANNE REED 432296,A81000C,01001,0400,INDIANA FITNESS WORKS 432296,A81000C,01001,0600,THERAPY 432296,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432296,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432296,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432296,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432296,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432296,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432296,B100000,00000,0800,0800MEALS SERVED :DIETARY 432296,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432296,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432296,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432296,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432296,G300000,02500,0000,OTHER REVENUE 432296,S000000,00100,0200,05/22/12 432296,S200000,00100,0100,627 EAST NORTH H STREET 432296,S200000,00200,0100,GAS CITY 432296,S200000,00200,0200,IN 432296,S200000,00200,0300,46933 432296,S200000,00300,0100,GRANT 432296,S200000,00300,0201,99915 432296,S200000,00300,0300,R 432296,S200000,00400,0100,TWIN CITY HEALTH CARE 432296,S200000,00400,0200,155232 432296,S200000,00400,0300,07/01/89 432296,S200000,00400,0500,P 432296,S200000,01500,0100,Y 432296,S200000,01501,0200,Y 432296,S200000,01502,0200,Y 432296,S200000,01503,0200,Y 432296,S200000,01504,0200,Y 432296,S200000,01600,0100,N 432296,S200000,01700,0100,N 432296,S200000,01800,0100,N 432296,S200000,02200,0100,N 432296,S200000,02800,0100,N 432296,S200000,02900,0100,N 432296,S200000,03000,0100,N 432296,S200000,03100,0100,N 432296,S200000,03200,0100,N 432296,S200000,03300,0100,N 432296,S200000,03300,0200,N 432296,S200000,04100,0100,N 432296,S200000,04200,0100,N 432296,S200000,04300,0100,N 432296,S200000,04600,0100,N 432296,S200000,04700,0100,N 432296,S200000,04700,0200,N 432296,S200000,04900,0100,N 432296,S200000,05000,0100,N 432296,S200000,05100,0100,N 432296,S200000,05200,0100,N 432296,S200000,05300,0100,Y 432296,S200000,05300,0200,15HO49 432296,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432296,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432296,S200000,05400,0300,00130 432296,S200000,05500,0100,9450 PRIORITY WAY WEST 432296,S200000,05600,0100,INDIANAPOLIS 432296,S200000,05600,0200,IN 432296,S200000,05600,0300,46240 432297,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432297,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432297,A000000,00300,0000,0300EMPLOYEE BENEFITS 432297,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432297,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432297,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432297,A000000,00700,0000,0700HOUSEKEEPING 432297,A000000,00800,0000,0800DIETARY 432297,A000000,00900,0000,0900NURSING ADMINISTRATION 432297,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432297,A000000,01100,0000,1100PHARMACY 432297,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432297,A000000,01300,0000,1300SOCIAL SERVICE 432297,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432297,A000000,01500,0000,1350ACTIVITIES 432297,A000000,01600,0000,1600SKILLED NURSING FACILITY 432297,A000000,01800,0000,1800NURSING FACILITY 432297,A000000,01810,0000,1810ICF/MR 432297,A000000,01900,0000,1900OTHER LONG TERM CARE 432297,A000000,02100,0000,2100RADIOLOGY 432297,A000000,02200,0000,2200LABORATORY 432297,A000000,02300,0000,2300INTRAVENOUS THERAPY 432297,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432297,A000000,02500,0000,2500PHYSICAL THERAPY 432297,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432297,A000000,02700,0000,2700SPEECH PATHOLOGY 432297,A000000,02800,0000,2800ELECTROCARDIOLOGY 432297,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432297,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432297,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432297,A000000,03200,0000,3200SUPPORT SURFACES 432297,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432297,A000000,03400,0000,3400CLINIC 432297,A000000,03500,0000,3500RURAL HEALTH CLINIC 432297,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432297,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432297,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432297,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432297,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432297,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432297,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432297,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432297,A000000,04400,0000,4400DME RENTED - HHA 432297,A000000,04500,0000,4500DME SOLD - HHA 432297,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432297,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432297,A000000,04710,0000,4710TELEMEDICINE 432297,A000000,04800,0000,4800AMBULANCE 432297,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432297,A000000,05000,0000,5000CORF 432297,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432297,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432297,A000000,05300,0000,5300INTEREST EXPENSE 432297,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432297,A000000,05500,0000,5500HOSPICE 432297,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432297,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432297,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432297,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432297,A000000,06100,0000,6100NONPAID WORKERS 432297,A000000,06200,0000,6200PATIENTS LAUNDRY 432297,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432297,A81000A,00100,0100,Y 432297,A81000B,00100,0300,HOME OFFICE COSTS 432297,A81000B,00200,0300,WORKERS COMPENSATION 432297,A81000B,00300,0300,HOME OFFICE COSTS 432297,A81000B,00400,0300,HOME OFFICE COSTS 432297,A81000B,00500,0300,HOME OFFICE COSTS 432297,A81000B,00600,0300,HOME OFFICE COSTS 432297,A81000B,00700,0300,HOME OFFICE COSTS 432297,A81000B,00800,0300,PHYSICAL THERAPY 432297,A81000B,00900,0300,OCCUPATIONAL THERAPY 432297,A81000B,01000,0300,SPEECH THERAPY 432297,A81000C,00100,0100,A 432297,A81000C,00100,0200,STUART AND MIKE REED 432297,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00100,0600,NURSING HOMES 432297,A81000C,00200,0100,D 432297,A81000C,00200,0200,SUZANNE REED 432297,A81000C,00200,0400,INDIANA FITNESS WORKS 432297,A81000C,00200,0600,THERAPY 432297,A81000C,00300,0100,A 432297,A81000C,00300,0200,STUART AND MIKE REED 432297,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00300,0600,NURSING HOMES 432297,A81000C,00400,0100,A 432297,A81000C,00400,0200,STUART AND MIKE REED 432297,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00400,0600,NURSING HOMES 432297,A81000C,00500,0100,A 432297,A81000C,00500,0200,STUART AND MIKE REED 432297,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00500,0600,NURSING HOMES 432297,A81000C,00600,0100,A 432297,A81000C,00600,0200,STUART AND MIKE REED 432297,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00600,0600,NURSING HOMES 432297,A81000C,00700,0100,A 432297,A81000C,00700,0200,STUART AND MIKE REED 432297,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432297,A81000C,00700,0600,NURSING HOMES 432297,A81000C,00800,0100,D 432297,A81000C,00800,0200,SUZANNE REED 432297,A81000C,00800,0400,INDIANA FITNESS WORKS 432297,A81000C,00800,0600,THERAPY 432297,A81000C,00900,0100,D 432297,A81000C,00900,0200,SUZANNE REED 432297,A81000C,00900,0400,INDIANA FITNESS WORKS 432297,A81000C,00900,0600,THERAPY 432297,A81000C,01000,0100,D 432297,A81000C,01000,0200,SUZANNE REED 432297,A81000C,01000,0400,INDIANA FITNESS WORKS 432297,A81000C,01000,0600,THERAPY 432297,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432297,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432297,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432297,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432297,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432297,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432297,B100000,00000,0800,0800MEALS SERVED :DIETARY 432297,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432297,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432297,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432297,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432297,G300000,02500,0000,OTHER INCOME 432297,S000000,00100,0200,06/02/12 432297,S200000,00100,0100,125 W. MARGARET 432297,S200000,00200,0100,TERRE HAUTE 432297,S200000,00200,0200,IN 432297,S200000,00200,0300,47802 432297,S200000,00300,0100,VIGO 432297,S200000,00300,0201,45460 432297,S200000,00300,0300,U 432297,S200000,00400,0100,WESTRIDGE HEALTH CARE CENTER 432297,S200000,00400,0200,155234 432297,S200000,00400,0300,09/18/02 432297,S200000,00400,0500,P 432297,S200000,01500,0100,Y 432297,S200000,01501,0200,Y 432297,S200000,01502,0200,Y 432297,S200000,01503,0200,Y 432297,S200000,01504,0200,Y 432297,S200000,01600,0100,N 432297,S200000,01700,0100,N 432297,S200000,01800,0100,N 432297,S200000,02200,0100,N 432297,S200000,02800,0100,N 432297,S200000,02900,0100,N 432297,S200000,03000,0100,N 432297,S200000,03100,0100,N 432297,S200000,03200,0100,N 432297,S200000,03300,0100,N 432297,S200000,03300,0200,N 432297,S200000,04100,0100,N 432297,S200000,04200,0100,N 432297,S200000,04300,0100,N 432297,S200000,04600,0100,N 432297,S200000,04700,0100,N 432297,S200000,04700,0200,N 432297,S200000,04900,0100,N 432297,S200000,05000,0100,N 432297,S200000,05100,0100,N 432297,S200000,05200,0100,N 432297,S200000,05300,0100,Y 432297,S200000,05300,0200,15HO49 432297,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432297,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432297,S200000,05400,0300,00130 432297,S200000,05500,0100,9450 PRIORITY WAY WEST 432297,S200000,05600,0100,INDIANAPOLIS 432297,S200000,05600,0200,IN 432297,S200000,05600,0300,46240 432298,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432298,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432298,A000000,00300,0000,0300EMPLOYEE BENEFITS 432298,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432298,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432298,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432298,A000000,00700,0000,0700HOUSEKEEPING 432298,A000000,00800,0000,0800DIETARY 432298,A000000,00900,0000,0900NURSING ADMINISTRATION 432298,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432298,A000000,01100,0000,1100PHARMACY 432298,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432298,A000000,01300,0000,1300SOCIAL SERVICE 432298,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432298,A000000,01500,0000,1350ACTIVITIES 432298,A000000,01600,0000,1600SKILLED NURSING FACILITY 432298,A000000,01800,0000,1800NURSING FACILITY 432298,A000000,01810,0000,1810ICF/MR 432298,A000000,01900,0000,1900OTHER LONG TERM CARE 432298,A000000,02100,0000,2100RADIOLOGY 432298,A000000,02200,0000,2200LABORATORY 432298,A000000,02300,0000,2300INTRAVENOUS THERAPY 432298,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432298,A000000,02500,0000,2500PHYSICAL THERAPY 432298,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432298,A000000,02700,0000,2700SPEECH PATHOLOGY 432298,A000000,02800,0000,2800ELECTROCARDIOLOGY 432298,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432298,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432298,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432298,A000000,03200,0000,3200SUPPORT SURFACES 432298,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432298,A000000,03400,0000,3400CLINIC 432298,A000000,03500,0000,3500RURAL HEALTH CLINIC 432298,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432298,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432298,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432298,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432298,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432298,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432298,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432298,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432298,A000000,04400,0000,4400DME RENTED - HHA 432298,A000000,04500,0000,4500DME SOLD - HHA 432298,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432298,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432298,A000000,04710,0000,4710TELEMEDICINE 432298,A000000,04800,0000,4800AMBULANCE 432298,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432298,A000000,05000,0000,5000CORF 432298,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432298,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432298,A000000,05300,0000,5300INTEREST EXPENSE 432298,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432298,A000000,05500,0000,5500HOSPICE 432298,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432298,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432298,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432298,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432298,A000000,06100,0000,6100NONPAID WORKERS 432298,A000000,06200,0000,6200PATIENTS LAUNDRY 432298,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432298,A81000A,00100,0100,Y 432298,A81000B,00100,0300,HOME OFFICE COSTS 432298,A81000B,00200,0300,WORKERS COMPENSATION 432298,A81000B,00300,0300,HOME OFFICE COSTS 432298,A81000B,00400,0300,HOME OFFICE COSTS 432298,A81000B,00500,0300,HOME OFFICE COSTS 432298,A81000B,00600,0300,HOME OFFICE COSTS 432298,A81000B,00700,0300,HOME OFFICE COSTS 432298,A81000B,00800,0300,PHYSICAL THERAPY 432298,A81000B,00900,0300,OCCUPATIONAL THERAPY 432298,A81000B,01000,0300,SPEECH THERAPY 432298,A81000C,00100,0100,A 432298,A81000C,00100,0200,STUART AND MIKE REED 432298,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00100,0600,NURSING HOMES 432298,A81000C,00200,0100,D 432298,A81000C,00200,0200,SUZANNE REED 432298,A81000C,00200,0400,INDIANA FITNESS WORKS 432298,A81000C,00200,0600,THERAPY 432298,A81000C,00300,0100,A 432298,A81000C,00300,0200,STUART AND MIKE REED 432298,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00300,0600,NURSING HOMES 432298,A81000C,00400,0100,A 432298,A81000C,00400,0200,STUART AND MIKE REED 432298,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00400,0600,NURSING HOMES 432298,A81000C,00500,0100,A 432298,A81000C,00500,0200,STUART AND MIKE REED 432298,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00500,0600,NURSING HOMES 432298,A81000C,00600,0100,A 432298,A81000C,00600,0200,STUART AND MIKE REED 432298,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00600,0600,NURSING HOMES 432298,A81000C,00700,0100,A 432298,A81000C,00700,0200,STUART AND MIKE REED 432298,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 432298,A81000C,00700,0600,NURSING HOMES 432298,A81000C,00800,0100,D 432298,A81000C,00800,0200,SUZANNE REED 432298,A81000C,00800,0400,INDIANA FITNESS WORKS 432298,A81000C,00800,0600,THERAPY 432298,A81000C,00900,0100,D 432298,A81000C,00900,0200,SUZANNE REED 432298,A81000C,00900,0400,INDIANA FITNESS WORKS 432298,A81000C,00900,0600,THERAPY 432298,A81000C,01000,0100,D 432298,A81000C,01000,0200,SUZANNE REED 432298,A81000C,01000,0400,INDIANA FITNESS WORKS 432298,A81000C,01000,0600,THERAPY 432298,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432298,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432298,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432298,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432298,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432298,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432298,B100000,00000,0800,0800MEALS SERVED :DIETARY 432298,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432298,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432298,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432298,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432298,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432298,G300000,02500,0000,OTHER REVENUE 432298,S000000,00100,0200,05/22/12 432298,S200000,00100,0100,1005 SOUTH EDGEWOOD DRIVE 432298,S200000,00200,0100,KNOX 432298,S200000,00200,0200,IN 432298,S200000,00200,0300,46534 432298,S200000,00300,0100,STARKE 432298,S200000,00300,0201,99915 432298,S200000,00300,0300,R 432298,S200000,00400,0100,WINTERSONG VILLAGE 432298,S200000,00400,0200,155283 432298,S200000,00400,0300,01/01/69 432298,S200000,00400,0500,P 432298,S200000,01500,0100,Y 432298,S200000,01501,0200,Y 432298,S200000,01502,0200,Y 432298,S200000,01503,0200,Y 432298,S200000,01504,0200,Y 432298,S200000,01600,0100,N 432298,S200000,01700,0100,N 432298,S200000,01800,0100,N 432298,S200000,02200,0100,N 432298,S200000,02800,0100,N 432298,S200000,02900,0100,N 432298,S200000,03000,0100,N 432298,S200000,03100,0100,N 432298,S200000,03200,0100,N 432298,S200000,03300,0100,N 432298,S200000,03300,0200,N 432298,S200000,04100,0100,N 432298,S200000,04200,0100,N 432298,S200000,04300,0100,N 432298,S200000,04600,0100,N 432298,S200000,04700,0100,N 432298,S200000,04700,0200,N 432298,S200000,04900,0100,N 432298,S200000,05000,0100,N 432298,S200000,05100,0100,N 432298,S200000,05200,0100,N 432298,S200000,05300,0100,Y 432298,S200000,05300,0200,15H049 432298,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 432298,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 432298,S200000,05400,0300,00130 432298,S200000,05500,0100,9450 PRIORITY WAY WEST 432298,S200000,05600,0100,INDIANAPOLIS 432298,S200000,05600,0200,IN 432298,S200000,05600,0300,46240 432324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432324,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432324,A000000,00300,0000,0300EMPLOYEE BENEFITS 432324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432324,A000000,00700,0000,0700HOUSEKEEPING 432324,A000000,00800,0000,0800DIETARY 432324,A000000,00900,0000,0900NURSING ADMINISTRATION 432324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432324,A000000,01100,0000,1100PHARMACY 432324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432324,A000000,01300,0000,1300SOCIAL SERVICE 432324,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432324,A000000,01500,0000,1350ACTIVITIES 432324,A000000,01600,0000,1600SKILLED NURSING FACILITY 432324,A000000,01810,0000,1810ICF/MR 432324,A000000,02100,0000,2100RADIOLOGY 432324,A000000,02200,0000,2200LABORATORY 432324,A000000,02300,0000,2300INTRAVENOUS THERAPY 432324,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432324,A000000,02500,0000,2500PHYSICAL THERAPY 432324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432324,A000000,02700,0000,2700SPEECH PATHOLOGY 432324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432324,A000000,03200,0000,3200SUPPORT SURFACES 432324,A000000,03300,0000,3050PEN BILLING 432324,A000000,03550,0000,3550FQHC 432324,A000000,04801,0000,4801AMBULANCE 432324,A000000,04802,0000,4802AMBULANCE 432324,A000000,04803,0000,4803AMBULANCE 432324,A000000,05000,0000,5000CORF 432324,A000000,05010,0000,5010CMHC 432324,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432324,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432324,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432324,A81000A,00100,0100,Y 432324,A81000B,00100,0300,HOME OFFICE A AND G 432324,A81000B,00200,0300,DIR INTEREST & AMORT 432324,A81000B,00300,0300,HOME OFFICE CAP REL 432324,A81000B,00400,0300,PT 432324,A81000B,00500,0300,OT 432324,A81000B,00600,0300,ST 432324,A81000B,00700,0300,DIETARY 432324,A81000B,00800,0300,RT/OXYGEN 432324,A81000B,00900,0300,MED DIRECTOR FEES 432324,A81000B,01000,0300,VAR NURS PURCH SERV 432324,A81000C,00100,0100,B 432324,A81000C,00100,0200,GENESIS HEALTHC 432324,A81000C,00100,0600,MNGT CO 432324,A81000C,00200,0100,B 432324,A81000C,00200,0200,GENESIS HOSP SE 432324,A81000C,00200,0600,NUTRITIONIST 432324,A81000C,00300,0100,B 432324,A81000C,00300,0200,GENESIS SERVICE 432324,A81000C,00300,0600,REHAB 432324,A81000C,00400,0100,B 432324,A81000C,00400,0200,RESP HEALTH SER 432324,A81000C,00400,0600,RESP THERAPY 432324,A81000C,00500,0100,B 432324,A81000C,00500,0200,GENESIS STAFFIN 432324,A81000C,00500,0600,NURSING PUR SER 432324,A81000C,00600,0100,B 432324,A81000C,00600,0200,GENESIS PHYS SE 432324,A81000C,00600,0600,MEDICAL DIRECTO 432324,B100000,00000,0100,0100SQUARE FEET 432324,B100000,00000,0200,0200SQUARE FEET 432324,B100000,00000,0300,0300GROSS SALARIES 432324,B100000,00000,0400,0400ACCUM COST 432324,B100000,00000,0500,0500SQUARE FEET 432324,B100000,00000,0600,0600PT DAYS 432324,B100000,00000,0700,0700SQUARE FEET 432324,B100000,00000,0800,0800MEALS SERVED 432324,B100000,00000,0900,0900PT DAYS 432324,B100000,00000,1000,1000COSTED REQUIS 432324,B100000,00000,1100,1100COSTED REQUIS 432324,B100000,00000,1200,1200GROSS CHARGES 432324,B100000,00000,1300,1300PT DAYS 432324,B100000,00000,1400,1400ASSIGNED TIME 432324,B100000,00000,1500,1350PT DAYS 432324,E10A180,00302,0100,03/22/11 432324,E10A180,00501,0300,11/18/11 432324,E10A180,00550,0100,11/18/11 432324,S000000,00100,0200,09/26/11 432324,S200000,00100,0100,24 TRUCKHOUSE ROAD 432324,S200000,00200,0100,SEVERNA PARK 432324,S200000,00200,0200,MD 432324,S200000,00200,0300,21146 432324,S200000,00300,0100,ANNE ARUNDEL 432324,S200000,00300,0201,12580 432324,S200000,00300,0300,U 432324,S200000,00400,0100,SEVERNA PARK CENTER 432324,S200000,00400,0200,215143 432324,S200000,00400,0300,08/01/87 432324,S200000,00400,0500,P 432324,S200000,00600,0200,215143 432324,S200000,00600,0300,01/01/87 432324,S200000,00600,0600,O 432324,S200000,01500,0100,Y 432324,S200000,01501,0200,N 432324,S200000,01502,0200,N 432324,S200000,01503,0200,N 432324,S200000,01504,0200,N 432324,S200000,01505,0000,DON BONUS 432324,S200000,01505,0200,N 432324,S200000,01600,0100,N 432324,S200000,01700,0100,Y 432324,S200000,01800,0100,N 432324,S200000,02200,0100,Y 432324,S200000,02800,0100,N 432324,S200000,02900,0100,N 432324,S200000,03000,0100,N 432324,S200000,03100,0100,N 432324,S200000,03200,0100,N 432324,S200000,03300,0100,N 432324,S200000,03300,0200,N 432324,S200000,04200,0100,N 432324,S200000,04300,0100,N 432324,S200000,04600,0100,N 432324,S200000,04700,0100,N 432324,S200000,04900,0100,N 432324,S200000,05200,0100,N 432324,S200000,05300,0100,Y 432324,S200000,05300,0200,HB0067 432324,S200000,05400,0100,GENESIS HEALTHCARE 432324,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432324,S200000,05400,0300,12001 432324,S200000,05500,0100,101 EAST STATE STREET 432324,S200000,05600,0100,KENNETT SQUARE 432324,S200000,05600,0200,PA 432324,S200000,05600,0300,19348 432326,S000000,00100,0200,06/15/12 432326,S200000,00100,0100,94 STEVENS ROAD 432326,S200000,00200,0100,TOMS RIVER 432326,S200000,00200,0200,NJ 432326,S200000,00200,0300,08755 432326,S200000,00300,0100,TOMS RIVER 432326,S200000,00400,0100,MR. JOSHEPH DOBOSH JR. 432326,S200000,00400,0300,06/23/97 432331,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432331,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432331,A000000,00300,0000,0300EMPLOYEE BENEFITS 432331,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432331,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432331,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432331,A000000,00700,0000,0700HOUSEKEEPING 432331,A000000,00800,0000,0800DIETARY 432331,A000000,00900,0000,0900NURSING ADMINISTRATION 432331,A000000,01100,0000,1100PHARMACY 432331,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432331,A000000,01300,0000,1300SOCIAL SERVICE 432331,A000000,01500,0000,1350OTHER GENERAL SERVICES 432331,A000000,01600,0000,1600SKILLED NURSING FACILITY 432331,A000000,01800,0000,1800NURSING FACILITY 432331,A000000,01810,0000,1810ICF/MR 432331,A000000,01900,0000,1900OTHER LONG TERM CARE 432331,A000000,02100,0000,2100RADIOLOGY 432331,A000000,02200,0000,2200LABORATORY 432331,A000000,02300,0000,2300INTRAVENOUS THERAPY 432331,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432331,A000000,02500,0000,2500PHYSICAL THERAPY 432331,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432331,A000000,02700,0000,2700SPEECH PATHOLOGY 432331,A000000,02800,0000,2800ELECTROCARDIOLOGY 432331,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432331,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432331,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432331,A000000,03200,0000,3200SUPPORT SURFACES 432331,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432331,A000000,03400,0000,3400CLINIC 432331,A000000,03500,0000,3500RURAL HEALTH CLINIC 432331,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432331,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432331,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432331,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432331,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432331,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432331,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432331,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432331,A000000,04400,0000,4400DME RENTED - HHA 432331,A000000,04500,0000,4500DME SOLD - HHA 432331,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432331,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432331,A000000,04710,0000,4710TELEMEDICINE 432331,A000000,04800,0000,4800AMBULANCE 432331,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432331,A000000,05000,0000,5000CORF 432331,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432331,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432331,A000000,05300,0000,5300INTEREST EXPENSE 432331,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432331,A000000,05500,0000,5500HOSPICE 432331,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432331,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432331,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432331,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432331,A000000,06100,0000,6100NONPAID WORKERS 432331,A000000,06200,0000,6200PATIENTS LAUNDRY 432331,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432331,A81000A,00100,0100,Y 432331,A81000B,00100,0300,HOME OFFICE DEPRECIATION 432331,A81000B,00200,0300,RE MGMT AP HR MAIL ACCTNG 432331,A81000B,00300,0300,MAINTENANCE SECURITY CLIN ENGINEER 432331,A81000B,00400,0300,LAUNDRY SERVICE 432331,A81000B,00500,0300,PHARMACY CONSULTG & MOBILE DENTISTRY 432331,A81000B,00600,0300,SHUTTLE SERVICES 432331,A81000B,00700,0300,PHARMACY 432331,A81000B,00800,0300,MISC SUPPORT 432331,A81000B,00900,0300,DIETARY CATERINGS 432331,A81000B,01000,0300,LAB 432331,A81000B,01100,0300,TRAVEL/TRAINING/TUITION 432331,A81000C,00100,0100,B 432331,A81000C,00100,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00100,0400,CHS 432331,A81000C,00100,0600,HOSPITAL AUTHORITY 432331,A81000C,00200,0100,B 432331,A81000C,00200,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00200,0400,CHS 432331,A81000C,00200,0600,HOSPITAL AUTHORITY 432331,A81000C,00300,0100,B 432331,A81000C,00300,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00300,0400,CHS 432331,A81000C,00300,0600,HOSPITAL AUTHORITY 432331,A81000C,00400,0100,B 432331,A81000C,00400,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00400,0400,CHS 432331,A81000C,00400,0600,HOSPITAL AUTHORITY 432331,A81000C,00500,0100,B 432331,A81000C,00500,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00500,0400,CHS 432331,A81000C,00500,0600,HOSPITAL AUTHORITY 432331,A81000C,00600,0100,B 432331,A81000C,00600,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00600,0400,CHS 432331,A81000C,00600,0600,HOSPITAL AUTHORITY 432331,A81000C,00700,0100,G 432331,A81000C,00700,0200,CAROLINAS MEDICAL CENTER 432331,A81000C,00700,0400,CAROLINAS HEALTHCARE SYST 432331,A81000C,00700,0600,HOSPITAL 432331,A81000C,00800,0100,B 432331,A81000C,00800,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,00800,0400,CHS 432331,A81000C,00800,0600,HOSPITAL AUTHORITY 432331,A81000C,00900,0100,G 432331,A81000C,00900,0200,CAROLINAS MEDICAL CENTER 432331,A81000C,00900,0400,CAROLINAS HEALTHCARE SYST 432331,A81000C,00900,0600,HOSPITAL 432331,A81000C,01000,0100,B 432331,A81000C,01000,0200,CAROLINAS HEALTHCARE SYST 432331,A81000C,01000,0400,CHS 432331,A81000C,01000,0600, HOSPITAL AUTHORITY 432331,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432331,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432331,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432331,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432331,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432331,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432331,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 432331,B100000,00000,0800,0800MEALS SERVED :DIETARY 432331,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432331,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432331,B100000,00000,1200,1250R&B CHARGES :MEDICAL RECORDS & 432331,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432331,E10A180,00550,0100,02/24/12 432331,G300000,02500,0000,BEAUTY & BARBER REVENUE 432331,G300000,02501,0000,OTHER MISCELLANEOUS REVENUE 432331,S000000,00100,0200,02/24/12 432331,S200000,00100,0100,5151 SARDIS ROAD 432331,S200000,00200,0100,CHARLOTTE 432331,S200000,00200,0200,NC 432331,S200000,00200,0300,27270 432331,S200000,00300,0100,MECKLENBURG 432331,S200000,00300,0200,1520 432331,S200000,00300,0201,16740 432331,S200000,00300,0300,U 432331,S200000,00400,0100,SARDIS OAKS 432331,S200000,00400,0200,345331 432331,S200000,00400,0300,11/16/90 432331,S200000,00400,0500,P 432331,S200000,00400,0600,P 432331,S200000,00600,0200,345331 432331,S200000,00600,0300,11/16/90 432331,S200000,00600,0600,P 432331,S200000,01500,0100,N 432331,S200000,01501,0200,Y 432331,S200000,01502,0200,Y 432331,S200000,01503,0200,Y 432331,S200000,01504,0200,Y 432331,S200000,01505,0000,OTHER 432331,S200000,01505,0200,Y 432331,S200000,01600,0100,Y 432331,S200000,01700,0100,N 432331,S200000,01800,0100,N 432331,S200000,02200,0100,N 432331,S200000,02800,0100,N 432331,S200000,02900,0100,N 432331,S200000,03000,0100,N 432331,S200000,03100,0100,N 432331,S200000,03200,0100,N 432331,S200000,03300,0100,N 432331,S200000,03300,0200,N 432331,S200000,03500,0300,N 432331,S200000,04100,0100,N 432331,S200000,04200,0100,N 432331,S200000,04300,0100,N 432331,S200000,04600,0100,N 432331,S200000,04700,0100,N 432331,S200000,04700,0200,N 432331,S200000,04900,0100,N 432331,S200000,05000,0100,N 432331,S200000,05100,0100,N 432331,S200000,05200,0100,N 432331,S200000,05300,0100,Y 432331,S200000,05300,0200,349014 432331,S200000,05400,0100,N 432331,S200000,05400,0200,N/A 432331,S200000,05400,0300, 00N/A 432331,S200000,05500,0200,32861 432331,S200000,05600,0100,CHARLOTTE 432331,S200000,05600,0200,NC 432331,S200000,05600,0300,28232 432332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432332,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432332,A000000,00300,0000,0300EMPLOYEE BENEFITS 432332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432332,A000000,00700,0000,0700HOUSEKEEPING 432332,A000000,00800,0000,0800DIETARY 432332,A000000,00900,0000,0900NURSING ADMINISTRATION 432332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432332,A000000,01100,0000,1100PHARMACY 432332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432332,A000000,01300,0000,1300SOCIAL SERVICE 432332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432332,A000000,01500,0000,1350ACTIVITIES 432332,A000000,01600,0000,1600SKILLED NURSING FACILITY 432332,A000000,01810,0000,1810ICF/MR 432332,A000000,02100,0000,2100RADIOLOGY 432332,A000000,02200,0000,2200LABORATORY 432332,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432332,A000000,02500,0000,2500PHYSICAL THERAPY 432332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432332,A000000,02700,0000,2700SPEECH PATHOLOGY 432332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432332,A000000,03550,0000,3550FQHC 432332,A000000,04800,0000,4800AMBULANCE 432332,A000000,05000,0000,5000CORF 432332,A000000,05010,0000,5010CMHC 432332,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432332,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432332,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432332,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 432332,A81000A,00100,0100,Y 432332,A81000B,00100,0300,PHYSICAL THERAPY 432332,A81000B,00200,0300,OCCUPATIONAL THERAPY 432332,A81000B,00300,0300,SPEECH THERAPY 432332,A81000B,00400,0300,DIETARY 432332,A81000B,00500,0300,RESPIRATORY THERAPY 432332,A81000B,00600,0300,RESPIRATORY THERAPY 432332,A81000B,00700,0300,MEDICAL DIRECTOR 432332,A81000B,00800,0300,ADMINISTRATION - HO 432332,A81000B,00900,0300,INTEREST - HO 432332,A81000B,01000,0300,BUILDING - HO 432332,A81000C,00100,0100,B 432332,A81000C,00100,0200,GENESIS REHAB 432332,A81000C,00100,0400,GENESIS HEALTHC 432332,A81000C,00100,0600,REHAB SERVICES 432332,A81000C,00200,0100,B 432332,A81000C,00200,0200,GENESIS REHAB 432332,A81000C,00200,0400,GENESIS HEALTHC 432332,A81000C,00200,0600,REHAB SERVICES 432332,A81000C,00300,0100,B 432332,A81000C,00300,0200,GENESIS REHAB 432332,A81000C,00300,0400,GENESIS HEALTHC 432332,A81000C,00300,0600,REHAB SERVICES 432332,A81000C,00400,0100,B 432332,A81000C,00400,0200,GENESIS HOSPITA 432332,A81000C,00400,0400,GENESIS HEALTHC 432332,A81000C,00400,0600,CONSULTING SERV 432332,A81000C,00500,0100,B 432332,A81000C,00500,0200,RESPIRATORY HEA 432332,A81000C,00500,0400,GENESIS HEALTHC 432332,A81000C,00500,0600,RESPIRATORY SER 432332,A81000C,00600,0100,B 432332,A81000C,00600,0200,RESPIRATORY HEA 432332,A81000C,00600,0400,GENESIS HEALTHC 432332,A81000C,00600,0600,RESPIRATORY SER 432332,A81000C,00700,0100,B 432332,A81000C,00700,0200,GENESIS PHYSICI 432332,A81000C,00700,0400,GENESIS HEALTHC 432332,A81000C,00700,0600,MEDICAL DIRECTO 432332,A81000C,00800,0100,B 432332,A81000C,00800,0200,GENESIS HEALTHC 432332,A81000C,00800,0600,MANAGEMENT COMP 432332,A81000C,00900,0100,B 432332,A81000C,00900,0200,GENESIS HEALTHC 432332,A81000C,00900,0600,MANAGEMENT COMP 432332,A81000C,01000,0100,B 432332,A81000C,01000,0200,GENESIS HEALTHC 432332,A81000C,01000,0600,MANAGEMENT COMP 432332,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432332,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432332,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432332,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432332,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432332,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432332,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432332,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432332,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432332,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432332,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432332,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432332,E10A180,00550,0100,03/22/12 432332,G300000,02500,0000,BARBER/BEAUTY REVENUE 432332,S000000,00100,0200,03/22/12 432332,S200000,00100,0100,80 MADDEX DRIVE 432332,S200000,00200,0100,SHEPHERDSTOWN 432332,S200000,00200,0200,WV 432332,S200000,00200,0300,25443 432332,S200000,00300,0100,JEFFERSON 432332,S200000,00300,0201,47894 432332,S200000,00300,0300,U 432332,S200000,00400,0100,CANTERBURY CENTER 432332,S200000,00400,0200,515179 432332,S200000,00400,0300,07/01/02 432332,S200000,00400,0500,P 432332,S200000,01500,0100,Y 432332,S200000,01501,0200,Y 432332,S200000,01502,0200,N 432332,S200000,01504,0200,N 432332,S200000,01505,0000,DON BONUS ON CLINICAL MEASURES 432332,S200000,01505,0200,Y 432332,S200000,01600,0100,N 432332,S200000,01700,0100,N 432332,S200000,01800,0100,N 432332,S200000,02200,0100,Y 432332,S200000,02800,0100,N 432332,S200000,02900,0100,N 432332,S200000,03000,0100,N 432332,S200000,03100,0100,N 432332,S200000,03200,0100,N 432332,S200000,03300,0100,N 432332,S200000,03300,0200,N 432332,S200000,04100,0100,N 432332,S200000,04200,0100,N 432332,S200000,04300,0100,N 432332,S200000,04600,0100,N 432332,S200000,04700,0100,N 432332,S200000,04700,0200,N 432332,S200000,04900,0100,N 432332,S200000,05000,0100,N 432332,S200000,05100,0100,N 432332,S200000,05200,0100,N 432332,S200000,05300,0100,Y 432332,S200000,05300,0200,HB0067 432332,S200000,05400,0100,GENESIS HEALTHCARE CORP 432332,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432332,S200000,05400,0300,12001 432332,S200000,05500,0100,101 EAST STATE STREET 432332,S200000,05600,0100,KENNETT SQUARE 432332,S200000,05600,0200,PA 432332,S200000,05600,0300,19348 432504,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432504,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432504,A000000,00300,0000,0300EMPLOYEE BENEFITS 432504,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432504,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432504,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432504,A000000,00700,0000,0700HOUSEKEEPING 432504,A000000,00800,0000,0800DIETARY 432504,A000000,00900,0000,0900NURSING ADMINISTRATION 432504,A000000,01300,0000,1300SOCIAL SERVICE 432504,A000000,01500,0000,1350ACTIVITIES 432504,A000000,01600,0000,1600SKILLED NURSING FACILITY 432504,A000000,01800,0000,1800NURSING FACILITY 432504,A000000,01900,0000,1900OTHER LONG TERM CARE 432504,A000000,02100,0000,2100RADIOLOGY 432504,A000000,02200,0000,2200LABORATORY 432504,A000000,02500,0000,2500PHYSICAL THERAPY 432504,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432504,A000000,02700,0000,2700SPEECH PATHOLOGY 432504,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432504,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432504,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432504,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432504,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432504,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432504,A81000A,00100,0100,Y 432504,A81000B,00100,0300,HOME OFFICE OPERATING 432504,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 432504,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 432504,A81000B,00400,0300,HOME OFFICE NURSING 432504,A81000B,00500,0300,HOME OFFICE ACTIVITIES 432504,A81000B,00700,0300,MAINTENANCE AND REPAIRS 432504,A81000B,00800,0300,MAINTENANCE AND REPAIRS 432504,A81000B,01000,0300,OFFICE EXPENSE 432504,A81000B,01100,0300,MAINTENANCE SUPPLIES 432504,A81000B,01200,0300,LAUNDRY SUPPLIES & LINEN 432504,A81000B,01300,0300,HSKPING SUPPLIES 432504,A81000B,01400,0300,FOOD SUPPLIES 432504,A81000B,01500,0300,NURSING SUPPLIES 432504,A81000B,01600,0300,SUPPLIES 432504,A81000B,01700,0300,PT SUPPLIES 432504,A81000B,01800,0300,MEDICAL SUPPLIES 432504,A81000B,01900,0300,NURSING SUPPLIES 432504,A81000B,02000,0300,MEDCAL SUPPLIES 432504,A81000B,02100,0300,DRUGS 432504,A81000B,02200,0300,PRINTING 432504,A81000B,02300,0300,PRINTING 432504,A81000B,02400,0300,PRINTING 432504,A81000B,02500,0300,PRINTING 432504,A81000B,02600,0300,PRINTING 432504,A81000C,00100,0100,A 432504,A81000C,00100,0200,TRIAD MEDICAL SERVICES 432504,A81000C,00100,0400,NOLAN G. BROWN 432504,A81000C,00100,0600,MGMT SERVICES 432504,A81000C,00200,0100,A 432504,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 432504,A81000C,00200,0400,NOLAN G. BROWN 432504,A81000C,00200,0600,PRINTING 432504,A81000C,00300,0100,A 432504,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 432504,A81000C,00300,0400,NOLAN G. BROWN 432504,A81000C,00300,0600,PHARMACY 432504,A81000C,00400,0100,A 432504,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 432504,A81000C,00400,0400,NOLAN G. BROWN 432504,A81000C,00400,0600,MEDICAL SUPPLIES 432504,A81000C,00500,0100,A 432504,A81000C,00500,0200,TMS CONSTRUCTION 432504,A81000C,00500,0400,NOLAN G BROWN 432504,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 432504,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432504,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432504,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432504,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432504,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432504,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432504,B100000,00000,0800,0800MEALS SERVED :DIETARY 432504,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432504,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432504,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 432504,E10A180,00501,0100,05/08/12 432504,G300000,02500,0000,OTHER INCOME 432504,S000000,00100,0200,02/22/12 432504,S200000,00100,0100,208 MERCER ROAD 432504,S200000,00100,0300,1449 432504,S200000,00200,0100,ELIZABETHTOWN 432504,S200000,00200,0200,NC 432504,S200000,00200,0300,28337 432504,S200000,00300,0100,BLADEN 432504,S200000,00300,0200,34 432504,S200000,00300,0201,99934 432504,S200000,00300,0300,R 432504,S200000,00400,0100,ELIZABETHTOWN NURSING CENTER 432504,S200000,00400,0200,345210 432504,S200000,00400,0300,07/02/82 432504,S200000,00400,0500,P 432504,S200000,00400,0600,O 432504,S200000,01500,0100,N 432504,S200000,01501,0200,Y 432504,S200000,01505,0000,SUPPLEMENTS AND SUPPLIES 432504,S200000,01505,0200,Y 432504,S200000,01600,0100,Y 432504,S200000,01700,0100,N 432504,S200000,01800,0100,N 432504,S200000,02200,0100,N 432504,S200000,02800,0100,N 432504,S200000,02900,0100,N 432504,S200000,03000,0100,N 432504,S200000,03100,0100,N 432504,S200000,03200,0100,N 432504,S200000,03300,0100,N 432504,S200000,03300,0200,N 432504,S200000,04100,0100,N 432504,S200000,04200,0100,N 432504,S200000,04300,0100,N 432504,S200000,04600,0100,N 432504,S200000,04700,0100,N 432504,S200000,04700,0200,N 432504,S200000,04900,0100,N 432504,S200000,05000,0100,N 432504,S200000,05100,0100,N 432504,S200000,05200,0100,N 432504,S200000,05300,0100,Y 432504,S200000,05300,0200,349009 432504,S200000,05400,0100,TRIAD MEDICAL SERVICES 432504,S200000,05400,0200,PALMETTO GBA 432504,S200000,05400,0300, 00038 432504,S200000,05500,0200,969 432504,S200000,05600,0100,YADKINVILLE 432504,S200000,05600,0200,NC 432504,S200000,05600,0300,27055 432505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432505,A000000,00300,0000,0300EMPLOYEE BENEFITS 432505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432505,A000000,00700,0000,0700HOUSEKEEPING 432505,A000000,00800,0000,0800DIETARY 432505,A000000,00900,0000,0900NURSING ADMINISTRATION 432505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432505,A000000,01100,0000,1100PHARMACY 432505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432505,A000000,01300,0000,1300SOCIAL SERVICE 432505,A000000,01500,0000,1350PATIENT ACTIVITIES 432505,A000000,01600,0000,1600SKILLED NURSING FACILITY 432505,A000000,01900,0000,1900OTHER LONG TERM CARE 432505,A000000,02100,0000,2100RADIOLOGY 432505,A000000,02200,0000,2200LABORATORY 432505,A000000,02300,0000,2300INTRAVENOUS THERAPY 432505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432505,A000000,02500,0000,2500PHYSICAL THERAPY 432505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432505,A000000,02700,0000,2700SPEECH PATHOLOGY 432505,A000000,02800,0000,2800ELECTROCARDIOLOGY 432505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432505,A000000,03200,0000,3200SUPPORT SURFACES 432505,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432505,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432505,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432505,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432505,A000000,06100,0000,6100NONPAID WORKERS 432505,A000000,06200,0000,6200PATIENTS LAUNDRY 432505,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432505,A81000A,00100,0100,N 432505,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432505,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432505,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432505,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432505,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432505,B100000,00000,0700,0750SQ. FTG. EXC DIET:HOUSEKEEPING 432505,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432505,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432505,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432505,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432505,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432505,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432505,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432505,E10A180,00501,0100,05/27/12 432505,G300000,02500,0000,OTHER (SPECIFY) 432505,S000000,00100,0200,03/01/12 432505,S200000,00100,0100,US HWY 158 BUSINESS 432505,S200000,00200,0100,WARRENTON 432505,S200000,00200,0200,NC 432505,S200000,00200,0300,27589-0618 432505,S200000,00300,0100,WARREN 432505,S200000,00300,0200,34 432505,S200000,00300,0201,99934 432505,S200000,00300,0300,R 432505,S200000,00400,0100,WARREN HILLS A PC & NSG CTR 432505,S200000,00400,0200,345240 432505,S200000,00400,0300,09/30/85 432505,S200000,00400,0500,P 432505,S200000,01500,0100,N 432505,S200000,01501,0200,N 432505,S200000,01503,0200,N 432505,S200000,01600,0100,Y 432505,S200000,01700,0100,N 432505,S200000,01800,0100,N 432505,S200000,02200,0100,N 432505,S200000,02800,0100,N 432505,S200000,02900,0100,N 432505,S200000,03000,0100,N 432505,S200000,03100,0100,N 432505,S200000,03200,0100,N 432505,S200000,03300,0100,N 432505,S200000,03300,0200,N 432505,S200000,04100,0100,N 432505,S200000,04200,0100,N 432505,S200000,04300,0100,N 432505,S200000,04600,0100,N 432505,S200000,04700,0100,N 432505,S200000,04700,0200,N 432505,S200000,04900,0100,N 432505,S200000,05000,0100,N 432505,S200000,05100,0100,N 432505,S200000,05200,0100,N 432506,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432506,A000000,00300,0000,0300EMPLOYEE BENEFITS 432506,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432506,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432506,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432506,A000000,00700,0000,0700HOUSEKEEPING 432506,A000000,00800,0000,0800DIETARY 432506,A000000,01100,0000,1100PHARMACY 432506,A000000,01500,0000,1350PATIENT ACTIVITIES 432506,A000000,01600,0000,1600SKILLED NURSING FACILITY 432506,A000000,01800,0000,1800NURSING FACILITY 432506,A000000,01900,0000,1900OTHER LONG TERM CARE 432506,A000000,02100,0000,2100RADIOLOGY 432506,A000000,02200,0000,2200LABORATORY 432506,A000000,02300,0000,2300INTRAVENOUS THERAPY 432506,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432506,A000000,02500,0000,2500PHYSICAL THERAPY 432506,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432506,A000000,02700,0000,2700SPEECH PATHOLOGY 432506,A000000,02800,0000,2800ELECTROCARDIOLOGY 432506,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432506,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432506,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432506,A000000,03200,0000,3200SUPPORT SURFACES 432506,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432506,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432506,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432506,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432506,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432506,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432506,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432506,A000000,06100,0000,6100NONPAID WORKERS 432506,A000000,06200,0000,6200PATIENTS LAUNDRY 432506,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432506,A81000A,00100,0100,Y 432506,A81000B,00100,0300,CENTRAL OFICE OVHD 432506,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 432506,A81000B,00300,0300,SUPPLIES 432506,A81000B,00400,0300,SUPPLIES 432506,A81000B,00500,0300,SUPPLIES 432506,A81000B,00600,0300,PHARMACY 432506,A81000B,00700,0300,PHARMACY 432506,A81000B,00800,0300,PHARMACY 432506,A81000B,00900,0300,PHARMACY 432506,A81000B,01000,0300,PHARMACY 432506,A81000B,01100,0300,PHARMACY 432506,A81000C,00100,0100,B 432506,A81000C,00100,0200,AUTUMN CORPORATION 432506,A81000C,00100,0400,AUTUMN CORPORATION 432506,A81000C,00100,0600,HOME OFFICE 432506,A81000C,00200,0100,B 432506,A81000C,00200,0200,AUTUMN CORPORATION 432506,A81000C,00200,0400,AUTUMN CORPORATION 432506,A81000C,00200,0600,HOME OFFICE 432506,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432506,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432506,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432506,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432506,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432506,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 432506,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432506,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432506,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432506,E10A180,00350,0100,07/27/11 432506,E10A180,00501,0100,05/08/12 432506,G300000,02500,0000,MISC 432506,S000000,00100,0200,02/16/12 432506,S200000,00100,0100,237 MULBERRY ST 432506,S200000,00100,0300,2926 432506,S200000,00200,0100,SHALLOTTE 432506,S200000,00200,0200,NC 432506,S200000,00200,0300,28459 432506,S200000,00300,0100,BRUNSWICK 432506,S200000,00300,0200,9200 432506,S200000,00300,0201,48900 432506,S200000,00300,0300,U 432506,S200000,00400,0100,AUTUMN CARE OF SHALLOTTE 432506,S200000,00400,0200,345294 432506,S200000,00400,0300,01/24/89 432506,S200000,00400,0500,P 432506,S200000,01500,0100,N 432506,S200000,01501,0200,Y 432506,S200000,01600,0100,Y 432506,S200000,01700,0100,N 432506,S200000,01800,0100,N 432506,S200000,02200,0100,N 432506,S200000,02800,0100,N 432506,S200000,02900,0100,N 432506,S200000,03000,0100,N 432506,S200000,03100,0100,N 432506,S200000,03200,0100,N 432506,S200000,03300,0100,N 432506,S200000,03300,0200,N 432506,S200000,04100,0100,N 432506,S200000,04200,0100,N 432506,S200000,04300,0100,N 432506,S200000,04600,0100,N 432506,S200000,04700,0100,N 432506,S200000,04700,0200,N 432506,S200000,04900,0100,N 432506,S200000,05000,0100,N 432506,S200000,05100,0100,N 432506,S200000,05200,0100,N 432507,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432507,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432507,A000000,00300,0000,0300EMPLOYEE BENEFITS 432507,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432507,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432507,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432507,A000000,00700,0000,0700HOUSEKEEPING 432507,A000000,00800,0000,0800DIETARY 432507,A000000,00900,0000,0900NURSING ADMINISTRATION 432507,A000000,01300,0000,1300SOCIAL SERVICE 432507,A000000,01600,0000,1600SKILLED NURSING FACILITY 432507,A000000,01800,0000,1800NURSING FACILITY 432507,A000000,01810,0000,1810ICF/MR 432507,A000000,01900,0000,1900OTHER LONG TERM CARE 432507,A000000,02100,0000,2100RADIOLOGY 432507,A000000,02200,0000,2200LABORATORY 432507,A000000,02300,0000,2300INTRAVENOUS THERAPY 432507,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432507,A000000,02500,0000,2500PHYSICAL THERAPY 432507,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432507,A000000,02700,0000,2700SPEECH PATHOLOGY 432507,A000000,02800,0000,2800ELECTROCARDIOLOGY 432507,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432507,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432507,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432507,A000000,03200,0000,3200SUPPORT SURFACES 432507,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432507,A000000,03400,0000,3400CLINIC 432507,A000000,03500,0000,3500RURAL HEALTH CLINIC 432507,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432507,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432507,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432507,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432507,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432507,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432507,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432507,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432507,A000000,04400,0000,4400DME RENTED - HHA 432507,A000000,04500,0000,4500DME SOLD - HHA 432507,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432507,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432507,A000000,04710,0000,4710TELEMEDICINE 432507,A000000,04800,0000,4800AMBULANCE 432507,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432507,A000000,05000,0000,5000CORF 432507,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432507,A000000,05300,0000,5300INTEREST EXPENSE 432507,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432507,A000000,05500,0000,5500HOSPICE 432507,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432507,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432507,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432507,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432507,A000000,06100,0000,6100NONPAID WORKERS 432507,A000000,06200,0000,6200PATIENTS LAUNDRY 432507,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432507,A81000A,00100,0100,N 432507,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432507,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432507,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432507,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432507,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432507,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432507,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 432507,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432507,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432507,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432507,S000000,00100,0200,04/30/12 432507,S200000,00100,0100,700 WEST JONES 432507,S200000,00200,0100,BROKEN BOW 432507,S200000,00200,0200,OK 432507,S200000,00200,0300,74728 432507,S200000,00300,0100,MCCURTAIN 432507,S200000,00300,0201,40089 432507,S200000,00300,0300,R 432507,S200000,00400,0100,BROKEN BOW 432507,S200000,00400,0200,375165 432507,S200000,00400,0300,01/01/94 432507,S200000,00400,0500,P 432507,S200000,01500,0100,N 432507,S200000,01600,0100,N 432507,S200000,01700,0100,N 432507,S200000,01800,0100,N 432507,S200000,02200,0100,N 432507,S200000,02800,0100,N 432507,S200000,02900,0100,N 432507,S200000,03000,0100,N 432507,S200000,03100,0100,N 432507,S200000,03200,0100,N 432507,S200000,03300,0100,N 432507,S200000,03300,0200,N 432507,S200000,04100,0100,N 432507,S200000,04200,0100,N 432507,S200000,04300,0100,N 432507,S200000,04600,0100,N 432507,S200000,04700,0100,N 432507,S200000,04700,0200,N 432507,S200000,04900,0100,N 432507,S200000,05000,0100,N 432507,S200000,05100,0100,N 432507,S200000,05200,0100,N 432507,S200000,05300,0100,N 432511,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432511,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432511,A000000,00300,0000,0300EMPLOYEE BENEFITS 432511,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432511,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432511,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432511,A000000,00700,0000,0700HOUSEKEEPING 432511,A000000,00800,0000,0800DIETARY 432511,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432511,A000000,01100,0000,1100PHARMACY 432511,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432511,A000000,01300,0000,1300SOCIAL SERVICE 432511,A000000,01600,0000,1600SKILLED NURSING FACILITY 432511,A000000,01800,0000,1800NURSING FACILITY 432511,A000000,02100,0000,2100RADIOLOGY 432511,A000000,02200,0000,2200LABORATORY 432511,A000000,02300,0000,2300INTRAVENOUS THERAPY 432511,A000000,02500,0000,2500PHYSICAL THERAPY 432511,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432511,A000000,02700,0000,2700SPEECH PATHOLOGY 432511,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432511,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432511,A000000,05300,0000,5300INTEREST EXPENSE 432511,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432511,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432511,A81000A,00100,0100,N 432511,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432511,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432511,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432511,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432511,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432511,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432511,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432511,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432511,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432511,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432511,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432511,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432511,S000000,00100,0200,05/21/12 432511,S200000,00100,0100,2500 SOUTH 12TH STREET 432511,S200000,00100,0300,969 432511,S200000,00200,0100,CHICKASHA 432511,S200000,00200,0200,OK 432511,S200000,00200,0300,73023 432511,S200000,00300,0100,GRADY 432511,S200000,00300,0200,0037 432511,S200000,00300,0201,36420 432511,S200000,00300,0300,U 432511,S200000,00400,0100,SHANOAN SPRINGS NURSING CENTER 432511,S200000,00400,0200,375362 432511,S200000,00400,0300,01/01/99 432511,S200000,00400,0500,P 432511,S200000,01500,0100,Y 432511,S200000,01501,0200,Y 432511,S200000,01502,0200,N 432511,S200000,01503,0200,Y 432511,S200000,01504,0200,N 432511,S200000,01600,0100,N 432511,S200000,01700,0100,N 432511,S200000,01800,0100,N 432511,S200000,02200,0100,N 432511,S200000,02800,0100,Y 432511,S200000,02900,0100,N 432511,S200000,03000,0100,N 432511,S200000,03100,0100,N 432511,S200000,03200,0100,N 432511,S200000,03300,0100,N 432511,S200000,03300,0200,N 432511,S200000,04100,0100,N 432511,S200000,04200,0100,N 432511,S200000,04300,0100,N 432511,S200000,04600,0100,N 432511,S200000,04700,0100,N 432511,S200000,04700,0200,N 432511,S200000,04900,0100,N 432511,S200000,05000,0100,N 432511,S200000,05100,0100,N 432511,S200000,05200,0100,N 432517,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432517,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432517,A000000,00300,0000,0300EMPLOYEE BENEFITS 432517,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432517,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432517,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432517,A000000,00700,0000,0700HOUSEKEEPING 432517,A000000,00800,0000,0800DIETARY 432517,A000000,00900,0000,0900NURSING ADMINISTRATION 432517,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432517,A000000,01100,0000,1100PHARMACY 432517,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432517,A000000,01300,0000,1300SOCIAL SERVICE 432517,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432517,A000000,01500,0000,1350RECREATION ACTIVITIES 432517,A000000,01600,0000,1600SKILLED NURSING FACILITY 432517,A000000,01810,0000,1810ICF/MR 432517,A000000,02100,0000,2100RADIOLOGY 432517,A000000,02200,0000,2200LABORATORY 432517,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432517,A000000,02500,0000,2500PHYSICAL THERAPY 432517,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432517,A000000,02700,0000,2700SPEECH PATHOLOGY 432517,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432517,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432517,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432517,A000000,03301,0000,3051ENTERAL FEEDING 432517,A000000,03550,0000,3550FQHC 432517,A000000,05000,0000,5000CORF 432517,A000000,05010,0000,5010CMHC 432517,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432517,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432517,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432517,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432517,A000000,06300,0000,6150ENTERSTOMAL THERAPY 432517,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 432517,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 432517,A000000,06312,0000,6153DIALYSIS 432517,A000000,06320,0000,6154APARTMENTS 432517,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 432517,A000000,06340,0000,6156CLOSED PATIENT AREAS 432517,A000000,06350,0000,6157O/P ADULT DAYCARE 432517,A000000,06360,0000,6158MARKETING 432517,A81000A,00100,0100,Y 432517,A81000B,00100,0300,RELATED PARTY CAPITAL COST 432517,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 432517,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 432517,A81000B,00400,0300,ADVANTAGE DME 432517,A81000B,00500,0300,BUILDING RENT 432517,A81000C,00100,0100,A 432517,A81000C,00100,0200,FUNDAMENTAL HOL 432517,A81000C,00100,0400,FAS FCC FCOS 432517,A81000C,00100,0600,SUPPORT SERVICE 432517,A81000C,00200,0100,A 432517,A81000C,00200,0200,THI BALT INC. 432517,A81000C,00200,0400,ADVANTAGE DME 432517,A81000C,00200,0600,MEDICAL SUPPLIE 432517,A81000C,00300,0100,A 432517,A81000C,00300,0200,M. FORMAN / L. 432517,A81000C,00300,0400,STONEYBROOK HEA 432517,A81000C,00300,0600,REALTY SERVICES 432517,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 432517,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 432517,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432517,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 432517,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 432517,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 432517,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 432517,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 432517,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 432517,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 432517,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 432517,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 432517,G300000,02506,0000,INTEREST INCOME PATIENT A/R 432517,S000000,00100,0200,04/03/12 432517,S200000,00100,0100,2808 STONEY BROOK DRIVE 432517,S200000,00200,0100,HOUSTON 432517,S200000,00200,0200,TX 432517,S200000,00200,0300,77063 432517,S200000,00300,0100,HARRIS 432517,S200000,00300,0201,26420 432517,S200000,00300,0300,U 432517,S200000,00400,0100,STONEYBROOK HEALTHCARE CENTER 432517,S200000,00400,0200,675078 432517,S200000,00400,0300,03/01/92 432517,S200000,00400,0500,P 432517,S200000,00400,0600,O 432517,S200000,01500,0100,Y 432517,S200000,01501,0200,Y 432517,S200000,01502,0200,Y 432517,S200000,01503,0200,Y 432517,S200000,01504,0200,Y 432517,S200000,01505,0000,OTHER 432517,S200000,01505,0200,Y 432517,S200000,01600,0100,N 432517,S200000,01700,0100,N 432517,S200000,01800,0100,N 432517,S200000,01900,0100,LLC 432517,S200000,02200,0100,N 432517,S200000,02800,0100,N 432517,S200000,02900,0100,N 432517,S200000,03000,0100,N 432517,S200000,03100,0100,N 432517,S200000,03200,0100,N 432517,S200000,03300,0100,N 432517,S200000,03300,0200,N 432517,S200000,04100,0100,N 432517,S200000,04200,0100,N 432517,S200000,04300,0100,N 432517,S200000,04600,0100,N 432517,S200000,04700,0100,N 432517,S200000,04700,0200,N 432517,S200000,04900,0100,N 432517,S200000,05000,0100,N 432517,S200000,05100,0100,N 432517,S200000,05200,0100,N 432517,S200000,05300,0100,Y 432521,S000000,00100,0200,06/01/12 432521,S200000,00100,0100,2000 N MAIN 432521,S200000,00200,0100,MIDLAND 432521,S200000,00200,0200,TX 432521,S200000,00200,0300,79705-6799 432521,S200000,00300,0100,MIDLAND 432521,S200000,00400,0100,ROCKWOOD MANOR 432521,S200000,00400,0300,08/18/03 432522,S000000,00100,0200,05/31/12 432522,S200000,00100,0100,605 S AVENUE F 432522,S200000,00200,0100,KNOX CITY 432522,S200000,00200,0200,TX 432522,S200000,00200,0300,79529-2103 432522,S200000,00300,0100,KNOX 432522,S200000,00400,0100,BRAZOS VALLEY CARE HOME 432522,S200000,00400,0300,09/23/03 432523,S000000,00100,0200,06/01/12 432523,S200000,00100,0100,1617 WEST CANNON 432523,S200000,00200,0100,FORT WORTH 432523,S200000,00200,0200,TX 432523,S200000,00200,0300,76104-2509 432523,S200000,00300,0100,TARRANT 432523,S200000,00400,0100,WESTHAVEN NURSING CENTER 432523,S200000,00400,0300,10/08/03 432524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432524,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432524,A000000,00300,0000,0300EMPLOYEE BENEFITS 432524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432524,A000000,00700,0000,0700HOUSEKEEPING 432524,A000000,00800,0000,0800DIETARY 432524,A000000,00900,0000,0900NURSING ADMINISTRATION 432524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432524,A000000,01100,0000,1100PHARMACY 432524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432524,A000000,01300,0000,1300SOCIAL SERVICE 432524,A000000,01600,0000,1600SKILLED NURSING FACILITY 432524,A000000,01800,0000,1800NURSING FACILITY 432524,A000000,01900,0000,1900OTHER LONG TERM CARE 432524,A000000,02100,0000,2100RADIOLOGY 432524,A000000,02200,0000,2200LABORATORY 432524,A000000,02300,0000,2300INTRAVENOUS THERAPY 432524,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432524,A000000,02500,0000,2500PHYSICAL THERAPY 432524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432524,A000000,02700,0000,2700SPEECH PATHOLOGY 432524,A000000,02800,0000,2800ELECTROCARDIOLOGY 432524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432524,A000000,03200,0000,3200SUPPORT SURFACES 432524,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432524,A000000,04800,0000,4800AMBULANCE 432524,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432524,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432524,A000000,05500,0000,5500HOSPICE 432524,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432524,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432524,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432524,A000000,06100,0000,6100NONPAID WORKERS 432524,A000000,06200,0000,6200PATIENTS LAUNDRY 432524,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432524,A81000A,00100,0100,N 432524,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432524,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432524,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432524,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432524,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432524,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432524,B100000,00000,0800,0800MEALS SERVED :DIETARY 432524,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432524,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 432524,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432524,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432524,E10A180,00550,0100,01/31/12 432524,G300000,02500,0000,MISCELLANEOUS INCOME 432524,S000000,00100,0200,12/07/11 432524,S200000,00100,0100,2650 NORTH MONROE 432524,S200000,00200,0100,DECATUR 432524,S200000,00200,0200,IL 432524,S200000,00200,0300,62526 432524,S200000,00300,0100,MACON 432524,S200000,00300,0201,19500 432524,S200000,00300,0300,U 432524,S200000,00400,0100,LINCOLN MANOR 432524,S200000,00400,0200,146064 432524,S200000,00400,0300,08/01/04 432524,S200000,00400,0500,P 432524,S200000,00600,0200,146064 432524,S200000,00600,0300,08/01/04 432524,S200000,00600,0600,O 432524,S200000,01500,0100,N 432524,S200000,01501,0200,Y 432524,S200000,01600,0100,Y 432524,S200000,01700,0100,N 432524,S200000,01800,0100,N 432524,S200000,02200,0100,N 432524,S200000,02800,0100,N 432524,S200000,02900,0100,N 432524,S200000,03000,0100,N 432524,S200000,03100,0100,N 432524,S200000,03200,0100,N 432524,S200000,03300,0100,N 432524,S200000,03300,0200,N 432524,S200000,03500,0300,N 432524,S200000,04100,0100,N 432524,S200000,04200,0100,N 432524,S200000,04300,0100,N 432524,S200000,04600,0100,N 432524,S200000,04700,0100,N 432524,S200000,04700,0200,N 432524,S200000,04900,0100,N 432524,S200000,05000,0100,N 432524,S200000,05100,0100,N 432524,S200000,05200,0100,N 432530,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432530,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432530,A000000,00300,0000,0300EMPLOYEE BENEFITS 432530,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432530,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432530,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432530,A000000,00700,0000,0700HOUSEKEEPING 432530,A000000,00800,0000,0800DIETARY 432530,A000000,00900,0000,0900NURSING ADMINISTRATION 432530,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432530,A000000,01100,0000,1100PHARMACY 432530,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432530,A000000,01300,0000,1300SOCIAL SERVICE 432530,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432530,A000000,01500,0000,1350RECREATION 432530,A000000,01600,0000,1600SKILLED NURSING FACILITY 432530,A000000,01810,0000,1810ICF/MR 432530,A000000,02100,0000,2100RADIOLOGY 432530,A000000,02200,0000,2200LABORATORY 432530,A000000,02300,0000,2300INTRAVENOUS THERAPY 432530,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432530,A000000,02500,0000,2500PHYSICAL THERAPY 432530,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432530,A000000,02700,0000,2700SPEECH PATHOLOGY 432530,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432530,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432530,A000000,03550,0000,3550FQHC 432530,A000000,04801,0000,4801AMBULANCE 432530,A000000,04802,0000,4802AMBULANCE 432530,A000000,04803,0000,4803AMBULANCE 432530,A000000,05000,0000,5000CORF 432530,A000000,05010,0000,5010CMHC 432530,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432530,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432530,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432530,A81000A,00100,0100,Y 432530,A81000B,00100,0300,SEE ATTACHED 432530,A81000B,00200,0300,CAPITAL INTEREST 432530,A81000B,00300,0300,HOME OFFICE 432530,A81000B,00400,0300,HOME OFFICE 432530,A81000C,00100,0100,B 432530,A81000C,00100,0400,SEE ATTACHED 432530,A81000C,00100,0600,VARIOUS 432530,A81000C,00200,0100,B 432530,A81000C,00200,0400,GHC 432530,A81000C,00200,0600,LONG TERM CARE 432530,A81000C,00300,0100,B 432530,A81000C,00300,0400,GHC 432530,A81000C,00300,0600,LONG TERM CARE 432530,A81000C,00400,0100,B 432530,A81000C,00400,0400,GHC 432530,A81000C,00400,0600,LONG TERM CARE 432530,B100000,00000,0100,0100SQUARE FEET 432530,B100000,00000,0200,0200SQUARE FEET 432530,B100000,00000,0300,0300GROSS SALARIES 432530,B100000,00000,0400,0400ACCUM COST 432530,B100000,00000,0500,0500SQUARE FEET 432530,B100000,00000,0600,0600PATIENT DAYS 432530,B100000,00000,0700,0700SQUARE FEET 432530,B100000,00000,0800,0800MEALS SERVED 432530,B100000,00000,0900,0900NURSING SALARIES 432530,B100000,00000,1000,1000COSTED REQUIS 432530,B100000,00000,1100,1100COSTED REQUIS 432530,B100000,00000,1200,1200PATIENT DAYS 432530,B100000,00000,1300,1300PATIENT DAYS 432530,B100000,00000,1400,1400ASSIGNED TIME 432530,B100000,00000,1500,1350PATIENT DAYS 432530,E10A180,00501,0100,01/12/12 432530,E10A180,00501,0300,01/12/12 432530,G300000,02500,0000,BARBER & BEAUTY 432530,S000000,00100,0200,12/02/11 432530,S200000,00100,0100,1700 PINE STREET 432530,S200000,00200,0100,NORRISTOWN 432530,S200000,00200,0200,PA 432530,S200000,00200,0300,19401 432530,S200000,00300,0100,MONTGOMERY 432530,S200000,00300,0201,37964 432530,S200000,00300,0300,U 432530,S200000,00400,0100,RITTENHOUSE PINE CENTER 432530,S200000,00400,0200,396009 432530,S200000,00400,0300,09/10/96 432530,S200000,00400,0500,P 432530,S200000,01500,0100,Y 432530,S200000,01501,0200,N 432530,S200000,01502,0200,N 432530,S200000,01503,0200,N 432530,S200000,01504,0200,N 432530,S200000,01600,0100,N 432530,S200000,01700,0100,N 432530,S200000,01800,0100,N 432530,S200000,01900,0100,LLC 432530,S200000,02200,0100,Y 432530,S200000,02800,0100,N 432530,S200000,02900,0100,N 432530,S200000,03000,0100,N 432530,S200000,03100,0100,N 432530,S200000,03200,0100,N 432530,S200000,03300,0100,N 432530,S200000,03300,0200,N 432530,S200000,04200,0100,N 432530,S200000,04300,0100,N 432530,S200000,04600,0100,N 432530,S200000,04700,0100,N 432530,S200000,04900,0100,N 432530,S200000,05200,0100,N 432530,S200000,05300,0100,Y 432530,S200000,05300,0200,HB0067 432530,S200000,05400,0100,GENESIS HEALTHCARE LLC 432530,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432530,S200000,05400,0300,12001 432530,S200000,05500,0100,101 EAST STATE STREET 432530,S200000,05600,0100,KENNETT SQUARE 432530,S200000,05600,0200,PA 432530,S200000,05600,0300,19348 432531,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432531,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432531,A000000,00300,0000,0300EMPLOYEE BENEFITS 432531,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432531,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432531,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432531,A000000,00700,0000,0700HOUSEKEEPING 432531,A000000,00800,0000,0800DIETARY 432531,A000000,00900,0000,0900NURSING ADMINISTRATION 432531,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432531,A000000,01100,0000,1100PHARMACY 432531,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432531,A000000,01300,0000,1300SOCIAL SERVICE 432531,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432531,A000000,01500,0000,1350RECREATION 432531,A000000,01600,0000,1600SKILLED NURSING FACILITY 432531,A000000,01810,0000,1810ICF/MR 432531,A000000,02100,0000,2100RADIOLOGY 432531,A000000,02200,0000,2200LABORATORY 432531,A000000,02300,0000,2300INTRAVENOUS THERAPY 432531,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432531,A000000,02500,0000,2500PHYSICAL THERAPY 432531,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432531,A000000,02700,0000,2700SPEECH PATHOLOGY 432531,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432531,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432531,A000000,03550,0000,3550FQHC 432531,A000000,04801,0000,4801AMBULANCE 432531,A000000,04802,0000,4802AMBULANCE 432531,A000000,04803,0000,4803AMBULANCE 432531,A000000,05000,0000,5000CORF 432531,A000000,05010,0000,5010CMHC 432531,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432531,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432531,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432531,A81000A,00100,0100,Y 432531,A81000B,00100,0300,SEE ATTACHED 432531,A81000B,00200,0300,HOME OFFICE INTEREST 432531,A81000B,00300,0300,HOME OFFICE A&G 432531,A81000B,00400,0300,HOME OFFICE CAP PIEC 432531,A81000C,00100,0100,B 432531,A81000C,00100,0400,SEE ATTACHED 432531,A81000C,00100,0600,VARIOUS 432531,A81000C,00200,0100,B 432531,A81000C,00200,0400,GHC 432531,A81000C,00200,0600,LONG TERM CARE 432531,A81000C,00300,0100,B 432531,A81000C,00300,0400,GHC 432531,A81000C,00300,0600,LONG TERM CARE 432531,A81000C,00400,0100,B 432531,A81000C,00400,0400,GHC 432531,A81000C,00400,0600,LONG TERM CARE 432531,B100000,00000,0100,0100SQUARE FEET 432531,B100000,00000,0200,0200SQUARE FEET 432531,B100000,00000,0300,0300GROSS SALARIES 432531,B100000,00000,0400,0400ACCUM COST 432531,B100000,00000,0500,0500SQUARE FEET 432531,B100000,00000,0600,0600PATIENT DAYS 432531,B100000,00000,0700,0700SQUARE FEET 432531,B100000,00000,0800,0800MEALS SERVED 432531,B100000,00000,0900,0900NURSING SALARIES 432531,B100000,00000,1000,1000COSTED REQUIS 432531,B100000,00000,1100,1100COSTED REQUIS 432531,B100000,00000,1200,1200PATIENT DAYS 432531,B100000,00000,1300,1300PATIENT DAYS 432531,B100000,00000,1400,1400ASSIGNED TIME 432531,B100000,00000,1500,1350PATIENT DAYS 432531,E10A180,00301,0100,06/27/11 432531,E10A180,00550,0100,01/12/12 432531,E10A180,00550,0300,01/12/12 432531,G300000,02500,0000,BARBER AND BEAUTY 432531,S000000,00100,0200,12/02/11 432531,S200000,00100,0100,3485 DAVISVILLE ROAD 432531,S200000,00200,0100,HATBORO 432531,S200000,00200,0200,PA 432531,S200000,00200,0300,19040 432531,S200000,00300,0100,MONTGOMERY 432531,S200000,00300,0201,37964 432531,S200000,00300,0300,U 432531,S200000,00400,0100,WILLOW RIDGE CENTER 432531,S200000,00400,0200,396017 432531,S200000,00400,0300,01/17/97 432531,S200000,00400,0500,P 432531,S200000,01500,0100,Y 432531,S200000,01501,0200,N 432531,S200000,01502,0200,N 432531,S200000,01503,0200,Y 432531,S200000,01504,0200,Y 432531,S200000,01600,0100,N 432531,S200000,01700,0100,N 432531,S200000,01800,0100,N 432531,S200000,01900,0100,LLC 432531,S200000,02200,0100,Y 432531,S200000,02800,0100,N 432531,S200000,02900,0100,N 432531,S200000,03000,0100,N 432531,S200000,03100,0100,N 432531,S200000,03200,0100,N 432531,S200000,03300,0100,N 432531,S200000,03300,0200,N 432531,S200000,04200,0100,N 432531,S200000,04300,0100,N 432531,S200000,04600,0100,N 432531,S200000,04700,0100,N 432531,S200000,04900,0100,N 432531,S200000,05200,0100,N 432531,S200000,05300,0100,Y 432531,S200000,05300,0200,HB0067 432531,S200000,05400,0100,GENESIS HEALTHCARE LLC 432531,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432531,S200000,05400,0300,12001 432531,S200000,05500,0100,101 EAST STATE STREET 432531,S200000,05600,0100,KENNETT SQUARE 432531,S200000,05600,0200,PA 432531,S200000,05600,0300,19348 432533,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432533,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432533,A000000,00300,0000,0300EMPLOYEE BENEFITS 432533,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432533,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432533,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432533,A000000,00700,0000,0700HOUSEKEEPING 432533,A000000,00800,0000,0800DIETARY 432533,A000000,00900,0000,0900NURSING ADMINISTRATION 432533,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432533,A000000,01100,0000,1100PHARMACY 432533,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432533,A000000,01300,0000,1300SOCIAL SERVICE 432533,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432533,A000000,01500,0000,1350RECREATION 432533,A000000,01600,0000,1600SKILLED NURSING FACILITY 432533,A000000,01810,0000,1810ICF/MR 432533,A000000,02100,0000,2100RADIOLOGY 432533,A000000,02200,0000,2200LABORATORY 432533,A000000,02300,0000,2300INTRAVENOUS THERAPY 432533,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432533,A000000,02500,0000,2500PHYSICAL THERAPY 432533,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432533,A000000,02700,0000,2700SPEECH PATHOLOGY 432533,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432533,A000000,03550,0000,3550FQHC 432533,A000000,04801,0000,4801AMBULANCE 432533,A000000,04802,0000,4802AMBULANCE 432533,A000000,04803,0000,4803AMBULANCE 432533,A000000,05000,0000,5000CORF 432533,A000000,05010,0000,5010CMHC 432533,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432533,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432533,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432533,A81000A,00100,0100,Y 432533,A81000B,00100,0300,SEE ATTACHED 432533,A81000B,00200,0300,HOME OFFICE INTEREST 432533,A81000B,00300,0300,HOME OFFICE A & G 432533,A81000B,00400,0300,HOME OFFICE CAPITAL 432533,A81000C,00100,0100,B 432533,A81000C,00100,0400,SEE ATTACHED 432533,A81000C,00100,0600,VARIOUS 432533,A81000C,00200,0100,B 432533,A81000C,00200,0400,GHC 432533,A81000C,00200,0600,LONG TERM CARE 432533,A81000C,00300,0100,B 432533,A81000C,00300,0400,GHC 432533,A81000C,00300,0600,LONG TERM CARE 432533,A81000C,00400,0100,B 432533,A81000C,00400,0400,GHC 432533,A81000C,00400,0600,LONG TERM CARE 432533,B100000,00000,0100,0100SQUARE FEET 432533,B100000,00000,0200,0200SQUARE FEET 432533,B100000,00000,0300,0300GROSS SALARIES 432533,B100000,00000,0400,0400ACCUM COST 432533,B100000,00000,0500,0500SQUARE FEET 432533,B100000,00000,0600,0600PATIENT DAYS 432533,B100000,00000,0700,0700SQUARE FEET 432533,B100000,00000,0800,0800MEALS SERVED 432533,B100000,00000,0900,0900NURSING SALARIES 432533,B100000,00000,1000,1000COSTED REQUIS 432533,B100000,00000,1100,1100COSTED REQUIS 432533,B100000,00000,1200,1200PATIENT DAYS 432533,B100000,00000,1300,1300PATIENT DAYS 432533,B100000,00000,1400,1400ASSIGNED TIME 432533,B100000,00000,1500,1350PATIENT DAYS 432533,E10A180,00301,0100,06/13/11 432533,E10A180,00501,0100,01/13/12 432533,E10A180,00501,0300,01/13/12 432533,G300000,02500,0000,BARBER AND BEAUTY 432533,S000000,00100,0200,12/02/11 432533,S200000,00100,0100,8015 LAWNDALE STREET 432533,S200000,00200,0100,PHILADELPHIA 432533,S200000,00200,0200,PA 432533,S200000,00200,0300,19111 432533,S200000,00300,0100,PHILADELPHIA 432533,S200000,00300,0201,37964 432533,S200000,00300,0300,U 432533,S200000,00400,0100,PENNYPACK CENTER 432533,S200000,00400,0200,395135 432533,S200000,00400,0300,01/01/67 432533,S200000,00400,0500,P 432533,S200000,01500,0100,Y 432533,S200000,01501,0200,Y 432533,S200000,01502,0200,N 432533,S200000,01503,0200,N 432533,S200000,01504,0200,Y 432533,S200000,01600,0100,N 432533,S200000,01700,0100,N 432533,S200000,01800,0100,N 432533,S200000,01900,0100,LLC 432533,S200000,02200,0100,Y 432533,S200000,02800,0100,N 432533,S200000,02900,0100,N 432533,S200000,03000,0100,N 432533,S200000,03100,0100,N 432533,S200000,03200,0100,N 432533,S200000,03300,0100,N 432533,S200000,03300,0200,N 432533,S200000,04200,0100,N 432533,S200000,04300,0100,N 432533,S200000,04600,0100,N 432533,S200000,04700,0100,N 432533,S200000,04900,0100,N 432533,S200000,05200,0100,N 432533,S200000,05300,0100,Y 432533,S200000,05300,0200,HB0067 432533,S200000,05400,0100,GENESIS HEALTHCARE LLC 432533,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432533,S200000,05400,0300,12001 432533,S200000,05500,0100,101 EAST STATE STREET 432533,S200000,05600,0100,KENNETT SQUARE 432533,S200000,05600,0200,PA 432533,S200000,05600,0300,19348 432540,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432540,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432540,A000000,00300,0000,0300EMPLOYEE BENEFITS 432540,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432540,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432540,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432540,A000000,00700,0000,0700HOUSEKEEPING 432540,A000000,00800,0000,0800DIETARY 432540,A000000,00900,0000,0900NURSING ADMINISTRATION 432540,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432540,A000000,01100,0000,1100PHARMACY 432540,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432540,A000000,01300,0000,1300SOCIAL SERVICE 432540,A000000,01500,0000,1350ACTIVITIES 432540,A000000,01600,0000,1600SKILLED NURSING FACILITY 432540,A000000,01800,0000,1800NURSING FACILITY 432540,A000000,01810,0000,1810ICF/MR 432540,A000000,01900,0000,1900OTHER LONG TERM CARE 432540,A000000,02100,0000,2100RADIOLOGY 432540,A000000,02200,0000,2200LABORATORY 432540,A000000,02300,0000,2300INTRAVENOUS THERAPY 432540,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432540,A000000,02500,0000,2500PHYSICAL THERAPY 432540,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432540,A000000,02700,0000,2700SPEECH PATHOLOGY 432540,A000000,02800,0000,2800ELECTROCARDIOLOGY 432540,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432540,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432540,A000000,03200,0000,3200SUPPORT SURFACES 432540,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432540,A000000,03400,0000,3400CLINIC 432540,A000000,03500,0000,3500RURAL HEALTH CLINIC 432540,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432540,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432540,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432540,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432540,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432540,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432540,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432540,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432540,A000000,04400,0000,4400DME RENTED - HHA 432540,A000000,04500,0000,4500DME SOLD - HHA 432540,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432540,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432540,A000000,04710,0000,4710TELEMEDICINE 432540,A000000,04800,0000,4800AMBULANCE 432540,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432540,A000000,05000,0000,5000CORF 432540,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432540,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432540,A000000,05300,0000,5300INTEREST EXPENSE 432540,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432540,A000000,05500,0000,5500HOSPICE 432540,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432540,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432540,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432540,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432540,A000000,06100,0000,6100NONPAID WORKERS 432540,A000000,06200,0000,6200PATIENTS LAUNDRY 432540,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432540,A000000,06301,0000,6151ASSISTED LIVNG 432540,A000000,06302,0000,6152RESIDENTIAL LIVING 432540,A81000A,00100,0100,Y 432540,A81000B,00100,0300,LEASE EXPENSE 432540,A81000B,00200,0300,LEASE EXPENSE 432540,A81000B,00300,0300,HOME OFFICE - MANAGEMENT FEES 432540,A81000B,00400,0300,HOME OFFICE - BUILDING 432540,A81000B,00500,0300,HOME OFFICE - EQUIPMENT 432540,A81000C,00100,0100,A 432540,A81000C,00100,0200,R. WENDELL WHITE 432540,A81000C,00100,0400,CLARK & WHITE 432540,A81000C,00100,0600,REAL ESTATE 432540,A81000C,00200,0100,A 432540,A81000C,00200,0200,BETSY WHITE 432540,A81000C,00200,0400,CLARK & WHITE 432540,A81000C,00200,0600,REAL ESTATE 432540,A81000C,00300,0100,A 432540,A81000C,00300,0200,MELODY GABRIEL 432540,A81000C,00300,0400,CLARK & WHITE 432540,A81000C,00300,0600,REAL ESTATE 432540,A81000C,00400,0100,A 432540,A81000C,00400,0200,ROBERT W. WHITE 432540,A81000C,00400,0400,CLARK & WHITE 432540,A81000C,00400,0600,REAL ESTATE 432540,A81000C,00500,0100,A 432540,A81000C,00500,0200,R. WENDELL WHITE 432540,A81000C,00500,0400,GENERATIONS 432540,A81000C,00500,0600,HOME OFFICE 432540,A81000C,00600,0100,A 432540,A81000C,00600,0200,BETSY WHITE 432540,A81000C,00600,0400,GENERATIONS 432540,A81000C,00600,0600,HOME OFFICE 432540,A81000C,00700,0100,A 432540,A81000C,00700,0200,MELODY GABRIEL 432540,A81000C,00700,0400,GENERATIONS 432540,A81000C,00700,0600,HOME OFFICE 432540,A81000C,00800,0100,A 432540,A81000C,00800,0200,ROBERT W. WHITE 432540,A81000C,00800,0400,GENERATIONS 432540,A81000C,00800,0600,HOME OFFICE 432540,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432540,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432540,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432540,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432540,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432540,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432540,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432540,B100000,00000,0800,0800MEALS SERVED :DIETARY 432540,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432540,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 432540,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432540,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432540,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432540,G300000,02500,0000,OTHER (SPECIFY) 432540,S000000,00100,0200,07/17/12 432540,S200000,00100,0100,8607 SE CAUSEY AVENUE 432540,S200000,00200,0100,HAPPY VALLEY 432540,S200000,00200,0200,OR 432540,S200000,00200,0300,97086 432540,S200000,00300,0100,CLACKAMAS 432540,S200000,00300,0200,6440 432540,S200000,00300,0201,38900 432540,S200000,00300,0300,U 432540,S200000,00400,0100,TOWN CENTER VILLAGE 432540,S200000,00400,0200,385236 432540,S200000,00400,0300,05/01/93 432540,S200000,00400,0500,P 432540,S200000,01500,0100,N 432540,S200000,01600,0100,Y 432540,S200000,01700,0100,N 432540,S200000,01800,0100,N 432540,S200000,02200,0100,N 432540,S200000,02800,0100,N 432540,S200000,02900,0100,N 432540,S200000,03000,0100,N 432540,S200000,03100,0100,N 432540,S200000,03200,0100,N 432540,S200000,03300,0100,N 432540,S200000,03300,0200,N 432540,S200000,04100,0100,N 432540,S200000,04200,0100,N 432540,S200000,04300,0100,N 432540,S200000,04600,0100,N 432540,S200000,04700,0100,N 432540,S200000,04700,0200,N 432540,S200000,04900,0100,N 432540,S200000,05000,0100,N 432540,S200000,05100,0100,N 432540,S200000,05200,0100,N 432540,S200000,05300,0100,Y 432540,S200000,05300,0200,HO9032 432540,S200000,05400,0100,GENERATIONS LLC 432540,S200000,05400,0200,NORIDIAN 432540,S200000,05400,0300,00325 432540,S200000,05500,0100,8601 SE CAUSEY AVENUE 432540,S200000,05600,0100,HAPPY VALLEY 432540,S200000,05600,0200,OR 432540,S200000,05600,0300,97086 432544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432544,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432544,A000000,00300,0000,0300EMPLOYEE BENEFITS 432544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432544,A000000,00700,0000,0700HOUSEKEEPING 432544,A000000,00800,0000,0800DIETARY 432544,A000000,00900,0000,0900NURSING ADMINISTRATION 432544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432544,A000000,01100,0000,1100PHARMACY 432544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432544,A000000,01300,0000,1300SOCIAL SERVICE 432544,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432544,A000000,01600,0000,1600SKILLED NURSING FACILITY 432544,A000000,01800,0000,1800NURSING FACILITY 432544,A000000,01900,0000,1900OTHER LONG TERM CARE 432544,A000000,02100,0000,2100RADIOLOGY 432544,A000000,02200,0000,2200LABORATORY 432544,A000000,02300,0000,2300INTRAVENOUS THERAPY 432544,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432544,A000000,02500,0000,2500PHYSICAL THERAPY 432544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432544,A000000,02700,0000,2700SPEECH PATHOLOGY 432544,A000000,02800,0000,2800ELECTROCARDIOLOGY 432544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432544,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432544,A000000,03200,0000,3200SUPPORT SURFACES 432544,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432544,A000000,03400,0000,3400CLINIC 432544,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432544,A000000,04800,0000,4800AMBULANCE 432544,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432544,A000000,05000,0000,5000CORF 432544,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432544,A000000,05300,0000,5300INTEREST EXPENSE 432544,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432544,A000000,05500,0000,5500HOSPICE 432544,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432544,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432544,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432544,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432544,A000000,06100,0000,6100NONPAID WORKERS 432544,A000000,06200,0000,6200PATIENTS LAUNDRY 432544,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432544,A81000A,00100,0100,Y 432544,A81000B,00100,0300,NURSING CONSULTING 432544,A81000B,00300,0300,HOME OFFICE 432544,A81000B,00400,0300,INTEREST EXPENSE 432544,A81000B,00500,0300,INSURANCE - PROFESSIONAL LIABILITY 432544,A81000B,00600,0300,MAINTENANCE SUPPLIES 432544,A81000B,00700,0300,REPAIRS-EQUIPMENT 432544,A81000B,00800,0300,LINEN & BEDDING 432544,A81000B,00900,0300,SUPPLIES 432544,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 432544,A81000B,01100,0300,SUPPLIES 432544,A81000B,01200,0300,DIETARY SUPPLEMENTS 432544,A81000B,01300,0300,SUPPLIES 432544,A81000B,01400,0300,BIO-MEDICAL WASTE 432544,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 432544,A81000B,01600,0300,PERSONAL CARE SUPPLIES 432544,A81000B,01700,0300,INCONTINENCE SUPPLIES 432544,A81000B,01800,0300,MEDICAL SUPPLIES 432544,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 432544,A81000B,02000,0300,SUPPLIES 432544,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 432544,A81000B,02200,0300,NON-LEGEND DRUGS 432544,A81000B,02300,0300,SUPPLIES 432544,A81000B,02400,0300,LEGEND DRUGS 432544,A81000B,02500,0300,OFFICE SUPPLIES 432544,A81000B,02600,0300,SUPPLIES 432544,A81000C,00100,0100,B 432544,A81000C,00100,0400,BRITTHAVEN INC 432544,A81000C,00100,0600,MGMT SERVICES 432544,A81000C,00200,0100,B 432544,A81000C,00200,0400,BRITTHAVEN INC 432544,A81000C,00200,0600,MGMT SERVICES 432544,A81000C,00300,0100,B 432544,A81000C,00300,0400,BRITTHAVEN INC 432544,A81000C,00300,0600,MGMT SERVICES 432544,A81000C,00400,0100,B 432544,A81000C,00400,0400,BRITTHAVEN INC 432544,A81000C,00400,0600,MGMT SERVICES 432544,A81000C,00500,0100,A 432544,A81000C,00500,0200,QUEENSLAND ASSU 432544,A81000C,00500,0600,INSURANCE 432544,A81000C,00600,0100,B 432544,A81000C,00600,0400,KARE MEDICAL 432544,A81000C,00600,0600,WHOLESALE SUPPL 432544,A81000C,00700,0100,B 432544,A81000C,00700,0400,KARE MEDICAL 432544,A81000C,00700,0600,WHOLESALE SUPPL 432544,A81000C,00800,0100,B 432544,A81000C,00800,0400,KARE MEDICAL 432544,A81000C,00800,0600,WHOLESALE SUPPL 432544,A81000C,00900,0100,B 432544,A81000C,00900,0400,KARE MEDICAL 432544,A81000C,00900,0600,WHOLESALE SUPPL 432544,A81000C,01000,0100,B 432544,A81000C,01000,0400,KARE MEDICAL 432544,A81000C,01000,0600,WHOLESALE SUPPL 432544,A81000C,01001,0100,B 432544,A81000C,01001,0400,KARE MEDICAL 432544,A81000C,01001,0600,WHOLESALE SUPPL 432544,A81000C,01002,0100,B 432544,A81000C,01002,0400,KARE MEDICAL 432544,A81000C,01002,0600,WHOLESALE SUPPL 432544,A81000C,01003,0100,B 432544,A81000C,01003,0400,KARE MEDICAL 432544,A81000C,01003,0600,WHOLESALE SUPPL 432544,A81000C,01004,0100,B 432544,A81000C,01004,0400,KARE MEDICAL 432544,A81000C,01004,0600,WHOLESALE SUPPL 432544,A81000C,01005,0100,B 432544,A81000C,01005,0400,KARE MEDICAL 432544,A81000C,01005,0600,WHOLESALE SUPPL 432544,A81000C,01006,0100,B 432544,A81000C,01006,0400,KARE MEDICAL 432544,A81000C,01006,0600,WHOLESALE SUPPL 432544,A81000C,01007,0100,B 432544,A81000C,01007,0400,KARE MEDICAL 432544,A81000C,01007,0600,WHOLESALE SUPPL 432544,A81000C,01008,0100,B 432544,A81000C,01008,0400,KARE MEDICAL 432544,A81000C,01008,0600,WHOLESALE SUPPL 432544,A81000C,01009,0100,B 432544,A81000C,01009,0400,KARE MEDICAL 432544,A81000C,01009,0600,WHOLESALE SUPPL 432544,A81000C,01010,0100,B 432544,A81000C,01010,0400,KARE MEDICAL 432544,A81000C,01010,0600,WHOLESALE SUPPL 432544,A81000C,01011,0100,B 432544,A81000C,01011,0400,KARE MEDICAL 432544,A81000C,01011,0600,WHOLESALE SUPPL 432544,A81000C,01012,0100,B 432544,A81000C,01012,0400,PHARMSAVE 432544,A81000C,01012,0600,RX SUPPLY 432544,A81000C,01013,0100,B 432544,A81000C,01013,0400,PHARMSAVE 432544,A81000C,01013,0600,RX SUPPLY 432544,A81000C,01014,0100,B 432544,A81000C,01014,0400,PHARMSAVE 432544,A81000C,01014,0600,RX SUPPLY 432544,A81000C,01015,0100,B 432544,A81000C,01015,0400,ROBERT HILL CON 432544,A81000C,01015,0600,CONSTRUCTION 432544,A81000C,01016,0100,B 432544,A81000C,01016,0400,ROBERT HILL CON 432544,A81000C,01016,0600,CONSTRUCTION 432544,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432544,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432544,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432544,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432544,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432544,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432544,B100000,00000,0800,0800MEALS SERVED :DIETARY 432544,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432544,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432544,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432544,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432544,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432544,E10A180,00501,0100,09/09/11 432544,E10A180,00502,0300,08/01/11 432544,E10A180,00550,0100,08/01/11 432544,G300000,02500,0000, OTHER (SPECIFY) 432544,S000000,00100,0200,07/26/11 432544,S200000,00100,0100,555 BOURNE AVENUE 432544,S200000,00200,0100,SOMERSET 432544,S200000,00200,0200,KY 432544,S200000,00200,0300,42501 432544,S200000,00300,0100,PULASKI 432544,S200000,00300,0201,99918 432544,S200000,00300,0300,R 432544,S200000,00400,0100,BRITTHAVEN OF SOMERSET 432544,S200000,00400,0200,185152 432544,S200000,00400,0300,10/01/83 432544,S200000,00400,0500,P 432544,S200000,01500,0100,Y 432544,S200000,01501,0200,Y 432544,S200000,01502,0200,Y 432544,S200000,01503,0200,Y 432544,S200000,01504,0200,Y 432544,S200000,01505,0000,OTHER (SPECIFY) 432544,S200000,01505,0200,Y 432544,S200000,01600,0100,N 432544,S200000,01700,0100,N 432544,S200000,01800,0100,N 432544,S200000,02200,0100,N 432544,S200000,02800,0100,N 432544,S200000,02900,0100,N 432544,S200000,03000,0100,N 432544,S200000,03100,0100,Y 432544,S200000,03200,0100,N 432544,S200000,03300,0100,N 432544,S200000,03300,0200,N 432544,S200000,04100,0100,N 432544,S200000,04200,0100,N 432544,S200000,04300,0100,N 432544,S200000,04600,0100,N 432544,S200000,04700,0100,N 432544,S200000,04700,0200,N 432544,S200000,04900,0100,N 432544,S200000,05000,0100,N 432544,S200000,05100,0100,N 432544,S200000,05200,0100,N 432544,S200000,05300,0100,Y 432544,S200000,05300,0200,349011 432544,S200000,05400,0100,BRITTHAVEN INC. 432544,S200000,05400,0200,NAT L GOVT 432544,S200000,05400,0300,00160 432544,S200000,05500,0100,1435 HWY 258 NORTH 432544,S200000,05500,0200,PO BOX 61 432544,S200000,05600,0100,KINSTON 432544,S200000,05600,0200,NC 432544,S200000,05600,0300,28501 432560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432560,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432560,A000000,00300,0000,0300EMPLOYEE BENEFITS 432560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432560,A000000,00700,0000,0700HOUSEKEEPING 432560,A000000,00800,0000,0800DIETARY 432560,A000000,00900,0000,0900NURSING ADMINISTRATION 432560,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432560,A000000,01100,0000,1100PHARMACY 432560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432560,A000000,01300,0000,1300SOCIAL SERVICE 432560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432560,A000000,01600,0000,1600SKILLED NURSING FACILITY 432560,A000000,01800,0000,1800NURSING FACILITY 432560,A000000,01900,0000,1900OTHER LONG TERM CARE 432560,A000000,02100,0000,2100RADIOLOGY 432560,A000000,02200,0000,2200LABORATORY 432560,A000000,02300,0000,2300INTRAVENOUS THERAPY 432560,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432560,A000000,02500,0000,2500PHYSICAL THERAPY 432560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432560,A000000,02700,0000,2700SPEECH PATHOLOGY 432560,A000000,02800,0000,2800ELECTROCARDIOLOGY 432560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432560,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432560,A000000,03200,0000,3200SUPPORT SURFACES 432560,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432560,A000000,03400,0000,3400CLINIC 432560,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432560,A000000,04800,0000,4800AMBULANCE 432560,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432560,A000000,05000,0000,5000CORF 432560,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432560,A000000,05300,0000,5300INTEREST EXPENSE 432560,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432560,A000000,05500,0000,5500HOSPICE 432560,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432560,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432560,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432560,A000000,06100,0000,6100NONPAID WORKERS 432560,A000000,06200,0000,6200PATIENTS LAUNDRY 432560,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432560,A81000A,00100,0100,Y 432560,A81000B,00100,0300,NURSING CONSULTING 432560,A81000B,00200,0300,DIETARY CONSULTING 432560,A81000B,00300,0300,HOME OFFICE 432560,A81000B,00400,0300,INTEREST EXPENSE 432560,A81000B,00500,0300,WORKERS COMP EXP 432560,A81000B,00600,0300,INSURANCE - PROF LIABILITY 432560,A81000B,00700,0300,MAINTENANCE SUPPLIES 432560,A81000B,00800,0300,REPAIRS - EQUIPMENT 432560,A81000B,00900,0300,LINEN & BEDDING 432560,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 432560,A81000B,01100,0300,LAUNDRY SUPPLIES 432560,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 432560,A81000B,01300,0300,HSKP SUPPLIES 432560,A81000B,01400,0300,DIETARY SUPPLEMENTS 432560,A81000B,01500,0300,DIETARY SUPPLIES 432560,A81000B,01600,0300,BIO-MEDICAL WASTE 432560,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 432560,A81000B,01800,0300,PERSONAL CARE SUPPLIES 432560,A81000B,01900,0300,INCONTINENCE SUPPLIES 432560,A81000B,02000,0300,MEDICAL SUPPLIES 432560,A81000B,02100,0300,MED REC SUPPLIES 432560,A81000B,02200,0300,I.V. SUPPLIES 432560,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 432560,A81000B,02400,0300,PT SUPPLIES 432560,A81000B,02500,0300,OT SUPPLIES 432560,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 432560,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 432560,A81000B,02800,0300,NON-LEGEND DRUGS 432560,A81000B,02900,0300,PHARMACY CONSULTANT 432560,A81000C,00100,0100,B 432560,A81000C,00100,0200,PLTC & PLITS I 432560,A81000C,00100,0400,PLTC & PLITS I 432560,A81000C,00100,0600,MGMT 432560,A81000C,00200,0100,B 432560,A81000C,00200,0200,PLTC & PLITS I 432560,A81000C,00200,0400,PLTC & PLITS I 432560,A81000C,00200,0600,MGMT 432560,A81000C,00300,0100,B 432560,A81000C,00300,0200,PLTC & PLITS I 432560,A81000C,00300,0400,PLTC & PLITS I 432560,A81000C,00300,0600,MGMT 432560,A81000C,00400,0100,B 432560,A81000C,00400,0200,PLTC & PLITS I 432560,A81000C,00400,0400,PLTC & PLITS I 432560,A81000C,00400,0600,MGMT 432560,A81000C,00500,0100,A 432560,A81000C,00500,0200,SHAREHOLDERS 432560,A81000C,00500,0400,DISCOVERY INSUR 432560,A81000C,00500,0600,INSURANCE 432560,A81000C,00600,0100,A 432560,A81000C,00600,0200,SHAREHOLDERS 432560,A81000C,00600,0400,QUEENSLAND 432560,A81000C,00600,0600,INSURANCE 432560,A81000C,00700,0100,A 432560,A81000C,00700,0200,SHAREHOLDERS 432560,A81000C,00700,0400,KARE MEDICAL 432560,A81000C,00700,0600,WHLS SPLY 432560,A81000C,00800,0100,A 432560,A81000C,00800,0200,SHAREHOLDERS 432560,A81000C,00800,0400,KARE MEDICAL 432560,A81000C,00800,0600,WHLS SPLY 432560,A81000C,00900,0100,A 432560,A81000C,00900,0200,SHAREHOLDERS 432560,A81000C,00900,0400,KARE MEDICAL 432560,A81000C,00900,0600,WHLS SPLY 432560,A81000C,01000,0100,A 432560,A81000C,01000,0200,SHAREHOLDERS 432560,A81000C,01000,0400,KARE MEDICAL 432560,A81000C,01000,0600,WHLS SPLY 432560,A81000C,01001,0100,A 432560,A81000C,01001,0200,SHAREHOLDERS 432560,A81000C,01001,0400,KARE MEDICAL 432560,A81000C,01001,0600,WHLS SPLY 432560,A81000C,01002,0100,A 432560,A81000C,01002,0200,SHAREHOLDERS 432560,A81000C,01002,0400,KARE MEDICAL 432560,A81000C,01002,0600,WHLS SPLY 432560,A81000C,01003,0100,A 432560,A81000C,01003,0200,SHAREHOLDERS 432560,A81000C,01003,0400,KARE MEDICAL 432560,A81000C,01003,0600,WHLS SPLY 432560,A81000C,01004,0100,A 432560,A81000C,01004,0200,SHAREHOLDERS 432560,A81000C,01004,0400,KARE MEDICAL 432560,A81000C,01004,0600,WHLS SPLY 432560,A81000C,01005,0100,A 432560,A81000C,01005,0200,SHAREHOLDERS 432560,A81000C,01005,0400,KARE MEDICAL 432560,A81000C,01005,0600,WHLS SPLY 432560,A81000C,01006,0100,A 432560,A81000C,01006,0200,SHAREHOLDERS 432560,A81000C,01006,0400,KARE MEDICAL 432560,A81000C,01006,0600,WHLS SPLY 432560,A81000C,01007,0100,A 432560,A81000C,01007,0200,SHAREHOLDERS 432560,A81000C,01007,0400,KARE MEDICAL 432560,A81000C,01007,0600,WHLS SPLY 432560,A81000C,01008,0100,A 432560,A81000C,01008,0200,SHAREHOLDERS 432560,A81000C,01008,0400,KARE MEDICAL 432560,A81000C,01008,0600,WHLS SPLY 432560,A81000C,01009,0100,A 432560,A81000C,01009,0200,SHAREHOLDERS 432560,A81000C,01009,0400,KARE MEDICAL 432560,A81000C,01009,0600,WHLS SPLY 432560,A81000C,01010,0100,A 432560,A81000C,01010,0200,SHAREHOLDERS 432560,A81000C,01010,0400,KARE MEDICAL 432560,A81000C,01010,0600,WHLS SPLY 432560,A81000C,01011,0100,A 432560,A81000C,01011,0200,SHAREHOLDERS 432560,A81000C,01011,0400,KARE MEDICAL 432560,A81000C,01011,0600,WHLS SPLY 432560,A81000C,01012,0100,A 432560,A81000C,01012,0200,SHAREHOLDERS 432560,A81000C,01012,0400,KARE MEDICAL 432560,A81000C,01012,0600,WHLS SPLY 432560,A81000C,01013,0100,A 432560,A81000C,01013,0200,SHAREHOLDERS 432560,A81000C,01013,0400,KARE MEDICAL 432560,A81000C,01013,0600,WHLS SPLY 432560,A81000C,01014,0100,A 432560,A81000C,01014,0200,SHAREHOLDERS 432560,A81000C,01014,0400,KARE MEDICAL 432560,A81000C,01014,0600,WHLS SPLY 432560,A81000C,01015,0100,A 432560,A81000C,01015,0200,SHAREHOLDERS 432560,A81000C,01015,0400,KARE MEDICAL 432560,A81000C,01015,0600,WHLS SPLY 432560,A81000C,01016,0100,A 432560,A81000C,01016,0200,SHAREHOLDERS 432560,A81000C,01016,0400,KARE MEDICAL 432560,A81000C,01016,0600,WHLS SPLY 432560,A81000C,01017,0100,A 432560,A81000C,01017,0200,SHAREHOLDERS 432560,A81000C,01017,0400,PHARMSAVE 432560,A81000C,01017,0600,RX SUPPLY 432560,A81000C,01018,0100,A 432560,A81000C,01018,0200,SHAREHOLDERS 432560,A81000C,01018,0400,PHARMSAVE 432560,A81000C,01018,0600,RX SUPPLY 432560,A81000C,01019,0100,A 432560,A81000C,01019,0200,SHAREHOLDERS 432560,A81000C,01019,0400,PHARMSAVE 432560,A81000C,01019,0600,RX SUPPLY 432560,A81000C,01020,0100,A 432560,A81000C,01020,0200,SHAREHOLDERS 432560,A81000C,01020,0400,PHARMSAVE 432560,A81000C,01020,0600,RX SUPPLY 432560,A81000C,01021,0100,A 432560,A81000C,01021,0200,SHAREHOLDERS 432560,A81000C,01021,0400,PHARMSAVE 432560,A81000C,01021,0600,RX SUPPLY 432560,A81000C,01022,0100,A 432560,A81000C,01022,0200,SHAREHOLDERS 432560,A81000C,01022,0400,ROBERT HILL CON 432560,A81000C,01022,0600,CONSTRUCTION 432560,A81000C,01023,0100,A 432560,A81000C,01023,0200,SHAREHOLDERS 432560,A81000C,01023,0400,ROBERT HILL CON 432560,A81000C,01023,0600,CONSTRUCTION 432560,A81000C,01024,0100,A 432560,A81000C,01024,0200,SHAREHOLDERS 432560,A81000C,01024,0400,ROBERT HILL CON 432560,A81000C,01024,0600,CONSTRUCTION 432560,A81000C,01025,0100,A 432560,A81000C,01025,0200,SHAREHOLDERS 432560,A81000C,01025,0400,ROBERT HILL CON 432560,A81000C,01025,0600,CONSTRUCTION 432560,A81000C,01026,0100,A 432560,A81000C,01026,0200,SHAREHOLDERS 432560,A81000C,01026,0400,ROBERT HILL CON 432560,A81000C,01026,0600,CONSTRUCTION 432560,A81000C,01027,0100,A 432560,A81000C,01027,0200,SHAREHOLDERS 432560,A81000C,01027,0400,HILLCO LTD 432560,A81000C,01027,0600,REAL ESTATE 432560,A81000C,01028,0100,A 432560,A81000C,01028,0200,SHAREHOLDERS 432560,A81000C,01028,0400,BRITTHAVEN INC 432560,A81000C,01028,0600,REAL ESTATE 432560,A81000C,01029,0100,A 432560,A81000C,01029,0200,SHAREHOLDERS 432560,A81000C,01029,0400,BRITTHAVEN INC 432560,A81000C,01029,0600,REAL ESTATE 432560,A81000C,01030,0100,A 432560,A81000C,01030,0200,SHAREHOLDERS 432560,A81000C,01030,0400,BRITTHAVEN INC 432560,A81000C,01030,0600,REAL ESTATE 432560,A81000C,01031,0100,A 432560,A81000C,01031,0200,SHAREHOLDERS 432560,A81000C,01031,0400,BRITTHAVEN INC 432560,A81000C,01031,0600,REAL ESTATE 432560,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432560,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432560,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432560,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432560,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432560,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432560,B100000,00000,0800,0800MEALS SERVED :DIETARY 432560,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432560,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432560,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432560,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432560,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432560,G300000,02500,0000, OTHER (SPECIFY) 432560,S000000,00100,0200,02/29/12 432560,S200000,00100,0100,312 WARREN AVENUE 432560,S200000,00200,0100,KINSTON 432560,S200000,00200,0200,NC 432560,S200000,00200,0300,28501 432560,S200000,00300,0100,LENOIR 432560,S200000,00300,0201,99934 432560,S200000,00300,0300,R 432560,S200000,00400,0100,HARMONY HALL NURSING & REHAB CENTER 432560,S200000,00400,0200,345156 432560,S200000,00400,0300,01/01/11 432560,S200000,00400,0500,P 432560,S200000,01500,0100,Y 432560,S200000,01501,0200,Y 432560,S200000,01502,0200,Y 432560,S200000,01503,0200,Y 432560,S200000,01504,0200,Y 432560,S200000,01505,0000,OTHER (SPECIFY) 432560,S200000,01505,0200,Y 432560,S200000,01600,0100,N 432560,S200000,01700,0100,N 432560,S200000,01800,0100,N 432560,S200000,02200,0100,N 432560,S200000,02800,0100,N 432560,S200000,02900,0100,N 432560,S200000,03000,0100,N 432560,S200000,03100,0100,N 432560,S200000,03200,0100,N 432560,S200000,03300,0100,N 432560,S200000,03300,0200,N 432560,S200000,04100,0100,N 432560,S200000,04200,0100,N 432560,S200000,04300,0100,N 432560,S200000,04600,0100,N 432560,S200000,04700,0100,N 432560,S200000,04700,0200,N 432560,S200000,04900,0100,N 432560,S200000,05000,0100,N 432560,S200000,05100,0100,N 432560,S200000,05200,0100,N 432560,S200000,05300,0100,Y 432560,S200000,05300,0200,349011 432560,S200000,05400,0100,PRINCIPLE LONG-TERM CARE 432560,S200000,05400,0200,PALMETTO GBA 432560,S200000,05400,0300,11501 432560,S200000,05500,0100,1435 HWY 258 NORTH 432560,S200000,05600,0100,KINSTON 432560,S200000,05600,0200,NC 432560,S200000,05600,0300,28502 432561,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432561,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432561,A000000,00300,0000,0300EMPLOYEE BENEFITS 432561,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432561,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432561,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432561,A000000,00700,0000,0700HOUSEKEEPING 432561,A000000,00800,0000,0800DIETARY 432561,A000000,00900,0000,0900NURSING ADMINISTRATION 432561,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432561,A000000,01100,0000,1100PHARMACY 432561,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432561,A000000,01300,0000,1300SOCIAL SERVICE 432561,A000000,01500,0000,1350RECREATION/ACTIVITIES 432561,A000000,01600,0000,1600SKILLED NURSING FACILITY 432561,A000000,01800,0000,1800NURSING FACILITY 432561,A000000,01900,0000,1900OTHER LONG TERM CARE 432561,A000000,02100,0000,2100RADIOLOGY 432561,A000000,02200,0000,2200LABORATORY 432561,A000000,02300,0000,2300INTRAVENOUS THERAPY 432561,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432561,A000000,02500,0000,2500PHYSICAL THERAPY 432561,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432561,A000000,02700,0000,2700SPEECH PATHOLOGY 432561,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432561,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432561,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432561,A000000,03200,0000,3200SUPPORT SURFACES 432561,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432561,A000000,03301,0000,3051PEN THERAPY 432561,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432561,A000000,04800,0000,4800AMBULANCE 432561,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432561,A000000,05300,0000,5300INTEREST EXPENSE 432561,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432561,A000000,05500,0000,5500HOSPICE 432561,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432561,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432561,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432561,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432561,A000000,06100,0000,6100NONPAID WORKERS 432561,A000000,06200,0000,6200PATIENTS LAUNDRY 432561,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432561,A81000A,00100,0100,Y 432561,A81000B,00100,0300,HOME OFFICE COSTS 432561,A81000B,00200,0300,HOME OFFICE COSTS 432561,A81000B,00300,0300,HOME OFFICE Q A NURSES 432561,A81000B,00400,0300,WOUND VACS 432561,A81000C,00100,0100,D 432561,A81000C,00100,0200,MFNC 432561,A81000C,00100,0400,MFNC 432561,A81000C,00100,0600,MGMT 432561,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432561,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432561,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432561,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432561,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432561,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432561,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432561,B100000,00000,0800,0800MEALS SERVED :DIETARY 432561,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 432561,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432561,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432561,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432561,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 432561,E10A180,00501,0100,05/24/12 432561,G300000,02500,0000,MISCELLANEOUS 432561,S000000,00100,0200,02/29/12 432561,S200000,00100,0100,17 CORNELIA DRIVE 432561,S200000,00200,0100,LEXINGTON 432561,S200000,00200,0200,NC 432561,S200000,00200,0300,27292 432561,S200000,00300,0100,DAVIDSON 432561,S200000,00300,0200,93 432561,S200000,00300,0201,99934 432561,S200000,00300,0300,R 432561,S200000,00400,0100,LEXINGTON HEALTH CARE CENTER 432561,S200000,00400,0200,345419 432561,S200000,00400,0300,04/21/92 432561,S200000,00400,0500,P 432561,S200000,01500,0100,N 432561,S200000,01501,0200,N 432561,S200000,01502,0200,N 432561,S200000,01504,0200,N 432561,S200000,01600,0100,Y 432561,S200000,01700,0100,N 432561,S200000,01800,0100,N 432561,S200000,02200,0100,N 432561,S200000,02800,0100,Y 432561,S200000,02900,0100,N 432561,S200000,03000,0100,N 432561,S200000,03100,0100,N 432561,S200000,03200,0100,N 432561,S200000,03300,0100,N 432561,S200000,03300,0200,N 432561,S200000,04100,0100,N 432561,S200000,04200,0100,N 432561,S200000,04300,0100,N 432561,S200000,04600,0100,N 432561,S200000,04700,0100,N 432561,S200000,04700,0200,N 432561,S200000,04900,0100,N 432561,S200000,05000,0100,N 432561,S200000,05100,0100,N 432561,S200000,05200,0100,N 432561,S200000,05300,0100,Y 432561,S200000,05300,0200,941011 432561,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 432561,S200000,05400,0200,PALMETTO GBA 432561,S200000,05400,0300,11001 432561,S200000,05500,0100,2917 PENN FOREST BLVD 432561,S200000,05600,0100,ROANOKE 432561,S200000,05600,0200,VA 432561,S200000,05600,0300,24018 432562,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432562,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432562,A000000,00300,0000,0300EMPLOYEE BENEFITS 432562,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432562,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432562,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432562,A000000,00700,0000,0700HOUSEKEEPING 432562,A000000,00800,0000,0800DIETARY 432562,A000000,00900,0000,0900NURSING ADMINISTRATION 432562,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432562,A000000,01100,0000,1100PHARMACY 432562,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432562,A000000,01300,0000,1300SOCIAL SERVICE 432562,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432562,A000000,01500,0000,1350ACTIVITIES 432562,A000000,01600,0000,1600SKILLED NURSING FACILITY 432562,A000000,01800,0000,1800NURSING FACILITY 432562,A000000,01810,0000,1810ICF/MR 432562,A000000,01900,0000,1900OTHER LONG TERM CARE 432562,A000000,02100,0000,2100RADIOLOGY 432562,A000000,02200,0000,2200LABORATORY 432562,A000000,02300,0000,2300INTRAVENOUS THERAPY 432562,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432562,A000000,02500,0000,2500PHYSICAL THERAPY 432562,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432562,A000000,02700,0000,2700SPEECH PATHOLOGY 432562,A000000,02800,0000,2800ELECTROCARDIOLOGY 432562,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432562,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432562,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432562,A000000,03200,0000,3200SUPPORT SURFACES 432562,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432562,A000000,03400,0000,3400CLINIC 432562,A000000,03500,0000,3500RURAL HEALTH CLINIC 432562,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432562,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432562,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432562,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432562,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432562,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432562,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432562,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432562,A000000,04400,0000,4400DME RENTED - HHA 432562,A000000,04500,0000,4500DME SOLD - HHA 432562,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432562,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432562,A000000,04710,0000,4710TELEMEDICINE 432562,A000000,04800,0000,4800AMBULANCE 432562,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432562,A000000,05000,0000,5000CORF 432562,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432562,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432562,A000000,05300,0000,5300INTEREST EXPENSE 432562,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432562,A000000,05500,0000,5500HOSPICE 432562,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432562,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432562,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432562,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432562,A000000,06100,0000,6100NONPAID WORKERS 432562,A000000,06200,0000,6200PATIENTS LAUNDRY 432562,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432562,A81000A,00100,0100,Y 432562,A81000B,00100,0300,INTERCOMPANY INTEREST 432562,A81000B,00200,0300,HO MGMT FEES 432562,A81000B,00300,0300,HO NURSING COSTS 432562,A81000B,00400,0300,HO CAPITAL COSTS 432562,A81000B,00500,0300,LHCC PROPERTIES COSTS 432562,A81000C,00100,0100,B 432562,A81000C,00100,0400,LAUREL HOLDINGS 432562,A81000C,00100,0600,PARENT COMPANY 432562,A81000C,00200,0100,B 432562,A81000C,00200,0400,LAUREL HEALTH CARE CO 432562,A81000C,00200,0600,HOME OFFICE MGMT CO 432562,A81000C,00300,0100,B 432562,A81000C,00300,0400,LHCC PROPERTIES 432562,A81000C,00300,0600,MASTER TENANT 432562,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432562,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432562,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432562,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432562,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432562,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432562,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432562,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432562,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432562,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432562,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432562,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432562,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432562,E10A180,00550,0100,02/27/12 432562,G300000,02500,0000,BARBER & BEAUTY REVENUE 432562,S000000,00100,0200,02/27/12 432562,S200000,00100,0100,215 LASH DRIVE 432562,S200000,00200,0100,SALISBURY 432562,S200000,00200,0200,NC 432562,S200000,00200,0300,28147 432562,S200000,00300,0100,ROWAN 432562,S200000,00300,0200,20 432562,S200000,00300,0201,99934 432562,S200000,00300,0300,R 432562,S200000,00400,0100,THE LAURELS OF SALISBURY 432562,S200000,00400,0200,345428 432562,S200000,00400,0300,10/01/97 432562,S200000,00400,0500,P 432562,S200000,01500,0100,N 432562,S200000,01501,0200,N 432562,S200000,01502,0200,Y 432562,S200000,01504,0200,N 432562,S200000,01600,0100,Y 432562,S200000,01700,0100,N 432562,S200000,01800,0100,N 432562,S200000,02200,0100,N 432562,S200000,02800,0100,N 432562,S200000,02900,0100,N 432562,S200000,03000,0100,N 432562,S200000,03100,0100,N 432562,S200000,03200,0100,N 432562,S200000,03300,0100,N 432562,S200000,03300,0200,N 432562,S200000,04100,0100,N 432562,S200000,04200,0100,N 432562,S200000,04300,0100,N 432562,S200000,04600,0100,N 432562,S200000,04700,0100,N 432562,S200000,04700,0200,N 432562,S200000,04900,0100,N 432562,S200000,05000,0100,N 432562,S200000,05100,0100,N 432562,S200000,05200,0100,N 432562,S200000,05300,0100,Y 432562,S200000,05300,0200,349095 432562,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 432562,S200000,05400,0200,PALMETTO GBA 432562,S200000,05400,0300,11501 432562,S200000,05500,0100,8181 WORTHINGTON ROAD 432562,S200000,05600,0100,WESTERVILLE 432562,S200000,05600,0200,OH 432562,S200000,05600,0300,43082 432563,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432563,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432563,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432563,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432563,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432563,A000000,00700,0000,0700HOUSEKEEPING 432563,A000000,00800,0000,0800DIETARY 432563,A000000,01100,0000,1100PHARMACY 432563,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432563,A000000,01300,0000,1300SOCIAL SERVICE 432563,A000000,01600,0000,1600SKILLED NURSING FACILITY 432563,A000000,01810,0000,1810ICF/MR 432563,A000000,02100,0000,2100RADIOLOGY 432563,A000000,02200,0000,2200LABORATORY 432563,A000000,02500,0000,2500PHYSICAL THERAPY 432563,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432563,A000000,02700,0000,2700SPEECH PATHOLOGY 432563,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432563,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432563,A000000,03550,0000,3550FQHC 432563,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432563,A000000,05000,0000,5000CORF 432563,A000000,05010,0000,5010CMHC 432563,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432563,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432563,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432563,A000000,05300,0000,5300INTEREST EXPENSE 432563,A81000A,00100,0100,N 432563,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432563,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432563,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432563,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432563,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432563,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432563,B100000,00000,0800,0800MEALS SERVED :DIETARY 432563,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 432563,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432563,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432563,E10A180,00501,0100,05/09/12 432563,G300000,02500,0000,MISCELLANEOUS 432563,G300000,02501,0000,CONCESSION 432563,G300000,02502,0000,GAIN ON SALE OF ASSETS 432563,S000000,00100,0200,02/28/12 432563,S200000,00100,0100,400 MOFFAT ROAD 432563,S200000,00100,0300,967 432563,S200000,00200,0100,CHERAW 432563,S200000,00200,0200,SC 432563,S200000,00200,0300,29520 432563,S200000,00300,0100,CHESTERFIELD 432563,S200000,00300,0201,99942 432563,S200000,00300,0300,R 432563,S200000,00400,0100,CHERAW HEALTHCARE INC. 432563,S200000,00400,0200,425005 432563,S200000,00400,0300,05/21/93 432563,S200000,00400,0500,P 432563,S200000,00400,0600,O 432563,S200000,01500,0100,Y 432563,S200000,01600,0100,N 432563,S200000,01700,0100,N 432563,S200000,01800,0100,N 432563,S200000,02200,0100,N 432563,S200000,02800,0100,N 432563,S200000,02900,0100,N 432563,S200000,03000,0100,N 432563,S200000,03100,0100,N 432563,S200000,03200,0100,N 432563,S200000,03300,0100,N 432563,S200000,03300,0200,N 432563,S200000,04100,0100,N 432563,S200000,04200,0100,N 432563,S200000,04300,0100,Y 432563,S200000,04600,0100,N 432563,S200000,04700,0100,N 432563,S200000,04700,0200,N 432563,S200000,04900,0100,N 432563,S200000,05000,0100,N 432563,S200000,05100,0100,N 432563,S200000,05200,0100,N 432564,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432564,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432564,A000000,00300,0000,0300EMPLOYEE BENEFITS 432564,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432564,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432564,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432564,A000000,00700,0000,0700HOUSEKEEPING 432564,A000000,00800,0000,0800DIETARY 432564,A000000,00900,0000,0900NURSING ADMINISTRATION 432564,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432564,A000000,01100,0000,1100PHARMACY 432564,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432564,A000000,01300,0000,1300SOCIAL SERVICE 432564,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432564,A000000,01500,0000,1350OTHER GENERAL SERVICES 432564,A000000,01600,0000,1600SKILLED NURSING FACILITY 432564,A000000,01800,0000,1800NURSING FACILITY 432564,A000000,01810,0000,1810ICF/MR 432564,A000000,01900,0000,1900OTHER LONG TERM CARE 432564,A000000,02100,0000,2100RADIOLOGY 432564,A000000,02200,0000,2200LABORATORY 432564,A000000,02300,0000,2300INTRAVENOUS THERAPY 432564,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432564,A000000,02500,0000,2500PHYSICAL THERAPY 432564,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432564,A000000,02700,0000,2700SPEECH PATHOLOGY 432564,A000000,02800,0000,2800ELECTROCARDIOLOGY 432564,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432564,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432564,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432564,A000000,03200,0000,3200SUPPORT SURFACES 432564,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432564,A000000,03400,0000,3400CLINIC 432564,A000000,03500,0000,3500RURAL HEALTH CLINIC 432564,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432564,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432564,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432564,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432564,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432564,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432564,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432564,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432564,A000000,04400,0000,4400DME RENTED - HHA 432564,A000000,04500,0000,4500DME SOLD - HHA 432564,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432564,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432564,A000000,04710,0000,4710TELEMEDICINE 432564,A000000,04800,0000,4800AMBULANCE 432564,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432564,A000000,05000,0000,5000CORF 432564,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432564,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432564,A000000,05300,0000,5300INTEREST EXPENSE 432564,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432564,A000000,05500,0000,5500HOSPICE 432564,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432564,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432564,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432564,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432564,A000000,06100,0000,6100NONPAID WORKERS 432564,A000000,06200,0000,6200PATIENTS LAUNDRY 432564,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432564,A81000A,00100,0100,N 432564,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432564,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432564,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432564,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432564,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432564,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432564,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432564,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 432564,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432564,E10A180,00501,0100,04/18/12 432564,S000000,00100,0200,02/02/12 432564,S200000,00100,0100,1110 MARSHALL ROAD 432564,S200000,00200,0100,GREENWOOD 432564,S200000,00200,0200,SC 432564,S200000,00200,0300,29646 432564,S200000,00300,0100,GREENWOOD 432564,S200000,00300,0200,42 432564,S200000,00300,0201,00042 432564,S200000,00300,0300,R 432564,S200000,00400,0100,WESLEY COMMONS 432564,S200000,00400,0200,425078 432564,S200000,00400,0300,01/01/71 432564,S200000,00400,0500,P 432564,S200000,00600,0200,425078 432564,S200000,00600,0300,01/01/71 432564,S200000,00600,0600,P 432564,S200000,01500,0100,N 432564,S200000,01501,0200,Y 432564,S200000,01502,0200,Y 432564,S200000,01503,0200,Y 432564,S200000,01504,0200,Y 432564,S200000,01600,0100,Y 432564,S200000,01700,0100,N 432564,S200000,01800,0100,N 432564,S200000,02200,0100,N 432564,S200000,02800,0100,N 432564,S200000,02900,0100,N 432564,S200000,03000,0100,N 432564,S200000,03100,0100,N 432564,S200000,03200,0100,N 432564,S200000,03300,0100,N 432564,S200000,03300,0200,N 432564,S200000,03500,0300,N 432564,S200000,04100,0100,N 432564,S200000,04200,0100,N 432564,S200000,04300,0100,N 432564,S200000,04600,0100,N 432564,S200000,04700,0100,N 432564,S200000,04700,0200,N 432564,S200000,04900,0100,N 432564,S200000,05000,0100,N 432564,S200000,05100,0100,N 432564,S200000,05200,0100,N 432565,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432565,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432565,A000000,00300,0000,0300EMPLOYEE BENEFITS 432565,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432565,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432565,A000000,00550,0000,0501UTILITIES SNF 432565,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432565,A000000,00700,0000,0700HOUSEKEEPING 432565,A000000,00800,0000,0800DIETARY 432565,A000000,00900,0000,0900NURSING ADMINISTRATION 432565,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432565,A000000,01100,0000,1100PHARMACY 432565,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432565,A000000,01300,0000,1300SOCIAL SERVICE 432565,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432565,A000000,01600,0000,1600SKILLED NURSING FACILITY 432565,A000000,01810,0000,1810ICF/MR 432565,A000000,01900,0000,1900OTHER LONG TERM CARE 432565,A000000,02200,0000,2200LABORATORY 432565,A000000,02500,0000,2500PHYSICAL THERAPY 432565,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432565,A000000,02700,0000,2700SPEECH PATHOLOGY 432565,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432565,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432565,A000000,03550,0000,3550FQHC 432565,A000000,05000,0000,5000CORF 432565,A000000,05010,0000,5010CMHC 432565,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432565,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432565,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432565,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432565,A000000,06300,0000,6150MARKETING DEPARTMENT 432565,A81000A,00100,0100,N 432565,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432565,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432565,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432565,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432565,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432565,B100000,00000,0550,0551 :UTILITIES SNF 432565,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432565,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432565,B100000,00000,0800,0800MEALS SERVED :DIETARY 432565,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432565,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432565,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432565,E10A180,00550,0100,03/02/12 432565,G300000,02500,0000,OTHER INCOME 432565,G300000,02501,0000,BEAUTY & BARBER 432565,S000000,00100,0200,03/01/12 432565,S200000,00100,0100,1000 METHODIST OAKS DR SW 432565,S200000,00100,0300,327 432565,S200000,00200,0100,ORANGEBURG 432565,S200000,00200,0200,SC 432565,S200000,00200,0300,29116 432565,S200000,00300,0100,ORANGEBURG 432565,S200000,00300,0201,00000 432565,S200000,00300,0300,R 432565,S200000,00400,0100,THE METHODIST OAKS 432565,S200000,00400,0200,425131 432565,S200000,00400,0300,01/01/68 432565,S200000,00400,0500,P 432565,S200000,01500,0100,N 432565,S200000,01501,0200,Y 432565,S200000,01502,0200,N 432565,S200000,01503,0200,Y 432565,S200000,01600,0100,N 432565,S200000,01700,0100,N 432565,S200000,01800,0100,N 432565,S200000,02200,0100,N 432565,S200000,02800,0100,N 432565,S200000,02900,0100,N 432565,S200000,03000,0100,N 432565,S200000,03100,0100,N 432565,S200000,03200,0100,N 432565,S200000,03300,0100,N 432565,S200000,03300,0200,N 432565,S200000,04100,0100,N 432565,S200000,04200,0100,N 432565,S200000,04300,0100,N 432565,S200000,04600,0100,N 432565,S200000,04700,0100,N 432565,S200000,04700,0200,N 432565,S200000,04900,0100,N 432565,S200000,05000,0100,N 432565,S200000,05100,0100,N 432565,S200000,05200,0100,N 432565,S200000,05300,0100,N 432566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432566,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432566,A000000,00300,0000,0300EMPLOYEE BENEFITS 432566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432566,A000000,00700,0000,0700HOUSEKEEPING 432566,A000000,00800,0000,0800DIETARY 432566,A000000,00900,0000,0900NURSING ADMINISTRATION 432566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432566,A000000,01100,0000,1100PHARMACY 432566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432566,A000000,01300,0000,1300SOCIAL SERVICE 432566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432566,A000000,01600,0000,1600SKILLED NURSING FACILITY 432566,A000000,01810,0000,1810ICF/MR 432566,A000000,02100,0000,2100RADIOLOGY 432566,A000000,02200,0000,2200LABORATORY 432566,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432566,A000000,02500,0000,2500PHYSICAL THERAPY 432566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432566,A000000,02700,0000,2700SPEECH PATHOLOGY 432566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432566,A000000,03200,0000,3200SUPPORT SURFACES 432566,A000000,03550,0000,3550FQHC 432566,A000000,04800,0000,4800AMBULANCE 432566,A000000,05000,0000,5000CORF 432566,A000000,05010,0000,5010CMHC 432566,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432566,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432566,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432566,A000000,05300,0000,5300INTEREST EXPENSE 432566,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432566,A81000A,00100,0100,Y 432566,A81000B,00100,0300,MGMT FEES 432566,A81000B,00200,0300,MGMT FEES - CAP RELATED 432566,A81000B,00300,0300,WORKERS COMP 432566,A81000B,00400,0300,GENERAL INSURANCE 432566,A81000B,00500,0300,PROFESSIONAL FEES 432566,A81000B,00600,0300,EQUIPMENT RENTAL 432566,A81000B,00700,0300,UNIFORMS 432566,A81000B,00800,0300,SUPPLIES 432566,A81000B,00900,0300,MINOR EQUIPMENT 432566,A81000B,01000,0300,SUPPLIES 432566,A81000B,01100,0300,SUPPLIES 432566,A81000B,01200,0300,SUPPLIES 432566,A81000B,01300,0300,CONTRACT THERAPY 432566,A81000B,01400,0300,CONTRACT THERAPY 432566,A81000B,01500,0300,CONTRACT THERAPY 432566,A81000C,00100,0100,A 432566,A81000C,00100,0200,D WHEELER/T. TILLER 432566,A81000C,00100,0400,LAUREL BAY H/C OF SC 432566,A81000C,00100,0600,MANAGEMENT COMPANY 432566,A81000C,00200,0100,A 432566,A81000C,00200,0200,D WHEELER/T. TILLER 432566,A81000C,00200,0400,RESPIRATORY CARE CONSULTA 432566,A81000C,00200,0600,MEDICAL SUPPLY COMPANY 432566,A81000C,00300,0100,A 432566,A81000C,00300,0200,D WHEELER/T. TILLER 432566,A81000C,00300,0400,MEDICAL NECESSITIES 432566,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 432566,A81000C,00400,0100,A 432566,A81000C,00400,0200,D WHEELER/T. TILLER 432566,A81000C,00400,0400,LAUREL BAYE MEDICAL 432566,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 432566,A81000C,00500,0100,A 432566,A81000C,00500,0200,D WHEELER/T. TILLER 432566,A81000C,00500,0400,PALMETTO H/C ASSURANCE 432566,A81000C,00500,0600, CAPTIVE INSURANCE CO 432566,A81000C,00600,0100,A 432566,A81000C,00600,0200,D. WHEELER/T. TILLER 432566,A81000C,00600,0400,IMPACT THERAPY 432566,A81000C,00600,0600,THERAPY COMPANY 432566,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432566,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432566,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432566,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432566,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432566,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432566,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 432566,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432566,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 432566,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432566,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432566,E10A180,00501,0100,03/20/12 432566,G300000,02500,0000,MISCELLANEOUS INCOME 432566,S000000,00100,0200,01/17/12 432566,S200000,00100,0100,17 BELLFIELD ROAD 432566,S200000,00200,0100,RIDGEWAY 432566,S200000,00200,0200,SC 432566,S200000,00200,0300,29130 432566,S200000,00300,0100,FAIRFIELD 432566,S200000,00300,0200,1790 432566,S200000,00300,0201,17900 432566,S200000,00300,0300,U 432566,S200000,00400,0100,FAIRFIELD HOME HEALTHCARE CNT LLC 432566,S200000,00400,0200,425158 432566,S200000,00400,0300,01/01/99 432566,S200000,00400,0500,P 432566,S200000,01500,0100,Y 432566,S200000,01501,0200,Y 432566,S200000,01502,0200,N 432566,S200000,01503,0200,Y 432566,S200000,01504,0200,N 432566,S200000,01600,0100,N 432566,S200000,01700,0100,N 432566,S200000,01800,0100,N 432566,S200000,02200,0100,Y 432566,S200000,02800,0100,N 432566,S200000,02900,0100,N 432566,S200000,03000,0100,N 432566,S200000,03100,0100,N 432566,S200000,03200,0100,N 432566,S200000,03300,0100,N 432566,S200000,03300,0200,N 432566,S200000,04100,0100,N 432566,S200000,04200,0100,N 432566,S200000,04300,0100,N 432566,S200000,04600,0100,N 432566,S200000,04700,0100,N 432566,S200000,04700,0200,N 432566,S200000,04900,0100,N 432566,S200000,05000,0100,N 432566,S200000,05100,0100,N 432566,S200000,05200,0100,N 432581,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432581,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432581,A000000,00300,0000,0300EMPLOYEE BENEFITS 432581,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432581,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432581,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432581,A000000,00700,0000,0700HOUSEKEEPING 432581,A000000,00800,0000,0800DIETARY 432581,A000000,00900,0000,0900NURSING ADMINISTRATION 432581,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432581,A000000,01100,0000,1100PHARMACY 432581,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432581,A000000,01300,0000,1300SOCIAL SERVICE 432581,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432581,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 432581,A000000,01600,0000,1600SKILLED NURSING FACILITY 432581,A000000,01800,0000,1800NURSING FACILITY 432581,A000000,01810,0000,1810ICF/MR 432581,A000000,01900,0000,1900OTHER LONG TERM CARE 432581,A000000,02100,0000,2100RADIOLOGY 432581,A000000,02200,0000,2200LABORATORY 432581,A000000,02300,0000,2300INTRAVENOUS THERAPY 432581,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432581,A000000,02500,0000,2500PHYSICAL THERAPY 432581,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432581,A000000,02700,0000,2700SPEECH PATHOLOGY 432581,A000000,02800,0000,2800ELECTROCARDIOLOGY 432581,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432581,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432581,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432581,A000000,03200,0000,3200SUPPORT SURFACES 432581,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432581,A000000,03400,0000,3400CLINIC 432581,A000000,03500,0000,3500RURAL HEALTH CLINIC 432581,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432581,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432581,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432581,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432581,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432581,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432581,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432581,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432581,A000000,04400,0000,4400DME RENTED - HHA 432581,A000000,04500,0000,4500DME SOLD - HHA 432581,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432581,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432581,A000000,04710,0000,4710TELEMEDICINE 432581,A000000,04800,0000,4800AMBULANCE 432581,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432581,A000000,05000,0000,5000CORF 432581,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432581,A000000,05300,0000,5300INTEREST EXPENSE 432581,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432581,A000000,05500,0000,5500HOSPICE 432581,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432581,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432581,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432581,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432581,A000000,06100,0000,6100NONPAID WORKERS 432581,A000000,06200,0000,6200PATIENTS LAUNDRY 432581,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432581,A81000A,00100,0100,Y 432581,A81000B,00100,0300,NURSING CONSULTING 432581,A81000B,00200,0300,HOME OFFICE 432581,A81000B,00300,0300,INTEREST EXPENSE 432581,A81000B,00400,0300,INSURANCE - PROFESSIONAL LIABILITY 432581,A81000B,00500,0300,MINOR EQUIPMENT EXPENSE 432581,A81000B,00600,0300,REPAIRS-EQUIPMENT 432581,A81000B,00700,0300,LINEN & BEDDING 432581,A81000B,00800,0300,SUPPLIES 432581,A81000B,00900,0300,SUPPLIES 432581,A81000B,01000,0300,DIETARY SUPPLEMENTS 432581,A81000B,01100,0300,SUPPLIES 432581,A81000B,01200,0300,BIO-MEDICAL WASTE 432581,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 432581,A81000B,01400,0300,PERSONAL CARE SUPPLIES 432581,A81000B,01500,0300,INCONTINENCE SUPPLIES 432581,A81000B,01600,0300,MEDICAL SUPPLIES 432581,A81000B,01700,0300,OXYGEN THERAPY SUPPLIES 432581,A81000B,01800,0300,SUPPLIES 432581,A81000B,01900,0300,SUPPLIES 432581,A81000B,02000,0300,BILLABLE MEDICAL SUPPLIES 432581,A81000B,02100,0300,NON-LEGEND DRUGS 432581,A81000B,02200,0300,SUPPLIES 432581,A81000B,02300,0300,LEGEND DRUGS 432581,A81000B,02400,0300,OFFICE SUPPLIES 432581,A81000B,02500,0300,SUPPLIES 432581,A81000C,00100,0100,B 432581,A81000C,00100,0400,BRITTHAVEN INC 432581,A81000C,00100,0600,MGMT SERVICES 432581,A81000C,00200,0100,B 432581,A81000C,00200,0400,BRITTHAVEN INC 432581,A81000C,00200,0600,MGMT SERVICES 432581,A81000C,00300,0100,B 432581,A81000C,00300,0400,BRITTHAVEN INC 432581,A81000C,00300,0600,MGMT SERVICES 432581,A81000C,00400,0100,A 432581,A81000C,00400,0200,QUEENSLAND ASSU 432581,A81000C,00400,0600,INSURANCE 432581,A81000C,00500,0100,B 432581,A81000C,00500,0400,KARE MEDICAL 432581,A81000C,00500,0600,WHOLESALE SUPPL 432581,A81000C,00600,0100,B 432581,A81000C,00600,0400,KARE MEDICAL 432581,A81000C,00600,0600,WHOLESALE SUPPL 432581,A81000C,00700,0100,B 432581,A81000C,00700,0400,KARE MEDICAL 432581,A81000C,00700,0600,WHOLESALE SUPPL 432581,A81000C,00800,0100,B 432581,A81000C,00800,0400,KARE MEDICAL 432581,A81000C,00800,0600,WHOLESALE SUPPL 432581,A81000C,00900,0100,B 432581,A81000C,00900,0400,KARE MEDICAL 432581,A81000C,00900,0600,WHOLESALE SUPPL 432581,A81000C,01000,0100,B 432581,A81000C,01000,0400,KARE MEDICAL 432581,A81000C,01000,0600,WHOLESALE SUPPL 432581,A81000C,01001,0100,B 432581,A81000C,01001,0400,KARE MEDICAL 432581,A81000C,01001,0600,WHOLESALE SUPPL 432581,A81000C,01002,0100,B 432581,A81000C,01002,0400,KARE MEDICAL 432581,A81000C,01002,0600,WHOLESALE SUPPL 432581,A81000C,01003,0100,B 432581,A81000C,01003,0400,KARE MEDICAL 432581,A81000C,01003,0600,WHOLESALE SUPPL 432581,A81000C,01004,0100,B 432581,A81000C,01004,0400,KARE MEDICAL 432581,A81000C,01004,0600,WHOLESALE SUPPL 432581,A81000C,01005,0100,B 432581,A81000C,01005,0400,KARE MEDICAL 432581,A81000C,01005,0600,WHOLESALE SUPPL 432581,A81000C,01006,0100,B 432581,A81000C,01006,0400,KARE MEDICAL 432581,A81000C,01006,0600,WHOLESALE SUPPL 432581,A81000C,01007,0100,B 432581,A81000C,01007,0400,KARE MEDICAL 432581,A81000C,01007,0600,WHOLESALE SUPPL 432581,A81000C,01008,0100,B 432581,A81000C,01008,0400,KARE MEDICAL 432581,A81000C,01008,0600,WHOLESALE SUPPL 432581,A81000C,01009,0100,B 432581,A81000C,01009,0400,KARE MEDICAL 432581,A81000C,01009,0600,WHOLESALE SUPPL 432581,A81000C,01010,0100,B 432581,A81000C,01010,0400,KARE MEDICAL 432581,A81000C,01010,0600,WHOLESALE SUPPL 432581,A81000C,01011,0100,B 432581,A81000C,01011,0400,PHARMSAVE 432581,A81000C,01011,0600,RX SUPPLY 432581,A81000C,01012,0100,B 432581,A81000C,01012,0400,PHARMSAVE 432581,A81000C,01012,0600,RX SUPPLY 432581,A81000C,01013,0100,B 432581,A81000C,01013,0400,PHARMSAVE 432581,A81000C,01013,0600,RX SUPPLY 432581,A81000C,01014,0100,B 432581,A81000C,01014,0400,ROBERT HILL CON 432581,A81000C,01014,0600,CONSTRUCTION 432581,A81000C,01015,0100,B 432581,A81000C,01015,0400,ROBERT HILL CON 432581,A81000C,01015,0600,CONSTRUCTION 432581,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432581,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432581,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432581,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432581,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432581,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432581,B100000,00000,0800,0800MEALS SERVED :DIETARY 432581,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432581,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432581,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432581,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432581,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432581,E10A180,00501,0100,09/16/11 432581,E10A180,00502,0300,09/16/11 432581,G300000,02500,0000, OTHER (SPECIFY) 432581,S000000,00100,0200,07/26/11 432581,S200000,00100,0100,5079 SCOTTSVILLE 432581,S200000,00200,0100,BOWLING GREEN 432581,S200000,00200,0200,KY 432581,S200000,00200,0300,42102 432581,S200000,00300,0100,WARREN 432581,S200000,00300,0201,14540 432581,S200000,00300,0300,R 432581,S200000,00400,0100,BRITTHAVEN OF BOWLING GREEN 432581,S200000,00400,0200,185187 432581,S200000,00400,0300,02/28/89 432581,S200000,00400,0500,P 432581,S200000,01500,0100,Y 432581,S200000,01501,0200,Y 432581,S200000,01502,0200,Y 432581,S200000,01503,0200,Y 432581,S200000,01504,0200,Y 432581,S200000,01505,0000,OTHER (SPECIFY) 432581,S200000,01505,0200,Y 432581,S200000,01600,0100,N 432581,S200000,01700,0100,N 432581,S200000,01800,0100,N 432581,S200000,02200,0100,N 432581,S200000,02800,0100,N 432581,S200000,02900,0100,N 432581,S200000,03000,0100,N 432581,S200000,03100,0100,Y 432581,S200000,03200,0100,N 432581,S200000,03300,0100,N 432581,S200000,03300,0200,N 432581,S200000,04100,0100,N 432581,S200000,04200,0100,N 432581,S200000,04300,0100,N 432581,S200000,04600,0100,N 432581,S200000,04700,0100,N 432581,S200000,04700,0200,N 432581,S200000,04900,0100,N 432581,S200000,05000,0100,N 432581,S200000,05100,0100,N 432581,S200000,05200,0100,N 432581,S200000,05300,0100,Y 432581,S200000,05300,0200,349011 432581,S200000,05400,0100,BRITTHAVEN INC. 432581,S200000,05400,0200,NAT L GOVT 432581,S200000,05400,0300,00160 432581,S200000,05500,0100,1435 HWY 258 NORTH 432581,S200000,05500,0200,PO BOX 61 432581,S200000,05600,0100,KINSTON 432581,S200000,05600,0200,NC 432581,S200000,05600,0300,28501 432583,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432583,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432583,A000000,00300,0000,0300EMPLOYEE BENEFITS 432583,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432583,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432583,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432583,A000000,00700,0000,0700HOUSEKEEPING 432583,A000000,00800,0000,0800DIETARY 432583,A000000,00900,0000,0900NURSING ADMINISTRATION 432583,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432583,A000000,01100,0000,1100PHARMACY 432583,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432583,A000000,01300,0000,1300SOCIAL SERVICE 432583,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432583,A000000,01600,0000,1600SKILLED NURSING FACILITY 432583,A000000,01800,0000,1800NURSING FACILITY 432583,A000000,01900,0000,1900OTHER LONG TERM CARE 432583,A000000,02100,0000,2100RADIOLOGY 432583,A000000,02200,0000,2200LABORATORY 432583,A000000,02300,0000,2300INTRAVENOUS THERAPY 432583,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432583,A000000,02500,0000,2500PHYSICAL THERAPY 432583,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432583,A000000,02700,0000,2700SPEECH PATHOLOGY 432583,A000000,02800,0000,2800ELECTROCARDIOLOGY 432583,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432583,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432583,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432583,A000000,03200,0000,3200SUPPORT SURFACES 432583,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432583,A000000,03400,0000,3400CLINIC 432583,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432583,A000000,04800,0000,4800AMBULANCE 432583,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432583,A000000,05000,0000,5000CORF 432583,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432583,A000000,05300,0000,5300INTEREST EXPENSE 432583,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432583,A000000,05500,0000,5500HOSPICE 432583,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432583,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432583,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432583,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432583,A000000,06100,0000,6100NONPAID WORKERS 432583,A000000,06200,0000,6200PATIENTS LAUNDRY 432583,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432583,A81000A,00100,0100,Y 432583,A81000B,00100,0300,NURSING CONSULTING 432583,A81000B,00300,0300,HOME OFFICE 432583,A81000B,00400,0300,INTEREST INCOME 432583,A81000B,00500,0300,INSURANCE - PROFESSIONAL LIABILITY 432583,A81000B,00600,0300,REPAIRS-BUILDING 432583,A81000B,00700,0300,REPAIRS-EQUIPMENT 432583,A81000B,00800,0300,LINEN & BEDDING 432583,A81000B,00900,0300,SUPPLIES 432583,A81000B,01000,0300,SUPPLIES 432583,A81000B,01100,0300,DIETARY SUPPLEMENTS 432583,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 432583,A81000B,01300,0300,BIO-MEDICAL WASTE 432583,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 432583,A81000B,01500,0300,PERSONAL CARE SUPPLIES 432583,A81000B,01600,0300,INCONTINENCE SUPPLIES 432583,A81000B,01700,0300,MEDICAL SUPPLIES 432583,A81000B,01800,0300,SUPPLIES 432583,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 432583,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 432583,A81000B,02100,0300,SUPPLIES 432583,A81000B,02200,0300,BILLABEL MEDICAL SUPPLIES 432583,A81000B,02300,0300,NON-LEGEND DRUGS 432583,A81000B,02400,0300,SUPPLIES 432583,A81000B,02500,0300,LEGEND DRUGS 432583,A81000B,02600,0300,OFFICE SUPPLIES 432583,A81000B,02700,0300,SUPPLIES 432583,A81000C,00100,0100,B 432583,A81000C,00100,0400,BRITTHAVEN INC 432583,A81000C,00100,0600,MGMT SERVICES 432583,A81000C,00200,0100,B 432583,A81000C,00200,0400,BRITTHAVEN INC 432583,A81000C,00200,0600,MGMT SERVICES 432583,A81000C,00300,0100,B 432583,A81000C,00300,0400,BRITTHAVEN INC 432583,A81000C,00300,0600,MGMT SERVICES 432583,A81000C,00400,0100,B 432583,A81000C,00400,0400,BRITTHAVEN INC 432583,A81000C,00400,0600,MGMT SERVICES 432583,A81000C,00500,0100,A 432583,A81000C,00500,0200,QUEENSLAND ASSU 432583,A81000C,00500,0600,INSURANCE 432583,A81000C,00600,0100,B 432583,A81000C,00600,0400,KARE MEDICAL 432583,A81000C,00600,0600,WHOLESALE SUPPL 432583,A81000C,00700,0100,B 432583,A81000C,00700,0400,KARE MEDICAL 432583,A81000C,00700,0600,WHOLESALE SUPPL 432583,A81000C,00800,0100,B 432583,A81000C,00800,0400,KARE MEDICAL 432583,A81000C,00800,0600,WHOLESALE SUPPL 432583,A81000C,00900,0100,B 432583,A81000C,00900,0400,KARE MEDICAL 432583,A81000C,00900,0600,WHOLESALE SUPPL 432583,A81000C,01000,0100,B 432583,A81000C,01000,0400,KARE MEDICAL 432583,A81000C,01000,0600,WHOLESALE SUPPL 432583,A81000C,01001,0100,B 432583,A81000C,01001,0400,KARE MEDICAL 432583,A81000C,01001,0600,WHOLESALE SUPPL 432583,A81000C,01002,0100,B 432583,A81000C,01002,0400,KARE MEDICAL 432583,A81000C,01002,0600,WHOLESALE SUPPL 432583,A81000C,01003,0100,B 432583,A81000C,01003,0400,KARE MEDICAL 432583,A81000C,01003,0600,WHOLESALE SUPPL 432583,A81000C,01004,0100,B 432583,A81000C,01004,0400,KARE MEDICAL 432583,A81000C,01004,0600,WHOLESALE SUPPL 432583,A81000C,01005,0100,B 432583,A81000C,01005,0400,KARE MEDICAL 432583,A81000C,01005,0600,WHOLESALE SUPPL 432583,A81000C,01006,0100,B 432583,A81000C,01006,0400,KARE MEDICAL 432583,A81000C,01006,0600,WHOLESALE SUPPL 432583,A81000C,01007,0100,B 432583,A81000C,01007,0400,KARE MEDICAL 432583,A81000C,01007,0600,WHOLESALE SUPPL 432583,A81000C,01008,0100,B 432583,A81000C,01008,0400,KARE MEDICAL 432583,A81000C,01008,0600,WHOLESALE SUPPL 432583,A81000C,01009,0100,B 432583,A81000C,01009,0400,KARE MEDICAL 432583,A81000C,01009,0600,WHOLESALE SUPPL 432583,A81000C,01010,0100,B 432583,A81000C,01010,0400,KARE MEDICAL 432583,A81000C,01010,0600,WHOLESALE SUPPL 432583,A81000C,01011,0100,B 432583,A81000C,01011,0400,KARE MEDICAL 432583,A81000C,01011,0600,WHOLESALE SUPPL 432583,A81000C,01012,0100,B 432583,A81000C,01012,0400,KARE MEDICAL 432583,A81000C,01012,0600,WHOLESALE SUPPL 432583,A81000C,01013,0100,B 432583,A81000C,01013,0400,KARE MEDICAL 432583,A81000C,01013,0600,WHOLESALE SUPPL 432583,A81000C,01014,0100,B 432583,A81000C,01014,0400,PHARMSAVE 432583,A81000C,01014,0600,RX SUPPLY 432583,A81000C,01015,0100,B 432583,A81000C,01015,0400,PHARMSAVE 432583,A81000C,01015,0600,RX SUPPLY 432583,A81000C,01016,0100,B 432583,A81000C,01016,0400,PHARMSAVE 432583,A81000C,01016,0600,RX SUPPLY 432583,A81000C,01017,0100,B 432583,A81000C,01017,0400,ROBERT HILL CON 432583,A81000C,01017,0600,CONSTRUCTION 432583,A81000C,01018,0100,B 432583,A81000C,01018,0400,ROBERT HILL CON 432583,A81000C,01018,0600,CONSTRUCTION 432583,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432583,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432583,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432583,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432583,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432583,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432583,B100000,00000,0800,0800MEALS SERVED :DIETARY 432583,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432583,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432583,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432583,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432583,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432583,E10A180,00501,0100,09/22/11 432583,E10A180,00501,0300,09/22/11 432583,G300000,02500,0000, OTHER (SPECIFY) 432583,S000000,00100,0200,08/05/11 432583,S200000,00100,0100,6301 BASS ROAD 432583,S200000,00200,0100,PROSPECT 432583,S200000,00200,0200,KY 432583,S200000,00200,0300,40059 432583,S200000,00300,0100,JEFFERSON 432583,S200000,00300,0201,31140 432583,S200000,00300,0300,U 432583,S200000,00400,0100,BRITTHAVEN OF PROSPECT 432583,S200000,00400,0200,185259 432583,S200000,00400,0300,09/01/83 432583,S200000,00400,0500,P 432583,S200000,01500,0100,Y 432583,S200000,01501,0200,Y 432583,S200000,01502,0200,Y 432583,S200000,01503,0200,Y 432583,S200000,01504,0200,Y 432583,S200000,01505,0000,OTHER (SPECIFY) 432583,S200000,01505,0200,Y 432583,S200000,01600,0100,N 432583,S200000,01700,0100,N 432583,S200000,01800,0100,N 432583,S200000,02200,0100,N 432583,S200000,02800,0100,N 432583,S200000,02900,0100,N 432583,S200000,03000,0100,N 432583,S200000,03100,0100,Y 432583,S200000,03200,0100,N 432583,S200000,03300,0100,N 432583,S200000,03300,0200,N 432583,S200000,04100,0100,N 432583,S200000,04200,0100,N 432583,S200000,04300,0100,N 432583,S200000,04600,0100,N 432583,S200000,04700,0100,N 432583,S200000,04700,0200,N 432583,S200000,04900,0100,N 432583,S200000,05000,0100,N 432583,S200000,05100,0100,N 432583,S200000,05200,0100,N 432583,S200000,05300,0100,Y 432583,S200000,05300,0200,349011 432583,S200000,05400,0100,BRITTHAVEN INC. 432583,S200000,05400,0200,NAT L GOV T 432583,S200000,05400,0300,00610 432583,S200000,05500,0100,1435 HWY 258 NORTH 432583,S200000,05500,0200,PO BOX 61 432583,S200000,05600,0100,KINSTON 432583,S200000,05600,0200,NC 432583,S200000,05600,0300,28502 432671,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432671,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432671,A000000,00300,0000,0300EMPLOYEE BENEFITS 432671,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432671,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432671,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432671,A000000,00700,0000,0700HOUSEKEEPING 432671,A000000,00800,0000,0800DIETARY 432671,A000000,00900,0000,0900NURSING ADMINISTRATION 432671,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432671,A000000,01300,0000,1300SOCIAL SERVICE 432671,A000000,01600,0000,1600SKILLED NURSING FACILITY 432671,A000000,01900,0000,1900OTHER LONG TERM CARE 432671,A000000,02100,0000,2100RADIOLOGY 432671,A000000,02200,0000,2200LABORATORY 432671,A000000,02300,0000,2300INTRAVENOUS THERAPY 432671,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432671,A000000,02500,0000,2500PHYSICAL THERAPY 432671,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432671,A000000,02700,0000,2700SPEECH PATHOLOGY 432671,A000000,02800,0000,2800ELECTROCARDIOLOGY 432671,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432671,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432671,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432671,A000000,03200,0000,3200SUPPORT SURFACES 432671,A000000,03400,0000,3400CLINIC 432671,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432671,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432671,A000000,05300,0000,5300INTEREST EXPENSE 432671,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432671,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432671,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432671,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432671,A000000,06100,0000,6100NONPAID WORKERS 432671,A000000,06200,0000,6200PATIENTS LAUNDRY 432671,A81000A,00100,0100,Y 432671,A81000B,00100,0300,MNGT FEES 432671,A81000C,00100,0100,B 432671,A81000C,00100,0400,PLUM HEALTHCARE GROUP 432671,A81000C,00100,0600,MANAGEMENT CO. 432671,B100000,00000,0100,0100SQUARE FEE T :CAP REL COSTS - BL 432671,B100000,00000,0200,0200SQUARE FEE T :CAP REL COSTS - MO 432671,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432671,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432671,B100000,00000,0500,0500SQUARE FEE T :PLANT OPERATION M 432671,B100000,00000,0600,0650PATIENT DA YS :LAUNDRY & LINEN S 432671,B100000,00000,0700,0750SQUARE FEE T :HOUSEKEEPING 432671,B100000,00000,0800,0800MEALS SERV ED :DIETARY 432671,B100000,00000,0900,0950DIRECT NRS ING :NURSING ADMINIST 432671,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 432671,B100000,00000,1300,1330PATIENT DA YS :SOCIAL SERVICE 432671,E10A180,00350,0100,05/23/11 432671,E10A180,00501,0100,05/02/12 432671,G300000,02500,0000,BEAUTY SHOP 432671,G300000,02501,0000,DONATION IN MEMORY OF RESIDENT 432671,S000000,00100,0200,03/12/12 432671,S200000,00100,0100,1620 WEST FERN AVENUE 432671,S200000,00200,0100,REDLANDS 432671,S200000,00200,0200,CA 432671,S200000,00200,0300,92373 432671,S200000,00300,0100,SAN BERNARDINO 432671,S200000,00300,0200,6790 432671,S200000,00300,0201,40140 432671,S200000,00300,0300,U 432671,S200000,00400,0100,REDLANDS HEALTHCARE 432671,S200000,00400,0200,055001 432671,S200000,00400,0300,01/01/95 432671,S200000,00400,0500,P 432671,S200000,01500,0100,Y 432671,S200000,01501,0200,Y 432671,S200000,01600,0100,N 432671,S200000,01700,0100,N 432671,S200000,01800,0100,N 432671,S200000,02200,0100,N 432671,S200000,02800,0100,N 432671,S200000,02900,0100,N 432671,S200000,03000,0100,N 432671,S200000,03100,0100,N 432671,S200000,03200,0100,N 432671,S200000,03300,0100,N 432671,S200000,03300,0200,N 432671,S200000,04100,0100,N 432671,S200000,04200,0100,N 432671,S200000,04300,0100,N 432671,S200000,04600,0100,N 432671,S200000,04700,0100,N 432671,S200000,04700,0200,N 432671,S200000,04900,0100,N 432671,S200000,05000,0100,N 432671,S200000,05100,0100,N 432671,S200000,05200,0100,N 432672,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432672,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432672,A000000,00300,0000,0300EMPLOYEE BENEFITS 432672,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432672,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432672,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432672,A000000,00700,0000,0700HOUSEKEEPING 432672,A000000,00800,0000,0800DIETARY 432672,A000000,00900,0000,0900NURSING ADMINISTRATION 432672,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432672,A000000,01100,0000,1100PHARMACY 432672,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432672,A000000,01300,0000,1300SOCIAL SERVICE 432672,A000000,01600,0000,1600SKILLED NURSING FACILITY 432672,A000000,01800,0000,1800NURSING FACILITY 432672,A000000,01900,0000,1900OTHER LONG TERM CARE 432672,A000000,02100,0000,2100RADIOLOGY 432672,A000000,02200,0000,2200LABORATORY 432672,A000000,02300,0000,2300INTRAVENOUS THERAPY 432672,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432672,A000000,02500,0000,2500PHYSICAL THERAPY 432672,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432672,A000000,02700,0000,2700SPEECH PATHOLOGY 432672,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432672,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432672,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432672,A000000,03200,0000,3200SUPPORT SURFACES 432672,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432672,A000000,04800,0000,4800AMBULANCE 432672,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432672,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432672,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432672,A81000A,00100,0100,Y 432672,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES 432672,A81000B,00200,0300,LEASE BUILDING 432672,A81000B,00300,0300,ALLOWABLE HOME OFFICE 432672,A81000B,00400,0300,PHARMACY CONSULTING FEES 432672,A81000B,00500,0300,PHARMACY OTC SUPPLIES 432672,A81000B,00600,0300,NRSG ADM IV STARTUP SERVICES 432672,A81000B,00700,0300,ADMIN SUPPLIES 432672,A81000B,00800,0300,ADMIN PURCHASED SERVICES 432672,A81000B,00900,0300,ANCILL SUPP-MEDICAL MATERIALS 432672,A81000B,01000,0300,ANCILLARY SUPPLIES-ENTERALS 432672,A81000B,01100,0300,PHARMACY EXP PHARMACEUTICALS 432672,A81000B,01200,0300,PHARMACY EXPENSE - CENSUS ERRORS 432672,A81000B,01300,0300,PHARMACEUTICALS-SOC 432672,A81000B,01400,0300,GLUCOSE MONITORING 432672,A81000B,01500,0300,I.V. THERAPIST FEES 432672,A81000B,01600,0300,I.V. THERAPY SUPPLIES 432672,A81000C,00100,0100,C 432672,A81000C,00100,0400,PACIFIC WEST PH 432672,A81000C,00100,0600,PHARMACY 432672,A81000C,00200,0100,C 432672,A81000C,00200,0400,EMERALD DISTRIB 432672,A81000C,00200,0600,DISTRIBUTORSHIP 432672,A81000C,00300,0100,F 432672,A81000C,00300,0400,HORIZON WEST HE 432672,A81000C,00300,0600,HOME OFFICE 432672,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432672,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432672,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432672,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432672,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432672,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432672,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432672,B100000,00000,0800,0800MEALS SERVED :DIETARY 432672,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432672,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432672,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432672,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 432672,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432672,G300000,02500,0000, OTHER (SPECIFY) 432672,S000000,00100,0200,08/10/12 432672,S200000,00100,0100,3280 WASHINGTON STREET 432672,S200000,00200,0100,PLACERVILLE 432672,S200000,00200,0200,CA 432672,S200000,00200,0300,95667 432672,S200000,00300,0100,EL DORADO 432672,S200000,00300,0201,40900 432672,S200000,00300,0300,U 432672,S200000,00400,0100,HORIZON WEST - EL DORADO 432672,S200000,00400,0200,056243 432672,S200000,00400,0300,11/01/70 432672,S200000,00400,0500,P 432672,S200000,01500,0100,Y 432672,S200000,01501,0200,Y 432672,S200000,01600,0100,N 432672,S200000,01700,0100,N 432672,S200000,01800,0100,N 432672,S200000,02200,0100,N 432672,S200000,02800,0100,N 432672,S200000,02900,0100,N 432672,S200000,03000,0100,N 432672,S200000,03100,0100,N 432672,S200000,03200,0100,N 432672,S200000,03300,0100,N 432672,S200000,03300,0200,N 432672,S200000,04100,0100,N 432672,S200000,04200,0100,N 432672,S200000,04300,0100,N 432672,S200000,04600,0100,N 432672,S200000,04700,0100,N 432672,S200000,04700,0200,N 432672,S200000,04900,0100,N 432672,S200000,05000,0100,N 432672,S200000,05100,0100,N 432672,S200000,05200,0100,N 432672,S200000,05300,0100,Y 432672,S200000,05300,0200,951175 432672,S200000,05400,0100,HORIZON WEST HEADQUARTERS 432672,S200000,05400,0200,PALMETTO GBA 432672,S200000,05400,0300,01001 432672,S200000,05500,0100,4020 SIERRA COLLEGE 432672,S200000,05600,0100,ROCKLIN 432672,S200000,05600,0200,CA 432672,S200000,05600,0300,95677 432673,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432673,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432673,A000000,00300,0000,0300EMPLOYEE BENEFITS 432673,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432673,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432673,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432673,A000000,00700,0000,0700HOUSEKEEPING 432673,A000000,00800,0000,0800DIETARY 432673,A000000,00900,0000,0900NURSING ADMINISTRATION 432673,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432673,A000000,01100,0000,1100PHARMACY 432673,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432673,A000000,01300,0000,1300SOCIAL SERVICE 432673,A000000,01600,0000,1600SKILLED NURSING FACILITY 432673,A000000,01800,0000,1800NURSING FACILITY 432673,A000000,01900,0000,1900OTHER LONG TERM CARE 432673,A000000,02100,0000,2100RADIOLOGY 432673,A000000,02200,0000,2200LABORATORY 432673,A000000,02300,0000,2300INTRAVENOUS THERAPY 432673,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432673,A000000,02500,0000,2500PHYSICAL THERAPY 432673,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432673,A000000,02700,0000,2700SPEECH PATHOLOGY 432673,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432673,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432673,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432673,A000000,03200,0000,3200SUPPORT SURFACES 432673,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432673,A000000,04800,0000,4800AMBULANCE 432673,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432673,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432673,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432673,A81000A,00100,0100,Y 432673,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 432673,A81000B,00200,0300,LEASE BUILDING 432673,A81000B,00300,0300,ALLOWABLE HOME OFFICE 432673,A81000B,00400,0300,PHARMACY CONSULTING FEES (SNF) 432673,A81000B,00500,0300,PHARMACY OTC SUPPLIES 432673,A81000B,00600,0300,ADMIN SUPPLIES 432673,A81000B,00700,0300,ADMIN PURCHASED SERVICES 432673,A81000B,00800,0300,ANCILL SUPP - MEDICAL MATERIALS 432673,A81000B,00900,0300,ANCILLARY SUPPLIES - ENTERALS 432673,A81000B,01000,0300,PHARMACY EXP PHARMACEUTICALS 432673,A81000B,01100,0300,PHARMACY EXPENSE - CENSUS ERRORS 432673,A81000B,01200,0300,PHARMACEUTICALS-SOC 432673,A81000B,01300,0300,GLUCOSE MONITORING SUPPLIES 432673,A81000B,01400,0300,I.V. THERAPY SUPPLIES 432673,A81000C,00100,0100,C 432673,A81000C,00100,0400,PACIFIC WEST PH 432673,A81000C,00100,0600,PHARMACY 432673,A81000C,00200,0100,C 432673,A81000C,00200,0400,EMERALD DISTRIB 432673,A81000C,00200,0600,DISTRIBUTORSHIP 432673,A81000C,00300,0100,F 432673,A81000C,00300,0400,HORIZON WEST HE 432673,A81000C,00300,0600,HOME OFFICE 432673,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432673,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432673,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432673,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432673,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432673,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432673,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432673,B100000,00000,0800,0800MEALS SERVED :DIETARY 432673,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432673,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432673,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432673,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 432673,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432673,G300000,02500,0000, OTHER (SPECIFY) 432673,S000000,00100,0200,08/10/12 432673,S200000,00100,0100,3529 WALNUT AVENUE 432673,S200000,00200,0100,CARMICHAEL 432673,S200000,00200,0200,CA 432673,S200000,00200,0300,95608 432673,S200000,00300,0100,SACRAMENTO 432673,S200000,00300,0201,40900 432673,S200000,00300,0300,U 432673,S200000,00400,0100,HORIZON WEST - CARMICHAEL 432673,S200000,00400,0200,056410 432673,S200000,00400,0300,10/01/73 432673,S200000,00400,0500,P 432673,S200000,01500,0100,Y 432673,S200000,01501,0200,Y 432673,S200000,01600,0100,N 432673,S200000,01700,0100,N 432673,S200000,01800,0100,N 432673,S200000,02200,0100,N 432673,S200000,02800,0100,N 432673,S200000,02900,0100,N 432673,S200000,03000,0100,N 432673,S200000,03100,0100,N 432673,S200000,03200,0100,N 432673,S200000,03300,0100,N 432673,S200000,03300,0200,N 432673,S200000,04100,0100,N 432673,S200000,04200,0100,N 432673,S200000,04300,0100,N 432673,S200000,04600,0100,N 432673,S200000,04700,0100,N 432673,S200000,04700,0200,N 432673,S200000,04900,0100,N 432673,S200000,05000,0100,N 432673,S200000,05100,0100,N 432673,S200000,05200,0100,N 432673,S200000,05300,0100,Y 432673,S200000,05300,0200,951175 432673,S200000,05400,0100,HORIZON WEST HEADQUARTERS 432673,S200000,05400,0200,PALMETTO GBA 432673,S200000,05400,0300,01001 432673,S200000,05500,0100,4020 SIERRA COLLEGE 432673,S200000,05600,0100,ROCKLIN 432673,S200000,05600,0200,CA 432673,S200000,05600,0300,95677 432676,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432676,A000000,00300,0000,0300EMPLOYEE BENEFITS 432676,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432676,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432676,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432676,A000000,00700,0000,0700HOUSEKEEPING 432676,A000000,00800,0000,0800DIETARY 432676,A000000,00900,0000,0900NURSING ADMINISTRATION 432676,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432676,A000000,01100,0000,1100PHARMACY 432676,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432676,A000000,01300,0000,1300SOCIAL SERVICE 432676,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432676,A000000,01500,0000,1350OTHER GENERAL SERVICES 432676,A000000,01600,0000,1600SKILLED NURSING FACILITY 432676,A000000,01800,0000,1800NURSING FACILITY 432676,A000000,01810,0000,1810ICF/MR 432676,A000000,01900,0000,1900OTHER LONG TERM CARE 432676,A000000,02100,0000,2100RADIOLOGY 432676,A000000,02200,0000,2200LABORATORY 432676,A000000,02300,0000,2300INTRAVENOUS THERAPY 432676,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432676,A000000,02500,0000,2500PHYSICAL THERAPY 432676,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432676,A000000,02700,0000,2700SPEECH PATHOLOGY 432676,A000000,02800,0000,2800ELECTROCARDIOLOGY 432676,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432676,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432676,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432676,A000000,03200,0000,3200SUPPORT SURFACES 432676,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432676,A000000,03400,0000,3400CLINIC 432676,A000000,03500,0000,3500RURAL HEALTH CLINIC 432676,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432676,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432676,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432676,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432676,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432676,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432676,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432676,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432676,A000000,04400,0000,4400DME RENTED - HHA 432676,A000000,04500,0000,4500DME SOLD - HHA 432676,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432676,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432676,A000000,04710,0000,4710TELEMEDICINE 432676,A000000,04800,0000,4800AMBULANCE 432676,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432676,A000000,05000,0000,5000CORF 432676,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432676,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432676,A000000,05300,0000,5300INTEREST EXPENSE 432676,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432676,A000000,05500,0000,5500HOSPICE 432676,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432676,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432676,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432676,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432676,A000000,06100,0000,6100NONPAID WORKERS 432676,A000000,06200,0000,6200PATIENTS LAUNDRY 432676,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432676,A81000A,00100,0100,Y 432676,A81000B,00100,0300,HOME OFFICE EXPENSES 432676,A81000C,00100,0100,B 432676,A81000C,00100,0400,DESERT HC FACILITIES 432676,A81000C,00100,0600,OPERATIONS MANAGEMENT 432676,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432676,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432676,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432676,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432676,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 432676,B100000,00000,0700,0750RESIDENT DAYS :HOUSEKEEPING 432676,B100000,00000,0800,0800MEALS SERVED :DIETARY 432676,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432676,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 432676,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 432676,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 432676,E10A180,00501,0100,02/13/12 432676,G300000,02500,0000,BARBER AND BEAUTY 432676,G300000,02501,0000,OTHER REVENUE 432676,G300000,02502,0000,ROUNDING 432676,S000000,00100,0200,02/01/12 432676,S200000,00100,0100,272 PIONEER BLVD 432676,S200000,00100,0300,N/A 432676,S200000,00200,0100,MESQUITE 432676,S200000,00200,0200,NV 432676,S200000,00200,0300,89072 432676,S200000,00300,0100,CLARK 432676,S200000,00300,0200,4120 432676,S200000,00300,0201,29820 432676,S200000,00300,0300,U 432676,S200000,00400,0100,HIGHLAND MANOR OF MESQUITE 432676,S200000,00400,0200,295068 432676,S200000,00400,0300,04/19/99 432676,S200000,00400,0500,P 432676,S200000,01500,0100,Y 432676,S200000,01501,0200,Y 432676,S200000,01600,0100,N 432676,S200000,01700,0100,N 432676,S200000,01800,0100,N 432676,S200000,02200,0100,N 432676,S200000,02800,0100,N 432676,S200000,02900,0100,N 432676,S200000,03000,0100,N 432676,S200000,03100,0100,N 432676,S200000,03200,0100,N 432676,S200000,03300,0100,N 432676,S200000,03300,0200,N 432676,S200000,04100,0100,N 432676,S200000,04200,0100,N 432676,S200000,04300,0100,N 432676,S200000,04600,0100,N 432676,S200000,04700,0100,N 432676,S200000,04700,0200,N 432676,S200000,04900,0100,N 432676,S200000,05000,0100,N 432676,S200000,05100,0100,N 432676,S200000,05200,0100,N 432676,S200000,05300,0100,Y 432676,S200000,05300,0200,HB172 432676,S200000,05400,0100,DESERT HEALTH CARE FACILITIES INC. 432676,S200000,05400,0200,FIRST COAST SERVICE OPTION 432676,S200000,05400,0300,90001 432676,S200000,05500,0100,532 RIVERSIDE AVE 432676,S200000,05600,0100,JACKSONVILLE 432676,S200000,05600,0200,FL 432676,S200000,05600,0300,32202-4918 432677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432677,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432677,A000000,00300,0000,0300EMPLOYEE BENEFITS 432677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432677,A000000,00700,0000,0700HOUSEKEEPING 432677,A000000,00800,0000,0800DIETARY 432677,A000000,00900,0000,0900NURSING ADMINISTRATION 432677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432677,A000000,01100,0000,1100PHARMACY 432677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432677,A000000,01300,0000,1300SOCIAL SERVICE 432677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432677,A000000,01500,0000,1350OTHER GENERAL SERVICES 432677,A000000,01600,0000,1600SKILLED NURSING FACILITY 432677,A000000,01800,0000,1800NURSING FACILITY 432677,A000000,01810,0000,1810ICF/MR 432677,A000000,01900,0000,1900OTHER LONG TERM CARE 432677,A000000,02100,0000,2100RADIOLOGY 432677,A000000,02200,0000,2200LABORATORY 432677,A000000,02300,0000,2300INTRAVENOUS THERAPY 432677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432677,A000000,02500,0000,2500PHYSICAL THERAPY 432677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432677,A000000,02700,0000,2700SPEECH PATHOLOGY 432677,A000000,02800,0000,2800ELECTROCARDIOLOGY 432677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432677,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432677,A000000,03200,0000,3200SUPPORT SURFACES 432677,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432677,A000000,03400,0000,3400CLINIC 432677,A000000,03500,0000,3500RURAL HEALTH CLINIC 432677,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432677,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432677,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432677,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432677,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432677,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432677,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432677,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432677,A000000,04400,0000,4400DME RENTED - HHA 432677,A000000,04500,0000,4500DME SOLD - HHA 432677,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432677,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432677,A000000,04710,0000,4710TELEMEDICINE 432677,A000000,04800,0000,4800AMBULANCE 432677,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432677,A000000,05000,0000,5000CORF 432677,A000000,05100,0000,4750OTHER REIMBURSABLE COSTS 432677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432677,A000000,05300,0000,5300INTEREST EXPENSE 432677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432677,A000000,05500,0000,5500HOSPICE 432677,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432677,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432677,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432677,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432677,A000000,06100,0000,6100NONPAID WORKERS 432677,A000000,06200,0000,6200PATIENTS LAUNDRY 432677,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432677,A81000A,00100,0100,Y 432677,A81000B,00100,0300,HOME OFFICE EXPENSE 432677,A81000C,00100,0100,B 432677,A81000C,00100,0400,DESERT HC FACILITIES INC 432677,A81000C,00100,0600,OPERATIONS MANAGEMENT 432677,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432677,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432677,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432677,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432677,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 432677,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432677,B100000,00000,0800,0800MEALS SERVED :DIETARY 432677,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432677,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 432677,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 432677,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 432677,E10A180,00501,0100,03/09/12 432677,G300000,02500,0000,OTHER MEDICAL SERVICES 432677,G300000,02501,0000,BARBER AND BEAUTY 432677,G300000,02502,0000,OTHER REVENUE 432677,G300000,02503,0000,ROUNDING 432677,S000000,00100,0200,02/01/12 432677,S200000,00100,0100,2850 RUBY VISTA DR. 432677,S200000,00200,0100,ELKO 432677,S200000,00200,0200,NV 432677,S200000,00200,0300,89801 432677,S200000,00300,0100,ELKO 432677,S200000,00300,0200,29 432677,S200000,00300,0201,99929 432677,S200000,00300,0300,R 432677,S200000,00400,0100,HIGHLAND MANOR OF ELKO 432677,S200000,00400,0200,295078 432677,S200000,00400,0300,02/16/01 432677,S200000,00400,0500,P 432677,S200000,01500,0100,Y 432677,S200000,01501,0200,Y 432677,S200000,01600,0100,N 432677,S200000,01700,0100,N 432677,S200000,01800,0100,N 432677,S200000,02200,0100,N 432677,S200000,02800,0100,N 432677,S200000,02900,0100,N 432677,S200000,03000,0100,N 432677,S200000,03100,0100,N 432677,S200000,03200,0100,N 432677,S200000,03300,0100,N 432677,S200000,03300,0200,N 432677,S200000,04100,0100,N 432677,S200000,04200,0100,N 432677,S200000,04300,0100,N 432677,S200000,04600,0100,N 432677,S200000,04700,0100,N 432677,S200000,04700,0200,N 432677,S200000,04900,0100,N 432677,S200000,05000,0100,N 432677,S200000,05100,0100,N 432677,S200000,05200,0100,N 432677,S200000,05300,0100,Y 432677,S200000,05300,0200,HB 172 432677,S200000,05400,0100,DESERT HEALTH CARE FACILITIES INC. 432677,S200000,05400,0200,FIRSTS COAST SERVICE OPTION 432677,S200000,05400,0300,90001 432677,S200000,05500,0100,532 RIVERSIDE AVE 432677,S200000,05600,0100,JACKSONVILLE 432677,S200000,05600,0200,FL 432677,S200000,05600,0300,32202-4918 432678,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432678,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432678,A000000,00300,0000,0300EMPLOYEE BENEFITS 432678,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432678,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432678,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432678,A000000,00700,0000,0700HOUSEKEEPING 432678,A000000,00800,0000,0800DIETARY 432678,A000000,00900,0000,0900NURSING ADMINISTRATION 432678,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432678,A000000,01100,0000,1100PHARMACY 432678,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432678,A000000,01300,0000,1300SOCIAL SERVICE 432678,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432678,A000000,01500,0000,1350OTHER GENERAL SERVICES 432678,A000000,01600,0000,1600SKILLED NURSING FACILITY 432678,A000000,01800,0000,1800NURSING FACILITY 432678,A000000,01810,0000,1810ICF/MR 432678,A000000,01900,0000,1900OTHER LONG TERM CARE 432678,A000000,02100,0000,2100RADIOLOGY 432678,A000000,02200,0000,2200LABORATORY 432678,A000000,02300,0000,2300INTRAVENOUS THERAPY 432678,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432678,A000000,02500,0000,2500PHYSICAL THERAPY 432678,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432678,A000000,02700,0000,2700SPEECH PATHOLOGY 432678,A000000,02800,0000,2800ELECTROCARDIOLOGY 432678,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432678,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432678,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432678,A000000,03200,0000,3200SUPPORT SURFACES 432678,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432678,A000000,03400,0000,3400CLINIC 432678,A000000,03500,0000,3500RURAL HEALTH CLINIC 432678,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432678,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432678,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432678,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432678,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432678,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432678,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432678,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432678,A000000,04400,0000,4400DME RENTED - HHA 432678,A000000,04500,0000,4500DME SOLD - HHA 432678,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432678,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432678,A000000,04710,0000,4710TELEMEDICINE 432678,A000000,04800,0000,4800AMBULANCE 432678,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432678,A000000,05000,0000,5000CORF 432678,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432678,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432678,A000000,05300,0000,5300INTEREST EXPENSE 432678,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432678,A000000,05500,0000,5500HOSPICE 432678,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432678,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432678,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432678,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432678,A000000,06100,0000,6100NONPAID WORKERS 432678,A000000,06200,0000,6200PATIENTS LAUNDRY 432678,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432678,A81000A,00100,0100,Y 432678,A81000B,00100,0300,A&G 432678,A81000C,00100,0100,B 432678,A81000C,00100,0400,DESERT HEALTH CARE FACILI 432678,A81000C,00100,0600,OPERATIONS MANAGEMENTS 432678,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432678,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432678,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432678,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432678,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432678,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432678,B100000,00000,0800,0800MEALS SERVED :DIETARY 432678,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432678,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432678,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432678,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432678,E10A180,00501,0100,02/17/12 432678,G300000,02500,0000,OTHER MEDICAL SERVICES 432678,G300000,02501,0000,BARBER AND BEAUTY 432678,G300000,02502,0000,OTHER REVENUE 432678,S000000,00100,0200,02/01/12 432678,S200000,00100,0100,550 N. SHERMAN RD. 432678,S200000,00200,0100,FALLON 432678,S200000,00200,0200,NV 432678,S200000,00200,0300,89406 432678,S200000,00300,0100,CHURCHILL 432678,S200000,00300,0200,9929 432678,S200000,00300,0201,29820 432678,S200000,00300,0300,U 432678,S200000,00400,0100,HIGHLAND MANOR OF FALLON 432678,S200000,00400,0200,295085 432678,S200000,00400,0300,05/07/05 432678,S200000,00400,0500,P 432678,S200000,01500,0100,Y 432678,S200000,01501,0200,Y 432678,S200000,01600,0100,N 432678,S200000,01700,0100,N 432678,S200000,01800,0100,N 432678,S200000,02200,0100,N 432678,S200000,02800,0100,N 432678,S200000,02900,0100,N 432678,S200000,03000,0100,N 432678,S200000,03100,0100,N 432678,S200000,03200,0100,N 432678,S200000,03300,0100,N 432678,S200000,03300,0200,N 432678,S200000,04100,0100,N 432678,S200000,04200,0100,N 432678,S200000,04300,0100,N 432678,S200000,04600,0100,N 432678,S200000,04700,0100,N 432678,S200000,04700,0200,N 432678,S200000,04900,0100,N 432678,S200000,05000,0100,N 432678,S200000,05100,0100,N 432678,S200000,05200,0100,N 432678,S200000,05300,0100,Y 432678,S200000,05300,0200,HB0172 432678,S200000,05400,0100,DESERT HEALTH CARE FACILITIES INC. 432678,S200000,05400,0200,FIRST COAST SERVICE OPTION 432678,S200000,05400,0300,90001 432678,S200000,05500,0100,532 RIVERSIDE AVE 432678,S200000,05600,0100,JACKSONVILLE 432678,S200000,05600,0200,FL 432678,S200000,05600,0300,32202-4918 432679,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432679,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432679,A000000,00300,0000,0300EMPLOYEE BENEFITS 432679,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432679,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432679,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432679,A000000,00700,0000,0700HOUSEKEEPING 432679,A000000,00800,0000,0800DIETARY 432679,A000000,00900,0000,0900NURSING ADMINISTRATION 432679,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432679,A000000,01100,0000,1100PHARMACY 432679,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432679,A000000,01300,0000,1300SOCIAL SERVICE 432679,A000000,01600,0000,1600SKILLED NURSING FACILITY 432679,A000000,01800,0000,1800NURSING FACILITY 432679,A000000,01900,0000,1900OTHER LONG TERM CARE 432679,A000000,02100,0000,2100RADIOLOGY 432679,A000000,02200,0000,2200LABORATORY 432679,A000000,02300,0000,2300INTRAVENOUS THERAPY 432679,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432679,A000000,02500,0000,2500PHYSICAL THERAPY 432679,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432679,A000000,02700,0000,2700SPEECH PATHOLOGY 432679,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432679,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432679,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432679,A000000,03200,0000,3200SUPPORT SURFACES 432679,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432679,A000000,04800,0000,4800AMBULANCE 432679,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432679,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432679,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432679,A81000A,00100,0100,Y 432679,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 432679,A81000B,00200,0300,LEASE BUILDING 432679,A81000B,00300,0300,ALLOWABLE HOME OFFICE 432679,A81000B,00400,0300,GLUCOSE MONITORING SUPPLIES 432679,A81000C,00100,0100,C 432679,A81000C,00100,0400,PACIFIC WEST PH 432679,A81000C,00100,0600,PHARMACY 432679,A81000C,00200,0100,C 432679,A81000C,00200,0400,EMERALD DISTRIB 432679,A81000C,00200,0600,DISTRIBUTORSHIP 432679,A81000C,00300,0100,F 432679,A81000C,00300,0400,HORIZON WEST HE 432679,A81000C,00300,0600,HOME OFFICE 432679,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432679,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432679,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432679,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432679,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432679,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432679,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432679,B100000,00000,0800,0800MEALS SERVED :DIETARY 432679,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432679,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432679,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432679,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 432679,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432679,G300000,02500,0000, OTHER (SPECIFY) 432679,S000000,00100,0200,01/30/12 432679,S200000,00100,0100,250 EAST 600 NORTH 432679,S200000,00200,0100,PRICE 432679,S200000,00200,0200,UT 432679,S200000,00200,0300,84501 432679,S200000,00300,0100,CARBON 432679,S200000,00300,0201,99946 432679,S200000,00300,0300,R 432679,S200000,00400,0100,PARKDALE CARE CENTER 432679,S200000,00400,0200,465102 432679,S200000,00400,0300,11/01/85 432679,S200000,00400,0500,P 432679,S200000,01500,0100,Y 432679,S200000,01501,0200,Y 432679,S200000,01600,0100,N 432679,S200000,01700,0100,N 432679,S200000,01800,0100,N 432679,S200000,02200,0100,N 432679,S200000,02800,0100,N 432679,S200000,02900,0100,N 432679,S200000,03000,0100,N 432679,S200000,03100,0100,N 432679,S200000,03200,0100,N 432679,S200000,03300,0100,N 432679,S200000,03300,0200,N 432679,S200000,04100,0100,N 432679,S200000,04200,0100,N 432679,S200000,04300,0100,N 432679,S200000,04600,0100,N 432679,S200000,04700,0100,N 432679,S200000,04700,0200,N 432679,S200000,04900,0100,N 432679,S200000,05000,0100,N 432679,S200000,05100,0100,N 432679,S200000,05200,0100,N 432679,S200000,05300,0100,Y 432679,S200000,05300,0200,951175 432679,S200000,05400,0100,HORIZON WEST HEADQUARTERS 432679,S200000,05400,0200,PALMETTO GBA 432679,S200000,05400,0300,01001 432679,S200000,05500,0100,4020 SIERRA COLLEGE 432679,S200000,05600,0100,ROCKLIN 432679,S200000,05600,0200,CA 432679,S200000,05600,0300,95677 432682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432682,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432682,A000000,00300,0000,0300EMPLOYEE BENEFITS 432682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432682,A000000,00700,0000,0700HOUSEKEEPING 432682,A000000,00800,0000,0800DIETARY 432682,A000000,00900,0000,0900NURSING ADMINISTRATION 432682,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432682,A000000,01100,0000,1100PHARMACY 432682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432682,A000000,01300,0000,1300SOCIAL SERVICE 432682,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432682,A000000,01500,0000,1350PATIENT ACTIVITIES 432682,A000000,01600,0000,1600SKILLED NURSING FACILITY 432682,A000000,01800,0000,1800NURSING FACILITY 432682,A000000,01810,0000,1810ICF/MR 432682,A000000,01900,0000,1900OTHER LONG TERM CARE 432682,A000000,02100,0000,2100RADIOLOGY 432682,A000000,02200,0000,2200LABORATORY 432682,A000000,02300,0000,2300INTRAVENOUS THERAPY 432682,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432682,A000000,02500,0000,2500PHYSICAL THERAPY 432682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432682,A000000,02700,0000,2700SPEECH PATHOLOGY 432682,A000000,02800,0000,2800ELECTROCARDIOLOGY 432682,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432682,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432682,A000000,03200,0000,3200SUPPORT SURFACES 432682,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432682,A000000,03400,0000,3400CLINIC 432682,A000000,03500,0000,3500RURAL HEALTH CLINIC 432682,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432682,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432682,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432682,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432682,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432682,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432682,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432682,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432682,A000000,04400,0000,4400DME RENTED - HHA 432682,A000000,04500,0000,4500DME SOLD - HHA 432682,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432682,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432682,A000000,04710,0000,4710TELEMEDICINE 432682,A000000,04800,0000,4800AMBULANCE 432682,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432682,A000000,05000,0000,5000CORF 432682,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432682,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432682,A000000,05300,0000,5300INTEREST EXPENSE 432682,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432682,A000000,05500,0000,5500HOSPICE 432682,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432682,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432682,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432682,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432682,A000000,06100,0000,6100NONPAID WORKERS 432682,A000000,06200,0000,6200PATIENTS LAUNDRY 432682,A000000,06201,0000,6201OTHER PROGRAMMING 432682,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432682,A000000,06301,0000,6151OTHER MEALS 432682,A81000A,00100,0100,Y 432682,A81000B,00100,0300,LINCOLN COUNTY HEALTH CARE 432682,A81000B,00200,0300,MAINE MEDICAL CENTER 432682,A81000B,00300,0300,MAINEHEALTH 432682,A81000B,00400,0300,MAINEHEALTH 432682,A81000B,00500,0300,LINCOLN COUNTY MEDICAL GROUP 432682,A81000B,00600,0300,NORDX 432682,A81000B,00700,0300,SYNERNET 432682,A81000B,00800,0300,MILES MEMORIAL HOSPITAL 432682,A81000B,00900,0300,ST. ANDREWS HOSPITAL 432682,A81000C,00100,0100,B 432682,A81000C,00100,0200,LINCOLN COUNTY HLTH CARE 432682,A81000C,00100,0600,HOME OFFICE/HOSPITAL 432682,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432682,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432682,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432682,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432682,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432682,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432682,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432682,B100000,00000,0800,0800MEALS SERVED :DIETARY 432682,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432682,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432682,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 432682,G300000,02500,0000,OTHER OPERATING REVENUE 432682,H513100,00000,0000,27260 432682,H513200,00000,0000,38860 432682,H513300,00000,0000,99920 432682,S000000,00100,0200,03/02/12 432682,S200000,00100,0100,26 SCHOONER ST 432682,S200000,00200,0100,DAMARISCOTTA 432682,S200000,00200,0200,ME 432682,S200000,00200,0300,04543 432682,S200000,00300,0100,LINCOLN 432682,S200000,00300,0200,20 432682,S200000,00300,0201,99920 432682,S200000,00300,0300,R 432682,S200000,00400,0100,COVE S EDGE 432682,S200000,00400,0200,205067 432682,S200000,00400,0300,06/29/91 432682,S200000,00400,0500,P 432682,S200000,00800,0200,207034 432682,S200000,00800,0300,02/10/10 432682,S200000,00800,0500,P 432682,S200000,01200,0200,201505 432682,S200000,01200,0300,03/08/10 432682,S200000,01500,0100,N 432682,S200000,01501,0200,Y 432682,S200000,01600,0100,Y 432682,S200000,01700,0100,N 432682,S200000,01800,0100,N 432682,S200000,02200,0100,Y 432682,S200000,02800,0100,N 432682,S200000,02900,0100,N 432682,S200000,03000,0100,N 432682,S200000,03100,0100,N 432682,S200000,03200,0100,N 432682,S200000,03300,0100,N 432682,S200000,03300,0200,N 432682,S200000,03700,0100,N 432682,S200000,03700,0200,N 432682,S200000,04100,0100,N 432682,S200000,04200,0100,N 432682,S200000,04300,0100,N 432682,S200000,04600,0100,N 432682,S200000,04700,0100,N 432682,S200000,04700,0200,N 432682,S200000,04900,0100,N 432682,S200000,05000,0100,N 432682,S200000,05100,0100,N 432682,S200000,05200,0100,N 432682,S200000,05300,0100,Y 432682,S200000,05300,0200,HO1302 432682,S200000,05400,0100,LINCOLN COUNTY HEALTH CARE 432682,S200000,05400,0200,NHIC 432682,S200000,05400,0300,14001 432682,S200000,05500,0100,6 ST. ANDREWS LANE 432682,S200000,05600,0100,BOOTH BAY HARBOR 432682,S200000,05600,0200,ME 432682,S200000,05600,0300,04538 432682,S410002,01700,0101,27260 432682,S410002,01701,0101,38860 432682,S410002,01702,0101,99920 432688,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432688,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432688,A000000,00300,0000,0300EMPLOYEE BENEFITS 432688,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432688,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432688,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432688,A000000,00700,0000,0700HOUSEKEEPING 432688,A000000,00800,0000,0800DIETARY 432688,A000000,00900,0000,0900NURSING ADMINISTRATION 432688,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432688,A000000,01100,0000,1100PHARMACY 432688,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432688,A000000,01300,0000,1300SOCIAL SERVICE 432688,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432688,A000000,01600,0000,1600SKILLED NURSING FACILITY 432688,A000000,01800,0000,1800NURSING FACILITY 432688,A000000,01900,0000,1900OTHER LONG TERM CARE 432688,A000000,02100,0000,2100RADIOLOGY 432688,A000000,02200,0000,2200LABORATORY 432688,A000000,02300,0000,2300INTRAVENOUS THERAPY 432688,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432688,A000000,02500,0000,2500PHYSICAL THERAPY 432688,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432688,A000000,02700,0000,2700SPEECH PATHOLOGY 432688,A000000,02800,0000,2800ELECTROCARDIOLOGY 432688,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432688,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432688,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432688,A000000,03200,0000,3200SUPPORT SURFACES 432688,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432688,A000000,03400,0000,3400CLINIC 432688,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432688,A000000,04800,0000,4800AMBULANCE 432688,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432688,A000000,05000,0000,5000CORF 432688,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432688,A000000,05300,0000,5300INTEREST EXPENSE 432688,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432688,A000000,05500,0000,5500HOSPICE 432688,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432688,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432688,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432688,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432688,A000000,06100,0000,6100NONPAID WORKERS 432688,A000000,06200,0000,6200PATIENTS LAUNDRY 432688,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432688,A81000A,00100,0100,Y 432688,A81000B,00100,0300,NURSING CONSULTING 432688,A81000B,00200,0300,DIETARY CONSULTING 432688,A81000B,00300,0300,HOME OFFICE 432688,A81000B,00400,0300,INTEREST EXPENSE 432688,A81000B,00500,0300,WORKERS COMPENSATION 432688,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 432688,A81000B,00700,0300,MAINTENANCE SUPPLIES 432688,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 432688,A81000B,00900,0300,REPAIRS - EQUIPMENT 432688,A81000B,01000,0300,LINEN & BEDDING 432688,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 432688,A81000B,01200,0300,LAUNDRY SUPPLIES 432688,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 432688,A81000B,01400,0300,PAPER PRODUCTS & HAND SOAP 432688,A81000B,01500,0300,HOUSEKEEPING SUPPLIES 432688,A81000B,01600,0300,DIETARY SUPPLEMENTS 432688,A81000B,01700,0300,RAW FOOD 432688,A81000B,01800,0300,DIETARY SUPPLIES 432688,A81000B,01900,0300,BIO-MEDICAL WASTE 432688,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 432688,A81000B,02100,0300,PERSONAL CARE SUPPLIES 432688,A81000B,02200,0300,INCONTINENCE SUPPLIES 432688,A81000B,02300,0300,MEDICAL SUPPLIES 432688,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 432688,A81000B,02500,0300,CONTRACT SERVICES 432688,A81000B,02600,0300,MINOR EQUIPMENT EXPENSE 432688,A81000B,02700,0300,PT SUPPLIES 432688,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 432688,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 432688,A81000C,00100,0100,B 432688,A81000C,00100,0200,PLTC & PITS INC 432688,A81000C,00100,0400,PLTC & PITS INC 432688,A81000C,00100,0600,MGMT SERVICES 432688,A81000C,00200,0100,B 432688,A81000C,00200,0200,PLTC & PITS INC 432688,A81000C,00200,0400,PLTC & PITS INC 432688,A81000C,00200,0600,MGMT SERVICES 432688,A81000C,00300,0100,B 432688,A81000C,00300,0200,PLTC & PITS INC 432688,A81000C,00300,0400,PLTC & PITS INC 432688,A81000C,00300,0600,MGMT SERVICES 432688,A81000C,00400,0100,B 432688,A81000C,00400,0200,PLTC & PITS INC 432688,A81000C,00400,0400,PLTC & PITS INC 432688,A81000C,00400,0600,MGMT SERVICES 432688,A81000C,00500,0100,A 432688,A81000C,00500,0200,SHAREHOLDERS 432688,A81000C,00500,0400,DISCOVERY INSUR 432688,A81000C,00500,0600,INSURANCE 432688,A81000C,00600,0100,A 432688,A81000C,00600,0200,SHAREHOLDERS 432688,A81000C,00600,0400,QUEENSLAND ASSU 432688,A81000C,00600,0600,INSURANCE 432688,A81000C,00700,0100,A 432688,A81000C,00700,0200,SHAREHOLDERS 432688,A81000C,00700,0400,KARE MEDICAL 432688,A81000C,00700,0600,WHOLESALE SUPPL 432688,A81000C,00800,0100,A 432688,A81000C,00800,0200,SHAREHOLDERS 432688,A81000C,00800,0400,KARE MEDICAL 432688,A81000C,00800,0600,WHOLESALE SUPPL 432688,A81000C,00900,0100,A 432688,A81000C,00900,0200,SHAREHOLDERS 432688,A81000C,00900,0400,KARE MEDICAL 432688,A81000C,00900,0600,WHOLESALE SUPPL 432688,A81000C,01000,0100,A 432688,A81000C,01000,0200,SHAREHOLDERS 432688,A81000C,01000,0400,KARE MEDICAL 432688,A81000C,01000,0600,WHOLESALE SUPPL 432688,A81000C,01001,0100,A 432688,A81000C,01001,0200,SHAREHOLDERS 432688,A81000C,01001,0400,KARE MEDICAL 432688,A81000C,01001,0600,WHOLESALE SUPPL 432688,A81000C,01002,0100,A 432688,A81000C,01002,0200,SHAREHOLDERS 432688,A81000C,01002,0400,KARE MEDICAL 432688,A81000C,01002,0600,WHOLESALE SUPPL 432688,A81000C,01003,0100,A 432688,A81000C,01003,0200,SHAREHOLDERS 432688,A81000C,01003,0400,KARE MEDICAL 432688,A81000C,01003,0600,WHOLESALE SUPPL 432688,A81000C,01004,0100,A 432688,A81000C,01004,0200,SHAREHOLDERS 432688,A81000C,01004,0400,KARE MEDICAL 432688,A81000C,01004,0600,WHOLESALE SUPPL 432688,A81000C,01005,0100,A 432688,A81000C,01005,0200,SHAREHOLDERS 432688,A81000C,01005,0400,KARE MEDICAL 432688,A81000C,01005,0600,WHOLESALE SUPPL 432688,A81000C,01006,0100,A 432688,A81000C,01006,0200,SHAREHOLDERS 432688,A81000C,01006,0400,KARE MEDICAL 432688,A81000C,01006,0600,WHOLESALE SUPPL 432688,A81000C,01007,0100,A 432688,A81000C,01007,0200,SHAREHOLDERS 432688,A81000C,01007,0400,KARE MEDICAL 432688,A81000C,01007,0600,WHOLESALE SUPPL 432688,A81000C,01008,0100,A 432688,A81000C,01008,0200,SHAREHOLDERS 432688,A81000C,01008,0400,KARE MEDICAL 432688,A81000C,01008,0600,WHOLESALE SUPPL 432688,A81000C,01009,0100,A 432688,A81000C,01009,0200,SHAREHOLDERS 432688,A81000C,01009,0400,KARE MEDICAL 432688,A81000C,01009,0600,WHOLESALE SUPPL 432688,A81000C,01010,0100,A 432688,A81000C,01010,0200,SHAREHOLDERS 432688,A81000C,01010,0400,KARE MEDICAL 432688,A81000C,01010,0600,WHOLESALE SUPPL 432688,A81000C,01011,0100,A 432688,A81000C,01011,0200,SHAREHOLDERS 432688,A81000C,01011,0400,KARE MEDICAL 432688,A81000C,01011,0600,WHOLESALE SUPPL 432688,A81000C,01012,0100,A 432688,A81000C,01012,0200,SHAREHOLDERS 432688,A81000C,01012,0400,KARE MEDICAL 432688,A81000C,01012,0600,WHOLESALE SUPPL 432688,A81000C,01013,0100,A 432688,A81000C,01013,0200,SHAREHOLDERS 432688,A81000C,01013,0400,KARE MEDICAL 432688,A81000C,01013,0600,WHOLESALE SUPPL 432688,A81000C,01014,0100,A 432688,A81000C,01014,0200,SHAREHOLDERS 432688,A81000C,01014,0400,KARE MEDICAL 432688,A81000C,01014,0600,WHOLESALE SUPPL 432688,A81000C,01015,0100,A 432688,A81000C,01015,0200,SHAREHOLDERS 432688,A81000C,01015,0400,KARE MEDICAL 432688,A81000C,01015,0600,WHOLESALE SUPPL 432688,A81000C,01016,0100,A 432688,A81000C,01016,0200,SHAREHOLDERS 432688,A81000C,01016,0400,KARE MEDICAL 432688,A81000C,01016,0600,WHOLESALE SUPPL 432688,A81000C,01017,0100,A 432688,A81000C,01017,0200,SHAREHOLDERS 432688,A81000C,01017,0400,KARE MEDICAL 432688,A81000C,01017,0600,WHOLESALE SUPPL 432688,A81000C,01018,0100,A 432688,A81000C,01018,0200,SHAREHOLDERS 432688,A81000C,01018,0400,KARE MEDICAL 432688,A81000C,01018,0600,WHOLESALE SUPPL 432688,A81000C,01019,0100,A 432688,A81000C,01019,0200,SHAREHOLDERS 432688,A81000C,01019,0400,PHARMSAVE 432688,A81000C,01019,0600,RX SUPPLY 432688,A81000C,01020,0100,A 432688,A81000C,01020,0200,SHAREHOLDERS 432688,A81000C,01020,0400,PHARMSAVE 432688,A81000C,01020,0600,RX SUPPLY 432688,A81000C,01021,0100,A 432688,A81000C,01021,0200,SHAREHOLDERS 432688,A81000C,01021,0400,PHARMSAVE 432688,A81000C,01021,0600,RX SUPPLY 432688,A81000C,01022,0100,A 432688,A81000C,01022,0200,SHAREHOLDERS 432688,A81000C,01022,0400,PHARMSAVE 432688,A81000C,01022,0600,RX SUPPLY 432688,A81000C,01023,0100,A 432688,A81000C,01023,0200,SHAREHOLDERS 432688,A81000C,01023,0400,PHARMSAVE 432688,A81000C,01023,0600,RX SUPPLY 432688,A81000C,01024,0100,A 432688,A81000C,01024,0200,SHAREHOLDERS 432688,A81000C,01024,0400,ROBERT HILL CON 432688,A81000C,01024,0600,CONSTRUCTION 432688,A81000C,01025,0100,A 432688,A81000C,01025,0200,SHAREHOLDERS 432688,A81000C,01025,0400,ROBERT HILL CON 432688,A81000C,01025,0600,CONSTRUCTION 432688,A81000C,01026,0100,A 432688,A81000C,01026,0200,SHAREHOLDERS 432688,A81000C,01026,0400,ROBERT HILL CON 432688,A81000C,01026,0600,CONSTRUCTION 432688,A81000C,01027,0100,A 432688,A81000C,01027,0200,SHAREHOLDERS 432688,A81000C,01027,0400,BRITTHAVEN INC 432688,A81000C,01027,0600,REAL ESTATE 432688,A81000C,01028,0100,A 432688,A81000C,01028,0200,SHAREHOLDERS 432688,A81000C,01028,0400,BRITTHAVEN INC 432688,A81000C,01028,0600,REAL ESTATE 432688,A81000C,01029,0100,A 432688,A81000C,01029,0200,SHAREHOLDERS 432688,A81000C,01029,0400,BRITTHAVEN INC 432688,A81000C,01029,0600,REAL ESTATE 432688,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432688,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432688,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432688,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432688,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432688,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432688,B100000,00000,0800,0800MEALS SERVED :DIETARY 432688,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432688,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432688,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432688,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432688,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432688,E10A180,00501,0100,05/26/12 432688,G300000,02500,0000, OTHER (SPECIFY) 432688,S000000,00100,0200,02/29/12 432688,S200000,00100,0100,1170 LINKHAW ROAD 432688,S200000,00200,0100,LUMBERTON 432688,S200000,00200,0200,NC 432688,S200000,00200,0300,28358 432688,S200000,00300,0100,ROBESON 432688,S200000,00300,0201,99934 432688,S200000,00300,0300,R 432688,S200000,00400,0100,HIGHLAND ACRES NURSING & REHAB CTR 432688,S200000,00400,0200,345315 432688,S200000,00400,0300,01/01/11 432688,S200000,00400,0500,P 432688,S200000,01500,0100,N 432688,S200000,01501,0200,Y 432688,S200000,01502,0200,Y 432688,S200000,01503,0200,Y 432688,S200000,01504,0200,Y 432688,S200000,01505,0000,OTHER (SPECIFY) 432688,S200000,01505,0200,Y 432688,S200000,01600,0100,Y 432688,S200000,01700,0100,N 432688,S200000,01800,0100,N 432688,S200000,02200,0100,N 432688,S200000,02800,0100,N 432688,S200000,02900,0100,N 432688,S200000,03000,0100,N 432688,S200000,03100,0100,N 432688,S200000,03200,0100,N 432688,S200000,03300,0100,N 432688,S200000,03300,0200,N 432688,S200000,04100,0100,N 432688,S200000,04200,0100,N 432688,S200000,04300,0100,N 432688,S200000,04600,0100,N 432688,S200000,04700,0100,N 432688,S200000,04700,0200,N 432688,S200000,04900,0100,N 432688,S200000,05000,0100,N 432688,S200000,05100,0100,N 432688,S200000,05200,0100,N 432688,S200000,05300,0100,Y 432688,S200000,05300,0200,349011 432688,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 432688,S200000,05400,0200,PALMETTO GBA 432688,S200000,05400,0300,11501 432688,S200000,05500,0100,1435 HWY 258 NORTH 432688,S200000,05600,0100,KINSTON 432688,S200000,05600,0200,NC 432688,S200000,05600,0300,28502 432689,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432689,A000000,00300,0000,0300EMPLOYEE BENEFITS 432689,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432689,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432689,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432689,A000000,00700,0000,0700HOUSEKEEPING 432689,A000000,00800,0000,0800DIETARY 432689,A000000,00900,0000,0900NURSING ADMINISTRATION 432689,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432689,A000000,01100,0000,1100PHARMACY 432689,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432689,A000000,01300,0000,1300SOCIAL SERVICE 432689,A000000,01500,0000,1350PATIENT ACTIVITIES 432689,A000000,01600,0000,1600SKILLED NURSING FACILITY 432689,A000000,01900,0000,1900OTHER LONG TERM CARE 432689,A000000,02100,0000,2100RADIOLOGY 432689,A000000,02200,0000,2200LABORATORY 432689,A000000,02500,0000,2500PHYSICAL THERAPY 432689,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432689,A000000,02700,0000,2700SPEECH PATHOLOGY 432689,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432689,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432689,A000000,03200,0000,3200SUPPORT SURFACES 432689,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432689,A81000A,00100,0100,Y 432689,A81000B,00100,0300,MANAGEMENT FEE 432689,A81000B,00200,0300,MANAGEMENT FEE 432689,A81000B,00300,0300,SUPPLIES 432689,A81000B,00400,0300,EQUIPMENT 432689,A81000B,00500,0300,O2 CONCENTRATORS 432689,A81000B,00600,0300,RENT 432689,A81000B,00700,0300,DEPRECIATION 432689,A81000B,00800,0300,NON-LEGEND DRUGS 432689,A81000B,00900,0300,LEGEND DRUGS 432689,A81000B,01000,0300,LEGEND DRUGS 432689,A81000B,01100,0300,EQUIPMENT RENTAL 432689,A81000C,00100,0100,A 432689,A81000C,00100,0200,J & J SHERRIL 432689,A81000C,00100,0400,INTEGRATED MANAGED CARE 432689,A81000C,00100,0600,MANAGEMENT 432689,A81000C,00200,0100,A 432689,A81000C,00200,0200,J & J SHERRIL 432689,A81000C,00200,0400,INTEGRATED MANAGED CARE 432689,A81000C,00200,0600,MANAGEMENT 432689,A81000C,00300,0100,A 432689,A81000C,00300,0200,J & J SHERRIL 432689,A81000C,00300,0400,INTEGRATED MANAGED CARE 432689,A81000C,00300,0600,MANAGEMENT 432689,A81000C,00400,0100,A 432689,A81000C,00400,0200,J & J SHERRIL 432689,A81000C,00400,0400,INTEGRATED MANAGED CARE 432689,A81000C,00400,0600,MANAGEMENT 432689,A81000C,00500,0100,A 432689,A81000C,00500,0200,J & J SHERRIL 432689,A81000C,00500,0400,INTEGRATED MANAGED CARE 432689,A81000C,00500,0600,MANAGEMENT 432689,A81000C,00600,0100,A 432689,A81000C,00600,0200,FLORENCE JOHNSON 432689,A81000C,00600,0400,ECC II 432689,A81000C,00600,0600,LEASE 432689,A81000C,00700,0100,A 432689,A81000C,00700,0200,FLORENCE JOHNSON 432689,A81000C,00700,0400,ECC II 432689,A81000C,00700,0600,LEASE 432689,A81000C,00800,0100,A 432689,A81000C,00800,0200,J & J SHERRIL 432689,A81000C,00800,0400,WINDSOR POINT PHARMACY 432689,A81000C,00800,0600,PHARMACY 432689,A81000C,00900,0100,A 432689,A81000C,00900,0200,J & J SHERRIL 432689,A81000C,00900,0400,WINDSOR POINT PHARMACY 432689,A81000C,00900,0600,PHARMACY 432689,A81000C,01000,0100,A 432689,A81000C,01000,0200,J & J SHERRIL 432689,A81000C,01000,0400,WINDSOR POINT PHARMACY 432689,A81000C,01000,0600,PHARMACY 432689,A81000C,01002,0100,A 432689,A81000C,01002,0200,J & J SHERRIL 432689,A81000C,01002,0400,INTEGRATED MANAGED CARE 432689,A81000C,01002,0600,MANAGEMENT 432689,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432689,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432689,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432689,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432689,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432689,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432689,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432689,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432689,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432689,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432689,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432689,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432689,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 432689,E10A180,00501,0100,05/10/12 432689,S000000,00100,0200,02/27/12 432689,S200000,00100,0100,2575 WEST 5TH STREET 432689,S200000,00200,0100,GREENVILLE 432689,S200000,00200,0200,NC 432689,S200000,00200,0300,27834 432689,S200000,00300,0100,PITT 432689,S200000,00300,0200,2478 432689,S200000,00300,0201,24780 432689,S200000,00300,0300,U 432689,S200000,00400,0100,GREENFIELD PLACE LLC 432689,S200000,00400,0200,345377 432689,S200000,00400,0300,04/01/97 432689,S200000,00400,0500,P 432689,S200000,01500,0100,Y 432689,S200000,01501,0200,Y 432689,S200000,01600,0100,N 432689,S200000,01700,0100,N 432689,S200000,01800,0100,N 432689,S200000,02200,0100,N 432689,S200000,02800,0100,N 432689,S200000,02900,0100,N 432689,S200000,03000,0100,N 432689,S200000,03100,0100,N 432689,S200000,03200,0100,N 432689,S200000,03300,0100,N 432689,S200000,03300,0200,N 432689,S200000,04100,0100,N 432689,S200000,04200,0100,N 432689,S200000,04300,0100,N 432689,S200000,04600,0100,N 432689,S200000,04700,0100,N 432689,S200000,04700,0200,N 432689,S200000,04900,0100,N 432689,S200000,05000,0100,N 432689,S200000,05100,0100,N 432689,S200000,05200,0100,N 432689,S200000,05300,0100,Y 432689,S200000,05300,0200,HO0000 432689,S200000,05400,0100,INTEGRATED MANAGED CARE 432689,S200000,05400,0200,PALMETTO GBA 432689,S200000,05400,0300,11001 432689,S200000,05500,0100,1482 RIVER RD. 432689,S200000,05600,0100,WINNABOW 432689,S200000,05600,0200,NC 432689,S200000,05600,0300,28479 432690,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432690,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432690,A000000,00300,0000,0300EMPLOYEE BENEFITS 432690,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432690,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432690,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432690,A000000,00700,0000,0700HOUSEKEEPING 432690,A000000,00800,0000,0800DIETARY 432690,A000000,00900,0000,0900NURSING ADMINISTRATION 432690,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432690,A000000,01100,0000,1100PHARMACY 432690,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432690,A000000,01300,0000,1300SOCIAL SERVICE 432690,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432690,A000000,01600,0000,1600SKILLED NURSING FACILITY 432690,A000000,01800,0000,1800NURSING FACILITY 432690,A000000,01900,0000,1900OTHER LONG TERM CARE 432690,A000000,02100,0000,2100RADIOLOGY 432690,A000000,02200,0000,2200LABORATORY 432690,A000000,02300,0000,2300INTRAVENOUS THERAPY 432690,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432690,A000000,02500,0000,2500PHYSICAL THERAPY 432690,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432690,A000000,02700,0000,2700SPEECH PATHOLOGY 432690,A000000,02800,0000,2800ELECTROCARDIOLOGY 432690,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432690,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432690,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432690,A000000,03200,0000,3200SUPPORT SURFACES 432690,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432690,A000000,03400,0000,3400CLINIC 432690,A000000,03500,0000,3500RURAL HEALTH CLINIC 432690,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432690,A000000,04800,0000,4800AMBULANCE 432690,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432690,A000000,05000,0000,5000CORF 432690,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432690,A000000,05300,0000,5300INTEREST EXPENSE 432690,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432690,A000000,05500,0000,5500HOSPICE 432690,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432690,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432690,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432690,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432690,A000000,06100,0000,6100NONPAID WORKERS 432690,A000000,06200,0000,6200PATIENTS LAUNDRY 432690,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432690,A81000A,00100,0100,Y 432690,A81000B,00100,0300,MAINTENANCE SUPPLIES 432690,A81000B,00200,0300,REPAIRS - EQUIPMENT 432690,A81000B,00300,0300,MINOR EQUIPMENT EXPENSE 432690,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 432690,A81000B,00500,0300,MINOR EQUIPMENT EXPENSE 432690,A81000B,00600,0300,DIETARY SUPPLEMENTS 432690,A81000B,00700,0300,DIETARY SUPPLIES 432690,A81000B,00800,0300,INCONTINENCE SUPPLIES 432690,A81000B,00900,0300,MEDICAL SUPPLIES 432690,A81000B,01000,0300,PERSONAL CARE 432690,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 432690,A81000B,01200,0300,BIO-MEDICAL WASTE 432690,A81000B,01300,0300,LINEN & BEDDING 432690,A81000B,01400,0300,LAUNDRY SUPPLIES 432690,A81000B,01500,0300,OFFICE SUPPLIES 432690,A81000B,01600,0300,PHYSICAL THERAPY SUPPLIES 432690,A81000B,01700,0300,OXYGEN THERAPY SUPPLIES 432690,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 432690,A81000B,01900,0300,EQUIPMENT RENTAL 432690,A81000B,02000,0300,NON-LEGEND DRUGS 432690,A81000B,02100,0300,MEDICAL RECORDS SUPPLIES 432690,A81000B,02200,0300,PHARMACY CONSULTANT 432690,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 432690,A81000B,02400,0300,LEGEND DRUGS 432690,A81000B,02500,0300,OFFICE SUPPLIES 432690,A81000B,02600,0300,NURSING CONSULTING 432690,A81000B,02700,0300,DIETARY CONSULTING 432690,A81000B,02800,0300,HOME OFFICE 432690,A81000B,02900,0300,INTEREST EXPENSE 432690,A81000C,00100,0100,A 432690,A81000C,00100,0200,SHAREHOLDERS 432690,A81000C,00100,0400,KARE MEDICAL 432690,A81000C,00100,0600,WHOLESALE SUPPL 432690,A81000C,00200,0100,A 432690,A81000C,00200,0200,SHAREHOLDERS 432690,A81000C,00200,0400,KARE MEDICAL 432690,A81000C,00200,0600,WHOLESALE SUPPL 432690,A81000C,00300,0100,A 432690,A81000C,00300,0200,SHAREHOLDERS 432690,A81000C,00300,0400,KARE MEDICAL 432690,A81000C,00300,0600,WHOLESALE SUPPL 432690,A81000C,00400,0100,A 432690,A81000C,00400,0200,SHAREHOLDERS 432690,A81000C,00400,0400,KARE MEDICAL 432690,A81000C,00400,0600,WHOLESALE SUPPL 432690,A81000C,00500,0100,A 432690,A81000C,00500,0200,SHAREHOLDERS 432690,A81000C,00500,0400,KARE MEDICAL 432690,A81000C,00500,0600,WHOLESALE SUPPL 432690,A81000C,00600,0100,A 432690,A81000C,00600,0200,SHAREHOLDERS 432690,A81000C,00600,0400,KARE MEDICAL 432690,A81000C,00600,0600,WHOLESALE SUPPL 432690,A81000C,00700,0100,A 432690,A81000C,00700,0200,SHAREHOLDERS 432690,A81000C,00700,0400,KARE MEDICAL 432690,A81000C,00700,0600,WHOLESALE SUPPL 432690,A81000C,00800,0100,A 432690,A81000C,00800,0200,SHAREHOLDERS 432690,A81000C,00800,0400,KARE MEDICAL 432690,A81000C,00800,0600,WHOLESALE SUPPL 432690,A81000C,00900,0100,A 432690,A81000C,00900,0200,SHAREHOLDERS 432690,A81000C,00900,0400,KARE MEDICAL 432690,A81000C,00900,0600,WHOLESALE SUPPL 432690,A81000C,01000,0100,A 432690,A81000C,01000,0200,SHAREHOLDERS 432690,A81000C,01000,0400,KARE MEDICAL 432690,A81000C,01000,0600,WHOLESALE SUPPL 432690,A81000C,01001,0100,A 432690,A81000C,01001,0200,SHAREHOLDERS 432690,A81000C,01001,0400,KARE MEDICAL 432690,A81000C,01001,0600,WHOLESALE SUPPL 432690,A81000C,01002,0100,A 432690,A81000C,01002,0200,SHAREHOLDERS 432690,A81000C,01002,0400,KARE MEDICAL 432690,A81000C,01002,0600,WHOLESALE SUPPL 432690,A81000C,01003,0100,A 432690,A81000C,01003,0200,SHAREHOLDERS 432690,A81000C,01003,0400,KARE MEDICAL 432690,A81000C,01003,0600,WHOLESALE SUPPL 432690,A81000C,01004,0100,A 432690,A81000C,01004,0200,SHAREHOLDERS 432690,A81000C,01004,0400,KARE MEDICAL 432690,A81000C,01004,0600,WHOLESALE SUPPL 432690,A81000C,01005,0100,A 432690,A81000C,01005,0200,SHAREHOLDERS 432690,A81000C,01005,0400,KARE MEDICAL 432690,A81000C,01005,0600,WHOLESALE SUPPL 432690,A81000C,01006,0100,A 432690,A81000C,01006,0200,SHAREHOLDERS 432690,A81000C,01006,0400,KARE MEDICAL 432690,A81000C,01006,0600,WHOLESALE SUPPL 432690,A81000C,01007,0100,A 432690,A81000C,01007,0200,SHAREHOLDERS 432690,A81000C,01007,0400,KARE MEDICAL 432690,A81000C,01007,0600,WHOLESALE SUPPL 432690,A81000C,01008,0100,A 432690,A81000C,01008,0200,SHAREHOLDERS 432690,A81000C,01008,0400,KARE MEDICAL 432690,A81000C,01008,0600,WHOLESALE SUPPL 432690,A81000C,01009,0100,A 432690,A81000C,01009,0200,SHAREHOLDERS 432690,A81000C,01009,0400,PHARMSAVE 432690,A81000C,01009,0600,RX SUPPLY 432690,A81000C,01010,0100,A 432690,A81000C,01010,0200,SHAREHOLDERS 432690,A81000C,01010,0400,PHARMSAVE 432690,A81000C,01010,0600,RX SUPPLY 432690,A81000C,01011,0100,A 432690,A81000C,01011,0200,SHAREHOLDERS 432690,A81000C,01011,0400,PHARMSAVE 432690,A81000C,01011,0600,RX SUPPLY 432690,A81000C,01012,0100,A 432690,A81000C,01012,0200,SHAREHOLDERS 432690,A81000C,01012,0400,PHARMSAVE 432690,A81000C,01012,0600,RX SUPPLY 432690,A81000C,01013,0100,A 432690,A81000C,01013,0200,SHAREHOLDERS 432690,A81000C,01013,0400,PHARMSAVE 432690,A81000C,01013,0600,RX SUPPLY 432690,A81000C,01014,0100,A 432690,A81000C,01014,0200,SHAREHOLDERS 432690,A81000C,01014,0400,PHARMSAVE 432690,A81000C,01014,0600,RX SUPPLY 432690,A81000C,01015,0100,A 432690,A81000C,01015,0200,SHAREHOLDERS 432690,A81000C,01015,0400,ROBERT HILL CON 432690,A81000C,01015,0600,CONSTRUCTION 432690,A81000C,01016,0100,B 432690,A81000C,01016,0200,PLTC & PITS IN 432690,A81000C,01016,0400,PLTC & PITS IN 432690,A81000C,01016,0600,MGMT SERVICES 432690,A81000C,01017,0100,B 432690,A81000C,01017,0200,PLTC & PITS IN 432690,A81000C,01017,0400,PLTC & PITS IN 432690,A81000C,01017,0600,MGMT SERVICES 432690,A81000C,01018,0100,B 432690,A81000C,01018,0200,PLTC & PITS IN 432690,A81000C,01018,0400,PLTC & PITS IN 432690,A81000C,01018,0600,MGMT SERVICES 432690,A81000C,01019,0100,B 432690,A81000C,01019,0200,PLTC & PITS IN 432690,A81000C,01019,0400,PLTC & PITS IN 432690,A81000C,01019,0600,MGMT SERVICES 432690,A81000C,01020,0100,A 432690,A81000C,01020,0200,SHAREHOLDERS 432690,A81000C,01020,0400,DISCOVERY INSUR 432690,A81000C,01020,0600,INSURANCE 432690,A81000C,01021,0100,A 432690,A81000C,01021,0200,SHAREHOLDERS 432690,A81000C,01021,0400,QUEENSLAND ASSU 432690,A81000C,01021,0600,INSURANCE 432690,A81000C,01022,0100,A 432690,A81000C,01022,0200,SHAREHOLDERS 432690,A81000C,01022,0400,NEUSE RIVER COR 432690,A81000C,01022,0600,REAL ESTATE 432690,A81000C,01023,0100,A 432690,A81000C,01023,0200,SHAREHOLDERS 432690,A81000C,01023,0400,BRITTHAVEN INC 432690,A81000C,01023,0600,REAL ESTATE 432690,A81000C,01024,0100,A 432690,A81000C,01024,0200,SHAREHOLDERS 432690,A81000C,01024,0400,BRITTHAVEN INC 432690,A81000C,01024,0600,REAL ESTATE 432690,A81000C,01025,0100,A 432690,A81000C,01025,0200,SHAREHOLDERS 432690,A81000C,01025,0400,NEUSE RIVER COR 432690,A81000C,01025,0600,REAL ESTATE 432690,A81000C,01026,0100,A 432690,A81000C,01026,0200,SHAREHOLDERS 432690,A81000C,01026,0400,NEUSE RIVER COR 432690,A81000C,01026,0600,REAL ESTATE 432690,A81000C,01027,0100,A 432690,A81000C,01027,0200,SHAREHOLDERS 432690,A81000C,01027,0400,NEUSE RIVER COR 432690,A81000C,01027,0600,REAL ESTATE 432690,A81000C,01028,0100,A 432690,A81000C,01028,0200,SHAREHOLDERS 432690,A81000C,01028,0400,NEUSE RIVER COR 432690,A81000C,01028,0600,REAL ESTATE 432690,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432690,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432690,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432690,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432690,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432690,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432690,B100000,00000,0800,0800MEALS SERVED :DIETARY 432690,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432690,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432690,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432690,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432690,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432690,E10A180,00501,0100,05/25/12 432690,E10A180,00550,0100,02/29/12 432690,G300000,02500,0000, OTHER (SPECIFY) 432690,S000000,00100,0200,02/29/12 432690,S200000,00100,0100,3315 FAITH CHURCH ROAD 432690,S200000,00200,0100,INDIAN TRAIL 432690,S200000,00200,0200,NC 432690,S200000,00200,0300,28079 432690,S200000,00300,0100,UNION 432690,S200000,00300,0201,16740 432690,S200000,00300,0300,U 432690,S200000,00400,0100,LAKE PARK NURSING & REHAB CENTER 432690,S200000,00400,0200,345502 432690,S200000,00400,0300,01/01/11 432690,S200000,00400,0500,P 432690,S200000,01500,0100,Y 432690,S200000,01501,0200,Y 432690,S200000,01502,0200,Y 432690,S200000,01503,0200,Y 432690,S200000,01504,0200,Y 432690,S200000,01505,0000,OTHER (SPECIFY) 432690,S200000,01505,0200,Y 432690,S200000,01600,0100,N 432690,S200000,01700,0100,N 432690,S200000,01800,0100,N 432690,S200000,02200,0100,N 432690,S200000,02800,0100,N 432690,S200000,02900,0100,N 432690,S200000,03000,0100,N 432690,S200000,03100,0100,N 432690,S200000,03200,0100,N 432690,S200000,03300,0100,N 432690,S200000,03300,0200,N 432690,S200000,04100,0100,N 432690,S200000,04200,0100,N 432690,S200000,04300,0100,N 432690,S200000,04600,0100,N 432690,S200000,04700,0100,N 432690,S200000,04700,0200,N 432690,S200000,04900,0100,N 432690,S200000,05000,0100,N 432690,S200000,05100,0100,N 432690,S200000,05200,0100,N 432690,S200000,05300,0100,Y 432690,S200000,05300,0200,349011 432690,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 432690,S200000,05400,0200,PALMETTO GBA 432690,S200000,05400,0300,11501 432690,S200000,05500,0100,1435 HWY 258 NORTH 432690,S200000,05600,0100,KINSTON 432690,S200000,05600,0200,NC 432690,S200000,05600,0300,28502 432692,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432692,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432692,A000000,00300,0000,0300EMPLOYEE BENEFITS 432692,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432692,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432692,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432692,A000000,00700,0000,0700HOUSEKEEPING 432692,A000000,00800,0000,0800DIETARY 432692,A000000,00900,0000,0900NURSING ADMINISTRATION 432692,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432692,A000000,01100,0000,1100PHARMACY 432692,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432692,A000000,01300,0000,1300SOCIAL SERVICE 432692,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432692,A000000,01600,0000,1600SKILLED NURSING FACILITY 432692,A000000,01810,0000,1810ICF/MR 432692,A000000,02100,0000,2100RADIOLOGY 432692,A000000,02200,0000,2200LABORATORY 432692,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432692,A000000,02500,0000,2500PHYSICAL THERAPY 432692,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432692,A000000,02700,0000,2700SPEECH PATHOLOGY 432692,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432692,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432692,A000000,03550,0000,3550FQHC 432692,A000000,04800,0000,4800AMBULANCE 432692,A000000,05000,0000,5000CORF 432692,A000000,05010,0000,5010CMHC 432692,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432692,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432692,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432692,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432692,A81000A,00100,0100,N 432692,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432692,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432692,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432692,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432692,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432692,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432692,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432692,B100000,00000,0800,0800MEALS SERVED :DIETARY 432692,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432692,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432692,E10A180,00353,0100,07/22/11 432692,E10A180,00501,0100,05/16/12 432692,G300000,02500,0000,PHYSICIAN FEES 432692,G300000,02501,0000,BEAUTY AND BARBER 432692,G300000,02502,0000,OTHER INCOME 432692,S000000,00100,0200,02/29/12 432692,S200000,00100,0100,581 NEWBERRY HIGHWAY 432692,S200000,00200,0100,SALUDA 432692,S200000,00200,0200,SC 432692,S200000,00200,0300,29138 432692,S200000,00300,0100,SALUDA 432692,S200000,00300,0201,17900 432692,S200000,00300,0300,R 432692,S200000,00400,0100,SALUDA NURSING CENTER 432692,S200000,00400,0200,425081 432692,S200000,00400,0300,09/30/10 432692,S200000,00400,0500,P 432692,S200000,01500,0100,Y 432692,S200000,01501,0200,N 432692,S200000,01502,0200,Y 432692,S200000,01503,0200,Y 432692,S200000,01504,0200,Y 432692,S200000,01600,0100,N 432692,S200000,01700,0100,N 432692,S200000,01800,0100,N 432692,S200000,02200,0100,Y 432692,S200000,02800,0100,N 432692,S200000,02900,0100,N 432692,S200000,03000,0100,N 432692,S200000,03100,0100,N 432692,S200000,03200,0100,N 432692,S200000,03300,0100,N 432692,S200000,03300,0200,N 432692,S200000,04100,0100,N 432692,S200000,04200,0100,N 432692,S200000,04300,0100,N 432692,S200000,04600,0100,N 432692,S200000,04700,0100,N 432692,S200000,04700,0200,N 432692,S200000,04900,0100,N 432692,S200000,05000,0100,N 432692,S200000,05100,0100,N 432692,S200000,05200,0100,N 432692,S200000,05300,0100,N 432693,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432693,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432693,A000000,00300,0000,0300EMPLOYEE BENEFITS 432693,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432693,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432693,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432693,A000000,00700,0000,0700HOUSEKEEPING 432693,A000000,00800,0000,0800DIETARY 432693,A000000,00900,0000,0900NURSING ADMINISTRATION 432693,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432693,A000000,01100,0000,1100PHARMACY 432693,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432693,A000000,01300,0000,1300SOCIAL SERVICE 432693,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432693,A000000,01600,0000,1600SKILLED NURSING FACILITY 432693,A000000,01810,0000,1810ICF/MR 432693,A000000,02100,0000,2100RADIOLOGY 432693,A000000,02200,0000,2200LABORATORY 432693,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432693,A000000,02500,0000,2500PHYSICAL THERAPY 432693,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432693,A000000,02700,0000,2700SPEECH PATHOLOGY 432693,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432693,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432693,A000000,03200,0000,3200SUPPORT SURFACES 432693,A000000,03550,0000,3550FQHC 432693,A000000,04800,0000,4800AMBULANCE 432693,A000000,05000,0000,5000CORF 432693,A000000,05010,0000,5010CMHC 432693,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432693,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432693,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432693,A000000,05300,0000,5300INTEREST EXPENSE 432693,A81000A,00100,0100,Y 432693,A81000B,00100,0300,MANAGEMENT FEES 432693,A81000B,00200,0300,MANAGEMENT FEES 432693,A81000B,00300,0300,MANAGEMENT FEES 432693,A81000B,00400,0300,MANAGEMENT FEES 432693,A81000B,00500,0300,MAINTENANCE SERVICES 432693,A81000C,00100,0100,B 432693,A81000C,00100,0200,DAVID W. CECIL 432693,A81000C,00100,0400,HEALTH CARE COR 432693,A81000C,00100,0600,MANAGEMENT H.O. 432693,A81000C,00200,0100,B 432693,A81000C,00200,0200,DAVID W. CECIL 432693,A81000C,00200,0400,HEALTH CARE COR 432693,A81000C,00200,0600,MANAGEMENT H.O. 432693,A81000C,00300,0100,B 432693,A81000C,00300,0200,DAVID W. CECIL 432693,A81000C,00300,0400,HEALTH CARE COR 432693,A81000C,00300,0600,MANAGEMENT H.O. 432693,A81000C,00400,0100,B 432693,A81000C,00400,0200,DAVID W. CECIL 432693,A81000C,00400,0400,HEALTH CARE COR 432693,A81000C,00400,0600,MANAGEMENT H.O. 432693,A81000C,00500,0100,B 432693,A81000C,00500,0200,DAVID W. CECIL 432693,A81000C,00500,0400,HEALTH CARE COR 432693,A81000C,00500,0600,MANAGEMENT H.O. 432693,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432693,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432693,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432693,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432693,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432693,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432693,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432693,B100000,00000,0800,0800MEALS SERVED :DIETARY 432693,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432693,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432693,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432693,E10A180,00301,0100,09/30/11 432693,E10A180,00353,0100,07/22/11 432693,E10A180,00501,0100,05/26/12 432693,G300000,02500,0000,INTEREST INCOME 432693,S000000,00100,0200,03/01/12 432693,S200000,00100,0100,VALLEY FALLS TERRACE INC. 432693,S200000,00200,0100,SPARTANBURG 432693,S200000,00200,0200,SC 432693,S200000,00200,0300,29303 432693,S200000,00300,0100,SPARTANBURG 432693,S200000,00300,0201,0000 432693,S200000,00300,0300,R 432693,S200000,00400,0100,VALLEY FALLS TERRACE INC. 432693,S200000,00400,0200,425096 432693,S200000,00400,0300,09/30/73 432693,S200000,00400,0500,P 432693,S200000,01500,0100,Y 432693,S200000,01501,0200,Y 432693,S200000,01502,0200,N 432693,S200000,01503,0200,Y 432693,S200000,01504,0200,N 432693,S200000,01600,0100,N 432693,S200000,01700,0100,N 432693,S200000,01800,0100,N 432693,S200000,02200,0100,Y 432693,S200000,02800,0100,Y 432693,S200000,02900,0100,N 432693,S200000,03000,0100,N 432693,S200000,03100,0100,N 432693,S200000,03200,0100,N 432693,S200000,03300,0100,N 432693,S200000,03300,0200,N 432693,S200000,03600,0100,N 432693,S200000,03600,0200,N 432693,S200000,04100,0100,N 432693,S200000,04200,0100,N 432693,S200000,04300,0100,N 432693,S200000,04600,0100,N 432693,S200000,04700,0100,N 432693,S200000,04700,0200,N 432693,S200000,04900,0100,N 432693,S200000,05000,0100,N 432693,S200000,05100,0100,N 432693,S200000,05200,0100,N 432693,S200000,05300,0100,Y 432693,S200000,05300,0200,42-H05 432693,S200000,05400,0100,HEALTH CARE CORPORATION 432693,S200000,05400,0200,HEALTH CARE CORPORATION 432693,S200000,05400,0300,00380 432693,S200000,05500,0200,5419 432693,S200000,05600,0100,SPARTANBURG 432693,S200000,05600,0200,SC 432693,S200000,05600,0300,29304 432695,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432695,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432695,A000000,00300,0000,0300EMPLOYEE BENEFITS 432695,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432695,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432695,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432695,A000000,00700,0000,0700HOUSEKEEPING 432695,A000000,00800,0000,0800DIETARY 432695,A000000,00900,0000,0900NURSING ADMINISTRATION 432695,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432695,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432695,A000000,01300,0000,1300SOCIAL SERVICE 432695,A000000,01500,0000,1350ACTIVITIES 432695,A000000,01600,0000,1600SKILLED NURSING FACILITY 432695,A000000,01800,0000,1800NURSING FACILITY 432695,A000000,01810,0000,1810ICF/MR 432695,A000000,01900,0000,1900OTHER LONG TERM CARE 432695,A000000,02100,0000,2100RADIOLOGY 432695,A000000,02200,0000,2200LABORATORY 432695,A000000,02300,0000,2300INTRAVENOUS THERAPY 432695,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432695,A000000,02500,0000,2500PHYSICAL THERAPY 432695,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432695,A000000,02700,0000,2700SPEECH PATHOLOGY 432695,A000000,02800,0000,2800ELECTROCARDIOLOGY 432695,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432695,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432695,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432695,A000000,03200,0000,3200SUPPORT SURFACES 432695,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432695,A000000,03301,0000,3051AIR FLUID THERAPY 432695,A000000,03302,0000,3052AMBULANCE 432695,A000000,03303,0000,3053PEN THERAPY 432695,A000000,03304,0000,3054ONCOLOGY 432695,A000000,03305,0000,3055CARDIOLOGY 432695,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 432695,A000000,03307,0000,3057AUDIOLOGY 432695,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 432695,A000000,03400,0000,3400CLINIC 432695,A000000,03500,0000,3500RURAL HEALTH CLINIC 432695,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432695,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432695,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432695,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432695,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432695,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432695,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432695,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432695,A000000,04400,0000,4400DME RENTED - HHA 432695,A000000,04500,0000,4500DME SOLD - HHA 432695,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432695,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432695,A000000,04710,0000,4710TELEMEDICINE 432695,A000000,04800,0000,4800AMBULANCE 432695,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432695,A000000,05000,0000,5000CORF 432695,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432695,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432695,A000000,05300,0000,5300INTEREST EXPENSE 432695,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432695,A000000,05500,0000,5500HOSPICE 432695,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432695,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432695,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432695,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432695,A000000,06100,0000,6100NONPAID WORKERS 432695,A000000,06200,0000,6200PATIENTS LAUNDRY 432695,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432695,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 432695,A81000A,00100,0100,Y 432695,A81000B,00100,0300,MGMT FEE - A&G RELATED 432695,A81000B,00200,0300,HO DEPRECIATION 432695,A81000C,00100,0100,G 432695,A81000C,00100,0200,LUTHERAN HOMES INC 432695,A81000C,00100,0400,LUTHERAN HOMES INC 432695,A81000C,00100,0600,HOME OFFICE 432695,A81000C,00200,0100,G 432695,A81000C,00200,0200,LUTHERAN HOMES INC 432695,A81000C,00200,0400,LUTHERAN HOMES INC 432695,A81000C,00200,0600,HOME OFFICE 432695,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432695,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432695,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432695,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432695,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432695,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432695,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432695,B100000,00000,0800,0800MEALS SERVED :DIETARY 432695,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 432695,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432695,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432695,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432695,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432695,E10A180,00501,0300,02/29/12 432695,E10A180,00550,0100,02/29/12 432695,G300000,02500,0000,OTHER - SEE GROUPINGS 432695,S000000,00100,0200,02/29/12 432695,S200000,00100,0100,201 FORTRESS DRIVE 432695,S200000,00200,0100,WHITE ROCK 432695,S200000,00200,0200,SC 432695,S200000,00200,0300,29177 432695,S200000,00300,0100,RICHLAND 432695,S200000,00300,0200,1760 432695,S200000,00300,0201,17900 432695,S200000,00300,0300,U 432695,S200000,00400,0100,LOWMAN HOME NURSING 432695,S200000,00400,0200,425100 432695,S200000,00400,0300,10/01/87 432695,S200000,00400,0500,P 432695,S200000,00400,0600,P 432695,S200000,01500,0100,Y 432695,S200000,01501,0200,Y 432695,S200000,01502,0200,N 432695,S200000,01503,0200,Y 432695,S200000,01600,0100,N 432695,S200000,01700,0100,N 432695,S200000,01800,0100,N 432695,S200000,02200,0100,N 432695,S200000,02800,0100,N 432695,S200000,02900,0100,N 432695,S200000,03000,0100,N 432695,S200000,03100,0100,N 432695,S200000,03200,0100,N 432695,S200000,03300,0100,N 432695,S200000,03300,0200,N 432695,S200000,04100,0100,N 432695,S200000,04200,0100,N 432695,S200000,04300,0100,N 432695,S200000,04600,0100,N 432695,S200000,04700,0100,N 432695,S200000,04700,0200,N 432695,S200000,04900,0100,N 432695,S200000,05000,0100,N 432695,S200000,05100,0100,N 432695,S200000,05200,0100,N 432695,S200000,05300,0100,Y 432695,S200000,05300,0200,42-H01 432695,S200000,05400,0100,LUTHERAN HOMES OF SOUTH CAROLINA IN 432695,S200000,05400,0200,PALMETTO GBA 432695,S200000,05400,0300,0PBGA 432695,S200000,05500,0100,300 MINISTRY DRIVE 432695,S200000,05600,0100,IRMO 432695,S200000,05600,0200,SC 432695,S200000,05600,0300,29063 432696,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432696,A000000,00300,0000,0300EMPLOYEE BENEFITS 432696,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432696,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432696,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432696,A000000,00700,0000,0700HOUSEKEEPING 432696,A000000,00800,0000,0800DIETARY 432696,A000000,00900,0000,0900NURSING ADMINISTRATION 432696,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432696,A000000,01100,0000,1100PHARMACY 432696,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432696,A000000,01300,0000,1300SOCIAL SERVICE 432696,A000000,01500,0000,1350ACTIVITIES 432696,A000000,01600,0000,1600SKILLED NURSING FACILITY 432696,A000000,02100,0000,2100RADIOLOGY 432696,A000000,02200,0000,2200LABORATORY 432696,A000000,02300,0000,2300INTRAVENOUS THERAPY 432696,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432696,A000000,02500,0000,2500PHYSICAL THERAPY 432696,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432696,A000000,02700,0000,2700SPEECH PATHOLOGY 432696,A000000,02800,0000,2800ELECTROCARDIOLOGY 432696,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432696,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432696,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432696,A000000,03200,0000,3200SUPPORT SURFACES 432696,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432696,A000000,04800,0000,4800AMBULANCE 432696,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432696,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432696,A000000,05300,0000,5300INTEREST EXPENSE 432696,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432696,A000000,05500,0000,5500HOSPICE 432696,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432696,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432696,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432696,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432696,A000000,06100,0000,6100NONPAID WORKERS 432696,A000000,06200,0000,6200PATIENTS LAUNDRY 432696,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432696,A81000A,00100,0100,Y 432696,A81000B,00100,0300,MANAGEMENT FEES 432696,A81000C,00100,0100,A 432696,A81000C,00100,0200,DUNDEE MANOR LLC 432696,A81000C,00100,0400,EPIC MANAGEMENT LLC 432696,A81000C,00100,0600,HOME OFFICE 432696,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432696,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432696,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432696,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432696,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432696,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432696,B100000,00000,0800,0800MEALS SERVED :DIETARY 432696,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 432696,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432696,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432696,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432696,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432696,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 432696,E10A180,00501,0100,05/16/12 432696,G300000,02500,0000,PERSONAL PURCHASES 432696,G300000,02501,0000,OTHER INCOME 432696,S000000,00100,0200,02/29/12 432696,S200000,00100,0100,710 15-401 BYPASS WEST 432696,S200000,00200,0100,BENNETTSVILLE 432696,S200000,00200,0200,SC 432696,S200000,00200,0300,29512 432696,S200000,00300,0100,MARLBORO 432696,S200000,00300,0200,42 432696,S200000,00300,0201,99942 432696,S200000,00300,0300,R 432696,S200000,00400,0100,DUNDEE MANOR LLC 432696,S200000,00400,0200,425118 432696,S200000,00400,0300,06/01/92 432696,S200000,00400,0500,P 432696,S200000,01500,0100,Y 432696,S200000,01501,0200,N 432696,S200000,01502,0200,Y 432696,S200000,01503,0200,Y 432696,S200000,01504,0200,Y 432696,S200000,01600,0100,N 432696,S200000,01700,0100,N 432696,S200000,01800,0100,N 432696,S200000,02200,0100,N 432696,S200000,02800,0100,N 432696,S200000,02900,0100,N 432696,S200000,03000,0100,N 432696,S200000,03100,0100,N 432696,S200000,03200,0100,N 432696,S200000,03300,0100,N 432696,S200000,03300,0200,N 432696,S200000,04100,0100,N 432696,S200000,04200,0100,N 432696,S200000,04300,0100,N 432696,S200000,04600,0100,N 432696,S200000,04700,0100,N 432696,S200000,04700,0200,N 432696,S200000,04900,0100,N 432696,S200000,05000,0100,N 432696,S200000,05100,0100,N 432696,S200000,05200,0100,N 432696,S200000,05300,0100,Y 432696,S200000,05300,0200,58-420 432696,S200000,05400,0100,EPIC MANAGEMENT LLC 432696,S200000,05400,0200,PALMETTO GBA 432696,S200000,05400,0300,00380 432696,S200000,05500,0100,980 KAYE GIBBONS CT 432696,S200000,05600,0100,KERNERSVILLE 432696,S200000,05600,0200,NC 432696,S200000,05600,0300,27284 432697,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432697,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432697,A000000,00300,0000,0300EMPLOYEE BENEFITS 432697,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432697,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432697,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432697,A000000,00700,0000,0700HOUSEKEEPING 432697,A000000,00800,0000,0800DIETARY 432697,A000000,00900,0000,0900NURSING ADMINISTRATION 432697,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432697,A000000,01100,0000,1100PHARMACY 432697,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432697,A000000,01300,0000,1300SOCIAL SERVICE 432697,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432697,A000000,01600,0000,1600SKILLED NURSING FACILITY 432697,A000000,01810,0000,1810ICF/MR 432697,A000000,02100,0000,2100RADIOLOGY 432697,A000000,02200,0000,2200LABORATORY 432697,A000000,02500,0000,2500PHYSICAL THERAPY 432697,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432697,A000000,02700,0000,2700SPEECH PATHOLOGY 432697,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432697,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432697,A000000,03300,0000,3050ENTERALS 432697,A000000,03550,0000,3550FQHC 432697,A000000,05000,0000,5000CORF 432697,A000000,05010,0000,5010CMHC 432697,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432697,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432697,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432697,A000000,05300,0000,5300INTEREST EXPENSE 432697,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432697,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432697,A000000,06300,0000,6150MARKETING 432697,A81000A,00100,0100,N 432697,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432697,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432697,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432697,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432697,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432697,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432697,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432697,B100000,00000,0800,0800MEALS SERVED :DIETARY 432697,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 432697,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432697,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432697,E10A180,00301,0100,09/30/11 432697,E10A180,00550,0100,03/01/12 432697,G300000,02500,0000,BEAUTY AND BARBER 432697,G300000,02501,0000,MISCELLANEOUS 432697,S000000,00100,0200,03/01/12 432697,S200000,00100,0100,1049 ANNA KNAPP BLVD 432697,S200000,00200,0100,MT. PLEASANT 432697,S200000,00200,0200,SC 432697,S200000,00200,0300,29464 432697,S200000,00300,0100,CHARLESTON 432697,S200000,00300,0201,16700 432697,S200000,00300,0300,U 432697,S200000,00400,0100,SANDPIPER REHAB AND NURSING - D.E. 432697,S200000,00400,0200,425146 432697,S200000,00400,0300,09/30/81 432697,S200000,00400,0500,P 432697,S200000,01500,0100,Y 432697,S200000,01501,0200,N 432697,S200000,01502,0200,N 432697,S200000,01503,0200,N 432697,S200000,01504,0200,N 432697,S200000,01600,0100,N 432697,S200000,01700,0100,N 432697,S200000,01800,0100,N 432697,S200000,01900,0100,LLC 432697,S200000,02200,0100,Y 432697,S200000,02800,0100,Y 432697,S200000,02900,0100,N 432697,S200000,03000,0100,N 432697,S200000,03100,0100,N 432697,S200000,03200,0100,N 432697,S200000,03300,0100,N 432697,S200000,03300,0200,N 432697,S200000,04100,0100,N 432697,S200000,04200,0100,N 432697,S200000,04300,0100,N 432697,S200000,04600,0100,N 432697,S200000,04700,0100,N 432697,S200000,04700,0200,N 432697,S200000,04900,0100,N 432697,S200000,05000,0100,N 432697,S200000,05100,0100,N 432697,S200000,05200,0100,N 432697,S200000,05300,0100,N 432698,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432698,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432698,A000000,00300,0000,0300EMPLOYEE BENEFITS 432698,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432698,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432698,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432698,A000000,00700,0000,0700HOUSEKEEPING 432698,A000000,00800,0000,0800DIETARY 432698,A000000,00900,0000,0900NURSING ADMINISTRATION 432698,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432698,A000000,01100,0000,1100PHARMACY 432698,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432698,A000000,01300,0000,1300SOCIAL SERVICE 432698,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432698,A000000,01600,0000,1600SKILLED NURSING FACILITY 432698,A000000,01800,0000,1800NURSING FACILITY 432698,A000000,01810,0000,1810ICF/MR 432698,A000000,02100,0000,2100RADIOLOGY 432698,A000000,02200,0000,2200LABORATORY 432698,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432698,A000000,02500,0000,2500PHYSICAL THERAPY 432698,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432698,A000000,02700,0000,2700SPEECH PATHOLOGY 432698,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432698,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432698,A000000,03200,0000,3200SUPPORT SURFACES 432698,A000000,03550,0000,3550FQHC 432698,A000000,04800,0000,4800AMBULANCE 432698,A000000,05000,0000,5000CORF 432698,A000000,05010,0000,5010CMHC 432698,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432698,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432698,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432698,A000000,05300,0000,5300INTEREST EXPENSE 432698,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432698,A81000A,00100,0100,Y 432698,A81000C,00100,0100,F 432698,A81000C,00100,0200,DAVID W. CECIL 432698,A81000C,00100,0400,HEALTH CARE COR 432698,A81000C,00100,0600,MANAGEMENT H.O. 432698,A81000C,00200,0100,F 432698,A81000C,00200,0200,DAVID W. CECIL 432698,A81000C,00200,0400,HEALTH CARE COR 432698,A81000C,00200,0600,MANAGEMENT H.O. 432698,A81000C,00300,0100,F 432698,A81000C,00300,0200,DAVID W. CECIL 432698,A81000C,00300,0400,HEALTH CARE COR 432698,A81000C,00300,0600,MANAGEMENT H.O. 432698,A81000C,00400,0100,F 432698,A81000C,00400,0200,DAVID W. CECIL 432698,A81000C,00400,0400,HEALTH CARE COR 432698,A81000C,00400,0600,MANAGEMENT H.O. 432698,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432698,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432698,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432698,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432698,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432698,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432698,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432698,B100000,00000,0800,0800MEALS SERVED :DIETARY 432698,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432698,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432698,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432698,E10A180,00501,0100,05/26/12 432698,G300000,02500,0000,INTEREST INCOME 432698,S000000,00100,0200,03/01/12 432698,S200000,00100,0100,ROUTE 10 432698,S200000,00100,0300,379 432698,S200000,00200,0100,LANCASTER 432698,S200000,00200,0200,SC 432698,S200000,00200,0300,29720 432698,S200000,00300,0100,LANCASTER 432698,S200000,00300,0201,0000 432698,S200000,00300,0300,R 432698,S200000,00400,0100,LANCASTER CONVALESCENT CENTER INC. 432698,S200000,00400,0200,425155 432698,S200000,00400,0300,03/01/91 432698,S200000,00400,0500,P 432698,S200000,01500,0100,Y 432698,S200000,01501,0200,N 432698,S200000,01502,0200,N 432698,S200000,01503,0200,N 432698,S200000,01504,0200,N 432698,S200000,01600,0100,N 432698,S200000,01700,0100,N 432698,S200000,01800,0100,N 432698,S200000,02200,0100,Y 432698,S200000,02800,0100,Y 432698,S200000,02900,0100,N 432698,S200000,03000,0100,N 432698,S200000,03100,0100,N 432698,S200000,03200,0100,N 432698,S200000,03300,0100,N 432698,S200000,03300,0200,N 432698,S200000,03600,0100,N 432698,S200000,03600,0200,N 432698,S200000,04100,0100,N 432698,S200000,04200,0100,N 432698,S200000,04300,0100,N 432698,S200000,04600,0100,N 432698,S200000,04700,0100,N 432698,S200000,04700,0200,N 432698,S200000,04900,0100,N 432698,S200000,05000,0100,N 432698,S200000,05100,0100,N 432698,S200000,05200,0100,N 432698,S200000,05300,0100,Y 432698,S200000,05300,0200,42HO50 432698,S200000,05400,0100,HEALTH CARE CORPORATION 432698,S200000,05400,0200,HEALTH CARE CORPORATION 432698,S200000,05400,0300,00380 432698,S200000,05500,0200,5419 432698,S200000,05600,0100,SPARTANBURG 432698,S200000,05600,0200,SC 432698,S200000,05600,0300,29304 432725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432725,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432725,A000000,00300,0000,0300EMPLOYEE BENEFITS 432725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432725,A000000,00700,0000,0700HOUSEKEEPING 432725,A000000,00800,0000,0800DIETARY 432725,A000000,00900,0000,0900NURSING ADMINISTRATION 432725,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432725,A000000,01100,0000,1100PHARMACY 432725,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432725,A000000,01300,0000,1300SOCIAL SERVICE 432725,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432725,A000000,01500,0000,1350RECREATION 432725,A000000,01600,0000,1600SKILLED NURSING FACILITY 432725,A000000,01810,0000,1810ICF/MR 432725,A000000,02100,0000,2100RADIOLOGY 432725,A000000,02200,0000,2200LABORATORY 432725,A000000,02300,0000,2300INTRAVENOUS THERAPY 432725,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432725,A000000,02500,0000,2500PHYSICAL THERAPY 432725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432725,A000000,02700,0000,2700SPEECH PATHOLOGY 432725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432725,A000000,03550,0000,3550FQHC 432725,A000000,04801,0000,4801AMBULANCE 432725,A000000,04802,0000,4802AMBULANCE 432725,A000000,04803,0000,4803AMBULANCE 432725,A000000,05000,0000,5000CORF 432725,A000000,05010,0000,5010CMHC 432725,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432725,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432725,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432725,A000000,06300,0000,6150RESIDENTIAL 432725,A81000A,00100,0100,Y 432725,A81000B,00100,0300,AS ATTACHED 432725,A81000B,00200,0300,HOME OFFICE INTEREST 432725,A81000B,00300,0300,HOME OFFICE A&G 432725,A81000B,00400,0300,HOME OFFICE CAP 432725,A81000C,00100,0100,B 432725,A81000C,00100,0400,AS ATTACHED 432725,A81000C,00100,0600,VARIOUS 432725,A81000C,00200,0100,B 432725,A81000C,00200,0400,GHC 432725,A81000C,00200,0600,LONG TERM CARE 432725,A81000C,00300,0100,B 432725,A81000C,00300,0400,GHC 432725,A81000C,00300,0600,LONG TERM CARE 432725,A81000C,00400,0100,B 432725,A81000C,00400,0400,GHC 432725,A81000C,00400,0600,LONG TERM CARE 432725,B100000,00000,0100,0100SQUARE FEET 432725,B100000,00000,0200,0200SQUARE FEET 432725,B100000,00000,0300,0300GROSS SALARIES 432725,B100000,00000,0400,0400ACCUM COST 432725,B100000,00000,0500,0500SQUARE FEET 432725,B100000,00000,0600,0600PATIENT DAYS 432725,B100000,00000,0700,0700SQUARE FEET 432725,B100000,00000,0800,0800MEALS SERVED 432725,B100000,00000,0900,0900NURSING SALARIES 432725,B100000,00000,1000,1000COSTED REQUIS 432725,B100000,00000,1100,1100COSTED REQUIS 432725,B100000,00000,1200,1200PATIENT DAYS 432725,B100000,00000,1300,1300PATIENT DAYS 432725,B100000,00000,1400,1400ASSIGNED TIME 432725,B100000,00000,1500,1350PATIENT DAYS 432725,E10A180,00301,0100,06/16/11 432725,G300000,02500,0000,BARBER & BEAUTY 432725,G300000,02501,0000,ASSISTED LIVING 432725,S000000,00100,0200,12/02/11 432725,S200000,00100,0100,125 HOLLY ROAD 432725,S200000,00200,0100,HAMBURG 432725,S200000,00200,0200,PA 432725,S200000,00200,0300,19526 432725,S200000,00300,0100,BERKS 432725,S200000,00300,0201,39740 432725,S200000,00300,0300,U 432725,S200000,00400,0100,LAUREL CENTER 432725,S200000,00400,0200,395408 432725,S200000,00400,0300,08/16/77 432725,S200000,00400,0500,P 432725,S200000,01500,0100,Y 432725,S200000,01501,0200,Y 432725,S200000,01502,0200,Y 432725,S200000,01503,0200,N 432725,S200000,01504,0200,Y 432725,S200000,01600,0100,N 432725,S200000,01700,0100,N 432725,S200000,01800,0100,N 432725,S200000,01900,0100,LLC 432725,S200000,02200,0100,Y 432725,S200000,02800,0100,N 432725,S200000,02900,0100,N 432725,S200000,03000,0100,N 432725,S200000,03100,0100,N 432725,S200000,03200,0100,N 432725,S200000,03300,0100,N 432725,S200000,03300,0200,N 432725,S200000,04200,0100,N 432725,S200000,04300,0100,N 432725,S200000,04600,0100,N 432725,S200000,04700,0100,N 432725,S200000,04900,0100,N 432725,S200000,05200,0100,N 432725,S200000,05300,0100,Y 432725,S200000,05300,0200,HB0067 432725,S200000,05400,0100,GENESIS HEALTHCARE LLC 432725,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432725,S200000,05400,0300,12001 432725,S200000,05500,0100,101 EAST STATE STREET 432725,S200000,05600,0100,KENNETT SQUARE 432725,S200000,05600,0200,PA 432725,S200000,05600,0300,19348 432728,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432728,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432728,A000000,00300,0000,0300EMPLOYEE BENEFITS 432728,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432728,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432728,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432728,A000000,00700,0000,0700HOUSEKEEPING 432728,A000000,00800,0000,0800DIETARY 432728,A000000,00900,0000,0900NURSING ADMINISTRATION 432728,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432728,A000000,01100,0000,1100PHARMACY 432728,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432728,A000000,01300,0000,1300SOCIAL SERVICE 432728,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432728,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 432728,A000000,01600,0000,1600SKILLED NURSING FACILITY 432728,A000000,01810,0000,1810ICF/MR 432728,A000000,01900,0000,1900OTHER LONG TERM CARE 432728,A000000,02100,0000,2100RADIOLOGY 432728,A000000,02200,0000,2200LABORATORY 432728,A000000,02500,0000,2500PHYSICAL THERAPY 432728,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432728,A000000,02700,0000,2700SPEECH PATHOLOGY 432728,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432728,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432728,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 432728,A000000,03550,0000,3550FQHC 432728,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432728,A000000,04710,0000,4710TELEMEDICINE 432728,A000000,04801,0000,4801AMBULANCE 432728,A000000,04802,0000,4802AMBULANCE 432728,A000000,04803,0000,4803AMBULANCE 432728,A000000,05000,0000,5000CORF 432728,A000000,05010,0000,5010CMHC 432728,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432728,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432728,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432728,A000000,05300,0000,5300INTEREST EXPENSE 432728,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432728,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432728,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432728,A81000A,00100,0100,Y 432728,A81000B,00100,0300,MANAGEMENT FEE 432728,A81000B,00200,0300,POSTAGE OFFICE SUPPLIES 432728,A81000B,00300,0300,BEEF 432728,A81000B,00400,0300,MULCH REPAIRS 432728,A81000B,00500,0300,NURSING SUPPLIES 432728,A81000B,00600,0300,SUPPLEMENTAL FEEDING 432728,A81000B,00700,0300,OXYGEN 432728,A81000B,00800,0300,MATTRESS REPAIR 432728,A81000C,00100,0100,A 432728,A81000C,00100,0200,JOHN D KLINGERM 432728,A81000C,00100,0400,JOHN D KLINGERM 432728,A81000C,00100,0600,SERVICE 432728,A81000C,00200,0100,A 432728,A81000C,00200,0200,JOHN D KLINGERM 432728,A81000C,00200,0400,JOHN D KLINGERM 432728,A81000C,00200,0600,SERVICE 432728,A81000C,00300,0100,A 432728,A81000C,00300,0200,DAVID W KLINGER 432728,A81000C,00300,0400,KLINGERMAN FARM 432728,A81000C,00300,0600,FARM 432728,A81000C,00400,0100,A 432728,A81000C,00400,0200,DAVID W KLINGER 432728,A81000C,00400,0400,KLINGERMAN BROS 432728,A81000C,00400,0600,SERVICE 432728,A81000C,00500,0100,A 432728,A81000C,00500,0200,JOHN D KLINGERM 432728,A81000C,00500,0400,COLUMBIA ANC SV 432728,A81000C,00500,0600,SERVICE 432728,A81000C,00600,0100,A 432728,A81000C,00600,0200,JOHN D KLINGERM 432728,A81000C,00600,0400,COLUMBIA ANC SV 432728,A81000C,00600,0600,SERVICE 432728,A81000C,00700,0100,A 432728,A81000C,00700,0200,JOHN D KLINGERM 432728,A81000C,00700,0400,COLUMBIA ANC SV 432728,A81000C,00700,0600,SERVICE 432728,A81000C,00800,0100,A 432728,A81000C,00800,0200,JOHN D KLINGERM 432728,A81000C,00800,0400,COLUMBIA ANC SV 432728,A81000C,00800,0600,SERVICE 432728,B100000,00000,0100,0100SQUARE FEET 432728,B100000,00000,0200,0200SQUARE FEET 432728,B100000,00000,0300,0300GROSS SALARIES 432728,B100000,00000,0400,0400ACCUM COST 432728,B100000,00000,0500,0500SQUARE FEET 432728,B100000,00000,0600,0600PATIENT DAYS 432728,B100000,00000,0700,0700SQUARE FEET 432728,B100000,00000,0800,0800PATIENT DAYS 432728,B100000,00000,0900,0900DIRECT NURSING 432728,B100000,00000,1000,1000PATIENT DAYS 432728,B100000,00000,1100,1100COSTED REQUIS. 432728,B100000,00000,1200,1200PATIENT DAYS 432728,B100000,00000,1300,1300PATIENT DAYS 432728,B100000,00000,1400,1400ASSIGNED TIME 432728,B100000,00000,1500,1350PATIENT DAYS 432728,E10A180,00301,0100,06/14/11 432728,E10A180,00501,0300,01/24/12 432728,E10A180,00550,0100,01/24/12 432728,G300000,02500,0000,SUNDRY REVENUE 432728,G300000,02501,0000,INCONTINENT REVENUE 432728,G300000,02502,0000,BEAUTY & BARBER REVENUE 432728,G300000,02503,0000,MISCELLANEOUS REVENUE 432728,G300000,02504,0000,PERSONAL CARE REVENUE 432728,S000000,00100,0200,12/27/11 432728,S200000,00100,0100,101 EAST WASHINGTON STREET 432728,S200000,00200,0100,SHENANDOAH 432728,S200000,00200,0200,PA 432728,S200000,00200,0300,17976 432728,S200000,00300,0100,SCHUYKILL 432728,S200000,00300,0300,R 432728,S200000,00400,0100,SHENANDOAH MANOR NURSING CENTER 432728,S200000,00400,0200,395556 432728,S200000,00400,0300,12/01/82 432728,S200000,00400,0500,P 432728,S200000,01500,0100,Y 432728,S200000,01501,0200,N 432728,S200000,01502,0200,N 432728,S200000,01503,0200,N 432728,S200000,01504,0200,N 432728,S200000,01505,0000,OTHER (SPECIFY) 432728,S200000,01505,0200,N 432728,S200000,01600,0100,N 432728,S200000,01700,0100,N 432728,S200000,01800,0100,N 432728,S200000,02200,0100,N 432728,S200000,02800,0100,N 432728,S200000,02900,0100,N 432728,S200000,03000,0100,N 432728,S200000,03100,0100,N 432728,S200000,03200,0100,N 432728,S200000,03300,0100,N 432728,S200000,03300,0200,N 432728,S200000,04200,0100,N 432728,S200000,04300,0100,N 432728,S200000,04600,0100,N 432728,S200000,04700,0100,N 432728,S200000,04900,0100,N 432728,S200000,05200,0100,N 432728,S200000,05300,0100,N 432730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432730,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432730,A000000,00300,0000,0300EMPLOYEE BENEFITS 432730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432730,A000000,00700,0000,0700HOUSEKEEPING 432730,A000000,00800,0000,0800DIETARY 432730,A000000,00900,0000,0900NURSING ADMINISTRATION 432730,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432730,A000000,01100,0000,1100PHARMACY 432730,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432730,A000000,01300,0000,1300SOCIAL SERVICE 432730,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432730,A000000,01500,0000,1350RECREATION 432730,A000000,01600,0000,1600SKILLED NURSING FACILITY 432730,A000000,01810,0000,1810ICF/MR 432730,A000000,02100,0000,2100RADIOLOGY 432730,A000000,02200,0000,2200LABORATORY 432730,A000000,02300,0000,2300INTRAVENOUS THERAPY 432730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432730,A000000,02500,0000,2500PHYSICAL THERAPY 432730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432730,A000000,02700,0000,2700SPEECH PATHOLOGY 432730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432730,A000000,03550,0000,3550FQHC 432730,A000000,04801,0000,4801AMBULANCE 432730,A000000,04802,0000,4802AMBULANCE 432730,A000000,04803,0000,4803AMBULANCE 432730,A000000,05000,0000,5000CORF 432730,A000000,05010,0000,5010CMHC 432730,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432730,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432730,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432730,A81000A,00100,0100,Y 432730,A81000B,00100,0300,SEE ATTACHED 432730,A81000B,00200,0300,CAPITAL INTEREST 432730,A81000B,00300,0300,HOME OFFICE 432730,A81000B,00400,0300,HOME OFFICE 432730,A81000C,00100,0100,B 432730,A81000C,00100,0400,SEE ATTACHED 432730,A81000C,00100,0600,VARIOUS 432730,A81000C,00200,0100,B 432730,A81000C,00200,0400,GHC 432730,A81000C,00200,0600,LONG TERM CARE 432730,A81000C,00300,0100,B 432730,A81000C,00300,0400,GHC 432730,A81000C,00300,0600,LONG TERM CARE 432730,A81000C,00400,0100,B 432730,A81000C,00400,0400,GHC 432730,A81000C,00400,0600,LONG TERM CARE 432730,B100000,00000,0100,0100SQUARE FEET 432730,B100000,00000,0200,0200SQUARE FEET 432730,B100000,00000,0300,0300GROSS SALARIES 432730,B100000,00000,0400,0400ACCUM COST 432730,B100000,00000,0500,0500SQUARE FEET 432730,B100000,00000,0600,0600PATIENT DAYS 432730,B100000,00000,0700,0700SQUARE FEET 432730,B100000,00000,0800,0800MEALS SERVED 432730,B100000,00000,0900,0900NURSING SALARIES 432730,B100000,00000,1000,1000COSTED REQUIS 432730,B100000,00000,1100,1100COSTED REQUIS 432730,B100000,00000,1200,1200PATIENT DAYS 432730,B100000,00000,1300,1300PATIENT DAYS 432730,B100000,00000,1400,1400ASSIGNED TIME 432730,B100000,00000,1500,1350PATIENT DAYS 432730,E10A180,00501,0100,01/10/12 432730,E10A180,00501,0300,01/10/12 432730,G300000,02500,0000,BARBER & BEAUTY 432730,S000000,00100,0200,12/02/11 432730,S200000,00100,0100,225 EVERGREEN ROAD 432730,S200000,00200,0100,POTTSTOWN 432730,S200000,00200,0200,PA 432730,S200000,00200,0300,19464 432730,S200000,00300,0100,MONTGOMERY 432730,S200000,00300,0201,37964 432730,S200000,00300,0300,U 432730,S200000,00400,0100,SANATOGA CENTER 432730,S200000,00400,0200,395904 432730,S200000,00400,0300,11/14/94 432730,S200000,00400,0500,P 432730,S200000,01500,0100,Y 432730,S200000,01501,0200,N 432730,S200000,01502,0200,N 432730,S200000,01503,0200,N 432730,S200000,01504,0200,N 432730,S200000,01600,0100,N 432730,S200000,01700,0100,N 432730,S200000,01800,0100,N 432730,S200000,01900,0100,LLC 432730,S200000,02200,0100,Y 432730,S200000,02800,0100,N 432730,S200000,02900,0100,N 432730,S200000,03000,0100,N 432730,S200000,03100,0100,N 432730,S200000,03200,0100,N 432730,S200000,03300,0100,N 432730,S200000,03300,0200,N 432730,S200000,04200,0100,N 432730,S200000,04300,0100,N 432730,S200000,04600,0100,N 432730,S200000,04700,0100,N 432730,S200000,04900,0100,N 432730,S200000,05200,0100,N 432730,S200000,05300,0100,Y 432730,S200000,05300,0200,HB0067 432730,S200000,05400,0100,GENESIS HEALTHCARE LLC 432730,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432730,S200000,05400,0300,12001 432730,S200000,05500,0100,101 EAST STATE STREET 432730,S200000,05600,0100,KENNETT SQUARE 432730,S200000,05600,0200,PA 432730,S200000,05600,0300,19348 432732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432732,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432732,A000000,00300,0000,0300EMPLOYEE BENEFITS 432732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432732,A000000,00700,0000,0700HOUSEKEEPING 432732,A000000,00800,0000,0800DIETARY 432732,A000000,00900,0000,0900NURSING ADMINISTRATION 432732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432732,A000000,01100,0000,1100PHARMACY 432732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432732,A000000,01300,0000,1300SOCIAL SERVICE 432732,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432732,A000000,01500,0000,1350RECREATION ACTIVITIES 432732,A000000,01600,0000,1600SKILLED NURSING FACILITY 432732,A000000,01810,0000,1810ICF/MR 432732,A000000,02100,0000,2100RADIOLOGY 432732,A000000,02200,0000,2200LABORATORY 432732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432732,A000000,02500,0000,2500PHYSICAL THERAPY 432732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432732,A000000,02700,0000,2700SPEECH PATHOLOGY 432732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432732,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432732,A000000,03301,0000,3051ENTERAL FEEDING 432732,A000000,03550,0000,3550FQHC 432732,A000000,04801,0000,4801AMBULANCE 432732,A000000,04802,0000,4802AMBULANCE 432732,A000000,04803,0000,4803AMBULANCE 432732,A000000,05000,0000,5000CORF 432732,A000000,05010,0000,5010CMHC 432732,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432732,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432732,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432732,A000000,06300,0000,6150ENTERSTOMAL THERAPY 432732,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 432732,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 432732,A000000,06312,0000,6153DIALYSIS 432732,A000000,06320,0000,6154APARTMENTS 432732,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 432732,A000000,06340,0000,6156CLOSED PATIENT AREAS 432732,A000000,06350,0000,6157O/P ADULT DAYCARE 432732,A000000,06360,0000,6158MARKETING 432732,A81000A,00100,0100,Y 432732,A81000B,00100,0300,RELATED PARTY CAPITAL COST 432732,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 432732,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 432732,A81000B,00400,0300,ADVANTAGE DME 432732,A81000C,00100,0100,A 432732,A81000C,00100,0200,FUNDAMENTAL HOL 432732,A81000C,00100,0400,FAS FCC FCOS 432732,A81000C,00100,0600,SUPPORT SERVICE 432732,A81000C,00200,0100,A 432732,A81000C,00200,0200,THI BALT INC. 432732,A81000C,00200,0400,ADVANTAGE DME 432732,A81000C,00200,0600,MEDICAL SUPPLIE 432732,B100000,00000,0100,0100(SQUARE FEET) 432732,B100000,00000,0200,0200(SQUARE FEET) 432732,B100000,00000,0300,0300(GROSS SALARIES) 432732,B100000,00000,0400,0400ACCUM COST 432732,B100000,00000,0500,0500(SQUARE FEET) 432732,B100000,00000,0600,0600(PATIENT DAYS) 432732,B100000,00000,0700,0700(SQUARE FEET) 432732,B100000,00000,0800,0800(PATIENT DAYS) 432732,B100000,00000,0900,0900(NURSING SALARIES) 432732,B100000,00000,1000,1000(COSTED REQUIS) 432732,B100000,00000,1100,1100(COSTED REQUIS) 432732,B100000,00000,1200,1200(PATIENT DAYS) 432732,B100000,00000,1300,1300(PATIENT DAYS) 432732,B100000,00000,1400,1400(ASSIGNED TIME) 432732,B100000,00000,1500,1350(PATIENT DAYS) 432732,E10A180,00353,0100,03/19/11 432732,E10A180,00501,0300,03/23/12 432732,E10A180,00550,0100,03/23/12 432732,G300000,02500,0000,TRANSPORTATION 432732,G300000,02501,0000,ADMISSION FEES 432732,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 432732,G300000,02503,0000,DAY CARE SERVICES 432732,G300000,02504,0000,RENTAL INCOME 432732,G300000,02505,0000,MISCELLANEOUS REVENUE 432732,G300000,02506,0000,INTEREST INCOME PATIENT A/R 432732,G300000,02507,0000,MANAGEMENT FEE REVENUE 432732,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 432732,S000000,00100,0200,02/27/12 432732,S200000,00100,0100,411 ANSEL STREET 432732,S200000,00200,0100,GREENVILLE 432732,S200000,00200,0200,SC 432732,S200000,00200,0300,29601 432732,S200000,00300,0100,GREENVILLE 432732,S200000,00300,0201,24860 432732,S200000,00300,0300,U 432732,S200000,00400,0100,MAGNOLIA MANOR OF GREENVILLE 432732,S200000,00400,0200,425090 432732,S200000,00400,0300,07/01/93 432732,S200000,00400,0500,P 432732,S200000,00400,0600,O 432732,S200000,01500,0100,Y 432732,S200000,01501,0200,Y 432732,S200000,01502,0200,N 432732,S200000,01503,0200,Y 432732,S200000,01504,0200,Y 432732,S200000,01505,0200,N 432732,S200000,01600,0100,N 432732,S200000,01700,0100,N 432732,S200000,01800,0100,N 432732,S200000,01900,0100,LLC 432732,S200000,02200,0100,N 432732,S200000,02800,0100,N 432732,S200000,02900,0100,N 432732,S200000,03000,0100,N 432732,S200000,03100,0100,N 432732,S200000,03200,0100,N 432732,S200000,03300,0100,N 432732,S200000,03300,0200,N 432732,S200000,04200,0100,N 432732,S200000,04300,0100,N 432732,S200000,04600,0100,N 432732,S200000,04700,0100,N 432732,S200000,04900,0100,N 432732,S200000,05200,0100,N 432732,S200000,05300,0100,Y 432733,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432733,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432733,A000000,00300,0000,0300EMPLOYEE BENEFITS 432733,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432733,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432733,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432733,A000000,00700,0000,0700HOUSEKEEPING 432733,A000000,00800,0000,0800DIETARY 432733,A000000,00900,0000,0900NURSING ADMINISTRATION 432733,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432733,A000000,01100,0000,1100PHARMACY 432733,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432733,A000000,01300,0000,1300SOCIAL SERVICE 432733,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432733,A000000,01500,0000,1350RECREATION ACTIVITIES 432733,A000000,01600,0000,1600SKILLED NURSING FACILITY 432733,A000000,01810,0000,1810ICF/MR 432733,A000000,02100,0000,2100RADIOLOGY 432733,A000000,02200,0000,2200LABORATORY 432733,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432733,A000000,02500,0000,2500PHYSICAL THERAPY 432733,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432733,A000000,02700,0000,2700SPEECH PATHOLOGY 432733,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432733,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432733,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432733,A000000,03301,0000,3051ENTERAL FEEDING 432733,A000000,03550,0000,3550FQHC 432733,A000000,04801,0000,4801AMBULANCE 432733,A000000,04802,0000,4802AMBULANCE 432733,A000000,04803,0000,4803AMBULANCE 432733,A000000,05000,0000,5000CORF 432733,A000000,05010,0000,5010CMHC 432733,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432733,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432733,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432733,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432733,A000000,06300,0000,6150ENTERSTOMAL THERAPY 432733,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 432733,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 432733,A000000,06312,0000,6153DIALYSIS 432733,A000000,06320,0000,6154APARTMENTS 432733,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 432733,A000000,06340,0000,6156CLOSED PATIENT AREAS 432733,A000000,06350,0000,6157O/P ADULT DAYCARE 432733,A000000,06360,0000,6158MARKETING 432733,A81000A,00100,0100,Y 432733,A81000B,00100,0300,RELATED PARTY CAPITAL COST 432733,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 432733,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 432733,A81000B,00400,0300,ADVANTAGE DME 432733,A81000C,00100,0100,A 432733,A81000C,00100,0200,FUNDAMENTAL HOL 432733,A81000C,00100,0400,FAS FCC FCOS 432733,A81000C,00100,0600,SUPPORT SERVICE 432733,A81000C,00200,0100,A 432733,A81000C,00200,0200,THI BAL INC. 432733,A81000C,00200,0400,ADVANTAGE DME 432733,A81000C,00200,0600,FORMULA 432733,B100000,00000,0100,0100(SQUARE FEET) 432733,B100000,00000,0200,0200(SQUARE FEET) 432733,B100000,00000,0300,0300(GROSS SALARIES) 432733,B100000,00000,0400,0400ACCUM COST 432733,B100000,00000,0500,0500(SQUARE FEET) 432733,B100000,00000,0600,0600(PATIENT DAYS) 432733,B100000,00000,0700,0700(SQUARE FEET) 432733,B100000,00000,0800,0800(PATIENT DAYS) 432733,B100000,00000,0900,0900(NURSING SALARIES) 432733,B100000,00000,1000,1000(COSTED REQUIS) 432733,B100000,00000,1100,1100(COSTED REQUIS) 432733,B100000,00000,1200,1200(PATIENT DAYS) 432733,B100000,00000,1300,1300(PATIENT DAYS) 432733,B100000,00000,1400,1400(ASSIGNED TIME) 432733,B100000,00000,1500,1350(PATIENT DAYS) 432733,E10A180,00302,0100,03/19/11 432733,E10A180,00501,0100,03/23/12 432733,E10A180,00501,0300,03/23/12 432733,G300000,02500,0000,TRANSPORTATION 432733,G300000,02501,0000,ADMISSION FEES 432733,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 432733,G300000,02503,0000,DAY CARE SERVICES 432733,G300000,02504,0000,RENTAL INCOME 432733,G300000,02505,0000,MISCELLANEOUS REVENUE 432733,G300000,02506,0000,INTEREST INCOME PATIENT A/R 432733,G300000,02507,0000,MANAGEMENT FEE REVENUE 432733,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 432733,S000000,00100,0200,02/27/12 432733,S200000,00100,0100,375 SERPENTINE DRIVE 432733,S200000,00200,0100,SPARTANBURG 432733,S200000,00200,0200,SC 432733,S200000,00200,0300,29303 432733,S200000,00300,0100,SPARTANBURG 432733,S200000,00300,0201,43900 432733,S200000,00300,0300,U 432733,S200000,00400,0100,MAGNOLIA MANOR OF SPARTANBURG 432733,S200000,00400,0200,425091 432733,S200000,00400,0300,04/01/93 432733,S200000,00400,0500,P 432733,S200000,00400,0600,O 432733,S200000,01500,0100,Y 432733,S200000,01501,0200,Y 432733,S200000,01502,0200,Y 432733,S200000,01503,0200,Y 432733,S200000,01504,0200,Y 432733,S200000,01505,0200,N 432733,S200000,01600,0100,N 432733,S200000,01700,0100,N 432733,S200000,01800,0100,N 432733,S200000,01900,0100,LLC 432733,S200000,02200,0100,N 432733,S200000,02800,0100,N 432733,S200000,02900,0100,N 432733,S200000,03000,0100,N 432733,S200000,03100,0100,N 432733,S200000,03200,0100,N 432733,S200000,03300,0100,N 432733,S200000,03300,0200,N 432733,S200000,04200,0100,N 432733,S200000,04300,0100,N 432733,S200000,04600,0100,N 432733,S200000,04700,0100,N 432733,S200000,04900,0100,N 432733,S200000,05200,0100,N 432733,S200000,05300,0100,Y 432734,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432734,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432734,A000000,00300,0000,0300EMPLOYEE BENEFITS 432734,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432734,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432734,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432734,A000000,00700,0000,0700HOUSEKEEPING 432734,A000000,00800,0000,0800DIETARY 432734,A000000,00900,0000,0900NURSING ADMINISTRATION 432734,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432734,A000000,01100,0000,1100PHARMACY 432734,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432734,A000000,01300,0000,1300SOCIAL SERVICE 432734,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432734,A000000,01500,0000,1350ACTIVITIES 432734,A000000,01600,0000,1600SKILLED NURSING FACILITY 432734,A000000,01810,0000,1810ICF/MR 432734,A000000,02100,0000,2100RADIOLOGY 432734,A000000,02200,0000,2200LABORATORY 432734,A000000,02300,0000,2300INTRAVENOUS THERAPY 432734,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432734,A000000,02500,0000,2500PHYSICAL THERAPY 432734,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432734,A000000,02700,0000,2700SPEECH PATHOLOGY 432734,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432734,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432734,A000000,03200,0000,3200SUPPORT SURFACES 432734,A000000,03300,0000,3050PEN BILLING 432734,A000000,03550,0000,3550FQHC 432734,A000000,04801,0000,4801AMBULANCE 432734,A000000,04802,0000,4802AMBULANCE 432734,A000000,04803,0000,4803AMBULANCE 432734,A000000,05000,0000,5000CORF 432734,A000000,05010,0000,5010CMHC 432734,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432734,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432734,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432734,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432734,A81000A,00100,0100,Y 432734,A81000B,00100,0300,HOME OFFICE A AND G 432734,A81000B,00200,0300,DIR INT AND AMORT 432734,A81000B,00300,0300,HOME OFFICE CAP REL 432734,A81000B,00400,0300,PT 432734,A81000B,00500,0300,OT 432734,A81000B,00600,0300,ST 432734,A81000B,00700,0300,DIETARY 432734,A81000B,00800,0300,RT/OXYGEN 432734,A81000B,00900,0300,MED DIR FEES 432734,A81000B,01000,0300,VAR NURS PURCH SERV 432734,A81000C,00100,0100,B 432734,A81000C,00100,0200,GENESIS HEALTHC 432734,A81000C,00100,0600,MNGT CO 432734,A81000C,00200,0100,B 432734,A81000C,00200,0200,GENESIS HOSP SE 432734,A81000C,00200,0600,NUTRITIONIST 432734,A81000C,00300,0100,B 432734,A81000C,00300,0200,GENESIS SERVICE 432734,A81000C,00300,0600,THERAPY SERVICE 432734,A81000C,00400,0100,B 432734,A81000C,00400,0200,GENESIS STAFFIN 432734,A81000C,00400,0600,PURCHASED SERVI 432734,A81000C,00500,0100,B 432734,A81000C,00500,0200,RESP HEALTH SER 432734,A81000C,00500,0600,RT 432734,A81000C,00600,0100,B 432734,A81000C,00600,0200,GENESIS PHYS SE 432734,A81000C,00600,0600,MED DIRECTOR 432734,B100000,00000,0100,0100SQUARE FEET 432734,B100000,00000,0200,0200SQUARE FEET 432734,B100000,00000,0300,0300GROSS SALARIES 432734,B100000,00000,0400,0400ACCUM COST 432734,B100000,00000,0500,0500SQUARE FEET 432734,B100000,00000,0600,0600PT DAYS 432734,B100000,00000,0700,0700SQUARE FEET 432734,B100000,00000,0800,0800MEALS SERVED 432734,B100000,00000,0900,0900PT DAYS 432734,B100000,00000,1000,1000COSTED REQUIS 432734,B100000,00000,1100,1100COSTED REQUIS 432734,B100000,00000,1200,1200GROSS CHARGES 432734,B100000,00000,1300,1300PT DAYS 432734,B100000,00000,1400,1400ASSIGNED TIME 432734,B100000,00000,1500,1350PT DAYS 432734,E10A180,00302,0100,03/25/11 432734,E10A180,00501,0300,10/17/11 432734,E10A180,00550,0100,10/17/11 432734,S000000,00100,0200,09/06/11 432734,S200000,00100,0100,3227 BEL PRE ROAD 432734,S200000,00200,0100,SILVER SPRING 432734,S200000,00200,0200,MD 432734,S200000,00200,0300,20906 432734,S200000,00300,0100,MONTGOMERY 432734,S200000,00300,0201,13644 432734,S200000,00300,0300,U 432734,S200000,00400,0100,LAYHILL 432734,S200000,00400,0200,215168 432734,S200000,00400,0300,08/01/87 432734,S200000,00400,0500,P 432734,S200000,01500,0100,Y 432734,S200000,01501,0200,N 432734,S200000,01502,0200,N 432734,S200000,01503,0200,N 432734,S200000,01504,0200,N 432734,S200000,01505,0000,DON BONUS 432734,S200000,01505,0200,N 432734,S200000,01600,0100,N 432734,S200000,01700,0100,N 432734,S200000,01800,0100,N 432734,S200000,02200,0100,Y 432734,S200000,02800,0100,N 432734,S200000,02900,0100,N 432734,S200000,03000,0100,N 432734,S200000,03100,0100,N 432734,S200000,03200,0100,N 432734,S200000,03300,0100,N 432734,S200000,03300,0200,N 432734,S200000,04200,0100,N 432734,S200000,04300,0100,N 432734,S200000,04600,0100,N 432734,S200000,04700,0100,N 432734,S200000,04900,0100,N 432734,S200000,05200,0100,N 432734,S200000,05300,0100,Y 432734,S200000,05300,0200,HB0067 432734,S200000,05400,0100,GENESIS HEALTHCARE 432734,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432734,S200000,05400,0300,12001 432734,S200000,05500,0100,101 EAST STATE STREET 432734,S200000,05600,0100,KENNETT SQUARE 432734,S200000,05600,0200,PA 432734,S200000,05600,0300,19348 432736,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432736,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432736,A000000,00300,0000,0300EMPLOYEE BENEFITS 432736,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432736,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432736,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432736,A000000,00700,0000,0700HOUSEKEEPING 432736,A000000,00800,0000,0800DIETARY 432736,A000000,00900,0000,0900NURSING ADMINISTRATION 432736,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432736,A000000,01100,0000,1100PHARMACY 432736,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432736,A000000,01300,0000,1300SOCIAL SERVICE 432736,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432736,A000000,01500,0000,1350ACTIVITIES / RECREATION 432736,A000000,01600,0000,1600SKILLED NURSING FACILITY 432736,A000000,01810,0000,1810ICF/MR 432736,A000000,02100,0000,2100RADIOLOGY 432736,A000000,02200,0000,2200LABORATORY 432736,A000000,02300,0000,2300INTRAVENOUS THERAPY 432736,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432736,A000000,02500,0000,2500PHYSICAL THERAPY 432736,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432736,A000000,02700,0000,2700SPEECH PATHOLOGY 432736,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432736,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432736,A000000,03200,0000,3200SUPPORT SURFACES 432736,A000000,03300,0000,3050PEN SERVICES 432736,A000000,03550,0000,3550FQHC 432736,A000000,04801,0000,4801AMBULANCE 432736,A000000,04802,0000,4802AMBULANCE 432736,A000000,04803,0000,4803AMBULANCE 432736,A000000,05000,0000,5000CORF 432736,A000000,05010,0000,5010CMHC 432736,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432736,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432736,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432736,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432736,A81000A,00100,0100,Y 432736,A81000B,00100,0300,HOME OFFICE A & G 432736,A81000B,00200,0300,DIRECT INT. & AMORT. 432736,A81000B,00300,0300,H. O. CAPITAL RELATE 432736,A81000B,00400,0300,PT 432736,A81000B,00500,0300,OT 432736,A81000B,00600,0300,ST 432736,A81000B,00700,0300,SUPP & NUTRITIONIST 432736,A81000B,00800,0300,RT/ OXYGEN 432736,A81000B,00900,0300,MEDICAL DIRECTOR 432736,A81000B,01000,0300,PURCHASED SERVICES 432736,A81000C,00100,0100,B 432736,A81000C,00100,0200,GENESIS HEALTHC 432736,A81000C,00100,0600,MGMT. COMPANY 432736,A81000C,00200,0100,B 432736,A81000C,00200,0200,GENESIS SERVICE 432736,A81000C,00200,0600,VARIOUS 432736,A81000C,00300,0100,B 432736,A81000C,00300,0200,GENESIS REHAB 432736,A81000C,00300,0600,REHAB 432736,A81000C,00400,0100,B 432736,A81000C,00400,0200,GENESIS HOSPITA 432736,A81000C,00400,0600,NUTRITIONIST 432736,A81000C,00500,0100,B 432736,A81000C,00500,0200,RESPIRATORY HEA 432736,A81000C,00500,0600,RT 432736,A81000C,00600,0100,B 432736,A81000C,00600,0200,GENESIS PHYS. S 432736,A81000C,00600,0600,MEDICAL DIRECTO 432736,B100000,00000,0100,0100SQUARE FEET 432736,B100000,00000,0200,0200SQUARE FEET 432736,B100000,00000,0300,0300GROSS SALARIES 432736,B100000,00000,0400,0400ACCUM COST 432736,B100000,00000,0500,0500SQUARE FEET 432736,B100000,00000,0600,0600PATIENT DAYS 432736,B100000,00000,0700,0700SQUARE FEET 432736,B100000,00000,0800,0800MEALS SERVED 432736,B100000,00000,0900,0900PATIENT DAYS 432736,B100000,00000,1000,1000COSTED REQUIS 432736,B100000,00000,1100,1100COSTED REQUIS 432736,B100000,00000,1200,1200GROSS CHARGES 432736,B100000,00000,1300,1300PATIENT DAYS 432736,B100000,00000,1400,1400ASSIGNED TIME 432736,B100000,00000,1500,1350PATIENT DAYS 432736,E10A180,00353,0100,03/28/11 432736,E10A180,00550,0100,11/17/11 432736,E10A180,00550,0300,11/17/11 432736,G300000,02500,0000,MISC. REVENUE 432736,S000000,00100,0200,09/06/11 432736,S200000,00100,0100,515 BRIGHTFIELD ROAD 432736,S200000,00200,0100,BALTIMORE 432736,S200000,00200,0200,MD 432736,S200000,00200,0300,21093 432736,S200000,00300,0100,BALTIMORE 432736,S200000,00300,0201,12580 432736,S200000,00300,0300,U 432736,S200000,00400,0100,BRIGHTWOOD CENTER 432736,S200000,00400,0200,215226 432736,S200000,00400,0300,10/01/90 432736,S200000,00400,0500,P 432736,S200000,01500,0100,Y 432736,S200000,01501,0200,N 432736,S200000,01502,0200,N 432736,S200000,01503,0200,N 432736,S200000,01504,0200,N 432736,S200000,01505,0000,DON BONUS 432736,S200000,01505,0200,N 432736,S200000,01600,0100,N 432736,S200000,01700,0100,N 432736,S200000,01800,0100,N 432736,S200000,02200,0100,Y 432736,S200000,02800,0100,N 432736,S200000,02900,0100,N 432736,S200000,03000,0100,N 432736,S200000,03100,0100,N 432736,S200000,03200,0100,N 432736,S200000,03300,0100,N 432736,S200000,03300,0200,N 432736,S200000,04200,0100,N 432736,S200000,04300,0100,N 432736,S200000,04600,0100,N 432736,S200000,04700,0100,N 432736,S200000,04900,0100,N 432736,S200000,05200,0100,N 432736,S200000,05300,0100,Y 432736,S200000,05300,0200,HB0067 432736,S200000,05400,0100,GENESIS HEALTHCARE 432736,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432736,S200000,05400,0300,12001 432736,S200000,05500,0100,101 EAST STREET 432736,S200000,05600,0100,KENNETT SQUARE 432736,S200000,05600,0200,PA 432736,S200000,05600,0300,19348 432739,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432739,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432739,A000000,00300,0000,0300EMPLOYEE BENEFITS 432739,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432739,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432739,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432739,A000000,00700,0000,0700HOUSEKEEPING 432739,A000000,00800,0000,0800DIETARY 432739,A000000,00900,0000,0900NURSING ADMINISTRATION 432739,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432739,A000000,01100,0000,1100PHARMACY 432739,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432739,A000000,01300,0000,1300SOCIAL SERVICE 432739,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432739,A000000,01500,0000,1350RECREATION 432739,A000000,01600,0000,1600SKILLED NURSING FACILITY 432739,A000000,01810,0000,1810ICF/MR 432739,A000000,02100,0000,2100RADIOLOGY 432739,A000000,02200,0000,2200LABORATORY 432739,A000000,02300,0000,2300INTRAVENOUS THERAPY 432739,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432739,A000000,02500,0000,2500PHYSICAL THERAPY 432739,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432739,A000000,02700,0000,2700SPEECH PATHOLOGY 432739,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432739,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432739,A000000,03550,0000,3550FQHC 432739,A000000,04801,0000,4801AMBULANCE 432739,A000000,04802,0000,4802AMBULANCE 432739,A000000,04803,0000,4803AMBULANCE 432739,A000000,05000,0000,5000CORF 432739,A000000,05010,0000,5010CMHC 432739,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432739,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432739,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432739,A81000A,00100,0100,Y 432739,A81000B,00100,0300,SEE ATTACHED 432739,A81000B,00200,0300,HOME OFFICE INTEREST 432739,A81000B,00300,0300,HOME OFFICE ADMIN 432739,A81000B,00400,0300,HOME OFFICE CAPITAL 432739,A81000C,00100,0100,B 432739,A81000C,00100,0400,SEE ATTACHED 432739,A81000C,00100,0600,VARIOUS 432739,A81000C,00200,0100,B 432739,A81000C,00200,0400,GHC 432739,A81000C,00200,0600,LONG TERM CARE 432739,A81000C,00300,0100,B 432739,A81000C,00300,0400,GHC 432739,A81000C,00300,0600,LONG TERM CARE 432739,A81000C,00400,0100,B 432739,A81000C,00400,0400,GHC 432739,A81000C,00400,0600,LONG TERM CARE 432739,B100000,00000,0100,0100SQUARE FEET 432739,B100000,00000,0200,0200SQUARE FEET 432739,B100000,00000,0300,0300GROSS SALARIES 432739,B100000,00000,0400,0400ACCUM COST 432739,B100000,00000,0500,0500SQUARE FEET 432739,B100000,00000,0600,0600PATIENT DAYS 432739,B100000,00000,0700,0700SQUARE FEET 432739,B100000,00000,0800,0800MEALS SERVED 432739,B100000,00000,0900,0900NURSING SALARIES 432739,B100000,00000,1000,1000COSTED REQUIS 432739,B100000,00000,1100,1100COSTED REQUIS 432739,B100000,00000,1200,1200PATIENT DAYS 432739,B100000,00000,1300,1300PATIENT DAYS 432739,B100000,00000,1400,1400ASSIGNED TIME 432739,B100000,00000,1500,1350PATIENT DAYS 432739,E10A180,00550,0100,01/12/12 432739,E10A180,00550,0300,01/12/12 432739,G300000,02500,0000,BARBER AND BEAUTY 432739,S000000,00100,0200,12/02/11 432739,S200000,00100,0100,905 PENNLYN PIKE 432739,S200000,00200,0100,SPRING HOUSE 432739,S200000,00200,0200,PA 432739,S200000,00200,0300,19477 432739,S200000,00300,0100,MONTGOMERY 432739,S200000,00300,0201,37964 432739,S200000,00300,0300,U 432739,S200000,00400,0100,SILVER STREAM CENTER 432739,S200000,00400,0200,395354 432739,S200000,00400,0300,07/01/82 432739,S200000,00400,0500,P 432739,S200000,01500,0100,Y 432739,S200000,01501,0200,N 432739,S200000,01502,0200,N 432739,S200000,01503,0200,N 432739,S200000,01504,0200,N 432739,S200000,01600,0100,N 432739,S200000,01700,0100,N 432739,S200000,01800,0100,N 432739,S200000,01900,0100,LLC 432739,S200000,02200,0100,Y 432739,S200000,02800,0100,N 432739,S200000,02900,0100,N 432739,S200000,03000,0100,N 432739,S200000,03100,0100,N 432739,S200000,03200,0100,N 432739,S200000,03300,0100,N 432739,S200000,03300,0200,N 432739,S200000,04200,0100,N 432739,S200000,04300,0100,N 432739,S200000,04600,0100,N 432739,S200000,04700,0100,N 432739,S200000,04900,0100,N 432739,S200000,05200,0100,N 432739,S200000,05300,0100,Y 432739,S200000,05300,0200,HB0067 432739,S200000,05400,0100,GENESIS HEALTHCARE LLC 432739,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432739,S200000,05400,0300,12001 432739,S200000,05500,0100,101 EAST STATE STREET 432739,S200000,05600,0100,KENNETT SQUARE 432739,S200000,05600,0200,PA 432739,S200000,05600,0300,19348 432740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432740,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432740,A000000,00300,0000,0300EMPLOYEE BENEFITS 432740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432740,A000000,00700,0000,0700HOUSEKEEPING 432740,A000000,00800,0000,0800DIETARY 432740,A000000,00900,0000,0900NURSING ADMINISTRATION 432740,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432740,A000000,01100,0000,1100PHARMACY 432740,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432740,A000000,01300,0000,1300SOCIAL SERVICE 432740,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432740,A000000,01500,0000,1350RECREATION 432740,A000000,01600,0000,1600SKILLED NURSING FACILITY 432740,A000000,01810,0000,1810ICF/MR 432740,A000000,02100,0000,2100RADIOLOGY 432740,A000000,02200,0000,2200LABORATORY 432740,A000000,02300,0000,2300INTRAVENOUS THERAPY 432740,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432740,A000000,02500,0000,2500PHYSICAL THERAPY 432740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432740,A000000,02700,0000,2700SPEECH PATHOLOGY 432740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432740,A000000,03550,0000,3550FQHC 432740,A000000,04801,0000,4801AMBULANCE 432740,A000000,04802,0000,4802AMBULANCE 432740,A000000,04803,0000,4803AMBULANCE 432740,A000000,05000,0000,5000CORF 432740,A000000,05010,0000,5010CMHC 432740,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432740,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432740,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432740,A81000A,00100,0100,Y 432740,A81000B,00100,0300,SEE ATTACHED 432740,A81000B,00200,0300,CAPITAL INTEREST 432740,A81000B,00300,0300,HOME OFFICE 432740,A81000B,00400,0300,HOME OFFICE 432740,A81000C,00100,0100,B 432740,A81000C,00100,0400,SEE ATTACHED 432740,A81000C,00100,0600,VARIOUS 432740,A81000C,00200,0100,B 432740,A81000C,00200,0400,GHC 432740,A81000C,00200,0600,LONG TERM CARE 432740,A81000C,00300,0100,B 432740,A81000C,00300,0400,GHC 432740,A81000C,00300,0600,LONG TERM CARE 432740,A81000C,00400,0100,B 432740,A81000C,00400,0400,GHC 432740,A81000C,00400,0600,LONG TERM CARE 432740,B100000,00000,0100,0100SQUARE FEET 432740,B100000,00000,0200,0200SQUARE FEET 432740,B100000,00000,0300,0300GROSS SALARIES 432740,B100000,00000,0400,0400ACCUM COST 432740,B100000,00000,0500,0500SQUARE FEET 432740,B100000,00000,0600,0600PATIENT DAYS 432740,B100000,00000,0700,0700SQUARE FEET 432740,B100000,00000,0800,0800MEALS SERVED 432740,B100000,00000,0900,0900NURSING SALARIES 432740,B100000,00000,1000,1000COSTED REQUIS 432740,B100000,00000,1100,1100COSTED REQUIS 432740,B100000,00000,1200,1200PATIENT DAYS 432740,B100000,00000,1300,1300PATIENT DAYS 432740,B100000,00000,1400,1400ASSIGNED TIME 432740,B100000,00000,1500,1350PATIENT DAYS 432740,E10A180,00501,0100,01/26/12 432740,E10A180,00501,0300,01/26/12 432740,S000000,00100,0200,09/12/11 432740,S200000,00100,0100,4 HAZEL AVENUE 432740,S200000,00200,0100,NAUGATUCK 432740,S200000,00200,0200,CT 432740,S200000,00200,0300,06770 432740,S200000,00300,0100,NEW HAVEN 432740,S200000,00300,0201,35300 432740,S200000,00300,0300,U 432740,S200000,00400,0100,GLENDALE CENTER 432740,S200000,00400,0200,075240 432740,S200000,00400,0300,07/01/85 432740,S200000,00400,0500,P 432740,S200000,01500,0100,Y 432740,S200000,01501,0200,N 432740,S200000,01502,0200,N 432740,S200000,01503,0200,N 432740,S200000,01504,0200,N 432740,S200000,01600,0100,N 432740,S200000,01700,0100,N 432740,S200000,01800,0100,N 432740,S200000,02200,0100,Y 432740,S200000,02800,0100,N 432740,S200000,02900,0100,N 432740,S200000,03000,0100,N 432740,S200000,03100,0100,N 432740,S200000,03200,0100,N 432740,S200000,03300,0100,N 432740,S200000,03300,0200,N 432740,S200000,04200,0100,N 432740,S200000,04300,0100,N 432740,S200000,04600,0100,N 432740,S200000,04700,0100,N 432740,S200000,04900,0100,N 432740,S200000,05200,0100,N 432740,S200000,05300,0100,Y 432740,S200000,05300,0200,HB0067 432740,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432740,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432740,S200000,05400,0300,12001 432740,S200000,05500,0100,101 EAST STATE STREET 432740,S200000,05600,0100,KENNETT SQUARE 432740,S200000,05600,0200,PA 432740,S200000,05600,0300,19348 432742,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432742,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432742,A000000,00300,0000,0300EMPLOYEE BENEFITS 432742,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432742,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432742,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432742,A000000,00700,0000,0700HOUSEKEEPING 432742,A000000,00800,0000,0800DIETARY 432742,A000000,00900,0000,0900NURSING ADMINISTRATION 432742,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432742,A000000,01100,0000,1100PHARMACY 432742,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432742,A000000,01300,0000,1300SOCIAL SERVICE 432742,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432742,A000000,01500,0000,1350RECREATION 432742,A000000,01600,0000,1600SKILLED NURSING FACILITY 432742,A000000,01810,0000,1810ICF/MR 432742,A000000,02100,0000,2100RADIOLOGY 432742,A000000,02200,0000,2200LABORATORY 432742,A000000,02300,0000,2300INTRAVENOUS THERAPY 432742,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432742,A000000,02500,0000,2500PHYSICAL THERAPY 432742,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432742,A000000,02700,0000,2700SPEECH PATHOLOGY 432742,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432742,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432742,A000000,03550,0000,3550FQHC 432742,A000000,04801,0000,4801AMBULANCE 432742,A000000,04802,0000,4802AMBULANCE 432742,A000000,04803,0000,4803AMBULANCE 432742,A000000,05000,0000,5000CORF 432742,A000000,05010,0000,5010CMHC 432742,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432742,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432742,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432742,A81000A,00100,0100,Y 432742,A81000B,00100,0300,AS ATTACHED 432742,A81000B,00200,0300,HOME OFFICE INTEREST 432742,A81000B,00300,0300,HOME OFFICE A&G 432742,A81000B,00400,0300,HOME OFFICE CAP PIEC 432742,A81000C,00100,0100,B 432742,A81000C,00100,0400,AS ATTACHED 432742,A81000C,00100,0600,VARIOUS 432742,A81000C,00200,0100,B 432742,A81000C,00200,0400,GHC 432742,A81000C,00200,0600,LONG TERM CARE 432742,A81000C,00300,0100,B 432742,A81000C,00300,0400,GHC 432742,A81000C,00300,0600,LONG TERM CARE 432742,A81000C,00400,0100,B 432742,A81000C,00400,0400,GHC 432742,A81000C,00400,0600,LONG TERM CARE 432742,B100000,00000,0100,0100SQUARE FEET 432742,B100000,00000,0200,0200SQUARE FEET 432742,B100000,00000,0300,0300GROSS SALARIES 432742,B100000,00000,0400,0400ACCUM COST 432742,B100000,00000,0500,0500SQUARE FEET 432742,B100000,00000,0600,0600PATIENT DAYS 432742,B100000,00000,0700,0700SQUARE FEET 432742,B100000,00000,0800,0800MEALS SERVED 432742,B100000,00000,0900,0900NURSING SALARIES 432742,B100000,00000,1000,1000COSTED REQUIS 432742,B100000,00000,1100,1100COSTED REQUIS 432742,B100000,00000,1200,1200PATIENT DAYS 432742,B100000,00000,1300,1300PATIENT DAYS 432742,B100000,00000,1400,1400ASSIGNED TIME 432742,B100000,00000,1500,1350PATIENT DAYS 432742,E10A180,00501,0100,01/04/12 432742,E10A180,00501,0300,01/04/12 432742,G300000,02500,0000,BARBER & BEAUTY 432742,S000000,00100,0200,12/02/11 432742,S200000,00100,0100,1526 LOMBARD STREET 432742,S200000,00200,0100,PHILADELPHIA 432742,S200000,00200,0200,PA 432742,S200000,00200,0300,19146 432742,S200000,00300,0100,PHILADELPHIA 432742,S200000,00300,0201,37964 432742,S200000,00300,0300,U 432742,S200000,00400,0100,LIBERTY COURT 432742,S200000,00400,0200,395485 432742,S200000,00400,0300,06/01/66 432742,S200000,00400,0500,P 432742,S200000,01500,0100,Y 432742,S200000,01501,0200,N 432742,S200000,01502,0200,N 432742,S200000,01503,0200,N 432742,S200000,01504,0200,N 432742,S200000,01600,0100,N 432742,S200000,01700,0100,N 432742,S200000,01800,0100,N 432742,S200000,01900,0100,LLC 432742,S200000,02200,0100,Y 432742,S200000,02800,0100,N 432742,S200000,02900,0100,N 432742,S200000,03000,0100,N 432742,S200000,03100,0100,N 432742,S200000,03200,0100,N 432742,S200000,03300,0100,N 432742,S200000,03300,0200,N 432742,S200000,04200,0100,N 432742,S200000,04300,0100,N 432742,S200000,04600,0100,N 432742,S200000,04700,0100,N 432742,S200000,04900,0100,N 432742,S200000,05200,0100,N 432742,S200000,05300,0100,Y 432742,S200000,05300,0200,HB0067 432742,S200000,05400,0100,GENESIS HEALTHCARE LLC 432742,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432742,S200000,05400,0300,12001 432742,S200000,05500,0100,101 EAST STATE STREET 432742,S200000,05600,0100,KENNETT SQUARE 432742,S200000,05600,0200,PA 432742,S200000,05600,0300,19348 432748,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432748,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432748,A000000,00300,0000,0300EMPLOYEE BENEFITS 432748,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432748,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432748,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432748,A000000,00700,0000,0700HOUSEKEEPING 432748,A000000,00800,0000,0800DIETARY 432748,A000000,00900,0000,0900NURSING ADMINISTRATION 432748,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432748,A000000,01100,0000,1100PHARMACY 432748,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432748,A000000,01300,0000,1300SOCIAL SERVICE 432748,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432748,A000000,01600,0000,1600SKILLED NURSING FACILITY 432748,A000000,01800,0000,1800NURSING FACILITY 432748,A000000,01900,0000,1900OTHER LONG TERM CARE 432748,A000000,02100,0000,2100RADIOLOGY 432748,A000000,02200,0000,2200LABORATORY 432748,A000000,02300,0000,2300INTRAVENOUS THERAPY 432748,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432748,A000000,02500,0000,2500PHYSICAL THERAPY 432748,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432748,A000000,02700,0000,2700SPEECH PATHOLOGY 432748,A000000,02800,0000,2800ELECTROCARDIOLOGY 432748,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432748,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432748,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432748,A000000,03200,0000,3200SUPPORT SURFACES 432748,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432748,A000000,03400,0000,3400CLINIC 432748,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432748,A000000,04800,0000,4800AMBULANCE 432748,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432748,A000000,05000,0000,5000CORF 432748,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432748,A000000,05300,0000,5300INTEREST EXPENSE 432748,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432748,A000000,05500,0000,5500HOSPICE 432748,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432748,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432748,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432748,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432748,A000000,06100,0000,6100NONPAID WORKERS 432748,A000000,06200,0000,6200PATIENTS LAUNDRY 432748,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432748,A81000A,00100,0100,Y 432748,A81000B,00100,0300,NURSING CONSULTING 432748,A81000B,00200,0300,DIETARY CONSULTING 432748,A81000B,00300,0300,HOME OFFICE 432748,A81000B,00400,0300,INTEREST EXPENSE 432748,A81000B,00500,0300,WORKERS COMP EXPENSE 432748,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 432748,A81000B,00700,0300,MAINTENANCE SUPPLIES 432748,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 432748,A81000B,00900,0300,REPAIRS-EQUIPMENT 432748,A81000B,01000,0300,REPAIRS-GROUNDS 432748,A81000B,01100,0300,LINEN & BEDDING 432748,A81000B,01200,0300,SUPPLIES 432748,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 432748,A81000B,01400,0300,SUPPLIES 432748,A81000B,01500,0300,DIETARY SUPPLEMENTS 432748,A81000B,01600,0300,SUPPLIES 432748,A81000B,01700,0300,BIO-MEDICAL WASTE 432748,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 432748,A81000B,01900,0300,PERSONAL CARE SUPPLIES 432748,A81000B,02000,0300,INCONTINENCE SUPPLIES 432748,A81000B,02100,0300,MEDICAL SUPPLIES 432748,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 432748,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 432748,A81000B,02400,0300,SUPPLIES 432748,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 432748,A81000B,02600,0300,NON-LEGEND DRUGS 432748,A81000B,02700,0300,PHARMACY CONSULTANT 432748,A81000B,02800,0300,SUPPLIES 432748,A81000B,02900,0300,LEGEND DRUGS 432748,A81000C,00100,0100,B 432748,A81000C,00100,0200,PLTC & PITS INC 432748,A81000C,00100,0400,PLTC & PITS INC 432748,A81000C,00100,0600,MGMT SERVICES 432748,A81000C,00200,0100,B 432748,A81000C,00200,0200,PLTC & PITS INC 432748,A81000C,00200,0400,PLTC & PITS INC 432748,A81000C,00200,0600,MGMT SERVICES 432748,A81000C,00300,0100,B 432748,A81000C,00300,0200,PLTC & PITS INC 432748,A81000C,00300,0400,PLTC & PITS INC 432748,A81000C,00300,0600,MGMT SERVICES 432748,A81000C,00400,0100,B 432748,A81000C,00400,0200,PLTC & PITS INC 432748,A81000C,00400,0400,PLTC & PITS INC 432748,A81000C,00400,0600,MGMT SERVICES 432748,A81000C,00500,0100,A 432748,A81000C,00500,0200,SHAREHOLDERS 432748,A81000C,00500,0400,DISCOVERY INSUR 432748,A81000C,00500,0600,INSURANCE 432748,A81000C,00600,0100,A 432748,A81000C,00600,0200,SHAREHOLDERS 432748,A81000C,00600,0400,QUEENSLAND ASSU 432748,A81000C,00600,0600,INSURANCE 432748,A81000C,00700,0100,A 432748,A81000C,00700,0200,SHAREHOLDERS 432748,A81000C,00700,0400,KARE MEDICAL 432748,A81000C,00700,0600,WHOLESALE SUPPL 432748,A81000C,00800,0100,A 432748,A81000C,00800,0200,SHAREHOLDERS 432748,A81000C,00800,0400,KARE MEDICAL 432748,A81000C,00800,0600,WHOLESALE SUPPL 432748,A81000C,00900,0100,A 432748,A81000C,00900,0200,SHAREHOLDERS 432748,A81000C,00900,0400,KARE MEDICAL 432748,A81000C,00900,0600,WHOLESALE SUPPL 432748,A81000C,01000,0100,A 432748,A81000C,01000,0200,SHAREHOLDERS 432748,A81000C,01000,0400,KARE MEDICAL 432748,A81000C,01000,0600,WHOLESALE SUPPL 432748,A81000C,01001,0100,A 432748,A81000C,01001,0200,SHAREHOLDERS 432748,A81000C,01001,0400,KARE MEDICAL 432748,A81000C,01001,0600,WHOLESALE SUPPL 432748,A81000C,01002,0100,A 432748,A81000C,01002,0200,SHAREHOLDERS 432748,A81000C,01002,0400,KARE MEDICAL 432748,A81000C,01002,0600,WHOLESALE SUPPL 432748,A81000C,01003,0100,A 432748,A81000C,01003,0200,SHAREHOLDERS 432748,A81000C,01003,0400,KARE MEDICAL 432748,A81000C,01003,0600,WHOLESALE SUPPL 432748,A81000C,01004,0100,A 432748,A81000C,01004,0200,SHAREHOLDERS 432748,A81000C,01004,0400,KARE MEDICAL 432748,A81000C,01004,0600,WHOLESALE SUPPL 432748,A81000C,01005,0100,A 432748,A81000C,01005,0200,SHAREHOLDERS 432748,A81000C,01005,0400,KARE MEDICAL 432748,A81000C,01005,0600,WHOLESALE SUPPL 432748,A81000C,01006,0100,A 432748,A81000C,01006,0200,SHAREHOLDERS 432748,A81000C,01006,0400,KARE MEDICAL 432748,A81000C,01006,0600,WHOLESALE SUPPL 432748,A81000C,01007,0100,A 432748,A81000C,01007,0200,SHAREHOLDERS 432748,A81000C,01007,0400,KARE MEDICAL 432748,A81000C,01007,0600,WHOLESALE SUPPL 432748,A81000C,01008,0100,A 432748,A81000C,01008,0200,SHAREHOLDERS 432748,A81000C,01008,0400,KARE MEDICAL 432748,A81000C,01008,0600,WHOLESALE SUPPL 432748,A81000C,01009,0100,A 432748,A81000C,01009,0200,SHAREHOLDERS 432748,A81000C,01009,0400,KARE MEDICAL 432748,A81000C,01009,0600,WHOLESALE SUPPL 432748,A81000C,01010,0100,A 432748,A81000C,01010,0200,SHAREHOLDERS 432748,A81000C,01010,0400,KARE MEDICAL 432748,A81000C,01010,0600,WHOLESALE SUPPL 432748,A81000C,01011,0100,A 432748,A81000C,01011,0200,SHAREHOLDERS 432748,A81000C,01011,0400,KARE MEDICAL 432748,A81000C,01011,0600,WHOLESALE SUPPL 432748,A81000C,01012,0100,A 432748,A81000C,01012,0200,SHAREHOLDERS 432748,A81000C,01012,0400,KARE MEDICAL 432748,A81000C,01012,0600,WHOLESALE SUPPL 432748,A81000C,01013,0100,A 432748,A81000C,01013,0200,SHAREHOLDERS 432748,A81000C,01013,0400,KARE MEDICAL 432748,A81000C,01013,0600,WHOLESALE SUPPL 432748,A81000C,01014,0100,A 432748,A81000C,01014,0200,SHAREHOLDERS 432748,A81000C,01014,0400,KARE MEDICAL 432748,A81000C,01014,0600,WHOLESALE SUPPL 432748,A81000C,01015,0100,A 432748,A81000C,01015,0200,SHAREHOLDERS 432748,A81000C,01015,0400,KARE MEDICAL 432748,A81000C,01015,0600,WHOLESALE SUPPL 432748,A81000C,01016,0100,A 432748,A81000C,01016,0200,SHAREHOLDERS 432748,A81000C,01016,0400,PHARMSAVE 432748,A81000C,01016,0600,RX SUPPLY 432748,A81000C,01017,0100,A 432748,A81000C,01017,0200,SHAREHOLDERS 432748,A81000C,01017,0400,PHARMSAVE 432748,A81000C,01017,0600,RX SUPPLY 432748,A81000C,01018,0100,A 432748,A81000C,01018,0200,SHAREHOLDERS 432748,A81000C,01018,0400,PHARMSAVE 432748,A81000C,01018,0600,RX SUPPLY 432748,A81000C,01019,0100,A 432748,A81000C,01019,0200,SHAREHOLDERS 432748,A81000C,01019,0400,PHARMSAVE 432748,A81000C,01019,0600,RX SUPPLY 432748,A81000C,01020,0100,A 432748,A81000C,01020,0200,SHAREHOLDERS 432748,A81000C,01020,0400,ROBERT HILL CON 432748,A81000C,01020,0600,CONSTRUCTION 432748,A81000C,01021,0100,A 432748,A81000C,01021,0200,SHAREHOLDERS 432748,A81000C,01021,0400,ROBERT HILL CON 432748,A81000C,01021,0600,CONSTRUCTION 432748,A81000C,01022,0100,A 432748,A81000C,01022,0200,SHAREHOLDERS 432748,A81000C,01022,0400,ROBERT HILL CON 432748,A81000C,01022,0600,CONSTRUCTION 432748,A81000C,01023,0100,A 432748,A81000C,01023,0200,SHAREHOLDERS 432748,A81000C,01023,0400,HILLCO LTD 432748,A81000C,01023,0600,REAL ESTATE 432748,A81000C,01024,0100,A 432748,A81000C,01024,0200,SHAREHOLDERS 432748,A81000C,01024,0400,BRITTHAVEN INC 432748,A81000C,01024,0600,REAL ESTATE 432748,A81000C,01025,0100,A 432748,A81000C,01025,0200,SHAREHOLDERS 432748,A81000C,01025,0400,BRITTHAVEN INC 432748,A81000C,01025,0600,REAL ESTATE 432748,A81000C,01026,0100,A 432748,A81000C,01026,0200,SHAREHOLDERS 432748,A81000C,01026,0400,BRITTHAVEN INC 432748,A81000C,01026,0600,REAL ESTATE 432748,A81000C,01027,0100,A 432748,A81000C,01027,0200,SHAREHOLDERS 432748,A81000C,01027,0400,BRITTHAVEN INC 432748,A81000C,01027,0600,REAL ESTATE 432748,A81000C,01028,0100,A 432748,A81000C,01028,0200,SHAREHOLDERS 432748,A81000C,01028,0400,BRITTHAVEN INC 432748,A81000C,01028,0600,REAL ESTATE 432748,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432748,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432748,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432748,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432748,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432748,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432748,B100000,00000,0800,0800MEALS SERVED :DIETARY 432748,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432748,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432748,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432748,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432748,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432748,E10A180,00350,0100,08/25/11 432748,E10A180,00501,0100,05/25/12 432748,E10A180,00550,0100,02/29/12 432748,G300000,02500,0000, OTHER (SPECIFY) 432748,S000000,00100,0200,02/29/12 432748,S200000,00100,0100,128 SNOWHILL ROAD 432748,S200000,00200,0100,AYDEN 432748,S200000,00200,0200,NC 432748,S200000,00200,0300,28153 432748,S200000,00300,0100,PITT 432748,S200000,00300,0201,24780 432748,S200000,00300,0300,U 432748,S200000,00400,0100,AYDEN COURT NURSING & REHAB CENTER 432748,S200000,00400,0200,345490 432748,S200000,00400,0300,01/01/11 432748,S200000,00400,0500,P 432748,S200000,01500,0100,Y 432748,S200000,01501,0200,Y 432748,S200000,01502,0200,Y 432748,S200000,01503,0200,Y 432748,S200000,01504,0200,Y 432748,S200000,01505,0000,OTHER (SPECIFY) 432748,S200000,01505,0200,Y 432748,S200000,01600,0100,N 432748,S200000,01700,0100,N 432748,S200000,01800,0100,N 432748,S200000,02200,0100,N 432748,S200000,02800,0100,N 432748,S200000,02900,0100,N 432748,S200000,03000,0100,N 432748,S200000,03100,0100,N 432748,S200000,03200,0100,N 432748,S200000,03300,0100,N 432748,S200000,03300,0200,N 432748,S200000,04100,0100,N 432748,S200000,04200,0100,N 432748,S200000,04300,0100,N 432748,S200000,04600,0100,N 432748,S200000,04700,0100,N 432748,S200000,04700,0200,N 432748,S200000,04900,0100,N 432748,S200000,05000,0100,N 432748,S200000,05100,0100,N 432748,S200000,05200,0100,N 432748,S200000,05300,0100,Y 432748,S200000,05300,0200,349011 432748,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 432748,S200000,05400,0200,PALMETTO GBA 432748,S200000,05400,0300,11501 432748,S200000,05500,0100,1435 HWY 258 NORTH 432748,S200000,05600,0100,KINSTON 432748,S200000,05600,0200,NC 432748,S200000,05600,0300,28502 432750,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432750,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432750,A000000,00300,0000,0300EMPLOYEE BENEFITS 432750,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432750,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432750,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432750,A000000,00700,0000,0700HOUSEKEEPING 432750,A000000,00800,0000,0800DIETARY 432750,A000000,00900,0000,0900NURSING ADMINISTRATION 432750,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432750,A000000,01100,0000,1100PHARMACY 432750,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432750,A000000,01300,0000,1300SOCIAL SERVICE 432750,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432750,A000000,01600,0000,1600SKILLED NURSING FACILITY 432750,A000000,01810,0000,1810ICF/MR 432750,A000000,02100,0000,2100RADIOLOGY 432750,A000000,02200,0000,2200LABORATORY 432750,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432750,A000000,02500,0000,2500PHYSICAL THERAPY 432750,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432750,A000000,02700,0000,2700SPEECH PATHOLOGY 432750,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432750,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432750,A000000,03300,0000,3050ENTERALS 432750,A000000,03550,0000,3550FQHC 432750,A000000,05000,0000,5000CORF 432750,A000000,05010,0000,5010CMHC 432750,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432750,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432750,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432750,A000000,05300,0000,5300INTEREST EXPENSE 432750,A81000A,00100,0100,Y 432750,A81000B,00100,0300,MANAGEMENT FEES 432750,A81000B,00200,0300,HO NEW CAP REL COSTS 432750,A81000B,00300,0300,HO NEW CAP REL COSTS 432750,A81000B,00400,0300,INTEREST INCOME 432750,A81000B,00500,0300,HO MAINT ALLOC 432750,A81000B,00600,0300,ENTERALS FORMULA 432750,A81000B,00700,0300,ENTERALS SUPPLIES 432750,A81000B,00800,0300,OTC DRUGS 432750,A81000B,00900,0300,PHARMACY 432750,A81000B,01000,0300,LAUNDRY ALLOCATION 432750,A81000B,01100,0300,RENT 432750,A81000B,01200,0300,HO PROP CO ALLOC 432750,A81000B,01300,0300,HO PROP CO ALLOC 432750,A81000B,01400,0300,HO PROP CO ALLOC 432750,A81000B,01500,0300,HO PROP CO ALLOC 432750,A81000B,01600,0300,EMPLOYEE VACCINE 432750,A81000B,01700,0300,FLU VACCINE 432750,A81000B,01800,0300,CNA TRAINING COSTS 432750,A81000B,01900,0300,CNA TRAINING COSTS 432750,A81000B,02000,0300,CSA SAL & BENEFITS 432750,A81000B,02100,0300,CSA SAL & BENEFITS 432750,A81000B,02200,0300,M/S SAL & BENEFITS 432750,A81000B,02300,0300,M/S SAL & BENEFITS 432750,A81000B,02400,0300,LIFE ENHANCE COSTS 432750,A81000B,02500,0300,LIFE ENHANCE COSTS 432750,A81000B,02600,0300,QA/RISK MGMT COSTS 432750,A81000B,02700,0300,QA/RISK MGMT COSTS 432750,A81000B,02800,0300,ADMISSIONS COSTS 432750,A81000B,02900,0300,ADMISSSIONS COSTS 432750,A81000C,00100,0100,B 432750,A81000C,00100,0200,WILSON SENIOR C 432750,A81000C,00100,0400,WILSON SENIOR C 432750,A81000C,00100,0600,MANAGEMENT H.O. 432750,A81000C,00200,0100,B 432750,A81000C,00200,0200,WILSON SENIOR C 432750,A81000C,00200,0400,WILSON SENIOR C 432750,A81000C,00200,0600,MANAGEMENT H.O. 432750,A81000C,00300,0100,B 432750,A81000C,00300,0200,WILSON SENIOR C 432750,A81000C,00300,0400,WILSON SENIOR C 432750,A81000C,00300,0600,MANAGEMENT H.O. 432750,A81000C,00400,0100,B 432750,A81000C,00400,0200,WILSON SENIOR C 432750,A81000C,00400,0400,WILSON SENIOR C 432750,A81000C,00400,0600,MANAGEMENT H.O. 432750,A81000C,00500,0100,B 432750,A81000C,00500,0200,WILSON SENIOR C 432750,A81000C,00500,0400,WILSON SENIOR C 432750,A81000C,00500,0600,MANAGEMENT H.O. 432750,A81000C,00600,0100,B 432750,A81000C,00600,0200,WILSON SENIOR C 432750,A81000C,00600,0400,MED-CENTER 432750,A81000C,00600,0600,PHARMACY 432750,A81000C,00700,0100,B 432750,A81000C,00700,0200,WILSON SENIOR C 432750,A81000C,00700,0400,MED-CENTER 432750,A81000C,00700,0600,PHARMACY 432750,A81000C,00800,0100,B 432750,A81000C,00800,0200,WILSON SENIOR C 432750,A81000C,00800,0400,MED-CENTER 432750,A81000C,00800,0600,PHARMACY 432750,A81000C,00900,0100,B 432750,A81000C,00900,0200,WILSON SENIOR C 432750,A81000C,00900,0400,MED-CENTER 432750,A81000C,00900,0600,PHARMACY 432750,A81000C,01000,0100,B 432750,A81000C,01000,0200,WILSON SENIOR C 432750,A81000C,01000,0400,MEDFORD 432750,A81000C,01000,0600,FACILITY 432750,A81000C,01001,0100,B 432750,A81000C,01001,0200,WILSON SENIOR C 432750,A81000C,01001,0400,MORRELL PROPERT 432750,A81000C,01001,0600,PROPERTY COMPAN 432750,A81000C,01002,0100,B 432750,A81000C,01002,0200,WILSON SENIOR C 432750,A81000C,01002,0400,MORRELL PROPERT 432750,A81000C,01002,0600,PROPERTY COMPAN 432750,A81000C,01003,0100,B 432750,A81000C,01003,0200,WILSON SENIOR C 432750,A81000C,01003,0400,MORRELL PROPERT 432750,A81000C,01003,0600,PROPERTY COMPAN 432750,A81000C,01004,0100,B 432750,A81000C,01004,0200,WILSON SENIOR C 432750,A81000C,01004,0400,MORRELL PROPERT 432750,A81000C,01004,0600,PROPERTY COMPAN 432750,A81000C,01005,0100,B 432750,A81000C,01005,0200,WILSON SENIOR C 432750,A81000C,01005,0400,MORRELL PROPERT 432750,A81000C,01005,0600,PROPERTY COMPAN 432750,A81000C,01006,0100,B 432750,A81000C,01006,0200,WILSON SENIOR C 432750,A81000C,01006,0400,MED-CENTER 432750,A81000C,01006,0600,PHARMACY 432750,A81000C,01007,0100,B 432750,A81000C,01007,0200,WILSON SENIOR C 432750,A81000C,01007,0400,MED-CENTER 432750,A81000C,01007,0600,PHARMACY 432750,A81000C,01008,0100,B 432750,A81000C,01008,0200,WILSON SENIOR C 432750,A81000C,01008,0400,MEDFORD 432750,A81000C,01008,0600,FACILITY 432750,A81000C,01009,0100,B 432750,A81000C,01009,0200,WILSON SENIOR C 432750,A81000C,01009,0400,OAKHAVEN 432750,A81000C,01009,0600,FACILITY 432750,A81000C,01010,0100,B 432750,A81000C,01010,0200,WILSON SENIOR C 432750,A81000C,01010,0400,MEDFORD 432750,A81000C,01010,0600,FACILITY 432750,A81000C,01011,0100,B 432750,A81000C,01011,0200,WILSON SENIOR C 432750,A81000C,01011,0400,OAKHAVEN 432750,A81000C,01011,0600,FACILITY 432750,A81000C,01012,0100,B 432750,A81000C,01012,0200,WILSON SENIOR C 432750,A81000C,01012,0400,MED-CENTER 432750,A81000C,01012,0600,PHARMACY 432750,A81000C,01013,0100,B 432750,A81000C,01013,0200,WILSON SENIOR C 432750,A81000C,01013,0400,WILSON SENIOR C 432750,A81000C,01013,0600,MANAGEMENT H.O. 432750,A81000C,01014,0100,B 432750,A81000C,01014,0200,WILSON SENIOR C 432750,A81000C,01014,0400,MEDFORD 432750,A81000C,01014,0600,FACILITY 432750,A81000C,01015,0100,B 432750,A81000C,01015,0200,WILSON SENIOR C 432750,A81000C,01015,0400,OAKHAVEN 432750,A81000C,01015,0600,FACILITY 432750,A81000C,01016,0100,B 432750,A81000C,01016,0200,WILSON SENIOR C 432750,A81000C,01016,0400,MEDFORD 432750,A81000C,01016,0600,FACILITY 432750,A81000C,01017,0100,B 432750,A81000C,01017,0200,WILSON SENIOR C 432750,A81000C,01017,0400,OAKHAVEN 432750,A81000C,01017,0600,FACILITY 432750,A81000C,01018,0100,B 432750,A81000C,01018,0200,WILSON SENIOR C 432750,A81000C,01018,0400,MEDFORD 432750,A81000C,01018,0600,FACILITY 432750,A81000C,01019,0100,B 432750,A81000C,01019,0200,WILSON SENIOR C 432750,A81000C,01019,0400,OAKHAVEN 432750,A81000C,01019,0600,FACILITY 432750,A81000C,01020,0100,B 432750,A81000C,01020,0200,WILSON SENIOR C 432750,A81000C,01020,0400,WILSON SENIOR C 432750,A81000C,01020,0600,MANAGEMENT H.O. 432750,A81000C,01021,0100,B 432750,A81000C,01021,0200,WILSON SENIOR C 432750,A81000C,01021,0400,MORRELL PROPERT 432750,A81000C,01021,0600,PROPERTY COMPAN 432750,A81000C,01022,0100,B 432750,A81000C,01022,0200,WILSON SENIOR C 432750,A81000C,01022,0400,MORRELL PROPERT 432750,A81000C,01022,0600,PROPERTY COMPAN 432750,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432750,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432750,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432750,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432750,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432750,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432750,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432750,B100000,00000,0800,0800MEALS SERVED :DIETARY 432750,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432750,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432750,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432750,E00A183,01620,0000,OTHER ADJUSTMENTS (SPECIFY) 432750,E10A180,00550,0100,02/29/12 432750,S000000,00100,0200,02/29/12 432750,S200000,00100,0100,900 NORTH MARQUIS HIGHWAY 432750,S200000,00100,0300,1218 432750,S200000,00200,0100,HARTSVILLE 432750,S200000,00200,0200,SC 432750,S200000,00200,0300,29550 432750,S200000,00300,0100,DARLINGTON 432750,S200000,00300,0201,22500 432750,S200000,00300,0300,R 432750,S200000,00400,0100,MORRELL MEMORIAL CONV. CTR 432750,S200000,00400,0200,425111 432750,S200000,00400,0300,10/01/83 432750,S200000,00400,0500,P 432750,S200000,01500,0100,Y 432750,S200000,01501,0200,N 432750,S200000,01502,0200,N 432750,S200000,01503,0200,N 432750,S200000,01504,0200,Y 432750,S200000,01600,0100,N 432750,S200000,01700,0100,N 432750,S200000,01800,0100,N 432750,S200000,02200,0100,Y 432750,S200000,02800,0100,N 432750,S200000,02900,0100,N 432750,S200000,03000,0100,N 432750,S200000,03100,0100,N 432750,S200000,03200,0100,N 432750,S200000,03300,0100,N 432750,S200000,03300,0200,N 432750,S200000,04100,0100,N 432750,S200000,04200,0100,N 432750,S200000,04300,0100,N 432750,S200000,04600,0100,N 432750,S200000,04700,0100,N 432750,S200000,04700,0200,N 432750,S200000,04900,0100,N 432750,S200000,05000,0100,N 432750,S200000,05100,0100,N 432750,S200000,05200,0100,N 432750,S200000,05300,0100,Y 432750,S200000,05300,0200,42H051 432750,S200000,05400,0100,WILSON SENIOR CARE INC. 432750,S200000,05400,0200,PALMETTO GBA 432750,S200000,05400,0300,00380 432750,S200000,05500,0100,116 CASHUA 432750,S200000,05600,0100,DARLINGTON 432750,S200000,05600,0200,SC 432750,S200000,05600,0300,29532 432751,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432751,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432751,A000000,00300,0000,0300EMPLOYEE BENEFITS 432751,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432751,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432751,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432751,A000000,00700,0000,0700HOUSEKEEPING 432751,A000000,00800,0000,0800DIETARY 432751,A000000,00900,0000,0900NURSING ADMINISTRATION 432751,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432751,A000000,01100,0000,1100PHARMACY 432751,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432751,A000000,01300,0000,1300SOCIAL SERVICE 432751,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432751,A000000,01500,0000,1350ACTIVITIES 432751,A000000,01600,0000,1600SKILLED NURSING FACILITY 432751,A000000,01810,0000,1810ICF/MR 432751,A000000,02100,0000,2100RADIOLOGY 432751,A000000,02200,0000,2200LABORATORY 432751,A000000,02300,0000,2300INTRAVENOUS THERAPY 432751,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432751,A000000,02500,0000,2500PHYSICAL THERAPY 432751,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432751,A000000,02700,0000,2700SPEECH PATHOLOGY 432751,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432751,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432751,A000000,03300,0000,3050PEN BILLING 432751,A000000,03550,0000,3550FQHC 432751,A000000,04801,0000,4801AMBULANCE 432751,A000000,04802,0000,4802AMBULANCE 432751,A000000,04803,0000,4803AMBULANCE 432751,A000000,05000,0000,5000CORF 432751,A000000,05010,0000,5010CMHC 432751,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432751,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432751,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432751,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432751,A81000A,00100,0100,Y 432751,A81000B,00100,0300,HOME OFFICE A AND G 432751,A81000B,00200,0300,DIRECT INT AND AMORT 432751,A81000B,00300,0300,HOME OFFICE CAP REL 432751,A81000B,00400,0300,PT 432751,A81000B,00500,0300,OT 432751,A81000B,00600,0300,ST 432751,A81000B,00700,0300,DIETARY 432751,A81000B,00800,0300,RT/OXYGEN 432751,A81000B,00900,0300,MED DIR FEES 432751,A81000B,01000,0300,VAR NURS PURCH SERV 432751,A81000C,00100,0100,B 432751,A81000C,00100,0200,GENESIS HEALTHC 432751,A81000C,00100,0600,MNGT CO 432751,A81000C,00200,0100,B 432751,A81000C,00200,0200,REHAB SERVICES 432751,A81000C,00200,0600,PT OT ST 432751,A81000C,00300,0100,B 432751,A81000C,00300,0200,GENE HOSPITALIT 432751,A81000C,00300,0600,NUTRITIONIST 432751,A81000C,00400,0100,B 432751,A81000C,00400,0200,RESP HEALTH SER 432751,A81000C,00400,0600,RT 432751,A81000C,00500,0100,B 432751,A81000C,00500,0200,GENESIS PHYS SE 432751,A81000C,00500,0600,MEDICAL DIRECTO 432751,A81000C,00600,0100,B 432751,A81000C,00600,0200,GENESIS STAFFIN 432751,A81000C,00600,0600,PUR SER NURSING 432751,B100000,00000,0100,0100SQUARE FEET 432751,B100000,00000,0200,0200SQUARE FEET 432751,B100000,00000,0300,0300GROSS SALARIES 432751,B100000,00000,0400,0400ACCUM COST 432751,B100000,00000,0500,0500SQUARE FEET 432751,B100000,00000,0600,0600PT DAYS 432751,B100000,00000,0700,0700SQ FEET 432751,B100000,00000,0800,0800MEALS SERVED 432751,B100000,00000,0900,0900PT DAYS 432751,B100000,00000,1000,1000COSTED REQUIS 432751,B100000,00000,1100,1100COSTED REQUIS 432751,B100000,00000,1200,1200GROSS CHARGES 432751,B100000,00000,1300,1300PT DAYS 432751,B100000,00000,1400,1400ASSIGNED TIME 432751,B100000,00000,1500,1350PT DAYS 432751,E10A180,00302,0100,03/25/11 432751,E10A180,00501,0300,10/20/11 432751,E10A180,00550,0100,10/20/11 432751,S000000,00100,0200,09/26/11 432751,S200000,00100,0100,RT 213 AND 305 432751,S200000,00200,0100,CENTERVILLE 432751,S200000,00200,0200,MD 432751,S200000,00200,0300,21617 432751,S200000,00300,0100,QUEEN ANNES 432751,S200000,00300,0201,12580 432751,S200000,00300,0300,U 432751,S200000,00400,0100,CORSICA HILLS 432751,S200000,00400,0200,215114 432751,S200000,00400,0300,01/01/98 432751,S200000,00400,0500,P 432751,S200000,01500,0100,Y 432751,S200000,01501,0200,N 432751,S200000,01502,0200,N 432751,S200000,01503,0200,N 432751,S200000,01504,0200,N 432751,S200000,01505,0000,DON BONUS 432751,S200000,01505,0200,N 432751,S200000,01600,0100,N 432751,S200000,01700,0100,N 432751,S200000,01800,0100,N 432751,S200000,02200,0100,Y 432751,S200000,02800,0100,N 432751,S200000,02900,0100,N 432751,S200000,03000,0100,N 432751,S200000,03100,0100,N 432751,S200000,03200,0100,N 432751,S200000,03300,0100,N 432751,S200000,03300,0200,N 432751,S200000,04200,0100,N 432751,S200000,04300,0100,N 432751,S200000,04600,0100,N 432751,S200000,04700,0100,N 432751,S200000,04900,0100,N 432751,S200000,05200,0100,N 432751,S200000,05300,0100,Y 432751,S200000,05300,0200,HB0067 432751,S200000,05400,0100,GENESIS HEALTHCARE 432751,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432751,S200000,05400,0300,12001 432751,S200000,05500,0100,101 EAST STATE STREET 432751,S200000,05600,0100,KENNETT SQUARE 432751,S200000,05600,0200,PA 432751,S200000,05600,0300,19348 432753,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432753,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432753,A000000,00300,0000,0300EMPLOYEE BENEFITS 432753,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432753,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432753,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432753,A000000,00700,0000,0700HOUSEKEEPING 432753,A000000,00800,0000,0800DIETARY 432753,A000000,00900,0000,0900NURSING ADMINISTRATION 432753,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432753,A000000,01100,0000,1100PHARMACY 432753,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432753,A000000,01300,0000,1300SOCIAL SERVICE 432753,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432753,A000000,01500,0000,1350RECREATION 432753,A000000,01600,0000,1600SKILLED NURSING FACILITY 432753,A000000,01810,0000,1810ICF/MR 432753,A000000,02100,0000,2100RADIOLOGY 432753,A000000,02200,0000,2200LABORATORY 432753,A000000,02300,0000,2300INTRAVENOUS THERAPY 432753,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432753,A000000,02500,0000,2500PHYSICAL THERAPY 432753,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432753,A000000,02700,0000,2700SPEECH PATHOLOGY 432753,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432753,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432753,A000000,03550,0000,3550FQHC 432753,A000000,04801,0000,4801AMBULANCE 432753,A000000,04802,0000,4802AMBULANCE 432753,A000000,04803,0000,4803AMBULANCE 432753,A000000,05000,0000,5000CORF 432753,A000000,05010,0000,5010CMHC 432753,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432753,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432753,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432753,A81000A,00100,0100,Y 432753,A81000B,00100,0300,AS ATTACHED 432753,A81000B,00200,0300,HOME OFFICE INTEREST 432753,A81000B,00300,0300,HOME OFFICE A&G 432753,A81000B,00400,0300,HOME OFFICE CAP PIEC 432753,A81000C,00100,0100,B 432753,A81000C,00100,0400,AS ATTACHED 432753,A81000C,00100,0600,VARIOUS 432753,A81000C,00200,0100,B 432753,A81000C,00200,0400,GH LLC 432753,A81000C,00200,0600,LONG TERM CARE 432753,A81000C,00300,0100,B 432753,A81000C,00300,0400,GH LLC 432753,A81000C,00300,0600,LONG TERM CARE 432753,A81000C,00400,0100,B 432753,A81000C,00400,0400,GH LLC 432753,A81000C,00400,0600,LONG TERM CARE 432753,B100000,00000,0100,0100SQUARE FEET 432753,B100000,00000,0200,0200SQUARE FEET 432753,B100000,00000,0300,0300GROSS SALARIES 432753,B100000,00000,0400,0400ACCUM COST 432753,B100000,00000,0500,0500SQUARE FEET 432753,B100000,00000,0600,0600PATIENT DAYS 432753,B100000,00000,0700,0700SQUARE FEET 432753,B100000,00000,0800,0800MEALS SERVED 432753,B100000,00000,0900,0900NURSING SALARIES 432753,B100000,00000,1000,1000COSTED REQUIS 432753,B100000,00000,1100,1100COSTED REQUIS 432753,B100000,00000,1200,1200PATIENT DAYS 432753,B100000,00000,1300,1300PATIENT DAYS 432753,B100000,00000,1400,1400ASSIGNED TIME 432753,B100000,00000,1500,1350PATIENT DAYS 432753,E10A180,00501,0300,01/04/12 432753,E10A180,00550,0100,01/04/12 432753,G300000,02500,0000,BARBER & BEAUTY 432753,S000000,00100,0200,12/02/11 432753,S200000,00100,0100,800 WEST MINER STREET 432753,S200000,00200,0100,WEST CHESTER 432753,S200000,00200,0200,PA 432753,S200000,00200,0300,19382 432753,S200000,00300,0100,CHESTER 432753,S200000,00300,0201,37964 432753,S200000,00300,0300,U 432753,S200000,00400,0100,BRANDYWINE HALL 432753,S200000,00400,0200,395740 432753,S200000,00400,0300,07/31/87 432753,S200000,00400,0500,P 432753,S200000,01500,0100,Y 432753,S200000,01501,0200,N 432753,S200000,01502,0200,N 432753,S200000,01503,0200,N 432753,S200000,01504,0200,N 432753,S200000,01600,0100,N 432753,S200000,01700,0100,N 432753,S200000,01800,0100,N 432753,S200000,01900,0100,LLC 432753,S200000,02200,0100,Y 432753,S200000,02800,0100,N 432753,S200000,02900,0100,N 432753,S200000,03000,0100,N 432753,S200000,03100,0100,N 432753,S200000,03200,0100,N 432753,S200000,03300,0100,N 432753,S200000,03300,0200,N 432753,S200000,04200,0100,N 432753,S200000,04300,0100,N 432753,S200000,04600,0100,N 432753,S200000,04700,0100,N 432753,S200000,04900,0100,N 432753,S200000,05200,0100,N 432753,S200000,05300,0100,Y 432753,S200000,05300,0200,HB0067 432753,S200000,05400,0100,GENESIS HEALTHCARE LLC 432753,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432753,S200000,05400,0300,12001 432753,S200000,05500,0100,101 EAST STATE STREET 432753,S200000,05600,0100,KENNETT SQUARE 432753,S200000,05600,0200,PA 432753,S200000,05600,0300,19348 432754,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432754,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432754,A000000,00300,0000,0300EMPLOYEE BENEFITS 432754,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432754,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432754,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432754,A000000,00700,0000,0700HOUSEKEEPING 432754,A000000,00800,0000,0800DIETARY 432754,A000000,00900,0000,0900NURSING ADMINISTRATION 432754,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432754,A000000,01100,0000,1100PHARMACY 432754,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432754,A000000,01300,0000,1300SOCIAL SERVICE 432754,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432754,A000000,01500,0000,1350RECREATION ACTIVITIES 432754,A000000,01600,0000,1600SKILLED NURSING FACILITY 432754,A000000,01810,0000,1810ICF/MR 432754,A000000,02100,0000,2100RADIOLOGY 432754,A000000,02200,0000,2200LABORATORY 432754,A000000,02500,0000,2500PHYSICAL THERAPY 432754,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432754,A000000,02700,0000,2700SPEECH PATHOLOGY 432754,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432754,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432754,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432754,A000000,03301,0000,3051ENTERAL FEEDING 432754,A000000,03550,0000,3550FQHC 432754,A000000,04801,0000,4801AMBULANCE 432754,A000000,04802,0000,4802AMBULANCE 432754,A000000,04803,0000,4803AMBULANCE 432754,A000000,05000,0000,5000CORF 432754,A000000,05010,0000,5010CMHC 432754,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432754,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432754,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432754,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432754,A000000,06300,0000,6150ENTERSTOMAL THERAPY 432754,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 432754,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 432754,A000000,06312,0000,6153DIALYSIS 432754,A000000,06320,0000,6154APARTMENTS 432754,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 432754,A000000,06340,0000,6156CLOSED PATIENT AREAS 432754,A000000,06350,0000,6157O/P ADULT DAYCARE 432754,A000000,06360,0000,6158MARKETING 432754,A81000A,00100,0100,Y 432754,A81000B,00100,0300,RELATED PARTY CAPITAL COST 432754,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 432754,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 432754,A81000B,00400,0300,ADVANTAGE DME 432754,A81000B,00500,0300,ADVANTAGE DME 432754,A81000C,00100,0100,A 432754,A81000C,00100,0200,FUNDAMENTAL HOL 432754,A81000C,00100,0400,FAS FCC FCOS 432754,A81000C,00100,0600,SUPPORT SERVICE 432754,A81000C,00200,0100,A 432754,A81000C,00200,0200,THI BALT INC. 432754,A81000C,00200,0400,ADVANTAGE DME 432754,A81000C,00200,0600,DIET SUPP/EQU R 432754,B100000,00000,0100,0100(SQUARE FEET) 432754,B100000,00000,0200,0200(SQUARE FEET) 432754,B100000,00000,0300,0300(GROSS SALARIES) 432754,B100000,00000,0400,0400ACCUM COST 432754,B100000,00000,0500,0500(SQUARE FEET) 432754,B100000,00000,0600,0600(PATIENT DAYS) 432754,B100000,00000,0700,0700(SQUARE FEET) 432754,B100000,00000,0800,0800(PATIENT DAYS) 432754,B100000,00000,0900,0900(NURSING SALARIES) 432754,B100000,00000,1000,1000(COSTED REQUIS) 432754,B100000,00000,1100,1100(COSTED REQUIS) 432754,B100000,00000,1200,1200(PATIENT DAYS) 432754,B100000,00000,1300,1300(PATIENT DAYS) 432754,B100000,00000,1400,1400(ASSIGNED TIME) 432754,B100000,00000,1500,1350(PATIENT DAYS) 432754,E10A180,00302,0100,03/21/11 432754,E10A180,00501,0100,03/26/12 432754,E10A180,00502,0300,03/26/12 432754,G300000,02500,0000,TRANSPORTATION 432754,G300000,02501,0000,ADMISSION FEES 432754,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 432754,G300000,02503,0000,DAY CARE SERVICES 432754,G300000,02504,0000,RENTAL INCOME 432754,G300000,02505,0000,MISCELLANEOUS REVENUE 432754,G300000,02506,0000,INTEREST INCOME PATIENT A/R 432754,G300000,02507,0000,MANAGEMENT FEE REVENUE 432754,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 432754,S000000,00100,0200,02/27/12 432754,S200000,00100,0100,1415 PARKWAY 432754,S200000,00200,0100,GREENWOOD 432754,S200000,00200,0200,SC 432754,S200000,00200,0300,29646 432754,S200000,00300,0100,GREENWOOD 432754,S200000,00300,0201,42 432754,S200000,00300,0300,R 432754,S200000,00400,0100,MAGNOLIA MANOR OF GREENWOOD 432754,S200000,00400,0200,425172 432754,S200000,00400,0300,01/01/89 432754,S200000,00400,0500,P 432754,S200000,00400,0600,O 432754,S200000,01500,0100,Y 432754,S200000,01501,0200,Y 432754,S200000,01502,0200,Y 432754,S200000,01503,0200,Y 432754,S200000,01504,0200,Y 432754,S200000,01505,0200,N 432754,S200000,01600,0100,N 432754,S200000,01700,0100,N 432754,S200000,01800,0100,N 432754,S200000,01900,0100,LLC 432754,S200000,02200,0100,N 432754,S200000,02800,0100,N 432754,S200000,02900,0100,N 432754,S200000,03000,0100,N 432754,S200000,03100,0100,N 432754,S200000,03200,0100,N 432754,S200000,03300,0100,N 432754,S200000,03300,0200,N 432754,S200000,04200,0100,N 432754,S200000,04300,0100,N 432754,S200000,04600,0100,N 432754,S200000,04700,0100,N 432754,S200000,04900,0100,N 432754,S200000,05200,0100,N 432754,S200000,05300,0100,Y 432757,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432757,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432757,A000000,00300,0000,0300EMPLOYEE BENEFITS 432757,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432757,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432757,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432757,A000000,00700,0000,0700HOUSEKEEPING 432757,A000000,00800,0000,0800DIETARY 432757,A000000,00900,0000,0900NURSING ADMINISTRATION 432757,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432757,A000000,01100,0000,1100PHARMACY 432757,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432757,A000000,01300,0000,1300SOCIAL SERVICE 432757,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432757,A000000,01500,0000,1350ACTIVITIES 432757,A000000,01600,0000,1600SKILLED NURSING FACILITY 432757,A000000,01810,0000,1810ICF/MR 432757,A000000,02100,0000,2100RADIOLOGY 432757,A000000,02200,0000,2200LABORATORY 432757,A000000,02500,0000,2500PHYSICAL THERAPY 432757,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432757,A000000,02700,0000,2700SPEECH PATHOLOGY 432757,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432757,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432757,A000000,03550,0000,3550FQHC 432757,A000000,04801,0000,4801AMBULANCE 432757,A000000,04802,0000,4802AMBULANCE 432757,A000000,04803,0000,4803AMBULANCE 432757,A000000,05000,0000,5000CORF 432757,A000000,05010,0000,5010CMHC 432757,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432757,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432757,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432757,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432757,A81000A,00100,0100,N 432757,B100000,00000,0100,0100SQUARE FEET 432757,B100000,00000,0200,0200SQUARE FEET 432757,B100000,00000,0300,0300GROSS SALARIES 432757,B100000,00000,0400,0400ACCUM COST 432757,B100000,00000,0500,0500SQUARE FEET 432757,B100000,00000,0600,0600PATIENT DAYS 432757,B100000,00000,0700,0700SQUARE FEET 432757,B100000,00000,0800,0800MEALS SERVED 432757,B100000,00000,0900,0900DIRECT NURSING 432757,B100000,00000,1000,1000COSTED REQUIS 432757,B100000,00000,1100,1100PATIENT DAYS 432757,B100000,00000,1200,1200PATIENT DAYS 432757,B100000,00000,1300,1300PATIENT DAYS 432757,B100000,00000,1400,1400ASSIGNED TIME 432757,B100000,00000,1500,1350PATIENT DAYS 432757,E10A180,00301,0100,03/21/11 432757,E10A180,00501,0100,03/21/12 432757,E10A180,00502,0300,03/21/12 432757,S000000,00100,0200,02/16/12 432757,S200000,00100,0100,701 EDMONDSON AVENUE 432757,S200000,00200,0100,CATONSVILLE 432757,S200000,00200,0200,MD 432757,S200000,00200,0300,21228 432757,S200000,00300,0100,BALTIMORE 432757,S200000,00300,0201,12580 432757,S200000,00300,0300,U 432757,S200000,00400,0100,FOREST HAVEN NRSG. HOME INC. 432757,S200000,00400,0200,215252 432757,S200000,00400,0300,08/01/93 432757,S200000,00400,0500,P 432757,S200000,00400,0600,O 432757,S200000,01500,0100,Y 432757,S200000,01600,0100,N 432757,S200000,01700,0100,N 432757,S200000,01800,0100,N 432757,S200000,02200,0100,N 432757,S200000,02800,0100,Y 432757,S200000,02900,0100,N 432757,S200000,03000,0100,N 432757,S200000,03100,0100,N 432757,S200000,03200,0100,N 432757,S200000,03300,0100,N 432757,S200000,03300,0200,N 432757,S200000,04200,0100,N 432757,S200000,04300,0100,N 432757,S200000,04600,0100,N 432757,S200000,04700,0100,N 432757,S200000,04900,0100,N 432757,S200000,05200,0100,N 432757,S200000,05300,0100,N 432759,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432759,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432759,A000000,00300,0000,0300EMPLOYEE BENEFITS 432759,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432759,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432759,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432759,A000000,00700,0000,0700HOUSEKEEPING 432759,A000000,00800,0000,0800DIETARY 432759,A000000,00900,0000,0900NURSING ADMINISTRATION 432759,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432759,A000000,01100,0000,1100PHARMACY 432759,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432759,A000000,01300,0000,1300SOCIAL SERVICE 432759,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432759,A000000,01500,0000,1350ACTIVITIES 432759,A000000,01600,0000,1600SKILLED NURSING FACILITY 432759,A000000,01810,0000,1810ICF/MR 432759,A000000,01900,0000,1900OTHER LONG TERM CARE 432759,A000000,02100,0000,2100RADIOLOGY 432759,A000000,02200,0000,2200LABORATORY 432759,A000000,02300,0000,2300INTRAVENOUS THERAPY 432759,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432759,A000000,02500,0000,2500PHYSICAL THERAPY 432759,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432759,A000000,02700,0000,2700SPEECH PATHOLOGY 432759,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432759,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432759,A000000,03200,0000,3200SUPPORT SURFACES 432759,A000000,03300,0000,3050PEN BILLING 432759,A000000,03550,0000,3550FQHC 432759,A000000,04801,0000,4801AMBULANCE 432759,A000000,04802,0000,4802AMBULANCE 432759,A000000,04803,0000,4803AMBULANCE 432759,A000000,05000,0000,5000CORF 432759,A000000,05010,0000,5010CMHC 432759,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432759,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432759,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432759,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432759,A81000A,00100,0100,N 432759,B100000,00000,0100,0100SQUARE FEET 432759,B100000,00000,0200,0200SQUARE FEET 432759,B100000,00000,0300,0300GROSS SALARIES 432759,B100000,00000,0400,0400ACCUM COST 432759,B100000,00000,0500,0500SQUARE FEET 432759,B100000,00000,0600,0600PT DAYS 432759,B100000,00000,0700,0700SQ FT 432759,B100000,00000,0800,0800MEALS SERVED 432759,B100000,00000,0900,0900PT DAYS 432759,B100000,00000,1000,1000COSTED REQUIS 432759,B100000,00000,1100,1100COSTED REQUIS 432759,B100000,00000,1200,1200GROSS CHARGES 432759,B100000,00000,1300,1300PT DAYS 432759,B100000,00000,1400,1400ASSIGNED TIME 432759,B100000,00000,1500,1350PT DAYS 432759,E10A180,00502,0300,01/27/12 432759,E10A180,00550,0100,01/27/12 432759,G300000,02500,0000,MISC INCOME 432759,S000000,00100,0200,09/26/11 432759,S200000,00100,0100,710 JULIAN ROAD 432759,S200000,00200,0100,SALISBURY 432759,S200000,00200,0200,NC 432759,S200000,00200,0300,28144 432759,S200000,00300,0100,ROWAN 432759,S200000,00300,0201,99934 432759,S200000,00300,0300,R 432759,S200000,00400,0100,SALISBURY CENTER 432759,S200000,00400,0200,345286 432759,S200000,00400,0300,08/01/87 432759,S200000,00400,0500,P 432759,S200000,01500,0100,Y 432759,S200000,01501,0200,N 432759,S200000,01502,0200,N 432759,S200000,01503,0200,N 432759,S200000,01504,0200,N 432759,S200000,01505,0000,DON BONUS 432759,S200000,01505,0200,N 432759,S200000,01600,0100,N 432759,S200000,01700,0100,N 432759,S200000,01800,0100,N 432759,S200000,02200,0100,Y 432759,S200000,02800,0100,N 432759,S200000,02900,0100,N 432759,S200000,03000,0100,N 432759,S200000,03100,0100,N 432759,S200000,03200,0100,N 432759,S200000,03300,0100,N 432759,S200000,03300,0200,N 432759,S200000,04200,0100,N 432759,S200000,04300,0100,N 432759,S200000,04600,0100,N 432759,S200000,04700,0100,N 432759,S200000,04900,0100,N 432759,S200000,05200,0100,N 432759,S200000,05300,0100,N 432760,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432760,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432760,A000000,00300,0000,0300EMPLOYEE BENEFITS 432760,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432760,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432760,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432760,A000000,00700,0000,0700HOUSEKEEPING 432760,A000000,00800,0000,0800DIETARY 432760,A000000,00900,0000,0900NURSING ADMINISTRATION 432760,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432760,A000000,01100,0000,1100PHARMACY 432760,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432760,A000000,01300,0000,1300SOCIAL SERVICE 432760,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432760,A000000,01500,0000,1350OTHER GENERAL SERVICES 432760,A000000,01600,0000,1600SKILLED NURSING FACILITY 432760,A000000,01800,0000,1800NURSING FACILITY 432760,A000000,01810,0000,1810ICF/MR 432760,A000000,01900,0000,1900OTHER LONG TERM CARE 432760,A000000,02100,0000,2100RADIOLOGY 432760,A000000,02200,0000,2200LABORATORY 432760,A000000,02300,0000,2300INTRAVENOUS THERAPY 432760,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432760,A000000,02500,0000,2500PHYSICAL THERAPY 432760,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432760,A000000,02700,0000,2700SPEECH PATHOLOGY 432760,A000000,02800,0000,2800ELECTROCARDIOLOGY 432760,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432760,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432760,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432760,A000000,03200,0000,3200SUPPORT SURFACES 432760,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432760,A000000,03400,0000,3400CLINIC 432760,A000000,03500,0000,3500RURAL HEALTH CLINIC 432760,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432760,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432760,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432760,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432760,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432760,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432760,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432760,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432760,A000000,04400,0000,4400DME RENTED - HHA 432760,A000000,04500,0000,4500DME SOLD - HHA 432760,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432760,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432760,A000000,04710,0000,4710TELEMEDICINE 432760,A000000,04800,0000,4800AMBULANCE 432760,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432760,A000000,05000,0000,5000CORF 432760,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432760,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432760,A000000,05300,0000,5300INTEREST EXPENSE 432760,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432760,A000000,05500,0000,5500HOSPICE 432760,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432760,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432760,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432760,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432760,A000000,06100,0000,6100NONPAID WORKERS 432760,A000000,06200,0000,6200PATIENTS LAUNDRY 432760,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432760,A81000A,00100,0100,Y 432760,A81000B,00100,0300,MGT FEE 432760,A81000C,00100,0100,E 432760,A81000C,00100,0200,STEVE WOMACK 432760,A81000C,00100,0400,DOMINION MGT GROUP 432760,A81000C,00100,0600,MGT COMPANY 432760,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432760,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432760,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432760,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432760,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432760,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432760,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432760,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432760,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432760,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432760,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 432760,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432760,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432760,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 432760,E10A180,00501,0100,03/02/12 432760,G300000,02501,0000,ALL OTHER INC CABLE TV INTEREST MEA 432760,S000000,00100,0200,01/11/12 432760,S200000,00100,0100,16690 S.W. CHIPOLA ROAD 432760,S200000,00200,0100,BLOUNTSTOWN 432760,S200000,00200,0200,FL 432760,S200000,00200,0300,32424 432760,S200000,00300,0100,CALHOUN 432760,S200000,00300,0200,10 432760,S200000,00300,0201,00010 432760,S200000,00300,0300,R 432760,S200000,00400,0100,BLOUNTSTOWN HEALTH AND REHAB 432760,S200000,00400,0200,105924 432760,S200000,00400,0300,08/01/96 432760,S200000,00400,0500,P 432760,S200000,01500,0100,Y 432760,S200000,01501,0200,N 432760,S200000,01600,0100,N 432760,S200000,01700,0100,N 432760,S200000,01800,0100,N 432760,S200000,02200,0100,N 432760,S200000,02800,0100,N 432760,S200000,02900,0100,N 432760,S200000,03000,0100,N 432760,S200000,03100,0100,N 432760,S200000,03200,0100,N 432760,S200000,03300,0100,N 432760,S200000,03300,0200,N 432760,S200000,04100,0100,N 432760,S200000,04200,0100,N 432760,S200000,04300,0100,N 432760,S200000,04600,0100,N 432760,S200000,04700,0100,N 432760,S200000,04700,0200,N 432760,S200000,04900,0100,N 432760,S200000,05000,0100,N 432760,S200000,05100,0100,N 432760,S200000,05200,0100,N 432764,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432764,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432764,A000000,00300,0000,0300EMPLOYEE BENEFITS 432764,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432764,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432764,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432764,A000000,00700,0000,0700HOUSEKEEPING 432764,A000000,00800,0000,0800DIETARY 432764,A000000,00900,0000,0900NURSING ADMINISTRATION 432764,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432764,A000000,01100,0000,1100PHARMACY 432764,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432764,A000000,01300,0000,1300SOCIAL SERVICE 432764,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432764,A000000,01500,0000,1350ACTIVITIES 432764,A000000,01600,0000,1600SKILLED NURSING FACILITY 432764,A000000,01810,0000,1810ICF/MR 432764,A000000,01900,0000,1900OTHER LONG TERM CARE 432764,A000000,02100,0000,2100RADIOLOGY 432764,A000000,02200,0000,2200LABORATORY 432764,A000000,02300,0000,2300INTRAVENOUS THERAPY 432764,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432764,A000000,02500,0000,2500PHYSICAL THERAPY 432764,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432764,A000000,02700,0000,2700SPEECH PATHOLOGY 432764,A000000,02800,0000,2800ELECTROCARDIOLOGY 432764,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432764,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432764,A000000,03300,0000,3050PEN BILLING 432764,A000000,03550,0000,3550FQHC 432764,A000000,04801,0000,4801AMBULANCE 432764,A000000,04802,0000,4802AMBULANCE 432764,A000000,04803,0000,4803AMBULANCE 432764,A000000,05000,0000,5000CORF 432764,A000000,05010,0000,5010CMHC 432764,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432764,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432764,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432764,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432764,A81000A,00100,0100,Y 432764,A81000B,00100,0300,HOME OFFICE ALLOC 432764,A81000B,00200,0300,DIRECT INT & AMORT 432764,A81000B,00300,0300,HOME OFFICE CAPITAL 432764,A81000B,00400,0300,PT 432764,A81000B,00500,0300,OT 432764,A81000B,00600,0300,ST 432764,A81000B,00700,0300,NUTRITIONIST 432764,A81000B,00800,0300,RT 432764,A81000B,00900,0300,MEDICAL DIRECTOR 432764,A81000B,01000,0300,NURS PURC SVCS 432764,A81000C,00100,0100,B 432764,A81000C,00100,0200,GENESIS HEALTH 432764,A81000C,00100,0600,MGMT COMPANY 432764,A81000C,00200,0100,B 432764,A81000C,00200,0200,GENESIS REHAB S 432764,A81000C,00200,0600,PT OT ST 432764,A81000C,00300,0100,B 432764,A81000C,00300,0200,GENESIS HOSPITA 432764,A81000C,00300,0600,NUTRITIONIST 432764,A81000C,00400,0100,B 432764,A81000C,00400,0200,RESPIRATORY HEA 432764,A81000C,00400,0600,RT 432764,A81000C,00500,0100,B 432764,A81000C,00500,0200,GENESIS PHYS SV 432764,A81000C,00500,0600,MEDICAL DIRECTO 432764,A81000C,00600,0100,B 432764,A81000C,00600,0200,GENESIS STAFFIN 432764,A81000C,00600,0600,NURS PURC SVCS 432764,B100000,00000,0100,0100SQUARE FEET 432764,B100000,00000,0200,0200SQUARE FEET 432764,B100000,00000,0300,0300GROSS SALARIES 432764,B100000,00000,0400,0400ACCUM COST 432764,B100000,00000,0500,0500SQUARE FEET 432764,B100000,00000,0600,0600PT DAYS 432764,B100000,00000,0700,0700SQ FT 432764,B100000,00000,0800,0800MEALS SERVED 432764,B100000,00000,0900,0900PT DAYS 432764,B100000,00000,1000,1000COSTED REQUIS 432764,B100000,00000,1100,1100COSTED REQUIS 432764,B100000,00000,1200,1200GROSS CHARGES 432764,B100000,00000,1300,1300PT DAYS 432764,B100000,00000,1400,1400ASSIGNED TIME 432764,B100000,00000,1500,1350PT DAYS 432764,E10A180,00501,0100,12/12/11 432764,E10A180,00501,0300,12/12/11 432764,G300000,02500,0000,MISC REVENUE 432764,S000000,00100,0200,09/26/11 432764,S200000,00100,0100,1100 NORMAN ESKRIDGE HIGHWAY 432764,S200000,00200,0100,SEAFORD 432764,S200000,00200,0200,DE 432764,S200000,00200,0300,19973 432764,S200000,00300,0100,SUSSEX 432764,S200000,00300,0201,99908 432764,S200000,00300,0300,R 432764,S200000,00400,0100,SEAFORD CENTER 432764,S200000,00400,0200,085015 432764,S200000,00400,0300,05/10/76 432764,S200000,00400,0500,P 432764,S200000,01500,0100,Y 432764,S200000,01501,0200,N 432764,S200000,01502,0200,N 432764,S200000,01503,0200,N 432764,S200000,01504,0200,N 432764,S200000,01505,0000,DON BONUS 432764,S200000,01505,0200,N 432764,S200000,01600,0100,N 432764,S200000,01700,0100,N 432764,S200000,01800,0100,N 432764,S200000,02200,0100,Y 432764,S200000,02800,0100,N 432764,S200000,02900,0100,N 432764,S200000,03000,0100,N 432764,S200000,03100,0100,N 432764,S200000,03200,0100,N 432764,S200000,03300,0100,N 432764,S200000,03300,0200,N 432764,S200000,03600,0200,N 432764,S200000,04200,0100,N 432764,S200000,04300,0100,N 432764,S200000,04600,0100,N 432764,S200000,04700,0100,N 432764,S200000,04900,0100,N 432764,S200000,05200,0100,N 432764,S200000,05300,0100,Y 432764,S200000,05300,0200,HB0067 432764,S200000,05400,0100,GENESIS HEALTHCARE 432764,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432764,S200000,05400,0300,12001 432764,S200000,05500,0100,101 EAST STATE STREET 432764,S200000,05600,0100,KENNETT SQUARE 432764,S200000,05600,0200,PA 432764,S200000,05600,0300,19348 432827,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432827,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432827,A000000,00300,0000,0300EMPLOYEE BENEFITS 432827,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432827,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432827,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432827,A000000,00700,0000,0700HOUSEKEEPING 432827,A000000,00800,0000,0800DIETARY 432827,A000000,00900,0000,0900NURSING ADMINISTRATION 432827,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432827,A000000,01100,0000,1100PHARMACY 432827,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432827,A000000,01300,0000,1300SOCIAL SERVICE 432827,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432827,A000000,01500,0000,1350RECREATION 432827,A000000,01600,0000,1600SKILLED NURSING FACILITY 432827,A000000,01810,0000,1810ICF/MR 432827,A000000,02100,0000,2100RADIOLOGY 432827,A000000,02200,0000,2200LABORATORY 432827,A000000,02300,0000,2300INTRAVENOUS THERAPY 432827,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432827,A000000,02500,0000,2500PHYSICAL THERAPY 432827,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432827,A000000,02700,0000,2700SPEECH PATHOLOGY 432827,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432827,A000000,03550,0000,3550FQHC 432827,A000000,04801,0000,4801AMBULANCE 432827,A000000,04802,0000,4802AMBULANCE 432827,A000000,04803,0000,4803AMBULANCE 432827,A000000,05000,0000,5000CORF 432827,A000000,05010,0000,5010CMHC 432827,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432827,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432827,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432827,A81000A,00100,0100,Y 432827,A81000B,00100,0300,AS ATTACHED 432827,A81000B,00200,0300,HOME OFFICE-INTEREST 432827,A81000B,00300,0300,HOME OFFICE-A&G 432827,A81000B,00400,0300,HOME OFFICE-CAP PIEC 432827,A81000C,00100,0100,B 432827,A81000C,00100,0400,AS ATTACHED 432827,A81000C,00100,0600,VARIOUS 432827,A81000C,00200,0100,B 432827,A81000C,00200,0400,GHC 432827,A81000C,00200,0600,LONG TERM CARE 432827,A81000C,00300,0100,B 432827,A81000C,00300,0400,GHC 432827,A81000C,00300,0600,LONG TERM CARE 432827,A81000C,00400,0100,B 432827,A81000C,00400,0400,GHC 432827,A81000C,00400,0600,LONG TERM CARE 432827,B100000,00000,0100,0100SQUARE FEET 432827,B100000,00000,0200,0200SQUARE FEET 432827,B100000,00000,0300,0300GROSS SALARIES 432827,B100000,00000,0400,0400ACCUM COST 432827,B100000,00000,0500,0500SQUARE FEET 432827,B100000,00000,0600,0600PATIENT DAYS 432827,B100000,00000,0700,0700SQUARE FEET 432827,B100000,00000,0800,0800MEALS SERVED 432827,B100000,00000,0900,0900NURSING SALARIES 432827,B100000,00000,1000,1000COSTED REQUIS 432827,B100000,00000,1100,1100COSTED REQUIS 432827,B100000,00000,1200,1200PATIENT DAYS 432827,B100000,00000,1300,1300PATIENT DAYS 432827,B100000,00000,1400,1400ASSIGNED TIME 432827,B100000,00000,1500,1350PATIENT DAYS 432827,E10A180,00501,0100,04/11/12 432827,E10A180,00501,0300,04/11/12 432827,G300000,02500,0000,INTEREST INCOME 432827,S000000,00100,0200,02/27/12 432827,S200000,00100,0100,677 COURT STREET 432827,S200000,00200,0100,KEENE 432827,S200000,00200,0200,NH 432827,S200000,00200,0300,03431 432827,S200000,00300,0100,CHESHIRE 432827,S200000,00300,0201,99930 432827,S200000,00300,0300,R 432827,S200000,00400,0100,KEENE CENTER 432827,S200000,00400,0200,305051 432827,S200000,00400,0300,06/01/95 432827,S200000,00400,0500,P 432827,S200000,01500,0100,Y 432827,S200000,01501,0200,Y 432827,S200000,01502,0200,N 432827,S200000,01503,0200,N 432827,S200000,01504,0200,Y 432827,S200000,01600,0100,N 432827,S200000,01700,0100,N 432827,S200000,01800,0100,N 432827,S200000,01900,0100,LLC 432827,S200000,02200,0100,Y 432827,S200000,02800,0100,N 432827,S200000,02900,0100,N 432827,S200000,03000,0100,N 432827,S200000,03100,0100,N 432827,S200000,03200,0100,N 432827,S200000,03300,0100,N 432827,S200000,03300,0200,N 432827,S200000,04200,0100,N 432827,S200000,04300,0100,N 432827,S200000,04600,0100,N 432827,S200000,04700,0100,N 432827,S200000,04900,0100,N 432827,S200000,05200,0100,N 432827,S200000,05300,0100,Y 432827,S200000,05300,0200,HB0067 432827,S200000,05400,0100,GENESIS HEALTHCARE LLC 432827,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432827,S200000,05400,0300,12001 432827,S200000,05500,0100,101 EAST STATE STREET 432827,S200000,05600,0100,KENNETT SQUARE 432827,S200000,05600,0200,PA 432827,S200000,05600,0300,19348 432829,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432829,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432829,A000000,00300,0000,0300EMPLOYEE BENEFITS 432829,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432829,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432829,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432829,A000000,00700,0000,0700HOUSEKEEPING 432829,A000000,00800,0000,0800DIETARY 432829,A000000,00900,0000,0900NURSING ADMINISTRATION 432829,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432829,A000000,01100,0000,1100PHARMACY 432829,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432829,A000000,01300,0000,1300SOCIAL SERVICE 432829,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432829,A000000,01500,0000,1350RECREATION 432829,A000000,01600,0000,1600SKILLED NURSING FACILITY 432829,A000000,01810,0000,1810ICF/MR 432829,A000000,02100,0000,2100RADIOLOGY 432829,A000000,02200,0000,2200LABORATORY 432829,A000000,02300,0000,2300INTRAVENOUS THERAPY 432829,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432829,A000000,02500,0000,2500PHYSICAL THERAPY 432829,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432829,A000000,02700,0000,2700SPEECH PATHOLOGY 432829,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432829,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432829,A000000,03550,0000,3550FQHC 432829,A000000,04801,0000,4801AMBULANCE 432829,A000000,04802,0000,4802AMBULANCE 432829,A000000,04803,0000,4803AMBULANCE 432829,A000000,05000,0000,5000CORF 432829,A000000,05010,0000,5010CMHC 432829,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432829,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432829,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432829,A81000A,00100,0100,Y 432829,A81000B,00100,0300,SEE ATTACHED 432829,A81000B,00200,0300,HOME OFFICE INTEREST 432829,A81000B,00300,0300,HOME OFFICE ADMIN 432829,A81000B,00400,0300,HOME OFFICE CAPITAL 432829,A81000C,00100,0100,B 432829,A81000C,00100,0400,SEE ATTACHED 432829,A81000C,00100,0600,VARIOUS 432829,A81000C,00200,0100,B 432829,A81000C,00200,0400,GHC 432829,A81000C,00200,0600,LONG TERM CARE 432829,A81000C,00300,0100,B 432829,A81000C,00300,0400,GHC 432829,A81000C,00300,0600,LONG TERM CARE 432829,A81000C,00400,0100,B 432829,A81000C,00400,0400,GHC 432829,A81000C,00400,0600,LONG TERM CARE 432829,B100000,00000,0100,0100SQUARE FEET 432829,B100000,00000,0200,0200SQUARE FEET 432829,B100000,00000,0300,0300GROSS SALARIES 432829,B100000,00000,0400,0400ACCUM COST 432829,B100000,00000,0500,0500SQUARE FEET 432829,B100000,00000,0600,0600PATIENT DAYS 432829,B100000,00000,0700,0700SQUARE FEET 432829,B100000,00000,0800,0800MEALS SERVED 432829,B100000,00000,0900,0900NURSING SALARIES 432829,B100000,00000,1000,1000COSTED REQUIS 432829,B100000,00000,1100,1100COSTED REQUIS 432829,B100000,00000,1200,1200PATIENT DAYS 432829,B100000,00000,1300,1300PATIENT DAYS 432829,B100000,00000,1400,1400ASSIGNED TIME 432829,B100000,00000,1500,1350PATIENT DAYS 432829,E10A180,00301,0100,03/23/11 432829,E10A180,00501,0100,02/01/12 432829,E10A180,00501,0300,02/01/12 432829,G300000,02500,0000,BARBER AND BEAUTY 432829,S000000,00100,0200,09/12/11 432829,S200000,00100,0100,843 WILBUR AVENUE 432829,S200000,00200,0100,PHILLIPSBURG 432829,S200000,00200,0200,NJ 432829,S200000,00200,0300,08865 432829,S200000,00300,0100,WARREN 432829,S200000,00300,0201,10900 432829,S200000,00300,0300,U 432829,S200000,00400,0100,PHILLIPSBURG CENTER 432829,S200000,00400,0200,315311 432829,S200000,00400,0300,04/01/92 432829,S200000,00400,0500,P 432829,S200000,01500,0100,Y 432829,S200000,01501,0200,N 432829,S200000,01502,0200,N 432829,S200000,01503,0200,N 432829,S200000,01504,0200,N 432829,S200000,01600,0100,N 432829,S200000,01700,0100,N 432829,S200000,01800,0100,N 432829,S200000,02200,0100,Y 432829,S200000,02800,0100,N 432829,S200000,02900,0100,N 432829,S200000,03000,0100,N 432829,S200000,03100,0100,N 432829,S200000,03200,0100,N 432829,S200000,03300,0100,N 432829,S200000,03300,0200,N 432829,S200000,04200,0100,N 432829,S200000,04300,0100,N 432829,S200000,04600,0100,N 432829,S200000,04700,0100,N 432829,S200000,04900,0100,N 432829,S200000,05200,0100,N 432829,S200000,05300,0100,Y 432829,S200000,05300,0200,HB0067 432829,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 432829,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432829,S200000,05400,0300,12001 432829,S200000,05500,0100,101 EAST STATE STREET 432829,S200000,05600,0100,KENNETT SQUARE 432829,S200000,05600,0200,PA 432829,S200000,05600,0300,19348 432832,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432832,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432832,A000000,00300,0000,0300EMPLOYEE BENEFITS 432832,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432832,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432832,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432832,A000000,00700,0000,0700HOUSEKEEPING 432832,A000000,00800,0000,0800DIETARY 432832,A000000,00900,0000,0900NURSING ADMINISTRATION 432832,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432832,A000000,01100,0000,1100PHARMACY 432832,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432832,A000000,01300,0000,1300SOCIAL SERVICE 432832,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432832,A000000,01500,0000,1350OTHER GENERAL SERVICES 432832,A000000,01600,0000,1600SKILLED NURSING FACILITY 432832,A000000,01810,0000,1810ICF/MR 432832,A000000,02100,0000,2100RADIOLOGY 432832,A000000,02200,0000,2200LABORATORY 432832,A000000,02500,0000,2500PHYSICAL THERAPY 432832,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432832,A000000,02700,0000,2700SPEECH PATHOLOGY 432832,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432832,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432832,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432832,A000000,03550,0000,3550FQHC 432832,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432832,A000000,04710,0000,4710TELEMEDICINE 432832,A000000,04801,0000,4801AMBULANCE 432832,A000000,04802,0000,4802AMBULANCE 432832,A000000,04803,0000,4803AMBULANCE 432832,A000000,05000,0000,5000CORF 432832,A000000,05010,0000,5010CMHC 432832,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432832,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432832,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432832,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432832,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432832,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432832,A81000A,00100,0100,Y 432832,A81000B,00100,0300,MANAGEMENT FEE 432832,A81000B,00200,0300,PHARMACY CONSULTANT 432832,A81000B,00300,0300,OTC DRUGS 432832,A81000B,00400,0300,DRUGS 432832,A81000C,00100,0100,F 432832,A81000C,00100,0200,R.L.KRAMM 432832,A81000C,00100,0400,N/A 432832,A81000C,00200,0100,F 432832,A81000C,00200,0200,R & J KRAMM 432832,A81000C,00200,0400,N/A 432832,A81000C,00300,0100,F 432832,A81000C,00300,0200,JEFFREY KRAMM 432832,A81000C,00300,0400,KRAMM SUPPORT SERVICES 432832,A81000C,00400,0100,F 432832,A81000C,00400,0200,RANDALL KRAMM 432832,A81000C,00400,0400,PROFESSIONAL PHARMACY 432832,A81000C,00500,0100,F 432832,A81000C,00500,0200,JUSTIN KRAMM 432832,A81000C,00500,0400,SERVICES INC. 432832,A81000C,00600,0100,F 432832,A81000C,00600,0200,BRANDON KRAMM 432832,A81000C,00700,0100,F 432832,A81000C,00700,0200,COURTNEY KRAMM 432832,A81000C,00800,0100,F 432832,A81000C,00800,0200,KIMBERLY KRAMM 432832,A81000C,00900,0100,F 432832,A81000C,00900,0200,R.L. KRAMM JR. 432832,B100000,00000,0100,0100SQUARE FEET 432832,B100000,00000,0200,0200SQUARE FEET 432832,B100000,00000,0300,0300GROSS SALARIES 432832,B100000,00000,0400,0400ACCUM COST 432832,B100000,00000,0500,0500SQUARE FEET 432832,B100000,00000,0600,0600PATIENT DAYS 432832,B100000,00000,0700,0700SQUARE FEET 432832,B100000,00000,0800,0800MEALS SERVED 432832,B100000,00000,0900,0900DIRECT NRSING HRS 432832,B100000,00000,1000,1000COSTED REQUIS. 432832,B100000,00000,1100,1100COSTED REQUIS. 432832,B100000,00000,1200,1200TIME SPENT 432832,B100000,00000,1300,1300TIME SPENT 432832,B100000,00000,1400,1400ASSIGNED TIME 432832,B100000,00000,1500,1350TIME SPENT 432832,E10A180,00501,0100,03/05/12 432832,E10A180,00501,0300,03/05/12 432832,S000000,00100,0200,01/09/12 432832,S200000,00100,0100,743 MAHONING STREET 432832,S200000,00200,0100,MILTON 432832,S200000,00200,0200,PA 432832,S200000,00200,0300,17847 432832,S200000,00300,0100,NORTHUMBERLAND 432832,S200000,00300,0201,99939 432832,S200000,00300,0300,R 432832,S200000,00400,0100,KRAMM HEALTHCARE CENTER INC. 432832,S200000,00400,0200,395570 432832,S200000,00400,0300,03/01/83 432832,S200000,00400,0500,P 432832,S200000,01500,0100,Y 432832,S200000,01600,0100,N 432832,S200000,01700,0100,N 432832,S200000,01800,0100,N 432832,S200000,02200,0100,N 432832,S200000,02800,0100,N 432832,S200000,02900,0100,N 432832,S200000,03000,0100,N 432832,S200000,03100,0100,N 432832,S200000,03200,0100,N 432832,S200000,03300,0100,N 432832,S200000,03300,0200,N 432832,S200000,04200,0100,N 432832,S200000,04300,0100,N 432832,S200000,04600,0100,N 432832,S200000,04700,0100,N 432832,S200000,04900,0100,N 432832,S200000,05200,0100,N 432832,S200000,05300,0100,N 432840,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432840,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432840,A000000,00300,0000,0300EMPLOYEE BENEFITS 432840,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432840,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432840,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432840,A000000,00700,0000,0700HOUSEKEEPING 432840,A000000,00800,0000,0800DIETARY 432840,A000000,00900,0000,0900NURSING ADMINISTRATION 432840,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432840,A000000,01100,0000,1100PHARMACY 432840,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432840,A000000,01300,0000,1300SOCIAL SERVICE 432840,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432840,A000000,01500,0000,1350RECREATION ACTIVITIES 432840,A000000,01600,0000,1600SKILLED NURSING FACILITY 432840,A000000,01810,0000,1810ICF/MR 432840,A000000,02100,0000,2100RADIOLOGY 432840,A000000,02200,0000,2200LABORATORY 432840,A000000,02500,0000,2500PHYSICAL THERAPY 432840,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432840,A000000,02700,0000,2700SPEECH PATHOLOGY 432840,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432840,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432840,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 432840,A000000,03301,0000,3051ENTERAL FEEDING 432840,A000000,03550,0000,3550FQHC 432840,A000000,04801,0000,4801AMBULANCE 432840,A000000,04802,0000,4802AMBULANCE 432840,A000000,04803,0000,4803AMBULANCE 432840,A000000,05000,0000,5000CORF 432840,A000000,05010,0000,5010CMHC 432840,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432840,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432840,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432840,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432840,A000000,06300,0000,6150ENTERSTOMAL THERAPY 432840,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 432840,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 432840,A000000,06312,0000,6153DIALYSIS 432840,A000000,06320,0000,6154APARTMENTS 432840,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 432840,A000000,06340,0000,6156CLOSED PATIENT AREAS 432840,A000000,06350,0000,6157O/P ADULT DAYCARE 432840,A000000,06360,0000,6158MARKETING 432840,A81000A,00100,0100,Y 432840,A81000B,00100,0300,RELATED PARTY CAPITAL COST 432840,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 432840,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 432840,A81000C,00100,0100,A 432840,A81000C,00100,0200,FUNDAMENTAL HOL 432840,A81000C,00100,0400,FAS FCC FCOS 432840,A81000C,00100,0600,SUPPORT SERVICE 432840,B100000,00000,0100,0100(SQUARE FEET) 432840,B100000,00000,0200,0200(SQUARE FEET) 432840,B100000,00000,0300,0300(GROSS SALARIES) 432840,B100000,00000,0400,0400ACCUM COST 432840,B100000,00000,0500,0500(SQUARE FEET) 432840,B100000,00000,0600,0600(PATIENT DAYS) 432840,B100000,00000,0700,0700(SQUARE FEET) 432840,B100000,00000,0800,0800(PATIENT DAYS) 432840,B100000,00000,0900,0900(NURSING SALARIES) 432840,B100000,00000,1000,1000(COSTED REQUIS) 432840,B100000,00000,1100,1100(COSTED REQUIS) 432840,B100000,00000,1200,1200(PATIENT DAYS) 432840,B100000,00000,1300,1300(PATIENT DAYS) 432840,B100000,00000,1400,1400(ASSIGNED TIME) 432840,B100000,00000,1500,1350(PATIENT DAYS) 432840,E10A180,00301,0100,03/21/11 432840,E10A180,00501,0100,03/26/12 432840,E10A180,00501,0300,03/26/12 432840,G300000,02500,0000,TRANSPORTATION 432840,G300000,02501,0000,ADMISSION FEES 432840,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 432840,G300000,02503,0000,DAY CARE SERVICES 432840,G300000,02504,0000,RENTAL INCOME 432840,G300000,02505,0000,MISCELLANEOUS REVENUE 432840,G300000,02506,0000,INTEREST INCOME PATIENT A/R 432840,G300000,02507,0000,MANAGEMENT FEE REVENUE 432840,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 432840,S000000,00100,0200,02/27/12 432840,S200000,00100,0100,8020 WHITE AVENUE 432840,S200000,00200,0100,SPARTANBURG 432840,S200000,00200,0200,SC 432840,S200000,00200,0300,29303 432840,S200000,00300,0100,SPARTANBURG 432840,S200000,00300,0201,43900 432840,S200000,00300,0300,U 432840,S200000,00400,0100,MAGNOLIA PLACE OF SPARTANBURG 432840,S200000,00400,0200,425175 432840,S200000,00400,0300,09/29/89 432840,S200000,00400,0500,P 432840,S200000,00400,0600,O 432840,S200000,01500,0100,Y 432840,S200000,01501,0200,Y 432840,S200000,01502,0200,Y 432840,S200000,01503,0200,Y 432840,S200000,01504,0200,Y 432840,S200000,01505,0200,N 432840,S200000,01600,0100,N 432840,S200000,01700,0100,N 432840,S200000,01800,0100,N 432840,S200000,01900,0100,LLC 432840,S200000,02200,0100,N 432840,S200000,02800,0100,N 432840,S200000,02900,0100,N 432840,S200000,03000,0100,N 432840,S200000,03100,0100,N 432840,S200000,03200,0100,N 432840,S200000,03300,0100,N 432840,S200000,03300,0200,N 432840,S200000,04200,0100,N 432840,S200000,04300,0100,N 432840,S200000,04600,0100,N 432840,S200000,04700,0100,N 432840,S200000,04900,0100,N 432840,S200000,05200,0100,N 432840,S200000,05300,0100,Y 432869,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 432869,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 432869,A000000,00300,0000,0300EMPLOYEE BENEFITS 432869,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432869,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 432869,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432869,A000000,00700,0000,0700HOUSEKEEPING 432869,A000000,00800,0000,0800DIETARY 432869,A000000,00900,0000,0900NURSING ADMINISTRATION 432869,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432869,A000000,01100,0000,1100PHARMACY 432869,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432869,A000000,01300,0000,1300SOCIAL SERVICE 432869,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 432869,A000000,01500,0000,1350ACTIVITIES 432869,A000000,01600,0000,1600SKILLED NURSING FACILITY 432869,A000000,01810,0000,1810ICF/MR 432869,A000000,02100,0000,2100RADIOLOGY 432869,A000000,02200,0000,2200LABORATORY 432869,A000000,02300,0000,2300INTRAVENOUS THERAPY 432869,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432869,A000000,02500,0000,2500PHYSICAL THERAPY 432869,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432869,A000000,02700,0000,2700SPEECH PATHOLOGY 432869,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 432869,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432869,A000000,03200,0000,3200SUPPORT SURFACES 432869,A000000,03300,0000,3050PEN BILLING 432869,A000000,03550,0000,3550FQHC 432869,A000000,04801,0000,4801AMBULANCE 432869,A000000,04802,0000,4802AMBULANCE 432869,A000000,04803,0000,4803AMBULANCE 432869,A000000,05000,0000,5000CORF 432869,A000000,05010,0000,5010CMHC 432869,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432869,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432869,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432869,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432869,A81000A,00100,0100,Y 432869,A81000B,00100,0300,HOME OFFICE A AND G 432869,A81000B,00200,0300,DIRECT INT AND AMORT 432869,A81000B,00300,0300,HOME OFFICE CAP REL 432869,A81000B,00400,0300,PT 432869,A81000B,00500,0300,OT 432869,A81000B,00600,0300,ST 432869,A81000B,00700,0300,DIETARY 432869,A81000B,00800,0300,RT/OXYGEN 432869,A81000B,00900,0300,MED DIRECTOR FEES 432869,A81000B,01000,0300,VAR NURS PURCH SER 432869,A81000C,00100,0100,B 432869,A81000C,00100,0200,GENESIS HEALTHC 432869,A81000C,00100,0600,MNGT CO 432869,A81000C,00200,0100,B 432869,A81000C,00200,0200,GENE THERAPY SE 432869,A81000C,00200,0600,PT OT ST 432869,A81000C,00300,0100,B 432869,A81000C,00300,0200,GENE HOSPITALIT 432869,A81000C,00300,0600,NUTRITIONIST 432869,A81000C,00400,0100,B 432869,A81000C,00400,0200,RESP THERAPY SE 432869,A81000C,00400,0600,RESP THERAPY 432869,A81000C,00500,0100,B 432869,A81000C,00500,0200,GENE PHYS SERV 432869,A81000C,00500,0600,MEDICAL DIRECTO 432869,A81000C,00600,0100,B 432869,A81000C,00600,0200,GENE STAFFING S 432869,A81000C,00600,0600,NURSING 432869,B100000,00000,0100,0100SQUARE FEET 432869,B100000,00000,0200,0200SQUARE FEET 432869,B100000,00000,0300,0300GROSS SALARIES 432869,B100000,00000,0400,0400ACCUM COST 432869,B100000,00000,0500,0500SQUARE FEET 432869,B100000,00000,0600,0600POUNDS OF LAUNDRY 432869,B100000,00000,0700,0700HOURS OF SERVICE 432869,B100000,00000,0800,0800MEALS SERVED 432869,B100000,00000,0900,0900POUNDS OF LAUNDRY 432869,B100000,00000,1000,1000COSTED REQUIS 432869,B100000,00000,1100,1100COSTED REQUIS 432869,B100000,00000,1200,1200TIME SPENT 432869,B100000,00000,1300,1300POUNDS OF LAUNDRY 432869,B100000,00000,1400,1400ASSIGNED TIME 432869,B100000,00000,1500,1350POUNDS OF LAUNDRY 432869,E10A180,00353,0100,03/24/11 432869,E10A180,00501,0100,11/17/11 432869,E10A180,00501,0300,11/17/11 432869,S000000,00100,0200,09/26/11 432869,S200000,00100,0100,613 HAMMONDS LANE 432869,S200000,00200,0100,BROOKLYN PARK 432869,S200000,00200,0200,MD 432869,S200000,00200,0300,21225 432869,S200000,00300,0100,BALTIMORE 432869,S200000,00300,0201,12580 432869,S200000,00300,0300,U 432869,S200000,00400,0100,HAMMONDS LANE 432869,S200000,00400,0200,215088 432869,S200000,00400,0300,12/01/90 432869,S200000,00400,0500,P 432869,S200000,00600,0200,215088 432869,S200000,00600,0300,12/01/90 432869,S200000,00600,0600,O 432869,S200000,01500,0100,Y 432869,S200000,01501,0200,N 432869,S200000,01502,0200,N 432869,S200000,01503,0200,N 432869,S200000,01504,0200,N 432869,S200000,01505,0000,DON BONUS 432869,S200000,01505,0200,N 432869,S200000,01600,0100,Y 432869,S200000,01700,0100,N 432869,S200000,01800,0100,N 432869,S200000,02200,0100,Y 432869,S200000,02800,0100,N 432869,S200000,02900,0100,N 432869,S200000,03000,0100,N 432869,S200000,03100,0100,N 432869,S200000,03200,0100,N 432869,S200000,03300,0100,N 432869,S200000,03300,0200,N 432869,S200000,04200,0100,N 432869,S200000,04300,0100,N 432869,S200000,04600,0100,N 432869,S200000,04700,0100,N 432869,S200000,04900,0100,N 432869,S200000,05200,0100,N 432869,S200000,05300,0100,Y 432869,S200000,05300,0200,HB0067 432869,S200000,05400,0100,GENESIS HEALTHCARE 432869,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 432869,S200000,05400,0300,12001 432869,S200000,05500,0100,101 EAST STATE STREET 432869,S200000,05600,0100,KENNETT SQUARE 432869,S200000,05600,0200,PA 432869,S200000,05600,0300,19348 432880,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432880,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432880,A000000,00300,0000,0300EMPLOYEE BENEFITS 432880,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432880,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432880,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432880,A000000,00700,0000,0700HOUSEKEEPING 432880,A000000,00800,0000,0800DIETARY 432880,A000000,00900,0000,0900NURSING ADMINISTRATION 432880,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432880,A000000,01100,0000,1100PHARMACY 432880,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432880,A000000,01300,0000,1300SOCIAL SERVICE 432880,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432880,A000000,01500,0000,1350OTHER GENERAL SERVICES 432880,A000000,01600,0000,1600SKILLED NURSING FACILITY 432880,A000000,01800,0000,1800NURSING FACILITY 432880,A000000,01810,0000,1810ICF/MR 432880,A000000,01900,0000,1900OTHER LONG TERM CARE 432880,A000000,02100,0000,2100RADIOLOGY 432880,A000000,02200,0000,2200LABORATORY 432880,A000000,02300,0000,2300INTRAVENOUS THERAPY 432880,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432880,A000000,02500,0000,2500PHYSICAL THERAPY 432880,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432880,A000000,02700,0000,2700SPEECH PATHOLOGY 432880,A000000,02800,0000,2800ELECTROCARDIOLOGY 432880,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432880,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432880,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432880,A000000,03200,0000,3200SUPPORT SURFACES 432880,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432880,A000000,03400,0000,3400CLINIC 432880,A000000,03500,0000,3500RURAL HEALTH CLINIC 432880,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432880,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432880,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432880,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432880,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432880,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432880,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432880,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432880,A000000,04400,0000,4400DME RENTED - HHA 432880,A000000,04500,0000,4500DME SOLD - HHA 432880,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432880,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432880,A000000,04710,0000,4710TELEMEDICINE 432880,A000000,04800,0000,4800AMBULANCE 432880,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432880,A000000,05000,0000,5000CORF 432880,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432880,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432880,A000000,05300,0000,5300INTEREST EXPENSE 432880,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432880,A000000,05500,0000,5500HOSPICE 432880,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432880,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432880,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432880,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432880,A000000,06100,0000,6100NONPAID WORKERS 432880,A000000,06200,0000,6200PATIENTS LAUNDRY 432880,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432880,A81000A,00100,0100,Y 432880,A81000B,00100,0300,HOME OFFICE 432880,A81000B,00200,0300,PT EXPENSE 432880,A81000B,00300,0300,OT EXPENSE 432880,A81000B,00400,0300,ST EXPENSE 432880,A81000B,00500,0300,DRUGS 432880,A81000B,00600,0300,FLOOR STOCK 432880,A81000B,00700,0300,CONSULTANT 432880,A81000B,00800,0300,IV THERAPY 432880,A81000C,00100,0100,B 432880,A81000C,00100,0200,HARDEN HEALTHCARE TX LP 432880,A81000C,00100,0400,PM TEXAS MANAGEMENT LLC 432880,A81000C,00100,0600,MANAGMENT 432880,A81000C,00200,0100,B 432880,A81000C,00200,0200,HARDEN HEALTHCARE TX LP 432880,A81000C,00200,0400,HARDEN THERAPY- MBS REHAB 432880,A81000C,00200,0600,THERAPY COMPANY 432880,A81000C,00300,0100,B 432880,A81000C,00300,0200,HARDEN HEALTHCARE TX LP 432880,A81000C,00300,0400,HARDEN PHARM - TRISCRIPTS 432880,A81000C,00300,0600,PHARMACY COMPANY 432880,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432880,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432880,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432880,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432880,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432880,B100000,00000,0700,0750SQFT CLEANED :HOUSEKEEPING 432880,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432880,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432880,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432880,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432880,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432880,S000000,00100,0200,04/27/12 432880,S200000,00100,0100,8836 MARS DR 432880,S200000,00200,0100,HEWITT 432880,S200000,00200,0200,TX 432880,S200000,00200,0300,76643 432880,S200000,00300,0100,MCLENNAN 432880,S200000,00300,0200,8800 432880,S200000,00300,0300,U 432880,S200000,00400,0100,COURTYARD AT HEWITT 432880,S200000,00400,0200,676213 432880,S200000,00400,0300,03/24/09 432880,S200000,00400,0500,P 432880,S200000,01500,0100,Y 432880,S200000,01501,0200,Y 432880,S200000,01502,0200,N 432880,S200000,01503,0200,Y 432880,S200000,01504,0200,N 432880,S200000,01600,0100,N 432880,S200000,01700,0100,N 432880,S200000,01800,0100,N 432880,S200000,02200,0100,N 432880,S200000,02800,0100,N 432880,S200000,02900,0100,N 432880,S200000,03000,0100,N 432880,S200000,03100,0100,N 432880,S200000,03200,0100,N 432880,S200000,03300,0100,N 432880,S200000,03300,0200,N 432880,S200000,04100,0100,N 432880,S200000,04200,0100,N 432880,S200000,04300,0100,N 432880,S200000,04600,0100,N 432880,S200000,04700,0100,N 432880,S200000,04700,0200,N 432880,S200000,04900,0100,N 432880,S200000,05000,0100,N 432880,S200000,05100,0100,N 432880,S200000,05200,0100,N 432880,S200000,05300,0100,Y 432880,S200000,05300,0200,HO9479 432880,S200000,05400,0100,TRISUN HEALTHCARE 432880,S200000,05400,0200,TRAILBLAZER 432880,S200000,05400,0300,04401 432880,S200000,05500,0100,1703 W. 5TH ST STE 800 432880,S200000,05600,0100,AUSTIN 432880,S200000,05600,0200,TX 432880,S200000,05600,0300,78703 432881,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432881,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432881,A000000,00300,0000,0300EMPLOYEE BENEFITS 432881,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432881,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432881,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432881,A000000,00700,0000,0700HOUSEKEEPING 432881,A000000,00800,0000,0800DIETARY 432881,A000000,00900,0000,0900NURSING ADMINISTRATION 432881,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432881,A000000,01100,0000,1100PHARMACY 432881,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432881,A000000,01300,0000,1300SOCIAL SERVICE 432881,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432881,A000000,01500,0000,1350OTHER GENERAL SERVICES 432881,A000000,01600,0000,1600SKILLED NURSING FACILITY 432881,A000000,01800,0000,1800NURSING FACILITY 432881,A000000,01810,0000,1810ICF/MR 432881,A000000,01900,0000,1900OTHER LONG TERM CARE 432881,A000000,02100,0000,2100RADIOLOGY 432881,A000000,02200,0000,2200LABORATORY 432881,A000000,02300,0000,2300INTRAVENOUS THERAPY 432881,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432881,A000000,02500,0000,2500PHYSICAL THERAPY 432881,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432881,A000000,02700,0000,2700SPEECH PATHOLOGY 432881,A000000,02800,0000,2800ELECTROCARDIOLOGY 432881,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432881,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432881,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432881,A000000,03200,0000,3200SUPPORT SURFACES 432881,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432881,A000000,03400,0000,3400CLINIC 432881,A000000,03500,0000,3500RURAL HEALTH CLINIC 432881,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432881,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432881,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432881,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432881,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432881,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432881,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432881,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432881,A000000,04400,0000,4400DME RENTED - HHA 432881,A000000,04500,0000,4500DME SOLD - HHA 432881,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432881,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432881,A000000,04710,0000,4710TELEMEDICINE 432881,A000000,04800,0000,4800AMBULANCE 432881,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432881,A000000,05000,0000,5000CORF 432881,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432881,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432881,A000000,05300,0000,5300INTEREST EXPENSE 432881,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432881,A000000,05500,0000,5500HOSPICE 432881,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432881,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432881,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432881,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432881,A000000,06100,0000,6100NONPAID WORKERS 432881,A000000,06200,0000,6200PATIENTS LAUNDRY 432881,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 432881,A81000A,00100,0100,N 432881,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432881,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432881,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432881,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432881,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432881,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 432881,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432881,B100000,00000,0800,0850PATIENT DAYS :DIETARY 432881,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 432881,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 432881,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432881,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 432881,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432881,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 432881,S000000,00100,0200,01/30/12 432881,S200000,00100,0100,111 FR 765 432881,S200000,00200,0100,SAN SABA 432881,S200000,00200,0200,TX 432881,S200000,00200,0300,76877 432881,S200000,00300,0100,SAN SABA 432881,S200000,00300,0201,00045 432881,S200000,00300,0300,U 432881,S200000,00400,0100,EVENTIDE NURSING HOME 432881,S200000,00400,0200,675715 432881,S200000,00400,0300,01/01/97 432881,S200000,00400,0500,P 432881,S200000,01500,0100,N 432881,S200000,01501,0200,Y 432881,S200000,01502,0200,Y 432881,S200000,01503,0200,Y 432881,S200000,01600,0100,N 432881,S200000,01700,0100,N 432881,S200000,01800,0100,N 432881,S200000,02200,0100,N 432881,S200000,02800,0100,N 432881,S200000,02900,0100,N 432881,S200000,03000,0100,N 432881,S200000,03100,0100,N 432881,S200000,03200,0100,N 432881,S200000,03300,0100,N 432881,S200000,03300,0200,N 432881,S200000,04100,0100,N 432881,S200000,04200,0100,N 432881,S200000,04300,0100,N 432881,S200000,04600,0100,N 432881,S200000,04700,0100,N 432881,S200000,04700,0200,N 432881,S200000,04900,0100,N 432881,S200000,05000,0100,N 432881,S200000,05100,0100,N 432881,S200000,05200,0100,N 432886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432886,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432886,A000000,00300,0000,0300EMPLOYEE BENEFITS 432886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432886,A000000,00700,0000,0700HOUSEKEEPING 432886,A000000,00800,0000,0800DIETARY 432886,A000000,00900,0000,0900NURSING ADMINISTRATION 432886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432886,A000000,01100,0000,1100PHARMACY 432886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432886,A000000,01300,0000,1300SOCIAL SERVICE 432886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432886,A000000,01500,0000,1350ACTIVITES 432886,A000000,01600,0000,1600SKILLED NURSING FACILITY 432886,A000000,01800,0000,1800NURSING FACILITY 432886,A000000,01810,0000,1810ICF/MR 432886,A000000,01900,0000,1900OTHER LONG TERM CARE 432886,A000000,02100,0000,2100RADIOLOGY 432886,A000000,02200,0000,2200LABORATORY 432886,A000000,02300,0000,2300INTRAVENOUS THERAPY 432886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432886,A000000,02500,0000,2500PHYSICAL THERAPY 432886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432886,A000000,02700,0000,2700SPEECH PATHOLOGY 432886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432886,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432886,A000000,03200,0000,3200SUPPORT SURFACES 432886,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432886,A000000,03400,0000,3400CLINIC 432886,A000000,03500,0000,3500RURAL HEALTH CLINIC 432886,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432886,A000000,04800,0000,4800AMBULANCE 432886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432886,A000000,05000,0000,5000CORF 432886,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432886,A000000,05300,0000,5300INTEREST EXPENSE 432886,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432886,A000000,05500,0000,5500HOSPICE 432886,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432886,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432886,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432886,A000000,06100,0000,6100NONPAID WORKERS 432886,A000000,06200,0000,6200PATIENTS LAUNDRY 432886,A000000,06300,0000,6150PASTORAL CARE URSABLE COST 432886,A81000A,00100,0100,Y 432886,A81000B,00100,0300,COMPENSATION 432886,A81000B,00200,0300,COMPENSATION 432886,A81000B,00300,0300,COMPENSATION 432886,A81000C,00100,0100,A 432886,A81000C,00100,0200,WALTER PAWLOWSKI 432886,A81000C,00100,0400,COLONIAL BELL NH 432886,A81000C,00100,0600,NURSING HOME 432886,A81000C,00200,0100,F 432886,A81000C,00200,0200,TIM PAWLOWSKI 432886,A81000C,00200,0400,COLONIAL BELL NH 432886,A81000C,00200,0600,NURSING HOME 432886,A81000C,00300,0100,F 432886,A81000C,00300,0200,ALLYSON PAWLOWSKI 432886,A81000C,00300,0400,COLONIAL BELL NH 432886,A81000C,00300,0600,NURSING HOME 432886,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432886,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432886,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432886,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432886,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432886,B100000,00000,0600,0650ASSIGNED TIME :LAUNDRY & LINEN 432886,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432886,B100000,00000,0800,0850ASSIGNED TIME :DIETARY 432886,B100000,00000,0900,0950ASSIGNED TIME :NURSING ADMINIST 432886,B100000,00000,1200,1200ASSIGNED TIME :MEDICAL RECORDS 432886,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 432886,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 432886,B100000,00000,1500,1350ASSIGNED TIME :ACTIVITES 432886,G300000,02500,0000,OTHER INCOME 432886,G300000,02501,0000,REFUNDS - PRIVATE PAY 432886,S000000,00100,0200,03/07/12 432886,S200000,00100,0100,108 N. BARON 432886,S200000,00100,0300,59 432886,S200000,00200,0100,BELLVILLE 432886,S200000,00200,0200,TX 432886,S200000,00200,0300,77418 432886,S200000,00300,0100,AUSTIN 432886,S200000,00300,0200,45 432886,S200000,00300,0201,99945 432886,S200000,00300,0300,R 432886,S200000,00400,0100,COLONIAL BELLE NURSING HOME 432886,S200000,00400,0200,676164 432886,S200000,00400,0300,12/16/07 432886,S200000,00400,0500,P 432886,S200000,01500,0100,N 432886,S200000,01600,0100,Y 432886,S200000,01700,0100,N 432886,S200000,01800,0100,N 432886,S200000,02200,0100,N 432886,S200000,02800,0100,N 432886,S200000,02900,0100,N 432886,S200000,03000,0100,N 432886,S200000,03100,0100,N 432886,S200000,03200,0100,N 432886,S200000,03300,0100,N 432886,S200000,03300,0200,N 432886,S200000,04100,0100,N 432886,S200000,04200,0100,N 432886,S200000,04300,0100,N 432886,S200000,04600,0100,N 432886,S200000,04700,0100,N 432886,S200000,04700,0200,N 432886,S200000,04900,0100,N 432886,S200000,05000,0100,N 432886,S200000,05100,0100,N 432886,S200000,05200,0100,N 432887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432887,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432887,A000000,00300,0000,0300EMPLOYEE BENEFITS 432887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432887,A000000,00800,0000,0800DIETARY 432887,A000000,00900,0000,0900NURSING ADMINISTRATION 432887,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432887,A000000,01100,0000,1100PHARMACY 432887,A000000,01300,0000,1300SOCIAL SERVICE 432887,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432887,A000000,01500,0000,1350ACTIVITES 432887,A000000,01600,0000,1600SKILLED NURSING FACILITY 432887,A000000,01800,0000,1800NURSING FACILITY 432887,A000000,01810,0000,1810ICF/MR 432887,A000000,01900,0000,1900OTHER LONG TERM CARE 432887,A000000,02100,0000,2100RADIOLOGY 432887,A000000,02200,0000,2200LABORATORY 432887,A000000,02300,0000,2300INTRAVENOUS THERAPY 432887,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432887,A000000,02500,0000,2500PHYSICAL THERAPY 432887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432887,A000000,02700,0000,2700SPEECH PATHOLOGY 432887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432887,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432887,A000000,03200,0000,3200SUPPORT SURFACES 432887,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 432887,A000000,03400,0000,3400CLINIC 432887,A000000,03500,0000,3500RURAL HEALTH CLINIC 432887,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 432887,A000000,04800,0000,4800AMBULANCE 432887,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432887,A000000,05000,0000,5000CORF 432887,A000000,05100,0000,4750OTHER REIMBURSABLE COST 432887,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432887,A000000,05300,0000,5300INTEREST EXPENSE 432887,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432887,A000000,05500,0000,5500HOSPICE 432887,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432887,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432887,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432887,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432887,A000000,06100,0000,6100NONPAID WORKERS 432887,A000000,06200,0000,6200PATIENTS LAUNDRY 432887,A000000,06300,0000,6150PASTORAL CARE URSABLE COST 432887,A000000,06301,0000,6151UNUSED SPACE 432887,A81000A,00100,0100,Y 432887,A81000B,00100,0300,COMPENSATION 432887,A81000B,00200,0300,COMPENSATION 432887,A81000B,00300,0300,COMPENSATION 432887,A81000C,00100,0100,F 432887,A81000C,00100,0200,TIM PAWLOWSKI 432887,A81000C,00100,0400,COLONIAL BELL NH 432887,A81000C,00100,0600,NURSING HOME 432887,A81000C,00200,0100,F 432887,A81000C,00200,0200,CONNIE KLOSTERMANN 432887,A81000C,00200,0400,COLONIAL BELL NH 432887,A81000C,00200,0600,NURSING HOME 432887,A81000C,00300,0100,F 432887,A81000C,00300,0200,ALLYSON PAWLOWSKI 432887,A81000C,00300,0400,COLONIAL BELL NH 432887,A81000C,00300,0600,NURSING HOME 432887,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432887,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432887,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432887,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432887,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432887,B100000,00000,0600,0650ASSIGNED TIME :LAUNDRY & LINEN 432887,B100000,00000,0800,0850ASSIGNED TIME :DIETARY 432887,B100000,00000,0900,0950ASSIGNED TIME :NURSING ADMINIST 432887,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 432887,B100000,00000,1500,1350ASSIGNED TIME :ACTIVITES 432887,S000000,00100,0200,03/06/12 432887,S200000,00100,0100,1401 EAGAL LAKE RD. 432887,S200000,00200,0100,SEALY 432887,S200000,00200,0200,TX 432887,S200000,00200,0300,77474 432887,S200000,00300,0100,AUSTIN 432887,S200000,00300,0200,45 432887,S200000,00300,0201,99945 432887,S200000,00300,0300,R 432887,S200000,00400,0100,COLONIAL BELLE NURSING HOME 432887,S200000,00400,0200,676166 432887,S200000,00400,0300,07/01/07 432887,S200000,00400,0500,P 432887,S200000,01500,0100,N 432887,S200000,01600,0100,Y 432887,S200000,01700,0100,N 432887,S200000,01800,0100,N 432887,S200000,02200,0100,N 432887,S200000,02800,0100,N 432887,S200000,02900,0100,N 432887,S200000,03000,0100,N 432887,S200000,03100,0100,N 432887,S200000,03200,0100,N 432887,S200000,03300,0100,N 432887,S200000,03300,0200,N 432887,S200000,04100,0100,N 432887,S200000,04200,0100,N 432887,S200000,04300,0100,N 432887,S200000,04600,0100,N 432887,S200000,04700,0100,N 432887,S200000,04700,0200,N 432887,S200000,04900,0100,N 432887,S200000,05000,0100,N 432887,S200000,05100,0100,N 432887,S200000,05200,0100,N 432921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432921,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432921,A000000,00300,0000,0300EMPLOYEE BENEFITS 432921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432921,A000000,00700,0000,0700HOUSEKEEPING 432921,A000000,00800,0000,0800DIETARY 432921,A000000,00900,0000,0900NURSING ADMINISTRATION 432921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432921,A000000,01100,0000,1100PHARMACY 432921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432921,A000000,01300,0000,1300SOCIAL SERVICE 432921,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432921,A000000,01600,0000,1600SKILLED NURSING FACILITY 432921,A000000,01800,0000,1800NURSING FACILITY 432921,A000000,01900,0000,1900OTHER LONG TERM CARE 432921,A000000,02100,0000,2100RADIOLOGY 432921,A000000,02200,0000,2200LABORATORY 432921,A000000,02300,0000,2300INTRAVENOUS THERAPY 432921,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432921,A000000,02500,0000,2500PHYSICAL THERAPY 432921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432921,A000000,02700,0000,2700SPEECH PATHOLOGY 432921,A000000,02800,0000,2800ELECTROCARDIOLOGY 432921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432921,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432921,A000000,03200,0000,3200SUPPORT SURFACES 432921,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432921,A000000,03400,0000,3400CLINIC 432921,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432921,A000000,04800,0000,4800AMBULANCE 432921,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432921,A000000,05000,0000,5000CORF 432921,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432921,A000000,05300,0000,5300INTEREST EXPENSE 432921,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432921,A000000,05500,0000,5500HOSPICE 432921,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432921,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432921,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432921,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432921,A000000,06100,0000,6100NONPAID WORKERS 432921,A000000,06200,0000,6200PATIENTS LAUNDRY 432921,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432921,A81000A,00100,0100,Y 432921,A81000B,00100,0300,NURSING CONSULTING 432921,A81000B,00300,0300,HOME OFFICE 432921,A81000B,00400,0300,INTEREST EXPENSE 432921,A81000B,00500,0300,INSURANCE - PROFESSIONAL LIABILITY 432921,A81000B,00600,0300,OFFICE SUPPLIES 432921,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 432921,A81000B,00800,0300,LINEN & BEDDING 432921,A81000B,00900,0300,SUPPLIES 432921,A81000B,01000,0300,SUPPLIES 432921,A81000B,01100,0300,DIETARY SUPPLEMENTS 432921,A81000B,01200,0300,BIO-MEDICAL WASTE 432921,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 432921,A81000B,01400,0300,PERSONAL CARE SUPPLIES 432921,A81000B,01500,0300,INCONTINENCE SUPPLIES 432921,A81000B,01600,0300,MEDICAL SUPPLIES 432921,A81000B,01700,0300,SUPPLIES 432921,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 432921,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 432921,A81000B,02000,0300,SUPPLIES 432921,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 432921,A81000B,02200,0300,NON-LEGEND DRUGS 432921,A81000B,02300,0300,SUPPLIES 432921,A81000B,02400,0300,LEGEND DRUGS 432921,A81000B,02500,0300,OFFICE SUPPLIES 432921,A81000B,02600,0300,SUPPLIES 432921,A81000C,00100,0100,B 432921,A81000C,00100,0400,BRITTHAVEN INC 432921,A81000C,00100,0600,MGMT SERVICES 432921,A81000C,00200,0100,B 432921,A81000C,00200,0400,BRITTHAVEN INC 432921,A81000C,00200,0600,MGMT SERVICES 432921,A81000C,00300,0100,B 432921,A81000C,00300,0400,BRITTHAVEN INC 432921,A81000C,00300,0600,MGMT SERVICES 432921,A81000C,00400,0100,B 432921,A81000C,00400,0400,BRITTHAVEN INC 432921,A81000C,00400,0600,MGMT SERVICES 432921,A81000C,00500,0100,A 432921,A81000C,00500,0200,QUEENSLAND ASSU 432921,A81000C,00500,0600,INSURANCE 432921,A81000C,00600,0100,B 432921,A81000C,00600,0400,KARE MEDICAL 432921,A81000C,00600,0600,WHOLESALE SUPPL 432921,A81000C,00700,0100,B 432921,A81000C,00700,0400,KARE MEDICAL 432921,A81000C,00700,0600,WHOLESALE SUPPL 432921,A81000C,00800,0100,B 432921,A81000C,00800,0400,KARE MEDICAL 432921,A81000C,00800,0600,WHOLESALE SUPPL 432921,A81000C,00900,0100,B 432921,A81000C,00900,0400,KARE MEDICAL 432921,A81000C,00900,0600,WHOLESALE SUPPL 432921,A81000C,01000,0100,B 432921,A81000C,01000,0400,KARE MEDICAL 432921,A81000C,01000,0600,WHOLESALE SUPPL 432921,A81000C,01001,0100,B 432921,A81000C,01001,0400,KARE MEDICAL 432921,A81000C,01001,0600,WHOLESALE SUPPL 432921,A81000C,01002,0100,B 432921,A81000C,01002,0400,KARE MEDICAL 432921,A81000C,01002,0600,WHOLESALE SUPPL 432921,A81000C,01003,0100,B 432921,A81000C,01003,0400,KARE MEDICAL 432921,A81000C,01003,0600,WHOLESALE SUPPL 432921,A81000C,01004,0100,B 432921,A81000C,01004,0400,KARE MEDICAL 432921,A81000C,01004,0600,WHOLESALE SUPPL 432921,A81000C,01005,0100,B 432921,A81000C,01005,0400,KARE MEDICAL 432921,A81000C,01005,0600,WHOLESALE SUPPL 432921,A81000C,01006,0100,B 432921,A81000C,01006,0400,KARE MEDICAL 432921,A81000C,01006,0600,WHOLESALE SUPPL 432921,A81000C,01007,0100,B 432921,A81000C,01007,0400,KARE MEDICAL 432921,A81000C,01007,0600,WHOLESALE SUPPL 432921,A81000C,01008,0100,B 432921,A81000C,01008,0400,KARE MEDICAL 432921,A81000C,01008,0600,WHOLESALE SUPPL 432921,A81000C,01009,0100,B 432921,A81000C,01009,0400,KARE MEDICAL 432921,A81000C,01009,0600,WHOLESALE SUPPL 432921,A81000C,01010,0100,B 432921,A81000C,01010,0400,KARE MEDICAL 432921,A81000C,01010,0600,WHOLESALE SUPPL 432921,A81000C,01011,0100,B 432921,A81000C,01011,0400,KARE MEDICAL 432921,A81000C,01011,0600,WHOLESALE SUPPL 432921,A81000C,01012,0100,B 432921,A81000C,01012,0400,PHARMSAVE 432921,A81000C,01012,0600,RX SUPPLY 432921,A81000C,01013,0100,B 432921,A81000C,01013,0400,PHARMSAVE 432921,A81000C,01013,0600,RX SUPPLY 432921,A81000C,01014,0100,B 432921,A81000C,01014,0400,PHARMSAVE 432921,A81000C,01014,0600,RX SUPPLY 432921,A81000C,01015,0100,B 432921,A81000C,01015,0400,ROBERT HILL CON 432921,A81000C,01015,0600,CONSTRUCTION 432921,A81000C,01016,0100,B 432921,A81000C,01016,0400,ROBERT HILL CON 432921,A81000C,01016,0600,CONSTRUCTION 432921,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432921,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432921,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432921,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432921,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432921,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432921,B100000,00000,0800,0800MEALS SERVED :DIETARY 432921,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432921,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432921,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432921,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432921,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432921,E10A180,00501,0100,09/09/11 432921,E10A180,00550,0100,08/01/11 432921,G300000,02500,0000, OTHER (SPECIFY) 432921,S000000,00100,0200,07/26/11 432921,S200000,00100,0100,HIGHWAY 64 SOUTH 432921,S200000,00200,0100,BENTON 432921,S200000,00200,0200,KY 432921,S200000,00200,0300,42025 432921,S200000,00300,0100,MARSHALL 432921,S200000,00300,0201,99918 432921,S200000,00300,0300,R 432921,S200000,00400,0100,BRITTHAVEN OF BENTON 432921,S200000,00400,0200,185258 432921,S200000,00400,0300,02/28/89 432921,S200000,00400,0500,P 432921,S200000,01500,0100,N 432921,S200000,01501,0200,Y 432921,S200000,01502,0200,Y 432921,S200000,01503,0200,Y 432921,S200000,01504,0200,Y 432921,S200000,01505,0000,OTHER (SPECIFY) 432921,S200000,01505,0200,Y 432921,S200000,01600,0100,Y 432921,S200000,01700,0100,N 432921,S200000,01800,0100,N 432921,S200000,02200,0100,N 432921,S200000,02800,0100,N 432921,S200000,02900,0100,N 432921,S200000,03000,0100,N 432921,S200000,03100,0100,Y 432921,S200000,03200,0100,N 432921,S200000,03300,0100,N 432921,S200000,03300,0200,N 432921,S200000,04100,0100,N 432921,S200000,04200,0100,N 432921,S200000,04300,0100,N 432921,S200000,04600,0100,N 432921,S200000,04700,0100,N 432921,S200000,04700,0200,N 432921,S200000,04900,0100,N 432921,S200000,05000,0100,N 432921,S200000,05100,0100,N 432921,S200000,05200,0100,N 432921,S200000,05300,0100,Y 432921,S200000,05300,0200,349011 432921,S200000,05400,0100,BRITTHAVEN INC. 432921,S200000,05400,0200,NAT L GOVT 432921,S200000,05400,0300,00160 432921,S200000,05500,0100,1435 HWY 258 NORTH 432921,S200000,05500,0200,PO BOX 61 432921,S200000,05600,0100,KINSTON 432921,S200000,05600,0200,NC 432921,S200000,05600,0300,28502 432922,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432922,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432922,A000000,00300,0000,0300EMPLOYEE BENEFITS 432922,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432922,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432922,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432922,A000000,00700,0000,0700HOUSEKEEPING 432922,A000000,00800,0000,0800DIETARY 432922,A000000,00900,0000,0900NURSING ADMINISTRATION 432922,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432922,A000000,01100,0000,1100PHARMACY 432922,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432922,A000000,01300,0000,1300SOCIAL SERVICE 432922,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432922,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 432922,A000000,01600,0000,1600SKILLED NURSING FACILITY 432922,A000000,01800,0000,1800NURSING FACILITY 432922,A000000,01810,0000,1810ICF/MR 432922,A000000,01900,0000,1900OTHER LONG TERM CARE 432922,A000000,02100,0000,2100RADIOLOGY 432922,A000000,02200,0000,2200LABORATORY 432922,A000000,02300,0000,2300INTRAVENOUS THERAPY 432922,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 432922,A000000,02500,0000,2500PHYSICAL THERAPY 432922,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432922,A000000,02700,0000,2700SPEECH PATHOLOGY 432922,A000000,02800,0000,2800ELECTROCARDIOLOGY 432922,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432922,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432922,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 432922,A000000,03200,0000,3200SUPPORT SURFACES 432922,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 432922,A000000,03400,0000,3400CLINIC 432922,A000000,03500,0000,3500RURAL HEALTH CLINIC 432922,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 432922,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 432922,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 432922,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 432922,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 432922,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 432922,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 432922,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 432922,A000000,04400,0000,4400DME RENTED - HHA 432922,A000000,04500,0000,4500DME SOLD - HHA 432922,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 432922,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 432922,A000000,04710,0000,4710TELEMEDICINE 432922,A000000,04800,0000,4800AMBULANCE 432922,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 432922,A000000,05000,0000,5000CORF 432922,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 432922,A000000,05300,0000,5300INTEREST EXPENSE 432922,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 432922,A000000,05500,0000,5500HOSPICE 432922,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 432922,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432922,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432922,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432922,A000000,06100,0000,6100NONPAID WORKERS 432922,A000000,06200,0000,6200PATIENTS LAUNDRY 432922,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 432922,A81000A,00100,0100,Y 432922,A81000B,00100,0300,NURSING CONSULTING 432922,A81000B,00200,0300,HOME OFFICE 432922,A81000B,00300,0300,INTEREST EXPENSE 432922,A81000B,00400,0300,OFFICE SUPPLIES 432922,A81000B,00500,0300,REPAIRS - EQUIPMENT 432922,A81000B,00600,0300,REPAIRS - GROUNDS 432922,A81000B,00700,0300,LINEN & BEDDING 432922,A81000B,00800,0300,SUPPLIES 432922,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 432922,A81000B,01000,0300,SUPPLIES 432922,A81000B,01100,0300,DIETARY SUPPLEMENTS 432922,A81000B,01200,0300,SUPPLIES 432922,A81000B,01300,0300,BIO-MEDICAL WASTE 432922,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 432922,A81000B,01500,0300,PERSONAL CARE SUPPLIES 432922,A81000B,01600,0300,INCONTINENCE SUPPLIES 432922,A81000B,01700,0300,MEDICAL SUPPLIES 432922,A81000B,01800,0300,NON-LEGEND DRUGS 432922,A81000B,01900,0300,SUPPLIES 432922,A81000B,02000,0300,SUPPLIES 432922,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 432922,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 432922,A81000B,02300,0300,LEGEND DRUGS 432922,A81000B,02400,0300,INSURANCE - PROFESSIONAL LIABILITY 432922,A81000C,00100,0100,B 432922,A81000C,00100,0400,BRITTHAVEN INC 432922,A81000C,00100,0600,MGMT SERVICES 432922,A81000C,00200,0100,B 432922,A81000C,00200,0400,BRITTHAVEN INC 432922,A81000C,00200,0600,MGMT SERVICES 432922,A81000C,00300,0100,B 432922,A81000C,00300,0400,BRITTHAVEN INC 432922,A81000C,00300,0600,MGMT SERVICES 432922,A81000C,00400,0100,B 432922,A81000C,00400,0400,ROBERT HILL CON 432922,A81000C,00400,0600,CONSTRUCTION 432922,A81000C,00500,0100,B 432922,A81000C,00500,0400,KARE MEDICAL 432922,A81000C,00500,0600,WHOLESALE SUPPL 432922,A81000C,00600,0100,B 432922,A81000C,00600,0400,KARE MEDICAL 432922,A81000C,00600,0600,WHOLESALEL SUPP 432922,A81000C,00700,0100,B 432922,A81000C,00700,0400,KARE MEDICAL 432922,A81000C,00700,0600,WHOLESALE SUPPL 432922,A81000C,00800,0100,B 432922,A81000C,00800,0400,KARE MEDICAL 432922,A81000C,00800,0600,WHOLESALE SUPPL 432922,A81000C,00900,0100,B 432922,A81000C,00900,0400,KARE MEDICAL 432922,A81000C,00900,0600,WHOLESALE SUPPL 432922,A81000C,01000,0100,B 432922,A81000C,01000,0400,KARE MEDICAL 432922,A81000C,01000,0600,WHOLESALE SUPPL 432922,A81000C,01001,0100,B 432922,A81000C,01001,0400,KARE MEDICAL 432922,A81000C,01001,0600,WHOLESALE SUPPL 432922,A81000C,01002,0100,B 432922,A81000C,01002,0400,KARE MEDICAL 432922,A81000C,01002,0600,WHOLESALE SUPPL 432922,A81000C,01003,0100,B 432922,A81000C,01003,0400,KARE MEDICAL 432922,A81000C,01003,0600,WHOLESALE 432922,A81000C,01004,0100,B 432922,A81000C,01004,0400,KARE MEDICAL 432922,A81000C,01004,0600,WHOLESALE SUPPL 432922,A81000C,01005,0100,B 432922,A81000C,01005,0400,KARE MEDICAL 432922,A81000C,01005,0600,WHOLESALE SUPPL 432922,A81000C,01006,0100,B 432922,A81000C,01006,0400,KARE MEDICAL 432922,A81000C,01006,0600,WHOLESALE SUPPL 432922,A81000C,01007,0100,B 432922,A81000C,01007,0400,KARE MEDICAL 432922,A81000C,01007,0600,WHOLESALE SUPPL 432922,A81000C,01008,0100,B 432922,A81000C,01008,0400,PHARMSAVE 432922,A81000C,01008,0600,RX SUPPLY 432922,A81000C,01009,0100,B 432922,A81000C,01009,0400,PHARMSAVE 432922,A81000C,01009,0600,RX SUPPLY 432922,A81000C,01010,0100,B 432922,A81000C,01010,0400,ROBERT HILL CON 432922,A81000C,01010,0600,CONSTRUCTION 432922,A81000C,01011,0100,B 432922,A81000C,01011,0400,KARE MEDICAL 432922,A81000C,01011,0600,WHOLESALE SUPPL 432922,A81000C,01012,0100,B 432922,A81000C,01012,0400,KARE MEDICAL 432922,A81000C,01012,0600,WHOLESALE SUPPL 432922,A81000C,01013,0100,B 432922,A81000C,01013,0400,PHARMSAVE 432922,A81000C,01013,0600,RX SUPPLY 432922,A81000C,01014,0100,A 432922,A81000C,01014,0200,QUEENSLAND ASSU 432922,A81000C,01014,0600,INSURANCE 432922,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432922,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432922,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432922,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432922,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432922,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 432922,B100000,00000,0800,0800MEALS SERVED :DIETARY 432922,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 432922,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 432922,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 432922,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432922,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432922,E10A180,00501,0100,09/16/11 432922,E10A180,00501,0300,09/16/11 432922,E10A180,00502,0100,07/28/11 432922,E10A180,00550,0100,07/28/11 432922,G300000,02500,0000, OTHER (SPECIFY) 432922,S000000,00100,0200,07/26/11 432922,S200000,00100,0100,1901 US 119 NORTH 432922,S200000,00200,0100,CUMBERLAND 432922,S200000,00200,0200,KY 432922,S200000,00200,0300,40823 432922,S200000,00300,0100,HARLAN 432922,S200000,00300,0201,99918 432922,S200000,00300,0300,R 432922,S200000,00400,0100,BRITTHAVEN OF TRI CITIES 432922,S200000,00400,0200,185433 432922,S200000,00400,0300,03/06/97 432922,S200000,00400,0500,P 432922,S200000,01500,0100,Y 432922,S200000,01501,0200,Y 432922,S200000,01502,0200,Y 432922,S200000,01503,0200,Y 432922,S200000,01504,0200,Y 432922,S200000,01505,0000,OTHER (SPECIFY) 432922,S200000,01505,0200,Y 432922,S200000,01600,0100,N 432922,S200000,01700,0100,N 432922,S200000,01800,0100,N 432922,S200000,02200,0100,N 432922,S200000,02800,0100,N 432922,S200000,02900,0100,N 432922,S200000,03000,0100,N 432922,S200000,03100,0100,Y 432922,S200000,03200,0100,N 432922,S200000,03300,0100,N 432922,S200000,03300,0200,N 432922,S200000,04100,0100,N 432922,S200000,04200,0100,N 432922,S200000,04300,0100,N 432922,S200000,04600,0100,N 432922,S200000,04700,0100,N 432922,S200000,04700,0200,N 432922,S200000,04900,0100,N 432922,S200000,05000,0100,N 432922,S200000,05100,0100,N 432922,S200000,05200,0100,N 432922,S200000,05300,0100,Y 432922,S200000,05300,0200,349011 432922,S200000,05400,0100,BRITTHAVEN INC. 432922,S200000,05400,0200,NAT L GOVT 432922,S200000,05400,0300,00160 432922,S200000,05500,0100,1435 HWY 258 NORTH 432922,S200000,05500,0200,PO BOX 61 432922,S200000,05600,0100,KINSTON 432922,S200000,05600,0200,NC 432922,S200000,05600,0300,28501 432961,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 432961,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 432961,A000000,00300,0000,0300EMPLOYEE BENEFITS 432961,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 432961,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 432961,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 432961,A000000,00700,0000,0700HOUSEKEEPING 432961,A000000,00800,0000,0800DIETARY 432961,A000000,00900,0000,0900NURSING ADMINISTRATION 432961,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 432961,A000000,01100,0000,1100PHARMACY 432961,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 432961,A000000,01300,0000,1300SOCIAL SERVICE 432961,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 432961,A000000,01600,0000,1600SKILLED NURSING FACILITY 432961,A000000,01810,0000,1810ICF/MR 432961,A000000,02100,0000,2100RADIOLOGY 432961,A000000,02200,0000,2200LABORATORY 432961,A000000,02500,0000,2500PHYSICAL THERAPY 432961,A000000,02600,0000,2600OCCUPATIONAL THERAPY 432961,A000000,02700,0000,2700SPEECH PATHOLOGY 432961,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 432961,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 432961,A000000,03550,0000,3550FQHC 432961,A000000,03600,0000,3450ADULT DAY HEALTH 432961,A000000,05000,0000,5000CORF 432961,A000000,05010,0000,5010CMHC 432961,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 432961,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 432961,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 432961,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 432961,A000000,05900,0000,5900BARBER & BEAUTY SHOP 432961,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 432961,A81000A,00100,0100,Y 432961,A81000B,00100,0300,RENT ELCOR LAND 432961,A81000B,00200,0300,RENT LRS ASSOC 432961,A81000B,00300,0300,RENT MARRIOT MANOR 432961,A81000B,00400,0300,DEP BLDG/FIXED LRS 432961,A81000B,00500,0300,INTEREST LRS 432961,A81000B,00600,0300,DEP B & F ELCOR LAND 432961,A81000B,00700,0300,INTEREST ELCOR LAND 432961,A81000B,00800,0300,DEP B & F MARRIOT 432961,A81000B,00900,0300,INTEREST MARRIOT 432961,A81000B,01000,0300,MOVEABLE LRS 432961,A81000B,01100,0300,MOVEABLE MARRIOT 432961,A81000B,01200,0300,PROF FEES ELCOR LAND 432961,A81000B,01300,0300,PROF FEES LRS 432961,A81000B,01400,0300,PROF FEES MARRIOT 432961,A81000C,00100,0100,D 432961,A81000C,00100,0200,LESTER POES 432961,A81000C,00100,0400,LRS ASSOCIATES 432961,A81000C,00200,0100,A 432961,A81000C,00200,0200,RICHARD POES 432961,A81000C,00200,0400,LRS ASSOCIATES 432961,A81000C,00300,0100,A 432961,A81000C,00300,0200,LOUISE HARDING 432961,A81000C,00300,0400,ELCOR LAND DEVE 432961,A81000C,00400,0100,D 432961,A81000C,00400,0200,LESTER POES 432961,A81000C,00400,0400,ELCOR LAND DEVE 432961,A81000C,00500,0100,D 432961,A81000C,00500,0200,LESTER POES 432961,A81000C,00500,0400,MARRIOT MANOR 432961,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 432961,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 432961,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 432961,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 432961,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 432961,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 432961,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 432961,B100000,00000,0800,0800MEALS SERVED :DIETARY 432961,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 432961,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 432961,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 432961,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 432961,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 432961,G300000,02500,0000,PATIENT PERSONAL SUPPLIES 432961,G300000,02501,0000,BARBER & BEAUTY 432961,G300000,02502,0000,MISC INCOME 432961,G300000,02503,0000,JANITORIAL SERVICES 432961,G300000,02504,0000,RENTAL INCOME 432961,G300000,02505,0000,OTHER INCOME 432961,S000000,00100,0200,05/24/12 432961,S200000,00100,0100,108 COLONIAL DRIVE 432961,S200000,00200,0100,HORSEHEADS 432961,S200000,00200,0200,NY 432961,S200000,00200,0300,14845 432961,S200000,00300,0100,CHEMUNG 432961,S200000,00300,0201,2335 432961,S200000,00300,0300,U 432961,S200000,00400,0100,ELCOR NURSING HOME 432961,S200000,00400,0200,335053 432961,S200000,00400,0300,01/01/67 432961,S200000,00400,0500,P 432961,S200000,01500,0100,Y 432961,S200000,01501,0200,Y 432961,S200000,01600,0100,N 432961,S200000,01700,0100,N 432961,S200000,01800,0100,N 432961,S200000,01900,0100,FREESTANDING SKILLED 432961,S200000,02200,0100,N 432961,S200000,02800,0100,N 432961,S200000,02900,0100,N 432961,S200000,03000,0100,N 432961,S200000,03100,0100,N 432961,S200000,03200,0100,N 432961,S200000,03300,0100,N 432961,S200000,03300,0200,N 432961,S200000,04100,0100,N 432961,S200000,04200,0100,N 432961,S200000,04300,0100,N 432961,S200000,04600,0100,N 432961,S200000,04700,0100,N 432961,S200000,04700,0200,N 432961,S200000,04900,0100,N 432961,S200000,05000,0100,N 432961,S200000,05100,0100,N 432961,S200000,05200,0100,N 432961,S200000,05300,0100,N 433003,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433003,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433003,A000000,00300,0000,0300EMPLOYEE BENEFITS 433003,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433003,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433003,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433003,A000000,00700,0000,0700HOUSEKEEPING 433003,A000000,00800,0000,0800DIETARY 433003,A000000,00900,0000,0900NURSING ADMINISTRATION 433003,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433003,A000000,01100,0000,1100PHARMACY 433003,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433003,A000000,01300,0000,1300SOCIAL SERVICE 433003,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433003,A000000,01500,0000,1350OTHER GENERAL SERVICES 433003,A000000,01600,0000,1600SKILLED NURSING FACILITY 433003,A000000,01800,0000,1800NURSING FACILITY 433003,A000000,01810,0000,1810ICF/MR 433003,A000000,01900,0000,1900OTHER LONG TERM CARE 433003,A000000,02100,0000,2100RADIOLOGY 433003,A000000,02200,0000,2200LABORATORY 433003,A000000,02300,0000,2300INTRAVENOUS THERAPY 433003,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433003,A000000,02500,0000,2500PHYSICAL THERAPY 433003,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433003,A000000,02700,0000,2700SPEECH PATHOLOGY 433003,A000000,02800,0000,2800ELECTROCARDIOLOGY 433003,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433003,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433003,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433003,A000000,03200,0000,3200SUPPORT SURFACES 433003,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433003,A000000,03400,0000,3400CLINIC 433003,A000000,03500,0000,3500RURAL HEALTH CLINIC 433003,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433003,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433003,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433003,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433003,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433003,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433003,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433003,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433003,A000000,04400,0000,4400DME RENTED - HHA 433003,A000000,04500,0000,4500DME SOLD - HHA 433003,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433003,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433003,A000000,04710,0000,4710TELEMEDICINE 433003,A000000,04800,0000,4800AMBULANCE 433003,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433003,A000000,05000,0000,5000CORF 433003,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433003,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433003,A000000,05300,0000,5300INTEREST EXPENSE 433003,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433003,A000000,05500,0000,5500HOSPICE 433003,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433003,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433003,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433003,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433003,A000000,06100,0000,6100NONPAID WORKERS 433003,A000000,06200,0000,6200PATIENTS LAUNDRY 433003,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433003,A81000A,00100,0100,N 433003,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433003,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433003,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433003,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433003,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433003,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433003,B100000,00000,0800,0800MEALS SERVED :DIETARY 433003,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433003,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433003,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433003,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433003,S000000,00100,0200,05/18/12 433003,S200000,00100,0100,1000 N. BROADWAY 433003,S200000,00200,0100,ASPERMONT 433003,S200000,00200,0200,TX 433003,S200000,00200,0300,79502 433003,S200000,00300,0100,STONEWALL 433003,S200000,00300,0200,45 433003,S200000,00300,0201,99945 433003,S200000,00300,0300,R 433003,S200000,00400,0100,GIBSON CARE CENTER 433003,S200000,00400,0200,676077 433003,S200000,00400,0300,10/01/05 433003,S200000,00400,0500,P 433003,S200000,01500,0100,Y 433003,S200000,01501,0200,Y 433003,S200000,01600,0100,N 433003,S200000,01700,0100,N 433003,S200000,01800,0100,N 433003,S200000,02200,0100,Y 433003,S200000,02800,0100,N 433003,S200000,02900,0100,N 433003,S200000,03000,0100,N 433003,S200000,03100,0100,N 433003,S200000,03200,0100,N 433003,S200000,03300,0100,Y 433003,S200000,03300,0200,Y 433003,S200000,04100,0100,N 433003,S200000,04200,0100,N 433003,S200000,04300,0100,N 433003,S200000,04600,0100,N 433003,S200000,04700,0100,N 433003,S200000,04700,0200,N 433003,S200000,04900,0100,N 433003,S200000,05000,0100,N 433003,S200000,05100,0100,N 433003,S200000,05200,0100,N 433003,S200000,05300,0100,N 433004,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433004,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433004,A000000,00300,0000,0300EMPLOYEE BENEFITS 433004,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433004,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433004,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433004,A000000,00700,0000,0700HOUSEKEEPING 433004,A000000,00800,0000,0800DIETARY 433004,A000000,00900,0000,0900NURSING ADMINISTRATION 433004,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433004,A000000,01100,0000,1100PHARMACY 433004,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433004,A000000,01300,0000,1300SOCIAL SERVICE 433004,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433004,A000000,01500,0000,1350OTHER GENERAL SERVICES 433004,A000000,01600,0000,1600SKILLED NURSING FACILITY 433004,A000000,01800,0000,1800NURSING FACILITY 433004,A000000,01810,0000,1810ICF/MR 433004,A000000,01900,0000,1900OTHER LONG TERM CARE 433004,A000000,02100,0000,2100RADIOLOGY 433004,A000000,02200,0000,2200LABORATORY 433004,A000000,02300,0000,2300INTRAVENOUS THERAPY 433004,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433004,A000000,02500,0000,2500PHYSICAL THERAPY 433004,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433004,A000000,02700,0000,2700SPEECH PATHOLOGY 433004,A000000,02800,0000,2800ELECTROCARDIOLOGY 433004,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433004,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433004,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433004,A000000,03200,0000,3200SUPPORT SURFACES 433004,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433004,A000000,03400,0000,3400CLINIC 433004,A000000,03500,0000,3500RURAL HEALTH CLINIC 433004,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433004,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433004,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433004,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433004,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433004,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433004,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433004,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433004,A000000,04400,0000,4400DME RENTED - HHA 433004,A000000,04500,0000,4500DME SOLD - HHA 433004,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433004,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433004,A000000,04710,0000,4710TELEMEDICINE 433004,A000000,04800,0000,4800AMBULANCE 433004,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433004,A000000,05000,0000,5000CORF 433004,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433004,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433004,A000000,05300,0000,5300INTEREST EXPENSE 433004,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433004,A000000,05500,0000,5500HOSPICE 433004,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433004,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433004,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433004,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433004,A000000,06100,0000,6100NONPAID WORKERS 433004,A000000,06200,0000,6200PATIENTS LAUNDRY 433004,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433004,A81000A,00100,0100,N 433004,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433004,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433004,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433004,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433004,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433004,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433004,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433004,B100000,00000,0800,0800MEALS SERVED :DIETARY 433004,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433004,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433004,G300000,02500,0000,BEAUTY AND BARBER SHOP 433004,G300000,02501,0000,BED HOLDING 433004,S000000,00100,0200,05/22/12 433004,S200000,00100,0100,1601 NE MUSTANG DRIVE 433004,S200000,00200,0100,ANDREWS 433004,S200000,00200,0200,TX 433004,S200000,00200,0300,79714 433004,S200000,00300,0100,ANDREWS 433004,S200000,00300,0200,45 433004,S200000,00300,0201,99945 433004,S200000,00300,0300,R 433004,S200000,00400,0100,PERMIAN RESIDENTIAL CARE CENTER 433004,S200000,00400,0200,676175 433004,S200000,00400,0300,05/23/08 433004,S200000,00400,0500,P 433004,S200000,01500,0100,Y 433004,S200000,01600,0100,N 433004,S200000,01700,0100,N 433004,S200000,01800,0100,N 433004,S200000,02200,0100,N 433004,S200000,02800,0100,N 433004,S200000,02900,0100,N 433004,S200000,03000,0100,N 433004,S200000,03100,0100,N 433004,S200000,03200,0100,N 433004,S200000,03300,0100,N 433004,S200000,03300,0200,N 433004,S200000,04100,0100,N 433004,S200000,04200,0100,N 433004,S200000,04300,0100,N 433004,S200000,04600,0100,N 433004,S200000,04700,0100,N 433004,S200000,04700,0200,N 433004,S200000,04900,0100,N 433004,S200000,05000,0100,N 433004,S200000,05100,0100,N 433004,S200000,05200,0100,N 433005,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433005,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433005,A000000,00300,0000,0300EMPLOYEE BENEFITS 433005,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433005,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433005,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433005,A000000,00700,0000,0700HOUSEKEEPING 433005,A000000,00800,0000,0800DIETARY 433005,A000000,00900,0000,0900NURSING ADMINISTRATION 433005,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433005,A000000,01100,0000,1100PHARMACY 433005,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433005,A000000,01300,0000,1300SOCIAL SERVICE 433005,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433005,A000000,01500,0000,1350ACTIVITIES AL SERVICES 433005,A000000,01600,0000,1600SKILLED NURSING FACILITY 433005,A000000,01800,0000,1800NURSING FACILITY 433005,A000000,01810,0000,1810ICF/MR 433005,A000000,01900,0000,1900OTHER LONG TERM CARE 433005,A000000,02100,0000,2100RADIOLOGY 433005,A000000,02200,0000,2200LABORATORY 433005,A000000,02300,0000,2300INTRAVENOUS THERAPY 433005,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433005,A000000,02500,0000,2500PHYSICAL THERAPY 433005,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433005,A000000,02700,0000,2700SPEECH PATHOLOGY 433005,A000000,02800,0000,2800ELECTROCARDIOLOGY 433005,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433005,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433005,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433005,A000000,03200,0000,3200SUPPORT SURFACES 433005,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433005,A000000,03400,0000,3400CLINIC 433005,A000000,03500,0000,3500RURAL HEALTH CLINIC 433005,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433005,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433005,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433005,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433005,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433005,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433005,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433005,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433005,A000000,04400,0000,4400DME RENTED - HHA 433005,A000000,04500,0000,4500DME SOLD - HHA 433005,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433005,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433005,A000000,04800,0000,4800AMBULANCE 433005,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433005,A000000,05000,0000,5000CORF 433005,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433005,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433005,A000000,05300,0000,5300INTEREST EXPENSE 433005,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433005,A000000,05500,0000,5500HOSPICE 433005,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433005,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433005,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433005,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433005,A000000,06100,0000,6100NONPAID WORKERS 433005,A000000,06200,0000,6200PATIENTS LAUNDRY 433005,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433005,A81000A,00100,0100,N 433005,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433005,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433005,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433005,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433005,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433005,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433005,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433005,B100000,00000,0800,0800MEALS SERVED :DIETARY 433005,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433005,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433005,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433005,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433005,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 433005,E10A180,00301,0100,06/13/11 433005,G300000,02500,0000, BARBER&BEAUTY DISPOSAL DAY CARE 433005,S000000,00100,0200,04/12/12 433005,S200000,00100,0100,6101 OHIO DRIVE 433005,S200000,00200,0100,PLANO 433005,S200000,00200,0200,TX 433005,S200000,00200,0300,75024 433005,S200000,00300,0100,DALLAS 433005,S200000,00300,0200,1920 433005,S200000,00300,0201,19124 433005,S200000,00300,0300,U 433005,S200000,00400,0100,THE LEGACY AT WILLOW BEND RETIREMENT 433005,S200000,00400,0200,676189 433005,S200000,00400,0300,07/24/08 433005,S200000,00400,0500,P 433005,S200000,00400,0600,P 433005,S200000,01500,0100,Y 433005,S200000,01501,0200,Y 433005,S200000,01502,0200,N 433005,S200000,01600,0100,N 433005,S200000,01700,0100,N 433005,S200000,01800,0100,N 433005,S200000,02200,0100,N 433005,S200000,02800,0100,N 433005,S200000,02900,0100,N 433005,S200000,03000,0100,N 433005,S200000,03100,0100,N 433005,S200000,03200,0100,N 433005,S200000,03300,0100,N 433005,S200000,03300,0200,N 433005,S200000,04100,0100,N 433005,S200000,04200,0100,N 433005,S200000,04300,0100,N 433005,S200000,04600,0100,N 433005,S200000,04700,0100,N 433005,S200000,04700,0200,N 433005,S200000,04900,0100,N 433005,S200000,05000,0100,N 433005,S200000,05100,0100,N 433005,S200000,05200,0100,N 433015,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433015,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433015,A000000,00300,0000,0300EMPLOYEE BENEFITS 433015,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433015,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433015,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433015,A000000,00700,0000,0700HOUSEKEEPING 433015,A000000,00800,0000,0800DIETARY 433015,A000000,00900,0000,0900NURSING ADMINISTRATION 433015,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433015,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433015,A000000,01300,0000,1300SOCIAL SERVICE 433015,A000000,01301,0000,1301ACTIVITES 433015,A000000,01500,0000,1350REHABILITATION 433015,A000000,01600,0000,1600SKILLED NURSING FACILITY 433015,A000000,01800,0000,1800NURSING FACILITY 433015,A000000,01900,0000,1900OTHER LONG TERM CARE 433015,A000000,02100,0000,2100RADIOLOGY 433015,A000000,02200,0000,2200LABORATORY 433015,A000000,02300,0000,2300INTRAVENOUS THERAPY 433015,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433015,A000000,02500,0000,2500PHYSICAL THERAPY 433015,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433015,A000000,02700,0000,2700SPEECH PATHOLOGY 433015,A000000,02800,0000,2800ELECTROCARDIOLOGY 433015,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433015,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433015,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433015,A000000,03200,0000,3200SUPPORT SURFACES 433015,A000000,03300,0000,3050EQUIPMENT RENTAL 433015,A000000,03301,0000,3051PEN THERAPY 433015,A000000,04800,0000,4800AMBULANCE 433015,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433015,A000000,05300,0000,5300INTEREST EXPENSE 433015,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433015,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433015,A000000,06200,0000,6200PATIENTS LAUNDRY 433015,A000000,06300,0000,6150VENDING 433015,A000000,06301,0000,6151OTHER NONREIMBURSABLE 433015,A81000A,00100,0100,Y 433015,A81000B,00100,0300,HOME OFFICE COST 433015,A81000C,00100,0100,B 433015,A81000C,00100,0200,WINCHESTER LODG 433015,A81000C,00100,0400,SSC EQUITY HOLD 433015,A81000C,00100,0600,NSG HOMES 433015,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433015,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433015,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433015,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433015,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433015,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433015,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433015,B100000,00000,0800,0800MEALS SERVED :DIETARY 433015,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433015,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433015,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433015,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433015,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 433015,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 433015,S000000,00100,0200,02/15/12 433015,S200000,00100,0100,1112 SMITH DRIVE 433015,S200000,00200,0100,ALVIN 433015,S200000,00200,0200,TX 433015,S200000,00200,0300,77511 433015,S200000,00300,0100,BRAZORIA 433015,S200000,00300,0300,U 433015,S200000,00400,0100,WINCHESTER LODGE 433015,S200000,00400,0200,676264 433015,S200000,00400,0300,11/04/10 433015,S200000,00400,0500,P 433015,S200000,01500,0100,Y 433015,S200000,01501,0200,Y 433015,S200000,01502,0200,Y 433015,S200000,01504,0200,Y 433015,S200000,01600,0100,N 433015,S200000,01700,0100,N 433015,S200000,01800,0100,N 433015,S200000,02200,0100,Y 433015,S200000,02800,0100,N 433015,S200000,02900,0100,N 433015,S200000,03000,0100,N 433015,S200000,03100,0100,N 433015,S200000,03200,0100,N 433015,S200000,03300,0100,N 433015,S200000,03300,0200,N 433015,S200000,04100,0100,N 433015,S200000,04200,0100,N 433015,S200000,04300,0100,N 433015,S200000,04600,0100,N 433015,S200000,04700,0100,N 433015,S200000,04700,0200,N 433015,S200000,04900,0100,N 433015,S200000,05000,0100,N 433015,S200000,05100,0100,N 433015,S200000,05200,0100,N 433015,S200000,05300,0100,Y 433015,S200000,05300,0200,219023 433015,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 433015,S200000,05400,0200,TRAILBLAZER 433015,S200000,05400,0300,04901 433015,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 433015,S200000,05600,0100,HOUSTON 433015,S200000,05600,0200,TX 433015,S200000,05600,0300,77041 433070,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433070,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433070,A000000,00300,0000,0300EMPLOYEE BENEFITS 433070,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433070,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433070,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433070,A000000,00700,0000,0700HOUSEKEEPING 433070,A000000,00800,0000,0800DIETARY 433070,A000000,00900,0000,0900NURSING ADMINISTRATION 433070,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433070,A000000,01100,0000,1100PHARMACY 433070,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433070,A000000,01300,0000,1300SOCIAL SERVICE 433070,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433070,A000000,01500,0000,1350ACTIVITIES / RECREATION 433070,A000000,01600,0000,1600SKILLED NURSING FACILITY 433070,A000000,01810,0000,1810ICF/MR 433070,A000000,02100,0000,2100RADIOLOGY 433070,A000000,02200,0000,2200LABORATORY 433070,A000000,02300,0000,2300INTRAVENOUS THERAPY 433070,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433070,A000000,02500,0000,2500PHYSICAL THERAPY 433070,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433070,A000000,02700,0000,2700SPEECH PATHOLOGY 433070,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433070,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433070,A000000,03200,0000,3200SUPPORT SURFACES 433070,A000000,03300,0000,3050PEN SERVICES 433070,A000000,03550,0000,3550FQHC 433070,A000000,04801,0000,4801AMBULANCE 433070,A000000,04802,0000,4802AMBULANCE 433070,A000000,04803,0000,4803AMBULANCE 433070,A000000,05000,0000,5000CORF 433070,A000000,05010,0000,5010CMHC 433070,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433070,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433070,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433070,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433070,A81000A,00100,0100,Y 433070,A81000B,00100,0300,HOME OFFICE A & G 433070,A81000B,00200,0300,DIRECT INT. & AMORT. 433070,A81000B,00300,0300,H. O. CAPITAL 433070,A81000B,00400,0300,PT 433070,A81000B,00500,0300,OT 433070,A81000B,00600,0300,ST 433070,A81000B,00700,0300,NUTRTIONIST 433070,A81000B,00800,0300,RT 433070,A81000B,00900,0300,MEDICAL DIRECTOR 433070,A81000B,01000,0300,PURCH. SERVICES 433070,A81000C,00100,0100,B 433070,A81000C,00100,0200,GENESIS HEALTHC 433070,A81000C,00100,0600,MGMT. COMPANY 433070,A81000C,00200,0100,B 433070,A81000C,00200,0200,GENESIS SERVICE 433070,A81000C,00200,0600,VARIOUS 433070,A81000C,00300,0100,B 433070,A81000C,00300,0200,GENESIS REHAB 433070,A81000C,00300,0600,REHAB 433070,A81000C,00400,0100,B 433070,A81000C,00400,0200,GENESIS HOSPITA 433070,A81000C,00400,0600,NUTRITIONIST 433070,A81000C,00500,0100,B 433070,A81000C,00500,0200,RESPIRATORY HEA 433070,A81000C,00500,0600,RT 433070,A81000C,00600,0100,B 433070,A81000C,00600,0200,PYSICIAN SERVIC 433070,A81000C,00600,0600,MEDICAL DIRECTO 433070,B100000,00000,0100,0100SQUARE FEET 433070,B100000,00000,0200,0200SQUARE FEET 433070,B100000,00000,0300,0300GROSS SALARIES 433070,B100000,00000,0400,0400ACCUM COST 433070,B100000,00000,0500,0500SQUARE FEET 433070,B100000,00000,0600,0600PATIENT DAYS 433070,B100000,00000,0700,0700SQUARE FEET 433070,B100000,00000,0800,0800MEALS SERVED 433070,B100000,00000,0900,0900PATIENT DAYS 433070,B100000,00000,1000,1000COSTED REQUIS 433070,B100000,00000,1100,1100COSTED REQUIS 433070,B100000,00000,1200,1200GROSS CHARGES 433070,B100000,00000,1300,1300PATIENT DAYS 433070,B100000,00000,1400,1400ASSIGNED TIME 433070,B100000,00000,1500,1350PATIENT DAYS 433070,E10A180,00353,0100,03/25/11 433070,E10A180,00501,0300,10/17/11 433070,E10A180,00550,0100,10/17/11 433070,G300000,02500,0000,MISC. REVENUE 433070,G300000,02501,0000,CONTRA ALLOW. / COST SETT. / CO-INSU 433070,S000000,00100,0200,09/13/11 433070,S200000,00100,0100,115 EAST MELROSE STREET 433070,S200000,00200,0100,BALTIMORE 433070,S200000,00200,0200,MD 433070,S200000,00200,0300,21212 433070,S200000,00300,0100,BALTIMORE 433070,S200000,00300,0201,12580 433070,S200000,00300,0300,U 433070,S200000,00400,0100,LONG GREEN CENTER 433070,S200000,00400,0200,215031 433070,S200000,00400,0300,12/01/92 433070,S200000,00400,0500,P 433070,S200000,01500,0100,Y 433070,S200000,01501,0200,N 433070,S200000,01502,0200,N 433070,S200000,01503,0200,N 433070,S200000,01504,0200,N 433070,S200000,01505,0000,DON BONUS 433070,S200000,01505,0200,N 433070,S200000,01600,0100,N 433070,S200000,01700,0100,N 433070,S200000,01800,0100,N 433070,S200000,02200,0100,Y 433070,S200000,02800,0100,N 433070,S200000,02900,0100,N 433070,S200000,03000,0100,N 433070,S200000,03100,0100,N 433070,S200000,03200,0100,N 433070,S200000,03300,0100,N 433070,S200000,03300,0200,N 433070,S200000,04200,0100,N 433070,S200000,04300,0100,N 433070,S200000,04600,0100,N 433070,S200000,04700,0100,N 433070,S200000,04900,0100,N 433070,S200000,05200,0100,N 433070,S200000,05300,0100,Y 433070,S200000,05300,0200,HB0067 433070,S200000,05400,0100,GENESIS HEALTHCARE 433070,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433070,S200000,05400,0300,12001 433070,S200000,05500,0100,101 EAST STATE STREET 433070,S200000,05600,0100,KENNETT SQUARE 433070,S200000,05600,0200,PA 433070,S200000,05600,0300,19348 433087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433087,A000000,00300,0000,0300EMPLOYEE BENEFITS 433087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433087,A000000,00700,0000,0700HOUSEKEEPING 433087,A000000,00800,0000,0800DIETARY 433087,A000000,00900,0000,0900NURSING ADMINISTRATION 433087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433087,A000000,01300,0000,1300SOCIAL SERVICE 433087,A000000,01600,0000,1600SKILLED NURSING FACILITY 433087,A000000,01800,0000,1800NURSING FACILITY 433087,A000000,02100,0000,2100RADIOLOGY 433087,A000000,02500,0000,2500PHYSICAL THERAPY 433087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433087,A000000,02700,0000,2700SPEECH PATHOLOGY 433087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433087,A000000,03550,0000,3550FQHC 433087,A000000,05000,0000,5000CORF 433087,A000000,05010,0000,5010CMHC 433087,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433087,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433087,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433087,A81000A,00100,0100,Y 433087,A81000B,00100,0300,CAPITAL EXPENSES 433087,A81000B,00200,0300,EMPLOYEE BENEFITS 433087,A81000B,00300,0300,A&G 433087,A81000B,00400,0300,PLANT EXPENSES 433087,A81000B,00500,0300,HOUSEKEEPING 433087,A81000B,00600,0300,DIETARY 433087,A81000B,00700,0300,NURSING 433087,A81000B,00800,0300,RENTAL INCOME 433087,A81000B,00900,0300,CAPITAL EXPENSES 433087,A81000B,01000,0300,A&G EXPENSES 433087,A81000B,01100,0300,PLANT EXPENSES 433087,A81000B,01200,0300,RENTAL INCOME 433087,A81000B,01300,0300,INTEREST INCOME 433087,A81000B,01400,0300,INTEREST EXPENSE 433087,A81000B,01500,0300,A&G EXPENSES 433087,A81000B,01600,0300,CAPITAL EXPENSES 433087,A81000C,00100,0100,A 433087,A81000C,00100,0400,LEGACY HC FINAN 433087,A81000C,00100,0600,MANAGEMENT COMP 433087,A81000C,00200,0100,A 433087,A81000C,00200,0400,ELMBROOK PROPER 433087,A81000C,00200,0600,BUILDING COMPAN 433087,A81000C,00300,0100,A 433087,A81000C,00300,0400,LEGACY REAL PRO 433087,A81000C,00300,0600,BUILDING COMPAN 433087,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433087,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433087,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433087,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433087,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433087,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 433087,B100000,00000,0800,0800MEALS SERVED :DIETARY 433087,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433087,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433087,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433087,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433087,E10A180,00301,0100,06/18/10 433087,E10A180,00501,0100,08/17/12 433087,E10A180,00550,0100,07/08/11 433087,E10A180,00551,0100,06/29/12 433087,G300000,02500,0000,DISCOUNT 433087,S000000,00100,0200,06/29/12 433087,S200000,00100,0100,127 WEST DIVERSEY 433087,S200000,00200,0100,ELMHURST 433087,S200000,00200,0200,IL 433087,S200000,00200,0300,60126 433087,S200000,00300,0100,DUPAGE 433087,S200000,00300,0201,16974 433087,S200000,00300,0300,U 433087,S200000,00400,0100,ELMBROOK NURSING 433087,S200000,00400,0200,145339 433087,S200000,00400,0300,10/01/10 433087,S200000,00400,0500,P 433087,S200000,00600,0200,145339 433087,S200000,00600,0300,10/01/10 433087,S200000,00600,0600,O 433087,S200000,01500,0100,N 433087,S200000,01501,0200,Y 433087,S200000,01504,0200,Y 433087,S200000,01600,0100,Y 433087,S200000,01700,0100,N 433087,S200000,01800,0100,N 433087,S200000,01900,0100,LLC 433087,S200000,02200,0100,N 433087,S200000,02800,0100,N 433087,S200000,02900,0100,N 433087,S200000,03000,0100,N 433087,S200000,03100,0100,N 433087,S200000,03200,0100,N 433087,S200000,03300,0100,N 433087,S200000,03300,0200,N 433087,S200000,03500,0300,N 433087,S200000,04100,0100,N 433087,S200000,04200,0100,N 433087,S200000,04300,0100,N 433087,S200000,04600,0100,N 433087,S200000,04700,0100,N 433087,S200000,04700,0200,N 433087,S200000,04900,0100,N 433087,S200000,05000,0100,N 433087,S200000,05100,0100,N 433087,S200000,05200,0100,N 433087,S200000,05300,0100,N 433102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433102,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433102,A000000,00300,0000,0300EMPLOYEE BENEFITS 433102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433102,A000000,00700,0000,0700HOUSEKEEPING 433102,A000000,00800,0000,0800DIETARY 433102,A000000,00900,0000,0900NURSING ADMINISTRATION 433102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433102,A000000,01100,0000,1100PHARMACY 433102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433102,A000000,01300,0000,1300SOCIAL SERVICE 433102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433102,A000000,01500,0000,1350OTHER GENERAL SERVICES 433102,A000000,01600,0000,1600SKILLED NURSING FACILITY 433102,A000000,01800,0000,1800NURSING FACILITY 433102,A000000,01810,0000,1810ICF/MR 433102,A000000,01900,0000,1900OTHER LONG TERM CARE 433102,A000000,02100,0000,2100RADIOLOGY 433102,A000000,02200,0000,2200LABORATORY 433102,A000000,02300,0000,2300INTRAVENOUS THERAPY 433102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433102,A000000,02500,0000,2500PHYSICAL THERAPY 433102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433102,A000000,02700,0000,2700SPEECH PATHOLOGY 433102,A000000,02800,0000,2800ELECTROCARDIOLOGY 433102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433102,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433102,A000000,03200,0000,3200SUPPORT SURFACES 433102,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433102,A000000,03400,0000,3400CLINIC 433102,A000000,03500,0000,3500RURAL HEALTH CLINIC 433102,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433102,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433102,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433102,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433102,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433102,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433102,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433102,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433102,A000000,04400,0000,4400DME RENTED - HHA 433102,A000000,04500,0000,4500DME SOLD - HHA 433102,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433102,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433102,A000000,04710,0000,4710TELEMEDICINE 433102,A000000,04800,0000,4800AMBULANCE 433102,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433102,A000000,05000,0000,5000CORF 433102,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433102,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433102,A000000,05300,0000,5300INTEREST EXPENSE 433102,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433102,A000000,05500,0000,5500HOSPICE 433102,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433102,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433102,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433102,A000000,06100,0000,6100NONPAID WORKERS 433102,A000000,06200,0000,6200PATIENTS LAUNDRY 433102,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433102,A81000A,00100,0100,N 433102,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433102,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433102,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433102,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433102,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433102,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433102,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433102,B100000,00000,0800,0800MEALS SERVED :DIETARY 433102,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433102,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433102,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433102,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433102,E10A180,00501,0100,05/18/12 433102,E10A180,00550,0300,05/18/12 433102,G300000,02500,0000,OTHER OPERATING REVENUE 433102,G300000,02501,0000,BARBER/BEAUTY SHOP 433102,G300000,02502,0000,RESIDENT PERSONAL ITEMS 433102,S000000,00100,0200,02/21/12 433102,S200000,00100,0100,2500 STATE ROUTE 5 433102,S200000,00100,0300,1376 433102,S200000,00200,0100,ASHLAND 433102,S200000,00200,0200,KY 433102,S200000,00200,0300,41105 433102,S200000,00300,0100,BOYD 433102,S200000,00300,0200,3400 433102,S200000,00300,0201,26580 433102,S200000,00300,0300,U 433102,S200000,00400,0100,KINSGBROOK LIFECARE CENTER 433102,S200000,00400,0200,185449 433102,S200000,00400,0300,07/11/02 433102,S200000,00400,0500,P 433102,S200000,01500,0100,N 433102,S200000,01501,0200,Y 433102,S200000,01600,0100,Y 433102,S200000,01700,0100,N 433102,S200000,01800,0100,N 433102,S200000,02200,0100,N 433102,S200000,02800,0100,N 433102,S200000,02900,0100,N 433102,S200000,03000,0100,N 433102,S200000,03100,0100,N 433102,S200000,03200,0100,N 433102,S200000,03300,0100,N 433102,S200000,03300,0200,N 433102,S200000,04100,0100,N 433102,S200000,04200,0100,N 433102,S200000,04300,0100,N 433102,S200000,04600,0100,N 433102,S200000,04700,0100,N 433102,S200000,04700,0200,N 433102,S200000,04900,0100,N 433102,S200000,05000,0100,N 433102,S200000,05100,0100,N 433102,S200000,05200,0100,N 433126,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433126,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433126,A000000,00300,0000,0300EMPLOYEE BENEFITS 433126,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433126,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433126,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433126,A000000,00700,0000,0700HOUSEKEEPING 433126,A000000,00800,0000,0800DIETARY 433126,A000000,00900,0000,0900NURSING ADMINISTRATION 433126,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433126,A000000,01100,0000,1100PHARMACY 433126,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433126,A000000,01300,0000,1300SOCIAL SERVICE 433126,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433126,A000000,01500,0000,1350ACTIVITIES 433126,A000000,01600,0000,1600SKILLED NURSING FACILITY 433126,A000000,01810,0000,1810ICF/MR 433126,A000000,02100,0000,2100RADIOLOGY 433126,A000000,02200,0000,2200LABORATORY 433126,A000000,02300,0000,2300INTRAVENOUS THERAPY 433126,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433126,A000000,02500,0000,2500PHYSICAL THERAPY 433126,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433126,A000000,02700,0000,2700SPEECH PATHOLOGY 433126,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433126,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433126,A000000,03200,0000,3200SUPPORT SURFACES 433126,A000000,03300,0000,3050PEN BILLING 433126,A000000,03550,0000,3550FQHC 433126,A000000,04801,0000,4801AMBULANCE 433126,A000000,04802,0000,4802AMBULANCE 433126,A000000,04803,0000,4803AMBULANCE 433126,A000000,05000,0000,5000CORF 433126,A000000,05010,0000,5010CMHC 433126,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433126,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433126,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433126,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433126,A81000A,00100,0100,Y 433126,A81000B,00100,0300,HOME OFFICE ALLOC 433126,A81000B,00200,0300,DIRECT INT & AMORT 433126,A81000B,00300,0300,HOME OFFICE CAPITAL 433126,A81000B,00400,0300,PT 433126,A81000B,00500,0300,OT 433126,A81000B,00600,0300,ST 433126,A81000B,00700,0300,NUTRITIONIST 433126,A81000B,00800,0300,RT 433126,A81000B,00900,0300,MEDICAL DIRECTOR 433126,A81000B,01000,0300,NURS PURC SVCS 433126,A81000C,00100,0100,B 433126,A81000C,00100,0200,GENESIS HEALTHC 433126,A81000C,00100,0600,MGMT COMPANY 433126,A81000C,00200,0100,B 433126,A81000C,00200,0200,GENESIS REHAB S 433126,A81000C,00200,0600,PT OT ST 433126,A81000C,00300,0100,B 433126,A81000C,00300,0200,GENESIS HOSPITA 433126,A81000C,00300,0600,NUTRITIONIST 433126,A81000C,00400,0100,B 433126,A81000C,00400,0200,RESPIRATORY HEA 433126,A81000C,00400,0600,RT 433126,A81000C,00500,0100,B 433126,A81000C,00500,0200,GENESIS PHYS SV 433126,A81000C,00500,0600,MEDICAL DIRECTO 433126,A81000C,00600,0100,B 433126,A81000C,00600,0200,GENESIS STAFFIN 433126,A81000C,00600,0600,NURS PURC SVCS 433126,B100000,00000,0100,0100SQUARE FEET 433126,B100000,00000,0200,0200SQUARE FEET 433126,B100000,00000,0300,0300GROSS SALARIES 433126,B100000,00000,0400,0400ACCUM COST 433126,B100000,00000,0500,0500SQUARE FEET 433126,B100000,00000,0600,0600PT DAY 433126,B100000,00000,0700,0700SQ FT 433126,B100000,00000,0800,0800MEALS SERVED 433126,B100000,00000,0900,0900PT DAYS 433126,B100000,00000,1000,1000COSTED REQUIS 433126,B100000,00000,1100,1100COSTED REQUIS 433126,B100000,00000,1200,1200GROSS CHARGES 433126,B100000,00000,1300,1300PT DAYS 433126,B100000,00000,1400,1400ASSIGNED TIME 433126,B100000,00000,1500,1350PT DAYS 433126,E10A180,00353,0100,03/23/11 433126,G300000,02500,0000,CONTRACTUALS 433126,G300000,02501,0000,MISC REVENUE 433126,S000000,00100,0200,09/26/11 433126,S200000,00100,0100,7232 GERMAN HILL ROAD 433126,S200000,00200,0100,BALTIMORE 433126,S200000,00200,0200,MD 433126,S200000,00200,0300,21222 433126,S200000,00300,0100,BALTIMORE 433126,S200000,00300,0201,12580 433126,S200000,00300,0300,U 433126,S200000,00400,0100,HERITAGE CENTER 433126,S200000,00400,0200,215135 433126,S200000,00400,0300,08/01/87 433126,S200000,00400,0500,P 433126,S200000,01500,0100,Y 433126,S200000,01501,0200,N 433126,S200000,01502,0200,N 433126,S200000,01503,0200,N 433126,S200000,01504,0200,N 433126,S200000,01505,0000,DON BONUS 433126,S200000,01505,0200,N 433126,S200000,01600,0100,N 433126,S200000,01700,0100,N 433126,S200000,01800,0100,N 433126,S200000,02200,0100,Y 433126,S200000,02800,0100,N 433126,S200000,02900,0100,N 433126,S200000,03000,0100,N 433126,S200000,03100,0100,N 433126,S200000,03200,0100,N 433126,S200000,03300,0100,N 433126,S200000,03300,0200,N 433126,S200000,04200,0100,N 433126,S200000,04300,0100,N 433126,S200000,04600,0100,N 433126,S200000,04700,0100,N 433126,S200000,04900,0100,N 433126,S200000,05200,0100,N 433126,S200000,05300,0100,Y 433126,S200000,05300,0200,HB0067 433126,S200000,05400,0100,GENESIS HEALTHCARE 433126,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433126,S200000,05400,0300,12001 433126,S200000,05500,0100,101 EAST STATE STREET 433126,S200000,05600,0100,KENNETT SQUARE 433126,S200000,05600,0200,PA 433126,S200000,05600,0300,19348 433127,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433127,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433127,A000000,00300,0000,0300EMPLOYEE BENEFITS 433127,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433127,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433127,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433127,A000000,00700,0000,0700HOUSEKEEPING 433127,A000000,00800,0000,0800DIETARY 433127,A000000,00900,0000,0900NURSING ADMINISTRATION 433127,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433127,A000000,01100,0000,1100PHARMACY 433127,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433127,A000000,01300,0000,1300SOCIAL SERVICE 433127,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433127,A000000,01500,0000,1350RECREATION 433127,A000000,01600,0000,1600SKILLED NURSING FACILITY 433127,A000000,01810,0000,1810ICF/MR 433127,A000000,02100,0000,2100RADIOLOGY 433127,A000000,02200,0000,2200LABORATORY 433127,A000000,02300,0000,2300INTRAVENOUS THERAPY 433127,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433127,A000000,02500,0000,2500PHYSICAL THERAPY 433127,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433127,A000000,02700,0000,2700SPEECH PATHOLOGY 433127,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433127,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433127,A000000,03550,0000,3550FQHC 433127,A000000,04801,0000,4801AMBULANCE 433127,A000000,04802,0000,4802AMBULANCE 433127,A000000,04803,0000,4803AMBULANCE 433127,A000000,05000,0000,5000CORF 433127,A000000,05010,0000,5010CMHC 433127,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433127,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433127,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433127,A81000A,00100,0100,Y 433127,A81000B,00100,0300,SEE ATTACHED 433127,A81000B,00200,0300,HOME OFFICE INTEREST 433127,A81000B,00300,0300,HOME OFFICE A & G 433127,A81000B,00400,0300,HOME OFFICE CAPITAL 433127,A81000C,00100,0100,B 433127,A81000C,00100,0400,SEE ATTACHED 433127,A81000C,00100,0600,VARIOUS 433127,A81000C,00200,0100,B 433127,A81000C,00200,0400,GHC 433127,A81000C,00200,0600,LONG TERM CARE 433127,A81000C,00300,0100,B 433127,A81000C,00300,0400,GHC 433127,A81000C,00300,0600,LONG TERM CARE 433127,A81000C,00400,0100,B 433127,A81000C,00400,0400,GHC 433127,A81000C,00400,0600,LONG TERM CARE 433127,B100000,00000,0100,0100SQUARE FEET 433127,B100000,00000,0200,0200SQUARE FEET 433127,B100000,00000,0300,0300GROSS SALARIES 433127,B100000,00000,0400,0400ACCUM COST 433127,B100000,00000,0500,0500SQUARE FEET 433127,B100000,00000,0600,0600PATIENT DAYS 433127,B100000,00000,0700,0700SQUARE FEET 433127,B100000,00000,0800,0800MEALS SERVED 433127,B100000,00000,0900,0900NURSING SALARIES 433127,B100000,00000,1000,1000COSTED REQUIS 433127,B100000,00000,1100,1100COSTED REQUIS 433127,B100000,00000,1200,1200PATIENT DAYS 433127,B100000,00000,1300,1300PATIENT DAYS 433127,B100000,00000,1400,1400ASSIGNED TIME 433127,B100000,00000,1500,1350PATIENT DAYS 433127,E10A180,00301,0100,03/24/11 433127,E10A180,00501,0300,03/26/12 433127,E10A180,00550,0100,03/26/12 433127,G300000,02500,0000,BARBER AND BEAUTY 433127,S000000,00100,0200,09/12/11 433127,S200000,00100,0100,115 SUNSET ROAD 433127,S200000,00200,0100,BURLINGTON 433127,S200000,00200,0200,NJ 433127,S200000,00200,0300,08016 433127,S200000,00300,0100,BURLINGTON 433127,S200000,00300,0201,15804 433127,S200000,00300,0300,U 433127,S200000,00400,0100,BURLINGTON WOODS 433127,S200000,00400,0200,315050 433127,S200000,00400,0300,03/01/85 433127,S200000,00400,0500,P 433127,S200000,01500,0100,Y 433127,S200000,01501,0200,N 433127,S200000,01502,0200,N 433127,S200000,01503,0200,N 433127,S200000,01504,0200,N 433127,S200000,01600,0100,N 433127,S200000,01700,0100,N 433127,S200000,01800,0100,N 433127,S200000,02200,0100,Y 433127,S200000,02800,0100,N 433127,S200000,02900,0100,N 433127,S200000,03000,0100,N 433127,S200000,03100,0100,N 433127,S200000,03200,0100,N 433127,S200000,03300,0100,N 433127,S200000,03300,0200,N 433127,S200000,04200,0100,N 433127,S200000,04300,0100,N 433127,S200000,04600,0100,N 433127,S200000,04700,0100,N 433127,S200000,04900,0100,N 433127,S200000,05200,0100,N 433127,S200000,05300,0100,Y 433127,S200000,05300,0200,HB0067 433127,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433127,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433127,S200000,05400,0300,12001 433127,S200000,05500,0100,101 EAST STATE STREET 433127,S200000,05600,0100,KENNETT SQUARE 433127,S200000,05600,0200,PA 433127,S200000,05600,0300,19348 433128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433128,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433128,A000000,00300,0000,0300EMPLOYEE BENEFITS 433128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433128,A000000,00700,0000,0700HOUSEKEEPING 433128,A000000,00800,0000,0800DIETARY 433128,A000000,00900,0000,0900NURSING ADMINISTRATION 433128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433128,A000000,01100,0000,1100PHARMACY 433128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433128,A000000,01300,0000,1300SOCIAL SERVICE 433128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433128,A000000,01500,0000,1350RECREATION 433128,A000000,01600,0000,1600SKILLED NURSING FACILITY 433128,A000000,01810,0000,1810ICF/MR 433128,A000000,02100,0000,2100RADIOLOGY 433128,A000000,02200,0000,2200LABORATORY 433128,A000000,02300,0000,2300INTRAVENOUS THERAPY 433128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433128,A000000,02500,0000,2500PHYSICAL THERAPY 433128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433128,A000000,02700,0000,2700SPEECH PATHOLOGY 433128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433128,A000000,03550,0000,3550FQHC 433128,A000000,04801,0000,4801AMBULANCE 433128,A000000,04802,0000,4802AMBULANCE 433128,A000000,04803,0000,4803AMBULANCE 433128,A000000,05000,0000,5000CORF 433128,A000000,05010,0000,5010CMHC 433128,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433128,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433128,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433128,A81000A,00100,0100,Y 433128,A81000B,00100,0300,AS ATTACHED 433128,A81000B,00200,0300,HOME OFFICE INTEREST 433128,A81000B,00300,0300,HOME OFFICE A&G 433128,A81000B,00400,0300,HOME OFFICE CAP PIEC 433128,A81000C,00100,0100,B 433128,A81000C,00100,0400,AS ATTACHED 433128,A81000C,00100,0600,VARIOUS 433128,A81000C,00200,0100,B 433128,A81000C,00200,0400,GHC 433128,A81000C,00200,0600,LONG TERM CARE 433128,A81000C,00300,0100,B 433128,A81000C,00300,0400,GHC 433128,A81000C,00300,0600,LONG TERM CARE 433128,A81000C,00400,0100,B 433128,A81000C,00400,0400,GHC 433128,A81000C,00400,0600,LONG TERM CARE 433128,B100000,00000,0100,0100SQUARE FEET 433128,B100000,00000,0200,0200SQUARE FEET 433128,B100000,00000,0300,0300GROSS SALARIES 433128,B100000,00000,0400,0400ACCUM COST 433128,B100000,00000,0500,0500SQUARE FEET 433128,B100000,00000,0600,0600PATIENT DAYS 433128,B100000,00000,0700,0700SQUARE FEET 433128,B100000,00000,0800,0800MEALS SERVED 433128,B100000,00000,0900,0900NURSING SALARIES 433128,B100000,00000,1000,1000COSTED REQUIS 433128,B100000,00000,1100,1100COSTED REQUIS 433128,B100000,00000,1200,1200PATIENT DAYS 433128,B100000,00000,1300,1300PATIENT DAYS 433128,B100000,00000,1400,1400ASSIGNED TIME 433128,B100000,00000,1500,1350PATIENT DAYS 433128,G300000,02500,0000,BARBER & BEAUTY 433128,S000000,00100,0200,09/12/11 433128,S200000,00100,0100,390 RED SCHOOL LANE 433128,S200000,00200,0100,PHILLIPSBURG 433128,S200000,00200,0200,NJ 433128,S200000,00200,0300,08865 433128,S200000,00300,0100,WARREN 433128,S200000,00300,0201,10900 433128,S200000,00300,0300,U 433128,S200000,00400,0100,LOPATCONG CENTER 433128,S200000,00400,0200,315202 433128,S200000,00400,0300,02/01/85 433128,S200000,00400,0500,P 433128,S200000,01500,0100,Y 433128,S200000,01501,0200,N 433128,S200000,01502,0200,N 433128,S200000,01503,0200,N 433128,S200000,01504,0200,N 433128,S200000,01600,0100,N 433128,S200000,01700,0100,N 433128,S200000,01800,0100,N 433128,S200000,02200,0100,Y 433128,S200000,02800,0100,N 433128,S200000,02900,0100,N 433128,S200000,03000,0100,N 433128,S200000,03100,0100,N 433128,S200000,03200,0100,N 433128,S200000,03300,0100,N 433128,S200000,03300,0200,N 433128,S200000,04200,0100,N 433128,S200000,04300,0100,N 433128,S200000,04600,0100,N 433128,S200000,04700,0100,N 433128,S200000,04900,0100,N 433128,S200000,05200,0100,N 433128,S200000,05300,0100,Y 433128,S200000,05300,0200,HB0067 433128,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433128,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433128,S200000,05400,0300,12001 433128,S200000,05500,0100,101 EAST STATE STREET 433128,S200000,05600,0100,KENNETT SQUARE 433128,S200000,05600,0200,PA 433128,S200000,05600,0300,19348 433129,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433129,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433129,A000000,00300,0000,0300EMPLOYEE BENEFITS 433129,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433129,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433129,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433129,A000000,00700,0000,0700HOUSEKEEPING 433129,A000000,00800,0000,0800DIETARY 433129,A000000,00900,0000,0900NURSING ADMINISTRATION 433129,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433129,A000000,01100,0000,1100PHARMACY 433129,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433129,A000000,01300,0000,1300SOCIAL SERVICE 433129,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433129,A000000,01500,0000,1350RECREATION 433129,A000000,01600,0000,1600SKILLED NURSING FACILITY 433129,A000000,01810,0000,1810ICF/MR 433129,A000000,02100,0000,2100RADIOLOGY 433129,A000000,02200,0000,2200LABORATORY 433129,A000000,02300,0000,2300INTRAVENOUS THERAPY 433129,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433129,A000000,02500,0000,2500PHYSICAL THERAPY 433129,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433129,A000000,02700,0000,2700SPEECH PATHOLOGY 433129,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433129,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433129,A000000,03550,0000,3550FQHC 433129,A000000,04801,0000,4801AMBULANCE 433129,A000000,04802,0000,4802AMBULANCE 433129,A000000,04803,0000,4803AMBULANCE 433129,A000000,05000,0000,5000CORF 433129,A000000,05010,0000,5010CMHC 433129,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433129,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433129,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433129,A81000A,00100,0100,Y 433129,A81000B,00100,0300,AS ATTACHED 433129,A81000B,00200,0300,HOME OFFICE INTEREST 433129,A81000B,00300,0300,HOME OFFICE A&G 433129,A81000B,00400,0300,HOME OFFICE CAP PIEC 433129,A81000C,00100,0100,B 433129,A81000C,00100,0400,AS ATTACHED 433129,A81000C,00100,0600,VARIOUS 433129,A81000C,00200,0100,B 433129,A81000C,00200,0400,GHC 433129,A81000C,00200,0600,LONG TERM CARE 433129,A81000C,00300,0100,B 433129,A81000C,00300,0400,GHC 433129,A81000C,00300,0600,LONG TERM CARE 433129,A81000C,00400,0100,B 433129,A81000C,00400,0400,GHC 433129,A81000C,00400,0600,LONG TERM CARE 433129,B100000,00000,0100,0100SQUARE FEET 433129,B100000,00000,0200,0200SQUARE FEET 433129,B100000,00000,0300,0300GROSS SALARIES 433129,B100000,00000,0400,0400ACCUM COST 433129,B100000,00000,0500,0500SQUARE FEET 433129,B100000,00000,0600,0600PATIENT DAYS 433129,B100000,00000,0700,0700SQUARE FEET 433129,B100000,00000,0800,0800MEALS SERVED 433129,B100000,00000,0900,0900NURSING SALARIES 433129,B100000,00000,1000,1000COSTED REQUIS 433129,B100000,00000,1100,1100COSTED REQUIS 433129,B100000,00000,1200,1200PATIENT DAYS 433129,B100000,00000,1300,1300PATIENT DAYS 433129,B100000,00000,1400,1400ASSIGNED TIME 433129,B100000,00000,1500,1350PATIENT DAYS 433129,E10A180,00301,0100,03/24/11 433129,G300000,02500,0000,BARBER & BEAUTY 433129,S000000,00100,0200,09/12/11 433129,S200000,00100,0100,54 SHARP STREET 433129,S200000,00200,0100,MILLVILLE 433129,S200000,00200,0200,NJ 433129,S200000,00200,0300,08332 433129,S200000,00300,0100,CUMBERLAND 433129,S200000,00300,0201,47220 433129,S200000,00300,0300,U 433129,S200000,00400,0100,MILLVILLE CENTER 433129,S200000,00400,0200,315243 433129,S200000,00400,0300,04/01/87 433129,S200000,00400,0500,P 433129,S200000,01500,0100,Y 433129,S200000,01501,0200,N 433129,S200000,01502,0200,N 433129,S200000,01503,0200,N 433129,S200000,01504,0200,N 433129,S200000,01600,0100,N 433129,S200000,01700,0100,N 433129,S200000,01800,0100,N 433129,S200000,02200,0100,Y 433129,S200000,02800,0100,N 433129,S200000,02900,0100,N 433129,S200000,03000,0100,N 433129,S200000,03100,0100,N 433129,S200000,03200,0100,N 433129,S200000,03300,0100,N 433129,S200000,03300,0200,N 433129,S200000,04200,0100,N 433129,S200000,04300,0100,N 433129,S200000,04600,0100,N 433129,S200000,04700,0100,N 433129,S200000,04900,0100,N 433129,S200000,05200,0100,N 433129,S200000,05300,0100,Y 433129,S200000,05300,0200,HB0067 433129,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433129,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433129,S200000,05400,0300,12001 433129,S200000,05500,0100,101 EAST STATE STREET 433129,S200000,05600,0100,KENNETT SQUARE 433129,S200000,05600,0200,PA 433129,S200000,05600,0300,19348 433152,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433152,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433152,A000000,00300,0000,0300EMPLOYEE BENEFITS 433152,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433152,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433152,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433152,A000000,00700,0000,0700HOUSEKEEPING 433152,A000000,00800,0000,0800DIETARY 433152,A000000,00900,0000,0900NURSING ADMINISTRATION 433152,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433152,A000000,01100,0000,1100PHARMACY 433152,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433152,A000000,01300,0000,1300SOCIAL SERVICE 433152,A000000,01600,0000,1600SKILLED NURSING FACILITY 433152,A000000,01800,0000,1800NURSING FACILITY 433152,A000000,01900,0000,1900OTHER LONG TERM CARE 433152,A000000,02100,0000,2100RADIOLOGY 433152,A000000,02200,0000,2200LABORATORY 433152,A000000,02300,0000,2300INTRAVENOUS THERAPY 433152,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433152,A000000,02500,0000,2500PHYSICAL THERAPY 433152,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433152,A000000,02700,0000,2700SPEECH PATHOLOGY 433152,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433152,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433152,A000000,03200,0000,3200SUPPORT SURFACES 433152,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433152,A000000,04800,0000,4800AMBULANCE 433152,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433152,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433152,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433152,A81000A,00100,0100,Y 433152,A81000B,00100,0300,ADMINISTRATIVE SERVICES 433152,A81000C,00100,0100,A 433152,A81000C,00100,0200,GARY DEVOIR 433152,A81000C,00100,0400,QUALITY CARE CO 433152,A81000C,00100,0600,ADMINISTRATIVE 433152,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433152,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433152,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433152,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433152,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433152,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433152,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433152,B100000,00000,0800,0800MEALS SERVED :DIETARY 433152,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433152,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433152,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433152,S000000,00100,0200,06/25/12 433152,S200000,00100,0100,1340 E. MADISON AVENUE 433152,S200000,00200,0100,EL CAJON 433152,S200000,00200,0200,CA 433152,S200000,00200,0300,92021 433152,S200000,00300,0100,SAN DIEGO 433152,S200000,00300,0201,41740 433152,S200000,00300,0300,U 433152,S200000,00400,0100,GRANITE HILLS CONVALESCENT HOSPITAL 433152,S200000,00400,0200,055392 433152,S200000,00400,0300,12/01/90 433152,S200000,00400,0500,P 433152,S200000,01500,0100,Y 433152,S200000,01501,0200,Y 433152,S200000,01600,0100,N 433152,S200000,01700,0100,N 433152,S200000,01800,0100,N 433152,S200000,02200,0100,N 433152,S200000,02800,0100,N 433152,S200000,02900,0100,N 433152,S200000,03000,0100,N 433152,S200000,03100,0100,N 433152,S200000,03200,0100,N 433152,S200000,03300,0100,N 433152,S200000,03300,0200,N 433152,S200000,04100,0100,N 433152,S200000,04200,0100,N 433152,S200000,04300,0100,N 433152,S200000,04600,0100,N 433152,S200000,04700,0100,N 433152,S200000,04700,0200,N 433152,S200000,04900,0100,N 433152,S200000,05000,0100,N 433152,S200000,05100,0100,N 433152,S200000,05200,0100,N 433152,S200000,05300,0100,Y 433153,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433153,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433153,A000000,00300,0000,0300EMPLOYEE BENEFITS 433153,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433153,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433153,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433153,A000000,00700,0000,0700HOUSEKEEPING 433153,A000000,00800,0000,0800DIETARY 433153,A000000,00900,0000,0900NURSING ADMINISTRATION 433153,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433153,A000000,01100,0000,1100PHARMACY 433153,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433153,A000000,01300,0000,1300SOCIAL SERVICE 433153,A000000,01600,0000,1600SKILLED NURSING FACILITY 433153,A000000,01800,0000,1800NURSING FACILITY 433153,A000000,01900,0000,1900OTHER LONG TERM CARE 433153,A000000,02100,0000,2100RADIOLOGY 433153,A000000,02200,0000,2200LABORATORY 433153,A000000,02300,0000,2300INTRAVENOUS THERAPY 433153,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433153,A000000,02500,0000,2500PHYSICAL THERAPY 433153,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433153,A000000,02700,0000,2700SPEECH PATHOLOGY 433153,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433153,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433153,A000000,03200,0000,3200SUPPORT SURFACES 433153,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433153,A000000,04800,0000,4800AMBULANCE 433153,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433153,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433153,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433153,A81000A,00100,0100,Y 433153,A81000B,00100,0300,ADMINISTRATIVE SERVICES 433153,A81000B,00200,0300,HOME OFFICE CAPITAL 433153,A81000B,00300,0300,HOME OFFICE NON CAPITAL 433153,A81000B,00400,0300,MEDICAL SUPPLIES 433153,A81000B,00500,0300,PHARMACY CONSULTANT 433153,A81000B,00600,0300,PHARMACY DRUGS 433153,A81000B,00700,0300,PHARMACY DRUGS 433153,A81000B,00800,0300,IV DRUGS 433153,A81000B,00900,0300,EQUIPMENT RENTAL 433153,A81000B,01000,0300,NURSING CONSULTANT 433153,A81000B,01100,0300,LAUNDRY SERVICES 433153,A81000C,00100,0100,B 433153,A81000C,00100,0400,COUNTRY VILLA H 433153,A81000C,00100,0600,ADMINISTRATIVE 433153,A81000C,00200,0100,B 433153,A81000C,00200,0400,BRIUS LLC 433153,A81000C,00200,0600,ADMINISTRATIVE 433153,A81000C,00300,0100,F 433153,A81000C,00300,0400,TWIN MED LLC 433153,A81000C,00300,0600,MEDICAL SUPPLIE 433153,A81000C,00400,0100,F 433153,A81000C,00400,0400,PHARMACY ADVANT 433153,A81000C,00400,0600,PHARMACY/DRUGS 433153,A81000C,00500,0100,F 433153,A81000C,00500,0400,RAMAT MEDICAL 433153,A81000C,00500,0600,EQUIPMENT/CONSU 433153,A81000C,00600,0100,B 433153,A81000C,00600,0400,COUNTRY VILLA C 433153,A81000C,00600,0600,LAUNDRY SERVICE 433153,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433153,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433153,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433153,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433153,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433153,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433153,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433153,B100000,00000,0800,0800MEALS SERVED :DIETARY 433153,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433153,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433153,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 433153,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433153,G300000,02500,0000,BEDHOLD/BEAUTY/OTHER REVENUE 433153,S000000,00100,0200,08/28/12 433153,S200000,00100,0100,2585 E. WASHINGTON BLVD 433153,S200000,00200,0100,PASADENA 433153,S200000,00200,0200,CA 433153,S200000,00200,0300,91107 433153,S200000,00300,0100,LOS ANGELES 433153,S200000,00300,0201,31084 433153,S200000,00300,0300,U 433153,S200000,00400,0100,SAN MARINO GARDENS 433153,S200000,00400,0200,055548 433153,S200000,00400,0300,07/01/66 433153,S200000,00400,0500,P 433153,S200000,01500,0100,Y 433153,S200000,01501,0200,Y 433153,S200000,01600,0100,N 433153,S200000,01700,0100,N 433153,S200000,01800,0100,N 433153,S200000,02200,0100,N 433153,S200000,02800,0100,N 433153,S200000,02900,0100,N 433153,S200000,03000,0100,N 433153,S200000,03100,0100,N 433153,S200000,03200,0100,N 433153,S200000,03300,0100,N 433153,S200000,03300,0200,N 433153,S200000,04100,0100,N 433153,S200000,04200,0100,N 433153,S200000,04300,0100,N 433153,S200000,04600,0100,N 433153,S200000,04700,0100,N 433153,S200000,04700,0200,N 433153,S200000,04900,0100,N 433153,S200000,05000,0100,N 433153,S200000,05100,0100,N 433153,S200000,05200,0100,N 433153,S200000,05300,0100,Y 433154,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433154,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433154,A000000,00300,0000,0300EMPLOYEE BENEFITS 433154,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433154,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433154,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433154,A000000,00700,0000,0700HOUSEKEEPING 433154,A000000,00800,0000,0800DIETARY 433154,A000000,00900,0000,0900NURSING ADMINISTRATION 433154,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433154,A000000,01100,0000,1100PHARMACY 433154,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433154,A000000,01300,0000,1300SOCIAL SERVICE 433154,A000000,01600,0000,1600SKILLED NURSING FACILITY 433154,A000000,01800,0000,1800NURSING FACILITY 433154,A000000,01900,0000,1900OTHER LONG TERM CARE 433154,A000000,02100,0000,2100RADIOLOGY 433154,A000000,02200,0000,2200LABORATORY 433154,A000000,02300,0000,2300INTRAVENOUS THERAPY 433154,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433154,A000000,02500,0000,2500PHYSICAL THERAPY 433154,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433154,A000000,02700,0000,2700SPEECH PATHOLOGY 433154,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433154,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433154,A000000,03200,0000,3200SUPPORT SURFACES 433154,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433154,A000000,04800,0000,4800AMBULANCE 433154,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433154,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433154,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433154,A81000A,00100,0100,Y 433154,A81000B,00100,0300,ADMINISTRATIVE SERVICES 433154,A81000C,00100,0100,A 433154,A81000C,00100,0200,GARY DEVOIR 433154,A81000C,00100,0400,QUALITY CARE CO 433154,A81000C,00100,0600,ADMINISTRATIVE 433154,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433154,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433154,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433154,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433154,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433154,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433154,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433154,B100000,00000,0800,0800MEALS SERVED :DIETARY 433154,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433154,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433154,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433154,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433154,G300000,02500,0000,BEAUTY REVENUE 433154,S000000,00100,0200,06/25/12 433154,S200000,00100,0100,8060 FROST STREET 433154,S200000,00200,0100,SAN DIEGO 433154,S200000,00200,0200,CA 433154,S200000,00200,0300,92021 433154,S200000,00300,0100,SAN DIEGO 433154,S200000,00300,0201,41740 433154,S200000,00300,0300,U 433154,S200000,00400,0100,CARE WITH DIGNITY 433154,S200000,00400,0200,055698 433154,S200000,00400,0300,12/31/01 433154,S200000,00400,0500,P 433154,S200000,01500,0100,Y 433154,S200000,01501,0200,Y 433154,S200000,01600,0100,N 433154,S200000,01700,0100,N 433154,S200000,01800,0100,N 433154,S200000,02200,0100,N 433154,S200000,02800,0100,N 433154,S200000,02900,0100,N 433154,S200000,03000,0100,N 433154,S200000,03100,0100,N 433154,S200000,03200,0100,N 433154,S200000,03300,0100,N 433154,S200000,03300,0200,N 433154,S200000,04100,0100,N 433154,S200000,04200,0100,N 433154,S200000,04300,0100,N 433154,S200000,04600,0100,N 433154,S200000,04700,0100,N 433154,S200000,04700,0200,N 433154,S200000,04900,0100,N 433154,S200000,05000,0100,N 433154,S200000,05100,0100,N 433154,S200000,05200,0100,N 433154,S200000,05300,0100,Y 433155,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433155,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433155,A000000,00300,0000,0300EMPLOYEE BENEFITS 433155,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433155,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433155,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433155,A000000,00700,0000,0700HOUSEKEEPING 433155,A000000,00800,0000,0800DIETARY 433155,A000000,00900,0000,0900NURSING ADMINISTRATION 433155,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433155,A000000,01100,0000,1100PHARMACY 433155,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433155,A000000,01300,0000,1300SOCIAL SERVICE 433155,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433155,A000000,01600,0000,1600SKILLED NURSING FACILITY 433155,A000000,01800,0000,1800NURSING FACILITY 433155,A000000,01810,0000,1810ICF/MR 433155,A000000,01900,0000,1900OTHER LONG TERM CARE 433155,A000000,02100,0000,2100RADIOLOGY 433155,A000000,02200,0000,2200LABORATORY 433155,A000000,02300,0000,2300INTRAVENOUS THERAPY 433155,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433155,A000000,02500,0000,2500PHYSICAL THERAPY 433155,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433155,A000000,02700,0000,2700SPEECH PATHOLOGY 433155,A000000,02800,0000,2800ELECTROCARDIOLOGY 433155,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433155,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433155,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433155,A000000,03200,0000,3200SUPPORT SURFACES 433155,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433155,A000000,03400,0000,3400CLINIC 433155,A000000,03500,0000,3500RURAL HEALTH CLINIC 433155,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433155,A000000,04800,0000,4800AMBULANCE 433155,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433155,A000000,05000,0000,5000CORF 433155,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433155,A000000,05300,0000,5300INTEREST EXPENSE 433155,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433155,A000000,05500,0000,5500HOSPICE 433155,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433155,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433155,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433155,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433155,A000000,06100,0000,6100NONPAID WORKERS 433155,A000000,06200,0000,6200PATIENTS LAUNDRY 433155,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433155,A81000A,00100,0100,Y 433155,A81000B,00100,0300,RENT 433155,A81000C,00100,0100,A 433155,A81000C,00100,0200,SANFORD DEUTCH 433155,A81000C,00100,0400,CHANLAUR INVEST 433155,A81000C,00100,0600,LESSOR 433155,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433155,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433155,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433155,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433155,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433155,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433155,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433155,B100000,00000,0800,0800MEALS SERVED :DIETARY 433155,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433155,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433155,G300000,02500,0000, OTHER (SPECIFY) 433155,G300000,02501,0000,RES CARE 433155,S000000,00100,0200,06/28/12 433155,S200000,00100,0100,5335 LAUREL CANYON BOULEVARD 433155,S200000,00200,0100,NORTH HOLLYWOOD 433155,S200000,00200,0200,CA 433155,S200000,00200,0300,91607 433155,S200000,00300,0100,LOS ANGELES 433155,S200000,00300,0201,31084 433155,S200000,00300,0300,U 433155,S200000,00400,0100,CHANDLER CONVALESCENT HOSPITAL 433155,S200000,00400,0200,055932 433155,S200000,00400,0300,08/01/88 433155,S200000,00400,0500,P 433155,S200000,01500,0100,N 433155,S200000,01600,0100,N 433155,S200000,01700,0100,N 433155,S200000,01800,0100,N 433155,S200000,02200,0100,N 433155,S200000,02800,0100,N 433155,S200000,02900,0100,N 433155,S200000,03000,0100,N 433155,S200000,03100,0100,N 433155,S200000,03200,0100,N 433155,S200000,03300,0100,N 433155,S200000,03300,0200,N 433155,S200000,04100,0100,N 433155,S200000,04200,0100,N 433155,S200000,04300,0100,N 433155,S200000,04600,0100,N 433155,S200000,04700,0100,N 433155,S200000,04700,0200,N 433155,S200000,04900,0100,N 433155,S200000,05000,0100,N 433155,S200000,05100,0100,N 433155,S200000,05200,0100,N 433155,S200000,05300,0100,N 433165,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433165,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433165,A000000,00300,0000,0300EMPLOYEE BENEFITS 433165,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433165,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433165,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433165,A000000,00700,0000,0700HOUSEKEEPING 433165,A000000,00800,0000,0800DIETARY 433165,A000000,00900,0000,0900NURSING ADMINISTRATION 433165,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433165,A000000,01100,0000,1100PHARMACY 433165,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433165,A000000,01300,0000,1300SOCIAL SERVICE 433165,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433165,A000000,01500,0000,1350ACTIVITIES 433165,A000000,01600,0000,1600SKILLED NURSING FACILITY 433165,A000000,01800,0000,1800NURSING FACILITY 433165,A000000,01810,0000,1810ICF/MR 433165,A000000,01900,0000,1900OTHER LONG TERM CARE 433165,A000000,02100,0000,2100RADIOLOGY 433165,A000000,02200,0000,2200LABORATORY 433165,A000000,02300,0000,2300INTRAVENOUS THERAPY 433165,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433165,A000000,02500,0000,2500PHYSICAL THERAPY 433165,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433165,A000000,02700,0000,2700SPEECH PATHOLOGY 433165,A000000,02800,0000,2800ELECTROCARDIOLOGY 433165,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433165,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433165,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433165,A000000,03200,0000,3200SUPPORT SURFACES 433165,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433165,A000000,03400,0000,3400CLINIC 433165,A000000,03500,0000,3500RURAL HEALTH CLINIC 433165,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433165,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433165,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433165,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433165,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433165,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433165,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433165,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433165,A000000,04400,0000,4400DME RENTED - HHA 433165,A000000,04500,0000,4500DME SOLD - HHA 433165,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433165,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433165,A000000,04710,0000,4710TELEMEDICINE 433165,A000000,04800,0000,4800AMBULANCE 433165,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433165,A000000,05000,0000,5000CORF 433165,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433165,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433165,A000000,05300,0000,5300INTEREST EXPENSE 433165,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433165,A000000,05500,0000,5500HOSPICE 433165,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433165,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433165,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433165,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433165,A000000,06100,0000,6100NONPAID WORKERS 433165,A000000,06200,0000,6200PATIENTS LAUNDRY 433165,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433165,A000000,06301,0000,6151ASSISTED LIVING 433165,A000000,06302,0000,6152RESIDENTIAL / INDEPENDENT LIVING 433165,A81000A,00100,0100,Y 433165,A81000B,00100,0300,MANAGEMENT FEES 433165,A81000B,00200,0300,HOME OFFICE-BLDG 433165,A81000B,00300,0300,HOME OFFICE-INT INC 433165,A81000B,00400,0300,HOME OFFICE-ME 433165,A81000B,00500,0300,LAND LEASE 433165,A81000C,00100,0100,B 433165,A81000C,00100,0200,CORNERSTONE AFFILIATES 433165,A81000C,00100,0400,ABHOW 433165,A81000C,00100,0600,MGMT COMPANY 433165,A81000C,00200,0100,B 433165,A81000C,00200,0200,CORNERSTONE AFFILIATES 433165,A81000C,00200,0400,AMERICAN BAPTIST PROP INC 433165,A81000C,00200,0600,LAND OWNER 433165,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433165,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433165,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433165,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433165,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433165,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 433165,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433165,B100000,00000,0800,0800MEALS SERVED :DIETARY 433165,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433165,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433165,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 433165,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433165,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433165,S000000,00100,0200,03/01/12 433165,S200000,00100,0100,10401 W. CHARLESTON BLVD. 433165,S200000,00200,0100,LAS VEGAS 433165,S200000,00200,0200,NV 433165,S200000,00200,0300,89135 433165,S200000,00300,0100,CLARK 433165,S200000,00300,0200,4120 433165,S200000,00300,0201,29820 433165,S200000,00300,0300,U 433165,S200000,00400,0100,LAS VENTANAS RETIREMENT COMMUNITY 433165,S200000,00400,0200,295086 433165,S200000,00400,0300,04/06/07 433165,S200000,00400,0500,P 433165,S200000,01500,0100,Y 433165,S200000,01600,0100,N 433165,S200000,01700,0100,N 433165,S200000,01800,0100,N 433165,S200000,02200,0100,N 433165,S200000,02800,0100,N 433165,S200000,02900,0100,N 433165,S200000,03000,0100,N 433165,S200000,03100,0100,N 433165,S200000,03200,0100,N 433165,S200000,03300,0100,N 433165,S200000,03300,0200,N 433165,S200000,04100,0100,N 433165,S200000,04200,0100,N 433165,S200000,04300,0100,N 433165,S200000,04600,0100,N 433165,S200000,04700,0100,N 433165,S200000,04700,0200,N 433165,S200000,04900,0100,N 433165,S200000,05000,0100,N 433165,S200000,05100,0100,N 433165,S200000,05200,0100,N 433165,S200000,05300,0100,Y 433172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433172,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433172,A000000,00300,0000,0300EMPLOYEE BENEFITS 433172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433172,A000000,00700,0000,0700HOUSEKEEPING 433172,A000000,00800,0000,0800DIETARY 433172,A000000,00900,0000,0900NURSING ADMINISTRATION 433172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433172,A000000,01100,0000,1100PHARMACY 433172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433172,A000000,01300,0000,1300SOCIAL SERVICE 433172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433172,A000000,01500,0000,1350OTHER GENERAL SERVICES 433172,A000000,01600,0000,1600SKILLED NURSING FACILITY 433172,A000000,01800,0000,1800NURSING FACILITY 433172,A000000,01810,0000,1810ICF/MR 433172,A000000,01900,0000,1900OTHER LONG TERM CARE 433172,A000000,02100,0000,2100RADIOLOGY 433172,A000000,02200,0000,2200LABORATORY 433172,A000000,02300,0000,2300INTRAVENOUS THERAPY 433172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433172,A000000,02500,0000,2500PHYSICAL THERAPY 433172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433172,A000000,02700,0000,2700SPEECH PATHOLOGY 433172,A000000,02800,0000,2800ELECTROCARDIOLOGY 433172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433172,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433172,A000000,03200,0000,3200SUPPORT SURFACES 433172,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433172,A000000,03400,0000,3400CLINIC 433172,A000000,03500,0000,3500RURAL HEALTH CLINIC 433172,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433172,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433172,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433172,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433172,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433172,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433172,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433172,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433172,A000000,04400,0000,4400DME RENTED - HHA 433172,A000000,04500,0000,4500DME SOLD - HHA 433172,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433172,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433172,A000000,04710,0000,4710TELEMEDICINE 433172,A000000,04800,0000,4800AMBULANCE 433172,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433172,A000000,05000,0000,5000CORF 433172,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433172,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433172,A000000,05300,0000,5300INTEREST EXPENSE 433172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433172,A000000,05500,0000,5500HOSPICE 433172,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433172,A000000,06100,0000,6100NONPAID WORKERS 433172,A000000,06200,0000,6200PATIENTS LAUNDRY 433172,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433172,A81000A,00100,0100,N 433172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433172,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433172,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433172,B100000,00000,0800,0800MEALS SERVED :DIETARY 433172,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433172,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433172,S000000,00100,0200,06/25/12 433172,S200000,00100,0100,12023 LAKEWOOD BLVD 433172,S200000,00200,0100,DOWNEY 433172,S200000,00200,0200,CA 433172,S200000,00200,0300,90242 433172,S200000,00300,0100,LOS ANGELES 433172,S200000,00300,0201,31084 433172,S200000,00300,0300,U 433172,S200000,00400,0100,LAKEWOOD PARK HEALTH CENTER 433172,S200000,00400,0200,555099 433172,S200000,00400,0300,10/01/77 433172,S200000,00400,0500,P 433172,S200000,01500,0100,Y 433172,S200000,01501,0200,Y 433172,S200000,01600,0100,N 433172,S200000,01700,0100,N 433172,S200000,01800,0100,N 433172,S200000,02200,0100,N 433172,S200000,02800,0100,N 433172,S200000,02900,0100,N 433172,S200000,03000,0100,N 433172,S200000,03100,0100,N 433172,S200000,03200,0100,N 433172,S200000,03300,0100,N 433172,S200000,03300,0200,N 433172,S200000,04100,0100,N 433172,S200000,04200,0100,N 433172,S200000,04300,0100,N 433172,S200000,04600,0100,N 433172,S200000,04700,0100,N 433172,S200000,04700,0200,N 433172,S200000,04900,0100,N 433172,S200000,05000,0100,N 433172,S200000,05100,0100,N 433172,S200000,05200,0100,N 433174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433174,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433174,A000000,00300,0000,0300EMPLOYEE BENEFITS 433174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433174,A000000,00700,0000,0700HOUSEKEEPING 433174,A000000,00800,0000,0800DIETARY 433174,A000000,00900,0000,0900NURSING ADMINISTRATION 433174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433174,A000000,01100,0000,1100PHARMACY 433174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433174,A000000,01300,0000,1300SOCIAL SERVICE 433174,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433174,A000000,01500,0000,1350ACTIVITIES 433174,A000000,01600,0000,1600SKILLED NURSING FACILITY 433174,A000000,01800,0000,1800NURSING FACILITY 433174,A000000,01810,0000,1810ICF/MR 433174,A000000,01900,0000,1900OTHER LONG TERM CARE 433174,A000000,02100,0000,2100RADIOLOGY 433174,A000000,02200,0000,2200LABORATORY 433174,A000000,02300,0000,2300INTRAVENOUS THERAPY 433174,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433174,A000000,02500,0000,2500PHYSICAL THERAPY 433174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433174,A000000,02700,0000,2700SPEECH PATHOLOGY 433174,A000000,02800,0000,2800ELECTROCARDIOLOGY 433174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433174,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433174,A000000,03200,0000,3200SUPPORT SURFACES 433174,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433174,A000000,03400,0000,3400CLINIC 433174,A000000,03500,0000,3500RURAL HEALTH CLINIC 433174,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433174,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433174,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433174,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433174,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433174,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433174,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433174,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433174,A000000,04400,0000,4400DME RENTED - HHA 433174,A000000,04500,0000,4500DME SOLD - HHA 433174,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433174,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433174,A000000,04710,0000,4710TELEMEDICINE 433174,A000000,04800,0000,4800AMBULANCE 433174,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433174,A000000,05000,0000,5000CORF 433174,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433174,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433174,A000000,05300,0000,5300INTEREST EXPENSE 433174,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433174,A000000,05500,0000,5500HOSPICE 433174,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433174,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433174,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433174,A000000,06100,0000,6100NONPAID WORKERS 433174,A000000,06200,0000,6200PATIENTS LAUNDRY 433174,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433174,A81000A,00100,0100,Y 433174,A81000B,00100,0300,RELATED PARTY LEASE 433174,A81000B,00200,0300,RELATED PARTY LEASE 433174,A81000B,00300,0300,MAINTENANCE EXPENSE 433174,A81000B,00400,0300,HOME OFFICE COSTS 433174,A81000B,00500,0300,HOME OFFICE COSTS 433174,A81000B,00600,0300,HOME OFFICE COSTS 433174,A81000B,00700,0300,HOME OFFICE COSTS 433174,A81000B,00800,0300,HOME OFFICE COSTS 433174,A81000B,00900,0300,HOME OFFICE COSTS 433174,A81000B,01000,0300,HOME OFFICE COSTS 433174,A81000B,01100,0300,RELATED PARTY THERAPY 433174,A81000B,01200,0300,RELATED PARTY THERAPY 433174,A81000B,01300,0300,RELATED PARTY THERAPY 433174,A81000C,00100,0100,D 433174,A81000C,00100,0400,COUNTRYSIDE CHERISH PROP. 433174,A81000C,00100,0600,PROPERTY LEASING 433174,A81000C,00200,0100,D 433174,A81000C,00200,0400,COUNTRYSIDE CHERISH PROP. 433174,A81000C,00200,0600,PROPERTY LEASING 433174,A81000C,00300,0100,D 433174,A81000C,00300,0400,COUNTRYSIDE CHERISH PROP. 433174,A81000C,00300,0600,PROPERTY LEASING 433174,A81000C,00400,0100,D 433174,A81000C,00400,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00400,0600,NURSING HOME MGMT 433174,A81000C,00500,0100,D 433174,A81000C,00500,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00500,0600,NURSING HOME MGMT 433174,A81000C,00600,0100,D 433174,A81000C,00600,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00600,0600,NURSING HOME MGMT 433174,A81000C,00700,0100,D 433174,A81000C,00700,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00700,0600,NURSING HOME MGMT 433174,A81000C,00800,0100,D 433174,A81000C,00800,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00800,0600,NURSING HOME MGMT 433174,A81000C,00900,0100,D 433174,A81000C,00900,0400,CARDON & ASSOCIATES INC. 433174,A81000C,00900,0600,NURSING HOME MGMT 433174,A81000C,01000,0100,D 433174,A81000C,01000,0400,CARDON & ASSOCIATES INC. 433174,A81000C,01000,0600,NURSING HOME MGMT 433174,A81000C,01001,0100,D 433174,A81000C,01001,0400,LIFESPAN THERAPY 433174,A81000C,01001,0600,THERAPY 433174,A81000C,01002,0100,D 433174,A81000C,01002,0400,LIFESPAN THERAPY 433174,A81000C,01002,0600,THERAPY 433174,A81000C,01003,0100,D 433174,A81000C,01003,0400,LIFESPAN THERAPY 433174,A81000C,01003,0600,THERAPY 433174,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433174,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433174,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433174,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433174,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433174,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433174,B100000,00000,0800,0800MEALS SERVED :DIETARY 433174,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433174,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433174,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433174,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433174,E10A180,00501,0100,11/18/11 433174,G300000,02500,0000,OTHER REVENUE 433174,S000000,00100,0200,11/02/11 433174,S200000,00100,0100,205 MARINE DR 433174,S200000,00200,0100,ANDERSON 433174,S200000,00200,0200,IN 433174,S200000,00200,0300,46016 433174,S200000,00300,0100,MADISON 433174,S200000,00300,0201,11300 433174,S200000,00300,0300,U 433174,S200000,00400,0100,COUNTRYSIDE MANOR HEALTH & LIVING 433174,S200000,00400,0200,155258 433174,S200000,00400,0300,04/03/85 433174,S200000,00400,0500,P 433174,S200000,01500,0100,Y 433174,S200000,01501,0200,Y 433174,S200000,01502,0200,Y 433174,S200000,01503,0200,Y 433174,S200000,01504,0200,Y 433174,S200000,01600,0100,N 433174,S200000,01700,0100,N 433174,S200000,01800,0100,N 433174,S200000,02200,0100,Y 433174,S200000,02800,0100,N 433174,S200000,02900,0100,N 433174,S200000,03000,0100,N 433174,S200000,03100,0100,N 433174,S200000,03200,0100,N 433174,S200000,03300,0100,N 433174,S200000,03300,0200,N 433174,S200000,04100,0100,N 433174,S200000,04200,0100,N 433174,S200000,04300,0100,N 433174,S200000,04600,0100,N 433174,S200000,04700,0100,N 433174,S200000,04700,0200,N 433174,S200000,04900,0100,N 433174,S200000,05000,0100,N 433174,S200000,05100,0100,N 433174,S200000,05200,0100,N 433174,S200000,05300,0100,Y 433174,S200000,05300,0200,15H042 433174,S200000,05400,0100,CARDON & ASSOCIATES INC. 433174,S200000,05400,0200,NGS 433174,S200000,05400,0300,00130 433174,S200000,05500,0100,2749 E. COVENANTER DR. 433174,S200000,05600,0100,BLOOMINGTON 433174,S200000,05600,0200,IN 433174,S200000,05600,0300,47401 433175,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433175,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433175,A000000,00300,0000,0300EMPLOYEE BENEFITS 433175,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433175,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433175,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433175,A000000,00700,0000,0700HOUSEKEEPING 433175,A000000,00800,0000,0800DIETARY 433175,A000000,00900,0000,0900NURSING ADMINISTRATION 433175,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433175,A000000,01100,0000,1100PHARMACY 433175,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433175,A000000,01300,0000,1300SOCIAL SERVICE 433175,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433175,A000000,01500,0000,1350ACTIVITIES 433175,A000000,01600,0000,1600SKILLED NURSING FACILITY 433175,A000000,01800,0000,1800NURSING FACILITY 433175,A000000,01810,0000,1810ICF/MR 433175,A000000,01900,0000,1900OTHER LONG TERM CARE 433175,A000000,02100,0000,2100RADIOLOGY 433175,A000000,02200,0000,2200LABORATORY 433175,A000000,02300,0000,2300INTRAVENOUS THERAPY 433175,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433175,A000000,02500,0000,2500PHYSICAL THERAPY 433175,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433175,A000000,02700,0000,2700SPEECH PATHOLOGY 433175,A000000,02800,0000,2800ELECTROCARDIOLOGY 433175,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433175,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433175,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433175,A000000,03200,0000,3200SUPPORT SURFACES 433175,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433175,A000000,03400,0000,3400CLINIC 433175,A000000,03500,0000,3500RURAL HEALTH CLINIC 433175,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433175,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433175,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433175,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433175,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433175,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433175,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433175,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433175,A000000,04400,0000,4400DME RENTED - HHA 433175,A000000,04500,0000,4500DME SOLD - HHA 433175,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433175,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433175,A000000,04710,0000,4710TELEMEDICINE 433175,A000000,04800,0000,4800AMBULANCE 433175,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433175,A000000,05000,0000,5000CORF 433175,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433175,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433175,A000000,05300,0000,5300INTEREST EXPENSE 433175,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433175,A000000,05500,0000,5500HOSPICE 433175,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433175,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433175,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433175,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433175,A000000,06100,0000,6100NONPAID WORKERS 433175,A000000,06200,0000,6200PATIENTS LAUNDRY 433175,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433175,A81000A,00100,0100,Y 433175,A81000B,00100,0300,RELATED PARTY LEASE 433175,A81000B,00200,0300,RELATED PARTY LEASE 433175,A81000B,00300,0300,REL PARTY MANAGEMENT FEE 433175,A81000B,00400,0300,REL PARTY ACCOUNTING FEES 433175,A81000B,00500,0300,REL PARTY LEGAL FEES 433175,A81000B,00600,0300,EXECUTIVE DIRECTOR SALARY 433175,A81000C,00100,0100,D 433175,A81000C,00100,0200,TERRENCE FLANNERY 433175,A81000C,00100,0400,GERIATRICS OF INDIANA 433175,A81000C,00100,0600,REAL ESTATE 433175,A81000C,00200,0100,D 433175,A81000C,00200,0200,K. D. COOK AND T. SADLER 433175,A81000C,00200,0400,S & C MANAGEMENT 433175,A81000C,00200,0600,MANAGEMENT 433175,A81000C,00300,0100,D 433175,A81000C,00300,0200,K. D. COOK AND T. SADLER 433175,A81000C,00300,0400,S & C MANAGEMENT 433175,A81000C,00300,0600,MANAGEMENT 433175,A81000C,00400,0100,D 433175,A81000C,00400,0200,K. DOUGLAS COOK 433175,A81000C,00400,0400,COOK & ASSOCIATES P.C 433175,A81000C,00400,0600,ACCOUNTING 433175,A81000C,00500,0100,D 433175,A81000C,00500,0200,K. DOUGLAS COOK 433175,A81000C,00500,0400,K. DOUGLAS COOK ATTORNEY 433175,A81000C,00500,0600,LEGAL 433175,A81000C,00600,0100,G 433175,A81000C,00600,0200,TIMOTHY SADLER 433175,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433175,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433175,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433175,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433175,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433175,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433175,B100000,00000,0800,0800MEALS SERVED :DIETARY 433175,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433175,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433175,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433175,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433175,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433175,E10A180,00501,0100,01/26/12 433175,G300000,02500,0000,OTHER REVENUE 433175,S000000,00100,0200,12/19/11 433175,S200000,00100,0100,705 EAST MAIN STREET 433175,S200000,00200,0100,CENTERVILLE 433175,S200000,00200,0200,IN 433175,S200000,00200,0300,47330 433175,S200000,00300,0100,WAYNE 433175,S200000,00300,0201,99915 433175,S200000,00300,0300,R 433175,S200000,00400,0100,AMBASSADOR HEALTHCARE LLC 433175,S200000,00400,0200,155490 433175,S200000,00400,0300,06/01/96 433175,S200000,00400,0500,P 433175,S200000,01500,0100,Y 433175,S200000,01501,0200,Y 433175,S200000,01503,0200,Y 433175,S200000,01504,0200,Y 433175,S200000,01600,0100,N 433175,S200000,01700,0100,N 433175,S200000,01800,0100,N 433175,S200000,02200,0100,N 433175,S200000,02800,0100,N 433175,S200000,02900,0100,N 433175,S200000,03000,0100,N 433175,S200000,03100,0100,N 433175,S200000,03200,0100,N 433175,S200000,03300,0100,N 433175,S200000,03300,0200,N 433175,S200000,04100,0100,N 433175,S200000,04200,0100,N 433175,S200000,04300,0100,N 433175,S200000,04600,0100,N 433175,S200000,04700,0100,N 433175,S200000,04700,0200,N 433175,S200000,04900,0100,N 433175,S200000,05000,0100,N 433175,S200000,05100,0100,N 433175,S200000,05200,0100,N 433175,S200000,05300,0100,N 433179,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433179,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433179,A000000,00300,0000,0300EMPLOYEE BENEFITS 433179,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433179,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433179,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433179,A000000,00700,0000,0700HOUSEKEEPING 433179,A000000,00800,0000,0800DIETARY 433179,A000000,00900,0000,0900NURSING ADMINISTRATION 433179,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433179,A000000,01100,0000,1100PHARMACY 433179,A000000,01300,0000,1300SOCIAL SERVICE 433179,A000000,01600,0000,1600SKILLED NURSING FACILITY 433179,A000000,01800,0000,1800NURSING FACILITY 433179,A000000,02100,0000,2100RADIOLOGY 433179,A000000,02200,0000,2200LABORATORY 433179,A000000,02500,0000,2500PHYSICAL THERAPY 433179,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433179,A000000,02700,0000,2700SPEECH PATHOLOGY 433179,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433179,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433179,A000000,03200,0000,3200SUPPORT SURFACES 433179,A000000,03300,0000,3050PEN SUPPLIES 433179,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433179,A000000,04800,0000,4800AMBULANCE 433179,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433179,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433179,A000000,05300,0000,5300INTEREST EXPENSE 433179,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433179,A000000,05500,0000,5500HOSPICE 433179,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433179,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433179,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433179,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433179,A81000A,00100,0100,Y 433179,A81000B,00100,0300,DIETARY CATERING 433179,A81000B,00200,0300,LAB SERVICES 433179,A81000B,00300,0300,RESPIRATORY THERAPY 433179,A81000B,00400,0300,DEPRECIATION EXPENSE 433179,A81000B,00500,0300,MAINT/SAFETY 433179,A81000B,00600,0300,AP HR IS HOME OFFICE 433179,A81000B,00700,0300,LAUNDRY & LINEN 433179,A81000B,00800,0300,PHARM CONS/MOBILE DENTISTRY 433179,A81000B,00900,0300,PHARMACEUTICALS 433179,A81000B,01000,0300,SHUTTLE SERVICES 433179,A81000B,01100,0300,LIVE WELL SUPPLIES 433179,A81000B,01200,0300,PHYSICAL THERAPY MGMT 433179,A81000C,00100,0100,C 433179,A81000C,00100,0200,CAROLINAS MEDICAL CENTER 433179,A81000C,00100,0400,CHS 433179,A81000C,00100,0600,HOSPITAL 433179,A81000C,00200,0100,C 433179,A81000C,00200,0200,CAROLINAS MEDICAL CENTER 433179,A81000C,00200,0400,CHS 433179,A81000C,00200,0600,HOSPITAL 433179,A81000C,00300,0100,C 433179,A81000C,00300,0200,CMC-UNIVERSITY 433179,A81000C,00300,0400,CHS 433179,A81000C,00300,0600,HOSPITAL 433179,A81000C,00400,0100,B 433179,A81000C,00400,0200,CHS 433179,A81000C,00400,0400,CHS 433179,A81000C,00400,0600,HOSPITAL AUTHORITY 433179,A81000C,00500,0100,B 433179,A81000C,00500,0200,CHS 433179,A81000C,00500,0400,CHS 433179,A81000C,00500,0600,HOSPITAL AUTHORITY 433179,A81000C,00600,0100,B 433179,A81000C,00600,0200,CHS 433179,A81000C,00600,0400,CHS 433179,A81000C,00600,0600,HOSPITAL AUTHORITY 433179,A81000C,00700,0100,B 433179,A81000C,00700,0200,CHS 433179,A81000C,00700,0400,CHS 433179,A81000C,00700,0600,HOSPITAL AUTHORITY 433179,A81000C,00800,0100,B 433179,A81000C,00800,0200,CHS 433179,A81000C,00800,0400,CHS 433179,A81000C,00800,0600,HOSPITAL AUTHORITY 433179,A81000C,00900,0100,B 433179,A81000C,00900,0200,CHS 433179,A81000C,00900,0400,CHS 433179,A81000C,00900,0600,HOSPITAL AUTHORITY 433179,A81000C,01000,0100,B 433179,A81000C,01000,0200,CHS 433179,A81000C,01000,0400,CHS 433179,A81000C,01000,0600,HOSPITAL AUTHORITY 433179,A81000C,01010,0100,B 433179,A81000C,01010,0200,CHS 433179,A81000C,01010,0400,CHS 433179,A81000C,01010,0600,HOSPITAL AUTHORITY 433179,A81000C,01020,0100,C 433179,A81000C,01020,0200,CAROLINAS REHAB MAIN 433179,A81000C,01020,0400,CHS 433179,A81000C,01020,0600,REHAB HOSPITAL 433179,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433179,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433179,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433179,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433179,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433179,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433179,B100000,00000,0700,0750SQ FT EXCL DIETA:HOUSEKEEPING 433179,B100000,00000,0800,0800MEALS SERVED :DIETARY 433179,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433179,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433179,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433179,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433179,E10A180,00350,0100,07/27/11 433179,E10A180,00501,0100,05/09/12 433179,G300000,02500,0000,OTHER (SPECIFY) 433179,G300000,02501,0000,BEAUTY & BARBER REVENUE 433179,G300000,02502,0000,OTHER MISCELLANEOUS REVENUE 433179,S000000,00100,0200,02/23/12 433179,S200000,00100,0100,12019 VERHOEFF DRIVE 433179,S200000,00200,0100,HUNTERSVILLE 433179,S200000,00200,0200,NC 433179,S200000,00200,0300,28078 433179,S200000,00300,0100,MECKLENBURG 433179,S200000,00300,0200,1520 433179,S200000,00300,0201,16740 433179,S200000,00300,0300,U 433179,S200000,00400,0100,HUNTERSVILLE OAKS 433179,S200000,00400,0200,345096 433179,S200000,00400,0300,10/01/73 433179,S200000,00400,0500,P 433179,S200000,00400,0600,P 433179,S200000,00600,0200,345096 433179,S200000,00600,0300,10/01/73 433179,S200000,00600,0600,P 433179,S200000,01500,0100,N 433179,S200000,01501,0200,Y 433179,S200000,01502,0200,Y 433179,S200000,01503,0200,Y 433179,S200000,01504,0200,Y 433179,S200000,01505,0000,OTHER 433179,S200000,01505,0200,Y 433179,S200000,01600,0100,Y 433179,S200000,01700,0100,N 433179,S200000,01800,0100,N 433179,S200000,01900,0100,HOSPITAL AUTHORITY 433179,S200000,02200,0100,N 433179,S200000,02800,0100,Y 433179,S200000,02900,0100,N 433179,S200000,03000,0100,N 433179,S200000,03100,0100,N 433179,S200000,03200,0100,N 433179,S200000,03300,0100,N 433179,S200000,03300,0200,N 433179,S200000,03500,0300,N 433179,S200000,04100,0100,N 433179,S200000,04200,0100,N 433179,S200000,04300,0100,N 433179,S200000,04600,0100,N 433179,S200000,04700,0100,N 433179,S200000,04700,0200,N 433179,S200000,04900,0100,N 433179,S200000,05000,0100,N 433179,S200000,05100,0100,N 433179,S200000,05200,0100,N 433179,S200000,05300,0100,Y 433179,S200000,05300,0200,349014 433179,S200000,05400,0100,N 433179,S200000,05400,0200,NA 433179,S200000,05400,0300, 000NA 433179,S200000,05500,0200,32861 433179,S200000,05600,0100,CHARLOTTE 433179,S200000,05600,0200,NC 433179,S200000,05600,0300,28232 433180,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433180,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433180,A000000,00300,0000,0300EMPLOYEE BENEFITS 433180,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433180,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433180,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433180,A000000,00700,0000,0700HOUSEKEEPING 433180,A000000,00800,0000,0800DIETARY 433180,A000000,00900,0000,0900NURSING ADMINISTRATION 433180,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433180,A000000,01100,0000,1100PHARMACY 433180,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433180,A000000,01300,0000,1300SOCIAL SERVICE 433180,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433180,A000000,01600,0000,1600SKILLED NURSING FACILITY 433180,A000000,01800,0000,1800NURSING FACILITY 433180,A000000,01900,0000,1900OTHER LONG TERM CARE 433180,A000000,02100,0000,2100RADIOLOGY 433180,A000000,02200,0000,2200LABORATORY 433180,A000000,02300,0000,2300INTRAVENOUS THERAPY 433180,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433180,A000000,02500,0000,2500PHYSICAL THERAPY 433180,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433180,A000000,02700,0000,2700SPEECH PATHOLOGY 433180,A000000,02800,0000,2800ELECTROCARDIOLOGY 433180,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433180,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433180,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433180,A000000,03200,0000,3200SUPPORT SURFACES 433180,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433180,A000000,03400,0000,3400CLINIC 433180,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433180,A000000,04800,0000,4800AMBULANCE 433180,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433180,A000000,05000,0000,5000CORF 433180,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433180,A000000,05300,0000,5300INTEREST EXPENSE 433180,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433180,A000000,05500,0000,5500HOSPICE 433180,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433180,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433180,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433180,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433180,A000000,06100,0000,6100NONPAID WORKERS 433180,A000000,06200,0000,6200PATIENTS LAUNDRY 433180,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433180,A81000A,00100,0100,Y 433180,A81000B,00100,0300,NURSING CONSULTING 433180,A81000B,00200,0300,DIETARY CONSULTING 433180,A81000B,00300,0300,HOME OFFICE 433180,A81000B,00400,0300,INTEREST EXPENSE 433180,A81000B,00500,0300,WORKERS COMP EXPENSE 433180,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 433180,A81000B,00700,0300,CONTRACT SERVICES 433180,A81000B,00800,0300,MAINTENANCE SUPPLIES 433180,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,01000,0300,REPAIRS-EQUIPMENT 433180,A81000B,01100,0300,LINEN & BEDDING 433180,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,01300,0300,LAUNDRY SUPPLIES 433180,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,01500,0300,PAPER PRODUCTS & HAND SOAP 433180,A81000B,01600,0300,HOUSEKEEPING SUPPLIES 433180,A81000B,01700,0300,DIETARY SUPPLEMENTS 433180,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,01900,0300,DIETARY SUPPLIES 433180,A81000B,02000,0300,BIO-MEDICAL WASTE 433180,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,02200,0300,PERSONAL CARE SUPPLIES 433180,A81000B,02300,0300,INCONTINENCE SUPPLIES 433180,A81000B,02400,0300,MEDICAL SUPPLIES 433180,A81000B,02500,0300,SUPPLIES 433180,A81000B,02600,0300,OXYGEN THERAPY SUPPLIES 433180,A81000B,02700,0300,MINOR EQUIPMENT EXPENSE 433180,A81000B,02800,0300,PT SUPPLIES 433180,A81000B,02900,0300,MINOR EQUIPMENT EXPENSE 433180,A81000C,00100,0100,B 433180,A81000C,00100,0200,PLTC & PITS INC 433180,A81000C,00100,0400,PLTC & PITS INC 433180,A81000C,00100,0600,MGMT SERVICES 433180,A81000C,00200,0100,B 433180,A81000C,00200,0200,PLTC & PITS INC 433180,A81000C,00200,0400,PLTC & PITS INC 433180,A81000C,00200,0600,MGMT SERVICES 433180,A81000C,00300,0100,B 433180,A81000C,00300,0200,PLTC & PITS INC 433180,A81000C,00300,0400,PLTC & PITS INC 433180,A81000C,00300,0600,MGMT SERVICES 433180,A81000C,00400,0100,B 433180,A81000C,00400,0200,PLTC & PITS INC 433180,A81000C,00400,0400,PLTC & PITS INC 433180,A81000C,00400,0600,MGMT SERVICES 433180,A81000C,00500,0100,A 433180,A81000C,00500,0200,SHAREHOLDERS 433180,A81000C,00500,0400,DISCOVERY INSUR 433180,A81000C,00500,0600,INSURANCE 433180,A81000C,00600,0100,A 433180,A81000C,00600,0200,SHAREHOLDERS 433180,A81000C,00600,0400,QUEENSLAND ASSU 433180,A81000C,00600,0600,INSURANCE 433180,A81000C,00700,0100,A 433180,A81000C,00700,0200,SHAREHOLDERS 433180,A81000C,00700,0400,KARE MEDICAL 433180,A81000C,00700,0600,WHOLESALE SUPPL 433180,A81000C,00800,0100,A 433180,A81000C,00800,0200,SHAREHOLDERS 433180,A81000C,00800,0400,KARE MEDICAL 433180,A81000C,00800,0600,WHOLESALE SUPPL 433180,A81000C,00900,0100,A 433180,A81000C,00900,0200,SHAREHOLDERS 433180,A81000C,00900,0400,KARE MEDICAL 433180,A81000C,00900,0600,WHOLESALE SUPPL 433180,A81000C,01000,0100,A 433180,A81000C,01000,0200,SHAREHOLDERS 433180,A81000C,01000,0400,KARE MEDICAL 433180,A81000C,01000,0600,WHOLESALE SUPPL 433180,A81000C,01001,0100,A 433180,A81000C,01001,0200,SHAREHOLDERS 433180,A81000C,01001,0400,KARE MEDICAL 433180,A81000C,01001,0600,WHOLESALE SUPPL 433180,A81000C,01002,0100,A 433180,A81000C,01002,0200,SHAREHOLDERS 433180,A81000C,01002,0400,KARE MEDICAL 433180,A81000C,01002,0600,WHOLESALE SUPPL 433180,A81000C,01003,0100,A 433180,A81000C,01003,0200,SHAREHOLDERS 433180,A81000C,01003,0400,KARE MEDICAL 433180,A81000C,01003,0600,WHOLESALE SUPPL 433180,A81000C,01004,0100,A 433180,A81000C,01004,0200,SHAREHOLDERS 433180,A81000C,01004,0400,KARE MEDICAL 433180,A81000C,01004,0600,WHOLESALE SUPPL 433180,A81000C,01005,0100,A 433180,A81000C,01005,0200,SHAREHOLDERS 433180,A81000C,01005,0400,KARE MEDICAL 433180,A81000C,01005,0600,WHOLESALE SUPPL 433180,A81000C,01006,0100,A 433180,A81000C,01006,0200,SHAREHOLDERS 433180,A81000C,01006,0400,KARE MEDICAL 433180,A81000C,01006,0600,WHOLESALE SUPPL 433180,A81000C,01007,0100,A 433180,A81000C,01007,0200,SHAREHOLDERS 433180,A81000C,01007,0400,KARE MEDICAL 433180,A81000C,01007,0600,WHOLESALE SUPPL 433180,A81000C,01008,0100,A 433180,A81000C,01008,0200,SHAREHOLDERS 433180,A81000C,01008,0400,KARE MEDICAL 433180,A81000C,01008,0600,WHOLESALE SUPPL 433180,A81000C,01009,0100,A 433180,A81000C,01009,0200,SHAREHOLDERS 433180,A81000C,01009,0400,KARE MEDICAL 433180,A81000C,01009,0600,WHOLESALE SUPPL 433180,A81000C,01010,0100,A 433180,A81000C,01010,0200,SHAREHOLDERS 433180,A81000C,01010,0400,KARE MEDICAL 433180,A81000C,01010,0600,WHOLESALE SUPPL 433180,A81000C,01011,0100,A 433180,A81000C,01011,0200,SHAREHOLDERS 433180,A81000C,01011,0400,KARE MEDICAL 433180,A81000C,01011,0600,WHOLESALE SUPPL 433180,A81000C,01012,0100,A 433180,A81000C,01012,0200,SHAREHOLDERS 433180,A81000C,01012,0400,KARE MEDICAL 433180,A81000C,01012,0600,WHOLESALE SUPPL 433180,A81000C,01013,0100,A 433180,A81000C,01013,0200,SHAREHOLDERS 433180,A81000C,01013,0400,KARE MEDICAL 433180,A81000C,01013,0600,WHOLESALE SUPPL 433180,A81000C,01014,0100,A 433180,A81000C,01014,0200,SHAREHOLDERS 433180,A81000C,01014,0400,KARE MEDICAL 433180,A81000C,01014,0600,WHOLESALE SUPPL 433180,A81000C,01015,0100,A 433180,A81000C,01015,0200,SHAREHOLDERS 433180,A81000C,01015,0400,KARE MEDICAL 433180,A81000C,01015,0600,WHOLESALE SUPPL 433180,A81000C,01016,0100,A 433180,A81000C,01016,0200,SHAREHOLDERS 433180,A81000C,01016,0400,KARE MEDICAL 433180,A81000C,01016,0600,WHOLESALE SUPPL 433180,A81000C,01017,0100,A 433180,A81000C,01017,0200,SHAREHOLDERS 433180,A81000C,01017,0400,KARE MEDICAL 433180,A81000C,01017,0600,WHOLESALE SUPPL 433180,A81000C,01018,0100,A 433180,A81000C,01018,0200,SHAREHOLDERS 433180,A81000C,01018,0400,KARE MEDICAL 433180,A81000C,01018,0600,WHOLESALE SUPPL 433180,A81000C,01019,0100,A 433180,A81000C,01019,0200,SHAREHOLDERS 433180,A81000C,01019,0400,KARE MEDICAL 433180,A81000C,01019,0600,WHOLESALE SUPPL 433180,A81000C,01020,0100,A 433180,A81000C,01020,0200,SHAREHOLDERS 433180,A81000C,01020,0400,KARE MEDICAL 433180,A81000C,01020,0600,WHOLESALE SUPPL 433180,A81000C,01021,0100,A 433180,A81000C,01021,0200,SHAREHOLDERS 433180,A81000C,01021,0400,KARE MEDICAL 433180,A81000C,01021,0600,WHOLESALE SUPPL 433180,A81000C,01022,0100,A 433180,A81000C,01022,0200,SHAREHOLDERS 433180,A81000C,01022,0400,PHARMSAVE 433180,A81000C,01022,0600,RX SUPPLY 433180,A81000C,01023,0100,A 433180,A81000C,01023,0200,SHAREHOLDERS 433180,A81000C,01023,0400,PHARMSAVE 433180,A81000C,01023,0600,RX SUPPLY 433180,A81000C,01024,0100,A 433180,A81000C,01024,0200,SHAREHOLDERS 433180,A81000C,01024,0400,PHARMSAVE 433180,A81000C,01024,0600,RX SUPPLY 433180,A81000C,01025,0100,A 433180,A81000C,01025,0200,SHAREHOLDERS 433180,A81000C,01025,0400,PHARMSAVE 433180,A81000C,01025,0600,RX SUPPLY 433180,A81000C,01026,0100,A 433180,A81000C,01026,0200,SHAREHOLDERS 433180,A81000C,01026,0400,PHARMSAVE 433180,A81000C,01026,0600,RX SUPPLY 433180,A81000C,01027,0100,A 433180,A81000C,01027,0200,SHAREHOLDERS 433180,A81000C,01027,0400,ROBERT HILL CON 433180,A81000C,01027,0600,CONSTRUCTION 433180,A81000C,01028,0100,A 433180,A81000C,01028,0200,SHAREHOLDERS 433180,A81000C,01028,0400,ROBERT HILL CON 433180,A81000C,01028,0600,CONSTRUCTION 433180,A81000C,01029,0100,A 433180,A81000C,01029,0200,SHAREHOLDERS 433180,A81000C,01029,0400,ROBERT HILL CON 433180,A81000C,01029,0600,CONSTRUCTION 433180,A81000C,01030,0100,A 433180,A81000C,01030,0200,SHAREHOLDERS 433180,A81000C,01030,0400,NEUSE RIVER COR 433180,A81000C,01030,0600,REAL ESTATE 433180,A81000C,01031,0100,A 433180,A81000C,01031,0200,SHAREHOLDERS 433180,A81000C,01031,0400,BRITTHAVEN INC 433180,A81000C,01031,0600,REAL ESTATE 433180,A81000C,01032,0100,A 433180,A81000C,01032,0200,SHAREHOLDERS 433180,A81000C,01032,0400,BRITTHAVEN INC 433180,A81000C,01032,0600,REAL ESTATE 433180,A81000C,01033,0100,A 433180,A81000C,01033,0200,SHAREHOLDERS 433180,A81000C,01033,0400,NEUSE RIVER COR 433180,A81000C,01033,0600,REAL ESTATE 433180,A81000C,01034,0100,A 433180,A81000C,01034,0200,SHAREHOLDERS 433180,A81000C,01034,0400,NEUSE RIVER COR 433180,A81000C,01034,0600,REAL ESTATE 433180,A81000C,01035,0100,A 433180,A81000C,01035,0200,SHAREHOLDERS 433180,A81000C,01035,0400,NEUSE RIVER COR 433180,A81000C,01035,0600,REAL ESTATE 433180,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433180,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433180,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433180,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433180,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433180,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433180,B100000,00000,0800,0800MEALS SERVED :DIETARY 433180,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433180,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433180,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433180,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433180,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433180,E10A180,00350,0100,07/27/11 433180,E10A180,00501,0100,05/21/12 433180,G300000,02500,0000, OTHER (SPECIFY) 433180,S000000,00100,0200,02/29/12 433180,S200000,00100,0100,3015 ENTERPRISE DRIVE 433180,S200000,00200,0100,WILMINGTON 433180,S200000,00200,0200,NC 433180,S200000,00200,0300,28405 433180,S200000,00300,0100,NEW HANOVER 433180,S200000,00300,0201,48900 433180,S200000,00300,0300,U 433180,S200000,00400,0100,NORTH CHASE NURSING & REHAB CENTER 433180,S200000,00400,0200,345119 433180,S200000,00400,0300,01/01/11 433180,S200000,00400,0500,P 433180,S200000,01500,0100,Y 433180,S200000,01501,0200,Y 433180,S200000,01502,0200,Y 433180,S200000,01503,0200,Y 433180,S200000,01504,0200,Y 433180,S200000,01505,0000,OTHER (SPECIFY) 433180,S200000,01505,0200,Y 433180,S200000,01600,0100,N 433180,S200000,01700,0100,N 433180,S200000,01800,0100,N 433180,S200000,02200,0100,N 433180,S200000,02800,0100,N 433180,S200000,02900,0100,N 433180,S200000,03000,0100,N 433180,S200000,03100,0100,N 433180,S200000,03200,0100,N 433180,S200000,03300,0100,N 433180,S200000,03300,0200,N 433180,S200000,04100,0100,N 433180,S200000,04200,0100,N 433180,S200000,04300,0100,N 433180,S200000,04600,0100,N 433180,S200000,04700,0100,N 433180,S200000,04700,0200,N 433180,S200000,04900,0100,N 433180,S200000,05000,0100,N 433180,S200000,05100,0100,N 433180,S200000,05200,0100,N 433180,S200000,05300,0100,Y 433180,S200000,05300,0200,349011 433180,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 433180,S200000,05400,0200,PALMETTO GBA 433180,S200000,05400,0300,11501 433180,S200000,05500,0100,1435 HWY 258 NORTH 433180,S200000,05600,0100,KINSTON 433180,S200000,05600,0200,NC 433180,S200000,05600,0300,28502 433181,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433181,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433181,A000000,00300,0000,0300EMPLOYEE BENEFITS 433181,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433181,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433181,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433181,A000000,00700,0000,0700HOUSEKEEPING 433181,A000000,00800,0000,0800DIETARY 433181,A000000,00900,0000,0900NURSING ADMINISTRATION 433181,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433181,A000000,01100,0000,1100PHARMACY 433181,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433181,A000000,01300,0000,1300SOCIAL SERVICE 433181,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433181,A000000,01600,0000,1600SKILLED NURSING FACILITY 433181,A000000,01800,0000,1800NURSING FACILITY 433181,A000000,01900,0000,1900OTHER LONG TERM CARE 433181,A000000,02100,0000,2100RADIOLOGY 433181,A000000,02200,0000,2200LABORATORY 433181,A000000,02300,0000,2300INTRAVENOUS THERAPY 433181,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433181,A000000,02500,0000,2500PHYSICAL THERAPY 433181,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433181,A000000,02700,0000,2700SPEECH PATHOLOGY 433181,A000000,02800,0000,2800ELECTROCARDIOLOGY 433181,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433181,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433181,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433181,A000000,03200,0000,3200SUPPORT SURFACES 433181,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433181,A000000,03400,0000,3400CLINIC 433181,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433181,A000000,04800,0000,4800AMBULANCE 433181,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433181,A000000,05000,0000,5000CORF 433181,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433181,A000000,05300,0000,5300INTEREST EXPENSE 433181,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433181,A000000,05500,0000,5500HOSPICE 433181,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433181,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433181,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433181,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433181,A000000,06100,0000,6100NONPAID WORKERS 433181,A000000,06200,0000,6200PATIENTS LAUNDRY 433181,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433181,A81000A,00100,0100,Y 433181,A81000B,00100,0300,NURSING CONSULTING 433181,A81000B,00200,0300,DIETARY CONSULTING 433181,A81000B,00300,0300,HOME OFFICE 433181,A81000B,00400,0300,INTEREST EXPENSE 433181,A81000B,00500,0300,WORKERS COMP EXPENSE 433181,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433181,A81000B,00700,0300,MAINTENANCE SUPPLIES 433181,A81000B,00800,0300,REPAIRS - EQUIPMENT 433181,A81000B,00900,0300,LINEN & BEDDING 433181,A81000B,01000,0300,LAUNDRY SUPPLIES 433181,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433181,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 433181,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 433181,A81000B,01400,0300,DIETARY SUPPLEMENTS 433181,A81000B,01500,0300,BIO-MEDICAL WASTE 433181,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 433181,A81000B,01700,0300,PERSONAL CARE SUPPLIES 433181,A81000B,01800,0300,INCONTINENCE SUPPLIES 433181,A81000B,01900,0300,MEDICAL SUPPLIES 433181,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 433181,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 433181,A81000B,02200,0300,PHYSICAL THERAPY SUPPLIES 433181,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 433181,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 433181,A81000B,02500,0300,NON-LEGEND DRUGS 433181,A81000B,02600,0300,PHARMACY CONSULTANT 433181,A81000B,02700,0300,SUPPLIES 433181,A81000B,02800,0300,LEGEND DRUGS 433181,A81000B,02900,0300,OFFICE SUPPLIES 433181,A81000C,00100,0100,B 433181,A81000C,00100,0400,BRITTHAVEN INC 433181,A81000C,00100,0600,MGMT SERVICES 433181,A81000C,00200,0100,B 433181,A81000C,00200,0400,BRITTHAVEN INC 433181,A81000C,00200,0600,MGMT SERVICES 433181,A81000C,00300,0100,B 433181,A81000C,00300,0400,BRITTHAVEN INC 433181,A81000C,00300,0600,MGMT SERVICES 433181,A81000C,00400,0100,B 433181,A81000C,00400,0400,BRITTHAVEN INC 433181,A81000C,00400,0600,MGMT SERVICES 433181,A81000C,00500,0100,A 433181,A81000C,00500,0200,DISCOVERY INSUR 433181,A81000C,00500,0600,INSURANCE 433181,A81000C,00600,0100,A 433181,A81000C,00600,0200,QUEENSLAND ASSU 433181,A81000C,00600,0600,INSURANCE 433181,A81000C,00700,0100,B 433181,A81000C,00700,0400,KARE MEDICAL 433181,A81000C,00700,0600,WHOLESALE SUPPL 433181,A81000C,00800,0100,B 433181,A81000C,00800,0400,KARE MEDICAL 433181,A81000C,00800,0600,WHOLESALE SUPPL 433181,A81000C,00900,0100,B 433181,A81000C,00900,0400,KARE MEDICAL 433181,A81000C,00900,0600,WHOLESALE SUPPL 433181,A81000C,01000,0100,B 433181,A81000C,01000,0400,KARE MEDICAL 433181,A81000C,01000,0600,WHOLESALE SUPPL 433181,A81000C,01001,0100,B 433181,A81000C,01001,0400,KARE MEDICAL 433181,A81000C,01001,0600,WHOLESALE SUPPL 433181,A81000C,01002,0100,B 433181,A81000C,01002,0400,KARE MEDICAL 433181,A81000C,01002,0600,WHOLESALE SUPPL 433181,A81000C,01003,0100,B 433181,A81000C,01003,0400,KARE MEDICAL 433181,A81000C,01003,0600,WHOLESALE SUPPL 433181,A81000C,01004,0100,B 433181,A81000C,01004,0400,KARE MEDICAL 433181,A81000C,01004,0600,WHOLESALE SUPPL 433181,A81000C,01005,0100,B 433181,A81000C,01005,0400,KARE MEDICAL 433181,A81000C,01005,0600,WHOLESALE SUPPL 433181,A81000C,01006,0100,B 433181,A81000C,01006,0400,KARE MEDICAL 433181,A81000C,01006,0600,WHOLESALE SUPPL 433181,A81000C,01007,0100,B 433181,A81000C,01007,0400,KARE MEDICAL 433181,A81000C,01007,0600,WHOLESALE SUPPL 433181,A81000C,01008,0100,B 433181,A81000C,01008,0400,KARE MEDICAL 433181,A81000C,01008,0600,WHOLESALE SUPPL 433181,A81000C,01009,0100,B 433181,A81000C,01009,0400,KARE MEDICAL 433181,A81000C,01009,0600,WHOLESALE SUPPL 433181,A81000C,01010,0100,B 433181,A81000C,01010,0400,KARE MEDICAL 433181,A81000C,01010,0600,WHOLESALE SUPPL 433181,A81000C,01011,0100,B 433181,A81000C,01011,0400,KARE MEDICAL 433181,A81000C,01011,0600,WHOLESALE SUPPL 433181,A81000C,01012,0100,B 433181,A81000C,01012,0400,KARE MEDICAL 433181,A81000C,01012,0600,WHOLESALE SUPPL 433181,A81000C,01013,0100,B 433181,A81000C,01013,0400,KARE MEDICAL 433181,A81000C,01013,0600,WHOLESALE SUPPL 433181,A81000C,01014,0100,B 433181,A81000C,01014,0400,PHARMSAVE 433181,A81000C,01014,0600,RX SUPPLY 433181,A81000C,01015,0100,B 433181,A81000C,01015,0400,PHARMSAVE 433181,A81000C,01015,0600,RX SUPPLY 433181,A81000C,01016,0100,B 433181,A81000C,01016,0400,PHARMSAVE 433181,A81000C,01016,0600,RX SUPPLY 433181,A81000C,01017,0100,B 433181,A81000C,01017,0400,PHARMSAVE 433181,A81000C,01017,0600,RX SUPPLY 433181,A81000C,01018,0100,B 433181,A81000C,01018,0400,PHARMSAVE 433181,A81000C,01018,0600,RX SUPPLY 433181,A81000C,01019,0100,B 433181,A81000C,01019,0400,ROBERT HILL CON 433181,A81000C,01019,0600,CONSTRUCTION 433181,A81000C,01020,0100,B 433181,A81000C,01020,0400,ROBERT HILL CON 433181,A81000C,01020,0600,CONSTRUCTION 433181,A81000C,01021,0100,B 433181,A81000C,01021,0400,ROBERT HILL CON 433181,A81000C,01021,0600,CONSTRUCTION 433181,A81000C,01022,0100,B 433181,A81000C,01022,0400,ROBERT HILL CON 433181,A81000C,01022,0600,CONSTRUCTION 433181,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433181,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433181,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433181,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433181,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433181,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433181,B100000,00000,0800,0800MEALS SERVED :DIETARY 433181,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433181,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433181,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433181,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433181,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433181,G300000,02500,0000, OTHER (SPECIFY) 433181,S000000,00100,0200,12/30/11 433181,S200000,00100,0100,119 GATLING STREET 433181,S200000,00200,0100,WILLIAMSTON 433181,S200000,00200,0200,NC 433181,S200000,00200,0300,27892 433181,S200000,00300,0100,MARTIN 433181,S200000,00300,0201,99934 433181,S200000,00300,0300,R 433181,S200000,00400,0100,WILLIAMSTON REHAB & HEALTHCARE CTR 433181,S200000,00400,0200,345145 433181,S200000,00400,0300,08/01/90 433181,S200000,00400,0500,P 433181,S200000,01500,0100,Y 433181,S200000,01501,0200,Y 433181,S200000,01502,0200,Y 433181,S200000,01503,0200,Y 433181,S200000,01504,0200,Y 433181,S200000,01505,0000,OTHER (SPECIFY) 433181,S200000,01505,0200,Y 433181,S200000,01600,0100,N 433181,S200000,01700,0100,N 433181,S200000,01800,0100,N 433181,S200000,02200,0100,N 433181,S200000,02800,0100,N 433181,S200000,02900,0100,N 433181,S200000,03000,0100,N 433181,S200000,03100,0100,Y 433181,S200000,03200,0100,N 433181,S200000,03300,0100,N 433181,S200000,03300,0200,N 433181,S200000,04100,0100,N 433181,S200000,04200,0100,N 433181,S200000,04300,0100,N 433181,S200000,04600,0100,N 433181,S200000,04700,0100,N 433181,S200000,04700,0200,N 433181,S200000,04900,0100,N 433181,S200000,05000,0100,N 433181,S200000,05100,0100,N 433181,S200000,05200,0100,N 433181,S200000,05300,0100,Y 433181,S200000,05300,0200,349011 433181,S200000,05400,0100,BRITTHAVEN INC. 433181,S200000,05400,0200,PALMETTO GBA 433181,S200000,05400,0300,11501 433181,S200000,05500,0100,1435 HWY 258 NORTH 433181,S200000,05500,0200,PO BOX 61 433181,S200000,05600,0100,KINSTON 433181,S200000,05600,0200,NC 433181,S200000,05600,0300,28502 433182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433182,A000000,00300,0000,0300EMPLOYEE BENEFITS 433182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433182,A000000,00700,0000,0700HOUSEKEEPING 433182,A000000,00800,0000,0800DIETARY 433182,A000000,00900,0000,0900NURSING ADMINISTRATION 433182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433182,A000000,01100,0000,1100PHARMACY 433182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433182,A000000,01300,0000,1300SOCIAL SERVICE 433182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433182,A000000,01600,0000,1600SKILLED NURSING FACILITY 433182,A000000,01800,0000,1800NURSING FACILITY 433182,A000000,01900,0000,1900OTHER LONG TERM CARE 433182,A000000,02100,0000,2100RADIOLOGY 433182,A000000,02200,0000,2200LABORATORY 433182,A000000,02300,0000,2300INTRAVENOUS THERAPY 433182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433182,A000000,02500,0000,2500PHYSICAL THERAPY 433182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433182,A000000,02700,0000,2700SPEECH PATHOLOGY 433182,A000000,02800,0000,2800ELECTROCARDIOLOGY 433182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433182,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433182,A000000,03200,0000,3200SUPPORT SURFACES 433182,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433182,A000000,03400,0000,3400CLINIC 433182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433182,A000000,04800,0000,4800AMBULANCE 433182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433182,A000000,05000,0000,5000CORF 433182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433182,A000000,05300,0000,5300INTEREST EXPENSE 433182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433182,A000000,05500,0000,5500HOSPICE 433182,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433182,A000000,06100,0000,6100NONPAID WORKERS 433182,A000000,06200,0000,6200PATIENTS LAUNDRY 433182,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433182,A81000A,00100,0100,Y 433182,A81000B,00100,0300,NURSING CONSULTING 433182,A81000B,00200,0300,DIETARY CONSULTING 433182,A81000B,00300,0300,HOME OFFICE 433182,A81000B,00400,0300,INTEREST EXPENSE 433182,A81000B,00500,0300,WORKERS COMP EXPENSE 433182,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433182,A81000B,00700,0300,MAINTENANCE SUPPLIES 433182,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433182,A81000B,00900,0300,LINEN & BEDDING 433182,A81000B,01000,0300,PAPER PRODUCTS & HAND SOAP 433182,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 433182,A81000B,01200,0300,DIETARY SUPPLEMENTS 433182,A81000B,01300,0300,DIETARY SUPPLIES 433182,A81000B,01400,0300,BIO-MEDICAL WASTE 433182,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 433182,A81000B,01600,0300,PERSONAL CARE SUPPLIES 433182,A81000B,01700,0300,INCONTINENCE SUPPLIES 433182,A81000B,01800,0300,MEDICAL SUPPLIES 433182,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 433182,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 433182,A81000B,02100,0300,PT SUPPLIES 433182,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 433182,A81000B,02300,0300,NURSING EQUIPMENT RENTAL 433182,A81000B,02400,0300,NON-LEGEND DRUGS 433182,A81000B,02500,0300,PHARMACY CONSULTANT 433182,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 433182,A81000B,02700,0300,LEGEND DRUGS 433182,A81000B,02800,0300,OFFICE SUPPLIES 433182,A81000B,02900,0300,MEDICAL RECORDS SUPPLIES 433182,A81000C,00100,0100,B 433182,A81000C,00100,0400,BRITTHAVEN INC 433182,A81000C,00100,0600,MGMT SERVICES 433182,A81000C,00200,0100,B 433182,A81000C,00200,0400,BRITTHAVEN INC 433182,A81000C,00200,0600,MGMT SERVICES 433182,A81000C,00300,0100,B 433182,A81000C,00300,0400,BRITTHAVEN INC 433182,A81000C,00300,0600,MGMT SERVICES 433182,A81000C,00400,0100,B 433182,A81000C,00400,0400,BRITTHAVEN INC 433182,A81000C,00400,0600,MGMT SERVICES 433182,A81000C,00500,0100,A 433182,A81000C,00500,0200,DISCOVERY INSUR 433182,A81000C,00500,0600,INSURANCE 433182,A81000C,00600,0100,A 433182,A81000C,00600,0200,QUEENSLAND ASSU 433182,A81000C,00600,0600,INSURANCE 433182,A81000C,00700,0100,B 433182,A81000C,00700,0400,KARE MEDICAL 433182,A81000C,00700,0600,WHOLESALE SUPPL 433182,A81000C,00800,0100,B 433182,A81000C,00800,0400,KARE MEDICAL 433182,A81000C,00800,0600,WHOLESALE SUPPL 433182,A81000C,00900,0100,B 433182,A81000C,00900,0400,KARE MEDICAL 433182,A81000C,00900,0600,WHOLESALE SUPPL 433182,A81000C,01000,0100,B 433182,A81000C,01000,0400,KARE MEDICAL 433182,A81000C,01000,0600,WHOLESALE SUPPL 433182,A81000C,01001,0100,B 433182,A81000C,01001,0400,KARE MEDICAL 433182,A81000C,01001,0600,WHOLESALE SUPPL 433182,A81000C,01002,0100,B 433182,A81000C,01002,0400,KARE MEDICAL 433182,A81000C,01002,0600,WHOLESALE SUPPL 433182,A81000C,01003,0100,B 433182,A81000C,01003,0400,KARE MEDICAL 433182,A81000C,01003,0600,WHOLESALE SUPPL 433182,A81000C,01004,0100,B 433182,A81000C,01004,0400,KARE MEDICAL 433182,A81000C,01004,0600,WHOLESALE SUPPL 433182,A81000C,01005,0100,B 433182,A81000C,01005,0400,KARE MEDICAL 433182,A81000C,01005,0600,WHOLESALE SUPPL 433182,A81000C,01006,0100,B 433182,A81000C,01006,0400,KARE MEDICAL 433182,A81000C,01006,0600,WHOLESALE SUPPL 433182,A81000C,01007,0100,B 433182,A81000C,01007,0400,KARE MEDICAL 433182,A81000C,01007,0600,WHOLESALE SUPPL 433182,A81000C,01008,0100,B 433182,A81000C,01008,0400,KARE MEDICAL 433182,A81000C,01008,0600,WHOLESALE SUPPL 433182,A81000C,01009,0100,B 433182,A81000C,01009,0400,KARE MEDICAL 433182,A81000C,01009,0600,WHOLESALE SUPPL 433182,A81000C,01010,0100,B 433182,A81000C,01010,0400,KARE MEDICAL 433182,A81000C,01010,0600,WHOLESALE SUPPL 433182,A81000C,01011,0100,B 433182,A81000C,01011,0400,KARE MEDICAL 433182,A81000C,01011,0600,WHOLESALE SUPPL 433182,A81000C,01012,0100,B 433182,A81000C,01012,0400,KARE MEDICAL 433182,A81000C,01012,0600,WHOLESALE SUPPL 433182,A81000C,01013,0100,B 433182,A81000C,01013,0400,PHARMSAVE 433182,A81000C,01013,0600,RX SUPPLY 433182,A81000C,01014,0100,B 433182,A81000C,01014,0400,PHARMSAVE 433182,A81000C,01014,0600,RX SUPPLY 433182,A81000C,01015,0100,B 433182,A81000C,01015,0400,PHARMSAVE 433182,A81000C,01015,0600,RX SUPPLY 433182,A81000C,01016,0100,B 433182,A81000C,01016,0400,PHARMSAVE 433182,A81000C,01016,0600,RX SUPPLY 433182,A81000C,01017,0100,B 433182,A81000C,01017,0400,PHARMSAVE 433182,A81000C,01017,0600,RX SUPPLY 433182,A81000C,01018,0100,B 433182,A81000C,01018,0400,ROBERT HILL CON 433182,A81000C,01018,0600,CONSTRUCTION 433182,A81000C,01019,0100,B 433182,A81000C,01019,0400,ROBERT HILL CON 433182,A81000C,01019,0600,CONSTRUCTION 433182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433182,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433182,B100000,00000,0800,0800MEALS SERVED :DIETARY 433182,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433182,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433182,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433182,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433182,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433182,G300000,02500,0000, OTHER (SPECIFY) 433182,S000000,00100,0200,02/24/12 433182,S200000,00100,0100,430 W. HEALTH CENTER DRIVE 433182,S200000,00200,0100,NAGS HEAD 433182,S200000,00200,0200,NC 433182,S200000,00200,0300,27959 433182,S200000,00300,0100,DARE 433182,S200000,00300,0201,99934 433182,S200000,00300,0300,R 433182,S200000,00400,0100,BRITTHAVEN OF OUTER BANKS 433182,S200000,00400,0200,345226 433182,S200000,00400,0300,10/01/84 433182,S200000,00400,0500,P 433182,S200000,01500,0100,N 433182,S200000,01501,0200,Y 433182,S200000,01502,0200,Y 433182,S200000,01503,0200,Y 433182,S200000,01504,0200,Y 433182,S200000,01505,0000,OTHER (SPECIFY) 433182,S200000,01505,0200,Y 433182,S200000,01600,0100,Y 433182,S200000,01700,0100,N 433182,S200000,01800,0100,N 433182,S200000,02200,0100,N 433182,S200000,02800,0100,N 433182,S200000,02900,0100,N 433182,S200000,03000,0100,N 433182,S200000,03100,0100,Y 433182,S200000,03200,0100,N 433182,S200000,03300,0100,N 433182,S200000,03300,0200,N 433182,S200000,04100,0100,N 433182,S200000,04200,0100,N 433182,S200000,04300,0100,N 433182,S200000,04600,0100,N 433182,S200000,04700,0100,N 433182,S200000,04700,0200,N 433182,S200000,04900,0100,N 433182,S200000,05000,0100,N 433182,S200000,05100,0100,N 433182,S200000,05200,0100,N 433182,S200000,05300,0100,Y 433182,S200000,05300,0200,349011 433182,S200000,05400,0100,BRITTHAVEN INC. 433182,S200000,05400,0200,PALMETTO GBA 433182,S200000,05400,0300,11501 433182,S200000,05500,0100,1435 HWY 258 NORTH 433182,S200000,05500,0200,PO BOX 61 433182,S200000,05600,0100,KINSTON 433182,S200000,05600,0200,NC 433182,S200000,05600,0300,28502 433183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433183,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433183,A000000,00300,0000,0300EMPLOYEE BENEFITS 433183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433183,A000000,00700,0000,0700HOUSEKEEPING 433183,A000000,00800,0000,0800DIETARY 433183,A000000,00900,0000,0900NURSING ADMINISTRATION 433183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433183,A000000,01300,0000,1300SOCIAL SERVICE 433183,A000000,01600,0000,1600SKILLED NURSING FACILITY 433183,A000000,01800,0000,1800NURSING FACILITY 433183,A000000,01900,0000,1900OTHER LONG TERM CARE 433183,A000000,02100,0000,2100RADIOLOGY 433183,A000000,02200,0000,2200LABORATORY 433183,A000000,02300,0000,2300INTRAVENOUS THERAPY 433183,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433183,A000000,02500,0000,2500PHYSICAL THERAPY 433183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433183,A000000,02700,0000,2700SPEECH PATHOLOGY 433183,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433183,A000000,03200,0000,3200SUPPORT SURFACES 433183,A000000,05300,0000,5300INTEREST EXPENSE 433183,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433183,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433183,A81000A,00100,0100,Y 433183,A81000B,00100,0300,RELATED-PARTY RENT 433183,A81000B,00200,0300,NON-LEGEND DRUGS 433183,A81000B,00300,0300,OXYGEN SUPPLIES 433183,A81000B,00400,0300,LEGEND DRUGS 433183,A81000C,00100,0100,A 433183,A81000C,00100,0200,VARIOUS 433183,A81000C,00100,0400,CAROLINA CARE C 433183,A81000C,00100,0600,RENTAL 433183,A81000C,00200,0100,D 433183,A81000C,00200,0400,HOUSER DRUG CO. 433183,A81000C,00200,0600,PHARMACY 433183,A81000C,00300,0100,D 433183,A81000C,00300,0400,HOUSER DRUG CO. 433183,A81000C,00300,0600,PHARMACY 433183,A81000C,00400,0100,D 433183,A81000C,00400,0400,HOUSER DRUG CO. 433183,A81000C,00400,0600,PHARMACY 433183,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433183,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433183,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433183,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433183,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433183,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433183,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433183,B100000,00000,0800,0800MEALS SERVED :DIETARY 433183,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433183,B100000,00000,1200,1250DIRECT NURSING :MEDICAL RECORDS 433183,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433183,E10A180,00351,0100,07/27/11 433183,G300000,02500,0000, OTHER (SPECIFY) 433183,S000000,00100,0200,03/01/12 433183,S200000,00100,0100,111 HARRILSON ROAD 433183,S200000,00200,0100,CHERRYVILLE 433183,S200000,00200,0200,NC 433183,S200000,00200,0300,28021 433183,S200000,00300,0100,GASTON 433183,S200000,00300,0201,16740 433183,S200000,00300,0300,U 433183,S200000,00400,0100,CAROLINA CARE CENTER OF CHERRYVILLE 433183,S200000,00400,0200,345255 433183,S200000,00400,0300,08/19/86 433183,S200000,00400,0500,P 433183,S200000,01500,0100,N 433183,S200000,01600,0100,Y 433183,S200000,01700,0100,N 433183,S200000,01800,0100,N 433183,S200000,02200,0100,N 433183,S200000,02800,0100,N 433183,S200000,02900,0100,N 433183,S200000,03000,0100,N 433183,S200000,03100,0100,N 433183,S200000,03200,0100,N 433183,S200000,03300,0100,N 433183,S200000,03300,0200,N 433183,S200000,04100,0100,N 433183,S200000,04200,0100,N 433183,S200000,04300,0100,N 433183,S200000,04600,0100,N 433183,S200000,04700,0100,N 433183,S200000,04700,0200,N 433183,S200000,04900,0100,N 433183,S200000,05000,0100,N 433183,S200000,05100,0100,N 433183,S200000,05200,0100,N 433183,S200000,05300,0100,N 433184,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433184,A000000,00300,0000,0300EMPLOYEE BENEFITS 433184,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433184,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433184,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433184,A000000,00700,0000,0700HOUSEKEEPING 433184,A000000,00800,0000,0800DIETARY 433184,A000000,01100,0000,1100PHARMACY 433184,A000000,01500,0000,1350PATIENT ACTIVITIES 433184,A000000,01600,0000,1600SKILLED NURSING FACILITY 433184,A000000,01800,0000,1800NURSING FACILITY 433184,A000000,01900,0000,1900OTHER LONG TERM CARE 433184,A000000,02100,0000,2100RADIOLOGY 433184,A000000,02200,0000,2200LABORATORY 433184,A000000,02300,0000,2300INTRAVENOUS THERAPY 433184,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433184,A000000,02500,0000,2500PHYSICAL THERAPY 433184,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433184,A000000,02700,0000,2700SPEECH PATHOLOGY 433184,A000000,02800,0000,2800ELECTROCARDIOLOGY 433184,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433184,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433184,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433184,A000000,03200,0000,3200SUPPORT SURFACES 433184,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433184,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433184,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433184,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433184,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433184,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433184,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433184,A000000,06100,0000,6100NONPAID WORKERS 433184,A000000,06200,0000,6200PATIENTS LAUNDRY 433184,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433184,A81000A,00100,0100,Y 433184,A81000B,00100,0300,CENTRAL OFFICE OVHD 433184,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433184,A81000B,00300,0300,RENT-LAND&BLDG 433184,A81000B,00400,0300,SUPPLIES 433184,A81000B,00500,0300,SUPPLIES 433184,A81000B,00600,0300,SUPPLIES 433184,A81000B,00700,0300,PHARMACY 433184,A81000B,00800,0300,PHARMACY 433184,A81000B,00900,0300,PHARMACY 433184,A81000B,01000,0300,PHARMACY 433184,A81000C,00100,0100,B 433184,A81000C,00100,0200,AUTUMN CORPORATION 433184,A81000C,00100,0400,AUTUMN CORPORATION 433184,A81000C,00100,0600,HOME OFFICE 433184,A81000C,00200,0100,B 433184,A81000C,00200,0200,AUTUMN CORPORATION 433184,A81000C,00200,0400,AUTUMN CORPORATION 433184,A81000C,00200,0600,HOME OFFICE 433184,A81000C,00300,0100,B 433184,A81000C,00300,0200,AUTUMN CARE FACILITIES 433184,A81000C,00300,0400,AUTUMN CORPORATION 433184,A81000C,00300,0600,RENTAL OF NURSING HOME 433184,A81000C,00400,0100,A 433184,A81000C,00400,0200,WINCARE 433184,A81000C,00400,0400,AUTUMN CORPORATION 433184,A81000C,00400,0600,SUPPLIES 433184,A81000C,00500,0100,A 433184,A81000C,00500,0200,LEGACY 433184,A81000C,00500,0400,AUTUMN CORPORATION 433184,A81000C,00500,0600,PHARMACY 433184,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433184,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433184,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433184,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433184,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433184,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433184,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433184,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433184,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433184,E10A180,00350,0100,07/27/11 433184,E10A180,00550,0100,02/16/12 433184,G300000,02500,0000,MISC 433184,S000000,00100,0200,02/16/12 433184,S200000,00100,0100,311 W. PHIFER 433184,S200000,00100,0300,608 433184,S200000,00200,0100,MARSHVILLE 433184,S200000,00200,0200,NC 433184,S200000,00200,0300,28103 433184,S200000,00300,0100,UNION 433184,S200000,00300,0200,1520 433184,S200000,00300,0201,16740 433184,S200000,00300,0300,U 433184,S200000,00400,0100,AUTUMN CARE OF MARSHVILLE 433184,S200000,00400,0200,345268 433184,S200000,00400,0300,12/01/87 433184,S200000,00400,0500,P 433184,S200000,01500,0100,Y 433184,S200000,01501,0200,Y 433184,S200000,01600,0100,N 433184,S200000,01700,0100,N 433184,S200000,01800,0100,N 433184,S200000,02200,0100,N 433184,S200000,02800,0100,N 433184,S200000,02900,0100,N 433184,S200000,03000,0100,N 433184,S200000,03100,0100,N 433184,S200000,03200,0100,N 433184,S200000,03300,0100,N 433184,S200000,03300,0200,N 433184,S200000,04100,0100,N 433184,S200000,04200,0100,N 433184,S200000,04300,0100,N 433184,S200000,04600,0100,N 433184,S200000,04700,0100,N 433184,S200000,04700,0200,N 433184,S200000,04900,0100,N 433184,S200000,05000,0100,N 433184,S200000,05100,0100,N 433184,S200000,05200,0100,N 433185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433185,A000000,00300,0000,0300EMPLOYEE BENEFITS 433185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433185,A000000,00700,0000,0700HOUSEKEEPING 433185,A000000,00800,0000,0800DIETARY 433185,A000000,00900,0000,0900NURSING ADMINISTRATION 433185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433185,A000000,01100,0000,1100PHARMACY 433185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433185,A000000,01300,0000,1300SOCIAL SERVICE 433185,A000000,01500,0000,1350PATIENT ACTIVITIES 433185,A000000,01600,0000,1600SKILLED NURSING FACILITY 433185,A000000,01900,0000,1900OTHER LONG TERM CARE 433185,A000000,02100,0000,2100RADIOLOGY 433185,A000000,02200,0000,2200LABORATORY 433185,A000000,02500,0000,2500PHYSICAL THERAPY 433185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433185,A000000,02700,0000,2700SPEECH PATHOLOGY 433185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433185,A000000,03200,0000,3200SUPPORT SURFACES 433185,A000000,04800,0000,4800AMBULANCE 433185,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433185,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433185,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433185,A81000A,00100,0100,Y 433185,A81000B,00100,0300,HOME OFFICE - NON CAPITAL 433185,A81000B,00200,0300,HOME OFFICE - CAPITAL 433185,A81000C,00100,0100,B 433185,A81000C,00100,0400,UCRH INC. 433185,A81000C,00100,0600,HOME OFFICE 433185,A81000C,00200,0100,B 433185,A81000C,00200,0400,UCRH INC. 433185,A81000C,00200,0600,HOME OFFICE 433185,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433185,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433185,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433185,B100000,00000,0600,0600POUNDS :LAUNDRY & LINEN SERVIC 433185,B100000,00000,0700,0750SQR FTG EXCEPT I/L:HOUSEKEEPING 433185,B100000,00000,0800,0800MEALS SERVED :DIETARY 433185,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433185,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433185,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433185,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433185,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433185,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433185,G300000,02500,0000,BARBER AND BEAUTY 433185,G300000,02501,0000,OTHER INCOME 433185,S000000,00100,0200,02/20/12 433185,S200000,00100,0100,100 HEDRICK DRIVE 433185,S200000,00200,0100,THOMASVILLE 433185,S200000,00200,0200,NC 433185,S200000,00200,0300,27360 433185,S200000,00300,0100,DAVIDSON 433185,S200000,00300,0200,20 433185,S200000,00300,0201,99934 433185,S200000,00300,0300,R 433185,S200000,00400,0100,UCRH-PIEDMONT CENTER 433185,S200000,00400,0200,345310 433185,S200000,00400,0300,11/01/89 433185,S200000,00400,0500,P 433185,S200000,01500,0100,Y 433185,S200000,01501,0200,Y 433185,S200000,01600,0100,N 433185,S200000,01700,0100,Y 433185,S200000,01800,0100,N 433185,S200000,02200,0100,N 433185,S200000,02800,0100,N 433185,S200000,02900,0100,N 433185,S200000,03000,0100,N 433185,S200000,03100,0100,N 433185,S200000,03200,0100,N 433185,S200000,03300,0100,N 433185,S200000,03300,0200,N 433185,S200000,04100,0100,N 433185,S200000,04200,0100,N 433185,S200000,04300,0100,N 433185,S200000,04600,0100,N 433185,S200000,04700,0100,N 433185,S200000,04700,0200,N 433185,S200000,04900,0100,N 433185,S200000,05000,0100,N 433185,S200000,05100,0100,N 433185,S200000,05200,0100,N 433185,S200000,05300,0100,Y 433185,S200000,05300,0200,349040 433185,S200000,05400,0100,UNITED CHURCH RETIREMENT HOMES INC 433185,S200000,05400,0200,PALMETTO GBA 433185,S200000,05400,0300,11001 433185,S200000,05500,0100,100 LEONARD AVENUE 433185,S200000,05600,0100,NEWTON 433185,S200000,05600,0200,NC 433185,S200000,05600,0300,28658 433187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433187,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433187,A000000,00300,0000,0300EMPLOYEE BENEFITS 433187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433187,A000000,00700,0000,0700HOUSEKEEPING 433187,A000000,00800,0000,0800DIETARY 433187,A000000,00900,0000,0900NURSING ADMINISTRATION 433187,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433187,A000000,01100,0000,1100PHARMACY 433187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433187,A000000,01300,0000,1300SOCIAL SERVICE 433187,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433187,A000000,01600,0000,1600SKILLED NURSING FACILITY 433187,A000000,01800,0000,1800NURSING FACILITY 433187,A000000,01900,0000,1900OTHER LONG TERM CARE 433187,A000000,02100,0000,2100RADIOLOGY 433187,A000000,02200,0000,2200LABORATORY 433187,A000000,02300,0000,2300INTRAVENOUS THERAPY 433187,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433187,A000000,02500,0000,2500PHYSICAL THERAPY 433187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433187,A000000,02700,0000,2700SPEECH PATHOLOGY 433187,A000000,02800,0000,2800ELECTROCARDIOLOGY 433187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433187,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433187,A000000,03200,0000,3200SUPPORT SURFACES 433187,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433187,A000000,03400,0000,3400CLINIC 433187,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433187,A000000,04800,0000,4800AMBULANCE 433187,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433187,A000000,05000,0000,5000CORF 433187,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433187,A000000,05300,0000,5300INTEREST EXPENSE 433187,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433187,A000000,05500,0000,5500HOSPICE 433187,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433187,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433187,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433187,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433187,A000000,06100,0000,6100NONPAID WORKERS 433187,A000000,06200,0000,6200PATIENTS LAUNDRY 433187,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433187,A81000A,00100,0100,Y 433187,A81000B,00100,0300,NURSING CONSULTING 433187,A81000B,00200,0300,DIETARY CONSULTING 433187,A81000B,00300,0300,HOME OFFICE 433187,A81000B,00400,0300,INTEREST EXPENSE 433187,A81000B,00500,0300,WORKERS COMP EXPENSE 433187,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433187,A81000B,00700,0300,MAINTENANCE SUPPLIES 433187,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433187,A81000B,00900,0300,REPARIS - EQUIPMENT 433187,A81000B,01000,0300,LINEN & BEDDING 433187,A81000B,01100,0300,HSKP SUPPLIES 433187,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433187,A81000B,01300,0300,HSKP SUPPLIES 433187,A81000B,01400,0300,DIETARY SUPPLEMENTS 433187,A81000B,01500,0300,DIETARY SUPPLIES 433187,A81000B,01600,0300,BIO-MEDICAL WASTE 433187,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433187,A81000B,01800,0300,PERSONAL CARE SUPPLIES 433187,A81000B,01900,0300,INCONTINENCE SUPPLIES 433187,A81000B,02000,0300,MEDICAL SUPPLIES 433187,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 433187,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 433187,A81000B,02300,0300,PT SUPPLIES 433187,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 433187,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 433187,A81000B,02600,0300,NON-LEGEND DRUGS 433187,A81000B,02700,0300,PHARMACY CONSULTANT 433187,A81000B,02800,0300,MED REC SUPPLIES 433187,A81000B,02900,0300,LEGEND DRUGS 433187,A81000C,00100,0100,B 433187,A81000C,00100,0400,BRITTHAVEN INC 433187,A81000C,00100,0600,MGMT SERVICES 433187,A81000C,00200,0100,B 433187,A81000C,00200,0400,BRITTHAVEN INC 433187,A81000C,00200,0600,MGMT SERVICES 433187,A81000C,00300,0100,B 433187,A81000C,00300,0400,BRITTHAVEN INC 433187,A81000C,00300,0600,MGMT SERVICES 433187,A81000C,00400,0100,B 433187,A81000C,00400,0400,BRITTHAVEN INC 433187,A81000C,00400,0600,MGMT SERVICES 433187,A81000C,00500,0100,A 433187,A81000C,00500,0200,DISCOVERY INSUR 433187,A81000C,00500,0600,INSURANCE 433187,A81000C,00600,0100,A 433187,A81000C,00600,0200,QUEENSLAND ASSU 433187,A81000C,00600,0600,INSURANCE 433187,A81000C,00700,0100,B 433187,A81000C,00700,0400,KARE MEDICAL 433187,A81000C,00700,0600,WHOLESALE SUPPL 433187,A81000C,00800,0100,B 433187,A81000C,00800,0400,KARE MEDICAL 433187,A81000C,00800,0600,WHOLESALE SUPPL 433187,A81000C,00900,0100,B 433187,A81000C,00900,0400,KARE MEDICAL 433187,A81000C,00900,0600,WHOLESALE SUPPL 433187,A81000C,01000,0100,B 433187,A81000C,01000,0400,KARE MEDICAL 433187,A81000C,01000,0600,WHOLESALE SUPPL 433187,A81000C,01001,0100,B 433187,A81000C,01001,0400,KARE MEDICAL 433187,A81000C,01001,0600,WHOLESALE SUPPL 433187,A81000C,01002,0100,B 433187,A81000C,01002,0400,KARE MEDICAL 433187,A81000C,01002,0600,WHOLESALE SUPPL 433187,A81000C,01003,0100,B 433187,A81000C,01003,0400,KARE MEDICAL 433187,A81000C,01003,0600,WHOLESALE SUPPL 433187,A81000C,01004,0100,B 433187,A81000C,01004,0400,KARE MEDICAL 433187,A81000C,01004,0600,WHOLESALE SUPPL 433187,A81000C,01005,0100,B 433187,A81000C,01005,0400,KARE MEDICAL 433187,A81000C,01005,0600,WHOLESALE SUPPL 433187,A81000C,01006,0100,B 433187,A81000C,01006,0400,KARE MEDICAL 433187,A81000C,01006,0600,WHOLESALE SUPPL 433187,A81000C,01007,0100,B 433187,A81000C,01007,0400,KARE MEDICAL 433187,A81000C,01007,0600,WHOLESALE SUPPL 433187,A81000C,01008,0100,B 433187,A81000C,01008,0400,KARE MEDICAL 433187,A81000C,01008,0600,WHOLESALE SUPPL 433187,A81000C,01009,0100,B 433187,A81000C,01009,0400,KARE MEDICAL 433187,A81000C,01009,0600,WHOLESALE SUPPL 433187,A81000C,01010,0100,B 433187,A81000C,01010,0400,KARE MEDICAL 433187,A81000C,01010,0600,WHOLESALE SUPPL 433187,A81000C,01011,0100,B 433187,A81000C,01011,0400,KARE MEDICAL 433187,A81000C,01011,0600,WHOLESALE SUPPL 433187,A81000C,01012,0100,B 433187,A81000C,01012,0400,KARE MEDICAL 433187,A81000C,01012,0600,WHOLESALE SUPPL 433187,A81000C,01013,0100,B 433187,A81000C,01013,0400,KARE MEDICAL 433187,A81000C,01013,0600,WHOLESALE SUPPL 433187,A81000C,01014,0100,B 433187,A81000C,01014,0400,KARE MEDICAL 433187,A81000C,01014,0600,WHOLESALE SUPPL 433187,A81000C,01015,0100,B 433187,A81000C,01015,0400,PHARMSAVE 433187,A81000C,01015,0600,RX SUPPLY 433187,A81000C,01016,0100,B 433187,A81000C,01016,0400,PHARMSAVE 433187,A81000C,01016,0600,RX SUPPLY 433187,A81000C,01017,0100,B 433187,A81000C,01017,0400,PHARMSAVE 433187,A81000C,01017,0600,RX SUPPLY 433187,A81000C,01018,0100,B 433187,A81000C,01018,0400,PHARMSAVE 433187,A81000C,01018,0600,RX SUPPLY 433187,A81000C,01019,0100,B 433187,A81000C,01019,0400,PHARMSAVE 433187,A81000C,01019,0600,RX SUPPLY 433187,A81000C,01020,0100,B 433187,A81000C,01020,0400,ROBERT HILL CON 433187,A81000C,01020,0600,CONSTRUCTION 433187,A81000C,01021,0100,B 433187,A81000C,01021,0400,ROBERT HILL CON 433187,A81000C,01021,0600,CONSTRUCTION 433187,A81000C,01022,0100,A 433187,A81000C,01022,0200,GRAHAM CARE CTR 433187,A81000C,01022,0600,REAL ESTATE 433187,A81000C,01023,0100,A 433187,A81000C,01023,0200,GRAHAM CARE CTR 433187,A81000C,01023,0600,REAL ESTATE 433187,A81000C,01024,0100,A 433187,A81000C,01024,0200,GRAHAM CARE CTR 433187,A81000C,01024,0600,REAL ESTATE 433187,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433187,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433187,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433187,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433187,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433187,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433187,B100000,00000,0800,0800MEALS SERVED :DIETARY 433187,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433187,B100000,00000,1000,1050TIME SPENT :CENTRAL SERVICES & 433187,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433187,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433187,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433187,G300000,02500,0000, OTHER (SPECIFY) 433187,S000000,00100,0200,02/24/12 433187,S200000,00100,0100,811 SNOWBIRD ROAD 433187,S200000,00200,0100,ROBBINSVILLE 433187,S200000,00200,0200,NC 433187,S200000,00200,0300,28771 433187,S200000,00300,0100,GRAHAM 433187,S200000,00300,0201,99934 433187,S200000,00300,0300,R 433187,S200000,00400,0100,BRITTHAVEN OF GRAHAM 433187,S200000,00400,0200,345355 433187,S200000,00400,0300,11/01/98 433187,S200000,00400,0500,P 433187,S200000,01500,0100,N 433187,S200000,01501,0200,Y 433187,S200000,01502,0200,Y 433187,S200000,01503,0200,Y 433187,S200000,01504,0200,Y 433187,S200000,01505,0000,OTHER (SPECIFY) 433187,S200000,01505,0200,Y 433187,S200000,01600,0100,Y 433187,S200000,01700,0100,N 433187,S200000,01800,0100,N 433187,S200000,02200,0100,N 433187,S200000,02800,0100,N 433187,S200000,02900,0100,N 433187,S200000,03000,0100,N 433187,S200000,03100,0100,Y 433187,S200000,03200,0100,N 433187,S200000,03300,0100,N 433187,S200000,03300,0200,N 433187,S200000,04100,0100,N 433187,S200000,04200,0100,N 433187,S200000,04300,0100,N 433187,S200000,04600,0100,N 433187,S200000,04700,0100,N 433187,S200000,04700,0200,N 433187,S200000,04900,0100,N 433187,S200000,05000,0100,N 433187,S200000,05100,0100,N 433187,S200000,05200,0100,N 433187,S200000,05300,0100,Y 433187,S200000,05300,0200,349011 433187,S200000,05400,0100,BRITTHAVEN INC. 433187,S200000,05400,0200,PALMETTO GBA 433187,S200000,05400,0300,11501 433187,S200000,05500,0100,1435 HWY 258 NORTH 433187,S200000,05600,0100,KINSTON 433187,S200000,05600,0200,NC 433187,S200000,05600,0300,28502 433188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433188,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433188,A000000,00300,0000,0300EMPLOYEE BENEFITS 433188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433188,A000000,00700,0000,0700HOUSEKEEPING 433188,A000000,00800,0000,0800DIETARY 433188,A000000,00900,0000,0900NURSING ADMINISTRATION 433188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433188,A000000,01100,0000,1100PHARMACY 433188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433188,A000000,01300,0000,1300SOCIAL SERVICE 433188,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433188,A000000,01500,0000,1350ACTIVITIES 433188,A000000,01600,0000,1600SKILLED NURSING FACILITY 433188,A000000,01810,0000,1810ICF/MR 433188,A000000,02100,0000,2100RADIOLOGY 433188,A000000,02200,0000,2200LABORATORY 433188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433188,A000000,02500,0000,2500PHYSICAL THERAPY 433188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433188,A000000,02700,0000,2700SPEECH PATHOLOGY 433188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433188,A000000,03550,0000,3550FQHC 433188,A000000,04800,0000,4800AMBULANCE 433188,A000000,05000,0000,5000CORF 433188,A000000,05010,0000,5010CMHC 433188,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433188,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433188,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433188,A81000A,00100,0100,Y 433188,A81000B,00100,0300,HO A&G 433188,A81000B,00200,0300,HO INTEREST 433188,A81000B,00300,0300,HO BUIDLING 433188,A81000B,00400,0300,PT 433188,A81000B,00500,0300,OT 433188,A81000B,00600,0300,ST 433188,A81000B,00700,0300,DIETARY 433188,A81000B,00800,0300,SKILLED NURSING 433188,A81000B,00900,0300,RT 433188,A81000B,01000,0300,MED SUPPLIES 433188,A81000B,01100,0300,MEDICAL DIRECTOR 433188,A81000C,00100,0100,B 433188,A81000C,00100,0200,GENESIS HEALTH 433188,A81000C,00100,0600,MANAGEMENT COMP 433188,A81000C,00200,0100,B 433188,A81000C,00200,0200,GENESIS HEALTH 433188,A81000C,00200,0600,MANAGEMENT COMP 433188,A81000C,00300,0100,B 433188,A81000C,00300,0200,GENESIS HEALTH 433188,A81000C,00300,0600,MANAGEMENT COMP 433188,A81000C,00400,0100,B 433188,A81000C,00400,0200,GENESIS REHAB 433188,A81000C,00400,0400,GENESIS HEALTH 433188,A81000C,00400,0600,REHAB SERVICES 433188,A81000C,00500,0100,B 433188,A81000C,00500,0200,GENESIS REHAB 433188,A81000C,00500,0400,GENESIS HEALTH 433188,A81000C,00500,0600,REHAB SERVICES 433188,A81000C,00600,0100,B 433188,A81000C,00600,0200,GENESIS REHAB 433188,A81000C,00600,0400,GENESIS HEALTH 433188,A81000C,00600,0600,REHAB SERVICES 433188,A81000C,00700,0100,B 433188,A81000C,00700,0200,GENESIS HOSPITA 433188,A81000C,00700,0400,GENESIS HEALTH 433188,A81000C,00700,0600,CONSULTING SERV 433188,A81000C,00800,0100,B 433188,A81000C,00800,0200,RESPIRATORY HEA 433188,A81000C,00800,0400,GENESIS HEALTH 433188,A81000C,00800,0600,RESPIRATORY THE 433188,A81000C,00900,0100,B 433188,A81000C,00900,0200,RESPIRATORY HEA 433188,A81000C,00900,0400,GENESIS HEALTH 433188,A81000C,00900,0600,RESPIRATORY THE 433188,A81000C,01000,0100,B 433188,A81000C,01000,0200,RESPIRATAORY HE 433188,A81000C,01000,0400,GENESIS HEALTH 433188,A81000C,01000,0600,RESPIRATORY THE 433188,A81000C,01001,0100,B 433188,A81000C,01001,0200,GENESIS PHYSICI 433188,A81000C,01001,0400,GENESIS HEALTH 433188,A81000C,01001,0600,MEDICAL DIRECTO 433188,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433188,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433188,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433188,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433188,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433188,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 433188,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433188,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433188,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433188,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433188,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433188,G300000,02500,0000,BARBER & BEAUTY & MISC 433188,S000000,00100,0200,03/08/12 433188,S200000,00100,0100,10 3 MILE CURVE 433188,S200000,00200,0100,LOGAN 433188,S200000,00200,0200,WV 433188,S200000,00200,0300,25601 433188,S200000,00300,0100,LOGAN 433188,S200000,00300,0201,99951 433188,S200000,00300,0300,R 433188,S200000,00400,0100,LOGAN CENTER 433188,S200000,00400,0200,515175 433188,S200000,00400,0300,09/10/01 433188,S200000,00400,0500,P 433188,S200000,01500,0100,Y 433188,S200000,01502,0200,Y 433188,S200000,01504,0200,N 433188,S200000,01600,0100,N 433188,S200000,01700,0100,N 433188,S200000,01800,0100,N 433188,S200000,01900,0100,LLC 433188,S200000,02200,0100,Y 433188,S200000,02800,0100,N 433188,S200000,02900,0100,N 433188,S200000,03000,0100,N 433188,S200000,03100,0100,N 433188,S200000,03200,0100,N 433188,S200000,03300,0100,N 433188,S200000,03300,0200,N 433188,S200000,03600,0100,N 433188,S200000,03600,0200,N 433188,S200000,04100,0100,N 433188,S200000,04200,0100,N 433188,S200000,04300,0100,N 433188,S200000,04600,0100,N 433188,S200000,04700,0100,N 433188,S200000,04700,0200,N 433188,S200000,04900,0100,N 433188,S200000,05000,0100,N 433188,S200000,05100,0100,N 433188,S200000,05200,0100,N 433188,S200000,05300,0100,Y 433188,S200000,05300,0200,HB0067 433188,S200000,05400,0100,GENESIS HEALTH CARE CORPORATION 433188,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433188,S200000,05400,0300,12001 433188,S200000,05500,0100,101 EAST STATE STREET 433188,S200000,05600,0100,KENNETT SQUARE 433188,S200000,05600,0200,PA 433188,S200000,05600,0300,19348 433209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433209,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433209,A000000,00300,0000,0300EMPLOYEE BENEFITS 433209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433209,A000000,00700,0000,0700HOUSEKEEPING 433209,A000000,00800,0000,0800DIETARY 433209,A000000,00900,0000,0900NURSING ADMINISTRATION 433209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433209,A000000,01100,0000,1100PHARMACY 433209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433209,A000000,01300,0000,1300SOCIAL SERVICE 433209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433209,A000000,01500,0000,1350RECREATION 433209,A000000,01600,0000,1600SKILLED NURSING FACILITY 433209,A000000,01810,0000,1810ICF/MR 433209,A000000,02100,0000,2100RADIOLOGY 433209,A000000,02200,0000,2200LABORATORY 433209,A000000,02300,0000,2300INTRAVENOUS THERAPY 433209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433209,A000000,02500,0000,2500PHYSICAL THERAPY 433209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433209,A000000,02700,0000,2700SPEECH PATHOLOGY 433209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433209,A000000,03550,0000,3550FQHC 433209,A000000,04801,0000,4801AMBULANCE 433209,A000000,04802,0000,4802AMBULANCE 433209,A000000,04803,0000,4803AMBULANCE 433209,A000000,05000,0000,5000CORF 433209,A000000,05010,0000,5010CMHC 433209,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433209,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433209,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433209,A81000A,00100,0100,Y 433209,A81000B,00100,0300,SEE ATTACHED 433209,A81000B,00200,0300,HOME OFFICE INTEREST 433209,A81000B,00300,0300,HOME OFFICE A & G 433209,A81000B,00400,0300,HOME OFFICE CAPITAL 433209,A81000C,00100,0100,B 433209,A81000C,00100,0400,SEE ATTACHED 433209,A81000C,00100,0600,VARIOUS 433209,A81000C,00200,0100,B 433209,A81000C,00200,0400,GHC 433209,A81000C,00200,0600,LONG TERM CARE 433209,A81000C,00300,0100,B 433209,A81000C,00300,0400,GHC 433209,A81000C,00300,0600,LONG TERM CARE 433209,A81000C,00400,0100,B 433209,A81000C,00400,0400,GHC 433209,A81000C,00400,0600,LONG TERM CARE 433209,B100000,00000,0100,0100SQUARE FEET 433209,B100000,00000,0200,0200SQUARE FEET 433209,B100000,00000,0300,0300GROSS SALARIES 433209,B100000,00000,0400,0400ACCUM COST 433209,B100000,00000,0500,0500SQUARE FEET 433209,B100000,00000,0600,0600PATIENT DAYS 433209,B100000,00000,0700,0700SQUARE FEET 433209,B100000,00000,0800,0800MEALS SERVED 433209,B100000,00000,0900,0900NURSING SALARIES 433209,B100000,00000,1000,1000COSTED REQUIS 433209,B100000,00000,1100,1100COSTED REQUIS 433209,B100000,00000,1200,1200PATIENT DAYS 433209,B100000,00000,1300,1300PATIENT DAYS 433209,B100000,00000,1400,1400ASSIGNED TIME 433209,B100000,00000,1500,1350PATIENT DAYS 433209,E10A180,00550,0100,01/12/12 433209,E10A180,00550,0300,01/12/12 433209,G300000,02500,0000,BARBER AND BEAUTY 433209,S000000,00100,0200,12/02/11 433209,S200000,00100,0100,530 MACOBY STREET 433209,S200000,00200,0100,PENNSBURG 433209,S200000,00200,0200,PA 433209,S200000,00200,0300,18073 433209,S200000,00300,0100,MONTGOMERY 433209,S200000,00300,0201,37964 433209,S200000,00300,0300,U 433209,S200000,00400,0100,PENNSBURG MANOR 433209,S200000,00400,0200,395555 433209,S200000,00400,0300,02/08/89 433209,S200000,00400,0500,P 433209,S200000,01500,0100,Y 433209,S200000,01501,0200,N 433209,S200000,01502,0200,N 433209,S200000,01503,0200,N 433209,S200000,01504,0200,N 433209,S200000,01600,0100,N 433209,S200000,01700,0100,N 433209,S200000,01800,0100,N 433209,S200000,01900,0100,LLC 433209,S200000,02200,0100,Y 433209,S200000,02800,0100,N 433209,S200000,02900,0100,N 433209,S200000,03000,0100,N 433209,S200000,03100,0100,N 433209,S200000,03200,0100,N 433209,S200000,03300,0100,N 433209,S200000,03300,0200,N 433209,S200000,04200,0100,N 433209,S200000,04300,0100,N 433209,S200000,04600,0100,N 433209,S200000,04700,0100,N 433209,S200000,04900,0100,N 433209,S200000,05200,0100,N 433209,S200000,05300,0100,Y 433209,S200000,05300,0200,HB0067 433209,S200000,05400,0100,GENESIS HEALTHCARE LLC 433209,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433209,S200000,05400,0300,12001 433209,S200000,05500,0100,101 EAST STATE STREET 433209,S200000,05600,0100,KENNETT SQUARE 433209,S200000,05600,0200,PA 433209,S200000,05600,0300,19348 433250,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433250,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433250,A000000,00300,0000,0300EMPLOYEE BENEFITS 433250,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433250,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433250,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433250,A000000,00700,0000,0700HOUSEKEEPING 433250,A000000,00800,0000,0800DIETARY 433250,A000000,00900,0000,0900NURSING ADMINISTRATION 433250,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433250,A000000,01100,0000,1100PHARMACY 433250,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433250,A000000,01300,0000,1300SOCIAL SERVICE 433250,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433250,A000000,01500,0000,1350RECREATION 433250,A000000,01600,0000,1600SKILLED NURSING FACILITY 433250,A000000,01810,0000,1810ICF/MR 433250,A000000,02100,0000,2100RADIOLOGY 433250,A000000,02200,0000,2200LABORATORY 433250,A000000,02300,0000,2300INTRAVENOUS THERAPY 433250,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433250,A000000,02500,0000,2500PHYSICAL THERAPY 433250,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433250,A000000,02700,0000,2700SPEECH PATHOLOGY 433250,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433250,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433250,A000000,03550,0000,3550FQHC 433250,A000000,04801,0000,4801AMBULANCE 433250,A000000,04802,0000,4802AMBULANCE 433250,A000000,04803,0000,4803AMBULANCE 433250,A000000,05000,0000,5000CORF 433250,A000000,05010,0000,5010CMHC 433250,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433250,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433250,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433250,A81000A,00100,0100,Y 433250,A81000B,00100,0300,AS ATTACHED 433250,A81000B,00200,0300,HOME OFFICE INTEREST 433250,A81000B,00300,0300,HOME OFFICE A&G 433250,A81000B,00400,0300,HOME OFFICE CAP PIEC 433250,A81000C,00100,0100,B 433250,A81000C,00100,0400,AS ATTACHED 433250,A81000C,00100,0600,VARIOUS 433250,A81000C,00200,0100,B 433250,A81000C,00200,0400,GH LLC 433250,A81000C,00200,0600,LONG TERM CARE 433250,A81000C,00300,0100,B 433250,A81000C,00300,0400,GH LLC 433250,A81000C,00300,0600,LONG TERM CARE 433250,A81000C,00400,0100,B 433250,A81000C,00400,0400,GH LLC 433250,A81000C,00400,0600,LONG TERM CARE 433250,B100000,00000,0100,0100SQUARE FEET 433250,B100000,00000,0200,0200SQUARE FEET 433250,B100000,00000,0300,0300GROSS SALARIES 433250,B100000,00000,0400,0400ACCUM COST 433250,B100000,00000,0500,0500SQUARE FEET 433250,B100000,00000,0600,0600PATIENT DAYS 433250,B100000,00000,0700,0700SQUARE FEET 433250,B100000,00000,0800,0800MEALS SERVED 433250,B100000,00000,0900,0900NURSING SALARIES 433250,B100000,00000,1000,1000COSTED REQUIS 433250,B100000,00000,1100,1100COSTED REQUIS 433250,B100000,00000,1200,1200PATIENT DAYS 433250,B100000,00000,1300,1300PATIENT DAYS 433250,B100000,00000,1400,1400ASSIGNED TIME 433250,B100000,00000,1500,1350PATIENT DAYS 433250,E10A180,00550,0100,01/05/12 433250,E10A180,00550,0300,01/05/12 433250,G300000,02500,0000,BARBER & BEAUTY 433250,S000000,00100,0200,12/02/11 433250,S200000,00100,0100,5501 PERKIOMEN AVENUE 433250,S200000,00200,0100,READING 433250,S200000,00200,0200,PA 433250,S200000,00200,0300,19606 433250,S200000,00300,0100,BERKS 433250,S200000,00300,0201,39740 433250,S200000,00300,0300,U 433250,S200000,00400,0100,BERKSHIRE CENTER 433250,S200000,00400,0200,395938 433250,S200000,00400,0300,09/22/94 433250,S200000,00400,0500,P 433250,S200000,01500,0100,Y 433250,S200000,01501,0200,N 433250,S200000,01502,0200,N 433250,S200000,01503,0200,N 433250,S200000,01504,0200,N 433250,S200000,01600,0100,N 433250,S200000,01700,0100,N 433250,S200000,01800,0100,N 433250,S200000,01900,0100,LLC 433250,S200000,02200,0100,Y 433250,S200000,02800,0100,N 433250,S200000,02900,0100,N 433250,S200000,03000,0100,N 433250,S200000,03100,0100,N 433250,S200000,03200,0100,N 433250,S200000,03300,0100,N 433250,S200000,03300,0200,N 433250,S200000,04200,0100,N 433250,S200000,04300,0100,N 433250,S200000,04600,0100,N 433250,S200000,04700,0100,N 433250,S200000,04900,0100,N 433250,S200000,05200,0100,N 433250,S200000,05300,0100,Y 433250,S200000,05300,0200,HB0067 433250,S200000,05400,0100,GENESIS HEALTHCARE LLC 433250,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433250,S200000,05400,0300,12001 433250,S200000,05500,0100,101 EAST STATE STREET 433250,S200000,05600,0100,KENNETT SQUARE 433250,S200000,05600,0200,PA 433250,S200000,05600,0300,19348 433251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433251,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433251,A000000,00300,0000,0300EMPLOYEE BENEFITS 433251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433251,A000000,00700,0000,0700HOUSEKEEPING 433251,A000000,00800,0000,0800DIETARY 433251,A000000,00900,0000,0900NURSING ADMINISTRATION 433251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433251,A000000,01100,0000,1100PHARMACY 433251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433251,A000000,01300,0000,1300SOCIAL SERVICE 433251,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433251,A000000,01600,0000,1600SKILLED NURSING FACILITY 433251,A000000,01800,0000,1800NURSING FACILITY 433251,A000000,01810,0000,1810ICF/MR 433251,A000000,01900,0000,1900OTHER LONG TERM CARE 433251,A000000,02100,0000,2100RADIOLOGY 433251,A000000,02200,0000,2200LABORATORY 433251,A000000,02300,0000,2300INTRAVENOUS THERAPY 433251,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433251,A000000,02500,0000,2500PHYSICAL THERAPY 433251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433251,A000000,02700,0000,2700SPEECH PATHOLOGY 433251,A000000,02800,0000,2800ELECTROCARDIOLOGY 433251,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433251,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433251,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433251,A000000,03200,0000,3200SUPPORT SURFACES 433251,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433251,A000000,03400,0000,3400CLINIC 433251,A000000,03500,0000,3500RURAL HEALTH CLINIC 433251,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433251,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433251,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433251,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433251,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433251,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433251,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433251,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433251,A000000,04400,0000,4400DME RENTED - HHA 433251,A000000,04500,0000,4500DME SOLD - HHA 433251,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433251,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433251,A000000,04710,0000,4710TELEMEDICINE 433251,A000000,04800,0000,4800AMBULANCE 433251,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433251,A000000,05000,0000,5000CORF 433251,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433251,A000000,05300,0000,5300INTEREST EXPENSE 433251,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433251,A000000,05500,0000,5500HOSPICE 433251,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433251,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433251,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433251,A000000,06100,0000,6100NONPAID WORKERS 433251,A000000,06200,0000,6200PATIENTS LAUNDRY 433251,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433251,A81000A,00100,0100,Y 433251,A81000B,00100,0300,COPIER 433251,A81000B,00200,0300,OFFICE SUPPLIES 433251,A81000B,00300,0300,MAINTENANCE SUPPLIES 433251,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 433251,A81000B,00500,0300,REPAIRS-EQUIPMENT 433251,A81000B,00600,0300,LINEN & BEDDING 433251,A81000B,00700,0300,SUPPLIES 433251,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433251,A81000B,00900,0300,SUPPLIES 433251,A81000B,01000,0300,DIETARY SUPPLEMENTS 433251,A81000B,01100,0300,SUPPLIES 433251,A81000B,01200,0300,BIO-MEDICAL WASTE 433251,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 433251,A81000B,01400,0300,PERSONAL CARE SUPPLIES 433251,A81000B,01500,0300,INCONTINENCE SUPPLIES 433251,A81000B,01600,0300,MEDICAL SUPPLIES 433251,A81000B,01700,0300,IV SUPPLIES 433251,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 433251,A81000B,01900,0300,SUPPLIES 433251,A81000B,02000,0300,BILLABLE MEDICAL SUPPLIES 433251,A81000B,02100,0300,NON-LEGEND DRUGS 433251,A81000B,02200,0300,PHARMACY CONSULTANT 433251,A81000B,02300,0300,SUPPLIES 433251,A81000B,02400,0300,LEGEND DRUGS 433251,A81000B,02500,0300,OFFICE SUPPLIES 433251,A81000B,02600,0300,NURSING CONSULTING 433251,A81000B,02700,0300,DIETARY CONSULTING 433251,A81000B,02800,0300,HOME OFFICE 433251,A81000B,02900,0300,INTEREST 433251,A81000C,00100,0100,A 433251,A81000C,00100,0200,SHAREHOLDERS 433251,A81000C,00100,0400,KARE MEDICAL 433251,A81000C,00100,0600,WHOLESALE SUPPL 433251,A81000C,00200,0100,A 433251,A81000C,00200,0200,SHAREHOLDERS 433251,A81000C,00200,0400,KARE MEDICAL 433251,A81000C,00200,0600,WHOLESALE SUPPL 433251,A81000C,00300,0100,A 433251,A81000C,00300,0200,SHAREHOLDERS 433251,A81000C,00300,0400,KARE MEDICAL 433251,A81000C,00300,0600,WHOLESALE SUPPL 433251,A81000C,00400,0100,A 433251,A81000C,00400,0200,SHAREHOLDERS 433251,A81000C,00400,0400,KARE MEDICAL 433251,A81000C,00400,0600,WHOLESALE SUPPL 433251,A81000C,00500,0100,A 433251,A81000C,00500,0200,SHAREHOLDERS 433251,A81000C,00500,0400,KARE MEDICAL 433251,A81000C,00500,0600,WHOLESALE SUPPL 433251,A81000C,00600,0100,A 433251,A81000C,00600,0200,SHAREHOLDERS 433251,A81000C,00600,0400,KARE MEDICAL 433251,A81000C,00600,0600,WHOLESALE SUPPL 433251,A81000C,00700,0100,A 433251,A81000C,00700,0200,SHAREHOLDERS 433251,A81000C,00700,0400,KARE MEDICAL 433251,A81000C,00700,0600,WHOLESALE SUPPL 433251,A81000C,00800,0100,A 433251,A81000C,00800,0200,SHAREHOLDERS 433251,A81000C,00800,0400,KARE MEDICAL 433251,A81000C,00800,0600,WHOLESALE SUPPL 433251,A81000C,00900,0100,A 433251,A81000C,00900,0200,SHAREHOLDERS 433251,A81000C,00900,0400,KARE MEDICAL 433251,A81000C,00900,0600,WHOLESALE SUPPL 433251,A81000C,01000,0100,A 433251,A81000C,01000,0200,SHAREHOLDERS 433251,A81000C,01000,0400,KARE MEDICAL 433251,A81000C,01000,0600,WHOLESALE SUPPL 433251,A81000C,01001,0100,A 433251,A81000C,01001,0200,SHAREHOLDERS 433251,A81000C,01001,0400,KARE MEDICAL 433251,A81000C,01001,0600,WHOLESALE SUPPL 433251,A81000C,01002,0100,A 433251,A81000C,01002,0200,SHAREHOLDERS 433251,A81000C,01002,0400,KARE MEDICAL 433251,A81000C,01002,0600,WHOLESALE SUPPL 433251,A81000C,01003,0100,A 433251,A81000C,01003,0200,SHAREHOLDERS 433251,A81000C,01003,0400,KARE MEDICAL 433251,A81000C,01003,0600,WHOLESALE SUPPL 433251,A81000C,01004,0100,A 433251,A81000C,01004,0200,SHAREHOLDERS 433251,A81000C,01004,0400,KARE MEDICAL 433251,A81000C,01004,0600,WHOLESALE SUPPL 433251,A81000C,01005,0100,A 433251,A81000C,01005,0200,SHAREHOLDERS 433251,A81000C,01005,0400,KARE MEDICAL 433251,A81000C,01005,0600,WHOLESALE SUPPL 433251,A81000C,01006,0100,A 433251,A81000C,01006,0200,SHAREHOLDERS 433251,A81000C,01006,0400,KARE MEDICAL 433251,A81000C,01006,0600,WHOLESALE SUPPL 433251,A81000C,01007,0100,A 433251,A81000C,01007,0200,SHAREHOLDERS 433251,A81000C,01007,0400,KARE MEDICAL 433251,A81000C,01007,0600,WHOLESALE SUPPL 433251,A81000C,01008,0100,A 433251,A81000C,01008,0200,SHAREHOLDERS 433251,A81000C,01008,0400,KARE MEDICAL 433251,A81000C,01008,0600,WHOLESALE SUPPL 433251,A81000C,01009,0100,A 433251,A81000C,01009,0200,SHAREHOLDERS 433251,A81000C,01009,0400,KARE MEDICAL 433251,A81000C,01009,0600,WHOLESALE SUPPL 433251,A81000C,01010,0100,A 433251,A81000C,01010,0200,SHAREHOLDERS 433251,A81000C,01010,0400,KARE MEDICAL 433251,A81000C,01010,0600,WHOLESALE SUPPL 433251,A81000C,01011,0100,A 433251,A81000C,01011,0200,SHAREHOLDERS 433251,A81000C,01011,0400,PHARMSAVE 433251,A81000C,01011,0600,RX SUPPLY 433251,A81000C,01012,0100,A 433251,A81000C,01012,0200,SHAREHOLDERS 433251,A81000C,01012,0400,PHARMSAVE 433251,A81000C,01012,0600,RX SUPPLY 433251,A81000C,01013,0100,A 433251,A81000C,01013,0200,SHAREHOLDERS 433251,A81000C,01013,0400,PHARMSAVE 433251,A81000C,01013,0600,RX SUPPLY 433251,A81000C,01014,0100,A 433251,A81000C,01014,0200,SHAREHOLDERS 433251,A81000C,01014,0400,PHARMSAVE 433251,A81000C,01014,0600,RX SUPPLY 433251,A81000C,01015,0100,A 433251,A81000C,01015,0200,SHAREHOLDERS 433251,A81000C,01015,0400,ROBERT HILL CON 433251,A81000C,01015,0600,CONSTRUCTION 433251,A81000C,01016,0100,B 433251,A81000C,01016,0200,PLTC INC. & PI 433251,A81000C,01016,0400,PLTC INC. & PI 433251,A81000C,01016,0600,MGMT SERVICES 433251,A81000C,01017,0100,B 433251,A81000C,01017,0200,PLTC INC. & PI 433251,A81000C,01017,0400,PLTC INC. & PI 433251,A81000C,01017,0600,MGMT SERVICES 433251,A81000C,01018,0100,B 433251,A81000C,01018,0200,PLTC INC. & PI 433251,A81000C,01018,0400,PLTC INC. & PI 433251,A81000C,01018,0600,MGMT SERVICES 433251,A81000C,01019,0100,B 433251,A81000C,01019,0200,PLTC INC. & PI 433251,A81000C,01019,0400,PLTC INC. & PI 433251,A81000C,01019,0600,MGMT SERVICES 433251,A81000C,01020,0100,A 433251,A81000C,01020,0200,SHAREHOLDERS 433251,A81000C,01020,0400,QUEENSLAND ASSU 433251,A81000C,01020,0600,INSURANCE 433251,A81000C,01021,0100,A 433251,A81000C,01021,0200,SHAREHOLDERS 433251,A81000C,01021,0400,BRITTHAVEN INC 433251,A81000C,01021,0600,REAL ESTATE 433251,A81000C,01022,0100,A 433251,A81000C,01022,0200,SHAREHOLDERS 433251,A81000C,01022,0400,BRITTHAVEN INC 433251,A81000C,01022,0600,REAL ESTATE 433251,A81000C,01023,0100,A 433251,A81000C,01023,0200,SHAREHOLDERS 433251,A81000C,01023,0400,HILLCO LTD. 433251,A81000C,01023,0600,REAL ESTATE 433251,A81000C,01024,0100,A 433251,A81000C,01024,0200,SHAREHOLDERS 433251,A81000C,01024,0400,BRITTHAVEN INC 433251,A81000C,01024,0600,REAL ESTATE 433251,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433251,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433251,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433251,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433251,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433251,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433251,B100000,00000,0800,0800MEALS SERVED :DIETARY 433251,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433251,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433251,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433251,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433251,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433251,E10A180,00550,0100,05/29/12 433251,E10A180,00551,0100,05/29/12 433251,G300000,02500,0000, OTHER (SPECIFY) 433251,S000000,00100,0200,03/01/12 433251,S200000,00100,0100,9600 LAMBORNE BLVD 433251,S200000,00200,0100,LOUISVILLE 433251,S200000,00200,0200,KY 433251,S200000,00200,0300,40272 433251,S200000,00300,0100,JEFFERSON 433251,S200000,00300,0201,31140 433251,S200000,00300,0300,U 433251,S200000,00400,0100,ESSEX NURSING & REHABILITATION CTR 433251,S200000,00400,0200,185288 433251,S200000,00400,0300,09/01/91 433251,S200000,00400,0500,P 433251,S200000,01500,0100,Y 433251,S200000,01501,0200,Y 433251,S200000,01502,0200,Y 433251,S200000,01503,0200,Y 433251,S200000,01504,0200,Y 433251,S200000,01505,0000,OTHER (SPECIFY) 433251,S200000,01505,0200,Y 433251,S200000,01600,0100,N 433251,S200000,01700,0100,N 433251,S200000,01800,0100,N 433251,S200000,02200,0100,N 433251,S200000,02800,0100,N 433251,S200000,02900,0100,N 433251,S200000,03000,0100,N 433251,S200000,03100,0100,N 433251,S200000,03200,0100,N 433251,S200000,03300,0100,N 433251,S200000,03300,0200,N 433251,S200000,03600,0100,N 433251,S200000,03600,0200,N 433251,S200000,04100,0100,N 433251,S200000,04200,0100,N 433251,S200000,04300,0100,N 433251,S200000,04600,0100,N 433251,S200000,04700,0100,N 433251,S200000,04700,0200,N 433251,S200000,04900,0100,N 433251,S200000,05000,0100,N 433251,S200000,05100,0100,N 433251,S200000,05200,0100,N 433251,S200000,05300,0100,Y 433251,S200000,05300,0200,349011 433251,S200000,05400,0100,PLTC INC & PITS INC. 433251,S200000,05400,0200,CGS 433251,S200000,05400,0300,00160 433251,S200000,05500,0100,1435 HWY 258 NORTH 433251,S200000,05500,0200,PO BOX 61 433251,S200000,05600,0100,KINSTON 433251,S200000,05600,0200,NC 433251,S200000,05600,0300,28501 433285,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433285,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433285,A000000,00300,0000,0300EMPLOYEE BENEFITS 433285,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433285,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433285,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433285,A000000,00700,0000,0700HOUSEKEEPING 433285,A000000,00800,0000,0800DIETARY 433285,A000000,00900,0000,0900NURSING ADMINISTRATION 433285,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433285,A000000,01100,0000,1100PHARMACY 433285,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433285,A000000,01300,0000,1300SOCIAL SERVICE 433285,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433285,A000000,01500,0000,1350ACTIVITIES 433285,A000000,01600,0000,1600SKILLED NURSING FACILITY 433285,A000000,01800,0000,1800NURSING FACILITY 433285,A000000,01810,0000,1810ICF/MR 433285,A000000,01900,0000,1900OTHER LONG TERM CARE 433285,A000000,02100,0000,2100RADIOLOGY 433285,A000000,02200,0000,2200LABORATORY 433285,A000000,02300,0000,2300INTRAVENOUS THERAPY 433285,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433285,A000000,02500,0000,2500PHYSICAL THERAPY 433285,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433285,A000000,02700,0000,2700SPEECH PATHOLOGY 433285,A000000,02800,0000,2800ELECTROCARDIOLOGY 433285,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433285,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433285,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433285,A000000,03200,0000,3200SUPPORT SURFACES 433285,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433285,A000000,03400,0000,3400CLINIC 433285,A000000,03500,0000,3500RURAL HEALTH CLINIC 433285,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433285,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433285,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433285,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433285,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433285,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433285,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433285,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433285,A000000,04400,0000,4400DME RENTED - HHA 433285,A000000,04500,0000,4500DME SOLD - HHA 433285,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433285,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433285,A000000,04710,0000,4710TELEMEDICINE 433285,A000000,04800,0000,4800AMBULANCE 433285,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433285,A000000,05000,0000,5000CORF 433285,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433285,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433285,A000000,05300,0000,5300INTEREST EXPENSE 433285,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433285,A000000,05500,0000,5500HOSPICE 433285,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433285,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433285,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433285,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433285,A000000,06100,0000,6100NONPAID WORKERS 433285,A000000,06200,0000,6200PATIENTS LAUNDRY 433285,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433285,A81000A,00100,0100,Y 433285,A81000B,00100,0300,RELATED PARTY LEASE 433285,A81000B,00200,0300,RELATED PARTY LEASE 433285,A81000B,00300,0300,RELATED PARTY LEASE 433285,A81000B,00400,0300,HOME OFFICE COSTS 433285,A81000B,00500,0300,HOME OFFICE COSTS 433285,A81000B,00600,0300,HOME OFFICE COSTS 433285,A81000B,00700,0300,HOME OFFICE COSTS 433285,A81000B,00800,0300,HOME OFFICE COSTS 433285,A81000B,00900,0300,HOME OFFICE COSTS 433285,A81000B,01000,0300,HOME OFFICE COSTS 433285,A81000B,01100,0300,RELATED PARTY THERAPY 433285,A81000B,01200,0300,RELATED PARTY THERAPY 433285,A81000B,01300,0300,RELATED PARTY THERAPY 433285,A81000C,00100,0100,D 433285,A81000C,00100,0400,HARBOUR MANOR PROPERTY 433285,A81000C,00100,0600,REAL ESTATE 433285,A81000C,00200,0100,D 433285,A81000C,00200,0400,HARBOUR MANOR PROPERTY 433285,A81000C,00200,0600,REAL ESTATE 433285,A81000C,00300,0100,D 433285,A81000C,00300,0400,HARBOUR MANOR PROPERTY 433285,A81000C,00300,0600,REAL ESTATE 433285,A81000C,00400,0100,D 433285,A81000C,00400,0400,CARDON & ASSOCIATES INC 433285,A81000C,00400,0600,NURSING HOME MANAGEMENT 433285,A81000C,00500,0100,D 433285,A81000C,00500,0400,CARDON & ASSOCIATES INC 433285,A81000C,00500,0600,NURSING HOME MANAGEMENT 433285,A81000C,00600,0100,D 433285,A81000C,00600,0400,CARDON & ASSOCIATES INC 433285,A81000C,00600,0600,NURSING HOME MANAGEMENT 433285,A81000C,00700,0100,D 433285,A81000C,00700,0400,CARDON & ASSOCIATES INC 433285,A81000C,00700,0600,NURSING HOME MANAGEMENT 433285,A81000C,00800,0100,D 433285,A81000C,00800,0400,CARDON & ASSOCIATES INC 433285,A81000C,00800,0600,NURSING HOME MANAGEMENT 433285,A81000C,00900,0100,D 433285,A81000C,00900,0400,CARDON & ASSOCIATES INC 433285,A81000C,00900,0600,NURSING HOME MANAGEMENT 433285,A81000C,01000,0100,D 433285,A81000C,01000,0400,CARDON & ASSOCIATES INC 433285,A81000C,01000,0600,NURSING HOME MANAGEMENT 433285,A81000C,01001,0100,D 433285,A81000C,01001,0400,LIFESPAN THERAPY 433285,A81000C,01001,0600,THERAPY 433285,A81000C,01002,0100,D 433285,A81000C,01002,0400,LIFESPAN THERAPY 433285,A81000C,01002,0600,THERAPY 433285,A81000C,01003,0100,D 433285,A81000C,01003,0400,LIFESPAN THERAPY 433285,A81000C,01003,0600,THERAPY 433285,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433285,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433285,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433285,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433285,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433285,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433285,B100000,00000,0800,0800MEALS SERVED :DIETARY 433285,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433285,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433285,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433285,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433285,E10A180,00501,0100,01/31/12 433285,G300000,02500,0000,OTHER REVENUE 433285,S000000,00100,0200,12/15/11 433285,S200000,00100,0100,1667 SHERIDAN ROAD 433285,S200000,00200,0100,NOBLESVILLE 433285,S200000,00200,0200,IN 433285,S200000,00200,0300,46060 433285,S200000,00300,0100,HAMILTON 433285,S200000,00300,0201,26900 433285,S200000,00300,0300,U 433285,S200000,00400,0100,HARBOUR MANOR HEALTH & LIVING COMM. 433285,S200000,00400,0200,155381 433285,S200000,00400,0300,07/08/91 433285,S200000,00400,0500,P 433285,S200000,01500,0100,Y 433285,S200000,01501,0200,Y 433285,S200000,01502,0200,Y 433285,S200000,01503,0200,Y 433285,S200000,01504,0200,Y 433285,S200000,01600,0100,N 433285,S200000,01700,0100,N 433285,S200000,01800,0100,N 433285,S200000,02200,0100,Y 433285,S200000,02800,0100,N 433285,S200000,02900,0100,N 433285,S200000,03000,0100,N 433285,S200000,03100,0100,N 433285,S200000,03200,0100,N 433285,S200000,03300,0100,N 433285,S200000,03300,0200,N 433285,S200000,04100,0100,N 433285,S200000,04200,0100,N 433285,S200000,04300,0100,N 433285,S200000,04600,0100,N 433285,S200000,04700,0100,N 433285,S200000,04700,0200,N 433285,S200000,04900,0100,N 433285,S200000,05000,0100,N 433285,S200000,05100,0100,N 433285,S200000,05200,0100,N 433285,S200000,05300,0100,Y 433285,S200000,05300,0200,15H042 433285,S200000,05400,0100,CARDON & ASSOCIATES INC 433285,S200000,05400,0200,NGS 433285,S200000,05400,0300,00130 433285,S200000,05500,0100,2749 E. COVENANTER DRIVE 433285,S200000,05600,0100,BLOOMINGTON 433285,S200000,05600,0200,IN 433285,S200000,05600,0300,47401 433294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433294,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433294,A000000,00300,0000,0300EMPLOYEE BENEFITS 433294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433294,A000000,00700,0000,0700HOUSEKEEPING 433294,A000000,00800,0000,0800DIETARY 433294,A000000,00900,0000,0900NURSING ADMINISTRATION 433294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433294,A000000,01100,0000,1100PHARMACY 433294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433294,A000000,01300,0000,1300SOCIAL SERVICE 433294,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433294,A000000,01600,0000,1600SKILLED NURSING FACILITY 433294,A000000,01800,0000,1800NURSING FACILITY 433294,A000000,01900,0000,1900OTHER LONG TERM CARE 433294,A000000,02100,0000,2100RADIOLOGY 433294,A000000,02200,0000,2200LABORATORY 433294,A000000,02300,0000,2300INTRAVENOUS THERAPY 433294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433294,A000000,02500,0000,2500PHYSICAL THERAPY 433294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433294,A000000,02700,0000,2700SPEECH PATHOLOGY 433294,A000000,02800,0000,2800ELECTROCARDIOLOGY 433294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433294,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433294,A000000,03200,0000,3200SUPPORT SURFACES 433294,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433294,A000000,03400,0000,3400CLINIC 433294,A000000,04800,0000,4800AMBULANCE 433294,A000000,05300,0000,5300INTEREST EXPENSE 433294,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433294,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433294,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433294,A000000,06100,0000,6100NONPAID WORKERS 433294,A000000,06200,0000,6200PATIENTS LAUNDRY 433294,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433294,A81000A,00100,0100,Y 433294,A81000B,00100,0300,HEALTH INSURANCE EXPENSE 433294,A81000B,00200,0300,RENT 433294,A81000B,00300,0300,REAL ESTATE TAXES 433294,A81000B,00400,0300,MORTGAGE INTEREST 433294,A81000B,00500,0300,DEPRECIATION EXPENSES 433294,A81000B,00600,0300,HOME OFFICE A&G EXPENSE 433294,A81000B,00700,0300,HOME OFFICE MDS EXPENSE 433294,A81000B,00800,0300,HOME OFFICE SOCIAL SERVICES EXP 433294,A81000B,00900,0300,HOME OFFICE MEDICAL RECORDS EXP 433294,A81000B,01000,0300,HOME OFFICE FRINGE BENEFITS 433294,A81000B,01100,0300,HOME OFFICE ADMISSIONS SALARY 433294,A81000B,01200,0300,HOME OFFICE MAINTENANCE 433294,A81000B,01300,0300,HOME OFFICE FRINGE BENEFITS 433294,A81000B,01400,0300,HOME OFFICE MEDICARE BILLING EXP 433294,A81000B,01500,0300,HOME OFFICE BOOKKEEPER SALARY 433294,A81000B,01600,0300,PHYSICAL THERAPY 433294,A81000B,01700,0300,OCCUPATIONAL THERAPY 433294,A81000B,01800,0300,SPEECH THERAPY 433294,A81000B,01900,0300,FOOD SUPPLEMENTS 433294,A81000B,02000,0300,TUBE SUPPLEMENTS 433294,A81000B,02100,0300,MEDICAL SUPPLIES 433294,A81000B,02200,0300,LOW PRESSURE MATTRESS 433294,A81000B,02300,0300,EQUIPMENT RENTAL 433294,A81000C,00100,0100,A 433294,A81000C,00100,0400,EXTENDED CARE C 433294,A81000C,00100,0600,MANAGEMENT CO. 433294,A81000C,00200,0100,A 433294,A81000C,00200,0400,EXTENDED CARE C 433294,A81000C,00200,0600,MANAGEMENT CO. 433294,A81000C,00300,0100,A 433294,A81000C,00300,0400,CARE CENTERS HE 433294,A81000C,00300,0600,MEDICAL SUPPLIE 433294,A81000C,00400,0100,A 433294,A81000C,00400,0400,VENT LEASE 433294,A81000C,00400,0600,EQUIPMENT RENTA 433294,A81000C,00500,0100,A 433294,A81000C,00500,0400,TRICARE 433294,A81000C,00500,0600,THERAPY CO. 433294,A81000C,00600,0100,A 433294,A81000C,00600,0400,CCS BENEFITS 433294,A81000C,00600,0600,HEALTH INSURANC 433294,A81000C,00700,0100,A 433294,A81000C,00700,0400,APPLEWOOD PROPE 433294,A81000C,00700,0600,BLDG. CO. 433294,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433294,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433294,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433294,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433294,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433294,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433294,B100000,00000,0800,0800MEALS SERVED :DIETARY 433294,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433294,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433294,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433294,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433294,E10A180,00501,0100,03/16/12 433294,G300000,02500,0000, OTHER MEDICAL SERVICES 433294,G300000,02501,0000, BARBER & BEAUTY 433294,G300000,02502,0000, OTHER REVENUE 433294,S000000,00100,0200,02/01/12 433294,S200000,00100,0100,21020 KOSTNER AVE 433294,S200000,00200,0100,MATTESON 433294,S200000,00200,0200,IL 433294,S200000,00200,0300,60443 433294,S200000,00300,0100,COOK 433294,S200000,00300,0201,16974 433294,S200000,00300,0300,U 433294,S200000,00400,0100,APPLEWOOD NURSING & REHAB CENTER 433294,S200000,00400,0200,145781 433294,S200000,00400,0300,12/29/93 433294,S200000,00400,0500,P 433294,S200000,01500,0100,Y 433294,S200000,01600,0100,N 433294,S200000,01700,0100,N 433294,S200000,01800,0100,N 433294,S200000,01900,0100,LIMITED LIABILITY CO 433294,S200000,02200,0100,N 433294,S200000,02800,0100,N 433294,S200000,02900,0100,N 433294,S200000,03000,0100,N 433294,S200000,03100,0100,N 433294,S200000,03200,0100,N 433294,S200000,03300,0100,N 433294,S200000,03300,0200,N 433294,S200000,04100,0100,N 433294,S200000,04200,0100,N 433294,S200000,04300,0100,N 433294,S200000,04600,0100,N 433294,S200000,04700,0100,N 433294,S200000,04700,0200,N 433294,S200000,04900,0100,N 433294,S200000,05000,0100,N 433294,S200000,05100,0100,N 433294,S200000,05200,0100,N 433294,S200000,05300,0100,N 433303,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433303,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433303,A000000,00300,0000,0300EMPLOYEE BENEFITS 433303,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433303,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433303,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433303,A000000,00700,0000,0700HOUSEKEEPING 433303,A000000,00800,0000,0800DIETARY 433303,A000000,00900,0000,0900NURSING ADMINISTRATION 433303,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433303,A000000,01300,0000,1300SOCIAL SERVICE 433303,A000000,01500,0000,1350ACTIVITIES 433303,A000000,01600,0000,1600SKILLED NURSING FACILITY 433303,A000000,01800,0000,1800NURSING FACILITY 433303,A000000,01810,0000,1810ICF/MR 433303,A000000,01900,0000,1900OTHER LONG TERM CARE 433303,A000000,02100,0000,2100RADIOLOGY 433303,A000000,02200,0000,2200LABORATORY 433303,A000000,02300,0000,2300INTRAVENOUS THERAPY 433303,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433303,A000000,02500,0000,2500PHYSICAL THERAPY 433303,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433303,A000000,02700,0000,2700SPEECH PATHOLOGY 433303,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433303,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433303,A000000,03200,0000,3200SUPPORT SURFACES 433303,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433303,A000000,03400,0000,3400CLINIC 433303,A000000,03500,0000,3500RURAL HEALTH CLINIC 433303,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433303,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433303,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433303,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433303,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433303,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433303,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433303,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433303,A000000,04400,0000,4400DME RENTED - HHA 433303,A000000,04500,0000,4500DME SOLD - HHA 433303,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433303,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433303,A000000,04710,0000,4710TELEMEDICINE 433303,A000000,04800,0000,4800AMBULANCE 433303,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433303,A000000,05000,0000,5000CORF 433303,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433303,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433303,A000000,05300,0000,5300INTEREST EXPENSE 433303,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433303,A000000,05500,0000,5500HOSPICE 433303,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433303,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433303,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433303,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433303,A000000,06100,0000,6100NONPAID WORKERS 433303,A000000,06200,0000,6200PATIENTS LAUNDRY 433303,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433303,A81000A,00100,0100,Y 433303,A81000B,00100,0300,MANAGEMENT FEE - H.O. ALLOCATED 433303,A81000B,00200,0300,CAP-RELATED COST - H.O. ALLOCATED 433303,A81000B,00300,0300,CAP-RELATED COST - H.O. ALLOCATED 433303,A81000B,00400,0300,INTEREST - H.O. ALLOCATED 433303,A81000B,00500,0300,NURSING - H.O. ALLOCATED 433303,A81000B,00600,0300,NURSING - H.O. ALLOCATED 433303,A81000B,00700,0300,INTERCO - PHYSICAL THERAPY 433303,A81000B,00800,0300,INTERCO - OCCUPATIONAL THERAPY 433303,A81000B,00900,0300,INTERCO - SPEECHH THERAPY 433303,A81000C,00100,0100,B 433303,A81000C,00100,0400,COVENANT CARE CALIFORNIA 433303,A81000C,00100,0600,HEALTH CARE MGMT 433303,A81000C,00200,0100,G 433303,A81000C,00200,0400,SELECT THERAPY 433303,A81000C,00200,0600,REHAB 433303,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433303,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433303,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433303,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433303,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433303,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433303,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433303,B100000,00000,0800,0800MEALS SERVED :DIETARY 433303,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433303,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 433303,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433303,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433303,G300000,02500,0000,OTHER (SPECIFY) 433303,S000000,00100,0200,09/21/12 433303,S200000,00100,0100,333 S WRIGHTSMAN 433303,S200000,00200,0100,VIRDEN 433303,S200000,00200,0200,IL 433303,S200000,00200,0300,62690 433303,S200000,00300,0100,MACOUPIN 433303,S200000,00300,0201,99914 433303,S200000,00300,0300,R 433303,S200000,00400,0100,SUNRISE SKILLED NURSING & REHAB 433303,S200000,00400,0200,145783 433303,S200000,00400,0300,02/01/94 433303,S200000,00400,0500,P 433303,S200000,00600,0200,145783 433303,S200000,00600,0300,02/01/94 433303,S200000,00600,0600,O 433303,S200000,01500,0100,N 433303,S200000,01600,0100,Y 433303,S200000,01700,0100,N 433303,S200000,01800,0100,N 433303,S200000,02200,0100,N 433303,S200000,02800,0100,N 433303,S200000,02900,0100,N 433303,S200000,03000,0100,N 433303,S200000,03100,0100,N 433303,S200000,03200,0100,N 433303,S200000,03300,0100,N 433303,S200000,03300,0200,N 433303,S200000,03500,0300,N 433303,S200000,04100,0100,N 433303,S200000,04200,0100,N 433303,S200000,04300,0100,N 433303,S200000,04600,0100,N 433303,S200000,04700,0100,N 433303,S200000,04700,0200,N 433303,S200000,04900,0100,N 433303,S200000,05000,0100,N 433303,S200000,05100,0100,N 433303,S200000,05200,0100,N 433303,S200000,05300,0100,Y 433303,S200000,05300,0200,HB0531 433303,S200000,05400,0100,COVENANT CARE CALIFORNIA LLC 433303,S200000,05400,0200,PALMETTO GBA 433303,S200000,05400,0300,01101 433303,S200000,05500,0100,27071 ALISO CREEK ROAD 433303,S200000,05600,0100,ALISO VIEJO 433303,S200000,05600,0200,CA 433303,S200000,05600,0300,92656 433306,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433306,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433306,A000000,00300,0000,0300EMPLOYEE BENEFITS 433306,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433306,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433306,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433306,A000000,00700,0000,0700HOUSEKEEPING 433306,A000000,00800,0000,0800DIETARY 433306,A000000,00900,0000,0900NURSING ADMINISTRATION 433306,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433306,A000000,01100,0000,1100PHARMACY 433306,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433306,A000000,01300,0000,1300SOCIAL SERVICE 433306,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433306,A000000,01600,0000,1600SKILLED NURSING FACILITY 433306,A000000,01800,0000,1800NURSING FACILITY 433306,A000000,01810,0000,1810ICF/MR 433306,A000000,01900,0000,1900OTHER LONG TERM CARE 433306,A000000,02100,0000,2100RADIOLOGY 433306,A000000,02200,0000,2200LABORATORY 433306,A000000,02300,0000,2300INTRAVENOUS THERAPY 433306,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433306,A000000,02500,0000,2500PHYSICAL THERAPY 433306,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433306,A000000,02700,0000,2700SPEECH PATHOLOGY 433306,A000000,02800,0000,2800ELECTROCARDIOLOGY 433306,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433306,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433306,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433306,A000000,03200,0000,3200SUPPORT SURFACES 433306,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433306,A000000,03400,0000,3400CLINIC 433306,A000000,03500,0000,3500RURAL HEALTH CLINIC 433306,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433306,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433306,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433306,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433306,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433306,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433306,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433306,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433306,A000000,04400,0000,4400DME RENTED - HHA 433306,A000000,04500,0000,4500DME SOLD - HHA 433306,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433306,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433306,A000000,04710,0000,4710TELEMEDICINE 433306,A000000,04800,0000,4800AMBULANCE 433306,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433306,A000000,05000,0000,5000CORF 433306,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433306,A000000,05300,0000,5300INTEREST EXPENSE 433306,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433306,A000000,05500,0000,5500HOSPICE 433306,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433306,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433306,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433306,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433306,A000000,06100,0000,6100NONPAID WORKERS 433306,A000000,06200,0000,6200PATIENTS LAUNDRY 433306,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433306,A81000A,00100,0100,Y 433306,A81000B,00100,0300,MAINTENANCE SUPPLIES 433306,A81000B,00200,0300,MINOR EQUIPMENT EXPENSE 433306,A81000B,00300,0300,REPAIRS-BUILDING 433306,A81000B,00400,0300,REPAIRS-EQUIPMENT 433306,A81000B,00500,0300,LINEN & BEDDING 433306,A81000B,00600,0300,SUPPLIES 433306,A81000B,00700,0300,PAPER PRODUCTS & HAND SOAP 433306,A81000B,00800,0300,SUPPLIES 433306,A81000B,00900,0300,DIETARY SUPPLEMENTS 433306,A81000B,01000,0300,BIO-MEDICAL WASTE 433306,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433306,A81000B,01200,0300,PERSONAL CARE SUPPLIES 433306,A81000B,01300,0300,INCONTINENCE SUPPLIES 433306,A81000B,01400,0300,MEDICAL SUPPLIES 433306,A81000B,01500,0300,OXYGEN THERAPY SUPPLIES 433306,A81000B,01600,0300,SUPPLIES 433306,A81000B,01700,0300,SUPPLIES 433306,A81000B,01800,0300,SUPPLIES 433306,A81000B,01900,0300,BILLABLE MEDICAL SUPPLIES 433306,A81000B,02000,0300,PARENTERAL/ENTERAL SUPPLIES 433306,A81000B,02100,0300,OTHER TAXES 433306,A81000B,02200,0300,NON-LEGEND DRUGS 433306,A81000B,02300,0300,SUPPLIES 433306,A81000B,02400,0300,LEGEND DRUGS 433306,A81000B,02500,0300,OFFICE SUPPLIES 433306,A81000B,02600,0300,NURSING CONSULTING 433306,A81000B,02700,0300,DIETARY CONSULTING 433306,A81000B,02800,0300,HOME OFFICE 433306,A81000B,02900,0300,INTEREST EXPENSE 433306,A81000C,00100,0100,A 433306,A81000C,00100,0200,SHAREHOLDERS 433306,A81000C,00100,0400,KARE MEDICAL 433306,A81000C,00100,0600,WHOLESALE SUPPL 433306,A81000C,00200,0100,A 433306,A81000C,00200,0200,SHAREHOLDERS 433306,A81000C,00200,0400,KARE MEDICAL 433306,A81000C,00200,0600,WHOLESALE SUPPL 433306,A81000C,00300,0100,A 433306,A81000C,00300,0200,SHAREHOLDERS 433306,A81000C,00300,0400,KARE MEDICAL 433306,A81000C,00300,0600,WHOLESALE SUPPL 433306,A81000C,00400,0100,A 433306,A81000C,00400,0200,SHAREHOLDERS 433306,A81000C,00400,0400,KARE MEDICAL 433306,A81000C,00400,0600,WHOLESALE SUPPL 433306,A81000C,00500,0100,A 433306,A81000C,00500,0200,SHAREHOLDERS 433306,A81000C,00500,0400,KARE MEDICAL 433306,A81000C,00500,0600,WHOLESALE SUPPL 433306,A81000C,00600,0100,A 433306,A81000C,00600,0200,SHAREHOLDERS 433306,A81000C,00600,0400,KARE MEDICAL 433306,A81000C,00600,0600,WHOLESALE SUPPL 433306,A81000C,00700,0100,A 433306,A81000C,00700,0200,SHAREHOLDERS 433306,A81000C,00700,0400,KARE MEDICAL 433306,A81000C,00700,0600,WHOLESALE SUPPL 433306,A81000C,00800,0100,A 433306,A81000C,00800,0200,SHAREHOLDERS 433306,A81000C,00800,0400,KARE MEDICAL 433306,A81000C,00800,0600,WHOLESALE SUPPL 433306,A81000C,00900,0100,A 433306,A81000C,00900,0200,SHAREHOLDERS 433306,A81000C,00900,0400,KARE MEDICAL 433306,A81000C,00900,0600,WHOLESALE SUPPL 433306,A81000C,01000,0100,A 433306,A81000C,01000,0200,SHAREHOLDERS 433306,A81000C,01000,0400,KARE MEDICAL 433306,A81000C,01000,0600,WHOLESALE SUPPL 433306,A81000C,01001,0100,A 433306,A81000C,01001,0200,SHAREHOLDERS 433306,A81000C,01001,0400,KARE MEDICAL 433306,A81000C,01001,0600,WHOLESALE SUPPL 433306,A81000C,01002,0100,A 433306,A81000C,01002,0200,SHAREHOLDERS 433306,A81000C,01002,0400,KARE MEDICAL 433306,A81000C,01002,0600,WHOLESALE SUPPL 433306,A81000C,01003,0100,A 433306,A81000C,01003,0200,SHAREHOLDERS 433306,A81000C,01003,0400,KARE MEDICAL 433306,A81000C,01003,0600,WHOLESALE SUPPL 433306,A81000C,01004,0100,A 433306,A81000C,01004,0200,SHAREHOLDERS 433306,A81000C,01004,0400,KARE MEDICAL 433306,A81000C,01004,0600,WHOLESALE SUPPL 433306,A81000C,01005,0100,A 433306,A81000C,01005,0200,SHAREHOLDERS 433306,A81000C,01005,0400,KARE MEDICAL 433306,A81000C,01005,0600,WHOLESALE SUPPL 433306,A81000C,01006,0100,A 433306,A81000C,01006,0200,SHAREHOLDERS 433306,A81000C,01006,0400,KARE MEDICAL 433306,A81000C,01006,0600,WHOLESALE SUPPL 433306,A81000C,01007,0100,A 433306,A81000C,01007,0200,SHAREHOLDERS 433306,A81000C,01007,0400,KARE MEDICAL 433306,A81000C,01007,0600,WHOLESALE SUPPL 433306,A81000C,01008,0100,A 433306,A81000C,01008,0200,SHAREHOLDERS 433306,A81000C,01008,0400,KARE MEDICAL 433306,A81000C,01008,0600,WHOLESALE SUPPL 433306,A81000C,01009,0100,A 433306,A81000C,01009,0200,SHAREHOLDERS 433306,A81000C,01009,0400,KARE MEDICAL 433306,A81000C,01009,0600,WHOLESALE SUPPL 433306,A81000C,01010,0100,A 433306,A81000C,01010,0200,SHAREHOLDERS 433306,A81000C,01010,0400,KARE MEDICAL 433306,A81000C,01010,0600,WHOLESALE SUPPL 433306,A81000C,01011,0100,A 433306,A81000C,01011,0200,SHAREHOLDERS 433306,A81000C,01011,0400,PHARMSAVE 433306,A81000C,01011,0600,RX SUPPLY 433306,A81000C,01012,0100,A 433306,A81000C,01012,0200,SHAREHOLDERS 433306,A81000C,01012,0400,PHARMSAVE 433306,A81000C,01012,0600,RX SUPPLY 433306,A81000C,01013,0100,A 433306,A81000C,01013,0200,SHAREHOLDERS 433306,A81000C,01013,0400,PHARMSAVE 433306,A81000C,01013,0600,RX SUPPLY 433306,A81000C,01014,0100,A 433306,A81000C,01014,0200,SHAREHOLDERS 433306,A81000C,01014,0400,PHARMSAVE 433306,A81000C,01014,0600,RX SUPPLY 433306,A81000C,01015,0100,A 433306,A81000C,01015,0200,SHAREHOLDERS 433306,A81000C,01015,0400,ROBERT HILL CON 433306,A81000C,01015,0600,CONSTRUCTION 433306,A81000C,01016,0100,B 433306,A81000C,01016,0200,PLTC INC. & PI 433306,A81000C,01016,0400,PLTC INC. & PI 433306,A81000C,01016,0600,MGMT SERVICES 433306,A81000C,01017,0100,B 433306,A81000C,01017,0200,PLTC INC. & PI 433306,A81000C,01017,0400,PLTC INC. & PI 433306,A81000C,01017,0600,MGMT SERVICES 433306,A81000C,01018,0100,B 433306,A81000C,01018,0200,PLTC INC. & PI 433306,A81000C,01018,0400,PLTC INC. & PI 433306,A81000C,01018,0600,MGMT SERVICES 433306,A81000C,01019,0100,B 433306,A81000C,01019,0200,PLTC INC. & PI 433306,A81000C,01019,0400,PLTC INC. & PI 433306,A81000C,01019,0600,MGMT SERVICES 433306,A81000C,01020,0100,A 433306,A81000C,01020,0200,SHAREHOLDERS 433306,A81000C,01020,0400,QUEENSLAND ASSU 433306,A81000C,01020,0600,INSURANCE 433306,A81000C,01021,0100,A 433306,A81000C,01021,0200,SHAREHOLDERS 433306,A81000C,01021,0400,BRITTHAVEN INC 433306,A81000C,01021,0600,REAL ESTATE 433306,A81000C,01022,0100,A 433306,A81000C,01022,0200,SHAREHOLDERS 433306,A81000C,01022,0400,BRITTHAVEN INC 433306,A81000C,01022,0600,REAL ESTATE 433306,A81000C,01023,0100,A 433306,A81000C,01023,0200,SHAREHOLDERS 433306,A81000C,01023,0400,BRITTHAVEN INC 433306,A81000C,01023,0600,REAL ESTATE 433306,A81000C,01024,0100,A 433306,A81000C,01024,0200,SHAREHOLDERS 433306,A81000C,01024,0400,BRITTHAVEN INC 433306,A81000C,01024,0600,REAL ESTATE 433306,A81000C,01025,0100,A 433306,A81000C,01025,0200,SHAREHOLDERS 433306,A81000C,01025,0400,HILLCO LTD. 433306,A81000C,01025,0600,REAL ESTATE 433306,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433306,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433306,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433306,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433306,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433306,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433306,B100000,00000,0800,0800MEALS SERVED :DIETARY 433306,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433306,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433306,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433306,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433306,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433306,E10A180,00501,0100,05/15/12 433306,G300000,02500,0000, OTHER (SPECIFY) 433306,S000000,00100,0200,03/01/12 433306,S200000,00100,0100,RT 1 433306,S200000,00100,0300,PO BOX 40977 433306,S200000,00200,0100,PINEVILLE 433306,S200000,00200,0200,KY 433306,S200000,00200,0300,40977 433306,S200000,00300,0100,BELL 433306,S200000,00300,0201,99918 433306,S200000,00300,0300,R 433306,S200000,00400,0100,MOUNTAIN VIEW NURSING & REHAB CENTER 433306,S200000,00400,0200,185243 433306,S200000,00400,0300,01/01/11 433306,S200000,00400,0500,P 433306,S200000,01500,0100,Y 433306,S200000,01501,0200,Y 433306,S200000,01502,0200,Y 433306,S200000,01503,0200,Y 433306,S200000,01504,0200,Y 433306,S200000,01505,0000,OTHER (SPECIFY) 433306,S200000,01505,0200,Y 433306,S200000,01600,0100,N 433306,S200000,01700,0100,N 433306,S200000,01800,0100,N 433306,S200000,02200,0100,N 433306,S200000,02800,0100,N 433306,S200000,02900,0100,N 433306,S200000,03000,0100,N 433306,S200000,03100,0100,N 433306,S200000,03200,0100,N 433306,S200000,03300,0100,N 433306,S200000,03300,0200,N 433306,S200000,04100,0100,N 433306,S200000,04200,0100,N 433306,S200000,04300,0100,N 433306,S200000,04600,0100,N 433306,S200000,04700,0100,N 433306,S200000,04700,0200,N 433306,S200000,04900,0100,N 433306,S200000,05000,0100,N 433306,S200000,05100,0100,N 433306,S200000,05200,0100,N 433306,S200000,05300,0100,Y 433306,S200000,05300,0200,349011 433306,S200000,05400,0100,PLTC INC. & PITS INC. 433306,S200000,05400,0200,CGS 433306,S200000,05400,0300,00160 433306,S200000,05500,0100,1435 HWY 258 NORTH 433306,S200000,05500,0200,PO BOX 61 433306,S200000,05600,0100,KINSTON 433306,S200000,05600,0200,NC 433306,S200000,05600,0300,28501 433307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433307,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433307,A000000,00300,0000,0300EMPLOYEE BENEFITS 433307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433307,A000000,00700,0000,0700HOUSEKEEPING 433307,A000000,00800,0000,0800DIETARY 433307,A000000,00900,0000,0900NURSING ADMINISTRATION 433307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433307,A000000,01100,0000,1100PHARMACY 433307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433307,A000000,01300,0000,1300SOCIAL SERVICE 433307,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433307,A000000,01600,0000,1600SKILLED NURSING FACILITY 433307,A000000,01800,0000,1800NURSING FACILITY 433307,A000000,01900,0000,1900OTHER LONG TERM CARE 433307,A000000,02100,0000,2100RADIOLOGY 433307,A000000,02200,0000,2200LABORATORY 433307,A000000,02300,0000,2300INTRAVENOUS THERAPY 433307,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433307,A000000,02500,0000,2500PHYSICAL THERAPY 433307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433307,A000000,02700,0000,2700SPEECH PATHOLOGY 433307,A000000,02800,0000,2800ELECTROCARDIOLOGY 433307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433307,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433307,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433307,A000000,03200,0000,3200SUPPORT SURFACES 433307,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433307,A000000,03400,0000,3400CLINIC 433307,A000000,03500,0000,3500RURAL HEALTH CLINIC 433307,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433307,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433307,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433307,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433307,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433307,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433307,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433307,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433307,A000000,04400,0000,4400DME RENTED - HHA 433307,A000000,04500,0000,4500DME SOLD - HHA 433307,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433307,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433307,A000000,04710,0000,4710TELEMEDICINE 433307,A000000,04800,0000,4800AMBULANCE 433307,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433307,A000000,05000,0000,5000CORF 433307,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433307,A000000,05300,0000,5300INTEREST EXPENSE 433307,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433307,A000000,05500,0000,5500HOSPICE 433307,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433307,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433307,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433307,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433307,A000000,06100,0000,6100NONPAID WORKERS 433307,A000000,06200,0000,6200PATIENTS LAUNDRY 433307,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433307,A81000A,00100,0100,Y 433307,A81000B,00100,0300,OFFICE SUPPLIES 433307,A81000B,00200,0300,MAINTNENANCE SUPPLIES 433307,A81000B,00300,0300,MINOR EQUIPEMENT SUPPLIES 433307,A81000B,00400,0300,REPAIRS-EQUIPMENT 433307,A81000B,00500,0300,REPAIRS-GROUNDS 433307,A81000B,00600,0300,LINEN & BEDDING 433307,A81000B,00700,0300,SUPPLIES 433307,A81000B,00800,0300,SUPPLIES 433307,A81000B,00900,0300,DIETARY SUPPLEMENTS 433307,A81000B,01000,0300,SUPPLIES 433307,A81000B,01100,0300,BIO-MEDICAL WASTE 433307,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433307,A81000B,01300,0300,PERSONAL CARE SUPPLIES 433307,A81000B,01400,0300,INCONTINENCE SUPPLIES 433307,A81000B,01500,0300,MEDICAL SUPPLIES 433307,A81000B,01600,0300,SUPPLIES 433307,A81000B,01700,0300,OXYGEN THERAPY SUPPLIES 433307,A81000B,01800,0300,SUPPLIES 433307,A81000B,01900,0300,BILLABLE MEDICAL SUPPLIES 433307,A81000B,02000,0300,NON-LEGEND DRUGS 433307,A81000B,02100,0300,SUPPLIES 433307,A81000B,02200,0300,LEGEND DRUGS 433307,A81000B,02300,0300,OFFICE SUPPLIES 433307,A81000B,02400,0300,NURSING CONSULTING 433307,A81000B,02500,0300,DIETARY CONSULTING 433307,A81000B,02600,0300,HOME OFFICE 433307,A81000B,02700,0300,INTEREST EXPENSE 433307,A81000B,02800,0300,INSURANCE - PROFESSIONAL LIABILITY 433307,A81000B,02900,0300,RELATED PARTY DEPRECIATION 433307,A81000C,00100,0100,A 433307,A81000C,00100,0200,SHAREHOLDERS 433307,A81000C,00100,0400,KARE MEDICAL 433307,A81000C,00100,0600,WHOLESALE SUPPL 433307,A81000C,00200,0100,A 433307,A81000C,00200,0200,SHAREHOLDERS 433307,A81000C,00200,0400,KARE MEDICAL 433307,A81000C,00200,0600,WHOLESALE SUPPL 433307,A81000C,00300,0100,A 433307,A81000C,00300,0200,SHAREHOLDERS 433307,A81000C,00300,0400,KARE MEDICAL 433307,A81000C,00300,0600,WHOLESALE SUPPL 433307,A81000C,00400,0100,A 433307,A81000C,00400,0200,SHAREHOLDERS 433307,A81000C,00400,0400,KARE MEDICAL 433307,A81000C,00400,0600,WHOLESALE SUPPL 433307,A81000C,00500,0100,A 433307,A81000C,00500,0200,SHAREHOLDERS 433307,A81000C,00500,0400,KARE MEDICAL 433307,A81000C,00500,0600,WHOLESALE SUPPL 433307,A81000C,00600,0100,A 433307,A81000C,00600,0200,SHAREHOLDERS 433307,A81000C,00600,0400,KARE MEDICAL 433307,A81000C,00600,0600,WHOLESALE SUPPL 433307,A81000C,00700,0100,A 433307,A81000C,00700,0200,SHAREHOLDERS 433307,A81000C,00700,0400,KARE MEDICAL 433307,A81000C,00700,0600,WHOLESALE SUPPL 433307,A81000C,00800,0100,A 433307,A81000C,00800,0200,SHAREHOLDERS 433307,A81000C,00800,0400,KARE MEDICAL 433307,A81000C,00800,0600,WHOLESALE SUPPL 433307,A81000C,00900,0100,A 433307,A81000C,00900,0200,SHAREHOLDERS 433307,A81000C,00900,0400,KARE MEDICAL 433307,A81000C,00900,0600,WHOLESALE SUPPL 433307,A81000C,01000,0100,A 433307,A81000C,01000,0200,SHAREHOLDERS 433307,A81000C,01000,0400,KARE MEDICAL 433307,A81000C,01000,0600,WHOLESALE SUPPL 433307,A81000C,01001,0100,A 433307,A81000C,01001,0200,SHAREHOLDERS 433307,A81000C,01001,0400,KARE MEDICAL 433307,A81000C,01001,0600,WHOLESALE SUPPL 433307,A81000C,01002,0100,A 433307,A81000C,01002,0200,SHAREHOLDERS 433307,A81000C,01002,0400,KARE MEDICAL 433307,A81000C,01002,0600,WHOLESALE SUPPL 433307,A81000C,01003,0100,A 433307,A81000C,01003,0200,SHAREHOLDERS 433307,A81000C,01003,0400,KARE MEDICAL 433307,A81000C,01003,0600,WHOLESALE SUPPL 433307,A81000C,01004,0100,A 433307,A81000C,01004,0200,SHAREHOLDERS 433307,A81000C,01004,0400,KARE MEDICAL 433307,A81000C,01004,0600,WHOLESALE SUPPL 433307,A81000C,01005,0100,A 433307,A81000C,01005,0200,SHAREHOLDERS 433307,A81000C,01005,0400,KARE MEDICAL 433307,A81000C,01005,0600,WHOLESALE SUPPL 433307,A81000C,01006,0100,A 433307,A81000C,01006,0200,SHAREHOLDERS 433307,A81000C,01006,0400,KARE MEDICAL 433307,A81000C,01006,0600,WHOLESALE SUPPL 433307,A81000C,01007,0100,A 433307,A81000C,01007,0200,SHAREHOLDERS 433307,A81000C,01007,0400,KARE MEDICAL 433307,A81000C,01007,0600,WHOLESALE SUPPL 433307,A81000C,01008,0100,A 433307,A81000C,01008,0200,SHAREHOLDERS 433307,A81000C,01008,0400,KARE MEDICAL 433307,A81000C,01008,0600,WHOLESALE SUPPL 433307,A81000C,01009,0100,A 433307,A81000C,01009,0200,SHAREHOLDERS 433307,A81000C,01009,0400,KARE MEDICAL 433307,A81000C,01009,0600,WHOLESALE SUPPL 433307,A81000C,01010,0100,A 433307,A81000C,01010,0200,SHAREHOLDERS 433307,A81000C,01010,0400,PHARMSAVE 433307,A81000C,01010,0600,RX SUPPLY 433307,A81000C,01011,0100,A 433307,A81000C,01011,0200,SHAREHOLDERS 433307,A81000C,01011,0400,PHARMSAVE 433307,A81000C,01011,0600,RX SUPPLY 433307,A81000C,01012,0100,A 433307,A81000C,01012,0200,SHAREHOLDERS 433307,A81000C,01012,0400,PHARMSAVE 433307,A81000C,01012,0600,RX SUPPLY 433307,A81000C,01013,0100,A 433307,A81000C,01013,0200,SHAREHOLDERS 433307,A81000C,01013,0400,ROBERT HILL CON 433307,A81000C,01013,0600,CONSTRUCTION 433307,A81000C,01014,0100,B 433307,A81000C,01014,0200,PLTC INC. & PI 433307,A81000C,01014,0400,PLTC INC. & PI 433307,A81000C,01014,0600,MGMT SERVICES 433307,A81000C,01015,0100,B 433307,A81000C,01015,0200,PLTC INC. & PI 433307,A81000C,01015,0400,PLTC INC. & PI 433307,A81000C,01015,0600,MGMT SERVICES 433307,A81000C,01016,0100,B 433307,A81000C,01016,0200,PLTC INC. & PI 433307,A81000C,01016,0400,PLTC INC. & PI 433307,A81000C,01016,0600,MGMT SERVICES 433307,A81000C,01017,0100,B 433307,A81000C,01017,0200,PLTC INC. & PI 433307,A81000C,01017,0400,PLTC INC. & PI 433307,A81000C,01017,0600,MGMT SERVICES 433307,A81000C,01018,0100,A 433307,A81000C,01018,0200,SHAREHOLDERS 433307,A81000C,01018,0400,QUEENSLAND ASSU 433307,A81000C,01018,0600,INSURANCE 433307,A81000C,01019,0100,A 433307,A81000C,01019,0200,SHAREHOLDERS 433307,A81000C,01019,0400,BRITTHAVEN INC 433307,A81000C,01019,0600,REAL ESTATE 433307,A81000C,01020,0100,A 433307,A81000C,01020,0200,SHAREHOLDERS 433307,A81000C,01020,0400,BRITTHAVEN INC 433307,A81000C,01020,0600,REAL ESTATE 433307,A81000C,01021,0100,A 433307,A81000C,01021,0200,SHAREHOLDERS 433307,A81000C,01021,0400,BRITTHAVEN INC 433307,A81000C,01021,0600,REAL ESTATE 433307,A81000C,01022,0100,A 433307,A81000C,01022,0200,SHAREHOLDERS 433307,A81000C,01022,0400,BRITTHAVEN INC 433307,A81000C,01022,0600,REAL ESTATE 433307,A81000C,01023,0100,A 433307,A81000C,01023,0200,SHAREHOLDERS 433307,A81000C,01023,0400,BRITTHAVEN INC 433307,A81000C,01023,0600,REAL ESTATE 433307,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433307,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433307,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433307,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433307,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433307,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433307,B100000,00000,0800,0800MEALS SERVED :DIETARY 433307,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433307,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433307,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433307,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433307,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433307,E10A180,00501,0100,05/14/12 433307,G300000,02500,0000, OTHER (SPECIFY) 433307,S000000,00100,0200,03/01/12 433307,S200000,00100,0100,1901 US 119 NORTH 433307,S200000,00200,0100,CUMBERLAND 433307,S200000,00200,0200,KY 433307,S200000,00200,0300,40823 433307,S200000,00300,0100,HARLAN 433307,S200000,00300,0201,99918 433307,S200000,00300,0300,R 433307,S200000,00400,0100,TRI-CITIES NURSING & REHAB CENTER 433307,S200000,00400,0200,185433 433307,S200000,00400,0300,01/01/11 433307,S200000,00400,0500,P 433307,S200000,01500,0100,Y 433307,S200000,01501,0200,Y 433307,S200000,01503,0200,Y 433307,S200000,01504,0200,Y 433307,S200000,01505,0000,OTHER (SPECIFY) 433307,S200000,01505,0200,Y 433307,S200000,01600,0100,N 433307,S200000,01700,0100,N 433307,S200000,01800,0100,N 433307,S200000,02200,0100,N 433307,S200000,02800,0100,N 433307,S200000,02900,0100,N 433307,S200000,03000,0100,N 433307,S200000,03100,0100,N 433307,S200000,03200,0100,N 433307,S200000,03300,0100,N 433307,S200000,03300,0200,N 433307,S200000,04100,0100,N 433307,S200000,04200,0100,N 433307,S200000,04300,0100,N 433307,S200000,04600,0100,N 433307,S200000,04700,0100,N 433307,S200000,04700,0200,N 433307,S200000,04900,0100,N 433307,S200000,05000,0100,N 433307,S200000,05100,0100,N 433307,S200000,05200,0100,N 433307,S200000,05300,0100,Y 433307,S200000,05300,0200,349011 433307,S200000,05400,0100,PLTC INC. & PITS INC. 433307,S200000,05400,0200,CGS 433307,S200000,05400,0300,00160 433307,S200000,05500,0100,1435 HWY 258 NORTH 433307,S200000,05500,0200,PO BOX 61 433307,S200000,05600,0100,KINSTON 433307,S200000,05600,0200,NC 433307,S200000,05600,0300,28501 433309,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433309,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433309,A000000,00300,0000,0300EMPLOYEE BENEFITS 433309,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433309,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433309,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433309,A000000,00700,0000,0700HOUSEKEEPING 433309,A000000,00800,0000,0800DIETARY 433309,A000000,00900,0000,0900NURSING ADMINISTRATION 433309,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433309,A000000,01300,0000,1300SOCIAL SERVICE 433309,A000000,01500,0000,1350ACTIVITIES 433309,A000000,01600,0000,1600SKILLED NURSING FACILITY 433309,A000000,01800,0000,1800NURSING FACILITY 433309,A000000,01810,0000,1810ICF/MR 433309,A000000,01900,0000,1900OTHER LONG TERM CARE 433309,A000000,02100,0000,2100RADIOLOGY 433309,A000000,02200,0000,2200LABORATORY 433309,A000000,02300,0000,2300INTRAVENOUS THERAPY 433309,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433309,A000000,02500,0000,2500PHYSICAL THERAPY 433309,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433309,A000000,02700,0000,2700SPEECH PATHOLOGY 433309,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433309,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433309,A000000,03200,0000,3200SUPPORT SURFACES 433309,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433309,A000000,03400,0000,3400CLINIC 433309,A000000,03500,0000,3500RURAL HEALTH CLINIC 433309,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433309,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433309,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433309,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433309,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433309,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433309,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433309,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433309,A000000,04400,0000,4400DME RENTED - HHA 433309,A000000,04500,0000,4500DME SOLD - HHA 433309,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433309,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433309,A000000,04710,0000,4710TELEMEDICINE 433309,A000000,04800,0000,4800AMBULANCE 433309,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433309,A000000,05000,0000,5000CORF 433309,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433309,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433309,A000000,05300,0000,5300INTEREST EXPENSE 433309,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433309,A000000,05500,0000,5500HOSPICE 433309,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433309,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433309,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433309,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433309,A000000,06100,0000,6100NONPAID WORKERS 433309,A000000,06200,0000,6200PATIENTS LAUNDRY 433309,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433309,A81000A,00100,0100,Y 433309,A81000B,00100,0300,MANAGEMENT FEE - H.O. ALLOCATED 433309,A81000B,00200,0300,CAP-RELATED COST - H.O. ALLOCATED 433309,A81000B,00300,0300,CAP-RELATED COST - H.O. ALLOCATED 433309,A81000B,00400,0300,INTEREST - H.O. ALLOCATED 433309,A81000B,00500,0300,NURSING - H.O. ALLOCATED 433309,A81000B,00600,0300,NURSING - H.O. ALLOCATED 433309,A81000B,00700,0300,INTERCO - PHYSICAL THERAPY 433309,A81000B,00800,0300,INTERCO - OCCUPATIONAL THERAPY 433309,A81000B,00900,0300,INTERCO - SPEECHH THERAPY 433309,A81000C,00100,0100,B 433309,A81000C,00100,0400,COVENANT CARE CALIFORNIA 433309,A81000C,00100,0600,HEALTH CARE MGMT 433309,A81000C,00200,0100,G 433309,A81000C,00200,0400,SELECT THERAPY 433309,A81000C,00200,0600,REHAB 433309,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433309,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433309,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433309,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433309,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433309,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433309,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433309,B100000,00000,0800,0800MEALS SERVED :DIETARY 433309,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433309,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 433309,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433309,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433309,G300000,02500,0000,OTHER (SPECIFY) 433309,S000000,00100,0200,09/21/12 433309,S200000,00100,0100,1517 W WALNUT STREET 433309,S200000,00200,0100,JACKSONVILLE 433309,S200000,00200,0200,IL 433309,S200000,00200,0300,62650 433309,S200000,00300,0100,MORGAN 433309,S200000,00300,0201,99914 433309,S200000,00300,0300,R 433309,S200000,00400,0100,JACKSONVILLE SKILLED NURSING & REHAB 433309,S200000,00400,0200,145273 433309,S200000,00400,0300,08/25/74 433309,S200000,00400,0500,P 433309,S200000,00600,0200,145273 433309,S200000,00600,0300,08/25/74 433309,S200000,00600,0600,O 433309,S200000,01500,0100,N 433309,S200000,01600,0100,Y 433309,S200000,01700,0100,N 433309,S200000,01800,0100,N 433309,S200000,02200,0100,N 433309,S200000,02800,0100,N 433309,S200000,02900,0100,N 433309,S200000,03000,0100,N 433309,S200000,03100,0100,N 433309,S200000,03200,0100,N 433309,S200000,03300,0100,N 433309,S200000,03300,0200,N 433309,S200000,03500,0300,N 433309,S200000,04100,0100,N 433309,S200000,04200,0100,N 433309,S200000,04300,0100,N 433309,S200000,04600,0100,N 433309,S200000,04700,0100,N 433309,S200000,04700,0200,N 433309,S200000,04900,0100,N 433309,S200000,05000,0100,N 433309,S200000,05100,0100,N 433309,S200000,05200,0100,N 433309,S200000,05300,0100,Y 433309,S200000,05300,0200,HB0531 433309,S200000,05400,0100,COVENANT CARE CALIFORNIA LLC 433309,S200000,05400,0200,PALMETTO GBA 433309,S200000,05400,0300,01101 433309,S200000,05500,0100,27071 ALISO CREEK ROAD 433309,S200000,05600,0100,ALISO VIEJO 433309,S200000,05600,0200,CA 433309,S200000,05600,0300,92656 433310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433310,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433310,A000000,00300,0000,0300EMPLOYEE BENEFITS 433310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433310,A000000,00700,0000,0700HOUSEKEEPING 433310,A000000,00800,0000,0800DIETARY 433310,A000000,00900,0000,0900NURSING ADMINISTRATION 433310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433310,A000000,01100,0000,1100PHARMACY 433310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433310,A000000,01300,0000,1300SOCIAL SERVICE 433310,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433310,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433310,A000000,01600,0000,1600SKILLED NURSING FACILITY 433310,A000000,01800,0000,1800NURSING FACILITY 433310,A000000,01810,0000,1810ICF/MR 433310,A000000,01900,0000,1900OTHER LONG TERM CARE 433310,A000000,02100,0000,2100RADIOLOGY 433310,A000000,02200,0000,2200LABORATORY 433310,A000000,02300,0000,2300INTRAVENOUS THERAPY 433310,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433310,A000000,02500,0000,2500PHYSICAL THERAPY 433310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433310,A000000,02700,0000,2700SPEECH PATHOLOGY 433310,A000000,02800,0000,2800ELECTROCARDIOLOGY 433310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433310,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433310,A000000,03200,0000,3200SUPPORT SURFACES 433310,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433310,A000000,03400,0000,3400CLINIC 433310,A000000,03500,0000,3500RURAL HEALTH CLINIC 433310,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433310,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433310,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433310,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433310,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433310,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433310,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433310,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433310,A000000,04400,0000,4400DME RENTED - HHA 433310,A000000,04500,0000,4500DME SOLD - HHA 433310,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433310,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433310,A000000,04710,0000,4710TELEMEDICINE 433310,A000000,04800,0000,4800AMBULANCE 433310,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433310,A000000,05000,0000,5000CORF 433310,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433310,A000000,05300,0000,5300INTEREST EXPENSE 433310,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433310,A000000,05500,0000,5500HOSPICE 433310,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433310,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433310,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433310,A000000,06100,0000,6100NONPAID WORKERS 433310,A000000,06200,0000,6200PATIENTS LAUNDRY 433310,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433310,A81000A,00100,0100,Y 433310,A81000B,00100,0300,OFFICE SUPPLIES 433310,A81000B,00200,0300,MAINTENANCE SUPPLIES 433310,A81000B,00300,0300,MINOR EQUIPMENT EXPENSE 433310,A81000B,00400,0300,REPAIRS-BUILDING 433310,A81000B,00500,0300,REPAIRS-EQUIPMENT 433310,A81000B,00600,0300,REPAIRS-GROUNDS 433310,A81000B,00700,0300,LINEN & BEDDING 433310,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433310,A81000B,00900,0300,SUPPLIES 433310,A81000B,01000,0300,SUPPLIES 433310,A81000B,01100,0300,DIETARY SUPPLEMENTS 433310,A81000B,01200,0300,SUPPLIES 433310,A81000B,01300,0300,BIO-MEDICAL WASTE 433310,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 433310,A81000B,01500,0300,PERSONAL CARE SUPPLIES 433310,A81000B,01600,0300,INCONTINENCE SUPPLIES 433310,A81000B,01700,0300,MEDICAL SUPPLIES 433310,A81000B,01800,0300,SUPPLIES 433310,A81000B,01900,0300,SUPPLIES 433310,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 433310,A81000B,02100,0300,SUPPLIES 433310,A81000B,02200,0300,SUPPLIES 433310,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 433310,A81000B,02400,0300,NON-LEGEND DRUGS 433310,A81000B,02500,0300,PHARMACY CONSULTANT 433310,A81000B,02600,0300,SUPPLIES 433310,A81000B,02700,0300,LEGEND DRUGS 433310,A81000B,02800,0300,OFFICE SUPPLIES 433310,A81000B,02900,0300,REPAIRS-BUILDING 433310,A81000C,00100,0100,A 433310,A81000C,00100,0200,SHAREHOLDERS 433310,A81000C,00100,0400,KARE MEDICAL 433310,A81000C,00100,0600,WHOLESALE SUPPL 433310,A81000C,00200,0100,A 433310,A81000C,00200,0200,SHAREHOLDERS 433310,A81000C,00200,0400,KARE MEDICAL 433310,A81000C,00200,0600,WHOLESALE SUPPL 433310,A81000C,00300,0100,A 433310,A81000C,00300,0200,SHAREHOLDERS 433310,A81000C,00300,0400,KARE MEDICAL 433310,A81000C,00300,0600,WHOLESALE SUPPL 433310,A81000C,00400,0100,A 433310,A81000C,00400,0200,SHAREHOLDERS 433310,A81000C,00400,0400,KARE MEDICAL 433310,A81000C,00400,0600,WHOLESALE SUPPL 433310,A81000C,00500,0100,A 433310,A81000C,00500,0200,SHAREHOLDERS 433310,A81000C,00500,0400,KARE MEDICAL 433310,A81000C,00500,0600,WHOLESALE SUPPL 433310,A81000C,00600,0100,A 433310,A81000C,00600,0200,SHAREHOLDERS 433310,A81000C,00600,0400,KARE MEDICAL 433310,A81000C,00600,0600,WHOLESALE SUPPL 433310,A81000C,00700,0100,A 433310,A81000C,00700,0200,SHAREHOLDERS 433310,A81000C,00700,0400,KARE MEDICAL 433310,A81000C,00700,0600,WHOLESALE SUPPL 433310,A81000C,00800,0100,A 433310,A81000C,00800,0200,SHAREHOLDERS 433310,A81000C,00800,0400,KARE MEDICAL 433310,A81000C,00800,0600,WHOLESALE SUPPL 433310,A81000C,00900,0100,A 433310,A81000C,00900,0200,SHAREHOLDERS 433310,A81000C,00900,0400,KARE MEDICAL 433310,A81000C,00900,0600,WHOLESALE SUPPL 433310,A81000C,01000,0100,A 433310,A81000C,01000,0200,SHAREHOLDERS 433310,A81000C,01000,0400,KARE MEDICAL 433310,A81000C,01000,0600,WHOLESALE SUPPL 433310,A81000C,01001,0100,A 433310,A81000C,01001,0200,SHAREHOLDERS 433310,A81000C,01001,0400,KARE MEDICAL 433310,A81000C,01001,0600,WHOLESALE SUPPL 433310,A81000C,01002,0100,A 433310,A81000C,01002,0200,SHAREHOLDERS 433310,A81000C,01002,0400,KARE MEDICAL 433310,A81000C,01002,0600,WHOLESALE SUPPL 433310,A81000C,01003,0100,A 433310,A81000C,01003,0200,SHAREHOLDERS 433310,A81000C,01003,0400,KARE MEDICAL 433310,A81000C,01003,0600,WHOLESALE SUPPL 433310,A81000C,01004,0100,A 433310,A81000C,01004,0200,SHAREHOLDERS 433310,A81000C,01004,0400,KARE MEDICAL 433310,A81000C,01004,0600,WHOLESALE SUPPL 433310,A81000C,01005,0100,A 433310,A81000C,01005,0200,SHAREHOLDERS 433310,A81000C,01005,0400,KARE MEDICAL 433310,A81000C,01005,0600,WHOLESALE SUPPL 433310,A81000C,01006,0100,A 433310,A81000C,01006,0200,SHAREHOLDERS 433310,A81000C,01006,0400,KARE MEDICAL 433310,A81000C,01006,0600,WHOLESALE SUPPL 433310,A81000C,01007,0100,A 433310,A81000C,01007,0200,SHAREHOLDERS 433310,A81000C,01007,0400,KARE MEDICAL 433310,A81000C,01007,0600,WHOLESALE SUPPL 433310,A81000C,01008,0100,A 433310,A81000C,01008,0200,SHAREHOLDERS 433310,A81000C,01008,0400,KARE MEDICAL 433310,A81000C,01008,0600,WHOLESALE SUPPL 433310,A81000C,01009,0100,A 433310,A81000C,01009,0200,SHAREHOLDERS 433310,A81000C,01009,0400,KARE MEDICAL 433310,A81000C,01009,0600,WHOLESALE SUPPL 433310,A81000C,01010,0100,A 433310,A81000C,01010,0200,SHAREHOLDERS 433310,A81000C,01010,0400,KARE MEDICAL 433310,A81000C,01010,0600,WHOLESALE SUPPL 433310,A81000C,01011,0100,A 433310,A81000C,01011,0200,SHAREHOLDERS 433310,A81000C,01011,0400,KARE MEDICAL 433310,A81000C,01011,0600,WHOLESALE SUPPL 433310,A81000C,01012,0100,A 433310,A81000C,01012,0200,SHAREHOLDERS 433310,A81000C,01012,0400,KARE MEDICAL 433310,A81000C,01012,0600,WHOLESALE SUPPL 433310,A81000C,01013,0100,A 433310,A81000C,01013,0200,SHAREHOLDERS 433310,A81000C,01013,0400,KARE MEDICAL 433310,A81000C,01013,0600,WHOLESALE SUPPL 433310,A81000C,01014,0100,A 433310,A81000C,01014,0200,SHAREHOLDERS 433310,A81000C,01014,0400,PHARMSAVE 433310,A81000C,01014,0600,RX SUPPLY 433310,A81000C,01015,0100,A 433310,A81000C,01015,0200,SHAREHOLDERS 433310,A81000C,01015,0400,PHARMSAVE 433310,A81000C,01015,0600,RX SUPPLY 433310,A81000C,01016,0100,A 433310,A81000C,01016,0200,SHAREHOLDERS 433310,A81000C,01016,0400,PHARMSAVE 433310,A81000C,01016,0600,RX SUPPLY 433310,A81000C,01017,0100,A 433310,A81000C,01017,0200,SHAREHOLDERS 433310,A81000C,01017,0400,PHARMSAVE 433310,A81000C,01017,0600,RX SUPPLY 433310,A81000C,01018,0100,A 433310,A81000C,01018,0200,SHAREHOLDERS 433310,A81000C,01018,0400,ROBERT HILL CON 433310,A81000C,01018,0600,CONSTRUCTION 433310,A81000C,01019,0100,A 433310,A81000C,01019,0200,SHAREHOLDERS 433310,A81000C,01019,0400,ROBERT HILL CON 433310,A81000C,01019,0600,CONSTRUCTION 433310,A81000C,01020,0100,A 433310,A81000C,01020,0200,SHAREHOLDERS 433310,A81000C,01020,0400,ROBERT HILL CON 433310,A81000C,01020,0600,CONSTRUCTION 433310,A81000C,01021,0100,B 433310,A81000C,01021,0200,PLTC INC. & PI 433310,A81000C,01021,0400,PLTC INC. & PI 433310,A81000C,01021,0600,MGMT SERVICES 433310,A81000C,01022,0100,B 433310,A81000C,01022,0200,PLTC INC. & PI 433310,A81000C,01022,0400,PLTC INC. & PI 433310,A81000C,01022,0600,MGMT SERVICES 433310,A81000C,01023,0100,B 433310,A81000C,01023,0200,PLTC INC. & PI 433310,A81000C,01023,0400,PLTC INC. & PI 433310,A81000C,01023,0600,MGMT SERVICES 433310,A81000C,01024,0100,B 433310,A81000C,01024,0200,PLTC INC. & PI 433310,A81000C,01024,0400,PLTC INC. & PI 433310,A81000C,01024,0600,MGMT SERVICES 433310,A81000C,01025,0100,A 433310,A81000C,01025,0200,SHAREHOLDERS 433310,A81000C,01025,0400,BRITTHAVEN INC 433310,A81000C,01025,0600,REAL ESTATE 433310,A81000C,01026,0100,A 433310,A81000C,01026,0200,SHAREHOLDERS 433310,A81000C,01026,0400,BRITTHAVEN INC 433310,A81000C,01026,0600,REAL ESTATE 433310,A81000C,01027,0100,A 433310,A81000C,01027,0200,SHAREHOLDERS 433310,A81000C,01027,0400,BRITTHAVEN INC 433310,A81000C,01027,0600,REAL ESTATE 433310,A81000C,01028,0100,A 433310,A81000C,01028,0200,SHAREHOLDERS 433310,A81000C,01028,0400,QUEENSLAND ASSU 433310,A81000C,01028,0600,INSURANCE 433310,A81000C,01029,0100,A 433310,A81000C,01029,0200,SHAREHOLDERS 433310,A81000C,01029,0400,BRITTHAVEN INC 433310,A81000C,01029,0600,REAL ESTATE 433310,A81000C,01030,0100,A 433310,A81000C,01030,0200,SHAREHOLDERS 433310,A81000C,01030,0400,BRITTHAVEN OF K 433310,A81000C,01030,0600,REAL ESTATE 433310,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433310,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433310,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433310,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433310,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433310,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433310,B100000,00000,0800,0800MEALS SERVED :DIETARY 433310,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433310,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433310,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433310,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433310,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433310,E10A180,00501,0100,05/29/12 433310,G300000,02500,0000, OTHER (SPECIFY) 433310,S000000,00100,0200,03/01/12 433310,S200000,00100,0100,6301 BASS ROAD 433310,S200000,00200,0100,PROSPECT 433310,S200000,00200,0200,KY 433310,S200000,00200,0300,40059 433310,S200000,00300,0100,JEFFERSON 433310,S200000,00300,0201,31140 433310,S200000,00300,0300,U 433310,S200000,00400,0100,RIVERS EDGE NURSING & REHAB CENTER 433310,S200000,00400,0200,185259 433310,S200000,00400,0300,05/01/91 433310,S200000,00400,0500,P 433310,S200000,01500,0100,Y 433310,S200000,01501,0200,Y 433310,S200000,01502,0200,Y 433310,S200000,01503,0200,Y 433310,S200000,01504,0200,Y 433310,S200000,01505,0000,OTHER (SPECIFY) 433310,S200000,01505,0200,Y 433310,S200000,01600,0100,N 433310,S200000,01700,0100,N 433310,S200000,01800,0100,N 433310,S200000,02200,0100,N 433310,S200000,02800,0100,N 433310,S200000,02900,0100,N 433310,S200000,03000,0100,N 433310,S200000,03100,0100,N 433310,S200000,03200,0100,N 433310,S200000,03300,0100,N 433310,S200000,03300,0200,N 433310,S200000,03600,0100,N 433310,S200000,03600,0200,N 433310,S200000,04100,0100,N 433310,S200000,04200,0100,N 433310,S200000,04300,0100,N 433310,S200000,04600,0100,N 433310,S200000,04700,0100,N 433310,S200000,04700,0200,N 433310,S200000,04900,0100,N 433310,S200000,05000,0100,N 433310,S200000,05100,0100,N 433310,S200000,05200,0100,N 433310,S200000,05300,0100,Y 433310,S200000,05300,0200,349011 433310,S200000,05400,0100,PLTC INC. & PITS INC. 433310,S200000,05400,0200,CGS 433310,S200000,05400,0300,00610 433310,S200000,05500,0100,1435 HWY 258 NORTH 433310,S200000,05500,0200,PO BOX 61 433310,S200000,05600,0100,KINSTON 433310,S200000,05600,0200,NC 433310,S200000,05600,0300,28502 433311,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433311,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433311,A000000,00300,0000,0300EMPLOYEE BENEFITS 433311,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433311,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433311,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433311,A000000,00700,0000,0700HOUSEKEEPING 433311,A000000,00800,0000,0800DIETARY 433311,A000000,00900,0000,0900NURSING ADMINISTRATION 433311,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433311,A000000,01100,0000,1100PHARMACY 433311,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433311,A000000,01300,0000,1300SOCIAL SERVICE 433311,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433311,A000000,01500,0000,1350ACTIVITIES 433311,A000000,01600,0000,1600SKILLED NURSING FACILITY 433311,A000000,01810,0000,1810ICF/MR 433311,A000000,02100,0000,2100RADIOLOGY 433311,A000000,02200,0000,2200LABORATORY 433311,A000000,02300,0000,2300INTRAVENOUS THERAPY 433311,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433311,A000000,02500,0000,2500PHYSICAL THERAPY 433311,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433311,A000000,02700,0000,2700SPEECH PATHOLOGY 433311,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433311,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433311,A000000,03200,0000,3200SUPPORT SURFACES 433311,A000000,03300,0000,3050PEN BILLING 433311,A000000,03550,0000,3550FQHC 433311,A000000,04801,0000,4801AMBULANCE 433311,A000000,04802,0000,4802AMBULANCE 433311,A000000,04803,0000,4803AMBULANCE 433311,A000000,05000,0000,5000CORF 433311,A000000,05010,0000,5010CMHC 433311,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433311,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433311,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433311,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433311,A81000A,00100,0100,Y 433311,A81000B,00100,0300,HOME OFFICE ALLOC 433311,A81000B,00200,0300,DIRECT INT & AMORT 433311,A81000B,00300,0300,HOME OFFICE CAPITAL 433311,A81000B,00400,0300,PT 433311,A81000B,00500,0300,OT 433311,A81000B,00600,0300,ST 433311,A81000B,00700,0300,NUTRITIONIST 433311,A81000B,00800,0300,RT 433311,A81000B,00900,0300,MEDICAL DIRECTOR 433311,A81000B,01000,0300,NURS PURC SVCS 433311,A81000C,00100,0100,B 433311,A81000C,00100,0200,GENESIS HEALTHC 433311,A81000C,00100,0600,MGMT COMPANY 433311,A81000C,00200,0100,B 433311,A81000C,00200,0200,GENESIS REHAB S 433311,A81000C,00200,0600,PT OT ST 433311,A81000C,00300,0100,B 433311,A81000C,00300,0200,GENESIS HOSPITA 433311,A81000C,00300,0600,NUTRITIONIST 433311,A81000C,00400,0100,B 433311,A81000C,00400,0200,RESPIRATORY HEA 433311,A81000C,00400,0600,RT 433311,A81000C,00500,0100,B 433311,A81000C,00500,0200,GENESIS PHYS SV 433311,A81000C,00500,0600,MEDICAL DIRECTO 433311,A81000C,00600,0100,B 433311,A81000C,00600,0200,GENESIS STAFFIN 433311,A81000C,00600,0600,NURS PURC SVCS 433311,B100000,00000,0100,0100SQUARE FEET 433311,B100000,00000,0200,0200SQUARE FEET 433311,B100000,00000,0300,0300GROSS SALARIES 433311,B100000,00000,0400,0400ACCUM COST 433311,B100000,00000,0500,0500SQUARE FEET 433311,B100000,00000,0600,0600PT DAYS 433311,B100000,00000,0700,0700SQ FT 433311,B100000,00000,0800,0800MEALS SERVED 433311,B100000,00000,0900,0900PT DAYS 433311,B100000,00000,1000,1000COSTED REQUIS 433311,B100000,00000,1100,1100COSTED REQUIS 433311,B100000,00000,1200,1200GROSS CHARGES 433311,B100000,00000,1300,1300PT DAY 433311,B100000,00000,1400,1400ASSIGNED TIME 433311,B100000,00000,1500,1350PT DAYS 433311,E10A180,00501,0300,12/12/11 433311,E10A180,00550,0100,12/12/11 433311,G300000,02500,0000,MISC REVENUE 433311,S000000,00100,0200,09/26/11 433311,S200000,00100,0100,610 DUTCHMANS LANE 433311,S200000,00200,0100,EASTON 433311,S200000,00200,0200,MD 433311,S200000,00200,0300,21601 433311,S200000,00300,0100,TALBOT 433311,S200000,00300,0201,99921 433311,S200000,00300,0300,R 433311,S200000,00400,0100,THE PINES CENTER 433311,S200000,00400,0200,215010 433311,S200000,00400,0300,01/01/98 433311,S200000,00400,0500,P 433311,S200000,01500,0100,Y 433311,S200000,01501,0200,N 433311,S200000,01502,0200,N 433311,S200000,01503,0200,N 433311,S200000,01504,0200,N 433311,S200000,01505,0000,DON BONUS 433311,S200000,01505,0200,N 433311,S200000,01600,0100,N 433311,S200000,01700,0100,N 433311,S200000,01800,0100,N 433311,S200000,02200,0100,Y 433311,S200000,02800,0100,N 433311,S200000,02900,0100,N 433311,S200000,03000,0100,N 433311,S200000,03100,0100,N 433311,S200000,03200,0100,N 433311,S200000,03300,0100,N 433311,S200000,03300,0200,N 433311,S200000,04200,0100,N 433311,S200000,04300,0100,N 433311,S200000,04600,0100,N 433311,S200000,04700,0100,N 433311,S200000,04900,0100,N 433311,S200000,05200,0100,N 433311,S200000,05300,0100,Y 433311,S200000,05300,0200,HB0067 433311,S200000,05400,0100,GENESIS HEALTHCARE 433311,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433311,S200000,05400,0300,12001 433311,S200000,05500,0100,101 EAST STATE STREET 433311,S200000,05600,0100,KENNETT SQUARE 433311,S200000,05600,0200,PA 433311,S200000,05600,0300,19348 433312,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433312,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433312,A000000,00300,0000,0300EMPLOYEE BENEFITS 433312,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433312,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433312,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433312,A000000,00700,0000,0700HOUSEKEEPING 433312,A000000,00800,0000,0800DIETARY 433312,A000000,00900,0000,0900NURSING ADMINISTRATION 433312,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433312,A000000,01100,0000,1100PHARMACY 433312,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433312,A000000,01300,0000,1300SOCIAL SERVICE 433312,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433312,A000000,01500,0000,1350ACTIVITIES 433312,A000000,01600,0000,1600SKILLED NURSING FACILITY 433312,A000000,01810,0000,1810ICF/MR 433312,A000000,02100,0000,2100RADIOLOGY 433312,A000000,02200,0000,2200LABORATORY 433312,A000000,02300,0000,2300INTRAVENOUS THERAPY 433312,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433312,A000000,02500,0000,2500PHYSICAL THERAPY 433312,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433312,A000000,02700,0000,2700SPEECH PATHOLOGY 433312,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433312,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433312,A000000,03200,0000,3200SUPPORT SURFACES 433312,A000000,03300,0000,3050PEN BILLING 433312,A000000,03550,0000,3550FQHC 433312,A000000,04801,0000,4801AMBULANCE 433312,A000000,04802,0000,4802AMBULANCE 433312,A000000,04803,0000,4803AMBULANCE 433312,A000000,05000,0000,5000CORF 433312,A000000,05010,0000,5010CMHC 433312,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433312,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433312,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433312,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433312,A81000A,00100,0100,N 433312,B100000,00000,0100,0100SQUARE FEET 433312,B100000,00000,0200,0200SQUARE FEET 433312,B100000,00000,0300,0300GROSS SALARIES 433312,B100000,00000,0400,0400ACCUM COST 433312,B100000,00000,0500,0500SQUARE FEET 433312,B100000,00000,0600,0600PT DAYS 433312,B100000,00000,0700,0700SQ FT 433312,B100000,00000,0800,0800MEALS SERVED 433312,B100000,00000,0900,0900PT DAYS 433312,B100000,00000,1000,1000COSTED REQUIS 433312,B100000,00000,1100,1100COSTED REQUIS 433312,B100000,00000,1200,1200GROSS CHARGES 433312,B100000,00000,1300,1300PT DAYS 433312,B100000,00000,1400,1400ASSIGNED TIME 433312,B100000,00000,1500,1350PT DAYS 433312,E10A180,00501,0100,12/19/11 433312,E10A180,00501,0300,12/19/11 433312,G300000,02500,0000,MISC INCOME 433312,S000000,00100,0200,09/26/11 433312,S200000,00100,0100,3330 WILKENS AVENUE 433312,S200000,00200,0100,BALTIMORE 433312,S200000,00200,0200,MD 433312,S200000,00200,0300,21229 433312,S200000,00300,0100,BALTIMORE CITY 433312,S200000,00300,0201,12580 433312,S200000,00300,0300,U 433312,S200000,00400,0100,CATON MANOR CENTER 433312,S200000,00400,0200,215085 433312,S200000,00400,0300,08/01/97 433312,S200000,00400,0500,P 433312,S200000,01500,0100,Y 433312,S200000,01501,0200,N 433312,S200000,01502,0200,N 433312,S200000,01503,0200,N 433312,S200000,01504,0200,N 433312,S200000,01505,0000,DON BONUS 433312,S200000,01505,0200,N 433312,S200000,01600,0100,N 433312,S200000,01700,0100,N 433312,S200000,01800,0100,N 433312,S200000,02200,0100,N 433312,S200000,02800,0100,N 433312,S200000,02900,0100,N 433312,S200000,03000,0100,N 433312,S200000,03100,0100,N 433312,S200000,03200,0100,N 433312,S200000,03300,0100,N 433312,S200000,03300,0200,N 433312,S200000,04200,0100,N 433312,S200000,04300,0100,N 433312,S200000,04600,0100,N 433312,S200000,04700,0100,N 433312,S200000,04900,0100,N 433312,S200000,05200,0100,N 433312,S200000,05300,0100,N 433313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433313,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433313,A000000,00300,0000,0300EMPLOYEE BENEFITS 433313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433313,A000000,00700,0000,0700HOUSEKEEPING 433313,A000000,00800,0000,0800DIETARY 433313,A000000,00900,0000,0900NURSING ADMINISTRATION 433313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433313,A000000,01100,0000,1100PHARMACY 433313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433313,A000000,01300,0000,1300SOCIAL SERVICE 433313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433313,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433313,A000000,01600,0000,1600SKILLED NURSING FACILITY 433313,A000000,01810,0000,1810ICF/MR 433313,A000000,02100,0000,2100RADIOLOGY 433313,A000000,02200,0000,2200LABORATORY 433313,A000000,02500,0000,2500PHYSICAL THERAPY 433313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433313,A000000,02700,0000,2700SPEECH PATHOLOGY 433313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433313,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 433313,A000000,03550,0000,3550FQHC 433313,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433313,A000000,04710,0000,4710TELEMEDICINE 433313,A000000,04801,0000,4801AMBULANCE 433313,A000000,04802,0000,4802AMBULANCE 433313,A000000,04803,0000,4803AMBULANCE 433313,A000000,05000,0000,5000CORF 433313,A000000,05010,0000,5010CMHC 433313,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433313,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433313,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433313,A000000,05300,0000,5300INTEREST EXPENSE 433313,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433313,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433313,A81000A,00100,0100,Y 433313,A81000B,00100,0300,MANAGEMENT FEE 433313,A81000B,00200,0300,BEEF 433313,A81000B,00300,0300,ROCK SALT 433313,A81000B,00400,0300,HEATING AND COOLING REPAIR 433313,A81000B,00500,0300,NURSING SUPPLIES 433313,A81000B,00600,0300,SUPPLEMENTAL FEEDING 433313,A81000B,00700,0300,OXYGEN 433313,A81000B,00800,0300,MINOR EQUIPMENT 433313,A81000B,00900,0300,LAUNDRY HSKPG SUPPLIES 433313,A81000B,01000,0300,MAINTENANCE SUPPLIES 433313,A81000C,00100,0100,A 433313,A81000C,00100,0200,JOHN D KLINGERM 433313,A81000C,00100,0400,JDK MANAGEMENT 433313,A81000C,00100,0600,SERVICE 433313,A81000C,00200,0100,A 433313,A81000C,00200,0200,DAVID W. KLINGE 433313,A81000C,00200,0400,KLINGERMAN FARM 433313,A81000C,00200,0600,FARM 433313,A81000C,00300,0100,A 433313,A81000C,00300,0200,DAVID W. KLINGE 433313,A81000C,00300,0400,KLINGERMAN BROS 433313,A81000C,00300,0600,SERVCIE 433313,A81000C,00400,0100,A 433313,A81000C,00400,0200,JOHN D KLINGERM 433313,A81000C,00400,0400,K INVESTMENTS 433313,A81000C,00400,0600,SERVICE 433313,A81000C,00500,0100,A 433313,A81000C,00500,0200,JOHN D KLINGERM 433313,A81000C,00500,0400,COLUMBIA ANC SE 433313,A81000C,00500,0600,SERVICE 433313,A81000C,00600,0100,A 433313,A81000C,00600,0200,JOHN D KLINGERM 433313,A81000C,00600,0400,COLUMBIA ANC SE 433313,A81000C,00600,0600,SERVICE 433313,A81000C,00700,0100,A 433313,A81000C,00700,0200,JOHN D KLINGERM 433313,A81000C,00700,0400,COLUMBIA ANC SE 433313,A81000C,00700,0600,SERVICE 433313,A81000C,00800,0100,A 433313,A81000C,00800,0200,JOHN D KLINGERM 433313,A81000C,00800,0400,COLUMBIA ANC SE 433313,A81000C,00800,0600,SERVICE 433313,A81000C,00900,0100,A 433313,A81000C,00900,0200,JOHN D KLINGERM 433313,A81000C,00900,0400,COLUMBIA ANC SE 433313,A81000C,00900,0600,SERVICE 433313,A81000C,01000,0100,A 433313,A81000C,01000,0200,JOHN D KLINGERM 433313,A81000C,01000,0400,COLUMBIA ANC SE 433313,A81000C,01000,0600,SERVICE 433313,B100000,00000,0100,0100SQUARE FEET 433313,B100000,00000,0200,0200SQUARE FEET 433313,B100000,00000,0300,0300GROSS SALARIES 433313,B100000,00000,0400,0400ACCUM COST 433313,B100000,00000,0500,0500SQUARE FEET 433313,B100000,00000,0600,0600PATIENT DAYS 433313,B100000,00000,0700,0700SQUARE FEET 433313,B100000,00000,0800,0800PATIENT DAYS 433313,B100000,00000,0900,0900DIRECT NURSING 433313,B100000,00000,1000,1000PATIENT DAYS 433313,B100000,00000,1100,1100COSTED REQUIS. 433313,B100000,00000,1200,1200PATIENT DAYS 433313,B100000,00000,1300,1300PATIENT DAYS 433313,B100000,00000,1400,1400ASSIGNED TIME 433313,B100000,00000,1500,1350PATIENT DAYS 433313,E10A180,00350,0100,06/08/11 433313,E10A180,00501,0100,12/07/11 433313,E10A180,00501,0300,12/07/11 433313,G300000,02500,0000,SUNDRY REVENUE 433313,G300000,02501,0000,INCONTINENT REVENUE 433313,G300000,02502,0000,PERSONAL PURCHASES 433313,G300000,02503,0000,MISC INCOME 433313,G300000,02504,0000,BEAUTY & BARBER REVENUE 433313,S000000,00100,0200,10/31/11 433313,S200000,00100,0100,149 LAFAYETTE AVENUE 433313,S200000,00200,0100,TAMAQUA 433313,S200000,00200,0200,PA 433313,S200000,00200,0300,18252 433313,S200000,00300,0100,SCHUYKILL 433313,S200000,00300,0300,R 433313,S200000,00400,0100,HOMETOWN NURSING & REHAB CENTER 433313,S200000,00400,0200,395875 433313,S200000,00400,0300,02/26/92 433313,S200000,00400,0500,P 433313,S200000,01500,0100,N 433313,S200000,01501,0200,N 433313,S200000,01502,0200,N 433313,S200000,01503,0200,N 433313,S200000,01504,0200,N 433313,S200000,01505,0000,OTHER (SPECIFY) 433313,S200000,01505,0200,N 433313,S200000,01600,0100,N 433313,S200000,01700,0100,N 433313,S200000,01800,0100,N 433313,S200000,02200,0100,N 433313,S200000,02800,0100,N 433313,S200000,02900,0100,N 433313,S200000,03000,0100,N 433313,S200000,03100,0100,N 433313,S200000,03200,0100,N 433313,S200000,03300,0100,N 433313,S200000,03300,0200,N 433313,S200000,04200,0100,N 433313,S200000,04300,0100,N 433313,S200000,04600,0100,N 433313,S200000,04700,0100,N 433313,S200000,04900,0100,N 433313,S200000,05200,0100,N 433313,S200000,05300,0100,N 433322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433322,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433322,A000000,00300,0000,0300EMPLOYEE BENEFITS 433322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433322,A000000,00700,0000,0700HOUSEKEEPING 433322,A000000,00800,0000,0800DIETARY 433322,A000000,00900,0000,0900NURSING ADMINISTRATION 433322,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433322,A000000,01100,0000,1100PHARMACY 433322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433322,A000000,01300,0000,1300SOCIAL SERVICE 433322,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433322,A000000,01500,0000,1350OTHER GENERAL SERVICES 433322,A000000,01600,0000,1600SKILLED NURSING FACILITY 433322,A000000,01800,0000,1800NURSING FACILITY 433322,A000000,01810,0000,1810ICF/MR 433322,A000000,01900,0000,1900OTHER LONG TERM CARE 433322,A000000,02100,0000,2100RADIOLOGY 433322,A000000,02200,0000,2200LABORATORY 433322,A000000,02300,0000,2300INTRAVENOUS THERAPY 433322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433322,A000000,02500,0000,2500PHYSICAL THERAPY 433322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433322,A000000,02700,0000,2700SPEECH PATHOLOGY 433322,A000000,02800,0000,2800ELECTROCARDIOLOGY 433322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433322,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433322,A000000,03200,0000,3200SUPPORT SURFACES 433322,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433322,A000000,03400,0000,3400CLINIC 433322,A000000,03500,0000,3500RURAL HEALTH CLINIC 433322,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433322,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433322,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433322,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433322,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433322,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433322,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433322,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433322,A000000,04400,0000,4400DME RENTED - HHA 433322,A000000,04500,0000,4500DME SOLD - HHA 433322,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433322,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433322,A000000,04710,0000,4710TELEMEDICINE 433322,A000000,04800,0000,4800AMBULANCE 433322,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433322,A000000,05000,0000,5000CORF 433322,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433322,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433322,A000000,05300,0000,5300INTEREST EXPENSE 433322,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433322,A000000,05500,0000,5500HOSPICE 433322,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433322,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433322,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433322,A000000,06100,0000,6100NONPAID WORKERS 433322,A000000,06200,0000,6200PATIENTS LAUNDRY 433322,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433322,A81000A,00100,0100,N 433322,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433322,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433322,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433322,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433322,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433322,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433322,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433322,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433322,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433322,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433322,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433322,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433322,G300000,02500,0000,FLU 433322,S000000,00100,0200,08/01/12 433322,S200000,00100,0100,60 WEST STREET 433322,S200000,00200,0100,GENEVA 433322,S200000,00200,0200,OH 433322,S200000,00200,0300,44041 433322,S200000,00300,0100,ASHTABULA 433322,S200000,00300,0201,99936 433322,S200000,00300,0300,R 433322,S200000,00400,0100,GENEVA POINTE SKILLED NURSING CENTER 433322,S200000,00400,0200,365962 433322,S200000,00400,0300,01/05/99 433322,S200000,00400,0500,P 433322,S200000,01500,0100,Y 433322,S200000,01501,0200,N 433322,S200000,01504,0200,Y 433322,S200000,01600,0100,N 433322,S200000,01700,0100,N 433322,S200000,01800,0100,N 433322,S200000,02200,0100,N 433322,S200000,02800,0100,N 433322,S200000,02900,0100,N 433322,S200000,03000,0100,N 433322,S200000,03100,0100,N 433322,S200000,03200,0100,N 433322,S200000,03300,0100,N 433322,S200000,03300,0200,N 433322,S200000,04100,0100,N 433322,S200000,04200,0100,N 433322,S200000,04300,0100,Y 433322,S200000,04600,0100,N 433322,S200000,04700,0100,N 433322,S200000,04700,0200,N 433322,S200000,04900,0100,N 433322,S200000,05000,0100,N 433322,S200000,05100,0100,N 433322,S200000,05200,0100,N 433327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433327,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433327,A000000,00300,0000,0300EMPLOYEE BENEFITS 433327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433327,A000000,00700,0000,0700HOUSEKEEPING 433327,A000000,00800,0000,0800DIETARY 433327,A000000,00900,0000,0900NURSING ADMINISTRATION 433327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433327,A000000,01100,0000,1100PHARMACY 433327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433327,A000000,01300,0000,1300SOCIAL SERVICE 433327,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433327,A000000,01500,0000,1350ACTIVITIES AL SERVICES 433327,A000000,01600,0000,1600SKILLED NURSING FACILITY 433327,A000000,01800,0000,1800NURSING FACILITY 433327,A000000,01810,0000,1810ICF/MR 433327,A000000,01900,0000,1900OTHER LONG TERM CARE 433327,A000000,02100,0000,2100RADIOLOGY 433327,A000000,02200,0000,2200LABORATORY 433327,A000000,02300,0000,2300INTRAVENOUS THERAPY 433327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433327,A000000,02500,0000,2500PHYSICAL THERAPY 433327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433327,A000000,02700,0000,2700SPEECH PATHOLOGY 433327,A000000,02800,0000,2800ELECTROCARDIOLOGY 433327,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433327,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433327,A000000,03200,0000,3200SUPPORT SURFACES 433327,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433327,A000000,03400,0000,3400CLINIC 433327,A000000,03500,0000,3500RURAL HEALTH CLINIC 433327,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433327,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433327,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433327,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433327,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433327,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433327,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433327,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433327,A000000,04400,0000,4400DME RENTED - HHA 433327,A000000,04500,0000,4500DME SOLD - HHA 433327,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433327,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433327,A000000,04800,0000,4800AMBULANCE 433327,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433327,A000000,05000,0000,5000CORF 433327,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433327,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433327,A000000,05300,0000,5300INTEREST EXPENSE 433327,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433327,A000000,05500,0000,5500HOSPICE 433327,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433327,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433327,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433327,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433327,A000000,06100,0000,6100NONPAID WORKERS 433327,A000000,06200,0000,6200PATIENTS LAUNDRY 433327,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433327,A81000A,00100,0100,N 433327,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433327,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433327,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433327,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433327,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433327,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433327,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433327,B100000,00000,0800,0800MEALS SERVED :DIETARY 433327,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433327,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433327,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433327,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433327,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 433327,E10A180,00501,0100,03/27/12 433327,G300000,02500,0000, BARBER&BEAUTY DISPOSAL DAY CARE 433327,S000000,00100,0200,02/09/12 433327,S200000,00100,0100,1650 ALLENTOWN RD 433327,S200000,00200,0100,LIMA 433327,S200000,00200,0200,OH 433327,S200000,00200,0300,44805 433327,S200000,00300,0100,ALLEN 433327,S200000,00300,0200,4320 433327,S200000,00300,0201,30620 433327,S200000,00300,0300,U 433327,S200000,00400,0100,LIMA CONVALESCENT HOME 433327,S200000,00400,0200,366297 433327,S200000,00400,0300,08/18/04 433327,S200000,00400,0500,P 433327,S200000,01500,0100,Y 433327,S200000,01501,0200,N 433327,S200000,01502,0200,N 433327,S200000,01504,0200,N 433327,S200000,01600,0100,N 433327,S200000,01700,0100,N 433327,S200000,01800,0100,N 433327,S200000,02200,0100,N 433327,S200000,02800,0100,N 433327,S200000,02900,0100,N 433327,S200000,03000,0100,N 433327,S200000,03100,0100,N 433327,S200000,03200,0100,N 433327,S200000,03300,0100,N 433327,S200000,03300,0200,N 433327,S200000,04100,0100,N 433327,S200000,04200,0100,N 433327,S200000,04300,0100,Y 433327,S200000,04600,0100,N 433327,S200000,04700,0100,N 433327,S200000,04700,0200,N 433327,S200000,04900,0100,N 433327,S200000,05000,0100,N 433327,S200000,05100,0100,N 433327,S200000,05200,0100,N 433336,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433336,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433336,A000000,00300,0000,0300EMPLOYEE BENEFITS 433336,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433336,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433336,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433336,A000000,00700,0000,0700HOUSEKEEPING 433336,A000000,00800,0000,0800DIETARY 433336,A000000,00900,0000,0900NURSING ADMINISTRATION 433336,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433336,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433336,A000000,01300,0000,1300SOCIAL SERVICE 433336,A000000,01500,0000,1350ACTIVITIES 433336,A000000,01600,0000,1600SKILLED NURSING FACILITY 433336,A000000,01800,0000,1800NURSING FACILITY 433336,A000000,01810,0000,1810ICF/MR 433336,A000000,01900,0000,1900OTHER LONG TERM CARE 433336,A000000,02100,0000,2100RADIOLOGY 433336,A000000,02200,0000,2200LABORATORY 433336,A000000,02300,0000,2300INTRAVENOUS THERAPY 433336,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433336,A000000,02500,0000,2500PHYSICAL THERAPY 433336,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433336,A000000,02700,0000,2700SPEECH PATHOLOGY 433336,A000000,02800,0000,2800ELECTROCARDIOLOGY 433336,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433336,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433336,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433336,A000000,03200,0000,3200SUPPORT SURFACES 433336,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433336,A000000,03301,0000,3051AIR FLUID THERAPY 433336,A000000,03302,0000,3052AMBULANCE 433336,A000000,03303,0000,3053PEN THERAPY 433336,A000000,03400,0000,3400CLINIC 433336,A000000,03500,0000,3500RURAL HEALTH CLINIC 433336,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433336,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433336,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433336,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433336,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433336,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433336,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433336,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433336,A000000,04400,0000,4400DME RENTED - HHA 433336,A000000,04500,0000,4500DME SOLD - HHA 433336,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433336,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433336,A000000,04710,0000,4710TELEMEDICINE 433336,A000000,04800,0000,4800AMBULANCE 433336,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433336,A000000,05000,0000,5000CORF 433336,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433336,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433336,A000000,05300,0000,5300INTEREST EXPENSE 433336,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433336,A000000,05500,0000,5500HOSPICE 433336,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433336,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433336,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433336,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433336,A000000,06100,0000,6100NONPAID WORKERS 433336,A000000,06200,0000,6200PATIENTS LAUNDRY 433336,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433336,A81000A,00100,0100,Y 433336,A81000B,00100,0300,HO BUILDING DEPRECIATION 433336,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433336,A81000B,00300,0300,INTEREST 433336,A81000B,00400,0300,MANAGEMENT FEES 433336,A81000B,00500,0300,MEDICAL SUPPLIES 433336,A81000B,00600,0300,MEDICAL SUPPLIES 433336,A81000B,00700,0300,MEDICAL SUPPLIES 433336,A81000B,00800,0300,DRUGS 433336,A81000B,00900,0300,DRUGS 433336,A81000B,01000,0300,DRUGS 433336,A81000C,00100,0100,A 433336,A81000C,00100,0200,R&S MCNEIL 433336,A81000C,00100,0400,LIBERTY LTC MGMT 433336,A81000C,00100,0600,HOME OFC 433336,A81000C,00200,0100,A 433336,A81000C,00200,0200,R&S MCNEIL 433336,A81000C,00200,0400,LIBERTY LTC MGMT 433336,A81000C,00200,0600,HOME OFC 433336,A81000C,00300,0100,A 433336,A81000C,00300,0200,R&S MCNEIL 433336,A81000C,00300,0400,LIBERTY LTC MGMT 433336,A81000C,00300,0600,HOME OFC 433336,A81000C,00400,0100,A 433336,A81000C,00400,0200,R&S MCNEIL 433336,A81000C,00400,0400,LIBERTY LTC MGMT 433336,A81000C,00400,0600,HOME OFC 433336,A81000C,00500,0100,A 433336,A81000C,00500,0200,R&S MCNEIL 433336,A81000C,00500,0400,LIBERTY MED SPEC 433336,A81000C,00500,0600,MED SUPPLY 433336,A81000C,00600,0100,A 433336,A81000C,00600,0200,R&S MCNEIL 433336,A81000C,00600,0400,LIBERTY MED SPEC 433336,A81000C,00600,0600,MED SUPPLY 433336,A81000C,00700,0100,A 433336,A81000C,00700,0200,R&S MCNEIL 433336,A81000C,00700,0400,LIBERTY MED SPEC 433336,A81000C,00700,0600,MED SUPPLY 433336,A81000C,00800,0100,A 433336,A81000C,00800,0200,R&S MCNEIL 433336,A81000C,00800,0400,MCNEILL PHARM 433336,A81000C,00800,0600,PHARMACY 433336,A81000C,00900,0100,A 433336,A81000C,00900,0200,R&S MCNEIL 433336,A81000C,00900,0400,MCNEILL PHARM 433336,A81000C,00900,0600,PHARMACY 433336,A81000C,01000,0100,A 433336,A81000C,01000,0200,R&S MCNEIL 433336,A81000C,01000,0400,MCNEILL PHARM 433336,A81000C,01000,0600,PHARMACY 433336,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433336,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433336,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433336,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433336,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433336,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433336,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433336,B100000,00000,0800,0800MEALS SERVED :DIETARY 433336,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433336,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433336,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433336,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433336,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433336,E10A180,00350,0100,07/27/11 433336,E10A180,00501,0100,05/27/12 433336,G300000,02500,0000,PERSONAL ITEM REVENUE 433336,G300000,02501,0000,EQUIPMENT RENTAL 433336,G300000,02502,0000,MISCELLANEOUS REVENUE 433336,G300000,02503,0000,RESERVE BED REVENUE 433336,S000000,00100,0200,03/01/12 433336,S200000,00100,0100,7348 NORTH WEST STREET 433336,S200000,00200,0100,FALCON 433336,S200000,00200,0200,NC 433336,S200000,00200,0300,28342 433336,S200000,00300,0100,CUMBERLAND 433336,S200000,00300,0200,2560 433336,S200000,00300,0201,22180 433336,S200000,00300,0300,U 433336,S200000,00400,0100,GOLDEN YEARS NURSING HOME 433336,S200000,00400,0200,345367 433336,S200000,00400,0300,05/03/91 433336,S200000,00400,0500,P 433336,S200000,00400,0600,P 433336,S200000,01500,0100,Y 433336,S200000,01501,0200,N 433336,S200000,01600,0100,N 433336,S200000,01700,0100,N 433336,S200000,01800,0100,N 433336,S200000,02200,0100,N 433336,S200000,02800,0100,N 433336,S200000,02900,0100,N 433336,S200000,03000,0100,N 433336,S200000,03100,0100,N 433336,S200000,03200,0100,N 433336,S200000,03300,0100,N 433336,S200000,03300,0200,N 433336,S200000,04100,0100,N 433336,S200000,04200,0100,N 433336,S200000,04300,0100,N 433336,S200000,04600,0100,N 433336,S200000,04700,0100,N 433336,S200000,04700,0200,N 433336,S200000,04900,0100,N 433336,S200000,05000,0100,N 433336,S200000,05100,0100,N 433336,S200000,05200,0100,N 433336,S200000,05300,0100,N 433337,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433337,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433337,A000000,00300,0000,0300EMPLOYEE BENEFITS 433337,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433337,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433337,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433337,A000000,00700,0000,0700HOUSEKEEPING 433337,A000000,00800,0000,0800DIETARY 433337,A000000,00900,0000,0900NURSING ADMINISTRATION 433337,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433337,A000000,01100,0000,1100PHARMACY 433337,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433337,A000000,01300,0000,1300SOCIAL SERVICE 433337,A000000,01500,0000,1350RECREATION/ACTIVITIES 433337,A000000,01600,0000,1600SKILLED NURSING FACILITY 433337,A000000,01800,0000,1800NURSING FACILITY 433337,A000000,01900,0000,1900OTHER LONG TERM CARE 433337,A000000,02100,0000,2100RADIOLOGY 433337,A000000,02200,0000,2200LABORATORY 433337,A000000,02300,0000,2300INTRAVENOUS THERAPY 433337,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433337,A000000,02500,0000,2500PHYSICAL THERAPY 433337,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433337,A000000,02700,0000,2700SPEECH PATHOLOGY 433337,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433337,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433337,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433337,A000000,03200,0000,3200SUPPORT SURFACES 433337,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433337,A000000,03301,0000,3051PEN THERAPY 433337,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433337,A000000,04800,0000,4800AMBULANCE 433337,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433337,A000000,05300,0000,5300INTEREST EXPENSE 433337,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433337,A000000,05500,0000,5500HOSPICE 433337,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433337,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433337,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433337,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433337,A000000,06100,0000,6100NONPAID WORKERS 433337,A000000,06200,0000,6200PATIENTS LAUNDRY 433337,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433337,A81000A,00100,0100,Y 433337,A81000B,00100,0300,HOME OFFICE COSTS 433337,A81000B,00200,0300,HOME OFFICE COSTS 433337,A81000B,00300,0300,HOME OFFICE Q A NURSES 433337,A81000B,00400,0300,WOUND VACS 433337,A81000C,00100,0100,D 433337,A81000C,00100,0200,MFNC 433337,A81000C,00100,0400,MFNC 433337,A81000C,00100,0600,MGMT 433337,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433337,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433337,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433337,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433337,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433337,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433337,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433337,B100000,00000,0800,0800MEALS SERVED :DIETARY 433337,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433337,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433337,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433337,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433337,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433337,E10A180,00501,0100,05/24/12 433337,G300000,02500,0000,MISCELLANEOUS 433337,S000000,00100,0200,02/29/12 433337,S200000,00100,0100,1984 US HIGHWAY 70 433337,S200000,00200,0100,SWANNANOA 433337,S200000,00200,0200,NC 433337,S200000,00200,0300,28778 433337,S200000,00300,0100,BUNCOMBE 433337,S200000,00300,0200,1170 433337,S200000,00300,0201,11700 433337,S200000,00300,0300,U 433337,S200000,00400,0100,ASHEVILLE HEALTH CARE CENTER 433337,S200000,00400,0200,345418 433337,S200000,00400,0300,04/23/92 433337,S200000,00400,0500,P 433337,S200000,01500,0100,Y 433337,S200000,01501,0200,N 433337,S200000,01502,0200,N 433337,S200000,01504,0200,N 433337,S200000,01600,0100,N 433337,S200000,01700,0100,N 433337,S200000,01800,0100,N 433337,S200000,02200,0100,N 433337,S200000,02800,0100,Y 433337,S200000,02900,0100,N 433337,S200000,03000,0100,N 433337,S200000,03100,0100,N 433337,S200000,03200,0100,N 433337,S200000,03300,0100,N 433337,S200000,03300,0200,N 433337,S200000,04100,0100,N 433337,S200000,04200,0100,N 433337,S200000,04300,0100,N 433337,S200000,04600,0100,N 433337,S200000,04700,0100,N 433337,S200000,04700,0200,N 433337,S200000,04900,0100,N 433337,S200000,05000,0100,N 433337,S200000,05100,0100,N 433337,S200000,05200,0100,N 433337,S200000,05300,0100,Y 433337,S200000,05300,0200,941011 433337,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433337,S200000,05400,0200,PALMETTO GBA 433337,S200000,05400,0300,11001 433337,S200000,05500,0100,2917 PENN FOREST BLVD 433337,S200000,05600,0100,ROANOKE 433337,S200000,05600,0200,VA 433337,S200000,05600,0300,24018 433338,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433338,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433338,A000000,00300,0000,0300EMPLOYEE BENEFITS 433338,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433338,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433338,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433338,A000000,00700,0000,0700HOUSEKEEPING 433338,A000000,00800,0000,0800DIETARY 433338,A000000,00900,0000,0900NURSING ADMINISTRATION 433338,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433338,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433338,A000000,01300,0000,1300SOCIAL SERVICE 433338,A000000,01500,0000,1350ACTIVITIES 433338,A000000,01600,0000,1600SKILLED NURSING FACILITY 433338,A000000,01800,0000,1800NURSING FACILITY 433338,A000000,01810,0000,1810ICF/MR 433338,A000000,01900,0000,1900OTHER LONG TERM CARE 433338,A000000,02100,0000,2100RADIOLOGY 433338,A000000,02200,0000,2200LABORATORY 433338,A000000,02300,0000,2300INTRAVENOUS THERAPY 433338,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433338,A000000,02500,0000,2500PHYSICAL THERAPY 433338,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433338,A000000,02700,0000,2700SPEECH PATHOLOGY 433338,A000000,02800,0000,2800ELECTROCARDIOLOGY 433338,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433338,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433338,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433338,A000000,03200,0000,3200SUPPORT SURFACES 433338,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433338,A000000,03301,0000,3051AIR FLUID THERAPY 433338,A000000,03302,0000,3052AMBULANCE 433338,A000000,03303,0000,3053PEN THERAPY 433338,A000000,03304,0000,3054ONCOLOGY 433338,A000000,03305,0000,3055CARDIOLOGY 433338,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433338,A000000,03307,0000,3057AUDIOLOGY 433338,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433338,A000000,03400,0000,3400CLINIC 433338,A000000,03500,0000,3500RURAL HEALTH CLINIC 433338,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433338,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433338,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433338,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433338,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433338,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433338,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433338,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433338,A000000,04400,0000,4400DME RENTED - HHA 433338,A000000,04500,0000,4500DME SOLD - HHA 433338,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433338,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433338,A000000,04710,0000,4710TELEMEDICINE 433338,A000000,04800,0000,4800AMBULANCE 433338,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433338,A000000,05000,0000,5000CORF 433338,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433338,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433338,A000000,05300,0000,5300INTEREST EXPENSE 433338,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433338,A000000,05500,0000,5500HOSPICE 433338,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433338,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433338,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433338,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433338,A000000,06100,0000,6100NONPAID WORKERS 433338,A000000,06200,0000,6200PATIENTS LAUNDRY 433338,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433338,A81000A,00100,0100,Y 433338,A81000B,00100,0300,HO BUILDING DEPRECIATION 433338,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433338,A81000B,00300,0300,INTEREST 433338,A81000B,00400,0300,MANAGEMENT FEES 433338,A81000B,00500,0300,MEDICAL SUPPLIES 433338,A81000B,00600,0300,MEDICAL SUPPLIES 433338,A81000B,00700,0300,MEDICAL SUPPLIES 433338,A81000B,00800,0300,DRUGS 433338,A81000B,00900,0300,DRUGS 433338,A81000B,01000,0300,DRUGS 433338,A81000B,01100,0300,FACILITY LEASE 433338,A81000B,01200,0300,FAC BLDG DEPR 433338,A81000B,01300,0300,FAC EQUIP 433338,A81000B,01400,0300,FAC INTEREST 433338,A81000B,01500,0300,FAC AMORT 433338,A81000B,01600,0300,FAC A&G 433338,A81000C,00100,0100,A 433338,A81000C,00100,0200,R&S MCNEILL 433338,A81000C,00100,0400,LIBERTY LTC MGMT 433338,A81000C,00100,0600,HOME OFC 433338,A81000C,00200,0100,A 433338,A81000C,00200,0200,R&S MCNEILL 433338,A81000C,00200,0400,LIBERTY LTC MGMT 433338,A81000C,00200,0600,HOME OFC 433338,A81000C,00300,0100,A 433338,A81000C,00300,0200,R&S MCNEILL 433338,A81000C,00300,0400,LIBERTY LTC MGMT 433338,A81000C,00300,0600,HOME OFC 433338,A81000C,00400,0100,A 433338,A81000C,00400,0200,R&S MCNEILL 433338,A81000C,00400,0400,LIBERTY LTC MGMT 433338,A81000C,00400,0600,HOME OFC 433338,A81000C,00500,0100,A 433338,A81000C,00500,0200,R&S MCNEILL 433338,A81000C,00500,0400,LIBERTY MED SPEC 433338,A81000C,00500,0600,MED SUPPLY 433338,A81000C,00600,0100,A 433338,A81000C,00600,0200,R&S MCNEILL 433338,A81000C,00600,0400,LIBERTY MED SPEC 433338,A81000C,00600,0600,MED SUPPLY 433338,A81000C,00700,0100,A 433338,A81000C,00700,0200,R&S MCNEILL 433338,A81000C,00700,0400,LIBERTY MED SPEC 433338,A81000C,00700,0600,MED SUPPLY 433338,A81000C,00800,0100,A 433338,A81000C,00800,0200,R&S MCNEILL 433338,A81000C,00800,0400,MCNEILL PHARM 433338,A81000C,00800,0600,PHARMACY 433338,A81000C,00900,0100,A 433338,A81000C,00900,0200,R&S MCNEILL 433338,A81000C,00900,0400,MCNEILL PHARM 433338,A81000C,00900,0600,PHARMACY 433338,A81000C,01000,0100,A 433338,A81000C,01000,0200,R&S MCNEILL 433338,A81000C,01000,0400,MCNEILL PHARM 433338,A81000C,01000,0600,PHARMACY 433338,A81000C,01001,0100,A 433338,A81000C,01001,0200,R&S MCNEILL 433338,A81000C,01001,0400,LIBERTY PROPERTIES 433338,A81000C,01001,0600,BUILDING 433338,A81000C,01002,0100,A 433338,A81000C,01002,0200,R&S MCNEILL 433338,A81000C,01002,0400,LIBERTY PROPERTIES 433338,A81000C,01002,0600,BUILDING 433338,A81000C,01003,0100,A 433338,A81000C,01003,0200,R&S MCNEILL 433338,A81000C,01003,0400,LIBERTY PROPERTIES 433338,A81000C,01003,0600,BUILDING 433338,A81000C,01004,0100,A 433338,A81000C,01004,0200,R&S MCNEILL 433338,A81000C,01004,0400,LIBERTY PROPERTIES 433338,A81000C,01004,0600,BUILDING 433338,A81000C,01005,0100,A 433338,A81000C,01005,0200,R&S MCNEILL 433338,A81000C,01005,0400,LIBERTY PROPERTIES 433338,A81000C,01005,0600,BUILDING 433338,A81000C,01006,0100,A 433338,A81000C,01006,0200,R&S MCNEILL 433338,A81000C,01006,0400,LIBERTY PROPERTIES 433338,A81000C,01006,0600,BUILDING 433338,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433338,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433338,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433338,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433338,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433338,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433338,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433338,B100000,00000,0800,0800MEALS SERVED :DIETARY 433338,B100000,00000,0900,0900DIRECT NRSING HOU :NURSING ADMIN 433338,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433338,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433338,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433338,E10A180,00501,0100,05/28/12 433338,G300000,02500,0000,PERSONAL ITEM REVENUE 433338,G300000,02501,0000,EQUIPMENT REVENUE 433338,G300000,02502,0000,MISCELLANEOUS REVENUE 433338,G300000,02503,0000,RESERVE BED REVENUE 433338,S000000,00100,0200,03/01/12 433338,S200000,00100,0100,791 BOONE STATION ROAD 433338,S200000,00200,0100,BURLINGTON 433338,S200000,00200,0200,NC 433338,S200000,00200,0300,27215 433338,S200000,00300,0100,ALAMANCE 433338,S200000,00300,0200,3120 433338,S200000,00300,0201,15500 433338,S200000,00300,0300,U 433338,S200000,00400,0100,LIBERTY COMMONS - ALAMANCE COUNTY 433338,S200000,00400,0200,345496 433338,S200000,00400,0300,10/06/99 433338,S200000,00400,0500,P 433338,S200000,01500,0100,Y 433338,S200000,01501,0200,Y 433338,S200000,01600,0100,N 433338,S200000,01700,0100,N 433338,S200000,01800,0100,N 433338,S200000,02200,0100,N 433338,S200000,02800,0100,N 433338,S200000,02900,0100,N 433338,S200000,03000,0100,N 433338,S200000,03100,0100,N 433338,S200000,03200,0100,N 433338,S200000,03300,0100,N 433338,S200000,03300,0200,N 433338,S200000,04100,0100,N 433338,S200000,04200,0100,N 433338,S200000,04300,0100,N 433338,S200000,04600,0100,N 433338,S200000,04700,0100,N 433338,S200000,04700,0200,N 433338,S200000,04900,0100,N 433338,S200000,05000,0100,N 433338,S200000,05100,0100,N 433338,S200000,05200,0100,N 433338,S200000,05300,0100,N 433339,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433339,A000000,00300,0000,0300EMPLOYEE BENEFITS 433339,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433339,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433339,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433339,A000000,00700,0000,0700HOUSEKEEPING 433339,A000000,00800,0000,0800DIETARY 433339,A000000,00900,0000,0900NURSING ADMINISTRATION 433339,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433339,A000000,01100,0000,1100PHARMACY 433339,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433339,A000000,01300,0000,1300SOCIAL SERVICE 433339,A000000,01500,0000,1350OTHER GENERAL SERVICES 433339,A000000,01600,0000,1600SKILLED NURSING FACILITY 433339,A000000,02100,0000,2100RADIOLOGY 433339,A000000,02200,0000,2200LABORATORY 433339,A000000,02300,0000,2300INTRAVENOUS THERAPY 433339,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433339,A000000,02500,0000,2500PHYSICAL THERAPY 433339,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433339,A000000,02700,0000,2700SPEECH PATHOLOGY 433339,A000000,02800,0000,2800ELECTROCARDIOLOGY 433339,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433339,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433339,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433339,A000000,03200,0000,3200SUPPORT SURFACES 433339,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433339,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433339,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433339,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433339,A000000,06100,0000,6100NONPAID WORKERS 433339,A000000,06200,0000,6200PATIENTS LAUNDRY 433339,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433339,A81000A,00100,0100,Y 433339,A81000B,00100,0300,MGMT FEES/HOME OFFICE COST 433339,A81000B,00200,0300,CONTRACT PT 433339,A81000B,00300,0300,CONTRACT OT 433339,A81000B,00400,0300,CONTRACT ST 433339,A81000B,00500,0300,LEASE EXP 433339,A81000B,00600,0300,BLDG DEPRECIATION 433339,A81000B,00700,0300,INTEREST 433339,A81000C,00100,0100,A 433339,A81000C,00100,0200,ROBERT WALKER 433339,A81000C,00100,0400,SUNCREST MGMT 433339,A81000C,00100,0600,HOME OFFICE 433339,A81000C,00200,0100,A 433339,A81000C,00200,0200,ROBERT WALKER 433339,A81000C,00200,0400,THERAPY PARTNERS 433339,A81000C,00200,0600,REHAB 433339,A81000C,00300,0100,A 433339,A81000C,00300,0200,ROBERT WALKER 433339,A81000C,00300,0400,THERAPY PARTNERS 433339,A81000C,00300,0600,REHAB 433339,A81000C,00400,0100,A 433339,A81000C,00400,0200,ROBERT WALKER 433339,A81000C,00400,0400,THERAPY PARTNERS 433339,A81000C,00400,0600,REHAB 433339,A81000C,00500,0100,A 433339,A81000C,00500,0200,ROBERT WALKER 433339,A81000C,00500,0400,CAMDEN HOLDINGS 433339,A81000C,00500,0600,PROPERTY 433339,A81000C,00600,0100,A 433339,A81000C,00600,0200,ROBERT WALKER 433339,A81000C,00600,0400,CAMDEN HOLDINGS 433339,A81000C,00600,0600,PROPERTY 433339,A81000C,00700,0100,A 433339,A81000C,00700,0200,ROBERT WALKER 433339,A81000C,00700,0400,CAMDEN HOLDINGS 433339,A81000C,00700,0600,PROPERTY 433339,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433339,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433339,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433339,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433339,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433339,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433339,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433339,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433339,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433339,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433339,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433339,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433339,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 433339,E10A180,00501,0100,05/28/12 433339,G300000,02500,0000,OTHER INCOME 433339,S000000,00100,0200,03/02/12 433339,S200000,00100,0100,1 MARITHE CT. 433339,S200000,00200,0100,GREENSBORO 433339,S200000,00200,0200,NC 433339,S200000,00200,0300,27407-2702 433339,S200000,00300,0100,GUILFORD 433339,S200000,00300,0200,3120 433339,S200000,00300,0201,24660 433339,S200000,00300,0300,U 433339,S200000,00400,0100,CAMDEN PLACE HEALTH & REHABILITATION 433339,S200000,00400,0200,345547 433339,S200000,00400,0300,08/26/09 433339,S200000,00400,0500,P 433339,S200000,01500,0100,Y 433339,S200000,01501,0200,Y 433339,S200000,01503,0200,Y 433339,S200000,01600,0100,N 433339,S200000,01700,0100,N 433339,S200000,01800,0100,N 433339,S200000,02200,0100,N 433339,S200000,02800,0100,N 433339,S200000,02900,0100,N 433339,S200000,03000,0100,N 433339,S200000,03100,0100,N 433339,S200000,03200,0100,N 433339,S200000,03300,0100,N 433339,S200000,03300,0200,N 433339,S200000,04100,0100,N 433339,S200000,04200,0100,N 433339,S200000,04300,0100,N 433339,S200000,04600,0100,N 433339,S200000,04700,0100,N 433339,S200000,04700,0200,N 433339,S200000,04900,0100,N 433339,S200000,05000,0100,N 433339,S200000,05100,0100,N 433339,S200000,05200,0100,N 433339,S200000,05300,0100,Y 433339,S200000,05300,0200,PENDIN 433339,S200000,05400,0100,SUNCREST HEALTH MANAGEMENT INC 433339,S200000,05400,0200,PALMETTO GBA 433339,S200000,05400,0300,11001 433339,S200000,05500,0200,741 433339,S200000,05600,0100,HENDERSON 433339,S200000,05600,0200,NC 433339,S200000,05600,0300,27536 433350,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433350,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433350,A000000,00300,0000,0300EMPLOYEE BENEFITS 433350,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433350,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433350,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433350,A000000,00700,0000,0700HOUSEKEEPING 433350,A000000,00800,0000,0800DIETARY 433350,A000000,00900,0000,0900NURSING ADMINISTRATION 433350,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433350,A000000,01100,0000,1100PHARMACY 433350,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433350,A000000,01300,0000,1300SOCIAL SERVICE 433350,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433350,A000000,01500,0000,1350ACTIVITIES 433350,A000000,01600,0000,1600SKILLED NURSING FACILITY 433350,A000000,01800,0000,1800NURSING FACILITY 433350,A000000,01810,0000,1810ICF/MR 433350,A000000,01900,0000,1900OTHER LONG TERM CARE 433350,A000000,02100,0000,2100RADIOLOGY 433350,A000000,02200,0000,2200LABORATORY 433350,A000000,02300,0000,2300INTRAVENOUS THERAPY 433350,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433350,A000000,02500,0000,2500PHYSICAL THERAPY 433350,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433350,A000000,02700,0000,2700SPEECH PATHOLOGY 433350,A000000,02800,0000,2800ELECTROCARDIOLOGY 433350,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433350,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433350,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433350,A000000,03200,0000,3200SUPPORT SURFACES 433350,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433350,A000000,03400,0000,3400CLINIC 433350,A000000,03500,0000,3500RURAL HEALTH CLINIC 433350,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433350,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433350,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433350,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433350,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433350,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433350,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433350,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433350,A000000,04400,0000,4400DME RENTED - HHA 433350,A000000,04500,0000,4500DME SOLD - HHA 433350,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433350,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433350,A000000,04710,0000,4710TELEMEDICINE 433350,A000000,04800,0000,4800AMBULANCE 433350,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433350,A000000,05000,0000,5000CORF 433350,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433350,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433350,A000000,05300,0000,5300INTEREST EXPENSE 433350,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433350,A000000,05500,0000,5500HOSPICE 433350,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433350,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433350,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433350,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433350,A000000,06100,0000,6100NONPAID WORKERS 433350,A000000,06200,0000,6200PATIENTS LAUNDRY 433350,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433350,A81000A,00100,0100,Y 433350,A81000B,00100,0300,INTERCOMPANY INTEREST 433350,A81000B,00200,0300,HO MGMT FEES 433350,A81000B,00300,0300,HO NURSING COSTS 433350,A81000B,00400,0300,HO CAPITAL COSTS 433350,A81000B,00500,0300,LHCC PROPERTIES COSTS 433350,A81000C,00100,0100,B 433350,A81000C,00100,0400,LAUREL HOLDINGS 433350,A81000C,00100,0600,PARENT COMPANY 433350,A81000C,00200,0100,B 433350,A81000C,00200,0400,LAUREL HEALTH CARE CO 433350,A81000C,00200,0600,HOME OFFICE MGMT CO 433350,A81000C,00300,0100,B 433350,A81000C,00300,0400,LHCC PROPERTIES 433350,A81000C,00300,0600,MASTER TENANT 433350,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433350,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433350,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433350,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433350,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433350,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433350,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433350,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433350,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433350,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433350,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433350,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433350,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433350,E10A180,00501,0100,05/11/12 433350,G300000,02500,0000,BARBER & BEAUTY REVENUE 433350,S000000,00100,0200,02/27/12 433350,S200000,00100,0100,72 CHATHAM BUSINESS PARK 433350,S200000,00200,0100,PITTSBORO 433350,S200000,00200,0200,NC 433350,S200000,00200,0300,27312 433350,S200000,00300,0100,CHATHAM 433350,S200000,00300,0200,3720 433350,S200000,00300,0201,20500 433350,S200000,00300,0300,U 433350,S200000,00400,0100,THE LAURELS OF CHATHAM 433350,S200000,00400,0200,345421 433350,S200000,00400,0300,03/11/92 433350,S200000,00400,0500,P 433350,S200000,01500,0100,Y 433350,S200000,01501,0200,Y 433350,S200000,01502,0200,Y 433350,S200000,01504,0200,Y 433350,S200000,01600,0100,N 433350,S200000,01700,0100,N 433350,S200000,01800,0100,N 433350,S200000,02200,0100,N 433350,S200000,02800,0100,N 433350,S200000,02900,0100,N 433350,S200000,03000,0100,N 433350,S200000,03100,0100,N 433350,S200000,03200,0100,N 433350,S200000,03300,0100,N 433350,S200000,03300,0200,N 433350,S200000,04100,0100,N 433350,S200000,04200,0100,N 433350,S200000,04300,0100,N 433350,S200000,04600,0100,N 433350,S200000,04700,0100,N 433350,S200000,04700,0200,N 433350,S200000,04900,0100,N 433350,S200000,05000,0100,N 433350,S200000,05100,0100,N 433350,S200000,05200,0100,N 433350,S200000,05300,0100,Y 433350,S200000,05300,0200,349095 433350,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 433350,S200000,05400,0200,PALMETTO GBA 433350,S200000,05400,0300,11501 433350,S200000,05500,0100,8181 WORTHINGTON ROAD 433350,S200000,05600,0100,WESTERVILLE 433350,S200000,05600,0200,OH 433350,S200000,05600,0300,43082 433351,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433351,A000000,00300,0000,0300EMPLOYEE BENEFITS 433351,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433351,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433351,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433351,A000000,00700,0000,0700HOUSEKEEPING 433351,A000000,00800,0000,0800DIETARY 433351,A000000,01100,0000,1100PHARMACY 433351,A000000,01500,0000,1350PATIENT ACTIVITIES 433351,A000000,01600,0000,1600SKILLED NURSING FACILITY 433351,A000000,01800,0000,1800NURSING FACILITY 433351,A000000,01900,0000,1900OTHER LONG TERM CARE 433351,A000000,02100,0000,2100RADIOLOGY 433351,A000000,02200,0000,2200LABORATORY 433351,A000000,02300,0000,2300INTRAVENOUS THERAPY 433351,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433351,A000000,02500,0000,2500PHYSICAL THERAPY 433351,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433351,A000000,02700,0000,2700SPEECH PATHOLOGY 433351,A000000,02800,0000,2800ELECTROCARDIOLOGY 433351,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433351,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433351,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433351,A000000,03200,0000,3200SUPPORT SURFACES 433351,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433351,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433351,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433351,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433351,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433351,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433351,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433351,A000000,06100,0000,6100NONPAID WORKERS 433351,A000000,06200,0000,6200PATIENTS LAUNDRY 433351,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433351,A81000A,00100,0100,Y 433351,A81000B,00100,0300,CENTRAL OFICE OVHD 433351,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433351,A81000B,00300,0300,SUPPLIES 433351,A81000B,00400,0300,SUPPLIES 433351,A81000B,00500,0300,SUPPLIES 433351,A81000B,00600,0300,SUPPLIES 433351,A81000B,00700,0300,PHARMACY 433351,A81000B,00800,0300,PHARMACY 433351,A81000B,00900,0300,PHARMACY 433351,A81000B,01000,0300,PHARMACY 433351,A81000B,01100,0300,PHARMACY 433351,A81000B,01200,0300,PHARMACY 433351,A81000C,00100,0100,B 433351,A81000C,00100,0200,AUTUMN CORPORATION 433351,A81000C,00100,0400,AUTUMN CORPORATION 433351,A81000C,00100,0600,HOME OFFICE 433351,A81000C,00200,0100,B 433351,A81000C,00200,0200,AUTUMN CORPORATION 433351,A81000C,00200,0400,AUTUMN CORPORATION 433351,A81000C,00200,0600,HOME OFFICE 433351,A81000C,00300,0100,A 433351,A81000C,00300,0200,WINCARE 433351,A81000C,00300,0400,AUTUMN CORPORATION 433351,A81000C,00300,0600,SUPPLIES 433351,A81000C,00400,0100,A 433351,A81000C,00400,0200,LEGACY 433351,A81000C,00400,0400,AUTUMN CORPORATION 433351,A81000C,00400,0600,PHARMACY 433351,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433351,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433351,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433351,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433351,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433351,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433351,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433351,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433351,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433351,E10A180,00550,0100,02/16/12 433351,G300000,02500,0000,MISC 433351,S000000,00100,0200,02/16/12 433351,S200000,00100,0100,5725 CAROLINA BEACH RD 433351,S200000,00100,0300,15865 433351,S200000,00200,0100,WILMINGTON 433351,S200000,00200,0200,NC 433351,S200000,00200,0300,28408 433351,S200000,00300,0100,NEW HANOVER 433351,S200000,00300,0200,9200 433351,S200000,00300,0201,48900 433351,S200000,00300,0300,U 433351,S200000,00400,0100,AUTUMN CARE OF MYRTLE GROVE 433351,S200000,00400,0200,345507 433351,S200000,00400,0300,12/01/00 433351,S200000,00400,0500,P 433351,S200000,01500,0100,Y 433351,S200000,01501,0200,Y 433351,S200000,01600,0100,N 433351,S200000,01700,0100,N 433351,S200000,01800,0100,N 433351,S200000,02200,0100,N 433351,S200000,02800,0100,N 433351,S200000,02900,0100,N 433351,S200000,03000,0100,N 433351,S200000,03100,0100,N 433351,S200000,03200,0100,N 433351,S200000,03300,0100,N 433351,S200000,03300,0200,N 433351,S200000,04100,0100,N 433351,S200000,04200,0100,N 433351,S200000,04300,0100,N 433351,S200000,04600,0100,N 433351,S200000,04700,0100,N 433351,S200000,04700,0200,N 433351,S200000,04900,0100,N 433351,S200000,05000,0100,N 433351,S200000,05100,0100,N 433351,S200000,05200,0100,N 433352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433352,A000000,00300,0000,0300EMPLOYEE BENEFITS 433352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433352,A000000,00700,0000,0700HOUSEKEEPING 433352,A000000,00800,0000,0800DIETARY 433352,A000000,00900,0000,0900NURSING ADMINISTRATION 433352,A000000,01100,0000,1100PHARMACY 433352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433352,A000000,01300,0000,1300SOCIAL SERVICE 433352,A000000,01500,0000,1350PATIENT ACTIVITES 433352,A000000,01600,0000,1600SKILLED NURSING FACILITY 433352,A000000,02100,0000,2100RADIOLOGY 433352,A000000,02200,0000,2200LABORATORY 433352,A000000,02300,0000,2300INTRAVENOUS THERAPY 433352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433352,A000000,02500,0000,2500PHYSICAL THERAPY 433352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433352,A000000,02700,0000,2700SPEECH PATHOLOGY 433352,A000000,02800,0000,2800ELECTROCARDIOLOGY 433352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433352,A000000,03200,0000,3200SUPPORT SURFACES 433352,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433352,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433352,A000000,06100,0000,6100NONPAID WORKERS 433352,A000000,06200,0000,6200PATIENTS LAUNDRY 433352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433352,A81000A,00100,0100,Y 433352,A81000B,00100,0300,CONTRACTED PT 433352,A81000B,00200,0300,CONTRACTED OT 433352,A81000B,00300,0300,CONTRACTED ST 433352,A81000B,00400,0300,MANAGEMENT FEES 433352,A81000C,00100,0100,A 433352,A81000C,00100,0200,ROBERT WALKER 433352,A81000C,00100,0400,THERAPY PARTNERS 433352,A81000C,00100,0600,THERAPY 433352,A81000C,00200,0100,A 433352,A81000C,00200,0200,ROBERT WALKER 433352,A81000C,00200,0400,THERAPY PARTNERS 433352,A81000C,00200,0600,THERAPY 433352,A81000C,00300,0100,A 433352,A81000C,00300,0200,ROBERT WALKER 433352,A81000C,00300,0400,THERAPY PARTNERS 433352,A81000C,00300,0600,THERAPY 433352,A81000C,00400,0100,A 433352,A81000C,00400,0200,ROBERT WALKER 433352,A81000C,00400,0400,SUNCREST MANAGEMENT 433352,A81000C,00400,0600,HOME OFFICE 433352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433352,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433352,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433352,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433352,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433352,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITES 433352,E10A180,00501,0100,04/27/12 433352,G300000,02500,0000,PERSONAL PURCHASES 433352,S000000,00100,0200,02/06/12 433352,S200000,00100,0100,911 WESTERN BOULEVARD 433352,S200000,00200,0100,TARBORO 433352,S200000,00200,0200,NC 433352,S200000,00200,0300,27886 433352,S200000,00300,0100,EDGECOMBE 433352,S200000,00300,0200,6895 433352,S200000,00300,0201,40580 433352,S200000,00300,0300,U 433352,S200000,00400,0100,TARBORO CARE LLC 433352,S200000,00400,0200,345510 433352,S200000,00400,0300,01/04/01 433352,S200000,00400,0500,P 433352,S200000,01500,0100,Y 433352,S200000,01501,0200,N 433352,S200000,01503,0200,Y 433352,S200000,01505,0000,THERAPY 433352,S200000,01505,0200,Y 433352,S200000,01600,0100,N 433352,S200000,01700,0100,N 433352,S200000,01800,0100,N 433352,S200000,02200,0100,N 433352,S200000,02800,0100,N 433352,S200000,02900,0100,N 433352,S200000,03000,0100,N 433352,S200000,03100,0100,N 433352,S200000,03200,0100,N 433352,S200000,03300,0100,N 433352,S200000,03300,0200,N 433352,S200000,04100,0100,N 433352,S200000,04200,0100,N 433352,S200000,04300,0100,N 433352,S200000,04600,0100,N 433352,S200000,04700,0100,N 433352,S200000,04700,0200,N 433352,S200000,04900,0100,N 433352,S200000,05000,0100,N 433352,S200000,05100,0100,N 433352,S200000,05200,0100,N 433353,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433353,A000000,00300,0000,0300EMPLOYEE BENEFITS 433353,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433353,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433353,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433353,A000000,00700,0000,0700HOUSEKEEPING 433353,A000000,00800,0000,0800DIETARY 433353,A000000,01100,0000,1100PHARMACY 433353,A000000,01500,0000,1350PATIENT ACTIVITIES 433353,A000000,01600,0000,1600SKILLED NURSING FACILITY 433353,A000000,01800,0000,1800NURSING FACILITY 433353,A000000,01900,0000,1900OTHER LONG TERM CARE 433353,A000000,02100,0000,2100RADIOLOGY 433353,A000000,02200,0000,2200LABORATORY 433353,A000000,02300,0000,2300INTRAVENOUS THERAPY 433353,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433353,A000000,02500,0000,2500PHYSICAL THERAPY 433353,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433353,A000000,02700,0000,2700SPEECH PATHOLOGY 433353,A000000,02800,0000,2800ELECTROCARDIOLOGY 433353,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433353,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433353,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433353,A000000,03200,0000,3200SUPPORT SURFACES 433353,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433353,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433353,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433353,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433353,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433353,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433353,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433353,A000000,06100,0000,6100NONPAID WORKERS 433353,A000000,06200,0000,6200PATIENTS LAUNDRY 433353,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433353,A81000A,00100,0100,Y 433353,A81000B,00100,0300,CENTRAL OFICE OVHD 433353,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433353,A81000B,00300,0300,SUPPLIES 433353,A81000B,00400,0300,SUPPLIES 433353,A81000B,00500,0300,SUPPLIES 433353,A81000B,00600,0300,PHARMACY 433353,A81000B,00700,0300,PHARMACY 433353,A81000B,00800,0300,PHARMACY 433353,A81000B,00900,0300,PHARMACY 433353,A81000B,01000,0300,PHARMACY 433353,A81000B,01100,0300,PHARMACY 433353,A81000C,00100,0100,B 433353,A81000C,00100,0200,AUTUMN CORPORATION 433353,A81000C,00100,0400,AUTUMN CORPORATION 433353,A81000C,00100,0600,HOME OFFICE 433353,A81000C,00200,0100,B 433353,A81000C,00200,0200,AUTUMN CORPORATION 433353,A81000C,00200,0400,AUTUMN CORPORATION 433353,A81000C,00200,0600,HOME OFFICE 433353,A81000C,00300,0100,A 433353,A81000C,00300,0200,WINCARE 433353,A81000C,00300,0400,AUTUMN CORPORATION 433353,A81000C,00300,0600,SUPPLIES 433353,A81000C,00400,0100,A 433353,A81000C,00400,0200,LEGACY 433353,A81000C,00400,0400,AUTUMN CORPORATION 433353,A81000C,00400,0600,PHARMACY 433353,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433353,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433353,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433353,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433353,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433353,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433353,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433353,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433353,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433353,E10A180,00501,0100,05/08/12 433353,G300000,02500,0000,MISC 433353,S000000,00100,0200,02/16/12 433353,S200000,00100,0100,2001 VAN HAVEN DRIVE 433353,S200000,00100,0300,6208 433353,S200000,00200,0100,STATESVILLE 433353,S200000,00200,0200,NC 433353,S200000,00200,0300,28677-6208 433353,S200000,00300,0100,IREDELL 433353,S200000,00300,0200,34 433353,S200000,00300,0201,00034 433353,S200000,00300,0300,R 433353,S200000,00400,0100,AUTUMN CARE OF STATESVILLE 433353,S200000,00400,0200,345511 433353,S200000,00400,0300,12/19/01 433353,S200000,00400,0500,P 433353,S200000,01500,0100,Y 433353,S200000,01501,0200,Y 433353,S200000,01600,0100,N 433353,S200000,01700,0100,N 433353,S200000,01800,0100,N 433353,S200000,02200,0100,N 433353,S200000,02800,0100,N 433353,S200000,02900,0100,N 433353,S200000,03000,0100,N 433353,S200000,03100,0100,N 433353,S200000,03200,0100,N 433353,S200000,03300,0100,N 433353,S200000,03300,0200,N 433353,S200000,04100,0100,N 433353,S200000,04200,0100,N 433353,S200000,04300,0100,N 433353,S200000,04600,0100,N 433353,S200000,04700,0100,N 433353,S200000,04700,0200,N 433353,S200000,04900,0100,N 433353,S200000,05000,0100,N 433353,S200000,05100,0100,N 433353,S200000,05200,0100,N 433363,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433363,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433363,A000000,00300,0000,0300EMPLOYEE BENEFITS 433363,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433363,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433363,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433363,A000000,00700,0000,0700HOUSEKEEPING 433363,A000000,00800,0000,0800DIETARY 433363,A000000,00900,0000,0900NURSING ADMINISTRATION 433363,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433363,A000000,01100,0000,1100PHARMACY 433363,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433363,A000000,01300,0000,1300SOCIAL SERVICE 433363,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433363,A000000,01500,0000,1350RECREATION 433363,A000000,01600,0000,1600SKILLED NURSING FACILITY 433363,A000000,01810,0000,1810ICF/MR 433363,A000000,02100,0000,2100RADIOLOGY 433363,A000000,02200,0000,2200LABORATORY 433363,A000000,02300,0000,2300INTRAVENOUS THERAPY 433363,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433363,A000000,02500,0000,2500PHYSICAL THERAPY 433363,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433363,A000000,02700,0000,2700SPEECH PATHOLOGY 433363,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433363,A000000,03550,0000,3550FQHC 433363,A000000,04801,0000,4801AMBULANCE 433363,A000000,04802,0000,4802AMBULANCE 433363,A000000,04803,0000,4803AMBULANCE 433363,A000000,05000,0000,5000CORF 433363,A000000,05010,0000,5010CMHC 433363,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433363,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433363,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433363,A81000A,00100,0100,Y 433363,A81000B,00100,0300,SEE ATTACHED 433363,A81000B,00200,0300,CAPITAL INTEREST 433363,A81000B,00300,0300,HOME OFFICE 433363,A81000B,00400,0300,HOME OFFICE 433363,A81000C,00100,0100,B 433363,A81000C,00100,0400,SEE ATTACHED 433363,A81000C,00100,0600,VARIOUS 433363,A81000C,00200,0100,B 433363,A81000C,00200,0400,GHC 433363,A81000C,00200,0600,LONG TERM CARE 433363,A81000C,00300,0100,B 433363,A81000C,00300,0400,GHC 433363,A81000C,00300,0600,LONG TERM CARE 433363,A81000C,00400,0100,B 433363,A81000C,00400,0400,GHC 433363,A81000C,00400,0600,LONG TERM CARE 433363,B100000,00000,0100,0100SQUARE FEET 433363,B100000,00000,0200,0200SQUARE FEET 433363,B100000,00000,0300,0300GROSS SALARIES 433363,B100000,00000,0400,0400ACCUM COST 433363,B100000,00000,0500,0500SQUARE FEET 433363,B100000,00000,0600,0600PATIENT DAYS 433363,B100000,00000,0700,0700SQUARE FEET 433363,B100000,00000,0800,0800MEALS SERVED 433363,B100000,00000,0900,0900NURSING SALARIES 433363,B100000,00000,1000,1000COSTED REQUIS 433363,B100000,00000,1100,1100COSTED REQUIS 433363,B100000,00000,1200,1200PATIENT DAYS 433363,B100000,00000,1300,1300PATIENT DAYS 433363,B100000,00000,1400,1400ASSIGNED TIME 433363,B100000,00000,1500,1350PATIENT DAYS 433363,E10A180,00501,0100,04/11/12 433363,E10A180,00501,0300,04/11/12 433363,S000000,00100,0200,02/27/12 433363,S200000,00100,0100,175 BLUEBERRY LANE 433363,S200000,00200,0100,LACONIA 433363,S200000,00200,0200,NH 433363,S200000,00200,0300,03246 433363,S200000,00300,0100,BELKNAP 433363,S200000,00300,0201,99930 433363,S200000,00300,0300,R 433363,S200000,00400,0100,LACONIA REHAB CENTER 433363,S200000,00400,0200,305040 433363,S200000,00400,0300,04/12/90 433363,S200000,00400,0500,P 433363,S200000,01500,0100,Y 433363,S200000,01501,0200,Y 433363,S200000,01502,0200,N 433363,S200000,01503,0200,Y 433363,S200000,01504,0200,Y 433363,S200000,01600,0100,N 433363,S200000,01700,0100,N 433363,S200000,01800,0100,N 433363,S200000,01900,0100,LLC 433363,S200000,02200,0100,Y 433363,S200000,02800,0100,N 433363,S200000,02900,0100,N 433363,S200000,03000,0100,N 433363,S200000,03100,0100,N 433363,S200000,03200,0100,N 433363,S200000,03300,0100,N 433363,S200000,03300,0200,N 433363,S200000,04200,0100,N 433363,S200000,04300,0100,N 433363,S200000,04600,0100,N 433363,S200000,04700,0100,N 433363,S200000,04900,0100,N 433363,S200000,05200,0100,N 433363,S200000,05300,0100,Y 433363,S200000,05300,0200,HB0067 433363,S200000,05400,0100,GENESIS HEALTHCARE LLC 433363,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433363,S200000,05400,0300,12001 433363,S200000,05500,0100,101 EAST STATE STREET 433363,S200000,05600,0100,KENNETT SQUARE 433363,S200000,05600,0200,PA 433363,S200000,05600,0300,19348 433369,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433369,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433369,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433369,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433369,A000000,00300,0000,0300EMPLOYEE BENEFITS 433369,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433369,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433369,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433369,A000000,00700,0000,0700HOUSEKEEPING 433369,A000000,00800,0000,0800DIETARY 433369,A000000,00801,0000,0801CAFETERIA 433369,A000000,00900,0000,0900NURSING ADMINISTRATION 433369,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433369,A000000,01100,0000,1100PHARMACY 433369,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433369,A000000,01300,0000,1300SOCIAL SERVICE 433369,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433369,A000000,01500,0000,1350ACTIVITIES 433369,A000000,01600,0000,1600SKILLED NURSING FACILITY 433369,A000000,01800,0000,1800NURSING FACILITY 433369,A000000,01900,0000,1900OTHER LONG TERM CARE 433369,A000000,02100,0000,2100RADIOLOGY 433369,A000000,02200,0000,2200LABORATORY 433369,A000000,02300,0000,2300INTRAVENOUS THERAPY 433369,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433369,A000000,02500,0000,2500PHYSICAL THERAPY 433369,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433369,A000000,02700,0000,2700SPEECH PATHOLOGY 433369,A000000,02800,0000,2800ELECTROCARDIOLOGY 433369,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433369,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433369,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433369,A000000,03200,0000,3200SUPPORT SURFACES 433369,A000000,03300,0000,3050ENTERALS 433369,A000000,03301,0000,3051OXYGEN 433369,A000000,03302,0000,3052OTHER ANCILLARY III 433369,A000000,03400,0000,3400CLINIC 433369,A000000,03500,0000,3500RURAL HEALTH CLINIC 433369,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433369,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433369,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433369,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433369,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433369,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433369,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433369,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433369,A000000,04400,0000,4400DME RENTED - HHA 433369,A000000,04500,0000,4500DME SOLD - HHA 433369,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433369,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433369,A000000,04710,0000,4710TELEMEDICINE 433369,A000000,04800,0000,4800AMBULANCE 433369,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433369,A000000,05000,0000,5000CORF 433369,A000000,05001,0000,5001CMHC I 433369,A000000,05020,0000,5020OPT I 433369,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433369,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433369,A000000,05300,0000,5300INTEREST EXPENSE 433369,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433369,A000000,05500,0000,5500HOSPICE 433369,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433369,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433369,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433369,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433369,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433369,A000000,06100,0000,6100NONPAID WORKERS 433369,A000000,06200,0000,6200PATIENTS LAUNDRY 433369,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433369,A81000A,00100,0100,Y 433369,A81000B,00100,0300,MANAGEMENT FEES 433369,A81000B,00200,0300,NURSING SUPPLIES 433369,A81000B,00300,0300,LEGEND DRUGS 433369,A81000B,00400,0300,OTC 433369,A81000B,00500,0300,MED SUPPLIES 433369,A81000B,00600,0300,PHAR CONSLT 433369,A81000B,00700,0300,RELATED LEASE 433369,A81000B,00800,0300,DEPRECIATION 433369,A81000B,00900,0300,INTEREST 433369,A81000C,00100,0100,B 433369,A81000C,00100,0400,WOM 433369,A81000C,00100,0600,NSG HOME CHAIN 433369,A81000C,00200,0100,B 433369,A81000C,00200,0400,WOM 433369,A81000C,00200,0600,PHARMACY 433369,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433369,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433369,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433369,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433369,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433369,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433369,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433369,B100000,00000,0800,0800MEALS SERVED :DIETARY 433369,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433369,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433369,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433369,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433369,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433369,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433369,E10A180,00501,0100,06/06/12 433369,E10A180,00501,0300,06/06/12 433369,E10A180,00550,0100,02/27/12 433369,E10A180,00550,0300,02/27/12 433369,S000000,00100,0200,03/21/12 433369,S200000,00100,0100,252 CRAIG RD. 433369,S200000,00200,0100,LANCASTER 433369,S200000,00200,0200,SC 433369,S200000,00200,0300,29720-6531 433369,S200000,00300,0100,LANCASTER 433369,S200000,00300,0201,99942 433369,S200000,00300,0300,R 433369,S200000,00400,0100,WHITE OAK MANOR-LANCASTER 433369,S200000,00400,0200,425017 433369,S200000,00400,0300,06/15/91 433369,S200000,00400,0500,P 433369,S200000,01500,0100,Y 433369,S200000,01501,0200,Y 433369,S200000,01502,0200,Y 433369,S200000,01503,0200,Y 433369,S200000,01504,0200,Y 433369,S200000,01600,0100,N 433369,S200000,01700,0100,N 433369,S200000,01800,0100,N 433369,S200000,02200,0100,Y 433369,S200000,02800,0100,N 433369,S200000,02900,0100,N 433369,S200000,03000,0100,N 433369,S200000,03100,0100,N 433369,S200000,03200,0100,N 433369,S200000,03300,0100,N 433369,S200000,03300,0200,N 433369,S200000,04100,0100,N 433369,S200000,04200,0100,N 433369,S200000,04300,0100,N 433369,S200000,04600,0100,N 433369,S200000,04700,0100,N 433369,S200000,04700,0200,N 433369,S200000,04900,0100,N 433369,S200000,05000,0100,N 433369,S200000,05100,0100,N 433369,S200000,05200,0100,N 433369,S200000,05300,0100,Y 433369,S200000,05300,0200,HO02 433369,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433369,S200000,05400,0200,PGBA 433369,S200000,05400,0300,00380 433369,S200000,05500,0100,130 EAST MAIN ST. 433369,S200000,05500,0200,3347 433369,S200000,05600,0100,SPARTANBURG 433369,S200000,05600,0200,SC 433369,S200000,05600,0300,29304 433370,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433370,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433370,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433370,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433370,A000000,00300,0000,0300EMPLOYEE BENEFITS 433370,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433370,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433370,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433370,A000000,00700,0000,0700HOUSEKEEPING 433370,A000000,00800,0000,0800DIETARY 433370,A000000,00801,0000,0801CAFETERIA 433370,A000000,00900,0000,0900NURSING ADMINISTRATION 433370,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433370,A000000,01100,0000,1100PHARMACY 433370,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433370,A000000,01300,0000,1300SOCIAL SERVICE 433370,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433370,A000000,01500,0000,1350ACTIVITIES 433370,A000000,01600,0000,1600SKILLED NURSING FACILITY 433370,A000000,01800,0000,1800NURSING FACILITY 433370,A000000,01900,0000,1900OTHER LONG TERM CARE 433370,A000000,02100,0000,2100RADIOLOGY 433370,A000000,02200,0000,2200LABORATORY 433370,A000000,02300,0000,2300INTRAVENOUS THERAPY 433370,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433370,A000000,02500,0000,2500PHYSICAL THERAPY 433370,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433370,A000000,02700,0000,2700SPEECH PATHOLOGY 433370,A000000,02800,0000,2800ELECTROCARDIOLOGY 433370,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433370,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433370,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433370,A000000,03200,0000,3200SUPPORT SURFACES 433370,A000000,03300,0000,3050ENTERALS 433370,A000000,03301,0000,3051OXYGEN 433370,A000000,03302,0000,3052OTHER ANCILLARY III 433370,A000000,03400,0000,3400CLINIC 433370,A000000,03500,0000,3500RURAL HEALTH CLINIC 433370,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433370,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433370,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433370,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433370,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433370,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433370,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433370,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433370,A000000,04400,0000,4400DME RENTED - HHA 433370,A000000,04500,0000,4500DME SOLD - HHA 433370,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433370,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433370,A000000,04710,0000,4710TELEMEDICINE 433370,A000000,04800,0000,4800AMBULANCE 433370,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433370,A000000,05000,0000,5000CORF 433370,A000000,05001,0000,5001CMHC I 433370,A000000,05020,0000,5020OPT I 433370,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433370,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433370,A000000,05300,0000,5300INTEREST EXPENSE 433370,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433370,A000000,05500,0000,5500HOSPICE 433370,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433370,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433370,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433370,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433370,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433370,A000000,06100,0000,6100NONPAID WORKERS 433370,A000000,06200,0000,6200PATIENTS LAUNDRY 433370,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433370,A81000A,00100,0100,Y 433370,A81000B,00100,0300,MANAGEMENT FEES 433370,A81000B,00200,0300,NURSING SUPPLIES 433370,A81000B,00300,0300,LEGEND DRUGS 433370,A81000B,00400,0300,OTC 433370,A81000B,00500,0300,MED SUPPLIES 433370,A81000B,00600,0300,PHAR CONSLT 433370,A81000B,00700,0300,RELATED LEASE 433370,A81000B,00800,0300,DEPRECIATION 433370,A81000B,00900,0300,INTEREST 433370,A81000C,00100,0100,B 433370,A81000C,00100,0400,WOM 433370,A81000C,00100,0600,NSG HOME CHAIN 433370,A81000C,00200,0100,B 433370,A81000C,00200,0400,WOM 433370,A81000C,00200,0600,PHARMACY 433370,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433370,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433370,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433370,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433370,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433370,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433370,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433370,B100000,00000,0800,0800MEALS SERVED :DIETARY 433370,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433370,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433370,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433370,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433370,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433370,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433370,E10A180,00501,0100,06/07/12 433370,E10A180,00501,0300,06/07/12 433370,S000000,00100,0200,03/21/12 433370,S200000,00100,0100,3001 BEECHAVEN 433370,S200000,00100,0300,4276 433370,S200000,00200,0100,COLUMBIA 433370,S200000,00200,0200,SC 433370,S200000,00200,0300,29240-4276 433370,S200000,00300,0100,RICHLAND 433370,S200000,00300,0201,17900 433370,S200000,00300,0300,U 433370,S200000,00400,0100,WHITE OAK MANOR-COLUMBIA 433370,S200000,00400,0200,425068 433370,S200000,00400,0300,09/30/70 433370,S200000,00400,0500,P 433370,S200000,01500,0100,Y 433370,S200000,01501,0200,Y 433370,S200000,01502,0200,Y 433370,S200000,01503,0200,Y 433370,S200000,01504,0200,Y 433370,S200000,01600,0100,N 433370,S200000,01700,0100,N 433370,S200000,01800,0100,N 433370,S200000,02200,0100,Y 433370,S200000,02800,0100,N 433370,S200000,02900,0100,N 433370,S200000,03000,0100,N 433370,S200000,03100,0100,N 433370,S200000,03200,0100,N 433370,S200000,03300,0100,N 433370,S200000,03300,0200,N 433370,S200000,04100,0100,N 433370,S200000,04200,0100,N 433370,S200000,04300,0100,N 433370,S200000,04600,0100,N 433370,S200000,04700,0100,N 433370,S200000,04700,0200,N 433370,S200000,04900,0100,N 433370,S200000,05000,0100,N 433370,S200000,05100,0100,N 433370,S200000,05200,0100,N 433370,S200000,05300,0100,Y 433370,S200000,05300,0200,HO02 433370,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433370,S200000,05400,0200,PGBA 433370,S200000,05400,0300,00380 433370,S200000,05500,0100,130 EAST MAIN ST. 433370,S200000,05500,0200,3347 433370,S200000,05600,0100,SPARTANBURG 433370,S200000,05600,0200,SC 433370,S200000,05600,0300,29304 433371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433371,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433371,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433371,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433371,A000000,00300,0000,0300EMPLOYEE BENEFITS 433371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433371,A000000,00700,0000,0700HOUSEKEEPING 433371,A000000,00800,0000,0800DIETARY 433371,A000000,00801,0000,0801CAFETERIA 433371,A000000,00900,0000,0900NURSING ADMINISTRATION 433371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433371,A000000,01100,0000,1100PHARMACY 433371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433371,A000000,01300,0000,1300SOCIAL SERVICE 433371,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433371,A000000,01500,0000,1350ACTIVITIES 433371,A000000,01600,0000,1600SKILLED NURSING FACILITY 433371,A000000,01800,0000,1800NURSING FACILITY 433371,A000000,01900,0000,1900OTHER LONG TERM CARE 433371,A000000,02100,0000,2100RADIOLOGY 433371,A000000,02200,0000,2200LABORATORY 433371,A000000,02300,0000,2300INTRAVENOUS THERAPY 433371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433371,A000000,02500,0000,2500PHYSICAL THERAPY 433371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433371,A000000,02700,0000,2700SPEECH PATHOLOGY 433371,A000000,02800,0000,2800ELECTROCARDIOLOGY 433371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433371,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433371,A000000,03200,0000,3200SUPPORT SURFACES 433371,A000000,03300,0000,3050ENTERALS 433371,A000000,03301,0000,3051OXYGEN 433371,A000000,03302,0000,3052OTHER ANCILLARY III 433371,A000000,03400,0000,3400CLINIC 433371,A000000,03500,0000,3500RURAL HEALTH CLINIC 433371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433371,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433371,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433371,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433371,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433371,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433371,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433371,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433371,A000000,04400,0000,4400DME RENTED - HHA 433371,A000000,04500,0000,4500DME SOLD - HHA 433371,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433371,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433371,A000000,04710,0000,4710TELEMEDICINE 433371,A000000,04800,0000,4800AMBULANCE 433371,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433371,A000000,05000,0000,5000CORF 433371,A000000,05001,0000,5001CMHC I 433371,A000000,05020,0000,5020OPT I 433371,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433371,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433371,A000000,05300,0000,5300INTEREST EXPENSE 433371,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433371,A000000,05500,0000,5500HOSPICE 433371,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433371,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433371,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433371,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433371,A000000,06100,0000,6100NONPAID WORKERS 433371,A000000,06200,0000,6200PATIENTS LAUNDRY 433371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433371,A81000A,00100,0100,Y 433371,A81000B,00100,0300,MANAGEMENT FEES 433371,A81000B,00200,0300,NURSING SUPPLIES 433371,A81000B,00300,0300,LEGEND DRUGS 433371,A81000B,00400,0300,OTC 433371,A81000B,00500,0300,MED SUPPLIES 433371,A81000B,00600,0300,PHAR CONSLT 433371,A81000B,00700,0300,RELATED LEASE 433371,A81000B,00800,0300,DEPRECIATION 433371,A81000B,00900,0300,INTEREST 433371,A81000C,00100,0100,B 433371,A81000C,00100,0400,WOM 433371,A81000C,00100,0600,NSG HOME CHAIN 433371,A81000C,00200,0100,B 433371,A81000C,00200,0400,WOM 433371,A81000C,00200,0600,PHARMACY 433371,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433371,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433371,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433371,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433371,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433371,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433371,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433371,B100000,00000,0800,0800MEALS SERVED :DIETARY 433371,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433371,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433371,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433371,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433371,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433371,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433371,E10A180,00550,0100,02/27/12 433371,E10A180,00550,0300,02/27/12 433371,S000000,00100,0200,03/21/12 433371,S200000,00100,0100,2555 KINARD ST. 433371,S200000,00200,0100,NEWBERRY 433371,S200000,00200,0200,SC 433371,S200000,00200,0300,29108-2942 433371,S200000,00300,0100,NEWBERRY 433371,S200000,00300,0201,99942 433371,S200000,00300,0300,R 433371,S200000,00400,0100,WHITE OAK MANOR-NEWBERRY 433371,S200000,00400,0200,425077 433371,S200000,00400,0300,09/30/71 433371,S200000,00400,0500,P 433371,S200000,01500,0100,Y 433371,S200000,01501,0200,Y 433371,S200000,01502,0200,Y 433371,S200000,01503,0200,Y 433371,S200000,01504,0200,Y 433371,S200000,01600,0100,N 433371,S200000,01700,0100,N 433371,S200000,01800,0100,N 433371,S200000,02200,0100,Y 433371,S200000,02800,0100,N 433371,S200000,02900,0100,N 433371,S200000,03000,0100,N 433371,S200000,03100,0100,N 433371,S200000,03200,0100,N 433371,S200000,03300,0100,N 433371,S200000,03300,0200,N 433371,S200000,04100,0100,N 433371,S200000,04200,0100,N 433371,S200000,04300,0100,N 433371,S200000,04600,0100,N 433371,S200000,04700,0100,N 433371,S200000,04700,0200,N 433371,S200000,04900,0100,N 433371,S200000,05000,0100,N 433371,S200000,05100,0100,N 433371,S200000,05200,0100,N 433371,S200000,05300,0100,Y 433371,S200000,05300,0200,HO02 433371,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433371,S200000,05400,0200,PGBA 433371,S200000,05400,0300,00380 433371,S200000,05500,0100,130 EAST MAIN ST. 433371,S200000,05500,0200,3347 433371,S200000,05600,0100,SPARTANBURG 433371,S200000,05600,0200,SC 433371,S200000,05600,0300,29304 433378,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433378,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433378,A000000,00300,0000,0300EMPLOYEE BENEFITS 433378,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433378,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433378,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433378,A000000,00700,0000,0700HOUSEKEEPING 433378,A000000,00800,0000,0800DIETARY 433378,A000000,00900,0000,0900NURSING ADMINISTRATION 433378,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433378,A000000,01100,0000,1100PHARMACY 433378,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433378,A000000,01300,0000,1300SOCIAL SERVICE 433378,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433378,A000000,01600,0000,1600SKILLED NURSING FACILITY 433378,A000000,01800,0000,1800NURSING FACILITY 433378,A000000,01900,0000,1900OTHER LONG TERM CARE 433378,A000000,02100,0000,2100RADIOLOGY 433378,A000000,02200,0000,2200LABORATORY 433378,A000000,02300,0000,2300INTRAVENOUS THERAPY 433378,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433378,A000000,02500,0000,2500PHYSICAL THERAPY 433378,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433378,A000000,02700,0000,2700SPEECH PATHOLOGY 433378,A000000,02800,0000,2800ELECTROCARDIOLOGY 433378,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433378,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433378,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433378,A000000,03200,0000,3200SUPPORT SURFACES 433378,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433378,A000000,03400,0000,3400CLINIC 433378,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433378,A000000,04800,0000,4800AMBULANCE 433378,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433378,A000000,05000,0000,5000CORF 433378,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433378,A000000,05300,0000,5300INTEREST EXPENSE 433378,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433378,A000000,05500,0000,5500HOSPICE 433378,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433378,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433378,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433378,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433378,A000000,06100,0000,6100NONPAID WORKERS 433378,A000000,06200,0000,6200PATIENTS LAUNDRY 433378,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433378,A81000A,00100,0100,Y 433378,A81000B,00100,0300,NURSING CONSULTING 433378,A81000B,00200,0300,DIETARY CONSULTING 433378,A81000B,00300,0300,HOME OFFICE 433378,A81000B,00400,0300,INTEREST EXPENSE 433378,A81000B,00500,0300,WORKERS COMP EXPENSE 433378,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433378,A81000B,00700,0300,MAINTENANCE SUPPLIES 433378,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433378,A81000B,00900,0300,REPAIRS - EQUIPMENT 433378,A81000B,01000,0300,LINEN & BEDDING 433378,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433378,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 433378,A81000B,01300,0300,SUPPLIES 433378,A81000B,01400,0300,DIETARY SUPPLEMENTS 433378,A81000B,01500,0300,SUPPLIES 433378,A81000B,01600,0300,BIO-MEDICAL WASTE 433378,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433378,A81000B,01800,0300,PERSONAL CARE SUPPLIES 433378,A81000B,01900,0300,INCONTINENCE SUPPLIES 433378,A81000B,02000,0300,MEDICAL SUPPLIES 433378,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 433378,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 433378,A81000B,02300,0300,SUPPLIES 433378,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 433378,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 433378,A81000B,02600,0300,NON-LEGEND DRUGS 433378,A81000B,02700,0300,PHARMACY CONSULTANT 433378,A81000B,02800,0300,SUPPLIES 433378,A81000B,02900,0300,LEGEND DRUGS 433378,A81000C,00100,0100,B 433378,A81000C,00100,0200,PLTC & PITS IN 433378,A81000C,00100,0400,PLTC & PITS IN 433378,A81000C,00100,0600,MGMT SERVICES 433378,A81000C,00200,0100,B 433378,A81000C,00200,0200,PLTC & PITS IN 433378,A81000C,00200,0400,PLTC & PITS IN 433378,A81000C,00200,0600,MGMT SERVICES 433378,A81000C,00300,0100,B 433378,A81000C,00300,0200,PLTC & PITS IN 433378,A81000C,00300,0400,PLTC & PITS IN 433378,A81000C,00300,0600,MGMT SERVICES 433378,A81000C,00400,0100,B 433378,A81000C,00400,0200,PLTC & PITS IN 433378,A81000C,00400,0400,PLTC & PITS IN 433378,A81000C,00400,0600,MGMT SERVICES 433378,A81000C,00500,0100,A 433378,A81000C,00500,0200,SHAREHOLDERS 433378,A81000C,00500,0400,DISCOVERY INSUR 433378,A81000C,00500,0600,INSURANCE 433378,A81000C,00600,0100,A 433378,A81000C,00600,0200,SHAREHOLDERS 433378,A81000C,00600,0400,QUEENSLAND 433378,A81000C,00600,0600,INSURANCE 433378,A81000C,00700,0100,A 433378,A81000C,00700,0200,SHAREHOLDERS 433378,A81000C,00700,0400,KARE MEDICAL 433378,A81000C,00700,0600,WHLS SPLY 433378,A81000C,00800,0100,A 433378,A81000C,00800,0200,SHAREHOLDERS 433378,A81000C,00800,0400,KARE MEDICAL 433378,A81000C,00800,0600,WHLS SPLY 433378,A81000C,00900,0100,A 433378,A81000C,00900,0200,SHAREHOLDERS 433378,A81000C,00900,0400,KARE MEDICAL 433378,A81000C,00900,0600,WHLS SPLY 433378,A81000C,01000,0100,A 433378,A81000C,01000,0200,SHAREHOLDERS 433378,A81000C,01000,0400,KARE MEDICAL 433378,A81000C,01000,0600,WHLS SPLY 433378,A81000C,01001,0100,A 433378,A81000C,01001,0200,SHAREHOLDERS 433378,A81000C,01001,0400,KARE MEDICAL 433378,A81000C,01001,0600,WHLS SPLY 433378,A81000C,01002,0100,A 433378,A81000C,01002,0200,SHAREHOLDERS 433378,A81000C,01002,0400,KARE MEDICAL 433378,A81000C,01002,0600,WHLS SPLY 433378,A81000C,01003,0100,A 433378,A81000C,01003,0200,SHAREHOLDERS 433378,A81000C,01003,0400,KARE MEDICAL 433378,A81000C,01003,0600,WHLS SPLY 433378,A81000C,01004,0100,A 433378,A81000C,01004,0200,SHAREHOLDERS 433378,A81000C,01004,0400,KARE MEDICAL 433378,A81000C,01004,0600,WHLS SPLY 433378,A81000C,01005,0100,A 433378,A81000C,01005,0200,SHAREHOLDERS 433378,A81000C,01005,0400,KARE MEDICAL 433378,A81000C,01005,0600,WHLS SPLY 433378,A81000C,01006,0100,A 433378,A81000C,01006,0200,SHAREHOLDERS 433378,A81000C,01006,0400,KARE MEDICAL 433378,A81000C,01006,0600,WHLS SPLY 433378,A81000C,01007,0100,A 433378,A81000C,01007,0200,SHAREHOLDERS 433378,A81000C,01007,0400,KARE MEDICAL 433378,A81000C,01007,0600,WHLS SPLY 433378,A81000C,01008,0100,A 433378,A81000C,01008,0200,SHAREHOLDERS 433378,A81000C,01008,0400,KARE MEDICAL 433378,A81000C,01008,0600,WHLS SPLY 433378,A81000C,01009,0100,A 433378,A81000C,01009,0200,SHAREHOLDERS 433378,A81000C,01009,0400,KARE MEDICAL 433378,A81000C,01009,0600,WHLS SPLY 433378,A81000C,01010,0100,A 433378,A81000C,01010,0200,SHAREHOLDERS 433378,A81000C,01010,0400,KARE MEDICAL 433378,A81000C,01010,0600,WHLS SPLY 433378,A81000C,01011,0100,A 433378,A81000C,01011,0200,SHAREHOLDERS 433378,A81000C,01011,0400,KARE MEDICAL 433378,A81000C,01011,0600,WHLS SPLY 433378,A81000C,01012,0100,A 433378,A81000C,01012,0200,SHAREHOLDERS 433378,A81000C,01012,0400,KARE MEDICAL 433378,A81000C,01012,0600,WHLS SPLY 433378,A81000C,01013,0100,A 433378,A81000C,01013,0200,SHAREHOLDERS 433378,A81000C,01013,0400,KARE MEDICAL 433378,A81000C,01013,0600,WHLS SPLY 433378,A81000C,01014,0100,A 433378,A81000C,01014,0200,SHAREHOLDERS 433378,A81000C,01014,0400,KARE MEDICAL 433378,A81000C,01014,0600,WHLS SPLY 433378,A81000C,01015,0100,A 433378,A81000C,01015,0200,SHAREHOLDERS 433378,A81000C,01015,0400,PHARMSAVE 433378,A81000C,01015,0600,RX SUPPLY 433378,A81000C,01016,0100,A 433378,A81000C,01016,0200,SHAREHOLDERS 433378,A81000C,01016,0400,PHARMSAVE 433378,A81000C,01016,0600,RX SUPPLY 433378,A81000C,01017,0100,A 433378,A81000C,01017,0200,SHAREHOLDERS 433378,A81000C,01017,0400,PHARMSAVE 433378,A81000C,01017,0600,RX SUPPLY 433378,A81000C,01018,0100,A 433378,A81000C,01018,0200,SHAREHOLDERS 433378,A81000C,01018,0400,PHARMSAVE 433378,A81000C,01018,0600,RX SUPPLY 433378,A81000C,01019,0100,A 433378,A81000C,01019,0200,SHAREHOLDERS 433378,A81000C,01019,0400,PHARMSAVE 433378,A81000C,01019,0600,RX SUPPLY 433378,A81000C,01020,0100,A 433378,A81000C,01020,0200,SHAREHOLDERS 433378,A81000C,01020,0400,ROBERT HILL CON 433378,A81000C,01020,0600,CONSTRUCTION 433378,A81000C,01021,0100,A 433378,A81000C,01021,0200,SHAREHOLDERS 433378,A81000C,01021,0400,ROBERT HILL CON 433378,A81000C,01021,0600,CONSTRUCTION 433378,A81000C,01022,0100,A 433378,A81000C,01022,0200,SHAREHOLDERS 433378,A81000C,01022,0400,OUTERBANKS HAVE 433378,A81000C,01022,0600,REAL ESTATE 433378,A81000C,01023,0100,A 433378,A81000C,01023,0200,SHAREHOLDERS 433378,A81000C,01023,0400,BRITTHAVEN INC 433378,A81000C,01023,0600,REAL ESTATE 433378,A81000C,01024,0100,A 433378,A81000C,01024,0200,SHAREHOLDERS 433378,A81000C,01024,0400,BRITTHAVEN INC 433378,A81000C,01024,0600,REAL ESTATE 433378,A81000C,01025,0100,A 433378,A81000C,01025,0200,SHAREHOLDERS 433378,A81000C,01025,0400,BRITTHAVEN INC 433378,A81000C,01025,0600,REAL ESTATE 433378,A81000C,01026,0100,A 433378,A81000C,01026,0200,SHAREHOLDERS 433378,A81000C,01026,0400,BRITTHAVEN INC 433378,A81000C,01026,0600,REAL ESTATE 433378,A81000C,01027,0100,A 433378,A81000C,01027,0200,SHAREHOLDERS 433378,A81000C,01027,0400,BRITTHAVEN INC 433378,A81000C,01027,0600,REAL ESTATE 433378,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433378,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433378,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433378,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433378,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433378,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433378,B100000,00000,0800,0800MEALS SERVED :DIETARY 433378,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433378,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433378,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433378,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433378,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433378,E10A180,00501,0100,05/22/12 433378,G300000,02500,0000, OTHER (SPECIFY) 433378,S000000,00100,0200,02/29/12 433378,S200000,00100,0100,430 W. HEALTH CENTER DRIVE 433378,S200000,00200,0100,NAGS HEAD 433378,S200000,00200,0200,NC 433378,S200000,00200,0300,27959 433378,S200000,00300,0100,DARE 433378,S200000,00300,0201,99934 433378,S200000,00300,0300,R 433378,S200000,00400,0100,COLONY RIDGE NURSING & REHAB CENTER 433378,S200000,00400,0200,345226 433378,S200000,00400,0300,01/01/11 433378,S200000,00400,0500,P 433378,S200000,01500,0100,N 433378,S200000,01501,0200,Y 433378,S200000,01502,0200,Y 433378,S200000,01503,0200,Y 433378,S200000,01504,0200,Y 433378,S200000,01505,0000,OTHER (SPECIFY) 433378,S200000,01505,0200,Y 433378,S200000,01600,0100,Y 433378,S200000,01700,0100,N 433378,S200000,01800,0100,N 433378,S200000,02200,0100,N 433378,S200000,02800,0100,N 433378,S200000,02900,0100,N 433378,S200000,03000,0100,N 433378,S200000,03100,0100,N 433378,S200000,03200,0100,N 433378,S200000,03300,0100,N 433378,S200000,03300,0200,N 433378,S200000,04100,0100,N 433378,S200000,04200,0100,N 433378,S200000,04300,0100,N 433378,S200000,04600,0100,N 433378,S200000,04700,0100,N 433378,S200000,04700,0200,N 433378,S200000,04900,0100,N 433378,S200000,05000,0100,N 433378,S200000,05100,0100,N 433378,S200000,05200,0100,N 433378,S200000,05300,0100,Y 433378,S200000,05300,0200,349011 433378,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433378,S200000,05400,0200,PALMETTO GBA 433378,S200000,05400,0300,11501 433378,S200000,05500,0100,1435 HWY 258 NORTH 433378,S200000,05600,0100,KINSTON 433378,S200000,05600,0200,NC 433378,S200000,05600,0300,28502 433379,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433379,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433379,A000000,00300,0000,0300EMPLOYEE BENEFITS 433379,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433379,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433379,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433379,A000000,00700,0000,0700HOUSEKEEPING 433379,A000000,00800,0000,0800DIETARY 433379,A000000,00900,0000,0900NURSING ADMINISTRATION 433379,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433379,A000000,01100,0000,1100PHARMACY 433379,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433379,A000000,01300,0000,1300SOCIAL SERVICE 433379,A000000,01500,0000,1350ACTIVITIES 433379,A000000,01600,0000,1600SKILLED NURSING FACILITY 433379,A000000,01800,0000,1800NURSING FACILITY 433379,A000000,01810,0000,1810ICF/MR 433379,A000000,01900,0000,1900OTHER LONG TERM CARE 433379,A000000,02100,0000,2100RADIOLOGY 433379,A000000,02200,0000,2200LABORATORY 433379,A000000,02300,0000,2300INTRAVENOUS THERAPY 433379,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433379,A000000,02500,0000,2500PHYSICAL THERAPY 433379,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433379,A000000,02700,0000,2700SPEECH PATHOLOGY 433379,A000000,02800,0000,2800ELECTROCARDIOLOGY 433379,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433379,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433379,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433379,A000000,03200,0000,3200SUPPORT SURFACES 433379,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433379,A000000,03400,0000,3400CLINIC 433379,A000000,03500,0000,3500RURAL HEALTH CLINIC 433379,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433379,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433379,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433379,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433379,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433379,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433379,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433379,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433379,A000000,04400,0000,4400DME RENTED - HHA 433379,A000000,04500,0000,4500DME SOLD - HHA 433379,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433379,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433379,A000000,04710,0000,4710TELEMEDICINE 433379,A000000,04800,0000,4800AMBULANCE 433379,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433379,A000000,05000,0000,5000CORF 433379,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433379,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433379,A000000,05300,0000,5300INTEREST EXPENSE 433379,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433379,A000000,05500,0000,5500HOSPICE 433379,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433379,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433379,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433379,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433379,A000000,06100,0000,6100NONPAID WORKERS 433379,A000000,06200,0000,6200PATIENTS LAUNDRY 433379,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433379,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 433379,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 433379,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 433379,A81000A,00100,0100,Y 433379,A81000B,00100,0300,LEGEND DRUGS 433379,A81000B,00200,0300,LIFE SUSTAINING EQUIPMENT 433379,A81000B,00300,0300,NON-LEGEND DRUGS 433379,A81000C,00100,0100,B 433379,A81000C,00100,0200,STANLY MEMORIAL HOSPITAL 433379,A81000C,00100,0400,STANLY MEMORIAL HOSPITAL 433379,A81000C,00100,0600,HOSPITAL 433379,A81000C,00200,0100,B 433379,A81000C,00200,0200,STANLY MEMORIAL HOSPITAL 433379,A81000C,00200,0400,ALLIANCE MEDICAL 433379,A81000C,00200,0600,THERAPY 433379,A81000C,00300,0100,B 433379,A81000C,00300,0200,STANLY MEMORIAL HOSPITAL 433379,A81000C,00300,0400,STANLY MEMORIAL HOSPITAL 433379,A81000C,00300,0600,HOSPITAL 433379,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433379,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433379,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433379,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433379,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433379,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433379,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433379,B100000,00000,0800,0800MEALS SERVED :DIETARY 433379,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433379,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433379,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433379,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433379,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433379,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433379,E10A180,00350,0100,07/27/11 433379,E10A180,00550,0100,02/29/12 433379,G300000,02500,0000,OTHER INCOME 433379,G300000,02501,0000,BEAUTY SHOP REVENUE 433379,S000000,00100,0200,02/29/12 433379,S200000,00100,0100,625 BETHANY ROAD 433379,S200000,00200,0100,ALBEMARLE 433379,S200000,00200,0200,NC 433379,S200000,00200,0300,28001 433379,S200000,00300,0100,STANLY 433379,S200000,00300,0200,34 433379,S200000,00300,0201,99934 433379,S200000,00300,0300,R 433379,S200000,00400,0100,STANLY MANOR 433379,S200000,00400,0200,345281 433379,S200000,00400,0300,06/23/88 433379,S200000,00400,0500,P 433379,S200000,00400,0600,P 433379,S200000,01500,0100,Y 433379,S200000,01501,0200,N 433379,S200000,01502,0200,Y 433379,S200000,01503,0200,Y 433379,S200000,01600,0100,N 433379,S200000,01700,0100,N 433379,S200000,01800,0100,N 433379,S200000,02200,0100,N 433379,S200000,02800,0100,Y 433379,S200000,02900,0100,N 433379,S200000,03000,0100,N 433379,S200000,03100,0100,N 433379,S200000,03200,0100,N 433379,S200000,03300,0100,N 433379,S200000,03300,0200,N 433379,S200000,04100,0100,N 433379,S200000,04200,0100,N 433379,S200000,04300,0100,N 433379,S200000,04600,0100,N 433379,S200000,04700,0100,N 433379,S200000,04700,0200,N 433379,S200000,04900,0100,N 433379,S200000,05000,0100,N 433379,S200000,05100,0100,N 433379,S200000,05200,0100,N 433379,S200000,05300,0100,N 433380,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433380,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433380,A000000,00300,0000,0300EMPLOYEE BENEFITS 433380,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433380,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433380,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433380,A000000,00700,0000,0700HOUSEKEEPING 433380,A000000,00800,0000,0800DIETARY 433380,A000000,00900,0000,0900NURSING ADMINISTRATION 433380,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433380,A000000,01100,0000,1100PHARMACY 433380,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433380,A000000,01300,0000,1300SOCIAL SERVICE 433380,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433380,A000000,01500,0000,1350PATIENT ACTIVITIES 433380,A000000,01600,0000,1600SKILLED NURSING FACILITY 433380,A000000,01800,0000,1800NURSING FACILITY 433380,A000000,01810,0000,1810ICF/MR 433380,A000000,01900,0000,1900OTHER LONG TERM CARE 433380,A000000,02100,0000,2100RADIOLOGY 433380,A000000,02200,0000,2200LABORATORY 433380,A000000,02300,0000,2300INTRAVENOUS THERAPY 433380,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433380,A000000,02500,0000,2500PHYSICAL THERAPY 433380,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433380,A000000,02700,0000,2700SPEECH PATHOLOGY 433380,A000000,02800,0000,2800ELECTROCARDIOLOGY 433380,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433380,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433380,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433380,A000000,03200,0000,3200SUPPORT SURFACES 433380,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433380,A000000,03400,0000,3400CLINIC 433380,A000000,03500,0000,3500RURAL HEALTH CLINIC 433380,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433380,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433380,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433380,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433380,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433380,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433380,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433380,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433380,A000000,04400,0000,4400DME RENTED - HHA 433380,A000000,04500,0000,4500DME SOLD - HHA 433380,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433380,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433380,A000000,04710,0000,4710TELEMEDICINE 433380,A000000,04800,0000,4800AMBULANCE 433380,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433380,A000000,05000,0000,5000CORF 433380,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433380,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433380,A000000,05300,0000,5300INTEREST EXPENSE 433380,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433380,A000000,05500,0000,5500HOSPICE 433380,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433380,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433380,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433380,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433380,A000000,06100,0000,6100NONPAID WORKERS 433380,A000000,06200,0000,6200PATIENTS LAUNDRY 433380,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433380,A81000A,00100,0100,Y 433380,A81000B,00100,0300,CONTRACT SERVICES 433380,A81000B,00200,0300,CONTRACT SERVICES 433380,A81000B,00300,0300,CONTRACT SERVICES 433380,A81000B,00400,0300,SUPPLIES 433380,A81000B,00500,0300,SUPPLIES 433380,A81000B,00600,0300,CONSULTING 433380,A81000B,00700,0300,LEGEND DRUGS 433380,A81000B,00800,0300,MEDICAL RECORD SUPPLIES 433380,A81000B,00900,0300,NON LEGEND DRUGS 433380,A81000B,01000,0300,THERAPEUTIC BEDS 433380,A81000B,01100,0300,SUPPLIES 433380,A81000B,01200,0300,P/E FOOD 433380,A81000B,01300,0300,MANAGEMENT FEES 433380,A81000C,00100,0100,B 433380,A81000C,00100,0200,NOAH DUNCAN TRUST 433380,A81000C,00100,0400,CAROLINA THERAPY SERVICES 433380,A81000C,00100,0600,SUPPLIES 433380,A81000C,00200,0100,B 433380,A81000C,00200,0200,NOAH DUNCAN TRUST 433380,A81000C,00200,0400,CAROLINA THERAPY SERVICES 433380,A81000C,00200,0600,SUPPLIES 433380,A81000C,00300,0100,B 433380,A81000C,00300,0200,NOAH DUNCAN TRUST 433380,A81000C,00300,0400,CAROLINA THERAPY SERVICES 433380,A81000C,00300,0600,SUPPLIES 433380,A81000C,00400,0100,B 433380,A81000C,00400,0200,NOAH DUNCAN TRUST 433380,A81000C,00400,0400,CAROLINA THERAPY SERVICES 433380,A81000C,00400,0600,SUPPLIES 433380,A81000C,00500,0100,B 433380,A81000C,00500,0200,NOAH DUNCAN TRUST 433380,A81000C,00500,0400,CAROLINA THERAPY SERVICES 433380,A81000C,00500,0600,SUPPLIES 433380,A81000C,00600,0100,B 433380,A81000C,00600,0200,NOAH DUNCAN TRUST 433380,A81000C,00600,0400,SERVANT PHARMACY 433380,A81000C,00600,0600,PHARMACY 433380,A81000C,00700,0100,B 433380,A81000C,00700,0200,NOAH DUNCAN TRUST 433380,A81000C,00700,0400,SERVANT PHARMACY 433380,A81000C,00700,0600,PHARMACY 433380,A81000C,00800,0100,B 433380,A81000C,00800,0200,NOAH DUNCAN TRUST 433380,A81000C,00800,0400,SERVANT PHARMACY 433380,A81000C,00800,0600,PHARMACY 433380,A81000C,00900,0100,B 433380,A81000C,00900,0200,NOAH DUNCAN TRUST 433380,A81000C,00900,0400,SERVANT PHARMACY 433380,A81000C,00900,0600,PHARMACY 433380,A81000C,01000,0100,B 433380,A81000C,01000,0200,NOAH DUNCAN TRUST 433380,A81000C,01000,0400,PEN THERAPY 433380,A81000C,01000,0600,SUPPLIES 433380,A81000C,01001,0100,B 433380,A81000C,01001,0200,NOAH DUNCAN TRUST 433380,A81000C,01001,0400,PEN THERAPY 433380,A81000C,01001,0600,SUPPLIES 433380,A81000C,01002,0100,B 433380,A81000C,01002,0200,NOAH DUNCAN TRUST 433380,A81000C,01002,0400,PEN THERAPY 433380,A81000C,01002,0600,SUPPLIES 433380,A81000C,01003,0100,B 433380,A81000C,01003,0200,NOAH DUNCAN TRUST 433380,A81000C,01003,0400,COASTAL MANAGEMENT 433380,A81000C,01003,0600,MANAGEMENT 433380,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433380,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433380,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433380,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433380,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433380,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433380,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433380,B100000,00000,0800,0800MEALS SERVED :DIETARY 433380,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433380,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433380,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433380,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433380,E10A180,00350,0100,07/27/11 433380,E10A180,00501,0100,04/27/12 433380,E10A180,00502,0100,06/06/12 433380,G300000,02500,0000,RENTAL INCOME 433380,G300000,02501,0000,BAD DEBT REVENUE 433380,G300000,02502,0000,PATIENT PERSONAL ITEMS 433380,G300000,02503,0000,ROOM HOLD 433380,G300000,02504,0000,MISCELLANEOUS INCOME 433380,S000000,00100,0200,02/07/12 433380,S200000,00100,0100,523 COUNTRY CLUB DRIVE 433380,S200000,00200,0100,FAYETTEVILLE 433380,S200000,00200,0200,NC 433380,S200000,00200,0300,28301 433380,S200000,00300,0100,CUMBERLAND 433380,S200000,00300,0200,2560 433380,S200000,00300,0201,22180 433380,S200000,00300,0300,U 433380,S200000,00400,0100,WHISPERING PINES NURSING HOME 433380,S200000,00400,0200,345348 433380,S200000,00400,0300,01/22/91 433380,S200000,00400,0500,P 433380,S200000,01500,0100,N 433380,S200000,01503,0200,N 433380,S200000,01504,0200,Y 433380,S200000,01600,0100,Y 433380,S200000,01700,0100,N 433380,S200000,01800,0100,N 433380,S200000,02200,0100,N 433380,S200000,02800,0100,N 433380,S200000,02900,0100,N 433380,S200000,03000,0100,N 433380,S200000,03100,0100,N 433380,S200000,03200,0100,N 433380,S200000,03300,0100,N 433380,S200000,03300,0200,N 433380,S200000,03600,0100,N 433380,S200000,03600,0200,N 433380,S200000,04100,0100,N 433380,S200000,04200,0100,N 433380,S200000,04300,0100,N 433380,S200000,04600,0100,N 433380,S200000,04700,0100,N 433380,S200000,04700,0200,N 433380,S200000,04900,0100,N 433380,S200000,05000,0100,N 433380,S200000,05100,0100,N 433380,S200000,05200,0100,N 433381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433381,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433381,A000000,00300,0000,0300EMPLOYEE BENEFITS 433381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433381,A000000,00700,0000,0700HOUSEKEEPING 433381,A000000,00800,0000,0800DIETARY 433381,A000000,00900,0000,0900NURSING ADMINISTRATION 433381,A000000,01300,0000,1300SOCIAL SERVICE 433381,A000000,01500,0000,1350ACTIVITIES 433381,A000000,01600,0000,1600SKILLED NURSING FACILITY 433381,A000000,01800,0000,1800NURSING FACILITY 433381,A000000,01900,0000,1900OTHER LONG TERM CARE 433381,A000000,02100,0000,2100RADIOLOGY 433381,A000000,02200,0000,2200LABORATORY 433381,A000000,02500,0000,2500PHYSICAL THERAPY 433381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433381,A000000,02700,0000,2700SPEECH PATHOLOGY 433381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433381,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433381,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433381,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433381,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433381,A81000A,00100,0100,Y 433381,A81000B,00100,0300,HOME OFFICE OPERATING 433381,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 433381,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 433381,A81000B,00400,0300,HOME OFFICE NURSING 433381,A81000B,00500,0300,HOME OFFICE ACTIVITIES 433381,A81000B,00600,0300,VEHICLE RENTAL 433381,A81000B,00800,0300,MAINTENANCE AND REPAIRS 433381,A81000B,01000,0300,OFFICE EXPENSE 433381,A81000B,01100,0300,MAINTENANCE SUPPLIES 433381,A81000B,01200,0300,LAUNDRY SUPPLIES & LINEN 433381,A81000B,01300,0300,HSKPING SUPPLIES 433381,A81000B,01400,0300,FOOD SUPPLIES 433381,A81000B,01500,0300,NURSING SUPPLIES 433381,A81000B,01600,0300,SUPPLIES 433381,A81000B,01700,0300,OT SUPPLIES 433381,A81000B,01800,0300,MEDICAL SUPPLIES 433381,A81000B,01900,0300,NURSING SUPPLIES 433381,A81000B,02000,0300,MEDCAL SUPPLIES 433381,A81000B,02100,0300,DRUGS 433381,A81000B,02200,0300,PRINTING 433381,A81000B,02300,0300,PRINTING 433381,A81000B,02400,0300,PRINTING 433381,A81000B,02500,0300,PRINTING 433381,A81000B,02600,0300,PRINTING 433381,A81000C,00100,0100,A 433381,A81000C,00100,0200,TRIAD MEDICAL SERVICES 433381,A81000C,00100,0400,NOLAN G. BROWN 433381,A81000C,00100,0600,MGMT SERVICES 433381,A81000C,00200,0100,A 433381,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 433381,A81000C,00200,0400,NOLAN G. BROWN 433381,A81000C,00200,0600,PRINTING 433381,A81000C,00300,0100,A 433381,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 433381,A81000C,00300,0400,NOLAN G. BROWN 433381,A81000C,00300,0600,PHARMACY 433381,A81000C,00400,0100,A 433381,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 433381,A81000C,00400,0400,NOLAN G. BROWN 433381,A81000C,00400,0600,MEDICAL SUPPLIES 433381,A81000C,00500,0100,A 433381,A81000C,00500,0200,TMS CONSTRUCTION 433381,A81000C,00500,0400,NOLAN G BROWN 433381,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 433381,A81000C,00600,0100,A 433381,A81000C,00600,0200,NGB ENTERPRISES 433381,A81000C,00600,0400,NOLAN G. BROWN 433381,A81000C,00600,0600,LESSOR 433381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433381,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433381,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433381,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433381,B100000,00000,0800,0800MEALS SERVED :DIETARY 433381,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433381,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433381,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 433381,E10A180,00501,0100,05/09/12 433381,G300000,02500,0000,OTHER INCOME 433381,S000000,00100,0200,02/22/12 433381,S200000,00100,0100,630 FODALE AVENUE 433381,S200000,00100,0300,10249 433381,S200000,00200,0100,SOUTHPORT 433381,S200000,00200,0200,NC 433381,S200000,00200,0300,28461 433381,S200000,00300,0100,BRUNSWICK 433381,S200000,00300,0200,9200 433381,S200000,00300,0201,48900 433381,S200000,00300,0300,U 433381,S200000,00400,0100,OCEAN TRAIL CONVALESCENT CENTER 433381,S200000,00400,0200,345373 433381,S200000,00400,0300,05/31/91 433381,S200000,00400,0500,P 433381,S200000,00400,0600,O 433381,S200000,01500,0100,Y 433381,S200000,01501,0200,Y 433381,S200000,01505,0000,MEDICAL SUPPLIES AND OTHER 433381,S200000,01505,0200,N 433381,S200000,01600,0100,N 433381,S200000,01700,0100,N 433381,S200000,01800,0100,N 433381,S200000,02200,0100,N 433381,S200000,02800,0100,Y 433381,S200000,02900,0100,N 433381,S200000,03000,0100,N 433381,S200000,03100,0100,N 433381,S200000,03200,0100,N 433381,S200000,03300,0100,N 433381,S200000,03300,0200,N 433381,S200000,04100,0100,N 433381,S200000,04200,0100,N 433381,S200000,04300,0100,N 433381,S200000,04600,0100,N 433381,S200000,04700,0100,N 433381,S200000,04700,0200,N 433381,S200000,04900,0100,N 433381,S200000,05000,0100,N 433381,S200000,05100,0100,N 433381,S200000,05200,0100,N 433381,S200000,05300,0100,Y 433381,S200000,05300,0200,349009 433381,S200000,05400,0100,TRIAD MEDICAL SERVICES 433381,S200000,05400,0200,PALMETTO GBA 433381,S200000,05400,0300, 00038 433381,S200000,05500,0200,969 433381,S200000,05600,0100,YADKINVILLE 433381,S200000,05600,0200,NC 433381,S200000,05600,0300,27055 433382,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433382,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433382,A000000,00300,0000,0300EMPLOYEE BENEFITS 433382,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433382,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433382,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433382,A000000,00700,0000,0700HOUSEKEEPING 433382,A000000,00800,0000,0800DIETARY 433382,A000000,00900,0000,0900NURSING ADMINISTRATION 433382,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433382,A000000,01100,0000,1100PHARMACY 433382,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433382,A000000,01300,0000,1300SOCIAL SERVICE 433382,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433382,A000000,01600,0000,1600SKILLED NURSING FACILITY 433382,A000000,01800,0000,1800NURSING FACILITY 433382,A000000,01900,0000,1900OTHER LONG TERM CARE 433382,A000000,02100,0000,2100RADIOLOGY 433382,A000000,02200,0000,2200LABORATORY 433382,A000000,02300,0000,2300INTRAVENOUS THERAPY 433382,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433382,A000000,02500,0000,2500PHYSICAL THERAPY 433382,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433382,A000000,02700,0000,2700SPEECH PATHOLOGY 433382,A000000,02800,0000,2800ELECTROCARDIOLOGY 433382,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433382,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433382,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433382,A000000,03200,0000,3200SUPPORT SURFACES 433382,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433382,A000000,03400,0000,3400CLINIC 433382,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433382,A000000,04800,0000,4800AMBULANCE 433382,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433382,A000000,05000,0000,5000CORF 433382,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433382,A000000,05300,0000,5300INTEREST EXPENSE 433382,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433382,A000000,05500,0000,5500HOSPICE 433382,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433382,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433382,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433382,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433382,A000000,06100,0000,6100NONPAID WORKERS 433382,A000000,06200,0000,6200PATIENTS LAUNDRY 433382,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433382,A81000A,00100,0100,Y 433382,A81000B,00100,0300,NURSING CONSULTING 433382,A81000B,00200,0300,DIETARY CONSULTING 433382,A81000B,00300,0300,HOME OFFICE 433382,A81000B,00400,0300,INTEREST EXPENSE 433382,A81000B,00500,0300,WORKERS COMP EXPENSE 433382,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433382,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 433382,A81000B,00800,0300,MAINTENANCE SUPPLIES 433382,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 433382,A81000B,01000,0300,REPAIRS - BUILDING 433382,A81000B,01100,0300,REPAIRS - EQUIPMENT 433382,A81000B,01200,0300,REPAIRS - GROUND 433382,A81000B,01300,0300,LINEN & BEDDING 433382,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 433382,A81000B,01500,0300,SUPPLIES 433382,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 433382,A81000B,01700,0300,PAPER PRODUCTS & HAND SOAP 433382,A81000B,01800,0300,SUPPLIES 433382,A81000B,01900,0300,DIETARY SUPPLEMENTS 433382,A81000B,02000,0300,SUPPLIES 433382,A81000B,02100,0300,BIO-MEDICAL WASTE 433382,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 433382,A81000B,02300,0300,PERSONAL CARE SUPPLIES INCOME 433382,A81000B,02400,0300,INCONTINENCE SUPPLIES 433382,A81000B,02500,0300,MEDICAL SUPPLIES 433382,A81000B,02600,0300,OXYGEN THERAPY 433382,A81000B,02700,0300,SUPPLIES 433382,A81000B,02800,0300,SUPPLIES 433382,A81000B,02900,0300,BILLABLE MEDICAL SUPPLIES 433382,A81000C,00100,0100,B 433382,A81000C,00100,0200,PLTC & PITS IN 433382,A81000C,00100,0400,PLTC & PITS IN 433382,A81000C,00100,0600,MGMT SERVICES 433382,A81000C,00200,0100,B 433382,A81000C,00200,0200,PLTC & PITS IN 433382,A81000C,00200,0400,PLTC & PITS IN 433382,A81000C,00200,0600,MGMT SERVICES 433382,A81000C,00300,0100,B 433382,A81000C,00300,0200,PLTC & PITS IN 433382,A81000C,00300,0400,PLTC & PITS IN 433382,A81000C,00300,0600,MGMT SERVICES 433382,A81000C,00400,0100,B 433382,A81000C,00400,0200,PLTC & PITS IN 433382,A81000C,00400,0400,PLTC & PITS IN 433382,A81000C,00400,0600,MGMT SERVICES 433382,A81000C,00500,0100,A 433382,A81000C,00500,0200,SHAREHOLDERS 433382,A81000C,00500,0400,DISCOVERY INSUR 433382,A81000C,00500,0600,INSURANCE 433382,A81000C,00600,0100,A 433382,A81000C,00600,0200,SHAREHOLDERS 433382,A81000C,00600,0400,QUEENSLAND ASSU 433382,A81000C,00600,0600,INSURANCE 433382,A81000C,00700,0100,A 433382,A81000C,00700,0200,SHAREHOLDERS 433382,A81000C,00700,0400,KARE MEDICAL 433382,A81000C,00700,0600,WHOLESALE SUPPL 433382,A81000C,00800,0100,A 433382,A81000C,00800,0200,SHAREHOLDERS 433382,A81000C,00800,0400,KARE MEDICAL 433382,A81000C,00800,0600,WHOLESALE SUPPL 433382,A81000C,00900,0100,A 433382,A81000C,00900,0200,SHAREHOLDERS 433382,A81000C,00900,0400,KARE MEDICAL 433382,A81000C,00900,0600,WHOLESALE SUPPL 433382,A81000C,01000,0100,A 433382,A81000C,01000,0200,SHAREHOLDERS 433382,A81000C,01000,0400,KARE MEDICAL 433382,A81000C,01000,0600,WHOLESALE SUPPL 433382,A81000C,01001,0100,A 433382,A81000C,01001,0200,SHAREHOLDERS 433382,A81000C,01001,0400,KARE MEDICAL 433382,A81000C,01001,0600,WHOLESALE SUPPL 433382,A81000C,01002,0100,A 433382,A81000C,01002,0200,SHAREHOLDERS 433382,A81000C,01002,0400,KARE MEDICAL 433382,A81000C,01002,0600,WHOLESALE SUPPL 433382,A81000C,01003,0100,A 433382,A81000C,01003,0200,SHAREHOLDERS 433382,A81000C,01003,0400,KARE MEDICAL 433382,A81000C,01003,0600,WHOLESALE SUPPL 433382,A81000C,01004,0100,A 433382,A81000C,01004,0200,SHAREHOLDERS 433382,A81000C,01004,0400,KARE MEDICAL 433382,A81000C,01004,0600,WHOLESALE SUPPL 433382,A81000C,01005,0100,A 433382,A81000C,01005,0200,SHAREHOLDERS 433382,A81000C,01005,0400,KARE MEDICAL 433382,A81000C,01005,0600,WHOLESALE SUPPL 433382,A81000C,01006,0100,A 433382,A81000C,01006,0200,SHAREHOLDERS 433382,A81000C,01006,0400,KARE MEDICAL 433382,A81000C,01006,0600,WHOLESALE SUPPL 433382,A81000C,01007,0100,A 433382,A81000C,01007,0200,SHAREHOLDERS 433382,A81000C,01007,0400,KARE MEDICAL 433382,A81000C,01007,0600,WHOLESALE SUPPL 433382,A81000C,01008,0100,A 433382,A81000C,01008,0200,SHAREHOLDERS 433382,A81000C,01008,0400,KARE MEDICAL 433382,A81000C,01008,0600,WHOLESALE SUPPL 433382,A81000C,01009,0100,A 433382,A81000C,01009,0200,SHAREHOLDERS 433382,A81000C,01009,0400,KARE MEDICAL 433382,A81000C,01009,0600,WHOLESALE SUPPL 433382,A81000C,01010,0100,A 433382,A81000C,01010,0200,SHAREHOLDERS 433382,A81000C,01010,0400,KARE MEDICAL 433382,A81000C,01010,0600,WHOLESALE SUPPL 433382,A81000C,01011,0100,A 433382,A81000C,01011,0200,SHAREHOLDERS 433382,A81000C,01011,0400,KARE MEDICAL 433382,A81000C,01011,0600,WHOLESALE SUPPL 433382,A81000C,01012,0100,A 433382,A81000C,01012,0200,SHAREHOLDERS 433382,A81000C,01012,0400,KARE MEDICAL 433382,A81000C,01012,0600,WHOLESALE SUPPL 433382,A81000C,01013,0100,A 433382,A81000C,01013,0200,SHAREHOLDERS 433382,A81000C,01013,0400,KARE MEDICAL 433382,A81000C,01013,0600,WHOLESALE SUPPL 433382,A81000C,01014,0100,A 433382,A81000C,01014,0200,SHAREHOLDERS 433382,A81000C,01014,0400,KARE MEDICAL 433382,A81000C,01014,0600,WHOLESALE SUPPL 433382,A81000C,01015,0100,A 433382,A81000C,01015,0200,SHAREHOLDERS 433382,A81000C,01015,0400,KARE MEDICAL 433382,A81000C,01015,0600,WHOLESALE SUPPL 433382,A81000C,01016,0100,A 433382,A81000C,01016,0200,SHAREHOLDERS 433382,A81000C,01016,0400,KARE MEDICAL 433382,A81000C,01016,0600,WHOLESALE SUPPL 433382,A81000C,01017,0100,A 433382,A81000C,01017,0200,SHAREHOLDERS 433382,A81000C,01017,0400,KARE MEDICAL 433382,A81000C,01017,0600,WHOLESALE SUPPL 433382,A81000C,01018,0100,A 433382,A81000C,01018,0200,SHAREHOLDERS 433382,A81000C,01018,0400,KARE MEDICAL 433382,A81000C,01018,0600,WHOLESALE SUPPL 433382,A81000C,01019,0100,A 433382,A81000C,01019,0200,SHAREHOLDERS 433382,A81000C,01019,0400,KARE MEDICAL 433382,A81000C,01019,0600,WHOLESALE SUPPL 433382,A81000C,01020,0100,A 433382,A81000C,01020,0200,SHAREHOLDERS 433382,A81000C,01020,0400,KARE MEDICAL 433382,A81000C,01020,0600,WHOLESALE SUPPL 433382,A81000C,01021,0100,A 433382,A81000C,01021,0200,SHAREHOLDERS 433382,A81000C,01021,0400,PHARMSAVE 433382,A81000C,01021,0600,RX SUPPLY 433382,A81000C,01022,0100,A 433382,A81000C,01022,0200,SHAREHOLDERS 433382,A81000C,01022,0400,PHARMSAVE 433382,A81000C,01022,0600,RX SUPPLY 433382,A81000C,01023,0100,A 433382,A81000C,01023,0200,SHAREHOLDERS 433382,A81000C,01023,0400,PHARMSAVE 433382,A81000C,01023,0600,RX SUPPLY 433382,A81000C,01024,0100,A 433382,A81000C,01024,0200,SHAREHOLDERS 433382,A81000C,01024,0400,PHARMSAVE 433382,A81000C,01024,0600,RX SUPPLY 433382,A81000C,01025,0100,A 433382,A81000C,01025,0200,SHAREHOLDERS 433382,A81000C,01025,0400,PHARMSAVE 433382,A81000C,01025,0600,RX SUPPLY 433382,A81000C,01026,0100,A 433382,A81000C,01026,0200,SHAREHOLDERS 433382,A81000C,01026,0400,ROBERT HILL CON 433382,A81000C,01026,0600,CONSTRUCTION 433382,A81000C,01027,0100,A 433382,A81000C,01027,0200,SHAREHOLDERS 433382,A81000C,01027,0400,ROBERT HILL CON 433382,A81000C,01027,0600,CONSTRUCTION 433382,A81000C,01028,0100,A 433382,A81000C,01028,0200,SHAREHOLDERS 433382,A81000C,01028,0400,BRITTHAVEN INC 433382,A81000C,01028,0600,REAL ESTATE 433382,A81000C,01029,0100,A 433382,A81000C,01029,0200,SHAREHOLDERS 433382,A81000C,01029,0400,BRITTHAVEN INC 433382,A81000C,01029,0600,REAL ESTATE 433382,A81000C,01030,0100,A 433382,A81000C,01030,0200,SHAREHOLDERS 433382,A81000C,01030,0400,BRITTHAVEN INC 433382,A81000C,01030,0600,REAL ESTATE 433382,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433382,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433382,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433382,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433382,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433382,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433382,B100000,00000,0800,0800MEALS SERVED :DIETARY 433382,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433382,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433382,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433382,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433382,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433382,E10A180,00350,0100,07/27/11 433382,E10A180,00501,0100,05/24/12 433382,G300000,02500,0000, OTHER (SPECIFY) 433382,S000000,00100,0200,02/29/12 433382,S200000,00100,0100,2461 LEGION ROAD 433382,S200000,00200,0100,FAYETTEVILLE 433382,S200000,00200,0200,NC 433382,S200000,00200,0300,28304 433382,S200000,00300,0100,CUMBERLAND 433382,S200000,00300,0201,22180 433382,S200000,00300,0300,U 433382,S200000,00400,0100,CUMBERLAND NURSING & REHAB CENTER 433382,S200000,00400,0200,345376 433382,S200000,00400,0300,01/01/11 433382,S200000,00400,0500,P 433382,S200000,01500,0100,Y 433382,S200000,01501,0200,Y 433382,S200000,01502,0200,Y 433382,S200000,01503,0200,Y 433382,S200000,01504,0200,Y 433382,S200000,01505,0000,OTHER (SPECIFY) 433382,S200000,01505,0200,Y 433382,S200000,01600,0100,N 433382,S200000,01700,0100,N 433382,S200000,01800,0100,N 433382,S200000,02200,0100,N 433382,S200000,02800,0100,N 433382,S200000,02900,0100,N 433382,S200000,03000,0100,N 433382,S200000,03100,0100,N 433382,S200000,03200,0100,N 433382,S200000,03300,0100,N 433382,S200000,03300,0200,N 433382,S200000,04100,0100,N 433382,S200000,04200,0100,N 433382,S200000,04300,0100,N 433382,S200000,04600,0100,N 433382,S200000,04700,0100,N 433382,S200000,04700,0200,N 433382,S200000,04900,0100,N 433382,S200000,05000,0100,N 433382,S200000,05100,0100,N 433382,S200000,05200,0100,N 433382,S200000,05300,0100,Y 433382,S200000,05300,0200,349011 433382,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433382,S200000,05400,0200,PALMETTO GBA 433382,S200000,05400,0300,11501 433382,S200000,05500,0100,1435 HWY 258 NORTH 433382,S200000,05600,0100,KINSTON 433382,S200000,05600,0200,NC 433382,S200000,05600,0300,28502 433383,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433383,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433383,A000000,00300,0000,0300EMPLOYEE BENEFITS 433383,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433383,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433383,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433383,A000000,00700,0000,0700HOUSEKEEPING 433383,A000000,00800,0000,0800DIETARY 433383,A000000,00900,0000,0900NURSING ADMINISTRATION 433383,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433383,A000000,01100,0000,1100PHARMACY 433383,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433383,A000000,01300,0000,1300SOCIAL SERVICE 433383,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433383,A000000,01500,0000,1350ACTIVITIES 433383,A000000,01600,0000,1600SKILLED NURSING FACILITY 433383,A000000,01800,0000,1800NURSING FACILITY 433383,A000000,01810,0000,1810ICF/MR 433383,A000000,01900,0000,1900OTHER LONG TERM CARE 433383,A000000,02100,0000,2100RADIOLOGY 433383,A000000,02200,0000,2200LABORATORY 433383,A000000,02300,0000,2300INTRAVENOUS THERAPY 433383,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433383,A000000,02500,0000,2500PHYSICAL THERAPY 433383,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433383,A000000,02700,0000,2700SPEECH PATHOLOGY 433383,A000000,02800,0000,2800ELECTROCARDIOLOGY 433383,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433383,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433383,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433383,A000000,03200,0000,3200SUPPORT SURFACES 433383,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433383,A000000,03400,0000,3400CLINIC 433383,A000000,03500,0000,3500RURAL HEALTH CLINIC 433383,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433383,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433383,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433383,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433383,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433383,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433383,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433383,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433383,A000000,04400,0000,4400DME RENTED - HHA 433383,A000000,04500,0000,4500DME SOLD - HHA 433383,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433383,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433383,A000000,04710,0000,4710TELEMEDICINE 433383,A000000,04800,0000,4800AMBULANCE 433383,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433383,A000000,05000,0000,5000CORF 433383,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433383,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433383,A000000,05300,0000,5300INTEREST EXPENSE 433383,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433383,A000000,05500,0000,5500HOSPICE 433383,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433383,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433383,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433383,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433383,A000000,06100,0000,6100NONPAID WORKERS 433383,A000000,06200,0000,6200PATIENTS LAUNDRY 433383,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433383,A81000A,00100,0100,Y 433383,A81000B,00100,0300,ADMIN C/S 433383,A81000B,00200,0300,ADMIN SALARY 433383,A81000B,00300,0300,ADMIN PR TAX 433383,A81000B,00400,0300,ADMIN BENEFIT 433383,A81000B,00500,0300,DON C/S 433383,A81000B,00600,0300,DON SALARY 433383,A81000B,00700,0300,DON PR TAX 433383,A81000B,00800,0300,DON BENEFITS 433383,A81000B,00900,0300,NURSE CONSULTANT 433383,A81000B,01000,0300,RN SALARY 433383,A81000B,01100,0300,RN PR TAX 433383,A81000B,01200,0300,RN BENEFIT 433383,A81000B,01300,0300,MANAGMENT SERVICES 433383,A81000B,01400,0300,PT C/S 433383,A81000B,01500,0300,OT C/S 433383,A81000B,01600,0300,ST C/S 433383,A81000B,01700,0300,TF NUTRIENTS 433383,A81000B,01800,0300,NON CAP NURSING EQUIP 433383,A81000B,01900,0300,MEDICAL SUPPLIES 433383,A81000B,02000,0300,THERAPEUTIC BEDS 433383,A81000B,02100,0300,OXYGEN 433383,A81000B,02200,0300,BMS 433383,A81000B,02300,0300,PE SUPPLIES 433383,A81000B,02400,0300,LIFE SUST RENTAL 433383,A81000C,00100,0100,A 433383,A81000C,00100,0200,HAROLD NUNN 433383,A81000C,00100,0400,PEAK RESOURCES INC 433383,A81000C,00100,0600,MANAGEMENT SERVICES 433383,A81000C,00200,0100,A 433383,A81000C,00200,0200,HAROLD NUNN 433383,A81000C,00200,0400,PEAK RESOURCES INC 433383,A81000C,00200,0600,MANAGEMENT SERVICES 433383,A81000C,00300,0100,A 433383,A81000C,00300,0200,HAROLD NUNN 433383,A81000C,00300,0400,PEAK RESOURCES INC 433383,A81000C,00300,0600,MANAGEMENT SERVICES 433383,A81000C,00400,0100,A 433383,A81000C,00400,0200,HAROLD NUNN 433383,A81000C,00400,0400,PEAK RESOURCES INC 433383,A81000C,00400,0600,MANAGEMENT SERVICES 433383,A81000C,00500,0100,A 433383,A81000C,00500,0200,HAROLD NUNN 433383,A81000C,00500,0400,PEAK RESOURCES INC 433383,A81000C,00500,0600,MANAGEMENT SERVICES 433383,A81000C,00600,0100,A 433383,A81000C,00600,0200,HAROLD NUNN 433383,A81000C,00600,0400,PEAK RESOURCES INC 433383,A81000C,00600,0600,MANAGEMENT SERVICES 433383,A81000C,00700,0100,A 433383,A81000C,00700,0200,HAROLD NUNN 433383,A81000C,00700,0400,PEAK RESOURCES INC 433383,A81000C,00700,0600,MANAGEMENT SERVICES 433383,A81000C,00800,0100,A 433383,A81000C,00800,0200,HAROLD NUNN 433383,A81000C,00800,0400,PEAK RESOURCES INC 433383,A81000C,00800,0600,MANAGEMENT SERVICES 433383,A81000C,00900,0100,A 433383,A81000C,00900,0200,HAROLD NUNN 433383,A81000C,00900,0400,PEAK RESOURCES INC 433383,A81000C,00900,0600,MANAGEMENT SERVICES 433383,A81000C,01000,0100,A 433383,A81000C,01000,0200,HAROLD NUNN 433383,A81000C,01000,0400,PEAK RESOURCES INC 433383,A81000C,01000,0600,MANAGEMENT SERVICES 433383,A81000C,01001,0100,A 433383,A81000C,01001,0200,HAROLD NUNN 433383,A81000C,01001,0400,PEAK RESOURCES INC 433383,A81000C,01001,0600,MANAGEMENT SERVICES 433383,A81000C,01002,0100,A 433383,A81000C,01002,0200,HAROLD NUNN 433383,A81000C,01002,0400,PEAK RESOURCES INC 433383,A81000C,01002,0600,MANAGEMENT SERVICES 433383,A81000C,01003,0100,A 433383,A81000C,01003,0200,HAROLD NUNN 433383,A81000C,01003,0400,PEAK RESOURCES INC 433383,A81000C,01003,0600,MANAGEMENT SERVICES 433383,A81000C,01004,0100,A 433383,A81000C,01004,0200,HAROLD NUNN 433383,A81000C,01004,0400,SUMMIT THERAPRY SERVICES 433383,A81000C,01004,0600,THERPAY C/S 433383,A81000C,01005,0100,A 433383,A81000C,01005,0200,HAROLD NUNN 433383,A81000C,01005,0400,SUMMIT THERAPRY SERVICES 433383,A81000C,01005,0600,THERPAY C/S 433383,A81000C,01006,0100,A 433383,A81000C,01006,0200,HAROLD NUNN 433383,A81000C,01006,0400,SUMMIT THERAPRY SERVICES 433383,A81000C,01006,0600,THERPAY C/S 433383,A81000C,01007,0100,A 433383,A81000C,01007,0200,HAROLD NUNN 433383,A81000C,01007,0400,BILLING SPECIALISTS INC 433383,A81000C,01007,0600,MEDICAL SUPPLIES 433383,A81000C,01008,0100,A 433383,A81000C,01008,0200,HAROLD NUNN 433383,A81000C,01008,0400,BILLING SPECIALISTS INC 433383,A81000C,01008,0600,MEDICAL SUPPLIES 433383,A81000C,01009,0100,A 433383,A81000C,01009,0200,HAROLD NUNN 433383,A81000C,01009,0400,BILLING SPECIALISTS INC 433383,A81000C,01009,0600,MEDICAL SUPPLIES 433383,A81000C,01010,0100,A 433383,A81000C,01010,0200,HAROLD NUNN 433383,A81000C,01010,0400,BILLING SPECIALISTS INC 433383,A81000C,01010,0600,MEDICAL SUPPLIES 433383,A81000C,01011,0100,A 433383,A81000C,01011,0200,HAROLD NUNN 433383,A81000C,01011,0400,BILLING SPECIALISTS INC 433383,A81000C,01011,0600,MEDICAL SUPPLIES 433383,A81000C,01012,0100,A 433383,A81000C,01012,0200,HAROLD NUNN 433383,A81000C,01012,0400,BILLING SPECIALISTS INC 433383,A81000C,01012,0600,MEDICAL SUPPLIES 433383,A81000C,01013,0100,A 433383,A81000C,01013,0200,HAROLD NUNN 433383,A81000C,01013,0400,BILLING SPECIALISTS INC 433383,A81000C,01013,0600,MEDICAL SUPPLIES 433383,A81000C,01014,0100,A 433383,A81000C,01014,0200,HAROLD NUNN 433383,A81000C,01014,0400,BILLING SPECIALISTS INC 433383,A81000C,01014,0600,MEDICAL SUPPLIES 433383,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433383,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433383,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433383,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433383,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433383,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433383,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433383,B100000,00000,0800,0800MEALS SERVED :DIETARY 433383,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433383,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433383,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433383,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433383,G300000,02501,0000,MISCELANEOUS 433383,G300000,02502,0000,MEDICARE BAD DEBT 433383,S000000,00100,0200,02/29/12 433383,S200000,00100,0100,700 SELF ST 433383,S200000,00200,0100,CHERRYVILLE 433383,S200000,00200,0200,NC 433383,S200000,00200,0300,28021 433383,S200000,00300,0100,GASTON 433383,S200000,00300,0200,1520 433383,S200000,00300,0201,16740 433383,S200000,00300,0300,U 433383,S200000,00400,0100,PEAK RESOURCES CHERRYVILLE 433383,S200000,00400,0200,345395 433383,S200000,00400,0300,08/11/91 433383,S200000,00400,0500,P 433383,S200000,01500,0100,Y 433383,S200000,01503,0200,N 433383,S200000,01504,0200,Y 433383,S200000,01600,0100,N 433383,S200000,01700,0100,N 433383,S200000,01800,0100,N 433383,S200000,02200,0100,Y 433383,S200000,02800,0100,N 433383,S200000,02900,0100,N 433383,S200000,03000,0100,N 433383,S200000,03100,0100,N 433383,S200000,03200,0100,N 433383,S200000,03300,0100,N 433383,S200000,03300,0200,N 433383,S200000,04100,0100,N 433383,S200000,04200,0100,N 433383,S200000,04300,0100,N 433383,S200000,04600,0100,N 433383,S200000,04700,0100,N 433383,S200000,04700,0200,N 433383,S200000,04900,0100,N 433383,S200000,05000,0100,N 433383,S200000,05100,0100,N 433383,S200000,05200,0100,N 433384,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433384,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433384,A000000,00300,0000,0300EMPLOYEE BENEFITS 433384,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433384,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433384,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433384,A000000,00700,0000,0700HOUSEKEEPING 433384,A000000,00800,0000,0800DIETARY 433384,A000000,00900,0000,0900NURSING ADMINISTRATION 433384,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433384,A000000,01100,0000,1100PHARMACY 433384,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433384,A000000,01300,0000,1300SOCIAL SERVICE 433384,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433384,A000000,01500,0000,1350PATIENT ACTIVITIES 433384,A000000,01600,0000,1600SKILLED NURSING FACILITY 433384,A000000,01800,0000,1800NURSING FACILITY 433384,A000000,01810,0000,1810ICF/MR 433384,A000000,01900,0000,1900OTHER LONG TERM CARE 433384,A000000,02100,0000,2100RADIOLOGY 433384,A000000,02200,0000,2200LABORATORY 433384,A000000,02300,0000,2300INTRAVENOUS THERAPY 433384,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433384,A000000,02500,0000,2500PHYSICAL THERAPY 433384,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433384,A000000,02700,0000,2700SPEECH PATHOLOGY 433384,A000000,02800,0000,2800ELECTROCARDIOLOGY 433384,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433384,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433384,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433384,A000000,03200,0000,3200SUPPORT SURFACES 433384,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433384,A000000,03400,0000,3400CLINIC 433384,A000000,03500,0000,3500RURAL HEALTH CLINIC 433384,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433384,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433384,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433384,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433384,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433384,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433384,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433384,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433384,A000000,04400,0000,4400DME RENTED - HHA 433384,A000000,04500,0000,4500DME SOLD - HHA 433384,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433384,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433384,A000000,04710,0000,4710TELEMEDICINE 433384,A000000,04800,0000,4800AMBULANCE 433384,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433384,A000000,05000,0000,5000CORF 433384,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433384,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433384,A000000,05300,0000,5300INTEREST EXPENSE 433384,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433384,A000000,05500,0000,5500HOSPICE 433384,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433384,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433384,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433384,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433384,A000000,06100,0000,6100NONPAID WORKERS 433384,A000000,06200,0000,6200PATIENTS LAUNDRY 433384,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433384,A81000A,00100,0100,Y 433384,A81000B,00100,0300,RENT 433384,A81000B,00200,0300,MORTGAGE INTEREST 433384,A81000B,00300,0300,BLDG DEPN 433384,A81000B,00400,0300,EQUIP DEPN 433384,A81000B,00500,0300,LAND IMPROVEMENT DEPN 433384,A81000C,00100,0100,A 433384,A81000C,00100,0200,EVANS/LENNON 433384,A81000C,00100,0400,HILLSIDE LLC 433384,A81000C,00100,0600,RENTAL 433384,A81000C,00200,0100,A 433384,A81000C,00200,0200,EVANS/LENNON 433384,A81000C,00200,0400,HILLSIDE LLC 433384,A81000C,00200,0600,RENTAL 433384,A81000C,00300,0100,A 433384,A81000C,00300,0200,EVANS/LENNON 433384,A81000C,00300,0400,HILLSIDE LLC 433384,A81000C,00300,0600,RENTAL 433384,A81000C,00400,0100,A 433384,A81000C,00400,0200,EVANS/LENNON 433384,A81000C,00400,0400,HILLSIDE LLC 433384,A81000C,00400,0600,RENTAL 433384,A81000C,00500,0100,A 433384,A81000C,00500,0200,EVANS/LENNON 433384,A81000C,00500,0400,HILLSIDE LLC 433384,A81000C,00500,0600,RENTAL 433384,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433384,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433384,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433384,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433384,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433384,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433384,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433384,B100000,00000,0800,0800MEALS SERVED :DIETARY 433384,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433384,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433384,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433384,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433384,E10A180,00550,0100,03/02/12 433384,G300000,02500,0000,MISCELLANEOUS INCOME 433384,G300000,02501,0000,MEDICARE PASS THRU ITEMS 433384,G300000,02502,0000,ROOM RESERVATIONS 433384,G300000,02503,0000,PERSONAL PURCHASES 433384,S000000,00100,0200,03/02/12 433384,S200000,00100,0100,968 WAIT AVENUE 433384,S200000,00200,0100,WAKE FOREST 433384,S200000,00200,0200,NC 433384,S200000,00200,0300,27588 433384,S200000,00300,0100,WAKE 433384,S200000,00300,0200,6640 433384,S200000,00300,0201,39580 433384,S200000,00300,0300,U 433384,S200000,00400,0100,HILLSIDE NURSING CENTER OF WAKE FORE 433384,S200000,00400,0200,345417 433384,S200000,00400,0300,04/02/92 433384,S200000,00400,0500,P 433384,S200000,01500,0100,N 433384,S200000,01502,0200,N 433384,S200000,01503,0200,Y 433384,S200000,01505,0000,EMPLOYEE BENEFITS 433384,S200000,01505,0200,Y 433384,S200000,01600,0100,Y 433384,S200000,01700,0100,N 433384,S200000,01800,0100,N 433384,S200000,02200,0100,N 433384,S200000,02800,0100,N 433384,S200000,02900,0100,N 433384,S200000,03000,0100,N 433384,S200000,03100,0100,N 433384,S200000,03200,0100,N 433384,S200000,03300,0100,N 433384,S200000,03300,0200,N 433384,S200000,03600,0100,N 433384,S200000,03600,0200,N 433384,S200000,04100,0100,N 433384,S200000,04200,0100,N 433384,S200000,04300,0100,N 433384,S200000,04600,0100,N 433384,S200000,04700,0100,N 433384,S200000,04700,0200,N 433384,S200000,04900,0100,N 433384,S200000,05000,0100,N 433384,S200000,05100,0100,N 433384,S200000,05200,0100,N 433385,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433385,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433385,A000000,00300,0000,0300EMPLOYEE BENEFITS 433385,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433385,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433385,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433385,A000000,00700,0000,0700HOUSEKEEPING 433385,A000000,00800,0000,0800DIETARY 433385,A000000,00900,0000,0900NURSING ADMINISTRATION 433385,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433385,A000000,01100,0000,1100PHARMACY 433385,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433385,A000000,01300,0000,1300SOCIAL SERVICE 433385,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433385,A000000,01500,0000,1350OTHER GENERAL SERVICES 433385,A000000,01600,0000,1600SKILLED NURSING FACILITY 433385,A000000,01800,0000,1800NURSING FACILITY 433385,A000000,01810,0000,1810ICF/MR 433385,A000000,01900,0000,1900OTHER LONG TERM CARE 433385,A000000,02100,0000,2100RADIOLOGY 433385,A000000,02200,0000,2200LABORATORY 433385,A000000,02300,0000,2300INTRAVENOUS THERAPY 433385,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433385,A000000,02500,0000,2500PHYSICAL THERAPY 433385,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433385,A000000,02700,0000,2700SPEECH PATHOLOGY 433385,A000000,02800,0000,2800ELECTROCARDIOLOGY 433385,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433385,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433385,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433385,A000000,03200,0000,3200SUPPORT SURFACES 433385,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433385,A000000,03400,0000,3400CLINIC 433385,A000000,03500,0000,3500RURAL HEALTH CLINIC 433385,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433385,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433385,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433385,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433385,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433385,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433385,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433385,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433385,A000000,04400,0000,4400DME RENTED - HHA 433385,A000000,04500,0000,4500DME SOLD - HHA 433385,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433385,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433385,A000000,04710,0000,4710TELEMEDICINE 433385,A000000,04800,0000,4800AMBULANCE 433385,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433385,A000000,05000,0000,5000CORF 433385,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433385,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433385,A000000,05300,0000,5300INTEREST EXPENSE 433385,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433385,A000000,05500,0000,5500HOSPICE 433385,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433385,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433385,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433385,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433385,A000000,06100,0000,6100NONPAID WORKERS 433385,A000000,06200,0000,6200PATIENTS LAUNDRY 433385,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433385,A81000A,00100,0100,N 433385,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433385,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433385,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433385,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433385,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433385,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433385,B100000,00000,0800,0800MEALS SERVED :DIETARY 433385,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433385,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433385,E10A180,00350,0100,07/27/11 433385,E10A180,00501,0100,05/07/12 433385,G300000,02500,0000,BARBER & BEAUTY INCOME 433385,S000000,00100,0200,02/15/12 433385,S200000,00100,0100,13825 HUTON LANE 433385,S200000,00200,0100,HUNTERSVILLE 433385,S200000,00200,0200,NC 433385,S200000,00200,0300,28078 433385,S200000,00300,0100,MECKLENBERG 433385,S200000,00300,0201,16740 433385,S200000,00300,0300,U 433385,S200000,00400,0100,OLDE KNOX COMMONS 433385,S200000,00400,0200,345541 433385,S200000,00400,0300,06/08/07 433385,S200000,00400,0500,P 433385,S200000,00400,0600,O 433385,S200000,01500,0100,Y 433385,S200000,01600,0100,N 433385,S200000,01700,0100,N 433385,S200000,01800,0100,N 433385,S200000,02200,0100,N 433385,S200000,02800,0100,N 433385,S200000,02900,0100,N 433385,S200000,03000,0100,N 433385,S200000,03100,0100,N 433385,S200000,03200,0100,N 433385,S200000,03300,0100,N 433385,S200000,03300,0200,N 433385,S200000,04100,0100,N 433385,S200000,04200,0100,N 433385,S200000,04300,0100,N 433385,S200000,04600,0100,N 433385,S200000,04700,0100,N 433385,S200000,04700,0200,N 433385,S200000,04900,0100,N 433385,S200000,05000,0100,N 433385,S200000,05100,0100,N 433385,S200000,05200,0100,N 433391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433391,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433391,A000000,00300,0000,0300EMPLOYEE BENEFITS 433391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433391,A000000,00700,0000,0700HOUSEKEEPING 433391,A000000,00800,0000,0800DIETARY 433391,A000000,00900,0000,0900NURSING ADMINISTRATION 433391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433391,A000000,01100,0000,1100PHARMACY 433391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433391,A000000,01300,0000,1300SOCIAL SERVICE 433391,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433391,A000000,01600,0000,1600SKILLED NURSING FACILITY 433391,A000000,01800,0000,1800NURSING FACILITY 433391,A000000,01900,0000,1900OTHER LONG TERM CARE 433391,A000000,02100,0000,2100RADIOLOGY 433391,A000000,02200,0000,2200LABORATORY 433391,A000000,02300,0000,2300INTRAVENOUS THERAPY 433391,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433391,A000000,02500,0000,2500PHYSICAL THERAPY 433391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433391,A000000,02700,0000,2700SPEECH PATHOLOGY 433391,A000000,02800,0000,2800ELECTROCARDIOLOGY 433391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433391,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433391,A000000,03200,0000,3200SUPPORT SURFACES 433391,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433391,A000000,04800,0000,4800AMBULANCE 433391,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433391,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433391,A000000,06100,0000,6100NONPAID WORKERS 433391,A000000,06200,0000,6200PATIENTS LAUNDRY 433391,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433391,A81000A,00100,0100,Y 433391,A81000B,00100,0300,HEALTH INSURANCE EXPENSE 433391,A81000B,00200,0300,RENT 433391,A81000B,00300,0300,REAL ESTATE TAXES 433391,A81000B,00400,0300,MORTGAGE INTEREST 433391,A81000B,00500,0300,DEPRECIATION EXPENSE 433391,A81000B,00600,0300,AMORT. ORGANIZATION - BLDG CO 433391,A81000B,00700,0300,CONSULTING FEES 433391,A81000B,00800,0300,HOME OFFICE MDS EXP 433391,A81000B,00900,0300,HOME OFFICE SOCIAL SERVICE EXP 433391,A81000B,01000,0300,HOME OFFICE MEDICAL RECORDS EXP 433391,A81000B,01100,0300,HOME OFFICE FRINGE BENEFITS 433391,A81000B,01200,0300,HOME OFFICE ADMISSIONS 433391,A81000B,01300,0300,HOME OFFICE MAINT EXP 433391,A81000B,01400,0300,HOME OFFICE MAINT EXP 433391,A81000B,01500,0300,HOME OFFICE BOOKKEEPING EXP 433391,A81000B,01600,0300,HOME OFFICE MEDICARE BILLING 433391,A81000C,00100,0100,A 433391,A81000C,00100,0400,EXTENDED CARE C 433391,A81000C,00100,0600,MANAGEMENT CO 433391,A81000C,00200,0100,A 433391,A81000C,00200,0400,EXTENDED CARE C 433391,A81000C,00200,0600,MANAGEMENT CO 433391,A81000C,00300,0100,A 433391,A81000C,00300,0400,CCS BENEFITS 433391,A81000C,00300,0600,HEALTH INSURANC 433391,A81000C,00400,0100,A 433391,A81000C,00400,0400,IMPERIAL REAL E 433391,A81000C,00400,0600,BLDG CO. 433391,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433391,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433391,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433391,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433391,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433391,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433391,B100000,00000,0800,0800MEALS SERVED :DIETARY 433391,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433391,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433391,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433391,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433391,G300000,02500,0000,OTHER MEDICAL SERVICES 433391,S000000,00100,0200,10/04/11 433391,S200000,00100,0100,3300 WEST 175TH STREET 433391,S200000,00200,0100,HAZEL CREST 433391,S200000,00200,0200,IL 433391,S200000,00200,0300,60429 433391,S200000,00300,0100,COOK 433391,S200000,00300,0201,16974 433391,S200000,00300,0300,U 433391,S200000,00400,0100,IMPERIAL MANOR OF HAZELCREST 433391,S200000,00400,0200,145220 433391,S200000,00400,0300,01/01/75 433391,S200000,00400,0500,P 433391,S200000,01500,0100,Y 433391,S200000,01501,0200,Y 433391,S200000,01502,0200,Y 433391,S200000,01503,0200,Y 433391,S200000,01504,0200,Y 433391,S200000,01505,0000,OTHER (SPECIFY) 433391,S200000,01505,0200,Y 433391,S200000,01600,0100,N 433391,S200000,01700,0100,N 433391,S200000,01800,0100,N 433391,S200000,01900,0100,OTHER (SPECIFY) LLC 433391,S200000,02200,0100,Y 433391,S200000,02800,0100,N 433391,S200000,02900,0100,N 433391,S200000,03000,0100,N 433391,S200000,03100,0100,Y 433391,S200000,03200,0100,N 433391,S200000,03300,0100,N 433391,S200000,03300,0200,N 433391,S200000,04100,0100,N 433391,S200000,04200,0100,N 433391,S200000,04300,0100,N 433391,S200000,04600,0100,N 433391,S200000,04700,0100,N 433391,S200000,04700,0200,N 433391,S200000,04900,0100,N 433391,S200000,05000,0100,N 433391,S200000,05100,0100,N 433391,S200000,05200,0100,N 433391,S200000,05300,0100,Y 433394,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433394,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433394,A000000,00300,0000,0300EMPLOYEE BENEFITS 433394,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433394,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433394,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433394,A000000,00700,0000,0700HOUSEKEEPING 433394,A000000,00800,0000,0800DIETARY 433394,A000000,00900,0000,0900NURSING ADMINISTRATION 433394,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433394,A000000,01100,0000,1100PHARMACY 433394,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433394,A000000,01300,0000,1300SOCIAL SERVICE 433394,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433394,A000000,01600,0000,1600SKILLED NURSING FACILITY 433394,A000000,01800,0000,1800NURSING FACILITY 433394,A000000,01810,0000,1810ICF/MR 433394,A000000,01900,0000,1900OTHER LONG TERM CARE 433394,A000000,02100,0000,2100RADIOLOGY 433394,A000000,02200,0000,2200LABORATORY 433394,A000000,02300,0000,2300INTRAVENOUS THERAPY 433394,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433394,A000000,02500,0000,2500PHYSICAL THERAPY 433394,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433394,A000000,02700,0000,2700SPEECH PATHOLOGY 433394,A000000,02800,0000,2800ELECTROCARDIOLOGY 433394,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433394,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433394,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433394,A000000,03200,0000,3200SUPPORT SURFACES 433394,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433394,A000000,03400,0000,3400CLINIC 433394,A000000,03500,0000,3500RURAL HEALTH CLINIC 433394,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433394,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433394,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433394,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433394,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433394,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433394,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433394,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433394,A000000,04400,0000,4400DME RENTED - HHA 433394,A000000,04500,0000,4500DME SOLD - HHA 433394,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433394,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433394,A000000,04710,0000,4710TELEMEDICINE 433394,A000000,04800,0000,4800AMBULANCE 433394,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433394,A000000,05000,0000,5000CORF 433394,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433394,A000000,05300,0000,5300INTEREST EXPENSE 433394,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433394,A000000,05500,0000,5500HOSPICE 433394,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433394,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433394,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433394,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433394,A000000,06100,0000,6100NONPAID WORKERS 433394,A000000,06200,0000,6200PATIENTS LAUNDRY 433394,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433394,A81000A,00100,0100,Y 433394,A81000B,00100,0300,OFFICE SUPPLIES 433394,A81000B,00200,0300,MINOR EQUIPMENT EXPENSE 433394,A81000B,00300,0300,REPAIRS-BUILDING 433394,A81000B,00400,0300,REPAIRS-EQUIPMENT 433394,A81000B,00500,0300,LINEN & BEDDING 433394,A81000B,00600,0300,SUPPLIES 433394,A81000B,00700,0300,SUPPLIES 433394,A81000B,00800,0300,DIETARY SUPPLEMENTS 433394,A81000B,00900,0300,SUPPLIES 433394,A81000B,01000,0300,BIO-MEDICAL WASTE 433394,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433394,A81000B,01200,0300,PERSONAL CARE SUPPLIES 433394,A81000B,01300,0300,INCONTINENCE SUPPLIES 433394,A81000B,01400,0300,MEDICAL SUPPLIES 433394,A81000B,01500,0300,OXYGEN THERAPY SUPPLIES 433394,A81000B,01600,0300,SUPPLIES 433394,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433394,A81000B,01800,0300,SUPPLIES 433394,A81000B,01900,0300,SUPPLIES 433394,A81000B,02000,0300,BILLABLE MEDICAL SUPPLIES 433394,A81000B,02100,0300,NON-LEGEND DRUGS 433394,A81000B,02200,0300,SUPPLIES 433394,A81000B,02300,0300,LEGEND DRUGS 433394,A81000B,02400,0300,OFFICE SUPPLIES 433394,A81000B,02500,0300,NURSING CONSULTING 433394,A81000B,02600,0300,DIETARY CONSULTING 433394,A81000B,02700,0300,HOME OFFICE 433394,A81000B,02800,0300,INTEREST 433394,A81000B,02900,0300,INSURANCE - PROFESSIONAL LIABILITY 433394,A81000C,00100,0100,A 433394,A81000C,00100,0200,SHAREHOLDERS 433394,A81000C,00100,0400,KARE MEDICAL 433394,A81000C,00100,0600,WHOLESALE SUPPL 433394,A81000C,00200,0100,A 433394,A81000C,00200,0200,SHAREHOLDERS 433394,A81000C,00200,0400,KARE MEDICAL 433394,A81000C,00200,0600,WHOLESALE SUPPL 433394,A81000C,00300,0100,A 433394,A81000C,00300,0200,SHAREHOLDERS 433394,A81000C,00300,0400,KARE MEDICAL 433394,A81000C,00300,0600,WHOLESALE SUPPL 433394,A81000C,00400,0100,A 433394,A81000C,00400,0200,SHAREHOLDERS 433394,A81000C,00400,0400,KARE MEDICAL 433394,A81000C,00400,0600,WHOLESALE SUPPL 433394,A81000C,00500,0100,A 433394,A81000C,00500,0200,SHAREHOLDERS 433394,A81000C,00500,0400,KARE MEDICAL 433394,A81000C,00500,0600,WHOLESALE SUPPL 433394,A81000C,00600,0100,A 433394,A81000C,00600,0200,SHAREHOLDERS 433394,A81000C,00600,0400,KARE MEDICAL 433394,A81000C,00600,0600,WHOLESALE SUPPL 433394,A81000C,00700,0100,A 433394,A81000C,00700,0200,SHAREHOLDERS 433394,A81000C,00700,0400,KARE MEDICAL 433394,A81000C,00700,0600,WHOLESALE SUPPL 433394,A81000C,00800,0100,A 433394,A81000C,00800,0200,SHAREHOLDERS 433394,A81000C,00800,0400,KARE MEDICAL 433394,A81000C,00800,0600,WHOLESALE SUPPL 433394,A81000C,00900,0100,A 433394,A81000C,00900,0200,SHAREHOLDERS 433394,A81000C,00900,0400,KARE MEDICAL 433394,A81000C,00900,0600,WHOLESALE SUPPL 433394,A81000C,01000,0100,A 433394,A81000C,01000,0200,SHAREHOLDERS 433394,A81000C,01000,0400,KARE MEDICAL 433394,A81000C,01000,0600,WHOLESALE SUPPL 433394,A81000C,01001,0100,A 433394,A81000C,01001,0200,SHAREHOLDERS 433394,A81000C,01001,0400,KARE MEDICAL 433394,A81000C,01001,0600,WHOLESALE SUPPL 433394,A81000C,01002,0100,A 433394,A81000C,01002,0200,SHAREHOLDERS 433394,A81000C,01002,0400,KARE MEDICAL 433394,A81000C,01002,0600,WHOLESALE SUPPL 433394,A81000C,01003,0100,A 433394,A81000C,01003,0200,SHAREHOLDERS 433394,A81000C,01003,0400,KARE MEDICAL 433394,A81000C,01003,0600,WHOLESALE SUPPL 433394,A81000C,01004,0100,A 433394,A81000C,01004,0200,SHAREHOLDERS 433394,A81000C,01004,0400,KARE MEDICAL 433394,A81000C,01004,0600,WHOLESALE SUPPL 433394,A81000C,01005,0100,A 433394,A81000C,01005,0200,SHAREHOLDERS 433394,A81000C,01005,0400,KARE MEDICAL 433394,A81000C,01005,0600,WHOLESALE SUPPL 433394,A81000C,01006,0100,A 433394,A81000C,01006,0200,SHAREHOLDERS 433394,A81000C,01006,0400,KARE MEDICAL 433394,A81000C,01006,0600,WHOLESALE SUPPL 433394,A81000C,01007,0100,A 433394,A81000C,01007,0200,SHAREHOLDERS 433394,A81000C,01007,0400,KARE MEDICAL 433394,A81000C,01007,0600,WHOLESALE SUPPL 433394,A81000C,01008,0100,A 433394,A81000C,01008,0200,SHAREHOLDERS 433394,A81000C,01008,0400,KARE MEDICAL 433394,A81000C,01008,0600,WHOLESALE SUPPL 433394,A81000C,01009,0100,A 433394,A81000C,01009,0200,SHAREHOLDERS 433394,A81000C,01009,0400,KARE MEDICAL 433394,A81000C,01009,0600,WHOLESALE SUPPL 433394,A81000C,01010,0100,A 433394,A81000C,01010,0200,SHAREHOLDERS 433394,A81000C,01010,0400,KARE MEDICAL 433394,A81000C,01010,0600,WHOLESALE SUPPL 433394,A81000C,01011,0100,A 433394,A81000C,01011,0200,SHAREHOLDERS 433394,A81000C,01011,0400,PHARMSAVE 433394,A81000C,01011,0600,RX SUPPLY 433394,A81000C,01012,0100,A 433394,A81000C,01012,0200,SHAREHOLDERS 433394,A81000C,01012,0400,PHARMSAVE 433394,A81000C,01012,0600,RX SUPPLY 433394,A81000C,01013,0100,A 433394,A81000C,01013,0200,SHAREHOLDERS 433394,A81000C,01013,0400,PHARMSAVE 433394,A81000C,01013,0600,RX SUPPLY 433394,A81000C,01014,0100,A 433394,A81000C,01014,0200,SHAREHOLDERS 433394,A81000C,01014,0400,ROBERT HILL CON 433394,A81000C,01014,0600,CONSTRUCTION 433394,A81000C,01015,0100,B 433394,A81000C,01015,0200,PLTC INC. & PI 433394,A81000C,01015,0400,PLTC INC. & PI 433394,A81000C,01015,0600,MGMT SERVICES 433394,A81000C,01016,0100,B 433394,A81000C,01016,0200,PLTC INC. & PI 433394,A81000C,01016,0400,PLTC INC. & PI 433394,A81000C,01016,0600,MGMT SERVICES 433394,A81000C,01017,0100,B 433394,A81000C,01017,0200,PLTC INC. & PI 433394,A81000C,01017,0400,PLTC INC. & PI 433394,A81000C,01017,0600,MGMT SERVICES 433394,A81000C,01018,0100,B 433394,A81000C,01018,0200,PLTC INC. & PI 433394,A81000C,01018,0400,PLTC INC. & PI 433394,A81000C,01018,0600,MGMT SERVICES 433394,A81000C,01019,0100,A 433394,A81000C,01019,0200,SHAREHOLDERS 433394,A81000C,01019,0400,QUEENSLAND ASSU 433394,A81000C,01019,0600,INSURANCE 433394,A81000C,01020,0100,A 433394,A81000C,01020,0200,SHAREHOLDERS 433394,A81000C,01020,0400,BRITTHAVEN INC 433394,A81000C,01020,0600,REAL ESTATE 433394,A81000C,01021,0100,A 433394,A81000C,01021,0200,SHAREHOLDERS 433394,A81000C,01021,0400,BRITTHAVEN INC 433394,A81000C,01021,0600,REAL ESTATE 433394,A81000C,01022,0100,A 433394,A81000C,01022,0200,SHAREHOLDERS 433394,A81000C,01022,0400,BRITTHAVEN INC 433394,A81000C,01022,0600,REAL ESTATE 433394,A81000C,01023,0100,A 433394,A81000C,01023,0200,SHAREHOLDERS 433394,A81000C,01023,0400,HILLCO LTD. 433394,A81000C,01023,0600,REAL ESTATE 433394,A81000C,01024,0100,A 433394,A81000C,01024,0200,SHAREHOLDERS 433394,A81000C,01024,0400,BRITTHAVEN INC 433394,A81000C,01024,0600,REAL ESTATE 433394,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433394,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433394,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433394,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433394,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433394,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433394,B100000,00000,0800,0800MEALS SERVED :DIETARY 433394,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433394,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433394,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433394,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433394,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433394,E10A180,00501,0100,05/15/12 433394,G300000,02500,0000, OTHER (SPECIFY) 433394,S000000,00100,0200,03/01/12 433394,S200000,00100,0100,5079 SCOTTSVILLE 433394,S200000,00200,0100,BOWLING GREEN 433394,S200000,00200,0200,KY 433394,S200000,00200,0300,42102 433394,S200000,00300,0100,WARREN 433394,S200000,00300,0201,14540 433394,S200000,00300,0300,R 433394,S200000,00400,0100,GREENWOOD NURSING & REHAB CENTER 433394,S200000,00400,0200,185187 433394,S200000,00400,0300,01/01/11 433394,S200000,00400,0500,P 433394,S200000,01500,0100,Y 433394,S200000,01501,0200,Y 433394,S200000,01502,0200,Y 433394,S200000,01503,0200,Y 433394,S200000,01504,0200,Y 433394,S200000,01505,0000,OTHER (SPECIFY) 433394,S200000,01505,0200,Y 433394,S200000,01600,0100,N 433394,S200000,01700,0100,N 433394,S200000,01800,0100,N 433394,S200000,02200,0100,N 433394,S200000,02800,0100,N 433394,S200000,02900,0100,N 433394,S200000,03000,0100,N 433394,S200000,03100,0100,N 433394,S200000,03200,0100,N 433394,S200000,03300,0100,N 433394,S200000,03300,0200,N 433394,S200000,04100,0100,N 433394,S200000,04200,0100,N 433394,S200000,04300,0100,N 433394,S200000,04600,0100,N 433394,S200000,04700,0100,N 433394,S200000,04700,0200,N 433394,S200000,04900,0100,N 433394,S200000,05000,0100,N 433394,S200000,05100,0100,N 433394,S200000,05200,0100,N 433394,S200000,05300,0100,Y 433394,S200000,05300,0200,349011 433394,S200000,05400,0100,PLTC INC. & PITS INC. 433394,S200000,05400,0200,CGS 433394,S200000,05400,0300,00160 433394,S200000,05500,0100,1435 HWY 258 NORTH 433394,S200000,05500,0200,PO BOX 61 433394,S200000,05600,0100,KINSTON 433394,S200000,05600,0200,NC 433394,S200000,05600,0300,28501 433395,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433395,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433395,A000000,00300,0000,0300EMPLOYEE BENEFITS 433395,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433395,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433395,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433395,A000000,00700,0000,0700HOUSEKEEPING 433395,A000000,00800,0000,0800DIETARY 433395,A000000,00900,0000,0900NURSING ADMINISTRATION 433395,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433395,A000000,01100,0000,1100PHARMACY 433395,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433395,A000000,01300,0000,1300SOCIAL SERVICE 433395,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433395,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433395,A000000,01600,0000,1600SKILLED NURSING FACILITY 433395,A000000,01800,0000,1800NURSING FACILITY 433395,A000000,01810,0000,1810ICF/MR 433395,A000000,01900,0000,1900OTHER LONG TERM CARE 433395,A000000,02100,0000,2100RADIOLOGY 433395,A000000,02200,0000,2200LABORATORY 433395,A000000,02300,0000,2300INTRAVENOUS THERAPY 433395,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433395,A000000,02500,0000,2500PHYSICAL THERAPY 433395,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433395,A000000,02700,0000,2700SPEECH PATHOLOGY 433395,A000000,02800,0000,2800ELECTROCARDIOLOGY 433395,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433395,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433395,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433395,A000000,03200,0000,3200SUPPORT SURFACES 433395,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433395,A000000,03400,0000,3400CLINIC 433395,A000000,03500,0000,3500RURAL HEALTH CLINIC 433395,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433395,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433395,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433395,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433395,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433395,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433395,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433395,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433395,A000000,04400,0000,4400DME RENTED - HHA 433395,A000000,04500,0000,4500DME SOLD - HHA 433395,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433395,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433395,A000000,04710,0000,4710TELEMEDICINE 433395,A000000,04800,0000,4800AMBULANCE 433395,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433395,A000000,05000,0000,5000CORF 433395,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433395,A000000,05300,0000,5300INTEREST EXPENSE 433395,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433395,A000000,05500,0000,5500HOSPICE 433395,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433395,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433395,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433395,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433395,A000000,06100,0000,6100NONPAID WORKERS 433395,A000000,06200,0000,6200PATIENTS LAUNDRY 433395,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433395,A81000A,00100,0100,Y 433395,A81000B,00100,0300,OFFICE SUPPLIES 433395,A81000B,00200,0300,MAINTNENANCE SUPPLIES 433395,A81000B,00300,0300,MINOR EQUIPMENT EXPENSE 433395,A81000B,00400,0300,REPAIRS-EQUIPMENT 433395,A81000B,00500,0300,LINEN & BEDDING 433395,A81000B,00600,0300,SUPPLIES 433395,A81000B,00700,0300,CONTRACT SERVICES 433395,A81000B,00800,0300,SUPPLIES 433395,A81000B,00900,0300,DIETARY SUPPLEMENTS 433395,A81000B,01000,0300,BIO-MEDICAL WASTE 433395,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433395,A81000B,01200,0300,PERSONAL CARE SUPPLIES 433395,A81000B,01300,0300,INCONTINENCE SUPPLIES 433395,A81000B,01400,0300,MEDICAL SUPPLIES 433395,A81000B,01500,0300,SUPPLIES 433395,A81000B,01600,0300,OXYGEN THERAPY SUPPLIES 433395,A81000B,01700,0300,SUPPLIES 433395,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 433395,A81000B,01900,0300,NON-LEGEND DRUGS 433395,A81000B,02000,0300,SUPPLIES 433395,A81000B,02100,0300,LEGEND DRUGS 433395,A81000B,02200,0300,OFFICE SUPPLIES 433395,A81000B,02300,0300,NURSING CONSULTING 433395,A81000B,02400,0300,DIETARY CONSULTING 433395,A81000B,02500,0300,HOME OFFICE 433395,A81000B,02600,0300,INTEREST 433395,A81000B,02700,0300,RELATED PARTY DEPRECIATION 433395,A81000B,02800,0300,RELATED PARTY PROPERTY INSURANCE 433395,A81000B,02900,0300,RELATED PARTY REAL ESTATE TAX 433395,A81000C,00100,0100,A 433395,A81000C,00100,0200,SHAREHOLDERS 433395,A81000C,00100,0400,KARE MEDICAL 433395,A81000C,00100,0600,WHOLESALE SUPPL 433395,A81000C,00200,0100,A 433395,A81000C,00200,0200,SHAREHOLDERS 433395,A81000C,00200,0400,KARE MEDICAL 433395,A81000C,00200,0600,WHOLESALE SUPPL 433395,A81000C,00300,0100,A 433395,A81000C,00300,0200,SHAREHOLDERS 433395,A81000C,00300,0400,KARE MEDICAL 433395,A81000C,00300,0600,WHOLESALE SUPPL 433395,A81000C,00400,0100,A 433395,A81000C,00400,0200,SHAREHOLDERS 433395,A81000C,00400,0400,KARE MEDICAL 433395,A81000C,00400,0600,WHOLESALE SUPPL 433395,A81000C,00500,0100,A 433395,A81000C,00500,0200,SHAREHOLDERS 433395,A81000C,00500,0400,KARE MEDICAL 433395,A81000C,00500,0600,WHOLESALE SUPPL 433395,A81000C,00600,0100,A 433395,A81000C,00600,0200,SHAREHOLDERS 433395,A81000C,00600,0400,KARE MEDICAL 433395,A81000C,00600,0600,WHOLESALE SUPPL 433395,A81000C,00700,0100,A 433395,A81000C,00700,0200,SHAREHOLDERS 433395,A81000C,00700,0400,KARE MEDICAL 433395,A81000C,00700,0600,WHOLESALE SUPPL 433395,A81000C,00800,0100,A 433395,A81000C,00800,0200,SHAREHOLDERS 433395,A81000C,00800,0400,KARE MEDICAL 433395,A81000C,00800,0600,WHOLESALE SUPPL 433395,A81000C,00900,0100,A 433395,A81000C,00900,0200,SHAREHOLDERS 433395,A81000C,00900,0400,KARE MEDICAL 433395,A81000C,00900,0600,WHOLESALE SUPPL 433395,A81000C,01000,0100,A 433395,A81000C,01000,0200,SHAREHOLDERS 433395,A81000C,01000,0400,KARE MEDICAL 433395,A81000C,01000,0600,WHOLESALE SUPPL 433395,A81000C,01001,0100,A 433395,A81000C,01001,0200,SHAREHOLDERS 433395,A81000C,01001,0400,KARE MEDICAL 433395,A81000C,01001,0600,WHOLESALE SUPPL 433395,A81000C,01002,0100,A 433395,A81000C,01002,0200,SHAREHOLDERS 433395,A81000C,01002,0400,KARE MEDICAL 433395,A81000C,01002,0600,WHOLESALE SUPPL 433395,A81000C,01003,0100,A 433395,A81000C,01003,0200,SHAREHOLDERS 433395,A81000C,01003,0400,KARE MEDICAL 433395,A81000C,01003,0600,WHOLESALE SUPPL 433395,A81000C,01004,0100,A 433395,A81000C,01004,0200,SHAREHOLDERS 433395,A81000C,01004,0400,KARE MEDICAL 433395,A81000C,01004,0600,WHOLESALE SUPPL 433395,A81000C,01005,0100,A 433395,A81000C,01005,0200,SHAREHOLDERS 433395,A81000C,01005,0400,KARE MEDICAL 433395,A81000C,01005,0600,WHOLESALE SUPPL 433395,A81000C,01006,0100,A 433395,A81000C,01006,0200,SHAREHOLDERS 433395,A81000C,01006,0400,KARE MEDICAL 433395,A81000C,01006,0600,WHOLESALE SUPPL 433395,A81000C,01007,0100,A 433395,A81000C,01007,0200,SHAREHOLDERS 433395,A81000C,01007,0400,KARE MEDICAL 433395,A81000C,01007,0600,WHOLESALE SUPPL 433395,A81000C,01008,0100,A 433395,A81000C,01008,0200,SHAREHOLDERS 433395,A81000C,01008,0400,KARE MEDICAL 433395,A81000C,01008,0600,WHOLESALE SUPPL 433395,A81000C,01009,0100,A 433395,A81000C,01009,0200,SHAREHOLDERS 433395,A81000C,01009,0400,PHARMSAVE 433395,A81000C,01009,0600,RX SUPPLY 433395,A81000C,01010,0100,A 433395,A81000C,01010,0200,SHAREHOLDERS 433395,A81000C,01010,0400,PHARMSAVE 433395,A81000C,01010,0600,RX SUPPLY 433395,A81000C,01011,0100,A 433395,A81000C,01011,0200,SHAREHOLDERS 433395,A81000C,01011,0400,PHARMSAVE 433395,A81000C,01011,0600,RX SUPPLY 433395,A81000C,01012,0100,A 433395,A81000C,01012,0200,SHAREHOLDERS 433395,A81000C,01012,0400,ROBERT HILL CON 433395,A81000C,01012,0600,CONSTRUCTION 433395,A81000C,01013,0100,B 433395,A81000C,01013,0200,PLTC INC & PIT 433395,A81000C,01013,0400,PLTC INC & PIT 433395,A81000C,01013,0600,MGMT SERVICES 433395,A81000C,01014,0100,B 433395,A81000C,01014,0200,PLTC INC & PIT 433395,A81000C,01014,0400,PLTC INC & PIT 433395,A81000C,01014,0600,MGMT SERVICES 433395,A81000C,01015,0100,B 433395,A81000C,01015,0200,PLTC INC & PIT 433395,A81000C,01015,0400,PLTC INC & PIT 433395,A81000C,01015,0600,MGMT SERVICES 433395,A81000C,01016,0100,B 433395,A81000C,01016,0200,PLTC INC & PIT 433395,A81000C,01016,0400,PLTC INC & PIT 433395,A81000C,01016,0600,MGMT SERVICES 433395,A81000C,01017,0100,A 433395,A81000C,01017,0200,SHAREHOLDERS 433395,A81000C,01017,0400,QUEENSLAND ASSU 433395,A81000C,01017,0600,INSURANCE 433395,A81000C,01018,0100,A 433395,A81000C,01018,0200,SHAREHOLDERS 433395,A81000C,01018,0400,BRITTHAVEN INC 433395,A81000C,01018,0600,REAL ESTATE 433395,A81000C,01019,0100,A 433395,A81000C,01019,0200,SHAREHOLDERS 433395,A81000C,01019,0400,BRITTHAVEN INC 433395,A81000C,01019,0600,REAL ESTATE 433395,A81000C,01020,0100,A 433395,A81000C,01020,0200,SHAREHOLDERS 433395,A81000C,01020,0400,BRITTHAVEN INC 433395,A81000C,01020,0600,REAL ESTATE 433395,A81000C,01021,0100,A 433395,A81000C,01021,0200,SHAREHOLDERS 433395,A81000C,01021,0400,QUEENSLAND ASSU 433395,A81000C,01021,0600,INSURANCE 433395,A81000C,01022,0100,A 433395,A81000C,01022,0200,SHAREHOLDERS 433395,A81000C,01022,0400,HILLCO LTD. 433395,A81000C,01022,0600,REAL ESTATE 433395,A81000C,01023,0100,A 433395,A81000C,01023,0200,SHAREHOLDERS 433395,A81000C,01023,0400,BRITTHAVEN INC 433395,A81000C,01023,0600,REAL ESTATE 433395,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433395,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433395,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433395,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433395,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433395,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433395,B100000,00000,0800,0800MEALS SERVED :DIETARY 433395,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433395,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433395,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433395,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433395,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433395,E10A180,00550,0100,06/15/12 433395,E10A180,00551,0100,03/22/12 433395,G300000,02500,0000, OTHER (SPECIFY) 433395,S000000,00100,0200,03/01/12 433395,S200000,00100,0100,HIGHWAY 64 SOUTH 433395,S200000,00200,0100,BENTON 433395,S200000,00200,0200,KY 433395,S200000,00200,0300,42025 433395,S200000,00300,0100,MARSHALL 433395,S200000,00300,0201,99918 433395,S200000,00300,0300,R 433395,S200000,00400,0100,LAKE WAY NURSING & REHAB CENTER 433395,S200000,00400,0200,185258 433395,S200000,00400,0300,04/09/91 433395,S200000,00400,0500,P 433395,S200000,01500,0100,Y 433395,S200000,01501,0200,Y 433395,S200000,01502,0200,Y 433395,S200000,01503,0200,Y 433395,S200000,01504,0200,Y 433395,S200000,01505,0000,OTHER (SPECIFY) 433395,S200000,01505,0200,Y 433395,S200000,01600,0100,N 433395,S200000,01700,0100,N 433395,S200000,01800,0100,N 433395,S200000,02200,0100,N 433395,S200000,02800,0100,N 433395,S200000,02900,0100,N 433395,S200000,03000,0100,N 433395,S200000,03100,0100,N 433395,S200000,03200,0100,N 433395,S200000,03300,0100,N 433395,S200000,03300,0200,N 433395,S200000,03600,0100,N 433395,S200000,03600,0200,N 433395,S200000,04100,0100,N 433395,S200000,04200,0100,N 433395,S200000,04300,0100,N 433395,S200000,04600,0100,N 433395,S200000,04700,0100,N 433395,S200000,04700,0200,N 433395,S200000,04900,0100,N 433395,S200000,05000,0100,N 433395,S200000,05100,0100,N 433395,S200000,05200,0100,N 433395,S200000,05300,0100,Y 433395,S200000,05300,0200,349011 433395,S200000,05400,0100,PLTC INC. & PITS INC. 433395,S200000,05400,0200,CGS 433395,S200000,05400,0300,00160 433395,S200000,05500,0100,1435 HWY 258 NORTH 433395,S200000,05500,0200,PO BOX 61 433395,S200000,05600,0100,KINSTON 433395,S200000,05600,0200,NC 433395,S200000,05600,0300,28502 433396,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433396,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433396,A000000,00300,0000,0300EMPLOYEE BENEFITS 433396,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433396,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433396,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433396,A000000,00700,0000,0700HOUSEKEEPING 433396,A000000,00800,0000,0800DIETARY 433396,A000000,00900,0000,0900NURSING ADMINISTRATION 433396,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433396,A000000,01100,0000,1100PHARMACY 433396,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433396,A000000,01300,0000,1300SOCIAL SERVICE 433396,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433396,A000000,01500,0000,1350OTHER GENERAL SERVICES 433396,A000000,01600,0000,1600SKILLED NURSING FACILITY 433396,A000000,01800,0000,1800NURSING FACILITY 433396,A000000,01810,0000,1810ICF/MR 433396,A000000,01900,0000,1900OTHER LONG TERM CARE 433396,A000000,02100,0000,2100RADIOLOGY 433396,A000000,02200,0000,2200LABORATORY 433396,A000000,02300,0000,2300INTRAVENOUS THERAPY 433396,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433396,A000000,02500,0000,2500PHYSICAL THERAPY 433396,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433396,A000000,02700,0000,2700SPEECH PATHOLOGY 433396,A000000,02800,0000,2800ELECTROCARDIOLOGY 433396,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433396,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433396,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433396,A000000,03200,0000,3200SUPPORT SURFACES 433396,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433396,A000000,03400,0000,3400CLINIC 433396,A000000,03500,0000,3500RURAL HEALTH CLINIC 433396,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433396,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433396,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433396,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433396,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433396,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433396,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433396,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433396,A000000,04400,0000,4400DME RENTED - HHA 433396,A000000,04500,0000,4500DME SOLD - HHA 433396,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433396,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433396,A000000,04710,0000,4710TELEMEDICINE 433396,A000000,04800,0000,4800AMBULANCE 433396,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433396,A000000,05000,0000,5000CORF 433396,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433396,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433396,A000000,05300,0000,5300INTEREST EXPENSE 433396,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433396,A000000,05500,0000,5500HOSPICE 433396,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433396,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433396,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433396,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433396,A000000,06100,0000,6100NONPAID WORKERS 433396,A000000,06200,0000,6200PATIENTS LAUNDRY 433396,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433396,A81000A,00100,0100,N 433396,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 433396,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 433396,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433396,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433396,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 433396,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433396,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 433396,B100000,00000,0800,0800MEALS SERVED :DIETARY 433396,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433396,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433396,E10A180,00550,0100,02/22/12 433396,G300000,02500,0000,MISCELLANEOUS INCOME 433396,S000000,00100,0200,03/01/12 433396,S200000,00100,0100,7400 LAGRANGE ROAD 433396,S200000,00200,0100,PEWEE VALLEY 433396,S200000,00200,0200,KY 433396,S200000,00200,0300,40056 433396,S200000,00300,0100,OLDHAM 433396,S200000,00300,0200,4520 433396,S200000,00300,0201,31140 433396,S200000,00300,0300,U 433396,S200000,00400,0100,FRIENDSHIP MANOR NURSING HOME 433396,S200000,00400,0200,185281 433396,S200000,00400,0300,09/01/91 433396,S200000,00400,0500,P 433396,S200000,01500,0100,Y 433396,S200000,01501,0200,Y 433396,S200000,01600,0100,N 433396,S200000,01700,0100,N 433396,S200000,01800,0100,N 433396,S200000,02200,0100,N 433396,S200000,02800,0100,N 433396,S200000,02900,0100,N 433396,S200000,03000,0100,N 433396,S200000,03100,0100,N 433396,S200000,03200,0100,N 433396,S200000,03300,0100,N 433396,S200000,03300,0200,N 433396,S200000,04100,0100,N 433396,S200000,04200,0100,N 433396,S200000,04300,0100,N 433396,S200000,04600,0100,N 433396,S200000,04700,0100,N 433396,S200000,04700,0200,N 433396,S200000,04900,0100,N 433396,S200000,05000,0100,N 433396,S200000,05100,0100,N 433396,S200000,05200,0100,N 433405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433405,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433405,A000000,00300,0000,0300EMPLOYEE BENEFITS 433405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433405,A000000,00700,0000,0700HOUSEKEEPING 433405,A000000,00800,0000,0800DIETARY 433405,A000000,00900,0000,0900NURSING ADMINISTRATION 433405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433405,A000000,01300,0000,1300SOCIAL SERVICE 433405,A000000,01600,0000,1600SKILLED NURSING FACILITY 433405,A000000,01800,0000,1800NURSING FACILITY 433405,A000000,01810,0000,1810ICF/MR 433405,A000000,01900,0000,1900OTHER LONG TERM CARE 433405,A000000,02100,0000,2100RADIOLOGY 433405,A000000,02200,0000,2200LABORATORY 433405,A000000,02300,0000,2300INTRAVENOUS THERAPY 433405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433405,A000000,02500,0000,2500PHYSICAL THERAPY 433405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433405,A000000,02700,0000,2700SPEECH PATHOLOGY 433405,A000000,02800,0000,2800ELECTROCARDIOLOGY 433405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433405,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433405,A000000,03200,0000,3200SUPPORT SURFACES 433405,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433405,A000000,04800,0000,4800AMBULANCE 433405,A000000,05300,0000,5300INTEREST EXPENSE 433405,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433405,A000000,05500,0000,5500HOSPICE 433405,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433405,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433405,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433405,A000000,06200,0000,6200PATIENTS LAUNDRY 433405,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433405,A81000A,00100,0100,Y 433405,A81000B,00100,0300,R/P INTEREST & OTHER CAP 433405,A81000B,00200,0300,R/P MOVEABLE EQUIPMENT 433405,A81000B,00300,0300,R/P FIN MGMT & OTHER SERV 433405,A81000C,00100,0100,B 433405,A81000C,00100,0200,AKRON GENERAL HEALTH SYST 433405,A81000C,00100,0400,ROSE LANE INC. 433405,A81000C,00100,0600,RELATED PARTY 433405,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433405,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433405,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433405,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433405,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433405,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 433405,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433405,B100000,00000,0800,0800MEALS SERVED :DIETARY 433405,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 433405,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 433405,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 433405,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 433405,G300000,02500,0000,OTHER INCOME 433405,G300000,02501,0000,OTHER ANCILLARY INCOME 433405,G300000,02502,0000,BARBER AND BEAUTY 433405,S000000,00100,0200,08/03/11 433405,S200000,00100,0100,5425 HIGH MILL AVENUE 433405,S200000,00200,0100,MASSILON 433405,S200000,00200,0200,OH 433405,S200000,00200,0300,44646-0000 433405,S200000,00300,0100,STARK 433405,S200000,00300,0200,1320 433405,S200000,00300,0201,15940 433405,S200000,00300,0300,U 433405,S200000,00400,0100,ROSE LANE INC. 433405,S200000,00400,0200,365289 433405,S200000,00400,0300,04/23/73 433405,S200000,00400,0500,P 433405,S200000,01500,0100,Y 433405,S200000,01501,0200,N 433405,S200000,01502,0200,N 433405,S200000,01503,0200,N 433405,S200000,01504,0200,N 433405,S200000,01600,0100,N 433405,S200000,01700,0100,N 433405,S200000,01800,0100,N 433405,S200000,02200,0100,N 433405,S200000,02800,0100,N 433405,S200000,02900,0100,N 433405,S200000,03000,0100,N 433405,S200000,03100,0100,N 433405,S200000,03200,0100,N 433405,S200000,03300,0100,N 433405,S200000,03300,0200,N 433405,S200000,04100,0100,N 433405,S200000,04200,0100,N 433405,S200000,04300,0100,Y 433405,S200000,04600,0100,N 433405,S200000,04700,0100,N 433405,S200000,04700,0200,N 433405,S200000,04900,0100,N 433405,S200000,05000,0100,N 433405,S200000,05100,0100,N 433405,S200000,05200,0100,N 433405,S200000,05300,0100,Y 433405,S200000,05300,0200,368176 433405,S200000,05400,0100,AKRON GENERAL HEALTH SYSTEM 433405,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 433405,S200000,05400,0300,00332 433405,S200000,05500,0100,400 WABASH AVENUE 433405,S200000,05600,0100,AKRON 433405,S200000,05600,0200,OH 433405,S200000,05600,0300,44307 433413,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433413,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433413,A000000,00300,0000,0300EMPLOYEE BENEFITS 433413,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433413,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433413,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433413,A000000,00700,0000,0700HOUSEKEEPING 433413,A000000,00800,0000,0800DIETARY 433413,A000000,00900,0000,0900NURSING ADMINISTRATION 433413,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433413,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433413,A000000,01300,0000,1300SOCIAL SERVICE 433413,A000000,01600,0000,1600SKILLED NURSING FACILITY 433413,A000000,01800,0000,1800NURSING FACILITY 433413,A000000,01810,0000,1810ICF/MR 433413,A000000,01900,0000,1900OTHER LONG TERM CARE 433413,A000000,02100,0000,2100RADIOLOGY 433413,A000000,02200,0000,2200LABORATORY 433413,A000000,02300,0000,2300INTRAVENOUS THERAPY 433413,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433413,A000000,02500,0000,2500PHYSICAL THERAPY 433413,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433413,A000000,02700,0000,2700SPEECH PATHOLOGY 433413,A000000,02800,0000,2800ELECTROCARDIOLOGY 433413,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433413,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433413,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433413,A000000,03200,0000,3200SUPPORT SURFACES 433413,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433413,A000000,04800,0000,4800AMBULANCE 433413,A000000,05300,0000,5300INTEREST EXPENSE 433413,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433413,A000000,05500,0000,5500HOSPICE 433413,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433413,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433413,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433413,A000000,06200,0000,6200PATIENTS LAUNDRY 433413,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433413,A81000A,00100,0100,N 433413,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433413,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433413,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433413,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433413,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433413,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 433413,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433413,B100000,00000,0800,0800MEALS SERVED :DIETARY 433413,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 433413,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 433413,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 433413,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 433413,E10A180,00501,0100,05/11/12 433413,S000000,00100,0200,02/29/12 433413,S200000,00100,0100,401 HARMAR STREET 433413,S200000,00200,0100,MARIETTA 433413,S200000,00200,0200,OH 433413,S200000,00200,0300,45750 433413,S200000,00300,0100,WASHINGTON 433413,S200000,00300,0200,6020 433413,S200000,00300,0201,37620 433413,S200000,00300,0300,U 433413,S200000,00400,0100,HARMAR PLACE REHAB & EXTENDED CARE 433413,S200000,00400,0200,366001 433413,S200000,00400,0300,06/05/95 433413,S200000,00400,0500,P 433413,S200000,00400,0600,O 433413,S200000,01500,0100,Y 433413,S200000,01501,0200,N 433413,S200000,01502,0200,N 433413,S200000,01503,0200,Y 433413,S200000,01504,0200,Y 433413,S200000,01600,0100,N 433413,S200000,01700,0100,N 433413,S200000,01800,0100,N 433413,S200000,02200,0100,N 433413,S200000,02800,0100,N 433413,S200000,02900,0100,N 433413,S200000,03000,0100,N 433413,S200000,03100,0100,N 433413,S200000,03200,0100,N 433413,S200000,03300,0100,N 433413,S200000,03300,0200,N 433413,S200000,04100,0100,N 433413,S200000,04200,0100,N 433413,S200000,04300,0100,Y 433413,S200000,04600,0100,N 433413,S200000,04700,0100,N 433413,S200000,04700,0200,N 433413,S200000,04900,0100,N 433413,S200000,05000,0100,N 433413,S200000,05100,0100,N 433413,S200000,05200,0100,N 433422,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433422,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433422,A000000,00300,0000,0300EMPLOYEE BENEFITS 433422,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433422,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433422,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433422,A000000,00700,0000,0700HOUSEKEEPING 433422,A000000,00800,0000,0800DIETARY 433422,A000000,00900,0000,0900NURSING ADMINISTRATION 433422,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433422,A000000,01100,0000,1100PHARMACY 433422,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433422,A000000,01300,0000,1300SOCIAL SERVICE 433422,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433422,A000000,01500,0000,1350ACTIVITIES 433422,A000000,01600,0000,1600SKILLED NURSING FACILITY 433422,A000000,01800,0000,1800NURSING FACILITY 433422,A000000,01900,0000,1900OTHER LONG TERM CARE 433422,A000000,02100,0000,2100RADIOLOGY 433422,A000000,02200,0000,2200LABORATORY 433422,A000000,02300,0000,2300INTRAVENOUS THERAPY 433422,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433422,A000000,02500,0000,2500PHYSICAL THERAPY 433422,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433422,A000000,02700,0000,2700SPEECH PATHOLOGY 433422,A000000,02800,0000,2800ELECTROCARDIOLOGY 433422,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433422,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433422,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433422,A000000,03200,0000,3200SUPPORT SURFACES 433422,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433422,A000000,04800,0000,4800AMBULANCE 433422,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433422,A000000,05300,0000,5300INTEREST EXPENSE 433422,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433422,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433422,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433422,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433422,A000000,06100,0000,6100NONPAID WORKERS 433422,A000000,06200,0000,6200PATIENTS LAUNDRY 433422,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433422,A81000A,00100,0100,Y 433422,A81000B,00100,0300,HOME OFFICE COST 433422,A81000C,00100,0100,B 433422,A81000C,00100,0200,OAKMONT EAST-GREENVILLE S 433422,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433422,A81000C,00100,0600,LONG TERM CARE FACILITIES 433422,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433422,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433422,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433422,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433422,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433422,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433422,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433422,B100000,00000,0800,0800MEALS SERVED :DIETARY 433422,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433422,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433422,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433422,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433422,E10A180,00501,0100,05/03/12 433422,G300000,02500,0000,BEAUTY AND BARBER 433422,S000000,00100,0200,02/06/12 433422,S200000,00100,0100,601 SULPHUR SPRING ROAD 433422,S200000,00200,0100,GREENVILLE 433422,S200000,00200,0200,SC 433422,S200000,00200,0300,29617 433422,S200000,00300,0100,GREENVILLE 433422,S200000,00300,0200,3160 433422,S200000,00300,0201,24860 433422,S200000,00300,0300,U 433422,S200000,00400,0100,OAKMONT EAST-GREENVILLE SC LLC 433422,S200000,00400,0200,425106 433422,S200000,00400,0300,10/01/76 433422,S200000,00400,0500,P 433422,S200000,00400,0600,P 433422,S200000,01500,0100,Y 433422,S200000,01501,0200,Y 433422,S200000,01502,0200,Y 433422,S200000,01503,0200,Y 433422,S200000,01504,0200,Y 433422,S200000,01600,0100,N 433422,S200000,01700,0100,N 433422,S200000,01800,0100,N 433422,S200000,02200,0100,Y 433422,S200000,02800,0100,N 433422,S200000,02900,0100,N 433422,S200000,03000,0100,N 433422,S200000,03100,0100,N 433422,S200000,03200,0100,N 433422,S200000,03300,0100,N 433422,S200000,03300,0200,N 433422,S200000,04100,0100,N 433422,S200000,04200,0100,N 433422,S200000,04300,0100,N 433422,S200000,04600,0100,N 433422,S200000,04700,0100,N 433422,S200000,04700,0200,N 433422,S200000,04900,0100,N 433422,S200000,05000,0100,N 433422,S200000,05100,0100,N 433422,S200000,05200,0100,N 433422,S200000,05300,0100,Y 433422,S200000,05300,0200,36HO15 433422,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433422,S200000,05400,0200,CGS ADMINISTRATORS LLC 433422,S200000,05400,0300,15201 433422,S200000,05500,0100,333 N. SUMMIT ST. 433422,S200000,05500,0200,PO 10086 433422,S200000,05600,0100,TOLEDO 433422,S200000,05600,0200,OH 433422,S200000,05600,0300,43699-0086 433423,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433423,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433423,A000000,00300,0000,0300EMPLOYEE BENEFITS 433423,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433423,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433423,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433423,A000000,00700,0000,0700HOUSEKEEPING 433423,A000000,00800,0000,0800DIETARY 433423,A000000,00900,0000,0900NURSING ADMINISTRATION 433423,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433423,A000000,01100,0000,1100PHARMACY 433423,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433423,A000000,01300,0000,1300SOCIAL SERVICE 433423,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433423,A000000,01500,0000,1350ACTIVITIES 433423,A000000,01600,0000,1600SKILLED NURSING FACILITY 433423,A000000,01800,0000,1800NURSING FACILITY 433423,A000000,01900,0000,1900OTHER LONG TERM CARE 433423,A000000,02100,0000,2100RADIOLOGY 433423,A000000,02200,0000,2200LABORATORY 433423,A000000,02300,0000,2300INTRAVENOUS THERAPY 433423,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433423,A000000,02500,0000,2500PHYSICAL THERAPY 433423,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433423,A000000,02700,0000,2700SPEECH PATHOLOGY 433423,A000000,02800,0000,2800ELECTROCARDIOLOGY 433423,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433423,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433423,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433423,A000000,03200,0000,3200SUPPORT SURFACES 433423,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433423,A000000,04800,0000,4800AMBULANCE 433423,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433423,A000000,05300,0000,5300INTEREST EXPENSE 433423,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433423,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433423,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433423,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433423,A000000,06100,0000,6100NONPAID WORKERS 433423,A000000,06200,0000,6200PATIENTS LAUNDRY 433423,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433423,A81000A,00100,0100,Y 433423,A81000B,00100,0300,HOME OFFICE COST 433423,A81000C,00100,0100,B 433423,A81000C,00100,0200,OAKMONT OF UNION SC LLC 433423,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433423,A81000C,00100,0600,LONG TERM CARE FACILITIES 433423,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433423,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433423,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433423,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433423,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433423,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433423,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433423,B100000,00000,0800,0800MEALS SERVED :DIETARY 433423,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433423,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433423,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433423,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433423,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433423,E10A180,00501,0100,05/10/12 433423,G300000,02500,0000,BEAUTY AND BARBER 433423,S000000,00100,0200,02/06/12 433423,S200000,00100,0100,709 RICE AVENUE 433423,S200000,00200,0100,UNION 433423,S200000,00200,0200,SC 433423,S200000,00200,0300,29379 433423,S200000,00300,0100,UNION 433423,S200000,00300,0200,42 433423,S200000,00300,0201,99942 433423,S200000,00300,0300,R 433423,S200000,00400,0100,OAKMONT OF UNION SC LLC 433423,S200000,00400,0200,425142 433423,S200000,00400,0300,11/01/85 433423,S200000,00400,0500,P 433423,S200000,00400,0600,P 433423,S200000,01500,0100,N 433423,S200000,01501,0200,Y 433423,S200000,01502,0200,Y 433423,S200000,01503,0200,Y 433423,S200000,01504,0200,N 433423,S200000,01600,0100,Y 433423,S200000,01700,0100,N 433423,S200000,01800,0100,N 433423,S200000,02200,0100,Y 433423,S200000,02800,0100,N 433423,S200000,02900,0100,N 433423,S200000,03000,0100,N 433423,S200000,03100,0100,N 433423,S200000,03200,0100,N 433423,S200000,03300,0100,N 433423,S200000,03300,0200,N 433423,S200000,04100,0100,N 433423,S200000,04200,0100,N 433423,S200000,04300,0100,N 433423,S200000,04600,0100,N 433423,S200000,04700,0100,N 433423,S200000,04700,0200,N 433423,S200000,04900,0100,N 433423,S200000,05000,0100,N 433423,S200000,05100,0100,N 433423,S200000,05200,0100,N 433423,S200000,05300,0100,Y 433423,S200000,05300,0200,36HO15 433423,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433423,S200000,05400,0200,CGS ADMINISTRATORS LLC 433423,S200000,05400,0300,15201 433423,S200000,05500,0100,333 N. SUMMIT ST. 433423,S200000,05500,0200,PO 10086 433423,S200000,05600,0100,TOLEDO 433423,S200000,05600,0200,OH 433423,S200000,05600,0300,43699-0086 433431,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433431,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433431,A000000,00300,0000,0300EMPLOYEE BENEFITS 433431,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433431,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433431,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433431,A000000,00700,0000,0700HOUSEKEEPING 433431,A000000,00800,0000,0800DIETARY 433431,A000000,00900,0000,0900NURSING ADMINISTRATION 433431,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433431,A000000,01100,0000,1100PHARMACY 433431,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433431,A000000,01300,0000,1300SOCIAL SERVICE 433431,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433431,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433431,A000000,01600,0000,1600SKILLED NURSING FACILITY 433431,A000000,01800,0000,1800NURSING FACILITY 433431,A000000,01810,0000,1810ICF/MR 433431,A000000,01900,0000,1900OTHER LONG TERM CARE 433431,A000000,02100,0000,2100RADIOLOGY 433431,A000000,02200,0000,2200LABORATORY 433431,A000000,02300,0000,2300INTRAVENOUS THERAPY 433431,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433431,A000000,02500,0000,2500PHYSICAL THERAPY 433431,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433431,A000000,02700,0000,2700SPEECH PATHOLOGY 433431,A000000,02800,0000,2800ELECTROCARDIOLOGY 433431,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433431,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433431,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433431,A000000,03200,0000,3200SUPPORT SURFACES 433431,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433431,A000000,03400,0000,3400CLINIC 433431,A000000,03500,0000,3500RURAL HEALTH CLINIC 433431,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433431,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433431,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433431,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433431,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433431,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433431,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433431,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433431,A000000,04400,0000,4400DME RENTED - HHA 433431,A000000,04500,0000,4500DME SOLD - HHA 433431,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433431,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433431,A000000,04710,0000,4710TELEMEDICINE 433431,A000000,04800,0000,4800AMBULANCE 433431,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433431,A000000,05000,0000,5000CORF 433431,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433431,A000000,05300,0000,5300INTEREST EXPENSE 433431,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433431,A000000,05500,0000,5500HOSPICE 433431,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433431,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433431,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433431,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433431,A000000,06100,0000,6100NONPAID WORKERS 433431,A000000,06200,0000,6200PATIENTS LAUNDRY 433431,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433431,A81000A,00100,0100,Y 433431,A81000B,00100,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,00200,0300,OFFICE SUPPLIES 433431,A81000B,00300,0300,MAINTENANCE SUPPLIES 433431,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,00500,0300,REPAIRS-BUILDING 433431,A81000B,00600,0300,REPAIRS-EQUIPMENT 433431,A81000B,00700,0300,LINEN & BEDDING 433431,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,00900,0300,SUPPLIES 433431,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,01100,0300,PAPER PRODUCTS & HAND SOAP 433431,A81000B,01200,0300,SUPPLIES 433431,A81000B,01300,0300,DIETARY SUPPLEMENTS 433431,A81000B,01400,0300,SUPPLIES 433431,A81000B,01500,0300,BIO-MEDICAL WASTE 433431,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,01700,0300,PERSONAL CARE SUPPLIES 433431,A81000B,01800,0300,INCONTINENCE SUPPLIES 433431,A81000B,01900,0300,MEDICAL SUPPLIES 433431,A81000B,02000,0300,NON-LEGEND DRUGS 433431,A81000B,02100,0300,SUPPLIES 433431,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433431,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,02400,0300,SUPPLIES 433431,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 433431,A81000B,02600,0300,SUPPLIES 433431,A81000B,02700,0300,SUPPLIES 433431,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 433431,A81000B,02900,0300,LEGEND DRUGS 433431,A81000C,00100,0100,A 433431,A81000C,00100,0200,SHAREHOLDERS 433431,A81000C,00100,0400,KARE MEDICAL 433431,A81000C,00100,0600,WHOLESALE SUPPL 433431,A81000C,00200,0100,A 433431,A81000C,00200,0200,SHAREHOLDERS 433431,A81000C,00200,0400,KARE MEDICAL 433431,A81000C,00200,0600,WHOLESALE SUPPL 433431,A81000C,00300,0100,A 433431,A81000C,00300,0200,SHAREHOLDERS 433431,A81000C,00300,0400,KARE MEDICAL 433431,A81000C,00300,0600,WHOLESALE SUPPL 433431,A81000C,00400,0100,A 433431,A81000C,00400,0200,SHAREHOLDERS 433431,A81000C,00400,0400,KARE MEDICAL 433431,A81000C,00400,0600,WHOLESALE SUPPL 433431,A81000C,00500,0100,A 433431,A81000C,00500,0200,SHAREHOLDERS 433431,A81000C,00500,0400,KARE MEDICAL 433431,A81000C,00500,0600,WHOLESALE SUPPL 433431,A81000C,00600,0100,A 433431,A81000C,00600,0200,SHAREHOLDERS 433431,A81000C,00600,0400,KARE MEDICAL 433431,A81000C,00600,0600,WHOLESALE SUPPL 433431,A81000C,00700,0100,A 433431,A81000C,00700,0200,SHAREHOLDERS 433431,A81000C,00700,0400,KARE MEDICAL 433431,A81000C,00700,0600,WHOLESALE SUPPL 433431,A81000C,00800,0100,A 433431,A81000C,00800,0200,SHAREHOLDERS 433431,A81000C,00800,0400,KARE MEDICAL 433431,A81000C,00800,0600,WHOLESALE SUPPL 433431,A81000C,00900,0100,A 433431,A81000C,00900,0200,SHAREHOLDERS 433431,A81000C,00900,0400,KARE MEDICAL 433431,A81000C,00900,0600,WHOLESALE SUPPL 433431,A81000C,01000,0100,A 433431,A81000C,01000,0200,SHAREHOLDERS 433431,A81000C,01000,0400,KARE MEDICAL 433431,A81000C,01000,0600,WHOLESALE SUPPL 433431,A81000C,01001,0100,A 433431,A81000C,01001,0200,SHAREHOLDERS 433431,A81000C,01001,0400,KARE MEDICAL 433431,A81000C,01001,0600,WHOLESALE SUPPL 433431,A81000C,01002,0100,A 433431,A81000C,01002,0200,SHAREHOLDERS 433431,A81000C,01002,0400,KARE MEDICAL 433431,A81000C,01002,0600,WHOLESALE SUPPL 433431,A81000C,01003,0100,A 433431,A81000C,01003,0200,SHAREHOLDERS 433431,A81000C,01003,0400,KARE MEDICAL 433431,A81000C,01003,0600,WHOLESALE SUPPL 433431,A81000C,01004,0100,A 433431,A81000C,01004,0200,SHAREHOLDERS 433431,A81000C,01004,0400,KARE MEDICAL 433431,A81000C,01004,0600,WHOLESALE SUPPL 433431,A81000C,01005,0100,A 433431,A81000C,01005,0200,SHAREHOLDERS 433431,A81000C,01005,0400,KARE MEDICAL 433431,A81000C,01005,0600,WHOLESALE SUPPL 433431,A81000C,01006,0100,A 433431,A81000C,01006,0200,SHAREHOLDERS 433431,A81000C,01006,0400,KARE MEDICAL 433431,A81000C,01006,0600,WHOLESALE SUPPL 433431,A81000C,01007,0100,A 433431,A81000C,01007,0200,SHAREHOLDERS 433431,A81000C,01007,0400,KARE MEDICAL 433431,A81000C,01007,0600,WHOLESALE SUPPL 433431,A81000C,01008,0100,A 433431,A81000C,01008,0200,SHAREHOLDERS 433431,A81000C,01008,0400,KARE MEDICAL 433431,A81000C,01008,0600,WHOLESALE SUPPL 433431,A81000C,01009,0100,A 433431,A81000C,01009,0200,SHAREHOLDERS 433431,A81000C,01009,0400,KARE MEDICAL 433431,A81000C,01009,0600,WHOLESALE SUPPL 433431,A81000C,01010,0100,A 433431,A81000C,01010,0200,SHAREHOLDERS 433431,A81000C,01010,0400,KARE MEDICAL 433431,A81000C,01010,0600,WHOLESALE SUPPL 433431,A81000C,01011,0100,A 433431,A81000C,01011,0200,SHAREHOLDERS 433431,A81000C,01011,0400,KARE MEDICAL 433431,A81000C,01011,0600,WHOLESALE SUPPL 433431,A81000C,01012,0100,A 433431,A81000C,01012,0200,SHAREHOLDERS 433431,A81000C,01012,0400,KARE MEDICAL 433431,A81000C,01012,0600,WHOLESALE SUPPL 433431,A81000C,01013,0100,A 433431,A81000C,01013,0200,SHAREHOLDERS 433431,A81000C,01013,0400,KARE MEDICAL 433431,A81000C,01013,0600,WHOLESALE SUPPL 433431,A81000C,01014,0100,A 433431,A81000C,01014,0200,SHAREHOLDERS 433431,A81000C,01014,0400,KARE MEDICAL 433431,A81000C,01014,0600,WHOLESALE SUPPL 433431,A81000C,01015,0100,A 433431,A81000C,01015,0200,SHAREHOLDERS 433431,A81000C,01015,0400,KARE MEDICAL 433431,A81000C,01015,0600,WHOLESALE SUPPL 433431,A81000C,01016,0100,A 433431,A81000C,01016,0200,SHAREHOLDERS 433431,A81000C,01016,0400,KARE MEDICAL 433431,A81000C,01016,0600,WHOLESALE SUPPL 433431,A81000C,01017,0100,A 433431,A81000C,01017,0200,SHAREHOLDERS 433431,A81000C,01017,0400,KARE MEDICAL 433431,A81000C,01017,0600,WHOLESALE SUPPL 433431,A81000C,01018,0100,A 433431,A81000C,01018,0200,SHAREHOLDERS 433431,A81000C,01018,0400,KARE MEDICAL 433431,A81000C,01018,0600,WHOLESALE SUPPL 433431,A81000C,01019,0100,A 433431,A81000C,01019,0200,SHAREHOLDERS 433431,A81000C,01019,0400,KARE MEDICAL 433431,A81000C,01019,0600,WHOLESALE SUPPL 433431,A81000C,01020,0100,A 433431,A81000C,01020,0200,SHAREHOLDERS 433431,A81000C,01020,0400,PHARMSAVE 433431,A81000C,01020,0600,RX SUPPLY 433431,A81000C,01021,0100,A 433431,A81000C,01021,0200,SHAREHOLDERS 433431,A81000C,01021,0400,PHARMSAVE 433431,A81000C,01021,0600,RX SUPPLY 433431,A81000C,01022,0100,A 433431,A81000C,01022,0200,SHAREHOLDERS 433431,A81000C,01022,0400,PHARMSAVE 433431,A81000C,01022,0600,RX SUPPLY 433431,A81000C,01023,0100,A 433431,A81000C,01023,0200,SHAREHOLDERS 433431,A81000C,01023,0400,ROBERT HILL CON 433431,A81000C,01023,0600,CONSTRUCTION 433431,A81000C,01024,0100,B 433431,A81000C,01024,0200,PLTC INC & PIT 433431,A81000C,01024,0400,PLTC INC & PIT 433431,A81000C,01024,0600,MGMT SERVICES 433431,A81000C,01025,0100,B 433431,A81000C,01025,0200,PLTC INC & PIT 433431,A81000C,01025,0400,PLTC INC & PIT 433431,A81000C,01025,0600,MGMT SERVICES 433431,A81000C,01026,0100,B 433431,A81000C,01026,0200,PLTC INC & PIT 433431,A81000C,01026,0400,PLTC INC & PIT 433431,A81000C,01026,0600,MGMT SERVICES 433431,A81000C,01027,0100,B 433431,A81000C,01027,0200,PLTC INC & PIT 433431,A81000C,01027,0400,PLTC INC & PIT 433431,A81000C,01027,0600,MGMT SERVICES 433431,A81000C,01028,0100,A 433431,A81000C,01028,0200,SHAREHOLDERS 433431,A81000C,01028,0400,QUEENSLAND ASSU 433431,A81000C,01028,0600,INSURANCE 433431,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433431,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433431,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433431,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433431,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433431,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433431,B100000,00000,0800,0800MEALS SERVED :DIETARY 433431,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433431,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433431,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433431,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433431,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433431,E10A180,00501,0100,05/14/12 433431,E10A180,00501,0300,05/14/12 433431,G300000,02500,0000, OTHER (SPECIFY) 433431,S000000,00100,0200,03/01/12 433431,S200000,00100,0100,2323 CONCRETE ROAD 433431,S200000,00100,0300,P.O. BOX 232 433431,S200000,00200,0100,CARLISLE 433431,S200000,00200,0200,KY 433431,S200000,00200,0300,40311 433431,S200000,00300,0100,NICHOLAS 433431,S200000,00300,0201,99918 433431,S200000,00300,0300,R 433431,S200000,00400,0100,JOHNSON MATHERS NURSING HOME 433431,S200000,00400,0200,185028 433431,S200000,00400,0300,11/01/10 433431,S200000,00400,0500,P 433431,S200000,01500,0100,Y 433431,S200000,01501,0200,Y 433431,S200000,01502,0200,Y 433431,S200000,01503,0200,Y 433431,S200000,01504,0200,Y 433431,S200000,01505,0000,OTHER (SPECIFY) 433431,S200000,01505,0200,Y 433431,S200000,01600,0100,N 433431,S200000,01700,0100,N 433431,S200000,01800,0100,N 433431,S200000,02200,0100,N 433431,S200000,02800,0100,N 433431,S200000,02900,0100,N 433431,S200000,03000,0100,N 433431,S200000,03100,0100,N 433431,S200000,03200,0100,N 433431,S200000,03300,0100,N 433431,S200000,03300,0200,N 433431,S200000,04100,0100,N 433431,S200000,04200,0100,N 433431,S200000,04300,0100,N 433431,S200000,04600,0100,N 433431,S200000,04700,0100,N 433431,S200000,04700,0200,N 433431,S200000,04900,0100,N 433431,S200000,05000,0100,N 433431,S200000,05100,0100,N 433431,S200000,05200,0100,N 433431,S200000,05300,0100,Y 433431,S200000,05300,0200,349011 433431,S200000,05400,0100,PLTC INC & PITS INC. 433431,S200000,05400,0200,CGS 433431,S200000,05400,0300,00610 433431,S200000,05500,0100,1435 HWY 258 NORTH 433431,S200000,05500,0200,PO BOX 61 433431,S200000,05600,0100,KINSTON 433431,S200000,05600,0200,NC 433431,S200000,05600,0300,58501 433434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433434,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433434,A000000,00300,0000,0300EMPLOYEE BENEFITS 433434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433434,A000000,00700,0000,0700HOUSEKEEPING 433434,A000000,00800,0000,0800DIETARY 433434,A000000,00900,0000,0900NURSING ADMINISTRATION 433434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433434,A000000,01100,0000,1100PHARMACY 433434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433434,A000000,01300,0000,1300SOCIAL SERVICE 433434,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433434,A000000,01500,0000,1350OTHER GENERAL SERVICES 433434,A000000,01600,0000,1600SKILLED NURSING FACILITY 433434,A000000,01800,0000,1800NURSING FACILITY 433434,A000000,01810,0000,1810ICF/MR 433434,A000000,01900,0000,1900OTHER LONG TERM CARE 433434,A000000,02100,0000,2100RADIOLOGY 433434,A000000,02200,0000,2200LABORATORY 433434,A000000,02300,0000,2300INTRAVENOUS THERAPY 433434,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433434,A000000,02500,0000,2500PHYSICAL THERAPY 433434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433434,A000000,02700,0000,2700SPEECH PATHOLOGY 433434,A000000,02800,0000,2800ELECTROCARDIOLOGY 433434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433434,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433434,A000000,03200,0000,3200SUPPORT SURFACES 433434,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433434,A000000,03400,0000,3400CLINIC 433434,A000000,03500,0000,3500RURAL HEALTH CLINIC 433434,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433434,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433434,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433434,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433434,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433434,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433434,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433434,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433434,A000000,04400,0000,4400DME RENTED - HHA 433434,A000000,04500,0000,4500DME SOLD - HHA 433434,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433434,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433434,A000000,04710,0000,4710TELEMEDICINE 433434,A000000,04800,0000,4800AMBULANCE 433434,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433434,A000000,05000,0000,5000CORF 433434,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433434,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433434,A000000,05300,0000,5300INTEREST EXPENSE 433434,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433434,A000000,05500,0000,5500HOSPICE 433434,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433434,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433434,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433434,A000000,06100,0000,6100NONPAID WORKERS 433434,A000000,06200,0000,6200PATIENTS LAUNDRY 433434,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433434,A81000A,00100,0100,N 433434,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433434,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433434,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433434,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433434,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433434,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433434,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433434,B100000,00000,0800,0800MEALS SERVED :DIETARY 433434,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433434,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433434,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433434,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433434,E10A180,00550,0100,02/10/12 433434,G300000,02500,0000,OTHER (SPECIFY) 433434,S000000,00100,0200,02/07/12 433434,S200000,00100,0100,SOUTH MAIN STREET 433434,S200000,00100,0300,438 433434,S200000,00200,0100,BURKESVILLE 433434,S200000,00200,0200,KY 433434,S200000,00200,0300,42717 433434,S200000,00300,0100,CUMBERLAND 433434,S200000,00300,0200,18 433434,S200000,00300,0201,99918 433434,S200000,00300,0300,R 433434,S200000,00400,0100,CUMBERLAND VALLEY MANOR 433434,S200000,00400,0200,185270 433434,S200000,00400,0300,07/22/91 433434,S200000,00400,0500,P 433434,S200000,01500,0100,N 433434,S200000,01501,0200,Y 433434,S200000,01600,0100,Y 433434,S200000,01700,0100,N 433434,S200000,01800,0100,N 433434,S200000,02200,0100,N 433434,S200000,02800,0100,N 433434,S200000,02900,0100,N 433434,S200000,03000,0100,N 433434,S200000,03100,0100,N 433434,S200000,03200,0100,N 433434,S200000,03300,0100,N 433434,S200000,03300,0200,N 433434,S200000,04100,0100,N 433434,S200000,04200,0100,N 433434,S200000,04300,0100,N 433434,S200000,04600,0100,N 433434,S200000,04700,0100,N 433434,S200000,04700,0200,N 433434,S200000,04900,0100,N 433434,S200000,05000,0100,N 433434,S200000,05100,0100,N 433434,S200000,05200,0100,N 433436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433436,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433436,A000000,00300,0000,0300EMPLOYEE BENEFITS 433436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433436,A000000,00700,0000,0700HOUSEKEEPING 433436,A000000,00800,0000,0800DIETARY 433436,A000000,00900,0000,0900NURSING ADMINISTRATION 433436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433436,A000000,01100,0000,1100PHARMACY 433436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433436,A000000,01300,0000,1300SOCIAL SERVICE 433436,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433436,A000000,01500,0000,1350OTHER GENERAL SERVICES 433436,A000000,01600,0000,1600SKILLED NURSING FACILITY 433436,A000000,01800,0000,1800NURSING FACILITY 433436,A000000,01810,0000,1810ICF/MR 433436,A000000,01900,0000,1900OTHER LONG TERM CARE 433436,A000000,02100,0000,2100RADIOLOGY 433436,A000000,02200,0000,2200LABORATORY 433436,A000000,02300,0000,2300INTRAVENOUS THERAPY 433436,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433436,A000000,02500,0000,2500PHYSICAL THERAPY 433436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433436,A000000,02700,0000,2700SPEECH PATHOLOGY 433436,A000000,02800,0000,2800ELECTROCARDIOLOGY 433436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433436,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433436,A000000,03200,0000,3200SUPPORT SURFACES 433436,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433436,A000000,03400,0000,3400CLINIC 433436,A000000,03500,0000,3500RURAL HEALTH CLINIC 433436,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433436,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433436,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433436,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433436,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433436,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433436,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433436,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433436,A000000,04400,0000,4400DME RENTED - HHA 433436,A000000,04500,0000,4500DME SOLD - HHA 433436,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433436,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433436,A000000,04710,0000,4710TELEMEDICINE 433436,A000000,04800,0000,4800AMBULANCE 433436,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433436,A000000,05000,0000,5000CORF 433436,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433436,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433436,A000000,05300,0000,5300INTEREST EXPENSE 433436,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433436,A000000,05500,0000,5500HOSPICE 433436,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433436,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433436,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433436,A000000,06100,0000,6100NONPAID WORKERS 433436,A000000,06200,0000,6200PATIENTS LAUNDRY 433436,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433436,A81000A,00100,0100,N 433436,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 433436,B100000,00000,0200,0250PATIENT DAYS :CAP REL COSTS - M 433436,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433436,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433436,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 433436,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433436,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 433436,B100000,00000,0800,0800MEALS SERVED :DIETARY 433436,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433436,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433436,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433436,E10A180,00501,0100,03/01/12 433436,G300000,02500,0000,MISCELLANEOUS 433436,S000000,00100,0200,12/05/11 433436,S200000,00100,0100,2001 SOUTH MAIN STREET 433436,S200000,00200,0100,PARIS 433436,S200000,00200,0200,KY 433436,S200000,00200,0300,40361 433436,S200000,00300,0100,BOURBON 433436,S200000,00300,0200,4280 433436,S200000,00300,0201,30460 433436,S200000,00300,0300,U 433436,S200000,00400,0100,BOURBON HEIGHTS INC 433436,S200000,00400,0200,185283 433436,S200000,00400,0300,10/01/91 433436,S200000,00400,0500,P 433436,S200000,01500,0100,N 433436,S200000,01501,0200,Y 433436,S200000,01600,0100,Y 433436,S200000,01700,0100,N 433436,S200000,01800,0100,N 433436,S200000,02200,0100,N 433436,S200000,02800,0100,N 433436,S200000,02900,0100,N 433436,S200000,03000,0100,N 433436,S200000,03100,0100,N 433436,S200000,03200,0100,N 433436,S200000,03300,0100,N 433436,S200000,03300,0200,N 433436,S200000,04100,0100,N 433436,S200000,04200,0100,N 433436,S200000,04300,0100,N 433436,S200000,04600,0100,N 433436,S200000,04700,0100,N 433436,S200000,04700,0200,N 433436,S200000,04900,0100,N 433436,S200000,05000,0100,N 433436,S200000,05100,0100,N 433436,S200000,05200,0100,N 433439,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433439,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433439,A000000,00300,0000,0300EMPLOYEE BENEFITS 433439,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433439,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433439,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433439,A000000,00700,0000,0700HOUSEKEEPING 433439,A000000,00800,0000,0800DIETARY 433439,A000000,00900,0000,0900NURSING ADMINISTRATION 433439,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433439,A000000,01100,0000,1100PHARMACY 433439,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433439,A000000,01300,0000,1300SOCIAL SERVICE 433439,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433439,A000000,01500,0000,1350OTHER GENERAL SERVICES 433439,A000000,01600,0000,1600SKILLED NURSING FACILITY 433439,A000000,01800,0000,1800NURSING FACILITY 433439,A000000,01810,0000,1810ICF/MR 433439,A000000,01900,0000,1900OTHER LONG TERM CARE 433439,A000000,02100,0000,2100RADIOLOGY 433439,A000000,02200,0000,2200LABORATORY 433439,A000000,02300,0000,2300INTRAVENOUS THERAPY 433439,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433439,A000000,02500,0000,2500PHYSICAL THERAPY 433439,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433439,A000000,02700,0000,2700SPEECH PATHOLOGY 433439,A000000,02800,0000,2800ELECTROCARDIOLOGY 433439,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433439,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433439,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433439,A000000,03200,0000,3200SUPPORT SURFACES 433439,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433439,A000000,03400,0000,3400CLINIC 433439,A000000,03500,0000,3500RURAL HEALTH CLINIC 433439,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433439,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433439,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433439,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433439,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433439,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433439,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433439,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433439,A000000,04400,0000,4400DME RENTED - HHA 433439,A000000,04500,0000,4500DME SOLD - HHA 433439,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433439,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433439,A000000,04710,0000,4710TELEMEDICINE 433439,A000000,04800,0000,4800AMBULANCE 433439,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433439,A000000,05000,0000,5000CORF 433439,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433439,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433439,A000000,05300,0000,5300INTEREST EXPENSE 433439,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433439,A000000,05500,0000,5500HOSPICE 433439,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433439,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433439,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433439,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433439,A000000,06100,0000,6100NONPAID WORKERS 433439,A000000,06200,0000,6200PATIENTS LAUNDRY 433439,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433439,A81000A,00100,0100,Y 433439,A81000B,00100,0300,GENERAL LIABILITY INSURANCE 433439,A81000C,00100,0100,C 433439,A81000C,00100,0200,LTCISP LLC 433439,A81000C,00100,0400,MATURE CARE INS 433439,A81000C,00100,0600,GENERAL LIABILITY INS 433439,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433439,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433439,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433439,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433439,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433439,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433439,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433439,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433439,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433439,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433439,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433439,E10A180,00501,0300,03/12/12 433439,E10A180,00550,0100,03/12/12 433439,G300000,02500,0000,BARBER AND BEAUTY 433439,G300000,02501,0000,MISC REVENUE 433439,G300000,02502,0000,PROFESSIONAL SERVICES 433439,S000000,00100,0200,02/28/12 433439,S200000,00100,0100,2202 WEST OAK AVENUE 433439,S200000,00200,0100,PLANT CITY 433439,S200000,00200,0200,FL 433439,S200000,00200,0300,33563 433439,S200000,00300,0100,HILLSBOROUGH 433439,S200000,00300,0200,8280 433439,S200000,00300,0201,45300 433439,S200000,00300,0300,U 433439,S200000,00400,0100,COMMUNITY CONVALESCENT CENTER 433439,S200000,00400,0200,105029 433439,S200000,00400,0300,07/01/96 433439,S200000,00400,0500,P 433439,S200000,01500,0100,Y 433439,S200000,01501,0200,Y 433439,S200000,01502,0200,Y 433439,S200000,01503,0200,Y 433439,S200000,01600,0100,N 433439,S200000,01700,0100,N 433439,S200000,01800,0100,N 433439,S200000,02200,0100,N 433439,S200000,02800,0100,N 433439,S200000,02900,0100,N 433439,S200000,03000,0100,N 433439,S200000,03100,0100,N 433439,S200000,03200,0100,N 433439,S200000,03300,0100,N 433439,S200000,03300,0200,N 433439,S200000,04100,0100,N 433439,S200000,04200,0100,N 433439,S200000,04300,0100,N 433439,S200000,04600,0100,N 433439,S200000,04700,0100,N 433439,S200000,04700,0200,N 433439,S200000,04900,0100,N 433439,S200000,05000,0100,N 433439,S200000,05100,0100,N 433439,S200000,05200,0100,N 433440,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433440,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433440,A000000,00300,0000,0300EMPLOYEE BENEFITS 433440,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433440,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433440,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433440,A000000,00700,0000,0700HOUSEKEEPING 433440,A000000,00800,0000,0800DIETARY 433440,A000000,00900,0000,0900NURSING ADMINISTRATION 433440,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433440,A000000,01100,0000,1100PHARMACY 433440,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433440,A000000,01300,0000,1300SOCIAL SERVICE 433440,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433440,A000000,01500,0000,1350ACTIVITIES 433440,A000000,01600,0000,1600SKILLED NURSING FACILITY 433440,A000000,01800,0000,1800NURSING FACILITY 433440,A000000,01900,0000,1900OTHER LONG TERM CARE 433440,A000000,02100,0000,2100RADIOLOGY 433440,A000000,02200,0000,2200LABORATORY 433440,A000000,02300,0000,2300INTRAVENOUS THERAPY 433440,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433440,A000000,02500,0000,2500PHYSICAL THERAPY 433440,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433440,A000000,02700,0000,2700SPEECH PATHOLOGY 433440,A000000,02800,0000,2800ELECTROCARDIOLOGY 433440,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433440,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433440,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433440,A000000,03200,0000,3200SUPPORT SURFACES 433440,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433440,A000000,04800,0000,4800AMBULANCE 433440,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433440,A000000,05300,0000,5300INTEREST EXPENSE 433440,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433440,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433440,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433440,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433440,A000000,06100,0000,6100NONPAID WORKERS 433440,A000000,06200,0000,6200PATIENTS LAUNDRY 433440,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433440,A81000A,00100,0100,Y 433440,A81000B,00100,0300,HOME OFFICE COST 433440,A81000C,00100,0100,B 433440,A81000C,00100,0200,MANORCARE OF BETHESDA MD 433440,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433440,A81000C,00100,0600,LONG TERM CARE FACILITIES 433440,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433440,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433440,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433440,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433440,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433440,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433440,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433440,B100000,00000,0800,0800MEALS SERVED :DIETARY 433440,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433440,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433440,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433440,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433440,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433440,E10A180,00501,0100,05/11/12 433440,G300000,02500,0000,BEAUTY AND BARBER 433440,S000000,00100,0200,03/01/12 433440,S200000,00100,0100,6530 DEMOCRACY BLVD. 433440,S200000,00200,0100,BETHESDA 433440,S200000,00200,0200,MD 433440,S200000,00200,0300,20817 433440,S200000,00300,0100,MONTGOMERY 433440,S200000,00300,0200,8840 433440,S200000,00300,0201,13644 433440,S200000,00300,0300,U 433440,S200000,00400,0100,MANORCARE OF BETHESDA MD LLC 433440,S200000,00400,0200,215095 433440,S200000,00400,0300,07/28/75 433440,S200000,00400,0500,P 433440,S200000,00400,0600,P 433440,S200000,01500,0100,Y 433440,S200000,01501,0200,N 433440,S200000,01503,0200,Y 433440,S200000,01504,0200,N 433440,S200000,01600,0100,N 433440,S200000,01700,0100,N 433440,S200000,01800,0100,N 433440,S200000,02200,0100,Y 433440,S200000,02800,0100,N 433440,S200000,02900,0100,N 433440,S200000,03000,0100,N 433440,S200000,03100,0100,N 433440,S200000,03200,0100,N 433440,S200000,03300,0100,N 433440,S200000,03300,0200,N 433440,S200000,04100,0100,N 433440,S200000,04200,0100,N 433440,S200000,04300,0100,N 433440,S200000,04600,0100,N 433440,S200000,04700,0100,N 433440,S200000,04700,0200,N 433440,S200000,04900,0100,N 433440,S200000,05000,0100,N 433440,S200000,05100,0100,N 433440,S200000,05200,0100,N 433440,S200000,05300,0100,Y 433440,S200000,05300,0200,36HO15 433440,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433440,S200000,05400,0200,CGS ADMINISTRATORS LLC 433440,S200000,05400,0300,15201 433440,S200000,05500,0100,333 N. SUMMIT ST. 433440,S200000,05500,0200,PO 10086 433440,S200000,05600,0100,TOLEDO 433440,S200000,05600,0200,OH 433440,S200000,05600,0300,43699-0086 433455,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433455,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433455,A000000,00300,0000,0300EMPLOYEE BENEFITS 433455,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433455,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433455,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433455,A000000,00700,0000,0700HOUSEKEEPING 433455,A000000,00800,0000,0800DIETARY 433455,A000000,00900,0000,0900NURSING ADMINISTRATION 433455,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433455,A000000,01100,0000,1100PHARMACY 433455,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433455,A000000,01300,0000,1300SOCIAL SERVICE 433455,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433455,A000000,01500,0000,1350ACTIVITIES 433455,A000000,01600,0000,1600SKILLED NURSING FACILITY 433455,A000000,01800,0000,1800NURSING FACILITY 433455,A000000,01900,0000,1900OTHER LONG TERM CARE 433455,A000000,02100,0000,2100RADIOLOGY 433455,A000000,02200,0000,2200LABORATORY 433455,A000000,02300,0000,2300INTRAVENOUS THERAPY 433455,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433455,A000000,02500,0000,2500PHYSICAL THERAPY 433455,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433455,A000000,02700,0000,2700SPEECH PATHOLOGY 433455,A000000,02800,0000,2800ELECTROCARDIOLOGY 433455,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433455,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433455,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433455,A000000,03200,0000,3200SUPPORT SURFACES 433455,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433455,A000000,04800,0000,4800AMBULANCE 433455,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433455,A000000,05300,0000,5300INTEREST EXPENSE 433455,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433455,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433455,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433455,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433455,A000000,06100,0000,6100NONPAID WORKERS 433455,A000000,06200,0000,6200PATIENTS LAUNDRY 433455,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433455,A81000A,00100,0100,Y 433455,A81000B,00100,0300,HOME OFFICE COST 433455,A81000C,00100,0100,B 433455,A81000C,00100,0200,OAKMONT WEST-GREENVILLE S 433455,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433455,A81000C,00100,0600,LONG TERM CARE FACILITIES 433455,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433455,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433455,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433455,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433455,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433455,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433455,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433455,B100000,00000,0800,0800MEALS SERVED :DIETARY 433455,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433455,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433455,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433455,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433455,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433455,E10A180,00550,0100,05/02/12 433455,G300000,02500,0000,BEAUTY AND BARBER 433455,S000000,00100,0200,02/06/12 433455,S200000,00100,0100,600 SULPHUR SPRING ROAD 433455,S200000,00200,0100,GREENVILLE 433455,S200000,00200,0200,SC 433455,S200000,00200,0300,29617 433455,S200000,00300,0100,GREENVILLE 433455,S200000,00300,0200,3160 433455,S200000,00300,0201,24860 433455,S200000,00300,0300,U 433455,S200000,00400,0100,OAKMONT WEST-GREENVILLE SC LLC 433455,S200000,00400,0200,425294 433455,S200000,00400,0300,01/01/91 433455,S200000,00400,0500,P 433455,S200000,00400,0600,P 433455,S200000,01500,0100,Y 433455,S200000,01501,0200,N 433455,S200000,01502,0200,Y 433455,S200000,01503,0200,Y 433455,S200000,01504,0200,N 433455,S200000,01600,0100,N 433455,S200000,01700,0100,N 433455,S200000,01800,0100,N 433455,S200000,02200,0100,Y 433455,S200000,02800,0100,N 433455,S200000,02900,0100,N 433455,S200000,03000,0100,N 433455,S200000,03100,0100,N 433455,S200000,03200,0100,N 433455,S200000,03300,0100,N 433455,S200000,03300,0200,N 433455,S200000,04100,0100,N 433455,S200000,04200,0100,N 433455,S200000,04300,0100,N 433455,S200000,04600,0100,N 433455,S200000,04700,0100,N 433455,S200000,04700,0200,N 433455,S200000,04900,0100,N 433455,S200000,05000,0100,N 433455,S200000,05100,0100,N 433455,S200000,05200,0100,N 433455,S200000,05300,0100,Y 433455,S200000,05300,0200,36HO15 433455,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433455,S200000,05400,0200,CGS ADMINISTRATORS LLC 433455,S200000,05400,0300,15201 433455,S200000,05500,0100,333 N. SUMMIT ST. 433455,S200000,05500,0200,PO 10086 433455,S200000,05600,0100,TOLEDO 433455,S200000,05600,0200,OH 433455,S200000,05600,0300,43699-0086 433457,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433457,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433457,A000000,00300,0000,0300EMPLOYEE BENEFITS 433457,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433457,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433457,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433457,A000000,00700,0000,0700HOUSEKEEPING 433457,A000000,00800,0000,0800DIETARY 433457,A000000,00900,0000,0900NURSING ADMINISTRATION 433457,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433457,A000000,01100,0000,1100PHARMACY 433457,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433457,A000000,01300,0000,1300SOCIAL SERVICE 433457,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433457,A000000,01600,0000,1600SKILLED NURSING FACILITY 433457,A000000,01800,0000,1800NURSING FACILITY 433457,A000000,01810,0000,1810ICF/MR 433457,A000000,01900,0000,1900OTHER LONG TERM CARE 433457,A000000,02100,0000,2100RADIOLOGY 433457,A000000,02200,0000,2200LABORATORY 433457,A000000,02300,0000,2300INTRAVENOUS THERAPY 433457,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433457,A000000,02500,0000,2500PHYSICAL THERAPY 433457,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433457,A000000,02700,0000,2700SPEECH PATHOLOGY 433457,A000000,02800,0000,2800ELECTROCARDIOLOGY 433457,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433457,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433457,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433457,A000000,03200,0000,3200SUPPORT SURFACES 433457,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433457,A000000,03400,0000,3400CLINIC 433457,A000000,03500,0000,3500RURAL HEALTH CLINIC 433457,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433457,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433457,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433457,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433457,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433457,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433457,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433457,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433457,A000000,04400,0000,4400DME RENTED - HHA 433457,A000000,04500,0000,4500DME SOLD - HHA 433457,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433457,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433457,A000000,04710,0000,4710TELEMEDICINE 433457,A000000,04800,0000,4800AMBULANCE 433457,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433457,A000000,05000,0000,5000CORF 433457,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433457,A000000,05300,0000,5300INTEREST EXPENSE 433457,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433457,A000000,05500,0000,5500HOSPICE 433457,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433457,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433457,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433457,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433457,A000000,06100,0000,6100NONPAID WORKERS 433457,A000000,06200,0000,6200PATIENTS LAUNDRY 433457,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433457,A81000A,00100,0100,Y 433457,A81000B,00100,0300,MAINTENANCE SUPPLIES 433457,A81000B,00200,0300,MINOR EQUIPMENT EXPENSE 433457,A81000B,00300,0300,REPAIRS-EQUIPMENT 433457,A81000B,00400,0300,LINEN & BEDDING 433457,A81000B,00500,0300,SUPPLIES 433457,A81000B,00600,0300,MINOR EQUIPMENT EXPENSE 433457,A81000B,00700,0300,SUPPLIES 433457,A81000B,00800,0300,DIETARY SUPPLEMENTS 433457,A81000B,00900,0300,RAW FOOD 433457,A81000B,01000,0300,SUPPLIES 433457,A81000B,01100,0300,BIO-MEDICAL WASTE 433457,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433457,A81000B,01300,0300,PERSONAL CARE SUPPLIES 433457,A81000B,01400,0300,INCONTINENCE SUPPLIES 433457,A81000B,01500,0300,MEDICAL SUPPLIES 433457,A81000B,01600,0300,OXYGEN THERAPY SUPPLIES 433457,A81000B,01700,0300,SUPPLIES 433457,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 433457,A81000B,01900,0300,NON-LEGEND DRUGS 433457,A81000B,02000,0300,SUPPLIES 433457,A81000B,02100,0300,LEGEND DRUGS 433457,A81000B,02200,0300,OFFICE SUPPLIES 433457,A81000B,02300,0300,NURSING CONSULTING 433457,A81000B,02400,0300,DIETARY CONSULTING 433457,A81000B,02500,0300,HOME OFFICE 433457,A81000B,02600,0300,INTEREST EXPENSE 433457,A81000B,02700,0300,RELATED PARTY DEPRECIATION 433457,A81000B,02800,0300,RELATED PARTY PROPERTY INSURANCE 433457,A81000B,02900,0300,RELATED PARTY REAL ESTATE TAX 433457,A81000C,00100,0100,A 433457,A81000C,00100,0200,SHAREHOLDER 433457,A81000C,00100,0400,KARE MEDICAL 433457,A81000C,00100,0600,WHOLESALE SUPPL 433457,A81000C,00200,0100,A 433457,A81000C,00200,0200,SHAREHOLDER 433457,A81000C,00200,0400,KARE MEDICAL 433457,A81000C,00200,0600,WHOLESALE SUPPL 433457,A81000C,00300,0100,A 433457,A81000C,00300,0200,SHAREHOLDER 433457,A81000C,00300,0400,KARE MEDICAL 433457,A81000C,00300,0600,WHOLESALE SUPPL 433457,A81000C,00400,0100,A 433457,A81000C,00400,0200,SHAREHOLDER 433457,A81000C,00400,0400,KARE MEDICAL 433457,A81000C,00400,0600,WHOLESALE SUPPL 433457,A81000C,00500,0100,A 433457,A81000C,00500,0200,SHAREHOLDER 433457,A81000C,00500,0400,KARE MEDICAL 433457,A81000C,00500,0600,WHOLESALE SUPPL 433457,A81000C,00600,0100,A 433457,A81000C,00600,0200,SHAREHOLDER 433457,A81000C,00600,0400,KARE MEDICAL 433457,A81000C,00600,0600,WHOLESALE SUPPL 433457,A81000C,00700,0100,A 433457,A81000C,00700,0200,SHAREHOLDER 433457,A81000C,00700,0400,KARE MEDICAL 433457,A81000C,00700,0600,WHOLESALE SUPPL 433457,A81000C,00800,0100,A 433457,A81000C,00800,0200,SHAREHOLDER 433457,A81000C,00800,0400,KARE MEDICAL 433457,A81000C,00800,0600,WHOLESALE SUPPL 433457,A81000C,00900,0100,A 433457,A81000C,00900,0200,SHAREHOLDER 433457,A81000C,00900,0400,KARE MEDICAL 433457,A81000C,00900,0600,WHOLESALE SUPPL 433457,A81000C,01000,0100,A 433457,A81000C,01000,0200,SHAREHOLDER 433457,A81000C,01000,0400,KARE MEDICAL 433457,A81000C,01000,0600,WHOLESALE SUPPL 433457,A81000C,01001,0100,A 433457,A81000C,01001,0200,SHAREHOLDER 433457,A81000C,01001,0400,KARE MEDICAL 433457,A81000C,01001,0600,WHOLESALE SUPPL 433457,A81000C,01002,0100,A 433457,A81000C,01002,0200,SHAREHOLDER 433457,A81000C,01002,0400,KARE MEDICAL 433457,A81000C,01002,0600,WHOLESALE SUPPL 433457,A81000C,01003,0100,A 433457,A81000C,01003,0200,SHAREHOLDER 433457,A81000C,01003,0400,KARE MEDICAL 433457,A81000C,01003,0600,WHOLESALE SUPPL 433457,A81000C,01004,0100,A 433457,A81000C,01004,0200,SHAREHOLDER 433457,A81000C,01004,0400,KARE MEDICAL 433457,A81000C,01004,0600,WHOLESALE SUPPL 433457,A81000C,01005,0100,A 433457,A81000C,01005,0200,SHAREHOLDER 433457,A81000C,01005,0400,KARE MEDICAL 433457,A81000C,01005,0600,WHOLESALE SUPPL 433457,A81000C,01006,0100,A 433457,A81000C,01006,0200,SHAREHOLDER 433457,A81000C,01006,0400,KARE MEDICAL 433457,A81000C,01006,0600,WHOLESALE SUPPL 433457,A81000C,01007,0100,A 433457,A81000C,01007,0200,SHAREHOLDER 433457,A81000C,01007,0400,KARE MEDICAL 433457,A81000C,01007,0600,WHOLESALE SUPPL 433457,A81000C,01008,0100,A 433457,A81000C,01008,0200,SHAREHOLDER 433457,A81000C,01008,0400,KARE MEDICAL 433457,A81000C,01008,0600,WHOLESALE SUPPL 433457,A81000C,01009,0100,A 433457,A81000C,01009,0200,SHAREHOLDER 433457,A81000C,01009,0400,PHARMSAVE 433457,A81000C,01009,0600,RX SUPPLY 433457,A81000C,01010,0100,A 433457,A81000C,01010,0200,SHAREHOLDER 433457,A81000C,01010,0400,PHARMSAVE 433457,A81000C,01010,0600,RX SUPPLY 433457,A81000C,01011,0100,A 433457,A81000C,01011,0200,SHAREHOLDER 433457,A81000C,01011,0400,PHARMSAVE 433457,A81000C,01011,0600,RX SUPPLY 433457,A81000C,01012,0100,A 433457,A81000C,01012,0200,SHAREHOLDER 433457,A81000C,01012,0400,PHARMSAVE 433457,A81000C,01012,0600,RX SUPPLY 433457,A81000C,01013,0100,A 433457,A81000C,01013,0200,SHAREHOLDER 433457,A81000C,01013,0400,ROBERT HILL CON 433457,A81000C,01013,0600,CONSTRUCTION 433457,A81000C,01014,0100,B 433457,A81000C,01014,0200,PLTC INC. & PI 433457,A81000C,01014,0400,PLTC INC. & PI 433457,A81000C,01014,0600,MGMT SERVICES 433457,A81000C,01015,0100,B 433457,A81000C,01015,0200,PLTC INC. & PI 433457,A81000C,01015,0400,PLTC INC. & PI 433457,A81000C,01015,0600,MGMT SERVICES 433457,A81000C,01016,0100,B 433457,A81000C,01016,0200,PLTC INC. & PI 433457,A81000C,01016,0400,PLTC INC. & PI 433457,A81000C,01016,0600,MGMT SERVICES 433457,A81000C,01017,0100,B 433457,A81000C,01017,0200,PLTC INC. & PI 433457,A81000C,01017,0400,PLTC INC. & PI 433457,A81000C,01017,0600,MGMT SERVICES 433457,A81000C,01018,0100,A 433457,A81000C,01018,0200,SHAREHOLDER 433457,A81000C,01018,0400,BRITTHAVEN INC 433457,A81000C,01018,0600,REAL ESTATE 433457,A81000C,01019,0100,A 433457,A81000C,01019,0200,SHAREHOLDER 433457,A81000C,01019,0400,BRITTHAVEN INC 433457,A81000C,01019,0600,REAL ESTATE 433457,A81000C,01020,0100,A 433457,A81000C,01020,0200,SHAREHOLDER 433457,A81000C,01020,0400,BRITTHAVEN INC 433457,A81000C,01020,0600,REAL ESTATE 433457,A81000C,01021,0100,A 433457,A81000C,01021,0200,SHAREHOLDER 433457,A81000C,01021,0400,QUEENSLAND ASSU 433457,A81000C,01021,0600,INSURANCE 433457,A81000C,01022,0100,A 433457,A81000C,01022,0200,SHAREHOLDER 433457,A81000C,01022,0400,BRITTHAVEN INC 433457,A81000C,01022,0600,REAL ESTATE 433457,A81000C,01023,0100,A 433457,A81000C,01023,0200,SHAREHOLDER 433457,A81000C,01023,0400,BRITTHAVEN OF S 433457,A81000C,01023,0600,REAL ESTATE. 433457,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433457,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433457,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433457,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433457,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433457,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433457,B100000,00000,0800,0800MEALS SERVED :DIETARY 433457,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433457,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433457,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433457,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433457,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433457,E10A180,00301,0100,05/29/12 433457,E10A180,00350,0100,09/09/11 433457,E10A180,00501,0100,05/29/12 433457,G300000,02500,0000, OTHER (SPECIFY) 433457,S000000,00100,0200,03/01/12 433457,S200000,00100,0100,555 BOURNE AVE. 433457,S200000,00200,0100,SOMERSET 433457,S200000,00200,0200,KY 433457,S200000,00200,0300,42501 433457,S200000,00300,0100,PULASKI 433457,S200000,00300,0201,99918 433457,S200000,00300,0300,R 433457,S200000,00400,0100,SOMERWOODS NURSING & REHAB CENTER 433457,S200000,00400,0200,185152 433457,S200000,00400,0300,09/11/78 433457,S200000,00400,0500,P 433457,S200000,01500,0100,Y 433457,S200000,01501,0200,Y 433457,S200000,01502,0200,Y 433457,S200000,01503,0200,Y 433457,S200000,01504,0200,Y 433457,S200000,01505,0000,OTHER (SPECIFY) 433457,S200000,01505,0200,Y 433457,S200000,01600,0100,N 433457,S200000,01700,0100,N 433457,S200000,01800,0100,N 433457,S200000,02200,0100,N 433457,S200000,02800,0100,N 433457,S200000,02900,0100,N 433457,S200000,03000,0100,N 433457,S200000,03100,0100,N 433457,S200000,03200,0100,N 433457,S200000,03300,0100,N 433457,S200000,03300,0200,N 433457,S200000,03600,0100,N 433457,S200000,03600,0200,N 433457,S200000,04100,0100,N 433457,S200000,04200,0100,N 433457,S200000,04300,0100,N 433457,S200000,04600,0100,N 433457,S200000,04700,0100,N 433457,S200000,04700,0200,N 433457,S200000,04900,0100,N 433457,S200000,05000,0100,N 433457,S200000,05100,0100,N 433457,S200000,05200,0100,N 433457,S200000,05300,0100,Y 433457,S200000,05300,0200,349011 433457,S200000,05400,0100,PLTC INC & PITS INC. 433457,S200000,05400,0200,CGS 433457,S200000,05400,0300,00160 433457,S200000,05500,0100,1435 HWY 258 NORTH 433457,S200000,05500,0200,PO BOX 61 433457,S200000,05600,0100,KINSTON 433457,S200000,05600,0200,NC 433457,S200000,05600,0300,28501 433470,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433470,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433470,A000000,00300,0000,0300EMPLOYEE BENEFITS 433470,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433470,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433470,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433470,A000000,00700,0000,0700HOUSEKEEPING 433470,A000000,00800,0000,0800DIETARY 433470,A000000,00900,0000,0900NURSING ADMINISTRATION 433470,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433470,A000000,01100,0000,1100PHARMACY 433470,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433470,A000000,01300,0000,1300SOCIAL SERVICE 433470,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433470,A000000,01600,0000,1600SKILLED NURSING FACILITY 433470,A000000,01810,0000,1810ICF/MR 433470,A000000,02200,0000,2200LABORATORY 433470,A000000,02500,0000,2500PHYSICAL THERAPY 433470,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433470,A000000,02700,0000,2700SPEECH PATHOLOGY 433470,A000000,02770,0000,3050ENTERAL 433470,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433470,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433470,A000000,03550,0000,3550FQHC 433470,A000000,05000,0000,5000CORF 433470,A000000,05010,0000,5010CMHC 433470,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433470,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433470,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433470,A81000A,00100,0100,Y 433470,A81000B,00100,0300,LTC OFFICE 433470,A81000B,00200,0300,NURSING CONSULTANT 433470,A81000B,00300,0300,PHARMACY 433470,A81000B,00400,0300,OTC DRUGS 433470,A81000C,00100,0100,A 433470,A81000C,00100,0200,CMH 433470,A81000C,00100,0400,CMH 433470,A81000C,00100,0600,HOSPITAL SUPPOR 433470,A81000C,00200,0100,A 433470,A81000C,00200,0200,CMH 433470,A81000C,00200,0400,CMH 433470,A81000C,00200,0600,HOSPITAL SUPPOR 433470,A81000C,00300,0100,A 433470,A81000C,00300,0200,CMH 433470,A81000C,00300,0400,CMH 433470,A81000C,00300,0600,PHARMACY 433470,A81000C,00400,0100,A 433470,A81000C,00400,0200,CMH 433470,A81000C,00400,0400,CMH 433470,A81000C,00400,0600,PHARMACY 433470,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433470,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433470,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433470,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433470,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433470,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433470,B100000,00000,0800,0800MEALS SERVED :DIETARY 433470,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433470,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433470,E10A180,00301,0100,09/30/11 433470,E10A180,00550,0100,03/02/12 433470,G300000,02500,0000,MISCELLANEOUS INCOME 433470,S000000,00100,0200,03/02/12 433470,S200000,00100,0100,940 GIBSON STREET 433470,S200000,00200,0100,SUMMERTON 433470,S200000,00200,0200,SC 433470,S200000,00200,0300,29148 433470,S200000,00300,0100,CLARENDON 433470,S200000,00300,0201,42 433470,S200000,00300,0300,R 433470,S200000,00400,0100,LAKE MARION NURSING FACILITY 433470,S200000,00400,0200,425300 433470,S200000,00400,0300,01/01/90 433470,S200000,00400,0500,P 433470,S200000,01500,0100,Y 433470,S200000,01501,0200,Y 433470,S200000,01503,0200,Y 433470,S200000,01504,0200,Y 433470,S200000,01600,0100,N 433470,S200000,01700,0100,N 433470,S200000,01800,0100,N 433470,S200000,02200,0100,N 433470,S200000,02800,0100,N 433470,S200000,02900,0100,N 433470,S200000,03000,0100,N 433470,S200000,03100,0100,N 433470,S200000,03200,0100,N 433470,S200000,03300,0100,N 433470,S200000,03300,0200,N 433470,S200000,04100,0100,N 433470,S200000,04200,0100,N 433470,S200000,04300,0100,N 433470,S200000,04600,0100,N 433470,S200000,04700,0100,N 433470,S200000,04700,0200,N 433470,S200000,04900,0100,N 433470,S200000,05000,0100,N 433470,S200000,05100,0100,N 433470,S200000,05200,0100,N 433470,S200000,05300,0100,N 433471,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433471,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433471,A000000,00300,0000,0300EMPLOYEE BENEFITS 433471,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433471,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433471,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433471,A000000,00700,0000,0700HOUSEKEEPING 433471,A000000,00800,0000,0800DIETARY 433471,A000000,00900,0000,0900NURSING ADMINISTRATION 433471,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433471,A000000,01100,0000,1100PHARMACY 433471,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433471,A000000,01300,0000,1300SOCIAL SERVICE 433471,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433471,A000000,01600,0000,1600SKILLED NURSING FACILITY 433471,A000000,01810,0000,1810ICF/MR 433471,A000000,02100,0000,2100RADIOLOGY 433471,A000000,02200,0000,2200LABORATORY 433471,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433471,A000000,02500,0000,2500PHYSICAL THERAPY 433471,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433471,A000000,02700,0000,2700SPEECH PATHOLOGY 433471,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433471,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433471,A000000,03200,0000,3200SUPPORT SURFACES 433471,A000000,03550,0000,3550FQHC 433471,A000000,04800,0000,4800AMBULANCE 433471,A000000,05000,0000,5000CORF 433471,A000000,05010,0000,5010CMHC 433471,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433471,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433471,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433471,A000000,05300,0000,5300INTEREST EXPENSE 433471,A81000A,00100,0100,Y 433471,A81000B,00100,0300,MANAGEMENT FEES 433471,A81000B,00200,0300,MANAGEMENT FEES 433471,A81000B,00300,0300,MANAGEMENT FEES 433471,A81000B,00400,0300,MANAGEMENT FEES 433471,A81000C,00100,0100,A 433471,A81000C,00100,0200,DAVID W. CECIL 433471,A81000C,00100,0400,HEALTH CARE COR 433471,A81000C,00100,0600,MANAGEMENT & H. 433471,A81000C,00200,0100,A 433471,A81000C,00200,0200,DAVID W. CECIL 433471,A81000C,00200,0400,HEALTH CARE COR 433471,A81000C,00200,0600,MANAGEMENT & H. 433471,A81000C,00300,0100,A 433471,A81000C,00300,0200,DAVID W. CECIL 433471,A81000C,00300,0400,HEALTH CARE COR 433471,A81000C,00300,0600,MANAGEMENT & H. 433471,A81000C,00400,0100,A 433471,A81000C,00400,0200,DAVID W. CECIL 433471,A81000C,00400,0400,HEALTH CARE COR 433471,A81000C,00400,0600,MANAGEMENT & H. 433471,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433471,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433471,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433471,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433471,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433471,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433471,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433471,B100000,00000,0800,0800MEALS SERVED :DIETARY 433471,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 433471,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433471,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433471,E10A180,00301,0100,09/30/11 433471,E10A180,00550,0100,03/01/12 433471,S000000,00100,0200,03/01/12 433471,S200000,00100,0100,1450 STATE ROAD 433471,S200000,00200,0100,CHERAW 433471,S200000,00200,0200,SC 433471,S200000,00200,0300,29520 433471,S200000,00300,0100,CHESTERFIELD 433471,S200000,00300,0201,99942 433471,S200000,00300,0300,R 433471,S200000,00400,0100,CHESTERFIELD CONVALESCENT CTR INC. 433471,S200000,00400,0200,425302 433471,S200000,00400,0300,03/22/91 433471,S200000,00400,0500,P 433471,S200000,01500,0100,Y 433471,S200000,01501,0200,N 433471,S200000,01502,0200,N 433471,S200000,01503,0200,N 433471,S200000,01504,0200,N 433471,S200000,01600,0100,N 433471,S200000,01700,0100,N 433471,S200000,01800,0100,N 433471,S200000,02200,0100,Y 433471,S200000,02800,0100,Y 433471,S200000,02900,0100,N 433471,S200000,03000,0100,N 433471,S200000,03100,0100,N 433471,S200000,03200,0100,N 433471,S200000,03300,0100,N 433471,S200000,03300,0200,N 433471,S200000,03600,0100,N 433471,S200000,03600,0200,N 433471,S200000,04100,0100,N 433471,S200000,04200,0100,N 433471,S200000,04300,0100,N 433471,S200000,04600,0100,N 433471,S200000,04700,0100,N 433471,S200000,04700,0200,N 433471,S200000,04900,0100,N 433471,S200000,05000,0100,N 433471,S200000,05100,0100,N 433471,S200000,05200,0100,N 433471,S200000,05300,0100,Y 433471,S200000,05300,0200,42HO50 433471,S200000,05400,0100,HEALTH CARE CORPORATION 433471,S200000,05400,0200,PGBA 433471,S200000,05400,0300,00380 433471,S200000,05500,0200,5419 433471,S200000,05600,0100,SPARTANBURG 433471,S200000,05600,0200,SC 433471,S200000,05600,0300,29304 433491,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433491,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433491,A000000,00300,0000,0300EMPLOYEE BENEFITS 433491,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433491,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433491,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433491,A000000,00700,0000,0700HOUSEKEEPING 433491,A000000,00800,0000,0800DIETARY 433491,A000000,00900,0000,0900NURSING ADMINISTRATION 433491,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433491,A000000,01100,0000,1100PHARMACY 433491,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433491,A000000,01300,0000,1300SOCIAL SERVICE 433491,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433491,A000000,01500,0000,1350ACTIVITIES / RECREATION 433491,A000000,01600,0000,1600SKILLED NURSING FACILITY 433491,A000000,01810,0000,1810ICF/MR 433491,A000000,02100,0000,2100RADIOLOGY 433491,A000000,02200,0000,2200LABORATORY 433491,A000000,02300,0000,2300INTRAVENOUS THERAPY 433491,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433491,A000000,02500,0000,2500PHYSICAL THERAPY 433491,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433491,A000000,02700,0000,2700SPEECH PATHOLOGY 433491,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433491,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433491,A000000,03200,0000,3200SUPPORT SURFACES 433491,A000000,03300,0000,3050PEN SERVICES 433491,A000000,03550,0000,3550FQHC 433491,A000000,04801,0000,4801AMBULANCE 433491,A000000,04802,0000,4802AMBULANCE 433491,A000000,04803,0000,4803AMBULANCE 433491,A000000,05000,0000,5000CORF 433491,A000000,05010,0000,5010CMHC 433491,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433491,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433491,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433491,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433491,A81000A,00100,0100,Y 433491,A81000B,00100,0300,HOME OFFICE A & G 433491,A81000B,00200,0300,DIRECT INT. & AMORT. 433491,A81000B,00300,0300,H. O. CAPITAL 433491,A81000B,00400,0300,PT 433491,A81000B,00500,0300,OT 433491,A81000B,00600,0300,ST 433491,A81000B,00700,0300,NUTRTIONIST 433491,A81000B,00800,0300,RT 433491,A81000B,00900,0300,MEDICAL DIRECTOR 433491,A81000B,01000,0300,PURCH. SERVICES 433491,A81000C,00100,0100,B 433491,A81000C,00100,0200,GENESIS HEALTHC 433491,A81000C,00100,0600,MGMT. COMPANY 433491,A81000C,00200,0100,B 433491,A81000C,00200,0200,GENESIS SERVICE 433491,A81000C,00200,0600,VARIOUS 433491,A81000C,00300,0100,B 433491,A81000C,00300,0200,GENESIS REHAB 433491,A81000C,00300,0600,REHAB 433491,A81000C,00400,0100,B 433491,A81000C,00400,0200,GENESIS HOSPITA 433491,A81000C,00400,0600,NUTRITIONIST 433491,A81000C,00500,0100,B 433491,A81000C,00500,0200,RESPIRATORY HEA 433491,A81000C,00500,0600,RT 433491,B100000,00000,0100,0100SQUARE FEET 433491,B100000,00000,0200,0200SQUARE FEET 433491,B100000,00000,0300,0300GROSS SALARIES 433491,B100000,00000,0400,0400ACCUM COST 433491,B100000,00000,0500,0500SQUARE FEET 433491,B100000,00000,0600,0600PATIENT DAYS 433491,B100000,00000,0700,0700SQUARE FEET 433491,B100000,00000,0800,0800MEALS SERVED 433491,B100000,00000,0900,0900PATIENT DAYS 433491,B100000,00000,1000,1000COSTED REQUIS 433491,B100000,00000,1100,1100COSTED REQUIS 433491,B100000,00000,1200,1200GROSS CHARGES 433491,B100000,00000,1300,1300PATIENT DAYS 433491,B100000,00000,1400,1400ASSIGNED TIME 433491,B100000,00000,1500,1350PATIENT DAYS 433491,E10A180,00501,0100,10/17/11 433491,E10A180,00501,0300,10/17/11 433491,G300000,02500,0000,MISC. REVENUE 433491,S000000,00100,0200,09/06/11 433491,S200000,00100,0100,35 MILKSHAKE LANE 433491,S200000,00200,0100,ANNAPOLIS 433491,S200000,00200,0200,MD 433491,S200000,00200,0300,21403 433491,S200000,00300,0100,BALTIMORE 433491,S200000,00300,0201,12580 433491,S200000,00300,0300,U 433491,S200000,00400,0100,SPA CREEK CENTER 433491,S200000,00400,0200,215258 433491,S200000,00400,0300,01/01/94 433491,S200000,00400,0500,P 433491,S200000,01500,0100,Y 433491,S200000,01501,0200,N 433491,S200000,01502,0200,N 433491,S200000,01503,0200,N 433491,S200000,01504,0200,N 433491,S200000,01505,0000,DON BONUS 433491,S200000,01505,0200,N 433491,S200000,01600,0100,N 433491,S200000,01700,0100,N 433491,S200000,01800,0100,N 433491,S200000,02200,0100,Y 433491,S200000,02800,0100,N 433491,S200000,02900,0100,N 433491,S200000,03000,0100,N 433491,S200000,03100,0100,N 433491,S200000,03200,0100,N 433491,S200000,03300,0100,N 433491,S200000,03300,0200,N 433491,S200000,04200,0100,N 433491,S200000,04300,0100,N 433491,S200000,04600,0100,N 433491,S200000,04700,0100,N 433491,S200000,04900,0100,N 433491,S200000,05200,0100,N 433491,S200000,05300,0100,Y 433491,S200000,05300,0200,HB0067 433491,S200000,05400,0100,GENESIS HEALTHCARE 433491,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433491,S200000,05400,0300,12001 433491,S200000,05500,0100,101 EAST STATE STREET 433491,S200000,05600,0100,KENNETT SQUARE 433491,S200000,05600,0200,PA 433491,S200000,05600,0300,19348 433492,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433492,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433492,A000000,00300,0000,0300EMPLOYEE BENEFITS 433492,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433492,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433492,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433492,A000000,00700,0000,0700HOUSEKEEPING 433492,A000000,00800,0000,0800DIETARY 433492,A000000,00900,0000,0900NURSING ADMINISTRATION 433492,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433492,A000000,01100,0000,1100PHARMACY 433492,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433492,A000000,01300,0000,1300SOCIAL SERVICE 433492,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433492,A000000,01500,0000,1350ACTIVITIES 433492,A000000,01600,0000,1600SKILLED NURSING FACILITY 433492,A000000,01810,0000,1810ICF/MR 433492,A000000,01900,0000,1900OTHER LONG TERM CARE 433492,A000000,02100,0000,2100RADIOLOGY 433492,A000000,02200,0000,2200LABORATORY 433492,A000000,02300,0000,2300INTRAVENOUS THERAPY 433492,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433492,A000000,02500,0000,2500PHYSICAL THERAPY 433492,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433492,A000000,02700,0000,2700SPEECH PATHOLOGY 433492,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433492,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433492,A000000,03300,0000,3050PEN BILLING 433492,A000000,03550,0000,3550FQHC 433492,A000000,04801,0000,4801AMBULANCE 433492,A000000,04802,0000,4802AMBULANCE 433492,A000000,04803,0000,4803AMBULANCE 433492,A000000,05000,0000,5000CORF 433492,A000000,05010,0000,5010CMHC 433492,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433492,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433492,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433492,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433492,A81000A,00100,0100,N 433492,B100000,00000,0100,0100SQUARE FEET 433492,B100000,00000,0200,0200SQUARE FEET 433492,B100000,00000,0300,0300GROSS SALARIES 433492,B100000,00000,0400,0400ACCUM COST 433492,B100000,00000,0500,0500SQUARE FEET 433492,B100000,00000,0600,0600PT DAYS 433492,B100000,00000,0700,0700SQ FT 433492,B100000,00000,0800,0800MEALS SERVED 433492,B100000,00000,0900,0900PT DAYS 433492,B100000,00000,1000,1000COSTED REQUIS 433492,B100000,00000,1100,1100COSTED REQUIS 433492,B100000,00000,1200,1200GROSS CHARGES 433492,B100000,00000,1300,1300PT DAYS 433492,B100000,00000,1400,1400ASSIGNED TIME 433492,B100000,00000,1500,1350PT DAYS 433492,E10A180,00501,0100,01/30/12 433492,E10A180,00501,0300,01/30/12 433492,G300000,02500,0000,MISC INCOME 433492,S000000,00100,0200,01/04/12 433492,S200000,00100,0100,550 GLENWOOD DRIVE 433492,S200000,00200,0100,MOORESVILLE 433492,S200000,00200,0200,NC 433492,S200000,00200,0300,28114 433492,S200000,00300,0100,IREDELL 433492,S200000,00300,0201,99934 433492,S200000,00300,0300,R 433492,S200000,00400,0100,MOORESVILLE CENTER 433492,S200000,00400,0200,345283 433492,S200000,00400,0300,01/01/88 433492,S200000,00400,0500,P 433492,S200000,01500,0100,Y 433492,S200000,01501,0200,N 433492,S200000,01502,0200,N 433492,S200000,01503,0200,N 433492,S200000,01504,0200,N 433492,S200000,01505,0000,DON BONUS 433492,S200000,01505,0200,N 433492,S200000,01600,0100,N 433492,S200000,01700,0100,N 433492,S200000,01800,0100,N 433492,S200000,02200,0100,Y 433492,S200000,02800,0100,N 433492,S200000,02900,0100,N 433492,S200000,03000,0100,N 433492,S200000,03100,0100,N 433492,S200000,03200,0100,N 433492,S200000,03300,0100,N 433492,S200000,03300,0200,N 433492,S200000,04200,0100,N 433492,S200000,04300,0100,N 433492,S200000,04600,0100,N 433492,S200000,04700,0100,N 433492,S200000,04900,0100,N 433492,S200000,05200,0100,N 433492,S200000,05300,0100,N 433493,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433493,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433493,A000000,00300,0000,0300EMPLOYEE BENEFITS 433493,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433493,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433493,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433493,A000000,00700,0000,0700HOUSEKEEPING 433493,A000000,00800,0000,0800DIETARY 433493,A000000,00900,0000,0900NURSING ADMINISTRATION 433493,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433493,A000000,01100,0000,1100PHARMACY 433493,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433493,A000000,01300,0000,1300SOCIAL SERVICE 433493,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433493,A000000,01500,0000,1350RECREATION 433493,A000000,01600,0000,1600SKILLED NURSING FACILITY 433493,A000000,01810,0000,1810ICF/MR 433493,A000000,02100,0000,2100RADIOLOGY 433493,A000000,02200,0000,2200LABORATORY 433493,A000000,02300,0000,2300INTRAVENOUS THERAPY 433493,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433493,A000000,02500,0000,2500PHYSICAL THERAPY 433493,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433493,A000000,02700,0000,2700SPEECH PATHOLOGY 433493,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433493,A000000,03550,0000,3550FQHC 433493,A000000,04801,0000,4801AMBULANCE 433493,A000000,04802,0000,4802AMBULANCE 433493,A000000,04803,0000,4803AMBULANCE 433493,A000000,05000,0000,5000CORF 433493,A000000,05010,0000,5010CMHC 433493,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433493,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433493,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433493,A81000A,00100,0100,Y 433493,A81000B,00100,0300,SEE ATTACHED 433493,A81000B,00200,0300,HOME OFFICE INTEREST 433493,A81000B,00300,0300,HOME OFFICE A&G 433493,A81000B,00400,0300,HOME OFFICE CAP PIEC 433493,A81000C,00100,0100,B 433493,A81000C,00100,0400,SEE ATTACHED 433493,A81000C,00100,0600,VARIOUS 433493,A81000C,00200,0100,B 433493,A81000C,00200,0400,GHC 433493,A81000C,00200,0600,LONG TERM CARE 433493,A81000C,00300,0100,B 433493,A81000C,00300,0400,GHC 433493,A81000C,00300,0600,LONG TERM CARE 433493,A81000C,00400,0100,B 433493,A81000C,00400,0400,GHC 433493,A81000C,00400,0600,LONG TERM CARE 433493,B100000,00000,0100,0100SQUARE FEET 433493,B100000,00000,0200,0200SQUARE FEET 433493,B100000,00000,0300,0300GROSS SALARIES 433493,B100000,00000,0400,0400ACCUM COST 433493,B100000,00000,0500,0500SQUARE FEET 433493,B100000,00000,0600,0600PATIENT DAYS 433493,B100000,00000,0700,0700SQUARE FEET 433493,B100000,00000,0800,0800MEALS SERVED 433493,B100000,00000,0900,0900NURSING SALARIES 433493,B100000,00000,1000,1000COSTED REQUIS 433493,B100000,00000,1100,1100COSTED REQUIS 433493,B100000,00000,1200,1200PATIENT DAYS 433493,B100000,00000,1300,1300PATIENT DAYS 433493,B100000,00000,1400,1400ASSIGNED TIME 433493,B100000,00000,1500,1350PATIENT DAYS 433493,E10A180,00501,0300,10/17/11 433493,E10A180,00550,0100,10/17/11 433493,G300000,02500,0000,BARBER AND BEAUTY 433493,S000000,00100,0200,09/12/11 433493,S200000,00100,0100,8100 WASHINGTON LANE 433493,S200000,00200,0100,WYNCOTE 433493,S200000,00200,0200,PA 433493,S200000,00200,0300,19095 433493,S200000,00300,0100,MONTGOMERY 433493,S200000,00300,0201,37964 433493,S200000,00300,0300,U 433493,S200000,00400,0100,HOPKINS CENTER 433493,S200000,00400,0200,395342 433493,S200000,00400,0300,05/04/76 433493,S200000,00400,0500,P 433493,S200000,01500,0100,Y 433493,S200000,01501,0200,N 433493,S200000,01502,0200,N 433493,S200000,01503,0200,N 433493,S200000,01504,0200,N 433493,S200000,01600,0100,N 433493,S200000,01700,0100,N 433493,S200000,01800,0100,N 433493,S200000,02200,0100,Y 433493,S200000,02800,0100,N 433493,S200000,02900,0100,N 433493,S200000,03000,0100,N 433493,S200000,03100,0100,N 433493,S200000,03200,0100,N 433493,S200000,03300,0100,N 433493,S200000,03300,0200,N 433493,S200000,04200,0100,N 433493,S200000,04300,0100,N 433493,S200000,04600,0100,N 433493,S200000,04700,0100,N 433493,S200000,04900,0100,N 433493,S200000,05200,0100,N 433493,S200000,05300,0100,Y 433493,S200000,05300,0200,HB0067 433493,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433493,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433493,S200000,05400,0300,12001 433493,S200000,05500,0100,101 EAST STATE STREET 433493,S200000,05600,0100,KENNETT SQUARE 433493,S200000,05600,0200,PA 433493,S200000,05600,0300,19348 433494,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433494,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433494,A000000,00300,0000,0300EMPLOYEE BENEFITS 433494,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433494,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433494,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433494,A000000,00700,0000,0700HOUSEKEEPING 433494,A000000,00800,0000,0800DIETARY 433494,A000000,00900,0000,0900NURSING ADMINISTRATION 433494,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433494,A000000,01100,0000,1100PHARMACY 433494,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433494,A000000,01300,0000,1300SOCIAL SERVICE 433494,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433494,A000000,01500,0000,1350OTHER GENERAL SERVICES 433494,A000000,01600,0000,1600SKILLED NURSING FACILITY 433494,A000000,01800,0000,1800NURSING FACILITY 433494,A000000,01810,0000,1810ICF/MR 433494,A000000,01900,0000,1900OTHER LONG TERM CARE 433494,A000000,02100,0000,2100RADIOLOGY 433494,A000000,02200,0000,2200LABORATORY 433494,A000000,02300,0000,2300INTRAVENOUS THERAPY 433494,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433494,A000000,02500,0000,2500PHYSICAL THERAPY 433494,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433494,A000000,02700,0000,2700SPEECH PATHOLOGY 433494,A000000,02800,0000,2800ELECTROCARDIOLOGY 433494,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433494,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433494,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433494,A000000,03200,0000,3200SUPPORT SURFACES 433494,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433494,A000000,03400,0000,3400CLINIC 433494,A000000,03500,0000,3500RURAL HEALTH CLINIC 433494,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433494,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433494,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433494,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433494,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433494,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433494,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433494,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433494,A000000,04400,0000,4400DME RENTED - HHA 433494,A000000,04500,0000,4500DME SOLD - HHA 433494,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433494,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433494,A000000,04710,0000,4710TELEMEDICINE 433494,A000000,04800,0000,4800AMBULANCE 433494,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433494,A000000,05000,0000,5000CORF 433494,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433494,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433494,A000000,05300,0000,5300INTEREST EXPENSE 433494,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433494,A000000,05500,0000,5500HOSPICE 433494,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433494,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433494,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433494,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433494,A000000,06100,0000,6100NONPAID WORKERS 433494,A000000,06200,0000,6200PATIENTS LAUNDRY 433494,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433494,A81000A,00100,0100,Y 433494,A81000B,00100,0300,KATHLEEN MOBLEY 433494,A81000C,00100,0100,A 433494,A81000C,00100,0200,KATHLEEN MOBLEY 433494,A81000C,00100,0400,KATHLEEN MOBLEY 433494,A81000C,00100,0600,HOME HEALTH RN 433494,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433494,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433494,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433494,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433494,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433494,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433494,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433494,B100000,00000,0800,0800MEALS SERVED :DIETARY 433494,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433494,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433494,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433494,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433494,E10A180,00501,0300,03/26/12 433494,G300000,02500,0000,BARBER AND BEAUTY REVENUE 433494,G300000,02501,0000,GARAGE INCOME 433494,G300000,02502,0000,INTEREST/ DIVIDEND INCOME 433494,G300000,02503,0000,SEABURY AT HOME INCOME 433494,G300000,02504,0000,CLINIC - COMPANION SERVICE REVENUE 433494,G300000,02506,0000,FITNESS AND WELLNESS INCOME 433494,G300000,02507,0000,ACADEMY INCOME 433494,H513100,00000,0000,25540 433494,H710000,00550,0300,03/26/12 433494,S000000,00100,0200,02/27/12 433494,S200000,00100,0100,200 SEABURY DRIVE 433494,S200000,00200,0100,BLOOMFIELD 433494,S200000,00200,0200,CT 433494,S200000,00200,0300,06002-2650 433494,S200000,00300,0100,HARTFORD 433494,S200000,00300,0200,3283 433494,S200000,00300,0201,25540 433494,S200000,00300,0300,U 433494,S200000,00400,0100,CHURCH HOME OF HARTFORD INC 433494,S200000,00400,0200,075383 433494,S200000,00400,0300,01/21/93 433494,S200000,00400,0500,P 433494,S200000,00800,0200,077227 433494,S200000,00800,0300,04/14/00 433494,S200000,00800,0500,P 433494,S200000,01500,0100,N 433494,S200000,01501,0200,Y 433494,S200000,01600,0100,Y 433494,S200000,01700,0100,N 433494,S200000,01800,0100,N 433494,S200000,02200,0100,N 433494,S200000,02800,0100,Y 433494,S200000,02900,0100,N 433494,S200000,03000,0100,N 433494,S200000,03100,0100,N 433494,S200000,03200,0100,N 433494,S200000,03300,0100,N 433494,S200000,03300,0200,N 433494,S200000,03700,0100,N 433494,S200000,03700,0200,N 433494,S200000,04100,0100,N 433494,S200000,04200,0100,N 433494,S200000,04300,0100,N 433494,S200000,04600,0100,N 433494,S200000,04700,0100,N 433494,S200000,04700,0200,N 433494,S200000,04900,0100,N 433494,S200000,05000,0100,N 433494,S200000,05100,0100,N 433494,S200000,05200,0100,N 433494,S200000,05300,0100,N 433494,S410002,01700,0101,25540 433496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433496,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433496,A000000,00300,0000,0300EMPLOYEE BENEFITS 433496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433496,A000000,00700,0000,0700HOUSEKEEPING 433496,A000000,00800,0000,0800DIETARY 433496,A000000,00900,0000,0900NURSING ADMINISTRATION 433496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433496,A000000,01100,0000,1100PHARMACY 433496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433496,A000000,01300,0000,1300SOCIAL SERVICE 433496,A000000,01500,0000,1350OTHER GENERAL SERVICES 433496,A000000,01600,0000,1600SKILLED NURSING FACILITY 433496,A000000,01800,0000,1800NURSING FACILITY 433496,A000000,01810,0000,1810ICF/MR 433496,A000000,01900,0000,1900OTHER LONG TERM CARE 433496,A000000,02100,0000,2100RADIOLOGY 433496,A000000,02200,0000,2200LABORATORY 433496,A000000,02300,0000,2300INTRAVENOUS THERAPY 433496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433496,A000000,02500,0000,2500PHYSICAL THERAPY 433496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433496,A000000,02700,0000,2700SPEECH PATHOLOGY 433496,A000000,02800,0000,2800ELECTROCARDIOLOGY 433496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433496,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433496,A000000,03200,0000,3200SUPPORT SURFACES 433496,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433496,A000000,03400,0000,3400CLINIC 433496,A000000,03500,0000,3500RURAL HEALTH CLINIC 433496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433496,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433496,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433496,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433496,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433496,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433496,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433496,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433496,A000000,04400,0000,4400DME RENTED - HHA 433496,A000000,04500,0000,4500DME SOLD - HHA 433496,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433496,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433496,A000000,04710,0000,4710TELEMEDICINE 433496,A000000,04800,0000,4800AMBULANCE 433496,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433496,A000000,05000,0000,5000CORF 433496,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433496,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433496,A000000,05300,0000,5300INTEREST EXPENSE 433496,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433496,A000000,05500,0000,5500HOSPICE 433496,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433496,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433496,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433496,A000000,06100,0000,6100NONPAID WORKERS 433496,A000000,06200,0000,6200PATIENTS LAUNDRY 433496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433496,A81000A,00100,0100,Y 433496,A81000B,00100,0300,MANAGEMENT FEE 433496,A81000B,00200,0300,EMPLOYEE BENEFITS 433496,A81000B,00300,0300,NURSING ADMINISTRATION 433496,A81000B,00400,0300,PHYSICAL THERAPY 433496,A81000B,00500,0300,OCCUPATIONAL THERAPY 433496,A81000B,00600,0300,SPEECH THERAPY 433496,A81000C,00100,0100,A 433496,A81000C,00100,0200,JOEY WIGGINS 433496,A81000C,00100,0400,CONVACARE MANAGEMENT INC 433496,A81000C,00100,0600,ADMINISTRATIVE SERVICES 433496,A81000C,00200,0100,A 433496,A81000C,00200,0200,JOEY WIGGINS 433496,A81000C,00200,0400,LIFESRPING REHAB 433496,A81000C,00200,0600,THERAPY SERVICES 433496,A81000C,00300,0100,D 433496,A81000C,00300,0200,DARREN MAGNESS 433496,A81000C,00300,0400,LIFESPRING REHAB 433496,A81000C,00300,0600,THERAPY SERVICES 433496,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433496,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433496,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433496,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433496,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433496,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433496,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433496,B100000,00000,0800,0800MEALS SERVED :DIETARY 433496,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433496,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433496,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433496,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 433496,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433496,S000000,00100,0200,08/20/12 433496,S200000,00100,0100,3300 MILITARY ROAD 433496,S200000,00200,0100,BENTON 433496,S200000,00200,0200,AR 433496,S200000,00200,0300,72015 433496,S200000,00300,0100,SALINE 433496,S200000,00300,0200,4400 433496,S200000,00300,0201,30780 433496,S200000,00300,0300,U 433496,S200000,00400,0100,STONEYBROOK HEALTH & REHAB CENTER 433496,S200000,00400,0200,045399 433496,S200000,00400,0300,11/10/08 433496,S200000,00400,0500,P 433496,S200000,01500,0100,Y 433496,S200000,01501,0200,Y 433496,S200000,01502,0200,Y 433496,S200000,01503,0200,Y 433496,S200000,01504,0200,Y 433496,S200000,01600,0100,N 433496,S200000,01700,0100,N 433496,S200000,01800,0100,N 433496,S200000,02200,0100,N 433496,S200000,02800,0100,N 433496,S200000,02900,0100,N 433496,S200000,03000,0100,N 433496,S200000,03100,0100,N 433496,S200000,03200,0100,N 433496,S200000,03300,0100,N 433496,S200000,03300,0200,N 433496,S200000,04100,0100,N 433496,S200000,04200,0100,N 433496,S200000,04300,0100,N 433496,S200000,04600,0100,N 433496,S200000,04700,0100,N 433496,S200000,04700,0200,N 433496,S200000,04900,0100,N 433496,S200000,05000,0100,N 433496,S200000,05100,0100,N 433496,S200000,05200,0100,N 433497,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433497,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433497,A000000,00300,0000,0300EMPLOYEE BENEFITS 433497,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433497,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433497,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433497,A000000,00700,0000,0700HOUSEKEEPING 433497,A000000,00800,0000,0800DIETARY 433497,A000000,00900,0000,0900NURSING ADMINISTRATION 433497,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433497,A000000,01100,0000,1100PHARMACY 433497,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433497,A000000,01300,0000,1300SOCIAL SERVICE 433497,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433497,A000000,01600,0000,1600SKILLED NURSING FACILITY 433497,A000000,01800,0000,1800NURSING FACILITY 433497,A000000,01900,0000,1900OTHER LONG TERM CARE 433497,A000000,02100,0000,2100RADIOLOGY 433497,A000000,02200,0000,2200LABORATORY 433497,A000000,02300,0000,2300INTRAVENOUS THERAPY 433497,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433497,A000000,02500,0000,2500PHYSICAL THERAPY 433497,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433497,A000000,02700,0000,2700SPEECH PATHOLOGY 433497,A000000,02800,0000,2800ELECTROCARDIOLOGY 433497,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433497,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433497,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433497,A000000,03200,0000,3200SUPPORT SURFACES 433497,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433497,A000000,03400,0000,3400CLINIC 433497,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433497,A000000,04800,0000,4800AMBULANCE 433497,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433497,A000000,05000,0000,5000CORF 433497,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433497,A000000,05300,0000,5300INTEREST EXPENSE 433497,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433497,A000000,05500,0000,5500HOSPICE 433497,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433497,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433497,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433497,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433497,A000000,06100,0000,6100NONPAID WORKERS 433497,A000000,06200,0000,6200PATIENTS LAUNDRY 433497,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433497,A81000A,00100,0100,Y 433497,A81000B,00100,0300,NURSING CONSULTING 433497,A81000B,00200,0300,DIETARY CONSULTING 433497,A81000B,00300,0300,HOME OFFICE 433497,A81000B,00400,0300,INTEREST EXPENSE 433497,A81000B,00500,0300,WORKERS COMP EXPENSE 433497,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433497,A81000B,00700,0300,MAINTENANCE SUPPLIES 433497,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433497,A81000B,00900,0300,REPAIRS - EQUIPMENT 433497,A81000B,01000,0300,LINEN & BEDDING 433497,A81000B,01100,0300,LAUNDRY SUPPLIES 433497,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 433497,A81000B,01300,0300,DIETARY SUPPLEMENTS 433497,A81000B,01400,0300,DIETARY SUPPLIES 433497,A81000B,01500,0300,BIO-MEDICAL WASTE 433497,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 433497,A81000B,01700,0300,PERSONAL CARE SUPPLIES 433497,A81000B,01800,0300,INCONTINENCE SUPPLIES 433497,A81000B,01900,0300,MEDICAL SUPPLIES 433497,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 433497,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 433497,A81000B,02200,0300,PT SUPPLIES 433497,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 433497,A81000B,02400,0300,OT SUPPLIES 433497,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 433497,A81000B,02600,0300,SP SUPPLIES 433497,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 433497,A81000B,02800,0300,NURSING EQUIPMENT RENTAL 433497,A81000B,02900,0300,NON-LEGEND DRUGS 433497,A81000C,00100,0100,B 433497,A81000C,00100,0400,BRITTHAVEN INC 433497,A81000C,00100,0600,MGMT SERVICES 433497,A81000C,00200,0100,B 433497,A81000C,00200,0400,BRITTHAVEN INC 433497,A81000C,00200,0600,MGMT SERVICES 433497,A81000C,00300,0100,B 433497,A81000C,00300,0400,BRITTHAVEN INC 433497,A81000C,00300,0600,MGMT SERVICES 433497,A81000C,00400,0100,B 433497,A81000C,00400,0400,BRITTHAVEN INC 433497,A81000C,00400,0600,MGMT SERVICES 433497,A81000C,00500,0100,A 433497,A81000C,00500,0200,DISCOVERY INSUR 433497,A81000C,00500,0600,INSURANCE 433497,A81000C,00600,0100,A 433497,A81000C,00600,0200,QUEENSLAND ASSU 433497,A81000C,00600,0600,INSURANCE 433497,A81000C,00700,0100,B 433497,A81000C,00700,0400,KARE MEDICAL 433497,A81000C,00700,0600,WHOLESALE SUPPL 433497,A81000C,00800,0100,B 433497,A81000C,00800,0400,KARE MEDICAL 433497,A81000C,00800,0600,WHOLESALE SUPPL 433497,A81000C,00900,0100,B 433497,A81000C,00900,0400,KARE MEDICAL 433497,A81000C,00900,0600,WHOLESALE SUPPL 433497,A81000C,01000,0100,B 433497,A81000C,01000,0400,KARE MEDICAL 433497,A81000C,01000,0600,WHOLESALE SUPPL 433497,A81000C,01001,0100,B 433497,A81000C,01001,0400,KARE MEDICAL 433497,A81000C,01001,0600,WHOLESALE SUPPL 433497,A81000C,01002,0100,B 433497,A81000C,01002,0400,KARE MEDICAL 433497,A81000C,01002,0600,WHOLESALE SUPPL 433497,A81000C,01003,0100,B 433497,A81000C,01003,0400,KARE MEDICAL 433497,A81000C,01003,0600,WHOLESALE SUPPL 433497,A81000C,01004,0100,B 433497,A81000C,01004,0400,KARE MEDICAL 433497,A81000C,01004,0600,WHOLESALE SUPPL 433497,A81000C,01005,0100,B 433497,A81000C,01005,0400,KARE MEDICAL 433497,A81000C,01005,0600,WHOLESALE SUPPL 433497,A81000C,01006,0100,B 433497,A81000C,01006,0400,KARE MEDICAL 433497,A81000C,01006,0600,WHOLESALE SUPPL 433497,A81000C,01007,0100,B 433497,A81000C,01007,0400,KARE MEDICAL 433497,A81000C,01007,0600,WHOLESALE SUPPL 433497,A81000C,01008,0100,B 433497,A81000C,01008,0400,KARE MEDICAL 433497,A81000C,01008,0600,WHOLESALE SUPPL 433497,A81000C,01009,0100,B 433497,A81000C,01009,0400,KARE MEDICAL 433497,A81000C,01009,0600,WHOLESALE SUPPL 433497,A81000C,01010,0100,B 433497,A81000C,01010,0400,KARE MEDICAL 433497,A81000C,01010,0600,WHOLESALE SUPPL 433497,A81000C,01011,0100,B 433497,A81000C,01011,0400,KARE MEDICAL 433497,A81000C,01011,0600,WHOLESALE SUPPL 433497,A81000C,01012,0100,B 433497,A81000C,01012,0400,KARE MEDICAL 433497,A81000C,01012,0600,WHOLESALE SUPPL 433497,A81000C,01013,0100,B 433497,A81000C,01013,0400,KARE MEDICAL 433497,A81000C,01013,0600,WHOLESALE SUPPL 433497,A81000C,01014,0100,B 433497,A81000C,01014,0400,KARE MEDICAL 433497,A81000C,01014,0600,WHOLESALE SUPPL 433497,A81000C,01015,0100,B 433497,A81000C,01015,0400,KARE MEDICAL 433497,A81000C,01015,0600,WHOLESALE SUPPL 433497,A81000C,01016,0100,B 433497,A81000C,01016,0400,KARE MEDICAL 433497,A81000C,01016,0600,WHOLESALE SUPPL 433497,A81000C,01017,0100,B 433497,A81000C,01017,0400,KARE MEDICAL 433497,A81000C,01017,0600,WHOLESALE SUPPL 433497,A81000C,01018,0100,B 433497,A81000C,01018,0400,PHARMSAVE 433497,A81000C,01018,0600,RX SUPPLY 433497,A81000C,01019,0100,B 433497,A81000C,01019,0400,PHARMSAVE 433497,A81000C,01019,0600,RX SUPPLY 433497,A81000C,01020,0100,B 433497,A81000C,01020,0400,PHARMSAVE 433497,A81000C,01020,0600,RX SUPPLY 433497,A81000C,01021,0100,B 433497,A81000C,01021,0400,PHARMSAVE 433497,A81000C,01021,0600,RX SUPPLY 433497,A81000C,01022,0100,B 433497,A81000C,01022,0400,PHARMSAVE 433497,A81000C,01022,0600,RX SUPPLY 433497,A81000C,01023,0100,B 433497,A81000C,01023,0400,ROBERT HILL CON 433497,A81000C,01023,0600,CONSTRUCTION 433497,A81000C,01024,0100,B 433497,A81000C,01024,0400,ROBERT HILL CON 433497,A81000C,01024,0600,CONSTRUCTION 433497,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433497,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433497,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433497,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433497,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433497,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433497,B100000,00000,0800,0800MEALS SERVED :DIETARY 433497,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433497,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433497,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433497,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433497,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433497,G300000,02500,0000, OTHER (SPECIFY) 433497,S000000,00100,0200,02/24/12 433497,S200000,00100,0100,1721 BALD HEAD LOOP 433497,S200000,00200,0100,MADISON 433497,S200000,00200,0200,NC 433497,S200000,00200,0300,27025 433497,S200000,00300,0100,ROCKINGHAM 433497,S200000,00300,0201,24660 433497,S200000,00300,0300,U 433497,S200000,00400,0100,BRITTHAVEN OF MADISON 433497,S200000,00400,0200,345050 433497,S200000,00400,0300,05/08/68 433497,S200000,00400,0500,P 433497,S200000,01500,0100,Y 433497,S200000,01501,0200,Y 433497,S200000,01503,0200,Y 433497,S200000,01504,0200,Y 433497,S200000,01505,0000,OTHER (SPECIFY) 433497,S200000,01505,0200,Y 433497,S200000,01600,0100,N 433497,S200000,01700,0100,N 433497,S200000,01800,0100,N 433497,S200000,02200,0100,N 433497,S200000,02800,0100,N 433497,S200000,02900,0100,N 433497,S200000,03000,0100,N 433497,S200000,03100,0100,Y 433497,S200000,03200,0100,N 433497,S200000,03300,0100,N 433497,S200000,03300,0200,N 433497,S200000,04100,0100,N 433497,S200000,04200,0100,N 433497,S200000,04300,0100,N 433497,S200000,04600,0100,N 433497,S200000,04700,0100,N 433497,S200000,04700,0200,N 433497,S200000,04900,0100,N 433497,S200000,05000,0100,N 433497,S200000,05100,0100,N 433497,S200000,05200,0100,N 433497,S200000,05300,0100,Y 433497,S200000,05300,0200,349011 433497,S200000,05400,0100,BRITTHAVEN INC. 433497,S200000,05400,0200,PALMETTO GBA 433497,S200000,05400,0300,11501 433497,S200000,05500,0100,1435 HWY 258 NORTH 433497,S200000,05500,0200,PO BOX 61 433497,S200000,05600,0100,KINSTON 433497,S200000,05600,0200,NC 433497,S200000,05600,0300,28502 433498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433498,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433498,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433498,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433498,A000000,00300,0000,0300EMPLOYEE BENEFITS 433498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433498,A000000,00700,0000,0700HOUSEKEEPING 433498,A000000,00800,0000,0800DIETARY 433498,A000000,00801,0000,0801CAFETERIA 433498,A000000,00900,0000,0900NURSING ADMINISTRATION 433498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433498,A000000,01100,0000,1100PHARMACY 433498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433498,A000000,01300,0000,1300SOCIAL SERVICE 433498,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433498,A000000,01500,0000,1350ACTIVITIES 433498,A000000,01600,0000,1600SKILLED NURSING FACILITY 433498,A000000,01800,0000,1800NURSING FACILITY 433498,A000000,01900,0000,1900OTHER LONG TERM CARE 433498,A000000,02100,0000,2100RADIOLOGY 433498,A000000,02200,0000,2200LABORATORY 433498,A000000,02300,0000,2300INTRAVENOUS THERAPY 433498,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433498,A000000,02500,0000,2500PHYSICAL THERAPY 433498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433498,A000000,02700,0000,2700SPEECH PATHOLOGY 433498,A000000,02800,0000,2800ELECTROCARDIOLOGY 433498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433498,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433498,A000000,03200,0000,3200SUPPORT SURFACES 433498,A000000,03300,0000,3050ENTERALS 433498,A000000,03301,0000,3051OXYGEN 433498,A000000,03302,0000,3052OTHER ANCILLARY III 433498,A000000,03400,0000,3400CLINIC 433498,A000000,03500,0000,3500RURAL HEALTH CLINIC 433498,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433498,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433498,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433498,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433498,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433498,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433498,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433498,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433498,A000000,04400,0000,4400DME RENTED - HHA 433498,A000000,04500,0000,4500DME SOLD - HHA 433498,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433498,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433498,A000000,04710,0000,4710TELEMEDICINE 433498,A000000,04800,0000,4800AMBULANCE 433498,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433498,A000000,05000,0000,5000CORF 433498,A000000,05001,0000,5001CMHC I 433498,A000000,05020,0000,5020OPT I 433498,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433498,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433498,A000000,05300,0000,5300INTEREST EXPENSE 433498,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433498,A000000,05500,0000,5500HOSPICE 433498,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433498,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433498,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433498,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433498,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433498,A000000,06100,0000,6100NONPAID WORKERS 433498,A000000,06200,0000,6200PATIENTS LAUNDRY 433498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433498,A81000A,00100,0100,Y 433498,A81000B,00100,0300,MANAGEMENT FEES 433498,A81000B,00200,0300,NURSING SUPPLIES 433498,A81000B,00300,0300,LEGEND DRUGS 433498,A81000B,00400,0300,OTC 433498,A81000B,00500,0300,MED SUPPLIES 433498,A81000B,00600,0300,PHAR CONSLT 433498,A81000B,00700,0300,RELATED LEASE 433498,A81000B,00800,0300,DEPRECIATION 433498,A81000B,00900,0300,INTEREST 433498,A81000C,00100,0100,B 433498,A81000C,00100,0400,WOM 433498,A81000C,00100,0600,NSG HOME CHAIN 433498,A81000C,00200,0100,B 433498,A81000C,00200,0400,WOM 433498,A81000C,00200,0600,PHARMACY 433498,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433498,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433498,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433498,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433498,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433498,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433498,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433498,B100000,00000,0800,0800MEALS SERVED :DIETARY 433498,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433498,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433498,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433498,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433498,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433498,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433498,E10A180,00301,0300,07/27/11 433498,E10A180,00350,0100,07/27/11 433498,E10A180,00501,0100,06/08/12 433498,E10A180,00550,0300,06/08/12 433498,S000000,00100,0200,03/21/12 433498,S200000,00100,0100,409 CRAIG AVE 433498,S200000,00100,0300,220130 433498,S200000,00200,0100,CHARLOTTE 433498,S200000,00200,0200,NC 433498,S200000,00200,0300,28222-0130 433498,S200000,00300,0100,MECKLENBURG 433498,S200000,00300,0201,16740 433498,S200000,00300,0300,U 433498,S200000,00400,0100,WHITE OAK MANOR-CHARLOTTE 433498,S200000,00400,0200,345238 433498,S200000,00400,0300,09/30/83 433498,S200000,00400,0500,P 433498,S200000,01500,0100,Y 433498,S200000,01501,0200,Y 433498,S200000,01502,0200,Y 433498,S200000,01503,0200,Y 433498,S200000,01504,0200,Y 433498,S200000,01600,0100,N 433498,S200000,01700,0100,N 433498,S200000,01800,0100,N 433498,S200000,02200,0100,Y 433498,S200000,02800,0100,N 433498,S200000,02900,0100,N 433498,S200000,03000,0100,N 433498,S200000,03100,0100,N 433498,S200000,03200,0100,N 433498,S200000,03300,0100,N 433498,S200000,03300,0200,N 433498,S200000,04100,0100,N 433498,S200000,04200,0100,N 433498,S200000,04300,0100,N 433498,S200000,04600,0100,N 433498,S200000,04700,0100,N 433498,S200000,04700,0200,N 433498,S200000,04900,0100,N 433498,S200000,05000,0100,N 433498,S200000,05100,0100,N 433498,S200000,05200,0100,N 433498,S200000,05300,0100,Y 433498,S200000,05300,0200,HO02 433498,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433498,S200000,05400,0200,PGBA 433498,S200000,05400,0300,00380 433498,S200000,05500,0100,130 EAST MAIN ST. 433498,S200000,05500,0200,3347 433498,S200000,05600,0100,SPARTANBURG 433498,S200000,05600,0200,SC 433498,S200000,05600,0300,29304 433499,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433499,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433499,A000000,00300,0000,0300EMPLOYEE BENEFITS 433499,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433499,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433499,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433499,A000000,00700,0000,0700HOUSEKEEPING 433499,A000000,00800,0000,0800DIETARY 433499,A000000,00900,0000,0900NURSING ADMINISTRATION 433499,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433499,A000000,01100,0000,1100PHARMACY 433499,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433499,A000000,01300,0000,1300SOCIAL SERVICE 433499,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433499,A000000,01600,0000,1600SKILLED NURSING FACILITY 433499,A000000,01800,0000,1800NURSING FACILITY 433499,A000000,01900,0000,1900OTHER LONG TERM CARE 433499,A000000,02100,0000,2100RADIOLOGY 433499,A000000,02200,0000,2200LABORATORY 433499,A000000,02300,0000,2300INTRAVENOUS THERAPY 433499,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433499,A000000,02500,0000,2500PHYSICAL THERAPY 433499,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433499,A000000,02700,0000,2700SPEECH PATHOLOGY 433499,A000000,02800,0000,2800ELECTROCARDIOLOGY 433499,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433499,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433499,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433499,A000000,03200,0000,3200SUPPORT SURFACES 433499,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433499,A000000,03400,0000,3400CLINIC 433499,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433499,A000000,04800,0000,4800AMBULANCE 433499,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433499,A000000,05000,0000,5000CORF 433499,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433499,A000000,05300,0000,5300INTEREST EXPENSE 433499,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433499,A000000,05500,0000,5500HOSPICE 433499,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433499,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433499,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433499,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433499,A000000,06100,0000,6100NONPAID WORKERS 433499,A000000,06200,0000,6200PATIENTS LAUNDRY 433499,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433499,A81000A,00100,0100,Y 433499,A81000B,00100,0300,NURSING CONSULTING 433499,A81000B,00200,0300,DIETARY CONSULTING 433499,A81000B,00300,0300,HOME OFFICE 433499,A81000B,00400,0300,INTEREST EXPENSE 433499,A81000B,00500,0300,WORKERS COMP EXPENSE 433499,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 433499,A81000B,00700,0300,MAINTENANCE SUPPLIES 433499,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433499,A81000B,00900,0300,REPAIRS - EQUIPMENT 433499,A81000B,01000,0300,LINEN & BEDDING 433499,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433499,A81000B,01200,0300,LAUNDRY SUPPLIES 433499,A81000B,01300,0300,PAPER PRODUCTS & HAND SOAP 433499,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 433499,A81000B,01500,0300,DIETARY SUPPLEMENTS 433499,A81000B,01600,0300,DIETARY SUPPLIES 433499,A81000B,01700,0300,BIO-MEDICAL WASTE 433499,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 433499,A81000B,01900,0300,NURSING EQUIPMENT RENTAL 433499,A81000B,02000,0300,PERSONAL CARE SUPPLIES 433499,A81000B,02100,0300,INCONTINENCE SUPPLIES 433499,A81000B,02200,0300,MEDICAL SUPPLIES 433499,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 433499,A81000B,02400,0300,PT SUPPLIES 433499,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 433499,A81000B,02600,0300,NON-LEGEND DRUGS 433499,A81000B,02700,0300,PHARMACY CONSULTANT 433499,A81000B,02800,0300,MED REC SUPPLIES 433499,A81000B,02900,0300,LEGEND DRUGS 433499,A81000C,00100,0100,B 433499,A81000C,00100,0400,BRITTHAVEN INC 433499,A81000C,00100,0600,MGMT SERVICES 433499,A81000C,00200,0100,B 433499,A81000C,00200,0400,BRITTHAVEN INC 433499,A81000C,00200,0600,MGMT SERVICES 433499,A81000C,00300,0100,B 433499,A81000C,00300,0400,BRITTHAVEN INC 433499,A81000C,00300,0600,MGMT SERVICES 433499,A81000C,00400,0100,B 433499,A81000C,00400,0400,BRITTHAVEN INC 433499,A81000C,00400,0600,MGMT SERVICES 433499,A81000C,00500,0100,A 433499,A81000C,00500,0200,DISCOVERY INSUR 433499,A81000C,00500,0400,KARE MEDICAL 433499,A81000C,00500,0600,INSURANCE 433499,A81000C,00600,0100,A 433499,A81000C,00600,0200,QUEENSLAND ASSU 433499,A81000C,00600,0400,KARE MEDICAL 433499,A81000C,00600,0600,INSURANCE 433499,A81000C,00700,0100,B 433499,A81000C,00700,0400,KARE MEDICAL 433499,A81000C,00700,0600,WHOLESALE SUPPL 433499,A81000C,00800,0100,B 433499,A81000C,00800,0400,KARE MEDICAL 433499,A81000C,00800,0600,WHOLESALE SUPPL 433499,A81000C,00900,0100,B 433499,A81000C,00900,0400,KARE MEDICAL 433499,A81000C,00900,0600,WHOLESALE SUPPL 433499,A81000C,01000,0100,B 433499,A81000C,01000,0400,KARE MEDICAL 433499,A81000C,01000,0600,WHOLESALE SUPPL 433499,A81000C,01001,0100,B 433499,A81000C,01001,0400,KARE MEDICAL 433499,A81000C,01001,0600,WHOLESALE SUPPL 433499,A81000C,01002,0100,B 433499,A81000C,01002,0400,KARE MEDICAL 433499,A81000C,01002,0600,WHOLESALE SUPPL 433499,A81000C,01003,0100,B 433499,A81000C,01003,0400,KARE MEDICAL 433499,A81000C,01003,0600,WHOLESALE SUPPL 433499,A81000C,01004,0100,B 433499,A81000C,01004,0400,KARE MEDICAL 433499,A81000C,01004,0600,WHOLESALE SUPPL 433499,A81000C,01005,0100,B 433499,A81000C,01005,0400,KARE MEDICAL 433499,A81000C,01005,0600,WHOLESALE SUPPL 433499,A81000C,01006,0100,B 433499,A81000C,01006,0400,KARE MEDICAL 433499,A81000C,01006,0600,WHOLESALE SUPPL 433499,A81000C,01007,0100,B 433499,A81000C,01007,0400,KARE MEDICAL 433499,A81000C,01007,0600,WHOLESALE SUPPL 433499,A81000C,01008,0100,B 433499,A81000C,01008,0400,KARE MEDICAL 433499,A81000C,01008,0600,WHOLESALE SUPPL 433499,A81000C,01009,0100,B 433499,A81000C,01009,0400,KARE MEDICAL 433499,A81000C,01009,0600,WHOLESALE SUPPL 433499,A81000C,01010,0100,B 433499,A81000C,01010,0400,KARE MEDICAL 433499,A81000C,01010,0600,WHOLESALE SUPPL 433499,A81000C,01011,0100,B 433499,A81000C,01011,0400,KARE MEDICAL 433499,A81000C,01011,0600,WHOLESALE SUPPL 433499,A81000C,01012,0100,B 433499,A81000C,01012,0400,KARE MEDICAL 433499,A81000C,01012,0600,WHOLESALE SUPPL 433499,A81000C,01013,0100,B 433499,A81000C,01013,0400,KARE MEDICAL 433499,A81000C,01013,0600,WHOLESALE SUPPL 433499,A81000C,01014,0100,B 433499,A81000C,01014,0400,KARE MEDICAL 433499,A81000C,01014,0600,WHOLESALE SUPPL 433499,A81000C,01015,0100,B 433499,A81000C,01015,0400,KARE MEDICAL 433499,A81000C,01015,0600,WHOLESALE SUPPL 433499,A81000C,01016,0100,B 433499,A81000C,01016,0400,PHARMSAVE 433499,A81000C,01016,0600,RX SUPPLY 433499,A81000C,01017,0100,B 433499,A81000C,01017,0400,PHARMSAVE 433499,A81000C,01017,0600,RX SUPPLY 433499,A81000C,01018,0100,B 433499,A81000C,01018,0400,PHARMSAVE 433499,A81000C,01018,0600,RX SUPPLY 433499,A81000C,01019,0100,B 433499,A81000C,01019,0400,PHARMSAVE 433499,A81000C,01019,0600,RX SUPPLY 433499,A81000C,01020,0100,B 433499,A81000C,01020,0400,ROBERT HILL CON 433499,A81000C,01020,0600,CONSTRUCTION 433499,A81000C,01021,0100,B 433499,A81000C,01021,0400,ROBERT HILL CON 433499,A81000C,01021,0600,CONSTRUCTION 433499,A81000C,01022,0100,B 433499,A81000C,01022,0400,ROBERT HILL CON 433499,A81000C,01022,0600,CONSTRUCTION 433499,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433499,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433499,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433499,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433499,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433499,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433499,B100000,00000,0800,0800MEALS SERVED :DIETARY 433499,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433499,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433499,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433499,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433499,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433499,G300000,02500,0000, OTHER (SPECIFY) 433499,S000000,00100,0200,02/24/12 433499,S200000,00100,0100,1170 LINKHAW ROAD 433499,S200000,00200,0100,LUMBERTON 433499,S200000,00200,0200,NC 433499,S200000,00200,0300,28358 433499,S200000,00300,0100,ROBESON 433499,S200000,00300,0201,99934 433499,S200000,00300,0300,R 433499,S200000,00400,0100,LINKHAW PLACE 433499,S200000,00400,0200,345315 433499,S200000,00400,0300,04/05/90 433499,S200000,00400,0500,P 433499,S200000,01500,0100,N 433499,S200000,01501,0200,Y 433499,S200000,01503,0200,Y 433499,S200000,01504,0200,Y 433499,S200000,01505,0000,OTHER (SPECIFY) 433499,S200000,01505,0200,Y 433499,S200000,01600,0100,Y 433499,S200000,01700,0100,N 433499,S200000,01800,0100,N 433499,S200000,02200,0100,N 433499,S200000,02800,0100,N 433499,S200000,02900,0100,N 433499,S200000,03000,0100,N 433499,S200000,03100,0100,Y 433499,S200000,03200,0100,N 433499,S200000,03300,0100,N 433499,S200000,03300,0200,N 433499,S200000,04100,0100,N 433499,S200000,04200,0100,N 433499,S200000,04300,0100,N 433499,S200000,04600,0100,N 433499,S200000,04700,0100,N 433499,S200000,04700,0200,N 433499,S200000,04900,0100,N 433499,S200000,05000,0100,N 433499,S200000,05100,0100,N 433499,S200000,05200,0100,N 433499,S200000,05300,0100,Y 433499,S200000,05300,0200,349011 433499,S200000,05400,0100,BRITTHAVEN INC. 433499,S200000,05400,0200,PALMETTO GBA 433499,S200000,05400,0300,11501 433499,S200000,05500,0100,1435 HWY 258 NORTH 433499,S200000,05500,0200,P.O. BOX 433499,S200000,05600,0100,KINSTON 433499,S200000,05600,0200,NC 433499,S200000,05600,0300,28502 433500,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433500,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433500,A000000,00300,0000,0300EMPLOYEE BENEFITS 433500,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433500,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433500,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433500,A000000,00700,0000,0700HOUSEKEEPING 433500,A000000,00800,0000,0800DIETARY 433500,A000000,00900,0000,0900NURSING ADMINISTRATION 433500,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433500,A000000,01100,0000,1100PHARMACY 433500,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433500,A000000,01300,0000,1300SOCIAL SERVICE 433500,A000000,01500,0000,1350RECREATION/ACTIVITIES 433500,A000000,01600,0000,1600SKILLED NURSING FACILITY 433500,A000000,01800,0000,1800NURSING FACILITY 433500,A000000,01900,0000,1900OTHER LONG TERM CARE 433500,A000000,02100,0000,2100RADIOLOGY 433500,A000000,02200,0000,2200LABORATORY 433500,A000000,02300,0000,2300INTRAVENOUS THERAPY 433500,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433500,A000000,02500,0000,2500PHYSICAL THERAPY 433500,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433500,A000000,02700,0000,2700SPEECH PATHOLOGY 433500,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433500,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433500,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433500,A000000,03200,0000,3200SUPPORT SURFACES 433500,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433500,A000000,03301,0000,3051PEN THERAPY 433500,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433500,A000000,04800,0000,4800AMBULANCE 433500,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433500,A000000,05300,0000,5300INTEREST EXPENSE 433500,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433500,A000000,05500,0000,5500HOSPICE 433500,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433500,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433500,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433500,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433500,A000000,06100,0000,6100NONPAID WORKERS 433500,A000000,06200,0000,6200PATIENTS LAUNDRY 433500,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433500,A81000A,00100,0100,Y 433500,A81000B,00100,0300,HOME OFFICE COSTS 433500,A81000B,00200,0300,HOME OFFICE COSTS 433500,A81000B,00300,0300,HOME OFFICE COSTS 433500,A81000B,00400,0300,COMPANY WOUND VACS 433500,A81000C,00100,0100,D 433500,A81000C,00100,0200,MFNC 433500,A81000C,00100,0400,MFNC 433500,A81000C,00100,0600,MGMT. 433500,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433500,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433500,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433500,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433500,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433500,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433500,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433500,B100000,00000,0800,0800MEALS SERVED :DIETARY 433500,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433500,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433500,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433500,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433500,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433500,E10A180,00350,0100,07/27/11 433500,E10A180,00501,0100,05/24/12 433500,G300000,02500,0000,MISCELLANEOUS 433500,S000000,00100,0200,02/29/12 433500,S200000,00100,0100,1987 HILTON ROAD 433500,S200000,00200,0100,BURLINGTON 433500,S200000,00200,0200,NC 433500,S200000,00200,0300,27217 433500,S200000,00300,0100,ALAMANCE 433500,S200000,00300,0200,1550 433500,S200000,00300,0201,15500 433500,S200000,00300,0300,U 433500,S200000,00400,0100,ALAMANCE HEALTH CARE CENTER 433500,S200000,00400,0200,345420 433500,S200000,00400,0300,04/23/92 433500,S200000,00400,0500,P 433500,S200000,01500,0100,Y 433500,S200000,01501,0200,N 433500,S200000,01502,0200,Y 433500,S200000,01504,0200,Y 433500,S200000,01600,0100,N 433500,S200000,01700,0100,N 433500,S200000,01800,0100,N 433500,S200000,02200,0100,N 433500,S200000,02800,0100,Y 433500,S200000,02900,0100,N 433500,S200000,03000,0100,N 433500,S200000,03100,0100,N 433500,S200000,03200,0100,N 433500,S200000,03300,0100,N 433500,S200000,03300,0200,N 433500,S200000,04100,0100,N 433500,S200000,04200,0100,N 433500,S200000,04300,0100,N 433500,S200000,04600,0100,N 433500,S200000,04700,0100,N 433500,S200000,04700,0200,N 433500,S200000,04900,0100,N 433500,S200000,05000,0100,N 433500,S200000,05100,0100,N 433500,S200000,05200,0100,N 433500,S200000,05300,0100,Y 433500,S200000,05300,0200,941011 433500,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433500,S200000,05400,0200,PALMETTO GBA 433500,S200000,05400,0300,11001 433500,S200000,05500,0100,2917 PENN FOREST BLVD 433500,S200000,05600,0100,ROANOKE 433500,S200000,05600,0200,VA 433500,S200000,05600,0300,24018 433501,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433501,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433501,A000000,00300,0000,0300EMPLOYEE BENEFITS 433501,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433501,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433501,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433501,A000000,00700,0000,0700HOUSEKEEPING 433501,A000000,00800,0000,0800DIETARY 433501,A000000,00900,0000,0900NURSING ADMINISTRATION 433501,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433501,A000000,01100,0000,1100PHARMACY 433501,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433501,A000000,01300,0000,1300SOCIAL SERVICE 433501,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433501,A000000,01600,0000,1600SKILLED NURSING FACILITY 433501,A000000,01800,0000,1800NURSING FACILITY 433501,A000000,01900,0000,1900OTHER LONG TERM CARE 433501,A000000,02100,0000,2100RADIOLOGY 433501,A000000,02200,0000,2200LABORATORY 433501,A000000,02300,0000,2300INTRAVENOUS THERAPY 433501,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433501,A000000,02500,0000,2500PHYSICAL THERAPY 433501,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433501,A000000,02700,0000,2700SPEECH PATHOLOGY 433501,A000000,02800,0000,2800ELECTROCARDIOLOGY 433501,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433501,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433501,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433501,A000000,03200,0000,3200SUPPORT SURFACES 433501,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433501,A000000,03400,0000,3400CLINIC 433501,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433501,A000000,04800,0000,4800AMBULANCE 433501,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433501,A000000,05000,0000,5000CORF 433501,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433501,A000000,05300,0000,5300INTEREST EXPENSE 433501,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433501,A000000,05500,0000,5500HOSPICE 433501,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433501,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433501,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433501,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433501,A000000,06100,0000,6100NONPAID WORKERS 433501,A000000,06200,0000,6200PATIENTS LAUNDRY 433501,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433501,A81000A,00100,0100,Y 433501,A81000B,00100,0300,NURSING CONSULTING 433501,A81000B,00200,0300,DIETARY CONSULTING 433501,A81000B,00300,0300,HOME OFFICE 433501,A81000B,00400,0300,INTEREST EXPENSE 433501,A81000B,00500,0300,WORKERS COMP EXPENSE 433501,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 433501,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 433501,A81000B,00800,0300,LINEN & BEDDING 433501,A81000B,00900,0300,LAUNDRY SUPPLIES 433501,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 433501,A81000B,01100,0300,DIETARY SUPPLEMENTS 433501,A81000B,01200,0300,DIETARY SUPPLIES 433501,A81000B,01300,0300,BIO-MEDICAL WASTE 433501,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 433501,A81000B,01500,0300,NURSING EQUIPMENT RENTAL 433501,A81000B,01600,0300,PERSONAL CARE SUPPLIES 433501,A81000B,01700,0300,INCONTINENCE SUPPLIES 433501,A81000B,01800,0300,MEDICAL SUPPLIES 433501,A81000B,01900,0300,NON-LEGEND DRUGS 433501,A81000B,02000,0300,PHARMACY CONSULTANT 433501,A81000B,02100,0300,MED REC SUPPLIES 433501,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433501,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 433501,A81000B,02400,0300,LEGEND DRUGS 433501,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 433501,A81000B,02600,0300,NON-LEGEND DRUGS 433501,A81000B,02700,0300,PHARMACY CONSULTANT 433501,A81000B,02800,0300,MED REC SUPPLIES 433501,A81000B,02900,0300,LEGEND DRUGS 433501,A81000C,00100,0100,B 433501,A81000C,00100,0400,BRITTHAVEN INC 433501,A81000C,00100,0600,MGMT SERVICES 433501,A81000C,00200,0100,B 433501,A81000C,00200,0400,BRITTHAVEN INC 433501,A81000C,00200,0600,MGMT SERVICES 433501,A81000C,00300,0100,B 433501,A81000C,00300,0400,BRITTHAVEN INC 433501,A81000C,00300,0600,MGMT SERVICES 433501,A81000C,00400,0100,B 433501,A81000C,00400,0400,BRITTHAVEN INC 433501,A81000C,00400,0600,MGMT SERVICES 433501,A81000C,00500,0100,A 433501,A81000C,00500,0200,DISCOVERY INSUR 433501,A81000C,00500,0600,INSURANCE 433501,A81000C,00600,0100,A 433501,A81000C,00600,0200,QUEENSLAND ASSU 433501,A81000C,00600,0600,INSURANCE 433501,A81000C,00700,0100,B 433501,A81000C,00700,0400,KARE MEDICAL 433501,A81000C,00700,0600,WHOLESALE SUPPL 433501,A81000C,00800,0100,B 433501,A81000C,00800,0400,KARE MEDICAL 433501,A81000C,00800,0600,WHOLESALE SUPPL 433501,A81000C,00900,0100,B 433501,A81000C,00900,0400,KARE MEDICAL 433501,A81000C,00900,0600,WHOLESALE SUPPL 433501,A81000C,01000,0100,B 433501,A81000C,01000,0400,KARE MEDICAL 433501,A81000C,01000,0600,WHOLESALE SUPPL 433501,A81000C,01001,0100,B 433501,A81000C,01001,0400,KARE MEDICAL 433501,A81000C,01001,0600,WHOLESALE SUPPL 433501,A81000C,01002,0100,B 433501,A81000C,01002,0400,KARE MEDICAL 433501,A81000C,01002,0600,WHOLESALE SUPPL 433501,A81000C,01003,0100,B 433501,A81000C,01003,0400,KARE MEDICAL 433501,A81000C,01003,0600,WHOLESALE SUPPL 433501,A81000C,01004,0100,B 433501,A81000C,01004,0400,KARE MEDICAL 433501,A81000C,01004,0600,WHOLESALE SUPPL 433501,A81000C,01005,0100,B 433501,A81000C,01005,0400,KARE MEDICAL 433501,A81000C,01005,0600,WHOLESALE SUPPL 433501,A81000C,01006,0100,B 433501,A81000C,01006,0400,KARE MEDICAL 433501,A81000C,01006,0600,WHOLESALE SUPPL 433501,A81000C,01007,0100,B 433501,A81000C,01007,0400,KARE MEDICAL 433501,A81000C,01007,0600,WHOLESALE SUPPL 433501,A81000C,01008,0100,B 433501,A81000C,01008,0400,KARE MEDICAL 433501,A81000C,01008,0600,WHOLESALE SUPPL 433501,A81000C,01009,0100,B 433501,A81000C,01009,0400,KARE MEDICAL 433501,A81000C,01009,0600,WHOLESALE SUPPL 433501,A81000C,01010,0100,B 433501,A81000C,01010,0400,KARE MEDICAL 433501,A81000C,01010,0600,WHOLESALE SUPPL 433501,A81000C,01011,0100,B 433501,A81000C,01011,0400,KARE MEDICAL 433501,A81000C,01011,0600,WHOLESALE SUPPL 433501,A81000C,01012,0100,B 433501,A81000C,01012,0400,KARE MEDICAL 433501,A81000C,01012,0600,WHOLESALE SUPPL 433501,A81000C,01013,0100,B 433501,A81000C,01013,0400,KARE MEDICAL 433501,A81000C,01013,0600,WHOLESALE SUPPL 433501,A81000C,01014,0100,B 433501,A81000C,01014,0400,KARE MEDICAL 433501,A81000C,01014,0600,WHOLESALE SUPPL 433501,A81000C,01015,0100,B 433501,A81000C,01015,0400,PHARMSAVE 433501,A81000C,01015,0600,RX SUPPLY 433501,A81000C,01016,0100,B 433501,A81000C,01016,0400,PHARMSAVE 433501,A81000C,01016,0600,RX SUPPLY 433501,A81000C,01017,0100,B 433501,A81000C,01017,0400,PHARMSAVE 433501,A81000C,01017,0600,RX SUPPLY 433501,A81000C,01018,0100,B 433501,A81000C,01018,0400,PHARMSAVE 433501,A81000C,01018,0600,RX SUPPLY 433501,A81000C,01019,0100,B 433501,A81000C,01019,0400,PHARMSAVE 433501,A81000C,01019,0600,RX SUPPLY 433501,A81000C,01020,0100,B 433501,A81000C,01020,0400,ROBERT HILL CON 433501,A81000C,01020,0600,CONSTRUCTION 433501,A81000C,01021,0100,B 433501,A81000C,01021,0400,ROBERT HILL CON 433501,A81000C,01021,0600,CONSTRUCTION 433501,A81000C,01022,0100,A 433501,A81000C,01022,0400,NEUSE RIVER COR 433501,A81000C,01022,0600,REAL ESTATE 433501,A81000C,01023,0100,A 433501,A81000C,01023,0400,NEUSE RIVER COR 433501,A81000C,01023,0600,REAL ESTATE 433501,A81000C,01024,0100,A 433501,A81000C,01024,0400,NEUSE RIVER COR 433501,A81000C,01024,0600,REAL ESTATE 433501,A81000C,01025,0100,A 433501,A81000C,01025,0400,NEUSE RIVER COR 433501,A81000C,01025,0600,REAL ESTATE 433501,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433501,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433501,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433501,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433501,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433501,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433501,B100000,00000,0800,0800MEALS SERVED :DIETARY 433501,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433501,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433501,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433501,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433501,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433501,E10A180,00501,0300,12/29/11 433501,E10A180,00550,0100,12/29/11 433501,G300000,02500,0000, OTHER (SPECIFY) 433501,S000000,00100,0200,12/30/11 433501,S200000,00100,0100,3315 FAITH CHURCH ROAD 433501,S200000,00200,0100,INDIAN TRAIL 433501,S200000,00200,0200,NC 433501,S200000,00200,0300,28079 433501,S200000,00300,0100,UNION 433501,S200000,00300,0201,16740 433501,S200000,00300,0300,U 433501,S200000,00400,0100,LAKE PARK NURSING & REHAB CENTER 433501,S200000,00400,0200,345502 433501,S200000,00400,0300,06/07/00 433501,S200000,00400,0500,P 433501,S200000,01500,0100,Y 433501,S200000,01501,0200,Y 433501,S200000,01502,0200,Y 433501,S200000,01503,0200,Y 433501,S200000,01504,0200,Y 433501,S200000,01505,0000,OTHER (SPECIFY) 433501,S200000,01505,0200,Y 433501,S200000,01600,0100,N 433501,S200000,01700,0100,N 433501,S200000,01800,0100,N 433501,S200000,02200,0100,N 433501,S200000,02800,0100,N 433501,S200000,02900,0100,N 433501,S200000,03000,0100,N 433501,S200000,03100,0100,Y 433501,S200000,03200,0100,N 433501,S200000,03300,0100,N 433501,S200000,03300,0200,N 433501,S200000,04100,0100,N 433501,S200000,04200,0100,N 433501,S200000,04300,0100,N 433501,S200000,04600,0100,N 433501,S200000,04700,0100,N 433501,S200000,04700,0200,N 433501,S200000,04900,0100,N 433501,S200000,05000,0100,N 433501,S200000,05100,0100,N 433501,S200000,05200,0100,N 433501,S200000,05300,0100,Y 433501,S200000,05300,0200,349011 433501,S200000,05400,0100,BRITTHAVEN INC. 433501,S200000,05400,0200,PALMETTO GBA 433501,S200000,05400,0300,11501 433501,S200000,05500,0100,1435 HWY 258 NORTH 433501,S200000,05500,0200,P.O. BOX 433501,S200000,05600,0100,KINSTON 433501,S200000,05600,0200,NC 433501,S200000,05600,0300,28502 433502,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433502,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433502,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433502,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433502,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433502,A000000,00700,0000,0700HOUSEKEEPING 433502,A000000,00800,0000,0800DIETARY 433502,A000000,01100,0000,1100PHARMACY 433502,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433502,A000000,01300,0000,1300SOCIAL SERVICE 433502,A000000,01600,0000,1600SKILLED NURSING FACILITY 433502,A000000,01810,0000,1810ICF/MR 433502,A000000,02100,0000,2100RADIOLOGY 433502,A000000,02200,0000,2200LABORATORY 433502,A000000,02500,0000,2500PHYSICAL THERAPY 433502,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433502,A000000,02700,0000,2700SPEECH PATHOLOGY 433502,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433502,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433502,A000000,03550,0000,3550FQHC 433502,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433502,A000000,04800,0000,4800AMBULANCE 433502,A000000,05000,0000,5000CORF 433502,A000000,05010,0000,5010CMHC 433502,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433502,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433502,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433502,A000000,05300,0000,5300INTEREST EXPENSE 433502,A000000,06300,0000,6150MEALS ON WHEELS 433502,A81000A,00100,0100,N 433502,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433502,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433502,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433502,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433502,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433502,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433502,B100000,00000,0800,0800MEALS SERVED :DIETARY 433502,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 433502,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433502,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433502,G300000,02501,0000,MEALS ON WHEELS 433502,S000000,00100,0200,02/27/12 433502,S200000,00100,0100,4452 SOCASTEE BLVD 433502,S200000,00100,0300,1175 433502,S200000,00200,0100,MYRTLE BEACH 433502,S200000,00200,0200,SC 433502,S200000,00200,0300,29575 433502,S200000,00300,0100,HORRY 433502,S200000,00300,0201,34820 433502,S200000,00300,0300,U 433502,S200000,00400,0100,GRAND STRAND HEALTHCARE INC. 433502,S200000,00400,0200,425323 433502,S200000,00400,0300,03/19/92 433502,S200000,00400,0500,P 433502,S200000,00400,0600,O 433502,S200000,01500,0100,Y 433502,S200000,01600,0100,N 433502,S200000,01700,0100,N 433502,S200000,01800,0100,N 433502,S200000,02200,0100,N 433502,S200000,02800,0100,N 433502,S200000,02900,0100,N 433502,S200000,03000,0100,N 433502,S200000,03100,0100,N 433502,S200000,03200,0100,N 433502,S200000,03300,0100,N 433502,S200000,03300,0200,N 433502,S200000,03600,0100,N 433502,S200000,03600,0200,N 433502,S200000,04100,0100,N 433502,S200000,04200,0100,N 433502,S200000,04300,0100,Y 433502,S200000,04600,0100,N 433502,S200000,04700,0100,N 433502,S200000,04700,0200,N 433502,S200000,04900,0100,N 433502,S200000,05000,0100,N 433502,S200000,05100,0100,N 433502,S200000,05200,0100,N 433503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433503,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433503,A000000,00300,0000,0300EMPLOYEE BENEFITS 433503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433503,A000000,00700,0000,0700HOUSEKEEPING 433503,A000000,00800,0000,0800DIETARY 433503,A000000,00900,0000,0900NURSING ADMINISTRATION 433503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433503,A000000,01100,0000,1100PHARMACY 433503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433503,A000000,01300,0000,1300SOCIAL SERVICE 433503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433503,A000000,01600,0000,1600SKILLED NURSING FACILITY 433503,A000000,01810,0000,1810ICF/MR 433503,A000000,01900,0000,1900OTHER LONG TERM CARE 433503,A000000,02200,0000,2200LABORATORY 433503,A000000,02500,0000,2500PHYSICAL THERAPY 433503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433503,A000000,02700,0000,2700SPEECH PATHOLOGY 433503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433503,A000000,03550,0000,3550FQHC 433503,A000000,05000,0000,5000CORF 433503,A000000,05010,0000,5010CMHC 433503,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433503,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433503,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433503,A000000,06300,0000,6150MARKETING 433503,A81000A,00100,0100,Y 433503,A81000B,00100,0300,HOME OFFICE COSTS 433503,A81000B,00200,0300,DEPRECIATION 433503,A81000B,00300,0300,NURSING SERVICES 433503,A81000C,00100,0100,A 433503,A81000C,00100,0200,SC BAPTIST MINI 433503,A81000C,00100,0400,SC BAPTIST MINI 433503,A81000C,00100,0600,HOME OFFICE 433503,A81000C,00200,0100,A 433503,A81000C,00200,0200,SC BAPTIST MINI 433503,A81000C,00200,0400,SC BAPTIST MINI 433503,A81000C,00200,0600,HOME OFFICE 433503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433503,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433503,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433503,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433503,B100000,00000,0800,0800MEALS SERVED :DIETARY 433503,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 433503,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433503,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433503,E10A180,00550,0100,05/15/12 433503,E10A180,00551,0100,02/24/12 433503,S000000,00100,0200,02/24/12 433503,S200000,00100,0100,157 HOME AVENUE 433503,S200000,00200,0100,DARLINGTON 433503,S200000,00200,0200,SC 433503,S200000,00200,0300,29532 433503,S200000,00300,0100,DARLINGTON 433503,S200000,00300,0201,22500 433503,S200000,00300,0300,R 433503,S200000,00400,0100,BETHEA BAPTIST HEALTHCARE 433503,S200000,00400,0200,425372 433503,S200000,00400,0300,06/28/00 433503,S200000,00400,0500,P 433503,S200000,01500,0100,Y 433503,S200000,01501,0200,N 433503,S200000,01502,0200,N 433503,S200000,01503,0200,N 433503,S200000,01504,0200,Y 433503,S200000,01600,0100,N 433503,S200000,01700,0100,N 433503,S200000,01800,0100,N 433503,S200000,02200,0100,N 433503,S200000,02800,0100,Y 433503,S200000,02900,0100,N 433503,S200000,03000,0100,N 433503,S200000,03100,0100,N 433503,S200000,03200,0100,N 433503,S200000,03300,0100,N 433503,S200000,03300,0200,N 433503,S200000,04100,0100,N 433503,S200000,04200,0100,N 433503,S200000,04300,0100,N 433503,S200000,04600,0100,N 433503,S200000,04700,0100,N 433503,S200000,04700,0200,N 433503,S200000,04900,0100,N 433503,S200000,05000,0100,N 433503,S200000,05100,0100,N 433503,S200000,05200,0100,N 433503,S200000,05300,0100,Y 433503,S200000,05300,0200,42-H05 433503,S200000,05400,0100,SC BAPTIST MINISTRIES FOR THE AGING 433503,S200000,05400,0200,SC BAPTIST MINISTRIES FOR THE AGING 433503,S200000,05400,0300,00380 433503,S200000,05500,0100,190 STONERIDGE ROAD 433503,S200000,05600,0100,COLUMBIA 433503,S200000,05600,0200,SC 433503,S200000,05600,0300,29210 433510,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433510,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433510,A000000,00300,0000,0300EMPLOYEE BENEFITS 433510,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433510,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433510,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433510,A000000,00700,0000,0700HOUSEKEEPING 433510,A000000,00800,0000,0800DIETARY 433510,A000000,00900,0000,0900NURSING ADMINISTRATION 433510,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433510,A000000,01100,0000,1100PHARMACY 433510,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433510,A000000,01300,0000,1300SOCIAL SERVICE 433510,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433510,A000000,01500,0000,1350OTHER GENERAL SERVICES 433510,A000000,01600,0000,1600SKILLED NURSING FACILITY 433510,A000000,01800,0000,1800NURSING FACILITY 433510,A000000,01810,0000,1810ICF/MR 433510,A000000,01900,0000,1900OTHER LONG TERM CARE 433510,A000000,02100,0000,2100RADIOLOGY 433510,A000000,02200,0000,2200LABORATORY 433510,A000000,02300,0000,2300INTRAVENOUS THERAPY 433510,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433510,A000000,02500,0000,2500PHYSICAL THERAPY 433510,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433510,A000000,02700,0000,2700SPEECH PATHOLOGY 433510,A000000,02800,0000,2800ELECTROCARDIOLOGY 433510,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433510,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433510,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433510,A000000,03200,0000,3200SUPPORT SURFACES 433510,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433510,A000000,03400,0000,3400CLINIC 433510,A000000,03500,0000,3500RURAL HEALTH CLINIC 433510,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433510,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433510,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433510,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433510,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433510,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433510,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433510,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433510,A000000,04400,0000,4400DME RENTED - HHA 433510,A000000,04500,0000,4500DME SOLD - HHA 433510,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433510,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433510,A000000,04710,0000,4710TELEMEDICINE 433510,A000000,04800,0000,4800AMBULANCE 433510,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433510,A000000,05000,0000,5000CORF 433510,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433510,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433510,A000000,05300,0000,5300INTEREST EXPENSE 433510,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433510,A000000,05500,0000,5500HOSPICE 433510,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433510,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433510,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433510,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433510,A000000,06100,0000,6100NONPAID WORKERS 433510,A000000,06200,0000,6200PATIENTS LAUNDRY 433510,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433510,A81000A,00100,0100,N 433510,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433510,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433510,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433510,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433510,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433510,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433510,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433510,B100000,00000,0800,0800MEALS SERVED :DIETARY 433510,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433510,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433510,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433510,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433510,E10A180,00501,0100,05/11/12 433510,E10A180,00550,0300,05/11/12 433510,G300000,02500,0000,OTHER (SPECIFY) 433510,S000000,00100,0200,02/27/12 433510,S200000,00100,0100,300 WESTWOOD STREET 433510,S200000,00200,0100,GLASGOW 433510,S200000,00200,0200,KY 433510,S200000,00200,0300,42141 433510,S200000,00300,0100,BARREN 433510,S200000,00300,0200,18 433510,S200000,00300,0201,99918 433510,S200000,00300,0300,R 433510,S200000,00400,0100,BARREN COUNTY HEALTH CARE CENTER 433510,S200000,00400,0200,185229 433510,S200000,00400,0300,10/01/97 433510,S200000,00400,0500,P 433510,S200000,01500,0100,Y 433510,S200000,01501,0200,Y 433510,S200000,01600,0100,N 433510,S200000,01700,0100,N 433510,S200000,01800,0100,N 433510,S200000,02200,0100,N 433510,S200000,02800,0100,N 433510,S200000,02900,0100,N 433510,S200000,03000,0100,N 433510,S200000,03100,0100,N 433510,S200000,03200,0100,N 433510,S200000,03300,0100,N 433510,S200000,03300,0200,N 433510,S200000,04100,0100,N 433510,S200000,04200,0100,N 433510,S200000,04300,0100,N 433510,S200000,04600,0100,N 433510,S200000,04700,0100,N 433510,S200000,04700,0200,N 433510,S200000,04900,0100,N 433510,S200000,05000,0100,N 433510,S200000,05100,0100,N 433510,S200000,05200,0100,N 433514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433514,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433514,A000000,00300,0000,0300EMPLOYEE BENEFITS 433514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433514,A000000,00700,0000,0700HOUSEKEEPING 433514,A000000,00800,0000,0800DIETARY 433514,A000000,00900,0000,0900NURSING ADMINISTRATION 433514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433514,A000000,01100,0000,1100PHARMACY 433514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433514,A000000,01300,0000,1300SOCIAL SERVICE 433514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433514,A000000,01500,0000,1350OTHER GENERAL SERVICES 433514,A000000,01600,0000,1600SKILLED NURSING FACILITY 433514,A000000,01800,0000,1800NURSING FACILITY 433514,A000000,01810,0000,1810ICF/MR 433514,A000000,01900,0000,1900OTHER LONG TERM CARE 433514,A000000,02100,0000,2100RADIOLOGY 433514,A000000,02200,0000,2200LABORATORY 433514,A000000,02300,0000,2300INTRAVENOUS THERAPY 433514,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433514,A000000,02500,0000,2500PHYSICAL THERAPY 433514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433514,A000000,02700,0000,2700SPEECH PATHOLOGY 433514,A000000,02800,0000,2800ELECTROCARDIOLOGY 433514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433514,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433514,A000000,03200,0000,3200SUPPORT SURFACES 433514,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433514,A000000,03400,0000,3400CLINIC 433514,A000000,03500,0000,3500RURAL HEALTH CLINIC 433514,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433514,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433514,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433514,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433514,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433514,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433514,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433514,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433514,A000000,04400,0000,4400DME RENTED - HHA 433514,A000000,04500,0000,4500DME SOLD - HHA 433514,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433514,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433514,A000000,04710,0000,4710TELEMEDICINE 433514,A000000,04800,0000,4800AMBULANCE 433514,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433514,A000000,05000,0000,5000CORF 433514,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433514,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433514,A000000,05300,0000,5300INTEREST EXPENSE 433514,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433514,A000000,05500,0000,5500HOSPICE 433514,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433514,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433514,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433514,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433514,A000000,06100,0000,6100NONPAID WORKERS 433514,A000000,06200,0000,6200PATIENTS LAUNDRY 433514,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433514,A81000A,00100,0100,N 433514,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433514,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433514,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433514,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433514,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433514,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433514,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433514,B100000,00000,0800,0800MEALS SERVED :DIETARY 433514,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433514,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433514,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433514,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433514,G300000,02500,0000,OTHER (SPECIFY) 433514,S000000,00100,0200,02/29/12 433514,S200000,00100,0100,142 ROGER POWELL ROAD 433514,S200000,00200,0100,SEBREE 433514,S200000,00200,0200,KY 433514,S200000,00200,0300,42455 433514,S200000,00300,0100,WEBSTER 433514,S200000,00300,0200,0018 433514,S200000,00300,0201,21780 433514,S200000,00300,0300,U 433514,S200000,00400,0100,COLONIAL TERRACE INC 433514,S200000,00400,0200,185291 433514,S200000,00400,0300,11/01/91 433514,S200000,00400,0500,P 433514,S200000,01500,0100,N 433514,S200000,01501,0200,Y 433514,S200000,01600,0100,Y 433514,S200000,01700,0100,N 433514,S200000,01800,0100,N 433514,S200000,02200,0100,N 433514,S200000,02800,0100,N 433514,S200000,02900,0100,N 433514,S200000,03000,0100,N 433514,S200000,03100,0100,N 433514,S200000,03200,0100,N 433514,S200000,03300,0100,N 433514,S200000,03300,0200,N 433514,S200000,03600,0100,N 433514,S200000,03600,0200,N 433514,S200000,04100,0100,N 433514,S200000,04200,0100,N 433514,S200000,04300,0100,N 433514,S200000,04600,0100,N 433514,S200000,04700,0100,N 433514,S200000,04700,0200,N 433514,S200000,04900,0100,N 433514,S200000,05000,0100,N 433514,S200000,05100,0100,N 433514,S200000,05200,0100,N 433518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433518,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433518,A000000,00300,0000,0300EMPLOYEE BENEFITS 433518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433518,A000000,00700,0000,0700HOUSEKEEPING 433518,A000000,00800,0000,0800DIETARY 433518,A000000,00900,0000,0900NURSING ADMINISTRATION 433518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433518,A000000,01100,0000,1100PHARMACY 433518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433518,A000000,01300,0000,1300SOCIAL SERVICE 433518,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433518,A000000,01500,0000,1350OTHER GENERAL SERVICES 433518,A000000,01600,0000,1600SKILLED NURSING FACILITY 433518,A000000,01800,0000,1800NURSING FACILITY 433518,A000000,01810,0000,1810ICF/MR 433518,A000000,01900,0000,1900OTHER LONG TERM CARE 433518,A000000,02100,0000,2100RADIOLOGY 433518,A000000,02200,0000,2200LABORATORY 433518,A000000,02300,0000,2300INTRAVENOUS THERAPY 433518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433518,A000000,02500,0000,2500PHYSICAL THERAPY 433518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433518,A000000,02700,0000,2700SPEECH PATHOLOGY 433518,A000000,02800,0000,2800ELECTROCARDIOLOGY 433518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433518,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433518,A000000,03200,0000,3200SUPPORT SURFACES 433518,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433518,A000000,03400,0000,3400CLINIC 433518,A000000,03500,0000,3500RURAL HEALTH CLINIC 433518,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433518,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433518,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433518,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433518,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433518,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433518,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433518,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433518,A000000,04400,0000,4400DME RENTED - HHA 433518,A000000,04500,0000,4500DME SOLD - HHA 433518,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433518,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433518,A000000,04710,0000,4710TELEMEDICINE 433518,A000000,04800,0000,4800AMBULANCE 433518,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433518,A000000,05000,0000,5000CORF 433518,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433518,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433518,A000000,05300,0000,5300INTEREST EXPENSE 433518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433518,A000000,05500,0000,5500HOSPICE 433518,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433518,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433518,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433518,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433518,A000000,06100,0000,6100NONPAID WORKERS 433518,A000000,06200,0000,6200PATIENTS LAUNDRY 433518,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433518,A81000A,00100,0100,Y 433518,A81000B,00100,0300,MANAGEMENT FEES 433518,A81000C,00100,0100,A 433518,A81000C,00100,0200,HELEN AND MIKE SIMS 433518,A81000C,00100,0400,SAME 433518,A81000C,00100,0600,MANAGEMENT COMPANY 433518,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433518,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433518,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433518,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433518,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433518,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433518,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433518,B100000,00000,0800,0800MEALS SERVED :DIETARY 433518,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433518,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433518,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433518,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433518,E10A180,00501,0100,05/11/12 433518,E10A180,00550,0300,05/11/12 433518,G300000,02500,0000,OTHER (SPECIFY) 433518,S000000,00100,0200,02/29/12 433518,S200000,00100,0100,3100 CLAY STREET 433518,S200000,00200,0100,PADUCAH 433518,S200000,00200,0200,KY 433518,S200000,00200,0300,42001 433518,S200000,00300,0100,MCCRACKEN 433518,S200000,00300,0200,18 433518,S200000,00300,0201,99918 433518,S200000,00300,0300,R 433518,S200000,00400,0100,SUPERIOR CARE HOME 433518,S200000,00400,0200,185227 433518,S200000,00400,0300,10/01/90 433518,S200000,00400,0500,P 433518,S200000,01500,0100,Y 433518,S200000,01501,0200,Y 433518,S200000,01600,0100,N 433518,S200000,01700,0100,N 433518,S200000,01800,0100,N 433518,S200000,02200,0100,N 433518,S200000,02800,0100,N 433518,S200000,02900,0100,N 433518,S200000,03000,0100,N 433518,S200000,03100,0100,N 433518,S200000,03200,0100,N 433518,S200000,03300,0100,N 433518,S200000,03300,0200,N 433518,S200000,04100,0100,N 433518,S200000,04200,0100,N 433518,S200000,04300,0100,N 433518,S200000,04600,0100,N 433518,S200000,04700,0100,N 433518,S200000,04700,0200,N 433518,S200000,04900,0100,N 433518,S200000,05000,0100,N 433518,S200000,05100,0100,N 433518,S200000,05200,0100,N 433522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433522,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433522,A000000,00300,0000,0300EMPLOYEE BENEFITS 433522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433522,A000000,00700,0000,0700HOUSEKEEPING 433522,A000000,00800,0000,0800DIETARY 433522,A000000,00900,0000,0900NURSING ADMINISTRATION 433522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433522,A000000,01100,0000,1100PHARMACY 433522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433522,A000000,01300,0000,1300SOCIAL SERVICE 433522,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433522,A000000,01500,0000,1350RECREATION 433522,A000000,01600,0000,1600SKILLED NURSING FACILITY 433522,A000000,01810,0000,1810ICF/MR 433522,A000000,02100,0000,2100RADIOLOGY 433522,A000000,02200,0000,2200LABORATORY 433522,A000000,02300,0000,2300INTRAVENOUS THERAPY 433522,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433522,A000000,02500,0000,2500PHYSICAL THERAPY 433522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433522,A000000,02700,0000,2700SPEECH PATHOLOGY 433522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433522,A000000,03550,0000,3550FQHC 433522,A000000,04801,0000,4801AMBULANCE 433522,A000000,04802,0000,4802AMBULANCE 433522,A000000,04803,0000,4803AMBULANCE 433522,A000000,05000,0000,5000CORF 433522,A000000,05010,0000,5010CMHC 433522,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433522,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433522,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433522,A81000A,00100,0100,Y 433522,A81000B,00100,0300,SEE ATTACHED 433522,A81000B,00200,0300,HOME OFFICE INTEREST 433522,A81000B,00300,0300,HOME OFFICE ADMIN 433522,A81000B,00400,0300,HOME OFFICE CAPITAL 433522,A81000C,00100,0100,B 433522,A81000C,00100,0400,SEE ATTACHED 433522,A81000C,00100,0600,VARIOUS 433522,A81000C,00200,0100,B 433522,A81000C,00200,0400,GHC 433522,A81000C,00200,0600,LONG TERM CARE 433522,A81000C,00300,0100,B 433522,A81000C,00300,0400,GHC 433522,A81000C,00300,0600,LONG TERM CARE 433522,A81000C,00400,0100,B 433522,A81000C,00400,0400,GHC 433522,A81000C,00400,0600,LONG TERM CARE 433522,B100000,00000,0100,0100SQUARE FEET 433522,B100000,00000,0200,0200SQUARE FEET 433522,B100000,00000,0300,0300GROSS SALARIES 433522,B100000,00000,0400,0400ACCUM COST 433522,B100000,00000,0500,0500SQUARE FEET 433522,B100000,00000,0600,0600PATIENT DAYS 433522,B100000,00000,0700,0700SQUARE FEET 433522,B100000,00000,0800,0800MEALS SERVED 433522,B100000,00000,0900,0900NURSING SALARIES 433522,B100000,00000,1000,1000COSTED REQUIS 433522,B100000,00000,1100,1100COSTED REQUIS 433522,B100000,00000,1200,1200PATIENT DAYS 433522,B100000,00000,1300,1300PATIENT DAYS 433522,B100000,00000,1400,1400ASSIGNED TIME 433522,B100000,00000,1500,1350PATIENT DAYS 433522,E10A180,00501,0100,01/31/12 433522,E10A180,00501,0300,01/31/12 433522,G300000,02500,0000,BARBER AND BEAUTY 433522,S000000,00100,0200,09/12/11 433522,S200000,00100,0100,1700 WYNWOOD DRIVE 433522,S200000,00200,0100,CINNAMINSON 433522,S200000,00200,0200,NJ 433522,S200000,00200,0300,08077 433522,S200000,00300,0100,BURLINGTON 433522,S200000,00300,0201,15804 433522,S200000,00300,0300,U 433522,S200000,00400,0100,CINNAMINSON CENTER 433522,S200000,00400,0200,315047 433522,S200000,00400,0300,01/01/67 433522,S200000,00400,0500,P 433522,S200000,01500,0100,Y 433522,S200000,01501,0200,N 433522,S200000,01502,0200,N 433522,S200000,01503,0200,N 433522,S200000,01504,0200,N 433522,S200000,01600,0100,N 433522,S200000,01700,0100,N 433522,S200000,01800,0100,N 433522,S200000,02200,0100,Y 433522,S200000,02800,0100,N 433522,S200000,02900,0100,N 433522,S200000,03000,0100,N 433522,S200000,03100,0100,N 433522,S200000,03200,0100,N 433522,S200000,03300,0100,N 433522,S200000,03300,0200,N 433522,S200000,04200,0100,N 433522,S200000,04300,0100,N 433522,S200000,04600,0100,N 433522,S200000,04700,0100,N 433522,S200000,04900,0100,N 433522,S200000,05200,0100,N 433522,S200000,05300,0100,Y 433522,S200000,05300,0200,HB0067 433522,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433522,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433522,S200000,05400,0300,12001 433522,S200000,05500,0100,101 EAST STATE STREET 433522,S200000,05600,0100,KENNETT SQUARE 433522,S200000,05600,0200,PA 433522,S200000,05600,0300,19348 433537,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433537,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433537,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433537,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433537,A000000,00300,0000,0300EMPLOYEE BENEFITS 433537,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433537,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433537,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433537,A000000,00700,0000,0700HOUSEKEEPING 433537,A000000,00800,0000,0800DIETARY 433537,A000000,00801,0000,0801CAFETERIA 433537,A000000,00900,0000,0900NURSING ADMINISTRATION 433537,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433537,A000000,01100,0000,1100PHARMACY 433537,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433537,A000000,01300,0000,1300SOCIAL SERVICE 433537,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433537,A000000,01500,0000,1350ACTIVITIES 433537,A000000,01600,0000,1600SKILLED NURSING FACILITY 433537,A000000,01800,0000,1800NURSING FACILITY 433537,A000000,01900,0000,1900OTHER LONG TERM CARE 433537,A000000,02100,0000,2100RADIOLOGY 433537,A000000,02200,0000,2200LABORATORY 433537,A000000,02300,0000,2300INTRAVENOUS THERAPY 433537,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433537,A000000,02500,0000,2500PHYSICAL THERAPY 433537,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433537,A000000,02700,0000,2700SPEECH PATHOLOGY 433537,A000000,02800,0000,2800ELECTROCARDIOLOGY 433537,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433537,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433537,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433537,A000000,03200,0000,3200SUPPORT SURFACES 433537,A000000,03300,0000,3050ENTERALS 433537,A000000,03301,0000,3051OXYGEN 433537,A000000,03302,0000,3052OTHER ANCILLARY III 433537,A000000,03400,0000,3400CLINIC 433537,A000000,03500,0000,3500RURAL HEALTH CLINIC 433537,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433537,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433537,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433537,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433537,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433537,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433537,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433537,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433537,A000000,04400,0000,4400DME RENTED - HHA 433537,A000000,04500,0000,4500DME SOLD - HHA 433537,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433537,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433537,A000000,04710,0000,4710TELEMEDICINE 433537,A000000,04800,0000,4800AMBULANCE 433537,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433537,A000000,05000,0000,5000CORF 433537,A000000,05001,0000,5001CMHC I 433537,A000000,05020,0000,5020OPT I 433537,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433537,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433537,A000000,05300,0000,5300INTEREST EXPENSE 433537,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433537,A000000,05500,0000,5500HOSPICE 433537,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433537,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433537,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433537,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433537,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433537,A000000,06100,0000,6100NONPAID WORKERS 433537,A000000,06200,0000,6200PATIENTS LAUNDRY 433537,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433537,A81000A,00100,0100,N 433537,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433537,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433537,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433537,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433537,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433537,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433537,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433537,B100000,00000,0800,0800MEALS SERVED :DIETARY 433537,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433537,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433537,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433537,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433537,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433537,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433537,E10A180,00550,0100,05/31/12 433537,G300000,02500,0000,MISCELLANEOUS 433537,S000000,00100,0200,05/10/12 433537,S200000,00100,0100,115 OREGONIA ROAD 433537,S200000,00200,0100,LEBANON 433537,S200000,00200,0200,OH 433537,S200000,00200,0300,46036 433537,S200000,00300,0100,WARREN 433537,S200000,00300,0200,1640 433537,S200000,00300,0201,17140 433537,S200000,00300,0300,U 433537,S200000,00400,0100,CEDARVIEW HEALTH CARE 433537,S200000,00400,0200,365690 433537,S200000,00400,0300,09/01/06 433537,S200000,00400,0500,P 433537,S200000,01500,0100,Y 433537,S200000,01501,0200,N 433537,S200000,01502,0200,Y 433537,S200000,01503,0200,Y 433537,S200000,01600,0100,N 433537,S200000,01700,0100,N 433537,S200000,01800,0100,N 433537,S200000,02200,0100,N 433537,S200000,02800,0100,N 433537,S200000,02900,0100,N 433537,S200000,03000,0100,N 433537,S200000,03100,0100,N 433537,S200000,03200,0100,N 433537,S200000,03300,0100,N 433537,S200000,03300,0200,N 433537,S200000,03600,0100,N 433537,S200000,03600,0200,N 433537,S200000,04100,0100,N 433537,S200000,04200,0100,N 433537,S200000,04300,0100,Y 433537,S200000,04600,0100,N 433537,S200000,04700,0100,N 433537,S200000,04700,0200,N 433537,S200000,04900,0100,N 433537,S200000,05000,0100,N 433537,S200000,05100,0100,N 433537,S200000,05200,0100,N 433537,S200000,05300,0100,N 433545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433545,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433545,A000000,00300,0000,0300EMPLOYEE BENEFITS 433545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433545,A000000,00700,0000,0700HOUSEKEEPING 433545,A000000,00800,0000,0800DIETARY 433545,A000000,00900,0000,0900NURSING ADMINISTRATION 433545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433545,A000000,01100,0000,1100PHARMACY 433545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433545,A000000,01300,0000,1300SOCIAL SERVICE 433545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433545,A000000,01500,0000,1350ACTIVITIES 433545,A000000,01600,0000,1600SKILLED NURSING FACILITY 433545,A000000,01800,0000,1800NURSING FACILITY 433545,A000000,01900,0000,1900OTHER LONG TERM CARE 433545,A000000,02100,0000,2100RADIOLOGY 433545,A000000,02200,0000,2200LABORATORY 433545,A000000,02300,0000,2300INTRAVENOUS THERAPY 433545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433545,A000000,02500,0000,2500PHYSICAL THERAPY 433545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433545,A000000,02700,0000,2700SPEECH PATHOLOGY 433545,A000000,02800,0000,2800ELECTROCARDIOLOGY 433545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433545,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433545,A000000,03200,0000,3200SUPPORT SURFACES 433545,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433545,A000000,04800,0000,4800AMBULANCE 433545,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433545,A000000,05300,0000,5300INTEREST EXPENSE 433545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433545,A000000,06100,0000,6100NONPAID WORKERS 433545,A000000,06200,0000,6200PATIENTS LAUNDRY 433545,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433545,A81000A,00100,0100,Y 433545,A81000B,00100,0300,HOME OFFICE COST 433545,A81000C,00100,0100,B 433545,A81000C,00100,0200,HL-CHARLESTON OF HANAHAN 433545,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433545,A81000C,00100,0600,LONG TERM CARE FACILITIES 433545,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433545,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433545,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433545,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433545,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433545,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433545,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433545,B100000,00000,0800,0800MEALS SERVED :DIETARY 433545,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433545,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433545,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433545,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433545,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433545,E10A180,00501,0100,05/02/12 433545,G300000,02500,0000,BEAUTY AND BARBER 433545,S000000,00100,0200,02/06/12 433545,S200000,00100,0100,1800 EAGLE LANDING BLVD 433545,S200000,00200,0100,HANAHAN 433545,S200000,00200,0200,SC 433545,S200000,00200,0300,29406 433545,S200000,00300,0100,BERKLEY 433545,S200000,00300,0200,1440 433545,S200000,00300,0201,16700 433545,S200000,00300,0300,U 433545,S200000,00400,0100,HL-CHARLESTON OF HANAHAN SC LLC 433545,S200000,00400,0200,425289 433545,S200000,00400,0300,07/27/89 433545,S200000,00400,0500,P 433545,S200000,00400,0600,P 433545,S200000,01500,0100,Y 433545,S200000,01501,0200,N 433545,S200000,01503,0200,N 433545,S200000,01504,0200,Y 433545,S200000,01600,0100,N 433545,S200000,01700,0100,N 433545,S200000,01800,0100,N 433545,S200000,02200,0100,Y 433545,S200000,02800,0100,N 433545,S200000,02900,0100,N 433545,S200000,03000,0100,N 433545,S200000,03100,0100,N 433545,S200000,03200,0100,N 433545,S200000,03300,0100,N 433545,S200000,03300,0200,N 433545,S200000,04100,0100,N 433545,S200000,04200,0100,N 433545,S200000,04300,0100,N 433545,S200000,04600,0100,N 433545,S200000,04700,0100,N 433545,S200000,04700,0200,N 433545,S200000,04900,0100,N 433545,S200000,05000,0100,N 433545,S200000,05100,0100,N 433545,S200000,05200,0100,N 433545,S200000,05300,0100,Y 433545,S200000,05300,0200,36HO15 433545,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433545,S200000,05400,0200,CGS ADMINISTRATORS LLC 433545,S200000,05400,0300,15201 433545,S200000,05500,0100,333 N. SUMMIT ST. 433545,S200000,05500,0200,PO 10086 433545,S200000,05600,0100,TOLEDO 433545,S200000,05600,0200,OH 433545,S200000,05600,0300,43699-0086 433558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433558,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433558,A000000,00300,0000,0300EMPLOYEE BENEFITS 433558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433558,A000000,00700,0000,0700HOUSEKEEPING 433558,A000000,00800,0000,0800DIETARY 433558,A000000,00900,0000,0900NURSING ADMINISTRATION 433558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433558,A000000,01100,0000,1100PHARMACY 433558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433558,A000000,01300,0000,1300SOCIAL SERVICE 433558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433558,A000000,01600,0000,1600SKILLED NURSING FACILITY 433558,A000000,01810,0000,1810ICF/MR 433558,A000000,01900,0000,1900OTHER LONG TERM CARE 433558,A000000,02100,0000,2100RADIOLOGY 433558,A000000,02200,0000,2200LABORATORY 433558,A000000,02300,0000,2300INTRAVENOUS THERAPY 433558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433558,A000000,02500,0000,2500PHYSICAL THERAPY 433558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433558,A000000,02700,0000,2700SPEECH PATHOLOGY 433558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433558,A000000,03300,0000,3050TRANSPORTATION 433558,A000000,03301,0000,3051COMPLEX MED EQUIPMENT 433558,A000000,03550,0000,3550FQHC 433558,A000000,05000,0000,5000CORF 433558,A000000,05010,0000,5010CMHC 433558,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433558,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433558,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433558,A81000A,00100,0100,Y 433558,A81000B,00100,0300,BUILDING RENT 433558,A81000B,00200,0300,BUILDING DEPRECIATIO 433558,A81000C,00100,0100,D 433558,A81000C,00100,0200,RICHARD ALLEN 433558,A81000C,00100,0400,HIGHLAND HOUSE 433558,A81000C,00100,0600,INDIVIDUAL 433558,A81000C,00200,0100,D 433558,A81000C,00200,0200,RICHARD ALLEN 433558,A81000C,00200,0400,HIGHLAND HOUSE 433558,A81000C,00200,0600,INDIVIDUAL 433558,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433558,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433558,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433558,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433558,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433558,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433558,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433558,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433558,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433558,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433558,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433558,E10A180,00501,0100,05/23/12 433558,G300000,02501,0000,MISCELLANEOUS 433558,G300000,02502,0000,HOSPITAL ROOM RESERVE 433558,S000000,00100,0200,02/29/12 433558,S200000,00100,0100,1700 PAMALEE DRIVE 433558,S200000,00100,0300,35887 433558,S200000,00200,0100,FAYETTEVILLE 433558,S200000,00200,0200,NC 433558,S200000,00200,0300,28303 433558,S200000,00300,0100,CUMBERLAND 433558,S200000,00300,0201,22180 433558,S200000,00300,0300,U 433558,S200000,00400,0100,HIGHLAND HOUSE OF FAYETTEVILLE 433558,S200000,00400,0200,345353 433558,S200000,00400,0300,01/01/70 433558,S200000,00400,0500,P 433558,S200000,01500,0100,N 433558,S200000,01501,0200,N 433558,S200000,01502,0200,N 433558,S200000,01504,0200,N 433558,S200000,01600,0100,Y 433558,S200000,01700,0100,N 433558,S200000,01800,0100,Y 433558,S200000,01900,0100,LIMITED LIABILITY CO 433558,S200000,02200,0100,Y 433558,S200000,02800,0100,Y 433558,S200000,02900,0100,N 433558,S200000,03000,0100,N 433558,S200000,03100,0100,N 433558,S200000,03200,0100,N 433558,S200000,03300,0100,N 433558,S200000,03300,0200,N 433558,S200000,04100,0100,N 433558,S200000,04200,0100,N 433558,S200000,04300,0100,N 433558,S200000,04600,0100,N 433558,S200000,04700,0100,N 433558,S200000,04700,0200,N 433558,S200000,04900,0100,N 433558,S200000,05000,0100,N 433558,S200000,05100,0100,N 433558,S200000,05200,0100,N 433558,S200000,05300,0100,N 433559,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433559,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433559,A000000,00300,0000,0300EMPLOYEE BENEFITS 433559,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433559,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433559,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433559,A000000,00700,0000,0700HOUSEKEEPING 433559,A000000,00800,0000,0800DIETARY 433559,A000000,00900,0000,0900NURSING ADMINISTRATION 433559,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433559,A000000,01100,0000,1100PHARMACY 433559,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433559,A000000,01300,0000,1300SOCIAL SERVICE 433559,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433559,A000000,01500,0000,1350OTHER GENERAL SERVICES 433559,A000000,01600,0000,1600SKILLED NURSING FACILITY 433559,A000000,01800,0000,1800NURSING FACILITY 433559,A000000,01810,0000,1810ICF/MR 433559,A000000,01900,0000,1900OTHER LONG TERM CARE 433559,A000000,02100,0000,2100RADIOLOGY 433559,A000000,02200,0000,2200LABORATORY 433559,A000000,02300,0000,2300INTRAVENOUS THERAPY 433559,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433559,A000000,02500,0000,2500PHYSICAL THERAPY 433559,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433559,A000000,02700,0000,2700SPEECH PATHOLOGY 433559,A000000,02800,0000,2800ELECTROCARDIOLOGY 433559,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433559,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433559,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433559,A000000,03200,0000,3200SUPPORT SURFACES 433559,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433559,A000000,03400,0000,3400CLINIC 433559,A000000,03500,0000,3500RURAL HEALTH CLINIC 433559,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433559,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433559,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433559,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433559,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433559,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433559,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433559,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433559,A000000,04400,0000,4400DME RENTED - HHA 433559,A000000,04500,0000,4500DME SOLD - HHA 433559,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433559,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433559,A000000,04710,0000,4710TELEMEDICINE 433559,A000000,04800,0000,4800AMBULANCE 433559,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433559,A000000,05000,0000,5000CORF 433559,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433559,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433559,A000000,05300,0000,5300INTEREST EXPENSE 433559,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433559,A000000,05500,0000,5500HOSPICE 433559,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433559,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433559,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433559,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433559,A000000,06100,0000,6100NONPAID WORKERS 433559,A000000,06200,0000,6200PATIENTS LAUNDRY 433559,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433559,A81000A,00100,0100,Y 433559,A81000B,00100,0300,STORAGE SPACE RENT 433559,A81000C,00100,0100,A 433559,A81000C,00100,0200,LYNDON ELLENBURG 433559,A81000C,00100,0400,J & L PARTNERSHIP 433559,A81000C,00100,0600,PARTNERSHIP 433559,A81000C,00200,0100,A 433559,A81000C,00200,0200,JANET STEWART 433559,A81000C,00200,0400,J & L PARTNERSHIP 433559,A81000C,00200,0600,PARTNERSHIP 433559,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433559,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433559,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433559,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433559,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433559,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433559,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 433559,B100000,00000,0800,0800MEALS SERVED :DIETARY 433559,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433559,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433559,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433559,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433559,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 433559,E10A180,00501,0100,06/06/12 433559,S000000,00100,0200,03/06/12 433559,S200000,00100,0100,611 E. HAMPTON STREET 433559,S200000,00200,0100,ANDERSON 433559,S200000,00200,0200,SC 433559,S200000,00200,0300,29624 433559,S200000,00300,0100,ANDERSON 433559,S200000,00300,0200,3160 433559,S200000,00300,0201,11340 433559,S200000,00300,0300,U 433559,S200000,00400,0100,ELLENBURG NURSING CENTER INC. 433559,S200000,00400,0200,425047 433559,S200000,00400,0300,02/09/65 433559,S200000,00400,0500,P 433559,S200000,01500,0100,Y 433559,S200000,01501,0200,Y 433559,S200000,01503,0200,Y 433559,S200000,01504,0200,Y 433559,S200000,01600,0100,N 433559,S200000,01700,0100,N 433559,S200000,01800,0100,N 433559,S200000,02200,0100,N 433559,S200000,02800,0100,Y 433559,S200000,02900,0100,N 433559,S200000,03000,0100,N 433559,S200000,03100,0100,N 433559,S200000,03200,0100,N 433559,S200000,03300,0100,Y 433559,S200000,03300,0200,N 433559,S200000,04100,0100,N 433559,S200000,04200,0100,N 433559,S200000,04300,0100,Y 433559,S200000,04600,0100,N 433559,S200000,04700,0100,N 433559,S200000,04700,0200,N 433559,S200000,04900,0100,N 433559,S200000,05000,0100,N 433559,S200000,05100,0100,N 433559,S200000,05200,0100,N 433559,S200000,05300,0100,N 433560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433560,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433560,A000000,00300,0000,0300EMPLOYEE BENEFITS 433560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433560,A000000,00700,0000,0700HOUSEKEEPING 433560,A000000,00800,0000,0800DIETARY 433560,A000000,00900,0000,0900NURSING ADMINISTRATION 433560,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433560,A000000,01100,0000,1100PHARMACY 433560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433560,A000000,01300,0000,1300SOCIAL SERVICE 433560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433560,A000000,01600,0000,1600SKILLED NURSING FACILITY 433560,A000000,01810,0000,1810ICF/MR 433560,A000000,02500,0000,2500PHYSICAL THERAPY 433560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433560,A000000,02700,0000,2700SPEECH PATHOLOGY 433560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433560,A000000,03300,0000,3050ENTERAL 433560,A000000,03550,0000,3550FQHC 433560,A000000,05000,0000,5000CORF 433560,A000000,05010,0000,5010CMHC 433560,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433560,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433560,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433560,A81000A,00100,0100,Y 433560,A81000B,00100,0300,MANAGEMENT FEES 433560,A81000B,00200,0300,MANAGEMENT FEES 433560,A81000B,00300,0300,MANAGEMENT FEES 433560,A81000C,00100,0100,A 433560,A81000C,00100,0200,RYAN FINKLEA 433560,A81000C,00100,0400,MANAGEMENT COMP 433560,A81000C,00200,0100,A 433560,A81000C,00200,0200,RYAN FINKLEA 433560,A81000C,00200,0400,MANAGEMENT COMP 433560,A81000C,00300,0100,A 433560,A81000C,00300,0200,RYAN FINKLEA 433560,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433560,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433560,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433560,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433560,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433560,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433560,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433560,B100000,00000,0800,0800MEALS SERVED :DIETARY 433560,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433560,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433560,E10A180,00350,0100,07/22/11 433560,E10A180,00501,0100,05/26/12 433560,G300000,02500,0000,OTHER INCOME 433560,S000000,00100,0200,03/02/12 433560,S200000,00100,0100,207 CHAPPELL DR 433560,S200000,00200,0100,BISHOPVILLE 433560,S200000,00200,0200,SC 433560,S200000,00200,0300,29010 433560,S200000,00300,0100,LEE 433560,S200000,00300,0201,42000 433560,S200000,00300,0300,R 433560,S200000,00400,0100,MCCOY MEMORIAL NURSING CENTER 433560,S200000,00400,0200,425174 433560,S200000,00400,0300,07/01/90 433560,S200000,00400,0500,P 433560,S200000,01500,0100,N 433560,S200000,01501,0200,Y 433560,S200000,01503,0200,Y 433560,S200000,01504,0200,Y 433560,S200000,01600,0100,N 433560,S200000,01700,0100,N 433560,S200000,01800,0100,N 433560,S200000,01900,0100,LLC 433560,S200000,02200,0100,Y 433560,S200000,02800,0100,N 433560,S200000,02900,0100,N 433560,S200000,03000,0100,N 433560,S200000,03100,0100,N 433560,S200000,03200,0100,N 433560,S200000,03300,0100,N 433560,S200000,03300,0200,N 433560,S200000,03600,0100,N 433560,S200000,03600,0200,N 433560,S200000,04100,0100,N 433560,S200000,04200,0100,N 433560,S200000,04300,0100,N 433560,S200000,04600,0100,N 433560,S200000,04700,0100,N 433560,S200000,04700,0200,N 433560,S200000,04900,0100,N 433560,S200000,05000,0100,N 433560,S200000,05100,0100,N 433560,S200000,05200,0100,N 433560,S200000,05300,0100,Y 433560,S200000,05300,0200,42-HO1 433560,S200000,05400,0100,COOKE MANAGEMENT COMPANY INC. 433560,S200000,05400,0200,PALMETTO GBA 433560,S200000,05400,0300,00380 433560,S200000,05500,0100,101 W 1ST AVENUE 433560,S200000,05500,0200,808 433560,S200000,05600,0100,LAKE VIEW 433560,S200000,05600,0200,SC 433560,S200000,05600,0300,29010 433572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433572,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433572,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433572,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433572,A000000,00300,0000,0300EMPLOYEE BENEFITS 433572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433572,A000000,00700,0000,0700HOUSEKEEPING 433572,A000000,00800,0000,0800DIETARY 433572,A000000,00801,0000,0801CAFETERIA 433572,A000000,00900,0000,0900NURSING ADMINISTRATION 433572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433572,A000000,01100,0000,1100PHARMACY 433572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433572,A000000,01300,0000,1300SOCIAL SERVICE 433572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433572,A000000,01500,0000,1350ACTIVITIES 433572,A000000,01600,0000,1600SKILLED NURSING FACILITY 433572,A000000,01800,0000,1800NURSING FACILITY 433572,A000000,01900,0000,1900OTHER LONG TERM CARE 433572,A000000,02100,0000,2100RADIOLOGY 433572,A000000,02200,0000,2200LABORATORY 433572,A000000,02300,0000,2300INTRAVENOUS THERAPY 433572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433572,A000000,02500,0000,2500PHYSICAL THERAPY 433572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433572,A000000,02700,0000,2700SPEECH PATHOLOGY 433572,A000000,02800,0000,2800ELECTROCARDIOLOGY 433572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433572,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433572,A000000,03200,0000,3200SUPPORT SURFACES 433572,A000000,03300,0000,3050ENTERALS 433572,A000000,03301,0000,3051OXYGEN 433572,A000000,03302,0000,3052OTHER ANCILLARY III 433572,A000000,03400,0000,3400CLINIC 433572,A000000,03500,0000,3500RURAL HEALTH CLINIC 433572,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433572,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433572,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433572,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433572,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433572,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433572,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433572,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433572,A000000,04400,0000,4400DME RENTED - HHA 433572,A000000,04500,0000,4500DME SOLD - HHA 433572,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433572,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433572,A000000,04710,0000,4710TELEMEDICINE 433572,A000000,04800,0000,4800AMBULANCE 433572,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433572,A000000,05000,0000,5000CORF 433572,A000000,05001,0000,5001CMHC I 433572,A000000,05020,0000,5020OPT I 433572,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433572,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433572,A000000,05300,0000,5300INTEREST EXPENSE 433572,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433572,A000000,05500,0000,5500HOSPICE 433572,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433572,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433572,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433572,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433572,A000000,06100,0000,6100NONPAID WORKERS 433572,A000000,06200,0000,6200PATIENTS LAUNDRY 433572,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433572,A81000A,00100,0100,Y 433572,A81000B,00100,0300,MANAGEMENT FEES 433572,A81000B,00200,0300,NURSING SUPPLIES 433572,A81000B,00300,0300,LEGEND DRUGS 433572,A81000B,00400,0300,OTC 433572,A81000B,00500,0300,MED SUPPLIES 433572,A81000B,00600,0300,PHAR CONSLT 433572,A81000B,00700,0300,RELATED LEASE 433572,A81000B,00800,0300,DEPRECIATION 433572,A81000B,00900,0300,INTEREST 433572,A81000C,00100,0100,B 433572,A81000C,00100,0400,WOM 433572,A81000C,00100,0600,NSG HOME CHAIN 433572,A81000C,00200,0100,B 433572,A81000C,00200,0400,WOM 433572,A81000C,00200,0600,PHARMACY 433572,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433572,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433572,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433572,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433572,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433572,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433572,B100000,00000,0800,0800MEALS SERVED :DIETARY 433572,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433572,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433572,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433572,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433572,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433572,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433572,E10A180,00501,0300,02/27/12 433572,E10A180,00502,0100,06/08/12 433572,E10A180,00550,0100,02/27/12 433572,S000000,00100,0200,03/21/12 433572,S200000,00100,0100,70 OAK ST. 433572,S200000,00100,0300,1535 433572,S200000,00200,0100,TRYON 433572,S200000,00200,0200,NC 433572,S200000,00200,0300,28782 433572,S200000,00300,0100,POLK 433572,S200000,00300,0201,99934 433572,S200000,00300,0300,R 433572,S200000,00400,0100,WHITE OAK MANOR-TRYON 433572,S200000,00400,0200,345127 433572,S200000,00400,0300,09/30/74 433572,S200000,00400,0500,P 433572,S200000,01500,0100,Y 433572,S200000,01501,0200,Y 433572,S200000,01502,0200,Y 433572,S200000,01503,0200,Y 433572,S200000,01504,0200,Y 433572,S200000,01505,0000,OTHER (SPECIFY) 433572,S200000,01505,0200,Y 433572,S200000,01600,0100,N 433572,S200000,01700,0100,N 433572,S200000,01800,0100,N 433572,S200000,02200,0100,Y 433572,S200000,02800,0100,N 433572,S200000,02900,0100,N 433572,S200000,03000,0100,N 433572,S200000,03100,0100,N 433572,S200000,03200,0100,N 433572,S200000,03300,0100,N 433572,S200000,03300,0200,N 433572,S200000,04100,0100,N 433572,S200000,04200,0100,N 433572,S200000,04300,0100,N 433572,S200000,04600,0100,N 433572,S200000,04700,0100,N 433572,S200000,04700,0200,N 433572,S200000,04900,0100,N 433572,S200000,05000,0100,N 433572,S200000,05100,0100,N 433572,S200000,05200,0100,N 433572,S200000,05300,0100,Y 433572,S200000,05300,0200,HO02 433572,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433572,S200000,05400,0200,PGBA 433572,S200000,05400,0300,00380 433572,S200000,05500,0100,130 EAST MAIN ST. 433572,S200000,05500,0200,3347 433572,S200000,05600,0100,SPARTANBURG 433572,S200000,05600,0200,SC 433572,S200000,05600,0300,29304 433573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433573,A000000,00300,0000,0300EMPLOYEE BENEFITS 433573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433573,A000000,00700,0000,0700HOUSEKEEPING 433573,A000000,00800,0000,0800DIETARY 433573,A000000,00900,0000,0900NURSING ADMINISTRATION 433573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433573,A000000,01100,0000,1100PHARMACY 433573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433573,A000000,01300,0000,1300SOCIAL SERVICE 433573,A000000,01500,0000,1350PATIENT ACTIVITIES 433573,A000000,01600,0000,1600SKILLED NURSING FACILITY 433573,A000000,01900,0000,1900OTHER LONG TERM CARE 433573,A000000,02100,0000,2100RADIOLOGY 433573,A000000,02200,0000,2200LABORATORY 433573,A000000,02300,0000,2300INTRAVENOUS THERAPY 433573,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433573,A000000,02500,0000,2500PHYSICAL THERAPY 433573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433573,A000000,02700,0000,2700SPEECH PATHOLOGY 433573,A000000,02800,0000,2800ELECTROCARDIOLOGY 433573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433573,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433573,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433573,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433573,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433573,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433573,A81000A,00100,0100,Y 433573,A81000B,00100,0300,DEPRECIATION 433573,A81000B,00200,0300,RENT 433573,A81000B,00300,0300,INTEREST 433573,A81000B,00400,0300,PROPERTY INSURANCE 433573,A81000B,00500,0300,MISC ADMIN 433573,A81000B,00600,0300,HOME OFFICE 433573,A81000B,00700,0300,HOME OFFICE 433573,A81000B,00800,0300,STOCK DRUGS 433573,A81000B,00900,0300,LEGEND DRUGS 433573,A81000B,01000,0300,PHARMACY CONSULTANT 433573,A81000C,00100,0100,B 433573,A81000C,00100,0200,LSA MANAGEMENT 433573,A81000C,00100,0400,LH HICKORY PROPERTY 433573,A81000C,00100,0600,LESSOR 433573,A81000C,00200,0100,B 433573,A81000C,00200,0200,LSA MANAGEMENT 433573,A81000C,00200,0400,LH HICKORY PROPERTY 433573,A81000C,00200,0600,LESSOR 433573,A81000C,00300,0100,B 433573,A81000C,00300,0200,LSA MANAGEMENT 433573,A81000C,00300,0400,LH HICKORY PROPERTY 433573,A81000C,00300,0600,LESSOR 433573,A81000C,00400,0100,B 433573,A81000C,00400,0200,LSA MANAGEMENT 433573,A81000C,00400,0400,LH HICKORY PROPERTY 433573,A81000C,00400,0600,LESSOR 433573,A81000C,00500,0100,B 433573,A81000C,00500,0200,LSA MANAGEMENT 433573,A81000C,00500,0400,LH HICKORY PROPERTY 433573,A81000C,00500,0600,LESSOR 433573,A81000C,00600,0100,B 433573,A81000C,00600,0200,LSA MANAGEMENT 433573,A81000C,00600,0400,LSA MANAGEMENT 433573,A81000C,00600,0600,HOME OFFICE 433573,A81000C,00700,0100,B 433573,A81000C,00700,0200,LSA MANAGEMENT 433573,A81000C,00700,0400,LSA MANAGEMENT 433573,A81000C,00700,0600,HOME OFFICE 433573,A81000C,00800,0100,B 433573,A81000C,00800,0200,LSA MANAGEMENT 433573,A81000C,00800,0400,LSA PHARMACY 433573,A81000C,00800,0600,PHARMACY 433573,A81000C,00900,0100,B 433573,A81000C,00900,0200,LSA MANAGEMENT 433573,A81000C,00900,0400,LSA PHARMACY 433573,A81000C,00900,0600,PHARMACY 433573,A81000C,01000,0100,B 433573,A81000C,01000,0200,LSA MANAGEMENT 433573,A81000C,01000,0400,LSA PHARMACY 433573,A81000C,01000,0600,PHARMACY 433573,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433573,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433573,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433573,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433573,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433573,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433573,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433573,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433573,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433573,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433573,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433573,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433573,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433573,E10A180,00501,0100,05/10/12 433573,G300000,02500,0000,BARBER AND BEAUTY 433573,G300000,02501,0000,PERSONAL PURCHASES 433573,G300000,02502,0000,OTHER INCOME 433573,S000000,00100,0200,02/27/12 433573,S200000,00100,0100,1265 21ST STREEET 433573,S200000,00200,0100,HICKORY 433573,S200000,00200,0200,NC 433573,S200000,00200,0300,25860 433573,S200000,00300,0100,CATAWBA 433573,S200000,00300,0200,3290 433573,S200000,00300,0201,25860 433573,S200000,00300,0300,U 433573,S200000,00400,0100,LUTHERAN HOME - HICKORY INC. 433573,S200000,00400,0200,345152 433573,S200000,00400,0300,07/01/76 433573,S200000,00400,0500,P 433573,S200000,01500,0100,N 433573,S200000,01501,0200,N 433573,S200000,01503,0200,Y 433573,S200000,01600,0100,Y 433573,S200000,01700,0100,N 433573,S200000,01800,0100,N 433573,S200000,02200,0100,N 433573,S200000,02800,0100,N 433573,S200000,02900,0100,N 433573,S200000,03000,0100,N 433573,S200000,03100,0100,N 433573,S200000,03200,0100,N 433573,S200000,03300,0100,N 433573,S200000,03300,0200,N 433573,S200000,04100,0100,N 433573,S200000,04200,0100,N 433573,S200000,04300,0100,N 433573,S200000,04600,0100,N 433573,S200000,04700,0100,N 433573,S200000,04700,0200,N 433573,S200000,04900,0100,N 433573,S200000,05000,0100,N 433573,S200000,05100,0100,N 433573,S200000,05200,0100,N 433573,S200000,05300,0100,Y 433573,S200000,05300,0200,349086 433573,S200000,05400,0100,LSA MANAGEMENT INC. 433573,S200000,05400,0200,PALMETTO GBA 433573,S200000,05400,0300,11001 433573,S200000,05500,0200,PO BX 947 433573,S200000,05600,0100,SALISBURY 433573,S200000,05600,0200,NC 433573,S200000,05600,0300,28145-0947 433574,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433574,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433574,A000000,00300,0000,0300EMPLOYEE BENEFITS 433574,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433574,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433574,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433574,A000000,00700,0000,0700HOUSEKEEPING 433574,A000000,00800,0000,0800DIETARY 433574,A000000,00900,0000,0900NURSING ADMINISTRATION 433574,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433574,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433574,A000000,01300,0000,1300SOCIAL SERVICE 433574,A000000,01500,0000,1350ACTIVITIES 433574,A000000,01600,0000,1600SKILLED NURSING FACILITY 433574,A000000,01800,0000,1800NURSING FACILITY 433574,A000000,01810,0000,1810ICF/MR 433574,A000000,01900,0000,1900OTHER LONG TERM CARE 433574,A000000,02100,0000,2100RADIOLOGY 433574,A000000,02200,0000,2200LABORATORY 433574,A000000,02300,0000,2300INTRAVENOUS THERAPY 433574,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433574,A000000,02500,0000,2500PHYSICAL THERAPY 433574,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433574,A000000,02700,0000,2700SPEECH PATHOLOGY 433574,A000000,02800,0000,2800ELECTROCARDIOLOGY 433574,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433574,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433574,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433574,A000000,03200,0000,3200SUPPORT SURFACES 433574,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433574,A000000,03301,0000,3051AIR FLUID THERAPY 433574,A000000,03302,0000,3052AMBULANCE 433574,A000000,03303,0000,3053PEN THERAPY 433574,A000000,03400,0000,3400CLINIC 433574,A000000,03500,0000,3500RURAL HEALTH CLINIC 433574,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433574,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433574,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433574,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433574,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433574,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433574,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433574,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433574,A000000,04400,0000,4400DME RENTED - HHA 433574,A000000,04500,0000,4500DME SOLD - HHA 433574,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433574,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433574,A000000,04800,0000,4800AMBULANCE 433574,A000000,05300,0000,5300INTEREST EXPENSE 433574,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433574,A000000,05500,0000,5500HOSPICE 433574,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433574,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433574,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433574,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433574,A000000,06100,0000,6100NONPAID WORKERS 433574,A000000,06200,0000,6200PATIENTS LAUNDRY 433574,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433574,A000000,06301,0000,6151ASSISTED LIVING 433574,A81000A,00100,0100,N 433574,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433574,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433574,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433574,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433574,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433574,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433574,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433574,B100000,00000,0800,0800MEALS SERVED :DIETARY 433574,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433574,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433574,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433574,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433574,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433574,E10A180,00501,0100,05/09/12 433574,G300000,02501,0000,MISCELLANEOUS REVENUE 433574,G300000,02502,0000,ASSISTED LIVING REVENUE 433574,G300000,02503,0000,FOUNDATION REVENUE 433574,G300000,02504,0000,BARBER AND BEAUTY REVENUE 433574,G300000,02505,0000,WELLNESS REVENUE 433574,S000000,00100,0200,03/01/12 433574,S200000,00100,0100,1101 PORTERS NECK ROAD 433574,S200000,00200,0100,WILMINGTON 433574,S200000,00200,0200,NC 433574,S200000,00200,0300,28405 433574,S200000,00300,0100,NEW HANOVER 433574,S200000,00300,0200,9200 433574,S200000,00300,0201,48900 433574,S200000,00300,0300,U 433574,S200000,00400,0100,CORNELIA NIXON DAVIS INC 433574,S200000,00400,0200,345160 433574,S200000,00400,0300,10/01/97 433574,S200000,00400,0500,P 433574,S200000,00400,0600,P 433574,S200000,01500,0100,Y 433574,S200000,01501,0200,Y 433574,S200000,01502,0200,Y 433574,S200000,01503,0200,Y 433574,S200000,01504,0200,Y 433574,S200000,01600,0100,N 433574,S200000,01700,0100,N 433574,S200000,01800,0100,N 433574,S200000,02200,0100,N 433574,S200000,02800,0100,N 433574,S200000,02900,0100,N 433574,S200000,03000,0100,N 433574,S200000,03100,0100,N 433574,S200000,03200,0100,N 433574,S200000,03300,0100,N 433574,S200000,03300,0200,N 433574,S200000,04100,0100,N 433574,S200000,04200,0100,N 433574,S200000,04300,0100,N 433574,S200000,04600,0100,N 433574,S200000,04700,0100,N 433574,S200000,04700,0200,N 433574,S200000,04900,0100,N 433574,S200000,05000,0100,N 433574,S200000,05100,0100,N 433574,S200000,05200,0100,N 433574,S200000,05300,0100,N 433575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433575,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 433575,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433575,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 433575,A000000,00300,0000,0300EMPLOYEE BENEFITS 433575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433575,A000000,00700,0000,0700HOUSEKEEPING 433575,A000000,00800,0000,0800DIETARY 433575,A000000,00801,0000,0801CAFETERIA 433575,A000000,00900,0000,0900NURSING ADMINISTRATION 433575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433575,A000000,01100,0000,1100PHARMACY 433575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433575,A000000,01300,0000,1300SOCIAL SERVICE 433575,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433575,A000000,01500,0000,1350ACTIVITIES 433575,A000000,01600,0000,1600SKILLED NURSING FACILITY 433575,A000000,01800,0000,1800NURSING FACILITY 433575,A000000,01900,0000,1900OTHER LONG TERM CARE 433575,A000000,02100,0000,2100RADIOLOGY 433575,A000000,02200,0000,2200LABORATORY 433575,A000000,02300,0000,2300INTRAVENOUS THERAPY 433575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433575,A000000,02500,0000,2500PHYSICAL THERAPY 433575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433575,A000000,02700,0000,2700SPEECH PATHOLOGY 433575,A000000,02800,0000,2800ELECTROCARDIOLOGY 433575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433575,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433575,A000000,03200,0000,3200SUPPORT SURFACES 433575,A000000,03300,0000,3050ENTERALS 433575,A000000,03301,0000,3051OXYGEN 433575,A000000,03302,0000,3052OTHER ANCILLARY III 433575,A000000,03400,0000,3400CLINIC 433575,A000000,03500,0000,3500RURAL HEALTH CLINIC 433575,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 433575,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433575,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433575,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433575,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433575,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433575,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433575,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433575,A000000,04400,0000,4400DME RENTED - HHA 433575,A000000,04500,0000,4500DME SOLD - HHA 433575,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433575,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433575,A000000,04710,0000,4710TELEMEDICINE 433575,A000000,04800,0000,4800AMBULANCE 433575,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433575,A000000,05000,0000,5000CORF 433575,A000000,05001,0000,5001CMHC I 433575,A000000,05020,0000,5020OPT I 433575,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433575,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433575,A000000,05300,0000,5300INTEREST EXPENSE 433575,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433575,A000000,05500,0000,5500HOSPICE 433575,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 433575,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 433575,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433575,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433575,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433575,A000000,06100,0000,6100NONPAID WORKERS 433575,A000000,06200,0000,6200PATIENTS LAUNDRY 433575,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433575,A81000A,00100,0100,Y 433575,A81000B,00100,0300,MANAGEMENT FEES 433575,A81000B,00200,0300,NURSING SUPPLIES 433575,A81000B,00300,0300,LEGEND DRUGS 433575,A81000B,00400,0300,OTC 433575,A81000B,00500,0300,MED SUPPLIES 433575,A81000B,00600,0300,PHAR CONSLT 433575,A81000B,00700,0300,RELATED LEASE 433575,A81000B,00800,0300,DEPRECIATION 433575,A81000B,00900,0300,INTEREST 433575,A81000C,00100,0100,B 433575,A81000C,00100,0400,WOM 433575,A81000C,00100,0600,NSG HOME CHAIN 433575,A81000C,00200,0100,B 433575,A81000C,00200,0400,WOM 433575,A81000C,00200,0600,PHARMACY 433575,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433575,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433575,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433575,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433575,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433575,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433575,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433575,B100000,00000,0800,0800MEALS SERVED :DIETARY 433575,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 433575,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433575,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433575,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433575,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433575,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433575,E10A180,00301,0300,07/27/11 433575,E10A180,00501,0100,06/08/12 433575,E10A180,00550,0300,06/08/12 433575,S000000,00100,0200,03/21/12 433575,S200000,00100,0100,4001 N. MORGAN 433575,S200000,00100,0300,790 433575,S200000,00200,0100,SHELBY 433575,S200000,00200,0200,NC 433575,S200000,00200,0300,28151-1709 433575,S200000,00300,0100,CLEVELAND 433575,S200000,00300,0201,99934 433575,S200000,00300,0300,R 433575,S200000,00400,0100,WHITE OAK MANOR-SHELBY 433575,S200000,00400,0200,345171 433575,S200000,00400,0300,09/30/72 433575,S200000,00400,0500,P 433575,S200000,01500,0100,Y 433575,S200000,01501,0200,Y 433575,S200000,01502,0200,Y 433575,S200000,01503,0200,Y 433575,S200000,01504,0200,Y 433575,S200000,01600,0100,N 433575,S200000,01700,0100,N 433575,S200000,01800,0100,N 433575,S200000,02200,0100,Y 433575,S200000,02800,0100,N 433575,S200000,02900,0100,N 433575,S200000,03000,0100,N 433575,S200000,03100,0100,N 433575,S200000,03200,0100,N 433575,S200000,03300,0100,N 433575,S200000,03300,0200,N 433575,S200000,04100,0100,N 433575,S200000,04200,0100,N 433575,S200000,04300,0100,N 433575,S200000,04600,0100,N 433575,S200000,04700,0100,N 433575,S200000,04700,0200,N 433575,S200000,04900,0100,N 433575,S200000,05000,0100,N 433575,S200000,05100,0100,N 433575,S200000,05200,0100,N 433575,S200000,05300,0100,Y 433575,S200000,05300,0200,HO02 433575,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 433575,S200000,05400,0200,PGBA 433575,S200000,05400,0300,00380 433575,S200000,05500,0100,130 EAST MAIN ST. 433575,S200000,05500,0200,3347 433575,S200000,05600,0100,SPARTANBURG 433575,S200000,05600,0200,SC 433575,S200000,05600,0300,29304 433576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433576,A000000,00300,0000,0300EMPLOYEE BENEFITS 433576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433576,A000000,00700,0000,0700HOUSEKEEPING 433576,A000000,00800,0000,0800DIETARY 433576,A000000,00900,0000,0900NURSING ADMINISTRATION 433576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433576,A000000,01100,0000,1100PHARMACY 433576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433576,A000000,01300,0000,1300SOCIAL SERVICE 433576,A000000,01500,0000,1350PATIENT ACTIVITIES 433576,A000000,01600,0000,1600SKILLED NURSING FACILITY 433576,A000000,01900,0000,1900OTHER LONG TERM CARE 433576,A000000,02500,0000,2500PHYSICAL THERAPY 433576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433576,A000000,02700,0000,2700SPEECH PATHOLOGY 433576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433576,A000000,03200,0000,3200SUPPORT SURFACES 433576,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433576,A81000A,00100,0100,N 433576,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433576,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433576,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433576,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433576,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433576,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433576,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433576,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433576,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433576,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433576,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433576,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433576,E10A180,00501,0100,05/22/12 433576,G300000,02500,0000,OTHER INCOME 433576,S000000,00100,0200,02/29/12 433576,S200000,00100,0100,5701 FAYETTEVILLE RD. 433576,S200000,00200,0100,LUMBERTON 433576,S200000,00200,0200,NC 433576,S200000,00200,0300,28360 433576,S200000,00300,0100,ROBESON 433576,S200000,00300,0200,34 433576,S200000,00300,0201,99934 433576,S200000,00300,0300,R 433576,S200000,00400,0100,GLENFLORA 433576,S200000,00400,0200,345194 433576,S200000,00400,0300,06/01/79 433576,S200000,00400,0500,P 433576,S200000,01500,0100,N 433576,S200000,01501,0200,Y 433576,S200000,01600,0100,Y 433576,S200000,01700,0100,N 433576,S200000,01800,0100,N 433576,S200000,02200,0100,N 433576,S200000,02800,0100,N 433576,S200000,02900,0100,N 433576,S200000,03000,0100,N 433576,S200000,03100,0100,N 433576,S200000,03200,0100,N 433576,S200000,03300,0100,N 433576,S200000,03300,0200,N 433576,S200000,04100,0100,N 433576,S200000,04200,0100,N 433576,S200000,04300,0100,N 433576,S200000,04600,0100,N 433576,S200000,04700,0100,N 433576,S200000,04700,0200,N 433576,S200000,04900,0100,N 433576,S200000,05000,0100,N 433576,S200000,05100,0100,N 433576,S200000,05200,0100,N 433577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433577,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433577,A000000,00300,0000,0300EMPLOYEE BENEFITS 433577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433577,A000000,00700,0000,0700HOUSEKEEPING 433577,A000000,00800,0000,0800DIETARY 433577,A000000,00900,0000,0900NURSING ADMINISTRATION 433577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433577,A000000,01100,0000,1100PHARMACY 433577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433577,A000000,01300,0000,1300SOCIAL SERVICE 433577,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433577,A000000,01600,0000,1600SKILLED NURSING FACILITY 433577,A000000,01800,0000,1800NURSING FACILITY 433577,A000000,01900,0000,1900OTHER LONG TERM CARE 433577,A000000,02100,0000,2100RADIOLOGY 433577,A000000,02200,0000,2200LABORATORY 433577,A000000,02300,0000,2300INTRAVENOUS THERAPY 433577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433577,A000000,02500,0000,2500PHYSICAL THERAPY 433577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433577,A000000,02700,0000,2700SPEECH PATHOLOGY 433577,A000000,02800,0000,2800ELECTROCARDIOLOGY 433577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433577,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433577,A000000,03200,0000,3200SUPPORT SURFACES 433577,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433577,A000000,03400,0000,3400CLINIC 433577,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433577,A000000,04800,0000,4800AMBULANCE 433577,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433577,A000000,05000,0000,5000CORF 433577,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433577,A000000,05300,0000,5300INTEREST EXPENSE 433577,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433577,A000000,05500,0000,5500HOSPICE 433577,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433577,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433577,A000000,06100,0000,6100NONPAID WORKERS 433577,A000000,06200,0000,6200PATIENTS LAUNDRY 433577,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433577,A81000A,00100,0100,Y 433577,A81000B,00100,0300,NURSING CONSULTING 433577,A81000B,00200,0300,DIETARY CONSULTING 433577,A81000B,00300,0300,HOME OFFICE 433577,A81000B,00400,0300,INTEREST EXPENSE 433577,A81000B,00500,0300,WORKERS COMP 433577,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 433577,A81000B,00700,0300,MAINTENANCE SUPPLIES 433577,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433577,A81000B,00900,0300,REPAIRS-EQUIPMENT 433577,A81000B,01000,0300,REPAIRS-GROUNDS 433577,A81000B,01100,0300,LINEN & BEDDING 433577,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433577,A81000B,01300,0300,SUPPLIES 433577,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 433577,A81000B,01500,0300,SUPPLIES 433577,A81000B,01600,0300,DIETARY SUPPLEMENTS 433577,A81000B,01700,0300,SUPPLIES 433577,A81000B,01800,0300,BIO-MEDICAL WASTE 433577,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 433577,A81000B,02000,0300,PERSONAL CARE SUPPLIES 433577,A81000B,02100,0300,INCONTINENCE SUPPLIES 433577,A81000B,02200,0300,MEDICAL SUPPLIES 433577,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 433577,A81000B,02400,0300,SUPPLIES 433577,A81000B,02500,0300,SUPPLIES 433577,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 433577,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 433577,A81000B,02800,0300,NON-LEGEND DRUGS 433577,A81000B,02900,0300,PHARMACY CONSULTANT 433577,A81000C,00100,0100,B 433577,A81000C,00100,0200,PLTC & PITS INC 433577,A81000C,00100,0400,PLTC & PITS INC 433577,A81000C,00100,0600,MGMT SERVICES 433577,A81000C,00200,0100,B 433577,A81000C,00200,0200,PLTC & PITS INC 433577,A81000C,00200,0400,PLTC & PITS INC 433577,A81000C,00200,0600,MGMT SERVICES 433577,A81000C,00300,0100,B 433577,A81000C,00300,0200,PLTC & PITS INC 433577,A81000C,00300,0400,PLTC & PITS INC 433577,A81000C,00300,0600,MGMT SERVICES 433577,A81000C,00400,0100,B 433577,A81000C,00400,0200,PLTC & PITS INC 433577,A81000C,00400,0400,PLTC & PITS INC 433577,A81000C,00400,0600,MGMT SERVICES 433577,A81000C,00500,0100,A 433577,A81000C,00500,0200,SHAREHOLDERS 433577,A81000C,00500,0400,DISCOVERY INSUR 433577,A81000C,00500,0600,INSURANCE 433577,A81000C,00600,0100,A 433577,A81000C,00600,0200,SHAREHOLDERS 433577,A81000C,00600,0400,QUEENSLAND ASSU 433577,A81000C,00600,0600,INSURANCE 433577,A81000C,00700,0100,A 433577,A81000C,00700,0200,SHAREHOLDERS 433577,A81000C,00700,0400,KARE MEDICAL 433577,A81000C,00700,0600,WHOLESALE SUPPL 433577,A81000C,00800,0100,A 433577,A81000C,00800,0200,SHAREHOLDERS 433577,A81000C,00800,0400,KARE MEDICAL 433577,A81000C,00800,0600,WHOLESALE SUPPL 433577,A81000C,00900,0100,A 433577,A81000C,00900,0200,SHAREHOLDERS 433577,A81000C,00900,0400,KARE MEDICAL 433577,A81000C,00900,0600,WHOLESALE SUPPL 433577,A81000C,01000,0100,A 433577,A81000C,01000,0200,SHAREHOLDERS 433577,A81000C,01000,0400,KARE MEDICAL 433577,A81000C,01000,0600,WHOLESALE SUPPL 433577,A81000C,01001,0100,A 433577,A81000C,01001,0200,SHAREHOLDERS 433577,A81000C,01001,0400,KARE MEDICAL 433577,A81000C,01001,0600,WHOLESALE SUPPL 433577,A81000C,01002,0100,A 433577,A81000C,01002,0200,SHAREHOLDERS 433577,A81000C,01002,0400,KARE MEDICAL 433577,A81000C,01002,0600,WHOLESALE SUPPL 433577,A81000C,01003,0100,A 433577,A81000C,01003,0200,SHAREHOLDERS 433577,A81000C,01003,0400,KARE MEDICAL 433577,A81000C,01003,0600,WHOLESALE SUPPL 433577,A81000C,01004,0100,A 433577,A81000C,01004,0200,SHAREHOLDERS 433577,A81000C,01004,0400,KARE MEDICAL 433577,A81000C,01004,0600,WHOLESALE SUPPL 433577,A81000C,01005,0100,A 433577,A81000C,01005,0200,SHAREHOLDERS 433577,A81000C,01005,0400,KARE MEDICAL 433577,A81000C,01005,0600,WHOLESALE SUPPL 433577,A81000C,01006,0100,A 433577,A81000C,01006,0200,SHAREHOLDERS 433577,A81000C,01006,0400,KARE MEDICAL 433577,A81000C,01006,0600,WHOLESALE SUPPL 433577,A81000C,01007,0100,A 433577,A81000C,01007,0200,SHAREHOLDERS 433577,A81000C,01007,0400,KARE MEDICAL 433577,A81000C,01007,0600,WHOLESALE SUPPL 433577,A81000C,01008,0100,A 433577,A81000C,01008,0200,SHAREHOLDERS 433577,A81000C,01008,0400,KARE MEDICAL 433577,A81000C,01008,0600,WHOLESALE SUPPL 433577,A81000C,01009,0100,A 433577,A81000C,01009,0200,SHAREHOLDERS 433577,A81000C,01009,0400,KARE MEDICAL 433577,A81000C,01009,0600,WHOLESALE SUPPL 433577,A81000C,01010,0100,A 433577,A81000C,01010,0200,SHAREHOLDERS 433577,A81000C,01010,0400,KARE MEDICAL 433577,A81000C,01010,0600,WHOLESALE SUPPL 433577,A81000C,01011,0100,A 433577,A81000C,01011,0200,SHAREHOLDERS 433577,A81000C,01011,0400,KARE MEDICAL 433577,A81000C,01011,0600,WHOLESALE SUPPL 433577,A81000C,01012,0100,A 433577,A81000C,01012,0200,SHAREHOLDERS 433577,A81000C,01012,0400,KARE MEDICAL 433577,A81000C,01012,0600,WHOLESALE SUPPL 433577,A81000C,01013,0100,A 433577,A81000C,01013,0200,SHAREHOLDERS 433577,A81000C,01013,0400,KARE MEDICAL 433577,A81000C,01013,0600,WHOLESALE SUPPL 433577,A81000C,01014,0100,A 433577,A81000C,01014,0200,SHAREHOLDERS 433577,A81000C,01014,0400,KARE MEDICAL 433577,A81000C,01014,0600,WHOLESALE SUPPL 433577,A81000C,01015,0100,A 433577,A81000C,01015,0200,SHAREHOLDERS 433577,A81000C,01015,0400,KARE MEDICAL 433577,A81000C,01015,0600,WHOLESALE SUPPL 433577,A81000C,01016,0100,A 433577,A81000C,01016,0200,SHAREHOLDERS 433577,A81000C,01016,0400,KARE MEDICAL 433577,A81000C,01016,0600,WHOLESALE SUPPL 433577,A81000C,01017,0100,A 433577,A81000C,01017,0200,SHAREHOLDERS 433577,A81000C,01017,0400,PHARMSAVE 433577,A81000C,01017,0600,RX SUPPLY 433577,A81000C,01018,0100,A 433577,A81000C,01018,0200,SHAREHOLDERS 433577,A81000C,01018,0400,PHARMSAVE 433577,A81000C,01018,0600,RX SUPPLY 433577,A81000C,01019,0100,A 433577,A81000C,01019,0200,SHAREHOLDERS 433577,A81000C,01019,0400,PHARMSAVE 433577,A81000C,01019,0600,RX SUPPLY 433577,A81000C,01020,0100,A 433577,A81000C,01020,0200,SHAREHOLDERS 433577,A81000C,01020,0400,PHARMSAVE 433577,A81000C,01020,0600,RX SUPPLY 433577,A81000C,01021,0100,A 433577,A81000C,01021,0200,SHAREHOLDERS 433577,A81000C,01021,0400,PHARMSAVE 433577,A81000C,01021,0600,RX SUPPLY 433577,A81000C,01022,0100,A 433577,A81000C,01022,0200,SHAREHOLDERS 433577,A81000C,01022,0400,ROBERT HILL CON 433577,A81000C,01022,0600,CONSTRUCTION 433577,A81000C,01023,0100,A 433577,A81000C,01023,0200,SHAREHOLDERS 433577,A81000C,01023,0400,ROBERT HILL CON 433577,A81000C,01023,0600,CONSTRUCTION 433577,A81000C,01024,0100,A 433577,A81000C,01024,0200,SHAREHOLDERS 433577,A81000C,01024,0400,ROBERT HILL CON 433577,A81000C,01024,0600,CONSTRUCTION 433577,A81000C,01025,0100,A 433577,A81000C,01025,0200,SHAREHOLDERS 433577,A81000C,01025,0400,HILLCO LTD 433577,A81000C,01025,0600,REAL ESTATE 433577,A81000C,01026,0100,A 433577,A81000C,01026,0200,SHAREHOLDERS 433577,A81000C,01026,0400,BRITTHAVEN INC 433577,A81000C,01026,0600,REAL ESTATE 433577,A81000C,01027,0100,A 433577,A81000C,01027,0200,SHAREHOLDERS 433577,A81000C,01027,0400,BRITTHAVEN INC 433577,A81000C,01027,0600,REAL ESTATE 433577,A81000C,01028,0100,A 433577,A81000C,01028,0200,SHAREHOLDERS 433577,A81000C,01028,0400,BRITTHAVEN INC 433577,A81000C,01028,0600,REAL ESTATE 433577,A81000C,01029,0100,A 433577,A81000C,01029,0200,SHAREHOLDERS 433577,A81000C,01029,0400,BRITTHAVEN INC 433577,A81000C,01029,0600,REAL ESTATE 433577,A81000C,01030,0100,A 433577,A81000C,01030,0200,SHAREHOLDERS 433577,A81000C,01030,0400,BRITTHAVEN INC 433577,A81000C,01030,0600,REAL ESTATE 433577,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433577,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433577,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433577,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433577,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433577,B100000,00000,0800,0800MEALS SERVED :DIETARY 433577,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433577,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433577,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433577,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433577,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433577,E10A180,00350,0100,07/27/11 433577,E10A180,00501,0100,05/22/12 433577,E10A180,00550,0100,02/29/12 433577,G300000,02500,0000, OTHER (SPECIFY) 433577,S000000,00100,0200,02/29/12 433577,S200000,00100,0100,2600 OLD CHERRY POINT ROAD 433577,S200000,00100,0300,P.O. BOX 3397 433577,S200000,00200,0100,NEW BERN 433577,S200000,00200,0200,NC 433577,S200000,00200,0300,28564-3397 433577,S200000,00300,0100,CRAVEN 433577,S200000,00300,0201,99934 433577,S200000,00300,0300,R 433577,S200000,00400,0100,RIVERPOINT CREST NURSING & REHAB CTR 433577,S200000,00400,0200,345211 433577,S200000,00400,0300,01/01/11 433577,S200000,00400,0500,P 433577,S200000,01500,0100,N 433577,S200000,01501,0200,Y 433577,S200000,01502,0200,Y 433577,S200000,01503,0200,Y 433577,S200000,01504,0200,Y 433577,S200000,01505,0000,OTHER (SPECIFY) 433577,S200000,01505,0200,Y 433577,S200000,01600,0100,Y 433577,S200000,01700,0100,N 433577,S200000,01800,0100,N 433577,S200000,02200,0100,N 433577,S200000,02800,0100,N 433577,S200000,02900,0100,N 433577,S200000,03000,0100,N 433577,S200000,03100,0100,N 433577,S200000,03200,0100,N 433577,S200000,03300,0100,N 433577,S200000,03300,0200,N 433577,S200000,04100,0100,N 433577,S200000,04200,0100,N 433577,S200000,04300,0100,N 433577,S200000,04600,0100,N 433577,S200000,04700,0100,N 433577,S200000,04700,0200,N 433577,S200000,04900,0100,N 433577,S200000,05000,0100,N 433577,S200000,05100,0100,N 433577,S200000,05200,0100,N 433577,S200000,05300,0100,Y 433577,S200000,05300,0200,349011 433577,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433577,S200000,05400,0200,PALMETTO GBA 433577,S200000,05400,0300,11501 433577,S200000,05500,0100,1435 HWY 258 NORTH 433577,S200000,05600,0100,KINSTON 433577,S200000,05600,0200,NC 433577,S200000,05600,0300,28502 433578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433578,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433578,A000000,00300,0000,0300EMPLOYEE BENEFITS 433578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433578,A000000,00700,0000,0700HOUSEKEEPING 433578,A000000,00800,0000,0800DIETARY 433578,A000000,00900,0000,0900NURSING ADMINISTRATION 433578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433578,A000000,01100,0000,1100PHARMACY 433578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433578,A000000,01300,0000,1300SOCIAL SERVICE 433578,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433578,A000000,01600,0000,1600SKILLED NURSING FACILITY 433578,A000000,01800,0000,1800NURSING FACILITY 433578,A000000,01900,0000,1900OTHER LONG TERM CARE 433578,A000000,02100,0000,2100RADIOLOGY 433578,A000000,02200,0000,2200LABORATORY 433578,A000000,02300,0000,2300INTRAVENOUS THERAPY 433578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433578,A000000,02500,0000,2500PHYSICAL THERAPY 433578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433578,A000000,02700,0000,2700SPEECH PATHOLOGY 433578,A000000,02800,0000,2800ELECTROCARDIOLOGY 433578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433578,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433578,A000000,03200,0000,3200SUPPORT SURFACES 433578,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433578,A000000,03400,0000,3400CLINIC 433578,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433578,A000000,04800,0000,4800AMBULANCE 433578,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433578,A000000,05000,0000,5000CORF 433578,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433578,A000000,05300,0000,5300INTEREST EXPENSE 433578,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433578,A000000,05500,0000,5500HOSPICE 433578,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433578,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433578,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433578,A000000,06100,0000,6100NONPAID WORKERS 433578,A000000,06200,0000,6200PATIENTS LAUNDRY 433578,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433578,A81000A,00100,0100,Y 433578,A81000B,00100,0300,NURSING CONSULTING 433578,A81000B,00200,0300,DIETARY CONSULTING 433578,A81000B,00300,0300,HOME OFFICE 433578,A81000B,00400,0300,INTEREST EXPENSE 433578,A81000B,00500,0300,WORKERS COMP EXPENSE 433578,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433578,A81000B,00700,0300,OFFICE SUPPLIES 433578,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433578,A81000B,00900,0300,REPAIRS - BUILDING 433578,A81000B,01000,0300,REPARIS - EQUIPMENT 433578,A81000B,01100,0300,LINEN & BEDDING 433578,A81000B,01200,0300,LAUNDRY SUPPLIES 433578,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 433578,A81000B,01400,0300,PAPER PRODUCTS & HAND SOAP 433578,A81000B,01500,0300,HSKP SUPPLIES 433578,A81000B,01600,0300,DIETARY SUPPLEMENTS 433578,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433578,A81000B,01800,0300,PERSONAL CARE SUPPLIES 433578,A81000B,01900,0300,INCONTINENCE SUPPLIES 433578,A81000B,02000,0300,MEDICAL SUPPLIES 433578,A81000B,02100,0300,MED REC SUPPLIES 433578,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433578,A81000B,02300,0300,PT SUPPLIES 433578,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 433578,A81000B,02500,0300,PARENTERAL/ENTERAL SUPPLIES 433578,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 433578,A81000B,02700,0300,NON-LEGEND DRUGS 433578,A81000B,02800,0300,PHARMACY CONSULTANT 433578,A81000B,02900,0300,MED REC SUPPLIES 433578,A81000C,00100,0100,B 433578,A81000C,00100,0200,PLTC & PITS IN 433578,A81000C,00100,0400,PLTC & PITS IN 433578,A81000C,00100,0600,MGMT 433578,A81000C,00200,0100,B 433578,A81000C,00200,0200,PLTC & PITS IN 433578,A81000C,00200,0400,PLTC & PITS IN 433578,A81000C,00200,0600,MGMT 433578,A81000C,00300,0100,B 433578,A81000C,00300,0200,PLTC & PITS IN 433578,A81000C,00300,0400,PLTC & PITS IN 433578,A81000C,00300,0600,MGMT 433578,A81000C,00400,0100,B 433578,A81000C,00400,0200,PLTC & PITS IN 433578,A81000C,00400,0400,PLTC & PITS IN 433578,A81000C,00400,0600,MGMT 433578,A81000C,00500,0100,A 433578,A81000C,00500,0200,SHAREHOLDERS 433578,A81000C,00500,0400,DISCOVERY INSUR 433578,A81000C,00500,0600,INSURANCE 433578,A81000C,00600,0100,A 433578,A81000C,00600,0200,SHAREHOLDERS 433578,A81000C,00600,0400,QUEENSLAND 433578,A81000C,00600,0600,INSURANCE 433578,A81000C,00700,0100,A 433578,A81000C,00700,0200,SHAREHOLDERS 433578,A81000C,00700,0400,KARE MEDICAL 433578,A81000C,00700,0600,WHOLESALE 433578,A81000C,00800,0100,A 433578,A81000C,00800,0200,SHAREHOLDERS 433578,A81000C,00800,0400,KARE MEDICAL 433578,A81000C,00800,0600,WHOLESALE 433578,A81000C,00900,0100,A 433578,A81000C,00900,0200,SHAREHOLDERS 433578,A81000C,00900,0400,KARE MEDICAL 433578,A81000C,00900,0600,WHOLESALE 433578,A81000C,01000,0100,A 433578,A81000C,01000,0200,SHAREHOLDERS 433578,A81000C,01000,0400,KARE MEDICAL 433578,A81000C,01000,0600,WHOLESALE 433578,A81000C,01001,0100,A 433578,A81000C,01001,0200,SHAREHOLDERS 433578,A81000C,01001,0400,KARE MEDICAL 433578,A81000C,01001,0600,WHOLESALE 433578,A81000C,01002,0100,A 433578,A81000C,01002,0200,SHAREHOLDERS 433578,A81000C,01002,0400,KARE MEDICAL 433578,A81000C,01002,0600,WHOLESALE 433578,A81000C,01003,0100,A 433578,A81000C,01003,0200,SHAREHOLDERS 433578,A81000C,01003,0400,KARE MEDICAL 433578,A81000C,01003,0600,WHOLESALE 433578,A81000C,01004,0100,A 433578,A81000C,01004,0200,SHAREHOLDERS 433578,A81000C,01004,0400,KARE MEDICAL 433578,A81000C,01004,0600,WHOLESALE 433578,A81000C,01005,0100,A 433578,A81000C,01005,0200,SHAREHOLDERS 433578,A81000C,01005,0400,KARE MEDICAL 433578,A81000C,01005,0600,WHOLESALE 433578,A81000C,01006,0100,A 433578,A81000C,01006,0200,SHAREHOLDERS 433578,A81000C,01006,0400,KARE MEDICAL 433578,A81000C,01006,0600,WHOLESALE 433578,A81000C,01007,0100,A 433578,A81000C,01007,0200,SHAREHOLDERS 433578,A81000C,01007,0400,KARE MEDICAL 433578,A81000C,01007,0600,WHOLESALE 433578,A81000C,01008,0100,A 433578,A81000C,01008,0200,SHAREHOLDERS 433578,A81000C,01008,0400,KARE MEDICAL 433578,A81000C,01008,0600,WHOLESALE 433578,A81000C,01009,0100,A 433578,A81000C,01009,0200,SHAREHOLDERS 433578,A81000C,01009,0400,KARE MEDICAL 433578,A81000C,01009,0600,WHOLESALE 433578,A81000C,01010,0100,A 433578,A81000C,01010,0200,SHAREHOLDERS 433578,A81000C,01010,0400,KARE MEDICAL 433578,A81000C,01010,0600,WHOLESALE 433578,A81000C,01011,0100,A 433578,A81000C,01011,0200,SHAREHOLDERS 433578,A81000C,01011,0400,KARE MEDICAL 433578,A81000C,01011,0600,WHOLESALE 433578,A81000C,01012,0100,A 433578,A81000C,01012,0200,SHAREHOLDERS 433578,A81000C,01012,0400,KARE MEDICAL 433578,A81000C,01012,0600,WHOLESALE 433578,A81000C,01013,0100,A 433578,A81000C,01013,0200,SHAREHOLDERS 433578,A81000C,01013,0400,KARE MEDICAL 433578,A81000C,01013,0600,WHOLESALE 433578,A81000C,01014,0100,A 433578,A81000C,01014,0200,SHAREHOLDERS 433578,A81000C,01014,0400,KARE MEDICAL 433578,A81000C,01014,0600,WHOLESALE 433578,A81000C,01015,0100,A 433578,A81000C,01015,0200,SHAREHOLDERS 433578,A81000C,01015,0400,KARE MEDICAL 433578,A81000C,01015,0600,WHOLESALE 433578,A81000C,01016,0100,A 433578,A81000C,01016,0200,SHAREHOLDERS 433578,A81000C,01016,0400,KARE MEDICAL 433578,A81000C,01016,0600,WHOLESALE 433578,A81000C,01017,0100,A 433578,A81000C,01017,0200,SHAREHOLDERS 433578,A81000C,01017,0400,KARE MEDICAL 433578,A81000C,01017,0600,WHOLESALE 433578,A81000C,01018,0100,A 433578,A81000C,01018,0200,SHAREHOLDERS 433578,A81000C,01018,0400,PHARMSAVE 433578,A81000C,01018,0600,RX SUPPLY 433578,A81000C,01019,0100,A 433578,A81000C,01019,0200,SHAREHOLDERS 433578,A81000C,01019,0400,PHARMSAVE 433578,A81000C,01019,0600,RX SUPPLY 433578,A81000C,01020,0100,A 433578,A81000C,01020,0200,SHAREHOLDERS 433578,A81000C,01020,0400,PHARMSAVE 433578,A81000C,01020,0600,RX SUPPLY 433578,A81000C,01021,0100,A 433578,A81000C,01021,0200,SHAREHOLDERS 433578,A81000C,01021,0400,PHARMSAVE 433578,A81000C,01021,0600,RX SUPPLY 433578,A81000C,01022,0100,A 433578,A81000C,01022,0200,SHAREHOLDERS 433578,A81000C,01022,0400,PHARMSAVE 433578,A81000C,01022,0600,RX SUPPLY 433578,A81000C,01023,0100,A 433578,A81000C,01023,0200,SHAREHOLDERS 433578,A81000C,01023,0400,ROBERT HILL CON 433578,A81000C,01023,0600,CONSTRUCTION 433578,A81000C,01024,0100,A 433578,A81000C,01024,0200,SHAREHOLDERS 433578,A81000C,01024,0400,ROBERT HILL CON 433578,A81000C,01024,0600,CONSTRUCTION 433578,A81000C,01025,0100,A 433578,A81000C,01025,0200,SHAREHOLDERS 433578,A81000C,01025,0400,BRITTHAVEN INC 433578,A81000C,01025,0600,REAL ESTATE 433578,A81000C,01026,0100,A 433578,A81000C,01026,0200,SHAREHOLDERS 433578,A81000C,01026,0400,BRITTHAVEN INC 433578,A81000C,01026,0600,REAL ESTATE 433578,A81000C,01027,0100,A 433578,A81000C,01027,0200,SHAREHOLDERS 433578,A81000C,01027,0400,BRITTHAVEN INC 433578,A81000C,01027,0600,REAL ESTATE 433578,A81000C,01028,0100,A 433578,A81000C,01028,0200,SHAREHOLDERS 433578,A81000C,01028,0400,BRITTHAVEN INC 433578,A81000C,01028,0600,REAL ESTATE 433578,A81000C,01029,0100,A 433578,A81000C,01029,0200,SHAREHOLDERS 433578,A81000C,01029,0400,BRITTHAVEN INC 433578,A81000C,01029,0600,REAL ESTATE 433578,A81000C,01030,0100,A 433578,A81000C,01030,0200,SHAREHOLDERS 433578,A81000C,01030,0400,BRITTHAVEN INC 433578,A81000C,01030,0600,REAL ESTATE 433578,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433578,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433578,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433578,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433578,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433578,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433578,B100000,00000,0800,0800MEALS SERVED :DIETARY 433578,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433578,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433578,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433578,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433578,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433578,E10A180,00501,0100,05/23/12 433578,G300000,02500,0000, OTHER (SPECIFY) 433578,S000000,00100,0200,02/29/12 433578,S200000,00100,0100,1704 HWY 39 NORTH 433578,S200000,00200,0100,LOUISBURG 433578,S200000,00200,0200,NC 433578,S200000,00200,0300,27549 433578,S200000,00300,0100,FRANKLIN 433578,S200000,00300,0201,39580 433578,S200000,00300,0300,U 433578,S200000,00400,0100,FRANKLIN OAKS NURSING & REHAB CENTER 433578,S200000,00400,0200,345335 433578,S200000,00400,0300,01/01/11 433578,S200000,00400,0500,P 433578,S200000,01500,0100,N 433578,S200000,01501,0200,Y 433578,S200000,01502,0200,Y 433578,S200000,01503,0200,Y 433578,S200000,01504,0200,Y 433578,S200000,01505,0000,OTHER (SPECIFY) 433578,S200000,01505,0200,Y 433578,S200000,01600,0100,Y 433578,S200000,01700,0100,N 433578,S200000,01800,0100,N 433578,S200000,02200,0100,N 433578,S200000,02800,0100,N 433578,S200000,02900,0100,N 433578,S200000,03000,0100,N 433578,S200000,03100,0100,N 433578,S200000,03200,0100,N 433578,S200000,03300,0100,N 433578,S200000,03300,0200,N 433578,S200000,04100,0100,N 433578,S200000,04200,0100,N 433578,S200000,04300,0100,N 433578,S200000,04600,0100,N 433578,S200000,04700,0100,N 433578,S200000,04700,0200,N 433578,S200000,04900,0100,N 433578,S200000,05000,0100,N 433578,S200000,05100,0100,N 433578,S200000,05200,0100,N 433578,S200000,05300,0100,Y 433578,S200000,05300,0200,349011 433578,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433578,S200000,05400,0200,PALMETTO GBA 433578,S200000,05400,0300,11501 433578,S200000,05500,0100,1435 HWY 258 NORTH 433578,S200000,05600,0100,KINSTON 433578,S200000,05600,0200,NC 433578,S200000,05600,0300,28502 433581,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433581,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433581,A000000,00300,0000,0300EMPLOYEE BENEFITS 433581,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433581,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433581,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433581,A000000,00700,0000,0700HOUSEKEEPING 433581,A000000,00800,0000,0800DIETARY 433581,A000000,00900,0000,0900NURSING ADMINISTRATION 433581,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433581,A000000,01100,0000,1100PHARMACY 433581,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433581,A000000,01300,0000,1300SOCIAL SERVICE 433581,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433581,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433581,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433581,A000000,03200,0000,3200SUPPORT SURFACES 433581,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433581,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433581,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433581,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433581,A000000,04400,0000,4400DME RENTED - HHA 433581,A000000,04500,0000,4500DME SOLD - HHA 433581,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433581,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433581,A000000,04800,0000,4800AMBULANCE 433581,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433581,A000000,05000,0000,5000CORF 433581,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433581,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433581,A000000,06100,0000,6100NONPAID WORKERS 433581,A000000,06200,0000,6200PATIENTS LAUNDRY 433581,A81000A,00100,0100,N 433581,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433581,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433581,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433581,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433581,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433581,B100000,00000,0600,0650PATIENT DA YS :LAUNDRY & LINEN S 433581,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433581,B100000,00000,0800,0800MEALS SERVED :DIETARY 433581,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433581,B100000,00000,1000,1050PATIENT DA YS :CENTRAL SERVICES 433581,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433581,B100000,00000,1200,1250GROSS CHAR GES :MEDICAL RECORDS 433581,B100000,00000,1300,1330PATIENT DA YS :SOCIAL SERVICE 433581,S000000,00100,0200,04/12/12 433581,S200000,00100,0100,3 CHENAL HEIGHTS DRIVE 433581,S200000,00200,0100,LITTLE ROCK 433581,S200000,00200,0200,AR 433581,S200000,00200,0300,72223 433581,S200000,00300,0100,PULASKI 433581,S200000,00300,0201,30780 433581,S200000,00300,0300,U 433581,S200000,00400,0100,CHENAL HEIGHTS NURSING AND REHAB 433581,S200000,00400,0200,045426 433581,S200000,00400,0300,04/08/08 433581,S200000,00400,0500,P 433581,S200000,01500,0100,N 433581,S200000,01600,0100,N 433581,S200000,01700,0100,N 433581,S200000,01800,0100,Y 433581,S200000,02200,0100,N 433581,S200000,02800,0100,N 433581,S200000,02900,0100,N 433581,S200000,03000,0100,N 433581,S200000,03100,0100,N 433581,S200000,03200,0100,N 433581,S200000,03300,0100,N 433581,S200000,03300,0200,N 433581,S200000,03600,0100,N 433581,S200000,03600,0200,N 433581,S200000,04100,0100,N 433581,S200000,04200,0100,N 433581,S200000,04300,0100,N 433581,S200000,04600,0100,N 433581,S200000,04700,0100,N 433581,S200000,04700,0200,N 433581,S200000,04900,0100,N 433581,S200000,05000,0100,N 433581,S200000,05100,0100,N 433581,S200000,05200,0100,N 433608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433608,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433608,A000000,00300,0000,0300EMPLOYEE BENEFITS 433608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433608,A000000,00700,0000,0700HOUSEKEEPING 433608,A000000,00800,0000,0800DIETARY 433608,A000000,00900,0000,0900NURSING ADMINISTRATION 433608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433608,A000000,01100,0000,1100PHARMACY 433608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433608,A000000,01300,0000,1300SOCIAL SERVICE 433608,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433608,A000000,01500,0000,1350ACTIVITIES 433608,A000000,01600,0000,1600SKILLED NURSING FACILITY 433608,A000000,01810,0000,1810ICF/MR 433608,A000000,02100,0000,2100RADIOLOGY 433608,A000000,02200,0000,2200LABORATORY 433608,A000000,02300,0000,2300INTRAVENOUS THERAPY 433608,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433608,A000000,02500,0000,2500PHYSICAL THERAPY 433608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433608,A000000,02700,0000,2700SPEECH PATHOLOGY 433608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433608,A000000,03200,0000,3200SUPPORT SURFACES 433608,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433608,A000000,03550,0000,3550FQHC 433608,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433608,A000000,04801,0000,4801AMBULANCE 433608,A000000,04802,0000,4802AMBULANCE 433608,A000000,04803,0000,4803AMBULANCE 433608,A000000,05000,0000,5000CORF 433608,A000000,05010,0000,5010CMHC 433608,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433608,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433608,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433608,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433608,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433608,A81000A,00100,0100,Y 433608,A81000B,00100,0300,HOME OFFICE 433608,A81000C,00100,0100,B 433608,A81000C,00100,0200,BRIGHTEN HEALTH GROUP LLC 433608,A81000C,00100,0400,BRIGHTEN HEALTH GROUP LLC 433608,A81000C,00100,0600,PARENT COMPANY 433608,A81000C,00200,0100,B 433608,A81000C,00200,0200,BRIGHTEN MANAGEMENT GROUP 433608,A81000C,00200,0400,BRIGHTEN MANAGEMENT GROUP 433608,A81000C,00200,0600,MANAGEMENT SERVICES 433608,B100000,00000,0100,0100SQUARE FEET 433608,B100000,00000,0200,0200SQUARE FEET 433608,B100000,00000,0300,0300GROSS SALARIES 433608,B100000,00000,0400,0400ACCUM COST 433608,B100000,00000,0500,0500SQUARE FEET 433608,B100000,00000,0600,0600PATIENT DAYS 433608,B100000,00000,0700,0700SQUARE FEET 433608,B100000,00000,0800,0800MEALS SERVED 433608,B100000,00000,0900,0900NURSING SALARIES 433608,B100000,00000,1000,1000PATIENT DAYS 433608,B100000,00000,1100,1100PATIENT DAYS 433608,B100000,00000,1200,1200PATIENT DAYS 433608,B100000,00000,1300,1300PATIENT DAYS 433608,B100000,00000,1400,1400ASSIGNED TIME 433608,B100000,00000,1500,1350PATIENT DAYS 433608,E10A180,00501,0100,11/14/11 433608,E10A180,00501,0300,11/14/11 433608,G300000,02500,0000,OTHER REVENUE 433608,S000000,00100,0200,09/28/11 433608,S200000,00100,0100,956 RAILROAD AVENUE 433608,S200000,00200,0100,BRYN MAWR 433608,S200000,00200,0200,PA 433608,S200000,00200,0300,19010 433608,S200000,00300,0100,MONTGOMERY 433608,S200000,00300,0201,37964 433608,S200000,00300,0300,U 433608,S200000,00400,0100,BRIGHTEN AT BRYN MAWR 433608,S200000,00400,0200,395311 433608,S200000,00400,0300,05/28/74 433608,S200000,00400,0500,P 433608,S200000,01500,0100,Y 433608,S200000,01501,0200,Y 433608,S200000,01600,0100,N 433608,S200000,01700,0100,N 433608,S200000,01800,0100,N 433608,S200000,02200,0100,N 433608,S200000,02800,0100,N 433608,S200000,02900,0100,N 433608,S200000,03000,0100,N 433608,S200000,03100,0100,N 433608,S200000,03200,0100,N 433608,S200000,03300,0100,N 433608,S200000,03300,0200,N 433608,S200000,04200,0100,N 433608,S200000,04300,0100,N 433608,S200000,04600,0100,N 433608,S200000,04700,0100,N 433608,S200000,04900,0100,N 433608,S200000,05200,0100,N 433608,S200000,05300,0100,Y 433608,S200000,05300,0200,NA 433608,S200000,05400,0100,BRIGHTEN HEALTH GROUP LLC 433608,S200000,05400,0200,NA 433608,S200000,05400,0300,NA 433608,S200000,05500,0100,956 E RAILROAD AVENUE SUITE 201 433608,S200000,05600,0100,BRYN MAWR 433608,S200000,05600,0200,PA 433608,S200000,05600,0300,19010 433612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433612,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433612,A000000,00300,0000,0300EMPLOYEE BENEFITS 433612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433612,A000000,00700,0000,0700HOUSEKEEPING 433612,A000000,00800,0000,0800DIETARY 433612,A000000,00900,0000,0900NURSING ADMINISTRATION 433612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433612,A000000,01100,0000,1100PHARMACY 433612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433612,A000000,01300,0000,1300SOCIAL SERVICE 433612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433612,A000000,01500,0000,1350RECREATION 433612,A000000,01600,0000,1600SKILLED NURSING FACILITY 433612,A000000,01810,0000,1810ICF/MR 433612,A000000,02100,0000,2100RADIOLOGY 433612,A000000,02200,0000,2200LABORATORY 433612,A000000,02300,0000,2300INTRAVENOUS THERAPY 433612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433612,A000000,02500,0000,2500PHYSICAL THERAPY 433612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433612,A000000,02700,0000,2700SPEECH PATHOLOGY 433612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433612,A000000,03550,0000,3550FQHC 433612,A000000,04801,0000,4801AMBULANCE 433612,A000000,04802,0000,4802AMBULANCE 433612,A000000,04803,0000,4803AMBULANCE 433612,A000000,05000,0000,5000CORF 433612,A000000,05010,0000,5010CMHC 433612,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433612,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433612,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433612,A81000A,00100,0100,Y 433612,A81000B,00100,0300,SEE ATTACHED 433612,A81000B,00200,0300,HOME OFFICE INTEREST 433612,A81000B,00300,0300,HOME OFFICE A&G 433612,A81000B,00400,0300,HOME OFFICE CAP PIEC 433612,A81000C,00100,0100,B 433612,A81000C,00100,0400,SEE ATTACHED 433612,A81000C,00100,0600,VARIOUS 433612,A81000C,00200,0100,B 433612,A81000C,00200,0400,GHC 433612,A81000C,00200,0600,LONG TERM CARE 433612,A81000C,00300,0100,B 433612,A81000C,00300,0400,GHC 433612,A81000C,00300,0600,LONG TERM CARE 433612,A81000C,00400,0100,B 433612,A81000C,00400,0400,GHC 433612,A81000C,00400,0600,LONG TERM CARE 433612,B100000,00000,0100,0100SQUARE FEET 433612,B100000,00000,0200,0200SQUARE FEET 433612,B100000,00000,0300,0300GROSS SALARIES 433612,B100000,00000,0400,0400ACCUM COST 433612,B100000,00000,0500,0500SQUARE FEET 433612,B100000,00000,0600,0600PATIENT DAYS 433612,B100000,00000,0700,0700SQUARE FEET 433612,B100000,00000,0800,0800MEALS SERVED 433612,B100000,00000,0900,0900NURSING SALARIES 433612,B100000,00000,1000,1000COSTED REQUIS 433612,B100000,00000,1100,1100COSTED REQUIS 433612,B100000,00000,1200,1200PATIENT DAYS 433612,B100000,00000,1300,1300PATIENT DAYS 433612,B100000,00000,1400,1400ASSIGNED TIME 433612,B100000,00000,1500,1350PATIENT DAYS 433612,E10A180,00501,0300,01/12/12 433612,E10A180,00550,0100,01/12/12 433612,G300000,02500,0000,BARBER AND BEAUTY 433612,S000000,00100,0200,12/02/11 433612,S200000,00100,0100,500 EAST PHILADELPHIA AVENUE 433612,S200000,00200,0100,SHILLINGTON 433612,S200000,00200,0200,PA 433612,S200000,00200,0300,19607 433612,S200000,00300,0100,BERKS 433612,S200000,00300,0201,39740 433612,S200000,00300,0300,U 433612,S200000,00400,0100,MIFFLIN CENTER 433612,S200000,00400,0200,395138 433612,S200000,00400,0300,01/01/67 433612,S200000,00400,0500,P 433612,S200000,01500,0100,Y 433612,S200000,01501,0200,N 433612,S200000,01502,0200,N 433612,S200000,01503,0200,N 433612,S200000,01504,0200,N 433612,S200000,01600,0100,N 433612,S200000,01700,0100,N 433612,S200000,01800,0100,N 433612,S200000,01900,0100,LLC 433612,S200000,02200,0100,Y 433612,S200000,02800,0100,N 433612,S200000,02900,0100,N 433612,S200000,03000,0100,N 433612,S200000,03100,0100,N 433612,S200000,03200,0100,N 433612,S200000,03300,0100,N 433612,S200000,03300,0200,N 433612,S200000,04200,0100,N 433612,S200000,04300,0100,N 433612,S200000,04600,0100,N 433612,S200000,04700,0100,N 433612,S200000,04900,0100,N 433612,S200000,05200,0100,N 433612,S200000,05300,0100,Y 433612,S200000,05300,0200,HB0067 433612,S200000,05400,0100,GENESIS HEALTHCARE LLC 433612,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433612,S200000,05400,0300,12001 433612,S200000,05500,0100,101 EAST STATE STREET 433612,S200000,05600,0100,KENNETT SQUARE 433612,S200000,05600,0200,PA 433612,S200000,05600,0300,19348 433656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433656,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433656,A000000,00300,0000,0300EMPLOYEE BENEFITS 433656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433656,A000000,00700,0000,0700HOUSEKEEPING 433656,A000000,00800,0000,0800DIETARY 433656,A000000,00900,0000,0900NURSING ADMINISTRATION 433656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433656,A000000,01100,0000,1100PHARMACY 433656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433656,A000000,01300,0000,1300SOCIAL SERVICE 433656,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433656,A000000,01500,0000,1350RECREATION 433656,A000000,01600,0000,1600SKILLED NURSING FACILITY 433656,A000000,01810,0000,1810ICF/MR 433656,A000000,02100,0000,2100RADIOLOGY 433656,A000000,02200,0000,2200LABORATORY 433656,A000000,02300,0000,2300INTRAVENOUS THERAPY 433656,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433656,A000000,02500,0000,2500PHYSICAL THERAPY 433656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433656,A000000,02700,0000,2700SPEECH PATHOLOGY 433656,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433656,A000000,03550,0000,3550FQHC 433656,A000000,04801,0000,4801AMBULANCE 433656,A000000,04802,0000,4802AMBULANCE 433656,A000000,04803,0000,4803AMBULANCE 433656,A000000,05000,0000,5000CORF 433656,A000000,05010,0000,5010CMHC 433656,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433656,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433656,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433656,A81000A,00100,0100,Y 433656,A81000B,00100,0300,SEE ATTACHED 433656,A81000B,00200,0300,HOME OFFICE A&G 433656,A81000B,00300,0300,HOME OFFICE CAP PIEC 433656,A81000C,00100,0100,B 433656,A81000C,00100,0400,SEE ATTACHED 433656,A81000C,00100,0600,VARIOUS 433656,A81000C,00200,0100,B 433656,A81000C,00200,0400,GHC 433656,A81000C,00200,0600,LONG TERM CARE 433656,A81000C,00300,0100,B 433656,A81000C,00300,0400,GHC 433656,A81000C,00300,0600,LONG TERM CARE 433656,B100000,00000,0100,0100SQUARE FEET 433656,B100000,00000,0200,0200SQUARE FEET 433656,B100000,00000,0300,0300GROSS SALARIES 433656,B100000,00000,0400,0400ACCUM COST 433656,B100000,00000,0500,0500SQUARE FEET 433656,B100000,00000,0600,0600PATIENT DAYS 433656,B100000,00000,0700,0700SQUARE FEET 433656,B100000,00000,0800,0800MEALS SERVED 433656,B100000,00000,0900,0900NURSING SALARIES 433656,B100000,00000,1000,1000COSTED REQUIS 433656,B100000,00000,1100,1100COSTED REQUIS 433656,B100000,00000,1200,1200PATIENT DAYS 433656,B100000,00000,1300,1300PATIENT DAYS 433656,B100000,00000,1400,1400ASSIGNED TIME 433656,B100000,00000,1500,1350PATIENT DAYS 433656,E10A180,00301,0100,06/27/11 433656,E10A180,00501,0100,01/18/12 433656,E10A180,00501,0300,01/18/12 433656,G300000,02500,0000,BARBER AND BEAUTY 433656,S000000,00100,0200,12/02/11 433656,S200000,00100,0100,30 WEST AVENUE 433656,S200000,00200,0100,WAYNE 433656,S200000,00200,0200,PA 433656,S200000,00200,0300,19087 433656,S200000,00300,0100,DELAWARE 433656,S200000,00300,0201,37964 433656,S200000,00300,0300,U 433656,S200000,00400,0100,WAYNE CENTER 433656,S200000,00400,0200,395332 433656,S200000,00400,0300,01/01/82 433656,S200000,00400,0500,P 433656,S200000,01500,0100,Y 433656,S200000,01501,0200,N 433656,S200000,01502,0200,N 433656,S200000,01503,0200,N 433656,S200000,01504,0200,N 433656,S200000,01600,0100,N 433656,S200000,01700,0100,N 433656,S200000,01800,0100,N 433656,S200000,01900,0100,LLC 433656,S200000,02200,0100,Y 433656,S200000,02800,0100,N 433656,S200000,02900,0100,N 433656,S200000,03000,0100,N 433656,S200000,03100,0100,N 433656,S200000,03200,0100,N 433656,S200000,03300,0100,N 433656,S200000,03300,0200,N 433656,S200000,04200,0100,N 433656,S200000,04300,0100,N 433656,S200000,04600,0100,N 433656,S200000,04700,0100,N 433656,S200000,04900,0100,N 433656,S200000,05200,0100,N 433656,S200000,05300,0100,Y 433656,S200000,05300,0200,HB0067 433656,S200000,05400,0100,GENESIS HEALTHCARE LLC 433656,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433656,S200000,05400,0300,12001 433656,S200000,05500,0100,101 EAST STATE STREET 433656,S200000,05600,0100,KENNETT SQUARE 433656,S200000,05600,0200,PA 433656,S200000,05600,0300,19348 433657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433657,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433657,A000000,00300,0000,0300EMPLOYEE BENEFITS 433657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433657,A000000,00700,0000,0700HOUSEKEEPING 433657,A000000,00800,0000,0800DIETARY 433657,A000000,00900,0000,0900NURSING ADMINISTRATION 433657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433657,A000000,01100,0000,1100PHARMACY 433657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433657,A000000,01300,0000,1300SOCIAL SERVICE 433657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433657,A000000,01500,0000,1350RECREATION 433657,A000000,01600,0000,1600SKILLED NURSING FACILITY 433657,A000000,01810,0000,1810ICF/MR 433657,A000000,02100,0000,2100RADIOLOGY 433657,A000000,02200,0000,2200LABORATORY 433657,A000000,02300,0000,2300INTRAVENOUS THERAPY 433657,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433657,A000000,02500,0000,2500PHYSICAL THERAPY 433657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433657,A000000,02700,0000,2700SPEECH PATHOLOGY 433657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433657,A000000,03550,0000,3550FQHC 433657,A000000,04801,0000,4801AMBULANCE 433657,A000000,04802,0000,4802AMBULANCE 433657,A000000,04803,0000,4803AMBULANCE 433657,A000000,05000,0000,5000CORF 433657,A000000,05010,0000,5010CMHC 433657,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433657,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433657,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433657,A81000A,00100,0100,Y 433657,A81000B,00100,0300,AS ATTACHED 433657,A81000B,00200,0300,HOME OFFICE INTEREST 433657,A81000B,00300,0300,HOME OFFICE A&G 433657,A81000B,00400,0300,HOME OFFICE CAP-PIEC 433657,A81000C,00100,0100,B 433657,A81000C,00100,0400,AS ATTACHED 433657,A81000C,00100,0600,VARIOUS 433657,A81000C,00200,0100,B 433657,A81000C,00200,0400,GHC 433657,A81000C,00200,0600,LONG TERM CARE 433657,A81000C,00300,0100,B 433657,A81000C,00300,0400,GHC 433657,A81000C,00300,0600,LONG TERM CARE 433657,A81000C,00400,0100,B 433657,A81000C,00400,0400,GHC 433657,A81000C,00400,0600,LONG TERM CARE 433657,B100000,00000,0100,0100SQUARE FEET 433657,B100000,00000,0200,0200SQUARE FEET 433657,B100000,00000,0300,0300GROSS SALARIES 433657,B100000,00000,0400,0400ACCUM COST 433657,B100000,00000,0500,0500SQUARE FEET 433657,B100000,00000,0600,0600PATIENT DAYS 433657,B100000,00000,0700,0700SQUARE FEET 433657,B100000,00000,0800,0800MEALS SERVED 433657,B100000,00000,0900,0900NURSING SALARIES 433657,B100000,00000,1000,1000COSTED REQUIS 433657,B100000,00000,1100,1100COSTED REQUIS 433657,B100000,00000,1200,1200PATIENT DAYS 433657,B100000,00000,1300,1300PATIENT DAYS 433657,B100000,00000,1400,1400ASSIGNED TIME 433657,B100000,00000,1500,1350PATIENT DAYS 433657,E10A180,00301,0100,06/27/11 433657,E10A180,00501,0300,01/18/12 433657,E10A180,00550,0100,01/18/12 433657,G300000,02500,0000,BARBER & BEAUTY 433657,S000000,00100,0200,12/02/11 433657,S200000,00100,0100,8100 WASHINGTON LANE 433657,S200000,00200,0100,WYNCOTE 433657,S200000,00200,0200,PA 433657,S200000,00200,0300,19095 433657,S200000,00300,0100,MONTGOMERY 433657,S200000,00300,0201,37964 433657,S200000,00300,0300,U 433657,S200000,00400,0100,HOPKINS CENTER 433657,S200000,00400,0200,395342 433657,S200000,00400,0300,05/04/76 433657,S200000,00400,0500,P 433657,S200000,01500,0100,Y 433657,S200000,01501,0200,Y 433657,S200000,01502,0200,N 433657,S200000,01503,0200,N 433657,S200000,01504,0200,Y 433657,S200000,01600,0100,N 433657,S200000,01700,0100,N 433657,S200000,01800,0100,N 433657,S200000,01900,0100,LLC 433657,S200000,02200,0100,Y 433657,S200000,02800,0100,N 433657,S200000,02900,0100,N 433657,S200000,03000,0100,N 433657,S200000,03100,0100,N 433657,S200000,03200,0100,N 433657,S200000,03300,0100,N 433657,S200000,03300,0200,N 433657,S200000,04200,0100,N 433657,S200000,04300,0100,N 433657,S200000,04600,0100,N 433657,S200000,04700,0100,N 433657,S200000,04900,0100,N 433657,S200000,05200,0100,N 433657,S200000,05300,0100,Y 433657,S200000,05300,0200,HB0067 433657,S200000,05400,0100,GENESIS HEALTHCARE LLC 433657,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433657,S200000,05400,0300,12001 433657,S200000,05500,0100,101 EAST STATE STREET 433657,S200000,05600,0100,KENNETT SQUARE 433657,S200000,05600,0200,PA 433657,S200000,05600,0300,19348 433658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433658,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433658,A000000,00300,0000,0300EMPLOYEE BENEFITS 433658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433658,A000000,00501,0000,0501PLANT OPERATION - SNF ONLY 433658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433658,A000000,00700,0000,0700HOUSEKEEPING 433658,A000000,00800,0000,0800DIETARY 433658,A000000,00900,0000,0900NURSING ADMINISTRATION 433658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433658,A000000,01100,0000,1100PHARMACY 433658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433658,A000000,01300,0000,1300SOCIAL SERVICE 433658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433658,A000000,01500,0000,1350RESIDENT ACTIVITIES 433658,A000000,01600,0000,1600SKILLED NURSING FACILITY 433658,A000000,01810,0000,1810ICF/MR 433658,A000000,01900,0000,1900OTHER LONG TERM CARE 433658,A000000,02100,0000,2100RADIOLOGY 433658,A000000,02200,0000,2200LABORATORY 433658,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433658,A000000,02500,0000,2500PHYSICAL THERAPY 433658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433658,A000000,02700,0000,2700SPEECH PATHOLOGY 433658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433658,A000000,03550,0000,3550FQHC 433658,A000000,04801,0000,4801AMBULANCE 433658,A000000,04802,0000,4802AMBULANCE 433658,A000000,04803,0000,4803AMBULANCE 433658,A000000,05000,0000,5000CORF 433658,A000000,05010,0000,5010CMHC 433658,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433658,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433658,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433658,A000000,05300,0000,5300INTEREST EXPENSE 433658,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433658,A000000,06300,0000,6150FINLEY BUILDING 433658,A81000A,00100,0100,N 433658,B100000,00000,0100,0100SQUARE FT CAMPUS 433658,B100000,00000,0200,0200SQUARE FEET 433658,B100000,00000,0300,0300GROSS SALARIES 433658,B100000,00000,0400,0400ACCUM COST 433658,B100000,00000,0500,0500SQUARE FT MODIFIE 433658,B100000,00000,0501,0501SQ FT SNF ONLY 433658,B100000,00000,0600,0600POUNDS OF LAUNDRY 433658,B100000,00000,0700,0700SQ FT SNF ONLY 433658,B100000,00000,0800,0800MEALS SERVED 433658,B100000,00000,0900,0900DIRECT NURSING 433658,B100000,00000,1000,1000PATIENT DAYS 433658,B100000,00000,1100,1100PATIENT DAYS 433658,B100000,00000,1200,1200TIME SPENT 433658,B100000,00000,1300,1300PATIENT DAYS 433658,B100000,00000,1400,1400ASSIGNED TIME 433658,B100000,00000,1500,1350PATIENT DAYS 433658,E10A180,00501,0100,01/24/12 433658,E10A180,00501,0300,01/24/12 433658,G300000,02500,0000,OTHER SEE GROUPINGS 433658,S000000,00100,0200,12/28/11 433658,S200000,00100,0100,6655 FRANKSTOWN AVENUE 433658,S200000,00200,0100,PITTSBURGH 433658,S200000,00200,0200,PA 433658,S200000,00200,0300,15206 433658,S200000,00300,0100,ALLEGHENY 433658,S200000,00300,0201,38300 433658,S200000,00300,0300,U 433658,S200000,00400,0100,FORBES ROAD NURSING AND REHAB CTR 433658,S200000,00400,0200,395423 433658,S200000,00400,0300,05/01/78 433658,S200000,00400,0500,P 433658,S200000,01500,0100,Y 433658,S200000,01501,0200,Y 433658,S200000,01502,0200,Y 433658,S200000,01600,0100,N 433658,S200000,01700,0100,N 433658,S200000,01800,0100,N 433658,S200000,02200,0100,N 433658,S200000,02800,0100,N 433658,S200000,02900,0100,N 433658,S200000,03000,0100,N 433658,S200000,03100,0100,N 433658,S200000,03200,0100,N 433658,S200000,03300,0100,N 433658,S200000,03300,0200,N 433658,S200000,04200,0100,N 433658,S200000,04300,0100,N 433658,S200000,04600,0100,N 433658,S200000,04700,0100,N 433658,S200000,04900,0100,N 433658,S200000,05200,0100,N 433658,S200000,05300,0100,N 433659,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433659,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433659,A000000,00300,0000,0300EMPLOYEE BENEFITS 433659,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433659,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433659,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433659,A000000,00700,0000,0700HOUSEKEEPING 433659,A000000,00800,0000,0800DIETARY 433659,A000000,00900,0000,0900NURSING ADMINISTRATION 433659,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433659,A000000,01100,0000,1100PHARMACY 433659,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433659,A000000,01300,0000,1300SOCIAL SERVICE 433659,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433659,A000000,01500,0000,1350RECREATION 433659,A000000,01600,0000,1600SKILLED NURSING FACILITY 433659,A000000,01810,0000,1810ICF/MR 433659,A000000,02100,0000,2100RADIOLOGY 433659,A000000,02200,0000,2200LABORATORY 433659,A000000,02300,0000,2300INTRAVENOUS THERAPY 433659,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433659,A000000,02500,0000,2500PHYSICAL THERAPY 433659,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433659,A000000,02700,0000,2700SPEECH PATHOLOGY 433659,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433659,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433659,A000000,03550,0000,3550FQHC 433659,A000000,04801,0000,4801AMBULANCE 433659,A000000,04802,0000,4802AMBULANCE 433659,A000000,04803,0000,4803AMBULANCE 433659,A000000,05000,0000,5000CORF 433659,A000000,05010,0000,5010CMHC 433659,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433659,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433659,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433659,A81000A,00100,0100,Y 433659,A81000B,00100,0300,AS ATTACHED 433659,A81000B,00200,0300,HOME OFFICE INTEREST 433659,A81000B,00300,0300,HOME OFFICE A&G 433659,A81000B,00400,0300,HOME OFFICE CAP PIEC 433659,A81000C,00100,0100,B 433659,A81000C,00100,0400,AS ATTACHED 433659,A81000C,00100,0600,VARIOUS 433659,A81000C,00200,0100,B 433659,A81000C,00200,0400,GH LLC 433659,A81000C,00200,0600,LONG TERM CARE 433659,A81000C,00300,0100,B 433659,A81000C,00300,0400,GH LLC 433659,A81000C,00300,0600,LONG TERM CARE 433659,A81000C,00400,0100,B 433659,A81000C,00400,0400,GH LLC 433659,A81000C,00400,0600,LONG TERM CARE 433659,B100000,00000,0100,0100SQUARE FEET 433659,B100000,00000,0200,0200SQUARE FEET 433659,B100000,00000,0300,0300GROSS SALARIES 433659,B100000,00000,0400,0400ACCUM COST 433659,B100000,00000,0500,0500SQUARE FEET 433659,B100000,00000,0600,0600PATIENT DAYS 433659,B100000,00000,0700,0700SQUARE FEET 433659,B100000,00000,0800,0800MEALS SERVED 433659,B100000,00000,0900,0900NURSING SALARIES 433659,B100000,00000,1000,1000COSTED REQUIS 433659,B100000,00000,1100,1100COSTED REQUIS 433659,B100000,00000,1200,1200PATIENT DAYS 433659,B100000,00000,1300,1300PATIENT DAYS 433659,B100000,00000,1400,1400ASSIGNED TIME 433659,B100000,00000,1500,1350PATIENT DAYS 433659,E10A180,00501,0300,01/05/12 433659,E10A180,00550,0100,01/05/12 433659,G300000,02500,0000,BARBER & BEAUTY 433659,S000000,00100,0200,12/02/11 433659,S200000,00100,0100,2507 CHESTNUT STREET 433659,S200000,00200,0100,CHESTER 433659,S200000,00200,0200,PA 433659,S200000,00200,0300,19013 433659,S200000,00300,0100,DELAWARE 433659,S200000,00300,0201,37964 433659,S200000,00300,0300,U 433659,S200000,00400,0100,THE BELVEDERE CENTER 433659,S200000,00400,0200,395595 433659,S200000,00400,0300,05/09/88 433659,S200000,00400,0500,P 433659,S200000,01500,0100,Y 433659,S200000,01501,0200,N 433659,S200000,01502,0200,N 433659,S200000,01503,0200,N 433659,S200000,01504,0200,N 433659,S200000,01600,0100,N 433659,S200000,01700,0100,N 433659,S200000,01800,0100,N 433659,S200000,01900,0100,LLC 433659,S200000,02200,0100,Y 433659,S200000,02800,0100,N 433659,S200000,02900,0100,N 433659,S200000,03000,0100,N 433659,S200000,03100,0100,N 433659,S200000,03200,0100,N 433659,S200000,03300,0100,N 433659,S200000,03300,0200,N 433659,S200000,04200,0100,N 433659,S200000,04300,0100,N 433659,S200000,04600,0100,N 433659,S200000,04700,0100,N 433659,S200000,04900,0100,N 433659,S200000,05200,0100,N 433659,S200000,05300,0100,Y 433659,S200000,05300,0200,HB0067 433659,S200000,05400,0100,GENESIS HEALTHCARE LLC. 433659,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433659,S200000,05400,0300,12001 433659,S200000,05500,0100,101 EAST STATE STREET 433659,S200000,05600,0100,KENNETT SQUARE 433659,S200000,05600,0200,PA 433659,S200000,05600,0300,19348 433685,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433685,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433685,A000000,00300,0000,0300EMPLOYEE BENEFITS 433685,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433685,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433685,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433685,A000000,00700,0000,0700HOUSEKEEPING 433685,A000000,00800,0000,0800DIETARY 433685,A000000,00900,0000,0900NURSING ADMINISTRATION 433685,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433685,A000000,01100,0000,1100PHARMACY 433685,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433685,A000000,01300,0000,1300SOCIAL SERVICE 433685,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433685,A000000,01500,0000,1350RECREATION 433685,A000000,01600,0000,1600SKILLED NURSING FACILITY 433685,A000000,01810,0000,1810ICF/MR 433685,A000000,02100,0000,2100RADIOLOGY 433685,A000000,02200,0000,2200LABORATORY 433685,A000000,02300,0000,2300INTRAVENOUS THERAPY 433685,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433685,A000000,02500,0000,2500PHYSICAL THERAPY 433685,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433685,A000000,02700,0000,2700SPEECH PATHOLOGY 433685,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433685,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433685,A000000,03550,0000,3550FQHC 433685,A000000,04801,0000,4801AMBULANCE 433685,A000000,04802,0000,4802AMBULANCE 433685,A000000,04803,0000,4803AMBULANCE 433685,A000000,05000,0000,5000CORF 433685,A000000,05010,0000,5010CMHC 433685,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433685,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433685,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433685,A81000A,00100,0100,Y 433685,A81000B,00100,0300,SEE ATTACHED 433685,A81000B,00200,0300,HOME OFFICE INTEREST 433685,A81000B,00300,0300,HOME OFFICE A & G 433685,A81000B,00400,0300,HOME OFFICE CAPITAL 433685,A81000C,00100,0100,B 433685,A81000C,00100,0400,SEE ATTACHED 433685,A81000C,00100,0600,VARIOUS 433685,A81000C,00200,0100,B 433685,A81000C,00200,0400,GHC 433685,A81000C,00200,0600,LONG TERM CARE 433685,A81000C,00300,0100,B 433685,A81000C,00300,0400,GHC 433685,A81000C,00300,0600,LONG TERM CARE 433685,A81000C,00400,0100,B 433685,A81000C,00400,0400,GHC 433685,A81000C,00400,0600,LONG TERM CARE 433685,B100000,00000,0100,0100SQUARE FEET 433685,B100000,00000,0200,0200SQUARE FEET 433685,B100000,00000,0300,0300GROSS SALARIES 433685,B100000,00000,0400,0400ACCUM COST 433685,B100000,00000,0500,0500SQUARE FEET 433685,B100000,00000,0600,0600PATIENT DAYS 433685,B100000,00000,0700,0700SQUARE FEET 433685,B100000,00000,0800,0800MEALS SERVED 433685,B100000,00000,0900,0900NURSING SALARIES 433685,B100000,00000,1000,1000COSTED REQUIS 433685,B100000,00000,1100,1100COSTED REQUIS 433685,B100000,00000,1200,1200PATIENT DAYS 433685,B100000,00000,1300,1300PATIENT DAYS 433685,B100000,00000,1400,1400ASSIGNED TIME 433685,B100000,00000,1500,1350PATIENT DAYS 433685,E10A180,00502,0300,01/12/12 433685,E10A180,00550,0100,01/12/12 433685,G300000,02500,0000,BARBER AND BEAUTY 433685,S000000,00100,0200,12/02/11 433685,S200000,00100,0100,850 PAPER MILL ROAD 433685,S200000,00200,0100,GLENSIDE 433685,S200000,00200,0200,PA 433685,S200000,00200,0300,19038 433685,S200000,00300,0100,MONTGOMERY 433685,S200000,00300,0201,37964 433685,S200000,00300,0300,U 433685,S200000,00400,0100,FAIRVIEW CARE CENTER OF PAPERMILL RD 433685,S200000,00400,0200,395545 433685,S200000,00400,0300,01/01/80 433685,S200000,00400,0500,P 433685,S200000,01500,0100,Y 433685,S200000,01501,0200,N 433685,S200000,01502,0200,N 433685,S200000,01503,0200,N 433685,S200000,01504,0200,N 433685,S200000,01600,0100,N 433685,S200000,01700,0100,N 433685,S200000,01800,0100,N 433685,S200000,01900,0100,LLC 433685,S200000,02200,0100,Y 433685,S200000,02800,0100,N 433685,S200000,02900,0100,N 433685,S200000,03000,0100,N 433685,S200000,03100,0100,N 433685,S200000,03200,0100,N 433685,S200000,03300,0100,N 433685,S200000,03300,0200,N 433685,S200000,04200,0100,N 433685,S200000,04300,0100,N 433685,S200000,04600,0100,N 433685,S200000,04700,0100,N 433685,S200000,04900,0100,N 433685,S200000,05200,0100,N 433685,S200000,05300,0100,Y 433685,S200000,05300,0200,HB0067 433685,S200000,05400,0100,GENESIS HEALTHCARE LLC 433685,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433685,S200000,05400,0300,12001 433685,S200000,05500,0100,101 EAST STATE STREET 433685,S200000,05600,0100,KENNETT SQUARE 433685,S200000,05600,0200,PA 433685,S200000,05600,0300,19348 433686,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433686,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433686,A000000,00300,0000,0300EMPLOYEE BENEFITS 433686,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433686,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433686,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433686,A000000,00700,0000,0700HOUSEKEEPING 433686,A000000,00800,0000,0800DIETARY 433686,A000000,00900,0000,0900NURSING ADMINISTRATION 433686,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433686,A000000,01100,0000,1100PHARMACY 433686,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433686,A000000,01300,0000,1300SOCIAL SERVICE 433686,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433686,A000000,01500,0000,1350ACTIVITIES 433686,A000000,01600,0000,1600SKILLED NURSING FACILITY 433686,A000000,01810,0000,1810ICF/MR 433686,A000000,02100,0000,2100RADIOLOGY 433686,A000000,02200,0000,2200LABORATORY 433686,A000000,02500,0000,2500PHYSICAL THERAPY 433686,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433686,A000000,02700,0000,2700SPEECH PATHOLOGY 433686,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433686,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433686,A000000,03200,0000,3200SUPPORT SURFACES 433686,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 433686,A000000,03550,0000,3550FQHC 433686,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433686,A000000,04801,0000,4801AMBULANCE 433686,A000000,04802,0000,4802AMBULANCE 433686,A000000,04803,0000,4803AMBULANCE 433686,A000000,05000,0000,5000CORF 433686,A000000,05010,0000,5010CMHC 433686,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433686,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433686,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433686,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 433686,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433686,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433686,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433686,A81000A,00100,0100,Y 433686,A81000B,00100,0300,HOME OFFICE-ADMIN DIRECT ALLOC 433686,A81000B,00200,0300,HOME OFFICE-MAINTENANCE DIRECT 433686,A81000B,00300,0300,HOME OFFICE-CAPITAL RELATED 433686,A81000B,00400,0300,HOME OFFICE-POOLED COST 433686,A81000B,00500,0300,UNITED COLLECTIONS-COLLECTION 433686,A81000B,00600,0300,UNITED CLINICAL-NURSING 433686,A81000B,00700,0300,UNITED CLINICAL-DIETARY 433686,A81000B,00800,0300,UNITED CLINICAL-ADMIN 433686,A81000B,00900,0300,UNITED REHAB-PHYSICAL THERAPY 433686,A81000B,01000,0300,UNITED REHAB-SPEECH THERAPY 433686,A81000B,01100,0300,UNITED REHAB-OCCUPATIONAL THER 433686,A81000B,01200,0300,UNITED MEDICAL-ADMIN 433686,A81000B,01300,0300,UNITED MEDICAL-PLANT OPERATION 433686,A81000B,01400,0300,UNITED MEDICAL-LAUNDRY 433686,A81000B,01500,0300,UNITED MEDICAL-HOUSEKEEPING 433686,A81000B,01600,0300,UNITED MEDICAL-DIETARY 433686,A81000B,01700,0300,UNITED MEDICAL-NURSING ADMIN 433686,A81000B,01800,0300,UNITED MEDICAL-MEDICAL RECORDS 433686,A81000B,01900,0300,UNITED MEDICAL-SOCIAL SERVICES 433686,A81000B,02000,0300,UNITED MEDICAL-ACTIVITIES 433686,A81000B,02100,0300,UNITED MEDICAL-NURSING 433686,A81000B,02200,0300,UNITED MEDICAL-PHYSICAL THERAP 433686,A81000B,02300,0300,UNITED MEDICAL-OCCUPATIONAL TH 433686,A81000B,02400,0300,UNITED MEDICAL-MEDICAL SUPPLIE 433686,A81000B,02500,0300,UNITED MEDICAL-SUPPORT SURFACE 433686,A81000B,02600,0300,UNICHOICE ENVIRONMENTAL-MAINTE 433686,A81000B,02700,0300,UNITED PHARMACY-PHARMACY CONSU 433686,A81000B,02800,0300,UNITED PHARMACY-MEDICAL RECORD 433686,A81000C,00100,0100,B 433686,A81000C,00100,0200,PRUITT CORPORAT 433686,A81000C,00100,0400,PRUITT CORPORAT 433686,A81000C,00100,0600,MANAGEMENT 433686,A81000C,00200,0100,B 433686,A81000C,00200,0200,PRUITT CORPORAT 433686,A81000C,00200,0600,RENTAL 433686,A81000C,00300,0100,B 433686,A81000C,00300,0200,PRUITT CORPORAT 433686,A81000C,00300,0400,UNITED COLLECTI 433686,A81000C,00300,0600,COLLECTIONS 433686,A81000C,00400,0100,B 433686,A81000C,00400,0200,PRUITT CORPORAT 433686,A81000C,00400,0400,UNITED CLINICAL 433686,A81000C,00400,0600,CONSULTING 433686,A81000C,00500,0100,B 433686,A81000C,00500,0200,PRUITT CORPORAT 433686,A81000C,00500,0400,UNITED PHARMACY 433686,A81000C,00500,0600,PHARMACY 433686,A81000C,00600,0100,B 433686,A81000C,00600,0200,PRUITT CORPORAT 433686,A81000C,00600,0400,UNITED MEDICAL 433686,A81000C,00600,0600,MEDICAL 433686,A81000C,00700,0100,B 433686,A81000C,00700,0200,PRUITT CORPORAT 433686,A81000C,00700,0400,UNITED REHAB 433686,A81000C,00700,0600,REHAB 433686,A81000C,00800,0100,B 433686,A81000C,00800,0200,PRUITT CORPORAT 433686,A81000C,00800,0400,UNICHOICE ENVIR 433686,A81000C,00800,0600,MAINTENANCE 433686,B100000,00000,0100,0100SQUARE FEET 433686,B100000,00000,0200,0200SQUARE FEET 433686,B100000,00000,0300,0300GROSS SALARIES 433686,B100000,00000,0400,0400ACCUM COST 433686,B100000,00000,0500,0500SQUARE FEET 433686,B100000,00000,0600,0600PATIENT DAYS 433686,B100000,00000,0700,0700SQUARE FEET 433686,B100000,00000,0800,0800MEALS SERVED 433686,B100000,00000,0900,0900DIRECT NURSING 433686,B100000,00000,1000,1000COSTED REQUIS. 433686,B100000,00000,1100,1100COSTED REQUIS. 433686,B100000,00000,1200,1200PATIENT DAYS 433686,B100000,00000,1300,1300PATIENT DAYS 433686,B100000,00000,1400,1400ASSIGNED TIME 433686,B100000,00000,1500,1350PATIENT DAYS 433686,E10A180,00501,0100,08/17/12 433686,E10A180,00502,0100,06/18/12 433686,G300000,02501,0000,PRIVATE ROOM CHARGES 433686,G300000,02502,0000,BEAUTY AND BARBER 433686,G300000,02503,0000,OTHER INCOME 433686,S000000,00100,0200,05/23/12 433686,S200000,00100,0100,466 SOUTH GRAY STREET 433686,S200000,00200,0100,MILLEN 433686,S200000,00200,0200,GA 433686,S200000,00200,0300,30442 433686,S200000,00300,0100,JENKINS 433686,S200000,00300,0201,99911 433686,S200000,00300,0300,R 433686,S200000,00400,0100,BETHANY NURSING CENTER OF MILLEN 433686,S200000,00400,0200,115700 433686,S200000,00400,0300,11/01/10 433686,S200000,00400,0500,P 433686,S200000,01500,0100,Y 433686,S200000,01501,0200,Y 433686,S200000,01502,0200,N 433686,S200000,01503,0200,N 433686,S200000,01504,0200,N 433686,S200000,01505,0000,OTHER (SPECIFY) 433686,S200000,01505,0200,N 433686,S200000,01600,0100,N 433686,S200000,01700,0100,N 433686,S200000,01800,0100,N 433686,S200000,02200,0100,N 433686,S200000,02800,0100,N 433686,S200000,02900,0100,N 433686,S200000,03000,0100,N 433686,S200000,03100,0100,N 433686,S200000,03200,0100,N 433686,S200000,03300,0100,N 433686,S200000,03300,0200,N 433686,S200000,04200,0100,N 433686,S200000,04300,0100,N 433686,S200000,04600,0100,N 433686,S200000,04700,0100,N 433686,S200000,04900,0100,N 433686,S200000,05200,0100,N 433686,S200000,05300,0100,Y 433686,S200000,05300,0200,HO9013 433686,S200000,05400,0100,PRUITT CORPORATION 433686,S200000,05400,0200,WPS 433686,S200000,05400,0300,HO-901 433686,S200000,05500,0100,409 EAST DOYLE STREET 433686,S200000,05600,0100,TOCCOA 433686,S200000,05600,0200,GA 433686,S200000,05600,0300,30577 433691,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433691,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433691,A000000,00300,0000,0300EMPLOYEE BENEFITS 433691,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433691,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433691,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433691,A000000,00700,0000,0700HOUSEKEEPING 433691,A000000,00800,0000,0800DIETARY 433691,A000000,00900,0000,0900NURSING ADMINISTRATION 433691,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433691,A000000,01100,0000,1100PHARMACY 433691,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433691,A000000,01300,0000,1300SOCIAL SERVICE 433691,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433691,A000000,01500,0000,1350PATIENT ACTIVITIES 433691,A000000,01600,0000,1600SKILLED NURSING FACILITY 433691,A000000,01800,0000,1800NURSING FACILITY 433691,A000000,01810,0000,1810ICF/MR 433691,A000000,01900,0000,1900OTHER LONG TERM CARE 433691,A000000,02100,0000,2100RADIOLOGY 433691,A000000,02200,0000,2200LABORATORY 433691,A000000,02300,0000,2300INTRAVENOUS THERAPY 433691,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433691,A000000,02500,0000,2500PHYSICAL THERAPY 433691,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433691,A000000,02700,0000,2700SPEECH PATHOLOGY 433691,A000000,02800,0000,2800ELECTROCARDIOLOGY 433691,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433691,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 433691,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433691,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433691,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433691,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433691,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433691,A000000,06100,0000,6100NONPAID WORKERS 433691,A000000,06200,0000,6200PATIENTS LAUNDRY 433691,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433691,A81000A,00100,0100,N 433691,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433691,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433691,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433691,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433691,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433691,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433691,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433691,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433691,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433691,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433691,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433691,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433691,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433691,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433691,S000000,00100,0200,12/27/11 433691,S200000,00100,0100,307 WEST 8TH STREET 433691,S200000,00100,0300,1209 433691,S200000,00200,0100,ROBERT LEE 433691,S200000,00200,0200,TX 433691,S200000,00200,0300,76945 433691,S200000,00300,0100,COKE 433691,S200000,00300,0200,01 433691,S200000,00300,0201,00045 433691,S200000,00300,0300,R 433691,S200000,00400,0100,ROBERT LEE CARE CENTER 433691,S200000,00400,0200,675599 433691,S200000,00400,0300,06/24/96 433691,S200000,00400,0500,P 433691,S200000,01500,0100,Y 433691,S200000,01600,0100,N 433691,S200000,01700,0100,N 433691,S200000,01800,0100,N 433691,S200000,02200,0100,N 433691,S200000,02800,0100,N 433691,S200000,02900,0100,N 433691,S200000,03000,0100,N 433691,S200000,03100,0100,N 433691,S200000,03200,0100,N 433691,S200000,03300,0100,N 433691,S200000,03300,0200,N 433691,S200000,03600,0100,N 433691,S200000,03600,0200,N 433691,S200000,04100,0100,N 433691,S200000,04200,0100,N 433691,S200000,04300,0100,N 433691,S200000,04600,0100,N 433691,S200000,04700,0100,N 433691,S200000,04700,0200,N 433691,S200000,04900,0100,N 433691,S200000,05000,0100,N 433691,S200000,05100,0100,N 433691,S200000,05200,0100,N 433694,S000000,00100,0200,06/14/12 433694,S200000,00100,0100,535 NORTH PARK S 433694,S200000,00200,0100,UVALDE 433694,S200000,00200,0200,TX 433694,S200000,00200,0300,78801-4363 433694,S200000,00300,0100,UVALED 433694,S200000,00400,0100,UVALDE HEALTHCARE & REHAB 433694,S200000,00400,0300,08/17/55 433698,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433698,A000000,00300,0000,0300EMPLOYEE BENEFITS 433698,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433698,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433698,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433698,A000000,00700,0000,0700HOUSEKEEPING 433698,A000000,00800,0000,0800DIETARY 433698,A000000,00900,0000,0900NURSING ADMINISTRATION 433698,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433698,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433698,A000000,01300,0000,1300SOCIAL SERVICE 433698,A000000,01600,0000,1600SKILLED NURSING FACILITY 433698,A000000,02100,0000,2100RADIOLOGY 433698,A000000,02200,0000,2200LABORATORY 433698,A000000,02500,0000,2500PHYSICAL THERAPY 433698,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433698,A000000,02700,0000,2700SPEECH PATHOLOGY 433698,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433698,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433698,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433698,A81000A,00100,0100,Y 433698,A81000B,00100,0300,RENT 433698,A81000B,00200,0300,INTEREST 433698,A81000B,00300,0300,DEPRECIATION 433698,A81000B,00400,0300,R/E TAXES 433698,A81000B,00500,0300,PROP/LIAB INSURANCE 433698,A81000B,00600,0300,MIP EXPENSE 433698,A81000B,00700,0300,ADMINISTRATIVE FEE 433698,A81000B,00800,0300,NURSING 433698,A81000B,00900,0300,CAPITAL RELATED 433698,A81000B,01000,0300,PLANT OPERATION 433698,A81000B,01100,0300,EMPLOYEE BENEFITS 433698,A81000B,01200,0300,A&G 433698,A81000B,01300,0300,DIETARY 433698,A81000B,01400,0300,EMPLOYEE BENEFTIS 433698,A81000B,01500,0300,NURSING 433698,A81000B,01600,0300,SOCIAL SERVICE 433698,A81000B,01700,0300,A&G 433698,A81000B,01800,0300,CAPITAL RELATED 433698,A81000B,01900,0300,PLANT OPERATION 433698,A81000B,02000,0300,A&G 433698,A81000B,02100,0300,CAPITAL RELATED 433698,A81000C,00100,0100,A 433698,A81000C,00100,0400,CONCORD HC PROP 433698,A81000C,00100,0600,BUILDING CO 433698,A81000C,00200,0100,A 433698,A81000C,00200,0400,YAM MANAGEMENT 433698,A81000C,00200,0600,MANAGEMENT CO 433698,A81000C,00300,0100,A 433698,A81000C,00300,0400,YAM CONSULTING 433698,A81000C,00300,0600,CONSULTING 433698,A81000C,00400,0100,A 433698,A81000C,00400,0400,8131 N. MONTICE 433698,A81000C,00400,0600,BUILDING CO 433698,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433698,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433698,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433698,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433698,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433698,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433698,B100000,00000,0800,0800MEALS SERVED :DIETARY 433698,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433698,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433698,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433698,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433698,E10A180,00501,0100,08/30/11 433698,G300000,02500,0000,BAD DEBT RECOVERY 433698,G300000,02501,0000,OTHER UNCLASIFIED INCOME 433698,G300000,02502,0000,PRIOR YEAR ADJUSTMENT 433698,S000000,00100,0200,07/06/11 433698,S200000,00100,0100,9401 SOUTH RIDGELAND 433698,S200000,00200,0100,OAK LAWN 433698,S200000,00200,0200,IL 433698,S200000,00200,0300,60453 433698,S200000,00300,0100,COOK 433698,S200000,00300,0201,16974 433698,S200000,00300,0300,U 433698,S200000,00400,0100,CONCORD NURSING & REHAB CENTER 433698,S200000,00400,0200,145197 433698,S200000,00400,0300,01/01/87 433698,S200000,00400,0500,P 433698,S200000,01500,0100,Y 433698,S200000,01501,0200,Y 433698,S200000,01502,0200,Y 433698,S200000,01504,0200,Y 433698,S200000,01600,0100,N 433698,S200000,01700,0100,N 433698,S200000,01800,0100,N 433698,S200000,01900,0100,LLC 433698,S200000,02200,0100,N 433698,S200000,02800,0100,N 433698,S200000,02900,0100,N 433698,S200000,03000,0100,N 433698,S200000,03100,0100,N 433698,S200000,03200,0100,N 433698,S200000,03300,0100,N 433698,S200000,03300,0200,N 433698,S200000,04100,0100,N 433698,S200000,04200,0100,N 433698,S200000,04300,0100,N 433698,S200000,04600,0100,N 433698,S200000,04700,0100,N 433698,S200000,04700,0200,N 433698,S200000,04900,0100,N 433698,S200000,05000,0100,N 433698,S200000,05100,0100,N 433698,S200000,05200,0100,N 433700,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433700,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433700,A000000,00300,0000,0300EMPLOYEE BENEFITS 433700,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433700,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433700,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433700,A000000,00700,0000,0700HOUSEKEEPING 433700,A000000,00800,0000,0800DIETARY 433700,A000000,00900,0000,0900NURSING ADMINISTRATION 433700,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433700,A000000,01100,0000,1100PHARMACY 433700,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433700,A000000,01300,0000,1300SOCIAL SERVICE 433700,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433700,A000000,01500,0000,1350OTHER GENERAL SERVICES 433700,A000000,01600,0000,1600SKILLED NURSING FACILITY 433700,A000000,01800,0000,1800NURSING FACILITY 433700,A000000,01810,0000,1810ICF/MR 433700,A000000,01900,0000,1900OTHER LONG TERM CARE 433700,A000000,02100,0000,2100RADIOLOGY 433700,A000000,02200,0000,2200LABORATORY 433700,A000000,02300,0000,2300INTRAVENOUS THERAPY 433700,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433700,A000000,02500,0000,2500PHYSICAL THERAPY 433700,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433700,A000000,02700,0000,2700SPEECH PATHOLOGY 433700,A000000,02800,0000,2800ELECTROCARDIOLOGY 433700,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433700,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433700,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433700,A000000,03200,0000,3200SUPPORT SURFACES 433700,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433700,A000000,03400,0000,3400CLINIC 433700,A000000,03500,0000,3500RURAL HEALTH CLINIC 433700,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433700,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433700,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433700,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433700,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433700,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433700,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433700,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433700,A000000,04400,0000,4400DME RENTED - HHA 433700,A000000,04500,0000,4500DME SOLD - HHA 433700,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433700,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433700,A000000,04710,0000,4710TELEMEDICINE 433700,A000000,04800,0000,4800AMBULANCE 433700,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433700,A000000,05000,0000,5000CORF 433700,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433700,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433700,A000000,05300,0000,5300INTEREST EXPENSE 433700,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433700,A000000,05500,0000,5500HOSPICE 433700,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433700,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433700,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433700,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433700,A000000,06100,0000,6100NONPAID WORKERS 433700,A000000,06200,0000,6200PATIENTS LAUNDRY 433700,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433700,A81000A,00100,0100,Y 433700,A81000B,00100,0300,MANAGEMENT FEES 433700,A81000B,00200,0300,HUMAN RESOURCES SERVICES 433700,A81000C,00100,0100,B 433700,A81000C,00100,0200,CBO INC. 433700,A81000C,00100,0400,CBO INC 433700,A81000C,00100,0600,MANAGEMNT 433700,A81000C,00200,0100,B 433700,A81000C,00200,0200,CBO INC. 433700,A81000C,00200,0400,CBO INC. 433700,A81000C,00200,0600,PAYROLL 433700,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433700,B100000,00000,0400,0400GROSS SALARIES :ADMINISTRATIVE 433700,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433700,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433700,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 433700,B100000,00000,0800,0800MEALS SERVED :DIETARY 433700,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433700,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433700,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433700,E10A180,00550,0100,03/20/12 433700,S000000,00100,0200,01/11/12 433700,S200000,00100,0100,3840 CAMELOT DRIVE 433700,S200000,00200,0100,LEXINGTON 433700,S200000,00200,0200,KY 433700,S200000,00200,0300,40517 433700,S200000,00300,0100,FAYETTE 433700,S200000,00300,0201,30460 433700,S200000,00300,0300,U 433700,S200000,00400,0100,SAYRE CHRISTIAN VILLAGE NURSING HOME 433700,S200000,00400,0200,185248 433700,S200000,00400,0300,03/14/91 433700,S200000,00400,0500,P 433700,S200000,01500,0100,Y 433700,S200000,01501,0200,Y 433700,S200000,01600,0100,N 433700,S200000,01700,0100,N 433700,S200000,01800,0100,N 433700,S200000,02200,0100,N 433700,S200000,02800,0100,N 433700,S200000,02900,0100,N 433700,S200000,03000,0100,N 433700,S200000,03100,0100,N 433700,S200000,03200,0100,N 433700,S200000,03300,0100,N 433700,S200000,03300,0200,N 433700,S200000,04100,0100,N 433700,S200000,04200,0100,N 433700,S200000,04300,0100,N 433700,S200000,04600,0100,N 433700,S200000,04700,0100,N 433700,S200000,04700,0200,N 433700,S200000,04900,0100,N 433700,S200000,05000,0100,N 433700,S200000,05100,0100,N 433700,S200000,05200,0100,N 433719,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433719,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433719,A000000,00300,0000,0300EMPLOYEE BENEFITS 433719,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433719,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433719,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433719,A000000,00700,0000,0700HOUSEKEEPING 433719,A000000,00800,0000,0800DIETARY 433719,A000000,00900,0000,0900NURSING ADMINISTRATION 433719,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433719,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433719,A000000,01300,0000,1300SOCIAL SERVICE 433719,A000000,01500,0000,1350ACTIVITIES 433719,A000000,01600,0000,1600SKILLED NURSING FACILITY 433719,A000000,01800,0000,1800NURSING FACILITY 433719,A000000,01810,0000,1810ICF/MR 433719,A000000,01900,0000,1900OTHER LONG TERM CARE 433719,A000000,02100,0000,2100RADIOLOGY 433719,A000000,02200,0000,2200LABORATORY 433719,A000000,02300,0000,2300INTRAVENOUS THERAPY 433719,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433719,A000000,02500,0000,2500PHYSICAL THERAPY 433719,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433719,A000000,02700,0000,2700SPEECH PATHOLOGY 433719,A000000,02800,0000,2800ELECTROCARDIOLOGY 433719,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433719,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433719,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433719,A000000,03200,0000,3200SUPPORT SURFACES 433719,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433719,A000000,03301,0000,3051AIR FLUID THERAPY 433719,A000000,03302,0000,3052AMBULANCE 433719,A000000,03303,0000,3053PEN THERAPY 433719,A000000,03304,0000,3054ONCOLOGY 433719,A000000,03305,0000,3055CARDIOLOGY 433719,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433719,A000000,03307,0000,3057AUDIOLOGY 433719,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433719,A000000,03400,0000,3400CLINIC 433719,A000000,03500,0000,3500RURAL HEALTH CLINIC 433719,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433719,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433719,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433719,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433719,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433719,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433719,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433719,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433719,A000000,04400,0000,4400DME RENTED - HHA 433719,A000000,04500,0000,4500DME SOLD - HHA 433719,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433719,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433719,A000000,04710,0000,4710TELEMEDICINE 433719,A000000,04800,0000,4800AMBULANCE 433719,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433719,A000000,05000,0000,5000CORF 433719,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433719,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433719,A000000,05300,0000,5300INTEREST EXPENSE 433719,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433719,A000000,05500,0000,5500HOSPICE 433719,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433719,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433719,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433719,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433719,A000000,06100,0000,6100NONPAID WORKERS 433719,A000000,06200,0000,6200PATIENTS LAUNDRY 433719,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433719,A81000A,00100,0100,Y 433719,A81000B,00100,0300,HO BUILDING DEPRECIATION 433719,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433719,A81000B,00300,0300,INTEREST 433719,A81000B,00400,0300,MANAGEMENT FEES 433719,A81000B,00500,0300,MEDICAL SUPPLIES 433719,A81000B,00600,0300,MEDICAL SUPPLIES 433719,A81000B,00700,0300,MEDICAL SUPPLIES 433719,A81000B,00800,0300,DRUGS 433719,A81000B,00900,0300,DRUGS 433719,A81000B,01000,0300,DRUGS 433719,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 433719,A81000B,01200,0300,FAC BLDG DEPR 433719,A81000B,01300,0300,FAC EQUIP 433719,A81000B,01400,0300,FAC INTEREST 433719,A81000B,01500,0300,FAC AMORT 433719,A81000B,01600,0300,FAC A&G 433719,A81000C,00100,0100,A 433719,A81000C,00100,0200,R&S MCNEIL 433719,A81000C,00100,0400,LIBERTY LTC MGMT 433719,A81000C,00100,0600,HOME OFC 433719,A81000C,00200,0100,A 433719,A81000C,00200,0200,R&S MCNEIL 433719,A81000C,00200,0400,LIBERTY LTC MGMT 433719,A81000C,00200,0600,HOME OFC 433719,A81000C,00300,0100,A 433719,A81000C,00300,0200,R&S MCNEIL 433719,A81000C,00300,0400,LIBERTY LTC MGMT 433719,A81000C,00300,0600,HOME OFC 433719,A81000C,00400,0100,A 433719,A81000C,00400,0200,R&S MCNEIL 433719,A81000C,00400,0400,LIBERTY LTC MGMT 433719,A81000C,00400,0600,HOME OFC 433719,A81000C,00500,0100,A 433719,A81000C,00500,0200,R&S MCNEIL 433719,A81000C,00500,0400,LIBERTY MED SPEC 433719,A81000C,00500,0600,MED SUPPLY 433719,A81000C,00600,0100,A 433719,A81000C,00600,0200,R&S MCNEIL 433719,A81000C,00600,0400,LIBERTY MED SPEC 433719,A81000C,00600,0600,MED SUPPLY 433719,A81000C,00700,0100,A 433719,A81000C,00700,0200,R&S MCNEIL 433719,A81000C,00700,0400,LIBERTY MED SPEC 433719,A81000C,00700,0600,MED SUPPLY 433719,A81000C,00800,0100,A 433719,A81000C,00800,0200,R&S MCNEIL 433719,A81000C,00800,0400,MCNEILL PHARM 433719,A81000C,00800,0600,PHARMACY 433719,A81000C,00900,0100,A 433719,A81000C,00900,0200,R&S MCNEIL 433719,A81000C,00900,0400,MCNEILL PHARM 433719,A81000C,00900,0600,PHARMACY 433719,A81000C,01000,0100,A 433719,A81000C,01000,0200,R&S MCNEIL 433719,A81000C,01000,0400,MCNEILL PHARM 433719,A81000C,01000,0600,PHARMACY 433719,A81000C,01001,0100,A 433719,A81000C,01001,0200,R&S MCNEIL 433719,A81000C,01001,0400,LIBERTY PROPERTIES 433719,A81000C,01001,0600,BUILDING 433719,A81000C,01002,0100,A 433719,A81000C,01002,0200,R&S MCNEIL 433719,A81000C,01002,0400,LIBERTY PROPERTIES 433719,A81000C,01002,0600,BUILDING 433719,A81000C,01003,0100,A 433719,A81000C,01003,0200,R&S MCNEIL 433719,A81000C,01003,0400,LIBERTY PROPERTIES 433719,A81000C,01003,0600,BUILDING 433719,A81000C,01004,0100,A 433719,A81000C,01004,0200,R&S MCNEIL 433719,A81000C,01004,0400,LIBERTY PROPERTIES 433719,A81000C,01004,0600,BUILDING 433719,A81000C,01005,0100,A 433719,A81000C,01005,0200,R&S MCNEIL 433719,A81000C,01005,0400,LIBERTY PROPERTIES 433719,A81000C,01005,0600,BUILDING 433719,A81000C,01006,0100,A 433719,A81000C,01006,0200,R&S MCNEIL 433719,A81000C,01006,0400,LIBERTY PROPERTIES 433719,A81000C,01006,0600,BUILDING 433719,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433719,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433719,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433719,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433719,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433719,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433719,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433719,B100000,00000,0800,0800MEALS SERVED :DIETARY 433719,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433719,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433719,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433719,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433719,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433719,E10A180,00350,0100,07/27/11 433719,E10A180,00501,0100,05/27/12 433719,G300000,02500,0000,BARBER & BEAUTY 433719,G300000,02501,0000,CONTRIBUTIONS 433719,G300000,02502,0000,PERSONAL ITEM REVENUE 433719,G300000,02503,0000,EQUIPMENT RENTAL 433719,G300000,02504,0000,MISCELLANEOUS REVENUE 433719,S000000,00100,0200,03/01/12 433719,S200000,00100,0100,3000 HOLSTON LANE 433719,S200000,00200,0100,RALEIGH 433719,S200000,00200,0200,NC 433719,S200000,00200,0300,27610 433719,S200000,00300,0100,WAKE 433719,S200000,00300,0200,6640 433719,S200000,00300,0201,39580 433719,S200000,00300,0300,U 433719,S200000,00400,0100,CAPITAL NURSING AND REHAB CENTER 433719,S200000,00400,0200,345202 433719,S200000,00400,0300,10/01/80 433719,S200000,00400,0500,P 433719,S200000,00400,0600,P 433719,S200000,01500,0100,Y 433719,S200000,01501,0200,Y 433719,S200000,01600,0100,N 433719,S200000,01700,0100,N 433719,S200000,01800,0100,N 433719,S200000,02200,0100,N 433719,S200000,02800,0100,N 433719,S200000,02900,0100,N 433719,S200000,03000,0100,N 433719,S200000,03100,0100,N 433719,S200000,03200,0100,N 433719,S200000,03300,0100,N 433719,S200000,03300,0200,N 433719,S200000,04100,0100,N 433719,S200000,04200,0100,N 433719,S200000,04300,0100,N 433719,S200000,04600,0100,N 433719,S200000,04700,0100,N 433719,S200000,04700,0200,N 433719,S200000,04900,0100,N 433719,S200000,05000,0100,N 433719,S200000,05100,0100,N 433719,S200000,05200,0100,N 433719,S200000,05300,0100,N 433720,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433720,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433720,A000000,00300,0000,0300EMPLOYEE BENEFITS 433720,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433720,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433720,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433720,A000000,00700,0000,0700HOUSEKEEPING 433720,A000000,00800,0000,0800DIETARY 433720,A000000,00900,0000,0900NURSING ADMINISTRATION 433720,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433720,A000000,01100,0000,1100PHARMACY 433720,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433720,A000000,01300,0000,1300SOCIAL SERVICE 433720,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433720,A000000,01600,0000,1600SKILLED NURSING FACILITY 433720,A000000,01810,0000,1810ICF/MR 433720,A000000,01900,0000,1900OTHER LONG TERM CARE 433720,A000000,02100,0000,2100RADIOLOGY 433720,A000000,02200,0000,2200LABORATORY 433720,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433720,A000000,02500,0000,2500PHYSICAL THERAPY 433720,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433720,A000000,02700,0000,2700SPEECH PATHOLOGY 433720,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433720,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433720,A000000,03300,0000,3050PATIENT TRANSPORTATION 433720,A000000,03301,0000,3051COMPLEX MEDICAL EQUIPMENT 433720,A000000,03550,0000,3550FQHC 433720,A000000,05000,0000,5000CORF 433720,A000000,05010,0000,5010CMHC 433720,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433720,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433720,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433720,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433720,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433720,A81000A,00100,0100,Y 433720,A81000B,00100,0300,MANAGEMENT FEES 433720,A81000C,00100,0100,A 433720,A81000C,00100,0200,MARTIN 433720,A81000C,00100,0400,TULLOCK MANAGEM 433720,A81000C,00100,0600,MANAGEMENT COMP 433720,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433720,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433720,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433720,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433720,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433720,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433720,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433720,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433720,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433720,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433720,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433720,E10A180,00353,0100,07/27/11 433720,E10A180,00501,0100,05/10/12 433720,E10A180,00502,0100,09/24/12 433720,G300000,02501,0000,MISCELLANEOUS 433720,G300000,02502,0000,ROOM RESERVE 433720,S000000,00100,0200,02/28/12 433720,S200000,00100,0100,415 ELDERBERRY LANE 433720,S200000,00200,0100,MARSHALL 433720,S200000,00200,0200,NC 433720,S200000,00200,0300,28753 433720,S200000,00300,0100,MADISON 433720,S200000,00300,0201,11700 433720,S200000,00300,0300,U 433720,S200000,00400,0100,ELDERBERRY HEALTH CARE 433720,S200000,00400,0200,345319 433720,S200000,00400,0300,05/01/00 433720,S200000,00400,0500,P 433720,S200000,01500,0100,N 433720,S200000,01501,0200,N 433720,S200000,01504,0200,N 433720,S200000,01600,0100,Y 433720,S200000,01700,0100,N 433720,S200000,01800,0100,N 433720,S200000,01900,0100,LIMITED LIABILITY CO 433720,S200000,02200,0100,Y 433720,S200000,02800,0100,N 433720,S200000,02900,0100,N 433720,S200000,03000,0100,N 433720,S200000,03100,0100,N 433720,S200000,03200,0100,N 433720,S200000,03300,0100,N 433720,S200000,03300,0200,N 433720,S200000,04100,0100,N 433720,S200000,04200,0100,N 433720,S200000,04300,0100,N 433720,S200000,04600,0100,N 433720,S200000,04700,0100,N 433720,S200000,04700,0200,N 433720,S200000,04900,0100,N 433720,S200000,05000,0100,N 433720,S200000,05100,0100,N 433720,S200000,05200,0100,N 433720,S200000,05300,0100,Y 433720,S200000,05300,0200,34-902 433720,S200000,05400,0100,TULLOCK MANAGEMENT COMPANY 433720,S200000,05400,0200,PALMETTO GBA 433720,S200000,05400,0300,00382 433720,S200000,05500,0100,5190 US HIGHWAY 158 433720,S200000,05500,0200,1678 433720,S200000,05600,0100,ADVANCE 433720,S200000,05600,0200,NC 433720,S200000,05600,0300,27006 433721,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433721,A000000,00300,0000,0300EMPLOYEE BENEFITS 433721,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433721,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433721,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433721,A000000,00700,0000,0700HOUSEKEEPING 433721,A000000,00800,0000,0800DIETARY 433721,A000000,00900,0000,0900NURSING ADMINISTRATION 433721,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433721,A000000,01100,0000,1100PHARMACY 433721,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433721,A000000,01300,0000,1300SOCIAL SERVICE 433721,A000000,01500,0000,1350PATIENT ACTIVITES 433721,A000000,01600,0000,1600SKILLED NURSING FACILITY 433721,A000000,01800,0000,1800NURSING FACILITY 433721,A000000,01900,0000,1900OTHER LONG TERM CARE 433721,A000000,02100,0000,2100RADIOLOGY 433721,A000000,02200,0000,2200LABORATORY 433721,A000000,02300,0000,2300INTRAVENOUS THERAPY 433721,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433721,A000000,02500,0000,2500PHYSICAL THERAPY 433721,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433721,A000000,02700,0000,2700SPEECH PATHOLOGY 433721,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433721,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433721,A000000,03200,0000,3200SUPPORT SURFACES 433721,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433721,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433721,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433721,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433721,A000000,06100,0000,6100NONPAID WORKERS 433721,A000000,06200,0000,6200PATIENTS LAUNDRY 433721,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433721,A81000A,00100,0100,Y 433721,A81000B,00100,0300,MANAGEMENT SERVICES 433721,A81000B,00200,0300,HO COST 433721,A81000B,00300,0300,HOUSEKEEPING 433721,A81000B,00400,0300,LAUNDRY 433721,A81000B,00500,0300,LEGAL FEES 433721,A81000C,00100,0100,A 433721,A81000C,00100,0200,RICHARD BENNETT 433721,A81000C,00100,0400,CANYON MGT 433721,A81000C,00100,0600,MGT SVCS 433721,A81000C,00200,0100,A 433721,A81000C,00200,0200,RICHARD BENNETT 433721,A81000C,00200,0400,CANYON MGT 433721,A81000C,00200,0600,HOME OFFICE 433721,A81000C,00300,0100,B 433721,A81000C,00300,0200,MELISSA LAWVER 433721,A81000C,00300,0400,CUTTER SVCS 433721,A81000C,00300,0600,HSKP/ LAUNDRY 433721,A81000C,00400,0100,B 433721,A81000C,00400,0200,MELISSA LAWVER 433721,A81000C,00400,0400,CUTTER SVCS 433721,A81000C,00400,0600,HSKP/ LAUNDRY 433721,A81000C,00500,0100,A 433721,A81000C,00500,0200,JENNIFER BENNET 433721,A81000C,00500,0400,JENNIFER BENNETT 433721,A81000C,00500,0600,ATTORNEY 433721,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433721,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433721,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433721,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433721,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 433721,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433721,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433721,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433721,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433721,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433721,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433721,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433721,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITES 433721,E10A180,00501,0100,05/23/12 433721,G300000,02500,0000,OTHER (SPECIFY) 433721,S000000,00100,0200,02/29/12 433721,S200000,00100,0100,116 LANE DRIVE 433721,S200000,00200,0100,TRINITY 433721,S200000,00200,0200,NC 433721,S200000,00200,0300,27370 433721,S200000,00300,0100,RANDOLPH 433721,S200000,00300,0200,3120 433721,S200000,00300,0201,24660 433721,S200000,00300,0300,U 433721,S200000,00400,0100,THE GRAYBRIER NURSING & RETIREMENT C 433721,S200000,00400,0200,345330 433721,S200000,00400,0300,11/08/90 433721,S200000,00400,0500,P 433721,S200000,01500,0100,N 433721,S200000,01501,0200,Y 433721,S200000,01503,0200,N 433721,S200000,01505,0000,THERAPY 433721,S200000,01505,0200,N 433721,S200000,01506,0000,WOUND CARE 433721,S200000,01506,0200,N 433721,S200000,01507,0000,DRUGS 433721,S200000,01507,0200,N 433721,S200000,01600,0100,Y 433721,S200000,01700,0100,N 433721,S200000,01800,0100,N 433721,S200000,02200,0100,N 433721,S200000,02800,0100,N 433721,S200000,02900,0100,N 433721,S200000,03000,0100,N 433721,S200000,03100,0100,N 433721,S200000,03200,0100,N 433721,S200000,03300,0100,N 433721,S200000,03300,0200,N 433721,S200000,04100,0100,N 433721,S200000,04200,0100,N 433721,S200000,04300,0100,N 433721,S200000,04600,0100,N 433721,S200000,04700,0100,N 433721,S200000,04700,0200,N 433721,S200000,04900,0100,N 433721,S200000,05000,0100,N 433721,S200000,05100,0100,N 433721,S200000,05200,0100,N 433721,S200000,05300,0100,Y 433721,S200000,05300,0200,349076 433721,S200000,05400,0100,CANYON MGT CONSULTANTS INC. 433721,S200000,05400,0200,PALMETTO GBA 433721,S200000,05400,0300,11001 433721,S200000,05500,0100,4615 RANDOLPH CHURCH RD 433721,S200000,05600,0100,LIBERTY 433721,S200000,05600,0200,NC 433721,S200000,05600,0300,27298 433722,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433722,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433722,A000000,00300,0000,0300EMPLOYEE BENEFITS 433722,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433722,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433722,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433722,A000000,00700,0000,0700HOUSEKEEPING 433722,A000000,00800,0000,0800DIETARY 433722,A000000,00900,0000,0900NURSING ADMINISTRATION 433722,A000000,01300,0000,1300SOCIAL SERVICE 433722,A000000,01500,0000,1350ACTIVITIES 433722,A000000,01600,0000,1600SKILLED NURSING FACILITY 433722,A000000,01800,0000,1800NURSING FACILITY 433722,A000000,01900,0000,1900OTHER LONG TERM CARE 433722,A000000,02100,0000,2100RADIOLOGY 433722,A000000,02200,0000,2200LABORATORY 433722,A000000,02500,0000,2500PHYSICAL THERAPY 433722,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433722,A000000,02700,0000,2700SPEECH PATHOLOGY 433722,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433722,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433722,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433722,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433722,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433722,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433722,A81000A,00100,0100,Y 433722,A81000B,00100,0300,HOME OFFICE OPERATING 433722,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 433722,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 433722,A81000B,00400,0300,HOME OFFICE NURSING 433722,A81000B,00500,0300,HOME OFFICE ACTIVITIES 433722,A81000B,00600,0300,VEHICLE RENTAL 433722,A81000B,00800,0300,MAINTENANCE AND REPAIRS 433722,A81000B,01000,0300,MAINTENANCE SUPPLIES 433722,A81000B,01100,0300,LAUNDRY SUPPLIES & LINEN 433722,A81000B,01200,0300,HSKPING SUPPLIES 433722,A81000B,01300,0300,FOOD SUPPLIES 433722,A81000B,01400,0300,NURSING SUPPLIES 433722,A81000B,01500,0300,PT SUPPLIES 433722,A81000B,01600,0300,OT SUPPLIES 433722,A81000B,01700,0300,ST SUPPLIES 433722,A81000B,01800,0300,MEDICAL SUPPLIES 433722,A81000B,01900,0300,TRAINING 433722,A81000B,02000,0300,SUPPLIES 433722,A81000B,02100,0300,MEDCAL SUPPLIES 433722,A81000B,02200,0300,DRUGS 433722,A81000B,02300,0300,PRINTING 433722,A81000C,00100,0100,A 433722,A81000C,00100,0200,TRIAD MEDICAL SERVICES 433722,A81000C,00100,0400,NOLAN G. BROWN 433722,A81000C,00100,0600,MGMT SERVICES 433722,A81000C,00200,0100,A 433722,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 433722,A81000C,00200,0400,NOLAN G. BROWN 433722,A81000C,00200,0600,PRINTING 433722,A81000C,00300,0100,A 433722,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 433722,A81000C,00300,0400,NOLAN G. BROWN 433722,A81000C,00300,0600,PHARMACY 433722,A81000C,00400,0100,A 433722,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 433722,A81000C,00400,0400,NOLAN G. BROWN 433722,A81000C,00400,0600,MEDICAL SUPPLIES 433722,A81000C,00500,0100,A 433722,A81000C,00500,0200,TMS CONSTRUCTION 433722,A81000C,00500,0400,NOLAN G BROWN 433722,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 433722,A81000C,00600,0100,A 433722,A81000C,00600,0200,NGB ENTERPRISES 433722,A81000C,00600,0400,NOLAN G. BROWN 433722,A81000C,00600,0600,LESSOR 433722,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433722,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433722,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433722,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433722,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433722,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433722,B100000,00000,0800,0800MEALS SERVED :DIETARY 433722,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433722,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433722,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 433722,E10A180,00350,0100,07/27/11 433722,E10A180,00501,0100,05/09/12 433722,G300000,02500,0000,OTHER INCOME 433722,G300000,02501,0000,BED HPLD REVENUE 433722,S000000,00100,0200,02/22/12 433722,S200000,00100,0100,202 SMOKETREE WAY 433722,S200000,00100,0300,629 433722,S200000,00200,0100,LOUISBURG 433722,S200000,00200,0200,NC 433722,S200000,00200,0300,27549 433722,S200000,00300,0100,FRANKLIN 433722,S200000,00300,0200,6640 433722,S200000,00300,0201,39580 433722,S200000,00300,0300,U 433722,S200000,00400,0100,LOUISBURG NURSING CENTER 433722,S200000,00400,0200,345358 433722,S200000,00400,0300,03/22/91 433722,S200000,00400,0500,P 433722,S200000,00400,0600,O 433722,S200000,01500,0100,Y 433722,S200000,01501,0200,Y 433722,S200000,01505,0000,SUPPLEMENTS AND SUPPLIES 433722,S200000,01505,0200,Y 433722,S200000,01600,0100,N 433722,S200000,01700,0100,N 433722,S200000,01800,0100,N 433722,S200000,02200,0100,N 433722,S200000,02800,0100,N 433722,S200000,02900,0100,N 433722,S200000,03000,0100,N 433722,S200000,03100,0100,N 433722,S200000,03200,0100,N 433722,S200000,03300,0100,N 433722,S200000,03300,0200,N 433722,S200000,04100,0100,N 433722,S200000,04200,0100,N 433722,S200000,04300,0100,N 433722,S200000,04600,0100,N 433722,S200000,04700,0100,N 433722,S200000,04700,0200,N 433722,S200000,04900,0100,N 433722,S200000,05000,0100,N 433722,S200000,05100,0100,N 433722,S200000,05200,0100,N 433722,S200000,05300,0100,Y 433722,S200000,05300,0200,349009 433722,S200000,05400,0100,TRIAD MEDICAL SERVICES 433722,S200000,05400,0200,PALMETTO GBA 433722,S200000,05400,0300, 00038 433722,S200000,05500,0200,969 433722,S200000,05600,0100,YADKINVILLE 433722,S200000,05600,0200,NC 433722,S200000,05600,0300,27055 433723,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433723,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433723,A000000,00300,0000,0300EMPLOYEE BENEFITS 433723,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433723,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433723,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433723,A000000,00700,0000,0700HOUSEKEEPING 433723,A000000,00800,0000,0800DIETARY 433723,A000000,00900,0000,0900NURSING ADMINISTRATION 433723,A000000,01100,0000,1100PHARMACY 433723,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433723,A000000,01300,0000,1300SOCIAL SERVICE 433723,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433723,A000000,01500,0000,1350ACTIVITIES 433723,A000000,01600,0000,1600SKILLED NURSING FACILITY 433723,A000000,01800,0000,1800NURSING FACILITY 433723,A000000,01810,0000,1810ICF/MR 433723,A000000,01900,0000,1900OTHER LONG TERM CARE 433723,A000000,02100,0000,2100RADIOLOGY 433723,A000000,02200,0000,2200LABORATORY 433723,A000000,02300,0000,2300INTRAVENOUS THERAPY 433723,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433723,A000000,02500,0000,2500PHYSICAL THERAPY 433723,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433723,A000000,02700,0000,2700SPEECH PATHOLOGY 433723,A000000,02800,0000,2800ELECTROCARDIOLOGY 433723,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433723,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433723,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433723,A000000,03200,0000,3200SUPPORT SURFACES 433723,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433723,A000000,03302,0000,3052AMBULANCE 433723,A000000,03303,0000,3053PEN THERAPY 433723,A000000,03308,0000,3058LIFE SUSTAINING EQUIPMENT RENTAL 433723,A000000,03400,0000,3400CLINIC 433723,A000000,03500,0000,3500RURAL HEALTH CLINIC 433723,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433723,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433723,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433723,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433723,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433723,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433723,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433723,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433723,A000000,04400,0000,4400DME RENTED - HHA 433723,A000000,04500,0000,4500DME SOLD - HHA 433723,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433723,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433723,A000000,04710,0000,4710TELEMEDICINE 433723,A000000,04800,0000,4800AMBULANCE 433723,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433723,A000000,05000,0000,5000CORF 433723,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433723,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433723,A000000,05300,0000,5300INTEREST EXPENSE 433723,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433723,A000000,05500,0000,5500HOSPICE 433723,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433723,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433723,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433723,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433723,A000000,06100,0000,6100NONPAID WORKERS 433723,A000000,06200,0000,6200PATIENTS LAUNDRY 433723,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433723,A81000A,00100,0100,Y 433723,A81000B,00100,0300,HO BLDG DEPR 433723,A81000B,00200,0300,EQUIP DEPR 433723,A81000B,00300,0300,INTEREST 433723,A81000B,00400,0300,MGMT FEES 433723,A81000B,00500,0300,MED SUPPLIES 433723,A81000B,00600,0300,MED SUPPLIES 433723,A81000B,00700,0300,MED SUPPLIES 433723,A81000B,00800,0300,DRUGS 433723,A81000B,00900,0300,DRUGS 433723,A81000B,01000,0300,DRUGS 433723,A81000B,01100,0300,FACILITY LEASE 433723,A81000B,01200,0300,FAC BLDG DEPR 433723,A81000B,01300,0300,FAC EQUIP 433723,A81000B,01400,0300,FAC INTEREST 433723,A81000B,01500,0300,FAC AMORT 433723,A81000B,01600,0300,FAC A&G 433723,A81000C,00100,0100,A 433723,A81000C,00100,0200,R&S MCNEILL 433723,A81000C,00100,0400,LIBERTY LTC MGMT 433723,A81000C,00100,0600,HOME OFFICE 433723,A81000C,00200,0100,A 433723,A81000C,00200,0200,R&S MCNEILL 433723,A81000C,00200,0400,LIBERTY LTC MGMT 433723,A81000C,00200,0600,HOME OFFICE 433723,A81000C,00300,0100,A 433723,A81000C,00300,0200,R&S MCNEILL 433723,A81000C,00300,0400,LIBERTY LTC MGMT 433723,A81000C,00300,0600,HOME OFFICE 433723,A81000C,00400,0100,A 433723,A81000C,00400,0200,R&S MCNEILL 433723,A81000C,00400,0400,LIBERTY LTC MGMT 433723,A81000C,00400,0600,HOME OFFICE 433723,A81000C,00500,0100,A 433723,A81000C,00500,0200,R&S MCNEILL 433723,A81000C,00500,0400,LIBERTY MED SPEC 433723,A81000C,00500,0600,MED SUPPLY 433723,A81000C,00600,0100,A 433723,A81000C,00600,0200,R&S MCNEILL 433723,A81000C,00600,0400,LIBERTY MED SPEC 433723,A81000C,00600,0600,MED SUPPLY 433723,A81000C,00700,0100,A 433723,A81000C,00700,0200,R&S MCNEILL 433723,A81000C,00700,0400,LIBERTY MED SPEC 433723,A81000C,00700,0600,MED SUPPLY 433723,A81000C,00800,0100,A 433723,A81000C,00800,0200,R&S MCNEILL 433723,A81000C,00800,0400,MCNEILL PHARMACY 433723,A81000C,00800,0600,PHARMACY 433723,A81000C,00900,0100,A 433723,A81000C,00900,0200,R&S MCNEILL 433723,A81000C,00900,0400,MCNEILL PHARMACY 433723,A81000C,00900,0600,PHARMACY 433723,A81000C,01000,0100,A 433723,A81000C,01000,0200,R&S MCNEILL 433723,A81000C,01000,0400,MCNEILL PHARMACY 433723,A81000C,01000,0600,PHARMACY 433723,A81000C,01001,0100,A 433723,A81000C,01001,0200,R&S MCNEILL 433723,A81000C,01001,0400,LIBERTY PROPERTIES 433723,A81000C,01001,0600,BUILDING 433723,A81000C,01002,0100,A 433723,A81000C,01002,0200,R&S MCNEILL 433723,A81000C,01002,0400,LIBERTY PROPERTIES 433723,A81000C,01002,0600,BUILDING 433723,A81000C,01003,0100,A 433723,A81000C,01003,0200,R&S MCNEILL 433723,A81000C,01003,0400,LIBERTY PROPERTIES 433723,A81000C,01003,0600,BUILDING 433723,A81000C,01004,0100,A 433723,A81000C,01004,0200,R&S MCNEILL 433723,A81000C,01004,0400,LIBERTY PROPERTIES 433723,A81000C,01004,0600,BUILDING 433723,A81000C,01005,0100,A 433723,A81000C,01005,0200,R&S MCNEILL 433723,A81000C,01005,0400,LIBERTY PROPERTIES 433723,A81000C,01005,0600,BUILDING 433723,A81000C,01006,0100,A 433723,A81000C,01006,0200,R&S MCNEILL 433723,A81000C,01006,0400,LIBERTY PROPERTIES 433723,A81000C,01006,0600,BUILDING 433723,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433723,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433723,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433723,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433723,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433723,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433723,B100000,00000,0800,0800MEALS SERVED :DIETARY 433723,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433723,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433723,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433723,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433723,E10A180,00501,0100,06/14/12 433723,G300000,02502,0000,MISC REV 433723,G300000,02503,0000,PERSONAL ITEMS 433723,G300000,02504,0000,EQUIPMENT RENTAL 433723,G300000,02505,0000,BILLING ADJUSTMENTS 433723,S000000,00100,0200,03/22/12 433723,S200000,00100,0100,1403 CONNOR AVENUE 433723,S200000,00200,0100,WINDSOR 433723,S200000,00200,0200,NC 433723,S200000,00200,0300,27983 433723,S200000,00300,0100,BERTIE 433723,S200000,00300,0200,34 433723,S200000,00300,0201,99934 433723,S200000,00300,0300,R 433723,S200000,00400,0100,THREE RIVERS HEALTH & REHAB CENTER 433723,S200000,00400,0200,345404 433723,S200000,00400,0300,03/12/92 433723,S200000,00400,0500,P 433723,S200000,00400,0600,P 433723,S200000,01500,0100,Y 433723,S200000,01501,0200,N 433723,S200000,01502,0200,Y 433723,S200000,01503,0200,Y 433723,S200000,01600,0100,N 433723,S200000,01700,0100,N 433723,S200000,01800,0100,N 433723,S200000,02200,0100,N 433723,S200000,02800,0100,Y 433723,S200000,02900,0100,N 433723,S200000,03000,0100,N 433723,S200000,03100,0100,N 433723,S200000,03200,0100,N 433723,S200000,03300,0100,N 433723,S200000,03300,0200,N 433723,S200000,04100,0100,N 433723,S200000,04200,0100,N 433723,S200000,04300,0100,N 433723,S200000,04600,0100,N 433723,S200000,04700,0100,N 433723,S200000,04700,0200,N 433723,S200000,04900,0100,N 433723,S200000,05000,0100,N 433723,S200000,05100,0100,N 433723,S200000,05200,0100,N 433723,S200000,05300,0100,N 433724,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433724,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433724,A000000,00300,0000,0300EMPLOYEE BENEFITS 433724,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433724,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433724,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433724,A000000,00700,0000,0700HOUSEKEEPING 433724,A000000,00800,0000,0800DIETARY 433724,A000000,00900,0000,0900NURSING ADMINISTRATION 433724,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433724,A000000,01100,0000,1100PHARMACY 433724,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433724,A000000,01300,0000,1300SOCIAL SERVICE 433724,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433724,A000000,01600,0000,1600SKILLED NURSING FACILITY 433724,A000000,01810,0000,1810ICF/MR 433724,A000000,02100,0000,2100RADIOLOGY 433724,A000000,02200,0000,2200LABORATORY 433724,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433724,A000000,02500,0000,2500PHYSICAL THERAPY 433724,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433724,A000000,02700,0000,2700SPEECH PATHOLOGY 433724,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433724,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433724,A000000,03550,0000,3550FQHC 433724,A000000,05000,0000,5000CORF 433724,A000000,05010,0000,5010CMHC 433724,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433724,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433724,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433724,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433724,A000000,06300,0000,6150PEN THERAPY 433724,A81000A,00100,0100,Y 433724,A81000B,00100,0300,ACCOUNTING 433724,A81000B,00200,0300,ADMIN MANAGEMENT 433724,A81000B,00300,0300,INFO SYSTEMS 433724,A81000B,00400,0300,PURCHASING 433724,A81000B,00500,0300,INSERV 433724,A81000B,00600,0300,VOLUNTEER 433724,A81000B,00700,0300,TELEPHONE INTERCO 433724,A81000B,00800,0300,LAUNDRY SVS 433724,A81000B,00900,0300,POSTAGE INTERCO 433724,A81000B,01000,0300,HUMAN RESOURCES 433724,A81000B,01100,0300,CAP B&G 433724,A81000B,01200,0300,CAP MME 433724,A81000C,00100,0100,A 433724,A81000C,00100,0200,WILSON MEDICAL 433724,A81000C,00100,0400,WILSON MEDICAL 433724,A81000C,00100,0600,HEALTHCARE 433724,A81000C,00200,0100,A 433724,A81000C,00200,0200,WILSON MEDICAL 433724,A81000C,00200,0400,WILSON MEDICAL 433724,A81000C,00200,0600,HEALTHCARE 433724,A81000C,00300,0100,A 433724,A81000C,00300,0200,WILSON MEDICAL 433724,A81000C,00300,0400,WILSON MEDICAL 433724,A81000C,00300,0600,HEALTHCARE 433724,A81000C,00400,0100,A 433724,A81000C,00400,0200,WILSON MEDICAL 433724,A81000C,00400,0400,WILSON MEDICAL 433724,A81000C,00400,0600,HEALTHCARE 433724,A81000C,00500,0100,A 433724,A81000C,00500,0200,WILSON MEDICAL 433724,A81000C,00500,0400,WILSON MEDICAL 433724,A81000C,00500,0600,HEALTHCARE 433724,A81000C,00600,0100,A 433724,A81000C,00600,0200,WILSON MEDICAL 433724,A81000C,00600,0400,WILSON MEDICAL 433724,A81000C,00600,0600,HEALTHCARE 433724,A81000C,00700,0100,A 433724,A81000C,00700,0200,WILSON MEDICAL 433724,A81000C,00700,0400,WILSON MEDICAL 433724,A81000C,00700,0600,HEALTHCARE 433724,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 433724,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 433724,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 433724,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433724,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 433724,B100000,00000,0600,0600POUNDS LOCN :LAUNDRY & LINEN SE 433724,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433724,B100000,00000,0800,0850PAT DAYS LOCN :DIETARY 433724,B100000,00000,0900,0950(DIRECT NRSG HRS) :NURSING ADMIN 433724,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 433724,E10A180,00550,0100,03/01/12 433724,G300000,02500,0000,OTHER REVENUE / REIMBURSEMENT 433724,S000000,00100,0200,03/01/12 433724,S200000,00100,0100,1705 S. TARBORO STREET 433724,S200000,00200,0100,WILSON 433724,S200000,00200,0200,NC 433724,S200000,00200,0300,27893 433724,S200000,00300,0100,WILSON 433724,S200000,00300,0201,34 433724,S200000,00300,0300,R 433724,S200000,00400,0100,WILMED NURSING CARE CENTER 433724,S200000,00400,0200,345423 433724,S200000,00400,0300,05/07/92 433724,S200000,00400,0500,P 433724,S200000,01500,0100,N 433724,S200000,01501,0200,Y 433724,S200000,01504,0200,Y 433724,S200000,01505,0000,SUPPLIES 433724,S200000,01505,0200,Y 433724,S200000,01506,0000,OTH EXP 433724,S200000,01506,0200,Y 433724,S200000,01600,0100,Y 433724,S200000,01700,0100,N 433724,S200000,01800,0100,N 433724,S200000,01900,0100,OWNED BY WMH HOLDING 433724,S200000,02200,0100,Y 433724,S200000,02800,0100,N 433724,S200000,02900,0100,N 433724,S200000,03000,0100,N 433724,S200000,03100,0100,N 433724,S200000,03200,0100,N 433724,S200000,03300,0100,N 433724,S200000,03300,0200,N 433724,S200000,03600,0100,N 433724,S200000,03600,0200,N 433724,S200000,04100,0100,N 433724,S200000,04200,0100,N 433724,S200000,04300,0100,N 433724,S200000,04600,0100,N 433724,S200000,04700,0100,N 433724,S200000,04700,0200,N 433724,S200000,04900,0100,N 433724,S200000,05000,0100,N 433724,S200000,05100,0100,N 433724,S200000,05200,0100,N 433724,S200000,05300,0100,Y 433724,S200000,05300,0200,349077 433724,S200000,05400,0100,WILMED HEALTHCARE INC. 433724,S200000,05400,0200,PALMETTO GBA 433724,S200000,05400,0300,11501 433724,S200000,05500,0100,1705 S. TARBORO STREET 433724,S200000,05600,0100,WILSON 433724,S200000,05600,0200,NC 433724,S200000,05600,0300,27893 433725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433725,A000000,00300,0000,0300EMPLOYEE BENEFITS 433725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433725,A000000,00700,0000,0700HOUSEKEEPING 433725,A000000,00800,0000,0800DIETARY 433725,A000000,01100,0000,1100PHARMACY 433725,A000000,01500,0000,1350PATIENT ACTIVITIES 433725,A000000,01600,0000,1600SKILLED NURSING FACILITY 433725,A000000,01800,0000,1800NURSING FACILITY 433725,A000000,01900,0000,1900OTHER LONG TERM CARE 433725,A000000,02100,0000,2100RADIOLOGY 433725,A000000,02200,0000,2200LABORATORY 433725,A000000,02300,0000,2300INTRAVENOUS THERAPY 433725,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433725,A000000,02500,0000,2500PHYSICAL THERAPY 433725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433725,A000000,02700,0000,2700SPEECH PATHOLOGY 433725,A000000,02800,0000,2800ELECTROCARDIOLOGY 433725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433725,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433725,A000000,03200,0000,3200SUPPORT SURFACES 433725,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433725,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433725,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433725,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433725,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433725,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433725,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433725,A000000,06100,0000,6100NONPAID WORKERS 433725,A000000,06200,0000,6200PATIENTS LAUNDRY 433725,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433725,A81000A,00100,0100,Y 433725,A81000B,00100,0300,CENTRAL OFFICE COST 433725,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433725,A81000B,00300,0300,RENT 433725,A81000B,00400,0300,SUPPLIES 433725,A81000B,00500,0300,SUPPLIES 433725,A81000B,00600,0300,SUPPLIES 433725,A81000B,00700,0300,SUPPLIES 433725,A81000B,00800,0300,SUPPLIES 433725,A81000B,00900,0300,SUPPLIES 433725,A81000B,01000,0300,SUPPLIES 433725,A81000B,01100,0300,PHARMACY 433725,A81000B,01200,0300,PHARMACY 433725,A81000B,01300,0300,PHARMACY 433725,A81000B,01400,0300,PHARMACY 433725,A81000B,01500,0300,PHARMACY 433725,A81000B,01600,0300,PHARMACY 433725,A81000C,00100,0100,B 433725,A81000C,00100,0200,AUTUMN CORPORATION 433725,A81000C,00100,0400,AUTUMN CORPORATION 433725,A81000C,00100,0600,HOME OFFICE 433725,A81000C,00200,0100,B 433725,A81000C,00200,0200,AUTUMN CORPORATION 433725,A81000C,00200,0400,AUTUMN CORPORATION 433725,A81000C,00200,0600,HOME OFFICE 433725,A81000C,00300,0100,B 433725,A81000C,00300,0200,HENDERSON HEALTHCARE 433725,A81000C,00300,0400,AUTUMN CORPORATION 433725,A81000C,00300,0600,BUILDING RENTAL 433725,A81000C,00400,0100,B 433725,A81000C,00400,0200,WINCARE 433725,A81000C,00400,0400,AUTUMNN CORPORATION 433725,A81000C,00400,0600,SUPPLIES 433725,A81000C,00500,0100,B 433725,A81000C,00500,0200,LEGACY 433725,A81000C,00500,0400,AUTUMN CORPORATION 433725,A81000C,00500,0600,PHARMACY 433725,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433725,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433725,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433725,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433725,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433725,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433725,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433725,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433725,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433725,E10A180,00350,0100,07/27/11 433725,E10A180,00501,0100,05/08/12 433725,G300000,02500,0000,MISC 433725,S000000,00100,0200,02/16/12 433725,S200000,00100,0100,1210 EASTERN AVE 433725,S200000,00100,0300,157 433725,S200000,00200,0100,NASHVILLE 433725,S200000,00200,0200,NC 433725,S200000,00200,0300,27856 433725,S200000,00300,0100,NASH 433725,S200000,00300,0200,6895 433725,S200000,00300,0201,40580 433725,S200000,00300,0300,U 433725,S200000,00400,0100,AUTUMN CARE OF NASH 433725,S200000,00400,0200,345514 433725,S200000,00400,0300,04/16/02 433725,S200000,00400,0500,P 433725,S200000,01500,0100,N 433725,S200000,01501,0200,Y 433725,S200000,01600,0100,Y 433725,S200000,01700,0100,N 433725,S200000,01800,0100,N 433725,S200000,02200,0100,N 433725,S200000,02800,0100,N 433725,S200000,02900,0100,N 433725,S200000,03000,0100,N 433725,S200000,03100,0100,N 433725,S200000,03200,0100,N 433725,S200000,03300,0100,N 433725,S200000,03300,0200,N 433725,S200000,04100,0100,N 433725,S200000,04200,0100,N 433725,S200000,04300,0100,N 433725,S200000,04600,0100,N 433725,S200000,04700,0100,N 433725,S200000,04700,0200,N 433725,S200000,04900,0100,N 433725,S200000,05000,0100,N 433725,S200000,05100,0100,N 433725,S200000,05200,0100,N 433726,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433726,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433726,A000000,00300,0000,0300EMPLOYEE BENEFITS 433726,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433726,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433726,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433726,A000000,00700,0000,0700HOUSEKEEPING 433726,A000000,00800,0000,0800DIETARY 433726,A000000,00900,0000,0900NURSING ADMINISTRATION 433726,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433726,A000000,01100,0000,1100PHARMACY 433726,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433726,A000000,01300,0000,1300SOCIAL SERVICE 433726,A000000,01500,0000,1350ACTIVITIES 433726,A000000,01600,0000,1600SKILLED NURSING FACILITY 433726,A000000,01800,0000,1800NURSING FACILITY 433726,A000000,01810,0000,1810ICF/MR 433726,A000000,01900,0000,1900OTHER LONG TERM CARE 433726,A000000,02100,0000,2100RADIOLOGY 433726,A000000,02200,0000,2200LABORATORY 433726,A000000,02300,0000,2300INTRAVENOUS THERAPY 433726,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433726,A000000,02500,0000,2500PHYSICAL THERAPY 433726,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433726,A000000,02700,0000,2700SPEECH PATHOLOGY 433726,A000000,02800,0000,2800ELECTROCARDIOLOGY 433726,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433726,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433726,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433726,A000000,03200,0000,3200SUPPORT SURFACES 433726,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433726,A000000,03301,0000,3051AIR FLUID THERAPY 433726,A000000,03302,0000,3052AMBULANCE 433726,A000000,03303,0000,3053PEN THERAPY 433726,A000000,03304,0000,3054ONCOLOGY 433726,A000000,03305,0000,3055CARDIOLOGY 433726,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433726,A000000,03307,0000,3057AUDIOLOGY 433726,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433726,A000000,03400,0000,3400CLINIC 433726,A000000,03500,0000,3500RURAL HEALTH CLINIC 433726,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433726,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433726,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433726,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433726,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433726,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433726,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433726,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433726,A000000,04400,0000,4400DME RENTED - HHA 433726,A000000,04500,0000,4500DME SOLD - HHA 433726,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433726,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433726,A000000,04710,0000,4710TELEMEDICINE 433726,A000000,04800,0000,4800AMBULANCE 433726,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433726,A000000,05000,0000,5000CORF 433726,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433726,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433726,A000000,05300,0000,5300INTEREST EXPENSE 433726,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433726,A000000,05500,0000,5500HOSPICE 433726,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433726,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433726,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433726,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433726,A000000,06100,0000,6100NONPAID WORKERS 433726,A000000,06200,0000,6200PATIENTS LAUNDRY 433726,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433726,A81000A,00100,0100,Y 433726,A81000B,00100,0300,HO BUILDING DEPRECIATION 433726,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433726,A81000B,00300,0300,INTEREST 433726,A81000B,00400,0300,MANAGEMENT FEES 433726,A81000B,00500,0300,MEDICAL SUPPLIES 433726,A81000B,00600,0300,MEDICAL SUPPLIES 433726,A81000B,00700,0300,MEDICAL SUPPLIES 433726,A81000B,00800,0300,DRUGS 433726,A81000B,00900,0300,DRUGS 433726,A81000B,01000,0300,DRUGS 433726,A81000B,01100,0300,FACILITY LEASE 433726,A81000B,01200,0300,FACILITY BUILDING DEPRECIATION 433726,A81000B,01300,0300,FACILITY EQUIPMENT 433726,A81000B,01400,0300,FACILITY INTEREST 433726,A81000B,01500,0300,FACILITY AMORTIZATION 433726,A81000B,01600,0300,FACILITY A&G 433726,A81000C,00100,0100,A 433726,A81000C,00100,0200,R&S MCNEILL 433726,A81000C,00100,0400,LIBERTY LTC MGMT 433726,A81000C,00100,0600,HOME OFC 433726,A81000C,00200,0100,A 433726,A81000C,00200,0200,R&S MCNEILL 433726,A81000C,00200,0400,LIBERTY LTC MGMT 433726,A81000C,00200,0600,HOME OFC 433726,A81000C,00300,0100,A 433726,A81000C,00300,0200,R&S MCNEILL 433726,A81000C,00300,0400,LIBERTY LTC MGMT 433726,A81000C,00300,0600,HOME OFC 433726,A81000C,00400,0100,A 433726,A81000C,00400,0200,R&S MCNEILL 433726,A81000C,00400,0400,LIBERTY LTC MGMT 433726,A81000C,00400,0600,HOME OFC 433726,A81000C,00500,0100,A 433726,A81000C,00500,0200,R&S MCNEILL 433726,A81000C,00500,0400,LIBERTY MED SPEC 433726,A81000C,00500,0600,MED SUPPLY 433726,A81000C,00600,0100,A 433726,A81000C,00600,0200,R&S MCNEILL 433726,A81000C,00600,0400,LIBERTY MED SPEC 433726,A81000C,00600,0600,MED SUPPLY 433726,A81000C,00700,0100,A 433726,A81000C,00700,0200,R&S MCNEILL 433726,A81000C,00700,0400,LIBERTY MED SPEC 433726,A81000C,00700,0600,MED SUPPLY 433726,A81000C,00800,0100,A 433726,A81000C,00800,0200,R&S MCNEILL 433726,A81000C,00800,0400,MCNEILL PHARM 433726,A81000C,00800,0600,PHARMACY 433726,A81000C,00900,0100,A 433726,A81000C,00900,0200,R&S MCNEILL 433726,A81000C,00900,0400,MCNEILL PHARM 433726,A81000C,00900,0600,PHARMACY 433726,A81000C,01000,0100,A 433726,A81000C,01000,0200,R&S MCNEILL 433726,A81000C,01000,0400,MCNEILL PHARM 433726,A81000C,01000,0600,PHARMACY 433726,A81000C,01001,0100,A 433726,A81000C,01001,0200,R&S MCNEILL 433726,A81000C,01001,0400,LIBERTY PROPERTIES 433726,A81000C,01001,0600,BUILDING 433726,A81000C,01002,0100,A 433726,A81000C,01002,0200,R&S MCNEILL 433726,A81000C,01002,0400,LIBERTY PROPERTIES 433726,A81000C,01002,0600,BUILDING 433726,A81000C,01003,0100,A 433726,A81000C,01003,0200,R&S MCNEILL 433726,A81000C,01003,0400,LIBERTY PROPERTIES 433726,A81000C,01003,0600,BUILDING 433726,A81000C,01004,0100,A 433726,A81000C,01004,0200,R&S MCNEILL 433726,A81000C,01004,0400,LIBERTY PROPERTIES 433726,A81000C,01004,0600,BUILDING 433726,A81000C,01005,0100,A 433726,A81000C,01005,0200,R&S MCNEILL 433726,A81000C,01005,0400,LIBERTY PROPERTIES 433726,A81000C,01005,0600,BUILDING 433726,A81000C,01006,0100,A 433726,A81000C,01006,0200,R&S MCNEILL 433726,A81000C,01006,0400,LIBERTY PROPERTIES 433726,A81000C,01006,0600,BUILDING 433726,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433726,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433726,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433726,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433726,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433726,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433726,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433726,B100000,00000,0800,0800MEALS SERVED :DIETARY 433726,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433726,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433726,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433726,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433726,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433726,E10A180,00350,0100,07/27/11 433726,E10A180,00501,0100,05/28/12 433726,E10A180,00550,0300,05/28/12 433726,G300000,02500,0000,PERSONAL ITEM REVENUE 433726,G300000,02501,0000,EQUIPMENT RENTAL 433726,G300000,02502,0000,MISCELLANEOUS REVENUE 433726,G300000,02503,0000,RESERVE BED REVENUE 433726,G300000,02504,0000,BARBER & BEAUTY 433726,S000000,00100,0200,03/01/12 433726,S200000,00100,0100,2315 HIGHWAY 242 NORTH 433726,S200000,00200,0100,BENSON 433726,S200000,00200,0200,NC 433726,S200000,00200,0300,27504 433726,S200000,00300,0100,JOHNSTON 433726,S200000,00300,0200,6640 433726,S200000,00300,0201,39580 433726,S200000,00300,0300,U 433726,S200000,00400,0100,LIBERTY COMMONS N&R JOHNSTON CO 433726,S200000,00400,0200,345519 433726,S200000,00400,0300,09/25/02 433726,S200000,00400,0500,P 433726,S200000,00400,0600,P 433726,S200000,01500,0100,Y 433726,S200000,01501,0200,Y 433726,S200000,01600,0100,N 433726,S200000,01700,0100,N 433726,S200000,01800,0100,N 433726,S200000,02200,0100,N 433726,S200000,02800,0100,N 433726,S200000,02900,0100,N 433726,S200000,03000,0100,N 433726,S200000,03100,0100,N 433726,S200000,03200,0100,N 433726,S200000,03300,0100,N 433726,S200000,03300,0200,N 433726,S200000,04100,0100,N 433726,S200000,04200,0100,N 433726,S200000,04300,0100,N 433726,S200000,04600,0100,N 433726,S200000,04700,0100,N 433726,S200000,04700,0200,N 433726,S200000,04900,0100,N 433726,S200000,05000,0100,N 433726,S200000,05100,0100,N 433726,S200000,05200,0100,N 433726,S200000,05300,0100,N 433727,S000000,00100,0200,03/23/12 433727,S200000,00100,0100,5301 E THOMAS ROAD 433727,S200000,00200,0100,PHOENIX 433727,S200000,00200,0200,AZ 433727,S200000,00200,0300,85018-8011 433727,S200000,00300,0100,MARICOPA 433727,S200000,00400,0100,CAREMERIDIAN LLC 433727,S200000,00400,0300,09/15/09 433731,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433731,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433731,A000000,00300,0000,0300EMPLOYEE BENEFITS 433731,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433731,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433731,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433731,A000000,00700,0000,0700HOUSEKEEPING 433731,A000000,00800,0000,0800DIETARY 433731,A000000,00900,0000,0900NURSING ADMINISTRATION 433731,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433731,A000000,01100,0000,1100PHARMACY 433731,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433731,A000000,01300,0000,1300SOCIAL SERVICE 433731,A000000,01301,0000,1301ACTIVITIES 433731,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433731,A000000,01600,0000,1600SKILLED NURSING FACILITY 433731,A000000,01810,0000,1810ICF/MR 433731,A000000,02100,0000,2100RADIOLOGY 433731,A000000,02200,0000,2200LABORATORY 433731,A000000,02500,0000,2500PHYSICAL THERAPY 433731,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433731,A000000,02700,0000,2700SPEECH PATHOLOGY 433731,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433731,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433731,A000000,03101,0000,3050OTHER ANCILLARY-CONSOLIDATED BIL 433731,A000000,03550,0000,3550FQHC 433731,A000000,05000,0000,5000CORF 433731,A000000,05010,0000,5010CMHC 433731,A000000,05020,0000,5020OPT 433731,A000000,05030,0000,5030OOT 433731,A000000,05040,0000,5040OSP 433731,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433731,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433731,A000000,06301,0000,6151OTHER NON REIMBURSABLE COST 433731,A81000A,00100,0100,Y 433731,A81000B,00100,0300,HO AND ADMIN COST 433731,A81000B,00200,0300,HOME OFFICE COST 433731,A81000B,00400,0300,HOME OFFICE COST 433731,A81000B,00500,0300,QA COST 433731,A81000B,00600,0300,QA COST 433731,A81000B,00700,0300,HOME OFFICE COST 433731,A81000B,00800,0300,HOME OFFICE COST 433731,A81000B,00900,0300,HOME OFFICE COST 433731,A81000C,00100,0100,B 433731,A81000C,00100,0200,BEI 433731,A81000C,00100,0400,GOLDEN VENTURES 433731,A81000C,00100,0600,GENERAL ADMIN S 433731,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 433731,B100000,00000,0300,0350(ADJUSTED SALARIES) :EMPLOYEE B 433731,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433731,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 433731,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 433731,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 433731,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 433731,B100000,00000,0900,0950(ADJUSTED SALARIES) :NURSING AD 433731,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 433731,B100000,00000,1200,1250(TOTAL CHARGES) :MEDICAL RECORD 433731,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 433731,B100000,00000,1301,1331 DAYS) :ACTIVITIES 433731,E10A180,00301,0100,05/17/11 433731,E10A180,00550,0100,11/15/11 433731,S000000,00100,0200,11/15/11 433731,S200000,00100,0100,1703 60TH STREET 433731,S200000,00200,0100,KENOSHA 433731,S200000,00200,0200,WI 433731,S200000,00200,0300,53140 433731,S200000,00300,0100,KENOSHA 433731,S200000,00300,0201,29404 433731,S200000,00300,0300,U 433731,S200000,00400,0100,GOLDEN LIVING-KENOSHA 433731,S200000,00400,0200,525125 433731,S200000,00400,0300,01/09/67 433731,S200000,00400,0500,P 433731,S200000,01500,0100,N 433731,S200000,01501,0200,Y 433731,S200000,01503,0200,Y 433731,S200000,01504,0200,Y 433731,S200000,01600,0100,Y 433731,S200000,01700,0100,N 433731,S200000,01800,0100,N 433731,S200000,02200,0100,N 433731,S200000,02800,0100,N 433731,S200000,02900,0100,N 433731,S200000,03000,0100,N 433731,S200000,03100,0100,N 433731,S200000,03200,0100,N 433731,S200000,03300,0100,N 433731,S200000,03300,0200,N 433731,S200000,04100,0100,N 433731,S200000,04200,0100,N 433731,S200000,04300,0100,N 433731,S200000,04600,0100,N 433731,S200000,04700,0100,N 433731,S200000,04700,0200,N 433731,S200000,04900,0100,N 433731,S200000,05000,0100,N 433731,S200000,05100,0100,N 433731,S200000,05200,0100,N 433731,S200000,05300,0100,Y 433731,S200000,05300,0200,95-400 433731,S200000,05400,0100,BEI 433731,S200000,05400,0200,PALMETTO GBA 433731,S200000,05400,0300,01101 433731,S200000,05500,0100,1000 FIANNA WAY 433731,S200000,05600,0100,FORT SMITH 433731,S200000,05600,0200,AR 433731,S200000,05600,0300,72919 433741,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433741,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433741,A000000,00300,0000,0300EMPLOYEE BENEFITS 433741,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433741,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433741,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433741,A000000,00700,0000,0700HOUSEKEEPING 433741,A000000,00800,0000,0800DIETARY 433741,A000000,00900,0000,0900NURSING ADMINISTRATION 433741,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433741,A000000,01100,0000,1100PHARMACY 433741,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433741,A000000,01300,0000,1300SOCIAL SERVICE 433741,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433741,A000000,01600,0000,1600SKILLED NURSING FACILITY 433741,A000000,01810,0000,1810ICF/MR 433741,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433741,A000000,02500,0000,2500PHYSICAL THERAPY 433741,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433741,A000000,02700,0000,2700SPEECH PATHOLOGY 433741,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433741,A000000,03200,0000,3200SUPPORT SURFACES 433741,A000000,03300,0000,3050ENTERALS 433741,A000000,03550,0000,3550FQHC 433741,A000000,05000,0000,5000CORF 433741,A000000,05010,0000,5010CMHC 433741,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433741,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433741,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433741,A000000,06300,0000,6150DAYCARE 433741,A81000A,00100,0100,Y 433741,A81000B,00100,0300,CAP REL COSTS-BLDGS 433741,A81000B,00200,0300,PAPER PRODUCTS 433741,A81000C,00100,0100,B 433741,A81000C,00100,0200,SPARTANBURG COU 433741,A81000C,00100,0400,SPARTANBURG COU 433741,A81000C,00100,0600,FACILITY RENT 433741,A81000C,00200,0100,E 433741,A81000C,00200,0200,LEWIS BLACK 433741,A81000C,00200,0400,SOUTHEASTERN PA 433741,A81000C,00200,0600,PAPER SUPPLY CO 433741,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433741,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433741,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433741,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433741,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433741,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433741,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433741,B100000,00000,0800,0800MEALS SERVED :DIETARY 433741,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 433741,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433741,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433741,E10A180,00301,0100,09/30/11 433741,E10A180,00501,0100,05/25/12 433741,G300000,02500,0000, VENDING REVENUE 433741,G300000,02501,0000,OTHER INCOME 433741,G300000,02502,0000,DAYCARE REVENUE 433741,S000000,00100,0200,03/01/12 433741,S200000,00100,0100,340 CEDAR CREEK ROAD 433741,S200000,00200,0100,SPARTANBURG 433741,S200000,00200,0200,SC 433741,S200000,00200,0300,29302 433741,S200000,00300,0100,SPARTANBURG 433741,S200000,00300,0201,43900 433741,S200000,00300,0300,R 433741,S200000,00400,0100,MOUNTAINVIEW NURSING HOME 433741,S200000,00400,0200,425027 433741,S200000,00400,0300,10/01/70 433741,S200000,00400,0500,P 433741,S200000,01500,0100,Y 433741,S200000,01501,0200,N 433741,S200000,01502,0200,N 433741,S200000,01503,0200,N 433741,S200000,01504,0200,Y 433741,S200000,01600,0100,N 433741,S200000,01700,0100,N 433741,S200000,01800,0100,N 433741,S200000,02200,0100,Y 433741,S200000,02800,0100,Y 433741,S200000,02900,0100,N 433741,S200000,03000,0100,N 433741,S200000,03100,0100,N 433741,S200000,03200,0100,N 433741,S200000,03300,0100,N 433741,S200000,03300,0200,N 433741,S200000,03600,0100,N 433741,S200000,03600,0200,N 433741,S200000,04100,0100,N 433741,S200000,04200,0100,N 433741,S200000,04300,0100,N 433741,S200000,04600,0100,N 433741,S200000,04700,0100,N 433741,S200000,04700,0200,N 433741,S200000,04900,0100,N 433741,S200000,05000,0100,N 433741,S200000,05100,0100,N 433741,S200000,05200,0100,N 433741,S200000,05300,0100,N 433742,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433742,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433742,A000000,00300,0000,0300EMPLOYEE BENEFITS 433742,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433742,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433742,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433742,A000000,00700,0000,0700HOUSEKEEPING 433742,A000000,00800,0000,0800DIETARY 433742,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433742,A000000,01300,0000,1300SOCIAL SERVICE 433742,A000000,01600,0000,1600SKILLED NURSING FACILITY 433742,A000000,02100,0000,2100RADIOLOGY 433742,A000000,02200,0000,2200LABORATORY 433742,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433742,A000000,02500,0000,2500PHYSICAL THERAPY 433742,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433742,A000000,02700,0000,2700SPEECH PATHOLOGY 433742,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433742,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433742,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433742,A000000,06200,0000,6200PATIENTS LAUNDRY 433742,A81000A,00100,0100,N 433742,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433742,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433742,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433742,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433742,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433742,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433742,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433742,B100000,00000,0800,0800MEALS SERVED :DIETARY 433742,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433742,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433742,E10A180,00550,0100,03/01/12 433742,G300000,02500,0000,MISC 433742,S000000,00100,0200,03/01/12 433742,S200000,00100,0100,2715 SOUTH ISLAND ROAD 433742,S200000,00200,0100,GEORGETOWN 433742,S200000,00200,0200,SC 433742,S200000,00200,0300,29440 433742,S200000,00300,0100,GEORGETOWN 433742,S200000,00300,0200,42 433742,S200000,00300,0300,R 433742,S200000,00400,0100,GEORETOWN HEALTHCARE REHAB 433742,S200000,00400,0200,425048 433742,S200000,00400,0300,07/01/83 433742,S200000,00400,0500,P 433742,S200000,01500,0100,Y 433742,S200000,01501,0200,Y 433742,S200000,01600,0100,N 433742,S200000,01700,0100,N 433742,S200000,01800,0100,N 433742,S200000,02200,0100,N 433742,S200000,02800,0100,N 433742,S200000,02900,0100,N 433742,S200000,03000,0100,N 433742,S200000,03100,0100,N 433742,S200000,03200,0100,N 433742,S200000,03300,0100,N 433742,S200000,03300,0200,N 433742,S200000,04100,0100,N 433742,S200000,04200,0100,N 433742,S200000,04300,0100,N 433742,S200000,04600,0100,N 433742,S200000,04700,0100,N 433742,S200000,04700,0200,N 433742,S200000,04900,0100,N 433742,S200000,05000,0100,N 433742,S200000,05100,0100,N 433742,S200000,05200,0100,N 433748,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433748,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433748,A000000,00300,0000,0300EMPLOYEE BENEFITS 433748,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433748,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433748,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433748,A000000,00700,0000,0700HOUSEKEEPING 433748,A000000,00800,0000,0800DIETARY 433748,A000000,00900,0000,0900NURSING ADMINISTRATION 433748,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433748,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433748,A000000,01300,0000,1300SOCIAL SERVICE 433748,A000000,01500,0000,1350ACTIVITIES 433748,A000000,01600,0000,1600SKILLED NURSING FACILITY 433748,A000000,01800,0000,1800NURSING FACILITY 433748,A000000,01810,0000,1810ICF/MR 433748,A000000,01900,0000,1900OTHER LONG TERM CARE 433748,A000000,02100,0000,2100RADIOLOGY 433748,A000000,02200,0000,2200LABORATORY 433748,A000000,02300,0000,2300INTRAVENOUS THERAPY 433748,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433748,A000000,02500,0000,2500PHYSICAL THERAPY 433748,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433748,A000000,02700,0000,2700SPEECH PATHOLOGY 433748,A000000,02800,0000,2800ELECTROCARDIOLOGY 433748,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433748,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433748,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433748,A000000,03200,0000,3200SUPPORT SURFACES 433748,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433748,A000000,03301,0000,3051AIR FLUID THERAPY 433748,A000000,03302,0000,3052AMBULANCE 433748,A000000,03303,0000,3053PEN THERAPY 433748,A000000,03304,0000,3054ONCOLOGY 433748,A000000,03305,0000,3055CARDIOLOGY 433748,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433748,A000000,03307,0000,3057AUDIOLOGY 433748,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433748,A000000,03400,0000,3400CLINIC 433748,A000000,03500,0000,3500RURAL HEALTH CLINIC 433748,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433748,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433748,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433748,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433748,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433748,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433748,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433748,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433748,A000000,04400,0000,4400DME RENTED - HHA 433748,A000000,04500,0000,4500DME SOLD - HHA 433748,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433748,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433748,A000000,04710,0000,4710TELEMEDICINE 433748,A000000,04800,0000,4800AMBULANCE 433748,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433748,A000000,05000,0000,5000CORF 433748,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433748,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433748,A000000,05300,0000,5300INTEREST EXPENSE 433748,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433748,A000000,05500,0000,5500HOSPICE 433748,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433748,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433748,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433748,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433748,A000000,06100,0000,6100NONPAID WORKERS 433748,A000000,06200,0000,6200PATIENTS LAUNDRY 433748,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433748,A81000A,00100,0100,Y 433748,A81000B,00100,0300,HO BUILDING DEPRECIATION 433748,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433748,A81000B,00300,0300,INTEREST 433748,A81000B,00400,0300,MANAGEMENT FEES 433748,A81000B,00500,0300,MEDICAL SUPPLIES 433748,A81000B,00600,0300,MEDICAL SUPPLIES 433748,A81000B,00700,0300,MEDICAL SUPPLIES 433748,A81000B,00800,0300,DRUGS 433748,A81000B,00900,0300,DRUGS 433748,A81000B,01000,0300,DRUGS 433748,A81000C,00100,0100,A 433748,A81000C,00100,0200,R&S MCNEIL 433748,A81000C,00100,0400,LTC MGMT SERVICES 433748,A81000C,00100,0600,HOME OFFICE 433748,A81000C,00200,0100,A 433748,A81000C,00200,0200,R&S MCNEIL 433748,A81000C,00200,0400,LTC MGMT SERVICES 433748,A81000C,00200,0600,HOME OFFICE 433748,A81000C,00300,0100,A 433748,A81000C,00300,0200,R&S MCNEIL 433748,A81000C,00300,0400,LTC MGMT SERVICES 433748,A81000C,00300,0600,HOME OFFICE 433748,A81000C,00400,0100,A 433748,A81000C,00400,0200,R&S MCNEIL 433748,A81000C,00400,0400,LTC MGMT SERVICES 433748,A81000C,00400,0600,HOME OFFICE 433748,A81000C,00500,0100,A 433748,A81000C,00500,0200,R&S MCNEIL 433748,A81000C,00500,0400,LIBERTY MEDSPEC 433748,A81000C,00500,0600,MED SUPPLY 433748,A81000C,00600,0100,A 433748,A81000C,00600,0200,R&S MCNEIL 433748,A81000C,00600,0400,LIBERTY MEDSPEC 433748,A81000C,00600,0600,MED SUPPLY 433748,A81000C,00700,0100,A 433748,A81000C,00700,0200,R&S MCNEIL 433748,A81000C,00700,0400,LIBERTY MEDSPEC 433748,A81000C,00700,0600,MED SUPPLY 433748,A81000C,00800,0100,A 433748,A81000C,00800,0200,R&S MCNEIL 433748,A81000C,00800,0400,MCNEIL PHARMACY 433748,A81000C,00800,0600,PHARMACY 433748,A81000C,00900,0100,A 433748,A81000C,00900,0200,R&S MCNEIL 433748,A81000C,00900,0400,MCNEIL PHARMACY 433748,A81000C,00900,0600,PHARMACY 433748,A81000C,01000,0100,A 433748,A81000C,01000,0200,R&S MCNEIL 433748,A81000C,01000,0400,MCNEIL PHARMACY 433748,A81000C,01000,0600,PHARMACY 433748,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433748,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433748,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433748,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433748,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433748,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433748,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433748,B100000,00000,0800,0800MEALS SERVED :DIETARY 433748,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433748,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433748,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433748,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433748,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433748,E10A180,00550,0100,03/01/12 433748,E10A180,00550,0300,03/01/12 433748,G300000,02500,0000,BARBER & BEAUTY 433748,G300000,02501,0000,CONTRIBUTIONS 433748,G300000,02502,0000,PERSONAL ITEM REVENUE 433748,G300000,02503,0000,MISCELLANEOUS REVENUE 433748,G300000,02504,0000,RESERVE BED REVENUE 433748,S000000,00100,0200,03/01/12 433748,S200000,00100,0100,310 COMMERCE DRIVE 433748,S200000,00200,0100,SANFORD 433748,S200000,00200,0200,NC 433748,S200000,00200,0300,27332 433748,S200000,00300,0100,LEE 433748,S200000,00300,0200,34 433748,S200000,00300,0201,99934 433748,S200000,00300,0300,R 433748,S200000,00400,0100,LIBERTY COMMONS N&R CTR OF LEE CO 433748,S200000,00400,0200,345532 433748,S200000,00400,0300,07/07/67 433748,S200000,00400,0500,P 433748,S200000,00400,0600,P 433748,S200000,01500,0100,Y 433748,S200000,01501,0200,Y 433748,S200000,01600,0100,N 433748,S200000,01700,0100,N 433748,S200000,01800,0100,N 433748,S200000,02200,0100,N 433748,S200000,02800,0100,N 433748,S200000,02900,0100,N 433748,S200000,03000,0100,N 433748,S200000,03100,0100,N 433748,S200000,03200,0100,N 433748,S200000,03300,0100,N 433748,S200000,03300,0200,N 433748,S200000,04100,0100,N 433748,S200000,04200,0100,N 433748,S200000,04300,0100,N 433748,S200000,04600,0100,N 433748,S200000,04700,0100,N 433748,S200000,04700,0200,N 433748,S200000,04900,0100,N 433748,S200000,05000,0100,N 433748,S200000,05100,0100,N 433748,S200000,05200,0100,N 433748,S200000,05300,0100,N 433771,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433771,A000000,00300,0000,0300EMPLOYEE BENEFITS 433771,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433771,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433771,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433771,A000000,00700,0000,0700HOUSEKEEPING 433771,A000000,00800,0000,0800DIETARY 433771,A000000,00900,0000,0900NURSING ADMINISTRATION 433771,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433771,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433771,A000000,01300,0000,1300SOCIAL SERVICE 433771,A000000,01600,0000,1600SKILLED NURSING FACILITY 433771,A000000,02100,0000,2100RADIOLOGY 433771,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433771,A000000,02500,0000,2500PHYSICAL THERAPY 433771,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433771,A000000,02700,0000,2700SPEECH PATHOLOGY 433771,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433771,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433771,A81000A,00100,0100,Y 433771,A81000B,00100,0300,CAPITAL EXPENSES 433771,A81000B,00200,0300,EMPLOYEE BENEFITS 433771,A81000B,00300,0300,A&G 433771,A81000B,00400,0300,PLANT EXPENSES 433771,A81000B,00500,0300,HOUSEKEEPING EXP 433771,A81000B,00600,0300,DIETARY EXPENSES 433771,A81000B,00700,0300,NURSING EXPENSES 433771,A81000B,00900,0300,RENT 433771,A81000B,01000,0300,CAPITAL EXPENSES 433771,A81000B,01100,0300,A&G 433771,A81000B,01200,0300,PLANT EXPENSES 433771,A81000B,01300,0300,RENT 433771,A81000C,00100,0100,A 433771,A81000C,00100,0400,LEGACY HC & FIN 433771,A81000C,00100,0600,MANAGEMENT COMP 433771,A81000C,00200,0100,A 433771,A81000C,00200,0400,LEGACY REAL PRO 433771,A81000C,00200,0600,BUILDING COMPAN 433771,A81000C,00300,0100,A 433771,A81000C,00300,0400,PARK VILLA REAL 433771,A81000C,00300,0600,BUILDING COMPAN 433771,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433771,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433771,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433771,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433771,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433771,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433771,B100000,00000,0800,0800MEALS SERVED :DIETARY 433771,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433771,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433771,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433771,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433771,E10A180,00550,0100,11/29/10 433771,G300000,02500,0000,PPA 433771,G300000,02501,0000,DISCOUNTS EARNED 433771,S000000,00100,0200,11/29/11 433771,S200000,00100,0100,12550 SOUTH RIDGELAND AVE 433771,S200000,00200,0100,PALOS HEIGHTS 433771,S200000,00200,0200,IL 433771,S200000,00200,0300,60463 433771,S200000,00300,0100,COOK 433771,S200000,00300,0201,16974 433771,S200000,00300,0300,U 433771,S200000,00400,0100,PARK VILLA NURSING & REHAB CENTER 433771,S200000,00400,0200,145779 433771,S200000,00400,0300,08/26/93 433771,S200000,00400,0500,P 433771,S200000,01500,0100,Y 433771,S200000,01501,0200,Y 433771,S200000,01504,0200,Y 433771,S200000,01600,0100,N 433771,S200000,01700,0100,N 433771,S200000,01800,0100,N 433771,S200000,01900,0100,LLC 433771,S200000,02200,0100,N 433771,S200000,02800,0100,N 433771,S200000,02900,0100,N 433771,S200000,03000,0100,N 433771,S200000,03100,0100,N 433771,S200000,03200,0100,N 433771,S200000,03300,0100,N 433771,S200000,03300,0200,N 433771,S200000,04100,0100,N 433771,S200000,04200,0100,N 433771,S200000,04300,0100,N 433771,S200000,04600,0100,N 433771,S200000,04700,0100,N 433771,S200000,04700,0200,N 433771,S200000,04900,0100,N 433771,S200000,05000,0100,N 433771,S200000,05100,0100,N 433771,S200000,05200,0100,N 433771,S200000,05300,0100,N 433775,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433775,A000000,00300,0000,0300EMPLOYEE BENEFITS 433775,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433775,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433775,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433775,A000000,00700,0000,0700HOUSEKEEPING 433775,A000000,00800,0000,0800DIETARY 433775,A000000,00900,0000,0900NURSING ADMINISTRATION 433775,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433775,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433775,A000000,01300,0000,1300SOCIAL SERVICE 433775,A000000,01600,0000,1600SKILLED NURSING FACILITY 433775,A000000,01800,0000,1800NURSING FACILITY 433775,A000000,01810,0000,1810ICF/MR 433775,A000000,01900,0000,1900OTHER LONG TERM CARE 433775,A000000,02100,0000,2100RADIOLOGY 433775,A000000,02200,0000,2200LABORATORY 433775,A000000,02300,0000,2300INTRAVENOUS THERAPY 433775,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433775,A000000,02500,0000,2500PHYSICAL THERAPY 433775,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433775,A000000,02700,0000,2700SPEECH PATHOLOGY 433775,A000000,02800,0000,2800ELECTROCARDIOLOGY 433775,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433775,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433775,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433775,A000000,03200,0000,3200SUPPORT SURFACES 433775,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433775,A000000,03400,0000,3400CLINIC 433775,A000000,03500,0000,3500RURAL HEALTH CLINIC 433775,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433775,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433775,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433775,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433775,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433775,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433775,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433775,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433775,A000000,04400,0000,4400DME RENTED - HHA 433775,A000000,04500,0000,4500DME SOLD - HHA 433775,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433775,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433775,A000000,04710,0000,4710TELEMEDICINE 433775,A000000,04800,0000,4800AMBULANCE 433775,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433775,A000000,05000,0000,5000CORF 433775,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433775,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433775,A000000,05300,0000,5300INTEREST EXPENSE 433775,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433775,A000000,05500,0000,5500HOSPICE 433775,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433775,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433775,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433775,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433775,A000000,06100,0000,6100NONPAID WORKERS 433775,A000000,06200,0000,6200PATIENTS LAUNDRY 433775,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433775,A81000A,00100,0100,Y 433775,A81000B,00100,0300,BLDG ENTITY - INTEREST EXPENSE 433775,A81000B,00200,0300,BLDG ENTITY - DEPRECIATION 433775,A81000B,00300,0300,BLDG ENTITY - AMORTIZATION 433775,A81000B,00400,0300,BLDG ENTITY - CLERICAL /GENERAL 433775,A81000B,00500,0300,BLDG ENTITY - LEASE PAYMENT 433775,A81000B,00600,0300,BLDG ENTITY - STATE REPLACEMENT TAX 433775,A81000B,00700,0300,HO - MANAGEMENT FEES 433775,A81000B,00800,0300,HO - SALARY 433775,A81000B,00900,0300,HO - ADMIN & GENERAL 433775,A81000B,01000,0300,HO - CAPITAL EXPENSE 433775,A81000B,01100,0300,S&E MEDICAL SUPPLY - FOOD 433775,A81000B,01200,0300,S&E MEDICAL SUPPLY - MED SUPP 433775,A81000C,00100,0100,A 433775,A81000C,00100,0200,SHELDON WOLFE 433775,A81000C,00100,0400,KANE STREET ASSOCIATES 433775,A81000C,00100,0600,BLDG PARTNERSHIP 433775,A81000C,00200,0100,A 433775,A81000C,00200,0200,JACK RAJCHENBACH 433775,A81000C,00200,0400,KANE STREET ASSOCIATES 433775,A81000C,00200,0600,BLDG PARTNERSHIP 433775,A81000C,00300,0100,A 433775,A81000C,00300,0200,ROSEMARY BETZ 433775,A81000C,00300,0400,KANE STREET ASSOCIATES 433775,A81000C,00300,0600,BLDG PARTNERSHIP 433775,A81000C,00400,0100,A 433775,A81000C,00400,0200,MOSHE HERMAN 433775,A81000C,00400,0400,KANE STREET ASSOCIATES 433775,A81000C,00400,0600,BLDG PARTNERSHIP 433775,A81000C,00500,0100,A 433775,A81000C,00500,0200,SHELDON WOLFE 433775,A81000C,00500,0400,SW MANAGEMENT CO. 433775,A81000C,00500,0600,MANAGEMENT SERVICE 433775,A81000C,00600,0100,A 433775,A81000C,00600,0200,SHELDON WOLFE 433775,A81000C,00600,0400,S&E MEDICAL SUPPLY CO 433775,A81000C,00600,0600,MEDICAL SUPPLIES 433775,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433775,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433775,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433775,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433775,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433775,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433775,B100000,00000,0800,0800MEALS SERVED :DIETARY 433775,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433775,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433775,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433775,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433775,E10A180,00301,0100,07/29/11 433775,E10A180,00550,0100,08/01/12 433775,G300000,02500,0000,OTHER MEDICAL SERVICES 433775,G300000,02502,0000,OTHER REVENUE 433775,S000000,00100,0200,06/05/12 433775,S200000,00100,0100,759 KANE STREET 433775,S200000,00200,0100,SOUTH ELGIN 433775,S200000,00200,0200,IL 433775,S200000,00200,0300,60177 433775,S200000,00300,0100,KANE 433775,S200000,00300,0200,1600 433775,S200000,00300,0201,16974 433775,S200000,00300,0300,U 433775,S200000,00400,0100,TOWER HILL HEALTHCARE CENTER LLC 433775,S200000,00400,0200,145795 433775,S200000,00400,0300,07/01/94 433775,S200000,00400,0500,P 433775,S200000,01500,0100,Y 433775,S200000,01501,0200,Y 433775,S200000,01600,0100,N 433775,S200000,01700,0100,N 433775,S200000,01800,0100,N 433775,S200000,02200,0100,N 433775,S200000,02800,0100,N 433775,S200000,02900,0100,N 433775,S200000,03000,0100,N 433775,S200000,03100,0100,N 433775,S200000,03200,0100,N 433775,S200000,03300,0100,N 433775,S200000,03300,0200,N 433775,S200000,03600,0100,N 433775,S200000,03600,0200,N 433775,S200000,04100,0100,N 433775,S200000,04200,0100,N 433775,S200000,04300,0100,N 433775,S200000,04600,0100,N 433775,S200000,04700,0100,N 433775,S200000,04700,0200,N 433775,S200000,04900,0100,N 433775,S200000,05000,0100,N 433775,S200000,05100,0100,N 433775,S200000,05200,0100,N 433775,S200000,05300,0100,Y 433775,S200000,05300,0200,149016 433775,S200000,05400,0100,SW MANAGEMENT CO. 433775,S200000,05400,0200,WPS 433775,S200000,05400,0300,05901 433775,S200000,05500,0100,7434 N SKOKIE BLVD 433775,S200000,05600,0100,SKOKIE 433775,S200000,05600,0200,IL 433775,S200000,05600,0300,60077 433777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433777,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433777,A000000,00300,0000,0300EMPLOYEE BENEFITS 433777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433777,A000000,00700,0000,0700HOUSEKEEPING 433777,A000000,00800,0000,0800DIETARY 433777,A000000,00900,0000,0900NURSING ADMINISTRATION 433777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433777,A000000,01100,0000,1100PHARMACY 433777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433777,A000000,01300,0000,1300SOCIAL SERVICE 433777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433777,A000000,01600,0000,1600SKILLED NURSING FACILITY 433777,A000000,01810,0000,1810ICF/MR 433777,A000000,02500,0000,2500PHYSICAL THERAPY 433777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433777,A000000,02700,0000,2700SPEECH PATHOLOGY 433777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433777,A000000,03550,0000,3550FQHC 433777,A000000,05000,0000,5000CORF 433777,A000000,05010,0000,5010CMHC 433777,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433777,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433777,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433777,A000000,05300,0000,5300INTEREST EXPENSE 433777,A81000A,00100,0100,N 433777,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433777,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433777,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433777,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433777,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433777,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433777,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433777,B100000,00000,0800,0800MEALS SERVED :DIETARY 433777,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433777,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433777,E10A180,00353,0100,07/22/11 433777,E10A180,00501,0100,05/25/12 433777,G300000,02500,0000,OTHER INCOME 433777,S000000,00100,0200,03/01/12 433777,S200000,00100,0100,HIGHWAY 501 433777,S200000,00200,0100,MARION 433777,S200000,00200,0200,SC 433777,S200000,00200,0300,29571 433777,S200000,00300,0100,MARION 433777,S200000,00300,0201,0000 433777,S200000,00300,0300,R 433777,S200000,00400,0100,MARION NURSING CENTER INC. 433777,S200000,00400,0200,425015 433777,S200000,00400,0300,10/01/75 433777,S200000,00400,0500,P 433777,S200000,01500,0100,Y 433777,S200000,01501,0200,N 433777,S200000,01502,0200,Y 433777,S200000,01503,0200,N 433777,S200000,01600,0100,N 433777,S200000,01700,0100,N 433777,S200000,01800,0100,N 433777,S200000,01900,0100,LLC 433777,S200000,02200,0100,N 433777,S200000,02800,0100,N 433777,S200000,02900,0100,N 433777,S200000,03000,0100,N 433777,S200000,03100,0100,N 433777,S200000,03200,0100,N 433777,S200000,03300,0100,N 433777,S200000,03300,0200,N 433777,S200000,03600,0100,N 433777,S200000,03600,0200,N 433777,S200000,04100,0100,N 433777,S200000,04200,0100,N 433777,S200000,04300,0100,N 433777,S200000,04600,0100,N 433777,S200000,04700,0100,N 433777,S200000,04700,0200,N 433777,S200000,04900,0100,N 433777,S200000,05000,0100,N 433777,S200000,05100,0100,N 433777,S200000,05200,0100,N 433779,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433779,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433779,A000000,00300,0000,0300EMPLOYEE BENEFITS 433779,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433779,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433779,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433779,A000000,00700,0000,0700HOUSEKEEPING 433779,A000000,00800,0000,0800DIETARY 433779,A000000,00900,0000,0900NURSING ADMINISTRATION 433779,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433779,A000000,01100,0000,1100PHARMACY 433779,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433779,A000000,01300,0000,1300SOCIAL SERVICE 433779,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433779,A000000,01500,0000,1350RECREATION 433779,A000000,01600,0000,1600SKILLED NURSING FACILITY 433779,A000000,01810,0000,1810ICF/MR 433779,A000000,02100,0000,2100RADIOLOGY 433779,A000000,02200,0000,2200LABORATORY 433779,A000000,02300,0000,2300INTRAVENOUS THERAPY 433779,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433779,A000000,02500,0000,2500PHYSICAL THERAPY 433779,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433779,A000000,02700,0000,2700SPEECH PATHOLOGY 433779,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433779,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433779,A000000,03550,0000,3550FQHC 433779,A000000,04801,0000,4801AMBULANCE 433779,A000000,04802,0000,4802AMBULANCE 433779,A000000,04803,0000,4803AMBULANCE 433779,A000000,05000,0000,5000CORF 433779,A000000,05010,0000,5010CMHC 433779,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433779,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433779,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433779,A81000A,00100,0100,Y 433779,A81000B,00100,0300,SEE ATTACHED 433779,A81000B,00200,0300,CAPITAL INTEREST 433779,A81000B,00300,0300,HOME OFFICE 433779,A81000B,00400,0300,HOME OFFICE 433779,A81000C,00100,0100,B 433779,A81000C,00100,0400,SEE ATTACHED 433779,A81000C,00100,0600,VARIOUS 433779,A81000C,00200,0100,B 433779,A81000C,00200,0400,GHC 433779,A81000C,00200,0600,LONG TERM CARE 433779,A81000C,00300,0100,B 433779,A81000C,00300,0400,GHC 433779,A81000C,00300,0600,LONG TERM CARE 433779,A81000C,00400,0100,B 433779,A81000C,00400,0400,GHC 433779,A81000C,00400,0600,LONG TERM CARE 433779,B100000,00000,0100,0100SQUARE FEET 433779,B100000,00000,0200,0200SQUARE FEET 433779,B100000,00000,0300,0300GROSS SALARIES 433779,B100000,00000,0400,0400ACCUM COST 433779,B100000,00000,0500,0500SQUARE FEET 433779,B100000,00000,0600,0600PATIENT DAYS 433779,B100000,00000,0700,0700SQUARE FEET 433779,B100000,00000,0800,0800MEALS SERVED 433779,B100000,00000,0900,0900NURSING SALARIES 433779,B100000,00000,1000,1000COSTED REQUIS 433779,B100000,00000,1100,1100COSTED REQUIS 433779,B100000,00000,1200,1200PATIENT DAYS 433779,B100000,00000,1300,1300PATIENT DAYS 433779,B100000,00000,1400,1400ASSIGNED TIME 433779,B100000,00000,1500,1350PATIENT DAYS 433779,E10A180,00501,0100,01/10/12 433779,E10A180,00501,0300,01/10/12 433779,G300000,02500,0000,BARBER & BEAUTY 433779,S000000,00100,0200,12/02/11 433779,S200000,00100,0100,1000 SCHUYLKILL MANOR ROAD 433779,S200000,00200,0100,POTTSVILLE 433779,S200000,00200,0200,PA 433779,S200000,00200,0300,17901 433779,S200000,00300,0100,SCHUYLKILL 433779,S200000,00300,0201,99939 433779,S200000,00300,0300,R 433779,S200000,00400,0100,SCHUYLKILL CENTER 433779,S200000,00400,0200,395831 433779,S200000,00400,0300,11/14/94 433779,S200000,00400,0500,P 433779,S200000,01500,0100,Y 433779,S200000,01501,0200,N 433779,S200000,01502,0200,N 433779,S200000,01503,0200,N 433779,S200000,01504,0200,N 433779,S200000,01600,0100,N 433779,S200000,01700,0100,N 433779,S200000,01800,0100,N 433779,S200000,01900,0100,LLC 433779,S200000,02200,0100,Y 433779,S200000,02800,0100,N 433779,S200000,02900,0100,N 433779,S200000,03000,0100,N 433779,S200000,03100,0100,N 433779,S200000,03200,0100,N 433779,S200000,03300,0100,N 433779,S200000,03300,0200,N 433779,S200000,04200,0100,N 433779,S200000,04300,0100,N 433779,S200000,04600,0100,N 433779,S200000,04700,0100,N 433779,S200000,04900,0100,N 433779,S200000,05200,0100,N 433779,S200000,05300,0100,Y 433779,S200000,05300,0200,HB0067 433779,S200000,05400,0100,GENESIS HEALTHCARE LLC 433779,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433779,S200000,05400,0300,12001 433779,S200000,05500,0100,101 EAST STATE STREET 433779,S200000,05600,0100,KENNETT SQUARE 433779,S200000,05600,0200,PA 433779,S200000,05600,0300,19348 433780,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433780,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433780,A000000,00300,0000,0300EMPLOYEE BENEFITS 433780,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433780,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433780,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433780,A000000,00700,0000,0700HOUSEKEEPING 433780,A000000,00800,0000,0800DIETARY 433780,A000000,00900,0000,0900NURSING ADMINISTRATION 433780,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433780,A000000,01100,0000,1100PHARMACY 433780,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433780,A000000,01300,0000,1300SOCIAL SERVICE 433780,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433780,A000000,01500,0000,1350RECREATION 433780,A000000,01600,0000,1600SKILLED NURSING FACILITY 433780,A000000,01810,0000,1810ICF/MR 433780,A000000,02100,0000,2100RADIOLOGY 433780,A000000,02200,0000,2200LABORATORY 433780,A000000,02300,0000,2300INTRAVENOUS THERAPY 433780,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433780,A000000,02500,0000,2500PHYSICAL THERAPY 433780,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433780,A000000,02700,0000,2700SPEECH PATHOLOGY 433780,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433780,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433780,A000000,03550,0000,3550FQHC 433780,A000000,04801,0000,4801AMBULANCE 433780,A000000,04802,0000,4802AMBULANCE 433780,A000000,04803,0000,4803AMBULANCE 433780,A000000,05000,0000,5000CORF 433780,A000000,05010,0000,5010CMHC 433780,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433780,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433780,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433780,A81000A,00100,0100,Y 433780,A81000B,00100,0300,AS ATTACHED 433780,A81000B,00200,0300,HOME OFFICE INTEREST 433780,A81000B,00300,0300,HOME OFFICE A&G 433780,A81000B,00400,0300,HOME OFFICE CAP PEIC 433780,A81000C,00100,0100,B 433780,A81000C,00100,0400,AS ATTACHED 433780,A81000C,00100,0600,VARIOUS 433780,A81000C,00200,0100,B 433780,A81000C,00200,0400,GHC 433780,A81000C,00200,0600,LONG TERM CARE 433780,A81000C,00300,0100,B 433780,A81000C,00300,0400,GHC 433780,A81000C,00300,0600,LONG TERM CARE 433780,A81000C,00400,0100,B 433780,A81000C,00400,0400,GHC 433780,A81000C,00400,0600,LONG TERM CARE 433780,B100000,00000,0100,0100SQUARE FEET 433780,B100000,00000,0200,0200SQUARE FEET 433780,B100000,00000,0300,0300GROSS SALARIES 433780,B100000,00000,0400,0400ACCUM COST 433780,B100000,00000,0500,0500SQUARE FEET 433780,B100000,00000,0600,0600PATIENT DAYS 433780,B100000,00000,0700,0700SQUARE FEET 433780,B100000,00000,0800,0800MEALS SERVED 433780,B100000,00000,0900,0900NURSING SALARIES 433780,B100000,00000,1000,1000COSTED REQUIS 433780,B100000,00000,1100,1100COSTED REQUIS 433780,B100000,00000,1200,1200PATIENT DAYS 433780,B100000,00000,1300,1300PATIENT DAYS 433780,B100000,00000,1400,1400ASSIGNED TIME 433780,B100000,00000,1500,1350PATIENT DAYS 433780,E10A180,00501,0100,01/18/12 433780,E10A180,00501,0300,01/18/12 433780,G300000,02500,0000,BARBER & BEAUTY 433780,S000000,00100,0200,12/02/11 433780,S200000,00100,0100,1718 SPRING CREEK ROAD 433780,S200000,00200,0100,MACUNGIE 433780,S200000,00200,0200,PA 433780,S200000,00200,0300,18062 433780,S200000,00300,0100,LEHIGH 433780,S200000,00300,0201,10900 433780,S200000,00300,0300,U 433780,S200000,00400,0100,LEHIGH CENTER 433780,S200000,00400,0200,395939 433780,S200000,00400,0300,11/19/94 433780,S200000,00400,0500,P 433780,S200000,01500,0100,Y 433780,S200000,01501,0200,N 433780,S200000,01502,0200,N 433780,S200000,01503,0200,N 433780,S200000,01504,0200,N 433780,S200000,01600,0100,N 433780,S200000,01700,0100,N 433780,S200000,01800,0100,N 433780,S200000,01900,0100,LLC 433780,S200000,02200,0100,Y 433780,S200000,02800,0100,N 433780,S200000,02900,0100,N 433780,S200000,03000,0100,N 433780,S200000,03100,0100,N 433780,S200000,03200,0100,N 433780,S200000,03300,0100,N 433780,S200000,03300,0200,N 433780,S200000,04200,0100,N 433780,S200000,04300,0100,N 433780,S200000,04600,0100,N 433780,S200000,04700,0100,N 433780,S200000,04900,0100,N 433780,S200000,05200,0100,N 433780,S200000,05300,0100,Y 433780,S200000,05300,0200,HB0067 433780,S200000,05400,0100,GENESIS HEALTHCARE LLC 433780,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433780,S200000,05400,0300,12001 433780,S200000,05500,0100,101 EAST STATE STREET 433780,S200000,05600,0100,KENNETT SQUARE 433780,S200000,05600,0200,PA 433780,S200000,05600,0300,19348 433781,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433781,A000000,00300,0000,0300EMPLOYEE BENEFITS 433781,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433781,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433781,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433781,A000000,00700,0000,0700HOUSEKEEPING 433781,A000000,00800,0000,0800DIETARY 433781,A000000,00900,0000,0900NURSING ADMINISTRATION 433781,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433781,A000000,01100,0000,1100PHARMACY 433781,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433781,A000000,01500,0000,1350PATIENT ACTIVITIES 433781,A000000,01600,0000,1600SKILLED NURSING FACILITY 433781,A000000,01900,0000,1900OTHER LONG TERM CARE 433781,A000000,02100,0000,2100RADIOLOGY 433781,A000000,02200,0000,2200LABORATORY 433781,A000000,02500,0000,2500PHYSICAL THERAPY 433781,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433781,A000000,02700,0000,2700SPEECH PATHOLOGY 433781,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433781,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433781,A000000,03200,0000,3200SUPPORT SURFACES 433781,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433781,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433781,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433781,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433781,A81000A,00100,0100,Y 433781,A81000B,00100,0300,HOME OFFICE - CAPITAL RELATED 433781,A81000B,00200,0300,HOME OFFICE - NON CAPITAL RELATED 433781,A81000C,00100,0100,B 433781,A81000C,00100,0200,ABERNETHY CENTER 433781,A81000C,00100,0400,UCRH INC. 433781,A81000C,00100,0600,HOME OFFICE 433781,A81000C,00200,0100,B 433781,A81000C,00200,0200,ABERNETHY CENTER 433781,A81000C,00200,0400,UCRH INC. 433781,A81000C,00200,0600,HOME OFFICE 433781,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433781,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433781,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433781,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433781,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433781,B100000,00000,0700,0750SNF & AL SQR:HOUSEKEEPING 433781,B100000,00000,0800,0800MEALS SERVED :DIETARY 433781,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433781,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433781,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433781,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433781,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433781,E10A180,00501,0100,05/09/12 433781,G300000,02500,0000,BARBER AND BEAUTY 433781,G300000,02501,0000,OTHER INCOME 433781,S000000,00100,0200,02/20/12 433781,S200000,00100,0100,102 LEONARD DRIVE 433781,S200000,00200,0100,NEWTON 433781,S200000,00200,0200,NC 433781,S200000,00200,0300,28658 433781,S200000,00300,0100,CATAWBA 433781,S200000,00300,0200,3290 433781,S200000,00300,0201,25860 433781,S200000,00300,0300,U 433781,S200000,00400,0100,UCRH-ABERNETHY CENTER 433781,S200000,00400,0200,345161 433781,S200000,00400,0300,01/17/77 433781,S200000,00400,0500,P 433781,S200000,01500,0100,N 433781,S200000,01501,0200,N 433781,S200000,01600,0100,Y 433781,S200000,01700,0100,N 433781,S200000,01800,0100,N 433781,S200000,02200,0100,N 433781,S200000,02800,0100,N 433781,S200000,02900,0100,N 433781,S200000,03000,0100,N 433781,S200000,03100,0100,N 433781,S200000,03200,0100,N 433781,S200000,03300,0100,N 433781,S200000,03300,0200,N 433781,S200000,04100,0100,N 433781,S200000,04200,0100,N 433781,S200000,04300,0100,N 433781,S200000,04600,0100,N 433781,S200000,04700,0100,N 433781,S200000,04700,0200,N 433781,S200000,04900,0100,N 433781,S200000,05000,0100,N 433781,S200000,05100,0100,N 433781,S200000,05200,0100,N 433781,S200000,05300,0100,Y 433781,S200000,05300,0200,349040 433781,S200000,05400,0100,UNITED CHURCH RETIREMENT HOMES INC 433781,S200000,05400,0200,PALMETTO GBA 433781,S200000,05400,0300,11001 433781,S200000,05500,0100,100 LEONARD AVENUE 433781,S200000,05600,0100,NEWTON 433781,S200000,05600,0200,NC 433781,S200000,05600,0300,28658 433782,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433782,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433782,A000000,00300,0000,0300EMPLOYEE BENEFITS 433782,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433782,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433782,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433782,A000000,00700,0000,0700HOUSEKEEPING 433782,A000000,00800,0000,0800DIETARY 433782,A000000,00900,0000,0900NURSING ADMINISTRATION 433782,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433782,A000000,01100,0000,1100PHARMACY 433782,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433782,A000000,01300,0000,1300SOCIAL SERVICE 433782,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433782,A000000,01500,0000,1350OTHER GENERAL SERVICES 433782,A000000,01600,0000,1600SKILLED NURSING FACILITY 433782,A000000,01800,0000,1800NURSING FACILITY 433782,A000000,01810,0000,1810ICF/MR 433782,A000000,01900,0000,1900OTHER LONG TERM CARE 433782,A000000,02100,0000,2100RADIOLOGY 433782,A000000,02200,0000,2200LABORATORY 433782,A000000,02300,0000,2300INTRAVENOUS THERAPY 433782,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433782,A000000,02500,0000,2500PHYSICAL THERAPY 433782,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433782,A000000,02700,0000,2700SPEECH PATHOLOGY 433782,A000000,02800,0000,2800ELECTROCARDIOLOGY 433782,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433782,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433782,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433782,A000000,03200,0000,3200SUPPORT SURFACES 433782,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433782,A000000,03400,0000,3400CLINIC 433782,A000000,03500,0000,3500RURAL HEALTH CLINIC 433782,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433782,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433782,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433782,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433782,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433782,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433782,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433782,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433782,A000000,04400,0000,4400DME RENTED - HHA 433782,A000000,04500,0000,4500DME SOLD - HHA 433782,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433782,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433782,A000000,04710,0000,4710TELEMEDICINE 433782,A000000,04800,0000,4800AMBULANCE 433782,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433782,A000000,05000,0000,5000CORF 433782,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433782,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433782,A000000,05300,0000,5300INTEREST EXPENSE 433782,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433782,A000000,05500,0000,5500HOSPICE 433782,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433782,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433782,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433782,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433782,A000000,06100,0000,6100NONPAID WORKERS 433782,A000000,06200,0000,6200PATIENTS LAUNDRY 433782,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433782,A81000A,00100,0100,N 433782,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433782,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433782,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433782,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433782,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433782,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433782,B100000,00000,0800,0800MEALS SERVED :DIETARY 433782,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433782,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433782,E10A180,00350,0100,07/21/11 433782,E10A180,00501,0100,05/07/12 433782,G300000,02500,0000,BARBER & BEAUTY INCOME 433782,S000000,00100,0200,02/15/12 433782,S200000,00100,0100,3522 DUNN ROAD 433782,S200000,00200,0100,FAYETTEVILLE 433782,S200000,00200,0200,NC 433782,S200000,00200,0300,28301 433782,S200000,00300,0100,CUMBERLAND 433782,S200000,00300,0200,2560 433782,S200000,00300,0201,22180 433782,S200000,00300,0300,U 433782,S200000,00400,0100,BETHESDA HEALTH CARE 433782,S200000,00400,0200,345212 433782,S200000,00400,0300,07/01/79 433782,S200000,00400,0500,P 433782,S200000,00400,0600,O 433782,S200000,00610,0200,346188 433782,S200000,00610,0300,07/01/79 433782,S200000,00610,0600,O 433782,S200000,01500,0100,Y 433782,S200000,01600,0100,N 433782,S200000,01700,0100,N 433782,S200000,01800,0100,N 433782,S200000,02200,0100,N 433782,S200000,02800,0100,N 433782,S200000,02900,0100,N 433782,S200000,03000,0100,N 433782,S200000,03100,0100,N 433782,S200000,03200,0100,N 433782,S200000,03300,0100,N 433782,S200000,03300,0200,N 433782,S200000,03510,0300,N 433782,S200000,04100,0100,N 433782,S200000,04200,0100,N 433782,S200000,04300,0100,N 433782,S200000,04600,0100,N 433782,S200000,04700,0100,N 433782,S200000,04700,0200,N 433782,S200000,04900,0100,N 433782,S200000,05000,0100,N 433782,S200000,05100,0100,N 433782,S200000,05200,0100,N 433783,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433783,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433783,A000000,00300,0000,0300EMPLOYEE BENEFITS 433783,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433783,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433783,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433783,A000000,00700,0000,0700HOUSEKEEPING 433783,A000000,00800,0000,0800DIETARY 433783,A000000,00900,0000,0900NURSING ADMINISTRATION 433783,A000000,01300,0000,1300SOCIAL SERVICE 433783,A000000,01500,0000,1350ACTIVITIES 433783,A000000,01600,0000,1600SKILLED NURSING FACILITY 433783,A000000,01800,0000,1800NURSING FACILITY 433783,A000000,01900,0000,1900OTHER LONG TERM CARE 433783,A000000,02100,0000,2100RADIOLOGY 433783,A000000,02200,0000,2200LABORATORY 433783,A000000,02500,0000,2500PHYSICAL THERAPY 433783,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433783,A000000,02700,0000,2700SPEECH PATHOLOGY 433783,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433783,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433783,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433783,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433783,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433783,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433783,A81000A,00100,0100,Y 433783,A81000B,00100,0300,HOME OFFICE OPERATING 433783,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 433783,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 433783,A81000B,00400,0300,HOME OFFICE NURSING 433783,A81000B,00500,0300,HOME OFFICE ACTIVITIES 433783,A81000B,00600,0300,VEHICLE RENTAL 433783,A81000B,00800,0300,MAINTENANCE AND REPAIRS 433783,A81000B,01000,0300,OFFICE EXPENSE 433783,A81000B,01100,0300,MAINTENANCE SUPPLIES 433783,A81000B,01200,0300,LAUNDRY SUPPLIES & LINEN 433783,A81000B,01300,0300,HSKPING SUPPLIES 433783,A81000B,01400,0300,NURSING SUPPLIES 433783,A81000B,01500,0300,MEDICAL SUPPLIES 433783,A81000B,01600,0300,NURSING SUPPLIES 433783,A81000B,01700,0300,MEDCAL SUPPLIES 433783,A81000B,01800,0300,DRUGS 433783,A81000B,01900,0300,PRINTING 433783,A81000B,02000,0300,PRINTING 433783,A81000B,02100,0300,PRINTING 433783,A81000B,02200,0300,PRINTING 433783,A81000C,00100,0100,A 433783,A81000C,00100,0200,TRIAD MEDICAL SERVICES 433783,A81000C,00100,0400,NOLAN G. BROWN 433783,A81000C,00100,0600,MGMT SERVICES 433783,A81000C,00200,0100,A 433783,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 433783,A81000C,00200,0400,NOLAN G. BROWN 433783,A81000C,00200,0600,PRINTING 433783,A81000C,00300,0100,A 433783,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 433783,A81000C,00300,0400,NOLAN G. BROWN 433783,A81000C,00300,0600,PHARMACY 433783,A81000C,00400,0100,A 433783,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 433783,A81000C,00400,0400,NOLAN G. BROWN 433783,A81000C,00400,0600,MEDICAL SUPPLIES 433783,A81000C,00500,0100,A 433783,A81000C,00500,0200,TMS CONSTRUCTION 433783,A81000C,00500,0400,NOLAN G BROWN 433783,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 433783,A81000C,00600,0100,A 433783,A81000C,00600,0200,NGB ENTERPRISES 433783,A81000C,00600,0400,NOLAN G. BROWN 433783,A81000C,00600,0600,LESSOR 433783,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433783,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433783,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433783,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433783,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433783,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433783,B100000,00000,0800,0800MEALS SERVED :DIETARY 433783,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433783,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433783,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433783,E10A180,00350,0100,07/27/11 433783,E10A180,00501,0100,05/08/12 433783,G300000,02500,0000,OTHER INCOME 433783,S000000,00100,0200,02/22/12 433783,S200000,00100,0100,901 RIDGE ROAD 433783,S200000,00100,0300,3070 433783,S200000,00200,0100,ROXBORO 433783,S200000,00200,0200,NC 433783,S200000,00200,0300,27573 433783,S200000,00300,0100,PERSON 433783,S200000,00300,0200,9934 433783,S200000,00300,0201,20500 433783,S200000,00300,0300,U 433783,S200000,00400,0100,ROXBORO NURSING CENTER 433783,S200000,00400,0200,345311 433783,S200000,00400,0300,10/18/89 433783,S200000,00400,0500,P 433783,S200000,00400,0600,O 433783,S200000,01500,0100,Y 433783,S200000,01501,0200,Y 433783,S200000,01505,0000,SUPPLEMENTS AND SUPPLIES 433783,S200000,01505,0200,Y 433783,S200000,01600,0100,N 433783,S200000,01700,0100,N 433783,S200000,01800,0100,N 433783,S200000,02200,0100,N 433783,S200000,02800,0100,N 433783,S200000,02900,0100,N 433783,S200000,03000,0100,N 433783,S200000,03100,0100,N 433783,S200000,03200,0100,N 433783,S200000,03300,0100,N 433783,S200000,03300,0200,N 433783,S200000,04100,0100,N 433783,S200000,04200,0100,N 433783,S200000,04300,0100,N 433783,S200000,04600,0100,N 433783,S200000,04700,0100,N 433783,S200000,04700,0200,N 433783,S200000,04900,0100,N 433783,S200000,05000,0100,N 433783,S200000,05100,0100,N 433783,S200000,05200,0100,N 433783,S200000,05300,0100,Y 433783,S200000,05300,0200,349009 433783,S200000,05400,0100,TRIAD MEDICAL SERVICES 433783,S200000,05400,0200,PALMETTO GBA 433783,S200000,05400,0300, 00038 433783,S200000,05500,0200,969 433783,S200000,05600,0100,YADKINVILLE 433783,S200000,05600,0200,NC 433783,S200000,05600,0300,27055 433784,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433784,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433784,A000000,00300,0000,0300EMPLOYEE BENEFITS 433784,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433784,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433784,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433784,A000000,00700,0000,0700HOUSEKEEPING 433784,A000000,00800,0000,0800DIETARY 433784,A000000,00900,0000,0900NURSING ADMINISTRATION 433784,A000000,01300,0000,1300SOCIAL SERVICE 433784,A000000,01500,0000,1350ACTIVITIES 433784,A000000,01600,0000,1600SKILLED NURSING FACILITY 433784,A000000,01800,0000,1800NURSING FACILITY 433784,A000000,01900,0000,1900OTHER LONG TERM CARE 433784,A000000,02100,0000,2100RADIOLOGY 433784,A000000,02200,0000,2200LABORATORY 433784,A000000,02500,0000,2500PHYSICAL THERAPY 433784,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433784,A000000,02700,0000,2700SPEECH PATHOLOGY 433784,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433784,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433784,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433784,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433784,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433784,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433784,A81000A,00100,0100,Y 433784,A81000B,00100,0300,HOME OFFICE OPERATING 433784,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 433784,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIPMENT 433784,A81000B,00400,0300,HOME OFFICE NURSING 433784,A81000B,00500,0300,HOME OFFICE ACTIVITIES 433784,A81000B,00800,0300,MAINTENANCE AND REPAIRS 433784,A81000B,01000,0300,MAINTENANCE SUPPLIES 433784,A81000B,01100,0300,LAUNDRY SUPPLIES & LINEN 433784,A81000B,01200,0300,HSKPING SUPPLIES 433784,A81000B,01300,0300,FOOD SUPPLIES 433784,A81000B,01400,0300,NURSING SUPPLIES 433784,A81000B,01500,0300,PT SUPPLIES 433784,A81000B,01600,0300,OT SUPPLIES 433784,A81000B,01700,0300,MEDICAL SUPPLIES 433784,A81000B,01800,0300,NURSING SUPPLIES 433784,A81000B,01900,0300,MEDCAL SUPPLIES 433784,A81000B,02000,0300,DRUGS 433784,A81000B,02100,0300,PRINTING 433784,A81000B,02200,0300,PRINTING 433784,A81000B,02300,0300,PRINTING 433784,A81000B,02400,0300,PRINTING 433784,A81000B,02500,0300,PRINTING 433784,A81000B,02600,0300,PRINTING 433784,A81000C,00100,0100,A 433784,A81000C,00100,0200,TRIAD MEDICAL SERVICES 433784,A81000C,00100,0400,NOLAN G. BROWN 433784,A81000C,00100,0600,MGMT SERVICES 433784,A81000C,00200,0100,A 433784,A81000C,00200,0200,TRAID MEDICAL GRAPHICS 433784,A81000C,00200,0400,NOLAN G. BROWN 433784,A81000C,00200,0600,PRINTING 433784,A81000C,00300,0100,A 433784,A81000C,00300,0200,HOLLADAY HEALTHCARE PHARM 433784,A81000C,00300,0400,NOLAN G. BROWN 433784,A81000C,00300,0600,PHARMACY 433784,A81000C,00400,0100,A 433784,A81000C,00400,0200,HOLLADAY SURGICAL SUPPLY 433784,A81000C,00400,0400,NOLAN G. BROWN 433784,A81000C,00400,0600,MEDICAL SUPPLIES 433784,A81000C,00500,0100,A 433784,A81000C,00500,0200,TMS CONSTRUCTION 433784,A81000C,00500,0400,NOLAN G BROWN 433784,A81000C,00500,0600,CONSTRUCTION/MAINTENANCE 433784,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433784,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433784,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433784,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433784,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433784,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433784,B100000,00000,0800,0800MEALS SERVED :DIETARY 433784,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433784,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433784,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 433784,E10A180,00550,0100,02/22/12 433784,G300000,02500,0000,OTHER INCOME 433784,S000000,00100,0200,02/22/12 433784,S200000,00100,0100,300 BLAKE BLVD 433784,S200000,00100,0300,5309 433784,S200000,00200,0100,PINEHURST 433784,S200000,00200,0200,NC 433784,S200000,00200,0300,28374 433784,S200000,00300,0100,MOORE 433784,S200000,00300,0200,34 433784,S200000,00300,0201,99934 433784,S200000,00300,0300,R 433784,S200000,00400,0100,PINEHURST NURSING CENTER 433784,S200000,00400,0200,345370 433784,S200000,00400,0300,09/29/92 433784,S200000,00400,0500,P 433784,S200000,00400,0600,O 433784,S200000,01500,0100,Y 433784,S200000,01501,0200,N 433784,S200000,01505,0000,SUPPLEMENTS AND SUPPLIES 433784,S200000,01505,0200,N 433784,S200000,01600,0100,N 433784,S200000,01700,0100,N 433784,S200000,01800,0100,N 433784,S200000,02200,0100,N 433784,S200000,02800,0100,N 433784,S200000,02900,0100,N 433784,S200000,03000,0100,N 433784,S200000,03100,0100,N 433784,S200000,03200,0100,N 433784,S200000,03300,0100,N 433784,S200000,03300,0200,N 433784,S200000,04100,0100,N 433784,S200000,04200,0100,N 433784,S200000,04300,0100,N 433784,S200000,04600,0100,N 433784,S200000,04700,0100,N 433784,S200000,04700,0200,N 433784,S200000,04900,0100,N 433784,S200000,05000,0100,N 433784,S200000,05100,0100,N 433784,S200000,05200,0100,N 433784,S200000,05300,0100,Y 433784,S200000,05300,0200,349009 433784,S200000,05400,0100,TRIAD MEDICAL SERVICES 433784,S200000,05400,0200,PALMETTO GBA 433784,S200000,05400,0300, 00038 433784,S200000,05500,0200,969 433784,S200000,05600,0100,YADKINVILLE 433784,S200000,05600,0200,NC 433784,S200000,05600,0300,27055 433785,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433785,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433785,A000000,00300,0000,0300EMPLOYEE BENEFITS 433785,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433785,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433785,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433785,A000000,00700,0000,0700HOUSEKEEPING 433785,A000000,00800,0000,0800DIETARY 433785,A000000,00900,0000,0900NURSING ADMINISTRATION 433785,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433785,A000000,01100,0000,1100PHARMACY 433785,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433785,A000000,01300,0000,1300SOCIAL SERVICE 433785,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433785,A000000,01500,0000,1350ACTIVITIES 433785,A000000,01600,0000,1600SKILLED NURSING FACILITY 433785,A000000,01800,0000,1800NURSING FACILITY 433785,A000000,01810,0000,1810ICF/MR 433785,A000000,01900,0000,1900OTHER LONG TERM CARE 433785,A000000,02100,0000,2100RADIOLOGY 433785,A000000,02200,0000,2200LABORATORY 433785,A000000,02300,0000,2300INTRAVENOUS THERAPY 433785,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433785,A000000,02500,0000,2500PHYSICAL THERAPY 433785,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433785,A000000,02700,0000,2700SPEECH PATHOLOGY 433785,A000000,02800,0000,2800ELECTROCARDIOLOGY 433785,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433785,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433785,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433785,A000000,03200,0000,3200SUPPORT SURFACES 433785,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433785,A000000,03400,0000,3400CLINIC 433785,A000000,03500,0000,3500RURAL HEALTH CLINIC 433785,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433785,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433785,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433785,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433785,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433785,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433785,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433785,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433785,A000000,04400,0000,4400DME RENTED - HHA 433785,A000000,04500,0000,4500DME SOLD - HHA 433785,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433785,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433785,A000000,04710,0000,4710TELEMEDICINE 433785,A000000,04800,0000,4800AMBULANCE 433785,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433785,A000000,05000,0000,5000CORF 433785,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433785,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433785,A000000,05300,0000,5300INTEREST EXPENSE 433785,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433785,A000000,05500,0000,5500HOSPICE 433785,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433785,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433785,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433785,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433785,A000000,06100,0000,6100NONPAID WORKERS 433785,A000000,06200,0000,6200PATIENTS LAUNDRY 433785,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433785,A81000A,00100,0100,Y 433785,A81000B,00100,0300,INTERCOMPANY INTEREST 433785,A81000B,00200,0300,HO MGMT FEES 433785,A81000B,00300,0300,HO NURSING COSTS 433785,A81000B,00400,0300,HO CAPITAL COSTS 433785,A81000B,00500,0300,LHCC PROPERTIES COSTS 433785,A81000C,00100,0100,B 433785,A81000C,00100,0400,LAUREL HOLDINGS 433785,A81000C,00100,0600,PARENT COMPANY 433785,A81000C,00200,0100,B 433785,A81000C,00200,0400,LAUREL HEALTH CARE CO 433785,A81000C,00200,0600,HOME OFFICE MGMT CO 433785,A81000C,00300,0100,B 433785,A81000C,00300,0400,LHCC PROPERTIES 433785,A81000C,00300,0600,MASTER TENANT 433785,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433785,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433785,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433785,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433785,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433785,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433785,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433785,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433785,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433785,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433785,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433785,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433785,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433785,E10A180,00350,0100,07/27/11 433785,E10A180,00501,0100,05/11/12 433785,G300000,02500,0000,BARBER & BEAUTY 433785,S000000,00100,0200,02/27/12 433785,S200000,00100,0100,1101 HARTWELL STREET 433785,S200000,00200,0100,GARNER 433785,S200000,00200,0200,NC 433785,S200000,00200,0300,27529 433785,S200000,00300,0100,WAKE 433785,S200000,00300,0200,3720 433785,S200000,00300,0201,39580 433785,S200000,00300,0300,U 433785,S200000,00400,0100,THE LAURELS OF FOREST GLENN 433785,S200000,00400,0200,345389 433785,S200000,00400,0300,06/28/91 433785,S200000,00400,0500,P 433785,S200000,01500,0100,N 433785,S200000,01501,0200,N 433785,S200000,01502,0200,N 433785,S200000,01504,0200,Y 433785,S200000,01600,0100,Y 433785,S200000,01700,0100,N 433785,S200000,01800,0100,N 433785,S200000,02200,0100,N 433785,S200000,02800,0100,N 433785,S200000,02900,0100,N 433785,S200000,03000,0100,N 433785,S200000,03100,0100,N 433785,S200000,03200,0100,N 433785,S200000,03300,0100,N 433785,S200000,03300,0200,N 433785,S200000,04100,0100,N 433785,S200000,04200,0100,N 433785,S200000,04300,0100,N 433785,S200000,04600,0100,N 433785,S200000,04700,0100,N 433785,S200000,04700,0200,N 433785,S200000,04900,0100,N 433785,S200000,05000,0100,N 433785,S200000,05100,0100,N 433785,S200000,05200,0100,N 433785,S200000,05300,0100,Y 433785,S200000,05300,0200,349095 433785,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 433785,S200000,05400,0200,PALMETTO GBA 433785,S200000,05400,0300,11501 433785,S200000,05500,0100,8181 WORTHINGTON ROAD 433785,S200000,05600,0100,WESTERVILLE 433785,S200000,05600,0200,OH 433785,S200000,05600,0300,43082 433786,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433786,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433786,A000000,00300,0000,0300EMPLOYEE BENEFITS 433786,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433786,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433786,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433786,A000000,00700,0000,0700HOUSEKEEPING 433786,A000000,00800,0000,0800DIETARY 433786,A000000,00900,0000,0900NURSING ADMINISTRATION 433786,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433786,A000000,01100,0000,1100PHARMACY 433786,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433786,A000000,01300,0000,1300SOCIAL SERVICE 433786,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433786,A000000,01600,0000,1600SKILLED NURSING FACILITY 433786,A000000,01800,0000,1800NURSING FACILITY 433786,A000000,01900,0000,1900OTHER LONG TERM CARE 433786,A000000,02100,0000,2100RADIOLOGY 433786,A000000,02200,0000,2200LABORATORY 433786,A000000,02300,0000,2300INTRAVENOUS THERAPY 433786,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433786,A000000,02500,0000,2500PHYSICAL THERAPY 433786,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433786,A000000,02700,0000,2700SPEECH PATHOLOGY 433786,A000000,02800,0000,2800ELECTROCARDIOLOGY 433786,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433786,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433786,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433786,A000000,03200,0000,3200SUPPORT SURFACES 433786,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433786,A000000,03400,0000,3400CLINIC 433786,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433786,A000000,04800,0000,4800AMBULANCE 433786,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433786,A000000,05000,0000,5000CORF 433786,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433786,A000000,05300,0000,5300INTEREST EXPENSE 433786,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433786,A000000,05500,0000,5500HOSPICE 433786,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433786,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433786,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433786,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433786,A000000,06100,0000,6100NONPAID WORKERS 433786,A000000,06200,0000,6200PATIENTS LAUNDRY 433786,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433786,A81000A,00100,0100,Y 433786,A81000B,00100,0300,NURSING CONSULTING 433786,A81000B,00200,0300,DIETARY CONSULTING 433786,A81000B,00300,0300,HOME OFFICE 433786,A81000B,00400,0300,INTEREST EXPENSE 433786,A81000B,00500,0300,WORKERS COMP 433786,A81000B,00600,0300,PROFESSIONAL LIABILITY 433786,A81000B,00700,0300,OFFICE SUPPLIES 433786,A81000B,00800,0300,MAINTENANCE SUPPLIES 433786,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 433786,A81000B,01000,0300,REPAIRS-BUILDING 433786,A81000B,01100,0300,REPAIRS-EQUIPMENT 433786,A81000B,01200,0300,LINEN & BEDDING 433786,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 433786,A81000B,01400,0300,SUPPLIES 433786,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 433786,A81000B,01600,0300,SUPPLIES 433786,A81000B,01700,0300,DIETARY SUPPLEMENTS 433786,A81000B,01800,0300,SUPPLIES 433786,A81000B,01900,0300,BIO-MEDICAL WASTE 433786,A81000B,02000,0300,MEDICAL DIRECTOR 433786,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 433786,A81000B,02200,0300,PERSONAL CARE SUPPLIES 433786,A81000B,02300,0300,INCONTINENCE SUPPLIES 433786,A81000B,02400,0300,MEDICAL SUPPLIES 433786,A81000B,02500,0300,OXYGEN THERAPY SUPPLIES 433786,A81000B,02600,0300,MINOR EQUIPMENT EXPENSE 433786,A81000B,02700,0300,SUPPLIES 433786,A81000B,02800,0300,SUPPLIES 433786,A81000B,02900,0300,BILLABLE MEDICAL SUPPLIES 433786,A81000C,00100,0100,B 433786,A81000C,00100,0200,PLTC & PITS INC 433786,A81000C,00100,0400,PLTC & PITS INC 433786,A81000C,00100,0600,MGMT SERVICES 433786,A81000C,00200,0100,B 433786,A81000C,00200,0200,PLTC & PITS INC 433786,A81000C,00200,0400,PLTC & PITS INC 433786,A81000C,00200,0600,MGMT SERVICES 433786,A81000C,00300,0100,B 433786,A81000C,00300,0200,PLTC & PITS INC 433786,A81000C,00300,0400,PLTC & PITS INC 433786,A81000C,00300,0600,MGMT SERVICES 433786,A81000C,00400,0100,B 433786,A81000C,00400,0200,PLTC & PITS INC 433786,A81000C,00400,0400,PLTC & PITS INC 433786,A81000C,00400,0600,MGMT SERVICES 433786,A81000C,00500,0100,A 433786,A81000C,00500,0200,SHAREHOLDERS 433786,A81000C,00500,0400,DISCOVERY INSUR 433786,A81000C,00500,0600,INSURANCE 433786,A81000C,00600,0100,A 433786,A81000C,00600,0200,SHAREHOLDERS 433786,A81000C,00600,0400,QUEENSLAND ASSU 433786,A81000C,00600,0600,INSURANCE 433786,A81000C,00700,0100,A 433786,A81000C,00700,0200,SHAREHOLDERS 433786,A81000C,00700,0400,KARE MEDICAL 433786,A81000C,00700,0600,WHOLESALE SUPPL 433786,A81000C,00800,0100,A 433786,A81000C,00800,0200,SHAREHOLDERS 433786,A81000C,00800,0400,KARE MEDICAL 433786,A81000C,00800,0600,WHOLESALE SUPPL 433786,A81000C,00900,0100,A 433786,A81000C,00900,0200,SHAREHOLDERS 433786,A81000C,00900,0400,KARE MEDICAL 433786,A81000C,00900,0600,WHOLESALE SUPPL 433786,A81000C,01000,0100,A 433786,A81000C,01000,0200,SHAREHOLDERS 433786,A81000C,01000,0400,KARE MEDICAL 433786,A81000C,01000,0600,WHOLESALE SUPPL 433786,A81000C,01001,0100,A 433786,A81000C,01001,0200,SHAREHOLDERS 433786,A81000C,01001,0400,KARE MEDICAL 433786,A81000C,01001,0600,WHOLESALE SUPPL 433786,A81000C,01002,0100,A 433786,A81000C,01002,0200,SHAREHOLDERS 433786,A81000C,01002,0400,KARE MEDICAL 433786,A81000C,01002,0600,WHOLESALE SUPPL 433786,A81000C,01003,0100,A 433786,A81000C,01003,0200,SHAREHOLDERS 433786,A81000C,01003,0400,KARE MEDICAL 433786,A81000C,01003,0600,WHOLESALE SUPPL 433786,A81000C,01004,0100,A 433786,A81000C,01004,0200,SHAREHOLDERS 433786,A81000C,01004,0400,KARE MEDICAL 433786,A81000C,01004,0600,WHOLESALE SUPPL 433786,A81000C,01005,0100,A 433786,A81000C,01005,0200,SHAREHOLDERS 433786,A81000C,01005,0400,KARE MEDICAL 433786,A81000C,01005,0600,WHOLESALE SUPPL 433786,A81000C,01006,0100,A 433786,A81000C,01006,0200,SHAREHOLDERS 433786,A81000C,01006,0400,KARE MEDICAL 433786,A81000C,01006,0600,WHOLESALE SUPPL 433786,A81000C,01007,0100,A 433786,A81000C,01007,0200,SHAREHOLDERS 433786,A81000C,01007,0400,KARE MEDICAL 433786,A81000C,01007,0600,WHOLESALE SUPPL 433786,A81000C,01008,0100,A 433786,A81000C,01008,0200,SHAREHOLDERS 433786,A81000C,01008,0400,KARE MEDICAL 433786,A81000C,01008,0600,WHOLESALE SUPPL 433786,A81000C,01009,0100,A 433786,A81000C,01009,0200,SHAREHOLDERS 433786,A81000C,01009,0400,KARE MEDICAL 433786,A81000C,01009,0600,WHOLESALE SUPPL 433786,A81000C,01010,0100,A 433786,A81000C,01010,0200,SHAREHOLDERS 433786,A81000C,01010,0400,KARE MEDICAL 433786,A81000C,01010,0600,WHOLESALE SUPPL 433786,A81000C,01011,0100,A 433786,A81000C,01011,0200,SHAREHOLDERS 433786,A81000C,01011,0400,KARE MEDICAL 433786,A81000C,01011,0600,WHOLESALE SUPPL 433786,A81000C,01012,0100,A 433786,A81000C,01012,0200,SHAREHOLDERS 433786,A81000C,01012,0400,KARE MEDICAL 433786,A81000C,01012,0600,WHOLESALE SUPPL 433786,A81000C,01013,0100,A 433786,A81000C,01013,0200,SHAREHOLDERS 433786,A81000C,01013,0400,KARE MEDICAL 433786,A81000C,01013,0600,WHOLESALE SUPPL 433786,A81000C,01014,0100,A 433786,A81000C,01014,0200,SHAREHOLDERS 433786,A81000C,01014,0400,KARE MEDICAL 433786,A81000C,01014,0600,WHOLESALE SUPPL 433786,A81000C,01015,0100,A 433786,A81000C,01015,0200,SHAREHOLDERS 433786,A81000C,01015,0400,KARE MEDICAL 433786,A81000C,01015,0600,WHOLESALE SUPPL 433786,A81000C,01016,0100,A 433786,A81000C,01016,0200,SHAREHOLDERS 433786,A81000C,01016,0400,KARE MEDICAL 433786,A81000C,01016,0600,WHOLESALE SUPPL 433786,A81000C,01017,0100,A 433786,A81000C,01017,0200,SHAREHOLDERS 433786,A81000C,01017,0400,KARE MEDICAL 433786,A81000C,01017,0600,WHOLESALE SUPPL 433786,A81000C,01018,0100,A 433786,A81000C,01018,0200,SHAREHOLDERS 433786,A81000C,01018,0400,KARE MEDICAL 433786,A81000C,01018,0600,WHOLESALE SUPPL 433786,A81000C,01019,0100,A 433786,A81000C,01019,0200,SHAREHOLDERS 433786,A81000C,01019,0400,KARE MEDICAL 433786,A81000C,01019,0600,WHOLESALE SUPPL 433786,A81000C,01020,0100,A 433786,A81000C,01020,0200,SHAREHOLDERS 433786,A81000C,01020,0400,PHARMSAVE 433786,A81000C,01020,0600,RX SUPPLY 433786,A81000C,01021,0100,A 433786,A81000C,01021,0200,SHAREHOLDERS 433786,A81000C,01021,0400,PHARMSAVE 433786,A81000C,01021,0600,RX SUPPLY 433786,A81000C,01022,0100,A 433786,A81000C,01022,0200,SHAREHOLDERS 433786,A81000C,01022,0400,PHARMSAVE 433786,A81000C,01022,0600,RX SUPPLY 433786,A81000C,01023,0100,A 433786,A81000C,01023,0200,SHAREHOLDERS 433786,A81000C,01023,0400,PHARMSAVE 433786,A81000C,01023,0600,RX SUPPLY 433786,A81000C,01024,0100,A 433786,A81000C,01024,0200,SHAREHOLDERS 433786,A81000C,01024,0400,PHARMSAVE 433786,A81000C,01024,0600,RX SUPPLY 433786,A81000C,01025,0100,A 433786,A81000C,01025,0200,SHAREHOLDERS 433786,A81000C,01025,0400,ROBERT HILL CON 433786,A81000C,01025,0600,CONSTRUCTION 433786,A81000C,01026,0100,A 433786,A81000C,01026,0200,SHAREHOLDERS 433786,A81000C,01026,0400,BRITTHAVEN INC 433786,A81000C,01026,0600,REAL ESTATE 433786,A81000C,01027,0100,A 433786,A81000C,01027,0200,SHAREHOLDERS 433786,A81000C,01027,0400,BRITTHAVEN INC 433786,A81000C,01027,0600,REAL ESTATE 433786,A81000C,01028,0100,A 433786,A81000C,01028,0200,SHAREHOLDERS 433786,A81000C,01028,0400,BRITTHAVEN INC 433786,A81000C,01028,0600,REAL ESTATE 433786,A81000C,01029,0100,A 433786,A81000C,01029,0200,SHAREHOLDERS 433786,A81000C,01029,0400,BRITTHAVEN INC 433786,A81000C,01029,0600,REAL ESTATE 433786,A81000C,01030,0100,A 433786,A81000C,01030,0200,SHAREHOLDERS 433786,A81000C,01030,0400,BRITTHAVEN INC 433786,A81000C,01030,0600,REAL ESTATE 433786,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433786,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433786,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433786,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433786,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433786,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433786,B100000,00000,0800,0800MEALS SERVED :DIETARY 433786,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433786,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433786,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433786,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433786,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433786,E10A180,00350,0100,08/25/11 433786,E10A180,00501,0100,05/24/12 433786,G300000,02500,0000, OTHER (SPECIFY) 433786,S000000,00100,0200,02/29/12 433786,S200000,00100,0100,1349 CRABTREE ROAD 433786,S200000,00200,0100,WAYNESVILLE 433786,S200000,00200,0200,NC 433786,S200000,00200,0300,28785 433786,S200000,00300,0100,HAYWOOD 433786,S200000,00300,0201,11700 433786,S200000,00300,0300,U 433786,S200000,00400,0100,SMOKY MOUNTAIN HLTH & REHAB CENTER 433786,S200000,00400,0200,345396 433786,S200000,00400,0300,01/01/11 433786,S200000,00400,0500,P 433786,S200000,01500,0100,Y 433786,S200000,01501,0200,Y 433786,S200000,01503,0200,Y 433786,S200000,01504,0200,Y 433786,S200000,01505,0000,OTHER (SPECIFY) 433786,S200000,01505,0200,Y 433786,S200000,01600,0100,N 433786,S200000,01700,0100,N 433786,S200000,01800,0100,N 433786,S200000,02200,0100,N 433786,S200000,02800,0100,N 433786,S200000,02900,0100,N 433786,S200000,03000,0100,N 433786,S200000,03100,0100,N 433786,S200000,03200,0100,N 433786,S200000,03300,0100,N 433786,S200000,03300,0200,N 433786,S200000,04100,0100,N 433786,S200000,04200,0100,N 433786,S200000,04300,0100,N 433786,S200000,04600,0100,N 433786,S200000,04700,0100,N 433786,S200000,04700,0200,N 433786,S200000,04900,0100,N 433786,S200000,05000,0100,N 433786,S200000,05100,0100,N 433786,S200000,05200,0100,N 433786,S200000,05300,0100,Y 433786,S200000,05300,0200,349011 433786,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 433786,S200000,05400,0200,PALMETTO GBA 433786,S200000,05400,0300,11501 433786,S200000,05500,0100,1435 HWY 258 NORTH 433786,S200000,05600,0100,KINSTON 433786,S200000,05600,0200,NC 433786,S200000,05600,0300,28502 433787,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433787,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433787,A000000,00300,0000,0300EMPLOYEE BENEFITS 433787,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433787,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433787,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433787,A000000,00700,0000,0700HOUSEKEEPING 433787,A000000,00800,0000,0800DIETARY 433787,A000000,00900,0000,0900NURSING ADMINISTRATION 433787,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433787,A000000,01100,0000,1100PHARMACY 433787,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433787,A000000,01300,0000,1300SOCIAL SERVICE 433787,A000000,01500,0000,1350RECREATION/ACTIVITIES 433787,A000000,01600,0000,1600SKILLED NURSING FACILITY 433787,A000000,01800,0000,1800NURSING FACILITY 433787,A000000,01900,0000,1900OTHER LONG TERM CARE 433787,A000000,02100,0000,2100RADIOLOGY 433787,A000000,02200,0000,2200LABORATORY 433787,A000000,02300,0000,2300INTRAVENOUS THERAPY 433787,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433787,A000000,02500,0000,2500PHYSICAL THERAPY 433787,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433787,A000000,02700,0000,2700SPEECH PATHOLOGY 433787,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433787,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433787,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433787,A000000,03200,0000,3200SUPPORT SURFACES 433787,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433787,A000000,03301,0000,3051PEN THERAPY 433787,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433787,A000000,04800,0000,4800AMBULANCE 433787,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433787,A000000,05300,0000,5300INTEREST EXPENSE 433787,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433787,A000000,05500,0000,5500HOSPICE 433787,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433787,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433787,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433787,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433787,A000000,06100,0000,6100NONPAID WORKERS 433787,A000000,06200,0000,6200PATIENTS LAUNDRY 433787,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433787,A81000A,00100,0100,Y 433787,A81000B,00100,0300,HOME OFFICE COSTS 433787,A81000B,00200,0300,HOME OFFICE COSTS 433787,A81000B,00300,0300,HOME OFFICE COSTS 433787,A81000B,00400,0300,WOUND VACS 433787,A81000C,00100,0100,D 433787,A81000C,00100,0200,MFNC 433787,A81000C,00100,0400,MFNC 433787,A81000C,00100,0600,MGMT. 433787,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433787,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433787,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433787,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433787,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433787,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433787,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433787,B100000,00000,0800,0800MEALS SERVED :DIETARY 433787,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433787,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433787,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433787,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433787,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433787,E10A180,00501,0100,06/28/12 433787,G300000,02500,0000,MISCELLANEOUS 433787,S000000,00100,0200,04/03/12 433787,S200000,00100,0100,1735 TODDVILLE ROAD 433787,S200000,00200,0100,CHARLOTTE 433787,S200000,00200,0200,NC 433787,S200000,00200,0300,28214 433787,S200000,00300,0100,MECKLENBURG 433787,S200000,00300,0200,1674 433787,S200000,00300,0201,16740 433787,S200000,00300,0300,U 433787,S200000,00400,0100,CHARLOTTE HEALTH CARE CENTER 433787,S200000,00400,0200,345405 433787,S200000,00400,0300,10/10/91 433787,S200000,00400,0500,P 433787,S200000,01500,0100,Y 433787,S200000,01501,0200,N 433787,S200000,01502,0200,N 433787,S200000,01504,0200,N 433787,S200000,01600,0100,N 433787,S200000,01700,0100,N 433787,S200000,01800,0100,N 433787,S200000,02200,0100,N 433787,S200000,02800,0100,Y 433787,S200000,02900,0100,N 433787,S200000,03000,0100,N 433787,S200000,03100,0100,N 433787,S200000,03200,0100,N 433787,S200000,03300,0100,N 433787,S200000,03300,0200,N 433787,S200000,04100,0100,N 433787,S200000,04200,0100,N 433787,S200000,04300,0100,N 433787,S200000,04600,0100,N 433787,S200000,04700,0100,N 433787,S200000,04700,0200,N 433787,S200000,04900,0100,N 433787,S200000,05000,0100,N 433787,S200000,05100,0100,N 433787,S200000,05200,0100,N 433787,S200000,05300,0100,Y 433787,S200000,05300,0200,941011 433787,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433787,S200000,05400,0200,PALMETTO GBA 433787,S200000,05400,0300,11001 433787,S200000,05500,0100,2917 PENN FOREST BLVD 433787,S200000,05600,0100,ROANOKE 433787,S200000,05600,0200,VA 433787,S200000,05600,0300,24018 433788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433788,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433788,A000000,00300,0000,0300EMPLOYEE BENEFITS 433788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433788,A000000,00700,0000,0700HOUSEKEEPING 433788,A000000,00800,0000,0800DIETARY 433788,A000000,00900,0000,0900NURSING ADMINISTRATION 433788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433788,A000000,01300,0000,1300SOCIAL SERVICE 433788,A000000,01500,0000,1350PATIENT ACTIVITIES 433788,A000000,01600,0000,1600SKILLED NURSING FACILITY 433788,A000000,01800,0000,1800NURSING FACILITY 433788,A000000,01810,0000,1810ICF/MR 433788,A000000,01900,0000,1900OTHER LONG TERM CARE 433788,A000000,02100,0000,2100RADIOLOGY 433788,A000000,02200,0000,2200LABORATORY 433788,A000000,02300,0000,2300INTRAVENOUS THERAPY 433788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433788,A000000,02500,0000,2500PHYSICAL THERAPY 433788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433788,A000000,02700,0000,2700SPEECH PATHOLOGY 433788,A000000,02800,0000,2800ELECTROCARDIOLOGY 433788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433788,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433788,A000000,03200,0000,3200SUPPORT SURFACES 433788,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433788,A000000,03400,0000,3400CLINIC 433788,A000000,03500,0000,3500RURAL HEALTH CLINIC 433788,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433788,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433788,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433788,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433788,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433788,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433788,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433788,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433788,A000000,04400,0000,4400DME RENTED - HHA 433788,A000000,04500,0000,4500DME SOLD - HHA 433788,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433788,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433788,A000000,04710,0000,4710TELEMEDICINE 433788,A000000,04800,0000,4800AMBULANCE 433788,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433788,A000000,05000,0000,5000CORF 433788,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433788,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433788,A000000,05300,0000,5300INTEREST EXPENSE 433788,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433788,A000000,05500,0000,5500HOSPICE 433788,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433788,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433788,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433788,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433788,A000000,06100,0000,6100NONPAID WORKERS 433788,A000000,06200,0000,6200PATIENTS LAUNDRY 433788,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433788,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 433788,A000000,06302,0000,6152RELIGIOUS CENTERS 433788,A000000,06303,0000,6153ADULT DAY CARE 433788,A81000A,00100,0100,N 433788,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433788,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433788,B100000,00000,0300,0300ADJUSTED GROSS SALA :EMPLOYEE BE 433788,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433788,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433788,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433788,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433788,B100000,00000,0800,0800MEALS SERVED :DIETARY 433788,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 433788,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 433788,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 433788,B100000,00000,1500,1350ACTUAL TIME :PATIENT ACTIVITIES 433788,E10A180,00550,0100,03/01/12 433788,G300000,02500,0000,MANAGEMENT INCOME 433788,G300000,02501,0000,GROUNDS INCOME 433788,G300000,02502,0000,AL FACILITY SHARED REVENUE & EXP 433788,G300000,02503,0000,WOODS FACILITY SHARED REV & EXP 433788,G300000,02504,0000,BARBER & BEAUTY INCOME 433788,G300000,02505,0000,ADULT DAY CARE 433788,G300000,02506,0000,MISCELLANEOUS INCOME 433788,S000000,00100,0200,03/01/12 433788,S200000,00100,0100,1600 JOHN ROLFE PARKWAY 433788,S200000,00200,0100,RICHMOND 433788,S200000,00200,0200,VA 433788,S200000,00200,0300,23233 433788,S200000,00300,0100,HENRICO 433788,S200000,00300,0200,6760 433788,S200000,00300,0201,40060 433788,S200000,00300,0300,U 433788,S200000,00400,0100,BETH SHOLOM HOME OF VIRGINIA 433788,S200000,00400,0200,495291 433788,S200000,00400,0300,01/01/95 433788,S200000,00400,0500,P 433788,S200000,01500,0100,Y 433788,S200000,01501,0200,Y 433788,S200000,01600,0100,N 433788,S200000,01700,0100,N 433788,S200000,01800,0100,N 433788,S200000,02200,0100,N 433788,S200000,02800,0100,N 433788,S200000,02900,0100,N 433788,S200000,03000,0100,N 433788,S200000,03100,0100,N 433788,S200000,03200,0100,N 433788,S200000,03300,0100,N 433788,S200000,03300,0200,N 433788,S200000,04100,0100,N 433788,S200000,04200,0100,N 433788,S200000,04300,0100,N 433788,S200000,04600,0100,N 433788,S200000,04700,0100,N 433788,S200000,04700,0200,N 433788,S200000,04900,0100,N 433788,S200000,05000,0100,N 433788,S200000,05100,0100,N 433788,S200000,05200,0100,N 433789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433789,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433789,A000000,00300,0000,0300EMPLOYEE BENEFITS 433789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433789,A000000,00700,0000,0700HOUSEKEEPING 433789,A000000,00800,0000,0800DIETARY 433789,A000000,00900,0000,0900NURSING ADMINISTRATION 433789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433789,A000000,01300,0000,1300SOCIAL SERVICE 433789,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433789,A000000,01500,0000,1350OTHER GENERAL SERVICES 433789,A000000,01600,0000,1600SKILLED NURSING FACILITY 433789,A000000,01800,0000,1800NURSING FACILITY 433789,A000000,01900,0000,1900OTHER LONG TERM CARE 433789,A000000,02100,0000,2100RADIOLOGY 433789,A000000,02200,0000,2200LABORATORY 433789,A000000,02300,0000,2300INTRAVENOUS THERAPY 433789,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433789,A000000,02500,0000,2500PHYSICAL THERAPY 433789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433789,A000000,02700,0000,2700SPEECH PATHOLOGY 433789,A000000,02800,0000,2800ELECTROCARDIOLOGY 433789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433789,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433789,A000000,03200,0000,3200SUPPORT SURFACES 433789,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433789,A000000,03400,0000,3400CLINIC 433789,A000000,03500,0000,3500RURAL HEALTH CLINIC 433789,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433789,A000000,04800,0000,4800AMBULANCE 433789,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433789,A000000,05000,0000,5000CORF 433789,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433789,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433789,A000000,05300,0000,5300INTEREST EXPENSE 433789,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433789,A000000,05500,0000,5500HOSPICE 433789,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433789,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433789,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433789,A000000,06200,0000,6200PATIENTS LAUNDRY 433789,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433789,A81000A,00100,0100,Y 433789,A81000B,00100,0300,HOME OFFICE ALLOCATION 433789,A81000B,00200,0300,HOME OFFICE ALLOCATION 433789,A81000B,00300,0300,EMPLOYEE FLU SHOTS 433789,A81000B,00400,0300,CHARGEABLE MEDICAL SUPPLIES 433789,A81000B,00500,0300,NURSING SUPPLY 433789,A81000B,00600,0300,IV PHARMACY FLU SHOTS 433789,A81000B,00700,0300,REHAB 433789,A81000B,00800,0300,REHAB 433789,A81000B,00900,0300,REHAB 433789,A81000B,01000,0300,EQUIPMENT RENTAL 433789,A81000B,01100,0300,INTERNAL CONTRACT LABOR 433789,A81000B,01200,0300,INTERNAL CONTRACT LABOR 433789,A81000C,00100,0100,B 433789,A81000C,00100,0400,CARE CENTER INC 433789,A81000C,00100,0600,OWNS PROVIDER 433789,A81000C,00200,0100,B 433789,A81000C,00200,0400,PRESTIGE CARE INC 433789,A81000C,00200,0600,OWNS CARE CENTER 433789,A81000C,00300,0100,A 433789,A81000C,00300,0200,RICK DELAMARTER 433789,A81000C,00300,0400,PRESTIGE CARE INC 433789,A81000C,00300,0600,HOME OFFICE 433789,A81000C,00400,0100,A 433789,A81000C,00400,0200,HAROLD DELAMARTER 433789,A81000C,00400,0400,PRESTIGE CARE INC 433789,A81000C,00400,0600,HOME OFFICE 433789,A81000C,00500,0100,A 433789,A81000C,00500,0200,GREG VISLOCKY 433789,A81000C,00500,0400,PRESTIGE CARE INC 433789,A81000C,00500,0600,HOME OFFICE 433789,A81000C,00600,0100,A 433789,A81000C,00600,0200,RICK DELAMARTER 433789,A81000C,00600,0400,CYPRESS VENTURES 433789,A81000C,00600,0600,PROPAC PHARMACY 433789,A81000C,00700,0100,A 433789,A81000C,00700,0200,HAROLD DELAMARTER 433789,A81000C,00700,0400,CYPRESS VENTURES 433789,A81000C,00700,0600,PROPAC PHARMACY 433789,A81000C,00800,0100,A 433789,A81000C,00800,0200,GREG VISLOCKY 433789,A81000C,00800,0400,CYPRESS VENTURES 433789,A81000C,00800,0600,PROPAC PHARMACY 433789,A81000C,00900,0100,A 433789,A81000C,00900,0200,RICK DELAMARTER 433789,A81000C,00900,0400,DISCOVERY LLC 433789,A81000C,00900,0600,LANDLORD 433789,A81000C,01000,0100,A 433789,A81000C,01000,0200,HAROLD DELAMARTER 433789,A81000C,01000,0400,DISCOVERY LLC 433789,A81000C,01000,0600,LANDLORD 433789,A81000C,01001,0100,A 433789,A81000C,01001,0200,GREG VISLOCKY 433789,A81000C,01001,0400,DISCOVERY LLC 433789,A81000C,01001,0600,LANDLORD 433789,A81000C,01002,0100,G 433789,A81000C,01002,0400,AUGUSTA VENTURES 433789,A81000C,01002,0600,PREMERE REHAB COMPANY 433789,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 433789,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 433789,A81000C,01004,0600,SEE ATTACHED RELATED 433789,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 433789,A81000C,01005,0400,THE 10.10 EXCEPTION 433789,A81000C,01005,0600,PARTY RELATIONSHIPS 433789,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 433789,A81000C,01006,0400,CRITERIA 433789,A81000C,01007,0200,PRESTIGE CARE & CARE CENT 433789,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433789,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433789,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433789,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433789,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433789,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433789,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433789,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433789,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433789,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433789,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433789,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433789,E10A180,00550,0100,03/29/12 433789,G300000,02500,0000,OTHER INCOME 433789,S000000,00100,0200,03/01/12 433789,S200000,00100,0100,802 W THIRD STREET 433789,S200000,00200,0100,TOPPENISH 433789,S200000,00200,0200,WA 433789,S200000,00200,0300,98948 433789,S200000,00300,0100,YAKIMA 433789,S200000,00300,0200,9260 433789,S200000,00300,0201,49420 433789,S200000,00300,0300,U 433789,S200000,00400,0100,TOPPENISH NURSING & REHAB CENTER 433789,S200000,00400,0200,505096 433789,S200000,00400,0300,10/05/91 433789,S200000,00400,0500,P 433789,S200000,01500,0100,Y 433789,S200000,01501,0200,Y 433789,S200000,01502,0200,N 433789,S200000,01504,0200,Y 433789,S200000,01600,0100,N 433789,S200000,01700,0100,N 433789,S200000,01800,0100,N 433789,S200000,02200,0100,N 433789,S200000,02800,0100,N 433789,S200000,02900,0100,N 433789,S200000,03000,0100,N 433789,S200000,03100,0100,N 433789,S200000,03200,0100,N 433789,S200000,03300,0100,N 433789,S200000,03300,0200,N 433789,S200000,04100,0100,N 433789,S200000,04200,0100,N 433789,S200000,04300,0100,N 433789,S200000,04600,0100,N 433789,S200000,04700,0100,N 433789,S200000,04700,0200,N 433789,S200000,04900,0100,N 433789,S200000,05000,0100,N 433789,S200000,05100,0100,N 433789,S200000,05200,0100,N 433789,S200000,05300,0100,Y 433789,S200000,05300,0200,HB0440 433789,S200000,05400,0100,PRESTIGE CARE INC 433789,S200000,05400,0200,NORDIAN 433789,S200000,05400,0300,00325 433789,S200000,05500,0100,7700 NE PARKWAY DRIVE 433789,S200000,05600,0100,VANCOUVER 433789,S200000,05600,0200,WA 433789,S200000,05600,0300,98662 433794,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433794,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433794,A000000,00300,0000,0300EMPLOYEE BENEFITS 433794,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433794,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433794,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433794,A000000,00700,0000,0700HOUSEKEEPING 433794,A000000,00800,0000,0800DIETARY 433794,A000000,00900,0000,0900NURSING ADMINISTRATION 433794,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433794,A000000,01100,0000,1100PHARMACY 433794,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433794,A000000,01300,0000,1300SOCIAL SERVICE 433794,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433794,A000000,01500,0000,1350RECREATION 433794,A000000,01600,0000,1600SKILLED NURSING FACILITY 433794,A000000,01810,0000,1810ICF/MR 433794,A000000,02100,0000,2100RADIOLOGY 433794,A000000,02200,0000,2200LABORATORY 433794,A000000,02300,0000,2300INTRAVENOUS THERAPY 433794,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433794,A000000,02500,0000,2500PHYSICAL THERAPY 433794,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433794,A000000,02700,0000,2700SPEECH PATHOLOGY 433794,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433794,A000000,03550,0000,3550FQHC 433794,A000000,04801,0000,4801AMBULANCE 433794,A000000,04802,0000,4802AMBULANCE 433794,A000000,04803,0000,4803AMBULANCE 433794,A000000,05000,0000,5000CORF 433794,A000000,05010,0000,5010CMHC 433794,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433794,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433794,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433794,A81000A,00100,0100,Y 433794,A81000B,00100,0300,SEE ATTACHED 433794,A81000B,00200,0300,HOME OFFICE INTEREST 433794,A81000B,00300,0300,HOME OFFICE A&G 433794,A81000B,00400,0300,HOE OFFICE CAP PIEC 433794,A81000C,00100,0100,B 433794,A81000C,00100,0400,SEE ATTACHED 433794,A81000C,00100,0600,VARIOUS 433794,A81000C,00200,0100,B 433794,A81000C,00200,0400,GHC 433794,A81000C,00200,0600,LONG TERM CARE 433794,A81000C,00300,0100,B 433794,A81000C,00300,0400,GHC 433794,A81000C,00300,0600,LONG TERM CARE 433794,A81000C,00400,0100,B 433794,A81000C,00400,0400,GHC 433794,A81000C,00400,0600,LONG TERM CARE 433794,B100000,00000,0100,0100SQUARE FEET 433794,B100000,00000,0200,0200SQUARE FEET 433794,B100000,00000,0300,0300GROSS SALARIES 433794,B100000,00000,0400,0400ACCUM COST 433794,B100000,00000,0500,0500SQUARE FEET 433794,B100000,00000,0600,0600PATIENT DAYS 433794,B100000,00000,0700,0700SQUARE FEET 433794,B100000,00000,0800,0800MEALS SERVED 433794,B100000,00000,0900,0900NURSING SALARIES 433794,B100000,00000,1000,1000COSTED REQUIS 433794,B100000,00000,1100,1100COSTED REQUIS 433794,B100000,00000,1200,1200PATIENT DAYS 433794,B100000,00000,1300,1300PATIENT DAYS 433794,B100000,00000,1400,1400ASSIGNED TIME 433794,B100000,00000,1500,1350PATIENT DAYS 433794,E10A180,00501,0100,05/08/12 433794,E10A180,00502,0300,05/08/12 433794,G300000,02500,0000,BARBER AND BEAUTY 433794,S000000,00100,0200,09/12/11 433794,S200000,00100,0100,536 RIDGE ROAD 433794,S200000,00200,0100,CEDAR GROVE 433794,S200000,00200,0200,NJ 433794,S200000,00200,0300,07009 433794,S200000,00300,0100,ESSEX 433794,S200000,00300,0201,35084 433794,S200000,00300,0300,U 433794,S200000,00400,0100,WATERVIEW CENTER 433794,S200000,00400,0200,315216 433794,S200000,00400,0300,01/11/95 433794,S200000,00400,0500,P 433794,S200000,01500,0100,Y 433794,S200000,01501,0200,N 433794,S200000,01502,0200,N 433794,S200000,01503,0200,N 433794,S200000,01504,0200,N 433794,S200000,01600,0100,N 433794,S200000,01700,0100,N 433794,S200000,01800,0100,N 433794,S200000,02200,0100,Y 433794,S200000,02800,0100,N 433794,S200000,02900,0100,N 433794,S200000,03000,0100,N 433794,S200000,03100,0100,N 433794,S200000,03200,0100,N 433794,S200000,03300,0100,N 433794,S200000,03300,0200,N 433794,S200000,04200,0100,N 433794,S200000,04300,0100,N 433794,S200000,04600,0100,N 433794,S200000,04700,0100,N 433794,S200000,04900,0100,N 433794,S200000,05200,0100,N 433794,S200000,05300,0100,Y 433794,S200000,05300,0200,HB0067 433794,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433794,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433794,S200000,05400,0300,12001 433794,S200000,05500,0100,101 EAST STATE STREET 433794,S200000,05600,0100,KENNETT SQUARE 433794,S200000,05600,0200,PA 433794,S200000,05600,0300,19348 433795,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433795,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433795,A000000,00300,0000,0300EMPLOYEE BENEFITS 433795,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433795,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433795,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433795,A000000,00700,0000,0700HOUSEKEEPING 433795,A000000,00800,0000,0800DIETARY 433795,A000000,00900,0000,0900NURSING ADMINISTRATION 433795,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433795,A000000,01100,0000,1100PHARMACY 433795,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433795,A000000,01300,0000,1300SOCIAL SERVICE 433795,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433795,A000000,01500,0000,1350RECREATION 433795,A000000,01600,0000,1600SKILLED NURSING FACILITY 433795,A000000,01810,0000,1810ICF/MR 433795,A000000,02100,0000,2100RADIOLOGY 433795,A000000,02200,0000,2200LABORATORY 433795,A000000,02300,0000,2300INTRAVENOUS THERAPY 433795,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433795,A000000,02500,0000,2500PHYSICAL THERAPY 433795,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433795,A000000,02700,0000,2700SPEECH PATHOLOGY 433795,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433795,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433795,A000000,03550,0000,3550FQHC 433795,A000000,04801,0000,4801AMBULANCE 433795,A000000,04802,0000,4802AMBULANCE 433795,A000000,04803,0000,4803AMBULANCE 433795,A000000,05000,0000,5000CORF 433795,A000000,05010,0000,5010CMHC 433795,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433795,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433795,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433795,A81000A,00100,0100,Y 433795,A81000B,00100,0300,SEE ATTACHED 433795,A81000B,00200,0300,HOME OFFICE INTEREST 433795,A81000B,00300,0300,HOME OFFICE A & G 433795,A81000B,00400,0300,HOME OFFICE CAPITAL 433795,A81000C,00100,0100,B 433795,A81000C,00100,0400,SEE ATTACHED 433795,A81000C,00100,0600,VARIOUS 433795,A81000C,00200,0100,B 433795,A81000C,00200,0400,GHC 433795,A81000C,00200,0600,LONG TERM CARE 433795,A81000C,00300,0100,B 433795,A81000C,00300,0400,GHC 433795,A81000C,00300,0600,LONG TERM CARE 433795,A81000C,00400,0100,B 433795,A81000C,00400,0400,GHC 433795,A81000C,00400,0600,LONG TERM CARE 433795,B100000,00000,0100,0100SQUARE FEET 433795,B100000,00000,0200,0200SQUARE FEET 433795,B100000,00000,0300,0300GROSS SALARIES 433795,B100000,00000,0400,0400ACCUM COST 433795,B100000,00000,0500,0500SQUARE FEET 433795,B100000,00000,0600,0600PATIENT DAYS 433795,B100000,00000,0700,0700SQUARE FEET 433795,B100000,00000,0800,0800MEALS SERVED 433795,B100000,00000,0900,0900NURSING SALARIES 433795,B100000,00000,1000,1000COSTED REQUIS 433795,B100000,00000,1100,1100COSTED REQUIS 433795,B100000,00000,1200,1200PATIENT DAYS 433795,B100000,00000,1300,1300PATIENT DAYS 433795,B100000,00000,1400,1400ASSIGNED TIME 433795,B100000,00000,1500,1350PATIENT DAYS 433795,E10A180,00502,0300,01/12/12 433795,E10A180,00550,0100,01/12/12 433795,G300000,02500,0000,BARBER AND BEAUTY 433795,S000000,00100,0200,12/02/11 433795,S200000,00100,0100,1245 CHURCH ROAD 433795,S200000,00200,0100,WYNCOTE 433795,S200000,00200,0200,PA 433795,S200000,00200,0300,19095 433795,S200000,00300,0100,MONTGOMERY 433795,S200000,00300,0201,37964 433795,S200000,00300,0300,U 433795,S200000,00400,0100,HILLCREST CENTER 433795,S200000,00400,0200,395481 433795,S200000,00400,0300,07/01/81 433795,S200000,00400,0500,P 433795,S200000,01500,0100,Y 433795,S200000,01501,0200,N 433795,S200000,01502,0200,N 433795,S200000,01503,0200,N 433795,S200000,01504,0200,N 433795,S200000,01600,0100,N 433795,S200000,01700,0100,N 433795,S200000,01800,0100,N 433795,S200000,01900,0100,LLC 433795,S200000,02200,0100,Y 433795,S200000,02800,0100,N 433795,S200000,02900,0100,N 433795,S200000,03000,0100,N 433795,S200000,03100,0100,N 433795,S200000,03200,0100,N 433795,S200000,03300,0100,N 433795,S200000,03300,0200,N 433795,S200000,04200,0100,N 433795,S200000,04300,0100,N 433795,S200000,04600,0100,N 433795,S200000,04700,0100,N 433795,S200000,04900,0100,N 433795,S200000,05200,0100,N 433795,S200000,05300,0100,Y 433795,S200000,05300,0200,HB0067 433795,S200000,05400,0100,GENESIS HEALTHCARE LLC 433795,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433795,S200000,05400,0300,12001 433795,S200000,05500,0100,101 EAST STATE STREET 433795,S200000,05600,0100,KENNETT SQUARE 433795,S200000,05600,0200,PA 433795,S200000,05600,0300,19348 433799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433799,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433799,A000000,00300,0000,0300EMPLOYEE BENEFITS 433799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433799,A000000,00700,0000,0700HOUSEKEEPING 433799,A000000,00800,0000,0800DIETARY 433799,A000000,00900,0000,0900NURSING ADMINISTRATION 433799,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433799,A000000,01100,0000,1100PHARMACY 433799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433799,A000000,01300,0000,1300SOCIAL SERVICE 433799,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433799,A000000,01600,0000,1600SKILLED NURSING FACILITY 433799,A000000,01810,0000,1810ICF/MR 433799,A000000,02100,0000,2100RADIOLOGY 433799,A000000,02200,0000,2200LABORATORY 433799,A000000,02500,0000,2500PHYSICAL THERAPY 433799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433799,A000000,02700,0000,2700SPEECH PATHOLOGY 433799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433799,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 433799,A000000,03550,0000,3550FQHC 433799,A000000,04801,0000,4801AMBULANCE 433799,A000000,04802,0000,4802AMBULANCE 433799,A000000,04803,0000,4803AMBULANCE 433799,A000000,05000,0000,5000CORF 433799,A000000,05010,0000,5010CMHC 433799,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433799,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433799,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433799,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433799,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 433799,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433799,A81000A,00100,0100,Y 433799,A81000B,00100,0300,DEPR INTEREST INS PROP TXS 433799,A81000B,00200,0300,CAPITAL RELATED COST HOME OFFI 433799,A81000B,00300,0300,NON-CAPITAL RELATED COSTS HOME 433799,A81000B,00400,0300,ACCTG FEES PAID BY RELATED PAR 433799,A81000B,00500,0300,MEDICAL SUPPLIES RELATED PARTY 433799,A81000B,00600,0300,MEDICAL EQUPIMENT RELATED PART 433799,A81000C,00100,0100,A 433799,A81000C,00100,0200,WL ROBERTS SR 433799,A81000C,00100,0400,GULF STATES MED 433799,A81000C,00100,0600,LESSOR 433799,A81000C,00200,0100,A 433799,A81000C,00200,0200,WL ROBERTS SR 433799,A81000C,00200,0400,COMPLETE MEDICA 433799,A81000C,00200,0600,LESSOR 433799,A81000C,00300,0100,E 433799,A81000C,00300,0200,WL ROBERTS SR 433799,A81000C,00300,0400,CHRIS DRIVE PRO 433799,A81000C,00300,0600,LESSOR 433799,A81000C,00400,0100,A 433799,A81000C,00400,0400,CHAMPION PARTNE 433799,A81000C,00400,0600,THERAPY 433799,A81000C,00500,0100,A 433799,A81000C,00500,0200,WL ROBERTS SR 433799,A81000C,00500,0400,RIVER CITY SERV 433799,A81000C,00500,0600,HOME OFFICE 433799,A81000C,00600,0100,B 433799,A81000C,00600,0400,COGBURN HEALTH 433799,A81000C,00600,0600,HOME OFFICE 433799,A81000C,00700,0100,B 433799,A81000C,00700,0400,OGBURN HEALTH S 433799,A81000C,00700,0600,THERAPY 433799,B100000,00000,0100,0100SQUARE FEET 433799,B100000,00000,0200,0200SQUARE FEET 433799,B100000,00000,0300,0300GROSS SALARIES 433799,B100000,00000,0400,0400ACCUM COST 433799,B100000,00000,0500,0500SQUARE FEET 433799,B100000,00000,0600,0600PATIENT DAYS 433799,B100000,00000,0700,0700SQUARE FEET 433799,B100000,00000,0800,0800PATIENT DAYS 433799,B100000,00000,0900,0900DIRECT NURSING 433799,B100000,00000,1000,1000COSTED REQUIS. 433799,B100000,00000,1100,1100COSTED REQUIS. 433799,B100000,00000,1200,1200PATIENT DAYS 433799,B100000,00000,1300,1300PATIENT DAYS 433799,B100000,00000,1400,1400ASSIGNED TIME 433799,G300000,02500,0000,MISCELLANEOUS INCOME 433799,G300000,02501,0000,BAD DEBTS 433799,G300000,02502,0000,TRANSPORTATION 433799,S000000,00100,0200,08/07/12 433799,S200000,00100,0100,4010 CHRIS DRIVE 433799,S200000,00200,0100,HUNTSVILLE 433799,S200000,00200,0200,AL 433799,S200000,00200,0300,35802 433799,S200000,00300,0100,MADISON 433799,S200000,00300,0201,26620 433799,S200000,00300,0300,U 433799,S200000,00400,0100,COGBURN HEALTH & REHAB 433799,S200000,00400,0200,015440 433799,S200000,00400,0300,11/18/99 433799,S200000,00400,0500,P 433799,S200000,01500,0100,N 433799,S200000,01501,0200,Y 433799,S200000,01502,0200,Y 433799,S200000,01503,0200,Y 433799,S200000,01504,0200,Y 433799,S200000,01505,0000,OTHER (SPECIFY) 433799,S200000,01505,0200,N 433799,S200000,01600,0100,N 433799,S200000,01700,0100,N 433799,S200000,01800,0100,N 433799,S200000,02200,0100,N 433799,S200000,02800,0100,N 433799,S200000,02900,0100,N 433799,S200000,03000,0100,N 433799,S200000,03100,0100,N 433799,S200000,03200,0100,N 433799,S200000,03300,0100,N 433799,S200000,03300,0200,N 433799,S200000,04200,0100,N 433799,S200000,04300,0100,N 433799,S200000,04600,0100,N 433799,S200000,04700,0100,N 433799,S200000,04900,0100,N 433799,S200000,05200,0100,N 433799,S200000,05300,0100,N 433800,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433800,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433800,A000000,00300,0000,0300EMPLOYEE BENEFITS 433800,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433800,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433800,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433800,A000000,00700,0000,0700HOUSEKEEPING 433800,A000000,00800,0000,0800DIETARY 433800,A000000,00900,0000,0900NURSING ADMINISTRATION 433800,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433800,A000000,01100,0000,1100PHARMACY 433800,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433800,A000000,01300,0000,1300SOCIAL SERVICE 433800,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433800,A000000,01500,0000,1350ACTIVITIES 433800,A000000,01600,0000,1600SKILLED NURSING FACILITY 433800,A000000,01800,0000,1800NURSING FACILITY 433800,A000000,01810,0000,1810ICF/MR 433800,A000000,02100,0000,2100RADIOLOGY 433800,A000000,02200,0000,2200LABORATORY 433800,A000000,02300,0000,2300INTRAVENOUS THERAPY 433800,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433800,A000000,02500,0000,2500PHYSICAL THERAPY 433800,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433800,A000000,02700,0000,2700SPEECH PATHOLOGY 433800,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433800,A000000,02901,0000,2901PEN THERAPY 433800,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433800,A000000,03300,0000,3050OTHER ANCILLARY 433800,A000000,03301,0000,3051AMBULANCE 433800,A000000,03550,0000,3550FQHC 433800,A000000,04801,0000,4801AMBULANCE 433800,A000000,04802,0000,4802AMBULANCE 433800,A000000,04803,0000,4803AMBULANCE 433800,A000000,05000,0000,5000CORF 433800,A000000,05010,0000,5010CMHC 433800,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433800,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433800,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433800,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 433800,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433800,A000000,06300,0000,6150COMMUNICATIONS 433800,A000000,06301,0000,6151ICE CREAM PARLOR 433800,A81000A,00100,0100,Y 433800,A81000B,00100,0300,MANAGEMENT FEES 433800,A81000B,00200,0300,INTERIOR DESIGNS 06 433800,A81000B,00300,0300,INTERIOR DESIGNS 08 433800,A81000B,00400,0300,INTERIOR DESIGNS 09 433800,A81000B,00500,0300,INTERIOR DESIGNS 10 433800,A81000B,00600,0300,WORKERS COMP INS 433800,A81000B,00700,0300,PROF/GEN LIAB INS 433800,A81000B,00800,0300,AUTOMOBILE INSURANCE 433800,A81000B,00900,0300,EMPLOYEE HEALTH INS 433800,A81000B,01000,0300,BLDG/EQUIP LEASE 433800,A81000B,01100,0300,ADD L COMPENSATION 433800,A81000B,01200,0300,TRAVEL & MEALS 433800,A81000C,00100,0100,A 433800,A81000C,00100,0200,FORREST PRESTON 433800,A81000C,00100,0400,LIFE CARE CENTE 433800,A81000C,00100,0600,NURSING HOME MG 433800,A81000C,00200,0100,A 433800,A81000C,00200,0200,FORREST PRESTON 433800,A81000C,00200,0400,LIFE CARE DESIG 433800,A81000C,00200,0600,INTERIOR DESIGN 433800,A81000C,00300,0100,A 433800,A81000C,00300,0200,FORREST PRESTON 433800,A81000C,00300,0400,LEADER CARE 433800,A81000C,00300,0600,CAPTIVE INS CO 433800,A81000C,00400,0100,A 433800,A81000C,00400,0200,FORREST PRESTON 433800,A81000C,00400,0400,ASSOC BENEFIT T 433800,A81000C,00400,0600,EMPLOYEE HEALTH 433800,A81000C,00500,0100,A 433800,A81000C,00500,0200,FORREST PRESTON 433800,A81000C,00500,0400,LC HEALTHCARE H 433800,A81000C,00500,0600,BLDG/EQUIP LESS 433800,A81000C,00600,0100,A 433800,A81000C,00600,0200,DAVID GOOCH 433800,A81000C,00600,0400,DAVID GOOCH 433800,A81000C,00600,0600,MANAGEMENT SVCS 433800,B100000,00000,0100,0100(SQUARE FEET) 433800,B100000,00000,0200,0200(SQUARE FEET) 433800,B100000,00000,0300,0300(GROSS SALARIES) 433800,B100000,00000,0400,0400ACCUM COST 433800,B100000,00000,0500,0500(SQUARE FEET) 433800,B100000,00000,0600,0600PATIENT DAYS 433800,B100000,00000,0700,0700(SQUARE FEET) 433800,B100000,00000,0800,0800(MEALS SERVED) 433800,B100000,00000,0900,0900HOURS WORKED 433800,B100000,00000,1000,1000(COSTED REQUIS) 433800,B100000,00000,1100,1100COSTED REQUIS 433800,B100000,00000,1200,1200GROSS REVENUES 433800,B100000,00000,1300,1300PATIENT DAYS 433800,B100000,00000,1400,1400ASSIGNED TIME 433800,B100000,00000,1500,1350PATIENT DAYS 433800,E10A180,00301,0100,01/26/11 433800,E10A180,00302,0100,08/29/11 433800,E10A180,00501,0100,04/05/12 433800,G300000,02500,0000,PERSONAL PURCHASES FOR RESIDENTS REV 433800,G300000,02501,0000,BARBER & BEAUTY REVENUE 433800,G300000,02502,0000,MISCELLANEOUS REVENUE 433800,S000000,00100,0200,01/17/12 433800,S200000,00100,0100,2118 CHATALET LANE 433800,S200000,00200,0100,PUEBLO 433800,S200000,00200,0200,CO 433800,S200000,00200,0300,81005 433800,S200000,00300,0100,PUEBLO 433800,S200000,00300,0201,39380 433800,S200000,00300,0300,U 433800,S200000,00400,0100,LIFE CARE CENTER OF PUEBLO 433800,S200000,00400,0200,065269 433800,S200000,00400,0300,11/21/89 433800,S200000,00400,0500,P 433800,S200000,01500,0100,Y 433800,S200000,01501,0200,Y 433800,S200000,01502,0200,Y 433800,S200000,01503,0200,N 433800,S200000,01504,0200,N 433800,S200000,01505,0000,OTHER 433800,S200000,01505,0200,N 433800,S200000,01600,0100,N 433800,S200000,01700,0100,N 433800,S200000,01800,0100,N 433800,S200000,02200,0100,N 433800,S200000,02800,0100,N 433800,S200000,02900,0100,N 433800,S200000,03000,0100,N 433800,S200000,03100,0100,N 433800,S200000,03200,0100,N 433800,S200000,03300,0100,N 433800,S200000,03300,0200,N 433800,S200000,04200,0100,N 433800,S200000,04300,0100,N 433800,S200000,04600,0100,N 433800,S200000,04700,0100,N 433800,S200000,04900,0100,N 433800,S200000,05200,0100,N 433800,S200000,05300,0100,Y 433800,S200000,05300,0200,44H017 433800,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA 433800,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMIN 433800,S200000,05400,0300,10301 433800,S200000,05500,0100,3570 KEITH STREET NW 433800,S200000,05600,0100,CLEVELAND 433800,S200000,05600,0200,TN 433800,S200000,05600,0300,37312 433807,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433807,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433807,A000000,00300,0000,0300EMPLOYEE BENEFITS 433807,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433807,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433807,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433807,A000000,00700,0000,0700HOUSEKEEPING 433807,A000000,00800,0000,0800DIETARY 433807,A000000,00900,0000,0900NURSING ADMINISTRATION 433807,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433807,A000000,01100,0000,1100PHARMACY 433807,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433807,A000000,01300,0000,1300SOCIAL SERVICE 433807,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433807,A000000,01500,0000,1350RECREATION 433807,A000000,01600,0000,1600SKILLED NURSING FACILITY 433807,A000000,01810,0000,1810ICF/MR 433807,A000000,02100,0000,2100RADIOLOGY 433807,A000000,02200,0000,2200LABORATORY 433807,A000000,02300,0000,2300INTRAVENOUS THERAPY 433807,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433807,A000000,02500,0000,2500PHYSICAL THERAPY 433807,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433807,A000000,02700,0000,2700SPEECH PATHOLOGY 433807,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433807,A000000,03550,0000,3550FQHC 433807,A000000,04801,0000,4801AMBULANCE 433807,A000000,04802,0000,4802AMBULANCE 433807,A000000,04803,0000,4803AMBULANCE 433807,A000000,05000,0000,5000CORF 433807,A000000,05010,0000,5010CMHC 433807,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433807,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433807,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433807,A81000A,00100,0100,Y 433807,A81000B,00100,0300,SEE ATTACHED 433807,A81000B,00200,0300,CAPITAL INTEREST 433807,A81000B,00300,0300,HOME OFFICE 433807,A81000B,00400,0300,HOME OFFICE 433807,A81000C,00100,0100,B 433807,A81000C,00100,0400,SEE ATTACHED 433807,A81000C,00100,0600,VARIOUS 433807,A81000C,00200,0100,B 433807,A81000C,00200,0400,GHC 433807,A81000C,00200,0600,LONG TERM CARE 433807,A81000C,00300,0100,B 433807,A81000C,00300,0400,GHC 433807,A81000C,00300,0600,LONG TERM CARE 433807,A81000C,00400,0100,B 433807,A81000C,00400,0400,GHC 433807,A81000C,00400,0600,LONG TERM CARE 433807,B100000,00000,0100,0100SQUARE FEET 433807,B100000,00000,0200,0200SQUARE FEET 433807,B100000,00000,0300,0300GROSS SALARIES 433807,B100000,00000,0400,0400ACCUM COST 433807,B100000,00000,0500,0500SQUARE FEET 433807,B100000,00000,0600,0600PATIENT DAYS 433807,B100000,00000,0700,0700SQUARE FEET 433807,B100000,00000,0800,0800MEALS SERVED 433807,B100000,00000,0900,0900NURSING SALARIES 433807,B100000,00000,1000,1000COSTED REQUIS 433807,B100000,00000,1100,1100COSTED REQUIS 433807,B100000,00000,1200,1200PATIENT DAYS 433807,B100000,00000,1300,1300PATIENT DAYS 433807,B100000,00000,1400,1400ASSIGNED TIME 433807,B100000,00000,1500,1350PATIENT DAYS 433807,E10A180,00501,0300,01/10/12 433807,E10A180,00550,0100,01/10/12 433807,G300000,02500,0000,BARBER & BEAUTY 433807,S000000,00100,0200,12/02/11 433807,S200000,00100,0100,1000 ORWIGSBURG ROAD 433807,S200000,00200,0100,ORWIGSBURG 433807,S200000,00200,0200,PA 433807,S200000,00200,0300,17961 433807,S200000,00300,0100,SCHUYLKILL 433807,S200000,00300,0201,99939 433807,S200000,00300,0300,R 433807,S200000,00400,0100,ORWIGSBURG CENTER 433807,S200000,00400,0200,395878 433807,S200000,00400,0300,11/14/94 433807,S200000,00400,0500,P 433807,S200000,01500,0100,Y 433807,S200000,01501,0200,N 433807,S200000,01502,0200,N 433807,S200000,01503,0200,N 433807,S200000,01504,0200,N 433807,S200000,01600,0100,N 433807,S200000,01700,0100,N 433807,S200000,01800,0100,N 433807,S200000,01900,0100,LLC 433807,S200000,02200,0100,Y 433807,S200000,02800,0100,N 433807,S200000,02900,0100,N 433807,S200000,03000,0100,N 433807,S200000,03100,0100,N 433807,S200000,03200,0100,N 433807,S200000,03300,0100,N 433807,S200000,03300,0200,N 433807,S200000,04200,0100,N 433807,S200000,04300,0100,N 433807,S200000,04600,0100,N 433807,S200000,04700,0100,N 433807,S200000,04900,0100,N 433807,S200000,05200,0100,N 433807,S200000,05300,0100,Y 433807,S200000,05300,0200,HB0067 433807,S200000,05400,0100,GENESIS HEALTHCARE LLC 433807,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433807,S200000,05400,0300,12001 433807,S200000,05500,0100,101 EAST STATE STREET 433807,S200000,05600,0100,KENNETT SQUARE 433807,S200000,05600,0200,PA 433807,S200000,05600,0300,19348 433809,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433809,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433809,A000000,00300,0000,0300EMPLOYEE BENEFITS 433809,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433809,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433809,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433809,A000000,00700,0000,0700HOUSEKEEPING 433809,A000000,00800,0000,0800DIETARY 433809,A000000,00900,0000,0900NURSING ADMINISTRATION 433809,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433809,A000000,01100,0000,1100PHARMACY 433809,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433809,A000000,01300,0000,1300SOCIAL SERVICE 433809,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433809,A000000,01600,0000,1600SKILLED NURSING FACILITY 433809,A000000,01810,0000,1810ICF/MR 433809,A000000,01900,0000,1900OTHER LONG TERM CARE 433809,A000000,02100,0000,2100RADIOLOGY 433809,A000000,02200,0000,2200LABORATORY 433809,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433809,A000000,02500,0000,2500PHYSICAL THERAPY 433809,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433809,A000000,02700,0000,2700SPEECH PATHOLOGY 433809,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433809,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433809,A000000,03300,0000,3050TRANSPORTATION 433809,A000000,03550,0000,3550FQHC 433809,A000000,05000,0000,5000CORF 433809,A000000,05010,0000,5010CMHC 433809,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433809,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433809,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433809,A81000A,00100,0100,N 433809,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433809,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433809,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433809,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433809,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433809,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433809,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433809,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433809,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433809,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433809,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433809,E10A180,00353,0100,07/27/11 433809,E10A180,00501,0100,05/09/12 433809,G300000,02501,0000,BARBER & BEAUTY INCOME 433809,G300000,02502,0000,MISC INCOME 433809,G300000,02503,0000,HOSPITAL ROOM RESERVE 433809,S000000,00100,0200,02/28/12 433809,S200000,00100,0100,106 MOUNTAIN VISTA HEALTH PARK 433809,S200000,00200,0100,DENTON 433809,S200000,00200,0200,NC 433809,S200000,00200,0300,27239 433809,S200000,00300,0100,DAVIDSON 433809,S200000,00300,0201,34 433809,S200000,00300,0300,R 433809,S200000,00400,0100,MT. VISTA HEALTH PARK 433809,S200000,00400,0200,345196 433809,S200000,00400,0300,02/04/80 433809,S200000,00400,0500,P 433809,S200000,01500,0100,N 433809,S200000,01501,0200,Y 433809,S200000,01504,0200,N 433809,S200000,01600,0100,Y 433809,S200000,01700,0100,N 433809,S200000,01800,0100,N 433809,S200000,02200,0100,Y 433809,S200000,02800,0100,Y 433809,S200000,02900,0100,N 433809,S200000,03000,0100,N 433809,S200000,03100,0100,N 433809,S200000,03200,0100,N 433809,S200000,03300,0100,N 433809,S200000,03300,0200,N 433809,S200000,04100,0100,N 433809,S200000,04200,0100,N 433809,S200000,04300,0100,N 433809,S200000,04600,0100,N 433809,S200000,04700,0100,N 433809,S200000,04700,0200,N 433809,S200000,04900,0100,N 433809,S200000,05000,0100,N 433809,S200000,05100,0100,N 433809,S200000,05200,0100,N 433809,S200000,05300,0100,N 433810,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433810,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433810,A000000,00300,0000,0300EMPLOYEE BENEFITS 433810,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433810,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433810,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433810,A000000,00700,0000,0700HOUSEKEEPING 433810,A000000,00800,0000,0800DIETARY 433810,A000000,00900,0000,0900NURSING ADMINISTRATION 433810,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433810,A000000,01100,0000,1100PHARMACY 433810,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433810,A000000,01300,0000,1300SOCIAL SERVICE 433810,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433810,A000000,01600,0000,1600SKILLED NURSING FACILITY 433810,A000000,01800,0000,1800NURSING FACILITY 433810,A000000,01900,0000,1900OTHER LONG TERM CARE 433810,A000000,02100,0000,2100RADIOLOGY 433810,A000000,02200,0000,2200LABORATORY 433810,A000000,02300,0000,2300INTRAVENOUS THERAPY 433810,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433810,A000000,02500,0000,2500PHYSICAL THERAPY 433810,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433810,A000000,02700,0000,2700SPEECH PATHOLOGY 433810,A000000,02800,0000,2800ELECTROCARDIOLOGY 433810,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433810,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433810,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433810,A000000,03200,0000,3200SUPPORT SURFACES 433810,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433810,A000000,03400,0000,3400CLINIC 433810,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433810,A000000,04800,0000,4800AMBULANCE 433810,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433810,A000000,05000,0000,5000CORF 433810,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433810,A000000,05300,0000,5300INTEREST EXPENSE 433810,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433810,A000000,05500,0000,5500HOSPICE 433810,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433810,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433810,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433810,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433810,A000000,06100,0000,6100NONPAID WORKERS 433810,A000000,06200,0000,6200PATIENTS LAUNDRY 433810,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433810,A81000A,00100,0100,Y 433810,A81000B,00100,0300,MAINTENANCE SUPPLIES 433810,A81000B,00200,0300,MINOR EQUIPMENT EXPENSE 433810,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 433810,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 433810,A81000B,00500,0300,DIETARY SUPPLEMENTS 433810,A81000B,00600,0300,RAW FOOD 433810,A81000B,00700,0300,DIETARY SUPPLIES 433810,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433810,A81000B,00900,0300,INCONTINENCE SUPPLIES 433810,A81000B,01000,0300,MEDICAL SUPPLIES 433810,A81000B,01100,0300,PERSONAL CARE 433810,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 433810,A81000B,01300,0300,BIO-MEDICAL WASTE 433810,A81000B,01400,0300,LINEN & BEDDING 433810,A81000B,01500,0300,LAUNDRY SUPPLIES 433810,A81000B,01600,0300,PHYSICAL THERAPY SUPPLIES 433810,A81000B,01700,0300,OXYGEN THERAPY SUPPLIES 433810,A81000B,01800,0300,BILLABLE MEDICAL SUPPLIES 433810,A81000B,01900,0300,EQUIPMENT RENTAL 433810,A81000B,02000,0300,NON-LEGEND DRUGS 433810,A81000B,02100,0300,MEDICAL RECORDS SUPPLIES 433810,A81000B,02200,0300,PHARMACY CONSULTANT 433810,A81000B,02300,0300,LEGEND DRUGS 433810,A81000B,02400,0300,MAINTENANCE SUPPLIES 433810,A81000B,02500,0300,REPAIRS - BUILDING 433810,A81000B,02600,0300,REPAIRS - GROUNDS 433810,A81000B,02700,0300,MINOR EQUIPMENT EXPENSE 433810,A81000B,02800,0300,OFFICE SUPPLIES 433810,A81000B,02900,0300,NURSING CONSULTING 433810,A81000C,00100,0100,A 433810,A81000C,00100,0200,SHAREHOLDERS 433810,A81000C,00100,0400,KARE MEDICAL 433810,A81000C,00100,0600,WHOLESALE SUPPL 433810,A81000C,00200,0100,A 433810,A81000C,00200,0200,SHAREHOLDERS 433810,A81000C,00200,0400,KARE MEDICAL 433810,A81000C,00200,0600,WHOLESALE SUPPL 433810,A81000C,00300,0100,A 433810,A81000C,00300,0200,SHAREHOLDERS 433810,A81000C,00300,0400,KARE MEDICAL 433810,A81000C,00300,0600,WHOLESALE SUPPL 433810,A81000C,00400,0100,A 433810,A81000C,00400,0200,SHAREHOLDERS 433810,A81000C,00400,0400,KARE MEDICAL 433810,A81000C,00400,0600,WHOLESALE SUPPL 433810,A81000C,00500,0100,A 433810,A81000C,00500,0200,SHAREHOLDERS 433810,A81000C,00500,0400,KARE MEDICAL 433810,A81000C,00500,0600,WHOLESALE SUPPL 433810,A81000C,00600,0100,A 433810,A81000C,00600,0200,SHAREHOLDERS 433810,A81000C,00600,0400,KARE MEDICAL 433810,A81000C,00600,0600,WHOLESALE SUPPL 433810,A81000C,00700,0100,A 433810,A81000C,00700,0200,SHAREHOLDERS 433810,A81000C,00700,0400,KARE MEDICAL 433810,A81000C,00700,0600,WHOLESALE SUPPL 433810,A81000C,00800,0100,A 433810,A81000C,00800,0200,SHAREHOLDERS 433810,A81000C,00800,0400,KARE MEDICAL 433810,A81000C,00800,0600,WHOLESALE SUPPL 433810,A81000C,00900,0100,A 433810,A81000C,00900,0200,SHAREHOLDERS 433810,A81000C,00900,0400,KARE MEDICAL 433810,A81000C,00900,0600,WHOLESALE SUPPL 433810,A81000C,01000,0100,A 433810,A81000C,01000,0200,SHAREHOLDERS 433810,A81000C,01000,0400,KARE MEDICAL 433810,A81000C,01000,0600,WHOLESALE SUPPL 433810,A81000C,01001,0100,A 433810,A81000C,01001,0200,SHAREHOLDERS 433810,A81000C,01001,0400,KARE MEDICAL 433810,A81000C,01001,0600,WHOLESALE SUPPL 433810,A81000C,01002,0100,A 433810,A81000C,01002,0200,SHAREHOLDERS 433810,A81000C,01002,0400,KARE MEDICAL 433810,A81000C,01002,0600,WHOLESALE SUPPL 433810,A81000C,01003,0100,A 433810,A81000C,01003,0200,SHAREHOLDERS 433810,A81000C,01003,0400,KARE MEDICAL 433810,A81000C,01003,0600,WHOLESALE SUPPL 433810,A81000C,01004,0100,A 433810,A81000C,01004,0200,SHAREHOLDERS 433810,A81000C,01004,0400,KARE MEDICAL 433810,A81000C,01004,0600,WHOLESALE SUPPL 433810,A81000C,01005,0100,A 433810,A81000C,01005,0200,SHAREHOLDERS 433810,A81000C,01005,0400,KARE MEDICAL 433810,A81000C,01005,0600,WHOLESALE SUPPL 433810,A81000C,01006,0100,A 433810,A81000C,01006,0200,SHAREHOLDERS 433810,A81000C,01006,0400,KARE MEDICAL 433810,A81000C,01006,0600,WHOLESALE SUPPL 433810,A81000C,01007,0100,A 433810,A81000C,01007,0200,SHAREHOLDERS 433810,A81000C,01007,0400,KARE MEDICAL 433810,A81000C,01007,0600,WHOLESALE SUPPL 433810,A81000C,01008,0100,A 433810,A81000C,01008,0200,SHAREHOLDERS 433810,A81000C,01008,0400,KARE MEDICAL 433810,A81000C,01008,0600,WHOLESALE SUPPL 433810,A81000C,01009,0100,A 433810,A81000C,01009,0200,SHAREHOLDERS 433810,A81000C,01009,0400,PHARMSAVE 433810,A81000C,01009,0600,RX SUPPLY 433810,A81000C,01010,0100,A 433810,A81000C,01010,0200,SHAREHOLDERS 433810,A81000C,01010,0400,PHARMSAVE 433810,A81000C,01010,0600,RX SUPPLY 433810,A81000C,01011,0100,A 433810,A81000C,01011,0200,SHAREHOLDERS 433810,A81000C,01011,0400,PHARMSAVE 433810,A81000C,01011,0600,RX SUPPLY 433810,A81000C,01012,0100,A 433810,A81000C,01012,0200,SHAREHOLDERS 433810,A81000C,01012,0400,PHARMSAVE 433810,A81000C,01012,0600,RX SUPPLY 433810,A81000C,01013,0100,A 433810,A81000C,01013,0200,SHAREHOLDERS 433810,A81000C,01013,0400,PHARMSAVE 433810,A81000C,01013,0600,RX SUPPLY 433810,A81000C,01014,0100,A 433810,A81000C,01014,0200,SHAREHOLDERS 433810,A81000C,01014,0400,ROBERT HILL CON 433810,A81000C,01014,0600,CONSTRUCTION 433810,A81000C,01015,0100,A 433810,A81000C,01015,0200,SHAREHOLDERS 433810,A81000C,01015,0400,ROBERT HILL CON 433810,A81000C,01015,0600,CONSTRUCTION 433810,A81000C,01016,0100,A 433810,A81000C,01016,0200,SHAREHOLDERS 433810,A81000C,01016,0400,ROBERT HILL CON 433810,A81000C,01016,0600,CONSTRUCTION 433810,A81000C,01017,0100,A 433810,A81000C,01017,0200,SHAREHOLDERS 433810,A81000C,01017,0400,ROBERT HILL CON 433810,A81000C,01017,0600,CONSTRUCTION 433810,A81000C,01018,0100,A 433810,A81000C,01018,0200,SHAREHOLDERS 433810,A81000C,01018,0400,ROBERT HILL CON 433810,A81000C,01018,0600,CONSTRUCTION 433810,A81000C,01019,0100,B 433810,A81000C,01019,0200,PLTC & PITS IN 433810,A81000C,01019,0400,PLTC & PITS IN 433810,A81000C,01019,0600,MGMT SERVICES 433810,A81000C,01020,0100,B 433810,A81000C,01020,0200,PLTC & PITS IN 433810,A81000C,01020,0400,PLTC & PITS IN 433810,A81000C,01020,0600,MGMT SERVICES 433810,A81000C,01021,0100,B 433810,A81000C,01021,0200,PLTC & PITS IN 433810,A81000C,01021,0400,PLTC & PITS IN 433810,A81000C,01021,0600,MGMT SERVICES 433810,A81000C,01022,0100,B 433810,A81000C,01022,0200,PLTC & PITS IN 433810,A81000C,01022,0400,PLTC & PITS IN 433810,A81000C,01022,0600,MGMT SERVICES 433810,A81000C,01023,0100,A 433810,A81000C,01023,0200,SHAREHOLDERS 433810,A81000C,01023,0400,DISCOVERY INSUR 433810,A81000C,01023,0600,INSURANCE 433810,A81000C,01024,0100,A 433810,A81000C,01024,0200,SHAREHOLDERS 433810,A81000C,01024,0400,QUEENSLAND ASSU 433810,A81000C,01024,0600,INSURANCE 433810,A81000C,01025,0100,A 433810,A81000C,01025,0200,SHAREHOLDERS 433810,A81000C,01025,0400,HILLCO LTD 433810,A81000C,01025,0600,REAL ESTATE 433810,A81000C,01026,0100,A 433810,A81000C,01026,0200,SHAREHOLDERS 433810,A81000C,01026,0400,BRITTHAVEN INC 433810,A81000C,01026,0600,REAL ESTATE 433810,A81000C,01027,0100,A 433810,A81000C,01027,0200,SHAREHOLDERS 433810,A81000C,01027,0400,BRITTHAVEN INC 433810,A81000C,01027,0600,REAL ESTATE 433810,A81000C,01028,0100,A 433810,A81000C,01028,0200,SHAREHOLDERS 433810,A81000C,01028,0400,BRITTHAVEN INC 433810,A81000C,01028,0600,REAL ESTATE 433810,A81000C,01029,0100,A 433810,A81000C,01029,0200,SHAREHOLDERS 433810,A81000C,01029,0400,BRITTHAVEN INC 433810,A81000C,01029,0600,REAL ESTATE 433810,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433810,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433810,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433810,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433810,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433810,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433810,B100000,00000,0800,0800MEALS SERVED :DIETARY 433810,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433810,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433810,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433810,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433810,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433810,E10A180,00350,0100,07/27/11 433810,E10A180,00501,0100,05/24/12 433810,G300000,02500,0000, OTHER (SPECIFY) 433810,S000000,00100,0200,02/29/12 433810,S200000,00100,0100,403 CRESTVIEW AVENUE 433810,S200000,00200,0100,WILSON 433810,S200000,00200,0200,NC 433810,S200000,00200,0300,27893 433810,S200000,00300,0100,WILSON 433810,S200000,00300,0201,99934 433810,S200000,00300,0300,R 433810,S200000,00400,0100,WILSON PINES NURSING & REHAB CENTER 433810,S200000,00400,0200,345372 433810,S200000,00400,0300,01/01/11 433810,S200000,00400,0500,P 433810,S200000,01500,0100,N 433810,S200000,01501,0200,Y 433810,S200000,01503,0200,Y 433810,S200000,01504,0200,Y 433810,S200000,01505,0000,OTHER (SPECIFY) 433810,S200000,01505,0200,Y 433810,S200000,01600,0100,Y 433810,S200000,01700,0100,N 433810,S200000,01800,0100,N 433810,S200000,02200,0100,N 433810,S200000,02800,0100,N 433810,S200000,02900,0100,N 433810,S200000,03000,0100,N 433810,S200000,03100,0100,N 433810,S200000,03200,0100,N 433810,S200000,03300,0100,N 433810,S200000,03300,0200,N 433810,S200000,04100,0100,N 433810,S200000,04200,0100,N 433810,S200000,04300,0100,N 433810,S200000,04600,0100,N 433810,S200000,04700,0100,N 433810,S200000,04700,0200,N 433810,S200000,04900,0100,N 433810,S200000,05000,0100,N 433810,S200000,05100,0100,N 433810,S200000,05200,0100,N 433810,S200000,05300,0100,Y 433810,S200000,05300,0200,349011 433810,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 433810,S200000,05400,0200,PALMETTO GBA 433810,S200000,05400,0300,11501 433810,S200000,05500,0100,1435 HWY 258 NORTH 433810,S200000,05600,0100,KINSTON 433810,S200000,05600,0200,NC 433810,S200000,05600,0300,28502 433811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433811,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433811,A000000,00300,0000,0300EMPLOYEE BENEFITS 433811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433811,A000000,00700,0000,0700HOUSEKEEPING 433811,A000000,00800,0000,0800DIETARY 433811,A000000,00900,0000,0900NURSING ADMINISTRATION 433811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433811,A000000,01100,0000,1100PHARMACY 433811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433811,A000000,01300,0000,1300SOCIAL SERVICE 433811,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433811,A000000,01500,0000,1350OTHER GENERAL SERVICES 433811,A000000,01600,0000,1600SKILLED NURSING FACILITY 433811,A000000,01800,0000,1800NURSING FACILITY 433811,A000000,01810,0000,1810ICF/MR 433811,A000000,01900,0000,1900OTHER LONG TERM CARE 433811,A000000,02100,0000,2100RADIOLOGY 433811,A000000,02200,0000,2200LABORATORY 433811,A000000,02300,0000,2300INTRAVENOUS THERAPY 433811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433811,A000000,02500,0000,2500PHYSICAL THERAPY 433811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433811,A000000,02700,0000,2700SPEECH PATHOLOGY 433811,A000000,02800,0000,2800ELECTROCARDIOLOGY 433811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433811,A000000,03200,0000,3200SUPPORT SURFACES 433811,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433811,A000000,03400,0000,3400CLINIC 433811,A000000,03500,0000,3500RURAL HEALTH CLINIC 433811,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433811,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433811,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433811,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433811,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433811,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433811,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433811,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433811,A000000,04400,0000,4400DME RENTED - HHA 433811,A000000,04500,0000,4500DME SOLD - HHA 433811,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433811,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433811,A000000,04710,0000,4710TELEMEDICINE 433811,A000000,04800,0000,4800AMBULANCE 433811,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433811,A000000,05000,0000,5000CORF 433811,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433811,A000000,05300,0000,5300INTEREST EXPENSE 433811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433811,A000000,05500,0000,5500HOSPICE 433811,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433811,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433811,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433811,A000000,06100,0000,6100NONPAID WORKERS 433811,A000000,06200,0000,6200PATIENTS LAUNDRY 433811,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433811,A81000A,00100,0100,N 433811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433811,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433811,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433811,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433811,B100000,00000,0800,0800MEALS SERVED :DIETARY 433811,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433811,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433811,E10A180,00350,0100,07/27/11 433811,E10A180,00501,0100,05/07/12 433811,G300000,02500,0000,BARBER & BEAUTY INCOME 433811,S000000,00100,0200,02/15/12 433811,S200000,00100,0100,193 ASHEVILLE HWY 433811,S200000,00200,0100,SYLVA 433811,S200000,00200,0200,NC 433811,S200000,00200,0300,28779 433811,S200000,00300,0100,JACKSON 433811,S200000,00300,0200,34 433811,S200000,00300,0201,00034 433811,S200000,00300,0300,R 433811,S200000,00400,0100,SKYLAND CARE CENTER 433811,S200000,00400,0200,345400 433811,S200000,00400,0300,10/01/03 433811,S200000,00400,0500,P 433811,S200000,00400,0600,O 433811,S200000,01500,0100,Y 433811,S200000,01600,0100,N 433811,S200000,01700,0100,N 433811,S200000,01800,0100,N 433811,S200000,02200,0100,N 433811,S200000,02800,0100,N 433811,S200000,02900,0100,N 433811,S200000,03000,0100,N 433811,S200000,03100,0100,N 433811,S200000,03200,0100,N 433811,S200000,03300,0100,N 433811,S200000,03300,0200,N 433811,S200000,03600,0100,N 433811,S200000,03600,0200,N 433811,S200000,04100,0100,N 433811,S200000,04200,0100,N 433811,S200000,04300,0100,N 433811,S200000,04600,0100,N 433811,S200000,04700,0100,N 433811,S200000,04700,0200,N 433811,S200000,04900,0100,N 433811,S200000,05000,0100,N 433811,S200000,05100,0100,N 433811,S200000,05200,0100,N 433812,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433812,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433812,A000000,00300,0000,0300EMPLOYEE BENEFITS 433812,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433812,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433812,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433812,A000000,00700,0000,0700HOUSEKEEPING 433812,A000000,00800,0000,0800DIETARY 433812,A000000,00900,0000,0900NURSING ADMINISTRATION 433812,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433812,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433812,A000000,01300,0000,1300SOCIAL SERVICE 433812,A000000,01500,0000,1350ACTIVITIES 433812,A000000,01600,0000,1600SKILLED NURSING FACILITY 433812,A000000,01800,0000,1800NURSING FACILITY 433812,A000000,01810,0000,1810ICF/MR 433812,A000000,01900,0000,1900OTHER LONG TERM CARE 433812,A000000,02100,0000,2100RADIOLOGY 433812,A000000,02200,0000,2200LABORATORY 433812,A000000,02300,0000,2300INTRAVENOUS THERAPY 433812,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433812,A000000,02500,0000,2500PHYSICAL THERAPY 433812,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433812,A000000,02700,0000,2700SPEECH PATHOLOGY 433812,A000000,02800,0000,2800ELECTROCARDIOLOGY 433812,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433812,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433812,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433812,A000000,03200,0000,3200SUPPORT SURFACES 433812,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433812,A000000,03301,0000,3051AIR FLUID THERAPY 433812,A000000,03302,0000,3052AMBULANCE 433812,A000000,03303,0000,3053PEN THERAPY 433812,A000000,03304,0000,3054ONCOLOGY 433812,A000000,03305,0000,3055CARDIOLOGY 433812,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433812,A000000,03307,0000,3057AUDIOLOGY 433812,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433812,A000000,03400,0000,3400CLINIC 433812,A000000,03500,0000,3500RURAL HEALTH CLINIC 433812,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433812,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433812,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433812,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433812,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433812,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433812,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433812,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433812,A000000,04400,0000,4400DME RENTED - HHA 433812,A000000,04500,0000,4500DME SOLD - HHA 433812,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433812,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433812,A000000,04710,0000,4710TELEMEDICINE 433812,A000000,04800,0000,4800AMBULANCE 433812,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433812,A000000,05000,0000,5000CORF 433812,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433812,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433812,A000000,05300,0000,5300INTEREST EXPENSE 433812,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433812,A000000,05500,0000,5500HOSPICE 433812,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433812,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433812,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433812,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433812,A000000,06100,0000,6100NONPAID WORKERS 433812,A000000,06200,0000,6200PATIENTS LAUNDRY 433812,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433812,A81000A,00100,0100,Y 433812,A81000B,00100,0300,HO BUILDING DEPRECIATION 433812,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433812,A81000B,00300,0300,INTEREST 433812,A81000B,00400,0300,MANAGEMENT FEES 433812,A81000B,00500,0300,MEDICAL SUPPLIES 433812,A81000B,00600,0300,MEDICAL SUPPLIES 433812,A81000B,00700,0300,MEDICAL SUPPLIES 433812,A81000B,00800,0300,DRUGS 433812,A81000B,00900,0300,DRUGS 433812,A81000B,01000,0300,DRUGS 433812,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 433812,A81000B,01200,0300,FAC BLDG DEPR 433812,A81000B,01300,0300,FAC EQUIP 433812,A81000B,01400,0300,FAC INTEREST 433812,A81000B,01500,0300,FAC AMORT 433812,A81000B,01600,0300,FAC A&G 433812,A81000C,00100,0100,A 433812,A81000C,00100,0200,R&S MCNEILL 433812,A81000C,00100,0400,LIBERTY LTC MGMT 433812,A81000C,00100,0600,HOME OFC 433812,A81000C,00200,0100,A 433812,A81000C,00200,0200,R&S MCNEILL 433812,A81000C,00200,0400,LIBERTY LTC MGMT 433812,A81000C,00200,0600,HOME OFC 433812,A81000C,00300,0100,A 433812,A81000C,00300,0200,R&S MCNEILL 433812,A81000C,00300,0400,LIBERTY LTC MGMT 433812,A81000C,00300,0600,HOME OFC 433812,A81000C,00400,0100,A 433812,A81000C,00400,0200,R&S MCNEILL 433812,A81000C,00400,0400,LIBERTY LTC MGMT 433812,A81000C,00400,0600,HOME OFC 433812,A81000C,00500,0100,A 433812,A81000C,00500,0200,R&S MCNEILL 433812,A81000C,00500,0400,LIBERTY MED SPEC 433812,A81000C,00500,0600,MED SUPPLY 433812,A81000C,00600,0100,A 433812,A81000C,00600,0200,R&S MCNEILL 433812,A81000C,00600,0400,LIBERTY MED SPEC 433812,A81000C,00600,0600,MED SUPPLY 433812,A81000C,00700,0100,A 433812,A81000C,00700,0200,R&S MCNEILL 433812,A81000C,00700,0400,LIBERTY MED SPEC 433812,A81000C,00700,0600,MED SUPPLY 433812,A81000C,00800,0100,A 433812,A81000C,00800,0200,R&S MCNEILL 433812,A81000C,00800,0400,MCNEILL PHARM 433812,A81000C,00800,0600,PHARMACY 433812,A81000C,00900,0100,A 433812,A81000C,00900,0200,R&S MCNEILL 433812,A81000C,00900,0400,MCNEILL PHARM 433812,A81000C,00900,0600,PHARMACY 433812,A81000C,01000,0100,A 433812,A81000C,01000,0200,R&S MCNEILL 433812,A81000C,01000,0400,MCNEILL PHARM 433812,A81000C,01000,0600,PHARMACY 433812,A81000C,01001,0100,A 433812,A81000C,01001,0200,R&S MCNEILL 433812,A81000C,01001,0400,LIBERTY PROPERTIES 433812,A81000C,01001,0600,BUILDING 433812,A81000C,01002,0100,A 433812,A81000C,01002,0200,R&S MCNEILL 433812,A81000C,01002,0400,LIBERTY PROPERTIES 433812,A81000C,01002,0600,BUILDING 433812,A81000C,01003,0100,A 433812,A81000C,01003,0200,R&S MCNEILL 433812,A81000C,01003,0400,LIBERTY PROPERTIES 433812,A81000C,01003,0600,BUILDING 433812,A81000C,01004,0100,A 433812,A81000C,01004,0200,R&S MCNEILL 433812,A81000C,01004,0400,LIBERTY PROPERTIES 433812,A81000C,01004,0600,BUILDING 433812,A81000C,01005,0100,A 433812,A81000C,01005,0200,R&S MCNEILL 433812,A81000C,01005,0400,LIBERTY PROPERTIES 433812,A81000C,01005,0600,BUILDING 433812,A81000C,01006,0100,A 433812,A81000C,01006,0200,R&S MCNEILL 433812,A81000C,01006,0400,LIBERTY PROPERTIES 433812,A81000C,01006,0600,BUILDING 433812,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433812,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433812,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433812,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433812,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433812,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433812,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433812,B100000,00000,0800,0800MEALS SERVED :DIETARY 433812,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433812,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433812,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433812,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433812,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433812,G300000,02500,0000,BARBER & BEAUTY 433812,G300000,02501,0000,PERSONAL ITEM REVENUE 433812,G300000,02502,0000,EQUIPMENT RENTAL 433812,G300000,02503,0000,MISCELLANEOUS REVENUE 433812,S000000,00100,0200,03/01/12 433812,S200000,00100,0100,ROUTE 1 BOX 49C 433812,S200000,00200,0100,SWAN QUARTER 433812,S200000,00200,0200,NC 433812,S200000,00200,0300,27885 433812,S200000,00300,0100,HYDE 433812,S200000,00300,0200,34 433812,S200000,00300,0201,99934 433812,S200000,00300,0300,R 433812,S200000,00400,0100,CROSS CREEK HEALTH CARE 433812,S200000,00400,0200,345407 433812,S200000,00400,0300,07/11/97 433812,S200000,00400,0500,P 433812,S200000,00400,0600,P 433812,S200000,01500,0100,Y 433812,S200000,01501,0200,Y 433812,S200000,01600,0100,N 433812,S200000,01700,0100,N 433812,S200000,01800,0100,N 433812,S200000,02200,0100,N 433812,S200000,02800,0100,N 433812,S200000,02900,0100,N 433812,S200000,03000,0100,N 433812,S200000,03100,0100,N 433812,S200000,03200,0100,N 433812,S200000,03300,0100,N 433812,S200000,03300,0200,N 433812,S200000,04100,0100,N 433812,S200000,04200,0100,N 433812,S200000,04300,0100,N 433812,S200000,04600,0100,N 433812,S200000,04700,0100,N 433812,S200000,04700,0200,N 433812,S200000,04900,0100,N 433812,S200000,05000,0100,N 433812,S200000,05100,0100,N 433812,S200000,05200,0100,N 433812,S200000,05300,0100,N 433813,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433813,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433813,A000000,00300,0000,0300EMPLOYEE BENEFITS 433813,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433813,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433813,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433813,A000000,00700,0000,0700HOUSEKEEPING 433813,A000000,00800,0000,0800DIETARY 433813,A000000,00900,0000,0900NURSING ADMINISTRATION 433813,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433813,A000000,01100,0000,1100PHARMACY 433813,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433813,A000000,01300,0000,1300SOCIAL SERVICE 433813,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433813,A000000,01500,0000,1350PATIENT ACTIVITIES 433813,A000000,01600,0000,1600SKILLED NURSING FACILITY 433813,A000000,01800,0000,1800NURSING FACILITY 433813,A000000,01810,0000,1810ICF/MR 433813,A000000,01900,0000,1900OTHER LONG TERM CARE 433813,A000000,02100,0000,2100RADIOLOGY 433813,A000000,02200,0000,2200LABORATORY 433813,A000000,02300,0000,2300INTRAVENOUS THERAPY 433813,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433813,A000000,02500,0000,2500PHYSICAL THERAPY 433813,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433813,A000000,02700,0000,2700SPEECH PATHOLOGY 433813,A000000,02800,0000,2800ELECTROCARDIOLOGY 433813,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433813,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433813,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433813,A000000,03200,0000,3200SUPPORT SURFACES 433813,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433813,A000000,03400,0000,3400CLINIC 433813,A000000,03500,0000,3500RURAL HEALTH CLINIC 433813,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433813,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433813,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433813,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433813,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433813,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433813,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433813,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433813,A000000,04400,0000,4400DME RENTED - HHA 433813,A000000,04500,0000,4500DME SOLD - HHA 433813,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433813,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433813,A000000,04710,0000,4710TELEMEDICINE 433813,A000000,04800,0000,4800AMBULANCE 433813,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433813,A000000,05000,0000,5000CORF 433813,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433813,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433813,A000000,05300,0000,5300INTEREST EXPENSE 433813,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433813,A000000,05500,0000,5500HOSPICE 433813,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433813,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433813,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433813,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433813,A000000,06100,0000,6100NONPAID WORKERS 433813,A000000,06200,0000,6200PATIENTS LAUNDRY 433813,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433813,A81000A,00100,0100,Y 433813,A81000B,00100,0300,MANAGEMENT FEES 433813,A81000B,00200,0300,CAP REL BLDG 433813,A81000B,00300,0300,CAP REL EQUIP 433813,A81000B,00400,0300,NON CAPITAL 433813,A81000B,00500,0300,RELATED PARTY RENT 433813,A81000B,00600,0300,RELATED PARTY MORT INT 433813,A81000B,00700,0300,RELATED PARTY DEPN 433813,A81000B,00800,0300,RELATED PARTY DEPN 433813,A81000B,00900,0300,RELATED PARTY AMORT 433813,A81000B,01000,0300,CONTRACT SERVICES 433813,A81000B,01100,0300,CONTRACT SERVICES 433813,A81000B,01200,0300,CONTRACT SERVICES 433813,A81000B,01300,0300,NURSE CONSULTANT 433813,A81000B,01400,0300,CONSULTING 433813,A81000B,01500,0300,LEGEND DRUGS 433813,A81000B,01600,0300,STOCK DRUGS 433813,A81000B,01700,0300,MEDICAL RECORD SUPPLIES 433813,A81000B,01800,0300,NON LEGEND DRUGS 433813,A81000B,01900,0300,THERAPEUTIC BEDS 433813,A81000B,02000,0300,P/E SUPPLIES 433813,A81000B,02100,0300,P/E FOOD 433813,A81000B,02200,0300,MEDICAL SUPPLIES 433813,A81000C,00100,0100,B 433813,A81000C,00100,0200,NOAH DUNCAN TRUST 433813,A81000C,00100,0400,CC MANAGEMENT 433813,A81000C,00100,0600,MANAGEMENT 433813,A81000C,00200,0100,B 433813,A81000C,00200,0200,NOAH DUNCAN TRUST 433813,A81000C,00200,0400,CC MANAGEMENT 433813,A81000C,00200,0600,MANAGEMENT 433813,A81000C,00300,0100,B 433813,A81000C,00300,0200,NOAH DUNCAN TRUST 433813,A81000C,00300,0400,CC MANAGEMENT 433813,A81000C,00300,0600,MANAGEMENT 433813,A81000C,00400,0100,B 433813,A81000C,00400,0200,NOAH DUNCAN TRUST 433813,A81000C,00400,0400,CC MANAGEMENT 433813,A81000C,00400,0600,MANAGEMENT 433813,A81000C,00500,0100,B 433813,A81000C,00500,0200,NOAH DUNCAN TRUST 433813,A81000C,00500,0400,HAYMOUNT PARTNERS 433813,A81000C,00500,0600,RENTAL 433813,A81000C,00600,0100,B 433813,A81000C,00600,0200,NOAH DUNCAN TRUST 433813,A81000C,00600,0400,HAYMOUNT PARTNERS 433813,A81000C,00600,0600,RENTAL 433813,A81000C,00700,0100,B 433813,A81000C,00700,0200,NOAH DUNCAN TRUST 433813,A81000C,00700,0400,HAYMOUNT PARTNERS 433813,A81000C,00700,0600,RENTAL 433813,A81000C,00800,0100,B 433813,A81000C,00800,0200,NOAH DUNCAN TRUST 433813,A81000C,00800,0400,HAYMOUNT PARTNERS 433813,A81000C,00800,0600,RENTAL 433813,A81000C,00900,0100,B 433813,A81000C,00900,0200,NOAH DUNCAN TRUST 433813,A81000C,00900,0400,CTS 433813,A81000C,00900,0600,THERAPY 433813,A81000C,01000,0100,B 433813,A81000C,01000,0200,NOAH DUNCAN TRUST 433813,A81000C,01000,0400,CTS 433813,A81000C,01000,0600,THERAPY 433813,A81000C,01001,0100,B 433813,A81000C,01001,0200,NOAH DUNCAN TRUST 433813,A81000C,01001,0400,CTS 433813,A81000C,01001,0600,THERAPY 433813,A81000C,01002,0100,B 433813,A81000C,01002,0200,NOAH DUNCAN TRUST 433813,A81000C,01002,0400,CTS 433813,A81000C,01002,0600,THERAPY 433813,A81000C,01003,0100,B 433813,A81000C,01003,0200,NOAH DUNCAN TRUST 433813,A81000C,01003,0400,SERVANT PHARMACY 433813,A81000C,01003,0600,PHARMACY 433813,A81000C,01004,0100,B 433813,A81000C,01004,0200,NOAH DUNCAN TRUST 433813,A81000C,01004,0400,SERVANT PHARMACY 433813,A81000C,01004,0600,PHARMACY 433813,A81000C,01005,0100,B 433813,A81000C,01005,0200,NOAH DUNCAN TRUST 433813,A81000C,01005,0400,SERVANT PHARMACY 433813,A81000C,01005,0600,PHARMACY 433813,A81000C,01006,0100,B 433813,A81000C,01006,0200,NOAH DUNCAN TRUST 433813,A81000C,01006,0400,SERVANT PHARMACY 433813,A81000C,01006,0600,PHARMACY 433813,A81000C,01007,0100,B 433813,A81000C,01007,0200,NOAH DUNCAN TRUST 433813,A81000C,01007,0400,SERVANT PHARMACY 433813,A81000C,01007,0600,PHARMACY 433813,A81000C,01008,0100,B 433813,A81000C,01008,0200,NOAH DUNCAN TRUST 433813,A81000C,01008,0400,CC PEN THERAPY 433813,A81000C,01008,0600,SUPPLIES 433813,A81000C,01009,0100,B 433813,A81000C,01009,0200,NOAH DUNCAN TRUST 433813,A81000C,01009,0400,CC PEN THERAPY 433813,A81000C,01009,0600,SUPPLIES 433813,A81000C,01010,0100,B 433813,A81000C,01010,0200,NOAH DUNCAN TRUST 433813,A81000C,01010,0400,CC PEN THERAPY 433813,A81000C,01010,0600,SUPPLIES 433813,A81000C,01011,0100,B 433813,A81000C,01011,0200,NOAH DUNCAN TRUST 433813,A81000C,01011,0400,CC PEN THERAPY 433813,A81000C,01011,0600,SUPPLIES 433813,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433813,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433813,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433813,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433813,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433813,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433813,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433813,B100000,00000,0800,0800MEALS SERVED :DIETARY 433813,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433813,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433813,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433813,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433813,E10A180,00501,0100,09/13/12 433813,E10A180,00550,0100,05/25/12 433813,G300000,02500,0000,MEDICARE A BAD DEBT REVENUE 433813,G300000,02501,0000,BEAUTY SHOP INCOME 433813,G300000,02502,0000,CABLE TV REVENUE 433813,G300000,02503,0000,MISCELLANEOUS REVENUE 433813,S000000,00100,0200,02/29/12 433813,S200000,00100,0100,2346 BARRINGTON CIRCLE 433813,S200000,00200,0100,FAYETTEVILLE 433813,S200000,00200,0200,NC 433813,S200000,00200,0300,28303 433813,S200000,00300,0100,CUMBERLAND 433813,S200000,00300,0200,2560 433813,S200000,00300,0201,22180 433813,S200000,00300,0300,U 433813,S200000,00400,0100,HAYMOUNT REHAB & NURSING CENTER 433813,S200000,00400,0200,345414 433813,S200000,00400,0300,05/01/02 433813,S200000,00400,0500,P 433813,S200000,01500,0100,N 433813,S200000,01502,0200,Y 433813,S200000,01503,0200,Y 433813,S200000,01504,0200,Y 433813,S200000,01505,0000,IN2L 433813,S200000,01505,0200,Y 433813,S200000,01600,0100,Y 433813,S200000,01700,0100,N 433813,S200000,01800,0100,N 433813,S200000,02200,0100,N 433813,S200000,02800,0100,N 433813,S200000,02900,0100,N 433813,S200000,03000,0100,N 433813,S200000,03100,0100,N 433813,S200000,03200,0100,N 433813,S200000,03300,0100,N 433813,S200000,03300,0200,N 433813,S200000,03600,0100,N 433813,S200000,03600,0200,N 433813,S200000,04100,0100,N 433813,S200000,04200,0100,N 433813,S200000,04300,0100,N 433813,S200000,04600,0100,N 433813,S200000,04700,0100,N 433813,S200000,04700,0200,N 433813,S200000,04900,0100,N 433813,S200000,05000,0100,N 433813,S200000,05100,0100,N 433813,S200000,05200,0100,N 433814,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433814,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433814,A000000,00300,0000,0300EMPLOYEE BENEFITS 433814,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433814,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433814,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433814,A000000,00700,0000,0700HOUSEKEEPING 433814,A000000,00800,0000,0800DIETARY 433814,A000000,00900,0000,0900NURSING ADMINISTRATION 433814,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433814,A000000,01100,0000,1100PHARMACY 433814,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433814,A000000,01300,0000,1300SOCIAL SERVICE 433814,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433814,A000000,01600,0000,1600SKILLED NURSING FACILITY 433814,A000000,01800,0000,1800NURSING FACILITY 433814,A000000,01900,0000,1900OTHER LONG TERM CARE 433814,A000000,02100,0000,2100RADIOLOGY 433814,A000000,02200,0000,2200LABORATORY 433814,A000000,02300,0000,2300INTRAVENOUS THERAPY 433814,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433814,A000000,02500,0000,2500PHYSICAL THERAPY 433814,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433814,A000000,02700,0000,2700SPEECH PATHOLOGY 433814,A000000,02800,0000,2800ELECTROCARDIOLOGY 433814,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433814,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433814,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433814,A000000,03200,0000,3200SUPPORT SURFACES 433814,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433814,A000000,03400,0000,3400CLINIC 433814,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433814,A000000,04800,0000,4800AMBULANCE 433814,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433814,A000000,05000,0000,5000CORF 433814,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433814,A000000,05300,0000,5300INTEREST EXPENSE 433814,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433814,A000000,05500,0000,5500HOSPICE 433814,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433814,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433814,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433814,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433814,A000000,06100,0000,6100NONPAID WORKERS 433814,A000000,06200,0000,6200PATIENTS LAUNDRY 433814,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433814,A81000A,00100,0100,Y 433814,A81000B,00100,0300,NURSING CONSULTING 433814,A81000B,00200,0300,DIETARY CONSULTING 433814,A81000B,00300,0300,HOME OFFICE 433814,A81000B,00400,0300,INTEREST EXPENSE 433814,A81000B,00500,0300,WORKERS COMP EXPENSE 433814,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433814,A81000B,00700,0300,MAINTENANCE SUPPLIES 433814,A81000B,00800,0300,REPAIRS - EQUIPMENT 433814,A81000B,00900,0300,LINEN & BEDDING 433814,A81000B,01000,0300,LAUNDRY SUPPLIES 433814,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433814,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 433814,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 433814,A81000B,01400,0300,DIETARY SUPPLEMENTS 433814,A81000B,01500,0300,DIETARY SUPPLIES 433814,A81000B,01600,0300,BIO-MEDICAL WASTE 433814,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433814,A81000B,01800,0300,MISCELLANEOUS EXPENSE 433814,A81000B,01900,0300,NURSING EQUIPMENT RENTAL 433814,A81000B,02000,0300,PERSONAL CARE SUPPLIES 433814,A81000B,02100,0300,INCONTINENCE SUPPLIES 433814,A81000B,02200,0300,MEDICAL SUPPLIES 433814,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 433814,A81000B,02400,0300,MINOR EQUIPMENT EXPENSE 433814,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 433814,A81000B,02600,0300,SUPPLIES 433814,A81000B,02700,0300,SUPPLIES 433814,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 433814,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 433814,A81000C,00100,0100,B 433814,A81000C,00100,0200,PLTC & PITS INC 433814,A81000C,00100,0400,PLTC & PITS INC 433814,A81000C,00100,0600,MGMT SERVICES 433814,A81000C,00200,0100,B 433814,A81000C,00200,0200,PLTC & PITS INC 433814,A81000C,00200,0400,PLTC & PITS INC 433814,A81000C,00200,0600,MGMT SERVICES 433814,A81000C,00300,0100,B 433814,A81000C,00300,0200,PLTC & PITS INC 433814,A81000C,00300,0400,PLTC & PITS INC 433814,A81000C,00300,0600,MGMT SERVICES 433814,A81000C,00400,0100,B 433814,A81000C,00400,0200,PLTC & PITS INC 433814,A81000C,00400,0400,PLTC & PITS INC 433814,A81000C,00400,0600,MGMT SERVICES 433814,A81000C,00500,0100,A 433814,A81000C,00500,0200,SHAREHOLDERS 433814,A81000C,00500,0400,DISCOVERY INSUR 433814,A81000C,00500,0600,INSURANCE 433814,A81000C,00600,0100,A 433814,A81000C,00600,0200,SHAREHOLDERS 433814,A81000C,00600,0400,QUEENSLAND ASSU 433814,A81000C,00600,0600,INSURANCE 433814,A81000C,00700,0100,A 433814,A81000C,00700,0200,SHAREHOLDERS 433814,A81000C,00700,0400,KARE MEDICAL 433814,A81000C,00700,0600,WHOLESALE SUPPL 433814,A81000C,00800,0100,A 433814,A81000C,00800,0200,SHAREHOLDERS 433814,A81000C,00800,0400,KARE MEDICAL 433814,A81000C,00800,0600,WHOLESALE SUPPL 433814,A81000C,00900,0100,A 433814,A81000C,00900,0200,SHAREHOLDERS 433814,A81000C,00900,0400,KARE MEDICAL 433814,A81000C,00900,0600,WHOLESALE SUPPL 433814,A81000C,01000,0100,A 433814,A81000C,01000,0200,SHAREHOLDERS 433814,A81000C,01000,0400,KARE MEDICAL 433814,A81000C,01000,0600,WHOLESALE SUPPL 433814,A81000C,01001,0100,A 433814,A81000C,01001,0200,SHAREHOLDERS 433814,A81000C,01001,0400,KARE MEDICAL 433814,A81000C,01001,0600,WHOLESALE SUPPL 433814,A81000C,01002,0100,A 433814,A81000C,01002,0200,SHAREHOLDERS 433814,A81000C,01002,0400,KARE MEDICAL 433814,A81000C,01002,0600,WHOLESALE SUPPL 433814,A81000C,01003,0100,A 433814,A81000C,01003,0200,SHAREHOLDERS 433814,A81000C,01003,0400,KARE MEDICAL 433814,A81000C,01003,0600,WHOLESALE SUPPL 433814,A81000C,01004,0100,A 433814,A81000C,01004,0200,SHAREHOLDERS 433814,A81000C,01004,0400,KARE MEDICAL 433814,A81000C,01004,0600,WHOLESALE SUPPL 433814,A81000C,01005,0100,A 433814,A81000C,01005,0200,SHAREHOLDERS 433814,A81000C,01005,0400,KARE MEDICAL 433814,A81000C,01005,0600,WHOLESALE SUPPL 433814,A81000C,01006,0100,A 433814,A81000C,01006,0200,SHAREHOLDERS 433814,A81000C,01006,0400,KARE MEDICAL 433814,A81000C,01006,0600,WHOLESALE SUPPL 433814,A81000C,01007,0100,A 433814,A81000C,01007,0200,SHAREHOLDERS 433814,A81000C,01007,0400,KARE MEDICAL 433814,A81000C,01007,0600,WHOLESALE SUPPL 433814,A81000C,01008,0100,A 433814,A81000C,01008,0200,SHAREHOLDERS 433814,A81000C,01008,0400,KARE MEDICAL 433814,A81000C,01008,0600,WHOLESALE SUPPL 433814,A81000C,01009,0100,A 433814,A81000C,01009,0200,SHAREHOLDERS 433814,A81000C,01009,0400,KARE MEDICAL 433814,A81000C,01009,0600,WHOLESALE SUPPL 433814,A81000C,01010,0100,A 433814,A81000C,01010,0200,SHAREHOLDERS 433814,A81000C,01010,0400,KARE MEDICAL 433814,A81000C,01010,0600,WHOLESALE SUPPL 433814,A81000C,01011,0100,A 433814,A81000C,01011,0200,SHAREHOLDERS 433814,A81000C,01011,0400,KARE MEDICAL 433814,A81000C,01011,0600,WHOLESALE SUPPL 433814,A81000C,01012,0100,A 433814,A81000C,01012,0200,SHAREHOLDERS 433814,A81000C,01012,0400,KARE MEDICAL 433814,A81000C,01012,0600,WHOLESALE SUPPL 433814,A81000C,01013,0100,A 433814,A81000C,01013,0200,SHAREHOLDERS 433814,A81000C,01013,0400,KARE MEDICAL 433814,A81000C,01013,0600,WHOLESALE SUPPL 433814,A81000C,01014,0100,A 433814,A81000C,01014,0200,SHAREHOLDERS 433814,A81000C,01014,0400,KARE MEDICAL 433814,A81000C,01014,0600,WHOLESALE SUPPL 433814,A81000C,01015,0100,A 433814,A81000C,01015,0200,SHAREHOLDERS 433814,A81000C,01015,0400,KARE MEDICAL 433814,A81000C,01015,0600,WHOLESALE SUPPL 433814,A81000C,01016,0100,A 433814,A81000C,01016,0200,SHAREHOLDERS 433814,A81000C,01016,0400,KARE MEDICAL 433814,A81000C,01016,0600,WHOLESALE SUPPL 433814,A81000C,01017,0100,A 433814,A81000C,01017,0200,SHAREHOLDERS 433814,A81000C,01017,0400,KARE MEDICAL 433814,A81000C,01017,0600,WHOLESALE SUPPL 433814,A81000C,01018,0100,A 433814,A81000C,01018,0200,SHAREHOLDERS 433814,A81000C,01018,0400,KARE MEDICAL 433814,A81000C,01018,0600,WHOLESALE SUPPL 433814,A81000C,01019,0100,A 433814,A81000C,01019,0200,SHAREHOLDERS 433814,A81000C,01019,0400,PHARMSAVE 433814,A81000C,01019,0600,RX SUPPLY 433814,A81000C,01020,0100,A 433814,A81000C,01020,0200,SHAREHOLDERS 433814,A81000C,01020,0400,PHARMSAVE 433814,A81000C,01020,0600,RX SUPPLY 433814,A81000C,01021,0100,A 433814,A81000C,01021,0200,SHAREHOLDERS 433814,A81000C,01021,0400,PHARMSAVE 433814,A81000C,01021,0600,RX SUPPLY 433814,A81000C,01022,0100,A 433814,A81000C,01022,0200,SHAREHOLDERS 433814,A81000C,01022,0400,PHARMSAVE 433814,A81000C,01022,0600,RX SUPPLY 433814,A81000C,01023,0100,A 433814,A81000C,01023,0200,SHAREHOLDERS 433814,A81000C,01023,0400,PHARMSAVE 433814,A81000C,01023,0600,RX SUPPLY 433814,A81000C,01024,0100,A 433814,A81000C,01024,0200,SHAREHOLDERS 433814,A81000C,01024,0400,ROBERT HILL CON 433814,A81000C,01024,0600,CONSTRUCTION 433814,A81000C,01025,0100,A 433814,A81000C,01025,0200,SHAREHOLDERS 433814,A81000C,01025,0400,ROBERT HILL CON 433814,A81000C,01025,0600,CONSTRUCITION 433814,A81000C,01026,0100,A 433814,A81000C,01026,0200,SHAREHOLDERS 433814,A81000C,01026,0400,ROBERT HILL CON 433814,A81000C,01026,0600,CONSTRUCTION 433814,A81000C,01027,0100,A 433814,A81000C,01027,0200,SHAREHOLDERS 433814,A81000C,01027,0400,HILLCO LTD 433814,A81000C,01027,0600,REAL ESTATE 433814,A81000C,01028,0100,A 433814,A81000C,01028,0200,SHAREHOLDERS 433814,A81000C,01028,0400,BRITTHAVEN INC 433814,A81000C,01028,0600,REAL ESTATE 433814,A81000C,01029,0100,A 433814,A81000C,01029,0200,SHAREHOLDERS 433814,A81000C,01029,0400,BRITTHAVEN INC 433814,A81000C,01029,0600,REAL ESTATE 433814,A81000C,01030,0100,A 433814,A81000C,01030,0200,SHAREHOLDERS 433814,A81000C,01030,0400,BRITTHAVEN INC 433814,A81000C,01030,0600,REAL ESTATE 433814,A81000C,01031,0100,A 433814,A81000C,01031,0200,SHAREHOLDERS 433814,A81000C,01031,0400,BRITTHAVEN INC 433814,A81000C,01031,0600,REAL ESTATE 433814,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433814,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433814,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433814,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433814,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433814,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433814,B100000,00000,0800,0800MEALS SERVED :DIETARY 433814,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433814,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433814,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433814,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433814,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433814,E10A180,00550,0100,02/29/12 433814,G300000,02500,0000, OTHER (SPECIFY) 433814,S000000,00100,0200,02/29/12 433814,S200000,00100,0100,110 MCCOTTER BLVD 433814,S200000,00200,0100,HAVELOCK 433814,S200000,00200,0200,NC 433814,S200000,00200,0300,28532 433814,S200000,00300,0100,CRAVEN 433814,S200000,00300,0201,99934 433814,S200000,00300,0300,R 433814,S200000,00400,0100,CHERRY POINT BAY NURSING & REHAB CTR 433814,S200000,00400,0200,345487 433814,S200000,00400,0300,01/01/11 433814,S200000,00400,0500,P 433814,S200000,01500,0100,Y 433814,S200000,01501,0200,Y 433814,S200000,01502,0200,Y 433814,S200000,01503,0200,Y 433814,S200000,01504,0200,Y 433814,S200000,01505,0000,OTHER (SPECIFY) 433814,S200000,01505,0200,Y 433814,S200000,01600,0100,N 433814,S200000,01700,0100,N 433814,S200000,01800,0100,N 433814,S200000,02200,0100,N 433814,S200000,02800,0100,N 433814,S200000,02900,0100,N 433814,S200000,03000,0100,N 433814,S200000,03100,0100,N 433814,S200000,03200,0100,N 433814,S200000,03300,0100,N 433814,S200000,03300,0200,N 433814,S200000,04100,0100,N 433814,S200000,04200,0100,N 433814,S200000,04300,0100,N 433814,S200000,04600,0100,N 433814,S200000,04700,0100,N 433814,S200000,04700,0200,N 433814,S200000,04900,0100,N 433814,S200000,05000,0100,N 433814,S200000,05100,0100,N 433814,S200000,05200,0100,N 433814,S200000,05300,0100,Y 433814,S200000,05300,0200,349011 433814,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 433814,S200000,05400,0200,PALMETTO GBA 433814,S200000,05400,0300,11501 433814,S200000,05500,0100,1435 HWY 258 NORTH 433814,S200000,05600,0100,KINSTON 433814,S200000,05600,0200,NC 433814,S200000,05600,0300,28502 433822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433822,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433822,A000000,00300,0000,0300EMPLOYEE BENEFITS 433822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433822,A000000,00700,0000,0700HOUSEKEEPING 433822,A000000,00800,0000,0800DIETARY 433822,A000000,00900,0000,0900NURSING ADMINISTRATION 433822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433822,A000000,01100,0000,1100PHARMACY 433822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433822,A000000,01300,0000,1300SOCIAL SERVICE 433822,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433822,A000000,01500,0000,1350RECREATION 433822,A000000,01600,0000,1600SKILLED NURSING FACILITY 433822,A000000,01810,0000,1810ICF/MR 433822,A000000,02100,0000,2100RADIOLOGY 433822,A000000,02200,0000,2200LABORATORY 433822,A000000,02300,0000,2300INTRAVENOUS THERAPY 433822,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433822,A000000,02500,0000,2500PHYSICAL THERAPY 433822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433822,A000000,02700,0000,2700SPEECH PATHOLOGY 433822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433822,A000000,03550,0000,3550FQHC 433822,A000000,04801,0000,4801AMBULANCE 433822,A000000,04802,0000,4802AMBULANCE 433822,A000000,04803,0000,4803AMBULANCE 433822,A000000,05000,0000,5000CORF 433822,A000000,05010,0000,5010CMHC 433822,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433822,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433822,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433822,A81000A,00100,0100,Y 433822,A81000B,00100,0300,SEE ATTACHED 433822,A81000B,00200,0300,HOME OFFICE INTEREST 433822,A81000B,00300,0300,HOME OFFICE A&G 433822,A81000B,00400,0300,HOME OFFICE CAP PIEC 433822,A81000C,00100,0100,B 433822,A81000C,00100,0400,SEE ATTACHED 433822,A81000C,00100,0600,VARIOUS 433822,A81000C,00200,0100,B 433822,A81000C,00200,0400,GHC 433822,A81000C,00200,0600,LONG TERM CARE 433822,A81000C,00300,0100,B 433822,A81000C,00300,0400,GHC 433822,A81000C,00300,0600,LONG TERM CARE 433822,A81000C,00400,0100,B 433822,A81000C,00400,0400,GHC 433822,A81000C,00400,0600,LONG TERM CARE 433822,B100000,00000,0100,0100SQUARE FEET 433822,B100000,00000,0200,0200SQUARE FEET 433822,B100000,00000,0300,0300GROSS SALARIES 433822,B100000,00000,0400,0400ACCUM COST 433822,B100000,00000,0500,0500SQUARE FEET 433822,B100000,00000,0600,0600PATIENT DAYS 433822,B100000,00000,0700,0700SQUARE FEET 433822,B100000,00000,0800,0800MEALS SERVED 433822,B100000,00000,0900,0900NURSING SALARIES 433822,B100000,00000,1000,1000COSTED REQUIS 433822,B100000,00000,1100,1100COSTED REQUIS 433822,B100000,00000,1200,1200PATIENT DAYS 433822,B100000,00000,1300,1300PATIENT DAYS 433822,B100000,00000,1400,1400ASSIGNED TIME 433822,B100000,00000,1500,1350PATIENT DAYS 433822,E10A180,00501,0100,01/12/12 433822,E10A180,00501,0300,01/12/12 433822,G300000,02500,0000,BARBER AND BEAUTY 433822,S000000,00100,0200,12/02/11 433822,S200000,00100,0100,1113 NORTH EASTON ROAD 433822,S200000,00200,0100,WILLOW GROVE 433822,S200000,00200,0200,PA 433822,S200000,00200,0300,19090 433822,S200000,00300,0100,MONTGOMERY 433822,S200000,00300,0201,37964 433822,S200000,00300,0300,U 433822,S200000,00400,0100,GARDEN SPRING CENTER 433822,S200000,00400,0200,395077 433822,S200000,00400,0300,01/01/86 433822,S200000,00400,0500,P 433822,S200000,01500,0100,Y 433822,S200000,01501,0200,N 433822,S200000,01502,0200,N 433822,S200000,01503,0200,N 433822,S200000,01504,0200,N 433822,S200000,01600,0100,N 433822,S200000,01700,0100,N 433822,S200000,01800,0100,N 433822,S200000,01900,0100,LLC 433822,S200000,02200,0100,Y 433822,S200000,02800,0100,N 433822,S200000,02900,0100,N 433822,S200000,03000,0100,N 433822,S200000,03100,0100,N 433822,S200000,03200,0100,N 433822,S200000,03300,0100,N 433822,S200000,03300,0200,N 433822,S200000,04200,0100,N 433822,S200000,04300,0100,N 433822,S200000,04600,0100,N 433822,S200000,04700,0100,N 433822,S200000,04900,0100,N 433822,S200000,05200,0100,N 433822,S200000,05300,0100,Y 433822,S200000,05300,0200,HB0067 433822,S200000,05400,0100,GENESIS HEALTHCARE LLC 433822,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433822,S200000,05400,0300,12001 433822,S200000,05500,0100,101 EAST STATE STREET 433822,S200000,05600,0100,KENNETT SQUARE 433822,S200000,05600,0200,PA 433822,S200000,05600,0300,19348 433826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433826,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433826,A000000,00300,0000,0300EMPLOYEE BENEFITS 433826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433826,A000000,00700,0000,0700HOUSEKEEPING 433826,A000000,00800,0000,0800DIETARY 433826,A000000,00900,0000,0900NURSING ADMINISTRATION 433826,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433826,A000000,01100,0000,1100PHARMACY 433826,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433826,A000000,01300,0000,1300SOCIAL SERVICE 433826,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433826,A000000,01500,0000,1350RECREATION 433826,A000000,01600,0000,1600SKILLED NURSING FACILITY 433826,A000000,01810,0000,1810ICF/MR 433826,A000000,02100,0000,2100RADIOLOGY 433826,A000000,02200,0000,2200LABORATORY 433826,A000000,02300,0000,2300INTRAVENOUS THERAPY 433826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433826,A000000,02500,0000,2500PHYSICAL THERAPY 433826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433826,A000000,02700,0000,2700SPEECH PATHOLOGY 433826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433826,A000000,03550,0000,3550FQHC 433826,A000000,04801,0000,4801AMBULANCE 433826,A000000,04802,0000,4802AMBULANCE 433826,A000000,04803,0000,4803AMBULANCE 433826,A000000,05000,0000,5000CORF 433826,A000000,05010,0000,5010CMHC 433826,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433826,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433826,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433826,A81000A,00100,0100,Y 433826,A81000B,00100,0300,SEE ATTACHED 433826,A81000B,00200,0300,HOME OFFICE 433826,A81000B,00300,0300,HOME OFFICE 433826,A81000C,00100,0100,B 433826,A81000C,00100,0400,SEE ATTACHED 433826,A81000C,00100,0600,VARIOUS 433826,A81000C,00200,0100,B 433826,A81000C,00200,0400,GHC 433826,A81000C,00200,0600,LONG TERM CARE 433826,A81000C,00300,0100,B 433826,A81000C,00300,0400,GHC 433826,A81000C,00300,0600,LONG TERM CARE 433826,B100000,00000,0100,0100SQUARE FEET 433826,B100000,00000,0200,0200SQUARE FEET 433826,B100000,00000,0300,0300GROSS SALARIES 433826,B100000,00000,0400,0400ACCUM COST 433826,B100000,00000,0500,0500SQUARE FEET 433826,B100000,00000,0600,0600PATIENT DAYS 433826,B100000,00000,0700,0700SQUARE FEET 433826,B100000,00000,0800,0800MEALS SERVED 433826,B100000,00000,0900,0900NURSING SALARIES 433826,B100000,00000,1000,1000COSTED REQUIS 433826,B100000,00000,1100,1100COSTED REQUIS 433826,B100000,00000,1200,1200PATIENT DAYS 433826,B100000,00000,1300,1300PATIENT DAYS 433826,B100000,00000,1400,1400ASSIGNED TIME 433826,B100000,00000,1500,1350PATIENT DAYS 433826,E10A180,00502,0300,01/04/12 433826,E10A180,00550,0100,01/04/12 433826,G300000,02500,0000,BARBER & BEAUTY 433826,S000000,00100,0200,12/02/11 433826,S200000,00100,0100,100 EDELLA ROAD 433826,S200000,00200,0100,CLARKS SUMMIT 433826,S200000,00200,0200,PA 433826,S200000,00200,0300,18411 433826,S200000,00300,0100,LACKAWANNA 433826,S200000,00300,0201,42540 433826,S200000,00300,0300,U 433826,S200000,00400,0100,ABINGTON MANOR 433826,S200000,00400,0200,395701 433826,S200000,00400,0300,07/08/85 433826,S200000,00400,0500,P 433826,S200000,01500,0100,Y 433826,S200000,01501,0200,N 433826,S200000,01502,0200,N 433826,S200000,01503,0200,N 433826,S200000,01504,0200,N 433826,S200000,01600,0100,N 433826,S200000,01700,0100,N 433826,S200000,01800,0100,N 433826,S200000,01900,0100,LLC 433826,S200000,02200,0100,Y 433826,S200000,02800,0100,N 433826,S200000,02900,0100,N 433826,S200000,03000,0100,N 433826,S200000,03100,0100,N 433826,S200000,03200,0100,N 433826,S200000,03300,0100,N 433826,S200000,03300,0200,N 433826,S200000,04200,0100,N 433826,S200000,04300,0100,N 433826,S200000,04600,0100,N 433826,S200000,04700,0100,N 433826,S200000,04900,0100,N 433826,S200000,05200,0100,N 433826,S200000,05300,0100,Y 433826,S200000,05300,0200,HB0067 433826,S200000,05400,0100,GENESIS HEALTHCARE LLC 433826,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433826,S200000,05400,0300,12001 433826,S200000,05500,0100,101 EAST STATE STREET 433826,S200000,05600,0100,KENNETT SQUARE 433826,S200000,05600,0200,PA 433826,S200000,05600,0300,19348 433828,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433828,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433828,A000000,00300,0000,0300EMPLOYEE BENEFITS 433828,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433828,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433828,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433828,A000000,00700,0000,0700HOUSEKEEPING 433828,A000000,00800,0000,0800DIETARY 433828,A000000,00900,0000,0900NURSING ADMINISTRATION 433828,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433828,A000000,01100,0000,1100PHARMACY 433828,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433828,A000000,01300,0000,1300SOCIAL SERVICE 433828,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433828,A000000,01500,0000,1350RECREATION 433828,A000000,01600,0000,1600SKILLED NURSING FACILITY 433828,A000000,01810,0000,1810ICF/MR 433828,A000000,02100,0000,2100RADIOLOGY 433828,A000000,02200,0000,2200LABORATORY 433828,A000000,02300,0000,2300INTRAVENOUS THERAPY 433828,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433828,A000000,02500,0000,2500PHYSICAL THERAPY 433828,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433828,A000000,02700,0000,2700SPEECH PATHOLOGY 433828,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433828,A000000,03550,0000,3550FQHC 433828,A000000,04801,0000,4801AMBULANCE 433828,A000000,04802,0000,4802AMBULANCE 433828,A000000,04803,0000,4803AMBULANCE 433828,A000000,05000,0000,5000CORF 433828,A000000,05010,0000,5010CMHC 433828,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433828,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433828,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433828,A81000A,00100,0100,Y 433828,A81000B,00100,0300,AS ATTACHED 433828,A81000B,00200,0300,HOME OFFICE INTEREST 433828,A81000B,00300,0300,HOME OFFICE A&G 433828,A81000B,00400,0300,HOME OFFICE CAP PIEC 433828,A81000C,00100,0100,B 433828,A81000C,00100,0400,AS ATTACHED 433828,A81000C,00100,0600,VARIOUS 433828,A81000C,00200,0100,B 433828,A81000C,00200,0400,GH LLC 433828,A81000C,00200,0600,LONG TERM CARE 433828,A81000C,00300,0100,B 433828,A81000C,00300,0400,GH LLC 433828,A81000C,00300,0600,LONG TERM CARE 433828,A81000C,00400,0100,B 433828,A81000C,00400,0400,GH LLC 433828,A81000C,00400,0600,LONG TERM CARE 433828,B100000,00000,0100,0100SQUARE FEET 433828,B100000,00000,0200,0200SQUARE FEET 433828,B100000,00000,0300,0300GROSS SALARIES 433828,B100000,00000,0400,0400ACCUM COST 433828,B100000,00000,0500,0500SQUARE FEET 433828,B100000,00000,0600,0600PATIENT DAYS 433828,B100000,00000,0700,0700SQUARE FEET 433828,B100000,00000,0800,0800MEALS SERVED 433828,B100000,00000,0900,0900NURSING SALARIES 433828,B100000,00000,1000,1000COSTED REQUIS 433828,B100000,00000,1100,1100COSTED REQUIS 433828,B100000,00000,1200,1200PATIENT DAYS 433828,B100000,00000,1300,1300PATIENT DAYS 433828,B100000,00000,1400,1400ASSIGNED TIME 433828,B100000,00000,1500,1350PATIENT DAYS 433828,E10A180,00501,0300,01/04/12 433828,E10A180,00550,0100,01/04/12 433828,G300000,02500,0000,BARBER & BEAUTY 433828,S000000,00100,0200,12/02/11 433828,S200000,00100,0100,184 BETHLEHEM PIKE 433828,S200000,00200,0100,PHILADELPHIA 433828,S200000,00200,0200,PA 433828,S200000,00200,0300,19118 433828,S200000,00300,0100,PHILADELPHIA 433828,S200000,00300,0201,37964 433828,S200000,00300,0300,U 433828,S200000,00400,0100,FAIRVIEW CARE CENTER OF BETHLEHEM PK 433828,S200000,00400,0200,395782 433828,S200000,00400,0300,03/02/89 433828,S200000,00400,0500,P 433828,S200000,01500,0100,Y 433828,S200000,01501,0200,N 433828,S200000,01502,0200,N 433828,S200000,01503,0200,N 433828,S200000,01504,0200,N 433828,S200000,01600,0100,N 433828,S200000,01700,0100,N 433828,S200000,01800,0100,N 433828,S200000,01900,0100,LLC 433828,S200000,02200,0100,Y 433828,S200000,02800,0100,N 433828,S200000,02900,0100,N 433828,S200000,03000,0100,N 433828,S200000,03100,0100,N 433828,S200000,03200,0100,N 433828,S200000,03300,0100,N 433828,S200000,03300,0200,N 433828,S200000,04200,0100,N 433828,S200000,04300,0100,N 433828,S200000,04600,0100,N 433828,S200000,04700,0100,N 433828,S200000,04900,0100,N 433828,S200000,05200,0100,N 433828,S200000,05300,0100,Y 433828,S200000,05300,0200,HB0067 433828,S200000,05400,0100,GENESIS HEALTHCARE LLC 433828,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433828,S200000,05400,0300,12001 433828,S200000,05500,0100,101 EAST STATE STREET 433828,S200000,05600,0100,KENNETT SQUARE 433828,S200000,05600,0200,PA 433828,S200000,05600,0300,19348 433839,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433839,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433839,A000000,00300,0000,0300EMPLOYEE BENEFITS 433839,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433839,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433839,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433839,A000000,00700,0000,0700HOUSEKEEPING 433839,A000000,00800,0000,0800DIETARY 433839,A000000,00900,0000,0900NURSING ADMINISTRATION 433839,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433839,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433839,A000000,01300,0000,1300SOCIAL SERVICE 433839,A000000,01600,0000,1600SKILLED NURSING FACILITY 433839,A000000,01800,0000,1800NURSING FACILITY 433839,A000000,02100,0000,2100RADIOLOGY 433839,A000000,02200,0000,2200LABORATORY 433839,A000000,02500,0000,2500PHYSICAL THERAPY 433839,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433839,A000000,02700,0000,2700SPEECH PATHOLOGY 433839,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433839,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433839,A000000,04800,0000,4800AMBULANCE 433839,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433839,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433839,A81000A,00100,0100,Y 433839,A81000B,00100,0300,HOME OFFICE COSTS 433839,A81000C,00100,0100,A 433839,A81000C,00100,0200,LETICIA PEREZ 433839,A81000C,00100,0400,LTP CARE CONTIN 433839,A81000C,00100,0600,HOME OFFICE 433839,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433839,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433839,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433839,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433839,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433839,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433839,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433839,B100000,00000,0800,0800MEALS SERVED :DIETARY 433839,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433839,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 433839,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433839,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433839,G300000,02500,0000, OTHER (SPECIFY) 433839,G300000,02501,0000,PRIOR YEAR EXPENSE 433839,S000000,00100,0200,10/15/12 433839,S200000,00100,0100,1833 TENTH AVENUE 433839,S200000,00200,0100,OAKLAND 433839,S200000,00200,0200,CA 433839,S200000,00200,0300,94606 433839,S200000,00300,0100,ALAMEDA 433839,S200000,00300,0201,36084 433839,S200000,00300,0300,U 433839,S200000,00400,0100,OAKLAND SPRINGS HEALTHCARE CENTER 433839,S200000,00400,0200,555851 433839,S200000,00400,0300,01/01/86 433839,S200000,00400,0500,P 433839,S200000,01500,0100,Y 433839,S200000,01501,0200,N 433839,S200000,01502,0200,Y 433839,S200000,01503,0200,Y 433839,S200000,01504,0200,N 433839,S200000,01600,0100,N 433839,S200000,01700,0100,N 433839,S200000,01800,0100,N 433839,S200000,02200,0100,N 433839,S200000,02800,0100,N 433839,S200000,02900,0100,N 433839,S200000,03000,0100,N 433839,S200000,03100,0100,N 433839,S200000,03200,0100,N 433839,S200000,03300,0100,N 433839,S200000,03300,0200,N 433839,S200000,04100,0100,N 433839,S200000,04200,0100,N 433839,S200000,04300,0100,N 433839,S200000,04600,0100,N 433839,S200000,04700,0100,N 433839,S200000,04700,0200,N 433839,S200000,04900,0100,N 433839,S200000,05000,0100,N 433839,S200000,05100,0100,N 433839,S200000,05200,0100,N 433839,S200000,05300,0100,Y 433839,S200000,05300,0200,HB0581 433839,S200000,05400,0100,LTP CARE CONTINUUM 433839,S200000,05400,0200,PALMETTO GBA 433839,S200000,05400,0300,01001 433839,S200000,05500,0200,PO BOX 12 433839,S200000,05600,0100,ALAMO 433839,S200000,05600,0200,CA 433839,S200000,05600,0300,94507 433853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433853,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433853,A000000,00300,0000,0300EMPLOYEE BENEFITS 433853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433853,A000000,00700,0000,0700HOUSEKEEPING 433853,A000000,00800,0000,0800DIETARY 433853,A000000,00900,0000,0900NURSING ADMINISTRATION 433853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433853,A000000,01100,0000,1100PHARMACY 433853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433853,A000000,01300,0000,1300SOCIAL SERVICE 433853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433853,A000000,01500,0000,1350RECREATION 433853,A000000,01600,0000,1600SKILLED NURSING FACILITY 433853,A000000,01810,0000,1810ICF/MR 433853,A000000,02100,0000,2100RADIOLOGY 433853,A000000,02200,0000,2200LABORATORY 433853,A000000,02300,0000,2300INTRAVENOUS THERAPY 433853,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433853,A000000,02500,0000,2500PHYSICAL THERAPY 433853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433853,A000000,02700,0000,2700SPEECH PATHOLOGY 433853,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433853,A000000,03550,0000,3550FQHC 433853,A000000,04801,0000,4801AMBULANCE 433853,A000000,04802,0000,4802AMBULANCE 433853,A000000,04803,0000,4803AMBULANCE 433853,A000000,05000,0000,5000CORF 433853,A000000,05010,0000,5010CMHC 433853,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433853,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433853,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433853,A81000A,00100,0100,Y 433853,A81000B,00100,0300,SEE ATTACHED 433853,A81000B,00200,0300,CAPITAL INTEREST 433853,A81000B,00300,0300,HOME OFFICE 433853,A81000B,00400,0300,HOME OFFICE 433853,A81000C,00100,0100,B 433853,A81000C,00100,0400,SEE ATTACHED 433853,A81000C,00100,0600,VARIOUS 433853,A81000C,00200,0100,B 433853,A81000C,00200,0400,GHC 433853,A81000C,00200,0600,LONG TERM CARE 433853,A81000C,00300,0100,B 433853,A81000C,00300,0400,GHC 433853,A81000C,00300,0600,LONG TERM CARE 433853,A81000C,00400,0100,B 433853,A81000C,00400,0400,GHC 433853,A81000C,00400,0600,LONG TERM CARE 433853,B100000,00000,0100,0100SQUARE FEET 433853,B100000,00000,0200,0200SQUARE FEET 433853,B100000,00000,0300,0300GROSS SALARIES 433853,B100000,00000,0400,0400ACCUM COST 433853,B100000,00000,0500,0500SQUARE FEET 433853,B100000,00000,0600,0600PATIENT DAYS 433853,B100000,00000,0700,0700SQUARE FEET 433853,B100000,00000,0800,0800MEALS SERVED 433853,B100000,00000,0900,0900NURSING SALARIES 433853,B100000,00000,1000,1000COSTED REQUIS 433853,B100000,00000,1100,1100COSTED REQUIS 433853,B100000,00000,1200,1200PATIENT DAYS 433853,B100000,00000,1300,1300PATIENT DAYS 433853,B100000,00000,1400,1400ASSIGNED TIME 433853,B100000,00000,1500,1350PATIENT DAYS 433853,E10A180,00501,0300,02/07/12 433853,E10A180,00550,0100,02/07/12 433853,G300000,02500,0000,BARBER & BEAUTY 433853,S000000,00100,0200,09/12/11 433853,S200000,00100,0100,292 APPLEGARTH ROAD 433853,S200000,00200,0100,MONROE TOWNSHIP 433853,S200000,00200,0200,NJ 433853,S200000,00200,0300,08831 433853,S200000,00300,0100,MIDDLESEX 433853,S200000,00300,0201,20764 433853,S200000,00300,0300,U 433853,S200000,00400,0100,CRANBURY CENTER 433853,S200000,00400,0200,315353 433853,S200000,00400,0300,06/07/96 433853,S200000,00400,0500,P 433853,S200000,01500,0100,Y 433853,S200000,01501,0200,N 433853,S200000,01502,0200,N 433853,S200000,01503,0200,N 433853,S200000,01504,0200,N 433853,S200000,01600,0100,N 433853,S200000,01700,0100,N 433853,S200000,01800,0100,N 433853,S200000,02200,0100,Y 433853,S200000,02800,0100,N 433853,S200000,02900,0100,N 433853,S200000,03000,0100,N 433853,S200000,03100,0100,N 433853,S200000,03200,0100,N 433853,S200000,03300,0100,N 433853,S200000,03300,0200,N 433853,S200000,04200,0100,N 433853,S200000,04300,0100,N 433853,S200000,04600,0100,N 433853,S200000,04700,0100,N 433853,S200000,04900,0100,N 433853,S200000,05200,0100,N 433853,S200000,05300,0100,Y 433853,S200000,05300,0200,HB0067 433853,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 433853,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433853,S200000,05400,0300,12001 433853,S200000,05500,0100,101 EAST STATE STREET 433853,S200000,05600,0100,KENNETT SQUARE 433853,S200000,05600,0200,PA 433853,S200000,05600,0300,19348 433871,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433871,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433871,A000000,00300,0000,0300EMPLOYEE BENEFITS 433871,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433871,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433871,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433871,A000000,00700,0000,0700HOUSEKEEPING 433871,A000000,00800,0000,0800DIETARY 433871,A000000,00900,0000,0900NURSING ADMINISTRATION 433871,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433871,A000000,01100,0000,1100PHARMACY 433871,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433871,A000000,01300,0000,1300SOCIAL SERVICE 433871,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433871,A000000,01500,0000,1350OTHER GENERAL SERVICES 433871,A000000,01600,0000,1600SKILLED NURSING FACILITY 433871,A000000,01800,0000,1800NURSING FACILITY 433871,A000000,01810,0000,1810ICF/MR 433871,A000000,01900,0000,1900OTHER LONG TERM CARE 433871,A000000,02100,0000,2100RADIOLOGY 433871,A000000,02200,0000,2200LABORATORY 433871,A000000,02300,0000,2300INTRAVENOUS THERAPY 433871,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433871,A000000,02500,0000,2500PHYSICAL THERAPY 433871,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433871,A000000,02700,0000,2700SPEECH PATHOLOGY 433871,A000000,02800,0000,2800ELECTROCARDIOLOGY 433871,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433871,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433871,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433871,A000000,03200,0000,3200SUPPORT SURFACES 433871,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433871,A000000,03400,0000,3400CLINIC 433871,A000000,03500,0000,3500RURAL HEALTH CLINIC 433871,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433871,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433871,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433871,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433871,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433871,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433871,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433871,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433871,A000000,04400,0000,4400DME RENTED - HHA 433871,A000000,04500,0000,4500DME SOLD - HHA 433871,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433871,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433871,A000000,04710,0000,4710TELEMEDICINE 433871,A000000,04800,0000,4800AMBULANCE 433871,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433871,A000000,05000,0000,5000CORF 433871,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433871,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433871,A000000,05300,0000,5300INTEREST EXPENSE 433871,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433871,A000000,05500,0000,5500HOSPICE 433871,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433871,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433871,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433871,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433871,A000000,06100,0000,6100NONPAID WORKERS 433871,A000000,06200,0000,6200PATIENTS LAUNDRY 433871,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433871,A81000A,00100,0100,Y 433871,A81000B,00100,0300,BLDG ENTITY-INTEREST 433871,A81000B,00200,0300,BLDG ENTITY-ACCOUNTING 433871,A81000B,00300,0300,BLDG ENTITY-LEASE PAYMENT 433871,A81000B,00400,0300,BLDG ENTITY-AMORTIZATION 433871,A81000B,00500,0300,BLDG ENTITY-DEPRECIATION 433871,A81000B,00700,0300,S&E MEDICAL SUPPLY-FOOD 433871,A81000B,00800,0300,S&E MEDICAL SUPPLY-MEDICAL SUPPLIES 433871,A81000B,00900,0300,HO-CAPITAL EXPENSE 433871,A81000B,01000,0300,HO-ADMIN & GENERAL 433871,A81000B,01100,0300,HO-MANAGEMENT FEES 433871,A81000B,01200,0300,HO-SALARY 433871,A81000C,00100,0100,A 433871,A81000C,00100,0200,SHELDON WOLFE 433871,A81000C,00100,0400,KENWOOD PROPERTIES 433871,A81000C,00100,0600,BLDG PARTNERSHIP 433871,A81000C,00200,0100,A 433871,A81000C,00200,0200,ALBERT MILSTEIN 433871,A81000C,00200,0400,KENWOOD PROPERTIES 433871,A81000C,00200,0600,BLDG PARTNERSHIP 433871,A81000C,00300,0100,A 433871,A81000C,00300,0200,RONNIE KLEIN 433871,A81000C,00300,0400,KENWOOD PROPERTIES 433871,A81000C,00300,0600,BLDG PARTNERSHIP 433871,A81000C,00400,0100,A 433871,A81000C,00400,0200,SHELDON WOLFE 433871,A81000C,00400,0400,SW MANAGEMENT 433871,A81000C,00400,0600,MANAGEMENT SERVICE 433871,A81000C,00500,0100,A 433871,A81000C,00500,0200,SHELDON WOLFE 433871,A81000C,00500,0400,S&E MEDICAL SUPPLY 433871,A81000C,00500,0600,MEDICAL SUPPLIES 433871,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433871,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433871,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433871,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433871,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433871,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433871,B100000,00000,0800,0800MEALS SERVED :DIETARY 433871,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433871,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433871,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433871,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433871,G300000,02500,0000,MISCELLANEOUS INCOME 433871,G300000,02501,0000,OTHER MEDICAL SERVICES 433871,S000000,00100,0200,10/31/12 433871,S200000,00100,0100,6125 KENWOOD AVENUE 433871,S200000,00200,0100,CHICAGO 433871,S200000,00200,0200,IL 433871,S200000,00200,0300,60637 433871,S200000,00300,0100,COOK 433871,S200000,00300,0200,1600 433871,S200000,00300,0201,16974 433871,S200000,00300,0300,U 433871,S200000,00400,0100,KENWOOD HEALTHCARE CENTER INC. 433871,S200000,00400,0200,145938 433871,S200000,00400,0300,08/01/97 433871,S200000,00400,0500,P 433871,S200000,00600,0200,145938 433871,S200000,00600,0300,08/01/97 433871,S200000,00600,0600,O 433871,S200000,01500,0100,N 433871,S200000,01501,0200,Y 433871,S200000,01600,0100,Y 433871,S200000,01700,0100,N 433871,S200000,01800,0100,N 433871,S200000,02200,0100,N 433871,S200000,02800,0100,N 433871,S200000,02900,0100,N 433871,S200000,03000,0100,N 433871,S200000,03100,0100,N 433871,S200000,03200,0100,N 433871,S200000,03300,0100,N 433871,S200000,03300,0200,N 433871,S200000,03500,0300,N 433871,S200000,04100,0100,N 433871,S200000,04200,0100,N 433871,S200000,04300,0100,N 433871,S200000,04600,0100,N 433871,S200000,04700,0100,N 433871,S200000,04700,0200,N 433871,S200000,04900,0100,N 433871,S200000,05000,0100,N 433871,S200000,05100,0100,N 433871,S200000,05200,0100,N 433871,S200000,05300,0100,Y 433871,S200000,05300,0200,149016 433871,S200000,05400,0100,SW MANAGEMENT CO. 433871,S200000,05400,0200,WISCONSIN PHYSICAN SERVICES 433871,S200000,05400,0300,05401 433871,S200000,05500,0200,1604 433871,S200000,05600,0100,OMAHA 433871,S200000,05600,0200,NE 433871,S200000,05600,0300,68101 433879,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433879,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433879,A000000,00300,0000,0300EMPLOYEE BENEFITS 433879,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433879,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433879,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433879,A000000,00700,0000,0700HOUSEKEEPING 433879,A000000,00800,0000,0800DIETARY 433879,A000000,00900,0000,0900NURSING ADMINISTRATION 433879,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433879,A000000,01100,0000,1100PHARMACY 433879,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433879,A000000,01300,0000,1300SOCIAL SERVICE 433879,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433879,A000000,01500,0000,1350ACTIVITIES 433879,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 433879,A000000,01600,0000,1600SKILLED NURSING FACILITY 433879,A000000,01800,0000,1800NURSING FACILITY 433879,A000000,01810,0000,1810ICF/MR 433879,A000000,01900,0000,1900OTHER LONG TERM CARE 433879,A000000,02100,0000,2100RADIOLOGY 433879,A000000,02200,0000,2200LABORATORY 433879,A000000,02300,0000,2300INTRAVENOUS THERAPY 433879,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433879,A000000,02500,0000,2500PHYSICAL THERAPY 433879,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433879,A000000,02700,0000,2700SPEECH PATHOLOGY 433879,A000000,02800,0000,2800ELECTROCARDIOLOGY 433879,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433879,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433879,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433879,A000000,03200,0000,3200SUPPORT SURFACES 433879,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433879,A000000,03400,0000,3400CLINIC 433879,A000000,03500,0000,3500RURAL HEALTH CLINIC 433879,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433879,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433879,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433879,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433879,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433879,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433879,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433879,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433879,A000000,04400,0000,4400DME RENTED - HHA 433879,A000000,04500,0000,4500DME SOLD - HHA 433879,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433879,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433879,A000000,04710,0000,4710TELEMEDICINE 433879,A000000,04800,0000,4800AMBULANCE 433879,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433879,A000000,05000,0000,5000CORF 433879,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433879,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433879,A000000,05300,0000,5300INTEREST EXPENSE 433879,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433879,A000000,05500,0000,5500HOSPICE 433879,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433879,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433879,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433879,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433879,A000000,06100,0000,6100NONPAID WORKERS 433879,A000000,06200,0000,6200PATIENTS LAUNDRY 433879,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433879,A81000A,00100,0100,Y 433879,A81000B,00100,0300,RENT OF FACILITY 433879,A81000B,00200,0300,MANAGEMENT FEES 433879,A81000B,00300,0300,RENT OF FACILITY 433879,A81000B,00400,0300,MANAGEMENT FEES 433879,A81000C,00100,0100,D 433879,A81000C,00100,0200,GREYSTONE TRIBECA ACQ LLC 433879,A81000C,00100,0400,5151 NORTH HAMILTON ROAD 433879,A81000C,00100,0600,PROPERTY RENTAL 433879,A81000C,00200,0100,A 433879,A81000C,00200,0200,STEPHEN RONSENBERG 433879,A81000C,00200,0400,GREYSTONE HEALTHCARE MGMT 433879,A81000C,00200,0600,MANAGEMENT COMPANY 433879,A81000C,00300,0100,D 433879,A81000C,00300,0200,GREYSTONE TRIBECA ACQ LLC 433879,A81000C,00300,0400,5151 NORTH HAMILTON ROAD 433879,A81000C,00300,0600,PROPERTY RENTAL 433879,A81000C,00400,0100,A 433879,A81000C,00400,0200,STEPHEN RONSENBERG 433879,A81000C,00400,0400,GREYSTONE HEALTHCARE MGMT 433879,A81000C,00400,0600,MANAGEMENT COMPANY 433879,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433879,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433879,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433879,B100000,00000,0500,0550HOURS WORKED :PLANT OPERATION 433879,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433879,B100000,00000,0700,0700HOURS WORKED :HOUSEKEEPING 433879,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433879,B100000,00000,0900,0900HOURS WORKED :NURSING ADMINISTR 433879,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433879,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433879,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433879,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 433879,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433879,B100000,00000,1501,1351PATIENT DAYS :OTHER GENERAL SER 433879,E10A180,00550,0100,05/31/11 433879,S000000,00100,0200,05/31/11 433879,S200000,00100,0100,5151 NORTH HAMILTON ROAD 433879,S200000,00200,0100,COLOMBUS 433879,S200000,00200,0200,OH 433879,S200000,00200,0300,43230 433879,S200000,00300,0100,FRANKLIN 433879,S200000,00300,0200,1840 433879,S200000,00300,0201,18140 433879,S200000,00300,0300,U 433879,S200000,00400,0100,BROADVIEW HEALTH CENTER 433879,S200000,00400,0200,365801 433879,S200000,00400,0300,10/04/90 433879,S200000,00400,0500,P 433879,S200000,00400,0600,P 433879,S200000,01500,0100,Y 433879,S200000,01501,0200,N 433879,S200000,01502,0200,Y 433879,S200000,01504,0200,N 433879,S200000,01600,0100,N 433879,S200000,01700,0100,N 433879,S200000,01800,0100,N 433879,S200000,02200,0100,N 433879,S200000,02800,0100,N 433879,S200000,02900,0100,N 433879,S200000,03000,0100,N 433879,S200000,03100,0100,N 433879,S200000,03200,0100,N 433879,S200000,03300,0100,N 433879,S200000,03300,0200,N 433879,S200000,04100,0100,N 433879,S200000,04200,0100,N 433879,S200000,04300,0100,Y 433879,S200000,04600,0100,N 433879,S200000,04700,0100,N 433879,S200000,04700,0200,N 433879,S200000,04900,0100,N 433879,S200000,05000,0100,N 433879,S200000,05100,0100,N 433879,S200000,05200,0100,N 433896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433896,A000000,00300,0000,0300EMPLOYEE BENEFITS 433896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433896,A000000,00700,0000,0700HOUSEKEEPING 433896,A000000,00800,0000,0800DIETARY 433896,A000000,01100,0000,1100PHARMACY 433896,A000000,01500,0000,1350PATIENT ACTIVITIES 433896,A000000,01600,0000,1600SKILLED NURSING FACILITY 433896,A000000,01800,0000,1800NURSING FACILITY 433896,A000000,01900,0000,1900OTHER LONG TERM CARE 433896,A000000,02100,0000,2100RADIOLOGY 433896,A000000,02200,0000,2200LABORATORY 433896,A000000,02300,0000,2300INTRAVENOUS THERAPY 433896,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433896,A000000,02500,0000,2500PHYSICAL THERAPY 433896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433896,A000000,02700,0000,2700SPEECH PATHOLOGY 433896,A000000,02800,0000,2800ELECTROCARDIOLOGY 433896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433896,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433896,A000000,03200,0000,3200SUPPORT SURFACES 433896,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433896,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433896,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433896,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433896,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433896,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433896,A000000,06100,0000,6100NONPAID WORKERS 433896,A000000,06200,0000,6200PATIENTS LAUNDRY 433896,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433896,A81000A,00100,0100,Y 433896,A81000B,00100,0300,CENTRAL OFFICE COST 433896,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433896,A81000B,00300,0300,SUPPLIES 433896,A81000B,00400,0300,SUPPLIES 433896,A81000B,00500,0300,SUPPLIES 433896,A81000B,00600,0300,SUPPLIES 433896,A81000B,00700,0300,PHARMACY 433896,A81000B,00800,0300,PHARMACY 433896,A81000B,00900,0300,PHARMACY 433896,A81000B,01000,0300,PHARMACY 433896,A81000B,01100,0300,PHARMACY 433896,A81000C,00100,0100,B 433896,A81000C,00100,0200,AUTUMN CORPORATION 433896,A81000C,00100,0400,AUTUMN CORPORATION 433896,A81000C,00100,0600,HOME OFFICE 433896,A81000C,00200,0100,B 433896,A81000C,00200,0200,AUTUMN CORPORATION 433896,A81000C,00200,0400,AUTUMN CORPORATION 433896,A81000C,00200,0600,HOME OFFICE 433896,A81000C,00300,0100,A 433896,A81000C,00300,0200,WINCARE 433896,A81000C,00300,0400,AUTUMN CORPORATION 433896,A81000C,00300,0600,SUPPLIES 433896,A81000C,00400,0100,A 433896,A81000C,00400,0200,LEGACY 433896,A81000C,00400,0400,AUTUMN CORPORATION 433896,A81000C,00400,0600,PHARMACY 433896,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433896,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433896,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433896,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433896,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433896,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433896,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433896,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433896,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433896,E10A180,00501,0100,05/08/12 433896,G300000,02500,0000,MISC 433896,S000000,00100,0200,02/16/12 433896,S200000,00100,0100,610 AIRPORT ROAD 433896,S200000,00100,0300,339 433896,S200000,00200,0100,MARION 433896,S200000,00200,0200,NC 433896,S200000,00200,0300,28752 433896,S200000,00300,0100,MCDOWELL 433896,S200000,00300,0200,34 433896,S200000,00300,0201,00034 433896,S200000,00300,0300,R 433896,S200000,00400,0100,AUTUMN CARE OF MARION 433896,S200000,00400,0200,345165 433896,S200000,00400,0300,04/29/83 433896,S200000,00400,0500,P 433896,S200000,01500,0100,N 433896,S200000,01501,0200,Y 433896,S200000,01600,0100,Y 433896,S200000,01700,0100,N 433896,S200000,01800,0100,N 433896,S200000,02200,0100,N 433896,S200000,02800,0100,N 433896,S200000,02900,0100,N 433896,S200000,03000,0100,N 433896,S200000,03100,0100,N 433896,S200000,03200,0100,N 433896,S200000,03300,0100,N 433896,S200000,03300,0200,N 433896,S200000,04100,0100,N 433896,S200000,04200,0100,N 433896,S200000,04300,0100,N 433896,S200000,04600,0100,N 433896,S200000,04700,0100,N 433896,S200000,04700,0200,N 433896,S200000,04900,0100,N 433896,S200000,05000,0100,N 433896,S200000,05100,0100,N 433896,S200000,05200,0100,N 433897,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433897,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433897,A000000,00300,0000,0300EMPLOYEE BENEFITS 433897,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433897,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433897,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433897,A000000,00700,0000,0700HOUSEKEEPING 433897,A000000,00800,0000,0800DIETARY 433897,A000000,00900,0000,0900NURSING ADMINISTRATION 433897,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433897,A000000,01100,0000,1100PHARMACY 433897,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433897,A000000,01300,0000,1300SOCIAL SERVICE 433897,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433897,A000000,01600,0000,1600SKILLED NURSING FACILITY 433897,A000000,01800,0000,1800NURSING FACILITY 433897,A000000,01900,0000,1900OTHER LONG TERM CARE 433897,A000000,02100,0000,2100RADIOLOGY 433897,A000000,02200,0000,2200LABORATORY 433897,A000000,02300,0000,2300INTRAVENOUS THERAPY 433897,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433897,A000000,02500,0000,2500PHYSICAL THERAPY 433897,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433897,A000000,02700,0000,2700SPEECH PATHOLOGY 433897,A000000,02800,0000,2800ELECTROCARDIOLOGY 433897,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433897,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433897,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433897,A000000,03200,0000,3200SUPPORT SURFACES 433897,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433897,A000000,03400,0000,3400CLINIC 433897,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433897,A000000,04800,0000,4800AMBULANCE 433897,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433897,A000000,05000,0000,5000CORF 433897,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433897,A000000,05300,0000,5300INTEREST EXPENSE 433897,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433897,A000000,05500,0000,5500HOSPICE 433897,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433897,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433897,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433897,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433897,A000000,06100,0000,6100NONPAID WORKERS 433897,A000000,06200,0000,6200PATIENTS LAUNDRY 433897,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433897,A81000A,00100,0100,Y 433897,A81000B,00100,0300,NURSING CONSULTING 433897,A81000B,00200,0300,DIETARY CONSULTING 433897,A81000B,00300,0300,HOME OFFICE 433897,A81000B,00400,0300,INTEREST EXPENSE 433897,A81000B,00500,0300,WORKERS COMP EXPENSE 433897,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 433897,A81000B,00700,0300,MAINTENANCE SUPPLIES 433897,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 433897,A81000B,00900,0300,REPAIRS-BUILDING 433897,A81000B,01000,0300,REPAIRS-EQUIPMENT 433897,A81000B,01100,0300,REPAIRS-GROUNDS 433897,A81000B,01200,0300,LINEN & BEDDING 433897,A81000B,01300,0300,SUPPLIES 433897,A81000B,01400,0300,MINOR EQUIPMENT EXPNESE 433897,A81000B,01500,0300,PAPER PRODUCTS & HAND SOAP 433897,A81000B,01600,0300,SUPPLIES 433897,A81000B,01700,0300,DIETARY SUPPLEMENTS 433897,A81000B,01800,0300,SUPPLIES 433897,A81000B,01900,0300,BIO-MEDICAL WASTE 433897,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 433897,A81000B,02100,0300,PERSONAL CARE SUPPLIES 433897,A81000B,02200,0300,INCONTINENCE SUPPLIES 433897,A81000B,02300,0300,MEDICAL SUPPLIES 433897,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 433897,A81000B,02500,0300,SUPPLIES 433897,A81000B,02600,0300,SUPPLIES 433897,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 433897,A81000B,02800,0300,NURSING EQUIPMENT RENTAL 433897,A81000B,02900,0300,NON-LEGEND DRUGS 433897,A81000C,00100,0100,B 433897,A81000C,00100,0200,PLTC & PITS IN 433897,A81000C,00100,0400,PLTC & PITS IN 433897,A81000C,00100,0600,MGMT SERVICES 433897,A81000C,00200,0100,B 433897,A81000C,00200,0200,PLTC & PITS IN 433897,A81000C,00200,0400,PLTC & PITS IN 433897,A81000C,00200,0600,MGMT SERVICES 433897,A81000C,00300,0100,B 433897,A81000C,00300,0200,PLTC & PITS IN 433897,A81000C,00300,0400,PLTC & PITS IN 433897,A81000C,00300,0600,MGMT SERVICES 433897,A81000C,00400,0100,B 433897,A81000C,00400,0200,PLTC & PITS IN 433897,A81000C,00400,0400,PLTC & PITS IN 433897,A81000C,00400,0600,MGMT SERVICES 433897,A81000C,00500,0100,A 433897,A81000C,00500,0200,SHAREHOLDERS 433897,A81000C,00500,0400,DISCOVERY INSUR 433897,A81000C,00500,0600,INSURANCE 433897,A81000C,00600,0100,A 433897,A81000C,00600,0200,SHAREHOLDERS 433897,A81000C,00600,0400,QUEENSLAND ASSU 433897,A81000C,00600,0600,INSURANCE 433897,A81000C,00700,0100,A 433897,A81000C,00700,0200,SHAREHOLDERS 433897,A81000C,00700,0400,KARE MEDICAL 433897,A81000C,00700,0600,WHOLESALE SUPPL 433897,A81000C,00800,0100,A 433897,A81000C,00800,0200,SHAREHOLDERS 433897,A81000C,00800,0400,KARE MEDICAL 433897,A81000C,00800,0600,WHOLESALE SUPPL 433897,A81000C,00900,0100,A 433897,A81000C,00900,0200,SHAREHOLDERS 433897,A81000C,00900,0400,KARE MEDICAL 433897,A81000C,00900,0600,WHOLESALE SUPPL 433897,A81000C,01000,0100,A 433897,A81000C,01000,0200,SHAREHOLDERS 433897,A81000C,01000,0400,KARE MEDICAL 433897,A81000C,01000,0600,WHOLESALE SUPPL 433897,A81000C,01001,0100,A 433897,A81000C,01001,0200,SHAREHOLDERS 433897,A81000C,01001,0400,KARE MEDICAL 433897,A81000C,01001,0600,WHOLESALE SUPPL 433897,A81000C,01002,0100,A 433897,A81000C,01002,0200,SHAREHOLDERS 433897,A81000C,01002,0400,KARE MEDICAL 433897,A81000C,01002,0600,WHOLESALE SUPPL 433897,A81000C,01003,0100,A 433897,A81000C,01003,0200,SHAREHOLDERS 433897,A81000C,01003,0400,KARE MEDICAL 433897,A81000C,01003,0600,WHOLESALE SUPPL 433897,A81000C,01004,0100,A 433897,A81000C,01004,0200,SHAREHOLDERS 433897,A81000C,01004,0400,KARE MEDICAL 433897,A81000C,01004,0600,WHOLESALE SUPPL 433897,A81000C,01005,0100,A 433897,A81000C,01005,0200,SHAREHOLDERS 433897,A81000C,01005,0400,KARE MEDICAL 433897,A81000C,01005,0600,WHOLESALE SUPPL 433897,A81000C,01006,0100,A 433897,A81000C,01006,0200,SHAREHOLDERS 433897,A81000C,01006,0400,KARE MEDICAL 433897,A81000C,01006,0600,WHOLESALE SUPPL 433897,A81000C,01007,0100,A 433897,A81000C,01007,0200,SHAREHOLDERS 433897,A81000C,01007,0400,KARE MEDICAL 433897,A81000C,01007,0600,WHOLESALE SUPPL 433897,A81000C,01008,0100,A 433897,A81000C,01008,0200,SHAREHOLDERS 433897,A81000C,01008,0400,KARE MEDICAL 433897,A81000C,01008,0600,WHOLESALE SUPPL 433897,A81000C,01009,0100,A 433897,A81000C,01009,0200,SHAREHOLDERS 433897,A81000C,01009,0400,KARE MEDICAL 433897,A81000C,01009,0600,WHOLESALE SUPPL 433897,A81000C,01010,0100,A 433897,A81000C,01010,0200,SHAREHOLDERS 433897,A81000C,01010,0400,KARE MEDICAL 433897,A81000C,01010,0600,WHOLESALE SUPPL 433897,A81000C,01011,0100,A 433897,A81000C,01011,0200,SHAREHOLDERS 433897,A81000C,01011,0400,KARE MEDICAL 433897,A81000C,01011,0600,WHOLESALE SUPPL 433897,A81000C,01012,0100,A 433897,A81000C,01012,0200,SHAREHOLDERS 433897,A81000C,01012,0400,KARE MEDICAL 433897,A81000C,01012,0600,WHOLESALE SUPPL 433897,A81000C,01013,0100,A 433897,A81000C,01013,0200,SHAREHOLDERS 433897,A81000C,01013,0400,KARE MEDICAL 433897,A81000C,01013,0600,WHOLESALE SUPPL 433897,A81000C,01014,0100,A 433897,A81000C,01014,0200,SHAREHOLDERS 433897,A81000C,01014,0400,KARE MEDICAL 433897,A81000C,01014,0600,WHOLESALE SUPPL 433897,A81000C,01015,0100,A 433897,A81000C,01015,0200,SHAREHOLDERS 433897,A81000C,01015,0400,KARE MEDICAL 433897,A81000C,01015,0600,WHOLESALE SUPPL 433897,A81000C,01016,0100,A 433897,A81000C,01016,0200,SHAREHOLDERS 433897,A81000C,01016,0400,KARE MEDICAL 433897,A81000C,01016,0600,WHOLESALE SUPPL 433897,A81000C,01017,0100,A 433897,A81000C,01017,0200,SHAREHOLDERS 433897,A81000C,01017,0400,KARE MEDICAL 433897,A81000C,01017,0600,WHOLESALE SUPPL 433897,A81000C,01018,0100,A 433897,A81000C,01018,0200,SHAREHOLDERS 433897,A81000C,01018,0400,PHARMSAVE 433897,A81000C,01018,0600,RX SUPPLY 433897,A81000C,01019,0100,A 433897,A81000C,01019,0200,SHAREHOLDERS 433897,A81000C,01019,0400,PHARMSAVE 433897,A81000C,01019,0600,RX SUPPLY 433897,A81000C,01020,0100,A 433897,A81000C,01020,0200,SHAREHOLDERS 433897,A81000C,01020,0400,PHARMSAVE 433897,A81000C,01020,0600,RX SUPPLY 433897,A81000C,01021,0100,A 433897,A81000C,01021,0200,SHAREHOLDERS 433897,A81000C,01021,0400,PHARMSAVE 433897,A81000C,01021,0600,RX SUPPLY 433897,A81000C,01022,0100,A 433897,A81000C,01022,0200,SHAREHOLDERS 433897,A81000C,01022,0400,PHARMSAVE 433897,A81000C,01022,0600,RX SUPPLY 433897,A81000C,01023,0100,A 433897,A81000C,01023,0200,SHAREHOLDERS 433897,A81000C,01023,0400,ROBERT HILL CON 433897,A81000C,01023,0600,CONSTRUCTION 433897,A81000C,01024,0100,A 433897,A81000C,01024,0200,SHAREHOLDERS 433897,A81000C,01024,0400,ROBERT HILL CON 433897,A81000C,01024,0600,CONSTRUCTION 433897,A81000C,01025,0100,A 433897,A81000C,01025,0200,SHAREHOLDERS 433897,A81000C,01025,0400,ROBERT HILL CON 433897,A81000C,01025,0600,CONSTRUCTION 433897,A81000C,01026,0100,A 433897,A81000C,01026,0200,SHAREHOLDERS 433897,A81000C,01026,0400,ROBERT HILL CON 433897,A81000C,01026,0600,CONSTRUCTION 433897,A81000C,01027,0100,A 433897,A81000C,01027,0200,SHAREHOLDERS 433897,A81000C,01027,0400,HILLCO LTD 433897,A81000C,01027,0600,REAL ESTATE 433897,A81000C,01028,0100,A 433897,A81000C,01028,0200,SHAREHOLDERS 433897,A81000C,01028,0400,BRITTHAVEN INC 433897,A81000C,01028,0600,REAL ESTATE 433897,A81000C,01029,0100,A 433897,A81000C,01029,0200,SHAREHOLDERS 433897,A81000C,01029,0400,BRITTHAVEN INC 433897,A81000C,01029,0600,REAL ESTATE 433897,A81000C,01030,0100,A 433897,A81000C,01030,0200,SHAREHOLDERS 433897,A81000C,01030,0400,BRITTHAVEN INC 433897,A81000C,01030,0600,REAL ESTATE 433897,A81000C,01031,0100,A 433897,A81000C,01031,0200,SHAREHOLDERS 433897,A81000C,01031,0400,BRITTHAVEN INC 433897,A81000C,01031,0600,REAL ESTATE 433897,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433897,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433897,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433897,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433897,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433897,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433897,B100000,00000,0800,0800MEALS SERVED :DIETARY 433897,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433897,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433897,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433897,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433897,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433897,E10A180,00350,0100,07/27/11 433897,E10A180,00501,0100,05/22/12 433897,G300000,02500,0000, OTHER (SPECIFY) 433897,S000000,00100,0200,02/29/12 433897,S200000,00100,0100,225 WHITE STREET 433897,S200000,00200,0100,JACKSONVILLE 433897,S200000,00200,0200,NC 433897,S200000,00200,0300,28546-6351 433897,S200000,00300,0100,ONSLOW 433897,S200000,00300,0201,27340 433897,S200000,00300,0300,U 433897,S200000,00400,0100,PREMIER NURSING & REHAB CENTER 433897,S200000,00400,0200,345217 433897,S200000,00400,0300,01/01/11 433897,S200000,00400,0500,P 433897,S200000,01500,0100,N 433897,S200000,01501,0200,Y 433897,S200000,01502,0200,Y 433897,S200000,01503,0200,Y 433897,S200000,01504,0200,Y 433897,S200000,01505,0000,OTHER (SPECIFY) 433897,S200000,01505,0200,Y 433897,S200000,01600,0100,Y 433897,S200000,01700,0100,N 433897,S200000,01800,0100,N 433897,S200000,02200,0100,N 433897,S200000,02800,0100,N 433897,S200000,02900,0100,N 433897,S200000,03000,0100,N 433897,S200000,03100,0100,N 433897,S200000,03200,0100,N 433897,S200000,03300,0100,N 433897,S200000,03300,0200,N 433897,S200000,04100,0100,N 433897,S200000,04200,0100,N 433897,S200000,04300,0100,N 433897,S200000,04600,0100,N 433897,S200000,04700,0100,N 433897,S200000,04700,0200,N 433897,S200000,04900,0100,N 433897,S200000,05000,0100,N 433897,S200000,05100,0100,N 433897,S200000,05200,0100,N 433897,S200000,05300,0100,Y 433897,S200000,05300,0200,349011 433897,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433897,S200000,05400,0200,PALMETTO GBA 433897,S200000,05400,0300,11501 433897,S200000,05500,0100,1435 HWY 258 NORTH 433897,S200000,05600,0100,KINSTON 433897,S200000,05600,0200,NC 433897,S200000,05600,0300,28502 433898,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433898,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433898,A000000,00300,0000,0300EMPLOYEE BENEFITS 433898,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433898,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433898,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433898,A000000,00700,0000,0700HOUSEKEEPING 433898,A000000,00800,0000,0800DIETARY 433898,A000000,00900,0000,0900NURSING ADMINISTRATION 433898,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433898,A000000,01100,0000,1100PHARMACY 433898,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433898,A000000,01300,0000,1300SOCIAL SERVICE 433898,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433898,A000000,01500,0000,1350OTHER GENERAL SERVICES 433898,A000000,01600,0000,1600SKILLED NURSING FACILITY 433898,A000000,01800,0000,1800NURSING FACILITY 433898,A000000,01810,0000,1810ICF/MR 433898,A000000,01900,0000,1900OTHER LONG TERM CARE 433898,A000000,02100,0000,2100RADIOLOGY 433898,A000000,02200,0000,2200LABORATORY 433898,A000000,02300,0000,2300INTRAVENOUS THERAPY 433898,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433898,A000000,02500,0000,2500PHYSICAL THERAPY 433898,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433898,A000000,02700,0000,2700SPEECH PATHOLOGY 433898,A000000,02800,0000,2800ELECTROCARDIOLOGY 433898,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433898,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433898,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433898,A000000,03200,0000,3200SUPPORT SURFACES 433898,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433898,A000000,03400,0000,3400CLINIC 433898,A000000,03500,0000,3500RURAL HEALTH CLINIC 433898,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433898,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433898,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433898,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433898,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433898,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433898,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433898,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433898,A000000,04400,0000,4400DME RENTED - HHA 433898,A000000,04500,0000,4500DME SOLD - HHA 433898,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433898,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433898,A000000,04710,0000,4710TELEMEDICINE 433898,A000000,04800,0000,4800AMBULANCE 433898,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433898,A000000,05000,0000,5000CORF 433898,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433898,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433898,A000000,05300,0000,5300INTEREST EXPENSE 433898,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433898,A000000,05500,0000,5500HOSPICE 433898,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433898,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433898,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433898,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433898,A000000,06100,0000,6100NONPAID WORKERS 433898,A000000,06200,0000,6200PATIENTS LAUNDRY 433898,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433898,A81000A,00100,0100,N 433898,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433898,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433898,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433898,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433898,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433898,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 433898,B100000,00000,0800,0800MEALS SERVED :DIETARY 433898,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433898,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433898,E10A180,00550,0100,02/15/12 433898,G300000,02500,0000,BARBER & BEAUTY INCOME 433898,S000000,00100,0200,02/15/12 433898,S200000,00100,0100,1285 WEST A STREET 433898,S200000,00200,0100,KANNAPOLIS 433898,S200000,00200,0200,NC 433898,S200000,00200,0300,28081 433898,S200000,00300,0100,ROWAN 433898,S200000,00300,0200,34 433898,S200000,00300,0201,99934 433898,S200000,00300,0300,R 433898,S200000,00400,0100,BIG ELM RETIREMENT AND NURSING CENTE 433898,S200000,00400,0200,345342 433898,S200000,00400,0300,10/01/05 433898,S200000,00400,0500,P 433898,S200000,00400,0600,O 433898,S200000,00610,0200,346505 433898,S200000,00610,0300,10/01/05 433898,S200000,00610,0600,O 433898,S200000,01500,0100,N 433898,S200000,01600,0100,Y 433898,S200000,01700,0100,N 433898,S200000,01800,0100,N 433898,S200000,02200,0100,N 433898,S200000,02800,0100,N 433898,S200000,02900,0100,N 433898,S200000,03000,0100,N 433898,S200000,03100,0100,N 433898,S200000,03200,0100,N 433898,S200000,03300,0100,N 433898,S200000,03300,0200,N 433898,S200000,03510,0300,N 433898,S200000,04100,0100,N 433898,S200000,04200,0100,N 433898,S200000,04300,0100,N 433898,S200000,04600,0100,N 433898,S200000,04700,0100,N 433898,S200000,04700,0200,N 433898,S200000,04900,0100,N 433898,S200000,05000,0100,N 433898,S200000,05100,0100,N 433898,S200000,05200,0100,N 433899,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433899,A000000,00300,0000,0300EMPLOYEE BENEFITS 433899,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433899,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433899,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433899,A000000,00700,0000,0700HOUSEKEEPING 433899,A000000,00800,0000,0800DIETARY 433899,A000000,00900,0000,0900NURSING ADMINISTRATION 433899,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433899,A000000,01100,0000,1100PHARMACY 433899,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433899,A000000,01300,0000,1300SOCIAL SERVICE 433899,A000000,01500,0000,1350PATIENT ACTIVITIES 433899,A000000,01600,0000,1600SKILLED NURSING FACILITY 433899,A000000,01900,0000,1900OTHER LONG TERM CARE 433899,A000000,02100,0000,2100RADIOLOGY 433899,A000000,02200,0000,2200LABORATORY 433899,A000000,02500,0000,2500PHYSICAL THERAPY 433899,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433899,A000000,02700,0000,2700SPEECH PATHOLOGY 433899,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433899,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433899,A000000,03200,0000,3200SUPPORT SURFACES 433899,A000000,04800,0000,4800AMBULANCE 433899,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433899,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433899,A81000A,00100,0100,N 433899,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433899,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433899,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433899,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433899,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433899,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433899,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433899,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433899,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433899,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433899,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433899,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433899,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433899,E10A180,00501,0100,05/04/12 433899,E10A180,00550,0100,02/14/12 433899,G300000,02500,0000,OTHER INCOME 433899,G300000,02501,0000,BARBER AND BEAUTY 433899,S000000,00100,0200,10/10/12 433899,S200000,00100,0100,149 FAIRHAVEN DRIVE 433899,S200000,00200,0100,BOSTIC 433899,S200000,00200,0200,NC 433899,S200000,00200,0300,28018 433899,S200000,00300,0100,RUTHERFORD 433899,S200000,00300,0200,34 433899,S200000,00300,0201,99934 433899,S200000,00300,0300,R 433899,S200000,00400,0100,FAIR HAVEN NURSING HOME 433899,S200000,00400,0200,345425 433899,S200000,00400,0300,06/25/92 433899,S200000,00400,0500,P 433899,S200000,01500,0100,Y 433899,S200000,01501,0200,Y 433899,S200000,01600,0100,N 433899,S200000,01700,0100,N 433899,S200000,01800,0100,N 433899,S200000,02200,0100,N 433899,S200000,02800,0100,N 433899,S200000,02900,0100,N 433899,S200000,03000,0100,N 433899,S200000,03100,0100,N 433899,S200000,03200,0100,N 433899,S200000,03300,0100,N 433899,S200000,03300,0200,N 433899,S200000,04100,0100,N 433899,S200000,04200,0100,N 433899,S200000,04300,0100,N 433899,S200000,04600,0100,N 433899,S200000,04700,0100,N 433899,S200000,04700,0200,N 433899,S200000,04900,0100,N 433899,S200000,05000,0100,N 433899,S200000,05100,0100,N 433899,S200000,05200,0100,N 433900,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433900,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433900,A000000,00300,0000,0300EMPLOYEE BENEFITS 433900,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433900,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433900,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433900,A000000,00700,0000,0700HOUSEKEEPING 433900,A000000,00800,0000,0800DIETARY 433900,A000000,00900,0000,0900NURSING ADMINISTRATION 433900,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433900,A000000,01100,0000,1100PHARMACY 433900,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433900,A000000,01300,0000,1300SOCIAL SERVICE 433900,A000000,01500,0000,1350RECREATION/ACTIVITIES 433900,A000000,01600,0000,1600SKILLED NURSING FACILITY 433900,A000000,01800,0000,1800NURSING FACILITY 433900,A000000,01900,0000,1900OTHER LONG TERM CARE 433900,A000000,02100,0000,2100RADIOLOGY 433900,A000000,02200,0000,2200LABORATORY 433900,A000000,02300,0000,2300INTRAVENOUS THERAPY 433900,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433900,A000000,02500,0000,2500PHYSICAL THERAPY 433900,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433900,A000000,02700,0000,2700SPEECH PATHOLOGY 433900,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433900,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433900,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433900,A000000,03200,0000,3200SUPPORT SURFACES 433900,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433900,A000000,03301,0000,3051PEN THERAPY 433900,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433900,A000000,04800,0000,4800AMBULANCE 433900,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433900,A000000,05300,0000,5300INTEREST EXPENSE 433900,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433900,A000000,05500,0000,5500HOSPICE 433900,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433900,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433900,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433900,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433900,A000000,06100,0000,6100NONPAID WORKERS 433900,A000000,06200,0000,6200PATIENTS LAUNDRY 433900,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433900,A81000A,00100,0100,Y 433900,A81000B,00100,0300,HOME OFFICE COSTS 433900,A81000B,00200,0300,HOME OFFICE COSTS 433900,A81000B,00300,0300,HOME OFFICE Q A NURSES 433900,A81000B,00400,0300,WOUND VACS 433900,A81000C,00100,0100,D 433900,A81000C,00100,0200,MFNC 433900,A81000C,00100,0400,MFNC 433900,A81000C,00100,0600,MGMT 433900,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433900,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433900,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433900,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433900,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433900,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433900,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433900,B100000,00000,0800,0800MEALS SERVED :DIETARY 433900,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433900,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433900,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433900,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433900,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433900,E10A180,00350,0100,07/27/11 433900,E10A180,00501,0100,05/25/12 433900,G300000,02500,0000,MISCELLANEOUS 433900,S000000,00100,0200,02/29/12 433900,S200000,00100,0100,2065 LYON STREET 433900,S200000,00200,0100,GASTONIA 433900,S200000,00200,0200,NC 433900,S200000,00200,0300,28052 433900,S200000,00300,0100,GASTON 433900,S200000,00300,0200,1674 433900,S200000,00300,0201,16740 433900,S200000,00300,0300,U 433900,S200000,00400,0100,BELAIRE HEALTH CARE CENTER 433900,S200000,00400,0200,345457 433900,S200000,00400,0300,04/23/92 433900,S200000,00400,0500,P 433900,S200000,01500,0100,N 433900,S200000,01501,0200,N 433900,S200000,01504,0200,Y 433900,S200000,01600,0100,Y 433900,S200000,01700,0100,N 433900,S200000,01800,0100,N 433900,S200000,02200,0100,N 433900,S200000,02800,0100,Y 433900,S200000,02900,0100,N 433900,S200000,03000,0100,N 433900,S200000,03100,0100,N 433900,S200000,03200,0100,N 433900,S200000,03300,0100,N 433900,S200000,03300,0200,N 433900,S200000,04100,0100,N 433900,S200000,04200,0100,N 433900,S200000,04300,0100,N 433900,S200000,04600,0100,N 433900,S200000,04700,0100,N 433900,S200000,04700,0200,N 433900,S200000,04900,0100,N 433900,S200000,05000,0100,N 433900,S200000,05100,0100,N 433900,S200000,05200,0100,N 433900,S200000,05300,0100,Y 433900,S200000,05300,0200,941011 433900,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433900,S200000,05400,0200,PALMETTO GBA 433900,S200000,05400,0300,11001 433900,S200000,05500,0100,2917 PENN FOREST BLVD 433900,S200000,05600,0100,ROANOKE 433900,S200000,05600,0200,VA 433900,S200000,05600,0300,24018 433901,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433901,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433901,A000000,00300,0000,0300EMPLOYEE BENEFITS 433901,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433901,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433901,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433901,A000000,00700,0000,0700HOUSEKEEPING 433901,A000000,00800,0000,0800DIETARY 433901,A000000,00900,0000,0900NURSING ADMINISTRATION 433901,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433901,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433901,A000000,01300,0000,1300SOCIAL SERVICE 433901,A000000,01301,0000,1301PATIENT ACTIVITIES 433901,A000000,01600,0000,1600SKILLED NURSING FACILITY 433901,A000000,01800,0000,1800NURSING FACILITY 433901,A000000,01810,0000,1810MEDICAID SPECIALIZED CARE 433901,A000000,01900,0000,1900OTHER LONG TERM CARE 433901,A000000,02100,0000,2100RADIOLOGY 433901,A000000,02200,0000,2200LABORATORY 433901,A000000,02300,0000,2300INTRAVENOUS THERAPY 433901,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433901,A000000,02500,0000,2500PHYSICAL THERAPY 433901,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433901,A000000,02700,0000,2700SPEECH PATHOLOGY 433901,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433901,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433901,A000000,03200,0000,3200SUPPORT SURFACES 433901,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433901,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433901,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433901,A000000,05601,0000,5351SPECIALIZED CARE COSTS 433901,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433901,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433901,A000000,06301,0000,6151OTHER NONCOVERED COST 433901,A000000,06302,0000,6152VENDING MACHINE RENTAL SP 433901,A81000A,00100,0100,Y 433901,A81000B,00100,0300,RELATED PARTY MANAGEMENT 433901,A81000B,00200,0300,RELATED PARTY MANAGEMENT 433901,A81000B,00300,0300,QUALITY ASSURANCE NURSES 433901,A81000B,00500,0300,REAL ESTATE 433901,A81000B,00600,0300,ACTG/LEGAL FEES ON WRHC LLC 433901,A81000B,00700,0300,BUS INCOME INS ON WRHC LLC 433901,A81000C,00100,0100,A 433901,A81000C,00100,0400,CAMBRIDGE HEALTHCARE MGT 433901,A81000C,00100,0600,MANAGEMENT COMPANY 433901,A81000C,00200,0100,A 433901,A81000C,00200,0400,CAMBRIDGE HEALTHCARE MGT 433901,A81000C,00200,0600,MANAGEMENT COMPANY 433901,A81000C,00300,0100,A 433901,A81000C,00300,0400,CAMBRIDGE HEALTHCARE MGT 433901,A81000C,00300,0600,MANAGEMENT COMPANY 433901,A81000C,00500,0100,A 433901,A81000C,00500,0400,WRHC LLC 433901,A81000C,00500,0600,REAL ESTATE 433901,A81000C,00600,0100,A 433901,A81000C,00600,0400,WRHC LLC 433901,A81000C,00600,0600,REAL ESTATE 433901,A81000C,00700,0100,A 433901,A81000C,00700,0400,WRHC LLC 433901,A81000C,00700,0600,REAL ESTATE 433901,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433901,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433901,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433901,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433901,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433901,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433901,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433901,B100000,00000,0800,0800MEALS SERVED :DIETARY 433901,B100000,00000,0900,0950DIRECT NURSING SA :NURSING ADMIN 433901,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433901,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 433901,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433901,B100000,00000,1301,1331PATIENT DAYS :PATIENT ACTIVITIE 433901,E10A180,00501,0100,05/09/12 433901,G300000,02501,0000,MISC 433901,S000000,00100,0200,02/22/12 433901,S200000,00100,0100,2729 KING STREET 433901,S200000,00200,0100,ALEXANDRIA 433901,S200000,00200,0200,VA 433901,S200000,00200,0300,22302 433901,S200000,00300,0100,ALEXANDRIA 433901,S200000,00300,0200,8840 433901,S200000,00300,0201,47894 433901,S200000,00300,0300,U 433901,S200000,00400,0100,WOODBINE CONVAL & NURS CARE LLC 433901,S200000,00400,0200,495019 433901,S200000,00400,0300,07/01/66 433901,S200000,00400,0500,P 433901,S200000,01500,0100,N 433901,S200000,01501,0200,Y 433901,S200000,01600,0100,Y 433901,S200000,01700,0100,N 433901,S200000,01800,0100,N 433901,S200000,02200,0100,N 433901,S200000,02800,0100,N 433901,S200000,02900,0100,N 433901,S200000,03000,0100,N 433901,S200000,03100,0100,N 433901,S200000,03200,0100,N 433901,S200000,03300,0100,N 433901,S200000,03300,0200,N 433901,S200000,03600,0100,N 433901,S200000,03600,0200,N 433901,S200000,04100,0100,N 433901,S200000,04200,0100,N 433901,S200000,04300,0100,N 433901,S200000,04600,0100,N 433901,S200000,04700,0100,N 433901,S200000,04700,0200,N 433901,S200000,04900,0100,N 433901,S200000,05000,0100,N 433901,S200000,05100,0100,N 433901,S200000,05200,0100,N 433901,S200000,05300,0100,Y 433901,S200000,05300,0200,941021 433901,S200000,05400,0100,CAMBRIDGE HEALTHCARE MANAGEMENT LLC 433901,S200000,05400,0200,PALMETTO GBA 433901,S200000,05400,0300,11001 433901,S200000,05500,0100,12093 GAYTON ROAD 433901,S200000,05600,0100,RICHMOND 433901,S200000,05600,0200,VA 433901,S200000,05600,0300,23238-3401 433909,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433909,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433909,A000000,00300,0000,0300EMPLOYEE BENEFITS 433909,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433909,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433909,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433909,A000000,00700,0000,0700HOUSEKEEPING 433909,A000000,00800,0000,0800DIETARY 433909,A000000,00900,0000,0900NURSING ADMINISTRATION 433909,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433909,A000000,01100,0000,1100PHARMACY 433909,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433909,A000000,01300,0000,1300SOCIAL SERVICE 433909,A000000,01600,0000,1600SKILLED NURSING FACILITY 433909,A000000,01800,0000,1800NURSING FACILITY 433909,A000000,01810,0000,1810ICF/MR 433909,A000000,01900,0000,1900OTHER LONG TERM CARE 433909,A000000,02100,0000,2100RADIOLOGY 433909,A000000,02200,0000,2200LABORATORY 433909,A000000,02300,0000,2300INTRAVENOUS THERAPY 433909,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433909,A000000,02500,0000,2500PHYSICAL THERAPY 433909,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433909,A000000,02700,0000,2700SPEECH PATHOLOGY 433909,A000000,02800,0000,2800ELECTROCARDIOLOGY 433909,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433909,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433909,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433909,A000000,03200,0000,3200SUPPORT SURFACES 433909,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433909,A000000,03400,0000,3400CLINIC 433909,A000000,03500,0000,3500RURAL HEALTH CLINIC 433909,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433909,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433909,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433909,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433909,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433909,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433909,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433909,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433909,A000000,04400,0000,4400DME RENTED - HHA 433909,A000000,04500,0000,4500DME SOLD - HHA 433909,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433909,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433909,A000000,04710,0000,4710TELEMEDICINE 433909,A000000,04800,0000,4800AMBULANCE 433909,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433909,A000000,05000,0000,5000CORF 433909,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433909,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433909,A000000,05300,0000,5300INTEREST EXPENSE 433909,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433909,A000000,05500,0000,5500HOSPICE 433909,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433909,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433909,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433909,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433909,A000000,06100,0000,6100NONPAID WORKERS 433909,A000000,06200,0000,6200PATIENTS LAUNDRY 433909,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433909,A81000A,00100,0100,Y 433909,A81000B,00100,0300,BLDG ENTITY-INTEREST EXPENSE 433909,A81000B,00200,0300,BLDG ENTITY-ACCOUNTING 433909,A81000B,00300,0300,BLDG ENTITY-LEASE PAYMENTS 433909,A81000B,00400,0300,BLDG ENTITY-AMORTIZATION 433909,A81000B,00500,0300,BLDG ENTITY-DEPRECIATION 433909,A81000B,00600,0300,BLDG ENTITY-GAIN/LOSS 433909,A81000B,00700,0300,BLDG ENTITY-STATE REPLACEMENT TAX 433909,A81000B,00800,0300,SFO ASSOC-INTEREST 433909,A81000B,00900,0300,SFO ASSOC-ACCOUNTING 433909,A81000B,01000,0300,SFO ASSOC-OFFICE EXPENSE 433909,A81000B,01100,0300,SFO ASSOC-GAIN/LOSS 433909,A81000B,01200,0300,S&E MEDICAL-FOOD 433909,A81000B,01300,0300,S&E MEDICAL-MEDICAL SUPPLIES 433909,A81000B,01400,0300,HO-CAPITAL EXPENSE 433909,A81000B,01500,0300,HO-ADMIN & GENERAL 433909,A81000B,01600,0300,HO-MANAGEMENT FEES 433909,A81000B,01700,0300,HO-SALARY 433909,A81000C,00100,0100,A 433909,A81000C,00100,0200,SHELDON WOLFE 433909,A81000C,00100,0400,OREGON ASSOCIATES 433909,A81000C,00100,0600,BLDG PARTNERSHIP 433909,A81000C,00200,0100,A 433909,A81000C,00200,0200,ALBERT MILSTEIN 433909,A81000C,00200,0400,OREGON ASSOCIATES 433909,A81000C,00200,0600,BLDG PARTNERSHIP 433909,A81000C,00300,0100,A 433909,A81000C,00300,0200,RONNIE KLEIN 433909,A81000C,00300,0400,OREGON ASSOCIATES 433909,A81000C,00300,0600,BLDG PARTNERSHIP 433909,A81000C,00400,0100,A 433909,A81000C,00400,0200,WANDA BOWLING 433909,A81000C,00400,0400,OREGON ASSOCIATES 433909,A81000C,00400,0600,BLDG PARTNERSHIP 433909,A81000C,00500,0100,A 433909,A81000C,00500,0200,MOSHE HERMAN 433909,A81000C,00500,0400,OREGON ASSOCIATES 433909,A81000C,00500,0600,BLDG PARTNERSHIP 433909,A81000C,00600,0100,A 433909,A81000C,00600,0200,KENNETH KLEIN 433909,A81000C,00600,0400,OREGON ASSOCIATES 433909,A81000C,00600,0600,BLDG PARTNERSHIP 433909,A81000C,00700,0100,F 433909,A81000C,00700,0400,SFO ASSOCIATES 433909,A81000C,00700,0600,FINANCING 433909,A81000C,00800,0100,A 433909,A81000C,00800,0200,SHELDON WOLFE 433909,A81000C,00800,0400,SW MANAGEMENT 433909,A81000C,00800,0600,MANAGEMENT SERVICE 433909,A81000C,00900,0100,A 433909,A81000C,00900,0200,SHELDON WOLFE 433909,A81000C,00900,0400,S&E MEDICAL SUPPLY 433909,A81000C,00900,0600,MEDICAL SUPPLIES 433909,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433909,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433909,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433909,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433909,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433909,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433909,B100000,00000,0800,0800MEALS SERVED :DIETARY 433909,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433909,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433909,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433909,E10A180,00550,0100,07/24/12 433909,G300000,02500,0000,OTHER MEDICAL SERVICES 433909,G300000,02501,0000,MEDICAID INCOME ADJUSTMENT 433909,S000000,00100,0200,06/05/12 433909,S200000,00100,0100,881 SOUTH 10TH STREET 433909,S200000,00200,0100,OREGON 433909,S200000,00200,0200,IL 433909,S200000,00200,0300,61061 433909,S200000,00300,0100,OGLE 433909,S200000,00300,0200,80 433909,S200000,00300,0201,99914 433909,S200000,00300,0300,R 433909,S200000,00400,0100,OREGON HEALTHCARE CENTER INC. 433909,S200000,00400,0200,145476 433909,S200000,00400,0300,03/01/92 433909,S200000,00400,0500,P 433909,S200000,00600,0200,145476 433909,S200000,00600,0300,03/01/92 433909,S200000,00600,0600,O 433909,S200000,01500,0100,N 433909,S200000,01501,0200,Y 433909,S200000,01600,0100,Y 433909,S200000,01700,0100,N 433909,S200000,01800,0100,N 433909,S200000,02200,0100,N 433909,S200000,02800,0100,N 433909,S200000,02900,0100,N 433909,S200000,03000,0100,N 433909,S200000,03100,0100,N 433909,S200000,03200,0100,N 433909,S200000,03300,0100,N 433909,S200000,03300,0200,N 433909,S200000,03500,0300,N 433909,S200000,03600,0100,N 433909,S200000,03600,0200,N 433909,S200000,04100,0100,N 433909,S200000,04200,0100,N 433909,S200000,04300,0100,N 433909,S200000,04600,0100,N 433909,S200000,04700,0100,N 433909,S200000,04700,0200,N 433909,S200000,04900,0100,N 433909,S200000,05000,0100,N 433909,S200000,05100,0100,N 433909,S200000,05200,0100,N 433909,S200000,05300,0100,Y 433909,S200000,05300,0200,149016 433909,S200000,05400,0100,SW MANAGEMENT CO. 433909,S200000,05400,0200,WISCONSIN PHYSICAN SERVICES 433909,S200000,05400,0300,05901 433909,S200000,05500,0100,7434 N SKOKIE BLVD 433909,S200000,05600,0100,SKOKIE 433909,S200000,05600,0200,IL 433909,S200000,05600,0300,60077 433928,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433928,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433928,A000000,00300,0000,0300EMPLOYEE BENEFITS 433928,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433928,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433928,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433928,A000000,00700,0000,0700HOUSEKEEPING 433928,A000000,00800,0000,0800DIETARY 433928,A000000,00900,0000,0900NURSING ADMINISTRATION 433928,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433928,A000000,01100,0000,1100PHARMACY 433928,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433928,A000000,01300,0000,1300SOCIAL SERVICE 433928,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433928,A000000,01600,0000,1600SKILLED NURSING FACILITY 433928,A000000,01810,0000,1810ICF/MR 433928,A000000,02100,0000,2100RADIOLOGY 433928,A000000,02200,0000,2200LABORATORY 433928,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433928,A000000,02500,0000,2500PHYSICAL THERAPY 433928,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433928,A000000,02700,0000,2700SPEECH PATHOLOGY 433928,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433928,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433928,A000000,03200,0000,3200SUPPORT SURFACES 433928,A000000,03550,0000,3550FQHC 433928,A000000,04800,0000,4800AMBULANCE 433928,A000000,05000,0000,5000CORF 433928,A000000,05010,0000,5010CMHC 433928,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433928,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433928,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433928,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433928,A81000A,00100,0100,Y 433928,A81000B,00100,0300,MANAGEMENT FEES 433928,A81000B,00200,0300,MANAGEMENT FEES-CAP REL 433928,A81000B,00300,0300,GENERAL INSURANCE 433928,A81000B,00400,0300,PROFESSIONAL FEES 433928,A81000B,00500,0300,MEDICAL SUPPLIES 433928,A81000B,00600,0300,EQUIPMENT RENTAL 433928,A81000B,00700,0300,MINOR EQUIPMENT 433928,A81000B,00800,0300,WORKERS COMPENSATION 433928,A81000B,00900,0300,UNIFORMS 433928,A81000B,01000,0300,SUPPLEMENTS 433928,A81000B,01100,0300,SUPPLIES 433928,A81000B,01200,0300,CONTRACT THERAPY 433928,A81000B,01300,0300,CONTRACT THERAPY 433928,A81000B,01400,0300,CONTRACT THERAPY 433928,A81000C,00100,0100,F 433928,A81000C,00100,0200,D WHEELER/ T. TILLER 433928,A81000C,00100,0400,LAUREL BAYE H/C OF SC 433928,A81000C,00100,0600,MANAGEMENT COMPANY 433928,A81000C,00200,0100,F 433928,A81000C,00200,0200,D WHEELER/ T. TILLER 433928,A81000C,00200,0400,RESPIRATORY CARE CONSULTA 433928,A81000C,00200,0600,MEDICAL SUPPLIES 433928,A81000C,00300,0100,F 433928,A81000C,00300,0200,D WHEELER/ T. TILLER 433928,A81000C,00300,0400,MEDICAL NECESSITIES 433928,A81000C,00300,0600,MEDICAL SUPPLIES 433928,A81000C,00400,0100,F 433928,A81000C,00400,0200,D WHEELER/ T. TILLER 433928,A81000C,00400,0400,LAUREL BAYE MEDICAL 433928,A81000C,00400,0600,MEDICAL SUPPLIES 433928,A81000C,00500,0100,F 433928,A81000C,00500,0200,D WHEELER/ T. TILLER 433928,A81000C,00500,0400,PALMETTO H/C ASSURANCE 433928,A81000C,00500,0600, CAPTIVE INSURANCE CO 433928,A81000C,00600,0100,F 433928,A81000C,00600,0200,D. WHEELER/T. TILLER 433928,A81000C,00600,0400,IMPACT THERAPY 433928,A81000C,00600,0600,THERAPY COMPANY 433928,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433928,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433928,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433928,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433928,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433928,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433928,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433928,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433928,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 433928,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433928,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433928,E10A180,00350,0100,01/17/12 433928,E10A180,00350,0300,01/17/12 433928,S000000,00100,0200,01/17/12 433928,S200000,00100,0100,1612 JONES BRIDGE ROAD 433928,S200000,00200,0100,BLACKVILLE 433928,S200000,00200,0200,SC 433928,S200000,00200,0300,29817 433928,S200000,00300,0100,BARNWELL 433928,S200000,00300,0200,0042 433928,S200000,00300,0201,00042 433928,S200000,00300,0300,U 433928,S200000,00400,0100,LAUREL BAYE HEALTHCARE OF BLACKVILL 433928,S200000,00400,0200,425319 433928,S200000,00400,0300,01/01/93 433928,S200000,00400,0500,P 433928,S200000,01500,0100,Y 433928,S200000,01501,0200,N 433928,S200000,01502,0200,Y 433928,S200000,01503,0200,Y 433928,S200000,01504,0200,N 433928,S200000,01600,0100,N 433928,S200000,01700,0100,N 433928,S200000,01800,0100,N 433928,S200000,02200,0100,N 433928,S200000,02800,0100,N 433928,S200000,02900,0100,N 433928,S200000,03000,0100,N 433928,S200000,03100,0100,N 433928,S200000,03200,0100,N 433928,S200000,03300,0100,N 433928,S200000,03300,0200,N 433928,S200000,04100,0100,N 433928,S200000,04200,0100,N 433928,S200000,04300,0100,Y 433928,S200000,04600,0100,N 433928,S200000,04700,0100,N 433928,S200000,04700,0200,N 433928,S200000,04900,0100,N 433928,S200000,05000,0100,N 433928,S200000,05100,0100,N 433928,S200000,05200,0100,N 433930,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433930,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433930,A000000,00300,0000,0300EMPLOYEE BENEFITS 433930,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433930,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433930,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433930,A000000,00700,0000,0700HOUSEKEEPING 433930,A000000,00800,0000,0800DIETARY 433930,A000000,00900,0000,0900NURSING ADMINISTRATION 433930,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433930,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433930,A000000,01300,0000,1300SOCIAL SERVICE 433930,A000000,01500,0000,1350ACTIVITIES 433930,A000000,01600,0000,1600SKILLED NURSING FACILITY 433930,A000000,01800,0000,1800NURSING FACILITY 433930,A000000,01810,0000,1810ICF/MR 433930,A000000,01900,0000,1900OTHER LONG TERM CARE 433930,A000000,02100,0000,2100RADIOLOGY 433930,A000000,02200,0000,2200LABORATORY 433930,A000000,02300,0000,2300INTRAVENOUS THERAPY 433930,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433930,A000000,02500,0000,2500PHYSICAL THERAPY 433930,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433930,A000000,02700,0000,2700SPEECH PATHOLOGY 433930,A000000,02800,0000,2800ELECTROCARDIOLOGY 433930,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433930,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433930,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433930,A000000,03200,0000,3200SUPPORT SURFACES 433930,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433930,A000000,03301,0000,3051AIR FLUID THERAPY 433930,A000000,03302,0000,3052AMBULANCE 433930,A000000,03303,0000,3053PEN THERAPY 433930,A000000,03304,0000,3054ONCOLOGY 433930,A000000,03305,0000,3055CARDIOLOGY 433930,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 433930,A000000,03307,0000,3057AUDIOLOGY 433930,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 433930,A000000,03400,0000,3400CLINIC 433930,A000000,03500,0000,3500RURAL HEALTH CLINIC 433930,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433930,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433930,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433930,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433930,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433930,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433930,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433930,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433930,A000000,04400,0000,4400DME RENTED - HHA 433930,A000000,04500,0000,4500DME SOLD - HHA 433930,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433930,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433930,A000000,04710,0000,4710TELEMEDICINE 433930,A000000,04800,0000,4800AMBULANCE 433930,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433930,A000000,05000,0000,5000CORF 433930,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433930,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433930,A000000,05300,0000,5300INTEREST EXPENSE 433930,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433930,A000000,05500,0000,5500HOSPICE 433930,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433930,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433930,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433930,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433930,A000000,06100,0000,6100NONPAID WORKERS 433930,A000000,06200,0000,6200PATIENTS LAUNDRY 433930,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433930,A81000A,00100,0100,Y 433930,A81000B,00100,0300,HO BUILDING DEPRECIATION 433930,A81000B,00200,0300,EQUIPMENT DEPRECIATION 433930,A81000B,00300,0300,INTEREST 433930,A81000B,00400,0300,MANAGEMENT FEES 433930,A81000B,00500,0300,MEDICAL SUPPLIES 433930,A81000B,00600,0300,MEDICAL SUPPLIES 433930,A81000B,00700,0300,MEDICAL SUPPLIES 433930,A81000B,00800,0300,DRUGS 433930,A81000B,00900,0300,DRUGS 433930,A81000B,01000,0300,DRUGS 433930,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 433930,A81000B,01200,0300,FAC BLDG DEPR 433930,A81000B,01300,0300,FAC EQUIP 433930,A81000B,01400,0300,FAC INTEREST 433930,A81000B,01500,0300,FAC AMORT 433930,A81000B,01600,0300,FAC A&G 433930,A81000C,00100,0100,A 433930,A81000C,00100,0200,R&S MCNEIL 433930,A81000C,00100,0400,LIBERTY LTC MGMT 433930,A81000C,00100,0600,BUILDING 433930,A81000C,00200,0100,A 433930,A81000C,00200,0200,R&S MCNEIL 433930,A81000C,00200,0400,LIBERTY LTC MGMT 433930,A81000C,00200,0600,HOME OFFICE 433930,A81000C,00300,0100,A 433930,A81000C,00300,0200,R&S MCNEIL 433930,A81000C,00300,0400,LIBERTY LTC MGMT 433930,A81000C,00300,0600,HOME OFFICE 433930,A81000C,00400,0100,A 433930,A81000C,00400,0200,R&S MCNEIL 433930,A81000C,00400,0400,LIBERTY LTC MGMT 433930,A81000C,00400,0600,HOME OFFICE 433930,A81000C,00500,0100,A 433930,A81000C,00500,0200,R&S MCNEIL 433930,A81000C,00500,0400,LIBERTY MED SPEC 433930,A81000C,00500,0600,HOME OFFICE 433930,A81000C,00600,0100,A 433930,A81000C,00600,0200,R&S MCNEIL 433930,A81000C,00600,0400,LIBERTY MED SPEC 433930,A81000C,00600,0600,MED SUPPLY 433930,A81000C,00700,0100,A 433930,A81000C,00700,0200,R&S MCNEIL 433930,A81000C,00700,0400,LIBERTY MED SPEC 433930,A81000C,00700,0600,MED SUPPLY 433930,A81000C,00800,0100,A 433930,A81000C,00800,0200,R&S MCNEIL 433930,A81000C,00800,0400,MCNEILL PHARM 433930,A81000C,00800,0600,MED SUPPLY 433930,A81000C,00900,0100,A 433930,A81000C,00900,0200,R&S MCNEIL 433930,A81000C,00900,0400,MCNEILL PHARM 433930,A81000C,00900,0600,PHARMACY 433930,A81000C,01000,0100,A 433930,A81000C,01000,0200,R&S MCNEIL 433930,A81000C,01000,0400,MCNEILL PHARM 433930,A81000C,01000,0600,PHARMACY 433930,A81000C,01001,0100,A 433930,A81000C,01001,0200,R&S MCNEIL 433930,A81000C,01001,0400,LIBERTY PROPERTIES 433930,A81000C,01001,0600,PHARMACY 433930,A81000C,01002,0100,A 433930,A81000C,01002,0200,R&S MCNEIL 433930,A81000C,01002,0400,LIBERTY PROPERTIES 433930,A81000C,01002,0600,BUILDING 433930,A81000C,01003,0100,A 433930,A81000C,01003,0200,R&S MCNEIL 433930,A81000C,01003,0400,LIBERTY PROPERTIES 433930,A81000C,01003,0600,BUILDING 433930,A81000C,01004,0100,A 433930,A81000C,01004,0200,R&S MCNEIL 433930,A81000C,01004,0400,LIBERTY PROPERTIES 433930,A81000C,01004,0600,BUILDING 433930,A81000C,01005,0100,A 433930,A81000C,01005,0200,R&S MCNEIL 433930,A81000C,01005,0400,LIBERTY PROPERTIES 433930,A81000C,01005,0600,BUILDING 433930,A81000C,01006,0100,A 433930,A81000C,01006,0200,R&S MCNEIL 433930,A81000C,01006,0400,LIBERTY PROPERTIES 433930,A81000C,01006,0600,BUILDING 433930,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433930,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433930,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433930,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433930,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433930,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433930,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433930,B100000,00000,0800,0800MEALS SERVED :DIETARY 433930,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433930,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433930,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433930,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433930,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433930,E10A180,00350,0100,07/27/11 433930,E10A180,00501,0100,05/26/12 433930,G300000,02500,0000,BARBER & BEAUTY 433930,G300000,02501,0000,CONTRIBUTIONS 433930,G300000,02502,0000,PERSONAL ITEM REVENUE 433930,G300000,02503,0000,EQUIPMENT RENTAL 433930,G300000,02504,0000,MISCELLANEOUS REVENUE 433930,S000000,00100,0200,03/01/12 433930,S200000,00100,0100,3700 SHAMROCK DRIVE 433930,S200000,00200,0100,CHARLOTTE 433930,S200000,00200,0200,NC 433930,S200000,00200,0300,28215 433930,S200000,00300,0100,MECKLENBURG 433930,S200000,00300,0200,1520 433930,S200000,00300,0201,16740 433930,S200000,00300,0300,U 433930,S200000,00400,0100,LIBERTY N&R CTR OF MECKLENBURG CO 433930,S200000,00400,0200,345026 433930,S200000,00400,0300,05/01/96 433930,S200000,00400,0500,P 433930,S200000,00400,0600,P 433930,S200000,01500,0100,Y 433930,S200000,01501,0200,Y 433930,S200000,01600,0100,N 433930,S200000,01700,0100,N 433930,S200000,01800,0100,N 433930,S200000,02200,0100,N 433930,S200000,02800,0100,N 433930,S200000,02900,0100,N 433930,S200000,03000,0100,N 433930,S200000,03100,0100,N 433930,S200000,03200,0100,N 433930,S200000,03300,0100,N 433930,S200000,03300,0200,N 433930,S200000,04100,0100,N 433930,S200000,04200,0100,N 433930,S200000,04300,0100,N 433930,S200000,04600,0100,N 433930,S200000,04700,0100,N 433930,S200000,04700,0200,N 433930,S200000,04900,0100,N 433930,S200000,05000,0100,N 433930,S200000,05100,0100,N 433930,S200000,05200,0100,N 433930,S200000,05300,0100,N 433931,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433931,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433931,A000000,00300,0000,0300EMPLOYEE BENEFITS 433931,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433931,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433931,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433931,A000000,00700,0000,0700HOUSEKEEPING 433931,A000000,00800,0000,0800DIETARY 433931,A000000,00900,0000,0900NURSING ADMINISTRATION 433931,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433931,A000000,01100,0000,1100PHARMACY 433931,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433931,A000000,01300,0000,1300SOCIAL SERVICE 433931,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433931,A000000,01600,0000,1600SKILLED NURSING FACILITY 433931,A000000,01800,0000,1800NURSING FACILITY 433931,A000000,01900,0000,1900OTHER LONG TERM CARE 433931,A000000,02100,0000,2100RADIOLOGY 433931,A000000,02200,0000,2200LABORATORY 433931,A000000,02300,0000,2300INTRAVENOUS THERAPY 433931,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433931,A000000,02500,0000,2500PHYSICAL THERAPY 433931,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433931,A000000,02700,0000,2700SPEECH PATHOLOGY 433931,A000000,02800,0000,2800ELECTROCARDIOLOGY 433931,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433931,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433931,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433931,A000000,03200,0000,3200SUPPORT SURFACES 433931,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433931,A000000,03400,0000,3400CLINIC 433931,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433931,A000000,04800,0000,4800AMBULANCE 433931,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433931,A000000,05000,0000,5000CORF 433931,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433931,A000000,05300,0000,5300INTEREST EXPENSE 433931,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433931,A000000,05500,0000,5500HOSPICE 433931,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433931,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433931,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433931,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433931,A000000,06100,0000,6100NONPAID WORKERS 433931,A000000,06200,0000,6200PATIENTS LAUNDRY 433931,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433931,A81000A,00100,0100,Y 433931,A81000B,00100,0300,NURSING CONSULTING 433931,A81000B,00200,0300,DIETARY CONSULTING 433931,A81000B,00300,0300,HOME OFFICE 433931,A81000B,00400,0300,INTEREST EXPENSE 433931,A81000B,00500,0300,WORKERS COMP EXPENSE 433931,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433931,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 433931,A81000B,00800,0300,MAINTENANCE SUPPLIES 433931,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 433931,A81000B,01000,0300,REPAIRS - EQUIPMENT 433931,A81000B,01100,0300,LINEN & BEDDING 433931,A81000B,01200,0300,LAUNDRY SUPPLIES 433931,A81000B,01300,0300,PAPER PRODUCTS & HAND SOAP 433931,A81000B,01400,0300,HSKP SUPPLIES 433931,A81000B,01500,0300,DIETARY SUPPLEMENTS 433931,A81000B,01600,0300,DIETARY SUPPLIES 433931,A81000B,01700,0300,BIO-MEDICAL WASTE 433931,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 433931,A81000B,01900,0300,PERSONAL CARE SUPPLIES 433931,A81000B,02000,0300,INCONTINENCE SUPPLIES 433931,A81000B,02100,0300,MEDICAL SUPPLIES 433931,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433931,A81000B,02300,0300,PT SUPPLIES 433931,A81000B,02400,0300,OT SUPPLIES 433931,A81000B,02500,0300,SUPPLIES 433931,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 433931,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 433931,A81000B,02800,0300,NON-LEGEND DRUGS 433931,A81000B,02900,0300,PHARMACY CONSULTANT 433931,A81000C,00100,0100,B 433931,A81000C,00100,0400,BRITTHAVEN INC 433931,A81000C,00100,0600,MGMT SERVICES 433931,A81000C,00200,0100,B 433931,A81000C,00200,0400,BRITTHAVEN INC 433931,A81000C,00200,0600,MGMT SERVICES 433931,A81000C,00300,0100,B 433931,A81000C,00300,0400,BRITTHAVEN INC 433931,A81000C,00300,0600,MGMT SERVICES 433931,A81000C,00400,0100,B 433931,A81000C,00400,0400,BRITTHAVEN INC 433931,A81000C,00400,0600,MGMT SERVICES 433931,A81000C,00500,0100,A 433931,A81000C,00500,0200,DISCOVERY INSUR 433931,A81000C,00500,0600,INSURANCE 433931,A81000C,00600,0100,A 433931,A81000C,00600,0200,QUEENSLAND ASSU 433931,A81000C,00600,0600,INSURANCE 433931,A81000C,00700,0100,B 433931,A81000C,00700,0400,KARE MEDICAL 433931,A81000C,00700,0600,WHOLESALE SUPPL 433931,A81000C,00800,0100,B 433931,A81000C,00800,0400,KARE MEDICAL 433931,A81000C,00800,0600,WHOLESALE SUPPL 433931,A81000C,00900,0100,B 433931,A81000C,00900,0400,KARE MEDICAL 433931,A81000C,00900,0600,WHOLESALE SUPPL 433931,A81000C,01000,0100,B 433931,A81000C,01000,0400,KARE MEDICAL 433931,A81000C,01000,0600,WHOLESALE SUPPL 433931,A81000C,01001,0100,B 433931,A81000C,01001,0400,KARE MEDICAL 433931,A81000C,01001,0600,WHOLESALE SUPPL 433931,A81000C,01002,0100,B 433931,A81000C,01002,0400,KARE MEDICAL 433931,A81000C,01002,0600,WHOLESALE SUPPL 433931,A81000C,01003,0100,B 433931,A81000C,01003,0400,KARE MEDICAL 433931,A81000C,01003,0600,WHOLESALE SUPPL 433931,A81000C,01004,0100,B 433931,A81000C,01004,0400,KARE MEDICAL 433931,A81000C,01004,0600,WHOLESALE SUPPL 433931,A81000C,01005,0100,B 433931,A81000C,01005,0400,KARE MEDICAL 433931,A81000C,01005,0600,WHOLESALE SUPPL 433931,A81000C,01006,0100,B 433931,A81000C,01006,0400,KARE MEDICAL 433931,A81000C,01006,0600,WHOLESALE SUPPL 433931,A81000C,01007,0100,B 433931,A81000C,01007,0400,KARE MEDICAL 433931,A81000C,01007,0600,WHOLESALE SUPPL 433931,A81000C,01008,0100,B 433931,A81000C,01008,0400,KARE MEDICAL 433931,A81000C,01008,0600,WHOLESALE SUPPL 433931,A81000C,01009,0100,B 433931,A81000C,01009,0400,KARE MEDICAL 433931,A81000C,01009,0600,WHOLESALE SUPPL 433931,A81000C,01010,0100,B 433931,A81000C,01010,0400,KARE MEDICAL 433931,A81000C,01010,0600,WHOLESALE SUPPL 433931,A81000C,01011,0100,B 433931,A81000C,01011,0400,KARE MEDICAL 433931,A81000C,01011,0600,WHOLESALE SUPPL 433931,A81000C,01012,0100,B 433931,A81000C,01012,0400,KARE MEDICAL 433931,A81000C,01012,0600,WHOLESALE SUPPL 433931,A81000C,01013,0100,B 433931,A81000C,01013,0400,KARE MEDICAL 433931,A81000C,01013,0600,WHOLESALE SUPPL 433931,A81000C,01014,0100,B 433931,A81000C,01014,0400,KARE MEDICAL 433931,A81000C,01014,0600,WHOLESALE SUPPL 433931,A81000C,01015,0100,B 433931,A81000C,01015,0400,KARE MEDICAL 433931,A81000C,01015,0600,WHOLESALE SUPPL 433931,A81000C,01016,0100,B 433931,A81000C,01016,0400,KARE MEDICAL 433931,A81000C,01016,0600,WHOLESALE SUPPL 433931,A81000C,01017,0100,B 433931,A81000C,01017,0400,PHARMSAVE 433931,A81000C,01017,0600,RX SUPPLY 433931,A81000C,01018,0100,B 433931,A81000C,01018,0400,PHARMSAVE 433931,A81000C,01018,0600,RX SUPPLY 433931,A81000C,01019,0100,B 433931,A81000C,01019,0400,PHARMSAVE 433931,A81000C,01019,0600,RX SUPPLY 433931,A81000C,01020,0100,B 433931,A81000C,01020,0400,PHARMSAVE 433931,A81000C,01020,0600,RX SUPPLY 433931,A81000C,01021,0100,B 433931,A81000C,01021,0400,PHARMSAVE 433931,A81000C,01021,0600,RX SUPPLY 433931,A81000C,01022,0100,B 433931,A81000C,01022,0400,ROBERT HILL CON 433931,A81000C,01022,0600,CONSTRUCTION 433931,A81000C,01023,0100,B 433931,A81000C,01023,0400,ROBERT HILL CON 433931,A81000C,01023,0600,CONSTRUCTION 433931,A81000C,01024,0100,A 433931,A81000C,01024,0400,NEIL REALTY 433931,A81000C,01024,0600,REALESTATE 433931,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433931,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433931,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433931,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433931,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433931,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433931,B100000,00000,0800,0800MEALS SERVED :DIETARY 433931,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433931,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433931,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433931,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433931,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433931,E10A180,00550,0100,12/19/11 433931,G300000,02500,0000, OTHER (SPECIFY) 433931,S000000,00100,0200,12/19/11 433931,S200000,00100,0100,9200 GLENWATER DRIVE 433931,S200000,00200,0100,CHARLOTTE 433931,S200000,00200,0200,NC 433931,S200000,00200,0300,28262 433931,S200000,00300,0100,MECKLENGURG 433931,S200000,00300,0201,16740 433931,S200000,00300,0300,U 433931,S200000,00400,0100,BRITTHAVEN OF CHARLOTTE 433931,S200000,00400,0200,345142 433931,S200000,00400,0300,07/01/74 433931,S200000,00400,0500,P 433931,S200000,01500,0100,N 433931,S200000,01501,0200,Y 433931,S200000,01503,0200,Y 433931,S200000,01504,0200,Y 433931,S200000,01505,0000,OTHER (SPECIFY) 433931,S200000,01505,0200,Y 433931,S200000,01600,0100,Y 433931,S200000,01700,0100,N 433931,S200000,01800,0100,N 433931,S200000,02200,0100,N 433931,S200000,02800,0100,N 433931,S200000,02900,0100,N 433931,S200000,03000,0100,N 433931,S200000,03100,0100,Y 433931,S200000,03200,0100,N 433931,S200000,03300,0100,N 433931,S200000,03300,0200,N 433931,S200000,04100,0100,N 433931,S200000,04200,0100,N 433931,S200000,04300,0100,N 433931,S200000,04600,0100,N 433931,S200000,04700,0100,N 433931,S200000,04700,0200,N 433931,S200000,04900,0100,N 433931,S200000,05000,0100,N 433931,S200000,05100,0100,N 433931,S200000,05200,0100,N 433931,S200000,05300,0100,Y 433931,S200000,05300,0200,349011 433931,S200000,05400,0100,BRITTHAVEN INC 433931,S200000,05400,0200,PALMETTO GBA 433931,S200000,05400,0300,11501 433931,S200000,05500,0100,1435 HWY 258 NORTH 433931,S200000,05500,0200,PO BOX 61 433931,S200000,05600,0100,KINSTON 433931,S200000,05600,0200,NC 433931,S200000,05600,0300,28502 433934,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433934,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433934,A000000,00300,0000,0300EMPLOYEE BENEFITS 433934,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433934,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433934,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433934,A000000,00700,0000,0700HOUSEKEEPING 433934,A000000,00800,0000,0800DIETARY 433934,A000000,00900,0000,0900NURSING ADMINISTRATION 433934,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433934,A000000,01100,0000,1100PHARMACY 433934,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433934,A000000,01300,0000,1300SOCIAL SERVICE 433934,A000000,01301,0000,1301ACTIVITIES 433934,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433934,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433934,A000000,01600,0000,1600SKILLED NURSING FACILITY 433934,A000000,01800,0000,1800NURSING FACILITY 433934,A000000,01810,0000,1810ICF/MR 433934,A000000,01900,0000,1900OTHER LONG TERM CARE 433934,A000000,02100,0000,2100RADIOLOGY 433934,A000000,02200,0000,2200LABORATORY 433934,A000000,02300,0000,2300INTRAVENOUS THERAPY 433934,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433934,A000000,02500,0000,2500PHYSICAL THERAPY 433934,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433934,A000000,02700,0000,2700SPEECH PATHOLOGY 433934,A000000,02800,0000,2800ELECTROCARDIOLOGY 433934,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433934,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433934,A000000,03001,0000,3001COMPLEX MEDICAL EQUIPMENT 433934,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433934,A000000,04800,0000,4800AMBULANCE 433934,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433934,A81000A,00100,0100,Y 433934,A81000B,00100,0300,PHARMACY PRESCRIPTION DRUGS 433934,A81000B,00200,0300,PHARMACY OTC DRUGS 433934,A81000B,00300,0300,PHARMACY CONSULTANT 433934,A81000B,00500,0300,INTEREST EXPENSE 433934,A81000B,00600,0300,DIETARY PURCHASED SERVICES 433934,A81000B,00700,0300,LAB PURCHASED SERVICES 433934,A81000B,00800,0300,X-RAY PURCHASED SERVICES 433934,A81000B,00900,0300,FUEL AND ELECTRICITY 433934,A81000B,01000,0300,PROPERTY INSURANCE 433934,A81000B,01100,0300,AUTO INSURANCE 433934,A81000B,01200,0300,WORKERS COMP INSURANCE 433934,A81000B,01300,0300,ADMIN INSURANCE 433934,A81000B,01400,0300,HEALTH DENTAL AND PENSION BENEFIT 433934,A81000B,01500,0300,ALLOC. CONTRCATED SERVICES 433934,A81000B,01600,0300,SYSTEM ADMIN EXPENSE 433934,A81000B,01700,0300,OCCUPATIONAL HEALTH 433934,A81000B,01800,0300,CHILDCARE EXP 433934,A81000B,01900,0300,MEDICAL RECORDS 433934,A81000B,02000,0300,PHYSICAL THERAPY 433934,A81000C,00100,0100,G 433934,A81000C,00100,0200,MOUNT ANTHONY H 433934,A81000C,00100,0400,SVMC 433934,A81000C,00100,0600,HOSPITAL 433934,A81000C,00200,0100,G 433934,A81000C,00200,0200, 433934,A81000C,00200,0400,SVMC 433934,A81000C,00200,0600, 433934,A81000C,00300,0100,G 433934,A81000C,00300,0200, 433934,A81000C,00300,0400,SVMC 433934,A81000C,00300,0600, 433934,A81000C,00400,0100,G 433934,A81000C,00400,0200, 433934,A81000C,00400,0400,SVMC 433934,A81000C,00400,0600, 433934,A81000C,00500,0100,G 433934,A81000C,00500,0200, 433934,A81000C,00500,0400,SVMC 433934,A81000C,00500,0600, 433934,A81000C,00600,0100,G 433934,A81000C,00600,0200, 433934,A81000C,00600,0400,SVMC 433934,A81000C,00600,0600, 433934,A81000C,00700,0100,G 433934,A81000C,00700,0200, 433934,A81000C,00700,0400,SVMC 433934,A81000C,00700,0600, 433934,A81000C,00800,0100,G 433934,A81000C,00800,0200, 433934,A81000C,00800,0400,SVMC 433934,A81000C,00800,0600, 433934,A81000C,00900,0100,G 433934,A81000C,00900,0200, 433934,A81000C,00900,0400,SVMC 433934,A81000C,00900,0600, 433934,A81000C,01000,0100,G 433934,A81000C,01000,0200, 433934,A81000C,01000,0400,SVMC 433934,A81000C,01000,0600, 433934,A81000C,01001,0100,G 433934,A81000C,01001,0200, 433934,A81000C,01001,0400,SVMC 433934,A81000C,01001,0600, 433934,A81000C,01002,0100,G 433934,A81000C,01002,0200, 433934,A81000C,01002,0400,SVMC 433934,A81000C,01002,0600,PARENT 433934,A81000C,01003,0100,G 433934,A81000C,01003,0200, 433934,A81000C,01003,0400,SVMC 433934,A81000C,01003,0600,PARENT 433934,A81000C,01004,0100,G 433934,A81000C,01004,0200, 433934,A81000C,01004,0400,SVMC 433934,A81000C,01004,0600,PARENT 433934,A81000C,01005,0100,G 433934,A81000C,01005,0200, 433934,A81000C,01005,0400,SVMC 433934,A81000C,01005,0600,PARENT 433934,A81000C,01006,0100,G 433934,A81000C,01006,0200, 433934,A81000C,01006,0400,SVMC 433934,A81000C,01006,0600,PARENT 433934,A81000C,01007,0100,G 433934,A81000C,01007,0200, 433934,A81000C,01007,0400,SVMC 433934,A81000C,01007,0600,PARENT 433934,A81000C,01008,0100,G 433934,A81000C,01008,0200, 433934,A81000C,01008,0400,SVMC 433934,A81000C,01008,0600,HOSPITAL 433934,A81000C,01009,0100,G 433934,A81000C,01009,0200, 433934,A81000C,01009,0400,SVMC 433934,A81000C,01009,0600,HOSPITAL 433934,A81000C,01010,0100,G 433934,A81000C,01010,0200, 433934,A81000C,01010,0400,SVMC/SVHC 433934,A81000C,01010,0600,HOSPITAL/PARENT 433934,A81000C,03100,0000,SYSTEM ADMIN EXPENSE 433934,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433934,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433934,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433934,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433934,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433934,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433934,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433934,B100000,00000,0800,0800MEALS SERVED :DIETARY 433934,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 433934,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433934,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433934,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433934,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433934,B100000,00000,1301,1301ASSIGNED TIME :ACTIVITIES 433934,E10A180,00501,0100,05/04/12 433934,E10A180,00501,0300,05/04/12 433934,G300000,02501,0000,SALE OF PERSOANL ITEMS 433934,G300000,02502,0000,ACTIVITIES INCOME 433934,G300000,02503,0000,MISCELLANEOUS 433934,G300000,02504,0000,INTEREST INCOME 433934,G300000,02506,0000,GAIN ON DISPOSAL OF ASSETS 433934,S000000,00100,0200,02/29/12 433934,S200000,00100,0100,160 HOSPITAL DRIVE 433934,S200000,00200,0100,BENNINGTON 433934,S200000,00200,0200,VT 433934,S200000,00200,0300,05201 433934,S200000,00300,0100,BENNINGTON 433934,S200000,00300,0200,0047 433934,S200000,00300,0201,99947 433934,S200000,00300,0300,R 433934,S200000,00400,0100,CENTERS FOR LIVING & REHABILITATION 433934,S200000,00400,0200,475029 433934,S200000,00400,0300,03/12/86 433934,S200000,00400,0500,P 433934,S200000,01500,0100,Y 433934,S200000,01501,0200,N 433934,S200000,01502,0200,N 433934,S200000,01503,0200,N 433934,S200000,01600,0100,N 433934,S200000,01700,0100,N 433934,S200000,01800,0100,N 433934,S200000,02200,0100,N 433934,S200000,02800,0100,N 433934,S200000,02900,0100,N 433934,S200000,03000,0100,N 433934,S200000,03100,0100,N 433934,S200000,03200,0100,N 433934,S200000,03300,0100,N 433934,S200000,03300,0200,N 433934,S200000,04100,0100,N 433934,S200000,04200,0100,N 433934,S200000,04300,0100,N 433934,S200000,04600,0100,N 433934,S200000,04700,0100,N 433934,S200000,04700,0200,N 433934,S200000,04900,0100,N 433934,S200000,05000,0100,N 433934,S200000,05100,0100,N 433934,S200000,05200,0100,N 433934,S200000,05300,0100,N 433935,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433935,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433935,A000000,00300,0000,0300EMPLOYEE BENEFITS 433935,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433935,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433935,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433935,A000000,00700,0000,0700HOUSEKEEPING 433935,A000000,00800,0000,0800DIETARY 433935,A000000,00900,0000,0900NURSING ADMINISTRATION 433935,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433935,A000000,01100,0000,1100PHARMACY 433935,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433935,A000000,01300,0000,1300SOCIAL SERVICE 433935,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433935,A000000,01500,0000,1350ACTIVITIES 433935,A000000,01600,0000,1600SKILLED NURSING FACILITY 433935,A000000,01800,0000,1800NURSING FACILITY 433935,A000000,01900,0000,1900OTHER LONG TERM CARE 433935,A000000,02100,0000,2100RADIOLOGY 433935,A000000,02200,0000,2200LABORATORY 433935,A000000,02300,0000,2300INTRAVENOUS THERAPY 433935,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433935,A000000,02500,0000,2500PHYSICAL THERAPY 433935,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433935,A000000,02700,0000,2700SPEECH PATHOLOGY 433935,A000000,02800,0000,2800ELECTROCARDIOLOGY 433935,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433935,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433935,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433935,A81000A,00100,0100,N 433935,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433935,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433935,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433935,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433935,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433935,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433935,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433935,B100000,00000,0800,0800MEALS SERVED :DIETARY 433935,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 433935,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 433935,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433935,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433935,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433935,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433935,E10A180,00501,0100,05/10/12 433935,G300000,02501,0000,MISCELLANEOUS 433935,G300000,02505,0000,BAD DEBT RECOVERY 433935,G300000,02506,0000,SPA SERVICES 433935,S000000,00100,0200,02/27/12 433935,S200000,00100,0100,312 CRESCENT STREET 433935,S200000,00200,0100,BENNINGTON 433935,S200000,00200,0200,VT 433935,S200000,00200,0300,05201 433935,S200000,00300,0100,BENNINGTON 433935,S200000,00300,0200,47 433935,S200000,00300,0201,99947 433935,S200000,00300,0300,R 433935,S200000,00400,0100,CSR CORP DBA CRESCENT MANOR CARE CTR 433935,S200000,00400,0200,475033 433935,S200000,00400,0300,10/01/89 433935,S200000,00400,0500,P 433935,S200000,01500,0100,Y 433935,S200000,01501,0200,Y 433935,S200000,01502,0200,Y 433935,S200000,01504,0200,Y 433935,S200000,01600,0100,N 433935,S200000,01700,0100,N 433935,S200000,01800,0100,N 433935,S200000,02200,0100,N 433935,S200000,02800,0100,N 433935,S200000,02900,0100,N 433935,S200000,03000,0100,N 433935,S200000,03100,0100,N 433935,S200000,03200,0100,N 433935,S200000,03300,0100,N 433935,S200000,03300,0200,N 433935,S200000,04100,0100,N 433935,S200000,04200,0100,N 433935,S200000,04300,0100,N 433935,S200000,04600,0100,N 433935,S200000,04700,0100,N 433935,S200000,04700,0200,N 433935,S200000,04900,0100,N 433935,S200000,05000,0100,N 433935,S200000,05100,0100,N 433935,S200000,05200,0100,N 433935,S200000,05300,0100,N 433936,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433936,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433936,A000000,00300,0000,0300EMPLOYEE BENEFITS 433936,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433936,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433936,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433936,A000000,00700,0000,0700HOUSEKEEPING 433936,A000000,00800,0000,0800DIETARY 433936,A000000,00900,0000,0900NURSING ADMINISTRATION 433936,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433936,A000000,01100,0000,1100PHARMACY 433936,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433936,A000000,01300,0000,1300SOCIAL SERVICE 433936,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433936,A000000,01500,0000,1350ACTIVITIES 433936,A000000,01600,0000,1600SKILLED NURSING FACILITY 433936,A000000,01800,0000,1800NURSING FACILITY 433936,A000000,01810,0000,1810ICF/MR 433936,A000000,01900,0000,1900OTHER LONG TERM CARE 433936,A000000,02100,0000,2100RADIOLOGY 433936,A000000,02200,0000,2200LABORATORY 433936,A000000,02300,0000,2300INTRAVENOUS THERAPY 433936,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433936,A000000,02500,0000,2500PHYSICAL THERAPY 433936,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433936,A000000,02700,0000,2700SPEECH PATHOLOGY 433936,A000000,02800,0000,2800ELECTROCARDIOLOGY 433936,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433936,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433936,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433936,A000000,03200,0000,3200SUPPORT SURFACES 433936,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433936,A000000,03400,0000,3400CLINIC 433936,A000000,03500,0000,3500RURAL HEALTH CLINIC 433936,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433936,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433936,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433936,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433936,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433936,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433936,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433936,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433936,A000000,04400,0000,4400DME RENTED - HHA 433936,A000000,04500,0000,4500DME SOLD - HHA 433936,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433936,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433936,A000000,04710,0000,4710TELEMEDICINE 433936,A000000,04800,0000,4800AMBULANCE 433936,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433936,A000000,05000,0000,5000CORF 433936,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433936,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433936,A000000,05300,0000,5300INTEREST EXPENSE 433936,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433936,A000000,05500,0000,5500HOSPICE 433936,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433936,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433936,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433936,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433936,A000000,06100,0000,6100NONPAID WORKERS 433936,A000000,06200,0000,6200PATIENTS LAUNDRY 433936,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433936,A81000A,00100,0100,Y 433936,A81000B,00100,0300,ADMIN C/S 433936,A81000B,00200,0300,ADMIN SALARY 433936,A81000B,00300,0300,ADMIN PR TAX 433936,A81000B,00400,0300,ADMIN BENEFIT 433936,A81000B,00500,0300,DON C/S 433936,A81000B,00600,0300,DON SALARY 433936,A81000B,00700,0300,DON PR TAX 433936,A81000B,00800,0300,DON BENEFITS 433936,A81000B,00900,0300,NURSE CONSULT 433936,A81000B,01000,0300,RN SALARY 433936,A81000B,01100,0300,RN PR TAX 433936,A81000B,01200,0300,RN BENEFIT 433936,A81000B,01300,0300,MANAGEMENT FEE 433936,A81000B,01400,0300,VEHICLE LEASE 433936,A81000B,01500,0300,VEHICLE DEPRECIATION 433936,A81000B,01600,0300,PT C/S 433936,A81000B,01700,0300,OT C/S 433936,A81000B,01800,0300,ST C/S 433936,A81000B,01900,0300,RENT EQUIP 433936,A81000B,02000,0300,TF NUTRIENT 433936,A81000B,02100,0300,MEDICAL SUPPLIES 433936,A81000B,02200,0300,NON CAP NURSE EQUIP 433936,A81000B,02300,0300,THERAPEUTIC BEDS 433936,A81000B,02400,0300,OXYGEN 433936,A81000B,02500,0300,BMS 433936,A81000B,02600,0300,PE SUPPLIES 433936,A81000B,02700,0300,LIFE SUST EQUIP 433936,A81000C,00100,0100,A 433936,A81000C,00100,0200,HAROLD NUNN 433936,A81000C,00100,0400,PEAK RESOURCES INC 433936,A81000C,00100,0600,MANAGEMENT SERVICES 433936,A81000C,00200,0100,A 433936,A81000C,00200,0200,HAROLD NUNN 433936,A81000C,00200,0400,PEAK RESOURCES INC 433936,A81000C,00200,0600,MANAGEMENT SERVICES 433936,A81000C,00300,0100,A 433936,A81000C,00300,0200,HAROLD NUNN 433936,A81000C,00300,0400,PEAK RESOURCES INC 433936,A81000C,00300,0600,MANAGEMENT SERVICES 433936,A81000C,00400,0100,A 433936,A81000C,00400,0200,HAROLD NUNN 433936,A81000C,00400,0400,PEAK RESOURCES INC 433936,A81000C,00400,0600,MANAGEMENT SERVICES 433936,A81000C,00500,0100,A 433936,A81000C,00500,0200,HAROLD NUNN 433936,A81000C,00500,0400,PEAK RESOURCES INC 433936,A81000C,00500,0600,MANAGEMENT SERVICES 433936,A81000C,00600,0100,A 433936,A81000C,00600,0200,HAROLD NUNN 433936,A81000C,00600,0400,PEAK RESOURCES INC 433936,A81000C,00600,0600,MANAGEMENT SERVICES 433936,A81000C,00700,0100,A 433936,A81000C,00700,0200,HAROLD NUNN 433936,A81000C,00700,0400,PEAK RESOURCES INC 433936,A81000C,00700,0600,MANAGEMENT SERVICES 433936,A81000C,00800,0100,A 433936,A81000C,00800,0200,HAROLD NUNN 433936,A81000C,00800,0400,PEAK RESOURCES INC 433936,A81000C,00800,0600,MANAGEMENT SERVICES 433936,A81000C,00900,0100,A 433936,A81000C,00900,0200,HAROLD NUNN 433936,A81000C,00900,0400,PEAK RESOURCES INC 433936,A81000C,00900,0600,MANAGEMENT SERVICES 433936,A81000C,01000,0100,A 433936,A81000C,01000,0200,HAROLD NUNN 433936,A81000C,01000,0400,PEAK RESOURCES INC 433936,A81000C,01000,0600,MANAGEMENT SERVICES 433936,A81000C,01001,0100,A 433936,A81000C,01001,0200,HAROLD NUNN 433936,A81000C,01001,0400,PEAK RESOURCES INC 433936,A81000C,01001,0600,MANAGEMENT SERVICES 433936,A81000C,01002,0100,A 433936,A81000C,01002,0200,HAROLD NUNN 433936,A81000C,01002,0400,PEAK RESOURCES INC 433936,A81000C,01002,0600,MANAGEMENT SERVICES 433936,A81000C,01003,0100,A 433936,A81000C,01003,0200,HAROLD NUNN 433936,A81000C,01003,0400,PEAK RESOURCES INC 433936,A81000C,01003,0600,MANAGEMENT SERVICES 433936,A81000C,01004,0100,A 433936,A81000C,01004,0200,HAROLD NUNN 433936,A81000C,01004,0400,PEAK RESOURCES INC 433936,A81000C,01004,0600,MANAGEMENT SERVICES 433936,A81000C,01005,0100,A 433936,A81000C,01005,0200,HAROLD NUNN 433936,A81000C,01005,0400,PEAK RESOURCES INC 433936,A81000C,01005,0600,MANAGEMENT SERVICES 433936,A81000C,01006,0100,A 433936,A81000C,01006,0200,HAROLD NUNN 433936,A81000C,01006,0400,PEAK RESOURCES INC 433936,A81000C,01006,0600,MANAGEMENT SERVICES 433936,A81000C,01007,0100,A 433936,A81000C,01007,0200,HAROLD NUNN 433936,A81000C,01007,0400,SUMMIT THEREAPY SERVICES 433936,A81000C,01007,0600,THERAPY SERVICES 433936,A81000C,01008,0100,A 433936,A81000C,01008,0200,HAROLD NUNN 433936,A81000C,01008,0400,SUMMIT THEREAPY SERVICES 433936,A81000C,01008,0600,THERAPY SERVICES 433936,A81000C,01009,0100,A 433936,A81000C,01009,0200,HAROLD NUNN 433936,A81000C,01009,0400,SUMMIT THEREAPY SERVICES 433936,A81000C,01009,0600,THERAPY SERVICES 433936,A81000C,01010,0100,A 433936,A81000C,01010,0200,HAROLD NUNN 433936,A81000C,01010,0400,BILLING SPECIALISTS INC 433936,A81000C,01010,0600,MEDICAL SUPPLIES 433936,A81000C,01011,0100,A 433936,A81000C,01011,0200,HAROLD NUNN 433936,A81000C,01011,0400,BILLING SPECIALISTS INC 433936,A81000C,01011,0600,MEDICAL SUPPLIES 433936,A81000C,01012,0100,A 433936,A81000C,01012,0200,HAROLD NUNN 433936,A81000C,01012,0400,BILLING SPECIALISTS INC 433936,A81000C,01012,0600,MEDICAL SUPPLIES 433936,A81000C,01013,0100,A 433936,A81000C,01013,0200,HAROLD NUNN 433936,A81000C,01013,0400,BILLING SPECIALISTS INC 433936,A81000C,01013,0600,MEDICAL SUPPLIES 433936,A81000C,01014,0100,A 433936,A81000C,01014,0200,HAROLD NUNN 433936,A81000C,01014,0400,BILLING SPECIALISTS INC 433936,A81000C,01014,0600,MEDICAL SUPPLIES 433936,A81000C,01015,0100,A 433936,A81000C,01015,0200,HAROLD NUNN 433936,A81000C,01015,0400,BILLING SPECIALISTS INC 433936,A81000C,01015,0600,MEDICAL SUPPLIES 433936,A81000C,01016,0100,A 433936,A81000C,01016,0200,HAROLD NUNN 433936,A81000C,01016,0400,BILLING SPECIALISTS INC 433936,A81000C,01016,0600,MEDICAL SUPPLIES 433936,A81000C,01017,0100,A 433936,A81000C,01017,0200,HAROLD NUNN 433936,A81000C,01017,0400,BILLING SPECIALISTS INC 433936,A81000C,01017,0600,MEDICAL SUPPLIES 433936,A81000C,01018,0100,A 433936,A81000C,01018,0200,HAROLD NUNN 433936,A81000C,01018,0400,BILLING SPECIALISTS INC 433936,A81000C,01018,0600,MEDICAL SUPPLIES 433936,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433936,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433936,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433936,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433936,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433936,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433936,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433936,B100000,00000,0800,0800MEALS SERVED :DIETARY 433936,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433936,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433936,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433936,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433936,E10A180,00550,0100,02/29/12 433936,G300000,02501,0000,MISC 433936,G300000,02502,0000,MEDICARE BAD DEBT 433936,S000000,00100,0200,02/29/12 433936,S200000,00100,0100,1101 N MORGAN ST 433936,S200000,00200,0100,SHELBY 433936,S200000,00200,0200,NC 433936,S200000,00200,0300,28150 433936,S200000,00300,0100,CLEVELAND 433936,S200000,00300,0200,93 433936,S200000,00300,0201,99934 433936,S200000,00300,0300,R 433936,S200000,00400,0100,PEAK RESOURCES SHELBY 433936,S200000,00400,0200,345229 433936,S200000,00400,0300,01/23/99 433936,S200000,00400,0500,P 433936,S200000,01500,0100,Y 433936,S200000,01503,0200,Y 433936,S200000,01504,0200,N 433936,S200000,01600,0100,N 433936,S200000,01700,0100,N 433936,S200000,01800,0100,N 433936,S200000,02200,0100,Y 433936,S200000,02800,0100,N 433936,S200000,02900,0100,N 433936,S200000,03000,0100,N 433936,S200000,03100,0100,N 433936,S200000,03200,0100,N 433936,S200000,03300,0100,N 433936,S200000,03300,0200,N 433936,S200000,04100,0100,N 433936,S200000,04200,0100,N 433936,S200000,04300,0100,N 433936,S200000,04600,0100,N 433936,S200000,04700,0100,N 433936,S200000,04700,0200,N 433936,S200000,04900,0100,N 433936,S200000,05000,0100,N 433936,S200000,05100,0100,N 433936,S200000,05200,0100,N 433937,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433937,A000000,00300,0000,0300EMPLOYEE BENEFITS 433937,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433937,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433937,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433937,A000000,00700,0000,0700HOUSEKEEPING 433937,A000000,00800,0000,0800DIETARY 433937,A000000,01100,0000,1100PHARMACY 433937,A000000,01500,0000,1350PATIENT ACTIVITIES 433937,A000000,01600,0000,1600SKILLED NURSING FACILITY 433937,A000000,01800,0000,1800NURSING FACILITY 433937,A000000,01900,0000,1900OTHER LONG TERM CARE 433937,A000000,02100,0000,2100RADIOLOGY 433937,A000000,02200,0000,2200LABORATORY 433937,A000000,02300,0000,2300INTRAVENOUS THERAPY 433937,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433937,A000000,02500,0000,2500PHYSICAL THERAPY 433937,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433937,A000000,02700,0000,2700SPEECH PATHOLOGY 433937,A000000,02800,0000,2800ELECTROCARDIOLOGY 433937,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433937,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433937,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433937,A000000,03200,0000,3200SUPPORT SURFACES 433937,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433937,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433937,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433937,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433937,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433937,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433937,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433937,A000000,06100,0000,6100NONPAID WORKERS 433937,A000000,06200,0000,6200PATIENTS LAUNDRY 433937,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433937,A81000A,00100,0100,Y 433937,A81000B,00100,0300,CENTRAL OFFICE OVHD 433937,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433937,A81000B,00300,0300,RENT-LAND&BLDG 433937,A81000B,00400,0300,SUPPLIES 433937,A81000B,00500,0300,SUPPLIES 433937,A81000B,00600,0300,SUPPLIES 433937,A81000B,00700,0300,PHARMACY 433937,A81000B,00800,0300,PHARMACY 433937,A81000B,00900,0300,PHARMACY 433937,A81000B,01000,0300,PHARMACY 433937,A81000B,01100,0300,PHARMACY 433937,A81000B,01200,0300,PHARMACR 433937,A81000C,00100,0100,B 433937,A81000C,00100,0200,AUTUMN CORPORATION 433937,A81000C,00100,0400,AUTUMN CORPORATION 433937,A81000C,00100,0600,HOME OFFICE 433937,A81000C,00200,0100,B 433937,A81000C,00200,0200,AUTUMN CORPORATION 433937,A81000C,00200,0400,AUTUMN CORPORATION 433937,A81000C,00200,0600,HOME OFFICE 433937,A81000C,00300,0100,B 433937,A81000C,00300,0200,AUTUMN CARE FACILITIES 433937,A81000C,00300,0400,AUTUMN CORPORATION 433937,A81000C,00300,0600,RENTAL OF FACILITY 433937,A81000C,00400,0100,A 433937,A81000C,00400,0200,WINCARE 433937,A81000C,00400,0400,AUTUMN CORPORATION 433937,A81000C,00400,0600,SUPPLIES 433937,A81000C,00500,0100,A 433937,A81000C,00500,0200,LEGACY 433937,A81000C,00500,0400,AUTUMN CORPORATION 433937,A81000C,00500,0600,PHARMACY 433937,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433937,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433937,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433937,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433937,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433937,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433937,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433937,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433937,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433937,E10A180,00501,0100,05/08/12 433937,G300000,02500,0000,MISC 433937,S000000,00100,0200,02/16/12 433937,S200000,00100,0100,1505 BRINGLE FERRY ROAD 433937,S200000,00100,0300,1789 433937,S200000,00200,0100,SALISBURY 433937,S200000,00200,0200,NC 433937,S200000,00200,0300,28145 433937,S200000,00300,0100,ROWAN 433937,S200000,00300,0200,34 433937,S200000,00300,0201,00034 433937,S200000,00300,0300,R 433937,S200000,00400,0100,AUTUMN CARE OF SALISBURY 433937,S200000,00400,0200,345269 433937,S200000,00400,0300,01/05/88 433937,S200000,00400,0500,P 433937,S200000,01500,0100,Y 433937,S200000,01501,0200,Y 433937,S200000,01600,0100,N 433937,S200000,01700,0100,N 433937,S200000,01800,0100,N 433937,S200000,02200,0100,N 433937,S200000,02800,0100,N 433937,S200000,02900,0100,N 433937,S200000,03000,0100,N 433937,S200000,03100,0100,N 433937,S200000,03200,0100,N 433937,S200000,03300,0100,N 433937,S200000,03300,0200,N 433937,S200000,04100,0100,N 433937,S200000,04200,0100,N 433937,S200000,04300,0100,N 433937,S200000,04600,0100,N 433937,S200000,04700,0100,N 433937,S200000,04700,0200,N 433937,S200000,04900,0100,N 433937,S200000,05000,0100,N 433937,S200000,05100,0100,N 433937,S200000,05200,0100,N 433938,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433938,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433938,A000000,00300,0000,0300EMPLOYEE BENEFITS 433938,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433938,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433938,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433938,A000000,00700,0000,0700HOUSEKEEPING 433938,A000000,00800,0000,0800DIETARY 433938,A000000,00900,0000,0900NURSING ADMINISTRATION 433938,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433938,A000000,01100,0000,1100PHARMACY 433938,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433938,A000000,01300,0000,1300SOCIAL SERVICE 433938,A000000,01500,0000,1350RECREATION/ACTIVITIES 433938,A000000,01600,0000,1600SKILLED NURSING FACILITY 433938,A000000,01800,0000,1800NURSING FACILITY 433938,A000000,01900,0000,1900OTHER LONG TERM CARE 433938,A000000,02100,0000,2100RADIOLOGY 433938,A000000,02200,0000,2200LABORATORY 433938,A000000,02300,0000,2300INTRAVENOUS THERAPY 433938,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433938,A000000,02500,0000,2500PHYSICAL THERAPY 433938,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433938,A000000,02700,0000,2700SPEECH PATHOLOGY 433938,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433938,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433938,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433938,A000000,03200,0000,3200SUPPORT SURFACES 433938,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433938,A000000,03301,0000,3051PEN THERAPY 433938,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433938,A000000,04800,0000,4800AMBULANCE 433938,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433938,A000000,05300,0000,5300INTEREST EXPENSE 433938,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433938,A000000,05500,0000,5500HOSPICE 433938,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433938,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433938,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433938,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433938,A000000,06100,0000,6100NONPAID WORKERS 433938,A000000,06200,0000,6200PATIENTS LAUNDRY 433938,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433938,A81000A,00100,0100,Y 433938,A81000B,00100,0300,HOME OFFICE COSTS 433938,A81000B,00200,0300,HOME OFFICE COSTS 433938,A81000B,00300,0300,HOME OFFICE Q A NURSES 433938,A81000B,00400,0300,WOUND VACS 433938,A81000C,00100,0100,D 433938,A81000C,00100,0200,MFNC 433938,A81000C,00100,0400,MFNC 433938,A81000C,00100,0600,MGMT. 433938,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433938,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433938,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433938,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433938,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433938,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433938,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433938,B100000,00000,0800,0800MEALS SERVED :DIETARY 433938,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433938,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433938,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433938,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433938,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433938,E10A180,00501,0100,05/25/12 433938,G300000,02500,0000,MISCELLANEOUS 433938,S000000,00100,0200,02/29/12 433938,S200000,00100,0100,2041 WILLOW ROAD 433938,S200000,00200,0100,GREENSBORO 433938,S200000,00200,0200,NC 433938,S200000,00200,0300,27406 433938,S200000,00300,0100,GUILFORD 433938,S200000,00300,0200,2466 433938,S200000,00300,0201,24660 433938,S200000,00300,0300,U 433938,S200000,00400,0100,GUILFORD HEALTH CARE CENTER 433938,S200000,00400,0200,345460 433938,S200000,00400,0300,06/14/94 433938,S200000,00400,0500,P 433938,S200000,01500,0100,Y 433938,S200000,01501,0200,N 433938,S200000,01502,0200,N 433938,S200000,01504,0200,Y 433938,S200000,01600,0100,N 433938,S200000,01700,0100,N 433938,S200000,01800,0100,N 433938,S200000,02200,0100,N 433938,S200000,02800,0100,Y 433938,S200000,02900,0100,N 433938,S200000,03000,0100,N 433938,S200000,03100,0100,N 433938,S200000,03200,0100,N 433938,S200000,03300,0100,N 433938,S200000,03300,0200,N 433938,S200000,04100,0100,N 433938,S200000,04200,0100,N 433938,S200000,04300,0100,N 433938,S200000,04600,0100,N 433938,S200000,04700,0100,N 433938,S200000,04700,0200,N 433938,S200000,04900,0100,N 433938,S200000,05000,0100,N 433938,S200000,05100,0100,N 433938,S200000,05200,0100,N 433938,S200000,05300,0100,Y 433938,S200000,05300,0200,941011 433938,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433938,S200000,05400,0200,PALMETTO GBA 433938,S200000,05400,0300,11001 433938,S200000,05500,0100,2917 PENN FOREST BLVD 433938,S200000,05600,0100,ROANOKE 433938,S200000,05600,0200,VA 433938,S200000,05600,0300,24018 433939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433939,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433939,A000000,00300,0000,0300EMPLOYEE BENEFITS 433939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433939,A000000,00700,0000,0700HOUSEKEEPING 433939,A000000,00800,0000,0800DIETARY 433939,A000000,00900,0000,0900NURSING ADMINISTRATION 433939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433939,A000000,01100,0000,1100PHARMACY 433939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433939,A000000,01300,0000,1300SOCIAL SERVICE 433939,A000000,01500,0000,1350RECREATION/ACTIVITIES 433939,A000000,01600,0000,1600SKILLED NURSING FACILITY 433939,A000000,01800,0000,1800NURSING FACILITY 433939,A000000,01900,0000,1900OTHER LONG TERM CARE 433939,A000000,02100,0000,2100RADIOLOGY 433939,A000000,02200,0000,2200LABORATORY 433939,A000000,02300,0000,2300INTRAVENOUS THERAPY 433939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433939,A000000,02500,0000,2500PHYSICAL THERAPY 433939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433939,A000000,02700,0000,2700SPEECH PATHOLOGY 433939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433939,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433939,A000000,03200,0000,3200SUPPORT SURFACES 433939,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433939,A000000,03301,0000,3051PEN THERAPY 433939,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433939,A000000,04800,0000,4800AMBULANCE 433939,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433939,A000000,05300,0000,5300INTEREST EXPENSE 433939,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433939,A000000,05500,0000,5500HOSPICE 433939,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433939,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433939,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433939,A000000,06100,0000,6100NONPAID WORKERS 433939,A000000,06200,0000,6200PATIENTS LAUNDRY 433939,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433939,A81000A,00100,0100,Y 433939,A81000B,00100,0300,HOME OFFICE COSTS 433939,A81000B,00200,0300,HOME OFFICE COSTS 433939,A81000B,00300,0300,HOME OFFICE Q A NURSES 433939,A81000B,00400,0300,WOUND VACS 433939,A81000C,00100,0100,D 433939,A81000C,00100,0200,MFNC 433939,A81000C,00100,0400,MFNC 433939,A81000C,00100,0600,MGMT 433939,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433939,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433939,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433939,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433939,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433939,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433939,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433939,B100000,00000,0800,0800MEALS SERVED :DIETARY 433939,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433939,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433939,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433939,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433939,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433939,G300000,02500,0000,MISCELLANEOUS 433939,S000000,00100,0200,02/29/12 433939,S200000,00100,0100,2415 SANDY PORTER ROAD 433939,S200000,00200,0100,CHARLOTTE 433939,S200000,00200,0200,NC 433939,S200000,00200,0300,28273 433939,S200000,00300,0100,MECKLENBURG 433939,S200000,00300,0200,1674 433939,S200000,00300,0201,16740 433939,S200000,00300,0300,U 433939,S200000,00400,0100,MECKLENBURG HEALTH CARE CENTER 433939,S200000,00400,0200,345471 433939,S200000,00400,0300,03/21/95 433939,S200000,00400,0500,P 433939,S200000,01500,0100,Y 433939,S200000,01501,0200,N 433939,S200000,01504,0200,Y 433939,S200000,01600,0100,N 433939,S200000,01700,0100,N 433939,S200000,01800,0100,N 433939,S200000,02200,0100,N 433939,S200000,02800,0100,Y 433939,S200000,02900,0100,N 433939,S200000,03000,0100,N 433939,S200000,03100,0100,N 433939,S200000,03200,0100,N 433939,S200000,03300,0100,N 433939,S200000,03300,0200,N 433939,S200000,04100,0100,N 433939,S200000,04200,0100,N 433939,S200000,04300,0100,N 433939,S200000,04600,0100,N 433939,S200000,04700,0100,N 433939,S200000,04700,0200,N 433939,S200000,04900,0100,N 433939,S200000,05000,0100,N 433939,S200000,05100,0100,N 433939,S200000,05200,0100,N 433939,S200000,05300,0100,Y 433939,S200000,05300,0200,941011 433939,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433939,S200000,05400,0200,PALMETTO GBA 433939,S200000,05400,0300,11001 433939,S200000,05500,0100,2917 PENN FOREST BLVD 433939,S200000,05600,0100,ROANOKE 433939,S200000,05600,0200,VA 433939,S200000,05600,0300,24018 433940,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433940,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433940,A000000,00300,0000,0300EMPLOYEE BENEFITS 433940,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433940,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433940,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433940,A000000,00700,0000,0700HOUSEKEEPING 433940,A000000,00800,0000,0800DIETARY 433940,A000000,00900,0000,0900NURSING ADMINISTRATION 433940,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433940,A000000,01100,0000,1100PHARMACY 433940,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433940,A000000,01300,0000,1300SOCIAL SERVICE 433940,A000000,01500,0000,1350RECREATION/ACTIVITIES 433940,A000000,01600,0000,1600SKILLED NURSING FACILITY 433940,A000000,01800,0000,1800NURSING FACILITY 433940,A000000,01900,0000,1900OTHER LONG TERM CARE 433940,A000000,02100,0000,2100RADIOLOGY 433940,A000000,02200,0000,2200LABORATORY 433940,A000000,02300,0000,2300INTRAVENOUS THERAPY 433940,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433940,A000000,02500,0000,2500PHYSICAL THERAPY 433940,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433940,A000000,02700,0000,2700SPEECH PATHOLOGY 433940,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433940,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433940,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433940,A000000,03200,0000,3200SUPPORT SURFACES 433940,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433940,A000000,03301,0000,3051PEN THERAPY 433940,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433940,A000000,04800,0000,4800AMBULANCE 433940,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433940,A000000,05300,0000,5300INTEREST EXPENSE 433940,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433940,A000000,05500,0000,5500HOSPICE 433940,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433940,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433940,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433940,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433940,A000000,06100,0000,6100NONPAID WORKERS 433940,A000000,06200,0000,6200PATIENTS LAUNDRY 433940,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433940,A81000A,00100,0100,Y 433940,A81000B,00100,0300,HOME OFFICE EXPENSE 433940,A81000B,00200,0300,HOME OFFICE EXPENSE 433940,A81000B,00300,0300,HOME OFFICE Q A NURSES 433940,A81000B,00400,0300,WOUND VACS 433940,A81000C,00100,0100,D 433940,A81000C,00100,0200,MFNC 433940,A81000C,00100,0400,MFNC 433940,A81000C,00100,0600,MANAGEMENT 433940,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433940,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433940,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433940,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433940,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433940,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433940,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433940,B100000,00000,0800,0800MEALS SERVED :DIETARY 433940,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 433940,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433940,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433940,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433940,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 433940,E10A180,00501,0100,05/25/12 433940,G300000,02500,0000,MISCELLANEOUS 433940,S000000,00100,0200,02/29/12 433940,S200000,00100,0100,4600 CUMBERLAND ROAD 433940,S200000,00200,0100,FAYETTEVILLE 433940,S200000,00200,0200,NC 433940,S200000,00200,0300,28306 433940,S200000,00300,0100,CUMBERLAND 433940,S200000,00300,0200,2218 433940,S200000,00300,0201,22180 433940,S200000,00300,0300,U 433940,S200000,00400,0100,CAROLINA REHAB CTR OF CUMBERLAND 433940,S200000,00400,0200,345505 433940,S200000,00400,0300,10/26/00 433940,S200000,00400,0500,P 433940,S200000,01500,0100,Y 433940,S200000,01501,0200,N 433940,S200000,01502,0200,Y 433940,S200000,01504,0200,N 433940,S200000,01600,0100,N 433940,S200000,01700,0100,N 433940,S200000,01800,0100,N 433940,S200000,02200,0100,N 433940,S200000,02800,0100,Y 433940,S200000,02900,0100,N 433940,S200000,03000,0100,N 433940,S200000,03100,0100,N 433940,S200000,03200,0100,N 433940,S200000,03300,0100,N 433940,S200000,03300,0200,N 433940,S200000,04100,0100,N 433940,S200000,04200,0100,N 433940,S200000,04300,0100,N 433940,S200000,04600,0100,N 433940,S200000,04700,0100,N 433940,S200000,04700,0200,N 433940,S200000,04900,0100,N 433940,S200000,05000,0100,N 433940,S200000,05100,0100,N 433940,S200000,05200,0100,N 433940,S200000,05300,0100,Y 433940,S200000,05300,0200,941011 433940,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 433940,S200000,05400,0200,PALMETTO GBA 433940,S200000,05400,0300,11001 433940,S200000,05500,0100,2917 PENN FOREST BLVD. 433940,S200000,05600,0100,ROANOKE 433940,S200000,05600,0200,VA 433940,S200000,05600,0300,24018 433941,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433941,A000000,00300,0000,0300EMPLOYEE BENEFITS 433941,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433941,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433941,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433941,A000000,00700,0000,0700HOUSEKEEPING 433941,A000000,00800,0000,0800DIETARY 433941,A000000,00900,0000,0900NURSING ADMINISTRATION 433941,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433941,A000000,01100,0000,1100PHARMACY 433941,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433941,A000000,01300,0000,1300SOCIAL SERVICE 433941,A000000,01500,0000,1350PATIENT ACTIVITIES 433941,A000000,01600,0000,1600SKILLED NURSING FACILITY 433941,A000000,02100,0000,2100RADIOLOGY 433941,A000000,02200,0000,2200LABORATORY 433941,A000000,02500,0000,2500PHYSICAL THERAPY 433941,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433941,A000000,02700,0000,2700SPEECH PATHOLOGY 433941,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433941,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433941,A000000,03200,0000,3200SUPPORT SURFACES 433941,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433941,A000000,04800,0000,4800AMBULANCE 433941,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433941,A81000A,00100,0100,Y 433941,A81000B,00100,0300,MANAGEMENT FEE 433941,A81000B,00200,0300,MANAGEMENT FEE 433941,A81000B,00300,0300,O2 CONCENTRATOR RENTAL 433941,A81000B,00400,0300,RENT 433941,A81000B,00500,0300,DEPRECIATION 433941,A81000B,00600,0300,INTEREST 433941,A81000B,00700,0300,NON-LEGEND DRUGS 433941,A81000B,00800,0300,LEGEND DRUGS 433941,A81000B,00900,0300,MEDICAL SUPPLIES 433941,A81000B,01000,0300,NURSING EQUIPMENT 433941,A81000C,00100,0100,A 433941,A81000C,00100,0200,J & J SHERRIL 433941,A81000C,00100,0400,INTEGRATED MANAGED CARE 433941,A81000C,00100,0600,MANAGEMENT 433941,A81000C,00200,0100,A 433941,A81000C,00200,0200,J & J SHERRIL 433941,A81000C,00200,0400,INTEGRATED MANAGED CARE 433941,A81000C,00200,0600,MANAGEMENT 433941,A81000C,00300,0100,A 433941,A81000C,00300,0200,J & J SHERRIL 433941,A81000C,00300,0400,INTEGRATED MANAGED CARE 433941,A81000C,00300,0600,MANAGEMENT 433941,A81000C,00400,0100,A 433941,A81000C,00400,0200,J & J SHERRIL 433941,A81000C,00400,0400,BROSIS PROPERTY LLC 433941,A81000C,00400,0600,LEASE 433941,A81000C,00500,0100,A 433941,A81000C,00500,0200,J & J SHERRIL 433941,A81000C,00500,0400,BROSIS PROPERTY LLC 433941,A81000C,00500,0600,LEASE 433941,A81000C,00600,0100,A 433941,A81000C,00600,0200,J & J SHERRIL 433941,A81000C,00600,0400,BROSIS PROPERTY LLC 433941,A81000C,00600,0600,LEASE 433941,A81000C,00700,0100,A 433941,A81000C,00700,0200,J & J SHERRIL 433941,A81000C,00700,0400,WINDSOR POINT PHARMACY 433941,A81000C,00700,0600,PHARMACY 433941,A81000C,00800,0100,A 433941,A81000C,00800,0200,J & J SHERRIL 433941,A81000C,00800,0400,WINDSOR POINT PHARMACY 433941,A81000C,00800,0600,PHARMACY 433941,A81000C,00900,0100,A 433941,A81000C,00900,0200,J & J SHERRIL 433941,A81000C,00900,0400,INTEGRATED MANAGED CARE 433941,A81000C,00900,0600,MANAGEMENT 433941,A81000C,01000,0100,A 433941,A81000C,01000,0200,J & J SHERRIL 433941,A81000C,01000,0400,INTEGRATED MANAGED CARE 433941,A81000C,01000,0600,MANAGEMENT 433941,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433941,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433941,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433941,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433941,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433941,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433941,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433941,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433941,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433941,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433941,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433941,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433941,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433941,E10A180,00501,0100,05/08/12 433941,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 433941,S000000,00100,0200,02/17/12 433941,S200000,00100,0100,920 4TH STREET SW 433941,S200000,00200,0100,CONOVER 433941,S200000,00200,0200,NC 433941,S200000,00200,0300,28613 433941,S200000,00300,0100,CATAWBA 433941,S200000,00300,0200,2586 433941,S200000,00300,0201,25860 433941,S200000,00300,0300,U 433941,S200000,00400,0100,CONOVER NURSING & REHAB CENTER 433941,S200000,00400,0200,345516 433941,S200000,00400,0300,06/27/02 433941,S200000,00400,0500,P 433941,S200000,01500,0100,Y 433941,S200000,01501,0200,N 433941,S200000,01600,0100,N 433941,S200000,01700,0100,N 433941,S200000,01800,0100,N 433941,S200000,02200,0100,N 433941,S200000,02800,0100,N 433941,S200000,02900,0100,N 433941,S200000,03000,0100,N 433941,S200000,03100,0100,N 433941,S200000,03200,0100,N 433941,S200000,03300,0100,N 433941,S200000,03300,0200,N 433941,S200000,04100,0100,N 433941,S200000,04200,0100,N 433941,S200000,04300,0100,N 433941,S200000,04600,0100,N 433941,S200000,04700,0100,N 433941,S200000,04700,0200,N 433941,S200000,04900,0100,N 433941,S200000,05000,0100,N 433941,S200000,05100,0100,N 433941,S200000,05200,0100,N 433941,S200000,05300,0100,Y 433941,S200000,05300,0200,HO0000 433941,S200000,05400,0100,INTEGRATED MANAGED CARE 433941,S200000,05400,0200,PALMETTO GBA 433941,S200000,05400,0300,11001 433941,S200000,05500,0100,1482 RIVER RD. 433941,S200000,05600,0100,WINNABOW 433941,S200000,05600,0200,NC 433941,S200000,05600,0300,28479 433942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433942,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433942,A000000,00300,0000,0300EMPLOYEE BENEFITS 433942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433942,A000000,00700,0000,0700HOUSEKEEPING 433942,A000000,00800,0000,0800DIETARY 433942,A000000,00900,0000,0900NURSING ADMINISTRATION 433942,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433942,A000000,01100,0000,1100PHARMACY 433942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433942,A000000,01300,0000,1300SOCIAL SERVICE 433942,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433942,A000000,01500,0000,1350PATIENT ACTIVITIES 433942,A000000,01600,0000,1600SKILLED NURSING FACILITY 433942,A000000,01800,0000,1800NURSING FACILITY 433942,A000000,01810,0000,1810ICF/MR 433942,A000000,01900,0000,1900OTHER LONG TERM CARE 433942,A000000,02100,0000,2100RADIOLOGY 433942,A000000,02200,0000,2200LABORATORY 433942,A000000,02300,0000,2300INTRAVENOUS THERAPY 433942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433942,A000000,02500,0000,2500PHYSICAL THERAPY 433942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433942,A000000,02700,0000,2700SPEECH PATHOLOGY 433942,A000000,02800,0000,2800ELECTROCARDIOLOGY 433942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433942,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433942,A000000,03200,0000,3200SUPPORT SURFACES 433942,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433942,A000000,03400,0000,3400CLINIC 433942,A000000,03500,0000,3500RURAL HEALTH CLINIC 433942,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433942,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433942,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433942,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433942,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433942,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433942,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433942,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433942,A000000,04400,0000,4400DME RENTED - HHA 433942,A000000,04500,0000,4500DME SOLD - HHA 433942,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433942,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433942,A000000,04710,0000,4710TELEMEDICINE 433942,A000000,04800,0000,4800AMBULANCE 433942,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433942,A000000,05000,0000,5000CORF 433942,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433942,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433942,A000000,05300,0000,5300INTEREST EXPENSE 433942,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433942,A000000,05500,0000,5500HOSPICE 433942,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433942,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433942,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433942,A000000,06100,0000,6100NONPAID WORKERS 433942,A000000,06200,0000,6200PATIENTS LAUNDRY 433942,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433942,A81000A,00100,0100,Y 433942,A81000B,00100,0300,MANAGEMENT FEES 433942,A81000B,00200,0300,CAP REL BLDG 433942,A81000B,00300,0300,CAP REL EQUIP 433942,A81000B,00400,0300,NON CAPITAL 433942,A81000B,00500,0300,CONTRACT SERVICES 433942,A81000B,00600,0300,CONTRACT SERVICES 433942,A81000B,00700,0300,CONTRACT SERVICES 433942,A81000B,00800,0300,NURSE CONSULTANT 433942,A81000B,00900,0300,CONSULTING 433942,A81000B,01000,0300,LEGEND DRUGS 433942,A81000B,01100,0300,STOCK DRUGS 433942,A81000B,01200,0300,MEDICAL RECORD SUPPLIES 433942,A81000B,01300,0300,THERAPEUTIC BEDS 433942,A81000B,01400,0300,P/E SUPPLIES 433942,A81000B,01500,0300,P/E FOOD 433942,A81000B,01600,0300,SUPPLEMENTAL FEEDING 433942,A81000B,01700,0300,MEDICAL SUPPLIES 433942,A81000C,00100,0100,B 433942,A81000C,00100,0200,NOAH DUNCAN TRUST 433942,A81000C,00100,0400,CC MANAGEMENT 433942,A81000C,00100,0600,MANAGEMENT 433942,A81000C,00200,0100,B 433942,A81000C,00200,0200,NOAH DUNCAN TRUST 433942,A81000C,00200,0400,CC MANAGEMENT 433942,A81000C,00200,0600,MANAGEMENT 433942,A81000C,00300,0100,B 433942,A81000C,00300,0200,NOAH DUNCAN TRUST 433942,A81000C,00300,0400,CC MANAGEMENT 433942,A81000C,00300,0600,MANAGEMENT 433942,A81000C,00400,0100,B 433942,A81000C,00400,0200,NOAH DUNCAN TRUST 433942,A81000C,00400,0400,CC MANAGEMENT 433942,A81000C,00400,0600,MANAGEMENT 433942,A81000C,00500,0100,B 433942,A81000C,00500,0200,NOAH DUNCAN TRUST 433942,A81000C,00500,0400,CTS 433942,A81000C,00500,0600,THERAPY 433942,A81000C,00600,0100,B 433942,A81000C,00600,0200,NOAH DUNCAN TRUST 433942,A81000C,00600,0400,CTS 433942,A81000C,00600,0600,THERAPY 433942,A81000C,00700,0100,B 433942,A81000C,00700,0200,NOAH DUNCAN TRUST 433942,A81000C,00700,0400,CTS 433942,A81000C,00700,0600,THERAPY 433942,A81000C,00800,0100,B 433942,A81000C,00800,0200,NOAH DUNCAN TRUST 433942,A81000C,00800,0400,CTS 433942,A81000C,00800,0600,THERAPY 433942,A81000C,00900,0100,B 433942,A81000C,00900,0200,NOAH DUNCAN TRUST 433942,A81000C,00900,0400,SERVANT PHARMACY 433942,A81000C,00900,0600,PHARMACY 433942,A81000C,01000,0100,B 433942,A81000C,01000,0200,NOAH DUNCAN TRUST 433942,A81000C,01000,0400,SERVANT PHARMACY 433942,A81000C,01000,0600,PHARMACY 433942,A81000C,01001,0100,B 433942,A81000C,01001,0200,NOAH DUNCAN TRUST 433942,A81000C,01001,0400,SERVANT PHARMACY 433942,A81000C,01001,0600,PHARMACY 433942,A81000C,01002,0100,B 433942,A81000C,01002,0200,NOAH DUNCAN TRUST 433942,A81000C,01002,0400,SERVANT PHARMACY 433942,A81000C,01002,0600,PHARMACY 433942,A81000C,01003,0100,B 433942,A81000C,01003,0200,NOAH DUNCAN TRUST 433942,A81000C,01003,0400,CC PEN THERAPY 433942,A81000C,01003,0600,SUPPLIES 433942,A81000C,01004,0100,B 433942,A81000C,01004,0200,NOAH DUNCAN TRUST 433942,A81000C,01004,0400,CC PEN THERAPY 433942,A81000C,01004,0600,SUPPLIES 433942,A81000C,01005,0100,B 433942,A81000C,01005,0200,NOAH DUNCAN TRUST 433942,A81000C,01005,0400,CC PEN THERAPY 433942,A81000C,01005,0600,SUPPLIES 433942,A81000C,01006,0100,B 433942,A81000C,01006,0200,NOAH DUNCAN TRUST 433942,A81000C,01006,0400,CC PEN THERAPY 433942,A81000C,01006,0600,SUPPLIES 433942,A81000C,01007,0100,B 433942,A81000C,01007,0200,NOAH DUNCAN TRUST 433942,A81000C,01007,0400,CC PEN THERAPY 433942,A81000C,01007,0600,SUPPLIES 433942,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433942,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433942,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433942,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433942,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433942,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433942,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433942,B100000,00000,0800,0800MEALS SERVED :DIETARY 433942,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433942,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433942,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433942,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433942,E10A180,00501,0100,05/25/12 433942,E10A180,00550,0100,02/29/12 433942,G300000,02500,0000,COST REPORT SETTLEMENT 433942,G300000,02501,0000,MEDICARE A BAD DEBT REVENUE 433942,G300000,02502,0000,BEAUTY SHOP INCOME 433942,G300000,02503,0000,CABLE TV REVENUE 433942,G300000,02504,0000,FLU-MEDICARE PART B 433942,G300000,02505,0000,MISCELLANEOUS 433942,G300000,02506,0000,PRIOR YEAR ADJUSTMENT 433942,S000000,00100,0200,02/29/12 433942,S200000,00100,0100,5100 MACKAY ROAD 433942,S200000,00200,0100,JAMESTOWN 433942,S200000,00200,0200,NC 433942,S200000,00200,0300,27282 433942,S200000,00300,0100,GUILFORD 433942,S200000,00300,0200,3120 433942,S200000,00300,0201,24660 433942,S200000,00300,0300,U 433942,S200000,00400,0100,ADAMS FARM LIVING & REHABILITATION 433942,S200000,00400,0200,345535 433942,S200000,00400,0300,11/01/05 433942,S200000,00400,0500,P 433942,S200000,01500,0100,N 433942,S200000,01502,0200,Y 433942,S200000,01503,0200,N 433942,S200000,01504,0200,Y 433942,S200000,01505,0000,IN2L 433942,S200000,01505,0200,N 433942,S200000,01600,0100,Y 433942,S200000,01700,0100,N 433942,S200000,01800,0100,N 433942,S200000,02200,0100,N 433942,S200000,02800,0100,N 433942,S200000,02900,0100,N 433942,S200000,03000,0100,N 433942,S200000,03100,0100,N 433942,S200000,03200,0100,N 433942,S200000,03300,0100,N 433942,S200000,03300,0200,N 433942,S200000,04100,0100,N 433942,S200000,04200,0100,N 433942,S200000,04300,0100,N 433942,S200000,04600,0100,N 433942,S200000,04700,0100,N 433942,S200000,04700,0200,N 433942,S200000,04900,0100,N 433942,S200000,05000,0100,N 433942,S200000,05100,0100,N 433942,S200000,05200,0100,N 433943,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433943,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433943,A000000,00300,0000,0300EMPLOYEE BENEFITS 433943,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433943,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433943,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433943,A000000,00700,0000,0700HOUSEKEEPING 433943,A000000,00800,0000,0800DIETARY 433943,A000000,00900,0000,0900NURSING ADMINISTRATION 433943,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433943,A000000,01100,0000,1100PHARMACY 433943,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433943,A000000,01300,0000,1300SOCIAL SERVICE 433943,A000000,01500,0000,1350PATIENT ACTIVITIES 433943,A000000,01600,0000,1600SKILLED NURSING FACILITY 433943,A000000,01800,0000,1800NURSING FACILITY 433943,A000000,01900,0000,1900OTHER LONG TERM CARE 433943,A000000,02100,0000,2100RADIOLOGY 433943,A000000,02200,0000,2200LABORATORY 433943,A000000,02300,0000,2300INTRAVENOUS THERAPY 433943,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433943,A000000,02500,0000,2500PHYSICAL THERAPY 433943,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433943,A000000,02700,0000,2700SPEECH PATHOLOGY 433943,A000000,02800,0000,2800ELECTROCARDIOLOGY 433943,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433943,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433943,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433943,A000000,03200,0000,3200SUPPORT SURFACES 433943,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433943,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433943,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433943,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433943,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433943,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433943,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433943,A000000,06100,0000,6100NONPAID WORKERS 433943,A000000,06200,0000,6200PATIENTS LAUNDRY 433943,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433943,A81000A,00100,0100,Y 433943,A81000B,00100,0300,CENTRAL OFFICE OVHD 433943,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 433943,A81000B,00300,0300,SUPPLIES 433943,A81000B,00400,0300,SUPPLIES 433943,A81000B,00500,0300,SUPPLIES 433943,A81000B,00600,0300,PHARMACY 433943,A81000B,00700,0300,PHARMACY 433943,A81000B,00800,0300,PHARMACY 433943,A81000B,00900,0300,PHARMACY 433943,A81000B,01000,0300,PHARMACY 433943,A81000C,00100,0100,B 433943,A81000C,00100,0200,AUTUMN CORPORATION 433943,A81000C,00100,0400,AUTUMN CORPORATION 433943,A81000C,00100,0600,HOME OFFICE 433943,A81000C,00200,0100,B 433943,A81000C,00200,0200,AUTUMN CORPORATION 433943,A81000C,00200,0400,AUTUMN CORPORATION 433943,A81000C,00200,0600,HOME OFFICE 433943,A81000C,00300,0100,B 433943,A81000C,00300,0200,WINCARE 433943,A81000C,00300,0400,AUTUMN CORPORATION 433943,A81000C,00300,0600,SUPPLIES 433943,A81000C,00400,0100,B 433943,A81000C,00400,0200,LEGACY 433943,A81000C,00400,0400,AUTUMN CORPORATION\ 433943,A81000C,00400,0600,PHARMACY 433943,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433943,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433943,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433943,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433943,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433943,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 433943,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 433943,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433943,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433943,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 433943,E10A180,00501,0100,05/07/12 433943,G300000,02500,0000,MISC 433943,S000000,00100,0200,02/16/12 433943,S200000,00100,0100,1317 LOLA AVENUE 433943,S200000,00100,0300,360 433943,S200000,00200,0100,ALTAVISTA 433943,S200000,00200,0200,VA 433943,S200000,00200,0300,24517 433943,S200000,00300,0100,CAMPBELL 433943,S200000,00300,0200,4640 433943,S200000,00300,0201,31340 433943,S200000,00300,0300,U 433943,S200000,00400,0100,AUTUMN CARE OF ALTAVISTA 433943,S200000,00400,0200,495196 433943,S200000,00400,0300,07/21/89 433943,S200000,00400,0500,P 433943,S200000,01500,0100,N 433943,S200000,01501,0200,Y 433943,S200000,01600,0100,Y 433943,S200000,01700,0100,N 433943,S200000,01800,0100,N 433943,S200000,02200,0100,N 433943,S200000,02800,0100,N 433943,S200000,02900,0100,N 433943,S200000,03000,0100,N 433943,S200000,03100,0100,N 433943,S200000,03200,0100,N 433943,S200000,03300,0100,N 433943,S200000,03300,0200,N 433943,S200000,04100,0100,N 433943,S200000,04200,0100,N 433943,S200000,04300,0100,N 433943,S200000,04600,0100,N 433943,S200000,04700,0100,N 433943,S200000,04700,0200,N 433943,S200000,04900,0100,N 433943,S200000,05000,0100,N 433943,S200000,05100,0100,N 433943,S200000,05200,0100,N 433950,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433950,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433950,A000000,00300,0000,0300EMPLOYEE BENEFITS 433950,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433950,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433950,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433950,A000000,00700,0000,0700HOUSEKEEPING 433950,A000000,00800,0000,0800DIETARY 433950,A000000,00900,0000,0900NURSING ADMINISTRATION 433950,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433950,A000000,01100,0000,1100PHARMACY 433950,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433950,A000000,01300,0000,1300SOCIAL SERVICE 433950,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433950,A000000,01500,0000,1350RECREATION SERVICES 433950,A000000,01600,0000,1600SKILLED NURSING FACILITY 433950,A000000,01800,0000,1800NURSING FACILITY 433950,A000000,01810,0000,1810ICF/MR 433950,A000000,01900,0000,1900OTHER LONG TERM CARE 433950,A000000,02100,0000,2100RADIOLOGY 433950,A000000,02200,0000,2200LABORATORY 433950,A000000,02300,0000,2300INTRAVENOUS THERAPY 433950,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433950,A000000,02500,0000,2500PHYSICAL THERAPY 433950,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433950,A000000,02700,0000,2700SPEECH PATHOLOGY 433950,A000000,02800,0000,2800ELECTROCARDIOLOGY 433950,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433950,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433950,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433950,A000000,03200,0000,3200SUPPORT SURFACES 433950,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433950,A000000,03400,0000,3400CLINIC 433950,A000000,03500,0000,3500RURAL HEALTH CLINIC 433950,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433950,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433950,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433950,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433950,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433950,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433950,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433950,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433950,A000000,04400,0000,4400DME RENTED - HHA 433950,A000000,04500,0000,4500DME SOLD - HHA 433950,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433950,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433950,A000000,04710,0000,4710TELEMEDICINE 433950,A000000,04800,0000,4800AMBULANCE 433950,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433950,A000000,05000,0000,5000CORF 433950,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433950,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433950,A000000,05300,0000,5300INTEREST EXPENSE 433950,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433950,A000000,05500,0000,5500HOSPICE 433950,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433950,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433950,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433950,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433950,A000000,06100,0000,6100NONPAID WORKERS 433950,A000000,06200,0000,6200PATIENTS LAUNDRY 433950,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433950,A81000A,00100,0100,Y 433950,A81000B,00100,0300,INTEREST 433950,A81000B,00200,0300,SALARY 433950,A81000B,00300,0300,SALARY 433950,A81000B,00400,0300,SALARY 433950,A81000B,00500,0300,SALARY 433950,A81000B,00600,0300,SALARY 433950,A81000C,00100,0100,A 433950,A81000C,00100,0200,G & E SIMONETTI 433950,A81000C,00300,0100,A 433950,A81000C,00300,0200,DEBORAH SIMONETTI 433950,A81000C,00400,0100,A 433950,A81000C,00400,0200,ELIZBETH SIMONETTI 433950,A81000C,00500,0100,A 433950,A81000C,00500,0200,ANTONY SIMONETTI 433950,A81000C,00600,0100,A 433950,A81000C,00600,0200,JOAN SIMONETTI 433950,A81000C,00700,0100,A 433950,A81000C,00700,0200,DANIEL SIMONETTI 433950,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433950,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433950,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433950,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433950,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433950,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433950,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433950,B100000,00000,0800,0850PATIENT DAYS :DIETARY 433950,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433950,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 433950,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433950,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433950,B100000,00000,1500,1350PATIENT DAYS :RECREATION SERVIC 433950,G300000,02500,0000,MISC INCOME 433950,S000000,00100,0200,01/23/12 433950,S200000,00100,0100,101 MARSHAL LANE 433950,S200000,00200,0100,DERBY 433950,S200000,00200,0200,CT 433950,S200000,00200,0300,06418 433950,S200000,00300,0100,NEW HAVEN 433950,S200000,00300,0201,35300 433950,S200000,00300,0300,U 433950,S200000,00400,0100,MARSHALL LANE MANOR 433950,S200000,00400,0200,075430 433950,S200000,00400,0300,03/01/03 433950,S200000,00400,0500,P 433950,S200000,01500,0100,Y 433950,S200000,01502,0200,Y 433950,S200000,01504,0200,Y 433950,S200000,01600,0100,N 433950,S200000,01700,0100,N 433950,S200000,01800,0100,N 433950,S200000,02200,0100,N 433950,S200000,02800,0100,N 433950,S200000,02900,0100,N 433950,S200000,03000,0100,N 433950,S200000,03100,0100,N 433950,S200000,03200,0100,N 433950,S200000,03300,0100,N 433950,S200000,03300,0200,N 433950,S200000,04100,0100,N 433950,S200000,04200,0100,N 433950,S200000,04300,0100,N 433950,S200000,04600,0100,N 433950,S200000,04700,0100,N 433950,S200000,04700,0200,N 433950,S200000,04900,0100,N 433950,S200000,05000,0100,N 433950,S200000,05100,0100,N 433950,S200000,05200,0100,N 433950,S200000,05300,0100,N 433957,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433957,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433957,A000000,00300,0000,0300EMPLOYEE BENEFITS 433957,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433957,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433957,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433957,A000000,00700,0000,0700HOUSEKEEPING 433957,A000000,00800,0000,0800DIETARY 433957,A000000,00900,0000,0900NURSING ADMINISTRATION 433957,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433957,A000000,01100,0000,1100PHARMACY 433957,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433957,A000000,01300,0000,1300SOCIAL SERVICE 433957,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433957,A000000,01500,0000,1350ACTIVITIES 433957,A000000,01600,0000,1600SKILLED NURSING FACILITY 433957,A000000,01800,0000,1800NURSING FACILITY 433957,A000000,01900,0000,1900OTHER LONG TERM CARE 433957,A000000,02100,0000,2100RADIOLOGY 433957,A000000,02200,0000,2200LABORATORY 433957,A000000,02300,0000,2300INTRAVENOUS THERAPY 433957,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433957,A000000,02500,0000,2500PHYSICAL THERAPY 433957,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433957,A000000,02700,0000,2700SPEECH PATHOLOGY 433957,A000000,02800,0000,2800ELECTROCARDIOLOGY 433957,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433957,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433957,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433957,A000000,03200,0000,3200SUPPORT SURFACES 433957,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433957,A000000,04800,0000,4800AMBULANCE 433957,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 433957,A000000,05300,0000,5300INTEREST EXPENSE 433957,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433957,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 433957,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433957,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433957,A000000,06100,0000,6100NONPAID WORKERS 433957,A000000,06200,0000,6200PATIENTS LAUNDRY 433957,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433957,A81000A,00100,0100,Y 433957,A81000B,00100,0300,HOME OFFICE COST 433957,A81000C,00100,0100,B 433957,A81000C,00100,0200,MANORCARE OF CHEVY CHASE 433957,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 433957,A81000C,00100,0600,LONG TERM CARE FACILITIES 433957,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433957,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433957,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433957,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433957,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433957,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433957,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433957,B100000,00000,0800,0800MEALS SERVED :DIETARY 433957,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433957,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433957,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433957,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433957,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433957,G300000,02500,0000,BEAUTY AND BARBER 433957,S000000,00100,0200,03/01/12 433957,S200000,00100,0100,8700 JONES MILL ROAD 433957,S200000,00200,0100,CHEVY CHASE 433957,S200000,00200,0200,MD 433957,S200000,00200,0300,20815 433957,S200000,00300,0100,MONTGOMERY 433957,S200000,00300,0200,8840 433957,S200000,00300,0201,13644 433957,S200000,00300,0300,U 433957,S200000,00400,0100,MANORCARE OF CHEVY CHASE MD LLC 433957,S200000,00400,0200,215029 433957,S200000,00400,0300,02/01/67 433957,S200000,00400,0500,P 433957,S200000,00400,0600,P 433957,S200000,01500,0100,Y 433957,S200000,01501,0200,N 433957,S200000,01502,0200,Y 433957,S200000,01503,0200,Y 433957,S200000,01504,0200,N 433957,S200000,01600,0100,N 433957,S200000,01700,0100,N 433957,S200000,01800,0100,N 433957,S200000,02200,0100,Y 433957,S200000,02800,0100,N 433957,S200000,02900,0100,N 433957,S200000,03000,0100,N 433957,S200000,03100,0100,N 433957,S200000,03200,0100,N 433957,S200000,03300,0100,N 433957,S200000,03300,0200,N 433957,S200000,04100,0100,N 433957,S200000,04200,0100,N 433957,S200000,04300,0100,N 433957,S200000,04600,0100,N 433957,S200000,04700,0100,N 433957,S200000,04700,0200,N 433957,S200000,04900,0100,N 433957,S200000,05000,0100,N 433957,S200000,05100,0100,N 433957,S200000,05200,0100,N 433957,S200000,05300,0100,Y 433957,S200000,05300,0200,36HO15 433957,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 433957,S200000,05400,0200,CGS 433957,S200000,05400,0300,15201 433957,S200000,05500,0100,333 N. SUMMIT ST. 433957,S200000,05500,0200,PO 10086 433957,S200000,05600,0100,TOLEDO 433957,S200000,05600,0200,OH 433957,S200000,05600,0300,43699-0086 433962,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433962,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433962,A000000,00300,0000,0300EMPLOYEE BENEFITS 433962,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433962,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433962,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433962,A000000,00700,0000,0700HOUSEKEEPING 433962,A000000,00800,0000,0800DIETARY 433962,A000000,00900,0000,0900NURSING ADMINISTRATION 433962,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433962,A000000,01100,0000,1100PHARMACY 433962,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433962,A000000,01300,0000,1300SOCIAL SERVICE 433962,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433962,A000000,01500,0000,1350ACTIVITIES AL SERVICES 433962,A000000,01600,0000,1600SKILLED NURSING FACILITY 433962,A000000,01800,0000,1800NURSING FACILITY 433962,A000000,01810,0000,1810ICF/MR 433962,A000000,01900,0000,1900OTHER LONG TERM CARE 433962,A000000,02100,0000,2100RADIOLOGY 433962,A000000,02200,0000,2200LABORATORY 433962,A000000,02300,0000,2300INTRAVENOUS THERAPY 433962,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433962,A000000,02500,0000,2500PHYSICAL THERAPY 433962,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433962,A000000,02700,0000,2700SPEECH PATHOLOGY 433962,A000000,02800,0000,2800ELECTROCARDIOLOGY 433962,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433962,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433962,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433962,A000000,03200,0000,3200SUPPORT SURFACES 433962,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433962,A000000,03400,0000,3400CLINIC 433962,A000000,03500,0000,3500RURAL HEALTH CLINIC 433962,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433962,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433962,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433962,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433962,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433962,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433962,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433962,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433962,A000000,04400,0000,4400DME RENTED - HHA 433962,A000000,04500,0000,4500DME SOLD - HHA 433962,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433962,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433962,A000000,04800,0000,4800AMBULANCE 433962,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433962,A000000,05000,0000,5000CORF 433962,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433962,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433962,A000000,05300,0000,5300INTEREST EXPENSE 433962,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433962,A000000,05500,0000,5500HOSPICE 433962,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433962,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433962,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433962,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433962,A000000,06100,0000,6100NONPAID WORKERS 433962,A000000,06200,0000,6200PATIENTS LAUNDRY 433962,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433962,A81000A,00100,0100,N 433962,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433962,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433962,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433962,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433962,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433962,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433962,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433962,B100000,00000,0800,0800MEALS SERVED :DIETARY 433962,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433962,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433962,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433962,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433962,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 433962,G300000,02500,0000, BARBER&BEAUTY DISPOSAL DAY CARE 433962,S000000,00100,0200,12/02/11 433962,S200000,00100,0100,ONE AUDRICH SQUARE 433962,S200000,00200,0100,BELLEVUE 433962,S200000,00200,0200,OH 433962,S200000,00200,0300,44811-9630 433962,S200000,00300,0100,SANDUSKY 433962,S200000,00300,0200,8400 433962,S200000,00300,0201,41780 433962,S200000,00300,0300,U 433962,S200000,00400,0100,BELLEVUE CARE CENTER 433962,S200000,00400,0200,366131 433962,S200000,00400,0300,06/09/97 433962,S200000,00400,0500,P 433962,S200000,00400,0600,P 433962,S200000,01500,0100,Y 433962,S200000,01501,0200,N 433962,S200000,01502,0200,N 433962,S200000,01600,0100,N 433962,S200000,01700,0100,N 433962,S200000,01800,0100,N 433962,S200000,02200,0100,Y 433962,S200000,02800,0100,N 433962,S200000,02900,0100,N 433962,S200000,03000,0100,N 433962,S200000,03100,0100,N 433962,S200000,03200,0100,N 433962,S200000,03300,0100,N 433962,S200000,03300,0200,N 433962,S200000,04100,0100,N 433962,S200000,04200,0100,N 433962,S200000,04300,0100,Y 433962,S200000,04600,0100,N 433962,S200000,04700,0100,N 433962,S200000,04700,0200,N 433962,S200000,04900,0100,N 433962,S200000,05000,0100,N 433962,S200000,05100,0100,N 433962,S200000,05200,0100,N 433963,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433963,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433963,A000000,00300,0000,0300EMPLOYEE BENEFITS 433963,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433963,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433963,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433963,A000000,00700,0000,0700HOUSEKEEPING 433963,A000000,00800,0000,0800DIETARY 433963,A000000,00900,0000,0900NURSING ADMINISTRATION 433963,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433963,A000000,01100,0000,1100PHARMACY 433963,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433963,A000000,01300,0000,1300SOCIAL SERVICE 433963,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433963,A000000,01500,0000,1350ACTIVITIES AL SERVICES 433963,A000000,01600,0000,1600SKILLED NURSING FACILITY 433963,A000000,01800,0000,1800NURSING FACILITY 433963,A000000,01810,0000,1810ICF/MR 433963,A000000,01900,0000,1900OTHER LONG TERM CARE 433963,A000000,02100,0000,2100RADIOLOGY 433963,A000000,02200,0000,2200LABORATORY 433963,A000000,02300,0000,2300INTRAVENOUS THERAPY 433963,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433963,A000000,02500,0000,2500PHYSICAL THERAPY 433963,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433963,A000000,02700,0000,2700SPEECH PATHOLOGY 433963,A000000,02800,0000,2800ELECTROCARDIOLOGY 433963,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433963,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433963,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433963,A000000,03200,0000,3200SUPPORT SURFACES 433963,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433963,A000000,03400,0000,3400CLINIC 433963,A000000,03500,0000,3500RURAL HEALTH CLINIC 433963,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433963,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433963,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433963,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433963,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433963,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433963,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433963,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433963,A000000,04400,0000,4400DME RENTED - HHA 433963,A000000,04500,0000,4500DME SOLD - HHA 433963,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433963,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433963,A000000,04800,0000,4800AMBULANCE 433963,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433963,A000000,05000,0000,5000CORF 433963,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433963,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433963,A000000,05300,0000,5300INTEREST EXPENSE 433963,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433963,A000000,05500,0000,5500HOSPICE 433963,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433963,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433963,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433963,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433963,A000000,06100,0000,6100NONPAID WORKERS 433963,A000000,06200,0000,6200PATIENTS LAUNDRY 433963,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433963,A81000A,00100,0100,N 433963,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433963,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433963,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433963,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433963,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433963,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433963,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433963,B100000,00000,0800,0800MEALS SERVED :DIETARY 433963,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 433963,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433963,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433963,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433963,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 433963,G300000,02500,0000, BARBER&BEAUTY DISPOSAL DAY CARE 433963,S000000,00100,0200,09/26/11 433963,S200000,00100,0100,24201 WEST THIRD STREET 433963,S200000,00200,0100,GRAND RAPIDS 433963,S200000,00200,0200,OH 433963,S200000,00200,0300,43552 433963,S200000,00300,0100,WOOD 433963,S200000,00300,0200,8400 433963,S200000,00300,0201,45780 433963,S200000,00300,0300,U 433963,S200000,00400,0100,GRAND RAPIDS CARE CENTER 433963,S200000,00400,0200,366181 433963,S200000,00400,0300,09/10/99 433963,S200000,00400,0500,P 433963,S200000,00400,0600,P 433963,S200000,01500,0100,Y 433963,S200000,01501,0200,N 433963,S200000,01502,0200,N 433963,S200000,01600,0100,N 433963,S200000,01700,0100,N 433963,S200000,01800,0100,N 433963,S200000,02200,0100,Y 433963,S200000,02800,0100,N 433963,S200000,02900,0100,N 433963,S200000,03000,0100,N 433963,S200000,03100,0100,N 433963,S200000,03200,0100,N 433963,S200000,03300,0100,N 433963,S200000,03300,0200,N 433963,S200000,04100,0100,N 433963,S200000,04200,0100,N 433963,S200000,04300,0100,Y 433963,S200000,04600,0100,N 433963,S200000,04700,0100,N 433963,S200000,04700,0200,N 433963,S200000,04900,0100,N 433963,S200000,05000,0100,N 433963,S200000,05100,0100,N 433963,S200000,05200,0100,N 433964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433964,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433964,A000000,00300,0000,0300EMPLOYEE BENEFITS 433964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433964,A000000,00700,0000,0700HOUSEKEEPING 433964,A000000,00800,0000,0800DIETARY 433964,A000000,00900,0000,0900NURSING ADMINISTRATION 433964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433964,A000000,01100,0000,1100PHARMACY 433964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433964,A000000,01300,0000,1300SOCIAL SERVICE 433964,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433964,A000000,01500,0000,1350ACTIVITIES 433964,A000000,01600,0000,1600SKILLED NURSING FACILITY 433964,A000000,01800,0000,1800NURSING FACILITY 433964,A000000,01810,0000,1810ICF/MR 433964,A000000,01900,0000,1900OTHER LONG TERM CARE 433964,A000000,02100,0000,2100RADIOLOGY 433964,A000000,02200,0000,2200LABORATORY 433964,A000000,02300,0000,2300INTRAVENOUS THERAPY 433964,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433964,A000000,02500,0000,2500PHYSICAL THERAPY 433964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433964,A000000,02700,0000,2700SPEECH PATHOLOGY 433964,A000000,02800,0000,2800ELECTROCARDIOLOGY 433964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433964,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433964,A000000,03200,0000,3200SUPPORT SURFACES 433964,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433964,A000000,03400,0000,3400CLINIC 433964,A000000,03500,0000,3500RURAL HEALTH CLINIC 433964,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433964,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433964,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433964,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433964,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433964,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433964,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433964,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433964,A000000,04400,0000,4400DME RENTED - HHA 433964,A000000,04500,0000,4500DME SOLD - HHA 433964,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433964,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433964,A000000,04710,0000,4710TELEMEDICINE 433964,A000000,04800,0000,4800AMBULANCE 433964,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433964,A000000,05000,0000,5000CORF 433964,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433964,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433964,A000000,05300,0000,5300INTEREST EXPENSE 433964,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433964,A000000,05500,0000,5500HOSPICE 433964,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433964,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433964,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433964,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433964,A000000,06100,0000,6100NONPAID WORKERS 433964,A000000,06200,0000,6200PATIENTS LAUNDRY 433964,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433964,A81000A,00100,0100,Y 433964,A81000B,00100,0300,RELATED PARTY LEASE 433964,A81000B,00200,0300,RELATED PARTY LEASE 433964,A81000B,00300,0300,MAINT. EXPENSE 433964,A81000B,00400,0300,HOME OFFICE COSTS 433964,A81000B,00500,0300,HOME OFFICE COSTS 433964,A81000B,00600,0300,HOME OFFICE COSTS 433964,A81000B,00700,0300,HOME OFFICE COSTS 433964,A81000B,00800,0300,HOME OFFICE COSTS 433964,A81000B,00900,0300,HOME OFFICE COSTS 433964,A81000B,01000,0300,HOME OFFICE COSTS 433964,A81000B,01100,0300,RELATED PARTY THERAPY 433964,A81000B,01200,0300,RELATED PARTY THERAPY 433964,A81000B,01300,0300,RELATED PARTY THERAPY 433964,A81000C,00100,0100,D 433964,A81000C,00100,0400,RAWLINS HOUSE PROPERTY 433964,A81000C,00100,0600,REAL ESTATE 433964,A81000C,00200,0100,D 433964,A81000C,00200,0400,RAWLINS HOUSE PROPERTY 433964,A81000C,00200,0600,REAL ESTATE 433964,A81000C,00300,0100,D 433964,A81000C,00300,0400,RAWLINS HOUSE PROPERTY 433964,A81000C,00300,0600,REAL ESTATE 433964,A81000C,00400,0100,D 433964,A81000C,00400,0400,CARDON & ASSOCIATES 433964,A81000C,00400,0600,NURSING HOME MANAGEMENT 433964,A81000C,00500,0100,D 433964,A81000C,00500,0400,CARDON & ASSOCIATES 433964,A81000C,00500,0600,NURSING HOME MANAGEMENT 433964,A81000C,00600,0100,D 433964,A81000C,00600,0400,CARDON & ASSOCIATES 433964,A81000C,00600,0600,NURSING HOME MANAGEMENT 433964,A81000C,00700,0100,D 433964,A81000C,00700,0400,CARDON & ASSOCIATES 433964,A81000C,00700,0600,NURSING HOME MANAGEMENT 433964,A81000C,00800,0100,D 433964,A81000C,00800,0400,CARDON & ASSOCIATES 433964,A81000C,00800,0600,NURSING HOME MANAGEMENT 433964,A81000C,00900,0100,D 433964,A81000C,00900,0400,CARDON & ASSOCIATES 433964,A81000C,00900,0600,NURSING HOME MANAGEMENT 433964,A81000C,01000,0100,D 433964,A81000C,01000,0400,CARDON & ASSOCIATES 433964,A81000C,01000,0600,NURSING HOME MANAGEMENT 433964,A81000C,01001,0100,D 433964,A81000C,01001,0400,LIFESPAN THERAPY 433964,A81000C,01001,0600,THERAPY 433964,A81000C,01002,0100,D 433964,A81000C,01002,0400,LIFESPAN THERAPY 433964,A81000C,01002,0600,THERAPY 433964,A81000C,01003,0100,D 433964,A81000C,01003,0400,LIFESPAN THERAPY 433964,A81000C,01003,0600,THERAPY 433964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433964,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433964,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433964,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433964,B100000,00000,0800,0800MEALS SERVED :DIETARY 433964,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433964,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433964,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433964,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433964,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 433964,E10A180,00501,0100,02/13/12 433964,G300000,02500,0000,OTHER REVENUE 433964,S000000,00100,0200,01/25/12 433964,S200000,00100,0100,300 J. H. WALKER DR 433964,S200000,00200,0100,PENDLETON 433964,S200000,00200,0200,IN 433964,S200000,00200,0300,46064 433964,S200000,00300,0100,MADISON 433964,S200000,00300,0201,11300 433964,S200000,00300,0300,U 433964,S200000,00400,0100,RAWLINS HOUSE HEALTH & LIVING COMM. 433964,S200000,00400,0200,155357 433964,S200000,00400,0300,05/04/90 433964,S200000,00400,0500,P 433964,S200000,01500,0100,Y 433964,S200000,01501,0200,Y 433964,S200000,01502,0200,Y 433964,S200000,01503,0200,Y 433964,S200000,01504,0200,Y 433964,S200000,01600,0100,N 433964,S200000,01700,0100,N 433964,S200000,01800,0100,N 433964,S200000,02200,0100,Y 433964,S200000,02800,0100,N 433964,S200000,02900,0100,N 433964,S200000,03000,0100,N 433964,S200000,03100,0100,N 433964,S200000,03200,0100,N 433964,S200000,03300,0100,N 433964,S200000,03300,0200,N 433964,S200000,04100,0100,N 433964,S200000,04200,0100,N 433964,S200000,04300,0100,N 433964,S200000,04600,0100,N 433964,S200000,04700,0100,N 433964,S200000,04700,0200,N 433964,S200000,04900,0100,N 433964,S200000,05000,0100,N 433964,S200000,05100,0100,N 433964,S200000,05200,0100,N 433964,S200000,05300,0100,Y 433964,S200000,05300,0200,15H042 433964,S200000,05400,0100,CARDON & ASSOCIATES INC 433964,S200000,05400,0200,NGS 433964,S200000,05400,0300,00130 433964,S200000,05500,0100,2749 E. COVENANTER DR. 433964,S200000,05600,0100,BLOOMINGTON 433964,S200000,05600,0200,IN 433964,S200000,05600,0300,47401 433966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433966,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433966,A000000,00300,0000,0300EMPLOYEE BENEFITS 433966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433966,A000000,00700,0000,0700HOUSEKEEPING 433966,A000000,00800,0000,0800DIETARY 433966,A000000,00900,0000,0900NURSING ADMINISTRATION 433966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433966,A000000,01100,0000,1100PHARMACY 433966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433966,A000000,01300,0000,1300SOCIAL SERVICE 433966,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433966,A000000,01500,0000,1350ACTIVITIES / RECREATION 433966,A000000,01600,0000,1600SKILLED NURSING FACILITY 433966,A000000,01810,0000,1810ICF/MR 433966,A000000,02100,0000,2100RADIOLOGY 433966,A000000,02200,0000,2200LABORATORY 433966,A000000,02300,0000,2300INTRAVENOUS THERAPY 433966,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433966,A000000,02500,0000,2500PHYSICAL THERAPY 433966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433966,A000000,02700,0000,2700SPEECH PATHOLOGY 433966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433966,A000000,03200,0000,3200SUPPORT SURFACES 433966,A000000,03300,0000,3050PEN SERVICES 433966,A000000,03550,0000,3550FQHC 433966,A000000,04801,0000,4801AMBULANCE 433966,A000000,04802,0000,4802AMBULANCE 433966,A000000,04803,0000,4803AMBULANCE 433966,A000000,05000,0000,5000CORF 433966,A000000,05010,0000,5010CMHC 433966,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433966,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433966,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433966,A81000A,00100,0100,Y 433966,A81000B,00100,0300,HOME OFFICE A & G 433966,A81000B,00200,0300,HOME OFFICE CAPITAL 433966,A81000B,00300,0300,PT 433966,A81000B,00400,0300,OT 433966,A81000B,00500,0300,ST 433966,A81000B,00600,0300,NUTRITIONIST 433966,A81000B,00700,0300,RT 433966,A81000B,00800,0300,MEDICAL DIRECTOR 433966,A81000B,00900,0300,PURCHASED SERVICES 433966,A81000C,00100,0100,B 433966,A81000C,00100,0200,GENESIS HEALTHC 433966,A81000C,00100,0600,MANAGEMENT COMP 433966,A81000C,00200,0100,B 433966,A81000C,00200,0200,GENESIS SERVICE 433966,A81000C,00200,0600,VARIOUS 433966,A81000C,00300,0100,B 433966,A81000C,00300,0200,GENESIS REHAB 433966,A81000C,00300,0600,REHAB 433966,A81000C,00400,0100,B 433966,A81000C,00400,0200,GENESIS HOSPITA 433966,A81000C,00400,0600,NUTRITIONIST 433966,A81000C,00500,0100,B 433966,A81000C,00500,0200,RESPIRATORY HEA 433966,A81000C,00500,0600,RT 433966,A81000C,00600,0100,B 433966,A81000C,00600,0200,PYHSICIAN SERVI 433966,A81000C,00600,0600,MEDICAL DIRECTO 433966,A81000C,00700,0100,B 433966,A81000C,00700,0200,GENESIS STAFFIN 433966,A81000C,00700,0600,PURCH SERV NURS 433966,B100000,00000,0100,0100SQUARE FEET 433966,B100000,00000,0200,0200SQUARE FEET 433966,B100000,00000,0300,0300GROSS SALARIES 433966,B100000,00000,0400,0400ACCUM COST 433966,B100000,00000,0500,0500SQUARE FEET 433966,B100000,00000,0600,0600PATIENT DAYS 433966,B100000,00000,0700,0700SQUARE FEET 433966,B100000,00000,0800,0800MEALS SERVED 433966,B100000,00000,0900,0900PATIENT DAYS 433966,B100000,00000,1000,1000COSTED REQUIS 433966,B100000,00000,1100,1100COSTED REQUIS 433966,B100000,00000,1200,1200GROSS CHARGES 433966,B100000,00000,1300,1300PATIENT DAYS 433966,B100000,00000,1400,1400ASSIGNED TIME 433966,B100000,00000,1500,1350PATIENT DAYS 433966,E10A180,00353,0100,03/21/11 433966,G300000,02500,0000,MISC. REVENUE 433966,S000000,00100,0200,02/29/12 433966,S200000,00100,0100,8200 GOOD LUCK ROAD 433966,S200000,00200,0100,LANHAM 433966,S200000,00200,0200,MD 433966,S200000,00200,0300,20706 433966,S200000,00300,0100,PRINCE GEORGES 433966,S200000,00300,0201,47894 433966,S200000,00300,0300,U 433966,S200000,00400,0100,MAGNOLIA CENTER 433966,S200000,00400,0200,215108 433966,S200000,00400,0300,04/01/96 433966,S200000,00400,0500,P 433966,S200000,01500,0100,Y 433966,S200000,01501,0200,Y 433966,S200000,01502,0200,N 433966,S200000,01503,0200,N 433966,S200000,01504,0200,N 433966,S200000,01505,0000,DON BONUS 433966,S200000,01505,0200,N 433966,S200000,01600,0100,N 433966,S200000,01700,0100,N 433966,S200000,01800,0100,N 433966,S200000,02200,0100,Y 433966,S200000,02800,0100,N 433966,S200000,02900,0100,N 433966,S200000,03000,0100,N 433966,S200000,03100,0100,N 433966,S200000,03200,0100,N 433966,S200000,03300,0100,N 433966,S200000,03300,0200,N 433966,S200000,04200,0100,N 433966,S200000,04300,0100,N 433966,S200000,04600,0100,N 433966,S200000,04700,0100,N 433966,S200000,04900,0100,N 433966,S200000,05200,0100,N 433966,S200000,05300,0100,Y 433966,S200000,05300,0200,HB0067 433966,S200000,05400,0100,GENESIS HEALTHCARE 433966,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 433966,S200000,05400,0300,12001 433966,S200000,05500,0100,101 EAST STATE STREET 433966,S200000,05600,0100,KENNETT SQUARE 433966,S200000,05600,0200,MD 433966,S200000,05600,0300,19348 433972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433972,A000000,00300,0000,0300EMPLOYEE BENEFITS 433972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433972,A000000,00700,0000,0700HOUSEKEEPING 433972,A000000,00800,0000,0800DIETARY 433972,A000000,00900,0000,0900NURSING ADMINISTRATION 433972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433972,A000000,01300,0000,1300SOCIAL SERVICE 433972,A000000,01600,0000,1600SKILLED NURSING FACILITY 433972,A000000,02100,0000,2100RADIOLOGY 433972,A000000,02200,0000,2200LABORATORY 433972,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433972,A000000,02500,0000,2500PHYSICAL THERAPY 433972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433972,A000000,02700,0000,2700SPEECH PATHOLOGY 433972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433972,A000000,03200,0000,3200SUPPORT SURFACES 433972,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433972,A81000A,00100,0100,Y 433972,A81000B,00100,0300,OFFICE EXPENSE 433972,A81000B,00200,0300,INSURANCE EXPENSE 433972,A81000C,00100,0100,B 433972,A81000C,00100,0400,SLOVAK AMERICAN 433972,A81000C,00100,0600,RESTRICTED FUND 433972,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433972,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433972,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433972,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433972,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433972,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433972,B100000,00000,0800,0800MEALS SERVED :DIETARY 433972,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 433972,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433972,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 433972,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433972,E10A180,00301,0100,06/02/11 433972,E10A180,00550,0100,05/16/12 433972,G300000,02500,0000,BEAUTY SHOP INCOME 433972,G300000,02501,0000,ACTIVITIES INCOME 433972,G300000,02502,0000,OUTINGS 433972,G300000,02503,0000,FINANCE CHARGES 433972,G300000,02504,0000,MISC. INCOME 433972,S000000,00100,0200,03/23/12 433972,S200000,00100,0100,3615 16TH STREET 433972,S200000,00200,0100,ZION 433972,S200000,00200,0200,IL 433972,S200000,00200,0300,60099 433972,S200000,00300,0100,LAKE 433972,S200000,00300,0201,29404 433972,S200000,00300,0300,U 433972,S200000,00400,0100,ROLLING HILLS MANOR 433972,S200000,00400,0200,145443 433972,S200000,00400,0300,03/22/82 433972,S200000,00400,0500,P 433972,S200000,01500,0100,Y 433972,S200000,01501,0200,Y 433972,S200000,01502,0200,Y 433972,S200000,01504,0200,Y 433972,S200000,01600,0100,N 433972,S200000,01700,0100,N 433972,S200000,01800,0100,N 433972,S200000,02200,0100,N 433972,S200000,02800,0100,N 433972,S200000,02900,0100,N 433972,S200000,03000,0100,N 433972,S200000,03100,0100,N 433972,S200000,03200,0100,N 433972,S200000,03300,0100,N 433972,S200000,03300,0200,N 433972,S200000,04100,0100,N 433972,S200000,04200,0100,N 433972,S200000,04300,0100,N 433972,S200000,04600,0100,N 433972,S200000,04700,0100,N 433972,S200000,04700,0200,N 433972,S200000,04900,0100,N 433972,S200000,05000,0100,N 433972,S200000,05100,0100,N 433972,S200000,05200,0100,N 433972,S200000,05300,0100,N 433977,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433977,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433977,A000000,00300,0000,0300EMPLOYEE BENEFITS 433977,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433977,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433977,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433977,A000000,00700,0000,0700HOUSEKEEPING 433977,A000000,00800,0000,0800DIETARY 433977,A000000,00900,0000,0900NURSING ADMINISTRATION 433977,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433977,A000000,01100,0000,1100PHARMACY 433977,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433977,A000000,01300,0000,1300SOCIAL SERVICE 433977,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433977,A000000,01600,0000,1600SKILLED NURSING FACILITY 433977,A000000,01800,0000,1800NURSING FACILITY 433977,A000000,01900,0000,1900OTHER LONG TERM CARE 433977,A000000,02100,0000,2100RADIOLOGY 433977,A000000,02200,0000,2200LABORATORY 433977,A000000,02300,0000,2300INTRAVENOUS THERAPY 433977,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433977,A000000,02500,0000,2500PHYSICAL THERAPY 433977,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433977,A000000,02700,0000,2700SPEECH PATHOLOGY 433977,A000000,02800,0000,2800ELECTROCARDIOLOGY 433977,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433977,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433977,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433977,A000000,03200,0000,3200SUPPORT SURFACES 433977,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433977,A000000,03400,0000,3400CLINIC 433977,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433977,A000000,04800,0000,4800AMBULANCE 433977,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433977,A000000,05000,0000,5000CORF 433977,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433977,A000000,05300,0000,5300INTEREST EXPENSE 433977,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433977,A000000,05500,0000,5500HOSPICE 433977,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433977,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433977,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433977,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433977,A000000,06100,0000,6100NONPAID WORKERS 433977,A000000,06200,0000,6200PATIENTS LAUNDRY 433977,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433977,A81000A,00100,0100,Y 433977,A81000B,00100,0300,NURSING CONSULTING 433977,A81000B,00200,0300,DIETARY CONSULTING 433977,A81000B,00300,0300,HOME OFFICE 433977,A81000B,00400,0300,INTEREST EXPENSE 433977,A81000B,00500,0300,WORKERS COMP EXPENSE 433977,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433977,A81000B,00700,0300,OFFICE SUPPLIES 433977,A81000B,00800,0300,MAINTENANCE SUPPLIES 433977,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 433977,A81000B,01000,0300,PEST CONTROL 433977,A81000B,01100,0300,REPAIRS - EQUIPMENT 433977,A81000B,01200,0300,LINEN & BEDDING 433977,A81000B,01300,0300,LAUNDRY SUPPLIES 433977,A81000B,01400,0300,HSKP SUPPLIES 433977,A81000B,01500,0300,DIETARY SUPPLEMENTS 433977,A81000B,01600,0300,DIETARY SUPPLIES 433977,A81000B,01700,0300,BIO-MEDICAL WASTE 433977,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 433977,A81000B,01900,0300,PERSONAL CARE SUPPLIES 433977,A81000B,02000,0300,INCONTINENCE SUPPLIES 433977,A81000B,02100,0300,MEDICAL SUPPLIES 433977,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433977,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 433977,A81000B,02400,0300,PT SUPPLIES 433977,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 433977,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 433977,A81000B,02700,0300,NON-LEGEND DRUGS 433977,A81000B,02800,0300,PHARMACY CONSULTANT 433977,A81000B,02900,0300,MED REC SUPPLIES 433977,A81000C,00100,0100,B 433977,A81000C,00100,0200,PLTC & PITS IN 433977,A81000C,00100,0400,PLTC & PITS IN 433977,A81000C,00100,0600,MGMT 433977,A81000C,00200,0100,B 433977,A81000C,00200,0200,PLTC & PITS IN 433977,A81000C,00200,0400,PLTC & PITS IN 433977,A81000C,00200,0600,MGMT 433977,A81000C,00300,0100,B 433977,A81000C,00300,0200,PLTC & PITS IN 433977,A81000C,00300,0400,PLTC & PITS IN 433977,A81000C,00300,0600,MGMT 433977,A81000C,00400,0100,B 433977,A81000C,00400,0200,PLTC & PITS IN 433977,A81000C,00400,0400,PLTC & PITS IN 433977,A81000C,00400,0600,MGMT 433977,A81000C,00500,0100,A 433977,A81000C,00500,0200,SHAREHOLDERS 433977,A81000C,00500,0400,DISCOVERY INSUR 433977,A81000C,00500,0600,INSURANCE 433977,A81000C,00600,0100,A 433977,A81000C,00600,0200,SHAREHOLDERS 433977,A81000C,00600,0400,QUEENSLAND 433977,A81000C,00600,0600,INSURANCE 433977,A81000C,00700,0100,A 433977,A81000C,00700,0200,SHAREHOLDERS 433977,A81000C,00700,0400,KARE MEDICAL 433977,A81000C,00700,0600,WHOLESALE 433977,A81000C,00800,0100,A 433977,A81000C,00800,0200,SHAREHOLDERS 433977,A81000C,00800,0400,KARE MEDICAL 433977,A81000C,00800,0600,WHOLESALE 433977,A81000C,00900,0100,A 433977,A81000C,00900,0200,SHAREHOLDERS 433977,A81000C,00900,0400,KARE MEDICAL 433977,A81000C,00900,0600,WHOLESALE 433977,A81000C,01000,0100,A 433977,A81000C,01000,0200,SHAREHOLDERS 433977,A81000C,01000,0400,KARE MEDICAL 433977,A81000C,01000,0600,WHOLESALE 433977,A81000C,01001,0100,A 433977,A81000C,01001,0200,SHAREHOLDERS 433977,A81000C,01001,0400,KARE MEDICAL 433977,A81000C,01001,0600,WHOLESALE 433977,A81000C,01002,0100,A 433977,A81000C,01002,0200,SHAREHOLDERS 433977,A81000C,01002,0400,KARE MEDICAL 433977,A81000C,01002,0600,WHOLESALE 433977,A81000C,01003,0100,A 433977,A81000C,01003,0200,SHAREHOLDERS 433977,A81000C,01003,0400,KARE MEDICAL 433977,A81000C,01003,0600,WHOLESALE 433977,A81000C,01004,0100,A 433977,A81000C,01004,0200,SHAREHOLDERS 433977,A81000C,01004,0400,KARE MEDICAL 433977,A81000C,01004,0600,WHOLESALE 433977,A81000C,01005,0100,A 433977,A81000C,01005,0200,SHAREHOLDERS 433977,A81000C,01005,0400,KARE MEDICAL 433977,A81000C,01005,0600,WHOLESALE 433977,A81000C,01006,0100,A 433977,A81000C,01006,0200,SHAREHOLDERS 433977,A81000C,01006,0400,KARE MEDICAL 433977,A81000C,01006,0600,WHOLESALE 433977,A81000C,01007,0100,A 433977,A81000C,01007,0200,SHAREHOLDERS 433977,A81000C,01007,0400,KARE MEDICAL 433977,A81000C,01007,0600,WHOLESALE 433977,A81000C,01008,0100,A 433977,A81000C,01008,0200,SHAREHOLDERS 433977,A81000C,01008,0400,KARE MEDICAL 433977,A81000C,01008,0600,WHOLESALE 433977,A81000C,01009,0100,A 433977,A81000C,01009,0200,SHAREHOLDERS 433977,A81000C,01009,0400,KARE MEDICAL 433977,A81000C,01009,0600,WHOLESALE 433977,A81000C,01010,0100,A 433977,A81000C,01010,0200,SHAREHOLDERS 433977,A81000C,01010,0400,KARE MEDICAL 433977,A81000C,01010,0600,WHOLESALE 433977,A81000C,01011,0100,A 433977,A81000C,01011,0200,SHAREHOLDERS 433977,A81000C,01011,0400,KARE MEDICAL 433977,A81000C,01011,0600,WHOLESALE 433977,A81000C,01012,0100,A 433977,A81000C,01012,0200,SHAREHOLDERS 433977,A81000C,01012,0400,KARE MEDICAL 433977,A81000C,01012,0600,WHOLESALE 433977,A81000C,01013,0100,A 433977,A81000C,01013,0200,SHAREHOLDERS 433977,A81000C,01013,0400,KARE MEDICAL 433977,A81000C,01013,0600,WHOLESALE 433977,A81000C,01014,0100,A 433977,A81000C,01014,0200,SHAREHOLDERS 433977,A81000C,01014,0400,KARE MEDICAL 433977,A81000C,01014,0600,WHOLESALE 433977,A81000C,01015,0100,A 433977,A81000C,01015,0200,SHAREHOLDERS 433977,A81000C,01015,0400,KARE MEDICAL 433977,A81000C,01015,0600,WHOLESALE 433977,A81000C,01016,0100,A 433977,A81000C,01016,0200,SHAREHOLDERS 433977,A81000C,01016,0400,PHARMSAVE 433977,A81000C,01016,0600,RX SUPPLY 433977,A81000C,01017,0100,A 433977,A81000C,01017,0200,SHAREHOLDERS 433977,A81000C,01017,0400,PHARMSAVE 433977,A81000C,01017,0600,RX SUPPLY 433977,A81000C,01018,0100,A 433977,A81000C,01018,0200,SHAREHOLDERS 433977,A81000C,01018,0400,PHARMSAVE 433977,A81000C,01018,0600,RX SUPPLY 433977,A81000C,01019,0100,A 433977,A81000C,01019,0200,SHAREHOLDERS 433977,A81000C,01019,0400,PHARMSAVE 433977,A81000C,01019,0600,RX SUPPLY 433977,A81000C,01020,0100,A 433977,A81000C,01020,0200,SHAREHOLDERS 433977,A81000C,01020,0400,PHARMSAVE 433977,A81000C,01020,0600,RX SUPPLY 433977,A81000C,01021,0100,A 433977,A81000C,01021,0200,SHAREHOLDERS 433977,A81000C,01021,0400,ROBERT HILL CON 433977,A81000C,01021,0600,CONSTRUCTION 433977,A81000C,01022,0100,A 433977,A81000C,01022,0200,SHAREHOLDERS 433977,A81000C,01022,0400,HILLCO LTD. 433977,A81000C,01022,0600,REAL ESTATE 433977,A81000C,01023,0100,A 433977,A81000C,01023,0200,SHAREHOLDERS 433977,A81000C,01023,0400,BRITTHAVEN INC 433977,A81000C,01023,0600,REAL ESTATE 433977,A81000C,01024,0100,A 433977,A81000C,01024,0200,SHAREHOLDERS 433977,A81000C,01024,0400,BRITTHAVEN INC 433977,A81000C,01024,0600,REAL ESTATE 433977,A81000C,01025,0100,A 433977,A81000C,01025,0200,SHAREHOLDERS 433977,A81000C,01025,0400,BRITTHAVEN INC 433977,A81000C,01025,0600,REAL ESTATE 433977,A81000C,01026,0100,A 433977,A81000C,01026,0200,SHAREHOLDERS 433977,A81000C,01026,0400,BRITTHAVEN INC 433977,A81000C,01026,0600,REAL ESTATE 433977,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433977,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433977,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433977,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433977,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433977,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433977,B100000,00000,0800,0800MEALS SERVED :DIETARY 433977,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433977,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433977,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433977,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433977,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433977,E10A180,00501,0100,05/22/12 433977,G300000,02500,0000,OTHER (SPECIFY) 433977,S000000,00100,0200,02/29/12 433977,S200000,00100,0100,769 OLD CHERAW ROAD 433977,S200000,00200,0100,HAMLET 433977,S200000,00200,0200,NC 433977,S200000,00200,0300,28345 433977,S200000,00300,0100,RICHMOND 433977,S200000,00300,0201,99934 433977,S200000,00300,0300,R 433977,S200000,00400,0100,RICHMOND PINES HLTHCARE & REHAB CTR 433977,S200000,00400,0200,345293 433977,S200000,00400,0300,01/01/11 433977,S200000,00400,0500,P 433977,S200000,01500,0100,N 433977,S200000,01501,0200,Y 433977,S200000,01502,0200,Y 433977,S200000,01503,0200,Y 433977,S200000,01504,0200,Y 433977,S200000,01505,0000,OTHER (SPECIFY) 433977,S200000,01505,0200,Y 433977,S200000,01600,0100,Y 433977,S200000,01700,0100,N 433977,S200000,01800,0100,N 433977,S200000,02200,0100,N 433977,S200000,02800,0100,N 433977,S200000,02900,0100,N 433977,S200000,03000,0100,N 433977,S200000,03100,0100,N 433977,S200000,03200,0100,N 433977,S200000,03300,0100,N 433977,S200000,03300,0200,N 433977,S200000,04100,0100,N 433977,S200000,04200,0100,N 433977,S200000,04300,0100,N 433977,S200000,04600,0100,N 433977,S200000,04700,0100,N 433977,S200000,04700,0200,N 433977,S200000,04900,0100,N 433977,S200000,05000,0100,N 433977,S200000,05100,0100,N 433977,S200000,05200,0100,N 433977,S200000,05300,0100,Y 433977,S200000,05300,0200,349011 433977,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 433977,S200000,05400,0200,PALMETTO GBA 433977,S200000,05400,0300,11501 433977,S200000,05500,0100,1435 HWY 258 NORTH 433977,S200000,05600,0100,KINSTON 433977,S200000,05600,0200,NC 433977,S200000,05600,0300,28502 433978,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433978,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433978,A000000,00300,0000,0300EMPLOYEE BENEFITS 433978,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433978,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433978,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433978,A000000,00700,0000,0700HOUSEKEEPING 433978,A000000,00800,0000,0800DIETARY 433978,A000000,00900,0000,0900NURSING ADMINISTRATION 433978,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433978,A000000,01100,0000,1100PHARMACY 433978,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433978,A000000,01300,0000,1300SOCIAL SERVICE 433978,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433978,A000000,01600,0000,1600SKILLED NURSING FACILITY 433978,A000000,01800,0000,1800NURSING FACILITY 433978,A000000,01900,0000,1900OTHER LONG TERM CARE 433978,A000000,02100,0000,2100RADIOLOGY 433978,A000000,02200,0000,2200LABORATORY 433978,A000000,02300,0000,2300INTRAVENOUS THERAPY 433978,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433978,A000000,02500,0000,2500PHYSICAL THERAPY 433978,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433978,A000000,02700,0000,2700SPEECH PATHOLOGY 433978,A000000,02800,0000,2800ELECTROCARDIOLOGY 433978,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433978,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433978,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433978,A000000,03200,0000,3200SUPPORT SURFACES 433978,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433978,A000000,03400,0000,3400CLINIC 433978,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433978,A000000,04800,0000,4800AMBULANCE 433978,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433978,A000000,05000,0000,5000CORF 433978,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433978,A000000,05300,0000,5300INTEREST EXPENSE 433978,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433978,A000000,05500,0000,5500HOSPICE 433978,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433978,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433978,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433978,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433978,A000000,06100,0000,6100NONPAID WORKERS 433978,A000000,06200,0000,6200PATIENTS LAUNDRY 433978,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433978,A81000A,00100,0100,Y 433978,A81000B,00100,0300,NURSING CONSULTING 433978,A81000B,00200,0300,DIETARY CONSULTING 433978,A81000B,00300,0300,HOME OFFICE 433978,A81000B,00400,0300,INTEREST EXPENSE 433978,A81000B,00500,0300,WORKERS COMP EXPENSE 433978,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 433978,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 433978,A81000B,00800,0300,REPAIRS-EQUIPMENT 433978,A81000B,00900,0300,LINEN & BEDDING 433978,A81000B,01000,0300,LAUNDRY SUPPLIES 433978,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 433978,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 433978,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 433978,A81000B,01400,0300,DIETARY SUPPLEMENTS 433978,A81000B,01500,0300,RAW FOOD 433978,A81000B,01600,0300,DIETARY SUPPLIES 433978,A81000B,01700,0300,BIO-MEDICAL WASTE 433978,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 433978,A81000B,01900,0300,PERSONAL CARE SUPPLIES 433978,A81000B,02000,0300,INCONTINENCE SUPPLIES 433978,A81000B,02100,0300,MEDICAL SUPPLIES 433978,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 433978,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 433978,A81000B,02400,0300,PT SUPPLIES 433978,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 433978,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 433978,A81000B,02700,0300,NON-LEGEND DRUGS 433978,A81000B,02800,0300,PHARMACY CONSULTANT 433978,A81000B,02900,0300,MED REC SUPPLIES 433978,A81000C,00100,0100,B 433978,A81000C,00100,0200,PLTC & PITS INC 433978,A81000C,00100,0400,PLTC & PITS INC 433978,A81000C,00100,0600,MGMT SERVICES 433978,A81000C,00200,0100,B 433978,A81000C,00200,0200,PLTC & PITS INC 433978,A81000C,00200,0400,PLTC & PITS INC 433978,A81000C,00200,0600,MGMT SERVICES 433978,A81000C,00300,0100,B 433978,A81000C,00300,0200,PLTC & PITS INC 433978,A81000C,00300,0400,PLTC & PITS INC 433978,A81000C,00300,0600,MGMT SERVICES 433978,A81000C,00400,0100,B 433978,A81000C,00400,0200,PLTC & PITS INC 433978,A81000C,00400,0400,PLTC & PITS INC 433978,A81000C,00400,0600,MGMT SERVICES 433978,A81000C,00500,0100,A 433978,A81000C,00500,0200,SHAREHOLDERS 433978,A81000C,00500,0400,DISCOVERY INSUR 433978,A81000C,00500,0600,INSURANCE 433978,A81000C,00600,0100,A 433978,A81000C,00600,0200,SHAREHOLDERS 433978,A81000C,00600,0400,QUEENSLAND ASSU 433978,A81000C,00600,0600,INSURANCE 433978,A81000C,00700,0100,A 433978,A81000C,00700,0200,SHAREHOLDERS 433978,A81000C,00700,0400,KARE MEDICAL 433978,A81000C,00700,0600,WHOLESALE SUPPL 433978,A81000C,00800,0100,A 433978,A81000C,00800,0200,SHAREHOLDERS 433978,A81000C,00800,0400,KARE MEDICAL 433978,A81000C,00800,0600,WHOLESALE SUPPL 433978,A81000C,00900,0100,A 433978,A81000C,00900,0200,SHAREHOLDERS 433978,A81000C,00900,0400,KARE MEDICAL 433978,A81000C,00900,0600,WHOLESALE SUPPL 433978,A81000C,01000,0100,A 433978,A81000C,01000,0200,SHAREHOLDERS 433978,A81000C,01000,0400,KARE MEDICAL 433978,A81000C,01000,0600,WHOLESALE SUPPL 433978,A81000C,01001,0100,A 433978,A81000C,01001,0200,SHAREHOLDERS 433978,A81000C,01001,0400,KARE MEDICAL 433978,A81000C,01001,0600,WHOLESALE SUPPL 433978,A81000C,01002,0100,A 433978,A81000C,01002,0200,SHAREHOLDERS 433978,A81000C,01002,0400,KARE MEDICAL 433978,A81000C,01002,0600,WHOLESALE SUPPL 433978,A81000C,01003,0100,A 433978,A81000C,01003,0200,SHAREHOLDERS 433978,A81000C,01003,0400,KARE MEDICAL 433978,A81000C,01003,0600,WHOLESALE SUPPL 433978,A81000C,01004,0100,A 433978,A81000C,01004,0200,SHAREHOLDERS 433978,A81000C,01004,0400,KARE MEDICAL 433978,A81000C,01004,0600,WHOLESALE SUPPL 433978,A81000C,01005,0100,A 433978,A81000C,01005,0200,SHAREHOLDERS 433978,A81000C,01005,0400,KARE MEDICAL 433978,A81000C,01005,0600,WHOLESALE SUPPL 433978,A81000C,01006,0100,A 433978,A81000C,01006,0200,SHAREHOLDERS 433978,A81000C,01006,0400,KARE MEDICAL 433978,A81000C,01006,0600,WHOLESALE SUPPL 433978,A81000C,01007,0100,A 433978,A81000C,01007,0200,SHAREHOLDERS 433978,A81000C,01007,0400,KARE MEDICAL 433978,A81000C,01007,0600,WHOLESALE SUPPL 433978,A81000C,01008,0100,A 433978,A81000C,01008,0200,SHAREHOLDERS 433978,A81000C,01008,0400,KARE MEDICAL 433978,A81000C,01008,0600,WHOLESALE SUPPL 433978,A81000C,01009,0100,A 433978,A81000C,01009,0200,SHAREHOLDERS 433978,A81000C,01009,0400,KARE MEDICAL 433978,A81000C,01009,0600,WHOLESALE SUPPL 433978,A81000C,01010,0100,A 433978,A81000C,01010,0200,SHAREHOLDERS 433978,A81000C,01010,0400,KARE MEDICAL 433978,A81000C,01010,0600,WHOLESALE SUPPL 433978,A81000C,01011,0100,A 433978,A81000C,01011,0200,SHAREHOLDERS 433978,A81000C,01011,0400,KARE MEDICAL 433978,A81000C,01011,0600,WHOLESALE SUPPL 433978,A81000C,01012,0100,A 433978,A81000C,01012,0200,SHAREHOLDERS 433978,A81000C,01012,0400,KARE MEDICAL 433978,A81000C,01012,0600,WHOLESALE SUPPL 433978,A81000C,01013,0100,A 433978,A81000C,01013,0200,SHAREHOLDERS 433978,A81000C,01013,0400,KARE MEDICAL 433978,A81000C,01013,0600,WHOLESALE SUPPL 433978,A81000C,01014,0100,A 433978,A81000C,01014,0200,SHAREHOLDERS 433978,A81000C,01014,0400,KARE MEDICAL 433978,A81000C,01014,0600,WHOLESALE SUPPL 433978,A81000C,01015,0100,A 433978,A81000C,01015,0200,SHAREHOLDERS 433978,A81000C,01015,0400,KARE MEDICAL 433978,A81000C,01015,0600,WHOLESALE SUPPL 433978,A81000C,01016,0100,A 433978,A81000C,01016,0200,SHAREHOLDERS 433978,A81000C,01016,0400,PHARMSAVE 433978,A81000C,01016,0600,RX SUPPLY 433978,A81000C,01017,0100,A 433978,A81000C,01017,0200,SHAREHOLDERS 433978,A81000C,01017,0400,PHARMSAVE 433978,A81000C,01017,0600,RX SUPPLY 433978,A81000C,01018,0100,A 433978,A81000C,01018,0200,SHAREHOLDERS 433978,A81000C,01018,0400,PHARMSAVE 433978,A81000C,01018,0600,RX SUPPLY 433978,A81000C,01019,0100,A 433978,A81000C,01019,0200,SHAREHOLDERS 433978,A81000C,01019,0400,PHARMSAVE 433978,A81000C,01019,0600,RX SUPPLY 433978,A81000C,01020,0100,A 433978,A81000C,01020,0200,SHAREHOLDERS 433978,A81000C,01020,0400,PHARMSAVE 433978,A81000C,01020,0600,RX SUPPLY 433978,A81000C,01021,0100,A 433978,A81000C,01021,0200,SHAREHOLDERS 433978,A81000C,01021,0400,ROBERT HILL CON 433978,A81000C,01021,0600,CONSTRUCTION 433978,A81000C,01022,0100,A 433978,A81000C,01022,0200,SHAREHOLDERS 433978,A81000C,01022,0400,ROBERT HILL CON 433978,A81000C,01022,0600,CONSTRUCTION 433978,A81000C,01023,0100,A 433978,A81000C,01023,0200,SHAREHOLDERS 433978,A81000C,01023,0400,HILLCO LTD 433978,A81000C,01023,0600,REAL ESTATE 433978,A81000C,01024,0100,A 433978,A81000C,01024,0200,SHAREHOLDERS 433978,A81000C,01024,0400,BRITTHAVEN INC 433978,A81000C,01024,0600,REAL ESTATE 433978,A81000C,01025,0100,A 433978,A81000C,01025,0200,SHAREHOLDERS 433978,A81000C,01025,0400,BRITTHAVEN INC 433978,A81000C,01025,0600,REAL ESTATE 433978,A81000C,01026,0100,A 433978,A81000C,01026,0200,SHAREHOLDERS 433978,A81000C,01026,0400,BRITTHAVEN INC 433978,A81000C,01026,0600,REAL ESTATE 433978,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433978,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433978,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433978,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433978,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433978,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433978,B100000,00000,0800,0800MEALS SERVED :DIETARY 433978,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433978,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433978,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433978,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433978,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433978,E10A180,00501,0100,05/26/12 433978,E10A180,00550,0100,02/29/12 433978,G300000,02500,0000, OTHER (SPECIFY) 433978,S000000,00100,0200,02/29/12 433978,S200000,00100,0100,604 LUCAS ROAD 433978,S200000,00200,0100,DUNN 433978,S200000,00200,0200,NC 433978,S200000,00200,0300,28335 433978,S200000,00300,0100,HARNETT 433978,S200000,00300,0201,99934 433978,S200000,00300,0300,R 433978,S200000,00400,0100,HARNETT WOODS NURSING & REHAB CENTER 433978,S200000,00400,0200,345478 433978,S200000,00400,0300,01/01/11 433978,S200000,00400,0500,P 433978,S200000,01500,0100,Y 433978,S200000,01501,0200,Y 433978,S200000,01502,0200,Y 433978,S200000,01503,0200,Y 433978,S200000,01504,0200,Y 433978,S200000,01505,0000,OTHER (SPECIFY) 433978,S200000,01505,0200,Y 433978,S200000,01600,0100,N 433978,S200000,01700,0100,N 433978,S200000,01800,0100,N 433978,S200000,02200,0100,N 433978,S200000,02800,0100,N 433978,S200000,02900,0100,N 433978,S200000,03000,0100,N 433978,S200000,03100,0100,N 433978,S200000,03200,0100,N 433978,S200000,03300,0100,N 433978,S200000,03300,0200,N 433978,S200000,04100,0100,N 433978,S200000,04200,0100,N 433978,S200000,04300,0100,N 433978,S200000,04600,0100,N 433978,S200000,04700,0100,N 433978,S200000,04700,0200,N 433978,S200000,04900,0100,N 433978,S200000,05000,0100,N 433978,S200000,05100,0100,N 433978,S200000,05200,0100,N 433978,S200000,05300,0100,Y 433978,S200000,05300,0200,349011 433978,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 433978,S200000,05400,0200,PALMETTO GBA 433978,S200000,05400,0300,11501 433978,S200000,05500,0100,1435 HWY 258 NORTH 433978,S200000,05600,0100,KINSTON 433978,S200000,05600,0200,NC 433978,S200000,05600,0300,28502 433979,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433979,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433979,A000000,00300,0000,0300EMPLOYEE BENEFITS 433979,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433979,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433979,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433979,A000000,00700,0000,0700HOUSEKEEPING 433979,A000000,00800,0000,0800DIETARY 433979,A000000,00900,0000,0900NURSING ADMINISTRATION 433979,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433979,A000000,01100,0000,1100PHARMACY 433979,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433979,A000000,01300,0000,1300SOCIAL SERVICE 433979,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433979,A000000,01600,0000,1600SKILLED NURSING FACILITY 433979,A000000,01800,0000,1800NURSING FACILITY 433979,A000000,01900,0000,1900OTHER LONG TERM CARE 433979,A000000,02100,0000,2100RADIOLOGY 433979,A000000,02200,0000,2200LABORATORY 433979,A000000,02300,0000,2300INTRAVENOUS THERAPY 433979,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433979,A000000,02500,0000,2500PHYSICAL THERAPY 433979,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433979,A000000,02700,0000,2700SPEECH PATHOLOGY 433979,A000000,02800,0000,2800ELECTROCARDIOLOGY 433979,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433979,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433979,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433979,A000000,03200,0000,3200SUPPORT SURFACES 433979,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433979,A000000,03400,0000,3400CLINIC 433979,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433979,A000000,04800,0000,4800AMBULANCE 433979,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433979,A000000,05000,0000,5000CORF 433979,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433979,A000000,05300,0000,5300INTEREST EXPENSE 433979,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433979,A000000,05500,0000,5500HOSPICE 433979,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433979,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433979,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433979,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433979,A000000,06100,0000,6100NONPAID WORKERS 433979,A000000,06200,0000,6200PATIENTS LAUNDRY 433979,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433979,A81000A,00100,0100,Y 433979,A81000B,00100,0300,REPAIRS - EQ 433979,A81000B,00200,0300,MNR EQ EXP 433979,A81000B,00300,0300,PAPER PRODUCTS 433979,A81000B,00400,0300,HSKP SUPP 433979,A81000B,00500,0300,DIET SUPPLM 433979,A81000B,00600,0300,INCONT SUPP 433979,A81000B,00700,0300,MED SUPPLY 433979,A81000B,00800,0300,PERS CARE 433979,A81000B,00900,0300,MNR EQ EXP 433979,A81000B,01000,0300,BIO-MED WASTE 433979,A81000B,01100,0300,LINEN & BED 433979,A81000B,01200,0300,LNDRY SPLY 433979,A81000B,01300,0300,PT SUPPLY 433979,A81000B,01400,0300,OXTHR SUPPLY 433979,A81000B,01500,0300,BILL MED SUPPLY 433979,A81000B,01600,0300,EQUIP RENT 433979,A81000B,01700,0300,NON-LEGEND DRUG 433979,A81000B,01800,0300,MED REC SUPP 433979,A81000B,01900,0300,PHARM CONS 433979,A81000B,02000,0300,LEGEND DRUG 433979,A81000B,02100,0300,REP-BUILDG 433979,A81000B,02200,0300,OFF SUPPLY 433979,A81000B,02300,0300,NURS CONS 433979,A81000B,02400,0300,DIET CONS 433979,A81000B,02500,0300,HOME OFFICE 433979,A81000B,02600,0300,INT EXPENSE 433979,A81000B,02700,0300,WRKS COMP 433979,A81000B,02800,0300,PROF LIAB 433979,A81000B,02900,0300,RENT 433979,A81000C,00100,0100,A 433979,A81000C,00100,0200,SHAREHOLDERS 433979,A81000C,00100,0400,KARE MEDICAL 433979,A81000C,00100,0600,WHLS SPLY 433979,A81000C,00200,0100,A 433979,A81000C,00200,0200,SHAREHOLDERS 433979,A81000C,00200,0400,KARE MEDICAL 433979,A81000C,00200,0600,WHLS SPLY 433979,A81000C,00300,0100,A 433979,A81000C,00300,0200,SHAREHOLDERS 433979,A81000C,00300,0400,KARE MEDICAL 433979,A81000C,00300,0600,WHLS SPLY 433979,A81000C,00400,0100,A 433979,A81000C,00400,0200,SHAREHOLDERS 433979,A81000C,00400,0400,KARE MEDICAL 433979,A81000C,00400,0600,WHLS SPLY 433979,A81000C,00500,0100,A 433979,A81000C,00500,0200,SHAREHOLDERS 433979,A81000C,00500,0400,KARE MEDICAL 433979,A81000C,00500,0600,WHLS SPLY 433979,A81000C,00600,0100,A 433979,A81000C,00600,0200,SHAREHOLDERS 433979,A81000C,00600,0400,KARE MEDICAL 433979,A81000C,00600,0600,WHLS SPLY 433979,A81000C,00700,0100,A 433979,A81000C,00700,0200,SHAREHOLDERS 433979,A81000C,00700,0400,KARE MEDICAL 433979,A81000C,00700,0600,WHLS SPLY 433979,A81000C,00800,0100,A 433979,A81000C,00800,0200,SHAREHOLDERS 433979,A81000C,00800,0400,KARE MEDICAL 433979,A81000C,00800,0600,WHLS SPLY 433979,A81000C,00900,0100,A 433979,A81000C,00900,0200,SHAREHOLDERS 433979,A81000C,00900,0400,KARE MEDICAL 433979,A81000C,00900,0600,WHLS SPLY 433979,A81000C,01000,0100,A 433979,A81000C,01000,0200,SHAREHOLDERS 433979,A81000C,01000,0400,KARE MEDICAL 433979,A81000C,01000,0600,WHLS SPLY 433979,A81000C,01001,0100,A 433979,A81000C,01001,0200,SHAREHOLDERS 433979,A81000C,01001,0400,KARE MEDICAL 433979,A81000C,01001,0600,WHLS SPLY 433979,A81000C,01002,0100,A 433979,A81000C,01002,0200,SHAREHOLDERS 433979,A81000C,01002,0400,KARE MEDICAL 433979,A81000C,01002,0600,WHLS SPLY 433979,A81000C,01003,0100,A 433979,A81000C,01003,0200,SHAREHOLDERS 433979,A81000C,01003,0400,KARE MEDICAL 433979,A81000C,01003,0600,WHLS SPLY 433979,A81000C,01004,0100,A 433979,A81000C,01004,0200,SHAREHOLDERS 433979,A81000C,01004,0400,KARE MEDICAL 433979,A81000C,01004,0600,WHLS SPLY 433979,A81000C,01005,0100,A 433979,A81000C,01005,0200,SHAREHOLDERS 433979,A81000C,01005,0400,PAHRM SAVE 433979,A81000C,01005,0600,RX SUPPLY 433979,A81000C,01006,0100,A 433979,A81000C,01006,0200,SHAREHOLDERS 433979,A81000C,01006,0400,PAHRM SAVE 433979,A81000C,01006,0600,RX SUPPLY 433979,A81000C,01007,0100,A 433979,A81000C,01007,0200,SHAREHOLDERS 433979,A81000C,01007,0400,PAHRM SAVE 433979,A81000C,01007,0600,RX SUPPLY 433979,A81000C,01008,0100,A 433979,A81000C,01008,0200,SHAREHOLDERS 433979,A81000C,01008,0400,PAHRM SAVE 433979,A81000C,01008,0600,RX SUPPLY 433979,A81000C,01009,0100,A 433979,A81000C,01009,0200,SHAREHOLDERS 433979,A81000C,01009,0400,PAHRM SAVE 433979,A81000C,01009,0600,RX SUPPLY 433979,A81000C,01010,0100,A 433979,A81000C,01010,0200,SHAREHOLDERS 433979,A81000C,01010,0400,ROBERT HILL CON 433979,A81000C,01010,0600,CONSTRUCTION 433979,A81000C,01011,0100,A 433979,A81000C,01011,0200,SHAREHOLDERS 433979,A81000C,01011,0400,ROBERT HILL CON 433979,A81000C,01011,0600,CONSTRUCTION 433979,A81000C,01012,0100,B 433979,A81000C,01012,0200,PLTC & PITS INC 433979,A81000C,01012,0400,PLTC & PITS INC 433979,A81000C,01012,0600,MGMT SERV 433979,A81000C,01013,0100,B 433979,A81000C,01013,0200,PLTC & PITS INC 433979,A81000C,01013,0400,PLTC & PITS INC 433979,A81000C,01013,0600,MGMT SERV 433979,A81000C,01014,0100,B 433979,A81000C,01014,0200,PLTC & PITS INC 433979,A81000C,01014,0400,PLTC & PITS INC 433979,A81000C,01014,0600,MGMT SERV 433979,A81000C,01015,0100,B 433979,A81000C,01015,0200,PLTC & PITS INC 433979,A81000C,01015,0400,PLTC & PITS INC 433979,A81000C,01015,0600,MGMT SERV 433979,A81000C,01016,0100,A 433979,A81000C,01016,0200,SHAREHOLDERS 433979,A81000C,01016,0400,DISCOVERY INS 433979,A81000C,01016,0600,INSURANCE 433979,A81000C,01017,0100,A 433979,A81000C,01017,0200,SHAREHOLDERS 433979,A81000C,01017,0400,QUEENSLAND ASSU 433979,A81000C,01017,0600,INSURANCE 433979,A81000C,01018,0100,A 433979,A81000C,01018,0200,SHAREHOLDERS 433979,A81000C,01018,0400,NEUSE RIVER COR 433979,A81000C,01018,0600,REAL ESTATE 433979,A81000C,01019,0100,B 433979,A81000C,01019,0200,PLTC & PITS INC 433979,A81000C,01019,0400,PLTC & PITS INC 433979,A81000C,01019,0600,REAL ESTATE 433979,A81000C,01020,0100,B 433979,A81000C,01020,0200,PLTC & PITS INC 433979,A81000C,01020,0400,PLTC & PITS INC 433979,A81000C,01020,0600,REAL ESTATE 433979,A81000C,01021,0100,B 433979,A81000C,01021,0200,PLTC & PITS INC 433979,A81000C,01021,0400,PLTC & PITS INC 433979,A81000C,01021,0600,REAL ESTATE 433979,A81000C,01022,0100,A 433979,A81000C,01022,0200,SHAREHOLDERS 433979,A81000C,01022,0400,NEUSE RIVER COR 433979,A81000C,01022,0600,REAL ESTATE 433979,A81000C,01023,0100,A 433979,A81000C,01023,0200,SHAREHOLDERS 433979,A81000C,01023,0400,NEUSE RIVER COR 433979,A81000C,01023,0600,REAL ESTATE 433979,A81000C,01024,0100,A 433979,A81000C,01024,0200,SHAREHOLDERS 433979,A81000C,01024,0400,NEUSE RIVER COR 433979,A81000C,01024,0600,REAL ESTATE 433979,A81000C,01025,0100,A 433979,A81000C,01025,0200,SHAREHOLDERS 433979,A81000C,01025,0400,KARE MEDICAL 433979,A81000C,01025,0600,WHLS SPLY 433979,A81000C,01026,0100,A 433979,A81000C,01026,0200,SHAREHOLDERS 433979,A81000C,01026,0400,KARE MEDICAL 433979,A81000C,01026,0600,WHLS SPLY 433979,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433979,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433979,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433979,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433979,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433979,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433979,B100000,00000,0800,0800MEALS SERVED :DIETARY 433979,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433979,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433979,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433979,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433979,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433979,E10A180,00501,0100,05/05/12 433979,E10A180,00550,0100,02/29/12 433979,G300000,02500,0000, OTHER (SPECIFY) 433979,S000000,00100,0200,02/29/12 433979,S200000,00100,0100,210 FOXHALL ROAD 433979,S200000,00200,0100,NEWPORT 433979,S200000,00200,0200,NC 433979,S200000,00200,0300,28570 433979,S200000,00300,0100,CARTERET 433979,S200000,00300,0201,99934 433979,S200000,00300,0300,R 433979,S200000,00400,0100,CROATAN RIDGE NURSING & REHAB CENTER 433979,S200000,00400,0200,345491 433979,S200000,00400,0300,01/01/11 433979,S200000,00400,0500,P 433979,S200000,01500,0100,Y 433979,S200000,01501,0200,Y 433979,S200000,01502,0200,Y 433979,S200000,01503,0200,Y 433979,S200000,01504,0200,Y 433979,S200000,01505,0000,OTHER (SPECIFY) 433979,S200000,01505,0200,Y 433979,S200000,01600,0100,N 433979,S200000,01700,0100,N 433979,S200000,01800,0100,N 433979,S200000,02200,0100,N 433979,S200000,02800,0100,N 433979,S200000,02900,0100,N 433979,S200000,03000,0100,N 433979,S200000,03100,0100,N 433979,S200000,03200,0100,N 433979,S200000,03300,0100,N 433979,S200000,03300,0200,N 433979,S200000,04100,0100,N 433979,S200000,04200,0100,N 433979,S200000,04300,0100,N 433979,S200000,04600,0100,N 433979,S200000,04700,0100,N 433979,S200000,04700,0200,N 433979,S200000,04900,0100,N 433979,S200000,05000,0100,N 433979,S200000,05100,0100,N 433979,S200000,05200,0100,N 433979,S200000,05300,0100,Y 433979,S200000,05300,0200,349011 433979,S200000,05400,0100,PRINCIPLE LONG TERM CARE LLC. 433979,S200000,05400,0200,PALMETTO GBA 433979,S200000,05400,0300,11501 433979,S200000,05500,0100,1435 HWY 258 NORTH 433979,S200000,05600,0100,KINSTON 433979,S200000,05600,0200,NC 433979,S200000,05600,0300,28502 433980,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433980,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433980,A000000,00300,0000,0300EMPLOYEE BENEFITS 433980,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433980,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433980,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433980,A000000,00700,0000,0700HOUSEKEEPING 433980,A000000,00800,0000,0800DIETARY 433980,A000000,00900,0000,0900NURSING ADMINISTRATION 433980,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433980,A000000,01100,0000,1100PHARMACY 433980,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433980,A000000,01300,0000,1300SOCIAL SERVICE 433980,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433980,A000000,01500,0000,1350ACTIVITIES 433980,A000000,01600,0000,1600SKILLED NURSING FACILITY 433980,A000000,01800,0000,1800NURSING FACILITY 433980,A000000,01810,0000,1810ICF/MR 433980,A000000,01900,0000,1900OTHER LONG TERM CARE 433980,A000000,02100,0000,2100RADIOLOGY 433980,A000000,02200,0000,2200LABORATORY 433980,A000000,02300,0000,2300INTRAVENOUS THERAPY 433980,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433980,A000000,02500,0000,2500PHYSICAL THERAPY 433980,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433980,A000000,02700,0000,2700SPEECH PATHOLOGY 433980,A000000,02800,0000,2800ELECTROCARDIOLOGY 433980,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433980,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433980,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433980,A000000,03200,0000,3200SUPPORT SURFACES 433980,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433980,A000000,03400,0000,3400CLINIC 433980,A000000,03500,0000,3500RURAL HEALTH CLINIC 433980,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433980,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433980,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433980,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433980,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433980,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433980,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433980,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433980,A000000,04400,0000,4400DME RENTED - HHA 433980,A000000,04500,0000,4500DME SOLD - HHA 433980,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433980,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433980,A000000,04710,0000,4710TELEMEDICINE 433980,A000000,04800,0000,4800AMBULANCE 433980,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433980,A000000,05000,0000,5000CORF 433980,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433980,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433980,A000000,05300,0000,5300INTEREST EXPENSE 433980,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433980,A000000,05500,0000,5500HOSPICE 433980,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433980,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433980,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433980,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433980,A000000,06100,0000,6100NONPAID WORKERS 433980,A000000,06200,0000,6200PATIENTS LAUNDRY 433980,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433980,A81000A,00100,0100,Y 433980,A81000B,00100,0300,MEDICAL SUPPLIES EXPENSE 433980,A81000B,00200,0300,OXYGEN EXPENSE 433980,A81000B,00300,0300,FLUID BEDS 433980,A81000B,00400,0300,HOME OFFICE COSTS 433980,A81000B,00500,0300,HOME OFFICE COSTS 433980,A81000B,00600,0300,HOME OFFICE COSTS 433980,A81000C,00100,0100,C 433980,A81000C,00100,0400,ADVANCED SERVICES 433980,A81000C,00100,0600,MEDICAL EQUIPMENT/SUPPLIE 433980,A81000C,00200,0100,C 433980,A81000C,00200,0400,MOSES CONE HEALTH SYSTEM 433980,A81000C,00200,0600,HOME OFFICE 433980,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433980,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 433980,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433980,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433980,B100000,00000,0600,0650PATIENT DAY :LAUNDRY & LINEN SE 433980,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433980,B100000,00000,0800,0850PATIENT DAY :DIETARY 433980,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433980,B100000,00000,1200,1250PATIENT DAY :MEDICAL RECORDS & 433980,B100000,00000,1300,1330PATIENT DAY :SOCIAL SERVICE 433980,B100000,00000,1500,1350PATIENT DAY :ACTIVITIES 433980,E10A180,00501,0100,05/08/12 433980,G300000,02500,0000,GENERAL SERVICE REVENUE 433980,S000000,00100,0200,02/21/12 433980,S200000,00100,0100,618-A S. MAIN STREET 433980,S200000,00200,0100,REIDSVILLE 433980,S200000,00200,0200,NC 433980,S200000,00200,0300,27320 433980,S200000,00300,0100,ROCKINGHAM 433980,S200000,00300,0200,0034 433980,S200000,00300,0201,24660 433980,S200000,00300,0300,U 433980,S200000,00400,0100,PENN NURSING CENTER 433980,S200000,00400,0200,345530 433980,S200000,00400,0300,09/02/04 433980,S200000,00400,0500,P 433980,S200000,00400,0600,O 433980,S200000,01500,0100,Y 433980,S200000,01501,0200,Y 433980,S200000,01600,0100,N 433980,S200000,01700,0100,N 433980,S200000,01800,0100,N 433980,S200000,02200,0100,N 433980,S200000,02800,0100,N 433980,S200000,02900,0100,N 433980,S200000,03000,0100,N 433980,S200000,03100,0100,N 433980,S200000,03200,0100,N 433980,S200000,03300,0100,N 433980,S200000,03300,0200,N 433980,S200000,04100,0100,N 433980,S200000,04200,0100,N 433980,S200000,04300,0100,N 433980,S200000,04600,0100,N 433980,S200000,04700,0100,N 433980,S200000,04700,0200,N 433980,S200000,04900,0100,N 433980,S200000,05000,0100,N 433980,S200000,05100,0100,N 433980,S200000,05200,0100,N 433980,S200000,05300,0100,Y 433980,S200000,05300,0200,349028 433980,S200000,05400,0100,MOSES CONE HEALTH SYSTEM 433980,S200000,05400,0200,PALMETTO GBA 433980,S200000,05400,0300,11001 433980,S200000,05500,0100,1200 NORTH ELM STREET 433980,S200000,05600,0100,GREENSBORO 433980,S200000,05600,0200,NC 433980,S200000,05600,0300,27401 433985,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433985,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433985,A000000,00300,0000,0300EMPLOYEE BENEFITS 433985,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433985,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433985,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433985,A000000,00700,0000,0700HOUSEKEEPING 433985,A000000,00800,0000,0800DIETARY 433985,A000000,00900,0000,0900NURSING ADMINISTRATION 433985,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433985,A000000,01100,0000,1100PHARMACY 433985,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433985,A000000,01300,0000,1300SOCIAL SERVICE 433985,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433985,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 433985,A000000,01600,0000,1600SKILLED NURSING FACILITY 433985,A000000,01810,0000,1810ICF/MR 433985,A000000,01900,0000,1900OTHER LONG TERM CARE 433985,A000000,02100,0000,2100RADIOLOGY 433985,A000000,02200,0000,2200LABORATORY 433985,A000000,02500,0000,2500PHYSICAL THERAPY 433985,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433985,A000000,02700,0000,2700SPEECH PATHOLOGY 433985,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433985,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433985,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 433985,A000000,03550,0000,3550FQHC 433985,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433985,A000000,04710,0000,4710TELEMEDICINE 433985,A000000,04801,0000,4801AMBULANCE 433985,A000000,04802,0000,4802AMBULANCE 433985,A000000,04803,0000,4803AMBULANCE 433985,A000000,05000,0000,5000CORF 433985,A000000,05010,0000,5010CMHC 433985,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433985,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433985,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433985,A000000,05300,0000,5300INTEREST EXPENSE 433985,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433985,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433985,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433985,A81000A,00100,0100,Y 433985,A81000B,00100,0300,MANAGEMENT FEE 433985,A81000B,00200,0300,COMPUTER SUPPLIES 433985,A81000B,00300,0300,BEEF 433985,A81000B,00400,0300,MULCH REPAIRS 433985,A81000B,00500,0300,SUPPLEMENTAL FEEDING 433985,A81000B,00600,0300,NURSING SUPPLIES 433985,A81000B,00700,0300,OXYGEN 433985,A81000B,00800,0300,REPAIRS 433985,A81000C,00100,0100,A 433985,A81000C,00100,0200,JOHN D KLINGERM 433985,A81000C,00100,0400,JDK MGMT CO IN 433985,A81000C,00100,0600,SERVICE 433985,A81000C,00200,0100,A 433985,A81000C,00200,0200,JOHN D KLINGERM 433985,A81000C,00200,0400,JDK MGMT CO IN 433985,A81000C,00200,0600,SERVICE 433985,A81000C,00300,0100,A 433985,A81000C,00300,0200,DAVID W KLINGER 433985,A81000C,00300,0400,KLINGERMAN FARM 433985,A81000C,00300,0600,SERVICE 433985,A81000C,00400,0100,A 433985,A81000C,00400,0200,DAVID W KLINGER 433985,A81000C,00400,0400,KLINGERMAN BROS 433985,A81000C,00400,0600,SERVICE 433985,A81000C,00500,0100,A 433985,A81000C,00500,0200,JOHN D KLINGERM 433985,A81000C,00500,0400,COLUMBIA ANC SV 433985,A81000C,00500,0600,SERVICE 433985,A81000C,00600,0100,A 433985,A81000C,00600,0200,JOHN D KLINGERM 433985,A81000C,00600,0400,COLUMBIA ANC SV 433985,A81000C,00600,0600,SERVICE 433985,A81000C,00700,0100,A 433985,A81000C,00700,0200,JOHN D KLINGERM 433985,A81000C,00700,0400,COLUMBIA ANC SV 433985,A81000C,00700,0600,SERVICE 433985,A81000C,00800,0100,A 433985,A81000C,00800,0200,JOHN D KLINGERM 433985,A81000C,00800,0400,COLUMBIA ANC SV 433985,A81000C,00800,0600,SERVICE 433985,B100000,00000,0100,0100SQUARE FEET 433985,B100000,00000,0200,0200SQUARE FEET 433985,B100000,00000,0300,0300GROSS SALARIES 433985,B100000,00000,0400,0400ACCUM COST 433985,B100000,00000,0500,0500SQUARE FEET 433985,B100000,00000,0600,0600PATIENT DAYS 433985,B100000,00000,0700,0700SQUARE FEET 433985,B100000,00000,0800,0800PATIENT DAYS 433985,B100000,00000,0900,0900DIRECT NURSING 433985,B100000,00000,1000,1000PATIENT DAYS 433985,B100000,00000,1100,1100COSTED REQUIS. 433985,B100000,00000,1200,1200PATIENT DAYS 433985,B100000,00000,1300,1300PATIENT DAYS 433985,B100000,00000,1400,1400ASSIGNED TIME 433985,B100000,00000,1500,1350PATIENT DAYS 433985,E10A180,00301,0100,06/03/11 433985,E10A180,00501,0300,01/24/12 433985,E10A180,00550,0100,01/24/12 433985,G300000,02500,0000,SUNDRY REVENUE 433985,G300000,02501,0000,INCONTINENT REVENUE 433985,G300000,02502,0000,BEAUTY & BARBER REVENUE 433985,G300000,02503,0000,SPORTS THERAPY REVENUE 433985,G300000,02504,0000,MISCELLANEOUS INCOME 433985,G300000,02505,0000,PERSONAL CARE REVENUE 433985,S000000,00100,0200,12/19/11 433985,S200000,00100,0100,700 WEST THIRD STREE 433985,S200000,00200,0100,MOUNT CARMEL 433985,S200000,00200,0200,PA 433985,S200000,00200,0300,17851 433985,S200000,00300,0100,NORTHUMBERLAND 433985,S200000,00300,0300,R 433985,S200000,00400,0100,MT. CARMEL NURSING & REHAB CENTER 433985,S200000,00400,0200,395589 433985,S200000,00400,0300,07/20/83 433985,S200000,00400,0500,P 433985,S200000,01500,0100,N 433985,S200000,01501,0200,N 433985,S200000,01502,0200,N 433985,S200000,01503,0200,N 433985,S200000,01504,0200,N 433985,S200000,01505,0000,OTHER (SPECIFY) 433985,S200000,01505,0200,N 433985,S200000,01600,0100,N 433985,S200000,01700,0100,N 433985,S200000,01800,0100,N 433985,S200000,02200,0100,N 433985,S200000,02800,0100,N 433985,S200000,02900,0100,N 433985,S200000,03000,0100,N 433985,S200000,03100,0100,N 433985,S200000,03200,0100,N 433985,S200000,03300,0100,N 433985,S200000,03300,0200,N 433985,S200000,04200,0100,N 433985,S200000,04300,0100,N 433985,S200000,04600,0100,N 433985,S200000,04700,0100,N 433985,S200000,04900,0100,N 433985,S200000,05200,0100,N 433985,S200000,05300,0100,N 433987,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433987,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433987,A000000,00300,0000,0300EMPLOYEE BENEFITS 433987,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433987,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433987,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433987,A000000,00700,0000,0700HOUSEKEEPING 433987,A000000,00800,0000,0800DIETARY 433987,A000000,00900,0000,0900NURSING ADMINISTRATION 433987,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433987,A000000,01100,0000,1100PHARMACY 433987,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433987,A000000,01300,0000,1300SOCIAL SERVICE 433987,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433987,A000000,01500,0000,1350RECREATION ACTIVITIES 433987,A000000,01600,0000,1600SKILLED NURSING FACILITY 433987,A000000,01810,0000,1810ICF/MR 433987,A000000,02100,0000,2100RADIOLOGY 433987,A000000,02200,0000,2200LABORATORY 433987,A000000,02500,0000,2500PHYSICAL THERAPY 433987,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433987,A000000,02700,0000,2700SPEECH PATHOLOGY 433987,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433987,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433987,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433987,A000000,03301,0000,3051ENTERAL FEEDING 433987,A000000,03550,0000,3550FQHC 433987,A000000,04801,0000,4801AMBULANCE 433987,A000000,04802,0000,4802AMBULANCE 433987,A000000,04803,0000,4803AMBULANCE 433987,A000000,05000,0000,5000CORF 433987,A000000,05010,0000,5010CMHC 433987,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433987,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433987,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433987,A000000,06300,0000,6150ENTERSTOMAL THERAPY 433987,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 433987,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 433987,A000000,06312,0000,6153DIALYSIS 433987,A000000,06320,0000,6154APARTMENTS 433987,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 433987,A000000,06340,0000,6156CLOSED PATIENT AREAS 433987,A000000,06350,0000,6157O/P ADULT DAYCARE 433987,A000000,06360,0000,6158MARKETING 433987,A81000A,00100,0100,Y 433987,A81000B,00100,0300,RELATED PARTY CAPITAL COST 433987,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 433987,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 433987,A81000C,00100,0100,A 433987,A81000C,00100,0200,FUNDAMENTAL HOL 433987,A81000C,00100,0400,FAS FCC FCOS 433987,A81000C,00100,0600,SUPPORT SERVICE 433987,B100000,00000,0100,0100(SQUARE FEET) 433987,B100000,00000,0200,0200(SQUARE FEET) 433987,B100000,00000,0300,0300(GROSS SALARIES) 433987,B100000,00000,0400,0400ACCUM COST 433987,B100000,00000,0500,0500(SQUARE FEET) 433987,B100000,00000,0600,0600(PATIENT DAYS) 433987,B100000,00000,0700,0700(SQUARE FEET) 433987,B100000,00000,0800,0800(PATIENT DAYS) 433987,B100000,00000,0900,0900(NURSING SALARIES) 433987,B100000,00000,1000,1000(COSTED REQUIS) 433987,B100000,00000,1100,1100(COSTED REQUIS) 433987,B100000,00000,1200,1200(PATIENT DAYS) 433987,B100000,00000,1300,1300(PATIENT DAYS) 433987,B100000,00000,1400,1400(ASSIGNED TIME) 433987,B100000,00000,1500,1350(PATIENT DAYS) 433987,E10A180,00501,0300,03/23/12 433987,E10A180,00550,0100,03/23/12 433987,G300000,02500,0000,TRANSPORTATION 433987,G300000,02501,0000,ADMISSION FEES 433987,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 433987,G300000,02503,0000,DAY CARE SERVICES 433987,G300000,02504,0000,RENTAL INCOME 433987,G300000,02505,0000,MISCELLANEOUS REVENUE 433987,G300000,02506,0000,INTEREST INCOME PATIENT A/R 433987,G300000,02507,0000,MANAGEMENT FEE REVENUE 433987,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 433987,S000000,00100,0200,02/27/12 433987,S200000,00100,0100,51 N. MAIN STREET 433987,S200000,00100,0300,669 433987,S200000,00200,0100,INMAN 433987,S200000,00200,0200,SC 433987,S200000,00200,0300,29349 433987,S200000,00300,0100,SPARTANBURG 433987,S200000,00300,0201,43900 433987,S200000,00300,0300,U 433987,S200000,00400,0100,INMAN HEALTHCARE INC. 433987,S200000,00400,0200,425122 433987,S200000,00400,0300,10/01/77 433987,S200000,00400,0500,P 433987,S200000,00400,0600,O 433987,S200000,01500,0100,Y 433987,S200000,01501,0200,Y 433987,S200000,01502,0200,N 433987,S200000,01503,0200,Y 433987,S200000,01504,0200,Y 433987,S200000,01505,0200,N 433987,S200000,01600,0100,N 433987,S200000,01700,0100,N 433987,S200000,01800,0100,N 433987,S200000,01900,0100,LLC 433987,S200000,02200,0100,N 433987,S200000,02800,0100,N 433987,S200000,02900,0100,N 433987,S200000,03000,0100,N 433987,S200000,03100,0100,N 433987,S200000,03200,0100,N 433987,S200000,03300,0100,N 433987,S200000,03300,0200,N 433987,S200000,04200,0100,N 433987,S200000,04300,0100,N 433987,S200000,04600,0100,N 433987,S200000,04700,0100,N 433987,S200000,04900,0100,N 433987,S200000,05200,0100,N 433987,S200000,05300,0100,Y 433988,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433988,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433988,A000000,00300,0000,0300EMPLOYEE BENEFITS 433988,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433988,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433988,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433988,A000000,00700,0000,0700HOUSEKEEPING 433988,A000000,00800,0000,0800DIETARY 433988,A000000,00900,0000,0900NURSING ADMINISTRATION 433988,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433988,A000000,01100,0000,1100PHARMACY 433988,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433988,A000000,01300,0000,1300SOCIAL SERVICE 433988,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433988,A000000,01500,0000,1350RECREATION ACTIVITIES 433988,A000000,01600,0000,1600SKILLED NURSING FACILITY 433988,A000000,01810,0000,1810ICF/MR 433988,A000000,02100,0000,2100RADIOLOGY 433988,A000000,02200,0000,2200LABORATORY 433988,A000000,02500,0000,2500PHYSICAL THERAPY 433988,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433988,A000000,02700,0000,2700SPEECH PATHOLOGY 433988,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433988,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433988,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433988,A000000,03301,0000,3051ENTERAL FEEDING 433988,A000000,03550,0000,3550FQHC 433988,A000000,04801,0000,4801AMBULANCE 433988,A000000,04802,0000,4802AMBULANCE 433988,A000000,04803,0000,4803AMBULANCE 433988,A000000,05000,0000,5000CORF 433988,A000000,05010,0000,5010CMHC 433988,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433988,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433988,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433988,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433988,A000000,06300,0000,6150ENTERSTOMAL THERAPY 433988,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 433988,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 433988,A000000,06312,0000,6153DIALYSIS 433988,A000000,06320,0000,6154APARTMENTS 433988,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 433988,A000000,06340,0000,6156CLOSED PATIENT AREAS 433988,A000000,06350,0000,6157O/P ADULT DAYCARE 433988,A000000,06360,0000,6158MARKETING 433988,A81000A,00100,0100,Y 433988,A81000B,00100,0300,RELATED PARTY CAPITAL COST 433988,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 433988,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 433988,A81000B,00400,0300,ADVANTAGE DME 433988,A81000B,00500,0300,ADVANTAGE DME 433988,A81000C,00100,0100,A 433988,A81000C,00100,0200,FUNDAMENTAL HOL 433988,A81000C,00100,0400,FAS FCC FCOS 433988,A81000C,00100,0600,SUPPORT SERVICE 433988,A81000C,00200,0100,A 433988,A81000C,00200,0200,THI BALT INC 433988,A81000C,00200,0400,ADVANTAGE DME 433988,A81000C,00200,0600,NON-BILL SUPPLI 433988,B100000,00000,0100,0100(SQUARE FEET) 433988,B100000,00000,0200,0200(SQUARE FEET) 433988,B100000,00000,0300,0300(GROSS SALARIES) 433988,B100000,00000,0400,0400ACCUM COST 433988,B100000,00000,0500,0500(SQUARE FEET) 433988,B100000,00000,0600,0600(PATIENT DAYS) 433988,B100000,00000,0700,0700(SQUARE FEET) 433988,B100000,00000,0800,0800(PATIENT DAYS) 433988,B100000,00000,0900,0900(NURSING SALARIES) 433988,B100000,00000,1000,1000(COSTED REQUIS) 433988,B100000,00000,1100,1100(COSTED REQUIS) 433988,B100000,00000,1200,1200(PATIENT DAYS) 433988,B100000,00000,1300,1300(PATIENT DAYS) 433988,B100000,00000,1400,1400(ASSIGNED TIME) 433988,B100000,00000,1500,1350(PATIENT DAYS) 433988,E10A180,00302,0100,03/21/11 433988,E10A180,00501,0100,03/26/12 433988,E10A180,00501,0300,03/26/12 433988,G300000,02500,0000,TRANSPORTATION 433988,G300000,02501,0000,ADMISSION FEES 433988,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 433988,G300000,02503,0000,DAY CARE SERVICES 433988,G300000,02504,0000,RENTAL INCOME 433988,G300000,02505,0000,MISCELLANEOUS REVENUE 433988,G300000,02506,0000,INTEREST INCOME PATIENT A/R 433988,G300000,02507,0000,MANAGEMENT FEE REVENUE 433988,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 433988,S000000,00100,0200,02/27/12 433988,S200000,00100,0100,59 BLACKSTOCK ROAD 433988,S200000,00100,0300,9 433988,S200000,00200,0100,INMAN 433988,S200000,00200,0200,SC 433988,S200000,00200,0300,29349 433988,S200000,00300,0100,SPARTANBURG 433988,S200000,00300,0201,43900 433988,S200000,00300,0300,U 433988,S200000,00400,0100,CAMP CARE 433988,S200000,00400,0200,425303 433988,S200000,00400,0300,02/15/91 433988,S200000,00400,0500,P 433988,S200000,00400,0600,O 433988,S200000,01500,0100,Y 433988,S200000,01501,0200,Y 433988,S200000,01502,0200,N 433988,S200000,01503,0200,Y 433988,S200000,01504,0200,Y 433988,S200000,01505,0200,N 433988,S200000,01600,0100,N 433988,S200000,01700,0100,N 433988,S200000,01800,0100,N 433988,S200000,01900,0100,LLC 433988,S200000,02200,0100,N 433988,S200000,02800,0100,N 433988,S200000,02900,0100,N 433988,S200000,03000,0100,N 433988,S200000,03100,0100,N 433988,S200000,03200,0100,N 433988,S200000,03300,0100,N 433988,S200000,03300,0200,N 433988,S200000,04200,0100,N 433988,S200000,04300,0100,N 433988,S200000,04600,0100,N 433988,S200000,04700,0100,N 433988,S200000,04900,0100,N 433988,S200000,05200,0100,N 433988,S200000,05300,0100,Y 433989,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 433989,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 433989,A000000,00300,0000,0300EMPLOYEE BENEFITS 433989,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433989,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 433989,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433989,A000000,00700,0000,0700HOUSEKEEPING 433989,A000000,00800,0000,0800DIETARY 433989,A000000,00900,0000,0900NURSING ADMINISTRATION 433989,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433989,A000000,01100,0000,1100PHARMACY 433989,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433989,A000000,01300,0000,1300SOCIAL SERVICE 433989,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 433989,A000000,01500,0000,1350RECREATION ACTIVITIES 433989,A000000,01600,0000,1600SKILLED NURSING FACILITY 433989,A000000,01810,0000,1810ICF/MR 433989,A000000,02100,0000,2100RADIOLOGY 433989,A000000,02200,0000,2200LABORATORY 433989,A000000,02500,0000,2500PHYSICAL THERAPY 433989,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433989,A000000,02700,0000,2700SPEECH PATHOLOGY 433989,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 433989,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433989,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 433989,A000000,03301,0000,3051ENTERAL FEEDING 433989,A000000,03550,0000,3550FQHC 433989,A000000,04801,0000,4801AMBULANCE 433989,A000000,04802,0000,4802AMBULANCE 433989,A000000,04803,0000,4803AMBULANCE 433989,A000000,05000,0000,5000CORF 433989,A000000,05010,0000,5010CMHC 433989,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 433989,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 433989,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 433989,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433989,A000000,06300,0000,6150ENTERSTOMAL THERAPY 433989,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 433989,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 433989,A000000,06312,0000,6153DIALYSIS 433989,A000000,06320,0000,6154APARTMENTS 433989,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 433989,A000000,06340,0000,6156CLOSED PATIENT AREAS 433989,A000000,06350,0000,6157O/P ADULT DAYCARE 433989,A000000,06360,0000,6158MARKETING 433989,A81000A,00100,0100,Y 433989,A81000B,00100,0300,RELATED PARTY CAPITAL COST 433989,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 433989,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 433989,A81000C,00100,0100,A 433989,A81000C,00100,0200,FUNDAMENTAL HOL 433989,A81000C,00100,0400,FAS FCC FCOS 433989,A81000C,00100,0600,SUPPORT SERVICE 433989,B100000,00000,0100,0100(SQUARE FEET) 433989,B100000,00000,0200,0200(SQUARE FEET) 433989,B100000,00000,0300,0300(GROSS SALARIES) 433989,B100000,00000,0400,0400ACCUM COST 433989,B100000,00000,0500,0500(SQUARE FEET) 433989,B100000,00000,0600,0600(PATIENT DAYS) 433989,B100000,00000,0700,0700(SQUARE FEET) 433989,B100000,00000,0800,0800(PATIENT DAYS) 433989,B100000,00000,0900,0900(NURSING SALARIES) 433989,B100000,00000,1000,1000(COSTED REQUIS) 433989,B100000,00000,1100,1100(COSTED REQUIS) 433989,B100000,00000,1200,1200(PATIENT DAYS) 433989,B100000,00000,1300,1300(PATIENT DAYS) 433989,B100000,00000,1400,1400(ASSIGNED TIME) 433989,B100000,00000,1500,1350(PATIENT DAYS) 433989,E10A180,00353,0100,03/21/11 433989,E10A180,00501,0300,03/26/12 433989,E10A180,00550,0100,03/26/12 433989,G300000,02500,0000,TRANSPORTATION 433989,G300000,02501,0000,ADMISSION FEES 433989,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 433989,G300000,02503,0000,DAY CARE SERVICES 433989,G300000,02504,0000,RENTAL INCOME 433989,G300000,02505,0000,MISCELLANEOUS REVENUE 433989,G300000,02506,0000,INTEREST INCOME PATIENT A/R 433989,G300000,02507,0000,MANAGEMENT FEE REVENUE 433989,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 433989,S000000,00100,0200,02/27/12 433989,S200000,00100,0100,82 N MAIN ST 433989,S200000,00200,0100,INMAN 433989,S200000,00200,0200,SC 433989,S200000,00200,0300,29349 433989,S200000,00300,0100,SPARTANBURG 433989,S200000,00300,0201,43900 433989,S200000,00300,0300,U 433989,S200000,00400,0100,GOLDEN AGE-INMAN 433989,S200000,00400,0200,425316 433989,S200000,00400,0300,04/01/94 433989,S200000,00400,0500,P 433989,S200000,00400,0600,O 433989,S200000,01500,0100,Y 433989,S200000,01501,0200,Y 433989,S200000,01502,0200,Y 433989,S200000,01503,0200,Y 433989,S200000,01504,0200,Y 433989,S200000,01505,0000,OTHER 433989,S200000,01505,0200,N 433989,S200000,01600,0100,N 433989,S200000,01700,0100,N 433989,S200000,01800,0100,N 433989,S200000,01900,0100,LLC 433989,S200000,02200,0100,N 433989,S200000,02800,0100,N 433989,S200000,02900,0100,N 433989,S200000,03000,0100,N 433989,S200000,03100,0100,N 433989,S200000,03200,0100,N 433989,S200000,03300,0100,N 433989,S200000,03300,0200,N 433989,S200000,04200,0100,N 433989,S200000,04300,0100,N 433989,S200000,04600,0100,N 433989,S200000,04700,0100,N 433989,S200000,04900,0100,N 433989,S200000,05200,0100,N 433989,S200000,05300,0100,Y 433990,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433990,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433990,A000000,00300,0000,0300EMPLOYEE BENEFITS 433990,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433990,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433990,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433990,A000000,00700,0000,0700HOUSEKEEPING 433990,A000000,00800,0000,0800DIETARY 433990,A000000,00900,0000,0900NURSING ADMINISTRATION 433990,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433990,A000000,01100,0000,1100PHARMACY 433990,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433990,A000000,01300,0000,1300SOCIAL SERVICE 433990,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433990,A000000,01500,0000,1350OTHER GENERAL SERVICES 433990,A000000,01600,0000,1600SKILLED NURSING FACILITY 433990,A000000,01800,0000,1800NURSING FACILITY 433990,A000000,01810,0000,1810ICF/MR 433990,A000000,01900,0000,1900OTHER LONG TERM CARE 433990,A000000,02100,0000,2100RADIOLOGY 433990,A000000,02200,0000,2200LABORATORY 433990,A000000,02300,0000,2300INTRAVENOUS THERAPY 433990,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433990,A000000,02500,0000,2500PHYSICAL THERAPY 433990,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433990,A000000,02700,0000,2700SPEECH PATHOLOGY 433990,A000000,02800,0000,2800ELECTROCARDIOLOGY 433990,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433990,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433990,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433990,A000000,03200,0000,3200SUPPORT SURFACES 433990,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 433990,A000000,03400,0000,3400CLINIC 433990,A000000,03500,0000,3500RURAL HEALTH CLINIC 433990,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 433990,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 433990,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 433990,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 433990,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 433990,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 433990,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 433990,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 433990,A000000,04400,0000,4400DME RENTED - HHA 433990,A000000,04500,0000,4500DME SOLD - HHA 433990,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 433990,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 433990,A000000,04710,0000,4710TELEMEDICINE 433990,A000000,04800,0000,4800AMBULANCE 433990,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433990,A000000,05000,0000,5000CORF 433990,A000000,05100,0000,4750OTHER REIMBURSABLE COST 433990,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433990,A000000,05300,0000,5300INTEREST EXPENSE 433990,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433990,A000000,05500,0000,5500HOSPICE 433990,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433990,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433990,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433990,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433990,A000000,06100,0000,6100NONPAID WORKERS 433990,A000000,06200,0000,6200PATIENTS LAUNDRY 433990,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 433990,A81000A,00100,0100,Y 433990,A81000B,00100,0300,BLDG ENTITY-INTEREST EXPENSE 433990,A81000B,00200,0300,BLDG ENTITY-ACCOUNTING 433990,A81000B,00300,0300,BLDG ENTITY-LEGAL 433990,A81000B,00400,0300,BLDG ENTITY-LEASE PAYMENT 433990,A81000B,00500,0300,BLDG ENTITY-AMORTIZATION 433990,A81000B,00600,0300,BLDG ENTITY-DEPRECIATION 433990,A81000B,00700,0300,BLDG ENTITY-GAIN/LOSS 433990,A81000B,00800,0300,BLDG ENTITY-LOSS ON INDEBTNESS 433990,A81000B,00900,0300,BLDG ENTITY-STATE REPLACEMENT TAX 433990,A81000B,01000,0300,SFO ASSOC-INTEREST 433990,A81000B,01100,0300,SFO ASSOC-ACCOUNTING 433990,A81000B,01200,0300,S&E MED SUPP-FOOD 433990,A81000B,01300,0300,S&E MED SUPP-MEDICAL SUPPLY 433990,A81000B,01400,0300,HO-CAPITAL EXPENSE 433990,A81000B,01500,0300,HO-ADMIN & GENERAL 433990,A81000B,01600,0300,HO-MANAGEMENT FEES 433990,A81000B,01700,0300,HO-SALARY 433990,A81000C,00100,0100,A 433990,A81000C,00100,0200,ALBERT MILSTEIN 433990,A81000C,00100,0400,FRANKLIN GROVE ASSOCIATES 433990,A81000C,00100,0600,BLDG PARTNERSHIP 433990,A81000C,00200,0100,A 433990,A81000C,00200,0200,SHELDON WOLFE 433990,A81000C,00200,0400,FRANKLIN GROVE ASSOCIATES 433990,A81000C,00200,0600,BLDG PARTNERSHIP 433990,A81000C,00300,0100,A 433990,A81000C,00300,0200,RONNIE KLEIN 433990,A81000C,00300,0400,FRANKLIN GROVE ASSOCIATES 433990,A81000C,00300,0600,BLDG PARTNERSHIP 433990,A81000C,00400,0100,A 433990,A81000C,00400,0200,SHELDON WOLFE 433990,A81000C,00400,0400,SW MANAGEMENT 433990,A81000C,00400,0600,MANAGEMENT SERVICE 433990,A81000C,00500,0100,A 433990,A81000C,00500,0200,SHELDON WOLFE 433990,A81000C,00500,0400,S&E MEDICAL SUPPLY CO. 433990,A81000C,00500,0600,MEDICAL SUPPLIES 433990,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433990,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433990,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433990,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433990,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433990,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433990,B100000,00000,0800,0800MEALS SERVED :DIETARY 433990,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 433990,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 433990,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 433990,E10A180,00501,0300,07/31/12 433990,E10A180,00550,0100,07/31/12 433990,G300000,02500,0000,OTHER MEDICAL SERVICES 433990,S000000,00100,0200,06/05/12 433990,S200000,00100,0100,502 NORTH STATE STREET 433990,S200000,00200,0100,FRANKLIN GROVE 433990,S200000,00200,0200,IL 433990,S200000,00200,0300,61031 433990,S200000,00300,0100,LEE 433990,S200000,00300,0200,1400 433990,S200000,00300,0201,00014 433990,S200000,00300,0300,U 433990,S200000,00400,0100,FRANKLIN GROVE NURSING CENTER INC 433990,S200000,00400,0200,145200 433990,S200000,00400,0300,01/01/67 433990,S200000,00400,0500,P 433990,S200000,00600,0200,145200 433990,S200000,00600,0300,01/01/67 433990,S200000,00600,0600,O 433990,S200000,01500,0100,N 433990,S200000,01501,0200,Y 433990,S200000,01600,0100,Y 433990,S200000,01700,0100,N 433990,S200000,01800,0100,N 433990,S200000,02200,0100,N 433990,S200000,02800,0100,N 433990,S200000,02900,0100,N 433990,S200000,03000,0100,N 433990,S200000,03100,0100,N 433990,S200000,03200,0100,N 433990,S200000,03300,0100,N 433990,S200000,03300,0200,N 433990,S200000,03500,0300,N 433990,S200000,03600,0100,N 433990,S200000,03600,0200,N 433990,S200000,04100,0100,N 433990,S200000,04200,0100,N 433990,S200000,04300,0100,N 433990,S200000,04600,0100,N 433990,S200000,04700,0100,N 433990,S200000,04700,0200,N 433990,S200000,04900,0100,N 433990,S200000,05000,0100,N 433990,S200000,05100,0100,N 433990,S200000,05200,0100,N 433990,S200000,05300,0100,Y 433990,S200000,05300,0200,149016 433990,S200000,05400,0100,SW MANAGEMENT CO. 433990,S200000,05400,0200,WISCONSIN PHYSICAN SERVICES 433990,S200000,05400,0300,05901 433990,S200000,05500,0100,7434 NORTH SKOKIE BLVD. 433990,S200000,05600,0100,SKOKIE 433990,S200000,05600,0200,IL 433990,S200000,05600,0300,60077 433996,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 433996,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 433996,A000000,00300,0000,0300EMPLOYEE BENEFITS 433996,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 433996,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 433996,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 433996,A000000,00700,0000,0700HOUSEKEEPING 433996,A000000,00800,0000,0800DIETARY 433996,A000000,00900,0000,0900NURSING ADMINISTRATION 433996,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 433996,A000000,01100,0000,1100PHARMACY 433996,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 433996,A000000,01300,0000,1300SOCIAL SERVICE 433996,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 433996,A000000,01600,0000,1600SKILLED NURSING FACILITY 433996,A000000,01800,0000,1800NURSING FACILITY 433996,A000000,01900,0000,1900OTHER LONG TERM CARE 433996,A000000,02100,0000,2100RADIOLOGY 433996,A000000,02200,0000,2200LABORATORY 433996,A000000,02300,0000,2300INTRAVENOUS THERAPY 433996,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 433996,A000000,02500,0000,2500PHYSICAL THERAPY 433996,A000000,02600,0000,2600OCCUPATIONAL THERAPY 433996,A000000,02700,0000,2700SPEECH PATHOLOGY 433996,A000000,02800,0000,2800ELECTROCARDIOLOGY 433996,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 433996,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 433996,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 433996,A000000,03200,0000,3200SUPPORT SURFACES 433996,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 433996,A000000,03400,0000,3400CLINIC 433996,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 433996,A000000,04800,0000,4800AMBULANCE 433996,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 433996,A000000,05000,0000,5000CORF 433996,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 433996,A000000,05300,0000,5300INTEREST EXPENSE 433996,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 433996,A000000,05500,0000,5500HOSPICE 433996,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 433996,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 433996,A000000,05900,0000,5900BARBER & BEAUTY SHOP 433996,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 433996,A000000,06100,0000,6100NONPAID WORKERS 433996,A000000,06200,0000,6200PATIENTS LAUNDRY 433996,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 433996,A81000A,00100,0100,Y 433996,A81000B,00100,0300,NURSING CONSULTING 433996,A81000B,00200,0300,DIETARY CONSULTING 433996,A81000B,00300,0300,HOME OFFICE 433996,A81000B,00400,0300,INTEREST EXPENSE 433996,A81000B,00500,0300,WORKERS COMP EXPENSE 433996,A81000B,00600,0300,PROFESSIONAL LIABILITY EXPENSE 433996,A81000B,00700,0300,NURSING EQUIPMENT RENT 433996,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 433996,A81000B,00900,0300,DIETARY SUPPLEMENTS 433996,A81000B,01000,0300,DIETARY SUPPLIES 433996,A81000B,01100,0300,INCONTINENCE SUPPLIES 433996,A81000B,01200,0300,MEDICAL SUPPLIES 433996,A81000B,01300,0300,NON-LEGEND DRUGS 433996,A81000B,01400,0300,MEDICAL RECORDS SUPPLIES 433996,A81000B,01500,0300,PERSONAL CARE SUPPLIES 433996,A81000B,01600,0300,PHARMACY CONSULTING 433996,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 433996,A81000B,01800,0300,BIO-MEDICAL WASTE 433996,A81000B,01900,0300,LINEN & BEDDING 433996,A81000B,02000,0300,LAUNDRY SUPPLIES 433996,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 433996,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 433996,A81000B,02300,0300,LEGEND DRUGS 433996,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 433996,A81000B,02500,0300,NON-LEGEND DRUGS 433996,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 433996,A81000B,02700,0300,PHARMACY CONSULTING 433996,A81000B,02800,0300,LEGEND DRUGS 433996,A81000B,02900,0300,MEDICAL RECORDS SUPPLIES 433996,A81000C,00100,0100,B 433996,A81000C,00100,0200,HILLCO LTD 433996,A81000C,00100,0400,BRITTHAVEN INC 433996,A81000C,00100,0600,MGMT SERVICES 433996,A81000C,00200,0100,B 433996,A81000C,00200,0200,HILLCO LTD 433996,A81000C,00200,0400,BRITTHAVEN INC 433996,A81000C,00200,0600,MGMT SERVICES 433996,A81000C,00300,0100,B 433996,A81000C,00300,0200,HILLCO LTD 433996,A81000C,00300,0400,BRITTHAVEN INC 433996,A81000C,00300,0600,MGMT SERIVCES 433996,A81000C,00400,0100,B 433996,A81000C,00400,0200,HILLCO LTD 433996,A81000C,00400,0400,BRITTHAVEN INC 433996,A81000C,00400,0600,MGMT SERVICES 433996,A81000C,00500,0100,A 433996,A81000C,00500,0200,HILLCO LTD 433996,A81000C,00500,0400,DISCOVERY INSUR 433996,A81000C,00500,0600,INSRUANCE 433996,A81000C,00600,0100,A 433996,A81000C,00600,0200,HILLCO LTD 433996,A81000C,00600,0400,QUEENSLAND ASSU 433996,A81000C,00600,0600,INSURANCE 433996,A81000C,00700,0100,B 433996,A81000C,00700,0200,HILLCO LTD 433996,A81000C,00700,0400,KARE MEDICAL 433996,A81000C,00700,0600,WHOLESALE SUPPL 433996,A81000C,00800,0100,B 433996,A81000C,00800,0200,HILLCO LTD 433996,A81000C,00800,0400,KARE MEDICAL 433996,A81000C,00800,0600,WHOLESALE SUPPL 433996,A81000C,00900,0100,B 433996,A81000C,00900,0200,HILLCO LTD 433996,A81000C,00900,0400,KARE MEDICAL 433996,A81000C,00900,0600,WHOLESALE SUPPL 433996,A81000C,01000,0100,B 433996,A81000C,01000,0200,HILLCO LTD 433996,A81000C,01000,0400,KARE MEDICAL 433996,A81000C,01000,0600,WHOLESALE SUPPL 433996,A81000C,01001,0100,B 433996,A81000C,01001,0200,HILLCO LTD 433996,A81000C,01001,0400,KARE MEDICAL 433996,A81000C,01001,0600,WHOLESALE SUPPL 433996,A81000C,01002,0100,B 433996,A81000C,01002,0200,HILLCO LTD 433996,A81000C,01002,0400,KARE MEDICAL 433996,A81000C,01002,0600,WHOLESALE SUPPL 433996,A81000C,01003,0100,B 433996,A81000C,01003,0200,HILLCO LTD 433996,A81000C,01003,0400,KARE MEDICAL 433996,A81000C,01003,0600,WHOLESALE SUPPL 433996,A81000C,01004,0100,B 433996,A81000C,01004,0200,HILLCO LTD 433996,A81000C,01004,0400,KARE MEDICAL 433996,A81000C,01004,0600,WHOLESALE SUPPL 433996,A81000C,01005,0100,B 433996,A81000C,01005,0200,HILLCO LTD 433996,A81000C,01005,0400,KARE MEDICAL 433996,A81000C,01005,0600,WHOLESALE SUPPL 433996,A81000C,01006,0100,B 433996,A81000C,01006,0200,HILLCO LTD 433996,A81000C,01006,0400,KARE MEDICAL 433996,A81000C,01006,0600,WHOLESALE SUPPL 433996,A81000C,01007,0100,B 433996,A81000C,01007,0200,HILLCO LTD 433996,A81000C,01007,0400,KARE MEDICAL 433996,A81000C,01007,0600,WHOLESALE SUPPL 433996,A81000C,01008,0100,B 433996,A81000C,01008,0200,HILLCO LTD 433996,A81000C,01008,0400,KARE MEDICAL 433996,A81000C,01008,0600,WHOLESALE SUPPL 433996,A81000C,01009,0100,B 433996,A81000C,01009,0200,HILLCO LTD 433996,A81000C,01009,0400,KARE MEDICAL 433996,A81000C,01009,0600,WHOLESALE SUPPL 433996,A81000C,01010,0100,B 433996,A81000C,01010,0200,HILLCO LTD 433996,A81000C,01010,0400,KARE MEDICAL 433996,A81000C,01010,0600,WHOLESALE SUPPL 433996,A81000C,01011,0100,B 433996,A81000C,01011,0200,HILLCO LTD 433996,A81000C,01011,0400,KARE MEDICAL 433996,A81000C,01011,0600,WHOLESALE SUPPL 433996,A81000C,01012,0100,B 433996,A81000C,01012,0200,HILLCO LTD 433996,A81000C,01012,0400,KARE MEDICAL 433996,A81000C,01012,0600,WHOLESALE SUPPL 433996,A81000C,01013,0100,B 433996,A81000C,01013,0200,HILLCO LTD 433996,A81000C,01013,0400,KARE MEDICAL 433996,A81000C,01013,0600,WHOLESALE SUPPL 433996,A81000C,01014,0100,B 433996,A81000C,01014,0200,HILLCO LTD 433996,A81000C,01014,0400,PHARMSAVE 433996,A81000C,01014,0600,RX SUPPLY 433996,A81000C,01015,0100,B 433996,A81000C,01015,0200,HILLCO LTD 433996,A81000C,01015,0400,PHARMSAVE 433996,A81000C,01015,0600,RX SUPPLY 433996,A81000C,01016,0100,B 433996,A81000C,01016,0200,HILLCO LTD 433996,A81000C,01016,0400,PHARMSAVE 433996,A81000C,01016,0600,RX SUPPLY 433996,A81000C,01017,0100,B 433996,A81000C,01017,0200,HILLCO LTD 433996,A81000C,01017,0400,PHARMSAVE 433996,A81000C,01017,0600,RX SUPPLY 433996,A81000C,01018,0100,B 433996,A81000C,01018,0200,HILLCO LTD 433996,A81000C,01018,0400,PHARMSAVE 433996,A81000C,01018,0600,RX SUPPLY 433996,A81000C,01019,0100,B 433996,A81000C,01019,0200,HILLCO LTD 433996,A81000C,01019,0400,ROBERT HILL CON 433996,A81000C,01019,0600,CONSTRUCTION 433996,A81000C,01020,0100,B 433996,A81000C,01020,0200,HILLCO LTD 433996,A81000C,01020,0400,ROBERT HILL CON 433996,A81000C,01020,0600,CONSTRUCTION 433996,A81000C,01021,0100,B 433996,A81000C,01021,0200,HILLCO LTD 433996,A81000C,01021,0400,HEALTH HAVEN OF 433996,A81000C,01021,0600,REAL ESTATE 433996,A81000C,01022,0100,B 433996,A81000C,01022,0200,HILLCO LTD 433996,A81000C,01022,0400,HEALTH HAVEN OF 433996,A81000C,01022,0600,REAL EASTATE 433996,A81000C,01023,0100,B 433996,A81000C,01023,0200,HILLCO LTD 433996,A81000C,01023,0400,HEALTH HAVEN OF 433996,A81000C,01023,0600,REAL ESTATE 433996,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 433996,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 433996,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 433996,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 433996,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 433996,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 433996,B100000,00000,0800,0800MEALS SERVED :DIETARY 433996,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 433996,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 433996,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 433996,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 433996,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 433996,G300000,02500,0000, OTHER (SPECIFY) 433996,S000000,00100,0200,12/19/11 433996,S200000,00100,0100,801 GREENHAVEN DRIVE 433996,S200000,00200,0100,GREENSBORO 433996,S200000,00200,0200,NC 433996,S200000,00200,0300,27406 433996,S200000,00300,0100,GUILFORD 433996,S200000,00300,0201,24660 433996,S200000,00300,0300,U 433996,S200000,00400,0100,BRITTHAVEN OF GUILFORD 433996,S200000,00400,0200,345132 433996,S200000,00400,0300,08/01/84 433996,S200000,00400,0500,P 433996,S200000,01500,0100,Y 433996,S200000,01501,0200,Y 433996,S200000,01502,0200,Y 433996,S200000,01503,0200,Y 433996,S200000,01504,0200,Y 433996,S200000,01505,0000,OTHER (SPECIFY) 433996,S200000,01505,0200,Y 433996,S200000,01600,0100,N 433996,S200000,01700,0100,N 433996,S200000,01800,0100,N 433996,S200000,02200,0100,N 433996,S200000,02800,0100,N 433996,S200000,02900,0100,N 433996,S200000,03000,0100,N 433996,S200000,03100,0100,Y 433996,S200000,03200,0100,N 433996,S200000,03300,0100,N 433996,S200000,03300,0200,N 433996,S200000,04100,0100,N 433996,S200000,04200,0100,N 433996,S200000,04300,0100,N 433996,S200000,04600,0100,N 433996,S200000,04700,0100,N 433996,S200000,04700,0200,N 433996,S200000,04900,0100,N 433996,S200000,05000,0100,N 433996,S200000,05100,0100,N 433996,S200000,05200,0100,N 433996,S200000,05300,0100,Y 433996,S200000,05300,0200,349011 433996,S200000,05400,0100,BRITTHAVEN INC. 433996,S200000,05400,0200,PALMETTO GBA 433996,S200000,05400,0300,11501 433996,S200000,05500,0100,1435 HWY 258 NORTH 433996,S200000,05500,0200,PO BOX 61 433996,S200000,05600,0100,KINSTON 433996,S200000,05600,0200,NC 433996,S200000,05600,0300,28502 434001,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434001,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434001,A000000,00300,0000,0300EMPLOYEE BENEFITS 434001,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434001,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434001,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434001,A000000,00700,0000,0700HOUSEKEEPING 434001,A000000,00800,0000,0800DIETARY 434001,A000000,00900,0000,0900NURSING ADMINISTRATION 434001,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434001,A000000,01100,0000,1100PHARMACY 434001,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434001,A000000,01300,0000,1300SOCIAL SERVICE 434001,A000000,01500,0000,1350PATIENT ACTIVITIES 434001,A000000,01600,0000,1600SKILLED NURSING FACILITY 434001,A000000,01800,0000,1800NURSING FACILITY 434001,A000000,01810,0000,1810ICF/MR 434001,A000000,01900,0000,1900OTHER LONG TERM CARE 434001,A000000,02100,0000,2100RADIOLOGY 434001,A000000,02200,0000,2200LABORATORY 434001,A000000,02300,0000,2300INTRAVENOUS THERAPY 434001,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434001,A000000,02500,0000,2500PHYSICAL THERAPY 434001,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434001,A000000,02700,0000,2700SPEECH PATHOLOGY 434001,A000000,02800,0000,2800ELECTROCARDIOLOGY 434001,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434001,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434001,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434001,A000000,03200,0000,3200SUPPORT SURFACES 434001,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434001,A000000,03400,0000,3400CLINIC 434001,A000000,03500,0000,3500RURAL HEALTH CLINIC 434001,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434001,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434001,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434001,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434001,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434001,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434001,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434001,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434001,A000000,04400,0000,4400DME RENTED - HHA 434001,A000000,04500,0000,4500DME SOLD - HHA 434001,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434001,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434001,A000000,04710,0000,4710TELEMEDICINE 434001,A000000,04800,0000,4800AMBULANCE 434001,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434001,A000000,05000,0000,5000CORF 434001,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434001,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434001,A000000,05300,0000,5300INTEREST EXPENSE 434001,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434001,A000000,05500,0000,5500HOSPICE 434001,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434001,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434001,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434001,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434001,A000000,06100,0000,6100NONPAID WORKERS 434001,A000000,06200,0000,6200PATIENTS LAUNDRY 434001,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434001,A81000A,00100,0100,Y 434001,A81000B,00100,0300,MANAGEMENT FEES 434001,A81000B,00200,0300,MANAGEMENT FEES 434001,A81000C,00100,0100,A 434001,A81000C,00100,0200,STEVE WOMACK/M. WOODWARD 434001,A81000C,00100,0400,WW HEALTHCARE CONSULTANTS 434001,A81000C,00100,0600,HOME OFFICE 434001,A81000C,00200,0100,A 434001,A81000C,00200,0200,STEVE WOMACK 434001,A81000C,00200,0400,DOMINION MGMT GROUP 434001,A81000C,00200,0600,HOME OFFICE 434001,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434001,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434001,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434001,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434001,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434001,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434001,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434001,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434001,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434001,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434001,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434001,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434001,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434001,E10A180,00350,0100,08/01/11 434001,G300000,02500,0000,OTHER (SPECIFY) 434001,S000000,00100,0200,03/01/12 434001,S200000,00100,0100,611 OLD HWY 70E 434001,S200000,00200,0100,BLACK MOUNTAIN 434001,S200000,00200,0200,NC 434001,S200000,00200,0300,28711 434001,S200000,00300,0100,BUNCOMBE 434001,S200000,00300,0201,11700 434001,S200000,00300,0300,U 434001,S200000,00400,0100,REGENCY CARE OF BLACK MOUNTAIN LLC 434001,S200000,00400,0200,345048 434001,S200000,00400,0300,10/01/96 434001,S200000,00400,0500,P 434001,S200000,01500,0100,N 434001,S200000,01501,0200,Y 434001,S200000,01503,0200,Y 434001,S200000,01504,0200,Y 434001,S200000,01600,0100,Y 434001,S200000,01700,0100,N 434001,S200000,01800,0100,N 434001,S200000,02200,0100,N 434001,S200000,02800,0100,N 434001,S200000,02900,0100,N 434001,S200000,03000,0100,N 434001,S200000,03100,0100,N 434001,S200000,03200,0100,N 434001,S200000,03300,0100,N 434001,S200000,03300,0200,N 434001,S200000,04100,0100,N 434001,S200000,04200,0100,N 434001,S200000,04300,0100,N 434001,S200000,04600,0100,N 434001,S200000,04700,0100,N 434001,S200000,04700,0200,N 434001,S200000,04900,0100,N 434001,S200000,05000,0100,N 434001,S200000,05100,0100,N 434001,S200000,05200,0100,N 434002,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434002,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434002,A000000,00300,0000,0300EMPLOYEE BENEFITS 434002,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434002,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434002,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434002,A000000,00700,0000,0700HOUSEKEEPING 434002,A000000,00800,0000,0800DIETARY 434002,A000000,00900,0000,0900NURSING ADMINISTRATION 434002,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434002,A000000,01100,0000,1100PHARMACY 434002,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434002,A000000,01300,0000,1300SOCIAL SERVICE 434002,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434002,A000000,01600,0000,1600SKILLED NURSING FACILITY 434002,A000000,01800,0000,1800NURSING FACILITY 434002,A000000,01900,0000,1900OTHER LONG TERM CARE 434002,A000000,02100,0000,2100RADIOLOGY 434002,A000000,02200,0000,2200LABORATORY 434002,A000000,02300,0000,2300INTRAVENOUS THERAPY 434002,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434002,A000000,02500,0000,2500PHYSICAL THERAPY 434002,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434002,A000000,02700,0000,2700SPEECH PATHOLOGY 434002,A000000,02800,0000,2800ELECTROCARDIOLOGY 434002,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434002,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434002,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434002,A000000,03200,0000,3200SUPPORT SURFACES 434002,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434002,A000000,03400,0000,3400CLINIC 434002,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434002,A000000,04800,0000,4800AMBULANCE 434002,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434002,A000000,05000,0000,5000CORF 434002,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434002,A000000,05300,0000,5300INTEREST EXPENSE 434002,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434002,A000000,05500,0000,5500HOSPICE 434002,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434002,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434002,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434002,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434002,A000000,06100,0000,6100NONPAID WORKERS 434002,A000000,06200,0000,6200PATIENTS LAUNDRY 434002,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434002,A81000A,00100,0100,Y 434002,A81000B,00100,0300,NURSING CONSULTING 434002,A81000B,00200,0300,DIETARY CONSULTING 434002,A81000B,00300,0300,HOME OFFICE 434002,A81000B,00400,0300,INTEREST EXPENSE 434002,A81000B,00500,0300,WORKERS COMP EXPENSE 434002,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434002,A81000B,00700,0300,OFFICE SUPPLIES 434002,A81000B,00800,0300,REPAIRS - BUILDING 434002,A81000B,00900,0300,REPAIRS - EQUIPMENT 434002,A81000B,01000,0300,LINEN & BEDDING 434002,A81000B,01100,0300,LAUNDRY SUPPLIES 434002,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 434002,A81000B,01300,0300,DIETARY SUPPLEMENTS 434002,A81000B,01400,0300,DIETARY SUPPLIES 434002,A81000B,01500,0300,BIO-MEDICAL WASTE 434002,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 434002,A81000B,01700,0300,PERSONAL CARE SUPPLIES 434002,A81000B,01800,0300,INCONTINENCE SUPPLIES 434002,A81000B,01900,0300,MEDICAL SUPPLIES 434002,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 434002,A81000B,02100,0300,PT SUPPLIES 434002,A81000B,02200,0300,OT SUPPLIES 434002,A81000B,02300,0300,SP SUPPLIES 434002,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 434002,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 434002,A81000B,02600,0300,NON-LEGEND DRUGS 434002,A81000B,02700,0300,PHARMACY CONSULTANT 434002,A81000B,02800,0300,MED REC SUPPLIES 434002,A81000B,02900,0300,LEGEND DRUGS 434002,A81000C,00100,0100,B 434002,A81000C,00100,0200,PLTC & PITS IN 434002,A81000C,00100,0400,PLTC & PITS IN 434002,A81000C,00100,0600,MGMT SERVICES 434002,A81000C,00200,0100,B 434002,A81000C,00200,0200,PLTC & PITS IN 434002,A81000C,00200,0400,PLTC & PITS IN 434002,A81000C,00200,0600,MGMT SERVICES 434002,A81000C,00300,0100,B 434002,A81000C,00300,0200,PLTC & PITS IN 434002,A81000C,00300,0400,PLTC & PITS IN 434002,A81000C,00300,0600,MGMT SERVICES 434002,A81000C,00400,0100,B 434002,A81000C,00400,0200,PLTC & PITS IN 434002,A81000C,00400,0400,PLTC & PITS IN 434002,A81000C,00400,0600,MGMT SERVICES 434002,A81000C,00500,0100,A 434002,A81000C,00500,0200,SHAREHOLDERS 434002,A81000C,00500,0400,DISCOVERY INSUR 434002,A81000C,00500,0600,INSURANCE 434002,A81000C,00600,0100,A 434002,A81000C,00600,0200,SHAREHOLDERS 434002,A81000C,00600,0400,QUEENSLAND ASSU 434002,A81000C,00600,0600,INSURANCE 434002,A81000C,00700,0100,A 434002,A81000C,00700,0200,SHAREHOLDERS 434002,A81000C,00700,0400,KARE MEDICAL 434002,A81000C,00700,0600,WHOLESALE SUPPL 434002,A81000C,00800,0100,A 434002,A81000C,00800,0200,SHAREHOLDERS 434002,A81000C,00800,0400,KARE MEDICAL 434002,A81000C,00800,0600,WHOLESALE SUPPL 434002,A81000C,00900,0100,A 434002,A81000C,00900,0200,SHAREHOLDERS 434002,A81000C,00900,0400,KARE MEDICAL 434002,A81000C,00900,0600,WHOLESALE SUPPL 434002,A81000C,01000,0100,A 434002,A81000C,01000,0200,SHAREHOLDERS 434002,A81000C,01000,0400,KARE MEDICAL 434002,A81000C,01000,0600,WHOLESALE SUPPL 434002,A81000C,01001,0100,A 434002,A81000C,01001,0200,SHAREHOLDERS 434002,A81000C,01001,0400,KARE MEDICAL 434002,A81000C,01001,0600,WHOLESALE SUPPL 434002,A81000C,01002,0100,A 434002,A81000C,01002,0200,SHAREHOLDERS 434002,A81000C,01002,0400,KARE MEDICAL 434002,A81000C,01002,0600,WHOLESALE SUPPL 434002,A81000C,01003,0100,A 434002,A81000C,01003,0200,SHAREHOLDERS 434002,A81000C,01003,0400,KARE MEDICAL 434002,A81000C,01003,0600,WHOLESALE SUPPL 434002,A81000C,01004,0100,A 434002,A81000C,01004,0200,SHAREHOLDERS 434002,A81000C,01004,0400,KARE MEDICAL 434002,A81000C,01004,0600,WHOLESALE SUPPL 434002,A81000C,01005,0100,A 434002,A81000C,01005,0200,SHAREHOLDERS 434002,A81000C,01005,0400,KARE MEDICAL 434002,A81000C,01005,0600,WHOLESALE SUPPL 434002,A81000C,01006,0100,A 434002,A81000C,01006,0200,SHAREHOLDERS 434002,A81000C,01006,0400,KARE MEDICAL 434002,A81000C,01006,0600,WHOLESALE SUPPL 434002,A81000C,01007,0100,A 434002,A81000C,01007,0200,SHAREHOLDERS 434002,A81000C,01007,0400,KARE MEDICAL 434002,A81000C,01007,0600,WHOLESALE SUPPL 434002,A81000C,01008,0100,A 434002,A81000C,01008,0200,SHAREHOLDERS 434002,A81000C,01008,0400,KARE MEDICAL 434002,A81000C,01008,0600,WHOLESALE SUPPL 434002,A81000C,01009,0100,A 434002,A81000C,01009,0200,SHAREHOLDERS 434002,A81000C,01009,0400,KARE MEDICAL 434002,A81000C,01009,0600,WHOLESALE SUPPL 434002,A81000C,01010,0100,A 434002,A81000C,01010,0200,SHAREHOLDERS 434002,A81000C,01010,0400,KARE MEDICAL 434002,A81000C,01010,0600,WHOLESALE SUPPL 434002,A81000C,01011,0100,A 434002,A81000C,01011,0200,SHAREHOLDERS 434002,A81000C,01011,0400,KARE MEDICAL 434002,A81000C,01011,0600,WHOLESALE SUPPL 434002,A81000C,01012,0100,A 434002,A81000C,01012,0200,SHAREHOLDERS 434002,A81000C,01012,0400,KARE MEDICAL 434002,A81000C,01012,0600,WHOLESALE SUPPL 434002,A81000C,01013,0100,A 434002,A81000C,01013,0200,SHAREHOLDERS 434002,A81000C,01013,0400,KARE MEDICAL 434002,A81000C,01013,0600,WHOLESALE SUPPL 434002,A81000C,01014,0100,A 434002,A81000C,01014,0200,SHAREHOLDERS 434002,A81000C,01014,0400,KARE MEDICAL 434002,A81000C,01014,0600,WHOLESALE SUPPL 434002,A81000C,01015,0100,A 434002,A81000C,01015,0200,SHAREHOLDERS 434002,A81000C,01015,0400,PHARMSAVE 434002,A81000C,01015,0600,RX SUPPLY 434002,A81000C,01016,0100,A 434002,A81000C,01016,0200,SHAREHOLDERS 434002,A81000C,01016,0400,PHARMSAVE 434002,A81000C,01016,0600,RX SUPPLY 434002,A81000C,01017,0100,A 434002,A81000C,01017,0200,SHAREHOLDERS 434002,A81000C,01017,0400,PHARMSAVE 434002,A81000C,01017,0600,RX SUPPLY 434002,A81000C,01018,0100,A 434002,A81000C,01018,0200,SHAREHOLDERS 434002,A81000C,01018,0400,PHARMSAVE 434002,A81000C,01018,0600,RX SUPPLY 434002,A81000C,01019,0100,A 434002,A81000C,01019,0200,SHAREHOLDERS 434002,A81000C,01019,0400,PHARMSAVE 434002,A81000C,01019,0600,RX SUPPLY 434002,A81000C,01020,0100,A 434002,A81000C,01020,0200,SHAREHOLDERS 434002,A81000C,01020,0400,ROBERT HILL CON 434002,A81000C,01020,0600,CONSTRUCTION 434002,A81000C,01021,0100,A 434002,A81000C,01021,0200,SHAREHOLDERS 434002,A81000C,01021,0400,BRITTHAVEN INC 434002,A81000C,01021,0600,REAL ESTATE 434002,A81000C,01022,0100,A 434002,A81000C,01022,0200,SHAREHOLDERS 434002,A81000C,01022,0400,BRITTHAVEN INC 434002,A81000C,01022,0600,REAL ESTATE 434002,A81000C,01023,0100,A 434002,A81000C,01023,0200,SHAREHOLDERS 434002,A81000C,01023,0400,BRITTHAVEN INC 434002,A81000C,01023,0600,REAL ESTATE 434002,A81000C,01024,0100,A 434002,A81000C,01024,0200,SHAREHOLDERS 434002,A81000C,01024,0400,BRITTHAVEN INC 434002,A81000C,01024,0600,REAL ESTATE 434002,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434002,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434002,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434002,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434002,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434002,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434002,B100000,00000,0800,0800MEALS SERVED :DIETARY 434002,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434002,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434002,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434002,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434002,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434002,E10A180,00350,0100,07/27/11 434002,E10A180,00501,0100,05/22/12 434002,G300000,02500,0000, OTHER (SPECIFY) 434002,S000000,00100,0200,02/29/12 434002,S200000,00100,0100,3195 OLD MURPHY ROAD 434002,S200000,00200,0100,FRANKLIN 434002,S200000,00200,0200,NC 434002,S200000,00200,0300,28744 434002,S200000,00300,0100,MACON 434002,S200000,00300,0201,99934 434002,S200000,00300,0300,R 434002,S200000,00400,0100,MACON VALLEY NURSING & REHAB CENTER 434002,S200000,00400,0200,345263 434002,S200000,00400,0300,01/01/11 434002,S200000,00400,0500,P 434002,S200000,01500,0100,Y 434002,S200000,01501,0200,Y 434002,S200000,01502,0200,Y 434002,S200000,01503,0200,Y 434002,S200000,01504,0200,Y 434002,S200000,01505,0000,OTHER (SPECIFY) 434002,S200000,01505,0200,Y 434002,S200000,01600,0100,N 434002,S200000,01700,0100,N 434002,S200000,01800,0100,N 434002,S200000,02200,0100,N 434002,S200000,02800,0100,N 434002,S200000,02900,0100,N 434002,S200000,03000,0100,N 434002,S200000,03100,0100,N 434002,S200000,03200,0100,N 434002,S200000,03300,0100,N 434002,S200000,03300,0200,N 434002,S200000,04100,0100,N 434002,S200000,04200,0100,N 434002,S200000,04300,0100,N 434002,S200000,04600,0100,N 434002,S200000,04700,0100,N 434002,S200000,04700,0200,N 434002,S200000,04900,0100,N 434002,S200000,05000,0100,N 434002,S200000,05100,0100,N 434002,S200000,05200,0100,N 434002,S200000,05300,0100,Y 434002,S200000,05300,0200,349011 434002,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434002,S200000,05400,0200,PALMETTO GBA 434002,S200000,05400,0300,11501 434002,S200000,05500,0100,1435 HWY 258 NORTH 434002,S200000,05600,0100,KINSTON 434002,S200000,05600,0200,NC 434002,S200000,05600,0300,28502 434003,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434003,A000000,00300,0000,0300EMPLOYEE BENEFITS 434003,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434003,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434003,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434003,A000000,00700,0000,0700HOUSEKEEPING 434003,A000000,00800,0000,0800DIETARY 434003,A000000,00900,0000,0900NURSING ADMINISTRATION 434003,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434003,A000000,01100,0000,1100PHARMACY 434003,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434003,A000000,01300,0000,1300SOCIAL SERVICE 434003,A000000,01500,0000,1350PATIENT ACTIVITIES 434003,A000000,01600,0000,1600SKILLED NURSING FACILITY 434003,A000000,02100,0000,2100RADIOLOGY 434003,A000000,02200,0000,2200LABORATORY 434003,A000000,02500,0000,2500PHYSICAL THERAPY 434003,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434003,A000000,02700,0000,2700SPEECH PATHOLOGY 434003,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434003,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434003,A000000,03200,0000,3200SUPPORT SURFACES 434003,A000000,04800,0000,4800AMBULANCE 434003,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434003,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434003,A81000A,00100,0100,Y 434003,A81000B,00100,0300,CONTRACT SERV 434003,A81000B,00200,0300,CONTRACT SERV 434003,A81000B,00300,0300,CONTRACT SERV 434003,A81000B,00400,0300,HOME OFFICE 434003,A81000B,00500,0300,HOME OFFICE 434003,A81000C,00100,0100,A 434003,A81000C,00100,0200,ROBERT H. WALKER JR 434003,A81000C,00100,0400,THERAPY PARTNERS 434003,A81000C,00100,0600,THERAPY 434003,A81000C,00200,0100,A 434003,A81000C,00200,0200,ROBERT H. WALKER JR 434003,A81000C,00200,0400,THERAPY PARTNERS 434003,A81000C,00200,0600,THERAPY 434003,A81000C,00300,0100,A 434003,A81000C,00300,0200,ROBERT H. WALKER JR 434003,A81000C,00300,0400,THERAPY PARTNERS 434003,A81000C,00300,0600,THERAPY 434003,A81000C,00400,0100,A 434003,A81000C,00400,0200,ROBERT H. WALKER JR 434003,A81000C,00400,0400,SUNCREST HEALTH 434003,A81000C,00400,0600,MGMT CO 434003,A81000C,00500,0100,A 434003,A81000C,00500,0200,ROBERT H. WALKER JR 434003,A81000C,00500,0400,SUNCREST HEALTH 434003,A81000C,00500,0600,MGMT CO 434003,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434003,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434003,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434003,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434003,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434003,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434003,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434003,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434003,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434003,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434003,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434003,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434003,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434003,E10A180,00550,0100,02/29/12 434003,G300000,02500,0000,BARBER AND BEAUTY 434003,G300000,02501,0000,OTHER INCOME 434003,S000000,00100,0200,02/28/12 434003,S200000,00100,0100,540 WAUGH ST. 434003,S200000,00100,0300,130 434003,S200000,00200,0100,JEFFERSON 434003,S200000,00200,0200,NC 434003,S200000,00200,0300,29640 434003,S200000,00300,0100,ASHE 434003,S200000,00300,0200,34 434003,S200000,00300,0201,99934 434003,S200000,00300,0300,R 434003,S200000,00400,0100,THE MARGATE HEALTH & REHAB CENTER 434003,S200000,00400,0200,345296 434003,S200000,00400,0300,06/01/95 434003,S200000,00400,0500,P 434003,S200000,01500,0100,Y 434003,S200000,01501,0200,Y 434003,S200000,01600,0100,N 434003,S200000,01700,0100,N 434003,S200000,01800,0100,N 434003,S200000,02200,0100,N 434003,S200000,02800,0100,N 434003,S200000,02900,0100,N 434003,S200000,03000,0100,N 434003,S200000,03100,0100,N 434003,S200000,03200,0100,N 434003,S200000,03300,0100,N 434003,S200000,03300,0200,N 434003,S200000,04100,0100,N 434003,S200000,04200,0100,N 434003,S200000,04300,0100,N 434003,S200000,04600,0100,N 434003,S200000,04700,0100,N 434003,S200000,04700,0200,N 434003,S200000,04900,0100,N 434003,S200000,05000,0100,N 434003,S200000,05100,0100,N 434003,S200000,05200,0100,N 434003,S200000,05300,0100,Y 434003,S200000,05300,0200,HO0000 434003,S200000,05400,0100,SUNCREST HEALTH MANAGEMENT 434003,S200000,05400,0200,PALMETTO GBA 434003,S200000,05400,0300,11001 434003,S200000,05500,0200,PO BOX 74 434003,S200000,05600,0100,HENDERSON 434003,S200000,05600,0200,NC 434003,S200000,05600,0300,27536 434004,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434004,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434004,A000000,00300,0000,0300EMPLOYEE BENEFITS 434004,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434004,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434004,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434004,A000000,00700,0000,0700HOUSEKEEPING 434004,A000000,00800,0000,0800DIETARY 434004,A000000,00900,0000,0900NURSING ADMINISTRATION 434004,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434004,A000000,01100,0000,1100PHARMACY 434004,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434004,A000000,01300,0000,1300SOCIAL SERVICE 434004,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434004,A000000,01600,0000,1600SKILLED NURSING FACILITY 434004,A000000,01800,0000,1800NURSING FACILITY 434004,A000000,01900,0000,1900OTHER LONG TERM CARE 434004,A000000,02100,0000,2100RADIOLOGY 434004,A000000,02200,0000,2200LABORATORY 434004,A000000,02300,0000,2300INTRAVENOUS THERAPY 434004,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434004,A000000,02500,0000,2500PHYSICAL THERAPY 434004,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434004,A000000,02700,0000,2700SPEECH PATHOLOGY 434004,A000000,02800,0000,2800ELECTROCARDIOLOGY 434004,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434004,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434004,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434004,A000000,03200,0000,3200SUPPORT SURFACES 434004,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434004,A000000,03400,0000,3400CLINIC 434004,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434004,A000000,04800,0000,4800AMBULANCE 434004,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434004,A000000,05000,0000,5000CORF 434004,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434004,A000000,05300,0000,5300INTEREST EXPENSE 434004,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434004,A000000,05500,0000,5500HOSPICE 434004,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434004,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434004,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434004,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434004,A000000,06100,0000,6100NONPAID WORKERS 434004,A000000,06200,0000,6200PATIENTS LAUNDRY 434004,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434004,A81000A,00100,0100,Y 434004,A81000B,00100,0300,MAINT SUPP 434004,A81000B,00200,0300,REPAIRS EQUP 434004,A81000B,00300,0300,MNR EQ EXP 434004,A81000B,00400,0300,PAPER PRODUCTS 434004,A81000B,00500,0300,HSKP SUPP 434004,A81000B,00600,0300,MNR EQ EXP 434004,A81000B,00700,0300,DIET SUPPLEMENTS 434004,A81000B,00800,0300,DIET SUPP 434004,A81000B,00900,0300,MNR EQ EXP 434004,A81000B,01000,0300,INCONT SUPP 434004,A81000B,01100,0300,MED SUPPLY 434004,A81000B,01200,0300,MEDREC SUP 434004,A81000B,01300,0300,PERS CARE 434004,A81000B,01400,0300,MNR EQ EXP 434004,A81000B,01500,0300,BIO-MED WASTE 434004,A81000B,01600,0300,LINEN & BED 434004,A81000B,01700,0300,LNDRY SPLY 434004,A81000B,01800,0300,PARACT SUP 434004,A81000B,01900,0300,COPIER 434004,A81000B,02000,0300,PT SUPPLY 434004,A81000B,02100,0300,MNR EQ EXP 434004,A81000B,02200,0300,OT SUPPLY 434004,A81000B,02300,0300,OXTHR SPLY 434004,A81000B,02400,0300,RT SUPPLY 434004,A81000B,02500,0300,BILL MED SUP 434004,A81000B,02600,0300,PEN THER SUP 434004,A81000B,02700,0300,EQUIP RENT 434004,A81000B,02800,0300,NON-LGD DRUG 434004,A81000B,02900,0300,MED REC SUPP 434004,A81000C,00100,0100,A 434004,A81000C,00100,0200,SHAREHOLDERS 434004,A81000C,00100,0400,KARE MEDICAL 434004,A81000C,00100,0600,WHLSE SPLY 434004,A81000C,00200,0100,A 434004,A81000C,00200,0200,SHAREHOLDERS 434004,A81000C,00200,0400,KARE MEDICAL 434004,A81000C,00200,0600,WHLSE SPLY 434004,A81000C,00300,0100,A 434004,A81000C,00300,0200,SHAREHOLDERS 434004,A81000C,00300,0400,KARE MEDICAL 434004,A81000C,00300,0600,WHLSE SPLY 434004,A81000C,00400,0100,A 434004,A81000C,00400,0200,SHAREHOLDERS 434004,A81000C,00400,0400,KARE MEDICAL 434004,A81000C,00400,0600,WHLSE SPLY 434004,A81000C,00500,0100,A 434004,A81000C,00500,0200,SHAREHOLDERS 434004,A81000C,00500,0400,KARE MEDICAL 434004,A81000C,00500,0600,WHLSE SPLY 434004,A81000C,00600,0100,A 434004,A81000C,00600,0200,SHAREHOLDERS 434004,A81000C,00600,0400,KARE MEDICAL 434004,A81000C,00600,0600,WHLSE SPLY 434004,A81000C,00700,0100,A 434004,A81000C,00700,0200,SHAREHOLDERS 434004,A81000C,00700,0400,KARE MEDICAL 434004,A81000C,00700,0600,WHLSE SPLY 434004,A81000C,00800,0100,A 434004,A81000C,00800,0200,SHAREHOLDERS 434004,A81000C,00800,0400,KARE MEDICAL 434004,A81000C,00800,0600,WHLSE SPLY 434004,A81000C,00900,0100,A 434004,A81000C,00900,0200,SHAREHOLDERS 434004,A81000C,00900,0400,KARE MEDICAL 434004,A81000C,00900,0600,WHLSE SPLY 434004,A81000C,01000,0100,A 434004,A81000C,01000,0200,SHAREHOLDERS 434004,A81000C,01000,0400,KARE MEDICAL 434004,A81000C,01000,0600,WHLSE SPLY 434004,A81000C,01001,0100,A 434004,A81000C,01001,0200,SHAREHOLDERS 434004,A81000C,01001,0400,KARE MEDICAL 434004,A81000C,01001,0600,WHLSE SPLY 434004,A81000C,01002,0100,A 434004,A81000C,01002,0200,SHAREHOLDERS 434004,A81000C,01002,0400,KARE MEDICAL 434004,A81000C,01002,0600,WHLSE SPLY 434004,A81000C,01003,0100,A 434004,A81000C,01003,0200,SHAREHOLDERS 434004,A81000C,01003,0400,KARE MEDICAL 434004,A81000C,01003,0600,WHLSE SPLY 434004,A81000C,01004,0100,A 434004,A81000C,01004,0200,SHAREHOLDERS 434004,A81000C,01004,0400,KARE MEDICAL 434004,A81000C,01004,0600,WHLSE SPLY 434004,A81000C,01005,0100,A 434004,A81000C,01005,0200,SHAREHOLDERS 434004,A81000C,01005,0400,KARE MEDICAL 434004,A81000C,01005,0600,WHLSE SPLY 434004,A81000C,01006,0100,A 434004,A81000C,01006,0200,SHAREHOLDERS 434004,A81000C,01006,0400,KARE MEDICAL 434004,A81000C,01006,0600,WHLSE SPLY 434004,A81000C,01007,0100,A 434004,A81000C,01007,0200,SHAREHOLDERS 434004,A81000C,01007,0400,KARE MEDICAL 434004,A81000C,01007,0600,WHLSE SPLY 434004,A81000C,01008,0100,A 434004,A81000C,01008,0200,SHAREHOLDERS 434004,A81000C,01008,0400,KARE MEDICAL 434004,A81000C,01008,0600,WHLSE SPLY 434004,A81000C,01009,0100,A 434004,A81000C,01009,0200,SHAREHOLDERS 434004,A81000C,01009,0400,KARE MEDICAL 434004,A81000C,01009,0600,WHLSE SPLY 434004,A81000C,01010,0100,A 434004,A81000C,01010,0200,SHAREHOLDERS 434004,A81000C,01010,0400,KARE MEDICAL 434004,A81000C,01010,0600,WHLSE SPLY 434004,A81000C,01011,0100,A 434004,A81000C,01011,0200,SHAREHOLDERS 434004,A81000C,01011,0400,KARE MEDICAL 434004,A81000C,01011,0600,WHLSE SPLY 434004,A81000C,01012,0100,A 434004,A81000C,01012,0200,SHAREHOLDERS 434004,A81000C,01012,0400,KARE MEDICAL 434004,A81000C,01012,0600,WHLSE SPLY 434004,A81000C,01013,0100,A 434004,A81000C,01013,0200,SHAREHOLDERS 434004,A81000C,01013,0400,KARE MEDICAL 434004,A81000C,01013,0600,WHLSE SPLY 434004,A81000C,01014,0100,A 434004,A81000C,01014,0200,SHAREHOLDERS 434004,A81000C,01014,0400,KARE MEDICAL 434004,A81000C,01014,0600,WHLSE SPLY 434004,A81000C,01015,0100,A 434004,A81000C,01015,0200,SHAREHOLDERS 434004,A81000C,01015,0400,KARE MEDICAL 434004,A81000C,01015,0600,WHLSE SPLY 434004,A81000C,01016,0100,A 434004,A81000C,01016,0200,SHAREHOLDERS 434004,A81000C,01016,0400,KARE MEDICAL 434004,A81000C,01016,0600,WHLSE SPLY 434004,A81000C,01017,0100,A 434004,A81000C,01017,0200,SHAREHOLDERS 434004,A81000C,01017,0400,PHARMSAVE 434004,A81000C,01017,0600,RX SUPPLY 434004,A81000C,01018,0100,A 434004,A81000C,01018,0200,SHAREHOLDERS 434004,A81000C,01018,0400,PHARMSAVE 434004,A81000C,01018,0600,RX SUPPLY 434004,A81000C,01019,0100,A 434004,A81000C,01019,0200,SHAREHOLDERS 434004,A81000C,01019,0400,PHARMSAVE 434004,A81000C,01019,0600,RX SUPPLY 434004,A81000C,01020,0100,A 434004,A81000C,01020,0200,SHAREHOLDERS 434004,A81000C,01020,0400,PHARMSAVE 434004,A81000C,01020,0600,RX SUPPLY 434004,A81000C,01021,0100,A 434004,A81000C,01021,0200,SHAREHOLDERS 434004,A81000C,01021,0400,PHARMSAVE 434004,A81000C,01021,0600,RX SUPPLY 434004,A81000C,01022,0100,A 434004,A81000C,01022,0200,SHAREHOLDERS 434004,A81000C,01022,0400,ROBERTHILLCONST 434004,A81000C,01022,0600,CONSTRUCT 434004,A81000C,01023,0100,A 434004,A81000C,01023,0200,SHAREHOLDERS 434004,A81000C,01023,0400,ROBERTHILLCONST 434004,A81000C,01023,0600,CONSTRUCT 434004,A81000C,01024,0100,A 434004,A81000C,01024,0200,SHAREHOLDERS 434004,A81000C,01024,0400,ROBERTHILLCONST 434004,A81000C,01024,0600,CONSTRUCT 434004,A81000C,01025,0100,A 434004,A81000C,01025,0200,SHAREHOLDERS 434004,A81000C,01025,0400,ROBERTHILLCONST 434004,A81000C,01025,0600,CONSTRUCT 434004,A81000C,01026,0100,B 434004,A81000C,01026,0200,PLTC & PITS INC 434004,A81000C,01026,0400,PLTC & PITS INC 434004,A81000C,01026,0600,MGMT SERV 434004,A81000C,01027,0100,B 434004,A81000C,01027,0200,PLTC & PITS INC 434004,A81000C,01027,0400,PLTC & PITS INC 434004,A81000C,01027,0600,MGMT SERV 434004,A81000C,01028,0100,B 434004,A81000C,01028,0200,PLTC & PITS INC 434004,A81000C,01028,0400,PLTC & PITS INC 434004,A81000C,01028,0600,MGMT SERV 434004,A81000C,01029,0100,A 434004,A81000C,01029,0200,SHAREHOLDERS 434004,A81000C,01029,0400,DISCOVERY INS 434004,A81000C,01029,0600,INSURANCE 434004,A81000C,01030,0100,A 434004,A81000C,01030,0200,SHAREHOLDERS 434004,A81000C,01030,0400,QUEENSLAND ASSU 434004,A81000C,01030,0600,INSURANCE 434004,A81000C,01031,0100,A 434004,A81000C,01031,0200,SHAREHOLDERS 434004,A81000C,01031,0400,HILLCO LTD 434004,A81000C,01031,0600,REALESTATE 434004,A81000C,01032,0100,A 434004,A81000C,01032,0200,SHAREHOLDERS 434004,A81000C,01032,0400,BRITTHAVEN INC 434004,A81000C,01032,0600,REALESTATE 434004,A81000C,01033,0100,A 434004,A81000C,01033,0200,SHAREHOLDERS 434004,A81000C,01033,0400,BRITTHAVEN INC 434004,A81000C,01033,0600,REALESTATE 434004,A81000C,01034,0100,A 434004,A81000C,01034,0200,SHAREHOLDERS 434004,A81000C,01034,0400,BRITTHAVEN INC 434004,A81000C,01034,0600,REALESTATE 434004,A81000C,01035,0100,A 434004,A81000C,01035,0200,SHAREHOLDERS 434004,A81000C,01035,0400,BRITTHAVEN INC 434004,A81000C,01035,0600,REALESTATE 434004,A81000C,01036,0100,B 434004,A81000C,01036,0200,PLTC & PITS INC 434004,A81000C,01036,0400,PLTC & PITS INC 434004,A81000C,01036,0600,MGMT SERV 434004,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434004,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434004,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434004,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434004,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434004,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434004,B100000,00000,0800,0800MEALS SERVED :DIETARY 434004,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434004,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434004,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434004,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434004,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434004,E10A180,00550,0100,02/29/12 434004,G300000,02500,0000, OTHER (SPECIFY) 434004,S000000,00100,0200,02/29/12 434004,S200000,00100,0100,1716 LEGION ROAD 434004,S200000,00200,0100,CHAPEL HILL 434004,S200000,00200,0200,NC 434004,S200000,00200,0300,27517-2390 434004,S200000,00300,0100,ORANGE 434004,S200000,00300,0201,20500 434004,S200000,00300,0300,U 434004,S200000,00400,0100,BRITTHAVEN OF CHAPEL HILL 434004,S200000,00400,0200,345334 434004,S200000,00400,0300,01/01/11 434004,S200000,00400,0500,P 434004,S200000,01500,0100,N 434004,S200000,01501,0200,Y 434004,S200000,01502,0200,Y 434004,S200000,01503,0200,Y 434004,S200000,01504,0200,Y 434004,S200000,01505,0000,OTHER (SPECIFY) 434004,S200000,01505,0200,Y 434004,S200000,01600,0100,Y 434004,S200000,01700,0100,N 434004,S200000,01800,0100,N 434004,S200000,02200,0100,N 434004,S200000,02800,0100,N 434004,S200000,02900,0100,N 434004,S200000,03000,0100,N 434004,S200000,03100,0100,N 434004,S200000,03200,0100,N 434004,S200000,03300,0100,N 434004,S200000,03300,0200,N 434004,S200000,04100,0100,N 434004,S200000,04200,0100,N 434004,S200000,04300,0100,N 434004,S200000,04600,0100,N 434004,S200000,04700,0100,N 434004,S200000,04700,0200,N 434004,S200000,04900,0100,N 434004,S200000,05000,0100,N 434004,S200000,05100,0100,N 434004,S200000,05200,0100,N 434004,S200000,05300,0100,Y 434004,S200000,05300,0200,349011 434004,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434004,S200000,05400,0200,PALMETTO GBA 434004,S200000,05400,0300,11501 434004,S200000,05500,0100,1435 HWY 258 NORTH 434004,S200000,05600,0100,KINSTON 434004,S200000,05600,0200,NC 434004,S200000,05600,0300,28502 434006,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434006,A000000,00300,0000,0300EMPLOYEE BENEFITS 434006,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434006,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434006,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434006,A000000,00700,0000,0700HOUSEKEEPING 434006,A000000,00800,0000,0800DIETARY 434006,A000000,00900,0000,0900NURSING ADMINISTRATION 434006,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434006,A000000,01100,0000,1100PHARMACY 434006,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434006,A000000,01300,0000,1300SOCIAL SERVICE 434006,A000000,01500,0000,1350OTHER GENERAL SERVICES 434006,A000000,01600,0000,1600SKILLED NURSING FACILITY 434006,A000000,02100,0000,2100RADIOLOGY 434006,A000000,02200,0000,2200LABORATORY 434006,A000000,02300,0000,2300INTRAVENOUS THERAPY 434006,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434006,A000000,02500,0000,2500PHYSICAL THERAPY 434006,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434006,A000000,02700,0000,2700SPEECH PATHOLOGY 434006,A000000,02800,0000,2800ELECTROCARDIOLOGY 434006,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434006,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434006,A000000,03200,0000,3200SUPPORT SURFACES 434006,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434006,A000000,04800,0000,4800AMBULANCE 434006,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434006,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434006,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434006,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434006,A000000,06100,0000,6100NONPAID WORKERS 434006,A000000,06200,0000,6200PATIENTS LAUNDRY 434006,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434006,A81000A,00100,0100,Y 434006,A81000B,00100,0300,MGMT FEES/HOME OFFICE COST 434006,A81000B,00200,0300,CONTRACT PT 434006,A81000B,00300,0300,CONTRACT OT 434006,A81000B,00400,0300,CONTRACT ST 434006,A81000B,00500,0300,LEASE EXPENSE 434006,A81000B,00600,0300,BLDG DEPRECIATION 434006,A81000B,00700,0300,INTEREST 434006,A81000C,00100,0100,A 434006,A81000C,00100,0200,ROBERT WALKER 434006,A81000C,00100,0400,SUNCREST MANAGEMENT 434006,A81000C,00100,0600,HOME OFFICE 434006,A81000C,00200,0100,A 434006,A81000C,00200,0200,ROBERT WALKER 434006,A81000C,00200,0400,THERAPY PARTNERS 434006,A81000C,00200,0600,REHAB 434006,A81000C,00300,0100,A 434006,A81000C,00300,0200,ROBERT WALKER 434006,A81000C,00300,0400,THERAPY PARTNERS 434006,A81000C,00300,0600,REHAB 434006,A81000C,00400,0100,A 434006,A81000C,00400,0200,ROBERT WALKER 434006,A81000C,00400,0400,THERAPY PARTNERS 434006,A81000C,00400,0600,REHAB 434006,A81000C,00500,0100,A 434006,A81000C,00500,0200,ROBERT WALKER 434006,A81000C,00500,0400,ASHTON HOLDINGS 434006,A81000C,00500,0600,PROPERTY COMPANY 434006,A81000C,00600,0100,A 434006,A81000C,00600,0200,ROBERT WALKER 434006,A81000C,00600,0400,ASHTON HOLDINGS 434006,A81000C,00600,0600,PROPERTY COMPANY 434006,A81000C,00700,0100,A 434006,A81000C,00700,0200,ROBERT WALKER 434006,A81000C,00700,0400,ASHTON HOLDINGS 434006,A81000C,00700,0600,PROPERTY COMPANY 434006,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434006,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434006,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434006,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434006,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434006,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434006,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434006,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434006,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434006,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434006,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434006,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434006,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 434006,E10A180,00501,0100,05/15/12 434006,S000000,00100,0200,02/28/12 434006,S200000,00100,0100,5533 BURLINGTON RD 434006,S200000,00200,0100,MCLEANSVILLE 434006,S200000,00200,0200,NC 434006,S200000,00200,0300,27301-9622 434006,S200000,00300,0100,GUILFORD 434006,S200000,00300,0200,3120 434006,S200000,00300,0201,24660 434006,S200000,00300,0300,U 434006,S200000,00400,0100,ASHTON PLACE HEALTH AND REHAB 434006,S200000,00400,0200,345548 434006,S200000,00400,0300,11/19/09 434006,S200000,00400,0500,P 434006,S200000,01500,0100,Y 434006,S200000,01501,0200,Y 434006,S200000,01503,0200,Y 434006,S200000,01505,0000,THERAPY 434006,S200000,01505,0200,Y 434006,S200000,01600,0100,N 434006,S200000,01700,0100,N 434006,S200000,01800,0100,N 434006,S200000,02200,0100,N 434006,S200000,02800,0100,N 434006,S200000,02900,0100,N 434006,S200000,03000,0100,N 434006,S200000,03100,0100,N 434006,S200000,03200,0100,N 434006,S200000,03300,0100,N 434006,S200000,03300,0200,N 434006,S200000,04100,0100,N 434006,S200000,04200,0100,N 434006,S200000,04300,0100,N 434006,S200000,04600,0100,N 434006,S200000,04700,0100,N 434006,S200000,04700,0200,N 434006,S200000,04900,0100,N 434006,S200000,05000,0100,N 434006,S200000,05100,0100,N 434006,S200000,05200,0100,N 434007,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434007,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434007,A000000,00300,0000,0300EMPLOYEE BENEFITS 434007,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434007,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434007,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434007,A000000,00700,0000,0700HOUSEKEEPING 434007,A000000,00800,0000,0800DIETARY 434007,A000000,00900,0000,0900NURSING ADMINISTRATION 434007,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434007,A000000,01100,0000,1100PHARMACY 434007,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434007,A000000,01300,0000,1300SOCIAL SERVICE 434007,A000000,01500,0000,1350PATIENT ACTIVITIES 434007,A000000,01600,0000,1600SKILLED NURSING FACILITY 434007,A000000,01800,0000,1800NURSING FACILITY 434007,A000000,01900,0000,1900OTHER LONG TERM CARE 434007,A000000,02100,0000,2100RADIOLOGY 434007,A000000,02200,0000,2200LABORATORY 434007,A000000,02300,0000,2300INTRAVENOUS THERAPY 434007,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434007,A000000,02500,0000,2500PHYSICAL THERAPY 434007,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434007,A000000,02700,0000,2700SPEECH PATHOLOGY 434007,A000000,02800,0000,2800ELECTROCARDIOLOGY 434007,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434007,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434007,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434007,A000000,03200,0000,3200SUPPORT SURFACES 434007,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434007,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434007,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434007,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434007,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434007,A000000,06100,0000,6100NONPAID WORKERS 434007,A000000,06200,0000,6200PATIENTS LAUNDRY 434007,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434007,A81000A,00100,0100,Y 434007,A81000B,00100,0300,CENTRAL OFFICE OVHD 434007,A81000B,00200,0300,CENTRAL OFICE CAPITAL 434007,A81000B,00300,0300,SUPPLIES 434007,A81000B,00400,0300,SUPPLIES 434007,A81000B,00500,0300,SUPPLIES 434007,A81000B,00600,0300,SUPPLIES 434007,A81000B,00700,0300,PHARMACY 434007,A81000B,00800,0300,PHARMACY 434007,A81000B,00900,0300,PHARMACY 434007,A81000B,01000,0300,PHARMACY 434007,A81000B,01100,0300,PHARMACY 434007,A81000B,01200,0300,PHARMACY 434007,A81000C,00100,0100,B 434007,A81000C,00100,0200,AUTUMN CORPORATION 434007,A81000C,00100,0400,AUTUMN CORPORATION 434007,A81000C,00100,0600,HOME OFFICE 434007,A81000C,00200,0100,B 434007,A81000C,00200,0200,AUTUMN CORPORATION 434007,A81000C,00200,0400,AUTUMN CORPORATION 434007,A81000C,00200,0600,HOME OFFICE 434007,A81000C,00300,0100,B 434007,A81000C,00300,0200,WINCARE 434007,A81000C,00300,0400,AUTUMN CORPORATION 434007,A81000C,00300,0600,SUPPLIES 434007,A81000C,00400,0100,B 434007,A81000C,00400,0200,LEGACY 434007,A81000C,00400,0400,AUTUMN CORPORATION 434007,A81000C,00400,0600,PHARMACY 434007,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434007,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434007,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434007,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434007,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434007,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 434007,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434007,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434007,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434007,E10A180,00501,0100,05/07/12 434007,E10A180,00550,0100,02/16/12 434007,G300000,02500,0000,MISC 434007,S000000,00100,0200,02/16/12 434007,S200000,00100,0100,202 PAINTER STREET 434007,S200000,00200,0100,GALAX 434007,S200000,00200,0200,VA 434007,S200000,00200,0300,24333 434007,S200000,00300,0100,GRAYSON 434007,S200000,00300,0200,49 434007,S200000,00300,0300,R 434007,S200000,00400,0100,WADDELL NURSING HOME 434007,S200000,00400,0200,495126 434007,S200000,00400,0300,02/26/82 434007,S200000,00400,0500,P 434007,S200000,01500,0100,Y 434007,S200000,01501,0200,Y 434007,S200000,01600,0100,N 434007,S200000,01700,0100,N 434007,S200000,01800,0100,N 434007,S200000,02200,0100,N 434007,S200000,02800,0100,N 434007,S200000,02900,0100,N 434007,S200000,03000,0100,N 434007,S200000,03100,0100,N 434007,S200000,03200,0100,N 434007,S200000,03300,0100,N 434007,S200000,03300,0200,N 434007,S200000,04100,0100,N 434007,S200000,04200,0100,N 434007,S200000,04300,0100,N 434007,S200000,04600,0100,N 434007,S200000,04700,0100,N 434007,S200000,04700,0200,N 434007,S200000,04900,0100,N 434007,S200000,05000,0100,N 434007,S200000,05100,0100,N 434007,S200000,05200,0100,N 434008,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434008,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434008,A000000,00300,0000,0300EMPLOYEE BENEFITS 434008,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434008,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434008,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434008,A000000,00700,0000,0700HOUSEKEEPING 434008,A000000,00800,0000,0800DIETARY 434008,A000000,00900,0000,0900NURSING ADMINISTRATION 434008,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434008,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434008,A000000,01300,0000,1300SOCIAL SERVICE 434008,A000000,01600,0000,1600SKILLED NURSING FACILITY 434008,A000000,01800,0000,1800NURSING FACILITY 434008,A000000,01900,0000,1900OTHER LONG TERM CARE 434008,A000000,02100,0000,2100RADIOLOGY 434008,A000000,02200,0000,2200LABORATORY 434008,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434008,A000000,02500,0000,2500PHYSICAL THERAPY 434008,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434008,A000000,02700,0000,2700SPEECH PATHOLOGY 434008,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434008,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434008,A000000,03200,0000,3200SUPPORT SURFACES 434008,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434008,A000000,05300,0000,5300INTEREST EXPENSE 434008,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434008,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434008,A000000,06300,0000,6150RENTAL AREAS 434008,A000000,06301,0000,6151DAYCARE - CHILD 434008,A000000,06302,0000,6152DAYCARE - ADULT 434008,A81000A,00100,0100,Y 434008,A81000B,00100,0300,COMPENSATION 434008,A81000B,00200,0300,BOARD FEES 434008,A81000C,00100,0100,A 434008,A81000C,00100,0200,SAMUEL MURDOCH 434008,A81000C,00200,0100,A 434008,A81000C,00200,0200,JUDI MURDOCH 434008,A81000C,00300,0100,A 434008,A81000C,00300,0200,WARREN RAGSDALE 434008,B100000,00000,0100,0100SQ FEET :CAP REL COSTS - BLDGS 434008,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 434008,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434008,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434008,B100000,00000,0500,0500SQ FEET :PLANT OPERATION MAINT 434008,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434008,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434008,B100000,00000,0800,0800MEALS SERVED :DIETARY 434008,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434008,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434008,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 434008,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434008,E10A180,00501,0300,03/01/12 434008,E10A180,00550,0100,03/01/12 434008,G300000,02500,0000,MISC INCOME 434008,G300000,02501,0000,BARBER & BEAUTY 434008,G300000,02502,0000,LAGOON MAINT FEE 434008,G300000,02503,0000,GAIN / LOSS ON SALE OF ASSETS 434008,G300000,02504,0000,RENTAL INCOME - OFFICE SPACE 434008,S000000,00100,0200,03/01/12 434008,S200000,00100,0100,100 EDGEMONT ROAD 434008,S200000,00200,0100,WYTHEVILLE 434008,S200000,00200,0200,VA 434008,S200000,00200,0300,24382 434008,S200000,00300,0100,WYTHE 434008,S200000,00300,0200,49 434008,S200000,00300,0201,99949 434008,S200000,00300,0300,R 434008,S200000,00400,0100,EDGEMONT CENTER INC. 434008,S200000,00400,0200,495175 434008,S200000,00400,0300,12/01/96 434008,S200000,00400,0500,P 434008,S200000,01500,0100,Y 434008,S200000,01501,0200,N 434008,S200000,01502,0200,N 434008,S200000,01504,0200,N 434008,S200000,01505,0000,OTHER 434008,S200000,01505,0200,N 434008,S200000,01600,0100,N 434008,S200000,01700,0100,N 434008,S200000,01800,0100,N 434008,S200000,02200,0100,Y 434008,S200000,02800,0100,N 434008,S200000,02900,0100,N 434008,S200000,03000,0100,N 434008,S200000,03100,0100,N 434008,S200000,03200,0100,N 434008,S200000,03300,0100,N 434008,S200000,03300,0200,N 434008,S200000,04100,0100,N 434008,S200000,04200,0100,N 434008,S200000,04300,0100,N 434008,S200000,04600,0100,N 434008,S200000,04700,0100,N 434008,S200000,04700,0200,N 434008,S200000,04900,0100,N 434008,S200000,05000,0100,N 434008,S200000,05100,0100,N 434008,S200000,05200,0100,N 434009,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434009,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434009,A000000,00300,0000,0300EMPLOYEE BENEFITS 434009,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434009,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434009,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434009,A000000,00700,0000,0700HOUSEKEEPING 434009,A000000,00800,0000,0800DIETARY 434009,A000000,00900,0000,0900NURSING ADMINISTRATION 434009,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434009,A000000,01100,0000,1100PHARMACY 434009,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434009,A000000,01300,0000,1300SOCIAL SERVICE 434009,A000000,01500,0000,1350PATIENT ACTIVITIES 434009,A000000,01600,0000,1600SKILLED NURSING FACILITY 434009,A000000,01800,0000,1800NURSING FACILITY 434009,A000000,01900,0000,1900OTHER LONG TERM CARE 434009,A000000,02100,0000,2100RADIOLOGY 434009,A000000,02200,0000,2200LABORATORY 434009,A000000,02300,0000,2300INTRAVENOUS THERAPY 434009,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434009,A000000,02500,0000,2500PHYSICAL THERAPY 434009,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434009,A000000,02700,0000,2700SPEECH PATHOLOGY 434009,A000000,02800,0000,2800ELECTROCARDIOLOGY 434009,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434009,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434009,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434009,A000000,03200,0000,3200SUPPORT SURFACES 434009,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434009,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434009,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434009,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434009,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434009,A000000,06100,0000,6100NONPAID WORKERS 434009,A000000,06200,0000,6200PATIENTS LAUNDRY 434009,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434009,A81000A,00100,0100,Y 434009,A81000B,00100,0300,CENTRAL OFFICE OVHD 434009,A81000B,00200,0300,CENTRAL OFICE CAPITAL 434009,A81000B,00300,0300,RENT 434009,A81000B,00400,0300,SUPPLIES 434009,A81000B,00500,0300,SUPPLIES 434009,A81000B,00600,0300,PHARMACY 434009,A81000B,00700,0300,PHARMACY 434009,A81000B,00800,0300,PHARMACY 434009,A81000B,00900,0300,PHARMACY 434009,A81000B,01000,0300,PHARMACY 434009,A81000B,01100,0300,PHARMACY 434009,A81000C,00100,0100,B 434009,A81000C,00100,0200,AUTUMN CORPORATION 434009,A81000C,00100,0400,AUTUMN CORPORATION 434009,A81000C,00100,0600,HOME OFFICE 434009,A81000C,00200,0100,B 434009,A81000C,00200,0200,AUTUMN CORPORATION 434009,A81000C,00200,0400,AUTUMN CORPORATION 434009,A81000C,00200,0600,HOME OFFICE 434009,A81000C,00300,0100,B 434009,A81000C,00300,0200,AUTUMN CARE OF PORTSMOUTH 434009,A81000C,00300,0400,AUTUMN CORPORATION 434009,A81000C,00300,0600,BUILDING RENTAL 434009,A81000C,00400,0100,A 434009,A81000C,00400,0200,WINCARE 434009,A81000C,00400,0400,AUTUMN CORPORATION 434009,A81000C,00400,0600,SUPPLIES 434009,A81000C,00500,0100,A 434009,A81000C,00500,0200,LEGACY 434009,A81000C,00500,0400,AUTUMN CORPORATION 434009,A81000C,00500,0600,PHARMACY 434009,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434009,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434009,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434009,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434009,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434009,B100000,00000,0700,0750SQ FT EXCLUD ING:HOUSEKEEPING 434009,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434009,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434009,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434009,E10A180,00501,0100,05/07/12 434009,G300000,02500,0000,MISC 434009,S000000,00100,0200,02/16/12 434009,S200000,00100,0100,3610 WINCHESTER DR 434009,S200000,00100,0300,7277 434009,S200000,00200,0100,PORTSMOUTH 434009,S200000,00200,0200,VA 434009,S200000,00200,0300,23707 434009,S200000,00300,0100,TIDEWATER DISTRICT 434009,S200000,00300,0200,5720 434009,S200000,00300,0201,47260 434009,S200000,00300,0300,U 434009,S200000,00400,0100,AUTUMN CARE OF PORTSMOUTH 434009,S200000,00400,0200,495194 434009,S200000,00400,0300,06/22/89 434009,S200000,00400,0500,P 434009,S200000,01500,0100,Y 434009,S200000,01501,0200,Y 434009,S200000,01600,0100,N 434009,S200000,01700,0100,N 434009,S200000,01800,0100,N 434009,S200000,02200,0100,N 434009,S200000,02800,0100,N 434009,S200000,02900,0100,N 434009,S200000,03000,0100,N 434009,S200000,03100,0100,N 434009,S200000,03200,0100,N 434009,S200000,03300,0100,N 434009,S200000,03300,0200,N 434009,S200000,04100,0100,N 434009,S200000,04200,0100,N 434009,S200000,04300,0100,N 434009,S200000,04600,0100,N 434009,S200000,04700,0100,N 434009,S200000,04700,0200,N 434009,S200000,04900,0100,N 434009,S200000,05000,0100,N 434009,S200000,05100,0100,N 434009,S200000,05200,0100,N 434012,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434012,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434012,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434012,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434012,A000000,00300,0000,0300EMPLOYEE BENEFITS 434012,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434012,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434012,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434012,A000000,00700,0000,0700HOUSEKEEPING 434012,A000000,00800,0000,0800DIETARY 434012,A000000,00801,0000,0801CAFETERIA 434012,A000000,00900,0000,0900NURSING ADMINISTRATION 434012,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434012,A000000,01100,0000,1100PHARMACY 434012,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434012,A000000,01300,0000,1300SOCIAL SERVICE 434012,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434012,A000000,01500,0000,1350ACTIVITIES 434012,A000000,01600,0000,1600SKILLED NURSING FACILITY 434012,A000000,01800,0000,1800NURSING FACILITY 434012,A000000,01900,0000,1900OTHER LONG TERM CARE 434012,A000000,02100,0000,2100RADIOLOGY 434012,A000000,02200,0000,2200LABORATORY 434012,A000000,02300,0000,2300INTRAVENOUS THERAPY 434012,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434012,A000000,02500,0000,2500PHYSICAL THERAPY 434012,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434012,A000000,02700,0000,2700SPEECH PATHOLOGY 434012,A000000,02800,0000,2800ELECTROCARDIOLOGY 434012,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434012,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434012,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434012,A000000,03200,0000,3200SUPPORT SURFACES 434012,A000000,03300,0000,3050ENTERALS 434012,A000000,03301,0000,3051OXYGEN 434012,A000000,03302,0000,3052OTHER ANCILLARY III 434012,A000000,03400,0000,3400CLINIC 434012,A000000,03500,0000,3500RURAL HEALTH CLINIC 434012,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434012,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434012,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434012,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434012,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434012,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434012,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434012,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434012,A000000,04400,0000,4400DME RENTED - HHA 434012,A000000,04500,0000,4500DME SOLD - HHA 434012,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434012,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434012,A000000,04710,0000,4710TELEMEDICINE 434012,A000000,04800,0000,4800AMBULANCE 434012,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434012,A000000,05000,0000,5000CORF 434012,A000000,05001,0000,5001CMHC I 434012,A000000,05020,0000,5020OPT I 434012,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434012,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434012,A000000,05300,0000,5300INTEREST EXPENSE 434012,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434012,A000000,05500,0000,5500HOSPICE 434012,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434012,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434012,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434012,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434012,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434012,A000000,06100,0000,6100NONPAID WORKERS 434012,A000000,06200,0000,6200PATIENTS LAUNDRY 434012,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434012,A81000A,00100,0100,Y 434012,A81000B,00100,0300,MGNT FEE 434012,A81000B,00200,0300,DLDG RENT 434012,A81000C,00100,0100,A 434012,A81000C,00100,0200,JOHN BRAMALL 434012,A81000C,00100,0400,TRADITIONS HEAL 434012,A81000C,00100,0600,MANAGEMENT CO 434012,A81000C,00200,0100,A 434012,A81000C,00200,0200,JOHN BRAMALL 434012,A81000C,00200,0400,BOULDER MNTN 434012,A81000C,00200,0600,PROPERTY OWNER 434012,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434012,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434012,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434012,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434012,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434012,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434012,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434012,B100000,00000,0800,0800MEALS SERVED :DIETARY 434012,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434012,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434012,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434012,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434012,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434012,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434012,G300000,02500,0000, GARNISHMENT FEES 434012,S000000,00100,0200,10/15/12 434012,S200000,00100,0100,126 WEST 200 NORTH 434012,S200000,00100,0300,2528 434012,S200000,00200,0100,ST. GEORGE 434012,S200000,00200,0200,UT 434012,S200000,00200,0300,84771 434012,S200000,00300,0100,WASHINGTON 434012,S200000,00300,0201,41100 434012,S200000,00300,0300,U 434012,S200000,00400,0100,PORTERS NURSING HOME 434012,S200000,00400,0200,465144 434012,S200000,00400,0300,10/25/96 434012,S200000,00400,0500,P 434012,S200000,01500,0100,Y 434012,S200000,01501,0200,Y 434012,S200000,01504,0200,N 434012,S200000,01600,0100,N 434012,S200000,01700,0100,N 434012,S200000,01800,0100,N 434012,S200000,02200,0100,N 434012,S200000,02800,0100,N 434012,S200000,02900,0100,N 434012,S200000,03000,0100,N 434012,S200000,03100,0100,N 434012,S200000,03200,0100,N 434012,S200000,03300,0100,Y 434012,S200000,03300,0200,Y 434012,S200000,04100,0100,N 434012,S200000,04200,0100,N 434012,S200000,04300,0100,N 434012,S200000,04600,0100,N 434012,S200000,04700,0100,N 434012,S200000,04700,0200,N 434012,S200000,04900,0100,N 434012,S200000,05000,0100,N 434012,S200000,05100,0100,N 434012,S200000,05200,0100,N 434012,S200000,05300,0100,Y 434012,S200000,05300,0200,H6H099 434012,S200000,05400,0100,TRADITIONS HEALTH CARE INC 434012,S200000,05400,0200,NORIDIAN 434012,S200000,05400,0300, 00323 434012,S200000,05500,0100,1490 E. FOREMASTER BLDG B 434012,S200000,05600,0100,ST. GEORGE 434012,S200000,05600,0200,UT 434012,S200000,05600,0300,84790 434018,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434018,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434018,A000000,00300,0000,0300EMPLOYEE BENEFITS 434018,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434018,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434018,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434018,A000000,00700,0000,0700HOUSEKEEPING 434018,A000000,00800,0000,0800DIETARY 434018,A000000,00900,0000,0900NURSING ADMINISTRATION 434018,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434018,A000000,01100,0000,1100PHARMACY 434018,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434018,A000000,01300,0000,1300SOCIAL SERVICE 434018,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434018,A000000,01500,0000,1350ACTIVITIES 434018,A000000,01600,0000,1600SKILLED NURSING FACILITY 434018,A000000,01810,0000,1810ICF/MR 434018,A000000,02100,0000,2100RADIOLOGY 434018,A000000,02200,0000,2200LABORATORY 434018,A000000,02300,0000,2300INTRAVENOUS THERAPY 434018,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434018,A000000,02500,0000,2500PHYSICAL THERAPY 434018,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434018,A000000,02700,0000,2700SPEECH PATHOLOGY 434018,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434018,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434018,A000000,03200,0000,3200SUPPORT SURFACES 434018,A000000,03300,0000,3050PEN BILLING 434018,A000000,03550,0000,3550FQHC 434018,A000000,04801,0000,4801AMBULANCE 434018,A000000,04802,0000,4802AMBULANCE 434018,A000000,04803,0000,4803AMBULANCE 434018,A000000,05000,0000,5000CORF 434018,A000000,05010,0000,5010CMHC 434018,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434018,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434018,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434018,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434018,A81000A,00100,0100,N 434018,B100000,00000,0100,0100SQUARE FEET 434018,B100000,00000,0200,0200SQUARE FEET 434018,B100000,00000,0300,0300GROSS SALARIES 434018,B100000,00000,0400,0400ACCUM COST 434018,B100000,00000,0500,0500SQUARE FEET 434018,B100000,00000,0600,0600PT DAYS 434018,B100000,00000,0700,0700SQ FT 434018,B100000,00000,0800,0800MEALS SERVED 434018,B100000,00000,0900,0900PT DAYS 434018,B100000,00000,1000,1000COSTED REQUIS 434018,B100000,00000,1100,1100COSTED REQUIS 434018,B100000,00000,1200,1200GROSS CHARGES 434018,B100000,00000,1300,1300PT DAYS 434018,B100000,00000,1400,1400ASSIGNED TIME 434018,B100000,00000,1500,1350PT DAYS 434018,E10A180,00501,0100,01/31/12 434018,E10A180,00501,0300,01/31/12 434018,G300000,02500,0000,MISC INCOME 434018,S000000,00100,0200,01/17/12 434018,S200000,00100,0100,400 NORTH AVENUE 434018,S200000,00200,0100,FREDERICK 434018,S200000,00200,0200,MD 434018,S200000,00200,0300,21701 434018,S200000,00300,0100,FREDERICK 434018,S200000,00300,0201,13644 434018,S200000,00300,0300,U 434018,S200000,00400,0100,COLLEGE VIEW CENTER 434018,S200000,00400,0200,215001 434018,S200000,00400,0300,10/01/87 434018,S200000,00400,0500,P 434018,S200000,01500,0100,Y 434018,S200000,01501,0200,N 434018,S200000,01502,0200,N 434018,S200000,01503,0200,N 434018,S200000,01504,0200,N 434018,S200000,01505,0000,DON BONUS 434018,S200000,01505,0200,N 434018,S200000,01600,0100,N 434018,S200000,01700,0100,N 434018,S200000,01800,0100,N 434018,S200000,02200,0100,Y 434018,S200000,02800,0100,N 434018,S200000,02900,0100,N 434018,S200000,03000,0100,N 434018,S200000,03100,0100,N 434018,S200000,03200,0100,N 434018,S200000,03300,0100,N 434018,S200000,03300,0200,N 434018,S200000,04200,0100,N 434018,S200000,04300,0100,N 434018,S200000,04600,0100,N 434018,S200000,04700,0100,N 434018,S200000,04900,0100,N 434018,S200000,05200,0100,N 434018,S200000,05300,0100,N 434020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434020,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434020,A000000,00300,0000,0300EMPLOYEE BENEFITS 434020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434020,A000000,00700,0000,0700HOUSEKEEPING 434020,A000000,00800,0000,0800DIETARY 434020,A000000,00900,0000,0900NURSING ADMINISTRATION 434020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434020,A000000,01100,0000,1100PHARMACY 434020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434020,A000000,01300,0000,1300SOCIAL SERVICE 434020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434020,A000000,01500,0000,1350ACTIVITIES 434020,A000000,01600,0000,1600SKILLED NURSING FACILITY 434020,A000000,01800,0000,1800NURSING FACILITY 434020,A000000,01810,0000,1810ICF/MR 434020,A000000,02100,0000,2100RADIOLOGY 434020,A000000,02200,0000,2200LABORATORY 434020,A000000,02300,0000,2300INTRAVENOUS THERAPY 434020,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434020,A000000,02500,0000,2500PHYSICAL THERAPY 434020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434020,A000000,02700,0000,2700SPEECH PATHOLOGY 434020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434020,A000000,03300,0000,3050OTHER ANCILLARY 434020,A000000,03301,0000,3051AMBULANCE 434020,A000000,03550,0000,3550FQHC 434020,A000000,04801,0000,4801AMBULANCE 434020,A000000,04802,0000,4802AMBULANCE 434020,A000000,04803,0000,4803AMBULANCE 434020,A000000,05000,0000,5000CORF 434020,A000000,05010,0000,5010CMHC 434020,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434020,A000000,06300,0000,6150COMMUNICATIONS 434020,A81000A,00100,0100,Y 434020,A81000B,00100,0300,MANAGEMENT FEES 434020,A81000B,00200,0300,WORKING CAPITAL INT 434020,A81000B,00300,0300,INTERIOR DESIGNS 08 434020,A81000B,00400,0300,INTERIOR DESIGNS 09 434020,A81000B,00500,0300,INTERIOR DESIGNS 10 434020,A81000B,00600,0300,WORKERS COMP INS 434020,A81000B,00700,0300,PROF/GEN LIAB INS 434020,A81000B,00800,0300,AUTOMOBILE INSURANCE 434020,A81000B,00900,0300,EMPLOYEE HEALTH INS 434020,A81000B,01000,0300,BLDG/EQUIP LEASE 434020,A81000B,01100,0300,PROPERTY TAXES & INS 434020,A81000B,01200,0300,ADD L COMPENSATION 434020,A81000B,01300,0300,ADMINISTRATOR COMP 434020,A81000B,01400,0300,DEFERRED FINANCING 434020,A81000C,00100,0100,A 434020,A81000C,00100,0200,FORREST PRESTON 434020,A81000C,00100,0400,LIFE CARE CENTE 434020,A81000C,00100,0600,NURSING HOME MG 434020,A81000C,00200,0100,A 434020,A81000C,00200,0200,FORREST PRESTON 434020,A81000C,00200,0400,LIFE CARE DESIG 434020,A81000C,00200,0600,INTERIOR DESIGN 434020,A81000C,00300,0100,A 434020,A81000C,00300,0200,FORREST PRESTON 434020,A81000C,00300,0400,LEADER CARE 434020,A81000C,00300,0600,CAPTIVE INS CO 434020,A81000C,00400,0100,A 434020,A81000C,00400,0200,FORREST PRESTON 434020,A81000C,00400,0400,ASSOC BENEFIT T 434020,A81000C,00400,0600,EMPLOYEE HEALTH 434020,A81000C,00500,0100,A 434020,A81000C,00500,0200,FORREST PRESTON 434020,A81000C,00500,0400,DENVER HEALTH M 434020,A81000C,00500,0600,BLDG/EQUIP LESS 434020,A81000C,00600,0100,A 434020,A81000C,00600,0200,JERRY WEETER 434020,A81000C,00600,0400,JERRY WEETER 434020,A81000C,00600,0600,NURSING HOME MG 434020,A81000C,00700,0100,A 434020,A81000C,00700,0200,FORREST PRESTON 434020,A81000C,00700,0400,RANGELINE CAPIT 434020,A81000C,00700,0600,FINANCING PROCU 434020,B100000,00000,0100,0100(SQUARE FEET) 434020,B100000,00000,0200,0200(SQUARE FEET) 434020,B100000,00000,0300,0300(GROSS SALARIES) 434020,B100000,00000,0400,0400ACCUM COST 434020,B100000,00000,0500,0500(SQUARE FEET) 434020,B100000,00000,0600,0600PATIENT DAYS 434020,B100000,00000,0700,0700(SQUARE FEET) 434020,B100000,00000,0800,0800(MEALS SERVED) 434020,B100000,00000,0900,0900HOURS WORKED 434020,B100000,00000,1000,1000(COSTED REQUIS) 434020,B100000,00000,1100,1100COSTED REQUIS 434020,B100000,00000,1200,1200GROSS REVENUES 434020,B100000,00000,1300,1300PATIENT DAYS 434020,B100000,00000,1400,1400ASSIGNED TIME 434020,B100000,00000,1500,1350PATIENT DAYS 434020,E10A180,00301,0100,01/26/11 434020,E10A180,00302,0100,08/29/11 434020,E10A180,00502,0100,04/05/12 434020,G300000,02500,0000,BARBER & BEAUTY REVENUE 434020,G300000,02501,0000,PERSONAL PURCHASES FOR RESIDENTS REV 434020,G300000,02502,0000,MISCELLANEOUS REVENUE 434020,S000000,00100,0200,01/17/12 434020,S200000,00100,0100,1600 SOUTH POTOMAC STREET 434020,S200000,00200,0100,AURORA 434020,S200000,00200,0200,CO 434020,S200000,00200,0300,80012 434020,S200000,00300,0100,ARAPAHOE 434020,S200000,00300,0201,19740 434020,S200000,00300,0300,U 434020,S200000,00400,0100,GARDEN TERRACE COLORADO 434020,S200000,00400,0200,065266 434020,S200000,00400,0300,10/12/89 434020,S200000,00400,0500,P 434020,S200000,01500,0100,Y 434020,S200000,01501,0200,Y 434020,S200000,01502,0200,N 434020,S200000,01503,0200,N 434020,S200000,01504,0200,Y 434020,S200000,01505,0000,OTHER 434020,S200000,01505,0200,N 434020,S200000,01600,0100,N 434020,S200000,01700,0100,N 434020,S200000,01800,0100,N 434020,S200000,01900,0100,LIMITED LIABILITY COMPANY 434020,S200000,02200,0100,N 434020,S200000,02800,0100,N 434020,S200000,02900,0100,N 434020,S200000,03000,0100,N 434020,S200000,03100,0100,N 434020,S200000,03200,0100,N 434020,S200000,03300,0100,N 434020,S200000,03300,0200,N 434020,S200000,04200,0100,N 434020,S200000,04300,0100,N 434020,S200000,04600,0100,N 434020,S200000,04700,0100,N 434020,S200000,04900,0100,N 434020,S200000,05200,0100,N 434020,S200000,05300,0100,Y 434020,S200000,05300,0200,44H017 434020,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA 434020,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMIN 434020,S200000,05400,0300,10301 434020,S200000,05500,0100,3570 KEITH STREET NW 434020,S200000,05600,0100,CLEVELAND 434020,S200000,05600,0200,TN 434020,S200000,05600,0300,37312 434033,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434033,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434033,A000000,00300,0000,0300EMPLOYEE BENEFITS 434033,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434033,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434033,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434033,A000000,00700,0000,0700HOUSEKEEPING 434033,A000000,00800,0000,0800DIETARY 434033,A000000,00900,0000,0900NURSING ADMINISTRATION 434033,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434033,A000000,01100,0000,1100PHARMACY 434033,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434033,A000000,01300,0000,1300SOCIAL SERVICE 434033,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434033,A000000,01500,0000,1350RECREATION 434033,A000000,01600,0000,1600SKILLED NURSING FACILITY 434033,A000000,01810,0000,1810ICF/MR 434033,A000000,02100,0000,2100RADIOLOGY 434033,A000000,02200,0000,2200LABORATORY 434033,A000000,02300,0000,2300INTRAVENOUS THERAPY 434033,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434033,A000000,02500,0000,2500PHYSICAL THERAPY 434033,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434033,A000000,02700,0000,2700SPEECH PATHOLOGY 434033,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434033,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434033,A000000,03550,0000,3550FQHC 434033,A000000,04801,0000,4801AMBULANCE 434033,A000000,04802,0000,4802AMBULANCE 434033,A000000,04803,0000,4803AMBULANCE 434033,A000000,05000,0000,5000CORF 434033,A000000,05010,0000,5010CMHC 434033,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434033,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434033,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434033,A81000A,00100,0100,Y 434033,A81000B,00100,0300,AS ATTACHED 434033,A81000B,00200,0300,HOME OFFICE INTEREST 434033,A81000B,00300,0300,HOME OFFICE A&G 434033,A81000B,00400,0300,HOME OFFICE CAP PIEC 434033,A81000C,00100,0100,B 434033,A81000C,00100,0400,AS ATTACHED 434033,A81000C,00100,0600,VARIOUS 434033,A81000C,00200,0100,B 434033,A81000C,00200,0400,GHC 434033,A81000C,00200,0600,LONG TERM CARE 434033,A81000C,00300,0100,B 434033,A81000C,00300,0400,GHC 434033,A81000C,00300,0600,LONG TERM CARE 434033,A81000C,00400,0100,B 434033,A81000C,00400,0400,GHC 434033,A81000C,00400,0600,LONG TERM CARE 434033,B100000,00000,0100,0100SQUARE FEET 434033,B100000,00000,0200,0200SQUARE FEET 434033,B100000,00000,0300,0300GROSS SALARIES 434033,B100000,00000,0400,0400ACCUM COST 434033,B100000,00000,0500,0500SQUARE FEET 434033,B100000,00000,0600,0600PATIENT DAYS 434033,B100000,00000,0700,0700SQUARE FEET 434033,B100000,00000,0800,0800MEALS SERVED 434033,B100000,00000,0900,0900NURSING SALARIES 434033,B100000,00000,1000,1000COSTED REQUIS 434033,B100000,00000,1100,1100COSTED REQUIS 434033,B100000,00000,1200,1200PATIENT DAYS 434033,B100000,00000,1300,1300PATIENT DAYS 434033,B100000,00000,1400,1400ASSIGNED TIME 434033,B100000,00000,1500,1350PATIENT DAYS 434033,E10A180,00301,0100,03/23/11 434033,E10A180,00501,0300,02/01/12 434033,E10A180,00550,0100,02/01/12 434033,G300000,02500,0000,BARBER & BEAUTY 434033,S000000,00100,0200,09/12/11 434033,S200000,00100,0100,700 TOWN BANK ROAD 434033,S200000,00200,0100,NORTH CAPE MAY 434033,S200000,00200,0200,NJ 434033,S200000,00200,0300,08204 434033,S200000,00300,0100,CAPE MAY 434033,S200000,00300,0201,36140 434033,S200000,00300,0300,U 434033,S200000,00400,0100,NORTH CAPE CENTER 434033,S200000,00400,0200,315350 434033,S200000,00400,0300,02/02/96 434033,S200000,00400,0500,P 434033,S200000,01500,0100,Y 434033,S200000,01501,0200,N 434033,S200000,01502,0200,N 434033,S200000,01503,0200,N 434033,S200000,01504,0200,N 434033,S200000,01600,0100,N 434033,S200000,01700,0100,N 434033,S200000,01800,0100,N 434033,S200000,02200,0100,Y 434033,S200000,02800,0100,N 434033,S200000,02900,0100,N 434033,S200000,03000,0100,N 434033,S200000,03100,0100,N 434033,S200000,03200,0100,N 434033,S200000,03300,0100,N 434033,S200000,03300,0200,N 434033,S200000,04200,0100,N 434033,S200000,04300,0100,N 434033,S200000,04600,0100,N 434033,S200000,04700,0100,N 434033,S200000,04900,0100,N 434033,S200000,05200,0100,N 434033,S200000,05300,0100,Y 434033,S200000,05300,0200,HB0067 434033,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434033,S200000,05400,0200,HIGHMARK MEDICARE CORPORATION 434033,S200000,05400,0300,12001 434033,S200000,05500,0100,101 EAST STATE STREET 434033,S200000,05600,0100,KENNETT SQUARE 434033,S200000,05600,0200,PA 434033,S200000,05600,0300,19348 434034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434034,A000000,00700,0000,0700HOUSEKEEPING 434034,A000000,00800,0000,0800DIETARY 434034,A000000,00900,0000,0900NURSING ADMINISTRATION 434034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434034,A000000,01100,0000,1100PHARMACY 434034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434034,A000000,01300,0000,1300SOCIAL SERVICE 434034,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434034,A000000,01500,0000,1350ACTIVITIES/REC THERAPY 434034,A000000,01600,0000,1600SKILLED NURSING FACILITY 434034,A000000,01800,0000,1800NURSING FACILITY 434034,A000000,01810,0000,1810ICF/MR 434034,A000000,01900,0000,1900OTHER LONG TERM CARE 434034,A000000,02100,0000,2100RADIOLOGY 434034,A000000,02200,0000,2200LABORATORY 434034,A000000,02300,0000,2300INTRAVENOUS THERAPY 434034,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434034,A000000,02500,0000,2500PHYSICAL THERAPY 434034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434034,A000000,02700,0000,2700SPEECH PATHOLOGY 434034,A000000,02800,0000,2800ELECTROCARDIOLOGY 434034,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434034,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434034,A000000,03200,0000,3200SUPPORT SURFACES 434034,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434034,A000000,03400,0000,3400CLINIC 434034,A000000,03500,0000,3500RURAL HEALTH CLINIC 434034,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434034,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434034,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434034,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434034,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434034,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434034,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434034,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434034,A000000,04400,0000,4400DME RENTED - HHA 434034,A000000,04500,0000,4500DME SOLD - HHA 434034,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434034,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434034,A000000,04710,0000,4710TELEMEDICINE 434034,A000000,04800,0000,4800AMBULANCE 434034,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434034,A000000,05000,0000,5000CORF 434034,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434034,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434034,A000000,05300,0000,5300INTEREST EXPENSE 434034,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434034,A000000,05500,0000,5500HOSPICE 434034,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434034,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434034,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434034,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434034,A000000,06100,0000,6100NONPAID WORKERS 434034,A000000,06200,0000,6200PATIENTS LAUNDRY 434034,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434034,A81000A,00100,0100,Y 434034,A81000B,00100,0300,MANAGEMENT FEES 434034,A81000B,00200,0300,REHAB SERVICES 434034,A81000B,00300,0300,REHAB SERVICES 434034,A81000B,00400,0300,REHAB SERVICES 434034,A81000C,00100,0100,A 434034,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434034,A81000C,00100,0400,GABRIEL LIVING CENTERS 434034,A81000C,00100,0600,MANAGEMENT COMPANY 434034,A81000C,00200,0100,A 434034,A81000C,00200,0200,SIGMALINK REHAB 434034,A81000C,00200,0400,GABRIEL LIVING CENTERS 434034,A81000C,00200,0600,REHAB COMPANY 434034,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434034,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434034,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434034,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434034,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434034,B100000,00000,0800,0800MEALS SERVED :DIETARY 434034,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434034,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434034,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434034,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434034,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES/REC TH 434034,E10A180,00501,0100,02/09/12 434034,E10A180,00501,0300,02/09/12 434034,G300000,02500,0000,MISC REVENUE 434034,S000000,00100,0200,01/12/12 434034,S200000,00100,0100,301 S BAY STREET 434034,S200000,00200,0100,EUSTIS 434034,S200000,00200,0200,FL 434034,S200000,00200,0300,32726 434034,S200000,00300,0100,LAKE 434034,S200000,00300,0201,36740 434034,S200000,00300,0300,U 434034,S200000,00400,0100,BAYVIEW CENTER 434034,S200000,00400,0200,105324 434034,S200000,00400,0300,08/01/87 434034,S200000,00400,0500,P 434034,S200000,01500,0100,Y 434034,S200000,01501,0200,Y 434034,S200000,01502,0200,Y 434034,S200000,01503,0200,Y 434034,S200000,01504,0200,Y 434034,S200000,01600,0100,N 434034,S200000,01700,0100,N 434034,S200000,01800,0100,N 434034,S200000,01900,0100,LIMITED LIABILITY CO 434034,S200000,02200,0100,Y 434034,S200000,02800,0100,N 434034,S200000,02900,0100,N 434034,S200000,03000,0100,N 434034,S200000,03100,0100,N 434034,S200000,03200,0100,N 434034,S200000,03300,0100,N 434034,S200000,03300,0200,N 434034,S200000,04100,0100,N 434034,S200000,04200,0100,N 434034,S200000,04300,0100,N 434034,S200000,04600,0100,N 434034,S200000,04700,0100,N 434034,S200000,04700,0200,N 434034,S200000,04900,0100,N 434034,S200000,05000,0100,N 434034,S200000,05100,0100,N 434034,S200000,05200,0100,N 434035,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434035,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434035,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434035,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434035,A000000,00700,0000,0700HOUSEKEEPING 434035,A000000,00800,0000,0800DIETARY 434035,A000000,00900,0000,0900NURSING ADMINISTRATION 434035,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434035,A000000,01100,0000,1100PHARMACY 434035,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434035,A000000,01300,0000,1300SOCIAL SERVICE 434035,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434035,A000000,01500,0000,1350ACTIVITIES/REC THERAPY 434035,A000000,01600,0000,1600SKILLED NURSING FACILITY 434035,A000000,01800,0000,1800NURSING FACILITY 434035,A000000,01810,0000,1810ICF/MR 434035,A000000,01900,0000,1900OTHER LONG TERM CARE 434035,A000000,02100,0000,2100RADIOLOGY 434035,A000000,02200,0000,2200LABORATORY 434035,A000000,02300,0000,2300INTRAVENOUS THERAPY 434035,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434035,A000000,02500,0000,2500PHYSICAL THERAPY 434035,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434035,A000000,02700,0000,2700SPEECH PATHOLOGY 434035,A000000,02800,0000,2800ELECTROCARDIOLOGY 434035,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434035,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434035,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434035,A000000,03200,0000,3200SUPPORT SURFACES 434035,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434035,A000000,03400,0000,3400CLINIC 434035,A000000,03500,0000,3500RURAL HEALTH CLINIC 434035,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434035,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434035,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434035,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434035,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434035,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434035,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434035,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434035,A000000,04400,0000,4400DME RENTED - HHA 434035,A000000,04500,0000,4500DME SOLD - HHA 434035,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434035,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434035,A000000,04710,0000,4710TELEMEDICINE 434035,A000000,04800,0000,4800AMBULANCE 434035,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434035,A000000,05000,0000,5000CORF 434035,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434035,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434035,A000000,05300,0000,5300INTEREST EXPENSE 434035,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434035,A000000,05500,0000,5500HOSPICE 434035,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434035,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434035,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434035,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434035,A000000,06100,0000,6100NONPAID WORKERS 434035,A000000,06200,0000,6200PATIENTS LAUNDRY 434035,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434035,A81000A,00100,0100,Y 434035,A81000B,00100,0300,MANAGEMENT FEES 434035,A81000B,00200,0300,REHAB SERVICES 434035,A81000B,00300,0300,REHAB SERVICES 434035,A81000B,00400,0300,REHAB SERVICES 434035,A81000C,00100,0100,A 434035,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434035,A81000C,00100,0400,GABRIEL LIVING CENTERS 434035,A81000C,00100,0600,MANAGEMENT COMPANY 434035,A81000C,00200,0100,A 434035,A81000C,00200,0200,SIGMA LINK REHAB LLC 434035,A81000C,00200,0400,GABRIEL LIVING CENTERS 434035,A81000C,00200,0600,REHAB COMPANY 434035,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434035,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434035,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434035,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434035,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434035,B100000,00000,0800,0800MEALS SERVED :DIETARY 434035,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434035,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434035,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434035,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434035,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES/REC TH 434035,E10A180,00501,0100,02/01/12 434035,E10A180,00501,0300,02/01/12 434035,G300000,02500,0000,OTHER REVENUE 434035,S000000,00100,0200,01/12/12 434035,S200000,00100,0100,155 LANDOVER PLACE 434035,S200000,00200,0100,LONGWOOD 434035,S200000,00200,0200,FL 434035,S200000,00200,0300,32750 434035,S200000,00300,0100,SEMINOLE 434035,S200000,00300,0201,36740 434035,S200000,00300,0300,U 434035,S200000,00400,0100,ISLAND LAKE CENTER 434035,S200000,00400,0200,105643 434035,S200000,00400,0300,06/01/95 434035,S200000,00400,0500,P 434035,S200000,01500,0100,Y 434035,S200000,01501,0200,Y 434035,S200000,01502,0200,Y 434035,S200000,01503,0200,Y 434035,S200000,01504,0200,Y 434035,S200000,01600,0100,N 434035,S200000,01700,0100,N 434035,S200000,01800,0100,N 434035,S200000,01900,0100,LIMITED LIABILITY CO 434035,S200000,02200,0100,N 434035,S200000,02800,0100,N 434035,S200000,02900,0100,N 434035,S200000,03000,0100,N 434035,S200000,03100,0100,N 434035,S200000,03200,0100,N 434035,S200000,03300,0100,N 434035,S200000,03300,0200,N 434035,S200000,04100,0100,N 434035,S200000,04200,0100,N 434035,S200000,04300,0100,N 434035,S200000,04600,0100,N 434035,S200000,04700,0100,N 434035,S200000,04700,0200,N 434035,S200000,04900,0100,N 434035,S200000,05000,0100,N 434035,S200000,05100,0100,N 434035,S200000,05200,0100,N 434036,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434036,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434036,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434036,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434036,A000000,00700,0000,0700HOUSEKEEPING 434036,A000000,00800,0000,0800DIETARY 434036,A000000,00900,0000,0900NURSING ADMINISTRATION 434036,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434036,A000000,01100,0000,1100PHARMACY 434036,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434036,A000000,01300,0000,1300SOCIAL SERVICE 434036,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434036,A000000,01500,0000,1350ACTIVITIES/REC THERAPY 434036,A000000,01600,0000,1600SKILLED NURSING FACILITY 434036,A000000,01800,0000,1800NURSING FACILITY 434036,A000000,01810,0000,1810ICF/MR 434036,A000000,01900,0000,1900OTHER LONG TERM CARE 434036,A000000,02100,0000,2100RADIOLOGY 434036,A000000,02200,0000,2200LABORATORY 434036,A000000,02300,0000,2300INTRAVENOUS THERAPY 434036,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434036,A000000,02500,0000,2500PHYSICAL THERAPY 434036,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434036,A000000,02700,0000,2700SPEECH PATHOLOGY 434036,A000000,02800,0000,2800ELECTROCARDIOLOGY 434036,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434036,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434036,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434036,A000000,03200,0000,3200SUPPORT SURFACES 434036,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434036,A000000,03400,0000,3400CLINIC 434036,A000000,03500,0000,3500RURAL HEALTH CLINIC 434036,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434036,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434036,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434036,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434036,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434036,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434036,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434036,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434036,A000000,04400,0000,4400DME RENTED - HHA 434036,A000000,04500,0000,4500DME SOLD - HHA 434036,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434036,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434036,A000000,04710,0000,4710TELEMEDICINE 434036,A000000,04800,0000,4800AMBULANCE 434036,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434036,A000000,05000,0000,5000CORF 434036,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434036,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434036,A000000,05300,0000,5300INTEREST EXPENSE 434036,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434036,A000000,05500,0000,5500HOSPICE 434036,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434036,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434036,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434036,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434036,A000000,06100,0000,6100NONPAID WORKERS 434036,A000000,06200,0000,6200PATIENTS LAUNDRY 434036,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434036,A81000A,00100,0100,Y 434036,A81000B,00100,0300,MANAGEMENT FEES 434036,A81000B,00200,0300,REHAB SERVICES 434036,A81000B,00300,0300,REHAB SERVICES 434036,A81000B,00400,0300,REHAB SERVICES 434036,A81000C,00100,0100,A 434036,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434036,A81000C,00100,0400,GABRIEL LIVING CENTERS 434036,A81000C,00100,0600,MANAGEMENT COMPANY 434036,A81000C,00200,0100,A 434036,A81000C,00200,0200,SIGMALINK REHAB 434036,A81000C,00200,0400,GABRIEL LIVING CENTERS 434036,A81000C,00200,0600,REHAB COMPANY 434036,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434036,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434036,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434036,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434036,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434036,B100000,00000,0800,0800MEALS SERVED :DIETARY 434036,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434036,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434036,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434036,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434036,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES/REC TH 434036,E10A180,00501,0100,02/06/12 434036,E10A180,00501,0300,02/06/12 434036,G300000,02500,0000,OTHER REVENUE 434036,S000000,00100,0200,01/12/12 434036,S200000,00100,0100,7201 GREENBORO DRIVE 434036,S200000,00200,0100,WEST MELBOURNE 434036,S200000,00200,0200,FL 434036,S200000,00200,0300,32904 434036,S200000,00300,0100,BREVARD 434036,S200000,00300,0201,37340 434036,S200000,00300,0300,U 434036,S200000,00400,0100,INDIAN RIVER CENTER 434036,S200000,00400,0200,105673 434036,S200000,00400,0300,01/01/89 434036,S200000,00400,0500,P 434036,S200000,01500,0100,Y 434036,S200000,01501,0200,Y 434036,S200000,01502,0200,Y 434036,S200000,01503,0200,Y 434036,S200000,01504,0200,Y 434036,S200000,01600,0100,N 434036,S200000,01700,0100,N 434036,S200000,01800,0100,N 434036,S200000,01900,0100,LIMITED LIABILITY CO 434036,S200000,02200,0100,Y 434036,S200000,02800,0100,N 434036,S200000,02900,0100,N 434036,S200000,03000,0100,N 434036,S200000,03100,0100,N 434036,S200000,03200,0100,N 434036,S200000,03300,0100,N 434036,S200000,03300,0200,N 434036,S200000,04100,0100,N 434036,S200000,04200,0100,N 434036,S200000,04300,0100,N 434036,S200000,04600,0100,N 434036,S200000,04700,0100,N 434036,S200000,04700,0200,N 434036,S200000,04900,0100,N 434036,S200000,05000,0100,N 434036,S200000,05100,0100,N 434036,S200000,05200,0100,N 434040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434040,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434040,A000000,00700,0000,0700HOUSEKEEPING 434040,A000000,00800,0000,0800DIETARY 434040,A000000,00900,0000,0900NURSING ADMINISTRATION 434040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434040,A000000,01300,0000,1300SOCIAL SERVICE 434040,A000000,01500,0000,1350ACTIVITIES 434040,A000000,01600,0000,1600SKILLED NURSING FACILITY 434040,A000000,01800,0000,1800NURSING FACILITY 434040,A000000,02100,0000,2100RADIOLOGY 434040,A000000,02200,0000,2200LABORATORY 434040,A000000,02300,0000,2300INTRAVENOUS THERAPY 434040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434040,A000000,02500,0000,2500PHYSICAL THERAPY 434040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434040,A000000,02700,0000,2700SPEECH PATHOLOGY 434040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434040,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434040,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434040,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434040,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434040,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434040,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434040,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434040,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434040,A000000,04400,0000,4400DME RENTED - HHA 434040,A000000,04401,0000,4401SUPPLIES HHA 434040,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434040,A000000,04710,0000,4710TELEMEDICINE 434040,A000000,04800,0000,4800AMBULANCE 434040,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434040,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434040,A000000,05300,0000,5300INTEREST EXPENSE 434040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434040,A81000A,00100,0100,Y 434040,A81000B,00100,0300,CLF SNF HOME OFFICE COSTS 434040,A81000B,00200,0300,CREST HHA HOME OFFICE COSTS 434040,A81000C,00100,0100,E 434040,A81000C,00100,0200,DEE BANGERTER 434040,A81000C,00100,0400,CEO 434040,A81000C,00100,0600,MANAGEMENT COMPANY 434040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434040,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434040,B100000,00000,0600,0650 ACCUM. COST :LAUNDRY & LINEN SE 434040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434040,B100000,00000,0800,0800MEALS SERVED :DIETARY 434040,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434040,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434040,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434040,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434040,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434040,E10A180,00501,0100,05/07/12 434040,G300000,02500,0000,INTEREST INCOME 434040,G300000,02501,0000,OTHER OPERATING REVENUE 434040,G300000,02502,0000,OTHER NON OPERATING REVENUE 434040,G300000,02503,0000,MEDICAID INCENTIVES 434040,G300000,02504,0000,FLU SHOT REVENUE 434040,H513100,00000,0000,17660 434040,S000000,00100,0200,03/02/12 434040,S200000,00100,0100,1450 SOUTH 1500 EAST 434040,S200000,00200,0100,CLEARFIELD 434040,S200000,00200,0200,UT 434040,S200000,00200,0300,84015 434040,S200000,00300,0100,DAVIS 434040,S200000,00300,0200,7160 434040,S200000,00300,0201,36260 434040,S200000,00300,0300,U 434040,S200000,00400,0100,ROCKY MOUNTAIN CARE - CLEARFIELD 434040,S200000,00400,0200,465067 434040,S200000,00400,0300,07/18/77 434040,S200000,00400,0500,P 434040,S200000,00800,0200,137070 434040,S200000,00800,0300,03/17/94 434040,S200000,00800,0500,O 434040,S200000,00800,0600,P 434040,S200000,01500,0100,Y 434040,S200000,01501,0200,N 434040,S200000,01502,0200,N 434040,S200000,01503,0200,N 434040,S200000,01504,0200,Y 434040,S200000,01600,0100,N 434040,S200000,01700,0100,N 434040,S200000,01800,0100,N 434040,S200000,02200,0100,N 434040,S200000,02800,0100,N 434040,S200000,02900,0100,N 434040,S200000,03000,0100,N 434040,S200000,03100,0100,N 434040,S200000,03200,0100,N 434040,S200000,03300,0100,N 434040,S200000,03300,0200,N 434040,S200000,03700,0100,N 434040,S200000,03700,0200,N 434040,S200000,04100,0100,N 434040,S200000,04200,0100,N 434040,S200000,04300,0100,N 434040,S200000,04600,0100,N 434040,S200000,04700,0100,N 434040,S200000,04700,0200,N 434040,S200000,04900,0100,N 434040,S200000,05000,0100,N 434040,S200000,05100,0100,N 434040,S200000,05200,0100,N 434040,S200000,05300,0100,Y 434040,S200000,05300,0200,46H15A 434040,S200000,05400,0100,ROCKY MOUNTAIN CARE 434040,S200000,05400,0200,NORIDIAN 434040,S200000,05400,0300,46H15A 434040,S200000,05500,0100,5242 SOUTH COLLEGE DR SUITE 150 434040,S200000,05600,0100,MURRAY 434040,S200000,05600,0200,UT 434040,S200000,05600,0300,84123 434040,S410002,01700,0101,17660 434041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434041,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434041,A000000,00300,0000,0300EMPLOYEE BENEFITS 434041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434041,A000000,00700,0000,0700HOUSEKEEPING 434041,A000000,00800,0000,0800DIETARY 434041,A000000,00900,0000,0900NURSING ADMINISTRATION 434041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434041,A000000,01100,0000,1100PHARMACY 434041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434041,A000000,01300,0000,1300SOCIAL SERVICE 434041,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434041,A000000,01500,0000,1350ACTIVITIES 434041,A000000,01600,0000,1600SKILLED NURSING FACILITY 434041,A000000,01800,0000,1800NURSING FACILITY 434041,A000000,01810,0000,1810ICF/MR 434041,A000000,02100,0000,2100RADIOLOGY 434041,A000000,02200,0000,2200LABORATORY 434041,A000000,02300,0000,2300INTRAVENOUS THERAPY 434041,A000000,02500,0000,2500PHYSICAL THERAPY 434041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434041,A000000,02700,0000,2700SPEECH PATHOLOGY 434041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434041,A000000,02901,0000,2901PEN THERAPY 434041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434041,A000000,03300,0000,3050OTH ANC 434041,A000000,03301,0000,3051OTH ANC 434041,A000000,03550,0000,3550FQHC 434041,A000000,04801,0000,4801AMBULANCE 434041,A000000,04802,0000,4802AMBULANCE 434041,A000000,04803,0000,4803AMBULANCE 434041,A000000,05000,0000,5000CORF 434041,A000000,05010,0000,5010CMHC 434041,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434041,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434041,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434041,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434041,A000000,06300,0000,6150MARKETING SALARIES 434041,A81000A,00100,0100,Y 434041,A81000B,00100,0300,HEALTH/LIFE INS 434041,A81000B,00200,0300,WORK COMP 434041,A81000B,00300,0300,GLPL 434041,A81000B,00400,0300,AUTO INSURANCE 434041,A81000B,00500,0300,MGMT FEES 434041,A81000B,00600,0300,H.O. ALLOCATED COSTS 434041,A81000B,00700,0300,H.O. ALLOCATED COSTS 434041,A81000B,00800,0300,H.O. ALLOCATED COSTS 434041,A81000B,00900,0300,INTERIOR DES & FURN 434041,A81000B,01000,0300,FINANCING PRCMNT 434041,A81000B,01100,0300,ADDITIONAL COMP 434041,A81000C,00100,0100,A 434041,A81000C,00100,0200,FORREST PRESTON 434041,A81000C,00100,0400,ASSOC. BEN. TRU 434041,A81000C,00100,0600,GROUP LIFE/HLTH 434041,A81000C,00200,0100,A 434041,A81000C,00200,0200,FORREST PRESTON 434041,A81000C,00200,0400,LEADER CARE IN 434041,A81000C,00200,0600,W/COMP GLPL AUT 434041,A81000C,00300,0100,A 434041,A81000C,00300,0200,FORREST PRESTON 434041,A81000C,00300,0400,LIFE CARE CTRS 434041,A81000C,00300,0600,MGMT SERVICES 434041,A81000C,00400,0100,A 434041,A81000C,00400,0200,FORREST PRESTON 434041,A81000C,00400,0400,LIFE CARE DESIG 434041,A81000C,00400,0600,INT DSGN & FURN 434041,A81000C,00500,0100,A 434041,A81000C,00500,0200,FORREST PRESTON 434041,A81000C,00500,0400,RANGELINE CAPIT 434041,A81000C,00500,0600,PRCRMNT OF FINC 434041,B100000,00000,0100,0100(SQUARE FEET) 434041,B100000,00000,0200,0200(SQUARE FEET) 434041,B100000,00000,0300,0300(GROSS SALARIES) 434041,B100000,00000,0400,0400ACCUM COST 434041,B100000,00000,0500,0500(SQUARE FEET) 434041,B100000,00000,0600,0600PATIENT DAYS 434041,B100000,00000,0700,0700(SQUARE FEET) 434041,B100000,00000,0800,0800(MEALS SERVED) 434041,B100000,00000,0900,0900DIRECT HRS SUPERVISED 434041,B100000,00000,1000,1000(COSTED REQUIS) 434041,B100000,00000,1100,1100COSTED REQUIS 434041,B100000,00000,1200,1200GROSS REVENUES 434041,B100000,00000,1300,1300PATIENT DAYS 434041,B100000,00000,1400,1400ASSIGNED TIME 434041,B100000,00000,1500,1350PATIENT DAYS 434041,E10A180,00301,0100,07/22/11 434041,E10A180,00501,0100,05/25/12 434041,G300000,02500,0000,BEAUTY & BARBER 434041,S000000,00100,0200,03/20/12 434041,S200000,00100,0100,3325 W. JERWAYNE LANE 434041,S200000,00200,0100,LECANTO 434041,S200000,00200,0200,FL 434041,S200000,00200,0300,34461 434041,S200000,00300,0100,CITRUS 434041,S200000,00300,0201,10 434041,S200000,00300,0300,R 434041,S200000,00400,0100,LIFE CARE CENTER OF CITRUS COUNTY 434041,S200000,00400,0200,105870 434041,S200000,00400,0300,11/15/94 434041,S200000,00400,0500,P 434041,S200000,01500,0100,Y 434041,S200000,01501,0200,Y 434041,S200000,01502,0200,Y 434041,S200000,01503,0200,Y 434041,S200000,01504,0200,Y 434041,S200000,01505,0000,OTHER 434041,S200000,01505,0200,N 434041,S200000,01600,0100,N 434041,S200000,01700,0100,N 434041,S200000,01800,0100,N 434041,S200000,02200,0100,Y 434041,S200000,02800,0100,Y 434041,S200000,02900,0100,N 434041,S200000,03000,0100,N 434041,S200000,03100,0100,N 434041,S200000,03200,0100,N 434041,S200000,03300,0100,N 434041,S200000,03300,0200,N 434041,S200000,04200,0100,N 434041,S200000,04300,0100,N 434041,S200000,04600,0100,N 434041,S200000,04700,0100,N 434041,S200000,04900,0100,N 434041,S200000,05200,0100,N 434041,S200000,05300,0100,Y 434041,S200000,05300,0200,44H017 434041,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 434041,S200000,05400,0200,CAHABA GOVERNMENT BEN ADMIN LLC 434041,S200000,05400,0300,10301 434041,S200000,05500,0100,3001 KEITH STREET N.W. 434041,S200000,05500,0200,3480 434041,S200000,05600,0100,CLEVELAND 434041,S200000,05600,0200,TN 434041,S200000,05600,0300,37312 434042,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434042,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434042,A000000,00300,0000,0300EMPLOYEE BENEFITS 434042,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434042,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434042,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434042,A000000,00700,0000,0700HOUSEKEEPING 434042,A000000,00800,0000,0800DIETARY 434042,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434042,A000000,01300,0000,1300SOCIAL SERVICE 434042,A000000,01600,0000,1600SKILLED NURSING FACILITY 434042,A000000,02200,0000,2200LABORATORY 434042,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434042,A000000,02500,0000,2500PHYSICAL THERAPY 434042,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434042,A000000,02700,0000,2700SPEECH PATHOLOGY 434042,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434042,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434042,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434042,A000000,06200,0000,6200PATIENTS LAUNDRY 434042,A81000A,00100,0100,N 434042,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434042,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434042,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434042,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434042,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434042,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 434042,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434042,B100000,00000,0800,0800MEALS SERVED :DIETARY 434042,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434042,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434042,E10A180,00550,0100,01/12/12 434042,G300000,02500,0000,MISCELLANEOUS 434042,S000000,00100,0200,01/12/12 434042,S200000,00100,0100,THOMPSON CIRCLE 434042,S200000,00100,0300,190 434042,S200000,00200,0100,ABBEVILLE 434042,S200000,00200,0200,SC 434042,S200000,00200,0300,29620 434042,S200000,00300,0100,ABBEVILLE 434042,S200000,00300,0200,42 434042,S200000,00300,0300,R 434042,S200000,00400,0100,ABBEVILLE NURSING HOME 434042,S200000,00400,0200,425057 434042,S200000,00400,0300,10/01/83 434042,S200000,00400,0500,P 434042,S200000,01500,0100,Y 434042,S200000,01501,0200,Y 434042,S200000,01600,0100,N 434042,S200000,01700,0100,N 434042,S200000,01800,0100,N 434042,S200000,02200,0100,N 434042,S200000,02800,0100,N 434042,S200000,02900,0100,N 434042,S200000,03000,0100,N 434042,S200000,03100,0100,N 434042,S200000,03200,0100,N 434042,S200000,03300,0100,N 434042,S200000,03300,0200,N 434042,S200000,04100,0100,N 434042,S200000,04200,0100,N 434042,S200000,04300,0100,N 434042,S200000,04600,0100,N 434042,S200000,04700,0100,N 434042,S200000,04700,0200,N 434042,S200000,04900,0100,N 434042,S200000,05000,0100,N 434042,S200000,05100,0100,N 434042,S200000,05200,0100,N 434043,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434043,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434043,A000000,00300,0000,0300EMPLOYEE BENEFITS 434043,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434043,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434043,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434043,A000000,00700,0000,0700HOUSEKEEPING 434043,A000000,00800,0000,0800DIETARY 434043,A000000,00900,0000,0900NURSING ADMINISTRATION 434043,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434043,A000000,01100,0000,1100PHARMACY 434043,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434043,A000000,01300,0000,1300SOCIAL SERVICE 434043,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434043,A000000,01600,0000,1600SKILLED NURSING FACILITY 434043,A000000,01810,0000,1810ICF/MR 434043,A000000,02200,0000,2200LABORATORY 434043,A000000,02500,0000,2500PHYSICAL THERAPY 434043,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434043,A000000,02700,0000,2700SPEECH PATHOLOGY 434043,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434043,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434043,A000000,03300,0000,3050PEN OTHER 434043,A000000,03550,0000,3550FQHC 434043,A000000,05000,0000,5000CORF 434043,A000000,05010,0000,5010CMHC 434043,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434043,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434043,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434043,A81000A,00100,0100,N 434043,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434043,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434043,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434043,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434043,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434043,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434043,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434043,B100000,00000,0800,0800MEALS SERVED :DIETARY 434043,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434043,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434043,E10A180,00301,0100,09/30/11 434043,E10A180,00353,0100,07/22/11 434043,E10A180,00550,0100,03/02/12 434043,G300000,02500,0000, MISCELLANEOUS 434043,S000000,00100,0200,03/02/12 434043,S200000,00100,0100,HIGHWAY 78 434043,S200000,00200,0100,RIDGELAND 434043,S200000,00200,0200,SC 434043,S200000,00200,0300,29936 434043,S200000,00300,0100,JASPER 434043,S200000,00300,0201,25940 434043,S200000,00300,0300,R 434043,S200000,00400,0100,RIDGELAND NURSING CENTER INC. 434043,S200000,00400,0200,425132 434043,S200000,00400,0300,01/01/89 434043,S200000,00400,0500,P 434043,S200000,01500,0100,Y 434043,S200000,01501,0200,N 434043,S200000,01502,0200,N 434043,S200000,01503,0200,Y 434043,S200000,01504,0200,N 434043,S200000,01600,0100,N 434043,S200000,01700,0100,N 434043,S200000,01800,0100,N 434043,S200000,02200,0100,Y 434043,S200000,02800,0100,Y 434043,S200000,02900,0100,N 434043,S200000,03000,0100,N 434043,S200000,03100,0100,N 434043,S200000,03200,0100,N 434043,S200000,03300,0100,Y 434043,S200000,03300,0200,N 434043,S200000,04100,0100,N 434043,S200000,04200,0100,N 434043,S200000,04300,0100,N 434043,S200000,04600,0100,N 434043,S200000,04700,0100,N 434043,S200000,04700,0200,N 434043,S200000,04900,0100,N 434043,S200000,05000,0100,N 434043,S200000,05100,0100,N 434043,S200000,05200,0100,N 434043,S200000,05300,0100,N 434044,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434044,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434044,A000000,00300,0000,0300EMPLOYEE BENEFITS 434044,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434044,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434044,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434044,A000000,00700,0000,0700HOUSEKEEPING 434044,A000000,00800,0000,0800DIETARY 434044,A000000,00900,0000,0900NURSING ADMINISTRATION 434044,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434044,A000000,01100,0000,1100PHARMACY 434044,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434044,A000000,01300,0000,1300SOCIAL SERVICE 434044,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434044,A000000,01600,0000,1600SKILLED NURSING FACILITY 434044,A000000,01800,0000,1800NURSING FACILITY 434044,A000000,01900,0000,1900OTHER LONG TERM CARE 434044,A000000,02100,0000,2100RADIOLOGY 434044,A000000,02200,0000,2200LABORATORY 434044,A000000,02300,0000,2300INTRAVENOUS THERAPY 434044,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434044,A000000,02500,0000,2500PHYSICAL THERAPY 434044,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434044,A000000,02700,0000,2700SPEECH PATHOLOGY 434044,A000000,02800,0000,2800ELECTROCARDIOLOGY 434044,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434044,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434044,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434044,A000000,03200,0000,3200SUPPORT SURFACES 434044,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434044,A000000,03400,0000,3400CLINIC 434044,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434044,A000000,04800,0000,4800AMBULANCE 434044,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434044,A000000,05000,0000,5000CORF 434044,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434044,A000000,05300,0000,5300INTEREST EXPENSE 434044,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434044,A000000,05500,0000,5500HOSPICE 434044,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434044,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434044,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434044,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434044,A000000,06100,0000,6100NONPAID WORKERS 434044,A000000,06200,0000,6200PATIENTS LAUNDRY 434044,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434044,A81000A,00100,0100,Y 434044,A81000B,00100,0300,NURSING CONSULTING 434044,A81000B,00200,0300,DIETARY CONSULTING 434044,A81000B,00300,0300,HOME OFFICE 434044,A81000B,00400,0300,INTEREST EXPENSE 434044,A81000B,00500,0300,WORKERS COMP EXPENSE 434044,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434044,A81000B,00700,0300,MAINTENANCE SUPPLIES 434044,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,00900,0300,REPAIRS - EQUIPMENT 434044,A81000B,01000,0300,LINEN & BEDDING 434044,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,01200,0300,LAUNDRY SUPPLIES 434044,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 434044,A81000B,01500,0300,DIETARY SUPPLEMENTS 434044,A81000B,01600,0300,DIETARY SUPPLIES 434044,A81000B,01700,0300,BIO-MEDICAL WASTE 434044,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434044,A81000B,02000,0300,INCONTINENCE SUPPLIES 434044,A81000B,02100,0300,MEDICAL SUPPLIES 434044,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 434044,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,02400,0300,PT SUPPLIES 434044,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 434044,A81000B,02600,0300,OT SUPPLIES 434044,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 434044,A81000B,02800,0300,NURSING EQUIPMENT RENTAL 434044,A81000B,02900,0300,NON-LEGEND DRUGS 434044,A81000C,00100,0100,B 434044,A81000C,00100,0200,PLTC & PITS INC 434044,A81000C,00100,0400,PLTC & PITS INC 434044,A81000C,00100,0600,MGMT SERVICES 434044,A81000C,00200,0100,B 434044,A81000C,00200,0200,PLTC & PITS INC 434044,A81000C,00200,0400,PLTC & PITS INC 434044,A81000C,00200,0600,MGMT SERVICES 434044,A81000C,00300,0100,B 434044,A81000C,00300,0200,PLTC & PITS INC 434044,A81000C,00300,0400,PLTC & PITS INC 434044,A81000C,00300,0600,MGMT SERVICES 434044,A81000C,00400,0100,B 434044,A81000C,00400,0200,PLTC & PITS INC 434044,A81000C,00400,0400,PLTC & PITS INC 434044,A81000C,00400,0600,MGMT SERVICES 434044,A81000C,00500,0100,A 434044,A81000C,00500,0200,SHAREHOLDERS 434044,A81000C,00500,0400,DISCOVERY INSUR 434044,A81000C,00500,0600,INSURANCE 434044,A81000C,00600,0100,A 434044,A81000C,00600,0200,SHAREHOLDERS 434044,A81000C,00600,0400,QUEENSLAND ASSU 434044,A81000C,00600,0600,INSURANCE 434044,A81000C,00700,0100,A 434044,A81000C,00700,0200,SHAREHOLDERS 434044,A81000C,00700,0400,KARE MEDICAL 434044,A81000C,00700,0600,WHOLESALE SUPPL 434044,A81000C,00800,0100,A 434044,A81000C,00800,0200,SHAREHOLDERS 434044,A81000C,00800,0400,KARE MEDICAL 434044,A81000C,00800,0600,WHOLESALE SUPPL 434044,A81000C,00900,0100,A 434044,A81000C,00900,0200,SHAREHOLDERS 434044,A81000C,00900,0400,KARE MEDICAL 434044,A81000C,00900,0600,WHOLESALE SUPPL 434044,A81000C,01000,0100,A 434044,A81000C,01000,0200,SHAREHOLDERS 434044,A81000C,01000,0400,KARE MEDICAL 434044,A81000C,01000,0600,WHOLESALE SUPPL 434044,A81000C,01001,0100,A 434044,A81000C,01001,0200,SHAREHOLDERS 434044,A81000C,01001,0400,KARE MEDICAL 434044,A81000C,01001,0600,WHOLESALE SUPPL 434044,A81000C,01002,0100,A 434044,A81000C,01002,0200,SHAREHOLDERS 434044,A81000C,01002,0400,KARE MEDICAL 434044,A81000C,01002,0600,WHOLESALE SUPPL 434044,A81000C,01003,0100,A 434044,A81000C,01003,0200,SHAREHOLDERS 434044,A81000C,01003,0400,KARE MEDICAL 434044,A81000C,01003,0600,WHOLESALE SUPPL 434044,A81000C,01004,0100,A 434044,A81000C,01004,0200,SHAREHOLDERS 434044,A81000C,01004,0400,KARE MEDICAL 434044,A81000C,01004,0600,WHOLESALE SUPPL 434044,A81000C,01005,0100,A 434044,A81000C,01005,0200,SHAREHOLDERS 434044,A81000C,01005,0400,KARE MEDICAL 434044,A81000C,01005,0600,WHOLESALE SUPPL 434044,A81000C,01006,0100,A 434044,A81000C,01006,0200,SHAREHOLDERS 434044,A81000C,01006,0400,KARE MEDICAL 434044,A81000C,01006,0600,WHOLESALE SUPPL 434044,A81000C,01007,0100,A 434044,A81000C,01007,0200,SHAREHOLDERS 434044,A81000C,01007,0400,KARE MEDICAL 434044,A81000C,01007,0600,WHOLESALE SUPPL 434044,A81000C,01008,0100,A 434044,A81000C,01008,0200,SHAREHOLDERS 434044,A81000C,01008,0400,KARE MEDICAL 434044,A81000C,01008,0600,WHOLESALE SUPPL 434044,A81000C,01009,0100,A 434044,A81000C,01009,0200,SHAREHOLDERS 434044,A81000C,01009,0400,KARE MEDICAL 434044,A81000C,01009,0600,WHOLESALE SUPPL 434044,A81000C,01010,0100,A 434044,A81000C,01010,0200,SHAREHOLDERS 434044,A81000C,01010,0400,KARE MEDICAL 434044,A81000C,01010,0600,WHOLESALE SUPPL 434044,A81000C,01011,0100,A 434044,A81000C,01011,0200,SHAREHOLDERS 434044,A81000C,01011,0400,KARE MEDICAL 434044,A81000C,01011,0600,WHOLESALE SUPPL 434044,A81000C,01012,0100,A 434044,A81000C,01012,0200,SHAREHOLDERS 434044,A81000C,01012,0400,KARE MEDICAL 434044,A81000C,01012,0600,WHOLESALE SUPPL 434044,A81000C,01013,0100,A 434044,A81000C,01013,0200,SHAREHOLDERS 434044,A81000C,01013,0400,KARE MEDICAL 434044,A81000C,01013,0600,WHOLESALE SUPPL 434044,A81000C,01014,0100,A 434044,A81000C,01014,0200,SHAREHOLDERS 434044,A81000C,01014,0400,KARE MEDICAL 434044,A81000C,01014,0600,WHOLESALE SUPPL 434044,A81000C,01015,0100,A 434044,A81000C,01015,0200,SHAREHOLDERS 434044,A81000C,01015,0400,KARE MEDICAL 434044,A81000C,01015,0600,WHOLESALE SUPPL 434044,A81000C,01016,0100,A 434044,A81000C,01016,0200,SHAREHOLDERS 434044,A81000C,01016,0400,KARE MEDICAL 434044,A81000C,01016,0600,WHOLESALE SUPPL 434044,A81000C,01017,0100,A 434044,A81000C,01017,0200,SHAREHOLDERS 434044,A81000C,01017,0400,KARE MEDICAL 434044,A81000C,01017,0600,WHOLESALE SUPPL 434044,A81000C,01018,0100,A 434044,A81000C,01018,0200,SHAREHOLDERS 434044,A81000C,01018,0400,PHARMSAVE 434044,A81000C,01018,0600,RX SUPPLY 434044,A81000C,01019,0100,A 434044,A81000C,01019,0200,SHAREHOLDERS 434044,A81000C,01019,0400,PHARMSAVE 434044,A81000C,01019,0600,RX SUPPLY 434044,A81000C,01020,0100,A 434044,A81000C,01020,0200,SHAREHOLDERS 434044,A81000C,01020,0400,PHARMSAVE 434044,A81000C,01020,0600,RX SUPPLY 434044,A81000C,01021,0100,A 434044,A81000C,01021,0200,SHAREHOLDERS 434044,A81000C,01021,0400,PHARMSAVE 434044,A81000C,01021,0600,RX SUPPLY 434044,A81000C,01022,0100,A 434044,A81000C,01022,0200,SHAREHOLDERS 434044,A81000C,01022,0400,PHARMSAVE 434044,A81000C,01022,0600,RX SUPPLY 434044,A81000C,01023,0100,A 434044,A81000C,01023,0200,SHAREHOLDERS 434044,A81000C,01023,0400,ROBERT HILL CON 434044,A81000C,01023,0600,CONSTRUCTION 434044,A81000C,01024,0100,A 434044,A81000C,01024,0200,SHAREHOLDERS 434044,A81000C,01024,0400,ROBERT HILL CON 434044,A81000C,01024,0600,CONSTRUCTION 434044,A81000C,01025,0100,A 434044,A81000C,01025,0200,SHAREHOLDERS 434044,A81000C,01025,0400,HILLCO LTD 434044,A81000C,01025,0600,REAL ESTATE 434044,A81000C,01026,0100,A 434044,A81000C,01026,0200,SHAREHOLDERS 434044,A81000C,01026,0400,BRITTHAVEN INC 434044,A81000C,01026,0600,REAL ESTATE 434044,A81000C,01027,0100,A 434044,A81000C,01027,0200,SHAREHOLDERS 434044,A81000C,01027,0400,BRITTHAVEN INC 434044,A81000C,01027,0600,REAL ESTATE 434044,A81000C,01028,0100,A 434044,A81000C,01028,0200,SHAREHOLDERS 434044,A81000C,01028,0400,BRITTHAVEN INC 434044,A81000C,01028,0600,REAL ESTATE 434044,A81000C,01029,0100,A 434044,A81000C,01029,0200,SHAREHOLDERS 434044,A81000C,01029,0400,BRITTHAVEN INC 434044,A81000C,01029,0600,REAL ESTATE 434044,A81000C,01030,0100,A 434044,A81000C,01030,0200,SHAREHOLDERS 434044,A81000C,01030,0400,BRITTHAVEN INC 434044,A81000C,01030,0600,REAL ESTATE 434044,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434044,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434044,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434044,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434044,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434044,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434044,B100000,00000,0800,0800MEALS SERVED :DIETARY 434044,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434044,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434044,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434044,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434044,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434044,E10A180,00350,0100,07/27/11 434044,E10A180,00501,0100,05/21/12 434044,G300000,02500,0000, OTHER (SPECIFY) 434044,S000000,00100,0200,02/29/12 434044,S200000,00100,0100,1721 BLAD HEAD LOOP 434044,S200000,00200,0100,MADISON 434044,S200000,00200,0200,NC 434044,S200000,00200,0300,27025 434044,S200000,00300,0100,ROCKINGHAM 434044,S200000,00300,0201,24660 434044,S200000,00300,0300,U 434044,S200000,00400,0100,JACOB S CREEK NURSING & REHAB CENTER 434044,S200000,00400,0200,345050 434044,S200000,00400,0300,01/01/11 434044,S200000,00400,0500,P 434044,S200000,01500,0100,Y 434044,S200000,01501,0200,Y 434044,S200000,01503,0200,Y 434044,S200000,01504,0200,Y 434044,S200000,01505,0000,OTHER (SPECIFY) 434044,S200000,01505,0200,Y 434044,S200000,01600,0100,N 434044,S200000,01700,0100,N 434044,S200000,01800,0100,N 434044,S200000,02200,0100,N 434044,S200000,02800,0100,N 434044,S200000,02900,0100,N 434044,S200000,03000,0100,N 434044,S200000,03100,0100,N 434044,S200000,03200,0100,N 434044,S200000,03300,0100,N 434044,S200000,03300,0200,N 434044,S200000,04100,0100,N 434044,S200000,04200,0100,N 434044,S200000,04300,0100,N 434044,S200000,04600,0100,N 434044,S200000,04700,0100,N 434044,S200000,04700,0200,N 434044,S200000,04900,0100,N 434044,S200000,05000,0100,N 434044,S200000,05100,0100,N 434044,S200000,05200,0100,N 434044,S200000,05300,0100,Y 434044,S200000,05300,0200,349011 434044,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434044,S200000,05400,0200,PALMETTO GBA 434044,S200000,05400,0300,11501 434044,S200000,05500,0100,1435 HWY 258 NORTH 434044,S200000,05500,0200,PO BOX 61 434044,S200000,05600,0100,KINSTON 434044,S200000,05600,0200,NC 434044,S200000,05600,0300,28501 434045,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434045,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434045,A000000,00300,0000,0300EMPLOYEE BENEFITS 434045,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434045,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434045,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434045,A000000,00700,0000,0700HOUSEKEEPING 434045,A000000,00800,0000,0800DIETARY 434045,A000000,00900,0000,0900NURSING ADMINISTRATION 434045,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434045,A000000,01100,0000,1100PHARMACY 434045,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434045,A000000,01300,0000,1300SOCIAL SERVICE 434045,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434045,A000000,01500,0000,1350RECREATION 434045,A000000,01600,0000,1600SKILLED NURSING FACILITY 434045,A000000,01810,0000,1810ICF/MR 434045,A000000,02100,0000,2100RADIOLOGY 434045,A000000,02200,0000,2200LABORATORY 434045,A000000,02300,0000,2300INTRAVENOUS THERAPY 434045,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434045,A000000,02500,0000,2500PHYSICAL THERAPY 434045,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434045,A000000,02700,0000,2700SPEECH PATHOLOGY 434045,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434045,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434045,A000000,03550,0000,3550FQHC 434045,A000000,04801,0000,4801AMBULANCE 434045,A000000,04802,0000,4802AMBULANCE 434045,A000000,04803,0000,4803AMBULANCE 434045,A000000,05000,0000,5000CORF 434045,A000000,05010,0000,5010CMHC 434045,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434045,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434045,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434045,A81000A,00100,0100,Y 434045,A81000B,00100,0300,SEE ATTACHED 434045,A81000B,00200,0300,HOME OFFICE INTEREST 434045,A81000B,00300,0300,HOME OFFICE A&G 434045,A81000B,00400,0300,HOME OFFICE CAP PIEC 434045,A81000C,00100,0100,B 434045,A81000C,00100,0400,SEE ATTACHED 434045,A81000C,00100,0600,VARIOUS 434045,A81000C,00200,0100,B 434045,A81000C,00200,0400,GHC 434045,A81000C,00200,0600,LONG TERM CARE 434045,A81000C,00300,0100,B 434045,A81000C,00300,0400,GHC 434045,A81000C,00300,0600,LONG TERM CARE 434045,A81000C,00400,0100,B 434045,A81000C,00400,0400,GHC 434045,A81000C,00400,0600,LONG TERM CARE 434045,B100000,00000,0100,0100SQUARE FEET 434045,B100000,00000,0200,0200SQUARE FEET 434045,B100000,00000,0300,0300GROSS SALARIES 434045,B100000,00000,0400,0400ACCUM COST 434045,B100000,00000,0500,0500SQUARE FEET 434045,B100000,00000,0600,0600PATIENT DAYS 434045,B100000,00000,0700,0700SQUARE FEET 434045,B100000,00000,0800,0800MEALS SERVED 434045,B100000,00000,0900,0900NURSING SALARIES 434045,B100000,00000,1000,1000COSTED REQUIS 434045,B100000,00000,1100,1100COSTED REQUIS 434045,B100000,00000,1200,1200PATIENT DAYS 434045,B100000,00000,1300,1300PATIENT DAYS 434045,B100000,00000,1400,1400ASSIGNED TIME 434045,B100000,00000,1500,1350PATIENT DAYS 434045,E10A180,00501,0100,05/16/12 434045,E10A180,00501,0300,05/16/12 434045,G300000,02500,0000,BARBER AND BEAUTY 434045,S000000,00100,0200,09/12/11 434045,S200000,00100,0100,625 STATE HIGHWAY 34 434045,S200000,00200,0100,MATAWAN 434045,S200000,00200,0200,NJ 434045,S200000,00200,0300,07747 434045,S200000,00300,0100,MIDDLESEX 434045,S200000,00300,0201,20764 434045,S200000,00300,0300,U 434045,S200000,00400,0100,MADISON CENTER 434045,S200000,00400,0200,315015 434045,S200000,00400,0300,01/01/95 434045,S200000,00400,0500,P 434045,S200000,01500,0100,Y 434045,S200000,01501,0200,N 434045,S200000,01502,0200,N 434045,S200000,01503,0200,N 434045,S200000,01504,0200,N 434045,S200000,01600,0100,N 434045,S200000,01700,0100,N 434045,S200000,01800,0100,N 434045,S200000,02200,0100,Y 434045,S200000,02800,0100,N 434045,S200000,02900,0100,N 434045,S200000,03000,0100,N 434045,S200000,03100,0100,N 434045,S200000,03200,0100,N 434045,S200000,03300,0100,N 434045,S200000,03300,0200,N 434045,S200000,04200,0100,N 434045,S200000,04300,0100,N 434045,S200000,04600,0100,N 434045,S200000,04700,0100,N 434045,S200000,04900,0100,N 434045,S200000,05200,0100,N 434045,S200000,05300,0100,Y 434045,S200000,05300,0200,HB0067 434045,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434045,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434045,S200000,05400,0300,12001 434045,S200000,05500,0100,101 EAST STATE STREET 434045,S200000,05600,0100,KENNETT SQUARE 434045,S200000,05600,0200,PA 434045,S200000,05600,0300,19348 434047,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434047,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434047,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434047,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434047,A000000,00700,0000,0700HOUSEKEEPING 434047,A000000,00800,0000,0800DIETARY 434047,A000000,00900,0000,0900NURSING ADMINISTRATION 434047,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434047,A000000,01100,0000,1100PHARMACY 434047,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434047,A000000,01300,0000,1300SOCIAL SERVICE 434047,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434047,A000000,01500,0000,1350ACTIVITIES REC/THERAPY 434047,A000000,01600,0000,1600SKILLED NURSING FACILITY 434047,A000000,01800,0000,1800NURSING FACILITY 434047,A000000,01810,0000,1810ICF/MR 434047,A000000,01900,0000,1900OTHER LONG TERM CARE 434047,A000000,02100,0000,2100RADIOLOGY 434047,A000000,02200,0000,2200LABORATORY 434047,A000000,02300,0000,2300INTRAVENOUS THERAPY 434047,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434047,A000000,02500,0000,2500PHYSICAL THERAPY 434047,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434047,A000000,02700,0000,2700SPEECH PATHOLOGY 434047,A000000,02800,0000,2800ELECTROCARDIOLOGY 434047,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434047,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434047,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434047,A000000,03200,0000,3200SUPPORT SURFACES 434047,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434047,A000000,03400,0000,3400CLINIC 434047,A000000,03500,0000,3500RURAL HEALTH CLINIC 434047,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434047,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434047,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434047,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434047,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434047,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434047,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434047,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434047,A000000,04400,0000,4400DME RENTED - HHA 434047,A000000,04500,0000,4500DME SOLD - HHA 434047,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434047,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434047,A000000,04710,0000,4710TELEMEDICINE 434047,A000000,04800,0000,4800AMBULANCE 434047,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434047,A000000,05000,0000,5000CORF 434047,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434047,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434047,A000000,05300,0000,5300INTEREST EXPENSE 434047,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434047,A000000,05500,0000,5500HOSPICE 434047,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434047,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434047,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434047,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434047,A000000,06100,0000,6100NONPAID WORKERS 434047,A000000,06200,0000,6200PATIENTS LAUNDRY 434047,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434047,A81000A,00100,0100,Y 434047,A81000B,00100,0300,MANAGEMENT FEES 434047,A81000B,00200,0300,REHAB SERVICES 434047,A81000B,00300,0300,REHAB SERVICES 434047,A81000B,00400,0300,REHAB SERVICES 434047,A81000C,00100,0100,A 434047,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434047,A81000C,00100,0400,GABRIEL LIVING CENTERS 434047,A81000C,00100,0600,MANAGEMENT COMPANY 434047,A81000C,00200,0100,A 434047,A81000C,00200,0200,SIGMALINK REHAB 434047,A81000C,00200,0400,GABRIEL LIVING CENTERS 434047,A81000C,00200,0600,REHAB COMPANY 434047,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434047,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434047,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434047,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434047,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434047,B100000,00000,0800,0800MEALS SERVED :DIETARY 434047,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434047,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434047,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434047,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434047,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES REC/TH 434047,E10A180,00501,0100,02/21/12 434047,E10A180,00501,0300,02/21/12 434047,G300000,02500,0000,MISC REVENUE 434047,S000000,00100,0200,02/02/12 434047,S200000,00100,0100,2810 RULEME STREET 434047,S200000,00200,0100,EUSTIS 434047,S200000,00200,0200,FL 434047,S200000,00200,0300,32726 434047,S200000,00300,0100,LAKE 434047,S200000,00300,0201,36740 434047,S200000,00300,0300,U 434047,S200000,00400,0100,RULEME CENTER 434047,S200000,00400,0200,105855 434047,S200000,00400,0300,10/01/94 434047,S200000,00400,0500,P 434047,S200000,01500,0100,Y 434047,S200000,01501,0200,Y 434047,S200000,01502,0200,Y 434047,S200000,01503,0200,Y 434047,S200000,01504,0200,Y 434047,S200000,01600,0100,N 434047,S200000,01700,0100,N 434047,S200000,01800,0100,N 434047,S200000,01900,0100,LIMITED LIABILITY CO 434047,S200000,02200,0100,Y 434047,S200000,02800,0100,N 434047,S200000,02900,0100,N 434047,S200000,03000,0100,N 434047,S200000,03100,0100,N 434047,S200000,03200,0100,N 434047,S200000,03300,0100,N 434047,S200000,03300,0200,N 434047,S200000,04100,0100,N 434047,S200000,04200,0100,N 434047,S200000,04300,0100,N 434047,S200000,04600,0100,N 434047,S200000,04700,0100,N 434047,S200000,04700,0200,N 434047,S200000,04900,0100,N 434047,S200000,05000,0100,N 434047,S200000,05100,0100,N 434047,S200000,05200,0100,N 434056,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434056,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434056,A000000,00300,0000,0300EMPLOYEE BENEFITS 434056,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434056,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434056,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434056,A000000,00700,0000,0700HOUSEKEEPING 434056,A000000,00800,0000,0800DIETARY 434056,A000000,00900,0000,0900NURSING ADMINISTRATION 434056,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434056,A000000,01100,0000,1100PHARMACY 434056,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434056,A000000,01300,0000,1300SOCIAL SERVICE 434056,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434056,A000000,01600,0000,1600SKILLED NURSING FACILITY 434056,A000000,01810,0000,1810ICF/MR 434056,A000000,02100,0000,2100RADIOLOGY 434056,A000000,02200,0000,2200LABORATORY 434056,A000000,02300,0000,2300INTRAVENOUS THERAPY 434056,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434056,A000000,02500,0000,2500PHYSICAL THERAPY 434056,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434056,A000000,02700,0000,2700SPEECH PATHOLOGY 434056,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434056,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434056,A000000,03550,0000,3550FQHC 434056,A000000,05000,0000,5000CORF 434056,A000000,05010,0000,5010CMHC 434056,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434056,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434056,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434056,A000000,05300,0000,5300INTEREST EXPENSE 434056,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434056,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434056,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434056,A81000A,00100,0100,Y 434056,A81000B,00100,0300,HOME OFFICE 434056,A81000B,00200,0300,HOME OFFICE 434056,A81000B,00300,0300,CONSULTING SVCS 434056,A81000B,00400,0300,DIETARY QA 434056,A81000B,00500,0300,MR QA 434056,A81000B,00600,0300,CLIN CASE MGT/QA 434056,A81000B,00700,0300,SOC WORK QA 434056,A81000C,00100,0100,B 434056,A81000C,00100,0200,HSM INC. 434056,A81000C,00100,0400,HSM INC. 434056,A81000C,00100,0600,HOME OFFICE 434056,A81000C,00200,0100,D 434056,A81000C,00200,0200,HSM INC. 434056,A81000C,00200,0400,HEALTHCARE ADVI 434056,A81000C,00200,0600,CONSULTING/QA 434056,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434056,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434056,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434056,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434056,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434056,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434056,B100000,00000,0800,0800MEALS SERVED :DIETARY 434056,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434056,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434056,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434056,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434056,E10A180,00301,0100,03/01/11 434056,E10A180,00501,0100,03/23/12 434056,G300000,02500,0000,OTHER OPERATING REVENUE 434056,G300000,02501,0000,MISC 434056,G300000,02502,0000,MEDICAL SERVICES 434056,G300000,02503,0000,BEAUTY & BARBER 434056,S000000,00100,0200,02/27/12 434056,S200000,00100,0100,8041 STATE ROUTE 52 434056,S200000,00100,0300,5067 434056,S200000,00200,0100,HUDSON 434056,S200000,00200,0200,FL 434056,S200000,00200,0300,34667 434056,S200000,00300,0100,PASCO 434056,S200000,00300,0201,45300 434056,S200000,00300,0300,U 434056,S200000,00400,0100,BEAR CREEK NURSING CENTER 434056,S200000,00400,0200,105393 434056,S200000,00400,0300,11/01/90 434056,S200000,00400,0500,P 434056,S200000,00600,0200,105393 434056,S200000,00600,0300,11/01/90 434056,S200000,00600,0600,O 434056,S200000,01500,0100,Y 434056,S200000,01501,0200,Y 434056,S200000,01600,0100,N 434056,S200000,01700,0100,N 434056,S200000,01800,0100,N 434056,S200000,02200,0100,N 434056,S200000,02800,0100,N 434056,S200000,02900,0100,N 434056,S200000,03000,0100,N 434056,S200000,03100,0100,N 434056,S200000,03200,0100,N 434056,S200000,03300,0100,N 434056,S200000,03300,0200,N 434056,S200000,03500,0300,N 434056,S200000,04100,0100,N 434056,S200000,04200,0100,N 434056,S200000,04300,0100,N 434056,S200000,04600,0100,N 434056,S200000,04700,0100,N 434056,S200000,04700,0200,N 434056,S200000,04900,0100,N 434056,S200000,05000,0100,N 434056,S200000,05100,0100,N 434056,S200000,05200,0100,N 434056,S200000,05300,0100,Y 434056,S200000,05300,0200,44-HO9 434056,S200000,05400,0100,HEALTH SERVICES MANAGEMENT INC. 434056,S200000,05400,0200,CAHABA GBA 434056,S200000,05400,0300,10301 434056,S200000,05500,0100,206 FORTRESS BLVD 434056,S200000,05600,0100,MURFREESBORO 434056,S200000,05600,0200,TN 434056,S200000,05600,0300,37128 434062,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434062,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434062,A000000,00300,0000,0300EMPLOYEE BENEFITS 434062,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434062,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434062,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434062,A000000,00700,0000,0700HOUSEKEEPING 434062,A000000,00800,0000,0800DIETARY 434062,A000000,00900,0000,0900NURSING ADMINISTRATION 434062,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434062,A000000,01100,0000,1100PHARMACY 434062,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434062,A000000,01300,0000,1300SOCIAL SERVICE 434062,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434062,A000000,01500,0000,1350RESIDENT ACTIVITIES 434062,A000000,01600,0000,1600SKILLED NURSING FACILITY 434062,A000000,01810,0000,1810ICF/MR 434062,A000000,02100,0000,2100RADIOLOGY 434062,A000000,02200,0000,2200LABORATORY 434062,A000000,02500,0000,2500PHYSICAL THERAPY 434062,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434062,A000000,02700,0000,2700SPEECH PATHOLOGY 434062,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434062,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434062,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434062,A000000,03550,0000,3550FQHC 434062,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434062,A000000,04710,0000,4710TELEMEDICINE 434062,A000000,04801,0000,4801AMBULANCE 434062,A000000,04802,0000,4802AMBULANCE 434062,A000000,04803,0000,4803AMBULANCE 434062,A000000,05000,0000,5000CORF 434062,A000000,05010,0000,5010CMHC 434062,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434062,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434062,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434062,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434062,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434062,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434062,A81000A,00100,0100,Y 434062,A81000B,00100,0300,MANAGEMENT FEES 434062,A81000C,00100,0100,B 434062,A81000C,00100,0200,PHILA PRESBY HOMES 434062,A81000C,00100,0400,PHILA PRESBY HOMES 434062,A81000C,00100,0600,MANAGEMENT SERVICES 434062,B100000,00000,0100,0100SQUARE FEET 434062,B100000,00000,0200,0200SQUARE FEET 434062,B100000,00000,0300,0300GROSS SALARIES 434062,B100000,00000,0400,0400ACCUM COST 434062,B100000,00000,0500,0500SQUARE FEET 434062,B100000,00000,0600,0600PATIENT DAYS 434062,B100000,00000,0700,0700SQ FT EXCL DIETA 434062,B100000,00000,0800,0800MEALS SERVED 434062,B100000,00000,0900,0900PATIENT DAYS 434062,B100000,00000,1000,1000COSTED REQUIS. 434062,B100000,00000,1100,1100PATIENT DAYS 434062,B100000,00000,1200,1200PATIENT DAYS 434062,B100000,00000,1300,1300PATIENT DAYS 434062,B100000,00000,1400,1400PATIENT DAYS 434062,B100000,00000,1500,1350PATIENT DAYS 434062,E10A180,00301,0100,10/31/11 434062,E10A180,00350,0100,07/19/11 434062,S000000,00100,0200,02/13/12 434062,S200000,00100,0100,2050 SOUTH 58TH STREET 434062,S200000,00200,0100,PHILADELPHIA 434062,S200000,00200,0200,PA 434062,S200000,00200,0300,19143 434062,S200000,00300,0100,PHILADELPHIA 434062,S200000,00300,0201,37964 434062,S200000,00300,0300,U 434062,S200000,00400,0100,THE 58TH STREET PRESBYTERIAN HOME 434062,S200000,00400,0200,395501 434062,S200000,00400,0300,07/01/96 434062,S200000,00400,0500,P 434062,S200000,01500,0100,Y 434062,S200000,01501,0200,Y 434062,S200000,01600,0100,N 434062,S200000,01700,0100,N 434062,S200000,01800,0100,N 434062,S200000,02200,0100,N 434062,S200000,02800,0100,N 434062,S200000,02900,0100,N 434062,S200000,03000,0100,N 434062,S200000,03100,0100,N 434062,S200000,03200,0100,N 434062,S200000,03300,0100,N 434062,S200000,03300,0200,N 434062,S200000,04200,0100,N 434062,S200000,04300,0100,N 434062,S200000,04600,0100,N 434062,S200000,04700,0100,N 434062,S200000,04900,0100,N 434062,S200000,05200,0100,N 434064,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434064,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434064,A000000,00300,0000,0300EMPLOYEE BENEFITS 434064,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434064,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434064,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434064,A000000,00700,0000,0700HOUSEKEEPING 434064,A000000,00800,0000,0800DIETARY 434064,A000000,00900,0000,0900NURSING ADMINISTRATION 434064,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434064,A000000,01100,0000,1100PHARMACY 434064,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434064,A000000,01300,0000,1300SOCIAL SERVICE 434064,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434064,A000000,01500,0000,1350ACTIVITIES 434064,A000000,01600,0000,1600SKILLED NURSING FACILITY 434064,A000000,01800,0000,1800NURSING FACILITY 434064,A000000,01810,0000,1810ICF/MR 434064,A000000,02100,0000,2100RADIOLOGY 434064,A000000,02200,0000,2200LABORATORY 434064,A000000,02300,0000,2300INTRAVENOUS THERAPY 434064,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434064,A000000,02500,0000,2500PHYSICAL THERAPY 434064,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434064,A000000,02700,0000,2700SPEECH PATHOLOGY 434064,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434064,A000000,02901,0000,2901PEN THERAPY 434064,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434064,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 434064,A000000,03301,0000,3051AMBULANCE 434064,A000000,03550,0000,3550FQHC 434064,A000000,04801,0000,4801AMBULANCE 434064,A000000,04802,0000,4802AMBULANCE 434064,A000000,04803,0000,4803AMBULANCE 434064,A000000,05000,0000,5000CORF 434064,A000000,05010,0000,5010CMHC 434064,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434064,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434064,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434064,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434064,A000000,06300,0000,6150MARKETING SALARIES 434064,A81000A,00100,0100,Y 434064,A81000B,00100,0300,POOLED OPER& CAPITAL 434064,A81000B,00200,0300,ALLOCATED COSTS 434064,A81000B,00300,0300,ALLOCATED COSTS 434064,A81000B,00400,0300,ALLOCATED COSTS 434064,A81000B,00500,0300,INT DESIGN&FURNISHIN 434064,A81000B,00600,0300,WORK COMP 434064,A81000B,00700,0300,LIABILITY INSURANCE 434064,A81000B,00800,0300,AUTO INSURANCE 434064,A81000B,00900,0300,LEASE PAYMENT 434064,A81000B,01000,0300,HEALTH/LIFE INSURANC 434064,A81000B,01100,0300,ADD L COMPENSATION 434064,A81000C,00100,0100,A 434064,A81000C,00100,0200,FORREST PRESTON 434064,A81000C,00100,0400,LCCA 434064,A81000C,00100,0600,MANAGEMENT SERV 434064,A81000C,00200,0100,A 434064,A81000C,00200,0200,FORREST PRESTON 434064,A81000C,00200,0400,LEADER CARE 434064,A81000C,00200,0600,WRKCMP/LIAB/AUT 434064,A81000C,00300,0100,A 434064,A81000C,00300,0200,FORREST PRESTON 434064,A81000C,00300,0400,ASSOC BENEFIT T 434064,A81000C,00300,0600,GROUP HLTH/LIFE 434064,A81000C,00400,0100,A 434064,A81000C,00400,0200,FORREST PRESTON 434064,A81000C,00400,0400,KANSAS CITY MED 434064,A81000C,00400,0600,HUD FINANCING 434064,A81000C,00500,0100,A 434064,A81000C,00500,0200,FORREST PRESTON 434064,A81000C,00500,0400,LIFE CARE DESIG 434064,A81000C,00500,0600,INT DESIGN&FURN 434064,A81000C,00600,0100,A 434064,A81000C,00600,0200,FORREST PRESTON 434064,A81000C,00600,0400,RANGELINE CAPIT 434064,A81000C,00600,0600,PROCUREMENT OF 434064,B100000,00000,0100,0100(SQUARE FEET) 434064,B100000,00000,0200,0200(SQUARE FEET) 434064,B100000,00000,0300,0300(GROSS SALARIES) 434064,B100000,00000,0400,0400ACCUM COST 434064,B100000,00000,0500,0500(SQUARE FEET) 434064,B100000,00000,0600,0600PATIENT DAYS 434064,B100000,00000,0700,0700(SQUARE FEET) 434064,B100000,00000,0800,0800(MEALS SERVED) 434064,B100000,00000,0900,0900DIRECT NRSG HRS 434064,B100000,00000,1000,1000(COSTED REQUIS) 434064,B100000,00000,1100,1100(COSTED REQUIS) 434064,B100000,00000,1200,1200GROSS REVENUES 434064,B100000,00000,1300,1300PATIENT DAYS 434064,B100000,00000,1400,1400(ASSIGNED TIME) 434064,B100000,00000,1500,1350PATIENT DAYS 434064,E10A180,00301,0100,01/28/11 434064,E10A180,00302,0100,08/29/11 434064,E10A180,00501,0100,04/05/12 434064,S000000,00100,0200,01/17/12 434064,S200000,00100,0100,3231 NORTH 61ST STREET 434064,S200000,00200,0100,KANSAS CITY 434064,S200000,00200,0200,KS 434064,S200000,00200,0300,66104 434064,S200000,00300,0100,WYANDOTTE 434064,S200000,00300,0201,28140 434064,S200000,00300,0300,U 434064,S200000,00400,0100,LIFE CARE CENTER OF KANSAS CITY 434064,S200000,00400,0200,175281 434064,S200000,00400,0300,12/14/93 434064,S200000,00400,0500,P 434064,S200000,00400,0600,P 434064,S200000,01500,0100,Y 434064,S200000,01501,0200,N 434064,S200000,01502,0200,N 434064,S200000,01503,0200,N 434064,S200000,01504,0200,N 434064,S200000,01505,0000,OTHER 434064,S200000,01505,0200,N 434064,S200000,01600,0100,N 434064,S200000,01700,0100,N 434064,S200000,01800,0100,N 434064,S200000,02200,0100,Y 434064,S200000,02800,0100,Y 434064,S200000,02900,0100,N 434064,S200000,03000,0100,N 434064,S200000,03100,0100,N 434064,S200000,03200,0100,N 434064,S200000,03300,0100,N 434064,S200000,03300,0200,N 434064,S200000,04200,0100,N 434064,S200000,04300,0100,Y 434064,S200000,04600,0100,N 434064,S200000,04700,0100,N 434064,S200000,04900,0100,N 434064,S200000,05200,0100,N 434064,S200000,05300,0100,Y 434064,S200000,05300,0200,44H017 434064,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 434064,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMINISTR 434064,S200000,05400,0300,10301 434064,S200000,05500,0100,3570 KEITH STREET N.W. 434064,S200000,05600,0100,CLEVELAND 434064,S200000,05600,0200,TN 434064,S200000,05600,0300,37312 434071,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434071,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434071,A000000,00300,0000,0300EMPLOYEE BENEFITS 434071,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434071,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434071,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434071,A000000,00700,0000,0700HOUSEKEEPING 434071,A000000,00800,0000,0800DIETARY 434071,A000000,00900,0000,0900NURSING ADMINISTRATION 434071,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434071,A000000,01100,0000,1100PHARMACY 434071,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434071,A000000,01300,0000,1300SOCIAL SERVICE 434071,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434071,A000000,01500,0000,1350RECREATION 434071,A000000,01600,0000,1600SKILLED NURSING FACILITY 434071,A000000,01810,0000,1810ICF/MR 434071,A000000,02100,0000,2100RADIOLOGY 434071,A000000,02200,0000,2200LABORATORY 434071,A000000,02300,0000,2300INTRAVENOUS THERAPY 434071,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434071,A000000,02500,0000,2500PHYSICAL THERAPY 434071,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434071,A000000,02700,0000,2700SPEECH PATHOLOGY 434071,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434071,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434071,A000000,03550,0000,3550FQHC 434071,A000000,04801,0000,4801AMBULANCE 434071,A000000,04802,0000,4802AMBULANCE 434071,A000000,04803,0000,4803AMBULANCE 434071,A000000,05000,0000,5000CORF 434071,A000000,05010,0000,5010CMHC 434071,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434071,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434071,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434071,A000000,06300,0000,6150RESIDENTIAL 434071,A81000A,00100,0100,Y 434071,A81000B,00100,0300,AS ATTACHED 434071,A81000B,00200,0300,HOME OFFICE INTEREST 434071,A81000B,00300,0300,HOME OFFICE A&G 434071,A81000B,00400,0300,HOME OFFICE CAP PIEC 434071,A81000C,00100,0100,B 434071,A81000C,00100,0400,AS ATTACHED 434071,A81000C,00100,0600,VARIOUS 434071,A81000C,00200,0100,B 434071,A81000C,00200,0400,GHC 434071,A81000C,00200,0600,LONG TERM CARE 434071,A81000C,00300,0100,B 434071,A81000C,00300,0400,GHC 434071,A81000C,00300,0600,LONG TERM CARE 434071,A81000C,00400,0100,B 434071,A81000C,00400,0400,GHC 434071,A81000C,00400,0600,LONG TERM CARE 434071,B100000,00000,0100,0100SQUARE FEET 434071,B100000,00000,0200,0200SQUARE FEET 434071,B100000,00000,0300,0300GROSS SALARIES 434071,B100000,00000,0400,0400ACCUM COST 434071,B100000,00000,0500,0500SQUARE FEET 434071,B100000,00000,0600,0600PATIENT DAYS 434071,B100000,00000,0700,0700SQUARE FEET 434071,B100000,00000,0800,0800MEALS SERVED 434071,B100000,00000,0900,0900NURSING SALARIES 434071,B100000,00000,1000,1000COSTED REQUIS 434071,B100000,00000,1100,1100COSTED REQUIS 434071,B100000,00000,1200,1200PATIENT DAYS 434071,B100000,00000,1300,1300PATIENT DAYS 434071,B100000,00000,1400,1400ASSIGNED TIME 434071,B100000,00000,1500,1350PATIENT DAYS 434071,E10A180,00350,0100,03/24/11 434071,E10A180,00501,0300,03/26/12 434071,E10A180,00550,0100,03/26/12 434071,G300000,02500,0000,BARBER & BEAUTY 434071,G300000,02501,0000,ASSISTED LIVING 434071,S000000,00100,0200,09/12/11 434071,S200000,00100,0100,290 RED SCHOOL LANE 434071,S200000,00200,0100,PHILLIPSBURG 434071,S200000,00200,0200,NJ 434071,S200000,00200,0300,08865 434071,S200000,00300,0100,WARREN 434071,S200000,00300,0201,10900 434071,S200000,00300,0300,U 434071,S200000,00400,0100,BRAKELEY PARK CENTER 434071,S200000,00400,0200,315316 434071,S200000,00400,0300,09/17/92 434071,S200000,00400,0500,P 434071,S200000,01500,0100,Y 434071,S200000,01501,0200,N 434071,S200000,01502,0200,N 434071,S200000,01503,0200,N 434071,S200000,01504,0200,N 434071,S200000,01600,0100,N 434071,S200000,01700,0100,N 434071,S200000,01800,0100,N 434071,S200000,02200,0100,Y 434071,S200000,02800,0100,N 434071,S200000,02900,0100,N 434071,S200000,03000,0100,N 434071,S200000,03100,0100,N 434071,S200000,03200,0100,N 434071,S200000,03300,0100,N 434071,S200000,03300,0200,N 434071,S200000,04200,0100,N 434071,S200000,04300,0100,N 434071,S200000,04600,0100,N 434071,S200000,04700,0100,N 434071,S200000,04900,0100,N 434071,S200000,05200,0100,N 434071,S200000,05300,0100,Y 434071,S200000,05300,0200,HB0067 434071,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434071,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434071,S200000,05400,0300,12001 434071,S200000,05500,0100,101 EAST STATE STREET 434071,S200000,05600,0100,KENNETT SQUARE 434071,S200000,05600,0200,PA 434071,S200000,05600,0300,19348 434072,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434072,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434072,A000000,00300,0000,0300EMPLOYEE BENEFITS 434072,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434072,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434072,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434072,A000000,00700,0000,0700HOUSEKEEPING 434072,A000000,00800,0000,0800DIETARY 434072,A000000,00900,0000,0900NURSING ADMINISTRATION 434072,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434072,A000000,01100,0000,1100PHARMACY 434072,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434072,A000000,01300,0000,1300SOCIAL SERVICE 434072,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434072,A000000,01500,0000,1350RECREATION 434072,A000000,01600,0000,1600SKILLED NURSING FACILITY 434072,A000000,01810,0000,1810ICF/MR 434072,A000000,02100,0000,2100RADIOLOGY 434072,A000000,02200,0000,2200LABORATORY 434072,A000000,02300,0000,2300INTRAVENOUS THERAPY 434072,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434072,A000000,02500,0000,2500PHYSICAL THERAPY 434072,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434072,A000000,02700,0000,2700SPEECH PATHOLOGY 434072,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434072,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434072,A000000,03550,0000,3550FQHC 434072,A000000,04801,0000,4801AMBULANCE 434072,A000000,04802,0000,4802AMBULANCE 434072,A000000,04803,0000,4803AMBULANCE 434072,A000000,05000,0000,5000CORF 434072,A000000,05010,0000,5010CMHC 434072,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434072,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434072,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434072,A81000A,00100,0100,Y 434072,A81000B,00100,0300,AS ATTACHED 434072,A81000B,00200,0300,HOME OFFICE INTEREST 434072,A81000B,00300,0300,HOME OFFICE A&G 434072,A81000B,00400,0300,HOME OFFICE CAP PIEC 434072,A81000C,00100,0100,B 434072,A81000C,00100,0400,AS ATTACHED 434072,A81000C,00100,0600,VARIOUS 434072,A81000C,00200,0100,B 434072,A81000C,00200,0400,GHC 434072,A81000C,00200,0600,LONG TERM CARE 434072,A81000C,00300,0100,B 434072,A81000C,00300,0400,GHC 434072,A81000C,00300,0600,LONG TERM CARE 434072,A81000C,00400,0100,B 434072,A81000C,00400,0400,GHC 434072,A81000C,00400,0600,LONG TERM CARE 434072,B100000,00000,0100,0100SQUARE FEET 434072,B100000,00000,0200,0200SQUARE FEET 434072,B100000,00000,0300,0300GROSS SALARIES 434072,B100000,00000,0400,0400ACCUM COST 434072,B100000,00000,0500,0500SQUARE FEET 434072,B100000,00000,0600,0600PATIENT DAYS 434072,B100000,00000,0700,0700SQUARE FEET 434072,B100000,00000,0800,0800MEALS SERVED 434072,B100000,00000,0900,0900NURSING SALARIES 434072,B100000,00000,1000,1000COSTED REQUIS 434072,B100000,00000,1100,1100COSTED REQUIS 434072,B100000,00000,1200,1200PATIENT DAYS 434072,B100000,00000,1300,1300PATIENT DAYS 434072,B100000,00000,1400,1400ASSIGNED TIME 434072,B100000,00000,1500,1350PATIENT DAYS 434072,E10A180,00501,0100,04/23/12 434072,E10A180,00501,0300,04/23/12 434072,G300000,02500,0000,BARBER & BEAUTY 434072,S000000,00100,0200,09/12/11 434072,S200000,00100,0100,333 GRAND AVENUE 434072,S200000,00200,0100,ENGLEWOOD 434072,S200000,00200,0200,NJ 434072,S200000,00200,0300,07631 434072,S200000,00300,0100,BERGEN 434072,S200000,00300,0201,35644 434072,S200000,00300,0300,U 434072,S200000,00400,0100,INGLEMOOR CENTER 434072,S200000,00400,0200,315349 434072,S200000,00400,0300,02/15/96 434072,S200000,00400,0500,P 434072,S200000,01500,0100,Y 434072,S200000,01501,0200,N 434072,S200000,01502,0200,N 434072,S200000,01503,0200,N 434072,S200000,01504,0200,N 434072,S200000,01600,0100,N 434072,S200000,01700,0100,N 434072,S200000,01800,0100,N 434072,S200000,02200,0100,Y 434072,S200000,02800,0100,N 434072,S200000,02900,0100,N 434072,S200000,03000,0100,N 434072,S200000,03100,0100,N 434072,S200000,03200,0100,N 434072,S200000,03300,0100,N 434072,S200000,03300,0200,N 434072,S200000,04200,0100,N 434072,S200000,04300,0100,N 434072,S200000,04600,0100,N 434072,S200000,04700,0100,N 434072,S200000,04900,0100,N 434072,S200000,05200,0100,N 434072,S200000,05300,0100,Y 434072,S200000,05300,0200,HB0067 434072,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434072,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434072,S200000,05400,0300,12001 434072,S200000,05500,0100,101 EAST STATE STREET 434072,S200000,05600,0100,KENNETT SQAURE 434072,S200000,05600,0200,PA 434072,S200000,05600,0300,19348 434073,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434073,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434073,A000000,00300,0000,0300EMPLOYEE BENEFITS 434073,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434073,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434073,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434073,A000000,00700,0000,0700HOUSEKEEPING 434073,A000000,00800,0000,0800DIETARY 434073,A000000,00900,0000,0900NURSING ADMINISTRATION 434073,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434073,A000000,01100,0000,1100PHARMACY 434073,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434073,A000000,01300,0000,1300SOCIAL SERVICE 434073,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434073,A000000,01500,0000,1350RECREATION ACTIVITIES 434073,A000000,01600,0000,1600SKILLED NURSING FACILITY 434073,A000000,01810,0000,1810ICF/MR 434073,A000000,02100,0000,2100RADIOLOGY 434073,A000000,02200,0000,2200LABORATORY 434073,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434073,A000000,02500,0000,2500PHYSICAL THERAPY 434073,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434073,A000000,02700,0000,2700SPEECH PATHOLOGY 434073,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434073,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434073,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434073,A000000,03301,0000,3051ENTERAL FEEDING 434073,A000000,03550,0000,3550FQHC 434073,A000000,04801,0000,4801AMBULANCE 434073,A000000,04802,0000,4802AMBULANCE 434073,A000000,04803,0000,4803AMBULANCE 434073,A000000,05000,0000,5000CORF 434073,A000000,05010,0000,5010CMHC 434073,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434073,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434073,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434073,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434073,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434073,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434073,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434073,A000000,06312,0000,6153DIALYSIS 434073,A000000,06320,0000,6154APARTMENTS 434073,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434073,A000000,06340,0000,6156CLOSED PATIENT AREAS 434073,A000000,06350,0000,6157O/P ADULT DAYCARE 434073,A000000,06360,0000,6158MARKETING 434073,A81000A,00100,0100,Y 434073,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434073,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434073,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434073,A81000B,00400,0300,ADVANTAGE DME 434073,A81000C,00100,0100,A 434073,A81000C,00100,0200,FUNDAMENTAL HOL 434073,A81000C,00100,0400,FAS FCC FCOS 434073,A81000C,00100,0600,SUPPORT SERVICE 434073,A81000C,00200,0100,A 434073,A81000C,00200,0200,THI BALT INC. 434073,A81000C,00200,0400,ADVANTAGE DME 434073,A81000C,00200,0600,MEDICAL SUPPLIE 434073,B100000,00000,0100,0100(SQUARE FEET) 434073,B100000,00000,0200,0200(SQUARE FEET) 434073,B100000,00000,0300,0300(GROSS SALARIES) 434073,B100000,00000,0400,0400ACCUM COST 434073,B100000,00000,0500,0500(SQUARE FEET) 434073,B100000,00000,0600,0600(PATIENT DAYS) 434073,B100000,00000,0700,0700(SQUARE FEET) 434073,B100000,00000,0800,0800(PATIENT DAYS) 434073,B100000,00000,0900,0900(NURSING SALARIES) 434073,B100000,00000,1000,1000(COSTED REQUIS) 434073,B100000,00000,1100,1100(COSTED REQUIS) 434073,B100000,00000,1200,1200(PATIENT DAYS) 434073,B100000,00000,1300,1300(PATIENT DAYS) 434073,B100000,00000,1400,1400(ASSIGNED TIME) 434073,B100000,00000,1500,1350(PATIENT DAYS) 434073,E10A180,00355,0100,03/19/11 434073,E10A180,00501,0100,03/23/12 434073,E10A180,00501,0300,03/23/12 434073,G300000,02500,0000,TRANSPORTATION 434073,G300000,02501,0000,ADMISSION FEES 434073,G300000,02502,0000,AMORT GAIN ON SALE LEASEBACK 434073,G300000,02503,0000,DAY CARE SERVICES 434073,G300000,02504,0000,RENTAL INCOME 434073,G300000,02505,0000,MISCELLANEOUS REVENUE 434073,G300000,02506,0000,INTEREST INCOME PATIENT A/R 434073,G300000,02507,0000,MANAGEMENT FEE REVENUE 434073,G300000,02508,0000,GAIN/LOSS ON DISPOSAL OF FIXED ASSET 434073,S000000,00100,0200,02/27/12 434073,S200000,00100,0100,63 BLACKSTOCK ROAD 434073,S200000,00200,0100,INMAN 434073,S200000,00200,0200,SC 434073,S200000,00200,0300,29349 434073,S200000,00300,0100,SPARTANBURG 434073,S200000,00300,0201,43900 434073,S200000,00300,0300,U 434073,S200000,00400,0100,MAGNOLIA MANOR OF INMAN 434073,S200000,00400,0200,425032 434073,S200000,00400,0300,04/01/93 434073,S200000,00400,0500,P 434073,S200000,00400,0600,O 434073,S200000,01500,0100,Y 434073,S200000,01501,0200,Y 434073,S200000,01502,0200,Y 434073,S200000,01503,0200,Y 434073,S200000,01504,0200,Y 434073,S200000,01505,0200,N 434073,S200000,01600,0100,N 434073,S200000,01700,0100,N 434073,S200000,01800,0100,N 434073,S200000,01900,0100,LLC 434073,S200000,02200,0100,N 434073,S200000,02800,0100,N 434073,S200000,02900,0100,N 434073,S200000,03000,0100,N 434073,S200000,03100,0100,N 434073,S200000,03200,0100,N 434073,S200000,03300,0100,N 434073,S200000,03300,0200,N 434073,S200000,04200,0100,N 434073,S200000,04300,0100,N 434073,S200000,04600,0100,N 434073,S200000,04700,0100,N 434073,S200000,04900,0100,N 434073,S200000,05200,0100,N 434073,S200000,05300,0100,Y 434074,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434074,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434074,A000000,00300,0000,0300EMPLOYEE BENEFITS 434074,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434074,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434074,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434074,A000000,00700,0000,0700HOUSEKEEPING 434074,A000000,00800,0000,0800DIETARY 434074,A000000,00900,0000,0900NURSING ADMINISTRATION 434074,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434074,A000000,01100,0000,1100PHARMACY 434074,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434074,A000000,01300,0000,1300SOCIAL SERVICE 434074,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434074,A000000,01500,0000,1350ACTIVITIES 434074,A000000,01600,0000,1600SKILLED NURSING FACILITY 434074,A000000,01810,0000,1810ICF/MR 434074,A000000,02100,0000,2100RADIOLOGY 434074,A000000,02200,0000,2200LABORATORY 434074,A000000,02300,0000,2300INTRAVENOUS THERAPY 434074,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434074,A000000,02500,0000,2500PHYSICAL THERAPY 434074,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434074,A000000,02700,0000,2700SPEECH PATHOLOGY 434074,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434074,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434074,A000000,03200,0000,3200SUPPORT SURFACES 434074,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 434074,A000000,03550,0000,3550FQHC 434074,A000000,04801,0000,4801AMBULANCE 434074,A000000,04802,0000,4802AMBULANCE 434074,A000000,04803,0000,4803AMBULANCE 434074,A000000,05000,0000,5000CORF 434074,A000000,05010,0000,5010CMHC 434074,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434074,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434074,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434074,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 434074,A000000,05300,0000,5300INTEREST EXPENSE 434074,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 434074,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434074,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434074,A81000A,00100,0100,Y 434074,A81000B,00100,0300,HOME OFFICE COST 434074,A81000C,00100,0100,B 434074,A81000C,00100,0200,MANOR CARE OF FORT WORTH 434074,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 434074,A81000C,00100,0600,LONG TERM CARE FACILITIES 434074,B100000,00000,0100,0100SQUARE FEET 434074,B100000,00000,0200,0200SQUARE FEET 434074,B100000,00000,0300,0300GROSS SALARIES 434074,B100000,00000,0400,0400ACCUM COST 434074,B100000,00000,0500,0500SQUARE FEET 434074,B100000,00000,0600,0600PATIENT DAYS 434074,B100000,00000,0700,0700SQUARE FEET 434074,B100000,00000,0800,0800MEALS SERVED 434074,B100000,00000,0900,0900PATIENT DAYS 434074,B100000,00000,1000,1000PATIENT DAYS 434074,B100000,00000,1100,1100PATIENT DAYS 434074,B100000,00000,1200,1200PATIENT DAYS 434074,B100000,00000,1300,1300PATIENT DAYS 434074,B100000,00000,1400,1400PATIENT DAYS 434074,B100000,00000,1500,1350PATIENT DAYS 434074,E10A180,00301,0100,05/12/11 434074,E10A180,00501,0100,03/28/12 434074,E10A180,00501,0300,03/28/12 434074,G300000,02500,0000,BEAUTY AND BARBER 434074,S000000,00100,0200,03/07/12 434074,S200000,00100,0100,7625 GLENVIEW DRIVE 434074,S200000,00200,0100,FT WORTH 434074,S200000,00200,0200,TX 434074,S200000,00200,0300,76180 434074,S200000,00300,0100,TARRANT 434074,S200000,00300,0201,23104 434074,S200000,00300,0300,U 434074,S200000,00400,0100,MANOR CARE OF FORT WORTH TX NRH LLC 434074,S200000,00400,0200,455494 434074,S200000,00400,0300,01/31/85 434074,S200000,00400,0500,P 434074,S200000,00400,0600,P 434074,S200000,01500,0100,Y 434074,S200000,01501,0200,N 434074,S200000,01503,0200,N 434074,S200000,01504,0200,N 434074,S200000,01600,0100,N 434074,S200000,01700,0100,N 434074,S200000,01800,0100,N 434074,S200000,02200,0100,Y 434074,S200000,02800,0100,N 434074,S200000,02900,0100,N 434074,S200000,03000,0100,N 434074,S200000,03100,0100,N 434074,S200000,03200,0100,N 434074,S200000,03300,0100,N 434074,S200000,03300,0200,N 434074,S200000,04200,0100,N 434074,S200000,04300,0100,N 434074,S200000,04600,0100,N 434074,S200000,04700,0100,N 434074,S200000,04900,0100,N 434074,S200000,05200,0100,N 434074,S200000,05300,0100,Y 434074,S200000,05300,0200,36HO15 434074,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 434074,S200000,05400,0200,CGS ADMINISTRATORS LLC 434074,S200000,05400,0300,15201 434074,S200000,05500,0100,333 N. SUMMIT ST. 434074,S200000,05500,0200,PO 10086 434074,S200000,05600,0100,TOLEDO 434074,S200000,05600,0200,OH 434074,S200000,05600,0300,43699-0086 434082,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434082,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434082,A000000,00300,0000,0300EMPLOYEE BENEFITS 434082,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434082,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434082,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434082,A000000,00700,0000,0700HOUSEKEEPING 434082,A000000,00800,0000,0800DIETARY 434082,A000000,00900,0000,0900NURSING ADMINISTRATION 434082,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434082,A000000,01100,0000,1100PHARMACY 434082,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434082,A000000,01300,0000,1300SOCIAL SERVICE 434082,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434082,A000000,01600,0000,1600SKILLED NURSING FACILITY 434082,A000000,01810,0000,1810ICF/MR 434082,A000000,02500,0000,2500PHYSICAL THERAPY 434082,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434082,A000000,02700,0000,2700SPEECH PATHOLOGY 434082,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434082,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434082,A000000,03550,0000,3550FQHC 434082,A000000,05000,0000,5000CORF 434082,A000000,05010,0000,5010CMHC 434082,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434082,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434082,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434082,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434082,A81000A,00100,0100,Y 434082,A81000B,00100,0300,MANAGEMENT FEES 434082,A81000B,00200,0300,NURSING 434082,A81000B,00300,0300,DEPRECIATION 434082,A81000C,00100,0100,A 434082,A81000C,00100,0200,RYAN FINKLEA 434082,A81000C,00100,0400,COOKE MANAGEMEN 434082,A81000C,00100,0600,MANAGEMENT COMP 434082,A81000C,00200,0100,A 434082,A81000C,00200,0200,RYAN FINKLEA 434082,A81000C,00200,0400,COOKE MANAGEMEN 434082,A81000C,00200,0600,MANAGEMENT COMP 434082,A81000C,00300,0100,A 434082,A81000C,00300,0200,RYAN FINKLEA 434082,A81000C,00300,0400,COOKE MANAGEMEN 434082,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434082,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434082,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434082,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434082,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434082,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434082,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434082,B100000,00000,0800,0800MEALS SERVED :DIETARY 434082,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434082,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434082,E10A180,00350,0100,07/22/11 434082,E10A180,00501,0100,05/26/12 434082,G300000,02500,0000,OTHER INCOME 434082,S000000,00100,0200,03/02/12 434082,S200000,00100,0100,1727 BUCK SWAMP ROAD 434082,S200000,00100,0300,67 434082,S200000,00200,0100,FORK 434082,S200000,00200,0200,SC 434082,S200000,00200,0300,29543 434082,S200000,00300,0100,DILLON 434082,S200000,00300,0201,42000 434082,S200000,00300,0300,R 434082,S200000,00400,0100,SUNNY ACRES NURSING HOME 434082,S200000,00400,0200,425093 434082,S200000,00400,0300,01/01/73 434082,S200000,00400,0500,P 434082,S200000,01500,0100,Y 434082,S200000,01501,0200,N 434082,S200000,01502,0200,Y 434082,S200000,01503,0200,Y 434082,S200000,01504,0200,Y 434082,S200000,01600,0100,N 434082,S200000,01700,0100,N 434082,S200000,01800,0100,N 434082,S200000,01900,0100,LLC 434082,S200000,02200,0100,N 434082,S200000,02800,0100,N 434082,S200000,02900,0100,N 434082,S200000,03000,0100,N 434082,S200000,03100,0100,N 434082,S200000,03200,0100,N 434082,S200000,03300,0100,N 434082,S200000,03300,0200,N 434082,S200000,04100,0100,N 434082,S200000,04200,0100,N 434082,S200000,04300,0100,N 434082,S200000,04600,0100,N 434082,S200000,04700,0100,N 434082,S200000,04700,0200,N 434082,S200000,04900,0100,N 434082,S200000,05000,0100,N 434082,S200000,05100,0100,N 434082,S200000,05200,0100,N 434082,S200000,05300,0100,Y 434082,S200000,05300,0200,42-HO1 434082,S200000,05400,0100,COOKE MANAGEMENT INC. 434082,S200000,05400,0200,PALMETTO GBA 434082,S200000,05400,0300,00380 434082,S200000,05500,0100,101 W 1ST AVENUE 434082,S200000,05500,0200,808 434082,S200000,05600,0100,LAKE VIEW 434082,S200000,05600,0200,SC 434082,S200000,05600,0300,29563 434083,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434083,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434083,A000000,00300,0000,0300EMPLOYEE BENEFITS 434083,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434083,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434083,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434083,A000000,00700,0000,0700HOUSEKEEPING 434083,A000000,00800,0000,0800DIETARY 434083,A000000,00900,0000,0900NURSING ADMINISTRATION 434083,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434083,A000000,01100,0000,1100PHARMACY 434083,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434083,A000000,01300,0000,1300SOCIAL SERVICE 434083,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434083,A000000,01500,0000,1350RECREATION 434083,A000000,01600,0000,1600SKILLED NURSING FACILITY 434083,A000000,01810,0000,1810ICF/MR 434083,A000000,02100,0000,2100RADIOLOGY 434083,A000000,02200,0000,2200LABORATORY 434083,A000000,02300,0000,2300INTRAVENOUS THERAPY 434083,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434083,A000000,02500,0000,2500PHYSICAL THERAPY 434083,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434083,A000000,02700,0000,2700SPEECH PATHOLOGY 434083,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434083,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434083,A000000,03550,0000,3550FQHC 434083,A000000,04801,0000,4801AMBULANCE 434083,A000000,04802,0000,4802AMBULANCE 434083,A000000,04803,0000,4803AMBULANCE 434083,A000000,05000,0000,5000CORF 434083,A000000,05010,0000,5010CMHC 434083,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434083,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434083,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434083,A81000A,00100,0100,Y 434083,A81000B,00100,0300,AS ATTACHED 434083,A81000B,00200,0300,HOME OFFICE INTEREST 434083,A81000B,00300,0300,HOME OFFICE A & G 434083,A81000B,00400,0300,HOME OFFICE CAP PIEC 434083,A81000C,00100,0100,B 434083,A81000C,00100,0400,AS ATTACHED 434083,A81000C,00100,0600,VARIOUS 434083,A81000C,00200,0100,B 434083,A81000C,00200,0400,GHC 434083,A81000C,00200,0600,LONG TERM CARE 434083,A81000C,00300,0100,B 434083,A81000C,00300,0400,GHC 434083,A81000C,00300,0600,LONG TERM CARE 434083,A81000C,00400,0100,B 434083,A81000C,00400,0400,GHC 434083,A81000C,00400,0600,LONG TERM CARE 434083,B100000,00000,0100,0100SQUARE FEET 434083,B100000,00000,0200,0200SQUARE FEET 434083,B100000,00000,0300,0300GROSS SALARIES 434083,B100000,00000,0400,0400ACCUM COST 434083,B100000,00000,0500,0500SQUARE FEET 434083,B100000,00000,0600,0600PATIENT DAYS 434083,B100000,00000,0700,0700SQUARE FEET 434083,B100000,00000,0800,0800MEALS SERVED 434083,B100000,00000,0900,0900NURSING SALARIES 434083,B100000,00000,1000,1000COSTED REQUIS 434083,B100000,00000,1100,1100COSTED REQUIS 434083,B100000,00000,1200,1200PATIENT DAYS 434083,B100000,00000,1300,1300PATIENT DAYS 434083,B100000,00000,1400,1400ASSIGNED TIME 434083,B100000,00000,1500,1350PATIENT DAYS 434083,E10A180,00501,0300,04/23/12 434083,E10A180,00550,0100,04/23/12 434083,G300000,02500,0000,BARBER & BEAUTY 434083,S000000,00100,0200,09/12/11 434083,S200000,00100,0100,2305 RANCOCAS ROAD 434083,S200000,00200,0100,BURLINGTON 434083,S200000,00200,0200,NJ 434083,S200000,00200,0300,08016 434083,S200000,00300,0100,BURLINGTON 434083,S200000,00300,0201,15804 434083,S200000,00300,0300,U 434083,S200000,00400,0100,MARCELLA CENTER 434083,S200000,00400,0200,315330 434083,S200000,00400,0300,04/01/94 434083,S200000,00400,0500,P 434083,S200000,01500,0100,Y 434083,S200000,01501,0200,N 434083,S200000,01502,0200,N 434083,S200000,01503,0200,N 434083,S200000,01504,0200,N 434083,S200000,01600,0100,N 434083,S200000,01700,0100,N 434083,S200000,01800,0100,N 434083,S200000,02200,0100,Y 434083,S200000,02800,0100,N 434083,S200000,02900,0100,N 434083,S200000,03000,0100,N 434083,S200000,03100,0100,N 434083,S200000,03200,0100,N 434083,S200000,03300,0100,N 434083,S200000,03300,0200,N 434083,S200000,04200,0100,N 434083,S200000,04300,0100,N 434083,S200000,04600,0100,N 434083,S200000,04700,0100,N 434083,S200000,04900,0100,N 434083,S200000,05200,0100,N 434083,S200000,05300,0100,Y 434083,S200000,05300,0200,HB0067 434083,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434083,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434083,S200000,05400,0300,12001 434083,S200000,05500,0100,101 EAST STATE STREET 434083,S200000,05600,0100,KENNETT SQUARE 434083,S200000,05600,0200,PA 434083,S200000,05600,0300,19348 434087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434087,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 434087,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434087,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434087,A000000,00300,0000,0300EMPLOYEE BENEFITS 434087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434087,A000000,00700,0000,0700HOUSEKEEPING 434087,A000000,00800,0000,0800DIETARY 434087,A000000,00801,0000,0801CAFETERIA 434087,A000000,00900,0000,0900NURSING ADMINISTRATION 434087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434087,A000000,01100,0000,1100PHARMACY 434087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434087,A000000,01300,0000,1300SOCIAL SERVICE 434087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434087,A000000,01500,0000,1350ACTIVITIES 434087,A000000,01600,0000,1600SKILLED NURSING FACILITY 434087,A000000,01810,0000,1810ICF/MR 434087,A000000,02100,0000,2100RADIOLOGY 434087,A000000,02200,0000,2200LABORATORY 434087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434087,A000000,02500,0000,2500PHYSICAL THERAPY 434087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434087,A000000,02700,0000,2700SPEECH PATHOLOGY 434087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434087,A000000,03300,0000,3050ENTERALS 434087,A000000,03301,0000,3051OXYGEN 434087,A000000,03302,0000,3052OTHER ANCILLARY III 434087,A000000,03550,0000,3550FQHC 434087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434087,A000000,04710,0000,4710TELEMEDICINE 434087,A000000,04801,0000,4801AMBULANCE 434087,A000000,04802,0000,4802AMBULANCE 434087,A000000,04803,0000,4803AMBULANCE 434087,A000000,05000,0000,5000CORF I 434087,A000000,05001,0000,5001CMHC I 434087,A000000,05010,0000,5010CMHC 434087,A000000,05020,0000,5020OPT I 434087,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434087,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434087,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434087,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434087,A81000A,00100,0100,Y 434087,A81000B,00100,0300,RENT 434087,A81000B,00200,0300,RENT 434087,A81000B,00400,0300,MANAGEMENT 434087,A81000B,00500,0300,MANAGEMENT 434087,A81000B,00600,0300,MANAGEMENT 434087,A81000B,00700,0300,MANAGEMENT 434087,A81000C,00100,0100,A 434087,A81000C,00100,0400,PENHURST 434087,A81000C,00100,0600,REAL ESTATE 434087,A81000C,00200,0100,D 434087,A81000C,00200,0400,BRINTON WOODS 434087,A81000C,00200,0600,MANAGEMENT 434087,B100000,00000,0100,0100SQUARE FEET 434087,B100000,00000,0101,0101SQUARE FEET 434087,B100000,00000,0200,0200SQUARE FEET 434087,B100000,00000,0201,0201SQUARE FEET 434087,B100000,00000,0300,0300GROSS SALARIES 434087,B100000,00000,0400,0400ACCUM. COST 434087,B100000,00000,0500,0500SQUARE FEET 434087,B100000,00000,0600,0600PATIENT DAYS 434087,B100000,00000,0700,0700SQUARE FEET 434087,B100000,00000,0800,0800MEALS SERVED 434087,B100000,00000,0801,0801MEALS SERVED 434087,B100000,00000,0900,0900NURSING SALARIES 434087,B100000,00000,1000,1000PATIENT DAYS 434087,B100000,00000,1100,1100PATIENT DAYS 434087,B100000,00000,1200,1200PATIENT DAYS 434087,B100000,00000,1300,1300PATIENT DAYS 434087,B100000,00000,1400,1400ASSIGNED TIME 434087,B100000,00000,1500,1350PATIENT DAYS 434087,E10A180,00301,0100,05/03/11 434087,E10A180,00501,0300,04/25/12 434087,E10A180,00550,0100,04/25/12 434087,G300000,02500,0000,OTHER (SPECIFY) 434087,S000000,00100,0200,03/29/12 434087,S200000,00100,0100,3939 PENHURST AVENUE 434087,S200000,00200,0100,BALTIMORE 434087,S200000,00200,0200,MD 434087,S200000,00200,0300,21215 434087,S200000,00300,0100,BALTIMORE CITY 434087,S200000,00300,0201,12580 434087,S200000,00300,0300,U 434087,S200000,00400,0100,ARLINGTON WEST NURSING 434087,S200000,00400,0200,215349 434087,S200000,00400,0300,04/04/08 434087,S200000,00400,0500,P 434087,S200000,01500,0100,Y 434087,S200000,01501,0200,Y 434087,S200000,01502,0200,N 434087,S200000,01503,0200,N 434087,S200000,01504,0200,N 434087,S200000,01505,0000,OTHER (SPECIFY) 434087,S200000,01600,0100,N 434087,S200000,01700,0100,N 434087,S200000,01800,0100,N 434087,S200000,02200,0100,N 434087,S200000,02800,0100,N 434087,S200000,02900,0100,N 434087,S200000,03000,0100,N 434087,S200000,03100,0100,N 434087,S200000,03200,0100,N 434087,S200000,03300,0100,N 434087,S200000,03300,0200,N 434087,S200000,04200,0100,N 434087,S200000,04300,0100,N 434087,S200000,04600,0100,N 434087,S200000,04700,0100,N 434087,S200000,04900,0100,N 434087,S200000,05200,0100,N 434087,S200000,05300,0100,Y 434087,S200000,05300,0200,HB0170 434087,S200000,05400,0100,BRINTON WOODS MANAGEMENT COMPANY 434087,S200000,05400,0200,HIGHMARK 434087,S200000,05400,0300,12001 434087,S200000,05500,0100,2300 YORK ROAD 434087,S200000,05600,0100,TIMONIUM 434087,S200000,05600,0200,MD 434087,S200000,05600,0300,21093 434090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434090,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434090,A000000,00300,0000,0300EMPLOYEE BENEFITS 434090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434090,A000000,00700,0000,0700HOUSEKEEPING 434090,A000000,00800,0000,0800DIETARY 434090,A000000,00900,0000,0900NURSING ADMINISTRATION 434090,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434090,A000000,01100,0000,1100PHARMACY 434090,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434090,A000000,01300,0000,1300SOCIAL SERVICE 434090,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434090,A000000,01600,0000,1600SKILLED NURSING FACILITY 434090,A000000,01810,0000,1810ICF/MR 434090,A000000,02100,0000,2100RADIOLOGY 434090,A000000,02200,0000,2200LABORATORY 434090,A000000,02500,0000,2500PHYSICAL THERAPY 434090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434090,A000000,02700,0000,2700SPEECH PATHOLOGY 434090,A000000,02770,0000,3050ENTERALS 434090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434090,A000000,03550,0000,3550FQHC 434090,A000000,04800,0000,4800AMBULANCE 434090,A000000,05000,0000,5000CORF 434090,A000000,05010,0000,5010CMHC 434090,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434090,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434090,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434090,A000000,06200,0000,6200PATIENTS LAUNDRY 434090,A81000A,00100,0100,Y 434090,A81000B,00100,0300,SHARED LAUNDRY - S/D 434090,A81000B,00200,0300,SHARED LAUNDRY - S/D 434090,A81000C,00100,0100,B 434090,A81000C,00100,0200,COMMANDER H/C 434090,A81000C,00100,0400,COMMANDER HCC 434090,A81000C,00100,0600,SNF 434090,A81000C,00200,0100,B 434090,A81000C,00200,0200,COMMANDER H/C 434090,A81000C,00200,0400,COMMANDER H/C 434090,A81000C,00200,0600,SNF 434090,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434090,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434090,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434090,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434090,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434090,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434090,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434090,B100000,00000,0800,0800MEALS SERVED :DIETARY 434090,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434090,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434090,E10A180,00301,0100,09/30/11 434090,E10A180,00350,0100,07/22/11 434090,E10A180,00501,0100,05/26/12 434090,G300000,02500,0000,OTHER INCOME 434090,G300000,02501,0000,SALE OF ASSET 434090,G300000,02502,0000,PERSONAL ITEMS 434090,S000000,00100,0200,03/01/12 434090,S200000,00100,0100,722 S DARGAN STREET 434090,S200000,00200,0100,FLORENCE 434090,S200000,00200,0200,SC 434090,S200000,00200,0300,29506 434090,S200000,00300,0100,FLORENCE 434090,S200000,00300,0201,22500 434090,S200000,00300,0300,R 434090,S200000,00400,0100,SOUTHLAND HEALTH CARE CENTER 434090,S200000,00400,0200,425157 434090,S200000,00400,0300,09/05/86 434090,S200000,00400,0500,P 434090,S200000,01500,0100,Y 434090,S200000,01501,0200,N 434090,S200000,01502,0200,Y 434090,S200000,01503,0200,N 434090,S200000,01504,0200,Y 434090,S200000,01600,0100,N 434090,S200000,01700,0100,N 434090,S200000,01800,0100,N 434090,S200000,02200,0100,N 434090,S200000,02800,0100,Y 434090,S200000,02900,0100,N 434090,S200000,03000,0100,N 434090,S200000,03100,0100,N 434090,S200000,03200,0100,N 434090,S200000,03300,0100,N 434090,S200000,03300,0200,N 434090,S200000,04100,0100,N 434090,S200000,04200,0100,N 434090,S200000,04300,0100,N 434090,S200000,04600,0100,N 434090,S200000,04700,0100,N 434090,S200000,04700,0200,N 434090,S200000,04900,0100,N 434090,S200000,05000,0100,N 434090,S200000,05100,0100,N 434090,S200000,05200,0100,N 434090,S200000,05300,0100,N 434092,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434092,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434092,A000000,00300,0000,0300EMPLOYEE BENEFITS 434092,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434092,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434092,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434092,A000000,00700,0000,0700HOUSEKEEPING 434092,A000000,00800,0000,0800DIETARY 434092,A000000,00900,0000,0900NURSING ADMINISTRATION 434092,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434092,A000000,01100,0000,1100PHARMACY 434092,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434092,A000000,01300,0000,1300SOCIAL SERVICE 434092,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434092,A000000,01600,0000,1600SKILLED NURSING FACILITY 434092,A000000,01800,0000,1800NURSING FACILITY 434092,A000000,01900,0000,1900OTHER LONG TERM CARE 434092,A000000,02100,0000,2100RADIOLOGY 434092,A000000,02200,0000,2200LABORATORY 434092,A000000,02300,0000,2300INTRAVENOUS THERAPY 434092,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434092,A000000,02500,0000,2500PHYSICAL THERAPY 434092,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434092,A000000,02700,0000,2700SPEECH PATHOLOGY 434092,A000000,02800,0000,2800ELECTROCARDIOLOGY 434092,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434092,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434092,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434092,A000000,03200,0000,3200SUPPORT SURFACES 434092,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434092,A000000,03400,0000,3400CLINIC 434092,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434092,A000000,04800,0000,4800AMBULANCE 434092,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434092,A000000,05000,0000,5000CORF 434092,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434092,A000000,05300,0000,5300INTEREST EXPENSE 434092,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434092,A000000,05500,0000,5500HOSPICE 434092,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434092,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434092,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434092,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434092,A000000,06100,0000,6100NONPAID WORKERS 434092,A000000,06200,0000,6200PATIENTS LAUNDRY 434092,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434092,A81000A,00100,0100,Y 434092,A81000B,00100,0300,NURSING CONSULTING 434092,A81000B,00200,0300,DIETARY CONSULTING 434092,A81000B,00300,0300,HOME OFFICE 434092,A81000B,00400,0300,INTEREST EXPENSE 434092,A81000B,00500,0300,WORKERS COMP EXPENSE 434092,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 434092,A81000B,00700,0300,MAINTENANCE SUPPLIES 434092,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434092,A81000B,00900,0300,REPAIRS-EQUIPMENT 434092,A81000B,01000,0300,LINEN & BEDDING 434092,A81000B,01100,0300,SUPPLIES 434092,A81000B,01200,0300,PAPER PRODUCTS & HAND SOAP 434092,A81000B,01300,0300,SUPPLIES 434092,A81000B,01400,0300,DIETARY SUPPLEMENTS 434092,A81000B,01500,0300,SUPPLIES 434092,A81000B,01600,0300,BIO-MEDICAL WASTE 434092,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 434092,A81000B,01800,0300,PERSONAL CARE SUPPLIES 434092,A81000B,01900,0300,INCONTINENCE SUPPLIES 434092,A81000B,02000,0300,MEDICAL SUPPLIES 434092,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 434092,A81000B,02200,0300,SUPPLIES 434092,A81000B,02300,0300,BILLABLE MEDICAL SUPPLIES 434092,A81000B,02400,0300,NURSING EQUIPMENT RENTAL 434092,A81000B,02500,0300,NON-LEGEND DRUGS 434092,A81000B,02600,0300,PHARMACY CONSULTANT 434092,A81000B,02700,0300,SUPPLIES 434092,A81000B,02800,0300,LEGEND DRUGS 434092,A81000B,02900,0300,OFFICE SUPPLIES 434092,A81000C,00100,0100,B 434092,A81000C,00100,0200,PLTC & PITS INC 434092,A81000C,00100,0400,PLTC & PITS INC 434092,A81000C,00100,0600,MGMT SERVICES 434092,A81000C,00200,0100,B 434092,A81000C,00200,0200,PLTC & PITS INC 434092,A81000C,00200,0400,PLTC & PITS INC 434092,A81000C,00200,0600,MGMT SERVICES 434092,A81000C,00300,0100,B 434092,A81000C,00300,0200,PLTC & PITS INC 434092,A81000C,00300,0400,PLTC & PITS INC 434092,A81000C,00300,0600,MGMT SERVICES 434092,A81000C,00400,0100,B 434092,A81000C,00400,0200,PLTC & PITS INC 434092,A81000C,00400,0400,PLTC & PITS INC 434092,A81000C,00400,0600,MGMT SERVICES 434092,A81000C,00500,0100,A 434092,A81000C,00500,0200,SHAREHOLDERS 434092,A81000C,00500,0400,DISCOVERY INSUR 434092,A81000C,00500,0600,INSURANCE 434092,A81000C,00600,0100,A 434092,A81000C,00600,0200,SHAREHOLDERS 434092,A81000C,00600,0400,QUEENSLAND ASSU 434092,A81000C,00600,0600,INSURANCE 434092,A81000C,00700,0100,A 434092,A81000C,00700,0200,SHAREHOLDERS 434092,A81000C,00700,0400,KARE MEDICAL 434092,A81000C,00700,0600,WHOLESALE SUPPL 434092,A81000C,00800,0100,A 434092,A81000C,00800,0200,SHAREHOLDERS 434092,A81000C,00800,0400,KARE MEDICAL 434092,A81000C,00800,0600,WHOLESALE SUPPL 434092,A81000C,00900,0100,A 434092,A81000C,00900,0200,SHAREHOLDERS 434092,A81000C,00900,0400,KARE MEDICAL 434092,A81000C,00900,0600,WHOLESALE SUPPL 434092,A81000C,01000,0100,A 434092,A81000C,01000,0200,SHAREHOLDERS 434092,A81000C,01000,0400,KARE MEDICAL 434092,A81000C,01000,0600,WHOLESALE SUPPL 434092,A81000C,01001,0100,A 434092,A81000C,01001,0200,SHAREHOLDERS 434092,A81000C,01001,0400,KARE MEDICAL 434092,A81000C,01001,0600,WHOLESALE SUPPL 434092,A81000C,01002,0100,A 434092,A81000C,01002,0200,SHAREHOLDERS 434092,A81000C,01002,0400,KARE MEDICAL 434092,A81000C,01002,0600,WHOLESALE SUPPL 434092,A81000C,01003,0100,A 434092,A81000C,01003,0200,SHAREHOLDERS 434092,A81000C,01003,0400,KARE MEDICAL 434092,A81000C,01003,0600,WHOLESALE SUPPL 434092,A81000C,01004,0100,A 434092,A81000C,01004,0200,SHAREHOLDERS 434092,A81000C,01004,0400,KARE MEDICAL 434092,A81000C,01004,0600,WHOLESALE SUPPL 434092,A81000C,01005,0100,A 434092,A81000C,01005,0200,SHAREHOLDERS 434092,A81000C,01005,0400,KARE MEDICAL 434092,A81000C,01005,0600,WHOLESALE SUPPL 434092,A81000C,01006,0100,A 434092,A81000C,01006,0200,SHAREHOLDERS 434092,A81000C,01006,0400,KARE MEDICAL 434092,A81000C,01006,0600,WHOLESALE SUPPL 434092,A81000C,01007,0100,A 434092,A81000C,01007,0200,SHAREHOLDERS 434092,A81000C,01007,0400,KARE MEDICAL 434092,A81000C,01007,0600,WHOLESALE SUPPL 434092,A81000C,01008,0100,A 434092,A81000C,01008,0200,SHAREHOLDERS 434092,A81000C,01008,0400,KARE MEDICAL 434092,A81000C,01008,0600,WHOLESALE SUPPL 434092,A81000C,01009,0100,A 434092,A81000C,01009,0200,SHAREHOLDERS 434092,A81000C,01009,0400,KARE MEDICAL 434092,A81000C,01009,0600,WHOLESALE SUPPL 434092,A81000C,01010,0100,A 434092,A81000C,01010,0200,SHAREHOLDERS 434092,A81000C,01010,0400,KARE MEDICAL 434092,A81000C,01010,0600,WHOLESALE SUPPL 434092,A81000C,01011,0100,A 434092,A81000C,01011,0200,SHAREHOLDERS 434092,A81000C,01011,0400,KARE MEDICAL 434092,A81000C,01011,0600,WHOLESALE SUPPL 434092,A81000C,01012,0100,A 434092,A81000C,01012,0200,SHAREHOLDERS 434092,A81000C,01012,0400,KARE MEDICAL 434092,A81000C,01012,0600,WHOLESALE SUPPL 434092,A81000C,01013,0100,A 434092,A81000C,01013,0200,SHAREHOLDERS 434092,A81000C,01013,0400,KARE MEDICAL 434092,A81000C,01013,0600,WHOLESALE SUPPL 434092,A81000C,01014,0100,A 434092,A81000C,01014,0200,SHAREHOLDERS 434092,A81000C,01014,0400,PHARMSAVE 434092,A81000C,01014,0600,RX SUPPLY 434092,A81000C,01015,0100,A 434092,A81000C,01015,0200,SHAREHOLDERS 434092,A81000C,01015,0400,PHARMSAVE 434092,A81000C,01015,0600,RX SUPPLY 434092,A81000C,01016,0100,A 434092,A81000C,01016,0200,SHAREHOLDERS 434092,A81000C,01016,0400,PHARMSAVE 434092,A81000C,01016,0600,RX SUPPLY 434092,A81000C,01017,0100,A 434092,A81000C,01017,0200,SHAREHOLDERS 434092,A81000C,01017,0400,PHARMSAVE 434092,A81000C,01017,0600,RX SUPPLY 434092,A81000C,01018,0100,A 434092,A81000C,01018,0200,SHAREHOLDERS 434092,A81000C,01018,0400,PHARMSAVE 434092,A81000C,01018,0600,RX SUPPLY 434092,A81000C,01019,0100,A 434092,A81000C,01019,0200,SHAREHOLDERS 434092,A81000C,01019,0400,ROBERT HILL CON 434092,A81000C,01019,0600,CONSTRUCTION 434092,A81000C,01020,0100,A 434092,A81000C,01020,0200,SHAREHOLDERS 434092,A81000C,01020,0400,ROBERT HILL CON 434092,A81000C,01020,0600,CONSTRUCTION 434092,A81000C,01021,0100,A 434092,A81000C,01021,0200,SHAREHOLDERS 434092,A81000C,01021,0400,HILLCHILD LLC 434092,A81000C,01021,0600,REAL ESTATE 434092,A81000C,01022,0100,A 434092,A81000C,01022,0200,SHAREHOLDERS 434092,A81000C,01022,0400,BRITTHAVEN INC 434092,A81000C,01022,0600,REAL ESTATE 434092,A81000C,01023,0100,A 434092,A81000C,01023,0200,SHAREHOLDERS 434092,A81000C,01023,0400,HILLCHILD LLC 434092,A81000C,01023,0600,REAL ESTATE 434092,A81000C,01024,0100,A 434092,A81000C,01024,0200,SHAREHOLDERS 434092,A81000C,01024,0400,BRITTHAVEN INC 434092,A81000C,01024,0600,REAL ESTATE 434092,A81000C,01025,0100,A 434092,A81000C,01025,0200,SHAREHOLDERS 434092,A81000C,01025,0400,HILLCHILD LC 434092,A81000C,01025,0600,REAL ESTATE 434092,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434092,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434092,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434092,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434092,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434092,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434092,B100000,00000,0800,0800MEALS SERVED :DIETARY 434092,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434092,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434092,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434092,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434092,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434092,E10A180,00501,0100,05/23/12 434092,G300000,02500,0000, OTHER (SPECIFY) 434092,S000000,00100,0200,02/29/12 434092,S200000,00100,0100,1245 PARK 434092,S200000,00200,0100,HENDERSON 434092,S200000,00200,0200,NC 434092,S200000,00200,0300,27536 434092,S200000,00300,0100,VANCE 434092,S200000,00300,0201,99934 434092,S200000,00300,0300,R 434092,S200000,00400,0100,KERR LAKE NURSING & REHAB CENTER 434092,S200000,00400,0200,345321 434092,S200000,00400,0300,01/01/11 434092,S200000,00400,0500,P 434092,S200000,01500,0100,N 434092,S200000,01501,0200,Y 434092,S200000,01502,0200,Y 434092,S200000,01503,0200,Y 434092,S200000,01504,0200,Y 434092,S200000,01505,0000,OTHER (SPECIFY) 434092,S200000,01505,0200,Y 434092,S200000,01600,0100,Y 434092,S200000,01700,0100,N 434092,S200000,01800,0100,N 434092,S200000,02200,0100,N 434092,S200000,02800,0100,N 434092,S200000,02900,0100,N 434092,S200000,03000,0100,N 434092,S200000,03100,0100,N 434092,S200000,03200,0100,N 434092,S200000,03300,0100,N 434092,S200000,03300,0200,N 434092,S200000,03600,0100,N 434092,S200000,03600,0200,N 434092,S200000,04100,0100,N 434092,S200000,04200,0100,N 434092,S200000,04300,0100,N 434092,S200000,04600,0100,N 434092,S200000,04700,0100,N 434092,S200000,04700,0200,N 434092,S200000,04900,0100,N 434092,S200000,05000,0100,N 434092,S200000,05100,0100,N 434092,S200000,05200,0100,N 434092,S200000,05300,0100,Y 434092,S200000,05300,0200,349011 434092,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434092,S200000,05400,0200,PALMETTO GBA 434092,S200000,05400,0300,11501 434092,S200000,05500,0100,1435 HWY 58 NORTH 434092,S200000,05600,0100,KINSTON 434092,S200000,05600,0200,NC 434092,S200000,05600,0300,28502 434093,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434093,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434093,A000000,00300,0000,0300EMPLOYEE BENEFITS 434093,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434093,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434093,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434093,A000000,00700,0000,0700HOUSEKEEPING 434093,A000000,00800,0000,0800DIETARY 434093,A000000,00900,0000,0900NURSING ADMINISTRATION 434093,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434093,A000000,01100,0000,1100PHARMACY 434093,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434093,A000000,01300,0000,1300SOCIAL SERVICE 434093,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434093,A000000,01600,0000,1600SKILLED NURSING FACILITY 434093,A000000,01800,0000,1800NURSING FACILITY 434093,A000000,01900,0000,1900OTHER LONG TERM CARE 434093,A000000,02100,0000,2100RADIOLOGY 434093,A000000,02200,0000,2200LABORATORY 434093,A000000,02300,0000,2300INTRAVENOUS THERAPY 434093,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434093,A000000,02500,0000,2500PHYSICAL THERAPY 434093,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434093,A000000,02700,0000,2700SPEECH PATHOLOGY 434093,A000000,02800,0000,2800ELECTROCARDIOLOGY 434093,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434093,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434093,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434093,A000000,03200,0000,3200SUPPORT SURFACES 434093,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434093,A000000,03400,0000,3400CLINIC 434093,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434093,A000000,04800,0000,4800AMBULANCE 434093,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434093,A000000,05000,0000,5000CORF 434093,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434093,A000000,05300,0000,5300INTEREST EXPENSE 434093,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434093,A000000,05500,0000,5500HOSPICE 434093,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434093,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434093,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434093,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434093,A000000,06100,0000,6100NONPAID WORKERS 434093,A000000,06200,0000,6200PATIENTS LAUNDRY 434093,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434093,A81000A,00100,0100,Y 434093,A81000B,00100,0300,NURSING CONSULTING 434093,A81000B,00200,0300,DIETARY CONSULTING 434093,A81000B,00300,0300,HOME OFFICE 434093,A81000B,00400,0300,INTEREST EXPENSE 434093,A81000B,00500,0300,WORKERS COMP EXPENSE 434093,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434093,A81000B,00700,0300,MAINTENANCE SUPPLIES 434093,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434093,A81000B,00900,0300,REPAIRS-BUILDING 434093,A81000B,01000,0300,REPAIRS-EQUIPMENT 434093,A81000B,01100,0300,LINEN & BEDDING 434093,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 434093,A81000B,01300,0300,LAUNDRY SUPPLIES 434093,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 434093,A81000B,01500,0300,PAPER PRODUCTS & HAND SOAP 434093,A81000B,01600,0300,HOUSEKEEPING SUPPLIES 434093,A81000B,01700,0300,DIETARY SUPPLEMENTS 434093,A81000B,01800,0300,DIETARY SUPPLIES 434093,A81000B,01900,0300,BIO-MEDICAL WASTE 434093,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 434093,A81000B,02100,0300,PERSONAL CARE SUPPLIES 434093,A81000B,02200,0300,INCONTINENCE SUPPLIES 434093,A81000B,02300,0300,MEDICAL SUPPLIES 434093,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 434093,A81000B,02500,0300,SUPPLIES 434093,A81000B,02600,0300,MINOR EQUIPMENT EXPENSE 434093,A81000B,02700,0300,PT SUPPLIES 434093,A81000B,02800,0300,OT SUPPLIES 434093,A81000B,02900,0300,SUPPLIES 434093,A81000C,00100,0100,B 434093,A81000C,00100,0200,PLTC & PITS INC 434093,A81000C,00100,0400,PLTC & PITS INC 434093,A81000C,00100,0600,MGMT SERVICES 434093,A81000C,00200,0100,B 434093,A81000C,00200,0200,PLTC & PITS INC 434093,A81000C,00200,0400,PLTC & PITS INC 434093,A81000C,00200,0600,MGMT SERVICES 434093,A81000C,00300,0100,B 434093,A81000C,00300,0200,PLTC & PITS INC 434093,A81000C,00300,0400,PLTC & PITS INC 434093,A81000C,00300,0600,MGMT SERVICES 434093,A81000C,00400,0100,B 434093,A81000C,00400,0200,PLTC & PITS INC 434093,A81000C,00400,0400,PLTC & PITS INC 434093,A81000C,00400,0600,MGMT SERVICES 434093,A81000C,00500,0100,A 434093,A81000C,00500,0200,SHAREHOLDERS 434093,A81000C,00500,0400,DISCOVERY INSUR 434093,A81000C,00500,0600,INSURANCE 434093,A81000C,00600,0100,A 434093,A81000C,00600,0200,SHAREHOLDERS 434093,A81000C,00600,0400,QUEENSLAND ASSU 434093,A81000C,00600,0600,INSURANCE 434093,A81000C,00700,0100,A 434093,A81000C,00700,0200,SHAREHOLDERS 434093,A81000C,00700,0400,KARE MEDICAL 434093,A81000C,00700,0600,WHOLESALE SUPPL 434093,A81000C,00800,0100,A 434093,A81000C,00800,0200,SHAREHOLDERS 434093,A81000C,00800,0400,KARE MEDICAL 434093,A81000C,00800,0600,WHOLESALE SUPPL 434093,A81000C,00900,0100,A 434093,A81000C,00900,0200,SHAREHOLDERS 434093,A81000C,00900,0400,KARE MEDICAL 434093,A81000C,00900,0600,WHOLESALE SUPPL 434093,A81000C,01000,0100,A 434093,A81000C,01000,0200,SHAREHOLDERS 434093,A81000C,01000,0400,KARE MEDICAL 434093,A81000C,01000,0600,WHOLESALE SUPPL 434093,A81000C,01001,0100,A 434093,A81000C,01001,0200,SHAREHOLDERS 434093,A81000C,01001,0400,KARE MEDICAL 434093,A81000C,01001,0600,WHOLESALE SUPPL 434093,A81000C,01002,0100,A 434093,A81000C,01002,0200,SHAREHOLDERS 434093,A81000C,01002,0400,KARE MEDICAL 434093,A81000C,01002,0600,WHOLESALE SUPPL 434093,A81000C,01003,0100,A 434093,A81000C,01003,0200,SHAREHOLDERS 434093,A81000C,01003,0400,KARE MEDICAL 434093,A81000C,01003,0600,WHOLESALE SUPPL 434093,A81000C,01004,0100,A 434093,A81000C,01004,0200,SHAREHOLDERS 434093,A81000C,01004,0400,KARE MEDICAL 434093,A81000C,01004,0600,WHOLESALE SUPPL 434093,A81000C,01005,0100,A 434093,A81000C,01005,0200,SHAREHOLDERS 434093,A81000C,01005,0400,KARE MEDICAL 434093,A81000C,01005,0600,WHOLESALE SUPPL 434093,A81000C,01006,0100,A 434093,A81000C,01006,0200,SHAREHOLDERS 434093,A81000C,01006,0400,KARE MEDICAL 434093,A81000C,01006,0600,WHOLESALE SUPPL 434093,A81000C,01007,0100,A 434093,A81000C,01007,0200,SHAREHOLDERS 434093,A81000C,01007,0400,KARE MEDICAL 434093,A81000C,01007,0600,WHOLESALE SUPPL 434093,A81000C,01008,0100,A 434093,A81000C,01008,0200,SHAREHOLDERS 434093,A81000C,01008,0400,KARE MEDICAL 434093,A81000C,01008,0600,WHOLESALE SUPPL 434093,A81000C,01009,0100,A 434093,A81000C,01009,0200,SHAREHOLDERS 434093,A81000C,01009,0400,KARE MEDICAL 434093,A81000C,01009,0600,WHOLESALE SUPPL 434093,A81000C,01010,0100,A 434093,A81000C,01010,0200,SHAREHOLDERS 434093,A81000C,01010,0400,KARE MEDICAL 434093,A81000C,01010,0600,WHOLESALE SUPPL 434093,A81000C,01011,0100,A 434093,A81000C,01011,0200,SHAREHOLDERS 434093,A81000C,01011,0400,KARE MEDICAL 434093,A81000C,01011,0600,WHOLESALE SUPPL 434093,A81000C,01012,0100,A 434093,A81000C,01012,0200,SHAREHOLDERS 434093,A81000C,01012,0400,KARE MEDICAL 434093,A81000C,01012,0600,WHOLESALE SUPPL 434093,A81000C,01013,0100,A 434093,A81000C,01013,0200,SHAREHOLDERS 434093,A81000C,01013,0400,KARE MEDICAL 434093,A81000C,01013,0600,WHOLESALE SUPPL 434093,A81000C,01014,0100,A 434093,A81000C,01014,0200,SHAREHOLDERS 434093,A81000C,01014,0400,KARE MEDICAL 434093,A81000C,01014,0600,WHOLESALE SUPPL 434093,A81000C,01015,0100,A 434093,A81000C,01015,0200,SHAREHOLDERS 434093,A81000C,01015,0400,KARE MEDICAL 434093,A81000C,01015,0600,WHOLESALE SUPPL 434093,A81000C,01016,0100,A 434093,A81000C,01016,0200,SHAREHOLDERS 434093,A81000C,01016,0400,KARE MEDICAL 434093,A81000C,01016,0600,WHOLESALE SUPPL 434093,A81000C,01017,0100,A 434093,A81000C,01017,0200,SHAREHOLDERS 434093,A81000C,01017,0400,KARE MEDICAL 434093,A81000C,01017,0600,WHOLESALE SUPPL 434093,A81000C,01018,0100,A 434093,A81000C,01018,0200,SHAREHOLDERS 434093,A81000C,01018,0400,KARE MEDICAL 434093,A81000C,01018,0600,WHOLESALE SUPPL 434093,A81000C,01019,0100,A 434093,A81000C,01019,0200,SHAREHOLDERS 434093,A81000C,01019,0400,KARE MEDICAL 434093,A81000C,01019,0600,WHOLESALE SUPPL 434093,A81000C,01020,0100,A 434093,A81000C,01020,0200,SHAREHOLDERS 434093,A81000C,01020,0400,KARE MEDICAL 434093,A81000C,01020,0600,WHOLESALE SUPPL 434093,A81000C,01021,0100,A 434093,A81000C,01021,0200,SHAREHOLDERS 434093,A81000C,01021,0400,PHARMSAVE 434093,A81000C,01021,0600,RX SUPPLY 434093,A81000C,01022,0100,A 434093,A81000C,01022,0200,SHAREHOLDERS 434093,A81000C,01022,0400,PHARMSAVE 434093,A81000C,01022,0600,RX SUPPLY 434093,A81000C,01023,0100,A 434093,A81000C,01023,0200,SHAREHOLDERS 434093,A81000C,01023,0400,PHARMSAVE 434093,A81000C,01023,0600,RX SUPPLY 434093,A81000C,01024,0100,A 434093,A81000C,01024,0200,SHAREHOLDERS 434093,A81000C,01024,0400,PHARMSAVE 434093,A81000C,01024,0600,RX SUPPLY 434093,A81000C,01025,0100,A 434093,A81000C,01025,0200,SHAREHOLDERS 434093,A81000C,01025,0400,PHARMSAVE 434093,A81000C,01025,0600,RX SUPPLY 434093,A81000C,01026,0100,A 434093,A81000C,01026,0200,SHAREHOLDERS 434093,A81000C,01026,0400,ROBERT HILL CON 434093,A81000C,01026,0600,CONSTRUCTION 434093,A81000C,01027,0100,A 434093,A81000C,01027,0200,SHAREHOLDERS 434093,A81000C,01027,0400,ROBERT HILL CON 434093,A81000C,01027,0600,CONSTRUCTION 434093,A81000C,01028,0100,A 434093,A81000C,01028,0200,SHAREHOLDERS 434093,A81000C,01028,0400,ROBERT HILL CON 434093,A81000C,01028,0600,CONSTRUCTION 434093,A81000C,01029,0100,A 434093,A81000C,01029,0200,SHAREHOLDERS 434093,A81000C,01029,0400,ROBERT HILL CON 434093,A81000C,01029,0600,CONSTRUCTION 434093,A81000C,01030,0100,A 434093,A81000C,01030,0200,SHAREHOLDERS 434093,A81000C,01030,0400,BRITTHAVEN INC 434093,A81000C,01030,0600,REAL ESTATE 434093,A81000C,01031,0100,A 434093,A81000C,01031,0200,SHAREHOLDERS 434093,A81000C,01031,0400,BRITTHAVEN INC 434093,A81000C,01031,0600,REAL ESTATE 434093,A81000C,01032,0100,A 434093,A81000C,01032,0200,SHAREHOLDERS 434093,A81000C,01032,0400,BRITTHAVEN INC 434093,A81000C,01032,0600,REAL ESTATE 434093,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434093,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434093,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434093,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434093,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434093,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434093,B100000,00000,0800,0800MEALS SERVED :DIETARY 434093,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434093,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434093,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434093,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434093,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434093,E10A180,00501,0100,05/23/12 434093,G300000,02500,0000, OTHER (SPECIFY) 434093,S000000,00100,0200,02/29/12 434093,S200000,00100,0100,711 SUSAN TART ROAD 434093,S200000,00200,0100,DUNN 434093,S200000,00200,0200,NC 434093,S200000,00200,0300,28334 434093,S200000,00300,0100,HARNETT 434093,S200000,00300,0201,99934 434093,S200000,00300,0300,R 434093,S200000,00400,0100,CORNERSTONE NURSING & REHAB CENTER 434093,S200000,00400,0200,345325 434093,S200000,00400,0300,01/01/11 434093,S200000,00400,0500,P 434093,S200000,01500,0100,N 434093,S200000,01501,0200,Y 434093,S200000,01502,0200,Y 434093,S200000,01503,0200,Y 434093,S200000,01504,0200,Y 434093,S200000,01505,0000,OTHER (SPECIFY) 434093,S200000,01505,0200,Y 434093,S200000,01600,0100,Y 434093,S200000,01700,0100,N 434093,S200000,01800,0100,N 434093,S200000,02200,0100,N 434093,S200000,02800,0100,N 434093,S200000,02900,0100,N 434093,S200000,03000,0100,N 434093,S200000,03100,0100,N 434093,S200000,03200,0100,N 434093,S200000,03300,0100,N 434093,S200000,03300,0200,N 434093,S200000,04100,0100,N 434093,S200000,04200,0100,N 434093,S200000,04300,0100,N 434093,S200000,04600,0100,N 434093,S200000,04700,0100,N 434093,S200000,04700,0200,N 434093,S200000,04900,0100,N 434093,S200000,05000,0100,N 434093,S200000,05100,0100,N 434093,S200000,05200,0100,N 434093,S200000,05300,0100,Y 434093,S200000,05300,0200,349011 434093,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434093,S200000,05400,0200,PALMETTO GBA 434093,S200000,05400,0300,11501 434093,S200000,05500,0100,1435 HWY 258 NORTH 434093,S200000,05600,0100,KINSTON 434093,S200000,05600,0200,NC 434093,S200000,05600,0300,28502 434095,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434095,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434095,A000000,00300,0000,0300EMPLOYEE BENEFITS 434095,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434095,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434095,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434095,A000000,00700,0000,0700HOUSEKEEPING 434095,A000000,00800,0000,0800DIETARY 434095,A000000,00900,0000,0900NURSING ADMINISTRATION 434095,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434095,A000000,01100,0000,1100PHARMACY 434095,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434095,A000000,01300,0000,1300SOCIAL SERVICE 434095,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434095,A000000,01600,0000,1600SKILLED NURSING FACILITY 434095,A000000,01800,0000,1800NURSING FACILITY 434095,A000000,01900,0000,1900OTHER LONG TERM CARE 434095,A000000,02100,0000,2100RADIOLOGY 434095,A000000,02200,0000,2200LABORATORY 434095,A000000,02300,0000,2300INTRAVENOUS THERAPY 434095,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434095,A000000,02500,0000,2500PHYSICAL THERAPY 434095,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434095,A000000,02700,0000,2700SPEECH PATHOLOGY 434095,A000000,02800,0000,2800ELECTROCARDIOLOGY 434095,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434095,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434095,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434095,A000000,03200,0000,3200SUPPORT SURFACES 434095,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434095,A000000,03400,0000,3400CLINIC 434095,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434095,A000000,04800,0000,4800AMBULANCE 434095,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434095,A000000,05000,0000,5000CORF 434095,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434095,A000000,05300,0000,5300INTEREST EXPENSE 434095,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434095,A000000,05500,0000,5500HOSPICE 434095,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434095,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434095,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434095,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434095,A000000,06100,0000,6100NONPAID WORKERS 434095,A000000,06200,0000,6200PATIENTS LAUNDRY 434095,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434095,A81000A,00100,0100,Y 434095,A81000B,00100,0300,NURSING CONSULTING 434095,A81000B,00200,0300,DIETARY CONSULTING 434095,A81000B,00300,0300,HOME OFFICE 434095,A81000B,00400,0300,INTEREST EXPENSE 434095,A81000B,00500,0300,WORKERS COMP 434095,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 434095,A81000B,00700,0300,OFFICE SUPPLIES 434095,A81000B,00800,0300,MAINTENANCE SUPPLIES 434095,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434095,A81000B,01000,0300,REPAIRS-EQUIPMENT 434095,A81000B,01100,0300,REPAIRS-GROUNDS 434095,A81000B,01200,0300,LINEN & BEDDING 434095,A81000B,01300,0300,SUPPLIES 434095,A81000B,01400,0300,PAPER PRODUCTS & HAND SOAP 434095,A81000B,01500,0300,SUPPLIES 434095,A81000B,01600,0300,DIETARY SUPPLEMENTS 434095,A81000B,01700,0300,SUPPLIES 434095,A81000B,01800,0300,BIO-MEDICAL WASTE 434095,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 434095,A81000B,02000,0300,PERSONAL CARE SUPPLIES 434095,A81000B,02100,0300,INCONTINENCE SUPPLIES 434095,A81000B,02200,0300,MEDICAL SUPPLIES 434095,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 434095,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 434095,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 434095,A81000B,02600,0300,NON-LEGEND DRUGS 434095,A81000B,02700,0300,PHARMACY CONSULTANT 434095,A81000B,02800,0300,SUPPLIES 434095,A81000B,02900,0300,LEGEND DRUGS 434095,A81000C,00100,0100,B 434095,A81000C,00100,0200,PLTC & PITS INC 434095,A81000C,00100,0400,PLTC & PITS INC 434095,A81000C,00100,0600,MGMT SERVICES 434095,A81000C,00200,0100,B 434095,A81000C,00200,0200,PLTC & PITS INC 434095,A81000C,00200,0400,PLTC & PITS INC 434095,A81000C,00200,0600,MGMT SERVICES 434095,A81000C,00300,0100,B 434095,A81000C,00300,0200,PLTC & PITS INC 434095,A81000C,00300,0400,PLTC & PITS INC 434095,A81000C,00300,0600,MGMT SERVICES 434095,A81000C,00400,0100,B 434095,A81000C,00400,0200,PLTC & PITS INC 434095,A81000C,00400,0400,PLTC & PITS INC 434095,A81000C,00400,0600,MGMT SERVICES 434095,A81000C,00500,0100,A 434095,A81000C,00500,0200,SHAREHOLDERS 434095,A81000C,00500,0400,DISCOVERY INSUR 434095,A81000C,00500,0600,INSURANCE 434095,A81000C,00600,0100,A 434095,A81000C,00600,0200,SHAREHOLDERS 434095,A81000C,00600,0400,QUEENSLAND ASSU 434095,A81000C,00600,0600,INSURANCE 434095,A81000C,00700,0100,A 434095,A81000C,00700,0200,SHAREHOLDERS 434095,A81000C,00700,0400,KARE MEDICAL 434095,A81000C,00700,0600,WHOLESALE SUPPL 434095,A81000C,00800,0100,A 434095,A81000C,00800,0200,SHAREHOLDERS 434095,A81000C,00800,0400,KARE MEDICAL 434095,A81000C,00800,0600,WHOLESALE SUPPL 434095,A81000C,00900,0100,A 434095,A81000C,00900,0200,SHAREHOLDERS 434095,A81000C,00900,0400,KARE MEDICAL 434095,A81000C,00900,0600,WHOLESALE SUPPL 434095,A81000C,01000,0100,A 434095,A81000C,01000,0200,SHAREHOLDERS 434095,A81000C,01000,0400,KARE MEDICAL 434095,A81000C,01000,0600,WHOLESALE SUPPL 434095,A81000C,01001,0100,A 434095,A81000C,01001,0200,SHAREHOLDERS 434095,A81000C,01001,0400,KARE MEDICAL 434095,A81000C,01001,0600,WHOLESALE SUPPL 434095,A81000C,01002,0100,A 434095,A81000C,01002,0200,SHAREHOLDERS 434095,A81000C,01002,0400,KARE MEDICAL 434095,A81000C,01002,0600,WHOLESALE SUPPL 434095,A81000C,01003,0100,A 434095,A81000C,01003,0200,SHAREHOLDERS 434095,A81000C,01003,0400,KARE MEDICAL 434095,A81000C,01003,0600,WHOLESALE SUPPL 434095,A81000C,01004,0100,A 434095,A81000C,01004,0200,SHAREHOLDERS 434095,A81000C,01004,0400,KARE MEDICAL 434095,A81000C,01004,0600,WHOLESALE SUPPL 434095,A81000C,01005,0100,A 434095,A81000C,01005,0200,SHAREHOLDERS 434095,A81000C,01005,0400,KARE MEDICAL 434095,A81000C,01005,0600,WHOLESALE SUPPL 434095,A81000C,01006,0100,A 434095,A81000C,01006,0200,SHAREHOLDERS 434095,A81000C,01006,0400,KARE MEDICAL 434095,A81000C,01006,0600,WHOLESALE SUPPL 434095,A81000C,01007,0100,A 434095,A81000C,01007,0200,SHAREHOLDERS 434095,A81000C,01007,0400,KARE MEDICAL 434095,A81000C,01007,0600,WHOLESALE SUPPL 434095,A81000C,01008,0100,A 434095,A81000C,01008,0200,SHAREHOLDERS 434095,A81000C,01008,0400,KARE MEDICAL 434095,A81000C,01008,0600,WHOLESALE SUPPL 434095,A81000C,01009,0100,A 434095,A81000C,01009,0200,SHAREHOLDERS 434095,A81000C,01009,0400,KARE MEDICAL 434095,A81000C,01009,0600,WHOLESALE SUPPL 434095,A81000C,01010,0100,A 434095,A81000C,01010,0200,SHAREHOLDERS 434095,A81000C,01010,0400,KARE MEDICAL 434095,A81000C,01010,0600,WHOLESALE SUPPL 434095,A81000C,01011,0100,A 434095,A81000C,01011,0200,SHAREHOLDERS 434095,A81000C,01011,0400,KARE MEDICAL 434095,A81000C,01011,0600,WHOLESALE SUPPL 434095,A81000C,01012,0100,A 434095,A81000C,01012,0200,SHAREHOLDERS 434095,A81000C,01012,0400,KARE MEDICAL 434095,A81000C,01012,0600,WHOLESALE SUPPL 434095,A81000C,01013,0100,A 434095,A81000C,01013,0200,SHAREHOLDERS 434095,A81000C,01013,0400,KARE MEDICAL 434095,A81000C,01013,0600,WHOLESALE SUPPL 434095,A81000C,01014,0100,A 434095,A81000C,01014,0200,SHAREHOLDERS 434095,A81000C,01014,0400,KARE MEDICAL 434095,A81000C,01014,0600,WHOLESALE SUPPL 434095,A81000C,01015,0100,A 434095,A81000C,01015,0200,SHAREHOLDERS 434095,A81000C,01015,0400,PHARMSAVE 434095,A81000C,01015,0600,RX SUPPLY 434095,A81000C,01016,0100,A 434095,A81000C,01016,0200,SHAREHOLDERS 434095,A81000C,01016,0400,PHARMSAVE 434095,A81000C,01016,0600,RX SUPPLY 434095,A81000C,01017,0100,A 434095,A81000C,01017,0200,SHAREHOLDERS 434095,A81000C,01017,0400,PHARMSAVE 434095,A81000C,01017,0600,RX SUPPLY 434095,A81000C,01018,0100,A 434095,A81000C,01018,0200,SHAREHOLDERS 434095,A81000C,01018,0400,PHARMSAVE 434095,A81000C,01018,0600,RX SUPPLY 434095,A81000C,01019,0100,A 434095,A81000C,01019,0200,SHAREHOLDERS 434095,A81000C,01019,0400,PHARMSAVE 434095,A81000C,01019,0600,RX SUPPLY 434095,A81000C,01020,0100,A 434095,A81000C,01020,0200,SHAREHOLDERS 434095,A81000C,01020,0400,ROBERT HILL CON 434095,A81000C,01020,0600,CONSTRUCTION 434095,A81000C,01021,0100,A 434095,A81000C,01021,0200,SHAREHOLDERS 434095,A81000C,01021,0400,ROBERT HILL CON 434095,A81000C,01021,0600,CONSTRUCTION 434095,A81000C,01022,0100,A 434095,A81000C,01022,0200,SHAREHOLDERS 434095,A81000C,01022,0400,ROBERT HILL CON 434095,A81000C,01022,0600,CONSTRUCTION 434095,A81000C,01023,0100,A 434095,A81000C,01023,0200,SHAREHOLDERS 434095,A81000C,01023,0400,ROBERT HILL CON 434095,A81000C,01023,0600,CONSTRUCTION 434095,A81000C,01024,0100,A 434095,A81000C,01024,0200,SHAREHOLDERS 434095,A81000C,01024,0400,ROBERT HILL CON 434095,A81000C,01024,0600,CONSTRUCTION 434095,A81000C,01025,0100,A 434095,A81000C,01025,0200,SHAREHOLDERS 434095,A81000C,01025,0400,NEIL REALTY IN 434095,A81000C,01025,0600,REAL ESTATE 434095,A81000C,01026,0100,A 434095,A81000C,01026,0200,SHAREHOLDERS 434095,A81000C,01026,0400,BRITTHAVEN INC 434095,A81000C,01026,0600,REAL ESTATE 434095,A81000C,01027,0100,A 434095,A81000C,01027,0200,SHAREHOLDERS 434095,A81000C,01027,0400,BRITTHAVEN INC 434095,A81000C,01027,0600,REAL ESTATE 434095,A81000C,01028,0100,A 434095,A81000C,01028,0200,SHAREHOLDERS 434095,A81000C,01028,0400,NEIL REALTY INC 434095,A81000C,01028,0600,REAL ESTATE 434095,A81000C,01029,0100,A 434095,A81000C,01029,0200,SHAREHOLDERS 434095,A81000C,01029,0400,NEIL REALTY INC 434095,A81000C,01029,0600,REAL ESTATE 434095,A81000C,01030,0100,A 434095,A81000C,01030,0200,SHAREHOLDERS 434095,A81000C,01030,0400,NEIL REALTY INC 434095,A81000C,01030,0600,REAL ESTATE 434095,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434095,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434095,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434095,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434095,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434095,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434095,B100000,00000,0800,0800MEALS SERVED :DIETARY 434095,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434095,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434095,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434095,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434095,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434095,E10A180,00350,0100,07/27/11 434095,E10A180,00501,0100,05/24/12 434095,G300000,02500,0000, OTHER (SPECIFY) 434095,S000000,00100,0200,02/29/12 434095,S200000,00100,0100,308 WEST MEADOWVIEW ROAD 434095,S200000,00200,0100,GREENSBORO 434095,S200000,00200,0200,NC 434095,S200000,00200,0300,27406-3610 434095,S200000,00300,0100,GUILFORD 434095,S200000,00300,0201,24660 434095,S200000,00300,0300,U 434095,S200000,00400,0100,MAPLE GROVE HEALTH & REHAB CENTER 434095,S200000,00400,0200,345448 434095,S200000,00400,0300,01/01/11 434095,S200000,00400,0500,P 434095,S200000,01500,0100,N 434095,S200000,01501,0200,Y 434095,S200000,01502,0200,Y 434095,S200000,01503,0200,Y 434095,S200000,01505,0000,OTHER (SPECIFY) 434095,S200000,01505,0200,Y 434095,S200000,01600,0100,Y 434095,S200000,01700,0100,N 434095,S200000,01800,0100,N 434095,S200000,02200,0100,N 434095,S200000,02800,0100,N 434095,S200000,02900,0100,N 434095,S200000,03000,0100,N 434095,S200000,03100,0100,N 434095,S200000,03200,0100,N 434095,S200000,03300,0100,N 434095,S200000,03300,0200,N 434095,S200000,04100,0100,N 434095,S200000,04200,0100,N 434095,S200000,04300,0100,N 434095,S200000,04600,0100,N 434095,S200000,04700,0100,N 434095,S200000,04700,0200,N 434095,S200000,04900,0100,N 434095,S200000,05000,0100,N 434095,S200000,05100,0100,N 434095,S200000,05200,0100,N 434095,S200000,05300,0100,Y 434095,S200000,05300,0200,349011 434095,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 434095,S200000,05400,0200,PALMETTO GBA 434095,S200000,05400,0300,11501 434095,S200000,05500,0100,1435 HWY 258 NORTH 434095,S200000,05600,0100,KINSTON 434095,S200000,05600,0200,NC 434095,S200000,05600,0300,28502 434096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434096,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434096,A000000,00300,0000,0300EMPLOYEE BENEFITS 434096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434096,A000000,00700,0000,0700HOUSEKEEPING 434096,A000000,00800,0000,0800DIETARY 434096,A000000,00900,0000,0900NURSING ADMINISTRATION 434096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434096,A000000,01300,0000,1300SOCIAL SERVICE 434096,A000000,01500,0000,1350ACTIVITIES 434096,A000000,01600,0000,1600SKILLED NURSING FACILITY 434096,A000000,01800,0000,1800NURSING FACILITY 434096,A000000,01810,0000,1810ICF/MR 434096,A000000,01900,0000,1900OTHER LONG TERM CARE 434096,A000000,02100,0000,2100RADIOLOGY 434096,A000000,02200,0000,2200LABORATORY 434096,A000000,02300,0000,2300INTRAVENOUS THERAPY 434096,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434096,A000000,02500,0000,2500PHYSICAL THERAPY 434096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434096,A000000,02700,0000,2700SPEECH PATHOLOGY 434096,A000000,02800,0000,2800ELECTROCARDIOLOGY 434096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434096,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434096,A000000,03200,0000,3200SUPPORT SURFACES 434096,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434096,A000000,03301,0000,3051AIR FLUID THERAPY 434096,A000000,03302,0000,3052AMBULANCE 434096,A000000,03303,0000,3053PEN THERAPY 434096,A000000,03304,0000,3054ONCOLOGY 434096,A000000,03305,0000,3055CARDIOLOGY 434096,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434096,A000000,03307,0000,3057AUDIOLOGY 434096,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434096,A000000,03400,0000,3400CLINIC 434096,A000000,03500,0000,3500RURAL HEALTH CLINIC 434096,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434096,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434096,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434096,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434096,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434096,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434096,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434096,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434096,A000000,04400,0000,4400DME RENTED - HHA 434096,A000000,04500,0000,4500DME SOLD - HHA 434096,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434096,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434096,A000000,04710,0000,4710TELEMEDICINE 434096,A000000,04800,0000,4800AMBULANCE 434096,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434096,A000000,05000,0000,5000CORF 434096,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434096,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434096,A000000,05300,0000,5300INTEREST EXPENSE 434096,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434096,A000000,05500,0000,5500HOSPICE 434096,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434096,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434096,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434096,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434096,A000000,06100,0000,6100NONPAID WORKERS 434096,A000000,06200,0000,6200PATIENTS LAUNDRY 434096,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434096,A81000A,00100,0100,Y 434096,A81000B,00100,0300,HO BUILDING DEPRECIATION 434096,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434096,A81000B,00300,0300,INTEREST 434096,A81000B,00400,0300,MANAGEMENT FEES 434096,A81000B,00500,0300,MEDICAL SUPPLIES 434096,A81000B,00600,0300,MEDICAL SUPPLIES 434096,A81000B,00700,0300,MEDICAL SUPPLIES 434096,A81000B,00800,0300,DRUGS 434096,A81000B,00900,0300,DRUGS 434096,A81000B,01000,0300,DRUGS 434096,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 434096,A81000B,01200,0300,FAC BLDG DEPR 434096,A81000B,01300,0300,FAC EQUIP 434096,A81000B,01400,0300,FAC INTEREST 434096,A81000B,01500,0300,FAC AMORT 434096,A81000B,01600,0300,FAC A&G 434096,A81000C,00100,0100,A 434096,A81000C,00100,0200,R&S MCNEILL 434096,A81000C,00100,0400,LIBERTY LTC MGMT 434096,A81000C,00100,0600,HOME OFC 434096,A81000C,00200,0100,A 434096,A81000C,00200,0200,R&S MCNEILL 434096,A81000C,00200,0400,LIBERTY LTC MGMT 434096,A81000C,00200,0600,HOME OFC 434096,A81000C,00300,0100,A 434096,A81000C,00300,0200,R&S MCNEILL 434096,A81000C,00300,0400,LIBERTY LTC MGMT 434096,A81000C,00300,0600,HOME OFC 434096,A81000C,00400,0100,A 434096,A81000C,00400,0200,R&S MCNEILL 434096,A81000C,00400,0400,LIBERTY LTC MGMT 434096,A81000C,00400,0600,HOME OFC 434096,A81000C,00500,0100,A 434096,A81000C,00500,0200,R&S MCNEILL 434096,A81000C,00500,0400,LIBERTY MED SPEC 434096,A81000C,00500,0600,MED SUPPLY 434096,A81000C,00600,0100,A 434096,A81000C,00600,0200,R&S MCNEILL 434096,A81000C,00600,0400,LIBERTY MED SPEC 434096,A81000C,00600,0600,MED SUPPLY 434096,A81000C,00700,0100,A 434096,A81000C,00700,0200,R&S MCNEILL 434096,A81000C,00700,0400,LIBERTY MED SPEC 434096,A81000C,00700,0600,MED SUPPLY 434096,A81000C,00800,0100,A 434096,A81000C,00800,0200,R&S MCNEILL 434096,A81000C,00800,0400,MCNEILL PHARM 434096,A81000C,00800,0600,PHARMACY 434096,A81000C,00900,0100,A 434096,A81000C,00900,0200,R&S MCNEILL 434096,A81000C,00900,0400,MCNEILL PHARM 434096,A81000C,00900,0600,PHARMACY 434096,A81000C,01000,0100,A 434096,A81000C,01000,0200,R&S MCNEILL 434096,A81000C,01000,0400,MCNEILL PHARM 434096,A81000C,01000,0600,PHARMACY 434096,A81000C,01001,0100,A 434096,A81000C,01001,0200,R&S MCNEILL 434096,A81000C,01001,0400,LIBERTY PROPERTIES 434096,A81000C,01001,0600,BUILDING 434096,A81000C,01002,0100,A 434096,A81000C,01002,0200,R&S MCNEILL 434096,A81000C,01002,0400,LIBERTY PROPERTIES 434096,A81000C,01002,0600,BUILDING 434096,A81000C,01003,0100,A 434096,A81000C,01003,0200,R&S MCNEILL 434096,A81000C,01003,0400,LIBERTY PROPERTIES 434096,A81000C,01003,0600,BUILDING 434096,A81000C,01004,0100,A 434096,A81000C,01004,0200,R&S MCNEILL 434096,A81000C,01004,0400,LIBERTY PROPERTIES 434096,A81000C,01004,0600,BUILDING 434096,A81000C,01005,0100,A 434096,A81000C,01005,0200,R&S MCNEILL 434096,A81000C,01005,0400,LIBERTY PROPERTIES 434096,A81000C,01005,0600,BUILDING 434096,A81000C,01006,0100,A 434096,A81000C,01006,0200,R&S MCNEILL 434096,A81000C,01006,0400,LIBERTY PROPERTIES 434096,A81000C,01006,0600,BUILDING 434096,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434096,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434096,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434096,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434096,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434096,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434096,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434096,B100000,00000,0800,0800MEALS SERVED :DIETARY 434096,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434096,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434096,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434096,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434096,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434096,E10A180,00550,0100,03/01/12 434096,E10A180,00550,0300,03/01/12 434096,G300000,02500,0000,BARBER & BEAUTY 434096,G300000,02501,0000,PERSONAL ITEM REVENUE 434096,G300000,02502,0000,EQUIPMENT RENTAL 434096,G300000,02503,0000,MISCELLANEOUS REVENUE 434096,G300000,02504,0000,RESERVE BED REVENUE 434096,S000000,00100,0200,03/01/12 434096,S200000,00100,0100,4412 SOUTH MAIN STREET 434096,S200000,00200,0100,SALISBURY 434096,S200000,00200,0200,NC 434096,S200000,00200,0300,28147 434096,S200000,00300,0100,ROWAN 434096,S200000,00300,0200,34 434096,S200000,00300,0201,99934 434096,S200000,00300,0300,R 434096,S200000,00400,0100,LIBERTY COMMONES N&R ROWAN COUNTY 434096,S200000,00400,0200,345503 434096,S200000,00400,0300,05/31/00 434096,S200000,00400,0500,P 434096,S200000,00400,0600,P 434096,S200000,01500,0100,Y 434096,S200000,01501,0200,Y 434096,S200000,01600,0100,N 434096,S200000,01700,0100,N 434096,S200000,01800,0100,N 434096,S200000,02200,0100,N 434096,S200000,02800,0100,N 434096,S200000,02900,0100,N 434096,S200000,03000,0100,N 434096,S200000,03100,0100,N 434096,S200000,03200,0100,N 434096,S200000,03300,0100,N 434096,S200000,03300,0200,N 434096,S200000,04100,0100,N 434096,S200000,04200,0100,N 434096,S200000,04300,0100,N 434096,S200000,04600,0100,N 434096,S200000,04700,0100,N 434096,S200000,04700,0200,N 434096,S200000,04900,0100,N 434096,S200000,05000,0100,N 434096,S200000,05100,0100,N 434096,S200000,05200,0100,N 434096,S200000,05300,0100,N 434097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434097,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434097,A000000,00300,0000,0300EMPLOYEE BENEFITS 434097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434097,A000000,00700,0000,0700HOUSEKEEPING 434097,A000000,00800,0000,0800DIETARY 434097,A000000,00900,0000,0900NURSING ADMINISTRATION 434097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434097,A000000,01100,0000,1100PHARMACY 434097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434097,A000000,01300,0000,1300SOCIAL SERVICE 434097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434097,A000000,01600,0000,1600SKILLED NURSING FACILITY 434097,A000000,01800,0000,1800NURSING FACILITY 434097,A000000,01900,0000,1900OTHER LONG TERM CARE 434097,A000000,02100,0000,2100RADIOLOGY 434097,A000000,02200,0000,2200LABORATORY 434097,A000000,02300,0000,2300INTRAVENOUS THERAPY 434097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434097,A000000,02500,0000,2500PHYSICAL THERAPY 434097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434097,A000000,02700,0000,2700SPEECH PATHOLOGY 434097,A000000,02800,0000,2800ELECTROCARDIOLOGY 434097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434097,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434097,A000000,03200,0000,3200SUPPORT SURFACES 434097,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434097,A000000,03400,0000,3400CLINIC 434097,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434097,A000000,04800,0000,4800AMBULANCE 434097,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434097,A000000,05000,0000,5000CORF 434097,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434097,A000000,05300,0000,5300INTEREST EXPENSE 434097,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434097,A000000,05500,0000,5500HOSPICE 434097,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434097,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434097,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434097,A000000,06100,0000,6100NONPAID WORKERS 434097,A000000,06200,0000,6200PATIENTS LAUNDRY 434097,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434097,A81000A,00100,0100,Y 434097,A81000B,00100,0300,NURSING CONSULTING 434097,A81000B,00200,0300,DIETARY CONSULTING 434097,A81000B,00300,0300,HOME OFFICE 434097,A81000B,00400,0300,INTEREST EXPENSE 434097,A81000B,00500,0300,WORKERS COMP 434097,A81000B,00600,0300,INSURANCE-PROFESSIONAL LIABILITY 434097,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 434097,A81000B,00800,0300,REPAIRS-EQUIPMENT 434097,A81000B,00900,0300,LINEN & BEDDING 434097,A81000B,01000,0300,SUPPLIES 434097,A81000B,01100,0300,PAPER PRODUCTS & HAND SOAP 434097,A81000B,01200,0300,SUPPLIES 434097,A81000B,01300,0300,DIETARY SUPPLEMENTS 434097,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 434097,A81000B,01500,0300,RAW FOOD 434097,A81000B,01600,0300,SUPPLIES 434097,A81000B,01700,0300,BIO-MEDICAL WASTE 434097,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434097,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434097,A81000B,02000,0300,INCONTINENCE SUPPLIES 434097,A81000B,02100,0300,MEDICAL SUPPLIES 434097,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 434097,A81000B,02300,0300,SUPPLIES 434097,A81000B,02400,0300,MINOR EQUIPMENT EXPENSE 434097,A81000B,02500,0300,SUPPLIES 434097,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 434097,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 434097,A81000B,02800,0300,NON-LEGEND DRUGS 434097,A81000B,02900,0300,PHARMACY CONSULTANT 434097,A81000C,00100,0100,B 434097,A81000C,00100,0200,PLTC & PITS INC 434097,A81000C,00100,0400,PLTC & PITS INC 434097,A81000C,00100,0600,MGMT SERVICES 434097,A81000C,00200,0100,B 434097,A81000C,00200,0200,PLTC & PITS INC 434097,A81000C,00200,0400,PLTC & PITS INC 434097,A81000C,00200,0600,MGMT SERVICES 434097,A81000C,00300,0100,B 434097,A81000C,00300,0200,PLTC & PITS INC 434097,A81000C,00300,0400,PLTC & PITS INC 434097,A81000C,00300,0600,MGMT SERVICES 434097,A81000C,00400,0100,B 434097,A81000C,00400,0200,PLTC & PITS INC 434097,A81000C,00400,0400,PLTC & PITS INC 434097,A81000C,00400,0600,MGMT SERVICES 434097,A81000C,00500,0100,A 434097,A81000C,00500,0200,SHAREHOLDERS 434097,A81000C,00500,0400,DISCOVERY INSUR 434097,A81000C,00500,0600,INSURANCE 434097,A81000C,00600,0100,A 434097,A81000C,00600,0200,SHAREHOLDERS 434097,A81000C,00600,0400,QUEENSLAND ASSU 434097,A81000C,00600,0600,INSURANCE 434097,A81000C,00700,0100,A 434097,A81000C,00700,0200,SHAREHOLDERS 434097,A81000C,00700,0400,KARE MEDICAL 434097,A81000C,00700,0600,WHOLESALE SUPPL 434097,A81000C,00800,0100,A 434097,A81000C,00800,0200,SHAREHOLDERS 434097,A81000C,00800,0400,KARE MEDICAL 434097,A81000C,00800,0600,WHOLESALE SUPPL 434097,A81000C,00900,0100,A 434097,A81000C,00900,0200,SHAREHOLDERS 434097,A81000C,00900,0400,KARE MEDICAL 434097,A81000C,00900,0600,WHOLESALE SUPPL 434097,A81000C,01000,0100,A 434097,A81000C,01000,0200,SHAREHOLDERS 434097,A81000C,01000,0400,KARE MEDICAL 434097,A81000C,01000,0600,WHOLESALE SUPPL 434097,A81000C,01001,0100,A 434097,A81000C,01001,0200,SHAREHOLDERS 434097,A81000C,01001,0400,KARE MEDICAL 434097,A81000C,01001,0600,WHOLESALE SUPPL 434097,A81000C,01002,0100,A 434097,A81000C,01002,0200,SHAREHOLDERS 434097,A81000C,01002,0400,KARE MEDICAL 434097,A81000C,01002,0600,WHOLESALE SUPPL 434097,A81000C,01003,0100,A 434097,A81000C,01003,0200,SHAREHOLDERS 434097,A81000C,01003,0400,KARE MEDICAL 434097,A81000C,01003,0600,WHOLESALE SUPPL 434097,A81000C,01004,0100,A 434097,A81000C,01004,0200,SHAREHOLDERS 434097,A81000C,01004,0400,KARE MEDICAL 434097,A81000C,01004,0600,WHOLESALE SUPPL 434097,A81000C,01005,0100,A 434097,A81000C,01005,0200,SHAREHOLDERS 434097,A81000C,01005,0400,KARE MEDICAL 434097,A81000C,01005,0600,WHOLESALE SUPPL 434097,A81000C,01006,0100,A 434097,A81000C,01006,0200,SHAREHOLDERS 434097,A81000C,01006,0400,KARE MEDICAL 434097,A81000C,01006,0600,WHOLESALE SUPPL 434097,A81000C,01007,0100,A 434097,A81000C,01007,0200,SHAREHOLDERS 434097,A81000C,01007,0400,KARE MEDICAL 434097,A81000C,01007,0600,WHOLESALE SUPPL 434097,A81000C,01008,0100,A 434097,A81000C,01008,0200,SHAREHOLDERS 434097,A81000C,01008,0400,KARE MEDICAL 434097,A81000C,01008,0600,WHOLESALE SUPPL 434097,A81000C,01009,0100,A 434097,A81000C,01009,0200,SHAREHOLDERS 434097,A81000C,01009,0400,KARE MEDICAL 434097,A81000C,01009,0600,WHOLESALE SUPPL 434097,A81000C,01010,0100,A 434097,A81000C,01010,0200,SHAREHOLDERS 434097,A81000C,01010,0400,KARE MEDICAL 434097,A81000C,01010,0600,WHOLESALE SUPPL 434097,A81000C,01011,0100,A 434097,A81000C,01011,0200,SHAREHOLDERS 434097,A81000C,01011,0400,KARE MEDICAL 434097,A81000C,01011,0600,WHOLESALE SUPPL 434097,A81000C,01012,0100,A 434097,A81000C,01012,0200,SHAREHOLDERS 434097,A81000C,01012,0400,KARE MEDICAL 434097,A81000C,01012,0600,WHOLESALE SUPPL 434097,A81000C,01013,0100,A 434097,A81000C,01013,0200,SHAREHOLDERS 434097,A81000C,01013,0400,KARE MEDICAL 434097,A81000C,01013,0600,WHOLESALE SUPPL 434097,A81000C,01014,0100,A 434097,A81000C,01014,0200,SHAREHOLDERS 434097,A81000C,01014,0400,KARE MEDICAL 434097,A81000C,01014,0600,WHOLESALE SUPPL 434097,A81000C,01015,0100,A 434097,A81000C,01015,0200,SHAREHOLDERS 434097,A81000C,01015,0400,KARE MEDICAL 434097,A81000C,01015,0600,WHOLESALE SUPPL 434097,A81000C,01016,0100,A 434097,A81000C,01016,0200,SHAREHOLDERS 434097,A81000C,01016,0400,KARE MEDICAL 434097,A81000C,01016,0600,WHOLESALE SUPPL 434097,A81000C,01017,0100,A 434097,A81000C,01017,0200,SHAREHOLDERS 434097,A81000C,01017,0400,PHARMSAVE 434097,A81000C,01017,0600,RX SUPPLY 434097,A81000C,01018,0100,A 434097,A81000C,01018,0200,SHAREHOLDERS 434097,A81000C,01018,0400,PHARMSAVE 434097,A81000C,01018,0600,RX SUPPLY 434097,A81000C,01019,0100,A 434097,A81000C,01019,0200,SHAREHOLDERS 434097,A81000C,01019,0400,PHARMSAVE 434097,A81000C,01019,0600,RX SUPPLY 434097,A81000C,01020,0100,A 434097,A81000C,01020,0200,SHAREHOLDERS 434097,A81000C,01020,0400,PHARMSAVE 434097,A81000C,01020,0600,RX SUPPLY 434097,A81000C,01021,0100,A 434097,A81000C,01021,0200,SHAREHOLDERS 434097,A81000C,01021,0400,PHARMSAVE 434097,A81000C,01021,0600,RX SUPPLY 434097,A81000C,01022,0100,A 434097,A81000C,01022,0200,SHAREHOLDERS 434097,A81000C,01022,0400,ROBERT HILL CON 434097,A81000C,01022,0600,CONSTRUCTION 434097,A81000C,01023,0100,A 434097,A81000C,01023,0200,SHAREHOLDERS 434097,A81000C,01023,0400,ROBERT HILL CON 434097,A81000C,01023,0600,CONSTRUCTION 434097,A81000C,01024,0100,A 434097,A81000C,01024,0200,SHAREHOLDERS 434097,A81000C,01024,0400,ROBERT HILL CON 434097,A81000C,01024,0600,CONSTRUCTION 434097,A81000C,01025,0100,A 434097,A81000C,01025,0200,SHAREHOLDERS 434097,A81000C,01025,0400,ROBERT HILL CON 434097,A81000C,01025,0600,CONSTRUCTION 434097,A81000C,01026,0100,A 434097,A81000C,01026,0200,SHAREHOLDERS 434097,A81000C,01026,0400,HILLCO LTD 434097,A81000C,01026,0600,REAL ESTATE 434097,A81000C,01027,0100,A 434097,A81000C,01027,0200,SHAREHOLDERS 434097,A81000C,01027,0400,BRITTHAVEN INC 434097,A81000C,01027,0600,REAL ESTATE 434097,A81000C,01028,0100,A 434097,A81000C,01028,0200,SHAREHOLDERS 434097,A81000C,01028,0400,BRITTHAVEN INC 434097,A81000C,01028,0600,REAL ESTATE 434097,A81000C,01029,0100,A 434097,A81000C,01029,0200,SHAREHOLDERS 434097,A81000C,01029,0400,BRITTHAVEN INC 434097,A81000C,01029,0600,REAL ESTATE 434097,A81000C,01030,0100,A 434097,A81000C,01030,0200,SHAREHOLDERS 434097,A81000C,01030,0400,BRITTHAVEN INC 434097,A81000C,01030,0600,REAL ESTATE 434097,A81000C,01031,0100,A 434097,A81000C,01031,0200,SHAREHOLDERS 434097,A81000C,01031,0400,BRITTHAVEN INC 434097,A81000C,01031,0600,REAL ESTATE 434097,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434097,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434097,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434097,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434097,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434097,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434097,B100000,00000,0800,0800MEALS SERVED :DIETARY 434097,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434097,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434097,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434097,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434097,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434097,E10A180,00350,0100,07/27/11 434097,E10A180,00501,0100,06/21/12 434097,G300000,02500,0000, OTHER (SPECIFY) 434097,S000000,00100,0200,04/10/12 434097,S200000,00100,0100,3609 BOND STREET 434097,S200000,00200,0100,RALEIGH 434097,S200000,00200,0200,NC 434097,S200000,00200,0300,27604-3801 434097,S200000,00300,0100,WAKE 434097,S200000,00300,0201,39580 434097,S200000,00300,0300,U 434097,S200000,00400,0100,TOWER NURSING & REHAB CENTER 434097,S200000,00400,0200,345513 434097,S200000,00400,0300,01/01/11 434097,S200000,00400,0500,P 434097,S200000,01500,0100,N 434097,S200000,01501,0200,Y 434097,S200000,01502,0200,Y 434097,S200000,01503,0200,Y 434097,S200000,01504,0200,Y 434097,S200000,01505,0000,OTHER (SPECIFY) 434097,S200000,01505,0200,Y 434097,S200000,01600,0100,Y 434097,S200000,01700,0100,N 434097,S200000,01800,0100,N 434097,S200000,02200,0100,N 434097,S200000,02800,0100,N 434097,S200000,02900,0100,N 434097,S200000,03000,0100,N 434097,S200000,03100,0100,N 434097,S200000,03200,0100,N 434097,S200000,03300,0100,N 434097,S200000,03300,0200,N 434097,S200000,04100,0100,N 434097,S200000,04200,0100,N 434097,S200000,04300,0100,N 434097,S200000,04600,0100,N 434097,S200000,04700,0100,N 434097,S200000,04700,0200,N 434097,S200000,04900,0100,N 434097,S200000,05000,0100,N 434097,S200000,05100,0100,N 434097,S200000,05200,0100,N 434097,S200000,05300,0100,Y 434097,S200000,05300,0200,349011 434097,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 434097,S200000,05400,0200,PALMETTO GBA 434097,S200000,05400,0300,11501 434097,S200000,05500,0100,1435 HWY 258 NORTH 434097,S200000,05600,0100,KINSTON 434097,S200000,05600,0200,NC 434097,S200000,05600,0300,28502 434098,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434098,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434098,A000000,00300,0000,0300EMPLOYEE BENEFITS 434098,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434098,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434098,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434098,A000000,00700,0000,0700HOUSEKEEPING 434098,A000000,00800,0000,0800DIETARY 434098,A000000,00900,0000,0900NURSING ADMINISTRATION 434098,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434098,A000000,01100,0000,1100PHARMACY 434098,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434098,A000000,01300,0000,1300SOCIAL SERVICE 434098,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434098,A000000,01500,0000,1350RESIDENT ACTIVITIES 434098,A000000,01600,0000,1600SKILLED NURSING FACILITY 434098,A000000,01810,0000,1810ICF/MR 434098,A000000,01900,0000,1900OTHER LONG TERM CARE 434098,A000000,02100,0000,2100RADIOLOGY 434098,A000000,02200,0000,2200LABORATORY 434098,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434098,A000000,02500,0000,2500PHYSICAL THERAPY 434098,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434098,A000000,02700,0000,2700SPEECH PATHOLOGY 434098,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434098,A000000,03550,0000,3550FQHC 434098,A000000,05000,0000,5000CORF 434098,A000000,05010,0000,5010CMHC 434098,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434098,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434098,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434098,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434098,A81000A,00100,0100,Y 434098,A81000B,00100,0300,SUPPORT SERVICES 434098,A81000C,00100,0100,B 434098,A81000C,00100,0200,BRIDGEWATER HEA 434098,A81000C,00100,0400,BRIDGEWATER HEA 434098,A81000C,00100,0600,MGMT COMPANY 434098,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434098,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434098,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434098,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434098,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434098,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434098,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434098,B100000,00000,0800,0800MEALS SERVED :DIETARY 434098,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434098,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434098,B100000,00000,1500,1350PATIENT DAYS :RESIDENT ACTIVITI 434098,E10A180,00501,0100,05/26/12 434098,G300000,02500,0000,VILLAGE INCOME 434098,G300000,02501,0000,MSH REVENUE AND MISC INCOME 434098,G300000,02502,0000,MEDICAID SETTLEMENT 434098,G300000,02503,0000,RENTAL INCOME 434098,G300000,02504,0000,TRANSPORTATION SERVICES 434098,G300000,02505,0000,BARBER AND BEAUTY 434098,G300000,02506,0000,MED SUPPLIES 434098,S000000,00100,0200,03/01/12 434098,S200000,00100,0100,302 N SECOND STREET 434098,S200000,00200,0100,BRIDEGWATER 434098,S200000,00200,0200,VA 434098,S200000,00200,0300,22812 434098,S200000,00300,0100,ROCKINGHAM 434098,S200000,00300,0201,25500 434098,S200000,00300,0300,U 434098,S200000,00400,0100,BRIDGEWATER HOME INC 434098,S200000,00400,0200,495370 434098,S200000,00400,0300,10/15/03 434098,S200000,00400,0500,P 434098,S200000,01500,0100,Y 434098,S200000,01501,0200,Y 434098,S200000,01503,0200,N 434098,S200000,01504,0200,N 434098,S200000,01600,0100,N 434098,S200000,01700,0100,N 434098,S200000,01800,0100,N 434098,S200000,02200,0100,N 434098,S200000,02800,0100,N 434098,S200000,02900,0100,N 434098,S200000,03000,0100,N 434098,S200000,03100,0100,N 434098,S200000,03200,0100,N 434098,S200000,03300,0100,N 434098,S200000,03300,0200,N 434098,S200000,04100,0100,N 434098,S200000,04200,0100,N 434098,S200000,04300,0100,N 434098,S200000,04600,0100,N 434098,S200000,04700,0100,N 434098,S200000,04700,0200,N 434098,S200000,04900,0100,N 434098,S200000,05000,0100,N 434098,S200000,05100,0100,N 434098,S200000,05200,0100,N 434098,S200000,05300,0100,N 434101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434101,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434101,A000000,00300,0000,0300EMPLOYEE BENEFITS 434101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434101,A000000,00700,0000,0700HOUSEKEEPING 434101,A000000,00800,0000,0800DIETARY 434101,A000000,00900,0000,0900NURSING ADMINISTRATION 434101,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434101,A000000,01100,0000,1100PHARMACY 434101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434101,A000000,01300,0000,1300SOCIAL SERVICE 434101,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434101,A000000,01600,0000,1600SKILLED NURSING FACILITY 434101,A000000,01800,0000,1800NURSING FACILITY 434101,A000000,01900,0000,1900OTHER LONG TERM CARE 434101,A000000,02100,0000,2100RADIOLOGY 434101,A000000,02200,0000,2200LABORATORY 434101,A000000,02300,0000,2300INTRAVENOUS THERAPY 434101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434101,A000000,02500,0000,2500PHYSICAL THERAPY 434101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434101,A000000,02700,0000,2700SPEECH PATHOLOGY 434101,A000000,02800,0000,2800ELECTROCARDIOLOGY 434101,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434101,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434101,A000000,03200,0000,3200SUPPORT SURFACES 434101,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434101,A000000,03400,0000,3400CLINIC 434101,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434101,A000000,04800,0000,4800AMBULANCE 434101,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434101,A000000,05000,0000,5000CORF 434101,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434101,A000000,05300,0000,5300INTEREST EXPENSE 434101,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434101,A000000,05500,0000,5500HOSPICE 434101,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434101,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434101,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434101,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434101,A000000,06100,0000,6100NONPAID WORKERS 434101,A000000,06200,0000,6200PATIENTS LAUNDRY 434101,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434101,A81000A,00100,0100,Y 434101,A81000B,00100,0300,NURSING CONSULTING 434101,A81000B,00200,0300,DIETARY CONSULTING 434101,A81000B,00300,0300,HOME OFFICE 434101,A81000B,00400,0300,INTEREST EXPENSE 434101,A81000B,00500,0300,WORKER S COMP EXPENSE 434101,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434101,A81000B,00700,0300,MAINTENANCE SUPPLIE 434101,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,00900,0300,REPAIRS - EQUIPMENT 434101,A81000B,01000,0300,LINEN & BEDDING 434101,A81000B,01100,0300,LAUNDRY SUPPLIES 434101,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 434101,A81000B,01400,0300,DIETARY SUPPLEMENTS 434101,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,01600,0300,DIETARY SUPPLIES 434101,A81000B,01700,0300,BIO-MEDICAL WASTE 434101,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434101,A81000B,02000,0300,INCONTINENCE SUPPLIES 434101,A81000B,02100,0300,MEDICAL SUPPLIES 434101,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 434101,A81000B,02300,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,02400,0300,PT SUPPLIES 434101,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 434101,A81000B,02600,0300,BILLABLE MEDICAL SUPPLIES 434101,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 434101,A81000B,02800,0300,NON-LEGEND DRUGS 434101,A81000B,02900,0300,PHARMACY CONSULTANT 434101,A81000C,00100,0100,B 434101,A81000C,00100,0200,PLTC & PITS INC 434101,A81000C,00100,0400,PLTC & PITS INC 434101,A81000C,00100,0600,MGMT SERVICES 434101,A81000C,00200,0100,B 434101,A81000C,00200,0200,PLTC & PITS INC 434101,A81000C,00200,0400,PLTC & PITS INC 434101,A81000C,00200,0600,MGMT SERVICES 434101,A81000C,00300,0100,B 434101,A81000C,00300,0200,PLTC & PITS INC 434101,A81000C,00300,0400,PLTC & PITS INC 434101,A81000C,00300,0600,MGMT SERVICES 434101,A81000C,00400,0100,B 434101,A81000C,00400,0200,PLTC & PITS INC 434101,A81000C,00400,0400,PLTC & PITS INC 434101,A81000C,00400,0600,MGMT SERVICES 434101,A81000C,00500,0100,A 434101,A81000C,00500,0200,SHAREHOLDERS 434101,A81000C,00500,0400,DISCOVERY INSUR 434101,A81000C,00500,0600,INSURANCE 434101,A81000C,00600,0100,A 434101,A81000C,00600,0200,SHAREHOLDERS 434101,A81000C,00600,0400,QUEENSLAND ASSU 434101,A81000C,00600,0600,INSURANCE 434101,A81000C,00700,0100,A 434101,A81000C,00700,0200,SHAREHOLDERS 434101,A81000C,00700,0400,KARE MEDICAL 434101,A81000C,00700,0600,WHOLESALE SUPPL 434101,A81000C,00800,0100,A 434101,A81000C,00800,0200,SHAREHOLDERS 434101,A81000C,00800,0400,KARE MEDICAL 434101,A81000C,00800,0600,WHOLESALE SUPPL 434101,A81000C,00900,0100,A 434101,A81000C,00900,0200,SHAREHOLDERS 434101,A81000C,00900,0400,KARE MEDICAL 434101,A81000C,00900,0600,WHOLESALE SUPPL 434101,A81000C,01000,0100,A 434101,A81000C,01000,0200,SHAREHOLDERS 434101,A81000C,01000,0400,KARE MEDICAL 434101,A81000C,01000,0600,WHOLESALE SUPPL 434101,A81000C,01001,0100,A 434101,A81000C,01001,0200,SHAREHOLDERS 434101,A81000C,01001,0400,KARE MEDICAL 434101,A81000C,01001,0600,WHOLESALE SUPPL 434101,A81000C,01002,0100,A 434101,A81000C,01002,0200,SHAREHOLDERS 434101,A81000C,01002,0400,KARE MEDICAL 434101,A81000C,01002,0600,WHOLESALE SUPPL 434101,A81000C,01003,0100,A 434101,A81000C,01003,0200,SHAREHOLDERS 434101,A81000C,01003,0400,KARE MEDICAL 434101,A81000C,01003,0600,WHOLESALE SUPPL 434101,A81000C,01004,0100,A 434101,A81000C,01004,0200,SHAREHOLDERS 434101,A81000C,01004,0400,KARE MEDICAL 434101,A81000C,01004,0600,WHOLESALE SUPPL 434101,A81000C,01005,0100,A 434101,A81000C,01005,0200,SHAREHOLDERS 434101,A81000C,01005,0400,KARE MEDICAL 434101,A81000C,01005,0600,WHOLESALE SUPPL 434101,A81000C,01006,0100,A 434101,A81000C,01006,0200,SHAREHOLDERS 434101,A81000C,01006,0400,KARE MEDICAL 434101,A81000C,01006,0600,WHOLESALE SUPPL 434101,A81000C,01007,0100,A 434101,A81000C,01007,0200,SHAREHOLDERS 434101,A81000C,01007,0400,KARE MEDICAL 434101,A81000C,01007,0600,WHOLESALE SUPPL 434101,A81000C,01008,0100,A 434101,A81000C,01008,0200,SHAREHOLDERS 434101,A81000C,01008,0400,KARE MEDICAL 434101,A81000C,01008,0600,WHOLESALE SUPPL 434101,A81000C,01009,0100,A 434101,A81000C,01009,0200,SHAREHOLDERS 434101,A81000C,01009,0400,KARE MEDICAL 434101,A81000C,01009,0600,WHOLESALE SUPPL 434101,A81000C,01010,0100,A 434101,A81000C,01010,0200,SHAREHOLDERS 434101,A81000C,01010,0400,KARE MEDICAL 434101,A81000C,01010,0600,WHOLESALE SUPPL 434101,A81000C,01011,0100,A 434101,A81000C,01011,0200,SHAREHOLDERS 434101,A81000C,01011,0400,KARE MEDICAL 434101,A81000C,01011,0600,WHOLESALE SUPPL 434101,A81000C,01012,0100,A 434101,A81000C,01012,0200,SHAREHOLDERS 434101,A81000C,01012,0400,KARE MEDICAL 434101,A81000C,01012,0600,WHOLESALE SUPPL 434101,A81000C,01013,0100,A 434101,A81000C,01013,0200,SHAREHOLDERS 434101,A81000C,01013,0400,KARE MEDICAL 434101,A81000C,01013,0600,WHOLESALE SUPPL 434101,A81000C,01014,0100,A 434101,A81000C,01014,0200,SHAREHOLDERS 434101,A81000C,01014,0400,KARE MEDICAL 434101,A81000C,01014,0600,WHOLESALE SUPPL 434101,A81000C,01015,0100,A 434101,A81000C,01015,0200,SHAREHOLDERS 434101,A81000C,01015,0400,KARE MEDICAL 434101,A81000C,01015,0600,WHOLESALE SUPPL 434101,A81000C,01016,0100,A 434101,A81000C,01016,0200,SHAREHOLDERS 434101,A81000C,01016,0400,KARE MEDICAL 434101,A81000C,01016,0600,WHOLESALE SUPPL 434101,A81000C,01017,0100,A 434101,A81000C,01017,0200,SHAREHOLDERS 434101,A81000C,01017,0400,PHARMSAVE 434101,A81000C,01017,0600,RX SUPPLY 434101,A81000C,01018,0100,A 434101,A81000C,01018,0200,SHAREHOLDERS 434101,A81000C,01018,0400,PHARMSAVE 434101,A81000C,01018,0600,RX SUPPLY 434101,A81000C,01019,0100,A 434101,A81000C,01019,0200,SHAREHOLDERS 434101,A81000C,01019,0400,PHARMSAVE 434101,A81000C,01019,0600,RX SUPPLY 434101,A81000C,01020,0100,A 434101,A81000C,01020,0200,SHAREHOLDERS 434101,A81000C,01020,0400,PHARMSAVE 434101,A81000C,01020,0600,RX SUPPLY 434101,A81000C,01021,0100,A 434101,A81000C,01021,0200,SHAREHOLDERS 434101,A81000C,01021,0400,PHARMSAVE 434101,A81000C,01021,0600,RX SUPPLY 434101,A81000C,01022,0100,A 434101,A81000C,01022,0200,SHAREHOLDERS 434101,A81000C,01022,0400,ROBERT HILL CON 434101,A81000C,01022,0600,CONSTRUCTION 434101,A81000C,01023,0100,A 434101,A81000C,01023,0200,SHAREHOLDERS 434101,A81000C,01023,0400,ROBERT HILL CON 434101,A81000C,01023,0600,CONSTRUCTION 434101,A81000C,01024,0100,A 434101,A81000C,01024,0200,SHAREHOLDERS 434101,A81000C,01024,0400,ROBERT HILL CON 434101,A81000C,01024,0600,CONSTRUCTION 434101,A81000C,01025,0100,A 434101,A81000C,01025,0200,SHAREHOLDERS 434101,A81000C,01025,0400,ROBERT HILL CON 434101,A81000C,01025,0600,CONSTRUCTION 434101,A81000C,01026,0100,A 434101,A81000C,01026,0200,SHAREHOLDERS 434101,A81000C,01026,0400,ROBERT HILL CON 434101,A81000C,01026,0600,CONSTRUCTION 434101,A81000C,01027,0100,A 434101,A81000C,01027,0200,SHAREHOLDERS 434101,A81000C,01027,0400,HILLCO LTD 434101,A81000C,01027,0600,REAL ESTATE 434101,A81000C,01028,0100,A 434101,A81000C,01028,0200,SHAREHOLDERS 434101,A81000C,01028,0400,BRITTHAVEN INC 434101,A81000C,01028,0600,REAL ESTATE 434101,A81000C,01029,0100,A 434101,A81000C,01029,0200,SHAREHOLDERS 434101,A81000C,01029,0400,BRITTHAVEN INC 434101,A81000C,01029,0600,REAL ESTATE 434101,A81000C,01030,0100,A 434101,A81000C,01030,0200,SHAREHOLDERS 434101,A81000C,01030,0400,BRITTHAVEN INC 434101,A81000C,01030,0600,REAL ESTATE 434101,A81000C,01031,0100,A 434101,A81000C,01031,0200,SHAREHOLDERS 434101,A81000C,01031,0400,BRITTHAVEN INC 434101,A81000C,01031,0600,REAL ESTATE 434101,A81000C,01032,0100,A 434101,A81000C,01032,0200,SHAREHOLDERS 434101,A81000C,01032,0400,BRITTHAVEN INC 434101,A81000C,01032,0600,REAL ESTATE 434101,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434101,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434101,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434101,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434101,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434101,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434101,B100000,00000,0800,0800MEALS SERVED :DIETARY 434101,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434101,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434101,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434101,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434101,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434101,E10A180,00350,0100,07/27/00 434101,E10A180,00501,0100,05/21/12 434101,G300000,02500,0000, OTHER (SPECIFY) 434101,S000000,00100,0200,02/29/12 434101,S200000,00100,0100,2401 WAYNE MEMORIAL DRIVE 434101,S200000,00200,0100,GOLDSBORO 434101,S200000,00200,0200,NC 434101,S200000,00200,0300,27530 434101,S200000,00300,0100,WAYNE 434101,S200000,00300,0201,24140 434101,S200000,00300,0300,U 434101,S200000,00400,0100,WILLOW CREEK NURSING & REHAB CENTER 434101,S200000,00400,0200,345113 434101,S200000,00400,0300,01/01/11 434101,S200000,00400,0500,P 434101,S200000,01500,0100,Y 434101,S200000,01501,0200,Y 434101,S200000,01502,0200,Y 434101,S200000,01503,0200,Y 434101,S200000,01504,0200,Y 434101,S200000,01505,0000,OTHER (SPECIFY) 434101,S200000,01505,0200,Y 434101,S200000,01600,0100,N 434101,S200000,01700,0100,N 434101,S200000,01800,0100,N 434101,S200000,02200,0100,N 434101,S200000,02800,0100,N 434101,S200000,02900,0100,N 434101,S200000,03000,0100,N 434101,S200000,03100,0100,N 434101,S200000,03200,0100,N 434101,S200000,03300,0100,N 434101,S200000,03300,0200,N 434101,S200000,04100,0100,N 434101,S200000,04200,0100,N 434101,S200000,04300,0100,N 434101,S200000,04600,0100,N 434101,S200000,04700,0100,N 434101,S200000,04700,0200,N 434101,S200000,04900,0100,N 434101,S200000,05000,0100,N 434101,S200000,05100,0100,N 434101,S200000,05200,0100,N 434101,S200000,05300,0100,Y 434101,S200000,05300,0200,349011 434101,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434101,S200000,05400,0200,PALMETTO GBA 434101,S200000,05400,0300,11501 434101,S200000,05500,0100,1435 HWY 258 NORTH 434101,S200000,05600,0100,KINSTON 434101,S200000,05600,0200,NC 434101,S200000,05600,0300,28502 434102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434102,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434102,A000000,00300,0000,0300EMPLOYEE BENEFITS 434102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434102,A000000,00700,0000,0700HOUSEKEEPING 434102,A000000,00800,0000,0800DIETARY 434102,A000000,00900,0000,0900NURSING ADMINISTRATION 434102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434102,A000000,01100,0000,1100PHARMACY 434102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434102,A000000,01300,0000,1300SOCIAL SERVICE 434102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434102,A000000,01600,0000,1600SKILLED NURSING FACILITY 434102,A000000,01800,0000,1800NURSING FACILITY 434102,A000000,01900,0000,1900OTHER LONG TERM CARE 434102,A000000,02100,0000,2100RADIOLOGY 434102,A000000,02200,0000,2200LABORATORY 434102,A000000,02300,0000,2300INTRAVENOUS THERAPY 434102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434102,A000000,02500,0000,2500PHYSICAL THERAPY 434102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434102,A000000,02700,0000,2700SPEECH PATHOLOGY 434102,A000000,02800,0000,2800ELECTROCARDIOLOGY 434102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434102,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434102,A000000,03200,0000,3200SUPPORT SURFACES 434102,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434102,A000000,03400,0000,3400CLINIC 434102,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434102,A000000,04800,0000,4800AMBULANCE 434102,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434102,A000000,05000,0000,5000CORF 434102,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434102,A000000,05300,0000,5300INTEREST EXPENSE 434102,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434102,A000000,05500,0000,5500HOSPICE 434102,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434102,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434102,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434102,A000000,06100,0000,6100NONPAID WORKERS 434102,A000000,06200,0000,6200PATIENTS LAUNDRY 434102,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434102,A81000A,00100,0100,Y 434102,A81000B,00100,0300,MAINTENANCE SUPPLIES 434102,A81000B,00200,0300,REPAIRS - BUILDING 434102,A81000B,00300,0300,REPAIRS - EQUIPMENT 434102,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 434102,A81000B,00600,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,00700,0300,DIETARY SUPPLEMENTS 434102,A81000B,00800,0300,DIETARY SUPPLIES 434102,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,01000,0300,INCONTINENCE SUPPLIES 434102,A81000B,01100,0300,MEDICAL SUPPLIES 434102,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,01300,0300,SUPPLIES 434102,A81000B,01400,0300,PERSONAL CARE 434102,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,01600,0300,BIO-MEDICAL WASTE 434102,A81000B,01700,0300,LINEN & BEDDING 434102,A81000B,01800,0300,LAUNDRY SUPPLIES 434102,A81000B,01900,0300,PHYSICAL THERAPY SUPPLIES 434102,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 434102,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 434102,A81000B,02200,0300,BILLABLE MEDICAL SUPPLIES 434102,A81000B,02300,0300,PEN THERAPY SUPPLIES 434102,A81000B,02400,0300,EQUIPMENT RENTAL 434102,A81000B,02500,0300,NON-LEGEND DRUGS 434102,A81000B,02600,0300,MEDICAL REC SUPPLIES 434102,A81000B,02700,0300,PHARMACY CONSULTANT 434102,A81000B,02800,0300,LEGEND DRUGS 434102,A81000B,02900,0300,REPAIRS - BUILDING 434102,A81000C,00100,0100,A 434102,A81000C,00100,0200,SHAREHOLDERS 434102,A81000C,00100,0400,KARE MEDICAL 434102,A81000C,00100,0600,WHOLESALE SUPPL 434102,A81000C,00200,0100,A 434102,A81000C,00200,0200,SHAREHOLDERS 434102,A81000C,00200,0400,KARE MEDICAL 434102,A81000C,00200,0600,WHOLESALE SUPPL 434102,A81000C,00300,0100,A 434102,A81000C,00300,0200,SHAREHOLDERS 434102,A81000C,00300,0400,KARE MEDICAL 434102,A81000C,00300,0600,WHOLESALE SUPPL 434102,A81000C,00400,0100,A 434102,A81000C,00400,0200,SHAREHOLDERS 434102,A81000C,00400,0400,KARE MEDICAL 434102,A81000C,00400,0600,WHOLESALE SUPPL 434102,A81000C,00500,0100,A 434102,A81000C,00500,0200,SHAREHOLDERS 434102,A81000C,00500,0400,KARE MEDICAL 434102,A81000C,00500,0600,WHOLESALE SUPPL 434102,A81000C,00600,0100,A 434102,A81000C,00600,0200,SHAREHOLDERS 434102,A81000C,00600,0400,KARE MEDICAL 434102,A81000C,00600,0600,WHOLESALE SUPPL 434102,A81000C,00700,0100,A 434102,A81000C,00700,0200,SHAREHOLDERS 434102,A81000C,00700,0400,KARE MEDICAL 434102,A81000C,00700,0600,WHOLESALE SUPPL 434102,A81000C,00800,0100,A 434102,A81000C,00800,0200,SHAREHOLDERS 434102,A81000C,00800,0400,KARE MEDICAL 434102,A81000C,00800,0600,WHOLESALE SUPPL 434102,A81000C,00900,0100,A 434102,A81000C,00900,0200,SHAREHOLDERS 434102,A81000C,00900,0400,KARE MEDICAL 434102,A81000C,00900,0600,WHOLESALE SUPPL 434102,A81000C,01000,0100,A 434102,A81000C,01000,0200,SHAREHOLDERS 434102,A81000C,01000,0400,KARE MEDICAL 434102,A81000C,01000,0600,WHOLESALE SUPPL 434102,A81000C,01001,0100,A 434102,A81000C,01001,0200,SHAREHOLDERS 434102,A81000C,01001,0400,KARE MEDICAL 434102,A81000C,01001,0600,WHOLESALE SUPPL 434102,A81000C,01002,0100,A 434102,A81000C,01002,0200,SHAREHOLDERS 434102,A81000C,01002,0400,KARE MEDICAL 434102,A81000C,01002,0600,WHOLESALE SUPPL 434102,A81000C,01003,0100,A 434102,A81000C,01003,0200,SHAREHOLDERS 434102,A81000C,01003,0400,KARE MEDICAL 434102,A81000C,01003,0600,WHOLESALE SUPPL 434102,A81000C,01004,0100,A 434102,A81000C,01004,0200,SHAREHOLDERS 434102,A81000C,01004,0400,KARE MEDICAL 434102,A81000C,01004,0600,WHOLESALE SUPPL 434102,A81000C,01005,0100,A 434102,A81000C,01005,0200,SHAREHOLDERS 434102,A81000C,01005,0400,KARE MEDICAL 434102,A81000C,01005,0600,WHOLESALE SUPPL 434102,A81000C,01006,0100,A 434102,A81000C,01006,0200,SHAREHOLDERS 434102,A81000C,01006,0400,KARE MEDICAL 434102,A81000C,01006,0600,WHOLESALE SUPPL 434102,A81000C,01007,0100,A 434102,A81000C,01007,0200,SHAREHOLDERS 434102,A81000C,01007,0400,KARE MEDICAL 434102,A81000C,01007,0600,WHOLESALE SUPPL 434102,A81000C,01008,0100,A 434102,A81000C,01008,0200,SHAREHOLDERS 434102,A81000C,01008,0400,KARE MEDICAL 434102,A81000C,01008,0600,WHOLESALE SUPPL 434102,A81000C,01009,0100,A 434102,A81000C,01009,0200,SHAREHOLDERS 434102,A81000C,01009,0400,KARE MEDICAL 434102,A81000C,01009,0600,WHOLESALE SUPPL 434102,A81000C,01010,0100,A 434102,A81000C,01010,0200,SHAREHOLDERS 434102,A81000C,01010,0400,KARE MEDICAL 434102,A81000C,01010,0600,WHOLESALE SUPPL 434102,A81000C,01011,0100,A 434102,A81000C,01011,0200,SHAREHOLDERS 434102,A81000C,01011,0400,KARE MEDICAL 434102,A81000C,01011,0600,WHOLESALE SUPPL 434102,A81000C,01012,0100,A 434102,A81000C,01012,0200,SHAREHOLDERS 434102,A81000C,01012,0400,KARE MEDICAL 434102,A81000C,01012,0600,WHOLESALE SUPPL 434102,A81000C,01013,0100,A 434102,A81000C,01013,0200,SHAREHOLDERS 434102,A81000C,01013,0400,KARE MEDICAL 434102,A81000C,01013,0600,WHOLESALE SUPPL 434102,A81000C,01014,0100,A 434102,A81000C,01014,0200,SHAREHOLDERS 434102,A81000C,01014,0400,PHARMSAVE 434102,A81000C,01014,0600,RX SUPPLY 434102,A81000C,01015,0100,A 434102,A81000C,01015,0200,SHAREHOLDERS 434102,A81000C,01015,0400,PHARMSAVE 434102,A81000C,01015,0600,RX SUPPLY 434102,A81000C,01016,0100,A 434102,A81000C,01016,0200,SHAREHOLDERS 434102,A81000C,01016,0400,PHARMSAVE 434102,A81000C,01016,0600,RX SUPPLY 434102,A81000C,01017,0100,A 434102,A81000C,01017,0200,SHAREHOLDERS 434102,A81000C,01017,0400,PHARMSAVE 434102,A81000C,01017,0600,RX SUPPLY 434102,A81000C,01018,0100,A 434102,A81000C,01018,0200,SHAREHOLDERS 434102,A81000C,01018,0400,PHARMSAVE 434102,A81000C,01018,0600,RX SUPPLY 434102,A81000C,01019,0100,A 434102,A81000C,01019,0200,SHAREHOLDERS 434102,A81000C,01019,0400,ROBERT HILL CON 434102,A81000C,01019,0600,CONSTRUCTION 434102,A81000C,01020,0100,A 434102,A81000C,01020,0200,SHAREHOLDERS 434102,A81000C,01020,0400,ROBERT HILL CON 434102,A81000C,01020,0600,CONSTRUCTION 434102,A81000C,01021,0100,A 434102,A81000C,01021,0200,SHAREHOLDERS 434102,A81000C,01021,0400,ROBERT HILL CON 434102,A81000C,01021,0600,CONSTRUCTION 434102,A81000C,01022,0100,A 434102,A81000C,01022,0200,SHAREHOLDERS 434102,A81000C,01022,0400,ROBERT HILL CON 434102,A81000C,01022,0600,CONSTRUCTION 434102,A81000C,01023,0100,B 434102,A81000C,01023,0200,PLTC & PITS IN 434102,A81000C,01023,0400,PLTC & PITS IN 434102,A81000C,01023,0600,MANAGEMENT SERV 434102,A81000C,01024,0100,B 434102,A81000C,01024,0200,PLTC & PITS IN 434102,A81000C,01024,0400,PLTC & PITS IN 434102,A81000C,01024,0600,MANAGEMENT SERV 434102,A81000C,01025,0100,B 434102,A81000C,01025,0200,PLTC & PITS IN 434102,A81000C,01025,0400,PLTC & PITS IN 434102,A81000C,01025,0600,MANAGEMENT SERV 434102,A81000C,01026,0100,B 434102,A81000C,01026,0200,PLTC & PITS IN 434102,A81000C,01026,0400,PLTC & PITS IN 434102,A81000C,01026,0600,MANAGEMENT SERV 434102,A81000C,01027,0100,A 434102,A81000C,01027,0200,SHAREHOLDERS 434102,A81000C,01027,0400,DISCOVERY INSUR 434102,A81000C,01027,0600,INSURANCE 434102,A81000C,01028,0100,A 434102,A81000C,01028,0200,SHAREHOLDERS 434102,A81000C,01028,0400,QUEENSLAND ASSU 434102,A81000C,01028,0600,INSURANCE 434102,A81000C,01029,0100,A 434102,A81000C,01029,0200,SHAREHOLDERS 434102,A81000C,01029,0400,BRITTHAVEN INC 434102,A81000C,01029,0600,REAL ESTATE 434102,A81000C,01030,0100,A 434102,A81000C,01030,0200,SHAREHOLDERS 434102,A81000C,01030,0400,BRITTHAVEN INC 434102,A81000C,01030,0600,REAL ESTATE 434102,A81000C,01031,0100,A 434102,A81000C,01031,0200,SHAREHOLDERS 434102,A81000C,01031,0400,BRITTHAVEN INC 434102,A81000C,01031,0600,REAL ESTATE 434102,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434102,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434102,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434102,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434102,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434102,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434102,B100000,00000,0800,0800MEALS SERVED :DIETARY 434102,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434102,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434102,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434102,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434102,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434102,E10A180,00501,0100,05/21/12 434102,G300000,02500,0000, OTHER (SPECIFY) 434102,S000000,00100,0200,02/29/12 434102,S200000,00100,0100,119 GATLING STREET 434102,S200000,00200,0100,WILLIAMSTON 434102,S200000,00200,0200,NC 434102,S200000,00200,0300,27892 434102,S200000,00300,0100,MARTIN 434102,S200000,00300,0201,99934 434102,S200000,00300,0300,R 434102,S200000,00400,0100,ROANOKE RIVER NURSING & REHAB CENTER 434102,S200000,00400,0200,345145 434102,S200000,00400,0300,01/01/11 434102,S200000,00400,0500,P 434102,S200000,01500,0100,Y 434102,S200000,01501,0200,Y 434102,S200000,01502,0200,Y 434102,S200000,01503,0200,Y 434102,S200000,01504,0200,Y 434102,S200000,01505,0000,OTHER (SPECIFY) 434102,S200000,01505,0200,Y 434102,S200000,01600,0100,N 434102,S200000,01700,0100,N 434102,S200000,01800,0100,N 434102,S200000,02200,0100,N 434102,S200000,02800,0100,N 434102,S200000,02900,0100,N 434102,S200000,03000,0100,N 434102,S200000,03100,0100,N 434102,S200000,03200,0100,N 434102,S200000,03300,0100,N 434102,S200000,03300,0200,N 434102,S200000,04100,0100,N 434102,S200000,04200,0100,N 434102,S200000,04300,0100,N 434102,S200000,04600,0100,N 434102,S200000,04700,0100,N 434102,S200000,04700,0200,N 434102,S200000,04900,0100,N 434102,S200000,05000,0100,N 434102,S200000,05100,0100,N 434102,S200000,05200,0100,N 434102,S200000,05300,0100,Y 434102,S200000,05300,0200,349011 434102,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434102,S200000,05400,0200,PALMETTO GBA 434102,S200000,05400,0300,11501 434102,S200000,05500,0100,1435 HWY 258 NORTH 434102,S200000,05600,0100,KINSTON 434102,S200000,05600,0200,NC 434102,S200000,05600,0300,28502 434103,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434103,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434103,A000000,00300,0000,0300EMPLOYEE BENEFITS 434103,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434103,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434103,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434103,A000000,00700,0000,0700HOUSEKEEPING 434103,A000000,00800,0000,0800DIETARY 434103,A000000,00900,0000,0900NURSING ADMINISTRATION 434103,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434103,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434103,A000000,01300,0000,1300SOCIAL SERVICE 434103,A000000,01500,0000,1350ACTIVITIES 434103,A000000,01600,0000,1600SKILLED NURSING FACILITY 434103,A000000,01800,0000,1800NURSING FACILITY 434103,A000000,01810,0000,1810ICF/MR 434103,A000000,01900,0000,1900OTHER LONG TERM CARE 434103,A000000,02100,0000,2100RADIOLOGY 434103,A000000,02200,0000,2200LABORATORY 434103,A000000,02300,0000,2300INTRAVENOUS THERAPY 434103,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434103,A000000,02500,0000,2500PHYSICAL THERAPY 434103,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434103,A000000,02700,0000,2700SPEECH PATHOLOGY 434103,A000000,02800,0000,2800ELECTROCARDIOLOGY 434103,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434103,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434103,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434103,A000000,03200,0000,3200SUPPORT SURFACES 434103,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434103,A000000,03301,0000,3051AIR FLUID THERAPY 434103,A000000,03302,0000,3052AMBULANCE 434103,A000000,03303,0000,3053PEN THERAPY 434103,A000000,03304,0000,3054ONCOLOGY 434103,A000000,03305,0000,3055CARDIOLOGY 434103,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434103,A000000,03307,0000,3057AUDIOLOGY 434103,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434103,A000000,03400,0000,3400CLINIC 434103,A000000,03500,0000,3500RURAL HEALTH CLINIC 434103,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434103,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434103,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434103,A000000,04800,0000,4800AMBULANCE 434103,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434103,A000000,05000,0000,5000CORF 434103,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434103,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434103,A000000,05300,0000,5300INTEREST EXPENSE 434103,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434103,A000000,05500,0000,5500HOSPICE 434103,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434103,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434103,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434103,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434103,A000000,06100,0000,6100NONPAID WORKERS 434103,A000000,06200,0000,6200PATIENTS LAUNDRY 434103,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434103,A81000A,00100,0100,Y 434103,A81000B,00700,0300,EMPLOYEE BENEFITS 434103,A81000B,00800,0300,INSTITUTIONAL SERVICES 434103,A81000B,00900,0300,DIETARY SERVICES 434103,A81000B,01000,0300,RECREATION THERAPY 434103,A81000B,01100,0300,LABORATORY 434103,A81000B,01200,0300,PHARMACY 434103,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434103,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434103,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434103,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434103,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434103,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434103,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434103,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434103,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434103,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434103,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434103,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434103,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434103,G300000,02500,0000,OTHER INCOME 434103,S000000,00100,0200,02/29/12 434103,S200000,00100,0100,109 FOOTHILLS DRIVE 434103,S200000,00200,0100,MORGANTON 434103,S200000,00200,0200,NC 434103,S200000,00200,0300,28655 434103,S200000,00300,0100,BURKE 434103,S200000,00300,0200,3290 434103,S200000,00300,0201,25860 434103,S200000,00300,0300,U 434103,S200000,00400,0100,GRACE HEIGHTS HEALTH AND REHAB CTR. 434103,S200000,00400,0200,345187 434103,S200000,00400,0300,12/01/93 434103,S200000,00400,0500,P 434103,S200000,00400,0600,P 434103,S200000,01500,0100,Y 434103,S200000,01501,0200,N 434103,S200000,01503,0200,Y 434103,S200000,01600,0100,N 434103,S200000,01700,0100,N 434103,S200000,01800,0100,N 434103,S200000,02200,0100,N 434103,S200000,02800,0100,N 434103,S200000,02900,0100,N 434103,S200000,03000,0100,N 434103,S200000,03100,0100,N 434103,S200000,03200,0100,N 434103,S200000,03300,0100,N 434103,S200000,03300,0200,N 434103,S200000,04100,0100,N 434103,S200000,04200,0100,N 434103,S200000,04300,0100,N 434103,S200000,04600,0100,N 434103,S200000,04700,0100,N 434103,S200000,04700,0200,N 434103,S200000,04900,0100,N 434103,S200000,05000,0100,N 434103,S200000,05100,0100,N 434103,S200000,05200,0100,N 434103,S200000,05300,0100,N 434104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434104,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434104,A000000,00300,0000,0300EMPLOYEE BENEFITS 434104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434104,A000000,00700,0000,0700HOUSEKEEPING 434104,A000000,00800,0000,0800DIETARY 434104,A000000,00900,0000,0900NURSING ADMINISTRATION 434104,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434104,A000000,01100,0000,1100PHARMACY 434104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434104,A000000,01300,0000,1300SOCIAL SERVICE 434104,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434104,A000000,01600,0000,1600SKILLED NURSING FACILITY 434104,A000000,01800,0000,1800NURSING FACILITY 434104,A000000,01900,0000,1900OTHER LONG TERM CARE 434104,A000000,02100,0000,2100RADIOLOGY 434104,A000000,02200,0000,2200LABORATORY 434104,A000000,02300,0000,2300INTRAVENOUS THERAPY 434104,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434104,A000000,02500,0000,2500PHYSICAL THERAPY 434104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434104,A000000,02700,0000,2700SPEECH PATHOLOGY 434104,A000000,02800,0000,2800ELECTROCARDIOLOGY 434104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434104,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434104,A000000,03200,0000,3200SUPPORT SURFACES 434104,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434104,A000000,03400,0000,3400CLINIC 434104,A000000,03500,0000,3500RURAL HEALTH CLINIC 434104,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434104,A000000,04800,0000,4800AMBULANCE 434104,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434104,A000000,05000,0000,5000CORF 434104,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434104,A000000,05300,0000,5300INTEREST EXPENSE 434104,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434104,A000000,05500,0000,5500HOSPICE 434104,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434104,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434104,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434104,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434104,A000000,06100,0000,6100NONPAID WORKERS 434104,A000000,06200,0000,6200PATIENTS LAUNDRY 434104,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434104,A81000A,00100,0100,Y 434104,A81000B,00100,0300,REPAIRS - EQUIPMENT 434104,A81000B,00200,0300,REPAIRS - GROUNDS 434104,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 434104,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 434104,A81000B,00500,0300,DIETARY SUPPLEMENTS 434104,A81000B,00600,0300,DIETARY SUPPLIES 434104,A81000B,00700,0300,FRINGE BENEFITS 434104,A81000B,00800,0300,INCONTINENCE SUPPLIES 434104,A81000B,00900,0300,MEDICAL SUPPLIES 434104,A81000B,01000,0300,PERSONAL CARE 434104,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 434104,A81000B,01200,0300,BIO-MEDICAL WASTE 434104,A81000B,01300,0300,LINEN & BEDDING 434104,A81000B,01400,0300,LAUNDRY SUPPLIES 434104,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434104,A81000B,01600,0300,PHYSICAL THERAPY SUPPLIES 434104,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 434104,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 434104,A81000B,01900,0300,BILLABLE MEDICAL SUPPLIES 434104,A81000B,02000,0300,NON-LEGEND DRUGS 434104,A81000B,02100,0300,MEDICAL RECORDS SUPPLIES 434104,A81000B,02200,0300,PHARMACY CONSULTANT 434104,A81000B,02300,0300,LEGEND DRUGS 434104,A81000B,02400,0300,MAINTENANCE SUPPLIES 434104,A81000B,02500,0300,REPAIRS - BUILDING 434104,A81000B,02600,0300,REPAIRS - EQUIPMENT 434104,A81000B,02700,0300,OFFICE SUPPLIES 434104,A81000B,02800,0300,NURSING CONSULTING 434104,A81000B,02900,0300,DIETARY CONSULTING 434104,A81000C,00100,0100,A 434104,A81000C,00100,0200,SHAREHOLDERS 434104,A81000C,00100,0400,KARE MEDICAL 434104,A81000C,00100,0600,WHOLESALE SUPPL 434104,A81000C,00200,0100,A 434104,A81000C,00200,0200,SHAREHOLDERS 434104,A81000C,00200,0400,KARE MEDICAL 434104,A81000C,00200,0600,WHOLESALE SUPPL 434104,A81000C,00300,0100,A 434104,A81000C,00300,0200,SHAREHOLDERS 434104,A81000C,00300,0400,KARE MEDICAL 434104,A81000C,00300,0600,WHOLESALE SUPPL 434104,A81000C,00400,0100,A 434104,A81000C,00400,0200,SHAREHOLDERS 434104,A81000C,00400,0400,KARE MEDICAL 434104,A81000C,00400,0600,WHOLESALE SUPPL 434104,A81000C,00500,0100,A 434104,A81000C,00500,0200,SHAREHOLDERS 434104,A81000C,00500,0400,KARE MEDICAL 434104,A81000C,00500,0600,WHOLESALE SUPPL 434104,A81000C,00600,0100,A 434104,A81000C,00600,0200,SHAREHOLDERS 434104,A81000C,00600,0400,KARE MEDICAL 434104,A81000C,00600,0600,WHOLESALE SUPPL 434104,A81000C,00700,0100,A 434104,A81000C,00700,0200,SHAREHOLDERS 434104,A81000C,00700,0400,KARE MEDICAL 434104,A81000C,00700,0600,WHOLESALE SUPPL 434104,A81000C,00800,0100,A 434104,A81000C,00800,0200,SHAREHOLDERS 434104,A81000C,00800,0400,KARE MEDICAL 434104,A81000C,00800,0600,WHOLESALE SUPPL 434104,A81000C,00900,0100,A 434104,A81000C,00900,0200,SHAREHOLDERS 434104,A81000C,00900,0400,KARE MEDICAL 434104,A81000C,00900,0600,WHOLESALE SUPPL 434104,A81000C,01000,0100,A 434104,A81000C,01000,0200,SHAREHOLDERS 434104,A81000C,01000,0400,KARE MEDICAL 434104,A81000C,01000,0600,WHOLESALE SUPPL 434104,A81000C,01001,0100,A 434104,A81000C,01001,0200,SHAREHOLDERS 434104,A81000C,01001,0400,KARE MEDICAL 434104,A81000C,01001,0600,WHOLESALE SUPPL 434104,A81000C,01002,0100,A 434104,A81000C,01002,0200,SHAREHOLDERS 434104,A81000C,01002,0400,KARE MEDICAL 434104,A81000C,01002,0600,WHOLESALE SUPPL 434104,A81000C,01003,0100,A 434104,A81000C,01003,0200,SHAREHOLDERS 434104,A81000C,01003,0400,KARE MEDICAL 434104,A81000C,01003,0600,WHOLESALE SUPPL 434104,A81000C,01004,0100,A 434104,A81000C,01004,0200,SHAREHOLDERS 434104,A81000C,01004,0400,KARE MEDICAL 434104,A81000C,01004,0600,WHOLESALE SUPPL 434104,A81000C,01005,0100,A 434104,A81000C,01005,0200,SHAREHOLDERS 434104,A81000C,01005,0400,KARE MEDICAL 434104,A81000C,01005,0600,WHOLESALE SUPPL 434104,A81000C,01006,0100,A 434104,A81000C,01006,0200,SHAREHOLDERS 434104,A81000C,01006,0400,KARE MEDICAL 434104,A81000C,01006,0600,WHOLESALE SUPPL 434104,A81000C,01007,0100,A 434104,A81000C,01007,0200,SHAREHOLDERS 434104,A81000C,01007,0400,KARE MEDICAL 434104,A81000C,01007,0600,WHOLESALE SUPPL 434104,A81000C,01008,0100,A 434104,A81000C,01008,0200,SHAREHOLDERS 434104,A81000C,01008,0400,KARE MEDICAL 434104,A81000C,01008,0600,WHOLESALE SUPPL 434104,A81000C,01009,0100,A 434104,A81000C,01009,0200,SHAREHOLDERS 434104,A81000C,01009,0400,KARE MEDICAL 434104,A81000C,01009,0600,WHOLESALE SUPPL 434104,A81000C,01010,0100,A 434104,A81000C,01010,0200,SHAREHOLDERS 434104,A81000C,01010,0400,PHARMSAVE 434104,A81000C,01010,0600,RX SUPPLY 434104,A81000C,01011,0100,A 434104,A81000C,01011,0200,SHAREHOLDERS 434104,A81000C,01011,0400,PHARMSAVE 434104,A81000C,01011,0600,RX SUPPLY 434104,A81000C,01012,0100,A 434104,A81000C,01012,0200,SHAREHOLDERS 434104,A81000C,01012,0400,PHARMSAVE 434104,A81000C,01012,0600,RX SUPPLY 434104,A81000C,01013,0100,A 434104,A81000C,01013,0200,SHAREHOLDERS 434104,A81000C,01013,0400,PHARMSAVE 434104,A81000C,01013,0600,RX SUPPLY 434104,A81000C,01014,0100,A 434104,A81000C,01014,0200,SHAREHOLDERS 434104,A81000C,01014,0400,ROBERT HILL CON 434104,A81000C,01014,0600,CONSTRUCTION 434104,A81000C,01015,0100,A 434104,A81000C,01015,0200,SHAREHOLDERS 434104,A81000C,01015,0400,ROBERT HILL CON 434104,A81000C,01015,0600,CONSTRUCTION 434104,A81000C,01016,0100,A 434104,A81000C,01016,0200,SHAREHOLDERS 434104,A81000C,01016,0400,ROBERT HILL CON 434104,A81000C,01016,0600,CONSTRUCTION 434104,A81000C,01017,0100,A 434104,A81000C,01017,0200,SHAREHOLDERS 434104,A81000C,01017,0400,ROBERT HILL CON 434104,A81000C,01017,0600,CONSTRUCTION 434104,A81000C,01018,0100,B 434104,A81000C,01018,0200,PLTC & PITS IN 434104,A81000C,01018,0400,PLTC & PITS IN 434104,A81000C,01018,0600,MGMT SERVICES 434104,A81000C,01019,0100,B 434104,A81000C,01019,0200,PLTC & PITS IN 434104,A81000C,01019,0400,PLTC & PITS IN 434104,A81000C,01019,0600,MGMT SERVICES 434104,A81000C,01020,0100,B 434104,A81000C,01020,0200,PLTC & PITS IN 434104,A81000C,01020,0400,PLTC & PITS IN 434104,A81000C,01020,0600,MGMT SERVICES 434104,A81000C,01021,0100,B 434104,A81000C,01021,0200,PLTC & PITS IN 434104,A81000C,01021,0400,PLTC & PITS IN 434104,A81000C,01021,0600,MGMT SERVICES 434104,A81000C,01022,0100,A 434104,A81000C,01022,0200,SHAREHOLDERS 434104,A81000C,01022,0400,DISCOVERY INSUR 434104,A81000C,01022,0600,INSURANCE 434104,A81000C,01023,0100,A 434104,A81000C,01023,0200,SHAREHOLDERS 434104,A81000C,01023,0400,QUEENSLAND ASSU 434104,A81000C,01023,0600,INSURANCE 434104,A81000C,01024,0100,A 434104,A81000C,01024,0200,SHAREHOLDERS 434104,A81000C,01024,0400,BRITTHAVEN INC 434104,A81000C,01024,0600,REAL ESTATE 434104,A81000C,01025,0100,A 434104,A81000C,01025,0200,SHAREHOLDERS 434104,A81000C,01025,0400,BRITTHAVEN INC 434104,A81000C,01025,0600,REAL ESTATE 434104,A81000C,01026,0100,A 434104,A81000C,01026,0200,SHAREHOLDERS 434104,A81000C,01026,0400,BRITTHAVEN INC 434104,A81000C,01026,0600,REAL ESTATE 434104,A81000C,01027,0100,A 434104,A81000C,01027,0200,SHAREHOLDERS 434104,A81000C,01027,0400,BRITTHAVEN INC 434104,A81000C,01027,0600,REAL ESTATE 434104,A81000C,01028,0100,A 434104,A81000C,01028,0200,SHAREHOLDERS 434104,A81000C,01028,0400,BRITTHAVEN INC 434104,A81000C,01028,0600,REAL ESTATE 434104,A81000C,01029,0100,A 434104,A81000C,01029,0200,SHAREHOLDERS 434104,A81000C,01029,0400,BRITTHAVEN INC 434104,A81000C,01029,0600,REAL ESTATE 434104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434104,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434104,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434104,B100000,00000,0800,0800MEALS SERVED :DIETARY 434104,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434104,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434104,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434104,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434104,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434104,E10A180,00550,0100,02/29/12 434104,G300000,02500,0000, OTHER (SPECIFY) 434104,S000000,00100,0200,02/29/12 434104,S200000,00100,0100,290 KEEL ROAD 434104,S200000,00200,0100,GRANTSBORO 434104,S200000,00200,0200,NC 434104,S200000,00200,0300,25829 434104,S200000,00300,0100,PAMLICO 434104,S200000,00300,0201,99934 434104,S200000,00300,0300,R 434104,S200000,00400,0100,GRANTSBROOK NURSING & REHAB CENTER 434104,S200000,00400,0200,345292 434104,S200000,00400,0300,01/01/11 434104,S200000,00400,0500,P 434104,S200000,01500,0100,N 434104,S200000,01501,0200,Y 434104,S200000,01502,0200,Y 434104,S200000,01503,0200,Y 434104,S200000,01504,0200,Y 434104,S200000,01505,0000,OTHER (SPECIFY) 434104,S200000,01505,0200,Y 434104,S200000,01600,0100,Y 434104,S200000,01700,0100,N 434104,S200000,01800,0100,N 434104,S200000,02200,0100,N 434104,S200000,02800,0100,N 434104,S200000,02900,0100,N 434104,S200000,03000,0100,N 434104,S200000,03100,0100,N 434104,S200000,03200,0100,N 434104,S200000,03300,0100,N 434104,S200000,03300,0200,N 434104,S200000,04100,0100,N 434104,S200000,04200,0100,N 434104,S200000,04300,0100,N 434104,S200000,04600,0100,N 434104,S200000,04700,0100,N 434104,S200000,04700,0200,N 434104,S200000,04900,0100,N 434104,S200000,05000,0100,N 434104,S200000,05100,0100,N 434104,S200000,05200,0100,N 434104,S200000,05300,0100,Y 434104,S200000,05300,0200,349011 434104,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434104,S200000,05400,0200,PALMETTO GBA 434104,S200000,05400,0300,11501 434104,S200000,05500,0100,1435 HWY 258 NORTH 434104,S200000,05600,0100,KINSTON 434104,S200000,05600,0200,NC 434104,S200000,05600,0300,28502 434105,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434105,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434105,A000000,00300,0000,0300EMPLOYEE BENEFITS 434105,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434105,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434105,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434105,A000000,00700,0000,0700HOUSEKEEPING 434105,A000000,00800,0000,0800DIETARY 434105,A000000,00900,0000,0900NURSING ADMINISTRATION 434105,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434105,A000000,01100,0000,1100PHARMACY 434105,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434105,A000000,01300,0000,1300SOCIAL SERVICE 434105,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434105,A000000,01600,0000,1600SKILLED NURSING FACILITY 434105,A000000,01800,0000,1800NURSING FACILITY 434105,A000000,01900,0000,1900OTHER LONG TERM CARE 434105,A000000,02100,0000,2100RADIOLOGY 434105,A000000,02200,0000,2200LABORATORY 434105,A000000,02300,0000,2300INTRAVENOUS THERAPY 434105,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434105,A000000,02500,0000,2500PHYSICAL THERAPY 434105,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434105,A000000,02700,0000,2700SPEECH PATHOLOGY 434105,A000000,02800,0000,2800ELECTROCARDIOLOGY 434105,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434105,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434105,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434105,A000000,03200,0000,3200SUPPORT SURFACES 434105,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434105,A000000,03400,0000,3400CLINIC 434105,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434105,A000000,04800,0000,4800AMBULANCE 434105,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434105,A000000,05000,0000,5000CORF 434105,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434105,A000000,05300,0000,5300INTEREST EXPENSE 434105,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434105,A000000,05500,0000,5500HOSPICE 434105,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434105,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434105,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434105,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434105,A000000,06100,0000,6100NONPAID WORKERS 434105,A000000,06200,0000,6200PATIENTS LAUNDRY 434105,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434105,A81000A,00100,0100,Y 434105,A81000B,00100,0300,NURSING CONSULTING 434105,A81000B,00200,0300,DIETARY CONSULTING 434105,A81000B,00300,0300,HOME OFFICE 434105,A81000B,00400,0300,INTEREST EXPENSE 434105,A81000B,00500,0300,WORKERS COMP EXPENSE 434105,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434105,A81000B,00700,0300,OFFICE SUPPLIES 434105,A81000B,00800,0300,MAINTENANCE SUPPLIES 434105,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,01000,0300,REPAIRS - BUILDING 434105,A81000B,01100,0300,REPAIRS - EQUIPMENT 434105,A81000B,01200,0300,LINEN & BEDDING 434105,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,01400,0300,LAUNDRY SUPPLIES 434105,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,01600,0300,HOUSEKEEPING SUPPLIES 434105,A81000B,01700,0300,DIETARY SUPPLEMENTS 434105,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,01900,0300,DIETARY SUPPLIES 434105,A81000B,02000,0300,BIO-MEDICAL WASTE 434105,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,02200,0300,PERSONAL CARE SUPPLIES 434105,A81000B,02300,0300,INCONTINENCE SUPPLIES 434105,A81000B,02400,0300,MEDICAL SUPPLIES 434105,A81000B,02500,0300,OXYGEN THERAPY SUPPLIES 434105,A81000B,02600,0300,MINOR EQUIPMENT EXPENSE 434105,A81000B,02700,0300,PT SUPPLIES 434105,A81000B,02800,0300,SUPPLIES 434105,A81000B,02900,0300,BILLABLE MEDICAL SUPPLIES 434105,A81000C,00100,0100,B 434105,A81000C,00100,0200,PLTC & PITS INC 434105,A81000C,00100,0400,PLTC & PITS INC 434105,A81000C,00100,0600,MGMT SERVICES 434105,A81000C,00200,0100,B 434105,A81000C,00200,0200,PLTC & PITS INC 434105,A81000C,00200,0400,PLTC & PITS INC 434105,A81000C,00200,0600,MGMT SERVICES 434105,A81000C,00300,0100,B 434105,A81000C,00300,0200,PLTC & PITS INC 434105,A81000C,00300,0400,PLTC & PITS INC 434105,A81000C,00300,0600,MGMT SERVICES 434105,A81000C,00400,0100,B 434105,A81000C,00400,0200,PLTC & PITS INC 434105,A81000C,00400,0400,PLTC & PITS INC 434105,A81000C,00400,0600,MGMT SERVICES 434105,A81000C,00500,0100,A 434105,A81000C,00500,0200,SHAREHOLDERS 434105,A81000C,00500,0400,DISCOVERY INSUR 434105,A81000C,00500,0600,INSURANCE 434105,A81000C,00600,0100,A 434105,A81000C,00600,0200,SHAREHOLDERS 434105,A81000C,00600,0400,QUEENSLAND ASSU 434105,A81000C,00600,0600,INSURANCE 434105,A81000C,00700,0100,A 434105,A81000C,00700,0200,SHAREHOLDERS 434105,A81000C,00700,0400,KARE MEDICAL 434105,A81000C,00700,0600,WHOLESALE SUPPL 434105,A81000C,00800,0100,A 434105,A81000C,00800,0200,SHAREHOLDERS 434105,A81000C,00800,0400,KARE MEDICAL 434105,A81000C,00800,0600,WHOLESALE SUPPL 434105,A81000C,00900,0100,A 434105,A81000C,00900,0200,SHAREHOLDERS 434105,A81000C,00900,0400,KARE MEDICAL 434105,A81000C,00900,0600,WHOLESALE SUPPL 434105,A81000C,01000,0100,A 434105,A81000C,01000,0200,SHAREHOLDERS 434105,A81000C,01000,0400,KARE MEDICAL 434105,A81000C,01000,0600,WHOLESALE SUPPL 434105,A81000C,01001,0100,A 434105,A81000C,01001,0200,SHAREHOLDERS 434105,A81000C,01001,0400,KARE MEDICAL 434105,A81000C,01001,0600,WHOLESALE SUPPL 434105,A81000C,01002,0100,A 434105,A81000C,01002,0200,SHAREHOLDERS 434105,A81000C,01002,0400,KARE MEDICAL 434105,A81000C,01002,0600,WHOLESALE SUPPL 434105,A81000C,01003,0100,A 434105,A81000C,01003,0200,SHAREHOLDERS 434105,A81000C,01003,0400,KARE MEDICAL 434105,A81000C,01003,0600,WHOLESALE SUPPL 434105,A81000C,01004,0100,A 434105,A81000C,01004,0200,SHAREHOLDERS 434105,A81000C,01004,0400,KARE MEDICAL 434105,A81000C,01004,0600,WHOLESALE SUPPL 434105,A81000C,01005,0100,A 434105,A81000C,01005,0200,SHAREHOLDERS 434105,A81000C,01005,0400,KARE MEDICAL 434105,A81000C,01005,0600,WHOLESALE SUPPL 434105,A81000C,01006,0100,A 434105,A81000C,01006,0200,SHAREHOLDERS 434105,A81000C,01006,0400,KARE MEDICAL 434105,A81000C,01006,0600,WHOLESALE SUPPL 434105,A81000C,01007,0100,A 434105,A81000C,01007,0200,SHAREHOLDERS 434105,A81000C,01007,0400,KARE MEDICAL 434105,A81000C,01007,0600,WHOLESALE SUPPL 434105,A81000C,01008,0100,A 434105,A81000C,01008,0200,SHAREHOLDERS 434105,A81000C,01008,0400,KARE MEDICAL 434105,A81000C,01008,0600,WHOLESALE SUPPL 434105,A81000C,01009,0100,A 434105,A81000C,01009,0200,SHAREHOLDERS 434105,A81000C,01009,0400,KARE MEDICAL 434105,A81000C,01009,0600,WHOLESALE SUPPL 434105,A81000C,01010,0100,A 434105,A81000C,01010,0200,SHAREHOLDERS 434105,A81000C,01010,0400,KARE MEDICAL 434105,A81000C,01010,0600,WHOLESALE SUPPL 434105,A81000C,01011,0100,A 434105,A81000C,01011,0200,SHAREHOLDERS 434105,A81000C,01011,0400,KARE MEDICAL 434105,A81000C,01011,0600,WHOLESALE SUPPL 434105,A81000C,01012,0100,A 434105,A81000C,01012,0200,SHAREHOLDERS 434105,A81000C,01012,0400,KARE MEDICAL 434105,A81000C,01012,0600,WHOLESALE SUPPL 434105,A81000C,01013,0100,A 434105,A81000C,01013,0200,SHAREHOLDERS 434105,A81000C,01013,0400,KARE MEDICAL 434105,A81000C,01013,0600,WHOLESALE SUPPL 434105,A81000C,01014,0100,A 434105,A81000C,01014,0200,SHAREHOLDERS 434105,A81000C,01014,0400,KARE MEDICAL 434105,A81000C,01014,0600,WHOLESALE SUPPL 434105,A81000C,01015,0100,A 434105,A81000C,01015,0200,SHAREHOLDERS 434105,A81000C,01015,0400,KARE MEDICAL 434105,A81000C,01015,0600,WHOLESALE SUPPL 434105,A81000C,01016,0100,A 434105,A81000C,01016,0200,SHAREHOLDERS 434105,A81000C,01016,0400,KARE MEDICAL 434105,A81000C,01016,0600,WHOLESALE SUPPL 434105,A81000C,01017,0100,A 434105,A81000C,01017,0200,SHAREHOLDERS 434105,A81000C,01017,0400,KARE MEDICAL 434105,A81000C,01017,0600,WHOLESALE SUPPL 434105,A81000C,01018,0100,A 434105,A81000C,01018,0200,SHAREHOLDERS 434105,A81000C,01018,0400,KARE MEDICAL 434105,A81000C,01018,0600,WHOLESALE SUPPL 434105,A81000C,01019,0100,A 434105,A81000C,01019,0200,SHAREHOLDERS 434105,A81000C,01019,0400,KARE MEDICAL 434105,A81000C,01019,0600,WHOLESALE SUPPL 434105,A81000C,01020,0100,A 434105,A81000C,01020,0200,SHAREHOLDERS 434105,A81000C,01020,0400,PHARMSAVE 434105,A81000C,01020,0600,RX SUPPLY 434105,A81000C,01021,0100,A 434105,A81000C,01021,0200,SHAREHOLDERS 434105,A81000C,01021,0400,PHARMSAVE 434105,A81000C,01021,0600,RX SUPPLY 434105,A81000C,01022,0100,A 434105,A81000C,01022,0200,SHAREHOLDERS 434105,A81000C,01022,0400,PHARMSAVE 434105,A81000C,01022,0600,RX SUPPLY 434105,A81000C,01023,0100,A 434105,A81000C,01023,0200,SHAREHOLDERS 434105,A81000C,01023,0400,PHARMSAVE 434105,A81000C,01023,0600,RX SUPPLY 434105,A81000C,01024,0100,A 434105,A81000C,01024,0200,SHAREHOLDERS 434105,A81000C,01024,0400,PHARMSAVE 434105,A81000C,01024,0600,RX SUPPLY 434105,A81000C,01025,0100,A 434105,A81000C,01025,0200,SHAREHOLDERS 434105,A81000C,01025,0400,ROBERT HILL CON 434105,A81000C,01025,0600,CONSTRUCTION 434105,A81000C,01026,0100,A 434105,A81000C,01026,0200,SHAREHOLDERS 434105,A81000C,01026,0400,GRAHAM CARE CEN 434105,A81000C,01026,0600,REAL ESTATE 434105,A81000C,01027,0100,A 434105,A81000C,01027,0200,SHAREHOLDERS 434105,A81000C,01027,0400,BRITTHAVEN INC 434105,A81000C,01027,0600,REAL ESTATE 434105,A81000C,01028,0100,A 434105,A81000C,01028,0200,SHAREHOLDERS 434105,A81000C,01028,0400,BRITTHAVEN INC 434105,A81000C,01028,0600,REAL ESTATE 434105,A81000C,01029,0100,A 434105,A81000C,01029,0200,SHAREHOLDERS 434105,A81000C,01029,0400,GRAHAM CARE CEN 434105,A81000C,01029,0600,REAL ESTATE 434105,A81000C,01030,0100,A 434105,A81000C,01030,0200,SHAREHOLDERS 434105,A81000C,01030,0400,GRAHAM CARE CEN 434105,A81000C,01030,0600,REAL ESTATE 434105,A81000C,01031,0100,A 434105,A81000C,01031,0200,SHAREHOLDERS 434105,A81000C,01031,0400,BRITTHAVEN INC 434105,A81000C,01031,0600,REAL ESTATE 434105,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434105,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434105,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434105,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434105,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434105,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434105,B100000,00000,0800,0800MEALS SERVED :DIETARY 434105,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434105,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434105,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434105,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434105,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434105,E10A180,00501,0100,05/23/12 434105,G300000,02500,0000, OTHER (SPECIFY) 434105,S000000,00100,0200,02/29/12 434105,S200000,00100,0100,811 SNOWBIRD ROAD 434105,S200000,00200,0100,ROBBINSVILLE 434105,S200000,00200,0200,NC 434105,S200000,00200,0300,28771 434105,S200000,00300,0100,GRAHAM 434105,S200000,00300,0201,99934 434105,S200000,00300,0300,R 434105,S200000,00400,0100,GRAHAM HEALTHCARE & REHAB CENTER 434105,S200000,00400,0200,345355 434105,S200000,00400,0300,01/01/11 434105,S200000,00400,0500,P 434105,S200000,01500,0100,N 434105,S200000,01501,0200,Y 434105,S200000,01502,0200,Y 434105,S200000,01503,0200,Y 434105,S200000,01504,0200,Y 434105,S200000,01505,0000,OTHER (SPECIFY) 434105,S200000,01505,0200,Y 434105,S200000,01600,0100,Y 434105,S200000,01700,0100,N 434105,S200000,01800,0100,N 434105,S200000,02200,0100,N 434105,S200000,02800,0100,N 434105,S200000,02900,0100,N 434105,S200000,03000,0100,N 434105,S200000,03100,0100,N 434105,S200000,03200,0100,N 434105,S200000,03300,0100,N 434105,S200000,03300,0200,N 434105,S200000,04100,0100,N 434105,S200000,04200,0100,N 434105,S200000,04300,0100,N 434105,S200000,04600,0100,N 434105,S200000,04700,0100,N 434105,S200000,04700,0200,N 434105,S200000,04900,0100,N 434105,S200000,05000,0100,N 434105,S200000,05100,0100,N 434105,S200000,05200,0100,N 434105,S200000,05300,0100,Y 434105,S200000,05300,0200,349011 434105,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434105,S200000,05400,0200,PALMETTO GBA 434105,S200000,05400,0300,11501 434105,S200000,05500,0100,1435 HWY 258 NORTH 434105,S200000,05600,0100,KINSTON 434105,S200000,05600,0200,NC 434105,S200000,05600,0300,28502 434106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434106,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434106,A000000,00300,0000,0300EMPLOYEE BENEFITS 434106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434106,A000000,00700,0000,0700HOUSEKEEPING 434106,A000000,00800,0000,0800DIETARY 434106,A000000,00900,0000,0900NURSING ADMINISTRATION 434106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434106,A000000,01100,0000,1100PHARMACY 434106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434106,A000000,01300,0000,1300SOCIAL SERVICE 434106,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434106,A000000,01500,0000,1350PATIENT ACTIVITIES 434106,A000000,01600,0000,1600SKILLED NURSING FACILITY 434106,A000000,01800,0000,1800NURSING FACILITY 434106,A000000,01810,0000,1810ICF/MR 434106,A000000,01900,0000,1900OTHER LONG TERM CARE 434106,A000000,02100,0000,2100RADIOLOGY 434106,A000000,02200,0000,2200LABORATORY 434106,A000000,02300,0000,2300INTRAVENOUS THERAPY 434106,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434106,A000000,02500,0000,2500PHYSICAL THERAPY 434106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434106,A000000,02700,0000,2700SPEECH PATHOLOGY 434106,A000000,02800,0000,2800ELECTROCARDIOLOGY 434106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434106,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434106,A000000,03200,0000,3200SUPPORT SURFACES 434106,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434106,A000000,03400,0000,3400CLINIC 434106,A000000,03500,0000,3500RURAL HEALTH CLINIC 434106,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434106,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434106,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434106,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434106,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434106,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434106,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434106,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434106,A000000,04400,0000,4400DME RENTED - HHA 434106,A000000,04500,0000,4500DME SOLD - HHA 434106,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434106,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434106,A000000,04710,0000,4710TELEMEDICINE 434106,A000000,04800,0000,4800AMBULANCE 434106,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434106,A000000,05000,0000,5000CORF 434106,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434106,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434106,A000000,05300,0000,5300INTEREST EXPENSE 434106,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434106,A000000,05500,0000,5500HOSPICE 434106,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434106,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434106,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434106,A000000,06100,0000,6100NONPAID WORKERS 434106,A000000,06200,0000,6200PATIENTS LAUNDRY 434106,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434106,A81000A,00100,0100,Y 434106,A81000B,00100,0300,MANAGEMENT FEES 434106,A81000B,00200,0300,CAP REL COSTS - BLDG 434106,A81000B,00300,0300,CAP REL COSTS - EQUIP 434106,A81000B,00400,0300,NON CAPITAL REL COSTS 434106,A81000B,00500,0300,CONTRACT SERVICES 434106,A81000B,00600,0300,CONTRACT SERVICES 434106,A81000B,00700,0300,CONTRACT SERVICES 434106,A81000B,00800,0300,SUPPLIES 434106,A81000B,00900,0300,SUPPLIES 434106,A81000B,01000,0300,SUPPLIES 434106,A81000B,01100,0300,CONSULTING 434106,A81000B,01200,0300,CONSULTING 434106,A81000B,01300,0300,LEGEND DRUGS 434106,A81000B,01400,0300,OFFICE SUPPLIES 434106,A81000B,01500,0300,MEDICAL RECORDS CONSULTANT 434106,A81000B,01600,0300,NON LEGEND DRUGS 434106,A81000B,01700,0300,THERAPEUTIC BEDS 434106,A81000B,01800,0300,P/E SUPPLIES 434106,A81000B,01900,0300,P/E FOOD 434106,A81000B,02000,0300,MEDICAL SUPPLIES 434106,A81000B,02100,0300,BILLABLE MEDICAL SUPPLIES 434106,A81000C,00100,0100,B 434106,A81000C,00100,0200,NOAH DUNCAN TRUST 434106,A81000C,00100,0400,CC MANAGEMENT 434106,A81000C,00100,0600,MANAGEMENT 434106,A81000C,00200,0100,B 434106,A81000C,00200,0200,NOAH DUNCAN TRUST 434106,A81000C,00200,0400,CC MANAGEMENT 434106,A81000C,00200,0600,MANAGEMENT 434106,A81000C,00300,0100,B 434106,A81000C,00300,0200,NOAH DUNCAN TRUST 434106,A81000C,00300,0400,CC MANAGEMENT 434106,A81000C,00300,0600,MANAGEMENT 434106,A81000C,00400,0100,B 434106,A81000C,00400,0200,NOAH DUNCAN TRUST 434106,A81000C,00400,0400,CC MANAGEMENT 434106,A81000C,00400,0600,MANAGEMENT 434106,A81000C,00500,0100,B 434106,A81000C,00500,0200,NOAH DUNCAN TRUST 434106,A81000C,00500,0400,CTS 434106,A81000C,00500,0600,THERAPY 434106,A81000C,00600,0100,B 434106,A81000C,00600,0200,NOAH DUNCAN TRUST 434106,A81000C,00600,0400,CTS 434106,A81000C,00600,0600,THERAPY 434106,A81000C,00700,0100,B 434106,A81000C,00700,0200,NOAH DUNCAN TRUST 434106,A81000C,00700,0400,CTS 434106,A81000C,00700,0600,THERAPY 434106,A81000C,00800,0100,B 434106,A81000C,00800,0200,NOAH DUNCAN TRUST 434106,A81000C,00800,0400,CTS 434106,A81000C,00800,0600,THERAPY 434106,A81000C,00900,0100,B 434106,A81000C,00900,0200,NOAH DUNCAN TRUST 434106,A81000C,00900,0400,CTS 434106,A81000C,00900,0600,THERAPY 434106,A81000C,01000,0100,B 434106,A81000C,01000,0200,NOAH DUNCAN TRUST 434106,A81000C,01000,0400,CTS 434106,A81000C,01000,0600,THERAPY 434106,A81000C,01001,0100,B 434106,A81000C,01001,0200,NOAH DUNCAN TRUST 434106,A81000C,01001,0400,CTS 434106,A81000C,01001,0600,THERAPY 434106,A81000C,01002,0100,B 434106,A81000C,01002,0200,NOAH DUNCAN TRUST 434106,A81000C,01002,0400,SERVANT PHARMACY 434106,A81000C,01002,0600,PHARMACY 434106,A81000C,01003,0100,B 434106,A81000C,01003,0200,NOAH DUNCAN TRUST 434106,A81000C,01003,0400,SERVANT PHARMACY 434106,A81000C,01003,0600,PHARMACY 434106,A81000C,01004,0100,B 434106,A81000C,01004,0200,NOAH DUNCAN TRUST 434106,A81000C,01004,0400,SERVANT PHARMACY 434106,A81000C,01004,0600,PHARMACY 434106,A81000C,01005,0100,B 434106,A81000C,01005,0200,NOAH DUNCAN TRUST 434106,A81000C,01005,0400,SERVANT PHARMACY 434106,A81000C,01005,0600,PHARMACY 434106,A81000C,01006,0100,B 434106,A81000C,01006,0200,NOAH DUNCAN TRUST 434106,A81000C,01006,0400,SERVANT PHARMACY 434106,A81000C,01006,0600,PHARMACY 434106,A81000C,01007,0100,B 434106,A81000C,01007,0200,NOAH DUNCAN TRUST 434106,A81000C,01007,0400,CC PEN THERAPY 434106,A81000C,01007,0600,SUPPLIES 434106,A81000C,01008,0100,B 434106,A81000C,01008,0200,NOAH DUNCAN TRUST 434106,A81000C,01008,0400,CC PEN THERAPY 434106,A81000C,01008,0600,SUPPLIES 434106,A81000C,01009,0100,B 434106,A81000C,01009,0200,NOAH DUNCAN TRUST 434106,A81000C,01009,0400,CC PEN THERAPY 434106,A81000C,01009,0600,SUPPLIES 434106,A81000C,01010,0100,B 434106,A81000C,01010,0200,NOAH DUNCAN TRUST 434106,A81000C,01010,0400,CC PEN THERAPY 434106,A81000C,01010,0600,SUPPLIES 434106,A81000C,01011,0100,B 434106,A81000C,01011,0200,NOAH DUNCAN TRUST 434106,A81000C,01011,0400,CC PEN THERAPY 434106,A81000C,01011,0600,SUPPLIES 434106,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434106,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434106,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434106,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434106,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434106,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434106,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434106,B100000,00000,0800,0800MEALS SERVED :DIETARY 434106,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434106,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434106,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434106,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434106,G300000,02500,0000,COST REPORT SETTLEMENT 434106,G300000,02501,0000,MEDICARE A BAD DEBT REVENUE 434106,G300000,02502,0000,BEAUTY SHOP INCOME 434106,G300000,02503,0000,CABLE TV REVENUE 434106,G300000,02504,0000,ROOM HOLD 434106,G300000,02505,0000,MISCELLANEOUS REVENUE 434106,S000000,00100,0200,02/29/12 434106,S200000,00100,0100,1131 NORTH CHURCH STREET 434106,S200000,00200,0100,GREENSBORO 434106,S200000,00200,0200,NC 434106,S200000,00200,0300,27401 434106,S200000,00300,0100,GUILFORD 434106,S200000,00300,0200,3120 434106,S200000,00300,0201,24660 434106,S200000,00300,0300,U 434106,S200000,00400,0100,HEARTLAND LIVING & REHABILITATION 434106,S200000,00400,0200,345391 434106,S200000,00400,0300,07/11/91 434106,S200000,00400,0500,P 434106,S200000,01500,0100,Y 434106,S200000,01502,0200,N 434106,S200000,01503,0200,N 434106,S200000,01504,0200,N 434106,S200000,01505,0000,IN2L 434106,S200000,01505,0200,Y 434106,S200000,01600,0100,N 434106,S200000,01700,0100,N 434106,S200000,01800,0100,N 434106,S200000,02200,0100,N 434106,S200000,02800,0100,N 434106,S200000,02900,0100,N 434106,S200000,03000,0100,N 434106,S200000,03100,0100,N 434106,S200000,03200,0100,N 434106,S200000,03300,0100,N 434106,S200000,03300,0200,N 434106,S200000,04100,0100,N 434106,S200000,04200,0100,N 434106,S200000,04300,0100,N 434106,S200000,04600,0100,N 434106,S200000,04700,0100,N 434106,S200000,04700,0200,N 434106,S200000,04900,0100,N 434106,S200000,05000,0100,N 434106,S200000,05100,0100,N 434106,S200000,05200,0100,N 434107,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434107,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434107,A000000,00300,0000,0300EMPLOYEE BENEFITS 434107,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434107,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434107,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434107,A000000,00700,0000,0700HOUSEKEEPING 434107,A000000,00800,0000,0800DIETARY 434107,A000000,00900,0000,0900NURSING ADMINISTRATION 434107,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434107,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434107,A000000,01300,0000,1300SOCIAL SERVICE 434107,A000000,01500,0000,1350ACTIVITIES 434107,A000000,01600,0000,1600SKILLED NURSING FACILITY 434107,A000000,01800,0000,1800NURSING FACILITY 434107,A000000,01810,0000,1810ICF/MR 434107,A000000,01900,0000,1900OTHER LONG TERM CARE 434107,A000000,02100,0000,2100RADIOLOGY 434107,A000000,02200,0000,2200LABORATORY 434107,A000000,02300,0000,2300INTRAVENOUS THERAPY 434107,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434107,A000000,02500,0000,2500PHYSICAL THERAPY 434107,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434107,A000000,02700,0000,2700SPEECH PATHOLOGY 434107,A000000,02800,0000,2800ELECTROCARDIOLOGY 434107,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434107,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434107,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434107,A000000,03200,0000,3200SUPPORT SURFACES 434107,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434107,A000000,03301,0000,3051AIR FLUID THERAPY 434107,A000000,03302,0000,3052AMBULANCE 434107,A000000,03303,0000,3053PEN THERAPY 434107,A000000,03304,0000,3054ONCOLOGY 434107,A000000,03305,0000,3055CARDIOLOGY 434107,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434107,A000000,03307,0000,3057AUDIOLOGY 434107,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434107,A000000,03400,0000,3400CLINIC 434107,A000000,03500,0000,3500RURAL HEALTH CLINIC 434107,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434107,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434107,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434107,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434107,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434107,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434107,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434107,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434107,A000000,04400,0000,4400DME RENTED - HHA 434107,A000000,04500,0000,4500DME SOLD - HHA 434107,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434107,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434107,A000000,04710,0000,4710TELEMEDICINE 434107,A000000,04800,0000,4800AMBULANCE 434107,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434107,A000000,05000,0000,5000CORF 434107,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434107,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434107,A000000,05300,0000,5300INTEREST EXPENSE 434107,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434107,A000000,05500,0000,5500HOSPICE 434107,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434107,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434107,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434107,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434107,A000000,06100,0000,6100NONPAID WORKERS 434107,A000000,06200,0000,6200PATIENTS LAUNDRY 434107,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434107,A81000A,00100,0100,Y 434107,A81000B,00100,0300,HO BLDG DEPR 434107,A81000B,00200,0300,EQUIP DEPR 434107,A81000B,00300,0300,INTEREST 434107,A81000B,00400,0300,MGMT FEES 434107,A81000B,00500,0300,MED SUPPLIES 434107,A81000B,00600,0300,MED SUPPLIES 434107,A81000B,00700,0300,MED SUPPLIES 434107,A81000B,00800,0300,DRUGS 434107,A81000B,00900,0300,DRUGS 434107,A81000B,01000,0300,DRUGS 434107,A81000B,01100,0300,FACILITY LEASE 434107,A81000B,01200,0300,FAC BLDG DEPR 434107,A81000B,01300,0300,FAC EQUIP 434107,A81000B,01400,0300,FAC INTEREST 434107,A81000B,01500,0300,FAC AMORT 434107,A81000B,01600,0300,FAC A&G 434107,A81000C,00100,0100,A 434107,A81000C,00100,0200,R&S MCNEILL 434107,A81000C,00100,0400,LIBERTY LTC MGMT 434107,A81000C,00100,0600,HOME OFC 434107,A81000C,00200,0100,A 434107,A81000C,00200,0200,R&S MCNEILL 434107,A81000C,00200,0400,LIBERTY LTC MGMT 434107,A81000C,00200,0600,HOME OFC 434107,A81000C,00300,0100,A 434107,A81000C,00300,0200,R&S MCNEILL 434107,A81000C,00300,0400,LIBERTY LTC MGMT 434107,A81000C,00300,0600,HOME OFC 434107,A81000C,00400,0100,A 434107,A81000C,00400,0200,R&S MCNEILL 434107,A81000C,00400,0400,LIBERTY LTC MGMT 434107,A81000C,00400,0600,HOME OFC 434107,A81000C,00500,0100,A 434107,A81000C,00500,0200,R&S MCNEILL 434107,A81000C,00500,0400,LIBERTY MED SPEC 434107,A81000C,00500,0600,MED SUPPLY 434107,A81000C,00600,0100,A 434107,A81000C,00600,0200,R&S MCNEILL 434107,A81000C,00600,0400,LIBERTY MED SPEC 434107,A81000C,00600,0600,MED SUPPLY 434107,A81000C,00700,0100,A 434107,A81000C,00700,0200,R&S MCNEILL 434107,A81000C,00700,0400,LIBERTY MED SPEC 434107,A81000C,00700,0600,MED SUPPLY 434107,A81000C,00800,0100,A 434107,A81000C,00800,0200,R&S MCNEILL 434107,A81000C,00800,0400,MCNEILL PHARM 434107,A81000C,00800,0600,PHARMACY 434107,A81000C,00900,0100,A 434107,A81000C,00900,0200,R&S MCNEILL 434107,A81000C,00900,0400,MCNEILL PHARM 434107,A81000C,00900,0600,PHARMACY 434107,A81000C,01000,0100,A 434107,A81000C,01000,0200,R&S MCNEILL 434107,A81000C,01000,0400,MCNEILL PHARM 434107,A81000C,01000,0600,PHARMACY 434107,A81000C,01001,0100,A 434107,A81000C,01001,0200,R&S MCNEILL 434107,A81000C,01001,0400,LIBERTY PROPERTIES 434107,A81000C,01001,0600,BUILDING 434107,A81000C,01002,0100,A 434107,A81000C,01002,0200,R&S MCNEILL 434107,A81000C,01002,0400,LIBERTY PROPERTIES 434107,A81000C,01002,0600,BUILDING 434107,A81000C,01003,0100,A 434107,A81000C,01003,0200,R&S MCNEILL 434107,A81000C,01003,0400,LIBERTY PROPERTIES 434107,A81000C,01003,0600,BUILDING 434107,A81000C,01004,0100,A 434107,A81000C,01004,0200,R&S MCNEILL 434107,A81000C,01004,0400,LIBERTY PROPERTIES 434107,A81000C,01004,0600,BUILDING 434107,A81000C,01005,0100,A 434107,A81000C,01005,0200,R&S MCNEILL 434107,A81000C,01005,0400,LIBERTY PROPERTIES 434107,A81000C,01005,0600,BUILDING 434107,A81000C,01006,0100,A 434107,A81000C,01006,0200,R&S MCNEILL 434107,A81000C,01006,0400,LIBERTY PROPERTIES 434107,A81000C,01006,0600,BUILDING 434107,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434107,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434107,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434107,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434107,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434107,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434107,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434107,B100000,00000,0800,0800MEALS SERVED :DIETARY 434107,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434107,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434107,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434107,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434107,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434107,E10A180,00501,0100,05/28/12 434107,G300000,02500,0000,PERSONAL ITEM REVENUE 434107,G300000,02501,0000,EQUIPMENT RENTAL 434107,G300000,02502,0000,MISCELLANEOUS REVENUE 434107,G300000,02503,0000,RESERVE BED REVENUE 434107,G300000,02504,0000,BARBER AND BEAUTY 434107,S000000,00100,0200,03/01/12 434107,S200000,00100,0100,316 NC HWY 801 SOUTH 434107,S200000,00200,0100,ADVANCE 434107,S200000,00200,0200,NC 434107,S200000,00200,0300,27006-7647 434107,S200000,00300,0100,DAVIE 434107,S200000,00300,0200,18 434107,S200000,00300,0201,99934 434107,S200000,00300,0300,R 434107,S200000,00400,0100,LIBERTY COMMONS - DAVIE COUNTY 434107,S200000,00400,0200,345543 434107,S200000,00400,0300,02/18/08 434107,S200000,00400,0500,P 434107,S200000,00400,0600,P 434107,S200000,01500,0100,Y 434107,S200000,01501,0200,Y 434107,S200000,01600,0100,N 434107,S200000,01700,0100,N 434107,S200000,01800,0100,N 434107,S200000,02200,0100,N 434107,S200000,02800,0100,N 434107,S200000,02900,0100,N 434107,S200000,03000,0100,N 434107,S200000,03100,0100,N 434107,S200000,03200,0100,N 434107,S200000,03300,0100,N 434107,S200000,03300,0200,N 434107,S200000,04100,0100,N 434107,S200000,04200,0100,N 434107,S200000,04300,0100,N 434107,S200000,04600,0100,N 434107,S200000,04700,0100,N 434107,S200000,04700,0200,N 434107,S200000,04900,0100,N 434107,S200000,05000,0100,N 434107,S200000,05100,0100,N 434107,S200000,05200,0100,N 434107,S200000,05300,0100,N 434111,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434111,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434111,A000000,00300,0000,0300EMPLOYEE BENEFITS 434111,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434111,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434111,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434111,A000000,00700,0000,0700HOUSEKEEPING 434111,A000000,00800,0000,0800DIETARY 434111,A000000,00900,0000,0900NURSING ADMINISTRATION 434111,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434111,A000000,01100,0000,1100PHARMACY 434111,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434111,A000000,01300,0000,1300SOCIAL SERVICE 434111,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434111,A000000,01600,0000,1600SKILLED NURSING FACILITY 434111,A000000,01810,0000,1810ICF/MR 434111,A000000,02100,0000,2100RADIOLOGY 434111,A000000,02200,0000,2200LABORATORY 434111,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434111,A000000,02500,0000,2500PHYSICAL THERAPY 434111,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434111,A000000,02700,0000,2700SPEECH PATHOLOGY 434111,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434111,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434111,A000000,03200,0000,3200SUPPORT SURFACES 434111,A000000,03550,0000,3550FQHC 434111,A000000,04800,0000,4800AMBULANCE 434111,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434111,A000000,05000,0000,5000CORF 434111,A000000,05010,0000,5010CMHC 434111,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434111,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434111,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434111,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434111,A81000A,00100,0100,Y 434111,A81000B,00100,0300,MGMT FEES 434111,A81000B,00200,0300,MGMT FEES- CAP RELATED 434111,A81000B,00300,0300,H.O. ALLOC TO PROPERTIES 434111,A81000B,00400,0300,H.O. ALLOC TO PROPERTIES 434111,A81000B,00500,0300,RENT 434111,A81000B,00600,0300,WORKERS COMP 434111,A81000B,00700,0300,OXYGEN 434111,A81000B,00800,0300,GENERAL INSURANCE 434111,A81000B,00900,0300,PROFESSIONAL FEES 434111,A81000B,01000,0300,EQUIPMENT RENTAL 434111,A81000B,01100,0300,UNIFORMS 434111,A81000B,01200,0300,MINOR EQUIPMENT 434111,A81000B,01300,0300,SUPPLIES 434111,A81000B,01400,0300,UNIFORMS 434111,A81000B,01500,0300,SUPPLEMENTS 434111,A81000B,01600,0300,CONTRACT THERAPY 434111,A81000B,01700,0300,CONTRACT THERAPY 434111,A81000B,01800,0300,CONTRACT THERAPY 434111,A81000B,01900,0300,SUPPLIES 434111,A81000C,00100,0100,A 434111,A81000C,00100,0200,D. WHEELER/T. TILLER 434111,A81000C,00100,0400,LAUREL BAYE H/C OF SC 434111,A81000C,00100,0600,MGMT COMPANY 434111,A81000C,00200,0100,A 434111,A81000C,00200,0200,D. WHEELER/T. TILLER 434111,A81000C,00200,0400,L/B PROP OR ORANGEBURG 434111,A81000C,00200,0600,PROPERTY COMPANY 434111,A81000C,00300,0100,A 434111,A81000C,00300,0200,D. WHEELER/T. TILLER 434111,A81000C,00300,0400,MEDICAL NECESSITIES 434111,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 434111,A81000C,00400,0100,A 434111,A81000C,00400,0200,D. WHEELER/T. TILLER 434111,A81000C,00400,0400,LAUREL BAYE MEDICAL 434111,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 434111,A81000C,00500,0100,A 434111,A81000C,00500,0200,D. WHEELER/T. TILLER 434111,A81000C,00500,0400,RESPIRATORY CARE CONSULTA 434111,A81000C,00500,0600,MEDICAL SUPPLY COMPANY 434111,A81000C,00600,0100,A 434111,A81000C,00600,0200,D. WHEELER/T. TILLER 434111,A81000C,00600,0400,PALMETTO H/C ASSURANCE 434111,A81000C,00600,0600, CAPTIVE INSURANCE CO 434111,A81000C,00700,0100,A 434111,A81000C,00700,0200,D. WHEELER/T. TILLER 434111,A81000C,00700,0400,IMPACT THERAPY 434111,A81000C,00700,0600,THERAPY COMPANY 434111,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434111,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434111,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434111,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434111,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434111,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434111,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434111,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434111,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 434111,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434111,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434111,E10A180,00350,0100,07/22/11 434111,E10A180,00501,0100,03/20/12 434111,S000000,00100,0200,01/17/12 434111,S200000,00100,0100,575 STONEWALL JACKSON BLVD 434111,S200000,00200,0100,ORANGEBURG 434111,S200000,00200,0200,SC 434111,S200000,00200,0300,29115 434111,S200000,00300,0100,ORANGEBURG 434111,S200000,00300,0200,0042 434111,S200000,00300,0201,00042 434111,S200000,00300,0300,U 434111,S200000,00400,0100,LAUREL BAYE HLTHCARE OF ORANGEBURG 434111,S200000,00400,0200,425116 434111,S200000,00400,0300,10/01/97 434111,S200000,00400,0500,P 434111,S200000,01500,0100,Y 434111,S200000,01501,0200,N 434111,S200000,01502,0200,Y 434111,S200000,01503,0200,N 434111,S200000,01504,0200,N 434111,S200000,01600,0100,N 434111,S200000,01700,0100,N 434111,S200000,01800,0100,N 434111,S200000,02200,0100,N 434111,S200000,02800,0100,N 434111,S200000,02900,0100,N 434111,S200000,03000,0100,N 434111,S200000,03100,0100,N 434111,S200000,03200,0100,N 434111,S200000,03300,0100,N 434111,S200000,03300,0200,N 434111,S200000,04100,0100,N 434111,S200000,04200,0100,N 434111,S200000,04300,0100,N 434111,S200000,04600,0100,N 434111,S200000,04700,0100,N 434111,S200000,04700,0200,N 434111,S200000,04900,0100,N 434111,S200000,05000,0100,N 434111,S200000,05100,0100,N 434111,S200000,05200,0100,N 434112,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434112,A000000,00300,0000,0300EMPLOYEE BENEFITS 434112,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434112,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434112,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434112,A000000,00700,0000,0700HOUSEKEEPING 434112,A000000,00800,0000,0800DIETARY 434112,A000000,00900,0000,0900NURSING ADMINISTRATION 434112,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434112,A000000,01100,0000,1100PHARMACY 434112,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434112,A000000,01300,0000,1300SOCIAL SERVICE 434112,A000000,01500,0000,1350PATIENT ACTIVITIES 434112,A000000,01600,0000,1600SKILLED NURSING FACILITY 434112,A000000,01900,0000,1900OTHER LONG TERM CARE 434112,A000000,02100,0000,2100RADIOLOGY 434112,A000000,02200,0000,2200LABORATORY 434112,A000000,02500,0000,2500PHYSICAL THERAPY 434112,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434112,A000000,02700,0000,2700SPEECH PATHOLOGY 434112,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434112,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434112,A000000,03200,0000,3200SUPPORT SURFACES 434112,A000000,04800,0000,4800AMBULANCE 434112,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434112,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434112,A81000A,00100,0100,N 434112,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434112,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434112,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434112,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434112,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434112,B100000,00000,0700,0750SQUARE FTG EXCEP :HOUSEKEEPING 434112,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434112,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434112,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434112,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434112,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434112,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434112,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434112,E10A180,00501,0100,03/27/12 434112,G300000,02500,0000,OTHER INCOME 434112,G300000,02501,0000,BARBER & BEAUTY 434112,S000000,00100,0200,01/25/12 434112,S200000,00100,0100,380 BREVARD ROAD 434112,S200000,00200,0100,ASHEVILLE 434112,S200000,00200,0200,NC 434112,S200000,00200,0300,28806 434112,S200000,00300,0100,BUNCOMBE 434112,S200000,00300,0200,0480 434112,S200000,00300,0201,11700 434112,S200000,00300,0300,U 434112,S200000,00400,0100,ASTON PARK HEALTH CARE CENTER INC. 434112,S200000,00400,0200,345198 434112,S200000,00400,0300,06/03/80 434112,S200000,00400,0500,P 434112,S200000,01500,0100,Y 434112,S200000,01501,0200,Y 434112,S200000,01600,0100,N 434112,S200000,01700,0100,N 434112,S200000,01800,0100,N 434112,S200000,02200,0100,N 434112,S200000,02800,0100,N 434112,S200000,02900,0100,N 434112,S200000,03000,0100,N 434112,S200000,03100,0100,N 434112,S200000,03200,0100,N 434112,S200000,03300,0100,N 434112,S200000,03300,0200,N 434112,S200000,04100,0100,N 434112,S200000,04200,0100,N 434112,S200000,04300,0100,N 434112,S200000,04600,0100,N 434112,S200000,04700,0100,N 434112,S200000,04700,0200,N 434112,S200000,04900,0100,N 434112,S200000,05000,0100,N 434112,S200000,05100,0100,N 434112,S200000,05200,0100,N 434113,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434113,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434113,A000000,00300,0000,0300EMPLOYEE BENEFITS 434113,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434113,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434113,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434113,A000000,00700,0000,0700HOUSEKEEPING 434113,A000000,00800,0000,0800DIETARY 434113,A000000,00900,0000,0900NURSING ADMINISTRATION 434113,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434113,A000000,01100,0000,1100PHARMACY 434113,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434113,A000000,01300,0000,1300SOCIAL SERVICE 434113,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434113,A000000,01600,0000,1600SKILLED NURSING FACILITY 434113,A000000,01810,0000,1810ICF/MR 434113,A000000,02100,0000,2100RADIOLOGY 434113,A000000,02200,0000,2200LABORATORY 434113,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434113,A000000,02500,0000,2500PHYSICAL THERAPY 434113,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434113,A000000,02700,0000,2700SPEECH PATHOLOGY 434113,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434113,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434113,A000000,03200,0000,3200SUPPORT SURFACES 434113,A000000,03550,0000,3550FQHC 434113,A000000,04800,0000,4800AMBULANCE 434113,A000000,05000,0000,5000CORF 434113,A000000,05010,0000,5010CMHC 434113,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434113,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434113,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434113,A000000,05300,0000,5300INTEREST EXPENSE 434113,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434113,A81000A,00100,0100,Y 434113,A81000B,00100,0300,MGMT FEES 434113,A81000B,00200,0300,MGMT FEES - CAP RELATED 434113,A81000B,00300,0300,H.O. ALLOC TO PROPERTIES 434113,A81000B,00400,0300,H.O. ALLOC TO PROPERTIES 434113,A81000B,00500,0300,RENT 434113,A81000B,00600,0300,SUPPLIES 434113,A81000B,00700,0300,WORKERS COMP 434113,A81000B,00800,0300,CONTRACT THERAPY 434113,A81000B,00900,0300,GENERAL INSURANCE 434113,A81000B,01000,0300,PROFESSIONAL FEES 434113,A81000B,01100,0300,EQUIPMENT RENTAL 434113,A81000B,01200,0300,UNIFORMS 434113,A81000B,01300,0300,MINOR EQUIPMENT 434113,A81000B,01400,0300,CONTRACT THERAPY 434113,A81000B,01500,0300,SUPPLIES 434113,A81000B,01600,0300,SUPPLIES 434113,A81000B,01700,0300,SUPPLEMENTS/SUPPLIES 434113,A81000B,01800,0300,CONTRACT THERAPY 434113,A81000C,00100,0100,A 434113,A81000C,00100,0200,D. WHEELER/T TILLER 434113,A81000C,00100,0400,LAUREL BAYE H/C OF SC 434113,A81000C,00100,0600,MGMT COMPANY 434113,A81000C,00200,0100,A 434113,A81000C,00200,0200,D. WHEELER/T TILLER 434113,A81000C,00200,0400,LAUREL BAYE PROP LLC 434113,A81000C,00200,0600,PROPERTY COMPANY 434113,A81000C,00300,0100,A 434113,A81000C,00300,0200,D. WHEELER/T TILLER 434113,A81000C,00300,0400,LAUREL BAYE MEDICAL 434113,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 434113,A81000C,00400,0100,A 434113,A81000C,00400,0200,D. WHEELER/T TILLER 434113,A81000C,00400,0400,MEDICAL NECESSITIES 434113,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 434113,A81000C,00500,0100,A 434113,A81000C,00500,0200,D. WHEELER/T TILLER 434113,A81000C,00500,0400,REPIRATORY CARE CONSULTAN 434113,A81000C,00500,0600,MEDICAL SUPPLY COMPANY 434113,A81000C,00600,0100,A 434113,A81000C,00600,0200,D. WHEELER/T TILLER 434113,A81000C,00600,0400,PALMETTO H/C ASSURANCE 434113,A81000C,00600,0600, CAPTIVE INSURANC COMPAN 434113,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434113,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434113,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434113,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434113,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434113,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434113,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434113,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434113,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 434113,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434113,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434113,E10A180,00501,0100,03/20/12 434113,S000000,00100,0200,01/17/12 434113,S200000,00100,0100,661 RUTHERFORD ROAD 434113,S200000,00200,0100,GREENVILLE 434113,S200000,00200,0200,SC 434113,S200000,00200,0300,29609 434113,S200000,00300,0100,GREENVILLE 434113,S200000,00300,0201,24860 434113,S200000,00300,0300,U 434113,S200000,00400,0100,LAUREL BAYE HLTHCARE OF GREENVILLE 434113,S200000,00400,0200,425042 434113,S200000,00400,0300,05/01/00 434113,S200000,00400,0500,P 434113,S200000,01500,0100,Y 434113,S200000,01501,0200,N 434113,S200000,01502,0200,Y 434113,S200000,01503,0200,Y 434113,S200000,01504,0200,N 434113,S200000,01600,0100,N 434113,S200000,01700,0100,N 434113,S200000,01800,0100,N 434113,S200000,02200,0100,Y 434113,S200000,02800,0100,N 434113,S200000,02900,0100,N 434113,S200000,03000,0100,N 434113,S200000,03100,0100,N 434113,S200000,03200,0100,N 434113,S200000,03300,0100,N 434113,S200000,03300,0200,N 434113,S200000,04100,0100,N 434113,S200000,04200,0100,N 434113,S200000,04300,0100,N 434113,S200000,04600,0100,N 434113,S200000,04700,0100,N 434113,S200000,04700,0200,N 434113,S200000,04900,0100,N 434113,S200000,05000,0100,N 434113,S200000,05100,0100,N 434113,S200000,05200,0100,N 434115,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434115,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434115,A000000,00300,0000,0300EMPLOYEE BENEFITS 434115,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434115,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434115,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434115,A000000,00700,0000,0700HOUSEKEEPING 434115,A000000,00800,0000,0800DIETARY 434115,A000000,00900,0000,0900NURSING ADMINISTRATION 434115,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434115,A000000,01100,0000,1100PHARMACY 434115,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434115,A000000,01300,0000,1300SOCIAL SERVICE 434115,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434115,A000000,01500,0000,1350RECREATION 434115,A000000,01600,0000,1600SKILLED NURSING FACILITY 434115,A000000,01810,0000,1810ICF/MR 434115,A000000,02100,0000,2100RADIOLOGY 434115,A000000,02200,0000,2200LABORATORY 434115,A000000,02300,0000,2300INTRAVENOUS THERAPY 434115,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434115,A000000,02500,0000,2500PHYSICAL THERAPY 434115,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434115,A000000,02700,0000,2700SPEECH PATHOLOGY 434115,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434115,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434115,A000000,03550,0000,3550FQHC 434115,A000000,04801,0000,4801AMBULANCE 434115,A000000,04802,0000,4802AMBULANCE 434115,A000000,04803,0000,4803AMBULANCE 434115,A000000,05000,0000,5000CORF 434115,A000000,05010,0000,5010CMHC 434115,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434115,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434115,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434115,A81000A,00100,0100,Y 434115,A81000B,00100,0300,SEE ATTACHED 434115,A81000B,00200,0300,HOME OFFICE INTEREST 434115,A81000B,00300,0300,HOME OFFICE ADMIN 434115,A81000B,00400,0300,HOME OFFICE CAPITAL 434115,A81000C,00100,0100,B 434115,A81000C,00100,0400,SEE ATTACHED 434115,A81000C,00100,0600,VARIOUS 434115,A81000C,00200,0100,B 434115,A81000C,00200,0400,GHC 434115,A81000C,00200,0600,LONG TERM CARE 434115,A81000C,00300,0100,B 434115,A81000C,00300,0400,GHC 434115,A81000C,00300,0600,LONG TERM CARE 434115,A81000C,00400,0100,B 434115,A81000C,00400,0400,GHC 434115,A81000C,00400,0600,LONG TERM CARE 434115,B100000,00000,0100,0100SQUARE FEET 434115,B100000,00000,0200,0200SQUARE FEET 434115,B100000,00000,0300,0300GROSS SALARIES 434115,B100000,00000,0400,0400ACCUM COST 434115,B100000,00000,0500,0500SQUARE FEET 434115,B100000,00000,0600,0600PATIENT DAYS 434115,B100000,00000,0700,0700SQUARE FEET 434115,B100000,00000,0800,0800MEALS SERVED 434115,B100000,00000,0900,0900NURSING SALARIES 434115,B100000,00000,1000,1000COSTED REQUIS 434115,B100000,00000,1100,1100COSTED REQUIS 434115,B100000,00000,1200,1200PATIENT DAYS 434115,B100000,00000,1300,1300PATIENT DAYS 434115,B100000,00000,1400,1400ASSIGNED TIME 434115,B100000,00000,1500,1350PATIENT DAYS 434115,E10A180,00301,0100,03/24/11 434115,E10A180,00501,0100,05/08/12 434115,E10A180,00501,0300,05/08/12 434115,G300000,02500,0000,BARBER AND BEAUTY 434115,S000000,00100,0200,09/12/11 434115,S200000,00100,0100,1515 LAMBERTS MILL ROAD 434115,S200000,00200,0100,WESTFIELD 434115,S200000,00200,0200,NJ 434115,S200000,00200,0300,07090 434115,S200000,00300,0100,UNION 434115,S200000,00300,0201,35084 434115,S200000,00300,0300,U 434115,S200000,00400,0100,WESTFIELD CENTER 434115,S200000,00400,0200,315122 434115,S200000,00400,0300,02/28/85 434115,S200000,00400,0500,P 434115,S200000,01500,0100,Y 434115,S200000,01501,0200,N 434115,S200000,01502,0200,N 434115,S200000,01503,0200,N 434115,S200000,01504,0200,N 434115,S200000,01600,0100,N 434115,S200000,01700,0100,N 434115,S200000,01800,0100,N 434115,S200000,02200,0100,Y 434115,S200000,02800,0100,N 434115,S200000,02900,0100,N 434115,S200000,03000,0100,N 434115,S200000,03100,0100,N 434115,S200000,03200,0100,N 434115,S200000,03300,0100,N 434115,S200000,03300,0200,N 434115,S200000,04200,0100,N 434115,S200000,04300,0100,N 434115,S200000,04600,0100,N 434115,S200000,04700,0100,N 434115,S200000,04900,0100,N 434115,S200000,05200,0100,N 434115,S200000,05300,0100,Y 434115,S200000,05300,0200,HB0067 434115,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434115,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434115,S200000,05400,0300,12001 434115,S200000,05500,0100,101 EAST STATE STREET 434115,S200000,05600,0100,KENNETT SQUARE 434115,S200000,05600,0200,PA 434115,S200000,05600,0300,19348 434120,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434120,A000000,00300,0000,0300EMPLOYEE BENEFITS 434120,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434120,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434120,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434120,A000000,00700,0000,0700HOUSEKEEPING 434120,A000000,00800,0000,0800DIETARY 434120,A000000,00900,0000,0900NURSING ADMINISTRATION 434120,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434120,A000000,01100,0000,1100PHARMACY 434120,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434120,A000000,01300,0000,1300SOCIAL SERVICE 434120,A000000,01500,0000,1350PATIENT ACTIVITIES 434120,A000000,01600,0000,1600SKILLED NURSING FACILITY 434120,A000000,01900,0000,1900OTHER LONG TERM CARE 434120,A000000,02100,0000,2100RADIOLOGY 434120,A000000,02200,0000,2200LABORATORY 434120,A000000,02500,0000,2500PHYSICAL THERAPY 434120,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434120,A000000,02700,0000,2700SPEECH PATHOLOGY 434120,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434120,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434120,A000000,03200,0000,3200SUPPORT SURFACES 434120,A000000,04800,0000,4800AMBULANCE 434120,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434120,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434120,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434120,A81000A,00100,0100,Y 434120,A81000B,00100,0300,LEASE 434120,A81000B,00200,0300,DEPRECIATION 434120,A81000B,00300,0300,MORTGAGE INTEREST 434120,A81000C,00100,0100,B 434120,A81000C,00100,0200,RILEY CLAPP 434120,A81000C,00100,0400,CLAPP HEALTHCARE LLC 434120,A81000C,00100,0600,RELATED LEASE 434120,A81000C,00200,0100,B 434120,A81000C,00200,0200,RILEY CLAPP 434120,A81000C,00200,0400,CLAPP HEALTHCARE LLC 434120,A81000C,00200,0600,RELATED LEASE 434120,A81000C,00300,0100,B 434120,A81000C,00300,0200,RILEY CLAPP 434120,A81000C,00300,0400,CLAPP HEALTHCARE LLC 434120,A81000C,00300,0600,RELATED LEASE 434120,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434120,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434120,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434120,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434120,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434120,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434120,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434120,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434120,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434120,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434120,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434120,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434120,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434120,E10A180,00501,0100,05/26/12 434120,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 434120,G300000,02501,0000,OTHER 434120,S000000,00100,0200,03/01/12 434120,S200000,00100,0100,5229 APPOMATTOX ROAD 434120,S200000,00200,0100,PLEASANT GARDEN 434120,S200000,00200,0200,NC 434120,S200000,00200,0300,27313 434120,S200000,00300,0100,GUILFORD 434120,S200000,00300,0200,3120 434120,S200000,00300,0201,24660 434120,S200000,00300,0300,U 434120,S200000,00400,0100,CLAPP S NURSING CENTER INC 434120,S200000,00400,0200,345024 434120,S200000,00400,0300,01/01/75 434120,S200000,00400,0500,P 434120,S200000,01500,0100,Y 434120,S200000,01501,0200,N 434120,S200000,01503,0200,Y 434120,S200000,01600,0100,N 434120,S200000,01700,0100,N 434120,S200000,01800,0100,N 434120,S200000,02200,0100,N 434120,S200000,02800,0100,N 434120,S200000,02900,0100,N 434120,S200000,03000,0100,N 434120,S200000,03100,0100,N 434120,S200000,03200,0100,N 434120,S200000,03300,0100,N 434120,S200000,03300,0200,N 434120,S200000,04100,0100,N 434120,S200000,04200,0100,N 434120,S200000,04300,0100,N 434120,S200000,04600,0100,N 434120,S200000,04700,0100,N 434120,S200000,04700,0200,N 434120,S200000,04900,0100,N 434120,S200000,05000,0100,N 434120,S200000,05100,0100,N 434120,S200000,05200,0100,N 434121,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434121,A000000,00300,0000,0300EMPLOYEE BENEFITS 434121,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434121,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434121,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434121,A000000,00700,0000,0700HOUSEKEEPING 434121,A000000,00800,0000,0800DIETARY 434121,A000000,00900,0000,0900NURSING ADMINISTRATION 434121,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434121,A000000,01100,0000,1100PHARMACY 434121,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434121,A000000,01300,0000,1300SOCIAL SERVICE 434121,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434121,A000000,01500,0000,1350PATENT ACTIVITIES 434121,A000000,01600,0000,1600SKILLED NURSING FACILITY 434121,A000000,01900,0000,1900OTHER LONG TERM CARE 434121,A000000,02100,0000,2100RADIOLOGY 434121,A000000,02200,0000,2200LABORATORY 434121,A000000,02300,0000,2300INTRAVENOUS THERAPY 434121,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434121,A000000,02500,0000,2500PHYSICAL THERAPY 434121,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434121,A000000,02700,0000,2700SPEECH PATHOLOGY 434121,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434121,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434121,A000000,03200,0000,3200SUPPORT SURFACES 434121,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434121,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434121,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434121,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434121,A000000,06100,0000,6100NONPAID WORKERS 434121,A000000,06200,0000,6200PATIENTS LAUNDRY 434121,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434121,A81000A,00100,0100,Y 434121,A81000B,00100,0300,HO COST 434121,A81000B,00200,0300,HO NURSING 434121,A81000B,00300,0300,MANAGEMENT FEES 434121,A81000C,00100,0100,B 434121,A81000C,00100,0200,FIVE OAKS MANOR 434121,A81000C,00100,0400,EPIC MGMT LLC 434121,A81000C,00100,0600,HOME OFFICE 434121,A81000C,00200,0100,B 434121,A81000C,00200,0200,FIVE OAKS MANOR 434121,A81000C,00200,0400,EPIC MGMT LLC 434121,A81000C,00200,0600,HOME OFFICE 434121,A81000C,00300,0100,B 434121,A81000C,00300,0200,FIVE OAKS MANOR 434121,A81000C,00300,0400,EPIC MGMT LLC 434121,A81000C,00300,0600,HOME OFFICE 434121,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434121,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434121,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434121,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434121,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434121,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434121,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434121,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434121,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434121,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434121,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434121,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434121,B100000,00000,1500,1350PATIENT DAYS :PATENT ACTIVITIES 434121,E10A180,00501,0100,05/27/12 434121,G300000,02501,0000,OTHER 434121,G300000,02502,0000,PATIENT PERSONAL 434121,S000000,00100,0200,03/01/12 434121,S200000,00100,0100,413 WINECOFF SCHOOL ROAD 434121,S200000,00200,0100,CONCORD 434121,S200000,00200,0200,NC 434121,S200000,00200,0300,28027 434121,S200000,00300,0100,CABARRUS 434121,S200000,00300,0200,1520 434121,S200000,00300,0201,16740 434121,S200000,00300,0300,U 434121,S200000,00400,0100,FIVE OAKS MANOR 434121,S200000,00400,0200,345186 434121,S200000,00400,0300,08/01/02 434121,S200000,00400,0500,P 434121,S200000,01500,0100,N 434121,S200000,01501,0200,N 434121,S200000,01503,0200,Y 434121,S200000,01505,0000,THERAPY 434121,S200000,01505,0200,Y 434121,S200000,01600,0100,Y 434121,S200000,01700,0100,N 434121,S200000,01800,0100,N 434121,S200000,02200,0100,N 434121,S200000,02800,0100,N 434121,S200000,02900,0100,N 434121,S200000,03000,0100,N 434121,S200000,03100,0100,N 434121,S200000,03200,0100,N 434121,S200000,03300,0100,N 434121,S200000,03300,0200,N 434121,S200000,04100,0100,N 434121,S200000,04200,0100,N 434121,S200000,04300,0100,N 434121,S200000,04600,0100,N 434121,S200000,04700,0100,N 434121,S200000,04700,0200,N 434121,S200000,04900,0100,N 434121,S200000,05000,0100,N 434121,S200000,05100,0100,N 434121,S200000,05200,0100,N 434121,S200000,05300,0100,Y 434121,S200000,05300,0200,58-420 434121,S200000,05400,0100,EPIC MGMT LLC 434121,S200000,05400,0200,PALMETTO GBA 434121,S200000,05400,0300,11001 434121,S200000,05500,0200,1907 434121,S200000,05600,0100,KERNERSVILLE 434121,S200000,05600,0200,NC 434121,S200000,05600,0300,27285 434122,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434122,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434122,A000000,00300,0000,0300EMPLOYEE BENEFITS 434122,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434122,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434122,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434122,A000000,00700,0000,0700HOUSEKEEPING 434122,A000000,00800,0000,0800DIETARY 434122,A000000,00900,0000,0900NURSING ADMINISTRATION 434122,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434122,A000000,01300,0000,1300SOCIAL SERVICE 434122,A000000,01600,0000,1600SKILLED NURSING FACILITY 434122,A000000,01800,0000,1800NURSING FACILITY 434122,A000000,01900,0000,1900OTHER LONG TERM CARE 434122,A000000,02100,0000,2100RADIOLOGY 434122,A000000,02200,0000,2200LABORATORY 434122,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434122,A000000,02500,0000,2500PHYSICAL THERAPY 434122,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434122,A000000,02700,0000,2700SPEECH PATHOLOGY 434122,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434122,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434122,A000000,05300,0000,5300INTEREST EXPENSE 434122,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434122,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434122,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434122,A81000A,00100,0100,Y 434122,A81000B,00100,0300,RENT PAID TO RELATED PARTY 434122,A81000B,00200,0300,DIETARY SUPPLEMENTS 434122,A81000B,00300,0300,ROUTINE MEDICAL SUPPLIES 434122,A81000B,00400,0300,NON-LEGEND DRUGS 434122,A81000B,00500,0300,MINOR EQUIPMENT 434122,A81000B,00600,0300,LINEN/BEDDING 434122,A81000B,00700,0300,BILLABLE MEDICAL SUPPLIES 434122,A81000C,00100,0100,A 434122,A81000C,00100,0200,HERMAN A. DAVIS 434122,A81000C,00100,0400,HERMAN A. DAVIS 434122,A81000C,00100,0600,RENTAL 434122,A81000C,00200,0100,A 434122,A81000C,00200,0200,VARIOUS 434122,A81000C,00200,0400,SENIOR CITIZENS 434122,A81000C,00200,0600,MED SUPPLY 434122,A81000C,00300,0100,A 434122,A81000C,00300,0200,VARIOUS 434122,A81000C,00300,0400,SENIOR CITIZENS 434122,A81000C,00300,0600,MED SUPPLY 434122,A81000C,00400,0100,A 434122,A81000C,00400,0200,VARIOUS 434122,A81000C,00400,0400,SENIOR CITIZENS 434122,A81000C,00400,0600,MED SUPPLY 434122,A81000C,00500,0100,A 434122,A81000C,00500,0200,VARIOUS 434122,A81000C,00500,0400,SENIOR CITIZENS 434122,A81000C,00500,0600,MED SUPPLY 434122,A81000C,00600,0100,A 434122,A81000C,00600,0200,VARIOUS 434122,A81000C,00600,0400,SENIOR CITIZENS 434122,A81000C,00600,0600,MED SUPPLY 434122,A81000C,00700,0100,A 434122,A81000C,00700,0200,VARIOUS 434122,A81000C,00700,0400,SENIOR CITIZENS 434122,A81000C,00700,0600,MED SUPPLY 434122,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434122,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434122,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434122,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434122,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434122,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434122,B100000,00000,0800,0800MEALS SERVED :DIETARY 434122,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434122,B100000,00000,1200,1250DIRECT NURSING :MEDICAL RECORDS 434122,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434122,E10A180,00550,0100,02/28/12 434122,G300000,02500,0000, OTHER (SPECIFY) 434122,S000000,00100,0200,02/28/12 434122,S200000,00100,0100,2275 RUIN CREEK ROAD 434122,S200000,00200,0100,HENDERSON 434122,S200000,00200,0200,NC 434122,S200000,00200,0300,27536 434122,S200000,00300,0100,VANCE 434122,S200000,00300,0201,99934 434122,S200000,00300,0300,R 434122,S200000,00400,0100,SENIOR CITIZEN S HOME INC. 434122,S200000,00400,0200,345316 434122,S200000,00400,0300,05/03/90 434122,S200000,00400,0500,P 434122,S200000,01500,0100,N 434122,S200000,01600,0100,Y 434122,S200000,01700,0100,N 434122,S200000,01800,0100,N 434122,S200000,02200,0100,N 434122,S200000,02800,0100,N 434122,S200000,02900,0100,N 434122,S200000,03000,0100,N 434122,S200000,03100,0100,N 434122,S200000,03200,0100,N 434122,S200000,03300,0100,N 434122,S200000,03300,0200,N 434122,S200000,04100,0100,N 434122,S200000,04200,0100,N 434122,S200000,04300,0100,N 434122,S200000,04600,0100,N 434122,S200000,04700,0100,N 434122,S200000,04700,0200,N 434122,S200000,04900,0100,N 434122,S200000,05000,0100,N 434122,S200000,05100,0100,N 434122,S200000,05200,0100,N 434122,S200000,05300,0100,N 434123,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434123,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434123,A000000,00300,0000,0300EMPLOYEE BENEFITS 434123,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434123,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434123,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434123,A000000,00700,0000,0700HOUSEKEEPING 434123,A000000,00800,0000,0800DIETARY 434123,A000000,00900,0000,0900NURSING ADMINISTRATION 434123,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434123,A000000,01100,0000,1100PHARMACY 434123,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434123,A000000,01300,0000,1300SOCIAL SERVICE 434123,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434123,A000000,01500,0000,1350ACTIVITIES 434123,A000000,01600,0000,1600SKILLED NURSING FACILITY 434123,A000000,01800,0000,1800NURSING FACILITY 434123,A000000,01810,0000,1810ICF/MR 434123,A000000,01900,0000,1900OTHER LONG TERM CARE 434123,A000000,02100,0000,2100RADIOLOGY 434123,A000000,02200,0000,2200LABORATORY 434123,A000000,02300,0000,2300INTRAVENOUS THERAPY 434123,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434123,A000000,02500,0000,2500PHYSICAL THERAPY 434123,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434123,A000000,02700,0000,2700SPEECH PATHOLOGY 434123,A000000,02800,0000,2800ELECTROCARDIOLOGY 434123,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434123,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434123,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434123,A000000,03200,0000,3200SUPPORT SURFACES 434123,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434123,A000000,03302,0000,3052AMBULANCE 434123,A000000,03303,0000,3053PEN THERAPY 434123,A000000,03308,0000,3058LIFE SUSTAINING EQUIPMENT RENTAL 434123,A000000,03400,0000,3400CLINIC 434123,A000000,03500,0000,3500RURAL HEALTH CLINIC 434123,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434123,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434123,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434123,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434123,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434123,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434123,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434123,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434123,A000000,04400,0000,4400DME RENTED - HHA 434123,A000000,04500,0000,4500DME SOLD - HHA 434123,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434123,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434123,A000000,04710,0000,4710TELEMEDICINE 434123,A000000,04800,0000,4800AMBULANCE 434123,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434123,A000000,05000,0000,5000CORF 434123,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434123,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434123,A000000,05300,0000,5300INTEREST EXPENSE 434123,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434123,A000000,05500,0000,5500HOSPICE 434123,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434123,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434123,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434123,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434123,A000000,06100,0000,6100NONPAID WORKERS 434123,A000000,06200,0000,6200PATIENTS LAUNDRY 434123,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434123,A81000A,00100,0100,Y 434123,A81000B,00100,0300,HO BLDG DEPRECIATION 434123,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434123,A81000B,00300,0300,INTEREST 434123,A81000B,00400,0300,MANAGEMENT FEES 434123,A81000B,00500,0300,MED SUPPLIES 434123,A81000B,00600,0300,MED SUPPLIES 434123,A81000B,00700,0300,MED SUPPLIES 434123,A81000B,00800,0300,DRUGS 434123,A81000B,00900,0300,DRUGS 434123,A81000B,01000,0300,DRUGS 434123,A81000C,00100,0100,A 434123,A81000C,00100,0200,R&S MCNEILL 434123,A81000C,00100,0400,LIBERTY LTC MGMT 434123,A81000C,00100,0600,HOME OFFICE 434123,A81000C,00200,0100,A 434123,A81000C,00200,0200,R&S MCNEILL 434123,A81000C,00200,0400,LIBERTY LTC MGMT 434123,A81000C,00200,0600,HOME OFFICE 434123,A81000C,00300,0100,A 434123,A81000C,00300,0200,R&S MCNEILL 434123,A81000C,00300,0400,LIBERTY LTC MGMT 434123,A81000C,00300,0600,HOME OFFICE 434123,A81000C,00400,0100,A 434123,A81000C,00400,0200,R&S MCNEILL 434123,A81000C,00400,0400,LIBERTY LTC MGMT 434123,A81000C,00400,0600,HOME OFFICE 434123,A81000C,00500,0100,A 434123,A81000C,00500,0200,R&S MCNEILL 434123,A81000C,00500,0400,LIBERTY MED SPEC 434123,A81000C,00500,0600,MED SUPPLY 434123,A81000C,00600,0100,A 434123,A81000C,00600,0200,R&S MCNEILL 434123,A81000C,00600,0400,LIBERTY MED SPEC 434123,A81000C,00600,0600,MED SUPPLY 434123,A81000C,00700,0100,A 434123,A81000C,00700,0200,R&S MCNEILL 434123,A81000C,00700,0400,LIBERTY MED SPEC 434123,A81000C,00700,0600,MED SUPPLY 434123,A81000C,00800,0100,A 434123,A81000C,00800,0200,R&S MCNEILL 434123,A81000C,00800,0400,MCNEILL PHARMACY 434123,A81000C,00800,0600,PHARMACY 434123,A81000C,00900,0100,A 434123,A81000C,00900,0200,R&S MCNEILL 434123,A81000C,00900,0400,MCNEILL PHARMACY 434123,A81000C,00900,0600,PHARMACY 434123,A81000C,01000,0100,A 434123,A81000C,01000,0200,R&S MCNEILL 434123,A81000C,01000,0400,MCNEILL PHARMACY 434123,A81000C,01000,0600,PHARMACY 434123,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434123,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434123,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434123,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434123,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434123,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434123,B100000,00000,0800,0800MEALS SERVED :DIETARY 434123,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434123,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434123,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434123,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434123,E10A180,00501,0100,05/28/12 434123,G300000,02500,0000,BARBER AND BEAUTY 434123,G300000,02502,0000,MISC REV 434123,G300000,02503,0000,PERSONAL ITEMS 434123,G300000,02504,0000,EQUIPMENT RENTAL 434123,G300000,02505,0000,BILLING ADJUSTMENTS 434123,G300000,02506,0000,ROOMHOLDS 434123,G300000,02507,0000,NAT REVENUE 434123,G300000,02508,0000,GAIN(LOSS) ON SALE OF FIXED ASSETS 434123,G300000,02509,0000,COST REPORT STMT - MCAID 434123,G300000,02510,0000,INCOME TAX REFUND 434123,S000000,00100,0200,03/01/12 434123,S200000,00100,0100,121 RACINE DRIVE 434123,S200000,00200,0100,WILMINGTON 434123,S200000,00200,0200,NC 434123,S200000,00200,0300,28403 434123,S200000,00300,0100,NEW HANOVER 434123,S200000,00300,0200,9200 434123,S200000,00300,0201,48900 434123,S200000,00300,0300,U 434123,S200000,00400,0100,LIBERTY COMMONS NURSING CENTER 434123,S200000,00400,0200,345468 434123,S200000,00400,0300,11/18/94 434123,S200000,00400,0500,P 434123,S200000,00400,0600,P 434123,S200000,01500,0100,Y 434123,S200000,01501,0200,N 434123,S200000,01502,0200,Y 434123,S200000,01503,0200,Y 434123,S200000,01600,0100,N 434123,S200000,01700,0100,N 434123,S200000,01800,0100,N 434123,S200000,02200,0100,N 434123,S200000,02800,0100,Y 434123,S200000,02900,0100,N 434123,S200000,03000,0100,N 434123,S200000,03100,0100,N 434123,S200000,03200,0100,N 434123,S200000,03300,0100,N 434123,S200000,03300,0200,N 434123,S200000,04100,0100,N 434123,S200000,04200,0100,N 434123,S200000,04300,0100,N 434123,S200000,04600,0100,N 434123,S200000,04700,0100,N 434123,S200000,04700,0200,N 434123,S200000,04900,0100,N 434123,S200000,05000,0100,N 434123,S200000,05100,0100,N 434123,S200000,05200,0100,N 434123,S200000,05300,0100,N 434124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434124,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434124,A000000,00300,0000,0300EMPLOYEE BENEFITS 434124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434124,A000000,00700,0000,0700HOUSEKEEPING 434124,A000000,00800,0000,0800DIETARY 434124,A000000,00900,0000,0900NURSING ADMINISTRATION 434124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434124,A000000,01300,0000,1300SOCIAL SERVICE 434124,A000000,01500,0000,1350PATIENT ACTIVITIES 434124,A000000,01501,0000,1351OTHER 434124,A000000,01600,0000,1600SKILLED NURSING FACILITY 434124,A000000,01800,0000,1800NURSING FACILITY 434124,A000000,01810,0000,1810ICF/MR 434124,A000000,01900,0000,1900OTHER LONG TERM CARE 434124,A000000,02100,0000,2100RADIOLOGY 434124,A000000,02200,0000,2200LABORATORY 434124,A000000,02300,0000,2300INTRAVENOUS THERAPY 434124,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434124,A000000,02500,0000,2500PHYSICAL THERAPY 434124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434124,A000000,02700,0000,2700SPEECH PATHOLOGY 434124,A000000,02800,0000,2800ELECTROCARDIOLOGY 434124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434124,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 434124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434124,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434124,A000000,03101,0000,3101DENTAL CARE - TITLE XIX ONLY 434124,A000000,03102,0000,3102PROMO & PUB RELATIONS - OTHER 434124,A000000,03200,0000,3200SUPPORT SURFACES 434124,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434124,A000000,03400,0000,3400CLINIC 434124,A000000,03500,0000,3500RURAL HEALTH CLINIC 434124,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434124,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434124,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434124,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434124,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434124,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434124,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434124,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434124,A000000,04400,0000,4400DME RENTED - HHA 434124,A000000,04500,0000,4500DME SOLD - HHA 434124,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434124,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434124,A000000,04710,0000,4710TELEMEDICINE 434124,A000000,04800,0000,4800AMBULANCE 434124,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434124,A000000,05000,0000,5000CORF 434124,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434124,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434124,A000000,05300,0000,5300INTEREST EXPENSE 434124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434124,A000000,05500,0000,5500HOSPICE 434124,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434124,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434124,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434124,A000000,06100,0000,6100NONPAID WORKERS 434124,A000000,06200,0000,6200PATIENTS LAUNDRY 434124,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434124,A81000A,00100,0100,Y 434124,A81000B,00100,0300,MGMT FEE 434124,A81000B,00200,0300,INSURANCE 434124,A81000C,00100,0100,A 434124,A81000C,00100,0200,UNION CITY HOSPITAL 434124,A81000C,00100,0400,WALLACE THOMSON HOSPITAL 434124,A81000C,00100,0600,HOSPITAL 434124,A81000C,00200,0100,A 434124,A81000C,00200,0200,UNION CITY HOSPITAL 434124,A81000C,00200,0400,WALLACE THOMSON HOSPITAL 434124,A81000C,00200,0600,HOSPITAL 434124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434124,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 434124,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434124,B100000,00000,0800,0800MEALS SERVED :DIETARY 434124,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434124,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 434124,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434124,B100000,00000,1500,1350DAYS :PATIENT ACTIVITIES 434124,E10A180,00501,0300,02/09/12 434124,E10A180,00550,0100,02/09/12 434124,G300000,02500,0000,OTHER 434124,S000000,00100,0200,03/07/12 434124,S200000,00100,0100,1817 JONESVILLE HIGHWAY 434124,S200000,00200,0100,UNION 434124,S200000,00200,0200,SC 434124,S200000,00200,0300,29379 434124,S200000,00300,0100,UNION 434124,S200000,00300,0200,42 434124,S200000,00300,0201,99942 434124,S200000,00300,0300,R 434124,S200000,00400,0100,ELLEN SAGAR NURSING HOME 434124,S200000,00400,0200,425012 434124,S200000,00400,0300,01/01/67 434124,S200000,00400,0500,P 434124,S200000,00400,0600,P 434124,S200000,01500,0100,Y 434124,S200000,01501,0200,Y 434124,S200000,01600,0100,N 434124,S200000,01700,0100,N 434124,S200000,01800,0100,N 434124,S200000,02200,0100,N 434124,S200000,02800,0100,N 434124,S200000,02900,0100,N 434124,S200000,03000,0100,N 434124,S200000,03100,0100,N 434124,S200000,03200,0100,N 434124,S200000,03300,0100,N 434124,S200000,03300,0200,N 434124,S200000,04100,0100,N 434124,S200000,04200,0100,N 434124,S200000,04300,0100,N 434124,S200000,04600,0100,N 434124,S200000,04700,0100,N 434124,S200000,04700,0200,N 434124,S200000,04900,0100,N 434124,S200000,05000,0100,N 434124,S200000,05100,0100,N 434124,S200000,05200,0100,N 434125,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434125,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434125,A000000,00300,0000,0300EMPLOYEE BENEFITS 434125,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434125,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434125,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434125,A000000,00700,0000,0700HOUSEKEEPING 434125,A000000,00800,0000,0800DIETARY 434125,A000000,00900,0000,0900NURSING ADMINISTRATION 434125,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434125,A000000,01100,0000,1100PHARMACY 434125,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434125,A000000,01300,0000,1300SOCIAL SERVICE 434125,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434125,A000000,01600,0000,1600SKILLED NURSING FACILITY 434125,A000000,01810,0000,1810ICF/MR 434125,A000000,02100,0000,2100RADIOLOGY 434125,A000000,02200,0000,2200LABORATORY 434125,A000000,02500,0000,2500PHYSICAL THERAPY 434125,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434125,A000000,02700,0000,2700SPEECH PATHOLOGY 434125,A000000,02770,0000,2701ENTERALS 434125,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434125,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434125,A000000,03550,0000,3550FQHC 434125,A000000,04800,0000,4800AMBULANCE 434125,A000000,05000,0000,5000CORF 434125,A000000,05010,0000,5010CMHC 434125,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434125,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434125,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434125,A81000A,00100,0100,Y 434125,A81000B,00100,0300,SHARED LAUNDRY 434125,A81000B,00200,0300,SHARED LAUNDRY 434125,A81000C,00100,0100,B 434125,A81000C,00100,0200,COMMANDER N/C 434125,A81000C,00100,0400,SOUTHLAND H/C 434125,A81000C,00200,0100,B 434125,A81000C,00200,0200,COMMANDER N/C 434125,A81000C,00200,0400,SOUTHLAND H/C 434125,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434125,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434125,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434125,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434125,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434125,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434125,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434125,B100000,00000,0800,0800MEALS SERVED :DIETARY 434125,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434125,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434125,E10A180,00550,0100,03/01/12 434125,S000000,00100,0200,03/01/12 434125,S200000,00100,0100,4438 PAMPLICO HIGHWAY 434125,S200000,00100,0300,12656 434125,S200000,00200,0100,FLORENCE 434125,S200000,00200,0200,SC 434125,S200000,00200,0300,29504 434125,S200000,00300,0100,FLORENCE 434125,S200000,00300,0201,22500 434125,S200000,00300,0300,R 434125,S200000,00400,0100,COMMANDER NURSING CENTER 434125,S200000,00400,0200,425119 434125,S200000,00400,0300,07/01/78 434125,S200000,00400,0500,P 434125,S200000,01500,0100,Y 434125,S200000,01501,0200,Y 434125,S200000,01502,0200,Y 434125,S200000,01503,0200,N 434125,S200000,01504,0200,N 434125,S200000,01600,0100,N 434125,S200000,01700,0100,N 434125,S200000,01800,0100,N 434125,S200000,02200,0100,N 434125,S200000,02800,0100,Y 434125,S200000,02900,0100,N 434125,S200000,03000,0100,N 434125,S200000,03100,0100,N 434125,S200000,03200,0100,N 434125,S200000,03300,0100,N 434125,S200000,03300,0200,N 434125,S200000,04100,0100,N 434125,S200000,04200,0100,N 434125,S200000,04300,0100,N 434125,S200000,04600,0100,N 434125,S200000,04700,0100,N 434125,S200000,04700,0200,N 434125,S200000,04900,0100,N 434125,S200000,05000,0100,N 434125,S200000,05100,0100,N 434125,S200000,05200,0100,N 434128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434128,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434128,A000000,00300,0000,0300EMPLOYEE BENEFITS 434128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434128,A000000,00700,0000,0700HOUSEKEEPING 434128,A000000,00800,0000,0800DIETARY 434128,A000000,00900,0000,0900NURSING ADMINISTRATION 434128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434128,A000000,01100,0000,1100PHARMACY 434128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434128,A000000,01300,0000,1300SOCIAL SERVICE 434128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434128,A000000,01500,0000,1350OTHER GENERAL SERVICES 434128,A000000,01600,0000,1600SKILLED NURSING FACILITY 434128,A000000,01800,0000,1800NURSING FACILITY 434128,A000000,01810,0000,1810ICF/MR 434128,A000000,01900,0000,1900OTHER LONG TERM CARE 434128,A000000,02100,0000,2100RADIOLOGY 434128,A000000,02200,0000,2200LABORATORY 434128,A000000,02300,0000,2300INTRAVENOUS THERAPY 434128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434128,A000000,02500,0000,2500PHYSICAL THERAPY 434128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434128,A000000,02700,0000,2700SPEECH PATHOLOGY 434128,A000000,02800,0000,2800ELECTROCARDIOLOGY 434128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434128,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434128,A000000,03200,0000,3200SUPPORT SURFACES 434128,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434128,A000000,03400,0000,3400CLINIC 434128,A000000,03500,0000,3500RURAL HEALTH CLINIC 434128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434128,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434128,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434128,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434128,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434128,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434128,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434128,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434128,A000000,04400,0000,4400DME RENTED - HHA 434128,A000000,04500,0000,4500DME SOLD - HHA 434128,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434128,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434128,A000000,04710,0000,4710TELEMEDICINE 434128,A000000,04800,0000,4800AMBULANCE 434128,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434128,A000000,05000,0000,5000CORF 434128,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434128,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434128,A000000,05300,0000,5300INTEREST EXPENSE 434128,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434128,A000000,05500,0000,5500HOSPICE 434128,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434128,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434128,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434128,A000000,06100,0000,6100NONPAID WORKERS 434128,A000000,06200,0000,6200PATIENTS LAUNDRY 434128,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434128,A81000A,00100,0100,N 434128,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434128,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434128,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434128,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434128,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434128,B100000,00000,0800,0800MEALS SERVED :DIETARY 434128,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434128,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434128,E10A180,00301,0100,05/31/11 434128,G300000,02500,0000,OTHER MISC REVENUE 434128,G300000,02501,0000,GAIN ON SALE 434128,S000000,00100,0200,12/27/12 434128,S200000,00100,0100,535 S. ELM STREET 434128,S200000,00200,0100,ITASCA 434128,S200000,00200,0200,IL 434128,S200000,00200,0300,60143 434128,S200000,00300,0100,DUPAGE 434128,S200000,00300,0201,16974 434128,S200000,00300,0300,U 434128,S200000,00400,0100,FORESTVIEW REHAB AND NURSING CENTER 434128,S200000,00400,0200,145752 434128,S200000,00400,0300,07/01/93 434128,S200000,00400,0500,P 434128,S200000,01500,0100,N 434128,S200000,01600,0100,Y 434128,S200000,01700,0100,N 434128,S200000,01800,0100,N 434128,S200000,02200,0100,N 434128,S200000,02800,0100,Y 434128,S200000,02900,0100,N 434128,S200000,03000,0100,N 434128,S200000,03100,0100,N 434128,S200000,03200,0100,N 434128,S200000,03300,0100,N 434128,S200000,03300,0200,N 434128,S200000,03600,0100,N 434128,S200000,03600,0200,N 434128,S200000,04100,0100,N 434128,S200000,04200,0100,N 434128,S200000,04300,0100,N 434128,S200000,04600,0100,N 434128,S200000,04700,0100,N 434128,S200000,04700,0200,N 434128,S200000,04900,0100,N 434128,S200000,05000,0100,N 434128,S200000,05100,0100,N 434128,S200000,05200,0100,N 434132,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434132,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434132,A000000,00300,0000,0300EMPLOYEE BENEFITS 434132,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434132,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434132,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434132,A000000,00700,0000,0700HOUSEKEEPING 434132,A000000,00800,0000,0800DIETARY 434132,A000000,00900,0000,0900NURSING ADMINISTRATION 434132,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434132,A000000,01100,0000,1100PHARMACY 434132,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434132,A000000,01300,0000,1300SOCIAL SERVICE 434132,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434132,A000000,01500,0000,1350RECREATION ACTIVITIES 434132,A000000,01600,0000,1600SKILLED NURSING FACILITY 434132,A000000,01810,0000,1810ICF/MR 434132,A000000,02100,0000,2100RADIOLOGY 434132,A000000,02200,0000,2200LABORATORY 434132,A000000,02500,0000,2500PHYSICAL THERAPY 434132,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434132,A000000,02700,0000,2700SPEECH PATHOLOGY 434132,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434132,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434132,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434132,A000000,03301,0000,3051ENTERAL FEEDING 434132,A000000,03550,0000,3550FQHC 434132,A000000,05000,0000,5000CORF 434132,A000000,05010,0000,5010CMHC 434132,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434132,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434132,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434132,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434132,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434132,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434132,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434132,A000000,06312,0000,6153DIALYSIS 434132,A000000,06320,0000,6154APARTMENTS 434132,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434132,A000000,06340,0000,6156CLOSED PATIENT AREAS 434132,A000000,06350,0000,6157O/P ADULT DAYCARE 434132,A000000,06360,0000,6158MARKETING 434132,A81000A,00100,0100,Y 434132,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434132,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434132,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434132,A81000C,00100,0100,G 434132,A81000C,00100,0200,FUNDAMENTAL HOL 434132,A81000C,00100,0400,FAS LLC 434132,A81000C,00100,0600,ADMIN SUPPORT 434132,A81000C,00200,0100,G 434132,A81000C,00200,0400,MARINER HEALTH 434132,A81000C,00200,0600,OPERATIONS SERV 434132,A81000C,03100,0000,FINANCIAL 434132,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 434132,B100000,00000,0200,0250(COST REQUIS) :CAP REL COSTS - 434132,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 434132,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434132,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 434132,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 434132,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 434132,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 434132,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 434132,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 434132,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 434132,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 434132,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 434132,E10A180,00301,0100,08/01/11 434132,G300000,02505,0000,MISCELLANEOUS REVENUE 434132,G300000,02506,0000,INTEREST INCOME PATIENT A/R 434132,S000000,00100,0200,07/11/12 434132,S200000,00100,0100,3050 MONTROSE AVE 434132,S200000,00200,0100,LA CRESCENTA 434132,S200000,00200,0200,CA 434132,S200000,00200,0300,91214 434132,S200000,00300,0100,LOS ANGERLES 434132,S200000,00300,0201,31084 434132,S200000,00300,0300,U 434132,S200000,00400,0100,VERDUGO VISTA HEALTHCARE CENTER 434132,S200000,00400,0200,055960 434132,S200000,00400,0300,10/01/81 434132,S200000,00400,0500,P 434132,S200000,00400,0600,O 434132,S200000,01500,0100,Y 434132,S200000,01501,0200,Y 434132,S200000,01503,0200,Y 434132,S200000,01504,0200,Y 434132,S200000,01505,0000,OTHER 434132,S200000,01505,0200,Y 434132,S200000,01600,0100,N 434132,S200000,01700,0100,N 434132,S200000,01800,0100,N 434132,S200000,01900,0100,LLC 434132,S200000,02200,0100,N 434132,S200000,02800,0100,N 434132,S200000,02900,0100,N 434132,S200000,03000,0100,N 434132,S200000,03100,0100,N 434132,S200000,03200,0100,N 434132,S200000,03300,0100,N 434132,S200000,03300,0200,N 434132,S200000,04100,0100,N 434132,S200000,04200,0100,N 434132,S200000,04300,0100,N 434132,S200000,04600,0100,N 434132,S200000,04700,0100,N 434132,S200000,04700,0200,N 434132,S200000,04900,0100,N 434132,S200000,05000,0100,N 434132,S200000,05100,0100,N 434132,S200000,05200,0100,N 434132,S200000,05300,0100,Y 434132,S200000,05300,0200,111111 434132,S200000,05400,0100,MARINER HEALTH CARE 434132,S200000,05400,0200,J1MAC_GBA 434132,S200000,05400,0300,01001 434132,S200000,05500,0100,ONE RAVINIA DR STE 1 434132,S200000,05600,0100,ATLANTA 434132,S200000,05600,0200,GA 434132,S200000,05600,0300,30346 434134,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434134,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434134,A000000,00300,0000,0300EMPLOYEE BENEFITS 434134,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434134,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434134,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434134,A000000,00700,0000,0700HOUSEKEEPING 434134,A000000,00800,0000,0800DIETARY 434134,A000000,00900,0000,0900NURSING ADMINISTRATION 434134,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434134,A000000,01100,0000,1100PHARMACY 434134,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434134,A000000,01300,0000,1300SOCIAL SERVICE 434134,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434134,A000000,01600,0000,1600SKILLED NURSING FACILITY 434134,A000000,01800,0000,1800NURSING FACILITY 434134,A000000,01900,0000,1900OTHER LONG TERM CARE 434134,A000000,02100,0000,2100RADIOLOGY 434134,A000000,02200,0000,2200LABORATORY 434134,A000000,02300,0000,2300INTRAVENOUS THERAPY 434134,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434134,A000000,02500,0000,2500PHYSICAL THERAPY 434134,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434134,A000000,02700,0000,2700SPEECH PATHOLOGY 434134,A000000,02800,0000,2800ELECTROCARDIOLOGY 434134,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434134,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434134,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434134,A000000,03200,0000,3200SUPPORT SURFACES 434134,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434134,A000000,03400,0000,3400CLINIC 434134,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434134,A000000,04800,0000,4800AMBULANCE 434134,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434134,A000000,05000,0000,5000CORF 434134,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434134,A000000,05300,0000,5300INTEREST EXPENSE 434134,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434134,A000000,05500,0000,5500HOSPICE 434134,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434134,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434134,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434134,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434134,A000000,06100,0000,6100NONPAID WORKERS 434134,A000000,06200,0000,6200PATIENTS LAUNDRY 434134,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434134,A81000A,00100,0100,Y 434134,A81000B,00100,0300,NURSING CONSULTING 434134,A81000B,00300,0300,HOME OFFICE 434134,A81000B,00400,0300,INTEREST EXPENSE 434134,A81000B,00500,0300,INSURANCE-PROFESSIONAL LIABILITY 434134,A81000B,00600,0300,OFFICE SUPPLIES 434134,A81000B,00700,0300,REPAIRS-EQUIPMENT 434134,A81000B,00800,0300,LINEN & BEDDING 434134,A81000B,00900,0300,SUPPLIES 434134,A81000B,01000,0300,SUPPLIES 434134,A81000B,01100,0300,DIETARY SUPPLEMENTS 434134,A81000B,01200,0300,SUPPLIES 434134,A81000B,01300,0300,BIO-MEDICAL WASTE 434134,A81000B,01400,0300,MINOR EQUIPMENT EXPENSE 434134,A81000B,01500,0300,PERSONAL CARE SUPPLIES 434134,A81000B,01600,0300,INCONTINENCE SUPPLIES 434134,A81000B,01700,0300,MEDICAL SUPPLIES 434134,A81000B,01800,0300,OXYGEN THERAPY SUPPLIES 434134,A81000B,01900,0300,BILLABLE MEDICAL SUPPLIES 434134,A81000B,02000,0300,NON-LEGEND DRUGS 434134,A81000B,02100,0300,SUPPLIES 434134,A81000B,02200,0300,LEGEND DRUGS 434134,A81000B,02300,0300,OFFICE SUPPLIES 434134,A81000B,02400,0300,SUPPLIES 434134,A81000C,00100,0100,B 434134,A81000C,00100,0400,BRITTHAVEN INC 434134,A81000C,00100,0600,MGMT SERVICESMG 434134,A81000C,00200,0100,B 434134,A81000C,00200,0400,BRITTHAVEN INC 434134,A81000C,00200,0600,MGMT SERVICES 434134,A81000C,00300,0100,B 434134,A81000C,00300,0400,BRITTHAVEN INC 434134,A81000C,00300,0600,MGMT SERVICES 434134,A81000C,00400,0100,B 434134,A81000C,00400,0400,BRITTHAVEN INC 434134,A81000C,00400,0600,MGMT SERVICES 434134,A81000C,00500,0100,A 434134,A81000C,00500,0200,QUEENSLAND ASSU 434134,A81000C,00500,0600,INSURANCE 434134,A81000C,00600,0100,B 434134,A81000C,00600,0400,KARE MEDICAL 434134,A81000C,00600,0600,WHOLESALE SUPPL 434134,A81000C,00700,0100,B 434134,A81000C,00700,0400,KARE MEDICAL 434134,A81000C,00700,0600,WHOLESALE SUPPL 434134,A81000C,00800,0100,B 434134,A81000C,00800,0400,KARE MEDICAL 434134,A81000C,00800,0600,WHOLESALE SUPPL 434134,A81000C,00900,0100,B 434134,A81000C,00900,0400,KARE MEDICAL 434134,A81000C,00900,0600,WHOLESALE SUPPL 434134,A81000C,01000,0100,B 434134,A81000C,01000,0400,KARE MEDICAL 434134,A81000C,01000,0600,WHOLESALE SUPPL 434134,A81000C,01001,0100,B 434134,A81000C,01001,0400,KARE MEDICAL 434134,A81000C,01001,0600,WHOLESALE SUPPL 434134,A81000C,01002,0100,B 434134,A81000C,01002,0400,KARE MEDICAL 434134,A81000C,01002,0600,WHOLESALE SUPPL 434134,A81000C,01003,0100,B 434134,A81000C,01003,0400,KARE MEDICAL 434134,A81000C,01003,0600,WHOLESALE SUPPL 434134,A81000C,01004,0100,B 434134,A81000C,01004,0400,KARE MEDICAL 434134,A81000C,01004,0600,WHOLESALE SUPPL 434134,A81000C,01005,0100,B 434134,A81000C,01005,0400,KARE MEDICAL 434134,A81000C,01005,0600,WHOLESALE SUPPL 434134,A81000C,01006,0100,B 434134,A81000C,01006,0400,KARE MEDICAL 434134,A81000C,01006,0600,WHOLESALE SUPPL 434134,A81000C,01007,0100,B 434134,A81000C,01007,0400,KARE MEDICAL 434134,A81000C,01007,0600,WHOLESALE SUPPL 434134,A81000C,01008,0100,B 434134,A81000C,01008,0400,KARE MEDICAL 434134,A81000C,01008,0600,WHOLESALE SUPPL 434134,A81000C,01009,0100,B 434134,A81000C,01009,0400,KARE MEDICAL 434134,A81000C,01009,0600,WHOLESALE SUPPL 434134,A81000C,01010,0100,B 434134,A81000C,01010,0400,PHARMSAVE 434134,A81000C,01010,0600,RX SUPPLY 434134,A81000C,01011,0100,B 434134,A81000C,01011,0400,PHARMSAVE 434134,A81000C,01011,0600,RX SUPPLY 434134,A81000C,01012,0100,B 434134,A81000C,01012,0400,PHARMSAVE 434134,A81000C,01012,0600,RX SUPPLY 434134,A81000C,01013,0100,B 434134,A81000C,01013,0400,ROBERT HILL CON 434134,A81000C,01013,0600,CONSTRUCTION 434134,A81000C,01014,0100,B 434134,A81000C,01014,0400,ROBERT HILL CON 434134,A81000C,01014,0600,CONSTRUCTION 434134,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434134,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434134,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434134,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434134,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434134,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434134,B100000,00000,0800,0800MEALS SERVED :DIETARY 434134,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434134,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434134,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434134,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434134,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434134,E10A180,00501,0100,09/22/11 434134,E10A180,00501,0300,09/22/11 434134,E10A180,00550,0100,07/19/11 434134,G300000,02500,0000, OTHER (SPECIFY) 434134,S000000,00100,0200,08/05/11 434134,S200000,00100,0100,9600 LAMBORNE BLVD 434134,S200000,00200,0100,LOUISVILLE 434134,S200000,00200,0200,KY 434134,S200000,00200,0300,40272 434134,S200000,00300,0100,JEFFERSON 434134,S200000,00300,0201,31140 434134,S200000,00300,0300,U 434134,S200000,00400,0100,BRITTHAVEN OF S. LOUISVILLE 434134,S200000,00400,0200,185288 434134,S200000,00400,0300,02/28/89 434134,S200000,00400,0500,P 434134,S200000,01500,0100,Y 434134,S200000,01501,0200,Y 434134,S200000,01503,0200,Y 434134,S200000,01504,0200,Y 434134,S200000,01505,0000,OTHER (SPECIFY) 434134,S200000,01505,0200,Y 434134,S200000,01600,0100,N 434134,S200000,01700,0100,N 434134,S200000,01800,0100,N 434134,S200000,02200,0100,N 434134,S200000,02800,0100,N 434134,S200000,02900,0100,N 434134,S200000,03000,0100,N 434134,S200000,03100,0100,Y 434134,S200000,03200,0100,N 434134,S200000,03300,0100,N 434134,S200000,03300,0200,N 434134,S200000,04100,0100,N 434134,S200000,04200,0100,N 434134,S200000,04300,0100,N 434134,S200000,04600,0100,N 434134,S200000,04700,0100,N 434134,S200000,04700,0200,N 434134,S200000,04900,0100,N 434134,S200000,05000,0100,N 434134,S200000,05100,0100,N 434134,S200000,05200,0100,N 434134,S200000,05300,0100,Y 434134,S200000,05300,0200,349011 434134,S200000,05400,0100,BRITTHAVEN INC. 434134,S200000,05400,0200,NAT L GOV T 434134,S200000,05400,0300,00160 434134,S200000,05500,0100,1435 HWY 258 NORTH 434134,S200000,05500,0200,PO BOX 61 434134,S200000,05600,0100,KINSTON 434134,S200000,05600,0200,NC 434134,S200000,05600,0300,28501 434135,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434135,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434135,A000000,00300,0000,0300EMPLOYEE BENEFITS 434135,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434135,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434135,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434135,A000000,00700,0000,0700HOUSEKEEPING 434135,A000000,00800,0000,0800DIETARY 434135,A000000,00900,0000,0900NURSING ADMINISTRATION 434135,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434135,A000000,01100,0000,1100PHARMACY 434135,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434135,A000000,01300,0000,1300SOCIAL SERVICE 434135,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434135,A000000,01600,0000,1600SKILLED NURSING FACILITY 434135,A000000,01800,0000,1800NURSING FACILITY 434135,A000000,01900,0000,1900OTHER LONG TERM CARE 434135,A000000,02100,0000,2100RADIOLOGY 434135,A000000,02200,0000,2200LABORATORY 434135,A000000,02300,0000,2300INTRAVENOUS THERAPY 434135,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434135,A000000,02500,0000,2500PHYSICAL THERAPY 434135,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434135,A000000,02700,0000,2700SPEECH PATHOLOGY 434135,A000000,02800,0000,2800ELECTROCARDIOLOGY 434135,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434135,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434135,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434135,A000000,03200,0000,3200SUPPORT SURFACES 434135,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434135,A000000,03400,0000,3400CLINIC 434135,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434135,A000000,04800,0000,4800AMBULANCE 434135,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434135,A000000,05000,0000,5000CORF 434135,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434135,A000000,05300,0000,5300INTEREST EXPENSE 434135,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434135,A000000,05500,0000,5500HOSPICE 434135,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434135,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434135,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434135,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434135,A000000,06100,0000,6100NONPAID WORKERS 434135,A000000,06200,0000,6200PATIENTS LAUNDRY 434135,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434135,A81000A,00100,0100,Y 434135,A81000B,00100,0300,NURSING CONSULTING 434135,A81000B,00300,0300,HOME OFFICE 434135,A81000B,00400,0300,INTEREST EXPENSE 434135,A81000B,00500,0300,INSURANCE - PROFESSIONAL LIABILITY 434135,A81000B,00600,0300,OFFICE SUPPLIES 434135,A81000B,00700,0300,MAINTENANCE SUPPLIES 434135,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434135,A81000B,00900,0300,REPAIRS - EQUIPMENT 434135,A81000B,01000,0300,LINEN & BEDDING 434135,A81000B,01100,0300,SUPPLIES 434135,A81000B,01200,0300,PAPER-PRODUCTS & HAND SOAP 434135,A81000B,01300,0300,SUPPLIES 434135,A81000B,01400,0300,SUPPLIES 434135,A81000B,01500,0300,BIO-MEDICAL WASTE 434135,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 434135,A81000B,01700,0300,PERSONAL CARE SUPPLIES 434135,A81000B,01800,0300,INCONTINENCE SUPPLIES 434135,A81000B,01900,0300,MEDICAL SUPPLIES 434135,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 434135,A81000B,02100,0300,SUPPLIES 434135,A81000B,02200,0300,SUPPLIES 434135,A81000B,02300,0300,SUPPLIES 434135,A81000B,02400,0300,SUPPLIES 434135,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 434135,A81000B,02600,0300,NON-LEGEND DRUGS 434135,A81000B,02700,0300,SUPPLIES 434135,A81000B,02800,0300,LEGEND DRUGS 434135,A81000B,02900,0300,OFFICE SUPPLIES 434135,A81000B,02901,0300,SUPPLIES 434135,A81000C,00100,0100,B 434135,A81000C,00100,0400,BRITTHAVEN INC 434135,A81000C,00100,0600,MGMT SERVICES 434135,A81000C,00200,0100,B 434135,A81000C,00200,0400,BRITTHAVEN INC 434135,A81000C,00200,0600,MGMT SERVICES 434135,A81000C,00300,0100,B 434135,A81000C,00300,0400,BRITTHAVEN INC 434135,A81000C,00300,0600,MGMT SERVICES 434135,A81000C,00400,0100,B 434135,A81000C,00400,0400,BRITTHAVEN INC 434135,A81000C,00400,0600,MGMT 434135,A81000C,00500,0100,A 434135,A81000C,00500,0200,QUEENSLAND ASSU 434135,A81000C,00500,0600,INSURANCE 434135,A81000C,00600,0100,B 434135,A81000C,00600,0400,KARE MEDICAL 434135,A81000C,00600,0600,WHOLESALE SUPPL 434135,A81000C,00700,0100,B 434135,A81000C,00700,0400,KARE MEDICAL 434135,A81000C,00700,0600,WHOLESALE SUPPL 434135,A81000C,00800,0100,B 434135,A81000C,00800,0400,KARE MEDICAL 434135,A81000C,00800,0600,WHOLESALE SUPPL 434135,A81000C,00900,0100,B 434135,A81000C,00900,0400,KARE MEDICAL 434135,A81000C,00900,0600,WHOLESALE SUPPL 434135,A81000C,01000,0100,B 434135,A81000C,01000,0400,KARE MEDICAL 434135,A81000C,01000,0600,WHOLESALE SUPPL 434135,A81000C,01001,0100,B 434135,A81000C,01001,0400,KARE MEDICAL 434135,A81000C,01001,0600,WHOLESALE SUPPL 434135,A81000C,01002,0100,B 434135,A81000C,01002,0400,KARE MEDICAL 434135,A81000C,01002,0600,WHOLESALE SUPPL 434135,A81000C,01003,0100,B 434135,A81000C,01003,0400,KARE MEDICAL 434135,A81000C,01003,0600,WHOLESALE SUPPL 434135,A81000C,01004,0100,B 434135,A81000C,01004,0400,KARE MEDICAL 434135,A81000C,01004,0600,WHOLESALE SUPPL 434135,A81000C,01005,0100,B 434135,A81000C,01005,0400,KARE MEDICAL 434135,A81000C,01005,0600,WHOLESALE SUPPL 434135,A81000C,01006,0100,B 434135,A81000C,01006,0400,KARE MEDICAL 434135,A81000C,01006,0600,WHOLESALE SUPPL 434135,A81000C,01007,0100,B 434135,A81000C,01007,0400,KARE MEDICAL 434135,A81000C,01007,0600,WHOLESALE SUPPL 434135,A81000C,01008,0100,B 434135,A81000C,01008,0400,KARE MEDICAL 434135,A81000C,01008,0600,WHOLESALE SUPPL 434135,A81000C,01009,0100,B 434135,A81000C,01009,0400,KARE MEDICAL 434135,A81000C,01009,0600,WHOLESALE SUPPL 434135,A81000C,01010,0100,B 434135,A81000C,01010,0400,KARE MEDICAL 434135,A81000C,01010,0600,WHOLESALE SUPPL 434135,A81000C,01011,0100,B 434135,A81000C,01011,0400,KARE MEDICAL 434135,A81000C,01011,0600,WHOLESALE SUPPL 434135,A81000C,01012,0100,B 434135,A81000C,01012,0400,KARE MEDICAL 434135,A81000C,01012,0600,WHOLESALE SUPPL 434135,A81000C,01013,0100,B 434135,A81000C,01013,0400,KARE MEDICAL 434135,A81000C,01013,0600,WHOLESALE SUPPL 434135,A81000C,01014,0100,B 434135,A81000C,01014,0400,KARE MEDICAL 434135,A81000C,01014,0600,WHOLESALE SUPPL 434135,A81000C,01015,0100,B 434135,A81000C,01015,0400,KARE MEDICAL 434135,A81000C,01015,0600,WHOLESALE SUPPL 434135,A81000C,01016,0100,B 434135,A81000C,01016,0400,PHARMSAVE 434135,A81000C,01016,0600,RX SUPPLY 434135,A81000C,01017,0100,B 434135,A81000C,01017,0400,PHARMSAVE 434135,A81000C,01017,0600,RX SUPPLY 434135,A81000C,01018,0100,B 434135,A81000C,01018,0400,PHARMSAVE 434135,A81000C,01018,0600,RX SUPPLY 434135,A81000C,01019,0100,B 434135,A81000C,01019,0400,ROBERT HILL CON 434135,A81000C,01019,0600,CONSTRUCTION 434135,A81000C,01020,0100,B 434135,A81000C,01020,0400,ROBERT HILL CON 434135,A81000C,01020,0600,CONSTRUCTION 434135,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434135,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434135,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434135,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434135,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434135,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434135,B100000,00000,0800,0800MEALS SERVED :DIETARY 434135,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434135,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434135,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434135,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434135,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434135,E10A180,00501,0100,09/16/11 434135,E10A180,00550,0100,07/28/11 434135,G300000,02500,0000, OTHER (SPECIFY) 434135,S000000,00100,0200,07/26/11 434135,S200000,00100,0100,RT 1 434135,S200000,00100,0300,PO BOX 40977 434135,S200000,00200,0100,PINEVILLE 434135,S200000,00200,0200,KY 434135,S200000,00200,0300,40977 434135,S200000,00300,0100,BELL 434135,S200000,00300,0201,99918 434135,S200000,00300,0300,R 434135,S200000,00400,0100,BRITTHAVEN OF PINEVILLE 434135,S200000,00400,0200,185243 434135,S200000,00400,0300,02/28/89 434135,S200000,00400,0500,P 434135,S200000,01500,0100,Y 434135,S200000,01501,0200,Y 434135,S200000,01502,0200,Y 434135,S200000,01503,0200,Y 434135,S200000,01504,0200,Y 434135,S200000,01505,0000,OTHER (SPECIFY) 434135,S200000,01505,0200,Y 434135,S200000,01600,0100,N 434135,S200000,01700,0100,N 434135,S200000,01800,0100,N 434135,S200000,02200,0100,N 434135,S200000,02800,0100,N 434135,S200000,02900,0100,N 434135,S200000,03000,0100,N 434135,S200000,03100,0100,Y 434135,S200000,03200,0100,N 434135,S200000,03300,0100,N 434135,S200000,03300,0200,N 434135,S200000,04100,0100,N 434135,S200000,04200,0100,N 434135,S200000,04300,0100,N 434135,S200000,04600,0100,N 434135,S200000,04700,0100,N 434135,S200000,04700,0200,N 434135,S200000,04900,0100,N 434135,S200000,05000,0100,N 434135,S200000,05100,0100,N 434135,S200000,05200,0100,N 434135,S200000,05300,0100,Y 434135,S200000,05300,0200,349011 434135,S200000,05400,0100,BRITTHAVEN INC. 434135,S200000,05400,0200,NAT L GOVT 434135,S200000,05400,0300,00160 434135,S200000,05500,0100,1435 HWY 258 NORTH 434135,S200000,05500,0200,PO BOX 61 434135,S200000,05600,0100,KINSTON 434135,S200000,05600,0200,NC 434135,S200000,05600,0300,28501 434140,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434140,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434140,A000000,00300,0000,0300EMPLOYEE BENEFITS 434140,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434140,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434140,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434140,A000000,00700,0000,0700HOUSEKEEPING 434140,A000000,00800,0000,0800DIETARY 434140,A000000,00900,0000,0900NURSING ADMINISTRATION 434140,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434140,A000000,01100,0000,1100PHARMACY 434140,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434140,A000000,01300,0000,1300SOCIAL SERVICE 434140,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434140,A000000,01500,0000,1350RECREATION ACTIVITIES 434140,A000000,01600,0000,1600SKILLED NURSING FACILITY 434140,A000000,01810,0000,1810ICF/MR 434140,A000000,02100,0000,2100RADIOLOGY 434140,A000000,02200,0000,2200LABORATORY 434140,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434140,A000000,02500,0000,2500PHYSICAL THERAPY 434140,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434140,A000000,02700,0000,2700SPEECH PATHOLOGY 434140,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434140,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434140,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434140,A000000,03301,0000,3051ENTERAL FEEDING 434140,A000000,03550,0000,3550FQHC 434140,A000000,04400,0000,4400DME RENTED - HHA 434140,A000000,05000,0000,5000CORF 434140,A000000,05010,0000,5010CMHC 434140,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434140,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434140,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434140,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434140,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434140,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434140,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434140,A000000,06312,0000,6153DIALYSIS 434140,A000000,06320,0000,6154APARTMENTS 434140,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434140,A000000,06340,0000,6156CLOSED PATIENT AREAS 434140,A000000,06350,0000,6157O/P ADULT DAYCARE 434140,A000000,06360,0000,6158MARKETING 434140,A81000A,00100,0100,Y 434140,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434140,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434140,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434140,A81000C,00100,0100,B 434140,A81000C,00100,0200,FUNDAMENTAL HOL 434140,A81000C,00100,0400,FAS LLC 434140,A81000C,00100,0600,ADMIN SUPPORT 434140,A81000C,00200,0100,B 434140,A81000C,00200,0400,MARINER HEALTH 434140,A81000C,00200,0600,OPERATIONS SERV 434140,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 434140,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 434140,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 434140,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434140,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 434140,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 434140,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 434140,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 434140,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 434140,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 434140,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 434140,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 434140,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 434140,G300000,02506,0000,INTEREST INCOME PATIENT A/R 434140,S000000,00100,0200,12/21/12 434140,S200000,00100,0100,44610 MONTEREY AVENUE 434140,S200000,00200,0100,PALM DESERT 434140,S200000,00200,0200,CA 434140,S200000,00200,0300,92260 434140,S200000,00300,0100,RIVERSIDE 434140,S200000,00300,0201,40140 434140,S200000,00300,0300,U 434140,S200000,00400,0100,MONTEREY PALMS HEALTH CARE CENTER 434140,S200000,00400,0200,555403 434140,S200000,00400,0300,01/01/80 434140,S200000,00400,0500,P 434140,S200000,00400,0600,O 434140,S200000,01500,0100,Y 434140,S200000,01501,0200,Y 434140,S200000,01502,0200,Y 434140,S200000,01503,0200,Y 434140,S200000,01504,0200,Y 434140,S200000,01600,0100,N 434140,S200000,01700,0100,N 434140,S200000,01800,0100,N 434140,S200000,01900,0100,LLC 434140,S200000,02200,0100,N 434140,S200000,02800,0100,N 434140,S200000,02900,0100,N 434140,S200000,03000,0100,N 434140,S200000,03100,0100,N 434140,S200000,03200,0100,N 434140,S200000,03300,0100,N 434140,S200000,03300,0200,N 434140,S200000,04100,0100,N 434140,S200000,04200,0100,N 434140,S200000,04300,0100,N 434140,S200000,04600,0100,N 434140,S200000,04700,0100,N 434140,S200000,04700,0200,N 434140,S200000,04900,0100,N 434140,S200000,05000,0100,N 434140,S200000,05100,0100,N 434140,S200000,05200,0100,N 434140,S200000,05300,0100,Y 434140,S200000,05300,0200,000000 434140,S200000,05400,0100,MARINER HEALTH CARE 434140,S200000,05400,0200,J1MAC_GBA 434140,S200000,05400,0300,01001 434140,S200000,05500,0100,ONE RAVINIA DR. STE 1 434140,S200000,05600,0100,ATLANTA 434140,S200000,05600,0200,GA 434140,S200000,05600,0300,30346 434149,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434149,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434149,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434149,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434149,A000000,00700,0000,0700HOUSEKEEPING 434149,A000000,00800,0000,0800DIETARY 434149,A000000,00900,0000,0900NURSING ADMINISTRATION 434149,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434149,A000000,01100,0000,1100PHARMACY 434149,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434149,A000000,01300,0000,1300SOCIAL SERVICE 434149,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434149,A000000,01500,0000,1350ACTIVITIES REC/THERAPY 434149,A000000,01600,0000,1600SKILLED NURSING FACILITY 434149,A000000,01800,0000,1800NURSING FACILITY 434149,A000000,01810,0000,1810ICF/MR 434149,A000000,01900,0000,1900OTHER LONG TERM CARE 434149,A000000,02100,0000,2100RADIOLOGY 434149,A000000,02200,0000,2200LABORATORY 434149,A000000,02300,0000,2300INTRAVENOUS THERAPY 434149,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434149,A000000,02500,0000,2500PHYSICAL THERAPY 434149,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434149,A000000,02700,0000,2700SPEECH PATHOLOGY 434149,A000000,02800,0000,2800ELECTROCARDIOLOGY 434149,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434149,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434149,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434149,A000000,03200,0000,3200SUPPORT SURFACES 434149,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434149,A000000,03400,0000,3400CLINIC 434149,A000000,03500,0000,3500RURAL HEALTH CLINIC 434149,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434149,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434149,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434149,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434149,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434149,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434149,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434149,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434149,A000000,04400,0000,4400DME RENTED - HHA 434149,A000000,04500,0000,4500DME SOLD - HHA 434149,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434149,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434149,A000000,04710,0000,4710TELEMEDICINE 434149,A000000,04800,0000,4800AMBULANCE 434149,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434149,A000000,05000,0000,5000CORF 434149,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434149,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434149,A000000,05300,0000,5300INTEREST EXPENSE 434149,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434149,A000000,05500,0000,5500HOSPICE 434149,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434149,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434149,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434149,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434149,A000000,06100,0000,6100NONPAID WORKERS 434149,A000000,06200,0000,6200PATIENTS LAUNDRY 434149,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434149,A81000A,00100,0100,Y 434149,A81000B,00100,0300,MANAGEMENT FEES 434149,A81000B,00200,0300,REHAB SERVICES 434149,A81000B,00300,0300,REHAB SERVICES 434149,A81000B,00400,0300,REHAB SERVICES 434149,A81000C,00100,0100,A 434149,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434149,A81000C,00100,0400,GABRIEL LIVING CENTERS 434149,A81000C,00100,0600,MANAGEMENT COMPANY 434149,A81000C,00200,0100,A 434149,A81000C,00200,0200,SIGMA LINK REHAB LLC 434149,A81000C,00200,0400,GABRIEL LIVING CENTERS 434149,A81000C,00200,0600,REHAB COMPANY 434149,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434149,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434149,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434149,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434149,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434149,B100000,00000,0800,0800MEALS SERVED :DIETARY 434149,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434149,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434149,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434149,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434149,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES REC/TH 434149,E10A180,00501,0100,03/12/12 434149,E10A180,00501,0300,03/12/12 434149,S000000,00100,0200,02/17/12 434149,S200000,00100,0100,2802 PARENTAL HOME ROAD 434149,S200000,00200,0100,JACKSONVILLE 434149,S200000,00200,0200,FL 434149,S200000,00200,0300,32216 434149,S200000,00300,0100,DUVAL 434149,S200000,00300,0201,27260 434149,S200000,00300,0300,U 434149,S200000,00400,0100,RIVERWOOD CENTER 434149,S200000,00400,0200,105135 434149,S200000,00400,0300,08/01/87 434149,S200000,00400,0500,P 434149,S200000,01500,0100,Y 434149,S200000,01501,0200,Y 434149,S200000,01502,0200,Y 434149,S200000,01503,0200,Y 434149,S200000,01504,0200,Y 434149,S200000,01600,0100,N 434149,S200000,01700,0100,N 434149,S200000,01800,0100,N 434149,S200000,01900,0100,LIMITED LIABILITY CO 434149,S200000,02200,0100,Y 434149,S200000,02800,0100,N 434149,S200000,02900,0100,N 434149,S200000,03000,0100,N 434149,S200000,03100,0100,N 434149,S200000,03200,0100,N 434149,S200000,03300,0100,N 434149,S200000,03300,0200,N 434149,S200000,04100,0100,N 434149,S200000,04200,0100,N 434149,S200000,04300,0100,N 434149,S200000,04600,0100,N 434149,S200000,04700,0100,N 434149,S200000,04700,0200,N 434149,S200000,04900,0100,N 434149,S200000,05000,0100,N 434149,S200000,05100,0100,N 434149,S200000,05200,0100,N 434150,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434150,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434150,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434150,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434150,A000000,00700,0000,0700HOUSEKEEPING 434150,A000000,00800,0000,0800DIETARY 434150,A000000,00900,0000,0900NURSING ADMINISTRATION 434150,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434150,A000000,01100,0000,1100PHARMACY 434150,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434150,A000000,01300,0000,1300SOCIAL SERVICE 434150,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434150,A000000,01500,0000,1350ACTIVITIES/REC THERAPY 434150,A000000,01600,0000,1600SKILLED NURSING FACILITY 434150,A000000,01800,0000,1800NURSING FACILITY 434150,A000000,01810,0000,1810ICF/MR 434150,A000000,01900,0000,1900OTHER LONG TERM CARE 434150,A000000,02100,0000,2100RADIOLOGY 434150,A000000,02200,0000,2200LABORATORY 434150,A000000,02300,0000,2300INTRAVENOUS THERAPY 434150,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434150,A000000,02500,0000,2500PHYSICAL THERAPY 434150,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434150,A000000,02700,0000,2700SPEECH PATHOLOGY 434150,A000000,02800,0000,2800ELECTROCARDIOLOGY 434150,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434150,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434150,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434150,A000000,03200,0000,3200SUPPORT SURFACES 434150,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434150,A000000,03400,0000,3400CLINIC 434150,A000000,03500,0000,3500RURAL HEALTH CLINIC 434150,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434150,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434150,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434150,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434150,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434150,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434150,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434150,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434150,A000000,04400,0000,4400DME RENTED - HHA 434150,A000000,04500,0000,4500DME SOLD - HHA 434150,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434150,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434150,A000000,04710,0000,4710TELEMEDICINE 434150,A000000,04800,0000,4800AMBULANCE 434150,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434150,A000000,05000,0000,5000CORF 434150,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434150,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434150,A000000,05300,0000,5300INTEREST EXPENSE 434150,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434150,A000000,05500,0000,5500HOSPICE 434150,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434150,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434150,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434150,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434150,A000000,06100,0000,6100NONPAID WORKERS 434150,A000000,06200,0000,6200PATIENTS LAUNDRY 434150,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434150,A81000A,00100,0100,Y 434150,A81000B,00100,0300,MANAGEMENT FEES 434150,A81000B,00200,0300,REHAB FEES 434150,A81000B,00300,0300,REHAB FEES 434150,A81000B,00400,0300,REHAB FEES 434150,A81000C,00100,0100,A 434150,A81000C,00100,0200,OPIS MGMT RESOURCES LLC 434150,A81000C,00100,0400,GABRIEL LIVING CENTERS 434150,A81000C,00100,0600,MANAGEMENT COMPANY 434150,A81000C,00200,0100,A 434150,A81000C,00200,0200,SIGMALINK REHAB LLC 434150,A81000C,00200,0400,GABRIEL LIVING CENTERS 434150,A81000C,00200,0600,REHAB COMPANY 434150,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434150,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434150,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434150,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434150,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434150,B100000,00000,0800,0800MEALS SERVED :DIETARY 434150,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434150,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434150,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434150,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434150,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES/REC TH 434150,E10A180,00550,0100,03/07/12 434150,S000000,00100,0200,02/17/12 434150,S200000,00100,0100,13806 NORTH 46TH STREET 434150,S200000,00200,0100,TAMPA 434150,S200000,00200,0200,FL 434150,S200000,00200,0300,33613 434150,S200000,00300,0100,HILLSBOROUGH 434150,S200000,00300,0201,45300 434150,S200000,00300,0300,U 434150,S200000,00400,0100,FAIRWAY OAKS CENTER 434150,S200000,00400,0200,105305 434150,S200000,00400,0300,01/01/91 434150,S200000,00400,0500,P 434150,S200000,01500,0100,Y 434150,S200000,01501,0200,Y 434150,S200000,01502,0200,Y 434150,S200000,01503,0200,Y 434150,S200000,01504,0200,Y 434150,S200000,01600,0100,N 434150,S200000,01700,0100,N 434150,S200000,01800,0100,N 434150,S200000,01900,0100,LIMITED LIABILITY CO 434150,S200000,02200,0100,Y 434150,S200000,02800,0100,N 434150,S200000,02900,0100,N 434150,S200000,03000,0100,N 434150,S200000,03100,0100,N 434150,S200000,03200,0100,N 434150,S200000,03300,0100,N 434150,S200000,03300,0200,N 434150,S200000,04100,0100,N 434150,S200000,04200,0100,N 434150,S200000,04300,0100,N 434150,S200000,04600,0100,N 434150,S200000,04700,0100,N 434150,S200000,04700,0200,N 434150,S200000,04900,0100,N 434150,S200000,05000,0100,N 434150,S200000,05100,0100,N 434150,S200000,05200,0100,N 434156,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434156,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434156,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434156,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434156,A000000,00700,0000,0700HOUSEKEEPING 434156,A000000,00800,0000,0800DIETARY 434156,A000000,00900,0000,0900NURSING ADMINISTRATION 434156,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434156,A000000,01100,0000,1100PHARMACY 434156,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434156,A000000,01300,0000,1300SOCIAL SERVICE 434156,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434156,A000000,01500,0000,1350ACTIVITIES REC/THERAPY 434156,A000000,01600,0000,1600SKILLED NURSING FACILITY 434156,A000000,01800,0000,1800NURSING FACILITY 434156,A000000,01810,0000,1810ICF/MR 434156,A000000,01900,0000,1900OTHER LONG TERM CARE 434156,A000000,02100,0000,2100RADIOLOGY 434156,A000000,02200,0000,2200LABORATORY 434156,A000000,02300,0000,2300INTRAVENOUS THERAPY 434156,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434156,A000000,02500,0000,2500PHYSICAL THERAPY 434156,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434156,A000000,02700,0000,2700SPEECH PATHOLOGY 434156,A000000,02800,0000,2800ELECTROCARDIOLOGY 434156,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434156,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434156,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434156,A000000,03200,0000,3200SUPPORT SURFACES 434156,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434156,A000000,03400,0000,3400CLINIC 434156,A000000,03500,0000,3500RURAL HEALTH CLINIC 434156,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434156,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434156,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434156,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434156,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434156,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434156,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434156,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434156,A000000,04400,0000,4400DME RENTED - HHA 434156,A000000,04500,0000,4500DME SOLD - HHA 434156,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434156,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434156,A000000,04710,0000,4710TELEMEDICINE 434156,A000000,04800,0000,4800AMBULANCE 434156,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434156,A000000,05000,0000,5000CORF 434156,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434156,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434156,A000000,05300,0000,5300INTEREST EXPENSE 434156,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434156,A000000,05500,0000,5500HOSPICE 434156,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434156,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434156,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434156,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434156,A000000,06100,0000,6100NONPAID WORKERS 434156,A000000,06200,0000,6200PATIENTS LAUNDRY 434156,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434156,A81000A,00100,0100,Y 434156,A81000B,00100,0300,MANAGEMENT FEES 434156,A81000B,00200,0300,REHAB SERVICES 434156,A81000B,00300,0300,REHAB SERVICES 434156,A81000B,00400,0300,REHAB SERVICES 434156,A81000C,00100,0100,A 434156,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434156,A81000C,00100,0400,GABRIEL LIVING CENTERS 434156,A81000C,00100,0600,MANAGEMENT COMPANY 434156,A81000C,00200,0100,A 434156,A81000C,00200,0200,SIGMALINK REHAB 434156,A81000C,00200,0400,GABRIEL LIVING CENTERS 434156,A81000C,00200,0600,REHAB COMPANY 434156,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434156,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434156,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434156,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434156,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434156,B100000,00000,0800,0800MEALS SERVED :DIETARY 434156,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434156,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434156,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434156,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434156,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES REC/TH 434156,E10A180,00550,0100,03/15/12 434156,G300000,02500,0000,MISC REV 434156,S000000,00100,0200,02/17/12 434156,S200000,00100,0100,7380 ULMERTON ROAD 434156,S200000,00200,0100,LARGO 434156,S200000,00200,0200,FL 434156,S200000,00200,0300,33771 434156,S200000,00300,0100,PINELLAS 434156,S200000,00300,0201,45300 434156,S200000,00300,0300,U 434156,S200000,00400,0100,TIERRA PINES CENTER 434156,S200000,00400,0200,105398 434156,S200000,00400,0300,08/01/87 434156,S200000,00400,0500,P 434156,S200000,01500,0100,Y 434156,S200000,01501,0200,Y 434156,S200000,01502,0200,Y 434156,S200000,01503,0200,Y 434156,S200000,01504,0200,Y 434156,S200000,01600,0100,N 434156,S200000,01700,0100,N 434156,S200000,01800,0100,N 434156,S200000,01900,0100,LIMITED LIABILITY CO 434156,S200000,02200,0100,Y 434156,S200000,02800,0100,N 434156,S200000,02900,0100,N 434156,S200000,03000,0100,N 434156,S200000,03100,0100,N 434156,S200000,03200,0100,N 434156,S200000,03300,0100,N 434156,S200000,03300,0200,N 434156,S200000,04100,0100,N 434156,S200000,04200,0100,N 434156,S200000,04300,0100,N 434156,S200000,04600,0100,N 434156,S200000,04700,0100,N 434156,S200000,04700,0200,N 434156,S200000,04900,0100,N 434156,S200000,05000,0100,N 434156,S200000,05100,0100,N 434156,S200000,05200,0100,N 434157,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434157,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434157,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434157,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434157,A000000,00700,0000,0700HOUSEKEEPING 434157,A000000,00800,0000,0800DIETARY 434157,A000000,00900,0000,0900NURSING ADMINISTRATION 434157,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434157,A000000,01100,0000,1100PHARMACY 434157,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434157,A000000,01300,0000,1300SOCIAL SERVICE 434157,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434157,A000000,01500,0000,1350ACTIVITIES & REC 434157,A000000,01600,0000,1600SKILLED NURSING FACILITY 434157,A000000,01800,0000,1800NURSING FACILITY 434157,A000000,01810,0000,1810ICF/MR 434157,A000000,01900,0000,1900OTHER LONG TERM CARE 434157,A000000,02100,0000,2100RADIOLOGY 434157,A000000,02200,0000,2200LABORATORY 434157,A000000,02300,0000,2300INTRAVENOUS THERAPY 434157,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434157,A000000,02500,0000,2500PHYSICAL THERAPY 434157,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434157,A000000,02700,0000,2700SPEECH PATHOLOGY 434157,A000000,02800,0000,2800ELECTROCARDIOLOGY 434157,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434157,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434157,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434157,A000000,03200,0000,3200SUPPORT SURFACES 434157,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434157,A000000,03400,0000,3400CLINIC 434157,A000000,03500,0000,3500RURAL HEALTH CLINIC 434157,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434157,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434157,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434157,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434157,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434157,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434157,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434157,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434157,A000000,04400,0000,4400DME RENTED - HHA 434157,A000000,04500,0000,4500DME SOLD - HHA 434157,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434157,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434157,A000000,04710,0000,4710TELEMEDICINE 434157,A000000,04800,0000,4800AMBULANCE 434157,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434157,A000000,05000,0000,5000CORF 434157,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434157,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434157,A000000,05300,0000,5300INTEREST EXPENSE 434157,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434157,A000000,05500,0000,5500HOSPICE 434157,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434157,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434157,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434157,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434157,A000000,06100,0000,6100NONPAID WORKERS 434157,A000000,06200,0000,6200PATIENTS LAUNDRY 434157,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434157,A81000A,00100,0100,Y 434157,A81000B,00100,0300,MANAGEMENT FEES 434157,A81000B,00200,0300,REHAB SERVICES 434157,A81000B,00300,0300,REHAB SERVICES 434157,A81000B,00400,0300,REHAB SERVICES 434157,A81000C,00100,0100,B 434157,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434157,A81000C,00100,0400,GABRIEL LIVING CENTERS 434157,A81000C,00100,0600,MANAGEMENT COMPANY 434157,A81000C,00200,0100,B 434157,A81000C,00200,0200,SIGMALINK REHAB 434157,A81000C,00200,0400,GABRIEL LIVING CENTERS 434157,A81000C,00200,0600,REHAB COMPANY 434157,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434157,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434157,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434157,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434157,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434157,B100000,00000,0800,0800MEALS SERVED :DIETARY 434157,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434157,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434157,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434157,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434157,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES & REC 434157,E10A180,00501,0300,03/15/12 434157,E10A180,00550,0100,03/15/12 434157,S000000,00100,0200,02/17/12 434157,S200000,00100,0100,350 S. RIDGEWOOD DR 434157,S200000,00200,0100,ORMOND BEACH 434157,S200000,00200,0200,FL 434157,S200000,00200,0300,32174 434157,S200000,00300,0100,VOLUSIA 434157,S200000,00300,0201,19660 434157,S200000,00300,0300,U 434157,S200000,00400,0100,BRIDGEVIEW CENTER 434157,S200000,00400,0200,105402 434157,S200000,00400,0300,01/07/90 434157,S200000,00400,0500,P 434157,S200000,01500,0100,Y 434157,S200000,01501,0200,Y 434157,S200000,01502,0200,Y 434157,S200000,01503,0200,Y 434157,S200000,01504,0200,Y 434157,S200000,01600,0100,N 434157,S200000,01700,0100,N 434157,S200000,01800,0100,N 434157,S200000,01900,0100,LIMITED LIABILITY CO 434157,S200000,02200,0100,Y 434157,S200000,02800,0100,N 434157,S200000,02900,0100,N 434157,S200000,03000,0100,N 434157,S200000,03100,0100,N 434157,S200000,03200,0100,N 434157,S200000,03300,0100,N 434157,S200000,03300,0200,N 434157,S200000,04100,0100,N 434157,S200000,04200,0100,N 434157,S200000,04300,0100,N 434157,S200000,04600,0100,N 434157,S200000,04700,0100,N 434157,S200000,04700,0200,N 434157,S200000,04900,0100,N 434157,S200000,05000,0100,N 434157,S200000,05100,0100,N 434157,S200000,05200,0100,N 434159,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434159,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434159,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434159,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434159,A000000,00700,0000,0700HOUSEKEEPING 434159,A000000,00800,0000,0800DIETARY 434159,A000000,00900,0000,0900NURSING ADMINISTRATION 434159,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434159,A000000,01100,0000,1100PHARMACY 434159,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434159,A000000,01300,0000,1300SOCIAL SERVICE 434159,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434159,A000000,01500,0000,1350ACTIVITIES/ REC THERAPY 434159,A000000,01600,0000,1600SKILLED NURSING FACILITY 434159,A000000,01800,0000,1800NURSING FACILITY 434159,A000000,01810,0000,1810ICF/MR 434159,A000000,01900,0000,1900OTHER LONG TERM CARE 434159,A000000,02100,0000,2100RADIOLOGY 434159,A000000,02200,0000,2200LABORATORY 434159,A000000,02300,0000,2300INTRAVENOUS THERAPY 434159,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434159,A000000,02500,0000,2500PHYSICAL THERAPY 434159,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434159,A000000,02700,0000,2700SPEECH PATHOLOGY 434159,A000000,02800,0000,2800ELECTROCARDIOLOGY 434159,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434159,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434159,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434159,A000000,03200,0000,3200SUPPORT SURFACES 434159,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434159,A000000,03400,0000,3400CLINIC 434159,A000000,03500,0000,3500RURAL HEALTH CLINIC 434159,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434159,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434159,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434159,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434159,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434159,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434159,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434159,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434159,A000000,04400,0000,4400DME RENTED - HHA 434159,A000000,04500,0000,4500DME SOLD - HHA 434159,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434159,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434159,A000000,04710,0000,4710TELEMEDICINE 434159,A000000,04800,0000,4800AMBULANCE 434159,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434159,A000000,05000,0000,5000CORF 434159,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434159,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434159,A000000,05300,0000,5300INTEREST EXPENSE 434159,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434159,A000000,05500,0000,5500HOSPICE 434159,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434159,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434159,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434159,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434159,A000000,06100,0000,6100NONPAID WORKERS 434159,A000000,06200,0000,6200PATIENTS LAUNDRY 434159,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434159,A81000A,00100,0100,Y 434159,A81000B,00100,0300,MANAGEMENT FEES 434159,A81000B,00200,0300,REHAB SERVICES 434159,A81000B,00300,0300,REHAB SERVICES 434159,A81000B,00400,0300,REHAB SERVICES 434159,A81000C,00100,0100,A 434159,A81000C,00100,0200,OPIS MANAGEMENT RESOURCES 434159,A81000C,00100,0400,GABRIEL LIVING CENTERS 434159,A81000C,00100,0600,MANAGEMENT COMPANY 434159,A81000C,00200,0100,A 434159,A81000C,00200,0200,SIGMALINK REHAB 434159,A81000C,00200,0400,GABRIEL LIVING CENTERS 434159,A81000C,00200,0600,REHAB COMPANY 434159,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434159,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434159,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434159,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434159,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434159,B100000,00000,0800,0800MEALS SERVED :DIETARY 434159,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434159,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434159,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434159,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434159,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES/ REC T 434159,E10A180,00501,0100,02/03/12 434159,E10A180,00501,0300,02/03/12 434159,G300000,02500,0000,MISC REVENUE 434159,S000000,00100,0200,01/12/12 434159,S200000,00100,0100,4240 LAKELAND HIGHLANDS RD 434159,S200000,00200,0100,LAKELAND 434159,S200000,00200,0200,FL 434159,S200000,00200,0300,33813 434159,S200000,00300,0100,POLK 434159,S200000,00300,0201,29460 434159,S200000,00300,0300,U 434159,S200000,00400,0100,HIGHLANDS LAKE CENTER 434159,S200000,00400,0200,105620 434159,S200000,00400,0300,03/01/88 434159,S200000,00400,0500,P 434159,S200000,01500,0100,Y 434159,S200000,01501,0200,Y 434159,S200000,01502,0200,Y 434159,S200000,01503,0200,Y 434159,S200000,01504,0200,Y 434159,S200000,01600,0100,N 434159,S200000,01700,0100,N 434159,S200000,01800,0100,N 434159,S200000,01900,0100,LIMITED LIABILITY CO 434159,S200000,02200,0100,Y 434159,S200000,02800,0100,N 434159,S200000,02900,0100,N 434159,S200000,03000,0100,N 434159,S200000,03100,0100,N 434159,S200000,03200,0100,N 434159,S200000,03300,0100,N 434159,S200000,03300,0200,N 434159,S200000,04100,0100,N 434159,S200000,04200,0100,N 434159,S200000,04300,0100,N 434159,S200000,04600,0100,N 434159,S200000,04700,0100,N 434159,S200000,04700,0200,N 434159,S200000,04900,0100,N 434159,S200000,05000,0100,N 434159,S200000,05100,0100,N 434159,S200000,05200,0100,N 434160,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434160,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434160,A000000,00300,0000,0300EMPLOYEE BENEFITS 434160,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434160,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434160,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434160,A000000,00700,0000,0700HOUSEKEEPING 434160,A000000,00800,0000,0800DIETARY 434160,A000000,00900,0000,0900NURSING ADMINISTRATION 434160,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434160,A000000,01100,0000,1100PHARMACY 434160,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434160,A000000,01300,0000,1300SOCIAL SERVICE 434160,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434160,A000000,01500,0000,1350OTHER GENERAL SERVICES 434160,A000000,01600,0000,1600SKILLED NURSING FACILITY 434160,A000000,01800,0000,1800NURSING FACILITY 434160,A000000,01810,0000,1810ICF/MR 434160,A000000,01900,0000,1900OTHER LONG TERM CARE 434160,A000000,02100,0000,2100RADIOLOGY 434160,A000000,02200,0000,2200LABORATORY 434160,A000000,02300,0000,2300INTRAVENOUS THERAPY 434160,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434160,A000000,02500,0000,2500PHYSICAL THERAPY 434160,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434160,A000000,02700,0000,2700SPEECH PATHOLOGY 434160,A000000,02800,0000,2800ELECTROCARDIOLOGY 434160,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434160,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434160,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434160,A000000,03200,0000,3200SUPPORT SURFACES 434160,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434160,A000000,03400,0000,3400CLINIC 434160,A000000,03500,0000,3500RURAL HEALTH CLINIC 434160,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434160,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434160,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434160,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434160,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434160,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434160,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434160,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434160,A000000,04400,0000,4400DME RENTED - HHA 434160,A000000,04500,0000,4500DME SOLD - HHA 434160,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434160,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434160,A000000,04710,0000,4710TELEMEDICINE 434160,A000000,04800,0000,4800AMBULANCE 434160,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434160,A000000,05000,0000,5000CORF 434160,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434160,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434160,A000000,05300,0000,5300INTEREST EXPENSE 434160,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434160,A000000,05500,0000,5500HOSPICE 434160,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434160,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434160,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434160,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434160,A000000,06100,0000,6100NONPAID WORKERS 434160,A000000,06200,0000,6200PATIENTS LAUNDRY 434160,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434160,A81000A,00100,0100,Y 434160,A81000B,00100,0300,PT 434160,A81000B,00200,0300,OT 434160,A81000B,00300,0300,ST 434160,A81000B,00400,0300,CAPITAL 434160,A81000B,00500,0300,MGT FEE 434160,A81000B,00600,0300,ADMIN SALARY & BENEFITS 434160,A81000B,00700,0300,CONSULTANT 434160,A81000B,00800,0300,CONSULTANT 434160,A81000B,00900,0300,SUPPLIES 434160,A81000B,01000,0300,SUPPLIES 434160,A81000B,01100,0300,SUPPLIES 434160,A81000B,01200,0300,SUPPLIES 434160,A81000B,01300,0300,SUPPLIES 434160,A81000B,01400,0300,SUPPLIES 434160,A81000B,01500,0300,SUPPLIES 434160,A81000B,01600,0300,SUPPLIES 434160,A81000B,01700,0300,SUPPLIES 434160,A81000B,01800,0300,SUPPLIES 434160,A81000B,01900,0300,X-RAY 434160,A81000B,02000,0300,LAB 434160,A81000B,02100,0300,ST 434160,A81000B,02200,0300,PRESCRIPTIONS 434160,A81000B,02300,0300,STOCK DRUGS 434160,A81000B,02400,0300,SUPPLIES 434160,A81000B,02500,0300,CAPITAL 434160,A81000B,02600,0300,A&G 434160,A81000C,00100,0100,G 434160,A81000C,00100,0200,INTEGRA REHAB 434160,A81000C,00200,0100,G 434160,A81000C,00200,0200,INTEGRA REHAB 434160,A81000C,00300,0100,G 434160,A81000C,00300,0200,INTEGRA REHAB 434160,A81000C,00400,0100,G 434160,A81000C,00400,0200,CLINICAL SERVICES INC 434160,A81000C,00500,0100,G 434160,A81000C,00500,0200,CLINICAL SERVICES INC 434160,A81000C,00600,0100,G 434160,A81000C,00600,0200,CLINICAL SERVICES INC 434160,A81000C,00700,0100,G 434160,A81000C,00700,0200,CLINICAL SERVICES INC 434160,A81000C,00800,0100,G 434160,A81000C,00800,0200,CLINICAL SERVICES INC 434160,A81000C,00900,0100,G 434160,A81000C,00900,0200,ECP DISTRIBUTORS INC 434160,A81000C,01000,0100,G 434160,A81000C,01000,0200,ECP DISTRIBUTORS INC 434160,A81000C,01001,0100,G 434160,A81000C,01001,0200,ECP DISTRIBUTORS INC 434160,A81000C,01002,0100,G 434160,A81000C,01002,0200,ECP DISTRIBUTORS INC 434160,A81000C,01003,0100,G 434160,A81000C,01003,0200,ECP DISTRIBUTORS INC 434160,A81000C,01004,0100,G 434160,A81000C,01004,0200,ECP DISTRIBUTORS INC 434160,A81000C,01005,0100,G 434160,A81000C,01005,0200,ECP DISTRIBUTORS INC 434160,A81000C,01006,0100,G 434160,A81000C,01006,0200,ECP DISTRIBUTORS INC 434160,A81000C,01007,0100,G 434160,A81000C,01007,0200,ELDER CARE PHARMACY 434160,A81000C,01008,0100,G 434160,A81000C,01008,0200,HAMILTON MEDICAL CENTER 434160,A81000C,01009,0100,G 434160,A81000C,01009,0200,HAMILTON MEDICAL CENTER 434160,A81000C,01010,0100,G 434160,A81000C,01010,0200,HAMILTON MEDICAL CENTER 434160,A81000C,01011,0100,G 434160,A81000C,01011,0200,HAMILTON MEDICAL CENTER 434160,A81000C,01012,0100,G 434160,A81000C,01012,0200,HAMILTON PHARMACY 434160,A81000C,01013,0100,G 434160,A81000C,01013,0200,HAMILTON PHARMACY 434160,A81000C,01014,0100,G 434160,A81000C,01014,0200,RIDGEWOOD MANOR LAUNDRY 434160,A81000C,01015,0100,G 434160,A81000C,01015,0200,HLTC INC 434160,A81000C,01016,0100,G 434160,A81000C,01016,0200,HLTC INC 434160,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434160,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434160,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434160,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434160,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434160,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434160,B100000,00000,0800,0800MEALS SERVED :DIETARY 434160,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434160,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434160,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434160,E10A180,00301,0100,09/30/11 434160,E10A180,00501,0100,03/20/12 434160,G300000,02501,0000,TRAINING INCOME 434160,G300000,02502,0000,MISC INCOME 434160,S000000,00100,0200,02/29/12 434160,S200000,00100,0100,1110 BURLEYSON DRIVE 434160,S200000,00200,0100,DALTON 434160,S200000,00200,0200,GA 434160,S200000,00200,0300,30720 434160,S200000,00300,0100,WHITFIELD 434160,S200000,00300,0200,0011 434160,S200000,00300,0201,19140 434160,S200000,00300,0300,U 434160,S200000,00400,0100,RIDGEWOOD MANOR NURSING HOME 434160,S200000,00400,0200,115341 434160,S200000,00400,0300,07/01/86 434160,S200000,00400,0500,P 434160,S200000,01500,0100,Y 434160,S200000,01501,0200,Y 434160,S200000,01600,0100,N 434160,S200000,01700,0100,N 434160,S200000,01800,0100,N 434160,S200000,02200,0100,N 434160,S200000,02800,0100,N 434160,S200000,02900,0100,N 434160,S200000,03000,0100,N 434160,S200000,03100,0100,N 434160,S200000,03200,0100,N 434160,S200000,03300,0100,N 434160,S200000,03300,0200,N 434160,S200000,04100,0100,N 434160,S200000,04200,0100,N 434160,S200000,04300,0100,N 434160,S200000,04600,0100,N 434160,S200000,04700,0100,N 434160,S200000,04700,0200,N 434160,S200000,04900,0100,N 434160,S200000,05000,0100,N 434160,S200000,05100,0100,N 434160,S200000,05200,0100,N 434164,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434164,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434164,A000000,00300,0000,0300EMPLOYEE BENEFITS 434164,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434164,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434164,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434164,A000000,00700,0000,0700HOUSEKEEPING 434164,A000000,00800,0000,0800DIETARY 434164,A000000,00900,0000,0900NURSING ADMINISTRATION 434164,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434164,A000000,01100,0000,1100PHARMACY 434164,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434164,A000000,01300,0000,1300SOCIAL SERVICE 434164,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434164,A000000,01500,0000,1350ACTIVITIES 434164,A000000,01600,0000,1600SKILLED NURSING FACILITY 434164,A000000,01810,0000,1810ICF/MR 434164,A000000,02100,0000,2100RADIOLOGY 434164,A000000,02200,0000,2200LABORATORY 434164,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434164,A000000,02500,0000,2500PHYSICAL THERAPY 434164,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434164,A000000,02700,0000,2700SPEECH PATHOLOGY 434164,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434164,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434164,A000000,03550,0000,3550FQHC 434164,A000000,04801,0000,4801AMBULANCE 434164,A000000,04802,0000,4802AMBULANCE 434164,A000000,04803,0000,4803AMBULANCE 434164,A000000,05000,0000,5000CORF 434164,A000000,05010,0000,5010CMHC 434164,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434164,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434164,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434164,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 434164,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434164,A81000A,00100,0100,Y 434164,A81000B,00100,0300,HOME OFFICE 434164,A81000B,00200,0300,HOME OFFICE 434164,A81000C,00100,0100,B 434164,A81000C,00100,0400,VINTAGE HEALTHC 434164,A81000C,00100,0600,HOME OFFICE 434164,B100000,00000,0100,0100SQUARE FEET 434164,B100000,00000,0200,0200SQUARE FEET 434164,B100000,00000,0300,0300GROSS SALARIES 434164,B100000,00000,0400,0400ACCUM COST 434164,B100000,00000,0500,0500SQUARE FEET 434164,B100000,00000,0600,0600PATIENT DAYS 434164,B100000,00000,0700,0700SQUARE FEET 434164,B100000,00000,0800,0800MEALS SERVED 434164,B100000,00000,0900,0900NURSING SALARIES 434164,B100000,00000,1000,1000PATIENT DAYS 434164,B100000,00000,1100,1100PATIENT DAYS 434164,B100000,00000,1200,1200PATIENT DAYS 434164,B100000,00000,1300,1300PATIENT DAYS 434164,B100000,00000,1400,1400ASSIGNED TIME 434164,B100000,00000,1500,1350PATIENT DAYS 434164,E10A180,00350,0100,06/28/11 434164,E10A180,00501,0100,05/21/12 434164,E10A180,00501,0300,05/21/12 434164,G300000,02501,0000,BARBER & BEAUTY 434164,G300000,02504,0000,MISC REVENUE 434164,G300000,02505,0000,INTEREST INCOME 434164,S000000,00100,0200,04/12/12 434164,S200000,00100,0100,11974 EDGEHILL TERRACE 434164,S200000,00200,0100,PRINCESS ANNE 434164,S200000,00200,0200,MD 434164,S200000,00200,0300,21853 434164,S200000,00300,0100,SOMERSET 434164,S200000,00300,0201,41540 434164,S200000,00300,0300,U 434164,S200000,00400,0100,HERMITAGE HLTH/CARE OF MANOKIN MANO 434164,S200000,00400,0200,215179 434164,S200000,00400,0300,10/01/99 434164,S200000,00400,0500,P 434164,S200000,00400,0600,O 434164,S200000,01500,0100,Y 434164,S200000,01600,0100,N 434164,S200000,01700,0100,N 434164,S200000,01800,0100,N 434164,S200000,02200,0100,N 434164,S200000,02800,0100,Y 434164,S200000,02900,0100,N 434164,S200000,03000,0100,N 434164,S200000,03100,0100,N 434164,S200000,03200,0100,N 434164,S200000,03300,0100,N 434164,S200000,03300,0200,N 434164,S200000,04200,0100,N 434164,S200000,04300,0100,N 434164,S200000,04600,0100,N 434164,S200000,04700,0100,N 434164,S200000,04900,0100,N 434164,S200000,05200,0100,N 434164,S200000,05300,0100,Y 434164,S200000,05300,0200,55-9028 434164,S200000,05400,0100,VINTAGE HEALTHCARE 434164,S200000,05400,0200,FIRST COAST SERVICE OPTIONS 434164,S200000,05400,0300,01101 434164,S200000,05500,0100,2436 FOOTHILL BLVD 434164,S200000,05600,0100,CALISTOGA 434164,S200000,05600,0200,CA 434164,S200000,05600,0300,94515 434166,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434166,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434166,A000000,00300,0000,0300EMPLOYEE BENEFITS 434166,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434166,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434166,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434166,A000000,00700,0000,0700HOUSEKEEPING 434166,A000000,00800,0000,0800DIETARY 434166,A000000,00900,0000,0900NURSING ADMINISTRATION 434166,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434166,A000000,01100,0000,1100PHARMACY 434166,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434166,A000000,01300,0000,1300SOCIAL SERVICE 434166,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434166,A000000,01500,0000,1350ACTIVITIES 434166,A000000,01600,0000,1600SKILLED NURSING FACILITY 434166,A000000,01810,0000,1810ICF/MR 434166,A000000,02100,0000,2100RADIOLOGY 434166,A000000,02200,0000,2200LABORATORY 434166,A000000,02300,0000,2300INTRAVENOUS THERAPY 434166,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434166,A000000,02500,0000,2500PHYSICAL THERAPY 434166,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434166,A000000,02700,0000,2700SPEECH PATHOLOGY 434166,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434166,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434166,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 434166,A000000,03550,0000,3550FQHC 434166,A000000,04801,0000,4801AMBULANCE 434166,A000000,04802,0000,4802AMBULANCE 434166,A000000,04803,0000,4803AMBULANCE 434166,A000000,05000,0000,5000CORF 434166,A000000,05010,0000,5010CMHC 434166,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434166,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434166,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434166,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 434166,A000000,05300,0000,5300INTEREST EXPENSE 434166,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 434166,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434166,A81000A,00100,0100,Y 434166,A81000B,00100,0300,HOME OFFICE COST 434166,A81000C,00100,0100,B 434166,A81000C,00100,0200,MANOR CARE OF FORT WORTH 434166,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 434166,A81000C,00100,0600,LONG TERM CARE FACILITIES 434166,B100000,00000,0100,0100SQUARE FEET 434166,B100000,00000,0200,0200SQUARE FEET 434166,B100000,00000,0300,0300GROSS SALARIES 434166,B100000,00000,0400,0400ACCUM COST 434166,B100000,00000,0500,0500SQUARE FEET 434166,B100000,00000,0600,0600PATIENT DAYS 434166,B100000,00000,0700,0700SQUARE FEET 434166,B100000,00000,0800,0800MEALS SERVED 434166,B100000,00000,0900,0900PATIENT DAYS 434166,B100000,00000,1000,1000PATIENT DAYS 434166,B100000,00000,1100,1100PATIENT DAYS 434166,B100000,00000,1200,1200PATIENT DAYS 434166,B100000,00000,1300,1300PATIENT DAYS 434166,B100000,00000,1400,1400PATIENT DAYS 434166,B100000,00000,1500,1350PATIENT DAYS 434166,E10A180,00501,0100,05/02/12 434166,E10A180,00501,0300,05/02/12 434166,G300000,02500,0000,BEAUTY AND BARBER 434166,S000000,00100,0200,04/04/12 434166,S200000,00100,0100,2129 SKYLINE DRIVE 434166,S200000,00200,0100,FT WORTH 434166,S200000,00200,0200,TX 434166,S200000,00200,0300,76114 434166,S200000,00300,0100,TARRANT 434166,S200000,00300,0201,23104 434166,S200000,00300,0300,U 434166,S200000,00400,0100,MANOR CARE OF FORT WORTH TX (NW) L 434166,S200000,00400,0200,455457 434166,S200000,00400,0300,02/04/80 434166,S200000,00400,0500,P 434166,S200000,00400,0600,P 434166,S200000,01500,0100,Y 434166,S200000,01501,0200,Y 434166,S200000,01502,0200,N 434166,S200000,01503,0200,Y 434166,S200000,01504,0200,Y 434166,S200000,01600,0100,N 434166,S200000,01700,0100,N 434166,S200000,01800,0100,N 434166,S200000,02200,0100,Y 434166,S200000,02800,0100,N 434166,S200000,02900,0100,N 434166,S200000,03000,0100,N 434166,S200000,03100,0100,N 434166,S200000,03200,0100,N 434166,S200000,03300,0100,N 434166,S200000,03300,0200,N 434166,S200000,04200,0100,N 434166,S200000,04300,0100,N 434166,S200000,04600,0100,N 434166,S200000,04700,0100,N 434166,S200000,04900,0100,N 434166,S200000,05200,0100,N 434166,S200000,05300,0100,Y 434166,S200000,05300,0200,36HO15 434166,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 434166,S200000,05400,0200,CGS ADMINISTRATORS LLC 434166,S200000,05400,0300,15201 434166,S200000,05500,0100,333 N. SUMMIT ST. 434166,S200000,05500,0200,PO 10086 434166,S200000,05600,0100,TOLEDO 434166,S200000,05600,0200,OH 434166,S200000,05600,0300,43699-0086 434167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434167,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434167,A000000,00300,0000,0300EMPLOYEE BENEFITS 434167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434167,A000000,00700,0000,0700HOUSEKEEPING 434167,A000000,00800,0000,0800DIETARY 434167,A000000,00900,0000,0900NURSING ADMINISTRATION 434167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434167,A000000,01100,0000,1100PHARMACY 434167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434167,A000000,01300,0000,1300SOCIAL SERVICE 434167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434167,A000000,01600,0000,1600SKILLED NURSING FACILITY 434167,A000000,01810,0000,1810ICF/MR 434167,A000000,02100,0000,2100RADIOLOGY 434167,A000000,02200,0000,2200LABORATORY 434167,A000000,02300,0000,2300INTRAVENOUS THERAPY 434167,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434167,A000000,02500,0000,2500PHYSICAL THERAPY 434167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434167,A000000,02700,0000,2700SPEECH PATHOLOGY 434167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434167,A000000,03550,0000,3550FQHC 434167,A000000,04801,0000,4801AMBULANCE 434167,A000000,04802,0000,4802AMBULANCE 434167,A000000,04803,0000,4803AMBULANCE 434167,A000000,05000,0000,5000CORF 434167,A000000,05010,0000,5010CMHC 434167,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434167,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434167,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434167,A000000,05300,0000,5300INTEREST EXPENSE 434167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434167,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434167,A81000A,00100,0100,N 434167,B100000,00000,0100,0100SQUARE FEET 434167,B100000,00000,0200,0200SQUARE FEET 434167,B100000,00000,0300,0300GROSS SALARIES 434167,B100000,00000,0400,0400ACCUM COST 434167,B100000,00000,0500,0500SQUARE FEET 434167,B100000,00000,0600,0600POUNDS OF LAUNDRY 434167,B100000,00000,0700,0700SQUARE FOOTAGE 434167,B100000,00000,0800,0800MEALS SERVED 434167,B100000,00000,0900,0900DIRECT NURSING 434167,B100000,00000,1000,1000COSTED REQUIS 434167,B100000,00000,1100,1100COSTED REQUIS 434167,B100000,00000,1200,1200GROSS CHARGES 434167,B100000,00000,1300,1300TIME SPENT 434167,B100000,00000,1400,1400ASSIGNED TIME 434167,E10A180,00550,0100,03/15/12 434167,S000000,00100,0200,02/09/12 434167,S200000,00100,0100,2810 JACKSON 434167,S200000,00100,0300,1864 434167,S200000,00200,0100,JOPLIN 434167,S200000,00200,0200,MO 434167,S200000,00200,0300,64804 434167,S200000,00300,0100,JASPER 434167,S200000,00300,0201,27900 434167,S200000,00300,0300,U 434167,S200000,00400,0100,JOPLIN HEALTHCARE CENTER 434167,S200000,00400,0200,265261 434167,S200000,00400,0300,11/01/85 434167,S200000,00400,0500,P 434167,S200000,00600,0200,265261 434167,S200000,00600,0300,11/01/85 434167,S200000,00600,0600,O 434167,S200000,01500,0100,N 434167,S200000,01600,0100,Y 434167,S200000,01700,0100,N 434167,S200000,01800,0100,N 434167,S200000,02200,0100,N 434167,S200000,02800,0100,N 434167,S200000,02900,0100,N 434167,S200000,03000,0100,N 434167,S200000,03100,0100,N 434167,S200000,03200,0100,N 434167,S200000,03300,0100,N 434167,S200000,03300,0200,N 434167,S200000,04200,0100,N 434167,S200000,04300,0100,N 434167,S200000,04600,0100,N 434167,S200000,04700,0100,N 434167,S200000,04900,0100,N 434167,S200000,05200,0100,N 434168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434168,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434168,A000000,00300,0000,0300EMPLOYEE BENEFITS 434168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434168,A000000,00700,0000,0700HOUSEKEEPING 434168,A000000,00800,0000,0800DIETARY 434168,A000000,00900,0000,0900NURSING ADMINISTRATION 434168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434168,A000000,01100,0000,1100PHARMACY 434168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434168,A000000,01300,0000,1300SOCIAL SERVICE 434168,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434168,A000000,01500,0000,1350ACTIVITIES 434168,A000000,01600,0000,1600SKILLED NURSING FACILITY 434168,A000000,01800,0000,1800NURSING FACILITY 434168,A000000,01810,0000,1810ICF/MR 434168,A000000,01900,0000,1900OTHER LONG TERM CARE 434168,A000000,02100,0000,2100RADIOLOGY 434168,A000000,02200,0000,2200LABORATORY 434168,A000000,02300,0000,2300INTRAVENOUS THERAPY 434168,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434168,A000000,02500,0000,2500PHYSICAL THERAPY 434168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434168,A000000,02700,0000,2700SPEECH PATHOLOGY 434168,A000000,02800,0000,2800ELECTROCARDIOLOGY 434168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434168,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434168,A000000,03200,0000,3200SUPPORT SURFACES 434168,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434168,A000000,03400,0000,3400CLINIC 434168,A000000,03500,0000,3500RURAL HEALTH CLINIC 434168,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434168,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434168,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434168,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434168,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434168,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434168,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434168,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434168,A000000,04400,0000,4400DME RENTED - HHA 434168,A000000,04500,0000,4500DME SOLD - HHA 434168,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434168,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434168,A000000,04710,0000,4710TELEMEDICINE 434168,A000000,04800,0000,4800AMBULANCE 434168,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434168,A000000,05000,0000,5000CORF 434168,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434168,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434168,A000000,05300,0000,5300INTEREST EXPENSE 434168,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434168,A000000,05500,0000,5500HOSPICE 434168,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434168,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434168,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434168,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434168,A000000,06100,0000,6100NONPAID WORKERS 434168,A000000,06200,0000,6200PATIENTS LAUNDRY 434168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434168,A81000A,00100,0100,Y 434168,A81000B,00100,0300,RELATED PARTY LEASE 434168,A81000B,00200,0300,RELATED PARTY THERAPY 434168,A81000B,00300,0300,RELATED PARTY THERAPY 434168,A81000B,00400,0300,RELATED PARTY THERAPY 434168,A81000B,00500,0300,HOME OFFICE COSTS 434168,A81000B,00600,0300,HOME OFFICE COSTS 434168,A81000B,00700,0300,HOME OFFICE COSTS 434168,A81000B,00800,0300,HOME OFFICE COSTS 434168,A81000B,00900,0300,HOME OFFICE COSTS 434168,A81000B,01000,0300,HOME OFFICE COSTS 434168,A81000B,01100,0300,HOME OFFICE COSTS 434168,A81000B,01200,0300,HOME OFFICE COSTS 434168,A81000B,01300,0300,HOME OFFICE COSTS 434168,A81000C,00100,0100,A 434168,A81000C,00100,0400,MMM INVEST INC. 434168,A81000C,00100,0600,PROPERTY LEASING 434168,A81000C,00200,0100,A 434168,A81000C,00200,0400,THERACARE 434168,A81000C,00200,0600,THERAPY MANAGEMENT 434168,A81000C,00300,0100,A 434168,A81000C,00300,0400,THERACARE 434168,A81000C,00300,0600,THERAPY MANAGEMENT 434168,A81000C,00400,0100,A 434168,A81000C,00400,0400,THERACARE 434168,A81000C,00400,0600,THERAPY MANAGEMENT 434168,A81000C,00500,0100,B 434168,A81000C,00500,0400,MHS INC. 434168,A81000C,00500,0600,NURSING HOMES 434168,A81000C,00600,0100,B 434168,A81000C,00600,0400,MHS INC. 434168,A81000C,00600,0600,NURSING HOMES 434168,A81000C,00700,0100,B 434168,A81000C,00700,0400,MHS INC. 434168,A81000C,00700,0600,NURSING HOMES 434168,A81000C,00800,0100,B 434168,A81000C,00800,0400,MHS INC. 434168,A81000C,00800,0600,NURSING HOMES 434168,A81000C,00900,0100,B 434168,A81000C,00900,0400,MHS INC. 434168,A81000C,00900,0600,NURSING HOMES 434168,A81000C,01000,0100,B 434168,A81000C,01000,0400,MHS INC. 434168,A81000C,01000,0600,NURSING HOMES 434168,A81000C,01001,0100,B 434168,A81000C,01001,0400,MHS INC. 434168,A81000C,01001,0600,NURSING HOMES 434168,A81000C,01002,0100,B 434168,A81000C,01002,0400,MHS INC. 434168,A81000C,01002,0600,NURSING HOMES 434168,A81000C,01003,0100,B 434168,A81000C,01003,0400,MHS INC. 434168,A81000C,01003,0600,NURSING HOMES 434168,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434168,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434168,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434168,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434168,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434168,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434168,B100000,00000,0800,0800MEALS SERVED :DIETARY 434168,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434168,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434168,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434168,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434168,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434168,E10A180,00301,0100,09/13/11 434168,E10A180,00501,0100,05/03/12 434168,G300000,02500,0000,OTHER REVENUE 434168,S000000,00100,0200,03/02/12 434168,S200000,00100,0100,7440 NORTH 825 EAST 434168,S200000,00200,0100,HOPE 434168,S200000,00200,0200,IN 434168,S200000,00200,0300,47246 434168,S200000,00300,0100,BARTHOLOMEW 434168,S200000,00300,0201,18020 434168,S200000,00300,0300,U 434168,S200000,00400,0100,MHS INC. D/B/A MMM - HOPE 434168,S200000,00400,0200,155579 434168,S200000,00400,0300,09/01/95 434168,S200000,00400,0500,P 434168,S200000,01500,0100,Y 434168,S200000,01501,0200,Y 434168,S200000,01502,0200,Y 434168,S200000,01503,0200,Y 434168,S200000,01504,0200,Y 434168,S200000,01600,0100,N 434168,S200000,01700,0100,N 434168,S200000,01800,0100,N 434168,S200000,02200,0100,Y 434168,S200000,02800,0100,Y 434168,S200000,02900,0100,N 434168,S200000,03000,0100,N 434168,S200000,03100,0100,N 434168,S200000,03200,0100,N 434168,S200000,03300,0100,N 434168,S200000,03300,0200,N 434168,S200000,04100,0100,N 434168,S200000,04200,0100,N 434168,S200000,04300,0100,N 434168,S200000,04600,0100,N 434168,S200000,04700,0100,N 434168,S200000,04700,0200,N 434168,S200000,04900,0100,N 434168,S200000,05000,0100,N 434168,S200000,05100,0100,N 434168,S200000,05200,0100,N 434168,S200000,05300,0100,Y 434168,S200000,05300,0200,15H004 434168,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434168,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434168,S200000,05400,0300,00130 434168,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434168,S200000,05600,0100,WARSAW 434168,S200000,05600,0200,IN 434168,S200000,05600,0300,46580 434169,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434169,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434169,A000000,00300,0000,0300EMPLOYEE BENEFITS 434169,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434169,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434169,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434169,A000000,00700,0000,0700HOUSEKEEPING 434169,A000000,00800,0000,0800DIETARY 434169,A000000,00900,0000,0900NURSING ADMINISTRATION 434169,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434169,A000000,01100,0000,1100PHARMACY 434169,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434169,A000000,01300,0000,1300SOCIAL SERVICE 434169,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434169,A000000,01500,0000,1350ACTIVITIES 434169,A000000,01600,0000,1600SKILLED NURSING FACILITY 434169,A000000,01800,0000,1800NURSING FACILITY 434169,A000000,01810,0000,1810ICF/MR 434169,A000000,01900,0000,1900OTHER LONG TERM CARE 434169,A000000,02100,0000,2100RADIOLOGY 434169,A000000,02200,0000,2200LABORATORY 434169,A000000,02300,0000,2300INTRAVENOUS THERAPY 434169,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434169,A000000,02500,0000,2500PHYSICAL THERAPY 434169,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434169,A000000,02700,0000,2700SPEECH PATHOLOGY 434169,A000000,02800,0000,2800ELECTROCARDIOLOGY 434169,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434169,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434169,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434169,A000000,03200,0000,3200SUPPORT SURFACES 434169,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434169,A000000,03400,0000,3400CLINIC 434169,A000000,03500,0000,3500RURAL HEALTH CLINIC 434169,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434169,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434169,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434169,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434169,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434169,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434169,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434169,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434169,A000000,04400,0000,4400DME RENTED - HHA 434169,A000000,04500,0000,4500DME SOLD - HHA 434169,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434169,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434169,A000000,04710,0000,4710TELEMEDICINE 434169,A000000,04800,0000,4800AMBULANCE 434169,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434169,A000000,05000,0000,5000CORF 434169,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434169,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434169,A000000,05300,0000,5300INTEREST EXPENSE 434169,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434169,A000000,05500,0000,5500HOSPICE 434169,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434169,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434169,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434169,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434169,A000000,06100,0000,6100NONPAID WORKERS 434169,A000000,06200,0000,6200PATIENTS LAUNDRY 434169,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434169,A81000A,00100,0100,Y 434169,A81000B,00100,0300,INTERCOMPANY INTEREST 434169,A81000B,00200,0300,HO MGMT FEES 434169,A81000B,00300,0300,HO NURSING COSTS 434169,A81000B,00400,0300,HO CAPITAL COSTS 434169,A81000B,00500,0300,LHCC PROPERTIES COSTS 434169,A81000C,00100,0100,B 434169,A81000C,00100,0400,LAUREL HOLDINGS 434169,A81000C,00100,0600,PARENT COMPANY 434169,A81000C,00200,0100,B 434169,A81000C,00200,0400,LAUREL HEALTH CARE CO 434169,A81000C,00200,0600,HOME OFFICE MGMT CO 434169,A81000C,00300,0100,B 434169,A81000C,00300,0400,LHCC PROPERTIES 434169,A81000C,00300,0600,MASTER TENANT 434169,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434169,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434169,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434169,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434169,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434169,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434169,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434169,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434169,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434169,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434169,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434169,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434169,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434169,E10A180,00550,0100,02/27/12 434169,G300000,02500,0000,BARBER & BEAUTY REVENUE 434169,S000000,00100,0200,02/27/12 434169,S200000,00100,0100,2220 NORTH MAIN STREET 434169,S200000,00200,0100,HENDERSONVILLE 434169,S200000,00200,0200,NC 434169,S200000,00200,0300,28792 434169,S200000,00300,0100,HENDERSON 434169,S200000,00300,0200,3720 434169,S200000,00300,0201,11700 434169,S200000,00300,0300,U 434169,S200000,00400,0100,THE LAURELS OF HENDERSONVILLE 434169,S200000,00400,0200,345322 434169,S200000,00400,0300,01/01/92 434169,S200000,00400,0500,P 434169,S200000,01500,0100,N 434169,S200000,01501,0200,N 434169,S200000,01502,0200,N 434169,S200000,01504,0200,N 434169,S200000,01600,0100,Y 434169,S200000,01700,0100,N 434169,S200000,01800,0100,N 434169,S200000,02200,0100,N 434169,S200000,02800,0100,N 434169,S200000,02900,0100,N 434169,S200000,03000,0100,N 434169,S200000,03100,0100,N 434169,S200000,03200,0100,N 434169,S200000,03300,0100,N 434169,S200000,03300,0200,N 434169,S200000,04100,0100,N 434169,S200000,04200,0100,N 434169,S200000,04300,0100,N 434169,S200000,04600,0100,N 434169,S200000,04700,0100,N 434169,S200000,04700,0200,N 434169,S200000,04900,0100,N 434169,S200000,05000,0100,N 434169,S200000,05100,0100,N 434169,S200000,05200,0100,N 434169,S200000,05300,0100,Y 434169,S200000,05300,0200,349095 434169,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 434169,S200000,05400,0200,PALMETTO GBA 434169,S200000,05400,0300,11501 434169,S200000,05500,0100,8181 WORTHINGTON ROAD 434169,S200000,05600,0100,WESTERVILLE 434169,S200000,05600,0200,OH 434169,S200000,05600,0300,43082 434170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434170,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434170,A000000,00300,0000,0300EMPLOYEE BENEFITS 434170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434170,A000000,00700,0000,0700HOUSEKEEPING 434170,A000000,00800,0000,0800DIETARY 434170,A000000,00900,0000,0900NURSING ADMINISTRATION 434170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434170,A000000,01100,0000,1100PHARMACY 434170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434170,A000000,01300,0000,1300SOCIAL SERVICE 434170,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434170,A000000,01500,0000,1350PATIENT ACTIVITIES 434170,A000000,01600,0000,1600SKILLED NURSING FACILITY 434170,A000000,01800,0000,1800NURSING FACILITY 434170,A000000,01810,0000,1810ICF/MR 434170,A000000,01900,0000,1900OTHER LONG TERM CARE 434170,A000000,02100,0000,2100RADIOLOGY 434170,A000000,02200,0000,2200LABORATORY 434170,A000000,02300,0000,2300INTRAVENOUS THERAPY 434170,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434170,A000000,02500,0000,2500PHYSICAL THERAPY 434170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434170,A000000,02700,0000,2700SPEECH PATHOLOGY 434170,A000000,02800,0000,2800ELECTROCARDIOLOGY 434170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434170,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434170,A000000,03200,0000,3200SUPPORT SURFACES 434170,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434170,A000000,03400,0000,3400CLINIC 434170,A000000,03500,0000,3500RURAL HEALTH CLINIC 434170,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434170,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434170,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434170,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434170,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434170,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434170,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434170,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434170,A000000,04400,0000,4400DME RENTED - HHA 434170,A000000,04500,0000,4500DME SOLD - HHA 434170,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434170,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434170,A000000,04710,0000,4710TELEMEDICINE 434170,A000000,04800,0000,4800AMBULANCE 434170,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434170,A000000,05000,0000,5000CORF 434170,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434170,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434170,A000000,05300,0000,5300INTEREST EXPENSE 434170,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434170,A000000,05500,0000,5500HOSPICE 434170,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434170,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434170,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434170,A000000,06100,0000,6100NONPAID WORKERS 434170,A000000,06200,0000,6200PATIENTS LAUNDRY 434170,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434170,A81000A,00100,0100,Y 434170,A81000B,00100,0300,NUTRIENTS 434170,A81000B,00200,0300,MED SUPPLIES 434170,A81000B,00300,0300,SUPPLEMENTAL FEED 434170,A81000B,00400,0300,VEHICLE RENT 434170,A81000B,00500,0300,RENT 434170,A81000B,00600,0300,MORTGAGE INTEREST 434170,A81000B,00700,0300,BUILDING DEPN 434170,A81000B,00800,0300,EQUIPMENT DEPN 434170,A81000B,00900,0300,LEASEHOLD IMP DEPN 434170,A81000B,01000,0300,AMORTIZATION 434170,A81000C,00100,0100,A 434170,A81000C,00100,0200,HAROLD NUNN 434170,A81000C,00100,0400,BILLING SPECIALISTS 434170,A81000C,00100,0600,SUPPLIES 434170,A81000C,00200,0100,A 434170,A81000C,00200,0200,HAROLD NUNN 434170,A81000C,00200,0400,BILLING SPECIALISTS 434170,A81000C,00200,0600,SUPPLIES 434170,A81000C,00300,0100,A 434170,A81000C,00300,0200,HAROLD NUNN 434170,A81000C,00300,0400,BILLING SPECIALISTS 434170,A81000C,00300,0600,SUPPLIES 434170,A81000C,00400,0100,A 434170,A81000C,00400,0200,HAROLD NUNN 434170,A81000C,00400,0400,BILLING SPECIALISTS 434170,A81000C,00400,0600,SUPPLIES 434170,A81000C,00500,0100,A 434170,A81000C,00500,0200,K AVANT/H NUNN 434170,A81000C,00500,0400,AVANT-NUNN LLC 434170,A81000C,00500,0600,RENTAL 434170,A81000C,00600,0100,A 434170,A81000C,00600,0200,K AVANT/H NUNN 434170,A81000C,00600,0400,AVANT-NUNN LLC 434170,A81000C,00600,0600,RENTAL 434170,A81000C,00700,0100,A 434170,A81000C,00700,0200,K AVANT/H NUNN 434170,A81000C,00700,0400,AVANT-NUNN LLC 434170,A81000C,00700,0600,RENTAL 434170,A81000C,00800,0100,A 434170,A81000C,00800,0200,K AVANT/H NUNN 434170,A81000C,00800,0400,AVANT-NUNN LLC 434170,A81000C,00800,0600,RENTAL 434170,A81000C,00900,0100,A 434170,A81000C,00900,0200,K AVANT/H NUNN 434170,A81000C,00900,0400,AVANT-NUNN LLC 434170,A81000C,00900,0600,RENTAL 434170,A81000C,01000,0100,A 434170,A81000C,01000,0200,K AVANT/H NUNN 434170,A81000C,01000,0400,AVANT-NUNN LLC 434170,A81000C,01000,0600,RENTAL 434170,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434170,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434170,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434170,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434170,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434170,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434170,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434170,B100000,00000,0800,0800MEALS SERVED :DIETARY 434170,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434170,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434170,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434170,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434170,E10A180,00350,0100,07/27/11 434170,E10A180,00501,0100,05/27/12 434170,G300000,02500,0000,BEAUTY SHOP INCOME 434170,G300000,02501,0000,BAD DEBT PASS THRU PAYMENT 434170,G300000,02502,0000,BAD DEBT RECOVERY 434170,G300000,02503,0000,RESIDENT ROOM CABLE INCOME 434170,G300000,02504,0000,ROOM HOLD 434170,G300000,02505,0000,RENTAL INCOME 434170,G300000,02506,0000,CORPORATION TAX REFUND 434170,G300000,02507,0000,COST REPORT SETTLEMENT 434170,S000000,00100,0200,03/01/12 434170,S200000,00100,0100,2778 COUNTRY CLUB DRIVE 434170,S200000,00200,0100,HAMPSTEAD 434170,S200000,00200,0200,NC 434170,S200000,00200,0300,28443 434170,S200000,00300,0100,PENDER 434170,S200000,00300,0200,0034 434170,S200000,00300,0201,48900 434170,S200000,00300,0300,U 434170,S200000,00400,0100,WOODBURY WELLNESS CENTER 434170,S200000,00400,0200,345349 434170,S200000,00400,0300,11/07/90 434170,S200000,00400,0500,P 434170,S200000,01500,0100,Y 434170,S200000,01502,0200,N 434170,S200000,01503,0200,Y 434170,S200000,01504,0200,N 434170,S200000,01600,0100,N 434170,S200000,01700,0100,N 434170,S200000,01800,0100,N 434170,S200000,02200,0100,N 434170,S200000,02800,0100,N 434170,S200000,02900,0100,N 434170,S200000,03000,0100,N 434170,S200000,03100,0100,N 434170,S200000,03200,0100,N 434170,S200000,03300,0100,N 434170,S200000,03300,0200,N 434170,S200000,04100,0100,N 434170,S200000,04200,0100,N 434170,S200000,04300,0100,N 434170,S200000,04600,0100,N 434170,S200000,04700,0100,N 434170,S200000,04700,0200,N 434170,S200000,04900,0100,N 434170,S200000,05000,0100,N 434170,S200000,05100,0100,N 434170,S200000,05200,0100,N 434171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434171,A000000,00300,0000,0300EMPLOYEE BENEFITS 434171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434171,A000000,00700,0000,0700HOUSEKEEPING 434171,A000000,00800,0000,0800DIETARY 434171,A000000,00900,0000,0900NURSING ADMINISTRATION 434171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434171,A000000,01100,0000,1100PHARMACY 434171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434171,A000000,01300,0000,1300SOCIAL SERVICE 434171,A000000,01500,0000,1350PATIENT ACTIVITIES 434171,A000000,01600,0000,1600SKILLED NURSING FACILITY 434171,A000000,02100,0000,2100RADIOLOGY 434171,A000000,02200,0000,2200LABORATORY 434171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434171,A000000,02500,0000,2500PHYSICAL THERAPY 434171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434171,A000000,02700,0000,2700SPEECH PATHOLOGY 434171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434171,A81000A,00100,0100,Y 434171,A81000B,00100,0300,MGT FEE 434171,A81000B,00200,0300,LEASE 434171,A81000B,00300,0300,DEP 434171,A81000B,00400,0300,INTEREST 434171,A81000B,00500,0300,HO COST - CAPITAL 434171,A81000B,00600,0300,HO COST - NON CAPITAL 434171,A81000B,00700,0300,NRS ADMIN 434171,A81000C,00100,0100,B 434171,A81000C,00100,0200,HENDERSONVILLE HEALTH & R 434171,A81000C,00100,0400,ARDENT REHAB 434171,A81000C,00100,0600,RELATED 434171,A81000C,00200,0100,A 434171,A81000C,00200,0200,CHRIS SPRENGER/ MIKE DELO 434171,A81000C,00200,0400,HENDERSONVILLE PHYSICIANS 434171,A81000C,00200,0600,RELATED 434171,A81000C,00300,0100,A 434171,A81000C,00300,0200,CHRIS SPRENGER/ MIKE DELO 434171,A81000C,00300,0400,HENDERSONVILLE PHYSICIANS 434171,A81000C,00300,0600,RELATED 434171,A81000C,00400,0100,A 434171,A81000C,00400,0200,CHRIS SPRENGER/ MIKE DELO 434171,A81000C,00400,0400,HENDERSONVILLE PHYSICIANS 434171,A81000C,00400,0600,RELATED 434171,A81000C,00500,0100,B 434171,A81000C,00500,0200,HENDERSONVILLE HEALTH & R 434171,A81000C,00500,0400,ARDENT REHAB 434171,A81000C,00500,0600,RELATED 434171,A81000C,00600,0100,B 434171,A81000C,00600,0200,HENDERSONVILLE HEALTH & R 434171,A81000C,00600,0400,ARDENT REHAB 434171,A81000C,00600,0600,RELATED 434171,A81000C,00700,0100,B 434171,A81000C,00700,0200,HENDERSONVILLE HEALTH & R 434171,A81000C,00700,0400,ARDENT REHAB 434171,A81000C,00700,0600,RELATED 434171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434171,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434171,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434171,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434171,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434171,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434171,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434171,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434171,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434171,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434171,E10A180,00501,0100,05/28/12 434171,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 434171,G300000,02501,0000,OTHER 434171,S000000,00100,0200,03/01/12 434171,S200000,00100,0100,104 COLLEGE DRIVE 434171,S200000,00200,0100,FLAT ROCK 434171,S200000,00200,0200,NC 434171,S200000,00200,0300,28731 434171,S200000,00300,0100,HENDERSON 434171,S200000,00300,0200,0480 434171,S200000,00300,0201,11700 434171,S200000,00300,0300,U 434171,S200000,00400,0100,HENDERSONVILLE HEALTH & REHAB 434171,S200000,00400,0200,345493 434171,S200000,00400,0300,06/03/99 434171,S200000,00400,0500,P 434171,S200000,01500,0100,Y 434171,S200000,01501,0200,Y 434171,S200000,01503,0200,Y 434171,S200000,01600,0100,N 434171,S200000,01700,0100,N 434171,S200000,01800,0100,N 434171,S200000,02200,0100,N 434171,S200000,02800,0100,N 434171,S200000,02900,0100,N 434171,S200000,03000,0100,N 434171,S200000,03100,0100,N 434171,S200000,03200,0100,N 434171,S200000,03300,0100,N 434171,S200000,03300,0200,N 434171,S200000,04100,0100,N 434171,S200000,04200,0100,N 434171,S200000,04300,0100,N 434171,S200000,04600,0100,N 434171,S200000,04700,0100,N 434171,S200000,04700,0200,N 434171,S200000,04900,0100,N 434171,S200000,05000,0100,N 434171,S200000,05100,0100,N 434171,S200000,05200,0100,N 434171,S200000,05300,0100,Y 434171,S200000,05300,0200,349204 434171,S200000,05400,0100,ARDENT HEALTH & REHABILITATION 434171,S200000,05400,0200,PALMETTO GBA 434171,S200000,05400,0300,11001 434171,S200000,05500,0100,229 AIRPORT RD SUITE 7-104 434171,S200000,05600,0100,ARDEN 434171,S200000,05600,0200,NC 434171,S200000,05600,0300,28704-6402 434173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434173,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434173,A000000,00300,0000,0300EMPLOYEE BENEFITS 434173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434173,A000000,00700,0000,0700HOUSEKEEPING 434173,A000000,00800,0000,0800DIETARY 434173,A000000,00900,0000,0900NURSING ADMINISTRATION 434173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434173,A000000,01100,0000,1100PHARMACY 434173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434173,A000000,01300,0000,1300SOCIAL SERVICE 434173,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434173,A000000,01500,0000,1350RECREATION 434173,A000000,01600,0000,1600SKILLED NURSING FACILITY 434173,A000000,01810,0000,1810ICF/MR 434173,A000000,02100,0000,2100RADIOLOGY 434173,A000000,02200,0000,2200LABORATORY 434173,A000000,02300,0000,2300INTRAVENOUS THERAPY 434173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434173,A000000,02500,0000,2500PHYSICAL THERAPY 434173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434173,A000000,02700,0000,2700SPEECH PATHOLOGY 434173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434173,A000000,03550,0000,3550FQHC 434173,A000000,04801,0000,4801AMBULANCE 434173,A000000,04802,0000,4802AMBULANCE 434173,A000000,04803,0000,4803AMBULANCE 434173,A000000,05000,0000,5000CORF 434173,A000000,05010,0000,5010CMHC 434173,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434173,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434173,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434173,A81000A,00100,0100,Y 434173,A81000B,00100,0300,SEE ATTACHED 434173,A81000B,00200,0300,CAPITAL INTEREST 434173,A81000B,00300,0300,HOME OFFICE 434173,A81000B,00400,0300,HOME OFFICE 434173,A81000C,00100,0100,B 434173,A81000C,00100,0400,SEE ATTACHED 434173,A81000C,00100,0600,VARIOUS 434173,A81000C,00200,0100,B 434173,A81000C,00200,0400,GHC 434173,A81000C,00200,0600,LONG TERM CARE 434173,A81000C,00300,0100,B 434173,A81000C,00300,0400,GHC 434173,A81000C,00300,0600,LONG TERM CARE 434173,A81000C,00400,0100,B 434173,A81000C,00400,0400,GHC 434173,A81000C,00400,0600,LONG TERM CARE 434173,B100000,00000,0100,0100SQUARE FEET 434173,B100000,00000,0200,0200SQUARE FEET 434173,B100000,00000,0300,0300GROSS SALARIES 434173,B100000,00000,0400,0400ACCUM COST 434173,B100000,00000,0500,0500SQUARE FEET 434173,B100000,00000,0600,0600PATIENT DAYS 434173,B100000,00000,0700,0700SQUARE FEET 434173,B100000,00000,0800,0800MEALS SERVED 434173,B100000,00000,0900,0900NURSING SALARIES 434173,B100000,00000,1000,1000COSTED REQUIS 434173,B100000,00000,1100,1100COSTED REQUIS 434173,B100000,00000,1200,1200PATIENT DAYS 434173,B100000,00000,1300,1300PATIENT DAYS 434173,B100000,00000,1400,1400ASSIGNED TIME 434173,B100000,00000,1500,1350PATIENT DAYS 434173,E10A180,00301,0100,03/24/11 434173,E10A180,00550,0100,03/23/12 434173,E10A180,00550,0300,03/23/12 434173,G300000,02500,0000,BARBER & BEAUTY 434173,S000000,00100,0200,09/12/11 434173,S200000,00100,0100,5101 NORTH PARK DRIVE 434173,S200000,00200,0100,PENNSAUKEN 434173,S200000,00200,0200,NJ 434173,S200000,00200,0300,08109 434173,S200000,00300,0100,CAMDEN 434173,S200000,00300,0201,15804 434173,S200000,00300,0300,U 434173,S200000,00400,0100,COOPER RIVER WEST 434173,S200000,00400,0200,315225 434173,S200000,00400,0300,05/31/86 434173,S200000,00400,0500,P 434173,S200000,01500,0100,Y 434173,S200000,01501,0200,N 434173,S200000,01502,0200,N 434173,S200000,01503,0200,N 434173,S200000,01504,0200,N 434173,S200000,01600,0100,N 434173,S200000,01700,0100,N 434173,S200000,01800,0100,N 434173,S200000,02200,0100,Y 434173,S200000,02800,0100,N 434173,S200000,02900,0100,N 434173,S200000,03000,0100,N 434173,S200000,03100,0100,N 434173,S200000,03200,0100,N 434173,S200000,03300,0100,N 434173,S200000,03300,0200,N 434173,S200000,04200,0100,N 434173,S200000,04300,0100,N 434173,S200000,04600,0100,N 434173,S200000,04700,0100,N 434173,S200000,04900,0100,N 434173,S200000,05200,0100,N 434173,S200000,05300,0100,Y 434173,S200000,05300,0200,HB0067 434173,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434173,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434173,S200000,05400,0300,12001 434173,S200000,05500,0100,101 EAST STATE STREET 434173,S200000,05600,0100,KENNETT SQUARE 434173,S200000,05600,0200,PA 434173,S200000,05600,0300,19348 434176,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434176,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434176,A000000,00300,0000,0300EMPLOYEE BENEFITS 434176,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434176,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434176,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434176,A000000,00700,0000,0700HOUSEKEEPING 434176,A000000,00800,0000,0800DIETARY 434176,A000000,00900,0000,0900NURSING ADMINISTRATION 434176,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434176,A000000,01100,0000,1100PHARMACY 434176,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434176,A000000,01300,0000,1300SOCIAL SERVICE 434176,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434176,A000000,01500,0000,1350OTHER GENERAL SERVICES 434176,A000000,01600,0000,1600SKILLED NURSING FACILITY 434176,A000000,01800,0000,1800NURSING FACILITY 434176,A000000,01810,0000,1810ICF/MR 434176,A000000,01900,0000,1900OTHER LONG TERM CARE 434176,A000000,02100,0000,2100RADIOLOGY 434176,A000000,02200,0000,2200LABORATORY 434176,A000000,02300,0000,2300INTRAVENOUS THERAPY 434176,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434176,A000000,02500,0000,2500PHYSICAL THERAPY 434176,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434176,A000000,02700,0000,2700SPEECH PATHOLOGY 434176,A000000,02800,0000,2800ELECTROCARDIOLOGY 434176,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434176,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434176,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434176,A000000,03200,0000,3200SUPPORT SURFACES 434176,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434176,A000000,03400,0000,3400CLINIC 434176,A000000,03500,0000,3500RURAL HEALTH CLINIC 434176,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434176,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434176,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434176,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434176,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434176,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434176,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434176,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434176,A000000,04400,0000,4400DME RENTED - HHA 434176,A000000,04500,0000,4500DME SOLD - HHA 434176,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434176,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434176,A000000,04710,0000,4710TELEMEDICINE 434176,A000000,04800,0000,4800AMBULANCE 434176,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434176,A000000,05000,0000,5000CORF 434176,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434176,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434176,A000000,05300,0000,5300INTEREST EXPENSE 434176,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434176,A000000,05500,0000,5500HOSPICE 434176,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434176,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434176,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434176,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434176,A000000,06100,0000,6100NONPAID WORKERS 434176,A000000,06200,0000,6200PATIENTS LAUNDRY 434176,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434176,A81000A,00100,0100,Y 434176,A81000B,00100,0300,PT 434176,A81000B,00200,0300,OT 434176,A81000B,00300,0300,ST 434176,A81000B,00400,0300,CAPITAL 434176,A81000B,00500,0300,MGT FEE 434176,A81000B,00600,0300,ADMIN SALARIES 434176,A81000B,00700,0300,CONSULTANT 434176,A81000B,00800,0300,CONSULTANT 434176,A81000B,00900,0300,SUPPLIES 434176,A81000B,01000,0300,SUPPLIES 434176,A81000B,01100,0300,SUPPLIES 434176,A81000B,01200,0300,SUPPLIES 434176,A81000B,01300,0300,SUPPLIES 434176,A81000B,01400,0300,SUPPLIES 434176,A81000B,01500,0300,X-RAY 434176,A81000B,01600,0300,LAB 434176,A81000B,01700,0300,ST 434176,A81000B,01800,0300,STOCK DRUGS 434176,A81000B,01900,0300,PRESCRIPTIONS 434176,A81000B,02000,0300,SHARED ALUNDRY 434176,A81000B,02100,0300,A&G 434176,A81000B,02200,0300,CAPITAL 434176,A81000C,00100,0100,G 434176,A81000C,00100,0200,INTEGRA REHAB 434176,A81000C,00200,0100,G 434176,A81000C,00200,0200,INTEGRA REHAB 434176,A81000C,00300,0100,G 434176,A81000C,00300,0200,INTEGRA REHAB 434176,A81000C,00400,0100,G 434176,A81000C,00400,0200,CLINICAL SERVICES INC 434176,A81000C,00500,0100,G 434176,A81000C,00500,0200,CLINICAL SERVICES INC 434176,A81000C,00600,0100,G 434176,A81000C,00600,0200,CLINICAL SERVICES INC 434176,A81000C,00700,0100,G 434176,A81000C,00700,0200,CLINICAL SERVICES INC 434176,A81000C,00800,0100,G 434176,A81000C,00800,0200,CLINICAL SERVICES INC 434176,A81000C,00900,0100,G 434176,A81000C,00900,0200,ECP DISTRIBUTORS 434176,A81000C,01000,0100,G 434176,A81000C,01000,0200,ECP DISTRIBUTORS 434176,A81000C,01001,0100,G 434176,A81000C,01001,0200,ECP DISTRIBUTORS 434176,A81000C,01002,0100,G 434176,A81000C,01002,0200,ECP DISTRIBUTORS 434176,A81000C,01003,0100,G 434176,A81000C,01003,0200,ECP DISTRIBUTORS 434176,A81000C,01004,0100,G 434176,A81000C,01004,0200,ECP DISTRIBUTORS 434176,A81000C,01005,0100,G 434176,A81000C,01005,0200,HAMILTON MEDICAL CENTER 434176,A81000C,01006,0100,G 434176,A81000C,01006,0200,HAMILTON MEDICAL CENTER 434176,A81000C,01007,0100,G 434176,A81000C,01007,0200,HAMILTON MEDICAL CENTER 434176,A81000C,01008,0100,G 434176,A81000C,01008,0200,HAMILTN PHARMACY 434176,A81000C,01009,0100,G 434176,A81000C,01009,0200,HAMILTN PHARMACY 434176,A81000C,01010,0100,G 434176,A81000C,01010,0200,RIDGEWOOD MANOR LAUNDRY 434176,A81000C,01011,0100,G 434176,A81000C,01011,0200,HLTC INC 434176,A81000C,01012,0100,G 434176,A81000C,01012,0200,HLTC INC 434176,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434176,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434176,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434176,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434176,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434176,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434176,B100000,00000,0800,0800MEALS SERVED :DIETARY 434176,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434176,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434176,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434176,E10A180,00301,0100,09/30/11 434176,E10A180,00501,0100,04/23/12 434176,G300000,02501,0000,TRAINING INCOME 434176,G300000,02502,0000,MISC INCOME 434176,S000000,00100,0200,02/28/12 434176,S200000,00100,0100,1114 BURLEYSON ROAD 434176,S200000,00200,0100,DALTON 434176,S200000,00200,0200,GA 434176,S200000,00200,0300,30720 434176,S200000,00300,0100,WHITFIELD 434176,S200000,00300,0200,0011 434176,S200000,00300,0201,19140 434176,S200000,00300,0300,U 434176,S200000,00400,0100,QUINTON MEMORIAL HEALTH CARE CENTER 434176,S200000,00400,0200,115403 434176,S200000,00400,0300,07/01/89 434176,S200000,00400,0500,P 434176,S200000,01500,0100,Y 434176,S200000,01501,0200,Y 434176,S200000,01600,0100,N 434176,S200000,01700,0100,N 434176,S200000,01800,0100,N 434176,S200000,02200,0100,N 434176,S200000,02800,0100,N 434176,S200000,02900,0100,N 434176,S200000,03000,0100,N 434176,S200000,03100,0100,N 434176,S200000,03200,0100,N 434176,S200000,03300,0100,N 434176,S200000,03300,0200,N 434176,S200000,04100,0100,N 434176,S200000,04200,0100,N 434176,S200000,04300,0100,N 434176,S200000,04600,0100,N 434176,S200000,04700,0100,N 434176,S200000,04700,0200,N 434176,S200000,04900,0100,N 434176,S200000,05000,0100,N 434176,S200000,05100,0100,N 434176,S200000,05200,0100,N 434178,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434178,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434178,A000000,00300,0000,0300EMPLOYEE BENEFITS 434178,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434178,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434178,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434178,A000000,00700,0000,0700HOUSEKEEPING 434178,A000000,00800,0000,0800DIETARY 434178,A000000,00900,0000,0900NURSING ADMINISTRATION 434178,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434178,A000000,01100,0000,1100PHARMACY 434178,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434178,A000000,01300,0000,1300SOCIAL SERVICE 434178,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434178,A000000,01500,0000,1350ACTIVITIES 434178,A000000,01600,0000,1600SKILLED NURSING FACILITY 434178,A000000,01800,0000,1800NURSING FACILITY 434178,A000000,01810,0000,1810ICF/MR 434178,A000000,01900,0000,1900OTHER LONG TERM CARE 434178,A000000,02100,0000,2100RADIOLOGY 434178,A000000,02200,0000,2200LABORATORY 434178,A000000,02300,0000,2300INTRAVENOUS THERAPY 434178,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434178,A000000,02500,0000,2500PHYSICAL THERAPY 434178,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434178,A000000,02700,0000,2700SPEECH PATHOLOGY 434178,A000000,02800,0000,2800ELECTROCARDIOLOGY 434178,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434178,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434178,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434178,A000000,03200,0000,3200SUPPORT SURFACES 434178,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434178,A000000,03400,0000,3400CLINIC 434178,A000000,03500,0000,3500RURAL HEALTH CLINIC 434178,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434178,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434178,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434178,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434178,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434178,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434178,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434178,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434178,A000000,04400,0000,4400DME RENTED - HHA 434178,A000000,04500,0000,4500DME SOLD - HHA 434178,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434178,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434178,A000000,04710,0000,4710TELEMEDICINE 434178,A000000,04800,0000,4800AMBULANCE 434178,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434178,A000000,05000,0000,5000CORF 434178,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434178,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434178,A000000,05300,0000,5300INTEREST EXPENSE 434178,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434178,A000000,05500,0000,5500HOSPICE 434178,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434178,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434178,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434178,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434178,A000000,06100,0000,6100NONPAID WORKERS 434178,A000000,06200,0000,6200PATIENTS LAUNDRY 434178,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434178,A81000A,00100,0100,Y 434178,A81000B,00100,0300,INTERCOMPANY INTEREST 434178,A81000B,00200,0300,HO MGMT FEES 434178,A81000B,00300,0300,HO NURSING COSTS 434178,A81000B,00400,0300,HO CAPITAL COSTS 434178,A81000B,00500,0300,LHCC PROPERTIES COSTS 434178,A81000C,00100,0100,B 434178,A81000C,00100,0400,LAUREL HOLDINGS 434178,A81000C,00100,0600,PARENT COMPANY 434178,A81000C,00200,0100,B 434178,A81000C,00200,0400,LAUREL HEALTH CARE CO 434178,A81000C,00200,0600,HOME OFFICE MGMT CO 434178,A81000C,00300,0100,B 434178,A81000C,00300,0400,LHCC PROPERTIES 434178,A81000C,00300,0600,MASTER TENANT 434178,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434178,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434178,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434178,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434178,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434178,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434178,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434178,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434178,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434178,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434178,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434178,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434178,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434178,E10A180,00350,0100,07/27/11 434178,E10A180,00501,0100,05/15/12 434178,G300000,02500,0000,BARBER & BEAUTY REVENUE 434178,S000000,00100,0200,02/27/12 434178,S200000,00100,0100,100 RICEVILLE ROAD 434178,S200000,00200,0100,ASHEVILLE 434178,S200000,00200,0200,NC 434178,S200000,00200,0300,28805 434178,S200000,00300,0100,BUNCOMBE 434178,S200000,00300,0200,3720 434178,S200000,00300,0201,11700 434178,S200000,00300,0300,U 434178,S200000,00400,0100,THE LAURELS OF SUMMIT RIDGE 434178,S200000,00400,0200,345438 434178,S200000,00400,0300,04/30/96 434178,S200000,00400,0500,P 434178,S200000,01500,0100,N 434178,S200000,01501,0200,N 434178,S200000,01502,0200,Y 434178,S200000,01504,0200,N 434178,S200000,01600,0100,Y 434178,S200000,01700,0100,N 434178,S200000,01800,0100,N 434178,S200000,02200,0100,N 434178,S200000,02800,0100,N 434178,S200000,02900,0100,N 434178,S200000,03000,0100,N 434178,S200000,03100,0100,N 434178,S200000,03200,0100,N 434178,S200000,03300,0100,N 434178,S200000,03300,0200,N 434178,S200000,04100,0100,N 434178,S200000,04200,0100,N 434178,S200000,04300,0100,N 434178,S200000,04600,0100,N 434178,S200000,04700,0100,N 434178,S200000,04700,0200,N 434178,S200000,04900,0100,N 434178,S200000,05000,0100,N 434178,S200000,05100,0100,N 434178,S200000,05200,0100,N 434178,S200000,05300,0100,Y 434178,S200000,05300,0200,349095 434178,S200000,05400,0100,LAUREL HEALTH CARE COMPANY 434178,S200000,05400,0200,PALMETTO GBA 434178,S200000,05400,0300,11501 434178,S200000,05500,0100,8181 WORTHINGTON ROAD 434178,S200000,05600,0100,WESTERVILLE 434178,S200000,05600,0200,OH 434178,S200000,05600,0300,43082 434179,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434179,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434179,A000000,00300,0000,0300EMPLOYEE BENEFITS 434179,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434179,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434179,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434179,A000000,00700,0000,0700HOUSEKEEPING 434179,A000000,00800,0000,0800DIETARY 434179,A000000,00900,0000,0900NURSING ADMINISTRATION 434179,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434179,A000000,01100,0000,1100PHARMACY 434179,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434179,A000000,01300,0000,1300SOCIAL SERVICE 434179,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434179,A000000,01500,0000,1350ACTIVITIES 434179,A000000,01600,0000,1600SKILLED NURSING FACILITY 434179,A000000,01800,0000,1800NURSING FACILITY 434179,A000000,01810,0000,1810ICF/MR 434179,A000000,01900,0000,1900OTHER LONG TERM CARE 434179,A000000,02100,0000,2100RADIOLOGY 434179,A000000,02200,0000,2200LABORATORY 434179,A000000,02300,0000,2300INTRAVENOUS THERAPY 434179,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434179,A000000,02500,0000,2500PHYSICAL THERAPY 434179,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434179,A000000,02700,0000,2700SPEECH PATHOLOGY 434179,A000000,02800,0000,2800ELECTROCARDIOLOGY 434179,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434179,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434179,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434179,A000000,03200,0000,3200SUPPORT SURFACES 434179,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434179,A000000,03400,0000,3400CLINIC 434179,A000000,03500,0000,3500RURAL HEALTH CLINIC 434179,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434179,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434179,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434179,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434179,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434179,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434179,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434179,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434179,A000000,04400,0000,4400DME RENTED - HHA 434179,A000000,04500,0000,4500DME SOLD - HHA 434179,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434179,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434179,A000000,04710,0000,4710TELEMEDICINE 434179,A000000,04800,0000,4800AMBULANCE 434179,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434179,A000000,05000,0000,5000CORF 434179,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434179,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434179,A000000,05300,0000,5300INTEREST EXPENSE 434179,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434179,A000000,05500,0000,5500HOSPICE 434179,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434179,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434179,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434179,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434179,A000000,06100,0000,6100NONPAID WORKERS 434179,A000000,06200,0000,6200PATIENTS LAUNDRY 434179,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434179,A81000A,00100,0100,Y 434179,A81000B,00100,0300,ADMINISTRATOR C/S 434179,A81000B,00200,0300,ADMIN SALARY 434179,A81000B,00300,0300,ADMIN PR TAX 434179,A81000B,00400,0300,ADMIN BENEFIT 434179,A81000B,00500,0300,DON C/S 434179,A81000B,00600,0300,DON SALARY 434179,A81000B,00700,0300,DON PR TAX 434179,A81000B,00800,0300,DON BENEFITS 434179,A81000B,00900,0300,NURSE CONSULTANT 434179,A81000B,01000,0300,RN SALARY 434179,A81000B,01100,0300,RN PR TAX 434179,A81000B,01200,0300,RN BENEFIT 434179,A81000B,01300,0300,MANAGEMENT SERVICES 434179,A81000B,01400,0300,PT C/S 434179,A81000B,01500,0300,OT C/S 434179,A81000B,01600,0300,ST C/S 434179,A81000B,01700,0300,TF NUTRIENTS 434179,A81000B,01800,0300,NON CAP NURSE EQUIP 434179,A81000B,01900,0300,MEDICAL SUPPLIES 434179,A81000B,02000,0300,THERAPEUTIC BEDS 434179,A81000B,02100,0300,OXYGEN 434179,A81000B,02200,0300,BMS 434179,A81000B,02300,0300,PE SUPPLIES 434179,A81000B,02400,0300,LIFE SUST EQUIP 434179,A81000C,00100,0100,A 434179,A81000C,00100,0200,HAROLD NUNN 434179,A81000C,00100,0400,PEAK RESOURCES INC 434179,A81000C,00100,0600,MANAGEMENT SERVICES 434179,A81000C,00200,0100,A 434179,A81000C,00200,0200,HAROLD NUNN 434179,A81000C,00200,0400,PEAK RESOURCES INC 434179,A81000C,00200,0600,MANAGEMENT SERVICES 434179,A81000C,00300,0100,A 434179,A81000C,00300,0200,HAROLD NUNN 434179,A81000C,00300,0400,PEAK RESOURCES INC 434179,A81000C,00300,0600,MANAGEMENT SERVICES 434179,A81000C,00400,0100,A 434179,A81000C,00400,0200,HAROLD NUNN 434179,A81000C,00400,0400,PEAK RESOURCES INC 434179,A81000C,00400,0600,MANAGEMENT SERVICES 434179,A81000C,00500,0100,A 434179,A81000C,00500,0200,HAROLD NUNN 434179,A81000C,00500,0400,PEAK RESOURCES INC 434179,A81000C,00500,0600,MANAGEMENT SERVICES 434179,A81000C,00600,0100,A 434179,A81000C,00600,0200,HAROLD NUNN 434179,A81000C,00600,0400,PEAK RESOURCES INC 434179,A81000C,00600,0600,MANAGEMENT SERVICES 434179,A81000C,00700,0100,A 434179,A81000C,00700,0200,HAROLD NUNN 434179,A81000C,00700,0400,PEAK RESOURCES INC 434179,A81000C,00700,0600,MANAGEMENT SERVICES 434179,A81000C,00800,0100,A 434179,A81000C,00800,0200,HAROLD NUNN 434179,A81000C,00800,0400,PEAK RESOURCES INC 434179,A81000C,00800,0600,MANAGEMENT SERVICES 434179,A81000C,00900,0100,A 434179,A81000C,00900,0200,HAROLD NUNN 434179,A81000C,00900,0400,PEAK RESOURCES INC 434179,A81000C,00900,0600,MANAGEMENT SERVICES 434179,A81000C,01000,0100,A 434179,A81000C,01000,0200,HAROLD NUNN 434179,A81000C,01000,0400,PEAK RESOURCES INC 434179,A81000C,01000,0600,MANAGEMENT SERVICES 434179,A81000C,01001,0100,A 434179,A81000C,01001,0200,HAROLD NUNN 434179,A81000C,01001,0400,PEAK RESOURCES INC 434179,A81000C,01001,0600,MANAGEMENT SERVICES 434179,A81000C,01002,0100,A 434179,A81000C,01002,0200,HAROLD NUNN 434179,A81000C,01002,0400,PEAK RESOURCES INC 434179,A81000C,01002,0600,MANAGEMENT SERVICES 434179,A81000C,01003,0100,A 434179,A81000C,01003,0200,HAROLD NUNN 434179,A81000C,01003,0400,PEAK RESOURCES INC 434179,A81000C,01003,0600,MANAGEMENT SERVICES 434179,A81000C,01004,0100,A 434179,A81000C,01004,0200,HAROLD NUNN 434179,A81000C,01004,0400,SUMMIT THERAPY SERVICES 434179,A81000C,01004,0600,THERAPY C/S 434179,A81000C,01005,0100,A 434179,A81000C,01005,0200,HAROLD NUNN 434179,A81000C,01005,0400,SUMMIT THERAPY SERVICES 434179,A81000C,01005,0600,THERAPY C/S 434179,A81000C,01006,0100,A 434179,A81000C,01006,0200,HAROLD NUNN 434179,A81000C,01006,0400,SUMMIT THERAPY SERVICES 434179,A81000C,01006,0600,THERAPY C/S 434179,A81000C,01007,0100,A 434179,A81000C,01007,0200,HAROLD NUNN 434179,A81000C,01007,0400,BILLING SPECIALISTS INC 434179,A81000C,01007,0600,MEDICAL SUPPLIES 434179,A81000C,01008,0100,A 434179,A81000C,01008,0200,HAROLD NUNN 434179,A81000C,01008,0400,BILLING SPECIALISTS INC 434179,A81000C,01008,0600,MEDICAL SUPPLIES 434179,A81000C,01009,0100,A 434179,A81000C,01009,0200,HAROLD NUNN 434179,A81000C,01009,0400,BILLING SPECIALISTS INC 434179,A81000C,01009,0600,MEDICAL SUPPLIES 434179,A81000C,01010,0100,A 434179,A81000C,01010,0200,HAROLD NUNN 434179,A81000C,01010,0400,BILLING SPECIALISTS INC 434179,A81000C,01010,0600,MEDICAL SUPPLIES 434179,A81000C,01011,0100,A 434179,A81000C,01011,0200,HAROLD NUNN 434179,A81000C,01011,0400,BILLING SPECIALISTS INC 434179,A81000C,01011,0600,MEDICAL SUPPLIES 434179,A81000C,01012,0100,A 434179,A81000C,01012,0200,HAROLD NUNN 434179,A81000C,01012,0400,BILLING SPECIALISTS INC 434179,A81000C,01012,0600,MEDICAL SUPPLIES 434179,A81000C,01013,0100,A 434179,A81000C,01013,0200,HAROLD NUNN 434179,A81000C,01013,0400,BILLING SPECIALISTS INC 434179,A81000C,01013,0600,MEDICAL SUPPLIES 434179,A81000C,01014,0100,A 434179,A81000C,01014,0200,HAROLD NUNN 434179,A81000C,01014,0400,BILLING SPECIALISTS INC 434179,A81000C,01014,0600,MEDICAL SUPPLIES 434179,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434179,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434179,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434179,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434179,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434179,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434179,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434179,B100000,00000,0800,0800MEALS SERVED :DIETARY 434179,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434179,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434179,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434179,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434179,E10A180,00550,0100,02/29/12 434179,G300000,02501,0000,MISCELANEOUS 434179,G300000,02502,0000,MEDICARE BAD DEBTS 434179,S000000,00100,0200,02/29/12 434179,S200000,00100,0100,2780 434179,S200000,00200,0100,X-RAY DRIVE 434179,S200000,00200,0200,NC 434179,S200000,00200,0300,28054 434179,S200000,00300,0100,GASTON 434179,S200000,00300,0200,1520 434179,S200000,00300,0201,16740 434179,S200000,00300,0300,U 434179,S200000,00400,0100,PEAK RESOURCES GASTONIA 434179,S200000,00400,0200,345494 434179,S200000,00400,0300,06/30/99 434179,S200000,00400,0500,P 434179,S200000,01500,0100,Y 434179,S200000,01503,0200,N 434179,S200000,01504,0200,N 434179,S200000,01600,0100,N 434179,S200000,01700,0100,N 434179,S200000,01800,0100,N 434179,S200000,02200,0100,Y 434179,S200000,02800,0100,N 434179,S200000,02900,0100,N 434179,S200000,03000,0100,N 434179,S200000,03100,0100,N 434179,S200000,03200,0100,N 434179,S200000,03300,0100,N 434179,S200000,03300,0200,N 434179,S200000,04100,0100,N 434179,S200000,04200,0100,N 434179,S200000,04300,0100,N 434179,S200000,04600,0100,N 434179,S200000,04700,0100,N 434179,S200000,04700,0200,N 434179,S200000,04900,0100,N 434179,S200000,05000,0100,N 434179,S200000,05100,0100,N 434179,S200000,05200,0100,N 434180,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434180,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434180,A000000,00300,0000,0300EMPLOYEE BENEFITS 434180,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434180,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434180,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434180,A000000,00700,0000,0700HOUSEKEEPING 434180,A000000,00800,0000,0800DIETARY 434180,A000000,00900,0000,0900NURSING ADMINISTRATION 434180,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434180,A000000,01100,0000,1100PHARMACY 434180,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434180,A000000,01300,0000,1300SOCIAL SERVICE 434180,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434180,A000000,01600,0000,1600SKILLED NURSING FACILITY 434180,A000000,01800,0000,1800NURSING FACILITY 434180,A000000,01810,0000,1810ICF/MR 434180,A000000,01900,0000,1900OTHER LONG TERM CARE 434180,A000000,02100,0000,2100RADIOLOGY 434180,A000000,02200,0000,2200LABORATORY 434180,A000000,02300,0000,2300INTRAVENOUS THERAPY 434180,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434180,A000000,02500,0000,2500PHYSICAL THERAPY 434180,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434180,A000000,02700,0000,2700SPEECH PATHOLOGY 434180,A000000,02800,0000,2800ELECTROCARDIOLOGY 434180,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434180,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434180,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434180,A000000,03200,0000,3200SUPPORT SURFACES 434180,A000000,03400,0000,3400CLINIC 434180,A000000,03500,0000,3500RURAL HEALTH CLINIC 434180,A000000,03550,0000,3550FQHC 434180,A000000,04800,0000,4800AMBULANCE 434180,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434180,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434180,A000000,05300,0000,5300INTEREST EXPENSE 434180,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434180,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434180,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434180,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434180,A000000,06100,0000,6100NONPAID WORKERS 434180,A000000,06200,0000,6200PATIENTS LAUNDRY 434180,A81000A,00100,0100,Y 434180,A81000B,00100,0300,ASST. ADMINISTRATOR 434180,A81000B,00200,0300,MANAGEMENT 434180,A81000C,00100,0100,D 434180,A81000C,00100,0200,NORMA DUNN 434180,A81000C,00100,0600,INDIVIDUAL 434180,A81000C,00200,0100,G 434180,A81000C,00200,0200,JAMES B. DUNN 434180,A81000C,00200,0600,INDIVIDUAL 434180,A81000C,03100,0000,FINANCIAL 434180,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434180,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434180,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434180,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434180,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434180,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434180,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434180,B100000,00000,0800,0800MEALS SERVED :DIETARY 434180,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434180,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434180,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434180,E10A180,00501,0100,06/06/12 434180,G300000,02500,0000,BEAUTY & BARBER 434180,G300000,02501,0000,BAD DEBT RECOVERY 434180,G300000,02502,0000,OFFICERS LIFE INSURANCE 434180,S000000,00100,0200,03/13/12 434180,S200000,00100,0100,2675 36TH STREET 434180,S200000,00100,0300,4010 434180,S200000,00200,0100,PARKERSBURG 434180,S200000,00200,0200,WV 434180,S200000,00200,0300,26104 434180,S200000,00300,0100,WOOD 434180,S200000,00300,0300,U 434180,S200000,00400,0100,WORTHINGTON MANOR INC. 434180,S200000,00400,0200,515047 434180,S200000,00400,0300,02/05/73 434180,S200000,00400,0500,P 434180,S200000,01500,0100,Y 434180,S200000,01600,0100,N 434180,S200000,01700,0100,N 434180,S200000,01800,0100,N 434180,S200000,02200,0100,Y 434180,S200000,02800,0100,N 434180,S200000,02900,0100,N 434180,S200000,03000,0100,N 434180,S200000,03100,0100,N 434180,S200000,03200,0100,N 434180,S200000,03300,0100,N 434180,S200000,03300,0200,N 434180,S200000,04100,0100,N 434180,S200000,04200,0100,N 434180,S200000,04300,0100,N 434180,S200000,04600,0100,N 434180,S200000,04700,0100,N 434180,S200000,04700,0200,N 434180,S200000,04900,0100,N 434180,S200000,05000,0100,N 434180,S200000,05100,0100,N 434180,S200000,05200,0100,N 434182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434182,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434182,A000000,00300,0000,0300EMPLOYEE BENEFITS 434182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434182,A000000,00700,0000,0700HOUSEKEEPING 434182,A000000,00800,0000,0800DIETARY 434182,A000000,00900,0000,0900NURSING ADMINISTRATION 434182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434182,A000000,01100,0000,1100PHARMACY 434182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434182,A000000,01300,0000,1300SOCIAL SERVICE 434182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434182,A000000,01500,0000,1350OTHER GENERAL SERVICES 434182,A000000,01600,0000,1600SKILLED NURSING FACILITY 434182,A000000,01800,0000,1800NURSING FACILITY 434182,A000000,01810,0000,1810ICF/MR 434182,A000000,01900,0000,1900OTHER LONG TERM CARE 434182,A000000,02100,0000,2100RADIOLOGY 434182,A000000,02200,0000,2200LABORATORY 434182,A000000,02300,0000,2300INTRAVENOUS THERAPY 434182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434182,A000000,02500,0000,2500PHYSICAL THERAPY 434182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434182,A000000,02700,0000,2700SPEECH PATHOLOGY 434182,A000000,02800,0000,2800ELECTROCARDIOLOGY 434182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434182,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434182,A000000,03200,0000,3200SUPPORT SURFACES 434182,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434182,A000000,03400,0000,3400CLINIC 434182,A000000,03500,0000,3500RURAL HEALTH CLINIC 434182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434182,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434182,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434182,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434182,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434182,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434182,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434182,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434182,A000000,04400,0000,4400DME RENTED - HHA 434182,A000000,04500,0000,4500DME SOLD - HHA 434182,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434182,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434182,A000000,04710,0000,4710TELEMEDICINE 434182,A000000,04800,0000,4800AMBULANCE 434182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434182,A000000,05000,0000,5000CORF 434182,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434182,A000000,05300,0000,5300INTEREST EXPENSE 434182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434182,A000000,05500,0000,5500HOSPICE 434182,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434182,A000000,06100,0000,6100NONPAID WORKERS 434182,A000000,06200,0000,6200PATIENTS LAUNDRY 434182,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434182,A81000A,00100,0100,N 434182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434182,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434182,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434182,B100000,00000,0800,0800MEALS SERVED :DIETARY 434182,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434182,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434182,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434182,G300000,02500,0000,BARBER & BEAUTY 434182,G300000,02501,0000,TRANSPORTATION 434182,G300000,02502,0000,REBATES & REFUNDS 434182,G300000,02503,0000,GAIN ON SALE OF ASSET 434182,S000000,00100,0200,02/01/13 434182,S200000,00100,0100,1350 RECHE CANYON RD 434182,S200000,00200,0100,COLTON 434182,S200000,00200,0200,CA 434182,S200000,00200,0300,92324 434182,S200000,00300,0100,SAN BERNARDINO 434182,S200000,00300,0200,6780 434182,S200000,00300,0201,40140 434182,S200000,00300,0300,U 434182,S200000,00400,0100,RECHE CANYON REHAB & HEALTHCARE 434182,S200000,00400,0200,555435 434182,S200000,00400,0300,09/24/90 434182,S200000,00400,0500,P 434182,S200000,01500,0100,Y 434182,S200000,01501,0200,Y 434182,S200000,01600,0100,N 434182,S200000,01700,0100,N 434182,S200000,01800,0100,N 434182,S200000,02200,0100,N 434182,S200000,02800,0100,N 434182,S200000,02900,0100,N 434182,S200000,03000,0100,N 434182,S200000,03100,0100,N 434182,S200000,03200,0100,N 434182,S200000,03300,0100,N 434182,S200000,03300,0200,N 434182,S200000,04100,0100,N 434182,S200000,04200,0100,N 434182,S200000,04300,0100,N 434182,S200000,04600,0100,N 434182,S200000,04700,0100,N 434182,S200000,04700,0200,N 434182,S200000,04900,0100,N 434182,S200000,05000,0100,N 434182,S200000,05100,0100,N 434182,S200000,05200,0100,N 434183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434183,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434183,A000000,00300,0000,0300EMPLOYEE BENEFITS 434183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434183,A000000,00700,0000,0700HOUSEKEEPING 434183,A000000,00800,0000,0800DIETARY 434183,A000000,00900,0000,0900NURSING ADMINISTRATION 434183,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434183,A000000,01100,0000,1100PHARMACY 434183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434183,A000000,01300,0000,1300SOCIAL SERVICE 434183,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434183,A000000,01500,0000,1350ACTIVITIES 434183,A000000,01600,0000,1600SKILLED NURSING FACILITY 434183,A000000,01800,0000,1800NURSING FACILITY 434183,A000000,01810,0000,1810ICF/MR 434183,A000000,01900,0000,1900OTHER LONG TERM CARE 434183,A000000,02100,0000,2100RADIOLOGY 434183,A000000,02200,0000,2200LABORATORY 434183,A000000,02300,0000,2300INTRAVENOUS THERAPY 434183,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434183,A000000,02500,0000,2500PHYSICAL THERAPY 434183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434183,A000000,02700,0000,2700SPEECH PATHOLOGY 434183,A000000,02800,0000,2800ELECTROCARDIOLOGY 434183,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434183,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434183,A000000,03200,0000,3200SUPPORT SURFACES 434183,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434183,A000000,03400,0000,3400CLINIC 434183,A000000,03500,0000,3500RURAL HEALTH CLINIC 434183,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434183,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434183,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434183,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434183,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434183,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434183,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434183,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434183,A000000,04400,0000,4400DME RENTED - HHA 434183,A000000,04500,0000,4500DME SOLD - HHA 434183,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434183,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434183,A000000,04710,0000,4710TELEMEDICINE 434183,A000000,04800,0000,4800AMBULANCE 434183,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434183,A000000,05000,0000,5000CORF 434183,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434183,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434183,A000000,05300,0000,5300INTEREST EXPENSE 434183,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434183,A000000,05500,0000,5500HOSPICE 434183,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434183,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434183,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434183,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434183,A000000,06100,0000,6100NONPAID WORKERS 434183,A000000,06200,0000,6200PATIENTS LAUNDRY 434183,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434183,A81000A,00100,0100,N 434183,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434183,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434183,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434183,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434183,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434183,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434183,B100000,00000,0800,0800MEALS SERVED :DIETARY 434183,B100000,00000,0900,0950DIRECT NRSING SAL :NURSING ADMIN 434183,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434183,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434183,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434183,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434183,G300000,02500,0000,SALE OF SNF FACILITY 434183,S000000,00100,0200,08/03/12 434183,S200000,00100,0100,3890 NOBEL DRIVE 434183,S200000,00200,0100,SAN DIEGO 434183,S200000,00200,0200,CA 434183,S200000,00200,0300,92122 434183,S200000,00300,0100,SAN DIEGO 434183,S200000,00300,0200,7320 434183,S200000,00300,0201,41740 434183,S200000,00300,0300,U 434183,S200000,00400,0100,FOUNTAINS AT PACIFIC REGENT-LAJOLLA 434183,S200000,00400,0200,555739 434183,S200000,00400,0300,12/14/95 434183,S200000,00400,0500,P 434183,S200000,01500,0100,Y 434183,S200000,01501,0200,N 434183,S200000,01600,0100,N 434183,S200000,01700,0100,N 434183,S200000,01800,0100,N 434183,S200000,02200,0100,N 434183,S200000,02800,0100,N 434183,S200000,02900,0100,N 434183,S200000,03000,0100,N 434183,S200000,03100,0100,N 434183,S200000,03200,0100,N 434183,S200000,03300,0100,N 434183,S200000,03300,0200,N 434183,S200000,04100,0100,N 434183,S200000,04200,0100,N 434183,S200000,04300,0100,N 434183,S200000,04600,0100,N 434183,S200000,04700,0100,N 434183,S200000,04700,0200,N 434183,S200000,04900,0100,N 434183,S200000,05000,0100,N 434183,S200000,05100,0100,N 434183,S200000,05200,0100,N 434183,S200000,05300,0100,N 434185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434185,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434185,A000000,00300,0000,0300EMPLOYEE BENEFITS 434185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434185,A000000,00700,0000,0700HOUSEKEEPING 434185,A000000,00800,0000,0800DIETARY 434185,A000000,00900,0000,0900NURSING ADMINISTRATION 434185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434185,A000000,01100,0000,1100PHARMACY 434185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434185,A000000,01300,0000,1300SOCIAL SERVICE 434185,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434185,A000000,01600,0000,1600SKILLED NURSING FACILITY 434185,A000000,01800,0000,1800NURSING FACILITY 434185,A000000,01900,0000,1900OTHER LONG TERM CARE 434185,A000000,02100,0000,2100RADIOLOGY 434185,A000000,02200,0000,2200LABORATORY 434185,A000000,02300,0000,2300INTRAVENOUS THERAPY 434185,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434185,A000000,02500,0000,2500PHYSICAL THERAPY 434185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434185,A000000,02700,0000,2700SPEECH PATHOLOGY 434185,A000000,02800,0000,2800ELECTROCARDIOLOGY 434185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434185,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434185,A000000,03200,0000,3200SUPPORT SURFACES 434185,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434185,A000000,03400,0000,3400CLINIC 434185,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434185,A000000,04800,0000,4800AMBULANCE 434185,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434185,A000000,05000,0000,5000CORF 434185,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434185,A000000,05300,0000,5300INTEREST EXPENSE 434185,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434185,A000000,05500,0000,5500HOSPICE 434185,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434185,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434185,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434185,A000000,06100,0000,6100NONPAID WORKERS 434185,A000000,06200,0000,6200PATIENTS LAUNDRY 434185,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434185,A81000A,00100,0100,Y 434185,A81000B,00100,0300,NURSING CONSULTING 434185,A81000B,00200,0300,DIETARY CONSULTING 434185,A81000B,00300,0300,HOME OFFICE 434185,A81000B,00400,0300,INTEREST EXPENSE 434185,A81000B,00500,0300,WORKERS COMP EXPENSE 434185,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 434185,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 434185,A81000B,00800,0300,PEST CONTROL 434185,A81000B,00900,0300,REPAIRS - BUILDING 434185,A81000B,01000,0300,REPAIRS - EQUIPMENT 434185,A81000B,01100,0300,LINEN & BEDDING 434185,A81000B,01200,0300,LAUNDRY SUPPLIES 434185,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434185,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 434185,A81000B,01500,0300,DIETARY SUPPLEMENTS 434185,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 434185,A81000B,01700,0300,DIETARY SUPPLIES 434185,A81000B,01800,0300,BIO-MEDICAL WASTE 434185,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 434185,A81000B,02000,0300,PERSONAL CARE SUPPLIES 434185,A81000B,02100,0300,INCONTINENCE SUPPLIES 434185,A81000B,02200,0300,MEDICAL SUPPLIES 434185,A81000B,02300,0300,MED REC SUPPLIES 434185,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 434185,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 434185,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 434185,A81000B,02700,0300,NON-LEGEND DRUGS 434185,A81000B,02800,0300,PHARMACY CONSULTANT 434185,A81000B,02900,0300,MED REC SUPPLIES 434185,A81000C,00100,0100,B 434185,A81000C,00100,0200,PLTC & PITS INC 434185,A81000C,00100,0400,PLTC & PITS INC 434185,A81000C,00100,0600,MGMT SERVICES 434185,A81000C,00200,0100,B 434185,A81000C,00200,0200,PLTC & PITS INC 434185,A81000C,00200,0400,PLTC & PITS INC 434185,A81000C,00200,0600,MGMT SERVICES 434185,A81000C,00300,0100,B 434185,A81000C,00300,0200,PLTC & PITS INC 434185,A81000C,00300,0400,PLTC & PITS INC 434185,A81000C,00300,0600,MGMT SERVICES 434185,A81000C,00400,0100,B 434185,A81000C,00400,0200,PLTC & PITS INC 434185,A81000C,00400,0400,PLTC & PITS INC 434185,A81000C,00400,0600,MGMT SERVICES 434185,A81000C,00500,0100,A 434185,A81000C,00500,0200,SHAREHOLDERS 434185,A81000C,00500,0400,DISCOVERY INSUR 434185,A81000C,00500,0600,INSURANCE 434185,A81000C,00600,0100,A 434185,A81000C,00600,0200,SHAREHOLDERS 434185,A81000C,00600,0400,QUEENSLAND ASSU 434185,A81000C,00600,0600,INSURANCE 434185,A81000C,00700,0100,A 434185,A81000C,00700,0200,SHAREHOLDERS 434185,A81000C,00700,0400,KARE MEDICAL 434185,A81000C,00700,0600,WHOLESALE SUPPL 434185,A81000C,00800,0100,A 434185,A81000C,00800,0200,SHAREHOLDERS 434185,A81000C,00800,0400,KARE MEDICAL 434185,A81000C,00800,0600,WHOLESALE SUPPL 434185,A81000C,00900,0100,A 434185,A81000C,00900,0200,SHAREHOLDERS 434185,A81000C,00900,0400,KARE MEDICAL 434185,A81000C,00900,0600,WHOLESALE SUPPL 434185,A81000C,01000,0100,A 434185,A81000C,01000,0200,SHAREHOLDERS 434185,A81000C,01000,0400,KARE MEDICAL 434185,A81000C,01000,0600,WHOLESALE SUPPL 434185,A81000C,01001,0100,A 434185,A81000C,01001,0200,SHAREHOLDERS 434185,A81000C,01001,0400,KARE MEDICAL 434185,A81000C,01001,0600,WHOLESALE SUPPL 434185,A81000C,01002,0100,A 434185,A81000C,01002,0200,SHAREHOLDERS 434185,A81000C,01002,0400,KARE MEDICAL 434185,A81000C,01002,0600,WHOLESALE SUPPL 434185,A81000C,01003,0100,A 434185,A81000C,01003,0200,SHAREHOLDERS 434185,A81000C,01003,0400,KARE MEDICAL 434185,A81000C,01003,0600,WHOLESALE SUPPL 434185,A81000C,01004,0100,A 434185,A81000C,01004,0200,SHAREHOLDERS 434185,A81000C,01004,0400,KARE MEDICAL 434185,A81000C,01004,0600,WHOLESALE SUPPL 434185,A81000C,01005,0100,A 434185,A81000C,01005,0200,SHAREHOLDERS 434185,A81000C,01005,0400,KARE MEDICAL 434185,A81000C,01005,0600,WHOLESALE SUPPL 434185,A81000C,01006,0100,A 434185,A81000C,01006,0200,SHAREHOLDERS 434185,A81000C,01006,0400,KARE MEDICAL 434185,A81000C,01006,0600,WHOLESALE SUPPL 434185,A81000C,01007,0100,A 434185,A81000C,01007,0200,SHAREHOLDERS 434185,A81000C,01007,0400,KARE MEDICAL 434185,A81000C,01007,0600,WHOLESALE SUPPL 434185,A81000C,01008,0100,A 434185,A81000C,01008,0200,SHAREHOLDERS 434185,A81000C,01008,0400,KARE MEDICAL 434185,A81000C,01008,0600,WHOLESALE SUPPL 434185,A81000C,01009,0100,A 434185,A81000C,01009,0200,SHAREHOLDERS 434185,A81000C,01009,0400,KARE MEDICAL 434185,A81000C,01009,0600,WHOLESALE SUPPL 434185,A81000C,01010,0100,A 434185,A81000C,01010,0200,SHAREHOLDERS 434185,A81000C,01010,0400,KARE MEDICAL 434185,A81000C,01010,0600,WHOLESALE SUPPL 434185,A81000C,01011,0100,A 434185,A81000C,01011,0200,SHAREHOLDERS 434185,A81000C,01011,0400,KARE MEDICAL 434185,A81000C,01011,0600,WHOLESALE SUPPL 434185,A81000C,01012,0100,A 434185,A81000C,01012,0200,SHAREHOLDERS 434185,A81000C,01012,0400,KARE MEDICAL 434185,A81000C,01012,0600,WHOLESALE SUPPL 434185,A81000C,01013,0100,A 434185,A81000C,01013,0200,SHAREHOLDERS 434185,A81000C,01013,0400,KARE MEDICAL 434185,A81000C,01013,0600,WHOLESALE SUPPL 434185,A81000C,01014,0100,A 434185,A81000C,01014,0200,SHAREHOLDERS 434185,A81000C,01014,0400,KARE MEDICAL 434185,A81000C,01014,0600,WHOLESALE SUPPL 434185,A81000C,01015,0100,A 434185,A81000C,01015,0200,SHAREHOLDERS 434185,A81000C,01015,0400,KARE MEDICAL 434185,A81000C,01015,0600,WHOLESALE SUPPL 434185,A81000C,01016,0100,A 434185,A81000C,01016,0200,SHAREHOLDERS 434185,A81000C,01016,0400,PHARMSAVE 434185,A81000C,01016,0600,RX SUPPLY 434185,A81000C,01017,0100,A 434185,A81000C,01017,0200,SHAREHOLDERS 434185,A81000C,01017,0400,PHARMSAVE 434185,A81000C,01017,0600,RX SUPPLY 434185,A81000C,01018,0100,A 434185,A81000C,01018,0200,SHAREHOLDERS 434185,A81000C,01018,0400,PHARMSAVE 434185,A81000C,01018,0600,RX SUPPLY 434185,A81000C,01019,0100,A 434185,A81000C,01019,0200,SHAREHOLDERS 434185,A81000C,01019,0400,PHARMSAVE 434185,A81000C,01019,0600,RX SUPPLY 434185,A81000C,01020,0100,A 434185,A81000C,01020,0200,SHAREHOLDERS 434185,A81000C,01020,0400,PHARMSAVE 434185,A81000C,01020,0600,RX SUPPLY 434185,A81000C,01021,0100,A 434185,A81000C,01021,0200,SHAREHOLDERS 434185,A81000C,01021,0400,ROBERT HILL CON 434185,A81000C,01021,0600,CONSTRUCTION 434185,A81000C,01022,0100,A 434185,A81000C,01022,0200,SHAREHOLDERS 434185,A81000C,01022,0400,BRITTHAVEN INC 434185,A81000C,01022,0600,REAL ESTATE 434185,A81000C,01023,0100,A 434185,A81000C,01023,0200,SHAREHOLDERS 434185,A81000C,01023,0400,BRITTHAVEN INC 434185,A81000C,01023,0600,REAL ESTATE 434185,A81000C,01024,0100,A 434185,A81000C,01024,0200,SHAREHOLDERS 434185,A81000C,01024,0400,BRITTHAVEN INC 434185,A81000C,01024,0600,REAL ESTATE 434185,A81000C,01025,0100,A 434185,A81000C,01025,0200,SHAREHOLDERS 434185,A81000C,01025,0400,BRITTHAVEN INC 434185,A81000C,01025,0600,REAL ESTATE 434185,A81000C,01026,0100,A 434185,A81000C,01026,0200,SHAREHOLDERS 434185,A81000C,01026,0400,BRITTHAVEN INC 434185,A81000C,01026,0600,REAL ESTATE 434185,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434185,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434185,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434185,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434185,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434185,B100000,00000,0800,0800MEALS SERVED :DIETARY 434185,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434185,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434185,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434185,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434185,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434185,E10A180,00501,0100,05/21/12 434185,G300000,02500,0000, OTHER (SPECIFY) 434185,S000000,00100,0200,02/29/12 434185,S200000,00100,0100,33426 OLD SALISBURY ROAD 434185,S200000,00200,0100,ALBEMARLE 434185,S200000,00200,0200,NC 434185,S200000,00200,0300,28002 434185,S200000,00300,0100,STANLY 434185,S200000,00300,0201,99934 434185,S200000,00300,0300,R 434185,S200000,00400,0100,BETHANY WOODS NURSING & REHAB CENTER 434185,S200000,00400,0200,345146 434185,S200000,00400,0300,01/01/11 434185,S200000,00400,0500,P 434185,S200000,01500,0100,N 434185,S200000,01501,0200,Y 434185,S200000,01502,0200,Y 434185,S200000,01503,0200,Y 434185,S200000,01504,0200,Y 434185,S200000,01505,0000,OTHER (SPECIFY) 434185,S200000,01505,0200,Y 434185,S200000,01600,0100,Y 434185,S200000,01700,0100,N 434185,S200000,01800,0100,N 434185,S200000,02200,0100,N 434185,S200000,02800,0100,N 434185,S200000,02900,0100,N 434185,S200000,03000,0100,N 434185,S200000,03100,0100,N 434185,S200000,03200,0100,N 434185,S200000,03300,0100,N 434185,S200000,03300,0200,N 434185,S200000,04100,0100,N 434185,S200000,04200,0100,N 434185,S200000,04300,0100,N 434185,S200000,04600,0100,N 434185,S200000,04700,0100,N 434185,S200000,04700,0200,N 434185,S200000,04900,0100,N 434185,S200000,05000,0100,N 434185,S200000,05100,0100,N 434185,S200000,05200,0100,N 434185,S200000,05300,0100,Y 434185,S200000,05300,0200,349011 434185,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434185,S200000,05400,0200,PALMETTO GBA 434185,S200000,05400,0300,11501 434185,S200000,05500,0100,1435 HWY 258 NORTH 434185,S200000,05600,0100,KINSTON 434185,S200000,05600,0200,NC 434185,S200000,05600,0300,28502 434187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434187,A000000,00300,0000,0300EMPLOYEE BENEFITS 434187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434187,A000000,00700,0000,0700HOUSEKEEPING 434187,A000000,00800,0000,0800DIETARY 434187,A000000,00900,0000,0900NURSING ADMINISTRATION 434187,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434187,A000000,01100,0000,1100PHARMACY 434187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434187,A000000,01300,0000,1300SOCIAL SERVICE 434187,A000000,01500,0000,1350PATIENT ACTIVITIES 434187,A000000,01600,0000,1600SKILLED NURSING FACILITY 434187,A000000,01900,0000,1900OTHER LONG TERM CARE 434187,A000000,02100,0000,2100RADIOLOGY 434187,A000000,02200,0000,2200LABORATORY 434187,A000000,02300,0000,2300INTRAVENOUS THERAPY 434187,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434187,A000000,02500,0000,2500PHYSICAL THERAPY 434187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434187,A000000,02700,0000,2700SPEECH PATHOLOGY 434187,A000000,02800,0000,2800ELECTROCARDIOLOGY 434187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434187,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434187,A000000,03200,0000,3200SUPPORT SURFACES 434187,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434187,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434187,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434187,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434187,A000000,06100,0000,6100NONPAID WORKERS 434187,A000000,06200,0000,6200PATIENTS LAUNDRY 434187,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434187,A81000A,00100,0100,Y 434187,A81000B,00100,0300,HOME OFFICE 434187,A81000B,00200,0300,HOME OFFICE CAPITAL 434187,A81000C,00100,0100,B 434187,A81000C,00100,0200,CROASDAILE VILLAGE 434187,A81000C,00100,0400,UMRH 434187,A81000C,00100,0600,HOME OFFICE 434187,A81000C,00200,0100,B 434187,A81000C,00200,0200,CROASDAILE VILLAGE 434187,A81000C,00200,0400,UMRH 434187,A81000C,00200,0600,HOME OFFICE 434187,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434187,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434187,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434187,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434187,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 434187,B100000,00000,0700,0750PRO-RATED SQ. FTG. :HOUSEKEEPING 434187,B100000,00000,0800,0800MEALS SERVED :DIETARY 434187,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434187,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434187,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434187,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434187,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434187,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434187,E10A180,00501,0100,04/27/12 434187,G300000,02500,0000,PERSONAL PURCHASES 434187,G300000,02501,0000,OTHER INCOME 434187,S000000,00100,0200,02/09/12 434187,S200000,00100,0100,2600 CROASDAILE FARM PARKWAY 434187,S200000,00200,0100,DURHAM 434187,S200000,00200,0200,NC 434187,S200000,00200,0300,27705 434187,S200000,00300,0100,DURHAM 434187,S200000,00300,0200,6640 434187,S200000,00300,0201,20500 434187,S200000,00300,0300,U 434187,S200000,00400,0100,CROASDAILE VILLAGE 434187,S200000,00400,0200,345501 434187,S200000,00400,0300,03/24/00 434187,S200000,00400,0500,P 434187,S200000,01500,0100,N 434187,S200000,01501,0200,N 434187,S200000,01502,0200,N 434187,S200000,01503,0200,Y 434187,S200000,01504,0200,N 434187,S200000,01505,0000,OTHER 434187,S200000,01505,0200,Y 434187,S200000,01600,0100,Y 434187,S200000,01700,0100,N 434187,S200000,01800,0100,N 434187,S200000,02200,0100,N 434187,S200000,02800,0100,N 434187,S200000,02900,0100,N 434187,S200000,03000,0100,N 434187,S200000,03100,0100,N 434187,S200000,03200,0100,N 434187,S200000,03300,0100,N 434187,S200000,03300,0200,N 434187,S200000,04100,0100,N 434187,S200000,04200,0100,N 434187,S200000,04300,0100,N 434187,S200000,04600,0100,N 434187,S200000,04700,0100,N 434187,S200000,04700,0200,N 434187,S200000,04900,0100,N 434187,S200000,05000,0100,N 434187,S200000,05100,0100,N 434187,S200000,05200,0100,N 434189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434189,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434189,A000000,00300,0000,0300EMPLOYEE BENEFITS 434189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434189,A000000,00700,0000,0700HOUSEKEEPING 434189,A000000,00800,0000,0800DIETARY 434189,A000000,00900,0000,0900NURSING ADMINISTRATION 434189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434189,A000000,01100,0000,1100PHARMACY 434189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434189,A000000,01300,0000,1300SOCIAL SERVICE 434189,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434189,A000000,01600,0000,1600SKILLED NURSING FACILITY 434189,A000000,01810,0000,1810ICF/MR 434189,A000000,02100,0000,2100RADIOLOGY 434189,A000000,02200,0000,2200LABORATORY 434189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434189,A000000,02500,0000,2500PHYSICAL THERAPY 434189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434189,A000000,02700,0000,2700SPEECH PATHOLOGY 434189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434189,A000000,03550,0000,3550FQHC 434189,A000000,04800,0000,4800AMBULANCE 434189,A000000,05000,0000,5000CORF 434189,A000000,05010,0000,5010CMHC 434189,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434189,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434189,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434189,A000000,05300,0000,5300INTEREST EXPENSE 434189,A81000A,00100,0100,Y 434189,A81000B,00100,0300,MANAGEMENT FEES 434189,A81000B,00200,0300,HO NEW CAP REL COSTS 434189,A81000B,00300,0300,HO NEW CAP REL COSTS 434189,A81000B,00400,0300,INTEREST INCOME 434189,A81000B,00500,0300,HO COST PROP CO 434189,A81000B,00600,0300,HO COST PROP CO 434189,A81000B,00700,0300,HO COST PROP CO 434189,A81000B,00800,0300,INTEREST INCOME 434189,A81000B,00900,0300,HO MAINTENANCE ALLOC 434189,A81000B,01000,0300,LAUNDRY ALLOCATION 434189,A81000B,01100,0300,OAKHAVEN DIETARY 434189,A81000B,01200,0300,ENTERALS FORMULA 434189,A81000B,01300,0300,ENTERALS SUPPLIES 434189,A81000B,01400,0300,PHARMACY 434189,A81000B,01500,0300,PHARMACY CONSULTANT 434189,A81000B,01600,0300,OTC DRUGS 434189,A81000B,01700,0300,CNA TRAINING COSTS 434189,A81000B,01800,0300,RENT 434189,A81000B,01900,0300,QA/RISK MGMT COSTS 434189,A81000B,02000,0300,ADMISSIONS COSTS 434189,A81000B,02100,0300,PATIENT ACCT COSTS 434189,A81000B,02200,0300,FLU VACCINE 434189,A81000B,02300,0300,EMPLOYEE VACCINE 434189,A81000B,02400,0300,M/S SALARY & BENEFIT 434189,A81000B,02500,0300,M/S SALARY & BENEFIT 434189,A81000B,02600,0300,CSA COSTS 434189,A81000B,02700,0300,LIFE ENHANCE COSTS 434189,A81000C,00100,0100,B 434189,A81000C,00100,0200,WILSON SENIOR C 434189,A81000C,00100,0400,WILSON SENIOR C 434189,A81000C,00100,0600,MANAGEMENT H.O. 434189,A81000C,00200,0100,B 434189,A81000C,00200,0200,WILSON SENIOR C 434189,A81000C,00200,0400,WILSON SENIOR C 434189,A81000C,00200,0600,MANAGEMENT H.O. 434189,A81000C,00300,0100,B 434189,A81000C,00300,0200,WILSON SENIOR C 434189,A81000C,00300,0400,WILSON SENIOR C 434189,A81000C,00300,0600,MANAGEMENT H.O. 434189,A81000C,00400,0100,B 434189,A81000C,00400,0200,WILSON SENIOR C 434189,A81000C,00400,0400,WILSON SENIOR C 434189,A81000C,00400,0600,MANAGEMENT H.O. 434189,A81000C,00500,0100,B 434189,A81000C,00500,0200,WILSON SENIOR C 434189,A81000C,00500,0400,OAKHAVEN PROPER 434189,A81000C,00500,0600,PROPERTY COMPAN 434189,A81000C,00600,0100,B 434189,A81000C,00600,0200,WILSON SENIOR C 434189,A81000C,00600,0400,OAKHAVEN PROPER 434189,A81000C,00600,0600,PROPERTY COMPAN 434189,A81000C,00700,0100,B 434189,A81000C,00700,0200,WILSON SENIOR C 434189,A81000C,00700,0400,OAKHAVEN PROPER 434189,A81000C,00700,0600,PROPERTY COMPAN 434189,A81000C,00800,0100,B 434189,A81000C,00800,0200,WILSON SENIOR C 434189,A81000C,00800,0400,OAKHAVEN PROPER 434189,A81000C,00800,0600,PROPERTY COMPAN 434189,A81000C,00900,0100,B 434189,A81000C,00900,0200,WILSON SENIOR C 434189,A81000C,00900,0400,WILSON SENIOR C 434189,A81000C,00900,0600,MANAGEMENT H.O. 434189,A81000C,01000,0100,B 434189,A81000C,01000,0200,WILSON SENIOR C 434189,A81000C,01000,0400,MEDFORD 434189,A81000C,01000,0600,FACILITY 434189,A81000C,01001,0100,B 434189,A81000C,01001,0200,WILSON SENIOR C 434189,A81000C,01001,0400,MEDFORD 434189,A81000C,01001,0600,FACILITY 434189,A81000C,01002,0100,B 434189,A81000C,01002,0200,WILSON SENIOR C 434189,A81000C,01002,0400,MED-CENTER 434189,A81000C,01002,0600,PHARMACY 434189,A81000C,01003,0100,B 434189,A81000C,01003,0200,WILSON SENIOR C 434189,A81000C,01003,0400,MED-CENTER 434189,A81000C,01003,0600,PHARMACY 434189,A81000C,01004,0100,B 434189,A81000C,01004,0200,WILSON SENIOR C 434189,A81000C,01004,0400,MED-CENTER 434189,A81000C,01004,0600,PHARMACY 434189,A81000C,01005,0100,B 434189,A81000C,01005,0200,WILSON SENIOR C 434189,A81000C,01005,0400,MED-CENTER 434189,A81000C,01005,0600,PHARMACY 434189,A81000C,01006,0100,B 434189,A81000C,01006,0200,WILSON SENIOR C 434189,A81000C,01006,0400,MED-CENTER 434189,A81000C,01006,0600,PHARMACY 434189,A81000C,01007,0100,B 434189,A81000C,01007,0200,WILSON SENIOR C 434189,A81000C,01007,0400,MORRELL 434189,A81000C,01007,0600,FACILITY 434189,A81000C,01008,0100,B 434189,A81000C,01008,0200,WILSON SENIOR C 434189,A81000C,01008,0400,OAKHAVEN PROPER 434189,A81000C,01008,0600,PROPERTY COMPAN 434189,A81000C,01009,0100,B 434189,A81000C,01009,0200,WILSON SENIOR C 434189,A81000C,01009,0400,MORRELL 434189,A81000C,01009,0600,FACILITY 434189,A81000C,01010,0100,B 434189,A81000C,01010,0200,WILSON SENIOR C 434189,A81000C,01010,0400,MORRELL 434189,A81000C,01010,0600,FACILITY 434189,A81000C,01011,0100,B 434189,A81000C,01011,0200,WILSON SENIOR C 434189,A81000C,01011,0400,MEDFORD 434189,A81000C,01011,0600,FACILITY 434189,A81000C,01012,0100,B 434189,A81000C,01012,0200,WILSON SENIOR C 434189,A81000C,01012,0400,MED-CENTER 434189,A81000C,01012,0600,PHARMACY 434189,A81000C,01013,0100,B 434189,A81000C,01013,0200,WILSON SENIOR C 434189,A81000C,01013,0400,MED-CENTER 434189,A81000C,01013,0600,PHARMACY 434189,A81000C,01014,0100,B 434189,A81000C,01014,0200,WILSON SENIOR C 434189,A81000C,01014,0400,MED-CENTER 434189,A81000C,01014,0600,PHARMACY 434189,A81000C,01015,0100,B 434189,A81000C,01015,0200,WILSON SENIOR C 434189,A81000C,01015,0400,WILSON SENIOR C 434189,A81000C,01015,0600,MANAGEMENT H.O. 434189,A81000C,01016,0100,B 434189,A81000C,01016,0200,WILSON SENIOR C 434189,A81000C,01016,0400,MORRELL 434189,A81000C,01016,0600,FACILITY 434189,A81000C,01017,0100,B 434189,A81000C,01017,0200,WILSON SENIOR C 434189,A81000C,01017,0400,MORRELL 434189,A81000C,01017,0600,FACILITY 434189,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434189,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434189,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434189,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434189,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434189,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434189,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434189,B100000,00000,0800,0800MEALS SERVED :DIETARY 434189,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434189,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434189,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434189,G300000,02500,0000,POSTAGE 434189,G300000,02501,0000,SERVICE CHARGES 434189,S000000,00100,0200,02/29/12 434189,S200000,00100,0100,123 OAK STREET 434189,S200000,00100,0300,516 434189,S200000,00200,0100,DARLINGTON 434189,S200000,00200,0200,SC 434189,S200000,00200,0300,29532 434189,S200000,00300,0100,DARLINGTON 434189,S200000,00300,0201,00000 434189,S200000,00300,0300,R 434189,S200000,00400,0100,OAKHAVEN INC. 434189,S200000,00400,0200,425064 434189,S200000,00400,0300,10/01/95 434189,S200000,00400,0500,P 434189,S200000,01500,0100,Y 434189,S200000,01501,0200,Y 434189,S200000,01502,0200,Y 434189,S200000,01503,0200,N 434189,S200000,01504,0200,Y 434189,S200000,01600,0100,N 434189,S200000,01700,0100,N 434189,S200000,01800,0100,N 434189,S200000,02200,0100,Y 434189,S200000,02800,0100,N 434189,S200000,02900,0100,N 434189,S200000,03000,0100,N 434189,S200000,03100,0100,N 434189,S200000,03200,0100,N 434189,S200000,03300,0100,N 434189,S200000,03300,0200,N 434189,S200000,04100,0100,N 434189,S200000,04200,0100,N 434189,S200000,04300,0100,N 434189,S200000,04600,0100,N 434189,S200000,04700,0100,N 434189,S200000,04700,0200,N 434189,S200000,04900,0100,N 434189,S200000,05000,0100,N 434189,S200000,05100,0100,N 434189,S200000,05200,0100,N 434189,S200000,05300,0100,Y 434189,S200000,05300,0200,42H051 434189,S200000,05400,0100,WILSON SENIOR CARE INC. 434189,S200000,05400,0200,PALMETTO GBA 434189,S200000,05400,0300,00380 434189,S200000,05500,0100,116 CASHUA DRIVE 434189,S200000,05600,0100,DARLINGTON 434189,S200000,05600,0200,SC 434189,S200000,05600,0300,29532 434191,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434191,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434191,A000000,00300,0000,0300EMPLOYEE BENEFITS 434191,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434191,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434191,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434191,A000000,00700,0000,0700HOUSEKEEPING 434191,A000000,00800,0000,0800DIETARY 434191,A000000,00900,0000,0900NURSING ADMINISTRATION 434191,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434191,A000000,01100,0000,1100PHARMACY 434191,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434191,A000000,01300,0000,1300SOCIAL SERVICE 434191,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434191,A000000,01500,0000,1350ACTIVITIES 434191,A000000,01600,0000,1600SKILLED NURSING FACILITY 434191,A000000,01800,0000,1800NURSING FACILITY 434191,A000000,01810,0000,1810ICF/MR 434191,A000000,01900,0000,1900OTHER LONG TERM CARE 434191,A000000,02100,0000,2100RADIOLOGY 434191,A000000,02200,0000,2200LABORATORY 434191,A000000,02300,0000,2300INTRAVENOUS THERAPY 434191,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434191,A000000,02500,0000,2500PHYSICAL THERAPY 434191,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434191,A000000,02700,0000,2700SPEECH PATHOLOGY 434191,A000000,02800,0000,2800ELECTROCARDIOLOGY 434191,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434191,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434191,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434191,A000000,03200,0000,3200SUPPORT SURFACES 434191,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434191,A000000,03400,0000,3400CLINIC 434191,A000000,03500,0000,3500RURAL HEALTH CLINIC 434191,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434191,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434191,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434191,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434191,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434191,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434191,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434191,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434191,A000000,04400,0000,4400DME RENTED - HHA 434191,A000000,04500,0000,4500DME SOLD - HHA 434191,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434191,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434191,A000000,04710,0000,4710TELEMEDICINE 434191,A000000,04800,0000,4800AMBULANCE 434191,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434191,A000000,05000,0000,5000CORF 434191,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434191,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434191,A000000,05300,0000,5300INTEREST EXPENSE 434191,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434191,A000000,05500,0000,5500HOSPICE 434191,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434191,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434191,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434191,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434191,A000000,06100,0000,6100NONPAID WORKERS 434191,A000000,06200,0000,6200PATIENTS LAUNDRY 434191,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434191,A81000A,00100,0100,Y 434191,A81000B,00100,0300,RENT EXPENSE 434191,A81000B,00200,0300,HOME OFFICE ALLOCATION 434191,A81000B,00300,0300,MANAGEMENT FEE 434191,A81000B,00400,0300,DATA PROCESSING FEE 434191,A81000B,00500,0300,HOME OFFICE ALLOCATION 434191,A81000B,00600,0300,LAUNDRY EXPENSE 434191,A81000B,00700,0300,HOME OFFICE ALLOCATION 434191,A81000C,00100,0100,B 434191,A81000C,00100,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00100,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00100,0600,NURSING HOME SERVICES 434191,A81000C,00200,0100,B 434191,A81000C,00200,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00200,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00200,0600,NURSING HOME SERVICES 434191,A81000C,00300,0100,B 434191,A81000C,00300,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00300,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00300,0600,NURSING HOME SERVICES 434191,A81000C,00400,0100,B 434191,A81000C,00400,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00400,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00400,0600,NURSING HOME SERVICES 434191,A81000C,00500,0100,B 434191,A81000C,00500,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00500,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00500,0600,NURSING HOME SERVICES 434191,A81000C,00600,0100,B 434191,A81000C,00600,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00600,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00600,0600,NURSING HOME SERVICES 434191,A81000C,00700,0100,B 434191,A81000C,00700,0200,SUNSET HARBOR & LWB INC. 434191,A81000C,00700,0400,SUNSET HARBOR & LWB INC. 434191,A81000C,00700,0600,NURSING HOME SERVICES 434191,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434191,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434191,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434191,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434191,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434191,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434191,B100000,00000,0800,0800MEALS SERVED :DIETARY 434191,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434191,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434191,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434191,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434191,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434191,E10A180,00501,0100,05/08/12 434191,E10A180,00501,0300,05/08/12 434191,G300000,02500,0000,OTHER REVENUE 434191,S000000,00100,0200,03/29/12 434191,S200000,00100,0100,3300 POPLAR STREET 434191,S200000,00200,0100,TERRE HAUTE 434191,S200000,00200,0200,IN 434191,S200000,00200,0300,47803 434191,S200000,00300,0100,VIGO 434191,S200000,00300,0201,45460 434191,S200000,00300,0300,U 434191,S200000,00400,0100,MEADOWS MANOR INC. 434191,S200000,00400,0200,155358 434191,S200000,00400,0300,05/15/90 434191,S200000,00400,0500,P 434191,S200000,01500,0100,Y 434191,S200000,01501,0200,Y 434191,S200000,01502,0200,Y 434191,S200000,01503,0200,Y 434191,S200000,01504,0200,Y 434191,S200000,01600,0100,N 434191,S200000,01700,0100,N 434191,S200000,01800,0100,N 434191,S200000,02200,0100,Y 434191,S200000,02800,0100,N 434191,S200000,02900,0100,N 434191,S200000,03000,0100,N 434191,S200000,03100,0100,N 434191,S200000,03200,0100,N 434191,S200000,03300,0100,N 434191,S200000,03300,0200,N 434191,S200000,04100,0100,N 434191,S200000,04200,0100,N 434191,S200000,04300,0100,N 434191,S200000,04600,0100,N 434191,S200000,04700,0100,N 434191,S200000,04700,0200,N 434191,S200000,04900,0100,N 434191,S200000,05000,0100,N 434191,S200000,05100,0100,N 434191,S200000,05200,0100,N 434191,S200000,05300,0100,Y 434191,S200000,05300,0200,15H011 434191,S200000,05400,0100,SUNSET HARBOR INC 434191,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 434191,S200000,05400,0300,00130 434191,S200000,05500,0100,19 SOUTH SIXTH STREET SUITE 101 434191,S200000,05600,0100,TERRE HAUTE 434191,S200000,05600,0200,IN 434191,S200000,05600,0300,47807 434192,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434192,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434192,A000000,00300,0000,0300EMPLOYEE BENEFITS 434192,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434192,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434192,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434192,A000000,00700,0000,0700HOUSEKEEPING 434192,A000000,00800,0000,0800DIETARY 434192,A000000,00900,0000,0900NURSING ADMINISTRATION 434192,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434192,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434192,A000000,01300,0000,1300SOCIAL SERVICE 434192,A000000,01500,0000,1350ACTIVITIES-SNF 434192,A000000,01501,0000,1351TRANSPORT 434192,A000000,01502,0000,1352RES SVCS & CAMPUS PROGRAM 434192,A000000,01600,0000,1600SKILLED NURSING FACILITY 434192,A000000,01800,0000,1800NURSING FACILITY 434192,A000000,01810,0000,1810ICF/MR 434192,A000000,01900,0000,1900OTHER LONG TERM CARE 434192,A000000,02100,0000,2100RADIOLOGY 434192,A000000,02200,0000,2200LABORATORY 434192,A000000,02300,0000,2300INTRAVENOUS THERAPY 434192,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434192,A000000,02500,0000,2500PHYSICAL THERAPY 434192,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434192,A000000,02700,0000,2700SPEECH PATHOLOGY 434192,A000000,02800,0000,2800ELECTROCARDIOLOGY 434192,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434192,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434192,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434192,A000000,03200,0000,3200SUPPORT SURFACES 434192,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434192,A000000,03400,0000,3400CLINIC 434192,A000000,03500,0000,3500RURAL HEALTH CLINIC 434192,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434192,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434192,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434192,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434192,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434192,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434192,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434192,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434192,A000000,04400,0000,4400DME RENTED - HHA 434192,A000000,04500,0000,4500DME SOLD - HHA 434192,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434192,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434192,A000000,04710,0000,4710TELEMEDICINE 434192,A000000,04800,0000,4800AMBULANCE 434192,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434192,A000000,05000,0000,5000CORF 434192,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434192,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434192,A000000,05300,0000,5300INTEREST EXPENSE 434192,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434192,A000000,05500,0000,5500HOSPICE 434192,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434192,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434192,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434192,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434192,A000000,06100,0000,6100NONPAID WORKERS 434192,A000000,06200,0000,6200PATIENTS LAUNDRY 434192,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434192,A000000,06301,0000,6151ASSISTED LIVING 434192,A000000,06302,0000,6152RESIDENTIAL 434192,A000000,06303,0000,6153WELLNESS 434192,A000000,06304,0000,6154OUTREACH 434192,A000000,06305,0000,6155SPECIAL CARE UNIT 434192,A81000A,00100,0100,Y 434192,A81000B,00100,0300,HOME OFFICE - MGT FEES 434192,A81000B,00200,0300,HOME OFFICE - CAP BLDG 434192,A81000B,00300,0300,HOME OFFICE - CAP INT. EXP. 434192,A81000B,00400,0300,HOME OFFICE - MOVEABLE EQUIP 434192,A81000B,00500,0300,SENIORITY - MKTING/SALES 434192,A81000C,00100,0100,B 434192,A81000C,00100,0400,ABHOW 434192,A81000C,00100,0600,MGT SERVICES 434192,A81000C,00200,0100,B 434192,A81000C,00200,0400,SENIORITY 434192,A81000C,00200,0600,MKTG/SALES 434192,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434192,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434192,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434192,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434192,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434192,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434192,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434192,B100000,00000,0800,0800MEALS SERVED :DIETARY 434192,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434192,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 434192,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 434192,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434192,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES-SNF 434192,B100000,00000,1501,1351PATIENT DAYS :TRANSPORT 434192,B100000,00000,1502,1352PATIENT DAYS :RES SVCS & CAMPUS 434192,E10A180,00301,0100,09/30/11 434192,E10A180,00550,0100,04/18/12 434192,G300000,02500,0000,OTHER (SPECIFY) 434192,S000000,00100,0200,03/01/12 434192,S200000,00100,0100,23600 MARINE VIEW DRIVE 434192,S200000,00200,0100,DES MOINES 434192,S200000,00200,0200,WA 434192,S200000,00200,0300,98198 434192,S200000,00300,0100,KING 434192,S200000,00300,0200,7600 434192,S200000,00300,0201,42644 434192,S200000,00300,0300,U 434192,S200000,00400,0100,JUDSON PARK 434192,S200000,00400,0200,505455 434192,S200000,00400,0300,01/01/92 434192,S200000,00400,0500,P 434192,S200000,01500,0100,Y 434192,S200000,01600,0100,N 434192,S200000,01700,0100,N 434192,S200000,01800,0100,N 434192,S200000,02200,0100,N 434192,S200000,02800,0100,N 434192,S200000,02900,0100,N 434192,S200000,03000,0100,N 434192,S200000,03100,0100,N 434192,S200000,03200,0100,N 434192,S200000,03300,0100,N 434192,S200000,03300,0200,N 434192,S200000,04100,0100,N 434192,S200000,04200,0100,N 434192,S200000,04300,0100,N 434192,S200000,04600,0100,N 434192,S200000,04700,0100,N 434192,S200000,04700,0200,N 434192,S200000,04900,0100,N 434192,S200000,05000,0100,N 434192,S200000,05100,0100,N 434192,S200000,05200,0100,N 434192,S200000,05300,0100,Y 434192,S200000,05300,0200,559012 434192,S200000,05400,0100,ABHOW 434192,S200000,05400,0200,WPS 434192,S200000,05400,0300, 00N/A 434192,S200000,05500,0100,6120 STONERIDGE MALL ROAD 434192,S200000,05500,0200,3RD FLOOR 434192,S200000,05600,0100,PLEASANTON 434192,S200000,05600,0200,CA 434192,S200000,05600,0300,94588 434193,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434193,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434193,A000000,00300,0000,0300EMPLOYEE BENEFITS 434193,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434193,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434193,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434193,A000000,00700,0000,0700HOUSEKEEPING 434193,A000000,00800,0000,0800DIETARY 434193,A000000,00900,0000,0900NURSING ADMINISTRATION 434193,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434193,A000000,01100,0000,1100PHARMACY 434193,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434193,A000000,01300,0000,1300SOCIAL SERVICE 434193,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434193,A000000,01600,0000,1600SKILLED NURSING FACILITY 434193,A000000,01810,0000,1810ICF/MR 434193,A000000,01900,0000,1900OTHER LONG TERM CARE 434193,A000000,02100,0000,2100RADIOLOGY 434193,A000000,02200,0000,2200LABORATORY 434193,A000000,02500,0000,2500PHYSICAL THERAPY 434193,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434193,A000000,02700,0000,2700SPEECH PATHOLOGY 434193,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434193,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434193,A000000,03300,0000,3050TRANSPORTATION 434193,A000000,03550,0000,3550FQHC 434193,A000000,04800,0000,4800AMBULANCE 434193,A000000,05000,0000,5000CORF 434193,A000000,05010,0000,5010CMHC 434193,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434193,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434193,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434193,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434193,A81000A,00100,0100,Y 434193,A81000B,00100,0300,MANAGEMENT FEES 434193,A81000B,00200,0300,LEASE 434193,A81000C,00100,0100,A 434193,A81000C,00100,0200,CAMPBELL/MILLER 434193,A81000C,00100,0400,HEDGEHOG HEALTH 434193,A81000C,00100,0600,MANAGEMENT COMP 434193,A81000C,00200,0100,A 434193,A81000C,00200,0200,R & W MILLER 434193,A81000C,00200,0400,BRUNSWICK COVE 434193,A81000C,00200,0600,REAL ESTATE 434193,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434193,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434193,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434193,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434193,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434193,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434193,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434193,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434193,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434193,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434193,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434193,E10A180,00501,0100,04/26/12 434193,G300000,02500,0000,MISCELLANEOUS INCOME 434193,G300000,02501,0000,CONTRACTUAL ALLOWANCE 434193,S000000,00100,0200,02/13/12 434193,S200000,00100,0100,1478 RIVER ROAD 434193,S200000,00200,0100,WINNABOW 434193,S200000,00200,0200,NC 434193,S200000,00200,0300,28479 434193,S200000,00300,0100,BRUNSWICK 434193,S200000,00300,0201,48900 434193,S200000,00300,0300,R 434193,S200000,00400,0100,BRUNSWICK COVE LIVING CENTER LLC 434193,S200000,00400,0200,345318 434193,S200000,00400,0300,07/01/07 434193,S200000,00400,0500,P 434193,S200000,01500,0100,Y 434193,S200000,01501,0200,N 434193,S200000,01502,0200,N 434193,S200000,01504,0200,N 434193,S200000,01600,0100,N 434193,S200000,01700,0100,N 434193,S200000,01800,0100,N 434193,S200000,01900,0100,LIMITED LIABILITY CO 434193,S200000,02200,0100,N 434193,S200000,02800,0100,N 434193,S200000,02900,0100,N 434193,S200000,03000,0100,N 434193,S200000,03100,0100,N 434193,S200000,03200,0100,N 434193,S200000,03300,0100,N 434193,S200000,03300,0200,N 434193,S200000,04100,0100,N 434193,S200000,04200,0100,N 434193,S200000,04300,0100,N 434193,S200000,04600,0100,N 434193,S200000,04700,0100,N 434193,S200000,04700,0200,N 434193,S200000,04900,0100,N 434193,S200000,05000,0100,N 434193,S200000,05100,0100,N 434193,S200000,05200,0100,N 434193,S200000,05300,0100,Y 434193,S200000,05300,0200,HO-111 434193,S200000,05400,0100,HEDGEHOG HEALTHCARE ASSOCIATES 434193,S200000,05400,0200,PALMETTO GBA 434193,S200000,05400,0300,00382 434193,S200000,05500,0100,201 N. FRONT STREET SUITE M-101 434193,S200000,05600,0100,WILMINGTON 434193,S200000,05600,0200,NC 434193,S200000,05600,0300,28401 434196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434196,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434196,A000000,00300,0000,0300EMPLOYEE BENEFITS 434196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434196,A000000,00700,0000,0700HOUSEKEEPING 434196,A000000,00800,0000,0800DIETARY 434196,A000000,00900,0000,0900NURSING ADMINISTRATION 434196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434196,A000000,01100,0000,1100PHARMACY 434196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434196,A000000,01300,0000,1300SOCIAL SERVICE 434196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434196,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 434196,A000000,01600,0000,1600SKILLED NURSING FACILITY 434196,A000000,01800,0000,1800NURSING FACILITY 434196,A000000,01810,0000,1810ICF/MR 434196,A000000,01900,0000,1900OTHER LONG TERM CARE 434196,A000000,02100,0000,2100RADIOLOGY 434196,A000000,02200,0000,2200LABORATORY 434196,A000000,02300,0000,2300INTRAVENOUS THERAPY 434196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434196,A000000,02500,0000,2500PHYSICAL THERAPY 434196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434196,A000000,02700,0000,2700SPEECH PATHOLOGY 434196,A000000,02800,0000,2800ELECTROCARDIOLOGY 434196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434196,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434196,A000000,03200,0000,3200SUPPORT SURFACES 434196,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434196,A000000,03400,0000,3400CLINIC 434196,A000000,03500,0000,3500RURAL HEALTH CLINIC 434196,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434196,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434196,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434196,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434196,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434196,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434196,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434196,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434196,A000000,04400,0000,4400DME RENTED - HHA 434196,A000000,04500,0000,4500DME SOLD - HHA 434196,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434196,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434196,A000000,04710,0000,4710TELEMEDICINE 434196,A000000,04800,0000,4800AMBULANCE 434196,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434196,A000000,05000,0000,5000CORF 434196,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434196,A000000,05300,0000,5300INTEREST EXPENSE 434196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434196,A000000,05500,0000,5500HOSPICE 434196,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434196,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434196,A000000,06100,0000,6100NONPAID WORKERS 434196,A000000,06200,0000,6200PATIENTS LAUNDRY 434196,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434196,A81000A,00100,0100,Y 434196,A81000B,00100,0300,ILLINI HERITAGE LAND-CAPITAL 434196,A81000B,00200,0300,ILLINI HERITAGE LAND-RENT EXPENSE 434196,A81000C,00100,0100,A 434196,A81000C,00100,0200,AVIDGOR HOROWIT 434196,A81000C,00100,0400,HERITAGE NURSIN 434196,A81000C,00100,0600,LESSOR 434196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434196,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434196,B100000,00000,0800,0800MEALS SERVED :DIETARY 434196,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434196,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434196,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434196,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434196,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434196,B100000,00000,1500,1350 ACCUM. COST :OTHER GENERAL SERV 434196,E10A180,00501,0100,04/20/12 434196,G300000,02500,0000, OTHER (SPECIFY) 434196,S000000,00100,0200,03/07/12 434196,S200000,00100,0100,1315 CURT DRIVE 434196,S200000,00100,0300,6179 434196,S200000,00200,0100,CHAMPAIGN 434196,S200000,00200,0200,IL 434196,S200000,00200,0300,61820 434196,S200000,00300,0100,CHAMPAIGN 434196,S200000,00300,0201,99914 434196,S200000,00300,0300,U 434196,S200000,00400,0100,HERITAGE NURSING CENTER 434196,S200000,00400,0200,146017 434196,S200000,00400,0300,01/01/01 434196,S200000,00400,0500,P 434196,S200000,01500,0100,Y 434196,S200000,01501,0200,Y 434196,S200000,01502,0200,Y 434196,S200000,01503,0200,Y 434196,S200000,01504,0200,Y 434196,S200000,01505,0000,OTHER (SPECIFY) 434196,S200000,01505,0200,Y 434196,S200000,01600,0100,N 434196,S200000,01700,0100,N 434196,S200000,01800,0100,N 434196,S200000,02200,0100,N 434196,S200000,02800,0100,N 434196,S200000,02900,0100,N 434196,S200000,03000,0100,N 434196,S200000,03100,0100,N 434196,S200000,03200,0100,N 434196,S200000,03300,0100,N 434196,S200000,03300,0200,N 434196,S200000,04100,0100,N 434196,S200000,04200,0100,N 434196,S200000,04300,0100,N 434196,S200000,04600,0100,N 434196,S200000,04700,0100,N 434196,S200000,04700,0200,N 434196,S200000,04900,0100,N 434196,S200000,05000,0100,N 434196,S200000,05100,0100,N 434196,S200000,05200,0100,N 434196,S200000,05300,0100,N 434197,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434197,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 434197,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434197,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434197,A000000,00300,0000,0300EMPLOYEE BENEFITS 434197,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434197,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434197,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434197,A000000,00700,0000,0700HOUSEKEEPING 434197,A000000,00800,0000,0800DIETARY 434197,A000000,00801,0000,0801CAFETERIA 434197,A000000,00900,0000,0900NURSING ADMINISTRATION 434197,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434197,A000000,01100,0000,1100PHARMACY 434197,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434197,A000000,01300,0000,1300SOCIAL SERVICE 434197,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434197,A000000,01500,0000,1350ACTIVITIES 434197,A000000,01600,0000,1600SKILLED NURSING FACILITY 434197,A000000,01810,0000,1810ICF/MR 434197,A000000,01900,0000,1900OTHER LONG TERM CARE 434197,A000000,02100,0000,2100RADIOLOGY 434197,A000000,02200,0000,2200LABORATORY 434197,A000000,02500,0000,2500PHYSICAL THERAPY 434197,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434197,A000000,02700,0000,2700SPEECH PATHOLOGY 434197,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434197,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434197,A000000,03300,0000,3050ENTERALS 434197,A000000,03301,0000,3051OXYGEN 434197,A000000,03302,0000,3052OTHER ANCILLARY III 434197,A000000,03550,0000,3550FQHC 434197,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434197,A000000,04710,0000,4710TELEMEDICINE 434197,A000000,04801,0000,4801AMBULANCE 434197,A000000,04802,0000,4802AMBULANCE 434197,A000000,04803,0000,4803AMBULANCE 434197,A000000,05000,0000,5000CORF I 434197,A000000,05001,0000,5001CMHC I 434197,A000000,05010,0000,5010CMHC 434197,A000000,05020,0000,5020OPT I 434197,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434197,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434197,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434197,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434197,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434197,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434197,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434197,A81000A,00100,0100,Y 434197,A81000B,00100,0300,MANAGEMENT FEES 434197,A81000B,00200,0300,HOME OFFICE ALLOC 434197,A81000B,00300,0300,HOME OFFICE ALLOC 434197,A81000B,00400,0300,HOME OFFICE ALLOC 434197,A81000B,00500,0300,INSURANCE 434197,A81000B,00600,0300,SUPPLIES 434197,A81000C,00100,0100,B 434197,A81000C,00100,0200,HMR VETERANS 434197,A81000C,00100,0400,HMR INC. 434197,A81000C,00100,0600,MANAGEMENT 434197,A81000C,00200,0100,B 434197,A81000C,00200,0200,HMR INC 434197,A81000C,00200,0400,HMR INC 434197,A81000C,00200,0600,MANAGEMENT 434197,A81000C,00300,0100,B 434197,A81000C,00300,0200,CRESCENT INDEM 434197,A81000C,00300,0400,HMR INC 434197,A81000C,00300,0600,INSURANCE 434197,A81000C,00400,0100,B 434197,A81000C,00400,0200,GROVE MEDICA 434197,A81000C,00400,0400,HMR INC 434197,A81000C,00400,0600,SUPPLIES 434197,B100000,00000,0100,0100SQUARE FEET 434197,B100000,00000,0101,0101SQUARE FEET 434197,B100000,00000,0200,0200SQUARE FEET 434197,B100000,00000,0201,0201SQUARE FEET 434197,B100000,00000,0300,0300GROSS SALARIES 434197,B100000,00000,0400,0400ACCUM. COST 434197,B100000,00000,0500,0500SQUARE FEET 434197,B100000,00000,0600,0600PATIENT DAYS 434197,B100000,00000,0700,0700SQUARE FEET 434197,B100000,00000,0800,0800MEALS SERVED 434197,B100000,00000,0801,0801MEALS SERVED 434197,B100000,00000,0900,0900NURSING SALARIES 434197,B100000,00000,1000,1000PATIENT DAYS 434197,B100000,00000,1100,1100PATIENT DAYS 434197,B100000,00000,1200,1200PATIENT DAYS 434197,B100000,00000,1300,1300PATIENT DAYS 434197,B100000,00000,1400,1400ASSIGNED TIME 434197,B100000,00000,1500,1350PATIENT DAYS 434197,E10A180,00301,0100,04/01/11 434197,E10A180,00550,0100,03/21/12 434197,E10A180,00550,0300,03/21/12 434197,G300000,02500,0000,OTHER (SPECIFY) 434197,S000000,00100,0200,02/24/12 434197,S200000,00100,0100,29449 CHARLOTTE 434197,S200000,00200,0100,CHARLOTTE HALL VETERANS HOME 434197,S200000,00200,0200,MD 434197,S200000,00200,0300,20622 434197,S200000,00300,0100,ST. MARY S 434197,S200000,00300,0201,99921 434197,S200000,00300,0300,R 434197,S200000,00400,0100,CHARLOTTE HALL VETERANS HOME 434197,S200000,00400,0200,215161 434197,S200000,00400,0300,06/01/02 434197,S200000,00400,0500,P 434197,S200000,01500,0100,N 434197,S200000,01501,0200,N 434197,S200000,01502,0200,N 434197,S200000,01503,0200,N 434197,S200000,01504,0200,N 434197,S200000,01505,0000,OTHER (SPECIFY) 434197,S200000,01600,0100,Y 434197,S200000,01700,0100,Y 434197,S200000,01800,0100,N 434197,S200000,02200,0100,Y 434197,S200000,02800,0100,N 434197,S200000,02900,0100,N 434197,S200000,03000,0100,N 434197,S200000,03100,0100,N 434197,S200000,03200,0100,N 434197,S200000,03300,0100,N 434197,S200000,03300,0200,N 434197,S200000,04200,0100,N 434197,S200000,04300,0100,Y 434197,S200000,04600,0100,N 434197,S200000,04700,0100,N 434197,S200000,04900,0100,N 434197,S200000,05200,0100,N 434197,S200000,05300,0100,Y 434197,S200000,05300,0200,42H032 434197,S200000,05400,0100,HMR VETERANS SERVICES INC. 434197,S200000,05400,0200,PALMETTO GBA 434197,S200000,05400,0300,0 434197,S200000,05500,0100,119 BROADBENT WAY 434197,S200000,05600,0100,ANDERSON 434197,S200000,05600,0200,SC 434197,S200000,05600,0300,29625 434199,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434199,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434199,A000000,00300,0000,0300EMPLOYEE BENEFITS 434199,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434199,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434199,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434199,A000000,00700,0000,0700HOUSEKEEPING 434199,A000000,00800,0000,0800DIETARY 434199,A000000,00900,0000,0900NURSING ADMINISTRATION 434199,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434199,A000000,01100,0000,1100PHARMACY 434199,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434199,A000000,01300,0000,1300SOCIAL SERVICE 434199,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434199,A000000,01500,0000,1350ACTIVITIES 434199,A000000,01600,0000,1600SKILLED NURSING FACILITY 434199,A000000,01800,0000,1800NURSING FACILITY 434199,A000000,01810,0000,1810ICF/MR 434199,A000000,01900,0000,1900OTHER LONG TERM CARE 434199,A000000,02100,0000,2100RADIOLOGY 434199,A000000,02200,0000,2200LABORATORY 434199,A000000,02300,0000,2300INTRAVENOUS THERAPY 434199,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434199,A000000,02500,0000,2500PHYSICAL THERAPY 434199,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434199,A000000,02700,0000,2700SPEECH PATHOLOGY 434199,A000000,02800,0000,2800ELECTROCARDIOLOGY 434199,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434199,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434199,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434199,A000000,03200,0000,3200SUPPORT SURFACES 434199,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434199,A000000,03400,0000,3400CLINIC 434199,A000000,03500,0000,3500RURAL HEALTH CLINIC 434199,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434199,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434199,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434199,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434199,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434199,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434199,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434199,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434199,A000000,04400,0000,4400DME RENTED - HHA 434199,A000000,04500,0000,4500DME SOLD - HHA 434199,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434199,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434199,A000000,04710,0000,4710TELEMEDICINE 434199,A000000,04800,0000,4800AMBULANCE 434199,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434199,A000000,05000,0000,5000CORF 434199,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434199,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434199,A000000,05300,0000,5300INTEREST EXPENSE 434199,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434199,A000000,05500,0000,5500HOSPICE 434199,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434199,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434199,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434199,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434199,A000000,06100,0000,6100NONPAID WORKERS 434199,A000000,06200,0000,6200PATIENTS LAUNDRY 434199,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434199,A81000A,00100,0100,Y 434199,A81000B,00100,0300,RELATED PARTY THERAPY 434199,A81000B,00200,0300,RELATED PARTY THERAPY 434199,A81000B,00300,0300,RELATED PARTY THERAPY 434199,A81000B,00400,0300,HOME OFFICE COSTS 434199,A81000B,00500,0300,HOME OFFICE COSTS 434199,A81000B,00600,0300,HOME OFFICE COSTS 434199,A81000B,00700,0300,HOME OFFICE COSTS 434199,A81000B,00800,0300,HOME OFFICE COSTS 434199,A81000B,00900,0300,HOME OFFICE COSTS 434199,A81000B,01000,0300,HOME OFFICE COSTS 434199,A81000B,01100,0300,HOME OFFICE COSTS 434199,A81000B,01200,0300,HOME OFFICE COSTS 434199,A81000C,00100,0100,A 434199,A81000C,00100,0400,THERACARE 434199,A81000C,00100,0600,THERAPY MANAGEMENT 434199,A81000C,00200,0100,A 434199,A81000C,00200,0400,THERACARE 434199,A81000C,00200,0600,THERAPY MANAGEMENT 434199,A81000C,00300,0100,A 434199,A81000C,00300,0400,THERACARE 434199,A81000C,00300,0600,THERAPY MANAGEMENT 434199,A81000C,00400,0100,B 434199,A81000C,00400,0400,MHS INC. 434199,A81000C,00400,0600,NURSING HOMES 434199,A81000C,00500,0100,B 434199,A81000C,00500,0400,MHS INC. 434199,A81000C,00500,0600,NURSING HOMES 434199,A81000C,00600,0100,B 434199,A81000C,00600,0400,MHS INC. 434199,A81000C,00600,0600,NURSING HOMES 434199,A81000C,00700,0100,B 434199,A81000C,00700,0400,MHS INC. 434199,A81000C,00700,0600,NURSING HOMES 434199,A81000C,00800,0100,B 434199,A81000C,00800,0400,MHS INC. 434199,A81000C,00800,0600,NURSING HOMES 434199,A81000C,00900,0100,B 434199,A81000C,00900,0400,MHS INC. 434199,A81000C,00900,0600,NURSING HOMES 434199,A81000C,01000,0100,B 434199,A81000C,01000,0400,MHS INC. 434199,A81000C,01000,0600,NURSING HOMES 434199,A81000C,01001,0100,B 434199,A81000C,01001,0400,MHS INC. 434199,A81000C,01001,0600,NURSING HOMES 434199,A81000C,01002,0100,B 434199,A81000C,01002,0400,MHS INC. 434199,A81000C,01002,0600,NURSING HOMES 434199,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434199,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434199,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434199,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434199,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434199,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434199,B100000,00000,0800,0800MEALS SERVED :DIETARY 434199,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434199,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434199,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434199,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434199,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434199,E10A180,00350,0100,09/20/11 434199,E10A180,00501,0100,05/07/12 434199,G300000,02500,0000,OTHER REVENUE 434199,S000000,00100,0200,03/02/12 434199,S200000,00100,0100,640 WEST ELLSWORTH 434199,S200000,00200,0100,COLUMBIA CITY 434199,S200000,00200,0200,IN 434199,S200000,00200,0300,46725 434199,S200000,00300,0100,WHITLEY 434199,S200000,00300,0200,2760 434199,S200000,00300,0201,23060 434199,S200000,00300,0300,U 434199,S200000,00400,0100,MHS INC. D/B/A MMM - COLUMBIA CITY 434199,S200000,00400,0200,155150 434199,S200000,00400,0300,01/04/74 434199,S200000,00400,0500,P 434199,S200000,01500,0100,Y 434199,S200000,01501,0200,Y 434199,S200000,01502,0200,Y 434199,S200000,01503,0200,Y 434199,S200000,01504,0200,Y 434199,S200000,01600,0100,N 434199,S200000,01700,0100,N 434199,S200000,01800,0100,N 434199,S200000,02200,0100,Y 434199,S200000,02800,0100,Y 434199,S200000,02900,0100,N 434199,S200000,03000,0100,N 434199,S200000,03100,0100,N 434199,S200000,03200,0100,N 434199,S200000,03300,0100,N 434199,S200000,03300,0200,N 434199,S200000,04100,0100,N 434199,S200000,04200,0100,N 434199,S200000,04300,0100,N 434199,S200000,04600,0100,N 434199,S200000,04700,0100,N 434199,S200000,04700,0200,N 434199,S200000,04900,0100,N 434199,S200000,05000,0100,N 434199,S200000,05100,0100,N 434199,S200000,05200,0100,N 434199,S200000,05300,0100,Y 434199,S200000,05300,0200,15H004 434199,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434199,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434199,S200000,05400,0300,00130 434199,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434199,S200000,05600,0100,WARSAW 434199,S200000,05600,0200,IN 434199,S200000,05600,0300,46580 434200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434200,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434200,A000000,00300,0000,0300EMPLOYEE BENEFITS 434200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434200,A000000,00700,0000,0700HOUSEKEEPING 434200,A000000,00800,0000,0800DIETARY 434200,A000000,00900,0000,0900NURSING ADMINISTRATION 434200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434200,A000000,01100,0000,1100PHARMACY 434200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434200,A000000,01300,0000,1300SOCIAL SERVICE 434200,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434200,A000000,01500,0000,1350ACTIVITIES 434200,A000000,01600,0000,1600SKILLED NURSING FACILITY 434200,A000000,01800,0000,1800NURSING FACILITY 434200,A000000,01810,0000,1810ICF/MR 434200,A000000,01900,0000,1900OTHER LONG TERM CARE 434200,A000000,02100,0000,2100RADIOLOGY 434200,A000000,02200,0000,2200LABORATORY 434200,A000000,02300,0000,2300INTRAVENOUS THERAPY 434200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434200,A000000,02500,0000,2500PHYSICAL THERAPY 434200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434200,A000000,02700,0000,2700SPEECH PATHOLOGY 434200,A000000,02800,0000,2800ELECTROCARDIOLOGY 434200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434200,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434200,A000000,03200,0000,3200SUPPORT SURFACES 434200,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434200,A000000,03400,0000,3400CLINIC 434200,A000000,03500,0000,3500RURAL HEALTH CLINIC 434200,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434200,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434200,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434200,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434200,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434200,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434200,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434200,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434200,A000000,04400,0000,4400DME RENTED - HHA 434200,A000000,04500,0000,4500DME SOLD - HHA 434200,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434200,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434200,A000000,04710,0000,4710TELEMEDICINE 434200,A000000,04800,0000,4800AMBULANCE 434200,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434200,A000000,05000,0000,5000CORF 434200,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434200,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434200,A000000,05300,0000,5300INTEREST EXPENSE 434200,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434200,A000000,05500,0000,5500HOSPICE 434200,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434200,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434200,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434200,A000000,06100,0000,6100NONPAID WORKERS 434200,A000000,06200,0000,6200PATIENTS LAUNDRY 434200,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434200,A81000A,00100,0100,Y 434200,A81000B,00100,0300,RELATED PARTY THERAPY 434200,A81000B,00200,0300,RELATED PARTY THERAPY 434200,A81000B,00300,0300,RELATED PARTY THERAPY 434200,A81000B,00400,0300,HOME OFFICE COSTS 434200,A81000B,00500,0300,HOME OFFICE COSTS 434200,A81000B,00600,0300,HOME OFFICE COSTS 434200,A81000B,00700,0300,HOME OFFICE COSTS 434200,A81000B,00800,0300,HOME OFFICE COSTS 434200,A81000B,00900,0300,HOME OFFICE COSTS 434200,A81000B,01000,0300,HOME OFFICE COSTS 434200,A81000B,01100,0300,HOME OFFICE COSTS 434200,A81000B,01200,0300,HOME OFFICE COSTS 434200,A81000C,00100,0100,A 434200,A81000C,00100,0400,THERACARE 434200,A81000C,00100,0600,THERAPY MANAGEMENT 434200,A81000C,00200,0100,A 434200,A81000C,00200,0400,THERACARE 434200,A81000C,00200,0600,THERAPY MANAGEMENT 434200,A81000C,00300,0100,A 434200,A81000C,00300,0400,THERACARE 434200,A81000C,00300,0600,THERAPY MANAGEMENT 434200,A81000C,00400,0100,B 434200,A81000C,00400,0400,MHS INC. 434200,A81000C,00400,0600,NURSING HOMES 434200,A81000C,00500,0100,B 434200,A81000C,00500,0400,MHS INC. 434200,A81000C,00500,0600,NURSING HOMES 434200,A81000C,00600,0100,B 434200,A81000C,00600,0400,MHS INC. 434200,A81000C,00600,0600,NURSING HOMES 434200,A81000C,00700,0100,B 434200,A81000C,00700,0400,MHS INC. 434200,A81000C,00700,0600,NURSING HOMES 434200,A81000C,00800,0100,B 434200,A81000C,00800,0400,MHS INC. 434200,A81000C,00800,0600,NURSING HOMES 434200,A81000C,00900,0100,B 434200,A81000C,00900,0400,MHS INC. 434200,A81000C,00900,0600,NURSING HOMES 434200,A81000C,01000,0100,B 434200,A81000C,01000,0400,MHS INC. 434200,A81000C,01000,0600,NURSING HOMES 434200,A81000C,01001,0100,B 434200,A81000C,01001,0400,MHS INC. 434200,A81000C,01001,0600,NURSING HOMES 434200,A81000C,01002,0100,B 434200,A81000C,01002,0400,MHS INC. 434200,A81000C,01002,0600,NURSING HOMES 434200,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434200,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434200,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434200,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434200,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434200,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434200,B100000,00000,0800,0800MEALS SERVED :DIETARY 434200,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434200,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434200,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434200,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434200,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434200,E10A180,00301,0100,09/20/11 434200,E10A180,00501,0100,05/01/12 434200,G300000,02500,0000,OTHER REVENUE 434200,S000000,00100,0200,03/02/12 434200,S200000,00100,0100,505 NORTH BRADNER AVENUE 434200,S200000,00200,0100,MARION 434200,S200000,00200,0200,IN 434200,S200000,00200,0300,46952 434200,S200000,00300,0100,GRANT 434200,S200000,00300,0201,99915 434200,S200000,00300,0300,R 434200,S200000,00400,0100,MHS INC. D/B/A MMM - MARION 434200,S200000,00400,0200,155173 434200,S200000,00400,0300,05/01/91 434200,S200000,00400,0500,P 434200,S200000,01500,0100,Y 434200,S200000,01501,0200,Y 434200,S200000,01502,0200,Y 434200,S200000,01503,0200,Y 434200,S200000,01504,0200,Y 434200,S200000,01600,0100,N 434200,S200000,01700,0100,N 434200,S200000,01800,0100,N 434200,S200000,02200,0100,Y 434200,S200000,02800,0100,Y 434200,S200000,02900,0100,N 434200,S200000,03000,0100,N 434200,S200000,03100,0100,N 434200,S200000,03200,0100,N 434200,S200000,03300,0100,N 434200,S200000,03300,0200,N 434200,S200000,04100,0100,N 434200,S200000,04200,0100,N 434200,S200000,04300,0100,N 434200,S200000,04600,0100,N 434200,S200000,04700,0100,N 434200,S200000,04700,0200,N 434200,S200000,04900,0100,N 434200,S200000,05000,0100,N 434200,S200000,05100,0100,N 434200,S200000,05200,0100,N 434200,S200000,05300,0100,Y 434200,S200000,05300,0200,15H004 434200,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434200,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434200,S200000,05400,0300,00130 434200,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434200,S200000,05600,0100,WARSAW 434200,S200000,05600,0200,IN 434200,S200000,05600,0300,46580 434208,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434208,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434208,A000000,00300,0000,0300EMPLOYEE BENEFITS 434208,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434208,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434208,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434208,A000000,00700,0000,0700HOUSEKEEPING 434208,A000000,00800,0000,0800DIETARY 434208,A000000,00900,0000,0900NURSING ADMINISTRATION 434208,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434208,A000000,01100,0000,1100PHARMACY 434208,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434208,A000000,01300,0000,1300SOCIAL SERVICE 434208,A000000,01500,0000,1350PATIENT ACTIVITIES 434208,A000000,01600,0000,1600SKILLED NURSING FACILITY 434208,A000000,01800,0000,1800NURSING FACILITY 434208,A000000,01900,0000,1900OTHER LONG TERM CARE 434208,A000000,02100,0000,2100RADIOLOGY 434208,A000000,02200,0000,2200LABORATORY 434208,A000000,02300,0000,2300INTRAVENOUS THERAPY 434208,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434208,A000000,02500,0000,2500PHYSICAL THERAPY 434208,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434208,A000000,02700,0000,2700SPEECH PATHOLOGY 434208,A000000,02800,0000,2800ELECTROCARDIOLOGY 434208,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434208,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434208,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434208,A000000,03200,0000,3200SUPPORT SURFACES 434208,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434208,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434208,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434208,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434208,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434208,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434208,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434208,A000000,06100,0000,6100NONPAID WORKERS 434208,A000000,06200,0000,6200PATIENTS LAUNDRY 434208,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434208,A81000A,00100,0100,Y 434208,A81000B,00100,0300,CENTRAL OFFICE CAPITAL 434208,A81000B,00200,0300,CENTRAL OFFICE OVERHEAD 434208,A81000B,00300,0300,SUPPLIES 434208,A81000B,00400,0300,SUPPLIES 434208,A81000B,00500,0300,SUPPLIES 434208,A81000B,00600,0300,PHARMACY 434208,A81000B,00700,0300,PHARMACY 434208,A81000B,00800,0300,PHARMACY 434208,A81000B,00900,0300,PHARMACY 434208,A81000B,01000,0300,PHARMACY 434208,A81000B,01100,0300,PHARMACY 434208,A81000C,00100,0100,B 434208,A81000C,00100,0200,AUTUMN CORPORATION 434208,A81000C,00100,0400,AUTUMN CORPORATION 434208,A81000C,00100,0600,CENTRAL OFFICE 434208,A81000C,00200,0100,B 434208,A81000C,00200,0200,AUTUMN CORPORATION 434208,A81000C,00200,0400,AUTUMN CORPORATION 434208,A81000C,00200,0600,CENTRAL OFFICE 434208,A81000C,00300,0100,B 434208,A81000C,00300,0200,WINCARE 434208,A81000C,00300,0400,AUTUMN CORPORATION 434208,A81000C,00300,0600,SUPPLIES 434208,A81000C,00400,0100,B 434208,A81000C,00400,0200,LEGACY 434208,A81000C,00400,0400,AUTUMN CORPORATION 434208,A81000C,00400,0600,PHARMACY 434208,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434208,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434208,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434208,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434208,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434208,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 434208,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434208,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434208,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434208,E10A180,00550,0100,02/26/12 434208,G300000,02500,0000,BARBER&BEAUTY AND MISC 434208,S000000,00100,0200,02/16/12 434208,S200000,00100,0100,803 WESTMINISTER DR 434208,S200000,00100,0300,406 434208,S200000,00200,0100,FISHERVILLE 434208,S200000,00200,0200,VA 434208,S200000,00200,0300,22939 434208,S200000,00300,0100,AUGUSTA 434208,S200000,00300,0200,49 434208,S200000,00300,0300,R 434208,S200000,00400,0100,SHENANDOAH NURSING HOME 434208,S200000,00400,0200,495262 434208,S200000,00400,0300,04/21/92 434208,S200000,00400,0500,P 434208,S200000,01500,0100,N 434208,S200000,01501,0200,Y 434208,S200000,01600,0100,Y 434208,S200000,01700,0100,N 434208,S200000,01800,0100,N 434208,S200000,02200,0100,N 434208,S200000,02800,0100,N 434208,S200000,02900,0100,N 434208,S200000,03000,0100,N 434208,S200000,03100,0100,N 434208,S200000,03200,0100,N 434208,S200000,03300,0100,N 434208,S200000,03300,0200,N 434208,S200000,04100,0100,N 434208,S200000,04200,0100,N 434208,S200000,04300,0100,N 434208,S200000,04600,0100,N 434208,S200000,04700,0100,N 434208,S200000,04700,0200,N 434208,S200000,04900,0100,N 434208,S200000,05000,0100,N 434208,S200000,05100,0100,N 434208,S200000,05200,0100,N 434209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434209,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434209,A000000,00300,0000,0300EMPLOYEE BENEFITS 434209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434209,A000000,00700,0000,0700HOUSEKEEPING 434209,A000000,00800,0000,0800DIETARY 434209,A000000,00900,0000,0900NURSING ADMINISTRATION 434209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434209,A000000,01100,0000,1100PHARMACY 434209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434209,A000000,01300,0000,1300SOCIAL SERVICE 434209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434209,A000000,01600,0000,1600SKILLED NURSING FACILITY 434209,A000000,01800,0000,1800NURSING FACILITY 434209,A000000,01900,0000,1900OTHER LONG TERM CARE 434209,A000000,02100,0000,2100RADIOLOGY 434209,A000000,02200,0000,2200LABORATORY 434209,A000000,02300,0000,2300INTRAVENOUS THERAPY 434209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434209,A000000,02500,0000,2500PHYSICAL THERAPY 434209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434209,A000000,02700,0000,2700SPEECH PATHOLOGY 434209,A000000,02800,0000,2800ELECTROCARDIOLOGY 434209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434209,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434209,A000000,03200,0000,3200SUPPORT SURFACES 434209,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434209,A000000,03400,0000,3400CLINIC 434209,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434209,A000000,04800,0000,4800AMBULANCE 434209,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434209,A000000,05000,0000,5000CORF 434209,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434209,A000000,05300,0000,5300INTEREST EXPENSE 434209,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434209,A000000,05500,0000,5500HOSPICE 434209,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434209,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434209,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434209,A000000,06100,0000,6100NONPAID WORKERS 434209,A000000,06200,0000,6200PATIENTS LAUNDRY 434209,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434209,A81000A,00100,0100,Y 434209,A81000B,00100,0300,NURSING CONSULTING 434209,A81000B,00200,0300,DIETARY CONSULTING 434209,A81000B,00300,0300,HOME OFFICE 434209,A81000B,00400,0300,INTEREST EXPENSE 434209,A81000B,00500,0300,WORKERS COMP EXPENSE 434209,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434209,A81000B,00700,0300,OFFICE SUPPLIES 434209,A81000B,00800,0300,MAINTENANCE SUPPLIES 434209,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434209,A81000B,01000,0300,PEST CONTROL 434209,A81000B,01100,0300,REPAIRS - BUILDING 434209,A81000B,01200,0300,REPAIRS - EQUIPMENT 434209,A81000B,01300,0300,LINEN & BEDDING 434209,A81000B,01400,0300,LAUNDRY SUPPLIES 434209,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434209,A81000B,01600,0300,HOUSEKEEPING SUPPLIES 434209,A81000B,01700,0300,DIETARY SUPPLEMENTS 434209,A81000B,01800,0300,DIETARY SUPPLIES 434209,A81000B,01900,0300,BIO-MEDICAL WASTE 434209,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 434209,A81000B,02100,0300,PERSONAL CARE SUPPLIES 434209,A81000B,02200,0300,INCONTINENCE SUPPLIES 434209,A81000B,02300,0300,MEDICAL SUPPLIES 434209,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 434209,A81000B,02500,0300,PT SUPPLIES 434209,A81000B,02600,0300,SUPPLIES 434209,A81000B,02700,0300,SUPPLIES 434209,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 434209,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 434209,A81000C,00100,0100,B 434209,A81000C,00100,0200,PLTC & PITS INC 434209,A81000C,00100,0400,PLTC & PITS INC 434209,A81000C,00100,0600,MGMT SERVICES 434209,A81000C,00200,0100,B 434209,A81000C,00200,0200,PLTC & PITS INC 434209,A81000C,00200,0400,PLTC & PITS INC 434209,A81000C,00200,0600,MGMT SERVICES 434209,A81000C,00300,0100,B 434209,A81000C,00300,0200,PLTC & PITS INC 434209,A81000C,00300,0400,PLTC & PITS INC 434209,A81000C,00300,0600,MGMT SERVICES 434209,A81000C,00400,0100,B 434209,A81000C,00400,0200,PLTC & PITS INC 434209,A81000C,00400,0400,PLTC & PITS INC 434209,A81000C,00400,0600,MGMT SERVICES 434209,A81000C,00500,0100,A 434209,A81000C,00500,0200,SHAREHOLDERS 434209,A81000C,00500,0400,DISCOVERY INSUR 434209,A81000C,00500,0600,INSURANCE 434209,A81000C,00600,0100,A 434209,A81000C,00600,0200,SHAREHOLDERS 434209,A81000C,00600,0400,QUEENSLAND ASSU 434209,A81000C,00600,0600,INSURANCE 434209,A81000C,00700,0100,A 434209,A81000C,00700,0200,SHAREHOLDERS 434209,A81000C,00700,0400,KARE MEDICAL 434209,A81000C,00700,0600,WHOLESALE SUPPL 434209,A81000C,00800,0100,A 434209,A81000C,00800,0200,SHAREHOLDERS 434209,A81000C,00800,0400,KARE MEDICAL 434209,A81000C,00800,0600,WHOLESALE SUPPL 434209,A81000C,00900,0100,A 434209,A81000C,00900,0200,SHAREHOLDERS 434209,A81000C,00900,0400,KARE MEDICAL 434209,A81000C,00900,0600,WHOLESALE SUPPL 434209,A81000C,01000,0100,A 434209,A81000C,01000,0200,SHAREHOLDERS 434209,A81000C,01000,0400,KARE MEDICAL 434209,A81000C,01000,0600,WHOLESALE SUPPL 434209,A81000C,01001,0100,A 434209,A81000C,01001,0200,SHAREHOLDERS 434209,A81000C,01001,0400,KARE MEDICAL 434209,A81000C,01001,0600,WHOLESALE SUPPL 434209,A81000C,01002,0100,A 434209,A81000C,01002,0200,SHAREHOLDERS 434209,A81000C,01002,0400,KARE MEDICAL 434209,A81000C,01002,0600,WHOLESALE SUPPL 434209,A81000C,01003,0100,A 434209,A81000C,01003,0200,SHAREHOLDERS 434209,A81000C,01003,0400,KARE MEDICAL 434209,A81000C,01003,0600,WHOLESALE SUPPL 434209,A81000C,01004,0100,A 434209,A81000C,01004,0200,SHAREHOLDERS 434209,A81000C,01004,0400,KARE MEDICAL 434209,A81000C,01004,0600,WHOLESALE SUPPL 434209,A81000C,01005,0100,A 434209,A81000C,01005,0200,SHAREHOLDERS 434209,A81000C,01005,0400,KARE MEDICAL 434209,A81000C,01005,0600,WHOLESALE SUPPL 434209,A81000C,01006,0100,A 434209,A81000C,01006,0200,SHAREHOLDERS 434209,A81000C,01006,0400,KARE MEDICAL 434209,A81000C,01006,0600,WHOLESALE SUPPL 434209,A81000C,01007,0100,A 434209,A81000C,01007,0200,SHAREHOLDERS 434209,A81000C,01007,0400,KARE MEDICAL 434209,A81000C,01007,0600,WHOLESALE SUPPL 434209,A81000C,01008,0100,A 434209,A81000C,01008,0200,SHAREHOLDERS 434209,A81000C,01008,0400,KARE MEDICAL 434209,A81000C,01008,0600,WHOLESALE SUPPL 434209,A81000C,01009,0100,A 434209,A81000C,01009,0200,SHAREHOLDERS 434209,A81000C,01009,0400,KARE MEDICAL 434209,A81000C,01009,0600,WHOLESALE SUPPL 434209,A81000C,01010,0100,A 434209,A81000C,01010,0200,SHAREHOLDERS 434209,A81000C,01010,0400,KARE MEDICAL 434209,A81000C,01010,0600,WHOLESALE SUPPL 434209,A81000C,01011,0100,A 434209,A81000C,01011,0200,SHAREHOLDERS 434209,A81000C,01011,0400,KARE MEDICAL 434209,A81000C,01011,0600,WHOLESALE SUPPL 434209,A81000C,01012,0100,A 434209,A81000C,01012,0200,SHAREHOLDERS 434209,A81000C,01012,0400,KARE MEDICAL 434209,A81000C,01012,0600,WHOLESALE SUPPL 434209,A81000C,01013,0100,A 434209,A81000C,01013,0200,SHAREHOLDERS 434209,A81000C,01013,0400,KARE MEDICAL 434209,A81000C,01013,0600,WHOLESALE SUPPL 434209,A81000C,01014,0100,A 434209,A81000C,01014,0200,SHAREHOLDERS 434209,A81000C,01014,0400,KARE MEDICAL 434209,A81000C,01014,0600,WHOLESALE SUPPL 434209,A81000C,01015,0100,A 434209,A81000C,01015,0200,SHAREHOLDERS 434209,A81000C,01015,0400,KARE MEDICAL 434209,A81000C,01015,0600,WHOLESALE SUPPL 434209,A81000C,01016,0100,A 434209,A81000C,01016,0200,SHAREHOLDERS 434209,A81000C,01016,0400,KARE MEDICAL 434209,A81000C,01016,0600,WHOLESALE SUPPL 434209,A81000C,01017,0100,A 434209,A81000C,01017,0200,SHAREHOLDERS 434209,A81000C,01017,0400,KARE MEDICAL 434209,A81000C,01017,0600,WHOLESALE SUPPL 434209,A81000C,01018,0100,A 434209,A81000C,01018,0200,SHAREHOLDERS 434209,A81000C,01018,0400,KARE MEDICAL 434209,A81000C,01018,0600,WHOLESALE SUPPL 434209,A81000C,01019,0100,A 434209,A81000C,01019,0200,SHAREHOLDERS 434209,A81000C,01019,0400,PHARMSAVE 434209,A81000C,01019,0600,RX SUPPLY 434209,A81000C,01020,0100,A 434209,A81000C,01020,0200,SHAREHOLDERS 434209,A81000C,01020,0400,PHARMSAVE 434209,A81000C,01020,0600,RX SUPPLY 434209,A81000C,01021,0100,A 434209,A81000C,01021,0200,SHAREHOLDERS 434209,A81000C,01021,0400,PHARMSAVE 434209,A81000C,01021,0600,RX SUPPLY 434209,A81000C,01022,0100,A 434209,A81000C,01022,0200,SHAREHOLDERS 434209,A81000C,01022,0400,PHARMSAVE 434209,A81000C,01022,0600,RX SUPPLY 434209,A81000C,01023,0100,A 434209,A81000C,01023,0200,SHAREHOLDERS 434209,A81000C,01023,0400,PHARMSAVE 434209,A81000C,01023,0600,RX SUPPLY 434209,A81000C,01024,0100,A 434209,A81000C,01024,0200,SHAREHOLDERS 434209,A81000C,01024,0400,ROBERT HILL CON 434209,A81000C,01024,0600,CONSTRUCTION 434209,A81000C,01025,0100,A 434209,A81000C,01025,0200,SHAREHOLDERS 434209,A81000C,01025,0400,BRITTHAVEN INC 434209,A81000C,01025,0600,REAL ESTATE 434209,A81000C,01026,0100,A 434209,A81000C,01026,0200,SHAREHOLDERS 434209,A81000C,01026,0400,HILLCO LTD. 434209,A81000C,01026,0600,REAL ESTATE 434209,A81000C,01027,0100,A 434209,A81000C,01027,0200,SHAREHOLDERS 434209,A81000C,01027,0400,BRITTHAVEN INC 434209,A81000C,01027,0600,REAL ESTATE 434209,A81000C,01028,0100,A 434209,A81000C,01028,0200,SHAREHOLDERS 434209,A81000C,01028,0400,BRITTHAVEN INC 434209,A81000C,01028,0600,REAL ESTATE 434209,A81000C,01029,0100,A 434209,A81000C,01029,0200,SHAREHOLDERS 434209,A81000C,01029,0400,BRITTHAVEN INC 434209,A81000C,01029,0600,REAL ESTATE 434209,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434209,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434209,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434209,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434209,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434209,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434209,B100000,00000,0800,0800MEALS SERVED :DIETARY 434209,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434209,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434209,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434209,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434209,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434209,E10A180,00501,0100,05/24/12 434209,G300000,02500,0000, OTHER (SPECIFY) 434209,S000000,00100,0200,02/29/12 434209,S200000,00100,0100,107 MAGNOLIA DRIVE 434209,S200000,00200,0100,MORGANTON 434209,S200000,00200,0200,NC 434209,S200000,00200,0300,28655 434209,S200000,00300,0100,BURKE 434209,S200000,00300,0201,25860 434209,S200000,00300,0300,U 434209,S200000,00400,0100,MAGNOLIA LANE NURSING & REHAB CENTER 434209,S200000,00400,0200,345219 434209,S200000,00400,0300,01/01/11 434209,S200000,00400,0500,P 434209,S200000,01500,0100,Y 434209,S200000,01501,0200,Y 434209,S200000,01502,0200,Y 434209,S200000,01503,0200,Y 434209,S200000,01504,0200,Y 434209,S200000,01505,0000,OTHER (SPECIFY) 434209,S200000,01505,0200,Y 434209,S200000,01600,0100,N 434209,S200000,01700,0100,N 434209,S200000,01800,0100,N 434209,S200000,02200,0100,N 434209,S200000,02800,0100,N 434209,S200000,02900,0100,N 434209,S200000,03000,0100,N 434209,S200000,03100,0100,N 434209,S200000,03200,0100,N 434209,S200000,03300,0100,N 434209,S200000,03300,0200,N 434209,S200000,04100,0100,N 434209,S200000,04200,0100,N 434209,S200000,04300,0100,N 434209,S200000,04600,0100,N 434209,S200000,04700,0100,N 434209,S200000,04700,0200,N 434209,S200000,04900,0100,N 434209,S200000,05000,0100,N 434209,S200000,05100,0100,N 434209,S200000,05200,0100,N 434209,S200000,05300,0100,Y 434209,S200000,05300,0200,349011 434209,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434209,S200000,05400,0200,PALMETTO GBA 434209,S200000,05400,0300,11501 434209,S200000,05500,0100,1435 HWY 258 NORTH 434209,S200000,05600,0100,KINSTON 434209,S200000,05600,0200,NC 434209,S200000,05600,0300,28502 434210,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434210,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434210,A000000,00300,0000,0300EMPLOYEE BENEFITS 434210,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434210,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434210,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434210,A000000,00700,0000,0700HOUSEKEEPING 434210,A000000,00800,0000,0800DIETARY 434210,A000000,00900,0000,0900NURSING ADMINISTRATION 434210,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434210,A000000,01100,0000,1100PHARMACY 434210,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434210,A000000,01300,0000,1300SOCIAL SERVICE 434210,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434210,A000000,01600,0000,1600SKILLED NURSING FACILITY 434210,A000000,01800,0000,1800NURSING FACILITY 434210,A000000,01900,0000,1900OTHER LONG TERM CARE 434210,A000000,02100,0000,2100RADIOLOGY 434210,A000000,02200,0000,2200LABORATORY 434210,A000000,02300,0000,2300INTRAVENOUS THERAPY 434210,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434210,A000000,02500,0000,2500PHYSICAL THERAPY 434210,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434210,A000000,02700,0000,2700SPEECH PATHOLOGY 434210,A000000,02800,0000,2800ELECTROCARDIOLOGY 434210,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434210,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434210,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434210,A000000,03200,0000,3200SUPPORT SURFACES 434210,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434210,A000000,03400,0000,3400CLINIC 434210,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434210,A000000,04800,0000,4800AMBULANCE 434210,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434210,A000000,05000,0000,5000CORF 434210,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434210,A000000,05300,0000,5300INTEREST EXPENSE 434210,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434210,A000000,05500,0000,5500HOSPICE 434210,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434210,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434210,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434210,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434210,A000000,06100,0000,6100NONPAID WORKERS 434210,A000000,06200,0000,6200PATIENTS LAUNDRY 434210,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434210,A81000A,00100,0100,Y 434210,A81000B,00100,0300,NURSING CONSULTING 434210,A81000B,00200,0300,DIETARY CONSULTING 434210,A81000B,00300,0300,HOME OFFICE 434210,A81000B,00400,0300,INTEREST EXPENSE 434210,A81000B,00500,0300,WORKERS COMP EXPENSE 434210,A81000B,00600,0300,INSURANCE - PROF. LIABILITY 434210,A81000B,00700,0300,MAINTENANCE SUPPLIES 434210,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434210,A81000B,00900,0300,REPAIRS-BUILDING 434210,A81000B,01000,0300,REPAIRS-EQUIPMENT 434210,A81000B,01100,0300,LINEN & BEDDING 434210,A81000B,01200,0300,LAUNDRY SUPPLIES 434210,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 434210,A81000B,01400,0300,DIETARY SUPPLEMENTS 434210,A81000B,01500,0300,DIETARY SUPPLIES 434210,A81000B,01600,0300,BIO-MEDICAL WASTE 434210,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 434210,A81000B,01800,0300,NURSING EQUIPMENT RENTAL 434210,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434210,A81000B,02000,0300,INCONTINENCE SUPPLIES 434210,A81000B,02100,0300,MEDICAL SUPPLIES 434210,A81000B,02200,0300,NON-LEGEND DRUGS 434210,A81000B,02300,0300,PHARMACY CONSULTANT 434210,A81000B,02400,0300,MED REC SUPPLIES 434210,A81000B,02500,0300,OXYGEN THERAPY SUPPLIES 434210,A81000B,02600,0300,SUPPLIES 434210,A81000B,02700,0300,PHYSICAL THERAPY SUPPLIES 434210,A81000B,02800,0300,SUPPLIES 434210,A81000B,02900,0300,SUPPLIES 434210,A81000C,00100,0100,B 434210,A81000C,00100,0200,PLTC & PITS INC 434210,A81000C,00100,0400,PLTC & PITS INC 434210,A81000C,00100,0600,MGMT SERVICES 434210,A81000C,00200,0100,B 434210,A81000C,00200,0200,PLTC & PITS INC 434210,A81000C,00200,0400,PLTC & PITS INC 434210,A81000C,00200,0600,MGMT SERVICES 434210,A81000C,00300,0100,B 434210,A81000C,00300,0200,PLTC & PITS INC 434210,A81000C,00300,0400,PLTC & PITS INC 434210,A81000C,00300,0600,MGMT SERVICES 434210,A81000C,00400,0100,B 434210,A81000C,00400,0200,PLTC & PITS INC 434210,A81000C,00400,0400,PLTC & PITS INC 434210,A81000C,00400,0600,MGMT SERVICES 434210,A81000C,00500,0100,A 434210,A81000C,00500,0200,SHAREHOLDERS 434210,A81000C,00500,0400,QUEENSLAND ASSU 434210,A81000C,00500,0600,INSURANCE 434210,A81000C,00600,0100,A 434210,A81000C,00600,0200,SHAREHOLDERS 434210,A81000C,00600,0400,DISCOVERY INSUR 434210,A81000C,00600,0600,INSURANCE 434210,A81000C,00700,0100,A 434210,A81000C,00700,0200,SHAREHOLDERS 434210,A81000C,00700,0400,KARE MEDICAL 434210,A81000C,00700,0600,WHOLESALE SUPPL 434210,A81000C,00800,0100,A 434210,A81000C,00800,0200,SHAREHOLDERS 434210,A81000C,00800,0400,KARE MEDICAL 434210,A81000C,00800,0600,WHOLESALE SUPPL 434210,A81000C,00900,0100,A 434210,A81000C,00900,0200,SHAREHOLDERS 434210,A81000C,00900,0400,KARE MEDICAL 434210,A81000C,00900,0600,WHOLESALE SUPPL 434210,A81000C,01000,0100,A 434210,A81000C,01000,0200,SHAREHOLDERS 434210,A81000C,01000,0400,KARE MEDICAL 434210,A81000C,01000,0600,WHOLESALE SUPPL 434210,A81000C,01001,0100,A 434210,A81000C,01001,0200,SHAREHOLDERS 434210,A81000C,01001,0400,KARE MEDICAL 434210,A81000C,01001,0600,WHOLESALE SUPPL 434210,A81000C,01002,0100,A 434210,A81000C,01002,0200,SHAREHOLDERS 434210,A81000C,01002,0400,KARE MEDICAL 434210,A81000C,01002,0600,WHOLESALE SUPPL 434210,A81000C,01003,0100,A 434210,A81000C,01003,0200,SHAREHOLDERS 434210,A81000C,01003,0400,KARE MEDICAL 434210,A81000C,01003,0600,WHOLESALE SUPPL 434210,A81000C,01004,0100,A 434210,A81000C,01004,0200,SHAREHOLDERS 434210,A81000C,01004,0400,KARE MEDICAL 434210,A81000C,01004,0600,WHOLESALE SUPPL 434210,A81000C,01005,0100,A 434210,A81000C,01005,0200,SHAREHOLDERS 434210,A81000C,01005,0400,KARE MEDICAL 434210,A81000C,01005,0600,WHOLESALE SUPPL 434210,A81000C,01006,0100,A 434210,A81000C,01006,0200,SHAREHOLDERS 434210,A81000C,01006,0400,KARE MEDICAL 434210,A81000C,01006,0600,WHOLESALE SUPPL 434210,A81000C,01007,0100,A 434210,A81000C,01007,0200,SHAREHOLDERS 434210,A81000C,01007,0400,KARE MEDICAL 434210,A81000C,01007,0600,WHOLESALE SUPPL 434210,A81000C,01008,0100,A 434210,A81000C,01008,0200,SHAREHOLDERS 434210,A81000C,01008,0400,KARE MEDICAL 434210,A81000C,01008,0600,WHOLESALE SUPPL 434210,A81000C,01009,0100,A 434210,A81000C,01009,0200,SHAREHOLDERS 434210,A81000C,01009,0400,KARE MEDICAL 434210,A81000C,01009,0600,WHOLESALE SUPPL 434210,A81000C,01010,0100,A 434210,A81000C,01010,0200,SHAREHOLDERS 434210,A81000C,01010,0400,KARE MEDICAL 434210,A81000C,01010,0600,WHOLESALE SUPPL 434210,A81000C,01011,0100,A 434210,A81000C,01011,0200,SHAREHOLDERS 434210,A81000C,01011,0400,KARE MEDICAL 434210,A81000C,01011,0600,WHOLESALE SUPPL 434210,A81000C,01012,0100,A 434210,A81000C,01012,0200,SHAREHOLDERS 434210,A81000C,01012,0400,KARE MEDICAL 434210,A81000C,01012,0600,WHOLESALE SUPPL 434210,A81000C,01013,0100,A 434210,A81000C,01013,0200,SHAREHOLDERS 434210,A81000C,01013,0400,KARE MEDICAL 434210,A81000C,01013,0600,WHOLESALE SUPPL 434210,A81000C,01014,0100,A 434210,A81000C,01014,0200,SHAREHOLDERS 434210,A81000C,01014,0400,KARE MEDICAL 434210,A81000C,01014,0600,WHOLESALE SUPPL 434210,A81000C,01015,0100,A 434210,A81000C,01015,0200,SHAREHOLDERS 434210,A81000C,01015,0400,KARE MEDICAL 434210,A81000C,01015,0600,WHOLESALE SUPPL 434210,A81000C,01016,0100,A 434210,A81000C,01016,0200,SHAREHOLDERS 434210,A81000C,01016,0400,KARE MEDICAL 434210,A81000C,01016,0600,WHOLESALE SUPPL 434210,A81000C,01017,0100,A 434210,A81000C,01017,0200,SHAREHOLDERS 434210,A81000C,01017,0400,KARE MEDICAL 434210,A81000C,01017,0600,WHOLESALE SUPPL 434210,A81000C,01018,0100,A 434210,A81000C,01018,0200,SHAREHOLDERS 434210,A81000C,01018,0400,KARE MEDICAL 434210,A81000C,01018,0600,WHOLESALE SUPPL 434210,A81000C,01019,0100,A 434210,A81000C,01019,0200,SHAREHOLDERS 434210,A81000C,01019,0400,KARE MEDICAL 434210,A81000C,01019,0600,WHOLESALE SUPPL 434210,A81000C,01020,0100,A 434210,A81000C,01020,0200,SHAREHOLDERS 434210,A81000C,01020,0400,KARE MEDICAL 434210,A81000C,01020,0600,WHOLESALE SUPPL 434210,A81000C,01021,0100,A 434210,A81000C,01021,0200,SHAREHOLDERS 434210,A81000C,01021,0400,KARE MEDICAL 434210,A81000C,01021,0600,WHOLESALE SUPPL 434210,A81000C,01022,0100,A 434210,A81000C,01022,0200,SHAREHOLDERS 434210,A81000C,01022,0400,KARE MEDICAL 434210,A81000C,01022,0600,WHOLESALE SUPPL 434210,A81000C,01023,0100,A 434210,A81000C,01023,0200,SHAREHOLDERS 434210,A81000C,01023,0400,PHARMSAVE 434210,A81000C,01023,0600,RX SUPPLY 434210,A81000C,01024,0100,A 434210,A81000C,01024,0200,SHAREHOLDERS 434210,A81000C,01024,0400,PHARMSAVE 434210,A81000C,01024,0600,RX SUPPLY 434210,A81000C,01025,0100,A 434210,A81000C,01025,0200,SHAREHOLDERS 434210,A81000C,01025,0400,PHARMSAVE 434210,A81000C,01025,0600,RX SUPPLY 434210,A81000C,01026,0100,A 434210,A81000C,01026,0200,SHAREHOLDERS 434210,A81000C,01026,0400,PHARMSAVE 434210,A81000C,01026,0600,RX SUPPLY 434210,A81000C,01027,0100,A 434210,A81000C,01027,0200,SHAREHOLDERS 434210,A81000C,01027,0400,PHARMSAVE 434210,A81000C,01027,0600,RX SUPPLY 434210,A81000C,01028,0100,A 434210,A81000C,01028,0200,SHAREHOLDERS 434210,A81000C,01028,0400,ROBERT HILL CON 434210,A81000C,01028,0600,CONSTRUCTION 434210,A81000C,01029,0100,A 434210,A81000C,01029,0200,SHAREHOLDERS 434210,A81000C,01029,0400,ROBERT HILL CON 434210,A81000C,01029,0600,CONSTRUCTION 434210,A81000C,01030,0100,A 434210,A81000C,01030,0200,SHAREHOLDERS 434210,A81000C,01030,0400,BRITTHAVEN INC 434210,A81000C,01030,0600,REAL ESTATE 434210,A81000C,01031,0100,A 434210,A81000C,01031,0200,SHAREHOLDERS 434210,A81000C,01031,0400,BRITTHAVEN INC 434210,A81000C,01031,0600,REAL ESTATE 434210,A81000C,01032,0100,A 434210,A81000C,01032,0200,SHAREHOLDERS 434210,A81000C,01032,0400,BRITTHAVEN INC 434210,A81000C,01032,0600,REAL ESTATE 434210,A81000C,01033,0100,A 434210,A81000C,01033,0200,SHAREHOLDERS 434210,A81000C,01033,0400,BRITTHAVEN INC 434210,A81000C,01033,0600,REAL ESTATE 434210,A81000C,01034,0100,A 434210,A81000C,01034,0200,SHAREHOLDERS 434210,A81000C,01034,0400,BRITTHAVEN INC 434210,A81000C,01034,0600,REAL ESTATE 434210,A81000C,01035,0100,A 434210,A81000C,01035,0200,SHAREHOLDERS 434210,A81000C,01035,0400,BRITTHAVEN INC 434210,A81000C,01035,0600,REAL ESTATE 434210,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434210,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434210,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434210,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434210,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434210,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434210,B100000,00000,0800,0800MEALS SERVED :DIETARY 434210,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434210,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434210,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434210,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434210,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434210,E10A180,00501,0100,05/23/12 434210,G300000,02500,0000, OTHER (SPECIFY) 434210,S000000,00100,0200,02/29/12 434210,S200000,00100,0100,728 PINEY GROVE ROAD 434210,S200000,00200,0100,KERNERSVILLE 434210,S200000,00200,0200,NC 434210,S200000,00200,0300,27284 434210,S200000,00300,0100,FORSYTH 434210,S200000,00300,0201,49180 434210,S200000,00300,0300,U 434210,S200000,00400,0100,PINEY GROVE NURSING & REHAB CENTER 434210,S200000,00400,0200,345354 434210,S200000,00400,0300,01/01/11 434210,S200000,00400,0500,P 434210,S200000,01500,0100,Y 434210,S200000,01501,0200,Y 434210,S200000,01502,0200,Y 434210,S200000,01503,0200,Y 434210,S200000,01504,0200,Y 434210,S200000,01505,0000,OTHER (SPECIFY) 434210,S200000,01505,0200,Y 434210,S200000,01600,0100,N 434210,S200000,01700,0100,N 434210,S200000,01800,0100,N 434210,S200000,02200,0100,N 434210,S200000,02800,0100,N 434210,S200000,02900,0100,N 434210,S200000,03000,0100,N 434210,S200000,03100,0100,N 434210,S200000,03200,0100,N 434210,S200000,03300,0100,N 434210,S200000,03300,0200,N 434210,S200000,04100,0100,N 434210,S200000,04200,0100,N 434210,S200000,04300,0100,N 434210,S200000,04600,0100,N 434210,S200000,04700,0100,N 434210,S200000,04700,0200,N 434210,S200000,04900,0100,N 434210,S200000,05000,0100,N 434210,S200000,05100,0100,N 434210,S200000,05200,0100,N 434210,S200000,05300,0100,Y 434210,S200000,05300,0200,349011 434210,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434210,S200000,05400,0200,PALMETTO GBA 434210,S200000,05400,0300,11501 434210,S200000,05500,0100,1435 HWY 258 NORTH 434210,S200000,05600,0100,KINSTON 434210,S200000,05600,0200,NC 434210,S200000,05600,0300,28502 434211,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434211,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434211,A000000,00300,0000,0300EMPLOYEE BENEFITS 434211,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434211,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434211,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434211,A000000,00700,0000,0700HOUSEKEEPING 434211,A000000,00800,0000,0800DIETARY 434211,A000000,00900,0000,0900NURSING ADMINISTRATION 434211,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434211,A000000,01300,0000,1300SOCIAL SERVICE 434211,A000000,01500,0000,1350ACTIVITIES 434211,A000000,01600,0000,1600SKILLED NURSING FACILITY 434211,A000000,01800,0000,1800NURSING FACILITY 434211,A000000,01900,0000,1900OTHER LONG TERM CARE 434211,A000000,02100,0000,2100RADIOLOGY 434211,A000000,02200,0000,2200LABORATORY 434211,A000000,02300,0000,2300INTRAVENOUS THERAPY 434211,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434211,A000000,02500,0000,2500PHYSICAL THERAPY 434211,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434211,A000000,02700,0000,2700SPEECH PATHOLOGY 434211,A000000,02800,0000,2800ELECTROCARDIOLOGY 434211,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434211,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434211,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434211,A000000,03400,0000,3400CLINIC 434211,A000000,04800,0000,4800AMBULANCE 434211,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434211,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434211,A000000,05300,0000,5300INTEREST EXPENSE 434211,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434211,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434211,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434211,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434211,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434211,A81000A,00100,0100,Y 434211,A81000B,00500,0300,INDIRECT COST 434211,A81000C,00500,0100,G 434211,A81000C,00500,0200,EASTERN BAND OF CHEROKEE 434211,A81000C,00500,0400,EASTERN BAND OF CHEROKEE 434211,A81000C,00500,0600,INDIRECT COST 434211,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434211,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434211,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434211,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434211,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434211,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434211,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434211,B100000,00000,0800,0800MEALS SERVED :DIETARY 434211,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434211,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434211,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434211,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434211,E10A180,00501,0100,05/04/12 434211,G300000,02500,0000,INCOME-GAMING-FROM SUPPLEM 434211,G300000,02501,0000,RENTAL INCOME 434211,S000000,00100,0200,02/09/12 434211,S200000,00100,0100,55 ECHOTA CHURCH ROAD 434211,S200000,00200,0100,CHEROKEE 434211,S200000,00200,0200,NC 434211,S200000,00200,0300,28719 434211,S200000,00300,0100,SWAIN 434211,S200000,00300,0200,34 434211,S200000,00300,0201,99934 434211,S200000,00300,0300,R 434211,S200000,00400,0100,TSALI CARE CENTER 434211,S200000,00400,0200,345475 434211,S200000,00400,0300,09/05/97 434211,S200000,00400,0500,P 434211,S200000,01500,0100,Y 434211,S200000,01501,0200,N 434211,S200000,01504,0200,N 434211,S200000,01505,0000,OTHER NURSING COSTS 434211,S200000,01505,0200,N 434211,S200000,01600,0100,N 434211,S200000,01700,0100,N 434211,S200000,01800,0100,N 434211,S200000,02200,0100,N 434211,S200000,02800,0100,N 434211,S200000,02900,0100,N 434211,S200000,03000,0100,N 434211,S200000,03100,0100,N 434211,S200000,03200,0100,N 434211,S200000,03300,0100,N 434211,S200000,03300,0200,N 434211,S200000,04100,0100,N 434211,S200000,04200,0100,N 434211,S200000,04300,0100,N 434211,S200000,04600,0100,N 434211,S200000,04700,0100,N 434211,S200000,04700,0200,N 434211,S200000,04900,0100,N 434211,S200000,05000,0100,N 434211,S200000,05100,0100,N 434211,S200000,05200,0100,N 434217,S000000,00100,0200,02/16/12 434217,S200000,00100,0100,23028 347TH ST SE 434217,S200000,00200,0100,ERSKINE 434217,S200000,00200,0200,MN 434217,S200000,00200,0300,56535-9466 434217,S200000,00300,0100,POLK 434217,S200000,00400,0100,PIONEER MEMORIAL CARE CENTER 434217,S200000,00400,0300,12/01/85 434218,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434218,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434218,A000000,00300,0000,0300EMPLOYEE BENEFITS 434218,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434218,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434218,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434218,A000000,00700,0000,0700HOUSEKEEPING 434218,A000000,00800,0000,0800DIETARY 434218,A000000,00900,0000,0900NURSING ADMINISTRATION 434218,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434218,A000000,01100,0000,1100PHARMACY 434218,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434218,A000000,01300,0000,1300SOCIAL SERVICE 434218,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434218,A000000,01500,0000,1350ACTIVITIES 434218,A000000,01600,0000,1600SKILLED NURSING FACILITY 434218,A000000,01800,0000,1800NURSING FACILITY 434218,A000000,01810,0000,1810ICF/MR 434218,A000000,01900,0000,1900OTHER LONG TERM CARE 434218,A000000,02100,0000,2100RADIOLOGY 434218,A000000,02200,0000,2200LABORATORY 434218,A000000,02300,0000,2300INTRAVENOUS THERAPY 434218,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434218,A000000,02500,0000,2500PHYSICAL THERAPY 434218,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434218,A000000,02700,0000,2700SPEECH PATHOLOGY 434218,A000000,02800,0000,2800ELECTROCARDIOLOGY 434218,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434218,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434218,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434218,A000000,03200,0000,3200SUPPORT SURFACES 434218,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434218,A000000,03400,0000,3400CLINIC 434218,A000000,03500,0000,3500RURAL HEALTH CLINIC 434218,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434218,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434218,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434218,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434218,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434218,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434218,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434218,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434218,A000000,04400,0000,4400DME RENTED - HHA 434218,A000000,04500,0000,4500DME SOLD - HHA 434218,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434218,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434218,A000000,04710,0000,4710TELEMEDICINE 434218,A000000,04800,0000,4800AMBULANCE 434218,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434218,A000000,05000,0000,5000CORF 434218,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434218,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434218,A000000,05300,0000,5300INTEREST EXPENSE 434218,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434218,A000000,05500,0000,5500HOSPICE 434218,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434218,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434218,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434218,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434218,A000000,06100,0000,6100NONPAID WORKERS 434218,A000000,06200,0000,6200PATIENTS LAUNDRY 434218,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434218,A81000A,00100,0100,Y 434218,A81000B,00100,0300,RELATED PARTY LEASE 434218,A81000B,00200,0300,RELATED PARTY THERAPY 434218,A81000B,00300,0300,RELATED PARTY THERAPY 434218,A81000B,00400,0300,RELATED PARTY THERAPY 434218,A81000B,00500,0300,HOME OFFICE COSTS 434218,A81000B,00600,0300,HOME OFFICE COSTS 434218,A81000B,00700,0300,HOME OFFICE COSTS 434218,A81000B,00800,0300,HOME OFFICE COSTS 434218,A81000B,00900,0300,HOME OFFICE COSTS 434218,A81000B,01000,0300,HOME OFFICE COSTS 434218,A81000B,01100,0300,HOME OFFICE COSTS 434218,A81000B,01200,0300,HOME OFFICE COSTS 434218,A81000B,01300,0300,HOME OFFICE COSTS 434218,A81000C,00100,0100,A 434218,A81000C,00100,0400,MMM INVEST INC. 434218,A81000C,00100,0600,PROPERTY LEASING 434218,A81000C,00200,0100,A 434218,A81000C,00200,0400,THERACARE 434218,A81000C,00200,0600,THERAPY MANAGEMENT 434218,A81000C,00300,0100,A 434218,A81000C,00300,0400,THERACARE 434218,A81000C,00300,0600,THERAPY MANAGEMENT 434218,A81000C,00400,0100,A 434218,A81000C,00400,0400,THERACARE 434218,A81000C,00400,0600,THERAPY MANAGEMENT 434218,A81000C,00500,0100,B 434218,A81000C,00500,0400,MHS INC. 434218,A81000C,00500,0600,NURSING HOMES 434218,A81000C,00600,0100,B 434218,A81000C,00600,0400,MHS INC. 434218,A81000C,00600,0600,NURSING HOMES 434218,A81000C,00700,0100,B 434218,A81000C,00700,0400,MHS INC. 434218,A81000C,00700,0600,NURSING HOMES 434218,A81000C,00800,0100,B 434218,A81000C,00800,0400,MHS INC. 434218,A81000C,00800,0600,NURSING HOMES 434218,A81000C,00900,0100,B 434218,A81000C,00900,0400,MHS INC. 434218,A81000C,00900,0600,NURSING HOMES 434218,A81000C,01000,0100,B 434218,A81000C,01000,0400,MHS INC. 434218,A81000C,01000,0600,NURSING HOMES 434218,A81000C,01001,0100,B 434218,A81000C,01001,0400,MHS INC. 434218,A81000C,01001,0600,NURSING HOMES 434218,A81000C,01002,0100,B 434218,A81000C,01002,0400,MHS INC. 434218,A81000C,01002,0600,NURSING HOMES 434218,A81000C,01003,0100,B 434218,A81000C,01003,0400,MHS INC. 434218,A81000C,01003,0600,NURSING HOMES 434218,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434218,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434218,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434218,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434218,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434218,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434218,B100000,00000,0800,0800MEALS SERVED :DIETARY 434218,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434218,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434218,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434218,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434218,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434218,E10A180,00350,0100,09/13/11 434218,E10A180,00501,0100,05/07/12 434218,G300000,02500,0000,OTHER REVENUE 434218,S000000,00100,0200,03/02/12 434218,S200000,00100,0100,600 WEST OAKHILL 434218,S200000,00200,0100,PLYMOUTH 434218,S200000,00200,0200,IN 434218,S200000,00200,0300,46563 434218,S200000,00300,0100,MARSHALL 434218,S200000,00300,0201,99915 434218,S200000,00300,0300,R 434218,S200000,00400,0100,MHS INC. D/B/A MMM - PLYMOUTH 434218,S200000,00400,0200,155102 434218,S200000,00400,0300,10/16/69 434218,S200000,00400,0500,P 434218,S200000,01500,0100,Y 434218,S200000,01501,0200,Y 434218,S200000,01502,0200,Y 434218,S200000,01503,0200,Y 434218,S200000,01504,0200,Y 434218,S200000,01600,0100,N 434218,S200000,01700,0100,N 434218,S200000,01800,0100,N 434218,S200000,02200,0100,Y 434218,S200000,02800,0100,N 434218,S200000,02900,0100,N 434218,S200000,03000,0100,N 434218,S200000,03100,0100,N 434218,S200000,03200,0100,N 434218,S200000,03300,0100,N 434218,S200000,03300,0200,N 434218,S200000,04100,0100,N 434218,S200000,04200,0100,N 434218,S200000,04300,0100,N 434218,S200000,04600,0100,N 434218,S200000,04700,0100,N 434218,S200000,04700,0200,N 434218,S200000,04900,0100,N 434218,S200000,05000,0100,N 434218,S200000,05100,0100,N 434218,S200000,05200,0100,N 434218,S200000,05300,0100,Y 434218,S200000,05300,0200,15H004 434218,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434218,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434218,S200000,05400,0300,00130 434218,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434218,S200000,05600,0100,WARSAW 434218,S200000,05600,0200,IN 434218,S200000,05600,0300,46580 434219,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434219,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434219,A000000,00300,0000,0300EMPLOYEE BENEFITS 434219,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434219,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434219,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434219,A000000,00700,0000,0700HOUSEKEEPING 434219,A000000,00800,0000,0800DIETARY 434219,A000000,00900,0000,0900NURSING ADMINISTRATION 434219,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434219,A000000,01100,0000,1100PHARMACY 434219,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434219,A000000,01300,0000,1300SOCIAL SERVICE 434219,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434219,A000000,01500,0000,1350ACTIVITIES 434219,A000000,01600,0000,1600SKILLED NURSING FACILITY 434219,A000000,01800,0000,1800NURSING FACILITY 434219,A000000,01810,0000,1810ICF/MR 434219,A000000,01900,0000,1900OTHER LONG TERM CARE 434219,A000000,02100,0000,2100RADIOLOGY 434219,A000000,02200,0000,2200LABORATORY 434219,A000000,02300,0000,2300INTRAVENOUS THERAPY 434219,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434219,A000000,02500,0000,2500PHYSICAL THERAPY 434219,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434219,A000000,02700,0000,2700SPEECH PATHOLOGY 434219,A000000,02800,0000,2800ELECTROCARDIOLOGY 434219,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434219,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434219,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434219,A000000,03200,0000,3200SUPPORT SURFACES 434219,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434219,A000000,03400,0000,3400CLINIC 434219,A000000,03500,0000,3500RURAL HEALTH CLINIC 434219,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434219,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434219,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434219,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434219,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434219,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434219,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434219,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434219,A000000,04400,0000,4400DME RENTED - HHA 434219,A000000,04500,0000,4500DME SOLD - HHA 434219,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434219,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434219,A000000,04710,0000,4710TELEMEDICINE 434219,A000000,04800,0000,4800AMBULANCE 434219,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434219,A000000,05000,0000,5000CORF 434219,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434219,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434219,A000000,05300,0000,5300INTEREST EXPENSE 434219,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434219,A000000,05500,0000,5500HOSPICE 434219,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434219,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434219,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434219,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434219,A000000,06100,0000,6100NONPAID WORKERS 434219,A000000,06200,0000,6200PATIENTS LAUNDRY 434219,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434219,A81000A,00100,0100,Y 434219,A81000B,00100,0300,RELATED PARTY LEASE 434219,A81000B,00200,0300,RELATED PARTY THERAPY 434219,A81000B,00300,0300,RELATED PARTY THERAPY 434219,A81000B,00400,0300,RELATED PARTY THERAPY 434219,A81000B,00500,0300,HOME OFFICE COSTS 434219,A81000B,00600,0300,HOME OFFICE COSTS 434219,A81000B,00700,0300,HOME OFFICE COSTS 434219,A81000B,00800,0300,HOME OFFICE COSTS 434219,A81000B,00900,0300,HOME OFFICE COSTS 434219,A81000B,01000,0300,HOME OFFICE COSTS 434219,A81000B,01100,0300,HOME OFFICE COSTS 434219,A81000B,01200,0300,HOME OFFICE COSTS 434219,A81000B,01300,0300,HOME OFFICE COSTS 434219,A81000C,00100,0100,A 434219,A81000C,00100,0400,MMM INVEST INC. 434219,A81000C,00100,0600,PROPERTY LEASING 434219,A81000C,00200,0100,A 434219,A81000C,00200,0400,THERACARE 434219,A81000C,00200,0600,THERAPY MANAGEMENT 434219,A81000C,00300,0100,A 434219,A81000C,00300,0400,THERACARE 434219,A81000C,00300,0600,THERAPY MANAGEMENT 434219,A81000C,00400,0100,A 434219,A81000C,00400,0400,THERACARE 434219,A81000C,00400,0600,THERAPY MANAGEMENT 434219,A81000C,00500,0100,B 434219,A81000C,00500,0400,MHS INC. 434219,A81000C,00500,0600,NURSING HOMES 434219,A81000C,00600,0100,B 434219,A81000C,00600,0400,MHS INC. 434219,A81000C,00600,0600,NURSING HOMES 434219,A81000C,00700,0100,B 434219,A81000C,00700,0400,MHS INC. 434219,A81000C,00700,0600,NURSING HOMES 434219,A81000C,00800,0100,B 434219,A81000C,00800,0400,MHS INC. 434219,A81000C,00800,0600,NURSING HOMES 434219,A81000C,00900,0100,B 434219,A81000C,00900,0400,MHS INC. 434219,A81000C,00900,0600,NURSING HOMES 434219,A81000C,01000,0100,B 434219,A81000C,01000,0400,MHS INC. 434219,A81000C,01000,0600,NURSING HOMES 434219,A81000C,01001,0100,B 434219,A81000C,01001,0400,MHS INC. 434219,A81000C,01001,0600,NURSING HOMES 434219,A81000C,01002,0100,B 434219,A81000C,01002,0400,MHS INC. 434219,A81000C,01002,0600,NURSING HOMES 434219,A81000C,01003,0100,B 434219,A81000C,01003,0400,MHS INC. 434219,A81000C,01003,0600,NURSING HOMES 434219,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434219,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434219,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434219,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434219,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434219,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434219,B100000,00000,0800,0800MEALS SERVED :DIETARY 434219,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434219,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434219,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434219,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434219,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434219,E10A180,00301,0100,09/13/11 434219,E10A180,00501,0100,05/01/12 434219,G300000,02500,0000,OTHER REVENUE 434219,S000000,00100,0200,03/02/12 434219,S200000,00100,0100,1651 NORTH CAMPBELL AVE 434219,S200000,00200,0100,INDIANAPOLIS 434219,S200000,00200,0200,IN 434219,S200000,00200,0300,46218 434219,S200000,00300,0100,MARION 434219,S200000,00300,0201,26900 434219,S200000,00300,0300,U 434219,S200000,00400,0100,MHS INC. D/B/A MMM - INDY EAST 434219,S200000,00400,0200,155557 434219,S200000,00400,0300,04/01/95 434219,S200000,00400,0500,P 434219,S200000,01500,0100,Y 434219,S200000,01501,0200,Y 434219,S200000,01502,0200,Y 434219,S200000,01503,0200,Y 434219,S200000,01504,0200,Y 434219,S200000,01600,0100,N 434219,S200000,01700,0100,N 434219,S200000,01800,0100,N 434219,S200000,02200,0100,Y 434219,S200000,02800,0100,Y 434219,S200000,02900,0100,N 434219,S200000,03000,0100,N 434219,S200000,03100,0100,N 434219,S200000,03200,0100,N 434219,S200000,03300,0100,N 434219,S200000,03300,0200,N 434219,S200000,04100,0100,N 434219,S200000,04200,0100,N 434219,S200000,04300,0100,N 434219,S200000,04600,0100,N 434219,S200000,04700,0100,N 434219,S200000,04700,0200,N 434219,S200000,04900,0100,N 434219,S200000,05000,0100,N 434219,S200000,05100,0100,N 434219,S200000,05200,0100,N 434219,S200000,05300,0100,Y 434219,S200000,05300,0200,15H004 434219,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434219,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434219,S200000,05400,0300,00130 434219,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434219,S200000,05600,0100,WARSAW 434219,S200000,05600,0200,IN 434219,S200000,05600,0300,46580 434220,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434220,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434220,A000000,00300,0000,0300EMPLOYEE BENEFITS 434220,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434220,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434220,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434220,A000000,00700,0000,0700HOUSEKEEPING 434220,A000000,00800,0000,0800DIETARY 434220,A000000,00900,0000,0900NURSING ADMINISTRATION 434220,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434220,A000000,01100,0000,1100PHARMACY 434220,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434220,A000000,01300,0000,1300SOCIAL SERVICE 434220,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434220,A000000,01500,0000,1350RECREATION 434220,A000000,01600,0000,1600SKILLED NURSING FACILITY 434220,A000000,01810,0000,1810ICF/MR 434220,A000000,02100,0000,2100RADIOLOGY 434220,A000000,02200,0000,2200LABORATORY 434220,A000000,02300,0000,2300INTRAVENOUS THERAPY 434220,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434220,A000000,02500,0000,2500PHYSICAL THERAPY 434220,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434220,A000000,02700,0000,2700SPEECH PATHOLOGY 434220,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434220,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434220,A000000,03550,0000,3550FQHC 434220,A000000,04801,0000,4801AMBULANCE 434220,A000000,04802,0000,4802AMBULANCE 434220,A000000,04803,0000,4803AMBULANCE 434220,A000000,05000,0000,5000CORF 434220,A000000,05010,0000,5010CMHC 434220,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434220,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434220,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434220,A81000A,00100,0100,Y 434220,A81000B,00100,0300,SEE ATTACHED 434220,A81000B,00200,0300,CAPITAL INTEREST 434220,A81000B,00300,0300,HOME OFFICE 434220,A81000B,00400,0300,HOME OFFICE 434220,A81000C,00100,0100,B 434220,A81000C,00100,0400,SEE ATTACHED 434220,A81000C,00100,0600,VARIOUS 434220,A81000C,00200,0100,B 434220,A81000C,00200,0400,GHC 434220,A81000C,00200,0600,LONG TERM CARE 434220,A81000C,00300,0100,B 434220,A81000C,00300,0400,GHC 434220,A81000C,00300,0600,LONG TERM CARE 434220,A81000C,00400,0100,B 434220,A81000C,00400,0400,GHC 434220,A81000C,00400,0600,LONG TERM CARE 434220,B100000,00000,0100,0100SQUARE FEET 434220,B100000,00000,0200,0200SQUARE FEET 434220,B100000,00000,0300,0300GROSS SALARIES 434220,B100000,00000,0400,0400ACCUM COST 434220,B100000,00000,0500,0500SQUARE FEET 434220,B100000,00000,0600,0600PATIENT DAYS 434220,B100000,00000,0700,0700SQUARE FEET 434220,B100000,00000,0800,0800MEALS SERVED 434220,B100000,00000,0900,0900NURSING SALARIES 434220,B100000,00000,1000,1000COSTED REQUIS 434220,B100000,00000,1100,1100COSTED REQUIS 434220,B100000,00000,1200,1200PATIENT DAYS 434220,B100000,00000,1300,1300PATIENT DAYS 434220,B100000,00000,1400,1400ASSIGNED TIME 434220,B100000,00000,1500,1350PATIENT DAYS 434220,E10A180,00501,0300,03/26/12 434220,E10A180,00550,0100,03/26/12 434220,G300000,02500,0000,BARBER & BEAUTY 434220,S000000,00100,0200,09/12/11 434220,S200000,00100,0100,25 EAST LINDSLEY ROAD 434220,S200000,00200,0100,CEDAR GROVE 434220,S200000,00200,0200,NJ 434220,S200000,00200,0300,07009 434220,S200000,00300,0100,ESSEX 434220,S200000,00300,0201,35084 434220,S200000,00300,0300,U 434220,S200000,00400,0100,ARBOR GLEN CENTER 434220,S200000,00400,0200,315036 434220,S200000,00400,0300,07/01/85 434220,S200000,00400,0500,P 434220,S200000,01500,0100,Y 434220,S200000,01501,0200,N 434220,S200000,01502,0200,N 434220,S200000,01503,0200,N 434220,S200000,01504,0200,N 434220,S200000,01600,0100,N 434220,S200000,01700,0100,N 434220,S200000,01800,0100,N 434220,S200000,02200,0100,Y 434220,S200000,02800,0100,N 434220,S200000,02900,0100,N 434220,S200000,03000,0100,N 434220,S200000,03100,0100,N 434220,S200000,03200,0100,N 434220,S200000,03300,0100,N 434220,S200000,03300,0200,N 434220,S200000,04200,0100,N 434220,S200000,04300,0100,N 434220,S200000,04600,0100,N 434220,S200000,04700,0100,N 434220,S200000,04900,0100,N 434220,S200000,05200,0100,N 434220,S200000,05300,0100,Y 434220,S200000,05300,0200,HB0067 434220,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434220,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434220,S200000,05400,0300,12001 434220,S200000,05500,0100,101 EAST STATE STREET 434220,S200000,05600,0100,KENNETT SQUARE 434220,S200000,05600,0200,PA 434220,S200000,05600,0300,19348 434221,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434221,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434221,A000000,00300,0000,0300EMPLOYEE BENEFITS 434221,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434221,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434221,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434221,A000000,00700,0000,0700HOUSEKEEPING 434221,A000000,00800,0000,0800DIETARY 434221,A000000,00900,0000,0900NURSING ADMINISTRATION 434221,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434221,A000000,01100,0000,1100PHARMACY 434221,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434221,A000000,01300,0000,1300SOCIAL SERVICE 434221,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434221,A000000,01500,0000,1350RECREATION 434221,A000000,01600,0000,1600SKILLED NURSING FACILITY 434221,A000000,01810,0000,1810ICF/MR 434221,A000000,02100,0000,2100RADIOLOGY 434221,A000000,02200,0000,2200LABORATORY 434221,A000000,02300,0000,2300INTRAVENOUS THERAPY 434221,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434221,A000000,02500,0000,2500PHYSICAL THERAPY 434221,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434221,A000000,02700,0000,2700SPEECH PATHOLOGY 434221,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434221,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434221,A000000,03550,0000,3550FQHC 434221,A000000,04801,0000,4801AMBULANCE 434221,A000000,04802,0000,4802AMBULANCE 434221,A000000,04803,0000,4803AMBULANCE 434221,A000000,05000,0000,5000CORF 434221,A000000,05010,0000,5010CMHC 434221,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434221,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434221,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434221,A81000A,00100,0100,Y 434221,A81000B,00100,0300,SEE ATTACHED 434221,A81000B,00200,0300,HOME OFFICE INTEREST 434221,A81000B,00300,0300,HOME OFFICE A & G 434221,A81000B,00400,0300,HOME OFFICE CAPITAL 434221,A81000C,00100,0100,B 434221,A81000C,00100,0400,SEE ATTACHED 434221,A81000C,00100,0600,VARIOUS 434221,A81000C,00200,0100,B 434221,A81000C,00200,0400,GHC 434221,A81000C,00200,0600,LONG TERM CARE 434221,A81000C,00300,0100,B 434221,A81000C,00300,0400,GHC 434221,A81000C,00300,0600,LONG TERM CARE 434221,A81000C,00400,0100,B 434221,A81000C,00400,0400,GHC 434221,A81000C,00400,0600,LONG TERM CARE 434221,B100000,00000,0100,0100SQUARE FEET 434221,B100000,00000,0200,0200SQUARE FEET 434221,B100000,00000,0300,0300GROSS SALARIES 434221,B100000,00000,0400,0400ACCUM COST 434221,B100000,00000,0500,0500SQUARE FEET 434221,B100000,00000,0600,0600PATIENT DAYS 434221,B100000,00000,0700,0700SQUARE FEET 434221,B100000,00000,0800,0800MEALS SERVED 434221,B100000,00000,0900,0900NURSING SALARIES 434221,B100000,00000,1000,1000COSTED REQUIS 434221,B100000,00000,1100,1100COSTED REQUIS 434221,B100000,00000,1200,1200PATIENT DAYS 434221,B100000,00000,1300,1300PATIENT DAYS 434221,B100000,00000,1400,1400ASSIGNED TIME 434221,B100000,00000,1500,1350PATIENT DAYS 434221,E10A180,00501,0300,03/26/12 434221,E10A180,00550,0100,03/26/12 434221,G300000,02500,0000,BARBER AND BEAUTY 434221,S000000,00100,0200,09/12/11 434221,S200000,00100,0100,84 COLD HILL ROAD 434221,S200000,00200,0100,MENDHAM 434221,S200000,00200,0200,NJ 434221,S200000,00200,0300,07945 434221,S200000,00300,0100,MORRIS 434221,S200000,00300,0201,35084 434221,S200000,00300,0300,U 434221,S200000,00400,0100,HOLLY MANOR CENTER 434221,S200000,00400,0200,315143 434221,S200000,00400,0300,01/01/76 434221,S200000,00400,0500,P 434221,S200000,01500,0100,Y 434221,S200000,01501,0200,N 434221,S200000,01502,0200,N 434221,S200000,01503,0200,N 434221,S200000,01504,0200,N 434221,S200000,01600,0100,N 434221,S200000,01700,0100,N 434221,S200000,01800,0100,N 434221,S200000,02200,0100,Y 434221,S200000,02800,0100,N 434221,S200000,02900,0100,N 434221,S200000,03000,0100,N 434221,S200000,03100,0100,N 434221,S200000,03200,0100,N 434221,S200000,03300,0100,N 434221,S200000,03300,0200,N 434221,S200000,04200,0100,N 434221,S200000,04300,0100,N 434221,S200000,04600,0100,N 434221,S200000,04700,0100,N 434221,S200000,04900,0100,N 434221,S200000,05200,0100,N 434221,S200000,05300,0100,Y 434221,S200000,05300,0200,HB0067 434221,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434221,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434221,S200000,05400,0300,12001 434221,S200000,05500,0100,101 EAST STATE STREET 434221,S200000,05600,0100,KENNETT SQUARE 434221,S200000,05600,0200,PA 434221,S200000,05600,0300,19348 434224,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434224,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434224,A000000,00300,0000,0300EMPLOYEE BENEFITS 434224,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434224,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434224,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434224,A000000,00700,0000,0700HOUSEKEEPING 434224,A000000,00800,0000,0800DIETARY 434224,A000000,00900,0000,0900NURSING ADMINISTRATION 434224,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434224,A000000,01100,0000,1100PHARMACY 434224,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434224,A000000,01300,0000,1300SOCIAL SERVICE 434224,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434224,A000000,01500,0000,1350ACTIVITIES 434224,A000000,01600,0000,1600SKILLED NURSING FACILITY 434224,A000000,01800,0000,1800NURSING FACILITY 434224,A000000,01810,0000,1810ICF/MR 434224,A000000,02100,0000,2100RADIOLOGY 434224,A000000,02200,0000,2200LABORATORY 434224,A000000,02300,0000,2300INTRAVENOUS THERAPY 434224,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434224,A000000,02500,0000,2500PHYSICAL THERAPY 434224,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434224,A000000,02700,0000,2700SPEECH PATHOLOGY 434224,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434224,A000000,02901,0000,2901PEN THERAPY 434224,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434224,A000000,03300,0000,3050OTH ANC 434224,A000000,03301,0000,3051OTH ANC 434224,A000000,03550,0000,3550FQHC 434224,A000000,04801,0000,4801AMBULANCE 434224,A000000,04802,0000,4802AMBULANCE 434224,A000000,04803,0000,4803AMBULANCE 434224,A000000,05000,0000,5000CORF 434224,A000000,05010,0000,5010CMHC 434224,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434224,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434224,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434224,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434224,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434224,A000000,06300,0000,6150MARKETING SALARIES 434224,A81000A,00100,0100,Y 434224,A81000B,00100,0300,LEASE PMT 434224,A81000B,00200,0300,HEALTH/LIFE INS 434224,A81000B,00300,0300,WORK COMP 434224,A81000B,00400,0300,GLPL 434224,A81000B,00500,0300,AUTO INSURANCE 434224,A81000B,00600,0300,MGMT FEES 434224,A81000B,00700,0300,H.O. ALLOCATED FEES 434224,A81000B,00800,0300,H.O. ALLOCATED FEES 434224,A81000B,00900,0300,H.O. ALLOCATED FEES 434224,A81000B,01000,0300,INTERIOR DSGN & FURN 434224,A81000B,01100,0300,ADDITIONAL COMP 434224,A81000C,00100,0100,A 434224,A81000C,00100,0200,FORREST PRESTON 434224,A81000C,00100,0400,ALT SPRINGS MED 434224,A81000C,00100,0600,BUILDING LEASE 434224,A81000C,00200,0100,A 434224,A81000C,00200,0200,FORREST PRESTON 434224,A81000C,00200,0400,ASSOC BEN TRUST 434224,A81000C,00200,0600,GROUP LIFE/HLTH 434224,A81000C,00300,0100,A 434224,A81000C,00300,0200,FORREST PRESTON 434224,A81000C,00300,0400,LEADER CARE IN 434224,A81000C,00300,0600,W/COMP GLPL AUT 434224,A81000C,00400,0100,A 434224,A81000C,00400,0200,FORREST PRESTON 434224,A81000C,00400,0400,LIFE CARE CTRS 434224,A81000C,00400,0600,MGMT SERVICES 434224,A81000C,00500,0100,A 434224,A81000C,00500,0200,FORREST PRESTON 434224,A81000C,00500,0400,LIFE CARE DESIG 434224,A81000C,00500,0600,INT DSGN & FURN 434224,B100000,00000,0100,0100(SQUARE FEET) 434224,B100000,00000,0200,0200(SQUARE FEET) 434224,B100000,00000,0300,0300(GROSS SALARIES) 434224,B100000,00000,0400,0400ACCUM COST 434224,B100000,00000,0500,0500(SQUARE FEET) 434224,B100000,00000,0600,0600PATIENT DAYS 434224,B100000,00000,0700,0700(SQUARE FEET) 434224,B100000,00000,0800,0800(MEALS SERVED) 434224,B100000,00000,0900,0900NRSG HOURS SUPERVISED 434224,B100000,00000,1000,1000(COSTED REQUIS) 434224,B100000,00000,1100,1100COSTED REQUIS 434224,B100000,00000,1200,1200GROSS REVENUES 434224,B100000,00000,1300,1300PATIENT DAYS 434224,B100000,00000,1400,1400ASSIGNED TIME 434224,B100000,00000,1500,1350PATIENT DAYS 434224,E10A180,00301,0100,01/31/11 434224,E10A180,00302,0100,08/29/11 434224,E10A180,00502,0100,04/27/12 434224,E10A180,00551,0300,04/27/12 434224,S000000,00100,0200,02/22/12 434224,S200000,00100,0100,989 ORIENTA AVENUE 434224,S200000,00200,0100,ALTAMONTE 434224,S200000,00200,0200,FL 434224,S200000,00200,0300,32701 434224,S200000,00300,0100,SEMINOLE 434224,S200000,00300,0201,36740 434224,S200000,00300,0300,U 434224,S200000,00400,0100,LCC OF ALTAMONTE SPRINGS 434224,S200000,00400,0200,105365 434224,S200000,00400,0300,12/21/87 434224,S200000,00400,0500,P 434224,S200000,01500,0100,Y 434224,S200000,01501,0200,Y 434224,S200000,01502,0200,N 434224,S200000,01503,0200,N 434224,S200000,01504,0200,Y 434224,S200000,01505,0000,OTHER 434224,S200000,01505,0200,N 434224,S200000,01600,0100,N 434224,S200000,01700,0100,N 434224,S200000,01800,0100,N 434224,S200000,02200,0100,Y 434224,S200000,02800,0100,N 434224,S200000,02900,0100,N 434224,S200000,03000,0100,N 434224,S200000,03100,0100,N 434224,S200000,03200,0100,N 434224,S200000,03300,0100,N 434224,S200000,03300,0200,N 434224,S200000,04200,0100,N 434224,S200000,04300,0100,N 434224,S200000,04600,0100,N 434224,S200000,04700,0100,N 434224,S200000,04900,0100,N 434224,S200000,05200,0100,N 434224,S200000,05300,0100,Y 434224,S200000,05300,0200,44H017 434224,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA 434224,S200000,05400,0200,CAHABA GOVERNMENT BEN ADMIN. 434224,S200000,05400,0300,10301 434224,S200000,05500,0100,3001 KEITH STREET N.W. 434224,S200000,05500,0200,3480 434224,S200000,05600,0100,CLEVELAND 434224,S200000,05600,0200,TN 434224,S200000,05600,0300,37312 434230,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434230,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434230,A000000,00300,0000,0300EMPLOYEE BENEFITS 434230,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434230,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434230,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434230,A000000,00700,0000,0700HOUSEKEEPING 434230,A000000,00800,0000,0800DIETARY 434230,A000000,00900,0000,0900NURSING ADMINISTRATION 434230,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434230,A000000,01100,0000,1100PHARMACY 434230,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434230,A000000,01300,0000,1300SOCIAL SERVICE 434230,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434230,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 434230,A000000,01600,0000,1600SKILLED NURSING FACILITY 434230,A000000,01800,0000,1800NURSING FACILITY 434230,A000000,01810,0000,1810ICF/MR 434230,A000000,01900,0000,1900OTHER LONG TERM CARE 434230,A000000,02100,0000,2100RADIOLOGY 434230,A000000,02200,0000,2200LABORATORY 434230,A000000,02300,0000,2300INTRAVENOUS THERAPY 434230,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434230,A000000,02500,0000,2500PHYSICAL THERAPY 434230,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434230,A000000,02700,0000,2700SPEECH PATHOLOGY 434230,A000000,02800,0000,2800ELECTROCARDIOLOGY 434230,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434230,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434230,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434230,A000000,03200,0000,3200SUPPORT SURFACES 434230,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434230,A000000,03400,0000,3400CLINIC 434230,A000000,03500,0000,3500RURAL HEALTH CLINIC 434230,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434230,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434230,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434230,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434230,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434230,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434230,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434230,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434230,A000000,04400,0000,4400DME RENTED - HHA 434230,A000000,04500,0000,4500DME SOLD - HHA 434230,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434230,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434230,A000000,04710,0000,4710TELEMEDICINE 434230,A000000,04800,0000,4800AMBULANCE 434230,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434230,A000000,05000,0000,5000CORF 434230,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434230,A000000,05300,0000,5300INTEREST EXPENSE 434230,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434230,A000000,05500,0000,5500HOSPICE 434230,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434230,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434230,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434230,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434230,A000000,06100,0000,6100NONPAID WORKERS 434230,A000000,06200,0000,6200PATIENTS LAUNDRY 434230,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434230,A81000A,00100,0100,Y 434230,A81000B,00100,0300,RENT EXPENSE 434230,A81000B,00200,0300,FINANCIAL SERVICES FEE 434230,A81000C,00100,0100,D 434230,A81000C,00100,0200,ROBERT J ROETKE 434230,A81000C,00100,0400,ROBERT J ROETKE 434230,A81000C,00100,0600,PROPERTY MANAGE 434230,A81000C,00200,0100,A 434230,A81000C,00200,0200,CECILIA CORCORA 434230,A81000C,00200,0400,ROEING CORPORAT 434230,A81000C,00200,0600,COMPUTER SERVIC 434230,A81000C,00300,0100,A 434230,A81000C,00300,0200,DAVID ROETKER 434230,A81000C,00300,0400,ROEING CORPORAT 434230,A81000C,00300,0600,COMPUTER SERVIC 434230,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434230,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434230,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434230,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434230,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434230,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434230,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434230,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434230,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434230,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434230,E10A180,00501,0100,05/02/12 434230,E10A180,00550,0300,05/02/12 434230,G300000,02500,0000,MISCELLANEOUS 434230,S000000,00100,0200,03/01/12 434230,S200000,00100,0100,#2 CHASE PARK 434230,S200000,00200,0100,LOGANSPORT 434230,S200000,00200,0200,IN 434230,S200000,00200,0300,46947 434230,S200000,00300,0100,CASS 434230,S200000,00300,0201,99915 434230,S200000,00300,0300,R 434230,S200000,00400,0100,CHASE NURSING & REHABILITATION CTR 434230,S200000,00400,0200,155710 434230,S200000,00400,0300,10/09/02 434230,S200000,00400,0500,P 434230,S200000,01500,0100,Y 434230,S200000,01501,0200,Y 434230,S200000,01503,0200,Y 434230,S200000,01504,0200,Y 434230,S200000,01600,0100,N 434230,S200000,01700,0100,N 434230,S200000,01800,0100,N 434230,S200000,02200,0100,N 434230,S200000,02800,0100,N 434230,S200000,02900,0100,N 434230,S200000,03000,0100,N 434230,S200000,03100,0100,N 434230,S200000,03200,0100,N 434230,S200000,03300,0100,N 434230,S200000,03300,0200,N 434230,S200000,04100,0100,N 434230,S200000,04200,0100,N 434230,S200000,04300,0100,N 434230,S200000,04600,0100,N 434230,S200000,04700,0100,N 434230,S200000,04700,0200,N 434230,S200000,04900,0100,N 434230,S200000,05000,0100,N 434230,S200000,05100,0100,N 434230,S200000,05200,0100,N 434230,S200000,05300,0100,Y 434230,S200000,05300,0200,15H006 434230,S200000,05400,0100,CAREAGE OF LOGANSPORT 434230,S200000,05400,0200,NGS 434230,S200000,05400,0300,00130 434230,S200000,05500,0100,#2 CHASE PARK 434230,S200000,05600,0100,LOGANSPORT 434230,S200000,05600,0200,IN 434230,S200000,05600,0300,46947 434231,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434231,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434231,A000000,00300,0000,0300EMPLOYEE BENEFITS 434231,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434231,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434231,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434231,A000000,00700,0000,0700HOUSEKEEPING 434231,A000000,00800,0000,0800DIETARY 434231,A000000,00900,0000,0900NURSING ADMINISTRATION 434231,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434231,A000000,01100,0000,1100PHARMACY 434231,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434231,A000000,01300,0000,1300SOCIAL SERVICE 434231,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434231,A000000,01500,0000,1350ACTIVITIES 434231,A000000,01600,0000,1600SKILLED NURSING FACILITY 434231,A000000,01800,0000,1800NURSING FACILITY 434231,A000000,01810,0000,1810ICF/MR 434231,A000000,01900,0000,1900OTHER LONG TERM CARE 434231,A000000,02100,0000,2100RADIOLOGY 434231,A000000,02200,0000,2200LABORATORY 434231,A000000,02300,0000,2300INTRAVENOUS THERAPY 434231,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434231,A000000,02500,0000,2500PHYSICAL THERAPY 434231,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434231,A000000,02700,0000,2700SPEECH PATHOLOGY 434231,A000000,02800,0000,2800ELECTROCARDIOLOGY 434231,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434231,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434231,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434231,A000000,03200,0000,3200SUPPORT SURFACES 434231,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434231,A000000,03400,0000,3400CLINIC 434231,A000000,03500,0000,3500RURAL HEALTH CLINIC 434231,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434231,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434231,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434231,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434231,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434231,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434231,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434231,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434231,A000000,04400,0000,4400DME RENTED - HHA 434231,A000000,04500,0000,4500DME SOLD - HHA 434231,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434231,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434231,A000000,04710,0000,4710TELEMEDICINE 434231,A000000,04800,0000,4800AMBULANCE 434231,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434231,A000000,05000,0000,5000CORF 434231,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434231,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434231,A000000,05300,0000,5300INTEREST EXPENSE 434231,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434231,A000000,05500,0000,5500HOSPICE 434231,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434231,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434231,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434231,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434231,A000000,06100,0000,6100NONPAID WORKERS 434231,A000000,06200,0000,6200PATIENTS LAUNDRY 434231,A000000,06300,0000,6150INDEPENDENT & ASSISTED LIVING 434231,A81000A,00100,0100,N 434231,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434231,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434231,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434231,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434231,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434231,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434231,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434231,B100000,00000,0800,0800MEALS SERVED :DIETARY 434231,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434231,B100000,00000,1000,1000COST REQUIS. :CENTRAL SERVICES 434231,B100000,00000,1100,1100COST REQUIS. :PHARMACY 434231,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434231,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434231,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434231,E10A180,00501,0100,05/07/12 434231,G300000,02500,0000,ENTRY FEES 434231,G300000,02501,0000,HOUSEKEEPING SERVICE EXTRA 434231,G300000,02502,0000,TRANSPORTATION 434231,G300000,02503,0000,MISCELLANEOUS INCOME 434231,G300000,02504,0000,RECOVERY OF BAD DEBT 434231,S000000,00100,0200,03/07/12 434231,S200000,00100,0100,102 WEST POPLAR STREET 434231,S200000,00200,0100,GREENCASTLE 434231,S200000,00200,0200,IN 434231,S200000,00200,0300,46135 434231,S200000,00300,0100,PUTNAM 434231,S200000,00300,0200,0015 434231,S200000,00300,0201,26900 434231,S200000,00300,0300,U 434231,S200000,00400,0100,ASBURY TOWERS RETIREMENT COMMUNITY 434231,S200000,00400,0200,155758 434231,S200000,00400,0300,08/29/06 434231,S200000,00400,0500,P 434231,S200000,01500,0100,Y 434231,S200000,01501,0200,N 434231,S200000,01503,0200,N 434231,S200000,01504,0200,Y 434231,S200000,01600,0100,N 434231,S200000,01700,0100,N 434231,S200000,01800,0100,N 434231,S200000,02200,0100,N 434231,S200000,02800,0100,N 434231,S200000,02900,0100,N 434231,S200000,03000,0100,N 434231,S200000,03100,0100,N 434231,S200000,03200,0100,N 434231,S200000,03300,0100,N 434231,S200000,03300,0200,N 434231,S200000,04100,0100,N 434231,S200000,04200,0100,N 434231,S200000,04300,0100,N 434231,S200000,04600,0100,N 434231,S200000,04700,0100,N 434231,S200000,04700,0200,N 434231,S200000,04900,0100,N 434231,S200000,05000,0100,N 434231,S200000,05100,0100,N 434231,S200000,05200,0100,N 434240,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434240,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434240,A000000,00300,0000,0300EMPLOYEE BENEFITS 434240,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434240,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434240,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434240,A000000,00700,0000,0700HOUSEKEEPING 434240,A000000,00800,0000,0800DIETARY 434240,A000000,00900,0000,0900NURSING ADMINISTRATION 434240,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434240,A000000,01100,0000,1100PHARMACY 434240,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434240,A000000,01300,0000,1300SOCIAL SERVICE 434240,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434240,A000000,01600,0000,1600SKILLED NURSING FACILITY 434240,A000000,01810,0000,1810ICF/MR 434240,A000000,01900,0000,1900OTHER LONG TERM CARE 434240,A000000,02100,0000,2100RADIOLOGY 434240,A000000,02200,0000,2200LABORATORY 434240,A000000,02500,0000,2500PHYSICAL THERAPY 434240,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434240,A000000,02700,0000,2700SPEECH PATHOLOGY 434240,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434240,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434240,A000000,03550,0000,3550FQHC 434240,A000000,05000,0000,5000CORF 434240,A000000,05010,0000,5010CMHC 434240,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434240,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434240,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434240,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434240,A81000A,00100,0100,Y 434240,A81000B,00100,0300,INTEREST 434240,A81000B,00200,0300,MANAGEMENT FEES 434240,A81000C,00100,0100,A 434240,A81000C,00100,0200,PENNINGTON/VON 434240,A81000C,00100,0400,PENNINGTON/VON 434240,A81000C,00100,0600,LOANS TO ORGANI 434240,A81000C,00200,0100,A 434240,A81000C,00200,0200,PENNINGTON/VON 434240,A81000C,00200,0400,VIP HOLDINGS 434240,A81000C,00200,0600,MANAGEMENT COMP 434240,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434240,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434240,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434240,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434240,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434240,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434240,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434240,B100000,00000,0800,0800MEALS SERVED :DIETARY 434240,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434240,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434240,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434240,E10A180,00501,0100,05/27/12 434240,G300000,02500,0000,MISCELLANEOUS 434240,S000000,00100,0200,03/01/12 434240,S200000,00100,0100,106 CAMERON STREET 434240,S200000,00200,0100,LAKE WACCAMAW 434240,S200000,00200,0200,NC 434240,S200000,00200,0300,28450 434240,S200000,00300,0100,COLUMBUS 434240,S200000,00300,0201,34 434240,S200000,00300,0300,R 434240,S200000,00400,0100,PREMIER LIVING & REHAB. CTR. 434240,S200000,00400,0200,345185 434240,S200000,00400,0300,02/01/01 434240,S200000,00400,0500,P 434240,S200000,01500,0100,N 434240,S200000,01501,0200,N 434240,S200000,01504,0200,N 434240,S200000,01600,0100,Y 434240,S200000,01700,0100,N 434240,S200000,01800,0100,N 434240,S200000,01900,0100,LLC 434240,S200000,02200,0100,N 434240,S200000,02800,0100,N 434240,S200000,02900,0100,N 434240,S200000,03000,0100,N 434240,S200000,03100,0100,N 434240,S200000,03200,0100,N 434240,S200000,03300,0100,N 434240,S200000,03300,0200,N 434240,S200000,04100,0100,N 434240,S200000,04200,0100,N 434240,S200000,04300,0100,N 434240,S200000,04600,0100,N 434240,S200000,04700,0100,N 434240,S200000,04700,0200,N 434240,S200000,04900,0100,N 434240,S200000,05000,0100,N 434240,S200000,05100,0100,N 434240,S200000,05200,0100,N 434240,S200000,05300,0100,Y 434240,S200000,05300,0200,HO-111 434240,S200000,05400,0100,VIP HOLDINGS LLC 434240,S200000,05400,0200,PALMETTO GBA 434240,S200000,05400,0300,00382 434240,S200000,05500,0100,11 CAROLYN DRIVE 434240,S200000,05600,0100,CHANDLER 434240,S200000,05600,0200,NC 434240,S200000,05600,0300,28715 434241,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434241,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434241,A000000,00300,0000,0300EMPLOYEE BENEFITS 434241,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434241,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434241,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434241,A000000,00700,0000,0700HOUSEKEEPING 434241,A000000,00800,0000,0800DIETARY 434241,A000000,00900,0000,0900NURSING ADMINISTRATION 434241,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434241,A000000,01100,0000,1100PHARMACY 434241,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434241,A000000,01300,0000,1300SOCIAL SERVICE 434241,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434241,A000000,01500,0000,1350ACTIVITIES 434241,A000000,01600,0000,1600SKILLED NURSING FACILITY 434241,A000000,01800,0000,1800NURSING FACILITY 434241,A000000,01810,0000,1810ICF/MR 434241,A000000,01900,0000,1900OTHER LONG TERM CARE 434241,A000000,02100,0000,2100RADIOLOGY 434241,A000000,02200,0000,2200LABORATORY 434241,A000000,02300,0000,2300INTRAVENOUS THERAPY 434241,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434241,A000000,02500,0000,2500PHYSICAL THERAPY 434241,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434241,A000000,02700,0000,2700SPEECH PATHOLOGY 434241,A000000,02800,0000,2800ELECTROCARDIOLOGY 434241,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434241,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434241,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434241,A000000,03200,0000,3200SUPPORT SURFACES 434241,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434241,A000000,03400,0000,3400CLINIC 434241,A000000,03500,0000,3500RURAL HEALTH CLINIC 434241,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434241,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434241,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434241,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434241,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434241,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434241,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434241,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434241,A000000,04400,0000,4400DME RENTED - HHA 434241,A000000,04500,0000,4500DME SOLD - HHA 434241,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434241,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434241,A000000,04710,0000,4710TELEMEDICINE 434241,A000000,04800,0000,4800AMBULANCE 434241,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434241,A000000,05000,0000,5000CORF 434241,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434241,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434241,A000000,05300,0000,5300INTEREST EXPENSE 434241,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434241,A000000,05500,0000,5500HOSPICE 434241,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434241,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434241,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434241,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434241,A000000,06100,0000,6100NONPAID WORKERS 434241,A000000,06200,0000,6200PATIENTS LAUNDRY 434241,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434241,A81000A,00100,0100,Y 434241,A81000B,00100,0300,RELATED PARTY THERAPY 434241,A81000B,00200,0300,RELATED PARTY THERAPY 434241,A81000B,00300,0300,RELATED PARTY THERAPY 434241,A81000B,00400,0300,HOME OFFICE COSTS 434241,A81000B,00500,0300,HOME OFFICE COSTS 434241,A81000B,00600,0300,HOME OFFICE COSTS 434241,A81000B,00700,0300,HOME OFFICE COSTS 434241,A81000B,00800,0300,HOME OFFICE COSTS 434241,A81000B,00900,0300,HOME OFFICE COSTS 434241,A81000B,01000,0300,HOME OFFICE COSTS 434241,A81000B,01100,0300,HOME OFFICE COSTS 434241,A81000B,01200,0300,HOME OFFICE COSTS 434241,A81000C,00100,0100,A 434241,A81000C,00100,0400,THERACARE 434241,A81000C,00100,0600,THERAPY MANAGEMENT 434241,A81000C,00200,0100,A 434241,A81000C,00200,0400,THERACARE 434241,A81000C,00200,0600,THERAPY MANAGEMENT 434241,A81000C,00300,0100,A 434241,A81000C,00300,0400,THERACARE 434241,A81000C,00300,0600,THERAPY MANAGEMENT 434241,A81000C,00400,0100,B 434241,A81000C,00400,0400,MHS INC. 434241,A81000C,00400,0600,NURSING HOMES 434241,A81000C,00500,0100,B 434241,A81000C,00500,0400,MHS INC. 434241,A81000C,00500,0600,NURSING HOMES 434241,A81000C,00600,0100,B 434241,A81000C,00600,0400,MHS INC. 434241,A81000C,00600,0600,NURSING HOMES 434241,A81000C,00700,0100,B 434241,A81000C,00700,0400,MHS INC. 434241,A81000C,00700,0600,NURSING HOMES 434241,A81000C,00800,0100,B 434241,A81000C,00800,0400,MHS INC. 434241,A81000C,00800,0600,NURSING HOMES 434241,A81000C,00900,0100,B 434241,A81000C,00900,0400,MHS INC. 434241,A81000C,00900,0600,NURSING HOMES 434241,A81000C,01000,0100,B 434241,A81000C,01000,0400,MHS INC. 434241,A81000C,01000,0600,NURSING HOMES 434241,A81000C,01001,0100,B 434241,A81000C,01001,0400,MHS INC. 434241,A81000C,01001,0600,NURSING HOMES 434241,A81000C,01002,0100,B 434241,A81000C,01002,0400,MHS INC. 434241,A81000C,01002,0600,NURSING HOMES 434241,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434241,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434241,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434241,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434241,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434241,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434241,B100000,00000,0800,0800MEALS SERVED :DIETARY 434241,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434241,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434241,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434241,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434241,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434241,E10A180,00301,0100,09/13/11 434241,E10A180,00501,0100,05/07/12 434241,G300000,02500,0000,OTHER REVENUE 434241,S000000,00100,0200,03/02/12 434241,S200000,00100,0100,981 BEECHWOOD STREET 434241,S200000,00100,0300,160 434241,S200000,00200,0100,MIDDLETOWN 434241,S200000,00200,0200,IN 434241,S200000,00200,0300,47356 434241,S200000,00300,0100,HENRY 434241,S200000,00300,0200,15 434241,S200000,00300,0201,99915 434241,S200000,00300,0300,R 434241,S200000,00400,0100,MHS INC. D/B/A MMM - MIDDLETOWN 434241,S200000,00400,0200,155573 434241,S200000,00400,0300,08/01/95 434241,S200000,00400,0500,P 434241,S200000,01500,0100,Y 434241,S200000,01501,0200,Y 434241,S200000,01502,0200,Y 434241,S200000,01503,0200,Y 434241,S200000,01504,0200,Y 434241,S200000,01600,0100,N 434241,S200000,01700,0100,N 434241,S200000,01800,0100,N 434241,S200000,02200,0100,Y 434241,S200000,02800,0100,N 434241,S200000,02900,0100,N 434241,S200000,03000,0100,N 434241,S200000,03100,0100,N 434241,S200000,03200,0100,N 434241,S200000,03300,0100,N 434241,S200000,03300,0200,N 434241,S200000,04100,0100,N 434241,S200000,04200,0100,N 434241,S200000,04300,0100,N 434241,S200000,04600,0100,N 434241,S200000,04700,0100,N 434241,S200000,04700,0200,N 434241,S200000,04900,0100,N 434241,S200000,05000,0100,N 434241,S200000,05100,0100,N 434241,S200000,05200,0100,N 434241,S200000,05300,0100,Y 434241,S200000,05300,0200,15H004 434241,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434241,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434241,S200000,05400,0300,00130 434241,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434241,S200000,05600,0100,WARSAW 434241,S200000,05600,0200,IN 434241,S200000,05600,0300,46580 434242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434242,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434242,A000000,00300,0000,0300EMPLOYEE BENEFITS 434242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434242,A000000,00700,0000,0700HOUSEKEEPING 434242,A000000,00800,0000,0800DIETARY 434242,A000000,00900,0000,0900NURSING ADMINISTRATION 434242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434242,A000000,01100,0000,1100PHARMACY 434242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434242,A000000,01300,0000,1300SOCIAL SERVICE 434242,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434242,A000000,01600,0000,1600SKILLED NURSING FACILITY 434242,A000000,01800,0000,1800NURSING FACILITY 434242,A000000,01900,0000,1900OTHER LONG TERM CARE 434242,A000000,02100,0000,2100RADIOLOGY 434242,A000000,02200,0000,2200LABORATORY 434242,A000000,02300,0000,2300INTRAVENOUS THERAPY 434242,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434242,A000000,02500,0000,2500PHYSICAL THERAPY 434242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434242,A000000,02700,0000,2700SPEECH PATHOLOGY 434242,A000000,02800,0000,2800ELECTROCARDIOLOGY 434242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434242,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434242,A000000,03200,0000,3200SUPPORT SURFACES 434242,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434242,A000000,03400,0000,3400CLINIC 434242,A000000,03500,0000,3500RURAL HEALTH CLINIC 434242,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434242,A000000,04800,0000,4800AMBULANCE 434242,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434242,A000000,05000,0000,5000CORF 434242,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434242,A000000,05300,0000,5300INTEREST EXPENSE 434242,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434242,A000000,05500,0000,5500HOSPICE 434242,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434242,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434242,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434242,A000000,06100,0000,6100NONPAID WORKERS 434242,A000000,06200,0000,6200PATIENTS LAUNDRY 434242,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434242,A81000A,00100,0100,Y 434242,A81000B,00100,0300,NURSING EQUIPMENT RENTAL 434242,A81000B,00200,0300,MAINTENANCE SUPPLIES 434242,A81000B,00300,0300,REPAIRS - EQUIPMENT 434242,A81000B,00400,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 434242,A81000B,00600,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,00700,0300,DIETARY SUPPLEMENTS 434242,A81000B,00800,0300,DIETARY SUPPLIES 434242,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,01000,0300,INCONTINENCE SUPPLIES 434242,A81000B,01100,0300,MEDICAL SUPPLIES 434242,A81000B,01200,0300,PERSONAL CARE 434242,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,01400,0300,BIO-MEDICAL WASTE 434242,A81000B,01500,0300,LINEN & BEDDING 434242,A81000B,01600,0300,LAUNDRY SUPPLIES 434242,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,01800,0300,CONTRIBUTIONS 434242,A81000B,01900,0300,PHYSICAL THERAPY SUPPLIES 434242,A81000B,02000,0300,MINOR EQUIPMENT EXPENSE 434242,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 434242,A81000B,02200,0300,BILL MEDICAL SUPPLIES 434242,A81000B,02300,0300,EQUIPMENT RENTAL 434242,A81000B,02400,0300,NON-LEGEND DRUGS 434242,A81000B,02500,0300,MEDICAL RECORDS SUPPLIES 434242,A81000B,02600,0300,PHARMACY CONSULTANT 434242,A81000B,02700,0300,LEGEND DRUGS 434242,A81000B,02800,0300,REPAIRS - EQUIPMENT 434242,A81000B,02900,0300,NURSING CONSULTING 434242,A81000C,00100,0100,A 434242,A81000C,00100,0200,SHAREHOLDERS 434242,A81000C,00100,0400,KARE MEDICAL 434242,A81000C,00100,0600,WHOLESALE SUPPL 434242,A81000C,00200,0100,A 434242,A81000C,00200,0200,SHAREHOLDERS 434242,A81000C,00200,0400,KARE MEDICAL 434242,A81000C,00200,0600,WHOLESALE SUPPL 434242,A81000C,00300,0100,A 434242,A81000C,00300,0200,SHAREHOLDERS 434242,A81000C,00300,0400,KARE MEDICAL 434242,A81000C,00300,0600,WHOLESALE SUPPL 434242,A81000C,00400,0100,A 434242,A81000C,00400,0200,SHAREHOLDERS 434242,A81000C,00400,0400,KARE MEDICAL 434242,A81000C,00400,0600,WHOLESALE SUPPL 434242,A81000C,00500,0100,A 434242,A81000C,00500,0200,SHAREHOLDERS 434242,A81000C,00500,0400,KARE MEDICAL 434242,A81000C,00500,0600,WHOLESALE SUPPL 434242,A81000C,00600,0100,A 434242,A81000C,00600,0200,SHAREHOLDERS 434242,A81000C,00600,0400,KARE MEDICAL 434242,A81000C,00600,0600,WHOLESALE SUPPL 434242,A81000C,00700,0100,A 434242,A81000C,00700,0200,SHAREHOLDERS 434242,A81000C,00700,0400,KARE MEDICAL 434242,A81000C,00700,0600,WHOLESALE SUPPL 434242,A81000C,00800,0100,A 434242,A81000C,00800,0200,SHAREHOLDERS 434242,A81000C,00800,0400,KARE MEDICAL 434242,A81000C,00800,0600,WHOLESALE SUPPL 434242,A81000C,00900,0100,A 434242,A81000C,00900,0200,SHAREHOLDERS 434242,A81000C,00900,0400,KARE MEDICAL 434242,A81000C,00900,0600,WHOLESALE SUPPL 434242,A81000C,01000,0100,A 434242,A81000C,01000,0200,SHAREHOLDERS 434242,A81000C,01000,0400,KARE MEDICAL 434242,A81000C,01000,0600,WHOLESALE SUPPL 434242,A81000C,01001,0100,A 434242,A81000C,01001,0200,SHAREHOLDERS 434242,A81000C,01001,0400,KARE MEDICAL 434242,A81000C,01001,0600,WHOLESALE SUPPL 434242,A81000C,01002,0100,A 434242,A81000C,01002,0200,SHAREHOLDERS 434242,A81000C,01002,0400,KARE MEDICAL 434242,A81000C,01002,0600,WHOLESALE SUPPL 434242,A81000C,01003,0100,A 434242,A81000C,01003,0200,SHAREHOLDERS 434242,A81000C,01003,0400,KARE MEDICAL 434242,A81000C,01003,0600,WHOLESALE SUPPL 434242,A81000C,01004,0100,A 434242,A81000C,01004,0200,SHAREHOLDERS 434242,A81000C,01004,0400,KARE MEDICAL 434242,A81000C,01004,0600,WHOLESALE SUPPL 434242,A81000C,01005,0100,A 434242,A81000C,01005,0200,SHAREHOLDERS 434242,A81000C,01005,0400,KARE MEDICAL 434242,A81000C,01005,0600,WHOLESALE SUPPL 434242,A81000C,01006,0100,A 434242,A81000C,01006,0200,SHAREHOLDERS 434242,A81000C,01006,0400,KARE MEDICAL 434242,A81000C,01006,0600,WHOLESALE SUPPL 434242,A81000C,01007,0100,A 434242,A81000C,01007,0200,SHAREHOLDERS 434242,A81000C,01007,0400,KARE MEDICAL 434242,A81000C,01007,0600,WHOLESALE SUPPL 434242,A81000C,01008,0100,A 434242,A81000C,01008,0200,SHAREHOLDERS 434242,A81000C,01008,0400,KARE MEDICAL 434242,A81000C,01008,0600,WHOLESALE SUPPL 434242,A81000C,01009,0100,A 434242,A81000C,01009,0200,SHAREHOLDERS 434242,A81000C,01009,0400,KARE MEDICAL 434242,A81000C,01009,0600,WHOLESALE SUPPL 434242,A81000C,01010,0100,A 434242,A81000C,01010,0200,SHAREHOLDERS 434242,A81000C,01010,0400,KARE MEDICAL 434242,A81000C,01010,0600,WHOLESALE SUPPL 434242,A81000C,01011,0100,A 434242,A81000C,01011,0200,SHAREHOLDERS 434242,A81000C,01011,0400,KARE MEDICAL 434242,A81000C,01011,0600,WHOLESALE SUPPL 434242,A81000C,01012,0100,A 434242,A81000C,01012,0200,SHAREHOLDERS 434242,A81000C,01012,0400,KARE MEDICAL 434242,A81000C,01012,0600,WHOLESALE SUPPL 434242,A81000C,01013,0100,A 434242,A81000C,01013,0200,SHAREHOLDERS 434242,A81000C,01013,0400,PHARMSAVE 434242,A81000C,01013,0600,RX SUPPLY 434242,A81000C,01014,0100,A 434242,A81000C,01014,0200,SHAREHOLDERS 434242,A81000C,01014,0400,PHARMSAVE 434242,A81000C,01014,0600,RX SUPPLY 434242,A81000C,01015,0100,A 434242,A81000C,01015,0200,SHAREHOLDERS 434242,A81000C,01015,0400,PHARMSAVE 434242,A81000C,01015,0600,RX SUPPLY 434242,A81000C,01016,0100,A 434242,A81000C,01016,0200,SHAREHOLDERS 434242,A81000C,01016,0400,PHARMSAVE 434242,A81000C,01016,0600,RX SUPPLY 434242,A81000C,01017,0100,A 434242,A81000C,01017,0200,SHAREHOLDERS 434242,A81000C,01017,0400,PHARMSAVE 434242,A81000C,01017,0600,RX SUPPLY 434242,A81000C,01018,0100,A 434242,A81000C,01018,0200,SHAREHOLDERS 434242,A81000C,01018,0400,ROBERT HILL CON 434242,A81000C,01018,0600,CONSTRUCTION 434242,A81000C,01019,0100,B 434242,A81000C,01019,0200,PLTC & PITS IN 434242,A81000C,01019,0400,PLTC & PITS IN 434242,A81000C,01019,0600,MGMT SERVICES 434242,A81000C,01020,0100,B 434242,A81000C,01020,0200,PLTC & PITS IN 434242,A81000C,01020,0400,PLTC & PITS IN 434242,A81000C,01020,0600,MGMT SERVICES 434242,A81000C,01021,0100,B 434242,A81000C,01021,0200,PLTC & PITS IN 434242,A81000C,01021,0400,PLTC & PITS IN 434242,A81000C,01021,0600,MGMT SERVICES 434242,A81000C,01022,0100,B 434242,A81000C,01022,0200,PLTC & PITS IN 434242,A81000C,01022,0400,PLTC & PITS IN 434242,A81000C,01022,0600,MGMT SERVICES 434242,A81000C,01023,0100,A 434242,A81000C,01023,0200,SHAREHOLDERS 434242,A81000C,01023,0400,DISCOVERY INSUR 434242,A81000C,01023,0600,INSURANCE 434242,A81000C,01024,0100,A 434242,A81000C,01024,0200,SHAREHOLDERS 434242,A81000C,01024,0400,QUEENSLAND ASSU 434242,A81000C,01024,0600,INSURANCE 434242,A81000C,01025,0100,A 434242,A81000C,01025,0200,SHAREHOLDERS 434242,A81000C,01025,0400,HILLCO LTD. 434242,A81000C,01025,0600,REAL ESTATE 434242,A81000C,01026,0100,A 434242,A81000C,01026,0200,SHAREHOLDERS 434242,A81000C,01026,0400,BRITTHAVEN INC 434242,A81000C,01026,0600,REAL ESTATE 434242,A81000C,01027,0100,A 434242,A81000C,01027,0200,SHAREHOLDERS 434242,A81000C,01027,0400,BRITTHAVEN INC 434242,A81000C,01027,0600,REAL ESTATE 434242,A81000C,01028,0100,A 434242,A81000C,01028,0200,SHAREHOLDERS 434242,A81000C,01028,0400,BRITTHAVEN INC 434242,A81000C,01028,0600,REAL ESTATE 434242,A81000C,01029,0100,A 434242,A81000C,01029,0200,SHAREHOLDERS 434242,A81000C,01029,0400,BRITTHAVEN INC 434242,A81000C,01029,0600,REAL ESTATE 434242,A81000C,01030,0100,A 434242,A81000C,01030,0200,SHAREHOLDERS 434242,A81000C,01030,0400,ROBERT HILL CON 434242,A81000C,01030,0600,CONSTRUCTION 434242,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434242,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434242,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434242,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434242,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434242,B100000,00000,0800,0800MEALS SERVED :DIETARY 434242,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434242,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434242,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434242,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434242,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434242,E10A180,00501,0100,05/22/12 434242,G300000,02500,0000, OTHER (SPECIFY) 434242,S000000,00100,0200,02/29/12 434242,S200000,00100,0100,1016 FLETCHER STREET 434242,S200000,00200,0100,WILKESBORO 434242,S200000,00200,0200,NC 434242,S200000,00200,0300,28697 434242,S200000,00300,0100,WILKES 434242,S200000,00300,0201,99934 434242,S200000,00300,0300,R 434242,S200000,00400,0100,WESTWOOD HILLS NURSING & REHAB CTR 434242,S200000,00400,0200,345205 434242,S200000,00400,0300,01/01/11 434242,S200000,00400,0500,P 434242,S200000,01500,0100,N 434242,S200000,01501,0200,Y 434242,S200000,01503,0200,Y 434242,S200000,01504,0200,Y 434242,S200000,01505,0000,OTHER (SPECIFY) 434242,S200000,01505,0200,Y 434242,S200000,01600,0100,Y 434242,S200000,01700,0100,N 434242,S200000,01800,0100,N 434242,S200000,02200,0100,N 434242,S200000,02800,0100,N 434242,S200000,02900,0100,N 434242,S200000,03000,0100,N 434242,S200000,03100,0100,N 434242,S200000,03200,0100,N 434242,S200000,03300,0100,N 434242,S200000,03300,0200,N 434242,S200000,04100,0100,N 434242,S200000,04200,0100,N 434242,S200000,04300,0100,N 434242,S200000,04600,0100,N 434242,S200000,04700,0100,N 434242,S200000,04700,0200,N 434242,S200000,04900,0100,N 434242,S200000,05000,0100,N 434242,S200000,05100,0100,N 434242,S200000,05200,0100,N 434242,S200000,05300,0100,Y 434242,S200000,05300,0200,349011 434242,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434242,S200000,05400,0200,PALMETTO GBA 434242,S200000,05400,0300,11501 434242,S200000,05500,0100,1435 HWY 258 NORTH 434242,S200000,05600,0100,KINSTON 434242,S200000,05600,0200,NC 434242,S200000,05600,0300,28502 434243,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434243,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434243,A000000,00300,0000,0300EMPLOYEE BENEFITS 434243,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434243,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434243,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434243,A000000,00700,0000,0700HOUSEKEEPING 434243,A000000,00800,0000,0800DIETARY 434243,A000000,00900,0000,0900NURSING ADMINISTRATION 434243,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434243,A000000,01100,0000,1100PHARMACY 434243,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434243,A000000,01300,0000,1300SOCIAL SERVICE 434243,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434243,A000000,01600,0000,1600SKILLED NURSING FACILITY 434243,A000000,01800,0000,1800NURSING FACILITY 434243,A000000,01900,0000,1900OTHER LONG TERM CARE 434243,A000000,02100,0000,2100RADIOLOGY 434243,A000000,02200,0000,2200LABORATORY 434243,A000000,02300,0000,2300INTRAVENOUS THERAPY 434243,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434243,A000000,02500,0000,2500PHYSICAL THERAPY 434243,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434243,A000000,02700,0000,2700SPEECH PATHOLOGY 434243,A000000,02800,0000,2800ELECTROCARDIOLOGY 434243,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434243,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434243,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434243,A000000,03200,0000,3200SUPPORT SURFACES 434243,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434243,A000000,03400,0000,3400CLINIC 434243,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434243,A000000,04800,0000,4800AMBULANCE 434243,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434243,A000000,05000,0000,5000CORF 434243,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434243,A000000,05300,0000,5300INTEREST EXPENSE 434243,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434243,A000000,05500,0000,5500HOSPICE 434243,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434243,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434243,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434243,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434243,A000000,06100,0000,6100NONPAID WORKERS 434243,A000000,06200,0000,6200PATIENTS LAUNDRY 434243,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434243,A81000A,00100,0100,Y 434243,A81000B,00100,0300,MAINT SUPP 434243,A81000B,00200,0300,REP BLDG 434243,A81000B,00300,0300,REPAIRS - EQ 434243,A81000B,00400,0300,MNR EQ EXP 434243,A81000B,00500,0300,DIST SUPPLEMENT 434243,A81000B,00600,0300,DIET SUPPLY 434243,A81000B,00700,0300,INCONT SUP 434243,A81000B,00800,0300,MED SUPPLY 434243,A81000B,00900,0300,PERSONAL CARE 434243,A81000B,01000,0300,MNR EQ EXP 434243,A81000B,01100,0300,BIO-MED WASTE 434243,A81000B,01200,0300,LINEN & BED 434243,A81000B,01300,0300,LNDRY SUPP 434243,A81000B,01400,0300,COPIER 434243,A81000B,01500,0300,PT SUPPLY 434243,A81000B,01600,0300,MNR EQ EXPE 434243,A81000B,01700,0300,OT SUPPLY 434243,A81000B,01800,0300,ST SUPPLY 434243,A81000B,01900,0300,OXTHER SPLY 434243,A81000B,02000,0300,BILL MED SUPPLY 434243,A81000B,02100,0300,EQUIP RENT 434243,A81000B,02200,0300,NON-LGD DRUG 434243,A81000B,02300,0300,MED REC SUPP 434243,A81000B,02400,0300,PHARM CONS 434243,A81000B,02500,0300,LEGEND DRUG 434243,A81000B,02600,0300,MAINT SUP 434243,A81000B,02700,0300,REP-BUILDG 434243,A81000B,02800,0300,REP-GROUND 434243,A81000B,02900,0300,SUPPLIES 434243,A81000C,00100,0100,A 434243,A81000C,00100,0200,SHAREHOLDERS 434243,A81000C,00100,0400,KARE MEDICAL 434243,A81000C,00100,0600,WHLSE SUPPLY 434243,A81000C,00200,0100,A 434243,A81000C,00200,0200,SHAREHOLDERS 434243,A81000C,00200,0400,KARE MEDICAL 434243,A81000C,00200,0600,WHLSE SUPPLY 434243,A81000C,00300,0100,A 434243,A81000C,00300,0200,SHAREHOLDERS 434243,A81000C,00300,0400,KARE MEDICAL 434243,A81000C,00300,0600,WHLSE SUPPLY 434243,A81000C,00400,0100,A 434243,A81000C,00400,0200,SHAREHOLDERS 434243,A81000C,00400,0400,KARE MEDICAL 434243,A81000C,00400,0600,WHLSE SUPPLY 434243,A81000C,00500,0100,A 434243,A81000C,00500,0200,SHAREHOLDERS 434243,A81000C,00500,0400,KARE MEDICAL 434243,A81000C,00500,0600,WHLSE SUPPLY 434243,A81000C,00600,0100,A 434243,A81000C,00600,0200,SHAREHOLDERS 434243,A81000C,00600,0400,KARE MEDICAL 434243,A81000C,00600,0600,WHLSE SUPPLY 434243,A81000C,00700,0100,A 434243,A81000C,00700,0200,SHAREHOLDERS 434243,A81000C,00700,0400,KARE MEDICAL 434243,A81000C,00700,0600,WHLSE SUPPLY 434243,A81000C,00800,0100,A 434243,A81000C,00800,0200,SHAREHOLDERS 434243,A81000C,00800,0400,KARE MEDICAL 434243,A81000C,00800,0600,WHLSE SUPPLY 434243,A81000C,00900,0100,A 434243,A81000C,00900,0200,SHAREHOLDERS 434243,A81000C,00900,0400,KARE MEDICAL 434243,A81000C,00900,0600,WHLSE SUPPLY 434243,A81000C,01000,0100,A 434243,A81000C,01000,0200,SHAREHOLDERS 434243,A81000C,01000,0400,KARE MEDICAL 434243,A81000C,01000,0600,WHLSE SUPPLY 434243,A81000C,01001,0100,A 434243,A81000C,01001,0200,SHAREHOLDERS 434243,A81000C,01001,0400,KARE MEDICAL 434243,A81000C,01001,0600,WHLSE SUPPLY 434243,A81000C,01002,0100,A 434243,A81000C,01002,0200,SHAREHOLDERS 434243,A81000C,01002,0400,KARE MEDICAL 434243,A81000C,01002,0600,WHLSE SUPPLY 434243,A81000C,01003,0100,A 434243,A81000C,01003,0200,SHAREHOLDERS 434243,A81000C,01003,0400,KARE MEDICAL 434243,A81000C,01003,0600,WHLSE SUPPLY 434243,A81000C,01004,0100,A 434243,A81000C,01004,0200,SHAREHOLDERS 434243,A81000C,01004,0400,KARE MEDICAL 434243,A81000C,01004,0600,WHLSE SUPPLY 434243,A81000C,01005,0100,A 434243,A81000C,01005,0200,SHAREHOLDERS 434243,A81000C,01005,0400,KARE MEDICAL 434243,A81000C,01005,0600,WHLSE SUPPLY 434243,A81000C,01006,0100,A 434243,A81000C,01006,0200,SHAREHOLDERS 434243,A81000C,01006,0400,KARE MEDICAL 434243,A81000C,01006,0600,WHLSE SUPPLY 434243,A81000C,01007,0100,A 434243,A81000C,01007,0200,SHAREHOLDERS 434243,A81000C,01007,0400,KARE MEDICAL 434243,A81000C,01007,0600,WHLSE SUPPLY 434243,A81000C,01008,0100,A 434243,A81000C,01008,0200,SHAREHOLDERS 434243,A81000C,01008,0400,KARE MEDICAL 434243,A81000C,01008,0600,WHLSE SUPPLY 434243,A81000C,01009,0100,A 434243,A81000C,01009,0200,SHAREHOLDERS 434243,A81000C,01009,0400,KARE MEDICAL 434243,A81000C,01009,0600,WHLSE SUPPLY 434243,A81000C,01010,0100,A 434243,A81000C,01010,0200,SHAREHOLDERS 434243,A81000C,01010,0400,KARE MEDICAL 434243,A81000C,01010,0600,WHLSE SUPPLY 434243,A81000C,01011,0100,A 434243,A81000C,01011,0200,SHAREHOLDERS 434243,A81000C,01011,0400,PHARM SAVE 434243,A81000C,01011,0600,RX SUPPLY 434243,A81000C,01012,0100,A 434243,A81000C,01012,0200,SHAREHOLDERS 434243,A81000C,01012,0400,PHARM SAVE 434243,A81000C,01012,0600,RX SUPPLY 434243,A81000C,01013,0100,A 434243,A81000C,01013,0200,SHAREHOLDERS 434243,A81000C,01013,0400,PHARM SAVE 434243,A81000C,01013,0600,RX SUPPLY 434243,A81000C,01014,0100,A 434243,A81000C,01014,0200,SHAREHOLDERS 434243,A81000C,01014,0400,PHARM SAVE 434243,A81000C,01014,0600,RX SUPPLY 434243,A81000C,01015,0100,A 434243,A81000C,01015,0200,SHAREHOLDERS 434243,A81000C,01015,0400,PHARM SAVE 434243,A81000C,01015,0600,RX SUPPLY 434243,A81000C,01016,0100,A 434243,A81000C,01016,0200,SHAREHOLDERS 434243,A81000C,01016,0400,ROBERTHILLCONST 434243,A81000C,01016,0600,CONSTRUCTION 434243,A81000C,01017,0100,A 434243,A81000C,01017,0200,SHAREHOLDERS 434243,A81000C,01017,0400,ROBERTHILLCONST 434243,A81000C,01017,0600,CONSTRUCTION 434243,A81000C,01018,0100,A 434243,A81000C,01018,0200,SHAREHOLDERS 434243,A81000C,01018,0400,ROBERTHILLCONST 434243,A81000C,01018,0600,CONSTRUCTION 434243,A81000C,01019,0100,A 434243,A81000C,01019,0200,SHAREHOLDERS 434243,A81000C,01019,0400,ROBERTHILLCONST 434243,A81000C,01019,0600,CONSTRUCTION 434243,A81000C,01020,0100,B 434243,A81000C,01020,0200,PLTC & PITS INC 434243,A81000C,01020,0400,PLTC & PITS INC 434243,A81000C,01020,0600,MGMT SRV 434243,A81000C,01021,0100,B 434243,A81000C,01021,0200,PLTC & PITS INC 434243,A81000C,01021,0400,PLTC & PITS INC 434243,A81000C,01021,0600,MGMT SRV 434243,A81000C,01022,0100,B 434243,A81000C,01022,0200,PLTC & PITS INC 434243,A81000C,01022,0400,PLTC & PITS INC 434243,A81000C,01022,0600,MGMT SRV 434243,A81000C,01023,0100,B 434243,A81000C,01023,0200,PLTC & PITS INC 434243,A81000C,01023,0400,PLTC & PITS INC 434243,A81000C,01023,0600,MGMT SRV 434243,A81000C,01024,0100,A 434243,A81000C,01024,0200,SHAREHOLDERS 434243,A81000C,01024,0400,DISCOVER INS 434243,A81000C,01024,0600,INSURANCE 434243,A81000C,01025,0100,A 434243,A81000C,01025,0200,SHAREHOLDERS 434243,A81000C,01025,0400,QUEENDLAND ASSU 434243,A81000C,01025,0600,INSURANCE 434243,A81000C,01026,0100,A 434243,A81000C,01026,0200,SHAREHOLDERS 434243,A81000C,01026,0400,BRITTHAVEN INC 434243,A81000C,01026,0600,REAL ESTATE 434243,A81000C,01027,0100,A 434243,A81000C,01027,0200,SHAREHOLDERS 434243,A81000C,01027,0400,BRITTHAVEN INC 434243,A81000C,01027,0600,REAL ESTATE 434243,A81000C,01028,0100,A 434243,A81000C,01028,0200,SHAREHOLDERS 434243,A81000C,01028,0400,BRITTHAVEN INC 434243,A81000C,01028,0600,REAL ESTATE 434243,A81000C,01029,0100,A 434243,A81000C,01029,0200,SHAREHOLDERS 434243,A81000C,01029,0400,BRITTHAVEN INC 434243,A81000C,01029,0600,REAL ESTATE 434243,A81000C,01030,0100,A 434243,A81000C,01030,0200,SHAREHOLDERS 434243,A81000C,01030,0400,BRITTHAVEN INC 434243,A81000C,01030,0600,REAL ESTATE 434243,A81000C,01031,0100,A 434243,A81000C,01031,0200,SHAREHOLDERS 434243,A81000C,01031,0400,BRITTHAVEN INC 434243,A81000C,01031,0600,REAL ESTATE 434243,A81000C,01032,0100,A 434243,A81000C,01032,0200,SHAREHOLDERS 434243,A81000C,01032,0400,KARE MEDICAL 434243,A81000C,01032,0600,WHLSE SUPPLY 434243,A81000C,01033,0100,A 434243,A81000C,01033,0200,SHAREHOLDERS 434243,A81000C,01033,0400,KARE MEDICAL 434243,A81000C,01033,0600,WHLSE SUPPLY 434243,A81000C,01034,0100,A 434243,A81000C,01034,0200,SHAREHOLDERS 434243,A81000C,01034,0400,KARE MEDICAL 434243,A81000C,01034,0600,WHLSE SUPPLY 434243,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434243,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434243,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434243,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434243,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434243,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434243,B100000,00000,0800,0800MEALS SERVED :DIETARY 434243,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434243,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434243,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434243,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434243,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434243,E10A180,00501,0100,05/02/12 434243,G300000,02500,0000, OTHER (SPECIFY) 434243,S000000,00100,0200,02/29/12 434243,S200000,00100,0100,515 BARBOUR ROAD 434243,S200000,00200,0100,SMITHFIELD 434243,S200000,00200,0200,NC 434243,S200000,00200,0300,27577 434243,S200000,00300,0100,JOHNSTON 434243,S200000,00300,0201,39580 434243,S200000,00300,0300,U 434243,S200000,00400,0100,BARBOUR COURT NURSING & REHAB CENTER 434243,S200000,00400,0200,345237 434243,S200000,00400,0300,01/01/11 434243,S200000,00400,0500,P 434243,S200000,01500,0100,Y 434243,S200000,01501,0200,Y 434243,S200000,01502,0200,Y 434243,S200000,01503,0200,Y 434243,S200000,01504,0200,Y 434243,S200000,01505,0000,OTHER (SPECIFY) 434243,S200000,01505,0200,Y 434243,S200000,01600,0100,N 434243,S200000,01700,0100,N 434243,S200000,01800,0100,N 434243,S200000,02200,0100,N 434243,S200000,02800,0100,N 434243,S200000,02900,0100,N 434243,S200000,03000,0100,N 434243,S200000,03100,0100,N 434243,S200000,03200,0100,N 434243,S200000,03300,0100,N 434243,S200000,03300,0200,N 434243,S200000,04100,0100,N 434243,S200000,04200,0100,N 434243,S200000,04300,0100,N 434243,S200000,04600,0100,N 434243,S200000,04700,0100,N 434243,S200000,04700,0200,N 434243,S200000,04900,0100,N 434243,S200000,05000,0100,N 434243,S200000,05100,0100,N 434243,S200000,05200,0100,N 434243,S200000,05300,0100,Y 434243,S200000,05300,0200,349011 434243,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434243,S200000,05400,0200,PALMETTO GBA 434243,S200000,05400,0300,11501 434243,S200000,05500,0100,1435 HWY 258 NORTH 434243,S200000,05600,0100,KINSTON 434243,S200000,05600,0200,NC 434243,S200000,05600,0300,28502 434244,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434244,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434244,A000000,00300,0000,0300EMPLOYEE BENEFITS 434244,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434244,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434244,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434244,A000000,00700,0000,0700HOUSEKEEPING 434244,A000000,00800,0000,0800DIETARY 434244,A000000,00900,0000,0900NURSING ADMINISTRATION 434244,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434244,A000000,01100,0000,1100PHARMACY 434244,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434244,A000000,01300,0000,1300SOCIAL SERVICE 434244,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434244,A000000,01600,0000,1600SKILLED NURSING FACILITY 434244,A000000,01800,0000,1800NURSING FACILITY 434244,A000000,01900,0000,1900OTHER LONG TERM CARE 434244,A000000,02100,0000,2100RADIOLOGY 434244,A000000,02200,0000,2200LABORATORY 434244,A000000,02300,0000,2300INTRAVENOUS THERAPY 434244,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434244,A000000,02500,0000,2500PHYSICAL THERAPY 434244,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434244,A000000,02700,0000,2700SPEECH PATHOLOGY 434244,A000000,02800,0000,2800ELECTROCARDIOLOGY 434244,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434244,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434244,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434244,A000000,03200,0000,3200SUPPORT SURFACES 434244,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434244,A000000,03400,0000,3400CLINIC 434244,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434244,A000000,04800,0000,4800AMBULANCE 434244,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434244,A000000,05000,0000,5000CORF 434244,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434244,A000000,05300,0000,5300INTEREST EXPENSE 434244,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434244,A000000,05500,0000,5500HOSPICE 434244,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434244,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434244,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434244,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434244,A000000,06100,0000,6100NONPAID WORKERS 434244,A000000,06200,0000,6200PATIENTS LAUNDRY 434244,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434244,A81000A,00100,0100,Y 434244,A81000B,00100,0300,NURSING CONSULTING 434244,A81000B,00200,0300,DIETARY CONSULTING 434244,A81000B,00300,0300,HOME OFFICE 434244,A81000B,00400,0300,INTEREST EXPENSE 434244,A81000B,00500,0300,WORKERS COMP EXPENSE 434244,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434244,A81000B,00700,0300,REPAIRS - BUILDING 434244,A81000B,00800,0300,REPAIRS - EQUIPMENT 434244,A81000B,00900,0300,LINEN & BEDDING 434244,A81000B,01000,0300,LAUNDRY SUPPLIES 434244,A81000B,01100,0300,HSKP SUPPLIES 434244,A81000B,01200,0300,DIETARY SUPPLEMENTS 434244,A81000B,01300,0300,DIETARY SUPPLIES 434244,A81000B,01400,0300,BIO-MEDICAL WASTE 434244,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434244,A81000B,01600,0300,PERSONAL CARE SUPPLIES 434244,A81000B,01700,0300,INCONTINENCE SUPPLIES 434244,A81000B,01800,0300,MEDICAL SUPPLIES 434244,A81000B,01900,0300,OXYGEN THERAPY SUPPLIES 434244,A81000B,02000,0300,BILLABLE MEDICAL SUPPLIES 434244,A81000B,02100,0300,NURSING EQUIPMENT RENTAL 434244,A81000B,02200,0300,NON-LEGEND DRUGS 434244,A81000B,02300,0300,PHARMACY CONSULTANT 434244,A81000B,02400,0300,MED REC SUPPLIES 434244,A81000B,02500,0300,LEGEND DRUGS 434244,A81000B,02600,0300,OFFICE SUPPLIES 434244,A81000B,02700,0300,MED REC SUPPLIES 434244,A81000C,00100,0100,B 434244,A81000C,00100,0400,BRITTHAVEN INC 434244,A81000C,00100,0600,MGMT SERVICES 434244,A81000C,00200,0100,B 434244,A81000C,00200,0400,BRITTHAVEN INC 434244,A81000C,00200,0600,MGMT SERVICES 434244,A81000C,00300,0100,B 434244,A81000C,00300,0400,BRITTHAVEN INC 434244,A81000C,00300,0600,MGMT SERVICES 434244,A81000C,00400,0100,B 434244,A81000C,00400,0400,BRITTHAVEN INC 434244,A81000C,00400,0600,MGMT SERVICES 434244,A81000C,00500,0100,A 434244,A81000C,00500,0200,DISCOVERY INSUR 434244,A81000C,00500,0600,INSURANCE 434244,A81000C,00600,0100,A 434244,A81000C,00600,0200,QUEENSLAND ASSU 434244,A81000C,00600,0600,INSURANCE 434244,A81000C,00700,0100,B 434244,A81000C,00700,0400,KARE MEDICAL 434244,A81000C,00700,0600,WHOLESALE SUPPL 434244,A81000C,00800,0100,B 434244,A81000C,00800,0400,KARE MEDICAL 434244,A81000C,00800,0600,WHOLESALE SUPPL 434244,A81000C,00900,0100,B 434244,A81000C,00900,0400,KARE MEDICAL 434244,A81000C,00900,0600,WHOLESALE SUPPL 434244,A81000C,01000,0100,B 434244,A81000C,01000,0400,KARE MEDICAL 434244,A81000C,01000,0600,WHOLESALE SUPPL 434244,A81000C,01001,0100,B 434244,A81000C,01001,0400,KARE MEDICAL 434244,A81000C,01001,0600,WHOLESALE SUPPL 434244,A81000C,01002,0100,B 434244,A81000C,01002,0400,KARE MEDICAL 434244,A81000C,01002,0600,WHOLESALE SUPPL 434244,A81000C,01003,0100,B 434244,A81000C,01003,0400,KARE MEDICAL 434244,A81000C,01003,0600,WHOLESALE SUPPL 434244,A81000C,01004,0100,B 434244,A81000C,01004,0400,KARE MEDICAL 434244,A81000C,01004,0600,WHOLESALE SUPPL 434244,A81000C,01005,0100,B 434244,A81000C,01005,0400,KARE MEDICAL 434244,A81000C,01005,0600,WHOLESALE SUPPL 434244,A81000C,01006,0100,B 434244,A81000C,01006,0400,KARE MEDICAL 434244,A81000C,01006,0600,WHOLESALE SUPPL 434244,A81000C,01007,0100,B 434244,A81000C,01007,0400,KARE MEDICAL 434244,A81000C,01007,0600,WHOLESALE SUPPL 434244,A81000C,01008,0100,B 434244,A81000C,01008,0400,KARE MEDICAL 434244,A81000C,01008,0600,WHOLESALE SUPPL 434244,A81000C,01009,0100,B 434244,A81000C,01009,0400,KARE MEDICAL 434244,A81000C,01009,0600,WHOLESALE SUPPL 434244,A81000C,01010,0100,B 434244,A81000C,01010,0400,KARE MEDICAL 434244,A81000C,01010,0600,WHOLESALE SUPPL 434244,A81000C,01011,0100,B 434244,A81000C,01011,0400,PHARMSAVE 434244,A81000C,01011,0600,RX SUPPLY 434244,A81000C,01012,0100,B 434244,A81000C,01012,0400,PHARMSAVE 434244,A81000C,01012,0600,RX SUPPLY 434244,A81000C,01013,0100,B 434244,A81000C,01013,0400,PHARMSAVE 434244,A81000C,01013,0600,RX SUPPLY 434244,A81000C,01014,0100,B 434244,A81000C,01014,0400,PHARMSAVE 434244,A81000C,01014,0600,RX SUPPLY 434244,A81000C,01015,0100,B 434244,A81000C,01015,0400,PHARMSAVE 434244,A81000C,01015,0600,RX SUPPLY 434244,A81000C,01016,0100,B 434244,A81000C,01016,0400,ROBERT HILL CON 434244,A81000C,01016,0600,CONSTRUCTION 434244,A81000C,01017,0100,B 434244,A81000C,01017,0400,ROBERT HILL CON 434244,A81000C,01017,0600,CONSTRUCTION 434244,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434244,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434244,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434244,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434244,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434244,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434244,B100000,00000,0800,0800MEALS SERVED :DIETARY 434244,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434244,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434244,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434244,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434244,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434244,E10A180,00550,0100,02/24/12 434244,E10A180,00550,0300,02/24/12 434244,G300000,02500,0000, OTHER (SPECIFY) 434244,S000000,00100,0200,02/24/12 434244,S200000,00100,0100,7369 HUNTER HILL RD 434244,S200000,00200,0100,ROCKY MOUNT 434244,S200000,00200,0200,NC 434244,S200000,00200,0300,27804 434244,S200000,00300,0100,NASH 434244,S200000,00300,0201,40580 434244,S200000,00300,0300,U 434244,S200000,00400,0100,NASH REHAB & HEALTHCARE CENTER 434244,S200000,00400,0200,345279 434244,S200000,00400,0300,06/06/88 434244,S200000,00400,0500,P 434244,S200000,01500,0100,N 434244,S200000,01501,0200,Y 434244,S200000,01502,0200,Y 434244,S200000,01503,0200,Y 434244,S200000,01504,0200,Y 434244,S200000,01505,0000,OTHER (SPECIFY) 434244,S200000,01505,0200,Y 434244,S200000,01600,0100,Y 434244,S200000,01700,0100,N 434244,S200000,01800,0100,N 434244,S200000,02200,0100,N 434244,S200000,02800,0100,N 434244,S200000,02900,0100,N 434244,S200000,03000,0100,N 434244,S200000,03100,0100,Y 434244,S200000,03200,0100,N 434244,S200000,03300,0100,N 434244,S200000,03300,0200,N 434244,S200000,04100,0100,N 434244,S200000,04200,0100,N 434244,S200000,04300,0100,N 434244,S200000,04600,0100,N 434244,S200000,04700,0100,N 434244,S200000,04700,0200,N 434244,S200000,04900,0100,N 434244,S200000,05000,0100,N 434244,S200000,05100,0100,N 434244,S200000,05200,0100,N 434244,S200000,05300,0100,Y 434244,S200000,05300,0200,349011 434244,S200000,05400,0100,BRITTHAVEN INC. 434244,S200000,05400,0200,PALMETTO GBA 434244,S200000,05400,0300,11501 434244,S200000,05500,0100,1435 HWY 258 NORTH 434244,S200000,05600,0100,KINSTON 434244,S200000,05600,0200,NC 434244,S200000,05600,0300,28502 434245,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434245,A000000,00300,0000,0300EMPLOYEE BENEFITS 434245,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434245,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434245,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434245,A000000,00700,0000,0700HOUSEKEEPING 434245,A000000,00800,0000,0800DIETARY 434245,A000000,00900,0000,0900NURSING ADMINISTRATION 434245,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434245,A000000,01100,0000,1100PHARMACY 434245,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434245,A000000,01300,0000,1300SOCIAL SERVICE 434245,A000000,01500,0000,1350ACTIVITIES 434245,A000000,01600,0000,1600SKILLED NURSING FACILITY 434245,A000000,02100,0000,2100RADIOLOGY 434245,A000000,02200,0000,2200LABORATORY 434245,A000000,02300,0000,2300INTRAVENOUS THERAPY 434245,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434245,A000000,02500,0000,2500PHYSICAL THERAPY 434245,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434245,A000000,02700,0000,2700SPEECH PATHOLOGY 434245,A000000,02800,0000,2800ELECTROCARDIOLOGY 434245,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434245,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434245,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434245,A000000,03200,0000,3200SUPPORT SURFACES 434245,A000000,03300,0000,3050OTHER ANCILLARY 434245,A000000,03301,0000,3051COMPLEX MEDICAL EQUIPMENT 434245,A000000,04800,0000,4800AMBULANCE 434245,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434245,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434245,A000000,05300,0000,5300INTEREST EXPENSE 434245,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434245,A000000,05500,0000,5500HOSPICE 434245,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434245,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434245,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434245,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434245,A000000,06100,0000,6100NONPAID WORKERS 434245,A000000,06200,0000,6200PATIENTS LAUNDRY 434245,A000000,06300,0000,6150PHYSICIANS SERVICES 434245,A81000A,00100,0100,Y 434245,A81000B,00100,0300,MANAGEMENT FEES 434245,A81000C,00100,0100,A 434245,A81000C,00100,0200,CONWAY MANOR LLC 434245,A81000C,00100,0400,EPIC MANAGMENT LLC 434245,A81000C,00100,0600,HOME OFFICE 434245,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434245,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434245,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434245,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434245,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434245,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434245,B100000,00000,0800,0800MEALS SERVED :DIETARY 434245,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434245,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434245,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434245,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434245,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434245,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434245,E10A180,00501,0100,05/16/12 434245,G300000,02500,0000,PERSONAL PURCHASES 434245,G300000,02501,0000,OTHER INCOME 434245,S000000,00100,0200,02/29/12 434245,S200000,00100,0100,3300 FOURTH AVENUE 434245,S200000,00200,0100,CONWAY 434245,S200000,00200,0200,SC 434245,S200000,00200,0300,29527 434245,S200000,00300,0100,HORRY 434245,S200000,00300,0200,5330 434245,S200000,00300,0201,34820 434245,S200000,00300,0300,U 434245,S200000,00400,0100,CONWAY MANOR LLC 434245,S200000,00400,0200,425121 434245,S200000,00400,0300,06/01/92 434245,S200000,00400,0500,P 434245,S200000,01500,0100,Y 434245,S200000,01501,0200,N 434245,S200000,01503,0200,Y 434245,S200000,01504,0200,Y 434245,S200000,01600,0100,N 434245,S200000,01700,0100,N 434245,S200000,01800,0100,N 434245,S200000,02200,0100,N 434245,S200000,02800,0100,N 434245,S200000,02900,0100,N 434245,S200000,03000,0100,N 434245,S200000,03100,0100,N 434245,S200000,03200,0100,N 434245,S200000,03300,0100,N 434245,S200000,03300,0200,N 434245,S200000,04100,0100,N 434245,S200000,04200,0100,N 434245,S200000,04300,0100,N 434245,S200000,04600,0100,N 434245,S200000,04700,0100,N 434245,S200000,04700,0200,N 434245,S200000,04900,0100,N 434245,S200000,05000,0100,N 434245,S200000,05100,0100,N 434245,S200000,05200,0100,N 434245,S200000,05300,0100,Y 434245,S200000,05300,0200,58-420 434245,S200000,05400,0100,EPIC MANAGEMENT LLC 434245,S200000,05400,0200,PALMETTO GBA 434245,S200000,05400,0300,00380 434245,S200000,05500,0100,980 KAYE GIBBONS CT 434245,S200000,05600,0100,KERNERSVILLE 434245,S200000,05600,0200,NC 434245,S200000,05600,0300,27284 434246,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434246,A000000,00300,0000,0300EMPLOYEE BENEFITS 434246,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434246,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434246,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434246,A000000,00700,0000,0700HOUSEKEEPING 434246,A000000,00800,0000,0800DIETARY 434246,A000000,00900,0000,0900NURSING ADMINISTRATION 434246,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434246,A000000,01100,0000,1100PHARMACY 434246,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434246,A000000,01300,0000,1300SOCIAL SERVICE 434246,A000000,01500,0000,1350PATIENT ACTIVITIES 434246,A000000,01600,0000,1600SKILLED NURSING FACILITY 434246,A000000,02100,0000,2100RADIOLOGY 434246,A000000,02200,0000,2200LABORATORY 434246,A000000,02300,0000,2300INTRAVENOUS THERAPY 434246,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434246,A000000,02500,0000,2500PHYSICAL THERAPY 434246,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434246,A000000,02700,0000,2700SPEECH PATHOLOGY 434246,A000000,02800,0000,2800ELECTROCARDIOLOGY 434246,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434246,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434246,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434246,A000000,03200,0000,3200SUPPORT SURFACES 434246,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434246,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434246,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434246,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434246,A000000,06100,0000,6100NONPAID WORKERS 434246,A000000,06200,0000,6200PATIENTS LAUNDRY 434246,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434246,A81000A,00100,0100,Y 434246,A81000B,00100,0300,HOME OFFICE 434246,A81000B,00200,0300,HO NURSING 434246,A81000B,00300,0300,MGT. FEES 434246,A81000C,00100,0100,B 434246,A81000C,00100,0200,ROCKINGHAM MANOR 434246,A81000C,00100,0400,EPIC MGMT LLC 434246,A81000C,00100,0600,HOME OFFICE 434246,A81000C,00200,0100,B 434246,A81000C,00200,0200,ROCKINGHAM MANOR 434246,A81000C,00200,0400,EPIC MGMT LLC 434246,A81000C,00200,0600,HOME OFFICE 434246,A81000C,00300,0100,B 434246,A81000C,00300,0200,ROCKINGHAM MANOR 434246,A81000C,00300,0400,EPIC MGMT LLC 434246,A81000C,00300,0600,HOME OFFICE 434246,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434246,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434246,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434246,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434246,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434246,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434246,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434246,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434246,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434246,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434246,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434246,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434246,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434246,E10A180,00501,0300,02/29/12 434246,E10A180,00550,0100,02/29/12 434246,G300000,02500,0000,PERSONAL PURCHASES 434246,G300000,02501,0000,OTHER 434246,S000000,00100,0200,02/29/12 434246,S200000,00100,0100,804 LONG DRIVE 434246,S200000,00200,0100,ROCKINGHAM 434246,S200000,00200,0200,NC 434246,S200000,00200,0300,28379 434246,S200000,00300,0100,RICHMOND 434246,S200000,00300,0200,34 434246,S200000,00300,0201,99934 434246,S200000,00300,0300,R 434246,S200000,00400,0100,ROCKINGHAM MANOR 434246,S200000,00400,0200,345378 434246,S200000,00400,0300,03/01/02 434246,S200000,00400,0500,P 434246,S200000,01500,0100,Y 434246,S200000,01501,0200,N 434246,S200000,01502,0200,Y 434246,S200000,01504,0200,N 434246,S200000,01600,0100,N 434246,S200000,01700,0100,N 434246,S200000,01800,0100,N 434246,S200000,02200,0100,N 434246,S200000,02800,0100,N 434246,S200000,02900,0100,N 434246,S200000,03000,0100,N 434246,S200000,03100,0100,N 434246,S200000,03200,0100,N 434246,S200000,03300,0100,N 434246,S200000,03300,0200,N 434246,S200000,04100,0100,N 434246,S200000,04200,0100,N 434246,S200000,04300,0100,N 434246,S200000,04600,0100,N 434246,S200000,04700,0100,N 434246,S200000,04700,0200,N 434246,S200000,04900,0100,N 434246,S200000,05000,0100,N 434246,S200000,05100,0100,N 434246,S200000,05200,0100,N 434246,S200000,05300,0100,Y 434246,S200000,05300,0200,58-420 434246,S200000,05400,0100,EPIC MGMT LLC 434246,S200000,05400,0200,PALMETTO GBA 434246,S200000,05400,0300,11001 434246,S200000,05500,0200,1907 434246,S200000,05600,0100,KERNERSVILLE 434246,S200000,05600,0200,NC 434246,S200000,05600,0300,27285 434254,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434254,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434254,A000000,00300,0000,0300EMPLOYEE BENEFITS 434254,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434254,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434254,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434254,A000000,00700,0000,0700HOUSEKEEPING 434254,A000000,00800,0000,0800DIETARY 434254,A000000,00900,0000,0900NURSING ADMINISTRATION 434254,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434254,A000000,01100,0000,1100PHARMACY 434254,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434254,A000000,01300,0000,1300SOCIAL SERVICE 434254,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434254,A000000,01500,0000,1350ACTIVITIES 434254,A000000,01600,0000,1600SKILLED NURSING FACILITY 434254,A000000,01800,0000,1800NURSING FACILITY 434254,A000000,01810,0000,1810ICF/MR 434254,A000000,01900,0000,1900OTHER LONG TERM CARE 434254,A000000,02100,0000,2100RADIOLOGY 434254,A000000,02200,0000,2200LABORATORY 434254,A000000,02300,0000,2300INTRAVENOUS THERAPY 434254,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434254,A000000,02500,0000,2500PHYSICAL THERAPY 434254,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434254,A000000,02700,0000,2700SPEECH PATHOLOGY 434254,A000000,02800,0000,2800ELECTROCARDIOLOGY 434254,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434254,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434254,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434254,A000000,03200,0000,3200SUPPORT SURFACES 434254,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434254,A000000,03400,0000,3400CLINIC 434254,A000000,03500,0000,3500RURAL HEALTH CLINIC 434254,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434254,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434254,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434254,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434254,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434254,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434254,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434254,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434254,A000000,04400,0000,4400DME RENTED - HHA 434254,A000000,04500,0000,4500DME SOLD - HHA 434254,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434254,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434254,A000000,04710,0000,4710TELEMEDICINE 434254,A000000,04800,0000,4800AMBULANCE 434254,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434254,A000000,05000,0000,5000CORF 434254,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434254,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434254,A000000,05300,0000,5300INTEREST EXPENSE 434254,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434254,A000000,05500,0000,5500HOSPICE 434254,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434254,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434254,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434254,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434254,A000000,06100,0000,6100NONPAID WORKERS 434254,A000000,06200,0000,6200PATIENTS LAUNDRY 434254,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434254,A81000A,00100,0100,Y 434254,A81000B,00100,0300,RELATED PARTY LEASE 434254,A81000B,00200,0300,RELATED PARTY THERAPY 434254,A81000B,00300,0300,RELATED PARTY THERAPY 434254,A81000B,00400,0300,RELATED PARTY THERAPY 434254,A81000B,00500,0300,HOME OFFICE COSTS 434254,A81000B,00600,0300,HOME OFFICE COSTS 434254,A81000B,00700,0300,HOME OFFICE COSTS 434254,A81000B,00800,0300,HOME OFFICE COSTS 434254,A81000B,00900,0300,HOME OFFICE COSTS 434254,A81000B,01000,0300,HOME OFFICE COSTS 434254,A81000B,01100,0300,HOME OFFICE COSTS 434254,A81000B,01200,0300,HOME OFFICE COSTS 434254,A81000B,01300,0300,HOME OFFICE COSTS 434254,A81000C,00100,0100,A 434254,A81000C,00100,0400,MMM INVEST INC. 434254,A81000C,00100,0600,LEASING PROPERTY 434254,A81000C,00200,0100,A 434254,A81000C,00200,0400,THERACARE 434254,A81000C,00200,0600,THERAPY MANAGEMENT 434254,A81000C,00300,0100,A 434254,A81000C,00300,0400,THERACARE 434254,A81000C,00300,0600,THERAPY MANAGEMENT 434254,A81000C,00400,0100,A 434254,A81000C,00400,0400,THERACARE 434254,A81000C,00400,0600,THERAPY MANAGEMENT 434254,A81000C,00500,0100,B 434254,A81000C,00500,0400,MHS INC. 434254,A81000C,00500,0600,NURSING HOMES 434254,A81000C,00600,0100,B 434254,A81000C,00600,0400,MHS INC. 434254,A81000C,00600,0600,NURSING HOMES 434254,A81000C,00700,0100,B 434254,A81000C,00700,0400,MHS INC. 434254,A81000C,00700,0600,NURSING HOMES 434254,A81000C,00800,0100,B 434254,A81000C,00800,0400,MHS INC. 434254,A81000C,00800,0600,NURSING HOMES 434254,A81000C,00900,0100,B 434254,A81000C,00900,0400,MHS INC. 434254,A81000C,00900,0600,NURSING HOMES 434254,A81000C,01000,0100,B 434254,A81000C,01000,0400,MHS INC. 434254,A81000C,01000,0600,NURSING HOMES 434254,A81000C,01001,0100,B 434254,A81000C,01001,0400,MHS INC. 434254,A81000C,01001,0600,NURSING HOMES 434254,A81000C,01002,0100,B 434254,A81000C,01002,0400,MHS INC. 434254,A81000C,01002,0600,NURSING HOMES 434254,A81000C,01003,0100,B 434254,A81000C,01003,0400,MHS INC. 434254,A81000C,01003,0600,NURSING HOMES 434254,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434254,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434254,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434254,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434254,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434254,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434254,B100000,00000,0800,0800MEALS SERVED :DIETARY 434254,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434254,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434254,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434254,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434254,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434254,E10A180,00350,0100,09/13/11 434254,E10A180,00501,0100,05/07/12 434254,G300000,02500,0000,OTHER REVENUE 434254,S000000,00100,0200,03/02/12 434254,S200000,00100,0100,500 WALKERTON TRAIL 434254,S200000,00200,0100,WALKERTON 434254,S200000,00200,0200,IN 434254,S200000,00200,0300,46574 434254,S200000,00300,0100,ST. JOSEPH 434254,S200000,00300,0200,7800 434254,S200000,00300,0201,43780 434254,S200000,00300,0300,U 434254,S200000,00400,0100,MHS INC. D/B/A MMM - WALKERTON 434254,S200000,00400,0200,155574 434254,S200000,00400,0300,08/01/95 434254,S200000,00400,0500,P 434254,S200000,01500,0100,Y 434254,S200000,01501,0200,Y 434254,S200000,01502,0200,Y 434254,S200000,01503,0200,Y 434254,S200000,01504,0200,Y 434254,S200000,01600,0100,N 434254,S200000,01700,0100,N 434254,S200000,01800,0100,N 434254,S200000,02200,0100,Y 434254,S200000,02800,0100,Y 434254,S200000,02900,0100,N 434254,S200000,03000,0100,N 434254,S200000,03100,0100,N 434254,S200000,03200,0100,N 434254,S200000,03300,0100,N 434254,S200000,03300,0200,N 434254,S200000,04100,0100,N 434254,S200000,04200,0100,N 434254,S200000,04300,0100,N 434254,S200000,04600,0100,N 434254,S200000,04700,0100,N 434254,S200000,04700,0200,N 434254,S200000,04900,0100,N 434254,S200000,05000,0100,N 434254,S200000,05100,0100,N 434254,S200000,05200,0100,N 434254,S200000,05300,0100,Y 434254,S200000,05300,0200,15H004 434254,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434254,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434254,S200000,05400,0300,00130 434254,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434254,S200000,05600,0100,WARSAW 434254,S200000,05600,0200,IN 434254,S200000,05600,0300,46580 434255,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434255,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434255,A000000,00300,0000,0300EMPLOYEE BENEFITS 434255,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434255,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434255,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434255,A000000,00700,0000,0700HOUSEKEEPING 434255,A000000,00800,0000,0800DIETARY 434255,A000000,00900,0000,0900NURSING ADMINISTRATION 434255,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434255,A000000,01100,0000,1100PHARMACY 434255,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434255,A000000,01300,0000,1300SOCIAL SERVICE 434255,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434255,A000000,01500,0000,1350ACTIVITIES 434255,A000000,01600,0000,1600SKILLED NURSING FACILITY 434255,A000000,01800,0000,1800NURSING FACILITY 434255,A000000,01810,0000,1810ICF/MR 434255,A000000,01900,0000,1900OTHER LONG TERM CARE 434255,A000000,02100,0000,2100RADIOLOGY 434255,A000000,02200,0000,2200LABORATORY 434255,A000000,02300,0000,2300INTRAVENOUS THERAPY 434255,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434255,A000000,02500,0000,2500PHYSICAL THERAPY 434255,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434255,A000000,02700,0000,2700SPEECH PATHOLOGY 434255,A000000,02800,0000,2800ELECTROCARDIOLOGY 434255,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434255,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434255,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434255,A000000,03200,0000,3200SUPPORT SURFACES 434255,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434255,A000000,03400,0000,3400CLINIC 434255,A000000,03500,0000,3500RURAL HEALTH CLINIC 434255,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434255,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434255,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434255,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434255,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434255,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434255,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434255,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434255,A000000,04400,0000,4400DME RENTED - HHA 434255,A000000,04500,0000,4500DME SOLD - HHA 434255,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434255,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434255,A000000,04710,0000,4710TELEMEDICINE 434255,A000000,04800,0000,4800AMBULANCE 434255,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434255,A000000,05000,0000,5000CORF 434255,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434255,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434255,A000000,05300,0000,5300INTEREST EXPENSE 434255,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434255,A000000,05500,0000,5500HOSPICE 434255,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434255,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434255,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434255,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434255,A000000,06100,0000,6100NONPAID WORKERS 434255,A000000,06200,0000,6200PATIENTS LAUNDRY 434255,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434255,A81000A,00100,0100,Y 434255,A81000B,00100,0300,RELATED PARTY THERAPY 434255,A81000B,00200,0300,RELATED PARTY THERAPY 434255,A81000B,00300,0300,RELATED PARTY THERAPY 434255,A81000B,00400,0300,HOME OFFICE COSTS 434255,A81000B,00500,0300,HOME OFFICE COSTS 434255,A81000B,00600,0300,HOME OFFICE COSTS 434255,A81000B,00700,0300,HOME OFFICE COSTS 434255,A81000B,00800,0300,HOME OFFICE COSTS 434255,A81000B,00900,0300,HOME OFFICE COSTS 434255,A81000B,01000,0300,HOME OFFICE COSTS 434255,A81000B,01100,0300,HOME OFFICE COSTS 434255,A81000B,01200,0300,HOME OFFICE COSTS 434255,A81000C,00100,0100,A 434255,A81000C,00100,0400,THERACARE 434255,A81000C,00100,0600,THERAPY MANAGEMENT 434255,A81000C,00200,0100,A 434255,A81000C,00200,0400,THERACARE 434255,A81000C,00200,0600,THERAPY MANAGEMENT 434255,A81000C,00300,0100,A 434255,A81000C,00300,0400,THERACARE 434255,A81000C,00300,0600,THERAPY MANAGEMENT 434255,A81000C,00400,0100,B 434255,A81000C,00400,0400,MHS INC. 434255,A81000C,00400,0600,NURSING HOMES 434255,A81000C,00500,0100,B 434255,A81000C,00500,0400,MHS INC. 434255,A81000C,00500,0600,NURSING HOMES 434255,A81000C,00600,0100,B 434255,A81000C,00600,0400,MHS INC. 434255,A81000C,00600,0600,NURSING HOMES 434255,A81000C,00700,0100,B 434255,A81000C,00700,0400,MHS INC. 434255,A81000C,00700,0600,NURSING HOMES 434255,A81000C,00800,0100,B 434255,A81000C,00800,0400,MHS INC. 434255,A81000C,00800,0600,NURSING HOMES 434255,A81000C,00900,0100,B 434255,A81000C,00900,0400,MHS INC. 434255,A81000C,00900,0600,NURSING HOMES 434255,A81000C,01000,0100,B 434255,A81000C,01000,0400,MHS INC. 434255,A81000C,01000,0600,NURSING HOMES 434255,A81000C,01001,0100,B 434255,A81000C,01001,0400,MHS INC. 434255,A81000C,01001,0600,NURSING HOMES 434255,A81000C,01002,0100,B 434255,A81000C,01002,0400,MHS INC. 434255,A81000C,01002,0600,NURSING HOMES 434255,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434255,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434255,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434255,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434255,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434255,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434255,B100000,00000,0800,0800MEALS SERVED :DIETARY 434255,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434255,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434255,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434255,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434255,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434255,E10A180,00501,0100,04/16/12 434255,G300000,02500,0000,OTHER REVENUE 434255,S000000,00100,0200,03/02/12 434255,S200000,00100,0100,1101 MICHIGAN AVENUE 434255,S200000,00200,0100,LOGANSPORT 434255,S200000,00200,0200,IN 434255,S200000,00200,0300,46947 434255,S200000,00300,0100,CASS 434255,S200000,00300,0201,99915 434255,S200000,00300,0300,R 434255,S200000,00400,0100,MHS INC. D/B/A MMM - THE ARBOR 434255,S200000,00400,0200,155774 434255,S200000,00400,0300,04/01/09 434255,S200000,00400,0500,P 434255,S200000,01500,0100,Y 434255,S200000,01501,0200,Y 434255,S200000,01502,0200,Y 434255,S200000,01503,0200,Y 434255,S200000,01504,0200,Y 434255,S200000,01600,0100,N 434255,S200000,01700,0100,N 434255,S200000,01800,0100,N 434255,S200000,02200,0100,N 434255,S200000,02800,0100,Y 434255,S200000,02900,0100,N 434255,S200000,03000,0100,N 434255,S200000,03100,0100,N 434255,S200000,03200,0100,N 434255,S200000,03300,0100,N 434255,S200000,03300,0200,N 434255,S200000,04100,0100,N 434255,S200000,04200,0100,N 434255,S200000,04300,0100,N 434255,S200000,04600,0100,N 434255,S200000,04700,0100,N 434255,S200000,04700,0200,N 434255,S200000,04900,0100,N 434255,S200000,05000,0100,N 434255,S200000,05100,0100,N 434255,S200000,05200,0100,N 434255,S200000,05300,0100,Y 434255,S200000,05300,0200,15H004 434255,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434255,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434255,S200000,05400,0300,00130 434255,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434255,S200000,05600,0100,WARSAW 434255,S200000,05600,0200,IN 434255,S200000,05600,0300,46580 434256,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434256,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434256,A000000,00300,0000,0300EMPLOYEE BENEFITS 434256,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434256,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434256,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434256,A000000,00700,0000,0700HOUSEKEEPING 434256,A000000,00800,0000,0800DIETARY 434256,A000000,00900,0000,0900NURSING ADMINISTRATION 434256,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434256,A000000,01100,0000,1100PHARMACY 434256,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434256,A000000,01300,0000,1300SOCIAL SERVICE 434256,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434256,A000000,01600,0000,1600SKILLED NURSING FACILITY 434256,A000000,01810,0000,1810ICF/MR 434256,A000000,01900,0000,1900OTHER LONG TERM CARE 434256,A000000,02100,0000,2100RADIOLOGY 434256,A000000,02200,0000,2200LABORATORY 434256,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434256,A000000,02500,0000,2500PHYSICAL THERAPY 434256,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434256,A000000,02700,0000,2700SPEECH PATHOLOGY 434256,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434256,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434256,A000000,03300,0000,3050ENTERAL FEEDING 434256,A000000,03301,0000,3051DURABLE MEDICAL EQUIPMENT 434256,A000000,03550,0000,3550FQHC 434256,A000000,05000,0000,5000CORF 434256,A000000,05010,0000,5010CMHC 434256,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434256,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434256,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434256,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434256,A000000,06200,0000,6200PATIENTS LAUNDRY 434256,A81000A,00100,0100,Y 434256,A81000B,00100,0300,RENT 434256,A81000B,00200,0300,DEPRECIATION 434256,A81000B,00300,0300,INTEREST 434256,A81000B,00400,0300,PROFESSIONAL FEES 434256,A81000B,00500,0300,THERAPY SERVICES 434256,A81000B,00600,0300,THERAPY SERVICES 434256,A81000B,00700,0300,THERAPY SERVICES 434256,A81000B,00800,0300,INTEREST 434256,A81000B,00900,0300,MANAGEMENT FEES 434256,A81000C,00100,0100,A 434256,A81000C,00100,0200,VARIOUS 434256,A81000C,00100,0400,DURHAM LLC 434256,A81000C,00100,0600,REAL ESTATE 434256,A81000C,00200,0100,A 434256,A81000C,00200,0200,VARIOUS 434256,A81000C,00200,0400,DURHAM LLC 434256,A81000C,00200,0600,REAL ESTATE 434256,A81000C,00300,0100,A 434256,A81000C,00300,0200,VARIOUS 434256,A81000C,00300,0400,DURHAM LLC 434256,A81000C,00300,0600,REAL ESTATE 434256,A81000C,00400,0100,A 434256,A81000C,00400,0200,VARIOUS 434256,A81000C,00400,0400,DURHAM LLC 434256,A81000C,00400,0600,REAL ESTATE 434256,A81000C,00500,0100,A 434256,A81000C,00500,0200,VARIOUS 434256,A81000C,00500,0400,SIMPLY REHAB 434256,A81000C,00500,0600,THERAPY SERVICE 434256,A81000C,00600,0100,A 434256,A81000C,00600,0200,VARIOUS 434256,A81000C,00600,0400,SIMPLY REHAB 434256,A81000C,00600,0600,THERAPY SERVICE 434256,A81000C,00700,0100,A 434256,A81000C,00700,0200,VARIOUS 434256,A81000C,00700,0400,SIMPLY REHAB 434256,A81000C,00700,0600,THERAPY SERVICE 434256,A81000C,00800,0100,A 434256,A81000C,00800,0200,VARIOUS 434256,A81000C,00800,0400,VENTURE FUND 434256,A81000C,00800,0600,FINANCING 434256,A81000C,00900,0100,E 434256,A81000C,00900,0200,LEFKOVITZ 434256,A81000C,00900,0400,APEX HEALTHCARE 434256,A81000C,00900,0600,MANAGEMENT SERV 434256,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434256,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434256,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434256,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434256,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434256,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434256,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 434256,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434256,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434256,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434256,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434256,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434256,E10A180,00350,0100,07/27/11 434256,E10A180,00550,0100,02/28/12 434256,G300000,02500,0000,BARBER AND BEAUTY INCOME 434256,G300000,02501,0000,PRIOR PERIOD SETTLEMENTS 434256,G300000,02502,0000,MISC INCOME 434256,S000000,00100,0200,02/28/12 434256,S200000,00100,0100,321 EAST CARVER STREET 434256,S200000,00200,0100,DURHAM 434256,S200000,00200,0200,NC 434256,S200000,00200,0300,27704 434256,S200000,00300,0100,DURHAM 434256,S200000,00300,0201,20500 434256,S200000,00300,0300,U 434256,S200000,00400,0100,CARVER LIVING CENTER 434256,S200000,00400,0200,345434 434256,S200000,00400,0300,04/12/93 434256,S200000,00400,0500,P 434256,S200000,01500,0100,N 434256,S200000,01501,0200,N 434256,S200000,01502,0200,N 434256,S200000,01600,0100,Y 434256,S200000,01700,0100,N 434256,S200000,01800,0100,N 434256,S200000,01900,0100,LLC 434256,S200000,02200,0100,N 434256,S200000,02800,0100,N 434256,S200000,02900,0100,N 434256,S200000,03000,0100,N 434256,S200000,03100,0100,N 434256,S200000,03200,0100,N 434256,S200000,03300,0100,N 434256,S200000,03300,0200,N 434256,S200000,04100,0100,N 434256,S200000,04200,0100,N 434256,S200000,04300,0100,N 434256,S200000,04600,0100,N 434256,S200000,04700,0100,N 434256,S200000,04700,0200,N 434256,S200000,04900,0100,N 434256,S200000,05000,0100,N 434256,S200000,05100,0100,N 434256,S200000,05200,0100,N 434256,S200000,05300,0100,N 434261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434261,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434261,A000000,00300,0000,0300EMPLOYEE BENEFITS 434261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434261,A000000,00700,0000,0700HOUSEKEEPING 434261,A000000,00800,0000,0800DIETARY 434261,A000000,00900,0000,0900NURSING ADMINISTRATION 434261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434261,A000000,01100,0000,1100PHARMACY 434261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434261,A000000,01300,0000,1300SOCIAL SERVICE 434261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434261,A000000,01500,0000,1350ACTIVITIES 434261,A000000,01600,0000,1600SKILLED NURSING FACILITY 434261,A000000,01800,0000,1800NURSING FACILITY 434261,A000000,01810,0000,1810ICF/MR 434261,A000000,01900,0000,1900OTHER LONG TERM CARE 434261,A000000,02100,0000,2100RADIOLOGY 434261,A000000,02200,0000,2200LABORATORY 434261,A000000,02300,0000,2300INTRAVENOUS THERAPY 434261,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434261,A000000,02500,0000,2500PHYSICAL THERAPY 434261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434261,A000000,02700,0000,2700SPEECH PATHOLOGY 434261,A000000,02800,0000,2800ELECTROCARDIOLOGY 434261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434261,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434261,A000000,03200,0000,3200SUPPORT SURFACES 434261,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434261,A000000,03400,0000,3400CLINIC 434261,A000000,03500,0000,3500RURAL HEALTH CLINIC 434261,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434261,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434261,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434261,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434261,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434261,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434261,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434261,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434261,A000000,04400,0000,4400DME RENTED - HHA 434261,A000000,04500,0000,4500DME SOLD - HHA 434261,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434261,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434261,A000000,04710,0000,4710TELEMEDICINE 434261,A000000,04800,0000,4800AMBULANCE 434261,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434261,A000000,05000,0000,5000CORF 434261,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434261,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434261,A000000,05300,0000,5300INTEREST EXPENSE 434261,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434261,A000000,05500,0000,5500HOSPICE 434261,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434261,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434261,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434261,A000000,06100,0000,6100NONPAID WORKERS 434261,A000000,06200,0000,6200PATIENTS LAUNDRY 434261,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434261,A81000A,00100,0100,Y 434261,A81000B,00100,0300,RELATED PARTY THERAPY 434261,A81000B,00200,0300,RELATED PARTY THERAPY 434261,A81000B,00300,0300,RELATED PARTY THERAPY 434261,A81000B,00400,0300,HOME OFFICE COSTS 434261,A81000B,00500,0300,HOME OFFICE COSTS 434261,A81000B,00600,0300,HOME OFFICE COSTS 434261,A81000B,00700,0300,HOME OFFICE COSTS 434261,A81000B,00800,0300,HOME OFFICE COSTS 434261,A81000B,00900,0300,HOME OFFICE COSTS 434261,A81000B,01000,0300,HOME OFFICE COSTS 434261,A81000B,01100,0300,HOME OFFICE COSTS 434261,A81000B,01200,0300,HOME OFFICE COSTS 434261,A81000C,00100,0100,A 434261,A81000C,00100,0400,THERACARE 434261,A81000C,00100,0600,THERAPY MANAGEMENT 434261,A81000C,00200,0100,A 434261,A81000C,00200,0400,THERACARE 434261,A81000C,00200,0600,THERAPY MANAGEMENT 434261,A81000C,00300,0100,A 434261,A81000C,00300,0400,THERACARE 434261,A81000C,00300,0600,THERAPY MANAGEMENT 434261,A81000C,00400,0100,B 434261,A81000C,00400,0400,MHS INC. 434261,A81000C,00400,0600,NURSING HOMES 434261,A81000C,00500,0100,B 434261,A81000C,00500,0400,MHS INC. 434261,A81000C,00500,0600,NURSING HOMES 434261,A81000C,00600,0100,B 434261,A81000C,00600,0400,MHS INC. 434261,A81000C,00600,0600,NURSING HOMES 434261,A81000C,00700,0100,B 434261,A81000C,00700,0400,MHS INC. 434261,A81000C,00700,0600,NURSING HOMES 434261,A81000C,00800,0100,B 434261,A81000C,00800,0400,MHS INC. 434261,A81000C,00800,0600,NURSING HOMES 434261,A81000C,00900,0100,B 434261,A81000C,00900,0400,MHS INC. 434261,A81000C,00900,0600,NURSING HOMES 434261,A81000C,01000,0100,B 434261,A81000C,01000,0400,MHS INC. 434261,A81000C,01000,0600,NURSING HOMES 434261,A81000C,01001,0100,B 434261,A81000C,01001,0400,MHS INC. 434261,A81000C,01001,0600,NURSING HOMES 434261,A81000C,01002,0100,B 434261,A81000C,01002,0400,MHS INC. 434261,A81000C,01002,0600,NURSING HOMES 434261,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434261,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434261,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434261,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434261,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434261,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434261,B100000,00000,0800,0800MEALS SERVED :DIETARY 434261,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434261,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434261,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434261,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434261,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434261,E10A180,00350,0100,09/13/11 434261,E10A180,00550,0100,04/30/12 434261,G300000,02500,0000,OTHER REVENUE 434261,S000000,00100,0200,03/02/12 434261,S200000,00100,0100,5544 EAST STATE BLVD 434261,S200000,00200,0100,FORT WAYNE 434261,S200000,00200,0200,IN 434261,S200000,00200,0300,46815 434261,S200000,00300,0100,ALLEN 434261,S200000,00300,0200,2760 434261,S200000,00300,0201,23060 434261,S200000,00300,0300,U 434261,S200000,00400,0100,MHS INC. D/B/A MMM - FORT WAYNE 434261,S200000,00400,0200,155321 434261,S200000,00400,0300,07/18/88 434261,S200000,00400,0500,P 434261,S200000,01500,0100,Y 434261,S200000,01501,0200,Y 434261,S200000,01502,0200,Y 434261,S200000,01503,0200,Y 434261,S200000,01504,0200,Y 434261,S200000,01600,0100,N 434261,S200000,01700,0100,N 434261,S200000,01800,0100,N 434261,S200000,02200,0100,Y 434261,S200000,02800,0100,Y 434261,S200000,02900,0100,N 434261,S200000,03000,0100,N 434261,S200000,03100,0100,N 434261,S200000,03200,0100,N 434261,S200000,03300,0100,N 434261,S200000,03300,0200,N 434261,S200000,04100,0100,N 434261,S200000,04200,0100,N 434261,S200000,04300,0100,N 434261,S200000,04600,0100,N 434261,S200000,04700,0100,N 434261,S200000,04700,0200,N 434261,S200000,04900,0100,N 434261,S200000,05000,0100,N 434261,S200000,05100,0100,N 434261,S200000,05200,0100,N 434261,S200000,05300,0100,Y 434261,S200000,05300,0200,15H004 434261,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434261,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434261,S200000,05400,0300,00130 434261,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434261,S200000,05600,0100,WARSAW 434261,S200000,05600,0200,IN 434261,S200000,05600,0300,46580 434262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434262,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434262,A000000,00300,0000,0300EMPLOYEE BENEFITS 434262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434262,A000000,00700,0000,0700HOUSEKEEPING 434262,A000000,00800,0000,0800DIETARY 434262,A000000,00900,0000,0900NURSING ADMINISTRATION 434262,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434262,A000000,01100,0000,1100PHARMACY 434262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434262,A000000,01300,0000,1300SOCIAL SERVICE 434262,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434262,A000000,01500,0000,1350ACTIVITIES 434262,A000000,01600,0000,1600SKILLED NURSING FACILITY 434262,A000000,01800,0000,1800NURSING FACILITY 434262,A000000,01810,0000,1810ICF/MR 434262,A000000,01900,0000,1900OTHER LONG TERM CARE 434262,A000000,02100,0000,2100RADIOLOGY 434262,A000000,02200,0000,2200LABORATORY 434262,A000000,02300,0000,2300INTRAVENOUS THERAPY 434262,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434262,A000000,02500,0000,2500PHYSICAL THERAPY 434262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434262,A000000,02700,0000,2700SPEECH PATHOLOGY 434262,A000000,02800,0000,2800ELECTROCARDIOLOGY 434262,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434262,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434262,A000000,03200,0000,3200SUPPORT SURFACES 434262,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434262,A000000,03400,0000,3400CLINIC 434262,A000000,03500,0000,3500RURAL HEALTH CLINIC 434262,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434262,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434262,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434262,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434262,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434262,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434262,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434262,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434262,A000000,04400,0000,4400DME RENTED - HHA 434262,A000000,04500,0000,4500DME SOLD - HHA 434262,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434262,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434262,A000000,04710,0000,4710TELEMEDICINE 434262,A000000,04800,0000,4800AMBULANCE 434262,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434262,A000000,05000,0000,5000CORF 434262,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434262,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434262,A000000,05300,0000,5300INTEREST EXPENSE 434262,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434262,A000000,05500,0000,5500HOSPICE 434262,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434262,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434262,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434262,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434262,A000000,06100,0000,6100NONPAID WORKERS 434262,A000000,06200,0000,6200PATIENTS LAUNDRY 434262,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434262,A81000A,00100,0100,Y 434262,A81000B,00100,0300,RELATED PARTY LEASE 434262,A81000B,00200,0300,RELATED PARTY THERAPY 434262,A81000B,00300,0300,RELATED PARTY THERAPY 434262,A81000B,00400,0300,RELATED PARTY THERAPY 434262,A81000B,00500,0300,HOME OFFICE COSTS 434262,A81000B,00600,0300,HOME OFFICE COSTS 434262,A81000B,00700,0300,HOME OFFICE COSTS 434262,A81000B,00800,0300,HOME OFFICE COSTS 434262,A81000B,00900,0300,HOME OFFICE COSTS 434262,A81000B,01000,0300,HOME OFFICE COSTS 434262,A81000B,01100,0300,HOME OFFICE COSTS 434262,A81000B,01200,0300,HOME OFFICE COSTS 434262,A81000B,01300,0300,HOME OFFICE COSTS 434262,A81000C,00100,0100,A 434262,A81000C,00100,0400,MMM INVEST INC. 434262,A81000C,00100,0600,PROPERTY LEASING 434262,A81000C,00200,0100,A 434262,A81000C,00200,0400,THERACARE 434262,A81000C,00200,0600,THERAPY MANAGEMENT 434262,A81000C,00300,0100,A 434262,A81000C,00300,0400,THERACARE 434262,A81000C,00300,0600,THERAPY MANAGEMENT 434262,A81000C,00400,0100,A 434262,A81000C,00400,0400,THERACARE 434262,A81000C,00400,0600,THERAPY MANAGEMENT 434262,A81000C,00500,0100,B 434262,A81000C,00500,0400,MHS INC. 434262,A81000C,00500,0600,NURSING HOMES 434262,A81000C,00600,0100,B 434262,A81000C,00600,0400,MHS INC. 434262,A81000C,00600,0600,NURSING HOMES 434262,A81000C,00700,0100,B 434262,A81000C,00700,0400,MHS INC. 434262,A81000C,00700,0600,NURSING HOMES 434262,A81000C,00800,0100,B 434262,A81000C,00800,0400,MHS INC. 434262,A81000C,00800,0600,NURSING HOMES 434262,A81000C,00900,0100,B 434262,A81000C,00900,0400,MHS INC. 434262,A81000C,00900,0600,NURSING HOMES 434262,A81000C,01000,0100,B 434262,A81000C,01000,0400,MHS INC. 434262,A81000C,01000,0600,NURSING HOMES 434262,A81000C,01001,0100,B 434262,A81000C,01001,0400,MHS INC. 434262,A81000C,01001,0600,NURSING HOMES 434262,A81000C,01002,0100,B 434262,A81000C,01002,0400,MHS INC. 434262,A81000C,01002,0600,NURSING HOMES 434262,A81000C,01003,0100,B 434262,A81000C,01003,0400,MHS INC. 434262,A81000C,01003,0600,NURSING HOMES 434262,A81000C,01004,0100,B 434262,A81000C,01004,0400,MHS INC. 434262,A81000C,01004,0600,NURSING HOMES 434262,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434262,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434262,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434262,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434262,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434262,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434262,B100000,00000,0800,0800MEALS SERVED :DIETARY 434262,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434262,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434262,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434262,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434262,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434262,E10A180,00301,0100,09/20/11 434262,E10A180,00501,0100,05/01/12 434262,G300000,02500,0000,OTHER REVENUE 434262,S000000,00100,0200,03/02/12 434262,S200000,00100,0100,259 WEST HARRISON STREET 434262,S200000,00200,0100,MOORESVILLE 434262,S200000,00200,0200,IN 434262,S200000,00200,0300,46158 434262,S200000,00300,0100,MORGAN 434262,S200000,00300,0201,26900 434262,S200000,00300,0300,U 434262,S200000,00400,0100,MHS INC. D/B/A MMM - MOORESVILLE 434262,S200000,00400,0200,155564 434262,S200000,00400,0300,04/01/95 434262,S200000,00400,0500,P 434262,S200000,01500,0100,Y 434262,S200000,01501,0200,Y 434262,S200000,01502,0200,Y 434262,S200000,01503,0200,Y 434262,S200000,01504,0200,Y 434262,S200000,01600,0100,N 434262,S200000,01700,0100,N 434262,S200000,01800,0100,N 434262,S200000,02200,0100,N 434262,S200000,02800,0100,Y 434262,S200000,02900,0100,N 434262,S200000,03000,0100,N 434262,S200000,03100,0100,N 434262,S200000,03200,0100,N 434262,S200000,03300,0100,N 434262,S200000,03300,0200,N 434262,S200000,04100,0100,N 434262,S200000,04200,0100,N 434262,S200000,04300,0100,N 434262,S200000,04600,0100,N 434262,S200000,04700,0100,N 434262,S200000,04700,0200,N 434262,S200000,04900,0100,N 434262,S200000,05000,0100,N 434262,S200000,05100,0100,N 434262,S200000,05200,0100,N 434262,S200000,05300,0100,Y 434262,S200000,05300,0200,15H004 434262,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434262,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434262,S200000,05400,0300,00130 434262,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434262,S200000,05600,0100,WARSAW 434262,S200000,05600,0200,IN 434262,S200000,05600,0300,46580 434263,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434263,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434263,A000000,00300,0000,0300EMPLOYEE BENEFITS 434263,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434263,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434263,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434263,A000000,00700,0000,0700HOUSEKEEPING 434263,A000000,00800,0000,0800DIETARY 434263,A000000,00900,0000,0900NURSING ADMINISTRATION 434263,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434263,A000000,01100,0000,1100PHARMACY 434263,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434263,A000000,01300,0000,1300SOCIAL SERVICE 434263,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434263,A000000,01500,0000,1350ACTIVITIES 434263,A000000,01600,0000,1600SKILLED NURSING FACILITY 434263,A000000,01800,0000,1800NURSING FACILITY 434263,A000000,01810,0000,1810ICF/MR 434263,A000000,01900,0000,1900OTHER LONG TERM CARE 434263,A000000,02100,0000,2100RADIOLOGY 434263,A000000,02200,0000,2200LABORATORY 434263,A000000,02300,0000,2300INTRAVENOUS THERAPY 434263,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434263,A000000,02500,0000,2500PHYSICAL THERAPY 434263,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434263,A000000,02700,0000,2700SPEECH PATHOLOGY 434263,A000000,02800,0000,2800ELECTROCARDIOLOGY 434263,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434263,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434263,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434263,A000000,03200,0000,3200SUPPORT SURFACES 434263,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434263,A000000,03400,0000,3400CLINIC 434263,A000000,03500,0000,3500RURAL HEALTH CLINIC 434263,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434263,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434263,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434263,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434263,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434263,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434263,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434263,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434263,A000000,04400,0000,4400DME RENTED - HHA 434263,A000000,04500,0000,4500DME SOLD - HHA 434263,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434263,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434263,A000000,04710,0000,4710TELEMEDICINE 434263,A000000,04800,0000,4800AMBULANCE 434263,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434263,A000000,05000,0000,5000CORF 434263,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434263,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434263,A000000,05300,0000,5300INTEREST EXPENSE 434263,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434263,A000000,05500,0000,5500HOSPICE 434263,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434263,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434263,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434263,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434263,A000000,06100,0000,6100NONPAID WORKERS 434263,A000000,06200,0000,6200PATIENTS LAUNDRY 434263,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434263,A81000A,00100,0100,Y 434263,A81000B,00100,0300,RELATED PARTY THERAPY 434263,A81000B,00200,0300,RELATED PARTY THERAPY 434263,A81000B,00300,0300,RELATED PARTY THERAPY 434263,A81000B,00400,0300,HOME OFFICE COSTS 434263,A81000B,00500,0300,HOME OFFICE COSTS 434263,A81000B,00600,0300,HOME OFFICE COSTS 434263,A81000B,00700,0300,HOME OFFICE COSTS 434263,A81000B,00800,0300,HOME OFFICE COSTS 434263,A81000B,00900,0300,HOME OFFICE COSTS 434263,A81000B,01000,0300,HOME OFFICE COSTS 434263,A81000B,01100,0300,HOME OFFICE COSTS 434263,A81000B,01200,0300,HOME OFFICE COSTS 434263,A81000C,00100,0100,A 434263,A81000C,00100,0400,THERACARE 434263,A81000C,00100,0600,THERAPY MANAGEMENT 434263,A81000C,00200,0100,A 434263,A81000C,00200,0400,THERACARE 434263,A81000C,00200,0600,THERAPY MANAGEMENT 434263,A81000C,00300,0100,A 434263,A81000C,00300,0400,THERACARE 434263,A81000C,00300,0600,THERAPY MANAGEMENT 434263,A81000C,00400,0100,B 434263,A81000C,00400,0400,MHS INC. 434263,A81000C,00400,0600,NURSING HOMES 434263,A81000C,00500,0100,B 434263,A81000C,00500,0400,MHS INC. 434263,A81000C,00500,0600,NURSING HOMES 434263,A81000C,00600,0100,B 434263,A81000C,00600,0400,MHS INC. 434263,A81000C,00600,0600,NURSING HOMES 434263,A81000C,00700,0100,B 434263,A81000C,00700,0400,MHS INC. 434263,A81000C,00700,0600,NURSING HOMES 434263,A81000C,00800,0100,B 434263,A81000C,00800,0400,MHS INC. 434263,A81000C,00800,0600,NURSING HOMES 434263,A81000C,00900,0100,B 434263,A81000C,00900,0400,MHS INC. 434263,A81000C,00900,0600,NURSING HOMES 434263,A81000C,01000,0100,B 434263,A81000C,01000,0400,MHS INC. 434263,A81000C,01000,0600,NURSING HOMES 434263,A81000C,01001,0100,B 434263,A81000C,01001,0400,MHS INC. 434263,A81000C,01001,0600,NURSING HOMES 434263,A81000C,01002,0100,B 434263,A81000C,01002,0400,MHS INC. 434263,A81000C,01002,0600,NURSING HOMES 434263,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434263,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434263,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434263,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434263,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434263,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434263,B100000,00000,0800,0800MEALS SERVED :DIETARY 434263,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434263,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434263,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434263,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434263,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434263,E10A180,00350,0100,09/13/11 434263,E10A180,00501,0100,05/03/12 434263,G300000,02500,0000,OTHER REVENUE 434263,S000000,00100,0200,03/02/12 434263,S200000,00100,0100,500 E PICKWICK DRIVE 434263,S200000,00200,0100,SYRACUSE 434263,S200000,00200,0200,IN 434263,S200000,00200,0300,46567 434263,S200000,00300,0100,KOSCIUSKO 434263,S200000,00300,0200,15 434263,S200000,00300,0201,99915 434263,S200000,00300,0300,R 434263,S200000,00400,0100,MHS INC. D/B/A MMM - SYRACUSE 434263,S200000,00400,0200,155581 434263,S200000,00400,0300,10/01/95 434263,S200000,00400,0500,P 434263,S200000,01500,0100,Y 434263,S200000,01501,0200,Y 434263,S200000,01502,0200,Y 434263,S200000,01503,0200,Y 434263,S200000,01504,0200,Y 434263,S200000,01600,0100,N 434263,S200000,01700,0100,N 434263,S200000,01800,0100,N 434263,S200000,02200,0100,Y 434263,S200000,02800,0100,Y 434263,S200000,02900,0100,N 434263,S200000,03000,0100,N 434263,S200000,03100,0100,N 434263,S200000,03200,0100,N 434263,S200000,03300,0100,N 434263,S200000,03300,0200,N 434263,S200000,04100,0100,N 434263,S200000,04200,0100,N 434263,S200000,04300,0100,N 434263,S200000,04600,0100,N 434263,S200000,04700,0100,N 434263,S200000,04700,0200,N 434263,S200000,04900,0100,N 434263,S200000,05000,0100,N 434263,S200000,05100,0100,N 434263,S200000,05200,0100,N 434263,S200000,05300,0100,Y 434263,S200000,05300,0200,15H004 434263,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434263,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434263,S200000,05400,0300,00130 434263,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434263,S200000,05600,0100,WARSAW 434263,S200000,05600,0200,IN 434263,S200000,05600,0300,46580 434264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434264,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434264,A000000,00300,0000,0300EMPLOYEE BENEFITS 434264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434264,A000000,00700,0000,0700HOUSEKEEPING 434264,A000000,00800,0000,0800DIETARY 434264,A000000,00900,0000,0900NURSING ADMINISTRATION 434264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434264,A000000,01100,0000,1100PHARMACY 434264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434264,A000000,01300,0000,1300SOCIAL SERVICE 434264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434264,A000000,01500,0000,1350ACTIVITIES 434264,A000000,01600,0000,1600SKILLED NURSING FACILITY 434264,A000000,01800,0000,1800NURSING FACILITY 434264,A000000,01810,0000,1810ICF/MR 434264,A000000,01900,0000,1900OTHER LONG TERM CARE 434264,A000000,02100,0000,2100RADIOLOGY 434264,A000000,02200,0000,2200LABORATORY 434264,A000000,02300,0000,2300INTRAVENOUS THERAPY 434264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434264,A000000,02500,0000,2500PHYSICAL THERAPY 434264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434264,A000000,02700,0000,2700SPEECH PATHOLOGY 434264,A000000,02800,0000,2800ELECTROCARDIOLOGY 434264,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434264,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434264,A000000,03200,0000,3200SUPPORT SURFACES 434264,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434264,A000000,03400,0000,3400CLINIC 434264,A000000,03500,0000,3500RURAL HEALTH CLINIC 434264,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434264,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434264,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434264,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434264,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434264,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434264,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434264,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434264,A000000,04400,0000,4400DME RENTED - HHA 434264,A000000,04500,0000,4500DME SOLD - HHA 434264,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434264,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434264,A000000,04710,0000,4710TELEMEDICINE 434264,A000000,04800,0000,4800AMBULANCE 434264,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434264,A000000,05000,0000,5000CORF 434264,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434264,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434264,A000000,05300,0000,5300INTEREST EXPENSE 434264,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434264,A000000,05500,0000,5500HOSPICE 434264,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434264,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434264,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434264,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434264,A000000,06100,0000,6100NONPAID WORKERS 434264,A000000,06200,0000,6200PATIENTS LAUNDRY 434264,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434264,A81000A,00100,0100,Y 434264,A81000B,00100,0300,RELATED PARTY THERAPY 434264,A81000B,00200,0300,RELATED PARTY THERAPY 434264,A81000B,00300,0300,RELATED PARTY THERAPY 434264,A81000B,00400,0300,HOME OFFICE COSTS 434264,A81000B,00500,0300,HOME OFFICE COSTS 434264,A81000B,00600,0300,HOME OFFICE COSTS 434264,A81000B,00700,0300,HOME OFFICE COSTS 434264,A81000B,00800,0300,HOME OFFICE COSTS 434264,A81000B,00900,0300,HOME OFFICE COSTS 434264,A81000B,01000,0300,HOME OFFICE COSTS 434264,A81000B,01100,0300,HOME OFFICE COSTS 434264,A81000B,01200,0300,HOME OFFICE COSTS 434264,A81000C,00100,0100,A 434264,A81000C,00100,0400,THERACARE 434264,A81000C,00100,0600,THERAPY MANAGEMENT 434264,A81000C,00200,0100,A 434264,A81000C,00200,0400,THERACARE 434264,A81000C,00200,0600,THERAPY MANAGEMENT 434264,A81000C,00300,0100,A 434264,A81000C,00300,0400,THERACARE 434264,A81000C,00300,0600,THERAPY MANAGEMENT 434264,A81000C,00400,0100,B 434264,A81000C,00400,0400,MHS INC. 434264,A81000C,00400,0600,NURSING HOMES 434264,A81000C,00500,0100,B 434264,A81000C,00500,0400,MHS INC. 434264,A81000C,00500,0600,NURSING HOMES 434264,A81000C,00600,0100,B 434264,A81000C,00600,0400,MHS INC. 434264,A81000C,00600,0600,NURSING HOMES 434264,A81000C,00700,0100,B 434264,A81000C,00700,0400,MHS INC. 434264,A81000C,00700,0600,NURSING HOMES 434264,A81000C,00800,0100,B 434264,A81000C,00800,0400,MHS INC. 434264,A81000C,00800,0600,NURSING HOMES 434264,A81000C,00900,0100,B 434264,A81000C,00900,0400,MHS INC. 434264,A81000C,00900,0600,NURSING HOMES 434264,A81000C,01000,0100,B 434264,A81000C,01000,0400,MHS INC. 434264,A81000C,01000,0600,NURSING HOMES 434264,A81000C,01001,0100,B 434264,A81000C,01001,0400,MHS INC. 434264,A81000C,01001,0600,NURSING HOMES 434264,A81000C,01002,0100,B 434264,A81000C,01002,0400,MHS INC. 434264,A81000C,01002,0600,NURSING HOMES 434264,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434264,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434264,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434264,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434264,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434264,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434264,B100000,00000,0800,0800MEALS SERVED :DIETARY 434264,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434264,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434264,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434264,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434264,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434264,E10A180,00501,0100,04/16/12 434264,G300000,02500,0000,OTHER REVENUE 434264,S000000,00100,0200,03/02/12 434264,S200000,00100,0100,1720 NORTH ALBER STREET 434264,S200000,00200,0100,WABASH 434264,S200000,00200,0200,IN 434264,S200000,00200,0300,46992 434264,S200000,00300,0100,WABASH 434264,S200000,00300,0200,15 434264,S200000,00300,0201,99915 434264,S200000,00300,0300,R 434264,S200000,00400,0100,MHS INC. D/B/A MMM - WABASH WEST 434264,S200000,00400,0200,155627 434264,S200000,00400,0300,04/01/97 434264,S200000,00400,0500,P 434264,S200000,01500,0100,Y 434264,S200000,01501,0200,Y 434264,S200000,01502,0200,Y 434264,S200000,01503,0200,Y 434264,S200000,01504,0200,Y 434264,S200000,01600,0100,N 434264,S200000,01700,0100,N 434264,S200000,01800,0100,N 434264,S200000,02200,0100,Y 434264,S200000,02800,0100,Y 434264,S200000,02900,0100,N 434264,S200000,03000,0100,N 434264,S200000,03100,0100,N 434264,S200000,03200,0100,N 434264,S200000,03300,0100,N 434264,S200000,03300,0200,N 434264,S200000,04100,0100,N 434264,S200000,04200,0100,N 434264,S200000,04300,0100,N 434264,S200000,04600,0100,N 434264,S200000,04700,0100,N 434264,S200000,04700,0200,N 434264,S200000,04900,0100,N 434264,S200000,05000,0100,N 434264,S200000,05100,0100,N 434264,S200000,05200,0100,N 434264,S200000,05300,0100,Y 434264,S200000,05300,0200,15H004 434264,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434264,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434264,S200000,05400,0300,00130 434264,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434264,S200000,05600,0100,WARSAW 434264,S200000,05600,0200,IN 434264,S200000,05600,0300,46580 434266,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434266,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434266,A000000,00300,0000,0300EMPLOYEE BENEFITS 434266,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434266,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434266,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434266,A000000,00700,0000,0700HOUSEKEEPING 434266,A000000,00800,0000,0800DIETARY 434266,A000000,00900,0000,0900NURSING ADMINISTRATION 434266,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434266,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434266,A000000,01300,0000,1300SOCIAL SERVICE 434266,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434266,A000000,01500,0000,1350OTHER GENERAL SERVICES 434266,A000000,01600,0000,1600SKILLED NURSING FACILITY 434266,A000000,01800,0000,1800NURSING FACILITY 434266,A000000,01900,0000,1900OTHER LONG TERM CARE 434266,A000000,02100,0000,2100RADIOLOGY 434266,A000000,02200,0000,2200LABORATORY 434266,A000000,02300,0000,2300INTRAVENOUS THERAPY 434266,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434266,A000000,02500,0000,2500PHYSICAL THERAPY 434266,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434266,A000000,02700,0000,2700SPEECH PATHOLOGY 434266,A000000,02800,0000,2800ELECTROCARDIOLOGY 434266,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434266,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434266,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434266,A000000,03200,0000,3200SUPPORT SURFACES 434266,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434266,A000000,03400,0000,3400CLINIC 434266,A000000,03500,0000,3500RURAL HEALTH CLINIC 434266,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434266,A000000,04800,0000,4800AMBULANCE 434266,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434266,A000000,05000,0000,5000CORF 434266,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434266,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434266,A000000,05300,0000,5300INTEREST EXPENSE 434266,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434266,A000000,05500,0000,5500HOSPICE 434266,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434266,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434266,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434266,A000000,06200,0000,6200PATIENTS LAUNDRY 434266,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434266,A81000A,00100,0100,Y 434266,A81000B,00100,0300,HOME OFFICE ALLOCATION 434266,A81000B,00200,0300,HOME OFFICE ALLOCATION 434266,A81000B,00300,0300,PHARMACY CONSULTANT 434266,A81000B,00400,0300,MEDICAL SUPPLY 434266,A81000B,00500,0300,IV PHARMACY FLU SHOTS 434266,A81000B,00600,0300,REHAB 434266,A81000B,00700,0300,REHAB 434266,A81000B,00800,0300,REHAB 434266,A81000B,00900,0300,EQUIPMENT RENTAL 434266,A81000B,01000,0300,PRESTIGE BUS ALLOCATION 434266,A81000B,01100,0300,INTERNAL CONTRACT LABOR 434266,A81000B,01200,0300,INTERNAL CONTRACT LABOR 434266,A81000B,01300,0300,INTERNAL CONTRACT LABOR 434266,A81000B,01400,0300,INTERNAL CONTRACT LABOR 434266,A81000C,00100,0100,B 434266,A81000C,00100,0400,HOOD RIVER CARE CENTER 434266,A81000C,00100,0600,OWNS PROVIDER 434266,A81000C,00200,0100,B 434266,A81000C,00200,0400,PRESTIGE CARE INC 434266,A81000C,00200,0600,OWNS HOOD RIVER 434266,A81000C,00300,0100,A 434266,A81000C,00300,0200,RICK DELAMARTER 434266,A81000C,00300,0400,PRESTIGE CARE INC 434266,A81000C,00300,0600,HOME OFFICE 434266,A81000C,00400,0100,A 434266,A81000C,00400,0200,HAROLD DELAMARTER 434266,A81000C,00400,0400,PRESTIGE CARE INC 434266,A81000C,00400,0600,HOME OFFICE 434266,A81000C,00500,0100,A 434266,A81000C,00500,0200,GREG VISLOCKY 434266,A81000C,00500,0400,PERSTIGE CARE INC 434266,A81000C,00500,0600,HOME OFFICE 434266,A81000C,00600,0100,A 434266,A81000C,00600,0200,RICK DELAMARTER 434266,A81000C,00600,0400,CYPRESS VENTURES 434266,A81000C,00600,0600,PROPAC PHARMACY 434266,A81000C,00700,0100,A 434266,A81000C,00700,0200,HAROLD DELAMARTER 434266,A81000C,00700,0400,CYPRESS VENTURES 434266,A81000C,00700,0600,PROPAC PHARMACY 434266,A81000C,00800,0100,A 434266,A81000C,00800,0200,GREG VISLOCKY 434266,A81000C,00800,0400,CYPRESS VENTURES 434266,A81000C,00800,0600,PROPAC PHARMACY 434266,A81000C,00900,0100,G 434266,A81000C,00900,0400,AUGUSTA VENTURES 434266,A81000C,00900,0600,PREMERE REHAB COMPANY 434266,A81000C,01001,0200,NOTE: RICK HAROLD & GREG 434266,A81000C,01001,0400,NOTE: PREMERE REHAB MEETS 434266,A81000C,01001,0600,SEE ATTACHED RELATED 434266,A81000C,01002,0200,HAVE OWNERSHP INTEREST 434266,A81000C,01002,0400,THE 10.10 EXCEPTION 434266,A81000C,01002,0600,PARTY RELATIONSHIPS 434266,A81000C,01003,0200,IN THE PROVIDER BY WAY OF 434266,A81000C,01003,0400,CRITERIA 434266,A81000C,01004,0200,PRESTIGE CARE & HOOD RIVE 434266,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434266,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434266,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434266,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434266,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434266,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434266,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434266,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434266,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434266,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434266,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434266,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434266,E10A180,00501,0100,05/18/12 434266,G300000,02500,0000,OTHER INCOME 434266,S000000,00100,0200,03/01/12 434266,S200000,00100,0100,729 HENDERSON RD 434266,S200000,00200,0100,HOOD RIVER 434266,S200000,00200,0200,OR 434266,S200000,00200,0300,97031 434266,S200000,00300,0100,HOOD RIVER 434266,S200000,00300,0200,38 434266,S200000,00300,0201,99938 434266,S200000,00300,0300,R 434266,S200000,00400,0100,HOOD RIVER CARE CENTER 434266,S200000,00400,0200,385104 434266,S200000,00400,0300,07/01/83 434266,S200000,00400,0500,P 434266,S200000,01500,0100,Y 434266,S200000,01501,0200,Y 434266,S200000,01502,0200,N 434266,S200000,01504,0200,Y 434266,S200000,01600,0100,N 434266,S200000,01700,0100,N 434266,S200000,01800,0100,N 434266,S200000,02200,0100,N 434266,S200000,02800,0100,N 434266,S200000,02900,0100,N 434266,S200000,03000,0100,N 434266,S200000,03100,0100,N 434266,S200000,03200,0100,N 434266,S200000,03300,0100,N 434266,S200000,03300,0200,N 434266,S200000,04100,0100,N 434266,S200000,04200,0100,N 434266,S200000,04300,0100,N 434266,S200000,04600,0100,N 434266,S200000,04700,0100,N 434266,S200000,04700,0200,N 434266,S200000,04900,0100,N 434266,S200000,05000,0100,N 434266,S200000,05100,0100,N 434266,S200000,05200,0100,N 434266,S200000,05300,0100,Y 434266,S200000,05300,0200,HB0440 434266,S200000,05400,0100,PRESTIGE CARE INC 434266,S200000,05400,0200,NORDIAN 434266,S200000,05400,0300,00325 434266,S200000,05500,0100,7700 NE PARKWAY DRIVE 434266,S200000,05600,0100,VANCOUVER 434266,S200000,05600,0200,WA 434266,S200000,05600,0300,98662 434267,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434267,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434267,A000000,00300,0000,0300EMPLOYEE BENEFITS 434267,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434267,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434267,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434267,A000000,00700,0000,0700HOUSEKEEPING 434267,A000000,00800,0000,0800DIETARY 434267,A000000,00900,0000,0900NURSING ADMINISTRATION 434267,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434267,A000000,01100,0000,1100PHARMACY 434267,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434267,A000000,01300,0000,1300SOCIAL SERVICE 434267,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434267,A000000,01500,0000,1350ACTIVITIES 434267,A000000,01600,0000,1600SKILLED NURSING FACILITY 434267,A000000,01800,0000,1800NURSING FACILITY 434267,A000000,01810,0000,1810ICF/MR 434267,A000000,01900,0000,1900OTHER LONG TERM CARE 434267,A000000,02100,0000,2100RADIOLOGY 434267,A000000,02200,0000,2200LABORATORY 434267,A000000,02300,0000,2300INTRAVENOUS THERAPY 434267,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434267,A000000,02500,0000,2500PHYSICAL THERAPY 434267,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434267,A000000,02700,0000,2700SPEECH PATHOLOGY 434267,A000000,02800,0000,2800ELECTROCARDIOLOGY 434267,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434267,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434267,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434267,A000000,03200,0000,3200SUPPORT SURFACES 434267,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434267,A000000,03400,0000,3400CLINIC 434267,A000000,03500,0000,3500RURAL HEALTH CLINIC 434267,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434267,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434267,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434267,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434267,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434267,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434267,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434267,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434267,A000000,04400,0000,4400DME RENTED - HHA 434267,A000000,04500,0000,4500DME SOLD - HHA 434267,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434267,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434267,A000000,04710,0000,4710TELEMEDICINE 434267,A000000,04800,0000,4800AMBULANCE 434267,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434267,A000000,05000,0000,5000CORF 434267,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434267,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434267,A000000,05300,0000,5300INTEREST EXPENSE 434267,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434267,A000000,05500,0000,5500HOSPICE 434267,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434267,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434267,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434267,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434267,A000000,06100,0000,6100NONPAID WORKERS 434267,A000000,06200,0000,6200PATIENTS LAUNDRY 434267,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434267,A81000A,00100,0100,N 434267,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434267,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434267,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434267,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434267,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434267,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434267,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434267,B100000,00000,0800,0800MEALS SERVED :DIETARY 434267,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434267,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434267,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434267,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434267,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434267,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434267,E10A180,00501,0100,05/02/12 434267,E10A180,00501,0300,05/02/12 434267,G300000,02500,0000,ROOM & BOARD-I LU/AL 434267,G300000,02501,0000,TRANSPORTATION 434267,G300000,02502,0000,BEAUTY & BARBER 434267,G300000,02503,0000,DENTAL SERVICES 434267,G300000,02504,0000,GROCERIES 434267,G300000,02505,0000,COTTAGER HOME & HEALTH INSURANCE 434267,G300000,02506,0000,GUEST ROOMS 434267,G300000,02507,0000,WELLNESS CENTER 434267,G300000,02508,0000,WOODSHOP 434267,G300000,02509,0000,RENTAL INCOME-BANK 434267,G300000,02510,0000,COTTAGE UTILITIES 434267,G300000,02511,0000,ANNUITY INCOME 434267,G300000,02512,0000,ENTRANCE FEES 434267,G300000,02513,0000,APPLICATION FEES 434267,G300000,02514,0000,SPECIAL CARE UNIT FUND 434267,G300000,02515,0000,MARTHA FUND 434267,G300000,02516,0000,MISCELLANEOUS INCOME 434267,G300000,02517,0000,UNIT PREPARATION ALLOWANCE 434267,G300000,02518,0000,SALE OF USED FURNITURE 434267,G300000,02519,0000,TICKETS AND OTHER EMPLOYEE CHARGES 434267,G300000,02520,0000,RESIDENT SERVICES 434267,G300000,02521,0000,ADAMS FAMILY TRUST 434267,S000000,00100,0200,03/01/12 434267,S200000,00100,0100,1070 WEST JEFFERSON STREET 434267,S200000,00200,0100,FRANKLIN 434267,S200000,00200,0200,IN 434267,S200000,00200,0300,46131-2124 434267,S200000,00300,0100,JOHNSON 434267,S200000,00300,0200,3480 434267,S200000,00300,0201,26900 434267,S200000,00300,0300,U 434267,S200000,00400,0100,FRANKLIN UNITED METHODIST HOME INC 434267,S200000,00400,0200,155771 434267,S200000,00400,0300,10/03/08 434267,S200000,00400,0500,P 434267,S200000,01500,0100,N 434267,S200000,01501,0200,N 434267,S200000,01502,0200,N 434267,S200000,01503,0200,N 434267,S200000,01504,0200,N 434267,S200000,01600,0100,Y 434267,S200000,01700,0100,N 434267,S200000,01800,0100,N 434267,S200000,02200,0100,N 434267,S200000,02800,0100,Y 434267,S200000,02900,0100,N 434267,S200000,03000,0100,N 434267,S200000,03100,0100,N 434267,S200000,03200,0100,N 434267,S200000,03300,0100,N 434267,S200000,03300,0200,N 434267,S200000,04100,0100,N 434267,S200000,04200,0100,N 434267,S200000,04300,0100,N 434267,S200000,04600,0100,N 434267,S200000,04700,0100,N 434267,S200000,04700,0200,N 434267,S200000,04900,0100,N 434267,S200000,05000,0100,N 434267,S200000,05100,0100,N 434267,S200000,05200,0100,N 434268,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434268,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434268,A000000,00300,0000,0300EMPLOYEE BENEFITS 434268,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434268,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434268,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434268,A000000,00700,0000,0700HOUSEKEEPING 434268,A000000,00800,0000,0800DIETARY 434268,A000000,00900,0000,0900NURSING ADMINISTRATION 434268,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434268,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434268,A000000,01300,0000,1300SOCIAL SERVICE 434268,A000000,01600,0000,1600SKILLED NURSING FACILITY 434268,A000000,01800,0000,1800NURSING FACILITY 434268,A000000,01810,0000,1810ICF/MR 434268,A000000,01900,0000,1900OTHER LONG TERM CARE 434268,A000000,02100,0000,2100RADIOLOGY 434268,A000000,02200,0000,2200LABORATORY 434268,A000000,02300,0000,2300INTRAVENOUS THERAPY 434268,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434268,A000000,02500,0000,2500PHYSICAL THERAPY 434268,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434268,A000000,02700,0000,2700SPEECH PATHOLOGY 434268,A000000,02800,0000,2800ELECTROCARDIOLOGY 434268,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434268,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434268,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434268,A000000,03200,0000,3200SUPPORT SURFACES 434268,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434268,A000000,03400,0000,3400CLINIC 434268,A000000,03500,0000,3500RURAL HEALTH CLINIC 434268,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434268,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434268,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434268,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434268,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434268,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434268,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434268,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434268,A000000,04400,0000,4400DME RENTED - HHA 434268,A000000,04500,0000,4500DME SOLD - HHA 434268,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434268,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434268,A000000,04710,0000,4710TELEMEDICINE 434268,A000000,04800,0000,4800AMBULANCE 434268,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434268,A000000,05000,0000,5000CORF 434268,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434268,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434268,A000000,05300,0000,5300INTEREST EXPENSE 434268,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434268,A000000,05500,0000,5500HOSPICE 434268,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434268,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434268,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434268,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434268,A000000,06100,0000,6100NONPAID WORKERS 434268,A000000,06200,0000,6200PATIENTS LAUNDRY 434268,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434268,A81000A,00100,0100,Y 434268,A81000B,00100,0300,RAW FOOD 434268,A81000B,00200,0300,GIFT CARDS (HO) 434268,A81000B,00300,0300,INTEREST EXPENSE 434268,A81000B,00400,0300,BUILDING LEASE 434268,A81000B,00500,0300,MANAGEMENT FEES 434268,A81000B,00600,0300,HOME OFFICE OFFICE SALARIES 434268,A81000B,00700,0300,HOME OFFICE ADMIN SALARIES 434268,A81000B,00800,0300,HOME OFFICE MAINT SALARIES 434268,A81000B,00900,0300,HOME OFFICE OFFICE PR TAXES 434268,A81000B,01000,0300,HOME OFFICE ADMIN PR TAXES 434268,A81000B,01100,0300,HOME OFFICE MAINT PR TAXES 434268,A81000B,01200,0300,HOME OFFICE WORK COMP 434268,A81000B,01300,0300,HOME OFFICE SUPPLIES 434268,A81000B,01400,0300,HOME OFFICE LEASE EXP 434268,A81000B,01500,0300,NURSE AIDE TRAINING 434268,A81000C,00100,0100,B 434268,A81000C,00100,0400,SAXTON S TLC INC. 434268,A81000C,00100,0600,LEASING FACILITY 434268,A81000C,00200,0100,B 434268,A81000C,00200,0400,QOL HEALTH MANAGEMENT 434268,A81000C,00200,0600,PARENT COMPANY 434268,A81000C,00300,0100,A 434268,A81000C,00300,0200,TIMOTHY SAXTON 434268,A81000C,00300,0400,QOL HEALTH MANAGEMENT 434268,A81000C,00300,0600,PARENT COMPANY 434268,A81000C,00400,0100,A 434268,A81000C,00400,0200,CONSTANCE SAXTON 434268,A81000C,00400,0400,QOL HEALTH MANAGEMENT 434268,A81000C,00400,0600,PARENT COMPANY 434268,A81000C,00500,0100,A 434268,A81000C,00500,0200,CALVIN SAXTON 434268,A81000C,00500,0400,QOL HEALTH MANAGEMENT 434268,A81000C,00500,0600,PARENT COMPANY 434268,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434268,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434268,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434268,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434268,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434268,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434268,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434268,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434268,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434268,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434268,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 434268,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434268,E10A180,00501,0100,04/19/12 434268,E10A180,00501,0300,04/19/12 434268,S000000,00100,0200,03/05/12 434268,S200000,00100,0100,3002 NORTH 18TH STREET 434268,S200000,00200,0100,ST. JOSEPH 434268,S200000,00200,0200,MO 434268,S200000,00200,0300,64505 434268,S200000,00300,0100,BUCHANAN 434268,S200000,00300,0201,41140 434268,S200000,00300,0300,U 434268,S200000,00400,0100,CARING FOR SENIORS INC. 434268,S200000,00400,0200,265754 434268,S200000,00400,0300,03/27/03 434268,S200000,00400,0500,P 434268,S200000,01500,0100,Y 434268,S200000,01501,0200,Y 434268,S200000,01504,0200,N 434268,S200000,01600,0100,N 434268,S200000,01700,0100,N 434268,S200000,01800,0100,N 434268,S200000,02200,0100,Y 434268,S200000,02800,0100,N 434268,S200000,02900,0100,N 434268,S200000,03000,0100,N 434268,S200000,03100,0100,N 434268,S200000,03200,0100,N 434268,S200000,03300,0100,N 434268,S200000,03300,0200,N 434268,S200000,04100,0100,N 434268,S200000,04200,0100,N 434268,S200000,04300,0100,N 434268,S200000,04600,0100,N 434268,S200000,04700,0100,N 434268,S200000,04700,0200,N 434268,S200000,04900,0100,N 434268,S200000,05000,0100,N 434268,S200000,05100,0100,N 434268,S200000,05200,0100,N 434268,S200000,05300,0100,Y 434268,S200000,05300,0200,N/A 434268,S200000,05400,0100,SAXTON S HOME OFFICE 434268,S200000,05400,0200,N/A 434268,S200000,05400,0300, 00000 434268,S200000,05500,0100,1603 WEISENBORN RD 434268,S200000,05500,0200,N/A 434268,S200000,05600,0100,ST. JOSEPHE 434268,S200000,05600,0200,MO 434268,S200000,05600,0300,64507 434269,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434269,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434269,A000000,00300,0000,0300EMPLOYEE BENEFITS 434269,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434269,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434269,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434269,A000000,00700,0000,0700HOUSEKEEPING 434269,A000000,00800,0000,0800DIETARY 434269,A000000,00900,0000,0900NURSING ADMINISTRATION 434269,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434269,A000000,01100,0000,1100PHARMACY 434269,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434269,A000000,01300,0000,1300SOCIAL SERVICE 434269,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434269,A000000,01500,0000,1350ACTIVITIES 434269,A000000,01600,0000,1600SKILLED NURSING FACILITY 434269,A000000,01810,0000,1810ICF/MR 434269,A000000,02100,0000,2100RADIOLOGY 434269,A000000,02200,0000,2200LABORATORY 434269,A000000,02300,0000,2300INTRAVENOUS THERAPY 434269,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434269,A000000,02500,0000,2500PHYSICAL THERAPY 434269,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434269,A000000,02700,0000,2700SPEECH PATHOLOGY 434269,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434269,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434269,A000000,03300,0000,3050AMBULANCE 434269,A000000,03550,0000,3550FQHC 434269,A000000,04801,0000,4801AMBULANCE 434269,A000000,04802,0000,4802AMBULANCE 434269,A000000,04803,0000,4803AMBULANCE 434269,A000000,05000,0000,5000CORF 434269,A000000,05010,0000,5010CMHC 434269,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434269,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434269,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434269,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 434269,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434269,A000000,06300,0000,6150MARKETING 434269,A000000,06301,0000,6151REGIONAL OFFICE 434269,A000000,06302,0000,6152LTCH 434269,A000000,06303,0000,6153LIFESTYLES COORDINATOR 434269,A81000A,00100,0100,Y 434269,A81000B,00100,0300,HOME OFFICE COSTS 434269,A81000B,00200,0300,INTEREST 434269,A81000B,00300,0300,INTERIOR DESIGN - 07 434269,A81000B,00400,0300,ADD ED COMP 434269,A81000B,00500,0300,PT ALLOCATION 434269,A81000B,00600,0300,OT ALLOCATION 434269,A81000B,00700,0300,ST ALLOCATION 434269,A81000B,00800,0300,INTERIOR DESIGN - 05 434269,A81000B,00900,0300,INTERIOR DESIGN 434269,A81000B,01000,0300,INTERIOR DESIGN - 08 434269,A81000B,01100,0300,INTERIOR DESIGN -06 434269,A81000B,01200,0300,WORKERS COMP 434269,A81000B,01300,0300,GEN LIAB INS 434269,A81000B,01400,0300,GROUP HEALTH 434269,A81000B,01500,0300,AUTO INSURANCE 434269,A81000B,01600,0300,RANGELINE 434269,A81000B,01700,0300,BUILDING LEASE 434269,A81000C,00100,0100,A 434269,A81000C,00100,0200,FORREST PRESTON 434269,A81000C,00100,0400,LIFE CARE CENTE 434269,A81000C,00100,0600,MANAGEMENT FEES 434269,A81000C,00200,0100,A 434269,A81000C,00200,0200,FORREST PRESTON 434269,A81000C,00200,0400,LIFE CARE DESIG 434269,A81000C,00200,0600,INTERIOR DESIGN 434269,A81000C,00300,0100,A 434269,A81000C,00300,0200,FORREST PRESTON 434269,A81000C,00300,0400,ABT 434269,A81000C,00300,0600,GROUP HEALTH 434269,A81000C,00400,0100,A 434269,A81000C,00400,0200,FORREST PRESTON 434269,A81000C,00400,0400,MEDIA RESOURCES 434269,A81000C,00400,0600,AUDIO/VISUAL PR 434269,A81000C,00500,0100,A 434269,A81000C,00500,0200,FORREST PRESTON 434269,A81000C,00500,0400,FLASH TEL 434269,A81000C,00500,0600,PHONE MESSAGE S 434269,A81000C,00600,0100,A 434269,A81000C,00600,0200,FORREST PRESTON 434269,A81000C,00600,0400,LEADERCARE 434269,A81000C,00600,0600,WORKERS COMP/LI 434269,A81000C,00700,0100,A 434269,A81000C,00700,0200,FORREST PRESTON 434269,A81000C,00700,0400,TREASURE VALLEY 434269,A81000C,00700,0600,LESSOR 434269,B100000,00000,0100,0100SQUARE FEET 434269,B100000,00000,0200,0200SQUARE FEET 434269,B100000,00000,0300,0300GROSS SALARIES 434269,B100000,00000,0400,0400ACCUM COST 434269,B100000,00000,0500,0500SQUARE FEET 434269,B100000,00000,0600,0600PATIENT DAYS 434269,B100000,00000,0700,0700SQUARE FEET 434269,B100000,00000,0800,0800MEALS SERVED 434269,B100000,00000,0900,0900DIRECT NRSG HRS 434269,B100000,00000,1000,1000COSTED REQUIS 434269,B100000,00000,1100,1100COSTED REQUIS 434269,B100000,00000,1200,1200GROSS REVENUE 434269,B100000,00000,1300,1300PATIENT DAYS 434269,B100000,00000,1400,1400ASSIGNED TIME 434269,B100000,00000,1500,1350PATIENT DAYS 434269,E10A180,00301,0100,01/31/11 434269,E10A180,00302,0100,08/22/11 434269,E10A180,00550,0100,04/13/12 434269,G300000,02500,0000,BARBER & BEAUTY 434269,G300000,02501,0000,EQUIPMENT RENTAL 434269,G300000,02502,0000,OUTSIDE CONTRACT REHAB 434269,G300000,02503,0000,MISC 434269,S000000,00100,0200,02/28/12 434269,S200000,00100,0100,502 NORTH KIMBALL PLACE 434269,S200000,00200,0100,BOISE 434269,S200000,00200,0200,ID 434269,S200000,00200,0300,83704 434269,S200000,00300,0100,ADA 434269,S200000,00300,0201,14260 434269,S200000,00300,0300,U 434269,S200000,00400,0100,LIFE CARE CENTER OF TREASURE VALLEY 434269,S200000,00400,0200,135123 434269,S200000,00400,0300,11/26/96 434269,S200000,00400,0500,P 434269,S200000,01500,0100,Y 434269,S200000,01501,0200,Y 434269,S200000,01502,0200,Y 434269,S200000,01503,0200,Y 434269,S200000,01504,0200,Y 434269,S200000,01505,0000,OTHER 434269,S200000,01505,0200,Y 434269,S200000,01600,0100,N 434269,S200000,01700,0100,N 434269,S200000,01800,0100,N 434269,S200000,01900,0100,LIMITED LIABILITY COMPANY 434269,S200000,02200,0100,Y 434269,S200000,02800,0100,N 434269,S200000,02900,0100,N 434269,S200000,03000,0100,N 434269,S200000,03100,0100,N 434269,S200000,03200,0100,N 434269,S200000,03300,0100,N 434269,S200000,03300,0200,N 434269,S200000,04200,0100,N 434269,S200000,04300,0100,Y 434269,S200000,04600,0100,N 434269,S200000,04700,0100,N 434269,S200000,04900,0100,N 434269,S200000,05200,0100,N 434269,S200000,05300,0100,Y 434269,S200000,05300,0200,44H017 434269,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 434269,S200000,05400,0200,CAHABA GOVERNMENT BENEFITS ADMIN 434269,S200000,05400,0300,10301 434269,S200000,05500,0100,3570 KEITH STREET NW 434269,S200000,05500,0200,3480 434269,S200000,05600,0100,CLEVELAND 434269,S200000,05600,0200,TN 434269,S200000,05600,0300,37320 434274,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434274,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434274,A000000,00300,0000,0300EMPLOYEE BENEFITS 434274,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434274,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434274,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434274,A000000,00700,0000,0700HOUSEKEEPING 434274,A000000,00800,0000,0800DIETARY 434274,A000000,00900,0000,0900NURSING ADMINISTRATION 434274,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434274,A000000,01100,0000,1100PHARMACY 434274,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434274,A000000,01300,0000,1300SOCIAL SERVICE 434274,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434274,A000000,01500,0000,1350OTHER GENERAL SERVICES 434274,A000000,01600,0000,1600SKILLED NURSING FACILITY 434274,A000000,01800,0000,1800NURSING FACILITY 434274,A000000,01810,0000,1810ICF/MR 434274,A000000,01900,0000,1900OTHER LONG TERM CARE 434274,A000000,02100,0000,2100RADIOLOGY 434274,A000000,02200,0000,2200LABORATORY 434274,A000000,02300,0000,2300INTRAVENOUS THERAPY 434274,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434274,A000000,02500,0000,2500PHYSICAL THERAPY 434274,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434274,A000000,02700,0000,2700SPEECH PATHOLOGY 434274,A000000,02800,0000,2800ELECTROCARDIOLOGY 434274,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434274,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434274,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434274,A000000,03200,0000,3200SUPPORT SURFACES 434274,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434274,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434274,A000000,04800,0000,4800AMBULANCE 434274,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434274,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434274,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434274,A000000,05300,0000,5300INTEREST EXPENSE 434274,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434274,A000000,05500,0000,5500HOSPICE 434274,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434274,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434274,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434274,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434274,A000000,06100,0000,6100NONPAID WORKERS 434274,A000000,06200,0000,6200PATIENTS LAUNDRY 434274,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434274,A81000A,00100,0100,Y 434274,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 434274,A81000C,00100,0100,C 434274,A81000C,00100,0400,LTC 434274,A81000C,00100,0600,HEALTHCARE MGMT SERVICES 434274,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434274,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434274,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434274,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434274,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434274,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434274,B100000,00000,0800,0800MEALS SERVED :DIETARY 434274,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434274,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434274,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434274,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434274,E10A180,00501,0100,03/30/12 434274,G300000,02500,0000,BARBER AND BEAUTY 434274,G300000,02501,0000,LATE PAYMENT FEE 434274,G300000,02502,0000,MISCELLANEOUS INCOME 434274,S000000,00100,0200,02/27/12 434274,S200000,00100,0100,801 WEST MARTIN STREET 434274,S200000,00200,0100,ABINGDON 434274,S200000,00200,0200,IL 434274,S200000,00200,0300,61410 434274,S200000,00300,0100,KNOX 434274,S200000,00300,0200,14 434274,S200000,00300,0201,99914 434274,S200000,00300,0300,R 434274,S200000,00400,0100,CARE CENTER OF ABINGDON 434274,S200000,00400,0200,145567 434274,S200000,00400,0300,03/01/87 434274,S200000,00400,0500,P 434274,S200000,01500,0100,Y 434274,S200000,01501,0200,Y 434274,S200000,01600,0100,N 434274,S200000,01700,0100,N 434274,S200000,01800,0100,N 434274,S200000,02200,0100,N 434274,S200000,02800,0100,N 434274,S200000,02900,0100,N 434274,S200000,03000,0100,N 434274,S200000,03100,0100,N 434274,S200000,03200,0100,N 434274,S200000,03300,0100,N 434274,S200000,03300,0200,N 434274,S200000,04100,0100,N 434274,S200000,04200,0100,N 434274,S200000,04300,0100,N 434274,S200000,04600,0100,N 434274,S200000,04700,0100,N 434274,S200000,04700,0200,N 434274,S200000,04900,0100,N 434274,S200000,05000,0100,N 434274,S200000,05100,0100,N 434274,S200000,05200,0100,N 434274,S200000,05300,0100,Y 434274,S200000,05300,0200,HB0173 434274,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 434274,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 434274,S200000,05400,0300, 00131 434274,S200000,05500,0100,285 FARNHAM STREET 434274,S200000,05600,0100,GALESBURG 434274,S200000,05600,0200,IL 434274,S200000,05600,0300,61401 434275,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434275,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434275,A000000,00300,0000,0300EMPLOYEE BENEFITS 434275,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434275,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434275,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434275,A000000,00700,0000,0700HOUSEKEEPING 434275,A000000,00800,0000,0800DIETARY 434275,A000000,00900,0000,0900NURSING ADMINISTRATION 434275,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434275,A000000,01100,0000,1100PHARMACY 434275,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434275,A000000,01300,0000,1300SOCIAL SERVICE 434275,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434275,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 434275,A000000,01600,0000,1600SKILLED NURSING FACILITY 434275,A000000,01800,0000,1800NURSING FACILITY 434275,A000000,01810,0000,1810ICF/MR 434275,A000000,01900,0000,1900OTHER LONG TERM CARE 434275,A000000,02100,0000,2100RADIOLOGY 434275,A000000,02200,0000,2200LABORATORY 434275,A000000,02300,0000,2300INTRAVENOUS THERAPY 434275,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434275,A000000,02500,0000,2500PHYSICAL THERAPY 434275,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434275,A000000,02700,0000,2700SPEECH PATHOLOGY 434275,A000000,02800,0000,2800ELECTROCARDIOLOGY 434275,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434275,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434275,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434275,A000000,03200,0000,3200SUPPORT SURFACES 434275,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434275,A000000,03400,0000,3400CLINIC 434275,A000000,03500,0000,3500RURAL HEALTH CLINIC 434275,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434275,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434275,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434275,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434275,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434275,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434275,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434275,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434275,A000000,04400,0000,4400DME RENTED - HHA 434275,A000000,04500,0000,4500DME SOLD - HHA 434275,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434275,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434275,A000000,04710,0000,4710TELEMEDICINE 434275,A000000,04800,0000,4800AMBULANCE 434275,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434275,A000000,05000,0000,5000CORF 434275,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434275,A000000,05300,0000,5300INTEREST EXPENSE 434275,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434275,A000000,05500,0000,5500HOSPICE 434275,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434275,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434275,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434275,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434275,A000000,06100,0000,6100NONPAID WORKERS 434275,A000000,06200,0000,6200PATIENTS LAUNDRY 434275,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434275,A81000A,00100,0100,Y 434275,A81000B,00100,0300,JACKSON HEIGHTS CAPITAL COSTS 434275,A81000B,00200,0300,RENT EXPENSE 434275,A81000C,00100,0100,A 434275,A81000C,00100,0200,AVIGDOR HOROWIT 434275,A81000C,00100,0400,JACKSON HEIGHTS 434275,A81000C,00100,0600,REAL ESTATE ENT 434275,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434275,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434275,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434275,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434275,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434275,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434275,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434275,B100000,00000,0800,0800MEALS SERVED :DIETARY 434275,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434275,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434275,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434275,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434275,E10A180,00501,0100,05/25/12 434275,G300000,02500,0000, OTHER (SPECIFY) 434275,S000000,00100,0200,03/30/12 434275,S200000,00100,0100,10 BROOKLYN DRIVE 434275,S200000,00200,0100,FARMER CITY 434275,S200000,00200,0200,IL 434275,S200000,00200,0300,61842 434275,S200000,00300,0100,DEWITT 434275,S200000,00300,0201,99914 434275,S200000,00300,0300,R 434275,S200000,00400,0100,JACKSON HEIGHTS NURSING HOME 434275,S200000,00400,0200,146104 434275,S200000,00400,0300,08/01/06 434275,S200000,00400,0500,P 434275,S200000,01500,0100,Y 434275,S200000,01501,0200,Y 434275,S200000,01502,0200,Y 434275,S200000,01503,0200,Y 434275,S200000,01504,0200,Y 434275,S200000,01505,0000,OTHER (SPECIFY) 434275,S200000,01505,0200,Y 434275,S200000,01600,0100,N 434275,S200000,01700,0100,N 434275,S200000,01800,0100,N 434275,S200000,02200,0100,N 434275,S200000,02800,0100,N 434275,S200000,02900,0100,N 434275,S200000,03000,0100,N 434275,S200000,03100,0100,N 434275,S200000,03200,0100,N 434275,S200000,03300,0100,N 434275,S200000,03300,0200,N 434275,S200000,04100,0100,N 434275,S200000,04200,0100,N 434275,S200000,04300,0100,N 434275,S200000,04600,0100,N 434275,S200000,04700,0100,N 434275,S200000,04700,0200,N 434275,S200000,04900,0100,N 434275,S200000,05000,0100,N 434275,S200000,05100,0100,N 434275,S200000,05200,0100,N 434275,S200000,05300,0100,N 434276,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434276,A000000,00300,0000,0300EMPLOYEE BENEFITS 434276,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434276,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434276,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434276,A000000,00700,0000,0700HOUSEKEEPING 434276,A000000,00800,0000,0800DIETARY 434276,A000000,00900,0000,0900NURSING ADMINISTRATION 434276,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434276,A000000,01100,0000,1100PHARMACY 434276,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434276,A000000,01300,0000,1300SOCIAL SERVICE 434276,A000000,01500,0000,1350PATIENT ACTIVITIES 434276,A000000,01600,0000,1600SKILLED NURSING FACILITY 434276,A000000,01900,0000,1900OTHER LONG TERM CARE 434276,A000000,02100,0000,2100RADIOLOGY 434276,A000000,02200,0000,2200LABORATORY 434276,A000000,02300,0000,2300INTRAVENOUS THERAPY 434276,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434276,A000000,02500,0000,2500PHYSICAL THERAPY 434276,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434276,A000000,02700,0000,2700SPEECH PATHOLOGY 434276,A000000,02800,0000,2800ELECTROCARDIOLOGY 434276,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434276,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434276,A000000,03200,0000,3200SUPPORT SURFACES 434276,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434276,A000000,04800,0000,4800AMBULANCE 434276,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434276,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434276,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434276,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434276,A81000A,00100,0100,N 434276,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434276,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434276,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434276,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434276,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434276,B100000,00000,0700,0750SQ. FEET EXC. DIET.:HOUSEKEEPING 434276,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434276,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434276,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434276,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434276,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434276,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434276,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434276,E10A180,00501,0100,05/28/12 434276,G300000,02500,0000,BARBER & BEAUTY OTHER INCOME 434276,G300000,02501,0000,OTHER 434276,G300000,02502,0000,PERSONAL PURCHASES 434276,S000000,00100,0200,03/02/12 434276,S200000,00100,0100,OLD BRICKYARD ROAD 434276,S200000,00100,0300,1247 434276,S200000,00200,0100,NORTH WILKESBORO 434276,S200000,00200,0200,NC 434276,S200000,00200,0300,28659 434276,S200000,00300,0100,WILKES 434276,S200000,00300,0200,34 434276,S200000,00300,0201,99934 434276,S200000,00300,0300,R 434276,S200000,00400,0100,WILKES SENIOR VILLAGE 434276,S200000,00400,0200,345401 434276,S200000,00400,0300,09/23/91 434276,S200000,00400,0500,P 434276,S200000,01500,0100,N 434276,S200000,01501,0200,Y 434276,S200000,01503,0200,Y 434276,S200000,01600,0100,Y 434276,S200000,01700,0100,N 434276,S200000,01800,0100,N 434276,S200000,02200,0100,N 434276,S200000,02800,0100,N 434276,S200000,02900,0100,N 434276,S200000,03000,0100,N 434276,S200000,03100,0100,N 434276,S200000,03200,0100,N 434276,S200000,03300,0100,N 434276,S200000,03300,0200,N 434276,S200000,04100,0100,N 434276,S200000,04200,0100,N 434276,S200000,04300,0100,N 434276,S200000,04600,0100,N 434276,S200000,04700,0100,N 434276,S200000,04700,0200,N 434276,S200000,04900,0100,N 434276,S200000,05000,0100,N 434276,S200000,05100,0100,N 434276,S200000,05200,0100,N 434277,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434277,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434277,A000000,00300,0000,0300EMPLOYEE BENEFITS 434277,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434277,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434277,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434277,A000000,00700,0000,0700HOUSEKEEPING 434277,A000000,00800,0000,0800DIETARY 434277,A000000,00900,0000,0900NURSING ADMINISTRATION 434277,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434277,A000000,01100,0000,1100PHARMACY 434277,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434277,A000000,01300,0000,1300SOCIAL SERVICE 434277,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434277,A000000,01500,0000,1350PATIENT ACTIVITIES 434277,A000000,01600,0000,1600SKILLED NURSING FACILITY 434277,A000000,01800,0000,1800NURSING FACILITY 434277,A000000,01810,0000,1810ICF/MR 434277,A000000,01900,0000,1900OTHER LONG TERM CARE 434277,A000000,02100,0000,2100RADIOLOGY 434277,A000000,02200,0000,2200LABORATORY 434277,A000000,02300,0000,2300INTRAVENOUS THERAPY 434277,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434277,A000000,02500,0000,2500PHYSICAL THERAPY 434277,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434277,A000000,02700,0000,2700SPEECH PATHOLOGY 434277,A000000,02800,0000,2800ELECTROCARDIOLOGY 434277,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434277,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434277,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434277,A000000,03200,0000,3200SUPPORT SURFACES 434277,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434277,A000000,03400,0000,3400CLINIC 434277,A000000,03500,0000,3500RURAL HEALTH CLINIC 434277,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434277,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434277,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434277,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434277,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434277,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434277,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434277,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434277,A000000,04400,0000,4400DME RENTED - HHA 434277,A000000,04500,0000,4500DME SOLD - HHA 434277,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434277,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434277,A000000,04710,0000,4710TELEMEDICINE 434277,A000000,04800,0000,4800AMBULANCE 434277,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434277,A000000,05000,0000,5000CORF 434277,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434277,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434277,A000000,05300,0000,5300INTEREST EXPENSE 434277,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434277,A000000,05500,0000,5500HOSPICE 434277,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434277,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434277,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434277,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434277,A000000,06100,0000,6100NONPAID WORKERS 434277,A000000,06200,0000,6200PATIENTS LAUNDRY 434277,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434277,A81000A,00100,0100,Y 434277,A81000B,00100,0300,MANAGEMENT FEES 434277,A81000B,00200,0300,CAP REL BLDG 434277,A81000B,00300,0300,CAP REL EQUIP 434277,A81000B,00400,0300,NON CAPITAL 434277,A81000B,00500,0300,CONTRACT SERVICES 434277,A81000B,00600,0300,CONTRACT SERVICES 434277,A81000B,00700,0300,CONTRACT SERVICES 434277,A81000B,00800,0300,NURSE CONSULTANT 434277,A81000B,00900,0300,CONSULTING 434277,A81000B,01000,0300,LEGEND DRUGS 434277,A81000B,01100,0300,STOCK DRUGS 434277,A81000B,01200,0300,MEDICAL RECORDS SUPPLIES 434277,A81000B,01300,0300,NON LEGEND DRUGS 434277,A81000B,01400,0300,THERAPEUTIC BEDS 434277,A81000B,01500,0300,P/E SUPPLIES 434277,A81000B,01600,0300,P/E FOOD 434277,A81000B,01700,0300,RELATED PARTY DEPN-BLDG 434277,A81000B,01800,0300,RELATED PARTY DEPN-EQUIP 434277,A81000B,01900,0300,RELATED PARTY MORT INT 434277,A81000B,02000,0300,RELATED PARTY RENT 434277,A81000C,00100,0100,B 434277,A81000C,00100,0200,NOAH DUNCAN TRUST 434277,A81000C,00100,0400,CC MANAGEMENT 434277,A81000C,00100,0600,MANAGEMENT 434277,A81000C,00200,0100,B 434277,A81000C,00200,0200,NOAH DUNCAN TRUST 434277,A81000C,00200,0400,CC MANAGEMENT 434277,A81000C,00200,0600,MANAGEMENT 434277,A81000C,00300,0100,B 434277,A81000C,00300,0200,NOAH DUNCAN TRUST 434277,A81000C,00300,0400,CC MANAGEMENT 434277,A81000C,00300,0600,MANAGEMENT 434277,A81000C,00400,0100,B 434277,A81000C,00400,0200,NOAH DUNCAN TRUST 434277,A81000C,00400,0400,CC MANAGEMENT 434277,A81000C,00400,0600,MANAGEMENT 434277,A81000C,00500,0100,B 434277,A81000C,00500,0200,NOAH DUNCAN TRUST 434277,A81000C,00500,0400,CTS 434277,A81000C,00500,0600,THERAPY 434277,A81000C,00600,0100,B 434277,A81000C,00600,0200,NOAH DUNCAN TRUST 434277,A81000C,00600,0400,CTS 434277,A81000C,00600,0600,THERAPY 434277,A81000C,00700,0100,B 434277,A81000C,00700,0200,NOAH DUNCAN TRUST 434277,A81000C,00700,0400,CTS 434277,A81000C,00700,0600,THERAPY 434277,A81000C,00800,0100,B 434277,A81000C,00800,0200,NOAH DUNCAN TRUST 434277,A81000C,00800,0400,CTS 434277,A81000C,00800,0600,THERAPY 434277,A81000C,00900,0100,B 434277,A81000C,00900,0200,NOAH DUNCAN TRUST 434277,A81000C,00900,0400,SERVANT PHARMACY 434277,A81000C,00900,0600,PHARMACY 434277,A81000C,01000,0100,B 434277,A81000C,01000,0200,NOAH DUNCAN TRUST 434277,A81000C,01000,0400,SERVANT PHARMACY 434277,A81000C,01000,0600,PHARMACY 434277,A81000C,01001,0100,B 434277,A81000C,01001,0200,NOAH DUNCAN TRUST 434277,A81000C,01001,0400,SERVANT PHARMACY 434277,A81000C,01001,0600,PHARMACY 434277,A81000C,01002,0100,B 434277,A81000C,01002,0200,NOAH DUNCAN TRUST 434277,A81000C,01002,0400,SERVANT PHARMACY 434277,A81000C,01002,0600,PHARMACY 434277,A81000C,01003,0100,B 434277,A81000C,01003,0200,NOAH DUNCAN TRUST 434277,A81000C,01003,0400,SERVANT PHARMACY 434277,A81000C,01003,0600,PHARMACY 434277,A81000C,01004,0100,B 434277,A81000C,01004,0200,NOAH DUNCAN TRUST 434277,A81000C,01004,0400,CC PEN THERAPY 434277,A81000C,01004,0600,SUPPLIES 434277,A81000C,01005,0100,B 434277,A81000C,01005,0200,NOAH DUNCAN TRUST 434277,A81000C,01005,0400,CC PEN THERAPY 434277,A81000C,01005,0600,SUPPLIES 434277,A81000C,01006,0100,B 434277,A81000C,01006,0200,NOAH DUNCAN TRUST 434277,A81000C,01006,0400,CC PEN THERAPY 434277,A81000C,01006,0600,SUPPLIES 434277,A81000C,01007,0100,B 434277,A81000C,01007,0200,NOAH DUNCAN TRUST 434277,A81000C,01007,0400,BAYVIEW REALTY 434277,A81000C,01007,0600,RENTAL 434277,A81000C,01008,0100,B 434277,A81000C,01008,0200,NOAH DUNCAN TRUST 434277,A81000C,01008,0400,BAYVIEW REALTY 434277,A81000C,01008,0600,RENTAL 434277,A81000C,01009,0100,B 434277,A81000C,01009,0200,NOAH DUNCAN TRUST 434277,A81000C,01009,0400,BAYVIEW REALTY 434277,A81000C,01009,0600,RENTAL 434277,A81000C,01010,0100,B 434277,A81000C,01010,0200,NOAH DUNCAN TRUST 434277,A81000C,01010,0400,BAYVIEW REALTY 434277,A81000C,01010,0600,RENTAL 434277,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434277,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434277,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434277,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434277,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434277,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434277,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434277,B100000,00000,0800,0800MEALS SERVED :DIETARY 434277,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434277,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434277,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434277,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434277,E10A180,00501,0100,05/25/12 434277,G300000,02500,0000,MEDICARE A BAD DEBT REVENUE 434277,G300000,02501,0000,BEAUTY SHOP INCOME 434277,G300000,02502,0000,CABLE TV REVENUE 434277,G300000,02503,0000,MISCELLANEOUS REVENUE 434277,S000000,00100,0200,02/29/12 434277,S200000,00100,0100,3003 KENSINGTON PARK DRIVE 434277,S200000,00200,0100,NEW BERN 434277,S200000,00200,0200,NC 434277,S200000,00200,0300,28560 434277,S200000,00300,0100,CRAVEN 434277,S200000,00300,0200,34 434277,S200000,00300,0201,99934 434277,S200000,00300,0300,R 434277,S200000,00400,0100,BAYVIEW NURSING & REHABILITATION CTR 434277,S200000,00400,0200,345465 434277,S200000,00400,0300,10/01/94 434277,S200000,00400,0500,P 434277,S200000,01500,0100,N 434277,S200000,01502,0200,N 434277,S200000,01503,0200,N 434277,S200000,01504,0200,N 434277,S200000,01505,0000,IN2L 434277,S200000,01505,0200,Y 434277,S200000,01600,0100,Y 434277,S200000,01700,0100,N 434277,S200000,01800,0100,N 434277,S200000,02200,0100,N 434277,S200000,02800,0100,N 434277,S200000,02900,0100,N 434277,S200000,03000,0100,N 434277,S200000,03100,0100,N 434277,S200000,03200,0100,N 434277,S200000,03300,0100,N 434277,S200000,03300,0200,N 434277,S200000,03600,0100,N 434277,S200000,03600,0200,N 434277,S200000,04100,0100,N 434277,S200000,04200,0100,N 434277,S200000,04300,0100,N 434277,S200000,04600,0100,N 434277,S200000,04700,0100,N 434277,S200000,04700,0200,N 434277,S200000,04900,0100,N 434277,S200000,05000,0100,N 434277,S200000,05100,0100,N 434277,S200000,05200,0100,N 434278,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434278,A000000,00300,0000,0300EMPLOYEE BENEFITS 434278,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434278,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434278,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434278,A000000,00700,0000,0700HOUSEKEEPING 434278,A000000,00800,0000,0800DIETARY 434278,A000000,00900,0000,0900NURSING ADMINISTRATION 434278,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434278,A000000,01300,0000,1300SOCIAL SERVICE 434278,A000000,01500,0000,1350ACTIVITIES AL SERVICES 434278,A000000,01600,0000,1600SKILLED NURSING FACILITY 434278,A000000,01800,0000,1800NURSING FACILITY 434278,A000000,01900,0000,1900OTHER LONG TERM CARE 434278,A000000,02100,0000,2100RADIOLOGY 434278,A000000,02200,0000,2200LABORATORY 434278,A000000,02500,0000,2500PHYSICAL THERAPY 434278,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434278,A000000,02700,0000,2700SPEECH PATHOLOGY 434278,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434278,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434278,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434278,A000000,04800,0000,4800AMBULANCE 434278,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434278,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434278,A81000A,00100,0100,Y 434278,A81000B,00100,0300,RELATED PARTY MANAGEMENT FEES 434278,A81000B,00200,0300,RELATED PARTY MANAGEMENT FEE 434278,A81000B,00300,0300,QUALITY ASSURANCE NURSING 434278,A81000B,00500,0300,REAL ESTATE 434278,A81000C,00100,0100,A 434278,A81000C,00100,0400,CAMBRIDGE HEALTHCARE MGT 434278,A81000C,00100,0600,MANAGEMENT COMPANY 434278,A81000C,00200,0100,A 434278,A81000C,00200,0400,CAMBRIDGE HEALTHCARE MGT 434278,A81000C,00200,0600,MANAGEMENT COMPANY 434278,A81000C,00300,0100,A 434278,A81000C,00300,0400,CAMBRIDGE HEALTHCARE MGT 434278,A81000C,00300,0600,MANAGEMENT COMPANY 434278,A81000C,00500,0100,A 434278,A81000C,00500,0400,MARY WASHINGTON HOLDING 434278,A81000C,00500,0600,REAL ESTATE 434278,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434278,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434278,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434278,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434278,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434278,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434278,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434278,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434278,B100000,00000,1200,1250CHARGES :MEDICAL RECORDS & LIB 434278,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434278,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 434278,E10A180,00350,0100,10/31/11 434278,E10A180,00501,0100,05/09/12 434278,G300000,02500,0000,OTHER INCOME 434278,G300000,02501,0000,ROUNDING 434278,S000000,00100,0200,02/22/12 434278,S200000,00100,0100,2400 MCKINNEY BLVD 434278,S200000,00200,0100,COLONIAL BEACH 434278,S200000,00200,0200,VA 434278,S200000,00200,0300,22443 434278,S200000,00300,0100,WESTMORELAND 434278,S200000,00300,0200,49 434278,S200000,00300,0201,99949 434278,S200000,00300,0300,R 434278,S200000,00400,0100,MARY WASHINGTON CONVALESCENT & NU 434278,S200000,00400,0200,495268 434278,S200000,00400,0300,09/07/92 434278,S200000,00400,0500,P 434278,S200000,00600,0200,495268 434278,S200000,00600,0300,09/07/92 434278,S200000,00600,0600,O 434278,S200000,01500,0100,Y 434278,S200000,01501,0200,Y 434278,S200000,01600,0100,N 434278,S200000,01700,0100,N 434278,S200000,01800,0100,N 434278,S200000,02200,0100,N 434278,S200000,02800,0100,N 434278,S200000,02900,0100,N 434278,S200000,03000,0100,N 434278,S200000,03100,0100,N 434278,S200000,03200,0100,N 434278,S200000,03300,0100,N 434278,S200000,03300,0200,N 434278,S200000,03500,0300,N 434278,S200000,04100,0100,N 434278,S200000,04200,0100,N 434278,S200000,04300,0100,N 434278,S200000,04600,0100,N 434278,S200000,04700,0100,N 434278,S200000,04700,0200,N 434278,S200000,04900,0100,N 434278,S200000,05000,0100,N 434278,S200000,05100,0100,N 434278,S200000,05200,0100,N 434278,S200000,05300,0100,Y 434278,S200000,05300,0200,941021 434278,S200000,05400,0100,CAMBRIDGE HEALTHCARE MANAGEMENT LLC 434278,S200000,05400,0200,PALMETTO GBA 434278,S200000,05400,0300,11001 434278,S200000,05500,0100,12093 GAYTON ROAD 434278,S200000,05600,0100,RICHMOND 434278,S200000,05600,0200,VA 434278,S200000,05600,0300,23238-3401 434279,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434279,A000000,00300,0000,0300EMPLOYEE BENEFITS 434279,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434279,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434279,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434279,A000000,00700,0000,0700HOUSEKEEPING 434279,A000000,00800,0000,0800DIETARY 434279,A000000,00900,0000,0900NURSING ADMINISTRATION 434279,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434279,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434279,A000000,01300,0000,1300SOCIAL SERVICE 434279,A000000,01500,0000,1350ACTIVITIES AL SERVICES 434279,A000000,01600,0000,1600SKILLED NURSING FACILITY 434279,A000000,01800,0000,1800NURSING FACILITY 434279,A000000,02100,0000,2100RADIOLOGY 434279,A000000,02200,0000,2200LABORATORY 434279,A000000,02500,0000,2500PHYSICAL THERAPY 434279,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434279,A000000,02700,0000,2700SPEECH PATHOLOGY 434279,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434279,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434279,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434279,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434279,A000000,04800,0000,4800AMBULANCE 434279,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434279,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434279,A81000A,00100,0100,Y 434279,A81000B,00100,0300,CAP REL COSTS - BLDGS & LEASE EXP 434279,A81000B,00200,0300,A & G OWNER S EXPENSE 434279,A81000B,00300,0300,A & G MANAGEMENT FEES 434279,A81000B,00400,0300,CAP REL COSTS - BLDGS & MGMT FEES 434279,A81000B,00500,0300,QUALITY ASSURANCE COORDINATOR 434279,A81000C,00100,0100,A 434279,A81000C,00100,0400,LEXINGTON HOLDINGS LLC 434279,A81000C,00100,0600,NURSING HOME REAL ESTATE 434279,A81000C,00200,0100,A 434279,A81000C,00200,0400,LEXINGTON HOLDINGS LLC 434279,A81000C,00200,0600,NURSING HOME REAL ESTATE 434279,A81000C,00300,0100,A 434279,A81000C,00300,0400,CAMBRIDGE HEALTHCARE MGT 434279,A81000C,00300,0600,MANAGEMENT COMPANY 434279,A81000C,00400,0100,A 434279,A81000C,00400,0400,CAMBRIDGE HEALTHCARE MGT 434279,A81000C,00400,0600,MANAGEMENT COMPANY 434279,A81000C,00500,0100,A 434279,A81000C,00500,0400,CAMBRIDGE HEALTHCARE MGT 434279,A81000C,00500,0600,MANAGEMENT COMPANY 434279,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434279,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434279,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434279,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434279,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434279,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434279,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434279,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434279,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434279,B100000,00000,1200,1250GROSS CHARGE :MEDICAL RECORDS & 434279,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434279,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 434279,E10A180,00350,0100,10/31/11 434279,E10A180,00501,0100,05/09/12 434279,G300000,02500,0000,MISC. REVENUE 434279,G300000,02501,0000,ROUNDING 434279,S000000,00100,0200,02/22/12 434279,S200000,00100,0100,1776 COMBRIDGE DRIVE 434279,S200000,00200,0100,RICHMOND 434279,S200000,00200,0200,VA 434279,S200000,00200,0300,23238 434279,S200000,00300,0100,HENRICO 434279,S200000,00300,0200,6760 434279,S200000,00300,0201,40060 434279,S200000,00300,0300,U 434279,S200000,00400,0100,LEXINGTON COURT LLC 434279,S200000,00400,0200,495272 434279,S200000,00400,0300,10/29/99 434279,S200000,00400,0500,P 434279,S200000,00600,0200,495272 434279,S200000,00600,0300,10/29/99 434279,S200000,00600,0600,O 434279,S200000,01500,0100,Y 434279,S200000,01501,0200,Y 434279,S200000,01600,0100,N 434279,S200000,01700,0100,N 434279,S200000,01800,0100,N 434279,S200000,02200,0100,N 434279,S200000,02800,0100,N 434279,S200000,02900,0100,N 434279,S200000,03000,0100,N 434279,S200000,03100,0100,N 434279,S200000,03200,0100,N 434279,S200000,03300,0100,N 434279,S200000,03300,0200,N 434279,S200000,03500,0300,N 434279,S200000,04100,0100,N 434279,S200000,04200,0100,N 434279,S200000,04300,0100,N 434279,S200000,04600,0100,N 434279,S200000,04700,0100,N 434279,S200000,04700,0200,N 434279,S200000,04900,0100,N 434279,S200000,05000,0100,N 434279,S200000,05100,0100,N 434279,S200000,05200,0100,N 434279,S200000,05300,0100,Y 434279,S200000,05300,0200,941021 434279,S200000,05400,0100,CAMBRIDGE HEALTHCARE MANAGEMENT LLC 434279,S200000,05400,0200,PALMETTO GBA 434279,S200000,05400,0300,11001 434279,S200000,05500,0100,12093 GAYTON ROAD 434279,S200000,05600,0100,RICHMOND 434279,S200000,05600,0200,VA 434279,S200000,05600,0300,23238-3401 434286,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434286,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434286,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434286,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434286,A000000,00300,0000,0300EMPLOYEE BENEFITS 434286,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434286,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434286,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434286,A000000,00700,0000,0700HOUSEKEEPING 434286,A000000,00800,0000,0800DIETARY 434286,A000000,00801,0000,0801CAFETERIA 434286,A000000,00900,0000,0900NURSING ADMINISTRATION 434286,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434286,A000000,01100,0000,1100PHARMACY 434286,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434286,A000000,01300,0000,1300SOCIAL SERVICE 434286,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434286,A000000,01500,0000,1350ACTIVITIES 434286,A000000,01600,0000,1600SKILLED NURSING FACILITY 434286,A000000,01800,0000,1800NURSING FACILITY 434286,A000000,01900,0000,1900OTHER LONG TERM CARE 434286,A000000,02100,0000,2100RADIOLOGY 434286,A000000,02200,0000,2200LABORATORY 434286,A000000,02300,0000,2300INTRAVENOUS THERAPY 434286,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434286,A000000,02500,0000,2500PHYSICAL THERAPY 434286,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434286,A000000,02700,0000,2700SPEECH PATHOLOGY 434286,A000000,02800,0000,2800ELECTROCARDIOLOGY 434286,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434286,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434286,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434286,A000000,03200,0000,3200SUPPORT SURFACES 434286,A000000,03300,0000,3050ENTERALS 434286,A000000,03301,0000,3051OXYGEN 434286,A000000,03302,0000,3052OTHER ANCILLARY III 434286,A000000,03400,0000,3400CLINIC 434286,A000000,03500,0000,3500RURAL HEALTH CLINIC 434286,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434286,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434286,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434286,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434286,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434286,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434286,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434286,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434286,A000000,04400,0000,4400DME RENTED - HHA 434286,A000000,04500,0000,4500DME SOLD - HHA 434286,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434286,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434286,A000000,04710,0000,4710TELEMEDICINE 434286,A000000,04800,0000,4800AMBULANCE 434286,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434286,A000000,05000,0000,5000CORF 434286,A000000,05001,0000,5001CMHC I 434286,A000000,05020,0000,5020OPT I 434286,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434286,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434286,A000000,05300,0000,5300INTEREST EXPENSE 434286,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434286,A000000,05500,0000,5500HOSPICE 434286,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434286,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434286,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434286,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434286,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434286,A000000,06100,0000,6100NONPAID WORKERS 434286,A000000,06200,0000,6200PATIENTS LAUNDRY 434286,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434286,A81000A,00100,0100,Y 434286,A81000B,00100,0300,MANAGEMENT FEES 434286,A81000B,00200,0300,NURSING SUPPLIES 434286,A81000B,00300,0300,LEGEND DRUGS 434286,A81000B,00400,0300,OTC 434286,A81000B,00500,0300,MED SUPPLIES 434286,A81000B,00600,0300,PHAR CONSLT 434286,A81000B,00700,0300,RELATED LEASE 434286,A81000B,00800,0300,DEPRECIATION 434286,A81000B,00900,0300,INTEREST 434286,A81000C,00100,0100,B 434286,A81000C,00100,0400,WOM 434286,A81000C,00100,0600,NSG HOME CHAIN 434286,A81000C,00200,0100,B 434286,A81000C,00200,0400,WOM 434286,A81000C,00200,0600,PHARMACY 434286,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434286,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434286,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434286,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434286,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434286,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434286,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434286,B100000,00000,0800,0800MEALS SERVED :DIETARY 434286,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434286,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434286,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434286,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434286,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434286,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434286,E10A180,00301,0300,07/27/11 434286,E10A180,00501,0300,02/27/12 434286,E10A180,00550,0100,02/27/12 434286,S000000,00100,0200,03/21/12 434286,S200000,00100,0100,323 BALDWIN RD 434286,S200000,00100,0300,3427 434286,S200000,00200,0100,BURLINGTON 434286,S200000,00200,0200,NC 434286,S200000,00200,0300,27217 434286,S200000,00300,0100,ALAMANCE 434286,S200000,00300,0201,15500 434286,S200000,00300,0300,U 434286,S200000,00400,0100,WHITE OAK MANOR-BURLINGTON 434286,S200000,00400,0200,345301 434286,S200000,00400,0300,09/30/78 434286,S200000,00400,0500,P 434286,S200000,01500,0100,Y 434286,S200000,01501,0200,Y 434286,S200000,01502,0200,Y 434286,S200000,01503,0200,Y 434286,S200000,01504,0200,Y 434286,S200000,01600,0100,N 434286,S200000,01700,0100,N 434286,S200000,01800,0100,N 434286,S200000,02200,0100,Y 434286,S200000,02800,0100,N 434286,S200000,02900,0100,N 434286,S200000,03000,0100,N 434286,S200000,03100,0100,N 434286,S200000,03200,0100,N 434286,S200000,03300,0100,N 434286,S200000,03300,0200,N 434286,S200000,04100,0100,N 434286,S200000,04200,0100,N 434286,S200000,04300,0100,N 434286,S200000,04600,0100,N 434286,S200000,04700,0100,N 434286,S200000,04700,0200,N 434286,S200000,04900,0100,N 434286,S200000,05000,0100,N 434286,S200000,05100,0100,N 434286,S200000,05200,0100,N 434286,S200000,05300,0100,Y 434286,S200000,05300,0200,HO02 434286,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434286,S200000,05400,0200,PGBA 434286,S200000,05400,0300,00380 434286,S200000,05500,0100,130 EAST MAIN ST. 434286,S200000,05500,0200,3347 434286,S200000,05600,0100,SPARTANBURG 434286,S200000,05600,0200,SC 434286,S200000,05600,0300,29304 434287,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434287,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434287,A000000,00300,0000,0300EMPLOYEE BENEFITS 434287,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434287,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434287,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434287,A000000,00700,0000,0700HOUSEKEEPING 434287,A000000,00800,0000,0800DIETARY 434287,A000000,00900,0000,0900NURSING ADMINISTRATION 434287,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434287,A000000,01100,0000,1100PHARMACY 434287,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434287,A000000,01300,0000,1300SOCIAL SERVICE 434287,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434287,A000000,01500,0000,1350OTHER GENERAL SERVICES 434287,A000000,01600,0000,1600SKILLED NURSING FACILITY 434287,A000000,01800,0000,1800NURSING FACILITY 434287,A000000,01810,0000,1810ICF/MR 434287,A000000,01900,0000,1900OTHER LONG TERM CARE 434287,A000000,02100,0000,2100RADIOLOGY 434287,A000000,02200,0000,2200LABORATORY 434287,A000000,02300,0000,2300INTRAVENOUS THERAPY 434287,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434287,A000000,02500,0000,2500PHYSICAL THERAPY 434287,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434287,A000000,02700,0000,2700SPEECH PATHOLOGY 434287,A000000,02800,0000,2800ELECTROCARDIOLOGY 434287,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434287,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434287,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434287,A000000,03200,0000,3200SUPPORT SURFACES 434287,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434287,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434287,A000000,04800,0000,4800AMBULANCE 434287,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434287,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434287,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434287,A000000,05300,0000,5300INTEREST EXPENSE 434287,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434287,A000000,05500,0000,5500HOSPICE 434287,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434287,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434287,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434287,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434287,A000000,06100,0000,6100NONPAID WORKERS 434287,A000000,06200,0000,6200PATIENTS LAUNDRY 434287,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434287,A81000A,00100,0100,Y 434287,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 434287,A81000C,00100,0100,C 434287,A81000C,00100,0400,LTC SUPPORT SERVICES 434287,A81000C,00100,0600,HEALTHCARE MGMNT SERVICES 434287,A81000C,00200,0100,B 434287,A81000C,00200,0400,UNLIMITED DEVELOPMENT INC 434287,A81000C,00200,0600,FACILITY OPERATOR 434287,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434287,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434287,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434287,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434287,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434287,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434287,B100000,00000,0800,0800MEALS SERVED :DIETARY 434287,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434287,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434287,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434287,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434287,E10A180,00501,0100,04/27/12 434287,E10A180,00501,0300,04/27/12 434287,G300000,02500,0000,BARBER AND BEAUTY 434287,G300000,02501,0000,LATE PAYMENT FEE 434287,G300000,02502,0000,TRANSPORTATION INCOME 434287,G300000,02503,0000,ROUNDING 434287,S000000,00100,0200,02/27/12 434287,S200000,00100,0100,1520 EL CAMINO DR 434287,S200000,00200,0100,PEKIN 434287,S200000,00200,0200,IL 434287,S200000,00200,0300,61554 434287,S200000,00300,0100,TAZEWELL 434287,S200000,00300,0200,6120 434287,S200000,00300,0201,37900 434287,S200000,00300,0300,U 434287,S200000,00400,0100,PEKIN MANOR 434287,S200000,00400,0200,145597 434287,S200000,00400,0300,12/01/88 434287,S200000,00400,0500,P 434287,S200000,01500,0100,Y 434287,S200000,01501,0200,Y 434287,S200000,01600,0100,N 434287,S200000,01700,0100,N 434287,S200000,01800,0100,N 434287,S200000,02200,0100,N 434287,S200000,02800,0100,N 434287,S200000,02900,0100,N 434287,S200000,03000,0100,N 434287,S200000,03100,0100,N 434287,S200000,03200,0100,N 434287,S200000,03300,0100,N 434287,S200000,03300,0200,N 434287,S200000,04100,0100,N 434287,S200000,04200,0100,N 434287,S200000,04300,0100,N 434287,S200000,04600,0100,N 434287,S200000,04700,0100,N 434287,S200000,04700,0200,N 434287,S200000,04900,0100,N 434287,S200000,05000,0100,N 434287,S200000,05100,0100,N 434287,S200000,05200,0100,N 434287,S200000,05300,0100,Y 434287,S200000,05300,0200,HB0173 434287,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 434287,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 434287,S200000,05400,0300,00131 434287,S200000,05500,0100,285 FARNHAM 434287,S200000,05600,0100,GALESBURG 434287,S200000,05600,0200,IL 434287,S200000,05600,0300,61401 434288,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434288,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434288,A000000,00300,0000,0300EMPLOYEE BENEFITS 434288,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434288,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434288,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434288,A000000,00700,0000,0700HOUSEKEEPING 434288,A000000,00800,0000,0800DIETARY 434288,A000000,00900,0000,0900NURSING ADMINISTRATION 434288,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434288,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434288,A000000,01300,0000,1300SOCIAL SERVICE 434288,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434288,A000000,01500,0000,1350OTHER GENERAL SERVICES 434288,A000000,01600,0000,1600SKILLED NURSING FACILITY 434288,A000000,01800,0000,1800NURSING FACILITY 434288,A000000,01810,0000,1810ICF/MR 434288,A000000,01900,0000,1900OTHER LONG TERM CARE 434288,A000000,02100,0000,2100RADIOLOGY 434288,A000000,02200,0000,2200LABORATORY 434288,A000000,02300,0000,2300INTRAVENOUS THERAPY 434288,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434288,A000000,02500,0000,2500PHYSICAL THERAPY 434288,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434288,A000000,02700,0000,2700SPEECH PATHOLOGY 434288,A000000,02800,0000,2800ELECTROCARDIOLOGY 434288,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434288,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434288,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434288,A000000,03200,0000,3200SUPPORT SURFACES 434288,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434288,A000000,03400,0000,3400CLINIC 434288,A000000,03500,0000,3500RURAL HEALTH CLINIC 434288,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434288,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434288,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434288,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434288,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434288,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434288,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434288,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434288,A000000,04400,0000,4400DME RENTED - HHA 434288,A000000,04500,0000,4500DME SOLD - HHA 434288,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434288,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434288,A000000,04710,0000,4710TELEMEDICINE 434288,A000000,04800,0000,4800AMBULANCE 434288,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434288,A000000,05000,0000,5000CORF 434288,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434288,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434288,A000000,05300,0000,5300INTEREST EXPENSE 434288,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434288,A000000,05500,0000,5500HOSPICE 434288,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434288,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434288,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434288,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434288,A000000,06100,0000,6100NONPAID WORKERS 434288,A000000,06200,0000,6200PATIENTS LAUNDRY 434288,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434288,A81000A,00100,0100,Y 434288,A81000B,00100,0300,FACILITY LEASE 434288,A81000B,00200,0300,MANAGEMENT FEES 434288,A81000B,00300,0300,MANAGEMENT FEES 434288,A81000B,00400,0300,MANAGEMENT FEES 434288,A81000B,00500,0300,INTEREST EXPENSE 434288,A81000B,00600,0300,EMPLOYEE BENEFITS 434288,A81000B,00700,0300,LIABILITY INSURANCE 434288,A81000C,00100,0100,A 434288,A81000C,00100,0200,JAMES J GIARDINA 434288,A81000C,00100,0400,JAMES J GIARDINA 434288,A81000C,00100,0600,INDIVIDUAL 434288,A81000C,00200,0100,A 434288,A81000C,00200,0200,JAMES J GIARDINA 434288,A81000C,00200,0400,COMMUNITY CARE CTRS INC. 434288,A81000C,00200,0600,NURSING HOME MGT 434288,A81000C,00300,0100,A 434288,A81000C,00300,0200,JAMES J GIARDINA 434288,A81000C,00300,0400,INDIVIDUAL 434288,A81000C,00300,0600,INDIVIDUAL 434288,A81000C,00400,0100,A 434288,A81000C,00400,0200,JAMES J GIARDINA 434288,A81000C,00400,0400,RISA 434288,A81000C,00400,0600,WORKERS COMP INS 434288,A81000C,00500,0100,A 434288,A81000C,00500,0200,JAMES J GIARDINA 434288,A81000C,00500,0400,RISA 434288,A81000C,00500,0600,LIABILITY INS 434288,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434288,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434288,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434288,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434288,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434288,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434288,B100000,00000,0800,0800MEALS SERVED :DIETARY 434288,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434288,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434288,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434288,E10A180,00501,0100,03/16/12 434288,E10A180,00550,0300,03/16/12 434288,S000000,00100,0200,01/27/12 434288,S200000,00100,0100,116 SOUTH H 434288,S200000,00200,0100,MONMOUTH 434288,S200000,00200,0200,IL 434288,S200000,00200,0300,61462 434288,S200000,00300,0100,WARREN 434288,S200000,00300,0200,14 434288,S200000,00300,0201,99914 434288,S200000,00300,0300,R 434288,S200000,00400,0100,MONMOUTH NURSING HOME 434288,S200000,00400,0200,146057 434288,S200000,00400,0300,12/01/03 434288,S200000,00400,0500,P 434288,S200000,01500,0100,Y 434288,S200000,01501,0200,Y 434288,S200000,01502,0200,Y 434288,S200000,01503,0200,N 434288,S200000,01504,0200,N 434288,S200000,01600,0100,N 434288,S200000,01700,0100,N 434288,S200000,01800,0100,N 434288,S200000,02200,0100,N 434288,S200000,02800,0100,Y 434288,S200000,02900,0100,N 434288,S200000,03000,0100,N 434288,S200000,03100,0100,N 434288,S200000,03200,0100,N 434288,S200000,03300,0100,N 434288,S200000,03300,0200,N 434288,S200000,04100,0100,N 434288,S200000,04200,0100,N 434288,S200000,04300,0100,N 434288,S200000,04600,0100,N 434288,S200000,04700,0100,N 434288,S200000,04700,0200,N 434288,S200000,04900,0100,N 434288,S200000,05000,0100,N 434288,S200000,05100,0100,N 434288,S200000,05200,0100,N 434288,S200000,05300,0100,Y 434288,S200000,05300,0200,H69957 434288,S200000,05400,0100,COMMUNITY CARE CENTERS INC. 434288,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 434288,S200000,05400,0300,05301 434288,S200000,05500,0100,312 SOLLEY DRIVE 434288,S200000,05600,0100,BALLWIN 434288,S200000,05600,0200,MO 434288,S200000,05600,0300,63021-2100 434289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434289,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434289,A000000,00300,0000,0300EMPLOYEE BENEFITS 434289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434289,A000000,00700,0000,0700HOUSEKEEPING 434289,A000000,00800,0000,0800DIETARY 434289,A000000,00900,0000,0900NURSING ADMINISTRATION 434289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434289,A000000,01100,0000,1100PHARMACY 434289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434289,A000000,01300,0000,1300SOCIAL SERVICE 434289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434289,A000000,01600,0000,1600SKILLED NURSING FACILITY 434289,A000000,01800,0000,1800NURSING FACILITY 434289,A000000,01900,0000,1900OTHER LONG TERM CARE 434289,A000000,02100,0000,2100RADIOLOGY 434289,A000000,02200,0000,2200LABORATORY 434289,A000000,02300,0000,2300INTRAVENOUS THERAPY 434289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434289,A000000,02500,0000,2500PHYSICAL THERAPY 434289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434289,A000000,02700,0000,2700SPEECH PATHOLOGY 434289,A000000,02800,0000,2800ELECTROCARDIOLOGY 434289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434289,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434289,A000000,03200,0000,3200SUPPORT SURFACES 434289,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434289,A000000,03400,0000,3400CLINIC 434289,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434289,A000000,04800,0000,4800AMBULANCE 434289,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434289,A000000,05000,0000,5000CORF 434289,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434289,A000000,05300,0000,5300INTEREST EXPENSE 434289,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434289,A000000,05500,0000,5500HOSPICE 434289,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434289,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434289,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434289,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434289,A000000,06100,0000,6100NONPAID WORKERS 434289,A000000,06200,0000,6200PATIENTS LAUNDRY 434289,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434289,A81000A,00100,0100,Y 434289,A81000B,00100,0300,NURSING CONSULTING 434289,A81000B,00200,0300,DIETARY CONSULTING 434289,A81000B,00300,0300,HOME OFFICE 434289,A81000B,00400,0300,INTEREST EXPENSE 434289,A81000B,00500,0300,WORKERS COMP EXPENSE 434289,A81000B,00600,0300,PROFESSIONAL LIABILITY EXPENSE 434289,A81000B,00700,0300,MAINTENANCE SUPPLIES 434289,A81000B,00800,0300,REPAIRS - EQUIPMENT 434289,A81000B,00900,0300,LINEN & BEDDING 434289,A81000B,01000,0300,LAUNDRY SUPPLIES 434289,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 434289,A81000B,01200,0300,DIETARY SUPPLEMENTS 434289,A81000B,01300,0300,DIETARY SUPPLIES 434289,A81000B,01400,0300,BIO-MEDICAL WASTE 434289,A81000B,01500,0300,MINOR EQUIPMENT EXPENSE 434289,A81000B,01600,0300,PERSONAL CARE SUPPLIES 434289,A81000B,01700,0300,INCONTINENCE SUPPLIES 434289,A81000B,01800,0300,MEDICAL SUPPLIES 434289,A81000B,01900,0300,SUPPLIES 434289,A81000B,02000,0300,OXYGEN THERAPY SUPPLIES 434289,A81000B,02100,0300,MINOR EQUIPMENT EXPENSE 434289,A81000B,02200,0300,SUPPLIES 434289,A81000B,02300,0300,SUPPLIES 434289,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 434289,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 434289,A81000B,02600,0300,NON-LEGEND DRUGS 434289,A81000B,02700,0300,PHARMACY CONSULTANT 434289,A81000B,02800,0300,MED REC SUPPLIES 434289,A81000B,02900,0300,LEGEND DRUGS 434289,A81000C,00100,0100,B 434289,A81000C,00100,0200,PLTC & PITS INC 434289,A81000C,00100,0400,PLTC & PITS INC 434289,A81000C,00100,0600,MGMT SERVICES 434289,A81000C,00200,0100,B 434289,A81000C,00200,0200,PLTC & PITS INC 434289,A81000C,00200,0400,PLTC & PITS INC 434289,A81000C,00200,0600,MGMT SERVICES 434289,A81000C,00300,0100,B 434289,A81000C,00300,0200,PLTC & PITS INC 434289,A81000C,00300,0400,PLTC & PITS INC 434289,A81000C,00300,0600,MGMT SERVICES 434289,A81000C,00400,0100,B 434289,A81000C,00400,0200,PLTC & PITS INC 434289,A81000C,00400,0400,PLTC & PITS INC 434289,A81000C,00400,0600,MGMT SERVICES 434289,A81000C,00500,0100,A 434289,A81000C,00500,0200,SHAREHOLDERS 434289,A81000C,00500,0400,DISCOVERY INSUR 434289,A81000C,00500,0600,INSURANCE 434289,A81000C,00600,0100,A 434289,A81000C,00600,0200,SHAREHOLDERS 434289,A81000C,00600,0400,QUEENSLAND ASSU 434289,A81000C,00600,0600,INSURANCE 434289,A81000C,00700,0100,A 434289,A81000C,00700,0200,SHAREHOLDERS 434289,A81000C,00700,0400,KARE MEDICAL 434289,A81000C,00700,0600,WHOLESALE SUPPL 434289,A81000C,00800,0100,A 434289,A81000C,00800,0200,SHAREHOLDERS 434289,A81000C,00800,0400,KARE MEDICAL 434289,A81000C,00800,0600,WHOLESALE SUPPL 434289,A81000C,00900,0100,A 434289,A81000C,00900,0200,SHAREHOLDERS 434289,A81000C,00900,0400,KARE MEDICAL 434289,A81000C,00900,0600,WHOLESALE SUPPL 434289,A81000C,01000,0100,A 434289,A81000C,01000,0200,SHAREHOLDERS 434289,A81000C,01000,0400,KARE MEDICAL 434289,A81000C,01000,0600,WHOLESALE SUPPL 434289,A81000C,01001,0100,A 434289,A81000C,01001,0200,SHAREHOLDERS 434289,A81000C,01001,0400,KARE MEDICAL 434289,A81000C,01001,0600,WHOLESALE SUPPL 434289,A81000C,01002,0100,A 434289,A81000C,01002,0200,SHAREHOLDERS 434289,A81000C,01002,0400,KARE MEDICAL 434289,A81000C,01002,0600,WHOLESALE SUPPL 434289,A81000C,01003,0100,A 434289,A81000C,01003,0200,SHAREHOLDERS 434289,A81000C,01003,0400,KARE MEDICAL 434289,A81000C,01003,0600,WHOLESALE SUPPL 434289,A81000C,01004,0100,A 434289,A81000C,01004,0200,SHAREHOLDERS 434289,A81000C,01004,0400,KARE MEDICAL 434289,A81000C,01004,0600,WHOLESALE SUPPL 434289,A81000C,01005,0100,A 434289,A81000C,01005,0200,SHAREHOLDERS 434289,A81000C,01005,0400,KARE MEDICAL 434289,A81000C,01005,0600,WHOLESALE SUPPL 434289,A81000C,01006,0100,A 434289,A81000C,01006,0200,SHAREHOLDERS 434289,A81000C,01006,0400,KARE MEDICAL 434289,A81000C,01006,0600,WHOLESALE SUPPL 434289,A81000C,01007,0100,A 434289,A81000C,01007,0200,SHAREHOLDERS 434289,A81000C,01007,0400,KARE MEDICAL 434289,A81000C,01007,0600,WHOLESALE SUPPL 434289,A81000C,01008,0100,A 434289,A81000C,01008,0200,SHAREHOLDERS 434289,A81000C,01008,0400,KARE MEDICAL 434289,A81000C,01008,0600,WHOLESALE SUPPL 434289,A81000C,01009,0100,A 434289,A81000C,01009,0200,SHAREHOLDERS 434289,A81000C,01009,0400,KARE MEDICAL 434289,A81000C,01009,0600,WHOLESALE SUPPL 434289,A81000C,01010,0100,A 434289,A81000C,01010,0200,SHAREHOLDERS 434289,A81000C,01010,0400,KARE MEDICAL 434289,A81000C,01010,0600,WHOLESALE SUPPL 434289,A81000C,01011,0100,A 434289,A81000C,01011,0200,SHAREHOLDERS 434289,A81000C,01011,0400,KARE MEDICAL 434289,A81000C,01011,0600,WHOLESALE SUPPL 434289,A81000C,01012,0100,A 434289,A81000C,01012,0200,SHAREHOLDERS 434289,A81000C,01012,0400,KARE MEDICAL 434289,A81000C,01012,0600,WHOLESALE SUPPL 434289,A81000C,01013,0100,A 434289,A81000C,01013,0200,SHAREHOLDERS 434289,A81000C,01013,0400,KARE MEDICAL 434289,A81000C,01013,0600,WHOLESALE SUPPL 434289,A81000C,01014,0100,A 434289,A81000C,01014,0200,SHAREHOLDERS 434289,A81000C,01014,0400,KARE MEDICAL 434289,A81000C,01014,0600,WHOLESALE SUPPL 434289,A81000C,01015,0100,A 434289,A81000C,01015,0200,SHAREHOLDERS 434289,A81000C,01015,0400,PHARMSAVE 434289,A81000C,01015,0600,RX SUPPLY 434289,A81000C,01016,0100,A 434289,A81000C,01016,0200,SHAREHOLDERS 434289,A81000C,01016,0400,PHARMSAVE 434289,A81000C,01016,0600,RX SUPPLY 434289,A81000C,01017,0100,A 434289,A81000C,01017,0200,SHAREHOLDERS 434289,A81000C,01017,0400,PHARMSAVE 434289,A81000C,01017,0600,RX SUPPLY 434289,A81000C,01018,0100,A 434289,A81000C,01018,0200,SHAREHOLDERS 434289,A81000C,01018,0400,PHARMSAVE 434289,A81000C,01018,0600,RX SUPPLY 434289,A81000C,01019,0100,A 434289,A81000C,01019,0200,SHAREHOLDERS 434289,A81000C,01019,0400,PHARMSAVE 434289,A81000C,01019,0600,RX SUPPLY 434289,A81000C,01020,0100,A 434289,A81000C,01020,0200,SHAREHOLDERS 434289,A81000C,01020,0400,ROBERT HILL CON 434289,A81000C,01020,0600,CONSTRUCTION 434289,A81000C,01021,0100,A 434289,A81000C,01021,0200,SHAREHOLDERS 434289,A81000C,01021,0400,ROBERT HILL CON 434289,A81000C,01021,0600,CONSTRUCTION 434289,A81000C,01022,0100,A 434289,A81000C,01022,0200,SHAREHOLDERS 434289,A81000C,01022,0400,HEALTHHAVEN NUR 434289,A81000C,01022,0600,REAL ESTATE 434289,A81000C,01023,0100,A 434289,A81000C,01023,0200,SHAREHOLDERS 434289,A81000C,01023,0400,BRITTHAVEN INC 434289,A81000C,01023,0600,REAL ESTATE 434289,A81000C,01024,0100,A 434289,A81000C,01024,0200,SHAREHOLDERS 434289,A81000C,01024,0400,BRITTHAVEN INC 434289,A81000C,01024,0600,REAL ESTATE 434289,A81000C,01025,0100,A 434289,A81000C,01025,0200,SHAREHOLDERS 434289,A81000C,01025,0400,BRITTHAVEN INC 434289,A81000C,01025,0600,REAL ESTATE 434289,A81000C,01026,0100,A 434289,A81000C,01026,0200,SHAREHOLDERS 434289,A81000C,01026,0400,HEALTHHAVEN NUR 434289,A81000C,01026,0600,REAL ESTATE 434289,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434289,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434289,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434289,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434289,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434289,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434289,B100000,00000,0800,0800MEALS SERVED :DIETARY 434289,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434289,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434289,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434289,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434289,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434289,E10A180,00501,0100,05/21/12 434289,E10A180,00550,0100,02/29/12 434289,G300000,02500,0000, OTHER (SPECIFY) 434289,S000000,00100,0200,02/29/12 434289,S200000,00100,0100,801 GREENHAVEN DRIVE 434289,S200000,00200,0100,GREENSBORO 434289,S200000,00200,0200,NC 434289,S200000,00200,0300,27406 434289,S200000,00300,0100,GUILFORD 434289,S200000,00300,0201,24660 434289,S200000,00300,0300,U 434289,S200000,00400,0100,GREENHAVEN HEALTH & REHAB CENTER 434289,S200000,00400,0200,345132 434289,S200000,00400,0300,01/01/11 434289,S200000,00400,0500,P 434289,S200000,01500,0100,Y 434289,S200000,01501,0200,Y 434289,S200000,01502,0200,Y 434289,S200000,01503,0200,Y 434289,S200000,01504,0200,Y 434289,S200000,01505,0000,OTHER (SPECIFY) 434289,S200000,01505,0200,Y 434289,S200000,01600,0100,N 434289,S200000,01700,0100,N 434289,S200000,01800,0100,N 434289,S200000,02200,0100,N 434289,S200000,02800,0100,N 434289,S200000,02900,0100,N 434289,S200000,03000,0100,N 434289,S200000,03100,0100,N 434289,S200000,03200,0100,N 434289,S200000,03300,0100,N 434289,S200000,03300,0200,N 434289,S200000,04100,0100,N 434289,S200000,04200,0100,N 434289,S200000,04300,0100,N 434289,S200000,04600,0100,N 434289,S200000,04700,0100,N 434289,S200000,04700,0200,N 434289,S200000,04900,0100,N 434289,S200000,05000,0100,N 434289,S200000,05100,0100,N 434289,S200000,05200,0100,N 434289,S200000,05300,0100,Y 434289,S200000,05300,0200,349011 434289,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434289,S200000,05400,0200,PALMETTO GBA 434289,S200000,05400,0300,11501 434289,S200000,05500,0100,1435 HWY 258 NORTH 434289,S200000,05600,0100,KINSTON 434289,S200000,05600,0200,NC 434289,S200000,05600,0300,28502 434293,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434293,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434293,A000000,00300,0000,0300EMPLOYEE BENEFITS 434293,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434293,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434293,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434293,A000000,00700,0000,0700HOUSEKEEPING 434293,A000000,00800,0000,0800DIETARY 434293,A000000,00900,0000,0900NURSING ADMINISTRATION 434293,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434293,A000000,01100,0000,1100PHARMACY 434293,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434293,A000000,01300,0000,1300SOCIAL SERVICE 434293,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434293,A000000,01600,0000,1600SKILLED NURSING FACILITY 434293,A000000,01810,0000,1810ICF/MR 434293,A000000,02100,0000,2100RADIOLOGY 434293,A000000,02200,0000,2200LABORATORY 434293,A000000,02300,0000,2300INTRAVENOUS THERAPY 434293,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434293,A000000,02500,0000,2500PHYSICAL THERAPY 434293,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434293,A000000,02700,0000,2700SPEECH PATHOLOGY 434293,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434293,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434293,A000000,03200,0000,3200SUPPORT SURFACES 434293,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434293,A000000,03301,0000,3051NUTRITIONAL THERAPY 434293,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 434293,A000000,03303,0000,3053PHYSICIAN SERVICES 434293,A000000,03304,0000,3054MEDICAL SERVICES 434293,A000000,03305,0000,3056OTHER ANCILLARY SERVICE COST CE 434293,A000000,03550,0000,3550FQHC 434293,A000000,04801,0000,4801AMBULANCE 434293,A000000,04802,0000,4802AMBULANCE 434293,A000000,04803,0000,4803AMBULANCE 434293,A000000,05000,0000,5000CORF 434293,A000000,05010,0000,5010CMHC 434293,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434293,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434293,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434293,A000000,05300,0000,5300INTEREST EXPENSE 434293,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434293,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434293,A81000A,00100,0100,Y 434293,A81000B,00100,0300,CAPITAL H.O. COST - BLDG & FIX 434293,A81000B,00200,0300,A & G HOME OFFICE COST 434293,A81000B,00300,0300,NURSING HOME OFFICE COST 434293,A81000B,00400,0300,DIETARY HOME OFFICE COST 434293,A81000B,00500,0300,SUNDANCE 434293,A81000B,00600,0300,SUNDANCE 434293,A81000B,00700,0300,SUNDANCE 434293,A81000C,00100,0100,B 434293,A81000C,00100,0200,SUNBRIDGE HEALTHCARE INC 434293,A81000C,00100,0400,SUN HEALTHCARE GROUP 434293,A81000C,00100,0600,HEALTHCARE 434293,A81000C,00200,0100,G 434293,A81000C,00200,0200,SUNDANCE REHAB CORP 434293,A81000C,00200,0400,SUN HEALTHCARE GROUP 434293,A81000C,00200,0600,HEALTHCARE 434293,A81000C,00300,0100,G 434293,A81000C,00400,0100,G 434293,A81000C,00500,0100,G 434293,A81000C,00600,0100,G 434293,A81000C,00700,0100,G 434293,A81000C,00800,0100,G 434293,A81000C,00900,0100,G 434293,A81000C,01000,0100,G 434293,B100000,00000,0100,0100SQUARE FEET 434293,B100000,00000,0200,0200SQUARE FEET 434293,B100000,00000,0300,0300GROSS SALARIES 434293,B100000,00000,0400,0400ACCUM COST 434293,B100000,00000,0500,0500SQUARE FEET 434293,B100000,00000,0600,0600PATIENT DAYS 434293,B100000,00000,0700,0700HSKP SQUARE 434293,B100000,00000,0800,0800PATIENT DAYS 434293,B100000,00000,0900,0900PATIENT DAYS 434293,B100000,00000,1000,1000PATIENT DAYS 434293,B100000,00000,1100,1100COSTED REQUIS 434293,B100000,00000,1200,1200GROSS CHARGES 434293,B100000,00000,1300,1300PATIENT DAYS 434293,B100000,00000,1400,1400ASSIGNED TIME 434293,E10A180,00301,0100,07/13/11 434293,E10A180,00501,0100,01/24/12 434293,E10A180,00501,0300,01/24/12 434293,G300000,02500,0000,OTHER (SPECIFY) 434293,S000000,00100,0200,12/22/11 434293,S200000,00100,0100,4700 HARFORD ROAD 434293,S200000,00200,0100,BALTIMORE 434293,S200000,00200,0200,MD 434293,S200000,00200,0300,21214 434293,S200000,00300,0100,BALTIMORE CITY 434293,S200000,00300,0201,12580 434293,S200000,00300,0300,U 434293,S200000,00400,0100,HARFORD GARDENS CARE AND REHABILITAT 434293,S200000,00400,0200,215253 434293,S200000,00400,0300,03/01/97 434293,S200000,00400,0500,P 434293,S200000,01500,0100,Y 434293,S200000,01501,0200,N 434293,S200000,01502,0200,Y 434293,S200000,01503,0200,N 434293,S200000,01504,0200,Y 434293,S200000,01600,0100,N 434293,S200000,01700,0100,N 434293,S200000,01800,0100,N 434293,S200000,02200,0100,N 434293,S200000,02800,0100,N 434293,S200000,02900,0100,N 434293,S200000,03000,0100,N 434293,S200000,03100,0100,N 434293,S200000,03200,0100,N 434293,S200000,03300,0100,N 434293,S200000,03300,0200,N 434293,S200000,04200,0100,N 434293,S200000,04300,0100,N 434293,S200000,04600,0100,N 434293,S200000,04700,0100,N 434293,S200000,04900,0100,N 434293,S200000,05200,0100,N 434293,S200000,05300,0100,Y 434293,S200000,05300,0200,HO9734 434293,S200000,05400,0100,SUNBRIDGE HEALTHCARE CORPORATION 434293,S200000,05400,0200,HIGHMARK MEDICAL SERVICES 434293,S200000,05400,0300,12001 434293,S200000,05500,0100,101 SUN AVENUE NE 434293,S200000,05600,0100,ALBUQUERQUE 434293,S200000,05600,0200,NM 434293,S200000,05600,0300,87109 434294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434294,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434294,A000000,00300,0000,0300EMPLOYEE BENEFITS 434294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434294,A000000,00700,0000,0700HOUSEKEEPING 434294,A000000,00800,0000,0800DIETARY 434294,A000000,00900,0000,0900NURSING ADMINISTRATION 434294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434294,A000000,01100,0000,1100PHARMACY 434294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434294,A000000,01300,0000,1300SOCIAL SERVICE 434294,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434294,A000000,01500,0000,1350RECREATION 434294,A000000,01600,0000,1600SKILLED NURSING FACILITY 434294,A000000,01810,0000,1810ICF/MR 434294,A000000,02100,0000,2100RADIOLOGY 434294,A000000,02200,0000,2200LABORATORY 434294,A000000,02300,0000,2300INTRAVENOUS THERAPY 434294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434294,A000000,02500,0000,2500PHYSICAL THERAPY 434294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434294,A000000,02700,0000,2700SPEECH PATHOLOGY 434294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434294,A000000,03550,0000,3550FQHC 434294,A000000,04801,0000,4801AMBULANCE 434294,A000000,04802,0000,4802AMBULANCE 434294,A000000,04803,0000,4803AMBULANCE 434294,A000000,05000,0000,5000CORF 434294,A000000,05010,0000,5010CMHC 434294,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434294,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434294,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434294,A81000A,00100,0100,Y 434294,A81000B,00100,0300,AS ATTACHED 434294,A81000B,00200,0300,HOME OFFICE INTEREST 434294,A81000B,00300,0300,HOME OFFICE A&G 434294,A81000B,00400,0300,HOME OFFICE - CAP 434294,A81000C,00100,0100,B 434294,A81000C,00100,0400,AS ATTACHED 434294,A81000C,00100,0600,VARIOUS 434294,A81000C,00200,0100,B 434294,A81000C,00200,0400,GHC 434294,A81000C,00200,0600,LONG TERM CARE 434294,A81000C,00300,0100,B 434294,A81000C,00300,0400,GHC 434294,A81000C,00300,0600,LONG TERM CARE 434294,A81000C,00400,0100,B 434294,A81000C,00400,0400,GHC 434294,A81000C,00400,0600,LONG TERM CARE 434294,B100000,00000,0100,0100SQUARE FEET 434294,B100000,00000,0200,0200SQUARE FEET 434294,B100000,00000,0300,0300GROSS SALARIES 434294,B100000,00000,0400,0400ACCUM COST 434294,B100000,00000,0500,0500SQUARE FEET 434294,B100000,00000,0600,0600PATIENT DAYS 434294,B100000,00000,0700,0700SQUARE FEET 434294,B100000,00000,0800,0800MEALS SERVED 434294,B100000,00000,0900,0900NURSING SALARIES 434294,B100000,00000,1000,1000COSTED REQUIS 434294,B100000,00000,1100,1100COSTED REQUIS 434294,B100000,00000,1200,1200PATIENT DAYS 434294,B100000,00000,1300,1300PATIENT DAYS 434294,B100000,00000,1400,1400ASSIGNED TIME 434294,B100000,00000,1500,1350PATIENT DAYS 434294,S000000,00100,0200,09/12/11 434294,S200000,00100,0100,20 MAITLAND STREET 434294,S200000,00200,0100,CONCORD 434294,S200000,00200,0200,NH 434294,S200000,00200,0300,03301 434294,S200000,00300,0100,MERRIMACK 434294,S200000,00300,0201,99930 434294,S200000,00300,0300,R 434294,S200000,00400,0100,HARRIS HILL CENTER 434294,S200000,00400,0200,305078 434294,S200000,00400,0300,05/14/96 434294,S200000,00400,0500,P 434294,S200000,01500,0100,Y 434294,S200000,01501,0200,N 434294,S200000,01502,0200,N 434294,S200000,01503,0200,N 434294,S200000,01504,0200,N 434294,S200000,01600,0100,N 434294,S200000,01700,0100,N 434294,S200000,01800,0100,N 434294,S200000,02200,0100,Y 434294,S200000,02800,0100,N 434294,S200000,02900,0100,N 434294,S200000,03000,0100,N 434294,S200000,03100,0100,N 434294,S200000,03200,0100,N 434294,S200000,03300,0100,N 434294,S200000,03300,0200,N 434294,S200000,04200,0100,N 434294,S200000,04300,0100,N 434294,S200000,04600,0100,N 434294,S200000,04700,0100,N 434294,S200000,04900,0100,N 434294,S200000,05200,0100,N 434294,S200000,05300,0100,Y 434294,S200000,05300,0200,HB0067 434294,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434294,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434294,S200000,05400,0300,12001 434294,S200000,05500,0100,101 EAST STATE STREET 434294,S200000,05600,0100,KENNETT SQUARE 434294,S200000,05600,0200,PA 434294,S200000,05600,0300,19348 434306,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434306,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434306,A000000,00300,0000,0300EMPLOYEE BENEFITS 434306,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434306,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434306,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434306,A000000,00700,0000,0700HOUSEKEEPING 434306,A000000,00800,0000,0800DIETARY 434306,A000000,00900,0000,0900NURSING ADMINISTRATION 434306,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434306,A000000,01100,0000,1100PHARMACY 434306,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434306,A000000,01300,0000,1300SOCIAL SERVICE 434306,A000000,01600,0000,1600SKILLED NURSING FACILITY 434306,A000000,01800,0000,1800NURSING FACILITY 434306,A000000,01900,0000,1900OTHER LONG TERM CARE 434306,A000000,02100,0000,2100RADIOLOGY 434306,A000000,02200,0000,2200LABORATORY 434306,A000000,02300,0000,2300INTRAVENOUS THERAPY 434306,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434306,A000000,02500,0000,2500PHYSICAL THERAPY 434306,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434306,A000000,02700,0000,2700SPEECH PATHOLOGY 434306,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434306,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434306,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434306,A000000,03200,0000,3200SUPPORT SURFACES 434306,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434306,A000000,04800,0000,4800AMBULANCE 434306,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434306,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434306,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434306,A81000A,00100,0100,Y 434306,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 434306,A81000B,00200,0300,LEASE BUILDING 434306,A81000B,00300,0300,ALLOWABLE HOME OFFICE 434306,A81000B,00400,0300,ANCILLARY SUPPLIES - ENTERALS 434306,A81000B,00500,0300,GLUCOSE MONITORING SUPPLIES 434306,A81000C,00100,0100,C 434306,A81000C,00100,0400,PACIFIC WEST PH 434306,A81000C,00100,0600,PHARMACY 434306,A81000C,00200,0100,C 434306,A81000C,00200,0400,EMERALD DISTRIB 434306,A81000C,00200,0600,DISTRIBUTORSHIP 434306,A81000C,00300,0100,F 434306,A81000C,00300,0400,HORIZON WEST HE 434306,A81000C,00300,0600,HOME OFFICE 434306,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434306,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434306,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434306,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434306,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434306,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434306,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434306,B100000,00000,0800,0800MEALS SERVED :DIETARY 434306,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434306,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434306,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434306,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 434306,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434306,G300000,02500,0000, OTHER (SPECIFY) 434306,S000000,00100,0200,03/14/12 434306,S200000,00100,0100,818 NORTH 400 WEST 434306,S200000,00200,0100,BLANDING 434306,S200000,00200,0200,UT 434306,S200000,00200,0300,84511 434306,S200000,00300,0100,SAN JUAN 434306,S200000,00300,0201,00046 434306,S200000,00300,0300,U 434306,S200000,00400,0100,FOUR CORNERS REGIONAL CARE CENTER 434306,S200000,00400,0200,465057 434306,S200000,00400,0300,08/01/82 434306,S200000,00400,0500,P 434306,S200000,01500,0100,Y 434306,S200000,01501,0200,Y 434306,S200000,01600,0100,N 434306,S200000,01700,0100,N 434306,S200000,01800,0100,N 434306,S200000,02200,0100,N 434306,S200000,02800,0100,N 434306,S200000,02900,0100,N 434306,S200000,03000,0100,N 434306,S200000,03100,0100,N 434306,S200000,03200,0100,N 434306,S200000,03300,0100,N 434306,S200000,03300,0200,N 434306,S200000,04100,0100,N 434306,S200000,04200,0100,N 434306,S200000,04300,0100,N 434306,S200000,04600,0100,N 434306,S200000,04700,0100,N 434306,S200000,04700,0200,N 434306,S200000,04900,0100,N 434306,S200000,05000,0100,N 434306,S200000,05100,0100,N 434306,S200000,05200,0100,N 434306,S200000,05300,0100,Y 434306,S200000,05300,0200,951175 434306,S200000,05400,0100,HORIZON WEST HEADQUARTERS 434306,S200000,05400,0200,PALMETTO GBA 434306,S200000,05400,0300,01001 434306,S200000,05500,0100,4020 SIERRA COLLEGE 434306,S200000,05600,0100,ROCKLIN 434306,S200000,05600,0200,CA 434306,S200000,05600,0300,95677 434307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434307,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434307,A000000,00300,0000,0300EMPLOYEE BENEFITS 434307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434307,A000000,00700,0000,0700HOUSEKEEPING 434307,A000000,00800,0000,0800DIETARY 434307,A000000,00900,0000,0900NURSING ADMINISTRATION 434307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434307,A000000,01100,0000,1100PHARMACY 434307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434307,A000000,01300,0000,1300SOCIAL SERVICE 434307,A000000,01600,0000,1600SKILLED NURSING FACILITY 434307,A000000,01800,0000,1800NURSING FACILITY 434307,A000000,01900,0000,1900OTHER LONG TERM CARE 434307,A000000,02100,0000,2100RADIOLOGY 434307,A000000,02200,0000,2200LABORATORY 434307,A000000,02300,0000,2300INTRAVENOUS THERAPY 434307,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434307,A000000,02500,0000,2500PHYSICAL THERAPY 434307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434307,A000000,02700,0000,2700SPEECH PATHOLOGY 434307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434307,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434307,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434307,A000000,03200,0000,3200SUPPORT SURFACES 434307,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434307,A000000,04800,0000,4800AMBULANCE 434307,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434307,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434307,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434307,A81000A,00100,0100,Y 434307,A81000B,00100,0300,ADMIN MANAGEMENT SERVICES SUB ACUTE 434307,A81000B,00200,0300,LEASE BUILDING 434307,A81000B,00300,0300,ALLOWABLE HOME OFFICE 434307,A81000B,00400,0300,ANCILLARY SUPPLIES - ENTERALS 434307,A81000B,00500,0300,GLUCOSE MONITORING SUPPLIES 434307,A81000C,00100,0100,C 434307,A81000C,00100,0400,PACIFIC WEST PH 434307,A81000C,00100,0600,PHARMACY 434307,A81000C,00200,0100,C 434307,A81000C,00200,0400,EMERALD DISTRIB 434307,A81000C,00200,0600,DISTRIBUTORSHIP 434307,A81000C,00300,0100,F 434307,A81000C,00300,0400,HORIZON WEST HE 434307,A81000C,00300,0600,HOME OFFICE 434307,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434307,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434307,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434307,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434307,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434307,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434307,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434307,B100000,00000,0800,0800MEALS SERVED :DIETARY 434307,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434307,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434307,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434307,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 434307,B100000,00000,1300,1330GROSS REVENUES :SOCIAL SERVICE 434307,G300000,02500,0000, OTHER (SPECIFY) 434307,S000000,00100,0200,03/14/12 434307,S200000,00100,0100,1745 EAST 280 NORTH 434307,S200000,00200,0100,ST. GEORGE 434307,S200000,00200,0200,UT 434307,S200000,00200,0300,84790 434307,S200000,00300,0100,WASHINGTON 434307,S200000,00300,0201,41100 434307,S200000,00300,0300,R 434307,S200000,00400,0100,RED CLIFFS REGIONAL REHABILITATION 434307,S200000,00400,0200,465137 434307,S200000,00400,0300,12/22/93 434307,S200000,00400,0500,P 434307,S200000,01500,0100,Y 434307,S200000,01501,0200,Y 434307,S200000,01600,0100,N 434307,S200000,01700,0100,N 434307,S200000,01800,0100,N 434307,S200000,02200,0100,N 434307,S200000,02800,0100,N 434307,S200000,02900,0100,N 434307,S200000,03000,0100,N 434307,S200000,03100,0100,N 434307,S200000,03200,0100,N 434307,S200000,03300,0100,N 434307,S200000,03300,0200,N 434307,S200000,04100,0100,N 434307,S200000,04200,0100,N 434307,S200000,04300,0100,N 434307,S200000,04600,0100,N 434307,S200000,04700,0100,N 434307,S200000,04700,0200,N 434307,S200000,04900,0100,N 434307,S200000,05000,0100,N 434307,S200000,05100,0100,N 434307,S200000,05200,0100,N 434307,S200000,05300,0100,Y 434307,S200000,05300,0200,951175 434307,S200000,05400,0100,HORIZON WEST HEADQUARTERS 434307,S200000,05400,0200,PALMETTO GBA 434307,S200000,05400,0300,01001 434307,S200000,05500,0100,4020 SIERRA COLLEGE 434307,S200000,05600,0100,ROCKLIN 434307,S200000,05600,0200,CA 434307,S200000,05600,0300,95677 434308,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434308,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434308,A000000,00300,0000,0300EMPLOYEE BENEFITS 434308,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434308,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434308,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434308,A000000,00700,0000,0700HOUSEKEEPING 434308,A000000,00800,0000,0800DIETARY 434308,A000000,00900,0000,0900NURSING ADMINISTRATION 434308,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434308,A000000,01100,0000,1100PHARMACY 434308,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434308,A000000,01300,0000,1300SOCIAL SERVICE 434308,A000000,01600,0000,1600SKILLED NURSING FACILITY 434308,A000000,01800,0000,1800NURSING FACILITY 434308,A000000,01900,0000,1900OTHER LONG TERM CARE 434308,A000000,02100,0000,2100RADIOLOGY 434308,A000000,02200,0000,2200LABORATORY 434308,A000000,02300,0000,2300INTRAVENOUS THERAPY 434308,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434308,A000000,02500,0000,2500PHYSICAL THERAPY 434308,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434308,A000000,02700,0000,2700SPEECH PATHOLOGY 434308,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434308,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434308,A000000,03200,0000,3200SUPPORT SURFACES 434308,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434308,A000000,04800,0000,4800AMBULANCE 434308,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434308,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434308,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434308,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434308,A81000A,00100,0100,Y 434308,A81000B,00100,0300,MANAGEMENT SERVICES 434308,A81000B,00200,0300,HOME OFFICE ALLOCATION- CAPITAL 434308,A81000B,00300,0300,HOME OFFICE ALLOCATION- NON CAPITAL 434308,A81000B,00400,0300,NURSING SUPPLIES 434308,A81000B,00500,0300,MEDICAL SUPPLIES 434308,A81000B,00600,0300,CONSULTANT 434308,A81000B,00700,0300,PHARMACY SUPPLIES 434308,A81000B,00800,0300,PHARMACY IV 434308,A81000B,00900,0300,PHARMACY RX 434308,A81000B,01000,0300,PHARMACY NON OTC 434308,A81000B,01100,0300,NURSING CONSULTANT 434308,A81000B,01200,0300,EQUIPMENT RENTAL 434308,A81000B,01300,0300,DATA PROCESSING FEE 434308,A81000C,00100,0100,B 434308,A81000C,00100,0200,REISSMAN FAMILY 434308,A81000C,00100,0400,COUNTRY VILLA H 434308,A81000C,00100,0600,MANAGEMENT SVCS 434308,A81000C,00200,0100,D 434308,A81000C,00200,0200,BRIUS MGMT LLC 434308,A81000C,00200,0400,TWIN MED 434308,A81000C,00200,0600,MEDICAL SUPPLIE 434308,A81000C,00300,0100,D 434308,A81000C,00300,0200,BRIUS MGMT LLC 434308,A81000C,00300,0400,PHARMACY ADVANT 434308,A81000C,00300,0600,PHARMACY 434308,A81000C,00400,0100,D 434308,A81000C,00400,0200,BRIUS MGMT LLC 434308,A81000C,00400,0400,J1 MEDICAL (RAM 434308,A81000C,00400,0600,MEDICAL SUPPLIE 434308,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434308,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434308,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434308,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434308,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434308,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434308,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434308,B100000,00000,0800,0800MEALS SERVED :DIETARY 434308,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434308,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 434308,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434308,G300000,02500,0000,BEDHOLD/BEAUTY/OTHER REVENUE 434308,S000000,00100,0200,07/02/12 434308,S200000,00100,0100,523 HAYES LANE 434308,S200000,00200,0100,PETALUMA 434308,S200000,00200,0200,CA 434308,S200000,00200,0300,94952 434308,S200000,00300,0100,SONOMA 434308,S200000,00300,0201,42220 434308,S200000,00300,0300,U 434308,S200000,00400,0100,COUNTRY VILLA PETALUMA 434308,S200000,00400,0200,555703 434308,S200000,00400,0300,06/01/93 434308,S200000,00400,0500,P 434308,S200000,01500,0100,Y 434308,S200000,01501,0200,Y 434308,S200000,01600,0100,N 434308,S200000,01700,0100,N 434308,S200000,01800,0100,N 434308,S200000,02200,0100,N 434308,S200000,02800,0100,N 434308,S200000,02900,0100,N 434308,S200000,03000,0100,N 434308,S200000,03100,0100,N 434308,S200000,03200,0100,N 434308,S200000,03300,0100,N 434308,S200000,03300,0200,N 434308,S200000,04100,0100,N 434308,S200000,04200,0100,N 434308,S200000,04300,0100,N 434308,S200000,04600,0100,N 434308,S200000,04700,0100,N 434308,S200000,04700,0200,N 434308,S200000,04900,0100,N 434308,S200000,05000,0100,N 434308,S200000,05100,0100,N 434308,S200000,05200,0100,N 434308,S200000,05300,0100,Y 434308,S200000,05300,0200,HB0272 434308,S200000,05400,0100,COUNTRY VILLA SERVICE CORP. 434308,S200000,05400,0200,PALMETTO GBA 434308,S200000,05400,0300,01001 434308,S200000,05500,0100,5120 W. GOLDLEAF CIRCLE 434308,S200000,05500,0200,STE. 400 434308,S200000,05600,0100,LOS ANGELES 434308,S200000,05600,0200,CA 434308,S200000,05600,0300,90056 434310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434310,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434310,A000000,00300,0000,0300EMPLOYEE BENEFITS 434310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434310,A000000,00700,0000,0700HOUSEKEEPING 434310,A000000,00800,0000,0800DIETARY 434310,A000000,00900,0000,0900NURSING ADMINISTRATION 434310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434310,A000000,01100,0000,1100PHARMACY 434310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434310,A000000,01300,0000,1300SOCIAL SERVICE 434310,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434310,A000000,01500,0000,1350ACTIVITIES 434310,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434310,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434310,A000000,01600,0000,1600SKILLED NURSING FACILITY 434310,A000000,01800,0000,1800NURSING FACILITY 434310,A000000,01810,0000,1810ICF/MR 434310,A000000,01900,0000,1900OTHER LONG TERM CARE 434310,A000000,02100,0000,2100RADIOLOGY 434310,A000000,02200,0000,2200LABORATORY 434310,A000000,02300,0000,2300INTRAVENOUS THERAPY 434310,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434310,A000000,02500,0000,2500PHYSICAL THERAPY 434310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434310,A000000,02700,0000,2700SPEECH PATHOLOGY 434310,A000000,02800,0000,2800ELECTROCARDIOLOGY 434310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434310,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434310,A000000,03200,0000,3200SUPPORT SURFACES 434310,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434310,A000000,03301,0000,3051AIR FLUID THERAPY 434310,A000000,03302,0000,3052AMBULANCE 434310,A000000,03303,0000,3053PEN THERAPY 434310,A000000,03304,0000,3054ONCOLOGY 434310,A000000,03305,0000,3055CARDIOLOGY 434310,A000000,03306,0000,3056ULTRASOUND 434310,A000000,03307,0000,3057AUDIOLOGY 434310,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434310,A000000,03400,0000,3400CLINIC 434310,A000000,03500,0000,3500RURAL HEALTH CLINIC 434310,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434310,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434310,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434310,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434310,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434310,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434310,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434310,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434310,A000000,04400,0000,4400DME RENTED - HHA 434310,A000000,04500,0000,4500DME SOLD - HHA 434310,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434310,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434310,A000000,04710,0000,4710TELEMEDICINE 434310,A000000,04800,0000,4800AMBULANCE 434310,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434310,A000000,05000,0000,5000CORF 434310,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434310,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434310,A000000,05300,0000,5300INTEREST EXPENSE 434310,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434310,A000000,05500,0000,5500HOSPICE 434310,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434310,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434310,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434310,A000000,06100,0000,6100NONPAID WORKERS 434310,A000000,06200,0000,6200PATIENTS LAUNDRY 434310,A000000,06300,0000,6150OTHER 434310,A000000,06301,0000,6151ASSISTED LIVING 434310,A000000,06302,0000,6152INDEPENDENT LIVING 434310,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434310,A81000A,00100,0100,Y 434310,A81000B,00100,0300,CAPITAL RELATED BLDG - LAND LEASE 434310,A81000B,00200,0300,MGMT FEE - CAP RELATED BLDG 434310,A81000B,00400,0300,MGMT FEE - A&G RELATED 434310,A81000B,00500,0300,EMPLOYEE BENEFITS 434310,A81000B,00600,0300,A&G 434310,A81000B,00700,0300,LAUNDRY 434310,A81000B,00800,0300,NURSING ADMIN 434310,A81000B,00900,0300,CENTRAL SUPPLY 434310,A81000B,01000,0300,PHYSICAL THERAPY 434310,A81000B,01100,0300,OCCUPATIONAL THERAPY 434310,A81000B,01200,0300,SPEECH THERAPY 434310,A81000B,01300,0300,CLINIC 434310,A81000B,01400,0300,HOME HEALTH 434310,A81000B,01500,0300,ASSISTED LIVING 434310,A81000B,01600,0300,INDEPENDENT LIVING 434310,A81000C,00100,0100,B 434310,A81000C,00100,0200,ORCHARD COVE INC. 434310,A81000C,00100,0400,HEBREW SR LIVING 434310,A81000C,00100,0600,PARENT CORP 434310,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434310,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434310,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434310,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434310,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434310,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434310,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434310,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434310,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434310,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434310,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434310,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434310,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434310,G300000,02500,0000,OTHER - SEE GROUPINGS 434310,G300000,02503,0000,OTHER - SEE GROUPINGS 434310,G300000,02504,0000,OTHER - SEE GROUPINGS 434310,H513100,00000,0000,14484 434310,H513200,00000,0000,15764 434310,S000000,00100,0200,02/29/12 434310,S200000,00100,0100,ONE DEL POND DRIVE 434310,S200000,00200,0100,CANTON 434310,S200000,00200,0200,MA 434310,S200000,00200,0300,02021 434310,S200000,00300,0100,NORFOLK 434310,S200000,00300,0200,1123 434310,S200000,00300,0201,14484 434310,S200000,00300,0300,U 434310,S200000,00400,0100,ORCHARD COVE INC. 434310,S200000,00400,0200,225672 434310,S200000,00400,0300,10/20/94 434310,S200000,00400,0500,P 434310,S200000,00400,0600,P 434310,S200000,00800,0200,227422 434310,S200000,00800,0300,10/18/95 434310,S200000,00800,0500,P 434310,S200000,00800,0600,P 434310,S200000,01500,0100,Y 434310,S200000,01501,0200,N 434310,S200000,01502,0200,Y 434310,S200000,01503,0200,Y 434310,S200000,01504,0200,N 434310,S200000,01600,0100,N 434310,S200000,01700,0100,N 434310,S200000,01800,0100,N 434310,S200000,02200,0100,N 434310,S200000,02800,0100,N 434310,S200000,02900,0100,N 434310,S200000,03000,0100,N 434310,S200000,03100,0100,N 434310,S200000,03200,0100,N 434310,S200000,03300,0100,N 434310,S200000,03300,0200,N 434310,S200000,03700,0100,N 434310,S200000,03700,0200,N 434310,S200000,04100,0100,N 434310,S200000,04200,0100,N 434310,S200000,04300,0100,N 434310,S200000,04600,0100,N 434310,S200000,04700,0100,N 434310,S200000,04700,0200,N 434310,S200000,04900,0100,N 434310,S200000,05000,0100,N 434310,S200000,05100,0100,N 434310,S200000,05200,0100,N 434310,S200000,05300,0100,Y 434310,S200000,05300,0200,HO2007 434310,S200000,05400,0100,HEBREW SENIOR LIFE INC. 434310,S200000,05400,0200,NHIC CORP C/O NATIONAL GOV T SERVIC 434310,S200000,05400,0300,13201 434310,S200000,05500,0100,1200 CENTRE STREET 434310,S200000,05600,0100,ROSLINDALE 434310,S200000,05600,0200,MA 434310,S200000,05600,0300,02131 434310,S410002,01700,0101,14484 434310,S410002,01701,0101,15764 434311,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434311,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434311,A000000,00300,0000,0300EMPLOYEE BENEFITS 434311,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434311,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434311,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434311,A000000,00700,0000,0700HOUSEKEEPING 434311,A000000,00800,0000,0800DIETARY 434311,A000000,00900,0000,0900NURSING ADMINISTRATION 434311,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434311,A000000,01100,0000,1100PHARMACY 434311,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434311,A000000,01300,0000,1300SOCIAL SERVICE 434311,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434311,A000000,01600,0000,1600SKILLED NURSING FACILITY 434311,A000000,01800,0000,1800NURSING FACILITY 434311,A000000,01900,0000,1900OTHER LONG TERM CARE 434311,A000000,02100,0000,2100RADIOLOGY 434311,A000000,02200,0000,2200LABORATORY 434311,A000000,02300,0000,2300INTRAVENOUS THERAPY 434311,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434311,A000000,02500,0000,2500PHYSICAL THERAPY 434311,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434311,A000000,02700,0000,2700SPEECH PATHOLOGY 434311,A000000,02800,0000,2800ELECTROCARDIOLOGY 434311,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434311,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434311,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434311,A000000,03200,0000,3200SUPPORT SURFACES 434311,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434311,A000000,03400,0000,3400CLINIC 434311,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434311,A000000,04800,0000,4800AMBULANCE 434311,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434311,A000000,05000,0000,5000CORF 434311,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434311,A000000,05300,0000,5300INTEREST EXPENSE 434311,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434311,A000000,05500,0000,5500HOSPICE 434311,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434311,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434311,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434311,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434311,A000000,06100,0000,6100NONPAID WORKERS 434311,A000000,06200,0000,6200PATIENTS LAUNDRY 434311,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434311,A81000A,00100,0100,Y 434311,A81000B,00100,0300,NURSING CONSULTING 434311,A81000B,00200,0300,DIETARY CONSULTING 434311,A81000B,00300,0300,HOME OFFICE 434311,A81000B,00400,0300,INTEREST EXPENSE 434311,A81000B,00500,0300,WORKERS COMP EXPENSE 434311,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434311,A81000B,00700,0300,COPIER 434311,A81000B,00800,0300,MAINTENANCE SUPPLIES 434311,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434311,A81000B,01000,0300,REPAIRS-EQUIPMENT 434311,A81000B,01100,0300,REPAIRS-GROUNDS 434311,A81000B,01200,0300,LINEN & BEDDING 434311,A81000B,01300,0300,LAUNDRY SUPPLIES 434311,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 434311,A81000B,01500,0300,DIETARY SUPPLEMENTS 434311,A81000B,01600,0300,DIETARY SUPPLIES 434311,A81000B,01700,0300,BIO-MEDICAL WASTE 434311,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434311,A81000B,01900,0300,MISCELLANEOUS EXPENSE 434311,A81000B,02000,0300,NURSING EQUIPMENT RENTAL 434311,A81000B,02100,0300,PERSONAL CARE SUPPLIES 434311,A81000B,02200,0300,INCONTINENCE SUPPLIES 434311,A81000B,02300,0300,MEDICAL SUPPLIES 434311,A81000B,02400,0300,OXYGEN THERAPY SUPPLIES 434311,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 434311,A81000B,02600,0300,MINOR EQUIPMENT EXPENSE 434311,A81000B,02700,0300,NURSING EQUIPMENT RENTAL 434311,A81000B,02800,0300,NON-LEGEND DRUGS 434311,A81000B,02900,0300,PHARMACY CONSULTANT 434311,A81000C,00100,0100,B 434311,A81000C,00100,0200,PLTC & PITS INC 434311,A81000C,00100,0400,PLTC & PITS INC 434311,A81000C,00100,0600,MGMT SERVICES 434311,A81000C,00200,0100,B 434311,A81000C,00200,0200,PLTC & PITS INC 434311,A81000C,00200,0400,PLTC & PITS INC 434311,A81000C,00200,0600,MGMT SERVICES 434311,A81000C,00300,0100,B 434311,A81000C,00300,0200,PLTC & PITS INC 434311,A81000C,00300,0400,PLTC & PITS INC 434311,A81000C,00300,0600,MGMT SERVICES 434311,A81000C,00400,0100,B 434311,A81000C,00400,0200,PLTC & PITS INC 434311,A81000C,00400,0400,PLTC & PITS INC 434311,A81000C,00400,0600,MGMT SERVICES 434311,A81000C,00500,0100,A 434311,A81000C,00500,0200,SHAREHOLDERS 434311,A81000C,00500,0400,DISCOVERY INSUR 434311,A81000C,00500,0600,INSURANCE 434311,A81000C,00600,0100,A 434311,A81000C,00600,0200,SHAREHOLDERS 434311,A81000C,00600,0400,QUEENSLAND ASSU 434311,A81000C,00600,0600,INSURANCE 434311,A81000C,00700,0100,A 434311,A81000C,00700,0200,SHAREHOLDERS 434311,A81000C,00700,0400,KARE MEDICAL 434311,A81000C,00700,0600,WHOLESALE SUPPL 434311,A81000C,00800,0100,A 434311,A81000C,00800,0200,SHAREHOLDERS 434311,A81000C,00800,0400,KARE MEDICAL 434311,A81000C,00800,0600,WHOLESALE SUPPL 434311,A81000C,00900,0100,A 434311,A81000C,00900,0200,SHAREHOLDERS 434311,A81000C,00900,0400,KARE MEDICAL 434311,A81000C,00900,0600,WHOLESALE SUPPL 434311,A81000C,01000,0100,A 434311,A81000C,01000,0200,SHAREHOLDERS 434311,A81000C,01000,0400,KARE MEDICAL 434311,A81000C,01000,0600,WHOLESALE SUPPL 434311,A81000C,01001,0100,A 434311,A81000C,01001,0200,SHAREHOLDERS 434311,A81000C,01001,0400,KARE MEDICAL 434311,A81000C,01001,0600,WHOLESALE SUPPL 434311,A81000C,01002,0100,A 434311,A81000C,01002,0200,SHAREHOLDERS 434311,A81000C,01002,0400,KARE MEDICAL 434311,A81000C,01002,0600,WHOLESALE SUPPL 434311,A81000C,01003,0100,A 434311,A81000C,01003,0200,SHAREHOLDERS 434311,A81000C,01003,0400,KARE MEDICAL 434311,A81000C,01003,0600,WHOLESALE SUPPL 434311,A81000C,01004,0100,A 434311,A81000C,01004,0200,SHAREHOLDERS 434311,A81000C,01004,0400,KARE MEDICAL 434311,A81000C,01004,0600,WHOLESALE SUPPL 434311,A81000C,01005,0100,A 434311,A81000C,01005,0200,SHAREHOLDERS 434311,A81000C,01005,0400,KARE MEDICAL 434311,A81000C,01005,0600,WHOLESALE SUPPL 434311,A81000C,01006,0100,A 434311,A81000C,01006,0200,SHAREHOLDERS 434311,A81000C,01006,0400,KARE MEDICAL 434311,A81000C,01006,0600,WHOLESALE SUPPL 434311,A81000C,01007,0100,A 434311,A81000C,01007,0200,SHAREHOLDERS 434311,A81000C,01007,0400,KARE MEDICAL 434311,A81000C,01007,0600,WHOLESALE SUPPL 434311,A81000C,01008,0100,A 434311,A81000C,01008,0200,SHAREHOLDERS 434311,A81000C,01008,0400,KARE MEDICAL 434311,A81000C,01008,0600,WHOLESALE SUPPL 434311,A81000C,01009,0100,A 434311,A81000C,01009,0200,SHAREHOLDERS 434311,A81000C,01009,0400,KARE MEDICAL 434311,A81000C,01009,0600,WHOLESALE SUPPL 434311,A81000C,01010,0100,A 434311,A81000C,01010,0200,SHAREHOLDERS 434311,A81000C,01010,0400,KARE MEDICAL 434311,A81000C,01010,0600,WHOLESALE SUPPL 434311,A81000C,01011,0100,A 434311,A81000C,01011,0200,SHAREHOLDERS 434311,A81000C,01011,0400,KARE MEDICAL 434311,A81000C,01011,0600,WHOLESALE SUPPL 434311,A81000C,01012,0100,A 434311,A81000C,01012,0200,SHAREHOLDERS 434311,A81000C,01012,0400,KARE MEDICAL 434311,A81000C,01012,0600,WHOLESALE SUPPL 434311,A81000C,01013,0100,A 434311,A81000C,01013,0200,SHAREHOLDERS 434311,A81000C,01013,0400,KARE MEDICAL 434311,A81000C,01013,0600,WHOLESALE SUPPL 434311,A81000C,01014,0100,A 434311,A81000C,01014,0200,SHAREHOLDERS 434311,A81000C,01014,0400,KARE MEDICAL 434311,A81000C,01014,0600,WHOLESALE SUPPL 434311,A81000C,01015,0100,A 434311,A81000C,01015,0200,SHAREHOLDERS 434311,A81000C,01015,0400,KARE MEDICAL 434311,A81000C,01015,0600,WHOLESALE SUPPL 434311,A81000C,01016,0100,A 434311,A81000C,01016,0200,SHAREHOLDERS 434311,A81000C,01016,0400,KARE MEDICAL 434311,A81000C,01016,0600,WHOLESALE SUPPL 434311,A81000C,01017,0100,A 434311,A81000C,01017,0200,SHAREHOLDERS 434311,A81000C,01017,0400,PHARMSAVE 434311,A81000C,01017,0600,RX SUPPLY 434311,A81000C,01018,0100,A 434311,A81000C,01018,0200,SHAREHOLDERS 434311,A81000C,01018,0400,PHARMSAVE 434311,A81000C,01018,0600,RX SUPPLY 434311,A81000C,01019,0100,A 434311,A81000C,01019,0200,SHAREHOLDERS 434311,A81000C,01019,0400,PHARMSAVE 434311,A81000C,01019,0600,RX SUPPLY 434311,A81000C,01020,0100,A 434311,A81000C,01020,0200,SHAREHOLDERS 434311,A81000C,01020,0400,PHARMSAVE 434311,A81000C,01020,0600,RX SUPPLY 434311,A81000C,01021,0100,A 434311,A81000C,01021,0200,SHAREHOLDERS 434311,A81000C,01021,0400,PHARMSAVE 434311,A81000C,01021,0600,RX SUPPLY 434311,A81000C,01022,0100,A 434311,A81000C,01022,0200,SHAREHOLDERS 434311,A81000C,01022,0400,PHARMSAVE 434311,A81000C,01022,0600,RX SUPPLY 434311,A81000C,01023,0100,A 434311,A81000C,01023,0200,SHAREHOLDERS 434311,A81000C,01023,0400,ROBERT HILL CON 434311,A81000C,01023,0600,CONSTRUCTION 434311,A81000C,01024,0100,A 434311,A81000C,01024,0200,SHAREHOLDERS 434311,A81000C,01024,0400,ROBERT HILL CON 434311,A81000C,01024,0600,CONSTRUCTION 434311,A81000C,01025,0100,A 434311,A81000C,01025,0200,SHAREHOLDERS 434311,A81000C,01025,0400,HILLCO LTD 434311,A81000C,01025,0600,REAL ESTATE 434311,A81000C,01026,0100,A 434311,A81000C,01026,0200,SHAREHOLDERS 434311,A81000C,01026,0400,BRITTHAVEN INC 434311,A81000C,01026,0600,REAL ESTATE 434311,A81000C,01027,0100,A 434311,A81000C,01027,0200,SHAREHOLDERS 434311,A81000C,01027,0400,BRITTHAVEN INC 434311,A81000C,01027,0600,REAL ESTATE 434311,A81000C,01028,0100,A 434311,A81000C,01028,0200,SHAREHOLDERS 434311,A81000C,01028,0400,BRITTHAVEN INC 434311,A81000C,01028,0600,REAL ESTATE 434311,A81000C,01029,0100,A 434311,A81000C,01029,0200,SHAREHOLDERS 434311,A81000C,01029,0400,BRITTHAVEN INC 434311,A81000C,01029,0600,REAL ESTATE 434311,A81000C,01030,0100,A 434311,A81000C,01030,0200,SHAREHOLDERS 434311,A81000C,01030,0400,BRITTHAVEN INC 434311,A81000C,01030,0600,REAL ESTATE 434311,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434311,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434311,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434311,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434311,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434311,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434311,B100000,00000,0800,0800MEALS SERVED :DIETARY 434311,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434311,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434311,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434311,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434311,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434311,E10A180,00350,0100,07/27/11 434311,E10A180,00501,0100,05/21/12 434311,G300000,02500,0000, OTHER (SPECIFY) 434311,S000000,00100,0200,02/29/12 434311,S200000,00100,0100,706 PINEY WOOD ROAD 434311,S200000,00200,0100,THOMASVILLE 434311,S200000,00200,0200,NC 434311,S200000,00200,0300,27630 434311,S200000,00300,0100,DAVIDSON 434311,S200000,00300,0201,99934 434311,S200000,00300,0300,R 434311,S200000,00400,0100,PINE RIDGE HEALTH & REHAB CENTER 434311,S200000,00400,0200,345144 434311,S200000,00400,0300,01/01/11 434311,S200000,00400,0500,P 434311,S200000,01500,0100,N 434311,S200000,01501,0200,Y 434311,S200000,01502,0200,Y 434311,S200000,01503,0200,Y 434311,S200000,01504,0200,Y 434311,S200000,01505,0000,OTHER (SPECIFY) 434311,S200000,01505,0200,Y 434311,S200000,01600,0100,Y 434311,S200000,01700,0100,N 434311,S200000,01800,0100,N 434311,S200000,02200,0100,N 434311,S200000,02800,0100,N 434311,S200000,02900,0100,N 434311,S200000,03000,0100,N 434311,S200000,03100,0100,N 434311,S200000,03200,0100,N 434311,S200000,03300,0100,N 434311,S200000,03300,0200,N 434311,S200000,04100,0100,N 434311,S200000,04200,0100,N 434311,S200000,04300,0100,N 434311,S200000,04600,0100,N 434311,S200000,04700,0100,N 434311,S200000,04700,0200,N 434311,S200000,04900,0100,N 434311,S200000,05000,0100,N 434311,S200000,05100,0100,N 434311,S200000,05200,0100,N 434311,S200000,05300,0100,Y 434311,S200000,05300,0200,349011 434311,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434311,S200000,05400,0200,PALMETTO GBA 434311,S200000,05400,0300,11501 434311,S200000,05500,0100,1435 HWY 258 NORTH 434311,S200000,05600,0100,KINSTON 434311,S200000,05600,0200,NC 434311,S200000,05600,0300,28502 434314,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434314,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434314,A000000,00300,0000,0300EMPLOYEE BENEFITS 434314,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434314,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434314,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434314,A000000,00700,0000,0700HOUSEKEEPING 434314,A000000,00800,0000,0800DIETARY 434314,A000000,00900,0000,0900NURSING ADMINISTRATION 434314,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434314,A000000,01100,0000,1100PHARMACY 434314,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434314,A000000,01300,0000,1300SOCIAL SERVICE 434314,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434314,A000000,01500,0000,1350RECREATION ACTIVITIES 434314,A000000,01600,0000,1600SKILLED NURSING FACILITY 434314,A000000,01810,0000,1810ICF/MR 434314,A000000,02100,0000,2100RADIOLOGY 434314,A000000,02200,0000,2200LABORATORY 434314,A000000,02500,0000,2500PHYSICAL THERAPY 434314,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434314,A000000,02700,0000,2700SPEECH PATHOLOGY 434314,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434314,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434314,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434314,A000000,03301,0000,3051ENTERAL FEEDING 434314,A000000,03550,0000,3550FQHC 434314,A000000,05000,0000,5000CORF 434314,A000000,05010,0000,5010CMHC 434314,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434314,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434314,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434314,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434314,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434314,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434314,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434314,A000000,06312,0000,6153DIALYSIS 434314,A000000,06320,0000,6154APARTMENTS 434314,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434314,A000000,06340,0000,6156CLOSED PATIENT AREAS 434314,A000000,06350,0000,6157O/P ADULT DAYCARE 434314,A000000,06360,0000,6158MARKETING 434314,A81000A,00100,0100,Y 434314,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434314,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434314,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434314,A81000B,00400,0300,BUILDING RENT 434314,A81000C,00100,0100,A 434314,A81000C,00100,0200,FUNDAMENTAL HOL 434314,A81000C,00100,0400,FAS FCC FCOS 434314,A81000C,00100,0600,SUPPORT SERVICE 434314,A81000C,00200,0100,A 434314,A81000C,00200,0200,M. FOREMAN/L. G 434314,A81000C,00200,0400,GOLDEN PLAINS R 434314,A81000C,00200,0600,REALTY SERVICES 434314,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 434314,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 434314,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434314,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 434314,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 434314,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 434314,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 434314,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 434314,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 434314,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 434314,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 434314,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 434314,E10A180,00501,0100,05/17/12 434314,E10A180,00501,0300,05/17/12 434314,G300000,02506,0000,INTEREST INCOME PATIENT A/R 434314,S000000,00100,0200,02/07/12 434314,S200000,00100,0100,1202 E 23RD STREET 434314,S200000,00200,0100,HUTCHINSON 434314,S200000,00200,0200,KS 434314,S200000,00200,0300,67502 434314,S200000,00300,0100,RENO 434314,S200000,00300,0201,17 434314,S200000,00300,0300,R 434314,S200000,00400,0100,GOLDEN PLAINS HEALTHCARE CTR 434314,S200000,00400,0200,175114 434314,S200000,00400,0300,11/01/86 434314,S200000,00400,0500,P 434314,S200000,00400,0600,O 434314,S200000,01500,0100,Y 434314,S200000,01501,0200,Y 434314,S200000,01502,0200,Y 434314,S200000,01503,0200,Y 434314,S200000,01504,0200,Y 434314,S200000,01600,0100,N 434314,S200000,01700,0100,N 434314,S200000,01800,0100,N 434314,S200000,01900,0100,LLC 434314,S200000,02200,0100,N 434314,S200000,02800,0100,N 434314,S200000,02900,0100,N 434314,S200000,03000,0100,N 434314,S200000,03100,0100,N 434314,S200000,03200,0100,N 434314,S200000,03300,0100,N 434314,S200000,03300,0200,N 434314,S200000,04100,0100,N 434314,S200000,04200,0100,N 434314,S200000,04300,0100,N 434314,S200000,04600,0100,N 434314,S200000,04700,0100,N 434314,S200000,04700,0200,N 434314,S200000,04900,0100,N 434314,S200000,05000,0100,N 434314,S200000,05100,0100,N 434314,S200000,05200,0100,N 434314,S200000,05300,0100,Y 434315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434315,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434315,A000000,00300,0000,0300EMPLOYEE BENEFITS 434315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434315,A000000,00700,0000,0700HOUSEKEEPING 434315,A000000,00800,0000,0800DIETARY 434315,A000000,00900,0000,0900NURSING ADMINISTRATION 434315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434315,A000000,01100,0000,1100PHARMACY 434315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434315,A000000,01300,0000,1300SOCIAL SERVICE 434315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434315,A000000,01500,0000,1350RECREATION 434315,A000000,01600,0000,1600SKILLED NURSING FACILITY 434315,A000000,01810,0000,1810ICF/MR 434315,A000000,02100,0000,2100RADIOLOGY 434315,A000000,02200,0000,2200LABORATORY 434315,A000000,02300,0000,2300INTRAVENOUS THERAPY 434315,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434315,A000000,02500,0000,2500PHYSICAL THERAPY 434315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434315,A000000,02700,0000,2700SPEECH PATHOLOGY 434315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434315,A000000,03550,0000,3550FQHC 434315,A000000,04801,0000,4801AMBULANCE 434315,A000000,04802,0000,4802AMBULANCE 434315,A000000,04803,0000,4803AMBULANCE 434315,A000000,05000,0000,5000CORF 434315,A000000,05010,0000,5010CMHC 434315,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434315,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434315,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434315,A81000A,00100,0100,Y 434315,A81000B,00100,0300,SEE ATTACHED 434315,A81000B,00200,0300,CAPITAL INTEREST 434315,A81000B,00300,0300,HOME OFFICE 434315,A81000B,00400,0300,HOME OFFICE 434315,A81000C,00100,0100,B 434315,A81000C,00100,0400,SEE ATTACHED 434315,A81000C,00100,0600,VARIOUS 434315,A81000C,00200,0100,B 434315,A81000C,00200,0400,GHC 434315,A81000C,00200,0600,LONG TERM CARE 434315,A81000C,00300,0100,B 434315,A81000C,00300,0400,GHC 434315,A81000C,00300,0600,LONG TERM CARE 434315,A81000C,00400,0100,B 434315,A81000C,00400,0400,GHC 434315,A81000C,00400,0600,LONG TERM CARE 434315,B100000,00000,0100,0100SQUARE FEET 434315,B100000,00000,0200,0200SQUARE FEET 434315,B100000,00000,0300,0300GROSS SALARIES 434315,B100000,00000,0400,0400ACCUM COST 434315,B100000,00000,0500,0500SQUARE FEET 434315,B100000,00000,0600,0600PATIENT DAYS 434315,B100000,00000,0700,0700SQUARE FEET 434315,B100000,00000,0800,0800MEALS SERVED 434315,B100000,00000,0900,0900NURSING SALARIES 434315,B100000,00000,1000,1000COSTED REQUIS 434315,B100000,00000,1100,1100COSTED REQUIS 434315,B100000,00000,1200,1200PATIENT DAYS 434315,B100000,00000,1300,1300PATIENT DAYS 434315,B100000,00000,1400,1400ASSIGNED TIME 434315,B100000,00000,1500,1350PATIENT DAYS 434315,E10A180,00301,0100,03/21/11 434315,E10A180,00550,0100,05/08/12 434315,E10A180,00550,0300,05/08/12 434315,G300000,02500,0000,BARBER & BEAUTY 434315,S000000,00100,0200,09/12/11 434315,S200000,00100,0100,2601 EVESHAM ROAD 434315,S200000,00200,0100,VOORHEES 434315,S200000,00200,0200,NJ 434315,S200000,00200,0300,08043 434315,S200000,00300,0100,CAMDEN 434315,S200000,00300,0201,15804 434315,S200000,00300,0300,U 434315,S200000,00400,0100,KRESSON VIEW CENTER 434315,S200000,00400,0200,315207 434315,S200000,00400,0300,03/01/85 434315,S200000,00400,0500,P 434315,S200000,01500,0100,Y 434315,S200000,01501,0200,N 434315,S200000,01502,0200,N 434315,S200000,01503,0200,N 434315,S200000,01504,0200,N 434315,S200000,01600,0100,N 434315,S200000,01700,0100,N 434315,S200000,01800,0100,N 434315,S200000,02200,0100,Y 434315,S200000,02800,0100,N 434315,S200000,02900,0100,N 434315,S200000,03000,0100,N 434315,S200000,03100,0100,N 434315,S200000,03200,0100,N 434315,S200000,03300,0100,N 434315,S200000,03300,0200,N 434315,S200000,04200,0100,N 434315,S200000,04300,0100,N 434315,S200000,04600,0100,N 434315,S200000,04700,0100,N 434315,S200000,04900,0100,N 434315,S200000,05200,0100,N 434315,S200000,05300,0100,Y 434315,S200000,05300,0200,HB0067 434315,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434315,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434315,S200000,05400,0300,12001 434315,S200000,05500,0100,101 EAST STATE STREET 434315,S200000,05600,0100,KENNETT SQUARE 434315,S200000,05600,0200,PA 434315,S200000,05600,0300,19348 434317,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434317,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434317,A000000,00300,0000,0300EMPLOYEE BENEFITS 434317,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434317,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434317,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434317,A000000,00700,0000,0700HOUSEKEEPING 434317,A000000,00800,0000,0800DIETARY 434317,A000000,00900,0000,0900NURSING ADMINISTRATION 434317,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434317,A000000,01100,0000,1100PHARMACY 434317,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434317,A000000,01300,0000,1300SOCIAL SERVICE 434317,A000000,01301,0000,1301ACTIVITIES 434317,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434317,A000000,01500,0000,1350OTHER GENERAL SERVICES 434317,A000000,01600,0000,1600SKILLED NURSING FACILITY 434317,A000000,01800,0000,1800NURSING FACILITY 434317,A000000,01810,0000,1810ICF/MR 434317,A000000,01900,0000,1900OTHER LONG TERM CARE 434317,A000000,02100,0000,2100RADIOLOGY 434317,A000000,02200,0000,2200LABORATORY 434317,A000000,02300,0000,2300INTRAVENOUS THERAPY 434317,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434317,A000000,02500,0000,2500PHYSICAL THERAPY 434317,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434317,A000000,02700,0000,2700SPEECH PATHOLOGY 434317,A000000,02800,0000,2800ELECTROCARDIOLOGY 434317,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434317,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434317,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434317,A000000,03200,0000,3200SUPPORT SURFACES 434317,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434317,A000000,03400,0000,3400CLINIC 434317,A000000,03500,0000,3500RURAL HEALTH CLINIC 434317,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434317,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434317,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434317,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434317,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434317,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434317,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434317,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434317,A000000,04400,0000,4400DME RENTED - HHA 434317,A000000,04500,0000,4500DME SOLD - HHA 434317,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434317,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434317,A000000,04710,0000,4710TELEMEDICINE 434317,A000000,04800,0000,4800AMBULANCE 434317,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434317,A000000,05000,0000,5000CORF 434317,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434317,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434317,A000000,05300,0000,5300INTEREST EXPENSE 434317,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434317,A000000,05500,0000,5500HOSPICE 434317,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434317,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434317,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434317,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434317,A000000,06100,0000,6100NONPAID WORKERS 434317,A000000,06200,0000,6200PATIENTS LAUNDRY 434317,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434317,A81000A,00100,0100,N 434317,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434317,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434317,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434317,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434317,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434317,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434317,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434317,B100000,00000,0800,0800MEALS SERVED :DIETARY 434317,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434317,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434317,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434317,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434317,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434317,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 434317,E10A180,00301,0100,08/03/11 434317,E10A180,00302,0100,08/17/11 434317,E10A180,00303,0100,08/31/11 434317,E10A180,00304,0100,09/14/11 434317,E10A180,00305,0100,09/28/11 434317,E10A180,00306,0100,10/13/11 434317,E10A180,00307,0100,10/26/11 434317,G300000,02500,0000,OTHER INCOME 434317,S000000,00100,0200,04/03/12 434317,S200000,00100,0100,3405 MANSFIELD HWY 434317,S200000,00200,0100,SHREVEPORT 434317,S200000,00200,0200,LA 434317,S200000,00200,0300,71103 434317,S200000,00300,0100,CADDO 434317,S200000,00300,0200,7680 434317,S200000,00300,0201,43340 434317,S200000,00300,0300,U 434317,S200000,00400,0100,ROSEVIEW NURSING CENTER 434317,S200000,00400,0200,195496 434317,S200000,00400,0300,12/31/00 434317,S200000,00400,0500,P 434317,S200000,00400,0600,O 434317,S200000,01500,0100,Y 434317,S200000,01501,0200,Y 434317,S200000,01503,0200,Y 434317,S200000,01504,0200,Y 434317,S200000,01600,0100,N 434317,S200000,01700,0100,N 434317,S200000,01800,0100,N 434317,S200000,02200,0100,N 434317,S200000,02800,0100,N 434317,S200000,02900,0100,N 434317,S200000,03000,0100,N 434317,S200000,03100,0100,N 434317,S200000,03200,0100,N 434317,S200000,03300,0100,N 434317,S200000,03300,0200,N 434317,S200000,04100,0100,N 434317,S200000,04200,0100,N 434317,S200000,04300,0100,N 434317,S200000,04600,0100,N 434317,S200000,04700,0100,N 434317,S200000,04700,0200,N 434317,S200000,04900,0100,N 434317,S200000,05000,0100,N 434317,S200000,05100,0100,N 434317,S200000,05200,0100,N 434319,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434319,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434319,A000000,00300,0000,0300EMPLOYEE BENEFITS 434319,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434319,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434319,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434319,A000000,00700,0000,0700HOUSEKEEPING 434319,A000000,00800,0000,0800DIETARY 434319,A000000,00900,0000,0900NURSING ADMINISTRATION 434319,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434319,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434319,A000000,01300,0000,1300SOCIAL SERVICE 434319,A000000,01301,0000,1301ACTIVITES 434319,A000000,01500,0000,1350REHABILITATION 434319,A000000,01600,0000,1600SKILLED NURSING FACILITY 434319,A000000,01800,0000,1800NURSING FACILITY 434319,A000000,01900,0000,1900OTHER LONG TERM CARE 434319,A000000,02100,0000,2100RADIOLOGY 434319,A000000,02200,0000,2200LABORATORY 434319,A000000,02300,0000,2300INTRAVENOUS THERAPY 434319,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434319,A000000,02500,0000,2500PHYSICAL THERAPY 434319,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434319,A000000,02700,0000,2700SPEECH PATHOLOGY 434319,A000000,02800,0000,2800ELECTROCARDIOLOGY 434319,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434319,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434319,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434319,A000000,03200,0000,3200SUPPORT SURFACES 434319,A000000,03300,0000,3050EQUIPMENT RENTAL 434319,A000000,03301,0000,3051PEN THERAPY 434319,A000000,04800,0000,4800AMBULANCE 434319,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434319,A000000,05300,0000,5300INTEREST EXPENSE 434319,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434319,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434319,A000000,06200,0000,6200PATIENTS LAUNDRY 434319,A000000,06300,0000,6150VENDING 434319,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434319,A81000A,00100,0100,Y 434319,A81000B,00100,0300,HOME OFFICE COST 434319,A81000C,00100,0100,B 434319,A81000C,00100,0200,FORT COLLINS HC 434319,A81000C,00100,0400,SSC EQUITY HOLD 434319,A81000C,00100,0600,NSG HOMES 434319,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434319,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434319,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434319,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434319,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434319,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434319,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434319,B100000,00000,0800,0800MEALS SERVED :DIETARY 434319,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434319,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434319,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434319,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434319,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434319,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434319,E10A180,00550,0100,05/18/12 434319,E10A180,00550,0300,05/18/12 434319,S000000,00100,0200,02/24/12 434319,S200000,00100,0100,1000 S. LEMAY AVE. 434319,S200000,00200,0100,FT COLLINS 434319,S200000,00200,0200,CO 434319,S200000,00200,0300,80524 434319,S200000,00300,0100,LARIMER 434319,S200000,00300,0300,U 434319,S200000,00400,0100,FORT COLLINS HEALTH CARE CENTER 434319,S200000,00400,0200,065166 434319,S200000,00400,0300,07/01/82 434319,S200000,00400,0500,P 434319,S200000,01500,0100,Y 434319,S200000,01501,0200,Y 434319,S200000,01502,0200,N 434319,S200000,01504,0200,N 434319,S200000,01600,0100,N 434319,S200000,01700,0100,N 434319,S200000,01800,0100,N 434319,S200000,02200,0100,Y 434319,S200000,02800,0100,N 434319,S200000,02900,0100,N 434319,S200000,03000,0100,N 434319,S200000,03100,0100,N 434319,S200000,03200,0100,N 434319,S200000,03300,0100,N 434319,S200000,03300,0200,N 434319,S200000,03600,0100,N 434319,S200000,03600,0200,N 434319,S200000,04100,0100,N 434319,S200000,04200,0100,N 434319,S200000,04300,0100,N 434319,S200000,04600,0100,N 434319,S200000,04700,0100,N 434319,S200000,04700,0200,N 434319,S200000,04900,0100,N 434319,S200000,05000,0100,N 434319,S200000,05100,0100,N 434319,S200000,05200,0100,N 434319,S200000,05300,0100,Y 434319,S200000,05300,0200,219023 434319,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434319,S200000,05400,0200,TRAILBLAZER 434319,S200000,05400,0300,04011 434319,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434319,S200000,05600,0100,HOUSTON 434319,S200000,05600,0200,TX 434319,S200000,05600,0300,77041 434320,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434320,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434320,A000000,00300,0000,0300EMPLOYEE BENEFITS 434320,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434320,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434320,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434320,A000000,00700,0000,0700HOUSEKEEPING 434320,A000000,00800,0000,0800DIETARY 434320,A000000,00900,0000,0900NURSING ADMINISTRATION 434320,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434320,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434320,A000000,01300,0000,1300SOCIAL SERVICE 434320,A000000,01500,0000,1350ACTIVITIES 434320,A000000,01600,0000,1600SKILLED NURSING FACILITY 434320,A000000,01800,0000,1800NURSING FACILITY 434320,A000000,01810,0000,1810ICF/MR 434320,A000000,01900,0000,1900OTHER LONG TERM CARE 434320,A000000,02100,0000,2100RADIOLOGY 434320,A000000,02200,0000,2200LABORATORY 434320,A000000,02300,0000,2300INTRAVENOUS THERAPY 434320,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434320,A000000,02500,0000,2500PHYSICAL THERAPY 434320,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434320,A000000,02700,0000,2700SPEECH PATHOLOGY 434320,A000000,02800,0000,2800ELECTROCARDIOLOGY 434320,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434320,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434320,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434320,A000000,03200,0000,3200SUPPORT SURFACES 434320,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434320,A000000,03301,0000,3051AIR FLUID THERAPY 434320,A000000,03302,0000,3052AMBULANCE 434320,A000000,03303,0000,3053PEN THERAPY 434320,A000000,03304,0000,3054ONCOLOGY 434320,A000000,03305,0000,3055CARDIOLOGY 434320,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434320,A000000,03307,0000,3057AUDIOLOGY 434320,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434320,A000000,03400,0000,3400CLINIC 434320,A000000,03500,0000,3500RURAL HEALTH CLINIC 434320,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434320,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434320,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434320,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434320,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434320,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434320,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434320,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434320,A000000,04400,0000,4400DME RENTED - HHA 434320,A000000,04500,0000,4500DME SOLD - HHA 434320,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434320,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434320,A000000,04710,0000,4710TELEMEDICINE 434320,A000000,04800,0000,4800AMBULANCE 434320,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434320,A000000,05000,0000,5000CORF 434320,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434320,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434320,A000000,05300,0000,5300INTEREST EXPENSE 434320,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434320,A000000,05500,0000,5500HOSPICE 434320,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434320,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434320,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434320,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434320,A000000,06100,0000,6100NONPAID WORKERS 434320,A000000,06200,0000,6200PATIENTS LAUNDRY 434320,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434320,A81000A,00100,0100,Y 434320,A81000B,00100,0300,HO BUILDING DEPRECIATION 434320,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434320,A81000B,00300,0300,INTEREST 434320,A81000B,00400,0300,MANAGEMENT FEES 434320,A81000B,00500,0300,MEDICAL SUPPLIES 434320,A81000B,00600,0300,MEDICAL SUPPLIES 434320,A81000B,00700,0300,MEDICAL SUPPLIES 434320,A81000B,00800,0300,DRUGS 434320,A81000B,00900,0300,DRUGS 434320,A81000B,01000,0300,DRUGS 434320,A81000B,01100,0300,FACILITY LEASE 434320,A81000B,01200,0300,FAC BLDG DEPR 434320,A81000B,01300,0300,FAC EQUIP 434320,A81000B,01400,0300,FAC INTEREST 434320,A81000B,01500,0300,FAC AMORT 434320,A81000B,01600,0300,FAC A&G 434320,A81000C,00100,0100,A 434320,A81000C,00100,0200,R&S MCNEIL 434320,A81000C,00100,0400,LIBERTY LTC MGMT 434320,A81000C,00100,0600,HOME OFC 434320,A81000C,00200,0100,A 434320,A81000C,00200,0200,R&S MCNEIL 434320,A81000C,00200,0400,LIBERTY LTC MGMT 434320,A81000C,00200,0600,HOME OFC 434320,A81000C,00300,0100,A 434320,A81000C,00300,0200,R&S MCNEIL 434320,A81000C,00300,0400,LIBERTY LTC MGMT 434320,A81000C,00300,0600,HOME OFC 434320,A81000C,00400,0100,A 434320,A81000C,00400,0200,R&S MCNEIL 434320,A81000C,00400,0400,LIBERTY LTC MGMT 434320,A81000C,00400,0600,HOME OFC 434320,A81000C,00500,0100,A 434320,A81000C,00500,0200,R&S MCNEIL 434320,A81000C,00500,0400,LIBERTY MED SPEC 434320,A81000C,00500,0600,MED SUPPLY 434320,A81000C,00600,0100,A 434320,A81000C,00600,0200,R&S MCNEIL 434320,A81000C,00600,0400,LIBERTY MED SPEC 434320,A81000C,00600,0600,MED SUPPLY 434320,A81000C,00700,0100,A 434320,A81000C,00700,0200,R&S MCNEIL 434320,A81000C,00700,0400,LIBERTY MED SPEC 434320,A81000C,00700,0600,MED SUPPLY 434320,A81000C,00800,0100,A 434320,A81000C,00800,0200,R&S MCNEIL 434320,A81000C,00800,0400,MCNEILL PHARM 434320,A81000C,00800,0600,PHARMACY 434320,A81000C,00900,0100,A 434320,A81000C,00900,0200,R&S MCNEIL 434320,A81000C,00900,0400,MCNEILL PHARM 434320,A81000C,00900,0600,PHARMACY 434320,A81000C,01000,0100,A 434320,A81000C,01000,0200,R&S MCNEIL 434320,A81000C,01000,0400,MCNEILL PHARM 434320,A81000C,01000,0600,PHARMACY 434320,A81000C,01001,0100,A 434320,A81000C,01001,0200,R&S MCNEIL 434320,A81000C,01001,0400,LIBERTY PROPERTIES 434320,A81000C,01001,0600,BUILDING 434320,A81000C,01002,0100,A 434320,A81000C,01002,0200,R&S MCNEIL 434320,A81000C,01002,0400,LIBERTY PROPERTIES 434320,A81000C,01002,0600,BUILDING 434320,A81000C,01003,0100,A 434320,A81000C,01003,0200,R&S MCNEIL 434320,A81000C,01003,0400,LIBERTY PROPERTIES 434320,A81000C,01003,0600,BUILDING 434320,A81000C,01004,0100,A 434320,A81000C,01004,0200,R&S MCNEIL 434320,A81000C,01004,0400,LIBERTY PROPERTIES 434320,A81000C,01004,0600,BUILDING 434320,A81000C,01005,0100,A 434320,A81000C,01005,0200,R&S MCNEIL 434320,A81000C,01005,0400,LIBERTY PROPERTIES 434320,A81000C,01005,0600,BUILDING 434320,A81000C,01006,0100,A 434320,A81000C,01006,0200,R&S MCNEIL 434320,A81000C,01006,0400,LIBERTY PROPERTIES 434320,A81000C,01006,0600,BUILDING 434320,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434320,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434320,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434320,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434320,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434320,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434320,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434320,B100000,00000,0800,0800MEALS SERVED :DIETARY 434320,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434320,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434320,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434320,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434320,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434320,E10A180,00350,0100,07/27/11 434320,E10A180,00501,0100,05/28/12 434320,G300000,02500,0000,BARBER & BEAUTY 434320,G300000,02501,0000,CONTRIBUTIONS 434320,G300000,02502,0000,PERSONAL ITEM REVENUE 434320,G300000,02503,0000,EQUIPMENT RENTAL 434320,G300000,02504,0000,MISCELLANEOUS REVENUE 434320,G300000,02505,0000,RESERVE BED REVENUE 434320,S000000,00100,0200,03/01/12 434320,S200000,00100,0100,160 SOUTHWOOD DR 434320,S200000,00200,0100,CLINTON 434320,S200000,00200,0200,NC 434320,S200000,00200,0300,28329 434320,S200000,00300,0100,SAMPSON 434320,S200000,00300,0200,34 434320,S200000,00300,0201,99934 434320,S200000,00300,0300,R 434320,S200000,00400,0100,SOUTHWOOD NURSING AND RETIREMENT CEN 434320,S200000,00400,0200,345472 434320,S200000,00400,0300,04/17/95 434320,S200000,00400,0500,P 434320,S200000,00400,0600,P 434320,S200000,01500,0100,Y 434320,S200000,01501,0200,Y 434320,S200000,01600,0100,N 434320,S200000,01700,0100,N 434320,S200000,01800,0100,N 434320,S200000,02200,0100,N 434320,S200000,02800,0100,N 434320,S200000,02900,0100,N 434320,S200000,03000,0100,N 434320,S200000,03100,0100,N 434320,S200000,03200,0100,N 434320,S200000,03300,0100,N 434320,S200000,03300,0200,N 434320,S200000,04100,0100,N 434320,S200000,04200,0100,N 434320,S200000,04300,0100,N 434320,S200000,04600,0100,N 434320,S200000,04700,0100,N 434320,S200000,04700,0200,N 434320,S200000,04900,0100,N 434320,S200000,05000,0100,N 434320,S200000,05100,0100,N 434320,S200000,05200,0100,N 434320,S200000,05300,0100,N 434321,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434321,A000000,00300,0000,0300EMPLOYEE BENEFITS 434321,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434321,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434321,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434321,A000000,00700,0000,0700HOUSEKEEPING 434321,A000000,00800,0000,0800DIETARY 434321,A000000,00900,0000,0900NURSING ADMINISTRATION 434321,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434321,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434321,A000000,01300,0000,1300SOCIAL SERVICE 434321,A000000,01600,0000,1600SKILLED NURSING FACILITY 434321,A000000,01800,0000,1800NURSING FACILITY 434321,A000000,01900,0000,1900OTHER LONG TERM CARE 434321,A000000,02100,0000,2100RADIOLOGY 434321,A000000,02200,0000,2200LABORATORY 434321,A000000,02500,0000,2500PHYSICAL THERAPY 434321,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434321,A000000,02700,0000,2700SPEECH PATHOLOGY 434321,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434321,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434321,A000000,03200,0000,3200SUPPORT SURFACES 434321,A000000,03300,0000,3050THERAPY BEDS 434321,A000000,04800,0000,4800AMBULANCE 434321,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434321,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434321,A81000A,00100,0100,Y 434321,A81000B,00200,0300,PHYSICAL THERAPY 434321,A81000B,00300,0300,OCCUPATIONAL THERAPY 434321,A81000B,00400,0300,SPEECH PATHOLOGY 434321,A81000B,00500,0300,LABORATORY 434321,A81000B,00600,0300,RADIOLOGY 434321,A81000B,00700,0300,MANAGEMENT FEE 434321,A81000C,00100,0100,B 434321,A81000C,00100,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00200,0100,B 434321,A81000C,00200,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00300,0100,B 434321,A81000C,00300,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00400,0100,B 434321,A81000C,00400,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00500,0100,B 434321,A81000C,00500,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00600,0100,B 434321,A81000C,00600,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00700,0100,B 434321,A81000C,00700,0200,FAUQUIER HOSPITAL INC. 434321,A81000C,00800,0100,B 434321,A81000C,00800,0200,FAUQUIER HOSPITAL INC. 434321,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434321,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434321,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434321,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434321,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434321,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434321,B100000,00000,0800,0800MEALS SERVED :DIETARY 434321,B100000,00000,0900,0900PAID HOURS :NURSING ADMINISTRAT 434321,B100000,00000,1000,1050DAYS :CENTRAL SERVICES & SUPPL 434321,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 434321,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434321,E10A180,00550,0100,02/28/12 434321,G300000,02500,0000,MISC. 434321,S000000,00100,0200,02/28/12 434321,S200000,00100,0100,360 HOSPITAL DRIVE 434321,S200000,00200,0100,WARRENTON 434321,S200000,00200,0200,VA 434321,S200000,00200,0300,20186 434321,S200000,00300,0100,FAUQUIER 434321,S200000,00300,0200,8872 434321,S200000,00300,0201,47894 434321,S200000,00300,0300,U 434321,S200000,00400,0100,FAUQUIER HEALTH SENIOR LIVING INC 434321,S200000,00400,0200,495233 434321,S200000,00400,0300,03/20/91 434321,S200000,00400,0500,P 434321,S200000,00600,0200,495233 434321,S200000,00600,0300,03/20/91 434321,S200000,00600,0600,O 434321,S200000,01500,0100,Y 434321,S200000,01501,0200,Y 434321,S200000,01600,0100,N 434321,S200000,01700,0100,N 434321,S200000,01800,0100,N 434321,S200000,02200,0100,N 434321,S200000,02800,0100,Y 434321,S200000,02900,0100,N 434321,S200000,03000,0100,N 434321,S200000,03100,0100,N 434321,S200000,03200,0100,N 434321,S200000,03300,0100,N 434321,S200000,03300,0200,N 434321,S200000,03500,0300,N 434321,S200000,04100,0100,N 434321,S200000,04200,0100,N 434321,S200000,04300,0100,N 434321,S200000,04600,0100,N 434321,S200000,04700,0100,N 434321,S200000,04700,0200,N 434321,S200000,04900,0100,N 434321,S200000,05000,0100,N 434321,S200000,05100,0100,N 434321,S200000,05200,0100,N 434323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434323,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434323,A000000,00300,0000,0300EMPLOYEE BENEFITS 434323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434323,A000000,00700,0000,0700HOUSEKEEPING 434323,A000000,00800,0000,0800DIETARY 434323,A000000,00900,0000,0900NURSING ADMINISTRATION 434323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434323,A000000,01100,0000,1100PHARMACY 434323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434323,A000000,01300,0000,1300SOCIAL SERVICE 434323,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434323,A000000,01600,0000,1600SKILLED NURSING FACILITY 434323,A000000,01810,0000,1810ICF/MR 434323,A000000,02100,0000,2100RADIOLOGY 434323,A000000,02200,0000,2200LABORATORY 434323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434323,A000000,02500,0000,2500PHYSICAL THERAPY 434323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434323,A000000,02700,0000,2700SPEECH PATHOLOGY 434323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434323,A000000,03200,0000,3200SUPPORT SURFACES 434323,A000000,03300,0000,3050DIALYSIS 434323,A000000,03550,0000,3550FQHC 434323,A000000,05000,0000,5000CORF 434323,A000000,05010,0000,5010CMHC 434323,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434323,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434323,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434323,A81000A,00100,0100,Y 434323,A81000B,00200,0300,RENT 434323,A81000B,00400,0300,MANAGEMENT FEES 434323,A81000C,00200,0100,B 434323,A81000C,00200,0200,BALLARD PARTNER 434323,A81000C,00400,0100,B 434323,A81000C,00400,0200,PICK MGT. 434323,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434323,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434323,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434323,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434323,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434323,B100000,00000,0800,0800MEALS SERVED :DIETARY 434323,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434323,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434323,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434323,E10A180,00550,0100,05/29/12 434323,E10A180,00551,0100,08/21/12 434323,S000000,00100,0200,07/02/12 434323,S200000,00100,0100,9300 BALLARD ROAD 434323,S200000,00200,0100,DES PLAINES 434323,S200000,00200,0200,IL 434323,S200000,00200,0300,60016 434323,S200000,00300,0100,COOK 434323,S200000,00300,0201,16974 434323,S200000,00300,0300,U 434323,S200000,00400,0100,BALLARD NURSING CENTER INC. 434323,S200000,00400,0200,145334 434323,S200000,00400,0300,01/01/78 434323,S200000,00400,0500,P 434323,S200000,01500,0100,Y 434323,S200000,01600,0100,N 434323,S200000,01700,0100,N 434323,S200000,01800,0100,N 434323,S200000,02200,0100,N 434323,S200000,02800,0100,N 434323,S200000,02900,0100,N 434323,S200000,03000,0100,N 434323,S200000,03100,0100,N 434323,S200000,03200,0100,N 434323,S200000,03300,0100,N 434323,S200000,03300,0200,N 434323,S200000,04100,0100,N 434323,S200000,04200,0100,N 434323,S200000,04300,0100,N 434323,S200000,04600,0100,N 434323,S200000,04700,0100,N 434323,S200000,04700,0200,N 434323,S200000,04900,0100,N 434323,S200000,05000,0100,N 434323,S200000,05100,0100,N 434323,S200000,05200,0100,N 434323,S200000,05300,0100,N 434325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434325,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434325,A000000,00300,0000,0300EMPLOYEE BENEFITS 434325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434325,A000000,00700,0000,0700HOUSEKEEPING 434325,A000000,00800,0000,0800DIETARY 434325,A000000,00900,0000,0900NURSING ADMINISTRATION 434325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434325,A000000,01100,0000,1100PHARMACY 434325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434325,A000000,01300,0000,1300SOCIAL SERVICE 434325,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434325,A000000,01600,0000,1600SKILLED NURSING FACILITY 434325,A000000,01800,0000,1800NURSING FACILITY 434325,A000000,01810,0000,1810ICF/MR 434325,A000000,02100,0000,2100RADIOLOGY 434325,A000000,02200,0000,2200LABORATORY 434325,A000000,02500,0000,2500PHYSICAL THERAPY 434325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434325,A000000,02700,0000,2700SPEECH PATHOLOGY 434325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434325,A000000,03550,0000,3550FQHC 434325,A000000,05000,0000,5000CORF 434325,A000000,05010,0000,5010CMHC 434325,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434325,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434325,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434325,A81000A,00100,0100,N 434325,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434325,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434325,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434325,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434325,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434325,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434325,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434325,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434325,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434325,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434325,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434325,G300000,02500,0000,MEMBERSHIP 434325,G300000,02501,0000,BEAUTY AND BARBER 434325,G300000,02502,0000,PRIVATE BUS TRIP 434325,G300000,02503,0000,BUS TRANSPORTATION 434325,G300000,02504,0000,INSURANCE PROCEEDS 434325,G300000,02505,0000,MISC INCOME 434325,S000000,00100,0200,02/15/12 434325,S200000,00100,0100,2259E 1100TH STREET 434325,S200000,00200,0100,MENDON 434325,S200000,00200,0200,IL 434325,S200000,00200,0300,62351 434325,S200000,00300,0100,ADAMS 434325,S200000,00300,0201,14 434325,S200000,00300,0300,R 434325,S200000,00400,0100,NORTH ADAMS HOME INC. 434325,S200000,00400,0200,146035 434325,S200000,00400,0300,10/01/02 434325,S200000,00400,0500,P 434325,S200000,01500,0100,Y 434325,S200000,01501,0200,Y 434325,S200000,01504,0200,Y 434325,S200000,01505,0000,PHYSICAL THERAPY MEDICARE 434325,S200000,01505,0200,Y 434325,S200000,01600,0100,N 434325,S200000,01700,0100,N 434325,S200000,01800,0100,N 434325,S200000,01900,0100,501 C (3) 434325,S200000,02200,0100,N 434325,S200000,02800,0100,Y 434325,S200000,02900,0100,N 434325,S200000,03000,0100,N 434325,S200000,03100,0100,N 434325,S200000,03200,0100,N 434325,S200000,03300,0100,N 434325,S200000,03300,0200,N 434325,S200000,03600,0100,N 434325,S200000,03600,0200,N 434325,S200000,04100,0100,N 434325,S200000,04200,0100,N 434325,S200000,04300,0100,N 434325,S200000,04600,0100,N 434325,S200000,04700,0100,N 434325,S200000,04700,0200,N 434325,S200000,04900,0100,N 434325,S200000,05000,0100,N 434325,S200000,05100,0100,N 434325,S200000,05200,0100,N 434325,S200000,05300,0100,N 434327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434327,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434327,A000000,00300,0000,0300EMPLOYEE BENEFITS 434327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434327,A000000,00700,0000,0700HOUSEKEEPING 434327,A000000,00800,0000,0800DIETARY 434327,A000000,00900,0000,0900NURSING ADMINISTRATION 434327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434327,A000000,01100,0000,1100PHARMACY 434327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434327,A000000,01300,0000,1300SOCIAL SERVICE 434327,A000000,01500,0000,1350PATIENT ACTIVITIES 434327,A000000,01600,0000,1600SKILLED NURSING FACILITY 434327,A000000,01800,0000,1800NURSING FACILITY 434327,A000000,01900,0000,1900OTHER LONG TERM CARE 434327,A000000,02100,0000,2100RADIOLOGY 434327,A000000,02200,0000,2200LABORATORY 434327,A000000,02300,0000,2300INTRAVENOUS THERAPY 434327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434327,A000000,02500,0000,2500PHYSICAL THERAPY 434327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434327,A000000,02700,0000,2700SPEECH PATHOLOGY 434327,A000000,02800,0000,2800ELECTROCARDIOLOGY 434327,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434327,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434327,A000000,03200,0000,3200SUPPORT SURFACES 434327,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434327,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434327,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434327,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434327,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434327,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434327,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434327,A000000,06100,0000,6100NONPAID WORKERS 434327,A000000,06200,0000,6200PATIENTS LAUNDRY 434327,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434327,A81000A,00100,0100,Y 434327,A81000B,00100,0300,CENTRAL OFICE OVHD 434327,A81000B,00200,0300,CENTRAL OFICE CAPITAL 434327,A81000B,00300,0300,RENT 434327,A81000B,00400,0300,SUPPLIES 434327,A81000B,00500,0300,SUPPLIES 434327,A81000B,00600,0300,SUPPLIES 434327,A81000B,00700,0300,SUPPLIES 434327,A81000B,00800,0300,PHARMACY 434327,A81000B,00900,0300,PHARMACY 434327,A81000B,01000,0300,PHARMACY 434327,A81000B,01100,0300,PHARMACY 434327,A81000B,01200,0300,PHARMACY 434327,A81000B,01300,0300,PHARMACY 434327,A81000C,00100,0100,B 434327,A81000C,00100,0200,AUTUMN CORPORATION 434327,A81000C,00100,0400,AUTUMN CORPORATION 434327,A81000C,00100,0600,HOME OFFICE 434327,A81000C,00200,0100,B 434327,A81000C,00200,0200,AUTUMN CORPORATION 434327,A81000C,00200,0400,AUTUMN CORPORATION 434327,A81000C,00200,0600,HOME OFFICE 434327,A81000C,00300,0100,B 434327,A81000C,00300,0200,AUTUMN CARE OF NORFOLK 434327,A81000C,00300,0400,AUTUMN EQUINOX 434327,A81000C,00300,0600,LAND&BLDG RENTAL 434327,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434327,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434327,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434327,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434327,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434327,B100000,00000,0700,0750SQ FT W/O DI:HOUSEKEEPING 434327,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434327,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434327,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434327,E10A180,00501,0100,05/07/12 434327,G300000,02500,0000,MISC 434327,S000000,00100,0200,02/16/12 434327,S200000,00100,0100,1401 HALSTEAD AVE 434327,S200000,00100,0300,12569 434327,S200000,00200,0100,NORFOLK 434327,S200000,00200,0200,VA 434327,S200000,00200,0300,23502 434327,S200000,00300,0100,TIDEWATER DISTRICT 434327,S200000,00300,0200,5720 434327,S200000,00300,0201,47260 434327,S200000,00300,0300,U 434327,S200000,00400,0100,AUTUMN CARE OF NORFOLK 434327,S200000,00400,0200,495253 434327,S200000,00400,0300,08/23/91 434327,S200000,00400,0500,P 434327,S200000,01500,0100,Y 434327,S200000,01501,0200,Y 434327,S200000,01600,0100,N 434327,S200000,01700,0100,N 434327,S200000,01800,0100,N 434327,S200000,02200,0100,N 434327,S200000,02800,0100,N 434327,S200000,02900,0100,N 434327,S200000,03000,0100,N 434327,S200000,03100,0100,N 434327,S200000,03200,0100,N 434327,S200000,03300,0100,N 434327,S200000,03300,0200,N 434327,S200000,04100,0100,N 434327,S200000,04200,0100,N 434327,S200000,04300,0100,N 434327,S200000,04600,0100,N 434327,S200000,04700,0100,N 434327,S200000,04700,0200,N 434327,S200000,04900,0100,N 434327,S200000,05000,0100,N 434327,S200000,05100,0100,N 434327,S200000,05200,0100,N 434330,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434330,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434330,A000000,00300,0000,0300EMPLOYEE BENEFITS 434330,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434330,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434330,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434330,A000000,00700,0000,0700HOUSEKEEPING 434330,A000000,00800,0000,0800DIETARY 434330,A000000,00900,0000,0900NURSING ADMINISTRATION 434330,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434330,A000000,01100,0000,1100PHARMACY 434330,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434330,A000000,01300,0000,1300SOCIAL SERVICE 434330,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434330,A000000,01600,0000,1600SKILLED NURSING FACILITY 434330,A000000,01800,0000,1800NURSING FACILITY 434330,A000000,01900,0000,1900OTHER LONG TERM CARE 434330,A000000,02100,0000,2100RADIOLOGY 434330,A000000,02200,0000,2200LABORATORY 434330,A000000,02300,0000,2300INTRAVENOUS THERAPY 434330,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434330,A000000,02500,0000,2500PHYSICAL THERAPY 434330,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434330,A000000,02700,0000,2700SPEECH PATHOLOGY 434330,A000000,02800,0000,2800ELECTROCARDIOLOGY 434330,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434330,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434330,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434330,A000000,03200,0000,3200SUPPORT SURFACES 434330,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434330,A000000,03400,0000,3400CLINIC 434330,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434330,A000000,04800,0000,4800AMBULANCE 434330,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434330,A000000,05000,0000,5000CORF 434330,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434330,A000000,05300,0000,5300INTEREST EXPENSE 434330,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434330,A000000,05500,0000,5500HOSPICE 434330,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434330,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434330,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434330,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434330,A000000,06100,0000,6100NONPAID WORKERS 434330,A000000,06200,0000,6200PATIENTS LAUNDRY 434330,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434330,A81000A,00100,0100,Y 434330,A81000B,00100,0300,NURSING CONSULTING 434330,A81000B,00200,0300,DIETARY CONSULTING 434330,A81000B,00300,0300,HOME OFFICE 434330,A81000B,00400,0300,INTEREST EXPENSE 434330,A81000B,00500,0300,WORKERS COMP EXPENSE 434330,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434330,A81000B,00700,0300,COPIER 434330,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434330,A81000B,00900,0300,REPAIRS - BUILDING 434330,A81000B,01000,0300,REPAIRS - EQUIPMENT 434330,A81000B,01100,0300,LINEN & BEDDING 434330,A81000B,01200,0300,LAUNDRY SUPPLIES 434330,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434330,A81000B,01400,0300,HOUSEKEEPING SUPPLIES 434330,A81000B,01500,0300,DIETARY SUPPLEMENTS 434330,A81000B,01600,0300,DIETARY SUPPLIES 434330,A81000B,01700,0300,BIO-MEDICAL WASTE 434330,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434330,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434330,A81000B,02000,0300,INCONTINENCE SUPPLIES 434330,A81000B,02100,0300,MEDICAL SUPPLIES 434330,A81000B,02200,0300,OXYGEN THERAPY SUPPLIES 434330,A81000B,02300,0300,PHYSICAL THERAPY SUPPLIES 434330,A81000B,02400,0300,OCCUPATIONAL THERAPY SUPPLIES 434330,A81000B,02500,0300,BILLABLE MEDICAL SUPPLIES 434330,A81000B,02600,0300,NURSING EQUIPMENT RENTAL 434330,A81000B,02700,0300,NON-LEGEND DRUGS 434330,A81000B,02800,0300,PHARMACY CONSULTANT 434330,A81000B,02900,0300,SUPPLIES 434330,A81000C,00100,0100,B 434330,A81000C,00100,0400,BRITTHAVEN INC 434330,A81000C,00100,0600,MGMT SERVICES 434330,A81000C,00200,0100,B 434330,A81000C,00200,0400,BRITTHAVEN INC 434330,A81000C,00200,0600,MGMT SERVICES 434330,A81000C,00300,0100,B 434330,A81000C,00300,0400,BRITTHAVEN INC 434330,A81000C,00300,0600,MGMT SERVICES 434330,A81000C,00400,0100,B 434330,A81000C,00400,0400,BRITTHAVEN INC 434330,A81000C,00400,0600,MGMT SERVICES 434330,A81000C,00500,0100,A 434330,A81000C,00500,0200,DISCOVERY INSUR 434330,A81000C,00500,0600,INSURANCE 434330,A81000C,00600,0100,A 434330,A81000C,00600,0200,QUEENSLAND ASSU 434330,A81000C,00600,0600,INSURANCE 434330,A81000C,00700,0100,B 434330,A81000C,00700,0400,KARE MEDICAL 434330,A81000C,00700,0600,WHOLESALE SUPPL 434330,A81000C,00800,0100,B 434330,A81000C,00800,0400,KARE MEDICAL 434330,A81000C,00800,0600,WHOLESALE SUPPL 434330,A81000C,00900,0100,B 434330,A81000C,00900,0400,KARE MEDICAL 434330,A81000C,00900,0600,WHOLESALE SUPPL 434330,A81000C,01000,0100,B 434330,A81000C,01000,0400,KARE MEDICAL 434330,A81000C,01000,0600,WHOLESALE SUPPL 434330,A81000C,01001,0100,B 434330,A81000C,01001,0400,KARE MEDICAL 434330,A81000C,01001,0600,WHOLESALE SUPPL 434330,A81000C,01002,0100,B 434330,A81000C,01002,0400,KARE MEDICAL 434330,A81000C,01002,0600,WHOLESALE SUPPL 434330,A81000C,01003,0100,B 434330,A81000C,01003,0400,KARE MEDICAL 434330,A81000C,01003,0600,WHOLESALE SUPPL 434330,A81000C,01004,0100,B 434330,A81000C,01004,0400,KARE MEDICAL 434330,A81000C,01004,0600,WHOLESALE SUPPL 434330,A81000C,01005,0100,B 434330,A81000C,01005,0400,KARE MEDICAL 434330,A81000C,01005,0600,WHOLESALE SUPPL 434330,A81000C,01006,0100,B 434330,A81000C,01006,0400,KARE MEDICAL 434330,A81000C,01006,0600,WHOLESALE SUPPL 434330,A81000C,01007,0100,B 434330,A81000C,01007,0400,KARE MEDICAL 434330,A81000C,01007,0600,WHOLESALE SUPPL 434330,A81000C,01008,0100,B 434330,A81000C,01008,0400,KARE MEDICAL 434330,A81000C,01008,0600,WHOLESALE SUPPL 434330,A81000C,01009,0100,B 434330,A81000C,01009,0400,KARE MEDICAL 434330,A81000C,01009,0600,WHOLESALE SUPPL 434330,A81000C,01010,0100,B 434330,A81000C,01010,0400,KARE MEDICAL 434330,A81000C,01010,0600,WHOLESALE SUPPL 434330,A81000C,01011,0100,B 434330,A81000C,01011,0400,KARE MEDICAL 434330,A81000C,01011,0600,WHOLESALE SUPPL 434330,A81000C,01012,0100,B 434330,A81000C,01012,0400,KARE MEDICAL 434330,A81000C,01012,0600,WHOLESALE SUPPL 434330,A81000C,01013,0100,B 434330,A81000C,01013,0400,KARE MEDICAL 434330,A81000C,01013,0600,WHOLESALE SUPPL 434330,A81000C,01014,0100,B 434330,A81000C,01014,0400,KARE MEDICAL 434330,A81000C,01014,0600,WHOLESALE SUPPL 434330,A81000C,01015,0100,B 434330,A81000C,01015,0400,KARE MEDICAL 434330,A81000C,01015,0600,WHOLESALE SUPPL 434330,A81000C,01016,0100,B 434330,A81000C,01016,0400,PHARMSAVE 434330,A81000C,01016,0600,RX SUPPLY 434330,A81000C,01017,0100,B 434330,A81000C,01017,0400,PHARMSAVE 434330,A81000C,01017,0600,RX SUPPLY 434330,A81000C,01018,0100,B 434330,A81000C,01018,0400,PHARMSAVE 434330,A81000C,01018,0600,RX SUPPLY 434330,A81000C,01019,0100,B 434330,A81000C,01019,0400,PHARMSAVE 434330,A81000C,01019,0600,RX SUPPLY 434330,A81000C,01020,0100,B 434330,A81000C,01020,0400,PHARMSAVE 434330,A81000C,01020,0600,RX SUPPLY 434330,A81000C,01021,0100,B 434330,A81000C,01021,0400,ROBERT HILL CON 434330,A81000C,01021,0600,CONSTRUCTION 434330,A81000C,01022,0100,B 434330,A81000C,01022,0400,ROBERT HILL CON 434330,A81000C,01022,0600,CONSTRUCTION 434330,A81000C,01023,0100,B 434330,A81000C,01023,0400,ROBERT HILL CON 434330,A81000C,01023,0600,CONSTRUCTION 434330,A81000C,01024,0100,B 434330,A81000C,01024,0400,ROBERT HILL CON 434330,A81000C,01024,0600,CONSTRUCTION 434330,A81000C,01025,0100,B 434330,A81000C,01025,0400,ROBERT HILL CON 434330,A81000C,01025,0600,CONSTRUCTION 434330,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434330,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434330,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434330,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434330,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434330,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434330,B100000,00000,0800,0800MEALS SERVED :DIETARY 434330,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434330,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434330,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434330,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434330,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434330,E10A180,00550,0100,02/24/12 434330,E10A180,00550,0300,02/24/12 434330,G300000,02500,0000, OTHER (SPECIFY) 434330,S000000,00100,0200,02/24/12 434330,S200000,00100,0100,515 BARBOUR ROAD 434330,S200000,00200,0100,SMITHFIELD 434330,S200000,00200,0200,NC 434330,S200000,00200,0300,27577 434330,S200000,00300,0100,JOHNSTON 434330,S200000,00300,0201,39580 434330,S200000,00300,0300,U 434330,S200000,00400,0100,BRITTHAVEN OF SMITHFIELD 434330,S200000,00400,0200,345237 434330,S200000,00400,0300,10/01/84 434330,S200000,00400,0500,P 434330,S200000,01500,0100,Y 434330,S200000,01501,0200,Y 434330,S200000,01502,0200,Y 434330,S200000,01503,0200,Y 434330,S200000,01505,0000,OTHER (SPECIFY) 434330,S200000,01505,0200,Y 434330,S200000,01600,0100,N 434330,S200000,01700,0100,N 434330,S200000,01800,0100,N 434330,S200000,02200,0100,N 434330,S200000,02800,0100,N 434330,S200000,02900,0100,N 434330,S200000,03000,0100,N 434330,S200000,03100,0100,Y 434330,S200000,03200,0100,N 434330,S200000,03300,0100,N 434330,S200000,03300,0200,N 434330,S200000,04100,0100,N 434330,S200000,04200,0100,N 434330,S200000,04300,0100,N 434330,S200000,04600,0100,N 434330,S200000,04700,0100,N 434330,S200000,04700,0200,N 434330,S200000,04900,0100,N 434330,S200000,05000,0100,N 434330,S200000,05100,0100,N 434330,S200000,05200,0100,N 434330,S200000,05300,0100,Y 434330,S200000,05300,0200,349011 434330,S200000,05400,0100,BRITTHAVEN INC. 434330,S200000,05400,0200,PALMETTO GBA 434330,S200000,05400,0300,11501 434330,S200000,05500,0100,1435 HWY 258 NORTH 434330,S200000,05500,0200,PO BOX 61 434330,S200000,05600,0100,KINSTON 434330,S200000,05600,0200,NC 434330,S200000,05600,0300,28502 434331,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434331,A000000,00300,0000,0300EMPLOYEE BENEFITS 434331,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434331,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434331,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434331,A000000,00700,0000,0700HOUSEKEEPING 434331,A000000,00800,0000,0800DIETARY 434331,A000000,00900,0000,0900NURSING ADMINISTRATION 434331,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434331,A000000,01100,0000,1100PHARMACY 434331,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434331,A000000,01300,0000,1300SOCIAL SERVICE 434331,A000000,01500,0000,1350PATIENT ACTIVITIES 434331,A000000,01600,0000,1600SKILLED NURSING FACILITY 434331,A000000,02100,0000,2100RADIOLOGY 434331,A000000,02200,0000,2200LABORATORY 434331,A000000,02500,0000,2500PHYSICAL THERAPY 434331,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434331,A000000,02700,0000,2700SPEECH PATHOLOGY 434331,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434331,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434331,A000000,03200,0000,3200SUPPORT SURFACES 434331,A000000,04800,0000,4800AMBULANCE 434331,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434331,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434331,A81000A,00100,0100,N 434331,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434331,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434331,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434331,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434331,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434331,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434331,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434331,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434331,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434331,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434331,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434331,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434331,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434331,E10A180,00501,0100,05/09/12 434331,G300000,02500,0000,BARBER/BEAUTY 434331,G300000,02501,0000,OTHER 434331,S000000,00100,0200,02/27/12 434331,S200000,00100,0100,581 NC HWY 16 SOUTH 434331,S200000,00200,0100,TAYLORSVILLE 434331,S200000,00200,0200,NC 434331,S200000,00200,0300,28681 434331,S200000,00300,0100,ALEXANDER 434331,S200000,00300,0200,3290 434331,S200000,00300,0201,25860 434331,S200000,00300,0300,U 434331,S200000,00400,0100,VALLEY NURSING CENTER 434331,S200000,00400,0200,345247 434331,S200000,00400,0300,01/06/86 434331,S200000,00400,0500,P 434331,S200000,01500,0100,Y 434331,S200000,01501,0200,Y 434331,S200000,01600,0100,N 434331,S200000,01700,0100,N 434331,S200000,01800,0100,N 434331,S200000,02200,0100,N 434331,S200000,02800,0100,N 434331,S200000,02900,0100,N 434331,S200000,03000,0100,N 434331,S200000,03100,0100,N 434331,S200000,03200,0100,N 434331,S200000,03300,0100,N 434331,S200000,03300,0200,N 434331,S200000,04100,0100,N 434331,S200000,04200,0100,N 434331,S200000,04300,0100,N 434331,S200000,04600,0100,N 434331,S200000,04700,0100,N 434331,S200000,04700,0200,N 434331,S200000,04900,0100,N 434331,S200000,05000,0100,N 434331,S200000,05100,0100,N 434331,S200000,05200,0100,N 434334,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434334,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434334,A000000,00300,0000,0300EMPLOYEE BENEFITS 434334,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434334,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434334,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434334,A000000,00700,0000,0700HOUSEKEEPING 434334,A000000,00800,0000,0800DIETARY 434334,A000000,00900,0000,0900NURSING ADMINISTRATION 434334,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434334,A000000,01100,0000,1100PHARMACY 434334,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434334,A000000,01300,0000,1300SOCIAL SERVICE 434334,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434334,A000000,01500,0000,1350ACTIVITIES 434334,A000000,01600,0000,1600SKILLED NURSING FACILITY 434334,A000000,01810,0000,1810ICF/MR 434334,A000000,02100,0000,2100RADIOLOGY 434334,A000000,02200,0000,2200LABORATORY 434334,A000000,02300,0000,2300INTRAVENOUS THERAPY 434334,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434334,A000000,02500,0000,2500PHYSICAL THERAPY 434334,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434334,A000000,02700,0000,2700SPEECH PATHOLOGY 434334,A000000,02800,0000,2800ELECTROCARDIOLOGY 434334,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434334,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434334,A000000,03200,0000,3200SUPPORT SURFACES 434334,A000000,03300,0000,3050PEN BILLING 434334,A000000,03550,0000,3550FQHC 434334,A000000,04801,0000,4801AMBULANCE 434334,A000000,04802,0000,4802AMBULANCE 434334,A000000,04803,0000,4803AMBULANCE 434334,A000000,05000,0000,5000CORF 434334,A000000,05010,0000,5010CMHC 434334,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434334,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434334,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434334,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 434334,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434334,A81000A,00100,0100,Y 434334,A81000B,00100,0300,HOME OFFICE ALLOC 434334,A81000B,00200,0300,DIRECT INT & AMORT 434334,A81000B,00300,0300,HOME OFFICE CAPITAL 434334,A81000B,00400,0300,PT 434334,A81000B,00500,0300,OT 434334,A81000B,00600,0300,ST 434334,A81000B,00700,0300,NUTRITIONIST 434334,A81000B,00800,0300,RT 434334,A81000B,00900,0300,MEDICAL DIRECTOR 434334,A81000B,01000,0300,NURS PURC SVCS 434334,A81000C,00100,0100,B 434334,A81000C,00100,0200,GENESIS HEALTHC 434334,A81000C,00100,0600,MGMT COMPANY 434334,A81000C,00200,0100,B 434334,A81000C,00200,0200,GENESIS REHAB S 434334,A81000C,00200,0600,PT OT ST 434334,A81000C,00300,0100,B 434334,A81000C,00300,0200,GENESIS HOSPITA 434334,A81000C,00300,0600,NUTRITIONIST 434334,A81000C,00400,0100,B 434334,A81000C,00400,0200,RESPIRATORY HEA 434334,A81000C,00400,0600,RT 434334,A81000C,00500,0100,B 434334,A81000C,00500,0200,GENESIS PHYS SV 434334,A81000C,00500,0600,MEDICAL DIRECTO 434334,A81000C,00600,0100,B 434334,A81000C,00600,0200,GENESIS STAFFIN 434334,A81000C,00600,0600,NURS PURC SVCS 434334,B100000,00000,0100,0100SQUARE FEET 434334,B100000,00000,0200,0200SQUARE FEET 434334,B100000,00000,0300,0300GROSS SALARIES 434334,B100000,00000,0400,0400ACCUM COST 434334,B100000,00000,0500,0500SQUARE FEET 434334,B100000,00000,0600,0600PT DAYS 434334,B100000,00000,0700,0700SQ FT 434334,B100000,00000,0800,0800MEALS SERVED 434334,B100000,00000,0900,0900PT DAYS 434334,B100000,00000,1000,1000COSTED REQUIS 434334,B100000,00000,1100,1100COSTED REQUIS 434334,B100000,00000,1200,1200GROSS CHARGES 434334,B100000,00000,1300,1300PT DAYS 434334,B100000,00000,1400,1400ASSIGNED TIME 434334,B100000,00000,1500,1350PT DAY 434334,E10A180,00353,0100,03/28/11 434334,E10A180,00501,0100,02/03/12 434334,E10A180,00501,0300,02/03/12 434334,G300000,02500,0000,CONTRACTUALS 434334,G300000,02501,0000,MISC REVENUE 434334,S000000,00100,0200,09/06/11 434334,S200000,00100,0100,ONE MAGNOLIA DRIVE 434334,S200000,00200,0100,LAPLATA 434334,S200000,00200,0200,MD 434334,S200000,00200,0300,20646 434334,S200000,00300,0100,CHARLES 434334,S200000,00300,0201,47894 434334,S200000,00300,0300,U 434334,S200000,00400,0100,LAPLATA CENTER 434334,S200000,00400,0200,215151 434334,S200000,00400,0300,01/01/91 434334,S200000,00400,0500,P 434334,S200000,01500,0100,Y 434334,S200000,01501,0200,N 434334,S200000,01502,0200,N 434334,S200000,01503,0200,N 434334,S200000,01504,0200,N 434334,S200000,01505,0000,DON BONUS 434334,S200000,01505,0200,N 434334,S200000,01600,0100,N 434334,S200000,01700,0100,N 434334,S200000,01800,0100,N 434334,S200000,02200,0100,Y 434334,S200000,02800,0100,N 434334,S200000,02900,0100,N 434334,S200000,03000,0100,N 434334,S200000,03100,0100,N 434334,S200000,03200,0100,N 434334,S200000,03300,0100,N 434334,S200000,03300,0200,N 434334,S200000,04200,0100,N 434334,S200000,04300,0100,N 434334,S200000,04600,0100,N 434334,S200000,04700,0100,N 434334,S200000,04900,0100,N 434334,S200000,05200,0100,N 434334,S200000,05300,0100,Y 434334,S200000,05300,0200,HB0067 434334,S200000,05400,0100,GENESIS HEALTHCARE 434334,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434334,S200000,05400,0300,12001 434334,S200000,05500,0100,101 EAST STATE STREET 434334,S200000,05600,0100,KENNETT SQUARE 434334,S200000,05600,0200,PA 434334,S200000,05600,0300,19348 434342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434342,A000000,00300,0000,0300EMPLOYEE BENEFITS 434342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434342,A000000,00700,0000,0700HOUSEKEEPING 434342,A000000,00800,0000,0800DIETARY 434342,A000000,01100,0000,1100PHARMACY 434342,A000000,01500,0000,1350PATIENT ACTIVITIES 434342,A000000,01600,0000,1600SKILLED NURSING FACILITY 434342,A000000,01800,0000,1800NURSING FACILITY 434342,A000000,01900,0000,1900OTHER LONG TERM CARE 434342,A000000,02100,0000,2100RADIOLOGY 434342,A000000,02200,0000,2200LABORATORY 434342,A000000,02300,0000,2300INTRAVENOUS THERAPY 434342,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434342,A000000,02500,0000,2500PHYSICAL THERAPY 434342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434342,A000000,02700,0000,2700SPEECH PATHOLOGY 434342,A000000,02800,0000,2800ELECTROCARDIOLOGY 434342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434342,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434342,A000000,03200,0000,3200SUPPORT SURFACES 434342,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434342,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434342,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434342,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434342,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434342,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434342,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434342,A000000,06100,0000,6100NONPAID WORKERS 434342,A000000,06200,0000,6200PATIENTS LAUNDRY 434342,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434342,A81000A,00100,0100,Y 434342,A81000B,00100,0300,CENTRAL OFFICE OVHD 434342,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 434342,A81000B,00300,0300,SUPPLIES 434342,A81000B,00400,0300,SUPPLIES 434342,A81000B,00500,0300,SUPPLIES 434342,A81000B,00600,0300,PHARMACY 434342,A81000B,00700,0300,PHARMACY 434342,A81000B,00800,0300,PHARMACY 434342,A81000B,00900,0300,PHARMACY 434342,A81000B,01000,0300,PHARMACY 434342,A81000B,01100,0300,PARMACY 434342,A81000C,00100,0100,B 434342,A81000C,00100,0200,AUTUMN CORPORATION 434342,A81000C,00100,0400,AUTUMN CORPORATION 434342,A81000C,00100,0600,HOME OFFICE 434342,A81000C,00200,0100,A 434342,A81000C,00200,0200,WINCARE 434342,A81000C,00200,0400,AUTUMN CORPORATION 434342,A81000C,00200,0600,SUPPLIES 434342,A81000C,00300,0100,A 434342,A81000C,00300,0200,LEGACY 434342,A81000C,00300,0400,AUTUMN CORPORATION 434342,A81000C,00300,0600,PHARMACY 434342,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434342,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434342,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434342,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434342,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434342,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 434342,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434342,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434342,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434342,E10A180,00501,0100,05/07/12 434342,G300000,02500,0000,MISC 434342,S000000,00100,0200,02/16/12 434342,S200000,00100,0100,LAMBERT ROAD 434342,S200000,00100,0300,708 434342,S200000,00200,0100,BISCOE 434342,S200000,00200,0200,NC 434342,S200000,00200,0300,27209 434342,S200000,00300,0100,MONTGOMERY 434342,S200000,00300,0200,34 434342,S200000,00300,0201,00034 434342,S200000,00300,0300,R 434342,S200000,00400,0100,AUTUMN CARE OF BISCOE 434342,S200000,00400,0200,345000 434342,S200000,00400,0300,01/01/82 434342,S200000,00400,0500,P 434342,S200000,01500,0100,N 434342,S200000,01501,0200,Y 434342,S200000,01600,0100,Y 434342,S200000,01700,0100,N 434342,S200000,01800,0100,N 434342,S200000,02200,0100,N 434342,S200000,02800,0100,N 434342,S200000,02900,0100,N 434342,S200000,03000,0100,N 434342,S200000,03100,0100,N 434342,S200000,03200,0100,N 434342,S200000,03300,0100,N 434342,S200000,03300,0200,N 434342,S200000,04100,0100,N 434342,S200000,04200,0100,N 434342,S200000,04300,0100,N 434342,S200000,04600,0100,N 434342,S200000,04700,0100,N 434342,S200000,04700,0200,N 434342,S200000,04900,0100,N 434342,S200000,05000,0100,N 434342,S200000,05100,0100,N 434342,S200000,05200,0100,N 434343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434343,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434343,A000000,00300,0000,0300EMPLOYEE BENEFITS 434343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434343,A000000,00700,0000,0700HOUSEKEEPING 434343,A000000,00800,0000,0800DIETARY 434343,A000000,00900,0000,0900NURSING ADMINISTRATION 434343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434343,A000000,01300,0000,1300SOCIAL SERVICE 434343,A000000,01500,0000,1350ACTIVITIES 434343,A000000,01600,0000,1600SKILLED NURSING FACILITY 434343,A000000,01800,0000,1800NURSING FACILITY 434343,A000000,01810,0000,1810ICF/MR 434343,A000000,01900,0000,1900OTHER LONG TERM CARE 434343,A000000,02100,0000,2100RADIOLOGY 434343,A000000,02200,0000,2200LABORATORY 434343,A000000,02300,0000,2300INTRAVENOUS THERAPY 434343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434343,A000000,02500,0000,2500PHYSICAL THERAPY 434343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434343,A000000,02700,0000,2700SPEECH PATHOLOGY 434343,A000000,02800,0000,2800ELECTROCARDIOLOGY 434343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434343,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434343,A000000,03200,0000,3200SUPPORT SURFACES 434343,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434343,A000000,03301,0000,3051AIR FLUID THERAPY 434343,A000000,03302,0000,3052AMBULANCE 434343,A000000,03303,0000,3053PEN THERAPY 434343,A000000,03304,0000,3054ONCOLOGY 434343,A000000,03305,0000,3055CARDIOLOGY 434343,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434343,A000000,03307,0000,3057AUDIOLOGY 434343,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434343,A000000,03400,0000,3400CLINIC 434343,A000000,03500,0000,3500RURAL HEALTH CLINIC 434343,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434343,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434343,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434343,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434343,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434343,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434343,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434343,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434343,A000000,04400,0000,4400DME RENTED - HHA 434343,A000000,04500,0000,4500DME SOLD - HHA 434343,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434343,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434343,A000000,04710,0000,4710TELEMEDICINE 434343,A000000,04800,0000,4800AMBULANCE 434343,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434343,A000000,05000,0000,5000CORF 434343,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434343,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434343,A000000,05300,0000,5300INTEREST EXPENSE 434343,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434343,A000000,05500,0000,5500HOSPICE 434343,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434343,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434343,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434343,A000000,06100,0000,6100NONPAID WORKERS 434343,A000000,06200,0000,6200PATIENTS LAUNDRY 434343,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434343,A81000A,00100,0100,Y 434343,A81000B,00100,0300,HO BUILDING DEPRECIATION 434343,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434343,A81000B,00300,0300,INTEREST 434343,A81000B,00400,0300,MANAGEMENT FEES 434343,A81000B,00500,0300,MEDICAL SUPPLIES 434343,A81000B,00600,0300,MEDICAL SUPPLIES 434343,A81000B,00700,0300,MEDICAL SUPPLIES 434343,A81000B,00800,0300,DRUGS 434343,A81000B,00900,0300,DRUGS 434343,A81000B,01000,0300,DRUGS 434343,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 434343,A81000B,01200,0300,FAC EQUIP 434343,A81000B,01300,0300,FAC INTEREST 434343,A81000B,01400,0300,FAC AMORT 434343,A81000B,01500,0300,FAC A&G 434343,A81000C,00100,0100,A 434343,A81000C,00100,0200,R&S MCNEILL 434343,A81000C,00100,0400,LIBERTY LTC MGMT 434343,A81000C,00100,0600,HOME OFC 434343,A81000C,00200,0100,A 434343,A81000C,00200,0200,R&S MCNEILL 434343,A81000C,00200,0400,LIBERTY LTC MGMT 434343,A81000C,00200,0600,HOME OFC 434343,A81000C,00300,0100,A 434343,A81000C,00300,0200,R&S MCNEILL 434343,A81000C,00300,0400,LIBERTY LTC MGMT 434343,A81000C,00300,0600,HOME OFC 434343,A81000C,00400,0100,A 434343,A81000C,00400,0200,R&S MCNEILL 434343,A81000C,00400,0400,LIBERTY LTC MGMT 434343,A81000C,00400,0600,HOME OFC 434343,A81000C,00500,0100,A 434343,A81000C,00500,0200,R&S MCNEILL 434343,A81000C,00500,0400,LIBERTY MED SPEC 434343,A81000C,00500,0600,MED SUPPLY 434343,A81000C,00600,0100,A 434343,A81000C,00600,0200,R&S MCNEILL 434343,A81000C,00600,0400,LIBERTY MED SPEC 434343,A81000C,00600,0600,MED SUPPLY 434343,A81000C,00700,0100,A 434343,A81000C,00700,0200,R&S MCNEILL 434343,A81000C,00700,0400,LIBERTY MED SPEC 434343,A81000C,00700,0600,MED SUPPLY 434343,A81000C,00800,0100,A 434343,A81000C,00800,0200,R&S MCNEILL 434343,A81000C,00800,0400,MCNEILL PHARM 434343,A81000C,00800,0600,PHARMACY 434343,A81000C,00900,0100,A 434343,A81000C,00900,0200,R&S MCNEILL 434343,A81000C,00900,0400,MCNEILL PHARM 434343,A81000C,00900,0600,PHARMACY 434343,A81000C,01000,0100,A 434343,A81000C,01000,0200,R&S MCNEILL 434343,A81000C,01000,0400,MCNEILL PHARM 434343,A81000C,01000,0600,PHARMACY 434343,A81000C,01001,0100,A 434343,A81000C,01001,0200,R&S MCNEILL 434343,A81000C,01001,0400,LIBERTY PROPERTIES 434343,A81000C,01001,0600,BUILDING 434343,A81000C,01002,0100,A 434343,A81000C,01002,0200,R&S MCNEILL 434343,A81000C,01002,0400,LIBERTY PROPERTIES 434343,A81000C,01002,0600,BUILDING 434343,A81000C,01003,0100,A 434343,A81000C,01003,0200,R&S MCNEILL 434343,A81000C,01003,0400,LIBERTY PROPERTIES 434343,A81000C,01003,0600,BUILDING 434343,A81000C,01004,0100,A 434343,A81000C,01004,0200,R&S MCNEILL 434343,A81000C,01004,0400,LIBERTY PROPERTIES 434343,A81000C,01004,0600,BUILDING 434343,A81000C,01005,0100,A 434343,A81000C,01005,0200,R&S MCNEILL 434343,A81000C,01005,0400,LIBERTY PROPERTIES 434343,A81000C,01005,0600,BUILDING 434343,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434343,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434343,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434343,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434343,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434343,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434343,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434343,B100000,00000,0800,0800MEALS SERVED :DIETARY 434343,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434343,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434343,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434343,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434343,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434343,E10A180,00350,0300,07/27/11 434343,E10A180,00501,0100,05/27/12 434343,G300000,02500,0000,BARBER & BEAUTY 434343,G300000,02501,0000,PERSONAL ITEM REVENUE 434343,G300000,02502,0000,EQUIPMENT RENTAL 434343,G300000,02503,0000,MISCELLANEOUS REVENUE 434343,S000000,00100,0200,03/01/12 434343,S200000,00100,0100,714 WESTOVER DRIVE 434343,S200000,00200,0100,SANFORD 434343,S200000,00200,0200,NC 434343,S200000,00200,0300,27331 434343,S200000,00300,0100,LEE 434343,S200000,00300,0200,34 434343,S200000,00300,0201,99934 434343,S200000,00300,0300,R 434343,S200000,00400,0100,LEE COUNTY NSG & REHAB CTR 434343,S200000,00400,0200,345216 434343,S200000,00400,0300,10/01/81 434343,S200000,00400,0500,P 434343,S200000,00400,0600,P 434343,S200000,01500,0100,Y 434343,S200000,01501,0200,Y 434343,S200000,01600,0100,N 434343,S200000,01700,0100,N 434343,S200000,01800,0100,N 434343,S200000,02200,0100,N 434343,S200000,02800,0100,N 434343,S200000,02900,0100,N 434343,S200000,03000,0100,N 434343,S200000,03100,0100,N 434343,S200000,03200,0100,N 434343,S200000,03300,0100,N 434343,S200000,03300,0200,N 434343,S200000,04100,0100,N 434343,S200000,04200,0100,N 434343,S200000,04300,0100,N 434343,S200000,04600,0100,N 434343,S200000,04700,0100,N 434343,S200000,04700,0200,N 434343,S200000,04900,0100,N 434343,S200000,05000,0100,N 434343,S200000,05100,0100,N 434343,S200000,05200,0100,N 434343,S200000,05300,0100,N 434344,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434344,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434344,A000000,00300,0000,0300EMPLOYEE BENEFITS 434344,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434344,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434344,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434344,A000000,00700,0000,0700HOUSEKEEPING 434344,A000000,00800,0000,0800DIETARY 434344,A000000,00900,0000,0900NURSING ADMINISTRATION 434344,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434344,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434344,A000000,01300,0000,1300SOCIAL SERVICE 434344,A000000,01500,0000,1350ACTIVITIES 434344,A000000,01600,0000,1600SKILLED NURSING FACILITY 434344,A000000,01800,0000,1800NURSING FACILITY 434344,A000000,01810,0000,1810ICF/MR 434344,A000000,01900,0000,1900OTHER LONG TERM CARE 434344,A000000,02100,0000,2100RADIOLOGY 434344,A000000,02200,0000,2200LABORATORY 434344,A000000,02300,0000,2300INTRAVENOUS THERAPY 434344,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434344,A000000,02500,0000,2500PHYSICAL THERAPY 434344,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434344,A000000,02700,0000,2700SPEECH PATHOLOGY 434344,A000000,02800,0000,2800ELECTROCARDIOLOGY 434344,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434344,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434344,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434344,A000000,03200,0000,3200SUPPORT SURFACES 434344,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434344,A000000,03301,0000,3051AIR FLUID THERAPY 434344,A000000,03302,0000,3052AMBULANCE 434344,A000000,03303,0000,3053PEN THERAPY 434344,A000000,03304,0000,3054ONCOLOGY 434344,A000000,03305,0000,3055CARDIOLOGY 434344,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434344,A000000,03307,0000,3057AUDIOLOGY 434344,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434344,A000000,03400,0000,3400CLINIC 434344,A000000,03500,0000,3500RURAL HEALTH CLINIC 434344,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434344,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434344,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434344,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434344,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434344,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434344,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434344,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434344,A000000,04400,0000,4400DME RENTED - HHA 434344,A000000,04500,0000,4500DME SOLD - HHA 434344,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434344,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434344,A000000,04710,0000,4710TELEMEDICINE 434344,A000000,04800,0000,4800AMBULANCE 434344,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434344,A000000,05000,0000,5000CORF 434344,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434344,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434344,A000000,05300,0000,5300INTEREST EXPENSE 434344,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434344,A000000,05500,0000,5500HOSPICE 434344,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434344,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434344,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434344,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434344,A000000,06100,0000,6100NONPAID WORKERS 434344,A000000,06200,0000,6200PATIENTS LAUNDRY 434344,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434344,A81000A,00100,0100,Y 434344,A81000B,00100,0300,HO BUILDING DEPRECIATION 434344,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434344,A81000B,00300,0300,INTEREST 434344,A81000B,00400,0300,MANAGEMENT FEES 434344,A81000B,00500,0300,MEDICAL SUPPLIES 434344,A81000B,00600,0300,MEDICAL SUPPLIES 434344,A81000B,00700,0300,MEDICAL SUPPLIES 434344,A81000B,00800,0300,DRUGS 434344,A81000B,00900,0300,DRUGS 434344,A81000B,01000,0300,DRUGS 434344,A81000B,01100,0300,FACILITY LEASE 434344,A81000B,01200,0300,FAC BLDG DPRE 434344,A81000B,01300,0300,FAC EQUIP 434344,A81000B,01400,0300,FAC INTEREST 434344,A81000B,01500,0300,FAC A&G 434344,A81000C,00100,0100,A 434344,A81000C,00100,0200,R&S MCNEIL 434344,A81000C,00100,0400,LIBERTY LTC MGMT 434344,A81000C,00100,0600,HOME OFC 434344,A81000C,00200,0100,A 434344,A81000C,00200,0200,R&S MCNEIL 434344,A81000C,00200,0400,LIBERTY LTC MGMT 434344,A81000C,00200,0600,HOME OFC 434344,A81000C,00300,0100,A 434344,A81000C,00300,0200,R&S MCNEIL 434344,A81000C,00300,0400,LIBERTY LTC MGMT 434344,A81000C,00300,0600,HOME OFC 434344,A81000C,00400,0100,A 434344,A81000C,00400,0200,R&S MCNEIL 434344,A81000C,00400,0400,LIBERTY LTC MGMT 434344,A81000C,00400,0600,HOME OFC 434344,A81000C,00500,0100,A 434344,A81000C,00500,0200,R&S MCNEIL 434344,A81000C,00500,0400,LIBERTY MED SPEC 434344,A81000C,00500,0600,MED SUPPLY 434344,A81000C,00600,0100,A 434344,A81000C,00600,0200,R&S MCNEIL 434344,A81000C,00600,0400,LIBERTY MED SPEC 434344,A81000C,00600,0600,MED SUPPLY 434344,A81000C,00700,0100,A 434344,A81000C,00700,0200,R&S MCNEIL 434344,A81000C,00700,0400,LIBERTY MED SPEC 434344,A81000C,00700,0600,MED SUPPLY 434344,A81000C,00800,0100,A 434344,A81000C,00800,0200,R&S MCNEIL 434344,A81000C,00800,0400,MCNEILL PHARM 434344,A81000C,00800,0600,PHARMACY 434344,A81000C,00900,0100,A 434344,A81000C,00900,0200,R&S MCNEIL 434344,A81000C,00900,0400,MCNEILL PHARM 434344,A81000C,00900,0600,PHARMACY 434344,A81000C,01000,0100,A 434344,A81000C,01000,0200,R&S MCNEIL 434344,A81000C,01000,0400,MCNEILL PHARM 434344,A81000C,01000,0600,PHARMACY 434344,A81000C,01001,0100,A 434344,A81000C,01001,0200,R&S MCNEIL 434344,A81000C,01001,0400,LIBERTY PROPERTIES 434344,A81000C,01001,0600,BUILDING 434344,A81000C,01002,0100,A 434344,A81000C,01002,0200,R&S MCNEIL 434344,A81000C,01002,0400,LIBERTY PROPERTIES 434344,A81000C,01002,0600,BUILDING 434344,A81000C,01003,0100,A 434344,A81000C,01003,0200,R&S MCNEIL 434344,A81000C,01003,0400,LIBERTY PROPERTIES 434344,A81000C,01003,0600,BUILDING 434344,A81000C,01004,0100,A 434344,A81000C,01004,0200,R&S MCNEIL 434344,A81000C,01004,0400,LIBERTY PROPERTIES 434344,A81000C,01004,0600,BUILDING 434344,A81000C,01005,0100,A 434344,A81000C,01005,0200,R&S MCNEIL 434344,A81000C,01005,0400,LIBERTY PROPERTIES 434344,A81000C,01005,0600,BUILDING 434344,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434344,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434344,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434344,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434344,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434344,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434344,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434344,B100000,00000,0800,0800MEALS SERVED :DIETARY 434344,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434344,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434344,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434344,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434344,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434344,E10A180,00501,0100,05/27/12 434344,G300000,02500,0000,BARBER & BEAUTY 434344,G300000,02501,0000,PERSONAL ITEM REVENUE 434344,G300000,02502,0000,EQUIPMENT RENTAL 434344,G300000,02503,0000,MISCELLANEOUS REVENUE 434344,G300000,02504,0000,RESERVE BED REVENUE 434344,S000000,00100,0200,03/01/12 434344,S200000,00100,0100,120 SOUTHWOOD DRIVE 434344,S200000,00200,0100,CLINTON 434344,S200000,00200,0200,NC 434344,S200000,00200,0300,28329 434344,S200000,00300,0100,SAMPSON 434344,S200000,00300,0200,34 434344,S200000,00300,0201,99934 434344,S200000,00300,0300,R 434344,S200000,00400,0100,MARY GRAN NURSING FACILITY 434344,S200000,00400,0200,345218 434344,S200000,00400,0300,10/01/81 434344,S200000,00400,0500,P 434344,S200000,00400,0600,P 434344,S200000,01500,0100,Y 434344,S200000,01501,0200,Y 434344,S200000,01600,0100,N 434344,S200000,01700,0100,N 434344,S200000,01800,0100,N 434344,S200000,02200,0100,N 434344,S200000,02800,0100,N 434344,S200000,02900,0100,N 434344,S200000,03000,0100,N 434344,S200000,03100,0100,N 434344,S200000,03200,0100,N 434344,S200000,03300,0100,N 434344,S200000,03300,0200,N 434344,S200000,04100,0100,N 434344,S200000,04200,0100,N 434344,S200000,04300,0100,N 434344,S200000,04600,0100,N 434344,S200000,04700,0100,N 434344,S200000,04700,0200,N 434344,S200000,04900,0100,N 434344,S200000,05000,0100,N 434344,S200000,05100,0100,N 434344,S200000,05200,0100,N 434344,S200000,05300,0100,N 434345,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434345,A000000,00300,0000,0300EMPLOYEE BENEFITS 434345,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434345,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434345,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434345,A000000,00700,0000,0700HOUSEKEEPING 434345,A000000,00800,0000,0800DIETARY 434345,A000000,01100,0000,1100PHARMACY 434345,A000000,01500,0000,1350PATIENT ACTIVITIES 434345,A000000,01600,0000,1600SKILLED NURSING FACILITY 434345,A000000,01800,0000,1800NURSING FACILITY 434345,A000000,01900,0000,1900OTHER LONG TERM CARE 434345,A000000,02100,0000,2100RADIOLOGY 434345,A000000,02200,0000,2200LABORATORY 434345,A000000,02300,0000,2300INTRAVENOUS THERAPY 434345,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434345,A000000,02500,0000,2500PHYSICAL THERAPY 434345,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434345,A000000,02700,0000,2700SPEECH PATHOLOGY 434345,A000000,02800,0000,2800ELECTROCARDIOLOGY 434345,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434345,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434345,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434345,A000000,03200,0000,3200SUPPORT SURFACES 434345,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434345,A000000,03400,0000,3400CLINIC 434345,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434345,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434345,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434345,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434345,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434345,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434345,A000000,06100,0000,6100NONPAID WORKERS 434345,A000000,06200,0000,6200PATIENTS LAUNDRY 434345,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434345,A81000A,00100,0100,Y 434345,A81000B,00100,0300,CENTRAL OFFICE OVHD 434345,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 434345,A81000B,00300,0300,SUPPLIES 434345,A81000B,00400,0300,SUPPLIES 434345,A81000B,00500,0300,SUPPLIES 434345,A81000B,00600,0300,PHARMACY 434345,A81000B,00700,0300,PHARMACY 434345,A81000B,00800,0300,PHARMACY 434345,A81000B,00900,0300,PHARMACY 434345,A81000B,01000,0300,PHARMACY 434345,A81000C,00100,0100,B 434345,A81000C,00100,0200,AUTUMN CORPORATION 434345,A81000C,00100,0400,AUTUMN CORPORATION 434345,A81000C,00100,0600,HOME OFFICE 434345,A81000C,00200,0100,B 434345,A81000C,00200,0200,AUTUMN CORPORATION 434345,A81000C,00200,0400,AUTUMN CORPORATION 434345,A81000C,00200,0600,HOME OFFICE 434345,A81000C,00300,0100,A 434345,A81000C,00300,0200,WINCARE 434345,A81000C,00300,0400,AUTUMN CORPORATION 434345,A81000C,00300,0600,SUPPLIES 434345,A81000C,00400,0100,A 434345,A81000C,00400,0200,LEGACY 434345,A81000C,00400,0400,AUTUMN CORPORATION 434345,A81000C,00400,0600,PHARMACY 434345,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434345,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434345,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434345,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434345,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434345,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 434345,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434345,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434345,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434345,E10A180,00501,0100,05/08/12 434345,G300000,02500,0000,MISC 434345,S000000,00100,0200,02/16/12 434345,S200000,00100,0100,1206 N. FULTON ST 434345,S200000,00100,0300,10 434345,S200000,00200,0100,RAEFORD 434345,S200000,00200,0200,NC 434345,S200000,00200,0300,28376 434345,S200000,00300,0100,HOKE 434345,S200000,00300,0200,0034 434345,S200000,00300,0201,22180 434345,S200000,00300,0300,U 434345,S200000,00400,0100,AUTUMN CARE OF RAEFORD 434345,S200000,00400,0200,345280 434345,S200000,00400,0300,06/16/88 434345,S200000,00400,0500,P 434345,S200000,01500,0100,N 434345,S200000,01501,0200,Y 434345,S200000,01600,0100,Y 434345,S200000,01700,0100,N 434345,S200000,01800,0100,N 434345,S200000,02200,0100,N 434345,S200000,02800,0100,N 434345,S200000,02900,0100,N 434345,S200000,03000,0100,N 434345,S200000,03100,0100,N 434345,S200000,03200,0100,N 434345,S200000,03300,0100,N 434345,S200000,03300,0200,N 434345,S200000,04100,0100,N 434345,S200000,04200,0100,N 434345,S200000,04300,0100,N 434345,S200000,04600,0100,N 434345,S200000,04700,0100,N 434345,S200000,04700,0200,N 434345,S200000,04900,0100,N 434345,S200000,05000,0100,N 434345,S200000,05100,0100,N 434345,S200000,05200,0100,N 434346,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434346,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434346,A000000,00300,0000,0300EMPLOYEE BENEFITS 434346,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434346,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434346,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434346,A000000,00700,0000,0700HOUSEKEEPING 434346,A000000,00800,0000,0800DIETARY 434346,A000000,00900,0000,0900NURSING ADMINISTRATION 434346,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434346,A000000,01100,0000,1100PHARMACY 434346,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434346,A000000,01300,0000,1300SOCIAL SERVICE 434346,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434346,A000000,01500,0000,1350PATIENT ACTIVITIES 434346,A000000,01600,0000,1600SKILLED NURSING FACILITY 434346,A000000,01800,0000,1800NURSING FACILITY 434346,A000000,01810,0000,1810ICF/MR 434346,A000000,01900,0000,1900OTHER LONG TERM CARE 434346,A000000,02100,0000,2100RADIOLOGY 434346,A000000,02200,0000,2200LABORATORY 434346,A000000,02300,0000,2300INTRAVENOUS THERAPY 434346,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434346,A000000,02500,0000,2500PHYSICAL THERAPY 434346,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434346,A000000,02700,0000,2700SPEECH PATHOLOGY 434346,A000000,02800,0000,2800ELECTROCARDIOLOGY 434346,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434346,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434346,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434346,A000000,03200,0000,3200SUPPORT SURFACES 434346,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434346,A000000,03400,0000,3400CLINIC 434346,A000000,03500,0000,3500RURAL HEALTH CLINIC 434346,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434346,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434346,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434346,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434346,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434346,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434346,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434346,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434346,A000000,04400,0000,4400DME RENTED - HHA 434346,A000000,04500,0000,4500DME SOLD - HHA 434346,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434346,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434346,A000000,04710,0000,4710TELEMEDICINE 434346,A000000,04800,0000,4800AMBULANCE 434346,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434346,A000000,05000,0000,5000CORF 434346,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434346,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434346,A000000,05300,0000,5300INTEREST EXPENSE 434346,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434346,A000000,05500,0000,5500HOSPICE 434346,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434346,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434346,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434346,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434346,A000000,06100,0000,6100NONPAID WORKERS 434346,A000000,06200,0000,6200PATIENTS LAUNDRY 434346,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434346,A81000A,00100,0100,N 434346,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434346,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434346,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434346,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434346,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434346,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434346,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434346,B100000,00000,0800,0800MEALS SERVED :DIETARY 434346,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434346,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434346,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434346,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434346,E10A180,00501,0100,05/10/12 434346,G300000,02500,0000,BEAUTY SHOP INCOME 434346,G300000,02501,0000,AUTO LEASE REVENUE 434346,G300000,02502,0000,MEDICARE A PASS THRU REVENUE 434346,G300000,02503,0000,ROOM HOLD 434346,G300000,02504,0000,RENTAL INCOME 434346,G300000,02505,0000,BAD DEBT RECOVERY 434346,G300000,02506,0000,COST REPORT SETTLEMENT 434346,G300000,02507,0000,CORPORATION TAX REFUND 434346,G300000,02508,0000,VENDING REVENUE 434346,S000000,00100,0200,02/28/12 434346,S200000,00100,0100,311 S CAMPBELL STREET 434346,S200000,00200,0100,BURGAW 434346,S200000,00200,0200,NC 434346,S200000,00200,0300,28425 434346,S200000,00300,0100,PENDER 434346,S200000,00300,0200,0034 434346,S200000,00300,0201,48900 434346,S200000,00300,0300,U 434346,S200000,00400,0100,HUNTINGTON HEALTH CARE & RTMT CTR 434346,S200000,00400,0200,345298 434346,S200000,00400,0300,03/08/89 434346,S200000,00400,0500,P 434346,S200000,01500,0100,Y 434346,S200000,01502,0200,N 434346,S200000,01503,0200,N 434346,S200000,01504,0200,N 434346,S200000,01600,0100,N 434346,S200000,01700,0100,N 434346,S200000,01800,0100,N 434346,S200000,02200,0100,N 434346,S200000,02800,0100,N 434346,S200000,02900,0100,N 434346,S200000,03000,0100,N 434346,S200000,03100,0100,N 434346,S200000,03200,0100,N 434346,S200000,03300,0100,N 434346,S200000,03300,0200,N 434346,S200000,04100,0100,N 434346,S200000,04200,0100,N 434346,S200000,04300,0100,N 434346,S200000,04600,0100,N 434346,S200000,04700,0100,N 434346,S200000,04700,0200,N 434346,S200000,04900,0100,N 434346,S200000,05000,0100,N 434346,S200000,05100,0100,N 434346,S200000,05200,0100,N 434347,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434347,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434347,A000000,00300,0000,0300EMPLOYEE BENEFITS 434347,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434347,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434347,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434347,A000000,00700,0000,0700HOUSEKEEPING 434347,A000000,00800,0000,0800DIETARY 434347,A000000,00900,0000,0900NURSING ADMINISTRATION 434347,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434347,A000000,01100,0000,1100PHARMACY 434347,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434347,A000000,01300,0000,1300SOCIAL SERVICE 434347,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434347,A000000,01500,0000,1350PATIENT ACTIVITIES 434347,A000000,01600,0000,1600SKILLED NURSING FACILITY 434347,A000000,01800,0000,1800NURSING FACILITY 434347,A000000,01810,0000,1810ICF/MR 434347,A000000,01900,0000,1900OTHER LONG TERM CARE 434347,A000000,02100,0000,2100RADIOLOGY 434347,A000000,02200,0000,2200LABORATORY 434347,A000000,02300,0000,2300INTRAVENOUS THERAPY 434347,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434347,A000000,02500,0000,2500PHYSICAL THERAPY 434347,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434347,A000000,02700,0000,2700SPEECH PATHOLOGY 434347,A000000,02800,0000,2800ELECTROCARDIOLOGY 434347,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434347,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434347,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434347,A000000,03200,0000,3200SUPPORT SURFACES 434347,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434347,A000000,03400,0000,3400CLINIC 434347,A000000,03500,0000,3500RURAL HEALTH CLINIC 434347,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434347,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434347,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434347,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434347,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434347,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434347,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434347,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434347,A000000,04400,0000,4400DME RENTED - HHA 434347,A000000,04500,0000,4500DME SOLD - HHA 434347,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434347,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434347,A000000,04710,0000,4710TELEMEDICINE 434347,A000000,04800,0000,4800AMBULANCE 434347,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434347,A000000,05000,0000,5000CORF 434347,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434347,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434347,A000000,05300,0000,5300INTEREST EXPENSE 434347,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434347,A000000,05500,0000,5500HOSPICE 434347,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434347,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434347,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434347,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434347,A000000,06100,0000,6100NONPAID WORKERS 434347,A000000,06200,0000,6200PATIENTS LAUNDRY 434347,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434347,A81000A,00100,0100,Y 434347,A81000B,00100,0300,MANAGEMENT FEES 434347,A81000B,00200,0300,CAP REL BLDG 434347,A81000B,00300,0300,CAP REL EQUIP 434347,A81000B,00400,0300,NON CAPITAL 434347,A81000B,00500,0300,CONTRACT SERVICES 434347,A81000B,00600,0300,CONTRACT SERVICES 434347,A81000B,00700,0300,CONTRACT SERVICES 434347,A81000B,00800,0300,RESTORATIVE NURSING 434347,A81000B,00900,0300,NURSE CONSULTANT 434347,A81000B,01000,0300,CONSULTING 434347,A81000B,01100,0300,LEGEND DRUGS 434347,A81000B,01200,0300,STOCK DRUGS 434347,A81000B,01300,0300,MEDICAL RECORD SUPPLIES 434347,A81000B,01400,0300,THERAPEUTIC BEDS 434347,A81000B,01500,0300,P/E SUPPLIES 434347,A81000C,00100,0100,B 434347,A81000C,00100,0200,NOAH DUNCAN TRUST 434347,A81000C,00100,0400,CC MANAGEMENT 434347,A81000C,00100,0600,MANAGEMENT 434347,A81000C,00200,0100,B 434347,A81000C,00200,0200,NOAH DUNCAN TRUST 434347,A81000C,00200,0400,CC MANAGEMENT 434347,A81000C,00200,0600,MANAGEMENT 434347,A81000C,00300,0100,B 434347,A81000C,00300,0200,NOAH DUNCAN TRUST 434347,A81000C,00300,0400,CC MANAGEMENT 434347,A81000C,00300,0600,MANAGEMENT 434347,A81000C,00400,0100,B 434347,A81000C,00400,0200,NOAH DUNCAN TRUST 434347,A81000C,00400,0400,CC MANAGEMENT 434347,A81000C,00400,0600,MANAGEMENT 434347,A81000C,00500,0100,B 434347,A81000C,00500,0200,NOAH DUNCAN TRUST 434347,A81000C,00500,0400,CTS 434347,A81000C,00500,0600,THERAPY 434347,A81000C,00600,0100,B 434347,A81000C,00600,0200,NOAH DUNCAN TRUST 434347,A81000C,00600,0400,CTS 434347,A81000C,00600,0600,THERAPY 434347,A81000C,00700,0100,B 434347,A81000C,00700,0200,NOAH DUNCAN TRUST 434347,A81000C,00700,0400,CTS 434347,A81000C,00700,0600,THERAPY 434347,A81000C,00800,0100,B 434347,A81000C,00800,0200,NOAH DUNCAN TRUST 434347,A81000C,00800,0400,CTS 434347,A81000C,00800,0600,THERAPY 434347,A81000C,00900,0100,B 434347,A81000C,00900,0200,NOAH DUNCAN TRUST 434347,A81000C,00900,0400,CTS 434347,A81000C,00900,0600,THERAPY 434347,A81000C,01000,0100,B 434347,A81000C,01000,0200,NOAH DUNCAN TRUST 434347,A81000C,01000,0400,SERVANT PHARMACY 434347,A81000C,01000,0600,PHARMACY 434347,A81000C,01001,0100,B 434347,A81000C,01001,0200,NOAH DUNCAN TRUST 434347,A81000C,01001,0400,SERVANT PHARMACY 434347,A81000C,01001,0600,PHARMACY 434347,A81000C,01002,0100,B 434347,A81000C,01002,0200,NOAH DUNCAN TRUST 434347,A81000C,01002,0400,SERVANT PHARMACY 434347,A81000C,01002,0600,PHARMACY 434347,A81000C,01003,0100,B 434347,A81000C,01003,0200,NOAH DUNCAN TRUST 434347,A81000C,01003,0400,SERVANT PHARMACY 434347,A81000C,01003,0600,PHARMACY 434347,A81000C,01004,0100,B 434347,A81000C,01004,0200,NOAH DUNCAN TRUST 434347,A81000C,01004,0400,CC PEN THERAPY 434347,A81000C,01004,0600,SUPPLIES 434347,A81000C,01005,0100,B 434347,A81000C,01005,0200,NOAH DUNCAN TRUST 434347,A81000C,01005,0400,CC PEN THERAPY 434347,A81000C,01005,0600,SUPPLIES 434347,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434347,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434347,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434347,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434347,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434347,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434347,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434347,B100000,00000,0800,0800MEALS SERVED :DIETARY 434347,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434347,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434347,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434347,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434347,E10A180,00550,0100,02/29/12 434347,G300000,02500,0000,MEDICARE A BAD DEBT REVENUE 434347,G300000,02501,0000,VENDING MACHINE REVENUE 434347,G300000,02502,0000,CABLE TV REVENUE 434347,G300000,02503,0000,MISCELLANEOUS REVENUE 434347,S000000,00100,0200,02/29/12 434347,S200000,00100,0100,8900 HASTY ROAD 434347,S200000,00200,0100,LAURINBURG 434347,S200000,00200,0200,NC 434347,S200000,00200,0300,28352 434347,S200000,00300,0100,SCOTLAND 434347,S200000,00300,0200,34 434347,S200000,00300,0201,99934 434347,S200000,00300,0300,R 434347,S200000,00400,0100,CENTURY CARE OF LAURINBURG 434347,S200000,00400,0200,345383 434347,S200000,00400,0300,07/03/91 434347,S200000,00400,0500,P 434347,S200000,01500,0100,N 434347,S200000,01502,0200,Y 434347,S200000,01503,0200,Y 434347,S200000,01504,0200,Y 434347,S200000,01505,0000,IN2L 434347,S200000,01505,0200,Y 434347,S200000,01600,0100,Y 434347,S200000,01700,0100,N 434347,S200000,01800,0100,N 434347,S200000,02200,0100,N 434347,S200000,02800,0100,N 434347,S200000,02900,0100,N 434347,S200000,03000,0100,N 434347,S200000,03100,0100,N 434347,S200000,03200,0100,N 434347,S200000,03300,0100,N 434347,S200000,03300,0200,N 434347,S200000,04100,0100,N 434347,S200000,04200,0100,N 434347,S200000,04300,0100,N 434347,S200000,04600,0100,N 434347,S200000,04700,0100,N 434347,S200000,04700,0200,N 434347,S200000,04900,0100,N 434347,S200000,05000,0100,N 434347,S200000,05100,0100,N 434347,S200000,05200,0100,N 434348,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434348,A000000,00300,0000,0300EMPLOYEE BENEFITS 434348,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434348,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434348,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434348,A000000,00700,0000,0700HOUSEKEEPING 434348,A000000,00800,0000,0800DIETARY 434348,A000000,01100,0000,1100PHARMACY 434348,A000000,01500,0000,1350PATIENT ACTIVITIES 434348,A000000,01600,0000,1600SKILLED NURSING FACILITY 434348,A000000,01800,0000,1800NURSING FACILITY 434348,A000000,01900,0000,1900OTHER LONG TERM CARE 434348,A000000,02100,0000,2100RADIOLOGY 434348,A000000,02200,0000,2200LABORATORY 434348,A000000,02300,0000,2300INTRAVENOUS THERAPY 434348,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434348,A000000,02500,0000,2500PHYSICAL THERAPY 434348,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434348,A000000,02700,0000,2700SPEECH PATHOLOGY 434348,A000000,02800,0000,2800ELECTROCARDIOLOGY 434348,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434348,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434348,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434348,A000000,03200,0000,3200SUPPORT SURFACES 434348,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434348,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434348,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434348,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434348,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434348,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434348,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434348,A000000,06100,0000,6100NONPAID WORKERS 434348,A000000,06200,0000,6200PATIENTS LAUNDRY 434348,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434348,A81000A,00100,0100,Y 434348,A81000B,00100,0300,CENTRAL OFICE OVHD 434348,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 434348,A81000B,00300,0300,SUPPLIES 434348,A81000B,00400,0300,SUPPLIES 434348,A81000B,00500,0300,SUPPLIES 434348,A81000B,00600,0300,PHARMACY 434348,A81000B,00700,0300,PHARMACY 434348,A81000B,00800,0300,PHARMACY 434348,A81000B,00900,0300,PHARMACY 434348,A81000B,01000,0300,PHARMACY 434348,A81000C,00100,0100,B 434348,A81000C,00100,0200,AUTUMN CORPORATION 434348,A81000C,00100,0400,AUTUMN CORPORATION 434348,A81000C,00100,0600,HOME OFFICE 434348,A81000C,00200,0100,B 434348,A81000C,00200,0200,AUTUMN CORPORATION 434348,A81000C,00200,0400,AUTUMN CORPORATION 434348,A81000C,00200,0600,HOME OFFICE 434348,A81000C,00300,0100,A 434348,A81000C,00300,0200,WINCARE 434348,A81000C,00300,0400,AUTUMN CORPORATION 434348,A81000C,00300,0600,SUPPLIES 434348,A81000C,00400,0100,A 434348,A81000C,00400,0200,LEGACY 434348,A81000C,00400,0400,AUTUMN CORPORATION 434348,A81000C,00400,0600,PHARMACY 434348,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434348,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434348,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434348,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434348,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434348,B100000,00000,0700,0750SQ FT W/O DIETARY:HOUSEKEEPING 434348,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434348,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434348,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434348,G300000,02500,0000,MISC 434348,S000000,00100,0200,02/16/12 434348,S200000,00100,0100,1401 71ST SCHOOL ROAD 434348,S200000,00100,0300,26300 434348,S200000,00200,0100,FAYETTEVILLE 434348,S200000,00200,0200,NC 434348,S200000,00200,0300,28314 434348,S200000,00300,0100,CUMBERLAND 434348,S200000,00300,0200,0034 434348,S200000,00300,0201,22180 434348,S200000,00300,0300,U 434348,S200000,00400,0100,AUTUMN CARE OF FAYETTEVILLE 434348,S200000,00400,0200,345553 434348,S200000,00400,0300,03/24/11 434348,S200000,00400,0500,P 434348,S200000,01500,0100,Y 434348,S200000,01501,0200,Y 434348,S200000,01600,0100,N 434348,S200000,01700,0100,N 434348,S200000,01800,0100,N 434348,S200000,02200,0100,N 434348,S200000,02800,0100,N 434348,S200000,02900,0100,N 434348,S200000,03000,0100,N 434348,S200000,03100,0100,N 434348,S200000,03200,0100,N 434348,S200000,03300,0100,N 434348,S200000,03300,0200,N 434348,S200000,04100,0100,N 434348,S200000,04200,0100,N 434348,S200000,04300,0100,N 434348,S200000,04600,0100,N 434348,S200000,04700,0100,N 434348,S200000,04700,0200,N 434348,S200000,04900,0100,N 434348,S200000,05000,0100,N 434348,S200000,05100,0100,N 434348,S200000,05200,0100,N 434349,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434349,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434349,A000000,00300,0000,0300EMPLOYEE BENEFITS 434349,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434349,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434349,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434349,A000000,00700,0000,0700HOUSEKEEPING 434349,A000000,00800,0000,0800DIETARY 434349,A000000,00900,0000,0900NURSING ADMINISTRATION 434349,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434349,A000000,01100,0000,1100PHARMACY 434349,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434349,A000000,01300,0000,1300SOCIAL SERVICE 434349,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434349,A000000,01600,0000,1600SKILLED NURSING FACILITY 434349,A000000,01810,0000,1810ICF/MR 434349,A000000,02500,0000,2500PHYSICAL THERAPY 434349,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434349,A000000,02700,0000,2700SPEECH PATHOLOGY 434349,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434349,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434349,A000000,03550,0000,3550FQHC 434349,A000000,05000,0000,5000CORF 434349,A000000,05010,0000,5010CMHC 434349,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434349,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434349,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434349,A81000A,00100,0100,Y 434349,A81000B,00100,0300,MANAGEMENT FEES 434349,A81000B,00200,0300,MANAGEMENT FEES 434349,A81000B,00300,0300,MANAGEMENT FEES 434349,A81000C,00100,0100,A 434349,A81000C,00100,0200,RYAN FINKLEA 434349,A81000C,00100,0400,COOKE MANAGEMEN 434349,A81000C,00100,0600,MANAGEMENT COMP 434349,A81000C,00200,0100,A 434349,A81000C,00200,0200,RYAN FINKLEA 434349,A81000C,00200,0400,COOKE MANAGEMEN 434349,A81000C,00200,0600,MANAGEMENT COMP 434349,A81000C,00300,0100,A 434349,A81000C,00300,0200,RYAN FINKLEA 434349,A81000C,00300,0400,COOKE MANAGEMEN 434349,A81000C,00300,0600,MANAGEMENT COMP 434349,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434349,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434349,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434349,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434349,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434349,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434349,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434349,B100000,00000,0800,0800MEALS SERVED :DIETARY 434349,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434349,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434349,E10A180,00550,0100,03/01/12 434349,G300000,02500,0000,OTHER INCOME 434349,S000000,00100,0200,03/01/12 434349,S200000,00100,0100,501 GULLIVER STREET 434349,S200000,00200,0100,FOUNTAIN INN 434349,S200000,00200,0200,SC 434349,S200000,00200,0300,29644 434349,S200000,00300,0100,GREENVILLE 434349,S200000,00300,0201,24860 434349,S200000,00300,0300,U 434349,S200000,00400,0100,FOUNTAIN INN CONVALESCENT HOME 434349,S200000,00400,0200,425168 434349,S200000,00400,0300,11/01/98 434349,S200000,00400,0500,P 434349,S200000,01500,0100,Y 434349,S200000,01501,0200,Y 434349,S200000,01503,0200,Y 434349,S200000,01504,0200,Y 434349,S200000,01600,0100,N 434349,S200000,01700,0100,N 434349,S200000,01800,0100,N 434349,S200000,01900,0100,LLC 434349,S200000,02200,0100,Y 434349,S200000,02800,0100,N 434349,S200000,02900,0100,N 434349,S200000,03000,0100,N 434349,S200000,03100,0100,N 434349,S200000,03200,0100,N 434349,S200000,03300,0100,N 434349,S200000,03300,0200,N 434349,S200000,03600,0100,N 434349,S200000,03600,0200,N 434349,S200000,04100,0100,N 434349,S200000,04200,0100,N 434349,S200000,04300,0100,N 434349,S200000,04600,0100,N 434349,S200000,04700,0100,N 434349,S200000,04700,0200,N 434349,S200000,04900,0100,N 434349,S200000,05000,0100,N 434349,S200000,05100,0100,N 434349,S200000,05200,0100,N 434349,S200000,05300,0100,Y 434349,S200000,05300,0200,42-HO1 434349,S200000,05400,0100,COOKE MANAGEMENT COMPANY LLC 434349,S200000,05400,0200,PALMETTO GBA 434349,S200000,05400,0300,00380 434349,S200000,05500,0100,101 W FIRST AVE. 434349,S200000,05500,0200,808 434349,S200000,05600,0100,LAKE VIEW 434349,S200000,05600,0200,SC 434349,S200000,05600,0300,29536 434350,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434350,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434350,A000000,00300,0000,0300EMPLOYEE BENEFITS 434350,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434350,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434350,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434350,A000000,00700,0000,0700HOUSEKEEPING 434350,A000000,00800,0000,0800DIETARY 434350,A000000,00900,0000,0900NURSING ADMINISTRATION 434350,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434350,A000000,01100,0000,1100PHARMACY 434350,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434350,A000000,01300,0000,1300SOCIAL SERVICE 434350,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434350,A000000,01600,0000,1600SKILLED NURSING FACILITY 434350,A000000,01810,0000,1810ICF/MR 434350,A000000,02200,0000,2200LABORATORY 434350,A000000,02500,0000,2500PHYSICAL THERAPY 434350,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434350,A000000,02700,0000,2700SPEECH PATHOLOGY 434350,A000000,02770,0000,3050ENTERAL 434350,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434350,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434350,A000000,03550,0000,3550FQHC 434350,A000000,05000,0000,5000CORF 434350,A000000,05010,0000,5010CMHC 434350,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434350,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434350,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434350,A81000A,00100,0100,Y 434350,A81000B,00100,0300,LTC OFFICE 434350,A81000B,00200,0300,NURSING CONSULTANT 434350,A81000B,00300,0300,OTC DRUG 434350,A81000B,00400,0300,PHARMACY 434350,A81000C,00100,0100,A 434350,A81000C,00100,0200,CMH 434350,A81000C,00100,0400,CMH 434350,A81000C,00100,0600,HOSPITAL SUPPOR 434350,A81000C,00200,0100,A 434350,A81000C,00200,0200,CMH 434350,A81000C,00200,0400,CMH 434350,A81000C,00200,0600,HOSPITAL SUPPOR 434350,A81000C,00300,0100,A 434350,A81000C,00300,0200,CMH 434350,A81000C,00300,0400,CMH 434350,A81000C,00300,0600,PHARMACY 434350,A81000C,00400,0100,A 434350,A81000C,00400,0200,CMH 434350,A81000C,00400,0400,CMH 434350,A81000C,00400,0600,PHARMACY 434350,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434350,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434350,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434350,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434350,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434350,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434350,B100000,00000,0800,0800MEALS SERVED :DIETARY 434350,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434350,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434350,E10A180,00550,0100,03/02/12 434350,G300000,02500,0000,MISCELLANEOUS-UPL 434350,G300000,02501,0000,MISCELLANEOUS INCOME 434350,G300000,02502,0000,ALLOWANCES AND DISCOUNTS 434350,S000000,00100,0200,03/02/12 434350,S200000,00100,0100,1038 MCGILL ROAD 434350,S200000,00200,0100,ST. STEPHENS 434350,S200000,00200,0200,SC 434350,S200000,00200,0300,29479 434350,S200000,00300,0100,BERKELEY 434350,S200000,00300,0201,0000 434350,S200000,00300,0300,R 434350,S200000,00400,0100,LAKE MOULTRIE NURSING FACILTY 434350,S200000,00400,0200,425341 434350,S200000,00400,0300,01/01/90 434350,S200000,00400,0500,P 434350,S200000,01500,0100,Y 434350,S200000,01501,0200,Y 434350,S200000,01502,0200,N 434350,S200000,01503,0200,Y 434350,S200000,01504,0200,N 434350,S200000,01600,0100,N 434350,S200000,01700,0100,N 434350,S200000,01800,0100,N 434350,S200000,02200,0100,N 434350,S200000,02800,0100,N 434350,S200000,02900,0100,N 434350,S200000,03000,0100,N 434350,S200000,03100,0100,N 434350,S200000,03200,0100,N 434350,S200000,03300,0100,N 434350,S200000,03300,0200,N 434350,S200000,04100,0100,N 434350,S200000,04200,0100,N 434350,S200000,04300,0100,N 434350,S200000,04600,0100,N 434350,S200000,04700,0100,N 434350,S200000,04700,0200,N 434350,S200000,04900,0100,N 434350,S200000,05000,0100,N 434350,S200000,05100,0100,N 434350,S200000,05200,0100,N 434350,S200000,05300,0100,N 434351,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434351,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434351,A000000,00300,0000,0300EMPLOYEE BENEFITS 434351,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434351,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434351,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434351,A000000,00700,0000,0700HOUSEKEEPING 434351,A000000,00800,0000,0800DIETARY 434351,A000000,00900,0000,0900NURSING ADMINISTRATION 434351,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434351,A000000,01100,0000,1100PHARMACY 434351,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434351,A000000,01300,0000,1300SOCIAL SERVICE 434351,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434351,A000000,01500,0000,1350OTHER GENERAL SERVICES 434351,A000000,01600,0000,1600SKILLED NURSING FACILITY 434351,A000000,01800,0000,1800NURSING FACILITY 434351,A000000,01810,0000,1810ICF/MR 434351,A000000,01900,0000,1900OTHER LONG TERM CARE 434351,A000000,02100,0000,2100RADIOLOGY 434351,A000000,02200,0000,2200LABORATORY 434351,A000000,02300,0000,2300INTRAVENOUS THERAPY 434351,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434351,A000000,02500,0000,2500PHYSICAL THERAPY 434351,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434351,A000000,02700,0000,2700SPEECH PATHOLOGY 434351,A000000,02800,0000,2800ELECTROCARDIOLOGY 434351,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434351,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434351,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434351,A000000,03200,0000,3200SUPPORT SURFACES 434351,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434351,A000000,03400,0000,3400CLINIC 434351,A000000,03500,0000,3500RURAL HEALTH CLINIC 434351,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434351,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434351,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434351,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434351,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434351,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434351,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434351,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434351,A000000,04400,0000,4400DME RENTED - HHA 434351,A000000,04500,0000,4500DME SOLD - HHA 434351,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434351,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434351,A000000,04710,0000,4710TELEMEDICINE 434351,A000000,04800,0000,4800AMBULANCE 434351,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434351,A000000,05000,0000,5000CORF 434351,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434351,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434351,A000000,05300,0000,5300INTEREST EXPENSE 434351,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434351,A000000,05500,0000,5500HOSPICE 434351,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434351,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434351,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434351,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434351,A000000,06100,0000,6100NONPAID WORKERS 434351,A000000,06200,0000,6200PATIENTS LAUNDRY 434351,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434351,A81000A,00100,0100,N 434351,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434351,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434351,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434351,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434351,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434351,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434351,B100000,00000,0800,0800MEALS SERVED :DIETARY 434351,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434351,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434351,E00A183,01620,0000,OTHER ADJUSTMENTS (SPECIFY) 434351,E10A180,00350,0100,07/27/11 434351,E10A180,00550,0100,02/15/12 434351,S000000,00100,0200,02/15/12 434351,S200000,00100,0100,610 WEST FISHER STREET 434351,S200000,00200,0100,SALISBURY 434351,S200000,00200,0200,NC 434351,S200000,00200,0300,28144 434351,S200000,00300,0100,ROWAN 434351,S200000,00300,0200,20 434351,S200000,00300,0201,99934 434351,S200000,00300,0300,R 434351,S200000,00400,0100,BRIGHTMOOR NURSING CENTER 434351,S200000,00400,0200,345140 434351,S200000,00400,0300,10/01/90 434351,S200000,00400,0500,P 434351,S200000,00400,0600,O 434351,S200000,00610,0200,346497 434351,S200000,00610,0300,10/01/90 434351,S200000,00610,0600,O 434351,S200000,01500,0100,N 434351,S200000,01600,0100,Y 434351,S200000,01700,0100,N 434351,S200000,01800,0100,N 434351,S200000,02200,0100,N 434351,S200000,02800,0100,N 434351,S200000,02900,0100,N 434351,S200000,03000,0100,N 434351,S200000,03100,0100,N 434351,S200000,03200,0100,N 434351,S200000,03300,0100,N 434351,S200000,03300,0200,N 434351,S200000,03510,0300,N 434351,S200000,04100,0100,N 434351,S200000,04200,0100,N 434351,S200000,04300,0100,N 434351,S200000,04600,0100,N 434351,S200000,04700,0100,N 434351,S200000,04700,0200,N 434351,S200000,04900,0100,N 434351,S200000,05000,0100,N 434351,S200000,05100,0100,N 434351,S200000,05200,0100,N 434352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434352,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434352,A000000,00300,0000,0300EMPLOYEE BENEFITS 434352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434352,A000000,00700,0000,0700HOUSEKEEPING 434352,A000000,00800,0000,0800DIETARY 434352,A000000,00900,0000,0900NURSING ADMINISTRATION 434352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434352,A000000,01300,0000,1300SOCIAL SERVICE 434352,A000000,01500,0000,1350ACTIVITIES 434352,A000000,01600,0000,1600SKILLED NURSING FACILITY 434352,A000000,01800,0000,1800NURSING FACILITY 434352,A000000,01810,0000,1810ICF/MR 434352,A000000,01900,0000,1900OTHER LONG TERM CARE 434352,A000000,02100,0000,2100RADIOLOGY 434352,A000000,02200,0000,2200LABORATORY 434352,A000000,02300,0000,2300INTRAVENOUS THERAPY 434352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434352,A000000,02500,0000,2500PHYSICAL THERAPY 434352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434352,A000000,02700,0000,2700SPEECH PATHOLOGY 434352,A000000,02800,0000,2800ELECTROCARDIOLOGY 434352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434352,A000000,03200,0000,3200SUPPORT SURFACES 434352,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434352,A000000,03301,0000,3051AIR FLUID THERAPY 434352,A000000,03302,0000,3052AMBULANCE 434352,A000000,03303,0000,3053PEN THERAPY 434352,A000000,03304,0000,3054ONCOLOGY 434352,A000000,03305,0000,3055CARDIOLOGY 434352,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434352,A000000,03307,0000,3057AUDIOLOGY 434352,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434352,A000000,03400,0000,3400CLINIC 434352,A000000,03500,0000,3500RURAL HEALTH CLINIC 434352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434352,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434352,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434352,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434352,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434352,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434352,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434352,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434352,A000000,04400,0000,4400DME RENTED - HHA 434352,A000000,04500,0000,4500DME SOLD - HHA 434352,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434352,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434352,A000000,04710,0000,4710TELEMEDICINE 434352,A000000,04800,0000,4800AMBULANCE 434352,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434352,A000000,05000,0000,5000CORF 434352,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434352,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434352,A000000,05300,0000,5300INTEREST EXPENSE 434352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434352,A000000,05500,0000,5500HOSPICE 434352,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434352,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434352,A000000,06100,0000,6100NONPAID WORKERS 434352,A000000,06200,0000,6200PATIENTS LAUNDRY 434352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434352,A81000A,00100,0100,Y 434352,A81000B,00100,0300,HO BUILDING DEPRECIATION 434352,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434352,A81000B,00300,0300,INTEREST 434352,A81000B,00400,0300,MANAGEMENT FEES 434352,A81000B,00500,0300,MEDICAL SUPPLIES 434352,A81000B,00600,0300,MEDICAL SUPPLIES 434352,A81000B,00700,0300,MEDICAL SUPPLIES 434352,A81000B,00800,0300,DRUGS 434352,A81000B,00900,0300,DRUGS 434352,A81000B,01000,0300,DRUGS 434352,A81000C,00100,0100,A 434352,A81000C,00100,0200,R&S MCNEIL 434352,A81000C,00100,0400,LTC MGMT SERVICES 434352,A81000C,00100,0600,HOME OFFICE 434352,A81000C,00200,0100,A 434352,A81000C,00200,0200,R&S MCNEIL 434352,A81000C,00200,0400,LTC MGMT SERVICES 434352,A81000C,00200,0600,HOME OFFICE 434352,A81000C,00300,0100,A 434352,A81000C,00300,0200,R&S MCNEIL 434352,A81000C,00300,0400,LTC MGMT SERVICES 434352,A81000C,00300,0600,HOME OFFICE 434352,A81000C,00400,0100,A 434352,A81000C,00400,0200,R&S MCNEIL 434352,A81000C,00400,0400,LTC MGMT SERVICES 434352,A81000C,00400,0600,HOME OFFICE 434352,A81000C,00500,0100,A 434352,A81000C,00500,0200,R&S MCNEIL 434352,A81000C,00500,0400,LIBERTY MEDSPEC 434352,A81000C,00500,0600,MED SUPPLY 434352,A81000C,00600,0100,A 434352,A81000C,00600,0200,R&S MCNEIL 434352,A81000C,00600,0400,LIBERTY MEDSPEC 434352,A81000C,00600,0600,MED SUPPLY 434352,A81000C,00700,0100,A 434352,A81000C,00700,0200,R&S MCNEIL 434352,A81000C,00700,0400,LIBERTY MEDSPEC 434352,A81000C,00700,0600,MED SUPPLY 434352,A81000C,00800,0100,A 434352,A81000C,00800,0200,R&S MCNEIL 434352,A81000C,00800,0400,MCNEIL PHARMACY 434352,A81000C,00800,0600,PHARMACY 434352,A81000C,00900,0100,A 434352,A81000C,00900,0200,R&S MCNEIL 434352,A81000C,00900,0400,MCNEIL PHARMACY 434352,A81000C,00900,0600,PHARMACY 434352,A81000C,01000,0100,A 434352,A81000C,01000,0200,R&S MCNEIL 434352,A81000C,01000,0400,MCNEIL PHARMACY 434352,A81000C,01000,0600,PHARMACY 434352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434352,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434352,B100000,00000,0800,0800MEALS SERVED :DIETARY 434352,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434352,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434352,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434352,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434352,E10A180,00550,0100,03/01/12 434352,E10A180,00550,0300,03/01/12 434352,G300000,02500,0000,BEAUTY AND BARBER 434352,G300000,02501,0000,CONTRIBUTIONS 434352,G300000,02502,0000,PERSONAL ITEM REVENUE 434352,G300000,02503,0000,EQUIPMENT RENTAL 434352,G300000,02504,0000,MISCELLANEOUS REVENUE 434352,G300000,02505,0000,RESERVE BED REVENUE 434352,S000000,00100,0200,03/01/12 434352,S200000,00100,0100,101 CAROLINA AVENUE 434352,S200000,00200,0100,WELDON 434352,S200000,00200,0200,NC 434352,S200000,00200,0300,27890 434352,S200000,00300,0100,HALIFAX 434352,S200000,00300,0200,34 434352,S200000,00300,0201,99934 434352,S200000,00300,0300,R 434352,S200000,00400,0100,LIBERTY COMMONS NSG & RHB HALIFAX CO 434352,S200000,00400,0200,345309 434352,S200000,00400,0300,08/14/89 434352,S200000,00400,0500,P 434352,S200000,00400,0600,P 434352,S200000,01500,0100,Y 434352,S200000,01501,0200,N 434352,S200000,01600,0100,N 434352,S200000,01700,0100,N 434352,S200000,01800,0100,N 434352,S200000,02200,0100,N 434352,S200000,02800,0100,N 434352,S200000,02900,0100,N 434352,S200000,03000,0100,N 434352,S200000,03100,0100,N 434352,S200000,03200,0100,N 434352,S200000,03300,0100,N 434352,S200000,03300,0200,N 434352,S200000,04100,0100,N 434352,S200000,04200,0100,N 434352,S200000,04300,0100,N 434352,S200000,04600,0100,N 434352,S200000,04700,0100,N 434352,S200000,04700,0200,N 434352,S200000,04900,0100,N 434352,S200000,05000,0100,N 434352,S200000,05100,0100,N 434352,S200000,05200,0100,N 434352,S200000,05300,0100,N 434353,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434353,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434353,A000000,00300,0000,0300EMPLOYEE BENEFITS 434353,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434353,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434353,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434353,A000000,00700,0000,0700HOUSEKEEPING 434353,A000000,00800,0000,0800DIETARY 434353,A000000,00900,0000,0900NURSING ADMINISTRATION 434353,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434353,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434353,A000000,01300,0000,1300SOCIAL SERVICE 434353,A000000,01500,0000,1350ACTIVITIES 434353,A000000,01600,0000,1600SKILLED NURSING FACILITY 434353,A000000,01800,0000,1800NURSING FACILITY 434353,A000000,01810,0000,1810ICF/MR 434353,A000000,01900,0000,1900OTHER LONG TERM CARE 434353,A000000,02100,0000,2100RADIOLOGY 434353,A000000,02200,0000,2200LABORATORY 434353,A000000,02300,0000,2300INTRAVENOUS THERAPY 434353,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434353,A000000,02500,0000,2500PHYSICAL THERAPY 434353,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434353,A000000,02700,0000,2700SPEECH PATHOLOGY 434353,A000000,02800,0000,2800ELECTROCARDIOLOGY 434353,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434353,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434353,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434353,A000000,03200,0000,3200SUPPORT SURFACES 434353,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434353,A000000,03301,0000,3051AIR FLUID THERAPY 434353,A000000,03302,0000,3052AMBULANCE 434353,A000000,03303,0000,3053PEN THERAPY 434353,A000000,03304,0000,3054ONCOLOGY 434353,A000000,03305,0000,3055CARDIOLOGY 434353,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434353,A000000,03307,0000,3057AUDIOLOGY 434353,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434353,A000000,03400,0000,3400CLINIC 434353,A000000,03500,0000,3500RURAL HEALTH CLINIC 434353,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434353,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434353,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434353,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434353,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434353,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434353,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434353,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434353,A000000,04400,0000,4400DME RENTED - HHA 434353,A000000,04500,0000,4500DME SOLD - HHA 434353,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434353,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434353,A000000,04710,0000,4710TELEMEDICINE 434353,A000000,04800,0000,4800AMBULANCE 434353,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434353,A000000,05000,0000,5000CORF 434353,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434353,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434353,A000000,05300,0000,5300INTEREST EXPENSE 434353,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434353,A000000,05500,0000,5500HOSPICE 434353,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434353,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434353,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434353,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434353,A000000,06100,0000,6100NONPAID WORKERS 434353,A000000,06200,0000,6200PATIENTS LAUNDRY 434353,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434353,A81000A,00100,0100,Y 434353,A81000B,00100,0300,HO BUILDING DEPRECIATION 434353,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434353,A81000B,00300,0300,INTEREST 434353,A81000B,00400,0300,MANAGEMENT FEES 434353,A81000B,00500,0300,MEDICAL SUPPLIES 434353,A81000B,00600,0300,MEDICAL SUPPLIES 434353,A81000B,00700,0300,MEDICAL SUPPLIES 434353,A81000B,00800,0300,DRUGS 434353,A81000B,00900,0300,DRUGS 434353,A81000B,01000,0300,DRUGS 434353,A81000B,01100,0300,FACILITY BUILDING DEPRECIATION 434353,A81000B,01200,0300,FAC BLDG DEPR 434353,A81000B,01300,0300,FAC EQUIP 434353,A81000B,01400,0300,FAC INTEREST 434353,A81000B,01500,0300,FAC AMORT 434353,A81000B,01600,0300,FAC A&G 434353,A81000C,00100,0100,A 434353,A81000C,00100,0200,R&S MCNEIL 434353,A81000C,00100,0400,LIBERTY LTC MGMT 434353,A81000C,00100,0600,HOME OFC 434353,A81000C,00200,0100,A 434353,A81000C,00200,0200,R&S MCNEIL 434353,A81000C,00200,0400,LIBERTY LTC MGMT 434353,A81000C,00200,0600,HOME OFC 434353,A81000C,00300,0100,A 434353,A81000C,00300,0200,R&S MCNEIL 434353,A81000C,00300,0400,LIBERTY LTC MGMT 434353,A81000C,00300,0600,HOME OFC 434353,A81000C,00400,0100,A 434353,A81000C,00400,0200,R&S MCNEIL 434353,A81000C,00400,0400,LIBERTY LTC MGMT 434353,A81000C,00400,0600,HOME OFC 434353,A81000C,00500,0100,A 434353,A81000C,00500,0200,R&S MCNEIL 434353,A81000C,00500,0400,LIBERTY MED SPEC 434353,A81000C,00500,0600,MED SUPPLY 434353,A81000C,00600,0100,A 434353,A81000C,00600,0200,R&S MCNEIL 434353,A81000C,00600,0400,LIBERTY MED SPEC 434353,A81000C,00600,0600,MED SUPPLY 434353,A81000C,00700,0100,A 434353,A81000C,00700,0200,R&S MCNEIL 434353,A81000C,00700,0400,LIBERTY MED SPEC 434353,A81000C,00700,0600,MED SUPPLY 434353,A81000C,00800,0100,A 434353,A81000C,00800,0200,R&S MCNEIL 434353,A81000C,00800,0400,MCNEILL PHARM 434353,A81000C,00800,0600,PHARMACY 434353,A81000C,00900,0100,A 434353,A81000C,00900,0200,R&S MCNEIL 434353,A81000C,00900,0400,MCNEILL PHARM 434353,A81000C,00900,0600,PHARMACY 434353,A81000C,01000,0100,A 434353,A81000C,01000,0200,R&S MCNEIL 434353,A81000C,01000,0400,MCNEILL PHARM 434353,A81000C,01000,0600,PHARMACY 434353,A81000C,01001,0100,A 434353,A81000C,01001,0200,R&S MCNEIL 434353,A81000C,01001,0400,R&S MCNEILL 434353,A81000C,01001,0600,LIBERTY PROPERTIES 434353,A81000C,01002,0100,A 434353,A81000C,01002,0200,R&S MCNEIL 434353,A81000C,01002,0400,R&S MCNEILL 434353,A81000C,01002,0600,LIBERTY PROPERTIES 434353,A81000C,01003,0100,A 434353,A81000C,01003,0200,R&S MCNEIL 434353,A81000C,01003,0400,R&S MCNEILL 434353,A81000C,01003,0600,LIBERTY PROPERTIES 434353,A81000C,01004,0100,A 434353,A81000C,01004,0200,R&S MCNEIL 434353,A81000C,01004,0400,R&S MCNEILL 434353,A81000C,01004,0600,LIBERTY PROPERTIES 434353,A81000C,01005,0100,A 434353,A81000C,01005,0200,R&S MCNEIL 434353,A81000C,01005,0400,R&S MCNEILL 434353,A81000C,01005,0600,LIBERTY PROPERTIES 434353,A81000C,01006,0100,A 434353,A81000C,01006,0200,R&S MCNEIL 434353,A81000C,01006,0400,R&S MCNEILL 434353,A81000C,01006,0600,LIBERTY PROPERTIES 434353,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434353,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434353,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434353,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434353,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434353,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434353,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434353,B100000,00000,0800,0800MEALS SERVED :DIETARY 434353,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434353,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434353,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434353,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434353,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434353,E10A180,00350,0300,07/29/11 434353,E10A180,00501,0100,05/28/12 434353,G300000,02500,0000,PERSONAL ITEM REVENUE 434353,G300000,02501,0000,EQUIPMENT RENTAL 434353,G300000,02502,0000,MISCELLANEOUS REVENUE 434353,G300000,02503,0000,RESERVE BED REVENUE 434353,S000000,00100,0200,03/01/12 434353,S200000,00100,0100,200 FLOWERS-PRIDGEN DR 434353,S200000,00200,0100,WHITEVILLE 434353,S200000,00200,0200,NC 434353,S200000,00200,0300,28472 434353,S200000,00300,0100,COLUMBUS 434353,S200000,00300,0200,34 434353,S200000,00300,0201,99934 434353,S200000,00300,0300,R 434353,S200000,00400,0100,SHORELAND HEALTHCARE AND RTMT CENTER 434353,S200000,00400,0200,345397 434353,S200000,00400,0300,09/10/91 434353,S200000,00400,0500,P 434353,S200000,00400,0600,P 434353,S200000,01500,0100,Y 434353,S200000,01501,0200,Y 434353,S200000,01600,0100,N 434353,S200000,01700,0100,N 434353,S200000,01800,0100,N 434353,S200000,02200,0100,N 434353,S200000,02800,0100,N 434353,S200000,02900,0100,N 434353,S200000,03000,0100,N 434353,S200000,03100,0100,N 434353,S200000,03200,0100,N 434353,S200000,03300,0100,N 434353,S200000,03300,0200,N 434353,S200000,04100,0100,N 434353,S200000,04200,0100,N 434353,S200000,04300,0100,N 434353,S200000,04600,0100,N 434353,S200000,04700,0100,N 434353,S200000,04700,0200,N 434353,S200000,04900,0100,N 434353,S200000,05000,0100,N 434353,S200000,05100,0100,N 434353,S200000,05200,0100,N 434353,S200000,05300,0100,N 434359,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434359,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434359,A000000,00300,0000,0300EMPLOYEE BENEFITS 434359,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434359,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434359,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434359,A000000,00700,0000,0700HOUSEKEEPING 434359,A000000,00800,0000,0800DIETARY 434359,A000000,00900,0000,0900NURSING ADMINISTRATION 434359,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434359,A000000,01100,0000,1100PHARMACY 434359,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434359,A000000,01300,0000,1300SOCIAL SERVICE 434359,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434359,A000000,01500,0000,1350ACTIVITIES 434359,A000000,01600,0000,1600SKILLED NURSING FACILITY 434359,A000000,01810,0000,1810ICF/MR 434359,A000000,02100,0000,2100RADIOLOGY 434359,A000000,02200,0000,2200LABORATORY 434359,A000000,02300,0000,2300INTRAVENOUS THERAPY 434359,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434359,A000000,02500,0000,2500PHYSICAL THERAPY 434359,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434359,A000000,02700,0000,2700SPEECH PATHOLOGY 434359,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434359,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434359,A000000,03550,0000,3550FQHC 434359,A000000,04801,0000,4801AMBULANCE 434359,A000000,04802,0000,4802AMBULANCE 434359,A000000,04803,0000,4803AMBULANCE 434359,A000000,05000,0000,5000CORF 434359,A000000,05010,0000,5010CMHC 434359,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434359,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434359,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434359,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434359,A000000,06300,0000,6150MARKETING 434359,A81000A,00100,0100,Y 434359,A81000B,00100,0300,HOME OFFICE COSTS 434359,A81000B,00200,0300,INTEREST 434359,A81000B,00300,0300,ADDITIONAL ED COMP 434359,A81000B,00400,0300,PT ALLOCATION 434359,A81000B,00500,0300,OT ALLOCATION 434359,A81000B,00600,0300,ST ALLOCATION 434359,A81000B,00700,0300,AUTO INSURANCE 434359,A81000B,00800,0300,INTERIOR DESIGN - 10 434359,A81000B,00900,0300,GROUP HEALTH INS 434359,A81000B,01000,0300,LIAB INS 434359,A81000B,01100,0300,RANGELINE INTEREST 434359,A81000B,01300,0300,BUILDING LEASE 434359,A81000C,00100,0100,A 434359,A81000C,00100,0200,FORREST PRESTON 434359,A81000C,00100,0400,LIFE CARE CENTE 434359,A81000C,00100,0600,MANAGEMENT FEES 434359,A81000C,00200,0100,A 434359,A81000C,00200,0200,FORREST PRESTON 434359,A81000C,00200,0400,RITZVILLE LLC 434359,A81000C,00200,0600,BUILDING LESSOR 434359,A81000C,00300,0100,A 434359,A81000C,00300,0200,FORREST PRESTON 434359,A81000C,00300,0400,LIFE CARE FUNDI 434359,A81000C,00300,0600,GE CALPITAL LOC 434359,A81000C,00400,0100,A 434359,A81000C,00400,0200,FORREST PRESTON 434359,A81000C,00400,0400,ABT 434359,A81000C,00400,0600,GROUP HEALTH 434359,A81000C,00500,0100,A 434359,A81000C,00500,0200,FORREST PRESTON 434359,A81000C,00500,0400,LEADER CARE 434359,A81000C,00500,0600,LIAB INS 434359,A81000C,00600,0100,A 434359,A81000C,00600,0200,FORREST PRESTON 434359,A81000C,00600,0400,RANGELINE CAPIT 434359,A81000C,00600,0600,PROCUREMENT OF 434359,A81000C,00700,0100,A 434359,A81000C,00700,0200,FORREST PRESTON 434359,A81000C,00700,0400,LIFE CARE DESIG 434359,A81000C,00700,0600,INTERIOR DESIGN 434359,A81000C,00800,0100,A 434359,A81000C,00800,0200,FORREST PRESTON 434359,A81000C,00800,0400,FLASH TEL 434359,A81000C,00800,0600,PHONE MESSAGE 434359,B100000,00000,0100,0100SQUARE FEET 434359,B100000,00000,0200,0200SQUARE FEET 434359,B100000,00000,0300,0300GROSS SALARIES 434359,B100000,00000,0400,0400ACCUM COST 434359,B100000,00000,0500,0500SQUARE FEET 434359,B100000,00000,0600,0600PATIENT DAYS 434359,B100000,00000,0700,0700SQUARE FEET 434359,B100000,00000,0800,0800MEALS SERVED 434359,B100000,00000,0900,0900DIRECT NRSG HRS 434359,B100000,00000,1000,1000COSTED REQUIS 434359,B100000,00000,1100,1100COSTED REQUIS 434359,B100000,00000,1200,1200GROSS REVENUE 434359,B100000,00000,1300,1300PATIENT DAYS 434359,B100000,00000,1400,1400ASSIGNED TIME 434359,B100000,00000,1500,1350PATIENT DAYS 434359,E10A180,00301,0100,01/31/11 434359,E10A180,00302,0100,08/22/11 434359,E10A180,00502,0100,04/27/12 434359,G300000,02500,0000,EQUIPMENT RENTAL 434359,G300000,02501,0000,OUTSIDE CONTRACT REHAB REVENUE 434359,G300000,02502,0000,MISC 434359,S000000,00100,0200,02/21/12 434359,S200000,00100,0100,506 SOUTH JACKSON 434359,S200000,00200,0100,RITZVILLE 434359,S200000,00200,0200,WA 434359,S200000,00200,0300,99169 434359,S200000,00300,0100,ADAMS 434359,S200000,00300,0201,99950 434359,S200000,00300,0300,R 434359,S200000,00400,0100,LIFE CARE CENTER OF RITZVILLE 434359,S200000,00400,0200,505282 434359,S200000,00400,0300,01/01/78 434359,S200000,00400,0500,P 434359,S200000,01500,0100,Y 434359,S200000,01501,0200,Y 434359,S200000,01502,0200,Y 434359,S200000,01503,0200,Y 434359,S200000,01504,0200,Y 434359,S200000,01505,0000,OTHER 434359,S200000,01505,0200,N 434359,S200000,01600,0100,N 434359,S200000,01700,0100,N 434359,S200000,01800,0100,N 434359,S200000,01900,0100,LIMITED LIABILITY COMPANY 434359,S200000,02200,0100,Y 434359,S200000,02800,0100,N 434359,S200000,02900,0100,N 434359,S200000,03000,0100,N 434359,S200000,03100,0100,N 434359,S200000,03200,0100,N 434359,S200000,03300,0100,N 434359,S200000,03300,0200,N 434359,S200000,04200,0100,N 434359,S200000,04300,0100,Y 434359,S200000,04600,0100,N 434359,S200000,04700,0100,N 434359,S200000,04900,0100,N 434359,S200000,05200,0100,N 434359,S200000,05300,0100,Y 434359,S200000,05300,0200,44H017 434359,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 434359,S200000,05400,0200,CAHABA GOVERNMENT BENEFITS ADMIN 434359,S200000,05400,0300,10301 434359,S200000,05500,0100,3570 KEITH STREET NW 434359,S200000,05500,0200,3480 434359,S200000,05600,0100,CLEVELAND 434359,S200000,05600,0200,TN 434359,S200000,05600,0300,37320 434360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434360,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434360,A000000,00300,0000,0300EMPLOYEE BENEFITS 434360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434360,A000000,00700,0000,0700HOUSEKEEPING 434360,A000000,00800,0000,0800DIETARY 434360,A000000,00900,0000,0900NURSING ADMINISTRATION 434360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434360,A000000,01100,0000,1100PHARMACY 434360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434360,A000000,01300,0000,1300SOCIAL SERVICE 434360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434360,A000000,01500,0000,1350OTHER GENERAL SERVICES 434360,A000000,01600,0000,1600SKILLED NURSING FACILITY 434360,A000000,01800,0000,1800NURSING FACILITY 434360,A000000,01810,0000,1810ICF/MR 434360,A000000,01900,0000,1900OTHER LONG TERM CARE 434360,A000000,02100,0000,2100RADIOLOGY 434360,A000000,02200,0000,2200LABORATORY 434360,A000000,02300,0000,2300INTRAVENOUS THERAPY 434360,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434360,A000000,02500,0000,2500PHYSICAL THERAPY 434360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434360,A000000,02700,0000,2700SPEECH PATHOLOGY 434360,A000000,02800,0000,2800ELECTROCARDIOLOGY 434360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434360,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434360,A000000,03200,0000,3200SUPPORT SURFACES 434360,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434360,A000000,03400,0000,3400CLINIC 434360,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434360,A000000,04800,0000,4800AMBULANCE 434360,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434360,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434360,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434360,A000000,05300,0000,5300INTEREST EXPENSE 434360,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434360,A000000,05500,0000,5500HOSPICE 434360,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434360,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434360,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434360,A000000,06100,0000,6100NONPAID WORKERS 434360,A000000,06200,0000,6200PATIENTS LAUNDRY 434360,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434360,A81000A,00100,0100,Y 434360,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 434360,A81000C,00100,0100,C 434360,A81000C,00100,0400,LTC SUPPORT SERVICES 434360,A81000C,00100,0600,HEALTHCARE MNGMT SERVICES 434360,A81000C,00200,0100,B 434360,A81000C,00200,0400,UNLIMITED DEVELOPMENT 434360,A81000C,00200,0600,OPERATOR 434360,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434360,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434360,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434360,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434360,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434360,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434360,B100000,00000,0800,0800MEALS SERVED :DIETARY 434360,B100000,00000,0900,0950DIRECT NURSING HO :NURSING ADMIN 434360,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434360,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434360,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434360,E10A180,00501,0100,03/30/12 434360,G300000,02500,0000,BARBER AND BEAUTY 434360,G300000,02501,0000,LATE PAYMENT FEE 434360,G300000,02502,0000,MISCELLANEOUS INCOME 434360,G300000,02503,0000,LABOR CHARGED TO OTHERS 434360,G300000,02504,0000,ROUNDING 434360,S000000,00100,0200,02/27/12 434360,S200000,00100,0100,3116 WILLIAMSON COUNTY PARKWAY 434360,S200000,00200,0100,MARION 434360,S200000,00200,0200,IL 434360,S200000,00200,0300,62959 434360,S200000,00300,0100,WILLIAMSON 434360,S200000,00300,0200,14 434360,S200000,00300,0201,99914 434360,S200000,00300,0300,R 434360,S200000,00400,0100,PARKWAY MANOR 434360,S200000,00400,0200,145841 434360,S200000,00400,0300,06/22/95 434360,S200000,00400,0500,P 434360,S200000,01500,0100,Y 434360,S200000,01501,0200,Y 434360,S200000,01600,0100,N 434360,S200000,01700,0100,N 434360,S200000,01800,0100,N 434360,S200000,02200,0100,N 434360,S200000,02800,0100,N 434360,S200000,02900,0100,N 434360,S200000,03000,0100,N 434360,S200000,03100,0100,N 434360,S200000,03200,0100,N 434360,S200000,03300,0100,N 434360,S200000,03300,0200,N 434360,S200000,04100,0100,N 434360,S200000,04200,0100,N 434360,S200000,04300,0100,N 434360,S200000,04600,0100,N 434360,S200000,04700,0100,N 434360,S200000,04700,0200,N 434360,S200000,04900,0100,N 434360,S200000,05000,0100,N 434360,S200000,05100,0100,N 434360,S200000,05200,0100,N 434360,S200000,05300,0100,Y 434360,S200000,05300,0200,HB0173 434360,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 434360,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 434360,S200000,05400,0300,00131 434360,S200000,05500,0100,285 FARNHAM STREET 434360,S200000,05600,0100,GALESBURG 434360,S200000,05600,0200,IL 434360,S200000,05600,0300,61401 434363,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434363,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434363,A000000,00300,0000,0300EMPLOYEE BENEFITS 434363,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434363,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434363,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434363,A000000,00700,0000,0700HOUSEKEEPING 434363,A000000,00800,0000,0800DIETARY 434363,A000000,00900,0000,0900NURSING ADMINISTRATION 434363,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434363,A000000,01100,0000,1100PHARMACY 434363,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434363,A000000,01300,0000,1300SOCIAL SERVICE 434363,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434363,A000000,01600,0000,1600SKILLED NURSING FACILITY 434363,A000000,01800,0000,1800NURSING FACILITY 434363,A000000,01900,0000,1900OTHER LONG TERM CARE 434363,A000000,02100,0000,2100RADIOLOGY 434363,A000000,02200,0000,2200LABORATORY 434363,A000000,02300,0000,2300INTRAVENOUS THERAPY 434363,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434363,A000000,02500,0000,2500PHYSICAL THERAPY 434363,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434363,A000000,02700,0000,2700SPEECH PATHOLOGY 434363,A000000,02800,0000,2800ELECTROCARDIOLOGY 434363,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434363,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434363,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434363,A000000,03200,0000,3200SUPPORT SURFACES 434363,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434363,A000000,03400,0000,3400CLINIC 434363,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434363,A000000,04800,0000,4800AMBULANCE 434363,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434363,A000000,05000,0000,5000CORF 434363,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434363,A000000,05300,0000,5300INTEREST EXPENSE 434363,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434363,A000000,05500,0000,5500HOSPICE 434363,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434363,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434363,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434363,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434363,A000000,06100,0000,6100NONPAID WORKERS 434363,A000000,06200,0000,6200PATIENTS LAUNDRY 434363,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434363,A81000A,00100,0100,Y 434363,A81000B,00100,0300,NURSING CONSULTING 434363,A81000B,00200,0300,DIETARY CONSULTING 434363,A81000B,00300,0300,HOME OFFICE 434363,A81000B,00400,0300,INTEREST EXPENSE 434363,A81000B,00500,0300,WORKERS COMP EXPENSE 434363,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434363,A81000B,00700,0300,OFFICE SUPPLIES 434363,A81000B,00800,0300,MAINTENANCE SUPPLIES 434363,A81000B,00900,0300,MINOR EQUIPMENT EXPENSE 434363,A81000B,01000,0300,REPAIRS - EQUIPMENT 434363,A81000B,01100,0300,LINEN & BEDDING 434363,A81000B,01200,0300,SUPPLIES 434363,A81000B,01300,0300,PAPER PRODUCTS & HAND SOAP 434363,A81000B,01400,0300,SUPPLIES 434363,A81000B,01500,0300,DIETARY SUPPLEMENTS 434363,A81000B,01600,0300,SUPPLIES 434363,A81000B,01700,0300,BIO-MEDICAL WASTE 434363,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434363,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434363,A81000B,02000,0300,INCONTINENCE SUPPLIES 434363,A81000B,02100,0300,MEDICAL SUPPLIES 434363,A81000B,02200,0300,MINOR EQUIPMENT EXPENSE 434363,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 434363,A81000B,02400,0300,SUPPLIES 434363,A81000B,02500,0300,MINOR EQUIPMENT EXPENSE 434363,A81000B,02600,0300,SUPPLIES 434363,A81000B,02700,0300,SUPPLIES 434363,A81000B,02800,0300,BILLABLE MEDICAL SUPPLIES 434363,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 434363,A81000C,00100,0100,B 434363,A81000C,00100,0200,PLTC & PITS IN 434363,A81000C,00100,0400,PLTC & PITS IN 434363,A81000C,00100,0600,MGMT 434363,A81000C,00200,0100,B 434363,A81000C,00200,0200,PLTC & PITS IN 434363,A81000C,00200,0400,PLTC & PITS IN 434363,A81000C,00200,0600,MGMT 434363,A81000C,00300,0100,B 434363,A81000C,00300,0200,PLTC & PITS IN 434363,A81000C,00300,0400,PLTC & PITS IN 434363,A81000C,00300,0600,MGMT 434363,A81000C,00400,0100,B 434363,A81000C,00400,0200,PLTC & PITS IN 434363,A81000C,00400,0400,PLTC & PITS IN 434363,A81000C,00400,0600,MGMT 434363,A81000C,00500,0100,A 434363,A81000C,00500,0200,SHAREHOLDERS 434363,A81000C,00500,0400,DISCOVERY INSUR 434363,A81000C,00500,0600,INSURANCE 434363,A81000C,00600,0100,A 434363,A81000C,00600,0200,SHAREHOLDERS 434363,A81000C,00600,0400,QUEENSLAND 434363,A81000C,00600,0600,INSURANCE 434363,A81000C,00700,0100,A 434363,A81000C,00700,0200,SHAREHOLDERS 434363,A81000C,00700,0400,KARE MEDICAL 434363,A81000C,00700,0600,WHOLESALE 434363,A81000C,00800,0100,A 434363,A81000C,00800,0200,SHAREHOLDERS 434363,A81000C,00800,0400,KARE MEDICAL 434363,A81000C,00800,0600,WHOLESALE 434363,A81000C,00900,0100,A 434363,A81000C,00900,0200,SHAREHOLDERS 434363,A81000C,00900,0400,KARE MEDICAL 434363,A81000C,00900,0600,WHOLESALE 434363,A81000C,01000,0100,A 434363,A81000C,01000,0200,SHAREHOLDERS 434363,A81000C,01000,0400,KARE MEDICAL 434363,A81000C,01000,0600,WHOLESALE 434363,A81000C,01001,0100,A 434363,A81000C,01001,0200,SHAREHOLDERS 434363,A81000C,01001,0400,KARE MEDICAL 434363,A81000C,01001,0600,WHOLESALE 434363,A81000C,01002,0100,A 434363,A81000C,01002,0200,SHAREHOLDERS 434363,A81000C,01002,0400,KARE MEDICAL 434363,A81000C,01002,0600,WHOLESALE 434363,A81000C,01003,0100,A 434363,A81000C,01003,0200,SHAREHOLDERS 434363,A81000C,01003,0400,KARE MEDICAL 434363,A81000C,01003,0600,WHOLESALE 434363,A81000C,01004,0100,A 434363,A81000C,01004,0200,SHAREHOLDERS 434363,A81000C,01004,0400,KARE MEDICAL 434363,A81000C,01004,0600,WHOLESALE 434363,A81000C,01005,0100,A 434363,A81000C,01005,0200,SHAREHOLDERS 434363,A81000C,01005,0400,KARE MEDICAL 434363,A81000C,01005,0600,WHOLESALE 434363,A81000C,01006,0100,A 434363,A81000C,01006,0200,SHAREHOLDERS 434363,A81000C,01006,0400,KARE MEDICAL 434363,A81000C,01006,0600,WHOLESALE 434363,A81000C,01007,0100,A 434363,A81000C,01007,0200,SHAREHOLDERS 434363,A81000C,01007,0400,KARE MEDICAL 434363,A81000C,01007,0600,WHOLESALE 434363,A81000C,01008,0100,A 434363,A81000C,01008,0200,SHAREHOLDERS 434363,A81000C,01008,0400,KARE MEDICAL 434363,A81000C,01008,0600,WHOLESALE 434363,A81000C,01009,0100,A 434363,A81000C,01009,0200,SHAREHOLDERS 434363,A81000C,01009,0400,KARE MEDICAL 434363,A81000C,01009,0600,WHOLESALE 434363,A81000C,01010,0100,A 434363,A81000C,01010,0200,SHAREHOLDERS 434363,A81000C,01010,0400,KARE MEDICAL 434363,A81000C,01010,0600,WHOLESALE 434363,A81000C,01011,0100,A 434363,A81000C,01011,0200,SHAREHOLDERS 434363,A81000C,01011,0400,KARE MEDICAL 434363,A81000C,01011,0600,WHOLESALE 434363,A81000C,01012,0100,A 434363,A81000C,01012,0200,SHAREHOLDERS 434363,A81000C,01012,0400,KARE MEDICAL 434363,A81000C,01012,0600,WHOLESALE 434363,A81000C,01013,0100,A 434363,A81000C,01013,0200,SHAREHOLDERS 434363,A81000C,01013,0400,KARE MEDICAL 434363,A81000C,01013,0600,WHOLESALE 434363,A81000C,01014,0100,A 434363,A81000C,01014,0200,SHAREHOLDERS 434363,A81000C,01014,0400,KARE MEDICAL 434363,A81000C,01014,0600,WHOLESALE 434363,A81000C,01015,0100,A 434363,A81000C,01015,0200,SHAREHOLDERS 434363,A81000C,01015,0400,KARE MEDICAL 434363,A81000C,01015,0600,WHOLESALE 434363,A81000C,01016,0100,A 434363,A81000C,01016,0200,SHAREHOLDERS 434363,A81000C,01016,0400,KARE MEDICAL 434363,A81000C,01016,0600,WHOLESALE 434363,A81000C,01017,0100,A 434363,A81000C,01017,0200,SHAREHOLDERS 434363,A81000C,01017,0400,KARE MEDICAL 434363,A81000C,01017,0600,WHOLESALE 434363,A81000C,01018,0100,A 434363,A81000C,01018,0200,SHAREHOLDERS 434363,A81000C,01018,0400,KARE MEDICAL 434363,A81000C,01018,0600,WHOLESALE 434363,A81000C,01019,0100,A 434363,A81000C,01019,0200,SHAREHOLDERS 434363,A81000C,01019,0400,PHARMSAVE 434363,A81000C,01019,0600,RX SUPPLY 434363,A81000C,01020,0100,A 434363,A81000C,01020,0200,SHAREHOLDERS 434363,A81000C,01020,0400,PHARMSAVE 434363,A81000C,01020,0600,RX SUPPLY 434363,A81000C,01021,0100,A 434363,A81000C,01021,0200,SHAREHOLDERS 434363,A81000C,01021,0400,PHARMSAVE 434363,A81000C,01021,0600,RX SUPPLY 434363,A81000C,01022,0100,A 434363,A81000C,01022,0200,SHAREHOLDERS 434363,A81000C,01022,0400,PHARMSAVE 434363,A81000C,01022,0600,RX SUPPLY 434363,A81000C,01023,0100,A 434363,A81000C,01023,0200,SHAREHOLDERS 434363,A81000C,01023,0400,PHARMSAVE 434363,A81000C,01023,0600,RX SUPPLY 434363,A81000C,01024,0100,A 434363,A81000C,01024,0200,SHAREHOLDERS 434363,A81000C,01024,0400,ROBERT HILL CON 434363,A81000C,01024,0600,CONSTRUCTION 434363,A81000C,01025,0100,A 434363,A81000C,01025,0200,SHAREHOLDERS 434363,A81000C,01025,0400,NEIL REALTY CO. 434363,A81000C,01025,0600,REAL ESTATE 434363,A81000C,01026,0100,A 434363,A81000C,01026,0200,SHAREHOLDERS 434363,A81000C,01026,0400,BRITTHAVEN INC 434363,A81000C,01026,0600,REAL ESTATE 434363,A81000C,01027,0100,A 434363,A81000C,01027,0200,SHAREHOLDERS 434363,A81000C,01027,0400,BRITTHAVEN INC 434363,A81000C,01027,0600,REAL ESTATE 434363,A81000C,01028,0100,A 434363,A81000C,01028,0200,SHAREHOLDERS 434363,A81000C,01028,0400,NEIL REALTY CO. 434363,A81000C,01028,0600,REAL ESTATE 434363,A81000C,01029,0100,A 434363,A81000C,01029,0200,SHAREHOLDERS 434363,A81000C,01029,0400,NEIL REALTY CO. 434363,A81000C,01029,0600,REAL ESTATE 434363,A81000C,01030,0100,A 434363,A81000C,01030,0200,SHAREHOLDERS 434363,A81000C,01030,0400,NEIL REALTY CO. 434363,A81000C,01030,0600,REAL ESTATE 434363,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434363,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434363,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434363,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434363,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434363,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434363,B100000,00000,0800,0800MEALS SERVED :DIETARY 434363,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434363,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434363,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434363,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434363,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434363,E10A180,00501,0100,05/21/12 434363,G300000,02500,0000, OTHER (SPECIFY) 434363,S000000,00100,0200,02/29/12 434363,S200000,00100,0100,9200 GLENWATER DRIVE 434363,S200000,00200,0100,CHARLOTTE 434363,S200000,00200,0200,NC 434363,S200000,00200,0300,28262 434363,S200000,00300,0100,MECKLENBURG 434363,S200000,00300,0201,16740 434363,S200000,00300,0300,U 434363,S200000,00400,0100,UNIVERSITY PLACE NURSING & REHAB CTR 434363,S200000,00400,0200,345142 434363,S200000,00400,0300,01/01/11 434363,S200000,00400,0500,P 434363,S200000,01500,0100,N 434363,S200000,01501,0200,Y 434363,S200000,01502,0200,Y 434363,S200000,01503,0200,Y 434363,S200000,01504,0200,Y 434363,S200000,01505,0000,OTHER (SPECIFY) 434363,S200000,01505,0200,Y 434363,S200000,01600,0100,Y 434363,S200000,01700,0100,N 434363,S200000,01800,0100,N 434363,S200000,02200,0100,N 434363,S200000,02800,0100,N 434363,S200000,02900,0100,N 434363,S200000,03000,0100,N 434363,S200000,03100,0100,N 434363,S200000,03200,0100,N 434363,S200000,03300,0100,N 434363,S200000,03300,0200,N 434363,S200000,04100,0100,N 434363,S200000,04200,0100,N 434363,S200000,04300,0100,N 434363,S200000,04600,0100,N 434363,S200000,04700,0100,N 434363,S200000,04700,0200,N 434363,S200000,04900,0100,N 434363,S200000,05000,0100,N 434363,S200000,05100,0100,N 434363,S200000,05200,0100,N 434363,S200000,05300,0100,Y 434363,S200000,05300,0200,349011 434363,S200000,05400,0100,PRINCIPLE LONG-TERM CARE INC. 434363,S200000,05400,0200,PALMETTO GBA 434363,S200000,05400,0300,11501 434363,S200000,05500,0100,1435 HWY 258 NORTH 434363,S200000,05600,0100,KINSTON 434363,S200000,05600,0200,NC 434363,S200000,05600,0300,28502 434364,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434364,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434364,A000000,00300,0000,0300EMPLOYEE BENEFITS 434364,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434364,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434364,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434364,A000000,00700,0000,0700HOUSEKEEPING 434364,A000000,00800,0000,0800DIETARY 434364,A000000,00900,0000,0900NURSING ADMINISTRATION 434364,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434364,A000000,01100,0000,1100PHARMACY 434364,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434364,A000000,01300,0000,1300SOCIAL SERVICE 434364,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434364,A000000,01600,0000,1600SKILLED NURSING FACILITY 434364,A000000,01800,0000,1800NURSING FACILITY 434364,A000000,01900,0000,1900OTHER LONG TERM CARE 434364,A000000,02100,0000,2100RADIOLOGY 434364,A000000,02200,0000,2200LABORATORY 434364,A000000,02300,0000,2300INTRAVENOUS THERAPY 434364,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434364,A000000,02500,0000,2500PHYSICAL THERAPY 434364,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434364,A000000,02700,0000,2700SPEECH PATHOLOGY 434364,A000000,02800,0000,2800ELECTROCARDIOLOGY 434364,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434364,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434364,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434364,A000000,03200,0000,3200SUPPORT SURFACES 434364,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434364,A000000,03400,0000,3400CLINIC 434364,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434364,A000000,04800,0000,4800AMBULANCE 434364,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434364,A000000,05000,0000,5000CORF 434364,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434364,A000000,05300,0000,5300INTEREST EXPENSE 434364,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434364,A000000,05500,0000,5500HOSPICE 434364,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434364,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434364,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434364,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434364,A000000,06100,0000,6100NONPAID WORKERS 434364,A000000,06200,0000,6200PATIENTS LAUNDRY 434364,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434364,A81000A,00100,0100,Y 434364,A81000B,00100,0300,NURSING CONSULTING 434364,A81000B,00200,0300,DIETARY CONSULTING 434364,A81000B,00300,0300,HOME OFFICE 434364,A81000B,00400,0300,INTEREST EXPENSE 434364,A81000B,00500,0300,WORKERS COMP EXPENSE 434364,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434364,A81000B,00700,0300,MAINTENANCE SUPPLIES 434364,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434364,A81000B,00900,0300,REPAIRS - EQUIPMENT 434364,A81000B,01000,0300,LINEN & BEDDING 434364,A81000B,01100,0300,LAUNDRY SUPPLIES 434364,A81000B,01200,0300,MINOR EQUIPMENT EXPENSE 434364,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 434364,A81000B,01400,0300,DIETARY SUPPLEMENTS 434364,A81000B,01500,0300,DIETARY SUPPLIES 434364,A81000B,01600,0300,BIO-MEDICAL WASTE 434364,A81000B,01700,0300,HOME OFFICE CONSULTING SERVICE 434364,A81000B,01800,0300,MINOR EQUIPMENT EXPENSE 434364,A81000B,01900,0300,PERSONAL CARE SUPPLIES 434364,A81000B,02000,0300,PROFESSIONAL SERVICES 434364,A81000B,02100,0300,INCONTINENCE SUPPLIES 434364,A81000B,02200,0300,MEDICAL SUPPLIES 434364,A81000B,02300,0300,OXYGEN THERAPY SUPPLIES 434364,A81000B,02400,0300,MINOR EQUIPMENT EXPENSE 434364,A81000B,02500,0300,PT SUPPLIES 434364,A81000B,02600,0300,SUPPLIES 434364,A81000B,02700,0300,BILLABLE MEDICAL SUPPLIES 434364,A81000B,02800,0300,LIFE SUSTAINING EQUIPMENT 434364,A81000B,02900,0300,NURSING EQUIPMENT RENTAL 434364,A81000C,00100,0100,B 434364,A81000C,00100,0200,PLTC & PITS INC 434364,A81000C,00100,0400,PLTC & PITS INC 434364,A81000C,00100,0600,MGMT SERVICES 434364,A81000C,00200,0100,B 434364,A81000C,00200,0200,PLTC & PITS INC 434364,A81000C,00200,0400,PLTC & PITS INC 434364,A81000C,00200,0600,MGMT SERVICES 434364,A81000C,00300,0100,B 434364,A81000C,00300,0200,PLTC & PITS INC 434364,A81000C,00300,0400,PLTC & PITS INC 434364,A81000C,00300,0600,MGMT SERVICES 434364,A81000C,00400,0100,B 434364,A81000C,00400,0200,PLTC & PITS INC 434364,A81000C,00400,0400,PLTC & PITS INC 434364,A81000C,00400,0600,MGMT SERVICES 434364,A81000C,00500,0100,A 434364,A81000C,00500,0200,SHAREHOLDERS 434364,A81000C,00500,0400,DISCOVERY INSUR 434364,A81000C,00500,0600,INSURANCE 434364,A81000C,00600,0100,A 434364,A81000C,00600,0200,SHAREHOLDERS 434364,A81000C,00600,0400,QUEENSLAND ASSU 434364,A81000C,00600,0600,INSURANCE 434364,A81000C,00700,0100,A 434364,A81000C,00700,0200,SHAREHOLDERS 434364,A81000C,00700,0400,KARE MEDICAL 434364,A81000C,00700,0600,WHOLESALE SUPPL 434364,A81000C,00800,0100,A 434364,A81000C,00800,0200,SHAREHOLDERS 434364,A81000C,00800,0400,KARE MEDICAL 434364,A81000C,00800,0600,WHOLESALE SUPPL 434364,A81000C,00900,0100,A 434364,A81000C,00900,0200,SHAREHOLDERS 434364,A81000C,00900,0400,KARE MEDICAL 434364,A81000C,00900,0600,WHOLESALE SUPPL 434364,A81000C,01000,0100,A 434364,A81000C,01000,0200,SHAREHOLDERS 434364,A81000C,01000,0400,KARE MEDICAL 434364,A81000C,01000,0600,WHOLESALE SUPPL 434364,A81000C,01001,0100,A 434364,A81000C,01001,0200,SHAREHOLDERS 434364,A81000C,01001,0400,KARE MEDICAL 434364,A81000C,01001,0600,WHOLESALE SUPPL 434364,A81000C,01002,0100,A 434364,A81000C,01002,0200,SHAREHOLDERS 434364,A81000C,01002,0400,KARE MEDICAL 434364,A81000C,01002,0600,WHOLESALE SUPPL 434364,A81000C,01003,0100,A 434364,A81000C,01003,0200,SHAREHOLDERS 434364,A81000C,01003,0400,KARE MEDICAL 434364,A81000C,01003,0600,WHOLESALE SUPPL 434364,A81000C,01004,0100,A 434364,A81000C,01004,0200,SHAREHOLDERS 434364,A81000C,01004,0400,KARE MEDICAL 434364,A81000C,01004,0600,WHOLESALE SUPPL 434364,A81000C,01005,0100,A 434364,A81000C,01005,0200,SHAREHOLDERS 434364,A81000C,01005,0400,KARE MEDICAL 434364,A81000C,01005,0600,WHOLESALE SUPPL 434364,A81000C,01006,0100,A 434364,A81000C,01006,0200,SHAREHOLDERS 434364,A81000C,01006,0400,KARE MEDICAL 434364,A81000C,01006,0600,WHOLESALE SUPPL 434364,A81000C,01007,0100,A 434364,A81000C,01007,0200,SHAREHOLDERS 434364,A81000C,01007,0400,KARE MEDICAL 434364,A81000C,01007,0600,WHOLESALE SUPPL 434364,A81000C,01008,0100,A 434364,A81000C,01008,0200,SHAREHOLDERS 434364,A81000C,01008,0400,KARE MEDICAL 434364,A81000C,01008,0600,WHOLESALE SUPPL 434364,A81000C,01009,0100,A 434364,A81000C,01009,0200,SHAREHOLDERS 434364,A81000C,01009,0400,KARE MEDICAL 434364,A81000C,01009,0600,WHOLESALE SUPPL 434364,A81000C,01010,0100,A 434364,A81000C,01010,0200,SHAREHOLDERS 434364,A81000C,01010,0400,KARE MEDICAL 434364,A81000C,01010,0600,WHOLESALE SUPPL 434364,A81000C,01011,0100,A 434364,A81000C,01011,0200,SHAREHOLDERS 434364,A81000C,01011,0400,KARE MEDICAL 434364,A81000C,01011,0600,WHOLESALE SUPPL 434364,A81000C,01012,0100,A 434364,A81000C,01012,0200,SHAREHOLDERS 434364,A81000C,01012,0400,KARE MEDICAL 434364,A81000C,01012,0600,WHOLESALE SUPPL 434364,A81000C,01013,0100,A 434364,A81000C,01013,0200,SHAREHOLDERS 434364,A81000C,01013,0400,KARE MEDICAL 434364,A81000C,01013,0600,WHOLESALE SUPPL 434364,A81000C,01014,0100,A 434364,A81000C,01014,0200,SHAREHOLDERS 434364,A81000C,01014,0400,KARE MEDICAL 434364,A81000C,01014,0600,WHOLESALE SUPPL 434364,A81000C,01015,0100,A 434364,A81000C,01015,0200,SHAREHOLDERS 434364,A81000C,01015,0400,KARE MEDICAL 434364,A81000C,01015,0600,WHOLESALE SUPPL 434364,A81000C,01016,0100,A 434364,A81000C,01016,0200,SHAREHOLDERS 434364,A81000C,01016,0400,KARE MEDICAL 434364,A81000C,01016,0600,WHOLESALE SUPPL 434364,A81000C,01017,0100,A 434364,A81000C,01017,0200,SHAREHOLDERS 434364,A81000C,01017,0400,KARE MEDICAL 434364,A81000C,01017,0600,WHOLESALE SUPPL 434364,A81000C,01018,0100,A 434364,A81000C,01018,0200,SHAREHOLDERS 434364,A81000C,01018,0400,KARE MEDICAL 434364,A81000C,01018,0600,WHOLESALE SUPPL 434364,A81000C,01019,0100,A 434364,A81000C,01019,0200,SHAREHOLDERS 434364,A81000C,01019,0400,PHARMSAVE 434364,A81000C,01019,0600,RX SUPPLY 434364,A81000C,01020,0100,A 434364,A81000C,01020,0200,SHAREHOLDERS 434364,A81000C,01020,0400,PHARMSAVE 434364,A81000C,01020,0600,RX SUPPLY 434364,A81000C,01021,0100,A 434364,A81000C,01021,0200,SHAREHOLDERS 434364,A81000C,01021,0400,PHARMSAVE 434364,A81000C,01021,0600,RX SUPPLY 434364,A81000C,01022,0100,A 434364,A81000C,01022,0200,SHAREHOLDERS 434364,A81000C,01022,0400,PHARMSAVE 434364,A81000C,01022,0600,RX SUPPLY 434364,A81000C,01023,0100,A 434364,A81000C,01023,0200,SHAREHOLDERS 434364,A81000C,01023,0400,PHARMSAVE 434364,A81000C,01023,0600,RX SUPPLY 434364,A81000C,01024,0100,A 434364,A81000C,01024,0200,SHAREHOLDERS 434364,A81000C,01024,0400,ROBERT HILL CON 434364,A81000C,01024,0600,CONSTRUCTION 434364,A81000C,01025,0100,A 434364,A81000C,01025,0200,SHAREHOLDERS 434364,A81000C,01025,0400,ROBERT HILL CON 434364,A81000C,01025,0600,CONSTRUCTION 434364,A81000C,01026,0100,A 434364,A81000C,01026,0200,SHAREHOLDERS 434364,A81000C,01026,0400,ROBERT HILL CON 434364,A81000C,01026,0600,CONSTRUCTION 434364,A81000C,01027,0100,A 434364,A81000C,01027,0200,SHAREHOLDERS 434364,A81000C,01027,0400,HILLCO LTD 434364,A81000C,01027,0600,REAL ESTATE 434364,A81000C,01028,0100,A 434364,A81000C,01028,0200,SHAREHOLDERS 434364,A81000C,01028,0400,BRITTHAVEN INC 434364,A81000C,01028,0600,REAL ESTATE 434364,A81000C,01029,0100,A 434364,A81000C,01029,0200,SHAREHOLDERS 434364,A81000C,01029,0400,BRITTHAVEN INC 434364,A81000C,01029,0600,REAL ESTATE 434364,A81000C,01030,0100,A 434364,A81000C,01030,0200,SHAREHOLDERS 434364,A81000C,01030,0400,BRITTHAVEN INC 434364,A81000C,01030,0600,REAL ESTATE 434364,A81000C,01031,0100,A 434364,A81000C,01031,0200,SHAREHOLDERS 434364,A81000C,01031,0400,BRITTHAVEN INC 434364,A81000C,01031,0600,REAL ESTATE 434364,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434364,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434364,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434364,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434364,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434364,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434364,B100000,00000,0800,0800MEALS SERVED :DIETARY 434364,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434364,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434364,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434364,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434364,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434364,G300000,02500,0000, OTHER (SPECIFY) 434364,S000000,00100,0200,02/29/12 434364,S200000,00100,0100,250 LOVERS LANE 434364,S200000,00200,0100,WASHINGTON 434364,S200000,00200,0200,NC 434364,S200000,00200,0300,27889 434364,S200000,00300,0100,BEAUFORT 434364,S200000,00300,0201,99934 434364,S200000,00300,0300,R 434364,S200000,00400,0100,RIVER TRACE NURSING & REHAB CENTER 434364,S200000,00400,0200,345215 434364,S200000,00400,0300,01/01/11 434364,S200000,00400,0500,P 434364,S200000,01500,0100,N 434364,S200000,01501,0200,Y 434364,S200000,01502,0200,Y 434364,S200000,01503,0200,Y 434364,S200000,01504,0200,Y 434364,S200000,01505,0000,OTHER (SPECIFY) 434364,S200000,01505,0200,Y 434364,S200000,01600,0100,Y 434364,S200000,01700,0100,N 434364,S200000,01800,0100,N 434364,S200000,02200,0100,N 434364,S200000,02800,0100,N 434364,S200000,02900,0100,N 434364,S200000,03000,0100,N 434364,S200000,03100,0100,N 434364,S200000,03200,0100,N 434364,S200000,03300,0100,N 434364,S200000,03300,0200,N 434364,S200000,04100,0100,N 434364,S200000,04200,0100,N 434364,S200000,04300,0100,N 434364,S200000,04600,0100,N 434364,S200000,04700,0100,N 434364,S200000,04700,0200,N 434364,S200000,04900,0100,N 434364,S200000,05000,0100,N 434364,S200000,05100,0100,N 434364,S200000,05200,0100,N 434364,S200000,05300,0100,Y 434364,S200000,05300,0200,349011 434364,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434364,S200000,05400,0200,PALMETTO GBA 434364,S200000,05400,0300,11501 434364,S200000,05500,0100,1435 HWY 258 NORTH 434364,S200000,05600,0100,KINSTON 434364,S200000,05600,0200,NC 434364,S200000,05600,0300,28502 434367,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434367,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434367,A000000,00300,0000,0300EMPLOYEE BENEFITS 434367,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434367,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434367,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434367,A000000,00700,0000,0700HOUSEKEEPING 434367,A000000,00800,0000,0800DIETARY 434367,A000000,00900,0000,0900NURSING ADMINISTRATION 434367,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434367,A000000,01100,0000,1100PHARMACY 434367,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434367,A000000,01300,0000,1300SOCIAL SERVICE 434367,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434367,A000000,01600,0000,1600SKILLED NURSING FACILITY 434367,A000000,01800,0000,1800NURSING FACILITY 434367,A000000,01900,0000,1900OTHER LONG TERM CARE 434367,A000000,02100,0000,2100RADIOLOGY 434367,A000000,02200,0000,2200LABORATORY 434367,A000000,02300,0000,2300INTRAVENOUS THERAPY 434367,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434367,A000000,02500,0000,2500PHYSICAL THERAPY 434367,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434367,A000000,02700,0000,2700SPEECH PATHOLOGY 434367,A000000,02800,0000,2800ELECTROCARDIOLOGY 434367,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434367,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434367,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434367,A000000,03200,0000,3200SUPPORT SURFACES 434367,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434367,A000000,03400,0000,3400CLINIC 434367,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434367,A000000,04800,0000,4800AMBULANCE 434367,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434367,A000000,05000,0000,5000CORF 434367,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434367,A000000,05300,0000,5300INTEREST EXPENSE 434367,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434367,A000000,05500,0000,5500HOSPICE 434367,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434367,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434367,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434367,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434367,A000000,06100,0000,6100NONPAID WORKERS 434367,A000000,06200,0000,6200PATIENTS LAUNDRY 434367,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434367,A81000A,00100,0100,Y 434367,A81000B,00100,0300,NURSING CONSULTING 434367,A81000B,00200,0300,DIETARY CONSULTING 434367,A81000B,00300,0300,HOME OFFICE 434367,A81000B,00400,0300,INTEREST EXPENSE 434367,A81000B,00500,0300,WORKERS COMP EXPENSE 434367,A81000B,00600,0300,INSURANCE - PROFESSIONAL LIABILITY 434367,A81000B,00700,0300,MAINTENANCE SUPPLIES 434367,A81000B,00800,0300,MINOR EQUIPMENT EXPENSE 434367,A81000B,00900,0300,REPAIRS - EQUIPMENT 434367,A81000B,01000,0300,LINEN & BEDDING 434367,A81000B,01100,0300,MINOR EQUIPMENT EXPENSE 434367,A81000B,01200,0300,LAUNDRY SUPPLIES 434367,A81000B,01300,0300,HOUSEKEEPING SUPPLIES 434367,A81000B,01400,0300,DIETARY SUPPLEMENTS 434367,A81000B,01500,0300,DIETARY SUPPLIES 434367,A81000B,01600,0300,BIO-MEDICAL WASTE 434367,A81000B,01700,0300,MINOR EQUIPMENT EXPENSE 434367,A81000B,01800,0300,PERSONAL CARE SUPPLIES 434367,A81000B,01900,0300,INCONTINENCE SUPPLIES 434367,A81000B,02000,0300,MEDICAL SUPPLIES 434367,A81000B,02100,0300,OXYGEN THERAPY SUPPLIES 434367,A81000B,02200,0300,PHYSICAL THERAPY SUPPLIES 434367,A81000B,02300,0300,OCCUPATIONAL THERAPY SUPPLIES 434367,A81000B,02400,0300,BILLABLE MEDICAL SUPPLIES 434367,A81000B,02500,0300,NURSING EQUIPMENT RENTAL 434367,A81000B,02600,0300,NON-LEGEND DRUGS 434367,A81000B,02700,0300,PHARMACY CONSULTANT 434367,A81000B,02800,0300,MED REC SUPPLIES 434367,A81000B,02900,0300,LEGEND DRUGS 434367,A81000C,00100,0100,B 434367,A81000C,00100,0200,PLTC & PITS INC 434367,A81000C,00100,0400,PLTC & PITS INC 434367,A81000C,00100,0600,MGMT SERVICES 434367,A81000C,00200,0100,B 434367,A81000C,00200,0200,PLTC & PITS INC 434367,A81000C,00200,0400,PLTC & PITS INC 434367,A81000C,00200,0600,MGMT SERVICES 434367,A81000C,00300,0100,B 434367,A81000C,00300,0200,PLTC & PITS INC 434367,A81000C,00300,0400,PLTC & PITS INC 434367,A81000C,00300,0600,MGMT SERVICES 434367,A81000C,00400,0100,B 434367,A81000C,00400,0200,PLTC & PITS INC 434367,A81000C,00400,0400,PLTC & PITS INC 434367,A81000C,00400,0600,MGMT SERVICES 434367,A81000C,00500,0100,A 434367,A81000C,00500,0200,SHAREHOLDERS 434367,A81000C,00500,0400,DISCOVERY INSUR 434367,A81000C,00500,0600,INSURANCE 434367,A81000C,00600,0100,A 434367,A81000C,00600,0200,SHAREHOLDERS 434367,A81000C,00600,0400,QUEENSLAND ASSU 434367,A81000C,00600,0600,INSURANCE 434367,A81000C,00700,0100,A 434367,A81000C,00700,0200,SHAREHOLDERS 434367,A81000C,00700,0400,KARE MEDICAL 434367,A81000C,00700,0600,WHOLESALE SUPPL 434367,A81000C,00800,0100,A 434367,A81000C,00800,0200,SHAREHOLDERS 434367,A81000C,00800,0400,KARE MEDICAL 434367,A81000C,00800,0600,WHOLESALE SUPPL 434367,A81000C,00900,0100,A 434367,A81000C,00900,0200,SHAREHOLDERS 434367,A81000C,00900,0400,KARE MEDICAL 434367,A81000C,00900,0600,WHOLESALE SUPPL 434367,A81000C,01000,0100,A 434367,A81000C,01000,0200,SHAREHOLDERS 434367,A81000C,01000,0400,KARE MEDICAL 434367,A81000C,01000,0600,WHOLESALE SUPPL 434367,A81000C,01001,0100,A 434367,A81000C,01001,0200,SHAREHOLDERS 434367,A81000C,01001,0400,KARE MEDICAL 434367,A81000C,01001,0600,WHOLESALE SUPPL 434367,A81000C,01002,0100,A 434367,A81000C,01002,0200,SHAREHOLDERS 434367,A81000C,01002,0400,KARE MEDICAL 434367,A81000C,01002,0600,WHOLESALE SUPPL 434367,A81000C,01003,0100,A 434367,A81000C,01003,0200,SHAREHOLDERS 434367,A81000C,01003,0400,KARE MEDICAL 434367,A81000C,01003,0600,WHOLESALE SUPPL 434367,A81000C,01004,0100,A 434367,A81000C,01004,0200,SHAREHOLDERS 434367,A81000C,01004,0400,KARE MEDICAL 434367,A81000C,01004,0600,WHOLESALE SUPPL 434367,A81000C,01005,0100,A 434367,A81000C,01005,0200,SHAREHOLDERS 434367,A81000C,01005,0400,KARE MEDICAL 434367,A81000C,01005,0600,WHOLESALE SUPPL 434367,A81000C,01006,0100,A 434367,A81000C,01006,0200,SHAREHOLDERS 434367,A81000C,01006,0400,KARE MEDICAL 434367,A81000C,01006,0600,WHOLESALE SUPPL 434367,A81000C,01007,0100,A 434367,A81000C,01007,0200,SHAREHOLDERS 434367,A81000C,01007,0400,KARE MEDICAL 434367,A81000C,01007,0600,WHOLESALE SUPPL 434367,A81000C,01008,0100,A 434367,A81000C,01008,0200,SHAREHOLDERS 434367,A81000C,01008,0400,KARE MEDICAL 434367,A81000C,01008,0600,WHOLESALE SUPPL 434367,A81000C,01009,0100,A 434367,A81000C,01009,0200,SHAREHOLDERS 434367,A81000C,01009,0400,KARE MEDICAL 434367,A81000C,01009,0600,WHOLESALE SUPPL 434367,A81000C,01010,0100,A 434367,A81000C,01010,0200,SHAREHOLDERS 434367,A81000C,01010,0400,KARE MEDICAL 434367,A81000C,01010,0600,WHOLESALE SUPPL 434367,A81000C,01011,0100,A 434367,A81000C,01011,0200,SHAREHOLDERS 434367,A81000C,01011,0400,KARE MEDICAL 434367,A81000C,01011,0600,WHOLESALE SUPPL 434367,A81000C,01012,0100,A 434367,A81000C,01012,0200,SHAREHOLDERS 434367,A81000C,01012,0400,KARE MEDICAL 434367,A81000C,01012,0600,WHOLESALE SUPPL 434367,A81000C,01013,0100,A 434367,A81000C,01013,0200,SHAREHOLDERS 434367,A81000C,01013,0400,KARE MEDICAL 434367,A81000C,01013,0600,WHOLESALE SUPPL 434367,A81000C,01014,0100,A 434367,A81000C,01014,0200,SHAREHOLDERS 434367,A81000C,01014,0400,KARE MEDICAL 434367,A81000C,01014,0600,WHOLESALE SUPPL 434367,A81000C,01015,0100,A 434367,A81000C,01015,0200,SHAREHOLDERS 434367,A81000C,01015,0400,PHARMSAVE 434367,A81000C,01015,0600,RX SUPPLY 434367,A81000C,01016,0100,A 434367,A81000C,01016,0200,SHAREHOLDERS 434367,A81000C,01016,0400,PHARMSAVE 434367,A81000C,01016,0600,RX SUPPLY 434367,A81000C,01017,0100,A 434367,A81000C,01017,0200,SHAREHOLDERS 434367,A81000C,01017,0400,PHARMSAVE 434367,A81000C,01017,0600,RX SUPPLY 434367,A81000C,01018,0100,A 434367,A81000C,01018,0200,SHAREHOLDERS 434367,A81000C,01018,0400,PHARMSAVE 434367,A81000C,01018,0600,RX SUPPLY 434367,A81000C,01019,0100,A 434367,A81000C,01019,0200,SHAREHOLDERS 434367,A81000C,01019,0400,PHARMSAVE 434367,A81000C,01019,0600,RX SUPPLY 434367,A81000C,01020,0100,A 434367,A81000C,01020,0200,SHAREHOLDERS 434367,A81000C,01020,0400,ROBERT HILL CON 434367,A81000C,01020,0600,CONSTRUCTION 434367,A81000C,01021,0100,A 434367,A81000C,01021,0200,SHAREHOLDERS 434367,A81000C,01021,0400,ROBERT HILL CON 434367,A81000C,01021,0600,CONSTRUCTION 434367,A81000C,01022,0100,A 434367,A81000C,01022,0200,SHAREHOLDERS 434367,A81000C,01022,0400,ROBERT HILL CON 434367,A81000C,01022,0600,CONSTRUCTION 434367,A81000C,01023,0100,A 434367,A81000C,01023,0200,SHAREHOLDERS 434367,A81000C,01023,0400,BRITTHAVEN OF E 434367,A81000C,01023,0600,REAL ESTATE 434367,A81000C,01024,0100,A 434367,A81000C,01024,0200,SHAREHOLDERS 434367,A81000C,01024,0400,BRITTHAVEN INC. 434367,A81000C,01024,0600,REAL ESTATE 434367,A81000C,01025,0100,A 434367,A81000C,01025,0200,SHAREHOLDERS 434367,A81000C,01025,0400,BRITTHAVEN INC. 434367,A81000C,01025,0600,REAL ESTATE 434367,A81000C,01026,0100,A 434367,A81000C,01026,0200,SHAREHOLDERS 434367,A81000C,01026,0400,BRITTHAVEN INC. 434367,A81000C,01026,0600,REAL ESTATE 434367,A81000C,01027,0100,A 434367,A81000C,01027,0200,SHAREHOLDERS 434367,A81000C,01027,0400,BRITTHAVEN INC. 434367,A81000C,01027,0600,REAL ESTATE 434367,A81000C,01028,0100,A 434367,A81000C,01028,0200,SHAREHOLDERS 434367,A81000C,01028,0400,BRITTHAVEN INC. 434367,A81000C,01028,0600,REAL ESTATE 434367,A81000C,01029,0100,A 434367,A81000C,01029,0200,SHAREHOLDERS 434367,A81000C,01029,0400,BRITTHAVEN OF E 434367,A81000C,01029,0600,REAL ESTATE 434367,A81000C,01030,0100,A 434367,A81000C,01030,0200,SHAREHOLDERS 434367,A81000C,01030,0400,BRITTHAVEN OF E 434367,A81000C,01030,0600,REAL ESTATE 434367,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434367,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434367,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434367,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434367,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434367,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434367,B100000,00000,0800,0800MEALS SERVED :DIETARY 434367,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434367,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434367,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434367,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434367,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434367,E10A180,00501,0100,05/21/12 434367,G300000,02500,0000, OTHER (SPECIFY) 434367,S000000,00100,0200,02/29/12 434367,S200000,00100,0100,1341 PARADISE ROAD 434367,S200000,00200,0100,EDENTON 434367,S200000,00200,0200,NC 434367,S200000,00200,0300,28932 434367,S200000,00300,0100,CHOWAN 434367,S200000,00300,0201,99934 434367,S200000,00300,0300,R 434367,S200000,00400,0100,CHOWAN RIVER NURSING & REHAB CENTER 434367,S200000,00400,0200,345164 434367,S200000,00400,0300,01/01/11 434367,S200000,00400,0500,P 434367,S200000,01500,0100,N 434367,S200000,01501,0200,Y 434367,S200000,01503,0200,Y 434367,S200000,01504,0200,Y 434367,S200000,01505,0000,OTHER (SPECIFY) 434367,S200000,01505,0200,Y 434367,S200000,01600,0100,Y 434367,S200000,01700,0100,N 434367,S200000,01800,0100,N 434367,S200000,02200,0100,N 434367,S200000,02800,0100,N 434367,S200000,02900,0100,N 434367,S200000,03000,0100,N 434367,S200000,03100,0100,N 434367,S200000,03200,0100,N 434367,S200000,03300,0100,N 434367,S200000,03300,0200,N 434367,S200000,04100,0100,N 434367,S200000,04200,0100,N 434367,S200000,04300,0100,N 434367,S200000,04600,0100,N 434367,S200000,04700,0100,N 434367,S200000,04700,0200,N 434367,S200000,04900,0100,N 434367,S200000,05000,0100,N 434367,S200000,05100,0100,N 434367,S200000,05200,0100,N 434367,S200000,05300,0100,Y 434367,S200000,05300,0200,349011 434367,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434367,S200000,05400,0200,PALMETTO GBA 434367,S200000,05400,0300,11501 434367,S200000,05500,0100,1435 HWY 258 NORTH 434367,S200000,05600,0100,KINSTON 434367,S200000,05600,0200,NC 434367,S200000,05600,0300,28502 434369,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434369,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434369,A000000,00300,0000,0300EMPLOYEE BENEFITS 434369,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434369,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434369,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434369,A000000,00700,0000,0700HOUSEKEEPING 434369,A000000,00800,0000,0800DIETARY 434369,A000000,00900,0000,0900NURSING ADMINISTRATION 434369,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434369,A000000,01100,0000,1100PHARMACY 434369,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434369,A000000,01300,0000,1300SOCIAL SERVICE 434369,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434369,A000000,01500,0000,1350PATIENT ACTIVITIES 434369,A000000,01600,0000,1600SKILLED NURSING FACILITY 434369,A000000,01810,0000,1810ICF/MR 434369,A000000,02200,0000,2200LABORATORY 434369,A000000,02500,0000,2500PHYSICAL THERAPY 434369,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434369,A000000,02700,0000,2700SPEECH PATHOLOGY 434369,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434369,A000000,03200,0000,3200SUPPORT SURFACES 434369,A000000,03300,0000,3050BED RENTALS 434369,A000000,03550,0000,3550FQHC 434369,A000000,05000,0000,5000CORF 434369,A000000,05010,0000,5010CMHC 434369,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434369,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434369,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434369,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434369,A000000,05300,0000,5300INTEREST EXPENSE 434369,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434369,A81000A,00100,0100,Y 434369,A81000B,00100,0300,HOME OFFICE GENERAL & ADMINIST 434369,A81000C,00100,0100,A 434369,A81000C,00100,0200,JOE DELPIT 434369,A81000C,00100,0400,J.D. ENTERPRISE 434369,A81000C,00100,0600,MANAGEMENT 434369,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434369,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434369,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434369,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434369,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434369,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434369,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434369,B100000,00000,0800,0800MEALS SERVED :DIETARY 434369,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434369,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434369,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434369,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434369,G300000,02503,0000,PRIOR YEAR MCR SETTLEMENT 434369,G300000,02504,0000,INSURANCE SETTLEMENT 434369,S000000,00100,0200,09/28/11 434369,S200000,00100,0100,7605 LINE AVENUE 434369,S200000,00200,0100,SHREVEPORT 434369,S200000,00200,0200,LA 434369,S200000,00200,0300,71106 434369,S200000,00300,0100,CADDO 434369,S200000,00300,0201,U 434369,S200000,00300,0300,U 434369,S200000,00400,0100,BOOKER T. WASHINGTON NURSING CENTER 434369,S200000,00400,0200,195615 434369,S200000,00400,0300,10/03/04 434369,S200000,00400,0500,P 434369,S200000,01500,0100,Y 434369,S200000,01600,0100,N 434369,S200000,01700,0100,N 434369,S200000,01800,0100,N 434369,S200000,02200,0100,N 434369,S200000,02800,0100,N 434369,S200000,02900,0100,N 434369,S200000,03000,0100,N 434369,S200000,03100,0100,N 434369,S200000,03200,0100,N 434369,S200000,03300,0100,N 434369,S200000,03300,0200,N 434369,S200000,04100,0100,N 434369,S200000,04200,0100,N 434369,S200000,04300,0100,N 434369,S200000,04600,0100,N 434369,S200000,04700,0100,N 434369,S200000,04700,0200,N 434369,S200000,04900,0100,N 434369,S200000,05000,0100,N 434369,S200000,05100,0100,N 434369,S200000,05200,0100,N 434369,S200000,05300,0100,Y 434369,S200000,05300,0200,HB-001 434369,S200000,05400,0100,J.D. ENTERPRISES MANAGEMENT CO. 434369,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS 434369,S200000,05400,0300,00233 434369,S200000,05500,0100,725 LETTSWORTH STREET 434369,S200000,05600,0100,BATON ROUGE 434369,S200000,05600,0200,LA 434369,S200000,05600,0300,70802-7138 434371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434371,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434371,A000000,00300,0000,0300EMPLOYEE BENEFITS 434371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434371,A000000,00700,0000,0700HOUSEKEEPING 434371,A000000,00800,0000,0800DIETARY 434371,A000000,00900,0000,0900NURSING ADMINISTRATION 434371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434371,A000000,01100,0000,1100PHARMACY 434371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434371,A000000,01300,0000,1300SOCIAL SERVICE 434371,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434371,A000000,01500,0000,1350ACTIVITIES 434371,A000000,01600,0000,1600SKILLED NURSING FACILITY 434371,A000000,01800,0000,1800NURSING FACILITY 434371,A000000,01810,0000,1810ICF/MR 434371,A000000,01900,0000,1900OTHER LONG TERM CARE 434371,A000000,02100,0000,2100RADIOLOGY 434371,A000000,02200,0000,2200LABORATORY 434371,A000000,02300,0000,2300INTRAVENOUS THERAPY 434371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434371,A000000,02500,0000,2500PHYSICAL THERAPY 434371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434371,A000000,02700,0000,2700SPEECH PATHOLOGY 434371,A000000,02800,0000,2800ELECTROCARDIOLOGY 434371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434371,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434371,A000000,03200,0000,3200SUPPORT SURFACES 434371,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434371,A000000,03400,0000,3400CLINIC 434371,A000000,03500,0000,3500RURAL HEALTH CLINIC 434371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434371,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434371,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434371,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434371,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434371,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434371,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434371,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434371,A000000,04400,0000,4400DME RENTED - HHA 434371,A000000,04500,0000,4500DME SOLD - HHA 434371,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434371,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434371,A000000,04710,0000,4710TELEMEDICINE 434371,A000000,04800,0000,4800AMBULANCE 434371,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434371,A000000,05000,0000,5000CORF 434371,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434371,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434371,A000000,05300,0000,5300INTEREST EXPENSE 434371,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434371,A000000,05500,0000,5500HOSPICE 434371,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434371,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434371,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434371,A000000,06100,0000,6100NONPAID WORKERS 434371,A000000,06200,0000,6200PATIENTS LAUNDRY 434371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434371,A81000A,00100,0100,Y 434371,A81000B,00100,0300,RENT EXPENSE 434371,A81000B,00200,0300,HOME OFFICE ALLOCATION 434371,A81000B,00300,0300,MANAGEMENT FEE 434371,A81000B,00400,0300,DATA PROCESSING EXPENSE 434371,A81000B,00500,0300,HOME OFFICE ALLOCATION 434371,A81000B,00600,0300,LAUNDRY EXPENSE 434371,A81000B,00700,0300,HOME OFFICE ALLOCATION 434371,A81000C,00100,0100,B 434371,A81000C,00100,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00100,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00100,0600,NURSING HOME SERVICES 434371,A81000C,00200,0100,B 434371,A81000C,00200,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00200,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00200,0600,NURSING HOME SERVICES 434371,A81000C,00300,0100,B 434371,A81000C,00300,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00300,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00300,0600,NURSING HOME SERVICES 434371,A81000C,00400,0100,B 434371,A81000C,00400,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00400,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00400,0600,NURSING HOME SERVICES 434371,A81000C,00500,0100,B 434371,A81000C,00500,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00500,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00500,0600,NURSING HOME SERVICES 434371,A81000C,00600,0100,B 434371,A81000C,00600,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00600,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00600,0600,NURSING HOME SERVICES 434371,A81000C,00700,0100,B 434371,A81000C,00700,0200,SUNSET HARBOR & LWB INC. 434371,A81000C,00700,0400,SUNSET HARBOR & LWB INC. 434371,A81000C,00700,0600,NURSING HOME SERVICES 434371,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434371,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434371,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434371,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434371,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434371,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434371,B100000,00000,0800,0800MEALS SERVED :DIETARY 434371,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434371,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434371,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434371,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434371,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434371,E10A180,00501,0100,05/09/12 434371,E10A180,00501,0300,05/09/12 434371,G300000,02500,0000,OTHER REVENUE 434371,S000000,00100,0200,03/29/12 434371,S200000,00100,0100,3150 NORTH 7TH STREET 434371,S200000,00200,0100,TERRE HAUTE 434371,S200000,00200,0200,IN 434371,S200000,00200,0300,47804 434371,S200000,00300,0100,VIGO 434371,S200000,00300,0201,45460 434371,S200000,00300,0300,U 434371,S200000,00400,0100,MEADOWS MANOR NORTH INC. 434371,S200000,00400,0200,155143 434371,S200000,00400,0300,01/25/73 434371,S200000,00400,0500,P 434371,S200000,01500,0100,Y 434371,S200000,01501,0200,Y 434371,S200000,01502,0200,Y 434371,S200000,01503,0200,Y 434371,S200000,01504,0200,Y 434371,S200000,01600,0100,N 434371,S200000,01700,0100,N 434371,S200000,01800,0100,N 434371,S200000,02200,0100,Y 434371,S200000,02800,0100,N 434371,S200000,02900,0100,N 434371,S200000,03000,0100,N 434371,S200000,03100,0100,N 434371,S200000,03200,0100,N 434371,S200000,03300,0100,N 434371,S200000,03300,0200,N 434371,S200000,04100,0100,N 434371,S200000,04200,0100,N 434371,S200000,04300,0100,N 434371,S200000,04600,0100,N 434371,S200000,04700,0100,N 434371,S200000,04700,0200,N 434371,S200000,04900,0100,N 434371,S200000,05000,0100,N 434371,S200000,05100,0100,N 434371,S200000,05200,0100,N 434371,S200000,05300,0100,Y 434371,S200000,05300,0200,15H011 434371,S200000,05400,0100,SUNSET HARBOR INC 434371,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 434371,S200000,05400,0300,00130 434371,S200000,05500,0100,19 SOUTH SIXTH STREET SUITE 101 434371,S200000,05600,0100,TERRE HAUTE 434371,S200000,05600,0200,IN 434371,S200000,05600,0300,47807 434376,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434376,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434376,A000000,00300,0000,0300EMPLOYEE BENEFITS 434376,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434376,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434376,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434376,A000000,00700,0000,0700HOUSEKEEPING 434376,A000000,00800,0000,0800DIETARY 434376,A000000,00900,0000,0900NURSING ADMINISTRATION 434376,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434376,A000000,01100,0000,1100PHARMACY 434376,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434376,A000000,01300,0000,1300SOCIAL SERVICE 434376,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434376,A000000,01600,0000,1600SKILLED NURSING FACILITY 434376,A000000,01800,0000,1800NURSING FACILITY 434376,A000000,01810,0000,1810ICF/MR 434376,A000000,02100,0000,2100RADIOLOGY 434376,A000000,02200,0000,2200LABORATORY 434376,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434376,A000000,02500,0000,2500PHYSICAL THERAPY 434376,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434376,A000000,02700,0000,2700SPEECH PATHOLOGY 434376,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434376,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434376,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434376,A000000,03550,0000,3550FQHC 434376,A000000,04801,0000,4801AMBULANCE 434376,A000000,04802,0000,4802AMBULANCE 434376,A000000,04803,0000,4803AMBULANCE 434376,A000000,05000,0000,5000CORF 434376,A000000,05010,0000,5010CMHC 434376,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434376,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434376,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434376,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434376,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434376,A81000A,00100,0100,N 434376,B100000,00000,0100,0100SQUARE FEET 434376,B100000,00000,0200,0200SQUARE FEET 434376,B100000,00000,0300,0300GROSS SALARIES 434376,B100000,00000,0400,0400ACCUM COST 434376,B100000,00000,0500,0500SQUARE FEET 434376,B100000,00000,0600,0600POUNDS OF LAUNDRY 434376,B100000,00000,0700,0700SQUARE FEET 434376,B100000,00000,0800,0800MEALS SERVED 434376,B100000,00000,0900,0900DIRECT NRSING HRS 434376,B100000,00000,1000,1000COSTED REQUIS. 434376,B100000,00000,1100,1100COSTED REQUIS 434376,B100000,00000,1200,1200GROSS CHARGES 434376,B100000,00000,1300,1300PATIENT DAYS 434376,B100000,00000,1400,1400ASSIGNED TIME 434376,G300000,02500,0000,PRIOR YEAR INCOME 434376,G300000,02501,0000,MISC NON OP INCOME 434376,G300000,02502,0000,MISC INCOME 434376,G300000,02503,0000,LOCKBOX RENTAL 434376,S000000,00100,0200,01/23/12 434376,S200000,00100,0100,4343 LEBANON ROAD 434376,S200000,00200,0100,HERMITAGE 434376,S200000,00200,0200,TN 434376,S200000,00200,0300,37076 434376,S200000,00300,0100,DAVIDSON 434376,S200000,00300,0201,34980 434376,S200000,00300,0300,U 434376,S200000,00400,0100,MCKENDREE VILLAGE HEALTH CENTER 434376,S200000,00400,0200,445491 434376,S200000,00400,0300,10/01/09 434376,S200000,00400,0500,P 434376,S200000,00600,0200,445491 434376,S200000,00600,0300,01/13/09 434376,S200000,00600,0600,O 434376,S200000,01500,0100,N 434376,S200000,01501,0200,Y 434376,S200000,01600,0100,Y 434376,S200000,01700,0100,N 434376,S200000,01800,0100,N 434376,S200000,02200,0100,N 434376,S200000,02800,0100,N 434376,S200000,02900,0100,N 434376,S200000,03000,0100,N 434376,S200000,03100,0100,N 434376,S200000,03200,0100,N 434376,S200000,03300,0100,N 434376,S200000,03300,0200,N 434376,S200000,04200,0100,N 434376,S200000,04300,0100,N 434376,S200000,04600,0100,N 434376,S200000,04700,0100,N 434376,S200000,04900,0100,N 434376,S200000,05200,0100,N 434376,S200000,05300,0100,N 434378,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434378,A000000,00300,0000,0300EMPLOYEE BENEFITS 434378,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434378,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434378,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434378,A000000,00700,0000,0700HOUSEKEEPING 434378,A000000,00800,0000,0800DIETARY 434378,A000000,01100,0000,1100PHARMACY 434378,A000000,01500,0000,1350PATIENT ACTIVITIES 434378,A000000,01600,0000,1600SKILLED NURSING FACILITY 434378,A000000,01800,0000,1800NURSING FACILITY 434378,A000000,01900,0000,1900OTHER LONG TERM CARE 434378,A000000,02100,0000,2100RADIOLOGY 434378,A000000,02200,0000,2200LABORATORY 434378,A000000,02300,0000,2300INTRAVENOUS THERAPY 434378,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434378,A000000,02500,0000,2500PHYSICAL THERAPY 434378,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434378,A000000,02700,0000,2700SPEECH PATHOLOGY 434378,A000000,02800,0000,2800ELECTROCARDIOLOGY 434378,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434378,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434378,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434378,A000000,03200,0000,3200SUPPORT SURFACES 434378,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434378,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434378,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434378,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434378,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434378,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434378,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434378,A000000,06100,0000,6100NONPAID WORKERS 434378,A000000,06200,0000,6200PATIENTS LAUNDRY 434378,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434378,A81000A,00100,0100,Y 434378,A81000B,00100,0300,CENTRAL OFFICE OVHD 434378,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 434378,A81000B,00300,0300,SUPPLIES 434378,A81000B,00400,0300,SUPPLIES 434378,A81000B,00500,0300,SUPPLIES 434378,A81000B,00600,0300,PHARMACY 434378,A81000B,00700,0300,SUPPLIES 434378,A81000B,00800,0300,PHARMACY 434378,A81000B,00900,0300,PHARMACY 434378,A81000B,01000,0300,PHARMACY 434378,A81000B,01100,0300,PHARMACY 434378,A81000C,00100,0100,A 434378,A81000C,00100,0200,AUTUMN CORPORATION 434378,A81000C,00100,0400,AUTUMN CORPORATION 434378,A81000C,00100,0600,HOME OFFICE 434378,A81000C,00200,0100,A 434378,A81000C,00200,0200,AUTUMN CORPORATION 434378,A81000C,00200,0400,AUTUMN CORPORATION 434378,A81000C,00200,0600,HOME OFFICE 434378,A81000C,00300,0100,B 434378,A81000C,00300,0200,AUTUMN CARE OF MOCKSVILLE 434378,A81000C,00300,0400,AUTUMN CORPORATION 434378,A81000C,00300,0600,BUILDING RENTAL 434378,A81000C,00400,0100,B 434378,A81000C,00400,0200,WINCARE 434378,A81000C,00400,0400,AUTUMN CORPORATION 434378,A81000C,00400,0600,SUPPLIES 434378,A81000C,00500,0100,B 434378,A81000C,00500,0200,LEGACY 434378,A81000C,00500,0400,AUTUMN CORPORATION 434378,A81000C,00500,0600,PHARMACY 434378,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434378,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434378,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434378,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434378,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434378,B100000,00000,0700,0750SQ FEET W/O DI:HOUSEKEEPING 434378,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434378,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434378,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434378,E10A180,00550,0100,02/16/12 434378,G300000,02500,0000,MISC 434378,S000000,00100,0200,02/16/12 434378,S200000,00100,0100,830 BETHANY CHURCH ROAD 434378,S200000,00200,0100,FOREST CITY 434378,S200000,00200,0200,NC 434378,S200000,00200,0300,28043 434378,S200000,00300,0100,RUTHERFORD 434378,S200000,00300,0200,34 434378,S200000,00300,0201,00034 434378,S200000,00300,0300,R 434378,S200000,00400,0100,AUTUMN CARE OF FOREST CITY 434378,S200000,00400,0200,345314 434378,S200000,00400,0300,04/06/90 434378,S200000,00400,0500,P 434378,S200000,01500,0100,N 434378,S200000,01501,0200,Y 434378,S200000,01600,0100,Y 434378,S200000,01700,0100,N 434378,S200000,01800,0100,N 434378,S200000,02200,0100,N 434378,S200000,02800,0100,N 434378,S200000,02900,0100,N 434378,S200000,03000,0100,N 434378,S200000,03100,0100,N 434378,S200000,03200,0100,N 434378,S200000,03300,0100,N 434378,S200000,03300,0200,N 434378,S200000,04100,0100,N 434378,S200000,04200,0100,N 434378,S200000,04300,0100,N 434378,S200000,04600,0100,N 434378,S200000,04700,0100,N 434378,S200000,04700,0200,N 434378,S200000,04900,0100,N 434378,S200000,05000,0100,N 434378,S200000,05100,0100,N 434378,S200000,05200,0100,N 434380,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434380,A000000,00300,0000,0300EMPLOYEE BENEFITS 434380,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434380,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434380,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434380,A000000,00700,0000,0700HOUSEKEEPING 434380,A000000,00800,0000,0800DIETARY 434380,A000000,00900,0000,0900NURSING ADMINISTRATION 434380,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434380,A000000,01100,0000,1100PHARMACY 434380,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434380,A000000,01300,0000,1300SOCIAL SERVICE 434380,A000000,01500,0000,1350ACTIVITIES 434380,A000000,01600,0000,1600SKILLED NURSING FACILITY 434380,A000000,02100,0000,2100RADIOLOGY 434380,A000000,02200,0000,2200LABORATORY 434380,A000000,02300,0000,2300INTRAVENOUS THERAPY 434380,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434380,A000000,02500,0000,2500PHYSICAL THERAPY 434380,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434380,A000000,02700,0000,2700SPEECH PATHOLOGY 434380,A000000,02800,0000,2800ELECTROCARDIOLOGY 434380,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434380,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434380,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434380,A000000,03200,0000,3200SUPPORT SURFACES 434380,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434380,A000000,04800,0000,4800AMBULANCE 434380,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434380,A000000,05300,0000,5300INTEREST EXPENSE 434380,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434380,A000000,05500,0000,5500HOSPICE 434380,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434380,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434380,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434380,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434380,A000000,06100,0000,6100NONPAID WORKERS 434380,A000000,06200,0000,6200PATIENTS LAUNDRY 434380,A000000,06300,0000,6150PHYSICIANS SERVICES - OTHER 434380,A81000A,00100,0100,Y 434380,A81000B,00100,0300,MANAGEMENT FEES 434380,A81000C,00100,0100,A 434380,A81000C,00100,0200,MOUNT PLEASANT MANOR LLC 434380,A81000C,00100,0400,EPIC MANAGEMENT LLC 434380,A81000C,00100,0600,HOME OFFICE 434380,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434380,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434380,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434380,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434380,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434380,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434380,B100000,00000,0800,0800MEALS SERVED :DIETARY 434380,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434380,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434380,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434380,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434380,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434380,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434380,E10A180,00501,0100,05/16/12 434380,E10A180,00550,0100,09/24/12 434380,G300000,02500,0000,PERSONAL PURCHASES 434380,G300000,02501,0000,OTHER INCOME 434380,S000000,00100,0200,08/17/12 434380,S200000,00100,0100,921 BOWMAN ROAD 434380,S200000,00200,0100,MOUNT PLEASANT 434380,S200000,00200,0200,SC 434380,S200000,00200,0300,29464 434380,S200000,00300,0100,CHARLESTON 434380,S200000,00300,0200,1440 434380,S200000,00300,0201,16700 434380,S200000,00300,0300,U 434380,S200000,00400,0100,MOUNT PLEASANT MANOR LLC 434380,S200000,00400,0200,425110 434380,S200000,00400,0300,07/01/92 434380,S200000,00400,0500,P 434380,S200000,01500,0100,Y 434380,S200000,01501,0200,N 434380,S200000,01502,0200,N 434380,S200000,01503,0200,Y 434380,S200000,01504,0200,N 434380,S200000,01600,0100,N 434380,S200000,01700,0100,N 434380,S200000,01800,0100,N 434380,S200000,02200,0100,N 434380,S200000,02800,0100,N 434380,S200000,02900,0100,N 434380,S200000,03000,0100,N 434380,S200000,03100,0100,N 434380,S200000,03200,0100,N 434380,S200000,03300,0100,N 434380,S200000,03300,0200,N 434380,S200000,04100,0100,N 434380,S200000,04200,0100,N 434380,S200000,04300,0100,N 434380,S200000,04600,0100,N 434380,S200000,04700,0100,N 434380,S200000,04700,0200,N 434380,S200000,04900,0100,N 434380,S200000,05000,0100,N 434380,S200000,05100,0100,N 434380,S200000,05200,0100,N 434380,S200000,05300,0100,Y 434380,S200000,05300,0200,58-420 434380,S200000,05400,0100,EPIC MANAGEMENT LLC 434380,S200000,05400,0200,PALMETTO GBA 434380,S200000,05400,0300,00380 434380,S200000,05500,0100,980 KAYE GIBBONS CT 434380,S200000,05600,0100,KERNERSVILLE 434380,S200000,05600,0200,NC 434380,S200000,05600,0300,27284 434381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434381,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434381,A000000,00300,0000,0300EMPLOYEE BENEFITS 434381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434381,A000000,00700,0000,0700HOUSEKEEPING 434381,A000000,00800,0000,0800DIETARY 434381,A000000,00900,0000,0900NURSING ADMINISTRATION 434381,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434381,A000000,01100,0000,1100PHARMACY 434381,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434381,A000000,01300,0000,1300SOCIAL SERVICE 434381,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434381,A000000,01600,0000,1600SKILLED NURSING FACILITY 434381,A000000,01810,0000,1810ICF/MR 434381,A000000,02200,0000,2200LABORATORY 434381,A000000,02500,0000,2500PHYSICAL THERAPY 434381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434381,A000000,02700,0000,2700SPEECH PATHOLOGY 434381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434381,A000000,03550,0000,3550FQHC 434381,A000000,05000,0000,5000CORF 434381,A000000,05010,0000,5010CMHC 434381,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434381,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434381,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434381,A81000A,00100,0100,Y 434381,A81000B,00100,0300,LTC OFFICE 434381,A81000B,00200,0300,NURSING CONSULTANT 434381,A81000B,00300,0300,PHARMACY & MCR 434381,A81000B,00400,0300,OTC DRUGS 434381,A81000C,00100,0100,A 434381,A81000C,00100,0200,CMH 434381,A81000C,00100,0400,CMH 434381,A81000C,00100,0600,HOSPITAL SUPPOR 434381,A81000C,00200,0100,A 434381,A81000C,00200,0200,CMH 434381,A81000C,00200,0400,CMH 434381,A81000C,00200,0600,HOSPITAL SUPPOR 434381,A81000C,00300,0100,A 434381,A81000C,00300,0200,CMH 434381,A81000C,00300,0400,CMH 434381,A81000C,00300,0600,PHARMACY 434381,A81000C,00400,0100,A 434381,A81000C,00400,0200,CMH 434381,A81000C,00400,0400,CMH 434381,A81000C,00400,0600,PHARMACY 434381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434381,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434381,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434381,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434381,B100000,00000,0800,0800MEALS SERVED :DIETARY 434381,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434381,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434381,E10A180,00550,0100,03/02/12 434381,G300000,02500,0000, MISCELLANEOUS INCOME 434381,S000000,00100,0200,03/02/12 434381,S200000,00100,0100,5583 SUMMERTON HIGHWAY 434381,S200000,00200,0100,MANNING 434381,S200000,00200,0200,SC 434381,S200000,00200,0300,29102 434381,S200000,00300,0100,CLARENDON 434381,S200000,00300,0201,0000 434381,S200000,00300,0300,R 434381,S200000,00400,0100,WINDSOR MANOR NURSING FACILITY 434381,S200000,00400,0200,425114 434381,S200000,00400,0300,01/01/90 434381,S200000,00400,0500,P 434381,S200000,01500,0100,Y 434381,S200000,01501,0200,Y 434381,S200000,01502,0200,Y 434381,S200000,01503,0200,Y 434381,S200000,01504,0200,Y 434381,S200000,01600,0100,N 434381,S200000,01700,0100,N 434381,S200000,01800,0100,N 434381,S200000,02200,0100,Y 434381,S200000,02800,0100,N 434381,S200000,02900,0100,N 434381,S200000,03000,0100,N 434381,S200000,03100,0100,N 434381,S200000,03200,0100,N 434381,S200000,03300,0100,N 434381,S200000,03300,0200,N 434381,S200000,04100,0100,N 434381,S200000,04200,0100,N 434381,S200000,04300,0100,N 434381,S200000,04600,0100,N 434381,S200000,04700,0100,N 434381,S200000,04700,0200,N 434381,S200000,04900,0100,N 434381,S200000,05000,0100,N 434381,S200000,05100,0100,N 434381,S200000,05200,0100,N 434381,S200000,05300,0100,N 434383,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434383,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434383,A000000,00300,0000,0300EMPLOYEE BENEFITS 434383,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434383,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434383,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434383,A000000,00700,0000,0700HOUSEKEEPING 434383,A000000,00800,0000,0800DIETARY 434383,A000000,00900,0000,0900NURSING ADMINISTRATION 434383,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434383,A000000,01100,0000,1100PHARMACY 434383,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434383,A000000,01300,0000,1300SOCIAL SERVICE 434383,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434383,A000000,01600,0000,1600SKILLED NURSING FACILITY 434383,A000000,01810,0000,1810ICF/MR 434383,A000000,02100,0000,2100RADIOLOGY 434383,A000000,02200,0000,2200LABORATORY 434383,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434383,A000000,02500,0000,2500PHYSICAL THERAPY 434383,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434383,A000000,02700,0000,2700SPEECH PATHOLOGY 434383,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434383,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434383,A000000,03200,0000,3200SUPPORT SURFACES 434383,A000000,03550,0000,3550FQHC 434383,A000000,04800,0000,4800AMBULANCE 434383,A000000,05000,0000,5000CORF 434383,A000000,05010,0000,5010CMHC 434383,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434383,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434383,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434383,A000000,05300,0000,5300INTEREST EXPENSE 434383,A81000A,00100,0100,Y 434383,A81000B,00100,0300,MANAGEMENT FEES 434383,A81000B,00200,0300,MANAGEMENT FEES 434383,A81000B,00300,0300,MANAGEMENT FEES 434383,A81000B,00400,0300,MANAGEMENT FEES 434383,A81000B,00500,0300,MAINTENANCE SERVICES 434383,A81000C,00100,0100,C 434383,A81000C,00100,0200,CARE HOLDING CO 434383,A81000C,00100,0400,HEALTH CARE COR 434383,A81000C,00100,0600,MANAGEMENT H.O. 434383,A81000C,00200,0100,C 434383,A81000C,00200,0200,CARE HOLDING CO 434383,A81000C,00200,0400,HEALTH CARE COR 434383,A81000C,00200,0600,MANAGEMENT H.O. 434383,A81000C,00300,0100,C 434383,A81000C,00300,0200,CARE HOLDING CO 434383,A81000C,00300,0400,HEALTH CARE COR 434383,A81000C,00300,0600,MANAGEMENT H.O. 434383,A81000C,00400,0100,C 434383,A81000C,00400,0200,CARE HOLDING CO 434383,A81000C,00400,0400,HEALTH CARE COR 434383,A81000C,00400,0600,MANAGEMENT H.O. 434383,A81000C,00500,0100,C 434383,A81000C,00500,0200,CARE HOLDING CO 434383,A81000C,00500,0400,HEALTH CARE COR 434383,A81000C,00500,0600,MANAGEMENT H.O. 434383,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434383,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434383,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434383,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434383,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434383,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434383,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434383,B100000,00000,0800,0800MEALS SERVED :DIETARY 434383,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434383,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434383,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434383,E10A180,00353,0100,07/22/11 434383,S000000,00100,0200,03/01/12 434383,S200000,00100,0100,601 DANTZLER STREET 434383,S200000,00200,0100,ST MATTHEWS 434383,S200000,00200,0200,SC 434383,S200000,00200,0300,29135 434383,S200000,00300,0100,CALHOUN 434383,S200000,00300,0201,99951 434383,S200000,00300,0300,R 434383,S200000,00400,0100,CALHOUN CONVALESCENT CTR. INC. 434383,S200000,00400,0200,425170 434383,S200000,00400,0300,09/30/73 434383,S200000,00400,0500,P 434383,S200000,01500,0100,Y 434383,S200000,01501,0200,Y 434383,S200000,01502,0200,N 434383,S200000,01503,0200,Y 434383,S200000,01504,0200,N 434383,S200000,01600,0100,N 434383,S200000,01700,0100,N 434383,S200000,01800,0100,N 434383,S200000,02200,0100,Y 434383,S200000,02800,0100,Y 434383,S200000,02900,0100,N 434383,S200000,03000,0100,N 434383,S200000,03100,0100,N 434383,S200000,03200,0100,N 434383,S200000,03300,0100,N 434383,S200000,03300,0200,N 434383,S200000,03600,0100,N 434383,S200000,03600,0200,N 434383,S200000,04100,0100,N 434383,S200000,04200,0100,N 434383,S200000,04300,0100,N 434383,S200000,04600,0100,N 434383,S200000,04700,0100,N 434383,S200000,04700,0200,N 434383,S200000,04900,0100,N 434383,S200000,05000,0100,N 434383,S200000,05100,0100,N 434383,S200000,05200,0100,N 434383,S200000,05300,0100,Y 434383,S200000,05300,0200,42-HO5 434383,S200000,05400,0100,HEALTH CARE CORPORATION 434383,S200000,05400,0200,PALMETTO GBA 434383,S200000,05400,0300,00380 434383,S200000,05500,0100,216 E. HENRY STREET 434383,S200000,05500,0200,5419 434383,S200000,05600,0100,SPARTANBURG 434383,S200000,05600,0200,SC 434383,S200000,05600,0300,29304 434384,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434384,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434384,A000000,00300,0000,0300EMPLOYEE BENEFITS 434384,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434384,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434384,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434384,A000000,00700,0000,0700HOUSEKEEPING 434384,A000000,00800,0000,0800DIETARY 434384,A000000,00900,0000,0900NURSING ADMINISTRATION 434384,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434384,A000000,01100,0000,1100PHARMACY 434384,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434384,A000000,01300,0000,1300SOCIAL SERVICE 434384,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434384,A000000,01600,0000,1600SKILLED NURSING FACILITY 434384,A000000,01810,0000,1810ICF/MR 434384,A000000,02500,0000,2500PHYSICAL THERAPY 434384,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434384,A000000,02700,0000,2700SPEECH PATHOLOGY 434384,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434384,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434384,A000000,03550,0000,3550FQHC 434384,A000000,05000,0000,5000CORF 434384,A000000,05010,0000,5010CMHC 434384,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434384,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434384,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434384,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434384,A81000A,00100,0100,Y 434384,A81000B,00100,0300,RENT 434384,A81000B,00200,0300,ADMIN EXPENSES 434384,A81000C,00100,0100,A 434384,A81000C,00100,0200,LISA FRIERSON 434384,A81000C,00100,0400,RURAL BUSINESS 434384,A81000C,00100,0600,ASSET HOLDING C 434384,A81000C,00200,0100,A 434384,A81000C,00200,0200,LISA FRIERSON 434384,A81000C,00200,0400,RURAL BUSINESS 434384,A81000C,00200,0600,ASSET HOLDING C 434384,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434384,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434384,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434384,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434384,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434384,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434384,B100000,00000,0800,0800MEALS SERVED :DIETARY 434384,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434384,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434384,S000000,00100,0200,03/02/12 434384,S200000,00100,0100,56 GENESIS DRIVE 434384,S200000,00200,0100,LAKE CITY 434384,S200000,00200,0200,SC 434384,S200000,00200,0300,29560 434384,S200000,00300,0100,WILLIAMSBURG 434384,S200000,00300,0201,42000 434384,S200000,00300,0300,R 434384,S200000,00400,0100,R.E. MCNAIR MEMORIAL NURSING CENTER 434384,S200000,00400,0200,425309 434384,S200000,00400,0300,11/01/05 434384,S200000,00400,0500,P 434384,S200000,01500,0100,Y 434384,S200000,01501,0200,N 434384,S200000,01503,0200,N 434384,S200000,01504,0200,Y 434384,S200000,01600,0100,N 434384,S200000,01700,0100,N 434384,S200000,01800,0100,N 434384,S200000,02200,0100,Y 434384,S200000,02800,0100,N 434384,S200000,02900,0100,N 434384,S200000,03000,0100,N 434384,S200000,03100,0100,N 434384,S200000,03200,0100,N 434384,S200000,03300,0100,N 434384,S200000,03300,0200,N 434384,S200000,04100,0100,N 434384,S200000,04200,0100,N 434384,S200000,04300,0100,N 434384,S200000,04600,0100,N 434384,S200000,04700,0100,N 434384,S200000,04700,0200,N 434384,S200000,04900,0100,N 434384,S200000,05000,0100,N 434384,S200000,05100,0100,N 434384,S200000,05200,0100,N 434385,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434385,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434385,A000000,00300,0000,0300EMPLOYEE BENEFITS 434385,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434385,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434385,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434385,A000000,00700,0000,0700HOUSEKEEPING 434385,A000000,00800,0000,0800DIETARY 434385,A000000,00900,0000,0900NURSING ADMINISTRATION 434385,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434385,A000000,01100,0000,1100PHARMACY 434385,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434385,A000000,01300,0000,1300SOCIAL SERVICE 434385,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434385,A000000,01500,0000,1350ACTIVITIES 434385,A000000,01600,0000,1600SKILLED NURSING FACILITY 434385,A000000,01800,0000,1800NURSING FACILITY 434385,A000000,01810,0000,1810ICF/MR 434385,A000000,01900,0000,1900OTHER LONG TERM CARE 434385,A000000,02100,0000,2100RADIOLOGY 434385,A000000,02200,0000,2200LABORATORY 434385,A000000,02300,0000,2300INTRAVENOUS THERAPY 434385,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434385,A000000,02500,0000,2500PHYSICAL THERAPY 434385,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434385,A000000,02700,0000,2700SPEECH PATHOLOGY 434385,A000000,02800,0000,2800ELECTROCARDIOLOGY 434385,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434385,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434385,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434385,A000000,03200,0000,3200SUPPORT SURFACES 434385,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434385,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CEN 434385,A000000,03302,0000,3052AMBULANCE 434385,A000000,03303,0000,3053PEN THERAPY 434385,A000000,03308,0000,3058EQUIPMENT RENTAL 434385,A000000,03400,0000,3400CLINIC 434385,A000000,03500,0000,3500RURAL HEALTH CLINIC 434385,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434385,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434385,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434385,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434385,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434385,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434385,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434385,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434385,A000000,04400,0000,4400DME RENTED - HHA 434385,A000000,04500,0000,4500DME SOLD - HHA 434385,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434385,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434385,A000000,04710,0000,4710TELEMEDICINE 434385,A000000,04800,0000,4800AMBULANCE 434385,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434385,A000000,05000,0000,5000CORF 434385,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434385,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434385,A000000,05300,0000,5300INTEREST EXPENSE 434385,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434385,A000000,05500,0000,5500HOSPICE 434385,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434385,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434385,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434385,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434385,A000000,06100,0000,6100NONPAID WORKERS 434385,A000000,06200,0000,6200PATIENTS LAUNDRY 434385,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434385,A81000A,00100,0100,Y 434385,A81000B,00100,0300,HO BLDG DEPRECIATION 434385,A81000B,00200,0300,EQUIPMENT DEPRECIATION 434385,A81000B,00300,0300,INTEREST 434385,A81000B,00400,0300,MANAGEMENT FEES 434385,A81000B,00500,0300,MED SUPPLIES 434385,A81000B,00600,0300,MED SUPPLIES 434385,A81000B,00700,0300,MED SUPPLIES 434385,A81000B,00800,0300,DRUGS 434385,A81000B,00900,0300,DRUGS 434385,A81000B,01000,0300,DRUGS 434385,A81000B,01100,0300,FACILITY LEASE 434385,A81000B,01200,0300,FAC BLDG DEPR 434385,A81000B,01300,0300,FAC EQUIP 434385,A81000B,01400,0300,FAC INTEREST 434385,A81000B,01500,0300,FAC AMORT 434385,A81000B,01600,0300,FAC A&G 434385,A81000C,00100,0100,A 434385,A81000C,00100,0200,R&S MCNEILL 434385,A81000C,00100,0400,LIBERTY LTC MGMT 434385,A81000C,00100,0600,HOME OFFICE 434385,A81000C,00200,0100,A 434385,A81000C,00200,0200,R&S MCNEILL 434385,A81000C,00200,0400,LIBERTY LTC MGMT 434385,A81000C,00200,0600,HOME OFFICE 434385,A81000C,00300,0100,A 434385,A81000C,00300,0200,R&S MCNEILL 434385,A81000C,00300,0400,LIBERTY LTC MGMT 434385,A81000C,00300,0600,HOME OFFICE 434385,A81000C,00400,0100,A 434385,A81000C,00400,0200,R&S MCNEILL 434385,A81000C,00400,0400,LIBERTY LTC MGMT 434385,A81000C,00400,0600,HOME OFFICE 434385,A81000C,00500,0100,A 434385,A81000C,00500,0200,R&S MCNEILL 434385,A81000C,00500,0400,LIBERTY MED SPEC 434385,A81000C,00500,0600,MED SUPPLY 434385,A81000C,00600,0100,A 434385,A81000C,00600,0200,R&S MCNEILL 434385,A81000C,00600,0400,LIBERTY MED SPEC 434385,A81000C,00600,0600,MED SUPPLY 434385,A81000C,00700,0100,A 434385,A81000C,00700,0200,R&S MCNEILL 434385,A81000C,00700,0400,LIBERTY MED SPEC 434385,A81000C,00700,0600,MED SUPPLY 434385,A81000C,00800,0100,A 434385,A81000C,00800,0200,R&S MCNEILL 434385,A81000C,00800,0400,MCNEILL PHARMACY 434385,A81000C,00800,0600,PHARMACY 434385,A81000C,00900,0100,A 434385,A81000C,00900,0200,R&S MCNEILL 434385,A81000C,00900,0400,MCNEILL PHARMACY 434385,A81000C,00900,0600,PHARMACY 434385,A81000C,01000,0100,A 434385,A81000C,01000,0200,R&S MCNEILL 434385,A81000C,01000,0400,MCNEILL PHARMACY 434385,A81000C,01000,0600,PHARMACY 434385,A81000C,01001,0100,A 434385,A81000C,01001,0200,R&S MCNEILL 434385,A81000C,01001,0400,LIBERTY PROPERTIES 434385,A81000C,01001,0600,BUILDING 434385,A81000C,01002,0100,A 434385,A81000C,01002,0200,R&S MCNEILL 434385,A81000C,01002,0400,LIBERTY PROPERTIES 434385,A81000C,01002,0600,BUILDING 434385,A81000C,01003,0100,A 434385,A81000C,01003,0200,R&S MCNEILL 434385,A81000C,01003,0400,LIBERTY PROPERTIES 434385,A81000C,01003,0600,BUILDING 434385,A81000C,01004,0100,A 434385,A81000C,01004,0200,R&S MCNEILL 434385,A81000C,01004,0400,LIBERTY PROPERTIES 434385,A81000C,01004,0600,BUILDING 434385,A81000C,01005,0100,A 434385,A81000C,01005,0200,R&S MCNEILL 434385,A81000C,01005,0400,LIBERTY PROPERTIES 434385,A81000C,01005,0600,BUILDING 434385,A81000C,01006,0100,A 434385,A81000C,01006,0200,R&S MCNEILL 434385,A81000C,01006,0400,LIBERTY PROPERTIES 434385,A81000C,01006,0600,BUILDING 434385,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434385,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434385,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434385,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434385,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434385,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434385,B100000,00000,0800,0800MEALS SERVED :DIETARY 434385,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434385,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434385,B100000,00000,1300,1330ACTIVITIES S :SOCIAL SERVICE 434385,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434385,E10A180,00350,0100,07/27/11 434385,E10A180,00350,0300,07/27/11 434385,E10A180,00501,0100,05/27/12 434385,G300000,02502,0000,MISC REV 434385,G300000,02503,0000,PERSONAL ITEMS 434385,G300000,02504,0000,EQUIPMENT RENTAL 434385,G300000,02505,0000,BILLING ADJUSTMENTS 434385,G300000,02506,0000,ROOMHOLDS 434385,S000000,00100,0200,03/01/12 434385,S200000,00100,0100,121 434385,S200000,00200,0100,WHITEVILLE 434385,S200000,00200,0200,NC 434385,S200000,00200,0300,28472 434385,S200000,00300,0100,COLUMBUS 434385,S200000,00300,0200,34 434385,S200000,00300,0201,99934 434385,S200000,00300,0300,R 434385,S200000,00400,0100,LIBERTY C0MMONS N&R OF COLUMBUS CO 434385,S200000,00400,0200,345207 434385,S200000,00400,0300,04/01/81 434385,S200000,00400,0500,P 434385,S200000,00400,0600,P 434385,S200000,01500,0100,Y 434385,S200000,01501,0200,N 434385,S200000,01600,0100,N 434385,S200000,01700,0100,N 434385,S200000,01800,0100,N 434385,S200000,02200,0100,N 434385,S200000,02800,0100,N 434385,S200000,02900,0100,N 434385,S200000,03000,0100,N 434385,S200000,03100,0100,N 434385,S200000,03200,0100,N 434385,S200000,03300,0100,N 434385,S200000,03300,0200,N 434385,S200000,04100,0100,N 434385,S200000,04200,0100,N 434385,S200000,04300,0100,N 434385,S200000,04600,0100,N 434385,S200000,04700,0100,N 434385,S200000,04700,0200,N 434385,S200000,04900,0100,N 434385,S200000,05000,0100,N 434385,S200000,05100,0100,N 434385,S200000,05200,0100,N 434385,S200000,05300,0100,N 434387,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434387,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434387,A000000,00300,0000,0300EMPLOYEE BENEFITS 434387,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434387,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434387,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434387,A000000,00700,0000,0700HOUSEKEEPING 434387,A000000,00800,0000,0800DIETARY 434387,A000000,00900,0000,0900NURSING ADMINISTRATION 434387,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434387,A000000,01100,0000,1100PHARMACY 434387,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434387,A000000,01300,0000,1300SOCIAL SERVICE 434387,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434387,A000000,01500,0000,1350ACTIVITIES 434387,A000000,01600,0000,1600SKILLED NURSING FACILITY 434387,A000000,01800,0000,1800NURSING FACILITY 434387,A000000,01810,0000,1810ICF/MR 434387,A000000,01900,0000,1900OTHER LONG TERM CARE 434387,A000000,02100,0000,2100RADIOLOGY 434387,A000000,02200,0000,2200LABORATORY 434387,A000000,02300,0000,2300INTRAVENOUS THERAPY 434387,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434387,A000000,02500,0000,2500PHYSICAL THERAPY 434387,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434387,A000000,02700,0000,2700SPEECH PATHOLOGY 434387,A000000,02800,0000,2800ELECTROCARDIOLOGY 434387,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434387,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434387,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434387,A000000,03200,0000,3200SUPPORT SURFACES 434387,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434387,A000000,03400,0000,3400CLINIC 434387,A000000,03500,0000,3500RURAL HEALTH CLINIC 434387,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434387,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434387,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434387,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434387,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434387,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434387,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434387,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434387,A000000,04400,0000,4400DME RENTED - HHA 434387,A000000,04500,0000,4500DME SOLD - HHA 434387,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434387,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434387,A000000,04710,0000,4710TELEMEDICINE 434387,A000000,04800,0000,4800AMBULANCE 434387,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434387,A000000,05000,0000,5000CORF 434387,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434387,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434387,A000000,05300,0000,5300INTEREST EXPENSE 434387,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434387,A000000,05500,0000,5500HOSPICE 434387,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434387,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434387,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434387,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434387,A000000,06100,0000,6100NONPAID WORKERS 434387,A000000,06200,0000,6200PATIENTS LAUNDRY 434387,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434387,A81000A,00100,0100,Y 434387,A81000B,00100,0300,RELATED PARTY LEASE 434387,A81000B,00200,0300,RELATED PARTY LEASE 434387,A81000B,00300,0300,MAINT EXPENSE 434387,A81000B,00400,0300,HOME OFFICE COSTS 434387,A81000B,00500,0300,HOME OFFICE COSTS 434387,A81000B,00600,0300,HOME OFFICE COSTS 434387,A81000B,00700,0300,HOME OFFICE COSTS 434387,A81000B,00800,0300,HOME OFFICE COSTS 434387,A81000B,00900,0300,HOME OFFICE COSTS 434387,A81000B,01000,0300,HOME OFFICE COSTS 434387,A81000B,01100,0300,RELATED PARTY THERAPY 434387,A81000B,01200,0300,RELATED PARTY THERAPY 434387,A81000B,01300,0300,RELATED PARTY THERAPY 434387,A81000C,00100,0100,D 434387,A81000C,00100,0400,LYONS H&L PROPERTY LLC 434387,A81000C,00100,0600,PROPERTY LEASING 434387,A81000C,00200,0100,D 434387,A81000C,00200,0400,LYONS H&L PROPERTY LLC 434387,A81000C,00200,0600,PROPERTY LEASING 434387,A81000C,00300,0100,D 434387,A81000C,00300,0400,LYONS H&L PROPERTY LLC 434387,A81000C,00300,0600,PROPERTY LEASING 434387,A81000C,00400,0100,D 434387,A81000C,00400,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00400,0600,NURSING HOME MANAGEMENT 434387,A81000C,00500,0100,D 434387,A81000C,00500,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00500,0600,NURSING HOME MANAGEMENT 434387,A81000C,00600,0100,D 434387,A81000C,00600,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00600,0600,NURSING HOME MANAGEMENT 434387,A81000C,00700,0100,D 434387,A81000C,00700,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00700,0600,NURSING HOME MANAGEMENT 434387,A81000C,00800,0100,D 434387,A81000C,00800,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00800,0600,NURSING HOME MANAGEMENT 434387,A81000C,00900,0100,D 434387,A81000C,00900,0400,CARDON & ASSOCIATES INC. 434387,A81000C,00900,0600,NURSING HOME MANAGEMENT 434387,A81000C,01000,0100,D 434387,A81000C,01000,0400,CARDON & ASSOCIATES INC. 434387,A81000C,01000,0600,NURSING HOME MANAGEMENT 434387,A81000C,01001,0100,D 434387,A81000C,01001,0400,LIFESPAN THERAPY 434387,A81000C,01001,0600,THERAPY 434387,A81000C,01002,0100,D 434387,A81000C,01002,0400,LIFESPAN THERAPY 434387,A81000C,01002,0600,THERAPY 434387,A81000C,01003,0100,D 434387,A81000C,01003,0400,LIFESPAN THERAPY 434387,A81000C,01003,0600,THERAPY 434387,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434387,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434387,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434387,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434387,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434387,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434387,B100000,00000,0800,0800MEALS SERVED :DIETARY 434387,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434387,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434387,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434387,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434387,E10A180,00501,0100,03/08/12 434387,G300000,02500,0000,OTHER REVENUE 434387,S000000,00100,0200,02/15/12 434387,S200000,00100,0100,CR 800 WEST 434387,S200000,00100,0300,247 434387,S200000,00200,0100,LYONS 434387,S200000,00200,0200,IN 434387,S200000,00200,0300,47443 434387,S200000,00300,0100,GREENE 434387,S200000,00300,0201,14020 434387,S200000,00300,0300,U 434387,S200000,00400,0100,LYONS HEALTH & LIVING CENTER INC. 434387,S200000,00400,0200,155240 434387,S200000,00400,0300,09/18/84 434387,S200000,00400,0500,P 434387,S200000,01500,0100,Y 434387,S200000,01501,0200,Y 434387,S200000,01502,0200,Y 434387,S200000,01503,0200,Y 434387,S200000,01504,0200,Y 434387,S200000,01600,0100,N 434387,S200000,01700,0100,N 434387,S200000,01800,0100,N 434387,S200000,02200,0100,Y 434387,S200000,02800,0100,N 434387,S200000,02900,0100,N 434387,S200000,03000,0100,N 434387,S200000,03100,0100,N 434387,S200000,03200,0100,N 434387,S200000,03300,0100,N 434387,S200000,03300,0200,N 434387,S200000,04100,0100,N 434387,S200000,04200,0100,N 434387,S200000,04300,0100,N 434387,S200000,04600,0100,N 434387,S200000,04700,0100,N 434387,S200000,04700,0200,N 434387,S200000,04900,0100,N 434387,S200000,05000,0100,N 434387,S200000,05100,0100,N 434387,S200000,05200,0100,N 434387,S200000,05300,0100,Y 434387,S200000,05300,0200,15H042 434387,S200000,05400,0100,CARDON & ASSOCIATES INC. 434387,S200000,05400,0200,NGS 434387,S200000,05400,0300,00130 434387,S200000,05500,0100,2749 E. COVENANTER DRIVE 434387,S200000,05600,0100,BLOOMINGTON 434387,S200000,05600,0200,IN 434387,S200000,05600,0300,47401 434388,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434388,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434388,A000000,00300,0000,0300EMPLOYEE BENEFITS 434388,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434388,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434388,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434388,A000000,00700,0000,0700HOUSEKEEPING 434388,A000000,00800,0000,0800DIETARY 434388,A000000,00900,0000,0900NURSING ADMINISTRATION 434388,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434388,A000000,01100,0000,1100PHARMACY 434388,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434388,A000000,01300,0000,1300SOCIAL SERVICE 434388,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434388,A000000,01500,0000,1350OTHER GENERAL SERVICES 434388,A000000,01600,0000,1600SKILLED NURSING FACILITY 434388,A000000,01800,0000,1800NURSING FACILITY 434388,A000000,01900,0000,1900OTHER LONG TERM CARE 434388,A000000,02100,0000,2100RADIOLOGY 434388,A000000,02200,0000,2200LABORATORY 434388,A000000,02300,0000,2300INTRAVENOUS THERAPY 434388,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434388,A000000,02500,0000,2500PHYSICAL THERAPY 434388,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434388,A000000,02700,0000,2700SPEECH PATHOLOGY 434388,A000000,02800,0000,2800ELECTROCARDIOLOGY 434388,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434388,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434388,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434388,A000000,03200,0000,3200SUPPORT SURFACES 434388,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434388,A000000,03400,0000,3400CLINIC 434388,A000000,03500,0000,3500RURAL HEALTH CLINIC 434388,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434388,A000000,04800,0000,4800AMBULANCE 434388,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434388,A000000,05000,0000,5000CORF 434388,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434388,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434388,A000000,05300,0000,5300INTEREST EXPENSE 434388,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434388,A000000,05500,0000,5500HOSPICE 434388,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434388,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434388,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434388,A000000,06200,0000,6200PATIENTS LAUNDRY 434388,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434388,A81000A,00100,0100,Y 434388,A81000B,00100,0300,HOME OFFICE ALLOCATION 434388,A81000B,00200,0300,HOME OFFICE ALLOCATION 434388,A81000B,00300,0300,EMPLOYEE FLU SHOTS 434388,A81000B,00400,0300,PHARMACY CONSULTANT 434388,A81000B,00500,0300,MEDICAL SUPPLY 434388,A81000B,00600,0300,PHARMACY FORMS 434388,A81000B,00700,0300,IV PHRAMACY FLU SHOTS 434388,A81000B,00800,0300,REHAB 434388,A81000B,00900,0300,REHAB 434388,A81000B,01000,0300,REHAB 434388,A81000B,01100,0300,INTERNAL CONTRACT LABOR 434388,A81000B,01200,0300,INTERNAL CONTRACT LABOR 434388,A81000B,01300,0300,INTERNAL CONTRACT LABOR 434388,A81000C,00100,0100,B 434388,A81000C,00100,0400,DD&F 434388,A81000C,00100,0600,OWNS PROVIDER 434388,A81000C,00200,0100,B 434388,A81000C,00200,0400,PRESTIGE CARE INC 434388,A81000C,00200,0600,OWNS PROVIDER 434388,A81000C,00300,0100,A 434388,A81000C,00300,0200,RICK DELAMARTER 434388,A81000C,00300,0400,PRESTIGE CARE INC 434388,A81000C,00300,0600,HOME OFFICE 434388,A81000C,00400,0100,A 434388,A81000C,00400,0200,HAROLD DELAMARTER 434388,A81000C,00400,0400,PRESTIGE CARE INC 434388,A81000C,00400,0600,HOME OFFICE 434388,A81000C,00500,0100,A 434388,A81000C,00500,0200,GREG VISLOCKY 434388,A81000C,00500,0400,PRESTIGE CARE INC 434388,A81000C,00500,0600,HOME OFFICE 434388,A81000C,00600,0100,A 434388,A81000C,00600,0200,RICK DELAMARTER 434388,A81000C,00600,0400,CYPRESS VENTURES 434388,A81000C,00600,0600,PROPAC PHARMACY 434388,A81000C,00700,0100,A 434388,A81000C,00700,0200,HAROLD DELAMARTER 434388,A81000C,00700,0400,CYPRESS VENTURES 434388,A81000C,00700,0600,PROPAC PHARMACY 434388,A81000C,00800,0100,A 434388,A81000C,00800,0200,GREG VISLOCKY 434388,A81000C,00800,0400,CYPRESS VENTURES 434388,A81000C,00800,0600,PROPAC PHARMACY 434388,A81000C,00900,0100,A 434388,A81000C,00900,0200,RICK DELAMARTER 434388,A81000C,00900,0400,EDMONDS LLC 434388,A81000C,00900,0600,LANDLORD 434388,A81000C,01000,0100,A 434388,A81000C,01000,0200,HAROLD DELAMARTER 434388,A81000C,01000,0400,EDMONDS LLC 434388,A81000C,01000,0600,LANDLORD 434388,A81000C,01001,0100,A 434388,A81000C,01001,0200,GREG VISLOCKY 434388,A81000C,01001,0400,EDMONDS LLC 434388,A81000C,01001,0600,LANDLORD 434388,A81000C,01002,0100,G 434388,A81000C,01002,0400,AUGUSTA VENTURES 434388,A81000C,01002,0600,PREMERE REHAB COMPANY 434388,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 434388,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 434388,A81000C,01004,0600,SEE ATTACHED RELATED 434388,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 434388,A81000C,01005,0400,THE 10.10 EXCEPTION 434388,A81000C,01005,0600,PARTY RELATIONSHIPS 434388,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 434388,A81000C,01006,0400,CRITERIA 434388,A81000C,01007,0200,PRESTIGE CARE & DD&F 434388,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434388,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434388,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434388,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434388,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434388,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434388,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434388,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434388,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434388,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434388,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434388,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434388,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434388,E10A180,00501,0100,03/30/12 434388,G300000,02500,0000,OTHER INCOME 434388,S000000,00100,0200,03/01/12 434388,S200000,00100,0100,21008 76TH AVE WEST 434388,S200000,00200,0100,EDMONDS 434388,S200000,00200,0200,WA 434388,S200000,00200,0300,98026 434388,S200000,00300,0100,SNOHOMISH 434388,S200000,00300,0200,7600 434388,S200000,00300,0201,42644 434388,S200000,00300,0300,U 434388,S200000,00400,0100,PRESTIGE CARE AND REHAB OF EDMONDS 434388,S200000,00400,0200,505103 434388,S200000,00400,0300,07/01/66 434388,S200000,00400,0500,P 434388,S200000,01500,0100,Y 434388,S200000,01501,0200,Y 434388,S200000,01502,0200,Y 434388,S200000,01600,0100,N 434388,S200000,01700,0100,N 434388,S200000,01800,0100,N 434388,S200000,02200,0100,N 434388,S200000,02800,0100,N 434388,S200000,02900,0100,N 434388,S200000,03000,0100,N 434388,S200000,03100,0100,N 434388,S200000,03200,0100,N 434388,S200000,03300,0100,N 434388,S200000,03300,0200,N 434388,S200000,04100,0100,N 434388,S200000,04200,0100,N 434388,S200000,04300,0100,N 434388,S200000,04600,0100,N 434388,S200000,04700,0100,N 434388,S200000,04700,0200,N 434388,S200000,04900,0100,N 434388,S200000,05000,0100,N 434388,S200000,05100,0100,N 434388,S200000,05200,0100,N 434388,S200000,05300,0100,Y 434388,S200000,05300,0200,HB0440 434388,S200000,05400,0100,PRESTIGE CARE INC 434388,S200000,05400,0200,NORDIAN 434388,S200000,05400,0300,00325 434388,S200000,05500,0100,7700 NE PARKWAY DRIVE 434388,S200000,05600,0100,VANCOUVER 434388,S200000,05600,0200,WA 434388,S200000,05600,0300,98662 434389,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434389,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434389,A000000,00300,0000,0300EMPLOYEE BENEFITS 434389,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434389,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434389,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434389,A000000,00700,0000,0700HOUSEKEEPING 434389,A000000,00800,0000,0800DIETARY 434389,A000000,00900,0000,0900NURSING ADMINISTRATION 434389,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434389,A000000,01100,0000,1100PHARMACY 434389,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434389,A000000,01300,0000,1300SOCIAL SERVICE 434389,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434389,A000000,01600,0000,1600SKILLED NURSING FACILITY 434389,A000000,01810,0000,1810ICF/MR 434389,A000000,02100,0000,2100RADIOLOGY 434389,A000000,02200,0000,2200LABORATORY 434389,A000000,02500,0000,2500PHYSICAL THERAPY 434389,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434389,A000000,02700,0000,2700SPEECH PATHOLOGY 434389,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434389,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434389,A000000,03550,0000,3550FQHC 434389,A000000,05000,0000,5000CORF 434389,A000000,05010,0000,5010CMHC 434389,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434389,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434389,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434389,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434389,A81000A,00100,0100,N 434389,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434389,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434389,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434389,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434389,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434389,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434389,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434389,B100000,00000,0800,0800MEALS SERVED :DIETARY 434389,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434389,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434389,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 434389,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434389,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434389,E10A180,00501,0100,03/23/12 434389,E10A180,00550,0100,02/11/13 434389,G300000,02500,0000,BEAUTY SHOP INCOME 434389,G300000,02501,0000,BEAUTY SHOP RENTAL INCOME 434389,G300000,02502,0000,MISCELLANEOUS INCOME 434389,S000000,00100,0200,01/14/13 434389,S200000,00100,0100,200 WEST 4TH STREET 434389,S200000,00100,0300,270 434389,S200000,00200,0100,OAKTOWN 434389,S200000,00200,0200,IN 434389,S200000,00200,0300,47561 434389,S200000,00300,0100,KNOX 434389,S200000,00300,0201,99915 434389,S200000,00300,0300,R 434389,S200000,00400,0100,OAK VILLAGE INC. 434389,S200000,00400,0200,155714 434389,S200000,00400,0300,12/19/02 434389,S200000,00400,0500,P 434389,S200000,01500,0100,Y 434389,S200000,01501,0200,Y 434389,S200000,01600,0100,N 434389,S200000,01700,0100,N 434389,S200000,01800,0100,N 434389,S200000,01900,0100,501(C)(3) 434389,S200000,02200,0100,Y 434389,S200000,02800,0100,N 434389,S200000,02900,0100,N 434389,S200000,03000,0100,N 434389,S200000,03100,0100,N 434389,S200000,03200,0100,N 434389,S200000,03300,0100,N 434389,S200000,03300,0200,N 434389,S200000,04100,0100,N 434389,S200000,04200,0100,N 434389,S200000,04300,0100,N 434389,S200000,04600,0100,N 434389,S200000,04700,0100,N 434389,S200000,04700,0200,N 434389,S200000,04900,0100,N 434389,S200000,05000,0100,N 434389,S200000,05100,0100,N 434389,S200000,05200,0100,N 434389,S200000,05300,0100,N 434390,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434390,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434390,A000000,00300,0000,0300EMPLOYEE BENEFITS 434390,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434390,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434390,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434390,A000000,00700,0000,0700HOUSEKEEPING 434390,A000000,00800,0000,0800DIETARY 434390,A000000,00900,0000,0900NURSING ADMINISTRATION 434390,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434390,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434390,A000000,01300,0000,1300SOCIAL SERVICE 434390,A000000,01500,0000,1350ACTIVITIES 434390,A000000,01600,0000,1600SKILLED NURSING FACILITY 434390,A000000,01800,0000,1800NURSING FACILITY 434390,A000000,01810,0000,1810ICF/MR 434390,A000000,01900,0000,1900OTHER LONG TERM CARE 434390,A000000,02100,0000,2100RADIOLOGY 434390,A000000,02200,0000,2200LABORATORY 434390,A000000,02300,0000,2300INTRAVENOUS THERAPY 434390,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434390,A000000,02500,0000,2500PHYSICAL THERAPY 434390,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434390,A000000,02700,0000,2700SPEECH PATHOLOGY 434390,A000000,02800,0000,2800ELECTROCARDIOLOGY 434390,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434390,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434390,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434390,A000000,03200,0000,3200SUPPORT SURFACES 434390,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434390,A000000,03301,0000,3051AIR FLUID THERAPY 434390,A000000,03302,0000,3052AMBULANCE 434390,A000000,03303,0000,3053PEN THERAPY 434390,A000000,03304,0000,3054ONCOLOGY 434390,A000000,03305,0000,3055CARDIOLOGY 434390,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434390,A000000,03307,0000,3057AUDIOLOGY 434390,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434390,A000000,03400,0000,3400CLINIC 434390,A000000,03500,0000,3500RURAL HEALTH CLINIC 434390,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434390,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434390,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434390,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434390,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434390,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434390,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434390,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434390,A000000,04400,0000,4400DME RENTED - HHA 434390,A000000,04500,0000,4500DME SOLD - HHA 434390,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434390,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434390,A000000,04710,0000,4710TELEMEDICINE 434390,A000000,04800,0000,4800AMBULANCE 434390,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434390,A000000,05000,0000,5000CORF 434390,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434390,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434390,A000000,05300,0000,5300INTEREST EXPENSE 434390,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434390,A000000,05500,0000,5500HOSPICE 434390,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434390,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434390,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434390,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434390,A000000,06100,0000,6100NONPAID WORKERS 434390,A000000,06200,0000,6200PATIENTS LAUNDRY 434390,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434390,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 434390,A81000A,00100,0100,Y 434390,A81000B,00100,0300,MGMT FEE - A&G RELATED 434390,A81000C,00100,0100,B 434390,A81000C,00100,0200,WESEYAN ARMS 434390,A81000C,00100,0600,MANAGEMENT 434390,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434390,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434390,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434390,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434390,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434390,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434390,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434390,B100000,00000,0800,0800MEALS SERVED :DIETARY 434390,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434390,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434390,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434390,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434390,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434390,E10A180,00550,0100,03/02/12 434390,G300000,02500,0000,OTHER INCOME 434390,S000000,00100,0200,03/02/12 434390,S200000,00100,0100,1795 WESTCHESTER DRIVE 434390,S200000,00200,0100,HIGH POINT 434390,S200000,00200,0200,NC 434390,S200000,00200,0300,27262 434390,S200000,00300,0100,GUILFORD 434390,S200000,00300,0200,3120 434390,S200000,00300,0201,24660 434390,S200000,00300,0300,U 434390,S200000,00400,0100,WESTCHESTER MANOR AT PROVIDENCE PLAC 434390,S200000,00400,0200,345090 434390,S200000,00400,0300,01/27/03 434390,S200000,00400,0500,P 434390,S200000,00400,0600,P 434390,S200000,01500,0100,Y 434390,S200000,01501,0200,N 434390,S200000,01502,0200,N 434390,S200000,01504,0200,Y 434390,S200000,01600,0100,N 434390,S200000,01700,0100,N 434390,S200000,01800,0100,N 434390,S200000,02200,0100,N 434390,S200000,02800,0100,N 434390,S200000,02900,0100,N 434390,S200000,03000,0100,N 434390,S200000,03100,0100,N 434390,S200000,03200,0100,N 434390,S200000,03300,0100,N 434390,S200000,03300,0200,N 434390,S200000,04100,0100,N 434390,S200000,04200,0100,N 434390,S200000,04300,0100,N 434390,S200000,04600,0100,N 434390,S200000,04700,0100,N 434390,S200000,04700,0200,N 434390,S200000,04900,0100,N 434390,S200000,05000,0100,N 434390,S200000,05100,0100,N 434390,S200000,05200,0100,N 434390,S200000,05300,0100,N 434391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434391,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434391,A000000,00300,0000,0300EMPLOYEE BENEFITS 434391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434391,A000000,00700,0000,0700HOUSEKEEPING 434391,A000000,00800,0000,0800DIETARY 434391,A000000,00900,0000,0900NURSING ADMINISTRATION 434391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434391,A000000,01100,0000,1100PHARMACY 434391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434391,A000000,01300,0000,1300SOCIAL SERVICE 434391,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434391,A000000,01600,0000,1600SKILLED NURSING FACILITY 434391,A000000,01800,0000,1800NURSING FACILITY 434391,A000000,01900,0000,1900OTHER LONG TERM CARE 434391,A000000,02100,0000,2100RADIOLOGY 434391,A000000,02200,0000,2200LABORATORY 434391,A000000,02300,0000,2300INTRAVENOUS THERAPY 434391,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434391,A000000,02500,0000,2500PHYSICAL THERAPY 434391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434391,A000000,02700,0000,2700SPEECH PATHOLOGY 434391,A000000,02800,0000,2800ELECTROCARDIOLOGY 434391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434391,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434391,A000000,03200,0000,3200SUPPORT SURFACES 434391,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434391,A000000,03400,0000,3400CLINIC 434391,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434391,A000000,04800,0000,4800AMBULANCE 434391,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434391,A000000,05000,0000,5000CORF 434391,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434391,A000000,05300,0000,5300INTEREST EXPENSE 434391,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434391,A000000,05500,0000,5500HOSPICE 434391,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434391,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434391,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434391,A000000,06100,0000,6100NONPAID WORKERS 434391,A000000,06200,0000,6200PATIENTS LAUNDRY 434391,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434391,A81000A,00100,0100,Y 434391,A81000B,00100,0300,NURSING CONSULTING 434391,A81000B,00200,0300,DIETARY CONSULTING 434391,A81000B,00300,0300,HOME OFFICE 434391,A81000B,00400,0300,INTEREST EXPENSE 434391,A81000B,00500,0300,WORKERS COMPENSATION 434391,A81000B,00600,0300,PROFESSIONAL LIABILITY 434391,A81000B,00700,0300,MINOR EQUIPMENT EXPENSE 434391,A81000B,00800,0300,REPAIRS - BUILDING 434391,A81000B,00900,0300,REPAIRS - EQUIPMENT 434391,A81000B,01000,0300,REPAIRS - GROUNDS 434391,A81000B,01100,0300,LINEN & BEDDING 434391,A81000B,01200,0300,SUPPLIES 434391,A81000B,01300,0300,MINOR EQUIPMENT EXPENSE 434391,A81000B,01400,0300,SUPPLIES 434391,A81000B,01500,0300,DIETARY SUPPLEMENTS 434391,A81000B,01600,0300,MINOR EQUIPMENT EXPENSE 434391,A81000B,01700,0300,DIETARY SUPPLIES 434391,A81000B,01800,0300,BIO-MEDICAL WASTE 434391,A81000B,01900,0300,MINOR EQUIPMENT EXPENSE 434391,A81000B,02000,0300,NURSING EQUIPMENT RENTAL 434391,A81000B,02100,0300,PERSONAL CARE SUPPLIES 434391,A81000B,02200,0300,INCONTINENCE SUPPLIES 434391,A81000B,02300,0300,MEDICAL SUPPLIES 434391,A81000B,02400,0300,NON-LEGEND DRUGS 434391,A81000B,02500,0300,PHARMACY CONSULTANT 434391,A81000B,02600,0300,MED REC SUPPLIES 434391,A81000B,02700,0300,OXYGEN THERAPY SUPPLIES 434391,A81000B,02800,0300,MINOR EQUIPMENT EXPENSE 434391,A81000B,02900,0300,SUPPLIES 434391,A81000C,00100,0100,B 434391,A81000C,00100,0200,PLTC & PITS INC 434391,A81000C,00100,0400,PLTC & PITS INC 434391,A81000C,00100,0600,MGMT SERVICES 434391,A81000C,00200,0100,B 434391,A81000C,00200,0200,PLTC & PITS INC 434391,A81000C,00200,0400,PLTC & PITS INC 434391,A81000C,00200,0600,MGMT SERVICES 434391,A81000C,00300,0100,B 434391,A81000C,00300,0200,PLTC & PITS INC 434391,A81000C,00300,0400,PLTC & PITS INC 434391,A81000C,00300,0600,MGMT SERVICES 434391,A81000C,00400,0100,B 434391,A81000C,00400,0200,PLTC & PITS INC 434391,A81000C,00400,0400,PLTC & PITS INC 434391,A81000C,00400,0600,MGMT SERVICES 434391,A81000C,00500,0100,A 434391,A81000C,00500,0200,SHAREHOLDERS 434391,A81000C,00500,0400,DISCOVERY INSUR 434391,A81000C,00500,0600,INSURANCE 434391,A81000C,00600,0100,A 434391,A81000C,00600,0200,SHAREHOLDERS 434391,A81000C,00600,0400,QUEENSLAND ASSU 434391,A81000C,00600,0600,INSURANCE 434391,A81000C,00700,0100,A 434391,A81000C,00700,0200,SHAREHOLDERS 434391,A81000C,00700,0400,KARE MEDICAL 434391,A81000C,00700,0600,WHOLESALE SUPPL 434391,A81000C,00800,0100,A 434391,A81000C,00800,0200,SHAREHOLDERS 434391,A81000C,00800,0400,KARE MEDICAL 434391,A81000C,00800,0600,WHOLESALE SUPPL 434391,A81000C,00900,0100,A 434391,A81000C,00900,0200,SHAREHOLDERS 434391,A81000C,00900,0400,KARE MEDICAL 434391,A81000C,00900,0600,WHOLESALE SUPPL 434391,A81000C,01000,0100,A 434391,A81000C,01000,0200,SHAREHOLDERS 434391,A81000C,01000,0400,KARE MEDICAL 434391,A81000C,01000,0600,WHOLESALE SUPPL 434391,A81000C,01001,0100,A 434391,A81000C,01001,0200,SHAREHOLDERS 434391,A81000C,01001,0400,KARE MEDICAL 434391,A81000C,01001,0600,WHOLESALE SUPPL 434391,A81000C,01002,0100,A 434391,A81000C,01002,0200,SHAREHOLDERS 434391,A81000C,01002,0400,KARE MEDICAL 434391,A81000C,01002,0600,WHOLESALE SUPPL 434391,A81000C,01003,0100,A 434391,A81000C,01003,0200,SHAREHOLDERS 434391,A81000C,01003,0400,KARE MEDICAL 434391,A81000C,01003,0600,WHOLESALE SUPPL 434391,A81000C,01004,0100,A 434391,A81000C,01004,0200,SHAREHOLDERS 434391,A81000C,01004,0400,KARE MEDICAL 434391,A81000C,01004,0600,WHOLESALE SUPPL 434391,A81000C,01005,0100,A 434391,A81000C,01005,0200,SHAREHOLDERS 434391,A81000C,01005,0400,KARE MEDICAL 434391,A81000C,01005,0600,WHOLESALE SUPPL 434391,A81000C,01006,0100,A 434391,A81000C,01006,0200,SHAREHOLDERS 434391,A81000C,01006,0400,KARE MEDICAL 434391,A81000C,01006,0600,WHOLESALE SUPPL 434391,A81000C,01007,0100,A 434391,A81000C,01007,0200,SHAREHOLDERS 434391,A81000C,01007,0400,KARE MEDICAL 434391,A81000C,01007,0600,WHOLESALE SUPPL 434391,A81000C,01008,0100,A 434391,A81000C,01008,0200,SHAREHOLDERS 434391,A81000C,01008,0400,KARE MEDICAL 434391,A81000C,01008,0600,WHOLESALE SUPPL 434391,A81000C,01009,0100,A 434391,A81000C,01009,0200,SHAREHOLDERS 434391,A81000C,01009,0400,KARE MEDICAL 434391,A81000C,01009,0600,WHOLESALE SUPPL 434391,A81000C,01010,0100,A 434391,A81000C,01010,0200,SHAREHOLDERS 434391,A81000C,01010,0400,KARE MEDICAL 434391,A81000C,01010,0600,WHOLESALE SUPPL 434391,A81000C,01011,0100,A 434391,A81000C,01011,0200,SHAREHOLDERS 434391,A81000C,01011,0400,KARE MEDICAL 434391,A81000C,01011,0600,WHOLESALE SUPPL 434391,A81000C,01012,0100,A 434391,A81000C,01012,0200,SHAREHOLDERS 434391,A81000C,01012,0400,KARE MEDICAL 434391,A81000C,01012,0600,WHOLESALE SUPPL 434391,A81000C,01013,0100,A 434391,A81000C,01013,0200,SHAREHOLDERS 434391,A81000C,01013,0400,KARE MEDICAL 434391,A81000C,01013,0600,WHOLESALE SUPPL 434391,A81000C,01014,0100,A 434391,A81000C,01014,0200,SHAREHOLDERS 434391,A81000C,01014,0400,KARE MEDICAL 434391,A81000C,01014,0600,WHOLESALE SUPPL 434391,A81000C,01015,0100,A 434391,A81000C,01015,0200,SHAREHOLDERS 434391,A81000C,01015,0400,KARE MEDICAL 434391,A81000C,01015,0600,WHOLESALE SUPPL 434391,A81000C,01016,0100,A 434391,A81000C,01016,0200,SHAREHOLDERS 434391,A81000C,01016,0400,KARE MEDICAL 434391,A81000C,01016,0600,WHOLESALE SUPPL 434391,A81000C,01017,0100,A 434391,A81000C,01017,0200,SHAREHOLDERS 434391,A81000C,01017,0400,KARE MEDICAL 434391,A81000C,01017,0600,WHOLESALE SUPPL 434391,A81000C,01018,0100,A 434391,A81000C,01018,0200,SHAREHOLDERS 434391,A81000C,01018,0400,KARE MEDICAL 434391,A81000C,01018,0600,WHOLESALE SUPPL 434391,A81000C,01019,0100,A 434391,A81000C,01019,0200,SHAREHOLDERS 434391,A81000C,01019,0400,KARE MEDICAL 434391,A81000C,01019,0600,WHOLESALE SUPPL 434391,A81000C,01020,0100,A 434391,A81000C,01020,0200,SHAREHOLDERS 434391,A81000C,01020,0400,KARE MEDICAL 434391,A81000C,01020,0600,WHOLESALE SUPPL 434391,A81000C,01021,0100,A 434391,A81000C,01021,0200,SHAREHOLDERS 434391,A81000C,01021,0400,KARE MEDICAL 434391,A81000C,01021,0600,WHOLESALE SUPPL 434391,A81000C,01022,0100,A 434391,A81000C,01022,0200,SHAREHOLDERS 434391,A81000C,01022,0400,KARE MEDICAL 434391,A81000C,01022,0600,WHOLESALE SUPPL 434391,A81000C,01023,0100,A 434391,A81000C,01023,0200,SHAREHOLDERS 434391,A81000C,01023,0400,PHARMSAVE 434391,A81000C,01023,0600,RX SUPPLY 434391,A81000C,01024,0100,A 434391,A81000C,01024,0200,SHAREHOLDERS 434391,A81000C,01024,0400,PHARMSAVE 434391,A81000C,01024,0600,RX SUPPLY 434391,A81000C,01025,0100,A 434391,A81000C,01025,0200,SHAREHOLDERS 434391,A81000C,01025,0400,PHARMSAVE 434391,A81000C,01025,0600,RX SUPPLY 434391,A81000C,01026,0100,A 434391,A81000C,01026,0200,SHAREHOLDERS 434391,A81000C,01026,0400,PHARMSAVE 434391,A81000C,01026,0600,RX SUPPLY 434391,A81000C,01027,0100,A 434391,A81000C,01027,0200,SHAREHOLDERS 434391,A81000C,01027,0400,PHARMSAVE 434391,A81000C,01027,0600,RX SUPPLY 434391,A81000C,01028,0100,A 434391,A81000C,01028,0200,SHAREHOLDERS 434391,A81000C,01028,0400,PHARMSAVE 434391,A81000C,01028,0600,RX SUPPLY 434391,A81000C,01029,0100,A 434391,A81000C,01029,0200,SHAREHOLDERS 434391,A81000C,01029,0400,ROBERT HILL CON 434391,A81000C,01029,0600,CONSTRUCTION 434391,A81000C,01030,0100,A 434391,A81000C,01030,0200,SHAREHOLDERS 434391,A81000C,01030,0400,ROBERT HILL CON 434391,A81000C,01030,0600,CONSTRUCTION 434391,A81000C,01031,0100,A 434391,A81000C,01031,0200,SHAREHOLDERS 434391,A81000C,01031,0400,ROBERT HILL CON 434391,A81000C,01031,0600,CONSTRUCTION 434391,A81000C,01032,0100,A 434391,A81000C,01032,0200,SHAREHOLDERS 434391,A81000C,01032,0400,ROBERT HILL CON 434391,A81000C,01032,0600,CONSTRUCTION 434391,A81000C,01033,0100,A 434391,A81000C,01033,0200,SHAREHOLDERS 434391,A81000C,01033,0400,ROBERT HILL CON 434391,A81000C,01033,0600,CONSTRUCTION 434391,A81000C,01034,0100,A 434391,A81000C,01034,0200,SHAREHOLDERS 434391,A81000C,01034,0400,HILLCO LTD 434391,A81000C,01034,0600,REAL ESTATE 434391,A81000C,01035,0100,A 434391,A81000C,01035,0200,SHAREHOLDERS 434391,A81000C,01035,0400,BRITTHAVEN INC 434391,A81000C,01035,0600,REAL ESTATE 434391,A81000C,01036,0100,A 434391,A81000C,01036,0200,SHAREHOLDERS 434391,A81000C,01036,0400,BRITTHAVEN INC 434391,A81000C,01036,0600,REAL ESTATE 434391,A81000C,01037,0100,A 434391,A81000C,01037,0200,SHAREHOLDERS 434391,A81000C,01037,0400,BRITTHAVEN INC 434391,A81000C,01037,0600,REAL ESTATE 434391,A81000C,01038,0100,A 434391,A81000C,01038,0200,SHAREHOLDERS 434391,A81000C,01038,0400,BRITTHAVEN INC 434391,A81000C,01038,0600,REAL ESTATE 434391,A81000C,01039,0100,A 434391,A81000C,01039,0200,SHAREHOLDERS 434391,A81000C,01039,0400,BRITTHAVEN INC 434391,A81000C,01039,0600,REAL ESTATE 434391,A81000C,01040,0100,A 434391,A81000C,01040,0200,SHAREHOLDERS 434391,A81000C,01040,0400,PHARMSAVE 434391,A81000C,01040,0600,RX SUPPLY 434391,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434391,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434391,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434391,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434391,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434391,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434391,B100000,00000,0800,0800MEALS SERVED :DIETARY 434391,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434391,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434391,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434391,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434391,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434391,E10A180,00501,0100,05/24/12 434391,E10A180,00550,0100,02/29/12 434391,G300000,02500,0000, OTHER (SPECIFY) 434391,S000000,00100,0200,02/29/12 434391,S200000,00100,0100,1304 S. E. 2ND STREET 434391,S200000,00200,0100,SNOW HILL 434391,S200000,00200,0200,NC 434391,S200000,00200,0300,28580 434391,S200000,00300,0100,GREENE 434391,S200000,00300,0201,24780 434391,S200000,00300,0300,U 434391,S200000,00400,0100,GREENDALE FOREST NURSING & REHAB CTR 434391,S200000,00400,0200,345366 434391,S200000,00400,0300,01/01/11 434391,S200000,00400,0500,P 434391,S200000,01500,0100,N 434391,S200000,01501,0200,Y 434391,S200000,01502,0200,Y 434391,S200000,01503,0200,Y 434391,S200000,01504,0200,Y 434391,S200000,01505,0000,OTHER (SPECIFY) 434391,S200000,01505,0200,Y 434391,S200000,01600,0100,Y 434391,S200000,01700,0100,N 434391,S200000,01800,0100,N 434391,S200000,02200,0100,N 434391,S200000,02800,0100,N 434391,S200000,02900,0100,N 434391,S200000,03000,0100,N 434391,S200000,03100,0100,N 434391,S200000,03200,0100,N 434391,S200000,03300,0100,N 434391,S200000,03300,0200,N 434391,S200000,04100,0100,N 434391,S200000,04200,0100,N 434391,S200000,04300,0100,N 434391,S200000,04600,0100,N 434391,S200000,04700,0100,N 434391,S200000,04700,0200,N 434391,S200000,04900,0100,N 434391,S200000,05000,0100,N 434391,S200000,05100,0100,N 434391,S200000,05200,0100,N 434391,S200000,05300,0100,Y 434391,S200000,05300,0200,349011 434391,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434391,S200000,05400,0200,PALMETTO GBA 434391,S200000,05400,0300,11501 434391,S200000,05500,0100,1435 HWY 258 NORTH 434391,S200000,05600,0100,KINSTON 434391,S200000,05600,0200,NC 434391,S200000,05600,0300,28502 434392,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434392,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434392,A000000,00300,0000,0300EMPLOYEE BENEFITS 434392,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434392,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434392,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434392,A000000,00700,0000,0700HOUSEKEEPING 434392,A000000,00800,0000,0800DIETARY 434392,A000000,00900,0000,0900NURSING ADMINISTRATION 434392,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434392,A000000,01100,0000,1100PHARMACY 434392,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434392,A000000,01300,0000,1300SOCIAL SERVICE 434392,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434392,A000000,01600,0000,1600SKILLED NURSING FACILITY 434392,A000000,01810,0000,1810ICF/MR 434392,A000000,02100,0000,2100RADIOLOGY 434392,A000000,02500,0000,2500PHYSICAL THERAPY 434392,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434392,A000000,02700,0000,2700SPEECH PATHOLOGY 434392,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434392,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434392,A000000,03300,0000,3050ENTERALS 434392,A000000,03550,0000,3550FQHC 434392,A000000,05000,0000,5000CORF 434392,A000000,05010,0000,5010CMHC 434392,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434392,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434392,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434392,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434392,A81000A,00100,0100,Y 434392,A81000B,00100,0300,MANAGEMENT FEES 434392,A81000B,00200,0300,MANAGEMENT FEES 434392,A81000B,00300,0300,MANAGEMENT FEES 434392,A81000C,00100,0100,A 434392,A81000C,00100,0200,RYAN FINKLEA 434392,A81000C,00100,0400,COOKE MANAGEMEN 434392,A81000C,00100,0600,MANAGEMENT COMP 434392,A81000C,00200,0100,A 434392,A81000C,00200,0200,RYAN FINKLEA 434392,A81000C,00200,0400,COOKE MANAGEMEN 434392,A81000C,00200,0600,MANAGEMENT COMP 434392,A81000C,00300,0100,A 434392,A81000C,00300,0200,RYAN FINKLEA 434392,A81000C,00300,0400,COOKE MANAGEMEN 434392,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434392,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434392,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434392,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434392,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434392,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434392,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434392,B100000,00000,0800,0800MEALS SERVED :DIETARY 434392,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434392,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434392,E10A180,00550,0100,03/02/12 434392,G300000,02500,0000,OTHER REVENUE 434392,S000000,00100,0200,03/02/12 434392,S200000,00100,0100,401 NELSON BLVD 434392,S200000,00200,0100,KINGSTREE 434392,S200000,00200,0200,SC 434392,S200000,00200,0300,28556 434392,S200000,00300,0100,WILLIAMSBURG 434392,S200000,00300,0201,42000 434392,S200000,00300,0300,R 434392,S200000,00400,0100,KINGSTREE NURSING FACILITY 434392,S200000,00400,0200,425117 434392,S200000,00400,0300,07/01/78 434392,S200000,00400,0500,P 434392,S200000,01500,0100,Y 434392,S200000,01501,0200,N 434392,S200000,01503,0200,Y 434392,S200000,01504,0200,N 434392,S200000,01600,0100,N 434392,S200000,01700,0100,N 434392,S200000,01800,0100,N 434392,S200000,01900,0100,LLC 434392,S200000,02200,0100,Y 434392,S200000,02800,0100,N 434392,S200000,02900,0100,N 434392,S200000,03000,0100,N 434392,S200000,03100,0100,N 434392,S200000,03200,0100,N 434392,S200000,03300,0100,N 434392,S200000,03300,0200,N 434392,S200000,04100,0100,N 434392,S200000,04200,0100,N 434392,S200000,04300,0100,N 434392,S200000,04600,0100,N 434392,S200000,04700,0100,N 434392,S200000,04700,0200,N 434392,S200000,04900,0100,N 434392,S200000,05000,0100,N 434392,S200000,05100,0100,N 434392,S200000,05200,0100,N 434392,S200000,05300,0100,Y 434392,S200000,05300,0200,42-HO1 434392,S200000,05400,0100,COOKE MANAGEMENT COMPANY INC. 434392,S200000,05400,0200,PALMETTO GBA 434392,S200000,05400,0300,00380 434392,S200000,05500,0100,101 W 1ST AVENUE 434392,S200000,05500,0200,808 434392,S200000,05600,0100,LAKE VIEW 434392,S200000,05600,0200,SC 434392,S200000,05600,0300,29563 434393,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434393,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434393,A000000,00300,0000,0300EMPLOYEE BENEFITS 434393,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434393,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434393,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434393,A000000,00700,0000,0700HOUSEKEEPING 434393,A000000,00800,0000,0800DIETARY 434393,A000000,00900,0000,0900NURSING ADMINISTRATION 434393,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434393,A000000,01100,0000,1100PHARMACY 434393,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434393,A000000,01300,0000,1300SOCIAL SERVICE 434393,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434393,A000000,01600,0000,1600SKILLED NURSING FACILITY 434393,A000000,01800,0000,1800NURSING FACILITY 434393,A000000,01900,0000,1900OTHER LONG TERM CARE 434393,A000000,02100,0000,2100RADIOLOGY 434393,A000000,02200,0000,2200LABORATORY 434393,A000000,02300,0000,2300INTRAVENOUS THERAPY 434393,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434393,A000000,02500,0000,2500PHYSICAL THERAPY 434393,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434393,A000000,02700,0000,2700SPEECH PATHOLOGY 434393,A000000,02800,0000,2800ELECTROCARDIOLOGY 434393,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434393,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434393,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434393,A000000,03200,0000,3200SUPPORT SURFACES 434393,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434393,A000000,03400,0000,3400CLINIC 434393,A000000,03500,0000,3500RURAL HEALTH CLINIC 434393,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434393,A000000,04800,0000,4800AMBULANCE 434393,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434393,A000000,05000,0000,5000CORF 434393,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434393,A000000,05300,0000,5300INTEREST EXPENSE 434393,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434393,A000000,05500,0000,5500HOSPICE 434393,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434393,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434393,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434393,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434393,A000000,06100,0000,6100NONPAID WORKERS 434393,A000000,06200,0000,6200PATIENTS LAUNDRY 434393,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434393,A81000A,00100,0100,Y 434393,A81000B,00100,0300,MAINTENANCE SUPPLIES 434393,A81000B,00200,0300,REPAIRS - EQUIPMENT 434393,A81000B,00300,0300,MINOR EQUIPMENT EXPENSE 434393,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 434393,A81000B,00500,0300,DIETARY SUPPLEMENTS 434393,A81000B,00600,0300,DIETARY SUPPLIES 434393,A81000B,00700,0300,INCONTINENCE SUPPLIES 434393,A81000B,00800,0300,MEDICAL SUPPLIES 434393,A81000B,00900,0300,PERSONAL CARE 434393,A81000B,01000,0300,MINOR EQUIPMENT EXPENSE 434393,A81000B,01100,0300,BIO-MEDICAL WASTE 434393,A81000B,01200,0300,LINEN & BEDDING 434393,A81000B,01300,0300,LAUNDRY SUPPLIES 434393,A81000B,01400,0300,OCCUPATIONAL THERAPY SUPPLIES 434393,A81000B,01500,0300,OXYGEN THERAPY SUPPLIES 434393,A81000B,01600,0300,BILLABLE MEDICAL SUPPLIES 434393,A81000B,01700,0300,EQUIPMENT RENTAL 434393,A81000B,01800,0300,NON-LEGEND DRUGS 434393,A81000B,01900,0300,MEDICAL RECORDS SUPPLIES 434393,A81000B,02000,0300,PHARMACY CONSULTANT 434393,A81000B,02100,0300,LEGEND DRUGS 434393,A81000B,02200,0300,REPAIRS - BUILDINGS 434393,A81000B,02300,0300,REPAIRS - EQUIPMENT 434393,A81000B,02400,0300,OFFICE SUPPLIES 434393,A81000B,02500,0300,NURSING CONSULTING 434393,A81000B,02600,0300,DIETARY CONSULTING 434393,A81000B,02700,0300,HOME OFFICE 434393,A81000B,02800,0300,INTEREST EXPENSE 434393,A81000B,02900,0300,WORKERS COMPENSATION 434393,A81000C,00100,0100,A 434393,A81000C,00100,0200,SHAREHOLDERS 434393,A81000C,00100,0400,KARE MEDICAL 434393,A81000C,00100,0600,WHOLESALE SUPPL 434393,A81000C,00200,0100,A 434393,A81000C,00200,0200,SHAREHOLDERS 434393,A81000C,00200,0400,KARE MEDICAL 434393,A81000C,00200,0600,WHOLESALE SUPPL 434393,A81000C,00300,0100,A 434393,A81000C,00300,0200,SHAREHOLDERS 434393,A81000C,00300,0400,KARE MEDICAL 434393,A81000C,00300,0600,WHOLESALE SUPPL 434393,A81000C,00400,0100,A 434393,A81000C,00400,0200,SHAREHOLDERS 434393,A81000C,00400,0400,KARE MEDICAL 434393,A81000C,00400,0600,WHOLESALE SUPPL 434393,A81000C,00500,0100,A 434393,A81000C,00500,0200,SHAREHOLDERS 434393,A81000C,00500,0400,KARE MEDICAL 434393,A81000C,00500,0600,WHOLESALE SUPPL 434393,A81000C,00600,0100,A 434393,A81000C,00600,0200,SHAREHOLDERS 434393,A81000C,00600,0400,KARE MEDICAL 434393,A81000C,00600,0600,WHOLESALE SUPPL 434393,A81000C,00700,0100,A 434393,A81000C,00700,0200,SHAREHOLDERS 434393,A81000C,00700,0400,KARE MEDICAL 434393,A81000C,00700,0600,WHOLESALE SUPPL 434393,A81000C,00800,0100,A 434393,A81000C,00800,0200,SHAREHOLDERS 434393,A81000C,00800,0400,KARE MEDICAL 434393,A81000C,00800,0600,WHOLESALE SUPPL 434393,A81000C,00900,0100,A 434393,A81000C,00900,0200,SHAREHOLDERS 434393,A81000C,00900,0400,KARE MEDICAL 434393,A81000C,00900,0600,WHOLESALE SUPPL 434393,A81000C,01000,0100,A 434393,A81000C,01000,0200,SHAREHOLDERS 434393,A81000C,01000,0400,KARE MEDICAL 434393,A81000C,01000,0600,WHOLESALE SUPPL 434393,A81000C,01001,0100,A 434393,A81000C,01001,0200,SHAREHOLDERS 434393,A81000C,01001,0400,KARE MEDICAL 434393,A81000C,01001,0600,WHOLESALE SUPPL 434393,A81000C,01002,0100,A 434393,A81000C,01002,0200,SHAREHOLDERS 434393,A81000C,01002,0400,KARE MEDICAL 434393,A81000C,01002,0600,WHOLESALE SUPPL 434393,A81000C,01003,0100,A 434393,A81000C,01003,0200,SHAREHOLDERS 434393,A81000C,01003,0400,KARE MEDICAL 434393,A81000C,01003,0600,WHOLESALE SUPPL 434393,A81000C,01004,0100,A 434393,A81000C,01004,0200,SHAREHOLDERS 434393,A81000C,01004,0400,KARE MEDICAL 434393,A81000C,01004,0600,WHOLESALE SUPPL 434393,A81000C,01005,0100,A 434393,A81000C,01005,0200,SHAREHOLDERS 434393,A81000C,01005,0400,KARE MEDICAL 434393,A81000C,01005,0600,WHOLESALE SUPPL 434393,A81000C,01006,0100,A 434393,A81000C,01006,0200,SHAREHOLDERS 434393,A81000C,01006,0400,KARE MEDICAL 434393,A81000C,01006,0600,WHOLESALE SUPPL 434393,A81000C,01007,0100,A 434393,A81000C,01007,0200,SHAREHOLDERS 434393,A81000C,01007,0400,PHARMSAVE 434393,A81000C,01007,0600,RX SUPPLY 434393,A81000C,01008,0100,A 434393,A81000C,01008,0200,SHAREHOLDERS 434393,A81000C,01008,0400,PHARMSAVE 434393,A81000C,01008,0600,RX SUPPLY 434393,A81000C,01009,0100,A 434393,A81000C,01009,0200,SHAREHOLDERS 434393,A81000C,01009,0400,PHARMSAVE 434393,A81000C,01009,0600,RX SUPPLY 434393,A81000C,01010,0100,A 434393,A81000C,01010,0200,SHAREHOLDERS 434393,A81000C,01010,0400,PHARMSAVE 434393,A81000C,01010,0600,RX SUPPLY 434393,A81000C,01011,0100,A 434393,A81000C,01011,0200,SHAREHOLDERS 434393,A81000C,01011,0400,PHARMSAVE 434393,A81000C,01011,0600,RX SUPPLY 434393,A81000C,01012,0100,A 434393,A81000C,01012,0200,SHAREHOLDERS 434393,A81000C,01012,0400,ROBERT HILL CON 434393,A81000C,01012,0600,CONSTRUCTION 434393,A81000C,01013,0100,A 434393,A81000C,01013,0200,SHAREHOLDERS 434393,A81000C,01013,0400,ROBERT HILL CON 434393,A81000C,01013,0600,CONSTRUCTION 434393,A81000C,01014,0100,A 434393,A81000C,01014,0200,SHAREHOLDERS 434393,A81000C,01014,0400,ROBERT HILL CON 434393,A81000C,01014,0600,CONSTRUCTION 434393,A81000C,01015,0100,B 434393,A81000C,01015,0200,PLTC & PITS IN 434393,A81000C,01015,0400,PLTC & PITS IN 434393,A81000C,01015,0600,MGMT SERVICES 434393,A81000C,01016,0100,B 434393,A81000C,01016,0200,PLTC & PITS IN 434393,A81000C,01016,0400,PLTC & PITS IN 434393,A81000C,01016,0600,MGMT SERVICES 434393,A81000C,01017,0100,B 434393,A81000C,01017,0200,PLTC & PITS IN 434393,A81000C,01017,0400,PLTC & PITS IN 434393,A81000C,01017,0600,MGMT SERVICES 434393,A81000C,01018,0100,B 434393,A81000C,01018,0200,PLTC & PITS IN 434393,A81000C,01018,0400,PLTC & PITS IN 434393,A81000C,01018,0600,MGMT SERVICES 434393,A81000C,01019,0100,A 434393,A81000C,01019,0200,SHAREHOLDERS 434393,A81000C,01019,0400,DISCOVERY INSUR 434393,A81000C,01019,0600,INSURANCE 434393,A81000C,01020,0100,A 434393,A81000C,01020,0200,SHAREHOLDERS 434393,A81000C,01020,0400,QUEENSLAND ASSU 434393,A81000C,01020,0600,INSURANCE 434393,A81000C,01021,0100,A 434393,A81000C,01021,0200,SHAREHOLDERS 434393,A81000C,01021,0400,BRITTHAVEN INC 434393,A81000C,01021,0600,REAL ESTATE 434393,A81000C,01022,0100,A 434393,A81000C,01022,0200,SHAREHOLDERS 434393,A81000C,01022,0400,BRITTHAVEN INC 434393,A81000C,01022,0600,REAL ESTATE 434393,A81000C,01023,0100,A 434393,A81000C,01023,0200,SHAREHOLDERS 434393,A81000C,01023,0400,BRITTHAVEN INC 434393,A81000C,01023,0600,REAL ESTATE 434393,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434393,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434393,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434393,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434393,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434393,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434393,B100000,00000,0800,0800MEALS SERVED :DIETARY 434393,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 434393,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434393,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434393,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434393,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434393,E10A180,00501,0100,05/22/12 434393,G300000,02500,0000, OTHER (SPECIFY) 434393,S000000,00100,0200,02/29/12 434393,S200000,00100,0100,7369 HUNTER HILL ROAD 434393,S200000,00200,0100,ROCKY MOUNT 434393,S200000,00200,0200,NC 434393,S200000,00200,0300,27804 434393,S200000,00300,0100,NASH 434393,S200000,00300,0201,40580 434393,S200000,00300,0300,U 434393,S200000,00400,0100,HUNTER HILLS NURSING & REHAB CENTER 434393,S200000,00400,0200,345279 434393,S200000,00400,0300,01/01/11 434393,S200000,00400,0500,P 434393,S200000,01500,0100,N 434393,S200000,01501,0200,Y 434393,S200000,01502,0200,Y 434393,S200000,01503,0200,Y 434393,S200000,01504,0200,Y 434393,S200000,01505,0000,OTHER (SPECIFY) 434393,S200000,01505,0200,Y 434393,S200000,01600,0100,Y 434393,S200000,01700,0100,N 434393,S200000,01800,0100,N 434393,S200000,02200,0100,N 434393,S200000,02800,0100,N 434393,S200000,02900,0100,N 434393,S200000,03000,0100,N 434393,S200000,03100,0100,N 434393,S200000,03200,0100,N 434393,S200000,03300,0100,N 434393,S200000,03300,0200,N 434393,S200000,04100,0100,N 434393,S200000,04200,0100,N 434393,S200000,04300,0100,N 434393,S200000,04600,0100,N 434393,S200000,04700,0100,N 434393,S200000,04700,0200,N 434393,S200000,04900,0100,N 434393,S200000,05000,0100,N 434393,S200000,05100,0100,N 434393,S200000,05200,0100,N 434393,S200000,05300,0100,Y 434393,S200000,05300,0200,349011 434393,S200000,05400,0100,PRINCIPLE LONG TERM CARE INC. 434393,S200000,05400,0200,PALMETTO GBA 434393,S200000,05400,0300,11501 434393,S200000,05500,0100,1435 HWY 258 NORTH 434393,S200000,05600,0100,KINSTON 434393,S200000,05600,0200,NC 434393,S200000,05600,0300,28502 434394,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434394,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434394,A000000,00300,0000,0300EMPLOYEE BENEFITS 434394,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434394,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434394,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434394,A000000,00700,0000,0700HOUSEKEEPING 434394,A000000,00800,0000,0800DIETARY 434394,A000000,00900,0000,0900NURSING ADMINISTRATION 434394,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434394,A000000,01100,0000,1100PHARMACY 434394,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434394,A000000,01300,0000,1300SOCIAL SERVICE 434394,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434394,A000000,01500,0000,1350ACTIVITIES 434394,A000000,01600,0000,1600SKILLED NURSING FACILITY 434394,A000000,01800,0000,1800NURSING FACILITY 434394,A000000,01810,0000,1810ICF/MR 434394,A000000,01900,0000,1900OTHER LONG TERM CARE 434394,A000000,02100,0000,2100RADIOLOGY 434394,A000000,02200,0000,2200LABORATORY 434394,A000000,02300,0000,2300INTRAVENOUS THERAPY 434394,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434394,A000000,02500,0000,2500PHYSICAL THERAPY 434394,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434394,A000000,02700,0000,2700SPEECH PATHOLOGY 434394,A000000,02800,0000,2800ELECTROCARDIOLOGY 434394,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434394,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434394,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434394,A000000,03200,0000,3200SUPPORT SURFACES 434394,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434394,A000000,03400,0000,3400CLINIC 434394,A000000,03500,0000,3500RURAL HEALTH CLINIC 434394,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434394,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434394,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434394,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434394,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434394,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434394,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434394,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434394,A000000,04400,0000,4400DME RENTED - HHA 434394,A000000,04500,0000,4500DME SOLD - HHA 434394,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434394,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434394,A000000,04710,0000,4710TELEMEDICINE 434394,A000000,04800,0000,4800AMBULANCE 434394,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434394,A000000,05000,0000,5000CORF 434394,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434394,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434394,A000000,05300,0000,5300INTEREST EXPENSE 434394,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434394,A000000,05500,0000,5500HOSPICE 434394,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434394,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434394,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434394,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434394,A000000,06100,0000,6100NONPAID WORKERS 434394,A000000,06200,0000,6200PATIENTS LAUNDRY 434394,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434394,A81000A,00100,0100,Y 434394,A81000B,00100,0300,TWCG HOME OFFICE 434394,A81000B,00200,0300,TWCG HOME OFFICE 434394,A81000B,00300,0300,TWCG HOME OFFICE 434394,A81000B,00400,0300,TWCG HOME OFFICE 434394,A81000B,00500,0300,TWCG HOME OFFICE 434394,A81000B,00600,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,00700,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,00800,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,00900,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,01000,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,01100,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000B,01200,0300,ADDIT SVP & QR HOME OFFICE 434394,A81000C,00100,0100,B 434394,A81000C,00100,0200,THE WATERS OF INDIANA III 434394,A81000C,00100,0400,TWCG 434394,A81000C,00100,0600,CONSULTING SERVICES 434394,A81000C,00200,0100,B 434394,A81000C,00200,0200,THE WATERS OF INDIANA III 434394,A81000C,00200,0400,ADDIT LLC SVP LLC & QR 434394,A81000C,00200,0600,CONSULTING SERVICES 434394,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434394,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434394,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434394,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434394,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434394,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434394,B100000,00000,0800,0800MEALS SERVED :DIETARY 434394,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434394,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434394,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434394,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434394,E10A180,00501,0100,05/14/12 434394,E10A180,00501,0300,05/14/12 434394,G300000,02501,0000,PERSONAL PURCHASES 434394,G300000,02502,0000,MISCELLANEOUS 434394,G300000,02503,0000,VENDING INCOME 434394,G300000,02504,0000,LEASE INCOME 434394,S000000,00100,0200,04/04/12 434394,S200000,00100,0100,2909 HOWARD DRIVE 434394,S200000,00200,0100,JASPER 434394,S200000,00200,0200,IN 434394,S200000,00200,0300,47546 434394,S200000,00300,0100,DUBOIS 434394,S200000,00300,0200,15 434394,S200000,00300,0201,00015 434394,S200000,00300,0300,R 434394,S200000,00400,0100,THE WATERS OF JASPER 434394,S200000,00400,0200,155478 434394,S200000,00400,0300,01/01/93 434394,S200000,00400,0500,P 434394,S200000,01500,0100,Y 434394,S200000,01600,0100,N 434394,S200000,01700,0100,N 434394,S200000,01800,0100,N 434394,S200000,02200,0100,N 434394,S200000,02800,0100,N 434394,S200000,02900,0100,N 434394,S200000,03000,0100,N 434394,S200000,03100,0100,N 434394,S200000,03200,0100,N 434394,S200000,03300,0100,N 434394,S200000,03300,0200,N 434394,S200000,04100,0100,N 434394,S200000,04200,0100,N 434394,S200000,04300,0100,N 434394,S200000,04600,0100,N 434394,S200000,04700,0100,N 434394,S200000,04700,0200,N 434394,S200000,04900,0100,N 434394,S200000,05000,0100,N 434394,S200000,05100,0100,N 434394,S200000,05200,0100,N 434395,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434395,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434395,A000000,00300,0000,0300EMPLOYEE BENEFITS 434395,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434395,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434395,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434395,A000000,00700,0000,0700HOUSEKEEPING 434395,A000000,00800,0000,0800DIETARY 434395,A000000,00900,0000,0900NURSING ADMINISTRATION 434395,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434395,A000000,01100,0000,1100PHARMACY 434395,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434395,A000000,01300,0000,1300SOCIAL SERVICE 434395,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434395,A000000,01500,0000,1350OTHER GENERAL SERVICES 434395,A000000,01600,0000,1600SKILLED NURSING FACILITY 434395,A000000,01800,0000,1800NURSING FACILITY 434395,A000000,01810,0000,1810ICF/MR 434395,A000000,01900,0000,1900OTHER LONG TERM CARE 434395,A000000,02100,0000,2100RADIOLOGY 434395,A000000,02200,0000,2200LABORATORY 434395,A000000,02300,0000,2300INTRAVENOUS THERAPY 434395,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434395,A000000,02500,0000,2500PHYSICAL THERAPY 434395,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434395,A000000,02700,0000,2700SPEECH PATHOLOGY 434395,A000000,02800,0000,2800ELECTROCARDIOLOGY 434395,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434395,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434395,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434395,A000000,03200,0000,3200SUPPORT SURFACES 434395,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434395,A000000,03400,0000,3400CLINIC 434395,A000000,03500,0000,3500RURAL HEALTH CLINIC 434395,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434395,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434395,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434395,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434395,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434395,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434395,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434395,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434395,A000000,04400,0000,4400DME RENTED - HHA 434395,A000000,04500,0000,4500DME SOLD - HHA 434395,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434395,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434395,A000000,04710,0000,4710TELEMEDICINE 434395,A000000,04800,0000,4800AMBULANCE 434395,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434395,A000000,05000,0000,5000CORF 434395,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434395,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434395,A000000,05300,0000,5300INTEREST EXPENSE 434395,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434395,A000000,05500,0000,5500HOSPICE 434395,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434395,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434395,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434395,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434395,A000000,06100,0000,6100NONPAID WORKERS 434395,A000000,06200,0000,6200PATIENTS LAUNDRY 434395,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434395,A81000A,00100,0100,Y 434395,A81000B,00100,0300,CAPITAL COSTS 434395,A81000B,00200,0300,BENEFITS 434395,A81000B,00300,0300,A & G - SALARY 434395,A81000B,00400,0300,A & G - OTHER 434395,A81000B,00500,0300,PLANT OPERATIONS - SALARY 434395,A81000B,00600,0300,PLANT OPERATIONS - OTHER 434395,A81000B,00700,0300,DIETARY - SALARY 434395,A81000B,00800,0300,DIETARY - OTHER 434395,A81000B,00900,0300,NURSING FACILITY - SALARY 434395,A81000B,01000,0300,NURSING FACILITY - OTHER 434395,A81000C,00100,0100,A 434395,A81000C,00100,0200,TRILOGY HEALTH 434395,A81000C,00100,0400,TRILOGY HEALTH 434395,A81000C,00100,0600,CORPORATE OFFICE 434395,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434395,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434395,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434395,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434395,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434395,B100000,00000,0800,0800MEALS SERVED :DIETARY 434395,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434395,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434395,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434395,E10A180,00501,0100,05/14/12 434395,G300000,02500,0000,PERSONAL PURCHASES 434395,G300000,02501,0000,BEAUTY & BARBER 434395,G300000,02502,0000,MISCELLANEOUS 434395,S000000,00100,0200,04/05/12 434395,S200000,00100,0100,601 WEST CR 200 S 434395,S200000,00200,0100,NEW CASTLE 434395,S200000,00200,0200,IN 434395,S200000,00200,0300,47362 434395,S200000,00300,0100,HENRY 434395,S200000,00300,0200,15 434395,S200000,00300,0201,99915 434395,S200000,00300,0300,R 434395,S200000,00400,0100,GLEN OAKS HEALTH CAMPUS 434395,S200000,00400,0200,155759 434395,S200000,00400,0300,09/01/06 434395,S200000,00400,0500,P 434395,S200000,01500,0100,Y 434395,S200000,01600,0100,N 434395,S200000,01700,0100,N 434395,S200000,01800,0100,N 434395,S200000,02200,0100,N 434395,S200000,02800,0100,N 434395,S200000,02900,0100,N 434395,S200000,03000,0100,N 434395,S200000,03100,0100,N 434395,S200000,03200,0100,N 434395,S200000,03300,0100,N 434395,S200000,03300,0200,N 434395,S200000,04100,0100,N 434395,S200000,04200,0100,N 434395,S200000,04300,0100,N 434395,S200000,04600,0100,N 434395,S200000,04700,0100,N 434395,S200000,04700,0200,N 434395,S200000,04900,0100,N 434395,S200000,05000,0100,N 434395,S200000,05100,0100,N 434395,S200000,05200,0100,N 434401,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434401,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434401,A000000,00300,0000,0300EMPLOYEE BENEFITS 434401,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434401,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434401,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434401,A000000,00700,0000,0700HOUSEKEEPING 434401,A000000,00800,0000,0800DIETARY 434401,A000000,00900,0000,0900NURSING ADMINISTRATION 434401,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434401,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434401,A000000,01300,0000,1300SOCIAL SERVICE 434401,A000000,01301,0000,1301ACTIVITES 434401,A000000,01500,0000,1350REHABILITATION 434401,A000000,01600,0000,1600SKILLED NURSING FACILITY 434401,A000000,01800,0000,1800NURSING FACILITY 434401,A000000,01900,0000,1900OTHER LONG TERM CARE 434401,A000000,02100,0000,2100RADIOLOGY 434401,A000000,02200,0000,2200LABORATORY 434401,A000000,02300,0000,2300INTRAVENOUS THERAPY 434401,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434401,A000000,02500,0000,2500PHYSICAL THERAPY 434401,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434401,A000000,02700,0000,2700SPEECH PATHOLOGY 434401,A000000,02800,0000,2800ELECTROCARDIOLOGY 434401,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434401,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434401,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434401,A000000,03200,0000,3200SUPPORT SURFACES 434401,A000000,03300,0000,3050EQUIPMENT RENTAL 434401,A000000,03301,0000,3051PEN THERAPY 434401,A000000,04800,0000,4800AMBULANCE 434401,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434401,A000000,05300,0000,5300INTEREST EXPENSE 434401,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434401,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434401,A000000,06200,0000,6200PATIENTS LAUNDRY 434401,A000000,06300,0000,6150VENDING 434401,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434401,A81000A,00100,0100,Y 434401,A81000B,00100,0300,HOME OFFICE COST 434401,A81000C,00100,0100,B 434401,A81000C,00100,0200,BETHESDA H&R CT 434401,A81000C,00100,0400,SSC EQUITY HOLD 434401,A81000C,00100,0600,NSG HOMES 434401,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434401,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434401,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434401,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434401,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434401,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434401,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434401,B100000,00000,0800,0800MEALS SERVED :DIETARY 434401,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434401,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434401,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434401,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434401,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434401,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434401,E10A180,00302,0100,03/18/11 434401,E10A180,00352,0100,04/13/11 434401,E10A180,00353,0100,09/30/11 434401,E10A180,00501,0300,05/18/12 434401,E10A180,00550,0100,05/18/12 434401,G300000,02500,0000, OTHER (SPECIFY) 434401,S000000,00100,0200,02/24/12 434401,S200000,00100,0100,5721 GROSVENOR LANE 434401,S200000,00200,0100,BETHESDA 434401,S200000,00200,0200,MD 434401,S200000,00200,0300,20814 434401,S200000,00300,0100,MONTGOMERY 434401,S200000,00300,0300,U 434401,S200000,00400,0100,BETHESDA HEALTH & REHAB CENTER 434401,S200000,00400,0200,215187 434401,S200000,00400,0300,06/01/72 434401,S200000,00400,0500,P 434401,S200000,01500,0100,Y 434401,S200000,01501,0200,Y 434401,S200000,01502,0200,N 434401,S200000,01504,0200,N 434401,S200000,01600,0100,N 434401,S200000,01700,0100,N 434401,S200000,01800,0100,N 434401,S200000,02200,0100,Y 434401,S200000,02800,0100,N 434401,S200000,02900,0100,N 434401,S200000,03000,0100,N 434401,S200000,03100,0100,N 434401,S200000,03200,0100,N 434401,S200000,03300,0100,N 434401,S200000,03300,0200,N 434401,S200000,04100,0100,N 434401,S200000,04200,0100,N 434401,S200000,04300,0100,N 434401,S200000,04600,0100,N 434401,S200000,04700,0100,N 434401,S200000,04700,0200,N 434401,S200000,04900,0100,N 434401,S200000,05000,0100,N 434401,S200000,05100,0100,N 434401,S200000,05200,0100,N 434401,S200000,05300,0100,Y 434401,S200000,05300,0200,219023 434401,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434401,S200000,05400,0200,TRAILBLAZER 434401,S200000,05400,0300,04901 434401,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434401,S200000,05600,0100,HOUSTON 434401,S200000,05600,0200,TX 434401,S200000,05600,0300,77041 434407,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434407,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434407,A000000,00300,0000,0300EMPLOYEE BENEFITS 434407,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434407,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434407,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434407,A000000,00700,0000,0700HOUSEKEEPING 434407,A000000,00800,0000,0800DIETARY 434407,A000000,00900,0000,0900NURSING ADMINISTRATION 434407,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434407,A000000,01100,0000,1100PHARMACY 434407,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434407,A000000,01300,0000,1300SOCIAL SERVICE 434407,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434407,A000000,01500,0000,1350ACTIVITIES 434407,A000000,01600,0000,1600SKILLED NURSING FACILITY 434407,A000000,01800,0000,1800NURSING FACILITY 434407,A000000,01810,0000,1810ICF/MR 434407,A000000,01900,0000,1900OTHER LONG TERM CARE 434407,A000000,02100,0000,2100RADIOLOGY 434407,A000000,02200,0000,2200LABORATORY 434407,A000000,02300,0000,2300INTRAVENOUS THERAPY 434407,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434407,A000000,02500,0000,2500PHYSICAL THERAPY 434407,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434407,A000000,02700,0000,2700SPEECH PATHOLOGY 434407,A000000,02800,0000,2800ELECTROCARDIOLOGY 434407,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434407,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434407,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434407,A000000,03200,0000,3200SUPPORT SURFACES 434407,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434407,A000000,03400,0000,3400CLINIC 434407,A000000,03500,0000,3500RURAL HEALTH CLINIC 434407,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434407,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434407,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434407,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434407,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434407,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434407,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434407,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434407,A000000,04400,0000,4400DME RENTED - HHA 434407,A000000,04500,0000,4500DME SOLD - HHA 434407,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434407,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434407,A000000,04710,0000,4710TELEMEDICINE 434407,A000000,04800,0000,4800AMBULANCE 434407,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434407,A000000,05000,0000,5000CORF 434407,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434407,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434407,A000000,05300,0000,5300INTEREST EXPENSE 434407,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434407,A000000,05500,0000,5500HOSPICE 434407,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434407,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434407,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434407,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434407,A000000,06100,0000,6100NONPAID WORKERS 434407,A000000,06200,0000,6200PATIENTS LAUNDRY 434407,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434407,A81000A,00100,0100,N 434407,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434407,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434407,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434407,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434407,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434407,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434407,B100000,00000,0800,0800MEALS SERVED :DIETARY 434407,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434407,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434407,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434407,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434407,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434407,E10A180,00501,0100,03/21/12 434407,G300000,02500,0000,OTHER REVENUE 434407,S000000,00100,0200,02/27/12 434407,S200000,00100,0100,6050 S CR 800 E-92 434407,S200000,00200,0100,FORT WAYNE 434407,S200000,00200,0200,IN 434407,S200000,00200,0300,46814 434407,S200000,00300,0100,ALLEN 434407,S200000,00300,0201,23060 434407,S200000,00300,0300,U 434407,S200000,00400,0100,RENAISSANCE VILLAGE 434407,S200000,00400,0200,155322 434407,S200000,00400,0300,08/15/88 434407,S200000,00400,0500,P 434407,S200000,00600,0200,155322 434407,S200000,00600,0300,08/15/88 434407,S200000,00600,0600,P 434407,S200000,01500,0100,N 434407,S200000,01501,0200,Y 434407,S200000,01502,0200,Y 434407,S200000,01503,0200,Y 434407,S200000,01504,0200,Y 434407,S200000,01600,0100,Y 434407,S200000,01700,0100,N 434407,S200000,01800,0100,N 434407,S200000,02200,0100,N 434407,S200000,02800,0100,N 434407,S200000,02900,0100,N 434407,S200000,03000,0100,N 434407,S200000,03100,0100,N 434407,S200000,03200,0100,N 434407,S200000,03300,0100,N 434407,S200000,03300,0200,N 434407,S200000,03500,0300,N 434407,S200000,04100,0100,N 434407,S200000,04200,0100,N 434407,S200000,04300,0100,N 434407,S200000,04600,0100,N 434407,S200000,04700,0100,N 434407,S200000,04700,0200,N 434407,S200000,04900,0100,N 434407,S200000,05000,0100,N 434407,S200000,05100,0100,N 434407,S200000,05200,0100,N 434407,S200000,05300,0100,N 434411,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434411,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434411,A000000,00300,0000,0300EMPLOYEE BENEFITS 434411,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434411,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434411,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434411,A000000,00700,0000,0700HOUSEKEEPING 434411,A000000,00800,0000,0800DIETARY 434411,A000000,00900,0000,0900NURSING ADMINISTRATION 434411,A000000,01100,0000,1100PHARMACY 434411,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434411,A000000,01300,0000,1300SOCIAL SERVICE 434411,A000000,01600,0000,1600SKILLED NURSING FACILITY 434411,A000000,01800,0000,1800NURSING FACILITY 434411,A000000,02100,0000,2100RADIOLOGY 434411,A000000,02200,0000,2200LABORATORY 434411,A000000,02300,0000,2300INTRAVENOUS THERAPY 434411,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434411,A000000,02500,0000,2500PHYSICAL THERAPY 434411,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434411,A000000,02700,0000,2700SPEECH PATHOLOGY 434411,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434411,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434411,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434411,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434411,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434411,A81000A,00100,0100,Y 434411,A81000B,00100,0300,HOME OFFICE EXPENSES 434411,A81000C,00100,0100,B 434411,A81000C,00100,0200,BLUE DOLPHIN HE 434411,A81000C,00100,0600,HEALTH CARE 434411,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434411,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434411,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434411,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434411,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434411,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434411,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434411,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434411,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434411,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434411,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434411,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434411,E10A180,00501,0100,07/27/12 434411,G300000,02500,0000, OTHER (SPECIFY) 434411,S000000,00100,0200,05/29/12 434411,S200000,00100,0100,103 WEST HARBER ROAD 434411,S200000,00100,0300,1029 434411,S200000,00200,0100,GROVE 434411,S200000,00200,0200,OK 434411,S200000,00200,0300,74344 434411,S200000,00300,0100,DELAWARE 434411,S200000,00300,0200,037 434411,S200000,00300,0201,99937 434411,S200000,00300,0300,R 434411,S200000,00400,0100,GRAND LAKE VILLA LLC 434411,S200000,00400,0200,375116 434411,S200000,00400,0300,01/07/92 434411,S200000,00400,0500,P 434411,S200000,01500,0100,N 434411,S200000,01600,0100,Y 434411,S200000,01700,0100,N 434411,S200000,01800,0100,N 434411,S200000,02200,0100,N 434411,S200000,02800,0100,N 434411,S200000,02900,0100,N 434411,S200000,03000,0100,N 434411,S200000,03100,0100,N 434411,S200000,03200,0100,N 434411,S200000,03300,0100,N 434411,S200000,03300,0200,N 434411,S200000,04100,0100,N 434411,S200000,04200,0100,N 434411,S200000,04300,0100,N 434411,S200000,04600,0100,N 434411,S200000,04700,0100,N 434411,S200000,04700,0200,N 434411,S200000,04900,0100,N 434411,S200000,05000,0100,N 434411,S200000,05100,0100,N 434411,S200000,05200,0100,N 434411,S200000,05300,0100,Y 434411,S200000,05300,0200,179002 434411,S200000,05400,0100,BLUE DOLPHIN HEALTH MGMT 434411,S200000,05400,0200,TRAILBLAZER 434411,S200000,05400,0300,52280 434411,S200000,05500,0100,30 HOMEWOOD DR 434411,S200000,05600,0100,MORRISTOWN 434411,S200000,05600,0200,NJ 434411,S200000,05600,0300,07960 434413,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434413,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434413,A000000,00300,0000,0300EMPLOYEE BENEFITS 434413,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434413,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434413,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434413,A000000,00700,0000,0700HOUSEKEEPING 434413,A000000,00800,0000,0800DIETARY 434413,A000000,00900,0000,0900NURSING ADMINISTRATION 434413,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434413,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434413,A000000,01300,0000,1300SOCIAL SERVICE 434413,A000000,01301,0000,1301ACTIVITES 434413,A000000,01500,0000,1350REHABILITATION 434413,A000000,01600,0000,1600SKILLED NURSING FACILITY 434413,A000000,01800,0000,1800NURSING FACILITY 434413,A000000,01900,0000,1900OTHER LONG TERM CARE 434413,A000000,02100,0000,2100RADIOLOGY 434413,A000000,02200,0000,2200LABORATORY 434413,A000000,02300,0000,2300INTRAVENOUS THERAPY 434413,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434413,A000000,02500,0000,2500PHYSICAL THERAPY 434413,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434413,A000000,02700,0000,2700SPEECH PATHOLOGY 434413,A000000,02800,0000,2800ELECTROCARDIOLOGY 434413,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434413,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434413,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434413,A000000,03200,0000,3200SUPPORT SURFACES 434413,A000000,03300,0000,3050EQUIPMENT RENTAL 434413,A000000,03301,0000,3051PEN THERAPY 434413,A000000,04800,0000,4800AMBULANCE 434413,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434413,A000000,05300,0000,5300INTEREST EXPENSE 434413,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434413,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434413,A000000,06200,0000,6200PATIENTS LAUNDRY 434413,A000000,06300,0000,6150VENDING 434413,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434413,A81000A,00100,0100,Y 434413,A81000B,00100,0300,HOME OFFICE COST 434413,A81000C,00100,0100,B 434413,A81000C,00100,0200,SOUTH HAVEN H & 434413,A81000C,00100,0400,SSC EQUITY HOLD 434413,A81000C,00100,0600,NSG HOMES 434413,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434413,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434413,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434413,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434413,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434413,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434413,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434413,B100000,00000,0800,0800MEALS SERVED :DIETARY 434413,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434413,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434413,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434413,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434413,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434413,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434413,E10A180,00350,0100,05/21/12 434413,G300000,02500,0000, OTHER (SPECIFY) 434413,S000000,00100,0200,02/24/12 434413,S200000,00100,0100,1300 EAST SOUTH BLVD 434413,S200000,00200,0100,MONTGOMERY 434413,S200000,00200,0200,AL 434413,S200000,00200,0300,36116 434413,S200000,00300,0100,MONTGOMERY 434413,S200000,00300,0300,U 434413,S200000,00400,0100,SOUTH HAVEN HEALTH & REHAB CENTER 434413,S200000,00400,0200,015043 434413,S200000,00400,0300,06/01/83 434413,S200000,00400,0500,P 434413,S200000,01500,0100,Y 434413,S200000,01501,0200,Y 434413,S200000,01502,0200,Y 434413,S200000,01504,0200,Y 434413,S200000,01600,0100,N 434413,S200000,01700,0100,N 434413,S200000,01800,0100,N 434413,S200000,02200,0100,Y 434413,S200000,02800,0100,N 434413,S200000,02900,0100,N 434413,S200000,03000,0100,N 434413,S200000,03100,0100,N 434413,S200000,03200,0100,N 434413,S200000,03300,0100,N 434413,S200000,03300,0200,N 434413,S200000,04100,0100,N 434413,S200000,04200,0100,N 434413,S200000,04300,0100,N 434413,S200000,04600,0100,N 434413,S200000,04700,0100,N 434413,S200000,04700,0200,N 434413,S200000,04900,0100,N 434413,S200000,05000,0100,N 434413,S200000,05100,0100,N 434413,S200000,05200,0100,N 434413,S200000,05300,0100,Y 434413,S200000,05300,0200,219023 434413,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434413,S200000,05400,0200,TRAILBLAZER 434413,S200000,05400,0300,04901 434413,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434413,S200000,05600,0100,HOUSTON 434413,S200000,05600,0200,TX 434413,S200000,05600,0300,77041 434414,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434414,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434414,A000000,00300,0000,0300EMPLOYEE BENEFITS 434414,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434414,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434414,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434414,A000000,00700,0000,0700HOUSEKEEPING 434414,A000000,00800,0000,0800DIETARY 434414,A000000,00900,0000,0900NURSING ADMINISTRATION 434414,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434414,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434414,A000000,01300,0000,1300SOCIAL SERVICE 434414,A000000,01301,0000,1301ACTIVITES 434414,A000000,01500,0000,1350REHABILITATION 434414,A000000,01600,0000,1600SKILLED NURSING FACILITY 434414,A000000,01800,0000,1800NURSING FACILITY 434414,A000000,01900,0000,1900OTHER LONG TERM CARE 434414,A000000,02100,0000,2100RADIOLOGY 434414,A000000,02200,0000,2200LABORATORY 434414,A000000,02300,0000,2300INTRAVENOUS THERAPY 434414,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434414,A000000,02500,0000,2500PHYSICAL THERAPY 434414,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434414,A000000,02700,0000,2700SPEECH PATHOLOGY 434414,A000000,02800,0000,2800ELECTROCARDIOLOGY 434414,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434414,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434414,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434414,A000000,03200,0000,3200SUPPORT SURFACES 434414,A000000,03300,0000,3050EQUIPMENT RENTAL 434414,A000000,03301,0000,3051PEN THERAPY 434414,A000000,04800,0000,4800AMBULANCE 434414,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434414,A000000,05300,0000,5300INTEREST EXPENSE 434414,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434414,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434414,A000000,06200,0000,6200PATIENTS LAUNDRY 434414,A000000,06300,0000,6150VENDING 434414,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434414,A81000A,00100,0100,Y 434414,A81000B,00100,0300,HOME OFFICE COST 434414,A81000C,00100,0100,B 434414,A81000C,00100,0200,TERRACE GARDENS 434414,A81000C,00100,0400,SSC EQUITY HOLD 434414,A81000C,00100,0600,NSG HOMES 434414,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434414,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434414,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434414,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434414,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434414,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434414,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434414,B100000,00000,0800,0800MEALS SERVED :DIETARY 434414,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434414,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434414,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434414,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434414,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434414,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434414,E10A180,00351,0100,02/11/11 434414,E10A180,00550,0100,05/17/12 434414,E10A180,00550,0300,05/17/12 434414,G300000,02500,0000, OTHER (SPECIFY) 434414,S000000,00100,0200,02/24/12 434414,S200000,00100,0100,2438 FOUNTAIN BLVD 434414,S200000,00200,0100,COLORADO SPRINGS 434414,S200000,00200,0200,CO 434414,S200000,00200,0300,80916 434414,S200000,00300,0100,EL PASO 434414,S200000,00300,0300,U 434414,S200000,00400,0100,TERRACE GARDENS HEALTHCARE CENTER 434414,S200000,00400,0200,065172 434414,S200000,00400,0300,01/01/83 434414,S200000,00400,0500,P 434414,S200000,01500,0100,Y 434414,S200000,01501,0200,Y 434414,S200000,01502,0200,Y 434414,S200000,01504,0200,Y 434414,S200000,01600,0100,N 434414,S200000,01700,0100,N 434414,S200000,01800,0100,N 434414,S200000,02200,0100,Y 434414,S200000,02800,0100,N 434414,S200000,02900,0100,N 434414,S200000,03000,0100,N 434414,S200000,03100,0100,N 434414,S200000,03200,0100,N 434414,S200000,03300,0100,N 434414,S200000,03300,0200,N 434414,S200000,04100,0100,N 434414,S200000,04200,0100,N 434414,S200000,04300,0100,N 434414,S200000,04600,0100,N 434414,S200000,04700,0100,N 434414,S200000,04700,0200,N 434414,S200000,04900,0100,N 434414,S200000,05000,0100,N 434414,S200000,05100,0100,N 434414,S200000,05200,0100,N 434414,S200000,05300,0100,Y 434414,S200000,05300,0200,219023 434414,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434414,S200000,05400,0200,TRAILBLAZER 434414,S200000,05400,0300,04901 434414,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434414,S200000,05600,0100,HOUSTON 434414,S200000,05600,0200,TX 434414,S200000,05600,0300,77041 434417,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434417,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434417,A000000,00300,0000,0300EMPLOYEE BENEFITS 434417,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434417,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434417,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434417,A000000,00700,0000,0700HOUSEKEEPING 434417,A000000,00800,0000,0800DIETARY 434417,A000000,00900,0000,0900NURSING ADMINISTRATION 434417,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434417,A000000,01100,0000,1100PHARMACY 434417,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434417,A000000,01300,0000,1300SOCIAL SERVICE 434417,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434417,A000000,01500,0000,1350ACTIVITIES 434417,A000000,01600,0000,1600SKILLED NURSING FACILITY 434417,A000000,01800,0000,1800NURSING FACILITY 434417,A000000,01810,0000,1810ICF/MR 434417,A000000,01900,0000,1900OTHER LONG TERM CARE 434417,A000000,02100,0000,2100RADIOLOGY 434417,A000000,02200,0000,2200LABORATORY 434417,A000000,02300,0000,2300INTRAVENOUS THERAPY 434417,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434417,A000000,02500,0000,2500PHYSICAL THERAPY 434417,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434417,A000000,02700,0000,2700SPEECH PATHOLOGY 434417,A000000,02800,0000,2800ELECTROCARDIOLOGY 434417,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434417,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434417,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434417,A000000,03200,0000,3200SUPPORT SURFACES 434417,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434417,A000000,03400,0000,3400CLINIC 434417,A000000,03500,0000,3500RURAL HEALTH CLINIC 434417,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434417,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434417,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434417,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434417,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434417,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434417,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434417,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434417,A000000,04400,0000,4400DME RENTED - HHA 434417,A000000,04500,0000,4500DME SOLD - HHA 434417,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434417,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434417,A000000,04710,0000,4710TELEMEDICINE 434417,A000000,04800,0000,4800AMBULANCE 434417,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434417,A000000,05000,0000,5000CORF 434417,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434417,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434417,A000000,05300,0000,5300INTEREST EXPENSE 434417,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434417,A000000,05500,0000,5500HOSPICE 434417,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434417,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434417,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434417,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434417,A000000,06100,0000,6100NONPAID WORKERS 434417,A000000,06200,0000,6200PATIENTS LAUNDRY 434417,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434417,A81000A,00100,0100,Y 434417,A81000B,00100,0300,RELATED PARTY LEASE 434417,A81000B,00200,0300,RELATED PARTY THERAPY 434417,A81000B,00300,0300,RELATED PARTY THERAPY 434417,A81000B,00400,0300,RELATED PARTY THERAPY 434417,A81000B,00500,0300,HOME OFFICE COSTS 434417,A81000B,00600,0300,HOME OFFICE COSTS 434417,A81000B,00700,0300,HOME OFFICE COSTS 434417,A81000B,00800,0300,HOME OFFICE COSTS 434417,A81000B,00900,0300,HOME OFFICE COSTS 434417,A81000B,01000,0300,HOME OFFICE COSTS 434417,A81000B,01100,0300,HOME OFFICE COSTS 434417,A81000B,01200,0300,HOME OFFICE COSTS 434417,A81000B,01300,0300,HOME OFFICE COSTS 434417,A81000C,00100,0100,A 434417,A81000C,00100,0400,MMM INVEST INC. 434417,A81000C,00100,0600,PROPERTY LEASING 434417,A81000C,00200,0100,A 434417,A81000C,00200,0400,THERACARE 434417,A81000C,00200,0600,THERAPY MANAGEMENT 434417,A81000C,00300,0100,A 434417,A81000C,00300,0400,THERACARE 434417,A81000C,00300,0600,THERAPY MANAGEMENT 434417,A81000C,00400,0100,A 434417,A81000C,00400,0400,THERACARE 434417,A81000C,00400,0600,THERAPY MANAGEMENT 434417,A81000C,00500,0100,B 434417,A81000C,00500,0400,MHS INC. 434417,A81000C,00500,0600,NURSING HOMES 434417,A81000C,00600,0100,B 434417,A81000C,00600,0400,MHS INC. 434417,A81000C,00600,0600,NURSING HOMES 434417,A81000C,00700,0100,B 434417,A81000C,00700,0400,MHS INC. 434417,A81000C,00700,0600,NURSING HOMES 434417,A81000C,00800,0100,B 434417,A81000C,00800,0400,MHS INC. 434417,A81000C,00800,0600,NURSING HOMES 434417,A81000C,00900,0100,B 434417,A81000C,00900,0400,MHS INC. 434417,A81000C,00900,0600,NURSING HOMES 434417,A81000C,01000,0100,B 434417,A81000C,01000,0400,MHS INC. 434417,A81000C,01000,0600,NURSING HOMES 434417,A81000C,01001,0100,B 434417,A81000C,01001,0400,MHS INC. 434417,A81000C,01001,0600,NURSING HOMES 434417,A81000C,01002,0100,B 434417,A81000C,01002,0400,MHS INC. 434417,A81000C,01002,0600,NURSING HOMES 434417,A81000C,01003,0100,B 434417,A81000C,01003,0400,MHS INC. 434417,A81000C,01003,0600,NURSING HOMES 434417,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434417,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434417,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434417,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434417,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434417,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434417,B100000,00000,0800,0800MEALS SERVED :DIETARY 434417,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434417,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434417,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434417,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434417,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434417,E10A180,00301,0100,09/13/11 434417,E10A180,00550,0100,04/30/12 434417,G300000,02500,0000,OTHER REVENUE 434417,S000000,00100,0200,03/02/12 434417,S200000,00100,0100,730 SCHOOL STREET 434417,S200000,00100,0300,111 434417,S200000,00200,0100,CULVER 434417,S200000,00200,0200,IN 434417,S200000,00200,0300,46511 434417,S200000,00300,0100,MARSHALL 434417,S200000,00300,0201,99915 434417,S200000,00300,0300,R 434417,S200000,00400,0100,MHS INC. D/B/A MMM - CULVER 434417,S200000,00400,0200,155589 434417,S200000,00400,0300,11/01/95 434417,S200000,00400,0500,P 434417,S200000,01500,0100,Y 434417,S200000,01501,0200,Y 434417,S200000,01502,0200,Y 434417,S200000,01503,0200,Y 434417,S200000,01504,0200,Y 434417,S200000,01600,0100,N 434417,S200000,01700,0100,N 434417,S200000,01800,0100,N 434417,S200000,02200,0100,Y 434417,S200000,02800,0100,Y 434417,S200000,02900,0100,N 434417,S200000,03000,0100,N 434417,S200000,03100,0100,N 434417,S200000,03200,0100,N 434417,S200000,03300,0100,N 434417,S200000,03300,0200,N 434417,S200000,04100,0100,N 434417,S200000,04200,0100,N 434417,S200000,04300,0100,N 434417,S200000,04600,0100,N 434417,S200000,04700,0100,N 434417,S200000,04700,0200,N 434417,S200000,04900,0100,N 434417,S200000,05000,0100,N 434417,S200000,05100,0100,N 434417,S200000,05200,0100,N 434417,S200000,05300,0100,Y 434417,S200000,05300,0200,15H004 434417,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434417,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434417,S200000,05400,0300,00130 434417,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434417,S200000,05600,0100,WARSAW 434417,S200000,05600,0200,IN 434417,S200000,05600,0300,46580 434435,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434435,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434435,A000000,00300,0000,0300EMPLOYEE BENEFITS 434435,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434435,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434435,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434435,A000000,00700,0000,0700HOUSEKEEPING 434435,A000000,00800,0000,0800DIETARY 434435,A000000,00900,0000,0900NURSING ADMINISTRATION 434435,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434435,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434435,A000000,01300,0000,1300SOCIAL SERVICE 434435,A000000,01301,0000,1301ACTIVITES 434435,A000000,01500,0000,1350REHABILITATION 434435,A000000,01600,0000,1600SKILLED NURSING FACILITY 434435,A000000,01800,0000,1800NURSING FACILITY 434435,A000000,01900,0000,1900OTHER LONG TERM CARE 434435,A000000,02100,0000,2100RADIOLOGY 434435,A000000,02200,0000,2200LABORATORY 434435,A000000,02300,0000,2300INTRAVENOUS THERAPY 434435,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434435,A000000,02500,0000,2500PHYSICAL THERAPY 434435,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434435,A000000,02700,0000,2700SPEECH PATHOLOGY 434435,A000000,02800,0000,2800ELECTROCARDIOLOGY 434435,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434435,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434435,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434435,A000000,03200,0000,3200SUPPORT SURFACES 434435,A000000,03300,0000,3050EQUIPMENT RENTAL 434435,A000000,03301,0000,3051PEN THERAPY 434435,A000000,04800,0000,4800AMBULANCE 434435,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434435,A000000,05300,0000,5300INTEREST EXPENSE 434435,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434435,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434435,A000000,06200,0000,6200PATIENTS LAUNDRY 434435,A000000,06300,0000,6150VENDING 434435,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434435,A81000A,00100,0100,Y 434435,A81000B,00100,0300,HOME OFFICE COST 434435,A81000C,00100,0100,B 434435,A81000C,00100,0200,BAY VILLA HCC 434435,A81000C,00100,0400,SSC EQUITY HOLD 434435,A81000C,00100,0600,NSG HOMES 434435,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434435,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434435,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434435,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434435,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434435,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434435,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434435,B100000,00000,0800,0800MEALS SERVED :DIETARY 434435,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434435,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434435,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434435,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434435,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434435,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434435,E10A180,00501,0100,05/04/12 434435,E10A180,00550,0300,05/04/12 434435,S000000,00100,0200,02/10/12 434435,S200000,00100,0100,1800 13 TH ST. 434435,S200000,00200,0100,BAY CITY 434435,S200000,00200,0200,TX 434435,S200000,00200,0300,77414 434435,S200000,00300,0100,MATAGORDA 434435,S200000,00300,0300,R 434435,S200000,00400,0100,BAY VILLA HEALTH CARE CENTER 434435,S200000,00400,0200,455582 434435,S200000,00400,0300,08/12/85 434435,S200000,00400,0500,P 434435,S200000,01500,0100,Y 434435,S200000,01501,0200,N 434435,S200000,01502,0200,N 434435,S200000,01504,0200,Y 434435,S200000,01600,0100,N 434435,S200000,01700,0100,N 434435,S200000,01800,0100,N 434435,S200000,02200,0100,Y 434435,S200000,02800,0100,N 434435,S200000,02900,0100,N 434435,S200000,03000,0100,N 434435,S200000,03100,0100,N 434435,S200000,03200,0100,N 434435,S200000,03300,0100,N 434435,S200000,03300,0200,N 434435,S200000,04100,0100,N 434435,S200000,04200,0100,N 434435,S200000,04300,0100,N 434435,S200000,04600,0100,N 434435,S200000,04700,0100,N 434435,S200000,04700,0200,N 434435,S200000,04900,0100,N 434435,S200000,05000,0100,N 434435,S200000,05100,0100,N 434435,S200000,05200,0100,N 434435,S200000,05300,0100,Y 434435,S200000,05300,0200,219023 434435,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434435,S200000,05400,0200,TRAILBLAZER 434435,S200000,05400,0300,04901 434435,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434435,S200000,05600,0100,HOUSTON 434435,S200000,05600,0200,TX 434435,S200000,05600,0300,77041 434436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434436,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434436,A000000,00300,0000,0300EMPLOYEE BENEFITS 434436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434436,A000000,00700,0000,0700HOUSEKEEPING 434436,A000000,00800,0000,0800DIETARY 434436,A000000,00900,0000,0900NURSING ADMINISTRATION 434436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434436,A000000,01300,0000,1300SOCIAL SERVICE 434436,A000000,01301,0000,1301ACTIVITES 434436,A000000,01500,0000,1350REHABILITATION 434436,A000000,01600,0000,1600SKILLED NURSING FACILITY 434436,A000000,01800,0000,1800NURSING FACILITY 434436,A000000,01900,0000,1900OTHER LONG TERM CARE 434436,A000000,02100,0000,2100RADIOLOGY 434436,A000000,02200,0000,2200LABORATORY 434436,A000000,02300,0000,2300INTRAVENOUS THERAPY 434436,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434436,A000000,02500,0000,2500PHYSICAL THERAPY 434436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434436,A000000,02700,0000,2700SPEECH PATHOLOGY 434436,A000000,02800,0000,2800ELECTROCARDIOLOGY 434436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434436,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434436,A000000,03200,0000,3200SUPPORT SURFACES 434436,A000000,03300,0000,3050EQUIPMENT RENTAL 434436,A000000,03301,0000,3051PEN THERAPY 434436,A000000,04800,0000,4800AMBULANCE 434436,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434436,A000000,05300,0000,5300INTEREST EXPENSE 434436,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434436,A000000,06200,0000,6200PATIENTS LAUNDRY 434436,A000000,06300,0000,6150VENDING 434436,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434436,A81000A,00100,0100,Y 434436,A81000B,00100,0300,HOME OFFICE COST 434436,A81000C,00100,0100,B 434436,A81000C,00100,0200,GRANDE PRAIRIE 434436,A81000C,00100,0400,SSC EQUITY HOLD 434436,A81000C,00100,0600,NSG HOMES 434436,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434436,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434436,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434436,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434436,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434436,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434436,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434436,B100000,00000,0800,0800MEALS SERVED :DIETARY 434436,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434436,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434436,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434436,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434436,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434436,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434436,E10A180,00302,0100,03/17/11 434436,E10A180,00303,0100,09/29/11 434436,E10A180,00352,0100,09/29/11 434436,E10A180,00501,0100,05/04/12 434436,E10A180,00550,0300,05/04/12 434436,G300000,02500,0000, OTHER (SPECIFY) 434436,S000000,00100,0200,02/10/12 434436,S200000,00100,0100,10330 79TH STREET 434436,S200000,00200,0100,PLEASANT PRAIRIE 434436,S200000,00200,0200,WI 434436,S200000,00200,0300,53022 434436,S200000,00300,0100,KENOSHA 434436,S200000,00300,0300,U 434436,S200000,00400,0100,GRANDE PRAIRIE HEALTH & REHAB CENTER 434436,S200000,00400,0200,525659 434436,S200000,00400,0300,08/31/00 434436,S200000,00400,0500,P 434436,S200000,01500,0100,Y 434436,S200000,01501,0200,Y 434436,S200000,01502,0200,Y 434436,S200000,01504,0200,Y 434436,S200000,01600,0100,N 434436,S200000,01700,0100,N 434436,S200000,01800,0100,N 434436,S200000,02200,0100,Y 434436,S200000,02800,0100,N 434436,S200000,02900,0100,N 434436,S200000,03000,0100,N 434436,S200000,03100,0100,N 434436,S200000,03200,0100,N 434436,S200000,03300,0100,N 434436,S200000,03300,0200,N 434436,S200000,04100,0100,N 434436,S200000,04200,0100,N 434436,S200000,04300,0100,N 434436,S200000,04600,0100,N 434436,S200000,04700,0100,N 434436,S200000,04700,0200,N 434436,S200000,04900,0100,N 434436,S200000,05000,0100,N 434436,S200000,05100,0100,N 434436,S200000,05200,0100,N 434436,S200000,05300,0100,Y 434436,S200000,05300,0200,219023 434436,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434436,S200000,05400,0200,TRAILBLAZER 434436,S200000,05400,0300,04901 434436,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434436,S200000,05600,0100,HOUSTON 434436,S200000,05600,0200,TX 434436,S200000,05600,0300,77041 434437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434437,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434437,A000000,00300,0000,0300EMPLOYEE BENEFITS 434437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434437,A000000,00700,0000,0700HOUSEKEEPING 434437,A000000,00800,0000,0800DIETARY 434437,A000000,00900,0000,0900NURSING ADMINISTRATION 434437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434437,A000000,01100,0000,1100PHARMACY 434437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434437,A000000,01300,0000,1300SOCIAL SERVICE 434437,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434437,A000000,01500,0000,1350ACTIVITIES 434437,A000000,01600,0000,1600SKILLED NURSING FACILITY 434437,A000000,01800,0000,1800NURSING FACILITY 434437,A000000,01810,0000,1810ICF/MR 434437,A000000,01900,0000,1900OTHER LONG TERM CARE 434437,A000000,02100,0000,2100RADIOLOGY 434437,A000000,02200,0000,2200LABORATORY 434437,A000000,02300,0000,2300INTRAVENOUS THERAPY 434437,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434437,A000000,02500,0000,2500PHYSICAL THERAPY 434437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434437,A000000,02700,0000,2700SPEECH PATHOLOGY 434437,A000000,02800,0000,2800ELECTROCARDIOLOGY 434437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434437,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434437,A000000,03200,0000,3200SUPPORT SURFACES 434437,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434437,A000000,03400,0000,3400CLINIC 434437,A000000,03500,0000,3500RURAL HEALTH CLINIC 434437,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434437,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434437,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434437,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434437,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434437,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434437,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434437,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434437,A000000,04400,0000,4400DME RENTED - HHA 434437,A000000,04500,0000,4500DME SOLD - HHA 434437,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434437,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434437,A000000,04710,0000,4710TELEMEDICINE 434437,A000000,04800,0000,4800AMBULANCE 434437,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434437,A000000,05000,0000,5000CORF 434437,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434437,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434437,A000000,05300,0000,5300INTEREST EXPENSE 434437,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434437,A000000,05500,0000,5500HOSPICE 434437,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434437,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434437,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434437,A000000,06100,0000,6100NONPAID WORKERS 434437,A000000,06200,0000,6200PATIENTS LAUNDRY 434437,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434437,A81000A,00100,0100,Y 434437,A81000B,00100,0300,RELATED PARTY LEASE 434437,A81000B,00200,0300,RELATED PARTY THERAPY 434437,A81000B,00300,0300,RELATED PARTY THERAPY 434437,A81000B,00400,0300,RELATED PARTY THERAPY 434437,A81000B,00500,0300,HOME OFFICE COSTS 434437,A81000B,00600,0300,HOME OFFICE COSTS 434437,A81000B,00700,0300,HOME OFFICE COSTS 434437,A81000B,00800,0300,HOME OFFICE COSTS 434437,A81000B,00900,0300,HOME OFFICE COSTS 434437,A81000B,01000,0300,HOME OFFICE COSTS 434437,A81000B,01100,0300,HOME OFFICE COSTS 434437,A81000B,01200,0300,HOME OFFICE COSTS 434437,A81000B,01300,0300,HOME OFFICE COSTS 434437,A81000C,00100,0100,A 434437,A81000C,00100,0400,MMM INVEST INC. 434437,A81000C,00100,0600,PROPERTY LEASING 434437,A81000C,00200,0100,A 434437,A81000C,00200,0400,THERACARE 434437,A81000C,00200,0600,THERAPY MANAGEMENT 434437,A81000C,00300,0100,A 434437,A81000C,00300,0400,THERACARE 434437,A81000C,00300,0600,THERAPY MANAGEMENT 434437,A81000C,00400,0100,A 434437,A81000C,00400,0400,THERACARE 434437,A81000C,00400,0600,THERAPY MANAGEMENT 434437,A81000C,00500,0100,B 434437,A81000C,00500,0400,MHS INC. 434437,A81000C,00500,0600,NURSING HOMES 434437,A81000C,00600,0100,B 434437,A81000C,00600,0400,MHS INC. 434437,A81000C,00600,0600,NURSING HOMES 434437,A81000C,00700,0100,B 434437,A81000C,00700,0400,MHS INC. 434437,A81000C,00700,0600,NURSING HOMES 434437,A81000C,00800,0100,B 434437,A81000C,00800,0400,MHS INC. 434437,A81000C,00800,0600,NURSING HOMES 434437,A81000C,00900,0100,B 434437,A81000C,00900,0400,MHS INC. 434437,A81000C,00900,0600,NURSING HOMES 434437,A81000C,01000,0100,B 434437,A81000C,01000,0400,MHS INC. 434437,A81000C,01000,0600,NURSING HOMES 434437,A81000C,01001,0100,B 434437,A81000C,01001,0400,MHS INC. 434437,A81000C,01001,0600,NURSING HOMES 434437,A81000C,01002,0100,B 434437,A81000C,01002,0400,MHS INC. 434437,A81000C,01002,0600,NURSING HOMES 434437,A81000C,01003,0100,B 434437,A81000C,01003,0400,MHS INC. 434437,A81000C,01003,0600,NURSING HOMES 434437,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434437,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434437,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434437,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434437,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434437,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434437,B100000,00000,0800,0800MEALS SERVED :DIETARY 434437,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434437,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434437,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434437,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434437,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434437,E10A180,00301,0100,09/20/11 434437,E10A180,00550,0100,04/23/12 434437,G300000,02500,0000,OTHER REVENUE 434437,S000000,00100,0200,03/02/12 434437,S200000,00100,0100,1630 S. COUNTY FARM ROAD 434437,S200000,00200,0100,WARSAW 434437,S200000,00200,0200,IN 434437,S200000,00200,0300,46580 434437,S200000,00300,0100,KOSCIUSKO 434437,S200000,00300,0200,15 434437,S200000,00300,0201,99915 434437,S200000,00300,0300,R 434437,S200000,00400,0100,MHS INC. D/B/A MMM - WARSAW 434437,S200000,00400,0200,155049 434437,S200000,00400,0300,03/28/67 434437,S200000,00400,0500,P 434437,S200000,01500,0100,Y 434437,S200000,01501,0200,Y 434437,S200000,01502,0200,Y 434437,S200000,01503,0200,Y 434437,S200000,01504,0200,Y 434437,S200000,01600,0100,N 434437,S200000,01700,0100,N 434437,S200000,01800,0100,N 434437,S200000,02200,0100,Y 434437,S200000,02800,0100,Y 434437,S200000,02900,0100,N 434437,S200000,03000,0100,N 434437,S200000,03100,0100,N 434437,S200000,03200,0100,N 434437,S200000,03300,0100,N 434437,S200000,03300,0200,N 434437,S200000,04100,0100,N 434437,S200000,04200,0100,N 434437,S200000,04300,0100,N 434437,S200000,04600,0100,N 434437,S200000,04700,0100,N 434437,S200000,04700,0200,N 434437,S200000,04900,0100,N 434437,S200000,05000,0100,N 434437,S200000,05100,0100,N 434437,S200000,05200,0100,N 434437,S200000,05300,0100,Y 434437,S200000,05300,0200,15H004 434437,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434437,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434437,S200000,05400,0300,00130 434437,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434437,S200000,05600,0100,WARSAW 434437,S200000,05600,0200,IN 434437,S200000,05600,0300,46580 434438,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434438,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434438,A000000,00300,0000,0300EMPLOYEE BENEFITS 434438,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434438,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434438,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434438,A000000,00700,0000,0700HOUSEKEEPING 434438,A000000,00800,0000,0800DIETARY 434438,A000000,00900,0000,0900NURSING ADMINISTRATION 434438,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434438,A000000,01100,0000,1100PHARMACY 434438,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434438,A000000,01300,0000,1300SOCIAL SERVICE 434438,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434438,A000000,01500,0000,1350ACTIVITIES 434438,A000000,01600,0000,1600SKILLED NURSING FACILITY 434438,A000000,01800,0000,1800NURSING FACILITY 434438,A000000,01810,0000,1810ICF/MR 434438,A000000,01900,0000,1900OTHER LONG TERM CARE 434438,A000000,02100,0000,2100RADIOLOGY 434438,A000000,02200,0000,2200LABORATORY 434438,A000000,02300,0000,2300INTRAVENOUS THERAPY 434438,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434438,A000000,02500,0000,2500PHYSICAL THERAPY 434438,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434438,A000000,02700,0000,2700SPEECH PATHOLOGY 434438,A000000,02800,0000,2800ELECTROCARDIOLOGY 434438,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434438,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434438,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434438,A000000,03200,0000,3200SUPPORT SURFACES 434438,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434438,A000000,03400,0000,3400CLINIC 434438,A000000,03500,0000,3500RURAL HEALTH CLINIC 434438,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434438,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434438,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434438,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434438,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434438,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434438,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434438,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434438,A000000,04400,0000,4400DME RENTED - HHA 434438,A000000,04500,0000,4500DME SOLD - HHA 434438,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434438,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434438,A000000,04710,0000,4710TELEMEDICINE 434438,A000000,04800,0000,4800AMBULANCE 434438,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434438,A000000,05000,0000,5000CORF 434438,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434438,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434438,A000000,05300,0000,5300INTEREST EXPENSE 434438,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434438,A000000,05500,0000,5500HOSPICE 434438,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434438,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434438,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434438,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434438,A000000,06100,0000,6100NONPAID WORKERS 434438,A000000,06200,0000,6200PATIENTS LAUNDRY 434438,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434438,A81000A,00100,0100,Y 434438,A81000B,00100,0300, RELATED PARTY THERAPY 434438,A81000B,00200,0300, RELATED PARTY THERAPY 434438,A81000B,00300,0300, RELATED PARTY THERAPY 434438,A81000B,00400,0300,HOME OFFICE COSTS 434438,A81000B,00500,0300,HOME OFFICE COSTS 434438,A81000B,00600,0300,HOME OFFICE COSTS 434438,A81000B,00700,0300,HOME OFFICE COSTS 434438,A81000B,00800,0300,HOME OFFICE COSTS 434438,A81000B,00900,0300,HOME OFFICE COSTS 434438,A81000B,01000,0300,HOME OFFICE COSTS 434438,A81000B,01100,0300,HOME OFFICE COSTS 434438,A81000B,01200,0300,HOME OFFICE COSTS 434438,A81000C,00100,0100,A 434438,A81000C,00100,0400,THERACARE 434438,A81000C,00100,0600,THERAPY MANAGEMENT 434438,A81000C,00200,0100,A 434438,A81000C,00200,0400,THERACARE 434438,A81000C,00200,0600,THERAPY MANAGEMENT 434438,A81000C,00300,0100,A 434438,A81000C,00300,0400,THERACARE 434438,A81000C,00300,0600,THERAPY MANAGEMENT 434438,A81000C,00400,0100,B 434438,A81000C,00400,0400,MHS INC. 434438,A81000C,00400,0600,NURSING HOMES 434438,A81000C,00500,0100,B 434438,A81000C,00500,0400,MHS INC. 434438,A81000C,00500,0600,NURSING HOMES 434438,A81000C,00600,0100,B 434438,A81000C,00600,0400,MHS INC. 434438,A81000C,00600,0600,NURSING HOMES 434438,A81000C,00700,0100,B 434438,A81000C,00700,0400,MHS INC. 434438,A81000C,00700,0600,NURSING HOMES 434438,A81000C,00800,0100,B 434438,A81000C,00800,0400,MHS INC. 434438,A81000C,00800,0600,NURSING HOMES 434438,A81000C,00900,0100,B 434438,A81000C,00900,0400,MHS INC. 434438,A81000C,00900,0600,NURSING HOMES 434438,A81000C,01000,0100,B 434438,A81000C,01000,0400,MHS INC. 434438,A81000C,01000,0600,NURSING HOMES 434438,A81000C,01001,0100,B 434438,A81000C,01001,0400,MHS INC. 434438,A81000C,01001,0600,NURSING HOMES 434438,A81000C,01002,0100,B 434438,A81000C,01002,0400,MHS INC. 434438,A81000C,01002,0600,NURSING HOMES 434438,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434438,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434438,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434438,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434438,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434438,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434438,B100000,00000,0800,0800MEALS SERVED :DIETARY 434438,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434438,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434438,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434438,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434438,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434438,E10A180,00350,0100,09/13/11 434438,E10A180,00501,0100,04/17/12 434438,G300000,02500,0000,OTHER REVENUE 434438,S000000,00100,0200,03/02/12 434438,S200000,00100,0100,612 EAST 11TH STREET 434438,S200000,00200,0100,RUSHVILLE 434438,S200000,00200,0200,IN 434438,S200000,00200,0300,46173 434438,S200000,00300,0100,RUSH 434438,S200000,00300,0200,15 434438,S200000,00300,0201,99915 434438,S200000,00300,0300,R 434438,S200000,00400,0100,MHS INC. D/B/A MMM - RUSHVILLE 434438,S200000,00400,0200,155053 434438,S200000,00400,0300,03/21/67 434438,S200000,00400,0500,P 434438,S200000,01500,0100,Y 434438,S200000,01501,0200,Y 434438,S200000,01502,0200,Y 434438,S200000,01503,0200,Y 434438,S200000,01504,0200,Y 434438,S200000,01600,0100,N 434438,S200000,01700,0100,N 434438,S200000,01800,0100,N 434438,S200000,02200,0100,Y 434438,S200000,02800,0100,Y 434438,S200000,02900,0100,N 434438,S200000,03000,0100,N 434438,S200000,03100,0100,N 434438,S200000,03200,0100,N 434438,S200000,03300,0100,N 434438,S200000,03300,0200,N 434438,S200000,04100,0100,N 434438,S200000,04200,0100,N 434438,S200000,04300,0100,N 434438,S200000,04600,0100,N 434438,S200000,04700,0100,N 434438,S200000,04700,0200,N 434438,S200000,04900,0100,N 434438,S200000,05000,0100,N 434438,S200000,05100,0100,N 434438,S200000,05200,0100,N 434438,S200000,05300,0100,Y 434438,S200000,05300,0200,15H004 434438,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434438,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434438,S200000,05400,0300,00130 434438,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434438,S200000,05600,0100,WARSAW 434438,S200000,05600,0200,IN 434438,S200000,05600,0300,46580 434439,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434439,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434439,A000000,00300,0000,0300EMPLOYEE BENEFITS 434439,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434439,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434439,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434439,A000000,00700,0000,0700HOUSEKEEPING 434439,A000000,00800,0000,0800DIETARY 434439,A000000,00900,0000,0900NURSING ADMINISTRATION 434439,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434439,A000000,01100,0000,1100PHARMACY 434439,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434439,A000000,01300,0000,1300SOCIAL SERVICE 434439,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434439,A000000,01500,0000,1350ACTIVITIES 434439,A000000,01600,0000,1600SKILLED NURSING FACILITY 434439,A000000,01800,0000,1800NURSING FACILITY 434439,A000000,01810,0000,1810ICF/MR 434439,A000000,01900,0000,1900OTHER LONG TERM CARE 434439,A000000,02100,0000,2100RADIOLOGY 434439,A000000,02200,0000,2200LABORATORY 434439,A000000,02300,0000,2300INTRAVENOUS THERAPY 434439,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434439,A000000,02500,0000,2500PHYSICAL THERAPY 434439,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434439,A000000,02700,0000,2700SPEECH PATHOLOGY 434439,A000000,02800,0000,2800ELECTROCARDIOLOGY 434439,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434439,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434439,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434439,A000000,03200,0000,3200SUPPORT SURFACES 434439,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434439,A000000,03400,0000,3400CLINIC 434439,A000000,03500,0000,3500RURAL HEALTH CLINIC 434439,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434439,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434439,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434439,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434439,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434439,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434439,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434439,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434439,A000000,04400,0000,4400DME RENTED - HHA 434439,A000000,04500,0000,4500DME SOLD - HHA 434439,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434439,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434439,A000000,04710,0000,4710TELEMEDICINE 434439,A000000,04800,0000,4800AMBULANCE 434439,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434439,A000000,05000,0000,5000CORF 434439,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434439,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434439,A000000,05300,0000,5300INTEREST EXPENSE 434439,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434439,A000000,05500,0000,5500HOSPICE 434439,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434439,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434439,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434439,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434439,A000000,06100,0000,6100NONPAID WORKERS 434439,A000000,06200,0000,6200PATIENTS LAUNDRY 434439,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434439,A81000A,00100,0100,Y 434439,A81000B,00100,0300,RELATED PARTY THERAPY 434439,A81000B,00200,0300,RELATED PARTY THERAPY 434439,A81000B,00300,0300,RELATED PARTY THERAPY 434439,A81000B,00400,0300,HOME OFFICE COSTS 434439,A81000B,00500,0300,HOME OFFICE COSTS 434439,A81000B,00600,0300,HOME OFFICE COSTS 434439,A81000B,00700,0300,HOME OFFICE COSTS 434439,A81000B,00800,0300,HOME OFFICE COSTS 434439,A81000B,00900,0300,HOME OFFICE COSTS 434439,A81000B,01000,0300,HOME OFFICE COSTS 434439,A81000B,01100,0300,HOME OFFICE COSTS 434439,A81000B,01200,0300,HOME OFFICE COSTS 434439,A81000C,00100,0100,A 434439,A81000C,00100,0400,THERACARE 434439,A81000C,00100,0600,THERAPY MANAGEMENT 434439,A81000C,00200,0100,A 434439,A81000C,00200,0400,THERACARE 434439,A81000C,00200,0600,THERAPY MANAGEMENT 434439,A81000C,00300,0100,A 434439,A81000C,00300,0400,THERACARE 434439,A81000C,00300,0600,THERAPY MANAGEMENT 434439,A81000C,00400,0100,B 434439,A81000C,00400,0400,MHS INC. 434439,A81000C,00400,0600,NURSING HOMES 434439,A81000C,00500,0100,B 434439,A81000C,00500,0400,MHS INC. 434439,A81000C,00500,0600,NURSING HOMES 434439,A81000C,00600,0100,B 434439,A81000C,00600,0400,MHS INC. 434439,A81000C,00600,0600,NURSING HOMES 434439,A81000C,00700,0100,B 434439,A81000C,00700,0400,MHS INC. 434439,A81000C,00700,0600,NURSING HOMES 434439,A81000C,00800,0100,B 434439,A81000C,00800,0400,MHS INC. 434439,A81000C,00800,0600,NURSING HOMES 434439,A81000C,00900,0100,B 434439,A81000C,00900,0400,MHS INC. 434439,A81000C,00900,0600,NURSING HOMES 434439,A81000C,01000,0100,B 434439,A81000C,01000,0400,MHS INC. 434439,A81000C,01000,0600,NURSING HOMES 434439,A81000C,01001,0100,B 434439,A81000C,01001,0400,MHS INC. 434439,A81000C,01001,0600,NURSING HOMES 434439,A81000C,01002,0100,B 434439,A81000C,01002,0400,MHS INC. 434439,A81000C,01002,0600,NURSING HOMES 434439,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434439,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434439,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434439,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434439,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434439,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434439,B100000,00000,0800,0800MEALS SERVED :DIETARY 434439,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434439,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434439,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434439,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434439,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434439,E10A180,00350,0100,09/13/11 434439,E10A180,00501,0100,04/17/12 434439,G300000,02500,0000,OTHER REVENUE 434439,S000000,00100,0200,03/02/12 434439,S200000,00100,0100,1500 GRANT STREET 434439,S200000,00200,0100,HUNTINGTON 434439,S200000,00200,0200,IN 434439,S200000,00200,0300,46750 434439,S200000,00300,0100,HUNTINGTON 434439,S200000,00300,0201,99915 434439,S200000,00300,0300,R 434439,S200000,00400,0100,MHS INC. D/B/A MMM - HUNTINGTON 434439,S200000,00400,0200,155059 434439,S200000,00400,0300,09/20/67 434439,S200000,00400,0500,P 434439,S200000,01500,0100,Y 434439,S200000,01501,0200,Y 434439,S200000,01502,0200,Y 434439,S200000,01503,0200,Y 434439,S200000,01504,0200,Y 434439,S200000,01600,0100,N 434439,S200000,01700,0100,N 434439,S200000,01800,0100,N 434439,S200000,02200,0100,Y 434439,S200000,02800,0100,N 434439,S200000,02900,0100,N 434439,S200000,03000,0100,N 434439,S200000,03100,0100,N 434439,S200000,03200,0100,N 434439,S200000,03300,0100,N 434439,S200000,03300,0200,N 434439,S200000,04100,0100,N 434439,S200000,04200,0100,N 434439,S200000,04300,0100,N 434439,S200000,04600,0100,N 434439,S200000,04700,0100,N 434439,S200000,04700,0200,N 434439,S200000,04900,0100,N 434439,S200000,05000,0100,N 434439,S200000,05100,0100,N 434439,S200000,05200,0100,N 434439,S200000,05300,0100,Y 434439,S200000,05300,0200,15H004 434439,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434439,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434439,S200000,05400,0300,00130 434439,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434439,S200000,05600,0100,WARSAW 434439,S200000,05600,0200,IN 434439,S200000,05600,0300,46580 434440,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434440,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434440,A000000,00300,0000,0300EMPLOYEE BENEFITS 434440,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434440,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434440,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434440,A000000,00700,0000,0700HOUSEKEEPING 434440,A000000,00800,0000,0800DIETARY 434440,A000000,00900,0000,0900NURSING ADMINISTRATION 434440,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434440,A000000,01100,0000,1100PHARMACY 434440,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434440,A000000,01300,0000,1300SOCIAL SERVICE 434440,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434440,A000000,01500,0000,1350ACTIVITIES 434440,A000000,01600,0000,1600SKILLED NURSING FACILITY 434440,A000000,01800,0000,1800NURSING FACILITY 434440,A000000,01810,0000,1810ICF/MR 434440,A000000,01900,0000,1900OTHER LONG TERM CARE 434440,A000000,02100,0000,2100RADIOLOGY 434440,A000000,02200,0000,2200LABORATORY 434440,A000000,02300,0000,2300INTRAVENOUS THERAPY 434440,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434440,A000000,02500,0000,2500PHYSICAL THERAPY 434440,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434440,A000000,02700,0000,2700SPEECH PATHOLOGY 434440,A000000,02800,0000,2800ELECTROCARDIOLOGY 434440,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434440,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434440,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434440,A000000,03200,0000,3200SUPPORT SURFACES 434440,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434440,A000000,03400,0000,3400CLINIC 434440,A000000,03500,0000,3500RURAL HEALTH CLINIC 434440,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434440,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434440,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434440,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434440,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434440,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434440,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434440,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434440,A000000,04400,0000,4400DME RENTED - HHA 434440,A000000,04500,0000,4500DME SOLD - HHA 434440,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434440,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434440,A000000,04710,0000,4710TELEMEDICINE 434440,A000000,04800,0000,4800AMBULANCE 434440,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434440,A000000,05000,0000,5000CORF 434440,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434440,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434440,A000000,05300,0000,5300INTEREST EXPENSE 434440,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434440,A000000,05500,0000,5500HOSPICE 434440,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434440,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434440,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434440,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434440,A000000,06100,0000,6100NONPAID WORKERS 434440,A000000,06200,0000,6200PATIENTS LAUNDRY 434440,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434440,A81000A,00100,0100,Y 434440,A81000B,00100,0300,RELATED PARTY THERAPY 434440,A81000B,00200,0300,RELATED PARTY THERAPY 434440,A81000B,00300,0300,RELATED PARTY THERAPY 434440,A81000B,00400,0300,HOME OFFICE COSTS 434440,A81000B,00500,0300,HOME OFFICE COSTS 434440,A81000B,00600,0300,HOME OFFICE COSTS 434440,A81000B,00700,0300,HOME OFFICE COSTS 434440,A81000B,00800,0300,HOME OFFICE COSTS 434440,A81000B,00900,0300,HOME OFFICE COSTS 434440,A81000B,01000,0300,HOME OFFICE COSTS 434440,A81000B,01100,0300,HOME OFFICE COSTS 434440,A81000B,01200,0300,HOME OFFICE COSTS 434440,A81000C,00100,0100,A 434440,A81000C,00100,0400,THERACARE 434440,A81000C,00100,0600,THERAPY MANAGEMENT 434440,A81000C,00200,0100,A 434440,A81000C,00200,0400,THERACARE 434440,A81000C,00200,0600,THERAPY MANAGEMENT 434440,A81000C,00300,0100,A 434440,A81000C,00300,0400,THERACARE 434440,A81000C,00300,0600,THERAPY MANAGEMENT 434440,A81000C,00400,0100,B 434440,A81000C,00400,0400,MHS INC. 434440,A81000C,00400,0600,NURSING HOMES 434440,A81000C,00500,0100,B 434440,A81000C,00500,0400,MHS INC. 434440,A81000C,00500,0600,NURSING HOMES 434440,A81000C,00600,0100,B 434440,A81000C,00600,0400,MHS INC. 434440,A81000C,00600,0600,NURSING HOMES 434440,A81000C,00700,0100,B 434440,A81000C,00700,0400,MHS INC. 434440,A81000C,00700,0600,NURSING HOMES 434440,A81000C,00800,0100,B 434440,A81000C,00800,0400,MHS INC. 434440,A81000C,00800,0600,NURSING HOMES 434440,A81000C,00900,0100,B 434440,A81000C,00900,0400,MHS INC. 434440,A81000C,00900,0600,NURSING HOMES 434440,A81000C,01000,0100,B 434440,A81000C,01000,0400,MHS INC. 434440,A81000C,01000,0600,NURSING HOMES 434440,A81000C,01001,0100,B 434440,A81000C,01001,0400,MHS INC. 434440,A81000C,01001,0600,NURSING HOMES 434440,A81000C,01002,0100,B 434440,A81000C,01002,0400,MHS INC. 434440,A81000C,01002,0600,NURSING HOMES 434440,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434440,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434440,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434440,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434440,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434440,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434440,B100000,00000,0800,0800MEALS SERVED :DIETARY 434440,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434440,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434440,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434440,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434440,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434440,E10A180,00350,0100,09/13/11 434440,E10A180,00501,0100,04/30/12 434440,G300000,02500,0000,OTHER REVENUE 434440,S000000,00100,0200,03/02/12 434440,S200000,00100,0100,787 NORTH DETROIT STREET 434440,S200000,00100,0300,89 434440,S200000,00200,0100,LAGRANGE 434440,S200000,00200,0200,IN 434440,S200000,00200,0300,46761 434440,S200000,00300,0100,LAGRANGE 434440,S200000,00300,0200,15 434440,S200000,00300,0201,99915 434440,S200000,00300,0300,R 434440,S200000,00400,0100,MHS INC. D/B/A MMM - LAGRANGE 434440,S200000,00400,0200,155118 434440,S200000,00400,0300,08/11/70 434440,S200000,00400,0500,P 434440,S200000,01500,0100,Y 434440,S200000,01501,0200,Y 434440,S200000,01502,0200,Y 434440,S200000,01503,0200,Y 434440,S200000,01504,0200,Y 434440,S200000,01600,0100,N 434440,S200000,01700,0100,N 434440,S200000,01800,0100,N 434440,S200000,02200,0100,Y 434440,S200000,02800,0100,Y 434440,S200000,02900,0100,N 434440,S200000,03000,0100,N 434440,S200000,03100,0100,N 434440,S200000,03200,0100,N 434440,S200000,03300,0100,N 434440,S200000,03300,0200,N 434440,S200000,04100,0100,N 434440,S200000,04200,0100,N 434440,S200000,04300,0100,N 434440,S200000,04600,0100,N 434440,S200000,04700,0100,N 434440,S200000,04700,0200,N 434440,S200000,04900,0100,N 434440,S200000,05000,0100,N 434440,S200000,05100,0100,N 434440,S200000,05200,0100,N 434440,S200000,05300,0100,Y 434440,S200000,05300,0200,15H004 434440,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434440,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434440,S200000,05400,0300,00130 434440,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434440,S200000,05600,0100,WARSAW 434440,S200000,05600,0200,IN 434440,S200000,05600,0300,46580 434441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434441,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434441,A000000,00300,0000,0300EMPLOYEE BENEFITS 434441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434441,A000000,00700,0000,0700HOUSEKEEPING 434441,A000000,00800,0000,0800DIETARY 434441,A000000,00900,0000,0900NURSING ADMINISTRATION 434441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434441,A000000,01100,0000,1100PHARMACY 434441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434441,A000000,01300,0000,1300SOCIAL SERVICE 434441,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434441,A000000,01500,0000,1350ACTIVITIES 434441,A000000,01600,0000,1600SKILLED NURSING FACILITY 434441,A000000,01800,0000,1800NURSING FACILITY 434441,A000000,01810,0000,1810ICF/MR 434441,A000000,01900,0000,1900OTHER LONG TERM CARE 434441,A000000,02100,0000,2100RADIOLOGY 434441,A000000,02200,0000,2200LABORATORY 434441,A000000,02300,0000,2300INTRAVENOUS THERAPY 434441,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434441,A000000,02500,0000,2500PHYSICAL THERAPY 434441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434441,A000000,02700,0000,2700SPEECH PATHOLOGY 434441,A000000,02800,0000,2800ELECTROCARDIOLOGY 434441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434441,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434441,A000000,03200,0000,3200SUPPORT SURFACES 434441,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434441,A000000,03400,0000,3400CLINIC 434441,A000000,03500,0000,3500RURAL HEALTH CLINIC 434441,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434441,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434441,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434441,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434441,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434441,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434441,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434441,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434441,A000000,04400,0000,4400DME RENTED - HHA 434441,A000000,04500,0000,4500DME SOLD - HHA 434441,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434441,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434441,A000000,04710,0000,4710TELEMEDICINE 434441,A000000,04800,0000,4800AMBULANCE 434441,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434441,A000000,05000,0000,5000CORF 434441,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434441,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434441,A000000,05300,0000,5300INTEREST EXPENSE 434441,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434441,A000000,05500,0000,5500HOSPICE 434441,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434441,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434441,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434441,A000000,06100,0000,6100NONPAID WORKERS 434441,A000000,06200,0000,6200PATIENTS LAUNDRY 434441,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434441,A81000A,00100,0100,Y 434441,A81000B,00100,0300,RELATED PARTY LEASE 434441,A81000B,00200,0300,RELATED PARTY THERAPY 434441,A81000B,00300,0300,RELATED PARTY THERAPY 434441,A81000B,00400,0300,RELATED PARTY THERAPY 434441,A81000B,00500,0300,HOME OFFICE COSTS 434441,A81000B,00600,0300,HOME OFFICE COSTS 434441,A81000B,00700,0300,HOME OFFICE COSTS 434441,A81000B,00800,0300,HOME OFFICE COSTS 434441,A81000B,00900,0300,HOME OFFICE COSTS 434441,A81000B,01000,0300,HOME OFFICE COSTS 434441,A81000B,01100,0300,HOME OFFICE COSTS 434441,A81000B,01200,0300,HOME OFFICE COSTS 434441,A81000B,01300,0300,HOME OFFICE COSTS 434441,A81000C,00100,0100,A 434441,A81000C,00100,0400,MMM INVEST INC. 434441,A81000C,00100,0600,PROPERTY LEASING 434441,A81000C,00200,0100,A 434441,A81000C,00200,0400,THERACARE 434441,A81000C,00200,0600,THERAPY MANAGEMENT 434441,A81000C,00300,0100,A 434441,A81000C,00300,0400,THERACARE 434441,A81000C,00300,0600,THERAPY MANAGEMENT 434441,A81000C,00400,0100,A 434441,A81000C,00400,0400,THERACARE 434441,A81000C,00400,0600,THERAPY MANAGEMENT 434441,A81000C,00500,0100,B 434441,A81000C,00500,0400,MHS INC. 434441,A81000C,00500,0600,NURSING HOMES 434441,A81000C,00600,0100,B 434441,A81000C,00600,0400,MHS INC. 434441,A81000C,00600,0600,NURSING HOMES 434441,A81000C,00700,0100,B 434441,A81000C,00700,0400,MHS INC. 434441,A81000C,00700,0600,NURSING HOMES 434441,A81000C,00800,0100,B 434441,A81000C,00800,0400,MHS INC. 434441,A81000C,00800,0600,NURSING HOMES 434441,A81000C,00900,0100,B 434441,A81000C,00900,0400,MHS INC. 434441,A81000C,00900,0600,NURSING HOMES 434441,A81000C,01000,0100,B 434441,A81000C,01000,0400,MHS INC. 434441,A81000C,01000,0600,NURSING HOMES 434441,A81000C,01001,0100,B 434441,A81000C,01001,0400,MHS INC. 434441,A81000C,01001,0600,NURSING HOMES 434441,A81000C,01002,0100,B 434441,A81000C,01002,0400,MHS INC. 434441,A81000C,01002,0600,NURSING HOMES 434441,A81000C,01003,0100,B 434441,A81000C,01003,0400,MHS INC. 434441,A81000C,01003,0600,NURSING HOMES 434441,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434441,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434441,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434441,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434441,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434441,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434441,B100000,00000,0800,0800MEALS SERVED :DIETARY 434441,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434441,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434441,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434441,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434441,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434441,E10A180,00301,0100,09/13/11 434441,E10A180,00550,0100,04/23/12 434441,G300000,02500,0000,OTHER REVENUE 434441,S000000,00100,0200,03/02/12 434441,S200000,00100,0100,200 - 26TH STREET 434441,S200000,00200,0100,LOGANSPORT 434441,S200000,00200,0200,IN 434441,S200000,00200,0300,46947 434441,S200000,00300,0100,CASS 434441,S200000,00300,0201,99915 434441,S200000,00300,0300,R 434441,S200000,00400,0100,MHS INC. D/B/A MMM - LOGANSPORT 434441,S200000,00400,0200,155235 434441,S200000,00400,0300,06/01/84 434441,S200000,00400,0500,P 434441,S200000,01500,0100,Y 434441,S200000,01501,0200,Y 434441,S200000,01502,0200,Y 434441,S200000,01503,0200,Y 434441,S200000,01504,0200,Y 434441,S200000,01600,0100,N 434441,S200000,01700,0100,N 434441,S200000,01800,0100,N 434441,S200000,02200,0100,Y 434441,S200000,02800,0100,Y 434441,S200000,02900,0100,N 434441,S200000,03000,0100,N 434441,S200000,03100,0100,N 434441,S200000,03200,0100,N 434441,S200000,03300,0100,N 434441,S200000,03300,0200,N 434441,S200000,04100,0100,N 434441,S200000,04200,0100,N 434441,S200000,04300,0100,N 434441,S200000,04600,0100,N 434441,S200000,04700,0100,N 434441,S200000,04700,0200,N 434441,S200000,04900,0100,N 434441,S200000,05000,0100,N 434441,S200000,05100,0100,N 434441,S200000,05200,0100,N 434441,S200000,05300,0100,Y 434441,S200000,05300,0200,15H004 434441,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434441,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434441,S200000,05400,0300,00130 434441,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434441,S200000,05600,0100,WARSAW 434441,S200000,05600,0200,IN 434441,S200000,05600,0300,46580 434442,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434442,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434442,A000000,00300,0000,0300EMPLOYEE BENEFITS 434442,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434442,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434442,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434442,A000000,00700,0000,0700HOUSEKEEPING 434442,A000000,00800,0000,0800DIETARY 434442,A000000,00900,0000,0900NURSING ADMINISTRATION 434442,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434442,A000000,01100,0000,1100PHARMACY 434442,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434442,A000000,01300,0000,1300SOCIAL SERVICE 434442,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434442,A000000,01500,0000,1350OTHER GENERAL SERVICES 434442,A000000,01600,0000,1600SKILLED NURSING FACILITY 434442,A000000,01800,0000,1800NURSING FACILITY 434442,A000000,01810,0000,1810ICF/MR 434442,A000000,01900,0000,1900OTHER LONG TERM CARE 434442,A000000,02100,0000,2100RADIOLOGY 434442,A000000,02200,0000,2200LABORATORY 434442,A000000,02300,0000,2300INTRAVENOUS THERAPY 434442,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434442,A000000,02500,0000,2500PHYSICAL THERAPY 434442,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434442,A000000,02700,0000,2700SPEECH PATHOLOGY 434442,A000000,02800,0000,2800ELECTROCARDIOLOGY 434442,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434442,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434442,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434442,A000000,03200,0000,3200SUPPORT SURFACES 434442,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434442,A000000,03400,0000,3400CLINIC 434442,A000000,03500,0000,3500RURAL HEALTH CLINIC 434442,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434442,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434442,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434442,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434442,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434442,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434442,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434442,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434442,A000000,04400,0000,4400DME RENTED - HHA 434442,A000000,04500,0000,4500DME SOLD - HHA 434442,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434442,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434442,A000000,04710,0000,4710TELEMEDICINE 434442,A000000,04800,0000,4800AMBULANCE 434442,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434442,A000000,05000,0000,5000CORF 434442,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434442,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434442,A000000,05300,0000,5300INTEREST EXPENSE 434442,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434442,A000000,05500,0000,5500HOSPICE 434442,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434442,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434442,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434442,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434442,A000000,06100,0000,6100NONPAID WORKERS 434442,A000000,06200,0000,6200PATIENTS LAUNDRY 434442,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434442,A81000A,00100,0100,Y 434442,A81000B,00100,0300,RENT 434442,A81000B,00200,0300,AMORTIZATION 434442,A81000B,00300,0300,COMPUTER/INTERNET 434442,A81000B,00400,0300,DEPRECIATION 434442,A81000B,00500,0300,DUES & SUBSCRIPTIONS 434442,A81000B,00600,0300,FINANCE FEES - MORTGAGE 434442,A81000B,00700,0300,INTEREST - MORTGAGE 434442,A81000B,00800,0300,OFFICE SUPPLIES 434442,A81000B,00900,0300,PROPERTY TAXES 434442,A81000C,00100,0100,C 434442,A81000C,00100,0200,CD ENTERPRISES LLC 434442,A81000C,00100,0400,CD ENTERPRISES LLC 434442,A81000C,00100,0600,HOLDING COMPANY 434442,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434442,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434442,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434442,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434442,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434442,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434442,B100000,00000,0800,0800MEALS SERVED :DIETARY 434442,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434442,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434442,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434442,E00A183,01620,0000,MEDICARE REIMBURSEMENT ADJUSTMENTS 434442,E10A180,00301,0100,09/30/11 434442,E10A180,00350,0100,09/13/11 434442,E10A180,00550,0100,03/22/12 434442,G300000,02500,0000,PERSONAL PURCHASES REVENUE 434442,G300000,02501,0000,VENDING REVNUE 434442,G300000,02502,0000,MISCELLANEOUS REVENUE 434442,S000000,00100,0200,02/27/12 434442,S200000,00100,0100,36 VALLEY DRIVE 434442,S200000,00200,0100,LAWRENCEBURG 434442,S200000,00200,0200,IN 434442,S200000,00200,0300,47025 434442,S200000,00300,0100,DEARBORN 434442,S200000,00300,0200,1640 434442,S200000,00300,0201,17140 434442,S200000,00300,0300,U 434442,S200000,00400,0100,SHADY NOOK CARE CENTER 434442,S200000,00400,0200,155525 434442,S200000,00400,0300,05/09/94 434442,S200000,00400,0500,P 434442,S200000,01500,0100,Y 434442,S200000,01600,0100,N 434442,S200000,01700,0100,N 434442,S200000,01800,0100,N 434442,S200000,02200,0100,N 434442,S200000,02800,0100,N 434442,S200000,02900,0100,N 434442,S200000,03000,0100,N 434442,S200000,03100,0100,N 434442,S200000,03200,0100,N 434442,S200000,03300,0100,N 434442,S200000,03300,0200,N 434442,S200000,04100,0100,N 434442,S200000,04200,0100,N 434442,S200000,04300,0100,N 434442,S200000,04600,0100,N 434442,S200000,04700,0100,N 434442,S200000,04700,0200,N 434442,S200000,04900,0100,N 434442,S200000,05000,0100,N 434442,S200000,05100,0100,N 434442,S200000,05200,0100,N 434443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434443,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434443,A000000,00300,0000,0300EMPLOYEE BENEFITS 434443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434443,A000000,00700,0000,0700HOUSEKEEPING 434443,A000000,00800,0000,0800DIETARY 434443,A000000,00900,0000,0900NURSING ADMINISTRATION 434443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434443,A000000,01100,0000,1100PHARMACY 434443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434443,A000000,01300,0000,1300SOCIAL SERVICE 434443,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434443,A000000,01500,0000,1350ACTIVITIES 434443,A000000,01600,0000,1600SKILLED NURSING FACILITY 434443,A000000,01800,0000,1800NURSING FACILITY 434443,A000000,01810,0000,1810ICF/MR 434443,A000000,01900,0000,1900OTHER LONG TERM CARE 434443,A000000,02100,0000,2100RADIOLOGY 434443,A000000,02200,0000,2200LABORATORY 434443,A000000,02300,0000,2300INTRAVENOUS THERAPY 434443,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434443,A000000,02500,0000,2500PHYSICAL THERAPY 434443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434443,A000000,02700,0000,2700SPEECH PATHOLOGY 434443,A000000,02800,0000,2800ELECTROCARDIOLOGY 434443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434443,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434443,A000000,03200,0000,3200SUPPORT SURFACES 434443,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434443,A000000,03400,0000,3400CLINIC 434443,A000000,03500,0000,3500RURAL HEALTH CLINIC 434443,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434443,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434443,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434443,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434443,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434443,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434443,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434443,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434443,A000000,04400,0000,4400DME RENTED - HHA 434443,A000000,04500,0000,4500DME SOLD - HHA 434443,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434443,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434443,A000000,04710,0000,4710TELEMEDICINE 434443,A000000,04800,0000,4800AMBULANCE 434443,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434443,A000000,05000,0000,5000CORF 434443,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434443,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434443,A000000,05300,0000,5300INTEREST EXPENSE 434443,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434443,A000000,05500,0000,5500HOSPICE 434443,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434443,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434443,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434443,A000000,06100,0000,6100NONPAID WORKERS 434443,A000000,06200,0000,6200PATIENTS LAUNDRY 434443,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434443,A81000A,00100,0100,Y 434443,A81000B,00100,0300,RELATED PARTY THERAPY 434443,A81000B,00200,0300,RELATED PARTY THERAPY 434443,A81000B,00300,0300,RELATED PARTY THERAPY 434443,A81000B,00400,0300,HOME OFFICE COSTS 434443,A81000B,00500,0300,HOME OFFICE COSTS 434443,A81000B,00600,0300,HOME OFFICE COSTS 434443,A81000B,00700,0300,HOME OFFICE COSTS 434443,A81000B,00800,0300,HOME OFFICE COSTS 434443,A81000B,00900,0300,HOME OFFICE COSTS 434443,A81000B,01000,0300,HOME OFFICE COSTS 434443,A81000B,01100,0300,HOME OFFICE COSTS 434443,A81000B,01200,0300,HOME OFFICE COSTS 434443,A81000C,00100,0100,A 434443,A81000C,00100,0400,THERACARE 434443,A81000C,00100,0600,THERAPY MANAGEMENT 434443,A81000C,00200,0100,A 434443,A81000C,00200,0400,THERACARE 434443,A81000C,00200,0600,THERAPY MANAGEMENT 434443,A81000C,00300,0100,A 434443,A81000C,00300,0400,THERACARE 434443,A81000C,00300,0600,THERAPY MANAGEMENT 434443,A81000C,00400,0100,B 434443,A81000C,00400,0400,MHS INC. 434443,A81000C,00400,0600,NURSING HOMES 434443,A81000C,00500,0100,B 434443,A81000C,00500,0400,MHS INC. 434443,A81000C,00500,0600,NURSING HOMES 434443,A81000C,00600,0100,B 434443,A81000C,00600,0400,MHS INC. 434443,A81000C,00600,0600,NURSING HOMES 434443,A81000C,00700,0100,B 434443,A81000C,00700,0400,MHS INC. 434443,A81000C,00700,0600,NURSING HOMES 434443,A81000C,00800,0100,B 434443,A81000C,00800,0400,MHS INC. 434443,A81000C,00800,0600,NURSING HOMES 434443,A81000C,00900,0100,B 434443,A81000C,00900,0400,MHS INC. 434443,A81000C,00900,0600,NURSING HOMES 434443,A81000C,01000,0100,B 434443,A81000C,01000,0400,MHS INC. 434443,A81000C,01000,0600,NURSING HOMES 434443,A81000C,01001,0100,B 434443,A81000C,01001,0400,MHS INC. 434443,A81000C,01001,0600,NURSING HOMES 434443,A81000C,01002,0100,B 434443,A81000C,01002,0400,MHS INC. 434443,A81000C,01002,0600,NURSING HOMES 434443,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434443,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434443,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434443,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434443,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434443,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434443,B100000,00000,0800,0800MEALS SERVED :DIETARY 434443,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434443,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434443,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434443,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434443,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434443,E10A180,00301,0100,09/13/11 434443,E10A180,00550,0100,04/30/12 434443,G300000,02500,0000,OTHER REVENUE 434443,S000000,00100,0200,03/02/12 434443,S200000,00100,0100,300 FAIRGROUNDS ROAD 434443,S200000,00200,0100,TIPTON 434443,S200000,00200,0200,IN 434443,S200000,00200,0300,46072-2065 434443,S200000,00300,0100,TIPTON 434443,S200000,00300,0200,3850 434443,S200000,00300,0201,29020 434443,S200000,00300,0300,U 434443,S200000,00400,0100,MHS INC. D/B/A MMM - TIPTON 434443,S200000,00400,0200,155556 434443,S200000,00400,0300,04/01/95 434443,S200000,00400,0500,P 434443,S200000,01500,0100,Y 434443,S200000,01501,0200,Y 434443,S200000,01502,0200,Y 434443,S200000,01503,0200,Y 434443,S200000,01504,0200,Y 434443,S200000,01600,0100,N 434443,S200000,01700,0100,N 434443,S200000,01800,0100,N 434443,S200000,02200,0100,Y 434443,S200000,02800,0100,Y 434443,S200000,02900,0100,N 434443,S200000,03000,0100,N 434443,S200000,03100,0100,N 434443,S200000,03200,0100,N 434443,S200000,03300,0100,N 434443,S200000,03300,0200,N 434443,S200000,04100,0100,N 434443,S200000,04200,0100,N 434443,S200000,04300,0100,N 434443,S200000,04600,0100,N 434443,S200000,04700,0100,N 434443,S200000,04700,0200,N 434443,S200000,04900,0100,N 434443,S200000,05000,0100,N 434443,S200000,05100,0100,N 434443,S200000,05200,0100,N 434443,S200000,05300,0100,Y 434443,S200000,05300,0200,15H004 434443,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434443,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434443,S200000,05400,0300,00130 434443,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434443,S200000,05600,0100,WARSAW 434443,S200000,05600,0200,IN 434443,S200000,05600,0300,46580 434444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434444,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434444,A000000,00300,0000,0300EMPLOYEE BENEFITS 434444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434444,A000000,00700,0000,0700HOUSEKEEPING 434444,A000000,00800,0000,0800DIETARY 434444,A000000,00900,0000,0900NURSING ADMINISTRATION 434444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434444,A000000,01100,0000,1100PHARMACY 434444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434444,A000000,01300,0000,1300SOCIAL SERVICE 434444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434444,A000000,01500,0000,1350ACTIVITIES 434444,A000000,01600,0000,1600SKILLED NURSING FACILITY 434444,A000000,01800,0000,1800NURSING FACILITY 434444,A000000,01810,0000,1810ICF/MR 434444,A000000,01900,0000,1900OTHER LONG TERM CARE 434444,A000000,02100,0000,2100RADIOLOGY 434444,A000000,02200,0000,2200LABORATORY 434444,A000000,02300,0000,2300INTRAVENOUS THERAPY 434444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434444,A000000,02500,0000,2500PHYSICAL THERAPY 434444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434444,A000000,02700,0000,2700SPEECH PATHOLOGY 434444,A000000,02800,0000,2800ELECTROCARDIOLOGY 434444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434444,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434444,A000000,03200,0000,3200SUPPORT SURFACES 434444,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434444,A000000,03400,0000,3400CLINIC 434444,A000000,03500,0000,3500RURAL HEALTH CLINIC 434444,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434444,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434444,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434444,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434444,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434444,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434444,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434444,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434444,A000000,04400,0000,4400DME RENTED - HHA 434444,A000000,04500,0000,4500DME SOLD - HHA 434444,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434444,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434444,A000000,04710,0000,4710TELEMEDICINE 434444,A000000,04800,0000,4800AMBULANCE 434444,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434444,A000000,05000,0000,5000CORF 434444,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434444,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434444,A000000,05300,0000,5300INTEREST EXPENSE 434444,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434444,A000000,05500,0000,5500HOSPICE 434444,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434444,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434444,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434444,A000000,06100,0000,6100NONPAID WORKERS 434444,A000000,06200,0000,6200PATIENTS LAUNDRY 434444,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434444,A81000A,00100,0100,Y 434444,A81000B,00100,0300,RELATED PARTY THERAPY 434444,A81000B,00200,0300,RELATED PARTY THERAPY 434444,A81000B,00300,0300,RELATED PARTY THERAPY 434444,A81000B,00400,0300,HOME OFFICE COSTS 434444,A81000B,00500,0300,HOME OFFICE COSTS 434444,A81000B,00600,0300,HOME OFFICE COSTS 434444,A81000B,00700,0300,HOME OFFICE COSTS 434444,A81000B,00800,0300,HOME OFFICE COSTS 434444,A81000B,00900,0300,HOME OFFICE COSTS 434444,A81000B,01000,0300,HOME OFFICE COSTS 434444,A81000B,01100,0300,HOME OFFICE COSTS 434444,A81000B,01200,0300,HOME OFFICE COSTS 434444,A81000C,00100,0100,A 434444,A81000C,00100,0400,THERACARE 434444,A81000C,00100,0600,THERAPY MANAGEMENT 434444,A81000C,00200,0100,A 434444,A81000C,00200,0400,THERACARE 434444,A81000C,00200,0600,THERAPY MANAGEMENT 434444,A81000C,00300,0100,A 434444,A81000C,00300,0400,THERACARE 434444,A81000C,00300,0600,THERAPY MANAGEMENT 434444,A81000C,00400,0100,B 434444,A81000C,00400,0400,MHS INC. 434444,A81000C,00400,0600,NURSING HOMES 434444,A81000C,00500,0100,B 434444,A81000C,00500,0400,MHS INC. 434444,A81000C,00500,0600,NURSING HOMES 434444,A81000C,00600,0100,B 434444,A81000C,00600,0400,MHS INC. 434444,A81000C,00600,0600,NURSING HOMES 434444,A81000C,00700,0100,B 434444,A81000C,00700,0400,MHS INC. 434444,A81000C,00700,0600,NURSING HOMES 434444,A81000C,00800,0100,B 434444,A81000C,00800,0400,MHS INC. 434444,A81000C,00800,0600,NURSING HOMES 434444,A81000C,00900,0100,B 434444,A81000C,00900,0400,MHS INC. 434444,A81000C,00900,0600,NURSING HOMES 434444,A81000C,01000,0100,B 434444,A81000C,01000,0400,MHS INC. 434444,A81000C,01000,0600,NURSING HOMES 434444,A81000C,01001,0100,B 434444,A81000C,01001,0400,MHS INC. 434444,A81000C,01001,0600,NURSING HOMES 434444,A81000C,01002,0100,B 434444,A81000C,01002,0400,MHS INC. 434444,A81000C,01002,0600,NURSING HOMES 434444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434444,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434444,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434444,B100000,00000,0800,0800MEALS SERVED :DIETARY 434444,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434444,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434444,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434444,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434444,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434444,E10A180,00501,0100,04/17/12 434444,G300000,02500,0000,OTHER REVENUE 434444,S000000,00100,0200,03/02/12 434444,S200000,00100,0100,11563 W. 300 SOUTH 434444,S200000,00100,0300,265 434444,S200000,00200,0100,DUNKIRK 434444,S200000,00200,0200,IN 434444,S200000,00200,0300,47336 434444,S200000,00300,0100,JAY 434444,S200000,00300,0201,99915 434444,S200000,00300,0300,R 434444,S200000,00400,0100,MHS INC. D/B/A MMM - DUNKIRK 434444,S200000,00400,0200,155571 434444,S200000,00400,0300,08/01/95 434444,S200000,00400,0500,P 434444,S200000,01500,0100,Y 434444,S200000,01501,0200,Y 434444,S200000,01502,0200,Y 434444,S200000,01503,0200,Y 434444,S200000,01504,0200,Y 434444,S200000,01600,0100,N 434444,S200000,01700,0100,N 434444,S200000,01800,0100,N 434444,S200000,02200,0100,N 434444,S200000,02800,0100,Y 434444,S200000,02900,0100,N 434444,S200000,03000,0100,N 434444,S200000,03100,0100,N 434444,S200000,03200,0100,N 434444,S200000,03300,0100,N 434444,S200000,03300,0200,N 434444,S200000,04100,0100,N 434444,S200000,04200,0100,N 434444,S200000,04300,0100,N 434444,S200000,04600,0100,N 434444,S200000,04700,0100,N 434444,S200000,04700,0200,N 434444,S200000,04900,0100,N 434444,S200000,05000,0100,N 434444,S200000,05100,0100,N 434444,S200000,05200,0100,N 434444,S200000,05300,0100,Y 434444,S200000,05300,0200,15H004 434444,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434444,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434444,S200000,05400,0300,00130 434444,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434444,S200000,05600,0100,WARSAW 434444,S200000,05600,0200,IN 434444,S200000,05600,0300,46580 434445,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434445,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434445,A000000,00300,0000,0300EMPLOYEE BENEFITS 434445,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434445,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434445,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434445,A000000,00700,0000,0700HOUSEKEEPING 434445,A000000,00800,0000,0800DIETARY 434445,A000000,00900,0000,0900NURSING ADMINISTRATION 434445,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434445,A000000,01100,0000,1100PHARMACY 434445,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434445,A000000,01300,0000,1300SOCIAL SERVICE 434445,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434445,A000000,01500,0000,1350PATIENT ACTIVITIES 434445,A000000,01600,0000,1600SKILLED NURSING FACILITY 434445,A000000,01810,0000,1810ICF/MR 434445,A000000,02100,0000,2100RADIOLOGY 434445,A000000,02200,0000,2200LABORATORY 434445,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434445,A000000,02500,0000,2500PHYSICAL THERAPY 434445,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434445,A000000,02700,0000,2700SPEECH PATHOLOGY 434445,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434445,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434445,A000000,03300,0000,3050BED RENTALS 434445,A000000,03550,0000,3550FQHC 434445,A000000,05000,0000,5000CORF 434445,A000000,05010,0000,5010CMHC 434445,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434445,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434445,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434445,A000000,05300,0000,5300INTEREST EXPENSE 434445,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434445,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434445,A81000A,00100,0100,Y 434445,A81000B,00100,0300,MANAGEMENT SERVICES 434445,A81000C,00100,0100,B 434445,A81000C,00100,0200,UNITED METHODIS 434445,A81000C,00100,0400,UNITED METHODIS 434445,A81000C,00100,0600,MANAGEMENT SERV 434445,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434445,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434445,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434445,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434445,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434445,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434445,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434445,B100000,00000,0800,0800MEALS SERVED :DIETARY 434445,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434445,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434445,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434445,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434445,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 434445,E10A180,00501,0100,03/22/12 434445,E10A180,00501,0300,03/22/12 434445,S000000,00100,0200,02/28/12 434445,S200000,00100,0100,34 SOUTH MAIN STREET 434445,S200000,00100,0300,247 434445,S200000,00200,0100,CLOVERDALE 434445,S200000,00200,0200,IN 434445,S200000,00200,0300,46120 434445,S200000,00300,0100,PUTNAM 434445,S200000,00300,0201,U 434445,S200000,00300,0300,U 434445,S200000,00400,0100,WESLEYAN HOMES OF INDIANA INC. 434445,S200000,00400,0200,155587 434445,S200000,00400,0300,01/01/98 434445,S200000,00400,0500,P 434445,S200000,01500,0100,Y 434445,S200000,01501,0200,N 434445,S200000,01503,0200,Y 434445,S200000,01600,0100,N 434445,S200000,01700,0100,N 434445,S200000,01800,0100,N 434445,S200000,02200,0100,Y 434445,S200000,02800,0100,N 434445,S200000,02900,0100,N 434445,S200000,03000,0100,N 434445,S200000,03100,0100,N 434445,S200000,03200,0100,N 434445,S200000,03300,0100,N 434445,S200000,03300,0200,N 434445,S200000,04100,0100,N 434445,S200000,04200,0100,N 434445,S200000,04300,0100,N 434445,S200000,04600,0100,N 434445,S200000,04700,0100,N 434445,S200000,04700,0200,N 434445,S200000,04900,0100,N 434445,S200000,05000,0100,N 434445,S200000,05100,0100,N 434445,S200000,05200,0100,N 434445,S200000,05300,0100,Y 434446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434446,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434446,A000000,00300,0000,0300EMPLOYEE BENEFITS 434446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434446,A000000,00700,0000,0700HOUSEKEEPING 434446,A000000,00800,0000,0800DIETARY 434446,A000000,00900,0000,0900NURSING ADMINISTRATION 434446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434446,A000000,01300,0000,1300SOCIAL SERVICE 434446,A000000,01500,0000,1350ACTIVITIES 434446,A000000,01600,0000,1600SKILLED NURSING FACILITY 434446,A000000,01800,0000,1800NURSING FACILITY 434446,A000000,01810,0000,1810ICF/MR 434446,A000000,01900,0000,1900OTHER LONG TERM CARE 434446,A000000,02100,0000,2100RADIOLOGY 434446,A000000,02200,0000,2200LABORATORY 434446,A000000,02300,0000,2300INTRAVENOUS THERAPY 434446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434446,A000000,02500,0000,2500PHYSICAL THERAPY 434446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434446,A000000,02700,0000,2700SPEECH PATHOLOGY 434446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434446,A000000,03200,0000,3200SUPPORT SURFACES 434446,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434446,A000000,03400,0000,3400CLINIC 434446,A000000,03500,0000,3500RURAL HEALTH CLINIC 434446,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434446,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434446,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434446,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434446,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434446,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434446,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434446,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434446,A000000,04400,0000,4400DME RENTED - HHA 434446,A000000,04500,0000,4500DME SOLD - HHA 434446,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434446,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434446,A000000,04710,0000,4710TELEMEDICINE 434446,A000000,04800,0000,4800AMBULANCE 434446,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434446,A000000,05000,0000,5000CORF 434446,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434446,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434446,A000000,05300,0000,5300INTEREST EXPENSE 434446,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434446,A000000,05500,0000,5500HOSPICE 434446,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434446,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434446,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434446,A000000,06100,0000,6100NONPAID WORKERS 434446,A000000,06200,0000,6200PATIENTS LAUNDRY 434446,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434446,A81000A,00100,0100,N 434446,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434446,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434446,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434446,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434446,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434446,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434446,B100000,00000,0800,0800MEALS SERVED :DIETARY 434446,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 434446,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434446,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434446,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 434446,G300000,02500,0000,OTHER (SPECIFY) 434446,S000000,00100,0200,03/02/12 434446,S200000,00100,0100,820 ELM STREET 434446,S200000,00200,0100,ST. MARIES 434446,S200000,00200,0200,ID 434446,S200000,00200,0300,83861 434446,S200000,00300,0100,BENEWAH 434446,S200000,00300,0200,13 434446,S200000,00300,0201,99913 434446,S200000,00300,0300,R 434446,S200000,00400,0100,VALLEY VISTA CARE CTR OF ST. MARIES 434446,S200000,00400,0200,135075 434446,S200000,00400,0300,06/01/88 434446,S200000,00400,0500,P 434446,S200000,01500,0100,Y 434446,S200000,01600,0100,N 434446,S200000,01700,0100,N 434446,S200000,01800,0100,N 434446,S200000,02200,0100,N 434446,S200000,02800,0100,N 434446,S200000,02900,0100,N 434446,S200000,03000,0100,N 434446,S200000,03100,0100,N 434446,S200000,03200,0100,N 434446,S200000,03300,0100,N 434446,S200000,03300,0200,N 434446,S200000,04100,0100,N 434446,S200000,04200,0100,N 434446,S200000,04300,0100,N 434446,S200000,04600,0100,N 434446,S200000,04700,0100,N 434446,S200000,04700,0200,N 434446,S200000,04900,0100,N 434446,S200000,05000,0100,N 434446,S200000,05100,0100,N 434446,S200000,05200,0100,N 434446,S200000,05300,0100,Y 434446,S200000,05300,0200,N/A 434446,S200000,05400,0100,VALLEY VISTA CARE SERVICES 434446,S200000,05400,0200,NORIDIAN ADMINISTRATIVE SERVICES 434446,S200000,05400,0300, 00N/A 434446,S200000,05500,0100,820 ELM ST 434446,S200000,05600,0100,ST. MARIES 434446,S200000,05600,0200,ID 434446,S200000,05600,0300,83861 434458,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434458,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434458,A000000,00300,0000,0300EMPLOYEE BENEFITS 434458,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434458,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434458,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434458,A000000,00700,0000,0700HOUSEKEEPING 434458,A000000,00800,0000,0800DIETARY 434458,A000000,00900,0000,0900NURSING ADMINISTRATION 434458,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434458,A000000,01100,0000,1100PHARMACY 434458,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434458,A000000,01300,0000,1300SOCIAL SERVICE 434458,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434458,A000000,01500,0000,1350ACTIVITIES 434458,A000000,01600,0000,1600SKILLED NURSING FACILITY 434458,A000000,01800,0000,1800NURSING FACILITY 434458,A000000,01810,0000,1810ICF/MR 434458,A000000,01900,0000,1900OTHER LONG TERM CARE 434458,A000000,02100,0000,2100RADIOLOGY 434458,A000000,02200,0000,2200LABORATORY 434458,A000000,02300,0000,2300INTRAVENOUS THERAPY 434458,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434458,A000000,02500,0000,2500PHYSICAL THERAPY 434458,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434458,A000000,02700,0000,2700SPEECH PATHOLOGY 434458,A000000,02800,0000,2800ELECTROCARDIOLOGY 434458,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434458,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434458,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434458,A000000,03200,0000,3200SUPPORT SURFACES 434458,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434458,A000000,03400,0000,3400CLINIC 434458,A000000,03500,0000,3500RURAL HEALTH CLINIC 434458,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434458,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434458,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434458,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434458,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434458,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434458,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434458,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434458,A000000,04400,0000,4400DME RENTED - HHA 434458,A000000,04500,0000,4500DME SOLD - HHA 434458,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434458,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434458,A000000,04710,0000,4710TELEMEDICINE 434458,A000000,04800,0000,4800AMBULANCE 434458,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434458,A000000,05000,0000,5000CORF 434458,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434458,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434458,A000000,05300,0000,5300INTEREST EXPENSE 434458,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434458,A000000,05500,0000,5500HOSPICE 434458,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434458,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434458,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434458,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434458,A000000,06100,0000,6100NONPAID WORKERS 434458,A000000,06200,0000,6200PATIENTS LAUNDRY 434458,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434458,A81000A,00100,0100,Y 434458,A81000B,00100,0300,WATERS CONSULTING 434458,A81000B,00200,0300,WATERS CONSULTING 434458,A81000B,00300,0300,WATERS CONSULTING 434458,A81000B,00400,0300,WATERS CONSULTING 434458,A81000B,00500,0300,WATERS CONSULTING 434458,A81000B,00600,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,00700,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,00800,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,00900,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,01000,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,01100,0300,ADDIT SVP & QR CONSULTING 434458,A81000B,01200,0300,ADDIT SVP & QR CONSULTING 434458,A81000C,00100,0100,B 434458,A81000C,00100,0200,THE WATERS OF INDIANA III 434458,A81000C,00100,0400,THE WATERS CONSULTING 434458,A81000C,00100,0600,CONSULTING SERVICES 434458,A81000C,00200,0100,B 434458,A81000C,00200,0200,THE WATERS OF INDIANA III 434458,A81000C,00200,0400,ADDIT SVP & QR CONSULT 434458,A81000C,00200,0600,CONSULTING SERVICES 434458,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434458,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434458,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434458,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434458,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434458,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434458,B100000,00000,0800,0800MEALS SERVED :DIETARY 434458,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434458,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434458,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434458,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434458,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434458,E10A180,00301,0100,10/16/11 434458,E10A180,00501,0100,05/10/12 434458,G300000,02501,0000,PERSONAL PURCHASES 434458,G300000,02502,0000,MISCELLANEOUS 434458,G300000,02503,0000,LEASE INCOME 434458,G300000,02504,0000,BEAUTY & BARBER 434458,S000000,00100,0200,04/04/12 434458,S200000,00100,0100,375 S 11TH STREET 434458,S200000,00200,0100,CLINTON 434458,S200000,00200,0200,IN 434458,S200000,00200,0300,47842 434458,S200000,00300,0100,VERMILLION 434458,S200000,00300,0200,8320 434458,S200000,00300,0201,45460 434458,S200000,00300,0300,U 434458,S200000,00400,0100,THE WATERS OF CLINTON 434458,S200000,00400,0200,155319 434458,S200000,00400,0300,02/22/08 434458,S200000,00400,0500,P 434458,S200000,01500,0100,Y 434458,S200000,01600,0100,N 434458,S200000,01700,0100,N 434458,S200000,01800,0100,N 434458,S200000,02200,0100,N 434458,S200000,02800,0100,N 434458,S200000,02900,0100,N 434458,S200000,03000,0100,N 434458,S200000,03100,0100,N 434458,S200000,03200,0100,N 434458,S200000,03300,0100,N 434458,S200000,03300,0200,N 434458,S200000,04100,0100,N 434458,S200000,04200,0100,N 434458,S200000,04300,0100,N 434458,S200000,04600,0100,N 434458,S200000,04700,0100,N 434458,S200000,04700,0200,N 434458,S200000,04900,0100,N 434458,S200000,05000,0100,N 434458,S200000,05100,0100,N 434458,S200000,05200,0100,N 434459,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434459,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434459,A000000,00300,0000,0300EMPLOYEE BENEFITS 434459,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434459,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434459,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434459,A000000,00700,0000,0700HOUSEKEEPING 434459,A000000,00800,0000,0800DIETARY 434459,A000000,00900,0000,0900NURSING ADMINISTRATION 434459,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434459,A000000,01100,0000,1100PHARMACY 434459,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434459,A000000,01300,0000,1300SOCIAL SERVICE 434459,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434459,A000000,01500,0000,1350ACTIVITIES 434459,A000000,01600,0000,1600SKILLED NURSING FACILITY 434459,A000000,01800,0000,1800NURSING FACILITY 434459,A000000,01810,0000,1810ICF/MR 434459,A000000,01900,0000,1900OTHER LONG TERM CARE 434459,A000000,02100,0000,2100RADIOLOGY 434459,A000000,02200,0000,2200LABORATORY 434459,A000000,02300,0000,2300INTRAVENOUS THERAPY 434459,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434459,A000000,02500,0000,2500PHYSICAL THERAPY 434459,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434459,A000000,02700,0000,2700SPEECH PATHOLOGY 434459,A000000,02800,0000,2800ELECTROCARDIOLOGY 434459,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434459,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434459,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434459,A000000,03200,0000,3200SUPPORT SURFACES 434459,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434459,A000000,03400,0000,3400CLINIC 434459,A000000,03500,0000,3500RURAL HEALTH CLINIC 434459,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434459,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434459,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434459,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434459,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434459,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434459,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434459,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434459,A000000,04400,0000,4400DME RENTED - HHA 434459,A000000,04500,0000,4500DME SOLD - HHA 434459,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434459,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434459,A000000,04710,0000,4710TELEMEDICINE 434459,A000000,04800,0000,4800AMBULANCE 434459,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434459,A000000,05000,0000,5000CORF 434459,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434459,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434459,A000000,05300,0000,5300INTEREST EXPENSE 434459,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434459,A000000,05500,0000,5500HOSPICE 434459,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434459,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434459,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434459,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434459,A000000,06100,0000,6100NONPAID WORKERS 434459,A000000,06200,0000,6200PATIENTS LAUNDRY 434459,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434459,A81000A,00100,0100,Y 434459,A81000B,00100,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00200,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00300,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00400,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00500,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00600,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00700,0300,ADDIT SVP AND QR ALLOCATION 434459,A81000B,00800,0300,WATERS CONSULTING 434459,A81000B,00900,0300,WATERS CONSULTING 434459,A81000B,01000,0300,WATERS CONSULTING 434459,A81000B,01100,0300,WATERS CONSULTING 434459,A81000B,01200,0300,WATERS CONSULTING 434459,A81000C,00100,0100,B 434459,A81000C,00100,0200,THE WATERS OF INDIANA III 434459,A81000C,00100,0400,WATERS CONSULTING GROUP 434459,A81000C,00100,0600,CONSULTING SERVICES 434459,A81000C,00200,0100,B 434459,A81000C,00200,0200,THE WATERS OF INDIANA III 434459,A81000C,00200,0400,ADDIT LLC SVP LLC & QR 434459,A81000C,00200,0600,CONSULTING SERVICES 434459,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434459,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434459,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434459,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434459,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434459,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434459,B100000,00000,0800,0800MEALS SERVED :DIETARY 434459,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434459,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434459,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434459,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434459,E10A180,00501,0100,05/14/12 434459,E10A180,00501,0300,05/14/12 434459,G300000,02500,0000,MISC REVENUE 434459,G300000,02501,0000,PERSONAL PURCHASES 434459,G300000,02502,0000,LEASE INCOME 434459,G300000,02503,0000,BEAUTY & BARBER 434459,S000000,00100,0200,04/04/12 434459,S200000,00100,0100,200 CONNIE AVENUE 434459,S200000,00200,0100,SALEM 434459,S200000,00200,0200,IN 434459,S200000,00200,0300,47167 434459,S200000,00300,0100,WASHINGTON 434459,S200000,00300,0200,15 434459,S200000,00300,0201,31140 434459,S200000,00300,0300,R 434459,S200000,00400,0100,THE WATERS OF SALEM 434459,S200000,00400,0200,155330 434459,S200000,00400,0300,07/01/02 434459,S200000,00400,0500,P 434459,S200000,01500,0100,Y 434459,S200000,01600,0100,N 434459,S200000,01700,0100,N 434459,S200000,01800,0100,N 434459,S200000,02200,0100,N 434459,S200000,02800,0100,N 434459,S200000,02900,0100,N 434459,S200000,03000,0100,N 434459,S200000,03100,0100,N 434459,S200000,03200,0100,N 434459,S200000,03300,0100,N 434459,S200000,03300,0200,N 434459,S200000,03600,0100,N 434459,S200000,03600,0200,N 434459,S200000,04100,0100,N 434459,S200000,04200,0100,N 434459,S200000,04300,0100,N 434459,S200000,04600,0100,N 434459,S200000,04700,0100,N 434459,S200000,04700,0200,N 434459,S200000,04900,0100,N 434459,S200000,05000,0100,N 434459,S200000,05100,0100,N 434459,S200000,05200,0100,N 434460,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434460,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434460,A000000,00300,0000,0300EMPLOYEE BENEFITS 434460,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434460,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434460,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434460,A000000,00700,0000,0700HOUSEKEEPING 434460,A000000,00800,0000,0800DIETARY 434460,A000000,00900,0000,0900NURSING ADMINISTRATION 434460,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434460,A000000,01100,0000,1100PHARMACY 434460,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434460,A000000,01300,0000,1300SOCIAL SERVICE 434460,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434460,A000000,01500,0000,1350ACTIVITIES 434460,A000000,01600,0000,1600SKILLED NURSING FACILITY 434460,A000000,01800,0000,1800NURSING FACILITY 434460,A000000,01810,0000,1810ICF/MR 434460,A000000,01900,0000,1900OTHER LONG TERM CARE 434460,A000000,02100,0000,2100RADIOLOGY 434460,A000000,02200,0000,2200LABORATORY 434460,A000000,02300,0000,2300INTRAVENOUS THERAPY 434460,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434460,A000000,02500,0000,2500PHYSICAL THERAPY 434460,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434460,A000000,02700,0000,2700SPEECH PATHOLOGY 434460,A000000,02800,0000,2800ELECTROCARDIOLOGY 434460,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434460,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434460,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434460,A000000,03200,0000,3200SUPPORT SURFACES 434460,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434460,A000000,03400,0000,3400CLINIC 434460,A000000,03500,0000,3500RURAL HEALTH CLINIC 434460,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434460,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434460,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434460,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434460,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434460,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434460,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434460,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434460,A000000,04400,0000,4400DME RENTED - HHA 434460,A000000,04500,0000,4500DME SOLD - HHA 434460,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434460,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434460,A000000,04710,0000,4710TELEMEDICINE 434460,A000000,04800,0000,4800AMBULANCE 434460,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434460,A000000,05000,0000,5000CORF 434460,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434460,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434460,A000000,05300,0000,5300INTEREST EXPENSE 434460,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434460,A000000,05500,0000,5500HOSPICE 434460,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434460,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434460,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434460,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434460,A000000,06100,0000,6100NONPAID WORKERS 434460,A000000,06200,0000,6200PATIENTS LAUNDRY 434460,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434460,A81000A,00100,0100,Y 434460,A81000B,00100,0300,RELATED PARTY LEASE 434460,A81000B,00200,0300,RELATED PARTY THERAPY 434460,A81000B,00300,0300,RELATED PARTY THERAPY 434460,A81000B,00400,0300,RELATED PARTY THERAPY 434460,A81000B,00500,0300,HOME OFFICE COSTS 434460,A81000B,00600,0300,HOME OFFICE COSTS 434460,A81000B,00700,0300,HOME OFFICE COSTS 434460,A81000B,00800,0300,HOME OFFICE COSTS 434460,A81000B,00900,0300,HOME OFFICE COSTS 434460,A81000B,01000,0300,HOME OFFICE COSTS 434460,A81000B,01100,0300,HOME OFFICE COSTS 434460,A81000B,01200,0300,HOME OFFICE COSTS 434460,A81000B,01300,0300,HOME OFFICE COSTS 434460,A81000C,00100,0100,A 434460,A81000C,00100,0400,MMM INVEST INC. 434460,A81000C,00100,0600,LEASING PROPERTY 434460,A81000C,00200,0100,A 434460,A81000C,00200,0400,THERACARE 434460,A81000C,00200,0600,THERAPY MANAGEMENT 434460,A81000C,00300,0100,A 434460,A81000C,00300,0400,THERACARE 434460,A81000C,00300,0600,THERAPY MANAGEMENT 434460,A81000C,00400,0100,A 434460,A81000C,00400,0400,THERACARE 434460,A81000C,00400,0600,THERAPY MANAGEMENT 434460,A81000C,00500,0100,B 434460,A81000C,00500,0400,MHS INC. 434460,A81000C,00500,0600,NURSING HOMES 434460,A81000C,00600,0100,B 434460,A81000C,00600,0400,MHS INC. 434460,A81000C,00600,0600,NURSING HOMES 434460,A81000C,00700,0100,B 434460,A81000C,00700,0400,MHS INC. 434460,A81000C,00700,0600,NURSING HOMES 434460,A81000C,00800,0100,B 434460,A81000C,00800,0400,MHS INC. 434460,A81000C,00800,0600,NURSING HOMES 434460,A81000C,00900,0100,B 434460,A81000C,00900,0400,MHS INC. 434460,A81000C,00900,0600,NURSING HOMES 434460,A81000C,01000,0100,B 434460,A81000C,01000,0400,MHS INC. 434460,A81000C,01000,0600,NURSING HOMES 434460,A81000C,01001,0100,B 434460,A81000C,01001,0400,MHS INC. 434460,A81000C,01001,0600,NURSING HOMES 434460,A81000C,01002,0100,B 434460,A81000C,01002,0400,MHS INC. 434460,A81000C,01002,0600,NURSING HOMES 434460,A81000C,01003,0100,B 434460,A81000C,01003,0400,MHS INC. 434460,A81000C,01003,0600,NURSING HOMES 434460,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434460,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434460,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434460,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434460,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434460,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434460,B100000,00000,0800,0800MEALS SERVED :DIETARY 434460,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434460,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434460,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434460,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434460,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434460,E10A180,00501,0100,04/17/12 434460,G300000,02500,0000,OTHER REVENUE 434460,S000000,00100,0200,03/02/12 434460,S200000,00100,0100,220 EAST DUNN ROAD 434460,S200000,00200,0100,NEW CARLISLE 434460,S200000,00200,0200,IN 434460,S200000,00200,0300,46552 434460,S200000,00300,0100,ST. JOSEPH 434460,S200000,00300,0200,7800 434460,S200000,00300,0201,43780 434460,S200000,00300,0300,U 434460,S200000,00400,0100,MHS INC. D/B/A MMM - NEW CARLISLE 434460,S200000,00400,0200,155578 434460,S200000,00400,0300,09/01/95 434460,S200000,00400,0500,P 434460,S200000,01500,0100,Y 434460,S200000,01501,0200,Y 434460,S200000,01502,0200,Y 434460,S200000,01503,0200,Y 434460,S200000,01504,0200,Y 434460,S200000,01600,0100,N 434460,S200000,01700,0100,N 434460,S200000,01800,0100,N 434460,S200000,02200,0100,Y 434460,S200000,02800,0100,N 434460,S200000,02900,0100,N 434460,S200000,03000,0100,N 434460,S200000,03100,0100,N 434460,S200000,03200,0100,N 434460,S200000,03300,0100,N 434460,S200000,03300,0200,N 434460,S200000,04100,0100,N 434460,S200000,04200,0100,N 434460,S200000,04300,0100,N 434460,S200000,04600,0100,N 434460,S200000,04700,0100,N 434460,S200000,04700,0200,N 434460,S200000,04900,0100,N 434460,S200000,05000,0100,N 434460,S200000,05100,0100,N 434460,S200000,05200,0100,N 434460,S200000,05300,0100,Y 434460,S200000,05300,0200,15H004 434460,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434460,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434460,S200000,05400,0300,00130 434460,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434460,S200000,05600,0100,WARSAW 434460,S200000,05600,0200,IN 434460,S200000,05600,0300,46580 434463,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434463,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434463,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434463,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434463,A000000,00300,0000,0300EMPLOYEE BENEFITS 434463,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434463,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434463,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434463,A000000,00700,0000,0700HOUSEKEEPING 434463,A000000,00800,0000,0800DIETARY 434463,A000000,00801,0000,0801CAFETERIA 434463,A000000,00900,0000,0900NURSING ADMINISTRATION 434463,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434463,A000000,01100,0000,1100PHARMACY 434463,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434463,A000000,01300,0000,1300SOCIAL SERVICE 434463,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434463,A000000,01500,0000,1350ACTIVITIES 434463,A000000,01600,0000,1600SKILLED NURSING FACILITY 434463,A000000,01800,0000,1800NURSING FACILITY 434463,A000000,01900,0000,1900OTHER LONG TERM CARE 434463,A000000,02100,0000,2100RADIOLOGY 434463,A000000,02200,0000,2200LABORATORY 434463,A000000,02300,0000,2300INTRAVENOUS THERAPY 434463,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434463,A000000,02500,0000,2500PHYSICAL THERAPY 434463,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434463,A000000,02700,0000,2700SPEECH PATHOLOGY 434463,A000000,02800,0000,2800ELECTROCARDIOLOGY 434463,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434463,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434463,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434463,A000000,03200,0000,3200SUPPORT SURFACES 434463,A000000,03300,0000,3050ENTERALS 434463,A000000,03301,0000,3051OXYGEN 434463,A000000,03302,0000,3052OTHER ANCILLARY III 434463,A000000,03400,0000,3400CLINIC 434463,A000000,03500,0000,3500RURAL HEALTH CLINIC 434463,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434463,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434463,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434463,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434463,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434463,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434463,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434463,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434463,A000000,04400,0000,4400DME RENTED - HHA 434463,A000000,04500,0000,4500DME SOLD - HHA 434463,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434463,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434463,A000000,04710,0000,4710TELEMEDICINE 434463,A000000,04800,0000,4800AMBULANCE 434463,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434463,A000000,05000,0000,5000CORF 434463,A000000,05001,0000,5001CMHC I 434463,A000000,05020,0000,5020OPT I 434463,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434463,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434463,A000000,05300,0000,5300INTEREST EXPENSE 434463,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434463,A000000,05500,0000,5500HOSPICE 434463,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434463,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434463,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434463,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434463,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434463,A000000,06100,0000,6100NONPAID WORKERS 434463,A000000,06200,0000,6200PATIENTS LAUNDRY 434463,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434463,A81000A,00100,0100,Y 434463,A81000B,00100,0300,HOME OFFICE ADMIN 434463,A81000B,00200,0300,HOME OFFICE CAPITAL 434463,A81000B,00300,0300,RENTAL SUBSTITUTION 434463,A81000B,00400,0300,RENTAL SUBSTITUTION 434463,A81000C,00100,0100,A 434463,A81000C,00100,0200,S. BELLONE 434463,A81000C,00100,0400,WHITE OAK HC 434463,A81000C,00100,0600,MGMT SERVICES 434463,A81000C,00200,0100,A 434463,A81000C,00200,0200,S. BELLONE 434463,A81000C,00200,0400,PV REALTY NW 434463,A81000C,00200,0600,FACILITY RENTAL 434463,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434463,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434463,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434463,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434463,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434463,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434463,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434463,B100000,00000,0800,0800MEALS SERVED :DIETARY 434463,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434463,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434463,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434463,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434463,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434463,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434463,E10A180,00301,0100,07/01/11 434463,E10A180,00501,0100,05/24/12 434463,E10A180,00501,0300,05/24/12 434463,G300000,02500,0000, OTHER (SPECIFY) 434463,S000000,00100,0200,03/30/12 434463,S200000,00100,0100,4601 PALL MALL DRIVE 434463,S200000,00200,0100,BALTIMORE 434463,S200000,00200,0200,MD 434463,S200000,00200,0300,21215 434463,S200000,00300,0100,BALTIMORE 434463,S200000,00300,0200,0720 434463,S200000,00300,0201,12580 434463,S200000,00300,0300,U 434463,S200000,00400,0100,NORTHWEST NURSING LLC 434463,S200000,00400,0200,215346 434463,S200000,00400,0300,09/14/04 434463,S200000,00400,0500,P 434463,S200000,01500,0100,Y 434463,S200000,01501,0200,Y 434463,S200000,01502,0200,Y 434463,S200000,01503,0200,Y 434463,S200000,01504,0200,Y 434463,S200000,01600,0100,N 434463,S200000,01700,0100,N 434463,S200000,01800,0100,N 434463,S200000,02200,0100,N 434463,S200000,02800,0100,N 434463,S200000,02900,0100,N 434463,S200000,03000,0100,N 434463,S200000,03100,0100,N 434463,S200000,03200,0100,N 434463,S200000,03300,0100,N 434463,S200000,03300,0200,N 434463,S200000,03600,0100,N 434463,S200000,03600,0200,N 434463,S200000,04100,0100,N 434463,S200000,04200,0100,N 434463,S200000,04300,0100,N 434463,S200000,04600,0100,N 434463,S200000,04700,0100,N 434463,S200000,04700,0200,N 434463,S200000,04900,0100,N 434463,S200000,05000,0100,N 434463,S200000,05100,0100,N 434463,S200000,05200,0100,N 434463,S200000,05300,0100,Y 434463,S200000,05300,0200,219021 434463,S200000,05400,0100,WHITE OAK HEALTHCARE LLC 434463,S200000,05400,0200,NOVITAS 434463,S200000,05400,0300,12001 434463,S200000,05500,0100,921 E. FORT AVENUE #240 434463,S200000,05600,0100,BALTIMORE 434463,S200000,05600,0200,MD 434463,S200000,05600,0300,21230 434464,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434464,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434464,A000000,00300,0000,0300EMPLOYEE BENEFITS 434464,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434464,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434464,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434464,A000000,00700,0000,0700HOUSEKEEPING 434464,A000000,00800,0000,0800DIETARY 434464,A000000,00900,0000,0900NURSING ADMINISTRATION 434464,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434464,A000000,01100,0000,1100PHARMACY 434464,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434464,A000000,01300,0000,1300SOCIAL SERVICE 434464,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434464,A000000,01500,0000,1350RECREATION 434464,A000000,01600,0000,1600SKILLED NURSING FACILITY 434464,A000000,01810,0000,1810ICF/MR 434464,A000000,02100,0000,2100RADIOLOGY 434464,A000000,02200,0000,2200LABORATORY 434464,A000000,02300,0000,2300INTRAVENOUS THERAPY 434464,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434464,A000000,02500,0000,2500PHYSICAL THERAPY 434464,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434464,A000000,02700,0000,2700SPEECH PATHOLOGY 434464,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434464,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434464,A000000,03550,0000,3550FQHC 434464,A000000,05000,0000,5000CORF 434464,A000000,05010,0000,5010CMHC 434464,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434464,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434464,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434464,A81000A,00100,0100,Y 434464,A81000B,00100,0300,SEE ATTACHED 434464,A81000B,00200,0300,HOME OFFICE INTEREST 434464,A81000B,00300,0300,HOME OFFICE A&G 434464,A81000B,00400,0300,HOME OFFICE CAP PIEC 434464,A81000C,00100,0100,B 434464,A81000C,00100,0400,SEE ATTACHED 434464,A81000C,00100,0600,VARIOUS 434464,A81000C,00200,0100,B 434464,A81000C,00200,0400,GHC 434464,A81000C,00200,0600,LONG TERM CARE 434464,A81000C,00300,0100,B 434464,A81000C,00300,0400,GHC 434464,A81000C,00300,0600,LONG TERM CARE 434464,A81000C,00400,0100,B 434464,A81000C,00400,0400,GHC 434464,A81000C,00400,0600,LONG TERM CARE 434464,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434464,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434464,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434464,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434464,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434464,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434464,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434464,B100000,00000,0800,0800MEALS SERVED :DIETARY 434464,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434464,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434464,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434464,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434464,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434464,E10A180,00501,0300,01/05/12 434464,E10A180,00550,0100,01/05/12 434464,G300000,02500,0000,BARBER AND BEAUTY 434464,S000000,00100,0200,12/02/11 434464,S200000,00100,0100,262 TOLL GATE ROAD 434464,S200000,00200,0100,LANGHORNE 434464,S200000,00200,0200,PA 434464,S200000,00200,0300,19047-1377 434464,S200000,00300,0100,BUCKS 434464,S200000,00300,0201,37964 434464,S200000,00300,0300,U 434464,S200000,00400,0100,CRESTVIEW CENTER 434464,S200000,00400,0200,395459 434464,S200000,00400,0300,05/31/81 434464,S200000,00400,0500,P 434464,S200000,01500,0100,Y 434464,S200000,01501,0200,N 434464,S200000,01502,0200,N 434464,S200000,01503,0200,N 434464,S200000,01504,0200,N 434464,S200000,01600,0100,N 434464,S200000,01700,0100,N 434464,S200000,01800,0100,N 434464,S200000,01900,0100,LLC 434464,S200000,02200,0100,Y 434464,S200000,02800,0100,N 434464,S200000,02900,0100,N 434464,S200000,03000,0100,N 434464,S200000,03100,0100,N 434464,S200000,03200,0100,N 434464,S200000,03300,0100,N 434464,S200000,03300,0200,N 434464,S200000,03600,0100,N 434464,S200000,03600,0200,N 434464,S200000,04100,0100,N 434464,S200000,04200,0100,N 434464,S200000,04300,0100,N 434464,S200000,04600,0100,N 434464,S200000,04700,0100,N 434464,S200000,04700,0200,N 434464,S200000,04900,0100,N 434464,S200000,05000,0100,N 434464,S200000,05100,0100,N 434464,S200000,05200,0100,N 434464,S200000,05300,0100,Y 434464,S200000,05300,0200,HB0067 434464,S200000,05400,0100,GENESIS HEALTHCARE LLC 434464,S200000,05400,0200,NOVITAS 434464,S200000,05400,0300,12001 434464,S200000,05500,0100,101 EAST STATE STREET 434464,S200000,05600,0100,KENNETT SQUARE 434464,S200000,05600,0200,PA 434464,S200000,05600,0300,19348 434468,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434468,A000000,00300,0000,0300EMPLOYEE BENEFITS 434468,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434468,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434468,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434468,A000000,00700,0000,0700HOUSEKEEPING 434468,A000000,00800,0000,0800DIETARY 434468,A000000,00900,0000,0900NURSING ADMINISTRATION 434468,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434468,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434468,A000000,01300,0000,1300SOCIAL SERVICE 434468,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434468,A000000,01500,0000,1350OTHER GENERAL SERVICES 434468,A000000,01600,0000,1600SKILLED NURSING FACILITY 434468,A000000,01800,0000,1800NURSING FACILITY 434468,A000000,01810,0000,1810ICF/MR 434468,A000000,01900,0000,1900OTHER LONG TERM CARE 434468,A000000,02100,0000,2100RADIOLOGY 434468,A000000,02200,0000,2200LABORATORY 434468,A000000,02300,0000,2300INTRAVENOUS THERAPY 434468,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434468,A000000,02500,0000,2500PHYSICAL THERAPY 434468,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434468,A000000,02700,0000,2700SPEECH PATHOLOGY 434468,A000000,02800,0000,2800ELECTROCARDIOLOGY 434468,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434468,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434468,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434468,A000000,03200,0000,3200SUPPORT SURFACES 434468,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434468,A000000,03400,0000,3400CLINIC 434468,A000000,03500,0000,3500RURAL HEALTH CLINIC 434468,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434468,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434468,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434468,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434468,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434468,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434468,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434468,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434468,A000000,04400,0000,4400DME RENTED - HHA 434468,A000000,04500,0000,4500DME SOLD - HHA 434468,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434468,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434468,A000000,04710,0000,4710TELEMEDICINE 434468,A000000,04800,0000,4800AMBULANCE 434468,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434468,A000000,05000,0000,5000CORF 434468,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434468,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434468,A000000,05300,0000,5300INTEREST EXPENSE 434468,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434468,A000000,05500,0000,5500HOSPICE 434468,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434468,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434468,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434468,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434468,A000000,06100,0000,6100NONPAID WORKERS 434468,A000000,06200,0000,6200PATIENTS LAUNDRY 434468,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434468,A81000A,00100,0100,Y 434468,A81000B,00100,0300,HOME OFFICE 434468,A81000B,00200,0300,PROFESSIONAL CONSULTING 434468,A81000B,00300,0300,PROFESSIONAL CONSULTING 434468,A81000C,00100,0100,A 434468,A81000C,00100,0200,BEN KLEIN 434468,A81000C,00100,0400,PLATINUM HEALTHCARE 434468,A81000C,00100,0600,MANAGEMENT COMPANY 434468,A81000C,00200,0100,A 434468,A81000C,00200,0200,BEN KLEIN 434468,A81000C,00200,0400,PHC CONSULTANTS LLC 434468,A81000C,00200,0600,CONSULTING 434468,A81000C,00300,0100,A 434468,A81000C,00300,0200,BEN KLEIN 434468,A81000C,00300,0400,MTS CONSULTING 434468,A81000C,00300,0600,CONSULTING 434468,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434468,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434468,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434468,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434468,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434468,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434468,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434468,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434468,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434468,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434468,E10A180,00501,0100,12/21/12 434468,G300000,02500,0000,OTHER INCOME 434468,S000000,00100,0200,10/11/12 434468,S200000,00100,0100,1629 GARDNER LANE 434468,S200000,00200,0100,PEORIA HEIGHTS 434468,S200000,00200,0200,IL 434468,S200000,00200,0300,61614 434468,S200000,00300,0100,PEORIA 434468,S200000,00300,0200,6120 434468,S200000,00300,0201,37900 434468,S200000,00300,0300,U 434468,S200000,00400,0100,BELLA VISTA CARE CENTER 434468,S200000,00400,0200,145811 434468,S200000,00400,0300,01/01/95 434468,S200000,00400,0500,P 434468,S200000,01500,0100,N 434468,S200000,01600,0100,Y 434468,S200000,01700,0100,N 434468,S200000,01800,0100,N 434468,S200000,02200,0100,N 434468,S200000,02800,0100,N 434468,S200000,02900,0100,N 434468,S200000,03000,0100,N 434468,S200000,03100,0100,N 434468,S200000,03200,0100,N 434468,S200000,03300,0100,N 434468,S200000,03300,0200,N 434468,S200000,04100,0100,N 434468,S200000,04200,0100,N 434468,S200000,04300,0100,N 434468,S200000,04600,0100,N 434468,S200000,04700,0100,N 434468,S200000,04700,0200,N 434468,S200000,04900,0100,N 434468,S200000,05000,0100,N 434468,S200000,05100,0100,N 434468,S200000,05200,0100,N 434468,S200000,05300,0100,Y 434468,S200000,05300,0200,N/A 434468,S200000,05400,0100,PLATINUM HEALTH CARE LLC 434468,S200000,05400,0200,N/A 434468,S200000,05400,0300, 00N/A 434468,S200000,05500,0100,7444 LONG AVENUE 434468,S200000,05600,0100,SKOKIE 434468,S200000,05600,0200,IL 434468,S200000,05600,0300,60077 434472,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434472,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434472,A000000,00300,0000,0300EMPLOYEE BENEFITS 434472,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434472,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434472,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434472,A000000,00700,0000,0700HOUSEKEEPING 434472,A000000,00800,0000,0800DIETARY 434472,A000000,00900,0000,0900NURSING ADMINISTRATION 434472,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434472,A000000,01100,0000,1100PHARMACY 434472,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434472,A000000,01300,0000,1300SOCIAL SERVICE 434472,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434472,A000000,01600,0000,1600SKILLED NURSING FACILITY 434472,A000000,01810,0000,1810ICF/MR 434472,A000000,02100,0000,2100RADIOLOGY 434472,A000000,02200,0000,2200LABORATORY 434472,A000000,02300,0000,2300INTRAVENOUS THERAPY 434472,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434472,A000000,02500,0000,2500PHYSICAL THERAPY 434472,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434472,A000000,02700,0000,2700SPEECH PATHOLOGY 434472,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434472,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434472,A000000,03550,0000,3550FQHC 434472,A000000,05000,0000,5000CORF 434472,A000000,05010,0000,5010CMHC 434472,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434472,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434472,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434472,A000000,05300,0000,5300INTEREST EXPENSE 434472,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434472,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434472,A81000A,00100,0100,N 434472,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434472,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434472,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434472,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434472,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434472,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434472,B100000,00000,0800,0800MEALS SERVED :DIETARY 434472,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434472,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434472,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434472,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434472,E10A180,00301,0100,04/01/11 434472,E10A180,00501,0100,08/08/12 434472,E10A180,00501,0300,01/09/12 434472,E10A180,00502,0300,08/08/12 434472,E10A180,00550,0100,01/09/12 434472,E10A180,00601,0300,01/09/12 434472,G300000,02500,0000,BEAUTY & BARBER 434472,S000000,00100,0200,01/10/12 434472,S200000,00100,0100,900 IMPERIAL GOLF COURSE BLVD. 434472,S200000,00100,0300,111539 434472,S200000,00200,0100,NAPLES 434472,S200000,00200,0200,FL 434472,S200000,00200,0300,34110 434472,S200000,00300,0100,COLLIER 434472,S200000,00300,0201,34940 434472,S200000,00300,0300,U 434472,S200000,00400,0100,IMPERIAL HEALTH CARE CENTER 434472,S200000,00400,0200,105738 434472,S200000,00400,0300,06/21/91 434472,S200000,00400,0500,P 434472,S200000,00600,0200,105738 434472,S200000,00600,0300,06/21/91 434472,S200000,00600,0600,O 434472,S200000,01500,0100,N 434472,S200000,01501,0200,Y 434472,S200000,01600,0100,Y 434472,S200000,01700,0100,N 434472,S200000,01800,0100,N 434472,S200000,02200,0100,N 434472,S200000,02800,0100,N 434472,S200000,02900,0100,N 434472,S200000,03000,0100,N 434472,S200000,03100,0100,N 434472,S200000,03200,0100,N 434472,S200000,03300,0100,N 434472,S200000,03300,0200,N 434472,S200000,03500,0300,N 434472,S200000,04100,0100,N 434472,S200000,04200,0100,N 434472,S200000,04300,0100,N 434472,S200000,04600,0100,N 434472,S200000,04700,0100,N 434472,S200000,04700,0200,N 434472,S200000,04900,0100,N 434472,S200000,05000,0100,N 434472,S200000,05100,0100,N 434472,S200000,05200,0100,N 434475,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434475,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434475,A000000,00300,0000,0300EMPLOYEE BENEFITS 434475,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434475,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434475,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434475,A000000,00700,0000,0700HOUSEKEEPING 434475,A000000,00800,0000,0800DIETARY 434475,A000000,00900,0000,0900NURSING ADMINISTRATION 434475,A000000,01300,0000,1300SOCIAL SERVICE 434475,A000000,01600,0000,1600SKILLED NURSING FACILITY 434475,A000000,01800,0000,1800NURSING FACILITY 434475,A000000,02100,0000,2100RADIOLOGY 434475,A000000,02200,0000,2200LABORATORY 434475,A000000,02500,0000,2500PHYSICAL THERAPY 434475,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434475,A000000,02700,0000,2700SPEECH PATHOLOGY 434475,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434475,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434475,A000000,04800,0000,4800AMBULANCE 434475,A81000A,00100,0100,N 434475,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434475,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434475,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434475,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434475,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434475,B100000,00000,0600,0650DAYS OF SERVICE :LAUNDRY & LINEN 434475,B100000,00000,0700,0750DAYS OF SERVICE :HOUSEKEEPING 434475,B100000,00000,0800,0850DAYS OF SERVICE :DIETARY 434475,B100000,00000,0900,0950DAYS OF SERVICE :NURSING ADMINIS 434475,B100000,00000,1300,1330DAYS OF SERVICE :SOCIAL SERVICE 434475,G300000,02500,0000,RESERVATIONS 434475,G300000,02501,0000,GAIN FROM SALE OF FACILITY 434475,S000000,00100,0200,10/11/11 434475,S200000,00100,0100,414 JOHNSON DRIVE 434475,S200000,00200,0100,MCGREGOR 434475,S200000,00200,0200,TX 434475,S200000,00200,0300,76657 434475,S200000,00300,0100,MCLENNAN 434475,S200000,00300,0201,47380 434475,S200000,00300,0300,U 434475,S200000,00400,0100,WESTVIEW MANOR 434475,S200000,00400,0200,455554 434475,S200000,00400,0300,06/17/85 434475,S200000,00400,0500,P 434475,S200000,01500,0100,N 434475,S200000,01600,0100,Y 434475,S200000,01700,0100,N 434475,S200000,01800,0100,N 434475,S200000,02200,0100,N 434475,S200000,02800,0100,Y 434475,S200000,02900,0100,N 434475,S200000,03000,0100,N 434475,S200000,03100,0100,Y 434475,S200000,03200,0100,N 434475,S200000,03300,0100,N 434475,S200000,03300,0200,N 434475,S200000,04100,0100,N 434475,S200000,04200,0100,N 434475,S200000,04300,0100,N 434475,S200000,04600,0100,N 434475,S200000,04700,0100,N 434475,S200000,04700,0200,N 434475,S200000,04900,0100,N 434475,S200000,05000,0100,N 434475,S200000,05100,0100,N 434475,S200000,05200,0100,N 434476,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434476,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434476,A000000,00300,0000,0300EMPLOYEE BENEFITS 434476,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434476,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434476,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434476,A000000,00700,0000,0700HOUSEKEEPING 434476,A000000,00800,0000,0800DIETARY 434476,A000000,00900,0000,0900NURSING ADMINISTRATION 434476,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434476,A000000,01100,0000,1100PHARMACY 434476,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434476,A000000,01300,0000,1300SOCIAL SERVICE 434476,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434476,A000000,01500,0000,1350ACTIVITIES 434476,A000000,01600,0000,1600SKILLED NURSING FACILITY 434476,A000000,01800,0000,1800NURSING FACILITY 434476,A000000,01810,0000,1810ICF/MR 434476,A000000,01900,0000,1900OTHER LONG TERM CARE 434476,A000000,02100,0000,2100RADIOLOGY 434476,A000000,02200,0000,2200LABORATORY 434476,A000000,02300,0000,2300INTRAVENOUS THERAPY 434476,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434476,A000000,02500,0000,2500PHYSICAL THERAPY 434476,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434476,A000000,02700,0000,2700SPEECH PATHOLOGY 434476,A000000,02800,0000,2800ELECTROCARDIOLOGY 434476,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434476,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434476,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434476,A000000,03200,0000,3200SUPPORT SURFACES 434476,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434476,A000000,03400,0000,3400CLINIC 434476,A000000,03500,0000,3500RURAL HEALTH CLINIC 434476,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434476,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434476,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434476,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434476,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434476,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434476,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434476,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434476,A000000,04400,0000,4400DME RENTED - HHA 434476,A000000,04500,0000,4500DME SOLD - HHA 434476,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434476,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434476,A000000,04710,0000,4710TELEMEDICINE 434476,A000000,04800,0000,4800AMBULANCE 434476,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434476,A000000,05000,0000,5000CORF 434476,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434476,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434476,A000000,05300,0000,5300INTEREST EXPENSE 434476,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434476,A000000,05500,0000,5500HOSPICE 434476,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434476,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434476,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434476,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434476,A000000,06100,0000,6100NONPAID WORKERS 434476,A000000,06200,0000,6200PATIENTS LAUNDRY 434476,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434476,A81000A,00100,0100,Y 434476,A81000B,00100,0300,RELATED PARTY THERAPY 434476,A81000B,00200,0300,RELATED PARTY THERAPY 434476,A81000B,00300,0300,RELATED PARTY THERAPY 434476,A81000B,00400,0300,HOME OFFICE COSTS 434476,A81000B,00500,0300,HOME OFFICE COSTS 434476,A81000B,00600,0300,HOME OFFICE COSTS 434476,A81000B,00700,0300,HOME OFFICE COSTS 434476,A81000B,00800,0300,HOME OFFICE COSTS 434476,A81000B,00900,0300,HOME OFFICE COSTS 434476,A81000B,01000,0300,HOME OFFICE COSTS 434476,A81000B,01100,0300,HOME OFFICE COSTS 434476,A81000B,01200,0300,HOME OFFICE COSTS 434476,A81000C,00100,0100,A 434476,A81000C,00100,0400,THERACARE 434476,A81000C,00100,0600,THERAPY MANAGEMENT 434476,A81000C,00200,0100,A 434476,A81000C,00200,0400,THERACARE 434476,A81000C,00200,0600,THERAPY MANAGEMENT 434476,A81000C,00300,0100,A 434476,A81000C,00300,0400,THERACARE 434476,A81000C,00300,0600,THERAPY MANAGEMENT 434476,A81000C,00400,0100,B 434476,A81000C,00400,0400,MHS INC. 434476,A81000C,00400,0600,NURSING HOMES 434476,A81000C,00500,0100,B 434476,A81000C,00500,0400,MHS INC. 434476,A81000C,00500,0600,NURSING HOMES 434476,A81000C,00600,0100,B 434476,A81000C,00600,0400,MHS INC. 434476,A81000C,00600,0600,NURSING HOMES 434476,A81000C,00700,0100,B 434476,A81000C,00700,0400,MHS INC. 434476,A81000C,00700,0600,NURSING HOMES 434476,A81000C,00800,0100,B 434476,A81000C,00800,0400,MHS INC. 434476,A81000C,00800,0600,NURSING HOMES 434476,A81000C,00900,0100,B 434476,A81000C,00900,0400,MHS INC. 434476,A81000C,00900,0600,NURSING HOMES 434476,A81000C,01000,0100,B 434476,A81000C,01000,0400,MHS INC. 434476,A81000C,01000,0600,NURSING HOMES 434476,A81000C,01001,0100,B 434476,A81000C,01001,0400,MHS INC. 434476,A81000C,01001,0600,NURSING HOMES 434476,A81000C,01002,0100,B 434476,A81000C,01002,0400,MHS INC. 434476,A81000C,01002,0600,NURSING HOMES 434476,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434476,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434476,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434476,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434476,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434476,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434476,B100000,00000,0800,0800MEALS SERVED :DIETARY 434476,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434476,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434476,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434476,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434476,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434476,E10A180,00501,0100,04/17/12 434476,G300000,02500,0000,OTHER REVENUE 434476,S000000,00100,0200,03/02/12 434476,S200000,00100,0100,815 WEST WASHINGTON 434476,S200000,00200,0100,ROCKPORT 434476,S200000,00200,0200,IN 434476,S200000,00200,0300,47635 434476,S200000,00300,0100,SPENCER 434476,S200000,00300,0200,15 434476,S200000,00300,0201,99915 434476,S200000,00300,0300,R 434476,S200000,00400,0100,MHS INC. D/B/A MMM - ROCKPORT 434476,S200000,00400,0200,155274 434476,S200000,00400,0300,12/09/85 434476,S200000,00400,0500,P 434476,S200000,01500,0100,Y 434476,S200000,01501,0200,Y 434476,S200000,01502,0200,Y 434476,S200000,01503,0200,Y 434476,S200000,01504,0200,Y 434476,S200000,01600,0100,N 434476,S200000,01700,0100,N 434476,S200000,01800,0100,N 434476,S200000,02200,0100,Y 434476,S200000,02800,0100,Y 434476,S200000,02900,0100,N 434476,S200000,03000,0100,N 434476,S200000,03100,0100,N 434476,S200000,03200,0100,N 434476,S200000,03300,0100,N 434476,S200000,03300,0200,N 434476,S200000,04100,0100,N 434476,S200000,04200,0100,N 434476,S200000,04300,0100,N 434476,S200000,04600,0100,N 434476,S200000,04700,0100,N 434476,S200000,04700,0200,N 434476,S200000,04900,0100,N 434476,S200000,05000,0100,N 434476,S200000,05100,0100,N 434476,S200000,05200,0100,N 434476,S200000,05300,0100,Y 434476,S200000,05300,0200,15H004 434476,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434476,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434476,S200000,05400,0300,00130 434476,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434476,S200000,05600,0100,WARSAW 434476,S200000,05600,0200,IN 434476,S200000,05600,0300,46580 434477,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434477,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434477,A000000,00300,0000,0300EMPLOYEE BENEFITS 434477,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434477,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434477,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434477,A000000,00700,0000,0700HOUSEKEEPING 434477,A000000,00800,0000,0800DIETARY 434477,A000000,00900,0000,0900NURSING ADMINISTRATION 434477,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434477,A000000,01100,0000,1100PHARMACY 434477,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434477,A000000,01300,0000,1300SOCIAL SERVICE 434477,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434477,A000000,01500,0000,1350ACTIVITIES 434477,A000000,01600,0000,1600SKILLED NURSING FACILITY 434477,A000000,01800,0000,1800NURSING FACILITY 434477,A000000,01810,0000,1810ICF/MR 434477,A000000,01900,0000,1900OTHER LONG TERM CARE 434477,A000000,02100,0000,2100RADIOLOGY 434477,A000000,02200,0000,2200LABORATORY 434477,A000000,02300,0000,2300INTRAVENOUS THERAPY 434477,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434477,A000000,02500,0000,2500PHYSICAL THERAPY 434477,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434477,A000000,02700,0000,2700SPEECH PATHOLOGY 434477,A000000,02800,0000,2800ELECTROCARDIOLOGY 434477,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434477,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434477,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434477,A000000,03200,0000,3200SUPPORT SURFACES 434477,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434477,A000000,03400,0000,3400CLINIC 434477,A000000,03500,0000,3500RURAL HEALTH CLINIC 434477,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434477,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434477,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434477,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434477,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434477,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434477,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434477,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434477,A000000,04400,0000,4400DME RENTED - HHA 434477,A000000,04500,0000,4500DME SOLD - HHA 434477,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434477,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434477,A000000,04710,0000,4710TELEMEDICINE 434477,A000000,04800,0000,4800AMBULANCE 434477,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434477,A000000,05000,0000,5000CORF 434477,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434477,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434477,A000000,05300,0000,5300INTEREST EXPENSE 434477,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434477,A000000,05500,0000,5500HOSPICE 434477,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434477,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434477,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434477,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434477,A000000,06100,0000,6100NONPAID WORKERS 434477,A000000,06200,0000,6200PATIENTS LAUNDRY 434477,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434477,A81000A,00100,0100,Y 434477,A81000B,00100,0300,WATERS CONSULTING 434477,A81000B,00200,0300,WATERS CONSULTING 434477,A81000B,00300,0300,WATERS CONSULTING 434477,A81000B,00400,0300,WATERS CONSULTING 434477,A81000B,00500,0300,WATERS CONSULTING 434477,A81000B,00600,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,00700,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,00800,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,00900,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,01000,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,01100,0300,ADDIT SVP & QR CONSULTING 434477,A81000B,01200,0300,ADDIT SVP & QR CONSULTING 434477,A81000C,00100,0100,B 434477,A81000C,00100,0200,THE WATERS OF INDIANA III 434477,A81000C,00100,0400,WATERS CONSULTING 434477,A81000C,00100,0600,CONSULTING 434477,A81000C,00200,0100,B 434477,A81000C,00200,0200,THE WATERS OF INDIANA III 434477,A81000C,00200,0400,ADDIT SVP & QR CONSULTING 434477,A81000C,00200,0600,CONSULTING 434477,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434477,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434477,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434477,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434477,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434477,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434477,B100000,00000,0800,0800MEALS SERVED :DIETARY 434477,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434477,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434477,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434477,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434477,E10A180,00501,0100,05/14/12 434477,E10A180,00501,0300,05/14/12 434477,G300000,02500,0000,MISC REVENUE 434477,G300000,02501,0000,PERSONAL PURCHASES 434477,G300000,02502,0000,LEASE INCOME 434477,G300000,02503,0000,BEAUTY & BARBER 434477,S000000,00100,0200,04/04/12 434477,S200000,00100,0100,707 S JACKSON PARK DRIVE 434477,S200000,00200,0100,SEYMOUR 434477,S200000,00200,0200,IN 434477,S200000,00200,0300,47274 434477,S200000,00300,0100,JACKSON 434477,S200000,00300,0200,15 434477,S200000,00300,0201,00015 434477,S200000,00300,0300,R 434477,S200000,00400,0100,THE WATERS OF SEYMOUR LLC 434477,S200000,00400,0200,155377 434477,S200000,00400,0300,02/28/08 434477,S200000,00400,0500,P 434477,S200000,01500,0100,Y 434477,S200000,01600,0100,N 434477,S200000,01700,0100,N 434477,S200000,01800,0100,N 434477,S200000,02200,0100,N 434477,S200000,02800,0100,N 434477,S200000,02900,0100,N 434477,S200000,03000,0100,N 434477,S200000,03100,0100,N 434477,S200000,03200,0100,N 434477,S200000,03300,0100,N 434477,S200000,03300,0200,N 434477,S200000,04100,0100,N 434477,S200000,04200,0100,N 434477,S200000,04300,0100,N 434477,S200000,04600,0100,N 434477,S200000,04700,0100,N 434477,S200000,04700,0200,N 434477,S200000,04900,0100,N 434477,S200000,05000,0100,N 434477,S200000,05100,0100,N 434477,S200000,05200,0100,N 434478,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434478,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434478,A000000,00300,0000,0300EMPLOYEE BENEFITS 434478,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434478,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434478,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434478,A000000,00700,0000,0700HOUSEKEEPING 434478,A000000,00800,0000,0800DIETARY 434478,A000000,00900,0000,0900NURSING ADMINISTRATION 434478,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434478,A000000,01100,0000,1100PHARMACY 434478,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434478,A000000,01300,0000,1300SOCIAL SERVICE 434478,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434478,A000000,01500,0000,1350ACTIVITIES 434478,A000000,01600,0000,1600SKILLED NURSING FACILITY 434478,A000000,01800,0000,1800NURSING FACILITY 434478,A000000,01810,0000,1810ICF/MR 434478,A000000,01900,0000,1900OTHER LONG TERM CARE 434478,A000000,02100,0000,2100RADIOLOGY 434478,A000000,02200,0000,2200LABORATORY 434478,A000000,02300,0000,2300INTRAVENOUS THERAPY 434478,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434478,A000000,02500,0000,2500PHYSICAL THERAPY 434478,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434478,A000000,02700,0000,2700SPEECH PATHOLOGY 434478,A000000,02800,0000,2800ELECTROCARDIOLOGY 434478,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434478,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434478,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434478,A000000,03200,0000,3200SUPPORT SURFACES 434478,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434478,A000000,03400,0000,3400CLINIC 434478,A000000,03500,0000,3500RURAL HEALTH CLINIC 434478,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434478,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434478,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434478,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434478,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434478,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434478,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434478,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434478,A000000,04400,0000,4400DME RENTED - HHA 434478,A000000,04500,0000,4500DME SOLD - HHA 434478,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434478,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434478,A000000,04710,0000,4710TELEMEDICINE 434478,A000000,04800,0000,4800AMBULANCE 434478,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434478,A000000,05000,0000,5000CORF 434478,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434478,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434478,A000000,05300,0000,5300INTEREST EXPENSE 434478,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434478,A000000,05500,0000,5500HOSPICE 434478,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434478,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434478,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434478,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434478,A000000,06100,0000,6100NONPAID WORKERS 434478,A000000,06200,0000,6200PATIENTS LAUNDRY 434478,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434478,A81000A,00100,0100,Y 434478,A81000B,00100,0300,RELATED PARTY THERAPY 434478,A81000B,00200,0300,RELATED PARTY THERAPY 434478,A81000B,00300,0300,RELATED PARTY THERAPY 434478,A81000B,00400,0300,HOME OFFICE COSTS 434478,A81000B,00500,0300,HOME OFFICE COSTS 434478,A81000B,00600,0300,HOME OFFICE COSTS 434478,A81000B,00700,0300,HOME OFFICE COSTS 434478,A81000B,00800,0300,HOME OFFICE COSTS 434478,A81000B,00900,0300,HOME OFFICE COSTS 434478,A81000B,01000,0300,HOME OFFICE COSTS 434478,A81000B,01100,0300,HOME OFFICE COSTS 434478,A81000B,01200,0300,HOME OFFICE COSTS 434478,A81000C,00100,0100,A 434478,A81000C,00100,0400,THERACARE 434478,A81000C,00100,0600,THERAPY MANAGEMENT 434478,A81000C,00200,0100,A 434478,A81000C,00200,0400,THERACARE 434478,A81000C,00200,0600,THERAPY MANAGEMENT 434478,A81000C,00300,0100,A 434478,A81000C,00300,0400,THERACARE 434478,A81000C,00300,0600,THERAPY MANAGEMENT 434478,A81000C,00400,0100,B 434478,A81000C,00400,0400,MHS INC. 434478,A81000C,00400,0600,NURSING HOMES 434478,A81000C,00500,0100,B 434478,A81000C,00500,0400,MHS INC. 434478,A81000C,00500,0600,NURSING HOMES 434478,A81000C,00600,0100,B 434478,A81000C,00600,0400,MHS INC. 434478,A81000C,00600,0600,NURSING HOMES 434478,A81000C,00700,0100,B 434478,A81000C,00700,0400,MHS INC. 434478,A81000C,00700,0600,NURSING HOMES 434478,A81000C,00800,0100,B 434478,A81000C,00800,0400,MHS INC. 434478,A81000C,00800,0600,NURSING HOMES 434478,A81000C,00900,0100,B 434478,A81000C,00900,0400,MHS INC. 434478,A81000C,00900,0600,NURSING HOMES 434478,A81000C,01000,0100,B 434478,A81000C,01000,0400,MHS INC. 434478,A81000C,01000,0600,NURSING HOMES 434478,A81000C,01001,0100,B 434478,A81000C,01001,0400,MHS INC. 434478,A81000C,01001,0600,NURSING HOMES 434478,A81000C,01002,0100,B 434478,A81000C,01002,0400,MHS INC. 434478,A81000C,01002,0600,NURSING HOMES 434478,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434478,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434478,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434478,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434478,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434478,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434478,B100000,00000,0800,0800MEALS SERVED :DIETARY 434478,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434478,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434478,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434478,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434478,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434478,E10A180,00501,0100,04/16/12 434478,G300000,02500,0000,OTHER REVENUE 434478,S000000,00100,0200,03/02/12 434478,S200000,00100,0100,300 NORTH WASHINGTON 434478,S200000,00200,0100,WAKARUSA 434478,S200000,00200,0200,IN 434478,S200000,00200,0300,46573 434478,S200000,00300,0100,ELKHART 434478,S200000,00300,0200,2330 434478,S200000,00300,0201,21140 434478,S200000,00300,0300,U 434478,S200000,00400,0100,MHS INC. D/B/A MMM - WAKARUSA 434478,S200000,00400,0200,155582 434478,S200000,00400,0300,01/01/95 434478,S200000,00400,0500,P 434478,S200000,01500,0100,Y 434478,S200000,01501,0200,Y 434478,S200000,01502,0200,Y 434478,S200000,01503,0200,Y 434478,S200000,01504,0200,Y 434478,S200000,01600,0100,N 434478,S200000,01700,0100,N 434478,S200000,01800,0100,N 434478,S200000,02200,0100,Y 434478,S200000,02800,0100,Y 434478,S200000,02900,0100,N 434478,S200000,03000,0100,N 434478,S200000,03100,0100,N 434478,S200000,03200,0100,N 434478,S200000,03300,0100,N 434478,S200000,03300,0200,N 434478,S200000,04100,0100,N 434478,S200000,04200,0100,N 434478,S200000,04300,0100,N 434478,S200000,04600,0100,N 434478,S200000,04700,0100,N 434478,S200000,04700,0200,N 434478,S200000,04900,0100,N 434478,S200000,05000,0100,N 434478,S200000,05100,0100,N 434478,S200000,05200,0100,N 434478,S200000,05300,0100,Y 434478,S200000,05300,0200,15H004 434478,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434478,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434478,S200000,05400,0300,00130 434478,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434478,S200000,05600,0100,WARSAW 434478,S200000,05600,0200,IN 434478,S200000,05600,0300,46580 434479,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434479,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434479,A000000,00300,0000,0300EMPLOYEE BENEFITS 434479,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434479,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434479,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434479,A000000,00700,0000,0700HOUSEKEEPING 434479,A000000,00800,0000,0800DIETARY 434479,A000000,00900,0000,0900NURSING ADMINISTRATION 434479,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434479,A000000,01100,0000,1100PHARMACY 434479,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434479,A000000,01300,0000,1300SOCIAL SERVICE 434479,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434479,A000000,01500,0000,1350ACTIVITIES 434479,A000000,01600,0000,1600SKILLED NURSING FACILITY 434479,A000000,01800,0000,1800NURSING FACILITY 434479,A000000,01810,0000,1810ICF/MR 434479,A000000,01900,0000,1900OTHER LONG TERM CARE 434479,A000000,02100,0000,2100RADIOLOGY 434479,A000000,02200,0000,2200LABORATORY 434479,A000000,02300,0000,2300INTRAVENOUS THERAPY 434479,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434479,A000000,02500,0000,2500PHYSICAL THERAPY 434479,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434479,A000000,02700,0000,2700SPEECH PATHOLOGY 434479,A000000,02800,0000,2800ELECTROCARDIOLOGY 434479,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434479,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434479,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434479,A000000,03200,0000,3200SUPPORT SURFACES 434479,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434479,A000000,03400,0000,3400CLINIC 434479,A000000,03500,0000,3500RURAL HEALTH CLINIC 434479,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434479,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434479,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434479,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434479,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434479,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434479,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434479,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434479,A000000,04400,0000,4400DME RENTED - HHA 434479,A000000,04500,0000,4500DME SOLD - HHA 434479,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434479,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434479,A000000,04710,0000,4710TELEMEDICINE 434479,A000000,04800,0000,4800AMBULANCE 434479,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434479,A000000,05000,0000,5000CORF 434479,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434479,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434479,A000000,05300,0000,5300INTEREST EXPENSE 434479,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434479,A000000,05500,0000,5500HOSPICE 434479,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434479,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434479,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434479,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434479,A000000,06100,0000,6100NONPAID WORKERS 434479,A000000,06200,0000,6200PATIENTS LAUNDRY 434479,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434479,A81000A,00100,0100,Y 434479,A81000B,00100,0300,RELATED PARTY LEASE 434479,A81000B,00200,0300,RELATED PARTY THERAPY 434479,A81000B,00300,0300,RELATED PARTY THERAPY 434479,A81000B,00400,0300,RELATED PARTY THERAPY 434479,A81000B,00500,0300,HOME OFFICE COSTS 434479,A81000B,00600,0300,HOME OFFICE COSTS 434479,A81000B,00700,0300,HOME OFFICE COSTS 434479,A81000B,00800,0300,HOME OFFICE COSTS 434479,A81000B,00900,0300,HOME OFFICE COSTS 434479,A81000B,01000,0300,HOME OFFICE COSTS 434479,A81000B,01100,0300,HOME OFFICE COSTS 434479,A81000B,01200,0300,HOME OFFICE COSTS 434479,A81000B,01300,0300,HOME OFFICE COSTS 434479,A81000C,00100,0100,A 434479,A81000C,00100,0400,MMM INVEST INC. 434479,A81000C,00100,0600,PROPERTY LEASING 434479,A81000C,00200,0100,A 434479,A81000C,00200,0400,THERACARE 434479,A81000C,00200,0600,THERAPY MANAGEMENT 434479,A81000C,00300,0100,A 434479,A81000C,00300,0400,THERACARE 434479,A81000C,00300,0600,THERAPY MANAGEMENT 434479,A81000C,00400,0100,A 434479,A81000C,00400,0400,THERACARE 434479,A81000C,00400,0600,THERAPY MANAGEMENT 434479,A81000C,00500,0100,B 434479,A81000C,00500,0400,MHS INC. 434479,A81000C,00500,0600,NURSING HOMES 434479,A81000C,00600,0100,B 434479,A81000C,00600,0400,MHS INC. 434479,A81000C,00600,0600,NURSING HOMES 434479,A81000C,00700,0100,B 434479,A81000C,00700,0400,MHS INC. 434479,A81000C,00700,0600,NURSING HOMES 434479,A81000C,00800,0100,B 434479,A81000C,00800,0400,MHS INC. 434479,A81000C,00800,0600,NURSING HOMES 434479,A81000C,00900,0100,B 434479,A81000C,00900,0400,MHS INC. 434479,A81000C,00900,0600,NURSING HOMES 434479,A81000C,01000,0100,B 434479,A81000C,01000,0400,MHS INC. 434479,A81000C,01000,0600,NURSING HOMES 434479,A81000C,01001,0100,B 434479,A81000C,01001,0400,MHS INC. 434479,A81000C,01001,0600,NURSING HOMES 434479,A81000C,01002,0100,B 434479,A81000C,01002,0400,MHS INC. 434479,A81000C,01002,0600,NURSING HOMES 434479,A81000C,01003,0100,B 434479,A81000C,01003,0400,MHS INC. 434479,A81000C,01003,0600,NURSING HOMES 434479,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434479,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434479,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434479,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434479,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434479,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434479,B100000,00000,0800,0800MEALS SERVED :DIETARY 434479,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434479,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434479,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434479,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434479,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434479,E10A180,00350,0100,09/13/11 434479,E10A180,00550,0100,04/30/12 434479,G300000,02500,0000,OTHER REVENUE 434479,S000000,00100,0200,03/02/12 434479,S200000,00100,0100,1367 SOUTH RANDOLPH 434479,S200000,00100,0300,149 434479,S200000,00200,0100,GARRETT 434479,S200000,00200,0200,IN 434479,S200000,00200,0300,46738 434479,S200000,00300,0100,DEKALB 434479,S200000,00300,0200,60 434479,S200000,00300,0201,99915 434479,S200000,00300,0300,R 434479,S200000,00400,0100,MHS INC. D/B/A MMM - GARRETT 434479,S200000,00400,0200,155583 434479,S200000,00400,0300,10/01/95 434479,S200000,00400,0500,P 434479,S200000,01500,0100,Y 434479,S200000,01501,0200,Y 434479,S200000,01502,0200,Y 434479,S200000,01503,0200,Y 434479,S200000,01504,0200,Y 434479,S200000,01600,0100,N 434479,S200000,01700,0100,N 434479,S200000,01800,0100,N 434479,S200000,02200,0100,Y 434479,S200000,02800,0100,Y 434479,S200000,02900,0100,N 434479,S200000,03000,0100,N 434479,S200000,03100,0100,N 434479,S200000,03200,0100,N 434479,S200000,03300,0100,N 434479,S200000,03300,0200,N 434479,S200000,04100,0100,N 434479,S200000,04200,0100,N 434479,S200000,04300,0100,N 434479,S200000,04600,0100,N 434479,S200000,04700,0100,N 434479,S200000,04700,0200,N 434479,S200000,04900,0100,N 434479,S200000,05000,0100,N 434479,S200000,05100,0100,N 434479,S200000,05200,0100,N 434479,S200000,05300,0100,Y 434479,S200000,05300,0200,15H004 434479,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434479,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434479,S200000,05400,0300,00130 434479,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434479,S200000,05600,0100,WARSAW 434479,S200000,05600,0200,IN 434479,S200000,05600,0300,46580 434481,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434481,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434481,A000000,00300,0000,0300EMPLOYEE BENEFITS 434481,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434481,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434481,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434481,A000000,00700,0000,0700HOUSEKEEPING 434481,A000000,00800,0000,0800DIETARY 434481,A000000,00900,0000,0900NURSING ADMINISTRATION 434481,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434481,A000000,01100,0000,1100PHARMACY 434481,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434481,A000000,01300,0000,1300SOCIAL SERVICE 434481,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434481,A000000,01500,0000,1350RECREATION 434481,A000000,01600,0000,1600SKILLED NURSING FACILITY 434481,A000000,01810,0000,1810ICF/MR 434481,A000000,02100,0000,2100RADIOLOGY 434481,A000000,02200,0000,2200LABORATORY 434481,A000000,02300,0000,2300INTRAVENOUS THERAPY 434481,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434481,A000000,02500,0000,2500PHYSICAL THERAPY 434481,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434481,A000000,02700,0000,2700SPEECH PATHOLOGY 434481,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434481,A000000,03550,0000,3550FQHC 434481,A000000,04801,0000,4801AMBULANCE 434481,A000000,04802,0000,4802AMBULANCE 434481,A000000,04803,0000,4803AMBULANCE 434481,A000000,05000,0000,5000CORF 434481,A000000,05010,0000,5010CMHC 434481,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434481,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434481,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434481,A81000A,00100,0100,Y 434481,A81000B,00100,0300,SEE ATTACHED 434481,A81000B,00200,0300,HOME OFFICE INTEREST 434481,A81000B,00300,0300,HOME OFFICE A&G 434481,A81000B,00400,0300,HOME OFFICE CAP PIEC 434481,A81000C,00100,0100,B 434481,A81000C,00100,0400,SEE ATTACHED 434481,A81000C,00100,0600,VARIOUS 434481,A81000C,00200,0100,B 434481,A81000C,00200,0400,GHC 434481,A81000C,00200,0600,LONG TERM CARE 434481,A81000C,00300,0100,B 434481,A81000C,00300,0400,GHC 434481,A81000C,00300,0600,LONG TERM CARE 434481,A81000C,00400,0100,B 434481,A81000C,00400,0400,GHC 434481,A81000C,00400,0600,LONG TERM CARE 434481,B100000,00000,0100,0100SQUARE FEET 434481,B100000,00000,0200,0200SQUARE FEET 434481,B100000,00000,0300,0300GROSS SALARIES 434481,B100000,00000,0400,0400ACCUM COST 434481,B100000,00000,0500,0500SQUARE FEET 434481,B100000,00000,0600,0600PATIENT DAYS 434481,B100000,00000,0700,0700SQUARE FEET 434481,B100000,00000,0800,0800MEALS SERVED 434481,B100000,00000,0900,0900NURSING SALARIES 434481,B100000,00000,1000,1000COSTED REQUIS 434481,B100000,00000,1100,1100COSTED REQUIS 434481,B100000,00000,1200,1200PATIENT DAYS 434481,B100000,00000,1300,1300PATIENT DAYS 434481,B100000,00000,1400,1400ASSIGNED TIME 434481,B100000,00000,1500,1350PATIENT DAYS 434481,E10A180,00501,0100,02/10/12 434481,E10A180,00501,0300,02/10/12 434481,G300000,02500,0000,BARBER AND BEAUTY 434481,S000000,00100,0200,09/12/11 434481,S200000,00100,0100,20 SUMMIT STREET 434481,S200000,00200,0100,WEST ORANGE 434481,S200000,00200,0200,NJ 434481,S200000,00200,0300,07052 434481,S200000,00300,0100,ESSEX 434481,S200000,00300,0201,35084 434481,S200000,00300,0300,U 434481,S200000,00400,0100,SUMMIT RIDGE CENTER 434481,S200000,00400,0200,315038 434481,S200000,00400,0300,07/01/76 434481,S200000,00400,0500,P 434481,S200000,01500,0100,Y 434481,S200000,01501,0200,N 434481,S200000,01502,0200,N 434481,S200000,01503,0200,N 434481,S200000,01504,0200,N 434481,S200000,01600,0100,N 434481,S200000,01700,0100,N 434481,S200000,01800,0100,N 434481,S200000,02200,0100,Y 434481,S200000,02800,0100,N 434481,S200000,02900,0100,N 434481,S200000,03000,0100,N 434481,S200000,03100,0100,N 434481,S200000,03200,0100,N 434481,S200000,03300,0100,N 434481,S200000,03300,0200,N 434481,S200000,04200,0100,N 434481,S200000,04300,0100,N 434481,S200000,04600,0100,N 434481,S200000,04700,0100,N 434481,S200000,04900,0100,N 434481,S200000,05200,0100,N 434481,S200000,05300,0100,Y 434481,S200000,05300,0200,HB0067 434481,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434481,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434481,S200000,05400,0300,12001 434481,S200000,05500,0100,101 EAST STATE STREET 434481,S200000,05600,0100,KENNETT SQUARE 434481,S200000,05600,0200,PA 434481,S200000,05600,0300,19348 434482,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434482,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434482,A000000,00300,0000,0300EMPLOYEE BENEFITS 434482,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434482,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434482,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434482,A000000,00700,0000,0700HOUSEKEEPING 434482,A000000,00800,0000,0800DIETARY 434482,A000000,00900,0000,0900NURSING ADMINISTRATION 434482,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434482,A000000,01100,0000,1100PHARMACY 434482,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434482,A000000,01300,0000,1300SOCIAL SERVICE 434482,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434482,A000000,01500,0000,1350RECREATION 434482,A000000,01600,0000,1600SKILLED NURSING FACILITY 434482,A000000,01810,0000,1810ICF/MR 434482,A000000,02100,0000,2100RADIOLOGY 434482,A000000,02200,0000,2200LABORATORY 434482,A000000,02300,0000,2300INTRAVENOUS THERAPY 434482,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434482,A000000,02500,0000,2500PHYSICAL THERAPY 434482,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434482,A000000,02700,0000,2700SPEECH PATHOLOGY 434482,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434482,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434482,A000000,03550,0000,3550FQHC 434482,A000000,04801,0000,4801AMBULANCE 434482,A000000,04802,0000,4802AMBULANCE 434482,A000000,04803,0000,4803AMBULANCE 434482,A000000,05000,0000,5000CORF 434482,A000000,05010,0000,5010CMHC 434482,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434482,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434482,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434482,A81000A,00100,0100,Y 434482,A81000B,00100,0300,SEE ATTACHED 434482,A81000B,00200,0300,CAPITAL INTEREST 434482,A81000B,00300,0300,HOME OFFICE 434482,A81000B,00400,0300,HOME OFFICE 434482,A81000C,00100,0100,B 434482,A81000C,00100,0400,SEE ATTACHED 434482,A81000C,00100,0600,VARIOUS 434482,A81000C,00200,0100,B 434482,A81000C,00200,0400,GHC 434482,A81000C,00200,0600,LONG TERM CARE 434482,A81000C,00300,0100,B 434482,A81000C,00300,0400,GHC 434482,A81000C,00300,0600,LONG TERM CARE 434482,A81000C,00400,0100,B 434482,A81000C,00400,0400,GHC 434482,A81000C,00400,0600,LONG TERM CARE 434482,B100000,00000,0100,0100SQUARE FEET 434482,B100000,00000,0200,0200SQUARE FEET 434482,B100000,00000,0300,0300GROSS SALARIES 434482,B100000,00000,0400,0400ACCUM COST 434482,B100000,00000,0500,0500SQUARE FEET 434482,B100000,00000,0600,0600PATIENT DAYS 434482,B100000,00000,0700,0700SQUARE FEET 434482,B100000,00000,0800,0800MEALS SERVED 434482,B100000,00000,0900,0900NURSING SALARIES 434482,B100000,00000,1000,1000COSTED REQUIS 434482,B100000,00000,1100,1100COSTED REQUIS 434482,B100000,00000,1200,1200PATIENT DAYS 434482,B100000,00000,1300,1300PATIENT DAYS 434482,B100000,00000,1400,1400ASSIGNED TIME 434482,B100000,00000,1500,1350PATIENT DAYS 434482,E10A180,00501,0100,02/02/12 434482,E10A180,00501,0300,02/02/12 434482,G300000,02500,0000,BARBER & BEAUTY 434482,S000000,00100,0200,09/12/11 434482,S200000,00100,0100,330 FRANKLIN TURNPIKE 434482,S200000,00200,0100,RIDGEWOOD 434482,S200000,00200,0200,NJ 434482,S200000,00200,0300,07450 434482,S200000,00300,0100,BERGEN 434482,S200000,00300,0201,35644 434482,S200000,00300,0300,U 434482,S200000,00400,0100,RIDGEWOOD CENTER 434482,S200000,00400,0200,315158 434482,S200000,00400,0300,06/04/75 434482,S200000,00400,0500,P 434482,S200000,01500,0100,Y 434482,S200000,01501,0200,N 434482,S200000,01502,0200,N 434482,S200000,01503,0200,N 434482,S200000,01504,0200,N 434482,S200000,01600,0100,N 434482,S200000,01700,0100,N 434482,S200000,01800,0100,N 434482,S200000,02200,0100,Y 434482,S200000,02800,0100,N 434482,S200000,02900,0100,N 434482,S200000,03000,0100,N 434482,S200000,03100,0100,N 434482,S200000,03200,0100,N 434482,S200000,03300,0100,N 434482,S200000,03300,0200,N 434482,S200000,04200,0100,N 434482,S200000,04300,0100,N 434482,S200000,04600,0100,N 434482,S200000,04700,0100,N 434482,S200000,04900,0100,N 434482,S200000,05200,0100,N 434482,S200000,05300,0100,Y 434482,S200000,05300,0200,HB0067 434482,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434482,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434482,S200000,05400,0300,12001 434482,S200000,05500,0100,101 EAST STATE STREET 434482,S200000,05600,0100,KENNETT SQUARE 434482,S200000,05600,0200,PA 434482,S200000,05600,0300,19348 434488,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434488,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434488,A000000,00300,0000,0300EMPLOYEE BENEFITS 434488,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434488,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434488,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434488,A000000,00700,0000,0700HOUSEKEEPING 434488,A000000,00800,0000,0800DIETARY 434488,A000000,00900,0000,0900NURSING ADMINISTRATION 434488,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434488,A000000,01100,0000,1100PHARMACY 434488,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434488,A000000,01300,0000,1300SOCIAL SERVICE 434488,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434488,A000000,01500,0000,1350RECREATION 434488,A000000,01600,0000,1600SKILLED NURSING FACILITY 434488,A000000,01810,0000,1810ICF/MR 434488,A000000,02100,0000,2100RADIOLOGY 434488,A000000,02200,0000,2200LABORATORY 434488,A000000,02300,0000,2300INTRAVENOUS THERAPY 434488,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434488,A000000,02500,0000,2500PHYSICAL THERAPY 434488,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434488,A000000,02700,0000,2700SPEECH PATHOLOGY 434488,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434488,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434488,A000000,03550,0000,3550FQHC 434488,A000000,04801,0000,4801AMBULANCE 434488,A000000,04802,0000,4802AMBULANCE 434488,A000000,04803,0000,4803AMBULANCE 434488,A000000,05000,0000,5000CORF 434488,A000000,05010,0000,5010CMHC 434488,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434488,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434488,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434488,A81000A,00100,0100,Y 434488,A81000B,00100,0300,SEE ATTACHED 434488,A81000B,00200,0300,HOME OFFICE INTEREST 434488,A81000B,00300,0300,HOME OFFICE A&G 434488,A81000B,00400,0300,HOME OFFICE CAP PIEC 434488,A81000C,00100,0100,B 434488,A81000C,00100,0400,SEE ATTACHED 434488,A81000C,00100,0600,VARIOUS 434488,A81000C,00200,0100,B 434488,A81000C,00200,0400,GHC 434488,A81000C,00200,0600,LONG TERM CARE 434488,A81000C,00300,0100,B 434488,A81000C,00300,0400,GHC 434488,A81000C,00300,0600,LONG TERM CARE 434488,A81000C,00400,0100,B 434488,A81000C,00400,0400,GHC 434488,A81000C,00400,0600,LONG TERM CARE 434488,B100000,00000,0100,0100SQUARE FEET 434488,B100000,00000,0200,0200SQUARE FEET 434488,B100000,00000,0300,0300GROSS SALARIES 434488,B100000,00000,0400,0400ACCUM COST 434488,B100000,00000,0500,0500SQUARE FEET 434488,B100000,00000,0600,0600PATIENT DAYS 434488,B100000,00000,0700,0700SQUARE FEET 434488,B100000,00000,0800,0800MEALS SERVED 434488,B100000,00000,0900,0900NURSING SALARIES 434488,B100000,00000,1000,1000COSTED REQUIS 434488,B100000,00000,1100,1100COSTED REQUIS 434488,B100000,00000,1200,1200PATIENT DAYS 434488,B100000,00000,1300,1300PATIENT DAYS 434488,B100000,00000,1400,1400ASSIGNED TIME 434488,B100000,00000,1500,1350PATIENT DAYS 434488,E10A180,00501,0100,02/02/12 434488,E10A180,00501,0300,02/02/12 434488,G300000,02500,0000,BARBER AND BEAUTY 434488,S000000,00100,0200,09/12/11 434488,S200000,00100,0100,1361 ROUTE 72 WEST 434488,S200000,00200,0100,MANAHAWKIN 434488,S200000,00200,0200,NJ 434488,S200000,00200,0300,08050 434488,S200000,00300,0100,OCEAN 434488,S200000,00300,0201,20764 434488,S200000,00300,0300,U 434488,S200000,00400,0100,SOUTHERN OCEAN CENTER 434488,S200000,00400,0200,315332 434488,S200000,00400,0300,06/22/94 434488,S200000,00400,0500,P 434488,S200000,01500,0100,Y 434488,S200000,01501,0200,N 434488,S200000,01502,0200,N 434488,S200000,01503,0200,N 434488,S200000,01504,0200,N 434488,S200000,01600,0100,N 434488,S200000,01700,0100,N 434488,S200000,01800,0100,N 434488,S200000,02200,0100,Y 434488,S200000,02800,0100,N 434488,S200000,02900,0100,N 434488,S200000,03000,0100,N 434488,S200000,03100,0100,N 434488,S200000,03200,0100,N 434488,S200000,03300,0100,N 434488,S200000,03300,0200,N 434488,S200000,04200,0100,N 434488,S200000,04300,0100,N 434488,S200000,04600,0100,N 434488,S200000,04700,0100,N 434488,S200000,04900,0100,N 434488,S200000,05200,0100,N 434488,S200000,05300,0100,Y 434488,S200000,05300,0200,HB0067 434488,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434488,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434488,S200000,05400,0300,12001 434488,S200000,05500,0100,101 EAST STATE STREET 434488,S200000,05600,0100,KENNETT SQUARE 434488,S200000,05600,0200,PA 434488,S200000,05600,0300,19348 434490,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434490,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434490,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434490,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434490,A000000,00300,0000,0300EMPLOYEE BENEFITS 434490,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434490,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434490,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434490,A000000,00700,0000,0700HOUSEKEEPING 434490,A000000,00800,0000,0800DIETARY 434490,A000000,00801,0000,0801CAFETERIA 434490,A000000,00900,0000,0900NURSING ADMINISTRATION 434490,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434490,A000000,01100,0000,1100PHARMACY 434490,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434490,A000000,01300,0000,1300SOCIAL SERVICE 434490,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434490,A000000,01500,0000,1350ACTIVITIES 434490,A000000,01600,0000,1600SKILLED NURSING FACILITY 434490,A000000,01800,0000,1800NURSING FACILITY 434490,A000000,01900,0000,1900OTHER LONG TERM CARE 434490,A000000,02100,0000,2100RADIOLOGY 434490,A000000,02200,0000,2200LABORATORY 434490,A000000,02300,0000,2300INTRAVENOUS THERAPY 434490,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434490,A000000,02500,0000,2500PHYSICAL THERAPY 434490,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434490,A000000,02700,0000,2700SPEECH PATHOLOGY 434490,A000000,02800,0000,2800ELECTROCARDIOLOGY 434490,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434490,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434490,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434490,A000000,03200,0000,3200SUPPORT SURFACES 434490,A000000,03300,0000,3050ENTERALS 434490,A000000,03301,0000,3051OXYGEN 434490,A000000,03302,0000,3052OTHER ANCILLARY III 434490,A000000,03400,0000,3400CLINIC 434490,A000000,03500,0000,3500RURAL HEALTH CLINIC 434490,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434490,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434490,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434490,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434490,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434490,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434490,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434490,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434490,A000000,04400,0000,4400DME RENTED - HHA 434490,A000000,04500,0000,4500DME SOLD - HHA 434490,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434490,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434490,A000000,04710,0000,4710TELEMEDICINE 434490,A000000,04800,0000,4800AMBULANCE 434490,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434490,A000000,05000,0000,5000CORF 434490,A000000,05001,0000,5001CMHC I 434490,A000000,05020,0000,5020OPT I 434490,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434490,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434490,A000000,05300,0000,5300INTEREST EXPENSE 434490,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434490,A000000,05500,0000,5500HOSPICE 434490,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434490,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434490,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434490,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434490,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434490,A000000,06100,0000,6100NONPAID WORKERS 434490,A000000,06200,0000,6200PATIENTS LAUNDRY 434490,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434490,A81000A,00100,0100,Y 434490,A81000B,00100,0300,MANAGEMENT FEES 434490,A81000B,00200,0300,NURSING SUPPLIES 434490,A81000B,00300,0300,LEGEND DRUGS 434490,A81000B,00400,0300,OTC 434490,A81000B,00500,0300,MED SUPPLIES 434490,A81000B,00600,0300,PHAR CONSLT 434490,A81000B,00700,0300,RELATED LEASE 434490,A81000B,00800,0300,DEPRECIATION 434490,A81000B,00900,0300,INTEREST 434490,A81000C,00100,0100,B 434490,A81000C,00100,0400,WOM 434490,A81000C,00100,0600,NSG HOME CHAIN 434490,A81000C,00200,0100,B 434490,A81000C,00200,0400,WOM 434490,A81000C,00200,0600,PHARMACY 434490,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434490,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434490,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434490,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434490,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434490,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434490,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434490,B100000,00000,0800,0800MEALS SERVED :DIETARY 434490,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434490,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434490,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434490,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434490,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434490,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434490,E10A180,00350,0300,07/27/11 434490,E10A180,00501,0100,06/11/12 434490,S000000,00100,0200,03/21/12 434490,S200000,00100,0100,188 OSCAR JUSTICE RD 434490,S200000,00200,0100,RUTHERFORDTON 434490,S200000,00200,0200,NC 434490,S200000,00200,0300,28139-9407 434490,S200000,00300,0100,RUTHERFORD 434490,S200000,00300,0201,99934 434490,S200000,00300,0300,R 434490,S200000,00400,0100,WHITE OAK MANOR-RUTHERFORDTON 434490,S200000,00400,0200,345083 434490,S200000,00400,0300,09/30/77 434490,S200000,00400,0500,P 434490,S200000,01500,0100,Y 434490,S200000,01501,0200,Y 434490,S200000,01502,0200,Y 434490,S200000,01503,0200,Y 434490,S200000,01504,0200,Y 434490,S200000,01600,0100,N 434490,S200000,01700,0100,N 434490,S200000,01800,0100,N 434490,S200000,02200,0100,Y 434490,S200000,02800,0100,N 434490,S200000,02900,0100,N 434490,S200000,03000,0100,N 434490,S200000,03100,0100,N 434490,S200000,03200,0100,N 434490,S200000,03300,0100,N 434490,S200000,03300,0200,N 434490,S200000,04100,0100,N 434490,S200000,04200,0100,N 434490,S200000,04300,0100,N 434490,S200000,04600,0100,N 434490,S200000,04700,0100,N 434490,S200000,04700,0200,N 434490,S200000,04900,0100,N 434490,S200000,05000,0100,N 434490,S200000,05100,0100,N 434490,S200000,05200,0100,N 434490,S200000,05300,0100,Y 434490,S200000,05300,0200,HO02 434490,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434490,S200000,05400,0200,PGBA 434490,S200000,05400,0300,00380 434490,S200000,05500,0100,130 EAST MAIN ST. 434490,S200000,05500,0200,3347 434490,S200000,05600,0100,SPARTANBURG 434490,S200000,05600,0200,SC 434490,S200000,05600,0300,29304 434491,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434491,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434491,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434491,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434491,A000000,00300,0000,0300EMPLOYEE BENEFITS 434491,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434491,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434491,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434491,A000000,00700,0000,0700HOUSEKEEPING 434491,A000000,00800,0000,0800DIETARY 434491,A000000,00801,0000,0801CAFETERIA 434491,A000000,00900,0000,0900NURSING ADMINISTRATION 434491,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434491,A000000,01100,0000,1100PHARMACY 434491,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434491,A000000,01300,0000,1300SOCIAL SERVICE 434491,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434491,A000000,01500,0000,1350ACTIVITIES 434491,A000000,01600,0000,1600SKILLED NURSING FACILITY 434491,A000000,01800,0000,1800NURSING FACILITY 434491,A000000,01900,0000,1900OTHER LONG TERM CARE 434491,A000000,02100,0000,2100RADIOLOGY 434491,A000000,02200,0000,2200LABORATORY 434491,A000000,02300,0000,2300INTRAVENOUS THERAPY 434491,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434491,A000000,02500,0000,2500PHYSICAL THERAPY 434491,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434491,A000000,02700,0000,2700SPEECH PATHOLOGY 434491,A000000,02800,0000,2800ELECTROCARDIOLOGY 434491,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434491,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434491,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434491,A000000,03200,0000,3200SUPPORT SURFACES 434491,A000000,03300,0000,3050ENTERALS 434491,A000000,03301,0000,3051OXYGEN 434491,A000000,03302,0000,3052OTHER ANCILLARY III 434491,A000000,03400,0000,3400CLINIC 434491,A000000,03500,0000,3500RURAL HEALTH CLINIC 434491,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434491,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434491,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434491,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434491,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434491,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434491,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434491,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434491,A000000,04400,0000,4400DME RENTED - HHA 434491,A000000,04500,0000,4500DME SOLD - HHA 434491,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434491,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434491,A000000,04710,0000,4710TELEMEDICINE 434491,A000000,04800,0000,4800AMBULANCE 434491,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434491,A000000,05000,0000,5000CORF 434491,A000000,05001,0000,5001CMHC I 434491,A000000,05020,0000,5020OPT I 434491,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434491,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434491,A000000,05300,0000,5300INTEREST EXPENSE 434491,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434491,A000000,05500,0000,5500HOSPICE 434491,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434491,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434491,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434491,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434491,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434491,A000000,06100,0000,6100NONPAID WORKERS 434491,A000000,06200,0000,6200PATIENTS LAUNDRY 434491,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434491,A81000A,00100,0100,Y 434491,A81000B,00100,0300,MANAGEMENT FEES 434491,A81000B,00200,0300,NURSING SUPPLIES 434491,A81000B,00300,0300,LEGEND DRUGS 434491,A81000B,00400,0300,OTC 434491,A81000B,00500,0300,MED SUPPLIES 434491,A81000B,00600,0300,PHAR CONSLT 434491,A81000B,00700,0300,RELATED LEASE 434491,A81000B,00800,0300,DEPRECIATION 434491,A81000B,00900,0300,INTEREST 434491,A81000C,00100,0100,B 434491,A81000C,00100,0400,WOM 434491,A81000C,00100,0600,NSG HOME CHAIN 434491,A81000C,00200,0100,B 434491,A81000C,00200,0400,WOM 434491,A81000C,00200,0600,PHARMACY 434491,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434491,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434491,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434491,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434491,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434491,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434491,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434491,B100000,00000,0800,0800MEALS SERVED :DIETARY 434491,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434491,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434491,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434491,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434491,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434491,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434491,E10A180,00350,0100,07/27/11 434491,E10A180,00501,0100,06/08/12 434491,E10A180,00501,0300,06/08/12 434491,S000000,00100,0200,03/21/12 434491,S200000,00100,0100,716 SIPES ST 434491,S200000,00100,0300,578 434491,S200000,00200,0100,KINGS MT. 434491,S200000,00200,0200,NC 434491,S200000,00200,0300,28086-1578 434491,S200000,00300,0100,CLEVELAND 434491,S200000,00300,0201,99934 434491,S200000,00300,0300,R 434491,S200000,00400,0100,WHITE OAK MANOR-KINGS MT. 434491,S200000,00400,0200,345151 434491,S200000,00400,0300,09/30/72 434491,S200000,00400,0500,P 434491,S200000,01500,0100,Y 434491,S200000,01501,0200,Y 434491,S200000,01502,0200,Y 434491,S200000,01503,0200,Y 434491,S200000,01504,0200,Y 434491,S200000,01600,0100,N 434491,S200000,01700,0100,N 434491,S200000,01800,0100,N 434491,S200000,02200,0100,Y 434491,S200000,02800,0100,N 434491,S200000,02900,0100,N 434491,S200000,03000,0100,N 434491,S200000,03100,0100,N 434491,S200000,03200,0100,N 434491,S200000,03300,0100,N 434491,S200000,03300,0200,N 434491,S200000,04100,0100,N 434491,S200000,04200,0100,N 434491,S200000,04300,0100,N 434491,S200000,04600,0100,N 434491,S200000,04700,0100,N 434491,S200000,04700,0200,N 434491,S200000,04900,0100,N 434491,S200000,05000,0100,N 434491,S200000,05100,0100,N 434491,S200000,05200,0100,N 434491,S200000,05300,0100,Y 434491,S200000,05300,0200,HO02 434491,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434491,S200000,05400,0200,PGBA 434491,S200000,05400,0300,00380 434491,S200000,05500,0100,130 EAST MAIN ST. 434491,S200000,05500,0200,3347 434491,S200000,05600,0100,SPARTANBURG 434491,S200000,05600,0200,SC 434491,S200000,05600,0300,29304 434492,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434492,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434492,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434492,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434492,A000000,00300,0000,0300EMPLOYEE BENEFITS 434492,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434492,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434492,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434492,A000000,00700,0000,0700HOUSEKEEPING 434492,A000000,00800,0000,0800DIETARY 434492,A000000,00801,0000,0801CAFETERIA 434492,A000000,00900,0000,0900NURSING ADMINISTRATION 434492,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434492,A000000,01100,0000,1100PHARMACY 434492,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434492,A000000,01300,0000,1300SOCIAL SERVICE 434492,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434492,A000000,01500,0000,1350ACTIVITIES 434492,A000000,01600,0000,1600SKILLED NURSING FACILITY 434492,A000000,01800,0000,1800NURSING FACILITY 434492,A000000,01900,0000,1900OTHER LONG TERM CARE 434492,A000000,02100,0000,2100RADIOLOGY 434492,A000000,02200,0000,2200LABORATORY 434492,A000000,02300,0000,2300INTRAVENOUS THERAPY 434492,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434492,A000000,02500,0000,2500PHYSICAL THERAPY 434492,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434492,A000000,02700,0000,2700SPEECH PATHOLOGY 434492,A000000,02800,0000,2800ELECTROCARDIOLOGY 434492,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434492,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434492,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434492,A000000,03200,0000,3200SUPPORT SURFACES 434492,A000000,03300,0000,3050ENTERALS 434492,A000000,03301,0000,3051OXYGEN 434492,A000000,03302,0000,3052OTHER ANCILLARY III 434492,A000000,03400,0000,3400CLINIC 434492,A000000,03500,0000,3500RURAL HEALTH CLINIC 434492,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434492,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434492,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434492,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434492,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434492,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434492,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434492,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434492,A000000,04400,0000,4400DME RENTED - HHA 434492,A000000,04500,0000,4500DME SOLD - HHA 434492,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434492,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434492,A000000,04710,0000,4710TELEMEDICINE 434492,A000000,04800,0000,4800AMBULANCE 434492,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434492,A000000,05000,0000,5000CORF 434492,A000000,05001,0000,5001CMHC I 434492,A000000,05020,0000,5020OPT I 434492,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434492,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434492,A000000,05300,0000,5300INTEREST EXPENSE 434492,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434492,A000000,05500,0000,5500HOSPICE 434492,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434492,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434492,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434492,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434492,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434492,A000000,06100,0000,6100NONPAID WORKERS 434492,A000000,06200,0000,6200PATIENTS LAUNDRY 434492,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434492,A81000A,00100,0100,Y 434492,A81000B,00100,0300,MANAGEMENT FEES 434492,A81000B,00200,0300,NURSING SUPPLIES 434492,A81000B,00300,0300,LEGEND DRUGS 434492,A81000B,00400,0300,OTC 434492,A81000B,00500,0300,MED SUPPLIES 434492,A81000B,00600,0300,PHAR CONSLT 434492,A81000B,00700,0300,RELATED LEASE 434492,A81000B,00800,0300,DEPRECIATION 434492,A81000B,00900,0300,INTEREST 434492,A81000C,00100,0100,B 434492,A81000C,00100,0400,WOM 434492,A81000C,00100,0600,NSG HOME CHAIN 434492,A81000C,00200,0100,B 434492,A81000C,00200,0400,WOM 434492,A81000C,00200,0600,PHARMACY 434492,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434492,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434492,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434492,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434492,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434492,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434492,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434492,B100000,00000,0800,0800MEALS SERVED :DIETARY 434492,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434492,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434492,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434492,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434492,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434492,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434492,E10A180,00301,0300,08/02/11 434492,E10A180,00501,0100,06/08/12 434492,E10A180,00550,0300,06/08/12 434492,S000000,00100,0200,03/21/12 434492,S200000,00100,0100,700 HOWIE MINE RD 434492,S200000,00200,0100,WAXHAW 434492,S200000,00200,0200,NC 434492,S200000,00200,0300,28173-9715 434492,S200000,00300,0100,UNION 434492,S200000,00300,0201,16740 434492,S200000,00300,0300,U 434492,S200000,00400,0100,WHITE OAK MANOR-WAXHAW 434492,S200000,00400,0200,345550 434492,S200000,00400,0300,03/12/10 434492,S200000,00400,0500,P 434492,S200000,01500,0100,Y 434492,S200000,01501,0200,Y 434492,S200000,01502,0200,Y 434492,S200000,01503,0200,Y 434492,S200000,01504,0200,Y 434492,S200000,01600,0100,N 434492,S200000,01700,0100,N 434492,S200000,01800,0100,N 434492,S200000,02200,0100,Y 434492,S200000,02800,0100,N 434492,S200000,02900,0100,N 434492,S200000,03000,0100,N 434492,S200000,03100,0100,N 434492,S200000,03200,0100,N 434492,S200000,03300,0100,N 434492,S200000,03300,0200,N 434492,S200000,04100,0100,N 434492,S200000,04200,0100,N 434492,S200000,04300,0100,N 434492,S200000,04600,0100,N 434492,S200000,04700,0100,N 434492,S200000,04700,0200,N 434492,S200000,04900,0100,N 434492,S200000,05000,0100,N 434492,S200000,05100,0100,N 434492,S200000,05200,0100,N 434492,S200000,05300,0100,Y 434492,S200000,05300,0200,HO02 434492,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434492,S200000,05400,0200,PGBA 434492,S200000,05400,0300,00380 434492,S200000,05500,0100,130 EAST MAIN ST. 434492,S200000,05500,0200,3347 434492,S200000,05600,0100,SPARTANBURG 434492,S200000,05600,0200,SC 434492,S200000,05600,0300,29304 434503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434503,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434503,A000000,00300,0000,0300EMPLOYEE BENEFITS 434503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434503,A000000,00700,0000,0700HOUSEKEEPING 434503,A000000,00800,0000,0800DIETARY 434503,A000000,00900,0000,0900NURSING ADMINISTRATION 434503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434503,A000000,01100,0000,1100PHARMACY 434503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434503,A000000,01300,0000,1300SOCIAL SERVICE 434503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434503,A000000,01500,0000,1350OTHER GENERAL SERVICES 434503,A000000,01600,0000,1600SKILLED NURSING FACILITY 434503,A000000,01800,0000,1800NURSING FACILITY 434503,A000000,01810,0000,1810ICF/MR 434503,A000000,01900,0000,1900OTHER LONG TERM CARE 434503,A000000,02100,0000,2100RADIOLOGY 434503,A000000,02200,0000,2200LABORATORY 434503,A000000,02300,0000,2300INTRAVENOUS THERAPY 434503,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434503,A000000,02500,0000,2500PHYSICAL THERAPY 434503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434503,A000000,02700,0000,2700SPEECH PATHOLOGY 434503,A000000,02800,0000,2800ELECTROCARDIOLOGY 434503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434503,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434503,A000000,03200,0000,3200SUPPORT SURFACES 434503,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434503,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434503,A000000,04800,0000,4800AMBULANCE 434503,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434503,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434503,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434503,A000000,05300,0000,5300INTEREST EXPENSE 434503,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434503,A000000,05500,0000,5500HOSPICE 434503,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434503,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434503,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434503,A000000,06100,0000,6100NONPAID WORKERS 434503,A000000,06200,0000,6200PATIENTS LAUNDRY 434503,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434503,A81000A,00100,0100,Y 434503,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 434503,A81000C,00100,0100,C 434503,A81000C,00100,0400,LTC 434503,A81000C,00100,0600,HEALTHCARE MGMT SERVICES 434503,A81000C,00200,0100,B 434503,A81000C,00200,0400,UNLMITED DEVELOPMENT 434503,A81000C,00200,0600,OPERATOR 434503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434503,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434503,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434503,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434503,B100000,00000,0800,0800MEALS SERVED :DIETARY 434503,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434503,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434503,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434503,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434503,E10A180,00501,0100,03/30/12 434503,G300000,02500,0000,DEMENTIA SERVICES 434503,G300000,02501,0000,BARBER AND BEAUTY 434503,G300000,02502,0000,LATE PAYMENT FEE 434503,G300000,02503,0000,GUEST ROOMS 434503,G300000,02504,0000,MAINTENANCE FEE INCOME 434503,G300000,02505,0000,MISCELLANEOUS INCOME 434503,S000000,00100,0200,02/27/12 434503,S200000,00100,0100,610 LOWRY STREET 434503,S200000,00200,0100,PITTSFIELD 434503,S200000,00200,0200,IL 434503,S200000,00200,0300,62363 434503,S200000,00300,0100,PIKE 434503,S200000,00300,0200,14 434503,S200000,00300,0201,99914 434503,S200000,00300,0300,R 434503,S200000,00400,0100,PITTSFIELD MANOR 434503,S200000,00400,0200,145837 434503,S200000,00400,0300,04/27/95 434503,S200000,00400,0500,P 434503,S200000,01500,0100,Y 434503,S200000,01501,0200,Y 434503,S200000,01600,0100,N 434503,S200000,01700,0100,N 434503,S200000,01800,0100,N 434503,S200000,02200,0100,N 434503,S200000,02800,0100,N 434503,S200000,02900,0100,N 434503,S200000,03000,0100,N 434503,S200000,03100,0100,N 434503,S200000,03200,0100,N 434503,S200000,03300,0100,N 434503,S200000,03300,0200,N 434503,S200000,04100,0100,N 434503,S200000,04200,0100,N 434503,S200000,04300,0100,N 434503,S200000,04600,0100,N 434503,S200000,04700,0100,N 434503,S200000,04700,0200,N 434503,S200000,04900,0100,N 434503,S200000,05000,0100,N 434503,S200000,05100,0100,N 434503,S200000,05200,0100,N 434503,S200000,05300,0100,Y 434503,S200000,05300,0200,HB0173 434503,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 434503,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 434503,S200000,05400,0300,00131 434503,S200000,05500,0100,285 FARNHAM STREET 434503,S200000,05600,0100,GALESBURG 434503,S200000,05600,0200,IL 434503,S200000,05600,0300,61401 434507,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434507,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434507,A000000,00300,0000,0300EMPLOYEE BENEFITS 434507,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434507,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434507,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434507,A000000,00700,0000,0700HOUSEKEEPING 434507,A000000,00800,0000,0800DIETARY 434507,A000000,00900,0000,0900NURSING ADMINISTRATION 434507,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434507,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434507,A000000,01300,0000,1300SOCIAL SERVICE 434507,A000000,01500,0000,1350OTHER GENERAL SERVICES 434507,A000000,01600,0000,1600SKILLED NURSING FACILITY 434507,A000000,01800,0000,1800NURSING FACILITY 434507,A000000,01810,0000,1810ICF/MR 434507,A000000,01900,0000,1900OTHER LONG TERM CARE 434507,A000000,02100,0000,2100RADIOLOGY 434507,A000000,02200,0000,2200LABORATORY 434507,A000000,02300,0000,2300INTRAVENOUS THERAPY 434507,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434507,A000000,02500,0000,2500PHYSICAL THERAPY 434507,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434507,A000000,02700,0000,2700SPEECH PATHOLOGY 434507,A000000,02800,0000,2800ELECTROCARDIOLOGY 434507,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434507,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434507,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434507,A000000,03200,0000,3200SUPPORT SURFACES 434507,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434507,A000000,03400,0000,3400CLINIC 434507,A000000,03500,0000,3500RURAL HEALTH CLINIC 434507,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434507,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434507,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434507,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434507,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434507,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434507,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434507,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434507,A000000,04400,0000,4400DME RENTED - HHA 434507,A000000,04500,0000,4500DME SOLD - HHA 434507,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434507,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434507,A000000,04710,0000,4710TELEMEDICINE 434507,A000000,04800,0000,4800AMBULANCE 434507,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434507,A000000,05000,0000,5000CORF 434507,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434507,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434507,A000000,05300,0000,5300INTEREST EXPENSE 434507,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434507,A000000,05500,0000,5500HOSPICE 434507,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434507,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434507,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434507,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434507,A000000,06100,0000,6100NONPAID WORKERS 434507,A000000,06200,0000,6200PATIENTS LAUNDRY 434507,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434507,A81000A,00100,0100,N 434507,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434507,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434507,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434507,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434507,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434507,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434507,B100000,00000,0800,0800MEALS SERVED :DIETARY 434507,B100000,00000,0900,0950ASSIGNED TIME :NURSING ADMINIST 434507,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434507,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434507,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434507,E10A180,00350,0100,04/08/11 434507,E10A180,00351,0100,06/30/11 434507,E10A180,00501,0100,05/16/12 434507,G300000,02500,0000,OTHER INCIDENTAL RESIDENT 434507,G300000,02501,0000,INTEREST INCOME 434507,G300000,02502,0000,MISC INCOME 434507,G300000,02503,0000,PRIOR YEAR ADJUSTMENT 434507,S000000,00100,0200,02/29/12 434507,S200000,00100,0100,1330 KINDARD STREET 434507,S200000,00200,0100,NEWBERRY 434507,S200000,00200,0200,SC 434507,S200000,00200,0300,29108 434507,S200000,00300,0100,NEWBERRY 434507,S200000,00300,0200,0042 434507,S200000,00300,0201,00042 434507,S200000,00300,0300,U 434507,S200000,00400,0100,JF HAWKINS NURSING CENTER 434507,S200000,00400,0200,425035 434507,S200000,00400,0300,02/28/11 434507,S200000,00400,0500,P 434507,S200000,01500,0100,N 434507,S200000,01501,0200,N 434507,S200000,01503,0200,N 434507,S200000,01600,0100,Y 434507,S200000,01700,0100,N 434507,S200000,01800,0100,N 434507,S200000,02200,0100,N 434507,S200000,02800,0100,N 434507,S200000,02900,0100,N 434507,S200000,03000,0100,N 434507,S200000,03100,0100,N 434507,S200000,03200,0100,N 434507,S200000,03300,0100,N 434507,S200000,03300,0200,N 434507,S200000,04100,0100,N 434507,S200000,04200,0100,N 434507,S200000,04300,0100,N 434507,S200000,04600,0100,N 434507,S200000,04700,0100,N 434507,S200000,04700,0200,N 434507,S200000,04900,0100,N 434507,S200000,05000,0100,N 434507,S200000,05100,0100,N 434507,S200000,05200,0100,N 434508,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434508,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434508,A000000,00300,0000,0300EMPLOYEE BENEFITS 434508,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434508,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434508,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434508,A000000,00700,0000,0700HOUSEKEEPING 434508,A000000,00800,0000,0800DIETARY 434508,A000000,00900,0000,0900NURSING ADMINISTRATION 434508,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434508,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434508,A000000,01300,0000,1300SOCIAL SERVICE 434508,A000000,01301,0000,1301ACTIVITES 434508,A000000,01500,0000,1350REHABILITATION 434508,A000000,01600,0000,1600SKILLED NURSING FACILITY 434508,A000000,01800,0000,1800NURSING FACILITY 434508,A000000,01900,0000,1900OTHER LONG TERM CARE 434508,A000000,02100,0000,2100RADIOLOGY 434508,A000000,02200,0000,2200LABORATORY 434508,A000000,02300,0000,2300INTRAVENOUS THERAPY 434508,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434508,A000000,02500,0000,2500PHYSICAL THERAPY 434508,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434508,A000000,02700,0000,2700SPEECH PATHOLOGY 434508,A000000,02800,0000,2800ELECTROCARDIOLOGY 434508,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434508,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434508,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434508,A000000,03200,0000,3200SUPPORT SURFACES 434508,A000000,03300,0000,3050EQUIPMENT RENTAL 434508,A000000,03301,0000,3051PEN THERAPY 434508,A000000,04800,0000,4800AMBULANCE 434508,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434508,A000000,05300,0000,5300INTEREST EXPENSE 434508,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434508,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434508,A000000,06200,0000,6200PATIENTS LAUNDRY 434508,A000000,06300,0000,6150VENDING 434508,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434508,A81000A,00100,0100,Y 434508,A81000B,00100,0300,HOME OFFICE COST 434508,A81000C,00100,0100,B 434508,A81000C,00100,0200,CEDAR CREST 434508,A81000C,00100,0400,SSC EQUITY HOLD 434508,A81000C,00100,0600,NSG HOMES 434508,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434508,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434508,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434508,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434508,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434508,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434508,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434508,B100000,00000,0800,0800MEALS SERVED :DIETARY 434508,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434508,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434508,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434508,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434508,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434508,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434508,E10A180,00302,0100,03/17/11 434508,E10A180,00352,0100,09/30/11 434508,E10A180,00550,0100,05/18/12 434508,G300000,02500,0000, OTHER (SPECIFY) 434508,S000000,00100,0200,02/24/12 434508,S200000,00100,0100,4490 VIRGINIA LOOP RD 434508,S200000,00200,0100,SILSBEE 434508,S200000,00200,0200,AL 434508,S200000,00200,0300,36116 434508,S200000,00300,0100,MONTGOMERY 434508,S200000,00300,0300,U 434508,S200000,00400,0100,CEDAR CREST NURSING HOME 434508,S200000,00400,0200,015228 434508,S200000,00400,0300,06/01/83 434508,S200000,00400,0500,P 434508,S200000,01500,0100,Y 434508,S200000,01501,0200,Y 434508,S200000,01502,0200,Y 434508,S200000,01504,0200,Y 434508,S200000,01600,0100,N 434508,S200000,01700,0100,N 434508,S200000,01800,0100,N 434508,S200000,02200,0100,Y 434508,S200000,02800,0100,N 434508,S200000,02900,0100,N 434508,S200000,03000,0100,N 434508,S200000,03100,0100,N 434508,S200000,03200,0100,N 434508,S200000,03300,0100,N 434508,S200000,03300,0200,N 434508,S200000,04100,0100,N 434508,S200000,04200,0100,N 434508,S200000,04300,0100,N 434508,S200000,04600,0100,N 434508,S200000,04700,0100,N 434508,S200000,04700,0200,N 434508,S200000,04900,0100,N 434508,S200000,05000,0100,N 434508,S200000,05100,0100,N 434508,S200000,05200,0100,N 434508,S200000,05300,0100,Y 434508,S200000,05300,0200,219023 434508,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434508,S200000,05400,0200,TRAILBLAZER 434508,S200000,05400,0300,04901 434508,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434508,S200000,05600,0100,HOUSTON 434508,S200000,05600,0200,TX 434508,S200000,05600,0300,77041 434520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434520,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434520,A000000,00300,0000,0300EMPLOYEE BENEFITS 434520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434520,A000000,00700,0000,0700HOUSEKEEPING 434520,A000000,00800,0000,0800DIETARY 434520,A000000,00900,0000,0900NURSING ADMINISTRATION 434520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434520,A000000,01100,0000,1100PHARMACY 434520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434520,A000000,01300,0000,1300SOCIAL SERVICE 434520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434520,A000000,01500,0000,1350ACTIVITIES 434520,A000000,01600,0000,1600SKILLED NURSING FACILITY 434520,A000000,01800,0000,1800NURSING FACILITY 434520,A000000,01810,0000,1810ICF/MR 434520,A000000,01900,0000,1900OTHER LONG TERM CARE 434520,A000000,02100,0000,2100RADIOLOGY 434520,A000000,02200,0000,2200LABORATORY 434520,A000000,02300,0000,2300INTRAVENOUS THERAPY 434520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434520,A000000,02500,0000,2500PHYSICAL THERAPY 434520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434520,A000000,02700,0000,2700SPEECH PATHOLOGY 434520,A000000,02800,0000,2800ELECTROCARDIOLOGY 434520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434520,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434520,A000000,03200,0000,3200SUPPORT SURFACES 434520,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434520,A000000,03400,0000,3400CLINIC 434520,A000000,03500,0000,3500RURAL HEALTH CLINIC 434520,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434520,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434520,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434520,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434520,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434520,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434520,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434520,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434520,A000000,04400,0000,4400DME RENTED - HHA 434520,A000000,04500,0000,4500DME SOLD - HHA 434520,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434520,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434520,A000000,04710,0000,4710TELEMEDICINE 434520,A000000,04800,0000,4800AMBULANCE 434520,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434520,A000000,05000,0000,5000CORF 434520,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434520,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434520,A000000,05300,0000,5300INTEREST EXPENSE 434520,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434520,A000000,05500,0000,5500HOSPICE 434520,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434520,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434520,A000000,06100,0000,6100NONPAID WORKERS 434520,A000000,06200,0000,6200PATIENTS LAUNDRY 434520,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434520,A81000A,00100,0100,Y 434520,A81000B,00100,0300,RELATED PARTY THERAPY 434520,A81000B,00200,0300,RELATED PARTY THERAPY 434520,A81000B,00300,0300,RELATED PARTY THERAPY 434520,A81000B,00400,0300,HOME OFFICE COSTS 434520,A81000B,00500,0300,HOME OFFICE COSTS 434520,A81000B,00600,0300,HOME OFFICE COSTS 434520,A81000B,00700,0300,HOME OFFICE COSTS 434520,A81000B,00800,0300,HOME OFFICE COSTS 434520,A81000B,00900,0300,HOME OFFICE COSTS 434520,A81000B,01000,0300,HOME OFFICE COSTS 434520,A81000B,01100,0300,HOME OFFICE COSTS 434520,A81000B,01200,0300,HOME OFFICE COSTS 434520,A81000C,00100,0100,A 434520,A81000C,00100,0400,THERACARE 434520,A81000C,00100,0600,THERAPY MANAGEMENT 434520,A81000C,00200,0100,A 434520,A81000C,00200,0400,THERACARE 434520,A81000C,00200,0600,THERAPY MANAGEMENT 434520,A81000C,00300,0100,A 434520,A81000C,00300,0400,THERACARE 434520,A81000C,00300,0600,THERAPY MANAGEMENT 434520,A81000C,00400,0100,B 434520,A81000C,00400,0400,MHS INC. 434520,A81000C,00400,0600,NURSING HOMES 434520,A81000C,00500,0100,B 434520,A81000C,00500,0400,MHS INC. 434520,A81000C,00500,0600,NURSING HOMES 434520,A81000C,00600,0100,B 434520,A81000C,00600,0400,MHS INC. 434520,A81000C,00600,0600,NURSING HOMES 434520,A81000C,00700,0100,B 434520,A81000C,00700,0400,MHS INC. 434520,A81000C,00700,0600,NURSING HOMES 434520,A81000C,00800,0100,B 434520,A81000C,00800,0400,MHS INC. 434520,A81000C,00800,0600,NURSING HOMES 434520,A81000C,00900,0100,B 434520,A81000C,00900,0400,MHS INC. 434520,A81000C,00900,0600,NURSING HOMES 434520,A81000C,01000,0100,B 434520,A81000C,01000,0400,MHS INC. 434520,A81000C,01000,0600,NURSING HOMES 434520,A81000C,01001,0100,B 434520,A81000C,01001,0400,MHS INC. 434520,A81000C,01001,0600,NURSING HOMES 434520,A81000C,01002,0100,B 434520,A81000C,01002,0400,MHS INC. 434520,A81000C,01002,0600,NURSING HOMES 434520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434520,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434520,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434520,B100000,00000,0800,0800MEALS SERVED :DIETARY 434520,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434520,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434520,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434520,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434520,E10A180,00301,0100,09/13/11 434520,E10A180,00550,0100,04/30/12 434520,G300000,02500,0000,OTHER REVENUE 434520,S000000,00100,0200,03/02/12 434520,S200000,00100,0100,505 WEST WOLFE STREET 434520,S200000,00200,0100,SULLIVAN 434520,S200000,00200,0200,IN 434520,S200000,00200,0300,47882 434520,S200000,00300,0100,SULLIVAN 434520,S200000,00300,0200,0015 434520,S200000,00300,0201,45460 434520,S200000,00300,0300,U 434520,S200000,00400,0100,MHS INC. D/B/A MMM - SULLIVAN 434520,S200000,00400,0200,155262 434520,S200000,00400,0300,06/19/85 434520,S200000,00400,0500,P 434520,S200000,01500,0100,Y 434520,S200000,01501,0200,Y 434520,S200000,01502,0200,Y 434520,S200000,01503,0200,Y 434520,S200000,01504,0200,Y 434520,S200000,01600,0100,N 434520,S200000,01700,0100,N 434520,S200000,01800,0100,N 434520,S200000,02200,0100,Y 434520,S200000,02800,0100,Y 434520,S200000,02900,0100,N 434520,S200000,03000,0100,N 434520,S200000,03100,0100,N 434520,S200000,03200,0100,N 434520,S200000,03300,0100,N 434520,S200000,03300,0200,N 434520,S200000,04100,0100,N 434520,S200000,04200,0100,N 434520,S200000,04300,0100,N 434520,S200000,04600,0100,N 434520,S200000,04700,0100,N 434520,S200000,04700,0200,N 434520,S200000,04900,0100,N 434520,S200000,05000,0100,N 434520,S200000,05100,0100,N 434520,S200000,05200,0100,N 434520,S200000,05300,0100,Y 434520,S200000,05300,0200,15H004 434520,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434520,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434520,S200000,05400,0300,00130 434520,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434520,S200000,05600,0100,WARSAW 434520,S200000,05600,0200,IN 434520,S200000,05600,0300,46580 434521,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434521,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434521,A000000,00300,0000,0300EMPLOYEE BENEFITS 434521,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434521,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434521,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434521,A000000,00700,0000,0700HOUSEKEEPING 434521,A000000,00800,0000,0800DIETARY 434521,A000000,00900,0000,0900NURSING ADMINISTRATION 434521,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434521,A000000,01100,0000,1100PHARMACY 434521,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434521,A000000,01300,0000,1300SOCIAL SERVICE 434521,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434521,A000000,01600,0000,1600SKILLED NURSING FACILITY 434521,A000000,01800,0000,1800NURSING FACILITY 434521,A000000,01810,0000,1810ICF/MR 434521,A000000,01900,0000,1900OTHER LONG TERM CARE 434521,A000000,02100,0000,2100RADIOLOGY 434521,A000000,02200,0000,2200LABORATORY 434521,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434521,A000000,02500,0000,2500PHYSICAL THERAPY 434521,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434521,A000000,02700,0000,2700SPEECH PATHOLOGY 434521,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434521,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434521,A000000,03300,0000,3050PEN 434521,A000000,03550,0000,3550FQHC 434521,A000000,04800,0000,4800AMBULANCE 434521,A000000,05000,0000,5000CORF 434521,A000000,05010,0000,5010CMHC 434521,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434521,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434521,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434521,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434521,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434521,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434521,A81000A,00100,0100,Y 434521,A81000B,00100,0300,LAUNDRY & LINEN SVC 434521,A81000B,00200,0300,RT PURCHASED SVC 434521,A81000B,00300,0300,ADMIN ACCT HR 434521,A81000B,00400,0300,DIRECTOR OF NURSING 434521,A81000B,00500,0300,LAB SERVICE 434521,A81000B,00600,0300,MEDICAL DIRECTOR 434521,A81000C,00100,0100,B 434521,A81000C,00100,0200,LEXINGTON MED C 434521,A81000C,00100,0400,HOSPITAL SERVIC 434521,A81000C,00100,0600,HOSPITAL 434521,A81000C,00200,0100,B 434521,A81000C,00200,0200,LEXINGTON MED C 434521,A81000C,00200,0400,LEXINGTON MED C 434521,A81000C,00200,0600,HOSPITAL 434521,A81000C,00300,0100,B 434521,A81000C,00300,0200,LEXINGTON MED C 434521,A81000C,00300,0400,LEXINGTON MED C 434521,A81000C,00300,0600,HOSPITAL 434521,A81000C,00400,0100,B 434521,A81000C,00400,0200,LEXINGTON MED C 434521,A81000C,00400,0400,LEXINGTON MED C 434521,A81000C,00400,0600,HOSPITAL 434521,A81000C,00500,0100,B 434521,A81000C,00500,0200,LEXINGTON MED C 434521,A81000C,00500,0400,LEXINGTON MED C 434521,A81000C,00500,0600,HOSPITAL 434521,A81000C,00600,0100,B 434521,A81000C,00600,0200,LEXINGTON MED C 434521,A81000C,00600,0400,INTERNAL MED AS 434521,A81000C,00600,0600,HOSPITAL 434521,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434521,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434521,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434521,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434521,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434521,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434521,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434521,B100000,00000,0800,0800MEALS SERVED :DIETARY 434521,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434521,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434521,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434521,E10A180,00353,0100,07/22/11 434521,E10A180,00501,0100,05/16/12 434521,E10A180,00550,0300,05/16/12 434521,G300000,02500,0000,TRANSPORTATION INCOME 434521,G300000,02501,0000,RECOVERY OF BAD DEBT 434521,G300000,02502,0000,BEAUTY AND BARBER 434521,G300000,02503,0000,PHYSICIAN BILLING 434521,G300000,02504,0000,MISCELLANEOUS INCOME 434521,S000000,00100,0200,02/29/12 434521,S200000,00100,0100,815 OLD CHEROKEE ROAD 434521,S200000,00200,0100,LEXINGTON 434521,S200000,00200,0200,SC 434521,S200000,00200,0300,29072 434521,S200000,00300,0100,LEXINGTON 434521,S200000,00300,0201,17900 434521,S200000,00300,0300,R 434521,S200000,00400,0100,LEXINGTON MEDICAL CTR EXT CARE 434521,S200000,00400,0200,425321 434521,S200000,00400,0300,12/17/91 434521,S200000,00400,0500,P 434521,S200000,00600,0200,425321 434521,S200000,00600,0300,12/17/91 434521,S200000,00600,0600,O 434521,S200000,01500,0100,N 434521,S200000,01501,0200,Y 434521,S200000,01502,0200,Y 434521,S200000,01503,0200,Y 434521,S200000,01504,0200,N 434521,S200000,01600,0100,Y 434521,S200000,01700,0100,N 434521,S200000,01800,0100,N 434521,S200000,02200,0100,Y 434521,S200000,02800,0100,N 434521,S200000,02900,0100,N 434521,S200000,03000,0100,N 434521,S200000,03100,0100,N 434521,S200000,03200,0100,N 434521,S200000,03300,0100,N 434521,S200000,03300,0200,N 434521,S200000,03500,0300,N 434521,S200000,03600,0100,N 434521,S200000,03600,0200,N 434521,S200000,04100,0100,N 434521,S200000,04200,0100,N 434521,S200000,04300,0100,N 434521,S200000,04600,0100,N 434521,S200000,04700,0100,N 434521,S200000,04700,0200,N 434521,S200000,04900,0100,N 434521,S200000,05000,0100,N 434521,S200000,05100,0100,N 434521,S200000,05200,0100,N 434521,S200000,05300,0100,N 434528,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434528,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434528,A000000,00300,0000,0300EMPLOYEE BENEFITS 434528,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434528,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434528,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434528,A000000,00700,0000,0700HOUSEKEEPING 434528,A000000,00800,0000,0800DIETARY 434528,A000000,00900,0000,0900NURSING ADMINISTRATION 434528,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434528,A000000,01100,0000,1100PHARMACY 434528,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434528,A000000,01300,0000,1300SOCIAL SERVICE 434528,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434528,A000000,01500,0000,1350ACTIVITIES 434528,A000000,01600,0000,1600SKILLED NURSING FACILITY 434528,A000000,01800,0000,1800NURSING FACILITY 434528,A000000,01810,0000,1810ICF/MR 434528,A000000,01900,0000,1900OTHER LONG TERM CARE 434528,A000000,02100,0000,2100RADIOLOGY 434528,A000000,02200,0000,2200LABORATORY 434528,A000000,02300,0000,2300INTRAVENOUS THERAPY 434528,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434528,A000000,02500,0000,2500PHYSICAL THERAPY 434528,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434528,A000000,02700,0000,2700SPEECH PATHOLOGY 434528,A000000,02800,0000,2800ELECTROCARDIOLOGY 434528,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434528,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434528,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434528,A000000,03200,0000,3200SUPPORT SURFACES 434528,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434528,A000000,03400,0000,3400CLINIC 434528,A000000,03500,0000,3500RURAL HEALTH CLINIC 434528,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434528,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434528,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434528,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434528,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434528,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434528,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434528,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434528,A000000,04400,0000,4400DME RENTED - HHA 434528,A000000,04500,0000,4500DME SOLD - HHA 434528,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434528,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434528,A000000,04710,0000,4710TELEMEDICINE 434528,A000000,04800,0000,4800AMBULANCE 434528,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434528,A000000,05000,0000,5000CORF 434528,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434528,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434528,A000000,05300,0000,5300INTEREST EXPENSE 434528,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434528,A000000,05500,0000,5500HOSPICE 434528,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434528,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434528,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434528,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434528,A000000,06100,0000,6100NONPAID WORKERS 434528,A000000,06200,0000,6200PATIENTS LAUNDRY 434528,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434528,A81000A,00100,0100,N 434528,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434528,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434528,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434528,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434528,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434528,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434528,B100000,00000,0800,0800MEALS SERVED :DIETARY 434528,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434528,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434528,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434528,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434528,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434528,E10A180,00501,0100,05/02/12 434528,G300000,02500,0000,OTHER REVENUE 434528,S000000,00100,0200,03/01/12 434528,S200000,00100,0100,7476 W. LANE ROAD 434528,S200000,00200,0100,MCCORDSVILLE 434528,S200000,00200,0200,IN 434528,S200000,00200,0300,46055 434528,S200000,00300,0100,HANCOCK 434528,S200000,00300,0201,26900 434528,S200000,00300,0300,U 434528,S200000,00400,0100,PLEASANT VIEW LODGE INC. 434528,S200000,00400,0200,155570 434528,S200000,00400,0300,09/01/95 434528,S200000,00400,0500,P 434528,S200000,01500,0100,Y 434528,S200000,01501,0200,Y 434528,S200000,01502,0200,Y 434528,S200000,01503,0200,Y 434528,S200000,01504,0200,Y 434528,S200000,01600,0100,N 434528,S200000,01700,0100,N 434528,S200000,01800,0100,N 434528,S200000,02200,0100,N 434528,S200000,02800,0100,Y 434528,S200000,02900,0100,N 434528,S200000,03000,0100,N 434528,S200000,03100,0100,N 434528,S200000,03200,0100,N 434528,S200000,03300,0100,N 434528,S200000,03300,0200,N 434528,S200000,04100,0100,N 434528,S200000,04200,0100,N 434528,S200000,04300,0100,N 434528,S200000,04600,0100,N 434528,S200000,04700,0100,N 434528,S200000,04700,0200,N 434528,S200000,04900,0100,N 434528,S200000,05000,0100,N 434528,S200000,05100,0100,N 434528,S200000,05200,0100,N 434528,S200000,05300,0100,N 434529,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434529,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434529,A000000,00300,0000,0300EMPLOYEE BENEFITS 434529,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434529,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434529,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434529,A000000,00700,0000,0700HOUSEKEEPING 434529,A000000,00800,0000,0800DIETARY 434529,A000000,00900,0000,0900NURSING ADMINISTRATION 434529,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434529,A000000,01100,0000,1100PHARMACY 434529,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434529,A000000,01300,0000,1300SOCIAL SERVICE 434529,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434529,A000000,01500,0000,1350ACTIVITIES 434529,A000000,01600,0000,1600SKILLED NURSING FACILITY 434529,A000000,01800,0000,1800NURSING FACILITY 434529,A000000,01810,0000,1810ICF/MR 434529,A000000,01900,0000,1900OTHER LONG TERM CARE 434529,A000000,02100,0000,2100RADIOLOGY 434529,A000000,02200,0000,2200LABORATORY 434529,A000000,02300,0000,2300INTRAVENOUS THERAPY 434529,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434529,A000000,02500,0000,2500PHYSICAL THERAPY 434529,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434529,A000000,02700,0000,2700SPEECH PATHOLOGY 434529,A000000,02800,0000,2800ELECTROCARDIOLOGY 434529,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434529,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434529,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434529,A000000,03200,0000,3200SUPPORT SURFACES 434529,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434529,A000000,03400,0000,3400CLINIC 434529,A000000,03500,0000,3500RURAL HEALTH CLINIC 434529,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434529,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434529,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434529,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434529,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434529,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434529,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434529,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434529,A000000,04400,0000,4400DME RENTED - HHA 434529,A000000,04500,0000,4500DME SOLD - HHA 434529,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434529,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434529,A000000,04710,0000,4710TELEMEDICINE 434529,A000000,04800,0000,4800AMBULANCE 434529,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434529,A000000,05000,0000,5000CORF 434529,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434529,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434529,A000000,05300,0000,5300INTEREST EXPENSE 434529,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434529,A000000,05500,0000,5500HOSPICE 434529,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434529,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434529,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434529,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434529,A000000,06100,0000,6100NONPAID WORKERS 434529,A000000,06200,0000,6200PATIENTS LAUNDRY 434529,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434529,A81000A,00100,0100,Y 434529,A81000B,00100,0300,RELATED PARTY THERAPY 434529,A81000B,00200,0300,RELATED PARTY THERAPY 434529,A81000B,00300,0300,RELATED PARTY THERAPY 434529,A81000B,00400,0300,HOME OFFICE COSTS 434529,A81000B,00500,0300,HOME OFFICE COSTS 434529,A81000B,00600,0300,HOME OFFICE COSTS 434529,A81000B,00700,0300,HOME OFFICE COSTS 434529,A81000B,00800,0300,HOME OFFICE COSTS 434529,A81000B,00900,0300,HOME OFFICE COSTS 434529,A81000B,01000,0300,HOME OFFICE COSTS 434529,A81000B,01100,0300,HOME OFFICE COSTS 434529,A81000B,01200,0300,HOME OFFICE COSTS 434529,A81000C,00100,0100,A 434529,A81000C,00100,0400,THERACARE 434529,A81000C,00100,0600,THERAPY MANAGEMENT 434529,A81000C,00200,0100,A 434529,A81000C,00200,0400,THERACARE 434529,A81000C,00200,0600,THERAPY MANAGEMENT 434529,A81000C,00300,0100,A 434529,A81000C,00300,0400,THERACARE 434529,A81000C,00300,0600,THERAPY MANAGEMENT 434529,A81000C,00400,0100,B 434529,A81000C,00400,0400,MHS INC. 434529,A81000C,00400,0600,NURSING HOMES 434529,A81000C,00500,0100,B 434529,A81000C,00500,0400,MHS INC. 434529,A81000C,00500,0600,NURSING HOMES 434529,A81000C,00600,0100,B 434529,A81000C,00600,0400,MHS INC. 434529,A81000C,00600,0600,NURSING HOMES 434529,A81000C,00700,0100,B 434529,A81000C,00700,0400,MHS INC. 434529,A81000C,00700,0600,NURSING HOMES 434529,A81000C,00800,0100,B 434529,A81000C,00800,0400,MHS INC. 434529,A81000C,00800,0600,NURSING HOMES 434529,A81000C,00900,0100,B 434529,A81000C,00900,0400,MHS INC. 434529,A81000C,00900,0600,NURSING HOMES 434529,A81000C,01000,0100,B 434529,A81000C,01000,0400,MHS INC. 434529,A81000C,01000,0600,NURSING HOMES 434529,A81000C,01001,0100,B 434529,A81000C,01001,0400,MHS INC. 434529,A81000C,01001,0600,NURSING HOMES 434529,A81000C,01002,0100,B 434529,A81000C,01002,0400,MHS INC. 434529,A81000C,01002,0600,NURSING HOMES 434529,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434529,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434529,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434529,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434529,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434529,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434529,B100000,00000,0800,0800MEALS SERVED :DIETARY 434529,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434529,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434529,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434529,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434529,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434529,E10A180,00301,0100,09/13/11 434529,E10A180,00501,0100,04/16/12 434529,G300000,02500,0000,OTHER REVENUE 434529,S000000,00100,0200,03/02/12 434529,S200000,00100,0100,524 ANDERSON ROAD 434529,S200000,00200,0100,CHESTERFIELD 434529,S200000,00200,0200,IN 434529,S200000,00200,0300,46017 434529,S200000,00300,0100,MADISON 434529,S200000,00300,0201,11300 434529,S200000,00300,0300,U 434529,S200000,00400,0100,MHS INC. D/B/A MMM - CHESTERFIELD 434529,S200000,00400,0200,155617 434529,S200000,00400,0300,11/01/96 434529,S200000,00400,0500,P 434529,S200000,01500,0100,Y 434529,S200000,01501,0200,Y 434529,S200000,01502,0200,Y 434529,S200000,01503,0200,Y 434529,S200000,01504,0200,Y 434529,S200000,01600,0100,N 434529,S200000,01700,0100,N 434529,S200000,01800,0100,N 434529,S200000,02200,0100,Y 434529,S200000,02800,0100,Y 434529,S200000,02900,0100,N 434529,S200000,03000,0100,N 434529,S200000,03100,0100,N 434529,S200000,03200,0100,N 434529,S200000,03300,0100,N 434529,S200000,03300,0200,N 434529,S200000,04100,0100,N 434529,S200000,04200,0100,N 434529,S200000,04300,0100,N 434529,S200000,04600,0100,N 434529,S200000,04700,0100,N 434529,S200000,04700,0200,N 434529,S200000,04900,0100,N 434529,S200000,05000,0100,N 434529,S200000,05100,0100,N 434529,S200000,05200,0100,N 434529,S200000,05300,0100,Y 434529,S200000,05300,0200,15H004 434529,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434529,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434529,S200000,05400,0300,00130 434529,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434529,S200000,05600,0100,WARSAW 434529,S200000,05600,0200,IN 434529,S200000,05600,0300,46580 434538,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434538,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434538,A000000,00300,0000,0300EMPLOYEE BENEFITS 434538,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434538,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434538,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434538,A000000,00700,0000,0700HOUSEKEEPING 434538,A000000,00800,0000,0800DIETARY 434538,A000000,00900,0000,0900NURSING ADMINISTRATION 434538,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434538,A000000,01100,0000,1100PHARMACY 434538,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434538,A000000,01300,0000,1300SOCIAL SERVICE 434538,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434538,A000000,01500,0000,1350ACTIVITIES 434538,A000000,01600,0000,1600SKILLED NURSING FACILITY 434538,A000000,01800,0000,1800NURSING FACILITY 434538,A000000,01810,0000,1810ICF/MR 434538,A000000,01900,0000,1900OTHER LONG TERM CARE 434538,A000000,02100,0000,2100RADIOLOGY 434538,A000000,02200,0000,2200LABORATORY 434538,A000000,02300,0000,2300INTRAVENOUS THERAPY 434538,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434538,A000000,02500,0000,2500PHYSICAL THERAPY 434538,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434538,A000000,02700,0000,2700SPEECH PATHOLOGY 434538,A000000,02800,0000,2800ELECTROCARDIOLOGY 434538,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434538,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434538,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434538,A000000,03200,0000,3200SUPPORT SURFACES 434538,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434538,A000000,03400,0000,3400CLINIC 434538,A000000,03500,0000,3500RURAL HEALTH CLINIC 434538,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434538,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434538,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434538,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434538,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434538,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434538,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434538,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434538,A000000,04400,0000,4400DME RENTED - HHA 434538,A000000,04500,0000,4500DME SOLD - HHA 434538,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434538,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434538,A000000,04710,0000,4710TELEMEDICINE 434538,A000000,04800,0000,4800AMBULANCE 434538,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434538,A000000,05000,0000,5000CORF 434538,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434538,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434538,A000000,05300,0000,5300INTEREST EXPENSE 434538,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434538,A000000,05500,0000,5500HOSPICE 434538,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434538,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434538,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434538,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434538,A000000,06100,0000,6100NONPAID WORKERS 434538,A000000,06200,0000,6200PATIENTS LAUNDRY 434538,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434538,A81000A,00100,0100,Y 434538,A81000B,00100,0300,RELATED PARTY THERAPY 434538,A81000B,00200,0300,RELATED PARTY THERAPY 434538,A81000B,00300,0300,RELATED PARTY THERAPY 434538,A81000B,00400,0300,HOME OFFICE COSTS 434538,A81000B,00500,0300,HOME OFFICE COSTS 434538,A81000B,00600,0300,HOME OFFICE COSTS 434538,A81000B,00700,0300,HOME OFFICE COSTS 434538,A81000B,00800,0300,HOME OFFICE COSTS 434538,A81000B,00900,0300,HOME OFFICE COSTS 434538,A81000B,01000,0300,HOME OFFICE COSTS 434538,A81000B,01100,0300,HOME OFFICE COSTS 434538,A81000B,01200,0300,HOME OFFICE COSTS 434538,A81000C,00100,0100,A 434538,A81000C,00100,0400,THERACARE 434538,A81000C,00100,0600,THERAPY MANAGEMENT 434538,A81000C,00200,0100,A 434538,A81000C,00200,0400,THERACARE 434538,A81000C,00200,0600,THERAPY MANAGEMENT 434538,A81000C,00300,0100,A 434538,A81000C,00300,0400,THERACARE 434538,A81000C,00300,0600,THERAPY MANAGEMENT 434538,A81000C,00400,0100,B 434538,A81000C,00400,0400,MHS INC. 434538,A81000C,00400,0600,NURSING HOMES 434538,A81000C,00500,0100,B 434538,A81000C,00500,0400,MHS INC. 434538,A81000C,00500,0600,NURSING HOMES 434538,A81000C,00600,0100,B 434538,A81000C,00600,0400,MHS INC. 434538,A81000C,00600,0600,NURSING HOMES 434538,A81000C,00700,0100,B 434538,A81000C,00700,0400,MHS INC. 434538,A81000C,00700,0600,NURSING HOMES 434538,A81000C,00800,0100,B 434538,A81000C,00800,0400,MHS INC. 434538,A81000C,00800,0600,NURSING HOMES 434538,A81000C,00900,0100,B 434538,A81000C,00900,0400,MHS INC. 434538,A81000C,00900,0600,NURSING HOMES 434538,A81000C,01000,0100,B 434538,A81000C,01000,0400,MHS INC. 434538,A81000C,01000,0600,NURSING HOMES 434538,A81000C,01001,0100,B 434538,A81000C,01001,0400,MHS INC. 434538,A81000C,01001,0600,NURSING HOMES 434538,A81000C,01002,0100,B 434538,A81000C,01002,0400,MHS INC. 434538,A81000C,01002,0600,NURSING HOMES 434538,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434538,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434538,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434538,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434538,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434538,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434538,B100000,00000,0800,0800MEALS SERVED :DIETARY 434538,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434538,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434538,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434538,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434538,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434538,E10A180,00350,0100,09/13/11 434538,E10A180,00550,0100,04/30/12 434538,G300000,02500,0000,OTHER REVENUE 434538,S000000,00100,0200,03/02/12 434538,S200000,00100,0100,2901 WEST 37TH AVENUE 434538,S200000,00200,0100,HOBART 434538,S200000,00200,0200,IN 434538,S200000,00200,0300,46342 434538,S200000,00300,0100,LAKE 434538,S200000,00300,0200,2960 434538,S200000,00300,0201,23844 434538,S200000,00300,0300,U 434538,S200000,00400,0100,MHS INC. D/B/A MMM - HOBART 434538,S200000,00400,0200,155251 434538,S200000,00400,0300,04/11/85 434538,S200000,00400,0500,P 434538,S200000,01500,0100,Y 434538,S200000,01501,0200,Y 434538,S200000,01502,0200,Y 434538,S200000,01503,0200,Y 434538,S200000,01504,0200,Y 434538,S200000,01600,0100,N 434538,S200000,01700,0100,N 434538,S200000,01800,0100,N 434538,S200000,02200,0100,Y 434538,S200000,02800,0100,Y 434538,S200000,02900,0100,N 434538,S200000,03000,0100,N 434538,S200000,03100,0100,N 434538,S200000,03200,0100,N 434538,S200000,03300,0100,N 434538,S200000,03300,0200,N 434538,S200000,04100,0100,N 434538,S200000,04200,0100,N 434538,S200000,04300,0100,N 434538,S200000,04600,0100,N 434538,S200000,04700,0100,N 434538,S200000,04700,0200,N 434538,S200000,04900,0100,N 434538,S200000,05000,0100,N 434538,S200000,05100,0100,N 434538,S200000,05200,0100,N 434538,S200000,05300,0100,Y 434538,S200000,05300,0200,15H004 434538,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434538,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434538,S200000,05400,0300,00130 434538,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434538,S200000,05600,0100,WARSAW 434538,S200000,05600,0200,IN 434538,S200000,05600,0300,46580 434539,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434539,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434539,A000000,00300,0000,0300EMPLOYEE BENEFITS 434539,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434539,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434539,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434539,A000000,00700,0000,0700HOUSEKEEPING 434539,A000000,00800,0000,0800DIETARY 434539,A000000,00900,0000,0900NURSING ADMINISTRATION 434539,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434539,A000000,01100,0000,1100PHARMACY 434539,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434539,A000000,01300,0000,1300SOCIAL SERVICE 434539,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434539,A000000,01500,0000,1350ACTIVITIES 434539,A000000,01600,0000,1600SKILLED NURSING FACILITY 434539,A000000,01800,0000,1800NURSING FACILITY 434539,A000000,01810,0000,1810ICF/MR 434539,A000000,01900,0000,1900OTHER LONG TERM CARE 434539,A000000,02100,0000,2100RADIOLOGY 434539,A000000,02200,0000,2200LABORATORY 434539,A000000,02300,0000,2300INTRAVENOUS THERAPY 434539,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434539,A000000,02500,0000,2500PHYSICAL THERAPY 434539,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434539,A000000,02700,0000,2700SPEECH PATHOLOGY 434539,A000000,02800,0000,2800ELECTROCARDIOLOGY 434539,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434539,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434539,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434539,A000000,03200,0000,3200SUPPORT SURFACES 434539,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434539,A000000,03400,0000,3400CLINIC 434539,A000000,03500,0000,3500RURAL HEALTH CLINIC 434539,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434539,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434539,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434539,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434539,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434539,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434539,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434539,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434539,A000000,04400,0000,4400DME RENTED - HHA 434539,A000000,04500,0000,4500DME SOLD - HHA 434539,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434539,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434539,A000000,04710,0000,4710TELEMEDICINE 434539,A000000,04800,0000,4800AMBULANCE 434539,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434539,A000000,05000,0000,5000CORF 434539,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434539,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434539,A000000,05300,0000,5300INTEREST EXPENSE 434539,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434539,A000000,05500,0000,5500HOSPICE 434539,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434539,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434539,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434539,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434539,A000000,06100,0000,6100NONPAID WORKERS 434539,A000000,06200,0000,6200PATIENTS LAUNDRY 434539,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434539,A81000A,00100,0100,Y 434539,A81000B,00100,0300,RELATED PARTY THERAPY 434539,A81000B,00200,0300,RELATED PARTY THERAPY 434539,A81000B,00300,0300,RELATED PARTY THERAPY 434539,A81000B,00400,0300,HOME OFFICE COSTS 434539,A81000B,00500,0300,HOME OFFICE COSTS 434539,A81000B,00600,0300,HOME OFFICE COSTS 434539,A81000B,00700,0300,HOME OFFICE COSTS 434539,A81000B,00800,0300,HOME OFFICE COSTS 434539,A81000B,00900,0300,HOME OFFICE COSTS 434539,A81000B,01000,0300,HOME OFFICE COSTS 434539,A81000B,01100,0300,HOME OFFICE COSTS 434539,A81000B,01200,0300,HOME OFFICE COSTS 434539,A81000C,00100,0100,A 434539,A81000C,00100,0400,THERACARE 434539,A81000C,00100,0600,THERAPY MANAGEMENT 434539,A81000C,00200,0100,A 434539,A81000C,00200,0400,THERACARE 434539,A81000C,00200,0600,THERAPY MANAGEMENT 434539,A81000C,00300,0100,A 434539,A81000C,00300,0400,THERACARE 434539,A81000C,00300,0600,THERAPY MANAGEMENT 434539,A81000C,00400,0100,B 434539,A81000C,00400,0400,MHS INC. 434539,A81000C,00400,0600,NURSING HOMES 434539,A81000C,00500,0100,B 434539,A81000C,00500,0400,MHS INC. 434539,A81000C,00500,0600,NURSING HOMES 434539,A81000C,00600,0100,B 434539,A81000C,00600,0400,MHS INC. 434539,A81000C,00600,0600,NURSING HOMES 434539,A81000C,00700,0100,B 434539,A81000C,00700,0400,MHS INC. 434539,A81000C,00700,0600,NURSING HOMES 434539,A81000C,00800,0100,B 434539,A81000C,00800,0400,MHS INC. 434539,A81000C,00800,0600,NURSING HOMES 434539,A81000C,00900,0100,B 434539,A81000C,00900,0400,MHS INC. 434539,A81000C,00900,0600,NURSING HOMES 434539,A81000C,01000,0100,B 434539,A81000C,01000,0400,MHS INC. 434539,A81000C,01000,0600,NURSING HOMES 434539,A81000C,01001,0100,B 434539,A81000C,01001,0400,MHS INC. 434539,A81000C,01001,0600,NURSING HOMES 434539,A81000C,01002,0100,B 434539,A81000C,01002,0400,MHS INC. 434539,A81000C,01002,0600,NURSING HOMES 434539,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434539,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434539,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434539,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434539,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434539,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434539,B100000,00000,0800,0800MEALS SERVED :DIETARY 434539,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434539,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434539,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434539,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434539,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434539,E10A180,00301,0100,09/13/11 434539,E10A180,00350,0100,05/05/11 434539,E10A180,00550,0100,04/30/12 434539,G300000,02500,0000,OTHER INCOME 434539,S000000,00100,0200,03/02/12 434539,S200000,00100,0100,8400 CLEARVISTA PLACE 434539,S200000,00200,0100,INDIANAPOLIS 434539,S200000,00200,0200,IN 434539,S200000,00200,0300,46256 434539,S200000,00300,0100,MARION 434539,S200000,00300,0201,26900 434539,S200000,00300,0300,U 434539,S200000,00400,0100,MHS INC. D/B/A MMM - COVENTRY MANOR 434539,S200000,00400,0200,155271 434539,S200000,00400,0300,11/12/85 434539,S200000,00400,0500,P 434539,S200000,01500,0100,Y 434539,S200000,01501,0200,Y 434539,S200000,01502,0200,Y 434539,S200000,01503,0200,Y 434539,S200000,01504,0200,Y 434539,S200000,01600,0100,N 434539,S200000,01700,0100,N 434539,S200000,01800,0100,N 434539,S200000,02200,0100,Y 434539,S200000,02800,0100,Y 434539,S200000,02900,0100,N 434539,S200000,03000,0100,N 434539,S200000,03100,0100,N 434539,S200000,03200,0100,N 434539,S200000,03300,0100,N 434539,S200000,03300,0200,N 434539,S200000,04100,0100,N 434539,S200000,04200,0100,N 434539,S200000,04300,0100,N 434539,S200000,04600,0100,N 434539,S200000,04700,0100,N 434539,S200000,04700,0200,N 434539,S200000,04900,0100,N 434539,S200000,05000,0100,N 434539,S200000,05100,0100,N 434539,S200000,05200,0100,N 434539,S200000,05300,0100,Y 434539,S200000,05300,0200,15H004 434539,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434539,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434539,S200000,05400,0300,00130 434539,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434539,S200000,05600,0100,WARSAW 434539,S200000,05600,0200,IN 434539,S200000,05600,0300,46580 434540,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434540,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434540,A000000,00300,0000,0300EMPLOYEE BENEFITS 434540,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434540,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434540,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434540,A000000,00700,0000,0700HOUSEKEEPING 434540,A000000,00800,0000,0800DIETARY 434540,A000000,00900,0000,0900NURSING ADMINISTRATION 434540,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434540,A000000,01100,0000,1100PHARMACY 434540,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434540,A000000,01300,0000,1300SOCIAL SERVICE 434540,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434540,A000000,01500,0000,1350ACTIVITIES 434540,A000000,01600,0000,1600SKILLED NURSING FACILITY 434540,A000000,01800,0000,1800NURSING FACILITY 434540,A000000,01810,0000,1810ICF/MR 434540,A000000,01900,0000,1900OTHER LONG TERM CARE 434540,A000000,02100,0000,2100RADIOLOGY 434540,A000000,02200,0000,2200LABORATORY 434540,A000000,02300,0000,2300INTRAVENOUS THERAPY 434540,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434540,A000000,02500,0000,2500PHYSICAL THERAPY 434540,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434540,A000000,02700,0000,2700SPEECH PATHOLOGY 434540,A000000,02800,0000,2800ELECTROCARDIOLOGY 434540,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434540,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434540,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434540,A000000,03200,0000,3200SUPPORT SURFACES 434540,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434540,A000000,03400,0000,3400CLINIC 434540,A000000,03500,0000,3500RURAL HEALTH CLINIC 434540,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434540,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434540,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434540,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434540,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434540,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434540,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434540,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434540,A000000,04400,0000,4400DME RENTED - HHA 434540,A000000,04500,0000,4500DME SOLD - HHA 434540,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434540,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434540,A000000,04710,0000,4710TELEMEDICINE 434540,A000000,04800,0000,4800AMBULANCE 434540,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434540,A000000,05000,0000,5000CORF 434540,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434540,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434540,A000000,05300,0000,5300INTEREST EXPENSE 434540,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434540,A000000,05500,0000,5500HOSPICE 434540,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434540,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434540,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434540,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434540,A000000,06100,0000,6100NONPAID WORKERS 434540,A000000,06200,0000,6200PATIENTS LAUNDRY 434540,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434540,A81000A,00100,0100,Y 434540,A81000B,00100,0300,RELATED PARTY LEASE 434540,A81000B,00200,0300,RELATED PARTY THERAPY 434540,A81000B,00300,0300,RELATED PARTY THERAPY 434540,A81000B,00400,0300,RELATED PARTY THERAPY 434540,A81000B,00500,0300,HOME OFFICE COSTS 434540,A81000B,00600,0300,HOME OFFICE COSTS 434540,A81000B,00700,0300,HOME OFFICE COSTS 434540,A81000B,00800,0300,HOME OFFICE COSTS 434540,A81000B,00900,0300,HOME OFFICE COSTS 434540,A81000B,01000,0300,HOME OFFICE COSTS 434540,A81000B,01100,0300,HOME OFFICE COSTS 434540,A81000B,01200,0300,HOME OFFICE COSTS 434540,A81000B,01300,0300,HOME OFFICE COSTS 434540,A81000C,00100,0100,A 434540,A81000C,00100,0400,MMM INVEST INC. 434540,A81000C,00100,0600,PROPERTY LEASING 434540,A81000C,00200,0100,A 434540,A81000C,00200,0400,THERACARE 434540,A81000C,00200,0600,THERAPY MANAGEMENT 434540,A81000C,00300,0100,A 434540,A81000C,00300,0400,THERACARE 434540,A81000C,00300,0600,THERAPY MANAGEMENT 434540,A81000C,00400,0100,A 434540,A81000C,00400,0400,THERACARE 434540,A81000C,00400,0600,THERAPY MANAGEMENT 434540,A81000C,00500,0100,B 434540,A81000C,00500,0400,MHS INC. 434540,A81000C,00500,0600,NURSING HOMES 434540,A81000C,00600,0100,B 434540,A81000C,00600,0400,MHS INC. 434540,A81000C,00600,0600,NURSING HOMES 434540,A81000C,00700,0100,B 434540,A81000C,00700,0400,MHS INC. 434540,A81000C,00700,0600,NURSING HOMES 434540,A81000C,00800,0100,B 434540,A81000C,00800,0400,MHS INC. 434540,A81000C,00800,0600,NURSING HOMES 434540,A81000C,00900,0100,B 434540,A81000C,00900,0400,MHS INC. 434540,A81000C,00900,0600,NURSING HOMES 434540,A81000C,01000,0100,B 434540,A81000C,01000,0400,MHS INC. 434540,A81000C,01000,0600,NURSING HOMES 434540,A81000C,01001,0100,B 434540,A81000C,01001,0400,MHS INC. 434540,A81000C,01001,0600,NURSING HOMES 434540,A81000C,01002,0100,B 434540,A81000C,01002,0400,MHS INC. 434540,A81000C,01002,0600,NURSING HOMES 434540,A81000C,01003,0100,B 434540,A81000C,01003,0400,MHS INC. 434540,A81000C,01003,0600,NURSING HOMES 434540,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434540,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434540,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434540,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434540,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434540,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434540,B100000,00000,0800,0800MEALS SERVED :DIETARY 434540,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434540,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434540,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434540,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434540,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434540,E10A180,00301,0100,09/20/11 434540,E10A180,00350,0100,04/30/12 434540,G300000,02500,0000,OTHER REVENUE 434540,S000000,00100,0200,03/02/12 434540,S200000,00100,0100,5909 LUTE ROAD 434540,S200000,00200,0100,PORTAGE 434540,S200000,00200,0200,IN 434540,S200000,00200,0300,46368 434540,S200000,00300,0100,PORTER 434540,S200000,00300,0201,23844 434540,S200000,00300,0300,U 434540,S200000,00400,0100,MHS INC. D/B/A MMM - PORTAGE 434540,S200000,00400,0200,155299 434540,S200000,00400,0300,06/18/87 434540,S200000,00400,0500,P 434540,S200000,01500,0100,Y 434540,S200000,01501,0200,Y 434540,S200000,01502,0200,Y 434540,S200000,01503,0200,Y 434540,S200000,01504,0200,Y 434540,S200000,01600,0100,N 434540,S200000,01700,0100,N 434540,S200000,01800,0100,N 434540,S200000,02200,0100,Y 434540,S200000,02800,0100,Y 434540,S200000,02900,0100,N 434540,S200000,03000,0100,N 434540,S200000,03100,0100,N 434540,S200000,03200,0100,N 434540,S200000,03300,0100,N 434540,S200000,03300,0200,N 434540,S200000,04100,0100,N 434540,S200000,04200,0100,N 434540,S200000,04300,0100,N 434540,S200000,04600,0100,N 434540,S200000,04700,0100,N 434540,S200000,04700,0200,N 434540,S200000,04900,0100,N 434540,S200000,05000,0100,N 434540,S200000,05100,0100,N 434540,S200000,05200,0100,N 434540,S200000,05300,0100,Y 434540,S200000,05300,0200,15H004 434540,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434540,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434540,S200000,05400,0300,00130 434540,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434540,S200000,05600,0100,WARSAW 434540,S200000,05600,0200,IN 434540,S200000,05600,0300,46580 434541,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434541,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434541,A000000,00300,0000,0300EMPLOYEE BENEFITS 434541,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434541,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434541,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434541,A000000,00700,0000,0700HOUSEKEEPING 434541,A000000,00800,0000,0800DIETARY 434541,A000000,00900,0000,0900NURSING ADMINISTRATION 434541,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434541,A000000,01100,0000,1100PHARMACY 434541,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434541,A000000,01300,0000,1300SOCIAL SERVICE 434541,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434541,A000000,01500,0000,1350RECREATION 434541,A000000,01600,0000,1600SKILLED NURSING FACILITY 434541,A000000,01810,0000,1810ICF/MR 434541,A000000,02100,0000,2100RADIOLOGY 434541,A000000,02200,0000,2200LABORATORY 434541,A000000,02300,0000,2300INTRAVENOUS THERAPY 434541,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434541,A000000,02500,0000,2500PHYSICAL THERAPY 434541,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434541,A000000,02700,0000,2700SPEECH PATHOLOGY 434541,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434541,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434541,A000000,03550,0000,3550FQHC 434541,A000000,05000,0000,5000CORF 434541,A000000,05010,0000,5010CMHC 434541,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434541,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434541,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434541,A81000A,00100,0100,Y 434541,A81000B,00100,0300,SEE ATTACHED 434541,A81000B,00200,0300,HOME OFFICE INTEREST 434541,A81000B,00300,0300,HOME OFFICE ADMIN 434541,A81000B,00400,0300,HOME OFFICE CAPITAL 434541,A81000C,00100,0100,B 434541,A81000C,00100,0400,SEE ATTACHED 434541,A81000C,00100,0600,VARIOUS 434541,A81000C,00200,0100,B 434541,A81000C,00200,0400,GHC 434541,A81000C,00200,0600,LONG TERM CARE 434541,A81000C,00300,0100,B 434541,A81000C,00300,0400,GHC 434541,A81000C,00300,0600,LONG TERM CARE 434541,A81000C,00400,0100,B 434541,A81000C,00400,0400,GHC 434541,A81000C,00400,0600,LONG TERM CARE 434541,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434541,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434541,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434541,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434541,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434541,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434541,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434541,B100000,00000,0800,0800MEALS SERVED :DIETARY 434541,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434541,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434541,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434541,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434541,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434541,E10A180,00501,0300,04/16/12 434541,E10A180,00550,0100,04/16/12 434541,G300000,02500,0000,BARBER AND BEAUTY 434541,S000000,00100,0200,06/01/12 434541,S200000,00100,0100,2 DEER PARK DRIVE 434541,S200000,00200,0100,MONMOUTH JUNCTION 434541,S200000,00200,0200,NJ 434541,S200000,00200,0300,08852-1919 434541,S200000,00300,0100,MIDDLESEX 434541,S200000,00300,0201,20764 434541,S200000,00300,0300,U 434541,S200000,00400,0100,PARK PLACE CENTER 434541,S200000,00400,0200,315362 434541,S200000,00400,0300,01/30/97 434541,S200000,00400,0500,P 434541,S200000,01500,0100,Y 434541,S200000,01501,0200,N 434541,S200000,01502,0200,N 434541,S200000,01503,0200,N 434541,S200000,01504,0200,N 434541,S200000,01600,0100,N 434541,S200000,01700,0100,N 434541,S200000,01800,0100,N 434541,S200000,02200,0100,Y 434541,S200000,02800,0100,N 434541,S200000,02900,0100,N 434541,S200000,03000,0100,N 434541,S200000,03100,0100,N 434541,S200000,03200,0100,N 434541,S200000,03300,0100,N 434541,S200000,03300,0200,N 434541,S200000,04100,0100,N 434541,S200000,04200,0100,N 434541,S200000,04300,0100,N 434541,S200000,04600,0100,N 434541,S200000,04700,0100,N 434541,S200000,04700,0200,N 434541,S200000,04900,0100,N 434541,S200000,05000,0100,N 434541,S200000,05100,0100,N 434541,S200000,05200,0100,N 434541,S200000,05300,0100,Y 434541,S200000,05300,0200,HB0067 434541,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434541,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434541,S200000,05400,0300,12001 434541,S200000,05500,0100,101 EAST STATE STREET 434541,S200000,05600,0100,KENNETT SQUARE 434541,S200000,05600,0200,PA 434541,S200000,05600,0300,19348 434542,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434542,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434542,A000000,00300,0000,0300EMPLOYEE BENEFITS 434542,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434542,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434542,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434542,A000000,00700,0000,0700HOUSEKEEPING 434542,A000000,00800,0000,0800DIETARY 434542,A000000,00900,0000,0900NURSING ADMINISTRATION 434542,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434542,A000000,01100,0000,1100PHARMACY 434542,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434542,A000000,01300,0000,1300SOCIAL SERVICE 434542,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434542,A000000,01500,0000,1350RECREATION ACTIVITIES 434542,A000000,01600,0000,1600SKILLED NURSING FACILITY 434542,A000000,01810,0000,1810ICF/MR 434542,A000000,02100,0000,2100RADIOLOGY 434542,A000000,02200,0000,2200LABORATORY 434542,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434542,A000000,02500,0000,2500PHYSICAL THERAPY 434542,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434542,A000000,02700,0000,2700SPEECH PATHOLOGY 434542,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434542,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434542,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434542,A000000,03301,0000,3051ENTERAL FEEDING 434542,A000000,03550,0000,3550FQHC 434542,A000000,05000,0000,5000CORF 434542,A000000,05010,0000,5010CMHC 434542,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434542,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434542,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434542,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434542,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434542,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434542,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434542,A000000,06312,0000,6153DIALYSIS 434542,A000000,06320,0000,6154APARTMENTS 434542,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434542,A000000,06340,0000,6156CLOSED PATIENT AREAS 434542,A000000,06350,0000,6157O/P ADULT DAYCARE 434542,A000000,06360,0000,6158MARKETING 434542,A81000A,00100,0100,Y 434542,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434542,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434542,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434542,A81000C,00100,0100,A 434542,A81000C,00100,0200,FUNDAMENTAL HOL 434542,A81000C,00100,0400,FAS FCC FCOS 434542,A81000C,00100,0600,SUPPORT SERVICE 434542,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 434542,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 434542,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434542,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 434542,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 434542,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 434542,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 434542,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 434542,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 434542,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 434542,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 434542,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 434542,E10A180,00353,0100,03/21/11 434542,E10A180,00501,0100,03/26/12 434542,E10A180,00501,0300,03/26/12 434542,G300000,02505,0000,MISCELLANEOUS REVENUE 434542,S000000,00100,0200,02/27/12 434542,S200000,00100,0100,127 MURRAH DRIVE 434542,S200000,00200,0100,ROCK HILL 434542,S200000,00200,0200,SC 434542,S200000,00200,0300,29732 434542,S200000,00300,0100,YORK 434542,S200000,00300,0201,16740 434542,S200000,00300,0300,U 434542,S200000,00400,0100,MAGNOLIA MANOR OF ROCK HILL 434542,S200000,00400,0200,425165 434542,S200000,00400,0300,04/01/93 434542,S200000,00400,0500,P 434542,S200000,00400,0600,O 434542,S200000,01500,0100,Y 434542,S200000,01501,0200,Y 434542,S200000,01502,0200,Y 434542,S200000,01503,0200,Y 434542,S200000,01504,0200,Y 434542,S200000,01600,0100,N 434542,S200000,01700,0100,N 434542,S200000,01800,0100,N 434542,S200000,01900,0100,LLC 434542,S200000,02200,0100,N 434542,S200000,02800,0100,N 434542,S200000,02900,0100,N 434542,S200000,03000,0100,N 434542,S200000,03100,0100,N 434542,S200000,03200,0100,N 434542,S200000,03300,0100,N 434542,S200000,03300,0200,N 434542,S200000,04100,0100,N 434542,S200000,04200,0100,N 434542,S200000,04300,0100,N 434542,S200000,04600,0100,N 434542,S200000,04700,0100,N 434542,S200000,04700,0200,N 434542,S200000,04900,0100,N 434542,S200000,05000,0100,N 434542,S200000,05100,0100,N 434542,S200000,05200,0100,N 434542,S200000,05300,0100,Y 434544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434544,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434544,A000000,00300,0000,0300EMPLOYEE BENEFITS 434544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434544,A000000,00700,0000,0700HOUSEKEEPING 434544,A000000,00800,0000,0800DIETARY 434544,A000000,00900,0000,0900NURSING ADMINISTRATION 434544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434544,A000000,01100,0000,1100PHARMACY 434544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434544,A000000,01300,0000,1300SOCIAL SERVICE 434544,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434544,A000000,01500,0000,1350RECREATION 434544,A000000,01600,0000,1600SKILLED NURSING FACILITY 434544,A000000,01810,0000,1810ICF/MR 434544,A000000,02500,0000,2500PHYSICAL THERAPY 434544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434544,A000000,02700,0000,2700SPEECH PATHOLOGY 434544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434544,A000000,03550,0000,3550FQHC 434544,A000000,05000,0000,5000CORF 434544,A000000,05010,0000,5010CMHC 434544,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434544,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434544,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434544,A81000A,00100,0100,N 434544,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434544,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434544,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434544,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434544,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434544,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434544,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434544,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434544,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434544,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434544,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434544,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434544,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434544,G300000,02500,0000,SUPPLEMENT 434544,G300000,02501,0000,MISC REVENUE 434544,S000000,00100,0200,02/20/13 434544,S200000,00100,0100,135 WEST 7TH STREET 434544,S200000,00200,0100,WALSENBURG 434544,S200000,00200,0200,CO 434544,S200000,00200,0300,81089 434544,S200000,00300,0100,HUERFANO 434544,S200000,00300,0201,6 434544,S200000,00300,0300,R 434544,S200000,00400,0100,WALSENBURG CARE CENTER 434544,S200000,00400,0200,065288 434544,S200000,00400,0300,12/01/90 434544,S200000,00400,0500,P 434544,S200000,01500,0100,Y 434544,S200000,01501,0200,Y 434544,S200000,01600,0100,N 434544,S200000,01700,0100,N 434544,S200000,01800,0100,N 434544,S200000,02200,0100,N 434544,S200000,02800,0100,N 434544,S200000,02900,0100,N 434544,S200000,03000,0100,N 434544,S200000,03100,0100,N 434544,S200000,03200,0100,N 434544,S200000,03300,0100,N 434544,S200000,03300,0200,N 434544,S200000,04100,0100,N 434544,S200000,04200,0100,N 434544,S200000,04300,0100,N 434544,S200000,04600,0100,N 434544,S200000,04700,0100,N 434544,S200000,04700,0200,N 434544,S200000,04900,0100,N 434544,S200000,05000,0100,N 434544,S200000,05100,0100,N 434544,S200000,05200,0100,N 434544,S200000,05300,0100,N 434546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434546,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434546,A000000,00300,0000,0300EMPLOYEE BENEFITS 434546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434546,A000000,00700,0000,0700HOUSEKEEPING 434546,A000000,00800,0000,0800DIETARY 434546,A000000,00900,0000,0900NURSING ADMINISTRATION 434546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434546,A000000,01100,0000,1100PHARMACY 434546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434546,A000000,01300,0000,1300SOCIAL SERVICE 434546,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434546,A000000,01500,0000,1350RECREATION 434546,A000000,01600,0000,1600SKILLED NURSING FACILITY 434546,A000000,01810,0000,1810ICF/MR 434546,A000000,02100,0000,2100RADIOLOGY 434546,A000000,02200,0000,2200LABORATORY 434546,A000000,02300,0000,2300INTRAVENOUS THERAPY 434546,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434546,A000000,02500,0000,2500PHYSICAL THERAPY 434546,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434546,A000000,02700,0000,2700SPEECH PATHOLOGY 434546,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434546,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434546,A000000,03550,0000,3550FQHC 434546,A000000,04801,0000,4801AMBULANCE 434546,A000000,04802,0000,4802AMBULANCE 434546,A000000,04803,0000,4803AMBULANCE 434546,A000000,05000,0000,5000CORF 434546,A000000,05010,0000,5010CMHC 434546,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434546,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434546,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434546,A81000A,00100,0100,Y 434546,A81000B,00100,0300,SEE ATTACHED 434546,A81000B,00200,0300,CAPITAL INTEREST 434546,A81000B,00300,0300,HOME OFFICE 434546,A81000B,00400,0300,HOME OFFICE 434546,A81000C,00100,0100,B 434546,A81000C,00100,0400,SEE ATTACHED 434546,A81000C,00100,0600,VARIOUS 434546,A81000C,00200,0100,B 434546,A81000C,00200,0400,GHC 434546,A81000C,00200,0600,LONG TERM CARE 434546,A81000C,00300,0100,B 434546,A81000C,00300,0400,GHC 434546,A81000C,00300,0600,LONG TERM CARE 434546,A81000C,00400,0100,B 434546,A81000C,00400,0400,GHC 434546,A81000C,00400,0600,LONG TERM CARE 434546,B100000,00000,0100,0100SQUARE FEET 434546,B100000,00000,0200,0200SQUARE FEET 434546,B100000,00000,0300,0300GROSS SALARIES 434546,B100000,00000,0400,0400ACCUM COST 434546,B100000,00000,0500,0500SQUARE FEET 434546,B100000,00000,0600,0600PATIENT DAYS 434546,B100000,00000,0700,0700SQUARE FEET 434546,B100000,00000,0800,0800MEALS SERVED 434546,B100000,00000,0900,0900NURSING SALARIES 434546,B100000,00000,1000,1000COSTED REQUIS 434546,B100000,00000,1100,1100COSTED REQUIS 434546,B100000,00000,1200,1200PATIENT DAYS 434546,B100000,00000,1300,1300PATIENT DAYS 434546,B100000,00000,1400,1400ASSIGNED TIME 434546,B100000,00000,1500,1350PATIENT DAYS 434546,E10A180,00550,0100,05/08/12 434546,E10A180,00550,0300,05/08/12 434546,G300000,02500,0000,BARBER & BEAUTY 434546,S000000,00100,0200,09/12/11 434546,S200000,00100,0100,77 MADISON AVENUE 434546,S200000,00200,0100,MORRISTOWN 434546,S200000,00200,0200,NJ 434546,S200000,00200,0300,07960 434546,S200000,00300,0100,MORRIS 434546,S200000,00300,0201,35084 434546,S200000,00300,0300,U 434546,S200000,00400,0100,MORRIS HILLS CENTER 434546,S200000,00400,0200,315157 434546,S200000,00400,0300,11/20/92 434546,S200000,00400,0500,P 434546,S200000,01500,0100,Y 434546,S200000,01501,0200,N 434546,S200000,01502,0200,N 434546,S200000,01503,0200,N 434546,S200000,01504,0200,N 434546,S200000,01600,0100,N 434546,S200000,01700,0100,N 434546,S200000,01800,0100,N 434546,S200000,02200,0100,Y 434546,S200000,02800,0100,N 434546,S200000,02900,0100,N 434546,S200000,03000,0100,N 434546,S200000,03100,0100,N 434546,S200000,03200,0100,N 434546,S200000,03300,0100,N 434546,S200000,03300,0200,N 434546,S200000,04200,0100,N 434546,S200000,04300,0100,N 434546,S200000,04600,0100,N 434546,S200000,04700,0100,N 434546,S200000,04900,0100,N 434546,S200000,05200,0100,N 434546,S200000,05300,0100,Y 434546,S200000,05300,0200,HB0067 434546,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434546,S200000,05400,0200,NOVITAS SOLUTIONS 434546,S200000,05400,0300,12001 434546,S200000,05500,0100,101 EAST STATE STREET 434546,S200000,05600,0100,KENNETT SQUARE 434546,S200000,05600,0200,PA 434546,S200000,05600,0300,19348 434547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434547,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434547,A000000,00300,0000,0300EMPLOYEE BENEFITS 434547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434547,A000000,00700,0000,0700HOUSEKEEPING 434547,A000000,00800,0000,0800DIETARY 434547,A000000,00900,0000,0900NURSING ADMINISTRATION 434547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434547,A000000,01100,0000,1100PHARMACY 434547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434547,A000000,01300,0000,1300SOCIAL SERVICE 434547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434547,A000000,01500,0000,1350RECREATION 434547,A000000,01600,0000,1600SKILLED NURSING FACILITY 434547,A000000,01810,0000,1810ICF/MR 434547,A000000,02100,0000,2100RADIOLOGY 434547,A000000,02200,0000,2200LABORATORY 434547,A000000,02300,0000,2300INTRAVENOUS THERAPY 434547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434547,A000000,02500,0000,2500PHYSICAL THERAPY 434547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434547,A000000,02700,0000,2700SPEECH PATHOLOGY 434547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434547,A000000,03550,0000,3550FQHC 434547,A000000,04801,0000,4801AMBULANCE 434547,A000000,04802,0000,4802AMBULANCE 434547,A000000,04803,0000,4803AMBULANCE 434547,A000000,05000,0000,5000CORF 434547,A000000,05010,0000,5010CMHC 434547,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434547,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434547,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434547,A81000A,00100,0100,Y 434547,A81000B,00100,0300,SEE ATTACHED 434547,A81000B,00200,0300,HOME OFFICE INTEREST 434547,A81000B,00300,0300,HOME OFFICE A&G 434547,A81000B,00400,0300,HOME OFFICE CAP PIEC 434547,A81000C,00100,0100,B 434547,A81000C,00100,0400,SEE ATTACHED 434547,A81000C,00100,0600,VARIOUS 434547,A81000C,00200,0100,B 434547,A81000C,00200,0400,GHC 434547,A81000C,00200,0600,LONG TERM CARE 434547,A81000C,00300,0100,B 434547,A81000C,00300,0400,GHC 434547,A81000C,00300,0600,LONG TERM CARE 434547,A81000C,00400,0100,B 434547,A81000C,00400,0400,GHC 434547,A81000C,00400,0600,LONG TERM CARE 434547,B100000,00000,0100,0100SQUARE FEET 434547,B100000,00000,0200,0200SQUARE FEET 434547,B100000,00000,0300,0300GROSS SALARIES 434547,B100000,00000,0400,0400ACCUM COST 434547,B100000,00000,0500,0500SQUARE FEET 434547,B100000,00000,0600,0600PATIENT DAYS 434547,B100000,00000,0700,0700SQUARE FEET 434547,B100000,00000,0800,0800MEALS SERVED 434547,B100000,00000,0900,0900NURSING SALARIES 434547,B100000,00000,1000,1000COSTED REQUIS 434547,B100000,00000,1100,1100COSTED REQUIS 434547,B100000,00000,1200,1200PATIENT DAYS 434547,B100000,00000,1300,1300PATIENT DAYS 434547,B100000,00000,1400,1400ASSIGNED TIME 434547,B100000,00000,1500,1350PATIENT DAYS 434547,E10A180,00550,0100,04/23/12 434547,E10A180,00550,0300,04/23/12 434547,G300000,02500,0000,BARBER AND BEAUTY 434547,S000000,00100,0200,09/12/11 434547,S200000,00100,0100,3 INDUSTRIAL WAY EAST 434547,S200000,00200,0100,EATONTOWN 434547,S200000,00200,0200,NJ 434547,S200000,00200,0300,07724 434547,S200000,00300,0100,MONMOUTH 434547,S200000,00300,0201,20764 434547,S200000,00300,0300,U 434547,S200000,00400,0100,JERSEY SHORE CENTER 434547,S200000,00400,0200,315364 434547,S200000,00400,0300,04/08/97 434547,S200000,00400,0500,P 434547,S200000,01500,0100,Y 434547,S200000,01501,0200,N 434547,S200000,01502,0200,N 434547,S200000,01503,0200,N 434547,S200000,01504,0200,N 434547,S200000,01600,0100,N 434547,S200000,01700,0100,N 434547,S200000,01800,0100,N 434547,S200000,02200,0100,Y 434547,S200000,02800,0100,N 434547,S200000,02900,0100,N 434547,S200000,03000,0100,N 434547,S200000,03100,0100,N 434547,S200000,03200,0100,N 434547,S200000,03300,0100,N 434547,S200000,03300,0200,N 434547,S200000,04200,0100,N 434547,S200000,04300,0100,N 434547,S200000,04600,0100,N 434547,S200000,04700,0100,N 434547,S200000,04900,0100,N 434547,S200000,05200,0100,N 434547,S200000,05300,0100,Y 434547,S200000,05300,0200,HB0067 434547,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434547,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434547,S200000,05400,0300,12001 434547,S200000,05500,0100,101 EAST STATE STREET 434547,S200000,05600,0100,KENNETT SQUARE 434547,S200000,05600,0200,PA 434547,S200000,05600,0300,19348 434548,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434548,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434548,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434548,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434548,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434548,A000000,00700,0000,0700HOUSEKEEPING 434548,A000000,00800,0000,0800DIETARY 434548,A000000,00900,0000,0900NURSING ADMINISTRATION 434548,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434548,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434548,A000000,01300,0000,1300SOCIAL SERVICE 434548,A000000,01500,0000,1350ACTIVITIES 434548,A000000,01600,0000,1600SKILLED NURSING FACILITY 434548,A000000,01800,0000,1800NURSING FACILITY 434548,A000000,02100,0000,2100RADIOLOGY 434548,A000000,02200,0000,2200LABORATORY 434548,A000000,02300,0000,2300INTRAVENOUS THERAPY 434548,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434548,A000000,02500,0000,2500PHYSICAL THERAPY 434548,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434548,A000000,02700,0000,2700SPEECH PATHOLOGY 434548,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434548,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434548,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434548,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434548,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434548,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434548,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434548,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434548,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434548,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434548,A000000,04800,0000,4800AMBULANCE 434548,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434548,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434548,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434548,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434548,A81000A,00100,0100,Y 434548,A81000B,00100,0300,SNF POOLED ALLOCATION 434548,A81000C,00100,0100,E 434548,A81000C,00100,0400,ROCKY MOUNTAIN CARE 434548,A81000C,00100,0600,MANAGEMENT COMPANY 434548,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434548,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434548,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434548,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434548,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434548,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434548,B100000,00000,0800,0800MEALS SERVED :DIETARY 434548,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434548,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434548,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434548,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434548,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434548,E10A180,00501,0100,05/03/12 434548,G300000,02500,0000,OTHER REVENUE 434548,S000000,00100,0200,03/02/12 434548,S200000,00100,0100,4090 WEST PIONEER PARK WAY 434548,S200000,00200,0100,WEST VALLEY CITY 434548,S200000,00200,0200,UT 434548,S200000,00200,0300,84120 434548,S200000,00300,0100,SALT LAKE 434548,S200000,00300,0200,7160 434548,S200000,00300,0201,41620 434548,S200000,00300,0300,U 434548,S200000,00400,0100,ROCKY MOUNTAIN CARE - HUNTER HOLLOW 434548,S200000,00400,0200,465075 434548,S200000,00400,0300,08/01/80 434548,S200000,00400,0500,P 434548,S200000,01500,0100,Y 434548,S200000,01501,0200,N 434548,S200000,01502,0200,N 434548,S200000,01503,0200,N 434548,S200000,01504,0200,Y 434548,S200000,01600,0100,N 434548,S200000,01700,0100,N 434548,S200000,01800,0100,N 434548,S200000,02200,0100,N 434548,S200000,02800,0100,N 434548,S200000,02900,0100,N 434548,S200000,03000,0100,N 434548,S200000,03100,0100,N 434548,S200000,03200,0100,N 434548,S200000,03300,0100,N 434548,S200000,03300,0200,N 434548,S200000,04100,0100,N 434548,S200000,04200,0100,N 434548,S200000,04300,0100,N 434548,S200000,04600,0100,N 434548,S200000,04700,0100,N 434548,S200000,04700,0200,N 434548,S200000,04900,0100,N 434548,S200000,05000,0100,N 434548,S200000,05100,0100,N 434548,S200000,05200,0100,N 434558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434558,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434558,A000000,00300,0000,0300EMPLOYEE BENEFITS 434558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434558,A000000,00700,0000,0700HOUSEKEEPING 434558,A000000,00800,0000,0800DIETARY 434558,A000000,00900,0000,0900NURSING ADMINISTRATION 434558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434558,A000000,01300,0000,1300SOCIAL SERVICE 434558,A000000,01600,0000,1600SKILLED NURSING FACILITY 434558,A000000,02100,0000,2100RADIOLOGY 434558,A000000,02200,0000,2200LABORATORY 434558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434558,A000000,02500,0000,2500PHYSICAL THERAPY 434558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434558,A000000,02700,0000,2700SPEECH PATHOLOGY 434558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434558,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434558,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434558,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434558,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434558,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434558,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434558,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434558,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434558,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434558,A000000,05300,0000,5300INTEREST EXPENSE 434558,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434558,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434558,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434558,A000000,06100,0000,6100NONPAID WORKERS 434558,A000000,06200,0000,6200PATIENTS LAUNDRY 434558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434558,A000000,06301,0000,6151NELSON GABLES 434558,A000000,06302,0000,6152WELLNESS 434558,A000000,06303,0000,6153HOME CARE 434558,A81000A,00100,0100,N 434558,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434558,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434558,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434558,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434558,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434558,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 434558,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434558,B100000,00000,0800,0800MEALS SERVED :DIETARY 434558,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 434558,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 434558,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 434558,E10A180,00501,0300,03/16/12 434558,E10A180,00550,0100,03/16/12 434558,G300000,02500,0000,MANAGEMENT FEES 434558,G300000,02501,0000,MISC REVENUE 434558,G300000,02502,0000,MISC REVENUE - SALE OF BED LICENSES 434558,H513100,00000,0000,41060 434558,H513200,00000,0000,99924 434558,H710000,00550,0300,03/16/12 434558,S000000,00100,0200,02/27/12 434558,S200000,00100,0100,420 12TH AVE EAST 434558,S200000,00200,0100,ALEXANDRIA 434558,S200000,00200,0200,MN 434558,S200000,00200,0300,56308 434558,S200000,00300,0100,DOUGLAS 434558,S200000,00300,0200,24 434558,S200000,00300,0201,99924 434558,S200000,00300,0300,R 434558,S200000,00400,0100,KNUTE NELSON 434558,S200000,00400,0200,245435 434558,S200000,00400,0300,02/01/87 434558,S200000,00400,0500,P 434558,S200000,00800,0200,248096 434558,S200000,00800,0300,01/01/06 434558,S200000,00800,0500,P 434558,S200000,01500,0100,Y 434558,S200000,01501,0200,Y 434558,S200000,01502,0200,N 434558,S200000,01503,0200,Y 434558,S200000,01504,0200,N 434558,S200000,01600,0100,N 434558,S200000,01700,0100,N 434558,S200000,01800,0100,N 434558,S200000,02200,0100,N 434558,S200000,02800,0100,N 434558,S200000,02900,0100,N 434558,S200000,03000,0100,N 434558,S200000,03100,0100,N 434558,S200000,03200,0100,N 434558,S200000,03300,0100,N 434558,S200000,03300,0200,N 434558,S200000,03700,0100,N 434558,S200000,03700,0200,N 434558,S200000,04100,0100,N 434558,S200000,04200,0100,N 434558,S200000,04300,0100,N 434558,S200000,04600,0100,N 434558,S200000,04700,0100,N 434558,S200000,04700,0200,N 434558,S200000,04900,0100,N 434558,S200000,05000,0100,N 434558,S200000,05100,0100,N 434558,S200000,05200,0100,N 434558,S410002,01700,0101,41060 434558,S410002,01701,0101,99924 434559,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434559,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434559,A000000,00300,0000,0300EMPLOYEE BENEFITS 434559,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434559,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434559,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434559,A000000,00700,0000,0700HOUSEKEEPING 434559,A000000,00800,0000,0800DIETARY 434559,A000000,00900,0000,0900NURSING ADMINISTRATION 434559,A000000,01100,0000,1100PHARMACY 434559,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434559,A000000,01300,0000,1300SOCIAL SERVICE 434559,A000000,01600,0000,1600SKILLED NURSING FACILITY 434559,A000000,02100,0000,2100RADIOLOGY 434559,A000000,02200,0000,2200LABORATORY 434559,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434559,A000000,02500,0000,2500PHYSICAL THERAPY 434559,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434559,A000000,02700,0000,2700SPEECH PATHOLOGY 434559,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434559,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434559,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434559,A000000,05300,0000,5300INTEREST EXPENSE 434559,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434559,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434559,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434559,A000000,06100,0000,6100NONPAID WORKERS 434559,A000000,06200,0000,6200PATIENTS LAUNDRY 434559,A000000,06300,0000,6150ADULT DAY HEALTH 434559,A000000,06301,0000,6151APARTMENTS 434559,A81000A,00100,0100,N 434559,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434559,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434559,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434559,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434559,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434559,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434559,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434559,B100000,00000,0800,0800MEALS SERVED :DIETARY 434559,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434559,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434559,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434559,E10A180,00501,0100,04/23/12 434559,E10A180,00550,0300,04/23/12 434559,G300000,02500,0000,MISCELLANEOUS REVENUE 434559,G300000,02501,0000,APARTMENT REVENUE 434559,G300000,02502,0000,GAIN/LOSS ON SALES OF ASSETS 434559,S000000,00100,0200,02/28/12 434559,S200000,00100,0100,1635 SERVICE DRIVE 434559,S200000,00200,0100,WINONA 434559,S200000,00200,0200,MN 434559,S200000,00200,0300,55987 434559,S200000,00300,0100,WINONA 434559,S200000,00300,0200,24 434559,S200000,00300,0201,99924 434559,S200000,00300,0300,R 434559,S200000,00400,0100,SAUER MEMORIAL HOME 434559,S200000,00400,0200,245102 434559,S200000,00400,0300,07/01/67 434559,S200000,00400,0500,P 434559,S200000,00400,0600,P 434559,S200000,01500,0100,Y 434559,S200000,01501,0200,N 434559,S200000,01503,0200,Y 434559,S200000,01504,0200,Y 434559,S200000,01600,0100,N 434559,S200000,01700,0100,N 434559,S200000,01800,0100,N 434559,S200000,02200,0100,N 434559,S200000,02800,0100,N 434559,S200000,02900,0100,N 434559,S200000,03000,0100,N 434559,S200000,03100,0100,N 434559,S200000,03200,0100,N 434559,S200000,03300,0100,N 434559,S200000,03300,0200,N 434559,S200000,04100,0100,N 434559,S200000,04200,0100,N 434559,S200000,04300,0100,N 434559,S200000,04600,0100,N 434559,S200000,04700,0100,N 434559,S200000,04700,0200,N 434559,S200000,04900,0100,N 434559,S200000,05000,0100,N 434559,S200000,05100,0100,N 434559,S200000,05200,0100,N 434559,S200000,05300,0100,N 434560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434560,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434560,A000000,00300,0000,0300EMPLOYEE BENEFITS 434560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434560,A000000,00700,0000,0700HOUSEKEEPING 434560,A000000,00800,0000,0800DIETARY 434560,A000000,00900,0000,0900NURSING ADMINISTRATION 434560,A000000,01100,0000,1100PHARMACY 434560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434560,A000000,01300,0000,1300SOCIAL SERVICE 434560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434560,A000000,01600,0000,1600SKILLED NURSING FACILITY 434560,A000000,01800,0000,1800NURSING FACILITY 434560,A000000,01810,0000,1810ICF/MR 434560,A000000,01900,0000,1900OTHER LONG TERM CARE 434560,A000000,02100,0000,2100RADIOLOGY 434560,A000000,02200,0000,2200LABORATORY 434560,A000000,02300,0000,2300INTRAVENOUS THERAPY 434560,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434560,A000000,02500,0000,2500PHYSICAL THERAPY 434560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434560,A000000,02700,0000,2700SPEECH PATHOLOGY 434560,A000000,02800,0000,2800ELECTROCARDIOLOGY 434560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434560,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434560,A000000,03200,0000,3200SUPPORT SURFACES 434560,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434560,A000000,03301,0000,3051AIR FLUID THERAPY 434560,A000000,03302,0000,3052AMBULANCE 434560,A000000,03303,0000,3053PEN THERAPY 434560,A000000,03304,0000,3054ONCOLOGY 434560,A000000,03305,0000,3055CARDIOLOGY 434560,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434560,A000000,03307,0000,3057AUDIOLOGY 434560,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434560,A000000,03400,0000,3400CLINIC 434560,A000000,03500,0000,3500RURAL HEALTH CLINIC 434560,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434560,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434560,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434560,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434560,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434560,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434560,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434560,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434560,A000000,04400,0000,4400DME RENTED - HHA 434560,A000000,04500,0000,4500DME SOLD - HHA 434560,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434560,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434560,A000000,04710,0000,4710TELEMEDICINE 434560,A000000,04800,0000,4800AMBULANCE 434560,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434560,A000000,05000,0000,5000CORF 434560,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434560,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434560,A000000,05300,0000,5300INTEREST EXPENSE 434560,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434560,A000000,05500,0000,5500HOSPICE 434560,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434560,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434560,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434560,A000000,06100,0000,6100NONPAID WORKERS 434560,A000000,06200,0000,6200PATIENTS LAUNDRY 434560,A000000,06300,0000,6150ADULT DAY HEALTH 434560,A000000,06301,0000,6151ASSISTED LIVING 434560,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434560,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434560,A81000A,00100,0100,Y 434560,A81000B,00100,0300,CENTRAL OFFICE COSTS 434560,A81000B,00200,0300,CENTRAL OFFICE COSTS - DIETARY 434560,A81000B,00300,0300,CENTRAL OFFICE COSTS - CLINICAL 434560,A81000B,00400,0300,PT REVENUE 434560,A81000B,00500,0300,OT REVENUE 434560,A81000B,00600,0300,ST REVENUE 434560,A81000C,00100,0100,G 434560,A81000C,00100,0200,AUGUSTANA CARE SERVICES 434560,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434560,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434560,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434560,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434560,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434560,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434560,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434560,B100000,00000,0800,0800MEALS SERVED :DIETARY 434560,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434560,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434560,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434560,E10A180,00501,0100,05/04/12 434560,G300000,02500,0000,OTHER - SEE GROUPINGS 434560,S000000,00100,0200,02/28/12 434560,S200000,00100,0100,930 WEST 16TH STREET 434560,S200000,00200,0100,HASTINGS 434560,S200000,00200,0200,MN 434560,S200000,00200,0300,55033-3399 434560,S200000,00300,0100,DAKOTA 434560,S200000,00300,0200,5120 434560,S200000,00300,0201,33460 434560,S200000,00300,0300,U 434560,S200000,00400,0100,AUGUSTANA HEALTH CARE CENTER OF HAST 434560,S200000,00400,0200,245224 434560,S200000,00400,0300,11/06/78 434560,S200000,00400,0500,P 434560,S200000,00400,0600,P 434560,S200000,01500,0100,Y 434560,S200000,01501,0200,N 434560,S200000,01502,0200,Y 434560,S200000,01503,0200,Y 434560,S200000,01504,0200,Y 434560,S200000,01600,0100,N 434560,S200000,01700,0100,N 434560,S200000,01800,0100,N 434560,S200000,02200,0100,N 434560,S200000,02800,0100,N 434560,S200000,02900,0100,N 434560,S200000,03000,0100,N 434560,S200000,03100,0100,N 434560,S200000,03200,0100,N 434560,S200000,03300,0100,N 434560,S200000,03300,0200,N 434560,S200000,04100,0100,N 434560,S200000,04200,0100,N 434560,S200000,04300,0100,N 434560,S200000,04600,0100,N 434560,S200000,04700,0100,N 434560,S200000,04700,0200,N 434560,S200000,04900,0100,N 434560,S200000,05000,0100,N 434560,S200000,05100,0100,N 434560,S200000,05200,0100,N 434560,S200000,05300,0100,Y 434560,S200000,05300,0200,HB0494 434560,S200000,05400,0100,AUGUSTANA CARE SERVICES 434560,S200000,05400,0200,NORIDIAN 434560,S200000,05400,0300,00320 434560,S200000,05500,0100,1007 EAST FOURTEENTH STREET 434560,S200000,05600,0100,MINNEAPOLIS 434560,S200000,05600,0200,MN 434560,S200000,05600,0300,55404 434573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434573,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434573,A000000,00300,0000,0300EMPLOYEE BENEFITS 434573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434573,A000000,00700,0000,0700HOUSEKEEPING 434573,A000000,00800,0000,0800DIETARY 434573,A000000,00900,0000,0900NURSING ADMINISTRATION 434573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434573,A000000,01100,0000,1100PHARMACY 434573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434573,A000000,01300,0000,1300SOCIAL SERVICE 434573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434573,A000000,01500,0000,1350RECREATION ACTIVITIES 434573,A000000,01600,0000,1600SKILLED NURSING FACILITY 434573,A000000,01810,0000,1810ICF/MR 434573,A000000,02100,0000,2100RADIOLOGY 434573,A000000,02200,0000,2200LABORATORY 434573,A000000,02500,0000,2500PHYSICAL THERAPY 434573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434573,A000000,02700,0000,2700SPEECH PATHOLOGY 434573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434573,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434573,A000000,03301,0000,3051ENTERAL FEEDING 434573,A000000,03550,0000,3550FQHC 434573,A000000,05000,0000,5000CORF 434573,A000000,05010,0000,5010CMHC 434573,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434573,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434573,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434573,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434573,A000000,06300,0000,6150ENTERSTOMAL THERAPY 434573,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 434573,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 434573,A000000,06312,0000,6153DIALYSIS 434573,A000000,06320,0000,6154APARTMENTS 434573,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 434573,A000000,06340,0000,6156CLOSED PATIENT AREAS 434573,A000000,06350,0000,6157O/P ADULT DAYCARE 434573,A000000,06360,0000,6158MARKETING 434573,A81000A,00100,0100,Y 434573,A81000B,00100,0300,RELATED PARTY CAPITAL COST 434573,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 434573,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 434573,A81000C,00100,0100,A 434573,A81000C,00100,0200,FUNDAMENTAL HOL 434573,A81000C,00100,0400,FAS & FCOS LLC 434573,A81000C,00100,0600,SUPPORT SERVICE 434573,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 434573,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 434573,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434573,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 434573,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 434573,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 434573,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 434573,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 434573,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 434573,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 434573,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 434573,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 434573,E10A180,00353,0100,07/12/11 434573,E10A180,00501,0100,05/29/12 434573,E10A180,00501,0300,05/29/12 434573,S000000,00100,0200,03/26/12 434573,S200000,00100,0100,1634 TELFAIR STREET 434573,S200000,00200,0100,DUBLIN 434573,S200000,00200,0200,GA 434573,S200000,00200,0300,31021 434573,S200000,00300,0100,LAURENS 434573,S200000,00300,0201,11 434573,S200000,00300,0300,R 434573,S200000,00400,0100,SHAMROCK NURSING & REHAB CTR 434573,S200000,00400,0200,115495 434573,S200000,00400,0300,03/01/77 434573,S200000,00400,0500,P 434573,S200000,00400,0600,O 434573,S200000,01500,0100,Y 434573,S200000,01501,0200,Y 434573,S200000,01503,0200,Y 434573,S200000,01504,0200,Y 434573,S200000,01600,0100,N 434573,S200000,01700,0100,N 434573,S200000,01800,0100,N 434573,S200000,01900,0100,LLC 434573,S200000,02200,0100,N 434573,S200000,02800,0100,N 434573,S200000,02900,0100,N 434573,S200000,03000,0100,N 434573,S200000,03100,0100,N 434573,S200000,03200,0100,N 434573,S200000,03300,0100,N 434573,S200000,03300,0200,N 434573,S200000,04100,0100,N 434573,S200000,04200,0100,N 434573,S200000,04300,0100,N 434573,S200000,04600,0100,N 434573,S200000,04700,0100,N 434573,S200000,04700,0200,N 434573,S200000,04900,0100,N 434573,S200000,05000,0100,N 434573,S200000,05100,0100,N 434573,S200000,05200,0100,N 434573,S200000,05300,0100,Y 434575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434575,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434575,A000000,00300,0000,0300EMPLOYEE BENEFITS 434575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434575,A000000,00700,0000,0700HOUSEKEEPING 434575,A000000,00800,0000,0800DIETARY 434575,A000000,00900,0000,0900NURSING ADMINISTRATION 434575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434575,A000000,01100,0000,1100PHARMACY 434575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434575,A000000,01300,0000,1300SOCIAL SERVICE 434575,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434575,A000000,01500,0000,1350OTHER GENERAL SERVICES 434575,A000000,01600,0000,1600SKILLED NURSING FACILITY 434575,A000000,01800,0000,1800NURSING FACILITY 434575,A000000,01810,0000,1810ICF/MR 434575,A000000,01900,0000,1900OTHER LONG TERM CARE 434575,A000000,02100,0000,2100RADIOLOGY 434575,A000000,02200,0000,2200LABORATORY 434575,A000000,02300,0000,2300INTRAVENOUS THERAPY 434575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434575,A000000,02500,0000,2500PHYSICAL THERAPY 434575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434575,A000000,02700,0000,2700SPEECH PATHOLOGY 434575,A000000,02800,0000,2800ELECTROCARDIOLOGY 434575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434575,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434575,A000000,03200,0000,3200SUPPORT SURFACES 434575,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434575,A000000,03400,0000,3400CLINIC 434575,A000000,03500,0000,3500RURAL HEALTH CLINIC 434575,A000000,03600,0000,3450ADULT DAY CARE 434575,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434575,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434575,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434575,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434575,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434575,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434575,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434575,A000000,04400,0000,4400DME RENTED - HHA 434575,A000000,04500,0000,4500DME SOLD - HHA 434575,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434575,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434575,A000000,04710,0000,4710TELEMEDICINE 434575,A000000,04800,0000,4800AMBULANCE 434575,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434575,A000000,05000,0000,5000CORF 434575,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434575,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434575,A000000,05300,0000,5300INTEREST EXPENSE 434575,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434575,A000000,05500,0000,5500HOSPICE 434575,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434575,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434575,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434575,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434575,A000000,06100,0000,6100NONPAID WORKERS 434575,A000000,06200,0000,6200PATIENTS LAUNDRY 434575,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434575,A81000A,00100,0100,N 434575,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434575,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434575,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434575,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434575,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434575,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434575,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434575,B100000,00000,0800,0800MEALS SERVED :DIETARY 434575,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434575,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434575,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434575,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434575,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434575,G300000,02500,0000,MISCELLANEOUS 434575,S000000,00100,0200,08/28/12 434575,S200000,00100,0100,2375 LINCOLN TRAIL ROAD 434575,S200000,00200,0100,HODGENVILLE 434575,S200000,00200,0200,KY 434575,S200000,00200,0300,42748 434575,S200000,00300,0100,LARUE 434575,S200000,00300,0200,18 434575,S200000,00300,0201,21060 434575,S200000,00300,0300,R 434575,S200000,00400,0100,LARUE COUNTY GERIATRIC CENTER INC 434575,S200000,00400,0200,185057 434575,S200000,00400,0300,11/14/67 434575,S200000,00400,0500,P 434575,S200000,01500,0100,N 434575,S200000,01501,0200,N 434575,S200000,01600,0100,Y 434575,S200000,01700,0100,N 434575,S200000,01800,0100,N 434575,S200000,02200,0100,N 434575,S200000,02800,0100,N 434575,S200000,02900,0100,N 434575,S200000,03000,0100,N 434575,S200000,03100,0100,N 434575,S200000,03200,0100,N 434575,S200000,03300,0100,N 434575,S200000,03300,0200,N 434575,S200000,04100,0100,N 434575,S200000,04200,0100,N 434575,S200000,04300,0100,N 434575,S200000,04600,0100,N 434575,S200000,04700,0100,N 434575,S200000,04700,0200,N 434575,S200000,04900,0100,N 434575,S200000,05000,0100,N 434575,S200000,05100,0100,N 434575,S200000,05200,0100,N 434577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434577,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434577,A000000,00300,0000,0300EMPLOYEE BENEFITS 434577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434577,A000000,00700,0000,0700HOUSEKEEPING 434577,A000000,00800,0000,0800DIETARY 434577,A000000,00900,0000,0900NURSING ADMINISTRATION 434577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434577,A000000,01100,0000,1100PHARMACY 434577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434577,A000000,01300,0000,1300SOCIAL SERVICE 434577,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434577,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 434577,A000000,01600,0000,1600SKILLED NURSING FACILITY 434577,A000000,01800,0000,1800NURSING FACILITY 434577,A000000,01810,0000,1810ICF/MR 434577,A000000,01900,0000,1900OTHER LONG TERM CARE 434577,A000000,02100,0000,2100RADIOLOGY 434577,A000000,02200,0000,2200LABORATORY 434577,A000000,02300,0000,2300INTRAVENOUS THERAPY 434577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434577,A000000,02500,0000,2500PHYSICAL THERAPY 434577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434577,A000000,02700,0000,2700SPEECH PATHOLOGY 434577,A000000,02800,0000,2800ELECTROCARDIOLOGY 434577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434577,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434577,A000000,03200,0000,3200SUPPORT SURFACES 434577,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434577,A000000,03400,0000,3400CLINIC 434577,A000000,03500,0000,3500RURAL HEALTH CLINIC 434577,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434577,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434577,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434577,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434577,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434577,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434577,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434577,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434577,A000000,04400,0000,4400DME RENTED - HHA 434577,A000000,04500,0000,4500DME SOLD - HHA 434577,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434577,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434577,A000000,04710,0000,4710TELEMEDICINE 434577,A000000,04800,0000,4800AMBULANCE 434577,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434577,A000000,05000,0000,5000CORF 434577,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434577,A000000,05300,0000,5300INTEREST EXPENSE 434577,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434577,A000000,05500,0000,5500HOSPICE 434577,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434577,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434577,A000000,06100,0000,6100NONPAID WORKERS 434577,A000000,06200,0000,6200PATIENTS LAUNDRY 434577,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434577,A81000A,00100,0100,Y 434577,A81000B,00100,0300,RENT EXPENSE 434577,A81000B,00200,0300,FINANCIAL SERVICES FEE 434577,A81000C,00100,0100,D 434577,A81000C,00100,0200,ROBERT J ROETKE 434577,A81000C,00100,0400,ROBERT J ROETKE 434577,A81000C,00100,0600,PROPERTY MANAGE 434577,A81000C,00200,0100,A 434577,A81000C,00200,0200,CECILIA ROETKER 434577,A81000C,00200,0400,ROEING CORPORAT 434577,A81000C,00200,0600,COMPUTER SERVIC 434577,A81000C,00300,0100,A 434577,A81000C,00300,0200,DAVID ROETKER 434577,A81000C,00300,0400,ROEING CORPORAT 434577,A81000C,00300,0600,COMPUTER SERVIC 434577,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434577,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434577,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434577,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434577,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434577,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434577,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434577,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434577,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434577,E10A180,00550,0100,03/21/12 434577,E10A180,00550,0300,03/21/12 434577,G300000,02500,0000,MISCELLANEOUS 434577,S000000,00100,0200,03/01/12 434577,S200000,00100,0100,222 PARKVIEW 434577,S200000,00200,0100,PLYMOUTH 434577,S200000,00200,0200,IN 434577,S200000,00200,0300,46563 434577,S200000,00300,0100,MARSHALL 434577,S200000,00300,0300,R 434577,S200000,00400,0100,PILGRIM MANOR 434577,S200000,00400,0200,155073 434577,S200000,00400,0300,10/01/68 434577,S200000,00400,0500,P 434577,S200000,01500,0100,Y 434577,S200000,01501,0200,Y 434577,S200000,01503,0200,Y 434577,S200000,01504,0200,Y 434577,S200000,01600,0100,N 434577,S200000,01700,0100,N 434577,S200000,01800,0100,N 434577,S200000,02200,0100,N 434577,S200000,02800,0100,N 434577,S200000,02900,0100,N 434577,S200000,03000,0100,N 434577,S200000,03100,0100,N 434577,S200000,03200,0100,N 434577,S200000,03300,0100,N 434577,S200000,03300,0200,N 434577,S200000,04100,0100,N 434577,S200000,04200,0100,N 434577,S200000,04300,0100,N 434577,S200000,04600,0100,N 434577,S200000,04700,0100,N 434577,S200000,04700,0200,N 434577,S200000,04900,0100,N 434577,S200000,05000,0100,N 434577,S200000,05100,0100,N 434577,S200000,05200,0100,N 434577,S200000,05300,0100,Y 434577,S200000,05300,0200,15H006 434577,S200000,05400,0100,CAREAGE OF LOGANSPORT INC. 434577,S200000,05400,0200,NGS 434577,S200000,05400,0300,00130 434577,S200000,05500,0100,#2 CHASE PARK 434577,S200000,05600,0100,LOGANSPORT 434577,S200000,05600,0200,IN 434577,S200000,05600,0300,46947 434578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434578,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434578,A000000,00300,0000,0300EMPLOYEE BENEFITS 434578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434578,A000000,00700,0000,0700HOUSEKEEPING 434578,A000000,00800,0000,0800DIETARY 434578,A000000,00900,0000,0900NURSING ADMINISTRATION 434578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434578,A000000,01100,0000,1100PHARMACY 434578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434578,A000000,01300,0000,1300SOCIAL SERVICE 434578,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434578,A000000,01500,0000,1350ACTIVITIES 434578,A000000,01600,0000,1600SKILLED NURSING FACILITY 434578,A000000,01800,0000,1800NURSING FACILITY 434578,A000000,01810,0000,1810ICF/MR 434578,A000000,01900,0000,1900OTHER LONG TERM CARE 434578,A000000,02100,0000,2100RADIOLOGY 434578,A000000,02200,0000,2200LABORATORY 434578,A000000,02300,0000,2300INTRAVENOUS THERAPY 434578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434578,A000000,02500,0000,2500PHYSICAL THERAPY 434578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434578,A000000,02700,0000,2700SPEECH PATHOLOGY 434578,A000000,02800,0000,2800ELECTROCARDIOLOGY 434578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434578,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434578,A000000,03200,0000,3200SUPPORT SURFACES 434578,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434578,A000000,03400,0000,3400CLINIC 434578,A000000,03500,0000,3500RURAL HEALTH CLINIC 434578,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434578,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434578,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434578,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434578,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434578,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434578,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434578,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434578,A000000,04400,0000,4400DME RENTED - HHA 434578,A000000,04500,0000,4500DME SOLD - HHA 434578,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434578,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434578,A000000,04710,0000,4710TELEMEDICINE 434578,A000000,04800,0000,4800AMBULANCE 434578,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434578,A000000,05000,0000,5000CORF 434578,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434578,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434578,A000000,05300,0000,5300INTEREST EXPENSE 434578,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434578,A000000,05500,0000,5500HOSPICE 434578,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434578,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434578,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434578,A000000,06100,0000,6100NONPAID WORKERS 434578,A000000,06200,0000,6200PATIENTS LAUNDRY 434578,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434578,A81000A,00100,0100,Y 434578,A81000B,00100,0300,HOME OFFICE COSTS 434578,A81000B,00200,0300,WORKERS COMPENSATION 434578,A81000B,00300,0300,HOME OFFICE COSTS 434578,A81000B,00400,0300,HOME OFFICE COSTS 434578,A81000B,00500,0300,HOME OFFICE COSTS 434578,A81000B,00600,0300,HOME OFFICE COSTS 434578,A81000B,00700,0300,HOME OFFICE COSTS 434578,A81000B,00800,0300,PHYSICAL THERAPY 434578,A81000B,00900,0300,OCCUPATIONAL THERAPY 434578,A81000B,01000,0300,SPEECH THERAPY 434578,A81000C,00100,0100,A 434578,A81000C,00100,0200,STUART AND MIKE REED 434578,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00100,0600,NURSING HOMES 434578,A81000C,00200,0100,D 434578,A81000C,00200,0200,SUZANNE REED 434578,A81000C,00200,0400,INDIANA FITNESS WORKS 434578,A81000C,00200,0600,THERAPY 434578,A81000C,00300,0100,A 434578,A81000C,00300,0200,STUART AND MIKE REED 434578,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00300,0600,NURSING HOMES 434578,A81000C,00400,0100,A 434578,A81000C,00400,0200,STUART AND MIKE REED 434578,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00400,0600,NURSING HOMES 434578,A81000C,00500,0100,A 434578,A81000C,00500,0200,STUART AND MIKE REED 434578,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00500,0600,NURSING HOMES 434578,A81000C,00600,0100,A 434578,A81000C,00600,0200,STUART AND MIKE REED 434578,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00600,0600,NURSING HOMES 434578,A81000C,00700,0100,A 434578,A81000C,00700,0200,STUART AND MIKE REED 434578,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 434578,A81000C,00700,0600,NURSING HOMES 434578,A81000C,00800,0100,D 434578,A81000C,00800,0200,SUZANNE REED 434578,A81000C,00800,0400,INDIANA FITNESS WORKS 434578,A81000C,00800,0600,THERAPY 434578,A81000C,00900,0100,D 434578,A81000C,00900,0200,SUZANNE REED 434578,A81000C,00900,0400,INDIANA FITNESS WORKS 434578,A81000C,00900,0600,THERAPY 434578,A81000C,01000,0100,D 434578,A81000C,01000,0200,SUZANNE REED 434578,A81000C,01000,0400,INDIANA FITNESS WORKS 434578,A81000C,01000,0600,THERAPY 434578,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434578,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434578,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434578,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434578,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434578,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434578,B100000,00000,0800,0800MEALS SERVED :DIETARY 434578,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 434578,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434578,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434578,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434578,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434578,E10A180,00501,0100,08/20/12 434578,G300000,02500,0000,OTHER REVENUE 434578,S000000,00100,0200,05/22/12 434578,S200000,00100,0100,410 TIOGA ROAD 434578,S200000,00200,0100,MONTICELLO 434578,S200000,00200,0200,IN 434578,S200000,00200,0300,47960 434578,S200000,00300,0100,WHITE 434578,S200000,00300,0201,99915 434578,S200000,00300,0300,R 434578,S200000,00400,0100,WHISPERING PINES 434578,S200000,00400,0200,155323 434578,S200000,00400,0300,07/01/03 434578,S200000,00400,0500,P 434578,S200000,01500,0100,Y 434578,S200000,01501,0200,Y 434578,S200000,01502,0200,Y 434578,S200000,01503,0200,Y 434578,S200000,01504,0200,Y 434578,S200000,01600,0100,N 434578,S200000,01700,0100,N 434578,S200000,01800,0100,N 434578,S200000,02200,0100,N 434578,S200000,02800,0100,N 434578,S200000,02900,0100,N 434578,S200000,03000,0100,N 434578,S200000,03100,0100,N 434578,S200000,03200,0100,N 434578,S200000,03300,0100,N 434578,S200000,03300,0200,N 434578,S200000,04100,0100,N 434578,S200000,04200,0100,N 434578,S200000,04300,0100,N 434578,S200000,04600,0100,N 434578,S200000,04700,0100,N 434578,S200000,04700,0200,N 434578,S200000,04900,0100,N 434578,S200000,05000,0100,N 434578,S200000,05100,0100,N 434578,S200000,05200,0100,N 434578,S200000,05300,0100,Y 434578,S200000,05300,0200,15HO49 434578,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC 434578,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434578,S200000,05400,0300,00130 434578,S200000,05500,0100,9450 PRIORITY WAY WEST 434578,S200000,05600,0100,INDIANAPOLIS 434578,S200000,05600,0200,IN 434578,S200000,05600,0300,46240 434581,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434581,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434581,A000000,00300,0000,0300EMPLOYEE BENEFITS 434581,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434581,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434581,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434581,A000000,00700,0000,0700HOUSEKEEPING 434581,A000000,00800,0000,0800DIETARY 434581,A000000,00900,0000,0900NURSING ADMINISTRATION 434581,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434581,A000000,01100,0000,1100PHARMACY 434581,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434581,A000000,01300,0000,1300SOCIAL SERVICE 434581,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434581,A000000,01500,0000,1350ACTIVITIES 434581,A000000,01600,0000,1600SKILLED NURSING FACILITY 434581,A000000,01800,0000,1800NURSING FACILITY 434581,A000000,01810,0000,1810ICF/MR 434581,A000000,01900,0000,1900OTHER LONG TERM CARE 434581,A000000,02100,0000,2100RADIOLOGY 434581,A000000,02200,0000,2200LABORATORY 434581,A000000,02300,0000,2300INTRAVENOUS THERAPY 434581,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434581,A000000,02500,0000,2500PHYSICAL THERAPY 434581,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434581,A000000,02700,0000,2700SPEECH PATHOLOGY 434581,A000000,02800,0000,2800ELECTROCARDIOLOGY 434581,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434581,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434581,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434581,A000000,03200,0000,3200SUPPORT SURFACES 434581,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434581,A000000,03400,0000,3400CLINIC 434581,A000000,03500,0000,3500RURAL HEALTH CLINIC 434581,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434581,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434581,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434581,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434581,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434581,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434581,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434581,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434581,A000000,04400,0000,4400DME RENTED - HHA 434581,A000000,04500,0000,4500DME SOLD - HHA 434581,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434581,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434581,A000000,04710,0000,4710TELEMEDICINE 434581,A000000,04800,0000,4800AMBULANCE 434581,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434581,A000000,05000,0000,5000CORF 434581,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434581,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434581,A000000,05300,0000,5300INTEREST EXPENSE 434581,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434581,A000000,05500,0000,5500HOSPICE 434581,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434581,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434581,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434581,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434581,A000000,06100,0000,6100NONPAID WORKERS 434581,A000000,06200,0000,6200PATIENTS LAUNDRY 434581,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434581,A81000A,00100,0100,Y 434581,A81000B,00100,0300,RELATED PARTY THERAPY 434581,A81000B,00200,0300,RELATED PARTY THERAPY 434581,A81000B,00300,0300,RELATED PARTY THERAPY 434581,A81000B,00400,0300,HOME OFFICE COSTS 434581,A81000B,00500,0300,HOME OFFICE COSTS 434581,A81000B,00600,0300,HOME OFFICE COSTS 434581,A81000B,00700,0300,HOME OFFICE COSTS 434581,A81000B,00800,0300,HOME OFFICE COSTS 434581,A81000B,00900,0300,HOME OFFICE COSTS 434581,A81000B,01000,0300,HOME OFFICE COSTS 434581,A81000B,01100,0300,HOME OFFICE COSTS 434581,A81000B,01200,0300,HOME OFFICE COSTS 434581,A81000C,00100,0100,A 434581,A81000C,00100,0400,THERACARE 434581,A81000C,00100,0600,THERAPY MANAGEMENT 434581,A81000C,00200,0100,A 434581,A81000C,00200,0400,THERACARE 434581,A81000C,00200,0600,THERAPY MANAGEMENT 434581,A81000C,00300,0100,A 434581,A81000C,00300,0400,THERACARE 434581,A81000C,00300,0600,THERAPY MANAGEMENT 434581,A81000C,00400,0100,B 434581,A81000C,00400,0400,MHS INC. 434581,A81000C,00400,0600,NURSING HOMES 434581,A81000C,00500,0100,B 434581,A81000C,00500,0400,MHS INC. 434581,A81000C,00500,0600,NURSING HOMES 434581,A81000C,00600,0100,B 434581,A81000C,00600,0400,MHS INC. 434581,A81000C,00600,0600,NURSING HOMES 434581,A81000C,00700,0100,B 434581,A81000C,00700,0400,MHS INC. 434581,A81000C,00700,0600,NURSING HOMES 434581,A81000C,00800,0100,B 434581,A81000C,00800,0400,MHS INC. 434581,A81000C,00800,0600,NURSING HOMES 434581,A81000C,00900,0100,B 434581,A81000C,00900,0400,MHS INC. 434581,A81000C,00900,0600,NURSING HOMES 434581,A81000C,01000,0100,B 434581,A81000C,01000,0400,MHS INC. 434581,A81000C,01000,0600,NURSING HOMES 434581,A81000C,01001,0100,B 434581,A81000C,01001,0400,MHS INC. 434581,A81000C,01001,0600,NURSING HOMES 434581,A81000C,01002,0100,B 434581,A81000C,01002,0400,MHS INC. 434581,A81000C,01002,0600,NURSING HOMES 434581,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434581,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434581,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434581,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434581,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434581,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434581,B100000,00000,0800,0800MEALS SERVED :DIETARY 434581,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434581,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434581,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434581,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434581,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434581,E10A180,00550,0100,04/23/13 434581,G300000,02500,0000,OTHER REVENUE 434581,S000000,00100,0200,03/02/12 434581,S200000,00100,0100,1900 NORTH ALBER STREET 434581,S200000,00200,0100,WABASH 434581,S200000,00200,0200,IN 434581,S200000,00200,0300,46992 434581,S200000,00300,0100,WABASH 434581,S200000,00300,0200,15 434581,S200000,00300,0201,99915 434581,S200000,00300,0300,R 434581,S200000,00400,0100,MHS INC. D/B/A MMM - WABASH EAST 434581,S200000,00400,0200,155006 434581,S200000,00400,0300,01/01/67 434581,S200000,00400,0500,P 434581,S200000,01500,0100,Y 434581,S200000,01501,0200,Y 434581,S200000,01502,0200,Y 434581,S200000,01503,0200,Y 434581,S200000,01504,0200,Y 434581,S200000,01600,0100,N 434581,S200000,01700,0100,N 434581,S200000,01800,0100,N 434581,S200000,02200,0100,Y 434581,S200000,02800,0100,Y 434581,S200000,02900,0100,N 434581,S200000,03000,0100,N 434581,S200000,03100,0100,N 434581,S200000,03200,0100,N 434581,S200000,03300,0100,N 434581,S200000,03300,0200,N 434581,S200000,04100,0100,N 434581,S200000,04200,0100,N 434581,S200000,04300,0100,N 434581,S200000,04600,0100,N 434581,S200000,04700,0100,N 434581,S200000,04700,0200,N 434581,S200000,04900,0100,N 434581,S200000,05000,0100,N 434581,S200000,05100,0100,N 434581,S200000,05200,0100,N 434581,S200000,05300,0100,Y 434581,S200000,05300,0200,15H004 434581,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434581,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434581,S200000,05400,0300,00130 434581,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434581,S200000,05600,0100,WARSAW 434581,S200000,05600,0200,IN 434581,S200000,05600,0300,46580 434582,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434582,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434582,A000000,00300,0000,0300EMPLOYEE BENEFITS 434582,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434582,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434582,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434582,A000000,00700,0000,0700HOUSEKEEPING 434582,A000000,00800,0000,0800DIETARY 434582,A000000,00900,0000,0900NURSING ADMINISTRATION 434582,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434582,A000000,01300,0000,1300SOCIAL SERVICE 434582,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434582,A000000,01600,0000,1600SKILLED NURSING FACILITY 434582,A000000,01800,0000,1800NURSING FACILITY 434582,A000000,01810,0000,1810ICF/MR 434582,A000000,01900,0000,1900OTHER LONG TERM CARE 434582,A000000,02100,0000,2100RADIOLOGY 434582,A000000,02200,0000,2200LABORATORY 434582,A000000,02300,0000,2300INTRAVENOUS THERAPY 434582,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434582,A000000,02500,0000,2500PHYSICAL THERAPY 434582,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434582,A000000,02700,0000,2700SPEECH PATHOLOGY 434582,A000000,02800,0000,2800ELECTROCARDIOLOGY 434582,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434582,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434582,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434582,A000000,03200,0000,3200SUPPORT SURFACES 434582,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434582,A000000,03301,0000,3051AIR FLUID THERAPY 434582,A000000,03302,0000,3052AMBULANCE 434582,A000000,03303,0000,3053PEN THERAPY 434582,A000000,03304,0000,3054ONCOLOGY 434582,A000000,03305,0000,3055CARDIOLOGY 434582,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434582,A000000,03307,0000,3057AUDIOLOGY 434582,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434582,A000000,03400,0000,3400CLINIC 434582,A000000,03500,0000,3500RURAL HEALTH CLINIC 434582,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434582,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434582,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434582,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434582,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434582,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434582,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434582,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434582,A000000,04400,0000,4400DME RENTED - HHA 434582,A000000,04500,0000,4500DME SOLD - HHA 434582,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434582,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434582,A000000,04710,0000,4710TELEMEDICINE 434582,A000000,04800,0000,4800AMBULANCE 434582,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434582,A000000,05000,0000,5000CORF 434582,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434582,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434582,A000000,05300,0000,5300INTEREST EXPENSE 434582,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434582,A000000,05500,0000,5500HOSPICE 434582,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434582,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434582,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434582,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434582,A000000,06100,0000,6100NONPAID WORKERS 434582,A000000,06200,0000,6200PATIENTS LAUNDRY 434582,A000000,06300,0000,6150ADULT DAY HEALTH 434582,A000000,06301,0000,6151ASSISTED LIVING 434582,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434582,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434582,A81000A,00100,0100,Y 434582,A81000B,00100,0300,CENTRAL OFFICE COSTS 434582,A81000B,00200,0300,CENTRAL OFFICE COSTS - DIETARY 434582,A81000B,00300,0300,CENTRAL OFFICE COSTS - CLINICAL 434582,A81000B,00400,0300,PHYSICAL THERAPY 434582,A81000B,00500,0300,OCCUPATIONAL THERAPY 434582,A81000B,00600,0300,SPEECH THERAPY 434582,A81000C,00100,0100,G 434582,A81000C,00100,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00100,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00100,0600,MGMT COMPANY 434582,A81000C,00200,0100,G 434582,A81000C,00200,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00200,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00200,0600,MGMT COMPANY 434582,A81000C,00300,0100,G 434582,A81000C,00300,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00300,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00300,0600,MGMT COMPANY 434582,A81000C,00400,0100,G 434582,A81000C,00400,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00400,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00400,0600,THERAPY SERVICES 434582,A81000C,00500,0100,G 434582,A81000C,00500,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00500,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00500,0600,THERAPY SERVICES 434582,A81000C,00600,0100,G 434582,A81000C,00600,0200,AUGUSTANA CARE SEVICES 434582,A81000C,00600,0400,AUGUSTANA CARE SERVICES 434582,A81000C,00600,0600,THERAPY SERVICES 434582,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434582,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434582,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434582,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434582,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434582,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434582,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434582,B100000,00000,0800,0800MEALS SERVED :DIETARY 434582,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434582,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434582,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434582,E10A180,00501,0100,04/23/12 434582,G300000,02500,0000,OTHER - SEE GROUPINGS 434582,S000000,00100,0200,02/28/12 434582,S200000,00100,0100,439 WILLIAM AVE EAST 434582,S200000,00200,0100,DASSEL 434582,S200000,00200,0200,MN 434582,S200000,00200,0300,55325-0000 434582,S200000,00300,0100,MEEKER 434582,S200000,00300,0200,24 434582,S200000,00300,0201,99924 434582,S200000,00300,0300,R 434582,S200000,00400,0100,AUGUSTANA DASSEL LAKESIDE COMMUNITY 434582,S200000,00400,0200,245533 434582,S200000,00400,0300,01/11/89 434582,S200000,00400,0500,P 434582,S200000,00400,0600,P 434582,S200000,01500,0100,Y 434582,S200000,01501,0200,Y 434582,S200000,01502,0200,Y 434582,S200000,01503,0200,Y 434582,S200000,01504,0200,Y 434582,S200000,01600,0100,N 434582,S200000,01700,0100,N 434582,S200000,01800,0100,N 434582,S200000,02200,0100,N 434582,S200000,02800,0100,N 434582,S200000,02900,0100,N 434582,S200000,03000,0100,N 434582,S200000,03100,0100,N 434582,S200000,03200,0100,N 434582,S200000,03300,0100,N 434582,S200000,03300,0200,N 434582,S200000,04100,0100,N 434582,S200000,04200,0100,N 434582,S200000,04300,0100,N 434582,S200000,04600,0100,N 434582,S200000,04700,0100,N 434582,S200000,04700,0200,N 434582,S200000,04900,0100,N 434582,S200000,05000,0100,N 434582,S200000,05100,0100,N 434582,S200000,05200,0100,N 434582,S200000,05300,0100,Y 434582,S200000,05300,0200,HB0494 434582,S200000,05400,0100,AUGUSTANA CARE SERVICES 434582,S200000,05400,0200,NORIDIAN 434582,S200000,05400,0300,00320 434582,S200000,05500,0100,1007 EAST FOURTEENTH STREET 434582,S200000,05600,0100,MINNEAPOLIS 434582,S200000,05600,0200,MN 434582,S200000,05600,0300,55404 434583,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434583,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434583,A000000,00300,0000,0300EMPLOYEE BENEFITS 434583,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434583,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434583,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434583,A000000,00700,0000,0700HOUSEKEEPING 434583,A000000,00800,0000,0800DIETARY 434583,A000000,00900,0000,0900NURSING ADMINISTRATION 434583,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434583,A000000,01100,0000,1100PHARMACY 434583,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434583,A000000,01300,0000,1300SOCIAL SERVICE 434583,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434583,A000000,01500,0000,1350OTHER GENERAL SERVICES 434583,A000000,01600,0000,1600SKILLED NURSING FACILITY 434583,A000000,01800,0000,1800NURSING FACILITY 434583,A000000,01810,0000,1810ICF/MR 434583,A000000,01900,0000,1900OTHER LONG TERM CARE 434583,A000000,02100,0000,2100RADIOLOGY 434583,A000000,02200,0000,2200LABORATORY 434583,A000000,02300,0000,2300INTRAVENOUS THERAPY 434583,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434583,A000000,02500,0000,2500PHYSICAL THERAPY 434583,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434583,A000000,02700,0000,2700SPEECH PATHOLOGY 434583,A000000,02800,0000,2800ELECTROCARDIOLOGY 434583,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434583,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434583,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434583,A000000,03200,0000,3200SUPPORT SURFACES 434583,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434583,A000000,03400,0000,3400CLINIC 434583,A000000,03500,0000,3500RURAL HEALTH CLINIC 434583,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434583,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434583,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434583,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434583,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434583,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434583,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434583,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434583,A000000,04400,0000,4400DME RENTED - HHA 434583,A000000,04500,0000,4500DME SOLD - HHA 434583,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434583,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434583,A000000,04710,0000,4710TELEMEDICINE 434583,A000000,04800,0000,4800AMBULANCE 434583,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434583,A000000,05000,0000,5000CORF 434583,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434583,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434583,A000000,05300,0000,5300INTEREST EXPENSE 434583,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434583,A000000,05500,0000,5500HOSPICE 434583,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434583,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434583,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434583,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434583,A000000,06100,0000,6100NONPAID WORKERS 434583,A000000,06200,0000,6200PATIENTS LAUNDRY 434583,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434583,A81000A,00100,0100,Y 434583,A81000B,00100,0300,MGMT FEES 434583,A81000C,00100,0100,A 434583,A81000C,00100,0200,STEVE WOMACK 434583,A81000C,00100,0400,WW HEALTHCARE CONSULTANTS 434583,A81000C,00100,0600,MGT COMPANY 434583,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434583,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434583,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434583,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434583,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434583,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434583,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434583,B100000,00000,0800,0800MEALS SERVED :DIETARY 434583,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434583,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434583,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434583,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434583,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434583,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 434583,E10A180,00501,0100,05/21/12 434583,G300000,02500,0000,BARBER AND BEAUTY 434583,G300000,02502,0000,FOD 434583,G300000,02503,0000,OTHER REVENUE 434583,S000000,00100,0200,02/29/12 434583,S200000,00100,0100,3905 CLEMMONS RD 434583,S200000,00200,0100,CLEMMONS 434583,S200000,00200,0200,NC 434583,S200000,00200,0300,27012 434583,S200000,00300,0100,FORSYTH 434583,S200000,00300,0200,3120 434583,S200000,00300,0201,49180 434583,S200000,00300,0300,U 434583,S200000,00400,0100,REGENCY CARE OF CLEMMONS LLC 434583,S200000,00400,0200,345131 434583,S200000,00400,0300,04/01/10 434583,S200000,00400,0500,P 434583,S200000,01500,0100,Y 434583,S200000,01502,0200,N 434583,S200000,01600,0100,N 434583,S200000,01700,0100,N 434583,S200000,01800,0100,N 434583,S200000,02200,0100,N 434583,S200000,02800,0100,N 434583,S200000,02900,0100,N 434583,S200000,03000,0100,N 434583,S200000,03100,0100,N 434583,S200000,03200,0100,N 434583,S200000,03300,0100,N 434583,S200000,03300,0200,N 434583,S200000,04100,0100,N 434583,S200000,04200,0100,N 434583,S200000,04300,0100,N 434583,S200000,04600,0100,N 434583,S200000,04700,0100,N 434583,S200000,04700,0200,N 434583,S200000,04900,0100,N 434583,S200000,05000,0100,N 434583,S200000,05100,0100,N 434583,S200000,05200,0100,N 434593,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434593,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434593,A000000,00300,0000,0300EMPLOYEE BENEFITS 434593,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434593,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434593,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434593,A000000,00700,0000,0700HOUSEKEEPING 434593,A000000,00800,0000,0800DIETARY 434593,A000000,00900,0000,0900NURSING ADMINISTRATION 434593,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434593,A000000,01100,0000,1100PHARMACY 434593,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434593,A000000,01300,0000,1300SOCIAL SERVICE 434593,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434593,A000000,01500,0000,1350RECREATION 434593,A000000,01600,0000,1600SKILLED NURSING FACILITY 434593,A000000,01810,0000,1810ICF/MR 434593,A000000,02100,0000,2100RADIOLOGY 434593,A000000,02200,0000,2200LABORATORY 434593,A000000,02300,0000,2300INTRAVENOUS THERAPY 434593,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434593,A000000,02500,0000,2500PHYSICAL THERAPY 434593,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434593,A000000,02700,0000,2700SPEECH PATHOLOGY 434593,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434593,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434593,A000000,03550,0000,3550FQHC 434593,A000000,05000,0000,5000CORF 434593,A000000,05010,0000,5010CMHC 434593,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434593,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434593,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434593,A81000A,00100,0100,Y 434593,A81000B,00100,0300,SEE ATTACHED 434593,A81000B,00200,0300,HOME OFFICE INTEREST 434593,A81000B,00300,0300,HOME OFFICE A&G 434593,A81000B,00400,0300,HOME OFFICE CAP PIEC 434593,A81000C,00100,0100,B 434593,A81000C,00100,0400,SEE ATTACHED 434593,A81000C,00100,0600,VARIOUS 434593,A81000C,00200,0100,B 434593,A81000C,00200,0400,GHC 434593,A81000C,00200,0600,LONG TERM CARE 434593,A81000C,00300,0100,B 434593,A81000C,00300,0400,GHC 434593,A81000C,00300,0600,LONG TERM CARE 434593,A81000C,00400,0100,B 434593,A81000C,00400,0400,GHC 434593,A81000C,00400,0600,LONG TERM CARE 434593,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434593,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434593,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434593,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434593,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434593,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434593,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434593,B100000,00000,0800,0800MEALS SERVED :DIETARY 434593,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434593,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434593,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434593,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434593,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434593,E10A180,00550,0100,06/07/12 434593,E10A180,00550,0300,06/07/12 434593,G300000,02500,0000,BARBER AND BEAUTY 434593,S000000,00100,0200,09/12/11 434593,S200000,00100,0100,200 REYNOLDS AVENUE 434593,S200000,00200,0100,PARSIPPANY 434593,S200000,00200,0200,NJ 434593,S200000,00200,0300,07054 434593,S200000,00300,0100,MORRIS 434593,S200000,00300,0201,35084 434593,S200000,00300,0300,U 434593,S200000,00400,0100,TROY HILLS CENTER 434593,S200000,00400,0200,315138 434593,S200000,00400,0300,06/12/72 434593,S200000,00400,0500,P 434593,S200000,01500,0100,Y 434593,S200000,01501,0200,N 434593,S200000,01502,0200,N 434593,S200000,01503,0200,N 434593,S200000,01504,0200,N 434593,S200000,01600,0100,N 434593,S200000,01700,0100,N 434593,S200000,01800,0100,N 434593,S200000,02200,0100,Y 434593,S200000,02800,0100,N 434593,S200000,02900,0100,N 434593,S200000,03000,0100,N 434593,S200000,03100,0100,N 434593,S200000,03200,0100,N 434593,S200000,03300,0100,N 434593,S200000,03300,0200,N 434593,S200000,04100,0100,N 434593,S200000,04200,0100,N 434593,S200000,04300,0100,N 434593,S200000,04600,0100,N 434593,S200000,04700,0100,N 434593,S200000,04700,0200,N 434593,S200000,04900,0100,N 434593,S200000,05000,0100,N 434593,S200000,05100,0100,N 434593,S200000,05200,0100,N 434593,S200000,05300,0100,Y 434593,S200000,05300,0200,HB0067 434593,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434593,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434593,S200000,05400,0300,12001 434593,S200000,05500,0100,101 EAST STATE STREET 434593,S200000,05600,0100,KENNETT SQUARE 434593,S200000,05600,0200,PA 434593,S200000,05600,0300,19348 434594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434594,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434594,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434594,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434594,A000000,00300,0000,0300EMPLOYEE BENEFITS 434594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434594,A000000,00700,0000,0700HOUSEKEEPING 434594,A000000,00800,0000,0800DIETARY 434594,A000000,00801,0000,0801CAFETERIA 434594,A000000,00900,0000,0900NURSING ADMINISTRATION 434594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434594,A000000,01100,0000,1100PHARMACY 434594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434594,A000000,01300,0000,1300SOCIAL SERVICE 434594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434594,A000000,01500,0000,1350ACTIVITIES 434594,A000000,01600,0000,1600SKILLED NURSING FACILITY 434594,A000000,01800,0000,1800NURSING FACILITY 434594,A000000,01900,0000,1900OTHER LONG TERM CARE 434594,A000000,02100,0000,2100RADIOLOGY 434594,A000000,02200,0000,2200LABORATORY 434594,A000000,02300,0000,2300INTRAVENOUS THERAPY 434594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434594,A000000,02500,0000,2500PHYSICAL THERAPY 434594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434594,A000000,02700,0000,2700SPEECH PATHOLOGY 434594,A000000,02800,0000,2800ELECTROCARDIOLOGY 434594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434594,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434594,A000000,03200,0000,3200SUPPORT SURFACES 434594,A000000,03300,0000,3050ENTERALS 434594,A000000,03301,0000,3051OXYGEN 434594,A000000,03302,0000,3052OTHER ANCILLARY III 434594,A000000,03400,0000,3400CLINIC 434594,A000000,03500,0000,3500RURAL HEALTH CLINIC 434594,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434594,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434594,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434594,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434594,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434594,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434594,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434594,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434594,A000000,04400,0000,4400DME RENTED - HHA 434594,A000000,04500,0000,4500DME SOLD - HHA 434594,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434594,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434594,A000000,04710,0000,4710TELEMEDICINE 434594,A000000,04800,0000,4800AMBULANCE 434594,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434594,A000000,05000,0000,5000CORF 434594,A000000,05001,0000,5001CMHC I 434594,A000000,05020,0000,5020OPT I 434594,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434594,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434594,A000000,05300,0000,5300INTEREST EXPENSE 434594,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434594,A000000,05500,0000,5500HOSPICE 434594,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434594,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434594,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434594,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434594,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434594,A000000,06100,0000,6100NONPAID WORKERS 434594,A000000,06200,0000,6200PATIENTS LAUNDRY 434594,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434594,A81000A,00100,0100,Y 434594,A81000B,00100,0300,LEGAL AND ADMIN 434594,A81000C,00100,0100,E 434594,A81000C,00100,0200,SCOTT COLVER 434594,A81000C,00100,0400,VAR RELATIVES 434594,A81000C,00100,0600,ADMIN AND LEGAL 434594,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434594,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434594,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434594,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434594,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434594,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434594,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434594,B100000,00000,0800,0800MEALS SERVED :DIETARY 434594,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434594,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434594,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434594,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434594,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434594,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434594,E10A180,00501,0100,04/16/12 434594,E10A180,00501,0300,04/16/12 434594,G300000,02500,0000, OTHER (SPECIFY) 434594,S000000,00100,0200,03/12/12 434594,S200000,00100,0100,909 WEST STREET 434594,S200000,00200,0100,PITTSBURGH 434594,S200000,00200,0200,PA 434594,S200000,00200,0300,15221 434594,S200000,00300,0100,ALLEGHENY 434594,S200000,00300,0200,6280 434594,S200000,00300,0201,38300 434594,S200000,00300,0300,U 434594,S200000,00400,0100,VILLAGE AT PENNWOOD 434594,S200000,00400,0200,395883 434594,S200000,00400,0300,08/21/09 434594,S200000,00400,0500,P 434594,S200000,01500,0100,Y 434594,S200000,01501,0200,Y 434594,S200000,01502,0200,Y 434594,S200000,01503,0200,Y 434594,S200000,01504,0200,Y 434594,S200000,01600,0100,N 434594,S200000,01700,0100,N 434594,S200000,01800,0100,N 434594,S200000,02200,0100,N 434594,S200000,02800,0100,N 434594,S200000,02900,0100,N 434594,S200000,03000,0100,N 434594,S200000,03100,0100,N 434594,S200000,03200,0100,N 434594,S200000,03300,0100,N 434594,S200000,03300,0200,N 434594,S200000,04100,0100,N 434594,S200000,04200,0100,N 434594,S200000,04300,0100,N 434594,S200000,04600,0100,N 434594,S200000,04700,0100,N 434594,S200000,04700,0200,N 434594,S200000,04900,0100,N 434594,S200000,05000,0100,N 434594,S200000,05100,0100,N 434594,S200000,05200,0100,N 434594,S200000,05300,0100,N 434595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434595,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434595,A000000,00300,0000,0300EMPLOYEE BENEFITS 434595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434595,A000000,00700,0000,0700HOUSEKEEPING 434595,A000000,00800,0000,0800DIETARY 434595,A000000,00900,0000,0900NURSING ADMINISTRATION 434595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434595,A000000,01100,0000,1100PHARMACY 434595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434595,A000000,01300,0000,1300SOCIAL SERVICE 434595,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 434595,A000000,01600,0000,1600SKILLED NURSING FACILITY 434595,A000000,01800,0000,1800NURSING FACILITY 434595,A000000,01900,0000,1900OTHER LONG TERM CARE 434595,A000000,02100,0000,2100RADIOLOGY 434595,A000000,02200,0000,2200LABORATORY 434595,A000000,02300,0000,2300INTRAVENOUS THERAPY 434595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434595,A000000,02500,0000,2500PHYSICAL THERAPY 434595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434595,A000000,02700,0000,2700SPEECH PATHOLOGY 434595,A000000,02800,0000,2800ELECTROCARDIOLOGY 434595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434595,A000000,03200,0000,3200SUPPORT SURFACES 434595,A000000,03300,0000,3050PEN & UROLOGICALS 434595,A000000,04800,0000,4800AMBULANCE 434595,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434595,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434595,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434595,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434595,A000000,06300,0000,6150DENTAL 434595,A81000A,00100,0100,Y 434595,A81000B,00100,0300,HOME OFFICE COST - OPERATIONAL 434595,A81000B,00200,0300,HOME OFFICE COST - CAP BUILDING 434595,A81000B,00300,0300,HOME OFFICE COST - CAP MME 434595,A81000B,00400,0300,HOME OFFICE COST - INTEREST EXPENSE 434595,A81000B,00500,0300,HOME OFFICE COST - INTEREST INCOME 434595,A81000C,00100,0100,B 434595,A81000C,00100,0400,SPRINGPOINT SEN 434595,A81000C,00100,0600,HOME OFFICE 434595,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434595,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434595,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434595,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434595,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434595,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434595,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434595,B100000,00000,0800,0800MEALS SERVED :DIETARY 434595,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434595,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434595,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434595,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434595,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434595,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 434595,E10A180,00350,0100,08/10/11 434595,E10A180,00501,0100,05/25/12 434595,E10A180,00501,0300,05/25/12 434595,G300000,02500,0000,BARBER & BEAUTY 434595,G300000,02501,0000,OTHER INCOME 434595,G300000,02502,0000,GAIN ON SALE OF FIXED ASSETS 434595,S000000,00100,0200,03/30/13 434595,S200000,00100,0100,2021 HIGHWAY 35 434595,S200000,00200,0100,WALL 434595,S200000,00200,0200,NJ 434595,S200000,00200,0300,07719 434595,S200000,00300,0100,MONMOUTH 434595,S200000,00300,0201,20764 434595,S200000,00300,0300,U 434595,S200000,00400,0100,WATERFORD GLEN 434595,S200000,00400,0200,315481 434595,S200000,00400,0300,07/07/03 434595,S200000,00400,0500,P 434595,S200000,01500,0100,Y 434595,S200000,01501,0200,Y 434595,S200000,01503,0200,Y 434595,S200000,01504,0200,Y 434595,S200000,01600,0100,N 434595,S200000,01700,0100,N 434595,S200000,01800,0100,N 434595,S200000,02200,0100,N 434595,S200000,02800,0100,N 434595,S200000,02900,0100,N 434595,S200000,03000,0100,N 434595,S200000,03100,0100,N 434595,S200000,03200,0100,N 434595,S200000,03300,0100,N 434595,S200000,03300,0200,N 434595,S200000,03600,0100,N 434595,S200000,03600,0200,N 434595,S200000,04100,0100,N 434595,S200000,04200,0100,N 434595,S200000,04300,0100,N 434595,S200000,04600,0100,N 434595,S200000,04700,0100,N 434595,S200000,04700,0200,N 434595,S200000,04900,0100,N 434595,S200000,05000,0100,N 434595,S200000,05100,0100,N 434595,S200000,05200,0100,N 434595,S200000,05300,0100,Y 434595,S200000,05300,0200,H48370 434595,S200000,05400,0100,SPRINGPOINT SENIOR LIVING 434595,S200000,05400,0200,NOVITAS 434595,S200000,05400,0300,12001 434595,S200000,05500,0100,13 ROSZEL ROAD 434595,S200000,05600,0100,PRINCETON 434595,S200000,05600,0200,NJ 434595,S200000,05600,0300,08540 434596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434596,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434596,A000000,00300,0000,0300EMPLOYEE BENEFITS 434596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434596,A000000,00700,0000,0700HOUSEKEEPING 434596,A000000,00800,0000,0800DIETARY 434596,A000000,00900,0000,0900NURSING ADMINISTRATION 434596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434596,A000000,01100,0000,1100PHARMACY 434596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434596,A000000,01300,0000,1300SOCIAL SERVICE 434596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434596,A000000,01500,0000,1350ACTIVITIES / RECREATION 434596,A000000,01600,0000,1600SKILLED NURSING FACILITY 434596,A000000,01810,0000,1810ICF/MR 434596,A000000,02100,0000,2100RADIOLOGY 434596,A000000,02200,0000,2200LABORATORY 434596,A000000,02300,0000,2300INTRAVENOUS THERAPY 434596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434596,A000000,02500,0000,2500PHYSICAL THERAPY 434596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434596,A000000,02700,0000,2700SPEECH PATHOLOGY 434596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434596,A000000,03200,0000,3200SUPPORT SURFACES 434596,A000000,03300,0000,3050PEN SERVICES 434596,A000000,03400,0000,3400CLINIC 434596,A000000,03550,0000,3550FQHC 434596,A000000,05000,0000,5000CORF 434596,A000000,05010,0000,5010CMHC 434596,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434596,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434596,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434596,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434596,A81000A,00100,0100,Y 434596,A81000B,00100,0300,HOME OFFICE A & G 434596,A81000B,00200,0300,HOME OFFICE CAPITAL 434596,A81000B,00300,0300,PT 434596,A81000B,00400,0300,OT 434596,A81000B,00500,0300,ST 434596,A81000B,00600,0300,NUTRITIONIST 434596,A81000B,00700,0300,RT 434596,A81000B,00800,0300,MEDICAL DIRECTORS 434596,A81000B,00900,0300,PURCHASED SERVICES 434596,A81000C,00100,0100,B 434596,A81000C,00100,0200,GENESIS HEALTHC 434596,A81000C,00100,0600,MANAGEMENT COMP 434596,A81000C,00200,0100,B 434596,A81000C,00200,0200,GENESIS SERVICE 434596,A81000C,00200,0600,VARIOUS 434596,A81000C,00300,0100,B 434596,A81000C,00300,0200,GENESIS REHAB 434596,A81000C,00300,0600,REHAB 434596,A81000C,00400,0100,B 434596,A81000C,00400,0200,GENESIS HOSPITA 434596,A81000C,00400,0600,NUTRITIONIST 434596,A81000C,00500,0100,B 434596,A81000C,00500,0200,RESPIRATORY HEA 434596,A81000C,00500,0600,RT 434596,A81000C,00600,0100,B 434596,A81000C,00600,0200,GENESIS STAFFIN 434596,A81000C,00600,0600,PURCH SERV NURS 434596,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434596,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434596,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434596,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434596,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434596,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434596,B100000,00000,0800,0800MEALS SERVED :DIETARY 434596,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434596,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434596,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 434596,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434596,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES / RECR 434596,E10A180,00301,0100,03/23/11 434596,E10A180,00501,0300,04/12/12 434596,E10A180,00550,0100,04/12/12 434596,G300000,02500,0000,MISC. REVENUE 434596,S000000,00100,0200,02/29/12 434596,S200000,00100,0100,U.S. 50 AT CIVIC AVE. 434596,S200000,00200,0100,SALISBURY 434596,S200000,00200,0200,MD 434596,S200000,00200,0300,21801 434596,S200000,00300,0100,WICOMICO 434596,S200000,00300,0201,41540 434596,S200000,00300,0300,R 434596,S200000,00400,0100,SALISBURY CENTER 434596,S200000,00400,0200,215067 434596,S200000,00400,0300,08/01/87 434596,S200000,00400,0500,P 434596,S200000,01500,0100,Y 434596,S200000,01501,0200,Y 434596,S200000,01502,0200,N 434596,S200000,01503,0200,N 434596,S200000,01504,0200,Y 434596,S200000,01505,0000,DON BONUS 434596,S200000,01505,0200,Y 434596,S200000,01600,0100,N 434596,S200000,01700,0100,N 434596,S200000,01800,0100,N 434596,S200000,02200,0100,Y 434596,S200000,02800,0100,N 434596,S200000,02900,0100,N 434596,S200000,03000,0100,N 434596,S200000,03100,0100,N 434596,S200000,03200,0100,N 434596,S200000,03300,0100,N 434596,S200000,03300,0200,N 434596,S200000,03600,0100,N 434596,S200000,03600,0200,N 434596,S200000,04100,0100,N 434596,S200000,04200,0100,N 434596,S200000,04300,0100,N 434596,S200000,04600,0100,N 434596,S200000,04700,0100,N 434596,S200000,04700,0200,N 434596,S200000,04900,0100,N 434596,S200000,05000,0100,N 434596,S200000,05100,0100,N 434596,S200000,05200,0100,N 434596,S200000,05300,0100,Y 434596,S200000,05300,0200,HB0067 434596,S200000,05400,0100,GENESIS HEALTHCARE 434596,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434596,S200000,05400,0300,12001 434596,S200000,05500,0100,101 EAST STATE STREET 434596,S200000,05600,0100,KENNETT SQUARE 434596,S200000,05600,0200,MD 434596,S200000,05600,0300,19348 434598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434598,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434598,A000000,00300,0000,0300EMPLOYEE BENEFITS 434598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434598,A000000,00700,0000,0700HOUSEKEEPING 434598,A000000,00800,0000,0800DIETARY 434598,A000000,00900,0000,0900NURSING ADMINISTRATION 434598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434598,A000000,01100,0000,1100PHARMACY 434598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434598,A000000,01300,0000,1300SOCIAL SERVICE 434598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434598,A000000,01500,0000,1350RESIDENT ACTIVITIES 434598,A000000,01600,0000,1600SKILLED NURSING FACILITY 434598,A000000,01800,0000,1800NURSING FACILITY 434598,A000000,01810,0000,1810ICF/MR 434598,A000000,01900,0000,1900OTHER LONG TERM CARE 434598,A000000,02100,0000,2100RADIOLOGY 434598,A000000,02200,0000,2200LABORATORY 434598,A000000,02300,0000,2300INTRAVENOUS THERAPY 434598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434598,A000000,02500,0000,2500PHYSICAL THERAPY 434598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434598,A000000,02700,0000,2700SPEECH PATHOLOGY 434598,A000000,02800,0000,2800ELECTROCARDIOLOGY 434598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434598,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434598,A000000,03200,0000,3200SUPPORT SURFACES 434598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434598,A000000,03400,0000,3400CLINIC 434598,A000000,03500,0000,3500RURAL HEALTH CLINIC 434598,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434598,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434598,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434598,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434598,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434598,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434598,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434598,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434598,A000000,04400,0000,4400DME RENTED - HHA 434598,A000000,04500,0000,4500DME SOLD - HHA 434598,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434598,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434598,A000000,04710,0000,4710TELEMEDICINE 434598,A000000,04800,0000,4800AMBULANCE 434598,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434598,A000000,05000,0000,5000CORF 434598,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434598,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434598,A000000,05300,0000,5300INTEREST EXPENSE 434598,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434598,A000000,05500,0000,5500HOSPICE 434598,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434598,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434598,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434598,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434598,A000000,06100,0000,6100NONPAID WORKERS 434598,A000000,06200,0000,6200PATIENTS LAUNDRY 434598,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434598,A81000A,00100,0100,N 434598,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434598,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434598,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434598,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434598,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434598,B100000,00000,0700,0750SQ FT EXCLUD DIE:HOUSEKEEPING 434598,B100000,00000,0800,0800MEALS SERVED :DIETARY 434598,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434598,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434598,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434598,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434598,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434598,B100000,00000,1500,1350PATIENT DAYS :RESIDENT ACTIVITI 434598,E10A180,00350,0100,06/08/11 434598,E10A180,00501,0300,03/07/12 434598,E10A180,00550,0100,03/07/12 434598,S000000,00100,0200,01/05/12 434598,S200000,00100,0100,595 BIGLERVILLE ROAD 434598,S200000,00200,0100,GETTYSBURG 434598,S200000,00200,0200,PA 434598,S200000,00200,0300,17325 434598,S200000,00300,0100,ADAMS 434598,S200000,00300,0200,39 434598,S200000,00300,0201,99939 434598,S200000,00300,0300,R 434598,S200000,00400,0100,GREEN ACRES 434598,S200000,00400,0200,395798 434598,S200000,00400,0300,08/01/89 434598,S200000,00400,0500,P 434598,S200000,01500,0100,Y 434598,S200000,01501,0200,Y 434598,S200000,01502,0200,Y 434598,S200000,01504,0200,Y 434598,S200000,01600,0100,N 434598,S200000,01700,0100,N 434598,S200000,01800,0100,N 434598,S200000,02200,0100,N 434598,S200000,02800,0100,N 434598,S200000,02900,0100,N 434598,S200000,03000,0100,N 434598,S200000,03100,0100,N 434598,S200000,03200,0100,N 434598,S200000,03300,0100,N 434598,S200000,03300,0200,N 434598,S200000,04100,0100,N 434598,S200000,04200,0100,N 434598,S200000,04300,0100,N 434598,S200000,04600,0100,N 434598,S200000,04700,0100,N 434598,S200000,04700,0200,N 434598,S200000,04900,0100,N 434598,S200000,05000,0100,N 434598,S200000,05100,0100,N 434598,S200000,05200,0100,N 434598,S200000,05300,0100,N 434611,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434611,A000000,00300,0000,0300EMPLOYEE BENEFITS 434611,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434611,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434611,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434611,A000000,00700,0000,0700HOUSEKEEPING 434611,A000000,00800,0000,0800DIETARY 434611,A000000,00801,0000,0801CAFETERIA 434611,A000000,00900,0000,0900NURSING ADMINISTRATION 434611,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434611,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434611,A000000,01300,0000,1300SOCIAL SERVICE 434611,A000000,01500,0000,1350ACTIVITIES 434611,A000000,01600,0000,1600SKILLED NURSING FACILITY 434611,A000000,01800,0000,1800NURSING FACILITY 434611,A000000,01900,0000,1900OTHER LONG TERM CARE 434611,A000000,02200,0000,2200LABORATORY 434611,A000000,02500,0000,2500PHYSICAL THERAPY 434611,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434611,A000000,02700,0000,2700SPEECH PATHOLOGY 434611,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434611,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434611,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434611,A000000,03300,0000,3050ENTERALS 434611,A000000,04800,0000,4800AMBULANCE 434611,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434611,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434611,A000000,06300,0000,6150RELATED ORGANIZATION 434611,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 434611,A81000A,00100,0100,Y 434611,A81000B,00100,0300,MANAGEMENT FEES 434611,A81000B,00200,0300,SECURITY TRANSPORTATION MAINT 434611,A81000B,00300,0300,APTS FOR OUT OF TOWN STAFF 434611,A81000C,00100,0100,C 434611,A81000C,00100,0400,RICHFIELD RETIREMENT COMM 434611,A81000C,00100,0600,RETIREMENT FACILITY 434611,A81000C,00200,0100,C 434611,A81000C,00200,0400,RICHFIELD RETIREMENT COMM 434611,A81000C,00200,0600,RETIREMENT FACILITY 434611,A81000C,00300,0100,C 434611,A81000C,00300,0400,RICHFIELD RETIREMENT COMM 434611,A81000C,00300,0600,RETIREMENT FACILITY 434611,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434611,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434611,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434611,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434611,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434611,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434611,B100000,00000,0800,0800MEALS SERVED :DIETARY 434611,B100000,00000,0801,0851FTES :CAFETERIA 434611,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434611,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434611,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 434611,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434611,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434611,E10A180,00303,0100,09/30/11 434611,E10A180,00501,0100,05/21/02 434611,G300000,02500,0000,BARBER & BEAUTY SHOP 434611,G300000,02501,0000,MISC INCOME 434611,G300000,02502,0000,OFFICE RENT - AL/SECURITY 434611,G300000,02503,0000,GAIN (LOSS) DISPOSAL FIXED ASSETS 434611,S000000,00100,0200,02/29/12 434611,S200000,00100,0100,3615 W. MAIN STREET 434611,S200000,00100,0300,3240 434611,S200000,00200,0100,SALEM 434611,S200000,00200,0200,VA 434611,S200000,00200,0300,24153-3240 434611,S200000,00300,0100,ROANOKE 434611,S200000,00300,0200,6800 434611,S200000,00300,0201,40220 434611,S200000,00300,0300,U 434611,S200000,00400,0100,RICHFIELD NURSING CENTER 434611,S200000,00400,0200,495013 434611,S200000,00400,0300,01/01/66 434611,S200000,00400,0500,P 434611,S200000,00600,0200,495013 434611,S200000,00600,0300,01/01/66 434611,S200000,00600,0600,O 434611,S200000,01500,0100,Y 434611,S200000,01501,0200,Y 434611,S200000,01600,0100,N 434611,S200000,01700,0100,N 434611,S200000,01800,0100,N 434611,S200000,02200,0100,Y 434611,S200000,02800,0100,Y 434611,S200000,02900,0100,N 434611,S200000,03000,0100,N 434611,S200000,03100,0100,N 434611,S200000,03200,0100,N 434611,S200000,03300,0100,N 434611,S200000,03300,0200,N 434611,S200000,03500,0300,N 434611,S200000,04100,0100,N 434611,S200000,04200,0100,N 434611,S200000,04300,0100,N 434611,S200000,04600,0100,N 434611,S200000,04700,0100,N 434611,S200000,04700,0200,N 434611,S200000,04900,0100,N 434611,S200000,05000,0100,N 434611,S200000,05100,0100,N 434611,S200000,05200,0100,N 434612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434612,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434612,A000000,00300,0000,0300EMPLOYEE BENEFITS 434612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434612,A000000,00700,0000,0700HOUSEKEEPING 434612,A000000,00800,0000,0800DIETARY 434612,A000000,00900,0000,0900NURSING ADMINISTRATION 434612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434612,A000000,01100,0000,1100PHARMACY 434612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434612,A000000,01300,0000,1300SOCIAL SERVICE 434612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434612,A000000,01500,0000,1350ACTIVITIES 434612,A000000,01600,0000,1600SKILLED NURSING FACILITY 434612,A000000,01800,0000,1800NURSING FACILITY 434612,A000000,01810,0000,1810ICF/MR 434612,A000000,01900,0000,1900OTHER LONG TERM CARE 434612,A000000,02100,0000,2100RADIOLOGY 434612,A000000,02200,0000,2200LABORATORY 434612,A000000,02300,0000,2300INTRAVENOUS THERAPY 434612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434612,A000000,02500,0000,2500PHYSICAL THERAPY 434612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434612,A000000,02700,0000,2700SPEECH PATHOLOGY 434612,A000000,02800,0000,2800ELECTROCARDIOLOGY 434612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434612,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434612,A000000,03200,0000,3200SUPPORT SURFACES 434612,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434612,A000000,03400,0000,3400CLINIC 434612,A000000,03500,0000,3500RURAL HEALTH CLINIC 434612,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434612,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434612,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434612,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434612,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434612,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434612,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434612,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434612,A000000,04400,0000,4400DME RENTED - HHA 434612,A000000,04500,0000,4500DME SOLD - HHA 434612,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434612,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434612,A000000,04710,0000,4710TELEMEDICINE 434612,A000000,04800,0000,4800AMBULANCE 434612,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434612,A000000,05000,0000,5000CORF 434612,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434612,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434612,A000000,05300,0000,5300INTEREST EXPENSE 434612,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434612,A000000,05500,0000,5500HOSPICE 434612,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434612,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434612,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434612,A000000,06100,0000,6100NONPAID WORKERS 434612,A000000,06200,0000,6200PATIENTS LAUNDRY 434612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434612,A81000A,00100,0100,Y 434612,A81000B,00100,0300,RELATED PARTY THERAPY 434612,A81000B,00200,0300,RELATED PARTY THERAPY 434612,A81000B,00300,0300,RELATED PARTY THERAPY 434612,A81000B,00400,0300,HOME OFFICE COSTS 434612,A81000B,00500,0300,HOME OFFICE COSTS 434612,A81000B,00600,0300,HOME OFFICE COSTS 434612,A81000B,00700,0300,HOME OFFICE COSTS 434612,A81000B,00800,0300,HOME OFFICE COSTS 434612,A81000B,00900,0300,HOME OFFICE COSTS 434612,A81000B,01000,0300,HOME OFFICE COSTS 434612,A81000B,01100,0300,HOME OFFICE COSTS 434612,A81000B,01200,0300,HOME OFFICE COSTS 434612,A81000C,00100,0100,A 434612,A81000C,00100,0400,THERACARE 434612,A81000C,00100,0600,THERAPY MANAGEMENT 434612,A81000C,00200,0100,A 434612,A81000C,00200,0400,THERACARE 434612,A81000C,00200,0600,THERAPY MANAGEMENT 434612,A81000C,00300,0100,A 434612,A81000C,00300,0400,THERACARE 434612,A81000C,00300,0600,THERAPY MANAGEMENT 434612,A81000C,00400,0100,B 434612,A81000C,00400,0400,MHS INC. 434612,A81000C,00400,0600,NURSING HOMES 434612,A81000C,00500,0100,B 434612,A81000C,00500,0400,MHS INC. 434612,A81000C,00500,0600,NURSING HOMES 434612,A81000C,00600,0100,B 434612,A81000C,00600,0400,MHS INC. 434612,A81000C,00600,0600,NURSING HOMES 434612,A81000C,00700,0100,B 434612,A81000C,00700,0400,MHS INC. 434612,A81000C,00700,0600,NURSING HOMES 434612,A81000C,00800,0100,B 434612,A81000C,00800,0400,MHS INC. 434612,A81000C,00800,0600,NURSING HOMES 434612,A81000C,00900,0100,B 434612,A81000C,00900,0400,MHS INC. 434612,A81000C,00900,0600,NURSING HOMES 434612,A81000C,01000,0100,B 434612,A81000C,01000,0400,MHS INC. 434612,A81000C,01000,0600,NURSING HOMES 434612,A81000C,01001,0100,B 434612,A81000C,01001,0400,MHS INC. 434612,A81000C,01001,0600,NURSING HOMES 434612,A81000C,01002,0100,B 434612,A81000C,01002,0400,MHS INC. 434612,A81000C,01002,0600,NURSING HOMES 434612,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434612,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434612,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434612,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434612,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434612,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434612,B100000,00000,0800,0800MEALS SERVED :DIETARY 434612,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434612,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434612,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434612,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434612,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434612,E10A180,00301,0100,09/13/11 434612,E10A180,00501,0100,04/30/12 434612,G300000,02500,0000,OTHER REVENUE 434612,S000000,00100,0200,03/02/12 434612,S200000,00100,0100,317 BLAIR PIKE 434612,S200000,00200,0100,PERU 434612,S200000,00200,0200,IN 434612,S200000,00200,0300,46970 434612,S200000,00300,0100,MIAMI 434612,S200000,00300,0201,99915 434612,S200000,00300,0300,R 434612,S200000,00400,0100,MHS INC. D/B/A MMM - PERU 434612,S200000,00400,0200,155039 434612,S200000,00400,0300,01/01/67 434612,S200000,00400,0500,P 434612,S200000,01500,0100,Y 434612,S200000,01501,0200,Y 434612,S200000,01502,0200,Y 434612,S200000,01503,0200,Y 434612,S200000,01504,0200,Y 434612,S200000,01600,0100,N 434612,S200000,01700,0100,N 434612,S200000,01800,0100,N 434612,S200000,02200,0100,Y 434612,S200000,02800,0100,Y 434612,S200000,02900,0100,N 434612,S200000,03000,0100,N 434612,S200000,03100,0100,N 434612,S200000,03200,0100,N 434612,S200000,03300,0100,N 434612,S200000,03300,0200,N 434612,S200000,04100,0100,N 434612,S200000,04200,0100,N 434612,S200000,04300,0100,N 434612,S200000,04600,0100,N 434612,S200000,04700,0100,N 434612,S200000,04700,0200,N 434612,S200000,04900,0100,N 434612,S200000,05000,0100,N 434612,S200000,05100,0100,N 434612,S200000,05200,0100,N 434612,S200000,05300,0100,Y 434612,S200000,05300,0200,15H004 434612,S200000,05400,0100,MHS INC.-D/B/A MILLER S MERRY MANOR 434612,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434612,S200000,05400,0300,00130 434612,S200000,05500,0100,1690 SOUTH COUNTY FARM ROAD 434612,S200000,05600,0100,WARSAW 434612,S200000,05600,0200,IN 434612,S200000,05600,0300,46580 434614,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434614,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434614,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434614,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434614,A000000,00300,0000,0300EMPLOYEE BENEFITS 434614,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434614,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434614,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434614,A000000,00700,0000,0700HOUSEKEEPING 434614,A000000,00800,0000,0800DIETARY 434614,A000000,00801,0000,0801CAFETERIA 434614,A000000,00900,0000,0900NURSING ADMINISTRATION 434614,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434614,A000000,01100,0000,1100PHARMACY 434614,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434614,A000000,01300,0000,1300SOCIAL SERVICE 434614,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434614,A000000,01500,0000,1350ACTIVITIES 434614,A000000,01600,0000,1600SKILLED NURSING FACILITY 434614,A000000,01800,0000,1800NURSING FACILITY 434614,A000000,01900,0000,1900OTHER LONG TERM CARE 434614,A000000,02100,0000,2100RADIOLOGY 434614,A000000,02200,0000,2200LABORATORY 434614,A000000,02300,0000,2300INTRAVENOUS THERAPY 434614,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434614,A000000,02500,0000,2500PHYSICAL THERAPY 434614,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434614,A000000,02700,0000,2700SPEECH PATHOLOGY 434614,A000000,02800,0000,2800ELECTROCARDIOLOGY 434614,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434614,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434614,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434614,A000000,03200,0000,3200SUPPORT SURFACES 434614,A000000,03300,0000,3050ENTERALS 434614,A000000,03301,0000,3051OXYGEN 434614,A000000,03302,0000,3052OTHER ANCILLARY III 434614,A000000,03400,0000,3400CLINIC 434614,A000000,03500,0000,3500RURAL HEALTH CLINIC 434614,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434614,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434614,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434614,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434614,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434614,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434614,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434614,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434614,A000000,04400,0000,4400DME RENTED - HHA 434614,A000000,04500,0000,4500DME SOLD - HHA 434614,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434614,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434614,A000000,04710,0000,4710TELEMEDICINE 434614,A000000,04800,0000,4800AMBULANCE 434614,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434614,A000000,05000,0000,5000CORF 434614,A000000,05001,0000,5001CMHC I 434614,A000000,05020,0000,5020OPT I 434614,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434614,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434614,A000000,05300,0000,5300INTEREST EXPENSE 434614,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434614,A000000,05500,0000,5500HOSPICE 434614,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434614,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434614,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434614,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434614,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434614,A000000,06100,0000,6100NONPAID WORKERS 434614,A000000,06200,0000,6200PATIENTS LAUNDRY 434614,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434614,A81000A,00100,0100,Y 434614,A81000B,00100,0300,MANAGEMENT FEES 434614,A81000B,00200,0300,NON LEGEND DRUGS 434614,A81000B,00300,0300,IV DRUGS 434614,A81000B,00400,0300,PRESCRIPTION DRUGS 434614,A81000C,00100,0100,A 434614,A81000C,00100,0200,CARE ONE 434614,A81000C,00100,0400,HEALTHBRIDGE 434614,A81000C,00100,0600,MANAGEMENT 434614,A81000C,00200,0100,A 434614,A81000C,00200,0200,CARE ONE 434614,A81000C,00200,0400,PARTNERS PHAR. 434614,A81000C,00200,0600,PHARMACY 434614,A81000C,00300,0100,A 434614,A81000C,00300,0200,CARE ONE 434614,A81000C,00300,0400,PARTNERS PHAR. 434614,A81000C,00300,0600,PHARMACY 434614,A81000C,00400,0100,A 434614,A81000C,00400,0200,CARE ONE 434614,A81000C,00400,0400,PARTNERS PHAR. 434614,A81000C,00400,0600,PHARMACY 434614,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434614,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434614,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434614,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434614,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434614,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434614,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434614,B100000,00000,0800,0800MEALS SERVED :DIETARY 434614,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434614,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434614,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434614,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434614,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434614,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434614,E10A180,00350,0100,04/01/11 434614,E10A180,00501,0300,03/26/12 434614,E10A180,00550,0100,03/26/12 434614,G300000,02500,0000, OTHER (SPECIFY) 434614,S000000,00100,0200,02/20/12 434614,S200000,00100,0100,221 COUNTY ROAD 434614,S200000,00200,0100,CRESSKILL 434614,S200000,00200,0200,NJ 434614,S200000,00200,0300,07626 434614,S200000,00300,0100,BERGEN 434614,S200000,00300,0200,0875 434614,S200000,00300,0201,35644 434614,S200000,00300,0300,U 434614,S200000,00400,0100,CARE ONE AT DUNROVEN 434614,S200000,00400,0200,315313 434614,S200000,00400,0300,05/14/92 434614,S200000,00400,0500,P 434614,S200000,01500,0100,Y 434614,S200000,01501,0200,Y 434614,S200000,01502,0200,N 434614,S200000,01503,0200,Y 434614,S200000,01504,0200,N 434614,S200000,01600,0100,N 434614,S200000,01700,0100,N 434614,S200000,01800,0100,N 434614,S200000,02200,0100,N 434614,S200000,02800,0100,N 434614,S200000,02900,0100,N 434614,S200000,03000,0100,N 434614,S200000,03100,0100,N 434614,S200000,03200,0100,N 434614,S200000,03300,0100,N 434614,S200000,03300,0200,N 434614,S200000,04100,0100,N 434614,S200000,04200,0100,N 434614,S200000,04300,0100,Y 434614,S200000,04600,0100,N 434614,S200000,04700,0100,N 434614,S200000,04700,0200,N 434614,S200000,04900,0100,N 434614,S200000,05000,0100,N 434614,S200000,05100,0100,N 434614,S200000,05200,0100,N 434614,S200000,05300,0100,Y 434614,S200000,05300,0200,319001 434614,S200000,05400,0100,HEALTHBRIDGE 434614,S200000,05400,0200,HIGHMARK 434614,S200000,05400,0300,12001 434614,S200000,05500,0100,173 BRIDGE PLAZA NORTH 434614,S200000,05600,0100,FORT LEE 434614,S200000,05600,0200,NJ 434614,S200000,05600,0300,07024 434615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434615,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434615,A000000,00300,0000,0300EMPLOYEE BENEFITS 434615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434615,A000000,00700,0000,0700HOUSEKEEPING 434615,A000000,00800,0000,0800DIETARY 434615,A000000,00900,0000,0900NURSING ADMINISTRATION 434615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434615,A000000,01100,0000,1100PHARMACY 434615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434615,A000000,01300,0000,1300SOCIAL SERVICE 434615,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434615,A000000,01500,0000,1350ACTIVITIES 434615,A000000,01600,0000,1600SKILLED NURSING FACILITY 434615,A000000,01800,0000,1800NURSING FACILITY 434615,A000000,01810,0000,1810ICF/MR 434615,A000000,01900,0000,1900OTHER LONG TERM CARE 434615,A000000,02100,0000,2100RADIOLOGY 434615,A000000,02200,0000,2200LABORATORY 434615,A000000,02300,0000,2300INTRAVENOUS THERAPY 434615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434615,A000000,02500,0000,2500PHYSICAL THERAPY 434615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434615,A000000,02700,0000,2700SPEECH PATHOLOGY 434615,A000000,02800,0000,2800ELECTROCARDIOLOGY 434615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434615,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434615,A000000,03200,0000,3200SUPPORT SURFACES 434615,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434615,A000000,03400,0000,3400CLINIC 434615,A000000,03500,0000,3500RURAL HEALTH CLINIC 434615,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434615,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434615,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434615,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434615,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434615,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434615,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434615,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434615,A000000,04400,0000,4400DME RENTED - HHA 434615,A000000,04500,0000,4500DME SOLD - HHA 434615,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434615,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434615,A000000,04710,0000,4710TELEMEDICINE 434615,A000000,04800,0000,4800AMBULANCE 434615,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434615,A000000,05000,0000,5000CORF 434615,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434615,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434615,A000000,05300,0000,5300INTEREST EXPENSE 434615,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434615,A000000,05500,0000,5500HOSPICE 434615,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434615,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434615,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434615,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434615,A000000,06100,0000,6100NONPAID WORKERS 434615,A000000,06200,0000,6200PATIENTS LAUNDRY 434615,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434615,A81000A,00100,0100,Y 434615,A81000B,00100,0300,ADMIN C/S 434615,A81000B,00200,0300,ADMIN SALARY 434615,A81000B,00300,0300,ADMIN PR TAX 434615,A81000B,00400,0300,ADMIN BENEFIT 434615,A81000B,00500,0300,DON C/S 434615,A81000B,00600,0300,DON SALARY 434615,A81000B,00700,0300,DON PR TAX 434615,A81000B,00800,0300,DON BENEFIT 434615,A81000B,00900,0300,NURSE CONSULT 434615,A81000B,01000,0300,RN WAGES 434615,A81000B,01100,0300,RN PR TAX 434615,A81000B,01200,0300,RN BENEFIT 434615,A81000B,01300,0300,MANAGEMENT FEES 434615,A81000B,01400,0300,VEHICLE LEASE 434615,A81000B,01500,0300,VEHICLE DEPRECIATION 434615,A81000B,01600,0300,RENT 434615,A81000B,01700,0300,BUILDING DEPRECIATION 434615,A81000B,01800,0300,MORTGAGE INTEREST 434615,A81000B,01900,0300,EQUIPMENT DEPRECIATION 434615,A81000B,02000,0300,NON CAP MAINT SUPPLIES 434615,A81000B,02100,0300,PE NUTRIENT 434615,A81000B,02200,0300,NON CAP NURSE EQUIP 434615,A81000B,02300,0300,MEDICAL SUPPLIES 434615,A81000B,02400,0300,THERAPEUTIC BEDS 434615,A81000B,02500,0300,OXYGEN TANKS 434615,A81000B,02600,0300,NON CAP PT EQUIP 434615,A81000B,02700,0300,BMS 434615,A81000B,02800,0300,PE SUPPLIES 434615,A81000B,02900,0300,LIFE SUST EQUIP RENTAL 434615,A81000C,00100,0100,A 434615,A81000C,00100,0200,HAROLD NUNN 434615,A81000C,00100,0400,PEAK RESOURCES INC 434615,A81000C,00100,0600,MANAGEMENT SERVICES 434615,A81000C,00200,0100,A 434615,A81000C,00200,0200,HAROLD NUNN 434615,A81000C,00200,0400,PEAK RESOURCES INC 434615,A81000C,00200,0600,MANAGEMENT SERVICES 434615,A81000C,00300,0100,A 434615,A81000C,00300,0200,HAROLD NUNN 434615,A81000C,00300,0400,PEAK RESOURCES INC 434615,A81000C,00300,0600,MANAGEMENT SERVICES 434615,A81000C,00400,0100,A 434615,A81000C,00400,0200,HAROLD NUNN 434615,A81000C,00400,0400,PEAK RESOURCES INC 434615,A81000C,00400,0600,MANAGEMENT SERVICES 434615,A81000C,00500,0100,A 434615,A81000C,00500,0200,HAROLD NUNN 434615,A81000C,00500,0400,PEAK RESOURCES INC 434615,A81000C,00500,0600,MANAGEMENT SERVICES 434615,A81000C,00600,0100,A 434615,A81000C,00600,0200,HAROLD NUNN 434615,A81000C,00600,0400,PEAK RESOURCES INC 434615,A81000C,00600,0600,MANAGEMENT SERVICES 434615,A81000C,00700,0100,A 434615,A81000C,00700,0200,HAROLD NUNN 434615,A81000C,00700,0400,PEAK RESOURCES INC 434615,A81000C,00700,0600,MANAGEMENT SERVICES 434615,A81000C,00800,0100,A 434615,A81000C,00800,0200,HAROLD NUNN 434615,A81000C,00800,0400,PEAK RESOURCES INC 434615,A81000C,00800,0600,MANAGEMENT SERVICES 434615,A81000C,00900,0100,A 434615,A81000C,00900,0200,HAROLD NUNN 434615,A81000C,00900,0400,PEAK RESOURCES INC 434615,A81000C,00900,0600,MANAGEMENT SERVICES 434615,A81000C,01000,0100,A 434615,A81000C,01000,0200,HAROLD NUNN 434615,A81000C,01000,0400,PEAK RESOURCES INC 434615,A81000C,01000,0600,MANAGEMENT SERVICES 434615,A81000C,01001,0100,A 434615,A81000C,01001,0200,HAROLD NUNN 434615,A81000C,01001,0400,PEAK RESOURCES INC 434615,A81000C,01001,0600,MANAGEMENT SERVICES 434615,A81000C,01002,0100,A 434615,A81000C,01002,0200,HAROLD NUNN 434615,A81000C,01002,0400,PEAK RESOURCES INC 434615,A81000C,01002,0600,MANAGEMENT SERVICES 434615,A81000C,01003,0100,A 434615,A81000C,01003,0200,HAROLD NUNN 434615,A81000C,01003,0400,PEAK RESOURCES INC 434615,A81000C,01003,0600,MANAGEMENT SERVICES 434615,A81000C,01004,0100,A 434615,A81000C,01004,0200,HAROLD NUNN 434615,A81000C,01004,0400,PEAK RESOURCES INC 434615,A81000C,01004,0600,MANAGEMENT SERVICES 434615,A81000C,01005,0100,A 434615,A81000C,01005,0200,HAROLD NUNN 434615,A81000C,01005,0400,PEAK RESOURCES INC 434615,A81000C,01005,0600,MANAGEMENT SERVICES 434615,A81000C,01006,0100,A 434615,A81000C,01006,0200,HAROLD NUNN 434615,A81000C,01006,0400,TREYBURN REALTY LLC 434615,A81000C,01006,0600,RENTAL 434615,A81000C,01007,0100,A 434615,A81000C,01007,0200,HAROLD NUNN 434615,A81000C,01007,0400,TREYBURN REALTY LLC 434615,A81000C,01007,0600,RENTAL 434615,A81000C,01008,0100,A 434615,A81000C,01008,0200,HAROLD NUNN 434615,A81000C,01008,0400,TREYBURN REALTY LLC 434615,A81000C,01008,0600,RENTAL 434615,A81000C,01009,0100,A 434615,A81000C,01009,0200,HAROLD NUNN 434615,A81000C,01009,0400,TREYBURN REALTY LLC 434615,A81000C,01009,0600,RENTAL 434615,A81000C,01010,0100,A 434615,A81000C,01010,0200,HAROLD NUNN 434615,A81000C,01010,0400,BILLING SPECIALISTS INC 434615,A81000C,01010,0600,MEDICAL SUPPLIES 434615,A81000C,01011,0100,A 434615,A81000C,01011,0200,HAROLD NUNN 434615,A81000C,01011,0400,BILLING SPECIALISTS INC 434615,A81000C,01011,0600,MEDICAL SUPPLIES 434615,A81000C,01012,0100,A 434615,A81000C,01012,0200,HAROLD NUNN 434615,A81000C,01012,0400,BILLING SPECIALISTS INC 434615,A81000C,01012,0600,MEDICAL SUPPLIES 434615,A81000C,01013,0100,A 434615,A81000C,01013,0200,HAROLD NUNN 434615,A81000C,01013,0400,BILLING SPECIALISTS INC 434615,A81000C,01013,0600,MEDICAL SUPPLIES 434615,A81000C,01014,0100,A 434615,A81000C,01014,0200,HAROLD NUNN 434615,A81000C,01014,0400,BILLING SPECIALISTS INC 434615,A81000C,01014,0600,MEDICAL SUPPLIES 434615,A81000C,01015,0100,A 434615,A81000C,01015,0200,HAROLD NUNN 434615,A81000C,01015,0400,BILLING SPECIALISTS INC 434615,A81000C,01015,0600,MEDICAL SUPPLIES 434615,A81000C,01016,0100,A 434615,A81000C,01016,0200,HAROLD NUNN 434615,A81000C,01016,0400,BILLING SPECIALISTS INC 434615,A81000C,01016,0600,MEDICAL SUPPLIES 434615,A81000C,01017,0100,A 434615,A81000C,01017,0200,HAROLD NUNN 434615,A81000C,01017,0400,BILLING SPECIALISTS INC 434615,A81000C,01017,0600,MEDICAL SUPPLIES 434615,A81000C,01018,0100,A 434615,A81000C,01018,0200,HAROLD NUNN 434615,A81000C,01018,0400,BILLING SPECIALISTS INC 434615,A81000C,01018,0600,MEDICAL SUPPLIES 434615,A81000C,01019,0100,A 434615,A81000C,01019,0200,HAROLD NUNN 434615,A81000C,01019,0400,BILLING SPECIALISTS INC 434615,A81000C,01019,0600,MEDICAL SUPPLIES 434615,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434615,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434615,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434615,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434615,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434615,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434615,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434615,B100000,00000,0800,0800MEALS SERVED :DIETARY 434615,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434615,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434615,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434615,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434615,E10A180,00501,0100,05/25/12 434615,G300000,02501,0000,MEDICARE BAD DEBT REVENUE 434615,G300000,02502,0000,MISC 434615,S000000,00100,0200,02/29/12 434615,S200000,00100,0100,2059 TORREDGE RD 434615,S200000,00200,0100,DURHAM 434615,S200000,00200,0200,NC 434615,S200000,00200,0300,27712 434615,S200000,00300,0100,DURHAM 434615,S200000,00300,0200,6640 434615,S200000,00300,0201,20500 434615,S200000,00300,0300,U 434615,S200000,00400,0100,PEAK RESOURCES TREYBURN 434615,S200000,00400,0200,345458 434615,S200000,00400,0300,05/16/94 434615,S200000,00400,0500,P 434615,S200000,01500,0100,Y 434615,S200000,01503,0200,N 434615,S200000,01504,0200,N 434615,S200000,01600,0100,N 434615,S200000,01700,0100,N 434615,S200000,01800,0100,N 434615,S200000,02200,0100,Y 434615,S200000,02800,0100,N 434615,S200000,02900,0100,N 434615,S200000,03000,0100,N 434615,S200000,03100,0100,N 434615,S200000,03200,0100,N 434615,S200000,03300,0100,N 434615,S200000,03300,0200,N 434615,S200000,04100,0100,N 434615,S200000,04200,0100,N 434615,S200000,04300,0100,N 434615,S200000,04600,0100,N 434615,S200000,04700,0100,N 434615,S200000,04700,0200,N 434615,S200000,04900,0100,N 434615,S200000,05000,0100,N 434615,S200000,05100,0100,N 434615,S200000,05200,0100,N 434616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434616,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434616,A000000,00300,0000,0300EMPLOYEE BENEFITS 434616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434616,A000000,00700,0000,0700HOUSEKEEPING 434616,A000000,00800,0000,0800DIETARY 434616,A000000,00900,0000,0900NURSING ADMINISTRATION 434616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434616,A000000,01100,0000,1100PHARMACY 434616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434616,A000000,01300,0000,1300SOCIAL SERVICE 434616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434616,A000000,01500,0000,1350ACTIVITIES 434616,A000000,01600,0000,1600SKILLED NURSING FACILITY 434616,A000000,01800,0000,1800NURSING FACILITY 434616,A000000,01810,0000,1810ICF/MR 434616,A000000,01900,0000,1900OTHER LONG TERM CARE 434616,A000000,02100,0000,2100RADIOLOGY 434616,A000000,02200,0000,2200LABORATORY 434616,A000000,02300,0000,2300INTRAVENOUS THERAPY 434616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434616,A000000,02500,0000,2500PHYSICAL THERAPY 434616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434616,A000000,02700,0000,2700SPEECH PATHOLOGY 434616,A000000,02800,0000,2800ELECTROCARDIOLOGY 434616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434616,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434616,A000000,03200,0000,3200SUPPORT SURFACES 434616,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434616,A000000,03400,0000,3400CLINIC 434616,A000000,03500,0000,3500RURAL HEALTH CLINIC 434616,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434616,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434616,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434616,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434616,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434616,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434616,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434616,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434616,A000000,04400,0000,4400DME RENTED - HHA 434616,A000000,04500,0000,4500DME SOLD - HHA 434616,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434616,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434616,A000000,04710,0000,4710TELEMEDICINE 434616,A000000,04800,0000,4800AMBULANCE 434616,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434616,A000000,05000,0000,5000CORF 434616,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434616,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434616,A000000,05300,0000,5300INTEREST EXPENSE 434616,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434616,A000000,05500,0000,5500HOSPICE 434616,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434616,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434616,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434616,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434616,A000000,06100,0000,6100NONPAID WORKERS 434616,A000000,06200,0000,6200PATIENTS LAUNDRY 434616,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434616,A81000A,00100,0100,Y 434616,A81000B,00100,0300,ADMIN C/S 434616,A81000B,00200,0300,ADMIN SALARY 434616,A81000B,00300,0300,ADMIN PR TAX 434616,A81000B,00400,0300,ADMIN BENEFIT 434616,A81000B,00500,0300,DON C/S 434616,A81000B,00600,0300,DON SALARY 434616,A81000B,00700,0300,DON PR TAX 434616,A81000B,00800,0300,DON BENEFITS 434616,A81000B,00900,0300,NURSE CONSULT 434616,A81000B,01000,0300,RN SALARY 434616,A81000B,01100,0300,RN PR TAX 434616,A81000B,01200,0300,RN BENEFIT 434616,A81000B,01300,0300,MANAGEMENT SERVICES 434616,A81000B,01400,0300,PT C/S 434616,A81000B,01500,0300,OT C/S 434616,A81000B,01600,0300,ST C/S 434616,A81000B,01700,0300,RENT 434616,A81000B,01800,0300,BUILDING DEPRECIATION 434616,A81000B,01900,0300,MORTGAGE INTEREST 434616,A81000B,02000,0300,EQUIPMENT DEPRECIATION 434616,A81000B,02100,0300,LOAN ORIGINATION 434616,A81000B,02200,0300,PE NUTRIENTS 434616,A81000B,02300,0300,SUPPLENTAL FEEDINGS 434616,A81000B,02400,0300,LEASE EQUIPMENT 434616,A81000B,02500,0300,NON CAP NURSE EQUIP 434616,A81000B,02600,0300,MEDICAL SUPPLIES 434616,A81000B,02700,0300,THERAPEUTIC BEDS 434616,A81000B,02800,0300,OXYGEN 434616,A81000B,02900,0300,BMS 434616,A81000C,00100,0100,A 434616,A81000C,00100,0200,HAROLD NUNN 434616,A81000C,00100,0400,PEAK RESOURCES INC 434616,A81000C,00100,0600,MANAGEMENT SERVICES 434616,A81000C,00200,0100,A 434616,A81000C,00200,0200,HAROLD NUNN 434616,A81000C,00200,0400,PEAK RESOURCES INC 434616,A81000C,00200,0600,MANAGEMENT SERVICES 434616,A81000C,00300,0100,A 434616,A81000C,00300,0200,HAROLD NUNN 434616,A81000C,00300,0400,PEAK RESOURCES INC 434616,A81000C,00300,0600,MANAGEMENT SERVICES 434616,A81000C,00400,0100,A 434616,A81000C,00400,0200,HAROLD NUNN 434616,A81000C,00400,0400,PEAK RESOURCES INC 434616,A81000C,00400,0600,MANAGEMENT SERVICES 434616,A81000C,00500,0100,A 434616,A81000C,00500,0200,HAROLD NUNN 434616,A81000C,00500,0400,PEAK RESOURCES INC 434616,A81000C,00500,0600,MANAGEMENT SERVICES 434616,A81000C,00600,0100,A 434616,A81000C,00600,0200,HAROLD NUNN 434616,A81000C,00600,0400,PEAK RESOURCES INC 434616,A81000C,00600,0600,MANAGEMENT SERVICES 434616,A81000C,00700,0100,A 434616,A81000C,00700,0200,HAROLD NUNN 434616,A81000C,00700,0400,PEAK RESOURCES INC 434616,A81000C,00700,0600,MANAGEMENT SERVICES 434616,A81000C,00800,0100,A 434616,A81000C,00800,0200,HAROLD NUNN 434616,A81000C,00800,0400,PEAK RESOURCES INC 434616,A81000C,00800,0600,MANAGEMENT SERVICES 434616,A81000C,00900,0100,A 434616,A81000C,00900,0200,HAROLD NUNN 434616,A81000C,00900,0400,PEAK RESOURCES INC 434616,A81000C,00900,0600,MANAGEMENT SERVICES 434616,A81000C,01000,0100,A 434616,A81000C,01000,0200,HAROLD NUNN 434616,A81000C,01000,0400,PEAK RESOURCES INC 434616,A81000C,01000,0600,MANAGEMENT SERVICES 434616,A81000C,01001,0100,A 434616,A81000C,01001,0200,HAROLD NUNN 434616,A81000C,01001,0400,PEAK RESOURCES INC 434616,A81000C,01001,0600,MANAGEMENT SERVICES 434616,A81000C,01002,0100,A 434616,A81000C,01002,0200,HAROLD NUNN 434616,A81000C,01002,0400,PEAK RESOURCES INC 434616,A81000C,01002,0600,MANAGEMENT SERVICES 434616,A81000C,01003,0100,A 434616,A81000C,01003,0200,HAROLD NUNN 434616,A81000C,01003,0400,PEAK RESOURCES INC 434616,A81000C,01003,0600,MANAGEMENT SERVICES 434616,A81000C,01004,0100,A 434616,A81000C,01004,0200,HAROLD NUNN 434616,A81000C,01004,0400,SUMMIT THERAPY SERVICES 434616,A81000C,01004,0600,THERAPY C/S 434616,A81000C,01005,0100,A 434616,A81000C,01005,0200,HAROLD NUNN 434616,A81000C,01005,0400,SUMMIT THERAPY SERVICES 434616,A81000C,01005,0600,THERAPY C/S 434616,A81000C,01006,0100,A 434616,A81000C,01006,0200,HAROLD NUNN 434616,A81000C,01006,0400,SUMMIT THERAPY SERVICES 434616,A81000C,01006,0600,THERAPY C/S 434616,A81000C,01007,0100,A 434616,A81000C,01007,0200,HAROLD NUNN 434616,A81000C,01007,0400,CARTHAGE REALTY 434616,A81000C,01007,0600,RENTAL PROPERTY 434616,A81000C,01008,0100,A 434616,A81000C,01008,0200,HAROLD NUNN 434616,A81000C,01008,0400,CARTHAGE REALTY 434616,A81000C,01008,0600,RENTAL PROPERTY 434616,A81000C,01009,0100,A 434616,A81000C,01009,0200,HAROLD NUNN 434616,A81000C,01009,0400,CARTHAGE REALTY 434616,A81000C,01009,0600,RENTAL PROPERTY 434616,A81000C,01010,0100,A 434616,A81000C,01010,0200,HAROLD NUNN 434616,A81000C,01010,0400,CARTHAGE REALTY 434616,A81000C,01010,0600,RENTAL PROPERTY 434616,A81000C,01011,0100,A 434616,A81000C,01011,0200,HAROLD NUNN 434616,A81000C,01011,0400,CARTHAGE REALTY 434616,A81000C,01011,0600,RENTAL PROPERTY 434616,A81000C,01012,0100,A 434616,A81000C,01012,0200,HAROLD NUNN 434616,A81000C,01012,0400,BILLING SPECIALISTS INC 434616,A81000C,01012,0600,MEDICAL SUPPLIES 434616,A81000C,01013,0100,A 434616,A81000C,01013,0200,HAROLD NUNN 434616,A81000C,01013,0400,BILLING SPECIALISTS INC 434616,A81000C,01013,0600,MEDICAL SUPPLIES 434616,A81000C,01014,0100,A 434616,A81000C,01014,0200,HAROLD NUNN 434616,A81000C,01014,0400,BILLING SPECIALISTS INC 434616,A81000C,01014,0600,MEDICAL SUPPLIES 434616,A81000C,01015,0100,A 434616,A81000C,01015,0200,HAROLD NUNN 434616,A81000C,01015,0400,BILLING SPECIALISTS INC 434616,A81000C,01015,0600,MEDICAL SUPPLIES 434616,A81000C,01016,0100,A 434616,A81000C,01016,0200,HAROLD NUNN 434616,A81000C,01016,0400,BILLING SPECIALISTS INC 434616,A81000C,01016,0600,MEDICAL SUPPLIES 434616,A81000C,01017,0100,A 434616,A81000C,01017,0200,HAROLD NUNN 434616,A81000C,01017,0400,BILLING SPECIALISTS INC 434616,A81000C,01017,0600,MEDICAL SUPPLIES 434616,A81000C,01018,0100,A 434616,A81000C,01018,0200,HAROLD NUNN 434616,A81000C,01018,0400,BILLING SPECIALISTS INC 434616,A81000C,01018,0600,MEDICAL SUPPLIES 434616,A81000C,01019,0100,A 434616,A81000C,01019,0200,HAROLD NUNN 434616,A81000C,01019,0400,BILLING SPECIALISTS INC 434616,A81000C,01019,0600,MEDICAL SUPPLIES 434616,A81000C,01020,0100,A 434616,A81000C,01020,0200,HAROLD NUNN 434616,A81000C,01020,0400,BILLING SPECIALISTS INC 434616,A81000C,01020,0600,MEDICAL SUPPLIES 434616,A81000C,01021,0100,A 434616,A81000C,01021,0200,HAROLD NUNN 434616,A81000C,01021,0400,BILLING SPECIALISTS INC 434616,A81000C,01021,0600,MEDICAL SUPPLIES 434616,A81000C,01022,0100,A 434616,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434616,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434616,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434616,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434616,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434616,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434616,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434616,B100000,00000,0800,0800MEALS SERVED :DIETARY 434616,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434616,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434616,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434616,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434616,E10A180,00501,0100,05/25/12 434616,G300000,02501,0000,MISC REV 434616,G300000,02502,0000,MEDICARE BAD DEBT REVENUE 434616,S000000,00100,0200,02/29/12 434616,S200000,00100,0100,801 PINEHURST AVE 434616,S200000,00200,0100,CARTHAGE 434616,S200000,00200,0200,NC 434616,S200000,00200,0300,28327 434616,S200000,00300,0100,MOORE 434616,S200000,00300,0200,93 434616,S200000,00300,0201,99934 434616,S200000,00300,0300,R 434616,S200000,00400,0100,PEAK RESOURCES PINELAKE 434616,S200000,00400,0200,345429 434616,S200000,00400,0300,10/01/05 434616,S200000,00400,0500,P 434616,S200000,01500,0100,Y 434616,S200000,01503,0200,N 434616,S200000,01504,0200,Y 434616,S200000,01600,0100,N 434616,S200000,01700,0100,N 434616,S200000,01800,0100,N 434616,S200000,02200,0100,Y 434616,S200000,02800,0100,N 434616,S200000,02900,0100,N 434616,S200000,03000,0100,N 434616,S200000,03100,0100,N 434616,S200000,03200,0100,N 434616,S200000,03300,0100,N 434616,S200000,03300,0200,N 434616,S200000,04100,0100,N 434616,S200000,04200,0100,N 434616,S200000,04300,0100,N 434616,S200000,04600,0100,N 434616,S200000,04700,0100,N 434616,S200000,04700,0200,N 434616,S200000,04900,0100,N 434616,S200000,05000,0100,N 434616,S200000,05100,0100,N 434616,S200000,05200,0100,N 434617,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434617,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434617,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434617,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434617,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434617,A000000,00700,0000,0700HOUSEKEEPING 434617,A000000,00800,0000,0800DIETARY 434617,A000000,01100,0000,1100PHARMACY 434617,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434617,A000000,01300,0000,1300SOCIAL SERVICE 434617,A000000,01600,0000,1600SKILLED NURSING FACILITY 434617,A000000,01810,0000,1810ICF/MR 434617,A000000,02100,0000,2100RADIOLOGY 434617,A000000,02200,0000,2200LABORATORY 434617,A000000,02500,0000,2500PHYSICAL THERAPY 434617,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434617,A000000,02700,0000,2700SPEECH PATHOLOGY 434617,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434617,A000000,03550,0000,3550FQHC 434617,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434617,A000000,05000,0000,5000CORF 434617,A000000,05010,0000,5010CMHC 434617,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434617,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434617,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434617,A000000,05300,0000,5300INTEREST EXPENSE 434617,A81000A,00100,0100,N 434617,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434617,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434617,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434617,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434617,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434617,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434617,B100000,00000,0800,0800MEALS SERVED :DIETARY 434617,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 434617,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434617,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434617,E10A180,00350,0100,07/22/11 434617,E10A180,00501,0100,05/09/12 434617,G300000,02500,0000,MISCELLANEOUS 434617,G300000,02501,0000,BEAUTY SHOP 434617,S000000,00100,0200,02/24/12 434617,S200000,00100,0100,1207 NORTH CASUA 434617,S200000,00200,0100,FLORENCE 434617,S200000,00200,0200,SC 434617,S200000,00200,0300,29501 434617,S200000,00300,0100,FLORENCE 434617,S200000,00300,0201,2655 434617,S200000,00300,0300,U 434617,S200000,00400,0100,HONORAGE NURSING CENTER 434617,S200000,00400,0200,425115 434617,S200000,00400,0300,10/01/80 434617,S200000,00400,0500,P 434617,S200000,00400,0600,O 434617,S200000,01500,0100,Y 434617,S200000,01600,0100,N 434617,S200000,01700,0100,N 434617,S200000,01800,0100,N 434617,S200000,02200,0100,N 434617,S200000,02800,0100,Y 434617,S200000,02900,0100,N 434617,S200000,03000,0100,N 434617,S200000,03100,0100,N 434617,S200000,03200,0100,N 434617,S200000,03300,0100,N 434617,S200000,03300,0200,N 434617,S200000,04100,0100,N 434617,S200000,04200,0100,N 434617,S200000,04300,0100,Y 434617,S200000,04600,0100,N 434617,S200000,04700,0100,N 434617,S200000,04700,0200,N 434617,S200000,04900,0100,N 434617,S200000,05000,0100,N 434617,S200000,05100,0100,N 434617,S200000,05200,0100,N 434617,S200000,05300,0100,N 434618,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434618,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434618,A000000,00300,0000,0300EMPLOYEE BENEFITS 434618,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434618,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434618,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434618,A000000,00700,0000,0700HOUSEKEEPING 434618,A000000,00800,0000,0800DIETARY 434618,A000000,00900,0000,0900NURSING ADMINISTRATION 434618,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434618,A000000,01100,0000,1100PHARMACY 434618,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434618,A000000,01300,0000,1300SOCIAL SERVICE 434618,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434618,A000000,01500,0000,1350RECREATION 434618,A000000,01600,0000,1600SKILLED NURSING FACILITY 434618,A000000,01810,0000,1810ICF/MR 434618,A000000,02100,0000,2100RADIOLOGY 434618,A000000,02200,0000,2200LABORATORY 434618,A000000,02300,0000,2300INTRAVENOUS THERAPY 434618,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434618,A000000,02500,0000,2500PHYSICAL THERAPY 434618,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434618,A000000,02700,0000,2700SPEECH PATHOLOGY 434618,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434618,A000000,03550,0000,3550FQHC 434618,A000000,05000,0000,5000CORF 434618,A000000,05010,0000,5010CMHC 434618,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434618,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434618,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434618,A81000A,00100,0100,Y 434618,A81000B,00100,0300,SEE ATTACHED 434618,A81000B,00200,0300,CAPITAL INTEREST 434618,A81000B,00300,0300,HOME OFFICE 434618,A81000B,00400,0300,HOME OFFICE 434618,A81000C,00100,0100,B 434618,A81000C,00100,0400,SEE ATTACHED 434618,A81000C,00100,0600,VARIOUS 434618,A81000C,00200,0100,B 434618,A81000C,00200,0400,GHC 434618,A81000C,00200,0600,LONG TERM CARE 434618,A81000C,00300,0100,B 434618,A81000C,00300,0400,GHC 434618,A81000C,00300,0600,LONG TERM CARE 434618,A81000C,00400,0100,B 434618,A81000C,00400,0400,GHC 434618,A81000C,00400,0600,LONG TERM CARE 434618,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434618,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434618,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434618,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434618,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434618,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434618,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434618,B100000,00000,0800,0800MEALS SERVED :DIETARY 434618,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434618,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434618,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434618,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434618,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434618,E10A180,00501,0300,01/11/12 434618,E10A180,00550,0100,01/11/12 434618,G300000,02500,0000,BARBER & BEAUTY 434618,S000000,00100,0200,11/28/11 434618,S200000,00100,0100,867 YORK ROAD 434618,S200000,00200,0100,GETTYSBURG 434618,S200000,00200,0200,PA 434618,S200000,00200,0300,17325 434618,S200000,00300,0100,ADAMS 434618,S200000,00300,0201,99939 434618,S200000,00300,0300,R 434618,S200000,00400,0100,GETTYSBURG CENTER 434618,S200000,00400,0200,395733 434618,S200000,00400,0300,07/07/87 434618,S200000,00400,0500,P 434618,S200000,01500,0100,Y 434618,S200000,01501,0200,N 434618,S200000,01502,0200,N 434618,S200000,01503,0200,N 434618,S200000,01504,0200,N 434618,S200000,01600,0100,N 434618,S200000,01700,0100,N 434618,S200000,01800,0100,N 434618,S200000,01900,0100,LLC 434618,S200000,02200,0100,Y 434618,S200000,02800,0100,N 434618,S200000,02900,0100,N 434618,S200000,03000,0100,N 434618,S200000,03100,0100,N 434618,S200000,03200,0100,N 434618,S200000,03300,0100,N 434618,S200000,03300,0200,N 434618,S200000,04100,0100,N 434618,S200000,04200,0100,N 434618,S200000,04300,0100,N 434618,S200000,04600,0100,N 434618,S200000,04700,0100,N 434618,S200000,04700,0200,N 434618,S200000,04900,0100,N 434618,S200000,05000,0100,N 434618,S200000,05100,0100,N 434618,S200000,05200,0100,N 434618,S200000,05300,0100,Y 434618,S200000,05300,0200,HB0067 434618,S200000,05400,0100,GENESIS HEALTHCARE LLC 434618,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434618,S200000,05400,0300,12001 434618,S200000,05500,0100,101 EAST STATE STREET 434618,S200000,05600,0100,KENNETT SQUARE 434618,S200000,05600,0200,PA 434618,S200000,05600,0300,19348 434619,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434619,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434619,A000000,00300,0000,0300EMPLOYEE BENEFITS 434619,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434619,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434619,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434619,A000000,00700,0000,0700HOUSEKEEPING 434619,A000000,00800,0000,0800DIETARY 434619,A000000,00900,0000,0900NURSING ADMINISTRATION 434619,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434619,A000000,01100,0000,1100PHARMACY 434619,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434619,A000000,01300,0000,1300SOCIAL SERVICE 434619,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434619,A000000,01500,0000,1350OTHER GENERAL SERVICES 434619,A000000,01600,0000,1600SKILLED NURSING FACILITY 434619,A000000,01800,0000,1800NURSING FACILITY 434619,A000000,01810,0000,1810ICF/MR 434619,A000000,01900,0000,1900OTHER LONG TERM CARE 434619,A000000,02100,0000,2100RADIOLOGY 434619,A000000,02200,0000,2200LABORATORY 434619,A000000,02300,0000,2300INTRAVENOUS THERAPY 434619,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434619,A000000,02500,0000,2500PHYSICAL THERAPY 434619,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434619,A000000,02700,0000,2700SPEECH PATHOLOGY 434619,A000000,02800,0000,2800ELECTROCARDIOLOGY 434619,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434619,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434619,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434619,A000000,03200,0000,3200SUPPORT SURFACES 434619,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434619,A000000,03400,0000,3400CLINIC 434619,A000000,03500,0000,3500RURAL HEALTH CLINIC 434619,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434619,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434619,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434619,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434619,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434619,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434619,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434619,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434619,A000000,04400,0000,4400DME RENTED - HHA 434619,A000000,04500,0000,4500DME SOLD - HHA 434619,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434619,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434619,A000000,04710,0000,4710TELEMEDICINE 434619,A000000,04800,0000,4800AMBULANCE 434619,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434619,A000000,05000,0000,5000CORF 434619,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434619,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434619,A000000,05300,0000,5300INTEREST EXPENSE 434619,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434619,A000000,05500,0000,5500HOSPICE 434619,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434619,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434619,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434619,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434619,A000000,06100,0000,6100NONPAID WORKERS 434619,A000000,06200,0000,6200PATIENTS LAUNDRY 434619,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434619,A81000A,00100,0100,Y 434619,A81000B,00100,0300,NURSING SUPPLIES 434619,A81000B,00200,0300,MEDICAL SUPPLIES 434619,A81000B,00300,0300,MINOR EQUIPMENT 434619,A81000B,00400,0300,EQUIPMENT RENTAL 434619,A81000B,00500,0300,OXYGEN 434619,A81000B,00600,0300,ENTERAL SUPPLIES 434619,A81000B,00700,0300,SUPPLEMENT 434619,A81000B,00800,0300,NUTRIENTS 434619,A81000B,00900,0300,INCONTINENT SUPPLY 434619,A81000B,01000,0300,CAPITAL 434619,A81000B,01100,0300,ADMINISTRATIVE 434619,A81000B,01200,0300,PHARMACY 434619,A81000B,01300,0300,NONLEGEND 434619,A81000B,01400,0300,PHARMACY CONSULTANT 434619,A81000B,01500,0300,ADMINISTRATIVE 434619,A81000B,01600,0300,PHARMACIST 434619,A81000B,01700,0300,PHARM TECH 434619,A81000B,01800,0300,DELIVERY 434619,A81000B,01900,0300,PHARMACIST 434619,A81000B,02000,0300,PHARM TECH 434619,A81000B,02100,0300,DELIVERY 434619,A81000B,02200,0300,CAPITAL 434619,A81000B,02300,0300,ADMINISTRATIVE 434619,A81000B,02400,0300,ADMINISTRATIVE 434619,A81000B,02500,0300,NURSING 434619,A81000B,02600,0300,ADMINISTRATIVE 434619,A81000B,02700,0300,NURSING 434619,A81000B,02800,0300,DIETARY 434619,A81000B,02900,0300,THERAPY 434619,A81000C,00100,0100,G 434619,A81000C,00100,0200,NH MED 434619,A81000C,00100,0400,NH MED 434619,A81000C,00100,0600,MEDICAL SUPPLY 434619,A81000C,00200,0100,G 434619,A81000C,00200,0200,NH MED 434619,A81000C,00200,0400,NH MED 434619,A81000C,00200,0600,MEDICAL SUPPLY 434619,A81000C,00300,0100,G 434619,A81000C,00300,0200,NH MED 434619,A81000C,00300,0400,NH MED 434619,A81000C,00300,0600,MEDICAL SUPPLY 434619,A81000C,00400,0100,G 434619,A81000C,00400,0200,NH MED 434619,A81000C,00400,0400,NH MED 434619,A81000C,00400,0600,MEDICAL SUPPLY 434619,A81000C,00500,0100,G 434619,A81000C,00500,0200,NH MED 434619,A81000C,00500,0400,NH MED 434619,A81000C,00500,0600,MEDICAL SUPPLY 434619,A81000C,00600,0100,G 434619,A81000C,00600,0200,NH MED 434619,A81000C,00600,0400,NH MED 434619,A81000C,00600,0600,MEDICAL SUPPLY 434619,A81000C,00700,0100,G 434619,A81000C,00700,0200,NH MED 434619,A81000C,00700,0400,NH MED 434619,A81000C,00700,0600,MEDICAL SUPPLY 434619,A81000C,00800,0100,G 434619,A81000C,00800,0200,NH MED 434619,A81000C,00800,0400,NH MED 434619,A81000C,00800,0600,MEDICAL SUPPLY 434619,A81000C,00900,0100,G 434619,A81000C,00900,0200,NH MED 434619,A81000C,00900,0400,NH MED 434619,A81000C,00900,0600,MEDICAL SUPPLY 434619,A81000C,01000,0100,G 434619,A81000C,01000,0200,NH MED 434619,A81000C,01000,0400,NH MED 434619,A81000C,01000,0600,MEDICAL SUPPLY 434619,A81000C,01001,0100,G 434619,A81000C,01001,0200,NH MED 434619,A81000C,01001,0400,NH MED 434619,A81000C,01001,0600,MEDICAL SUPPLY 434619,A81000C,01002,0100,G 434619,A81000C,01002,0200,MEDIPACK 434619,A81000C,01002,0400,MEDIPACK 434619,A81000C,01002,0600,PHARMACY 434619,A81000C,01003,0100,G 434619,A81000C,01003,0200,MEDIPACK 434619,A81000C,01003,0400,MEDIPACK 434619,A81000C,01003,0600,PHARMACY 434619,A81000C,01004,0100,G 434619,A81000C,01004,0200,MEDIPACK 434619,A81000C,01004,0400,MEDIPACK 434619,A81000C,01004,0600,PHARMACY 434619,A81000C,01005,0100,G 434619,A81000C,01005,0200,MEDIPACK 434619,A81000C,01005,0400,MEDIPACK 434619,A81000C,01005,0600,PHARMACY 434619,A81000C,01006,0100,G 434619,A81000C,01006,0200,MEDIPACK 434619,A81000C,01006,0400,MEDIPACK 434619,A81000C,01006,0600,PHARMACY 434619,A81000C,01007,0100,G 434619,A81000C,01007,0200,MEDIPACK 434619,A81000C,01007,0400,MEDIPACK 434619,A81000C,01007,0600,PHARMACY 434619,A81000C,01008,0100,G 434619,A81000C,01008,0200,MEDIPACK 434619,A81000C,01008,0400,MEDIPACK 434619,A81000C,01008,0600,PHARMACY 434619,A81000C,01009,0100,G 434619,A81000C,01009,0200,MEDIPACK 434619,A81000C,01009,0400,MEDIPACK 434619,A81000C,01009,0600,PHARMACY 434619,A81000C,01010,0100,G 434619,A81000C,01010,0200,MEDIPACK 434619,A81000C,01010,0400,MEDIPACK 434619,A81000C,01010,0600,PHARMACY 434619,A81000C,01011,0100,G 434619,A81000C,01011,0200,MEDIPACK 434619,A81000C,01011,0400,MEDIPACK 434619,A81000C,01011,0600,PAHRMACY 434619,A81000C,01012,0100,G 434619,A81000C,01012,0200,MEDIPACK 434619,A81000C,01012,0400,MEDIPACK 434619,A81000C,01012,0600,PHARMACY 434619,A81000C,01013,0100,G 434619,A81000C,01013,0200,MEDIPACK 434619,A81000C,01013,0400,MEDIPACK 434619,A81000C,01013,0600,PHARMACY 434619,A81000C,01014,0100,G 434619,A81000C,01014,0200,CHOICE HEALTH 434619,A81000C,01014,0400,CHOICE HEALTH 434619,A81000C,01014,0600,MANAGEMENT 434619,A81000C,01015,0100,G 434619,A81000C,01015,0200,CHOICE HEALTH 434619,A81000C,01015,0400,CHOICE HEALTH 434619,A81000C,01015,0600,NURSING 434619,A81000C,01016,0100,G 434619,A81000C,01016,0200,CHOICE HEALTH 434619,A81000C,01016,0400,CHOICE HEALTH 434619,A81000C,01016,0600,MANAGEMENT 434619,A81000C,01017,0100,G 434619,A81000C,01017,0200,CHOICE HEALTH 434619,A81000C,01017,0400,CHOICE HEALTH 434619,A81000C,01017,0600,NURSING 434619,A81000C,01018,0100,G 434619,A81000C,01018,0200,CHOICE HEALTH 434619,A81000C,01018,0400,CHOICE HEALTH 434619,A81000C,01018,0600,DIETARY 434619,A81000C,01019,0100,G 434619,A81000C,01019,0200,CHOICE HEALTH 434619,A81000C,01019,0400,CHOICE HEALTH 434619,A81000C,01019,0600,THERAPY 434619,A81000C,01020,0100,B 434619,A81000C,01020,0200,UNIVERSAL PROPERTIES 434619,A81000C,01020,0400,UNIVERSAL PROPERTIES 434619,A81000C,01020,0600,RENT 434619,A81000C,01021,0100,B 434619,A81000C,01021,0200,UNIVERSAL PROPERTIES 434619,A81000C,01021,0400,UNIVERSAL PROPERTIES 434619,A81000C,01021,0600,RENT 434619,A81000C,01022,0100,B 434619,A81000C,01022,0200,UNIVERSAL PROPERTIES 434619,A81000C,01022,0400,UNIVERSAL PROPERTIES 434619,A81000C,01022,0600,RENT 434619,A81000C,03100,0000,MANAGEMENT 434619,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434619,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434619,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434619,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434619,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434619,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434619,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434619,B100000,00000,0800,0800MEALS SERVED :DIETARY 434619,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434619,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434619,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434619,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434619,E10A180,00501,0100,05/25/12 434619,E10A180,00550,0100,10/03/12 434619,G300000,02500,0000,OTHER INCOME 434619,S000000,00100,0200,08/30/12 434619,S200000,00100,0100,1930 SUGAR CREEK ROAD 434619,S200000,00200,0100,CHARLOTTE 434619,S200000,00200,0200,NC 434619,S200000,00200,0300,28262 434619,S200000,00300,0100,MECKLENBURG 434619,S200000,00300,0201,16740 434619,S200000,00300,0300,U 434619,S200000,00400,0100,SATURN NURSING & REHABILITATION 434619,S200000,00400,0200,345489 434619,S200000,00400,0300,10/27/88 434619,S200000,00400,0500,P 434619,S200000,01500,0100,N 434619,S200000,01501,0200,Y 434619,S200000,01503,0200,N 434619,S200000,01504,0200,Y 434619,S200000,01600,0100,Y 434619,S200000,01700,0100,N 434619,S200000,01800,0100,N 434619,S200000,02200,0100,N 434619,S200000,02800,0100,N 434619,S200000,02900,0100,N 434619,S200000,03000,0100,N 434619,S200000,03100,0100,N 434619,S200000,03200,0100,N 434619,S200000,03300,0100,N 434619,S200000,03300,0200,N 434619,S200000,04100,0100,N 434619,S200000,04200,0100,N 434619,S200000,04300,0100,N 434619,S200000,04600,0100,N 434619,S200000,04700,0100,N 434619,S200000,04700,0200,N 434619,S200000,04900,0100,N 434619,S200000,05000,0100,N 434619,S200000,05100,0100,N 434619,S200000,05200,0100,N 434622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434622,A000000,00300,0000,0300EMPLOYEE BENEFITS 434622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434622,A000000,00700,0000,0700HOUSEKEEPING 434622,A000000,00800,0000,0800DIETARY 434622,A000000,00900,0000,0900NURSING ADMINISTRATION 434622,A000000,01100,0000,1100PHARMACY 434622,A000000,01300,0000,1300SOCIAL SERVICE 434622,A000000,01600,0000,1600SKILLED NURSING FACILITY 434622,A000000,01800,0000,1800NURSING FACILITY 434622,A000000,01810,0000,1810ICF/MR 434622,A000000,01900,0000,1900OTHER LONG TERM CARE 434622,A000000,02100,0000,2100RADIOLOGY 434622,A000000,02200,0000,2200LABORATORY 434622,A000000,02300,0000,2300INTRAVENOUS THERAPY 434622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434622,A000000,02500,0000,2500PHYSICAL THERAPY 434622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434622,A000000,02700,0000,2700SPEECH PATHOLOGY 434622,A000000,02800,0000,2800ELECTROCARDIOLOGY 434622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434622,A000000,03200,0000,3200SUPPORT SURFACES 434622,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434622,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434622,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434622,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434622,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434622,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434622,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434622,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434622,A000000,04400,0000,4400DME RENTED - HHA 434622,A000000,04500,0000,4500DME SOLD - HHA 434622,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434622,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434622,A000000,04710,0000,4710TELEMEDICINE 434622,A000000,04800,0000,4800AMBULANCE 434622,A000000,05300,0000,5300INTEREST EXPENSE 434622,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434622,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434622,A000000,06100,0000,6100NONPAID WORKERS 434622,A000000,06200,0000,6200PATIENTS LAUNDRY 434622,A000000,06300,0000,6150ADULT DAY HEALTH 434622,A000000,06301,0000,6151ASSISTED LIVING 434622,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434622,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434622,A81000A,00100,0100,N 434622,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434622,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434622,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434622,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434622,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434622,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434622,B100000,00000,0800,0800MEALS SERVED :DIETARY 434622,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434622,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434622,G300000,02500,0000,OTHER - SEE GROUPINGS 434622,H513100,00000,0000,99924 434622,S000000,00100,0200,02/28/12 434622,S200000,00100,0100,800 MEMORIAL DRIVE 434622,S200000,00200,0100,SPRING VALLEY 434622,S200000,00200,0200,MN 434622,S200000,00200,0300,55975 434622,S200000,00300,0100,FILLMORE 434622,S200000,00300,0200,24 434622,S200000,00300,0201,99924 434622,S200000,00300,0300,R 434622,S200000,00400,0100,SPRING VALLEY CARE CENTER 434622,S200000,00400,0200,245442 434622,S200000,00400,0300,09/26/81 434622,S200000,00400,0500,P 434622,S200000,00400,0600,P 434622,S200000,00800,0200,247226 434622,S200000,00800,0300,12/18/86 434622,S200000,00800,0500,P 434622,S200000,01500,0100,Y 434622,S200000,01501,0200,Y 434622,S200000,01502,0200,N 434622,S200000,01503,0200,N 434622,S200000,01504,0200,N 434622,S200000,01600,0100,N 434622,S200000,01700,0100,N 434622,S200000,01800,0100,N 434622,S200000,02200,0100,N 434622,S200000,02800,0100,N 434622,S200000,02900,0100,N 434622,S200000,03000,0100,N 434622,S200000,03100,0100,N 434622,S200000,03200,0100,N 434622,S200000,03300,0100,N 434622,S200000,03300,0200,N 434622,S200000,03700,0100,N 434622,S200000,03700,0200,N 434622,S200000,04100,0100,N 434622,S200000,04200,0100,N 434622,S200000,04300,0100,N 434622,S200000,04600,0100,N 434622,S200000,04700,0100,N 434622,S200000,04700,0200,N 434622,S200000,04900,0100,N 434622,S200000,05000,0100,N 434622,S200000,05100,0100,N 434622,S200000,05200,0100,N 434622,S200000,05300,0100,N 434622,S410002,01700,0101,99924 434623,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434623,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434623,A000000,00300,0000,0300EMPLOYEE BENEFITS 434623,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434623,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434623,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434623,A000000,00700,0000,0700HOUSEKEEPING 434623,A000000,00800,0000,0800DIETARY 434623,A000000,00900,0000,0900NURSING ADMINISTRATION 434623,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434623,A000000,01300,0000,1300SOCIAL SERVICE 434623,A000000,01600,0000,1600SKILLED NURSING FACILITY 434623,A000000,01800,0000,1800NURSING FACILITY 434623,A000000,01810,0000,1810ICF/MR 434623,A000000,01900,0000,1900OTHER LONG TERM CARE 434623,A000000,02100,0000,2100RADIOLOGY 434623,A000000,02200,0000,2200LABORATORY 434623,A000000,02300,0000,2300INTRAVENOUS THERAPY 434623,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434623,A000000,02500,0000,2500PHYSICAL THERAPY 434623,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434623,A000000,02700,0000,2700SPEECH PATHOLOGY 434623,A000000,02800,0000,2800ELECTROCARDIOLOGY 434623,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434623,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434623,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434623,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434623,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434623,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434623,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434623,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434623,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434623,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434623,A000000,04400,0000,4400DME RENTED - HHA 434623,A000000,04500,0000,4500DME SOLD - HHA 434623,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434623,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434623,A000000,04710,0000,4710TELEMEDICINE 434623,A000000,04800,0000,4800AMBULANCE 434623,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434623,A000000,05000,0000,5000CORF 434623,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434623,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434623,A000000,05300,0000,5300INTEREST EXPENSE 434623,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434623,A000000,05500,0000,5500HOSPICE 434623,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434623,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434623,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434623,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434623,A000000,06100,0000,6100NONPAID WORKERS 434623,A000000,06200,0000,6200PATIENTS LAUNDRY 434623,A000000,06300,0000,6150ADULT DAY CARE 434623,A000000,06301,0000,6151ALZHEIMERS DAY CARE 434623,A000000,06302,0000,6152ASSISTED LIVING 434623,A81000A,00100,0100,N 434623,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434623,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434623,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434623,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434623,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434623,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434623,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434623,B100000,00000,0800,0800MEALS SERVED :DIETARY 434623,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434623,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434623,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434623,G300000,02500,0000,OTHER - SEE GROUPINGS 434623,G300000,02501,0000,OTHER - SEE GROUPINGS 434623,G300000,02502,0000,OTHER - SEE GROUPINGS 434623,H513100,00000,0000,99924 434623,S000000,00100,0200,02/29/12 434623,S200000,00100,0100,1200 12TH STREET SW 434623,S200000,00200,0100,AUSTIN 434623,S200000,00200,0200,MN 434623,S200000,00200,0300,55912 434623,S200000,00300,0100,MOWER 434623,S200000,00300,0200,24 434623,S200000,00300,0201,99924 434623,S200000,00300,0300,R 434623,S200000,00400,0100,SACRED HEART CARE CENTER INC. 434623,S200000,00400,0200,245447 434623,S200000,00400,0300,03/01/87 434623,S200000,00400,0500,P 434623,S200000,00400,0600,P 434623,S200000,00800,0200,247156 434623,S200000,00800,0300,04/10/84 434623,S200000,00800,0500,P 434623,S200000,01500,0100,N 434623,S200000,01501,0200,Y 434623,S200000,01502,0200,N 434623,S200000,01504,0200,N 434623,S200000,01600,0100,Y 434623,S200000,01700,0100,N 434623,S200000,01800,0100,N 434623,S200000,02200,0100,N 434623,S200000,02800,0100,Y 434623,S200000,02900,0100,N 434623,S200000,03000,0100,N 434623,S200000,03100,0100,N 434623,S200000,03200,0100,N 434623,S200000,03300,0100,N 434623,S200000,03300,0200,N 434623,S200000,03700,0100,N 434623,S200000,03700,0200,N 434623,S200000,04100,0100,N 434623,S200000,04200,0100,N 434623,S200000,04300,0100,N 434623,S200000,04600,0100,N 434623,S200000,04700,0100,N 434623,S200000,04700,0200,N 434623,S200000,04900,0100,N 434623,S200000,05000,0100,N 434623,S200000,05100,0100,N 434623,S200000,05200,0100,N 434623,S200000,05300,0100,N 434623,S410002,01700,0101,99924 434624,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434624,A000000,00300,0000,0300EMPLOYEE BENEFITS 434624,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434624,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434624,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434624,A000000,00700,0000,0700HOUSEKEEPING 434624,A000000,00800,0000,0800DIETARY 434624,A000000,00900,0000,0900NURSING ADMINISTRATION 434624,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434624,A000000,01300,0000,1300SOCIAL SERVICE 434624,A000000,01600,0000,1600SKILLED NURSING FACILITY 434624,A000000,02100,0000,2100RADIOLOGY 434624,A000000,02200,0000,2200LABORATORY 434624,A000000,02300,0000,2300INTRAVENOUS THERAPY 434624,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434624,A000000,02500,0000,2500PHYSICAL THERAPY 434624,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434624,A000000,02700,0000,2700SPEECH PATHOLOGY 434624,A000000,02800,0000,2800ELECTROCARDIOLOGY 434624,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434624,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434624,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434624,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434624,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434624,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434624,A000000,06100,0000,6100NONPAID WORKERS 434624,A000000,06200,0000,6200PATIENTS LAUNDRY 434624,A000000,06300,0000,6150ADULT DAY HEALTH 434624,A000000,06301,0000,6151ASSISTED LIVING 434624,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434624,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434624,A81000A,00100,0100,Y 434624,A81000B,00600,0300,MGMT FEE - A&G RELATED 434624,A81000C,00100,0100,B 434624,A81000C,00100,0400,SAMARITAN BETHANY INC 434624,A81000C,00100,0600,HOME OFFICE OR CENTRAL OF 434624,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434624,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434624,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434624,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434624,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434624,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434624,B100000,00000,0800,0800MEALS SERVED :DIETARY 434624,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434624,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434624,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434624,E10A180,00550,0100,03/26/12 434624,E10A180,00550,0300,03/26/12 434624,G300000,02500,0000,OTHER - SEE GROUPINGS 434624,G300000,02503,0000,OTHER - SEE GROUPINGS 434624,S000000,00100,0200,02/29/12 434624,S200000,00100,0100,1530 ASSISI DRIVE NW 434624,S200000,00200,0100,ROCHESTER 434624,S200000,00200,0200,MN 434624,S200000,00200,0300,55901 434624,S200000,00300,0100,OLMSTED 434624,S200000,00300,0200,6820 434624,S200000,00300,0201,40340 434624,S200000,00300,0300,U 434624,S200000,00400,0100,SAMARITAN BETHANY HEIGHTS 434624,S200000,00400,0200,245506 434624,S200000,00400,0300,01/01/88 434624,S200000,00400,0500,P 434624,S200000,00400,0600,P 434624,S200000,01500,0100,Y 434624,S200000,01501,0200,Y 434624,S200000,01502,0200,Y 434624,S200000,01504,0200,N 434624,S200000,01600,0100,N 434624,S200000,01700,0100,N 434624,S200000,01800,0100,N 434624,S200000,02200,0100,N 434624,S200000,02800,0100,N 434624,S200000,02900,0100,N 434624,S200000,03000,0100,N 434624,S200000,03100,0100,N 434624,S200000,03200,0100,N 434624,S200000,03300,0100,N 434624,S200000,03300,0200,N 434624,S200000,04100,0100,N 434624,S200000,04200,0100,N 434624,S200000,04300,0100,N 434624,S200000,04600,0100,N 434624,S200000,04700,0100,N 434624,S200000,04700,0200,N 434624,S200000,04900,0100,N 434624,S200000,05000,0100,N 434624,S200000,05100,0100,N 434624,S200000,05200,0100,N 434624,S200000,05300,0100,Y 434624,S200000,05300,0200,HB0483 434624,S200000,05400,0100,SAMARITAN BETHANY INC. 434624,S200000,05400,0200,NORIDIAN 434624,S200000,05400,0300,00320 434624,S200000,05500,0100,101 7TH ST NW 434624,S200000,05600,0100,ROCHESTER 434624,S200000,05600,0200,MN 434624,S200000,05600,0300,55903 434625,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434625,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434625,A000000,00300,0000,0300EMPLOYEE BENEFITS 434625,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434625,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434625,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434625,A000000,00700,0000,0700HOUSEKEEPING 434625,A000000,00800,0000,0800DIETARY 434625,A000000,00900,0000,0900NURSING ADMINISTRATION 434625,A000000,01100,0000,1100PHARMACY 434625,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434625,A000000,01300,0000,1300SOCIAL SERVICE 434625,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434625,A000000,01500,0000,1350ACTIVITIES 434625,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434625,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434625,A000000,01600,0000,1600SKILLED NURSING FACILITY 434625,A000000,01800,0000,1800NURSING FACILITY 434625,A000000,01810,0000,1810ICF/MR 434625,A000000,01900,0000,1900OTHER LONG TERM CARE 434625,A000000,02100,0000,2100RADIOLOGY 434625,A000000,02200,0000,2200LABORATORY 434625,A000000,02300,0000,2300INTRAVENOUS THERAPY 434625,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434625,A000000,02500,0000,2500PHYSICAL THERAPY 434625,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434625,A000000,02700,0000,2700SPEECH PATHOLOGY 434625,A000000,02800,0000,2800ELECTROCARDIOLOGY 434625,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434625,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434625,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434625,A000000,03200,0000,3200SUPPORT SURFACES 434625,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434625,A000000,03301,0000,3051AIR FLUID THERAPY 434625,A000000,03302,0000,3052AMBULANCE 434625,A000000,03303,0000,3053PEN THERAPY 434625,A000000,03304,0000,3054ONCOLOGY 434625,A000000,03305,0000,3055CARDIOLOGY 434625,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434625,A000000,03307,0000,3057AUDIOLOGY 434625,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434625,A000000,03400,0000,3400CLINIC 434625,A000000,03500,0000,3500RURAL HEALTH CLINIC 434625,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434625,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434625,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434625,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434625,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434625,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434625,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434625,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434625,A000000,04400,0000,4400DME RENTED - HHA 434625,A000000,04500,0000,4500DME SOLD - HHA 434625,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434625,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434625,A000000,04710,0000,4710TELEMEDICINE 434625,A000000,04800,0000,4800AMBULANCE 434625,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434625,A000000,05000,0000,5000CORF 434625,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434625,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434625,A000000,05300,0000,5300INTEREST EXPENSE 434625,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434625,A000000,05500,0000,5500HOSPICE 434625,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434625,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434625,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434625,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434625,A000000,06100,0000,6100NONPAID WORKERS 434625,A000000,06200,0000,6200PATIENTS LAUNDRY 434625,A000000,06300,0000,6150ADULT DAY HEALTH 434625,A000000,06301,0000,6151ASSISTED LIVING 434625,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434625,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434625,A81000A,00100,0100,N 434625,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434625,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434625,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434625,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434625,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434625,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434625,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434625,B100000,00000,0800,0800MEALS SERVED :DIETARY 434625,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434625,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434625,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434625,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434625,E10A180,00501,0100,04/19/12 434625,E10A180,00501,0300,04/19/12 434625,G300000,02500,0000,OTHER REVENUE 434625,S000000,00100,0200,02/23/12 434625,S200000,00100,0100,605 MAIN STREET 434625,S200000,00200,0100,STARBUCK 434625,S200000,00200,0200,MN 434625,S200000,00200,0300,56381 434625,S200000,00300,0100,POPE 434625,S200000,00300,0200,24 434625,S200000,00300,0201,99924 434625,S200000,00300,0300,R 434625,S200000,00400,0100,MINNEWASKA COMMUNITY HEALTH SERVICES 434625,S200000,00400,0200,245537 434625,S200000,00400,0300,07/27/89 434625,S200000,00400,0500,P 434625,S200000,00400,0600,P 434625,S200000,01500,0100,Y 434625,S200000,01501,0200,N 434625,S200000,01502,0200,Y 434625,S200000,01503,0200,Y 434625,S200000,01600,0100,N 434625,S200000,01700,0100,N 434625,S200000,01800,0100,N 434625,S200000,02200,0100,N 434625,S200000,02800,0100,N 434625,S200000,02900,0100,N 434625,S200000,03000,0100,N 434625,S200000,03100,0100,N 434625,S200000,03200,0100,N 434625,S200000,03300,0100,N 434625,S200000,03300,0200,N 434625,S200000,04100,0100,N 434625,S200000,04200,0100,N 434625,S200000,04300,0100,N 434625,S200000,04600,0100,N 434625,S200000,04700,0100,N 434625,S200000,04700,0200,N 434625,S200000,04900,0100,N 434625,S200000,05000,0100,N 434625,S200000,05100,0100,N 434625,S200000,05200,0100,N 434625,S200000,05300,0100,Y 434626,S000000,00100,0200,02/28/12 434626,S200000,00100,0100,303 BROADWAY S 434626,S200000,00200,0100,TRIMONT 434626,S200000,00200,0200,MN 434626,S200000,00200,0300,56176-0280 434626,S200000,00300,0100,MARTIN 434626,S200000,00400,0100,TRIMONT HEALTHCARE CENTER 434626,S200000,00400,0300,06/01/87 434627,S000000,00100,0200,02/29/12 434627,S200000,00100,0100,1401 LAKE ST NW 434627,S200000,00200,0100,WARROAD 434627,S200000,00200,0200,MN 434627,S200000,00200,0300,56763-2026 434627,S200000,00300,0100,ROSEAU 434627,S200000,00400,0100,WARROAD CARE CENTER 434627,S200000,00400,0300,08/01/86 434644,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434644,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434644,A000000,00300,0000,0300EMPLOYEE BENEFITS 434644,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434644,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434644,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434644,A000000,00700,0000,0700HOUSEKEEPING 434644,A000000,00800,0000,0800DIETARY 434644,A000000,00900,0000,0900NURSING ADMINISTRATION 434644,A000000,01300,0000,1300SOCIAL SERVICE 434644,A000000,01500,0000,1350RECREATION 434644,A000000,01600,0000,1600SKILLED NURSING FACILITY 434644,A000000,01800,0000,1800NURSING FACILITY 434644,A000000,01810,0000,1810ICF/MR 434644,A000000,01900,0000,1900OTHER LONG TERM CARE 434644,A000000,02100,0000,2100RADIOLOGY 434644,A000000,02200,0000,2200LABORATORY 434644,A000000,02300,0000,2300INTRAVENOUS THERAPY 434644,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434644,A000000,02500,0000,2500PHYSICAL THERAPY 434644,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434644,A000000,02700,0000,2700SPEECH PATHOLOGY 434644,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434644,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434644,A000000,03200,0000,3200SUPPORT SURFACES 434644,A000000,04800,0000,4800AMBULANCE 434644,A000000,05300,0000,5300INTEREST EXPENSE 434644,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434644,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434644,A81000A,00100,0100,N 434644,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434644,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434644,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434644,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434644,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434644,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434644,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434644,B100000,00000,0800,0800MEALS SERVED :DIETARY 434644,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434644,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434644,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434644,G300000,02501,0000,MISC. REVENUE 434644,S000000,00100,0200,10/25/12 434644,S200000,00100,0100,1 CARE LANE 434644,S200000,00200,0100,WEST HAVEN 434644,S200000,00200,0200,CT 434644,S200000,00200,0300,06492 434644,S200000,00300,0100,NEW HAVEN 434644,S200000,00300,0201,35300 434644,S200000,00300,0300,U 434644,S200000,00400,0100,SOUNDVIEW SKILLED NURSING & REHAB 434644,S200000,00400,0200,075062 434644,S200000,00400,0300,05/01/01 434644,S200000,00400,0500,P 434644,S200000,01500,0100,Y 434644,S200000,01501,0200,Y 434644,S200000,01505,0000,OTHER (SPECIFY) EMPLOYEE BENEFITS CO 434644,S200000,01505,0200,Y 434644,S200000,01600,0100,N 434644,S200000,01700,0100,N 434644,S200000,01800,0100,N 434644,S200000,02200,0100,N 434644,S200000,02800,0100,N 434644,S200000,02900,0100,N 434644,S200000,03000,0100,N 434644,S200000,03100,0100,Y 434644,S200000,03200,0100,N 434644,S200000,03300,0100,N 434644,S200000,03300,0200,N 434644,S200000,04100,0100,N 434644,S200000,04200,0100,N 434644,S200000,04300,0100,N 434644,S200000,04600,0100,N 434644,S200000,04700,0100,N 434644,S200000,04700,0200,N 434644,S200000,04900,0100,N 434644,S200000,05000,0100,N 434644,S200000,05100,0100,N 434644,S200000,05200,0100,N 434644,S200000,05300,0100,N 434645,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434645,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434645,A000000,00300,0000,0300EMPLOYEE BENEFITS 434645,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434645,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434645,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434645,A000000,00700,0000,0700HOUSEKEEPING 434645,A000000,00800,0000,0800DIETARY 434645,A000000,00900,0000,0900NURSING ADMINISTRATION 434645,A000000,01300,0000,1300SOCIAL SERVICE 434645,A000000,01500,0000,1350RECREATION 434645,A000000,01600,0000,1600SKILLED NURSING FACILITY 434645,A000000,01800,0000,1800NURSING FACILITY 434645,A000000,01810,0000,1810ICF/MR 434645,A000000,02100,0000,2100RADIOLOGY 434645,A000000,02200,0000,2200LABORATORY 434645,A000000,02300,0000,2300INTRAVENOUS THERAPY 434645,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434645,A000000,02500,0000,2500PHYSICAL THERAPY 434645,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434645,A000000,02700,0000,2700SPEECH PATHOLOGY 434645,A000000,02800,0000,2800ELECTROCARDIOLOGY 434645,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434645,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434645,A000000,03200,0000,3200SUPPORT SURFACES 434645,A000000,04800,0000,4800AMBULANCE 434645,A000000,05300,0000,5300INTEREST EXPENSE 434645,A81000A,00100,0100,N 434645,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434645,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434645,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434645,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434645,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434645,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434645,B100000,00000,0800,0800MEALS SERVED :DIETARY 434645,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434645,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434645,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434645,G300000,02501,0000,MISC. REVENUE 434645,S000000,00100,0200,10/25/12 434645,S200000,00100,0100,915 ELLA GRASSO BOULEVARD 434645,S200000,00200,0100,NEW HAVEN 434645,S200000,00200,0200,CT 434645,S200000,00200,0300,06519 434645,S200000,00300,0100,NEW HAVEN 434645,S200000,00300,0201,35300 434645,S200000,00300,0300,U 434645,S200000,00400,0100,UNIVERSITY SKILLED NURSING & REHAB 434645,S200000,00400,0200,075179 434645,S200000,00400,0300,05/01/01 434645,S200000,00400,0500,P 434645,S200000,01500,0100,Y 434645,S200000,01501,0200,Y 434645,S200000,01505,0000,OTHER (SPECIFY) EMPLOYEE BENEFITS CO 434645,S200000,01505,0200,Y 434645,S200000,01600,0100,N 434645,S200000,01700,0100,N 434645,S200000,01800,0100,N 434645,S200000,02200,0100,N 434645,S200000,02800,0100,N 434645,S200000,02900,0100,N 434645,S200000,03000,0100,N 434645,S200000,03100,0100,Y 434645,S200000,03200,0100,N 434645,S200000,03300,0100,N 434645,S200000,03300,0200,N 434645,S200000,04100,0100,N 434645,S200000,04200,0100,N 434645,S200000,04300,0100,N 434645,S200000,04600,0100,N 434645,S200000,04700,0100,N 434645,S200000,04700,0200,N 434645,S200000,04900,0100,N 434645,S200000,05000,0100,N 434645,S200000,05100,0100,N 434645,S200000,05200,0100,N 434645,S200000,05300,0100,N 434646,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434646,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434646,A000000,00300,0000,0300EMPLOYEE BENEFITS 434646,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434646,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434646,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434646,A000000,00700,0000,0700HOUSEKEEPING 434646,A000000,00800,0000,0800DIETARY 434646,A000000,00900,0000,0900NURSING ADMINISTRATION 434646,A000000,01300,0000,1300SOCIAL SERVICE 434646,A000000,01500,0000,1350RECREATION 434646,A000000,01600,0000,1600SKILLED NURSING FACILITY 434646,A000000,01800,0000,1800NURSING FACILITY 434646,A000000,01810,0000,1810ICF/MR 434646,A000000,01900,0000,1900OTHER LONG TERM CARE 434646,A000000,02100,0000,2100RADIOLOGY 434646,A000000,02200,0000,2200LABORATORY 434646,A000000,02300,0000,2300INTRAVENOUS THERAPY 434646,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434646,A000000,02500,0000,2500PHYSICAL THERAPY 434646,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434646,A000000,02700,0000,2700SPEECH PATHOLOGY 434646,A000000,02800,0000,2800ELECTROCARDIOLOGY 434646,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434646,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434646,A000000,03200,0000,3200SUPPORT SURFACES 434646,A000000,04800,0000,4800AMBULANCE 434646,A000000,05300,0000,5300INTEREST EXPENSE 434646,A81000A,00100,0100,N 434646,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434646,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434646,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434646,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434646,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434646,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434646,B100000,00000,0800,0800MEALS SERVED :DIETARY 434646,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434646,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434646,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434646,G300000,02501,0000,MISC. INCOME 434646,S000000,00100,0200,10/25/12 434646,S200000,00100,0100,60 WEST STREETE 434646,S200000,00200,0100,ROCKY HILL 434646,S200000,00200,0200,CT 434646,S200000,00200,0300,06067 434646,S200000,00300,0100,HARTFORD 434646,S200000,00300,0201,25540 434646,S200000,00300,0300,U 434646,S200000,00400,0100,ROCKY HILL SKILLED NURSING & REHAB 434646,S200000,00400,0200,075186 434646,S200000,00400,0300,07/01/66 434646,S200000,00400,0500,P 434646,S200000,01500,0100,Y 434646,S200000,01501,0200,Y 434646,S200000,01505,0000,OTHER (SPECIFY) EMPLOYEE BENEFTS COR 434646,S200000,01505,0200,Y 434646,S200000,01600,0100,N 434646,S200000,01700,0100,N 434646,S200000,01800,0100,N 434646,S200000,01900,0100,OTHER (SPECIFY) LLC 434646,S200000,02200,0100,N 434646,S200000,02800,0100,N 434646,S200000,02900,0100,N 434646,S200000,03000,0100,N 434646,S200000,03100,0100,Y 434646,S200000,03200,0100,N 434646,S200000,03300,0100,N 434646,S200000,03300,0200,N 434646,S200000,04100,0100,N 434646,S200000,04200,0100,N 434646,S200000,04300,0100,N 434646,S200000,04600,0100,N 434646,S200000,04700,0100,N 434646,S200000,04700,0200,N 434646,S200000,04900,0100,N 434646,S200000,05000,0100,N 434646,S200000,05100,0100,N 434646,S200000,05200,0100,N 434646,S200000,05300,0100,N 434647,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434647,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434647,A000000,00300,0000,0300EMPLOYEE BENEFITS 434647,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434647,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434647,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434647,A000000,00700,0000,0700HOUSEKEEPING 434647,A000000,00800,0000,0800DIETARY 434647,A000000,00900,0000,0900NURSING ADMINISTRATION 434647,A000000,01300,0000,1300SOCIAL SERVICE 434647,A000000,01500,0000,1350RECREATION 434647,A000000,01600,0000,1600SKILLED NURSING FACILITY 434647,A000000,01800,0000,1800NURSING FACILITY 434647,A000000,01810,0000,1810ICF/MR 434647,A000000,01900,0000,1900OTHER LONG TERM CARE 434647,A000000,02100,0000,2100RADIOLOGY 434647,A000000,02200,0000,2200LABORATORY 434647,A000000,02300,0000,2300INTRAVENOUS THERAPY 434647,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434647,A000000,02500,0000,2500PHYSICAL THERAPY 434647,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434647,A000000,02700,0000,2700SPEECH PATHOLOGY 434647,A000000,02800,0000,2800ELECTROCARDIOLOGY 434647,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434647,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434647,A000000,03200,0000,3200SUPPORT SURFACES 434647,A000000,04800,0000,4800AMBULANCE 434647,A000000,05300,0000,5300INTEREST EXPENSE 434647,A81000A,00100,0100,N 434647,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434647,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434647,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434647,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434647,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434647,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434647,B100000,00000,0800,0800MEALS SERVED :DIETARY 434647,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434647,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434647,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434647,G300000,02501,0000,MISC. INCOME 434647,S000000,00100,0200,10/25/12 434647,S200000,00100,0100,2432 ALBANY AVENUE 434647,S200000,00200,0100,WEST HARTFORD 434647,S200000,00200,0200,CT 434647,S200000,00200,0300,06117 434647,S200000,00300,0100,HARTFORD 434647,S200000,00300,0201,25540 434647,S200000,00300,0300,U 434647,S200000,00400,0100,BISHOPS CORNER SKILLED NRSG & REHAB 434647,S200000,00400,0200,075248 434647,S200000,00400,0300,01/20/93 434647,S200000,00400,0500,P 434647,S200000,01500,0100,Y 434647,S200000,01501,0200,Y 434647,S200000,01505,0000,OTHER (SPECIFY) EMPLOYEE BENEFITS CO 434647,S200000,01505,0200,Y 434647,S200000,01600,0100,N 434647,S200000,01700,0100,N 434647,S200000,01800,0100,N 434647,S200000,01900,0100,OTHER (SPECIFY) LLC 434647,S200000,02200,0100,N 434647,S200000,02800,0100,N 434647,S200000,02900,0100,N 434647,S200000,03000,0100,N 434647,S200000,03100,0100,Y 434647,S200000,03200,0100,N 434647,S200000,03300,0100,N 434647,S200000,03300,0200,N 434647,S200000,04100,0100,N 434647,S200000,04200,0100,N 434647,S200000,04300,0100,N 434647,S200000,04600,0100,N 434647,S200000,04700,0100,N 434647,S200000,04700,0200,N 434647,S200000,04900,0100,N 434647,S200000,05000,0100,N 434647,S200000,05100,0100,N 434647,S200000,05200,0100,N 434647,S200000,05300,0100,N 434651,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434651,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434651,A000000,00300,0000,0300EMPLOYEE BENEFITS 434651,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434651,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434651,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434651,A000000,00700,0000,0700HOUSEKEEPING 434651,A000000,00800,0000,0800DIETARY 434651,A000000,00801,0000,0801CAFETERIA 434651,A000000,00900,0000,0900NURSING ADMINISTRATION 434651,A000000,01300,0000,1300SOCIAL SERVICE 434651,A000000,01600,0000,1600SKILLED NURSING FACILITY 434651,A000000,01800,0000,1800NURSING FACILITY 434651,A000000,02100,0000,2100RADIOLOGY 434651,A000000,02200,0000,2200LABORATORY 434651,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434651,A000000,02500,0000,2500PHYSICAL THERAPY 434651,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434651,A000000,02700,0000,2700SPEECH PATHOLOGY 434651,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434651,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434651,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434651,A000000,05300,0000,5300INTEREST EXPENSE 434651,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434651,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434651,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434651,A000000,06301,0000,6151GUEST MEALS 434651,A81000A,00100,0100,Y 434651,A81000B,00100,0300,RENT 434651,A81000B,00200,0300,INTEREST EXPENSE 434651,A81000B,00300,0300,DEPRECIATION 434651,A81000B,00500,0300,ACCT/LEGAL 434651,A81000B,00600,0300,DRUGS CHG. PATIENTS 434651,A81000C,00100,0100,A 434651,A81000C,00100,0200,ROBERT M. CHUR 434651,A81000C,00100,0400,EAI-HEA PROP 434651,A81000C,00100,0600,R.E.100%FAC 434651,A81000C,00200,0100,A 434651,A81000C,00200,0200,ROBERT M. CHUR 434651,A81000C,00200,0400,EAI-MGMT 434651,A81000C,00200,0600,FIN&PURCHFAC 434651,A81000C,00300,0100,A 434651,A81000C,00300,0200,ROBERT M. CHUR 434651,A81000C,00300,0400,WOODMARK PHARMA 434651,A81000C,00300,0600,FAC.PHARM. 434651,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434651,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434651,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434651,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434651,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434651,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434651,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434651,B100000,00000,0800,0800MEALS SERVED :DIETARY 434651,B100000,00000,0801,0851NO. OF EMPLOYEES :CAFETERIA 434651,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434651,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434651,G300000,02500,0000,MISC. INCOME 434651,S000000,00100,0200,10/24/11 434651,S200000,00100,0100,815 HOPKINS ROAD 434651,S200000,00200,0100,WILLIAMSVILLE 434651,S200000,00200,0200,NY 434651,S200000,00200,0300,14221 434651,S200000,00300,0100,ERIE 434651,S200000,00300,0300,U 434651,S200000,00400,0100,HEATHWOOD HEALTH CARE CENTER INC. 434651,S200000,00400,0200,335622 434651,S200000,00400,0300,05/15/78 434651,S200000,00400,0500,P 434651,S200000,01500,0100,Y 434651,S200000,01501,0200,Y 434651,S200000,01502,0200,Y 434651,S200000,01503,0200,Y 434651,S200000,01504,0200,Y 434651,S200000,01600,0100,N 434651,S200000,01700,0100,N 434651,S200000,01800,0100,N 434651,S200000,02200,0100,N 434651,S200000,02800,0100,N 434651,S200000,02900,0100,N 434651,S200000,03000,0100,N 434651,S200000,03100,0100,Y 434651,S200000,03200,0100,N 434651,S200000,03300,0100,N 434651,S200000,03300,0200,N 434651,S200000,04100,0100,N 434651,S200000,04200,0100,N 434651,S200000,04300,0100,N 434651,S200000,04600,0100,N 434651,S200000,04700,0100,N 434651,S200000,04700,0200,N 434651,S200000,04900,0100,N 434651,S200000,05000,0100,N 434651,S200000,05100,0100,N 434651,S200000,05200,0100,N 434651,S200000,05300,0100,Y 434651,S200000,05300,0200,H23320 434651,S200000,05400,0100,ELDERWOOD AFFILIATES INC. 434651,S200000,05400,0200,EMPIRE MEDICARE 434651,S200000,05400,0300,100381 434651,S200000,05500,0100,7 LIMESTONE DRIVE 434651,S200000,05600,0100,WILLIAMSVILLE 434651,S200000,05600,0200,NY 434651,S200000,05600,0300,14221 434654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434654,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434654,A000000,00300,0000,0300EMPLOYEE BENEFITS 434654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434654,A000000,00700,0000,0700HOUSEKEEPING 434654,A000000,00800,0000,0800DIETARY 434654,A000000,00900,0000,0900NURSING ADMINISTRATION 434654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434654,A000000,01100,0000,1100PHARMACY 434654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434654,A000000,01300,0000,1300SOCIAL SERVICE 434654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434654,A000000,01600,0000,1600SKILLED NURSING FACILITY 434654,A000000,01810,0000,1810ICF/MR 434654,A000000,02100,0000,2100RADIOLOGY 434654,A000000,02200,0000,2200LABORATORY 434654,A000000,02500,0000,2500PHYSICAL THERAPY 434654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434654,A000000,02700,0000,2700SPEECH PATHOLOGY 434654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434654,A000000,03550,0000,3550FQHC 434654,A000000,05000,0000,5000CORF 434654,A000000,05010,0000,5010CMHC 434654,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434654,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434654,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434654,A81000A,00100,0100,Y 434654,A81000B,00100,0300,MANAGEMENT FEES 434654,A81000C,00100,0100,A 434654,A81000C,00100,0200,C TREFZGER/M JO 434654,A81000C,00100,0400,CNH LLC 434654,A81000C,00100,0600,MGMT COMPANY 434654,A81000C,00200,0100,A 434654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434654,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434654,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434654,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434654,B100000,00000,0800,0800MEALS SERVED :DIETARY 434654,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434654,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434654,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434654,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434654,E10A180,00501,0100,05/24/12 434654,G300000,02500,0000,BEAUTY AND BARBER 434654,S000000,00100,0200,02/29/12 434654,S200000,00100,0100,330 NORTH MAIN ST 434654,S200000,00100,0300,560 434654,S200000,00200,0100,RICH SQUARE 434654,S200000,00200,0200,NC 434654,S200000,00200,0300,27869 434654,S200000,00300,0100,NORTHHAMPTON 434654,S200000,00300,0201,99934 434654,S200000,00300,0300,R 434654,S200000,00400,0100,RICH SQUARE HEALTH CARE CTR 434654,S200000,00400,0200,345356 434654,S200000,00400,0300,11/01/06 434654,S200000,00400,0500,P 434654,S200000,00400,0600,P 434654,S200000,01500,0100,Y 434654,S200000,01501,0200,Y 434654,S200000,01600,0100,Y 434654,S200000,01700,0100,N 434654,S200000,01800,0100,N 434654,S200000,02200,0100,N 434654,S200000,02800,0100,N 434654,S200000,02900,0100,N 434654,S200000,03000,0100,N 434654,S200000,03100,0100,N 434654,S200000,03200,0100,N 434654,S200000,03300,0100,N 434654,S200000,03300,0200,N 434654,S200000,03600,0100,N 434654,S200000,03600,0200,N 434654,S200000,04100,0100,N 434654,S200000,04200,0100,N 434654,S200000,04300,0100,N 434654,S200000,04600,0100,N 434654,S200000,04700,0100,N 434654,S200000,04700,0200,N 434654,S200000,04900,0100,N 434654,S200000,05000,0100,N 434654,S200000,05100,0100,N 434654,S200000,05200,0100,N 434658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434658,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434658,A000000,00300,0000,0300EMPLOYEE BENEFITS 434658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434658,A000000,00700,0000,0700HOUSEKEEPING 434658,A000000,00800,0000,0800DIETARY 434658,A000000,00900,0000,0900NURSING ADMINISTRATION 434658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434658,A000000,01100,0000,1100PHARMACY 434658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434658,A000000,01300,0000,1300SOCIAL SERVICE 434658,A000000,01500,0000,1350RECREATION/ACTIVITIES 434658,A000000,01600,0000,1600SKILLED NURSING FACILITY 434658,A000000,01800,0000,1800NURSING FACILITY 434658,A000000,01900,0000,1900OTHER LONG TERM CARE 434658,A000000,02100,0000,2100RADIOLOGY 434658,A000000,02200,0000,2200LABORATORY 434658,A000000,02300,0000,2300INTRAVENOUS THERAPY 434658,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434658,A000000,02500,0000,2500PHYSICAL THERAPY 434658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434658,A000000,02700,0000,2700SPEECH PATHOLOGY 434658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434658,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434658,A000000,03200,0000,3200SUPPORT SURFACES 434658,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434658,A000000,03301,0000,3051PEN THERAPY 434658,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434658,A000000,04800,0000,4800AMBULANCE 434658,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434658,A000000,05300,0000,5300INTEREST EXPENSE 434658,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434658,A000000,05500,0000,5500HOSPICE 434658,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434658,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434658,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434658,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434658,A000000,06100,0000,6100NONPAID WORKERS 434658,A000000,06200,0000,6200PATIENTS LAUNDRY 434658,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434658,A81000A,00100,0100,Y 434658,A81000B,00100,0300,HOME OFFICE COSTS 434658,A81000B,00200,0300,HOME OFFICE COSTS 434658,A81000B,00300,0300,HOME OFFICE Q A NURSES 434658,A81000B,00400,0300,WOUND VACS 434658,A81000C,00100,0100,D 434658,A81000C,00100,0200,MFNC 434658,A81000C,00100,0400,MFNC 434658,A81000C,00100,0600,MGMT. 434658,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434658,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434658,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434658,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434658,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434658,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434658,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434658,B100000,00000,0800,0800MEALS SERVED :DIETARY 434658,B100000,00000,0900,0950SALARIES :NURSING ADMINISTRATI 434658,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434658,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434658,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434658,B100000,00000,1500,1350PATIENT DAYS :RECREATION/ACTIVI 434658,E10A180,00350,0100,07/27/11 434658,E10A180,00501,0100,05/25/12 434658,G300000,02500,0000,MISCELLANEOUS 434658,S000000,00100,0200,02/29/12 434658,S200000,00100,0100,3647 MILLER BRIDGE ROAD 434658,S200000,00200,0100,CONNELLY SPRINGS 434658,S200000,00200,0200,NC 434658,S200000,00200,0300,28612 434658,S200000,00300,0100,BURKE 434658,S200000,00300,0200,2586 434658,S200000,00300,0201,25860 434658,S200000,00300,0300,U 434658,S200000,00400,0100,CAROLINA REHAB CTR OF BURKE 434658,S200000,00400,0200,345526 434658,S200000,00400,0300,03/25/03 434658,S200000,00400,0500,P 434658,S200000,01500,0100,Y 434658,S200000,01501,0200,N 434658,S200000,01502,0200,Y 434658,S200000,01504,0200,N 434658,S200000,01600,0100,N 434658,S200000,01700,0100,N 434658,S200000,01800,0100,N 434658,S200000,02200,0100,N 434658,S200000,02800,0100,Y 434658,S200000,02900,0100,N 434658,S200000,03000,0100,N 434658,S200000,03100,0100,N 434658,S200000,03200,0100,N 434658,S200000,03300,0100,N 434658,S200000,03300,0200,N 434658,S200000,04100,0100,N 434658,S200000,04200,0100,N 434658,S200000,04300,0100,N 434658,S200000,04600,0100,N 434658,S200000,04700,0100,N 434658,S200000,04700,0200,N 434658,S200000,04900,0100,N 434658,S200000,05000,0100,N 434658,S200000,05100,0100,N 434658,S200000,05200,0100,N 434658,S200000,05300,0100,Y 434658,S200000,05300,0200,941011 434658,S200000,05400,0100,MEDICAL FACILITIES OF AMERICA INC 434658,S200000,05400,0200,PALMETTO GBA 434658,S200000,05400,0300,11001 434658,S200000,05500,0100,2917 PENN FOREST BLVD. 434658,S200000,05600,0100,ROANOKE 434658,S200000,05600,0200,VA 434658,S200000,05600,0300,24018 434660,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434660,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434660,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434660,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434660,A000000,00300,0000,0300EMPLOYEE BENEFITS 434660,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434660,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434660,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434660,A000000,00700,0000,0700HOUSEKEEPING 434660,A000000,00800,0000,0800DIETARY 434660,A000000,00801,0000,0801CAFETERIA 434660,A000000,00900,0000,0900NURSING ADMINISTRATION 434660,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434660,A000000,01100,0000,1100PHARMACY 434660,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434660,A000000,01300,0000,1300SOCIAL SERVICE 434660,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434660,A000000,01500,0000,1350ACTIVITIES 434660,A000000,01600,0000,1600SKILLED NURSING FACILITY 434660,A000000,01800,0000,1800NURSING FACILITY 434660,A000000,01900,0000,1900OTHER LONG TERM CARE 434660,A000000,02100,0000,2100RADIOLOGY 434660,A000000,02200,0000,2200LABORATORY 434660,A000000,02300,0000,2300INTRAVENOUS THERAPY 434660,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434660,A000000,02500,0000,2500PHYSICAL THERAPY 434660,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434660,A000000,02700,0000,2700SPEECH PATHOLOGY 434660,A000000,02800,0000,2800ELECTROCARDIOLOGY 434660,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434660,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434660,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434660,A000000,03200,0000,3200SUPPORT SURFACES 434660,A000000,03300,0000,3050ENTERALS 434660,A000000,03301,0000,3051OXYGEN 434660,A000000,03302,0000,3052OTHER ANCILLARY III 434660,A000000,03400,0000,3400CLINIC 434660,A000000,03500,0000,3500RURAL HEALTH CLINIC 434660,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434660,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434660,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434660,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434660,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434660,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434660,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434660,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434660,A000000,04400,0000,4400DME RENTED - HHA 434660,A000000,04500,0000,4500DME SOLD - HHA 434660,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434660,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434660,A000000,04710,0000,4710TELEMEDICINE 434660,A000000,04800,0000,4800AMBULANCE 434660,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434660,A000000,05000,0000,5000CORF 434660,A000000,05001,0000,5001CMHC I 434660,A000000,05020,0000,5020OPT I 434660,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434660,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434660,A000000,05300,0000,5300INTEREST EXPENSE 434660,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434660,A000000,05500,0000,5500HOSPICE 434660,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434660,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434660,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434660,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434660,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434660,A000000,06100,0000,6100NONPAID WORKERS 434660,A000000,06200,0000,6200PATIENTS LAUNDRY 434660,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434660,A81000A,00100,0100,Y 434660,A81000B,00100,0300,MANAGEMENT FEES 434660,A81000B,00200,0300,NURSING SUPPLIES 434660,A81000B,00300,0300,LEGEND DRUGS 434660,A81000B,00400,0300,OTC 434660,A81000B,00500,0300,MED SUPPLIES 434660,A81000B,00600,0300,PHAR CONSLT 434660,A81000B,00700,0300,RELATED LEASE 434660,A81000B,00800,0300,DEPRECIATION 434660,A81000B,00900,0300,INTEREST 434660,A81000C,00100,0100,B 434660,A81000C,00100,0400,WOM 434660,A81000C,00100,0600,NSG HOME CHAIN 434660,A81000C,00200,0100,B 434660,A81000C,00200,0400,WOM 434660,A81000C,00200,0600,PHARMACY 434660,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434660,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434660,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434660,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434660,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434660,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434660,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434660,B100000,00000,0800,0800MEALS SERVED :DIETARY 434660,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434660,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434660,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434660,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434660,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434660,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434660,E10A180,00550,0100,06/08/12 434660,E10A180,00550,0300,06/08/12 434660,E10A180,00551,0100,02/27/12 434660,E10A180,00551,0300,02/27/12 434660,S000000,00100,0200,03/21/12 434660,S200000,00100,0100,1915 EBENEZER 434660,S200000,00200,0100,ROCK HILL 434660,S200000,00200,0200,SC 434660,S200000,00200,0300,29732-1013 434660,S200000,00300,0100,YORK 434660,S200000,00300,0201,16740 434660,S200000,00300,0300,U 434660,S200000,00400,0100,WHITE OAK MANOR-ROCK HILL 434660,S200000,00400,0200,425088 434660,S200000,00400,0300,09/30/72 434660,S200000,00400,0500,P 434660,S200000,01500,0100,Y 434660,S200000,01501,0200,Y 434660,S200000,01503,0200,Y 434660,S200000,01504,0200,Y 434660,S200000,01600,0100,N 434660,S200000,01700,0100,N 434660,S200000,01800,0100,N 434660,S200000,02200,0100,Y 434660,S200000,02800,0100,N 434660,S200000,02900,0100,N 434660,S200000,03000,0100,N 434660,S200000,03100,0100,N 434660,S200000,03200,0100,N 434660,S200000,03300,0100,N 434660,S200000,03300,0200,N 434660,S200000,04100,0100,N 434660,S200000,04200,0100,N 434660,S200000,04300,0100,N 434660,S200000,04600,0100,N 434660,S200000,04700,0100,N 434660,S200000,04700,0200,N 434660,S200000,04900,0100,N 434660,S200000,05000,0100,N 434660,S200000,05100,0100,N 434660,S200000,05200,0100,N 434660,S200000,05300,0100,Y 434660,S200000,05300,0200,HO02 434660,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434660,S200000,05400,0200,PGBA 434660,S200000,05400,0300,00380 434660,S200000,05500,0100,130 EAST MAIN ST. 434660,S200000,05500,0200,3347 434660,S200000,05600,0100,SPARTANBURG 434660,S200000,05600,0200,SC 434660,S200000,05600,0300,29304 434661,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434661,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434661,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434661,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434661,A000000,00300,0000,0300EMPLOYEE BENEFITS 434661,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434661,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434661,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434661,A000000,00700,0000,0700HOUSEKEEPING 434661,A000000,00800,0000,0800DIETARY 434661,A000000,00801,0000,0801CAFETERIA 434661,A000000,00900,0000,0900NURSING ADMINISTRATION 434661,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434661,A000000,01100,0000,1100PHARMACY 434661,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434661,A000000,01300,0000,1300SOCIAL SERVICE 434661,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434661,A000000,01500,0000,1350ACTIVITIES 434661,A000000,01600,0000,1600SKILLED NURSING FACILITY 434661,A000000,01800,0000,1800NURSING FACILITY 434661,A000000,01900,0000,1900OTHER LONG TERM CARE 434661,A000000,02100,0000,2100RADIOLOGY 434661,A000000,02200,0000,2200LABORATORY 434661,A000000,02300,0000,2300INTRAVENOUS THERAPY 434661,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434661,A000000,02500,0000,2500PHYSICAL THERAPY 434661,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434661,A000000,02700,0000,2700SPEECH PATHOLOGY 434661,A000000,02800,0000,2800ELECTROCARDIOLOGY 434661,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434661,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434661,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434661,A000000,03200,0000,3200SUPPORT SURFACES 434661,A000000,03300,0000,3050ENTERALS 434661,A000000,03301,0000,3051OXYGEN 434661,A000000,03302,0000,3052OTHER ANCILLARY III 434661,A000000,03400,0000,3400CLINIC 434661,A000000,03500,0000,3500RURAL HEALTH CLINIC 434661,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434661,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434661,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434661,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434661,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434661,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434661,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434661,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434661,A000000,04400,0000,4400DME RENTED - HHA 434661,A000000,04500,0000,4500DME SOLD - HHA 434661,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434661,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434661,A000000,04710,0000,4710TELEMEDICINE 434661,A000000,04800,0000,4800AMBULANCE 434661,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434661,A000000,05000,0000,5000CORF 434661,A000000,05001,0000,5001CMHC I 434661,A000000,05020,0000,5020OPT I 434661,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434661,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434661,A000000,05300,0000,5300INTEREST EXPENSE 434661,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434661,A000000,05500,0000,5500HOSPICE 434661,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434661,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434661,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434661,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434661,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434661,A000000,06100,0000,6100NONPAID WORKERS 434661,A000000,06200,0000,6200PATIENTS LAUNDRY 434661,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434661,A81000A,00100,0100,Y 434661,A81000B,00100,0300,MANAGEMENT FEES 434661,A81000B,00200,0300,NURSING SUPPLIES 434661,A81000B,00300,0300,LEGEND DRUGS 434661,A81000B,00400,0300,OTC 434661,A81000B,00500,0300,MED SUPPLIES 434661,A81000B,00600,0300,PHAR CONSLT 434661,A81000B,00700,0300,RELATED LEASE 434661,A81000B,00800,0300,DEPRECIATION 434661,A81000B,00900,0300,INTEREST 434661,A81000C,00100,0100,B 434661,A81000C,00100,0400,WOM 434661,A81000C,00100,0600,NSG HOME CHAIN 434661,A81000C,00200,0100,B 434661,A81000C,00200,0400,WOM 434661,A81000C,00200,0600,PHARMACY 434661,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434661,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434661,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434661,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434661,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434661,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434661,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434661,B100000,00000,0800,0800MEALS SERVED :DIETARY 434661,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434661,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434661,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434661,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434661,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434661,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434661,E10A180,00501,0100,06/07/12 434661,S000000,00100,0200,03/21/12 434661,S200000,00100,0100,111 S. CONGRESS ST 434661,S200000,00100,0300,629 434661,S200000,00200,0100,YORK 434661,S200000,00200,0200,SC 434661,S200000,00200,0300,29745-0629 434661,S200000,00300,0100,YORK 434661,S200000,00300,0201,16740 434661,S200000,00300,0300,U 434661,S200000,00400,0100,WHITE OAK MANOR-YORK 434661,S200000,00400,0200,425089 434661,S200000,00400,0300,12/03/91 434661,S200000,00400,0500,P 434661,S200000,01500,0100,Y 434661,S200000,01501,0200,Y 434661,S200000,01502,0200,Y 434661,S200000,01503,0200,Y 434661,S200000,01504,0200,Y 434661,S200000,01600,0100,N 434661,S200000,01700,0100,N 434661,S200000,01800,0100,N 434661,S200000,02200,0100,Y 434661,S200000,02800,0100,N 434661,S200000,02900,0100,N 434661,S200000,03000,0100,N 434661,S200000,03100,0100,N 434661,S200000,03200,0100,N 434661,S200000,03300,0100,N 434661,S200000,03300,0200,N 434661,S200000,04100,0100,N 434661,S200000,04200,0100,N 434661,S200000,04300,0100,N 434661,S200000,04600,0100,N 434661,S200000,04700,0100,N 434661,S200000,04700,0200,N 434661,S200000,04900,0100,N 434661,S200000,05000,0100,N 434661,S200000,05100,0100,N 434661,S200000,05200,0100,N 434661,S200000,05300,0100,Y 434661,S200000,05300,0200,HO02 434661,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434661,S200000,05400,0200,PGBA 434661,S200000,05400,0300,00380 434661,S200000,05500,0100,130 EAST MAIN ST. 434661,S200000,05500,0200,3347 434661,S200000,05600,0100,SPARTANBURG 434661,S200000,05600,0200,SC 434661,S200000,05600,0300,29304 434662,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434662,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434662,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434662,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434662,A000000,00300,0000,0300EMPLOYEE BENEFITS 434662,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434662,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434662,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434662,A000000,00700,0000,0700HOUSEKEEPING 434662,A000000,00800,0000,0800DIETARY 434662,A000000,00801,0000,0801CAFETERIA 434662,A000000,00900,0000,0900NURSING ADMINISTRATION 434662,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434662,A000000,01100,0000,1100PHARMACY 434662,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434662,A000000,01300,0000,1300SOCIAL SERVICE 434662,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434662,A000000,01500,0000,1350ACTIVITIES 434662,A000000,01600,0000,1600SKILLED NURSING FACILITY 434662,A000000,01800,0000,1800NURSING FACILITY 434662,A000000,01900,0000,1900OTHER LONG TERM CARE 434662,A000000,02100,0000,2100RADIOLOGY 434662,A000000,02200,0000,2200LABORATORY 434662,A000000,02300,0000,2300INTRAVENOUS THERAPY 434662,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434662,A000000,02500,0000,2500PHYSICAL THERAPY 434662,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434662,A000000,02700,0000,2700SPEECH PATHOLOGY 434662,A000000,02800,0000,2800ELECTROCARDIOLOGY 434662,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434662,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434662,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434662,A000000,03200,0000,3200SUPPORT SURFACES 434662,A000000,03300,0000,3050ENTERALS 434662,A000000,03301,0000,3051OXYGEN 434662,A000000,03302,0000,3052OTHER ANCILLARY III 434662,A000000,03400,0000,3400CLINIC 434662,A000000,03500,0000,3500RURAL HEALTH CLINIC 434662,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434662,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434662,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434662,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434662,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434662,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434662,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434662,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434662,A000000,04400,0000,4400DME RENTED - HHA 434662,A000000,04500,0000,4500DME SOLD - HHA 434662,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434662,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434662,A000000,04710,0000,4710TELEMEDICINE 434662,A000000,04800,0000,4800AMBULANCE 434662,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434662,A000000,05000,0000,5000CORF 434662,A000000,05001,0000,5001CMHC I 434662,A000000,05020,0000,5020OPT I 434662,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434662,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434662,A000000,05300,0000,5300INTEREST EXPENSE 434662,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434662,A000000,05500,0000,5500HOSPICE 434662,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434662,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434662,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434662,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434662,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434662,A000000,06100,0000,6100NONPAID WORKERS 434662,A000000,06200,0000,6200PATIENTS LAUNDRY 434662,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434662,A81000A,00100,0100,Y 434662,A81000B,00100,0300,MANAGEMENT FEES 434662,A81000B,00200,0300,NURSING SUPPLIES 434662,A81000B,00300,0300,LEGEND DRUGS 434662,A81000B,00400,0300,OTC 434662,A81000B,00500,0300,MED SUPPLIES 434662,A81000B,00600,0300,PHAR CONSLT 434662,A81000B,00700,0300,RELATED LEASE 434662,A81000B,00800,0300,DEPRECIATION 434662,A81000B,00900,0300,INTEREST 434662,A81000C,00100,0100,B 434662,A81000C,00100,0400,WOM 434662,A81000C,00100,0600,NSG HOME CHAIN 434662,A81000C,00200,0100,B 434662,A81000C,00200,0400,WOM 434662,A81000C,00200,0600,PHARMACY 434662,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434662,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434662,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434662,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434662,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434662,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434662,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434662,B100000,00000,0800,0800MEALS SERVED :DIETARY 434662,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434662,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434662,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434662,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434662,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434662,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434662,E10A180,00501,0100,06/07/12 434662,E10A180,00550,0300,06/07/12 434662,S000000,00100,0200,03/21/12 434662,S200000,00100,0100,9319 MEDICAL PLAZA DR. 434662,S200000,00200,0100,CHARLESTON 434662,S200000,00200,0200,SC 434662,S200000,00200,0300,29406-9194 434662,S200000,00300,0100,CHARLESTON 434662,S200000,00300,0201,16700 434662,S200000,00300,0300,U 434662,S200000,00400,0100,WHITE OAK MANOR-CHARLESTON 434662,S200000,00400,0200,425128 434662,S200000,00400,0300,09/30/72 434662,S200000,00400,0500,P 434662,S200000,01500,0100,Y 434662,S200000,01501,0200,Y 434662,S200000,01502,0200,Y 434662,S200000,01503,0200,Y 434662,S200000,01504,0200,Y 434662,S200000,01600,0100,N 434662,S200000,01700,0100,N 434662,S200000,01800,0100,N 434662,S200000,02200,0100,Y 434662,S200000,02800,0100,N 434662,S200000,02900,0100,N 434662,S200000,03000,0100,N 434662,S200000,03100,0100,N 434662,S200000,03200,0100,N 434662,S200000,03300,0100,N 434662,S200000,03300,0200,N 434662,S200000,04100,0100,N 434662,S200000,04200,0100,N 434662,S200000,04300,0100,N 434662,S200000,04600,0100,N 434662,S200000,04700,0100,N 434662,S200000,04700,0200,N 434662,S200000,04900,0100,N 434662,S200000,05000,0100,N 434662,S200000,05100,0100,N 434662,S200000,05200,0100,N 434662,S200000,05300,0100,Y 434662,S200000,05300,0200,HO02 434662,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434662,S200000,05400,0200,PGBA 434662,S200000,05400,0300,00380 434662,S200000,05500,0100,130 EAST MAIN ST. 434662,S200000,05500,0200,3347 434662,S200000,05600,0100,SPARTANBURG 434662,S200000,05600,0200,SC 434662,S200000,05600,0300,29304 434663,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434663,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434663,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434663,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434663,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434663,A000000,00700,0000,0700HOUSEKEEPING 434663,A000000,00800,0000,0800DIETARY 434663,A000000,01100,0000,1100PHARMACY 434663,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434663,A000000,01300,0000,1300SOCIAL SERVICE 434663,A000000,01600,0000,1600SKILLED NURSING FACILITY 434663,A000000,01810,0000,1810ICF/MR 434663,A000000,02100,0000,2100RADIOLOGY 434663,A000000,02200,0000,2200LABORATORY 434663,A000000,02500,0000,2500PHYSICAL THERAPY 434663,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434663,A000000,02700,0000,2700SPEECH PATHOLOGY 434663,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434663,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434663,A000000,03550,0000,3550FQHC 434663,A000000,05000,0000,5000CORF 434663,A000000,05010,0000,5010CMHC 434663,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434663,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434663,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434663,A000000,05300,0000,5300INTEREST EXPENSE 434663,A81000A,00100,0100,N 434663,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434663,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434663,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434663,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434663,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434663,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434663,B100000,00000,0800,0800MEALS SERVED :DIETARY 434663,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 434663,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434663,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434663,E00A183,01620,0000,OTHER ADJUSTMENTS (SPECIFY) 434663,E10A180,00350,0100,07/22/11 434663,E10A180,00550,0100,03/16/12 434663,G300000,02500,0000,BEAUTY SHOP 434663,G300000,02501,0000,MISCELLANEOUS 434663,S000000,00100,0200,03/16/12 434663,S200000,00100,0100,515 SOUTH WARLEY STREET 434663,S200000,00200,0100,FLORENCE 434663,S200000,00200,0200,SC 434663,S200000,00200,0300,29501 434663,S200000,00300,0100,FLORENCE 434663,S200000,00300,0201,22500 434663,S200000,00300,0300,U 434663,S200000,00400,0100,HERITAGE HOME OF FLORENCE INC. 434663,S200000,00400,0200,425154 434663,S200000,00400,0300,10/01/81 434663,S200000,00400,0500,P 434663,S200000,00400,0600,O 434663,S200000,01500,0100,Y 434663,S200000,01600,0100,N 434663,S200000,01700,0100,N 434663,S200000,01800,0100,N 434663,S200000,02200,0100,N 434663,S200000,02800,0100,N 434663,S200000,02900,0100,N 434663,S200000,03000,0100,N 434663,S200000,03100,0100,N 434663,S200000,03200,0100,N 434663,S200000,03300,0100,N 434663,S200000,03300,0200,N 434663,S200000,04100,0100,N 434663,S200000,04200,0100,N 434663,S200000,04300,0100,Y 434663,S200000,04600,0100,N 434663,S200000,04700,0100,N 434663,S200000,04700,0200,N 434663,S200000,04900,0100,N 434663,S200000,05000,0100,N 434663,S200000,05100,0100,N 434663,S200000,05200,0100,N 434664,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434664,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434664,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434664,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434664,A000000,00300,0000,0300EMPLOYEE BENEFITS 434664,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434664,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434664,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434664,A000000,00700,0000,0700HOUSEKEEPING 434664,A000000,00800,0000,0800DIETARY 434664,A000000,00801,0000,0801CAFETERIA 434664,A000000,00900,0000,0900NURSING ADMINISTRATION 434664,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434664,A000000,01100,0000,1100PHARMACY 434664,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434664,A000000,01300,0000,1300SOCIAL SERVICE 434664,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434664,A000000,01500,0000,1350ACTIVITIES 434664,A000000,01600,0000,1600SKILLED NURSING FACILITY 434664,A000000,01800,0000,1800NURSING FACILITY 434664,A000000,01900,0000,1900OTHER LONG TERM CARE 434664,A000000,02100,0000,2100RADIOLOGY 434664,A000000,02200,0000,2200LABORATORY 434664,A000000,02300,0000,2300INTRAVENOUS THERAPY 434664,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434664,A000000,02500,0000,2500PHYSICAL THERAPY 434664,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434664,A000000,02700,0000,2700SPEECH PATHOLOGY 434664,A000000,02800,0000,2800ELECTROCARDIOLOGY 434664,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434664,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434664,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434664,A000000,03200,0000,3200SUPPORT SURFACES 434664,A000000,03300,0000,3050ENTERALS 434664,A000000,03301,0000,3051OXYGEN 434664,A000000,03302,0000,3052OTHER ANCILLARY III 434664,A000000,03400,0000,3400CLINIC 434664,A000000,03500,0000,3500RURAL HEALTH CLINIC 434664,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434664,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434664,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434664,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434664,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434664,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434664,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434664,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434664,A000000,04400,0000,4400DME RENTED - HHA 434664,A000000,04500,0000,4500DME SOLD - HHA 434664,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434664,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434664,A000000,04710,0000,4710TELEMEDICINE 434664,A000000,04800,0000,4800AMBULANCE 434664,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434664,A000000,05000,0000,5000CORF 434664,A000000,05001,0000,5001CMHC I 434664,A000000,05020,0000,5020OPT I 434664,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434664,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434664,A000000,05300,0000,5300INTEREST EXPENSE 434664,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434664,A000000,05500,0000,5500HOSPICE 434664,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434664,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434664,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434664,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434664,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434664,A000000,06100,0000,6100NONPAID WORKERS 434664,A000000,06200,0000,6200PATIENTS LAUNDRY 434664,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434664,A81000A,00100,0100,Y 434664,A81000B,00100,0300,MANAGEMENT FEES 434664,A81000B,00200,0300,NURSING SUPPLIES 434664,A81000B,00300,0300,LEGEND DRUGS 434664,A81000B,00400,0300,OTC 434664,A81000B,00500,0300,MED SUPPLIES 434664,A81000B,00600,0300,PHAR CONSLT 434664,A81000B,00700,0300,RELATED LEASE 434664,A81000B,00800,0300,DEPRECIATION 434664,A81000B,00900,0300,INTEREST 434664,A81000C,00100,0100,B 434664,A81000C,00100,0400,WOM 434664,A81000C,00100,0600,NSG HOME CHAIN 434664,A81000C,00200,0100,B 434664,A81000C,00200,0400,WOM 434664,A81000C,00200,0600,PHARMACY 434664,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434664,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434664,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434664,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434664,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434664,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434664,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434664,B100000,00000,0800,0800MEALS SERVED :DIETARY 434664,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434664,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434664,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434664,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434664,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434664,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434664,E10A180,00550,0100,02/27/12 434664,E10A180,00550,0300,02/27/12 434664,S000000,00100,0200,03/21/12 434664,S200000,00100,0100,400 WEBBER RD. 434664,S200000,00200,0100,SPARTANBURG 434664,S200000,00200,0200,SC 434664,S200000,00200,0300,29307-3033 434664,S200000,00300,0100,SPARTANBURG 434664,S200000,00300,0201,43900 434664,S200000,00300,0300,U 434664,S200000,00400,0100,WHITE OAK ESTATES 434664,S200000,00400,0200,425290 434664,S200000,00400,0300,09/30/90 434664,S200000,00400,0500,P 434664,S200000,01500,0100,Y 434664,S200000,01501,0200,Y 434664,S200000,01502,0200,Y 434664,S200000,01503,0200,Y 434664,S200000,01504,0200,Y 434664,S200000,01600,0100,N 434664,S200000,01700,0100,N 434664,S200000,01800,0100,N 434664,S200000,02200,0100,Y 434664,S200000,02800,0100,N 434664,S200000,02900,0100,N 434664,S200000,03000,0100,N 434664,S200000,03100,0100,N 434664,S200000,03200,0100,N 434664,S200000,03300,0100,N 434664,S200000,03300,0200,N 434664,S200000,04100,0100,N 434664,S200000,04200,0100,N 434664,S200000,04300,0100,N 434664,S200000,04600,0100,N 434664,S200000,04700,0100,N 434664,S200000,04700,0200,N 434664,S200000,04900,0100,N 434664,S200000,05000,0100,N 434664,S200000,05100,0100,N 434664,S200000,05200,0100,N 434664,S200000,05300,0100,Y 434664,S200000,05300,0200,HO02 434664,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434664,S200000,05400,0200,PGBA 434664,S200000,05400,0300,00380 434664,S200000,05500,0100,130 EAST MAIN ST. 434664,S200000,05500,0200,3347 434664,S200000,05600,0100,SPARTANBURG 434664,S200000,05600,0200,SC 434664,S200000,05600,0300,29304 434666,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434666,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434666,A000000,00300,0000,0300EMPLOYEE BENEFITS 434666,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434666,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434666,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434666,A000000,00700,0000,0700HOUSEKEEPING 434666,A000000,00800,0000,0800DIETARY 434666,A000000,00900,0000,0900NURSING ADMINISTRATION 434666,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434666,A000000,01100,0000,1100PHARMACY 434666,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434666,A000000,01300,0000,1300SOCIAL SERVICE 434666,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434666,A000000,01500,0000,1350RECREATION 434666,A000000,01600,0000,1600SKILLED NURSING FACILITY 434666,A000000,01810,0000,1810ICF/MR 434666,A000000,02100,0000,2100RADIOLOGY 434666,A000000,02200,0000,2200LABORATORY 434666,A000000,02300,0000,2300INTRAVENOUS THERAPY 434666,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434666,A000000,02500,0000,2500PHYSICAL THERAPY 434666,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434666,A000000,02700,0000,2700SPEECH PATHOLOGY 434666,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434666,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434666,A000000,03550,0000,3550FQHC 434666,A000000,04801,0000,4801AMBULANCE 434666,A000000,04802,0000,4802AMBULANCE 434666,A000000,04803,0000,4803AMBULANCE 434666,A000000,05000,0000,5000CORF 434666,A000000,05010,0000,5010CMHC 434666,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434666,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434666,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434666,A81000A,00100,0100,Y 434666,A81000B,00100,0300,SEE ATTACHED 434666,A81000B,00200,0300,CAPITAL INTEREST 434666,A81000B,00300,0300,HOME OFFICE 434666,A81000B,00400,0300,HOME OFFICE 434666,A81000C,00100,0100,B 434666,A81000C,00100,0400,SEE ATTACHED 434666,A81000C,00100,0600,VARIOUS 434666,A81000C,00200,0100,B 434666,A81000C,00200,0400,GHC 434666,A81000C,00200,0600,LONG TERM CARE 434666,A81000C,00300,0100,B 434666,A81000C,00300,0400,GHC 434666,A81000C,00300,0600,LONG TERM CARE 434666,A81000C,00400,0100,B 434666,A81000C,00400,0400,GHC 434666,A81000C,00400,0600,LONG TERM CARE 434666,B100000,00000,0100,0100SQUARE FEET 434666,B100000,00000,0200,0200SQUARE FEET 434666,B100000,00000,0300,0300GROSS SALARIES 434666,B100000,00000,0400,0400ACCUM COST 434666,B100000,00000,0500,0500SQUARE FEET 434666,B100000,00000,0600,0600PATIENT DAYS 434666,B100000,00000,0700,0700SQUARE FEET 434666,B100000,00000,0800,0800MEALS SERVED 434666,B100000,00000,0900,0900NURSING SALARIES 434666,B100000,00000,1000,1000COSTED REQUIS 434666,B100000,00000,1100,1100COSTED REQUIS 434666,B100000,00000,1200,1200PATIENT DAYS 434666,B100000,00000,1300,1300PATIENT DAYS 434666,B100000,00000,1400,1400ASSIGNED TIME 434666,B100000,00000,1500,1350PATIENT DAYS 434666,E10A180,00301,0100,04/01/11 434666,E10A180,00501,0100,05/08/12 434666,G300000,02500,0000,BARBER & BEAUTY 434666,S000000,00100,0200,09/12/11 434666,S200000,00100,0100,3001 EVESHAM ROAD 434666,S200000,00200,0100,VOORHEES 434666,S200000,00200,0200,NJ 434666,S200000,00200,0300,08043 434666,S200000,00300,0100,CAMDEN 434666,S200000,00300,0201,15804 434666,S200000,00300,0300,U 434666,S200000,00400,0100,VOORHEES CENTER 434666,S200000,00400,0200,315219 434666,S200000,00400,0300,03/01/86 434666,S200000,00400,0500,P 434666,S200000,01500,0100,Y 434666,S200000,01501,0200,N 434666,S200000,01502,0200,N 434666,S200000,01503,0200,N 434666,S200000,01504,0200,N 434666,S200000,01600,0100,N 434666,S200000,01700,0100,N 434666,S200000,01800,0100,N 434666,S200000,02200,0100,Y 434666,S200000,02800,0100,N 434666,S200000,02900,0100,N 434666,S200000,03000,0100,N 434666,S200000,03100,0100,N 434666,S200000,03200,0100,N 434666,S200000,03300,0100,N 434666,S200000,03300,0200,N 434666,S200000,04200,0100,N 434666,S200000,04300,0100,N 434666,S200000,04600,0100,N 434666,S200000,04700,0100,N 434666,S200000,04900,0100,N 434666,S200000,05200,0100,N 434666,S200000,05300,0100,Y 434666,S200000,05300,0200,HB0067 434666,S200000,05400,0100,GENESIS HEALTHCARE CORPORATION 434666,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434666,S200000,05400,0300,12001 434666,S200000,05500,0100,101 EAST STATE STREET 434666,S200000,05600,0100,KENNETT SQUARE 434666,S200000,05600,0200,PA 434666,S200000,05600,0300,19348 434667,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434667,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434667,A000000,00300,0000,0300EMPLOYEE BENEFITS 434667,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434667,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434667,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434667,A000000,00700,0000,0700HOUSEKEEPING 434667,A000000,00800,0000,0800DIETARY 434667,A000000,00900,0000,0900NURSING ADMINISTRATION 434667,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434667,A000000,01100,0000,1100PHARMACY 434667,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434667,A000000,01300,0000,1300SOCIAL SERVICE 434667,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434667,A000000,01600,0000,1600SKILLED NURSING FACILITY 434667,A000000,01810,0000,1810ICF/MR 434667,A000000,02100,0000,2100RADIOLOGY 434667,A000000,02200,0000,2200LABORATORY 434667,A000000,02500,0000,2500PHYSICAL THERAPY 434667,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434667,A000000,02700,0000,2700SPEECH PATHOLOGY 434667,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434667,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434667,A000000,03550,0000,3550FQHC 434667,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434667,A000000,04801,0000,4801AMBULANCE 434667,A000000,04802,0000,4802AMBULANCE 434667,A000000,04803,0000,4803AMBULANCE 434667,A000000,05000,0000,5000CORF 434667,A000000,05010,0000,5010CMHC 434667,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434667,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434667,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434667,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434667,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434667,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434667,A81000A,00100,0100,Y 434667,A81000B,00100,0300,PHYSICAL THERAPY 434667,A81000B,00200,0300,OCCUPATIONAL THERAPY 434667,A81000B,00300,0300,SPEECH THERAPY 434667,A81000B,00400,0300,MANAGEMENT FEES 434667,A81000C,00100,0100,A 434667,A81000C,00100,0200,JOHN MONTGOMERY 434667,A81000C,00100,0400,TOTAL WELLNESS 434667,A81000C,00100,0600,THERAPY SERVICES 434667,A81000C,00200,0100,A 434667,A81000C,00200,0200,JOHN MONTGOMERY 434667,A81000C,00200,0400,PROVIDENCE HEALTH CARE 434667,A81000C,00200,0600,ADMINISTRATIVE SERVICES 434667,B100000,00000,0100,0100PATIENT DAYS 434667,B100000,00000,0200,0200PATIENT DAYS 434667,B100000,00000,0300,0300GROSS SALARIES 434667,B100000,00000,0400,0400ACCUM COST 434667,B100000,00000,0500,0500PATIENT DAYS 434667,B100000,00000,0600,0600PATIENT DAYS 434667,B100000,00000,0700,0700PATIENT DAYS 434667,B100000,00000,0800,0800MEALS SERVED 434667,B100000,00000,0900,0900MEALS SERVED 434667,B100000,00000,1000,1000PATIENT DAYS 434667,B100000,00000,1100,1100PATIENT DAYS 434667,B100000,00000,1200,1200PATIENT DAYS 434667,B100000,00000,1300,1300PATIENT DAYS 434667,B100000,00000,1400,1400ASSIGNED TIME 434667,S000000,00100,0200,01/31/12 434667,S200000,00100,0100,7 PROFESSIONAL DRIVE 434667,S200000,00200,0100,BELLA VISTA 434667,S200000,00200,0200,AR 434667,S200000,00200,0300,72714 434667,S200000,00300,0100,BENTON 434667,S200000,00300,0201,22220 434667,S200000,00300,0300,U 434667,S200000,00400,0100,CONCORDIA NURSING & REHAB 434667,S200000,00400,0200,045143 434667,S200000,00400,0300,05/01/09 434667,S200000,00400,0500,P 434667,S200000,01500,0100,Y 434667,S200000,01501,0200,Y 434667,S200000,01503,0200,Y 434667,S200000,01600,0100,N 434667,S200000,01700,0100,N 434667,S200000,01800,0100,N 434667,S200000,02200,0100,N 434667,S200000,02800,0100,N 434667,S200000,02900,0100,N 434667,S200000,03000,0100,N 434667,S200000,03100,0100,N 434667,S200000,03200,0100,N 434667,S200000,03300,0100,N 434667,S200000,03300,0200,N 434667,S200000,04200,0100,N 434667,S200000,04300,0100,N 434667,S200000,04600,0100,N 434667,S200000,04700,0100,N 434667,S200000,04900,0100,N 434667,S200000,05200,0100,N 434670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434670,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434670,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434670,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434670,A000000,00300,0000,0300EMPLOYEE BENEFITS 434670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434670,A000000,00700,0000,0700HOUSEKEEPING 434670,A000000,00800,0000,0800DIETARY 434670,A000000,00801,0000,0801CAFETERIA 434670,A000000,00900,0000,0900NURSING ADMINISTRATION 434670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434670,A000000,01100,0000,1100PHARMACY 434670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434670,A000000,01300,0000,1300SOCIAL SERVICE 434670,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434670,A000000,01500,0000,1350ACTIVITIES 434670,A000000,01600,0000,1600SKILLED NURSING FACILITY 434670,A000000,01800,0000,1800NURSING FACILITY 434670,A000000,01900,0000,1900OTHER LONG TERM CARE 434670,A000000,02100,0000,2100RADIOLOGY 434670,A000000,02200,0000,2200LABORATORY 434670,A000000,02300,0000,2300INTRAVENOUS THERAPY 434670,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434670,A000000,02500,0000,2500PHYSICAL THERAPY 434670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434670,A000000,02700,0000,2700SPEECH PATHOLOGY 434670,A000000,02800,0000,2800ELECTROCARDIOLOGY 434670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434670,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434670,A000000,03200,0000,3200SUPPORT SURFACES 434670,A000000,03300,0000,3050ENTERALS 434670,A000000,03301,0000,3051OXYGEN 434670,A000000,03302,0000,3052OTHER ANCILLARY III 434670,A000000,03400,0000,3400CLINIC 434670,A000000,03500,0000,3500RURAL HEALTH CLINIC 434670,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434670,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434670,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434670,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434670,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434670,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434670,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434670,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434670,A000000,04400,0000,4400DME RENTED - HHA 434670,A000000,04500,0000,4500DME SOLD - HHA 434670,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434670,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434670,A000000,04710,0000,4710TELEMEDICINE 434670,A000000,04800,0000,4800AMBULANCE 434670,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434670,A000000,05000,0000,5000CORF 434670,A000000,05001,0000,5001CMHC I 434670,A000000,05020,0000,5020OPT I 434670,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434670,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434670,A000000,05300,0000,5300INTEREST EXPENSE 434670,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434670,A000000,05500,0000,5500HOSPICE 434670,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434670,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434670,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434670,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434670,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434670,A000000,06100,0000,6100NONPAID WORKERS 434670,A000000,06200,0000,6200PATIENTS LAUNDRY 434670,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434670,A81000A,00100,0100,Y 434670,A81000B,00100,0300,MANAGEMENT FEES 434670,A81000B,00200,0300,NURSING SUPPLIES 434670,A81000B,00300,0300,LEGEND DRUGS 434670,A81000B,00400,0300,OTC 434670,A81000B,00500,0300,MED SUPPLIES 434670,A81000B,00600,0300,PHAR CONSLT 434670,A81000B,00700,0300,RELATED LEASE 434670,A81000B,00800,0300,DEPRECIATION 434670,A81000B,00900,0300,INTEREST 434670,A81000C,00100,0100,B 434670,A81000C,00100,0400,WOM 434670,A81000C,00100,0600,NSG HOME CHAIN 434670,A81000C,00200,0100,B 434670,A81000C,00200,0400,WOM 434670,A81000C,00200,0600,PHARMACY 434670,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434670,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434670,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434670,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434670,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434670,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434670,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434670,B100000,00000,0800,0800MEALS SERVED :DIETARY 434670,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434670,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434670,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434670,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434670,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434670,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434670,E10A180,00501,0100,06/06/12 434670,E10A180,00550,0300,06/06/12 434670,S000000,00100,0200,03/21/12 434670,S200000,00100,0100,295 EAST PEARL ST 434670,S200000,00100,0300,4487 434670,S200000,00200,0100,SPARTANBURG 434670,S200000,00200,0200,SC 434670,S200000,00200,0300,29305-4887 434670,S200000,00300,0100,SPARTANBURG 434670,S200000,00300,0201,43900 434670,S200000,00300,0300,U 434670,S200000,00400,0100,WHITE OAK MANOR-SPARTANBURG 434670,S200000,00400,0200,425024 434670,S200000,00400,0300,09/30/67 434670,S200000,00400,0500,P 434670,S200000,01500,0100,Y 434670,S200000,01501,0200,Y 434670,S200000,01502,0200,Y 434670,S200000,01503,0200,Y 434670,S200000,01504,0200,Y 434670,S200000,01600,0100,N 434670,S200000,01700,0100,N 434670,S200000,01800,0100,N 434670,S200000,02200,0100,Y 434670,S200000,02800,0100,N 434670,S200000,02900,0100,N 434670,S200000,03000,0100,N 434670,S200000,03100,0100,N 434670,S200000,03200,0100,N 434670,S200000,03300,0100,N 434670,S200000,03300,0200,N 434670,S200000,04100,0100,N 434670,S200000,04200,0100,N 434670,S200000,04300,0100,N 434670,S200000,04600,0100,N 434670,S200000,04700,0100,N 434670,S200000,04700,0200,N 434670,S200000,04900,0100,N 434670,S200000,05000,0100,N 434670,S200000,05100,0100,N 434670,S200000,05200,0100,N 434670,S200000,05300,0100,Y 434670,S200000,05300,0200,HO02 434670,S200000,05400,0100,WHITE OAK MANAGEMENT INC. 434670,S200000,05400,0200,PGBA 434670,S200000,05400,0300,00380 434670,S200000,05500,0100,130 EAST MAIN ST. 434670,S200000,05500,0200,3347 434670,S200000,05600,0100,SPARTANBURG 434670,S200000,05600,0200,SC 434670,S200000,05600,0300,29304 434672,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434672,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434672,A000000,00300,0000,0300EMPLOYEE BENEFITS 434672,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434672,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434672,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434672,A000000,00700,0000,0700HOUSEKEEPING 434672,A000000,00800,0000,0800DIETARY 434672,A000000,00900,0000,0900NURSING ADMINISTRATION 434672,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434672,A000000,01300,0000,1300SOCIAL SERVICE 434672,A000000,01600,0000,1600SKILLED NURSING FACILITY 434672,A000000,01800,0000,1800NURSING FACILITY 434672,A000000,01810,0000,1810ICF/MR 434672,A000000,01900,0000,1900OTHER LONG TERM CARE 434672,A000000,02100,0000,2100RADIOLOGY 434672,A000000,02200,0000,2200LABORATORY 434672,A000000,02300,0000,2300INTRAVENOUS THERAPY 434672,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434672,A000000,02500,0000,2500PHYSICAL THERAPY 434672,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434672,A000000,02700,0000,2700SPEECH PATHOLOGY 434672,A000000,02800,0000,2800ELECTROCARDIOLOGY 434672,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434672,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434672,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434672,A000000,03200,0000,3200SUPPORT SURFACES 434672,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434672,A000000,03301,0000,3051AIR FLUID THERAPY 434672,A000000,03302,0000,3052AMBULANCE 434672,A000000,03303,0000,3053PEN THERAPY 434672,A000000,03304,0000,3054ONCOLOGY 434672,A000000,03305,0000,3055CARDIOLOGY 434672,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434672,A000000,03307,0000,3057AUDIOLOGY 434672,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434672,A000000,03400,0000,3400CLINIC 434672,A000000,03500,0000,3500RURAL HEALTH CLINIC 434672,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434672,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434672,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434672,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434672,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434672,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434672,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434672,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434672,A000000,04400,0000,4400DME RENTED - HHA 434672,A000000,04500,0000,4500DME SOLD - HHA 434672,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434672,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434672,A000000,04710,0000,4710TELEMEDICINE 434672,A000000,04800,0000,4800AMBULANCE 434672,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434672,A000000,05000,0000,5000CORF 434672,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434672,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434672,A000000,05300,0000,5300INTEREST EXPENSE 434672,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434672,A000000,05500,0000,5500HOSPICE 434672,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434672,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434672,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434672,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434672,A000000,06100,0000,6100NONPAID WORKERS 434672,A000000,06200,0000,6200PATIENTS LAUNDRY 434672,A000000,06300,0000,6150ADULT DAY HEALTH 434672,A000000,06301,0000,6151ASSISTED LIVING 434672,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434672,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434672,A81000A,00100,0100,Y 434672,A81000B,00100,0300,CENTRAL OFFICE COSTS 434672,A81000B,00200,0300,CENTRAL OFFICE COSTS -DIETARY 434672,A81000B,00300,0300,CENTRAL OFFICE COSTS - CLINICAL 434672,A81000B,00400,0300,PT REVENUE 434672,A81000B,00500,0300,OT REVENUE 434672,A81000B,00600,0300,ST REVENUE 434672,A81000C,00100,0100,G 434672,A81000C,00100,0200,AUGUSTANA CARE SERVICES 434672,A81000C,00100,0400,AUGUSTANA CARE SERVICES 434672,A81000C,00100,0600,MGMT COMPANY 434672,A81000C,00200,0100,G 434672,A81000C,00200,0200,AUGUSTANA CARE SERVICES 434672,A81000C,00200,0400,AUGUSTANA CARE SERVICES 434672,A81000C,00200,0600,MGMT COMPANY 434672,A81000C,00300,0100,G 434672,A81000C,00300,0200,AUGUSTANA CARE SERVICES 434672,A81000C,00300,0400,AUGUSTANA CARE SERVICES 434672,A81000C,00300,0600,MGMT COMPANY 434672,A81000C,00400,0100,G 434672,A81000C,00400,0200,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00400,0400,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00400,0600,THERAPY SERVICES 434672,A81000C,00500,0100,G 434672,A81000C,00500,0200,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00500,0400,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00500,0600,THERAPY SERVICES 434672,A81000C,00600,0100,G 434672,A81000C,00600,0200,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00600,0400,AUGUSTANA COMMUNITY PARTN 434672,A81000C,00600,0600,THERAPY SERVICES 434672,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434672,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434672,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434672,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434672,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434672,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434672,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434672,B100000,00000,0800,0800MEALS SERVED :DIETARY 434672,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434672,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434672,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434672,E10A180,00550,0100,03/22/12 434672,E10A180,00551,0100,05/15/12 434672,G300000,02500,0000,OTHER - SEE GROUPINGS 434672,S000000,00100,0200,02/28/12 434672,S200000,00100,0100,615 MINNETONKA MILLS RD 434672,S200000,00200,0100,HOPKINS 434672,S200000,00200,0200,MN 434672,S200000,00200,0300,55343-7289 434672,S200000,00300,0100,HENNEPIN 434672,S200000,00300,0200,5120 434672,S200000,00300,0201,33460 434672,S200000,00300,0300,U 434672,S200000,00400,0100,AUGUSTANA CHAPEL VIEW CARE CENTER 434672,S200000,00400,0200,245493 434672,S200000,00400,0300,03/01/75 434672,S200000,00400,0500,P 434672,S200000,00400,0600,P 434672,S200000,01500,0100,Y 434672,S200000,01501,0200,Y 434672,S200000,01502,0200,N 434672,S200000,01503,0200,Y 434672,S200000,01600,0100,N 434672,S200000,01700,0100,N 434672,S200000,01800,0100,N 434672,S200000,02200,0100,N 434672,S200000,02800,0100,N 434672,S200000,02900,0100,N 434672,S200000,03000,0100,N 434672,S200000,03100,0100,N 434672,S200000,03200,0100,N 434672,S200000,03300,0100,N 434672,S200000,03300,0200,N 434672,S200000,04100,0100,N 434672,S200000,04200,0100,N 434672,S200000,04300,0100,N 434672,S200000,04600,0100,N 434672,S200000,04700,0100,N 434672,S200000,04700,0200,N 434672,S200000,04900,0100,N 434672,S200000,05000,0100,N 434672,S200000,05100,0100,N 434672,S200000,05200,0100,N 434672,S200000,05300,0100,Y 434672,S200000,05300,0200,HB0494 434672,S200000,05400,0100,AUGUSTANA CARE SERVICES 434672,S200000,05400,0200,NORIDIAN 434672,S200000,05400,0300,00320 434672,S200000,05500,0100,1007 EAST FOURTEENTH STREET 434672,S200000,05500,0200,N/A 434672,S200000,05600,0100,MINNEAPOLIS 434672,S200000,05600,0200,MN 434672,S200000,05600,0300,55404 434673,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434673,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434673,A000000,00300,0000,0300EMPLOYEE BENEFITS 434673,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434673,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434673,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434673,A000000,00700,0000,0700HOUSEKEEPING 434673,A000000,00800,0000,0800DIETARY 434673,A000000,01300,0000,1300SOCIAL SERVICE 434673,A000000,01350,0000,1350ACTIVITIES 434673,A000000,01600,0000,1600SKILLED NURSING FACILITY 434673,A000000,02100,0000,2100RADIOLOGY 434673,A000000,02200,0000,2200LABORATORY 434673,A000000,02500,0000,2500PHYSICAL THERAPY 434673,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434673,A000000,02700,0000,2700SPEECH PATHOLOGY 434673,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434673,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434673,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434673,A000000,06300,0000,6150MENTAL HEALTH 434673,A81000A,00100,0100,Y 434673,A81000C,00100,0100,B 434673,A81000C,00100,0200,COURAGE CENTER 434673,A81000C,00100,0600,HOME OFFICE 434673,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434673,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434673,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434673,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434673,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434673,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434673,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434673,B100000,00000,0800,0800MEALS SERVED :DIETARY 434673,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434673,B100000,00000,1350,1350PATIENT DAYS :ACTIVITIES 434673,E10A180,00550,0100,03/19/12 434673,G300000,02500,0000,MISC INCOME 434673,S000000,00100,0200,02/28/12 434673,S200000,00100,0100,3915 GOLDEN VALLEY ROAD 434673,S200000,00200,0100,MINNEAPOLIS 434673,S200000,00200,0200,MN 434673,S200000,00200,0300,55422 434673,S200000,00300,0100,HENNEPIN 434673,S200000,00300,0201,33460 434673,S200000,00300,0300,U 434673,S200000,00400,0100,COURAGE CENTER 434673,S200000,00400,0200,245519 434673,S200000,00400,0300,02/01/88 434673,S200000,00400,0500,P 434673,S200000,01500,0100,Y 434673,S200000,01501,0200,Y 434673,S200000,01505,0000,OTHER DIRECT EXPENSE 434673,S200000,01505,0200,Y 434673,S200000,01600,0100,N 434673,S200000,01700,0100,N 434673,S200000,01800,0100,N 434673,S200000,02200,0100,N 434673,S200000,02800,0100,Y 434673,S200000,02900,0100,N 434673,S200000,03000,0100,N 434673,S200000,03100,0100,N 434673,S200000,03200,0100,N 434673,S200000,03300,0100,N 434673,S200000,03300,0200,N 434673,S200000,04100,0100,N 434673,S200000,04200,0100,N 434673,S200000,04300,0100,N 434673,S200000,04600,0100,N 434673,S200000,04700,0100,N 434673,S200000,04700,0200,N 434673,S200000,04900,0100,N 434673,S200000,05000,0100,N 434673,S200000,05100,0100,N 434673,S200000,05200,0100,N 434673,S200000,05300,0100,Y 434673,S200000,05300,0200,HB0485 434673,S200000,05400,0100,COURAGE CENTER 434673,S200000,05400,0200,NORIDIAN 434673,S200000,05400,0300,HB0485 434673,S200000,05500,0100,3915 GOLDEN VALLEY ROAD 434673,S200000,05600,0100,MINNEAPOLIS 434673,S200000,05600,0200,MN 434673,S200000,05600,0300,55422 434674,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434674,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434674,A000000,00300,0000,0300EMPLOYEE BENEFITS 434674,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434674,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434674,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434674,A000000,00700,0000,0700HOUSEKEEPING 434674,A000000,00800,0000,0800DIETARY 434674,A000000,00900,0000,0900NURSING ADMINISTRATION 434674,A000000,01100,0000,1100PHARMACY 434674,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434674,A000000,01300,0000,1300SOCIAL SERVICE 434674,A000000,01600,0000,1600SKILLED NURSING FACILITY 434674,A000000,01800,0000,1800NURSING FACILITY 434674,A000000,01810,0000,1810ICF/MR 434674,A000000,01900,0000,1900OTHER LONG TERM CARE 434674,A000000,02100,0000,2100RADIOLOGY 434674,A000000,02200,0000,2200LABORATORY 434674,A000000,02300,0000,2300INTRAVENOUS THERAPY 434674,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434674,A000000,02500,0000,2500PHYSICAL THERAPY 434674,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434674,A000000,02700,0000,2700SPEECH PATHOLOGY 434674,A000000,02800,0000,2800ELECTROCARDIOLOGY 434674,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434674,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434674,A000000,03400,0000,3400CLINIC 434674,A000000,03500,0000,3500RURAL HEALTH CLINIC 434674,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434674,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434674,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434674,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434674,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434674,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434674,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434674,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434674,A000000,04400,0000,4400DME RENTED - HHA 434674,A000000,04500,0000,4500DME SOLD - HHA 434674,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434674,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434674,A000000,04710,0000,4710TELEMEDICINE 434674,A000000,04800,0000,4800AMBULANCE 434674,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434674,A000000,05000,0000,5000CORF 434674,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434674,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434674,A000000,05300,0000,5300INTEREST EXPENSE 434674,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434674,A000000,05500,0000,5500HOSPICE 434674,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434674,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434674,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434674,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434674,A000000,06100,0000,6100NONPAID WORKERS 434674,A000000,06200,0000,6200PATIENTS LAUNDRY 434674,A000000,06300,0000,6150ADULT DAY HEALTH 434674,A81000A,00100,0100,N 434674,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434674,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434674,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434674,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434674,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434674,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434674,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434674,B100000,00000,0800,0800MEALS SERVED :DIETARY 434674,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434674,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434674,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434674,E10A180,00501,0300,03/15/12 434674,E10A180,00550,0100,03/15/12 434674,G300000,02500,0000,OTHER - SEE GROUPINGS 434674,S000000,00100,0200,03/02/12 434674,S200000,00100,0100,221 6TH STREET SW 434674,S200000,00200,0100,MADELIA 434674,S200000,00200,0200,MN 434674,S200000,00200,0300,56062 434674,S200000,00300,0100,WATONWAN 434674,S200000,00300,0200,24 434674,S200000,00300,0201,99924 434674,S200000,00300,0300,R 434674,S200000,00400,0100,LUTHER MEMORIAL HOME 434674,S200000,00400,0200,245522 434674,S200000,00400,0300,11/01/87 434674,S200000,00400,0500,P 434674,S200000,00400,0600,P 434674,S200000,01500,0100,Y 434674,S200000,01501,0200,N 434674,S200000,01504,0200,Y 434674,S200000,01600,0100,N 434674,S200000,01700,0100,N 434674,S200000,01800,0100,N 434674,S200000,02200,0100,N 434674,S200000,02800,0100,N 434674,S200000,02900,0100,N 434674,S200000,03000,0100,N 434674,S200000,03100,0100,N 434674,S200000,03200,0100,N 434674,S200000,03300,0100,N 434674,S200000,03300,0200,N 434674,S200000,04100,0100,N 434674,S200000,04200,0100,N 434674,S200000,04300,0100,N 434674,S200000,04600,0100,N 434674,S200000,04700,0100,N 434674,S200000,04700,0200,N 434674,S200000,04900,0100,N 434674,S200000,05000,0100,N 434674,S200000,05100,0100,N 434674,S200000,05200,0100,N 434674,S200000,05300,0100,N 434675,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434675,A000000,00300,0000,0300EMPLOYEE BENEFITS 434675,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434675,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434675,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434675,A000000,00700,0000,0700HOUSEKEEPING 434675,A000000,00800,0000,0800DIETARY 434675,A000000,00900,0000,0900NURSING ADMINISTRATION 434675,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434675,A000000,01300,0000,1300SOCIAL SERVICE 434675,A000000,01600,0000,1600SKILLED NURSING FACILITY 434675,A000000,02100,0000,2100RADIOLOGY 434675,A000000,02200,0000,2200LABORATORY 434675,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434675,A000000,02500,0000,2500PHYSICAL THERAPY 434675,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434675,A000000,02700,0000,2700SPEECH PATHOLOGY 434675,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434675,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434675,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434675,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434675,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434675,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434675,A000000,06100,0000,6100NONPAID WORKERS 434675,A000000,06200,0000,6200PATIENTS LAUNDRY 434675,A000000,06300,0000,6150ADULT DAY HEALTH 434675,A000000,06301,0000,6151ASSISTED LIVING 434675,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434675,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434675,A81000A,00100,0100,Y 434675,A81000B,00700,0300,MANAGEMENT FEES 434675,A81000B,00800,0300,DIETARY CONSULTING 434675,A81000C,00100,0100,B 434675,A81000C,00100,0400,LUTHERAN HOME 434675,A81000C,00100,0600,MANAGEMENT 434675,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434675,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434675,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434675,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434675,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434675,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434675,B100000,00000,0800,0800MEALS SERVED :DIETARY 434675,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434675,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434675,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434675,E10A180,00501,0100,05/07/12 434675,G300000,02500,0000,OTHER - SEE GROUPINGS 434675,G300000,02503,0000,OTHER - SEE GROUPINGS 434675,S000000,00100,0200,02/29/12 434675,S200000,00100,0100,900 CANNON VALLEY DRIVE 434675,S200000,00200,0100,NORTHFIELD 434675,S200000,00200,0200,MN 434675,S200000,00200,0300,55057 434675,S200000,00300,0100,RICE 434675,S200000,00300,0200,24 434675,S200000,00300,0201,99924 434675,S200000,00300,0300,R 434675,S200000,00400,0100,NORTHFIELD CARE CENTER 434675,S200000,00400,0200,245561 434675,S200000,00400,0300,05/01/91 434675,S200000,00400,0500,P 434675,S200000,00400,0600,P 434675,S200000,01500,0100,Y 434675,S200000,01501,0200,Y 434675,S200000,01503,0200,Y 434675,S200000,01504,0200,N 434675,S200000,01600,0100,N 434675,S200000,01700,0100,N 434675,S200000,01800,0100,N 434675,S200000,02200,0100,N 434675,S200000,02800,0100,N 434675,S200000,02900,0100,N 434675,S200000,03000,0100,N 434675,S200000,03100,0100,N 434675,S200000,03200,0100,N 434675,S200000,03300,0100,N 434675,S200000,03300,0200,N 434675,S200000,04100,0100,N 434675,S200000,04200,0100,N 434675,S200000,04300,0100,N 434675,S200000,04600,0100,N 434675,S200000,04700,0100,N 434675,S200000,04700,0200,N 434675,S200000,04900,0100,N 434675,S200000,05000,0100,N 434675,S200000,05100,0100,N 434675,S200000,05200,0100,N 434675,S200000,05300,0100,N 434677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434677,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434677,A000000,00300,0000,0300EMPLOYEE BENEFITS 434677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434677,A000000,00700,0000,0700HOUSEKEEPING 434677,A000000,00800,0000,0800DIETARY 434677,A000000,00900,0000,0900NURSING ADMINISTRATION 434677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434677,A000000,01100,0000,1100PHARMACY 434677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434677,A000000,01300,0000,1300SOCIAL SERVICE 434677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434677,A000000,01500,0000,1350ACTIVITIES 434677,A000000,01600,0000,1600SKILLED NURSING FACILITY 434677,A000000,01800,0000,1800NURSING FACILITY 434677,A000000,01810,0000,1810ICF/MR 434677,A000000,01900,0000,1900OTHER LONG TERM CARE 434677,A000000,02100,0000,2100RADIOLOGY 434677,A000000,02200,0000,2200LABORATORY 434677,A000000,02300,0000,2300INTRAVENOUS THERAPY 434677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434677,A000000,02500,0000,2500PHYSICAL THERAPY 434677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434677,A000000,02700,0000,2700SPEECH PATHOLOGY 434677,A000000,02800,0000,2800ELECTROCARDIOLOGY 434677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434677,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434677,A000000,03200,0000,3200SUPPORT SURFACES 434677,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434677,A000000,03400,0000,3400CLINIC 434677,A000000,03500,0000,3500RURAL HEALTH CLINIC 434677,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434677,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434677,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434677,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434677,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434677,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434677,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434677,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434677,A000000,04400,0000,4400DME RENTED - HHA 434677,A000000,04500,0000,4500DME SOLD - HHA 434677,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434677,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434677,A000000,04710,0000,4710TELEMEDICINE 434677,A000000,04800,0000,4800AMBULANCE 434677,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434677,A000000,05000,0000,5000CORF 434677,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434677,A000000,05300,0000,5300INTEREST EXPENSE 434677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434677,A000000,05500,0000,5500HOSPICE 434677,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434677,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434677,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434677,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434677,A000000,06100,0000,6100NONPAID WORKERS 434677,A000000,06200,0000,6200PATIENTS LAUNDRY 434677,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434677,A81000A,00100,0100,Y 434677,A81000B,00100,0300,MANAGEMENT FEES 434677,A81000B,00200,0300,PROPERTY COSTS 434677,A81000B,00300,0300,LEGAL FEES 434677,A81000C,00100,0100,A 434677,A81000C,00100,0200,ROBERT HAGAN 434677,A81000C,00100,0400,PUTNAM COUNCIL INC. 434677,A81000C,00100,0600,HOME OFFICE 434677,A81000C,00200,0100,A 434677,A81000C,00200,0200,ROBERT HAGAN 434677,A81000C,00200,0400,PUTNAM COUNCIL INC. 434677,A81000C,00200,0600,HOME OFFICE 434677,A81000C,00300,0100,A 434677,A81000C,00300,0200,ROBERT HAGAN 434677,A81000C,00300,0400,PUTNAM COUNCIL INC. 434677,A81000C,00300,0600,HOME OFFICE 434677,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434677,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434677,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434677,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434677,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 434677,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434677,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 434677,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 434677,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 434677,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 434677,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 434677,B100000,00000,1500,1350RESIDENT DAYS :ACTIVITIES 434677,G300000,02500,0000,MEDICARE-PRIOR PERIOD 434677,G300000,02501,0000,OTHER MEDICARE SETTLEMENT 434677,G300000,02502,0000,MISCELLANEOUS INCOME 434677,S000000,00100,0200,06/07/12 434677,S200000,00100,0100,40 ACME STREET 434677,S200000,00200,0100,JACKSONVILLE 434677,S200000,00200,0200,FL 434677,S200000,00200,0300,32211 434677,S200000,00300,0100,DUVAL 434677,S200000,00300,0201,27260 434677,S200000,00300,0300,U 434677,S200000,00400,0100,RIVERWOOD NURSING CENTER INC 434677,S200000,00400,0200,105945 434677,S200000,00400,0300,08/16/01 434677,S200000,00400,0500,P 434677,S200000,01500,0100,Y 434677,S200000,01501,0200,Y 434677,S200000,01502,0200,Y 434677,S200000,01503,0200,Y 434677,S200000,01600,0100,N 434677,S200000,01700,0100,N 434677,S200000,01800,0100,N 434677,S200000,02200,0100,N 434677,S200000,02800,0100,N 434677,S200000,02900,0100,N 434677,S200000,03000,0100,N 434677,S200000,03100,0100,N 434677,S200000,03200,0100,N 434677,S200000,03300,0100,N 434677,S200000,03300,0200,N 434677,S200000,04100,0100,N 434677,S200000,04200,0100,N 434677,S200000,04300,0100,N 434677,S200000,04600,0100,N 434677,S200000,04700,0100,N 434677,S200000,04700,0200,N 434677,S200000,04900,0100,N 434677,S200000,05000,0100,N 434677,S200000,05100,0100,N 434677,S200000,05200,0100,N 434677,S200000,05300,0100,Y 434677,S200000,05300,0200,119056 434677,S200000,05400,0100,PUTNAM COUNCIL INC. 434677,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES HEALTH 434677,S200000,05400,0300, 00005 434677,S200000,05500,0100,16 NORCROSS STREET SUITE 100 434677,S200000,05600,0100,ROSWELL 434677,S200000,05600,0200,GA 434677,S200000,05600,0300,30075 434681,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434681,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434681,A000000,00300,0000,0300EMPLOYEE BENEFITS 434681,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434681,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434681,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434681,A000000,00700,0000,0700HOUSEKEEPING 434681,A000000,00800,0000,0800DIETARY 434681,A000000,00900,0000,0900NURSING ADMINISTRATION 434681,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434681,A000000,01100,0000,1100PHARMACY 434681,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434681,A000000,01300,0000,1300SOCIAL SERVICE 434681,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434681,A000000,01500,0000,1350OTHER GENERAL SERVICES 434681,A000000,01600,0000,1600SKILLED NURSING FACILITY 434681,A000000,01800,0000,1800NURSING FACILITY 434681,A000000,01810,0000,1810ICF/MR 434681,A000000,01900,0000,1900OTHER LONG TERM CARE 434681,A000000,02100,0000,2100RADIOLOGY 434681,A000000,02200,0000,2200LABORATORY 434681,A000000,02300,0000,2300INTRAVENOUS THERAPY 434681,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434681,A000000,02500,0000,2500PHYSICAL THERAPY 434681,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434681,A000000,02700,0000,2700SPEECH PATHOLOGY 434681,A000000,02800,0000,2800ELECTROCARDIOLOGY 434681,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434681,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434681,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434681,A000000,03200,0000,3200SUPPORT SURFACES 434681,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434681,A000000,03400,0000,3400CLINIC 434681,A000000,03500,0000,3500RURAL HEALTH CLINIC 434681,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434681,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434681,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434681,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434681,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434681,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434681,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434681,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434681,A000000,04400,0000,4400DME RENTED - HHA 434681,A000000,04500,0000,4500DME SOLD - HHA 434681,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434681,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434681,A000000,04710,0000,4710TELEMEDICINE 434681,A000000,04800,0000,4800AMBULANCE 434681,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434681,A000000,05000,0000,5000CORF 434681,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434681,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434681,A000000,05300,0000,5300INTEREST EXPENSE 434681,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434681,A000000,05500,0000,5500HOSPICE 434681,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434681,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434681,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434681,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434681,A000000,06100,0000,6100NONPAID WORKERS 434681,A000000,06200,0000,6200PATIENTS LAUNDRY 434681,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434681,A81000A,00100,0100,N 434681,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434681,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434681,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434681,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434681,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434681,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434681,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434681,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434681,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434681,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434681,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434681,E10A180,00550,0100,06/04/12 434681,G300000,02500,0000,OTHER INCOME 434681,S000000,00100,0200,04/13/12 434681,S200000,00100,0100,344 SOUTH RITTER 434681,S200000,00200,0100,INDIANAPOLIS 434681,S200000,00200,0200,IN 434681,S200000,00200,0300,46219 434681,S200000,00300,0100,MARION 434681,S200000,00300,0201,26900 434681,S200000,00300,0300,U 434681,S200000,00400,0100,IRVINGTON NURSING & REHABILITATION 434681,S200000,00400,0200,155737 434681,S200000,00400,0300,05/04/05 434681,S200000,00400,0500,P 434681,S200000,01500,0100,Y 434681,S200000,01600,0100,N 434681,S200000,01700,0100,N 434681,S200000,01800,0100,N 434681,S200000,02200,0100,N 434681,S200000,02800,0100,N 434681,S200000,02900,0100,N 434681,S200000,03000,0100,N 434681,S200000,03100,0100,Y 434681,S200000,03200,0100,N 434681,S200000,03300,0100,N 434681,S200000,03300,0200,N 434681,S200000,04100,0100,N 434681,S200000,04200,0100,N 434681,S200000,04300,0100,N 434681,S200000,04600,0100,N 434681,S200000,04700,0100,N 434681,S200000,04700,0200,N 434681,S200000,04900,0100,N 434681,S200000,05000,0100,N 434681,S200000,05100,0100,N 434681,S200000,05200,0100,N 434682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434682,A000000,00300,0000,0300EMPLOYEE BENEFITS 434682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434682,A000000,00700,0000,0700HOUSEKEEPING 434682,A000000,00800,0000,0800DIETARY 434682,A000000,00900,0000,0900NURSING ADMINISTRATION 434682,A000000,01100,0000,1100PHARMACY 434682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434682,A000000,01300,0000,1300SOCIAL SERVICE 434682,A000000,01600,0000,1600SKILLED NURSING FACILITY 434682,A000000,02500,0000,2500PHYSICAL THERAPY 434682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434682,A000000,02700,0000,2700SPEECH PATHOLOGY 434682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434682,A81000A,00100,0100,N 434682,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434682,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434682,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434682,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434682,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434682,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434682,B100000,00000,0800,0800MEALS SERVED :DIETARY 434682,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434682,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 434682,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434682,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434682,G300000,02500,0000,ADJUSTMENTS 434682,G300000,02501,0000,MISCELLANEOUS 434682,S000000,00100,0200,11/28/11 434682,S200000,00100,0100,303 2ND STREET 434682,S200000,00200,0100,ROLFE 434682,S200000,00200,0200,IA 434682,S200000,00200,0300,50581 434682,S200000,00300,0100,POCAHONTAS 434682,S200000,00300,0201,99916 434682,S200000,00300,0300,R 434682,S200000,00400,0100,ROLFE CARE CENTER 434682,S200000,00400,0200,165429 434682,S200000,00400,0300,10/01/01 434682,S200000,00400,0500,P 434682,S200000,01500,0100,Y 434682,S200000,01501,0200,N 434682,S200000,01502,0200,N 434682,S200000,01503,0200,N 434682,S200000,01504,0200,N 434682,S200000,01600,0100,N 434682,S200000,01700,0100,N 434682,S200000,01800,0100,N 434682,S200000,01900,0100,LLC 434682,S200000,02200,0100,N 434682,S200000,02800,0100,N 434682,S200000,02900,0100,N 434682,S200000,03000,0100,N 434682,S200000,03100,0100,N 434682,S200000,03200,0100,N 434682,S200000,03300,0100,N 434682,S200000,03300,0200,N 434682,S200000,04100,0100,N 434682,S200000,04200,0100,N 434682,S200000,04300,0100,N 434682,S200000,04600,0100,N 434682,S200000,04700,0100,N 434682,S200000,04700,0200,N 434682,S200000,04900,0100,N 434682,S200000,05000,0100,N 434682,S200000,05100,0100,N 434682,S200000,05200,0100,N 434682,S200000,05300,0100,N 434683,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434683,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434683,A000000,00300,0000,0300EMPLOYEE BENEFITS 434683,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434683,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434683,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434683,A000000,00700,0000,0700HOUSEKEEPING 434683,A000000,00800,0000,0800DIETARY 434683,A000000,00900,0000,0900NURSING ADMINISTRATION 434683,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434683,A000000,01100,0000,1100PHARMACY 434683,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434683,A000000,01300,0000,1300SOCIAL SERVICE 434683,A000000,01500,0000,1350ACTIVITIES 434683,A000000,01600,0000,1600SKILLED NURSING FACILITY 434683,A000000,01800,0000,1800NURSING FACILITY 434683,A000000,01900,0000,1900OTHER LONG TERM CARE 434683,A000000,02100,0000,2100RADIOLOGY 434683,A000000,02200,0000,2200LABORATORY 434683,A000000,02300,0000,2300INTRAVENOUS THERAPY 434683,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434683,A000000,02500,0000,2500PHYSICAL THERAPY 434683,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434683,A000000,02700,0000,2700SPEECH PATHOLOGY 434683,A000000,02800,0000,2800ELECTROCARDIOLOGY 434683,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434683,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434683,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434683,A000000,03200,0000,3200SUPPORT SURFACES 434683,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434683,A000000,03400,0000,3400CLINIC 434683,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434683,A000000,04800,0000,4800AMBULANCE 434683,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434683,A000000,05300,0000,5300INTEREST EXPENSE 434683,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434683,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434683,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434683,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434683,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434683,A000000,06100,0000,6100NONPAID WORKERS 434683,A000000,06200,0000,6200PATIENTS LAUNDRY 434683,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434683,A81000A,00100,0100,N 434683,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434683,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434683,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434683,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434683,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434683,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434683,B100000,00000,0800,0800MEALS SERVED :DIETARY 434683,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434683,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434683,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434683,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434683,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434683,B100000,00000,1500,1350COSTED REQUISITIO :ACTIVITIES 434683,E10A180,00301,0100,11/19/11 434683,G300000,02500,0000, OTHER (SPECIFY) 434683,S000000,00100,0200,05/02/12 434683,S200000,00100,0100,1020 PINE 434683,S200000,00200,0100,HUMBOLT 434683,S200000,00200,0200,KS 434683,S200000,00200,0300,66748 434683,S200000,00300,0100,ALLEN 434683,S200000,00300,0201,99917 434683,S200000,00300,0300,R 434683,S200000,00400,0100,PINECREST NURSING HOME 434683,S200000,00400,0200,175345 434683,S200000,00400,0300,04/01/96 434683,S200000,00400,0500,P 434683,S200000,01500,0100,N 434683,S200000,01600,0100,N 434683,S200000,01700,0100,N 434683,S200000,01800,0100,N 434683,S200000,02200,0100,N 434683,S200000,02800,0100,N 434683,S200000,02900,0100,N 434683,S200000,03000,0100,N 434683,S200000,03100,0100,N 434683,S200000,03200,0100,N 434683,S200000,03300,0100,N 434683,S200000,03300,0200,N 434683,S200000,04100,0100,N 434683,S200000,04200,0100,N 434683,S200000,04300,0100,N 434683,S200000,04600,0100,N 434683,S200000,04700,0100,N 434683,S200000,04700,0200,N 434683,S200000,04900,0100,N 434683,S200000,05000,0100,N 434683,S200000,05100,0100,N 434683,S200000,05200,0100,N 434683,S200000,05300,0100,N 434684,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434684,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434684,A000000,00300,0000,0300EMPLOYEE BENEFITS 434684,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434684,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434684,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434684,A000000,00700,0000,0700HOUSEKEEPING 434684,A000000,00800,0000,0800DIETARY 434684,A000000,00900,0000,0900NURSING ADMINISTRATION 434684,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434684,A000000,01100,0000,1100PHARMACY 434684,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434684,A000000,01300,0000,1300SOCIAL SERVICE 434684,A000000,01600,0000,1600SKILLED NURSING FACILITY 434684,A000000,01800,0000,1800NURSING FACILITY 434684,A000000,01900,0000,1900OTHER LONG TERM CARE 434684,A000000,02100,0000,2100RADIOLOGY 434684,A000000,02200,0000,2200LABORATORY 434684,A000000,02300,0000,2300INTRAVENOUS THERAPY 434684,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434684,A000000,02500,0000,2500PHYSICAL THERAPY 434684,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434684,A000000,02700,0000,2700SPEECH PATHOLOGY 434684,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434684,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434684,A000000,03200,0000,3200SUPPORT SURFACES 434684,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434684,A000000,04800,0000,4800AMBULANCE 434684,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434684,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434684,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434684,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434684,A81000A,00100,0100,Y 434684,A81000B,00100,0300,HOME OFFICE EXPENSE 434684,A81000B,00200,0300,MANAGEMENT FEES 434684,A81000C,00100,0100,A 434684,A81000C,00100,0200,JOHN M. SELLS 434684,A81000C,00100,0400,BENCHMARK HEALT 434684,A81000C,00100,0600,MANAGEMENT COMP 434684,A81000C,00200,0100,A 434684,A81000C,00200,0200,JOHN M. SELLS 434684,A81000C,00200,0400,ARBOR PLACE LLC 434684,A81000C,00200,0600,REAL ESTATE 434684,A81000C,00300,0100,A 434684,A81000C,00300,0200,JOHN M. SELLS 434684,A81000C,00300,0400,REHAB AMERICA 434684,A81000C,00300,0600,THERAPY SERVICE 434684,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434684,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434684,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434684,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434684,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434684,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434684,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434684,B100000,00000,0800,0800MEALS SERVED :DIETARY 434684,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434684,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434684,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 434684,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434684,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434684,G300000,02500,0000, OTHER (SPECIFY) 434684,S000000,00100,0200,06/01/12 434684,S200000,00100,0100,106 PAGET DR 434684,S200000,00200,0100,CLINTON 434684,S200000,00200,0200,KY 434684,S200000,00200,0300,92031 434684,S200000,00300,0100,HICKMAN 434684,S200000,00300,0201,99918 434684,S200000,00300,0300,R 434684,S200000,00400,0100,BENCHMARK OF CLINTON 434684,S200000,00400,0200,185452 434684,S200000,00400,0300,12/04/03 434684,S200000,00400,0500,P 434684,S200000,01500,0100,N 434684,S200000,01600,0100,N 434684,S200000,01700,0100,N 434684,S200000,01800,0100,N 434684,S200000,02200,0100,N 434684,S200000,02800,0100,N 434684,S200000,02900,0100,N 434684,S200000,03000,0100,N 434684,S200000,03100,0100,N 434684,S200000,03200,0100,N 434684,S200000,03300,0100,N 434684,S200000,03300,0200,N 434684,S200000,04100,0100,N 434684,S200000,04200,0100,N 434684,S200000,04300,0100,N 434684,S200000,04600,0100,N 434684,S200000,04700,0100,N 434684,S200000,04700,0200,N 434684,S200000,04900,0100,N 434684,S200000,05000,0100,N 434684,S200000,05100,0100,N 434684,S200000,05200,0100,N 434684,S200000,05300,0100,Y 434690,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434690,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434690,A000000,00300,0000,0300EMPLOYEE BENEFITS 434690,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434690,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434690,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434690,A000000,00700,0000,0700HOUSEKEEPING 434690,A000000,00800,0000,0800DIETARY 434690,A000000,00900,0000,0900NURSING ADMINISTRATION 434690,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434690,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434690,A000000,01300,0000,1300SOCIAL SERVICE 434690,A000000,01500,0000,1350ACTIVTIES 434690,A000000,01600,0000,1600SKILLED NURSING FACILITY 434690,A000000,01800,0000,1800NURSING FACILITY 434690,A000000,01900,0000,1900OTHER LONG TERM CARE 434690,A000000,02100,0000,2100RADIOLOGY 434690,A000000,02200,0000,2200LABORATORY 434690,A000000,02500,0000,2500PHYSICAL THERAPY 434690,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434690,A000000,02700,0000,2700SPEECH PATHOLOGY 434690,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434690,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434690,A000000,03200,0000,3200SUPPORT SURFACES 434690,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434690,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434690,A000000,04800,0000,4800AMBULANCE 434690,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434690,A000000,05300,0000,5300INTEREST EXPENSE 434690,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434690,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434690,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434690,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434690,A000000,06200,0000,6200PATIENTS LAUNDRY 434690,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434690,A81000A,00100,0100,Y 434690,A81000B,00100,0300,MANAGEMENT FEES/COSTS - BRIDGEMARK H 434690,A81000B,00200,0300,CAPITAL COSTS BLDG - BRIDGEMARK HEAL 434690,A81000B,00300,0300,CAPITAL COSTS EQUIP - BRIDGEMARK HEA 434690,A81000C,00100,0100,A 434690,A81000C,00100,0200,STEPHEN P. MILL 434690,A81000C,00100,0400,BRIDGEMARK HEAL 434690,A81000C,00100,0600,MGMT CO. 434690,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434690,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434690,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434690,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434690,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434690,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434690,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434690,B100000,00000,0800,0800MEALS SERVED :DIETARY 434690,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434690,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434690,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434690,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434690,B100000,00000,1500,1350PATIENT DAYS :ACTIVTIES 434690,E10A180,00301,0100,08/08/11 434690,G300000,02500,0000, OTHER (SPECIFY) 434690,S000000,00100,0200,04/23/12 434690,S200000,00100,0100,1200 MCCUTCHEN DRIVE 434690,S200000,00200,0100,ROLLA 434690,S200000,00200,0200,MO 434690,S200000,00200,0300,65401 434690,S200000,00300,0100,PHELPS 434690,S200000,00300,0201,99926 434690,S200000,00300,0300,R 434690,S200000,00400,0100,HELIA HEALTHCARE OF ROLLA 434690,S200000,00400,0200,265487 434690,S200000,00400,0300,01/01/10 434690,S200000,00400,0500,P 434690,S200000,01500,0100,Y 434690,S200000,01600,0100,N 434690,S200000,01700,0100,N 434690,S200000,01800,0100,N 434690,S200000,02200,0100,N 434690,S200000,02800,0100,N 434690,S200000,02900,0100,N 434690,S200000,03000,0100,N 434690,S200000,03100,0100,N 434690,S200000,03200,0100,N 434690,S200000,03300,0100,N 434690,S200000,03300,0200,N 434690,S200000,04100,0100,N 434690,S200000,04200,0100,N 434690,S200000,04300,0100,N 434690,S200000,04600,0100,N 434690,S200000,04700,0100,N 434690,S200000,04700,0200,N 434690,S200000,04900,0100,N 434690,S200000,05000,0100,N 434690,S200000,05100,0100,N 434690,S200000,05200,0100,N 434690,S200000,05300,0100,Y 434690,S200000,05300,0200,HO0000 434690,S200000,05400,0100,BRIDGEMARK HEALTHCARE 434690,S200000,05400,0200,NONE ASSIGNED 434690,S200000,05400,0300, 00N/A 434690,S200000,05500,0100,11970 BORMAN DRIVE 434690,S200000,05600,0100,ST. LOUIS 434690,S200000,05600,0200,MO 434690,S200000,05600,0300,63146 434691,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434691,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434691,A000000,00300,0000,0300EMPLOYEE BENEFITS 434691,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434691,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434691,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434691,A000000,00700,0000,0700HOUSEKEEPING 434691,A000000,00800,0000,0800DIETARY 434691,A000000,00900,0000,0900NURSING ADMINISTRATION 434691,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434691,A000000,01100,0000,1100PHARMACY 434691,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434691,A000000,01300,0000,1300SOCIAL SERVICE 434691,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434691,A000000,01500,0000,1350OTHER GENERAL SERVICES 434691,A000000,01600,0000,1600SKILLED NURSING FACILITY 434691,A000000,01800,0000,1800NURSING FACILITY 434691,A000000,01810,0000,1810ICF/MR 434691,A000000,01900,0000,1900OTHER LONG TERM CARE 434691,A000000,02100,0000,2100RADIOLOGY 434691,A000000,02200,0000,2200LABORATORY 434691,A000000,02300,0000,2300INTRAVENOUS THERAPY 434691,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434691,A000000,02500,0000,2500PHYSICAL THERAPY 434691,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434691,A000000,02700,0000,2700SPEECH PATHOLOGY 434691,A000000,02800,0000,2800ELECTROCARDIOLOGY 434691,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434691,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434691,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434691,A000000,03200,0000,3200SUPPORT SURFACES 434691,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434691,A000000,03400,0000,3400CLINIC 434691,A000000,03500,0000,3500RURAL HEALTH CLINIC 434691,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434691,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434691,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434691,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434691,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434691,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434691,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434691,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434691,A000000,04400,0000,4400DME RENTED - HHA 434691,A000000,04500,0000,4500DME SOLD - HHA 434691,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434691,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434691,A000000,04710,0000,4710TELEMEDICINE HHA 434691,A000000,04800,0000,4800AMBULANCE 434691,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434691,A000000,05000,0000,5000CORF 434691,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434691,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434691,A000000,05300,0000,5300INTEREST EXPENSE 434691,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434691,A000000,05500,0000,5500HOSPICE 434691,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434691,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434691,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434691,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434691,A000000,06100,0000,6100NONPAID WORKERS 434691,A000000,06200,0000,6200PATIENTS LAUNDRY 434691,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434691,A81000A,00100,0100,Y 434691,A81000B,00100,0300,ADMINISTRATOR SALARY 434691,A81000B,00200,0300,D.O.N. SALARY 434691,A81000B,00300,0300,PHYSICAL THERAPY 434691,A81000B,00400,0300,OCCUPATIONAL THERAPY 434691,A81000B,00500,0300,SPEECH THERAPY 434691,A81000B,00600,0300,OPERATIONS CONSULTING 434691,A81000B,00700,0300,NURSE CONSULTING 434691,A81000B,00800,0300,COMPUTING & TELECOMMUNICATIONS 434691,A81000B,00900,0300,COST REPORTS MCA BILLING FINANCING 434691,A81000B,01000,0300,ACCOUNTING SERVICES 434691,A81000B,01100,0300,ADMINISTRATIVE SERVICES 434691,A81000B,01200,0300,EQUIPMENT LEASE-ADMINISTRATIVE 434691,A81000B,01300,0300,PROPERTY INSURANCE 434691,A81000B,01400,0300,LIABILITY & VEHICLE INSURANCE 434691,A81000B,01500,0300,FACILITY LEASE 434691,A81000C,00100,0100,B 434691,A81000C,00100,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,00100,0400,MID STATES 434691,A81000C,00100,0600,LEASING COMPANY 434691,A81000C,00200,0100,B 434691,A81000C,00200,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,00200,0400,MID STATES 434691,A81000C,00200,0600,LEASING COMPANY 434691,A81000C,00300,0100,B 434691,A81000C,00300,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,00300,0400,HEALTH FACILITIES REHAB 434691,A81000C,00300,0600,REHAB COMPANY 434691,A81000C,00400,0100,B 434691,A81000C,00400,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,00400,0400,HEALTH FACILITIES REHAB 434691,A81000C,00400,0600,REHAB COMPANY 434691,A81000C,00500,0100,B 434691,A81000C,00500,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,00500,0400,HEALTH FACILITIES REHAB 434691,A81000C,00500,0600,REHAB COMPANY 434691,A81000C,00600,0100,G 434691,A81000C,00600,0200,OPS EXEMPT TRUST 434691,A81000C,00600,0400,LTC CONSULTING GROUP 434691,A81000C,00600,0600,OPERATIONS CONSULTING 434691,A81000C,00700,0100,G 434691,A81000C,00700,0200,NCS EXEMPT TRUST 434691,A81000C,00700,0400,SUPERIOR NURSING SOLUTION 434691,A81000C,00700,0600,NURSE CONSULTING 434691,A81000C,00800,0100,G 434691,A81000C,00800,0200,IT SERVICES EXEMPT TRUST 434691,A81000C,00800,0400,IT SOLUTIONS 434691,A81000C,00800,0600,COMPUTING & TELECOMMUNICA 434691,A81000C,00900,0100,G 434691,A81000C,00900,0200,B&F EXEMPT TRUST 434691,A81000C,00900,0400,NEWMARKET ASSOCIATES 434691,A81000C,00900,0600,FINANCING MCA BILLING C 434691,A81000C,01000,0100,G 434691,A81000C,01000,0200,ASC EXEMPT TRUST 434691,A81000C,01000,0400,STALWART BUSINESS ADVISOR 434691,A81000C,01000,0600,ACCOUNTING SERVICES 434691,A81000C,01001,0100,G 434691,A81000C,01001,0200,ECS EXEMPT TRUST 434691,A81000C,01001,0400,THE ZENITH ADVISOR 434691,A81000C,01001,0600,ADMINISTRATIVE SERVICES 434691,A81000C,01002,0100,B 434691,A81000C,01002,0200,CIRCLE B ENTERPRISES HLDG 434691,A81000C,01002,0400,CEO FINANCIAL SERVICES 434691,A81000C,01002,0600,LEASING 434691,A81000C,01003,0100,G 434691,A81000C,01003,0200,CEO FINANCIAL SERVICES 434691,A81000C,01003,0400,DIVERSIFIED ADJUSTORS 434691,A81000C,01003,0600,INSURANCE 434691,A81000C,01004,0100,G 434691,A81000C,01004,0200,CEO FINANCIAL SERVICES 434691,A81000C,01004,0400,DIVERSIFIED ADJUSTORS 434691,A81000C,01004,0600,INSURANCE 434691,A81000C,01005,0100,G 434691,A81000C,01005,0200,DCB REAL ESTATE PTRSHIP 434691,A81000C,01005,0400,JOPLIN DEVOP. PROP LLC 434691,A81000C,01005,0600,REAL ESTATE COMPANY 434691,A81000C,03100,0000,COMMON OFFICER(S) 434691,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434691,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434691,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434691,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434691,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434691,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434691,B100000,00000,0800,0800MEALS SERVED :DIETARY 434691,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434691,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434691,B100000,00000,1200,1250TOTAL CHARGES :MEDICAL RECORDS 434691,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434691,S000000,00100,0200,10/31/11 434691,S200000,00100,0100,1805 WEST 32ND STREET 434691,S200000,00200,0100,JOPLIN 434691,S200000,00200,0200,MO 434691,S200000,00200,0300,64804-1528 434691,S200000,00300,0100,JASPER 434691,S200000,00300,0201,27900 434691,S200000,00300,0300,U 434691,S200000,00400,0100,MEADOWS CARE CENTER 434691,S200000,00400,0200,265227 434691,S200000,00400,0300,03/01/92 434691,S200000,00400,0500,P 434691,S200000,01500,0100,Y 434691,S200000,01501,0200,N 434691,S200000,01502,0200,N 434691,S200000,01503,0200,N 434691,S200000,01504,0200,N 434691,S200000,01600,0100,N 434691,S200000,01700,0100,N 434691,S200000,01800,0100,N 434691,S200000,02200,0100,N 434691,S200000,02800,0100,N 434691,S200000,02900,0100,N 434691,S200000,03000,0100,N 434691,S200000,03100,0100,Y 434691,S200000,03200,0100,N 434691,S200000,03300,0100,N 434691,S200000,03300,0200,N 434691,S200000,04100,0100,N 434691,S200000,04200,0100,N 434691,S200000,04300,0100,N 434691,S200000,04600,0100,N 434691,S200000,04700,0100,N 434691,S200000,04700,0200,N 434691,S200000,04900,0100,N 434691,S200000,05000,0100,N 434691,S200000,05100,0100,N 434691,S200000,05200,0100,N 434691,S200000,05300,0100,Y 434692,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434692,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434692,A000000,00300,0000,0300EMPLOYEE BENEFITS 434692,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434692,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434692,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434692,A000000,00700,0000,0700HOUSEKEEPING 434692,A000000,00800,0000,0800DIETARY 434692,A000000,00900,0000,0900NURSING ADMINISTRATION 434692,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434692,A000000,01100,0000,1100PHARMACY 434692,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434692,A000000,01300,0000,1300SOCIAL SERVICE 434692,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434692,A000000,01500,0000,1350OTHER GENERAL SERVICES 434692,A000000,01600,0000,1600SKILLED NURSING FACILITY 434692,A000000,01800,0000,1800NURSING FACILITY 434692,A000000,01810,0000,1810ICF/MR 434692,A000000,01900,0000,1900OTHER LONG TERM CARE 434692,A000000,02100,0000,2100RADIOLOGY 434692,A000000,02200,0000,2200LABORATORY 434692,A000000,02300,0000,2300INTRAVENOUS THERAPY 434692,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434692,A000000,02500,0000,2500PHYSICAL THERAPY 434692,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434692,A000000,02700,0000,2700SPEECH PATHOLOGY 434692,A000000,02800,0000,2800ELECTROCARDIOLOGY 434692,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434692,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434692,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434692,A000000,03200,0000,3200SUPPORT SURFACES 434692,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434692,A000000,03400,0000,3400CLINIC 434692,A000000,03500,0000,3500RURAL HEALTH CLINIC 434692,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434692,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434692,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434692,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434692,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434692,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434692,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434692,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434692,A000000,04400,0000,4400DME RENTED - HHA 434692,A000000,04500,0000,4500DME SOLD - HHA 434692,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434692,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434692,A000000,04710,0000,4710TELEMEDICINE HHA 434692,A000000,04800,0000,4800AMBULANCE 434692,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434692,A000000,05000,0000,5000CORF 434692,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434692,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434692,A000000,05300,0000,5300INTEREST EXPENSE 434692,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434692,A000000,05500,0000,5500HOSPICE 434692,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434692,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434692,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434692,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434692,A000000,06100,0000,6100NONPAID WORKERS 434692,A000000,06200,0000,6200PATIENTS LAUNDRY 434692,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434692,A81000A,00100,0100,Y 434692,A81000B,00100,0300,ADMINISTRATOR SALARY 434692,A81000B,00200,0300,D.O.N. SALARY 434692,A81000B,00300,0300,PHYSICAL THERAPY 434692,A81000B,00400,0300,OCCUPATIONAL THERAPY 434692,A81000B,00500,0300,SPEECH THERAPY 434692,A81000B,00600,0300,OPERATIONS CONSULTING 434692,A81000B,00700,0300,NURSE CONSULTING 434692,A81000B,00800,0300,COMPUTING & TELECOMMUNICATIONS 434692,A81000B,00900,0300,COST REPORTS MCA BILLING FINANCING 434692,A81000B,01000,0300,ACCOUNTING SERVICES 434692,A81000B,01100,0300,ADMINISTRATIVE SERVICES 434692,A81000B,01200,0300,EQUIPMENT LEASE-ADMINISTRATIVE 434692,A81000B,01300,0300,PROPERTY INSURANCE 434692,A81000B,01400,0300,LIABILITY & VEHICLE INSURANCE 434692,A81000C,00100,0100,G 434692,A81000C,00100,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,00100,0400,HEARTLAND PERSONNEL 434692,A81000C,00100,0600,LEASING COMPANY 434692,A81000C,00200,0100,G 434692,A81000C,00200,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,00200,0400,MID STATES 434692,A81000C,00200,0600,LEASING COMPANY 434692,A81000C,00300,0100,G 434692,A81000C,00300,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,00300,0400,HEALTH FACILITIES REHAB 434692,A81000C,00300,0600,REHAB COMPANY 434692,A81000C,00400,0100,G 434692,A81000C,00400,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,00400,0400,HEALTH FACILITIES REHAB 434692,A81000C,00400,0600,REHAB COMPANY 434692,A81000C,00500,0100,G 434692,A81000C,00500,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,00500,0400,HEALTH FACILITIES REHAB 434692,A81000C,00500,0600,REHAB COMPANY 434692,A81000C,00600,0100,G 434692,A81000C,00600,0200,OPS EXEMPT TRUST 434692,A81000C,00600,0400,LTC CONSULTING GROUP 434692,A81000C,00600,0600,OPERATIONS CONSULTING 434692,A81000C,00700,0100,G 434692,A81000C,00700,0200,NCS EXEMPT TRUST 434692,A81000C,00700,0400,SUPERIOR NURSING SOLUTION 434692,A81000C,00700,0600,NURSE CONSULTING 434692,A81000C,00800,0100,G 434692,A81000C,00800,0200,IT SERVICES EXEMPT TRUST 434692,A81000C,00800,0400,IT SOLUTIONS 434692,A81000C,00800,0600,COMPUTING & TELECOMMUNICA 434692,A81000C,00900,0100,G 434692,A81000C,00900,0200,B&F EXEMPT TRUST 434692,A81000C,00900,0400,NEWMARKET ASSOCIATES 434692,A81000C,00900,0600,FINANCING MCA BILLING C 434692,A81000C,01000,0100,G 434692,A81000C,01000,0200,ASC EXEMPT TRUST 434692,A81000C,01000,0400,STALWART BUSINESS ADVISOR 434692,A81000C,01000,0600,ACCOUNTING SERVICES 434692,A81000C,01001,0100,G 434692,A81000C,01001,0200,ECS EXEMPT TRUST 434692,A81000C,01001,0400,THE ZENITH ADVISOR 434692,A81000C,01001,0600,ADMINISTRATIVE SERVICES 434692,A81000C,01002,0100,G 434692,A81000C,01002,0200,CIRCLE B ENTERPRISES HLDG 434692,A81000C,01002,0400,CEO FINANCIAL SERVICES 434692,A81000C,01002,0600,LEASING 434692,A81000C,01003,0100,G 434692,A81000C,01003,0200,CEO FINANCIAL SERVICES 434692,A81000C,01003,0400,DIVERSIFIED ADJUSTORS 434692,A81000C,01003,0600,INSURANCE 434692,A81000C,01004,0100,G 434692,A81000C,01004,0200,CEO FINANCIAL SERVICES 434692,A81000C,01004,0400,DIVERSIFIED ADJUSTORS 434692,A81000C,01004,0600,INSURANCE 434692,A81000C,03100,0000,COMMON OFFICER(S) 434692,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434692,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434692,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434692,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434692,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434692,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434692,B100000,00000,0800,0800MEALS SERVED :DIETARY 434692,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434692,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434692,B100000,00000,1200,1250TOTAL CHARGES :MEDICAL RECORDS 434692,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434692,S000000,00100,0200,10/31/11 434692,S200000,00100,0100,2502 MOFFET 434692,S200000,00200,0100,JOPLIN 434692,S200000,00200,0200,MO 434692,S200000,00200,0300,64804-1949 434692,S200000,00300,0100,JASPER 434692,S200000,00300,0201,27900 434692,S200000,00300,0300,U 434692,S200000,00400,0100,THE GREENBRIAR 434692,S200000,00400,0200,265252 434692,S200000,00400,0300,09/18/00 434692,S200000,00400,0500,P 434692,S200000,01500,0100,Y 434692,S200000,01501,0200,N 434692,S200000,01502,0200,Y 434692,S200000,01503,0200,N 434692,S200000,01504,0200,N 434692,S200000,01600,0100,N 434692,S200000,01700,0100,N 434692,S200000,01800,0100,N 434692,S200000,02200,0100,N 434692,S200000,02800,0100,N 434692,S200000,02900,0100,N 434692,S200000,03000,0100,N 434692,S200000,03100,0100,Y 434692,S200000,03200,0100,N 434692,S200000,03300,0100,N 434692,S200000,03300,0200,N 434692,S200000,04100,0100,N 434692,S200000,04200,0100,N 434692,S200000,04300,0100,N 434692,S200000,04600,0100,N 434692,S200000,04700,0100,N 434692,S200000,04700,0200,N 434692,S200000,04900,0100,N 434692,S200000,05000,0100,N 434692,S200000,05100,0100,N 434692,S200000,05200,0100,N 434692,S200000,05300,0100,Y 434697,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434697,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434697,A000000,00300,0000,0300EMPLOYEE BENEFITS 434697,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434697,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434697,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434697,A000000,00700,0000,0700HOUSEKEEPING 434697,A000000,00800,0000,0800DIETARY 434697,A000000,00900,0000,0900NURSING ADMINISTRATION 434697,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434697,A000000,01100,0000,1100PHARMACY 434697,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434697,A000000,01300,0000,1300SOCIAL SERVICE 434697,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434697,A000000,01500,0000,1350OTHER GENERAL SERVICES 434697,A000000,01600,0000,1600SKILLED NURSING FACILITY 434697,A000000,01800,0000,1800NURSING FACILITY 434697,A000000,01810,0000,1810ICF/MR 434697,A000000,01900,0000,1900OTHER LONG TERM CARE 434697,A000000,02100,0000,2100RADIOLOGY 434697,A000000,02200,0000,2200LABORATORY 434697,A000000,02300,0000,2300INTRAVENOUS THERAPY 434697,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434697,A000000,02500,0000,2500PHYSICAL THERAPY 434697,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434697,A000000,02700,0000,2700SPEECH PATHOLOGY 434697,A000000,02800,0000,2800ELECTROCARDIOLOGY 434697,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434697,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434697,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434697,A000000,03200,0000,3200SUPPORT SURFACES 434697,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434697,A000000,03400,0000,3400CLINIC 434697,A000000,03500,0000,3500RURAL HEALTH CLINIC 434697,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434697,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434697,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434697,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434697,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434697,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434697,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434697,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434697,A000000,04400,0000,4400DME RENTED - HHA 434697,A000000,04500,0000,4500DME SOLD - HHA 434697,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434697,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434697,A000000,04710,0000,4710TELEMEDICINE 434697,A000000,04800,0000,4800AMBULANCE 434697,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434697,A000000,05000,0000,5000CORF 434697,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434697,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434697,A000000,05300,0000,5300INTEREST EXPENSE 434697,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434697,A000000,05500,0000,5500HOSPICE 434697,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434697,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434697,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434697,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434697,A000000,06100,0000,6100NONPAID WORKERS 434697,A000000,06200,0000,6200PATIENTS LAUNDRY 434697,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434697,A81000A,00100,0100,N 434697,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434697,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434697,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434697,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434697,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 434697,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434697,B100000,00000,0800,0800MEALS SERVED :DIETARY 434697,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434697,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 434697,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434697,E10A180,00501,0100,03/21/12 434697,E10A180,00501,0300,03/21/12 434697,G300000,02500,0000,OTHER REVENUE 434697,S000000,00100,0200,02/29/12 434697,S200000,00100,0100,11050 PRESBYTERIAN DR. 434697,S200000,00200,0100,INDIANAPOLIS 434697,S200000,00200,0200,IN 434697,S200000,00200,0300,46236 434697,S200000,00300,0100,MARION 434697,S200000,00300,0201,26900 434697,S200000,00300,0300,U 434697,S200000,00400,0100,WESTMINSTER VILLAGE NORTH INC. 434697,S200000,00400,0200,155167 434697,S200000,00400,0300,04/10/75 434697,S200000,00400,0500,P 434697,S200000,01500,0100,Y 434697,S200000,01501,0200,Y 434697,S200000,01503,0200,Y 434697,S200000,01504,0200,Y 434697,S200000,01600,0100,N 434697,S200000,01700,0100,N 434697,S200000,01800,0100,N 434697,S200000,02200,0100,N 434697,S200000,02800,0100,N 434697,S200000,02900,0100,N 434697,S200000,03000,0100,N 434697,S200000,03100,0100,N 434697,S200000,03200,0100,N 434697,S200000,03300,0100,N 434697,S200000,03300,0200,N 434697,S200000,04100,0100,N 434697,S200000,04200,0100,N 434697,S200000,04300,0100,N 434697,S200000,04600,0100,N 434697,S200000,04700,0100,N 434697,S200000,04700,0200,N 434697,S200000,04900,0100,N 434697,S200000,05000,0100,N 434697,S200000,05100,0100,N 434697,S200000,05200,0100,N 434697,S200000,05300,0100,N 434698,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434698,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434698,A000000,00300,0000,0300EMPLOYEE BENEFITS 434698,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434698,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434698,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434698,A000000,00700,0000,0700HOUSEKEEPING 434698,A000000,00800,0000,0800DIETARY 434698,A000000,00900,0000,0900NURSING ADMINISTRATION 434698,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434698,A000000,01100,0000,1100PHARMACY 434698,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434698,A000000,01300,0000,1300SOCIAL SERVICE 434698,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434698,A000000,01500,0000,1350ACTIVITIES 434698,A000000,01600,0000,1600SKILLED NURSING FACILITY 434698,A000000,01800,0000,1800NURSING FACILITY 434698,A000000,01810,0000,1810ICF/MR 434698,A000000,01900,0000,1900OTHER LONG TERM CARE 434698,A000000,02100,0000,2100RADIOLOGY 434698,A000000,02200,0000,2200LABORATORY 434698,A000000,02300,0000,2300INTRAVENOUS THERAPY 434698,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434698,A000000,02500,0000,2500PHYSICAL THERAPY 434698,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434698,A000000,02700,0000,2700SPEECH PATHOLOGY 434698,A000000,02800,0000,2800ELECTROCARDIOLOGY 434698,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434698,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434698,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434698,A000000,03200,0000,3200SUPPORT SURFACES 434698,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434698,A000000,03400,0000,3400CLINIC 434698,A000000,03500,0000,3500RURAL HEALTH CLINIC 434698,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434698,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434698,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434698,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434698,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434698,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434698,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434698,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434698,A000000,04400,0000,4400DME RENTED - HHA 434698,A000000,04500,0000,4500DME SOLD - HHA 434698,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434698,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434698,A000000,04710,0000,4710TELEMEDICINE 434698,A000000,04800,0000,4800AMBULANCE 434698,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434698,A000000,05000,0000,5000CORF 434698,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434698,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434698,A000000,05300,0000,5300INTEREST EXPENSE 434698,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434698,A000000,05500,0000,5500HOSPICE 434698,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434698,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434698,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434698,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434698,A000000,06100,0000,6100NONPAID WORKERS 434698,A000000,06200,0000,6200PATIENTS LAUNDRY 434698,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434698,A81000A,00100,0100,Y 434698,A81000B,00100,0300,RENT 434698,A81000B,00200,0300,DEPRECIATION 434698,A81000B,00300,0300,PROPERTY INTEREST 434698,A81000C,00100,0100,A 434698,A81000C,00100,0200,BARUCH/ELLMAN/G 434698,A81000C,00100,0400,2600 COURTLAND 434698,A81000C,00100,0600,RENTAL PROPERTY 434698,A81000C,00200,0100,A 434698,A81000C,00200,0200,BARUCH/ELLMAN/G 434698,A81000C,00200,0400,2600 COURTLAND 434698,A81000C,00200,0600,RENTAL PROPERTY 434698,A81000C,00300,0100,A 434698,A81000C,00300,0200,BARUCH/ELLMAN/G 434698,A81000C,00300,0400,2600 COURTLAND 434698,A81000C,00300,0600,RENTAL PROPERTY 434698,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434698,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434698,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434698,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434698,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434698,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434698,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434698,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434698,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434698,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434698,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434698,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434698,G300000,02500,0000,OTHER REVENUE 434698,S000000,00100,0200,07/27/12 434698,S200000,00100,0100,2600 COURTLAND STREET 434698,S200000,00200,0100,SARASOTA 434698,S200000,00200,0200,FL 434698,S200000,00200,0300,34237 434698,S200000,00300,0100,SARASOTA 434698,S200000,00300,0201,35840 434698,S200000,00300,0300,U 434698,S200000,00400,0100,HARMONY HEALTHCARE & REHAB CENTER 434698,S200000,00400,0200,106071 434698,S200000,00400,0300,06/27/06 434698,S200000,00400,0500,P 434698,S200000,01500,0100,Y 434698,S200000,01501,0200,Y 434698,S200000,01600,0100,N 434698,S200000,01700,0100,N 434698,S200000,01800,0100,N 434698,S200000,02200,0100,N 434698,S200000,02800,0100,N 434698,S200000,02900,0100,N 434698,S200000,03000,0100,N 434698,S200000,03100,0100,Y 434698,S200000,03200,0100,N 434698,S200000,03300,0100,N 434698,S200000,03300,0200,N 434698,S200000,04100,0100,N 434698,S200000,04200,0100,N 434698,S200000,04300,0100,N 434698,S200000,04600,0100,N 434698,S200000,04700,0100,N 434698,S200000,04700,0200,N 434698,S200000,04900,0100,N 434698,S200000,05000,0100,N 434698,S200000,05100,0100,N 434698,S200000,05200,0100,N 434698,S200000,05300,0100,N 434712,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434712,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434712,A000000,00300,0000,0300EMPLOYEE BENEFITS 434712,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434712,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434712,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434712,A000000,00700,0000,0700HOUSEKEEPING 434712,A000000,00800,0000,0800DIETARY 434712,A000000,00900,0000,0900NURSING ADMINISTRATION 434712,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434712,A000000,01100,0000,1100PHARMACY 434712,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434712,A000000,01300,0000,1300SOCIAL SERVICE 434712,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434712,A000000,01500,0000,1350ACTIVITIES 434712,A000000,01600,0000,1600SKILLED NURSING FACILITY 434712,A000000,01800,0000,1800NURSING FACILITY 434712,A000000,01810,0000,1810ICF/MR 434712,A000000,01900,0000,1900OTHER LONG TERM CARE 434712,A000000,02100,0000,2100RADIOLOGY 434712,A000000,02200,0000,2200LABORATORY 434712,A000000,02300,0000,2300INTRAVENOUS THERAPY 434712,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434712,A000000,02500,0000,2500PHYSICAL THERAPY 434712,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434712,A000000,02700,0000,2700SPEECH PATHOLOGY 434712,A000000,02800,0000,2800ELECTROCARDIOLOGY 434712,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434712,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434712,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434712,A000000,03200,0000,3200SUPPORT SURFACES 434712,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434712,A000000,03400,0000,3400CLINIC 434712,A000000,03500,0000,3500RURAL HEALTH CLINIC 434712,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434712,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434712,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434712,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434712,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434712,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434712,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434712,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434712,A000000,04400,0000,4400DME RENTED - HHA 434712,A000000,04500,0000,4500DME SOLD - HHA 434712,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434712,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434712,A000000,04710,0000,4710TELEMEDICINE 434712,A000000,04800,0000,4800AMBULANCE 434712,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434712,A000000,05000,0000,5000CORF 434712,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434712,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434712,A000000,05300,0000,5300INTEREST EXPENSE 434712,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434712,A000000,05500,0000,5500HOSPICE 434712,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434712,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434712,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434712,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434712,A000000,06100,0000,6100NONPAID WORKERS 434712,A000000,06200,0000,6200PATIENTS LAUNDRY 434712,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434712,A81000A,00100,0100,Y 434712,A81000B,00100,0300,HOME OFFICE COSTS 434712,A81000B,00200,0300,WORKERS COMPENSATION 434712,A81000B,00300,0300,HOME OFFICE COSTS 434712,A81000B,00400,0300,HOME OFFICE COSTS 434712,A81000B,00500,0300,HOME OFFICE COSTS 434712,A81000B,00600,0300,HOME OFFICE COSTS 434712,A81000B,00700,0300,HOME OFFICE COSTS 434712,A81000B,00800,0300,TRANSPORTATION SERVICES 434712,A81000B,00900,0300,PHYSICAL THERAPY 434712,A81000B,01000,0300,OCCUPATIONAL THERAPY 434712,A81000B,01100,0300,SPEECH THERAPY 434712,A81000C,00100,0100,A 434712,A81000C,00100,0200,STUART AND MIKE REED 434712,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00100,0600,NURSING HOMES 434712,A81000C,00200,0100,D 434712,A81000C,00200,0200,SUZANNE REED 434712,A81000C,00200,0400,INDIANA FITNESS WORKS 434712,A81000C,00200,0600,THERAPY 434712,A81000C,00300,0100,A 434712,A81000C,00300,0200,STUART AND MIKE REED 434712,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00300,0600,NURSING HOMES 434712,A81000C,00400,0100,A 434712,A81000C,00400,0200,STUART AND MIKE REED 434712,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00400,0600,NURSING HOMES 434712,A81000C,00500,0100,A 434712,A81000C,00500,0200,STUART AND MIKE REED 434712,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00500,0600,NURSING HOMES 434712,A81000C,00600,0100,A 434712,A81000C,00600,0200,STUART AND MIKE REED 434712,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00600,0600,NURSING HOMES 434712,A81000C,00700,0100,A 434712,A81000C,00700,0200,STUART AND MIKE REED 434712,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 434712,A81000C,00700,0600,NURSING HOMES 434712,A81000C,00800,0100,A 434712,A81000C,00800,0200,STUART REED 434712,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 434712,A81000C,00800,0600,TRANSPORTATION 434712,A81000C,00900,0100,D 434712,A81000C,00900,0200,SUZANNE REED 434712,A81000C,00900,0400,INDIANA FITNESS WORKS 434712,A81000C,00900,0600,THERAPY 434712,A81000C,01000,0100,D 434712,A81000C,01000,0200,SUZANNE REED 434712,A81000C,01000,0400,INDIANA FITNESS WORKS 434712,A81000C,01000,0600,THERAPY 434712,A81000C,01001,0100,D 434712,A81000C,01001,0200,SUZANNE REED 434712,A81000C,01001,0400,INDIANA FITNESS WORKS 434712,A81000C,01001,0600,THERAPY 434712,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434712,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434712,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434712,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434712,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434712,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434712,B100000,00000,0800,0800MEALS SERVED :DIETARY 434712,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434712,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434712,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434712,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434712,E10A180,00501,0100,10/22/12 434712,G300000,02500,0000,OTHER REVENUE 434712,S000000,00100,0200,09/18/12 434712,S200000,00100,0100,45 BEACHWAY DRIVE 434712,S200000,00200,0100,INDIANAPOLIS 434712,S200000,00200,0200,IN 434712,S200000,00200,0300,46224 434712,S200000,00300,0100,MARION 434712,S200000,00300,0201,26900 434712,S200000,00300,0300,U 434712,S200000,00400,0100,LAKEVIEW MANOR 434712,S200000,00400,0200,155077 434712,S200000,00400,0300,07/02/68 434712,S200000,00400,0500,P 434712,S200000,01500,0100,Y 434712,S200000,01501,0200,Y 434712,S200000,01502,0200,Y 434712,S200000,01503,0200,Y 434712,S200000,01504,0200,Y 434712,S200000,01600,0100,N 434712,S200000,01700,0100,N 434712,S200000,01800,0100,N 434712,S200000,02200,0100,N 434712,S200000,02800,0100,N 434712,S200000,02900,0100,N 434712,S200000,03000,0100,N 434712,S200000,03100,0100,N 434712,S200000,03200,0100,N 434712,S200000,03300,0100,N 434712,S200000,03300,0200,N 434712,S200000,04100,0100,N 434712,S200000,04200,0100,N 434712,S200000,04300,0100,N 434712,S200000,04600,0100,N 434712,S200000,04700,0100,N 434712,S200000,04700,0200,N 434712,S200000,04900,0100,N 434712,S200000,05000,0100,N 434712,S200000,05100,0100,N 434712,S200000,05200,0100,N 434712,S200000,05300,0100,Y 434712,S200000,05300,0200,15HO49 434712,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 434712,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC 434712,S200000,05400,0300,00130 434712,S200000,05500,0100,9450 PRIORITY WAY WEST 434712,S200000,05600,0100,INDIANAPOLIS 434712,S200000,05600,0200,IN 434712,S200000,05600,0300,46240 434713,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434713,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434713,A000000,00300,0000,0300EMPLOYEE BENEFITS 434713,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434713,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434713,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434713,A000000,00700,0000,0700HOUSEKEEPING 434713,A000000,00800,0000,0800DIETARY 434713,A000000,00900,0000,0900NURSING ADMINISTRATION 434713,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434713,A000000,01100,0000,1100PHARMACY 434713,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434713,A000000,01300,0000,1300SOCIAL SERVICE 434713,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434713,A000000,01500,0000,1350ACTIVITIES 434713,A000000,01600,0000,1600SKILLED NURSING FACILITY 434713,A000000,01800,0000,1800NURSING FACILITY 434713,A000000,01810,0000,1810ICF/MR 434713,A000000,01900,0000,1900OTHER LONG TERM CARE 434713,A000000,02100,0000,2100RADIOLOGY 434713,A000000,02200,0000,2200LABORATORY 434713,A000000,02300,0000,2300INTRAVENOUS THERAPY 434713,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434713,A000000,02500,0000,2500PHYSICAL THERAPY 434713,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434713,A000000,02700,0000,2700SPEECH PATHOLOGY 434713,A000000,02800,0000,2800ELECTROCARDIOLOGY 434713,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434713,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434713,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434713,A000000,03200,0000,3200SUPPORT SURFACES 434713,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434713,A000000,03400,0000,3400CLINIC 434713,A000000,03500,0000,3500RURAL HEALTH CLINIC 434713,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434713,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434713,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434713,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434713,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434713,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434713,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434713,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434713,A000000,04400,0000,4400DME RENTED - HHA 434713,A000000,04500,0000,4500DME SOLD - HHA 434713,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434713,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434713,A000000,04710,0000,4710TELEMEDICINE 434713,A000000,04800,0000,4800AMBULANCE 434713,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434713,A000000,05000,0000,5000CORF 434713,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434713,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434713,A000000,05300,0000,5300INTEREST EXPENSE 434713,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434713,A000000,05500,0000,5500HOSPICE 434713,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434713,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434713,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434713,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434713,A000000,06100,0000,6100NONPAID WORKERS 434713,A000000,06200,0000,6200PATIENTS LAUNDRY 434713,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434713,A81000A,00100,0100,Y 434713,A81000B,00100,0300,HOME OFFICE COSTS 434713,A81000B,00200,0300,WORKERS COMPENSATION 434713,A81000B,00300,0300,HOME OFFICE COSTS 434713,A81000B,00400,0300,HOME OFFICE COSTS 434713,A81000B,00500,0300,HOME OFFICE COSTS 434713,A81000B,00600,0300,HOME OFFICE COSTS 434713,A81000B,00700,0300,HOME OFFICE COSTS 434713,A81000B,00800,0300,TRANSPORTATION SERVICES 434713,A81000B,00900,0300,PHYSICAL THERAPY 434713,A81000B,01000,0300,OCCUPATIONAL THERAPY 434713,A81000B,01100,0300,SPEECH THERAPY 434713,A81000C,00100,0100,A 434713,A81000C,00100,0200,STUART AND MIKE REED 434713,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00100,0600,NURSING HOMES 434713,A81000C,00200,0100,D 434713,A81000C,00200,0200,SUZANNE REED 434713,A81000C,00200,0400,INDIANA FITNESS WORKS 434713,A81000C,00200,0600,THERAPY 434713,A81000C,00300,0100,A 434713,A81000C,00300,0200,STUART AND MIKE REED 434713,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00300,0600,NURSING HOMES 434713,A81000C,00400,0100,A 434713,A81000C,00400,0200,STUART AND MIKE REED 434713,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00400,0600,NURSING HOMES 434713,A81000C,00500,0100,A 434713,A81000C,00500,0200,STUART AND MIKE REED 434713,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00500,0600,NURSING HOMES 434713,A81000C,00600,0100,A 434713,A81000C,00600,0200,STUART AND MIKE REED 434713,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00600,0600,NURSING HOMES 434713,A81000C,00700,0100,A 434713,A81000C,00700,0200,STUART AND MIKE REED 434713,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 434713,A81000C,00700,0600,NURSING HOMES 434713,A81000C,00800,0100,A 434713,A81000C,00800,0200,STUART REED 434713,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 434713,A81000C,00800,0600,TRANSPORTATION 434713,A81000C,00900,0100,D 434713,A81000C,00900,0200,SUZANNE REED 434713,A81000C,00900,0400,INDIANA FITNESS WORKS 434713,A81000C,00900,0600,THERAPY 434713,A81000C,01000,0100,D 434713,A81000C,01000,0200,SUZANNE REED 434713,A81000C,01000,0400,INDIANA FITNESS WORKS 434713,A81000C,01000,0600,THERAPY 434713,A81000C,01001,0100,D 434713,A81000C,01001,0200,SUZANNE REED 434713,A81000C,01001,0400,INDIANA FITNESS WORKS 434713,A81000C,01001,0600,THERAPY 434713,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434713,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434713,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434713,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434713,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434713,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434713,B100000,00000,0800,0800MEALS SERVED :DIETARY 434713,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434713,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434713,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434713,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434713,E10A180,00501,0100,09/12/12 434713,G300000,02500,0000,OTHER REVENUE 434713,S000000,00100,0200,05/22/12 434713,S200000,00100,0100,4600 EAST JACKSON STREET 434713,S200000,00200,0100,MUNCIE 434713,S200000,00200,0200,IN 434713,S200000,00200,0300,47308 434713,S200000,00300,0100,DELAWARE 434713,S200000,00300,0200,5280 434713,S200000,00300,0201,34620 434713,S200000,00300,0300,U 434713,S200000,00400,0100,LIBERTY VILLAGE 434713,S200000,00400,0200,155400 434713,S200000,00400,0300,08/17/89 434713,S200000,00400,0500,P 434713,S200000,01500,0100,Y 434713,S200000,01501,0200,Y 434713,S200000,01502,0200,Y 434713,S200000,01503,0200,Y 434713,S200000,01504,0200,Y 434713,S200000,01600,0100,N 434713,S200000,01700,0100,N 434713,S200000,01800,0100,N 434713,S200000,02200,0100,N 434713,S200000,02800,0100,N 434713,S200000,02900,0100,N 434713,S200000,03000,0100,N 434713,S200000,03100,0100,N 434713,S200000,03200,0100,N 434713,S200000,03300,0100,N 434713,S200000,03300,0200,N 434713,S200000,04100,0100,N 434713,S200000,04200,0100,N 434713,S200000,04300,0100,N 434713,S200000,04600,0100,N 434713,S200000,04700,0100,N 434713,S200000,04700,0200,N 434713,S200000,04900,0100,N 434713,S200000,05000,0100,N 434713,S200000,05100,0100,N 434713,S200000,05200,0100,N 434713,S200000,05300,0100,Y 434713,S200000,05300,0200,15H049 434713,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 434713,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434713,S200000,05400,0300,00130 434713,S200000,05500,0100,9450 PRIORITY WAY WEST 434713,S200000,05600,0100,INDIANAPOLIS 434713,S200000,05600,0200,IN 434713,S200000,05600,0300,46240 434714,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434714,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434714,A000000,00300,0000,0300EMPLOYEE BENEFITS 434714,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434714,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434714,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434714,A000000,00700,0000,0700HOUSEKEEPING 434714,A000000,00800,0000,0800DIETARY 434714,A000000,00900,0000,0900NURSING ADMINISTRATION 434714,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434714,A000000,01100,0000,1100PHARMACY 434714,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434714,A000000,01300,0000,1300SOCIAL SERVICE 434714,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434714,A000000,01500,0000,1350OTHER GENERAL SERVICES 434714,A000000,01600,0000,1600SKILLED NURSING FACILITY 434714,A000000,01800,0000,1800NURSING FACILITY 434714,A000000,01810,0000,1810ICF/MR 434714,A000000,01900,0000,1900OTHER LONG TERM CARE 434714,A000000,02100,0000,2100RADIOLOGY 434714,A000000,02200,0000,2200LABORATORY 434714,A000000,02300,0000,2300INTRAVENOUS THERAPY 434714,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434714,A000000,02500,0000,2500PHYSICAL THERAPY 434714,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434714,A000000,02700,0000,2700SPEECH PATHOLOGY 434714,A000000,02800,0000,2800ELECTROCARDIOLOGY 434714,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434714,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434714,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434714,A000000,03200,0000,3200SUPPORT SURFACES 434714,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434714,A000000,03400,0000,3400CLINIC 434714,A000000,03500,0000,3500RURAL HEALTH CLINIC 434714,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434714,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434714,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434714,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434714,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434714,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434714,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434714,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434714,A000000,04400,0000,4400DME RENTED - HHA 434714,A000000,04500,0000,4500DME SOLD - HHA 434714,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434714,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434714,A000000,04710,0000,4710TELEMEDICINE 434714,A000000,04800,0000,4800AMBULANCE 434714,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434714,A000000,05000,0000,5000CORF 434714,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434714,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434714,A000000,05300,0000,5300INTEREST EXPENSE 434714,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434714,A000000,05500,0000,5500HOSPICE 434714,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434714,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434714,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434714,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434714,A000000,06100,0000,6100NONPAID WORKERS 434714,A000000,06200,0000,6200PATIENTS LAUNDRY 434714,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434714,A81000A,00100,0100,Y 434714,A81000B,00100,0300,ADDIT CONSULTING 434714,A81000B,00200,0300,ADDIT CONSULTING 434714,A81000B,00300,0300,ADDIT CONSULTING 434714,A81000B,00400,0300,ADDIT CONSULTING 434714,A81000B,00500,0300,ADDIT CONSULTING 434714,A81000B,00600,0300,ADDIT CONSULTING 434714,A81000B,00700,0300,ADDIT CONSULTING 434714,A81000B,00800,0300,ADDIT CONSULTING 434714,A81000B,00900,0300,ADDIT CONSULTING 434714,A81000C,00100,0100,B 434714,A81000C,00100,0200,ADDIT LLC 434714,A81000C,00100,0400,ADDIT LLC 434714,A81000C,00100,0600,CONSULTING CO. 434714,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434714,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434714,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434714,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434714,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434714,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434714,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434714,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434714,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434714,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434714,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434714,E10A180,00301,0100,10/31/11 434714,E10A180,00302,0100,06/14/11 434714,E10A180,00501,0100,02/28/13 434714,E10A180,00501,0300,02/28/13 434714,G300000,02500,0000,PERSONAL PURCHASES 434714,G300000,02501,0000,MISCELLANEOUS 434714,S000000,00100,0200,01/08/13 434714,S200000,00100,0100,1350 N TODD DR 434714,S200000,00200,0100,SCOTTSBURG 434714,S200000,00200,0200,IN 434714,S200000,00200,0300,47170 434714,S200000,00300,0100,SCOTT 434714,S200000,00300,0201,99915 434714,S200000,00300,0300,R 434714,S200000,00400,0100,THE WATERS OF SCOTTSBURG LLC 434714,S200000,00400,0200,155494 434714,S200000,00400,0300,06/16/93 434714,S200000,00400,0500,P 434714,S200000,01500,0100,Y 434714,S200000,01600,0100,N 434714,S200000,01700,0100,N 434714,S200000,01800,0100,N 434714,S200000,02200,0100,N 434714,S200000,02800,0100,N 434714,S200000,02900,0100,N 434714,S200000,03000,0100,N 434714,S200000,03100,0100,N 434714,S200000,03200,0100,N 434714,S200000,03300,0100,N 434714,S200000,03300,0200,N 434714,S200000,04100,0100,N 434714,S200000,04200,0100,N 434714,S200000,04300,0100,N 434714,S200000,04600,0100,N 434714,S200000,04700,0100,N 434714,S200000,04700,0200,N 434714,S200000,04900,0100,N 434714,S200000,05000,0100,N 434714,S200000,05100,0100,N 434714,S200000,05200,0100,N 434714,S200000,05300,0100,Y 434716,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434716,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434716,A000000,00300,0000,0300EMPLOYEE BENEFITS 434716,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434716,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434716,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434716,A000000,00700,0000,0700HOUSEKEEPING 434716,A000000,00800,0000,0800DIETARY 434716,A000000,00900,0000,0900NURSING ADMINISTRATION 434716,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434716,A000000,01100,0000,1100PHARMACY 434716,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434716,A000000,01300,0000,1300SOCIAL SERVICE 434716,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434716,A000000,01500,0000,1350ACTIVITIES 434716,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434716,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434716,A000000,01600,0000,1600SKILLED NURSING FACILITY 434716,A000000,01800,0000,1800NURSING FACILITY 434716,A000000,01810,0000,1810ICF/MR 434716,A000000,01900,0000,1900OTHER LONG TERM CARE 434716,A000000,02100,0000,2100RADIOLOGY 434716,A000000,02200,0000,2200LABORATORY 434716,A000000,02300,0000,2300INTRAVENOUS THERAPY 434716,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434716,A000000,02500,0000,2500PHYSICAL THERAPY 434716,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434716,A000000,02700,0000,2700SPEECH PATHOLOGY 434716,A000000,02800,0000,2800ELECTROCARDIOLOGY 434716,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434716,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434716,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434716,A000000,03200,0000,3200SUPPORT SURFACES 434716,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434716,A000000,03301,0000,3051AIR FLUID THERAPY 434716,A000000,03302,0000,3052AMBULANCE 434716,A000000,03303,0000,3053PEN THERAPY 434716,A000000,03304,0000,3054ONCOLOGY 434716,A000000,03305,0000,3055CARDIOLOGY 434716,A000000,03306,0000,3056ULTRASOUND 434716,A000000,03307,0000,3057AUDIOLOGY 434716,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434716,A000000,03400,0000,3400CLINIC 434716,A000000,03500,0000,3500RURAL HEALTH CLINIC 434716,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434716,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434716,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434716,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434716,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434716,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434716,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434716,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434716,A000000,04400,0000,4400DME RENTED - HHA 434716,A000000,04500,0000,4500DME SOLD - HHA 434716,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434716,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434716,A000000,04710,0000,4710TELEMEDICINE 434716,A000000,04800,0000,4800AMBULANCE 434716,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434716,A000000,05000,0000,5000CORF 434716,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434716,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434716,A000000,05300,0000,5300INTEREST EXPENSE 434716,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434716,A000000,05500,0000,5500HOSPICE 434716,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434716,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434716,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434716,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434716,A000000,06100,0000,6100NONPAID WORKERS 434716,A000000,06200,0000,6200PATIENTS LAUNDRY 434716,A000000,06300,0000,6150ADULT DAY HEALTH 434716,A000000,06301,0000,6151ASSISTED LIVING 434716,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434716,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434716,A81000A,00100,0100,N 434716,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434716,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434716,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434716,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434716,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434716,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434716,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434716,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434716,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434716,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434716,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434716,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434716,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434716,S000000,00100,0200,09/02/11 434716,S200000,00100,0100,16 GREEN STREET 434716,S200000,00200,0100,IPSWICH 434716,S200000,00200,0200,MA 434716,S200000,00200,0300,01938 434716,S200000,00300,0100,ESSEX 434716,S200000,00300,0200,1123 434716,S200000,00300,0201,37764 434716,S200000,00300,0300,U 434716,S200000,00400,0100,CALDWELL SKILLED NURSING & REHAB CEN 434716,S200000,00400,0200,225292 434716,S200000,00400,0300,01/01/85 434716,S200000,00400,0500,P 434716,S200000,00400,0600,P 434716,S200000,01500,0100,Y 434716,S200000,01501,0200,Y 434716,S200000,01503,0200,Y 434716,S200000,01504,0200,Y 434716,S200000,01600,0100,N 434716,S200000,01700,0100,N 434716,S200000,01800,0100,N 434716,S200000,02200,0100,N 434716,S200000,02800,0100,N 434716,S200000,02900,0100,N 434716,S200000,03000,0100,N 434716,S200000,03100,0100,N 434716,S200000,03200,0100,N 434716,S200000,03300,0100,N 434716,S200000,03300,0200,N 434716,S200000,04100,0100,N 434716,S200000,04200,0100,N 434716,S200000,04300,0100,N 434716,S200000,04600,0100,N 434716,S200000,04700,0100,N 434716,S200000,04700,0200,N 434716,S200000,04900,0100,N 434716,S200000,05000,0100,N 434716,S200000,05100,0100,N 434716,S200000,05200,0100,N 434716,S200000,05300,0100,N 434732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434732,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434732,A000000,00300,0000,0300EMPLOYEE BENEFITS 434732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434732,A000000,00700,0000,0700HOUSEKEEPING 434732,A000000,00800,0000,0800DIETARY 434732,A000000,00900,0000,0900NURSING ADMINISTRATION 434732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434732,A000000,01100,0000,1100PHARMACY 434732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434732,A000000,01300,0000,1300SOCIAL SERVICE 434732,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434732,A000000,01500,0000,1350ACTIVITIES 434732,A000000,01600,0000,1600SKILLED NURSING FACILITY 434732,A000000,01800,0000,1800NURSING FACILITY 434732,A000000,01810,0000,1810ICF/MR 434732,A000000,01900,0000,1900OTHER LONG TERM CARE 434732,A000000,02100,0000,2100RADIOLOGY 434732,A000000,02200,0000,2200LABORATORY 434732,A000000,02300,0000,2300INTRAVENOUS THERAPY 434732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434732,A000000,02500,0000,2500PHYSICAL THERAPY 434732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434732,A000000,02700,0000,2700SPEECH PATHOLOGY 434732,A000000,02800,0000,2800ELECTROCARDIOLOGY 434732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434732,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434732,A000000,03200,0000,3200SUPPORT SURFACES 434732,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434732,A000000,03400,0000,3400CLINIC 434732,A000000,03500,0000,3500RURAL HEALTH CLINIC 434732,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434732,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434732,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434732,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434732,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434732,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434732,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434732,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434732,A000000,04400,0000,4400DME RENTED - HHA 434732,A000000,04500,0000,4500DME SOLD - HHA 434732,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434732,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434732,A000000,04710,0000,4710TELEMEDICINE 434732,A000000,04800,0000,4800AMBULANCE 434732,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434732,A000000,05000,0000,5000CORF 434732,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434732,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434732,A000000,05300,0000,5300INTEREST EXPENSE 434732,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434732,A000000,05500,0000,5500HOSPICE 434732,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434732,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434732,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434732,A000000,06100,0000,6100NONPAID WORKERS 434732,A000000,06200,0000,6200PATIENTS LAUNDRY 434732,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434732,A81000A,00100,0100,Y 434732,A81000B,00100,0300,HOME OFFICE COSTS 434732,A81000B,00200,0300,HOME OFFICE COSTS 434732,A81000B,00300,0300,HOME OFFICE COSTS 434732,A81000B,00400,0300,HOME OFFICE COSTS 434732,A81000B,00500,0300,HOME OFFICE COSTS 434732,A81000B,00600,0300,HOME OFFICE COSTS 434732,A81000B,00700,0300,PHYSICAL THERAPY 434732,A81000B,00800,0300,OCCUPATIONAL THERAPY 434732,A81000B,00900,0300,SPEECH THERAPY 434732,A81000C,00100,0100,A 434732,A81000C,00100,0200,STUART AND MIKE REED 434732,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00100,0600,NURSING HOMES 434732,A81000C,00200,0100,A 434732,A81000C,00200,0200,STUART AND MIKE REED 434732,A81000C,00200,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00200,0600,NURSING HOMES 434732,A81000C,00300,0100,A 434732,A81000C,00300,0200,STUART AND MIKE REED 434732,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00300,0600,NURSING HOMES 434732,A81000C,00400,0100,A 434732,A81000C,00400,0200,STUART AND MIKE REED 434732,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00400,0600,NURSING HOMES 434732,A81000C,00500,0100,A 434732,A81000C,00500,0200,STUART AND MIKE REED 434732,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00500,0600,NURSING HOMES 434732,A81000C,00600,0100,A 434732,A81000C,00600,0200,STUART AND MIKE REED 434732,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434732,A81000C,00600,0600,NURSING HOMES 434732,A81000C,00700,0100,D 434732,A81000C,00700,0200,SUZANNE REED 434732,A81000C,00700,0400,INDIANA FITNESS WORKS 434732,A81000C,00700,0600,THERAPY 434732,A81000C,00800,0100,D 434732,A81000C,00800,0200,SUZANNE REED 434732,A81000C,00800,0400,INDIANA FITNESS WORKS 434732,A81000C,00800,0600,THERAPY 434732,A81000C,00900,0100,D 434732,A81000C,00900,0200,SUZANNE REED 434732,A81000C,00900,0400,INDIANA FITNESS WORKS 434732,A81000C,00900,0600,THERAPY 434732,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434732,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434732,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434732,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434732,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434732,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434732,B100000,00000,0800,0800MEALS SERVED :DIETARY 434732,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434732,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434732,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434732,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434732,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434732,E10A180,00501,0100,08/27/12 434732,G300000,02500,0000,OTHER REVENUE 434732,S000000,00100,0200,05/22/12 434732,S200000,00100,0100,1959 E. COLUMBUS STREET 434732,S200000,00200,0100,MARTINSVILLE 434732,S200000,00200,0200,IN 434732,S200000,00200,0300,46151 434732,S200000,00300,0100,MORGAN 434732,S200000,00300,0201,26900 434732,S200000,00300,0300,U 434732,S200000,00400,0100,GRANDVIEW HEALTH & REHAB CENTER 434732,S200000,00400,0200,155605 434732,S200000,00400,0300,12/01/96 434732,S200000,00400,0500,P 434732,S200000,01500,0100,Y 434732,S200000,01501,0200,Y 434732,S200000,01502,0200,Y 434732,S200000,01503,0200,Y 434732,S200000,01504,0200,Y 434732,S200000,01600,0100,N 434732,S200000,01700,0100,N 434732,S200000,01800,0100,N 434732,S200000,02200,0100,N 434732,S200000,02800,0100,N 434732,S200000,02900,0100,N 434732,S200000,03000,0100,N 434732,S200000,03100,0100,N 434732,S200000,03200,0100,N 434732,S200000,03300,0100,N 434732,S200000,03300,0200,N 434732,S200000,04100,0100,N 434732,S200000,04200,0100,N 434732,S200000,04300,0100,N 434732,S200000,04600,0100,N 434732,S200000,04700,0100,N 434732,S200000,04700,0200,N 434732,S200000,04900,0100,N 434732,S200000,05000,0100,N 434732,S200000,05100,0100,N 434732,S200000,05200,0100,N 434732,S200000,05300,0100,Y 434732,S200000,05300,0200,15H049 434732,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 434732,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434732,S200000,05400,0300,00130 434732,S200000,05500,0100,9455 DELEGATES ROW 434732,S200000,05600,0100,INDIANAPOLIS 434732,S200000,05600,0200,IN 434732,S200000,05600,0300,46240 434740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434740,A000000,00300,0000,0300EMPLOYEE BENEFITS 434740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434740,A000000,00700,0000,0700HOUSEKEEPING 434740,A000000,00800,0000,0800DIETARY 434740,A000000,00900,0000,0900NURSING ADMINISTRATION 434740,A000000,01100,0000,1100PHARMACY 434740,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434740,A000000,01300,0000,1300SOCIAL SERVICE 434740,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434740,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434740,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434740,A000000,01600,0000,1600SKILLED NURSING FACILITY 434740,A000000,01800,0000,1800NURSING FACILITY 434740,A000000,01810,0000,1810ICF/MR 434740,A000000,01900,0000,1900OTHER LONG TERM CARE 434740,A000000,02100,0000,2100RADIOLOGY 434740,A000000,02200,0000,2200LABORATORY 434740,A000000,02300,0000,2300INTRAVENOUS THERAPY 434740,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434740,A000000,02500,0000,2500PHYSICAL THERAPY 434740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434740,A000000,02700,0000,2700SPEECH PATHOLOGY 434740,A000000,02800,0000,2800ELECTROCARDIOLOGY 434740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434740,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434740,A000000,03200,0000,3200SUPPORT SURFACES 434740,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434740,A000000,03301,0000,3051AIR FLUID THERAPY 434740,A000000,03302,0000,3052AMBULANCE 434740,A000000,03303,0000,3053PEN THERAPY 434740,A000000,03304,0000,3054ONCOLOGY 434740,A000000,03305,0000,3055CARDIOLOGY 434740,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434740,A000000,03307,0000,3057AUDIOLOGY 434740,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434740,A000000,03400,0000,3400CLINIC 434740,A000000,03500,0000,3500RURAL HEALTH CLINIC 434740,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434740,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434740,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434740,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434740,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434740,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434740,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434740,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434740,A000000,04400,0000,4400DME RENTED - HHA 434740,A000000,04500,0000,4500DME SOLD - HHA 434740,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434740,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434740,A000000,04710,0000,4710TELEMEDICINE 434740,A000000,04800,0000,4800AMBULANCE 434740,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434740,A000000,05000,0000,5000CORF 434740,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434740,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434740,A000000,05300,0000,5300INTEREST EXPENSE 434740,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434740,A000000,05500,0000,5500HOSPICE 434740,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434740,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434740,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434740,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434740,A000000,06100,0000,6100NONPAID WORKERS 434740,A000000,06200,0000,6200PATIENTS LAUNDRY 434740,A000000,06300,0000,6150MEALS ON WHEELS 434740,A000000,06301,0000,6151ASSISTED LIVING 434740,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434740,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434740,A81000A,00100,0100,N 434740,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434740,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434740,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434740,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434740,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434740,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434740,B100000,00000,0800,0800MEALS SERVED :DIETARY 434740,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434740,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434740,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434740,E10A180,00501,0100,04/23/12 434740,G300000,02500,0000,OTHER - SEE GROUPINGS 434740,G300000,02501,0000,OTHER - SEE GROUPINGS 434740,H513100,00000,0000,99924 434740,S000000,00100,0200,02/27/12 434740,S200000,00100,0100,810 WEST MAIN 434740,S200000,00200,0100,ADAMS 434740,S200000,00200,0200,MN 434740,S200000,00200,0300,55909 434740,S200000,00300,0100,MOWER 434740,S200000,00300,0200,24 434740,S200000,00300,0201,99924 434740,S200000,00300,0300,R 434740,S200000,00400,0100,ADAMS HEALTH CARE CENTER 434740,S200000,00400,0200,245509 434740,S200000,00400,0300,11/01/88 434740,S200000,00400,0500,P 434740,S200000,00800,0200,247277 434740,S200000,00800,0300,02/25/93 434740,S200000,00800,0500,P 434740,S200000,01500,0100,Y 434740,S200000,01501,0200,N 434740,S200000,01502,0200,N 434740,S200000,01504,0200,N 434740,S200000,01600,0100,N 434740,S200000,01700,0100,N 434740,S200000,01800,0100,N 434740,S200000,02200,0100,N 434740,S200000,02800,0100,Y 434740,S200000,02900,0100,N 434740,S200000,03000,0100,N 434740,S200000,03100,0100,N 434740,S200000,03200,0100,N 434740,S200000,03300,0100,N 434740,S200000,03300,0200,N 434740,S200000,03700,0100,N 434740,S200000,03700,0200,N 434740,S200000,04100,0100,N 434740,S200000,04200,0100,N 434740,S200000,04300,0100,N 434740,S200000,04600,0100,N 434740,S200000,04700,0100,N 434740,S200000,04700,0200,N 434740,S200000,04900,0100,N 434740,S200000,05000,0100,N 434740,S200000,05100,0100,N 434740,S200000,05200,0100,N 434740,S200000,05300,0100,N 434740,S410002,01700,0101,99924 434741,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434741,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434741,A000000,00300,0000,0300EMPLOYEE BENEFITS 434741,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434741,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434741,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434741,A000000,00700,0000,0700HOUSEKEEPING 434741,A000000,00800,0000,0800DIETARY 434741,A000000,00900,0000,0900NURSING ADMINISTRATION 434741,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434741,A000000,01300,0000,1300SOCIAL SERVICE 434741,A000000,01500,0000,1350ACTIVITIES 434741,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434741,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434741,A000000,01600,0000,1600SKILLED NURSING FACILITY 434741,A000000,01800,0000,1800NURSING FACILITY 434741,A000000,01810,0000,1810ICF/MR 434741,A000000,01900,0000,1900OTHER LONG TERM CARE 434741,A000000,02100,0000,2100RADIOLOGY 434741,A000000,02200,0000,2200LABORATORY 434741,A000000,02300,0000,2300INTRAVENOUS THERAPY 434741,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434741,A000000,02500,0000,2500PHYSICAL THERAPY 434741,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434741,A000000,02700,0000,2700SPEECH PATHOLOGY 434741,A000000,02800,0000,2800ELECTROCARDIOLOGY 434741,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434741,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434741,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434741,A000000,03200,0000,3200SUPPORT SURFACES 434741,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434741,A000000,03301,0000,3051AIR FLUID THERAPY 434741,A000000,03302,0000,3052AMBULANCE 434741,A000000,03303,0000,3053PEN THERAPY 434741,A000000,03304,0000,3054ONCOLOGY 434741,A000000,03305,0000,3055CARDIOLOGY 434741,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434741,A000000,03307,0000,3057AUDIOLOGY 434741,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434741,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434741,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434741,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434741,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434741,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434741,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434741,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434741,A000000,04400,0000,4400DME RENTED - HHA 434741,A000000,04500,0000,4500DME SOLD - HHA 434741,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434741,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434741,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434741,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434741,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434741,A000000,06300,0000,6150ADULT DAY HEALTH 434741,A000000,06301,0000,6151ASSISTED LIVING 434741,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434741,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434741,A81000A,00100,0100,Y 434741,A81000B,00700,0300,UTILTIES - PLANT & MAINT RELATED 434741,A81000C,00100,0100,G 434741,A81000C,00100,0200,CLARKFIELD CARE CENTER 434741,A81000C,00100,0400,CITY OF CLARKFIELD 434741,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434741,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434741,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434741,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434741,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434741,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434741,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434741,B100000,00000,0800,0800MEALS SERVED :DIETARY 434741,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434741,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434741,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434741,G300000,02500,0000,OTHER - SEE GROUPINGS 434741,S000000,00100,0200,02/28/12 434741,S200000,00100,0100,805 5TH STREET 434741,S200000,00200,0100,CLARKFIELD 434741,S200000,00200,0200,MN 434741,S200000,00200,0300,56223-0458 434741,S200000,00300,0100,YELLOW MEDICINE 434741,S200000,00300,0200,24 434741,S200000,00300,0201,99924 434741,S200000,00300,0300,R 434741,S200000,00400,0100,CLARKFIELD CARE CENTER 434741,S200000,00400,0200,245551 434741,S200000,00400,0300,01/01/91 434741,S200000,00400,0500,P 434741,S200000,00800,0200,247152 434741,S200000,00800,0300,02/17/84 434741,S200000,00800,0500,P 434741,S200000,01500,0100,Y 434741,S200000,01501,0200,Y 434741,S200000,01503,0200,Y 434741,S200000,01600,0100,N 434741,S200000,01700,0100,N 434741,S200000,01800,0100,N 434741,S200000,02200,0100,N 434741,S200000,02800,0100,Y 434741,S200000,02900,0100,N 434741,S200000,03000,0100,N 434741,S200000,03100,0100,N 434741,S200000,03200,0100,N 434741,S200000,03300,0100,N 434741,S200000,03300,0200,N 434741,S200000,03700,0100,N 434741,S200000,03700,0200,N 434741,S200000,04100,0100,N 434741,S200000,04200,0100,N 434741,S200000,04300,0100,N 434741,S200000,04600,0100,N 434741,S200000,04700,0100,N 434741,S200000,04700,0200,N 434741,S200000,04900,0100,N 434741,S200000,05000,0100,N 434741,S200000,05100,0100,N 434741,S200000,05200,0100,N 434741,S200000,05300,0100,N 434741,S410002,01700,0101,99924 434743,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434743,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434743,A000000,00300,0000,0300EMPLOYEE BENEFITS 434743,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434743,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434743,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434743,A000000,00700,0000,0700HOUSEKEEPING 434743,A000000,00800,0000,0800DIETARY 434743,A000000,00900,0000,0900NURSING ADMINISTRATION 434743,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434743,A000000,01300,0000,1300SOCIAL SERVICE 434743,A000000,01600,0000,1600SKILLED NURSING FACILITY 434743,A000000,01800,0000,1800NURSING FACILITY 434743,A000000,02500,0000,2500PHYSICAL THERAPY 434743,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434743,A000000,02700,0000,2700SPEECH PATHOLOGY 434743,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434743,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434743,A81000A,00100,0100,Y 434743,A81000B,00100,0300,MANAGEMENT FEES 434743,A81000B,00200,0300,LEASING FEES 434743,A81000C,00100,0100,A 434743,A81000C,00100,0200,JACK & ELDORA VETTER 434743,A81000C,00100,0400,VETTER HEALTH SERVICES 434743,A81000C,00100,0600,MANAGEMENT COMPANY 434743,A81000C,00200,0100,A 434743,A81000C,00200,0200,JACK & ELDORA VETTER 434743,A81000C,00200,0400,VETTER LEASING 434743,A81000C,00200,0600,LEASING COMPANY 434743,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 434743,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434743,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434743,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 434743,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434743,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434743,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434743,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434743,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434743,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434743,G300000,02500,0000,MISCELLANEOUS 434743,S000000,00100,0200,04/02/12 434743,S200000,00100,0100,241 N. CHESTNUT 434743,S200000,00200,0100,SPALDING 434743,S200000,00200,0200,NE 434743,S200000,00200,0300,68665 434743,S200000,00300,0100,GREELEY 434743,S200000,00300,0200,28 434743,S200000,00300,0201,99928 434743,S200000,00300,0300,R 434743,S200000,00400,0100,FRIENDSHIP VILLA 434743,S200000,00400,0200,285227 434743,S200000,00400,0300,02/01/98 434743,S200000,00400,0500,P 434743,S200000,01500,0100,Y 434743,S200000,01501,0200,Y 434743,S200000,01502,0200,Y 434743,S200000,01503,0200,Y 434743,S200000,01504,0200,Y 434743,S200000,01600,0100,N 434743,S200000,01700,0100,N 434743,S200000,01800,0100,N 434743,S200000,02200,0100,N 434743,S200000,02800,0100,N 434743,S200000,02900,0100,N 434743,S200000,03000,0100,N 434743,S200000,03100,0100,Y 434743,S200000,03200,0100,N 434743,S200000,03300,0100,N 434743,S200000,03300,0200,N 434743,S200000,04100,0100,N 434743,S200000,04200,0100,N 434743,S200000,04300,0100,N 434743,S200000,04600,0100,N 434743,S200000,04700,0100,N 434743,S200000,04700,0200,N 434743,S200000,04900,0100,N 434743,S200000,05000,0100,N 434743,S200000,05100,0100,N 434743,S200000,05200,0100,N 434743,S200000,05300,0100,Y 434743,S200000,05300,0200,289006 434743,S200000,05400,0100,VETTER HEALTH SERVICES 434743,S200000,05400,0200,WPS 434743,S200000,05400,0300,05401 434743,S200000,05500,0100,20220 HARNEY STREET 434743,S200000,05600,0100,ELKHORN 434743,S200000,05600,0200,NE 434743,S200000,05600,0300,68022 434745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434745,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434745,A000000,00300,0000,0300EMPLOYEE BENEFITS 434745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434745,A000000,00700,0000,0700HOUSEKEEPING 434745,A000000,00800,0000,0800DIETARY 434745,A000000,00900,0000,0900NURSING ADMINISTRATION 434745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434745,A000000,01300,0000,1300SOCIAL SERVICE 434745,A000000,01600,0000,1600SKILLED NURSING FACILITY 434745,A000000,01800,0000,1800NURSING FACILITY 434745,A000000,01810,0000,1810ICF/MR 434745,A000000,01900,0000,1900OTHER LONG TERM CARE 434745,A000000,02100,0000,2100RADIOLOGY 434745,A000000,02200,0000,2200LABORATORY 434745,A000000,02300,0000,2300INTRAVENOUS THERAPY 434745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434745,A000000,02500,0000,2500PHYSICAL THERAPY 434745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434745,A000000,02700,0000,2700SPEECH PATHOLOGY 434745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434745,A000000,03200,0000,3200SUPPORT SURFACES 434745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434745,A000000,04800,0000,4800AMBULANCE 434745,A000000,05300,0000,5300INTEREST EXPENSE 434745,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434745,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434745,A000000,06200,0000,6200PATIENTS LAUNDRY 434745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434745,A81000A,00100,0100,Y 434745,A81000B,00100,0300,MANAGEMENT FEES 434745,A81000B,00200,0300,DIETARY CONSULTING 434745,A81000B,00300,0300,NURSE CONSULTING 434745,A81000B,00400,0300,PHYSICAL THERAPY 434745,A81000B,00500,0300,OCCUPATIONAL THERAPY 434745,A81000B,00600,0300,SPEECH THERAPY 434745,A81000B,00700,0300,REGIONAL THERAPY MANAGER 434745,A81000B,00800,0300,REGIONAL THERAPY MANAGER 434745,A81000B,00900,0300,REGIONAL THERAPY MANAGER 434745,A81000B,01000,0300,HMX SOFTWARE SUPPORT 434745,A81000C,00100,0100,B 434745,A81000C,00100,0200,EVERGREEN HEALTHCARE 434745,A81000C,00100,0400,EHC MGMT LLC 434745,A81000C,00100,0600,MGMT SERVICES 434745,A81000C,00200,0100,B 434745,A81000C,00200,0200,EVERGREEN HEALTHCARE 434745,A81000C,00200,0400,PARKWAY THERAPIES LLC 434745,A81000C,00200,0600,THERAPY SERVICES 434745,A81000C,00300,0100,B 434745,A81000C,00300,0200,EVERGREEN HEALTHCARE 434745,A81000C,00300,0400,PARKWAY STAFFING LLC 434745,A81000C,00300,0600,NURSING REGISTRY 434745,A81000C,00400,0100,B 434745,A81000C,00400,0200,EVERGREEN HEALTHCARE 434745,A81000C,00400,0400,EHC MGMT LLC 434745,A81000C,00400,0600,DIETARY CONSULTING 434745,A81000C,00500,0100,B 434745,A81000C,00500,0200,EVERGREEN HEALTHCARE 434745,A81000C,00500,0400,EHC MGMT LLC 434745,A81000C,00500,0600,NURSING CONSULTING 434745,A81000C,00600,0100,B 434745,A81000C,00600,0200,EVERGREEN HEALTHCARE 434745,A81000C,00600,0400,EHC MGMT LLC 434745,A81000C,00600,0600,SOFTWARE SUPPORT 434745,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434745,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434745,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434745,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434745,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434745,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434745,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434745,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434745,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434745,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434745,E10A180,00301,0100,07/25/11 434745,S000000,00100,0200,12/22/11 434745,S200000,00100,0100,3517 11TH STREET 434745,S200000,00200,0100,BREMERTON 434745,S200000,00200,0200,WA 434745,S200000,00200,0300,98312-2633 434745,S200000,00300,0100,KITSAP 434745,S200000,00300,0200,1150 434745,S200000,00300,0201,14740 434745,S200000,00300,0300,U 434745,S200000,00400,0100,KITSAP HEALTH & REHABILITATION CNTR 434745,S200000,00400,0200,505156 434745,S200000,00400,0300,09/01/92 434745,S200000,00400,0500,P 434745,S200000,01500,0100,Y 434745,S200000,01501,0200,Y 434745,S200000,01502,0200,Y 434745,S200000,01504,0200,Y 434745,S200000,01600,0100,N 434745,S200000,01700,0100,N 434745,S200000,01800,0100,N 434745,S200000,02200,0100,N 434745,S200000,02800,0100,N 434745,S200000,02900,0100,N 434745,S200000,03000,0100,N 434745,S200000,03100,0100,N 434745,S200000,03200,0100,N 434745,S200000,03300,0100,N 434745,S200000,03300,0200,N 434745,S200000,04100,0100,N 434745,S200000,04200,0100,N 434745,S200000,04300,0100,N 434745,S200000,04600,0100,N 434745,S200000,04700,0100,N 434745,S200000,04700,0200,N 434745,S200000,04900,0100,N 434745,S200000,05000,0100,N 434745,S200000,05100,0100,N 434745,S200000,05200,0100,N 434745,S200000,05300,0100,Y 434745,S200000,05300,0200,509022 434745,S200000,05400,0100,EVERGREEN HEALTHCARE MANAGEMENT LLC 434745,S200000,05400,0200,WISCONSIN PHYSICIAN SERVICES 434745,S200000,05400,0300,555555 434745,S200000,05500,0100,4601 NE 77TH AVE. SUITE 300 434745,S200000,05600,0100,VANCOUVER 434745,S200000,05600,0200,WA 434745,S200000,05600,0300,98662 434757,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434757,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434757,A000000,00300,0000,0300EMPLOYEE BENEFITS 434757,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434757,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434757,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434757,A000000,00700,0000,0700HOUSEKEEPING 434757,A000000,00800,0000,0800DIETARY 434757,A000000,00900,0000,0900NURSING ADMINISTRATION 434757,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434757,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434757,A000000,01300,0000,1300SOCIAL SERVICE 434757,A000000,01500,0000,1350ACTIVITIES 434757,A000000,01600,0000,1600SKILLED NURSING FACILITY 434757,A000000,01800,0000,1800NURSING FACILITY 434757,A000000,01900,0000,1900OTHER LONG TERM CARE 434757,A000000,02100,0000,2100RADIOLOGY 434757,A000000,02200,0000,2200LABORATORY 434757,A000000,02300,0000,2300INTRAVENOUS THERAPY 434757,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434757,A000000,02500,0000,2500PHYSICAL THERAPY 434757,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434757,A000000,02700,0000,2700SPEECH PATHOLOGY 434757,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434757,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434757,A000000,03200,0000,3200SUPPORT SURFACES 434757,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434757,A000000,03400,0000,3400CLINIC 434757,A000000,03500,0000,3500RURAL HEALTH CLINIC 434757,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434757,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434757,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434757,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434757,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434757,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434757,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434757,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434757,A000000,04400,0000,4400DME RENTED - HHA 434757,A000000,04500,0000,4500DME SOLD - HHA 434757,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434757,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434757,A000000,04710,0000,4710TELEMEDICINE 434757,A000000,04800,0000,4800AMBULANCE 434757,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434757,A000000,05000,0000,5000CORF 434757,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434757,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434757,A000000,05300,0000,5300INTEREST EXPENSE 434757,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434757,A000000,05500,0000,5500HOSPICE 434757,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434757,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434757,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434757,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434757,A000000,06100,0000,6100NONPAID WORKERS 434757,A000000,06200,0000,6200PATIENTS LAUNDRY 434757,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434757,A81000A,00100,0100,N 434757,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434757,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434757,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434757,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434757,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434757,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434757,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434757,B100000,00000,0800,0800MEALS SERVED :DIETARY 434757,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 434757,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434757,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434757,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 434757,E10A180,00501,0100,05/18/12 434757,E10A180,00501,0300,05/18/12 434757,G300000,02500,0000,OTHER (SPECIFY) 434757,S000000,00100,0200,03/02/12 434757,S200000,00100,0100,220 SOUTH DIVISION STREET 434757,S200000,00200,0100,SANDPOINT 434757,S200000,00200,0200,ID 434757,S200000,00200,0300,83864 434757,S200000,00300,0100,BONNER 434757,S200000,00300,0200,13 434757,S200000,00300,0201,99913 434757,S200000,00300,0300,R 434757,S200000,00400,0100,VALLEY VISTA CARE CENTER-SANDPOINT 434757,S200000,00400,0200,135055 434757,S200000,00400,0300,07/01/73 434757,S200000,00400,0500,P 434757,S200000,01500,0100,Y 434757,S200000,01600,0100,N 434757,S200000,01700,0100,N 434757,S200000,01800,0100,N 434757,S200000,02200,0100,N 434757,S200000,02800,0100,N 434757,S200000,02900,0100,N 434757,S200000,03000,0100,N 434757,S200000,03100,0100,N 434757,S200000,03200,0100,N 434757,S200000,03300,0100,N 434757,S200000,03300,0200,N 434757,S200000,04100,0100,N 434757,S200000,04200,0100,N 434757,S200000,04300,0100,N 434757,S200000,04600,0100,N 434757,S200000,04700,0100,N 434757,S200000,04700,0200,N 434757,S200000,04900,0100,N 434757,S200000,05000,0100,N 434757,S200000,05100,0100,N 434757,S200000,05200,0100,N 434757,S200000,05300,0100,Y 434757,S200000,05300,0200,N/A 434757,S200000,05400,0100,VALLEY VISTA CARE SERVICES 434757,S200000,05400,0200,NORIDIAN ADMINISTRATIVE SERVICES 434757,S200000,05400,0300, 00N/A 434757,S200000,05500,0100,820 ELM ST 434757,S200000,05600,0100,ST. MARIES 434757,S200000,05600,0200,ID 434757,S200000,05600,0300,83861 434763,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434763,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434763,A000000,00300,0000,0300EMPLOYEE BENEFITS 434763,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434763,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434763,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434763,A000000,00700,0000,0700HOUSEKEEPING 434763,A000000,00800,0000,0800DIETARY 434763,A000000,00900,0000,0900NURSING ADMINISTRATION 434763,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434763,A000000,01100,0000,1100PHARMACY 434763,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434763,A000000,01300,0000,1300SOCIAL SERVICE 434763,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434763,A000000,01500,0000,1350OTHER GENERAL SERVICES 434763,A000000,01600,0000,1600SKILLED NURSING FACILITY 434763,A000000,01800,0000,1800NURSING FACILITY 434763,A000000,01810,0000,1810ICF/MR 434763,A000000,01900,0000,1900OTHER LONG TERM CARE 434763,A000000,02100,0000,2100RADIOLOGY 434763,A000000,02200,0000,2200LABORATORY 434763,A000000,02300,0000,2300INTRAVENOUS THERAPY 434763,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434763,A000000,02500,0000,2500PHYSICAL THERAPY 434763,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434763,A000000,02700,0000,2700SPEECH PATHOLOGY 434763,A000000,02800,0000,2800ELECTROCARDIOLOGY 434763,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434763,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434763,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434763,A000000,03200,0000,3200SUPPORT SURFACES 434763,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434763,A000000,03400,0000,3400CLINIC 434763,A000000,03500,0000,3500RURAL HEALTH CLINIC 434763,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434763,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434763,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434763,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434763,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434763,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434763,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434763,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434763,A000000,04400,0000,4400DME RENTED - HHA 434763,A000000,04500,0000,4500DME SOLD - HHA 434763,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434763,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434763,A000000,04710,0000,4710TELEMEDICINE 434763,A000000,04800,0000,4800AMBULANCE 434763,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434763,A000000,05000,0000,5000CORF 434763,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434763,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434763,A000000,05300,0000,5300INTEREST EXPENSE 434763,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434763,A000000,05500,0000,5500HOSPICE 434763,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434763,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434763,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434763,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434763,A000000,06100,0000,6100NONPAID WORKERS 434763,A000000,06200,0000,6200PATIENTS LAUNDRY 434763,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434763,A81000A,00100,0100,Y 434763,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 434763,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 434763,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 434763,A81000B,00400,0300,HO ALLOCATION 434763,A81000B,00500,0300,HO ALLOCATION 434763,A81000B,00600,0300,HO ALLOCATION 434763,A81000B,00700,0300,HMS GPO FEES 434763,A81000B,00800,0300,HMS GPO FEES 434763,A81000B,00900,0300,HMS GPO FEES 434763,A81000B,01000,0300,HMS GPO FEES 434763,A81000B,01100,0300,HMS GPO FEES 434763,A81000B,01200,0300,HMS GPO FEES 434763,A81000B,01300,0300,HMS GPO FEES 434763,A81000B,01400,0300,HMS GPO FEES 434763,A81000B,01500,0300,HMS GPO FEES 434763,A81000B,01600,0300,HMS GPO FEES 434763,A81000C,00100,0100,B 434763,A81000C,00100,0400,HALCYON REHAB. LLC 434763,A81000C,00100,0600,REHAB. SERVICES 434763,A81000C,00200,0100,B 434763,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 434763,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 434763,A81000C,00300,0100,F 434763,A81000C,00300,0200,RELATED FAMILY TRUSTS 434763,A81000C,00300,0400,HMS PURCHASING LLC 434763,A81000C,00300,0600,GROUP PURCHASING ORG. 434763,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434763,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434763,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434763,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434763,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434763,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434763,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434763,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434763,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434763,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434763,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434763,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434763,E10A180,00501,0300,01/18/12 434763,E10A180,00550,0100,01/18/12 434763,G300000,02500,0000,OTHER REVENUE 434763,S000000,00100,0200,11/02/11 434763,S200000,00100,0100,1691 S HUDSON AVE. 434763,S200000,00200,0100,JONESBORO 434763,S200000,00200,0200,LA 434763,S200000,00200,0300,71251-5856 434763,S200000,00300,0100,JACKSON PARISH 434763,S200000,00300,0200,19 434763,S200000,00300,0201,99919 434763,S200000,00300,0300,R 434763,S200000,00400,0100,JACKSON MANOR NSG & REHAB CTR 434763,S200000,00400,0200,195333 434763,S200000,00400,0300,03/01/95 434763,S200000,00400,0500,P 434763,S200000,01500,0100,Y 434763,S200000,01501,0200,Y 434763,S200000,01502,0200,Y 434763,S200000,01600,0100,N 434763,S200000,01700,0100,N 434763,S200000,01800,0100,N 434763,S200000,02200,0100,N 434763,S200000,02800,0100,N 434763,S200000,02900,0100,N 434763,S200000,03000,0100,N 434763,S200000,03100,0100,Y 434763,S200000,03200,0100,N 434763,S200000,03300,0100,N 434763,S200000,03300,0200,N 434763,S200000,03600,0100,N 434763,S200000,03600,0200,N 434763,S200000,04100,0100,N 434763,S200000,04200,0100,N 434763,S200000,04300,0100,N 434763,S200000,04600,0100,N 434763,S200000,04700,0100,N 434763,S200000,04700,0200,N 434763,S200000,04900,0100,N 434763,S200000,05000,0100,N 434763,S200000,05100,0100,N 434763,S200000,05200,0100,N 434763,S200000,05300,0100,Y 434763,S200000,05300,0200,339003 434763,S200000,05400,0100,CYPRESS HEALTH GROUP LLC 434763,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 434763,S200000,05400,0300,05401 434763,S200000,05500,0100,4 WEST RED OAK LANE STE 201 434763,S200000,05600,0100,WHITE PLAINS 434763,S200000,05600,0200,NY 434763,S200000,05600,0300,10604 434765,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434765,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434765,A000000,00300,0000,0300EMPLOYEE BENEFITS 434765,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434765,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434765,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434765,A000000,00700,0000,0700HOUSEKEEPING 434765,A000000,00800,0000,0800DIETARY 434765,A000000,00900,0000,0900NURSING ADMINISTRATION 434765,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434765,A000000,01100,0000,1100PHARMACY 434765,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434765,A000000,01300,0000,1300SOCIAL SERVICE 434765,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434765,A000000,01600,0000,1600SKILLED NURSING FACILITY 434765,A000000,01800,0000,1800NURSING FACILITY 434765,A000000,01810,0000,1810ICF/MR 434765,A000000,02100,0000,2100RADIOLOGY 434765,A000000,02200,0000,2200LABORATORY 434765,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434765,A000000,02500,0000,2500PHYSICAL THERAPY 434765,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434765,A000000,02700,0000,2700SPEECH PATHOLOGY 434765,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434765,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434765,A000000,03550,0000,3550FQHC 434765,A000000,05000,0000,5000CORF 434765,A000000,05010,0000,5010CMHC 434765,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434765,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434765,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434765,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434765,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434765,A81000A,00100,0100,N 434765,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434765,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434765,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434765,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434765,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434765,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434765,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 434765,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434765,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434765,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434765,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434765,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434765,E10A180,00501,0100,04/20/12 434765,E10A180,00501,0300,04/20/12 434765,G300000,02500,0000,TRANSPORTATION INCOME 434765,G300000,02501,0000,MANAGEMENT FEE 434765,G300000,02502,0000,DIETARY SUPPLIMENTS 434765,G300000,02503,0000,ADMISSIONS EVAL 434765,G300000,02504,0000,BEAUTY AND BARBER SHOP 434765,G300000,02505,0000,ACTIVITIES INCOME 434765,G300000,02506,0000,PERSONAL PURCHASES INCOME 434765,G300000,02507,0000,MISC INCOME 434765,S000000,00100,0200,03/14/12 434765,S200000,00100,0100,101 PRAIRIE MILLS ROAD 434765,S200000,00200,0100,GOLDEN 434765,S200000,00200,0200,IL 434765,S200000,00200,0300,62339 434765,S200000,00300,0100,ADAMS 434765,S200000,00300,0201,14 434765,S200000,00300,0300,R 434765,S200000,00400,0100,GOLDEN GOOD SHEPHERD HOME 434765,S200000,00400,0200,146111 434765,S200000,00400,0300,07/01/07 434765,S200000,00400,0500,P 434765,S200000,01500,0100,Y 434765,S200000,01501,0200,Y 434765,S200000,01502,0200,N 434765,S200000,01504,0200,Y 434765,S200000,01505,0000,PT WAGES 434765,S200000,01505,0200,Y 434765,S200000,01600,0100,N 434765,S200000,01700,0100,N 434765,S200000,01800,0100,N 434765,S200000,01900,0100,501 C 3 434765,S200000,02200,0100,N 434765,S200000,02800,0100,Y 434765,S200000,02900,0100,N 434765,S200000,03000,0100,N 434765,S200000,03100,0100,N 434765,S200000,03200,0100,N 434765,S200000,03300,0100,N 434765,S200000,03300,0200,N 434765,S200000,04100,0100,N 434765,S200000,04200,0100,N 434765,S200000,04300,0100,N 434765,S200000,04600,0100,N 434765,S200000,04700,0100,N 434765,S200000,04700,0200,N 434765,S200000,04900,0100,N 434765,S200000,05000,0100,N 434765,S200000,05100,0100,N 434765,S200000,05200,0100,N 434765,S200000,05300,0100,N 434774,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434774,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434774,A000000,00300,0000,0300EMPLOYEE BENEFITS 434774,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434774,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434774,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434774,A000000,00700,0000,0700HOUSEKEEPING 434774,A000000,00800,0000,0800DIETARY 434774,A000000,00900,0000,0900NURSING ADMINISTRATION 434774,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434774,A000000,01100,0000,1100PHARMACY 434774,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434774,A000000,01300,0000,1300SOCIAL SERVICE 434774,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434774,A000000,01500,0000,1350OTHER GENERAL SERVICES 434774,A000000,01600,0000,1600SKILLED NURSING FACILITY 434774,A000000,01800,0000,1800NURSING FACILITY 434774,A000000,01810,0000,1810ICF/MR 434774,A000000,01900,0000,1900OTHER LONG TERM CARE 434774,A000000,02100,0000,2100RADIOLOGY 434774,A000000,02200,0000,2200LABORATORY 434774,A000000,02300,0000,2300INTRAVENOUS THERAPY 434774,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434774,A000000,02500,0000,2500PHYSICAL THERAPY 434774,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434774,A000000,02700,0000,2700SPEECH PATHOLOGY 434774,A000000,02800,0000,2800ELECTROCARDIOLOGY 434774,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434774,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434774,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434774,A000000,03200,0000,3200SUPPORT SURFACES 434774,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434774,A000000,03400,0000,3400CLINIC 434774,A000000,03500,0000,3500RURAL HEALTH CLINIC 434774,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434774,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434774,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434774,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434774,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434774,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434774,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434774,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434774,A000000,04400,0000,4400DME RENTED - HHA 434774,A000000,04500,0000,4500DME SOLD - HHA 434774,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434774,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434774,A000000,04710,0000,4710TELEMEDICINE 434774,A000000,04800,0000,4800AMBULANCE 434774,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434774,A000000,05000,0000,5000CORF 434774,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434774,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434774,A000000,05300,0000,5300INTEREST EXPENSE 434774,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434774,A000000,05500,0000,5500HOSPICE 434774,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434774,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434774,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434774,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434774,A000000,06100,0000,6100NONPAID WORKERS 434774,A000000,06200,0000,6200PATIENTS LAUNDRY 434774,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434774,A81000A,00100,0100,N 434774,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434774,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434774,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434774,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434774,B100000,00000,0600,0650TOTAL PATIENT DA :LAUNDRY & LINE 434774,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434774,B100000,00000,0800,0850TOTAL PATIENT DA :DIETARY 434774,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434774,B100000,00000,1000,1050TOTAL PATIENT DA :CENTRAL SERVIC 434774,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434774,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434774,E10A180,00301,0100,05/02/11 434774,E10A180,00501,0100,08/06/12 434774,G300000,02500,0000,BEAUTY AND BARBER 434774,G300000,02501,0000,TRANSPORTATION REVENUE 434774,G300000,02502,0000,SAFETYNET BY LOJACK REVENUE 434774,S000000,00100,0200,06/12/12 434774,S200000,00100,0100,1130 NW FIRST AVENUE 434774,S200000,00200,0100,HOMESTEAD 434774,S200000,00200,0200,FL 434774,S200000,00200,0300,33030 434774,S200000,00300,0100,MIAMI DADE 434774,S200000,00300,0200,5000 434774,S200000,00300,0201,33124 434774,S200000,00300,0300,U 434774,S200000,00400,0100,SALEM HOUSING & REHAB CENTER 434774,S200000,00400,0200,105541 434774,S200000,00400,0300,11/11/89 434774,S200000,00400,0500,P 434774,S200000,01500,0100,Y 434774,S200000,01501,0200,Y 434774,S200000,01502,0200,Y 434774,S200000,01503,0200,Y 434774,S200000,01600,0100,N 434774,S200000,01700,0100,N 434774,S200000,01800,0100,N 434774,S200000,02200,0100,N 434774,S200000,02800,0100,N 434774,S200000,02900,0100,N 434774,S200000,03000,0100,N 434774,S200000,03100,0100,N 434774,S200000,03200,0100,N 434774,S200000,03300,0100,N 434774,S200000,03300,0200,N 434774,S200000,04100,0100,N 434774,S200000,04200,0100,N 434774,S200000,04300,0100,N 434774,S200000,04600,0100,N 434774,S200000,04700,0100,N 434774,S200000,04700,0200,N 434774,S200000,04900,0100,N 434774,S200000,05000,0100,N 434774,S200000,05100,0100,N 434774,S200000,05200,0100,N 434774,S200000,05300,0100,N 434787,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434787,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434787,A000000,00300,0000,0300EMPLOYEE BENEFITS 434787,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434787,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434787,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434787,A000000,00700,0000,0700HOUSEKEEPING 434787,A000000,00800,0000,0800DIETARY 434787,A000000,00900,0000,0900NURSING ADMINISTRATION 434787,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434787,A000000,01100,0000,1100PHARMACY 434787,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434787,A000000,01300,0000,1300SOCIAL SERVICE 434787,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434787,A000000,01500,0000,1350RECREATION 434787,A000000,01600,0000,1600SKILLED NURSING FACILITY 434787,A000000,01810,0000,1810ICF/MR 434787,A000000,02100,0000,2100RADIOLOGY 434787,A000000,02200,0000,2200LABORATORY 434787,A000000,02300,0000,2300INTRAVENOUS THERAPY 434787,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434787,A000000,02500,0000,2500PHYSICAL THERAPY 434787,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434787,A000000,02700,0000,2700SPEECH PATHOLOGY 434787,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434787,A000000,03550,0000,3550FQHC 434787,A000000,04801,0000,4801AMBULANCE 434787,A000000,04802,0000,4802AMBULANCE 434787,A000000,04803,0000,4803AMBULANCE 434787,A000000,05000,0000,5000CORF 434787,A000000,05010,0000,5010CMHC 434787,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434787,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434787,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434787,A81000A,00100,0100,Y 434787,A81000B,00100,0300,SEE ATTACHED 434787,A81000B,00200,0300,HOME OFFICE INTEREST 434787,A81000B,00300,0300,HOME OFFICE ADMIN 434787,A81000B,00400,0300,HOME OFFICE CAPITAL 434787,A81000C,00100,0100,B 434787,A81000C,00100,0400,SEE ATTACHED 434787,A81000C,00100,0600,VARIOUS 434787,A81000C,00200,0100,B 434787,A81000C,00200,0400,GHC 434787,A81000C,00200,0600,LONG TERM CARE 434787,A81000C,00300,0100,B 434787,A81000C,00300,0400,GHC 434787,A81000C,00300,0600,LONG TERM CARE 434787,A81000C,00400,0100,B 434787,A81000C,00400,0400,GHC 434787,A81000C,00400,0600,LONG TERM CARE 434787,B100000,00000,0100,0100SQUARE FEET 434787,B100000,00000,0200,0200SQUARE FEET 434787,B100000,00000,0300,0300GROSS SALARIES 434787,B100000,00000,0400,0400ACCUM COST 434787,B100000,00000,0500,0500SQUARE FEET 434787,B100000,00000,0600,0600PATIENT DAYS 434787,B100000,00000,0700,0700SQUARE FEET 434787,B100000,00000,0800,0800MEALS SERVED 434787,B100000,00000,0900,0900NURSING SALARIES 434787,B100000,00000,1000,1000COSTED REQUIS 434787,B100000,00000,1100,1100COSTED REQUIS 434787,B100000,00000,1200,1200PATIENT DAYS 434787,B100000,00000,1300,1300PATIENT DAYS 434787,B100000,00000,1400,1400ASSIGNED TIME 434787,B100000,00000,1500,1350PATIENT DAYS 434787,E10A180,00301,0100,06/27/11 434787,E10A180,00550,0100,01/18/12 434787,E10A180,00550,0300,01/18/12 434787,G300000,02500,0000,BARBER AND BEAUTY 434787,S000000,00100,0200,12/02/11 434787,S200000,00100,0100,1020 SOUTH MAIN STREET 434787,S200000,00200,0100,QUAKERTOWN 434787,S200000,00200,0200,PA 434787,S200000,00200,0300,18951 434787,S200000,00300,0100,BUCKS 434787,S200000,00300,0201,37964 434787,S200000,00300,0300,U 434787,S200000,00400,0100,QUAKERTOWN CENTER 434787,S200000,00400,0200,395405 434787,S200000,00400,0300,03/01/89 434787,S200000,00400,0500,P 434787,S200000,01500,0100,Y 434787,S200000,01501,0200,N 434787,S200000,01502,0200,N 434787,S200000,01503,0200,N 434787,S200000,01504,0200,Y 434787,S200000,01600,0100,N 434787,S200000,01700,0100,N 434787,S200000,01800,0100,N 434787,S200000,01900,0100,LLC 434787,S200000,02200,0100,Y 434787,S200000,02800,0100,N 434787,S200000,02900,0100,N 434787,S200000,03000,0100,N 434787,S200000,03100,0100,N 434787,S200000,03200,0100,N 434787,S200000,03300,0100,N 434787,S200000,03300,0200,N 434787,S200000,04200,0100,N 434787,S200000,04300,0100,N 434787,S200000,04600,0100,N 434787,S200000,04700,0100,N 434787,S200000,04900,0100,N 434787,S200000,05200,0100,N 434787,S200000,05300,0100,Y 434787,S200000,05300,0200,HB0067 434787,S200000,05400,0100,GENESIS HEALTHCARE LLC 434787,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434787,S200000,05400,0300,12001 434787,S200000,05500,0100,101 EAST STATE STREET 434787,S200000,05600,0100,KENNETT SQUARE 434787,S200000,05600,0200,PA 434787,S200000,05600,0300,19348 434788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434788,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434788,A000000,00300,0000,0300EMPLOYEE BENEFITS 434788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434788,A000000,00700,0000,0700HOUSEKEEPING 434788,A000000,00800,0000,0800DIETARY 434788,A000000,00900,0000,0900NURSING ADMINISTRATION 434788,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434788,A000000,01100,0000,1100PHARMACY 434788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434788,A000000,01300,0000,1300SOCIAL SERVICE 434788,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434788,A000000,01500,0000,1350RECREATION 434788,A000000,01600,0000,1600SKILLED NURSING FACILITY 434788,A000000,01810,0000,1810ICF/MR 434788,A000000,02100,0000,2100RADIOLOGY 434788,A000000,02200,0000,2200LABORATORY 434788,A000000,02300,0000,2300INTRAVENOUS THERAPY 434788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434788,A000000,02500,0000,2500PHYSICAL THERAPY 434788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434788,A000000,02700,0000,2700SPEECH PATHOLOGY 434788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434788,A000000,03550,0000,3550FQHC 434788,A000000,04801,0000,4801AMBULANCE 434788,A000000,04802,0000,4802AMBULANCE 434788,A000000,04803,0000,4803AMBULANCE 434788,A000000,05000,0000,5000CORF 434788,A000000,05010,0000,5010CMHC 434788,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434788,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434788,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434788,A81000A,00100,0100,Y 434788,A81000B,00100,0300,SEE ATTACHED 434788,A81000B,00200,0300,HOME OFFICE INTEREST 434788,A81000B,00300,0300,HOME OFFICE A&G 434788,A81000B,00400,0300,HOME OFFICE CAP PIEC 434788,A81000C,00100,0100,B 434788,A81000C,00100,0400,SEE ATTACHED 434788,A81000C,00100,0600,VARIOUS 434788,A81000C,00200,0100,B 434788,A81000C,00200,0400,GHC 434788,A81000C,00200,0600,LONG TERM CARE 434788,A81000C,00300,0100,B 434788,A81000C,00300,0400,GHC 434788,A81000C,00300,0600,LONG TERM CARE 434788,A81000C,00400,0100,B 434788,A81000C,00400,0400,GHC 434788,A81000C,00400,0600,LONG TERM CARE 434788,B100000,00000,0100,0100SQUARE FEET 434788,B100000,00000,0200,0200SQUARE FEET 434788,B100000,00000,0300,0300GROSS SALARIES 434788,B100000,00000,0400,0400ACCUM COST 434788,B100000,00000,0500,0500SQUARE FEET 434788,B100000,00000,0600,0600PATIENT DAYS 434788,B100000,00000,0700,0700SQUARE FEET 434788,B100000,00000,0800,0800MEALS SERVED 434788,B100000,00000,0900,0900NURSING SALARIES 434788,B100000,00000,1000,1000COSTED REQUIS 434788,B100000,00000,1100,1100COSTED REQUIS 434788,B100000,00000,1200,1200PATIENT DAYS 434788,B100000,00000,1300,1300PATIENT DAYS 434788,B100000,00000,1400,1400ASSIGNED TIME 434788,B100000,00000,1500,1350PATIENT DAYS 434788,E10A180,00501,0100,01/18/12 434788,E10A180,00501,0300,01/18/12 434788,G300000,02500,0000,BARBER AND BEAUTY 434788,S000000,00100,0200,12/02/11 434788,S200000,00100,0100,1201 RURAL AVENUE 434788,S200000,00200,0100,WILLIAMSPORT 434788,S200000,00200,0200,PA 434788,S200000,00200,0300,17701 434788,S200000,00300,0100,LYCOMING 434788,S200000,00300,0201,48700 434788,S200000,00300,0300,U 434788,S200000,00400,0100,ROSE VIEW CENTER 434788,S200000,00400,0200,395767 434788,S200000,00400,0300,11/14/94 434788,S200000,00400,0500,P 434788,S200000,01500,0100,Y 434788,S200000,01501,0200,N 434788,S200000,01502,0200,N 434788,S200000,01503,0200,N 434788,S200000,01504,0200,N 434788,S200000,01600,0100,N 434788,S200000,01700,0100,N 434788,S200000,01800,0100,N 434788,S200000,01900,0100,LLC 434788,S200000,02200,0100,Y 434788,S200000,02800,0100,N 434788,S200000,02900,0100,N 434788,S200000,03000,0100,N 434788,S200000,03100,0100,N 434788,S200000,03200,0100,N 434788,S200000,03300,0100,N 434788,S200000,03300,0200,N 434788,S200000,04200,0100,N 434788,S200000,04300,0100,N 434788,S200000,04600,0100,N 434788,S200000,04700,0100,N 434788,S200000,04900,0100,N 434788,S200000,05200,0100,N 434788,S200000,05300,0100,Y 434788,S200000,05300,0200,HB0067 434788,S200000,05400,0100,GENESIS HEALTHCARE LLC 434788,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434788,S200000,05400,0300,12001 434788,S200000,05500,0100,101 EAST STATE STREET 434788,S200000,05600,0100,KENNETT SQUARE 434788,S200000,05600,0200,PA 434788,S200000,05600,0300,19348 434796,S000000,00100,0200,02/27/12 434796,S200000,00100,0100,300 GARFIELD AVE SE 434796,S200000,00100,0300,8 434796,S200000,00200,0100,FERTILE 434796,S200000,00200,0200,MN 434796,S200000,00200,0300,56540-0008 434796,S200000,00300,0100,POLK 434796,S200000,00400,0100,FAIR MEADOWS NURSING HOME 434796,S200000,00400,0300,02/01/91 434797,S000000,00100,0200,02/28/12 434797,S200000,00100,0100,HWY 14 E 434797,S200000,00100,0300,219 434797,S200000,00200,0100,BALATON 434797,S200000,00200,0200,MN 434797,S200000,00200,0300,56115 434797,S200000,00300,0100,LYON 434797,S200000,00400,0100,COLONIAL MANOR NURSING HOME 434797,S200000,00400,0300,05/01/91 434798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434798,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434798,A000000,00300,0000,0300EMPLOYEE BENEFITS 434798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434798,A000000,00700,0000,0700HOUSEKEEPING 434798,A000000,00800,0000,0800DIETARY 434798,A000000,00900,0000,0900NURSING ADMINISTRATION 434798,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434798,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434798,A000000,01300,0000,1300SOCIAL SERVICE 434798,A000000,01500,0000,1350RECREATION 434798,A000000,01600,0000,1600SKILLED NURSING FACILITY 434798,A000000,01810,0000,1810ICF/MR 434798,A000000,02100,0000,2100RADIOLOGY 434798,A000000,02200,0000,2200LABORATORY 434798,A000000,02300,0000,2300INTRAVENOUS THERAPY 434798,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434798,A000000,02500,0000,2500PHYSICAL THERAPY 434798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434798,A000000,02700,0000,2700SPEECH PATHOLOGY 434798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434798,A000000,03550,0000,3550FQHC 434798,A000000,05000,0000,5000CORF 434798,A000000,05010,0000,5010CMHC 434798,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434798,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434798,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434798,A81000A,00100,0100,Y 434798,A81000B,00100,0300,AS ATTACHED 434798,A81000B,00200,0300,HOME OFFICE INTEREST 434798,A81000B,00300,0300,HOME OFFICE A&G 434798,A81000B,00400,0300,HOME OFFICE CAP PIEC 434798,A81000C,00100,0100,B 434798,A81000C,00100,0400,AS ATTACHED 434798,A81000C,00100,0600,VARIOUS 434798,A81000C,00200,0100,B 434798,A81000C,00200,0400,GHC 434798,A81000C,00200,0600,LONG TERM CARE 434798,A81000C,00300,0100,B 434798,A81000C,00300,0400,GHC 434798,A81000C,00300,0600,LONG TERM CARE 434798,A81000C,00400,0100,B 434798,A81000C,00400,0400,GHC 434798,A81000C,00400,0600,LONG TERM CARE 434798,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434798,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434798,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434798,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434798,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434798,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434798,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434798,B100000,00000,0800,0800MEALS SERVED :DIETARY 434798,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434798,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434798,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434798,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434798,B100000,00000,1500,1350PATIENT DAYS :RECREATION 434798,E10A180,00501,0100,01/05/12 434798,G300000,02500,0000, BARBER & BEAUTY 434798,S000000,00100,0200,12/02/11 434798,S200000,00100,0100,1104 WELSH ROAD 434798,S200000,00200,0100,PHILADELPHIA 434798,S200000,00200,0200,PA 434798,S200000,00200,0300,19115 434798,S200000,00300,0100,PHILADELPHIA 434798,S200000,00300,0201,37964 434798,S200000,00300,0300,U 434798,S200000,00400,0100,CHAPEL MANOR 434798,S200000,00400,0200,395449 434798,S200000,00400,0300,06/01/88 434798,S200000,00400,0500,P 434798,S200000,01500,0100,Y 434798,S200000,01501,0200,N 434798,S200000,01502,0200,N 434798,S200000,01503,0200,N 434798,S200000,01504,0200,Y 434798,S200000,01600,0100,N 434798,S200000,01700,0100,N 434798,S200000,01800,0100,N 434798,S200000,01900,0100,LLC 434798,S200000,02200,0100,Y 434798,S200000,02800,0100,N 434798,S200000,02900,0100,N 434798,S200000,03000,0100,N 434798,S200000,03100,0100,N 434798,S200000,03200,0100,N 434798,S200000,03300,0100,N 434798,S200000,03300,0200,N 434798,S200000,04100,0100,N 434798,S200000,04200,0100,N 434798,S200000,04300,0100,N 434798,S200000,04600,0100,N 434798,S200000,04700,0100,N 434798,S200000,04700,0200,N 434798,S200000,04900,0100,N 434798,S200000,05000,0100,N 434798,S200000,05100,0100,N 434798,S200000,05200,0100,N 434798,S200000,05300,0100,Y 434798,S200000,05300,0200,HB0067 434798,S200000,05400,0100,GENESIS HEALTHCARE LLC 434798,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 434798,S200000,05400,0300,12001 434798,S200000,05500,0100,101 EAST STATE STREET 434798,S200000,05600,0100,KENNETT SQUARE 434798,S200000,05600,0200,PA 434798,S200000,05600,0300,19348 434799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434799,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 434799,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434799,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 434799,A000000,00300,0000,0300EMPLOYEE BENEFITS 434799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434799,A000000,00700,0000,0700HOUSEKEEPING 434799,A000000,00800,0000,0800DIETARY 434799,A000000,00801,0000,0801CAFETERIA 434799,A000000,00900,0000,0900NURSING ADMINISTRATION 434799,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434799,A000000,01100,0000,1100PHARMACY 434799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434799,A000000,01300,0000,1300SOCIAL SERVICE 434799,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434799,A000000,01500,0000,1350ACTIVITIES 434799,A000000,01600,0000,1600SKILLED NURSING FACILITY 434799,A000000,01800,0000,1800NURSING FACILITY 434799,A000000,01900,0000,1900OTHER LONG TERM CARE 434799,A000000,02100,0000,2100RADIOLOGY 434799,A000000,02200,0000,2200LABORATORY 434799,A000000,02300,0000,2300INTRAVENOUS THERAPY 434799,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434799,A000000,02500,0000,2500PHYSICAL THERAPY 434799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434799,A000000,02700,0000,2700SPEECH PATHOLOGY 434799,A000000,02800,0000,2800ELECTROCARDIOLOGY 434799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434799,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434799,A000000,03200,0000,3200SUPPORT SURFACES 434799,A000000,03300,0000,3050ENTERALS 434799,A000000,03301,0000,3051OXYGEN 434799,A000000,03302,0000,3052OTHER ANCILLARY III 434799,A000000,03400,0000,3400CLINIC 434799,A000000,03500,0000,3500RURAL HEALTH CLINIC 434799,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 434799,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434799,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434799,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434799,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434799,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434799,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434799,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434799,A000000,04400,0000,4400DME RENTED - HHA 434799,A000000,04500,0000,4500DME SOLD - HHA 434799,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434799,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434799,A000000,04710,0000,4710TELEMEDICINE 434799,A000000,04800,0000,4800AMBULANCE 434799,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434799,A000000,05000,0000,5000CORF 434799,A000000,05001,0000,5001CMHC I 434799,A000000,05020,0000,5020OPT I 434799,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434799,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434799,A000000,05300,0000,5300INTEREST EXPENSE 434799,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434799,A000000,05500,0000,5500HOSPICE 434799,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 434799,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 434799,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434799,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434799,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434799,A000000,06100,0000,6100NONPAID WORKERS 434799,A000000,06200,0000,6200PATIENTS LAUNDRY 434799,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434799,A81000A,00100,0100,Y 434799,A81000B,00100,0300,MANAGEMENT FEES 434799,A81000C,00100,0100,B 434799,A81000C,00100,0200,CLARKSON 434799,A81000C,00100,0400,WESTHILLS 434799,A81000C,00100,0600,RETIREMENT 434799,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434799,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434799,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434799,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434799,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434799,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434799,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434799,B100000,00000,0800,0800MEALS SERVED :DIETARY 434799,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434799,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434799,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 434799,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434799,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434799,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434799,E10A180,00550,0100,03/27/12 434799,G300000,02500,0000,ASST LVG & MISC 434799,S000000,00100,0200,03/02/12 434799,S200000,00100,0100,1015 MOUNTAIN VIEW ROAD 434799,S200000,00200,0100,RAPID CITY 434799,S200000,00200,0200,SD 434799,S200000,00200,0300,57702 434799,S200000,00300,0100,PENNINGTON 434799,S200000,00300,0200,6660 434799,S200000,00300,0201,39660 434799,S200000,00300,0300,U 434799,S200000,00400,0100,CLARKSON HEALTH CARE 434799,S200000,00400,0200,435037 434799,S200000,00400,0300,02/01/00 434799,S200000,00400,0500,P 434799,S200000,01500,0100,Y 434799,S200000,01501,0200,Y 434799,S200000,01502,0200,Y 434799,S200000,01503,0200,Y 434799,S200000,01504,0200,Y 434799,S200000,01600,0100,N 434799,S200000,01700,0100,N 434799,S200000,01800,0100,N 434799,S200000,02200,0100,N 434799,S200000,02800,0100,Y 434799,S200000,02900,0100,N 434799,S200000,03000,0100,N 434799,S200000,03100,0100,N 434799,S200000,03200,0100,N 434799,S200000,03300,0100,N 434799,S200000,03300,0200,N 434799,S200000,03900,0200,Y 434799,S200000,04100,0100,N 434799,S200000,04200,0100,N 434799,S200000,04300,0100,Y 434799,S200000,04600,0100,N 434799,S200000,04700,0100,N 434799,S200000,04700,0200,N 434799,S200000,04900,0100,N 434799,S200000,05000,0100,N 434799,S200000,05100,0100,N 434799,S200000,05200,0100,N 434799,S200000,05300,0100,N 434825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434825,A000000,00101,0000,0101CAP REL COSTS - KNUTSON 434825,A000000,00102,0000,0102CAP REL COSTS - COMMON AREA 434825,A000000,00300,0000,0300EMPLOYEE BENEFITS 434825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434825,A000000,00700,0000,0700HOUSEKEEPING 434825,A000000,00800,0000,0800DIETARY 434825,A000000,00900,0000,0900NURSING ADMINISTRATION 434825,A000000,01100,0000,1100PHARMACY 434825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434825,A000000,01300,0000,1300SOCIAL SERVICE 434825,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434825,A000000,01600,0000,1600SKILLED NURSING FACILITY 434825,A000000,01800,0000,1800NURSING FACILITY 434825,A000000,01810,0000,1810ICF/MR 434825,A000000,01900,0000,1900OTHER LONG TERM CARE 434825,A000000,02100,0000,2100RADIOLOGY 434825,A000000,02200,0000,2200LABORATORY 434825,A000000,02300,0000,2300INTRAVENOUS THERAPY 434825,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434825,A000000,02500,0000,2500PHYSICAL THERAPY 434825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434825,A000000,02700,0000,2700SPEECH PATHOLOGY 434825,A000000,02800,0000,2800ELECTROCARDIOLOGY 434825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434825,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434825,A000000,05300,0000,5300INTEREST EXPENSE 434825,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434825,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434825,A000000,06100,0000,6100NONPAID WORKERS 434825,A000000,06200,0000,6200PATIENTS LAUNDRY 434825,A000000,06300,0000,6150KNUTSON PLACE 434825,A000000,06301,0000,6151DAY CARE CENTER 434825,A000000,06302,0000,6152CONDO MANAGEMENT 434825,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434825,A81000A,00100,0100,N 434825,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434825,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - KN 434825,B100000,00000,0102,0102SQUARE FEET :CAP REL COSTS - CO 434825,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434825,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434825,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434825,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434825,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434825,B100000,00000,0800,0800MEALS SERVED :DIETARY 434825,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434825,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434825,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434825,E10A180,00501,0100,05/09/12 434825,E10A180,00550,0100,03/15/12 434825,E10A180,00550,0300,03/15/12 434825,G300000,02500,0000,OTHER REVENUES 434825,G300000,02501,0000,NET ASSETS RELEASED FROM RESTRICTIO 434825,G300000,02502,0000,CONDO REVENUES 434825,G300000,02504,0000,KNUTSON PLACE REVENUES 434825,S000000,00100,0200,02/28/12 434825,S200000,00100,0100,901 LUTHER PLACE 434825,S200000,00200,0100,ALBERT LEA 434825,S200000,00200,0200,MN 434825,S200000,00200,0300,56007 434825,S200000,00300,0100,FREEBORN 434825,S200000,00300,0200,24 434825,S200000,00300,0201,99924 434825,S200000,00300,0300,R 434825,S200000,00400,0100,ST. JOHN S LUTHERAN HOME 434825,S200000,00400,0200,245338 434825,S200000,00400,0300,08/01/86 434825,S200000,00400,0500,P 434825,S200000,00400,0600,P 434825,S200000,01500,0100,Y 434825,S200000,01501,0200,Y 434825,S200000,01502,0200,Y 434825,S200000,01504,0200,N 434825,S200000,01600,0100,N 434825,S200000,01700,0100,N 434825,S200000,01800,0100,N 434825,S200000,02200,0100,N 434825,S200000,02800,0100,Y 434825,S200000,02900,0100,N 434825,S200000,03000,0100,N 434825,S200000,03100,0100,N 434825,S200000,03200,0100,N 434825,S200000,03300,0100,N 434825,S200000,03300,0200,N 434825,S200000,04100,0100,N 434825,S200000,04200,0100,N 434825,S200000,04300,0100,N 434825,S200000,04600,0100,N 434825,S200000,04700,0100,N 434825,S200000,04700,0200,N 434825,S200000,04900,0100,N 434825,S200000,05000,0100,N 434825,S200000,05100,0100,N 434825,S200000,05200,0100,N 434825,S200000,05300,0100,N 434826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434826,A000000,00300,0000,0300EMPLOYEE BENEFITS 434826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434826,A000000,00700,0000,0700HOUSEKEEPING 434826,A000000,00800,0000,0800DIETARY 434826,A000000,00900,0000,0900NURSING ADMINISTRATION 434826,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434826,A000000,01300,0000,1300SOCIAL SERVICE 434826,A000000,01600,0000,1600SKILLED NURSING FACILITY 434826,A000000,01800,0000,1800NURSING FACILITY 434826,A000000,01810,0000,1810ICF/MR 434826,A000000,01900,0000,1900OTHER LONG TERM CARE 434826,A000000,02100,0000,2100RADIOLOGY 434826,A000000,02200,0000,2200LABORATORY 434826,A000000,02300,0000,2300INTRAVENOUS THERAPY 434826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434826,A000000,02500,0000,2500PHYSICAL THERAPY 434826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434826,A000000,02700,0000,2700SPEECH PATHOLOGY 434826,A000000,02800,0000,2800ELECTROCARDIOLOGY 434826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434826,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434826,A000000,03200,0000,3200SUPPORT SURFACES 434826,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434826,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434826,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434826,A000000,05300,0000,5300INTEREST EXPENSE 434826,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434826,A000000,05500,0000,5500HOSPICE 434826,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434826,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434826,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434826,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434826,A000000,06100,0000,6100NONPAID WORKERS 434826,A000000,06200,0000,6200PATIENTS LAUNDRY 434826,A000000,06300,0000,6150OTHER NONREIMBURSABLE 434826,A000000,06301,0000,6151ARBOR TERRACE 434826,A81000A,00100,0100,Y 434826,A81000B,00600,0300,MGMT FEE - A&G RELATED 434826,A81000C,00100,0100,B 434826,A81000C,00100,0400,SAMARITAN BETHANY INC 434826,A81000C,00100,0600,HOME OFFICE OR CENTRAL OF 434826,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434826,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434826,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434826,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434826,B100000,00000,0600,0600POUNS OF LAUNDRY :LAUNDRY & LINE 434826,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434826,B100000,00000,0800,0800MEALS SERVED :DIETARY 434826,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434826,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434826,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434826,E10A180,00501,0100,05/09/12 434826,E10A180,00550,0300,05/09/12 434826,G300000,02500,0000,OTHER - SEE GROUPINGS 434826,G300000,02503,0000,OTHER - SEE GROUPINGS 434826,S000000,00100,0200,02/29/12 434826,S200000,00100,0100,24 8TH STREET NW 434826,S200000,00200,0100,ROCHTESTER 434826,S200000,00200,0200,MN 434826,S200000,00200,0300,55901 434826,S200000,00300,0100,OLMSTED 434826,S200000,00300,0200,6820 434826,S200000,00300,0201,40340 434826,S200000,00300,0300,U 434826,S200000,00400,0100,SAMARITAN BETHANY INC. - HOME 434826,S200000,00400,0200,245530 434826,S200000,00400,0300,05/01/88 434826,S200000,00400,0500,P 434826,S200000,00400,0600,P 434826,S200000,01500,0100,Y 434826,S200000,01501,0200,N 434826,S200000,01502,0200,N 434826,S200000,01503,0200,N 434826,S200000,01504,0200,N 434826,S200000,01600,0100,N 434826,S200000,01700,0100,N 434826,S200000,01800,0100,N 434826,S200000,02200,0100,N 434826,S200000,02800,0100,Y 434826,S200000,02900,0100,N 434826,S200000,03000,0100,N 434826,S200000,03100,0100,N 434826,S200000,03200,0100,N 434826,S200000,03300,0100,N 434826,S200000,03300,0200,N 434826,S200000,04100,0100,N 434826,S200000,04200,0100,N 434826,S200000,04300,0100,N 434826,S200000,04600,0100,N 434826,S200000,04700,0100,N 434826,S200000,04700,0200,N 434826,S200000,04900,0100,N 434826,S200000,05000,0100,N 434826,S200000,05100,0100,N 434826,S200000,05200,0100,N 434826,S200000,05300,0100,Y 434826,S200000,05300,0200,HB0483 434826,S200000,05400,0100,SAMARITAN BETHANY INC. 434826,S200000,05400,0200,NORIDIAN 434826,S200000,05400,0300,00320 434826,S200000,05500,0100,101 7TH ST NW 434826,S200000,05600,0100,ROCHESTER 434826,S200000,05600,0200,MN 434826,S200000,05600,0300,55903 434827,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434827,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434827,A000000,00300,0000,0300EMPLOYEE BENEFITS 434827,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434827,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434827,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434827,A000000,00700,0000,0700HOUSEKEEPING 434827,A000000,00800,0000,0800DIETARY 434827,A000000,00900,0000,0900NURSING ADMINISTRATION 434827,A000000,01100,0000,1100PHARMACY 434827,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434827,A000000,01300,0000,1300SOCIAL SERVICE 434827,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434827,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434827,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434827,A000000,01600,0000,1600SKILLED NURSING FACILITY 434827,A000000,01800,0000,1800NURSING FACILITY 434827,A000000,01810,0000,1810ICF/MR 434827,A000000,01900,0000,1900OTHER LONG TERM CARE 434827,A000000,02100,0000,2100RADIOLOGY 434827,A000000,02200,0000,2200LABORATORY 434827,A000000,02300,0000,2300INTRAVENOUS THERAPY 434827,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434827,A000000,02500,0000,2500PHYSICAL THERAPY 434827,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434827,A000000,02700,0000,2700SPEECH PATHOLOGY 434827,A000000,02800,0000,2800ELECTROCARDIOLOGY 434827,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434827,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434827,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434827,A000000,03200,0000,3200SUPPORT SURFACES 434827,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434827,A000000,03301,0000,3051AIR FLUID THERAPY 434827,A000000,03302,0000,3052AMBULANCE 434827,A000000,03303,0000,3053PEN THERAPY 434827,A000000,03304,0000,3054ONCOLOGY 434827,A000000,03305,0000,3055CARDIOLOGY 434827,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434827,A000000,03307,0000,3057AUDIOLOGY 434827,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434827,A000000,03400,0000,3400CLINIC 434827,A000000,03500,0000,3500RURAL HEALTH CLINIC 434827,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434827,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434827,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434827,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434827,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434827,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434827,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434827,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434827,A000000,04400,0000,4400DME RENTED - HHA 434827,A000000,04500,0000,4500DME SOLD - HHA 434827,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434827,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434827,A000000,04710,0000,4710TELEMEDICINE 434827,A000000,04800,0000,4800AMBULANCE 434827,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434827,A000000,05000,0000,5000CORF 434827,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434827,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434827,A000000,05300,0000,5300INTEREST EXPENSE 434827,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434827,A000000,05500,0000,5500HOSPICE 434827,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434827,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434827,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434827,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434827,A000000,06100,0000,6100NONPAID WORKERS 434827,A000000,06200,0000,6200PATIENTS LAUNDRY 434827,A000000,06300,0000,6150ADULT DAY HEALTH 434827,A000000,06301,0000,6151ASSISTED LIVING 434827,A000000,06302,0000,6152APARTMENTS 434827,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434827,A81000A,00100,0100,N 434827,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434827,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434827,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434827,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434827,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434827,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434827,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434827,B100000,00000,0800,0800MEALS SERVED :DIETARY 434827,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434827,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434827,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434827,E10A180,00501,0100,05/09/12 434827,E10A180,00550,0100,03/15/12 434827,E10A180,00550,0300,03/15/12 434827,G300000,02500,0000,OTHER - SEE GROUPINGS 434827,S000000,00100,0200,03/05/12 434827,S200000,00100,0100,703 WEST YELLOWSTONE TRAIL PO 368 434827,S200000,00200,0100,BUFFALO LAKE 434827,S200000,00200,0200,MN 434827,S200000,00200,0300,55314 434827,S200000,00300,0100,RENVILLE 434827,S200000,00300,0200,24 434827,S200000,00300,0201,99924 434827,S200000,00300,0300,R 434827,S200000,00400,0100,BUFFALO LAKE HEALTHCARE CENTER INC. 434827,S200000,00400,0200,245589 434827,S200000,00400,0300,11/01/86 434827,S200000,00400,0500,P 434827,S200000,00400,0600,P 434827,S200000,01500,0100,Y 434827,S200000,01501,0200,N 434827,S200000,01502,0200,N 434827,S200000,01504,0200,N 434827,S200000,01600,0100,N 434827,S200000,01700,0100,N 434827,S200000,01800,0100,N 434827,S200000,02200,0100,N 434827,S200000,02800,0100,Y 434827,S200000,02900,0100,N 434827,S200000,03000,0100,N 434827,S200000,03100,0100,N 434827,S200000,03200,0100,N 434827,S200000,03300,0100,N 434827,S200000,03300,0200,N 434827,S200000,04100,0100,N 434827,S200000,04200,0100,N 434827,S200000,04300,0100,N 434827,S200000,04600,0100,N 434827,S200000,04700,0100,N 434827,S200000,04700,0200,N 434827,S200000,04900,0100,N 434827,S200000,05000,0100,N 434827,S200000,05100,0100,N 434827,S200000,05200,0100,N 434827,S200000,05300,0100,N 434846,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434846,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434846,A000000,00300,0000,0300EMPLOYEE BENEFITS 434846,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434846,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434846,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434846,A000000,00700,0000,0700HOUSEKEEPING 434846,A000000,00800,0000,0800DIETARY 434846,A000000,00900,0000,0900NURSING ADMINISTRATION 434846,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434846,A000000,01100,0000,1100PHARMACY 434846,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434846,A000000,01300,0000,1300SOCIAL SERVICE 434846,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434846,A000000,01500,0000,1350ACTIVITIES 434846,A000000,01600,0000,1600SKILLED NURSING FACILITY 434846,A000000,01800,0000,1800NURSING FACILITY 434846,A000000,01810,0000,1810ICF/MR 434846,A000000,01900,0000,1900OTHER LONG TERM CARE 434846,A000000,02100,0000,2100RADIOLOGY 434846,A000000,02200,0000,2200LABORATORY 434846,A000000,02300,0000,2300INTRAVENOUS THERAPY 434846,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434846,A000000,02500,0000,2500PHYSICAL THERAPY 434846,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434846,A000000,02700,0000,2700SPEECH PATHOLOGY 434846,A000000,02800,0000,2800ELECTROCARDIOLOGY 434846,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434846,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434846,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434846,A000000,03200,0000,3200SUPPORT SURFACES 434846,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434846,A000000,03400,0000,3400CLINIC 434846,A000000,03500,0000,3500RURAL HEALTH CLINIC 434846,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434846,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434846,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434846,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434846,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434846,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434846,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434846,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434846,A000000,04400,0000,4400DME RENTED - HHA 434846,A000000,04500,0000,4500DME SOLD - HHA 434846,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434846,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434846,A000000,04710,0000,4710TELEMEDICINE 434846,A000000,04800,0000,4800AMBULANCE 434846,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434846,A000000,05000,0000,5000CORF 434846,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434846,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434846,A000000,05300,0000,5300INTEREST EXPENSE 434846,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434846,A000000,05500,0000,5500HOSPICE 434846,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434846,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434846,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434846,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434846,A000000,06100,0000,6100NONPAID WORKERS 434846,A000000,06200,0000,6200PATIENTS LAUNDRY 434846,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434846,A81000A,00100,0100,Y 434846,A81000B,00100,0300,HOME OFFICE COSTS 434846,A81000B,00200,0300,WORKERS COMPENSATION 434846,A81000B,00300,0300,HOME OFFICE COSTS 434846,A81000B,00400,0300,HOME OFFICE COSTS 434846,A81000B,00500,0300,HOME OFFICE COSTS 434846,A81000B,00600,0300,HOME OFFICE COSTS 434846,A81000B,00700,0300,HOME OFFICE COSTS 434846,A81000B,00800,0300,TRANSPORTATION SERVICES 434846,A81000B,00900,0300,PHYSICAL THERAPY 434846,A81000B,01000,0300,OCCUPATIONAL THERAPY 434846,A81000B,01100,0300,SPEECH THERAPY 434846,A81000C,00100,0100,A 434846,A81000C,00100,0200,STUART AND MIKE REED 434846,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00100,0600,NURSING HOMES 434846,A81000C,00200,0100,D 434846,A81000C,00200,0200,SUZANNE REED 434846,A81000C,00200,0400,INDIANA FITNESS WORKS 434846,A81000C,00200,0600,THERAPY 434846,A81000C,00300,0100,A 434846,A81000C,00300,0200,STUART AND MIKE REED 434846,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00300,0600,NURSING HOMES 434846,A81000C,00400,0100,A 434846,A81000C,00400,0200,STUART AND MIKE REED 434846,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00400,0600,NURSING HOMES 434846,A81000C,00500,0100,A 434846,A81000C,00500,0200,STUART AND MIKE REED 434846,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00500,0600,NURSING HOMES 434846,A81000C,00600,0100,A 434846,A81000C,00600,0200,STUART AND MIKE REED 434846,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00600,0600,NURSING HOMES 434846,A81000C,00700,0100,A 434846,A81000C,00700,0200,STUART AND MIKE REED 434846,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 434846,A81000C,00700,0600,NURSING HOMES 434846,A81000C,00800,0100,A 434846,A81000C,00800,0200,STUART REED 434846,A81000C,00800,0400,DISTINCTIVE TRANS. SYSTEM 434846,A81000C,00800,0600,TRANSPORTATION 434846,A81000C,00900,0100,D 434846,A81000C,00900,0200,SUZANNE REED 434846,A81000C,00900,0400,INDIANA FITNESS WORKS 434846,A81000C,00900,0600,THERAPY 434846,A81000C,01000,0100,D 434846,A81000C,01000,0200,SUZANNE REED 434846,A81000C,01000,0400,INDIANA FITNESS WORKS 434846,A81000C,01000,0600,THERAPY 434846,A81000C,01001,0100,D 434846,A81000C,01001,0200,SUZANNE REED 434846,A81000C,01001,0400,INDIANA FITNESS WORKS 434846,A81000C,01001,0600,THERAPY 434846,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434846,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434846,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434846,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434846,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434846,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434846,B100000,00000,0800,0800MEALS SERVED :DIETARY 434846,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434846,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434846,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434846,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434846,E10A180,00501,0100,08/28/12 434846,G300000,02500,0000,OTHER REVENUE 434846,S000000,00100,0200,05/22/12 434846,S200000,00100,0100,1821 LINDBERG ROAD 434846,S200000,00200,0100,ANDERSON 434846,S200000,00200,0200,IN 434846,S200000,00200,0300,46012 434846,S200000,00300,0100,MADISON 434846,S200000,00300,0201,11300 434846,S200000,00300,0300,U 434846,S200000,00400,0100,MEADOW BROOK REHABILITATION CENTER 434846,S200000,00400,0200,155690 434846,S200000,00400,0300,03/01/02 434846,S200000,00400,0500,P 434846,S200000,01500,0100,Y 434846,S200000,01501,0200,Y 434846,S200000,01502,0200,Y 434846,S200000,01503,0200,Y 434846,S200000,01504,0200,Y 434846,S200000,01600,0100,N 434846,S200000,01700,0100,N 434846,S200000,01800,0100,N 434846,S200000,02200,0100,N 434846,S200000,02800,0100,N 434846,S200000,02900,0100,N 434846,S200000,03000,0100,N 434846,S200000,03100,0100,N 434846,S200000,03200,0100,N 434846,S200000,03300,0100,N 434846,S200000,03300,0200,N 434846,S200000,04100,0100,N 434846,S200000,04200,0100,N 434846,S200000,04300,0100,N 434846,S200000,04600,0100,N 434846,S200000,04700,0100,N 434846,S200000,04700,0200,N 434846,S200000,04900,0100,N 434846,S200000,05000,0100,N 434846,S200000,05100,0100,N 434846,S200000,05200,0100,N 434846,S200000,05300,0100,Y 434846,S200000,05300,0200,15H049 434846,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 434846,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES INC. 434846,S200000,05400,0300,00130 434846,S200000,05500,0100,9450 PRIORITY WAY WEST 434846,S200000,05600,0100,INDIANAPOLIS 434846,S200000,05600,0200,IN 434846,S200000,05600,0300,46240 434853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434853,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434853,A000000,00300,0000,0300EMPLOYEE BENEFITS 434853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434853,A000000,00700,0000,0700HOUSEKEEPING 434853,A000000,00800,0000,0800DIETARY 434853,A000000,00900,0000,0900NURSING ADMINISTRATION 434853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434853,A000000,01100,0000,1100PHARMACY 434853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434853,A000000,01300,0000,1300SOCIAL SERVICE 434853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434853,A000000,01500,0000,1350ACTIVITIES 434853,A000000,01600,0000,1600SKILLED NURSING FACILITY 434853,A000000,01800,0000,1800NURSING FACILITY 434853,A000000,01810,0000,1810ICF/MR 434853,A000000,01900,0000,1900OTHER LONG TERM CARE 434853,A000000,02100,0000,2100RADIOLOGY 434853,A000000,02200,0000,2200LABORATORY 434853,A000000,02300,0000,2300INTRAVENOUS THERAPY 434853,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434853,A000000,02500,0000,2500PHYSICAL THERAPY 434853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434853,A000000,02700,0000,2700SPEECH PATHOLOGY 434853,A000000,02800,0000,2800ELECTROCARDIOLOGY 434853,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434853,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434853,A000000,03200,0000,3200SUPPORT SURFACES 434853,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434853,A000000,03400,0000,3400CLINIC 434853,A000000,03500,0000,3500RURAL HEALTH CLINIC 434853,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434853,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434853,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434853,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434853,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434853,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434853,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434853,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434853,A000000,04400,0000,4400DME RENTED - HHA 434853,A000000,04500,0000,4500DME SOLD - HHA 434853,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434853,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434853,A000000,04710,0000,4710TELEMEDICINE 434853,A000000,04800,0000,4800AMBULANCE 434853,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434853,A000000,05000,0000,5000CORF 434853,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434853,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434853,A000000,05300,0000,5300INTEREST EXPENSE 434853,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434853,A000000,05500,0000,5500HOSPICE 434853,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434853,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434853,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434853,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434853,A000000,06100,0000,6100NONPAID WORKERS 434853,A000000,06200,0000,6200PATIENTS LAUNDRY 434853,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434853,A81000A,00100,0100,Y 434853,A81000B,00100,0300,HOME OFFICE COSTS 434853,A81000B,00200,0300,WORKERS COMPENSATION 434853,A81000B,00300,0300,HOME OFFICE COSTS 434853,A81000B,00400,0300,HOME OFFICE COSTS 434853,A81000B,00500,0300,HOME OFFICE COSTS 434853,A81000B,00600,0300,HOME OFFICE COSTS 434853,A81000B,00700,0300,HOME OFFICE COSTS 434853,A81000B,00800,0300,PHYSICAL THERAPY 434853,A81000B,00900,0300,OCCUPATIONAL THERAPY 434853,A81000B,01000,0300,SPEECH THERAPY 434853,A81000C,00100,0100,A 434853,A81000C,00100,0200,STUART AND MIKE REED 434853,A81000C,00100,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00100,0600,NURSING HOMES 434853,A81000C,00200,0100,D 434853,A81000C,00200,0200,SUZANNE REED 434853,A81000C,00200,0400,INDIANA FITNESS WORKS 434853,A81000C,00200,0600,THERAPY 434853,A81000C,00300,0100,A 434853,A81000C,00300,0200,STUART AND MIKE REED 434853,A81000C,00300,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00300,0600,NURSING HOMES 434853,A81000C,00400,0100,A 434853,A81000C,00400,0200,STUART AND MIKE REED 434853,A81000C,00400,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00400,0600,NURSING HOMES 434853,A81000C,00500,0100,A 434853,A81000C,00500,0200,STUART AND MIKE REED 434853,A81000C,00500,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00500,0600,NURSING HOMES 434853,A81000C,00600,0100,A 434853,A81000C,00600,0200,STUART AND MIKE REED 434853,A81000C,00600,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00600,0600,NURSING HOMES 434853,A81000C,00700,0100,A 434853,A81000C,00700,0200,STUART AND MIKE REED 434853,A81000C,00700,0400,MAGNOLIA HEALTH SYSTEMS 434853,A81000C,00700,0600,NURSING HOMES 434853,A81000C,00800,0100,D 434853,A81000C,00800,0200,SUZANNE REED 434853,A81000C,00800,0400,INDIANA FITNESS WORKS 434853,A81000C,00800,0600,THERAPY 434853,A81000C,00900,0100,D 434853,A81000C,00900,0200,SUZANNE REED 434853,A81000C,00900,0400,INDIANA FITNESS WORKS 434853,A81000C,00900,0600,THERAPY 434853,A81000C,01000,0100,D 434853,A81000C,01000,0200,SUZANNE REED 434853,A81000C,01000,0400,INDIANA FITNESS WORKS 434853,A81000C,01000,0600,THERAPY 434853,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434853,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434853,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434853,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434853,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434853,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434853,B100000,00000,0800,0800MEALS SERVED :DIETARY 434853,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434853,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434853,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434853,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434853,E10A180,00350,0100,11/28/11 434853,E10A180,00501,0100,09/05/12 434853,G300000,02500,0000,OTHER REVENUE 434853,S000000,00100,0200,05/22/12 434853,S200000,00100,0100,403 BIELBY 434853,S200000,00200,0100,LAWRENCEBURG 434853,S200000,00200,0200,IN 434853,S200000,00200,0300,47025 434853,S200000,00300,0100,DEARBORN 434853,S200000,00300,0201,17140 434853,S200000,00300,0300,U 434853,S200000,00400,0100,WOODLAND HILLS CARE CENTER 434853,S200000,00400,0200,155061 434853,S200000,00400,0300,09/29/90 434853,S200000,00400,0500,P 434853,S200000,01500,0100,Y 434853,S200000,01501,0200,Y 434853,S200000,01502,0200,Y 434853,S200000,01503,0200,Y 434853,S200000,01504,0200,Y 434853,S200000,01600,0100,N 434853,S200000,01700,0100,N 434853,S200000,01800,0100,N 434853,S200000,02200,0100,N 434853,S200000,02800,0100,N 434853,S200000,02900,0100,N 434853,S200000,03000,0100,N 434853,S200000,03100,0100,N 434853,S200000,03200,0100,N 434853,S200000,03300,0100,N 434853,S200000,03300,0200,N 434853,S200000,03600,0100,N 434853,S200000,03600,0200,N 434853,S200000,04100,0100,N 434853,S200000,04200,0100,N 434853,S200000,04300,0100,N 434853,S200000,04600,0100,N 434853,S200000,04700,0100,N 434853,S200000,04700,0200,N 434853,S200000,04900,0100,N 434853,S200000,05000,0100,N 434853,S200000,05100,0100,N 434853,S200000,05200,0100,N 434853,S200000,05300,0100,Y 434853,S200000,05300,0200,15HO49 434853,S200000,05400,0100,MAGNOLIA HEALTH SYSTEMS INC. 434853,S200000,05400,0200,WPS 434853,S200000,05400,0300,08001 434853,S200000,05500,0100,9450 PRIORITY WAY WEST 434853,S200000,05600,0100,INDIANAPOLIS 434853,S200000,05600,0200,IN 434853,S200000,05600,0300,46240 434857,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434857,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434857,A000000,00300,0000,0300EMPLOYEE BENEFITS 434857,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434857,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434857,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434857,A000000,00700,0000,0700HOUSEKEEPING 434857,A000000,00800,0000,0800DIETARY 434857,A000000,00900,0000,0900NURSING ADMINISTRATION 434857,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434857,A000000,01100,0000,1100PHARMACY 434857,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434857,A000000,01300,0000,1300SOCIAL SERVICE 434857,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434857,A000000,01600,0000,1600SKILLED NURSING FACILITY 434857,A000000,01810,0000,1810ICF/MR 434857,A000000,01900,0000,1900OTHER LONG TERM CARE 434857,A000000,02500,0000,2500PHYSICAL THERAPY 434857,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434857,A000000,02700,0000,2700SPEECH PATHOLOGY 434857,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434857,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434857,A000000,03550,0000,3550FQHC 434857,A000000,05000,0000,5000CORF 434857,A000000,05010,0000,5010CMHC 434857,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434857,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434857,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434857,A81000A,00100,0100,Y 434857,A81000B,00100,0300,ADMINISTRATIVE 434857,A81000B,00200,0300,INTEREST 434857,A81000C,00100,0100,B 434857,A81000C,00100,0200,PROVENA SENIOR 434857,A81000C,00100,0400,PROVENA HEALTH 434857,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434857,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434857,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434857,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434857,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434857,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 434857,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 434857,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 434857,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 434857,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 434857,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 434857,E10A180,00501,0100,03/16/12 434857,S000000,00100,0200,01/27/12 434857,S200000,00100,0100,1101 EAST STATE STREET 434857,S200000,00200,0100,GENEVA 434857,S200000,00200,0200,IL 434857,S200000,00200,0300,60134 434857,S200000,00300,0100,KANE 434857,S200000,00300,0201,1600 434857,S200000,00300,0300,U 434857,S200000,00400,0100,GENEVA CARE CENTER 434857,S200000,00400,0200,146067 434857,S200000,00400,0300,10/01/04 434857,S200000,00400,0500,P 434857,S200000,01500,0100,N 434857,S200000,01600,0100,Y 434857,S200000,01700,0100,N 434857,S200000,01800,0100,N 434857,S200000,01900,0100,LONG TERM CARE 434857,S200000,02200,0100,N 434857,S200000,02800,0100,N 434857,S200000,02900,0100,N 434857,S200000,03000,0100,N 434857,S200000,03100,0100,N 434857,S200000,03200,0100,N 434857,S200000,03300,0100,N 434857,S200000,03300,0200,N 434857,S200000,04100,0100,N 434857,S200000,04200,0100,N 434857,S200000,04300,0100,N 434857,S200000,04600,0100,N 434857,S200000,04700,0100,N 434857,S200000,04700,0200,N 434857,S200000,04900,0100,N 434857,S200000,05000,0100,N 434857,S200000,05100,0100,N 434857,S200000,05200,0100,N 434857,S200000,05300,0100,Y 434857,S200000,05300,0200,00131 434857,S200000,05400,0100,PROVENA HEALTH 434857,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 434857,S200000,05400,0300,00131 434857,S200000,05500,0100,19065 HICKORY CREEK DRIVE 434857,S200000,05600,0100,MOKENA 434857,S200000,05600,0200,IL 434857,S200000,05600,0300,60448 434861,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434861,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434861,A000000,00300,0000,0300EMPLOYEE BENEFITS 434861,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434861,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434861,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434861,A000000,00700,0000,0700HOUSEKEEPING 434861,A000000,00800,0000,0800DIETARY 434861,A000000,00900,0000,0900NURSING ADMINISTRATION 434861,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434861,A000000,01300,0000,1300SOCIAL SERVICE 434861,A000000,01600,0000,1600SKILLED NURSING FACILITY 434861,A000000,01800,0000,1800NURSING FACILITY 434861,A000000,01810,0000,1810ICF/MR 434861,A000000,01900,0000,1900OTHER LONG TERM CARE 434861,A000000,02100,0000,2100RADIOLOGY 434861,A000000,02200,0000,2200LABORATORY 434861,A000000,02300,0000,2300INTRAVENOUS THERAPY 434861,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434861,A000000,02500,0000,2500PHYSICAL THERAPY 434861,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434861,A000000,02700,0000,2700SPEECH PATHOLOGY 434861,A000000,02800,0000,2800ELECTROCARDIOLOGY 434861,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434861,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434861,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434861,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434861,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434861,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434861,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434861,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434861,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434861,A000000,04400,0000,4400DME RENTED - HHA 434861,A000000,04500,0000,4500DME SOLD - HHA 434861,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434861,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434861,A000000,04710,0000,4710TELEMEDICINE 434861,A000000,04800,0000,4800AMBULANCE 434861,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434861,A000000,05000,0000,5000CORF 434861,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434861,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434861,A000000,05300,0000,5300INTEREST EXPENSE 434861,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434861,A000000,05500,0000,5500HOSPICE 434861,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434861,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434861,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434861,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434861,A000000,06100,0000,6100NONPAID WORKERS 434861,A000000,06200,0000,6200PATIENTS LAUNDRY 434861,A000000,06300,0000,6150ADULT DAY HEALTH 434861,A000000,06301,0000,6151ASSISTED LIVING 434861,A000000,06302,0000,6152CHILD CARE CENTER 434861,A81000A,00100,0100,Y 434861,A81000B,00600,0300,MGMT FEE - A&G RELATED 434861,A81000C,00100,0100,B 434861,A81000C,00100,0400,GUARDIAN ANGELS OF ELK RI 434861,A81000C,00100,0600,HOME OFFICE OR CENTRAL OF 434861,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434861,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434861,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434861,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434861,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434861,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434861,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434861,B100000,00000,0800,0800MEALS SERVED :DIETARY 434861,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434861,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434861,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434861,E10A180,00550,0100,03/29/12 434861,G300000,02500,0000,OTHER - SEE GROUPINGS 434861,G300000,02501,0000,OTHER - SEE GROUPINGS 434861,G300000,02502,0000,OTHER - SEE GROUPINGS 434861,S000000,00100,0200,02/29/12 434861,S200000,00100,0100,400 EVANS AVENUE 434861,S200000,00200,0100,ELK RIVER 434861,S200000,00200,0200,MN 434861,S200000,00200,0300,55330 434861,S200000,00300,0100,SHERBURNE 434861,S200000,00300,0200,5120 434861,S200000,00300,0201,33460 434861,S200000,00300,0300,U 434861,S200000,00400,0100,GUARDIAN ANGELS OF ELK RIVER INC. 434861,S200000,00400,0200,245012 434861,S200000,00400,0300,01/01/67 434861,S200000,00400,0500,P 434861,S200000,00400,0600,P 434861,S200000,01500,0100,Y 434861,S200000,01501,0200,Y 434861,S200000,01502,0200,Y 434861,S200000,01503,0200,N 434861,S200000,01504,0200,N 434861,S200000,01600,0100,N 434861,S200000,01700,0100,N 434861,S200000,01800,0100,N 434861,S200000,02200,0100,N 434861,S200000,02800,0100,Y 434861,S200000,02900,0100,N 434861,S200000,03000,0100,N 434861,S200000,03100,0100,N 434861,S200000,03200,0100,N 434861,S200000,03300,0100,N 434861,S200000,03300,0200,N 434861,S200000,04100,0100,N 434861,S200000,04200,0100,N 434861,S200000,04300,0100,N 434861,S200000,04600,0100,N 434861,S200000,04700,0100,N 434861,S200000,04700,0200,N 434861,S200000,04900,0100,N 434861,S200000,05000,0100,N 434861,S200000,05100,0100,N 434861,S200000,05200,0100,N 434861,S200000,05300,0100,Y 434861,S200000,05300,0200,N/A 434861,S200000,05400,0100,GUARDIAN ANGELS OF ELK RIVER 434861,S200000,05400,0200,N/A 434861,S200000,05400,0300,00N/A 434861,S200000,05500,0100,400 EVANS AVENUE 434861,S200000,05600,0100,ELK RIVER 434861,S200000,05600,0200,MN 434861,S200000,05600,0300,55330 434862,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434862,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434862,A000000,00300,0000,0300EMPLOYEE BENEFITS 434862,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434862,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434862,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434862,A000000,00700,0000,0700HOUSEKEEPING 434862,A000000,00800,0000,0800DIETARY 434862,A000000,00900,0000,0900NURSING ADMINISTRATION 434862,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434862,A000000,01100,0000,1100PHARMACY 434862,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434862,A000000,01300,0000,1300SOCIAL SERVICE 434862,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434862,A000000,01600,0000,1600SKILLED NURSING FACILITY 434862,A000000,01800,0000,1800NURSING FACILITY 434862,A000000,01810,0000,1810ICF/MR 434862,A000000,01900,0000,1900OTHER LONG TERM CARE 434862,A000000,02100,0000,2100RADIOLOGY 434862,A000000,02200,0000,2200LABORATORY 434862,A000000,02300,0000,2300INTRAVENOUS THERAPY 434862,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434862,A000000,02500,0000,2500PHYSICAL THERAPY 434862,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434862,A000000,02700,0000,2700SPEECH PATHOLOGY 434862,A000000,02800,0000,2800ELECTROCARDIOLOGY 434862,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434862,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434862,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434862,A000000,03200,0000,3200SUPPORT SURFACES 434862,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434862,A000000,03301,0000,3051AIR FLUID THERAPY 434862,A000000,03302,0000,3052AMBULANCE 434862,A000000,03303,0000,3053PEN THERAPY 434862,A000000,03304,0000,3054ONCOLOGY 434862,A000000,03305,0000,3055CARDIOLOGY 434862,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434862,A000000,03307,0000,3057AUDIOLOGY 434862,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434862,A000000,03400,0000,3400CLINIC 434862,A000000,03500,0000,3500RURAL HEALTH CLINIC 434862,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434862,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434862,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434862,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434862,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434862,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434862,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434862,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434862,A000000,04400,0000,4400DME RENTED - HHA 434862,A000000,04500,0000,4500DME SOLD - HHA 434862,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434862,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434862,A000000,04710,0000,4710TELEMEDICINE 434862,A000000,04800,0000,4800AMBULANCE 434862,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434862,A000000,05000,0000,5000CORF 434862,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434862,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434862,A000000,05300,0000,5300INTEREST EXPENSE 434862,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434862,A000000,05500,0000,5500HOSPICE 434862,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434862,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434862,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434862,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434862,A000000,06100,0000,6100NONPAID WORKERS 434862,A000000,06200,0000,6200PATIENTS LAUNDRY 434862,A000000,06300,0000,6150ADULT DAY HEALTH 434862,A000000,06301,0000,6151ASSISTED LIVING 434862,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434862,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434862,A81000A,00100,0100,Y 434862,A81000B,00100,0300,MGMT FEE- A&G RELATED 434862,A81000C,00100,0100,G 434862,A81000C,00100,0400,CRESTVIEW CORPORATION 434862,A81000C,00100,0600,CENTRAL OFFICE 434862,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434862,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434862,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434862,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434862,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434862,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434862,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434862,B100000,00000,0800,0800MEALS SERVED :DIETARY 434862,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434862,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434862,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434862,E10A180,00501,0100,04/23/12 434862,G300000,02500,0000,OTHER 434862,H513100,00000,0000,33460 434862,S000000,00100,0200,02/22/12 434862,S200000,00100,0100,4444 RESERVOIR BLVD NE 434862,S200000,00200,0100,COLUMBIA HEIGHTS 434862,S200000,00200,0200,MN 434862,S200000,00200,0300,55421 434862,S200000,00300,0100,ANOKA 434862,S200000,00300,0200,5120 434862,S200000,00300,0201,33460 434862,S200000,00300,0300,U 434862,S200000,00400,0100,CREST VIEW LUTHERAN HOME 434862,S200000,00400,0200,245018 434862,S200000,00400,0300,12/01/66 434862,S200000,00400,0500,P 434862,S200000,00400,0600,P 434862,S200000,00800,0200,248046 434862,S200000,00800,0300,07/23/96 434862,S200000,00800,0500,P 434862,S200000,01500,0100,Y 434862,S200000,01501,0200,N 434862,S200000,01502,0200,N 434862,S200000,01503,0200,N 434862,S200000,01600,0100,N 434862,S200000,01700,0100,N 434862,S200000,01800,0100,N 434862,S200000,02200,0100,N 434862,S200000,02800,0100,Y 434862,S200000,02900,0100,N 434862,S200000,03000,0100,N 434862,S200000,03100,0100,N 434862,S200000,03200,0100,N 434862,S200000,03300,0100,N 434862,S200000,03300,0200,N 434862,S200000,03700,0100,N 434862,S200000,03700,0200,N 434862,S200000,04100,0100,N 434862,S200000,04200,0100,N 434862,S200000,04300,0100,N 434862,S200000,04600,0100,N 434862,S200000,04700,0100,N 434862,S200000,04700,0200,N 434862,S200000,04900,0100,N 434862,S200000,05000,0100,N 434862,S200000,05100,0100,N 434862,S200000,05200,0100,N 434862,S410002,01700,0101,33460 434863,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434863,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434863,A000000,00300,0000,0300EMPLOYEE BENEFITS 434863,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434863,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434863,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434863,A000000,00700,0000,0700HOUSEKEEPING 434863,A000000,00800,0000,0800DIETARY 434863,A000000,00900,0000,0900NURSING ADMINISTRATION 434863,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434863,A000000,01300,0000,1300SOCIAL SERVICE 434863,A000000,01500,0000,1350OTHER GENERAL SERVICES 434863,A000000,01600,0000,1600SKILLED NURSING FACILITY 434863,A000000,01800,0000,1800NURSING FACILITY 434863,A000000,01810,0000,1810ICF/MR 434863,A000000,01900,0000,1900OTHER LONG TERM CARE 434863,A000000,02100,0000,2100RADIOLOGY 434863,A000000,02200,0000,2200LABORATORY 434863,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434863,A000000,02500,0000,2500PHYSICAL THERAPY 434863,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434863,A000000,02700,0000,2700SPEECH PATHOLOGY 434863,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434863,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434863,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434863,A000000,04800,0000,4800AMBULANCE 434863,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434863,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434863,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434863,A81000A,00100,0100,N 434863,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434863,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434863,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434863,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434863,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434863,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434863,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434863,B100000,00000,0800,0800MEALS SERVED :DIETARY 434863,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 434863,B100000,00000,1200,1250CHARGES :MEDICAL RECORDS & LIB 434863,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 434863,E10A180,00501,0100,04/12/12 434863,G300000,02500,0000,OTHER OP. REV./DHS SURCH 434863,S000000,00100,0200,02/27/12 434863,S200000,00100,0100,850 2ND STREET N.W. 434863,S200000,00200,0100,AITKIN 434863,S200000,00200,0200,MN 434863,S200000,00200,0300,56431 434863,S200000,00300,0100,AITKIN 434863,S200000,00300,0201,99924 434863,S200000,00300,0300,R 434863,S200000,00400,0100,AICOTA HEALTH CARE CENTER INC. 434863,S200000,00400,0200,245363 434863,S200000,00400,0300,11/17/86 434863,S200000,00400,0500,P 434863,S200000,01500,0100,Y 434863,S200000,01501,0200,Y 434863,S200000,01502,0200,Y 434863,S200000,01504,0200,Y 434863,S200000,01600,0100,N 434863,S200000,01700,0100,N 434863,S200000,01800,0100,N 434863,S200000,02200,0100,Y 434863,S200000,02800,0100,N 434863,S200000,02900,0100,N 434863,S200000,03000,0100,N 434863,S200000,03100,0100,N 434863,S200000,03200,0100,N 434863,S200000,03300,0100,N 434863,S200000,03300,0200,N 434863,S200000,04100,0100,N 434863,S200000,04200,0100,N 434863,S200000,04300,0100,N 434863,S200000,04600,0100,N 434863,S200000,04700,0100,N 434863,S200000,04700,0200,N 434863,S200000,04900,0100,N 434863,S200000,05000,0100,N 434863,S200000,05100,0100,N 434863,S200000,05200,0100,N 434864,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434864,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434864,A000000,00300,0000,0300EMPLOYEE BENEFITS 434864,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434864,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434864,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434864,A000000,00700,0000,0700HOUSEKEEPING 434864,A000000,00800,0000,0800DIETARY 434864,A000000,00900,0000,0900NURSING ADMINISTRATION 434864,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434864,A000000,01300,0000,1300SOCIAL SERVICE 434864,A000000,01600,0000,1600SKILLED NURSING FACILITY 434864,A000000,02100,0000,2100RADIOLOGY 434864,A000000,02200,0000,2200LABORATORY 434864,A000000,02300,0000,2300INTRAVENOUS THERAPY 434864,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434864,A000000,02500,0000,2500PHYSICAL THERAPY 434864,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434864,A000000,02700,0000,2700SPEECH PATHOLOGY 434864,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434864,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434864,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434864,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434864,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434864,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434864,A000000,06100,0000,6100NONPAID WORKERS 434864,A000000,06200,0000,6200PATIENTS LAUNDRY 434864,A000000,06300,0000,6150ADULT DAY HEALTH 434864,A000000,06301,0000,6151ASSISTED LIVING 434864,A000000,06302,0000,6152APARTMENTS 434864,A000000,06303,0000,6153CHILD CARE 434864,A81000A,00100,0100,Y 434864,A81000C,00600,0100,G 434864,A81000C,00600,0200,GOOD SHEPHERD APTS 434864,A81000C,00600,0600,SENIOR APARTMENTS 434864,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434864,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434864,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434864,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434864,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434864,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434864,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434864,B100000,00000,0800,0800MEALS SERVED :DIETARY 434864,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434864,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434864,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434864,E10A180,00501,0100,05/03/12 434864,G300000,02500,0000,OTHER - SEE GROUPINGS 434864,G300000,02503,0000,OTHER - SEE GROUPINGS 434864,S000000,00100,0200,02/28/12 434864,S200000,00100,0100,P.O. BOX 747 434864,S200000,00200,0100,RUSHFORD 434864,S200000,00200,0200,MN 434864,S200000,00200,0300,55971 434864,S200000,00300,0100,FILLMORE 434864,S200000,00300,0200,24 434864,S200000,00300,0201,99924 434864,S200000,00300,0300,R 434864,S200000,00400,0100,GOOD SHEPHERD LUTHERAN HOME 434864,S200000,00400,0200,245393 434864,S200000,00400,0300,12/01/86 434864,S200000,00400,0500,P 434864,S200000,00400,0600,P 434864,S200000,01500,0100,Y 434864,S200000,01501,0200,Y 434864,S200000,01502,0200,Y 434864,S200000,01503,0200,Y 434864,S200000,01504,0200,N 434864,S200000,01600,0100,N 434864,S200000,01700,0100,N 434864,S200000,01800,0100,N 434864,S200000,02200,0100,N 434864,S200000,02800,0100,Y 434864,S200000,02900,0100,N 434864,S200000,03000,0100,N 434864,S200000,03100,0100,N 434864,S200000,03200,0100,N 434864,S200000,03300,0100,N 434864,S200000,03300,0200,N 434864,S200000,04100,0100,N 434864,S200000,04200,0100,N 434864,S200000,04300,0100,N 434864,S200000,04600,0100,N 434864,S200000,04700,0100,N 434864,S200000,04700,0200,N 434864,S200000,04900,0100,N 434864,S200000,05000,0100,N 434864,S200000,05100,0100,N 434864,S200000,05200,0100,N 434864,S200000,05300,0100,N 434865,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434865,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434865,A000000,00300,0000,0300EMPLOYEE BENEFITS 434865,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434865,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434865,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434865,A000000,00700,0000,0700HOUSEKEEPING 434865,A000000,00800,0000,0800DIETARY 434865,A000000,00900,0000,0900NURSING ADMINISTRATION 434865,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434865,A000000,01300,0000,1300SOCIAL SERVICE 434865,A000000,01600,0000,1600SKILLED NURSING FACILITY 434865,A000000,02200,0000,2200LABORATORY 434865,A000000,02500,0000,2500PHYSICAL THERAPY 434865,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434865,A000000,02700,0000,2700SPEECH PATHOLOGY 434865,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434865,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434865,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434865,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434865,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434865,A000000,05901,0000,5901DAYCARE 434865,A000000,05902,0000,5902ASSISTED LIVING/VISTA RIDGE 434865,A000000,05903,0000,5903HOSPITAL MEALS 434865,A000000,05904,0000,5904CONGREGATE MEALS 434865,A000000,05905,0000,5905HOMESTEAD HOUSING/HUD APART 434865,A000000,05906,0000,5906MEALS ON WHEELS SHOP 434865,A000000,05907,0000,5907HC&AL 434865,A000000,05908,0000,5908THE MAPLES ASST LIVING 434865,A81000A,00100,0100,N 434865,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434865,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434865,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434865,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434865,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434865,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434865,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434865,B100000,00000,0800,0800MEALS SERVED :DIETARY 434865,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 434865,B100000,00000,1200,1250CENSUS DAYS :MEDICAL RECORDS & 434865,B100000,00000,1300,1330CENSUS DAYS :SOCIAL SERVICE 434865,E10A180,00550,0100,03/15/12 434865,E10A180,00550,0300,03/15/12 434865,E10A180,00551,0100,05/09/12 434865,G300000,02501,0000,DAY CARE 434865,G300000,02502,0000,OTHER MISC 434865,G300000,02503,0000,HOME CARE 434865,G300000,02504,0000,MANAGEMENT SERVICES 434865,S000000,00100,0200,02/24/12 434865,S200000,00100,0100,201 SOUTH COUNTY ROAD 5 434865,S200000,00200,0100,SPRINGFIELD 434865,S200000,00200,0200,MN 434865,S200000,00200,0300,56087 434865,S200000,00300,0100,BROWN 434865,S200000,00300,0200,24 434865,S200000,00300,0201,99924 434865,S200000,00300,0300,R 434865,S200000,00400,0100,ST. JOHN LUTHERAN HOME 434865,S200000,00400,0200,245407 434865,S200000,00400,0300,01/01/87 434865,S200000,00400,0500,P 434865,S200000,01500,0100,Y 434865,S200000,01501,0200,N 434865,S200000,01502,0200,N 434865,S200000,01503,0200,N 434865,S200000,01504,0200,N 434865,S200000,01600,0100,N 434865,S200000,01700,0100,N 434865,S200000,01800,0100,N 434865,S200000,02200,0100,N 434865,S200000,02800,0100,N 434865,S200000,02900,0100,N 434865,S200000,03000,0100,N 434865,S200000,03100,0100,N 434865,S200000,03200,0100,N 434865,S200000,03300,0100,N 434865,S200000,03300,0200,N 434865,S200000,04100,0100,N 434865,S200000,04200,0100,N 434865,S200000,04300,0100,N 434865,S200000,04600,0100,N 434865,S200000,04700,0100,N 434865,S200000,04700,0200,N 434865,S200000,04900,0100,N 434865,S200000,05000,0100,N 434865,S200000,05100,0100,N 434865,S200000,05200,0100,N 434866,S000000,00100,0200,02/28/12 434866,S200000,00100,0100,16561 US HWY 10 434866,S200000,00200,0100,LAKE PARK 434866,S200000,00200,0200,MN 434866,S200000,00200,0300,56554-9302 434866,S200000,00300,0100,BECKER 434866,S200000,00400,0100,SUNNYSIDE NURSING HOME 434866,S200000,00400,0300,02/01/92 434867,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 434867,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 434867,A000000,00300,0000,0300EMPLOYEE BENEFITS 434867,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434867,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 434867,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434867,A000000,00700,0000,0700HOUSEKEEPING 434867,A000000,00800,0000,0800DIETARY 434867,A000000,00900,0000,0900NURSING ADMINISTRATION 434867,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434867,A000000,01100,0000,1100PHARMACY 434867,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434867,A000000,01300,0000,1300SOCIAL SERVICE 434867,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 434867,A000000,01500,0000,1350OTHER GENERAL SERVICES 434867,A000000,01600,0000,1600SKILLED NURSING FACILITY 434867,A000000,01810,0000,1810ICF/MR 434867,A000000,02100,0000,2100RADIOLOGY 434867,A000000,02200,0000,2200LABORATORY 434867,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434867,A000000,02500,0000,2500PHYSICAL THERAPY 434867,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434867,A000000,02700,0000,2700SPEECH PATHOLOGY 434867,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 434867,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434867,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434867,A000000,03550,0000,3550FQHC 434867,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434867,A000000,04710,0000,4710TELEMEDICINE 434867,A000000,04801,0000,4801AMBULANCE 434867,A000000,04802,0000,4802AMBULANCE 434867,A000000,04803,0000,4803AMBULANCE 434867,A000000,05000,0000,5000CORF 434867,A000000,05010,0000,5010CMHC 434867,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 434867,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 434867,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 434867,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434867,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434867,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434867,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434867,A81000A,00100,0100,N 434867,B100000,00000,0100,0100SQUARE FEET 434867,B100000,00000,0200,0200SQUARE FEET 434867,B100000,00000,0300,0300GROSS SALARIES 434867,B100000,00000,0400,0400ACCUM COST 434867,B100000,00000,0500,0500SQUARE FEET 434867,B100000,00000,0600,0600POUNDS OF LAUNDRY 434867,B100000,00000,0700,0700SQUARE FEET 434867,B100000,00000,0800,0800MEALS SERVED 434867,B100000,00000,0900,0900DIRECT NRSING HRS 434867,B100000,00000,1000,1000COSTED REQUIS. 434867,B100000,00000,1100,1100COSTED REQUIS. 434867,B100000,00000,1200,1200TIME SPENT 434867,B100000,00000,1300,1300TIME SPENT 434867,B100000,00000,1400,1400ASSIGNED TIME 434867,B100000,00000,1500,1350TIME SPENT 434867,E10A180,00550,0100,01/27/12 434867,G300000,02500,0000,MISCELLANEOUS INCOME 434867,S000000,00100,0200,12/07/11 434867,S200000,00100,0100,1530 SANDERSON AVENUE 434867,S200000,00200,0100,SCRANTON 434867,S200000,00200,0200,PA 434867,S200000,00200,0300,18509 434867,S200000,00300,0100,LACKAWANNA 434867,S200000,00300,0201,42540 434867,S200000,00300,0300,U 434867,S200000,00400,0100,GREEN RIDGE HEALTH CARE CENTER 434867,S200000,00400,0200,395067 434867,S200000,00400,0300,03/08/04 434867,S200000,00400,0500,P 434867,S200000,01500,0100,Y 434867,S200000,01600,0100,N 434867,S200000,01700,0100,N 434867,S200000,01800,0100,N 434867,S200000,02200,0100,N 434867,S200000,02800,0100,N 434867,S200000,02900,0100,N 434867,S200000,03000,0100,N 434867,S200000,03100,0100,N 434867,S200000,03200,0100,N 434867,S200000,03300,0100,N 434867,S200000,03300,0200,N 434867,S200000,04200,0100,N 434867,S200000,04300,0100,N 434867,S200000,04600,0100,N 434867,S200000,04700,0100,N 434867,S200000,04900,0100,N 434867,S200000,05200,0100,N 434869,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434869,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434869,A000000,00300,0000,0300EMPLOYEE BENEFITS 434869,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434869,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434869,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434869,A000000,00700,0000,0700HOUSEKEEPING 434869,A000000,00800,0000,0800DIETARY 434869,A000000,00900,0000,0900NURSING ADMINISTRATION 434869,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434869,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434869,A000000,01300,0000,1300SOCIAL SERVICE 434869,A000000,01301,0000,1301ACTIVITES 434869,A000000,01500,0000,1350REHABILITATION 434869,A000000,01600,0000,1600SKILLED NURSING FACILITY 434869,A000000,01800,0000,1800NURSING FACILITY 434869,A000000,01900,0000,1900OTHER LONG TERM CARE 434869,A000000,02100,0000,2100RADIOLOGY 434869,A000000,02200,0000,2200LABORATORY 434869,A000000,02300,0000,2300INTRAVENOUS THERAPY 434869,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434869,A000000,02500,0000,2500PHYSICAL THERAPY 434869,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434869,A000000,02700,0000,2700SPEECH PATHOLOGY 434869,A000000,02800,0000,2800ELECTROCARDIOLOGY 434869,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434869,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434869,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434869,A000000,03200,0000,3200SUPPORT SURFACES 434869,A000000,03300,0000,3050EQUIPMENT RENTAL 434869,A000000,03301,0000,3051PEN THERAPY 434869,A000000,04800,0000,4800AMBULANCE 434869,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434869,A000000,05300,0000,5300INTEREST EXPENSE 434869,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434869,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434869,A000000,06200,0000,6200PATIENTS LAUNDRY 434869,A000000,06300,0000,6150VENDING 434869,A000000,06301,0000,6151OTHER NONREIMBURSABLE 434869,A81000A,00100,0100,Y 434869,A81000B,00100,0300,HOME OFFICE COST 434869,A81000C,00100,0100,B 434869,A81000C,00100,0200,STERLING LIVING 434869,A81000C,00100,0400,SSC EQUITY HOLD 434869,A81000C,00100,0600,NSG HOMES 434869,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434869,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434869,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434869,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434869,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434869,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434869,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434869,B100000,00000,0800,0800MEALS SERVED :DIETARY 434869,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 434869,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434869,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434869,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434869,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 434869,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 434869,E10A180,00303,0100,04/21/11 434869,E10A180,00501,0100,04/18/13 434869,E10A180,00502,0100,04/18/13 434869,E10A180,00550,0100,05/18/12 434869,E10A180,00550,0300,04/18/13 434869,E10A180,00551,0300,04/18/13 434869,S000000,00100,0200,02/24/12 434869,S200000,00100,0100,1420 SOUTH 3RD AVE 434869,S200000,00200,0100,STERLING 434869,S200000,00200,0200,CO 434869,S200000,00200,0300,80751 434869,S200000,00300,0100,LOGAN 434869,S200000,00300,0300,R 434869,S200000,00400,0100,STERLING LIVING CENTER 434869,S200000,00400,0200,065174 434869,S200000,00400,0300,04/01/83 434869,S200000,00400,0500,P 434869,S200000,01500,0100,Y 434869,S200000,01501,0200,Y 434869,S200000,01502,0200,Y 434869,S200000,01504,0200,Y 434869,S200000,01600,0100,N 434869,S200000,01700,0100,N 434869,S200000,01800,0100,N 434869,S200000,02200,0100,Y 434869,S200000,02800,0100,N 434869,S200000,02900,0100,N 434869,S200000,03000,0100,N 434869,S200000,03100,0100,N 434869,S200000,03200,0100,N 434869,S200000,03300,0100,N 434869,S200000,03300,0200,N 434869,S200000,04100,0100,N 434869,S200000,04200,0100,N 434869,S200000,04300,0100,N 434869,S200000,04600,0100,N 434869,S200000,04700,0100,N 434869,S200000,04700,0200,N 434869,S200000,04900,0100,N 434869,S200000,05000,0100,N 434869,S200000,05100,0100,N 434869,S200000,05200,0100,N 434869,S200000,05300,0100,Y 434869,S200000,05300,0200,219023 434869,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 434869,S200000,05400,0200,TRAILBLAZER 434869,S200000,05400,0300,04901 434869,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 434869,S200000,05600,0100,HOUSTON 434869,S200000,05600,0200,TX 434869,S200000,05600,0300,77041 434917,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434917,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434917,A000000,00300,0000,0300EMPLOYEE BENEFITS 434917,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434917,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434917,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434917,A000000,00700,0000,0700HOUSEKEEPING 434917,A000000,00800,0000,0800DIETARY 434917,A000000,00900,0000,0900NURSING ADMINISTRATION 434917,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434917,A000000,01100,0000,1100PHARMACY 434917,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434917,A000000,01300,0000,1300SOCIAL SERVICE 434917,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434917,A000000,01600,0000,1600SKILLED NURSING FACILITY 434917,A000000,01800,0000,1800NURSING FACILITY 434917,A000000,01900,0000,1900OTHER LONG TERM CARE 434917,A000000,02100,0000,2100RADIOLOGY 434917,A000000,02200,0000,2200LABORATORY 434917,A000000,02300,0000,2300INTRAVENOUS THERAPY 434917,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434917,A000000,02500,0000,2500PHYSICAL THERAPY 434917,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434917,A000000,02700,0000,2700SPEECH PATHOLOGY 434917,A000000,02800,0000,2800ELECTROCARDIOLOGY 434917,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434917,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434917,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434917,A000000,03200,0000,3200SUPPORT SURFACES 434917,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 434917,A000000,03400,0000,3400CLINIC 434917,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 434917,A000000,04800,0000,4800AMBULANCE 434917,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434917,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434917,A000000,05300,0000,5300INTEREST EXPENSE 434917,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434917,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434917,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434917,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434917,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434917,A000000,06100,0000,6100NONPAID WORKERS 434917,A000000,06200,0000,6200PATIENTS LAUNDRY 434917,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 434917,A81000A,00100,0100,N 434917,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434917,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434917,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434917,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434917,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434917,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434917,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434917,B100000,00000,0800,0800MEALS SERVED :DIETARY 434917,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 434917,B100000,00000,1000,1000PATIENT REQUIS. :CENTRAL SERVIC 434917,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434917,E10A180,00501,0100,03/30/12 434917,E10A180,00501,0300,03/30/12 434917,G300000,02500,0000,BEAUTY SHOP 434917,G300000,02501,0000,MISCELLANEOUS INCOME 434917,G300000,02502,0000,VAN TRANSPORTATION 434917,G300000,02503,0000,COTTAGE SERVICES INCOME 434917,G300000,02505,0000,OTHER MEDICAL CHARGES 434917,S000000,00100,0200,02/08/12 434917,S200000,00100,0100,2130 HARRISON STREET 434917,S200000,00200,0100,QUINCY 434917,S200000,00200,0200,IL 434917,S200000,00200,0300,62301 434917,S200000,00300,0100,ADAMS 434917,S200000,00300,0200,9914 434917,S200000,00300,0300,R 434917,S200000,00400,0100,THE GOOD SAMARITAN HOME OF QUINCY 434917,S200000,00400,0200,145773 434917,S200000,00400,0300,04/01/94 434917,S200000,00400,0500,P 434917,S200000,01500,0100,N 434917,S200000,01501,0200,Y 434917,S200000,01502,0200,Y 434917,S200000,01503,0200,Y 434917,S200000,01504,0200,Y 434917,S200000,01600,0100,Y 434917,S200000,01700,0100,N 434917,S200000,01800,0100,N 434917,S200000,02200,0100,N 434917,S200000,02800,0100,Y 434917,S200000,02900,0100,N 434917,S200000,03000,0100,N 434917,S200000,03100,0100,N 434917,S200000,03200,0100,N 434917,S200000,03300,0100,N 434917,S200000,03300,0200,N 434917,S200000,04100,0100,N 434917,S200000,04200,0100,N 434917,S200000,04300,0100,N 434917,S200000,04600,0100,N 434917,S200000,04700,0100,N 434917,S200000,04700,0200,N 434917,S200000,04900,0100,N 434917,S200000,05000,0100,N 434917,S200000,05100,0100,N 434917,S200000,05200,0100,N 434917,S200000,05300,0100,N 434934,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434934,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434934,A000000,00300,0000,0300EMPLOYEE BENEFITS 434934,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434934,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434934,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434934,A000000,00700,0000,0700HOUSEKEEPING 434934,A000000,00800,0000,0800DIETARY 434934,A000000,00900,0000,0900NURSING ADMINISTRATION 434934,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434934,A000000,01100,0000,1100PHARMACY 434934,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434934,A000000,01300,0000,1300SOCIAL SERVICE 434934,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434934,A000000,01500,0000,1350OTHER GENERAL SERVICES 434934,A000000,01600,0000,1600SKILLED NURSING FACILITY 434934,A000000,01800,0000,1800NURSING FACILITY 434934,A000000,01810,0000,1810ICF/MR 434934,A000000,01900,0000,1900OTHER LONG TERM CARE 434934,A000000,02100,0000,2100RADIOLOGY 434934,A000000,02200,0000,2200LABORATORY 434934,A000000,02300,0000,2300INTRAVENOUS THERAPY 434934,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434934,A000000,02500,0000,2500PHYSICAL THERAPY 434934,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434934,A000000,02700,0000,2700SPEECH PATHOLOGY 434934,A000000,02800,0000,2800ELECTROCARDIOLOGY 434934,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434934,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434934,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434934,A000000,03200,0000,3200SUPPORT SURFACES 434934,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434934,A000000,03400,0000,3400CLINIC 434934,A000000,03500,0000,3500RURAL HEALTH CLINIC 434934,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434934,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434934,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434934,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434934,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434934,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434934,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434934,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434934,A000000,04400,0000,4400DME RENTED - HHA 434934,A000000,04500,0000,4500DME SOLD - HHA 434934,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434934,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434934,A000000,04710,0000,4710TELEMEDICINE 434934,A000000,04800,0000,4800AMBULANCE 434934,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434934,A000000,05000,0000,5000CORF 434934,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434934,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434934,A000000,05300,0000,5300INTEREST EXPENSE 434934,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434934,A000000,05500,0000,5500HOSPICE 434934,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434934,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434934,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434934,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434934,A000000,06100,0000,6100NONPAID WORKERS 434934,A000000,06200,0000,6200PATIENTS LAUNDRY 434934,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434934,A81000A,00100,0100,Y 434934,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 434934,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 434934,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 434934,A81000B,00400,0300,HO ALLOCATION 434934,A81000B,00500,0300,HO ALLOCATION 434934,A81000B,00600,0300,HO ALLOCATION 434934,A81000B,00700,0300,HMS GPO FEES 434934,A81000B,00800,0300,HMS GPO FEES 434934,A81000B,00900,0300,HMS GPO FEES 434934,A81000B,01000,0300,HMS GPO FEES 434934,A81000B,01100,0300,HMS GPO FEES 434934,A81000B,01200,0300,HMS GPO FEES 434934,A81000B,01300,0300,HMS GPO FEES 434934,A81000B,01400,0300,HMS GPO FEES 434934,A81000B,01500,0300,HMS GPO FEES 434934,A81000B,01600,0300,HMS GPO FEES 434934,A81000C,00100,0100,B 434934,A81000C,00100,0400,HALCYON REHAB. LLC 434934,A81000C,00100,0600,REHAB. SERVICES 434934,A81000C,00200,0100,B 434934,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 434934,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 434934,A81000C,00300,0100,F 434934,A81000C,00300,0200,RELATED FAMILY TRUSTS 434934,A81000C,00300,0400,HMS PURCHASING LLC 434934,A81000C,00300,0600,GROUP PURCHASING ORG. 434934,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434934,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434934,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434934,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434934,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434934,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434934,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434934,B100000,00000,0800,0850PATIENT DAYS :DIETARY 434934,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434934,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 434934,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434934,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434934,E10A180,00550,0100,02/15/12 434934,G300000,02500,0000,OTHER REVENUES 434934,S000000,00100,0200,12/16/11 434934,S200000,00100,0100,1539 DELACHAISE ST. 434934,S200000,00200,0100,NEW ORLEANS 434934,S200000,00200,0200,LA 434934,S200000,00200,0300,70115-3513 434934,S200000,00300,0100,ORLEANS 434934,S200000,00300,0200,5560 434934,S200000,00300,0201,35380 434934,S200000,00300,0300,U 434934,S200000,00400,0100,ST. CHARLES HEALTH CARE CENTER 434934,S200000,00400,0200,195517 434934,S200000,00400,0300,11/20/00 434934,S200000,00400,0500,P 434934,S200000,01500,0100,Y 434934,S200000,01501,0200,Y 434934,S200000,01600,0100,N 434934,S200000,01700,0100,N 434934,S200000,01800,0100,N 434934,S200000,02200,0100,N 434934,S200000,02800,0100,N 434934,S200000,02900,0100,N 434934,S200000,03000,0100,N 434934,S200000,03100,0100,N 434934,S200000,03200,0100,N 434934,S200000,03300,0100,N 434934,S200000,03300,0200,N 434934,S200000,04100,0100,N 434934,S200000,04200,0100,N 434934,S200000,04300,0100,N 434934,S200000,04600,0100,N 434934,S200000,04700,0100,N 434934,S200000,04700,0200,N 434934,S200000,04900,0100,N 434934,S200000,05000,0100,N 434934,S200000,05100,0100,N 434934,S200000,05200,0100,N 434934,S200000,05300,0100,Y 434934,S200000,05300,0200,339003 434934,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 434934,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 434934,S200000,05400,0300,05401 434934,S200000,05500,0100,4 WEST RED OAK LANE STE 201 434934,S200000,05600,0100,WHITE PLAINS 434934,S200000,05600,0200,NY 434934,S200000,05600,0300,10604 434967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434967,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 434967,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434967,A000000,00300,0000,0300EMPLOYEE BENEFITS 434967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434967,A000000,00700,0000,0700HOUSEKEEPING 434967,A000000,00800,0000,0800DIETARY 434967,A000000,01300,0000,1300SOCIAL SERVICE 434967,A000000,01600,0000,1600SKILLED NURSING FACILITY 434967,A000000,02500,0000,2500PHYSICAL THERAPY 434967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434967,A000000,02700,0000,2700SPEECH PATHOLOGY 434967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434967,A000000,05300,0000,5300INTEREST EXPENSE 434967,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434967,A000000,05901,0000,5901CV APARTMENTS 434967,A000000,05902,0000,5902ASSISTED LIVING 434967,A000000,05903,0000,5903CHILD CARE 434967,A000000,05904,0000,5904WELLNESS 434967,A81000A,00100,0100,N 434967,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434967,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 434967,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434967,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434967,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434967,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434967,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434967,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434967,B100000,00000,0800,0800MEALS SERVED :DIETARY 434967,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434967,E10A180,00550,0100,03/15/12 434967,E10A180,00550,0300,03/15/12 434967,G300000,02501,0000,CV SERVICES INCOME 434967,G300000,02502,0000,GUEST ROOM 434967,G300000,02504,0000,MEMBERSHIP FEES 434967,G300000,02505,0000,SENIOR TV REVENUE 434967,G300000,02506,0000,OTHER HOME REVENUE 434967,G300000,02507,0000,WELLNESS CENTER 434967,G300000,02508,0000,MEMBERSHIP 434967,G300000,02509,0000,MISCELLANEOUS REVENUE 434967,G300000,02510,0000,GAIN/LOSS ON INSURANCE CLAIMS 434967,G300000,02511,0000,GAIN/LOSS ON DISPOSAL OF ASSETS 434967,G300000,02512,0000,RESPIT REVENUE 434967,S000000,00100,0200,02/27/12 434967,S200000,00100,0100,500 PARK STREET EAST 434967,S200000,00200,0100,ANNANDALE 434967,S200000,00200,0200,MN 434967,S200000,00200,0300,55302 434967,S200000,00300,0100,WRIGHT 434967,S200000,00300,0200,5120 434967,S200000,00300,0201,33460 434967,S200000,00300,0300,U 434967,S200000,00400,0100,ANNANDALE CARE CENTER 434967,S200000,00400,0200,245364 434967,S200000,00400,0300,11/01/86 434967,S200000,00400,0500,P 434967,S200000,01500,0100,Y 434967,S200000,01501,0200,N 434967,S200000,01502,0200,Y 434967,S200000,01503,0200,N 434967,S200000,01504,0200,Y 434967,S200000,01600,0100,N 434967,S200000,01700,0100,N 434967,S200000,01800,0100,N 434967,S200000,02200,0100,N 434967,S200000,02800,0100,Y 434967,S200000,02900,0100,N 434967,S200000,03000,0100,N 434967,S200000,03100,0100,N 434967,S200000,03200,0100,N 434967,S200000,03300,0100,N 434967,S200000,03300,0200,N 434967,S200000,04100,0100,N 434967,S200000,04200,0100,N 434967,S200000,04300,0100,N 434967,S200000,04600,0100,N 434967,S200000,04700,0100,N 434967,S200000,04700,0200,N 434967,S200000,04900,0100,N 434967,S200000,05000,0100,N 434967,S200000,05100,0100,N 434967,S200000,05200,0100,N 434967,S200000,05300,0100,N 434968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434968,A000000,00300,0000,0300EMPLOYEE BENEFITS 434968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434968,A000000,00700,0000,0700HOUSEKEEPING 434968,A000000,00800,0000,0800DIETARY 434968,A000000,00900,0000,0900NURSING ADMINISTRATION 434968,A000000,01100,0000,1100PHARMACY 434968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434968,A000000,01300,0000,1300SOCIAL SERVICE 434968,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434968,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434968,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434968,A000000,01600,0000,1600SKILLED NURSING FACILITY 434968,A000000,01800,0000,1800NURSING FACILITY 434968,A000000,01810,0000,1810ICF/MR 434968,A000000,01900,0000,1900OTHER LONG TERM CARE 434968,A000000,02100,0000,2100RADIOLOGY 434968,A000000,02200,0000,2200LABORATORY 434968,A000000,02300,0000,2300INTRAVENOUS THERAPY 434968,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434968,A000000,02500,0000,2500PHYSICAL THERAPY 434968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434968,A000000,02700,0000,2700SPEECH PATHOLOGY 434968,A000000,02800,0000,2800ELECTROCARDIOLOGY 434968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434968,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434968,A000000,03200,0000,3200SUPPORT SURFACES 434968,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434968,A000000,03301,0000,3051AIR FLUID THERAPY 434968,A000000,03302,0000,3052AMBULANCE 434968,A000000,03303,0000,3053PEN THERAPY 434968,A000000,03304,0000,3054ONCOLOGY 434968,A000000,03305,0000,3055CARDIOLOGY 434968,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434968,A000000,03307,0000,3057AUDIOLOGY 434968,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434968,A000000,03400,0000,3400CLINIC 434968,A000000,03500,0000,3500RURAL HEALTH CLINIC 434968,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434968,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434968,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434968,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434968,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434968,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434968,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434968,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434968,A000000,04400,0000,4400DME RENTED - HHA 434968,A000000,04500,0000,4500DME SOLD - HHA 434968,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434968,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434968,A000000,04710,0000,4710TELEMEDICINE 434968,A000000,04800,0000,4800AMBULANCE 434968,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434968,A000000,05000,0000,5000CORF 434968,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434968,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434968,A000000,05300,0000,5300INTEREST EXPENSE 434968,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434968,A000000,05500,0000,5500HOSPICE 434968,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434968,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434968,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434968,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434968,A000000,06100,0000,6100NONPAID WORKERS 434968,A000000,06200,0000,6200PATIENTS LAUNDRY 434968,A000000,06300,0000,6150ADULT DAY HEALTH 434968,A000000,06301,0000,6151ASSISTED LIVING 434968,A000000,06302,0000,6152APARTMENTS 434968,A000000,06303,0000,6153FOUNDATION 434968,A81000A,00100,0100,Y 434968,A81000B,00700,0300,APARTMENT BENEFITS 434968,A81000B,00800,0300,APARTMENT ADMIN & GENERAL 434968,A81000B,00900,0300,APARTMENT OPERATING EXPENSE 434968,A81000B,01000,0300,FOUNDATION OPERATING EXPENSE 434968,A81000C,00100,0100,B 434968,A81000C,00100,0400,ST. MARK S APARTMENTS 434968,A81000C,00100,0600,SENIOR APARTMENTS 434968,A81000C,00200,0100,B 434968,A81000C,00200,0400,ST. MARKS BENEVOLENCE FUN 434968,A81000C,00200,0600,FUNDRAISING 434968,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434968,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434968,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434968,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434968,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434968,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434968,B100000,00000,0800,0800MEALS SERVED :DIETARY 434968,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434968,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434968,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434968,E10A180,00501,0100,05/10/12 434968,G300000,02500,0000,OTHER - SEE GROUPINGS 434968,G300000,02501,0000,OTHER - SEE GROUPINGS 434968,S000000,00100,0200,02/28/13 434968,S200000,00100,0100,400 15TH AVENUE 434968,S200000,00200,0100,AUSTIN 434968,S200000,00200,0200,MN 434968,S200000,00200,0300,55912 434968,S200000,00300,0100,MOWER 434968,S200000,00300,0200,24 434968,S200000,00300,0201,99924 434968,S200000,00300,0300,R 434968,S200000,00400,0100,ST. MARK S LUTHERAN HOME 434968,S200000,00400,0200,245369 434968,S200000,00400,0300,12/01/86 434968,S200000,00400,0500,P 434968,S200000,00400,0600,P 434968,S200000,01500,0100,Y 434968,S200000,01501,0200,N 434968,S200000,01502,0200,Y 434968,S200000,01504,0200,Y 434968,S200000,01600,0100,N 434968,S200000,01700,0100,N 434968,S200000,01800,0100,N 434968,S200000,02200,0100,N 434968,S200000,02800,0100,N 434968,S200000,02900,0100,N 434968,S200000,03000,0100,N 434968,S200000,03100,0100,N 434968,S200000,03200,0100,N 434968,S200000,03300,0100,N 434968,S200000,03300,0200,N 434968,S200000,04100,0100,N 434968,S200000,04200,0100,N 434968,S200000,04300,0100,N 434968,S200000,04600,0100,N 434968,S200000,04700,0100,N 434968,S200000,04700,0200,N 434968,S200000,04900,0100,N 434968,S200000,05000,0100,N 434968,S200000,05100,0100,N 434968,S200000,05200,0100,N 434968,S200000,05300,0100,N 434969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434969,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434969,A000000,00300,0000,0300EMPLOYEE BENEFITS 434969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434969,A000000,00700,0000,0700HOUSEKEEPING 434969,A000000,00800,0000,0800DIETARY 434969,A000000,00900,0000,0900NURSING ADMINISTRATION 434969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434969,A000000,01300,0000,1300SOCIAL SERVICE 434969,A000000,01600,0000,1600SKILLED NURSING FACILITY 434969,A000000,01800,0000,1800NURSING FACILITY 434969,A000000,01810,0000,1810ICF/MR 434969,A000000,01900,0000,1900OTHER LONG TERM CARE 434969,A000000,02100,0000,2100RADIOLOGY 434969,A000000,02200,0000,2200LABORATORY 434969,A000000,02300,0000,2300INTRAVENOUS THERAPY 434969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434969,A000000,02500,0000,2500PHYSICAL THERAPY 434969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434969,A000000,02700,0000,2700SPEECH PATHOLOGY 434969,A000000,02800,0000,2800ELECTROCARDIOLOGY 434969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434969,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434969,A000000,03200,0000,3200SUPPORT SURFACES 434969,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434969,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CEN 434969,A000000,03400,0000,3400CLINIC 434969,A000000,03500,0000,3500RURAL HEALTH CLINIC 434969,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434969,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434969,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434969,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434969,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434969,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434969,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434969,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434969,A000000,04400,0000,4400DME RENTED - HHA 434969,A000000,04500,0000,4500DME SOLD - HHA 434969,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434969,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434969,A000000,04710,0000,4710TELEMEDICINE 434969,A000000,04800,0000,4800AMBULANCE 434969,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434969,A000000,05000,0000,5000CORF 434969,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434969,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434969,A000000,05300,0000,5300INTEREST EXPENSE 434969,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434969,A000000,05500,0000,5500HOSPICE 434969,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434969,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434969,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434969,A000000,06100,0000,6100NONPAID WORKERS 434969,A000000,06200,0000,6200PATIENTS LAUNDRY 434969,A000000,06300,0000,6150ADULT DAY HEALTH 434969,A000000,06301,0000,6151ASSISTED LIVING 434969,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434969,A000000,06303,0000,6153NEW LIFE MANOR APARTMENTS 434969,A000000,06304,0000,6154SOUTHVIEW ESTATES APARTMENTS 434969,A000000,06305,0000,6155FOUNDATION 434969,A81000A,00100,0100,Y 434969,A81000B,00100,0300,SOUTHVIEW ESTATES APARTMENTS 434969,A81000B,00200,0300,NEW LIFE MANOR APARTMENTS 434969,A81000B,00300,0300,FOUNDATION 434969,A81000B,00400,0300,EMPLOYEE BENEFITS 434969,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 434969,A81000C,00100,0100,G 434969,A81000C,00100,0400,NEW LIFE MANOR 434969,A81000C,00100,0600,APARTMENTS 434969,A81000C,00200,0100,G 434969,A81000C,00200,0400,SOUTHVIEW ESTATES 434969,A81000C,00200,0600,APARTMENTS 434969,A81000C,00300,0100,G 434969,A81000C,00300,0400,ST LUKES FOUNDATION 434969,A81000C,00300,0600,FUNDRAISING 434969,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434969,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434969,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434969,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434969,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434969,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 434969,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434969,B100000,00000,0800,0800MEALS SERVED :DIETARY 434969,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434969,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434969,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434969,E10A180,00501,0100,05/14/12 434969,E10A180,00501,0300,05/14/12 434969,G300000,02500,0000,OTHER REVENUES 434969,G300000,02502,0000,NLM REIMBURSEMENT 434969,G300000,02503,0000,SV REIMBURSEMENT 434969,G300000,02504,0000,BOARD AND LODGING REVENUE 434969,G300000,02505,0000,ADULT DAY CARE REVENUE 434969,G300000,02506,0000,INTERCOMPANY REVENUE 434969,S000000,00100,0200,03/01/12 434969,S200000,00100,0100,1219 SOUTH RAMSEY 434969,S200000,00200,0100,BLUE EARTH 434969,S200000,00200,0200,MN 434969,S200000,00200,0300,56013 434969,S200000,00300,0100,FARIBAULT 434969,S200000,00300,0200,24 434969,S200000,00300,0201,99924 434969,S200000,00300,0300,R 434969,S200000,00400,0100,ST LUKES LUTHERAN CARE CENTER 434969,S200000,00400,0200,245372 434969,S200000,00400,0300,12/01/85 434969,S200000,00400,0500,P 434969,S200000,00400,0600,P 434969,S200000,01500,0100,Y 434969,S200000,01501,0200,N 434969,S200000,01502,0200,Y 434969,S200000,01503,0200,Y 434969,S200000,01504,0200,Y 434969,S200000,01600,0100,N 434969,S200000,01700,0100,N 434969,S200000,01800,0100,N 434969,S200000,02200,0100,N 434969,S200000,02800,0100,N 434969,S200000,02900,0100,N 434969,S200000,03000,0100,N 434969,S200000,03100,0100,N 434969,S200000,03200,0100,N 434969,S200000,03300,0100,N 434969,S200000,03300,0200,N 434969,S200000,04100,0100,N 434969,S200000,04200,0100,N 434969,S200000,04300,0100,N 434969,S200000,04600,0100,N 434969,S200000,04700,0100,N 434969,S200000,04700,0200,N 434969,S200000,04900,0100,N 434969,S200000,05000,0100,N 434969,S200000,05100,0100,N 434969,S200000,05200,0100,N 434969,S200000,05300,0100,N 434970,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434970,A000000,00300,0000,0300EMPLOYEE BENEFITS 434970,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434970,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434970,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434970,A000000,00700,0000,0700HOUSEKEEPING 434970,A000000,00800,0000,0800DIETARY 434970,A000000,00900,0000,0900NURSING ADMINISTRATION 434970,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434970,A000000,01300,0000,1300SOCIAL SERVICE 434970,A000000,01600,0000,1600SKILLED NURSING FACILITY 434970,A000000,01800,0000,1800NURSING FACILITY 434970,A000000,01810,0000,1810ICF/MR 434970,A000000,01900,0000,1900OTHER LONG TERM CARE 434970,A000000,02100,0000,2100RADIOLOGY 434970,A000000,02200,0000,2200LABORATORY 434970,A000000,02300,0000,2300INTRAVENOUS THERAPY 434970,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434970,A000000,02500,0000,2500PHYSICAL THERAPY 434970,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434970,A000000,02700,0000,2700SPEECH PATHOLOGY 434970,A000000,02800,0000,2800ELECTROCARDIOLOGY 434970,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434970,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434970,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434970,A000000,03200,0000,3200SUPPORT SURFACES 434970,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434970,A000000,03301,0000,3051AIR FLUID THERAPY 434970,A000000,03302,0000,3052AMBULANCE 434970,A000000,03303,0000,3053PEN THERAPY 434970,A000000,03304,0000,3054ONCOLOGY 434970,A000000,03305,0000,3055CARDIOLOGY 434970,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434970,A000000,03307,0000,3057AUDIOLOGY 434970,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434970,A000000,03400,0000,3400CLINIC 434970,A000000,03500,0000,3500RURAL HEALTH CLINIC 434970,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434970,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434970,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434970,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434970,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434970,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434970,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434970,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434970,A000000,04400,0000,4400DME RENTED - HHA 434970,A000000,04500,0000,4500DME SOLD - HHA 434970,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434970,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434970,A000000,04710,0000,4710TELEMEDICINE 434970,A000000,04800,0000,4800AMBULANCE 434970,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434970,A000000,05000,0000,5000CORF 434970,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434970,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434970,A000000,05300,0000,5300INTEREST EXPENSE 434970,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434970,A000000,05500,0000,5500HOSPICE 434970,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434970,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434970,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434970,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434970,A000000,06100,0000,6100NONPAID WORKERS 434970,A000000,06200,0000,6200PATIENTS LAUNDRY 434970,A000000,06300,0000,6150MEALS ON WHEELS 434970,A000000,06301,0000,6151ASSISTED LIVING 434970,A000000,06302,0000,6152FAITH IN ACTION 434970,A000000,06303,0000,6153CLINIC 434970,A81000A,00100,0100,N 434970,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434970,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434970,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434970,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434970,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434970,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434970,B100000,00000,0800,0800MEALS SERVED :DIETARY 434970,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434970,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434970,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434970,E10A180,00501,0100,05/10/12 434970,E10A180,00550,0300,05/10/12 434970,G300000,02500,0000,INTERCOMPANY ALLOCATIONS 434970,G300000,02504,0000,OTHER - SEE GROUPINGS 434970,S000000,00100,0200,02/27/12 434970,S200000,00100,0100,127 GUNDERSON BOULEVARD 434970,S200000,00200,0100,KENYON 434970,S200000,00200,0200,MN 434970,S200000,00200,0300,55946 434970,S200000,00300,0100,GOODHUE 434970,S200000,00300,0200,24 434970,S200000,00300,0201,99924 434970,S200000,00300,0300,R 434970,S200000,00400,0100,KENYON SUNSET HOME 434970,S200000,00400,0200,245379 434970,S200000,00400,0300,12/01/86 434970,S200000,00400,0500,P 434970,S200000,00400,0600,P 434970,S200000,01500,0100,N 434970,S200000,01501,0200,N 434970,S200000,01502,0200,Y 434970,S200000,01503,0200,N 434970,S200000,01504,0200,Y 434970,S200000,01600,0100,Y 434970,S200000,01700,0100,N 434970,S200000,01800,0100,N 434970,S200000,02200,0100,N 434970,S200000,02800,0100,N 434970,S200000,02900,0100,N 434970,S200000,03000,0100,N 434970,S200000,03100,0100,N 434970,S200000,03200,0100,N 434970,S200000,03300,0100,N 434970,S200000,03300,0200,N 434970,S200000,04100,0100,N 434970,S200000,04200,0100,N 434970,S200000,04300,0100,N 434970,S200000,04600,0100,N 434970,S200000,04700,0100,N 434970,S200000,04700,0200,N 434970,S200000,04900,0100,N 434970,S200000,05000,0100,N 434970,S200000,05100,0100,N 434970,S200000,05200,0100,N 434970,S200000,05300,0100,N 434971,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434971,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434971,A000000,00300,0000,0300EMPLOYEE BENEFITS 434971,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434971,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434971,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434971,A000000,00700,0000,0700HOUSEKEEPING 434971,A000000,00800,0000,0800DIETARY 434971,A000000,00900,0000,0900NURSING ADMINISTRATION 434971,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434971,A000000,01300,0000,1300SOCIAL SERVICE 434971,A000000,01600,0000,1600SKILLED NURSING FACILITY 434971,A000000,02100,0000,2100RADIOLOGY 434971,A000000,02200,0000,2200LABORATORY 434971,A000000,02500,0000,2500PHYSICAL THERAPY 434971,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434971,A000000,02700,0000,2700SPEECH PATHOLOGY 434971,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434971,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434971,A000000,05300,0000,5300INTEREST EXPENSE 434971,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434971,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434971,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434971,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434971,A000000,06100,0000,6100NONPAID WORKERS 434971,A000000,06200,0000,6200PATIENTS LAUNDRY 434971,A000000,06300,0000,6150CONTRACTED MEALS 434971,A000000,06301,0000,6151ADULT DAY CARE 434971,A000000,06302,0000,6152APARTMENTS 434971,A81000A,00100,0100,N 434971,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434971,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434971,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434971,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434971,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434971,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434971,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434971,B100000,00000,0800,0800MEALS :DIETARY 434971,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 434971,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 434971,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 434971,E10A180,00501,0100,04/27/12 434971,E10A180,00501,0300,04/27/12 434971,G300000,02500,0000,OTHER REVENUE 434971,S000000,00100,0200,02/20/12 434971,S200000,00100,0100,2912 FREMONT AVENUE NORTH 434971,S200000,00200,0100,MINNEAPOLIS 434971,S200000,00200,0200,MN 434971,S200000,00200,0300,55411-1395 434971,S200000,00300,0100,HENNEPIN 434971,S200000,00300,0200,5120 434971,S200000,00300,0201,33460 434971,S200000,00300,0300,U 434971,S200000,00400,0100,ST. OLAF RESIDENCE INC. 434971,S200000,00400,0200,245387 434971,S200000,00400,0300,12/01/86 434971,S200000,00400,0500,P 434971,S200000,01500,0100,N 434971,S200000,01501,0200,N 434971,S200000,01502,0200,Y 434971,S200000,01503,0200,N 434971,S200000,01504,0200,Y 434971,S200000,01600,0100,Y 434971,S200000,01700,0100,N 434971,S200000,01800,0100,N 434971,S200000,02200,0100,N 434971,S200000,02800,0100,N 434971,S200000,02900,0100,N 434971,S200000,03000,0100,N 434971,S200000,03100,0100,N 434971,S200000,03200,0100,N 434971,S200000,03300,0100,N 434971,S200000,03300,0200,N 434971,S200000,04100,0100,N 434971,S200000,04200,0100,N 434971,S200000,04300,0100,N 434971,S200000,04600,0100,N 434971,S200000,04700,0100,N 434971,S200000,04700,0200,N 434971,S200000,04900,0100,N 434971,S200000,05000,0100,N 434971,S200000,05100,0100,N 434971,S200000,05200,0100,N 434971,S200000,05300,0100,N 434973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434973,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434973,A000000,00300,0000,0300EMPLOYEE BENEFITS 434973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434973,A000000,00700,0000,0700HOUSEKEEPING 434973,A000000,00800,0000,0800DIETARY 434973,A000000,00900,0000,0900NURSING ADMINISTRATION 434973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434973,A000000,01300,0000,1300SOCIAL SERVICE 434973,A000000,01500,0000,1350ACTIVITIES 434973,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434973,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434973,A000000,01600,0000,1600SKILLED NURSING FACILITY 434973,A000000,01800,0000,1800NURSING FACILITY 434973,A000000,01810,0000,1810ICF/MR 434973,A000000,01900,0000,1900OTHER LONG TERM CARE 434973,A000000,02100,0000,2100RADIOLOGY 434973,A000000,02200,0000,2200LABORATORY 434973,A000000,02300,0000,2300INTRAVENOUS THERAPY 434973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434973,A000000,02500,0000,2500PHYSICAL THERAPY 434973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434973,A000000,02700,0000,2700SPEECH PATHOLOGY 434973,A000000,02800,0000,2800ELECTROCARDIOLOGY 434973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434973,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434973,A000000,03200,0000,3200SUPPORT SURFACES 434973,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434973,A000000,03301,0000,3051AIR FLUID THERAPY 434973,A000000,03302,0000,3052AMBULANCE 434973,A000000,03303,0000,3053PEN THERAPY 434973,A000000,03304,0000,3054ONCOLOGY 434973,A000000,03305,0000,3055CARDIOLOGY 434973,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434973,A000000,03307,0000,3057AUDIOLOGY 434973,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434973,A000000,03400,0000,3400CLINIC 434973,A000000,03500,0000,3500RURAL HEALTH CLINIC 434973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434973,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434973,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434973,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434973,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434973,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434973,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434973,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434973,A000000,04400,0000,4400DME RENTED - HHA 434973,A000000,04500,0000,4500DME SOLD - HHA 434973,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434973,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434973,A000000,04710,0000,4710TELEMEDICINE 434973,A000000,04800,0000,4800AMBULANCE 434973,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434973,A000000,05000,0000,5000CORF 434973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434973,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434973,A000000,05300,0000,5300INTEREST EXPENSE 434973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434973,A000000,05500,0000,5500HOSPICE 434973,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434973,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434973,A000000,06100,0000,6100NONPAID WORKERS 434973,A000000,06200,0000,6200PATIENTS LAUNDRY 434973,A000000,06300,0000,6150ADULT DAY HEALTH 434973,A000000,06301,0000,6151ASSISTED LIVING 434973,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434973,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434973,A81000A,00100,0100,N 434973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434973,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434973,B100000,00000,0800,0800MEALS SERVED :DIETARY 434973,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434973,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 434973,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434973,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 434973,E10A180,00501,0100,05/15/12 434973,E10A180,00501,0300,05/15/12 434973,E10A180,00502,0100,03/18/13 434973,G300000,02500,0000,OTHER - SEE GROUPINGS 434973,S000000,00100,0200,02/28/12 434973,S200000,00100,0100,619 W. 6TH STREET 434973,S200000,00200,0100,PARK RAPIDS 434973,S200000,00200,0200,MN 434973,S200000,00200,0300,56470-0000 434973,S200000,00300,0100,HUBBARD 434973,S200000,00300,0200,24 434973,S200000,00300,0201,99924 434973,S200000,00300,0300,R 434973,S200000,00400,0100,HERITAGE LIVING CENTER 434973,S200000,00400,0200,245405 434973,S200000,00400,0300,01/01/87 434973,S200000,00400,0500,P 434973,S200000,00400,0600,P 434973,S200000,01500,0100,Y 434973,S200000,01501,0200,N 434973,S200000,01502,0200,N 434973,S200000,01503,0200,Y 434973,S200000,01504,0200,Y 434973,S200000,01600,0100,N 434973,S200000,01700,0100,N 434973,S200000,01800,0100,N 434973,S200000,02200,0100,N 434973,S200000,02800,0100,N 434973,S200000,02900,0100,N 434973,S200000,03000,0100,N 434973,S200000,03100,0100,N 434973,S200000,03200,0100,N 434973,S200000,03300,0100,N 434973,S200000,03300,0200,N 434973,S200000,04100,0100,N 434973,S200000,04200,0100,N 434973,S200000,04300,0100,N 434973,S200000,04600,0100,N 434973,S200000,04700,0100,N 434973,S200000,04700,0200,N 434973,S200000,04900,0100,N 434973,S200000,05000,0100,N 434973,S200000,05100,0100,N 434973,S200000,05200,0100,N 434973,S200000,05300,0100,N 434974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434974,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434974,A000000,00300,0000,0300EMPLOYEE BENEFITS 434974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434974,A000000,00700,0000,0700HOUSEKEEPING 434974,A000000,00800,0000,0800DIETARY 434974,A000000,00900,0000,0900NURSING ADMINISTRATION 434974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434974,A000000,01100,0000,1100PHARMACY 434974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434974,A000000,01300,0000,1300SOCIAL SERVICE 434974,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434974,A000000,01500,0000,1350OTHER GENERAL SERVICES 434974,A000000,01600,0000,1600SKILLED NURSING FACILITY 434974,A000000,01800,0000,1800NURSING FACILITY 434974,A000000,01810,0000,1810ICF/MR 434974,A000000,01900,0000,1900OTHER LONG TERM CARE 434974,A000000,02100,0000,2100RADIOLOGY 434974,A000000,02200,0000,2200LABORATORY 434974,A000000,02300,0000,2300INTRAVENOUS THERAPY 434974,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434974,A000000,02500,0000,2500PHYSICAL THERAPY 434974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434974,A000000,02700,0000,2700SPEECH PATHOLOGY 434974,A000000,02800,0000,2800ELECTROCARDIOLOGY 434974,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434974,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434974,A000000,03200,0000,3200SUPPORT SURFACES 434974,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434974,A000000,03400,0000,3400CLINIC 434974,A000000,03500,0000,3500RURAL HEALTH CLINIC 434974,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434974,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434974,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434974,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434974,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434974,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434974,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434974,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434974,A000000,04400,0000,4400DME RENTED - HHA 434974,A000000,04500,0000,4500DME SOLD - HHA 434974,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434974,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434974,A000000,04710,0000,4710TELEMEDICINE 434974,A000000,04800,0000,4800AMBULANCE 434974,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434974,A000000,05000,0000,5000CORF 434974,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434974,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434974,A000000,05300,0000,5300INTEREST EXPENSE 434974,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434974,A000000,05500,0000,5500HOSPICE 434974,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434974,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434974,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434974,A000000,06100,0000,6100NONPAID WORKERS 434974,A000000,06200,0000,6200PATIENTS LAUNDRY 434974,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434974,A81000A,00100,0100,Y 434974,A81000B,00100,0300,MANAGMENT FEES 434974,A81000C,00100,0100,B 434974,A81000C,00100,0200,EVENTIDE LUTHERAN HOME 434974,A81000C,00100,0400,EVENTIDE 434974,A81000C,00100,0600,ELDERLY CARE 434974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434974,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434974,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434974,B100000,00000,0800,0800MEALS SERVED :DIETARY 434974,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434974,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 434974,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 434974,E10A180,00501,0100,05/14/12 434974,E10A180,00550,0300,05/14/12 434974,G300000,02500,0000,OTHER INCOME 434974,S000000,00100,0200,02/24/12 434974,S200000,00100,0100,1405 7TH ST S 434974,S200000,00200,0100,MOORHEAD 434974,S200000,00200,0200,MN 434974,S200000,00200,0300,56560 434974,S200000,00300,0100,CLAY 434974,S200000,00300,0200,2520 434974,S200000,00300,0201,22020 434974,S200000,00300,0300,U 434974,S200000,00400,0100,EVENTIDE LUTHERAN HOME 434974,S200000,00400,0200,245461 434974,S200000,00400,0300,04/01/87 434974,S200000,00400,0500,P 434974,S200000,01500,0100,Y 434974,S200000,01501,0200,Y 434974,S200000,01503,0200,N 434974,S200000,01504,0200,N 434974,S200000,01600,0100,N 434974,S200000,01700,0100,N 434974,S200000,01800,0100,N 434974,S200000,02200,0100,N 434974,S200000,02800,0100,Y 434974,S200000,02900,0100,N 434974,S200000,03000,0100,N 434974,S200000,03100,0100,N 434974,S200000,03200,0100,N 434974,S200000,03300,0100,N 434974,S200000,03300,0200,N 434974,S200000,04100,0100,N 434974,S200000,04200,0100,N 434974,S200000,04300,0100,Y 434974,S200000,04600,0100,N 434974,S200000,04700,0100,N 434974,S200000,04700,0200,N 434974,S200000,04900,0100,N 434974,S200000,05000,0100,N 434974,S200000,05100,0100,N 434974,S200000,05200,0100,N 434975,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434975,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434975,A000000,00300,0000,0300EMPLOYEE BENEFITS 434975,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434975,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434975,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434975,A000000,00700,0000,0700HOUSEKEEPING 434975,A000000,00800,0000,0800DIETARY 434975,A000000,00900,0000,0900NURSING ADMINISTRATION 434975,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434975,A000000,01100,0000,1100PHARMACY 434975,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434975,A000000,01300,0000,1300SOCIAL SERVICE 434975,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434975,A000000,01500,0000,1350OTHER GENERAL SERVICES 434975,A000000,01600,0000,1600SKILLED NURSING FACILITY 434975,A000000,01800,0000,1800NURSING FACILITY 434975,A000000,01810,0000,1810ICF/MR 434975,A000000,01900,0000,1900OTHER LONG TERM CARE 434975,A000000,02100,0000,2100RADIOLOGY 434975,A000000,02200,0000,2200LABORATORY 434975,A000000,02300,0000,2300INTRAVENOUS THERAPY 434975,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434975,A000000,02500,0000,2500PHYSICAL THERAPY 434975,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434975,A000000,02700,0000,2700SPEECH PATHOLOGY 434975,A000000,02800,0000,2800ELECTROCARDIOLOGY 434975,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434975,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434975,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434975,A000000,03200,0000,3200SUPPORT SURFACES 434975,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434975,A000000,03400,0000,3400CLINIC 434975,A000000,03500,0000,3500RURAL HEALTH CLINIC 434975,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434975,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434975,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434975,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434975,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434975,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434975,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434975,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434975,A000000,04400,0000,4400DME RENTED - HHA 434975,A000000,04500,0000,4500DME SOLD - HHA 434975,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434975,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434975,A000000,04710,0000,4710TELEMEDICINE 434975,A000000,04800,0000,4800AMBULANCE 434975,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434975,A000000,05000,0000,5000CORF 434975,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434975,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434975,A000000,05300,0000,5300INTEREST EXPENSE 434975,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434975,A000000,05500,0000,5500HOSPICE 434975,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434975,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434975,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434975,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434975,A000000,06100,0000,6100NONPAID WORKERS 434975,A000000,06200,0000,6200PATIENTS LAUNDRY 434975,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434975,A81000A,00100,0100,N 434975,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434975,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434975,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434975,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434975,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434975,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434975,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434975,B100000,00000,0800,0800MEALS SERVED :DIETARY 434975,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434975,E10A180,00501,0300,03/23/12 434975,E10A180,00550,0100,03/23/12 434975,G300000,02500,0000,RENTAL INCOME 434975,G300000,02501,0000,DAY CARE REVENUE 434975,G300000,02502,0000,CONSULTING REVENUE 434975,G300000,02503,0000,HOME DELIVERED MEALS 434975,G300000,02504,0000,FAMILY FITNESS (NET) 434975,G300000,02505,0000,VENDING (NET) 434975,S000000,00100,0200,03/09/12 434975,S200000,00100,0100,425 N BADGER STREET 434975,S200000,00200,0100,CALEDONIA 434975,S200000,00200,0200,MN 434975,S200000,00200,0300,55921 434975,S200000,00300,0100,HOUSTON 434975,S200000,00300,0200,3870 434975,S200000,00300,0201,29100 434975,S200000,00300,0300,U 434975,S200000,00400,0100,CALEDONIA CARE & REHAB 434975,S200000,00400,0200,245499 434975,S200000,00400,0300,07/01/04 434975,S200000,00400,0500,P 434975,S200000,01500,0100,Y 434975,S200000,01501,0200,N 434975,S200000,01600,0100,N 434975,S200000,01700,0100,N 434975,S200000,01800,0100,N 434975,S200000,02200,0100,N 434975,S200000,02800,0100,N 434975,S200000,02900,0100,N 434975,S200000,03000,0100,N 434975,S200000,03100,0100,N 434975,S200000,03200,0100,N 434975,S200000,03300,0100,N 434975,S200000,03300,0200,N 434975,S200000,04100,0100,N 434975,S200000,04200,0100,N 434975,S200000,04300,0100,N 434975,S200000,04600,0100,N 434975,S200000,04700,0100,N 434975,S200000,04700,0200,N 434975,S200000,04900,0100,N 434975,S200000,05000,0100,N 434975,S200000,05100,0100,N 434975,S200000,05200,0100,N 434976,S000000,00100,0200,02/27/12 434976,S200000,00100,0100,301 TROENDALE ST SW 434976,S200000,00200,0100,MAPLETON 434976,S200000,00200,0200,MN 434976,S200000,00200,0300,56065-9744 434976,S200000,00300,0100,BLUE EARTH 434976,S200000,00400,0100,MAPLETON COMMUNITY HOME 434976,S200000,00400,0300,12/01/86 434978,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434978,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 434978,A000000,00300,0000,0300EMPLOYEE BENEFITS 434978,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434978,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434978,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434978,A000000,00700,0000,0700HOUSEKEEPING 434978,A000000,00800,0000,0800DIETARY 434978,A000000,00900,0000,0900NURSING ADMINISTRATION 434978,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 434978,A000000,01100,0000,1100PHARMACY 434978,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434978,A000000,01300,0000,1300SOCIAL SERVICE 434978,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434978,A000000,01500,0000,1350RESIDENT ACTIVITIES 434978,A000000,01600,0000,1600SKILLED NURSING FACILITY 434978,A000000,01800,0000,1800NURSING FACILITY 434978,A000000,01810,0000,1810ICF/MR 434978,A000000,01900,0000,1900OTHER LONG TERM CARE 434978,A000000,02100,0000,2100RADIOLOGY 434978,A000000,02200,0000,2200LABORATORY 434978,A000000,02300,0000,2300INTRAVENOUS THERAPY 434978,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434978,A000000,02500,0000,2500PHYSICAL THERAPY 434978,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434978,A000000,02700,0000,2700SPEECH PATHOLOGY 434978,A000000,02800,0000,2800ELECTROCARDIOLOGY 434978,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434978,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434978,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434978,A000000,03200,0000,3200SUPPORT SURFACES 434978,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 434978,A000000,03400,0000,3400CLINIC 434978,A000000,03500,0000,3500RURAL HEALTH CLINIC 434978,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434978,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434978,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434978,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434978,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434978,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434978,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434978,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434978,A000000,04400,0000,4400DME RENTED - HHA 434978,A000000,04500,0000,4500DME SOLD - HHA 434978,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434978,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434978,A000000,04710,0000,4710TELEMEDICINE 434978,A000000,04800,0000,4800AMBULANCE 434978,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434978,A000000,05000,0000,5000CORF 434978,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434978,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434978,A000000,05300,0000,5300INTEREST EXPENSE 434978,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434978,A000000,05500,0000,5500HOSPICE 434978,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434978,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434978,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434978,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434978,A000000,06100,0000,6100NONPAID WORKERS 434978,A000000,06200,0000,6200PATIENTS LAUNDRY 434978,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 434978,A81000A,00100,0100,N 434978,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434978,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 434978,B100000,00000,0300,0300 GROSS SALARIES :EMPLOYEE BENEFI 434978,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434978,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434978,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 434978,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434978,B100000,00000,0800,0800MEALS SERVED :DIETARY 434978,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 434978,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 434978,B100000,00000,1100,1100COSTED REQUISITIONS :PHARMACY 434978,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 434978,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 434978,B100000,00000,1500,1350INPATIENT DAYS :RESIDENT ACTIVI 434978,G300000,02500,0000,OTHER REVENUE ACCOUNTS 434978,S000000,00100,0200,05/29/12 434978,S200000,00100,0100,540 COAL VALLEY ROAD 434978,S200000,00200,0100,JEFFERSON HILLS 434978,S200000,00200,0200,PA 434978,S200000,00200,0300,15025 434978,S200000,00300,0100,ALLEGHANY 434978,S200000,00300,0201,38300 434978,S200000,00300,0300,U 434978,S200000,00400,0100,LAWSON NURSING HOME 434978,S200000,00400,0200,395948 434978,S200000,00400,0300,02/21/95 434978,S200000,00400,0500,P 434978,S200000,01500,0100,Y 434978,S200000,01600,0100,N 434978,S200000,01700,0100,N 434978,S200000,01800,0100,N 434978,S200000,02200,0100,N 434978,S200000,02800,0100,N 434978,S200000,02900,0100,N 434978,S200000,03000,0100,N 434978,S200000,03100,0100,N 434978,S200000,03200,0100,N 434978,S200000,03300,0100,N 434978,S200000,03300,0200,N 434978,S200000,03600,0100,N 434978,S200000,03600,0200,N 434978,S200000,04100,0100,N 434978,S200000,04200,0100,N 434978,S200000,04300,0100,N 434978,S200000,04600,0100,N 434978,S200000,04700,0100,N 434978,S200000,04700,0200,N 434978,S200000,04900,0100,N 434978,S200000,05000,0100,N 434978,S200000,05100,0100,N 434978,S200000,05200,0100,N 434980,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 434980,A000000,00300,0000,0300EMPLOYEE BENEFITS 434980,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 434980,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 434980,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 434980,A000000,00700,0000,0700HOUSEKEEPING 434980,A000000,00800,0000,0800DIETARY 434980,A000000,00900,0000,0900NURSING ADMINISTRATION 434980,A000000,01100,0000,1100PHARMACY 434980,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 434980,A000000,01300,0000,1300SOCIAL SERVICE 434980,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 434980,A000000,01500,0000,1350ACTIVITIES 434980,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 434980,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 434980,A000000,01600,0000,1600SKILLED NURSING FACILITY 434980,A000000,01800,0000,1800NURSING FACILITY 434980,A000000,01810,0000,1810ICF/MR 434980,A000000,01900,0000,1900OTHER LONG TERM CARE 434980,A000000,02100,0000,2100RADIOLOGY 434980,A000000,02200,0000,2200LABORATORY 434980,A000000,02300,0000,2300INTRAVENOUS THERAPY 434980,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 434980,A000000,02500,0000,2500PHYSICAL THERAPY 434980,A000000,02600,0000,2600OCCUPATIONAL THERAPY 434980,A000000,02700,0000,2700SPEECH PATHOLOGY 434980,A000000,02800,0000,2800ELECTROCARDIOLOGY 434980,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 434980,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 434980,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 434980,A000000,03200,0000,3200SUPPORT SURFACES 434980,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 434980,A000000,03301,0000,3051AIR FLUID THERAPY 434980,A000000,03302,0000,3052AMBULANCE 434980,A000000,03303,0000,3053PEN THERAPY 434980,A000000,03304,0000,3054ONCOLOGY 434980,A000000,03305,0000,3055CARDIOLOGY 434980,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 434980,A000000,03307,0000,3057AUDIOLOGY 434980,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 434980,A000000,03400,0000,3400CLINIC 434980,A000000,03500,0000,3500RURAL HEALTH CLINIC 434980,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 434980,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 434980,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 434980,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 434980,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 434980,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 434980,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 434980,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 434980,A000000,04400,0000,4400DME RENTED - HHA 434980,A000000,04500,0000,4500DME SOLD - HHA 434980,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 434980,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 434980,A000000,04710,0000,4710TELEMEDICINE 434980,A000000,04800,0000,4800AMBULANCE 434980,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 434980,A000000,05000,0000,5000CORF 434980,A000000,05100,0000,4750OTHER REIMBURSABLE COST 434980,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 434980,A000000,05300,0000,5300INTEREST EXPENSE 434980,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 434980,A000000,05500,0000,5500HOSPICE 434980,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 434980,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 434980,A000000,05900,0000,5900BARBER & BEAUTY SHOP 434980,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 434980,A000000,06100,0000,6100NONPAID WORKERS 434980,A000000,06200,0000,6200PATIENTS LAUNDRY 434980,A000000,06300,0000,6150ADULT DAY HEALTH 434980,A000000,06301,0000,6151ASSISTED LIVING 434980,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 434980,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 434980,A81000A,00100,0100,Y 434980,A81000C,00100,0100,B 434980,A81000C,00100,0200,PRES HOMES ROSEVILLE 434980,A81000C,00100,0400,PRES HOME MGMT & SERVIC 434980,A81000C,00100,0600,MGMT COMPANY 434980,A81000C,00200,0100,B 434980,A81000C,00200,0200,PRES HOMES ROSEVILLE 434980,A81000C,00200,0400,PHS MANAGEMENT LLC 434980,A81000C,00200,0600,MGMT COMPANY 434980,A81000C,00300,0100,B 434980,A81000C,00300,0200,PRES HOMES COMMUNITY SERV 434980,A81000C,00300,0400,PRES HOME MGMT & SERVIC 434980,A81000C,00300,0600,MGMT COMPANY 434980,A81000C,00400,0100,B 434980,A81000C,00400,0200,PRES HOMES COMMUNITY SERV 434980,A81000C,00400,0400,PHS MANAGEMENT LLC 434980,A81000C,00400,0600,MGMT COMPANY 434980,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 434980,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 434980,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 434980,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 434980,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 434980,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 434980,B100000,00000,0800,0800MEALS SERVED :DIETARY 434980,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 434980,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 434980,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 434980,E10A180,00550,0300,03/29/12 434980,G300000,02500,0000,OTHER - SEE GROUPINGS 434980,G300000,02501,0000,OTHER - SEE GROUPINGS 434980,H513100,00000,0000,33460 434980,S000000,00100,0200,02/28/12 434980,S200000,00100,0100,1910 W COUNTY ROAD D 434980,S200000,00200,0100,ROSEVILLE 434980,S200000,00200,0200,MN 434980,S200000,00200,0300,55112 434980,S200000,00300,0100,RAMSEY 434980,S200000,00300,0200,5120 434980,S200000,00300,0201,33460 434980,S200000,00300,0300,U 434980,S200000,00400,0100,PRESBYTERIAN HOMES ROSEVILLE/HHA 434980,S200000,00400,0200,245389 434980,S200000,00400,0300,12/01/86 434980,S200000,00400,0500,P 434980,S200000,00400,0600,P 434980,S200000,00800,0200,247087 434980,S200000,00800,0300,12/01/86 434980,S200000,00800,0500,P 434980,S200000,01500,0100,Y 434980,S200000,01501,0200,Y 434980,S200000,01502,0200,Y 434980,S200000,01503,0200,Y 434980,S200000,01504,0200,Y 434980,S200000,01600,0100,N 434980,S200000,01700,0100,N 434980,S200000,01800,0100,N 434980,S200000,02200,0100,N 434980,S200000,02800,0100,N 434980,S200000,02900,0100,N 434980,S200000,03000,0100,N 434980,S200000,03100,0100,N 434980,S200000,03200,0100,N 434980,S200000,03300,0100,N 434980,S200000,03300,0200,N 434980,S200000,03600,0100,N 434980,S200000,03600,0200,N 434980,S200000,03700,0100,N 434980,S200000,03700,0200,N 434980,S200000,04100,0100,N 434980,S200000,04200,0100,N 434980,S200000,04300,0100,N 434980,S200000,04600,0100,N 434980,S200000,04700,0100,N 434980,S200000,04700,0200,N 434980,S200000,04900,0100,N 434980,S200000,05000,0100,N 434980,S200000,05100,0100,N 434980,S200000,05200,0100,N 434980,S200000,05300,0100,Y 434980,S200000,05300,0200,HB0584 434980,S200000,05400,0100,PHS/MANAGEMENT LLC 434980,S200000,05400,0200,N/A 434980,S200000,05400,0300,00N/A 434980,S200000,05500,0100,2845 HAMLINE AVE N 434980,S200000,05600,0100,ROSEVILLE 434980,S200000,05600,0200,MN 434980,S200000,05600,0300,55113 434980,S410002,01700,0101,33460 435003,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435003,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435003,A000000,00300,0000,0300EMPLOYEE BENEFITS 435003,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435003,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435003,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435003,A000000,00700,0000,0700HOUSEKEEPING 435003,A000000,00800,0000,0800DIETARY 435003,A000000,00900,0000,0900NURSING ADMINISTRATION 435003,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435003,A000000,01100,0000,1100PHARMACY 435003,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435003,A000000,01300,0000,1300SOCIAL SERVICE 435003,A000000,01301,0000,1301PATIENT ACTIVITIES 435003,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435003,A000000,01500,0000,1350OTHER GENERAL SERVICES 435003,A000000,01600,0000,1600SKILLED NURSING FACILITY 435003,A000000,01800,0000,1800NURSING FACILITY 435003,A000000,01810,0000,1810ICF/MR 435003,A000000,01900,0000,1900OTHER LONG TERM CARE 435003,A000000,02100,0000,2100RADIOLOGY 435003,A000000,02200,0000,2200LABORATORY 435003,A000000,02300,0000,2300INTRAVENOUS THERAPY 435003,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435003,A000000,02500,0000,2500PHYSICAL THERAPY 435003,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435003,A000000,02700,0000,2700SPEECH PATHOLOGY 435003,A000000,02800,0000,2800ELECTROCARDIOLOGY 435003,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435003,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435003,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435003,A000000,03200,0000,3200SUPPORT SURFACES 435003,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435003,A000000,03400,0000,3400CLINIC 435003,A000000,03500,0000,3500RURAL HEALTH CLINIC 435003,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435003,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435003,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435003,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435003,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435003,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435003,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435003,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435003,A000000,04400,0000,4400DME RENTED - HHA 435003,A000000,04500,0000,4500DME SOLD - HHA 435003,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435003,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435003,A000000,04710,0000,4710TELEMEDICINE 435003,A000000,04800,0000,4800AMBULANCE 435003,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435003,A000000,05000,0000,5000CORF 435003,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435003,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435003,A000000,05300,0000,5300INTEREST EXPENSE 435003,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435003,A000000,05500,0000,5500HOSPICE 435003,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435003,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435003,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435003,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435003,A000000,06100,0000,6100NONPAID WORKERS 435003,A000000,06200,0000,6200PATIENTS LAUNDRY 435003,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435003,A81000A,00100,0100,Y 435003,A81000B,00100,0300,MANAGEMENT FEES 435003,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOC 435003,A81000B,00300,0300,HOME OFFICE CAPITAL ALLOC 435003,A81000C,00100,0100,A 435003,A81000C,00100,0200,RHONDA LOU MCNEAL 435003,A81000C,00100,0400,INVESTMENT STRATEGY MGMT 435003,A81000C,00100,0600,MANAGEMENT COMPANY 435003,A81000C,00200,0100,A 435003,A81000C,00200,0200,PATRICIA A. HUDGENS 435003,A81000C,00200,0400,INVESTMENT STRATEGY MGMT 435003,A81000C,00200,0600,MANAGEMENT COMPANY 435003,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435003,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435003,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435003,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435003,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435003,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435003,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435003,B100000,00000,0800,0800MEALS SERVED :DIETARY 435003,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435003,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435003,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435003,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435003,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435003,B100000,00000,1301,1301TIME SPENT :PATIENT ACTIVITIES 435003,G300000,02500,0000,LEASE BUYOUT 435003,S000000,00100,0200,12/16/11 435003,S200000,00100,0100,909 E. 6TH STREET 435003,S200000,00200,0100,OAKDALE 435003,S200000,00200,0200,LA 435003,S200000,00200,0300,71463 435003,S200000,00300,0100,ALLEN 435003,S200000,00300,0200,19 435003,S200000,00300,0201,99919 435003,S200000,00300,0300,R 435003,S200000,00400,0100,ALLEN OAKS NURSING HOME 435003,S200000,00400,0200,195584 435003,S200000,00400,0300,05/23/03 435003,S200000,00400,0500,P 435003,S200000,00400,0600,O 435003,S200000,01500,0100,Y 435003,S200000,01501,0200,Y 435003,S200000,01503,0200,Y 435003,S200000,01504,0200,Y 435003,S200000,01600,0100,N 435003,S200000,01700,0100,N 435003,S200000,01800,0100,N 435003,S200000,02200,0100,N 435003,S200000,02800,0100,N 435003,S200000,02900,0100,N 435003,S200000,03000,0100,N 435003,S200000,03100,0100,N 435003,S200000,03200,0100,N 435003,S200000,03300,0100,N 435003,S200000,03300,0200,N 435003,S200000,04100,0100,N 435003,S200000,04200,0100,N 435003,S200000,04300,0100,N 435003,S200000,04600,0100,N 435003,S200000,04700,0100,N 435003,S200000,04700,0200,N 435003,S200000,04900,0100,N 435003,S200000,05000,0100,N 435003,S200000,05100,0100,N 435003,S200000,05200,0100,N 435041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435041,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435041,A000000,00300,0000,0300EMPLOYEE BENEFITS 435041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435041,A000000,00700,0000,0700HOUSEKEEPING 435041,A000000,00800,0000,0800DIETARY 435041,A000000,00900,0000,0900NURSING ADMINISTRATION 435041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435041,A000000,01100,0000,1100PHARMACY 435041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435041,A000000,01300,0000,1300SOCIAL SERVICE 435041,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435041,A000000,01500,0000,1350OTHER GENERAL SERVICES 435041,A000000,01600,0000,1600SKILLED NURSING FACILITY 435041,A000000,01800,0000,1800NURSING FACILITY 435041,A000000,01810,0000,1810ICF/MR 435041,A000000,01900,0000,1900OTHER LONG TERM CARE 435041,A000000,02100,0000,2100RADIOLOGY 435041,A000000,02200,0000,2200LABORATORY 435041,A000000,02300,0000,2300INTRAVENOUS THERAPY 435041,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435041,A000000,02500,0000,2500PHYSICAL THERAPY 435041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435041,A000000,02700,0000,2700SPEECH PATHOLOGY 435041,A000000,02800,0000,2800ELECTROCARDIOLOGY 435041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435041,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435041,A000000,03200,0000,3200SUPPORT SURFACES 435041,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435041,A000000,03400,0000,3400CLINIC 435041,A000000,03500,0000,3500RURAL HEALTH CLINIC 435041,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435041,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435041,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435041,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435041,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435041,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435041,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435041,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435041,A000000,04400,0000,4400DME RENTED - HHA 435041,A000000,04500,0000,4500DME SOLD - HHA 435041,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435041,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435041,A000000,04710,0000,4710TELEMEDICINE 435041,A000000,04800,0000,4800AMBULANCE 435041,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435041,A000000,05000,0000,5000CORF 435041,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435041,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435041,A000000,05300,0000,5300INTEREST EXPENSE 435041,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435041,A000000,05500,0000,5500HOSPICE 435041,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435041,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435041,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435041,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435041,A000000,06100,0000,6100NONPAID WORKERS 435041,A000000,06200,0000,6200PATIENTS LAUNDRY 435041,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435041,A81000A,00100,0100,Y 435041,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435041,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435041,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435041,A81000B,00400,0300,HO ALLOCATION 435041,A81000B,00500,0300,HO ALLOCATION 435041,A81000B,00600,0300,HO ALLOCATION 435041,A81000B,00700,0300,HMS GPO FEES 435041,A81000B,00800,0300,HMS GPO FEES 435041,A81000B,00900,0300,HMS GPO FEES 435041,A81000B,01000,0300,HMS GPO FEES 435041,A81000B,01100,0300,HMS GPO FEES 435041,A81000B,01200,0300,HMS GPO FEES 435041,A81000B,01300,0300,HMS GPO FEES 435041,A81000B,01400,0300,HMS GPO FEES 435041,A81000B,01500,0300,HMS GPO FEES 435041,A81000B,01600,0300,HMS GPO FEES 435041,A81000C,00100,0100,B 435041,A81000C,00100,0400,HALCYON REHAB. LLC 435041,A81000C,00100,0600,REHAB. SERVICES 435041,A81000C,00200,0100,B 435041,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435041,A81000C,00200,0600,ADMIN. SUPPORT & MGMT 435041,A81000C,00300,0100,F 435041,A81000C,00300,0200,RELATED FAMILY TRUSTS 435041,A81000C,00300,0400,HMS PURCHASING LLC 435041,A81000C,00300,0600,GROUP PURCHASING ORG. 435041,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435041,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435041,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435041,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435041,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435041,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435041,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435041,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435041,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435041,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435041,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435041,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435041,E10A180,00550,0100,01/31/12 435041,G300000,02500,0000,OTHER REVENUES 435041,S000000,00100,0200,12/16/11 435041,S200000,00100,0100,8225 SUMMA AVE 435041,S200000,00200,0100,BATON ROUGE 435041,S200000,00200,0200,LA 435041,S200000,00200,0300,70809-3422 435041,S200000,00300,0100,EAST BATON ROUGE 435041,S200000,00300,0200,0760 435041,S200000,00300,0201,12940 435041,S200000,00300,0300,U 435041,S200000,00400,0100,LAKEWOOD QUARTERS NSG & REHAB CTR 435041,S200000,00400,0200,195483 435041,S200000,00400,0300,03/01/99 435041,S200000,00400,0500,P 435041,S200000,01500,0100,Y 435041,S200000,01501,0200,Y 435041,S200000,01600,0100,N 435041,S200000,01700,0100,N 435041,S200000,01800,0100,N 435041,S200000,02200,0100,N 435041,S200000,02800,0100,N 435041,S200000,02900,0100,N 435041,S200000,03000,0100,N 435041,S200000,03100,0100,N 435041,S200000,03200,0100,N 435041,S200000,03300,0100,N 435041,S200000,03300,0200,N 435041,S200000,04100,0100,N 435041,S200000,04200,0100,N 435041,S200000,04300,0100,N 435041,S200000,04600,0100,N 435041,S200000,04700,0100,N 435041,S200000,04700,0200,N 435041,S200000,04900,0100,N 435041,S200000,05000,0100,N 435041,S200000,05100,0100,N 435041,S200000,05200,0100,N 435041,S200000,05300,0100,Y 435041,S200000,05300,0200,339003 435041,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435041,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435041,S200000,05400,0300,05401 435041,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435041,S200000,05600,0100,WHITE PLAINS 435041,S200000,05600,0200,NY 435041,S200000,05600,0300,10604 435044,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435044,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435044,A000000,00300,0000,0300EMPLOYEE BENEFITS 435044,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435044,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435044,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435044,A000000,00700,0000,0700HOUSEKEEPING 435044,A000000,00800,0000,0800DIETARY 435044,A000000,00900,0000,0900NURSING ADMINISTRATION 435044,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435044,A000000,01100,0000,1100PHARMACY 435044,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435044,A000000,01600,0000,1600SKILLED NURSING FACILITY 435044,A000000,01800,0000,1800NURSING FACILITY 435044,A000000,01810,0000,1810ICF/MR 435044,A000000,01900,0000,1900OTHER LONG TERM CARE 435044,A000000,02100,0000,2100RADIOLOGY 435044,A000000,02200,0000,2200LABORATORY 435044,A000000,02300,0000,2300INTRAVENOUS THERAPY 435044,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435044,A000000,02500,0000,2500PHYSICAL THERAPY 435044,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435044,A000000,02700,0000,2700SPEECH PATHOLOGY 435044,A000000,02800,0000,2800ELECTROCARDIOLOGY 435044,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435044,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435044,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435044,A000000,03200,0000,3200SUPPORT SURFACES 435044,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435044,A000000,03400,0000,3400CLINIC 435044,A000000,03500,0000,3500RURAL HEALTH CLINIC 435044,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435044,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435044,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435044,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435044,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435044,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435044,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435044,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435044,A000000,04400,0000,4400DME RENTED - HHA 435044,A000000,04500,0000,4500DME SOLD - HHA 435044,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435044,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435044,A000000,04710,0000,4710TELEMEDICINE 435044,A000000,04800,0000,4800AMBULANCE 435044,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435044,A000000,05000,0000,5000CORF 435044,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435044,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435044,A000000,05300,0000,5300INTEREST EXPENSE 435044,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435044,A000000,05500,0000,5500HOSPICE 435044,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435044,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435044,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435044,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435044,A000000,06100,0000,6100NONPAID WORKERS 435044,A000000,06200,0000,6200PATIENTS LAUNDRY 435044,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435044,A81000A,00100,0100,N 435044,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435044,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435044,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435044,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435044,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435044,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435044,B100000,00000,0800,0800MEALS SERVED :DIETARY 435044,B100000,00000,0900,0950COSTED REQUIS. :NURSING ADMINIS 435044,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435044,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435044,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435044,E10A180,00501,0100,03/15/12 435044,S000000,00100,0200,01/20/12 435044,S200000,00100,0100,2237 COMMONWEALTH AVENUE 435044,S200000,00200,0100,SAINT PAUL 435044,S200000,00200,0200,MN 435044,S200000,00200,0300,55108 435044,S200000,00300,0100,RAMSEY 435044,S200000,00300,0200,0062 435044,S200000,00300,0201,33460 435044,S200000,00300,0300,U 435044,S200000,00400,0100,ST. ANTHONY PARK HOME 435044,S200000,00400,0200,245063 435044,S200000,00400,0300,10/01/90 435044,S200000,00400,0500,P 435044,S200000,01500,0100,Y 435044,S200000,01501,0200,Y 435044,S200000,01600,0100,N 435044,S200000,01700,0100,N 435044,S200000,01800,0100,N 435044,S200000,02200,0100,N 435044,S200000,02800,0100,N 435044,S200000,02900,0100,N 435044,S200000,03000,0100,N 435044,S200000,03100,0100,N 435044,S200000,03200,0100,N 435044,S200000,03300,0100,N 435044,S200000,03300,0200,N 435044,S200000,04100,0100,N 435044,S200000,04200,0100,N 435044,S200000,04300,0100,N 435044,S200000,04600,0100,N 435044,S200000,04700,0100,N 435044,S200000,04700,0200,N 435044,S200000,04900,0100,N 435044,S200000,05000,0100,N 435044,S200000,05100,0100,N 435044,S200000,05200,0100,N 435044,S200000,05300,0100,N 435045,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435045,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435045,A000000,00300,0000,0300EMPLOYEE BENEFITS 435045,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435045,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435045,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435045,A000000,00700,0000,0700HOUSEKEEPING 435045,A000000,00800,0000,0800DIETARY 435045,A000000,00900,0000,0900NURSING ADMINISTRATION 435045,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435045,A000000,01100,0000,1100PHARMACY 435045,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435045,A000000,01300,0000,1300SOCIAL SERVICE 435045,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435045,A000000,01500,0000,1350OTHER GENERAL SERVICES 435045,A000000,01600,0000,1600SKILLED NURSING FACILITY 435045,A000000,01800,0000,1800NURSING FACILITY 435045,A000000,01810,0000,1810ICF/MR 435045,A000000,01900,0000,1900OTHER LONG TERM CARE 435045,A000000,02100,0000,2100RADIOLOGY 435045,A000000,02200,0000,2200LABORATORY 435045,A000000,02300,0000,2300INTRAVENOUS THERAPY 435045,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435045,A000000,02500,0000,2500PHYSICAL THERAPY 435045,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435045,A000000,02700,0000,2700SPEECH PATHOLOGY 435045,A000000,02800,0000,2800ELECTROCARDIOLOGY 435045,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435045,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435045,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435045,A000000,03200,0000,3200SUPPORT SURFACES 435045,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435045,A000000,03400,0000,3400CLINIC 435045,A000000,03500,0000,3500RURAL HEALTH CLINIC 435045,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435045,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435045,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435045,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435045,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435045,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435045,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435045,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435045,A000000,04400,0000,4400DME RENTED - HHA 435045,A000000,04500,0000,4500DME SOLD - HHA 435045,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435045,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435045,A000000,04710,0000,4710TELEMEDICINE 435045,A000000,04800,0000,4800AMBULANCE 435045,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435045,A000000,05000,0000,5000CORF 435045,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435045,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435045,A000000,05300,0000,5300INTEREST EXPENSE 435045,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435045,A000000,05500,0000,5500HOSPICE 435045,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435045,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435045,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435045,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435045,A000000,06100,0000,6100NONPAID WORKERS 435045,A000000,06200,0000,6200PATIENTS LAUNDRY 435045,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435045,A81000A,00100,0100,Y 435045,A81000B,00100,0300,HOME HEALTH OFFICE RENT 435045,A81000B,00200,0300,NURSING HOME OFFICE RENT 435045,A81000B,00300,0300,PHARMACY 435045,A81000B,00400,0300,PHARMACY 435045,A81000C,00100,0100,B 435045,A81000C,00100,0200,FOUNDATION FOR HC CONTINU 435045,A81000C,00100,0400,COUNTRY MANOR HEALTH 435045,A81000C,00100,0600,PHARMACY DRUG STORE 435045,A81000C,00200,0100,B 435045,A81000C,00200,0200,FOUNDATION FOR HC CONTINU 435045,A81000C,00200,0400,COUNTRY MANOR APARTMENTS 435045,A81000C,00200,0600,RENT 435045,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435045,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435045,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435045,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435045,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435045,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 435045,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435045,B100000,00000,0800,0800MEALS SERVED :DIETARY 435045,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 435045,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 435045,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 435045,E10A180,00550,0100,03/30/12 435045,E10A180,00551,0100,05/21/12 435045,G300000,02500,0000,NET DAY CARE 435045,G300000,02501,0000,NET APARTMENTS 435045,G300000,02502,0000,NET COUNTRY VILLAS 435045,G300000,02503,0000,PT OUTSOURCED INCOME 435045,G300000,02504,0000,VOICE CARE REVENUE 435045,G300000,02505,0000,MASSAGE INCOME 435045,G300000,02506,0000,BEAUTY SHOP REVENUE 435045,G300000,02507,0000,OT OUTSOURCED INCOME 435045,G300000,02508,0000,NET ASSISTED LIVING 435045,G300000,02509,0000,ST OUTSOURCED INCOME 435045,H513100,00000,0000,41060 435045,S000000,00100,0200,02/29/12 435045,S200000,00100,0100,520 1ST STREET NE 435045,S200000,00200,0100,SARTELL 435045,S200000,00200,0200,MN 435045,S200000,00200,0300,56377 435045,S200000,00300,0100,BENTON 435045,S200000,00300,0200,6980 435045,S200000,00300,0201,41060 435045,S200000,00300,0300,U 435045,S200000,00400,0100,COUNTRY MANOR HEALTH CARE CENTER 435045,S200000,00400,0200,245330 435045,S200000,00400,0300,06/01/89 435045,S200000,00400,0500,P 435045,S200000,00800,0200,247137 435045,S200000,00800,0300,05/03/83 435045,S200000,00800,0500,P 435045,S200000,01500,0100,Y 435045,S200000,01501,0200,N 435045,S200000,01502,0200,Y 435045,S200000,01504,0200,N 435045,S200000,01600,0100,N 435045,S200000,01700,0100,N 435045,S200000,01800,0100,N 435045,S200000,02200,0100,N 435045,S200000,02800,0100,N 435045,S200000,02900,0100,N 435045,S200000,03000,0100,N 435045,S200000,03100,0100,N 435045,S200000,03200,0100,N 435045,S200000,03300,0100,N 435045,S200000,03300,0200,N 435045,S200000,03700,0100,N 435045,S200000,03700,0200,N 435045,S200000,04100,0100,N 435045,S200000,04200,0100,N 435045,S200000,04300,0100,N 435045,S200000,04600,0100,N 435045,S200000,04700,0100,N 435045,S200000,04700,0200,N 435045,S200000,04900,0100,N 435045,S200000,05000,0100,N 435045,S200000,05100,0100,N 435045,S200000,05200,0100,N 435045,S410002,01700,0101,41060 435046,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435046,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435046,A000000,00300,0000,0300EMPLOYEE BENEFITS 435046,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435046,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435046,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435046,A000000,00700,0000,0700HOUSEKEEPING 435046,A000000,00800,0000,0800DIETARY 435046,A000000,00900,0000,0900NURSING ADMINISTRATION 435046,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435046,A000000,01100,0000,1100PHARMACY 435046,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435046,A000000,01300,0000,1300SOCIAL SERVICE 435046,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435046,A000000,01500,0000,1350OTHER GENERAL SERVICES 435046,A000000,01600,0000,1600SKILLED NURSING FACILITY 435046,A000000,01800,0000,1800NURSING FACILITY 435046,A000000,01810,0000,1810ICF/MR 435046,A000000,01900,0000,1900OTHER LONG TERM CARE 435046,A000000,02100,0000,2100RADIOLOGY 435046,A000000,02200,0000,2200LABORATORY 435046,A000000,02300,0000,2300INTRAVENOUS THERAPY 435046,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435046,A000000,02500,0000,2500PHYSICAL THERAPY 435046,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435046,A000000,02700,0000,2700SPEECH PATHOLOGY 435046,A000000,02800,0000,2800ELECTROCARDIOLOGY 435046,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435046,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435046,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435046,A000000,03200,0000,3200SUPPORT SURFACES 435046,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435046,A000000,03400,0000,3400CLINIC 435046,A000000,03500,0000,3500RURAL HEALTH CLINIC 435046,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435046,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435046,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435046,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435046,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435046,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435046,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435046,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435046,A000000,04400,0000,4400DME RENTED - HHA 435046,A000000,04500,0000,4500DME SOLD - HHA 435046,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435046,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435046,A000000,04710,0000,4710TELEMEDICINE 435046,A000000,04800,0000,4800AMBULANCE 435046,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435046,A000000,05000,0000,5000CORF 435046,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435046,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435046,A000000,05300,0000,5300INTEREST EXPENSE 435046,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435046,A000000,05500,0000,5500HOSPICE 435046,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435046,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435046,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435046,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435046,A000000,06100,0000,6100NONPAID WORKERS 435046,A000000,06200,0000,6200PATIENTS LAUNDRY 435046,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435046,A81000A,00100,0100,N 435046,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435046,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435046,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435046,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435046,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435046,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435046,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 435046,B100000,00000,0800,0800MEALS SERVED :DIETARY 435046,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435046,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435046,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435046,E10A180,00550,0100,03/15/12 435046,E10A180,00551,0100,05/08/12 435046,G300000,02500,0000,MISC INCOME 435046,G300000,02501,0000,ASSISTED LIVING & APARTMENT RENT 435046,G300000,02502,0000,BEAUTY SHOP INCOME 435046,G300000,02503,0000,MAINTENANCE FEE 435046,G300000,02504,0000,NUTRITION SERVICE FEE INCOME 435046,G300000,02505,0000,NH ADMIN FEE INCOME 435046,G300000,02506,0000,NH GIFTS AND MEMORIALS 435046,G300000,02507,0000,NH OTHER INCOME EMP FEE 435046,G300000,02508,0000,NH MANAGEMENT FEE INCOME 435046,G300000,02509,0000,NH GAIN ON DISPOSAL OF ASSET 435046,G300000,02510,0000,OTHER 435046,G300000,02511,0000,APT TRAVEL INCOME 435046,S000000,00100,0200,02/29/12 435046,S200000,00100,0100,320 CHURCH STREET 435046,S200000,00100,0300,676 435046,S200000,00200,0100,ALBANY 435046,S200000,00200,0200,MN 435046,S200000,00200,0300,56307 435046,S200000,00300,0100,STEARNS 435046,S200000,00300,0200,6980 435046,S200000,00300,0201,41060 435046,S200000,00300,0300,U 435046,S200000,00400,0100,MOTHER OF MERCY CAMPUS OF CARE 435046,S200000,00400,0200,245339 435046,S200000,00400,0300,07/01/86 435046,S200000,00400,0500,P 435046,S200000,00400,0600,O 435046,S200000,01500,0100,Y 435046,S200000,01501,0200,Y 435046,S200000,01600,0100,N 435046,S200000,01700,0100,N 435046,S200000,01800,0100,N 435046,S200000,02200,0100,N 435046,S200000,02800,0100,Y 435046,S200000,02900,0100,N 435046,S200000,03000,0100,N 435046,S200000,03100,0100,N 435046,S200000,03200,0100,N 435046,S200000,03300,0100,N 435046,S200000,03300,0200,N 435046,S200000,04100,0100,N 435046,S200000,04200,0100,N 435046,S200000,04300,0100,N 435046,S200000,04600,0100,N 435046,S200000,04700,0100,N 435046,S200000,04700,0200,N 435046,S200000,04900,0100,N 435046,S200000,05000,0100,N 435046,S200000,05100,0100,N 435046,S200000,05200,0100,N 435047,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435047,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435047,A000000,00300,0000,0300EMPLOYEE BENEFITS 435047,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435047,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435047,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435047,A000000,00700,0000,0700HOUSEKEEPING 435047,A000000,00800,0000,0800DIETARY 435047,A000000,00900,0000,0900NURSING ADMINISTRATION 435047,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435047,A000000,01300,0000,1300SOCIAL SERVICE 435047,A000000,01600,0000,1600SKILLED NURSING FACILITY 435047,A000000,02100,0000,2100RADIOLOGY 435047,A000000,02200,0000,2200LABORATORY 435047,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435047,A000000,02500,0000,2500PHYSICAL THERAPY 435047,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435047,A000000,02700,0000,2700SPEECH PATHOLOGY 435047,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435047,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435047,A000000,05300,0000,5300INTEREST EXPENSE 435047,A000000,06300,0000,6150ASSISTED LIVING 435047,A000000,06301,0000,6151OAK VIEW APTS 435047,A000000,06302,0000,6152BARBER AND BEAUTY SHOP 435047,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435047,A81000A,00100,0100,N 435047,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435047,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435047,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435047,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435047,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435047,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 435047,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435047,B100000,00000,0800,0800MEALS SERVED :DIETARY 435047,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 435047,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 435047,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 435047,E10A180,00501,0100,05/10/12 435047,E10A180,00550,0300,05/10/12 435047,G300000,02500,0000,MISCELLANEOUS INCOME 435047,S000000,00100,0200,02/28/12 435047,S200000,00100,0100,1314 8TH NORTH ST 435047,S200000,00200,0100,NEW ULM 435047,S200000,00200,0200,MN 435047,S200000,00200,0300,56073 435047,S200000,00300,0100,BROWN 435047,S200000,00300,0200,24 435047,S200000,00300,0201,99924 435047,S200000,00300,0300,R 435047,S200000,00400,0100,HIGHLAND MANOR INC 435047,S200000,00400,0200,245490 435047,S200000,00400,0300,08/01/87 435047,S200000,00400,0500,P 435047,S200000,01500,0100,Y 435047,S200000,01501,0200,N 435047,S200000,01502,0200,N 435047,S200000,01503,0200,Y 435047,S200000,01504,0200,N 435047,S200000,01600,0100,N 435047,S200000,01700,0100,N 435047,S200000,01800,0100,N 435047,S200000,02200,0100,N 435047,S200000,02800,0100,N 435047,S200000,02900,0100,N 435047,S200000,03000,0100,N 435047,S200000,03100,0100,N 435047,S200000,03200,0100,N 435047,S200000,03300,0100,N 435047,S200000,03300,0200,N 435047,S200000,04100,0100,N 435047,S200000,04200,0100,N 435047,S200000,04300,0100,N 435047,S200000,04600,0100,N 435047,S200000,04700,0100,N 435047,S200000,04700,0200,N 435047,S200000,04900,0100,N 435047,S200000,05000,0100,N 435047,S200000,05100,0100,N 435047,S200000,05200,0100,N 435047,S200000,05300,0100,N 435048,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435048,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435048,A000000,00300,0000,0300EMPLOYEE BENEFITS 435048,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435048,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435048,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435048,A000000,00700,0000,0700HOUSEKEEPING 435048,A000000,00800,0000,0800DIETARY 435048,A000000,00900,0000,0900NURSING ADMINISTRATION 435048,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435048,A000000,01100,0000,1100PHARMACY 435048,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435048,A000000,01300,0000,1300SOCIAL SERVICE 435048,A000000,01500,0000,1350OTHER GENERAL SERVICES 435048,A000000,01600,0000,1600SKILLED NURSING FACILITY 435048,A000000,01800,0000,1800NURSING FACILITY 435048,A000000,01810,0000,1810ICF/MR 435048,A000000,01900,0000,1900OTHER LONG TERM CARE 435048,A000000,02100,0000,2100RADIOLOGY 435048,A000000,02200,0000,2200LABORATORY 435048,A000000,02300,0000,2300INTRAVENOUS THERAPY 435048,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435048,A000000,02500,0000,2500PHYSICAL THERAPY 435048,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435048,A000000,02700,0000,2700SPEECH PATHOLOGY 435048,A000000,02800,0000,2800ELECTROCARDIOLOGY 435048,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435048,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435048,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435048,A000000,03200,0000,3200SUPPORT SURFACES 435048,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435048,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435048,A000000,04800,0000,4800AMBULANCE 435048,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435048,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435048,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435048,A000000,05300,0000,5300INTEREST EXPENSE 435048,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435048,A000000,05500,0000,5500HOSPICE 435048,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435048,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435048,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435048,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435048,A000000,06100,0000,6100NONPAID WORKERS 435048,A000000,06200,0000,6200PATIENTS LAUNDRY 435048,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435048,A81000A,00100,0100,Y 435048,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435048,A81000C,00100,0100,C 435048,A81000C,00100,0400,LTC SUPPORT SERVICES 435048,A81000C,00100,0600,HEATHCARE MNGMT SERVICES 435048,A81000C,00200,0100,B 435048,A81000C,00200,0400,UNLIMITED DEVELOPMENT 435048,A81000C,00200,0600,OPERATOR 435048,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435048,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435048,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435048,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435048,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435048,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435048,B100000,00000,0800,0800MEALS SERVED :DIETARY 435048,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435048,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435048,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435048,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435048,E10A180,00501,0100,03/30/12 435048,G300000,02500,0000,BARBER AND BEAUTY 435048,G300000,02501,0000,LATE PAYMENT FEE 435048,G300000,02502,0000,PROCESSING FEE 435048,G300000,02503,0000,MISCELLANEOUS INCOME 435048,S000000,00100,0200,02/27/12 435048,S200000,00100,0100,1910 EAST MCCORD RTE 161 EAST 435048,S200000,00200,0100,CENTRALIA 435048,S200000,00200,0200,IL 435048,S200000,00200,0300,62801 435048,S200000,00300,0100,MARION 435048,S200000,00300,0200,14 435048,S200000,00300,0201,99914 435048,S200000,00300,0300,R 435048,S200000,00400,0100,CENTRALIA MANOR 435048,S200000,00400,0200,145666 435048,S200000,00400,0300,06/29/05 435048,S200000,00400,0500,P 435048,S200000,01500,0100,Y 435048,S200000,01501,0200,Y 435048,S200000,01600,0100,N 435048,S200000,01700,0100,N 435048,S200000,01800,0100,N 435048,S200000,02200,0100,N 435048,S200000,02800,0100,N 435048,S200000,02900,0100,N 435048,S200000,03000,0100,N 435048,S200000,03100,0100,N 435048,S200000,03200,0100,N 435048,S200000,03300,0100,N 435048,S200000,03300,0200,N 435048,S200000,04100,0100,N 435048,S200000,04200,0100,N 435048,S200000,04300,0100,N 435048,S200000,04600,0100,N 435048,S200000,04700,0100,N 435048,S200000,04700,0200,N 435048,S200000,04900,0100,N 435048,S200000,05000,0100,N 435048,S200000,05100,0100,N 435048,S200000,05200,0100,N 435048,S200000,05300,0100,Y 435048,S200000,05300,0200,HB0173 435048,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 435048,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435048,S200000,05400,0300,00131 435048,S200000,05500,0100,285 FARNHAM STREET 435048,S200000,05600,0100,GALESBURG 435048,S200000,05600,0200,IL 435048,S200000,05600,0300,61401 435049,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435049,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435049,A000000,00300,0000,0300EMPLOYEE BENEFITS 435049,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435049,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435049,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435049,A000000,00700,0000,0700HOUSEKEEPING 435049,A000000,00800,0000,0800DIETARY 435049,A000000,00900,0000,0900NURSING ADMINISTRATION 435049,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435049,A000000,01100,0000,1100PHARMACY 435049,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435049,A000000,01300,0000,1300SOCIAL SERVICE 435049,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435049,A000000,01500,0000,1350OTHER GENERAL SERVICES 435049,A000000,01600,0000,1600SKILLED NURSING FACILITY 435049,A000000,01800,0000,1800NURSING FACILITY 435049,A000000,01810,0000,1810ICF/MR 435049,A000000,01900,0000,1900OTHER LONG TERM CARE 435049,A000000,02100,0000,2100RADIOLOGY 435049,A000000,02200,0000,2200LABORATORY 435049,A000000,02300,0000,2300INTRAVENOUS THERAPY 435049,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435049,A000000,02500,0000,2500PHYSICAL THERAPY 435049,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435049,A000000,02700,0000,2700SPEECH PATHOLOGY 435049,A000000,02800,0000,2800ELECTROCARDIOLOGY 435049,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435049,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435049,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435049,A000000,03200,0000,3200SUPPORT SURFACES 435049,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435049,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435049,A000000,04800,0000,4800AMBULANCE 435049,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435049,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435049,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435049,A000000,05300,0000,5300INTEREST EXPENSE 435049,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435049,A000000,05500,0000,5500HOSPICE 435049,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435049,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435049,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435049,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435049,A000000,06100,0000,6100NONPAID WORKERS 435049,A000000,06200,0000,6200PATIENTS LAUNDRY 435049,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435049,A81000A,00100,0100,Y 435049,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435049,A81000C,00100,0100,B 435049,A81000C,00100,0400,UNLIMITED DEVELOPMENT INC 435049,A81000C,00100,0600,OPERATOR 435049,A81000C,00200,0100,C 435049,A81000C,00200,0400,LTC 435049,A81000C,00200,0600,HEALTH CARE MGMT SERVICES 435049,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435049,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435049,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435049,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435049,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435049,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435049,B100000,00000,0800,0800MEALS SERVED :DIETARY 435049,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435049,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435049,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435049,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435049,E10A180,00501,0100,04/20/12 435049,G300000,02500,0000,BARBER AND BEAUTY 435049,G300000,02501,0000,LATE PAYMENT FEE 435049,G300000,02502,0000,MAINTENANCE FEE INCOME 435049,G300000,02503,0000,MISCELLANEOUS INCOME 435049,S000000,00100,0200,02/27/12 435049,S200000,00100,0100,509 SOUTH BUCK ROAD 435049,S200000,00100,0300,149 435049,S200000,00200,0100,LEROY 435049,S200000,00200,0200,IL 435049,S200000,00200,0300,61752 435049,S200000,00300,0100,MCLEAN 435049,S200000,00300,0200,1040 435049,S200000,00300,0201,14060 435049,S200000,00300,0300,U 435049,S200000,00400,0100,LEROY MANOR 435049,S200000,00400,0200,145674 435049,S200000,00400,0300,12/13/05 435049,S200000,00400,0500,P 435049,S200000,01500,0100,Y 435049,S200000,01501,0200,Y 435049,S200000,01600,0100,N 435049,S200000,01700,0100,N 435049,S200000,01800,0100,N 435049,S200000,02200,0100,N 435049,S200000,02800,0100,N 435049,S200000,02900,0100,N 435049,S200000,03000,0100,N 435049,S200000,03100,0100,N 435049,S200000,03200,0100,N 435049,S200000,03300,0100,N 435049,S200000,03300,0200,N 435049,S200000,04100,0100,N 435049,S200000,04200,0100,N 435049,S200000,04300,0100,N 435049,S200000,04600,0100,N 435049,S200000,04700,0100,N 435049,S200000,04700,0200,N 435049,S200000,04900,0100,N 435049,S200000,05000,0100,N 435049,S200000,05100,0100,N 435049,S200000,05200,0100,N 435049,S200000,05300,0100,Y 435049,S200000,05300,0200,HB0173 435049,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 435049,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435049,S200000,05400,0300,00131 435049,S200000,05500,0100,285 FARNHAM 435049,S200000,05600,0100,GALESBURG 435049,S200000,05600,0200,IL 435049,S200000,05600,0300,61401 435052,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435052,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435052,A000000,00300,0000,0300EMPLOYEE BENEFITS 435052,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435052,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435052,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435052,A000000,00700,0000,0700HOUSEKEEPING 435052,A000000,00800,0000,0800DIETARY 435052,A000000,00900,0000,0900NURSING ADMINISTRATION 435052,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435052,A000000,01100,0000,1100PHARMACY 435052,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435052,A000000,01300,0000,1300SOCIAL SERVICE 435052,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435052,A000000,01500,0000,1350OTHER GENERAL SERVICES 435052,A000000,01600,0000,1600SKILLED NURSING FACILITY 435052,A000000,01800,0000,1800NURSING FACILITY 435052,A000000,01810,0000,1810ICF/MR 435052,A000000,01900,0000,1900OTHER LONG TERM CARE 435052,A000000,02100,0000,2100RADIOLOGY 435052,A000000,02200,0000,2200LABORATORY 435052,A000000,02300,0000,2300INTRAVENOUS THERAPY 435052,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435052,A000000,02500,0000,2500PHYSICAL THERAPY 435052,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435052,A000000,02700,0000,2700SPEECH PATHOLOGY 435052,A000000,02800,0000,2800ELECTROCARDIOLOGY 435052,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435052,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435052,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435052,A000000,03200,0000,3200SUPPORT SURFACES 435052,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435052,A000000,03400,0000,3400CLINIC 435052,A000000,03500,0000,3500RURAL HEALTH CLINIC 435052,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435052,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435052,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435052,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435052,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435052,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435052,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435052,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435052,A000000,04400,0000,4400DME RENTED - HHA 435052,A000000,04500,0000,4500DME SOLD - HHA 435052,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435052,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435052,A000000,04710,0000,4710TELEMEDICINE 435052,A000000,04800,0000,4800AMBULANCE 435052,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435052,A000000,05000,0000,5000CORF 435052,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435052,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435052,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435052,A000000,05300,0000,5300INTEREST EXPENSE 435052,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435052,A000000,05500,0000,5500HOSPICE 435052,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435052,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435052,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435052,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435052,A000000,06100,0000,6100NONPAID WORKERS 435052,A000000,06200,0000,6200PATIENTS LAUNDRY 435052,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435052,A81000A,00100,0100,Y 435052,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435052,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435052,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435052,A81000B,00400,0300,HO ALLOCATION 435052,A81000B,00500,0300,HO ALLOCATION 435052,A81000B,00600,0300,HO ALLOCATION 435052,A81000B,00700,0300,HMS GPO FEES 435052,A81000B,00800,0300,HMS GPO FEES 435052,A81000B,00900,0300,HMS GPO FEES 435052,A81000B,01000,0300,HMS GPO FEES 435052,A81000B,01100,0300,HMS GPO FEES 435052,A81000B,01200,0300,HMS GPO FEES 435052,A81000B,01300,0300,HMS GPO FEES 435052,A81000B,01400,0300,HMS GPO FEES 435052,A81000B,01500,0300,HMS GPO FEES 435052,A81000B,01600,0300,HMS GPO FEES 435052,A81000C,00100,0100,B 435052,A81000C,00100,0400,HALCYON REHAB. LLC 435052,A81000C,00100,0600,REHAB. SERVICES 435052,A81000C,00200,0100,B 435052,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435052,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 435052,A81000C,00300,0100,F 435052,A81000C,00300,0200,RELATED FAMILY TRUSTS 435052,A81000C,00300,0400,HMS PURCHASING LLC 435052,A81000C,00300,0600,GROUP PURCHASING ORG. 435052,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435052,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435052,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435052,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435052,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435052,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435052,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435052,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435052,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435052,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435052,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435052,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435052,E10A180,00551,0100,01/31/12 435052,G300000,02500,0000,OTHER REVENUES 435052,S000000,00100,0200,12/16/11 435052,S200000,00100,0100,2828 WESFORK AVE. 435052,S200000,00200,0100,BATON ROUGE 435052,S200000,00200,0200,LA 435052,S200000,00200,0300,70816 435052,S200000,00300,0100,EAST BATON ROUGE PARISH 435052,S200000,00300,0200,0760 435052,S200000,00300,0201,12940 435052,S200000,00300,0300,U 435052,S200000,00400,0100,SHERWOOD MANOR NSG & REHAB CTR 435052,S200000,00400,0200,195488 435052,S200000,00400,0300,03/01/99 435052,S200000,00400,0500,P 435052,S200000,01500,0100,Y 435052,S200000,01501,0200,Y 435052,S200000,01502,0200,Y 435052,S200000,01600,0100,N 435052,S200000,01700,0100,N 435052,S200000,01800,0100,N 435052,S200000,02200,0100,N 435052,S200000,02800,0100,N 435052,S200000,02900,0100,N 435052,S200000,03000,0100,N 435052,S200000,03100,0100,N 435052,S200000,03200,0100,N 435052,S200000,03300,0100,N 435052,S200000,03300,0200,N 435052,S200000,04100,0100,N 435052,S200000,04200,0100,N 435052,S200000,04300,0100,N 435052,S200000,04600,0100,N 435052,S200000,04700,0100,N 435052,S200000,04700,0200,N 435052,S200000,04900,0100,N 435052,S200000,05000,0100,N 435052,S200000,05100,0100,N 435052,S200000,05200,0100,N 435052,S200000,05300,0100,Y 435052,S200000,05300,0200,339003 435052,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435052,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435052,S200000,05400,0300,05401 435052,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435052,S200000,05600,0100,WHITE PLAINS 435052,S200000,05600,0200,NY 435052,S200000,05600,0300,10604 435053,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435053,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435053,A000000,00300,0000,0300EMPLOYEE BENEFITS 435053,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435053,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435053,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435053,A000000,00700,0000,0700HOUSEKEEPING 435053,A000000,00800,0000,0800DIETARY 435053,A000000,00900,0000,0900NURSING ADMINISTRATION 435053,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435053,A000000,01100,0000,1100PHARMACY 435053,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435053,A000000,01300,0000,1300SOCIAL SERVICE 435053,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435053,A000000,01500,0000,1350OTHER GENERAL SERVICES 435053,A000000,01600,0000,1600SKILLED NURSING FACILITY 435053,A000000,01800,0000,1800NURSING FACILITY 435053,A000000,01810,0000,1810ICF/MR 435053,A000000,01900,0000,1900OTHER LONG TERM CARE 435053,A000000,02100,0000,2100RADIOLOGY 435053,A000000,02200,0000,2200LABORATORY 435053,A000000,02300,0000,2300INTRAVENOUS THERAPY 435053,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435053,A000000,02500,0000,2500PHYSICAL THERAPY 435053,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435053,A000000,02700,0000,2700SPEECH PATHOLOGY 435053,A000000,02800,0000,2800ELECTROCARDIOLOGY 435053,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435053,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435053,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435053,A000000,03200,0000,3200SUPPORT SURFACES 435053,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435053,A000000,03400,0000,3400CLINIC 435053,A000000,03500,0000,3500RURAL HEALTH CLINIC 435053,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435053,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435053,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435053,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435053,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435053,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435053,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435053,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435053,A000000,04400,0000,4400DME RENTED - HHA 435053,A000000,04500,0000,4500DME SOLD - HHA 435053,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435053,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435053,A000000,04710,0000,4710TELEMEDICINE 435053,A000000,04800,0000,4800AMBULANCE 435053,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435053,A000000,05000,0000,5000CORF 435053,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435053,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435053,A000000,05300,0000,5300INTEREST EXPENSE 435053,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435053,A000000,05500,0000,5500HOSPICE 435053,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435053,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435053,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435053,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435053,A000000,06100,0000,6100NONPAID WORKERS 435053,A000000,06200,0000,6200PATIENTS LAUNDRY 435053,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435053,A81000A,00100,0100,Y 435053,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435053,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435053,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435053,A81000B,00400,0300,HO ALLOCATION 435053,A81000B,00500,0300,HO ALLOCATION 435053,A81000B,00600,0300,HO ALLOCATION 435053,A81000B,00700,0300,HMS GPO FEES 435053,A81000B,00800,0300,HMS GPO FEES 435053,A81000B,00900,0300,HMS GPO FEES 435053,A81000B,01000,0300,HMS GPO FEES 435053,A81000B,01100,0300,HMS GPO FEES 435053,A81000B,01200,0300,HMS GPO FEES 435053,A81000B,01300,0300,HMS GPO FEES 435053,A81000B,01400,0300,HMS GPO FEES 435053,A81000B,01500,0300,HMS GPO FEES 435053,A81000B,01600,0300,HMS GPO FEES 435053,A81000C,00100,0100,B 435053,A81000C,00100,0400,HALCYON REHAB. LLC 435053,A81000C,00100,0600,REHAB. SERVICES 435053,A81000C,00200,0100,B 435053,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435053,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 435053,A81000C,00300,0100,F 435053,A81000C,00300,0200,RELATED FAMILY TRUSTS 435053,A81000C,00300,0400,HMS PURCHASING LLC 435053,A81000C,00300,0600,GROUP PURCHASING ORG. 435053,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435053,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435053,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435053,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435053,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435053,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435053,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435053,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435053,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435053,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435053,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435053,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435053,E10A180,00550,0100,02/21/12 435053,G300000,02500,0000,OTHER REVENUES 435053,S000000,00100,0200,12/16/11 435053,S200000,00100,0100,14686 OLD HAMMOND HWY 435053,S200000,00200,0100,BATON ROUGE 435053,S200000,00200,0200,LA 435053,S200000,00200,0300,70816-1146 435053,S200000,00300,0100,EAST BATON ROUGE 435053,S200000,00300,0200,0760 435053,S200000,00300,0201,12940 435053,S200000,00300,0300,U 435053,S200000,00400,0100,THE RETIREMENT CENTER 435053,S200000,00400,0200,195512 435053,S200000,00400,0300,12/15/00 435053,S200000,00400,0500,P 435053,S200000,01500,0100,Y 435053,S200000,01501,0200,Y 435053,S200000,01600,0100,N 435053,S200000,01700,0100,N 435053,S200000,01800,0100,N 435053,S200000,02200,0100,N 435053,S200000,02800,0100,N 435053,S200000,02900,0100,N 435053,S200000,03000,0100,N 435053,S200000,03100,0100,N 435053,S200000,03200,0100,N 435053,S200000,03300,0100,N 435053,S200000,03300,0200,N 435053,S200000,04100,0100,N 435053,S200000,04200,0100,N 435053,S200000,04300,0100,N 435053,S200000,04600,0100,N 435053,S200000,04700,0100,N 435053,S200000,04700,0200,N 435053,S200000,04900,0100,N 435053,S200000,05000,0100,N 435053,S200000,05100,0100,N 435053,S200000,05200,0100,N 435053,S200000,05300,0100,Y 435053,S200000,05300,0200,339003 435053,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435053,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435053,S200000,05400,0300,05401 435053,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435053,S200000,05600,0100,WHITE PLAINS 435053,S200000,05600,0200,NY 435053,S200000,05600,0300,10604 435054,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435054,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435054,A000000,00300,0000,0300EMPLOYEE BENEFITS 435054,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435054,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435054,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435054,A000000,00700,0000,0700HOUSEKEEPING 435054,A000000,00800,0000,0800DIETARY 435054,A000000,00900,0000,0900NURSING ADMINISTRATION 435054,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435054,A000000,01100,0000,1100PHARMACY 435054,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435054,A000000,01300,0000,1300SOCIAL SERVICE 435054,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435054,A000000,01500,0000,1350PATIENT ACTIVITIES 435054,A000000,01600,0000,1600SKILLED NURSING FACILITY 435054,A000000,01810,0000,1810ICF/MR 435054,A000000,02100,0000,2100RADIOLOGY 435054,A000000,02200,0000,2200LABORATORY 435054,A000000,02500,0000,2500PHYSICAL THERAPY 435054,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435054,A000000,02700,0000,2700SPEECH PATHOLOGY 435054,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435054,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435054,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435054,A000000,03550,0000,3550FQHC 435054,A000000,05000,0000,5000CORF 435054,A000000,05010,0000,5010CMHC 435054,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435054,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435054,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435054,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435054,A000000,05300,0000,5300INTEREST EXPENSE 435054,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435054,A81000A,00100,0100,Y 435054,A81000B,00100,0300,FACILITY LEASE 435054,A81000B,00200,0300,FACILITY LEASE 435054,A81000B,00300,0300,PROPERTY TAXES 435054,A81000B,00400,0300,PROPERTY INSURANCE 435054,A81000B,00500,0300,ADMINISTRATIVE AND GENERAL 435054,A81000B,00600,0300,PLANT OPERATIONS 435054,A81000B,00700,0300,HOUSEKEEPING 435054,A81000C,00100,0100,A 435054,A81000C,00100,0200,WILLIAM GARNER 435054,A81000C,00100,0400,ST. LUKE #2 L.L 435054,A81000C,00100,0600,MANAGEMENT 435054,A81000C,00200,0100,D 435054,A81000C,00200,0200,LAWRENCE E. STA 435054,A81000C,00200,0400,ST. LUKE #2 L.L 435054,A81000C,00200,0600,MANAGEMENT 435054,A81000C,00300,0100,D 435054,A81000C,00300,0200,ANN CONNICK STA 435054,A81000C,00300,0400,ST. LUKE #2 L.L 435054,A81000C,00300,0600,MANAGEMENT 435054,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435054,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435054,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435054,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435054,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435054,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435054,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435054,B100000,00000,0800,0800MEALS SERVED :DIETARY 435054,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435054,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435054,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435054,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435054,E10A180,00550,0100,02/22/12 435054,G300000,02501,0000,GRANTS AND OTHER AWARDS 435054,G300000,02506,0000,SERVICE INCOME 435054,G300000,02507,0000,MANAGEMENT FEE REVENUE 435054,S000000,00100,0200,01/12/12 435054,S200000,00100,0100,4201 WOODLAND DRIVE 435054,S200000,00200,0100,NEW ORLEANS 435054,S200000,00200,0200,LA 435054,S200000,00200,0300,70131 435054,S200000,00300,0100,ORLEANS 435054,S200000,00300,0201,35380 435054,S200000,00300,0300,U 435054,S200000,00400,0100,ST. LUKE S LIVING CENTER 435054,S200000,00400,0200,195631 435054,S200000,00400,0300,12/10/09 435054,S200000,00400,0500,P 435054,S200000,01500,0100,Y 435054,S200000,01501,0200,N 435054,S200000,01503,0200,N 435054,S200000,01600,0100,N 435054,S200000,01700,0100,N 435054,S200000,01800,0100,N 435054,S200000,02200,0100,Y 435054,S200000,02800,0100,N 435054,S200000,02900,0100,N 435054,S200000,03000,0100,N 435054,S200000,03100,0100,N 435054,S200000,03200,0100,N 435054,S200000,03300,0100,N 435054,S200000,03300,0200,N 435054,S200000,04100,0100,N 435054,S200000,04200,0100,N 435054,S200000,04300,0100,N 435054,S200000,04600,0100,N 435054,S200000,04700,0100,N 435054,S200000,04700,0200,N 435054,S200000,04900,0100,N 435054,S200000,05000,0100,N 435054,S200000,05100,0100,N 435054,S200000,05200,0100,N 435054,S200000,05300,0100,N 435086,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435086,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435086,A000000,00300,0000,0300EMPLOYEE BENEFITS 435086,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435086,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435086,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435086,A000000,00700,0000,0700HOUSEKEEPING 435086,A000000,00800,0000,0800DIETARY 435086,A000000,00900,0000,0900NURSING ADMINISTRATION 435086,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435086,A000000,01100,0000,1100PHARMACY 435086,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435086,A000000,01300,0000,1300SOCIAL SERVICE 435086,A000000,01500,0000,1350OTHER GENERAL SERVICES 435086,A000000,01600,0000,1600SKILLED NURSING FACILITY 435086,A000000,01800,0000,1800NURSING FACILITY 435086,A000000,01810,0000,1810ICF/MR 435086,A000000,01900,0000,1900OTHER LONG TERM CARE 435086,A000000,02100,0000,2100RADIOLOGY 435086,A000000,02200,0000,2200LABORATORY 435086,A000000,02300,0000,2300INTRAVENOUS THERAPY 435086,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435086,A000000,02500,0000,2500PHYSICAL THERAPY 435086,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435086,A000000,02700,0000,2700SPEECH PATHOLOGY 435086,A000000,02800,0000,2800ELECTROCARDIOLOGY 435086,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435086,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435086,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435086,A000000,03200,0000,3200SUPPORT SURFACES 435086,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435086,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435086,A000000,04800,0000,4800AMBULANCE 435086,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435086,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435086,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435086,A000000,05300,0000,5300INTEREST EXPENSE 435086,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435086,A000000,05500,0000,5500HOSPICE 435086,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435086,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435086,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435086,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435086,A000000,06100,0000,6100NONPAID WORKERS 435086,A000000,06200,0000,6200PATIENTS LAUNDRY 435086,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435086,A81000A,00100,0100,Y 435086,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435086,A81000C,00100,0100,B 435086,A81000C,00100,0400,UNLIMITED DEVELOPMENT INC 435086,A81000C,00100,0600,MANAGEMENT SERVICES 435086,A81000C,00200,0100,C 435086,A81000C,00200,0400,LTC 435086,A81000C,00200,0600,HEALTHCARE MGMT SERVICES 435086,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435086,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435086,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435086,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435086,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435086,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435086,B100000,00000,0800,0800MEALS SERVED :DIETARY 435086,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435086,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435086,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435086,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435086,E10A180,00501,0100,04/06/12 435086,G300000,02500,0000,BARBER AND BEAUTY 435086,G300000,02501,0000,LATE PAYMENT FEE 435086,G300000,02502,0000,MISCELLANEOUS INCOME 435086,G300000,02503,0000,ROUNDING 435086,S000000,00100,0200,02/27/12 435086,S200000,00100,0100,ROUTE 128 NORTH 435086,S200000,00200,0100,SHELBYVILLE 435086,S200000,00200,0200,IL 435086,S200000,00200,0300,62565 435086,S200000,00300,0100,SHELBY 435086,S200000,00300,0200,14 435086,S200000,00300,0201,99914 435086,S200000,00300,0300,R 435086,S200000,00400,0100,SHELBYVILLE MANOR 435086,S200000,00400,0200,145441 435086,S200000,00400,0300,01/01/82 435086,S200000,00400,0500,P 435086,S200000,01500,0100,Y 435086,S200000,01501,0200,Y 435086,S200000,01600,0100,N 435086,S200000,01700,0100,N 435086,S200000,01800,0100,N 435086,S200000,02200,0100,N 435086,S200000,02800,0100,N 435086,S200000,02900,0100,N 435086,S200000,03000,0100,N 435086,S200000,03100,0100,N 435086,S200000,03200,0100,N 435086,S200000,03300,0100,N 435086,S200000,03300,0200,N 435086,S200000,04100,0100,N 435086,S200000,04200,0100,N 435086,S200000,04300,0100,N 435086,S200000,04600,0100,N 435086,S200000,04700,0100,N 435086,S200000,04700,0200,N 435086,S200000,04900,0100,N 435086,S200000,05000,0100,N 435086,S200000,05100,0100,N 435086,S200000,05200,0100,N 435086,S200000,05300,0100,Y 435086,S200000,05300,0200,HB0173 435086,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 435086,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435086,S200000,05400,0300,00131 435086,S200000,05500,0100,285 FARNHAM STREET 435086,S200000,05600,0100,GALESBURG 435086,S200000,05600,0200,IL 435086,S200000,05600,0300,61401 435087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435087,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435087,A000000,00300,0000,0300EMPLOYEE BENEFITS 435087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435087,A000000,00700,0000,0700HOUSEKEEPING 435087,A000000,00800,0000,0800DIETARY 435087,A000000,00900,0000,0900NURSING ADMINISTRATION 435087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435087,A000000,01300,0000,1300SOCIAL SERVICE 435087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435087,A000000,01500,0000,1350OTHER GENERAL SERVICES 435087,A000000,01600,0000,1600SKILLED NURSING FACILITY 435087,A000000,01800,0000,1800NURSING FACILITY 435087,A000000,01810,0000,1810ICF/MR 435087,A000000,01900,0000,1900OTHER LONG TERM CARE 435087,A000000,02100,0000,2100RADIOLOGY 435087,A000000,02200,0000,2200LABORATORY 435087,A000000,02300,0000,2300INTRAVENOUS THERAPY 435087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435087,A000000,02500,0000,2500PHYSICAL THERAPY 435087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435087,A000000,02700,0000,2700SPEECH PATHOLOGY 435087,A000000,02800,0000,2800ELECTROCARDIOLOGY 435087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435087,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435087,A000000,03200,0000,3200SUPPORT SURFACES 435087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435087,A000000,03400,0000,3400CLINIC 435087,A000000,03500,0000,3500RURAL HEALTH CLINIC 435087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435087,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435087,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435087,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435087,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435087,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435087,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435087,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435087,A000000,04400,0000,4400DME RENTED - HHA 435087,A000000,04500,0000,4500DME SOLD - HHA 435087,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435087,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435087,A000000,04710,0000,4710TELEMEDICINE 435087,A000000,04800,0000,4800AMBULANCE 435087,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435087,A000000,05000,0000,5000CORF 435087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435087,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435087,A000000,05300,0000,5300INTEREST EXPENSE 435087,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435087,A000000,05500,0000,5500HOSPICE 435087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435087,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435087,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435087,A000000,06100,0000,6100NONPAID WORKERS 435087,A000000,06200,0000,6200PATIENTS LAUNDRY 435087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435087,A81000A,00100,0100,Y 435087,A81000B,00100,0300,FACILITY LEASE 435087,A81000B,00200,0300,MANAGEMENT FEES 435087,A81000B,00300,0300,MANAGEMENT FEES 435087,A81000B,00400,0300,MANAGEMENT FEES 435087,A81000B,00500,0300,EMPLOYEE BENEFITS 435087,A81000B,00600,0300,LIABILITY INSURANCE 435087,A81000C,00100,0100,A 435087,A81000C,00100,0200,JAMES J GIARDINA 435087,A81000C,00100,0400,JAMES J GIARDINA 435087,A81000C,00100,0600,INDIVIDUAL 435087,A81000C,00200,0100,A 435087,A81000C,00200,0200,JAMES J GIARDINA 435087,A81000C,00200,0400,COMMUNITY CARE CTRS INC. 435087,A81000C,00200,0600,NURSING HOME MGT 435087,A81000C,00300,0100,A 435087,A81000C,00300,0200,JAMES J GIARDINA 435087,A81000C,00300,0400,RISA 435087,A81000C,00300,0600,WORKERS COMP INS 435087,A81000C,00400,0100,A 435087,A81000C,00400,0200,JAMES J GIARDINA 435087,A81000C,00400,0400,RISA 435087,A81000C,00400,0600,LIABILITY INS 435087,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435087,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435087,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435087,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435087,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435087,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435087,B100000,00000,0800,0800MEALS SERVED :DIETARY 435087,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435087,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435087,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435087,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435087,E10A180,00550,0100,02/17/12 435087,G300000,02500,0000,OTHER INCOME 435087,S000000,00100,0200,02/17/12 435087,S200000,00100,0100,210 SOUTH 10TH STREET 435087,S200000,00200,0100,MASCOUTAH 435087,S200000,00200,0200,IL 435087,S200000,00200,0300,62258 435087,S200000,00300,0100,ST CLAIR 435087,S200000,00300,0200,7040 435087,S200000,00300,0201,41180 435087,S200000,00300,0300,U 435087,S200000,00400,0100,MAR-KA NURSING HOME 435087,S200000,00400,0200,145518 435087,S200000,00400,0300,12/23/86 435087,S200000,00400,0500,P 435087,S200000,01500,0100,Y 435087,S200000,01501,0200,Y 435087,S200000,01502,0200,N 435087,S200000,01503,0200,N 435087,S200000,01504,0200,Y 435087,S200000,01600,0100,N 435087,S200000,01700,0100,N 435087,S200000,01800,0100,N 435087,S200000,02200,0100,N 435087,S200000,02800,0100,N 435087,S200000,02900,0100,N 435087,S200000,03000,0100,N 435087,S200000,03100,0100,N 435087,S200000,03200,0100,N 435087,S200000,03300,0100,N 435087,S200000,03300,0200,N 435087,S200000,04100,0100,N 435087,S200000,04200,0100,N 435087,S200000,04300,0100,N 435087,S200000,04600,0100,N 435087,S200000,04700,0100,N 435087,S200000,04700,0200,N 435087,S200000,04900,0100,N 435087,S200000,05000,0100,N 435087,S200000,05100,0100,N 435087,S200000,05200,0100,N 435087,S200000,05300,0100,Y 435087,S200000,05300,0200,H69957 435087,S200000,05400,0100,COMMUNITY CARE CENTERS INC. 435087,S200000,05400,0200,WISCONSIN PHYSICIANS SERVICE 435087,S200000,05400,0300,05301 435087,S200000,05500,0100,312 SOLLEY DRIVE - REAR 435087,S200000,05600,0100,BALLWIN 435087,S200000,05600,0200,MO 435087,S200000,05600,0300,63021-2100 435088,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435088,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435088,A000000,00300,0000,0300EMPLOYEE BENEFITS 435088,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435088,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435088,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435088,A000000,00700,0000,0700HOUSEKEEPING 435088,A000000,00800,0000,0800DIETARY 435088,A000000,00900,0000,0900NURSING ADMINISTRATION 435088,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435088,A000000,01100,0000,1100PHARMACY 435088,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435088,A000000,01300,0000,1300SOCIAL SERVICE 435088,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435088,A000000,01500,0000,1350OTHER GENERAL SERVICES 435088,A000000,01600,0000,1600SKILLED NURSING FACILITY 435088,A000000,01800,0000,1800NURSING FACILITY 435088,A000000,01810,0000,1810ICF/MR 435088,A000000,01900,0000,1900OTHER LONG TERM CARE 435088,A000000,02100,0000,2100RADIOLOGY 435088,A000000,02200,0000,2200LABORATORY 435088,A000000,02300,0000,2300INTRAVENOUS THERAPY 435088,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435088,A000000,02500,0000,2500PHYSICAL THERAPY 435088,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435088,A000000,02700,0000,2700SPEECH PATHOLOGY 435088,A000000,02800,0000,2800ELECTROCARDIOLOGY 435088,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435088,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435088,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435088,A000000,03200,0000,3200SUPPORT SURFACES 435088,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435088,A000000,03400,0000,3400CLINIC 435088,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435088,A000000,04800,0000,4800AMBULANCE 435088,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435088,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435088,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435088,A000000,05300,0000,5300INTEREST EXPENSE 435088,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435088,A000000,05500,0000,5500HOSPICE 435088,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435088,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435088,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435088,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435088,A000000,06100,0000,6100NONPAID WORKERS 435088,A000000,06200,0000,6200PATIENTS LAUNDRY 435088,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435088,A81000A,00100,0100,Y 435088,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435088,A81000C,00100,0100,C 435088,A81000C,00100,0400,LTC 435088,A81000C,00100,0600,HEALTHCARE MGMT SERVICES 435088,A81000C,00200,0100,B 435088,A81000C,00200,0400,UNLIMITED DEVELOPMENT 435088,A81000C,00200,0600,OPERATOR 435088,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435088,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435088,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435088,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435088,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435088,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435088,B100000,00000,0800,0800MEALS SERVED :DIETARY 435088,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435088,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435088,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435088,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435088,E10A180,00501,0100,04/06/12 435088,E10A180,00501,0300,04/06/12 435088,G300000,02500,0000,BARBER/BEAUTY SHOP 435088,G300000,02501,0000,LATE PAYMENT FEE 435088,G300000,02502,0000,MISCELLANEOUS INCOME 435088,G300000,02503,0000,ROUNDING 435088,S000000,00100,0200,02/27/12 435088,S200000,00100,0100,6955 STATE ROUTE 162 435088,S200000,00200,0100,MARYVILLE 435088,S200000,00200,0200,IL 435088,S200000,00200,0300,62062 435088,S200000,00300,0100,MADISON 435088,S200000,00300,0200,7040 435088,S200000,00300,0201,41180 435088,S200000,00300,0300,U 435088,S200000,00400,0100,MANOR COURT OF MARYVILLE 435088,S200000,00400,0200,145728 435088,S200000,00400,0300,03/19/92 435088,S200000,00400,0500,P 435088,S200000,01500,0100,Y 435088,S200000,01501,0200,Y 435088,S200000,01600,0100,N 435088,S200000,01700,0100,N 435088,S200000,01800,0100,N 435088,S200000,02200,0100,N 435088,S200000,02800,0100,N 435088,S200000,02900,0100,N 435088,S200000,03000,0100,N 435088,S200000,03100,0100,N 435088,S200000,03200,0100,N 435088,S200000,03300,0100,N 435088,S200000,03300,0200,N 435088,S200000,04100,0100,N 435088,S200000,04200,0100,N 435088,S200000,04300,0100,N 435088,S200000,04600,0100,N 435088,S200000,04700,0100,N 435088,S200000,04700,0200,N 435088,S200000,04900,0100,N 435088,S200000,05000,0100,N 435088,S200000,05100,0100,N 435088,S200000,05200,0100,N 435088,S200000,05300,0100,Y 435088,S200000,05300,0200,HB-017 435088,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 435088,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435088,S200000,05400,0300,00131 435088,S200000,05500,0100,285 FARNHAM STREET 435088,S200000,05600,0100,GALESBURG 435088,S200000,05600,0200,IL 435088,S200000,05600,0300,61401 435094,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435094,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435094,A000000,00300,0000,0300EMPLOYEE BENEFITS 435094,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435094,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435094,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435094,A000000,00700,0000,0700HOUSEKEEPING 435094,A000000,00800,0000,0800DIETARY 435094,A000000,00900,0000,0900NURSING ADMINISTRATION 435094,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435094,A000000,01100,0000,1100PHARMACY 435094,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435094,A000000,01300,0000,1300SOCIAL SERVICE 435094,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435094,A000000,01500,0000,1350OTHER GENERAL SERVICES 435094,A000000,01600,0000,1600SKILLED NURSING FACILITY 435094,A000000,01800,0000,1800NURSING FACILITY 435094,A000000,01810,0000,1810ICF/MR 435094,A000000,01900,0000,1900OTHER LONG TERM CARE 435094,A000000,02100,0000,2100RADIOLOGY 435094,A000000,02200,0000,2200LABORATORY 435094,A000000,02300,0000,2300INTRAVENOUS THERAPY 435094,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435094,A000000,02500,0000,2500PHYSICAL THERAPY 435094,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435094,A000000,02700,0000,2700SPEECH PATHOLOGY 435094,A000000,02800,0000,2800ELECTROCARDIOLOGY 435094,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435094,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435094,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435094,A000000,03200,0000,3200SUPPORT SURFACES 435094,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435094,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435094,A000000,04800,0000,4800AMBULANCE 435094,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435094,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435094,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435094,A000000,05300,0000,5300INTEREST EXPENSE 435094,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435094,A000000,05500,0000,5500HOSPICE 435094,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435094,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435094,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435094,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435094,A000000,06100,0000,6100NONPAID WORKERS 435094,A000000,06200,0000,6200PATIENTS LAUNDRY 435094,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435094,A81000A,00100,0100,Y 435094,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435094,A81000C,00100,0100,C 435094,A81000C,00100,0400,LTC SUPPORT SERVICES 435094,A81000C,00100,0600,HEALTHCARE MGMT SERVICES 435094,A81000C,00200,0100,B 435094,A81000C,00200,0400,UNLIMITED DEVELOPMENT 435094,A81000C,00200,0600,OPERATOR 435094,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435094,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435094,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435094,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435094,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435094,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435094,B100000,00000,0800,0800MEALS SERVED :DIETARY 435094,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435094,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435094,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435094,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435094,E10A180,00501,0100,04/06/12 435094,G300000,02500,0000,BARBER AND BEAUTY 435094,G300000,02501,0000,LATE PAYMENT FEE 435094,G300000,02502,0000,ROUNDING 435094,S000000,00100,0200,02/27/12 435094,S200000,00100,0100,2345 NORTH SEMINARY STREET 435094,S200000,00200,0100,GALESBURG 435094,S200000,00200,0200,IL 435094,S200000,00200,0300,61401 435094,S200000,00300,0100,KNOX 435094,S200000,00300,0200,14 435094,S200000,00300,0201,99914 435094,S200000,00300,0300,R 435094,S200000,00400,0100,SEMINARY MANOR 435094,S200000,00400,0200,145598 435094,S200000,00400,0300,07/28/05 435094,S200000,00400,0500,P 435094,S200000,01500,0100,Y 435094,S200000,01501,0200,Y 435094,S200000,01600,0100,N 435094,S200000,01700,0100,N 435094,S200000,01800,0100,N 435094,S200000,02200,0100,N 435094,S200000,02800,0100,N 435094,S200000,02900,0100,N 435094,S200000,03000,0100,N 435094,S200000,03100,0100,N 435094,S200000,03200,0100,N 435094,S200000,03300,0100,N 435094,S200000,03300,0200,N 435094,S200000,04100,0100,N 435094,S200000,04200,0100,N 435094,S200000,04300,0100,N 435094,S200000,04600,0100,N 435094,S200000,04700,0100,N 435094,S200000,04700,0200,N 435094,S200000,04900,0100,N 435094,S200000,05000,0100,N 435094,S200000,05100,0100,N 435094,S200000,05200,0100,N 435094,S200000,05300,0100,Y 435094,S200000,05300,0200,HB0173 435094,S200000,05400,0100,UNLIMITED DEVELOPMENT 435094,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435094,S200000,05400,0300,00131 435094,S200000,05500,0100,285 FARNHAM STREET 435094,S200000,05600,0100,GALESBURG 435094,S200000,05600,0200,IL 435094,S200000,05600,0300,61401 435095,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435095,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435095,A000000,00300,0000,0300EMPLOYEE BENEFITS 435095,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435095,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435095,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435095,A000000,00700,0000,0700HOUSEKEEPING 435095,A000000,00800,0000,0800DIETARY 435095,A000000,00900,0000,0900NURSING ADMINISTRATION 435095,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435095,A000000,01100,0000,1100PHARMACY 435095,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435095,A000000,01300,0000,1300SOCIAL SERVICE 435095,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435095,A000000,01600,0000,1600SKILLED NURSING FACILITY 435095,A000000,01800,0000,1800NURSING FACILITY 435095,A000000,01810,0000,1810ICF/MR 435095,A000000,01900,0000,1900OTHER LONG TERM CARE 435095,A000000,02100,0000,2100RADIOLOGY 435095,A000000,02200,0000,2200LABORATORY 435095,A000000,02500,0000,2500PHYSICAL THERAPY 435095,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435095,A000000,02700,0000,2700SPEECH PATHOLOGY 435095,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435095,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435095,A000000,03550,0000,3550FQHC 435095,A000000,05000,0000,5000CORF 435095,A000000,05010,0000,5010CMHC 435095,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435095,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435095,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435095,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435095,A000000,06300,0000,6150WOODLANDS ASSISTED LIVING 435095,A000000,06301,0000,6151WYE VALLEY INDEPENDENT LIVING 435095,A000000,06302,0000,6152HOME & COMMUNITY SERVICES 435095,A81000A,00100,0100,N 435095,A81000C,00100,0100,B 435095,A81000C,00100,0400,THE BRITISH HOM 435095,A81000C,00100,0600,SOLE CORPORATE 435095,A81000C,00200,0400,LIFE SERVICES C 435095,A81000C,00300,0100,E 435095,A81000C,00300,0400,THE FOUNDATION 435095,A81000C,00300,0600,FOUNDATION 435095,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435095,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435095,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435095,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435095,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435095,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435095,B100000,00000,0800,0800MEALS SERVED :DIETARY 435095,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435095,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435095,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435095,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435095,E10A180,00501,0100,04/06/12 435095,G300000,02500,0000,COMM FEES/MISC/NEWSPAPER/PACKAGE/RE 435095,G300000,02501,0000,INS DIV/MEDICATION/OTHER REBILLED 435095,G300000,02502,0000,ACTIVITIEDS/FITNESS SRVC/HAIRDRESSE 435095,G300000,02503,0000,LIFELONG LEARNING CLASSES 435095,G300000,02504,0000,LIVE IN FEE/ROOM STAY/SERVICE CHG 435095,G300000,02505,0000,ASSISTED LIVING REVENUES 435095,G300000,02506,0000,ADVENTISTS HEALTH 435095,G300000,02507,0000,APPLICATION FEES/ASSESSMENTS/EQUITI 435095,G300000,02508,0000,MONTHLY RENT 435095,G300000,02509,0000,COMPANION/PART B RENT/ELDER CARE/FI 435095,G300000,02510,0000,AMORTIZATION WNY ENTRANCE FEES 435095,S000000,00100,0200,02/29/12 435095,S200000,00100,0100,8700 WEST 31ST STREET 435095,S200000,00200,0100,BROOKFIELD 435095,S200000,00200,0200,IL 435095,S200000,00200,0300,60513 435095,S200000,00300,0100,COOK 435095,S200000,00300,0201,16974 435095,S200000,00300,0300,U 435095,S200000,00400,0100,THE BRITISH HOME 435095,S200000,00400,0200,145827 435095,S200000,00400,0300,04/01/95 435095,S200000,00400,0500,P 435095,S200000,01500,0100,N 435095,S200000,01501,0200,Y 435095,S200000,01502,0200,Y 435095,S200000,01504,0200,Y 435095,S200000,01600,0100,Y 435095,S200000,01700,0100,N 435095,S200000,01800,0100,N 435095,S200000,01900,0100,CHARITABLE ORGANIZAT 435095,S200000,02200,0100,N 435095,S200000,02800,0100,N 435095,S200000,02900,0100,N 435095,S200000,03000,0100,N 435095,S200000,03100,0100,N 435095,S200000,03200,0100,N 435095,S200000,03300,0100,N 435095,S200000,03300,0200,N 435095,S200000,04100,0100,N 435095,S200000,04200,0100,N 435095,S200000,04300,0100,N 435095,S200000,04600,0100,N 435095,S200000,04700,0100,N 435095,S200000,04700,0200,N 435095,S200000,04900,0100,N 435095,S200000,05000,0100,N 435095,S200000,05100,0100,N 435095,S200000,05200,0100,N 435112,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435112,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 435112,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435112,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 435112,A000000,00300,0000,0300EMPLOYEE BENEFITS 435112,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435112,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435112,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435112,A000000,00700,0000,0700HOUSEKEEPING 435112,A000000,00800,0000,0800DIETARY 435112,A000000,00801,0000,0801CAFETERIA 435112,A000000,00900,0000,0900NURSING ADMINISTRATION 435112,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435112,A000000,01100,0000,1100PHARMACY 435112,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435112,A000000,01300,0000,1300SOCIAL SERVICE 435112,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435112,A000000,01500,0000,1350ACTIVITIES 435112,A000000,01600,0000,1600SKILLED NURSING FACILITY 435112,A000000,01800,0000,1800NURSING FACILITY 435112,A000000,01900,0000,1900OTHER LONG TERM CARE 435112,A000000,02100,0000,2100RADIOLOGY 435112,A000000,02200,0000,2200LABORATORY 435112,A000000,02300,0000,2300INTRAVENOUS THERAPY 435112,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435112,A000000,02500,0000,2500PHYSICAL THERAPY 435112,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435112,A000000,02700,0000,2700SPEECH PATHOLOGY 435112,A000000,02800,0000,2800ELECTROCARDIOLOGY 435112,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435112,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435112,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435112,A000000,03200,0000,3200SUPPORT SURFACES 435112,A000000,03300,0000,3050ENTERALS 435112,A000000,03301,0000,3051OXYGEN 435112,A000000,03302,0000,3052OTHER ANCILLARY III 435112,A000000,03400,0000,3400CLINIC 435112,A000000,03500,0000,3500RURAL HEALTH CLINIC 435112,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 435112,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435112,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435112,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435112,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435112,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435112,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435112,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435112,A000000,04400,0000,4400DME RENTED - HHA 435112,A000000,04500,0000,4500DME SOLD - HHA 435112,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435112,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435112,A000000,04710,0000,4710TELEMEDICINE 435112,A000000,04800,0000,4800AMBULANCE 435112,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435112,A000000,05000,0000,5000CORF 435112,A000000,05001,0000,5001CMHC I 435112,A000000,05020,0000,5020OPT I 435112,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435112,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435112,A000000,05300,0000,5300INTEREST EXPENSE 435112,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435112,A000000,05500,0000,5500HOSPICE 435112,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 435112,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 435112,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435112,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435112,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435112,A000000,06100,0000,6100NONPAID WORKERS 435112,A000000,06200,0000,6200PATIENTS LAUNDRY 435112,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435112,A81000A,00100,0100,Y 435112,A81000B,00100,0300,RENT 435112,A81000B,00200,0300,DEPRECIATION 435112,A81000B,00300,0300,ADMINISTRATIVE 435112,A81000B,00400,0300,NURSE CONSUL 435112,A81000B,00500,0300,THERAPY SERV 435112,A81000B,00600,0300,THERAPY SERV 435112,A81000B,00700,0300,THERAPY SERV 435112,A81000B,00800,0300,VAN LEASE 435112,A81000C,00100,0100,A 435112,A81000C,00100,0200,ROSS PONTHIE 435112,A81000C,00100,0400,RMP RENTALS 435112,A81000C,00100,0600,REAL ESTATE OWNER 435112,A81000C,00200,0100,A 435112,A81000C,00200,0200,PONTHIE-THOMP 435112,A81000C,00200,0400,SUMMIT HEALTH 435112,A81000C,00200,0600,ADMINISTRATIVE SERVICES 435112,A81000C,00300,0100,A 435112,A81000C,00300,0200,PONTHIE-THOMP 435112,A81000C,00300,0400,PROF. NURSING 435112,A81000C,00300,0600,NURSE CONSULTING 435112,A81000C,00400,0100,A 435112,A81000C,00400,0200,ROSS PONTHIE 435112,A81000C,00400,0400,PROCARE THERAPY 435112,A81000C,00400,0600,THERAPY SERVICES 435112,A81000C,00500,0100,A 435112,A81000C,00500,0200,JOHN PONTHIE 435112,A81000C,00500,0400,PROCARE THERAPY 435112,A81000C,00500,0600,THERAPY SERVICES 435112,A81000C,00600,0100,A 435112,A81000C,00600,0200,MARK THOMPSON 435112,A81000C,00600,0400,PROCARE THERAPY 435112,A81000C,00600,0600,THERAPY SERVICES 435112,A81000C,00700,0100,A 435112,A81000C,00700,0200,BRUCE MELDER 435112,A81000C,00700,0400,PROCATE THERAPY 435112,A81000C,00700,0600,THERAPY SERVICES 435112,A81000C,00800,0100,A 435112,A81000C,00800,0200,PON THOM MEL 435112,A81000C,00800,0400,GREENE ASSETS 435112,A81000C,00800,0600,AUTO LEASING 435112,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435112,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 435112,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435112,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435112,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435112,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435112,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435112,B100000,00000,0800,0800MEALS SERVED :DIETARY 435112,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435112,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435112,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435112,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435112,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435112,S000000,00100,0200,07/18/12 435112,S200000,00100,0100,1800 LINWOOD DR. 435112,S200000,00200,0100,PARAGOULD 435112,S200000,00200,0200,AR 435112,S200000,00200,0300,72450 435112,S200000,00300,0100,GREENE 435112,S200000,00300,0200,9904 435112,S200000,00300,0201,99904 435112,S200000,00300,0300,R 435112,S200000,00400,0100,GREENE OPERATIONS LLC 435112,S200000,00400,0200,045170 435112,S200000,00400,0300,01/01/08 435112,S200000,00400,0500,P 435112,S200000,01500,0100,Y 435112,S200000,01501,0200,N 435112,S200000,01502,0200,N 435112,S200000,01503,0200,N 435112,S200000,01504,0200,Y 435112,S200000,01600,0100,N 435112,S200000,01700,0100,N 435112,S200000,01800,0100,N 435112,S200000,02200,0100,N 435112,S200000,02800,0100,N 435112,S200000,02900,0100,Y 435112,S200000,03000,0100,Y 435112,S200000,03100,0100,N 435112,S200000,03200,0100,N 435112,S200000,03300,0100,N 435112,S200000,03300,0200,N 435112,S200000,04100,0100,N 435112,S200000,04200,0100,N 435112,S200000,04300,0100,N 435112,S200000,04600,0100,N 435112,S200000,04700,0100,N 435112,S200000,04700,0200,N 435112,S200000,04900,0100,N 435112,S200000,05000,0100,N 435112,S200000,05100,0100,N 435112,S200000,05200,0100,N 435112,S200000,05300,0100,N 435113,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435113,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435113,A000000,00300,0000,0300EMPLOYEE BENEFITS 435113,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435113,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435113,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435113,A000000,00700,0000,0700HOUSEKEEPING 435113,A000000,00800,0000,0800DIETARY 435113,A000000,00900,0000,0900NURSING ADMINISTRATION 435113,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435113,A000000,01100,0000,1100PHARMACY 435113,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435113,A000000,01300,0000,1300SOCIAL SERVICE 435113,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435113,A000000,01500,0000,1350ACTIVITIES 435113,A000000,01600,0000,1600SKILLED NURSING FACILITY 435113,A000000,01800,0000,1800NURSING FACILITY 435113,A000000,01810,0000,1810ICF/MR 435113,A000000,01900,0000,1900OTHER LONG TERM CARE 435113,A000000,02100,0000,2100RADIOLOGY 435113,A000000,02200,0000,2200LABORATORY 435113,A000000,02300,0000,2300INTRAVENOUS THERAPY 435113,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435113,A000000,02500,0000,2500PHYSICAL THERAPY 435113,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435113,A000000,02700,0000,2700SPEECH PATHOLOGY 435113,A000000,02800,0000,2800ELECTROCARDIOLOGY 435113,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435113,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435113,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435113,A000000,03200,0000,3200SUPPORT SURFACES 435113,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435113,A000000,03400,0000,3400CLINIC 435113,A000000,03500,0000,3500RURAL HEALTH CLINIC 435113,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435113,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435113,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435113,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435113,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435113,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435113,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435113,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435113,A000000,04400,0000,4400DME RENTED - HHA 435113,A000000,04500,0000,4500DME SOLD - HHA 435113,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435113,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435113,A000000,04710,0000,4710TELEMEDICINE 435113,A000000,04800,0000,4800AMBULANCE 435113,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435113,A000000,05000,0000,5000CORF 435113,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435113,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435113,A000000,05300,0000,5300INTEREST EXPENSE 435113,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435113,A000000,05500,0000,5500HOSPICE 435113,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435113,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435113,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435113,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435113,A000000,06100,0000,6100NONPAID WORKERS 435113,A000000,06200,0000,6200PATIENTS LAUNDRY 435113,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435113,A81000A,00100,0100,Y 435113,A81000B,00100,0300,MANAGEMENT FEES 435113,A81000B,00200,0300,HOME OFFICE COST - ADMIN 435113,A81000B,00300,0300,HOME OFFICE COST - PROPERTY 435113,A81000C,00100,0100,A 435113,A81000C,00100,0200,ATKINS / MORRISON 435113,A81000C,00100,0400,TRADITIONS MANAGEMENT 435113,A81000C,00100,0600,MANAGEMENT SERVICES 435113,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435113,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435113,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435113,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435113,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435113,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435113,B100000,00000,0800,0800MEALS SERVED :DIETARY 435113,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435113,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435113,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435113,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435113,G300000,02500,0000,BARBER & BEAUTY 435113,G300000,02501,0000,PHYSICIAN SERVICES VA 435113,S000000,00100,0200,07/16/12 435113,S200000,00100,0100,10501 ROOSEVELT BLVD N 435113,S200000,00200,0100,ST. PETERSBURG 435113,S200000,00200,0200,FL 435113,S200000,00200,0300,33716 435113,S200000,00300,0100,PINELLAS 435113,S200000,00300,0200,8280 435113,S200000,00300,0201,45300 435113,S200000,00300,0300,U 435113,S200000,00400,0100,CARRINGTON PLACE OF ST. PETE 435113,S200000,00400,0200,105616 435113,S200000,00400,0300,12/12/88 435113,S200000,00400,0500,P 435113,S200000,01500,0100,Y 435113,S200000,01501,0200,Y 435113,S200000,01502,0200,Y 435113,S200000,01503,0200,Y 435113,S200000,01504,0200,Y 435113,S200000,01600,0100,N 435113,S200000,01700,0100,N 435113,S200000,01800,0100,N 435113,S200000,02200,0100,N 435113,S200000,02800,0100,N 435113,S200000,02900,0100,N 435113,S200000,03000,0100,N 435113,S200000,03100,0100,N 435113,S200000,03200,0100,N 435113,S200000,03300,0100,N 435113,S200000,03300,0200,N 435113,S200000,04100,0100,N 435113,S200000,04200,0100,N 435113,S200000,04300,0100,N 435113,S200000,04600,0100,N 435113,S200000,04700,0100,N 435113,S200000,04700,0200,N 435113,S200000,04900,0100,N 435113,S200000,05000,0100,N 435113,S200000,05100,0100,N 435113,S200000,05200,0100,N 435120,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435120,A000000,00300,0000,0300EMPLOYEE BENEFITS 435120,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435120,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435120,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435120,A000000,00700,0000,0700HOUSEKEEPING 435120,A000000,00800,0000,0800DIETARY 435120,A000000,00900,0000,0900NURSING ADMINISTRATION 435120,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435120,A000000,01100,0000,1100PHARMACY 435120,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435120,A000000,01300,0000,1300SOCIAL SERVICE 435120,A000000,01500,0000,1350ACTIVITIES 435120,A000000,01600,0000,1600SKILLED NURSING FACILITY 435120,A000000,02100,0000,2100RADIOLOGY 435120,A000000,02200,0000,2200LABORATORY 435120,A000000,02300,0000,2300INTRAVENOUS THERAPY 435120,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435120,A000000,02500,0000,2500PHYSICAL THERAPY 435120,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435120,A000000,02700,0000,2700SPEECH PATHOLOGY 435120,A000000,02800,0000,2800ELECTROCARDIOLOGY 435120,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435120,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435120,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435120,A000000,03200,0000,3200SUPPORT SURFACES 435120,A000000,03300,0000,3050ENTERAL (PEN THERAPY) 435120,A000000,03301,0000,3051COMPLEX MEDICAL EQUIPMENT 435120,A000000,04800,0000,4800AMBULANCE 435120,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435120,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435120,A000000,05300,0000,5300INTEREST EXPENSE 435120,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435120,A000000,05500,0000,5500HOSPICE 435120,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435120,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435120,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435120,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435120,A000000,06100,0000,6100NONPAID WORKERS 435120,A000000,06200,0000,6200PATIENTS LAUNDRY 435120,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435120,A81000A,00100,0100,Y 435120,A81000B,00100,0300,MANAGEMENT FEES 435120,A81000C,00100,0100,A 435120,A81000C,00100,0200,BAYVIEW MANOR LLC 435120,A81000C,00100,0400,EPIC MANAGEMENT LLC 435120,A81000C,00100,0600,HOME OFFICE 435120,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435120,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435120,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435120,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435120,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435120,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435120,B100000,00000,0800,0800MEALS SERVED :DIETARY 435120,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435120,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435120,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435120,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435120,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435120,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435120,E10A180,00501,0100,05/16/12 435120,G300000,02500,0000,PERSONAL PURCHASES 435120,G300000,02501,0000,OTHER INCOME 435120,S000000,00100,0200,02/29/12 435120,S200000,00100,0100,11 TODD DRIVE 435120,S200000,00100,0300,PO BOX 11 435120,S200000,00200,0100,BEAUFORT 435120,S200000,00200,0200,SC 435120,S200000,00200,0300,29901 435120,S200000,00300,0100,BEAUFORT 435120,S200000,00300,0200,42 435120,S200000,00300,0201,99942 435120,S200000,00300,0300,R 435120,S200000,00400,0100,BAYVIEW MANOR LLC 435120,S200000,00400,0200,425067 435120,S200000,00400,0300,03/16/94 435120,S200000,00400,0500,P 435120,S200000,01500,0100,N 435120,S200000,01501,0200,N 435120,S200000,01503,0200,Y 435120,S200000,01504,0200,N 435120,S200000,01600,0100,Y 435120,S200000,01700,0100,N 435120,S200000,01800,0100,N 435120,S200000,02200,0100,N 435120,S200000,02800,0100,N 435120,S200000,02900,0100,N 435120,S200000,03000,0100,N 435120,S200000,03100,0100,N 435120,S200000,03200,0100,N 435120,S200000,03300,0100,N 435120,S200000,03300,0200,N 435120,S200000,04100,0100,N 435120,S200000,04200,0100,N 435120,S200000,04300,0100,N 435120,S200000,04600,0100,N 435120,S200000,04700,0100,N 435120,S200000,04700,0200,N 435120,S200000,04900,0100,N 435120,S200000,05000,0100,N 435120,S200000,05100,0100,N 435120,S200000,05200,0100,N 435120,S200000,05300,0100,Y 435120,S200000,05300,0200,58-420 435120,S200000,05400,0100,EPIC MANAGEMENT LLC 435120,S200000,05400,0200,PALMETTO GBA 435120,S200000,05400,0300,00380 435120,S200000,05500,0100,980 KAYE GIBBONS CT. 435120,S200000,05600,0100,KERNERSVILLE 435120,S200000,05600,0200,NC 435120,S200000,05600,0300,27284 435124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435124,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435124,A000000,00300,0000,0300EMPLOYEE BENEFITS 435124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435124,A000000,00700,0000,0700HOUSEKEEPING 435124,A000000,00800,0000,0800DIETARY 435124,A000000,00900,0000,0900NURSING ADMINISTRATION 435124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435124,A000000,01300,0000,1300SOCIAL SERVICE 435124,A000000,01301,0000,1301ACTIVITES 435124,A000000,01500,0000,1350REHABILITATION 435124,A000000,01600,0000,1600SKILLED NURSING FACILITY 435124,A000000,01800,0000,1800NURSING FACILITY 435124,A000000,01900,0000,1900OTHER LONG TERM CARE 435124,A000000,02100,0000,2100RADIOLOGY 435124,A000000,02200,0000,2200LABORATORY 435124,A000000,02300,0000,2300INTRAVENOUS THERAPY 435124,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435124,A000000,02500,0000,2500PHYSICAL THERAPY 435124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435124,A000000,02700,0000,2700SPEECH PATHOLOGY 435124,A000000,02800,0000,2800ELECTROCARDIOLOGY 435124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435124,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435124,A000000,03200,0000,3200SUPPORT SURFACES 435124,A000000,03300,0000,3050EQUIPMENT RENTAL 435124,A000000,03301,0000,3051PEN THERAPY 435124,A000000,04800,0000,4800AMBULANCE 435124,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435124,A000000,05300,0000,5300INTEREST EXPENSE 435124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435124,A000000,06200,0000,6200PATIENTS LAUNDRY 435124,A000000,06300,0000,6150VENDING 435124,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435124,A81000A,00100,0100,Y 435124,A81000B,00100,0300,HOME OFFICE COST 435124,A81000C,00100,0100,B 435124,A81000C,00100,0200,SIERRA VISTA HC 435124,A81000C,00100,0400,SSC EQUITY HOLD 435124,A81000C,00100,0600,NSG HOMES 435124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435124,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435124,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435124,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435124,B100000,00000,0800,0800MEALS SERVED :DIETARY 435124,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435124,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435124,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435124,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435124,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435124,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435124,E10A180,00302,0100,03/17/11 435124,E10A180,00303,0100,05/10/11 435124,E10A180,00352,0100,09/30/11 435124,E10A180,00501,0100,05/04/12 435124,E10A180,00551,0300,05/04/12 435124,S000000,00100,0200,02/10/12 435124,S200000,00100,0100,821 DUFFIELD CT 435124,S200000,00200,0100,LOVELAND 435124,S200000,00200,0200,CO 435124,S200000,00200,0300,80537 435124,S200000,00300,0100,LARIMER 435124,S200000,00300,0300,U 435124,S200000,00400,0100,SIERRA VISTA HEALTH CARE CENTER 435124,S200000,00400,0200,065165 435124,S200000,00400,0300,07/01/82 435124,S200000,00400,0500,P 435124,S200000,01500,0100,Y 435124,S200000,01501,0200,Y 435124,S200000,01502,0200,N 435124,S200000,01504,0200,Y 435124,S200000,01600,0100,N 435124,S200000,01700,0100,N 435124,S200000,01800,0100,N 435124,S200000,02200,0100,Y 435124,S200000,02800,0100,N 435124,S200000,02900,0100,N 435124,S200000,03000,0100,N 435124,S200000,03100,0100,N 435124,S200000,03200,0100,N 435124,S200000,03300,0100,N 435124,S200000,03300,0200,N 435124,S200000,04100,0100,N 435124,S200000,04200,0100,N 435124,S200000,04300,0100,N 435124,S200000,04600,0100,N 435124,S200000,04700,0100,N 435124,S200000,04700,0200,N 435124,S200000,04900,0100,N 435124,S200000,05000,0100,N 435124,S200000,05100,0100,N 435124,S200000,05200,0100,N 435124,S200000,05300,0100,Y 435124,S200000,05300,0200,219023 435124,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435124,S200000,05400,0200,TRAILBLAZER 435124,S200000,05400,0300,04901 435124,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435124,S200000,05600,0100,HOUSTON 435124,S200000,05600,0200,TX 435124,S200000,05600,0300,77041 435125,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435125,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435125,A000000,00300,0000,0300EMPLOYEE BENEFITS 435125,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435125,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435125,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435125,A000000,00700,0000,0700HOUSEKEEPING 435125,A000000,00800,0000,0800DIETARY 435125,A000000,00900,0000,0900NURSING ADMINISTRATION 435125,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435125,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435125,A000000,01300,0000,1300SOCIAL SERVICE 435125,A000000,01301,0000,1301ACTIVITES 435125,A000000,01500,0000,1350REHABILITATION 435125,A000000,01600,0000,1600SKILLED NURSING FACILITY 435125,A000000,01800,0000,1800NURSING FACILITY 435125,A000000,01900,0000,1900OTHER LONG TERM CARE 435125,A000000,02100,0000,2100RADIOLOGY 435125,A000000,02200,0000,2200LABORATORY 435125,A000000,02300,0000,2300INTRAVENOUS THERAPY 435125,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435125,A000000,02500,0000,2500PHYSICAL THERAPY 435125,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435125,A000000,02700,0000,2700SPEECH PATHOLOGY 435125,A000000,02800,0000,2800ELECTROCARDIOLOGY 435125,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435125,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435125,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435125,A000000,03200,0000,3200SUPPORT SURFACES 435125,A000000,03300,0000,3050EQUIPMENT RENTAL 435125,A000000,03301,0000,3051PEN THERAPY 435125,A000000,04800,0000,4800AMBULANCE 435125,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435125,A000000,05300,0000,5300INTEREST EXPENSE 435125,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435125,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435125,A000000,06200,0000,6200PATIENTS LAUNDRY 435125,A000000,06300,0000,6150VENDING 435125,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435125,A81000A,00100,0100,Y 435125,A81000B,00100,0300,HOME OFFICE COST 435125,A81000C,00100,0100,B 435125,A81000C,00100,0200,MONTROSE BAY H 435125,A81000C,00100,0400,SSC EQUITY HOLD 435125,A81000C,00100,0600,NSG HOMES 435125,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435125,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435125,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435125,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435125,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435125,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435125,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435125,B100000,00000,0800,0800MEALS SERVED :DIETARY 435125,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435125,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435125,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435125,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435125,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435125,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435125,E10A180,00351,0100,04/28/11 435125,E10A180,00501,0100,05/04/12 435125,E10A180,00501,0300,05/04/12 435125,G300000,02500,0000, OTHER (SPECIFY) 435125,S000000,00100,0200,02/10/12 435125,S200000,00100,0100,22670 MAIN STREET 435125,S200000,00200,0100,MONTROSE 435125,S200000,00200,0200,AL 435125,S200000,00200,0300,36559 435125,S200000,00300,0100,BALDWIN 435125,S200000,00300,0300,R 435125,S200000,00400,0100,MONTROSE BAY HEALTH & REHAB CENTER 435125,S200000,00400,0200,015447 435125,S200000,00400,0300,07/01/67 435125,S200000,00400,0500,P 435125,S200000,01500,0100,Y 435125,S200000,01501,0200,Y 435125,S200000,01502,0200,Y 435125,S200000,01504,0200,Y 435125,S200000,01600,0100,N 435125,S200000,01700,0100,N 435125,S200000,01800,0100,N 435125,S200000,02200,0100,Y 435125,S200000,02800,0100,N 435125,S200000,02900,0100,N 435125,S200000,03000,0100,N 435125,S200000,03100,0100,N 435125,S200000,03200,0100,N 435125,S200000,03300,0100,N 435125,S200000,03300,0200,N 435125,S200000,04100,0100,N 435125,S200000,04200,0100,N 435125,S200000,04300,0100,N 435125,S200000,04600,0100,N 435125,S200000,04700,0100,N 435125,S200000,04700,0200,N 435125,S200000,04900,0100,N 435125,S200000,05000,0100,N 435125,S200000,05100,0100,N 435125,S200000,05200,0100,N 435125,S200000,05300,0100,Y 435125,S200000,05300,0200,219023 435125,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435125,S200000,05400,0200,TRAILBLAZER 435125,S200000,05400,0300,04901 435125,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435125,S200000,05600,0100,HOUSTON 435125,S200000,05600,0200,TX 435125,S200000,05600,0300,77041 435126,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435126,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435126,A000000,00300,0000,0300EMPLOYEE BENEFITS 435126,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435126,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435126,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435126,A000000,00700,0000,0700HOUSEKEEPING 435126,A000000,00800,0000,0800DIETARY 435126,A000000,00900,0000,0900NURSING ADMINISTRATION 435126,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435126,A000000,01300,0000,1300SOCIAL SERVICE 435126,A000000,01600,0000,1600SKILLED NURSING FACILITY 435126,A000000,01800,0000,1800NURSING FACILITY 435126,A000000,01810,0000,1810ICF/MR 435126,A000000,01900,0000,1900OTHER LONG TERM CARE 435126,A000000,02100,0000,2100RADIOLOGY 435126,A000000,02200,0000,2200LABORATORY 435126,A000000,02300,0000,2300INTRAVENOUS THERAPY 435126,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435126,A000000,02500,0000,2500PHYSICAL THERAPY 435126,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435126,A000000,02700,0000,2700SPEECH PATHOLOGY 435126,A000000,02800,0000,2800ELECTROCARDIOLOGY 435126,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435126,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435126,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435126,A000000,03200,0000,3200SUPPORT SURFACES 435126,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435126,A000000,03301,0000,3051AIR FLUID THERAPY 435126,A000000,03302,0000,3052AMBULANCE 435126,A000000,03303,0000,3053PEN THERAPY 435126,A000000,03304,0000,3054ONCOLOGY 435126,A000000,03305,0000,3055CARDIOLOGY 435126,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435126,A000000,03307,0000,3057AUDIOLOGY 435126,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435126,A000000,03400,0000,3400CLINIC 435126,A000000,03500,0000,3500RURAL HEALTH CLINIC 435126,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435126,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435126,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435126,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435126,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435126,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435126,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435126,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435126,A000000,04400,0000,4400DME RENTED - HHA 435126,A000000,04500,0000,4500DME SOLD - HHA 435126,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435126,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435126,A000000,04710,0000,4710TELEMEDICINE 435126,A000000,04800,0000,4800AMBULANCE 435126,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435126,A000000,05000,0000,5000CORF 435126,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435126,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435126,A000000,05300,0000,5300INTEREST EXPENSE 435126,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435126,A000000,05500,0000,5500HOSPICE 435126,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435126,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435126,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435126,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435126,A000000,06100,0000,6100NONPAID WORKERS 435126,A000000,06200,0000,6200PATIENTS LAUNDRY 435126,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435126,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 435126,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435126,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435126,A81000A,00100,0100,N 435126,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435126,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435126,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435126,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435126,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435126,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435126,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435126,B100000,00000,0800,0800MEALS SERVED :DIETARY 435126,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435126,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435126,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435126,E10A180,00501,0100,04/19/12 435126,G300000,02500,0000,MISC INCOME 435126,S000000,00100,0200,02/22/12 435126,S200000,00100,0100,427 MAIN STREET NE 435126,S200000,00200,0100,MENAHGA 435126,S200000,00200,0200,MN 435126,S200000,00200,0300,56464-0130 435126,S200000,00300,0100,WADENA 435126,S200000,00300,0200,0024 435126,S200000,00300,0201,00024 435126,S200000,00300,0300,U 435126,S200000,00400,0100,GREEN PINE ACRES NURSING HOME 435126,S200000,00400,0200,245563 435126,S200000,00400,0300,06/01/91 435126,S200000,00400,0500,P 435126,S200000,00400,0600,P 435126,S200000,01500,0100,Y 435126,S200000,01501,0200,N 435126,S200000,01502,0200,N 435126,S200000,01503,0200,N 435126,S200000,01504,0200,N 435126,S200000,01600,0100,N 435126,S200000,01700,0100,N 435126,S200000,01800,0100,N 435126,S200000,02200,0100,N 435126,S200000,02800,0100,Y 435126,S200000,02900,0100,N 435126,S200000,03000,0100,N 435126,S200000,03100,0100,N 435126,S200000,03200,0100,N 435126,S200000,03300,0100,N 435126,S200000,03300,0200,N 435126,S200000,04100,0100,N 435126,S200000,04200,0100,N 435126,S200000,04300,0100,N 435126,S200000,04600,0100,N 435126,S200000,04700,0100,N 435126,S200000,04700,0200,N 435126,S200000,04900,0100,N 435126,S200000,05000,0100,N 435126,S200000,05100,0100,N 435126,S200000,05200,0100,N 435126,S200000,05300,0100,Y 435127,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435127,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435127,A000000,00300,0000,0300EMPLOYEE BENEFITS 435127,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435127,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435127,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435127,A000000,00700,0000,0700HOUSEKEEPING 435127,A000000,00800,0000,0800DIETARY 435127,A000000,00900,0000,0900NURSING ADMINISTRATION 435127,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435127,A000000,01100,0000,1100PHARMACY 435127,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435127,A000000,01300,0000,1300SOCIAL SERVICE 435127,A000000,01301,0000,1301ACTIVITIES 435127,A000000,01302,0000,1302RELIGIOUS SERVICES 435127,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435127,A000000,01500,0000,1350OTHER GENERAL SERVICES 435127,A000000,01600,0000,1600SKILLED NURSING FACILITY 435127,A000000,01800,0000,1800NURSING FACILITY 435127,A000000,01810,0000,1810ICF/MR 435127,A000000,01900,0000,1900OTHER LONG TERM CARE 435127,A000000,02100,0000,2100RADIOLOGY 435127,A000000,02200,0000,2200LABORATORY 435127,A000000,02300,0000,2300INTRAVENOUS THERAPY 435127,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435127,A000000,02500,0000,2500PHYSICAL THERAPY 435127,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435127,A000000,02700,0000,2700SPEECH PATHOLOGY 435127,A000000,02800,0000,2800ELECTROCARDIOLOGY 435127,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435127,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435127,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435127,A000000,03200,0000,3200SUPPORT SURFACES 435127,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435127,A000000,03400,0000,3400CLINIC 435127,A000000,03500,0000,3500RURAL HEALTH CLINIC 435127,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435127,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435127,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435127,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435127,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435127,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435127,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435127,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435127,A000000,04400,0000,4400DME RENTED - HHA 435127,A000000,04500,0000,4500DME SOLD - HHA 435127,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435127,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435127,A000000,04710,0000,4710TELEMEDICINE 435127,A000000,04800,0000,4800AMBULANCE 435127,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435127,A000000,05000,0000,5000CORF 435127,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435127,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435127,A000000,05300,0000,5300INTEREST EXPENSE 435127,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435127,A000000,05500,0000,5500HOSPICE 435127,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435127,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435127,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435127,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435127,A000000,06100,0000,6100NONPAID WORKERS 435127,A000000,06200,0000,6200PATIENTS LAUNDRY 435127,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435127,A81000A,00100,0100,Y 435127,A81000B,00100,0300,HOME OFFICE COSTS 435127,A81000C,00100,0100,B 435127,A81000C,00100,0200,THE LUTHERAN HOME BELLE P 435127,A81000C,00100,0400,THE LUTHERAN HOME ASSOCIA 435127,A81000C,00100,0600,HEALTH CARE 435127,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435127,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435127,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435127,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435127,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435127,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435127,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435127,B100000,00000,0800,0800MEALS SERVED :DIETARY 435127,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435127,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435127,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 435127,B100000,00000,1302,1332PATIENT DAYS :RELIGIOUS SERVICE 435127,E10A180,00501,0100,04/27/12 435127,G300000,02500,0000,APARTMENT RENT REVENUE 435127,G300000,02501,0000,DAY-OPTION REVENUE 435127,G300000,02502,0000,MAINTENANCE REVENUE 435127,G300000,02503,0000,BEAUTY SHOP REVENUE 435127,G300000,02504,0000,HOME DELIVERED MEALS 435127,G300000,02505,0000,TRANSPORTATION REVENUE 435127,S000000,00100,0200,02/28/12 435127,S200000,00100,0100,611 WEST MAIN STREET 435127,S200000,00200,0100,BELLE PLAINE 435127,S200000,00200,0200,MN 435127,S200000,00200,0300,56011 435127,S200000,00300,0100,SCOTT 435127,S200000,00300,0200,5120 435127,S200000,00300,0201,33460 435127,S200000,00300,0300,U 435127,S200000,00400,0100,THE LUTHERAN HOME - BELLE PLAINE 435127,S200000,00400,0200,245590 435127,S200000,00400,0300,01/01/92 435127,S200000,00400,0500,P 435127,S200000,00610,0200,245590 435127,S200000,00610,0300,01/01/92 435127,S200000,01500,0100,N 435127,S200000,01501,0200,N 435127,S200000,01600,0100,Y 435127,S200000,01700,0100,N 435127,S200000,01800,0100,N 435127,S200000,02200,0100,N 435127,S200000,02800,0100,Y 435127,S200000,02900,0100,N 435127,S200000,03000,0100,N 435127,S200000,03100,0100,N 435127,S200000,03200,0100,N 435127,S200000,03300,0100,N 435127,S200000,03300,0200,N 435127,S200000,03510,0300,N 435127,S200000,04100,0100,N 435127,S200000,04200,0100,N 435127,S200000,04300,0100,N 435127,S200000,04600,0100,N 435127,S200000,04700,0100,N 435127,S200000,04700,0200,N 435127,S200000,04900,0100,N 435127,S200000,05000,0100,N 435127,S200000,05100,0100,N 435127,S200000,05200,0100,N 435127,S200000,05300,0100,Y 435127,S200000,05300,0200,00-220 435127,S200000,05400,0100,THE LUTHERAN HOME ASSOCIATION 435127,S200000,05400,0200,NORIDIAN ADMINSITRATIVE SERVICES 435127,S200000,05400,0300,00-220 435127,S200000,05500,0100,337 S MERIDIAN AVENUE 435127,S200000,05600,0100,BELLE PLAINE 435127,S200000,05600,0200,MN 435127,S200000,05600,0300,56011 435145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435145,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435145,A000000,00300,0000,0300EMPLOYEE BENEFITS 435145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435145,A000000,00700,0000,0700HOUSEKEEPING 435145,A000000,00800,0000,0800DIETARY 435145,A000000,00900,0000,0900NURSING ADMINISTRATION 435145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435145,A000000,01100,0000,1100PHARMACY 435145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435145,A000000,01300,0000,1300SOCIAL SERVICE 435145,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435145,A000000,01600,0000,1600SKILLED NURSING FACILITY 435145,A000000,01810,0000,1810ICF/MR 435145,A000000,02100,0000,2100RADIOLOGY 435145,A000000,02200,0000,2200LABORATORY 435145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435145,A000000,02500,0000,2500PHYSICAL THERAPY 435145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435145,A000000,02700,0000,2700SPEECH PATHOLOGY 435145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435145,A000000,03550,0000,3550FQHC 435145,A000000,05000,0000,5000CORF 435145,A000000,05010,0000,5010CMHC 435145,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435145,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435145,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435145,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435145,A81000A,00100,0100,Y 435145,A81000B,00100,0300,MANAGEMENT FEE 435145,A81000B,00200,0300,NON-BILLABLE SUPPLIE 435145,A81000C,00100,0100,B 435145,A81000C,00100,0200,GUTHRIE HEALTHC 435145,A81000C,00100,0400,GUTHRIE HEALTHC 435145,A81000C,00100,0600,HEALTHCARE 435145,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435145,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435145,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435145,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435145,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435145,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435145,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435145,B100000,00000,0800,0800MEALS SERVED :DIETARY 435145,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435145,G300000,02500,0000,TAX ASSESSMENT 435145,G300000,02501,0000,NET ASSETS - RELEASED FROM RESTRICT 435145,G300000,02502,0000,GAIN ON SALE OF ASSETS 435145,S000000,00100,0200,03/26/12 435145,S200000,00100,0100,1001 NORTH ELMER AVENUE 435145,S200000,00200,0100,SAYRE 435145,S200000,00200,0200,PA 435145,S200000,00200,0300,18840 435145,S200000,00300,0100,BRADFORD 435145,S200000,00300,0300,R 435145,S200000,00400,0100,SAYRE HOUSE NURSING HOME 435145,S200000,00400,0200,395101 435145,S200000,00400,0300,07/01/66 435145,S200000,00400,0500,P 435145,S200000,01500,0100,N 435145,S200000,01600,0100,N 435145,S200000,01700,0100,N 435145,S200000,01800,0100,N 435145,S200000,01900,0100,FREE STANDING NURSIN 435145,S200000,02200,0100,N 435145,S200000,02800,0100,Y 435145,S200000,02900,0100,N 435145,S200000,03000,0100,N 435145,S200000,03100,0100,N 435145,S200000,03200,0100,N 435145,S200000,03300,0100,N 435145,S200000,03300,0200,N 435145,S200000,03600,0100,N 435145,S200000,03600,0200,N 435145,S200000,04100,0100,N 435145,S200000,04200,0100,N 435145,S200000,04300,0100,N 435145,S200000,04600,0100,N 435145,S200000,04700,0100,N 435145,S200000,04700,0200,N 435145,S200000,04900,0100,N 435145,S200000,05000,0100,N 435145,S200000,05100,0100,N 435145,S200000,05200,0100,N 435145,S200000,05300,0100,Y 435145,S200000,05300,0200,36820 435145,S200000,05400,0100,GUTHRIE HEALTHCARE SYSTEM 435145,S200000,05400,0200,NOVITAS SOLUTIONS INC 435145,S200000,05400,0300,12001 435145,S200000,05500,0100,ONE GUTHRIE SQUARE 435145,S200000,05600,0100,SAYRE 435145,S200000,05600,0200,PA 435145,S200000,05600,0300,18840 435150,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435150,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435150,A000000,00300,0000,0300EMPLOYEE BENEFITS 435150,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435150,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435150,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435150,A000000,00700,0000,0700HOUSEKEEPING 435150,A000000,00800,0000,0800DIETARY 435150,A000000,00900,0000,0900NURSING ADMINISTRATION 435150,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435150,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435150,A000000,01300,0000,1300SOCIAL SERVICE 435150,A000000,01301,0000,1301ACTIVITES 435150,A000000,01500,0000,1350REHABILITATION 435150,A000000,01600,0000,1600SKILLED NURSING FACILITY 435150,A000000,01800,0000,1800NURSING FACILITY 435150,A000000,01900,0000,1900OTHER LONG TERM CARE 435150,A000000,02100,0000,2100RADIOLOGY 435150,A000000,02200,0000,2200LABORATORY 435150,A000000,02300,0000,2300INTRAVENOUS THERAPY 435150,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435150,A000000,02500,0000,2500PHYSICAL THERAPY 435150,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435150,A000000,02700,0000,2700SPEECH PATHOLOGY 435150,A000000,02800,0000,2800ELECTROCARDIOLOGY 435150,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435150,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435150,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435150,A000000,03200,0000,3200SUPPORT SURFACES 435150,A000000,03300,0000,3050EQUIPMENT RENTAL 435150,A000000,03301,0000,3051PEN THERAPY 435150,A000000,04800,0000,4800AMBULANCE 435150,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435150,A000000,05300,0000,5300INTEREST EXPENSE 435150,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435150,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435150,A000000,06200,0000,6200PATIENTS LAUNDRY 435150,A000000,06300,0000,6150VENDING 435150,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435150,A81000A,00100,0100,Y 435150,A81000B,00100,0300,HOME OFFICE COST 435150,A81000C,00100,0100,B 435150,A81000C,00100,0200,SAN JUAN LIVING 435150,A81000C,00100,0400,SSC EQUITY HOLD 435150,A81000C,00100,0600,NSG HOMES 435150,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435150,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435150,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435150,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435150,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435150,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435150,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435150,B100000,00000,0800,0800MEALS SERVED :DIETARY 435150,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435150,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435150,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435150,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435150,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435150,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435150,E10A180,00301,0100,03/16/11 435150,E10A180,00302,0100,09/28/11 435150,E10A180,00303,0100,09/28/11 435150,E10A180,00550,0100,04/27/12 435150,G300000,02500,0000, OTHER (SPECIFY) 435150,S000000,00100,0200,02/10/12 435150,S200000,00100,0100,1043 RIDGE 435150,S200000,00200,0100,MOSTROSE 435150,S200000,00200,0200,CO 435150,S200000,00200,0300,81401 435150,S200000,00300,0100,MOSTROSE 435150,S200000,00300,0300,R 435150,S200000,00400,0100,SAN JUAN LIVING CENTER 435150,S200000,00400,0200,065195 435150,S200000,00400,0300,01/01/83 435150,S200000,00400,0500,P 435150,S200000,01500,0100,Y 435150,S200000,01501,0200,Y 435150,S200000,01502,0200,N 435150,S200000,01504,0200,N 435150,S200000,01600,0100,N 435150,S200000,01700,0100,N 435150,S200000,01800,0100,N 435150,S200000,02200,0100,Y 435150,S200000,02800,0100,N 435150,S200000,02900,0100,N 435150,S200000,03000,0100,N 435150,S200000,03100,0100,N 435150,S200000,03200,0100,N 435150,S200000,03300,0100,N 435150,S200000,03300,0200,N 435150,S200000,04100,0100,N 435150,S200000,04200,0100,N 435150,S200000,04300,0100,N 435150,S200000,04600,0100,N 435150,S200000,04700,0100,N 435150,S200000,04700,0200,N 435150,S200000,04900,0100,N 435150,S200000,05000,0100,N 435150,S200000,05100,0100,N 435150,S200000,05200,0100,N 435150,S200000,05300,0100,Y 435150,S200000,05300,0200,219023 435150,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435150,S200000,05400,0200,TRAILBLAZER 435150,S200000,05400,0300,04901 435150,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435150,S200000,05600,0100,HOUSTON 435150,S200000,05600,0200,TX 435150,S200000,05600,0300,77041 435151,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435151,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435151,A000000,00300,0000,0300EMPLOYEE BENEFITS 435151,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435151,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435151,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435151,A000000,00700,0000,0700HOUSEKEEPING 435151,A000000,00800,0000,0800DIETARY 435151,A000000,00900,0000,0900NURSING ADMINISTRATION 435151,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435151,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435151,A000000,01300,0000,1300SOCIAL SERVICE 435151,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435151,A000000,01500,0000,1350OTHER GENERAL SERVICES 435151,A000000,01600,0000,1600SKILLED NURSING FACILITY 435151,A000000,01800,0000,1800NURSING FACILITY 435151,A000000,01810,0000,1810ICF/MR 435151,A000000,01900,0000,1900OTHER LONG TERM CARE 435151,A000000,02100,0000,2100RADIOLOGY 435151,A000000,02200,0000,2200LABORATORY 435151,A000000,02300,0000,2300INTRAVENOUS THERAPY 435151,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435151,A000000,02500,0000,2500PHYSICAL THERAPY 435151,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435151,A000000,02700,0000,2700SPEECH PATHOLOGY 435151,A000000,02800,0000,2800ELECTROCARDIOLOGY 435151,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435151,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435151,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435151,A000000,03200,0000,3200SUPPORT SURFACES 435151,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435151,A000000,03400,0000,3400CLINIC 435151,A000000,03500,0000,3500RURAL HEALTH CLINIC 435151,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435151,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435151,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435151,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435151,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435151,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435151,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435151,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435151,A000000,04400,0000,4400DME RENTED - HHA 435151,A000000,04500,0000,4500DME SOLD - HHA 435151,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435151,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435151,A000000,04710,0000,4710TELEMEDICINE 435151,A000000,04800,0000,4800AMBULANCE 435151,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435151,A000000,05000,0000,5000CORF 435151,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435151,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435151,A000000,05300,0000,5300INTEREST EXPENSE 435151,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435151,A000000,05500,0000,5500HOSPICE 435151,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435151,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435151,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435151,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435151,A000000,06100,0000,6100NONPAID WORKERS 435151,A000000,06200,0000,6200PATIENTS LAUNDRY 435151,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435151,A81000A,00100,0100,Y 435151,A81000B,00100,0300,MANAGEMENT SERVICES 435151,A81000B,00200,0300,INTEREST EXPENSE 435151,A81000C,00100,0100,B 435151,A81000C,00100,0200,GBNH BOARD INC. 435151,A81000C,00100,0600,MANAGEMENT SERVICES 435151,A81000C,00200,0100,E 435151,A81000C,00200,0200,JT MOODY 435151,A81000C,00200,0400,GENERAL BAPTIST NURSING H 435151,A81000C,00200,0600,BOARD MEMBER 435151,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435151,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435151,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435151,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435151,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435151,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435151,B100000,00000,0800,0800MEALS SERVED :DIETARY 435151,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435151,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435151,E10A180,00301,0100,04/26/11 435151,E10A180,00501,0100,04/23/12 435151,E10A180,00501,0300,04/23/12 435151,G300000,02500,0000,OTHER INCOME 435151,S000000,00100,0200,03/01/12 435151,S200000,00100,0100,ROUTE 2 BOX 650 435151,S200000,00200,0100,CAMPBELL 435151,S200000,00200,0200,MO 435151,S200000,00200,0300,63933 435151,S200000,00300,0100,DUNKLIN 435151,S200000,00300,0200,26 435151,S200000,00300,0201,99926 435151,S200000,00300,0300,R 435151,S200000,00400,0100,GENERAL BAPTIST NURSING HOME 435151,S200000,00400,0200,265677 435151,S200000,00400,0300,08/07/97 435151,S200000,00400,0500,P 435151,S200000,01500,0100,Y 435151,S200000,01501,0200,N 435151,S200000,01502,0200,N 435151,S200000,01503,0200,N 435151,S200000,01504,0200,N 435151,S200000,01600,0100,N 435151,S200000,01700,0100,N 435151,S200000,01800,0100,N 435151,S200000,02200,0100,N 435151,S200000,02800,0100,N 435151,S200000,02900,0100,N 435151,S200000,03000,0100,N 435151,S200000,03100,0100,N 435151,S200000,03200,0100,N 435151,S200000,03300,0100,N 435151,S200000,03300,0200,N 435151,S200000,04100,0100,N 435151,S200000,04200,0100,N 435151,S200000,04300,0100,N 435151,S200000,04600,0100,N 435151,S200000,04700,0100,N 435151,S200000,04700,0200,N 435151,S200000,04900,0100,N 435151,S200000,05000,0100,N 435151,S200000,05100,0100,N 435151,S200000,05200,0100,N 435151,S200000,05300,0100,N 435152,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435152,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435152,A000000,00300,0000,0300EMPLOYEE BENEFITS 435152,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435152,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435152,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435152,A000000,00700,0000,0700HOUSEKEEPING 435152,A000000,00800,0000,0800DIETARY 435152,A000000,00900,0000,0900NURSING ADMINISTRATION 435152,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435152,A000000,01300,0000,1300SOCIAL SERVICE 435152,A000000,01600,0000,1600SKILLED NURSING FACILITY 435152,A000000,01800,0000,1800NURSING FACILITY 435152,A000000,01810,0000,1810ICF/MR 435152,A000000,01900,0000,1900OTHER LONG TERM CARE 435152,A000000,02100,0000,2100RADIOLOGY 435152,A000000,02200,0000,2200LABORATORY 435152,A000000,02300,0000,2300INTRAVENOUS THERAPY 435152,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435152,A000000,02500,0000,2500PHYSICAL THERAPY 435152,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435152,A000000,02700,0000,2700SPEECH PATHOLOGY 435152,A000000,02800,0000,2800ELECTROCARDIOLOGY 435152,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435152,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435152,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435152,A000000,03200,0000,3200SUPPORT SURFACES 435152,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435152,A000000,03301,0000,3051AIR FLUID THERAPY 435152,A000000,03302,0000,3052AMBULANCE 435152,A000000,03303,0000,3053PEN THERAPY 435152,A000000,03304,0000,3054ONCOLOGY 435152,A000000,03305,0000,3055CARDIOLOGY 435152,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435152,A000000,03307,0000,3057AUDIOLOGY 435152,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435152,A000000,03400,0000,3400CLINIC 435152,A000000,03500,0000,3500RURAL HEALTH CLINIC 435152,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435152,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435152,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435152,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435152,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435152,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435152,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435152,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435152,A000000,04400,0000,4400DME RENTED - HHA 435152,A000000,04500,0000,4500DME SOLD - HHA 435152,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435152,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435152,A000000,04710,0000,4710TELEMEDICINE 435152,A000000,04800,0000,4800AMBULANCE 435152,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435152,A000000,05000,0000,5000CORF 435152,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435152,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435152,A000000,05300,0000,5300INTEREST EXPENSE 435152,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435152,A000000,05500,0000,5500HOSPICE 435152,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435152,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435152,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435152,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435152,A000000,06100,0000,6100NONPAID WORKERS 435152,A000000,06200,0000,6200PATIENTS LAUNDRY 435152,A000000,06300,0000,6150ADULT DAY HEALTH 435152,A000000,06301,0000,6151ASSISTED LIVING 435152,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435152,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435152,A81000A,00100,0100,Y 435152,A81000B,00100,0300,CENTRAL OFFICE COST 435152,A81000B,00200,0300,CENTRAL OFFICE COST - DIETARY 435152,A81000B,00300,0300,CENTRAL OFFICE COST - CLINICAL 435152,A81000B,00400,0300,PT SERVICES 435152,A81000B,00500,0300,OT SERVICES 435152,A81000B,00600,0300,ST SERVICES 435152,A81000C,00100,0100,G 435152,A81000C,00100,0200,AUGUSTANA CARE SERVICES 435152,A81000C,00100,0400,AUGUSTANA CARE SERVICES 435152,A81000C,00100,0600,MGMT COMPANY 435152,A81000C,00200,0100,G 435152,A81000C,00200,0200,AUGUSTANA CARE SERVICES 435152,A81000C,00200,0400,AUSTANA CARE SERVICES 435152,A81000C,00200,0600,MGMT COMPANY 435152,A81000C,00300,0100,G 435152,A81000C,00300,0200,AUGUSTANA CARE SERVICES 435152,A81000C,00300,0400,AUSTANA CARE SERVICES 435152,A81000C,00300,0600,MGMT COMPANY 435152,A81000C,00400,0100,G 435152,A81000C,00400,0200,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00400,0400,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00400,0600,THERAPY SERVICES 435152,A81000C,00500,0100,G 435152,A81000C,00500,0200,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00500,0400,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00500,0600,THERAPY SERVICES 435152,A81000C,00600,0100,G 435152,A81000C,00600,0200,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00600,0400,AUGUSTANA COMMUNITY PARTN 435152,A81000C,00600,0600,THERAPY SERVICES 435152,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435152,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435152,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435152,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435152,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435152,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435152,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435152,B100000,00000,0800,0800MEALS SERVED :DIETARY 435152,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435152,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435152,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435152,E10A180,00550,0100,03/19/12 435152,E10A180,00550,0300,03/19/12 435152,E10A180,00551,0100,05/14/12 435152,G300000,02500,0000,OTHER - SEE GROUPINGS 435152,S000000,00100,0200,02/28/12 435152,S200000,00100,0100,1007 EST 14TH STREET 435152,S200000,00200,0100,MINNEAPOLIS 435152,S200000,00200,0200,MN 435152,S200000,00200,0300,55404-1395 435152,S200000,00300,0100,HENNEPIN 435152,S200000,00300,0200,5120 435152,S200000,00300,0201,33460 435152,S200000,00300,0300,U 435152,S200000,00400,0100,AUGUSTANA HEALTH CARE CENTER OF MINN 435152,S200000,00400,0200,245242 435152,S200000,00400,0300,07/10/81 435152,S200000,00400,0500,P 435152,S200000,00400,0600,P 435152,S200000,01500,0100,Y 435152,S200000,01501,0200,N 435152,S200000,01502,0200,Y 435152,S200000,01503,0200,Y 435152,S200000,01600,0100,N 435152,S200000,01700,0100,N 435152,S200000,01800,0100,N 435152,S200000,02200,0100,N 435152,S200000,02800,0100,N 435152,S200000,02900,0100,N 435152,S200000,03000,0100,N 435152,S200000,03100,0100,N 435152,S200000,03200,0100,N 435152,S200000,03300,0100,N 435152,S200000,03300,0200,N 435152,S200000,04100,0100,N 435152,S200000,04200,0100,N 435152,S200000,04300,0100,N 435152,S200000,04600,0100,N 435152,S200000,04700,0100,N 435152,S200000,04700,0200,N 435152,S200000,04900,0100,N 435152,S200000,05000,0100,N 435152,S200000,05100,0100,N 435152,S200000,05200,0100,N 435152,S200000,05300,0100,Y 435152,S200000,05300,0200,HB0494 435152,S200000,05400,0100,AUGUSTANA CARE SERVICES 435152,S200000,05400,0200,NORIDIAN 435152,S200000,05400,0300,00320 435152,S200000,05500,0100,1007 EAST FOURTEENTH STREET 435152,S200000,05500,0200,N/A 435152,S200000,05600,0100,MINNEAPOLIS 435152,S200000,05600,0200,MN 435152,S200000,05600,0300,55404 435153,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435153,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435153,A000000,00300,0000,0300EMPLOYEE BENEFITS 435153,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435153,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435153,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435153,A000000,00700,0000,0700HOUSEKEEPING 435153,A000000,00800,0000,0800DIETARY 435153,A000000,00900,0000,0900NURSING ADMINISTRATION 435153,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435153,A000000,01300,0000,1300SOCIAL SERVICE 435153,A000000,01600,0000,1600SKILLED NURSING FACILITY 435153,A000000,01800,0000,1800NURSING FACILITY 435153,A000000,01810,0000,1810ICF/MR 435153,A000000,01900,0000,1900OTHER LONG TERM CARE 435153,A000000,02100,0000,2100RADIOLOGY 435153,A000000,02200,0000,2200LABORATORY 435153,A000000,02300,0000,2300INTRAVENOUS THERAPY 435153,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435153,A000000,02500,0000,2500PHYSICAL THERAPY 435153,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435153,A000000,02700,0000,2700SPEECH PATHOLOGY 435153,A000000,02800,0000,2800ELECTROCARDIOLOGY 435153,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435153,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435153,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435153,A000000,03200,0000,3200SUPPORT SURFACES 435153,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435153,A000000,03301,0000,3051AIR FLUID THERAPY 435153,A000000,03302,0000,3052AMBULANCE 435153,A000000,03303,0000,3053PEN THERAPY 435153,A000000,03304,0000,3054ONCOLOGY 435153,A000000,03305,0000,3055CARDIOLOGY 435153,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435153,A000000,03307,0000,3057AUDIOLOGY 435153,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435153,A000000,03400,0000,3400CLINIC 435153,A000000,03500,0000,3500RURAL HEALTH CLINIC 435153,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435153,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435153,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435153,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435153,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435153,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435153,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435153,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435153,A000000,04400,0000,4400DME RENTED - HHA 435153,A000000,04500,0000,4500DME SOLD - HHA 435153,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435153,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435153,A000000,04710,0000,4710TELEMEDICINE 435153,A000000,04800,0000,4800AMBULANCE 435153,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435153,A000000,05000,0000,5000CORF 435153,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435153,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435153,A000000,05300,0000,5300INTEREST EXPENSE 435153,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435153,A000000,05500,0000,5500HOSPICE 435153,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435153,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435153,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435153,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435153,A000000,06100,0000,6100NONPAID WORKERS 435153,A000000,06200,0000,6200PATIENTS LAUNDRY 435153,A000000,06300,0000,6150ADULT DAY HEALTH 435153,A000000,06301,0000,6151ASSISTED LIVING 435153,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435153,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435153,A81000A,00100,0100,Y 435153,A81000B,00100,0300,CENTRAL OFFICE 435153,A81000B,00200,0300,CENTRAL OFFICE 435153,A81000B,00300,0300,CENTRAL OFFICE 435153,A81000C,00100,0100,G 435153,A81000C,00100,0200,AUGUSTANA CARE SERVICES 435153,A81000C,00100,0400,AUGUSTANA CARE SERVICES 435153,A81000C,00100,0600,MGMT COMPANY 435153,A81000C,00200,0100,G 435153,A81000C,00200,0200,AUGUSTANA CARE SERVICES 435153,A81000C,00200,0400,AUGUSTANA CARE SERVICES 435153,A81000C,00200,0600,MGMT COMPANY 435153,A81000C,00300,0100,G 435153,A81000C,00300,0200,AUGUSTANA CARE SERVICES 435153,A81000C,00300,0400,AUGUSTANA CARE SERVICES 435153,A81000C,00300,0600,MGMT COMPANY 435153,A81000C,00400,0100,G 435153,A81000C,00400,0200,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00400,0400,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00400,0600,THERAPY SERVICES 435153,A81000C,00500,0100,G 435153,A81000C,00500,0200,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00500,0400,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00500,0600,THERAPY SERVICES 435153,A81000C,00600,0100,G 435153,A81000C,00600,0200,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00600,0400,AUGUSTANA COMMUNITY PARTN 435153,A81000C,00600,0600,THERAPY SERVICES 435153,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435153,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435153,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435153,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435153,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435153,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435153,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435153,B100000,00000,0800,0800MEALS SERVED :DIETARY 435153,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435153,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435153,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435153,E10A180,00501,0300,03/22/12 435153,E10A180,00550,0100,03/22/12 435153,E10A180,00551,0100,05/15/12 435153,G300000,02500,0000,OTHER - SEE GROUPINGS 435153,S000000,00100,0200,02/28/12 435153,S200000,00100,0100,14650 GARRETT AVE 435153,S200000,00200,0100,APPLE VALLEY 435153,S200000,00200,0200,MN 435153,S200000,00200,0300,55124-7543 435153,S200000,00300,0100,DAKOTA 435153,S200000,00300,0200,5120 435153,S200000,00300,0201,33460 435153,S200000,00300,0300,U 435153,S200000,00400,0100,AUGUSTANA - APPLE VALLEY 435153,S200000,00400,0200,245264 435153,S200000,00400,0300,07/01/83 435153,S200000,00400,0500,P 435153,S200000,00400,0600,P 435153,S200000,01500,0100,Y 435153,S200000,01501,0200,Y 435153,S200000,01502,0200,Y 435153,S200000,01503,0200,Y 435153,S200000,01504,0200,N 435153,S200000,01600,0100,N 435153,S200000,01700,0100,N 435153,S200000,01800,0100,N 435153,S200000,02200,0100,N 435153,S200000,02800,0100,N 435153,S200000,02900,0100,N 435153,S200000,03000,0100,N 435153,S200000,03100,0100,N 435153,S200000,03200,0100,N 435153,S200000,03300,0100,N 435153,S200000,03300,0200,N 435153,S200000,04100,0100,N 435153,S200000,04200,0100,N 435153,S200000,04300,0100,N 435153,S200000,04600,0100,N 435153,S200000,04700,0100,N 435153,S200000,04700,0200,N 435153,S200000,04900,0100,N 435153,S200000,05000,0100,N 435153,S200000,05100,0100,N 435153,S200000,05200,0100,N 435153,S200000,05300,0100,Y 435153,S200000,05300,0200,HB0494 435153,S200000,05400,0100,AUGUSTANA CARE SERVICES 435153,S200000,05400,0200,NORIDIAN 435153,S200000,05400,0300,00320 435153,S200000,05500,0100,1007 EAST FOURTEENTH STREET 435153,S200000,05600,0100,MINNEAPOLIS 435153,S200000,05600,0200,MN 435153,S200000,05600,0300,55404 435154,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435154,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435154,A000000,00300,0000,0300EMPLOYEE BENEFITS 435154,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435154,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435154,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435154,A000000,00700,0000,0700HOUSEKEEPING 435154,A000000,00800,0000,0800DIETARY 435154,A000000,00900,0000,0900NURSING ADMINISTRATION 435154,A000000,01100,0000,1100PHARMACY 435154,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435154,A000000,01300,0000,1300SOCIAL SERVICE 435154,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435154,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 435154,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 435154,A000000,01600,0000,1600SKILLED NURSING FACILITY 435154,A000000,01800,0000,1800NURSING FACILITY 435154,A000000,01810,0000,1810ICF/MR 435154,A000000,01900,0000,1900OTHER LONG TERM CARE 435154,A000000,02100,0000,2100RADIOLOGY 435154,A000000,02200,0000,2200LABORATORY 435154,A000000,02300,0000,2300INTRAVENOUS THERAPY 435154,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435154,A000000,02500,0000,2500PHYSICAL THERAPY 435154,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435154,A000000,02700,0000,2700SPEECH PATHOLOGY 435154,A000000,02800,0000,2800ELECTROCARDIOLOGY 435154,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435154,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435154,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435154,A000000,03200,0000,3200SUPPORT SURFACES 435154,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435154,A000000,03301,0000,3051AIR FLUID THERAPY 435154,A000000,03302,0000,3052AMBULANCE 435154,A000000,03303,0000,3053PEN THERAPY 435154,A000000,03304,0000,3054ONCOLOGY 435154,A000000,03305,0000,3055CARDIOLOGY 435154,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435154,A000000,03307,0000,3057AUDIOLOGY 435154,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435154,A000000,03400,0000,3400CLINIC 435154,A000000,03500,0000,3500RURAL HEALTH CLINIC 435154,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435154,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435154,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435154,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435154,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435154,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435154,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435154,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435154,A000000,04400,0000,4400DME RENTED - HHA 435154,A000000,04500,0000,4500DME SOLD - HHA 435154,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435154,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435154,A000000,04710,0000,4710TELEMEDICINE 435154,A000000,04800,0000,4800AMBULANCE 435154,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435154,A000000,05000,0000,5000CORF 435154,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435154,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435154,A000000,05300,0000,5300INTEREST EXPENSE 435154,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435154,A000000,05500,0000,5500HOSPICE 435154,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435154,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435154,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435154,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435154,A000000,06100,0000,6100NONPAID WORKERS 435154,A000000,06200,0000,6200PATIENTS LAUNDRY 435154,A000000,06300,0000,6150ADULT DAY HEALTH 435154,A000000,06301,0000,6151ASSISTED LIVING 435154,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435154,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435154,A81000A,00100,0100,Y 435154,A81000B,00100,0300,LAUNDRY SUPPLIES 435154,A81000C,00100,0100,A 435154,A81000C,00100,0200,KARL PELOVSKY 435154,A81000C,00100,0400,G & K DISTRIBUTION 435154,A81000C,00100,0600,SHAKLEE DISTRIBUTORS 435154,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435154,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435154,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435154,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435154,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435154,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435154,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435154,B100000,00000,0800,0800MEALS SERVED :DIETARY 435154,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 435154,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435154,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435154,E10A180,00501,0100,05/03/12 435154,E10A180,00501,0300,05/03/12 435154,G300000,02500,0000,OTHER - SEE GROUPINGS 435154,S000000,00100,0200,02/24/12 435154,S200000,00100,0100,444 N CORDONA 435154,S200000,00200,0100,LECENTER 435154,S200000,00200,0200,MN 435154,S200000,00200,0300,56057 435154,S200000,00300,0100,LE SUEUR 435154,S200000,00300,0200,24 435154,S200000,00300,0201,99924 435154,S200000,00300,0300,R 435154,S200000,00400,0100,CENTRAL HEALTH CARE OF LE CENTER 435154,S200000,00400,0200,245401 435154,S200000,00400,0300,12/01/86 435154,S200000,00400,0500,P 435154,S200000,00400,0600,P 435154,S200000,01500,0100,N 435154,S200000,01501,0200,Y 435154,S200000,01502,0200,Y 435154,S200000,01503,0200,Y 435154,S200000,01504,0200,N 435154,S200000,01600,0100,Y 435154,S200000,01700,0100,N 435154,S200000,01800,0100,N 435154,S200000,02200,0100,N 435154,S200000,02800,0100,Y 435154,S200000,02900,0100,N 435154,S200000,03000,0100,N 435154,S200000,03100,0100,N 435154,S200000,03200,0100,N 435154,S200000,03300,0100,N 435154,S200000,03300,0200,N 435154,S200000,04100,0100,N 435154,S200000,04200,0100,N 435154,S200000,04300,0100,N 435154,S200000,04600,0100,N 435154,S200000,04700,0100,N 435154,S200000,04700,0200,N 435154,S200000,04900,0100,N 435154,S200000,05000,0100,N 435154,S200000,05100,0100,N 435154,S200000,05200,0100,N 435154,S200000,05300,0100,N 435155,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435155,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435155,A000000,00300,0000,0300EMPLOYEE BENEFITS 435155,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435155,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435155,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435155,A000000,00700,0000,0700HOUSEKEEPING 435155,A000000,00800,0000,0800DIETARY 435155,A000000,00900,0000,0900NURSING ADMINISTRATION 435155,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435155,A000000,01300,0000,1300SOCIAL SERVICE 435155,A000000,01600,0000,1600SKILLED NURSING FACILITY 435155,A000000,01800,0000,1800NURSING FACILITY 435155,A000000,02100,0000,2100RADIOLOGY 435155,A000000,02200,0000,2200LABORATORY 435155,A000000,02500,0000,2500PHYSICAL THERAPY 435155,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435155,A000000,02700,0000,2700SPEECH PATHOLOGY 435155,A000000,02800,0000,2800ELECTROCARDIOLOGY 435155,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435155,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435155,A000000,03200,0000,3200SUPPORT SURFACES 435155,A000000,04800,0000,4800AMBULANCE 435155,A000000,06200,0000,6200PATIENTS LAUNDRY 435155,A000000,06201,0000,6201MAPLES SENIOR HOUSING 435155,A000000,06300,0000,6150NON ALLOWABLE FEDERAL INCOME TAX 435155,A81000A,00100,0100,Y 435155,A81000B,00100,0300,OFFICE SPACE RENTAL 435155,A81000B,00200,0300,STAFF SOLUTIONS/COMFORT HH 435155,A81000C,00100,0100,D 435155,A81000C,00100,0200,PAT BLUM 435155,A81000C,00100,0400,COMFORT HOME HEALTH CARE 435155,A81000C,00100,0600,HOME HEALTH CARE 435155,B100000,00000,0100,0100SQUARE FT :CAP REL COSTS - BLDG 435155,B100000,00000,0200,0200SQUARE FT :CAP REL COSTS - MOVE 435155,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435155,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435155,B100000,00000,0500,0500SQUARE FT :PLANT OPERATION MAI 435155,B100000,00000,0600,0600POUNDS :LAUNDRY & LINEN SERVIC 435155,B100000,00000,0700,0750SQUARE FT :HOUSEKEEPING 435155,B100000,00000,0800,0800MEALS :DIETARY 435155,B100000,00000,0900,0900HOURS OF SERV :NURSING ADMINISTR 435155,B100000,00000,1200,1250HOURS OF SERV :MEDICAL RECORDS & 435155,B100000,00000,1300,1330HOURS OF SERV :SOCIAL SERVICE 435155,E10A180,00550,0100,03/19/12 435155,E10A180,00550,0300,03/19/12 435155,G300000,02500,0000,MISC 435155,S000000,00100,0200,02/23/12 435155,S200000,00100,0100,1875 19TH STREET NW 435155,S200000,00200,0100,ROCHESTER 435155,S200000,00200,0200,MN 435155,S200000,00200,0300,55901-1699 435155,S200000,00300,0100,OLMSTED 435155,S200000,00300,0200,6820 435155,S200000,00300,0201,40340 435155,S200000,00300,0300,U 435155,S200000,00400,0100,MAPLE MANOR ENTERPRISES OF ROCHESTER 435155,S200000,00400,0200,245409 435155,S200000,00400,0300,01/01/87 435155,S200000,00400,0500,P 435155,S200000,01500,0100,Y 435155,S200000,01501,0200,Y 435155,S200000,01600,0100,N 435155,S200000,01700,0100,N 435155,S200000,01800,0100,N 435155,S200000,02200,0100,Y 435155,S200000,02800,0100,Y 435155,S200000,02900,0100,N 435155,S200000,03000,0100,N 435155,S200000,03100,0100,N 435155,S200000,03200,0100,N 435155,S200000,03300,0100,N 435155,S200000,03300,0200,N 435155,S200000,04100,0100,N 435155,S200000,04200,0100,N 435155,S200000,04300,0100,N 435155,S200000,04600,0100,N 435155,S200000,04700,0100,N 435155,S200000,04700,0200,N 435155,S200000,04900,0100,N 435155,S200000,05000,0100,N 435155,S200000,05100,0100,N 435155,S200000,05200,0100,N 435156,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435156,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435156,A000000,00300,0000,0300EMPLOYEE BENEFITS 435156,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435156,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435156,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435156,A000000,00700,0000,0700HOUSEKEEPING 435156,A000000,00800,0000,0800DIETARY 435156,A000000,00900,0000,0900NURSING ADMINISTRATION 435156,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435156,A000000,01300,0000,1300SOCIAL SERVICE 435156,A000000,01600,0000,1600SKILLED NURSING FACILITY 435156,A000000,01900,0000,1900OTHER LONG TERM CARE 435156,A000000,02100,0000,2100RADIOLOGY 435156,A000000,02200,0000,2200LABORATORY 435156,A000000,02500,0000,2500PHYSICAL THERAPY 435156,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435156,A000000,02700,0000,2700SPEECH PATHOLOGY 435156,A000000,02800,0000,2800ELECTROCARDIOLOGY 435156,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435156,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435156,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435156,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 435156,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435156,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435156,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435156,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435156,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435156,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435156,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435156,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435156,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435156,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 435156,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435156,A000000,05300,0000,5300INTEREST EXPENSE 435156,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435156,A000000,05500,0000,5500HOSPICE 435156,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435156,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435156,A000000,06200,0000,6200PATIENTS LAUNDRY 435156,A000000,06300,0000,6150SENIOR DAY SVC 435156,A000000,06301,0000,6151OTHER MEALS 435156,A000000,06302,0000,6152COMMUNITY FITNESS 435156,A000000,06303,0000,6153VIGOR AIDES 435156,A000000,06304,0000,6154NAR MENTOR 435156,A000000,06305,0000,6155COMPANION CARE 435156,A81000A,00100,0100,N 435156,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435156,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435156,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435156,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435156,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435156,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 435156,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435156,B100000,00000,0800,0800MEALS SERVED :DIETARY 435156,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 435156,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 435156,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 435156,E10A180,00501,0100,05/10/12 435156,G300000,02500,0000,MISC INCOME 435156,G300000,02501,0000,FINANCE CHARGE 435156,G300000,02502,0000,VAN INCOME 435156,G300000,02503,0000,HEALTH FITNESS INCOME 435156,G300000,02505,0000,DAY CARE INCOME 435156,G300000,02506,0000,SDS INCOME 435156,G300000,02507,0000,ACTIVITIES INCOME 435156,H513100,00000,0000,33460 435156,S000000,00100,0200,02/29/12 435156,S200000,00100,0100,182 SUNSET AVENUE NW 435156,S200000,00200,0100,COKATO 435156,S200000,00200,0200,MN 435156,S200000,00200,0300,55321-9620 435156,S200000,00300,0100,WRIGHT 435156,S200000,00300,0200,5120 435156,S200000,00300,0201,33460 435156,S200000,00300,0300,U 435156,S200000,00400,0100,COKATO MANOR 435156,S200000,00400,0200,245412 435156,S200000,00400,0300,01/01/87 435156,S200000,00400,0500,P 435156,S200000,00800,0200,248058 435156,S200000,00800,0300,09/08/97 435156,S200000,00800,0500,P 435156,S200000,01500,0100,Y 435156,S200000,01501,0200,N 435156,S200000,01502,0200,N 435156,S200000,01503,0200,Y 435156,S200000,01504,0200,N 435156,S200000,01600,0100,N 435156,S200000,01700,0100,N 435156,S200000,01800,0100,N 435156,S200000,02200,0100,N 435156,S200000,02800,0100,N 435156,S200000,02900,0100,N 435156,S200000,03000,0100,N 435156,S200000,03100,0100,N 435156,S200000,03200,0100,N 435156,S200000,03300,0100,N 435156,S200000,03300,0200,N 435156,S200000,03700,0100,N 435156,S200000,03700,0200,N 435156,S200000,04100,0100,N 435156,S200000,04200,0100,N 435156,S200000,04300,0100,N 435156,S200000,04600,0100,N 435156,S200000,04700,0100,N 435156,S200000,04700,0200,N 435156,S200000,04900,0100,N 435156,S200000,05000,0100,N 435156,S200000,05100,0100,N 435156,S200000,05200,0100,N 435156,S410002,01700,0101,33460 435157,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435157,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435157,A000000,00300,0000,0300EMPLOYEE BENEFITS 435157,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435157,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435157,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435157,A000000,00700,0000,0700HOUSEKEEPING 435157,A000000,00800,0000,0800DIETARY 435157,A000000,00900,0000,0900NURSING ADMINISTRATION 435157,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435157,A000000,01300,0000,1300SOCIAL SERVICE 435157,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 435157,A000000,01600,0000,1600SKILLED NURSING FACILITY 435157,A000000,01800,0000,1800NURSING FACILITY 435157,A000000,02100,0000,2100RADIOLOGY 435157,A000000,02200,0000,2200LABORATORY 435157,A000000,02500,0000,2500PHYSICAL THERAPY 435157,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435157,A000000,02700,0000,2700SPEECH PATHOLOGY 435157,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435157,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435157,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435157,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435157,A81000A,00100,0100,Y 435157,A81000B,00100,0300,WATER & SEWER PAYMENTS 435157,A81000B,00200,0300,BLDG DEPRECIATION-SEE SCHEDULE 435157,A81000C,00100,0100,B 435157,A81000C,00100,0400,CITY OF BELGRADE 435157,A81000C,00100,0600,CITY 435157,A81000C,00200,0100,B 435157,A81000C,00200,0400,CITY OF BELGRADE 435157,A81000C,00200,0600,CITY 435157,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435157,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435157,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435157,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435157,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435157,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435157,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435157,B100000,00000,0800,0800MEALS SERVED :DIETARY 435157,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435157,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435157,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435157,E10A180,00501,0100,05/16/12 435157,S000000,00100,0200,02/27/12 435157,S200000,00100,0100,103 SCHOOL STREET 435157,S200000,00100,0300,340 435157,S200000,00200,0100,BELGRADE 435157,S200000,00200,0200,MN 435157,S200000,00200,0300,56312 435157,S200000,00300,0100,STEARNS 435157,S200000,00300,0200,6980 435157,S200000,00300,0201,41060 435157,S200000,00300,0300,U 435157,S200000,00400,0100,BELGRADE NURSING HOME 435157,S200000,00400,0200,245418 435157,S200000,00400,0300,02/01/87 435157,S200000,00400,0500,P 435157,S200000,01500,0100,Y 435157,S200000,01501,0200,Y 435157,S200000,01600,0100,N 435157,S200000,01700,0100,N 435157,S200000,01800,0100,N 435157,S200000,02200,0100,N 435157,S200000,02800,0100,N 435157,S200000,02900,0100,N 435157,S200000,03000,0100,N 435157,S200000,03100,0100,N 435157,S200000,03200,0100,N 435157,S200000,03300,0100,N 435157,S200000,03300,0200,N 435157,S200000,04100,0100,N 435157,S200000,04200,0100,N 435157,S200000,04300,0100,N 435157,S200000,04600,0100,N 435157,S200000,04700,0100,N 435157,S200000,04700,0200,N 435157,S200000,04900,0100,N 435157,S200000,05000,0100,N 435157,S200000,05100,0100,N 435157,S200000,05200,0100,N 435157,S200000,05300,0100,N 435158,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435158,A000000,00300,0000,0300EMPLOYEE BENEFITS 435158,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435158,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435158,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435158,A000000,00700,0000,0700HOUSEKEEPING 435158,A000000,00800,0000,0800DIETARY 435158,A000000,00900,0000,0900NURSING ADMINISTRATION 435158,A000000,01100,0000,1100PHARMACY 435158,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435158,A000000,01300,0000,1300SOCIAL SERVICE 435158,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435158,A000000,01500,0000,1350ACTIVITIES 435158,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 435158,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 435158,A000000,01600,0000,1600SKILLED NURSING FACILITY 435158,A000000,01800,0000,1800NURSING FACILITY 435158,A000000,01810,0000,1810ICF/MR 435158,A000000,01900,0000,1900OTHER LONG TERM CARE 435158,A000000,02100,0000,2100RADIOLOGY 435158,A000000,02200,0000,2200LABORATORY 435158,A000000,02300,0000,2300INTRAVENOUS THERAPY 435158,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435158,A000000,02500,0000,2500PHYSICAL THERAPY 435158,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435158,A000000,02700,0000,2700SPEECH PATHOLOGY 435158,A000000,02800,0000,2800ELECTROCARDIOLOGY 435158,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435158,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435158,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435158,A000000,03200,0000,3200SUPPORT SURFACES 435158,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435158,A000000,03301,0000,3051AIR FLUID THERAPY 435158,A000000,03302,0000,3052AMBULANCE 435158,A000000,03303,0000,3053PEN THERAPY 435158,A000000,03304,0000,3054ONCOLOGY 435158,A000000,03305,0000,3055CARDIOLOGY 435158,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435158,A000000,03307,0000,3057AUDIOLOGY 435158,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435158,A000000,03400,0000,3400CLINIC 435158,A000000,03500,0000,3500RURAL HEALTH CLINIC 435158,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435158,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435158,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435158,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435158,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435158,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435158,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435158,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435158,A000000,04400,0000,4400DME RENTED - HHA 435158,A000000,04500,0000,4500DME SOLD - HHA 435158,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435158,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435158,A000000,04710,0000,4710TELEMEDICINE 435158,A000000,04800,0000,4800AMBULANCE 435158,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435158,A000000,05000,0000,5000CORF 435158,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435158,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435158,A000000,05300,0000,5300INTEREST EXPENSE 435158,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435158,A000000,05500,0000,5500HOSPICE 435158,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435158,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435158,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435158,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435158,A000000,06100,0000,6100NONPAID WORKERS 435158,A000000,06200,0000,6200PATIENTS LAUNDRY 435158,A000000,06300,0000,6150ADULT DAY HEALTH 435158,A000000,06301,0000,6151ASSISTED LIVING 435158,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435158,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435158,A81000A,00100,0100,N 435158,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435158,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435158,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435158,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435158,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435158,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435158,B100000,00000,0800,0800MEALS SERVED :DIETARY 435158,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435158,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435158,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435158,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435158,E10A180,00501,0100,05/14/12 435158,E10A180,00550,0300,05/14/12 435158,G300000,02500,0000,APARTMENT REVENUE 435158,G300000,02501,0000,OTHER REVENUES 435158,S000000,00100,0200,02/27/12 435158,S200000,00100,0100,1102 LIBERTY STREET SE 435158,S200000,00200,0100,CHATFIELD 435158,S200000,00200,0200,MN 435158,S200000,00200,0300,55923 435158,S200000,00300,0100,FILLMORE 435158,S200000,00300,0200,24 435158,S200000,00300,0201,99924 435158,S200000,00300,0300,R 435158,S200000,00400,0100,CHOSEN VALLEY CARE CENTER 435158,S200000,00400,0200,245423 435158,S200000,00400,0300,02/01/87 435158,S200000,00400,0500,P 435158,S200000,00400,0600,P 435158,S200000,01500,0100,Y 435158,S200000,01501,0200,Y 435158,S200000,01502,0200,Y 435158,S200000,01503,0200,N 435158,S200000,01504,0200,Y 435158,S200000,01600,0100,N 435158,S200000,01700,0100,N 435158,S200000,01800,0100,N 435158,S200000,02200,0100,N 435158,S200000,02800,0100,N 435158,S200000,02900,0100,N 435158,S200000,03000,0100,N 435158,S200000,03100,0100,N 435158,S200000,03200,0100,N 435158,S200000,03300,0100,N 435158,S200000,03300,0200,N 435158,S200000,04100,0100,N 435158,S200000,04200,0100,N 435158,S200000,04300,0100,N 435158,S200000,04600,0100,N 435158,S200000,04700,0100,N 435158,S200000,04700,0200,N 435158,S200000,04900,0100,N 435158,S200000,05000,0100,N 435158,S200000,05100,0100,N 435158,S200000,05200,0100,N 435158,S200000,05300,0100,N 435159,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435159,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435159,A000000,00300,0000,0300EMPLOYEE BENEFITS 435159,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435159,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435159,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435159,A000000,00700,0000,0700HOUSEKEEPING 435159,A000000,00800,0000,0800DIETARY 435159,A000000,00900,0000,0900NURSING ADMINISTRATION 435159,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435159,A000000,01100,0000,1100PHARMACY 435159,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435159,A000000,01300,0000,1300SOCIAL SERVICE 435159,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435159,A000000,01500,0000,1350ACTIVITIES 435159,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 435159,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 435159,A000000,01600,0000,1600SKILLED NURSING FACILITY 435159,A000000,01800,0000,1800NURSING FACILITY 435159,A000000,01810,0000,1810ICF/MR 435159,A000000,01900,0000,1900OTHER LONG TERM CARE 435159,A000000,02100,0000,2100RADIOLOGY 435159,A000000,02200,0000,2200LABORATORY 435159,A000000,02300,0000,2300INTRAVENOUS THERAPY 435159,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435159,A000000,02500,0000,2500PHYSICAL THERAPY 435159,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435159,A000000,02700,0000,2700SPEECH PATHOLOGY 435159,A000000,02800,0000,2800ELECTROCARDIOLOGY 435159,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435159,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435159,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435159,A000000,03200,0000,3200SUPPORT SURFACES 435159,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435159,A000000,03301,0000,3051AIR FLUID THERAPY 435159,A000000,03302,0000,3052AMBULANCE 435159,A000000,03303,0000,3053PEN THERAPY 435159,A000000,03304,0000,3054ONCOLOGY 435159,A000000,03305,0000,3055CARDIOLOGY 435159,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435159,A000000,03307,0000,3057AUDIOLOGY 435159,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435159,A000000,03400,0000,3400CLINIC 435159,A000000,03500,0000,3500RURAL HEALTH CLINIC 435159,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435159,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435159,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435159,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435159,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435159,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435159,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435159,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435159,A000000,04400,0000,4400DME RENTED - HHA 435159,A000000,04500,0000,4500DME SOLD - HHA 435159,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435159,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435159,A000000,04710,0000,4710TELEMEDICINE 435159,A000000,04800,0000,4800AMBULANCE 435159,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435159,A000000,05000,0000,5000CORF 435159,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435159,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435159,A000000,05300,0000,5300INTEREST EXPENSE 435159,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435159,A000000,05500,0000,5500HOSPICE 435159,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435159,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435159,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435159,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435159,A000000,06100,0000,6100NONPAID WORKERS 435159,A000000,06200,0000,6200PATIENTS LAUNDRY 435159,A000000,06300,0000,6150ADULT DAY HEALTH 435159,A000000,06301,0000,6151COMMUNITY OUTREACH AND DEVELOPME 435159,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435159,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435159,A81000A,00100,0100,N 435159,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435159,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435159,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435159,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435159,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435159,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435159,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435159,B100000,00000,0800,0800MEALS SERVED :DIETARY 435159,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435159,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435159,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435159,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435159,B100000,00000,1400,1450COSTED REQUIS. :INTERNS & RESID 435159,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435159,E10A180,00501,0300,03/15/12 435159,E10A180,00550,0100,03/15/12 435159,G300000,02500,0000,OTHER - SEE GROUPINGS 435159,S000000,00100,0200,02/28/12 435159,S200000,00100,0100,901 SOUTHEAST WILMAR AVE 435159,S200000,00200,0100,WILLMAR 435159,S200000,00200,0200,MN 435159,S200000,00200,0300,56201 435159,S200000,00300,0100,KANDIYOHI 435159,S200000,00300,0200,0024 435159,S200000,00300,0201,09924 435159,S200000,00300,0300,U 435159,S200000,00400,0100,BETHESDA HOMES - PLEASANT VIEW 435159,S200000,00400,0200,245427 435159,S200000,00400,0300,02/01/87 435159,S200000,00400,0500,P 435159,S200000,00400,0600,P 435159,S200000,01500,0100,Y 435159,S200000,01501,0200,N 435159,S200000,01503,0200,Y 435159,S200000,01600,0100,N 435159,S200000,01700,0100,N 435159,S200000,01800,0100,N 435159,S200000,02200,0100,N 435159,S200000,02800,0100,N 435159,S200000,02900,0100,N 435159,S200000,03000,0100,N 435159,S200000,03100,0100,N 435159,S200000,03200,0100,N 435159,S200000,03300,0100,N 435159,S200000,03300,0200,N 435159,S200000,04100,0100,N 435159,S200000,04200,0100,N 435159,S200000,04300,0100,N 435159,S200000,04600,0100,N 435159,S200000,04700,0100,N 435159,S200000,04700,0200,N 435159,S200000,04900,0100,N 435159,S200000,05000,0100,N 435159,S200000,05100,0100,N 435159,S200000,05200,0100,N 435159,S200000,05300,0100,N 435160,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435160,A000000,00300,0000,0300EMPLOYEE BENEFITS 435160,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435160,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435160,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435160,A000000,00700,0000,0700HOUSEKEEPING 435160,A000000,00800,0000,0800DIETARY 435160,A000000,00900,0000,0900NURSING ADMINISTRATION 435160,A000000,01100,0000,1100PHARMACY 435160,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435160,A000000,01300,0000,1300SOCIAL SERVICE 435160,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435160,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 435160,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 435160,A000000,01600,0000,1600SKILLED NURSING FACILITY 435160,A000000,01800,0000,1800NURSING FACILITY 435160,A000000,01810,0000,1810ICF/MR 435160,A000000,01900,0000,1900OTHER LONG TERM CARE 435160,A000000,02100,0000,2100RADIOLOGY 435160,A000000,02200,0000,2200LABORATORY 435160,A000000,02300,0000,2300INTRAVENOUS THERAPY 435160,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435160,A000000,02500,0000,2500PHYSICAL THERAPY 435160,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435160,A000000,02700,0000,2700SPEECH PATHOLOGY 435160,A000000,02800,0000,2800ELECTROCARDIOLOGY 435160,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435160,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435160,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435160,A000000,03200,0000,3200SUPPORT SURFACES 435160,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435160,A000000,03301,0000,3051AIR FLUID THERAPY 435160,A000000,03302,0000,3052AMBULANCE 435160,A000000,03303,0000,3053PEN THERAPY 435160,A000000,03304,0000,3054ONCOLOGY 435160,A000000,03305,0000,3055CARDIOLOGY 435160,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435160,A000000,03307,0000,3057AUDIOLOGY 435160,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435160,A000000,03400,0000,3400CLINIC 435160,A000000,03500,0000,3500RURAL HEALTH CLINIC 435160,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435160,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435160,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435160,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435160,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435160,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435160,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435160,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435160,A000000,04400,0000,4400DME RENTED - HHA 435160,A000000,04500,0000,4500DME SOLD - HHA 435160,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435160,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435160,A000000,04710,0000,4710TELEMEDICINE 435160,A000000,04800,0000,4800AMBULANCE 435160,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435160,A000000,05000,0000,5000CORF 435160,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435160,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435160,A000000,05300,0000,5300INTEREST EXPENSE 435160,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435160,A000000,05500,0000,5500HOSPICE 435160,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435160,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435160,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435160,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435160,A000000,06100,0000,6100NONPAID WORKERS 435160,A000000,06200,0000,6200PATIENTS LAUNDRY 435160,A000000,06300,0000,6150ADULT DAY HEALTH 435160,A000000,06301,0000,6151ASSISTED LIVING 435160,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435160,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435160,A81000A,00100,0100,N 435160,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435160,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435160,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435160,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435160,B100000,00000,0600,0600POUNDS :LAUNDRY & LINEN SERVIC 435160,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435160,B100000,00000,0800,0800MEALS SERVED :DIETARY 435160,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435160,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435160,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435160,E10A180,00550,0100,03/22/12 435160,G300000,02500,0000,OTHER - SEE GROUPINGS 435160,G300000,02502,0000,OTHER - SEE GROUPINGS 435160,S000000,00100,0200,02/28/12 435160,S200000,00100,0100,318 2ND STREET NE 435160,S200000,00200,0100,HAYFIELD 435160,S200000,00200,0200,MN 435160,S200000,00200,0300,55940 435160,S200000,00300,0100,DODGE 435160,S200000,00300,0200,0024 435160,S200000,00300,0201,40340 435160,S200000,00300,0300,U 435160,S200000,00400,0100,FIELD CREST CARE CENTER 435160,S200000,00400,0200,245431 435160,S200000,00400,0300,02/01/87 435160,S200000,00400,0500,P 435160,S200000,00400,0600,P 435160,S200000,01500,0100,Y 435160,S200000,01501,0200,Y 435160,S200000,01502,0200,Y 435160,S200000,01504,0200,Y 435160,S200000,01600,0100,N 435160,S200000,01700,0100,N 435160,S200000,01800,0100,N 435160,S200000,02200,0100,N 435160,S200000,02800,0100,N 435160,S200000,02900,0100,N 435160,S200000,03000,0100,N 435160,S200000,03100,0100,N 435160,S200000,03200,0100,N 435160,S200000,03300,0100,N 435160,S200000,03300,0200,N 435160,S200000,04100,0100,N 435160,S200000,04200,0100,N 435160,S200000,04300,0100,N 435160,S200000,04600,0100,N 435160,S200000,04700,0100,N 435160,S200000,04700,0200,N 435160,S200000,04900,0100,N 435160,S200000,05000,0100,N 435160,S200000,05100,0100,N 435160,S200000,05200,0100,N 435160,S200000,05300,0100,N 435167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435167,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 435167,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435167,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 435167,A000000,00300,0000,0300EMPLOYEE BENEFITS 435167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435167,A000000,00700,0000,0700HOUSEKEEPING 435167,A000000,00800,0000,0800DIETARY 435167,A000000,00801,0000,0801CAFETERIA 435167,A000000,00900,0000,0900NURSING ADMINISTRATION 435167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435167,A000000,01100,0000,1100PHARMACY 435167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435167,A000000,01300,0000,1300SOCIAL SERVICE 435167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435167,A000000,01500,0000,1350ACTIVITIES 435167,A000000,01600,0000,1600SKILLED NURSING FACILITY 435167,A000000,01800,0000,1800NURSING FACILITY 435167,A000000,01900,0000,1900OTHER LONG TERM CARE 435167,A000000,02100,0000,2100RADIOLOGY 435167,A000000,02200,0000,2200LABORATORY 435167,A000000,02300,0000,2300INTRAVENOUS THERAPY 435167,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435167,A000000,02500,0000,2500PHYSICAL THERAPY 435167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435167,A000000,02700,0000,2700SPEECH PATHOLOGY 435167,A000000,02800,0000,2800ELECTROCARDIOLOGY 435167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435167,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435167,A000000,03200,0000,3200SUPPORT SURFACES 435167,A000000,03300,0000,3050ENTERALS 435167,A000000,03301,0000,3051OXYGEN 435167,A000000,03302,0000,3052OTHER ANCILLARY III 435167,A000000,03400,0000,3400CLINIC 435167,A000000,03500,0000,3500RURAL HEALTH CLINIC 435167,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 435167,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435167,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435167,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435167,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435167,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435167,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435167,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435167,A000000,04400,0000,4400DME RENTED - HHA 435167,A000000,04500,0000,4500DME SOLD - HHA 435167,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435167,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435167,A000000,04710,0000,4710TELEMEDICINE 435167,A000000,04800,0000,4800AMBULANCE 435167,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435167,A000000,05000,0000,5000CORF 435167,A000000,05001,0000,5001CMHC I 435167,A000000,05020,0000,5020OPT I 435167,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435167,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435167,A000000,05300,0000,5300INTEREST EXPENSE 435167,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435167,A000000,05500,0000,5500HOSPICE 435167,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 435167,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 435167,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435167,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435167,A000000,06100,0000,6100NONPAID WORKERS 435167,A000000,06200,0000,6200PATIENTS LAUNDRY 435167,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435167,A81000A,00100,0100,N 435167,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435167,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 435167,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435167,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435167,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435167,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435167,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435167,B100000,00000,0800,0800MEALS SERVED :DIETARY 435167,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 435167,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435167,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435167,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435167,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435167,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435167,E10A180,00501,0100,10/26/12 435167,E10A180,00550,0100,02/14/12 435167,G300000,02500,0000, ASSISTED LIVING & MISC. 435167,S000000,00100,0200,05/23/12 435167,S200000,00100,0100,3550 NORTHFIELD ROAD 435167,S200000,00200,0100,SHAKER HEIGHTS 435167,S200000,00200,0200,OH 435167,S200000,00200,0300,44122 435167,S200000,00300,0100,CUYAHOGA 435167,S200000,00300,0200,1680 435167,S200000,00300,0201,17460 435167,S200000,00300,0300,U 435167,S200000,00400,0100,SHAKER GARDENS LTC 435167,S200000,00400,0200,366021 435167,S200000,00400,0300,08/11/95 435167,S200000,00400,0500,P 435167,S200000,01500,0100,Y 435167,S200000,01501,0200,Y 435167,S200000,01502,0200,Y 435167,S200000,01503,0200,Y 435167,S200000,01504,0200,Y 435167,S200000,01600,0100,N 435167,S200000,01700,0100,N 435167,S200000,01800,0100,N 435167,S200000,02200,0100,N 435167,S200000,02800,0100,N 435167,S200000,02900,0100,N 435167,S200000,03000,0100,N 435167,S200000,03100,0100,N 435167,S200000,03200,0100,N 435167,S200000,03300,0100,N 435167,S200000,03300,0200,N 435167,S200000,04100,0100,N 435167,S200000,04200,0100,N 435167,S200000,04300,0100,N 435167,S200000,04600,0100,N 435167,S200000,04700,0100,N 435167,S200000,04700,0200,N 435167,S200000,04900,0100,N 435167,S200000,05000,0100,N 435167,S200000,05100,0100,N 435167,S200000,05200,0100,N 435167,S200000,05300,0100,N 435177,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435177,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435177,A000000,00300,0000,0300EMPLOYEE BENEFITS 435177,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435177,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435177,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435177,A000000,00700,0000,0700HOUSEKEEPING 435177,A000000,00800,0000,0800DIETARY 435177,A000000,00900,0000,0900NURSING ADMINISTRATION 435177,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435177,A000000,01100,0000,1100PHARMACY 435177,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435177,A000000,01300,0000,1300SOCIAL SERVICE 435177,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435177,A000000,01500,0000,1350PATIENT ACTIVITIES 435177,A000000,01600,0000,1600SKILLED NURSING FACILITY 435177,A000000,01810,0000,1810ICF/MR 435177,A000000,02100,0000,2100RADIOLOGY 435177,A000000,02200,0000,2200LABORATORY 435177,A000000,02500,0000,2500PHYSICAL THERAPY 435177,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435177,A000000,02700,0000,2700SPEECH PATHOLOGY 435177,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435177,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435177,A000000,03300,0000,3050BED RENTALS 435177,A000000,03550,0000,3550FQHC 435177,A000000,05000,0000,5000CORF 435177,A000000,05010,0000,5010CMHC 435177,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435177,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435177,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435177,A81000A,00100,0100,N 435177,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435177,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435177,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435177,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435177,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435177,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435177,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435177,B100000,00000,0800,0800MEALS SERVED :DIETARY 435177,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435177,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435177,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435177,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435177,E10A180,00501,0100,09/17/12 435177,E10A180,00550,0300,09/17/12 435177,G300000,02501,0000,MISCELLANEOUS INCOME 435177,S000000,00100,0200,07/18/12 435177,S200000,00100,0100,436 WOODSTOWN ROAD 435177,S200000,00200,0100,SALEM 435177,S200000,00200,0200,NJ 435177,S200000,00200,0300,08079 435177,S200000,00300,0100,SALEM 435177,S200000,00300,0201,U 435177,S200000,00300,0300,U 435177,S200000,00400,0100,SALEM COUNTY NURSING HOME 435177,S200000,00400,0200,315058 435177,S200000,00400,0300,02/26/68 435177,S200000,00400,0500,P 435177,S200000,01500,0100,Y 435177,S200000,01501,0200,N 435177,S200000,01503,0200,N 435177,S200000,01600,0100,N 435177,S200000,01700,0100,N 435177,S200000,01800,0100,N 435177,S200000,02200,0100,N 435177,S200000,02800,0100,N 435177,S200000,02900,0100,N 435177,S200000,03000,0100,N 435177,S200000,03100,0100,Y 435177,S200000,03200,0100,N 435177,S200000,03300,0100,N 435177,S200000,03300,0200,N 435177,S200000,04100,0100,N 435177,S200000,04200,0100,N 435177,S200000,04300,0100,N 435177,S200000,04600,0100,N 435177,S200000,04700,0100,N 435177,S200000,04700,0200,N 435177,S200000,04900,0100,N 435177,S200000,05000,0100,N 435177,S200000,05100,0100,N 435177,S200000,05200,0100,N 435177,S200000,05300,0100,N 435178,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435178,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435178,A000000,00300,0000,0300EMPLOYEE BENEFITS 435178,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435178,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435178,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435178,A000000,00700,0000,0700HOUSEKEEPING 435178,A000000,00800,0000,0800DIETARY 435178,A000000,00900,0000,0900NURSING ADMINISTRATION 435178,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435178,A000000,01100,0000,1100PHARMACY 435178,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435178,A000000,01300,0000,1300SOCIAL SERVICE 435178,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435178,A000000,01500,0000,1350RECREATION 435178,A000000,01600,0000,1600SKILLED NURSING FACILITY 435178,A000000,01810,0000,1810ICF/MR 435178,A000000,02200,0000,2200LABORATORY 435178,A000000,02300,0000,2300INTRAVENOUS THERAPY 435178,A000000,02500,0000,2500PHYSICAL THERAPY 435178,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435178,A000000,02700,0000,2700SPEECH PATHOLOGY 435178,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435178,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435178,A000000,03550,0000,3550FQHC 435178,A000000,05000,0000,5000CORF 435178,A000000,05010,0000,5010CMHC 435178,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435178,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435178,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435178,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435178,A81000A,00100,0100,Y 435178,A81000B,00100,0300,HOME OFFICE NONCAPIT 435178,A81000B,00200,0300,HOME OFFICE CAPITAL 435178,A81000C,00100,0100,B 435178,A81000C,00100,0200,MISSION HEALTH 435178,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435178,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435178,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435178,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435178,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435178,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 435178,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435178,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435178,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435178,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435178,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435178,B100000,00000,1500,1350PATIENT DAYS :RECREATION 435178,E10A180,00301,0100,07/31/11 435178,G300000,02500,0000,GAIN ON SALE 435178,S000000,00100,0200,12/28/11 435178,S200000,00100,0100,416 NORTH STATE STREET 435178,S200000,00200,0100,HURRICANE 435178,S200000,00200,0200,UT 435178,S200000,00200,0300,84737 435178,S200000,00300,0100,WASHINGTON 435178,S200000,00300,0201,41100 435178,S200000,00300,0300,U 435178,S200000,00400,0100,ZION S HEALTHCARE COMPLEX 435178,S200000,00400,0200,465101 435178,S200000,00400,0300,07/01/85 435178,S200000,00400,0500,P 435178,S200000,01500,0100,Y 435178,S200000,01600,0100,N 435178,S200000,01700,0100,N 435178,S200000,01800,0100,N 435178,S200000,01900,0100,CORPORATION 435178,S200000,02200,0100,N 435178,S200000,02800,0100,N 435178,S200000,02900,0100,N 435178,S200000,03000,0100,N 435178,S200000,03100,0100,N 435178,S200000,03200,0100,N 435178,S200000,03300,0100,N 435178,S200000,03300,0200,N 435178,S200000,04100,0100,N 435178,S200000,04200,0100,N 435178,S200000,04300,0100,N 435178,S200000,04600,0100,N 435178,S200000,04700,0100,N 435178,S200000,04700,0200,N 435178,S200000,04900,0100,N 435178,S200000,05000,0100,N 435178,S200000,05100,0100,N 435178,S200000,05200,0100,N 435180,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435180,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435180,A000000,00300,0000,0300EMPLOYEE BENEFITS 435180,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435180,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435180,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435180,A000000,00700,0000,0700HOUSEKEEPING 435180,A000000,00800,0000,0800DIETARY 435180,A000000,00900,0000,0900NURSING ADMINISTRATION 435180,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435180,A000000,01100,0000,1100PHARMACY 435180,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435180,A000000,01300,0000,1300SOCIAL SERVICE 435180,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435180,A000000,01500,0000,1350RECREATION ACTIVITIES 435180,A000000,01600,0000,1600SKILLED NURSING FACILITY 435180,A000000,01800,0000,1800NURSING FACILITY 435180,A000000,01810,0000,1810ICF/MR 435180,A000000,02100,0000,2100RADIOLOGY 435180,A000000,02200,0000,2200LABORATORY 435180,A000000,02500,0000,2500PHYSICAL THERAPY 435180,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435180,A000000,02700,0000,2700SPEECH PATHOLOGY 435180,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435180,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435180,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435180,A000000,03301,0000,3051ENTERAL FEEDING 435180,A000000,03550,0000,3550FQHC 435180,A000000,05000,0000,5000CORF 435180,A000000,05010,0000,5010CMHC 435180,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435180,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435180,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435180,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435180,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435180,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435180,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435180,A000000,06312,0000,6153DIALYSIS 435180,A000000,06320,0000,6154APARTMENTS 435180,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435180,A000000,06340,0000,6156CLOSED PATIENT AREAS 435180,A000000,06350,0000,6157O/P ADULT DAYCARE 435180,A000000,06360,0000,6158MARKETING 435180,A81000A,00100,0100,Y 435180,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435180,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435180,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435180,A81000C,00100,0100,A 435180,A81000C,00100,0200,FUNDAMENTAL HOL 435180,A81000C,00100,0400,FAS FCC FCOS 435180,A81000C,00100,0600,SUPPORT SERVICE 435180,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435180,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435180,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435180,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435180,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435180,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435180,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 435180,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435180,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435180,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435180,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435180,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435180,E10A180,00302,0100,03/21/11 435180,E10A180,00501,0100,03/26/12 435180,E10A180,00501,0300,03/26/12 435180,G300000,02500,0000,TRANSPORTATION 435180,G300000,02504,0000,RENTAL INCOME 435180,G300000,02505,0000,MISCELLANEOUS REVENUE 435180,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435180,S000000,00100,0200,02/27/12 435180,S200000,00100,0100,1007 NORTH KINGS STREET 435180,S200000,00200,0100,COLUMBIA 435180,S200000,00200,0200,SC 435180,S200000,00200,0300,29223 435180,S200000,00300,0100,RICHLAND 435180,S200000,00300,0201,17900 435180,S200000,00300,0300,U 435180,S200000,00400,0100,MAGNOLIA MANOR OF COLUMBIA 435180,S200000,00400,0200,425287 435180,S200000,00400,0300,07/01/93 435180,S200000,00400,0500,P 435180,S200000,00400,0600,O 435180,S200000,01500,0100,Y 435180,S200000,01501,0200,Y 435180,S200000,01502,0200,Y 435180,S200000,01503,0200,Y 435180,S200000,01504,0200,Y 435180,S200000,01600,0100,N 435180,S200000,01700,0100,N 435180,S200000,01800,0100,N 435180,S200000,01900,0100,LLC 435180,S200000,02200,0100,N 435180,S200000,02800,0100,N 435180,S200000,02900,0100,N 435180,S200000,03000,0100,N 435180,S200000,03100,0100,N 435180,S200000,03200,0100,N 435180,S200000,03300,0100,N 435180,S200000,03300,0200,N 435180,S200000,04100,0100,N 435180,S200000,04200,0100,N 435180,S200000,04300,0100,N 435180,S200000,04600,0100,N 435180,S200000,04700,0100,N 435180,S200000,04700,0200,N 435180,S200000,04900,0100,N 435180,S200000,05000,0100,N 435180,S200000,05100,0100,N 435180,S200000,05200,0100,N 435180,S200000,05300,0100,Y 435183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435183,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435183,A000000,00300,0000,0300EMPLOYEE BENEFITS 435183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435183,A000000,00700,0000,0700HOUSEKEEPING 435183,A000000,00800,0000,0800DIETARY 435183,A000000,00900,0000,0900NURSING ADMINISTRATION 435183,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435183,A000000,01100,0000,1100PHARMACY 435183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435183,A000000,01300,0000,1300SOCIAL SERVICE 435183,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435183,A000000,01600,0000,1600SKILLED NURSING FACILITY 435183,A000000,01800,0000,1800NURSING FACILITY 435183,A000000,01810,0000,1810ICF/MR 435183,A000000,02100,0000,2100RADIOLOGY 435183,A000000,02200,0000,2200LABORATORY 435183,A000000,02500,0000,2500PHYSICAL THERAPY 435183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435183,A000000,02700,0000,2700SPEECH PATHOLOGY 435183,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435183,A000000,03550,0000,3550FQHC 435183,A000000,05000,0000,5000CORF 435183,A000000,05010,0000,5010CMHC 435183,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435183,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435183,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435183,A81000A,00100,0100,Y 435183,A81000B,00100,0300,EMP. BENEFITS IMRF 435183,A81000B,00200,0300,MEDICARE PAYROLL TAX 435183,A81000B,00300,0300,PAYROLL TAXES 435183,A81000B,00400,0300,WORKERS COMP 435183,A81000B,00500,0300,UNEMPLOYMENT TAXES 435183,A81000B,00600,0300,A&G 435183,A81000C,00100,0100,A 435183,A81000C,00100,0400,WINNEBAGO COUNT 435183,A81000C,00100,0600,COUNTY 435183,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435183,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435183,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435183,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435183,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435183,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435183,B100000,00000,0800,0800MEALS SERVED :DIETARY 435183,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435183,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435183,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435183,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435183,E10A180,00503,0300,02/27/12 435183,E10A180,00550,0100,04/11/12 435183,E10A180,00551,0100,02/27/12 435183,G300000,02500,0000,UNIFORMS 435183,G300000,02501,0000,JURY DUTY 435183,G300000,02502,0000,VENDING INCOME 435183,G300000,02503,0000,COPY INCOME 435183,G300000,02504,0000,ACTIVITIES INCOME 435183,G300000,02505,0000,OTHER OFFICE INCOME 435183,G300000,02506,0000,SCRAP METAL INCOME 435183,G300000,02507,0000,OTHER REVENUE 435183,G300000,02508,0000,NURSING REVENUE 435183,G300000,02509,0000,R/M INTERDEPARTMENT CHARGES 435183,S000000,00100,0200,02/27/12 435183,S200000,00100,0100,4401 NORTH MAIN STREET 435183,S200000,00200,0100,ROCKFORD 435183,S200000,00200,0200,IL 435183,S200000,00200,0300,61103 435183,S200000,00300,0100,WINNEBAGO 435183,S200000,00300,0201,40420 435183,S200000,00300,0300,U 435183,S200000,00400,0100,RIVER BLUFF NURSING HOME 435183,S200000,00400,0200,145771 435183,S200000,00400,0300,04/08/93 435183,S200000,00400,0500,P 435183,S200000,01500,0100,N 435183,S200000,01501,0200,Y 435183,S200000,01502,0200,Y 435183,S200000,01504,0200,Y 435183,S200000,01600,0100,Y 435183,S200000,01700,0100,N 435183,S200000,01800,0100,N 435183,S200000,02200,0100,N 435183,S200000,02800,0100,N 435183,S200000,02900,0100,N 435183,S200000,03000,0100,N 435183,S200000,03100,0100,N 435183,S200000,03200,0100,N 435183,S200000,03300,0100,N 435183,S200000,03300,0200,N 435183,S200000,04100,0100,N 435183,S200000,04200,0100,N 435183,S200000,04300,0100,N 435183,S200000,04600,0100,N 435183,S200000,04700,0100,N 435183,S200000,04700,0200,N 435183,S200000,04900,0100,N 435183,S200000,05000,0100,N 435183,S200000,05100,0100,N 435183,S200000,05200,0100,N 435183,S200000,05300,0100,N 435185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435185,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435185,A000000,00300,0000,0300EMPLOYEE BENEFITS 435185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435185,A000000,00700,0000,0700HOUSEKEEPING 435185,A000000,00800,0000,0800DIETARY 435185,A000000,00900,0000,0900NURSING ADMINISTRATION 435185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435185,A000000,01100,0000,1100PHARMACY 435185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435185,A000000,01300,0000,1300SOCIAL SERVICE 435185,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435185,A000000,01500,0000,1350OTHER GENERAL SERVICES 435185,A000000,01600,0000,1600SKILLED NURSING FACILITY 435185,A000000,01800,0000,1800NURSING FACILITY 435185,A000000,01810,0000,1810ICF/MR 435185,A000000,01900,0000,1900OTHER LONG TERM CARE 435185,A000000,02100,0000,2100RADIOLOGY 435185,A000000,02200,0000,2200LABORATORY 435185,A000000,02300,0000,2300INTRAVENOUS THERAPY 435185,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435185,A000000,02500,0000,2500PHYSICAL THERAPY 435185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435185,A000000,02700,0000,2700SPEECH PATHOLOGY 435185,A000000,02800,0000,2800ELECTROCARDIOLOGY 435185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435185,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435185,A000000,03200,0000,3200SUPPORT SURFACES 435185,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435185,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435185,A000000,04800,0000,4800AMBULANCE 435185,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435185,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435185,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435185,A000000,05300,0000,5300INTEREST EXPENSE 435185,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435185,A000000,05500,0000,5500HOSPICE 435185,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435185,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435185,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435185,A000000,06100,0000,6100NONPAID WORKERS 435185,A000000,06200,0000,6200PATIENTS LAUNDRY 435185,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435185,A81000A,00100,0100,Y 435185,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 435185,A81000C,00100,0100,C 435185,A81000C,00100,0400,LTC SUPPORT SERVICES 435185,A81000C,00100,0600,HEALTHCARE MANAGEMENT 435185,A81000C,00200,0100,B 435185,A81000C,00200,0400,UNLIMITED DEVELOPMENT 435185,A81000C,00200,0600,OPERATOR 435185,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435185,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435185,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435185,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435185,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435185,B100000,00000,0800,0800MEALS SERVED :DIETARY 435185,B100000,00000,0900,0950DIRECT NURSING HO :NURSING ADMIN 435185,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 435185,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435185,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435185,E10A180,00501,0100,04/27/12 435185,G300000,02500,0000,BARBER AND BEAUTY 435185,G300000,02501,0000,LATE PAYMENT FEE 435185,G300000,02502,0000,PROCESSING FEE 435185,G300000,02503,0000,TRANSPORTATION INCOME 435185,G300000,02504,0000,MAINTENANCE FEE INCOME 435185,G300000,02505,0000,AJ S FITNESS CENTER 435185,S000000,00100,0200,02/27/12 435185,S200000,00100,0100,1251 NORTH STATE STREET 435185,S200000,00200,0100,JERSEYVILLE 435185,S200000,00200,0200,IL 435185,S200000,00200,0300,62052 435185,S200000,00300,0100,JERSEY 435185,S200000,00300,0200,7040 435185,S200000,00300,0201,41180 435185,S200000,00300,0300,U 435185,S200000,00400,0100,JERSEYVILLE MANOR 435185,S200000,00400,0200,145733 435185,S200000,00400,0300,09/28/05 435185,S200000,00400,0500,P 435185,S200000,01500,0100,Y 435185,S200000,01501,0200,Y 435185,S200000,01600,0100,N 435185,S200000,01700,0100,N 435185,S200000,01800,0100,N 435185,S200000,02200,0100,N 435185,S200000,02800,0100,N 435185,S200000,02900,0100,N 435185,S200000,03000,0100,N 435185,S200000,03100,0100,N 435185,S200000,03200,0100,N 435185,S200000,03300,0100,N 435185,S200000,03300,0200,N 435185,S200000,04100,0100,N 435185,S200000,04200,0100,N 435185,S200000,04300,0100,N 435185,S200000,04600,0100,N 435185,S200000,04700,0100,N 435185,S200000,04700,0200,N 435185,S200000,04900,0100,N 435185,S200000,05000,0100,N 435185,S200000,05100,0100,N 435185,S200000,05200,0100,N 435185,S200000,05300,0100,Y 435185,S200000,05300,0200,HB0173 435185,S200000,05400,0100,UNLIMITED DEVELOPMENT INC 435185,S200000,05400,0200,NATIONAL GOVERNMENT SERVICES 435185,S200000,05400,0300,00131 435185,S200000,05500,0100,285 FARNHAM STREET 435185,S200000,05600,0100,GALESBURG 435185,S200000,05600,0200,IL 435185,S200000,05600,0300,61401 435186,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435186,A000000,00300,0000,0300EMPLOYEE BENEFITS 435186,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435186,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435186,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435186,A000000,00700,0000,0700HOUSEKEEPING 435186,A000000,00800,0000,0800DIETARY 435186,A000000,00900,0000,0900NURSING ADMINISTRATION 435186,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435186,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435186,A000000,01300,0000,1300SOCIAL SERVICE 435186,A000000,01600,0000,1600SKILLED NURSING FACILITY 435186,A000000,01800,0000,1800NURSING FACILITY 435186,A000000,02100,0000,2100RADIOLOGY 435186,A000000,02200,0000,2200LABORATORY 435186,A000000,02500,0000,2500PHYSICAL THERAPY 435186,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435186,A000000,02700,0000,2700SPEECH PATHOLOGY 435186,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435186,A000000,03550,0000,3550FQHC 435186,A000000,05000,0000,5000CORF 435186,A000000,05010,0000,5010CMHC 435186,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435186,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435186,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435186,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435186,A81000A,00100,0100,N 435186,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435186,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435186,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435186,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435186,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435186,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 435186,B100000,00000,0800,0800MEALS SERVED :DIETARY 435186,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435186,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435186,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435186,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435186,E10A180,00302,0100,07/22/11 435186,E10A180,00501,0100,01/25/13 435186,E10A180,00550,0100,05/11/12 435186,G300000,02500,0000,PAYROLL EXPENSE 435186,G300000,02501,0000,BAD DEBT 435186,S000000,00100,0200,12/13/12 435186,S200000,00100,0100,1920 NORTH MAIN STREET 435186,S200000,00200,0100,ROCKFORD 435186,S200000,00200,0200,IL 435186,S200000,00200,0300,61103 435186,S200000,00300,0100,WINNEBAGO 435186,S200000,00300,0201,40420 435186,S200000,00300,0300,U 435186,S200000,00400,0100,ROCKFORD NURSING & REHAB CTR 435186,S200000,00400,0200,145919 435186,S200000,00400,0300,04/01/09 435186,S200000,00400,0500,P 435186,S200000,01500,0100,N 435186,S200000,01501,0200,Y 435186,S200000,01502,0200,Y 435186,S200000,01504,0200,Y 435186,S200000,01600,0100,Y 435186,S200000,01700,0100,N 435186,S200000,01800,0100,N 435186,S200000,01900,0100,LLC 435186,S200000,02200,0100,N 435186,S200000,02800,0100,N 435186,S200000,02900,0100,N 435186,S200000,03000,0100,N 435186,S200000,03100,0100,N 435186,S200000,03200,0100,N 435186,S200000,03300,0100,N 435186,S200000,03300,0200,N 435186,S200000,04100,0100,N 435186,S200000,04200,0100,N 435186,S200000,04300,0100,N 435186,S200000,04600,0100,N 435186,S200000,04700,0100,N 435186,S200000,04700,0200,N 435186,S200000,04900,0100,N 435186,S200000,05000,0100,N 435186,S200000,05100,0100,N 435186,S200000,05200,0100,N 435186,S200000,05300,0100,N 435193,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435193,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435193,A000000,00300,0000,0300EMPLOYEE BENEFITS 435193,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435193,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435193,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435193,A000000,00700,0000,0700HOUSEKEEPING 435193,A000000,00800,0000,0800DIETARY 435193,A000000,00900,0000,0900NURSING ADMINISTRATION 435193,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435193,A000000,01100,0000,1100PHARMACY 435193,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435193,A000000,01300,0000,1300SOCIAL SERVICE 435193,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435193,A000000,01500,0000,1350ACTIVITIES 435193,A000000,01600,0000,1600SKILLED NURSING FACILITY 435193,A000000,01800,0000,1800NURSING FACILITY 435193,A000000,01900,0000,1900OTHER LONG TERM CARE 435193,A000000,02100,0000,2100RADIOLOGY 435193,A000000,02200,0000,2200LABORATORY 435193,A000000,02300,0000,2300INTRAVENOUS THERAPY 435193,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435193,A000000,02500,0000,2500PHYSICAL THERAPY 435193,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435193,A000000,02700,0000,2700SPEECH PATHOLOGY 435193,A000000,02800,0000,2800ELECTROCARDIOLOGY 435193,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435193,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435193,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435193,A000000,03200,0000,3200SUPPORT SURFACES 435193,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435193,A000000,03400,0000,3400CLINIC 435193,A000000,03500,0000,3500RURAL HEALTH CLINIC 435193,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 435193,A000000,04800,0000,4800AMBULANCE 435193,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435193,A000000,05000,0000,5000CORF 435193,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435193,A000000,05300,0000,5300INTEREST EXPENSE 435193,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435193,A000000,05500,0000,5500HOSPICE 435193,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435193,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435193,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435193,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435193,A000000,06100,0000,6100NONPAID WORKERS 435193,A000000,06200,0000,6200PATIENTS LAUNDRY 435193,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 435193,A81000A,00100,0100,Y 435193,A81000B,00100,0300,MANAGEMENT FEES (HOME OFFICE) 435193,A81000B,00200,0300,CAPITAL RELATED (HOME OFFICE) 435193,A81000B,00300,0300,LIABILITY INSURANCE 435193,A81000B,00400,0300,FACILITY LEASE 435193,A81000C,00100,0100,G 435193,A81000C,00100,0200,COVENANT DOVE H 435193,A81000C,00100,0400,COVENANT DOVE 435193,A81000C,00100,0600,MANAGEMENT 435193,A81000C,00200,0100,G 435193,A81000C,00200,0200,COVENANT DOVE H 435193,A81000C,00200,0400,ARK DEFENSE IN 435193,A81000C,00200,0600,INSURANCE 435193,A81000C,00300,0100,G 435193,A81000C,00300,0200,ARK REAL ESTATE 435193,A81000C,00300,0400,SHENANDOAH RE 435193,A81000C,00300,0600,LEASING 435193,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435193,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435193,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435193,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435193,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435193,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435193,B100000,00000,0800,0800MEALS SERVED :DIETARY 435193,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435193,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435193,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435193,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435193,E10A180,00350,0100,07/15/11 435193,G300000,02501,0000,RENTAL INCOME 435193,S000000,00100,0200,02/13/12 435193,S200000,00100,0100,200 PENNSYLVANIA AVE 435193,S200000,00200,0100,SHENANDOAH 435193,S200000,00200,0200,PA 435193,S200000,00200,0300,17976 435193,S200000,00300,0100,SCHUYLKILL 435193,S200000,00300,0201,99939 435193,S200000,00300,0300,R 435193,S200000,00400,0100,TRINITY MISSION OF SHENANDOAH HGTS 435193,S200000,00400,0200,395929 435193,S200000,00400,0300,06/01/97 435193,S200000,00400,0500,P 435193,S200000,01500,0100,Y 435193,S200000,01501,0200,Y 435193,S200000,01600,0100,N 435193,S200000,01700,0100,N 435193,S200000,01800,0100,N 435193,S200000,02200,0100,N 435193,S200000,02800,0100,N 435193,S200000,02900,0100,N 435193,S200000,03000,0100,N 435193,S200000,03100,0100,Y 435193,S200000,03200,0100,N 435193,S200000,03300,0100,N 435193,S200000,03300,0200,N 435193,S200000,04100,0100,N 435193,S200000,04200,0100,N 435193,S200000,04300,0100,N 435193,S200000,04600,0100,N 435193,S200000,04700,0100,N 435193,S200000,04700,0200,N 435193,S200000,04900,0100,N 435193,S200000,05000,0100,N 435193,S200000,05100,0100,N 435193,S200000,05200,0100,N 435193,S200000,05300,0100,Y 435193,S200000,05300,0200,449010 435193,S200000,05400,0100,COVENANT DOVE LLC 435193,S200000,05400,0200,WPS 435193,S200000,05400,0300,449010 435193,S200000,05500,0100,2723 SUMMER OAKS DRIVE 435193,S200000,05600,0100,BARTLETT 435193,S200000,05600,0200,TN 435193,S200000,05600,0300,38134 435196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435196,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435196,A000000,00300,0000,0300EMPLOYEE BENEFITS 435196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435196,A000000,00700,0000,0700HOUSEKEEPING 435196,A000000,00800,0000,0800DIETARY 435196,A000000,00900,0000,0900NURSING ADMINISTRATION 435196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435196,A000000,01300,0000,1300SOCIAL SERVICE 435196,A000000,01301,0000,1301ACTIVITES 435196,A000000,01500,0000,1350REHABILITATION 435196,A000000,01600,0000,1600SKILLED NURSING FACILITY 435196,A000000,01800,0000,1800NURSING FACILITY 435196,A000000,01900,0000,1900OTHER LONG TERM CARE 435196,A000000,02100,0000,2100RADIOLOGY 435196,A000000,02200,0000,2200LABORATORY 435196,A000000,02300,0000,2300INTRAVENOUS THERAPY 435196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435196,A000000,02500,0000,2500PHYSICAL THERAPY 435196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435196,A000000,02700,0000,2700SPEECH PATHOLOGY 435196,A000000,02800,0000,2800ELECTROCARDIOLOGY 435196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435196,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435196,A000000,03200,0000,3200SUPPORT SURFACES 435196,A000000,03300,0000,3050EQUIPMENT RENTAL 435196,A000000,03301,0000,3051PEN THERAPY 435196,A000000,04800,0000,4800AMBULANCE 435196,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435196,A000000,05300,0000,5300INTEREST EXPENSE 435196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435196,A000000,06200,0000,6200PATIENTS LAUNDRY 435196,A000000,06300,0000,6150VENDING 435196,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435196,A81000A,00100,0100,Y 435196,A81000B,00100,0300,HOME OFFICE COST 435196,A81000C,00100,0100,B 435196,A81000C,00100,0200,LA PALOMA NRSG 435196,A81000C,00100,0400,SSC EQUITY HOLD 435196,A81000C,00100,0600,NSG HOMES 435196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435196,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435196,B100000,00000,0800,0800MEALS SERVED :DIETARY 435196,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435196,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435196,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435196,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435196,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435196,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435196,E10A180,00302,0100,02/10/11 435196,E10A180,00550,0100,05/18/12 435196,S000000,00100,0200,02/24/12 435196,S200000,00100,0100,FM ROAD 1329 & SUR AVE 435196,S200000,00200,0100,SAN DIEGO 435196,S200000,00200,0200,TX 435196,S200000,00200,0300,78384 435196,S200000,00300,0100,DUVAL 435196,S200000,00300,0300,R 435196,S200000,00400,0100,LA PALOMA NURSING CENTER 435196,S200000,00400,0200,675170 435196,S200000,00400,0300,08/26/93 435196,S200000,00400,0500,P 435196,S200000,01500,0100,Y 435196,S200000,01501,0200,Y 435196,S200000,01502,0200,Y 435196,S200000,01504,0200,Y 435196,S200000,01600,0100,N 435196,S200000,01700,0100,N 435196,S200000,01800,0100,N 435196,S200000,02200,0100,Y 435196,S200000,02800,0100,N 435196,S200000,02900,0100,N 435196,S200000,03000,0100,N 435196,S200000,03100,0100,N 435196,S200000,03200,0100,N 435196,S200000,03300,0100,N 435196,S200000,03300,0200,N 435196,S200000,04100,0100,N 435196,S200000,04200,0100,N 435196,S200000,04300,0100,N 435196,S200000,04600,0100,N 435196,S200000,04700,0100,N 435196,S200000,04700,0200,N 435196,S200000,04900,0100,N 435196,S200000,05000,0100,N 435196,S200000,05100,0100,N 435196,S200000,05200,0100,N 435196,S200000,05300,0100,Y 435196,S200000,05300,0200,219023 435196,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435196,S200000,05400,0200,TRAILBLAZER 435196,S200000,05400,0300,04901 435196,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435196,S200000,05600,0100,HOUSTON 435196,S200000,05600,0200,TX 435196,S200000,05600,0300,77041 435197,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435197,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435197,A000000,00300,0000,0300EMPLOYEE BENEFITS 435197,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435197,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435197,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435197,A000000,00700,0000,0700HOUSEKEEPING 435197,A000000,00800,0000,0800DIETARY 435197,A000000,00900,0000,0900NURSING ADMINISTRATION 435197,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435197,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435197,A000000,01300,0000,1300SOCIAL SERVICE 435197,A000000,01301,0000,1301ACTIVITES 435197,A000000,01500,0000,1350REHABILITATION 435197,A000000,01600,0000,1600SKILLED NURSING FACILITY 435197,A000000,01800,0000,1800NURSING FACILITY 435197,A000000,01900,0000,1900OTHER LONG TERM CARE 435197,A000000,02100,0000,2100RADIOLOGY 435197,A000000,02200,0000,2200LABORATORY 435197,A000000,02300,0000,2300INTRAVENOUS THERAPY 435197,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435197,A000000,02500,0000,2500PHYSICAL THERAPY 435197,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435197,A000000,02700,0000,2700SPEECH PATHOLOGY 435197,A000000,02800,0000,2800ELECTROCARDIOLOGY 435197,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435197,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435197,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435197,A000000,03200,0000,3200SUPPORT SURFACES 435197,A000000,03300,0000,3050EQUIPMENT RENTAL 435197,A000000,03301,0000,3051PEN THERAPY 435197,A000000,04800,0000,4800AMBULANCE 435197,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435197,A000000,05300,0000,5300INTEREST EXPENSE 435197,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435197,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435197,A000000,06200,0000,6200PATIENTS LAUNDRY 435197,A000000,06300,0000,6150VENDING 435197,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435197,A81000A,00100,0100,Y 435197,A81000B,00100,0300,HOME OFFICE COST 435197,A81000C,00100,0100,B 435197,A81000C,00100,0200,BERTHOUD LIVING 435197,A81000C,00100,0400,SSC EQUITY HOLD 435197,A81000C,00100,0600,NSG HOMES 435197,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435197,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435197,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435197,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435197,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435197,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435197,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435197,B100000,00000,0800,0800MEALS SERVED :DIETARY 435197,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435197,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435197,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435197,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435197,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435197,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435197,E10A180,00352,0100,05/19/11 435197,E10A180,00501,0100,05/01/12 435197,S000000,00100,0200,02/10/12 435197,S200000,00100,0100,855 FRANKLIN 435197,S200000,00200,0100,BERTHOUD 435197,S200000,00200,0200,CO 435197,S200000,00200,0300,80513 435197,S200000,00300,0100,LARIMER 435197,S200000,00300,0300,U 435197,S200000,00400,0100,BERTHOUD LIVING CENTER 435197,S200000,00400,0200,065265 435197,S200000,00400,0300,10/01/89 435197,S200000,00400,0500,P 435197,S200000,01500,0100,Y 435197,S200000,01501,0200,N 435197,S200000,01502,0200,N 435197,S200000,01504,0200,N 435197,S200000,01600,0100,N 435197,S200000,01700,0100,N 435197,S200000,01800,0100,N 435197,S200000,02200,0100,Y 435197,S200000,02800,0100,N 435197,S200000,02900,0100,N 435197,S200000,03000,0100,N 435197,S200000,03100,0100,N 435197,S200000,03200,0100,N 435197,S200000,03300,0100,N 435197,S200000,03300,0200,N 435197,S200000,04100,0100,N 435197,S200000,04200,0100,N 435197,S200000,04300,0100,N 435197,S200000,04600,0100,N 435197,S200000,04700,0100,N 435197,S200000,04700,0200,N 435197,S200000,04900,0100,N 435197,S200000,05000,0100,N 435197,S200000,05100,0100,N 435197,S200000,05200,0100,N 435197,S200000,05300,0100,Y 435197,S200000,05300,0200,219023 435197,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435197,S200000,05400,0200,TRAILBLAZER 435197,S200000,05400,0300,04901 435197,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435197,S200000,05600,0100,HOUSTON 435197,S200000,05600,0200,TX 435197,S200000,05600,0300,77041 435201,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435201,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435201,A000000,00300,0000,0300EMPLOYEE BENEFITS 435201,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435201,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435201,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435201,A000000,00700,0000,0700HOUSEKEEPING 435201,A000000,00800,0000,0800DIETARY 435201,A000000,00900,0000,0900NURSING ADMINISTRATION 435201,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435201,A000000,01100,0000,1100PHARMACY 435201,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435201,A000000,01300,0000,1300SOCIAL SERVICE 435201,A000000,01600,0000,1600SKILLED NURSING FACILITY 435201,A000000,01800,0000,1800NURSING FACILITY 435201,A000000,02100,0000,2100RADIOLOGY 435201,A000000,02200,0000,2200LABORATORY 435201,A000000,02300,0000,2300INTRAVENOUS THERAPY 435201,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435201,A000000,02500,0000,2500PHYSICAL THERAPY 435201,A000000,02501,0000,2501PHYSICAL THERAPY PART B 435201,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435201,A000000,02601,0000,2601OCCUPATIONAL THERAPY PART B 435201,A000000,02700,0000,2700SPEECH PATHOLOGY 435201,A000000,02701,0000,2701SPEECH PATHOLOGY PART B 435201,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435201,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435201,A000000,03200,0000,3200SUPPORT SURFACES 435201,A000000,05300,0000,5300INTEREST EXPENSE 435201,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435201,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435201,A81000A,00100,0100,Y 435201,A81000B,00100,0300,HOME OFFICE - CAP 435201,A81000B,00200,0300,HOME OFFICE - CAP 435201,A81000B,00300,0300,HOME OFFICE - NON-CAP 435201,A81000B,00400,0300,RP THERAPY - PT PART A 435201,A81000B,00500,0300,RP THERAPY - PT PART B 435201,A81000B,00600,0300,RP THERAPY - OT PART A 435201,A81000B,00700,0300,RP THERAPY - OT PART B 435201,A81000B,00800,0300,RP THERAPY - ST PART A 435201,A81000B,00900,0300,RP THERAPY - ST PART B 435201,A81000C,00100,0100,B 435201,A81000C,00100,0200,PHOENIX HEALTHCARE LLC 435201,A81000C,00100,0400,PHOENIX HEALTHCARE LLC 435201,A81000C,00100,0600,HOME OFFICE SERVICES 435201,A81000C,00200,0100,B 435201,A81000C,00200,0200,PHOENIX HEALTHCARE LLC 435201,A81000C,00200,0400,PHOENIX HEALTHCARE LLC 435201,A81000C,00200,0600,HOME OFFICE SERVICES 435201,A81000C,00300,0100,B 435201,A81000C,00300,0200,PHOENIX HEALTHCARE LLC 435201,A81000C,00300,0400,PHOENIX HEALTHCARE LLC 435201,A81000C,00300,0600,HOME OFFICE SERVICES 435201,A81000C,00400,0100,A 435201,A81000C,00400,0200,LARRY CAIN 435201,A81000C,00400,0400,PHOENIX REHAB 435201,A81000C,00400,0600,THERAPY SERVICES 435201,A81000C,00500,0100,A 435201,A81000C,00500,0200,LARRY CAIN 435201,A81000C,00500,0400,PHOENIX REHAB 435201,A81000C,00500,0600,THERAPY SERVICES 435201,A81000C,00600,0100,A 435201,A81000C,00600,0200,LARRY CAIN 435201,A81000C,00600,0400,PHOENIX REHAB 435201,A81000C,00600,0600,THERAPY SERVICES 435201,A81000C,00700,0100,A 435201,A81000C,00700,0200,LARRY CAIN 435201,A81000C,00700,0400,PHOENIX REHAB 435201,A81000C,00700,0600,THERAPY SERVICES 435201,A81000C,00800,0100,A 435201,A81000C,00800,0200,LARRY CAIN 435201,A81000C,00800,0400,PHOENIX REHAB 435201,A81000C,00800,0600,THERAPY SERVICES 435201,A81000C,00900,0100,A 435201,A81000C,00900,0200,LARRY CAIN 435201,A81000C,00900,0400,PHOENIX REHAB 435201,A81000C,00900,0600,THERAPY SERVICES 435201,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435201,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435201,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435201,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435201,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435201,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435201,B100000,00000,0700,0750CLEANED SQ FE :HOUSEKEEPING 435201,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435201,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435201,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435201,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435201,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 435201,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435201,E10A180,00301,0100,12/22/11 435201,S000000,00100,0200,03/28/12 435201,S200000,00100,0100,1944 NORTH IROQUOIS 435201,S200000,00200,0100,TULSA 435201,S200000,00200,0200,OK 435201,S200000,00200,0300,74106 435201,S200000,00300,0100,TULSA 435201,S200000,00300,0200,8560 435201,S200000,00300,0201,46140 435201,S200000,00300,0300,U 435201,S200000,00400,0100,REST HAVEN NURSING HOME 435201,S200000,00400,0200,375274 435201,S200000,00400,0300,01/18/01 435201,S200000,00400,0500,P 435201,S200000,01500,0100,Y 435201,S200000,01501,0200,Y 435201,S200000,01502,0200,Y 435201,S200000,01503,0200,Y 435201,S200000,01504,0200,N 435201,S200000,01600,0100,N 435201,S200000,01700,0100,N 435201,S200000,01800,0100,N 435201,S200000,02200,0100,N 435201,S200000,02800,0100,N 435201,S200000,02900,0100,N 435201,S200000,03000,0100,N 435201,S200000,03100,0100,Y 435201,S200000,03200,0100,N 435201,S200000,03300,0100,N 435201,S200000,03300,0200,N 435201,S200000,04100,0100,N 435201,S200000,04200,0100,N 435201,S200000,04300,0100,N 435201,S200000,04600,0100,N 435201,S200000,04700,0100,N 435201,S200000,04700,0200,N 435201,S200000,04900,0100,N 435201,S200000,05000,0100,N 435201,S200000,05100,0100,N 435201,S200000,05200,0100,N 435201,S200000,05300,0100,Y 435201,S200000,05300,0200,HO9453 435201,S200000,05400,0100,PHOENIX HEALTHCARE LLC 435201,S200000,05400,0200,TRAILBLAZER 435201,S200000,05400,0300,04301 435201,S200000,05500,0200,2680 435201,S200000,05600,0100,TULSA 435201,S200000,05600,0200,OK 435201,S200000,05600,0300,74101 435206,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435206,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435206,A000000,00300,0000,0300EMPLOYEE BENEFITS 435206,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435206,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435206,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435206,A000000,00700,0000,0700HOUSEKEEPING 435206,A000000,00800,0000,0800DIETARY 435206,A000000,00900,0000,0900NURSING ADMINISTRATION 435206,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435206,A000000,01100,0000,1100PHARMACY 435206,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435206,A000000,01300,0000,1300SOCIAL SERVICE 435206,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435206,A000000,01500,0000,1350OTHER GENERAL SERVICES 435206,A000000,01600,0000,1600SKILLED NURSING FACILITY 435206,A000000,01800,0000,1800NURSING FACILITY 435206,A000000,01810,0000,1810ICF/MR 435206,A000000,01900,0000,1900OTHER LONG TERM CARE 435206,A000000,02100,0000,2100RADIOLOGY 435206,A000000,02200,0000,2200LABORATORY 435206,A000000,02300,0000,2300INTRAVENOUS THERAPY 435206,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435206,A000000,02500,0000,2500PHYSICAL THERAPY 435206,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435206,A000000,02700,0000,2700SPEECH PATHOLOGY 435206,A000000,02800,0000,2800ELECTROCARDIOLOGY 435206,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435206,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435206,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435206,A000000,03200,0000,3200SUPPORT SURFACES 435206,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435206,A000000,03400,0000,3400CLINIC 435206,A000000,03500,0000,3500RURAL HEALTH CLINIC 435206,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435206,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435206,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435206,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435206,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435206,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435206,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435206,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435206,A000000,04400,0000,4400DME RENTED - HHA 435206,A000000,04500,0000,4500DME SOLD - HHA 435206,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435206,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435206,A000000,04710,0000,4710TELEMEDICINE 435206,A000000,04800,0000,4800AMBULANCE 435206,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435206,A000000,05000,0000,5000CORF 435206,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435206,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435206,A000000,05300,0000,5300INTEREST EXPENSE 435206,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435206,A000000,05500,0000,5500HOSPICE 435206,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435206,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435206,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435206,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435206,A000000,06100,0000,6100NONPAID WORKERS 435206,A000000,06200,0000,6200PATIENTS LAUNDRY 435206,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435206,A81000A,00100,0100,Y 435206,A81000B,00100,0300,RELATED PARTY LEASE 435206,A81000B,00200,0300,RELATED PARTY LEASE 435206,A81000B,00300,0300,MAINT EXPENSE 435206,A81000B,00400,0300,HOME OFFICE COSTS 435206,A81000B,00500,0300,HOME OFFICE COSTS 435206,A81000B,00600,0300,HOME OFFICE COSTS 435206,A81000B,00700,0300,HOME OFFICE COSTS 435206,A81000B,00800,0300,HOME OFFICE COSTS 435206,A81000B,00900,0300,HOME OFFICE COSTS 435206,A81000B,01000,0300,HOME OFFICE COSTS 435206,A81000B,01100,0300,RELATED PARTY THERAPY 435206,A81000B,01200,0300,RELATED PARTY THERAPY 435206,A81000B,01300,0300,RELATED PARTY THERAPY 435206,A81000C,00100,0100,D 435206,A81000C,00100,0400,BC4 LLC 435206,A81000C,00100,0600,PROPERTY LEASING 435206,A81000C,00200,0100,D 435206,A81000C,00200,0400,BC4 LLC 435206,A81000C,00200,0600,PROPERTY LEASING 435206,A81000C,00300,0100,D 435206,A81000C,00300,0400,BC4 LLC 435206,A81000C,00300,0600,PROPERTY LEASING 435206,A81000C,00400,0100,D 435206,A81000C,00400,0400,CARDON & ASSOCIATES INC 435206,A81000C,00400,0600,NURSING HOME MGMT 435206,A81000C,00500,0100,D 435206,A81000C,00500,0400,CARDON & ASSOCIATES INC 435206,A81000C,00500,0600,NURSING HOME MGMT 435206,A81000C,00600,0100,D 435206,A81000C,00600,0400,CARDON & ASSOCIATES INC 435206,A81000C,00600,0600,NURSING HOME MGMT 435206,A81000C,00700,0100,D 435206,A81000C,00700,0400,CARDON & ASSOCIATES INC 435206,A81000C,00700,0600,NURSING HOME MGMT 435206,A81000C,00800,0100,D 435206,A81000C,00800,0400,CARDON & ASSOCIATES INC 435206,A81000C,00800,0600,NURSING HOME MGMT 435206,A81000C,00900,0100,D 435206,A81000C,00900,0400,CARDON & ASSOCIATES INC 435206,A81000C,00900,0600,NURSING HOME MGMT 435206,A81000C,01000,0100,D 435206,A81000C,01000,0400,CARDON & ASSOCIATES INC 435206,A81000C,01000,0600,NURSING HOME MGMT 435206,A81000C,01001,0100,D 435206,A81000C,01001,0400,LIFESPAN THERAPY 435206,A81000C,01001,0600,THERAPY 435206,A81000C,01002,0100,D 435206,A81000C,01002,0400,LIFESPAN THERAPY 435206,A81000C,01002,0600,THERAPY 435206,A81000C,01003,0100,D 435206,A81000C,01003,0400,LIFESPAN THERAPY 435206,A81000C,01003,0600,THERAPY 435206,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435206,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435206,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435206,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435206,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435206,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435206,B100000,00000,0800,0800MEALS SERVED :DIETARY 435206,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435206,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435206,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435206,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435206,E10A180,00301,0100,03/21/12 435206,G300000,02500,0000,OTHER REVENUE 435206,S000000,00100,0200,02/15/12 435206,S200000,00100,0100,55 EAST WILLOW STREET 435206,S200000,00200,0100,NASHVILLE 435206,S200000,00200,0200,IN 435206,S200000,00200,0300,47448 435206,S200000,00300,0100,BROWN 435206,S200000,00300,0201,26900 435206,S200000,00300,0300,U 435206,S200000,00400,0100,BROWN COUNTY HEALTH & LIVING CENTER 435206,S200000,00400,0200,155487 435206,S200000,00400,0300,04/01/93 435206,S200000,00400,0500,P 435206,S200000,01500,0100,Y 435206,S200000,01501,0200,Y 435206,S200000,01502,0200,Y 435206,S200000,01503,0200,Y 435206,S200000,01504,0200,Y 435206,S200000,01600,0100,N 435206,S200000,01700,0100,N 435206,S200000,01800,0100,N 435206,S200000,02200,0100,Y 435206,S200000,02800,0100,N 435206,S200000,02900,0100,N 435206,S200000,03000,0100,N 435206,S200000,03100,0100,N 435206,S200000,03200,0100,N 435206,S200000,03300,0100,N 435206,S200000,03300,0200,N 435206,S200000,04100,0100,N 435206,S200000,04200,0100,N 435206,S200000,04300,0100,N 435206,S200000,04600,0100,N 435206,S200000,04700,0100,N 435206,S200000,04700,0200,N 435206,S200000,04900,0100,N 435206,S200000,05000,0100,N 435206,S200000,05100,0100,N 435206,S200000,05200,0100,N 435206,S200000,05300,0100,Y 435206,S200000,05300,0200,15H042 435206,S200000,05400,0100,CARDON & ASSOCIATES INC. 435206,S200000,05400,0200,NGS 435206,S200000,05400,0300,00130 435206,S200000,05500,0100,2749 E. COVENANTER DRIVE 435206,S200000,05600,0100,BLOOMINGTON 435206,S200000,05600,0200,IN 435206,S200000,05600,0300,47401 435208,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435208,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435208,A000000,00300,0000,0300EMPLOYEE BENEFITS 435208,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435208,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435208,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435208,A000000,00700,0000,0700HOUSEKEEPING 435208,A000000,00800,0000,0800DIETARY 435208,A000000,00900,0000,0900NURSING ADMINISTRATION 435208,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435208,A000000,01100,0000,1100PHARMACY 435208,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435208,A000000,01300,0000,1300SOCIAL SERVICE 435208,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435208,A000000,01500,0000,1350OTHER GENERAL SERVICES 435208,A000000,01600,0000,1600SKILLED NURSING FACILITY 435208,A000000,01800,0000,1800NURSING FACILITY 435208,A000000,01810,0000,1810ICF/MR 435208,A000000,01900,0000,1900OTHER LONG TERM CARE 435208,A000000,02100,0000,2100RADIOLOGY 435208,A000000,02200,0000,2200LABORATORY 435208,A000000,02300,0000,2300INTRAVENOUS THERAPY 435208,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435208,A000000,02500,0000,2500PHYSICAL THERAPY 435208,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435208,A000000,02700,0000,2700SPEECH PATHOLOGY 435208,A000000,02800,0000,2800ELECTROCARDIOLOGY 435208,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435208,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435208,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435208,A000000,03200,0000,3200SUPPORT SURFACES 435208,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435208,A000000,03400,0000,3400CLINIC 435208,A000000,03500,0000,3500RURAL HEALTH CLINIC 435208,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435208,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435208,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435208,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435208,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435208,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435208,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435208,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435208,A000000,04400,0000,4400DME RENTED - HHA 435208,A000000,04500,0000,4500DME SOLD - HHA 435208,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435208,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435208,A000000,04710,0000,4710TELEMEDICINE 435208,A000000,04800,0000,4800AMBULANCE 435208,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435208,A000000,05000,0000,5000CORF 435208,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435208,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435208,A000000,05300,0000,5300INTEREST EXPENSE 435208,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435208,A000000,05500,0000,5500HOSPICE 435208,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435208,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435208,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435208,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435208,A000000,06100,0000,6100NONPAID WORKERS 435208,A000000,06200,0000,6200PATIENTS LAUNDRY 435208,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435208,A81000A,00100,0100,N 435208,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435208,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435208,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435208,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435208,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435208,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435208,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435208,B100000,00000,0800,0800MEALS SERVED :DIETARY 435208,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435208,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435208,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435208,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435208,E10A180,00301,0100,03/02/12 435208,G300000,02500,0000,BEAUTY & BARBER 435208,S000000,00100,0200,02/14/12 435208,S200000,00100,0100,909 FIRST AVENUE 435208,S200000,00200,0100,EVANSVILLE 435208,S200000,00200,0200,IN 435208,S200000,00200,0300,47710 435208,S200000,00300,0100,VANDERBURGH 435208,S200000,00300,0200,2440 435208,S200000,00300,0201,24400 435208,S200000,00300,0300,U 435208,S200000,00400,0100,CFB HEALTHCARE INC. 435208,S200000,00400,0200,155520 435208,S200000,00400,0300,03/01/09 435208,S200000,00400,0500,P 435208,S200000,00400,0600,P 435208,S200000,00600,0200,155520 435208,S200000,00600,0300,03/01/09 435208,S200000,00600,0600,P 435208,S200000,01500,0100,N 435208,S200000,01501,0200,Y 435208,S200000,01503,0200,Y 435208,S200000,01504,0200,Y 435208,S200000,01600,0100,Y 435208,S200000,01700,0100,N 435208,S200000,01800,0100,N 435208,S200000,02200,0100,N 435208,S200000,02800,0100,N 435208,S200000,02900,0100,N 435208,S200000,03000,0100,N 435208,S200000,03100,0100,N 435208,S200000,03200,0100,N 435208,S200000,03300,0100,N 435208,S200000,03300,0200,N 435208,S200000,03500,0300,N 435208,S200000,04100,0100,N 435208,S200000,04200,0100,N 435208,S200000,04300,0100,N 435208,S200000,04600,0100,N 435208,S200000,04700,0100,N 435208,S200000,04700,0200,N 435208,S200000,04900,0100,N 435208,S200000,05000,0100,N 435208,S200000,05100,0100,N 435208,S200000,05200,0100,N 435217,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435217,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435217,A000000,00300,0000,0300EMPLOYEE BENEFITS 435217,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435217,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435217,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435217,A000000,00700,0000,0700HOUSEKEEPING 435217,A000000,00800,0000,0800DIETARY 435217,A000000,00900,0000,0900NURSING ADMINISTRATION 435217,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435217,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435217,A000000,01300,0000,1300SOCIAL SERVICE 435217,A000000,01301,0000,1301ACTIVITES 435217,A000000,01500,0000,1350REHABILITATION 435217,A000000,01600,0000,1600SKILLED NURSING FACILITY 435217,A000000,01800,0000,1800NURSING FACILITY 435217,A000000,01900,0000,1900OTHER LONG TERM CARE 435217,A000000,02100,0000,2100RADIOLOGY 435217,A000000,02200,0000,2200LABORATORY 435217,A000000,02300,0000,2300INTRAVENOUS THERAPY 435217,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435217,A000000,02500,0000,2500PHYSICAL THERAPY 435217,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435217,A000000,02700,0000,2700SPEECH PATHOLOGY 435217,A000000,02800,0000,2800ELECTROCARDIOLOGY 435217,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435217,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435217,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435217,A000000,03200,0000,3200SUPPORT SURFACES 435217,A000000,03300,0000,3050EQUIPMENT RENTAL 435217,A000000,03301,0000,3051PEN THERAPY 435217,A000000,04800,0000,4800AMBULANCE 435217,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435217,A000000,05300,0000,5300INTEREST EXPENSE 435217,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435217,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435217,A000000,06200,0000,6200PATIENTS LAUNDRY 435217,A000000,06300,0000,6150VENDING 435217,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435217,A81000A,00100,0100,Y 435217,A81000B,00100,0300,HOME OFFICE COST 435217,A81000C,00100,0100,B 435217,A81000C,00100,0200,CLINTON-AIRE HC 435217,A81000C,00100,0400,SSC EQUITY HOLD 435217,A81000C,00100,0600,NSG HOMES 435217,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435217,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435217,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435217,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435217,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435217,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435217,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435217,B100000,00000,0800,0800MEALS SERVED :DIETARY 435217,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435217,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435217,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435217,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435217,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435217,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435217,E10A180,00302,0100,03/17/11 435217,E10A180,00303,0100,09/28/11 435217,E10A180,00352,0100,04/20/11 435217,E10A180,00501,0100,05/04/12 435217,E10A180,00550,0300,05/04/12 435217,G300000,02500,0000, OTHER (SPECIFY) 435217,S000000,00100,0200,02/10/12 435217,S200000,00100,0100,17000 17 MILE RD 435217,S200000,00200,0100,CLINTON TOWNSHIP 435217,S200000,00200,0200,MI 435217,S200000,00200,0300,48038 435217,S200000,00300,0100,MACOMB 435217,S200000,00300,0300,U 435217,S200000,00400,0100,CLINTON-AIRE HEALTHCARE CENTER 435217,S200000,00400,0200,235405 435217,S200000,00400,0300,01/01/87 435217,S200000,00400,0500,P 435217,S200000,01500,0100,Y 435217,S200000,01501,0200,Y 435217,S200000,01502,0200,Y 435217,S200000,01504,0200,Y 435217,S200000,01600,0100,N 435217,S200000,01700,0100,N 435217,S200000,01800,0100,N 435217,S200000,02200,0100,Y 435217,S200000,02800,0100,N 435217,S200000,02900,0100,N 435217,S200000,03000,0100,N 435217,S200000,03100,0100,N 435217,S200000,03200,0100,N 435217,S200000,03300,0100,N 435217,S200000,03300,0200,N 435217,S200000,04100,0100,N 435217,S200000,04200,0100,N 435217,S200000,04300,0100,N 435217,S200000,04600,0100,N 435217,S200000,04700,0100,N 435217,S200000,04700,0200,N 435217,S200000,04900,0100,N 435217,S200000,05000,0100,N 435217,S200000,05100,0100,N 435217,S200000,05200,0100,N 435217,S200000,05300,0100,Y 435217,S200000,05300,0200,219023 435217,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435217,S200000,05400,0200,TRAILBLAZER 435217,S200000,05400,0300,04901 435217,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435217,S200000,05600,0100,HOUSTON 435217,S200000,05600,0200,TX 435217,S200000,05600,0300,77041 435221,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435221,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435221,A000000,00300,0000,0300EMPLOYEE BENEFITS 435221,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435221,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435221,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435221,A000000,00700,0000,0700HOUSEKEEPING 435221,A000000,00800,0000,0800DIETARY 435221,A000000,00900,0000,0900NURSING ADMINISTRATION 435221,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435221,A000000,01100,0000,1100PHARMACY 435221,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435221,A000000,01300,0000,1300SOCIAL SERVICE 435221,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435221,A000000,01600,0000,1600SKILLED NURSING FACILITY 435221,A000000,01800,0000,1800NURSING FACILITY 435221,A000000,01810,0000,1810ICF/MR 435221,A000000,01900,0000,1900OTHER LONG TERM CARE 435221,A000000,02100,0000,2100RADIOLOGY 435221,A000000,02200,0000,2200LABORATORY 435221,A000000,02300,0000,2300INTRAVENOUS THERAPY 435221,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435221,A000000,02500,0000,2500PHYSICAL THERAPY 435221,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435221,A000000,02700,0000,2700SPEECH PATHOLOGY 435221,A000000,02800,0000,2800ELECTROCARDIOLOGY 435221,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435221,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435221,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435221,A000000,03200,0000,3200SUPPORT SURFACES 435221,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435221,A000000,03400,0000,3400CLINIC 435221,A000000,03500,0000,3500RURAL HEALTH CLINIC 435221,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435221,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435221,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435221,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435221,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435221,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435221,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435221,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435221,A000000,04400,0000,4400DME RENTED - HHA 435221,A000000,04500,0000,4500DME SOLD - HHA 435221,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435221,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435221,A000000,04710,0000,4710TELEMEDICINE 435221,A000000,04800,0000,4800AMBULANCE 435221,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435221,A000000,05000,0000,5000CORF 435221,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435221,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435221,A000000,05300,0000,5300INTEREST EXPENSE 435221,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435221,A000000,05500,0000,5500HOSPICE 435221,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435221,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435221,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435221,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435221,A000000,06100,0000,6100NONPAID WORKERS 435221,A000000,06200,0000,6200PATIENTS LAUNDRY 435221,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435221,A81000A,00100,0100,Y 435221,A81000B,00100,0300,BUILDING LEASE 435221,A81000C,00100,0100,B 435221,A81000C,00100,0200,MSPF II ARLINGTON OE LP 435221,A81000C,00100,0400,MSPF II ARLINGTON SNF LP 435221,A81000C,00100,0600,REAL ESTATE 435221,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435221,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435221,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435221,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435221,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435221,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435221,B100000,00000,0700,0750CLEANED SQ. FT. :HOUSEKEEPING 435221,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435221,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435221,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435221,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435221,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435221,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435221,E10A180,00501,0100,04/20/12 435221,G300000,02500,0000,OTHER INCOME 435221,S000000,00100,0200,01/30/12 435221,S200000,00100,0100,3033 W. GREEN OAKS BLVD 435221,S200000,00200,0100,ARLINGTON 435221,S200000,00200,0200,TX 435221,S200000,00200,0300,76016 435221,S200000,00300,0100,TARRANT 435221,S200000,00300,0200,2800 435221,S200000,00300,0201,23104 435221,S200000,00300,0300,U 435221,S200000,00400,0100,GREEN OAKS NURSING & REHAB 435221,S200000,00400,0200,676139 435221,S200000,00400,0300,05/15/07 435221,S200000,00400,0500,P 435221,S200000,01500,0100,Y 435221,S200000,01501,0200,N 435221,S200000,01502,0200,Y 435221,S200000,01503,0200,N 435221,S200000,01504,0200,Y 435221,S200000,01600,0100,N 435221,S200000,01700,0100,N 435221,S200000,01800,0100,N 435221,S200000,02200,0100,N 435221,S200000,02800,0100,N 435221,S200000,02900,0100,N 435221,S200000,03000,0100,N 435221,S200000,03100,0100,N 435221,S200000,03200,0100,N 435221,S200000,03300,0100,N 435221,S200000,03300,0200,N 435221,S200000,04100,0100,N 435221,S200000,04200,0100,N 435221,S200000,04300,0100,N 435221,S200000,04600,0100,N 435221,S200000,04700,0100,N 435221,S200000,04700,0200,N 435221,S200000,04900,0100,N 435221,S200000,05000,0100,N 435221,S200000,05100,0100,N 435221,S200000,05200,0100,N 435221,S200000,05300,0100,N 435224,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435224,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435224,A000000,00300,0000,0300EMPLOYEE BENEFITS 435224,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435224,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435224,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435224,A000000,00700,0000,0700HOUSEKEEPING 435224,A000000,00800,0000,0800DIETARY 435224,A000000,00900,0000,0900NURSING ADMINISTRATION 435224,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435224,A000000,01100,0000,1100PHARMACY 435224,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435224,A000000,01300,0000,1300SOCIAL SERVICE 435224,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435224,A000000,01500,0000,1350OTHER GENERAL SERVICES 435224,A000000,01600,0000,1600SKILLED NURSING FACILITY 435224,A000000,01800,0000,1800NURSING FACILITY 435224,A000000,01810,0000,1810ICF/MR 435224,A000000,01900,0000,1900OTHER LONG TERM CARE 435224,A000000,02100,0000,2100RADIOLOGY 435224,A000000,02200,0000,2200LABORATORY 435224,A000000,02300,0000,2300INTRAVENOUS THERAPY 435224,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435224,A000000,02500,0000,2500PHYSICAL THERAPY 435224,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435224,A000000,02700,0000,2700SPEECH PATHOLOGY 435224,A000000,02800,0000,2800ELECTROCARDIOLOGY 435224,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435224,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435224,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435224,A000000,03200,0000,3200SUPPORT SURFACES 435224,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435224,A000000,03400,0000,3400CLINIC 435224,A000000,03500,0000,3500RURAL HEALTH CLINIC 435224,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435224,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435224,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435224,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435224,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435224,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435224,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435224,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435224,A000000,04400,0000,4400DME RENTED - HHA 435224,A000000,04500,0000,4500DME SOLD - HHA 435224,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435224,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435224,A000000,04710,0000,4710TELEMEDICINE 435224,A000000,04800,0000,4800AMBULANCE 435224,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435224,A000000,05000,0000,5000CORF 435224,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435224,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435224,A000000,05300,0000,5300INTEREST EXPENSE 435224,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435224,A000000,05500,0000,5500HOSPICE 435224,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435224,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435224,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435224,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435224,A000000,06100,0000,6100NONPAID WORKERS 435224,A000000,06200,0000,6200PATIENTS LAUNDRY 435224,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435224,A81000A,00100,0100,Y 435224,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435224,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435224,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435224,A81000B,00400,0300,HO ALLOCATION 435224,A81000B,00500,0300,HO ALLOCATION 435224,A81000B,00600,0300,HO ALLOCATION 435224,A81000B,00700,0300,HMS GPO FEES 435224,A81000B,00800,0300,HMS GPO FEES 435224,A81000B,00900,0300,HMS GPO FEES 435224,A81000B,01000,0300,HMS GPO FEES 435224,A81000B,01100,0300,HMS GPO FEES 435224,A81000B,01200,0300,HMS GPO FEES 435224,A81000B,01300,0300,HMS GPO FEES 435224,A81000B,01400,0300,HMS GPO FEES 435224,A81000B,01500,0300,HMS GPO FEES 435224,A81000B,01600,0300,HMS GPO FEES 435224,A81000C,00100,0100,B 435224,A81000C,00100,0400,HALCYON REHAB. LLC 435224,A81000C,00100,0600,REHAB. SERVICES 435224,A81000C,00200,0100,B 435224,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435224,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 435224,A81000C,00300,0100,F 435224,A81000C,00300,0200,RELATED FAMILY TRUSTS 435224,A81000C,00300,0400,HMS PURCHASING LLC 435224,A81000C,00300,0600,GROUP PURCHASING ORG. 435224,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435224,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435224,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435224,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435224,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435224,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435224,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435224,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435224,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435224,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435224,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435224,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435224,E10A180,00501,0300,02/21/12 435224,E10A180,00550,0100,02/21/12 435224,G300000,02500,0000,OTHER REVENUES 435224,S000000,00100,0200,12/16/11 435224,S200000,00100,0100,215 FIRST ST. NE 435224,S200000,00200,0100,SPRINGHILL 435224,S200000,00200,0200,LA 435224,S200000,00200,0300,71075-3217 435224,S200000,00300,0100,WEBSTER 435224,S200000,00300,0200,80 435224,S200000,00300,0201,99919 435224,S200000,00300,0300,R 435224,S200000,00400,0100,FOUNTAIN VIEW NSG & REHAB CTR 435224,S200000,00400,0200,195353 435224,S200000,00400,0300,01/01/95 435224,S200000,00400,0500,P 435224,S200000,01500,0100,Y 435224,S200000,01501,0200,Y 435224,S200000,01504,0200,Y 435224,S200000,01600,0100,N 435224,S200000,01700,0100,N 435224,S200000,01800,0100,N 435224,S200000,02200,0100,N 435224,S200000,02800,0100,N 435224,S200000,02900,0100,N 435224,S200000,03000,0100,N 435224,S200000,03100,0100,N 435224,S200000,03200,0100,N 435224,S200000,03300,0100,N 435224,S200000,03300,0200,N 435224,S200000,04100,0100,N 435224,S200000,04200,0100,N 435224,S200000,04300,0100,N 435224,S200000,04600,0100,N 435224,S200000,04700,0100,N 435224,S200000,04700,0200,N 435224,S200000,04900,0100,N 435224,S200000,05000,0100,N 435224,S200000,05100,0100,N 435224,S200000,05200,0100,N 435224,S200000,05300,0100,Y 435224,S200000,05300,0200,339003 435224,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435224,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435224,S200000,05400,0300,05401 435224,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435224,S200000,05600,0100,WHITE PLAINS 435224,S200000,05600,0200,NY 435224,S200000,05600,0300,10604 435225,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435225,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435225,A000000,00300,0000,0300EMPLOYEE BENEFITS 435225,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435225,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435225,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435225,A000000,00700,0000,0700HOUSEKEEPING 435225,A000000,00800,0000,0800DIETARY 435225,A000000,00900,0000,0900NURSING ADMINISTRATION 435225,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435225,A000000,01100,0000,1100PHARMACY 435225,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435225,A000000,01300,0000,1300SOCIAL SERVICE 435225,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435225,A000000,01500,0000,1350PATIENT ACTIVITIES 435225,A000000,01600,0000,1600SKILLED NURSING FACILITY 435225,A000000,01810,0000,1810ICF/MR 435225,A000000,02100,0000,2100RADIOLOGY 435225,A000000,02200,0000,2200LABORATORY 435225,A000000,02500,0000,2500PHYSICAL THERAPY 435225,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435225,A000000,02700,0000,2700SPEECH PATHOLOGY 435225,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435225,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435225,A000000,03550,0000,3550FQHC 435225,A000000,05000,0000,5000CORF 435225,A000000,05010,0000,5010CMHC 435225,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435225,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435225,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435225,A000000,05300,0000,5300INTEREST EXPENSE 435225,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435225,A81000A,00100,0100,Y 435225,A81000B,00100,0300,FACILITY RENT 435225,A81000B,00200,0300,INTEREST EXPENSE 435225,A81000B,00300,0300,GENERAL & ADMINISTRATIVE 435225,A81000B,00400,0300,PROPERTY TAX 435225,A81000B,00500,0300,RESIDENT RELATIONS 435225,A81000B,00600,0300,RESIDENT TRANSPORTATION SERVIC 435225,A81000B,00700,0300,MANAGEMENT FEES 435225,A81000B,00800,0300,MANAGEMENT FEE COST ADMINISTRA 435225,A81000B,00900,0300,MANAGEMENT FEE COST - CAPITAL 435225,A81000B,01000,0300,PAYROLL TAXES 435225,A81000B,01100,0300,RESIDENT TRANSPORTATION CAPITA 435225,A81000B,01200,0300,RESIDENT TRANSPORTATION VEHICL 435225,A81000B,01300,0300,RESIDENT TRANSPORTATION G&A 435225,A81000B,01400,0300,RESIDENT TRANSPORTATION MAINTE 435225,A81000B,01500,0300,PROPERTY TAX PHM - FUNCTIONAL 435225,A81000B,01600,0300,PROPERTY INSURANCE PHM - FUNCT 435225,A81000C,00100,0100,A 435225,A81000C,00100,0200,L. MICHAEL ASHB 435225,A81000C,00100,0400,PHM CORPORATION 435225,A81000C,00100,0600,HOME OFFICE 435225,A81000C,00200,0100,A 435225,A81000C,00200,0200,L. MICHAEL ASHB 435225,A81000C,00200,0400,GUEST HOUSE PRO 435225,A81000C,00200,0600,PROPERTY MANAGE 435225,A81000C,00300,0100,A 435225,A81000C,00300,0200,RONALD GOUX 435225,A81000C,00300,0400,GUEST HOUSE PRO 435225,A81000C,00300,0600,PROPERTY MANAGE 435225,A81000C,00400,0100,A 435225,A81000C,00400,0200,L. MICHAEL ASHB 435225,A81000C,00400,0400,A&G TRANSPORTAT 435225,A81000C,00400,0600,TRANSPORTATION 435225,A81000C,00500,0100,A 435225,A81000C,00500,0200,RONALD GOUX 435225,A81000C,00500,0400,A&G TRANSPORTAT 435225,A81000C,00500,0600,TRANSPORTATION 435225,A81000C,00600,0100,B 435225,A81000C,00600,0200,ASHBROOK LIMITE 435225,A81000C,00600,0400,WHITE COLUMN AP 435225,A81000C,00600,0600,APARTMENT RENTA 435225,A81000C,00700,0100,B 435225,A81000C,00700,0200,MONLA PROPERTIE 435225,A81000C,00700,0400,WHITE COLUMN AP 435225,A81000C,00700,0600,APARTMENT RENTA 435225,A81000C,00800,0100,A 435225,A81000C,00800,0200,LYNETTE GOUX 435225,A81000C,00800,0400,GUEST HOUSE PRO 435225,A81000C,00800,0600,PROPERTY MANAGE 435225,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435225,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435225,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435225,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435225,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435225,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435225,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435225,B100000,00000,0800,0800MEALS SERVED :DIETARY 435225,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435225,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435225,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435225,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435225,E10A180,00501,0100,04/25/12 435225,G300000,02501,0000,MISC INCOME 435225,S000000,00100,0200,03/01/12 435225,S200000,00100,0100,1007 GLENWOOD DRIVE 435225,S200000,00200,0100,WEST MONROE 435225,S200000,00200,0200,LA 435225,S200000,00200,0300,71291 435225,S200000,00300,0100,OUACHITA 435225,S200000,00300,0201,33740 435225,S200000,00300,0300,U 435225,S200000,00400,0100,WEST MONROE GUEST HOUSE 435225,S200000,00400,0200,195551 435225,S200000,00400,0300,05/16/02 435225,S200000,00400,0500,P 435225,S200000,01500,0100,Y 435225,S200000,01501,0200,N 435225,S200000,01503,0200,N 435225,S200000,01600,0100,N 435225,S200000,01700,0100,N 435225,S200000,01800,0100,N 435225,S200000,02200,0100,N 435225,S200000,02800,0100,Y 435225,S200000,02900,0100,N 435225,S200000,03000,0100,N 435225,S200000,03100,0100,N 435225,S200000,03200,0100,N 435225,S200000,03300,0100,N 435225,S200000,03300,0200,N 435225,S200000,04100,0100,N 435225,S200000,04200,0100,N 435225,S200000,04300,0100,N 435225,S200000,04600,0100,N 435225,S200000,04700,0100,N 435225,S200000,04700,0200,N 435225,S200000,04900,0100,N 435225,S200000,05000,0100,N 435225,S200000,05100,0100,N 435225,S200000,05200,0100,N 435225,S200000,05300,0100,Y 435225,S200000,05300,0200,H54380 435225,S200000,05400,0100,PHM CORPORATION 435225,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS INC. 435225,S200000,05400,0300,00230 435225,S200000,05500,0100,300 WASHINGTON ST. SUITE 404 435225,S200000,05600,0100,MONROE 435225,S200000,05600,0200,LA 435225,S200000,05600,0300,71201 435234,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435234,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435234,A000000,00300,0000,0300EMPLOYEE BENEFITS 435234,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435234,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435234,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435234,A000000,00700,0000,0700HOUSEKEEPING 435234,A000000,00800,0000,0800DIETARY 435234,A000000,00900,0000,0900NURSING ADMINISTRATION 435234,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435234,A000000,01100,0000,1100PHARMACY 435234,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435234,A000000,01300,0000,1300SOCIAL SERVICE 435234,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435234,A000000,01500,0000,1350ACTIVITIES 435234,A000000,01600,0000,1600SKILLED NURSING FACILITY 435234,A000000,01800,0000,1800NURSING FACILITY 435234,A000000,01810,0000,1810ICF/MR 435234,A000000,01900,0000,1900OTHER LONG TERM CARE 435234,A000000,02100,0000,2100RADIOLOGY 435234,A000000,02200,0000,2200LABORATORY 435234,A000000,02300,0000,2300INTRAVENOUS THERAPY 435234,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435234,A000000,02500,0000,2500PHYSICAL THERAPY 435234,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435234,A000000,02700,0000,2700SPEECH PATHOLOGY 435234,A000000,02800,0000,2800ELECTROCARDIOLOGY 435234,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435234,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435234,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435234,A000000,03200,0000,3200SUPPORT SURFACES 435234,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435234,A000000,03400,0000,3400CLINIC 435234,A000000,03500,0000,3500RURAL HEALTH CLINIC 435234,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435234,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435234,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435234,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435234,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435234,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435234,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435234,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435234,A000000,04400,0000,4400DME RENTED - HHA 435234,A000000,04500,0000,4500DME SOLD - HHA 435234,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435234,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435234,A000000,04710,0000,4710TELEMEDICINE 435234,A000000,04800,0000,4800AMBULANCE 435234,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435234,A000000,05000,0000,5000CORF 435234,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435234,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435234,A000000,05300,0000,5300INTEREST EXPENSE 435234,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435234,A000000,05500,0000,5500HOSPICE 435234,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435234,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435234,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435234,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435234,A000000,06100,0000,6100NONPAID WORKERS 435234,A000000,06200,0000,6200PATIENTS LAUNDRY 435234,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435234,A81000A,00100,0100,Y 435234,A81000B,00100,0300,RELATED PARTY LEASE 435234,A81000B,00200,0300,RELATED PARTY LEASE 435234,A81000B,00300,0300,MAINT EXPENSE 435234,A81000B,00400,0300,HOME OFFICE COSTS 435234,A81000B,00500,0300,HOME OFFICE COSTS 435234,A81000B,00600,0300,HOME OFFICE COSTS 435234,A81000B,00700,0300,HOME OFFICE COSTS 435234,A81000B,00800,0300,HOME OFFICE COSTS 435234,A81000B,00900,0300,HOME OFFICE COSTS 435234,A81000B,01000,0300,HOME OFFICE COSTS 435234,A81000B,01100,0300,RELATED PARTY THERAPY 435234,A81000B,01200,0300,RELATED PARTY THERAPY 435234,A81000B,01300,0300,RELATED PARTY THERAPY 435234,A81000C,00100,0100,D 435234,A81000C,00100,0400,PAOLI H&L PROPERTY LLC 435234,A81000C,00100,0600,PROPERTY LEASING 435234,A81000C,00200,0100,D 435234,A81000C,00200,0400,PAOLI H&L PROPERTY LLC 435234,A81000C,00200,0600,PROPERTY LEASING 435234,A81000C,00300,0100,D 435234,A81000C,00300,0400,PAOLI H&L PROPERTY LLC 435234,A81000C,00300,0600,PROPERTY LEASING 435234,A81000C,00400,0100,D 435234,A81000C,00400,0400,CARDON & ASSOCIATES 435234,A81000C,00400,0600,NURSING HOME MANAGEMENT 435234,A81000C,00500,0100,D 435234,A81000C,00500,0400,CARDON & ASSOCIATES 435234,A81000C,00500,0600,NURSING HOME MANAGEMENT 435234,A81000C,00600,0100,D 435234,A81000C,00600,0400,CARDON & ASSOCIATES 435234,A81000C,00600,0600,NURSING HOME MANAGEMENT 435234,A81000C,00700,0100,D 435234,A81000C,00700,0400,CARDON & ASSOCIATES 435234,A81000C,00700,0600,NURSING HOME MANAGEMENT 435234,A81000C,00800,0100,D 435234,A81000C,00800,0400,CARDON & ASSOCIATES 435234,A81000C,00800,0600,NURSING HOME MANAGEMENT 435234,A81000C,00900,0100,D 435234,A81000C,00900,0400,CARDON & ASSOCIATES 435234,A81000C,00900,0600,NURSING HOME MANAGEMENT 435234,A81000C,01000,0100,D 435234,A81000C,01000,0400,CARDON & ASSOCIATES 435234,A81000C,01000,0600,NURSING HOME MANAGEMENT 435234,A81000C,01001,0100,D 435234,A81000C,01001,0400,LIFESPAN THERAPY 435234,A81000C,01001,0600,THERAPY 435234,A81000C,01002,0100,D 435234,A81000C,01002,0400,LIFESPAN THERAPY 435234,A81000C,01002,0600,THERAPY 435234,A81000C,01003,0100,D 435234,A81000C,01003,0400,LIFESPAN THERAPY 435234,A81000C,01003,0600,THERAPY 435234,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435234,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435234,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435234,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435234,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435234,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435234,B100000,00000,0800,0800MEALS SERVED :DIETARY 435234,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435234,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435234,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435234,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435234,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435234,E10A180,00301,0100,03/21/12 435234,G300000,02500,0000,OTHER REVENUE 435234,S000000,00100,0200,02/27/12 435234,S200000,00100,0100,559 LONGEST STREET 435234,S200000,00100,0300,299 435234,S200000,00200,0100,PAOLI 435234,S200000,00200,0200,IN 435234,S200000,00200,0300,47454 435234,S200000,00300,0100,ORANGE 435234,S200000,00300,0201,99915 435234,S200000,00300,0300,R 435234,S200000,00400,0100,PAOLI HEALTH & LIVING COMM. INC. 435234,S200000,00400,0200,155333 435234,S200000,00400,0300,06/01/89 435234,S200000,00400,0500,P 435234,S200000,01500,0100,Y 435234,S200000,01501,0200,Y 435234,S200000,01502,0200,Y 435234,S200000,01503,0200,Y 435234,S200000,01504,0200,Y 435234,S200000,01600,0100,N 435234,S200000,01700,0100,N 435234,S200000,01800,0100,N 435234,S200000,02200,0100,Y 435234,S200000,02800,0100,N 435234,S200000,02900,0100,N 435234,S200000,03000,0100,N 435234,S200000,03100,0100,N 435234,S200000,03200,0100,N 435234,S200000,03300,0100,N 435234,S200000,03300,0200,N 435234,S200000,04100,0100,N 435234,S200000,04200,0100,N 435234,S200000,04300,0100,N 435234,S200000,04600,0100,N 435234,S200000,04700,0100,N 435234,S200000,04700,0200,N 435234,S200000,04900,0100,N 435234,S200000,05000,0100,N 435234,S200000,05100,0100,N 435234,S200000,05200,0100,N 435234,S200000,05300,0100,Y 435234,S200000,05300,0200,15H042 435234,S200000,05400,0100,CARDON & ASSOCIATES INC 435234,S200000,05400,0200,NGS 435234,S200000,05400,0300,00130 435234,S200000,05500,0100,2749 E. COVENANTER DRIVE 435234,S200000,05600,0100,BLOOMINGTON 435234,S200000,05600,0200,IN 435234,S200000,05600,0300,47401 435235,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435235,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435235,A000000,00300,0000,0300EMPLOYEE BENEFITS 435235,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435235,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435235,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435235,A000000,00700,0000,0700HOUSEKEEPING 435235,A000000,00800,0000,0800DIETARY 435235,A000000,00900,0000,0900NURSING ADMINISTRATION 435235,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435235,A000000,01100,0000,1100PHARMACY 435235,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435235,A000000,01300,0000,1300SOCIAL SERVICE 435235,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435235,A000000,01500,0000,1350ACTIVITIES 435235,A000000,01600,0000,1600SKILLED NURSING FACILITY 435235,A000000,01810,0000,1810ICF/MR 435235,A000000,02100,0000,2100RADIOLOGY 435235,A000000,02200,0000,2200LABORATORY 435235,A000000,02300,0000,2300INTRAVENOUS THERAPY 435235,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435235,A000000,02500,0000,2500PHYSICAL THERAPY 435235,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435235,A000000,02700,0000,2700SPEECH PATHOLOGY 435235,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435235,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435235,A000000,03200,0000,3200SUPPORT SURFACES 435235,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 435235,A000000,03550,0000,3550FQHC 435235,A000000,04801,0000,4801AMBULANCE 435235,A000000,04802,0000,4802AMBULANCE 435235,A000000,04803,0000,4803AMBULANCE 435235,A000000,05000,0000,5000CORF 435235,A000000,05010,0000,5010CMHC 435235,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435235,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435235,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435235,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 435235,A000000,05300,0000,5300INTEREST EXPENSE 435235,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 435235,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 435235,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435235,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435235,A81000A,00100,0100,Y 435235,A81000B,00100,0300,HOME OFFICE COST 435235,A81000C,00100,0100,B 435235,A81000C,00100,0200,MANOR CARE - SHARPVIEW OF 435235,A81000C,00100,0400,HCR MANOR CARE SVCS. LLC 435235,A81000C,00100,0600,LONG TERM CARE FACILITIES 435235,B100000,00000,0100,0100SQUARE FEET 435235,B100000,00000,0200,0200SQUARE FEET 435235,B100000,00000,0300,0300GROSS SALARIES 435235,B100000,00000,0400,0400ACCUM COST 435235,B100000,00000,0500,0500SQUARE FEET 435235,B100000,00000,0600,0600PATIENT DAYS 435235,B100000,00000,0700,0700SQUARE FEET 435235,B100000,00000,0800,0800MEALS SERVED 435235,B100000,00000,0900,0900PATIENT DAYS 435235,B100000,00000,1000,1000PATIENT DAYS 435235,B100000,00000,1100,1100PATIENT DAYS 435235,B100000,00000,1200,1200PATIENT DAYS 435235,B100000,00000,1300,1300PATIENT DAYS 435235,B100000,00000,1400,1400PATIENT DAYS 435235,B100000,00000,1500,1350PATIENT DAYS 435235,E10A180,00350,0100,05/17/11 435235,E10A180,00501,0100,04/12/12 435235,E10A180,00501,0300,04/12/12 435235,G300000,02500,0000,BEAUTY AND BARBER 435235,S000000,00100,0200,03/07/12 435235,S200000,00100,0100,7505 BELLERIVE 435235,S200000,00200,0100,HOUSTON 435235,S200000,00200,0200,TX 435235,S200000,00200,0300,77036 435235,S200000,00300,0100,HARRIS 435235,S200000,00300,0201,26420 435235,S200000,00300,0300,U 435235,S200000,00400,0100,MANOR CARE - SHARPVIEW OF HOUSTON TX 435235,S200000,00400,0200,455333 435235,S200000,00400,0300,06/01/82 435235,S200000,00400,0500,P 435235,S200000,00400,0600,P 435235,S200000,01500,0100,Y 435235,S200000,01501,0200,Y 435235,S200000,01502,0200,Y 435235,S200000,01503,0200,N 435235,S200000,01504,0200,Y 435235,S200000,01600,0100,N 435235,S200000,01700,0100,N 435235,S200000,01800,0100,N 435235,S200000,02200,0100,Y 435235,S200000,02800,0100,N 435235,S200000,02900,0100,N 435235,S200000,03000,0100,N 435235,S200000,03100,0100,N 435235,S200000,03200,0100,N 435235,S200000,03300,0100,N 435235,S200000,03300,0200,N 435235,S200000,04200,0100,N 435235,S200000,04300,0100,N 435235,S200000,04600,0100,N 435235,S200000,04700,0100,N 435235,S200000,04900,0100,N 435235,S200000,05200,0100,N 435235,S200000,05300,0100,Y 435235,S200000,05300,0200,36HO15 435235,S200000,05400,0100,HCR MANOR CARE SVCS. LLC 435235,S200000,05400,0200,CGS ADMINISTRATORS LLC 435235,S200000,05400,0300,15201 435235,S200000,05500,0100,333 N. SUMMIT ST. 435235,S200000,05500,0200,PO 10086 435235,S200000,05600,0100,TOLEDO 435235,S200000,05600,0200,OH 435235,S200000,05600,0300,43699-0086 435238,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435238,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435238,A000000,00300,0000,0300EMPLOYEE BENEFITS 435238,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435238,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435238,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435238,A000000,00700,0000,0700HOUSEKEEPING 435238,A000000,00800,0000,0800DIETARY 435238,A000000,00900,0000,0900NURSING ADMINISTRATION 435238,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435238,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435238,A000000,01300,0000,1300SOCIAL SERVICE 435238,A000000,01301,0000,1301ACTIVITES 435238,A000000,01500,0000,1350REHABILITATION 435238,A000000,01600,0000,1600SKILLED NURSING FACILITY 435238,A000000,01800,0000,1800NURSING FACILITY 435238,A000000,01900,0000,1900OTHER LONG TERM CARE 435238,A000000,02100,0000,2100RADIOLOGY 435238,A000000,02200,0000,2200LABORATORY 435238,A000000,02300,0000,2300INTRAVENOUS THERAPY 435238,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435238,A000000,02500,0000,2500PHYSICAL THERAPY 435238,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435238,A000000,02700,0000,2700SPEECH PATHOLOGY 435238,A000000,02800,0000,2800ELECTROCARDIOLOGY 435238,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435238,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435238,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435238,A000000,03200,0000,3200SUPPORT SURFACES 435238,A000000,03300,0000,3050EQUIPMENT RENTAL 435238,A000000,03301,0000,3051PEN THERAPY 435238,A000000,04800,0000,4800AMBULANCE 435238,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435238,A000000,05300,0000,5300INTEREST EXPENSE 435238,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435238,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435238,A000000,06200,0000,6200PATIENTS LAUNDRY 435238,A000000,06300,0000,6150VENDING 435238,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435238,A81000A,00100,0100,Y 435238,A81000B,00100,0300,HOME OFFICE COST 435238,A81000C,00100,0100,B 435238,A81000C,00100,0200,ASPEN LIVING CT 435238,A81000C,00100,0400,SSC EQUITY HOLD 435238,A81000C,00100,0600,NSG HOMES 435238,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435238,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435238,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435238,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435238,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435238,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435238,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435238,B100000,00000,0800,0800MEALS SERVED :DIETARY 435238,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435238,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435238,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435238,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435238,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435238,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435238,E10A180,00352,0100,05/19/11 435238,E10A180,00550,0100,05/04/12 435238,E10A180,00550,0300,05/04/12 435238,S000000,00100,0200,02/10/12 435238,S200000,00100,0100,1795 MONTEREY ROAD 435238,S200000,00200,0100,COLO SPRINGS 435238,S200000,00200,0200,CO 435238,S200000,00200,0300,80910 435238,S200000,00300,0100,EL PASO 435238,S200000,00300,0300,U 435238,S200000,00400,0100,ASPEN LIVING CENTER 435238,S200000,00400,0200,065168 435238,S200000,00400,0300,07/01/82 435238,S200000,00400,0500,P 435238,S200000,01500,0100,Y 435238,S200000,01501,0200,Y 435238,S200000,01502,0200,Y 435238,S200000,01504,0200,Y 435238,S200000,01600,0100,N 435238,S200000,01700,0100,N 435238,S200000,01800,0100,N 435238,S200000,02200,0100,Y 435238,S200000,02800,0100,N 435238,S200000,02900,0100,N 435238,S200000,03000,0100,N 435238,S200000,03100,0100,N 435238,S200000,03200,0100,N 435238,S200000,03300,0100,N 435238,S200000,03300,0200,N 435238,S200000,04100,0100,N 435238,S200000,04200,0100,N 435238,S200000,04300,0100,N 435238,S200000,04600,0100,N 435238,S200000,04700,0100,N 435238,S200000,04700,0200,N 435238,S200000,04900,0100,N 435238,S200000,05000,0100,N 435238,S200000,05100,0100,N 435238,S200000,05200,0100,N 435238,S200000,05300,0100,Y 435238,S200000,05300,0200,219023 435238,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435238,S200000,05400,0200,TRAILBLAZER 435238,S200000,05400,0300,04901 435238,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435238,S200000,05600,0100,HOUSTON 435238,S200000,05600,0200,TX 435238,S200000,05600,0300,77041 435239,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435239,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435239,A000000,00300,0000,0300EMPLOYEE BENEFITS 435239,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435239,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435239,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435239,A000000,00700,0000,0700HOUSEKEEPING 435239,A000000,00800,0000,0800DIETARY 435239,A000000,00900,0000,0900NURSING ADMINISTRATION 435239,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435239,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435239,A000000,01300,0000,1300SOCIAL SERVICE 435239,A000000,01301,0000,1301ACTIVITES 435239,A000000,01500,0000,1350REHABILITATION 435239,A000000,01600,0000,1600SKILLED NURSING FACILITY 435239,A000000,01800,0000,1800NURSING FACILITY 435239,A000000,01900,0000,1900OTHER LONG TERM CARE 435239,A000000,02100,0000,2100RADIOLOGY 435239,A000000,02200,0000,2200LABORATORY 435239,A000000,02300,0000,2300INTRAVENOUS THERAPY 435239,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435239,A000000,02500,0000,2500PHYSICAL THERAPY 435239,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435239,A000000,02700,0000,2700SPEECH PATHOLOGY 435239,A000000,02800,0000,2800ELECTROCARDIOLOGY 435239,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435239,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435239,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435239,A000000,03200,0000,3200SUPPORT SURFACES 435239,A000000,03300,0000,3050EQUIPMENT RENTAL 435239,A000000,03301,0000,3051PEN THERAPY 435239,A000000,04800,0000,4800AMBULANCE 435239,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435239,A000000,05300,0000,5300INTEREST EXPENSE 435239,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435239,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435239,A000000,06200,0000,6200PATIENTS LAUNDRY 435239,A000000,06300,0000,6150VENDING 435239,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435239,A81000A,00100,0100,Y 435239,A81000B,00100,0300,HOME OFFICE COST 435239,A81000C,00100,0100,B 435239,A81000C,00100,0200,PEARL STREET HE 435239,A81000C,00100,0400,SSC EQUITY HOLD 435239,A81000C,00100,0600,NSG HOMES 435239,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435239,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435239,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435239,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435239,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435239,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435239,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435239,B100000,00000,0800,0800MEALS SERVED :DIETARY 435239,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435239,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435239,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435239,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435239,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435239,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435239,E10A180,00351,0100,05/11/11 435239,E10A180,00550,0100,05/04/12 435239,E10A180,00550,0300,05/04/12 435239,S000000,00100,0200,02/10/12 435239,S200000,00100,0100,3636 S PEARL ST 435239,S200000,00200,0100,ENGLEWOOD 435239,S200000,00200,0200,CO 435239,S200000,00200,0300,80110 435239,S200000,00300,0100,ARAPAHOE 435239,S200000,00300,0300,U 435239,S200000,00400,0100,PEARL STREET HEALTH & REHAB CENTER 435239,S200000,00400,0200,065208 435239,S200000,00400,0300,05/01/85 435239,S200000,00400,0500,P 435239,S200000,01500,0100,Y 435239,S200000,01501,0200,Y 435239,S200000,01502,0200,N 435239,S200000,01504,0200,Y 435239,S200000,01600,0100,N 435239,S200000,01700,0100,N 435239,S200000,01800,0100,N 435239,S200000,02200,0100,Y 435239,S200000,02800,0100,N 435239,S200000,02900,0100,N 435239,S200000,03000,0100,N 435239,S200000,03100,0100,N 435239,S200000,03200,0100,N 435239,S200000,03300,0100,N 435239,S200000,03300,0200,N 435239,S200000,04100,0100,N 435239,S200000,04200,0100,N 435239,S200000,04300,0100,N 435239,S200000,04600,0100,N 435239,S200000,04700,0100,N 435239,S200000,04700,0200,N 435239,S200000,04900,0100,N 435239,S200000,05000,0100,N 435239,S200000,05100,0100,N 435239,S200000,05200,0100,N 435239,S200000,05300,0100,Y 435239,S200000,05300,0200,219023 435239,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435239,S200000,05400,0200,TRAILBLAZER 435239,S200000,05400,0300,04901 435239,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435239,S200000,05600,0100,HOUSTON 435239,S200000,05600,0200,TX 435239,S200000,05600,0300,77041 435241,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435241,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435241,A000000,00300,0000,0300EMPLOYEE BENEFITS 435241,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435241,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435241,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435241,A000000,00700,0000,0700HOUSEKEEPING 435241,A000000,00800,0000,0800DIETARY 435241,A000000,00900,0000,0900NURSING ADMINISTRATION 435241,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435241,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435241,A000000,01300,0000,1300SOCIAL SERVICE 435241,A000000,01301,0000,1301ACTIVITES 435241,A000000,01500,0000,1350REHABILITATION 435241,A000000,01600,0000,1600SKILLED NURSING FACILITY 435241,A000000,01800,0000,1800NURSING FACILITY 435241,A000000,01900,0000,1900OTHER LONG TERM CARE 435241,A000000,02100,0000,2100RADIOLOGY 435241,A000000,02200,0000,2200LABORATORY 435241,A000000,02300,0000,2300INTRAVENOUS THERAPY 435241,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435241,A000000,02500,0000,2500PHYSICAL THERAPY 435241,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435241,A000000,02700,0000,2700SPEECH PATHOLOGY 435241,A000000,02800,0000,2800ELECTROCARDIOLOGY 435241,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435241,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435241,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435241,A000000,03200,0000,3200SUPPORT SURFACES 435241,A000000,03300,0000,3050EQUIPMENT RENTAL 435241,A000000,03301,0000,3051PEN THERAPY 435241,A000000,04800,0000,4800AMBULANCE 435241,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435241,A000000,05300,0000,5300INTEREST EXPENSE 435241,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435241,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435241,A000000,06200,0000,6200PATIENTS LAUNDRY 435241,A000000,06300,0000,6150VENDING 435241,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435241,A81000A,00100,0100,Y 435241,A81000B,00100,0300,HOME OFFICE COST 435241,A81000C,00100,0100,B 435241,A81000C,00100,0200,SILVER CREEK MA 435241,A81000C,00100,0400,SSC EQUITY HOLD 435241,A81000C,00100,0600,NSG HOMES 435241,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435241,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435241,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435241,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435241,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435241,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435241,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435241,B100000,00000,0800,0800MEALS SERVED :DIETARY 435241,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435241,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435241,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435241,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435241,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435241,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435241,E10A180,00302,0100,03/17/11 435241,E10A180,00303,0100,09/29/11 435241,E10A180,00501,0100,05/04/12 435241,G300000,02500,0000, OTHER (SPECIFY) 435241,S000000,00100,0200,02/10/12 435241,S200000,00100,0100,9014 TIMBER PATH 435241,S200000,00200,0100,SAN ANTONIO 435241,S200000,00200,0200,TX 435241,S200000,00200,0300,78250 435241,S200000,00300,0100,BEXAR 435241,S200000,00300,0300,U 435241,S200000,00400,0100,SILVER CREEK MANOR 435241,S200000,00400,0200,455652 435241,S200000,00400,0300,06/01/83 435241,S200000,00400,0500,P 435241,S200000,01500,0100,Y 435241,S200000,01501,0200,Y 435241,S200000,01502,0200,Y 435241,S200000,01504,0200,Y 435241,S200000,01600,0100,N 435241,S200000,01700,0100,N 435241,S200000,01800,0100,N 435241,S200000,02200,0100,Y 435241,S200000,02800,0100,N 435241,S200000,02900,0100,N 435241,S200000,03000,0100,N 435241,S200000,03100,0100,N 435241,S200000,03200,0100,N 435241,S200000,03300,0100,N 435241,S200000,03300,0200,N 435241,S200000,03600,0100,N 435241,S200000,03600,0200,N 435241,S200000,04100,0100,N 435241,S200000,04200,0100,N 435241,S200000,04300,0100,N 435241,S200000,04600,0100,N 435241,S200000,04700,0100,N 435241,S200000,04700,0200,N 435241,S200000,04900,0100,N 435241,S200000,05000,0100,N 435241,S200000,05100,0100,N 435241,S200000,05200,0100,N 435241,S200000,05300,0100,Y 435241,S200000,05300,0200,219023 435241,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435241,S200000,05400,0200,NOVITAS SOLUTIONS 435241,S200000,05400,0300,04011 435241,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435241,S200000,05600,0100,HOUSTON 435241,S200000,05600,0200,TX 435241,S200000,05600,0300,77041 435242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435242,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435242,A000000,00300,0000,0300EMPLOYEE BENEFITS 435242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435242,A000000,00700,0000,0700HOUSEKEEPING 435242,A000000,00800,0000,0800DIETARY 435242,A000000,00900,0000,0900NURSING ADMINISTRATION 435242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435242,A000000,01300,0000,1300SOCIAL SERVICE 435242,A000000,01301,0000,1301ACTIVITES 435242,A000000,01500,0000,1350REHABILITATION 435242,A000000,01600,0000,1600SKILLED NURSING FACILITY 435242,A000000,01800,0000,1800NURSING FACILITY 435242,A000000,01900,0000,1900OTHER LONG TERM CARE 435242,A000000,02100,0000,2100RADIOLOGY 435242,A000000,02200,0000,2200LABORATORY 435242,A000000,02300,0000,2300INTRAVENOUS THERAPY 435242,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435242,A000000,02500,0000,2500PHYSICAL THERAPY 435242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435242,A000000,02700,0000,2700SPEECH PATHOLOGY 435242,A000000,02800,0000,2800ELECTROCARDIOLOGY 435242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435242,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435242,A000000,03200,0000,3200SUPPORT SURFACES 435242,A000000,03300,0000,3050EQUIPMENT RENTAL 435242,A000000,03301,0000,3051PEN THERAPY 435242,A000000,04800,0000,4800AMBULANCE 435242,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435242,A000000,05300,0000,5300INTEREST EXPENSE 435242,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435242,A000000,06200,0000,6200PATIENTS LAUNDRY 435242,A000000,06300,0000,6150VENDING 435242,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435242,A81000A,00100,0100,Y 435242,A81000B,00100,0300,HOME OFFICE COST 435242,A81000C,00100,0100,B 435242,A81000C,00100,0200,NORTH PARK H&R 435242,A81000C,00100,0400,SSC EQUITY HOLD 435242,A81000C,00100,0600,NSG HOMES 435242,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435242,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435242,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435242,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435242,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435242,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435242,B100000,00000,0800,0800MEALS SERVED :DIETARY 435242,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435242,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435242,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435242,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435242,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435242,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435242,E10A180,00302,0100,03/17/11 435242,E10A180,00303,0100,09/30/11 435242,E10A180,00502,0100,05/04/12 435242,S000000,00100,0200,02/10/12 435242,S200000,00100,0100,1720 N. MCDONALD 435242,S200000,00200,0100,MCKINNEY 435242,S200000,00200,0200,TX 435242,S200000,00200,0300,75069 435242,S200000,00300,0100,COLLINS 435242,S200000,00300,0300,U 435242,S200000,00400,0100,NORTH PARK HEALTH & REHAB CENTER 435242,S200000,00400,0200,675196 435242,S200000,00400,0300,11/04/93 435242,S200000,00400,0500,P 435242,S200000,01500,0100,Y 435242,S200000,01501,0200,Y 435242,S200000,01502,0200,N 435242,S200000,01504,0200,Y 435242,S200000,01600,0100,N 435242,S200000,01700,0100,N 435242,S200000,01800,0100,N 435242,S200000,02200,0100,Y 435242,S200000,02800,0100,N 435242,S200000,02900,0100,N 435242,S200000,03000,0100,N 435242,S200000,03100,0100,N 435242,S200000,03200,0100,N 435242,S200000,03300,0100,N 435242,S200000,03300,0200,N 435242,S200000,04100,0100,N 435242,S200000,04200,0100,N 435242,S200000,04300,0100,N 435242,S200000,04600,0100,N 435242,S200000,04700,0100,N 435242,S200000,04700,0200,N 435242,S200000,04900,0100,N 435242,S200000,05000,0100,N 435242,S200000,05100,0100,N 435242,S200000,05200,0100,N 435242,S200000,05300,0100,Y 435242,S200000,05300,0200,219023 435242,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435242,S200000,05400,0200,TRAILBLAZER 435242,S200000,05400,0300,04901 435242,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435242,S200000,05600,0100,HOUSTON 435242,S200000,05600,0200,TX 435242,S200000,05600,0300,77041 435243,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435243,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435243,A000000,00300,0000,0300EMPLOYEE BENEFITS 435243,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435243,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435243,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435243,A000000,00700,0000,0700HOUSEKEEPING 435243,A000000,00800,0000,0800DIETARY 435243,A000000,00900,0000,0900NURSING ADMINISTRATION 435243,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435243,A000000,01100,0000,1100PHARMACY 435243,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435243,A000000,01300,0000,1300SOCIAL SERVICE 435243,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435243,A000000,01600,0000,1600SKILLED NURSING FACILITY 435243,A000000,01800,0000,1800NURSING FACILITY 435243,A000000,01810,0000,1810ICF/MR 435243,A000000,01900,0000,1900OTHER LONG TERM CARE 435243,A000000,02100,0000,2100RADIOLOGY 435243,A000000,02200,0000,2200LABORATORY 435243,A000000,02300,0000,2300INTRAVENOUS THERAPY 435243,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435243,A000000,02500,0000,2500PHYSICAL THERAPY 435243,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435243,A000000,02700,0000,2700SPEECH PATHOLOGY 435243,A000000,02800,0000,2800ELECTROCARDIOLOGY 435243,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435243,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435243,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435243,A000000,03200,0000,3200SUPPORT SURFACES 435243,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435243,A000000,03400,0000,3400CLINIC 435243,A000000,03500,0000,3500RURAL HEALTH CLINIC 435243,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435243,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435243,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435243,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435243,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435243,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435243,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435243,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435243,A000000,04400,0000,4400DME RENTED - HHA 435243,A000000,04500,0000,4500DME SOLD - HHA 435243,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435243,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435243,A000000,04710,0000,4710TELEMEDICINE 435243,A000000,04800,0000,4800AMBULANCE 435243,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435243,A000000,05000,0000,5000CORF 435243,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435243,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435243,A000000,05300,0000,5300INTEREST EXPENSE 435243,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435243,A000000,05500,0000,5500HOSPICE 435243,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435243,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435243,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435243,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435243,A000000,06100,0000,6100NONPAID WORKERS 435243,A000000,06200,0000,6200PATIENTS LAUNDRY 435243,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435243,A81000A,00100,0100,Y 435243,A81000B,00100,0300,BUILDING LEASE 435243,A81000C,00100,0100,B 435243,A81000C,00100,0200,MSPF II CROWLEY OE LP 435243,A81000C,00100,0400,MSPF II CROWLEY SNF LP 435243,A81000C,00100,0600,REAL ESTATE 435243,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435243,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435243,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435243,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435243,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435243,B100000,00000,0700,0750CLEANED SQ. FT. :HOUSEKEEPING 435243,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435243,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435243,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435243,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435243,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435243,E10A180,00501,0100,04/25/12 435243,G300000,02500,0000,OTHER INCOME 435243,S000000,00100,0200,01/30/12 435243,S200000,00100,0100,920 E FM 1187 435243,S200000,00200,0100,CROWLEY 435243,S200000,00200,0200,TX 435243,S200000,00200,0300,76036 435243,S200000,00300,0100,TARRANT 435243,S200000,00300,0200,2800 435243,S200000,00300,0201,23104 435243,S200000,00300,0300,U 435243,S200000,00400,0100,CROWLEY NURSING AND REHAB CTR 435243,S200000,00400,0200,676176 435243,S200000,00400,0300,12/14/07 435243,S200000,00400,0500,P 435243,S200000,01500,0100,Y 435243,S200000,01501,0200,Y 435243,S200000,01502,0200,Y 435243,S200000,01503,0200,N 435243,S200000,01504,0200,Y 435243,S200000,01600,0100,N 435243,S200000,01700,0100,N 435243,S200000,01800,0100,N 435243,S200000,02200,0100,N 435243,S200000,02800,0100,N 435243,S200000,02900,0100,N 435243,S200000,03000,0100,N 435243,S200000,03100,0100,N 435243,S200000,03200,0100,N 435243,S200000,03300,0100,N 435243,S200000,03300,0200,N 435243,S200000,04100,0100,N 435243,S200000,04200,0100,N 435243,S200000,04300,0100,N 435243,S200000,04600,0100,N 435243,S200000,04700,0100,N 435243,S200000,04700,0200,N 435243,S200000,04900,0100,N 435243,S200000,05000,0100,N 435243,S200000,05100,0100,N 435243,S200000,05200,0100,N 435243,S200000,05300,0100,N 435244,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435244,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435244,A000000,00300,0000,0300EMPLOYEE BENEFITS 435244,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435244,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435244,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435244,A000000,00700,0000,0700HOUSEKEEPING 435244,A000000,00800,0000,0800DIETARY 435244,A000000,00900,0000,0900NURSING ADMINISTRATION 435244,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435244,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435244,A000000,01300,0000,1300SOCIAL SERVICE 435244,A000000,01301,0000,1301ACTIVITES 435244,A000000,01500,0000,1350REHABILITATION 435244,A000000,01600,0000,1600SKILLED NURSING FACILITY 435244,A000000,01800,0000,1800NURSING FACILITY 435244,A000000,01900,0000,1900OTHER LONG TERM CARE 435244,A000000,02100,0000,2100RADIOLOGY 435244,A000000,02200,0000,2200LABORATORY 435244,A000000,02300,0000,2300INTRAVENOUS THERAPY 435244,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435244,A000000,02500,0000,2500PHYSICAL THERAPY 435244,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435244,A000000,02700,0000,2700SPEECH PATHOLOGY 435244,A000000,02800,0000,2800ELECTROCARDIOLOGY 435244,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435244,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435244,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435244,A000000,03200,0000,3200SUPPORT SURFACES 435244,A000000,03300,0000,3050EQUIPMENT RENTAL 435244,A000000,03301,0000,3051PEN THERAPY 435244,A000000,04800,0000,4800AMBULANCE 435244,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435244,A000000,05300,0000,5300INTEREST EXPENSE 435244,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435244,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435244,A000000,06200,0000,6200PATIENTS LAUNDRY 435244,A000000,06300,0000,6150VENDING 435244,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435244,A81000A,00100,0100,Y 435244,A81000B,00100,0300,HOME OFFICE COST 435244,A81000C,00100,0100,B 435244,A81000C,00100,0200,MCALLEN RETAMA 435244,A81000C,00100,0400,SSC EQUITY HOLD 435244,A81000C,00100,0600,NSG HOMES 435244,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435244,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435244,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435244,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435244,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435244,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435244,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435244,B100000,00000,0800,0800MEALS SERVED :DIETARY 435244,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435244,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435244,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435244,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435244,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435244,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435244,E10A180,00501,0100,05/04/12 435244,E10A180,00550,0300,05/04/12 435244,G300000,02500,0000, OTHER (SPECIFY) 435244,S000000,00100,0200,02/10/12 435244,S200000,00100,0100,900 SOUTH 12TH STREET 435244,S200000,00200,0100,MCALLEN 435244,S200000,00200,0200,TX 435244,S200000,00200,0300,78501 435244,S200000,00300,0100,HIDALGO 435244,S200000,00300,0300,U 435244,S200000,00400,0100,MCALLEN RETAMA MANOR 435244,S200000,00400,0200,455662 435244,S200000,00400,0300,07/09/86 435244,S200000,00400,0500,P 435244,S200000,01500,0100,Y 435244,S200000,01501,0200,N 435244,S200000,01502,0200,N 435244,S200000,01504,0200,Y 435244,S200000,01600,0100,N 435244,S200000,01700,0100,N 435244,S200000,01800,0100,N 435244,S200000,02200,0100,Y 435244,S200000,02800,0100,N 435244,S200000,02900,0100,N 435244,S200000,03000,0100,N 435244,S200000,03100,0100,N 435244,S200000,03200,0100,N 435244,S200000,03300,0100,N 435244,S200000,03300,0200,N 435244,S200000,04100,0100,N 435244,S200000,04200,0100,N 435244,S200000,04300,0100,N 435244,S200000,04600,0100,N 435244,S200000,04700,0100,N 435244,S200000,04700,0200,N 435244,S200000,04900,0100,N 435244,S200000,05000,0100,N 435244,S200000,05100,0100,N 435244,S200000,05200,0100,N 435244,S200000,05300,0100,Y 435244,S200000,05300,0200,219023 435244,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435244,S200000,05400,0200,TRAILBLAZER 435244,S200000,05400,0300,04901 435244,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435244,S200000,05600,0100,HOUSTON 435244,S200000,05600,0200,TX 435244,S200000,05600,0300,77041 435248,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435248,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435248,A000000,00300,0000,0300EMPLOYEE BENEFITS 435248,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435248,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435248,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435248,A000000,00700,0000,0700HOUSEKEEPING 435248,A000000,00800,0000,0800DIETARY 435248,A000000,00900,0000,0900NURSING ADMINISTRATION 435248,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435248,A000000,01100,0000,1100PHARMACY 435248,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435248,A000000,01300,0000,1300SOCIAL SERVICE 435248,A000000,01350,0000,1301PATIENT ACTIVITIES COORDINATOR 435248,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435248,A000000,01600,0000,1600SKILLED NURSING FACILITY 435248,A000000,01810,0000,1810ICF/MR 435248,A000000,02500,0000,2500PHYSICAL THERAPY 435248,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435248,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435248,A000000,03550,0000,3550FQHC 435248,A000000,05000,0000,5000CORF 435248,A000000,05010,0000,5010CMHC 435248,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435248,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435248,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435248,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435248,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435248,A000000,06300,0000,6150PEN THERAPY 435248,A81000A,00100,0100,Y 435248,A81000B,00100,0300,RENT 435248,A81000B,00200,0300,LAUDRY 435248,A81000B,00300,0300,MEALS 435248,A81000B,00400,0300,THERAPY SERVICES 435248,A81000C,00100,0100,B 435248,A81000C,00100,0200,LASALLE HSD #2 435248,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435248,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435248,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435248,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435248,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435248,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435248,B100000,00000,0700,0750SQAURE FEET :HOUSEKEEPING 435248,B100000,00000,0800,0800MEALS SERVED :DIETARY 435248,B100000,00000,0900,0950FTE S X 100 :NURSING ADMINISTRAT 435248,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435248,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435248,B100000,00000,1350,1331PATIENT DAYS :PATIENT ACTIVITIE 435248,E10A180,00501,0100,03/27/12 435248,E10A180,00501,0300,03/27/12 435248,S000000,00100,0200,02/28/12 435248,S200000,00100,0100,139 NINTH STREET 435248,S200000,00100,0300,1510 435248,S200000,00200,0100,JENA 435248,S200000,00200,0200,LA 435248,S200000,00200,0300,71342 435248,S200000,00300,0100,LASALLE 435248,S200000,00300,0201,0019 435248,S200000,00300,0300,R 435248,S200000,00400,0100,LASALLE NURING HOME 435248,S200000,00400,0200,195466 435248,S200000,00400,0300,06/30/98 435248,S200000,00400,0500,P 435248,S200000,01500,0100,N 435248,S200000,01600,0100,N 435248,S200000,01700,0100,N 435248,S200000,01800,0100,N 435248,S200000,02200,0100,N 435248,S200000,02800,0100,N 435248,S200000,02900,0100,N 435248,S200000,03000,0100,N 435248,S200000,03100,0100,N 435248,S200000,03200,0100,N 435248,S200000,03300,0100,N 435248,S200000,03300,0200,N 435248,S200000,04100,0100,N 435248,S200000,04200,0100,N 435248,S200000,04300,0100,N 435248,S200000,04600,0100,N 435248,S200000,04700,0100,N 435248,S200000,04700,0200,N 435248,S200000,04900,0100,N 435248,S200000,05000,0100,N 435248,S200000,05100,0100,N 435248,S200000,05200,0100,N 435248,S200000,05300,0100,N 435250,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435250,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435250,A000000,00300,0000,0300EMPLOYEE BENEFITS 435250,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435250,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435250,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435250,A000000,00700,0000,0700HOUSEKEEPING 435250,A000000,00800,0000,0800DIETARY 435250,A000000,00900,0000,0900NURSING ADMINISTRATION 435250,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435250,A000000,01300,0000,1300SOCIAL SERVICE 435250,A000000,01600,0000,1600SKILLED NURSING FACILITY 435250,A000000,02500,0000,2500PHYSICAL THERAPY 435250,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435250,A000000,02700,0000,2700SPEECH PATHOLOGY 435250,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435250,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435250,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435250,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435250,A81000A,00100,0100,N 435250,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435250,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435250,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435250,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435250,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435250,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435250,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435250,B100000,00000,0800,0800MEALS SERVED :DIETARY 435250,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435250,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435250,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435250,E10A180,00501,0100,04/25/12 435250,G300000,02501,0000,HEALTHPLEX MEMBERSHIP INCOME 435250,G300000,02502,0000,HEALTHPLEX THERAPY RENTAL 435250,G300000,02505,0000,VENDING MACHINE REV 435250,G300000,02506,0000,MISC INCOME 435250,S000000,00100,0200,02/27/12 435250,S200000,00100,0100,1421 A E. PEACE ST. 435250,S200000,00100,0300,488 435250,S200000,00200,0100,CANTON 435250,S200000,00200,0200,MS 435250,S200000,00200,0300,39046 435250,S200000,00300,0100,MADISON 435250,S200000,00300,0200,0000 435250,S200000,00300,0201,27140 435250,S200000,00300,0300,U 435250,S200000,00400,0100,MADISON COUNTY NURSING HOME 435250,S200000,00400,0200,255329 435250,S200000,00400,0300,01/01/10 435250,S200000,00400,0500,P 435250,S200000,01500,0100,Y 435250,S200000,01501,0200,N 435250,S200000,01600,0100,N 435250,S200000,01700,0100,N 435250,S200000,01800,0100,N 435250,S200000,02200,0100,N 435250,S200000,02800,0100,N 435250,S200000,02900,0100,N 435250,S200000,03000,0100,N 435250,S200000,03100,0100,N 435250,S200000,03200,0100,N 435250,S200000,03300,0100,N 435250,S200000,03300,0200,N 435250,S200000,04100,0100,N 435250,S200000,04200,0100,N 435250,S200000,04300,0100,N 435250,S200000,04600,0100,N 435250,S200000,04700,0100,N 435250,S200000,04700,0200,N 435250,S200000,04900,0100,N 435250,S200000,05000,0100,N 435250,S200000,05100,0100,N 435250,S200000,05200,0100,N 435250,S200000,05300,0100,N 435251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435251,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435251,A000000,00300,0000,0300EMPLOYEE BENEFITS 435251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435251,A000000,00700,0000,0700HOUSEKEEPING 435251,A000000,00800,0000,0800DIETARY 435251,A000000,00900,0000,0900NURSING ADMINISTRATION 435251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435251,A000000,01100,0000,1100PHARMACY 435251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435251,A000000,01300,0000,1300SOCIAL SERVICE 435251,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435251,A000000,01500,0000,1350OTHER GENERAL SERVICES 435251,A000000,01600,0000,1600SKILLED NURSING FACILITY 435251,A000000,01800,0000,1800NURSING FACILITY 435251,A000000,01810,0000,1810ICF/MR 435251,A000000,01900,0000,1900OTHER LONG TERM CARE 435251,A000000,02100,0000,2100RADIOLOGY 435251,A000000,02200,0000,2200LABORATORY 435251,A000000,02300,0000,2300INTRAVENOUS THERAPY 435251,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435251,A000000,02500,0000,2500PHYSICAL THERAPY 435251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435251,A000000,02700,0000,2700SPEECH PATHOLOGY 435251,A000000,02800,0000,2800ELECTROCARDIOLOGY 435251,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435251,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435251,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435251,A000000,03200,0000,3200SUPPORT SURFACES 435251,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435251,A000000,03400,0000,3400CLINIC 435251,A000000,03500,0000,3500RURAL HEALTH CLINIC 435251,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435251,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435251,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435251,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435251,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435251,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435251,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435251,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435251,A000000,04400,0000,4400DME RENTED - HHA 435251,A000000,04500,0000,4500DME SOLD - HHA 435251,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435251,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435251,A000000,04710,0000,4710TELEMEDICINE 435251,A000000,04800,0000,4800AMBULANCE 435251,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435251,A000000,05000,0000,5000CORF 435251,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435251,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435251,A000000,05300,0000,5300INTEREST EXPENSE 435251,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435251,A000000,05500,0000,5500HOSPICE 435251,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435251,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435251,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435251,A000000,06100,0000,6100NONPAID WORKERS 435251,A000000,06200,0000,6200PATIENTS LAUNDRY 435251,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435251,A81000A,00100,0100,N 435251,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435251,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435251,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435251,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435251,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435251,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435251,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435251,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435251,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435251,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435251,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435251,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435251,E10A180,00502,0100,04/12/12 435251,E10A180,00502,0300,04/12/12 435251,G300000,02500,0000,MISCELLANEOUS INCOME 435251,G300000,02502,0000,TRANSPORTATION FEES 435251,G300000,02503,0000,HOUSEKEEPING FEES GUEST ROOMS 435251,S000000,00100,0200,03/01/12 435251,S200000,00100,0100,1330 MASSACHUSETTS AVE 435251,S200000,00200,0100,WASHINGTON 435251,S200000,00200,0200,DC 435251,S200000,00200,0300,20005 435251,S200000,00300,0100,DC 435251,S200000,00300,0200,8840 435251,S200000,00300,0201,47894 435251,S200000,00300,0300,U 435251,S200000,00400,0100,1330 OPCO LLC 435251,S200000,00400,0200,095021 435251,S200000,00400,0300,04/01/87 435251,S200000,00400,0500,P 435251,S200000,01500,0100,Y 435251,S200000,01501,0200,N 435251,S200000,01600,0100,N 435251,S200000,01700,0100,N 435251,S200000,01800,0100,N 435251,S200000,02200,0100,N 435251,S200000,02800,0100,N 435251,S200000,02900,0100,N 435251,S200000,03000,0100,N 435251,S200000,03100,0100,N 435251,S200000,03200,0100,N 435251,S200000,03300,0100,N 435251,S200000,03300,0200,N 435251,S200000,03600,0100,N 435251,S200000,03600,0200,N 435251,S200000,04100,0100,N 435251,S200000,04200,0100,N 435251,S200000,04300,0100,N 435251,S200000,04600,0100,N 435251,S200000,04700,0100,N 435251,S200000,04700,0200,N 435251,S200000,04900,0100,N 435251,S200000,05000,0100,N 435251,S200000,05100,0100,N 435251,S200000,05200,0100,N 435251,S200000,05300,0100,N 435253,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435253,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435253,A000000,00300,0000,0300EMPLOYEE BENEFITS 435253,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435253,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435253,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435253,A000000,00700,0000,0700HOUSEKEEPING 435253,A000000,00800,0000,0800DIETARY 435253,A000000,00900,0000,0900NURSING ADMINISTRATION 435253,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435253,A000000,01100,0000,1100PHARMACY 435253,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435253,A000000,01300,0000,1300SOCIAL SERVICE 435253,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435253,A000000,01500,0000,1350ACTIVITIES AL SERVICES 435253,A000000,01600,0000,1600SKILLED NURSING FACILITY 435253,A000000,01800,0000,1800NURSING FACILITY 435253,A000000,01810,0000,1810ICF/MR 435253,A000000,01900,0000,1900OTHER LONG TERM CARE 435253,A000000,02100,0000,2100RADIOLOGY 435253,A000000,02200,0000,2200LABORATORY 435253,A000000,02300,0000,2300INTRAVENOUS THERAPY 435253,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435253,A000000,02500,0000,2500PHYSICAL THERAPY 435253,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435253,A000000,02700,0000,2700SPEECH PATHOLOGY 435253,A000000,02800,0000,2800ELECTROCARDIOLOGY 435253,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435253,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435253,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435253,A000000,03200,0000,3200SUPPORT SURFACES 435253,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435253,A000000,03400,0000,3400CLINIC 435253,A000000,03500,0000,3500RURAL HEALTH CLINIC 435253,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435253,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435253,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435253,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435253,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435253,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435253,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435253,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435253,A000000,04400,0000,4400DME RENTED - HHA 435253,A000000,04500,0000,4500DME SOLD - HHA 435253,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435253,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435253,A000000,04800,0000,4800AMBULANCE 435253,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435253,A000000,05000,0000,5000CORF 435253,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435253,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435253,A000000,05300,0000,5300INTEREST EXPENSE 435253,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435253,A000000,05500,0000,5500HOSPICE 435253,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435253,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435253,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435253,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435253,A000000,06100,0000,6100NONPAID WORKERS 435253,A000000,06200,0000,6200PATIENTS LAUNDRY 435253,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435253,A81000A,00100,0100,N 435253,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435253,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435253,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435253,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435253,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435253,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435253,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435253,B100000,00000,0800,0800MEALS SERVED :DIETARY 435253,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435253,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435253,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435253,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435253,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES AL SER 435253,E10A180,00501,0100,05/31/12 435253,G300000,02500,0000, BARBER&BEAUTY DISPOSAL DAY CARE 435253,S000000,00100,0200,03/28/12 435253,S200000,00100,0100,11409 NORTH CENTRAL EXPRESSWAY 435253,S200000,00200,0100,DALLAS 435253,S200000,00200,0200,TX 435253,S200000,00200,0300,75243 435253,S200000,00300,0100,DALLAS 435253,S200000,00300,0200,1920 435253,S200000,00300,0201,19124 435253,S200000,00300,0300,U 435253,S200000,00400,0100,THE LEGACY AT PRESTON HOLLOW 435253,S200000,00400,0200,675893 435253,S200000,00400,0300,11/28/01 435253,S200000,00400,0500,P 435253,S200000,00400,0600,P 435253,S200000,01500,0100,Y 435253,S200000,01501,0200,Y 435253,S200000,01504,0200,N 435253,S200000,01600,0100,N 435253,S200000,01700,0100,N 435253,S200000,01800,0100,N 435253,S200000,02200,0100,N 435253,S200000,02800,0100,N 435253,S200000,02900,0100,N 435253,S200000,03000,0100,N 435253,S200000,03100,0100,N 435253,S200000,03200,0100,N 435253,S200000,03300,0100,N 435253,S200000,03300,0200,N 435253,S200000,04100,0100,N 435253,S200000,04200,0100,N 435253,S200000,04300,0100,N 435253,S200000,04600,0100,N 435253,S200000,04700,0100,N 435253,S200000,04700,0200,N 435253,S200000,04900,0100,N 435253,S200000,05000,0100,N 435253,S200000,05100,0100,N 435253,S200000,05200,0100,N 435264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435264,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435264,A000000,00300,0000,0300EMPLOYEE BENEFITS 435264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435264,A000000,00700,0000,0700HOUSEKEEPING 435264,A000000,00800,0000,0800DIETARY 435264,A000000,00900,0000,0900NURSING ADMINISTRATION 435264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435264,A000000,01100,0000,1100PHARMACY 435264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435264,A000000,01300,0000,1300SOCIAL SERVICE 435264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435264,A000000,01500,0000,1350ACTIVITIES 435264,A000000,01600,0000,1600SKILLED NURSING FACILITY 435264,A000000,01800,0000,1800NURSING FACILITY 435264,A000000,01810,0000,1810ICF/MR 435264,A000000,01900,0000,1900OTHER LONG TERM CARE 435264,A000000,02100,0000,2100RADIOLOGY 435264,A000000,02200,0000,2200LABORATORY 435264,A000000,02300,0000,2300INTRAVENOUS THERAPY 435264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435264,A000000,02500,0000,2500PHYSICAL THERAPY 435264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435264,A000000,02700,0000,2700SPEECH PATHOLOGY 435264,A000000,02800,0000,2800ELECTROCARDIOLOGY 435264,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435264,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435264,A000000,03200,0000,3200SUPPORT SURFACES 435264,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435264,A000000,03400,0000,3400CLINIC 435264,A000000,03500,0000,3500RURAL HEALTH CLINIC 435264,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435264,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435264,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435264,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435264,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435264,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435264,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435264,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435264,A000000,04400,0000,4400DME RENTED - HHA 435264,A000000,04500,0000,4500DME SOLD - HHA 435264,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435264,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435264,A000000,04710,0000,4710TELEMEDICINE 435264,A000000,04800,0000,4800AMBULANCE 435264,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435264,A000000,05000,0000,5000CORF 435264,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435264,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435264,A000000,05300,0000,5300INTEREST EXPENSE 435264,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435264,A000000,05500,0000,5500HOSPICE 435264,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435264,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435264,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435264,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435264,A000000,06100,0000,6100NONPAID WORKERS 435264,A000000,06200,0000,6200PATIENTS LAUNDRY 435264,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435264,A81000A,00100,0100,N 435264,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435264,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435264,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435264,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435264,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435264,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435264,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435264,B100000,00000,0800,0800MEALS SERVED :DIETARY 435264,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435264,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435264,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435264,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435264,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435264,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435264,E10A180,00301,0100,09/20/11 435264,E10A180,00350,0100,04/14/11 435264,E10A180,00550,0100,03/23/12 435264,G300000,02500,0000,MISCELLANEOUS INCOME 435264,G300000,02501,0000,TRANSPORTATION 435264,G300000,02502,0000,BEAUTY AND BARBER 435264,G300000,02503,0000,CONCESSIONS 435264,G300000,02504,0000,FUNDRAISING 435264,G300000,02505,0000,GAIN (LOSS) ON SALE OF ASSET 435264,G300000,02506,0000,TICKETS AND OTHER EMPLOYEE CHARGES 435264,S000000,00100,0200,03/02/12 435264,S200000,00100,0100,R.R. 2 BOX 208 435264,S200000,00200,0100,LINTON 435264,S200000,00200,0200,IN 435264,S200000,00200,0300,47441 435264,S200000,00300,0100,GREENE 435264,S200000,00300,0200,0015 435264,S200000,00300,0201,14020 435264,S200000,00300,0300,U 435264,S200000,00400,0100,FRANKLIN/GLENBURN HOME INC. 435264,S200000,00400,0200,155524 435264,S200000,00400,0300,07/15/94 435264,S200000,00400,0500,P 435264,S200000,01500,0100,Y 435264,S200000,01501,0200,N 435264,S200000,01503,0200,N 435264,S200000,01504,0200,Y 435264,S200000,01600,0100,N 435264,S200000,01700,0100,N 435264,S200000,01800,0100,N 435264,S200000,02200,0100,N 435264,S200000,02800,0100,N 435264,S200000,02900,0100,N 435264,S200000,03000,0100,N 435264,S200000,03100,0100,N 435264,S200000,03200,0100,N 435264,S200000,03300,0100,N 435264,S200000,03300,0200,N 435264,S200000,04100,0100,N 435264,S200000,04200,0100,N 435264,S200000,04300,0100,N 435264,S200000,04600,0100,N 435264,S200000,04700,0100,N 435264,S200000,04700,0200,N 435264,S200000,04900,0100,N 435264,S200000,05000,0100,N 435264,S200000,05100,0100,N 435264,S200000,05200,0100,N 435273,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435273,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435273,A000000,00300,0000,0300EMPLOYEE BENEFITS 435273,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435273,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435273,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435273,A000000,00700,0000,0700HOUSEKEEPING 435273,A000000,00800,0000,0800DIETARY 435273,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435273,A000000,01300,0000,1300SOCIAL SERVICE 435273,A000000,01500,0000,1350RECREATIONAL SERVICES 435273,A000000,01600,0000,1600SKILLED NURSING FACILITY 435273,A000000,02100,0000,2100RADIOLOGY 435273,A000000,02200,0000,2200LABORATORY 435273,A000000,02500,0000,2500PHYSICAL THERAPY 435273,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435273,A000000,02700,0000,2700SPEECH PATHOLOGY 435273,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435273,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435273,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435273,A81000A,00100,0100,Y 435273,A81000B,00100,0300, FACILITY LEASE 435273,A81000B,00200,0300, NURSE TESTING 435273,A81000B,00300,0300, X-RAY SERVICES 435273,A81000B,00400,0300, LAB SERVICES 435273,A81000C,00100,0100,A 435273,A81000C,00100,0200,ABBAS RAHIMI 435273,A81000C,00100,0400,IMPERIAL HEALTHCARE HOLDI 435273,A81000C,00100,0600,REAL ESTATE COMPANY 435273,A81000C,00200,0100,A 435273,A81000C,00200,0200,ABBAS RAHIMI 435273,A81000C,00200,0400,BRAZOS MOBILE IMAGING-XRA 435273,A81000C,00200,0600,X-RAY SERVICES 435273,A81000C,00300,0100,A 435273,A81000C,00300,0200,ABBAS RAHIMI 435273,A81000C,00300,0400,LEGACY MEDICAL LAB SERVIC 435273,A81000C,00300,0600,LAB SERVICES 435273,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435273,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435273,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435273,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435273,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435273,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 435273,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435273,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 435273,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 435273,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 435273,B100000,00000,1500,1350RESIDENT DAYS :RECREATIONAL SER 435273,S000000,00100,0200,05/22/12 435273,S200000,00100,0100,507 WEST JACKSON 435273,S200000,00200,0100,BURNET 435273,S200000,00200,0200,TX 435273,S200000,00200,0300,78611 435273,S200000,00300,0100,BURNET 435273,S200000,00300,0200,45 435273,S200000,00300,0201,99945 435273,S200000,00300,0300,R 435273,S200000,00400,0100,OAKS NURSING CENTER 435273,S200000,00400,0200,675619 435273,S200000,00400,0300,01/01/93 435273,S200000,00400,0500,P 435273,S200000,01500,0100,Y 435273,S200000,01501,0200,Y 435273,S200000,01502,0200,Y 435273,S200000,01503,0200,Y 435273,S200000,01504,0200,Y 435273,S200000,01600,0100,N 435273,S200000,01700,0100,N 435273,S200000,01800,0100,N 435273,S200000,02200,0100,N 435273,S200000,02800,0100,N 435273,S200000,02900,0100,N 435273,S200000,03000,0100,N 435273,S200000,03100,0100,N 435273,S200000,03200,0100,N 435273,S200000,03300,0100,N 435273,S200000,03300,0200,N 435273,S200000,04100,0100,N 435273,S200000,04200,0100,N 435273,S200000,04300,0100,N 435273,S200000,04600,0100,N 435273,S200000,04700,0100,N 435273,S200000,04700,0200,N 435273,S200000,04900,0100,N 435273,S200000,05000,0100,N 435273,S200000,05100,0100,N 435273,S200000,05200,0100,N 435273,S200000,05300,0100,N 435280,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435280,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435280,A000000,00300,0000,0300EMPLOYEE BENEFITS 435280,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435280,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435280,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435280,A000000,00700,0000,0700HOUSEKEEPING 435280,A000000,00800,0000,0800DIETARY 435280,A000000,00900,0000,0900NURSING ADMINISTRATION 435280,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435280,A000000,01100,0000,1100PHARMACY 435280,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435280,A000000,01300,0000,1300SOCIAL SERVICE 435280,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435280,A000000,01500,0000,1350OTHER GENERAL SERVICES 435280,A000000,01600,0000,1600SKILLED NURSING FACILITY 435280,A000000,01800,0000,1800NURSING FACILITY 435280,A000000,01810,0000,1810ICF/MR 435280,A000000,01900,0000,1900OTHER LONG TERM CARE 435280,A000000,02100,0000,2100RADIOLOGY 435280,A000000,02200,0000,2200LABORATORY 435280,A000000,02300,0000,2300INTRAVENOUS THERAPY 435280,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435280,A000000,02500,0000,2500PHYSICAL THERAPY 435280,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435280,A000000,02700,0000,2700SPEECH PATHOLOGY 435280,A000000,02800,0000,2800ELECTROCARDIOLOGY 435280,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435280,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435280,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435280,A000000,03200,0000,3200SUPPORT SURFACES 435280,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435280,A000000,03400,0000,3400CLINIC 435280,A000000,03500,0000,3500RURAL HEALTH CLINIC 435280,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435280,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435280,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435280,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435280,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435280,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435280,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435280,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435280,A000000,04400,0000,4400DME RENTED - HHA 435280,A000000,04500,0000,4500DME SOLD - HHA 435280,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435280,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435280,A000000,04710,0000,4710TELEMEDICINE 435280,A000000,04800,0000,4800AMBULANCE 435280,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435280,A000000,05000,0000,5000CORF 435280,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435280,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435280,A000000,05300,0000,5300INTEREST EXPENSE 435280,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435280,A000000,05500,0000,5500HOSPICE 435280,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435280,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435280,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435280,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435280,A000000,06100,0000,6100NONPAID WORKERS 435280,A000000,06200,0000,6200PATIENTS LAUNDRY 435280,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435280,A81000A,00100,0100,Y 435280,A81000B,00100,0300,MANAGEMENT FEES 435280,A81000C,00100,0100,A 435280,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435280,A81000C,00100,0400,HCM INC 435280,A81000C,00100,0600,MANAGEMENT 435280,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435280,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435280,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435280,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435280,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435280,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435280,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435280,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435280,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435280,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435280,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435280,E10A180,00501,0100,04/24/12 435280,E10A180,00501,0300,04/24/12 435280,G300000,02500,0000,BEAUTY SHOP 435280,S000000,00100,0200,02/29/12 435280,S200000,00100,0100,2121 WEST 19TH ST 435280,S200000,00200,0100,SIOUX CITY 435280,S200000,00200,0200,IA 435280,S200000,00200,0300,51103 435280,S200000,00300,0100,WOODBURY 435280,S200000,00300,0200,7720 435280,S200000,00300,0201,43580 435280,S200000,00300,0300,U 435280,S200000,00400,0100,CASA DE PAZ HEALTH CARE CENTER 435280,S200000,00400,0200,165174 435280,S200000,00400,0300,10/25/92 435280,S200000,00400,0500,P 435280,S200000,01500,0100,Y 435280,S200000,01501,0200,N 435280,S200000,01502,0200,N 435280,S200000,01503,0200,Y 435280,S200000,01504,0200,N 435280,S200000,01600,0100,N 435280,S200000,01700,0100,N 435280,S200000,01800,0100,N 435280,S200000,02200,0100,N 435280,S200000,02800,0100,N 435280,S200000,02900,0100,N 435280,S200000,03000,0100,N 435280,S200000,03100,0100,N 435280,S200000,03200,0100,N 435280,S200000,03300,0100,N 435280,S200000,03300,0200,N 435280,S200000,03600,0100,N 435280,S200000,03600,0200,N 435280,S200000,04100,0100,N 435280,S200000,04200,0100,N 435280,S200000,04300,0100,N 435280,S200000,04600,0100,N 435280,S200000,04700,0100,N 435280,S200000,04700,0200,N 435280,S200000,04900,0100,N 435280,S200000,05000,0100,N 435280,S200000,05100,0100,N 435280,S200000,05200,0100,N 435280,S200000,05300,0100,Y 435280,S200000,05300,0200,H05700 435280,S200000,05400,0100,HCM INC 435280,S200000,05400,0200,NOVITAS SOLUTIONS 435280,S200000,05400,0300,07001 435280,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435280,S200000,05600,0100,JACKSON 435280,S200000,05600,0200,MS 435280,S200000,05600,0300,39206 435281,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435281,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435281,A000000,00300,0000,0300EMPLOYEE BENEFITS 435281,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435281,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435281,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435281,A000000,00700,0000,0700HOUSEKEEPING 435281,A000000,00800,0000,0800DIETARY 435281,A000000,00900,0000,0900NURSING ADMINISTRATION 435281,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435281,A000000,01100,0000,1100PHARMACY 435281,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435281,A000000,01300,0000,1300SOCIAL SERVICE 435281,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435281,A000000,01500,0000,1350OTHER GENERAL SERVICES 435281,A000000,01600,0000,1600SKILLED NURSING FACILITY 435281,A000000,01800,0000,1800NURSING FACILITY 435281,A000000,01810,0000,1810ICF/MR 435281,A000000,01900,0000,1900OTHER LONG TERM CARE 435281,A000000,02100,0000,2100RADIOLOGY 435281,A000000,02200,0000,2200LABORATORY 435281,A000000,02300,0000,2300INTRAVENOUS THERAPY 435281,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435281,A000000,02500,0000,2500PHYSICAL THERAPY 435281,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435281,A000000,02700,0000,2700SPEECH PATHOLOGY 435281,A000000,02800,0000,2800ELECTROCARDIOLOGY 435281,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435281,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435281,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435281,A000000,03200,0000,3200SUPPORT SURFACES 435281,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435281,A000000,03400,0000,3400CLINIC 435281,A000000,03500,0000,3500RURAL HEALTH CLINIC 435281,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435281,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435281,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435281,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435281,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435281,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435281,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435281,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435281,A000000,04400,0000,4400DME RENTED - HHA 435281,A000000,04500,0000,4500DME SOLD - HHA 435281,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435281,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435281,A000000,04710,0000,4710TELEMEDICINE 435281,A000000,04800,0000,4800AMBULANCE 435281,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435281,A000000,05000,0000,5000CORF 435281,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435281,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435281,A000000,05300,0000,5300INTEREST EXPENSE 435281,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435281,A000000,05500,0000,5500HOSPICE 435281,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435281,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435281,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435281,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435281,A000000,06100,0000,6100NONPAID WORKERS 435281,A000000,06200,0000,6200PATIENTS LAUNDRY 435281,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435281,A81000A,00100,0100,Y 435281,A81000B,00100,0300,MANAGEMENT FEES 435281,A81000C,00100,0100,A 435281,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435281,A81000C,00100,0400,HCM INC 435281,A81000C,00100,0600,MANAGEMENT 435281,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435281,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435281,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435281,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435281,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435281,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435281,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435281,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435281,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435281,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435281,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435281,E10A180,00501,0100,04/02/12 435281,E10A180,00501,0300,04/02/12 435281,S000000,00100,0200,02/29/12 435281,S200000,00100,0100,3661 ROCHESTER AVENUE 435281,S200000,00200,0100,IOWA CITY 435281,S200000,00200,0200,IA 435281,S200000,00200,0300,52245 435281,S200000,00300,0100,JOHNSON 435281,S200000,00300,0200,3500 435281,S200000,00300,0201,26980 435281,S200000,00300,0300,U 435281,S200000,00400,0100,IOWA CITY CARE CENTER 435281,S200000,00400,0200,165198 435281,S200000,00400,0300,01/01/94 435281,S200000,00400,0500,P 435281,S200000,01500,0100,Y 435281,S200000,01501,0200,N 435281,S200000,01502,0200,Y 435281,S200000,01503,0200,Y 435281,S200000,01504,0200,N 435281,S200000,01600,0100,N 435281,S200000,01700,0100,N 435281,S200000,01800,0100,N 435281,S200000,02200,0100,N 435281,S200000,02800,0100,N 435281,S200000,02900,0100,N 435281,S200000,03000,0100,N 435281,S200000,03100,0100,N 435281,S200000,03200,0100,N 435281,S200000,03300,0100,N 435281,S200000,03300,0200,N 435281,S200000,04100,0100,N 435281,S200000,04200,0100,N 435281,S200000,04300,0100,N 435281,S200000,04600,0100,N 435281,S200000,04700,0100,N 435281,S200000,04700,0200,N 435281,S200000,04900,0100,N 435281,S200000,05000,0100,N 435281,S200000,05100,0100,N 435281,S200000,05200,0100,N 435281,S200000,05300,0100,Y 435281,S200000,05300,0200,H05700 435281,S200000,05400,0100,HCM INC 435281,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435281,S200000,05400,0300,00233 435281,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435281,S200000,05600,0100,JACKSON 435281,S200000,05600,0200,MS 435281,S200000,05600,0300,39206 435282,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435282,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435282,A000000,00300,0000,0300EMPLOYEE BENEFITS 435282,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435282,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435282,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435282,A000000,00700,0000,0700HOUSEKEEPING 435282,A000000,00800,0000,0800DIETARY 435282,A000000,00900,0000,0900NURSING ADMINISTRATION 435282,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435282,A000000,01100,0000,1100PHARMACY 435282,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435282,A000000,01300,0000,1300SOCIAL SERVICE 435282,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435282,A000000,01500,0000,1350OTHER GENERAL SERVICES 435282,A000000,01600,0000,1600SKILLED NURSING FACILITY 435282,A000000,01800,0000,1800NURSING FACILITY 435282,A000000,01810,0000,1810ICF/MR 435282,A000000,01900,0000,1900OTHER LONG TERM CARE 435282,A000000,02100,0000,2100RADIOLOGY 435282,A000000,02200,0000,2200LABORATORY 435282,A000000,02300,0000,2300INTRAVENOUS THERAPY 435282,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435282,A000000,02500,0000,2500PHYSICAL THERAPY 435282,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435282,A000000,02700,0000,2700SPEECH PATHOLOGY 435282,A000000,02800,0000,2800ELECTROCARDIOLOGY 435282,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435282,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435282,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435282,A000000,03200,0000,3200SUPPORT SURFACES 435282,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435282,A000000,03400,0000,3400CLINIC 435282,A000000,03500,0000,3500RURAL HEALTH CLINIC 435282,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435282,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435282,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435282,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435282,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435282,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435282,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435282,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435282,A000000,04400,0000,4400DME RENTED - HHA 435282,A000000,04500,0000,4500DME SOLD - HHA 435282,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435282,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435282,A000000,04710,0000,4710TELEMEDICINE 435282,A000000,04800,0000,4800AMBULANCE 435282,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435282,A000000,05000,0000,5000CORF 435282,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435282,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435282,A000000,05300,0000,5300INTEREST EXPENSE 435282,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435282,A000000,05500,0000,5500HOSPICE 435282,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435282,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435282,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435282,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435282,A000000,06100,0000,6100NONPAID WORKERS 435282,A000000,06200,0000,6200PATIENTS LAUNDRY 435282,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435282,A81000A,00100,0100,Y 435282,A81000B,00100,0300,MANAGEMENT FEES 435282,A81000C,00100,0100,A 435282,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435282,A81000C,00100,0400,HCM INC 435282,A81000C,00100,0600,MANAGEMENT 435282,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435282,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435282,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435282,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435282,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435282,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435282,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435282,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435282,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435282,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435282,E10A180,00501,0100,04/23/12 435282,E10A180,00501,0300,04/23/12 435282,G300000,02500,0000,PERSONAL PURCHASES 435282,S000000,00100,0200,02/29/12 435282,S200000,00100,0100,1202 RIDGE ROAD 435282,S200000,00200,0100,DENISON 435282,S200000,00200,0200,IA 435282,S200000,00200,0300,51442 435282,S200000,00300,0100,CRAWFORD 435282,S200000,00300,0200,16 435282,S200000,00300,0201,99916 435282,S200000,00300,0300,R 435282,S200000,00400,0100,DENISON CARE CENTER 435282,S200000,00400,0200,165238 435282,S200000,00400,0300,11/01/94 435282,S200000,00400,0500,P 435282,S200000,01500,0100,Y 435282,S200000,01501,0200,N 435282,S200000,01502,0200,Y 435282,S200000,01503,0200,Y 435282,S200000,01504,0200,N 435282,S200000,01600,0100,N 435282,S200000,01700,0100,N 435282,S200000,01800,0100,N 435282,S200000,02200,0100,N 435282,S200000,02800,0100,N 435282,S200000,02900,0100,N 435282,S200000,03000,0100,N 435282,S200000,03100,0100,N 435282,S200000,03200,0100,N 435282,S200000,03300,0100,N 435282,S200000,03300,0200,N 435282,S200000,04100,0100,N 435282,S200000,04200,0100,N 435282,S200000,04300,0100,N 435282,S200000,04600,0100,N 435282,S200000,04700,0100,N 435282,S200000,04700,0200,N 435282,S200000,04900,0100,N 435282,S200000,05000,0100,N 435282,S200000,05100,0100,N 435282,S200000,05200,0100,N 435282,S200000,05300,0100,Y 435282,S200000,05300,0200,H05700 435282,S200000,05400,0100,HCM INC 435282,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435282,S200000,05400,0300,00233 435282,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435282,S200000,05600,0100,JACKSON 435282,S200000,05600,0200,MS 435282,S200000,05600,0300,39206 435283,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435283,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435283,A000000,00300,0000,0300EMPLOYEE BENEFITS 435283,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435283,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435283,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435283,A000000,00700,0000,0700HOUSEKEEPING 435283,A000000,00800,0000,0800DIETARY 435283,A000000,00801,0000,0801CAFETERIA 435283,A000000,00900,0000,0900NURSING ADMINISTRATION 435283,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435283,A000000,01100,0000,1100PHARMACY 435283,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435283,A000000,01300,0000,1300SOCIAL SERVICE 435283,A000000,01350,0000,1350PAC 435283,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435283,A000000,01600,0000,1600SKILLED NURSING FACILITY 435283,A000000,01810,0000,1810ICF/MR 435283,A000000,02100,0000,2100RADIOLOGY 435283,A000000,02200,0000,2200LABORATORY 435283,A000000,02500,0000,2500PHYSICAL THERAPY 435283,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435283,A000000,02700,0000,2700SPEECH PATHOLOGY 435283,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435283,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435283,A000000,03550,0000,3550FQHC 435283,A000000,05000,0000,5000CORF 435283,A000000,05010,0000,5010CMHC 435283,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435283,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435283,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435283,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435283,A000000,06300,0000,6150GUEST MEALS 435283,A81000A,00100,0100,Y 435283,A81000B,00100,0300,LABORATORY SERVICES 435283,A81000B,00200,0300,PT SERVICES 435283,A81000B,00300,0300,OT SERVICES 435283,A81000B,00400,0300,SPEECH SERVICES 435283,A81000B,00500,0300,LEASE EXP 435283,A81000B,00600,0300,ADMIN CONSULTANT FEE 435283,A81000B,00700,0300,UNIFORM FEE REIMB BY 435283,A81000C,00100,0100,A 435283,A81000C,00100,0200,PROGRESSIVE CAR 435283,A81000C,00100,0400,WILLIS KNIGHTON 435283,A81000C,00100,0600,HEALTH SYSTEM 435283,A81000C,00200,0100,B 435283,A81000C,00200,0200,PROGRESSIVE CAR 435283,A81000C,00200,0400,WILLIS KNIGHTON 435283,A81000C,00200,0600,HEALTH SYSTEM 435283,A81000C,00300,0100,C 435283,A81000C,00300,0200,PROGRESSIVE CAR 435283,A81000C,00300,0400,WILLIS KNIGHTON 435283,A81000C,00300,0600,HEATLH SYSTEM 435283,A81000C,00400,0100,D 435283,A81000C,00400,0200,PROGRESSIVE CAR 435283,A81000C,00400,0400,WILLIS KNIGHTON 435283,A81000C,00400,0600,HEALTH SYSTEM 435283,A81000C,00500,0100,E 435283,A81000C,00500,0200,PROGRESSIVE CAR 435283,A81000C,00500,0400,WILLIS KNIGHTON 435283,A81000C,00500,0600,HEALTH SYSTEM 435283,A81000C,00600,0100,F 435283,A81000C,00600,0200,PROGRESSIVE CAR 435283,A81000C,00600,0400,WILLIS KNIGHTON 435283,A81000C,00600,0600,HEALTH SYSTEM 435283,A81000C,00700,0100,G 435283,A81000C,00700,0200,PROGRESSIVE CAR 435283,A81000C,00700,0400,WILLIS KNIGHTON 435283,A81000C,00700,0600,HEALTH SYSTEM 435283,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435283,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435283,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435283,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435283,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435283,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435283,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435283,B100000,00000,0800,0800MEALS SERVED :DIETARY 435283,B100000,00000,0801,0851FTE S :CAFETERIA 435283,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435283,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 435283,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 435283,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435283,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435283,B100000,00000,1350,1350TIME SPENT :PAC 435283,E10A180,00501,0100,04/20/12 435283,E10A180,00550,0300,04/20/12 435283,G300000,02500,0000,CHANGE IN ESTIMATE 435283,G300000,02501,0000,MISC INCOME 435283,G300000,02502,0000,PATIENT RESERVATION INCOME 435283,G300000,02503,0000,DME REV 435283,S000000,00100,0200,03/01/12 435283,S200000,00100,0100,2715 ALBERT BICKNELL DRIVE 435283,S200000,00200,0100,SHREVEPORT 435283,S200000,00200,0200,LA 435283,S200000,00200,0300,71103 435283,S200000,00300,0100,CADDO PARISH 435283,S200000,00300,0201,43340 435283,S200000,00300,0300,R 435283,S200000,00400,0100,PROGRESSIVE CARE CENTER 435283,S200000,00400,0200,195136 435283,S200000,00400,0300,04/05/05 435283,S200000,00400,0500,P 435283,S200000,01500,0100,Y 435283,S200000,01501,0200,Y 435283,S200000,01600,0100,N 435283,S200000,01700,0100,N 435283,S200000,01800,0100,N 435283,S200000,01900,0100,VOLUNTARY NOT FOR PR 435283,S200000,02200,0100,Y 435283,S200000,02800,0100,N 435283,S200000,02900,0100,N 435283,S200000,03000,0100,N 435283,S200000,03100,0100,N 435283,S200000,03200,0100,N 435283,S200000,03300,0100,N 435283,S200000,03300,0200,N 435283,S200000,04100,0100,N 435283,S200000,04200,0100,N 435283,S200000,04300,0100,N 435283,S200000,04600,0100,N 435283,S200000,04700,0100,N 435283,S200000,04700,0200,N 435283,S200000,04900,0100,N 435283,S200000,05000,0100,N 435283,S200000,05100,0100,N 435283,S200000,05200,0100,N 435284,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435284,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435284,A000000,00300,0000,0300EMPLOYEE BENEFITS 435284,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435284,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435284,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435284,A000000,00700,0000,0700HOUSEKEEPING 435284,A000000,00800,0000,0800DIETARY 435284,A000000,00900,0000,0900NURSING ADMINISTRATION 435284,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435284,A000000,01100,0000,1100PHARMACY 435284,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435284,A000000,01300,0000,1300SOCIAL SERVICE 435284,A000000,01301,0000,1301PATIENT ACTIVITIES 435284,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435284,A000000,01500,0000,1350OTHER GENERAL SERVICES 435284,A000000,01600,0000,1600SKILLED NURSING FACILITY 435284,A000000,01800,0000,1800NURSING FACILITY 435284,A000000,01810,0000,1810ICF/MR 435284,A000000,01900,0000,1900OTHER LONG TERM CARE 435284,A000000,02100,0000,2100RADIOLOGY 435284,A000000,02200,0000,2200LABORATORY 435284,A000000,02300,0000,2300INTRAVENOUS THERAPY 435284,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435284,A000000,02500,0000,2500PHYSICAL THERAPY 435284,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435284,A000000,02700,0000,2700SPEECH PATHOLOGY 435284,A000000,02800,0000,2800ELECTROCARDIOLOGY 435284,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435284,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435284,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435284,A000000,03200,0000,3200SUPPORT SURFACES 435284,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435284,A000000,03400,0000,3400CLINIC 435284,A000000,03500,0000,3500RURAL HEALTH CLINIC 435284,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435284,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435284,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435284,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435284,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435284,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435284,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435284,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435284,A000000,04400,0000,4400DME RENTED - HHA 435284,A000000,04500,0000,4500DME SOLD - HHA 435284,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435284,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435284,A000000,04710,0000,4710TELEMEDICINE 435284,A000000,04800,0000,4800AMBULANCE 435284,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435284,A000000,05000,0000,5000CORF 435284,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435284,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435284,A000000,05300,0000,5300INTEREST EXPENSE 435284,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435284,A000000,05500,0000,5500HOSPICE 435284,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435284,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435284,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435284,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435284,A000000,06100,0000,6100NONPAID WORKERS 435284,A000000,06200,0000,6200PATIENTS LAUNDRY 435284,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435284,A81000A,00100,0100,Y 435284,A81000B,00100,0300,LAUNDRY COSTS 435284,A81000B,00200,0300,SALARIES 435284,A81000B,00300,0300,EMPLOYEE BENEFITS 435284,A81000C,00100,0100,B 435284,A81000C,00100,0400,WILLIS-KNIGHTON HLTH SYST 435284,A81000C,00100,0600,PARENT COMPANY 435284,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435284,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435284,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435284,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435284,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435284,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435284,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435284,B100000,00000,0800,0800MEALS SERVED :DIETARY 435284,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435284,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435284,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435284,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435284,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435284,B100000,00000,1301,1301TIME SPENT :PATIENT ACTIVITIES 435284,E10A180,00501,0100,04/23/12 435284,E10A180,00501,0300,04/23/12 435284,G300000,02500,0000,BARBER AND BEAUTY SHOP 435284,G300000,02501,0000,OTHER INCOME 435284,G300000,02502,0000,RENTAL INCOME - LAND 435284,S000000,00100,0200,03/01/12 435284,S200000,00100,0100,600 E FLOURNOY LUCAS ROAD 435284,S200000,00200,0100,SHREVEPORT 435284,S200000,00200,0200,LA 435284,S200000,00200,0300,71115 435284,S200000,00300,0100,CADDO 435284,S200000,00300,0200,7680 435284,S200000,00300,0201,43340 435284,S200000,00300,0300,U 435284,S200000,00400,0100,MULTI FAITH RETIREMENT SERVICES DBA 435284,S200000,00400,0200,195597 435284,S200000,00400,0300,07/07/04 435284,S200000,00400,0500,P 435284,S200000,00400,0600,O 435284,S200000,01500,0100,Y 435284,S200000,01501,0200,Y 435284,S200000,01503,0200,Y 435284,S200000,01504,0200,Y 435284,S200000,01600,0100,N 435284,S200000,01700,0100,N 435284,S200000,01800,0100,N 435284,S200000,02200,0100,N 435284,S200000,02800,0100,N 435284,S200000,02900,0100,N 435284,S200000,03000,0100,N 435284,S200000,03100,0100,N 435284,S200000,03200,0100,N 435284,S200000,03300,0100,N 435284,S200000,03300,0200,N 435284,S200000,04100,0100,N 435284,S200000,04200,0100,N 435284,S200000,04300,0100,N 435284,S200000,04600,0100,N 435284,S200000,04700,0100,N 435284,S200000,04700,0200,N 435284,S200000,04900,0100,N 435284,S200000,05000,0100,N 435284,S200000,05100,0100,N 435284,S200000,05200,0100,N 435285,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435285,A000000,00300,0000,0300EMPLOYEE BENEFITS 435285,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435285,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435285,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435285,A000000,00700,0000,0700HOUSEKEEPING 435285,A000000,00800,0000,0800DIETARY 435285,A000000,00900,0000,0900NURSING ADMINISTRATION 435285,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435285,A000000,01300,0000,1300SOCIAL SERVICE 435285,A000000,01600,0000,1600SKILLED NURSING FACILITY 435285,A000000,02100,0000,2100RADIOLOGY 435285,A000000,02200,0000,2200LABORATORY 435285,A000000,02500,0000,2500PHYSICAL THERAPY 435285,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435285,A000000,02700,0000,2700SPEECH PATHOLOGY 435285,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435285,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435285,A81000A,00100,0100,N 435285,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435285,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435285,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435285,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435285,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435285,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435285,B100000,00000,0800,0800MEALS SERVED :DIETARY 435285,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435285,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435285,E10A180,00550,0100,04/26/12 435285,G300000,02500,0000,NURSING AIDE TRAINING REIMBURSEMENT 435285,G300000,02501,0000,MISCELLANEOUS 435285,G300000,02502,0000,PRIOR YEAR REVENUE/PRIVATE 435285,S000000,00100,0200,02/28/12 435285,S200000,00100,0100,503 SILVER CROSS DRIVE 435285,S200000,00100,0300,617 435285,S200000,00200,0100,BROOKHAVEN 435285,S200000,00200,0200,MS 435285,S200000,00200,0300,39601 435285,S200000,00300,0100,LINCON 435285,S200000,00300,0200,25 435285,S200000,00300,0201,99925 435285,S200000,00300,0300,R 435285,S200000,00400,0100,SILVER CROSS HOME 435285,S200000,00400,0200,255310 435285,S200000,00400,0300,01/10/05 435285,S200000,00400,0500,P 435285,S200000,01500,0100,Y 435285,S200000,01501,0200,Y 435285,S200000,01600,0100,N 435285,S200000,01700,0100,N 435285,S200000,01800,0100,N 435285,S200000,02200,0100,N 435285,S200000,02800,0100,Y 435285,S200000,02900,0100,N 435285,S200000,03000,0100,N 435285,S200000,03100,0100,N 435285,S200000,03200,0100,N 435285,S200000,03300,0100,N 435285,S200000,03300,0200,N 435285,S200000,03600,0100,N 435285,S200000,03600,0200,N 435285,S200000,04100,0100,N 435285,S200000,04200,0100,N 435285,S200000,04300,0100,N 435285,S200000,04600,0100,N 435285,S200000,04700,0100,N 435285,S200000,04700,0200,N 435285,S200000,04900,0100,N 435285,S200000,05000,0100,N 435285,S200000,05100,0100,N 435285,S200000,05200,0100,N 435285,S200000,05300,0100,N 435288,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435288,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435288,A000000,00300,0000,0300EMPLOYEE BENEFITS 435288,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435288,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435288,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435288,A000000,00700,0000,0700HOUSEKEEPING 435288,A000000,00800,0000,0800DIETARY 435288,A000000,00900,0000,0900NURSING ADMINISTRATION 435288,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435288,A000000,01100,0000,1100PHARMACY 435288,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435288,A000000,01300,0000,1300SOCIAL SERVICE 435288,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435288,A000000,01500,0000,1350OTHER GENERAL SERVICES 435288,A000000,01600,0000,1600SKILLED NURSING FACILITY 435288,A000000,01800,0000,1800NURSING FACILITY 435288,A000000,01810,0000,1810ICF/MR 435288,A000000,01900,0000,1900OTHER LONG TERM CARE 435288,A000000,02100,0000,2100RADIOLOGY 435288,A000000,02200,0000,2200LABORATORY 435288,A000000,02300,0000,2300INTRAVENOUS THERAPY 435288,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435288,A000000,02500,0000,2500PHYSICAL THERAPY 435288,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435288,A000000,02700,0000,2700SPEECH PATHOLOGY 435288,A000000,02800,0000,2800ELECTROCARDIOLOGY 435288,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435288,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435288,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435288,A000000,03200,0000,3200SUPPORT SURFACES 435288,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435288,A000000,03400,0000,3400CLINIC 435288,A000000,03500,0000,3500RURAL HEALTH CLINIC 435288,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435288,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435288,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435288,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435288,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435288,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435288,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435288,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435288,A000000,04400,0000,4400DME RENTED - HHA 435288,A000000,04500,0000,4500DME SOLD - HHA 435288,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435288,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435288,A000000,04710,0000,4710TELEMEDICINE 435288,A000000,04800,0000,4800AMBULANCE 435288,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435288,A000000,05000,0000,5000CORF 435288,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435288,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435288,A000000,05300,0000,5300INTEREST EXPENSE 435288,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435288,A000000,05500,0000,5500HOSPICE 435288,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435288,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435288,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435288,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435288,A000000,06100,0000,6100NONPAID WORKERS 435288,A000000,06200,0000,6200PATIENTS LAUNDRY 435288,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435288,A81000A,00100,0100,Y 435288,A81000B,00100,0300,MANAGEMENT FEES 435288,A81000C,00100,0100,A 435288,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435288,A81000C,00100,0400,HCM INC 435288,A81000C,00100,0600,MANAGEMENT 435288,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435288,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435288,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435288,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435288,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435288,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435288,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435288,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435288,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435288,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435288,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435288,E10A180,00501,0100,03/26/12 435288,E10A180,00501,0300,03/26/12 435288,S000000,00100,0200,02/29/12 435288,S200000,00100,0100,830 SOUTH 5TH STREET 435288,S200000,00200,0100,OSAGE 435288,S200000,00200,0200,IA 435288,S200000,00200,0300,50461 435288,S200000,00300,0100,MITCHELL 435288,S200000,00300,0200,16 435288,S200000,00300,0201,99916 435288,S200000,00300,0300,R 435288,S200000,00400,0100,OSAGE REHAB & HEALTHCARE CENTER 435288,S200000,00400,0200,165173 435288,S200000,00400,0300,07/01/92 435288,S200000,00400,0500,P 435288,S200000,01500,0100,Y 435288,S200000,01501,0200,N 435288,S200000,01502,0200,Y 435288,S200000,01503,0200,Y 435288,S200000,01504,0200,N 435288,S200000,01600,0100,N 435288,S200000,01700,0100,N 435288,S200000,01800,0100,N 435288,S200000,02200,0100,N 435288,S200000,02800,0100,N 435288,S200000,02900,0100,N 435288,S200000,03000,0100,N 435288,S200000,03100,0100,N 435288,S200000,03200,0100,N 435288,S200000,03300,0100,N 435288,S200000,03300,0200,N 435288,S200000,04100,0100,N 435288,S200000,04200,0100,N 435288,S200000,04300,0100,N 435288,S200000,04600,0100,N 435288,S200000,04700,0100,N 435288,S200000,04700,0200,N 435288,S200000,04900,0100,N 435288,S200000,05000,0100,N 435288,S200000,05100,0100,N 435288,S200000,05200,0100,N 435288,S200000,05300,0100,Y 435288,S200000,05300,0200,H05700 435288,S200000,05400,0100,HCM INC 435288,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435288,S200000,05400,0300,00233 435288,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435288,S200000,05600,0100,JACKSON 435288,S200000,05600,0200,MS 435288,S200000,05600,0300,39206 435289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435289,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435289,A000000,00300,0000,0300EMPLOYEE BENEFITS 435289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435289,A000000,00700,0000,0700HOUSEKEEPING 435289,A000000,00800,0000,0800DIETARY 435289,A000000,00900,0000,0900NURSING ADMINISTRATION 435289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435289,A000000,01100,0000,1100PHARMACY 435289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435289,A000000,01300,0000,1300SOCIAL SERVICE 435289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435289,A000000,01500,0000,1350OTHER GENERAL SERVICES 435289,A000000,01600,0000,1600SKILLED NURSING FACILITY 435289,A000000,01800,0000,1800NURSING FACILITY 435289,A000000,01810,0000,1810ICF/MR 435289,A000000,01900,0000,1900OTHER LONG TERM CARE 435289,A000000,02100,0000,2100RADIOLOGY 435289,A000000,02200,0000,2200LABORATORY 435289,A000000,02300,0000,2300INTRAVENOUS THERAPY 435289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435289,A000000,02500,0000,2500PHYSICAL THERAPY 435289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435289,A000000,02700,0000,2700SPEECH PATHOLOGY 435289,A000000,02800,0000,2800ELECTROCARDIOLOGY 435289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435289,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435289,A000000,03200,0000,3200SUPPORT SURFACES 435289,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435289,A000000,03400,0000,3400CLINIC 435289,A000000,03500,0000,3500RURAL HEALTH CLINIC 435289,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435289,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435289,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435289,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435289,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435289,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435289,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435289,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435289,A000000,04400,0000,4400DME RENTED - HHA 435289,A000000,04500,0000,4500DME SOLD - HHA 435289,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435289,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435289,A000000,04710,0000,4710TELEMEDICINE 435289,A000000,04800,0000,4800AMBULANCE 435289,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435289,A000000,05000,0000,5000CORF 435289,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435289,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435289,A000000,05300,0000,5300INTEREST EXPENSE 435289,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435289,A000000,05500,0000,5500HOSPICE 435289,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435289,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435289,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435289,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435289,A000000,06100,0000,6100NONPAID WORKERS 435289,A000000,06200,0000,6200PATIENTS LAUNDRY 435289,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435289,A81000A,00100,0100,Y 435289,A81000B,00100,0300,MANAGEMENT FEES 435289,A81000C,00100,0100,A 435289,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435289,A81000C,00100,0400,HCM INC 435289,A81000C,00100,0600,MANAGEMENT 435289,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435289,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435289,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435289,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435289,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435289,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435289,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435289,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435289,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435289,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435289,E10A180,00501,0100,04/20/12 435289,E10A180,00550,0100,04/20/12 435289,G300000,02500,0000,MISCELLANEOUS 435289,S000000,00100,0200,02/28/12 435289,S200000,00100,0100,502 2ND STREET NE 435289,S200000,00200,0100,DAYTON 435289,S200000,00200,0200,IA 435289,S200000,00200,0300,50330 435289,S200000,00300,0100,WEBSTER 435289,S200000,00300,0200,16 435289,S200000,00300,0201,99916 435289,S200000,00300,0300,R 435289,S200000,00400,0100,GRANDVIEW HEALTH CARE CENTER 435289,S200000,00400,0200,165196 435289,S200000,00400,0300,01/03/94 435289,S200000,00400,0500,P 435289,S200000,01500,0100,Y 435289,S200000,01501,0200,Y 435289,S200000,01502,0200,N 435289,S200000,01503,0200,Y 435289,S200000,01504,0200,N 435289,S200000,01600,0100,N 435289,S200000,01700,0100,N 435289,S200000,01800,0100,N 435289,S200000,02200,0100,N 435289,S200000,02800,0100,N 435289,S200000,02900,0100,N 435289,S200000,03000,0100,N 435289,S200000,03100,0100,N 435289,S200000,03200,0100,N 435289,S200000,03300,0100,N 435289,S200000,03300,0200,N 435289,S200000,04100,0100,N 435289,S200000,04200,0100,N 435289,S200000,04300,0100,N 435289,S200000,04600,0100,N 435289,S200000,04700,0100,N 435289,S200000,04700,0200,N 435289,S200000,04900,0100,N 435289,S200000,05000,0100,N 435289,S200000,05100,0100,N 435289,S200000,05200,0100,N 435289,S200000,05300,0100,Y 435289,S200000,05300,0200,H05700 435289,S200000,05400,0100,HCM INC 435289,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435289,S200000,05400,0300,00233 435289,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435289,S200000,05600,0100,JACKSON 435289,S200000,05600,0200,MS 435289,S200000,05600,0300,39206 435290,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435290,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435290,A000000,00300,0000,0300EMPLOYEE BENEFITS 435290,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435290,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435290,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435290,A000000,00700,0000,0700HOUSEKEEPING 435290,A000000,00800,0000,0800DIETARY 435290,A000000,00900,0000,0900NURSING ADMINISTRATION 435290,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435290,A000000,01100,0000,1100PHARMACY 435290,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435290,A000000,01300,0000,1300SOCIAL SERVICE 435290,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435290,A000000,01500,0000,1350OTHER GENERAL SERVICES 435290,A000000,01600,0000,1600SKILLED NURSING FACILITY 435290,A000000,01800,0000,1800NURSING FACILITY 435290,A000000,01810,0000,1810ICF/MR 435290,A000000,01900,0000,1900OTHER LONG TERM CARE 435290,A000000,02100,0000,2100RADIOLOGY 435290,A000000,02200,0000,2200LABORATORY 435290,A000000,02300,0000,2300INTRAVENOUS THERAPY 435290,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435290,A000000,02500,0000,2500PHYSICAL THERAPY 435290,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435290,A000000,02700,0000,2700SPEECH PATHOLOGY 435290,A000000,02800,0000,2800ELECTROCARDIOLOGY 435290,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435290,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435290,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435290,A000000,03200,0000,3200SUPPORT SURFACES 435290,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435290,A000000,03400,0000,3400CLINIC 435290,A000000,03500,0000,3500RURAL HEALTH CLINIC 435290,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435290,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435290,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435290,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435290,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435290,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435290,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435290,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435290,A000000,04400,0000,4400DME RENTED - HHA 435290,A000000,04500,0000,4500DME SOLD - HHA 435290,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435290,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435290,A000000,04710,0000,4710TELEMEDICINE 435290,A000000,04800,0000,4800AMBULANCE 435290,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435290,A000000,05000,0000,5000CORF 435290,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435290,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435290,A000000,05300,0000,5300INTEREST EXPENSE 435290,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435290,A000000,05500,0000,5500HOSPICE 435290,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435290,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435290,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435290,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435290,A000000,06100,0000,6100NONPAID WORKERS 435290,A000000,06200,0000,6200PATIENTS LAUNDRY 435290,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435290,A81000A,00100,0100,Y 435290,A81000B,00100,0300,MANAGEMENT FEES 435290,A81000C,00100,0100,A 435290,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435290,A81000C,00100,0400,HCM INC 435290,A81000C,00100,0600,MANAGEMENT 435290,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435290,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435290,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435290,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435290,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435290,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435290,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435290,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435290,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435290,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435290,E10A180,00501,0100,04/24/12 435290,S000000,00100,0200,02/29/12 435290,S200000,00100,0100,1000 HILLCREST DRIVE 435290,S200000,00200,0100,ANITA 435290,S200000,00200,0200,IA 435290,S200000,00200,0300,50020 435290,S200000,00300,0100,CASS 435290,S200000,00300,0200,16 435290,S200000,00300,0201,99916 435290,S200000,00300,0300,R 435290,S200000,00400,0100,COLONIAL MANOR OF ANITA 435290,S200000,00400,0200,165217 435290,S200000,00400,0300,05/01/94 435290,S200000,00400,0500,P 435290,S200000,01500,0100,Y 435290,S200000,01501,0200,Y 435290,S200000,01502,0200,N 435290,S200000,01503,0200,Y 435290,S200000,01504,0200,N 435290,S200000,01600,0100,N 435290,S200000,01700,0100,N 435290,S200000,01800,0100,N 435290,S200000,02200,0100,N 435290,S200000,02800,0100,N 435290,S200000,02900,0100,N 435290,S200000,03000,0100,N 435290,S200000,03100,0100,N 435290,S200000,03200,0100,N 435290,S200000,03300,0100,N 435290,S200000,03300,0200,N 435290,S200000,04100,0100,N 435290,S200000,04200,0100,N 435290,S200000,04300,0100,N 435290,S200000,04600,0100,N 435290,S200000,04700,0100,N 435290,S200000,04700,0200,N 435290,S200000,04900,0100,N 435290,S200000,05000,0100,N 435290,S200000,05100,0100,N 435290,S200000,05200,0100,N 435290,S200000,05300,0100,Y 435290,S200000,05300,0200,H05700 435290,S200000,05400,0100,HCM INC 435290,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435290,S200000,05400,0300,00233 435290,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435290,S200000,05600,0100,JACKSON 435290,S200000,05600,0200,MS 435290,S200000,05600,0300,39206 435294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435294,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435294,A000000,00300,0000,0300EMPLOYEE BENEFITS 435294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435294,A000000,00700,0000,0700HOUSEKEEPING 435294,A000000,00800,0000,0800DIETARY 435294,A000000,00900,0000,0900NURSING ADMINISTRATION 435294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435294,A000000,01300,0000,1300SOCIAL SERVICE 435294,A000000,01301,0000,1301ACTIVITES 435294,A000000,01500,0000,1350REHABILITATION 435294,A000000,01600,0000,1600SKILLED NURSING FACILITY 435294,A000000,01800,0000,1800NURSING FACILITY 435294,A000000,01900,0000,1900OTHER LONG TERM CARE 435294,A000000,02100,0000,2100RADIOLOGY 435294,A000000,02200,0000,2200LABORATORY 435294,A000000,02300,0000,2300INTRAVENOUS THERAPY 435294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435294,A000000,02500,0000,2500PHYSICAL THERAPY 435294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435294,A000000,02700,0000,2700SPEECH PATHOLOGY 435294,A000000,02800,0000,2800ELECTROCARDIOLOGY 435294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435294,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435294,A000000,03200,0000,3200SUPPORT SURFACES 435294,A000000,03300,0000,3050EQUIPMENT RENTAL 435294,A000000,03301,0000,3051PEN THERAPY 435294,A000000,04800,0000,4800AMBULANCE 435294,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435294,A000000,05300,0000,5300INTEREST EXPENSE 435294,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435294,A000000,06200,0000,6200PATIENTS LAUNDRY 435294,A000000,06300,0000,6150VENDING 435294,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435294,A81000A,00100,0100,Y 435294,A81000B,00100,0300,HOME OFFICE COST 435294,A81000C,00100,0100,B 435294,A81000C,00100,0200,KENTON MANOR 435294,A81000C,00100,0400,SSC EQUITY HOLD 435294,A81000C,00100,0600,NSG HOMES 435294,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435294,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435294,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435294,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435294,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435294,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435294,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435294,B100000,00000,0800,0800MEALS SERVED :DIETARY 435294,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435294,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435294,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435294,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435294,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435294,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435294,E10A180,00302,0100,05/19/11 435294,E10A180,00550,0100,05/18/12 435294,E10A180,00550,0300,05/18/12 435294,G300000,02500,0000, OTHER (SPECIFY) 435294,S000000,00100,0200,02/24/12 435294,S200000,00100,0100,850 27TH AVE 435294,S200000,00200,0100,GREELEY 435294,S200000,00200,0200,CO 435294,S200000,00200,0300,80631 435294,S200000,00300,0100,WELD 435294,S200000,00300,0300,U 435294,S200000,00400,0100,KENTON MANOR 435294,S200000,00400,0200,065219 435294,S200000,00400,0300,07/01/85 435294,S200000,00400,0500,P 435294,S200000,01500,0100,Y 435294,S200000,01501,0200,Y 435294,S200000,01502,0200,Y 435294,S200000,01504,0200,Y 435294,S200000,01600,0100,N 435294,S200000,01700,0100,N 435294,S200000,01800,0100,N 435294,S200000,02200,0100,Y 435294,S200000,02800,0100,N 435294,S200000,02900,0100,N 435294,S200000,03000,0100,N 435294,S200000,03100,0100,N 435294,S200000,03200,0100,N 435294,S200000,03300,0100,N 435294,S200000,03300,0200,N 435294,S200000,04100,0100,N 435294,S200000,04200,0100,N 435294,S200000,04300,0100,N 435294,S200000,04600,0100,N 435294,S200000,04700,0100,N 435294,S200000,04700,0200,N 435294,S200000,04900,0100,N 435294,S200000,05000,0100,N 435294,S200000,05100,0100,N 435294,S200000,05200,0100,N 435294,S200000,05300,0100,Y 435294,S200000,05300,0200,219023 435294,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435294,S200000,05400,0200,TRAILBLAZER 435294,S200000,05400,0300,04901 435294,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435294,S200000,05600,0100,HOUSTON 435294,S200000,05600,0200,TX 435294,S200000,05600,0300,77041 435295,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435295,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435295,A000000,00300,0000,0300EMPLOYEE BENEFITS 435295,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435295,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435295,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435295,A000000,00700,0000,0700HOUSEKEEPING 435295,A000000,00800,0000,0800DIETARY 435295,A000000,00900,0000,0900NURSING ADMINISTRATION 435295,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435295,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435295,A000000,01300,0000,1300SOCIAL SERVICE 435295,A000000,01301,0000,1301ACTIVITES 435295,A000000,01500,0000,1350REHABILITATION 435295,A000000,01600,0000,1600SKILLED NURSING FACILITY 435295,A000000,01800,0000,1800NURSING FACILITY 435295,A000000,01900,0000,1900OTHER LONG TERM CARE 435295,A000000,02100,0000,2100RADIOLOGY 435295,A000000,02200,0000,2200LABORATORY 435295,A000000,02300,0000,2300INTRAVENOUS THERAPY 435295,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435295,A000000,02500,0000,2500PHYSICAL THERAPY 435295,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435295,A000000,02700,0000,2700SPEECH PATHOLOGY 435295,A000000,02800,0000,2800ELECTROCARDIOLOGY 435295,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435295,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435295,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435295,A000000,03200,0000,3200SUPPORT SURFACES 435295,A000000,03300,0000,3050EQUIPMENT RENTAL 435295,A000000,03301,0000,3051PEN THERAPY 435295,A000000,04800,0000,4800AMBULANCE 435295,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435295,A000000,05300,0000,5300INTEREST EXPENSE 435295,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435295,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435295,A000000,06200,0000,6200PATIENTS LAUNDRY 435295,A000000,06300,0000,6150VENDING 435295,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435295,A81000A,00100,0100,Y 435295,A81000B,00100,0300,HOME OFFICE COST 435295,A81000C,00100,0100,B 435295,A81000C,00100,0200,SPRING CREEK HC 435295,A81000C,00100,0400,SSC EQUITY HOLD 435295,A81000C,00100,0600,NSG HOMES 435295,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435295,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435295,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435295,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435295,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435295,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435295,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435295,B100000,00000,0800,0800MEALS SERVED :DIETARY 435295,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435295,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435295,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435295,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435295,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435295,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435295,E10A180,00352,0100,02/07/11 435295,E10A180,00550,0100,05/18/12 435295,S000000,00100,0200,02/24/12 435295,S200000,00100,0100,1000 E. STUART 435295,S200000,00200,0100,FT COLLINS 435295,S200000,00200,0200,CO 435295,S200000,00200,0300,80525 435295,S200000,00300,0100,LARIMER 435295,S200000,00300,0300,U 435295,S200000,00400,0100,SPRING CREEK HEALTHCARE CENTER 435295,S200000,00400,0200,065221 435295,S200000,00400,0300,10/01/85 435295,S200000,00400,0500,P 435295,S200000,01500,0100,Y 435295,S200000,01501,0200,Y 435295,S200000,01502,0200,N 435295,S200000,01504,0200,N 435295,S200000,01600,0100,N 435295,S200000,01700,0100,N 435295,S200000,01800,0100,N 435295,S200000,02200,0100,Y 435295,S200000,02800,0100,N 435295,S200000,02900,0100,N 435295,S200000,03000,0100,N 435295,S200000,03100,0100,N 435295,S200000,03200,0100,N 435295,S200000,03300,0100,N 435295,S200000,03300,0200,N 435295,S200000,03600,0100,N 435295,S200000,03600,0200,N 435295,S200000,04100,0100,N 435295,S200000,04200,0100,N 435295,S200000,04300,0100,N 435295,S200000,04600,0100,N 435295,S200000,04700,0100,N 435295,S200000,04700,0200,N 435295,S200000,04900,0100,N 435295,S200000,05000,0100,N 435295,S200000,05100,0100,N 435295,S200000,05200,0100,N 435295,S200000,05300,0100,Y 435295,S200000,05300,0200,219023 435295,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435295,S200000,05400,0200,NOVITAS SOLUTIONS 435295,S200000,05400,0300,07001 435295,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435295,S200000,05600,0100,HOUSTON 435295,S200000,05600,0200,TX 435295,S200000,05600,0300,77041 435296,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435296,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435296,A000000,00300,0000,0300EMPLOYEE BENEFITS 435296,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435296,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435296,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435296,A000000,00700,0000,0700HOUSEKEEPING 435296,A000000,00800,0000,0800DIETARY 435296,A000000,00900,0000,0900NURSING ADMINISTRATION 435296,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435296,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435296,A000000,01300,0000,1300SOCIAL SERVICE 435296,A000000,01301,0000,1301ACTIVITES 435296,A000000,01500,0000,1350REHABILITATION 435296,A000000,01600,0000,1600SKILLED NURSING FACILITY 435296,A000000,01800,0000,1800NURSING FACILITY 435296,A000000,01900,0000,1900OTHER LONG TERM CARE 435296,A000000,02100,0000,2100RADIOLOGY 435296,A000000,02200,0000,2200LABORATORY 435296,A000000,02300,0000,2300INTRAVENOUS THERAPY 435296,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435296,A000000,02500,0000,2500PHYSICAL THERAPY 435296,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435296,A000000,02700,0000,2700SPEECH PATHOLOGY 435296,A000000,02800,0000,2800ELECTROCARDIOLOGY 435296,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435296,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435296,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435296,A000000,03200,0000,3200SUPPORT SURFACES 435296,A000000,03300,0000,3050EQUIPMENT RENTAL 435296,A000000,03301,0000,3051PEN THERAPY 435296,A000000,04800,0000,4800AMBULANCE 435296,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435296,A000000,05300,0000,5300INTEREST EXPENSE 435296,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435296,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435296,A000000,06200,0000,6200PATIENTS LAUNDRY 435296,A000000,06300,0000,6150VENDING 435296,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435296,A81000A,00100,0100,Y 435296,A81000B,00100,0300,HOME OFFICE COST 435296,A81000C,00100,0100,B 435296,A81000C,00100,0200,APPLEWOOD LIVIN 435296,A81000C,00100,0400,SSC EQUITY HOLD 435296,A81000C,00100,0600,NSG HOMES 435296,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435296,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435296,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435296,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435296,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435296,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435296,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435296,B100000,00000,0800,0800MEALS SERVED :DIETARY 435296,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435296,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435296,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435296,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435296,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435296,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435296,E10A180,00352,0100,02/17/11 435296,E10A180,00353,0100,05/19/11 435296,E10A180,00550,0100,05/04/12 435296,E10A180,00550,0300,05/04/12 435296,G300000,02500,0000, OTHER (SPECIFY) 435296,S000000,00100,0200,02/10/12 435296,S200000,00100,0100,1800 STROH PLACE 435296,S200000,00200,0100,LONGMONT 435296,S200000,00200,0200,CO 435296,S200000,00200,0300,80501 435296,S200000,00300,0100,BOULDER 435296,S200000,00300,0300,U 435296,S200000,00400,0100,APPLEWOOD LIVING CENTER 435296,S200000,00400,0200,065226 435296,S200000,00400,0300,04/01/86 435296,S200000,00400,0500,P 435296,S200000,01500,0100,Y 435296,S200000,01501,0200,N 435296,S200000,01502,0200,N 435296,S200000,01504,0200,N 435296,S200000,01600,0100,N 435296,S200000,01700,0100,N 435296,S200000,01800,0100,N 435296,S200000,02200,0100,Y 435296,S200000,02800,0100,N 435296,S200000,02900,0100,N 435296,S200000,03000,0100,N 435296,S200000,03100,0100,N 435296,S200000,03200,0100,N 435296,S200000,03300,0100,N 435296,S200000,03300,0200,N 435296,S200000,04100,0100,N 435296,S200000,04200,0100,N 435296,S200000,04300,0100,N 435296,S200000,04600,0100,N 435296,S200000,04700,0100,N 435296,S200000,04700,0200,N 435296,S200000,04900,0100,N 435296,S200000,05000,0100,N 435296,S200000,05100,0100,N 435296,S200000,05200,0100,N 435296,S200000,05300,0100,Y 435296,S200000,05300,0200,219023 435296,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435296,S200000,05400,0200,TRAILBLAZER 435296,S200000,05400,0300,04901 435296,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435296,S200000,05600,0100,HOUSTON 435296,S200000,05600,0200,TX 435296,S200000,05600,0300,77041 435297,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435297,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435297,A000000,00300,0000,0300EMPLOYEE BENEFITS 435297,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435297,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435297,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435297,A000000,00700,0000,0700HOUSEKEEPING 435297,A000000,00800,0000,0800DIETARY 435297,A000000,00900,0000,0900NURSING ADMINISTRATION 435297,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435297,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435297,A000000,01300,0000,1300SOCIAL SERVICE 435297,A000000,01301,0000,1301ACTIVITES 435297,A000000,01500,0000,1350REHABILITATION 435297,A000000,01600,0000,1600SKILLED NURSING FACILITY 435297,A000000,01800,0000,1800NURSING FACILITY 435297,A000000,01900,0000,1900OTHER LONG TERM CARE 435297,A000000,02100,0000,2100RADIOLOGY 435297,A000000,02200,0000,2200LABORATORY 435297,A000000,02300,0000,2300INTRAVENOUS THERAPY 435297,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435297,A000000,02500,0000,2500PHYSICAL THERAPY 435297,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435297,A000000,02700,0000,2700SPEECH PATHOLOGY 435297,A000000,02800,0000,2800ELECTROCARDIOLOGY 435297,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435297,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435297,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435297,A000000,03200,0000,3200SUPPORT SURFACES 435297,A000000,03300,0000,3050EQUIPMENT RENTAL 435297,A000000,03301,0000,3051PEN THERAPY 435297,A000000,04800,0000,4800AMBULANCE 435297,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435297,A000000,05300,0000,5300INTEREST EXPENSE 435297,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435297,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435297,A000000,06200,0000,6200PATIENTS LAUNDRY 435297,A000000,06300,0000,6150VENDING 435297,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435297,A81000A,00100,0100,Y 435297,A81000B,00100,0300,HOME OFFICE COST 435297,A81000C,00100,0100,B 435297,A81000C,00100,0200,PALISADE LIVING 435297,A81000C,00100,0400,SSC EQUITY HOLD 435297,A81000C,00100,0600,NSG HOMES 435297,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435297,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435297,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435297,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435297,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435297,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435297,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435297,B100000,00000,0800,0800MEALS SERVED :DIETARY 435297,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435297,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435297,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435297,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435297,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435297,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435297,E10A180,00303,0100,05/18/11 435297,E10A180,00352,0100,02/09/11 435297,E10A180,00550,0100,05/18/12 435297,G300000,02500,0000, OTHER (SPECIFY) 435297,S000000,00100,0200,02/24/12 435297,S200000,00100,0100,POBOX 190 (151 E 3RD ST) 435297,S200000,00200,0100,PALISADE 435297,S200000,00200,0200,CO 435297,S200000,00200,0300,81526 435297,S200000,00300,0100,MESA 435297,S200000,00300,0300,U 435297,S200000,00400,0100,PALISADES LIVING CENTER 435297,S200000,00400,0200,065228 435297,S200000,00400,0300,04/01/86 435297,S200000,00400,0500,P 435297,S200000,01500,0100,Y 435297,S200000,01501,0200,Y 435297,S200000,01502,0200,N 435297,S200000,01504,0200,N 435297,S200000,01600,0100,N 435297,S200000,01700,0100,N 435297,S200000,01800,0100,N 435297,S200000,02200,0100,Y 435297,S200000,02800,0100,N 435297,S200000,02900,0100,N 435297,S200000,03000,0100,N 435297,S200000,03100,0100,N 435297,S200000,03200,0100,N 435297,S200000,03300,0100,N 435297,S200000,03300,0200,N 435297,S200000,03600,0100,N 435297,S200000,03600,0200,N 435297,S200000,04100,0100,N 435297,S200000,04200,0100,N 435297,S200000,04300,0100,N 435297,S200000,04600,0100,N 435297,S200000,04700,0100,N 435297,S200000,04700,0200,N 435297,S200000,04900,0100,N 435297,S200000,05000,0100,N 435297,S200000,05100,0100,N 435297,S200000,05200,0100,N 435297,S200000,05300,0100,Y 435297,S200000,05300,0200,219023 435297,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435297,S200000,05400,0200,NOVITAS SOLUTIONS 435297,S200000,05400,0300,04011 435297,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435297,S200000,05600,0100,HOUSTON 435297,S200000,05600,0200,TX 435297,S200000,05600,0300,77041 435298,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435298,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435298,A000000,00300,0000,0300EMPLOYEE BENEFITS 435298,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435298,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435298,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435298,A000000,00700,0000,0700HOUSEKEEPING 435298,A000000,00800,0000,0800DIETARY 435298,A000000,00900,0000,0900NURSING ADMINISTRATION 435298,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435298,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435298,A000000,01300,0000,1300SOCIAL SERVICE 435298,A000000,01301,0000,1301ACTIVITES 435298,A000000,01500,0000,1350REHABILITATION 435298,A000000,01600,0000,1600SKILLED NURSING FACILITY 435298,A000000,01800,0000,1800NURSING FACILITY 435298,A000000,01900,0000,1900OTHER LONG TERM CARE 435298,A000000,02100,0000,2100RADIOLOGY 435298,A000000,02200,0000,2200LABORATORY 435298,A000000,02300,0000,2300INTRAVENOUS THERAPY 435298,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435298,A000000,02500,0000,2500PHYSICAL THERAPY 435298,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435298,A000000,02700,0000,2700SPEECH PATHOLOGY 435298,A000000,02800,0000,2800ELECTROCARDIOLOGY 435298,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435298,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435298,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435298,A000000,03200,0000,3200SUPPORT SURFACES 435298,A000000,03300,0000,3050EQUIPMENT RENTAL 435298,A000000,03301,0000,3051PEN THERAPY 435298,A000000,04800,0000,4800AMBULANCE 435298,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435298,A000000,05300,0000,5300INTEREST EXPENSE 435298,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435298,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435298,A000000,06200,0000,6200PATIENTS LAUNDRY 435298,A000000,06300,0000,6150VENDING 435298,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435298,A81000A,00100,0100,Y 435298,A81000B,00100,0300,HOME OFFICE COST 435298,A81000C,00100,0100,B 435298,A81000C,00100,0200,CAMBRIDGE SOUTH 435298,A81000C,00100,0400,SSC EQUITY HOLD 435298,A81000C,00100,0600,NSG HOMES 435298,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435298,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435298,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435298,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435298,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435298,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435298,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435298,B100000,00000,0800,0800MEALS SERVED :DIETARY 435298,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435298,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435298,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435298,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435298,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435298,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435298,E10A180,00301,0100,03/16/11 435298,E10A180,00302,0100,09/30/11 435298,E10A180,00351,0100,04/20/11 435298,E10A180,00352,0100,09/30/11 435298,E10A180,00550,0100,05/18/12 435298,E10A180,00550,0300,05/18/12 435298,S000000,00100,0200,02/24/12 435298,S200000,00100,0100,18200 W 13 MILE RD 435298,S200000,00200,0100,BEVERLY HILLS 435298,S200000,00200,0200,MI 435298,S200000,00200,0300,48025 435298,S200000,00300,0100,FRANKLIN 435298,S200000,00300,0300,U 435298,S200000,00400,0100,CAMBRIDGE SOUTH HEALTHCARE CENTER 435298,S200000,00400,0200,235251 435298,S200000,00400,0300,09/01/84 435298,S200000,00400,0500,P 435298,S200000,01500,0100,Y 435298,S200000,01501,0200,Y 435298,S200000,01502,0200,Y 435298,S200000,01504,0200,Y 435298,S200000,01600,0100,N 435298,S200000,01700,0100,N 435298,S200000,01800,0100,N 435298,S200000,02200,0100,Y 435298,S200000,02800,0100,N 435298,S200000,02900,0100,N 435298,S200000,03000,0100,N 435298,S200000,03100,0100,N 435298,S200000,03200,0100,N 435298,S200000,03300,0100,N 435298,S200000,03300,0200,N 435298,S200000,03600,0100,N 435298,S200000,03600,0200,N 435298,S200000,04100,0100,N 435298,S200000,04200,0100,N 435298,S200000,04300,0100,N 435298,S200000,04600,0100,N 435298,S200000,04700,0100,N 435298,S200000,04700,0200,N 435298,S200000,04900,0100,N 435298,S200000,05000,0100,N 435298,S200000,05100,0100,N 435298,S200000,05200,0100,N 435298,S200000,05300,0100,Y 435298,S200000,05300,0200,219023 435298,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435298,S200000,05400,0200,NOVITAS SOLUTIONS 435298,S200000,05400,0300,04011 435298,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435298,S200000,05600,0100,HOUSTON 435298,S200000,05600,0200,TX 435298,S200000,05600,0300,77041 435299,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435299,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435299,A000000,00300,0000,0300EMPLOYEE BENEFITS 435299,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435299,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435299,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435299,A000000,00700,0000,0700HOUSEKEEPING 435299,A000000,00800,0000,0800DIETARY 435299,A000000,00900,0000,0900NURSING ADMINISTRATION 435299,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435299,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435299,A000000,01300,0000,1300SOCIAL SERVICE 435299,A000000,01301,0000,1301ACTIVITES 435299,A000000,01500,0000,1350REHABILITATION 435299,A000000,01600,0000,1600SKILLED NURSING FACILITY 435299,A000000,01800,0000,1800NURSING FACILITY 435299,A000000,01900,0000,1900OTHER LONG TERM CARE 435299,A000000,02100,0000,2100RADIOLOGY 435299,A000000,02200,0000,2200LABORATORY 435299,A000000,02300,0000,2300INTRAVENOUS THERAPY 435299,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435299,A000000,02500,0000,2500PHYSICAL THERAPY 435299,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435299,A000000,02700,0000,2700SPEECH PATHOLOGY 435299,A000000,02800,0000,2800ELECTROCARDIOLOGY 435299,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435299,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435299,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435299,A000000,03200,0000,3200SUPPORT SURFACES 435299,A000000,03300,0000,3050EQUIPMENT RENTAL 435299,A000000,03301,0000,3051PEN THERAPY 435299,A000000,04800,0000,4800AMBULANCE 435299,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435299,A000000,05300,0000,5300INTEREST EXPENSE 435299,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435299,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435299,A000000,06200,0000,6200PATIENTS LAUNDRY 435299,A000000,06300,0000,6150VENDING 435299,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435299,A81000A,00100,0100,Y 435299,A81000B,00100,0300,HOME OFFICE COST 435299,A81000C,00100,0100,B 435299,A81000C,00100,0200,WARREN WOODS H 435299,A81000C,00100,0400,SSC EQUITY HOLD 435299,A81000C,00100,0600,NSG HOMES 435299,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435299,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435299,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435299,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435299,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435299,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435299,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435299,B100000,00000,0800,0800MEALS SERVED :DIETARY 435299,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435299,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435299,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435299,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435299,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435299,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435299,E10A180,00351,0100,05/02/11 435299,E10A180,00550,0100,05/21/12 435299,G300000,02500,0000, OTHER (SPECIFY) 435299,S000000,00100,0200,02/24/12 435299,S200000,00100,0100,11525 E. TEN MILE RD 435299,S200000,00200,0100,WARREN 435299,S200000,00200,0200,MI 435299,S200000,00200,0300,48089 435299,S200000,00300,0100,MACOMB 435299,S200000,00300,0300,U 435299,S200000,00400,0100,WARREN WOODS HEALTH & REHAB CENTER 435299,S200000,00400,0200,235259 435299,S200000,00400,0300,05/01/86 435299,S200000,00400,0500,P 435299,S200000,01500,0100,Y 435299,S200000,01501,0200,Y 435299,S200000,01502,0200,Y 435299,S200000,01504,0200,Y 435299,S200000,01600,0100,N 435299,S200000,01700,0100,N 435299,S200000,01800,0100,N 435299,S200000,02200,0100,Y 435299,S200000,02800,0100,N 435299,S200000,02900,0100,N 435299,S200000,03000,0100,N 435299,S200000,03100,0100,N 435299,S200000,03200,0100,N 435299,S200000,03300,0100,N 435299,S200000,03300,0200,N 435299,S200000,03600,0100,N 435299,S200000,03600,0200,N 435299,S200000,04100,0100,N 435299,S200000,04200,0100,N 435299,S200000,04300,0100,N 435299,S200000,04600,0100,N 435299,S200000,04700,0100,N 435299,S200000,04700,0200,N 435299,S200000,04900,0100,N 435299,S200000,05000,0100,N 435299,S200000,05100,0100,N 435299,S200000,05200,0100,N 435299,S200000,05300,0100,Y 435299,S200000,05300,0200,219023 435299,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435299,S200000,05400,0200,NOVITAS SOLUTIONS 435299,S200000,05400,0300,04011 435299,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435299,S200000,05600,0100,HOUSTON 435299,S200000,05600,0200,TX 435299,S200000,05600,0300,77041 435303,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435303,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435303,A000000,00300,0000,0300EMPLOYEE BENEFITS 435303,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435303,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435303,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435303,A000000,00700,0000,0700HOUSEKEEPING 435303,A000000,00800,0000,0800DIETARY 435303,A000000,00900,0000,0900NURSING ADMINISTRATION 435303,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435303,A000000,01100,0000,1100PHARMACY 435303,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435303,A000000,01300,0000,1300SOCIAL SERVICE 435303,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435303,A000000,01500,0000,1350OTHER GENERAL SERVICES 435303,A000000,01600,0000,1600SKILLED NURSING FACILITY 435303,A000000,01800,0000,1800NURSING FACILITY 435303,A000000,01810,0000,1810ICF/MR 435303,A000000,01900,0000,1900OTHER LONG TERM CARE 435303,A000000,02100,0000,2100RADIOLOGY 435303,A000000,02200,0000,2200LABORATORY 435303,A000000,02300,0000,2300INTRAVENOUS THERAPY 435303,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435303,A000000,02500,0000,2500PHYSICAL THERAPY 435303,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435303,A000000,02700,0000,2700SPEECH PATHOLOGY 435303,A000000,02800,0000,2800ELECTROCARDIOLOGY 435303,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435303,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435303,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435303,A000000,03200,0000,3200SUPPORT SURFACES 435303,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435303,A000000,03400,0000,3400CLINIC 435303,A000000,03500,0000,3500RURAL HEALTH CLINIC 435303,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435303,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435303,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435303,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435303,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435303,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435303,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435303,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435303,A000000,04400,0000,4400DME RENTED - HHA 435303,A000000,04500,0000,4500DME SOLD - HHA 435303,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435303,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435303,A000000,04710,0000,4710TELEMEDICINE 435303,A000000,04800,0000,4800AMBULANCE 435303,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435303,A000000,05000,0000,5000CORF 435303,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435303,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435303,A000000,05300,0000,5300INTEREST EXPENSE 435303,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435303,A000000,05500,0000,5500HOSPICE 435303,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435303,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435303,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435303,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435303,A000000,06100,0000,6100NONPAID WORKERS 435303,A000000,06200,0000,6200PATIENTS LAUNDRY 435303,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435303,A81000A,00100,0100,Y 435303,A81000B,00100,0300,GENERAL LIABILITY INSURANCE 435303,A81000C,00100,0100,C 435303,A81000C,00100,0200,LTCSP LLC 435303,A81000C,00100,0400,MATURE CARE INS 435303,A81000C,00100,0600,GENERAL LIABILITY INS 435303,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435303,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435303,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435303,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435303,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435303,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435303,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435303,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435303,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435303,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435303,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435303,E10A180,00350,0100,03/31/11 435303,E10A180,00350,0300,03/31/11 435303,E10A180,00501,0100,05/11/12 435303,E10A180,00550,0300,05/11/12 435303,G300000,02500,0000,BARBER AND BEAUTY 435303,G300000,02501,0000,OTHER REVENUE 435303,G300000,02502,0000,TRANSPORTATION 435303,S000000,00100,0200,02/28/12 435303,S200000,00100,0100,1430 PASADENA AVE SOUTH 435303,S200000,00200,0100,SOUTH PASADENA 435303,S200000,00200,0200,FL 435303,S200000,00200,0300,33707 435303,S200000,00300,0100,PINELLAS 435303,S200000,00300,0200,8280 435303,S200000,00300,0201,45300 435303,S200000,00300,0300,U 435303,S200000,00400,0100,PASADENA MANOR 435303,S200000,00400,0200,105213 435303,S200000,00400,0300,01/01/69 435303,S200000,00400,0500,P 435303,S200000,01500,0100,Y 435303,S200000,01501,0200,Y 435303,S200000,01502,0200,Y 435303,S200000,01503,0200,Y 435303,S200000,01600,0100,N 435303,S200000,01700,0100,N 435303,S200000,01800,0100,N 435303,S200000,02200,0100,N 435303,S200000,02800,0100,N 435303,S200000,02900,0100,N 435303,S200000,03000,0100,N 435303,S200000,03100,0100,N 435303,S200000,03200,0100,N 435303,S200000,03300,0100,N 435303,S200000,03300,0200,N 435303,S200000,04100,0100,N 435303,S200000,04200,0100,N 435303,S200000,04300,0100,N 435303,S200000,04600,0100,N 435303,S200000,04700,0100,N 435303,S200000,04700,0200,N 435303,S200000,04900,0100,N 435303,S200000,05000,0100,N 435303,S200000,05100,0100,N 435303,S200000,05200,0100,N 435309,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435309,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435309,A000000,00300,0000,0300EMPLOYEE BENEFITS 435309,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435309,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435309,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435309,A000000,00700,0000,0700HOUSEKEEPING 435309,A000000,00800,0000,0800DIETARY 435309,A000000,00900,0000,0900NURSING ADMINISTRATION 435309,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435309,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435309,A000000,01300,0000,1300SOCIAL SERVICE 435309,A000000,01301,0000,1301ACTIVITES 435309,A000000,01500,0000,1350REHABILITATION 435309,A000000,01600,0000,1600SKILLED NURSING FACILITY 435309,A000000,01800,0000,1800NURSING FACILITY 435309,A000000,01900,0000,1900OTHER LONG TERM CARE 435309,A000000,02100,0000,2100RADIOLOGY 435309,A000000,02200,0000,2200LABORATORY 435309,A000000,02300,0000,2300INTRAVENOUS THERAPY 435309,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435309,A000000,02500,0000,2500PHYSICAL THERAPY 435309,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435309,A000000,02700,0000,2700SPEECH PATHOLOGY 435309,A000000,02800,0000,2800ELECTROCARDIOLOGY 435309,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435309,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435309,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435309,A000000,03200,0000,3200SUPPORT SURFACES 435309,A000000,03300,0000,3050EQUIPMENT RENTAL 435309,A000000,03301,0000,3051PEN THERAPY 435309,A000000,04800,0000,4800AMBULANCE 435309,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435309,A000000,05300,0000,5300INTEREST EXPENSE 435309,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435309,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435309,A000000,06200,0000,6200PATIENTS LAUNDRY 435309,A000000,06300,0000,6150VENDING 435309,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435309,A81000A,00100,0100,Y 435309,A81000B,00100,0300,HOME OFFICE COST 435309,A81000C,00100,0100,B 435309,A81000C,00100,0200,SUNSET MANOR 435309,A81000C,00100,0400,SSC EQUITY HOLD 435309,A81000C,00100,0600,NSG HOMES 435309,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435309,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435309,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435309,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435309,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435309,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435309,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435309,B100000,00000,0800,0800MEALS SERVED :DIETARY 435309,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435309,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435309,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435309,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435309,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435309,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435309,E10A180,00351,0100,04/22/11 435309,E10A180,00501,0100,05/04/12 435309,E10A180,00550,0300,05/04/12 435309,S000000,00100,0200,02/10/12 435309,S200000,00100,0100,2200 EDISON STREET 435309,S200000,00200,0100,BRUSH 435309,S200000,00200,0200,CO 435309,S200000,00200,0300,80723 435309,S200000,00300,0100,MORGAN 435309,S200000,00300,0300,R 435309,S200000,00400,0100,SUNSET MANOR 435309,S200000,00400,0200,065170 435309,S200000,00400,0300,10/14/82 435309,S200000,00400,0500,P 435309,S200000,01500,0100,Y 435309,S200000,01501,0200,Y 435309,S200000,01502,0200,Y 435309,S200000,01504,0200,Y 435309,S200000,01600,0100,N 435309,S200000,01700,0100,N 435309,S200000,01800,0100,N 435309,S200000,02200,0100,Y 435309,S200000,02800,0100,N 435309,S200000,02900,0100,N 435309,S200000,03000,0100,N 435309,S200000,03100,0100,N 435309,S200000,03200,0100,N 435309,S200000,03300,0100,N 435309,S200000,03300,0200,N 435309,S200000,04100,0100,N 435309,S200000,04200,0100,N 435309,S200000,04300,0100,N 435309,S200000,04600,0100,N 435309,S200000,04700,0100,N 435309,S200000,04700,0200,N 435309,S200000,04900,0100,N 435309,S200000,05000,0100,N 435309,S200000,05100,0100,N 435309,S200000,05200,0100,N 435309,S200000,05300,0100,Y 435309,S200000,05300,0200,219023 435309,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435309,S200000,05400,0200,TRAILBLAZER 435309,S200000,05400,0300,04901 435309,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435309,S200000,05600,0100,HOUSTON 435309,S200000,05600,0200,TX 435309,S200000,05600,0300,77041 435310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435310,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435310,A000000,00300,0000,0300EMPLOYEE BENEFITS 435310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435310,A000000,00700,0000,0700HOUSEKEEPING 435310,A000000,00800,0000,0800DIETARY 435310,A000000,00900,0000,0900NURSING ADMINISTRATION 435310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435310,A000000,01300,0000,1300SOCIAL SERVICE 435310,A000000,01301,0000,1301ACTIVITES 435310,A000000,01500,0000,1350REHABILITATION 435310,A000000,01600,0000,1600SKILLED NURSING FACILITY 435310,A000000,01800,0000,1800NURSING FACILITY 435310,A000000,01900,0000,1900OTHER LONG TERM CARE 435310,A000000,02100,0000,2100RADIOLOGY 435310,A000000,02200,0000,2200LABORATORY 435310,A000000,02300,0000,2300INTRAVENOUS THERAPY 435310,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435310,A000000,02500,0000,2500PHYSICAL THERAPY 435310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435310,A000000,02700,0000,2700SPEECH PATHOLOGY 435310,A000000,02800,0000,2800ELECTROCARDIOLOGY 435310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435310,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435310,A000000,03200,0000,3200SUPPORT SURFACES 435310,A000000,03300,0000,3050EQUIPMENT RENTAL 435310,A000000,03301,0000,3051PEN THERAPY 435310,A000000,04800,0000,4800AMBULANCE 435310,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435310,A000000,05300,0000,5300INTEREST EXPENSE 435310,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435310,A000000,06200,0000,6200PATIENTS LAUNDRY 435310,A000000,06300,0000,6150VENDING 435310,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435310,A81000A,00100,0100,Y 435310,A81000B,00100,0300,HOME OFFICE COST 435310,A81000C,00100,0100,B 435310,A81000C,00100,0200,ALPINE LIVING C 435310,A81000C,00100,0400,SSC EQUITY HOLD 435310,A81000C,00100,0600,NSG HOMES 435310,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435310,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435310,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435310,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435310,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435310,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435310,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435310,B100000,00000,0800,0800MEALS SERVED :DIETARY 435310,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435310,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435310,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435310,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435310,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435310,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435310,E10A180,00302,0100,05/18/11 435310,E10A180,00352,0100,02/10/11 435310,E10A180,00501,0100,05/04/12 435310,E10A180,00550,0300,05/04/12 435310,S000000,00100,0200,02/10/12 435310,S200000,00100,0100,501 THORNTON PARKWAY 435310,S200000,00200,0100,THORNTON 435310,S200000,00200,0200,CO 435310,S200000,00200,0300,80229 435310,S200000,00300,0100,ADAMS 435310,S200000,00300,0300,U 435310,S200000,00400,0100,ALPINE LIVING CENTER 435310,S200000,00400,0200,065193 435310,S200000,00400,0300,10/01/84 435310,S200000,00400,0500,P 435310,S200000,01500,0100,Y 435310,S200000,01501,0200,Y 435310,S200000,01502,0200,N 435310,S200000,01504,0200,Y 435310,S200000,01600,0100,N 435310,S200000,01700,0100,N 435310,S200000,01800,0100,N 435310,S200000,02200,0100,Y 435310,S200000,02800,0100,N 435310,S200000,02900,0100,N 435310,S200000,03000,0100,N 435310,S200000,03100,0100,N 435310,S200000,03200,0100,N 435310,S200000,03300,0100,N 435310,S200000,03300,0200,N 435310,S200000,03600,0100,N 435310,S200000,03600,0200,N 435310,S200000,04100,0100,N 435310,S200000,04200,0100,N 435310,S200000,04300,0100,N 435310,S200000,04600,0100,N 435310,S200000,04700,0100,N 435310,S200000,04700,0200,N 435310,S200000,04900,0100,N 435310,S200000,05000,0100,N 435310,S200000,05100,0100,N 435310,S200000,05200,0100,N 435310,S200000,05300,0100,Y 435310,S200000,05300,0200,219023 435310,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435310,S200000,05400,0200,NOVITAS SOLUTIONS 435310,S200000,05400,0300,04011 435310,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435310,S200000,05600,0100,HOUSTON 435310,S200000,05600,0200,TX 435310,S200000,05600,0300,77041 435311,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435311,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435311,A000000,00300,0000,0300EMPLOYEE BENEFITS 435311,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435311,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435311,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435311,A000000,00700,0000,0700HOUSEKEEPING 435311,A000000,00800,0000,0800DIETARY 435311,A000000,00900,0000,0900NURSING ADMINISTRATION 435311,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435311,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435311,A000000,01300,0000,1300SOCIAL SERVICE 435311,A000000,01301,0000,1301ACTIVITES 435311,A000000,01500,0000,1350REHABILITATION 435311,A000000,01600,0000,1600SKILLED NURSING FACILITY 435311,A000000,01800,0000,1800NURSING FACILITY 435311,A000000,01900,0000,1900OTHER LONG TERM CARE 435311,A000000,02100,0000,2100RADIOLOGY 435311,A000000,02200,0000,2200LABORATORY 435311,A000000,02300,0000,2300INTRAVENOUS THERAPY 435311,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435311,A000000,02500,0000,2500PHYSICAL THERAPY 435311,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435311,A000000,02700,0000,2700SPEECH PATHOLOGY 435311,A000000,02800,0000,2800ELECTROCARDIOLOGY 435311,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435311,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435311,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435311,A000000,03200,0000,3200SUPPORT SURFACES 435311,A000000,03300,0000,3050EQUIPMENT RENTAL 435311,A000000,03301,0000,3051PEN THERAPY 435311,A000000,04800,0000,4800AMBULANCE 435311,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435311,A000000,05300,0000,5300INTEREST EXPENSE 435311,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435311,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435311,A000000,06200,0000,6200PATIENTS LAUNDRY 435311,A000000,06300,0000,6150VENDING 435311,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435311,A81000A,00100,0100,Y 435311,A81000B,00100,0300,HOME OFFICE COST 435311,A81000C,00100,0100,B 435311,A81000C,00100,0200,DOWNTOWN H & R 435311,A81000C,00100,0400,SSC EQUITY HOLD 435311,A81000C,00100,0600,NSG HOMES 435311,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435311,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435311,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435311,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435311,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435311,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435311,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435311,B100000,00000,0800,0800MEALS SERVED :DIETARY 435311,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435311,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435311,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435311,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435311,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435311,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435311,E10A180,00550,0100,05/22/12 435311,G300000,02500,0000, OTHER (SPECIFY) 435311,S000000,00100,0200,02/24/12 435311,S200000,00100,0100,424 SOUTH ADAMS 435311,S200000,00200,0100,FORTH WORTH 435311,S200000,00200,0200,TX 435311,S200000,00200,0300,76104 435311,S200000,00300,0100,TARRANT 435311,S200000,00300,0300,U 435311,S200000,00400,0100,DOWNTOWN HEALTH & REHAB CENTER 435311,S200000,00400,0200,455651 435311,S200000,00400,0300,04/23/86 435311,S200000,00400,0500,P 435311,S200000,01500,0100,Y 435311,S200000,01501,0200,Y 435311,S200000,01502,0200,Y 435311,S200000,01504,0200,Y 435311,S200000,01600,0100,N 435311,S200000,01700,0100,N 435311,S200000,01800,0100,N 435311,S200000,02200,0100,Y 435311,S200000,02800,0100,N 435311,S200000,02900,0100,N 435311,S200000,03000,0100,N 435311,S200000,03100,0100,N 435311,S200000,03200,0100,N 435311,S200000,03300,0100,N 435311,S200000,03300,0200,N 435311,S200000,03600,0100,N 435311,S200000,03600,0200,N 435311,S200000,04100,0100,N 435311,S200000,04200,0100,N 435311,S200000,04300,0100,N 435311,S200000,04600,0100,N 435311,S200000,04700,0100,N 435311,S200000,04700,0200,N 435311,S200000,04900,0100,N 435311,S200000,05000,0100,N 435311,S200000,05100,0100,N 435311,S200000,05200,0100,N 435311,S200000,05300,0100,Y 435311,S200000,05300,0200,219023 435311,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435311,S200000,05400,0200,NOVITAS SOLUTIONS 435311,S200000,05400,0300,04011 435311,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435311,S200000,05600,0100,HOUSTON 435311,S200000,05600,0200,TX 435311,S200000,05600,0300,77041 435313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435313,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435313,A000000,00300,0000,0300EMPLOYEE BENEFITS 435313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435313,A000000,00700,0000,0700HOUSEKEEPING 435313,A000000,00800,0000,0800DIETARY 435313,A000000,00900,0000,0900NURSING ADMINISTRATION 435313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435313,A000000,01100,0000,1100PHARMACY 435313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435313,A000000,01300,0000,1300SOCIAL SERVICE 435313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435313,A000000,01500,0000,1350OTHER GENERAL SERVICES 435313,A000000,01600,0000,1600SKILLED NURSING FACILITY 435313,A000000,01800,0000,1800NURSING FACILITY 435313,A000000,01810,0000,1810ICF/MR 435313,A000000,01900,0000,1900OTHER LONG TERM CARE 435313,A000000,02100,0000,2100RADIOLOGY 435313,A000000,02200,0000,2200LABORATORY 435313,A000000,02300,0000,2300INTRAVENOUS THERAPY 435313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435313,A000000,02500,0000,2500PHYSICAL THERAPY 435313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435313,A000000,02700,0000,2700SPEECH PATHOLOGY 435313,A000000,02800,0000,2800ELECTROCARDIOLOGY 435313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435313,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435313,A000000,03200,0000,3200SUPPORT SURFACES 435313,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435313,A000000,03400,0000,3400CLINIC 435313,A000000,03500,0000,3500RURAL HEALTH CLINIC 435313,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435313,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435313,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435313,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435313,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435313,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435313,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435313,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435313,A000000,04400,0000,4400DME RENTED - HHA 435313,A000000,04500,0000,4500DME SOLD - HHA 435313,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435313,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435313,A000000,04710,0000,4710TELEMEDICINE 435313,A000000,04800,0000,4800AMBULANCE 435313,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435313,A000000,05000,0000,5000CORF 435313,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435313,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435313,A000000,05300,0000,5300INTEREST EXPENSE 435313,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435313,A000000,05500,0000,5500HOSPICE 435313,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435313,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435313,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435313,A000000,06100,0000,6100NONPAID WORKERS 435313,A000000,06200,0000,6200PATIENTS LAUNDRY 435313,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435313,A81000A,00100,0100,Y 435313,A81000B,00100,0300,MANAGEMENT FEES 435313,A81000C,00100,0100,A 435313,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435313,A81000C,00100,0400,HCM INC 435313,A81000C,00100,0600,MANAGEMENT 435313,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435313,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435313,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435313,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435313,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435313,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435313,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435313,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435313,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435313,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435313,E10A180,00501,0100,05/11/12 435313,E10A180,00501,0300,05/11/12 435313,S000000,00100,0200,02/29/12 435313,S200000,00100,0100,111 E VAN BUREN 435313,S200000,00200,0100,LENOX 435313,S200000,00200,0200,IA 435313,S200000,00200,0300,50851 435313,S200000,00300,0100,TAYLOR 435313,S200000,00300,0200,16 435313,S200000,00300,0201,99916 435313,S200000,00300,0300,R 435313,S200000,00400,0100,LENOX CARE CENTER 435313,S200000,00400,0200,165235 435313,S200000,00400,0300,11/01/94 435313,S200000,00400,0500,P 435313,S200000,01500,0100,Y 435313,S200000,01501,0200,N 435313,S200000,01502,0200,N 435313,S200000,01503,0200,Y 435313,S200000,01504,0200,Y 435313,S200000,01600,0100,N 435313,S200000,01700,0100,N 435313,S200000,01800,0100,N 435313,S200000,02200,0100,N 435313,S200000,02800,0100,N 435313,S200000,02900,0100,N 435313,S200000,03000,0100,N 435313,S200000,03100,0100,N 435313,S200000,03200,0100,N 435313,S200000,03300,0100,N 435313,S200000,03300,0200,N 435313,S200000,03600,0100,N 435313,S200000,03600,0200,N 435313,S200000,04100,0100,N 435313,S200000,04200,0100,N 435313,S200000,04300,0100,N 435313,S200000,04600,0100,N 435313,S200000,04700,0100,N 435313,S200000,04700,0200,N 435313,S200000,04900,0100,N 435313,S200000,05000,0100,N 435313,S200000,05100,0100,N 435313,S200000,05200,0100,N 435313,S200000,05300,0100,Y 435313,S200000,05300,0200,H05700 435313,S200000,05400,0100,HCM INC 435313,S200000,05400,0200,NOVITAS SOLUTIONS 435313,S200000,05400,0300,07011 435313,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435313,S200000,05600,0100,JACKSON 435313,S200000,05600,0200,MS 435313,S200000,05600,0300,39206 435315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435315,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435315,A000000,00300,0000,0300EMPLOYEE BENEFITS 435315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435315,A000000,00700,0000,0700HOUSEKEEPING 435315,A000000,00800,0000,0800DIETARY 435315,A000000,00900,0000,0900NURSING ADMINISTRATION 435315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435315,A000000,01100,0000,1100PHARMACY 435315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435315,A000000,01300,0000,1300SOCIAL SERVICE 435315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435315,A000000,01500,0000,1350PATIENT ACTIVITIES 435315,A000000,01600,0000,1600SKILLED NURSING FACILITY 435315,A000000,01810,0000,1810ICF/MR 435315,A000000,02100,0000,2100RADIOLOGY 435315,A000000,02200,0000,2200LABORATORY 435315,A000000,02500,0000,2500PHYSICAL THERAPY 435315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435315,A000000,02700,0000,2700SPEECH PATHOLOGY 435315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435315,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435315,A000000,03550,0000,3550FQHC 435315,A000000,05000,0000,5000CORF 435315,A000000,05010,0000,5010CMHC 435315,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435315,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435315,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435315,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435315,A000000,05300,0000,5300INTEREST EXPENSE 435315,A81000A,00100,0100,Y 435315,A81000B,00100,0300,MANAGEMENT FEES 435315,A81000B,00200,0300,HO PROPERTY INSURANCE 435315,A81000B,00300,0300,HO PROPERTY TAX 435315,A81000B,00400,0300,HO CAPITAL 435315,A81000B,00500,0300,HO MOVABLE EQUIPMENT 435315,A81000B,00600,0300,HO G&A 435315,A81000B,00700,0300,HO CORPORATE NURSE SALARY 435315,A81000B,00800,0300,HO CORPORATE NURSE TAX 435315,A81000B,00900,0300,CONTRACT SVC-PHYSICAL THERAPY 435315,A81000B,01000,0300,CONTRACT SVC-OCCUP THERAPY 435315,A81000B,01100,0300,CONTRACT SVC-SPEECH THERAPY 435315,A81000B,01200,0300,THERAPY GENERAL & ADMINISTRATI 435315,A81000B,01300,0300,PHYSICAL THERAPY 435315,A81000B,01400,0300,OCCUPATIONAL THERAPY 435315,A81000B,01500,0300,SPEECH THERAPY 435315,A81000B,01600,0300,FACILITY LEASE 435315,A81000B,01700,0300,CAPITAL ALLOCATION 435315,A81000B,01800,0300,G&A ALLOCATION 435315,A81000B,01900,0300,PROPERTY INSURANCE 435315,A81000B,02000,0300,PROPERTY TAX 435315,A81000B,02100,0300,MOVABLE EQUIPMENT DEPRECIATION 435315,A81000C,00100,0100,C 435315,A81000C,00100,0200,CHERRY RIDGE GU 435315,A81000C,00100,0400,GUEST CARE MANA 435315,A81000C,00100,0600,HOME OFFICE MAN 435315,A81000C,00200,0100,C 435315,A81000C,00200,0200,CHERRY RIDGE GU 435315,A81000C,00200,0400,GUEST CARE PROP 435315,A81000C,00200,0600,PROPERTY/OWNS B 435315,A81000C,00300,0100,C 435315,A81000C,00300,0200,CHERRY RIDGE GU 435315,A81000C,00300,0400,GUEST CARE REHA 435315,A81000C,00300,0600,THERAPY SERVICE 435315,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435315,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435315,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435315,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435315,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435315,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435315,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435315,B100000,00000,0800,0800MEALS SERVED :DIETARY 435315,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435315,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435315,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435315,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435315,G300000,02501,0000,CONTRACTUAL ADJUSTMENTS 435315,G300000,02503,0000,RENTAL INCOME 435315,G300000,02505,0000,MEDICARE PRIOR YEAR 435315,G300000,02509,0000,MISCELLANEOUS INCOME 435315,S000000,00100,0200,03/06/12 435315,S200000,00100,0100,5980 CHERRY RIDGE DRIVE 435315,S200000,00200,0100,BASTROP 435315,S200000,00200,0200,LA 435315,S200000,00200,0300,71220 435315,S200000,00300,0100,MOREHOUSE PARISH 435315,S200000,00300,0201,19 435315,S200000,00300,0300,R 435315,S200000,00400,0100,CHERRY RIDGE GUEST CARE 435315,S200000,00400,0200,195541 435315,S200000,00400,0300,02/11/02 435315,S200000,00400,0500,P 435315,S200000,01500,0100,Y 435315,S200000,01501,0200,Y 435315,S200000,01503,0200,Y 435315,S200000,01600,0100,N 435315,S200000,01700,0100,N 435315,S200000,01800,0100,N 435315,S200000,02200,0100,N 435315,S200000,02800,0100,Y 435315,S200000,02900,0100,N 435315,S200000,03000,0100,N 435315,S200000,03100,0100,N 435315,S200000,03200,0100,N 435315,S200000,03300,0100,N 435315,S200000,03300,0200,N 435315,S200000,03600,0100,N 435315,S200000,03600,0200,N 435315,S200000,04100,0100,N 435315,S200000,04200,0100,N 435315,S200000,04300,0100,N 435315,S200000,04600,0100,N 435315,S200000,04700,0100,N 435315,S200000,04700,0200,N 435315,S200000,04900,0100,N 435315,S200000,05000,0100,N 435315,S200000,05100,0100,N 435315,S200000,05200,0100,N 435315,S200000,05300,0100,Y 435315,S200000,05300,0200,H05027 435315,S200000,05400,0100,GUEST CARE MANAGEMENT L.L.C. 435315,S200000,05400,0200,NOVITAS SOLUTIONS 435315,S200000,05400,0300,07001 435315,S200000,05500,0100,8520 BUSINESS PARK DRIVE 435315,S200000,05500,0200,52389 435315,S200000,05600,0100,SHREVEPORT 435315,S200000,05600,0200,LA 435315,S200000,05600,0300,71135-2389 435316,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435316,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435316,A000000,00300,0000,0300EMPLOYEE BENEFITS 435316,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435316,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435316,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435316,A000000,00700,0000,0700HOUSEKEEPING 435316,A000000,00800,0000,0800DIETARY 435316,A000000,00900,0000,0900NURSING ADMINISTRATION 435316,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435316,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435316,A000000,01300,0000,1300SOCIAL SERVICE 435316,A000000,01301,0000,1301ACTIVITES 435316,A000000,01500,0000,1350REHABILITATION 435316,A000000,01600,0000,1600SKILLED NURSING FACILITY 435316,A000000,01800,0000,1800NURSING FACILITY 435316,A000000,01900,0000,1900OTHER LONG TERM CARE 435316,A000000,02100,0000,2100RADIOLOGY 435316,A000000,02200,0000,2200LABORATORY 435316,A000000,02300,0000,2300INTRAVENOUS THERAPY 435316,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435316,A000000,02500,0000,2500PHYSICAL THERAPY 435316,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435316,A000000,02700,0000,2700SPEECH PATHOLOGY 435316,A000000,02800,0000,2800ELECTROCARDIOLOGY 435316,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435316,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435316,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435316,A000000,03200,0000,3200SUPPORT SURFACES 435316,A000000,03300,0000,3050EQUIPMENT RENTAL 435316,A000000,03301,0000,3051PEN THERAPY 435316,A000000,04800,0000,4800AMBULANCE 435316,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435316,A000000,05300,0000,5300INTEREST EXPENSE 435316,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435316,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435316,A000000,06200,0000,6200PATIENTS LAUNDRY 435316,A000000,06300,0000,6150VENDING 435316,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435316,A81000A,00100,0100,Y 435316,A81000B,00100,0300,HOME OFFICE COST 435316,A81000C,00100,0100,B 435316,A81000C,00100,0200,WARREN MANOR H 435316,A81000C,00100,0400,SSC EQUITY HOLD 435316,A81000C,00100,0600,NSG HOMES 435316,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435316,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435316,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435316,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435316,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435316,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435316,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435316,B100000,00000,0800,0800MEALS SERVED :DIETARY 435316,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435316,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435316,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435316,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435316,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435316,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435316,E10A180,00351,0100,04/20/11 435316,E10A180,00501,0100,05/04/12 435316,G300000,02500,0000, OTHER (SPECIFY) 435316,S000000,00100,0200,02/10/12 435316,S200000,00100,0100,11 BELL ROAD 435316,S200000,00200,0100,SELMA 435316,S200000,00200,0200,AL 435316,S200000,00200,0300,36701 435316,S200000,00300,0100,DALLAS 435316,S200000,00300,0300,R 435316,S200000,00400,0100,WARREN MANOR HEALTH & REHAB CENTER 435316,S200000,00400,0200,015119 435316,S200000,00400,0300,06/01/83 435316,S200000,00400,0500,P 435316,S200000,01500,0100,Y 435316,S200000,01501,0200,Y 435316,S200000,01502,0200,Y 435316,S200000,01504,0200,Y 435316,S200000,01600,0100,N 435316,S200000,01700,0100,N 435316,S200000,01800,0100,N 435316,S200000,02200,0100,Y 435316,S200000,02800,0100,N 435316,S200000,02900,0100,N 435316,S200000,03000,0100,N 435316,S200000,03100,0100,N 435316,S200000,03200,0100,N 435316,S200000,03300,0100,N 435316,S200000,03300,0200,N 435316,S200000,03600,0100,N 435316,S200000,03600,0200,N 435316,S200000,04100,0100,N 435316,S200000,04200,0100,N 435316,S200000,04300,0100,N 435316,S200000,04600,0100,N 435316,S200000,04700,0100,N 435316,S200000,04700,0200,N 435316,S200000,04900,0100,N 435316,S200000,05000,0100,N 435316,S200000,05100,0100,N 435316,S200000,05200,0100,N 435316,S200000,05300,0100,Y 435316,S200000,05300,0200,219023 435316,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435316,S200000,05400,0200,NOVITAS SOLUTIONS INC 435316,S200000,05400,0300,04011 435316,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435316,S200000,05600,0100,HOUSTON 435316,S200000,05600,0200,TX 435316,S200000,05600,0300,77041 435317,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435317,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435317,A000000,00300,0000,0300EMPLOYEE BENEFITS 435317,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435317,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435317,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435317,A000000,00700,0000,0700HOUSEKEEPING 435317,A000000,00800,0000,0800DIETARY 435317,A000000,00900,0000,0900NURSING ADMINISTRATION 435317,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435317,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435317,A000000,01300,0000,1300SOCIAL SERVICE 435317,A000000,01301,0000,1301ACTIVITES 435317,A000000,01500,0000,1350REHABILITATION 435317,A000000,01600,0000,1600SKILLED NURSING FACILITY 435317,A000000,01800,0000,1800NURSING FACILITY 435317,A000000,01900,0000,1900OTHER LONG TERM CARE 435317,A000000,02100,0000,2100RADIOLOGY 435317,A000000,02200,0000,2200LABORATORY 435317,A000000,02300,0000,2300INTRAVENOUS THERAPY 435317,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435317,A000000,02500,0000,2500PHYSICAL THERAPY 435317,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435317,A000000,02700,0000,2700SPEECH PATHOLOGY 435317,A000000,02800,0000,2800ELECTROCARDIOLOGY 435317,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435317,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435317,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435317,A000000,03200,0000,3200SUPPORT SURFACES 435317,A000000,03300,0000,3050EQUIPMENT RENTAL 435317,A000000,03301,0000,3051PEN THERAPY 435317,A000000,04800,0000,4800AMBULANCE 435317,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435317,A000000,05300,0000,5300INTEREST EXPENSE 435317,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435317,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435317,A000000,06200,0000,6200PATIENTS LAUNDRY 435317,A000000,06300,0000,6150VENDING 435317,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435317,A81000A,00100,0100,Y 435317,A81000B,00100,0300,HOME OFFICE COST 435317,A81000C,00100,0100,B 435317,A81000C,00100,0200,WINDSOR HCC 435317,A81000C,00100,0400,SSC EQUITY HOLD 435317,A81000C,00100,0600,NSG HOMES 435317,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435317,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435317,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435317,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435317,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435317,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435317,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435317,B100000,00000,0800,0800MEALS SERVED :DIETARY 435317,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435317,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435317,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435317,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435317,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435317,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435317,E10A180,00352,0100,05/20/11 435317,E10A180,00501,0100,05/04/12 435317,E10A180,00501,0300,05/04/12 435317,S000000,00100,0200,02/10/12 435317,S200000,00100,0100,PO BOX 999 ( 4TH & CHESTNUT) 435317,S200000,00200,0100,WINDSOR 435317,S200000,00200,0200,CO 435317,S200000,00200,0300,80550 435317,S200000,00300,0100,WELD 435317,S200000,00300,0300,U 435317,S200000,00400,0100,WINDSOR HEALTHCARE CENTER 435317,S200000,00400,0200,065278 435317,S200000,00400,0300,06/01/90 435317,S200000,00400,0500,P 435317,S200000,01500,0100,Y 435317,S200000,01501,0200,Y 435317,S200000,01502,0200,N 435317,S200000,01504,0200,Y 435317,S200000,01600,0100,N 435317,S200000,01700,0100,N 435317,S200000,01800,0100,N 435317,S200000,02200,0100,Y 435317,S200000,02800,0100,N 435317,S200000,02900,0100,N 435317,S200000,03000,0100,N 435317,S200000,03100,0100,N 435317,S200000,03200,0100,N 435317,S200000,03300,0100,N 435317,S200000,03300,0200,N 435317,S200000,04100,0100,N 435317,S200000,04200,0100,N 435317,S200000,04300,0100,N 435317,S200000,04600,0100,N 435317,S200000,04700,0100,N 435317,S200000,04700,0200,N 435317,S200000,04900,0100,N 435317,S200000,05000,0100,N 435317,S200000,05100,0100,N 435317,S200000,05200,0100,N 435317,S200000,05300,0100,Y 435317,S200000,05300,0200,219023 435317,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435317,S200000,05400,0200,TRAILBLAZER 435317,S200000,05400,0300,04901 435317,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435317,S200000,05600,0100,HOUSTON 435317,S200000,05600,0200,TX 435317,S200000,05600,0300,77041 435318,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435318,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435318,A000000,00300,0000,0300EMPLOYEE BENEFITS 435318,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435318,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435318,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435318,A000000,00700,0000,0700HOUSEKEEPING 435318,A000000,00800,0000,0800DIETARY 435318,A000000,00900,0000,0900NURSING ADMINISTRATION 435318,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435318,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435318,A000000,01300,0000,1300SOCIAL SERVICE 435318,A000000,01301,0000,1301ACTIVITES 435318,A000000,01500,0000,1350REHABILITATION 435318,A000000,01600,0000,1600SKILLED NURSING FACILITY 435318,A000000,01800,0000,1800NURSING FACILITY 435318,A000000,01900,0000,1900OTHER LONG TERM CARE 435318,A000000,02100,0000,2100RADIOLOGY 435318,A000000,02200,0000,2200LABORATORY 435318,A000000,02300,0000,2300INTRAVENOUS THERAPY 435318,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435318,A000000,02500,0000,2500PHYSICAL THERAPY 435318,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435318,A000000,02700,0000,2700SPEECH PATHOLOGY 435318,A000000,02800,0000,2800ELECTROCARDIOLOGY 435318,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435318,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435318,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435318,A000000,03200,0000,3200SUPPORT SURFACES 435318,A000000,03300,0000,3050EQUIPMENT RENTAL 435318,A000000,03301,0000,3051PEN THERAPY 435318,A000000,04800,0000,4800AMBULANCE 435318,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435318,A000000,05300,0000,5300INTEREST EXPENSE 435318,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435318,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435318,A000000,06200,0000,6200PATIENTS LAUNDRY 435318,A000000,06300,0000,6150VENDING 435318,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435318,A81000A,00100,0100,Y 435318,A81000B,00100,0300,HOME OFFICE COST 435318,A81000C,00100,0100,B 435318,A81000C,00100,0200,ARCOLA H & R CT 435318,A81000C,00100,0400,SSC EQUITY HOLD 435318,A81000C,00100,0600,NSG HOMES 435318,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435318,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435318,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435318,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435318,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435318,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435318,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435318,B100000,00000,0800,0800MEALS SERVED :DIETARY 435318,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435318,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435318,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435318,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435318,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435318,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435318,E10A180,00302,0100,03/17/11 435318,E10A180,00303,0100,09/30/11 435318,E10A180,00352,0100,04/20/11 435318,E10A180,00501,0300,05/22/12 435318,E10A180,00550,0100,05/22/12 435318,G300000,02500,0000, OTHER (SPECIFY) 435318,S000000,00100,0200,02/24/12 435318,S200000,00100,0100,901 ARCOLA AVE. 435318,S200000,00200,0100,SILVER SPRING 435318,S200000,00200,0200,MD 435318,S200000,00200,0300,20902 435318,S200000,00300,0100,MONTGOMERY 435318,S200000,00300,0300,U 435318,S200000,00400,0100,ARCOLA HEALTH & REHAB CENTER 435318,S200000,00400,0200,215014 435318,S200000,00400,0300,06/01/77 435318,S200000,00400,0500,P 435318,S200000,01500,0100,Y 435318,S200000,01501,0200,Y 435318,S200000,01502,0200,N 435318,S200000,01504,0200,N 435318,S200000,01600,0100,N 435318,S200000,01700,0100,N 435318,S200000,01800,0100,N 435318,S200000,02200,0100,Y 435318,S200000,02800,0100,N 435318,S200000,02900,0100,N 435318,S200000,03000,0100,N 435318,S200000,03100,0100,N 435318,S200000,03200,0100,N 435318,S200000,03300,0100,N 435318,S200000,03300,0200,N 435318,S200000,04100,0100,N 435318,S200000,04200,0100,N 435318,S200000,04300,0100,N 435318,S200000,04600,0100,N 435318,S200000,04700,0100,N 435318,S200000,04700,0200,N 435318,S200000,04900,0100,N 435318,S200000,05000,0100,N 435318,S200000,05100,0100,N 435318,S200000,05200,0100,N 435318,S200000,05300,0100,Y 435318,S200000,05300,0200,219023 435318,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435318,S200000,05400,0200,TRAILBLAZER 435318,S200000,05400,0300,04901 435318,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435318,S200000,05600,0100,HOUSTON 435318,S200000,05600,0200,TX 435318,S200000,05600,0300,77041 435320,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435320,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435320,A000000,00300,0000,0300EMPLOYEE BENEFITS 435320,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435320,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435320,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435320,A000000,00700,0000,0700HOUSEKEEPING 435320,A000000,00800,0000,0800DIETARY 435320,A000000,00900,0000,0900NURSING ADMINISTRATION 435320,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435320,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435320,A000000,01300,0000,1300SOCIAL SERVICE 435320,A000000,01500,0000,1350ACTIVITIES 435320,A000000,01600,0000,1600SKILLED NURSING FACILITY 435320,A000000,01800,0000,1800NURSING FACILITY 435320,A000000,02100,0000,2100RADIOLOGY 435320,A000000,02200,0000,2200LABORATORY 435320,A000000,02300,0000,2300INTRAVENOUS THERAPY 435320,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435320,A000000,02500,0000,2500PHYSICAL THERAPY 435320,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435320,A000000,02700,0000,2700SPEECH PATHOLOGY 435320,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435320,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435320,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435320,A000000,03101,0000,3050OTHER ANCILLARY SERVICE COST CEN 435320,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435320,A000000,04800,0000,4800AMBULANCE 435320,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435320,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435320,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435320,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435320,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435320,A81000A,00100,0100,Y 435320,A81000B,00100,0300,SNF POOLED ALLOCATION 435320,A81000C,00100,0100,E 435320,A81000C,00100,0200,DEE BANGERTER 435320,A81000C,00100,0400,OWNER 435320,A81000C,00100,0600,MANAGEMENT OFFICE 435320,A81000C,00200,0100,E 435320,A81000C,00200,0200,HEALTH CARE LEASING 435320,A81000C,00200,0400,HEALTH CARE LEASING 435320,A81000C,00200,0600,LEASING COMPANY 435320,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435320,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435320,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435320,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435320,B100000,00000,0600,0650SQUARE FEET :LAUNDRY & LINEN SE 435320,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435320,B100000,00000,0800,0800MEALS SERVED :DIETARY 435320,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435320,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435320,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435320,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435320,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435320,E10A180,00501,0100,05/18/12 435320,G300000,02500,0000,MEDICAID INCENTIVE FOR CAPITAL PURC 435320,G300000,02501,0000,COPIES 435320,G300000,02502,0000,ADULT DAY CARE 435320,S000000,00100,0200,03/02/12 435320,S200000,00100,0100,165 WEST 500 NORTH 435320,S200000,00200,0100,HEBER 435320,S200000,00200,0200,UT 435320,S200000,00200,0300,84032 435320,S200000,00300,0100,WASATCH 435320,S200000,00300,0200,00 435320,S200000,00300,0201,99946 435320,S200000,00300,0300,R 435320,S200000,00400,0100,ROCKY MOUNTAIN CARE - HEBER 435320,S200000,00400,0200,465147 435320,S200000,00400,0300,01/01/98 435320,S200000,00400,0500,P 435320,S200000,01500,0100,Y 435320,S200000,01501,0200,N 435320,S200000,01502,0200,N 435320,S200000,01503,0200,Y 435320,S200000,01504,0200,Y 435320,S200000,01600,0100,N 435320,S200000,01700,0100,N 435320,S200000,01800,0100,N 435320,S200000,02200,0100,N 435320,S200000,02800,0100,N 435320,S200000,02900,0100,N 435320,S200000,03000,0100,N 435320,S200000,03100,0100,N 435320,S200000,03200,0100,N 435320,S200000,03300,0100,N 435320,S200000,03300,0200,N 435320,S200000,04100,0100,N 435320,S200000,04200,0100,N 435320,S200000,04300,0100,N 435320,S200000,04600,0100,N 435320,S200000,04700,0100,N 435320,S200000,04700,0200,N 435320,S200000,04900,0100,N 435320,S200000,05000,0100,N 435320,S200000,05100,0100,N 435320,S200000,05200,0100,N 435322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435322,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435322,A000000,00300,0000,0300EMPLOYEE BENEFITS 435322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435322,A000000,00700,0000,0700HOUSEKEEPING 435322,A000000,00800,0000,0800DIETARY 435322,A000000,00900,0000,0900NURSING ADMINISTRATION 435322,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435322,A000000,01100,0000,1100PHARMACY 435322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435322,A000000,01300,0000,1300SOCIAL SERVICE 435322,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435322,A000000,01500,0000,1350OTHER GENERAL SERVICES 435322,A000000,01600,0000,1600SKILLED NURSING FACILITY 435322,A000000,01800,0000,1800NURSING FACILITY 435322,A000000,01810,0000,1810ICF/MR 435322,A000000,01900,0000,1900OTHER LONG TERM CARE 435322,A000000,02100,0000,2100RADIOLOGY 435322,A000000,02200,0000,2200LABORATORY 435322,A000000,02300,0000,2300INTRAVENOUS THERAPY 435322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435322,A000000,02500,0000,2500PHYSICAL THERAPY 435322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435322,A000000,02700,0000,2700SPEECH PATHOLOGY 435322,A000000,02800,0000,2800ELECTROCARDIOLOGY 435322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435322,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435322,A000000,03200,0000,3200SUPPORT SURFACES 435322,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435322,A000000,03400,0000,3400CLINIC 435322,A000000,03500,0000,3500RURAL HEALTH CLINIC 435322,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435322,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435322,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435322,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435322,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435322,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435322,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435322,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435322,A000000,04400,0000,4400DME RENTED - HHA 435322,A000000,04500,0000,4500DME SOLD - HHA 435322,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435322,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435322,A000000,04710,0000,4710TELEMEDICINE 435322,A000000,04800,0000,4800AMBULANCE 435322,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435322,A000000,05000,0000,5000CORF 435322,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435322,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435322,A000000,05300,0000,5300INTEREST EXPENSE 435322,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435322,A000000,05500,0000,5500HOSPICE 435322,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435322,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435322,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435322,A000000,06100,0000,6100NONPAID WORKERS 435322,A000000,06200,0000,6200PATIENTS LAUNDRY 435322,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435322,A81000A,00100,0100,N 435322,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435322,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435322,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435322,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435322,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435322,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435322,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435322,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435322,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435322,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435322,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435322,E10A180,00550,0100,11/02/12 435322,S000000,00100,0200,11/05/12 435322,S200000,00100,0100,1755 18TH STREET 435322,S200000,00200,0100,SARASOTA 435322,S200000,00200,0200,FL 435322,S200000,00200,0300,34234 435322,S200000,00300,0100,SARASOTA 435322,S200000,00300,0200,7510 435322,S200000,00300,0201,42260 435322,S200000,00300,0300,U 435322,S200000,00400,0100,J.H. FLOYD SUNSHINE MANOR INC 435322,S200000,00400,0200,105774 435322,S200000,00400,0300,06/01/92 435322,S200000,00400,0500,P 435322,S200000,01500,0100,Y 435322,S200000,01501,0200,Y 435322,S200000,01502,0200,Y 435322,S200000,01503,0200,Y 435322,S200000,01504,0200,Y 435322,S200000,01600,0100,N 435322,S200000,01700,0100,N 435322,S200000,01800,0100,N 435322,S200000,02200,0100,N 435322,S200000,02800,0100,N 435322,S200000,02900,0100,N 435322,S200000,03000,0100,N 435322,S200000,03100,0100,N 435322,S200000,03200,0100,N 435322,S200000,03300,0100,N 435322,S200000,03300,0200,N 435322,S200000,04100,0100,N 435322,S200000,04200,0100,N 435322,S200000,04300,0100,N 435322,S200000,04600,0100,N 435322,S200000,04700,0100,N 435322,S200000,04700,0200,N 435322,S200000,04900,0100,N 435322,S200000,05000,0100,N 435322,S200000,05100,0100,N 435322,S200000,05200,0100,N 435323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435323,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435323,A000000,00300,0000,0300EMPLOYEE BENEFITS 435323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435323,A000000,00700,0000,0700HOUSEKEEPING 435323,A000000,00800,0000,0800DIETARY 435323,A000000,00900,0000,0900NURSING ADMINISTRATION 435323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435323,A000000,01100,0000,1100PHARMACY 435323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435323,A000000,01300,0000,1300SOCIAL SERVICE 435323,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435323,A000000,01500,0000,1350OTHER GENERAL SERVICES 435323,A000000,01600,0000,1600SKILLED NURSING FACILITY 435323,A000000,01800,0000,1800NURSING FACILITY 435323,A000000,01900,0000,1900OTHER LONG TERM CARE 435323,A000000,02100,0000,2100RADIOLOGY 435323,A000000,02200,0000,2200LABORATORY 435323,A000000,02300,0000,2300INTRAVENOUS THERAPY 435323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435323,A000000,02500,0000,2500PHYSICAL THERAPY 435323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435323,A000000,02700,0000,2700SPEECH PATHOLOGY 435323,A000000,02800,0000,2800ELECTROCARDIOLOGY 435323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435323,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435323,A000000,03200,0000,3200SUPPORT SURFACES 435323,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435323,A000000,03400,0000,3400CLINIC 435323,A000000,03500,0000,3500RURAL HEALTH CLINIC 435323,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435323,A000000,04800,0000,4800AMBULANCE 435323,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435323,A000000,05000,0000,5000CORF 435323,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435323,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435323,A000000,05300,0000,5300INTEREST EXPENSE 435323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435323,A000000,05500,0000,5500HOSPICE 435323,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435323,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435323,A000000,06200,0000,6200PATIENTS LAUNDRY 435323,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435323,A81000A,00100,0100,Y 435323,A81000B,00100,0300,HOME OFFICE ALLOCATION 435323,A81000B,00200,0300,HOME OFFICE ALLOCATION 435323,A81000B,00300,0300,PHARMACY CONSULTANT 435323,A81000B,00400,0300,EMPLOYEE FLU SHOTS 435323,A81000B,00500,0300,MEDICAL SUPPLY 435323,A81000B,00600,0300,CHARGEABLE MED SUPPLY 435323,A81000B,00700,0300,IV PHARMACY FLU SHOTS 435323,A81000B,00800,0300,REHAB 435323,A81000B,00900,0300,REHAB 435323,A81000B,01000,0300,REHAB 435323,A81000B,01100,0300,EQUIPMENT RENTAL 435323,A81000B,01200,0300,PRESTIGE BUS ALLOCATION 435323,A81000B,01300,0300,INTERNAL CONTRACT LABOR 435323,A81000B,01400,0300,INTERNAL CONTRACT LABOR 435323,A81000B,01500,0300,INTERNAL CONTRACT LABOR 435323,A81000C,00100,0100,B 435323,A81000C,00100,0400,DISCOVERY CARE CENTER INC 435323,A81000C,00100,0600,OWNS PROVIDER 435323,A81000C,00200,0100,B 435323,A81000C,00200,0400,PRESTIGE CARE INC 435323,A81000C,00200,0600,OWNS DISCOVERY 435323,A81000C,00300,0100,A 435323,A81000C,00300,0200,RICK DELAMARTER 435323,A81000C,00300,0400,PRESTIGE CARE INC 435323,A81000C,00300,0600,HOME OFFICE 435323,A81000C,00400,0100,A 435323,A81000C,00400,0200,HAROLD DELAMARTER 435323,A81000C,00400,0400,PRESTIGE CARE INC 435323,A81000C,00400,0600,HOME OFFICE 435323,A81000C,00500,0100,A 435323,A81000C,00500,0200,GREG VISLOCKY 435323,A81000C,00500,0400,PRESTIGE CARE INC 435323,A81000C,00500,0600,HOME OFFICE 435323,A81000C,00600,0100,A 435323,A81000C,00600,0200,RICK DELAMARTER 435323,A81000C,00600,0400,CYPRESS VENTURES 435323,A81000C,00600,0600,PROPAC PHARMACY 435323,A81000C,00700,0100,A 435323,A81000C,00700,0200,HAROLD DELAMARTER 435323,A81000C,00700,0400,CYPRESS VENTURES 435323,A81000C,00700,0600,PROPAC PHARMACY 435323,A81000C,00800,0100,A 435323,A81000C,00800,0200,GREG VISLOCKY 435323,A81000C,00800,0400,CYPRESS VENTURES 435323,A81000C,00800,0600,PROPAC PHARMACY 435323,A81000C,00900,0100,A 435323,A81000C,00900,0200,RICK DELAMARTER 435323,A81000C,00900,0400,DISCOVERY LLC 435323,A81000C,00900,0600,LANDLORD 435323,A81000C,01000,0100,A 435323,A81000C,01000,0200,HAROLD DELAMARTER 435323,A81000C,01000,0400,DISCOVERY LLC 435323,A81000C,01000,0600,LANDLORD 435323,A81000C,01001,0100,A 435323,A81000C,01001,0200,GREG VISLOCKY 435323,A81000C,01001,0400,DISCOVERY LLC 435323,A81000C,01001,0600,LANDLORD 435323,A81000C,01002,0100,G 435323,A81000C,01002,0400,AUGUSTA VENTURES 435323,A81000C,01002,0600,PREMERE REHAB COMPANY 435323,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 435323,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 435323,A81000C,01004,0600,SEE ATTACHED RELATED 435323,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 435323,A81000C,01005,0400,THE 10.10 EXCEPTION 435323,A81000C,01005,0600,PARTY RELATIONSHIPS 435323,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 435323,A81000C,01006,0400,CRITERIA 435323,A81000C,01007,0200,PRESTIGE CARE & DISCOVERY 435323,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435323,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435323,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435323,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435323,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435323,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435323,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435323,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435323,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435323,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435323,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435323,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435323,E10A180,00501,0100,05/01/12 435323,G300000,02500,0000,OTHER INCOME 435323,S000000,00100,0200,03/01/12 435323,S200000,00100,0100,5220 NE HAZEL DELL AVE 435323,S200000,00200,0100,VANCOUVER 435323,S200000,00200,0200,WA 435323,S200000,00200,0300,98663 435323,S200000,00300,0100,CLARK 435323,S200000,00300,0200,6440 435323,S200000,00300,0201,38900 435323,S200000,00300,0300,U 435323,S200000,00400,0100,DISCOVERY NURSING & REHAB OF VANCOUV 435323,S200000,00400,0200,505341 435323,S200000,00400,0300,11/07/96 435323,S200000,00400,0500,P 435323,S200000,01500,0100,Y 435323,S200000,01501,0200,Y 435323,S200000,01502,0200,Y 435323,S200000,01600,0100,N 435323,S200000,01700,0100,N 435323,S200000,01800,0100,N 435323,S200000,02200,0100,N 435323,S200000,02800,0100,N 435323,S200000,02900,0100,N 435323,S200000,03000,0100,N 435323,S200000,03100,0100,N 435323,S200000,03200,0100,N 435323,S200000,03300,0100,N 435323,S200000,03300,0200,N 435323,S200000,04100,0100,N 435323,S200000,04200,0100,N 435323,S200000,04300,0100,N 435323,S200000,04600,0100,N 435323,S200000,04700,0100,N 435323,S200000,04700,0200,N 435323,S200000,04900,0100,N 435323,S200000,05000,0100,N 435323,S200000,05100,0100,N 435323,S200000,05200,0100,N 435323,S200000,05300,0100,Y 435323,S200000,05300,0200,HB0440 435323,S200000,05400,0100,PRESTIGE CARE INC 435323,S200000,05400,0200,NORDIAN 435323,S200000,05400,0300,00325 435323,S200000,05500,0100,7700 NE PARKWAY DRIVE 435323,S200000,05600,0100,VANCOUVER 435323,S200000,05600,0200,WA 435323,S200000,05600,0300,98662 435325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435325,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435325,A000000,00300,0000,0300EMPLOYEE BENEFITS 435325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435325,A000000,00700,0000,0700HOUSEKEEPING 435325,A000000,00800,0000,0800DIETARY 435325,A000000,00900,0000,0900NURSING ADMINISTRATION 435325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435325,A000000,01300,0000,1300SOCIAL SERVICE 435325,A000000,01301,0000,1301ACTIVITES 435325,A000000,01500,0000,1350REHABILITATION 435325,A000000,01600,0000,1600SKILLED NURSING FACILITY 435325,A000000,01800,0000,1800NURSING FACILITY 435325,A000000,01900,0000,1900OTHER LONG TERM CARE 435325,A000000,02100,0000,2100RADIOLOGY 435325,A000000,02200,0000,2200LABORATORY 435325,A000000,02300,0000,2300INTRAVENOUS THERAPY 435325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435325,A000000,02500,0000,2500PHYSICAL THERAPY 435325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435325,A000000,02700,0000,2700SPEECH PATHOLOGY 435325,A000000,02800,0000,2800ELECTROCARDIOLOGY 435325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435325,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435325,A000000,03200,0000,3200SUPPORT SURFACES 435325,A000000,03300,0000,3050EQUIPMENT RENTAL 435325,A000000,03301,0000,3051PEN THERAPY 435325,A000000,04800,0000,4800AMBULANCE 435325,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435325,A000000,05300,0000,5300INTEREST EXPENSE 435325,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435325,A000000,06200,0000,6200PATIENTS LAUNDRY 435325,A000000,06300,0000,6150VENDING 435325,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435325,A81000A,00100,0100,Y 435325,A81000B,00100,0300,HOME OFFICE COST 435325,A81000C,00100,0100,B 435325,A81000C,00100,0200,MEMORIAL MEDICA 435325,A81000C,00100,0400,SSC EQUITY HOLD 435325,A81000C,00100,0600,NSG HOMES 435325,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435325,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435325,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435325,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435325,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435325,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435325,B100000,00000,0800,0800MEALS SERVED :DIETARY 435325,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435325,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435325,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435325,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435325,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435325,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435325,E10A180,00302,0100,02/10/11 435325,E10A180,00303,0100,03/21/11 435325,E10A180,00501,0100,05/04/12 435325,E10A180,00550,0300,05/04/12 435325,S000000,00100,0200,02/10/12 435325,S200000,00100,0100,307 W CYPRESS 435325,S200000,00200,0100,SAN ANTONIO 435325,S200000,00200,0200,TX 435325,S200000,00200,0300,78212 435325,S200000,00300,0100,BEXAR 435325,S200000,00300,0300,U 435325,S200000,00400,0100,MEMORIAL MEDICAL NURSING CENTER 435325,S200000,00400,0200,455597 435325,S200000,00400,0300,09/20/85 435325,S200000,00400,0500,P 435325,S200000,01500,0100,Y 435325,S200000,01501,0200,N 435325,S200000,01502,0200,N 435325,S200000,01504,0200,Y 435325,S200000,01600,0100,N 435325,S200000,01700,0100,N 435325,S200000,01800,0100,N 435325,S200000,02200,0100,Y 435325,S200000,02800,0100,N 435325,S200000,02900,0100,N 435325,S200000,03000,0100,N 435325,S200000,03100,0100,N 435325,S200000,03200,0100,N 435325,S200000,03300,0100,N 435325,S200000,03300,0200,N 435325,S200000,04100,0100,N 435325,S200000,04200,0100,N 435325,S200000,04300,0100,N 435325,S200000,04600,0100,N 435325,S200000,04700,0100,N 435325,S200000,04700,0200,N 435325,S200000,04900,0100,N 435325,S200000,05000,0100,N 435325,S200000,05100,0100,N 435325,S200000,05200,0100,N 435325,S200000,05300,0100,Y 435325,S200000,05300,0200,219023 435325,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435325,S200000,05400,0200,TRAILBLAZER 435325,S200000,05400,0300,04901 435325,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435325,S200000,05600,0100,HOUSTON 435325,S200000,05600,0200,TX 435325,S200000,05600,0300,77041 435326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435326,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435326,A000000,00300,0000,0300EMPLOYEE BENEFITS 435326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435326,A000000,00700,0000,0700HOUSEKEEPING 435326,A000000,00800,0000,0800DIETARY 435326,A000000,00900,0000,0900NURSING ADMINISTRATION 435326,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435326,A000000,01300,0000,1300SOCIAL SERVICE 435326,A000000,01301,0000,1301ACTIVITES 435326,A000000,01500,0000,1350REHABILITATION 435326,A000000,01600,0000,1600SKILLED NURSING FACILITY 435326,A000000,01800,0000,1800NURSING FACILITY 435326,A000000,01900,0000,1900OTHER LONG TERM CARE 435326,A000000,02100,0000,2100RADIOLOGY 435326,A000000,02200,0000,2200LABORATORY 435326,A000000,02300,0000,2300INTRAVENOUS THERAPY 435326,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435326,A000000,02500,0000,2500PHYSICAL THERAPY 435326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435326,A000000,02700,0000,2700SPEECH PATHOLOGY 435326,A000000,02800,0000,2800ELECTROCARDIOLOGY 435326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435326,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435326,A000000,03200,0000,3200SUPPORT SURFACES 435326,A000000,03300,0000,3050EQUIPMENT RENTAL 435326,A000000,03301,0000,3051PEN THERAPY 435326,A000000,04800,0000,4800AMBULANCE 435326,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435326,A000000,05300,0000,5300INTEREST EXPENSE 435326,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435326,A000000,06200,0000,6200PATIENTS LAUNDRY 435326,A000000,06300,0000,6150VENDING 435326,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435326,A81000A,00100,0100,Y 435326,A81000B,00100,0300,HOME OFFICE COST 435326,A81000C,00100,0100,B 435326,A81000C,00100,0200,HILLTOP VILLAGE 435326,A81000C,00100,0400,SSC EQUITY HOLD 435326,A81000C,00100,0600,NSG HOMES 435326,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435326,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435326,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435326,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435326,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435326,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435326,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435326,B100000,00000,0800,0800MEALS SERVED :DIETARY 435326,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435326,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435326,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435326,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435326,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435326,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435326,E10A180,00351,0100,05/18/11 435326,E10A180,00501,0100,05/04/12 435326,E10A180,00501,0300,05/04/12 435326,S000000,00100,0200,02/10/12 435326,S200000,00100,0100,1400 HILLTOP CIRCLE 435326,S200000,00200,0100,KERRVILLE 435326,S200000,00200,0200,TX 435326,S200000,00200,0300,78028 435326,S200000,00300,0100,KERR 435326,S200000,00300,0300,R 435326,S200000,00400,0100,HILLTOP VILLAGE 435326,S200000,00400,0200,455628 435326,S200000,00400,0300,06/01/87 435326,S200000,00400,0500,P 435326,S200000,01500,0100,Y 435326,S200000,01501,0200,Y 435326,S200000,01502,0200,Y 435326,S200000,01504,0200,Y 435326,S200000,01600,0100,N 435326,S200000,01700,0100,N 435326,S200000,01800,0100,N 435326,S200000,02200,0100,Y 435326,S200000,02800,0100,N 435326,S200000,02900,0100,N 435326,S200000,03000,0100,N 435326,S200000,03100,0100,N 435326,S200000,03200,0100,N 435326,S200000,03300,0100,N 435326,S200000,03300,0200,N 435326,S200000,04100,0100,N 435326,S200000,04200,0100,N 435326,S200000,04300,0100,N 435326,S200000,04600,0100,N 435326,S200000,04700,0100,N 435326,S200000,04700,0200,N 435326,S200000,04900,0100,N 435326,S200000,05000,0100,N 435326,S200000,05100,0100,N 435326,S200000,05200,0100,N 435326,S200000,05300,0100,Y 435326,S200000,05300,0200,219023 435326,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435326,S200000,05400,0200,TRAILBLAZER 435326,S200000,05400,0300,04901 435326,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435326,S200000,05600,0100,HOUSTON 435326,S200000,05600,0200,TX 435326,S200000,05600,0300,77041 435328,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435328,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435328,A000000,00300,0000,0300EMPLOYEE BENEFITS 435328,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435328,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435328,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435328,A000000,00700,0000,0700HOUSEKEEPING 435328,A000000,00800,0000,0800DIETARY 435328,A000000,00900,0000,0900NURSING ADMINISTRATION 435328,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435328,A000000,01100,0000,1100PHARMACY 435328,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435328,A000000,01300,0000,1300SOCIAL SERVICE 435328,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435328,A000000,01500,0000,1350PATIENT ACTIVITIES 435328,A000000,01600,0000,1600SKILLED NURSING FACILITY 435328,A000000,01800,0000,1800NURSING FACILITY 435328,A000000,01810,0000,1810ICF/MR 435328,A000000,01900,0000,1900OTHER LONG TERM CARE 435328,A000000,02100,0000,2100RADIOLOGY 435328,A000000,02200,0000,2200LABORATORY 435328,A000000,02300,0000,2300INTRAVENOUS THERAPY 435328,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435328,A000000,02500,0000,2500PHYSICAL THERAPY 435328,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435328,A000000,02700,0000,2700SPEECH PATHOLOGY 435328,A000000,02800,0000,2800ELECTROCARDIOLOGY 435328,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435328,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435328,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435328,A000000,03200,0000,3200SUPPORT SURFACES 435328,A000000,03300,0000,3050BED RENTAL 435328,A000000,03400,0000,3400CLINIC 435328,A000000,03500,0000,3500RURAL HEALTH CLINIC 435328,A000000,03550,0000,3550FQHC 435328,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435328,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435328,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435328,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435328,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435328,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435328,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435328,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435328,A000000,04400,0000,4400DME RENTED - HHA 435328,A000000,04500,0000,4500DME SOLD - HHA 435328,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435328,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435328,A000000,04710,0000,4710TELEMEDICINE 435328,A000000,04800,0000,4800AMBULANCE 435328,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435328,A000000,05000,0000,5000CORF 435328,A000000,05010,0000,5010CMHC 435328,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435328,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435328,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435328,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435328,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435328,A000000,05300,0000,5300INTEREST EXPENSE 435328,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435328,A000000,05500,0000,5500HOSPICE 435328,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435328,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435328,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435328,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435328,A000000,06100,0000,6100NONPAID WORKERS 435328,A000000,06200,0000,6200PATIENTS LAUNDRY 435328,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435328,A81000A,00100,0100,Y 435328,A81000B,00100,0300,DATA PROCESSING FEES 435328,A81000B,00200,0300,RENT 435328,A81000B,00300,0300,RESIDENT TRANSPORTATION 435328,A81000B,00400,0300,MANAGEMENT FEES - PHM CORP. 435328,A81000B,00500,0300,INSURANCE - WORKERS COMP. 435328,A81000B,00600,0300,PAYROLL EXPENSES 435328,A81000B,00700,0300,HOME OFFICE A&G COSTS 435328,A81000B,00800,0300,HOME OFFICE CAPITAL COSTS 435328,A81000B,00900,0300,PROPERTY RENTAL CAPITAL 435328,A81000B,01000,0300,PROPERTY RENTAL GENERAL & ADMI 435328,A81000B,01100,0300,PROPERTY RENTAL PROPERTY TAXES 435328,A81000B,01200,0300,RESIDENT TRANSPORTATION VEHICL 435328,A81000B,01300,0300,HOME OFFICE DIRECTLY ASSIGNED 435328,A81000B,01400,0300,HOME OFFICE DIRECTLY ASSIGNED 435328,A81000B,01500,0300,RESIDENT TRANSPORTATION G&A 435328,A81000B,01600,0300,RESIDENT TRANSPORTATION MAINTE 435328,A81000B,01700,0300,RESIDENT TRANSPORTATION CAPITA 435328,A81000B,01800,0300,HOME OFFICE EQUIPMENT COSTS 435328,A81000C,00100,0100,A 435328,A81000C,00100,0200,SCOTT ASHBROOK 435328,A81000C,00100,0400,PHM CORPORATION 435328,A81000C,00100,0600,HOME OFFICE 435328,A81000C,00200,0100,D 435328,A81000C,00200,0200,L. MICHAEL ASHB 435328,A81000C,00200,0400,A&G TRANSPORTAT 435328,A81000C,00200,0600,TRANSPORTATION 435328,A81000C,00300,0100,D 435328,A81000C,00300,0200,L. MICHAEL ASHB 435328,A81000C,00300,0400,WOODLAWN PARTNE 435328,A81000C,00300,0600,PROPERTY MANAGE 435328,A81000C,00400,0100,B 435328,A81000C,00400,0200,ASHBROOK LIMITE 435328,A81000C,00400,0400,WHITE COLUMN AP 435328,A81000C,00400,0600,APARTMENT RENTA 435328,A81000C,00500,0100,B 435328,A81000C,00500,0200,MONLA PROPERTIE 435328,A81000C,00500,0400,WHITE COLUMN AP 435328,A81000C,00500,0600,APARTMENT RENTA 435328,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435328,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435328,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435328,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435328,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435328,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435328,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435328,B100000,00000,0800,0800MEALS SERVED :DIETARY 435328,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435328,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435328,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435328,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435328,E10A180,00501,0100,04/23/12 435328,S000000,00100,0200,03/01/12 435328,S200000,00100,0100,1000 MCKEEN PLACE 435328,S200000,00100,0300,3068 435328,S200000,00200,0100,MONROE 435328,S200000,00200,0200,LA 435328,S200000,00200,0300,71210 435328,S200000,00300,0100,OUACHITA 435328,S200000,00300,0201,33740 435328,S200000,00300,0300,U 435328,S200000,00400,0100,WOODLAWN MANOR INC. D/B/A THE OAKS 435328,S200000,00400,0200,195542 435328,S200000,00400,0300,03/22/02 435328,S200000,00400,0500,P 435328,S200000,01500,0100,Y 435328,S200000,01501,0200,N 435328,S200000,01503,0200,N 435328,S200000,01600,0100,N 435328,S200000,01700,0100,N 435328,S200000,01800,0100,N 435328,S200000,02200,0100,N 435328,S200000,02800,0100,N 435328,S200000,02900,0100,N 435328,S200000,03000,0100,N 435328,S200000,03100,0100,N 435328,S200000,03200,0100,N 435328,S200000,03300,0100,N 435328,S200000,03300,0200,N 435328,S200000,04100,0100,N 435328,S200000,04200,0100,N 435328,S200000,04300,0100,N 435328,S200000,04600,0100,N 435328,S200000,04700,0100,N 435328,S200000,04700,0200,N 435328,S200000,04900,0100,N 435328,S200000,05000,0100,N 435328,S200000,05100,0100,N 435328,S200000,05200,0100,N 435328,S200000,05300,0100,Y 435328,S200000,05300,0200,H54380 435328,S200000,05400,0100,PMH CORPORATION 435328,S200000,05400,0200,PINNACLE BUSINESS SOLUTIONS INC. 435328,S200000,05400,0300,00233 435328,S200000,05500,0100,300 WASHINGTON STREET SUITE 404 435328,S200000,05600,0100,MONROE 435328,S200000,05600,0200,LA 435328,S200000,05600,0300,71201 435328,S61C000,02000,0100,N 435329,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435329,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435329,A000000,00300,0000,0300EMPLOYEE BENEFITS 435329,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435329,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435329,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435329,A000000,00700,0000,0700HOUSEKEEPING 435329,A000000,00800,0000,0800DIETARY 435329,A000000,00900,0000,0900NURSING ADMINISTRATION 435329,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435329,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435329,A000000,01300,0000,1300SOCIAL SERVICE 435329,A000000,01301,0000,1301ACTIVITES 435329,A000000,01500,0000,1350REHABILITATION 435329,A000000,01600,0000,1600SKILLED NURSING FACILITY 435329,A000000,01800,0000,1800NURSING FACILITY 435329,A000000,01900,0000,1900OTHER LONG TERM CARE 435329,A000000,02100,0000,2100RADIOLOGY 435329,A000000,02200,0000,2200LABORATORY 435329,A000000,02300,0000,2300INTRAVENOUS THERAPY 435329,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435329,A000000,02500,0000,2500PHYSICAL THERAPY 435329,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435329,A000000,02700,0000,2700SPEECH PATHOLOGY 435329,A000000,02800,0000,2800ELECTROCARDIOLOGY 435329,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435329,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435329,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435329,A000000,03200,0000,3200SUPPORT SURFACES 435329,A000000,03300,0000,3050EQUIPMENT RENTAL 435329,A000000,03301,0000,3051PEN THERAPY 435329,A000000,04800,0000,4800AMBULANCE 435329,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435329,A000000,05300,0000,5300INTEREST EXPENSE 435329,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435329,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435329,A000000,06200,0000,6200PATIENTS LAUNDRY 435329,A000000,06300,0000,6150VENDING 435329,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435329,A81000A,00100,0100,Y 435329,A81000B,00100,0300,HOME OFFICE COST 435329,A81000C,00100,0100,B 435329,A81000C,00100,0200,CEDARWOOD HCC 435329,A81000C,00100,0400,SSC EQUITY HOLD 435329,A81000C,00100,0600,NSG HOMES 435329,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435329,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435329,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435329,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435329,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435329,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435329,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435329,B100000,00000,0800,0800MEALS SERVED :DIETARY 435329,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435329,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435329,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435329,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435329,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435329,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435329,E10A180,00352,0100,05/19/11 435329,E10A180,00550,0100,05/21/12 435329,S000000,00100,0200,02/24/12 435329,S200000,00100,0100,924 W KIOWA 435329,S200000,00200,0100,COLO SPRINGS 435329,S200000,00200,0200,CO 435329,S200000,00200,0300,80905 435329,S200000,00300,0100,EL PASO 435329,S200000,00300,0300,U 435329,S200000,00400,0100,CEDARWOOD HEALTH CARE CENTER 435329,S200000,00400,0200,065175 435329,S200000,00400,0300,04/01/83 435329,S200000,00400,0500,P 435329,S200000,01500,0100,Y 435329,S200000,01501,0200,Y 435329,S200000,01502,0200,N 435329,S200000,01504,0200,Y 435329,S200000,01600,0100,N 435329,S200000,01700,0100,N 435329,S200000,01800,0100,N 435329,S200000,02200,0100,Y 435329,S200000,02800,0100,N 435329,S200000,02900,0100,N 435329,S200000,03000,0100,N 435329,S200000,03100,0100,N 435329,S200000,03200,0100,N 435329,S200000,03300,0100,N 435329,S200000,03300,0200,N 435329,S200000,04100,0100,N 435329,S200000,04200,0100,N 435329,S200000,04300,0100,N 435329,S200000,04600,0100,N 435329,S200000,04700,0100,N 435329,S200000,04700,0200,N 435329,S200000,04900,0100,N 435329,S200000,05000,0100,N 435329,S200000,05100,0100,N 435329,S200000,05200,0100,N 435329,S200000,05300,0100,Y 435329,S200000,05300,0200,219023 435329,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435329,S200000,05400,0200,TRAILBLAZER 435329,S200000,05400,0300,04901 435329,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435329,S200000,05600,0100,HOUSTON 435329,S200000,05600,0200,TX 435329,S200000,05600,0300,77041 435330,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435330,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435330,A000000,00300,0000,0300EMPLOYEE BENEFITS 435330,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435330,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435330,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435330,A000000,00700,0000,0700HOUSEKEEPING 435330,A000000,00800,0000,0800DIETARY 435330,A000000,00900,0000,0900NURSING ADMINISTRATION 435330,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435330,A000000,01100,0000,1100PHARMACY 435330,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435330,A000000,01300,0000,1300SOCIAL SERVICE 435330,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435330,A000000,01500,0000,1350OTHER GENERAL SERVICES 435330,A000000,01600,0000,1600SKILLED NURSING FACILITY 435330,A000000,01800,0000,1800NURSING FACILITY 435330,A000000,01810,0000,1810ICF/MR 435330,A000000,01900,0000,1900OTHER LONG TERM CARE 435330,A000000,02100,0000,2100RADIOLOGY 435330,A000000,02200,0000,2200LABORATORY 435330,A000000,02300,0000,2300INTRAVENOUS THERAPY 435330,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435330,A000000,02500,0000,2500PHYSICAL THERAPY 435330,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435330,A000000,02700,0000,2700SPEECH PATHOLOGY 435330,A000000,02800,0000,2800ELECTROCARDIOLOGY 435330,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435330,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435330,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435330,A000000,03200,0000,3200SUPPORT SURFACES 435330,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435330,A000000,03400,0000,3400CLINIC 435330,A000000,03500,0000,3500RURAL HEALTH CLINIC 435330,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435330,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435330,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435330,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435330,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435330,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435330,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435330,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435330,A000000,04400,0000,4400DME RENTED - HHA 435330,A000000,04500,0000,4500DME SOLD - HHA 435330,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435330,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435330,A000000,04710,0000,4710TELEMEDICINE 435330,A000000,04800,0000,4800AMBULANCE 435330,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435330,A000000,05000,0000,5000CORF 435330,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435330,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435330,A000000,05300,0000,5300INTEREST EXPENSE 435330,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435330,A000000,05500,0000,5500HOSPICE 435330,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435330,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435330,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435330,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435330,A000000,06100,0000,6100NONPAID WORKERS 435330,A000000,06200,0000,6200PATIENTS LAUNDRY 435330,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435330,A81000A,00100,0100,Y 435330,A81000B,00100,0300,MANAGEMENT FEES 435330,A81000C,00100,0100,A 435330,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435330,A81000C,00100,0400,HCM INC 435330,A81000C,00100,0600,MANAGEMENT 435330,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435330,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435330,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435330,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435330,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435330,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435330,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435330,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435330,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435330,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435330,E10A180,00501,0100,05/21/12 435330,E10A180,00501,0300,05/21/12 435330,S000000,00100,0200,02/29/12 435330,S200000,00100,0100,102 EAST J AVENUE 435330,S200000,00200,0100,GRUNDY CENTER 435330,S200000,00200,0200,IA 435330,S200000,00200,0300,50638 435330,S200000,00300,0100,GRUNDY 435330,S200000,00300,0200,0016 435330,S200000,00300,0201,47940 435330,S200000,00300,0300,U 435330,S200000,00400,0100,GRUNDY CARE CENTER 435330,S200000,00400,0200,165241 435330,S200000,00400,0300,12/01/94 435330,S200000,00400,0500,P 435330,S200000,01500,0100,Y 435330,S200000,01501,0200,N 435330,S200000,01502,0200,N 435330,S200000,01503,0200,Y 435330,S200000,01504,0200,N 435330,S200000,01600,0100,N 435330,S200000,01700,0100,N 435330,S200000,01800,0100,N 435330,S200000,02200,0100,N 435330,S200000,02800,0100,N 435330,S200000,02900,0100,N 435330,S200000,03000,0100,N 435330,S200000,03100,0100,N 435330,S200000,03200,0100,N 435330,S200000,03300,0100,N 435330,S200000,03300,0200,N 435330,S200000,03600,0100,N 435330,S200000,03600,0200,N 435330,S200000,04100,0100,N 435330,S200000,04200,0100,N 435330,S200000,04300,0100,N 435330,S200000,04600,0100,N 435330,S200000,04700,0100,N 435330,S200000,04700,0200,N 435330,S200000,04900,0100,N 435330,S200000,05000,0100,N 435330,S200000,05100,0100,N 435330,S200000,05200,0100,N 435330,S200000,05300,0100,Y 435330,S200000,05300,0200,H05700 435330,S200000,05400,0100,HCM INC 435330,S200000,05400,0200,NOVITAS SOLUTIONS 435330,S200000,05400,0300,07001 435330,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435330,S200000,05600,0100,JACKSON 435330,S200000,05600,0200,MS 435330,S200000,05600,0300,39206 435335,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435335,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435335,A000000,00300,0000,0300EMPLOYEE BENEFITS 435335,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435335,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435335,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435335,A000000,00700,0000,0700HOUSEKEEPING 435335,A000000,00800,0000,0800DIETARY 435335,A000000,00900,0000,0900NURSING ADMINISTRATION 435335,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435335,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435335,A000000,01300,0000,1300SOCIAL SERVICE 435335,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435335,A000000,01500,0000,1350OTHER GENERAL SERVICES 435335,A000000,01600,0000,1600SKILLED NURSING FACILITY 435335,A000000,01800,0000,1800NURSING FACILITY 435335,A000000,01900,0000,1900OTHER LONG TERM CARE 435335,A000000,02100,0000,2100RADIOLOGY 435335,A000000,02200,0000,2200LABORATORY 435335,A000000,02300,0000,2300INTRAVENOUS THERAPY 435335,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435335,A000000,02500,0000,2500PHYSICAL THERAPY 435335,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435335,A000000,02700,0000,2700SPEECH PATHOLOGY 435335,A000000,02800,0000,2800ELECTROCARDIOLOGY 435335,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435335,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435335,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435335,A000000,03200,0000,3200SUPPORT SURFACES 435335,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435335,A000000,03400,0000,3400CLINIC 435335,A000000,03500,0000,3500RURAL HEALTH CLINIC 435335,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435335,A000000,04800,0000,4800AMBULANCE 435335,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435335,A000000,05000,0000,5000CORF 435335,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435335,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435335,A000000,05300,0000,5300INTEREST EXPENSE 435335,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435335,A000000,05500,0000,5500HOSPICE 435335,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435335,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435335,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435335,A000000,06200,0000,6200PATIENTS LAUNDRY 435335,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435335,A81000A,00100,0100,Y 435335,A81000B,00100,0300,HOME OFFICE ALLOCATION 435335,A81000B,00200,0300,HOME OFFICE ALLOCATION 435335,A81000B,00300,0300,EMPLOYEE FLU SHOTS 435335,A81000B,00400,0300,MEDICAL SUPPLIES CHARGEABLE 435335,A81000B,00500,0300,NURSING SUPPLY 435335,A81000B,00600,0300,IV PHARMACY FLU SHOTS 435335,A81000B,00700,0300,REHAB 435335,A81000B,00800,0300,REHAB 435335,A81000B,00900,0300,REHAB 435335,A81000B,01000,0300,EQUIPMENT RENTAL 435335,A81000B,01100,0300,INTERNAL CONTRACT LABOR 435335,A81000B,01200,0300,INTERNAL CONTRACT LABOR 435335,A81000B,01300,0300,INTERNAL CONTRACT LABOR 435335,A81000B,01400,0300,INTERNAL CONTRACT LABOR 435335,A81000C,00100,0100,B 435335,A81000C,00100,0400,ROYAL VISTA CARE CENTER 435335,A81000C,00100,0600,OWNS PROVIDER 435335,A81000C,00200,0100,B 435335,A81000C,00200,0400,PRESTIGE CARE INC 435335,A81000C,00200,0600,OWNS ROYAL VISTA 435335,A81000C,00300,0100,A 435335,A81000C,00300,0200,RICK DELAMARTER 435335,A81000C,00300,0400,PRESTIGE CARE INC 435335,A81000C,00300,0600,HOME OFFICE 435335,A81000C,00400,0100,A 435335,A81000C,00400,0200,HAROLD DELAMARTER 435335,A81000C,00400,0400,PRESTIGE CARE INC 435335,A81000C,00400,0600,HOME OFFICE 435335,A81000C,00500,0100,A 435335,A81000C,00500,0200,GREG VISLOCKY 435335,A81000C,00500,0400,PRESTIGE CARE INC 435335,A81000C,00500,0600,HOME OFFICE 435335,A81000C,00600,0100,A 435335,A81000C,00600,0200,RICK DELAMARTER 435335,A81000C,00600,0400,CYPRESS VENTURES 435335,A81000C,00600,0600,PROPAC PHARMACY 435335,A81000C,00700,0100,A 435335,A81000C,00700,0200,HAROLD DELAMARTER 435335,A81000C,00700,0400,CYPRESS VENTURES 435335,A81000C,00700,0600,PROPAC PHARMACY 435335,A81000C,00800,0100,A 435335,A81000C,00800,0200,GREG VISLOCKY 435335,A81000C,00800,0400,CYPRESS VENTURES 435335,A81000C,00800,0600,PROPAC PHARMACY 435335,A81000C,00900,0100,A 435335,A81000C,00900,0200,DORTHY DELAARTER 435335,A81000C,00900,0400,DELAMARTER ELDER CARE 435335,A81000C,00900,0600,LANDLORD 435335,A81000C,01000,0100,A 435335,A81000C,01000,0200,HAROLD DELAMARTER 435335,A81000C,01000,0400,DELAMARTER ELDER CARE 435335,A81000C,01000,0600,LANDLORD 435335,A81000C,01001,0100,A 435335,A81000C,01001,0200,TOM DILLON 435335,A81000C,01001,0400,DELAMARTER ELDER CARE 435335,A81000C,01001,0600,LANDLORD 435335,A81000C,01002,0100,G 435335,A81000C,01002,0400,AUGUSTA VENTURES 435335,A81000C,01002,0600,PREMERE REHAB COMPANY 435335,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 435335,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 435335,A81000C,01004,0600,SEE ATTACHED RELATED 435335,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 435335,A81000C,01005,0400,THE 10.10 EXCEPTION 435335,A81000C,01005,0600,PARTY RELATIONSHIPS 435335,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 435335,A81000C,01006,0400,CRITERIA 435335,A81000C,01007,0200,PRESTIGE CARE & ROYAL VIS 435335,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435335,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435335,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435335,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435335,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435335,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435335,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435335,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435335,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435335,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435335,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435335,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435335,E10A180,00501,0100,05/17/12 435335,G300000,02500,0000,OTHER INCOME 435335,S000000,00100,0200,03/01/12 435335,S200000,00100,0100,1506 RADIO ROAD 435335,S200000,00200,0100,ELLENSBURG 435335,S200000,00200,0200,WA 435335,S200000,00200,0300,98926 435335,S200000,00300,0100,KITTITAS 435335,S200000,00300,0200,50 435335,S200000,00300,0201,99950 435335,S200000,00300,0300,R 435335,S200000,00400,0100,ROYAL VISTA NURSING & REHAB 435335,S200000,00400,0200,505286 435335,S200000,00400,0300,10/01/89 435335,S200000,00400,0500,P 435335,S200000,01500,0100,Y 435335,S200000,01501,0200,Y 435335,S200000,01502,0200,N 435335,S200000,01600,0100,N 435335,S200000,01700,0100,N 435335,S200000,01800,0100,N 435335,S200000,02200,0100,N 435335,S200000,02800,0100,Y 435335,S200000,02900,0100,N 435335,S200000,03000,0100,N 435335,S200000,03100,0100,N 435335,S200000,03200,0100,N 435335,S200000,03300,0100,N 435335,S200000,03300,0200,N 435335,S200000,04100,0100,N 435335,S200000,04200,0100,N 435335,S200000,04300,0100,N 435335,S200000,04600,0100,N 435335,S200000,04700,0100,N 435335,S200000,04700,0200,N 435335,S200000,04900,0100,N 435335,S200000,05000,0100,N 435335,S200000,05100,0100,N 435335,S200000,05200,0100,N 435335,S200000,05300,0100,Y 435335,S200000,05300,0200,HB0440 435335,S200000,05400,0100,PRESTIGE CARE INC 435335,S200000,05400,0200,NORDIAN 435335,S200000,05400,0300,00325 435335,S200000,05500,0100,7700 NE PARKWAY DRIVE 435335,S200000,05600,0100,VANCOUVER 435335,S200000,05600,0200,WA 435335,S200000,05600,0300,98662 435336,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435336,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435336,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435336,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435336,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435336,A000000,00700,0000,0700HOUSEKEEPING 435336,A000000,00800,0000,0800DIETARY 435336,A000000,00900,0000,0900NURSING ADMINISTRATION 435336,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435336,A000000,01300,0000,1300SOCIAL SERVICE 435336,A000000,01600,0000,1600SKILLED NURSING FACILITY 435336,A000000,01800,0000,1800NURSING FACILITY 435336,A000000,01900,0000,1900OTHER LONG TERM CARE 435336,A000000,02100,0000,2100RADIOLOGY 435336,A000000,02200,0000,2200LABORATORY 435336,A000000,02300,0000,2300INTRAVENOUS THERAPY 435336,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435336,A000000,02500,0000,2500PHYSICAL THERAPY 435336,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435336,A000000,02700,0000,2700SPEECH PATHOLOGY 435336,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435336,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435336,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435336,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 435336,A81000A,00100,0100,Y 435336,A81000B,00100,0300,MANAGEMENT FEES-NURSING HOME ONLY 435336,A81000C,00100,0100,B 435336,A81000C,00100,0200,PRESBYTERIAN RE 435336,A81000C,00100,0400,PRESBYTERIAN RE 435336,A81000C,00100,0600,MANAGEMENT CO. 435336,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435336,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435336,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435336,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435336,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435336,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435336,B100000,00000,0800,0800MEALS SERVED :DIETARY 435336,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435336,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435336,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435336,G300000,02501,0000,ENTRANCE FEES 435336,G300000,02502,0000,ADMIN FEE 435336,G300000,02503,0000,GUEST RENTAL 435336,G300000,02504,0000,GARAGE 435336,G300000,02505,0000,CATERING 435336,G300000,02506,0000,OTHER REVENUE 435336,S000000,00100,0200,03/05/12 435336,S200000,00100,0100,1630 43RD AVENUE EAST 435336,S200000,00200,0100,SEATTLE 435336,S200000,00200,0200,WA 435336,S200000,00200,0300,98112 435336,S200000,00300,0100,KING 435336,S200000,00300,0201,50160 435336,S200000,00300,0300,U 435336,S200000,00400,0100,PARK SHORE 435336,S200000,00400,0200,505493 435336,S200000,00400,0300,08/01/92 435336,S200000,00400,0500,P 435336,S200000,01500,0100,Y 435336,S200000,01501,0200,Y 435336,S200000,01502,0200,N 435336,S200000,01503,0200,Y 435336,S200000,01504,0200,Y 435336,S200000,01600,0100,N 435336,S200000,01700,0100,N 435336,S200000,01800,0100,N 435336,S200000,02200,0100,N 435336,S200000,02800,0100,Y 435336,S200000,02900,0100,N 435336,S200000,03000,0100,N 435336,S200000,03100,0100,N 435336,S200000,03200,0100,N 435336,S200000,03300,0100,N 435336,S200000,03300,0200,N 435336,S200000,04100,0100,N 435336,S200000,04200,0100,N 435336,S200000,04300,0100,N 435336,S200000,04600,0100,N 435336,S200000,04700,0100,N 435336,S200000,04700,0200,N 435336,S200000,04900,0100,N 435336,S200000,05000,0100,N 435336,S200000,05100,0100,N 435336,S200000,05200,0100,N 435336,S200000,05300,0100,N 435337,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435337,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 435337,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435337,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 435337,A000000,00300,0000,0300EMPLOYEE BENEFITS 435337,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435337,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435337,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435337,A000000,00700,0000,0700HOUSEKEEPING 435337,A000000,00800,0000,0800DIETARY 435337,A000000,00801,0000,0801CAFETERIA 435337,A000000,00900,0000,0900NURSING ADMINISTRATION 435337,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435337,A000000,01100,0000,1100PHARMACY 435337,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435337,A000000,01300,0000,1300SOCIAL SERVICE 435337,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435337,A000000,01500,0000,1350ACTIVITIES 435337,A000000,01600,0000,1600SKILLED NURSING FACILITY 435337,A000000,01800,0000,1800NURSING FACILITY 435337,A000000,01900,0000,1900OTHER LONG TERM CARE 435337,A000000,02100,0000,2100RADIOLOGY 435337,A000000,02200,0000,2200LABORATORY 435337,A000000,02300,0000,2300INTRAVENOUS THERAPY 435337,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435337,A000000,02500,0000,2500PHYSICAL THERAPY 435337,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435337,A000000,02700,0000,2700SPEECH PATHOLOGY 435337,A000000,02800,0000,2800ELECTROCARDIOLOGY 435337,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435337,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435337,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435337,A000000,03200,0000,3200SUPPORT SURFACES 435337,A000000,03300,0000,3050ENTERALS 435337,A000000,03301,0000,3051OXYGEN 435337,A000000,03302,0000,3052OTHER ANCILLARY III 435337,A000000,03400,0000,3400CLINIC 435337,A000000,03500,0000,3500RURAL HEALTH CLINIC 435337,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 435337,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435337,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435337,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435337,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435337,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435337,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435337,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435337,A000000,04400,0000,4400DME RENTED - HHA 435337,A000000,04500,0000,4500DME SOLD - HHA 435337,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435337,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435337,A000000,04710,0000,4710TELEMEDICINE 435337,A000000,04800,0000,4800AMBULANCE 435337,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435337,A000000,05000,0000,5000CORF 435337,A000000,05001,0000,5001CMHC I 435337,A000000,05020,0000,5020OPT I 435337,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435337,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435337,A000000,05300,0000,5300INTEREST EXPENSE 435337,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435337,A000000,05500,0000,5500HOSPICE 435337,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 435337,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 435337,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435337,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435337,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435337,A000000,06100,0000,6100NONPAID WORKERS 435337,A000000,06200,0000,6200PATIENTS LAUNDRY 435337,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435337,A81000A,00100,0100,N 435337,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435337,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435337,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435337,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435337,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435337,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435337,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435337,B100000,00000,0800,0800MEALS SERVED :DIETARY 435337,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435337,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435337,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435337,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435337,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435337,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435337,E10A180,00550,0100,02/21/13 435337,G300000,02500,0000,MISCELLANEOUS 435337,S000000,00100,0200,02/05/13 435337,S200000,00100,0100,102 E. SILVER STREET 435337,S200000,00200,0100,LEBANON 435337,S200000,00200,0200,OH 435337,S200000,00200,0300,45036 435337,S200000,00300,0100,WARREN 435337,S200000,00300,0200,1640 435337,S200000,00300,0201,17140 435337,S200000,00300,0300,U 435337,S200000,00400,0100,CEDARS OF LEBANON 435337,S200000,00400,0200,366296 435337,S200000,00400,0300,07/25/04 435337,S200000,00400,0500,P 435337,S200000,01500,0100,Y 435337,S200000,01501,0200,Y 435337,S200000,01502,0200,N 435337,S200000,01503,0200,N 435337,S200000,01600,0100,N 435337,S200000,01700,0100,N 435337,S200000,01800,0100,N 435337,S200000,02200,0100,N 435337,S200000,02800,0100,N 435337,S200000,02900,0100,N 435337,S200000,03000,0100,N 435337,S200000,03100,0100,N 435337,S200000,03200,0100,N 435337,S200000,03300,0100,N 435337,S200000,03300,0200,N 435337,S200000,04100,0100,N 435337,S200000,04200,0100,N 435337,S200000,04300,0100,Y 435337,S200000,04600,0100,N 435337,S200000,04700,0100,N 435337,S200000,04700,0200,N 435337,S200000,04900,0100,N 435337,S200000,05000,0100,N 435337,S200000,05100,0100,N 435337,S200000,05200,0100,N 435337,S200000,05300,0100,N 435339,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435339,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435339,A000000,00300,0000,0300EMPLOYEE BENEFITS 435339,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435339,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435339,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435339,A000000,00700,0000,0700HOUSEKEEPING 435339,A000000,00800,0000,0800DIETARY 435339,A000000,00900,0000,0900NURSING ADMINISTRATION 435339,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435339,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435339,A000000,01300,0000,1300SOCIAL SERVICE 435339,A000000,01301,0000,1301ACTIVITES 435339,A000000,01500,0000,1350REHABILITATION 435339,A000000,01600,0000,1600SKILLED NURSING FACILITY 435339,A000000,01800,0000,1800NURSING FACILITY 435339,A000000,01900,0000,1900OTHER LONG TERM CARE 435339,A000000,02100,0000,2100RADIOLOGY 435339,A000000,02200,0000,2200LABORATORY 435339,A000000,02300,0000,2300INTRAVENOUS THERAPY 435339,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435339,A000000,02500,0000,2500PHYSICAL THERAPY 435339,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435339,A000000,02700,0000,2700SPEECH PATHOLOGY 435339,A000000,02800,0000,2800ELECTROCARDIOLOGY 435339,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435339,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435339,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435339,A000000,03200,0000,3200SUPPORT SURFACES 435339,A000000,03300,0000,3050EQUIPMENT RENTAL 435339,A000000,03301,0000,3051PEN THERAPY 435339,A000000,04800,0000,4800AMBULANCE 435339,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435339,A000000,05300,0000,5300INTEREST EXPENSE 435339,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435339,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435339,A000000,06200,0000,6200PATIENTS LAUNDRY 435339,A000000,06300,0000,6150VENDING 435339,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435339,A81000A,00100,0100,Y 435339,A81000B,00100,0300,HOME OFFICE COST 435339,A81000C,00100,0100,B 435339,A81000C,00100,0200,MINNEQUA MEDICE 435339,A81000C,00100,0400,SSC EQUITY HOLD 435339,A81000C,00100,0600,NSG HOMES 435339,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435339,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435339,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435339,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435339,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435339,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435339,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435339,B100000,00000,0800,0800MEALS SERVED :DIETARY 435339,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435339,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435339,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435339,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435339,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435339,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435339,E10A180,00351,0100,04/21/11 435339,E10A180,00550,0100,05/11/12 435339,E10A180,00550,0300,05/11/12 435339,G300000,02500,0000, OTHER (SPECIFY) 435339,S000000,00100,0200,02/24/12 435339,S200000,00100,0100,2701 CALIFORNIA 435339,S200000,00200,0100,PUEBLO 435339,S200000,00200,0200,CO 435339,S200000,00200,0300,81004 435339,S200000,00300,0100,PUEBLO 435339,S200000,00300,0300,U 435339,S200000,00400,0100,MINNEQUA MEDICENTER 435339,S200000,00400,0200,065229 435339,S200000,00400,0300,04/01/86 435339,S200000,00400,0500,P 435339,S200000,01500,0100,Y 435339,S200000,01501,0200,Y 435339,S200000,01502,0200,Y 435339,S200000,01504,0200,Y 435339,S200000,01600,0100,N 435339,S200000,01700,0100,N 435339,S200000,01800,0100,N 435339,S200000,02200,0100,Y 435339,S200000,02800,0100,N 435339,S200000,02900,0100,N 435339,S200000,03000,0100,N 435339,S200000,03100,0100,N 435339,S200000,03200,0100,N 435339,S200000,03300,0100,N 435339,S200000,03300,0200,N 435339,S200000,04100,0100,N 435339,S200000,04200,0100,N 435339,S200000,04300,0100,N 435339,S200000,04600,0100,N 435339,S200000,04700,0100,N 435339,S200000,04700,0200,N 435339,S200000,04900,0100,N 435339,S200000,05000,0100,N 435339,S200000,05100,0100,N 435339,S200000,05200,0100,N 435339,S200000,05300,0100,Y 435339,S200000,05300,0200,219023 435339,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435339,S200000,05400,0200,TRAILBLAZER 435339,S200000,05400,0300,04901 435339,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435339,S200000,05600,0100,HOUSTON 435339,S200000,05600,0200,TX 435339,S200000,05600,0300,77041 435340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435340,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435340,A000000,00300,0000,0300EMPLOYEE BENEFITS 435340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435340,A000000,00700,0000,0700HOUSEKEEPING 435340,A000000,00800,0000,0800DIETARY 435340,A000000,00900,0000,0900NURSING ADMINISTRATION 435340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435340,A000000,01300,0000,1300SOCIAL SERVICE 435340,A000000,01301,0000,1301ACTIVITES 435340,A000000,01500,0000,1350REHABILITATION 435340,A000000,01600,0000,1600SKILLED NURSING FACILITY 435340,A000000,01800,0000,1800NURSING FACILITY 435340,A000000,01900,0000,1900OTHER LONG TERM CARE 435340,A000000,02100,0000,2100RADIOLOGY 435340,A000000,02200,0000,2200LABORATORY 435340,A000000,02300,0000,2300INTRAVENOUS THERAPY 435340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435340,A000000,02500,0000,2500PHYSICAL THERAPY 435340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435340,A000000,02700,0000,2700SPEECH PATHOLOGY 435340,A000000,02800,0000,2800ELECTROCARDIOLOGY 435340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435340,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435340,A000000,03200,0000,3200SUPPORT SURFACES 435340,A000000,03300,0000,3050EQUIPMENT RENTAL 435340,A000000,03301,0000,3051PEN THERAPY 435340,A000000,04800,0000,4800AMBULANCE 435340,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435340,A000000,05300,0000,5300INTEREST EXPENSE 435340,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435340,A000000,06200,0000,6200PATIENTS LAUNDRY 435340,A000000,06300,0000,6150VENDING 435340,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435340,A81000A,00100,0100,Y 435340,A81000B,00100,0300,HOME OFFICE COST 435340,A81000C,00100,0100,B 435340,A81000C,00100,0200,SUPERIOR WOODS 435340,A81000C,00100,0400,SSC EQUITY HOLD 435340,A81000C,00100,0600,NSG HOMES 435340,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435340,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435340,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435340,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435340,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435340,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435340,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435340,B100000,00000,0800,0800MEALS SERVED :DIETARY 435340,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435340,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435340,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435340,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435340,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435340,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435340,E10A180,00302,0100,03/17/11 435340,E10A180,00303,0100,09/30/11 435340,E10A180,00501,0300,05/18/12 435340,E10A180,00550,0100,05/18/12 435340,S000000,00100,0200,02/24/12 435340,S200000,00100,0100,8380 GEDDES ROAD 435340,S200000,00200,0100,YPSILANTI 435340,S200000,00200,0200,MI 435340,S200000,00200,0300,48198 435340,S200000,00300,0100,WASHTENAW 435340,S200000,00300,0300,U 435340,S200000,00400,0100,SUPERIOR WOODS HEALTHCARE CENTER 435340,S200000,00400,0200,235596 435340,S200000,00400,0300,10/24/00 435340,S200000,00400,0500,P 435340,S200000,01500,0100,Y 435340,S200000,01501,0200,Y 435340,S200000,01502,0200,Y 435340,S200000,01504,0200,Y 435340,S200000,01600,0100,N 435340,S200000,01700,0100,N 435340,S200000,01800,0100,N 435340,S200000,02200,0100,Y 435340,S200000,02800,0100,N 435340,S200000,02900,0100,N 435340,S200000,03000,0100,N 435340,S200000,03100,0100,N 435340,S200000,03200,0100,N 435340,S200000,03300,0100,N 435340,S200000,03300,0200,N 435340,S200000,04100,0100,N 435340,S200000,04200,0100,N 435340,S200000,04300,0100,N 435340,S200000,04600,0100,N 435340,S200000,04700,0100,N 435340,S200000,04700,0200,N 435340,S200000,04900,0100,N 435340,S200000,05000,0100,N 435340,S200000,05100,0100,N 435340,S200000,05200,0100,N 435340,S200000,05300,0100,Y 435340,S200000,05300,0200,219023 435340,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435340,S200000,05400,0200,TRAILBLAZER 435340,S200000,05400,0300,04901 435340,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435340,S200000,05600,0100,HOUSTON 435340,S200000,05600,0200,TX 435340,S200000,05600,0300,77041 435344,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435344,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435344,A000000,00300,0000,0300EMPLOYEE BENEFITS 435344,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435344,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435344,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435344,A000000,00700,0000,0700HOUSEKEEPING 435344,A000000,00800,0000,0800DIETARY 435344,A000000,00900,0000,0900NURSING ADMINISTRATION 435344,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435344,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435344,A000000,01300,0000,1300SOCIAL SERVICE 435344,A000000,01301,0000,1301ACTIVITES 435344,A000000,01500,0000,1350REHABILITATION 435344,A000000,01600,0000,1600SKILLED NURSING FACILITY 435344,A000000,01800,0000,1800NURSING FACILITY 435344,A000000,01900,0000,1900OTHER LONG TERM CARE 435344,A000000,02100,0000,2100RADIOLOGY 435344,A000000,02200,0000,2200LABORATORY 435344,A000000,02300,0000,2300INTRAVENOUS THERAPY 435344,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435344,A000000,02500,0000,2500PHYSICAL THERAPY 435344,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435344,A000000,02700,0000,2700SPEECH PATHOLOGY 435344,A000000,02800,0000,2800ELECTROCARDIOLOGY 435344,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435344,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435344,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435344,A000000,03200,0000,3200SUPPORT SURFACES 435344,A000000,03300,0000,3050EQUIPMENT RENTAL 435344,A000000,03301,0000,3051PEN THERAPY 435344,A000000,04800,0000,4800AMBULANCE 435344,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435344,A000000,05300,0000,5300INTEREST EXPENSE 435344,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435344,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435344,A000000,06200,0000,6200PATIENTS LAUNDRY 435344,A000000,06300,0000,6150VENDING 435344,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435344,A81000A,00100,0100,Y 435344,A81000B,00100,0300,HOME OFFICE COST 435344,A81000C,00100,0100,B 435344,A81000C,00100,0200,PLEASANTON S. 435344,A81000C,00100,0400,SSC EQUITY HOLD 435344,A81000C,00100,0600,NSG HOMES 435344,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435344,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435344,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435344,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435344,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435344,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435344,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435344,B100000,00000,0800,0800MEALS SERVED :DIETARY 435344,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435344,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435344,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435344,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435344,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435344,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435344,E10A180,00302,0100,03/17/11 435344,E10A180,00303,0100,09/30/11 435344,E10A180,00550,0100,05/22/12 435344,S000000,00100,0200,02/24/12 435344,S200000,00100,0100,905 OAKLAWN 435344,S200000,00200,0100,PLEASANTON 435344,S200000,00200,0200,TX 435344,S200000,00200,0300,78064 435344,S200000,00300,0100,ATASCOSA 435344,S200000,00300,0300,U 435344,S200000,00400,0100,PLEASANTON SOUTH RETAMA MANOR 435344,S200000,00400,0200,675428 435344,S200000,00400,0300,11/01/94 435344,S200000,00400,0500,P 435344,S200000,01500,0100,Y 435344,S200000,01501,0200,Y 435344,S200000,01502,0200,N 435344,S200000,01504,0200,Y 435344,S200000,01600,0100,N 435344,S200000,01700,0100,N 435344,S200000,01800,0100,N 435344,S200000,02200,0100,Y 435344,S200000,02800,0100,N 435344,S200000,02900,0100,N 435344,S200000,03000,0100,N 435344,S200000,03100,0100,N 435344,S200000,03200,0100,N 435344,S200000,03300,0100,N 435344,S200000,03300,0200,N 435344,S200000,04100,0100,N 435344,S200000,04200,0100,N 435344,S200000,04300,0100,N 435344,S200000,04600,0100,N 435344,S200000,04700,0100,N 435344,S200000,04700,0200,N 435344,S200000,04900,0100,N 435344,S200000,05000,0100,N 435344,S200000,05100,0100,N 435344,S200000,05200,0100,N 435344,S200000,05300,0100,Y 435344,S200000,05300,0200,219023 435344,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435344,S200000,05400,0200,TRAILBLAZER 435344,S200000,05400,0300,04901 435344,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435344,S200000,05600,0100,HOUSTON 435344,S200000,05600,0200,TX 435344,S200000,05600,0300,77041 435345,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435345,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435345,A000000,00300,0000,0300EMPLOYEE BENEFITS 435345,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435345,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435345,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435345,A000000,00700,0000,0700HOUSEKEEPING 435345,A000000,00800,0000,0800DIETARY 435345,A000000,00900,0000,0900NURSING ADMINISTRATION 435345,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435345,A000000,01100,0000,1100PHARMACY 435345,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435345,A000000,01300,0000,1300SOCIAL SERVICE 435345,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435345,A000000,01500,0000,1350RECREATION ACTIVITIES 435345,A000000,01600,0000,1600SKILLED NURSING FACILITY 435345,A000000,01810,0000,1810ICF/MR 435345,A000000,02100,0000,2100RADIOLOGY 435345,A000000,02200,0000,2200LABORATORY 435345,A000000,02500,0000,2500PHYSICAL THERAPY 435345,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435345,A000000,02700,0000,2700SPEECH PATHOLOGY 435345,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435345,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435345,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435345,A000000,03301,0000,3051ENTERAL FEEDING 435345,A000000,03550,0000,3550FQHC 435345,A000000,05000,0000,5000CORF 435345,A000000,05010,0000,5010CMHC 435345,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435345,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435345,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435345,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435345,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435345,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435345,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435345,A000000,06312,0000,6153DIALYSIS 435345,A000000,06320,0000,6154APARTMENTS 435345,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435345,A000000,06340,0000,6156CLOSED PATIENT AREAS 435345,A000000,06350,0000,6157O/P ADULT DAYCARE 435345,A000000,06360,0000,6158MARKETING 435345,A000000,06370,0000,6159COMMUNITY HEALTH CENTER 435345,A81000A,00100,0100,N 435345,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435345,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435345,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435345,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435345,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435345,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435345,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 435345,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435345,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435345,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435345,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435345,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435345,E10A180,00501,0100,02/27/12 435345,G300000,02504,0000,RENTAL INCOME 435345,S000000,00100,0200,11/23/11 435345,S200000,00100,0100,1615 HILLENDAHL ROAD 435345,S200000,00200,0100,HOUSTON 435345,S200000,00200,0200,TX 435345,S200000,00200,0300,77055 435345,S200000,00300,0100,HARRIS 435345,S200000,00300,0201,26420 435345,S200000,00300,0300,U 435345,S200000,00400,0100,SPRING BRANCH TRANSITIONAL 435345,S200000,00400,0200,675764 435345,S200000,00400,0300,10/15/98 435345,S200000,00400,0500,P 435345,S200000,00400,0600,O 435345,S200000,01500,0100,Y 435345,S200000,01501,0200,Y 435345,S200000,01502,0200,Y 435345,S200000,01503,0200,Y 435345,S200000,01504,0200,Y 435345,S200000,01505,0000,OTHER 435345,S200000,01505,0200,Y 435345,S200000,01600,0100,N 435345,S200000,01700,0100,N 435345,S200000,01800,0100,N 435345,S200000,01900,0100,LP 435345,S200000,02200,0100,N 435345,S200000,02800,0100,N 435345,S200000,02900,0100,N 435345,S200000,03000,0100,N 435345,S200000,03100,0100,N 435345,S200000,03200,0100,N 435345,S200000,03300,0100,N 435345,S200000,03300,0200,N 435345,S200000,04100,0100,N 435345,S200000,04200,0100,N 435345,S200000,04300,0100,N 435345,S200000,04600,0100,N 435345,S200000,04700,0100,N 435345,S200000,04700,0200,N 435345,S200000,04900,0100,N 435345,S200000,05000,0100,N 435345,S200000,05100,0100,N 435345,S200000,05200,0100,N 435345,S200000,05300,0100,N 435346,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435346,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435346,A000000,00300,0000,0300EMPLOYEE BENEFITS 435346,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435346,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435346,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435346,A000000,00700,0000,0700HOUSEKEEPING 435346,A000000,00800,0000,0800DIETARY 435346,A000000,00900,0000,0900NURSING ADMINISTRATION 435346,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435346,A000000,01100,0000,1100PHARMACY 435346,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435346,A000000,01300,0000,1300SOCIAL SERVICE 435346,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435346,A000000,01500,0000,1350PATIENT ACTIVITIES 435346,A000000,01600,0000,1600SKILLED NURSING FACILITY 435346,A000000,01810,0000,1810ICF/MR 435346,A000000,02100,0000,2100RADIOLOGY 435346,A000000,02200,0000,2200LABORATORY 435346,A000000,02500,0000,2500PHYSICAL THERAPY 435346,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435346,A000000,02700,0000,2700SPEECH PATHOLOGY 435346,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435346,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435346,A000000,03550,0000,3550FQHC 435346,A000000,05000,0000,5000CORF 435346,A000000,05010,0000,5010CMHC 435346,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435346,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435346,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435346,A000000,05300,0000,5300INTEREST EXPENSE 435346,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435346,A81000A,00100,0100,Y 435346,A81000B,00100,0300,G & A: ADMIN: INTEREST: LPFA B 435346,A81000B,00200,0300,G & A: ADMIN: WORKER S COMP 435346,A81000B,00300,0300,G & A: BUS OFF: WORKER S COMP 435346,A81000B,00400,0300,G & A: RECEPT: WORKER S COMP 435346,A81000B,00500,0300,PLANT: WORKER S COMP 435346,A81000B,00600,0300,HOUSEKEEPING: WORKER S COMP 435346,A81000B,00700,0300,LAUNDRY: WORKER S COMP 435346,A81000B,00800,0300,DIETARY: WORKER S COMP 435346,A81000B,00900,0300,NSG ADMIN: WORKER S COMP 435346,A81000B,01000,0300,DIRECT CARE: WORKER S COMP 435346,A81000B,01100,0300,RESTORATIVE: WORKER S COMP 435346,A81000B,01200,0300,CENTRAL SUPPLY: WORKER S COMP 435346,A81000B,01300,0300,SOCIAL SERVICES: WORKER S COMP 435346,A81000B,01400,0300,ACTIVITIES: WORKER S COMP 435346,A81000B,01500,0300,G & A: ADMIN: INSURANCE: ALL R 435346,A81000B,01600,0300,G & A: ADMIN: INSURANCE: PROPE 435346,A81000B,01700,0300,G & A: ADMIN: INSURANCE: G/L P 435346,A81000B,01800,0300,G & A: ADMIN: INSURANCE: G/L P 435346,A81000B,01900,0300,G & A: ADMIN: INSURANCE: VEHIC 435346,A81000C,00100,0100,G 435346,A81000C,00100,0200,ARCHBISHOP GREG 435346,A81000C,00100,0400,ARCHDIOCESE OF 435346,A81000C,00100,0600,RELIGIOUS ORDER 435346,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435346,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435346,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435346,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435346,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435346,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435346,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435346,B100000,00000,0800,0800MEALS SERVED :DIETARY 435346,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435346,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 435346,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435346,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435346,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435346,E10A180,00550,0100,04/13/12 435346,G300000,02501,0000,INPATIENT HOSPICE:LOC ACTIVITY INC 435346,G300000,02502,0000,BEAUTY SHOP RENTAL 435346,G300000,02503,0000,BEAUTY SHOP INCOME 435346,G300000,02506,0000,MISC INCOME 435346,G300000,02508,0000,BAD DEBTS 435346,G300000,02509,0000,CONTRACTUAL ADJUSTMENTS 435346,G300000,02510,0000,DISCOUNTS EARNED 435346,S000000,00100,0200,02/06/12 435346,S200000,00100,0100,1050 MEDICAL CENTER BOULEVARD 435346,S200000,00200,0100,MARRERO 435346,S200000,00200,0200,LA 435346,S200000,00200,0300,70072 435346,S200000,00300,0100,JEFFERSON PARISH 435346,S200000,00300,0201,35380 435346,S200000,00300,0300,U 435346,S200000,00400,0100,WYNHOVEN HEALTH CARE CENTER 435346,S200000,00400,0200,195210 435346,S200000,00400,0300,01/22/87 435346,S200000,00400,0500,P 435346,S200000,01500,0100,Y 435346,S200000,01501,0200,N 435346,S200000,01503,0200,Y 435346,S200000,01600,0100,N 435346,S200000,01700,0100,N 435346,S200000,01800,0100,N 435346,S200000,02200,0100,N 435346,S200000,02800,0100,Y 435346,S200000,02900,0100,N 435346,S200000,03000,0100,N 435346,S200000,03100,0100,N 435346,S200000,03200,0100,N 435346,S200000,03300,0100,N 435346,S200000,03300,0200,N 435346,S200000,04100,0100,N 435346,S200000,04200,0100,N 435346,S200000,04300,0100,N 435346,S200000,04600,0100,N 435346,S200000,04700,0100,N 435346,S200000,04700,0200,N 435346,S200000,04900,0100,N 435346,S200000,05000,0100,N 435346,S200000,05100,0100,N 435346,S200000,05200,0100,N 435346,S200000,05300,0100,N 435351,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435351,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435351,A000000,00300,0000,0300EMPLOYEE BENEFITS 435351,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435351,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435351,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435351,A000000,00700,0000,0700HOUSEKEEPING 435351,A000000,00800,0000,0800DIETARY 435351,A000000,00900,0000,0900NURSING ADMINISTRATION 435351,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435351,A000000,01100,0000,1100PHARMACY 435351,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435351,A000000,01300,0000,1300SOCIAL SERVICE 435351,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435351,A000000,01500,0000,1350OTHER GENERAL SERVICES 435351,A000000,01600,0000,1600SKILLED NURSING FACILITY 435351,A000000,01800,0000,1800NURSING FACILITY 435351,A000000,01810,0000,1810ICF/MR 435351,A000000,01900,0000,1900OTHER LONG TERM CARE 435351,A000000,02100,0000,2100RADIOLOGY 435351,A000000,02200,0000,2200LABORATORY 435351,A000000,02300,0000,2300INTRAVENOUS THERAPY 435351,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435351,A000000,02500,0000,2500PHYSICAL THERAPY 435351,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435351,A000000,02700,0000,2700SPEECH PATHOLOGY 435351,A000000,02800,0000,2800ELECTROCARDIOLOGY 435351,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435351,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435351,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435351,A000000,03200,0000,3200SUPPORT SURFACES 435351,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435351,A000000,03400,0000,3400CLINIC 435351,A000000,03500,0000,3500RURAL HEALTH CLINIC 435351,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435351,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435351,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435351,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435351,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435351,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435351,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435351,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435351,A000000,04400,0000,4400DME RENTED - HHA 435351,A000000,04500,0000,4500DME SOLD - HHA 435351,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435351,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435351,A000000,04710,0000,4710TELEMEDICINE 435351,A000000,04800,0000,4800AMBULANCE 435351,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435351,A000000,05000,0000,5000CORF 435351,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435351,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435351,A000000,05300,0000,5300INTEREST EXPENSE 435351,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435351,A000000,05500,0000,5500HOSPICE 435351,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435351,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435351,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435351,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435351,A000000,06100,0000,6100NONPAID WORKERS 435351,A000000,06200,0000,6200PATIENTS LAUNDRY 435351,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435351,A81000A,00100,0100,Y 435351,A81000B,00100,0300,MANAGEMENT FEES 435351,A81000C,00100,0100,A 435351,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435351,A81000C,00100,0400,HCM INC 435351,A81000C,00100,0600,MANAGEMENT 435351,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435351,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435351,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435351,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435351,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435351,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435351,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435351,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435351,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435351,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435351,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435351,E10A180,00501,0100,05/11/12 435351,E10A180,00501,0300,05/11/12 435351,G300000,02500,0000,MISCELLANEOUS 435351,S000000,00100,0200,02/29/12 435351,S200000,00100,0100,1728 W. 8TH STREET 435351,S200000,00200,0100,CEDAR FALLS 435351,S200000,00200,0200,IA 435351,S200000,00200,0300,50613 435351,S200000,00300,0100,BLACK HAWK 435351,S200000,00300,0200,8920 435351,S200000,00300,0201,47940 435351,S200000,00300,0300,U 435351,S200000,00400,0100,CEDAR FALLS HEALTH CARE CENTER 435351,S200000,00400,0200,165197 435351,S200000,00400,0300,01/01/94 435351,S200000,00400,0500,P 435351,S200000,01500,0100,Y 435351,S200000,01501,0200,N 435351,S200000,01502,0200,Y 435351,S200000,01503,0200,Y 435351,S200000,01504,0200,Y 435351,S200000,01600,0100,N 435351,S200000,01700,0100,N 435351,S200000,01800,0100,N 435351,S200000,02200,0100,N 435351,S200000,02800,0100,N 435351,S200000,02900,0100,N 435351,S200000,03000,0100,N 435351,S200000,03100,0100,N 435351,S200000,03200,0100,N 435351,S200000,03300,0100,N 435351,S200000,03300,0200,N 435351,S200000,04100,0100,N 435351,S200000,04200,0100,N 435351,S200000,04300,0100,N 435351,S200000,04600,0100,N 435351,S200000,04700,0100,N 435351,S200000,04700,0200,N 435351,S200000,04900,0100,N 435351,S200000,05000,0100,N 435351,S200000,05100,0100,N 435351,S200000,05200,0100,N 435351,S200000,05300,0100,Y 435351,S200000,05300,0200,H05700 435351,S200000,05400,0100,HCM INC 435351,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435351,S200000,05400,0300,00233 435351,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435351,S200000,05600,0100,JACKSON 435351,S200000,05600,0200,MS 435351,S200000,05600,0300,39206 435352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435352,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435352,A000000,00300,0000,0300EMPLOYEE BENEFITS 435352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435352,A000000,00700,0000,0700HOUSEKEEPING 435352,A000000,00800,0000,0800DIETARY 435352,A000000,00900,0000,0900NURSING ADMINISTRATION 435352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435352,A000000,01300,0000,1300SOCIAL SERVICE 435352,A000000,01301,0000,1301ACTIVITES 435352,A000000,01500,0000,1350REHABILITATION 435352,A000000,01600,0000,1600SKILLED NURSING FACILITY 435352,A000000,01800,0000,1800NURSING FACILITY 435352,A000000,01900,0000,1900OTHER LONG TERM CARE 435352,A000000,02100,0000,2100RADIOLOGY 435352,A000000,02200,0000,2200LABORATORY 435352,A000000,02300,0000,2300INTRAVENOUS THERAPY 435352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435352,A000000,02500,0000,2500PHYSICAL THERAPY 435352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435352,A000000,02700,0000,2700SPEECH PATHOLOGY 435352,A000000,02800,0000,2800ELECTROCARDIOLOGY 435352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435352,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435352,A000000,03200,0000,3200SUPPORT SURFACES 435352,A000000,03300,0000,3050EQUIPMENT RENTAL 435352,A000000,03301,0000,3051PEN THERAPY 435352,A000000,04800,0000,4800AMBULANCE 435352,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435352,A000000,05300,0000,5300INTEREST EXPENSE 435352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435352,A000000,06200,0000,6200PATIENTS LAUNDRY 435352,A000000,06300,0000,6150VENDING 435352,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435352,A81000A,00100,0100,Y 435352,A81000B,00100,0300,HOME OFFICE COST 435352,A81000C,00100,0100,B 435352,A81000C,00100,0200,HOPE HCC 435352,A81000C,00100,0400,SSC EQUITY HOLD 435352,A81000C,00100,0600,NSG HOMES 435352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435352,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435352,B100000,00000,0800,0800MEALS SERVED :DIETARY 435352,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435352,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435352,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435352,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435352,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435352,E10A180,00352,0100,05/02/11 435352,E10A180,00550,0100,05/21/12 435352,S000000,00100,0200,02/24/12 435352,S200000,00100,0100,38410 CHERRY HILL RD 435352,S200000,00200,0100,WESTLAND 435352,S200000,00200,0200,MI 435352,S200000,00200,0300,48185 435352,S200000,00300,0100,WAYNE 435352,S200000,00300,0300,U 435352,S200000,00400,0100,HOPE HEALTHCARE CENTER 435352,S200000,00400,0200,235228 435352,S200000,00400,0300,01/01/87 435352,S200000,00400,0500,P 435352,S200000,01500,0100,Y 435352,S200000,01501,0200,Y 435352,S200000,01502,0200,Y 435352,S200000,01504,0200,Y 435352,S200000,01600,0100,N 435352,S200000,01700,0100,N 435352,S200000,01800,0100,N 435352,S200000,02200,0100,Y 435352,S200000,02800,0100,N 435352,S200000,02900,0100,N 435352,S200000,03000,0100,N 435352,S200000,03100,0100,N 435352,S200000,03200,0100,N 435352,S200000,03300,0100,N 435352,S200000,03300,0200,N 435352,S200000,04100,0100,N 435352,S200000,04200,0100,N 435352,S200000,04300,0100,N 435352,S200000,04600,0100,N 435352,S200000,04700,0100,N 435352,S200000,04700,0200,N 435352,S200000,04900,0100,N 435352,S200000,05000,0100,N 435352,S200000,05100,0100,N 435352,S200000,05200,0100,N 435352,S200000,05300,0100,Y 435352,S200000,05300,0200,219023 435352,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435352,S200000,05400,0200,TRAILBLAZER 435352,S200000,05400,0300,04901 435352,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435352,S200000,05600,0100,HOUSTON 435352,S200000,05600,0200,TX 435352,S200000,05600,0300,77041 435353,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435353,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435353,A000000,00300,0000,0300EMPLOYEE BENEFITS 435353,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435353,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435353,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435353,A000000,00700,0000,0700HOUSEKEEPING 435353,A000000,00800,0000,0800DIETARY 435353,A000000,00900,0000,0900NURSING ADMINISTRATION 435353,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435353,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435353,A000000,01300,0000,1300SOCIAL SERVICE 435353,A000000,01301,0000,1301ACTIVITES 435353,A000000,01500,0000,1350REHABILITATION 435353,A000000,01600,0000,1600SKILLED NURSING FACILITY 435353,A000000,01800,0000,1800NURSING FACILITY 435353,A000000,01900,0000,1900OTHER LONG TERM CARE 435353,A000000,02100,0000,2100RADIOLOGY 435353,A000000,02200,0000,2200LABORATORY 435353,A000000,02300,0000,2300INTRAVENOUS THERAPY 435353,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435353,A000000,02500,0000,2500PHYSICAL THERAPY 435353,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435353,A000000,02700,0000,2700SPEECH PATHOLOGY 435353,A000000,02800,0000,2800ELECTROCARDIOLOGY 435353,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435353,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435353,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435353,A000000,03200,0000,3200SUPPORT SURFACES 435353,A000000,03300,0000,3050EQUIPMENT RENTAL 435353,A000000,03301,0000,3051PEN THERAPY 435353,A000000,04800,0000,4800AMBULANCE 435353,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435353,A000000,05300,0000,5300INTEREST EXPENSE 435353,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435353,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435353,A000000,06200,0000,6200PATIENTS LAUNDRY 435353,A000000,06300,0000,6150VENDING 435353,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435353,A81000A,00100,0100,Y 435353,A81000B,00100,0300,HOME OFFICE COST 435353,A81000C,00100,0100,B 435353,A81000C,00100,0200,LAREDO-W. RETAM 435353,A81000C,00100,0400,SSC EQUITY HOLD 435353,A81000C,00100,0600,NSG HOMES 435353,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435353,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435353,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435353,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435353,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435353,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435353,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435353,B100000,00000,0800,0800MEALS SERVED :DIETARY 435353,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435353,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435353,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435353,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435353,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435353,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435353,E10A180,00550,0100,05/18/12 435353,S000000,00100,0200,02/24/12 435353,S200000,00100,0100,1200 LANE 435353,S200000,00200,0100,LAREDO 435353,S200000,00200,0200,TX 435353,S200000,00200,0300,78043 435353,S200000,00300,0100,WEBB 435353,S200000,00300,0300,U 435353,S200000,00400,0100,LAREDO-WEST RETAMA MANOR 435353,S200000,00400,0200,455528 435353,S200000,00400,0300,07/03/85 435353,S200000,00400,0500,P 435353,S200000,01500,0100,Y 435353,S200000,01501,0200,Y 435353,S200000,01502,0200,N 435353,S200000,01504,0200,N 435353,S200000,01600,0100,N 435353,S200000,01700,0100,N 435353,S200000,01800,0100,N 435353,S200000,02200,0100,Y 435353,S200000,02800,0100,N 435353,S200000,02900,0100,N 435353,S200000,03000,0100,N 435353,S200000,03100,0100,N 435353,S200000,03200,0100,N 435353,S200000,03300,0100,N 435353,S200000,03300,0200,N 435353,S200000,03600,0100,N 435353,S200000,03600,0200,N 435353,S200000,04100,0100,N 435353,S200000,04200,0100,N 435353,S200000,04300,0100,N 435353,S200000,04600,0100,N 435353,S200000,04700,0100,N 435353,S200000,04700,0200,N 435353,S200000,04900,0100,N 435353,S200000,05000,0100,N 435353,S200000,05100,0100,N 435353,S200000,05200,0100,N 435353,S200000,05300,0100,Y 435353,S200000,05300,0200,219023 435353,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435353,S200000,05400,0200,NOVITAS SOLUTIONS 435353,S200000,05400,0300,04011 435353,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435353,S200000,05600,0100,HOUSTON 435353,S200000,05600,0200,TX 435353,S200000,05600,0300,77041 435355,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435355,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435355,A000000,00300,0000,0300EMPLOYEE BENEFITS 435355,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435355,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435355,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435355,A000000,00700,0000,0700HOUSEKEEPING 435355,A000000,00800,0000,0800DIETARY 435355,A000000,00900,0000,0900NURSING ADMINISTRATION 435355,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435355,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435355,A000000,01300,0000,1300SOCIAL SERVICE 435355,A000000,01301,0000,1301ACTIVITES 435355,A000000,01500,0000,1350REHABILITATION 435355,A000000,01600,0000,1600SKILLED NURSING FACILITY 435355,A000000,01800,0000,1800NURSING FACILITY 435355,A000000,01900,0000,1900OTHER LONG TERM CARE 435355,A000000,02100,0000,2100RADIOLOGY 435355,A000000,02200,0000,2200LABORATORY 435355,A000000,02300,0000,2300INTRAVENOUS THERAPY 435355,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435355,A000000,02500,0000,2500PHYSICAL THERAPY 435355,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435355,A000000,02700,0000,2700SPEECH PATHOLOGY 435355,A000000,02800,0000,2800ELECTROCARDIOLOGY 435355,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435355,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435355,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435355,A000000,03200,0000,3200SUPPORT SURFACES 435355,A000000,03300,0000,3050EQUIPMENT RENTAL 435355,A000000,03301,0000,3051PEN THERAPY 435355,A000000,04800,0000,4800AMBULANCE 435355,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435355,A000000,05300,0000,5300INTEREST EXPENSE 435355,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435355,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435355,A000000,06200,0000,6200PATIENTS LAUNDRY 435355,A000000,06300,0000,6150VENDING 435355,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435355,A81000A,00100,0100,Y 435355,A81000B,00100,0300,HOME OFFICE COST 435355,A81000C,00100,0100,B 435355,A81000C,00100,0200,GLEN BURNIE H&R 435355,A81000C,00100,0400,SSC EQUITY HOLD 435355,A81000C,00100,0600,NSG HOMES 435355,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435355,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435355,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435355,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435355,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435355,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435355,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435355,B100000,00000,0800,0800MEALS SERVED :DIETARY 435355,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435355,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435355,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435355,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435355,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435355,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435355,E10A180,00352,0100,04/13/11 435355,E10A180,00501,0300,05/22/12 435355,E10A180,00550,0100,05/22/12 435355,G300000,02500,0000, OTHER (SPECIFY) 435355,S000000,00100,0200,02/24/12 435355,S200000,00100,0100,7355 FURNACE BRANCH RD E. 435355,S200000,00200,0100,GLEN BURNIE 435355,S200000,00200,0200,MD 435355,S200000,00200,0300,21060 435355,S200000,00300,0100,ANNE ARUNDEL 435355,S200000,00300,0300,U 435355,S200000,00400,0100,GLEN BURNIE HEALTH & REHAB CENTER 435355,S200000,00400,0200,215266 435355,S200000,00400,0300,06/01/90 435355,S200000,00400,0500,P 435355,S200000,01500,0100,Y 435355,S200000,01501,0200,N 435355,S200000,01502,0200,N 435355,S200000,01504,0200,Y 435355,S200000,01600,0100,N 435355,S200000,01700,0100,N 435355,S200000,01800,0100,N 435355,S200000,02200,0100,Y 435355,S200000,02800,0100,N 435355,S200000,02900,0100,N 435355,S200000,03000,0100,N 435355,S200000,03100,0100,N 435355,S200000,03200,0100,N 435355,S200000,03300,0100,N 435355,S200000,03300,0200,N 435355,S200000,04100,0100,N 435355,S200000,04200,0100,N 435355,S200000,04300,0100,N 435355,S200000,04600,0100,N 435355,S200000,04700,0100,N 435355,S200000,04700,0200,N 435355,S200000,04900,0100,N 435355,S200000,05000,0100,N 435355,S200000,05100,0100,N 435355,S200000,05200,0100,N 435355,S200000,05300,0100,Y 435355,S200000,05300,0200,219023 435355,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435355,S200000,05400,0200,TRAILBLAZER 435355,S200000,05400,0300,04901 435355,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435355,S200000,05600,0100,HOUSTON 435355,S200000,05600,0200,TX 435355,S200000,05600,0300,77041 435356,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435356,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435356,A000000,00300,0000,0300EMPLOYEE BENEFITS 435356,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435356,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435356,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435356,A000000,00700,0000,0700HOUSEKEEPING 435356,A000000,00800,0000,0800DIETARY 435356,A000000,00900,0000,0900NURSING ADMINISTRATION 435356,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435356,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435356,A000000,01300,0000,1300SOCIAL SERVICE 435356,A000000,01301,0000,1301ACTIVITES 435356,A000000,01500,0000,1350REHABILITATION 435356,A000000,01600,0000,1600SKILLED NURSING FACILITY 435356,A000000,01800,0000,1800NURSING FACILITY 435356,A000000,01900,0000,1900OTHER LONG TERM CARE 435356,A000000,02100,0000,2100RADIOLOGY 435356,A000000,02200,0000,2200LABORATORY 435356,A000000,02300,0000,2300INTRAVENOUS THERAPY 435356,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435356,A000000,02500,0000,2500PHYSICAL THERAPY 435356,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435356,A000000,02700,0000,2700SPEECH PATHOLOGY 435356,A000000,02800,0000,2800ELECTROCARDIOLOGY 435356,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435356,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435356,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435356,A000000,03200,0000,3200SUPPORT SURFACES 435356,A000000,03300,0000,3050EQUIPMENT RENTAL 435356,A000000,03301,0000,3051PEN THERAPY 435356,A000000,04800,0000,4800AMBULANCE 435356,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435356,A000000,05300,0000,5300INTEREST EXPENSE 435356,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435356,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435356,A000000,06200,0000,6200PATIENTS LAUNDRY 435356,A000000,06300,0000,6150VENDING 435356,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435356,A81000A,00100,0100,Y 435356,A81000B,00100,0300,HOME OFFICE COST 435356,A81000C,00100,0100,B 435356,A81000C,00100,0200,CAMBRIDGE EAST 435356,A81000C,00100,0400,SSC EQUITY HOLD 435356,A81000C,00100,0600,NSG HOMES 435356,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435356,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435356,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435356,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435356,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435356,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435356,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435356,B100000,00000,0800,0800MEALS SERVED :DIETARY 435356,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435356,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435356,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435356,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435356,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435356,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435356,E10A180,00351,0100,04/13/11 435356,E10A180,00352,0100,09/28/11 435356,E10A180,00550,0100,02/24/12 435356,S000000,00100,0200,02/24/12 435356,S200000,00100,0100,31155 DEQUINDRE 435356,S200000,00200,0100,MADISON 435356,S200000,00200,0200,MI 435356,S200000,00200,0300,48071 435356,S200000,00300,0100,OAKLAND 435356,S200000,00300,0300,U 435356,S200000,00400,0100,CAMBRIDGE EAST HEALTHCARE CENTER 435356,S200000,00400,0200,235187 435356,S200000,00400,0300,09/01/84 435356,S200000,00400,0500,P 435356,S200000,01500,0100,Y 435356,S200000,01501,0200,Y 435356,S200000,01502,0200,Y 435356,S200000,01504,0200,Y 435356,S200000,01600,0100,N 435356,S200000,01700,0100,N 435356,S200000,01800,0100,N 435356,S200000,02200,0100,Y 435356,S200000,02800,0100,N 435356,S200000,02900,0100,N 435356,S200000,03000,0100,N 435356,S200000,03100,0100,N 435356,S200000,03200,0100,N 435356,S200000,03300,0100,N 435356,S200000,03300,0200,N 435356,S200000,03600,0100,N 435356,S200000,03600,0200,N 435356,S200000,04100,0100,N 435356,S200000,04200,0100,N 435356,S200000,04300,0100,N 435356,S200000,04600,0100,N 435356,S200000,04700,0100,N 435356,S200000,04700,0200,N 435356,S200000,04900,0100,N 435356,S200000,05000,0100,N 435356,S200000,05100,0100,N 435356,S200000,05200,0100,N 435356,S200000,05300,0100,Y 435356,S200000,05300,0200,219023 435356,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435356,S200000,05400,0200,NOVITAS SOLUTIONS 435356,S200000,05400,0300,04011 435356,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435356,S200000,05600,0100,HOUSTON 435356,S200000,05600,0200,TX 435356,S200000,05600,0300,77041 435357,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435357,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435357,A000000,00300,0000,0300EMPLOYEE BENEFITS 435357,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435357,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435357,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435357,A000000,00700,0000,0700HOUSEKEEPING 435357,A000000,00800,0000,0800DIETARY 435357,A000000,00900,0000,0900NURSING ADMINISTRATION 435357,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435357,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435357,A000000,01300,0000,1300SOCIAL SERVICE 435357,A000000,01301,0000,1301ACTIVITES 435357,A000000,01500,0000,1350REHABILITATION 435357,A000000,01600,0000,1600SKILLED NURSING FACILITY 435357,A000000,01800,0000,1800NURSING FACILITY 435357,A000000,01900,0000,1900OTHER LONG TERM CARE 435357,A000000,02100,0000,2100RADIOLOGY 435357,A000000,02200,0000,2200LABORATORY 435357,A000000,02300,0000,2300INTRAVENOUS THERAPY 435357,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435357,A000000,02500,0000,2500PHYSICAL THERAPY 435357,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435357,A000000,02700,0000,2700SPEECH PATHOLOGY 435357,A000000,02800,0000,2800ELECTROCARDIOLOGY 435357,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435357,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435357,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435357,A000000,03200,0000,3200SUPPORT SURFACES 435357,A000000,03300,0000,3050EQUIPMENT RENTAL 435357,A000000,03301,0000,3051PEN THERAPY 435357,A000000,04800,0000,4800AMBULANCE 435357,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435357,A000000,05300,0000,5300INTEREST EXPENSE 435357,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435357,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435357,A000000,06200,0000,6200PATIENTS LAUNDRY 435357,A000000,06300,0000,6150VENDING 435357,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435357,A81000A,00100,0100,Y 435357,A81000B,00100,0300,HOME OFFICE COST 435357,A81000C,00100,0100,B 435357,A81000C,00100,0200,HERITAGE MANOR 435357,A81000C,00100,0400,SSC EQUITY HOLD 435357,A81000C,00100,0600,NSG HOMES 435357,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435357,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435357,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435357,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435357,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435357,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435357,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435357,B100000,00000,0800,0800MEALS SERVED :DIETARY 435357,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435357,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435357,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435357,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435357,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435357,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435357,E10A180,00302,0100,03/17/11 435357,E10A180,00303,0100,09/29/11 435357,E10A180,00352,0100,05/03/11 435357,E10A180,00501,0300,05/11/12 435357,E10A180,00550,0100,05/11/12 435357,S000000,00100,0200,02/24/12 435357,S200000,00100,0100,G3201 BEECHER RD 435357,S200000,00200,0100,FLING 435357,S200000,00200,0200,MI 435357,S200000,00200,0300,48532 435357,S200000,00300,0100,GENESEE 435357,S200000,00300,0300,U 435357,S200000,00400,0100,HERITAGE MANOR HEALTHCARE CENTER 435357,S200000,00400,0200,235363 435357,S200000,00400,0300,01/01/87 435357,S200000,00400,0500,P 435357,S200000,01500,0100,Y 435357,S200000,01501,0200,Y 435357,S200000,01502,0200,Y 435357,S200000,01504,0200,Y 435357,S200000,01600,0100,N 435357,S200000,01700,0100,N 435357,S200000,01800,0100,N 435357,S200000,02200,0100,Y 435357,S200000,02800,0100,N 435357,S200000,02900,0100,N 435357,S200000,03000,0100,N 435357,S200000,03100,0100,N 435357,S200000,03200,0100,N 435357,S200000,03300,0100,N 435357,S200000,03300,0200,N 435357,S200000,04100,0100,N 435357,S200000,04200,0100,N 435357,S200000,04300,0100,N 435357,S200000,04600,0100,N 435357,S200000,04700,0100,N 435357,S200000,04700,0200,N 435357,S200000,04900,0100,N 435357,S200000,05000,0100,N 435357,S200000,05100,0100,N 435357,S200000,05200,0100,N 435357,S200000,05300,0100,Y 435357,S200000,05300,0200,219023 435357,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435357,S200000,05400,0200,TRAILBLAZER 435357,S200000,05400,0300,04901 435357,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435357,S200000,05600,0100,HOUSTON 435357,S200000,05600,0200,TX 435357,S200000,05600,0300,77041 435358,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435358,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435358,A000000,00300,0000,0300EMPLOYEE BENEFITS 435358,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435358,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435358,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435358,A000000,00700,0000,0700HOUSEKEEPING 435358,A000000,00800,0000,0800DIETARY 435358,A000000,00900,0000,0900NURSING ADMINISTRATION 435358,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435358,A000000,01100,0000,1100PHARMACY 435358,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435358,A000000,01300,0000,1300SOCIAL SERVICE 435358,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435358,A000000,01500,0000,1350RECREATION ACTIVITIES 435358,A000000,01600,0000,1600SKILLED NURSING FACILITY 435358,A000000,01810,0000,1810ICF/MR 435358,A000000,02100,0000,2100RADIOLOGY 435358,A000000,02200,0000,2200LABORATORY 435358,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435358,A000000,02500,0000,2500PHYSICAL THERAPY 435358,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435358,A000000,02700,0000,2700SPEECH PATHOLOGY 435358,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435358,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435358,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435358,A000000,03301,0000,3051ENTERAL FEEDING 435358,A000000,03550,0000,3550FQHC 435358,A000000,05000,0000,5000CORF 435358,A000000,05010,0000,5010CMHC 435358,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435358,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435358,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435358,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435358,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435358,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435358,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435358,A000000,06312,0000,6153DIALYSIS 435358,A000000,06320,0000,6154APARTMENTS 435358,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435358,A000000,06340,0000,6156CLOSED PATIENT AREAS 435358,A000000,06350,0000,6157O/P ADULT DAYCARE 435358,A000000,06360,0000,6158MARKETING 435358,A81000A,00100,0100,Y 435358,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435358,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435358,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435358,A81000B,00400,0300,ADVANTAGE DME 435358,A81000C,00100,0100,A 435358,A81000C,00100,0200,FUNDAMENTAL HOL 435358,A81000C,00100,0400,FAS FCC FCOS 435358,A81000C,00100,0600,SUPPORT SERVICE 435358,A81000C,00200,0100,A 435358,A81000C,00200,0200,THI BALT INC. 435358,A81000C,00200,0400,ADVANTAGE DME 435358,A81000C,00200,0600,MEDICAL SUPPLIE 435358,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435358,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435358,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435358,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435358,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435358,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435358,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 435358,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435358,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435358,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435358,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435358,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435358,E10A180,00501,0100,05/18/12 435358,E10A180,00550,0300,05/18/12 435358,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435358,S000000,00100,0200,02/22/12 435358,S200000,00100,0100,603 EAST PLANTATION DRIVE 435358,S200000,00200,0100,CLUTE 435358,S200000,00200,0200,TX 435358,S200000,00200,0300,77531 435358,S200000,00300,0100,BRAZORIA 435358,S200000,00300,0201,26420 435358,S200000,00300,0300,U 435358,S200000,00400,0100,WOODLAKE NURSING HOME 435358,S200000,00400,0200,675234 435358,S200000,00400,0300,11/01/93 435358,S200000,00400,0500,P 435358,S200000,00400,0600,O 435358,S200000,01500,0100,Y 435358,S200000,01501,0200,Y 435358,S200000,01502,0200,Y 435358,S200000,01503,0200,Y 435358,S200000,01504,0200,Y 435358,S200000,01505,0000,OTHER 435358,S200000,01505,0200,Y 435358,S200000,01600,0100,N 435358,S200000,01700,0100,N 435358,S200000,01800,0100,N 435358,S200000,01900,0100,LLC 435358,S200000,02200,0100,N 435358,S200000,02800,0100,N 435358,S200000,02900,0100,N 435358,S200000,03000,0100,N 435358,S200000,03100,0100,N 435358,S200000,03200,0100,N 435358,S200000,03300,0100,N 435358,S200000,03300,0200,N 435358,S200000,04100,0100,N 435358,S200000,04200,0100,N 435358,S200000,04300,0100,N 435358,S200000,04600,0100,N 435358,S200000,04700,0100,N 435358,S200000,04700,0200,N 435358,S200000,04900,0100,N 435358,S200000,05000,0100,N 435358,S200000,05100,0100,N 435358,S200000,05200,0100,N 435358,S200000,05300,0100,Y 435359,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435359,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435359,A000000,00300,0000,0300EMPLOYEE BENEFITS 435359,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435359,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435359,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435359,A000000,00700,0000,0700HOUSEKEEPING 435359,A000000,00800,0000,0800DIETARY 435359,A000000,00900,0000,0900NURSING ADMINISTRATION 435359,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435359,A000000,01100,0000,1100PHARMACY 435359,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435359,A000000,01300,0000,1300SOCIAL SERVICE 435359,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435359,A000000,01500,0000,1350ACTIVITIES 435359,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 435359,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENTE 435359,A000000,01600,0000,1600SKILLED NURSING FACILITY 435359,A000000,01800,0000,1800NURSING FACILITY 435359,A000000,01810,0000,1810ICF/MR 435359,A000000,01900,0000,1900OTHER LONG TERM CARE 435359,A000000,02100,0000,2100RADIOLOGY 435359,A000000,02200,0000,2200LABORATORY 435359,A000000,02300,0000,2300INTRAVENOUS THERAPY 435359,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435359,A000000,02500,0000,2500PHYSICAL THERAPY 435359,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435359,A000000,02700,0000,2700SPEECH PATHOLOGY 435359,A000000,02800,0000,2800ELECTROCARDIOLOGY 435359,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435359,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435359,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435359,A000000,03200,0000,3200SUPPORT SURFACES 435359,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435359,A000000,03301,0000,3051AIR FLUID THERAPY 435359,A000000,03302,0000,3052AMBULANCE 435359,A000000,03303,0000,3053PEN THERAPY 435359,A000000,03304,0000,3054ONCOLOGY 435359,A000000,03305,0000,3055CARDIOLOGY 435359,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435359,A000000,03307,0000,3057AUDIOLOGY 435359,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435359,A000000,03400,0000,3400CLINIC 435359,A000000,03500,0000,3500RURAL HEALTH CLINIC 435359,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435359,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435359,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435359,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435359,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435359,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435359,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435359,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435359,A000000,04400,0000,4400DME RENTED - HHA 435359,A000000,04500,0000,4500DME SOLD - HHA 435359,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435359,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435359,A000000,04710,0000,4710TELEMEDICINE 435359,A000000,04800,0000,4800AMBULANCE 435359,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435359,A000000,05000,0000,5000CORF 435359,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435359,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435359,A000000,05300,0000,5300INTEREST EXPENSE 435359,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435359,A000000,05500,0000,5500HOSPICE 435359,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435359,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435359,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435359,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435359,A000000,06100,0000,6100NONPAID WORKERS 435359,A000000,06200,0000,6200PATIENTS LAUNDRY 435359,A000000,06300,0000,6150ADULT DAY HEALTH 435359,A000000,06301,0000,6151MARKETING 435359,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435359,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435359,A81000A,00100,0100,Y 435359,A81000B,00600,0300,MGMT FEE - A&G RELATED 435359,A81000B,00700,0300,HOME OFFICE - BUILDING 435359,A81000B,00800,0300,HOME OFFICE - EQUIPMENT 435359,A81000B,00900,0300,HOME OFFICE INTEREST 435359,A81000B,01000,0300,PHYSICAL THERAPY 435359,A81000B,01100,0300,OCCUPATIONAL THERAPY 435359,A81000B,01200,0300,SPEECH THERAPY 435359,A81000C,00100,0100,B 435359,A81000C,00100,0200,SEARS METHODIST RET SYS 435359,A81000C,00100,0400,SEARS METHODIST RET SYS 435359,A81000C,00100,0600,HOME OFFICE 435359,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435359,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435359,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435359,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435359,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435359,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435359,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435359,B100000,00000,0800,0800PATIENT MEALS :DIETARY 435359,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435359,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435359,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435359,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435359,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435359,G300000,02500,0000,OTHER REVENUE 435359,G300000,02501,0000,BEAUTY SHOP REVENUE 435359,G300000,02504,0000,TRANSFER FROM FOUNDATION 435359,S000000,00100,0200,03/28/12 435359,S200000,00100,0100,1700 WOODGATE DRIVE 435359,S200000,00200,0100,WACO 435359,S200000,00200,0200,TX 435359,S200000,00200,0300,76712 435359,S200000,00300,0100,MCLENNAN 435359,S200000,00300,0201,47380 435359,S200000,00300,0300,U 435359,S200000,00400,0100,WESLEY WOODS ALZHEIMER S CARE CENTER 435359,S200000,00400,0200,676211 435359,S200000,00400,0300,02/01/09 435359,S200000,00400,0500,P 435359,S200000,01500,0100,Y 435359,S200000,01501,0200,N 435359,S200000,01503,0200,Y 435359,S200000,01600,0100,N 435359,S200000,01700,0100,N 435359,S200000,01800,0100,N 435359,S200000,02200,0100,N 435359,S200000,02800,0100,Y 435359,S200000,02900,0100,N 435359,S200000,03000,0100,N 435359,S200000,03100,0100,N 435359,S200000,03200,0100,N 435359,S200000,03300,0100,N 435359,S200000,03300,0200,N 435359,S200000,04100,0100,N 435359,S200000,04200,0100,N 435359,S200000,04300,0100,N 435359,S200000,04600,0100,N 435359,S200000,04700,0100,N 435359,S200000,04700,0200,N 435359,S200000,04900,0100,N 435359,S200000,05000,0100,N 435359,S200000,05100,0100,N 435359,S200000,05200,0100,N 435359,S200000,05300,0100,Y 435359,S200000,05300,0200,459091 435359,S200000,05400,0100,SEARS METHODIST RETIREMENT SYSTEM I 435359,S200000,05400,0200,TRAILBLAZER HEALTH 435359,S200000,05400,0300,04301 435359,S200000,05500,0100,ONE VILLAGE DRIVE SUITE 400 435359,S200000,05600,0100,ABILENE 435359,S200000,05600,0200,TX 435359,S200000,05600,0300,79606 435360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435360,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435360,A000000,00300,0000,0300EMPLOYEE BENEFITS 435360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435360,A000000,00700,0000,0700HOUSEKEEPING 435360,A000000,00800,0000,0800DIETARY 435360,A000000,00900,0000,0900NURSING ADMINISTRATION 435360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435360,A000000,01300,0000,1300SOCIAL SERVICE 435360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435360,A000000,01500,0000,1350PATIENT ACTIVITIES 435360,A000000,01600,0000,1600SKILLED NURSING FACILITY 435360,A000000,01900,0000,1900OTHER LONG TERM CARE 435360,A000000,02100,0000,2100RADIOLOGY 435360,A000000,02200,0000,2200LABORATORY 435360,A000000,02500,0000,2500PHYSICAL THERAPY 435360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435360,A000000,02700,0000,2700SPEECH PATHOLOGY 435360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435360,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435360,A81000A,00100,0100,Y 435360,A81000B,00100,0300,SALARY ALLOCATION-GEORGE COUNTY 435360,A81000B,00200,0300,BENEFIT ALLOCATION-GEORGE COUNTY 435360,A81000B,00300,0300,COST ALLOCATION -GREENE COUNTY 435360,A81000B,00400,0300,COST ALLOCATION -GREENE COUNTY 435360,A81000B,00500,0300,COST ALLOCATION -GREENE COUNTY 435360,A81000B,00600,0300,COST ALLOCATION -GREENE COUNTY 435360,A81000C,00100,0100,B 435360,A81000C,00100,0400,GEORGE REGIONAL HOSPITAL 435360,A81000C,00200,0100,B 435360,A81000C,00200,0400,GREENE COUNTY HOSPITAL 435360,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435360,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435360,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435360,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435360,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435360,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435360,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435360,B100000,00000,0800,0800MEALS SERVED :DIETARY 435360,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435360,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435360,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435360,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435360,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 435360,E10A180,00501,0300,05/11/12 435360,E10A180,00550,0100,05/11/12 435360,S000000,00100,0200,03/01/12 435360,S200000,00100,0100,1017 JACKSON AVENUE 435360,S200000,00100,0300,819 435360,S200000,00200,0100,LEAKESVILLE 435360,S200000,00200,0200,MS 435360,S200000,00200,0300,39451 435360,S200000,00300,0100,GREENE 435360,S200000,00300,0200,25 435360,S200000,00300,0201,99925 435360,S200000,00300,0300,R 435360,S200000,00400,0100,GREENE RURAL HEALTH CENTER 435360,S200000,00400,0200,255277 435360,S200000,00400,0300,08/01/08 435360,S200000,00400,0500,P 435360,S200000,00400,0600,O 435360,S200000,01500,0100,Y 435360,S200000,01501,0200,Y 435360,S200000,01504,0200,Y 435360,S200000,01600,0100,N 435360,S200000,01700,0100,N 435360,S200000,01800,0100,N 435360,S200000,02200,0100,N 435360,S200000,02800,0100,N 435360,S200000,02900,0100,N 435360,S200000,03000,0100,N 435360,S200000,03100,0100,N 435360,S200000,03200,0100,N 435360,S200000,03300,0100,N 435360,S200000,03300,0200,N 435360,S200000,04100,0100,N 435360,S200000,04200,0100,N 435360,S200000,04300,0100,N 435360,S200000,04600,0100,N 435360,S200000,04700,0100,N 435360,S200000,04700,0200,N 435360,S200000,04900,0100,N 435360,S200000,05000,0100,N 435360,S200000,05100,0100,N 435360,S200000,05200,0100,N 435360,S200000,05300,0100,Y 435360,S200000,05300,0200,250036 435360,S200000,05400,0100,GEORGE REGIONAL 435360,S200000,05400,0200,PINNACLE 435360,S200000,05400,0300, 0000- 435360,S200000,05500,0100,305 WINTER STREET 435360,S200000,05500,0200,607 435360,S200000,05600,0100,LUCEDALE 435360,S200000,05600,0200,MS 435360,S200000,05600,0300,39452 435363,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435363,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435363,A000000,00300,0000,0300EMPLOYEE BENEFITS 435363,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435363,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435363,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435363,A000000,00700,0000,0700HOUSEKEEPING 435363,A000000,00800,0000,0800DIETARY 435363,A000000,00900,0000,0900NURSING ADMINISTRATION 435363,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435363,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435363,A000000,01300,0000,1300SOCIAL SERVICE 435363,A000000,01301,0000,1301ACTIVITES 435363,A000000,01500,0000,1350REHABILITATION 435363,A000000,01600,0000,1600SKILLED NURSING FACILITY 435363,A000000,01800,0000,1800NURSING FACILITY 435363,A000000,01900,0000,1900OTHER LONG TERM CARE 435363,A000000,02100,0000,2100RADIOLOGY 435363,A000000,02200,0000,2200LABORATORY 435363,A000000,02300,0000,2300INTRAVENOUS THERAPY 435363,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435363,A000000,02500,0000,2500PHYSICAL THERAPY 435363,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435363,A000000,02700,0000,2700SPEECH PATHOLOGY 435363,A000000,02800,0000,2800ELECTROCARDIOLOGY 435363,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435363,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435363,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435363,A000000,03200,0000,3200SUPPORT SURFACES 435363,A000000,03300,0000,3050EQUIPMENT RENTAL 435363,A000000,03301,0000,3051PEN THERAPY 435363,A000000,04800,0000,4800AMBULANCE 435363,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435363,A000000,05300,0000,5300INTEREST EXPENSE 435363,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435363,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435363,A000000,06200,0000,6200PATIENTS LAUNDRY 435363,A000000,06300,0000,6150VENDING 435363,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435363,A81000A,00100,0100,Y 435363,A81000B,00100,0300,HOME OFFICE COST 435363,A81000C,00100,0100,B 435363,A81000C,00100,0200,COLONIAL COLUMN 435363,A81000C,00100,0400,SSC EQUITY HOLD 435363,A81000C,00100,0600,NSG HOMES 435363,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435363,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435363,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435363,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435363,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435363,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435363,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435363,B100000,00000,0800,0800MEALS SERVED :DIETARY 435363,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435363,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435363,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435363,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435363,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435363,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435363,E10A180,00550,0100,05/21/12 435363,E10A180,00550,0300,05/21/12 435363,S000000,00100,0200,02/24/12 435363,S200000,00100,0100,1340 E FILMORE 435363,S200000,00200,0100,COLO SPRINGS 435363,S200000,00200,0200,CO 435363,S200000,00200,0300,80907 435363,S200000,00300,0100,EL PASO 435363,S200000,00300,0300,U 435363,S200000,00400,0100,COLONIAL COLUMNS NURSING CENTER 435363,S200000,00400,0200,065225 435363,S200000,00400,0300,12/01/85 435363,S200000,00400,0500,P 435363,S200000,01500,0100,Y 435363,S200000,01501,0200,Y 435363,S200000,01502,0200,N 435363,S200000,01504,0200,Y 435363,S200000,01600,0100,N 435363,S200000,01700,0100,N 435363,S200000,01800,0100,N 435363,S200000,02200,0100,Y 435363,S200000,02800,0100,N 435363,S200000,02900,0100,N 435363,S200000,03000,0100,N 435363,S200000,03100,0100,N 435363,S200000,03200,0100,N 435363,S200000,03300,0100,N 435363,S200000,03300,0200,N 435363,S200000,04100,0100,N 435363,S200000,04200,0100,N 435363,S200000,04300,0100,N 435363,S200000,04600,0100,N 435363,S200000,04700,0100,N 435363,S200000,04700,0200,N 435363,S200000,04900,0100,N 435363,S200000,05000,0100,N 435363,S200000,05100,0100,N 435363,S200000,05200,0100,N 435363,S200000,05300,0100,Y 435363,S200000,05300,0200,219023 435363,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435363,S200000,05400,0200,TRAILBLAZER 435363,S200000,05400,0300,04901 435363,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435363,S200000,05600,0100,HOUSTON 435363,S200000,05600,0200,TX 435363,S200000,05600,0300,77041 435364,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435364,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435364,A000000,00300,0000,0300EMPLOYEE BENEFITS 435364,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435364,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435364,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435364,A000000,00700,0000,0700HOUSEKEEPING 435364,A000000,00800,0000,0800DIETARY 435364,A000000,00900,0000,0900NURSING ADMINISTRATION 435364,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435364,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435364,A000000,01300,0000,1300SOCIAL SERVICE 435364,A000000,01301,0000,1301ACTIVITES 435364,A000000,01500,0000,1350REHABILITATION 435364,A000000,01600,0000,1600SKILLED NURSING FACILITY 435364,A000000,01800,0000,1800NURSING FACILITY 435364,A000000,01900,0000,1900OTHER LONG TERM CARE 435364,A000000,02100,0000,2100RADIOLOGY 435364,A000000,02200,0000,2200LABORATORY 435364,A000000,02300,0000,2300INTRAVENOUS THERAPY 435364,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435364,A000000,02500,0000,2500PHYSICAL THERAPY 435364,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435364,A000000,02700,0000,2700SPEECH PATHOLOGY 435364,A000000,02800,0000,2800ELECTROCARDIOLOGY 435364,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435364,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435364,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435364,A000000,03200,0000,3200SUPPORT SURFACES 435364,A000000,03300,0000,3050EQUIPMENT RENTAL 435364,A000000,03301,0000,3051PEN THERAPY 435364,A000000,04800,0000,4800AMBULANCE 435364,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435364,A000000,05300,0000,5300INTEREST EXPENSE 435364,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435364,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435364,A000000,06200,0000,6200PATIENTS LAUNDRY 435364,A000000,06300,0000,6150VENDING 435364,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435364,A81000A,00100,0100,Y 435364,A81000B,00100,0300,HOME OFFICE COST 435364,A81000C,00100,0100,B 435364,A81000C,00100,0200,YUMA LIFE CC 435364,A81000C,00100,0400,SSC EQUITY HOLD 435364,A81000C,00100,0600,NSG HOMES 435364,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435364,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435364,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435364,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435364,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435364,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435364,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435364,B100000,00000,0800,0800MEALS SERVED :DIETARY 435364,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435364,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435364,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435364,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435364,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435364,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435364,E10A180,00302,0100,05/19/11 435364,E10A180,00351,0100,02/10/11 435364,E10A180,00550,0100,02/24/12 435364,S000000,00100,0200,02/24/12 435364,S200000,00100,0100,323 W 9TH AVE 435364,S200000,00200,0100,YUMA 435364,S200000,00200,0200,CO 435364,S200000,00200,0300,80759 435364,S200000,00300,0100,YUMA 435364,S200000,00300,0300,R 435364,S200000,00400,0100,YUMA LIFE CARE CENTER 435364,S200000,00400,0200,065263 435364,S200000,00400,0300,01/07/91 435364,S200000,00400,0500,P 435364,S200000,01500,0100,Y 435364,S200000,01501,0200,Y 435364,S200000,01502,0200,Y 435364,S200000,01504,0200,Y 435364,S200000,01600,0100,N 435364,S200000,01700,0100,N 435364,S200000,01800,0100,N 435364,S200000,02200,0100,Y 435364,S200000,02800,0100,N 435364,S200000,02900,0100,N 435364,S200000,03000,0100,N 435364,S200000,03100,0100,N 435364,S200000,03200,0100,N 435364,S200000,03300,0100,N 435364,S200000,03300,0200,N 435364,S200000,04100,0100,N 435364,S200000,04200,0100,N 435364,S200000,04300,0100,N 435364,S200000,04600,0100,N 435364,S200000,04700,0100,N 435364,S200000,04700,0200,N 435364,S200000,04900,0100,N 435364,S200000,05000,0100,N 435364,S200000,05100,0100,N 435364,S200000,05200,0100,N 435364,S200000,05300,0100,Y 435364,S200000,05300,0200,219023 435364,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435364,S200000,05400,0200,TRAILBLAZER 435364,S200000,05400,0300,04901 435364,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435364,S200000,05600,0100,HOUSTON 435364,S200000,05600,0200,TX 435364,S200000,05600,0300,77041 435365,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435365,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435365,A000000,00300,0000,0300EMPLOYEE BENEFITS 435365,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435365,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435365,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435365,A000000,00700,0000,0700HOUSEKEEPING 435365,A000000,00800,0000,0800DIETARY 435365,A000000,00900,0000,0900NURSING ADMINISTRATION 435365,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435365,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435365,A000000,01300,0000,1300SOCIAL SERVICE 435365,A000000,01301,0000,1301ACTIVITES 435365,A000000,01500,0000,1350REHABILITATION 435365,A000000,01600,0000,1600SKILLED NURSING FACILITY 435365,A000000,01800,0000,1800NURSING FACILITY 435365,A000000,01900,0000,1900OTHER LONG TERM CARE 435365,A000000,02100,0000,2100RADIOLOGY 435365,A000000,02200,0000,2200LABORATORY 435365,A000000,02300,0000,2300INTRAVENOUS THERAPY 435365,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435365,A000000,02500,0000,2500PHYSICAL THERAPY 435365,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435365,A000000,02700,0000,2700SPEECH PATHOLOGY 435365,A000000,02800,0000,2800ELECTROCARDIOLOGY 435365,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435365,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435365,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435365,A000000,03200,0000,3200SUPPORT SURFACES 435365,A000000,03300,0000,3050EQUIPMENT RENTAL 435365,A000000,03301,0000,3051PEN THERAPY 435365,A000000,04800,0000,4800AMBULANCE 435365,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435365,A000000,05300,0000,5300INTEREST EXPENSE 435365,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435365,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435365,A000000,06200,0000,6200PATIENTS LAUNDRY 435365,A000000,06300,0000,6150VENDING 435365,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435365,A81000A,00100,0100,Y 435365,A81000B,00100,0300,HOME OFFICE COST 435365,A81000C,00100,0100,B 435365,A81000C,00100,0200,CAMBRIDGE NORTH 435365,A81000C,00100,0400,SSC EQUITY HOLD 435365,A81000C,00100,0600,NSG HOMES 435365,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435365,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435365,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435365,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435365,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435365,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435365,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435365,B100000,00000,0800,0800MEALS SERVED :DIETARY 435365,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435365,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435365,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435365,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435365,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435365,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435365,E10A180,00352,0100,04/21/11 435365,E10A180,00550,0100,05/18/12 435365,S000000,00100,0200,02/24/12 435365,S200000,00100,0100,535 N. MAIN ST 435365,S200000,00200,0100,CLAWSON 435365,S200000,00200,0200,MI 435365,S200000,00200,0300,48017 435365,S200000,00300,0100,OAKLAND 435365,S200000,00300,0300,U 435365,S200000,00400,0100,CAMBRIDGE NORTH HEALTHCARE CENTER 435365,S200000,00400,0200,235214 435365,S200000,00400,0300,09/01/84 435365,S200000,00400,0500,P 435365,S200000,01500,0100,Y 435365,S200000,01501,0200,Y 435365,S200000,01502,0200,Y 435365,S200000,01504,0200,Y 435365,S200000,01600,0100,N 435365,S200000,01700,0100,N 435365,S200000,01800,0100,N 435365,S200000,02200,0100,Y 435365,S200000,02800,0100,N 435365,S200000,02900,0100,N 435365,S200000,03000,0100,N 435365,S200000,03100,0100,N 435365,S200000,03200,0100,N 435365,S200000,03300,0100,N 435365,S200000,03300,0200,N 435365,S200000,03600,0100,N 435365,S200000,03600,0200,N 435365,S200000,04100,0100,N 435365,S200000,04200,0100,N 435365,S200000,04300,0100,N 435365,S200000,04600,0100,N 435365,S200000,04700,0100,N 435365,S200000,04700,0200,N 435365,S200000,04900,0100,N 435365,S200000,05000,0100,N 435365,S200000,05100,0100,N 435365,S200000,05200,0100,N 435365,S200000,05300,0100,Y 435365,S200000,05300,0200,219023 435365,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435365,S200000,05400,0200,NOVITAS SOLUTIONS INC 435365,S200000,05400,0300,04011 435365,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435365,S200000,05600,0100,HOUSTON 435365,S200000,05600,0200,TX 435365,S200000,05600,0300,77041 435367,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435367,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435367,A000000,00300,0000,0300EMPLOYEE BENEFITS 435367,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435367,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435367,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435367,A000000,00700,0000,0700HOUSEKEEPING 435367,A000000,00800,0000,0800DIETARY 435367,A000000,00900,0000,0900NURSING ADMINISTRATION 435367,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435367,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435367,A000000,01300,0000,1300SOCIAL SERVICE 435367,A000000,01301,0000,1301ACTIVITES 435367,A000000,01500,0000,1350REHABILITATION 435367,A000000,01600,0000,1600SKILLED NURSING FACILITY 435367,A000000,01800,0000,1800NURSING FACILITY 435367,A000000,01900,0000,1900OTHER LONG TERM CARE 435367,A000000,02100,0000,2100RADIOLOGY 435367,A000000,02200,0000,2200LABORATORY 435367,A000000,02300,0000,2300INTRAVENOUS THERAPY 435367,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435367,A000000,02500,0000,2500PHYSICAL THERAPY 435367,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435367,A000000,02700,0000,2700SPEECH PATHOLOGY 435367,A000000,02800,0000,2800ELECTROCARDIOLOGY 435367,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435367,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435367,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435367,A000000,03200,0000,3200SUPPORT SURFACES 435367,A000000,03300,0000,3050EQUIPMENT RENTAL 435367,A000000,03301,0000,3051PEN THERAPY 435367,A000000,04800,0000,4800AMBULANCE 435367,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435367,A000000,05300,0000,5300INTEREST EXPENSE 435367,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435367,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435367,A000000,06200,0000,6200PATIENTS LAUNDRY 435367,A000000,06300,0000,6150VENDING 435367,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435367,A81000A,00100,0100,Y 435367,A81000B,00100,0300,HOME OFFICE COST 435367,A81000C,00100,0100,B 435367,A81000C,00100,0200,WOODLEY MANOR H 435367,A81000C,00100,0400,SSC EQUITY HOLD 435367,A81000C,00100,0600,NSG HOMES 435367,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435367,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435367,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435367,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435367,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435367,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435367,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435367,B100000,00000,0800,0800MEALS SERVED :DIETARY 435367,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435367,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435367,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435367,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435367,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435367,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435367,E10A180,00301,0100,02/10/11 435367,E10A180,00302,0100,03/17/11 435367,E10A180,00303,0100,09/30/11 435367,E10A180,00351,0100,04/26/11 435367,E10A180,00352,0100,09/30/11 435367,E10A180,00501,0300,05/22/12 435367,E10A180,00550,0100,05/22/12 435367,S000000,00100,0200,02/24/12 435367,S200000,00100,0100,3312 WOODLEY ROAD 435367,S200000,00200,0100,MONTGOMERY 435367,S200000,00200,0200,AL 435367,S200000,00200,0300,36116 435367,S200000,00300,0100,MONTGOMERY 435367,S200000,00300,0300,U 435367,S200000,00400,0100,WOODLEY MANOR HEALTH & REHAB 435367,S200000,00400,0200,015037 435367,S200000,00400,0300,01/04/67 435367,S200000,00400,0500,P 435367,S200000,01500,0100,Y 435367,S200000,01501,0200,Y 435367,S200000,01502,0200,Y 435367,S200000,01504,0200,Y 435367,S200000,01600,0100,N 435367,S200000,01700,0100,N 435367,S200000,01800,0100,N 435367,S200000,02200,0100,Y 435367,S200000,02800,0100,N 435367,S200000,02900,0100,N 435367,S200000,03000,0100,N 435367,S200000,03100,0100,N 435367,S200000,03200,0100,N 435367,S200000,03300,0100,N 435367,S200000,03300,0200,N 435367,S200000,04100,0100,N 435367,S200000,04200,0100,N 435367,S200000,04300,0100,N 435367,S200000,04600,0100,N 435367,S200000,04700,0100,N 435367,S200000,04700,0200,N 435367,S200000,04900,0100,N 435367,S200000,05000,0100,N 435367,S200000,05100,0100,N 435367,S200000,05200,0100,N 435367,S200000,05300,0100,Y 435367,S200000,05300,0200,219023 435367,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435367,S200000,05400,0200,TRAILBLAZER 435367,S200000,05400,0300,04901 435367,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435367,S200000,05600,0100,HOUSTON 435367,S200000,05600,0200,TX 435367,S200000,05600,0300,77041 435368,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435368,A000000,00101,0000,0101CAP REL COSTS - 1986 ADDITIONS 435368,A000000,00102,0000,0102CAP REL COSTS - BLDGS & FIXTURES 435368,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435368,A000000,00300,0000,0300EMPLOYEE BENEFITS 435368,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435368,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435368,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435368,A000000,00700,0000,0700HOUSEKEEPING 435368,A000000,00800,0000,0800DIETARY 435368,A000000,00900,0000,0900NURSING ADMINISTRATION 435368,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435368,A000000,01100,0000,1100PHARMACY 435368,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435368,A000000,01300,0000,1300SOCIAL SERVICE 435368,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435368,A000000,01500,0000,1350OTHER GENERAL SERVICES 435368,A000000,01600,0000,1600SKILLED NURSING FACILITY 435368,A000000,01800,0000,1800NURSING FACILITY 435368,A000000,01810,0000,1810ICF/MR 435368,A000000,01900,0000,1900OTHER LONG TERM CARE 435368,A000000,02100,0000,2100RADIOLOGY 435368,A000000,02200,0000,2200LABORATORY 435368,A000000,02300,0000,2300INTRAVENOUS THERAPY 435368,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435368,A000000,02500,0000,2500PHYSICAL THERAPY 435368,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435368,A000000,02700,0000,2700SPEECH PATHOLOGY 435368,A000000,02800,0000,2800ELECTROCARDIOLOGY 435368,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435368,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435368,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435368,A000000,03200,0000,3200SUPPORT SURFACES 435368,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435368,A000000,03400,0000,3400CLINIC 435368,A000000,03500,0000,3500RURAL HEALTH CLINIC 435368,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435368,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435368,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435368,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435368,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435368,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435368,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435368,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435368,A000000,04400,0000,4400DME RENTED - HHA 435368,A000000,04500,0000,4500DME SOLD - HHA 435368,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435368,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435368,A000000,04710,0000,4710TELEMEDICINE 435368,A000000,04800,0000,4800AMBULANCE 435368,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435368,A000000,05000,0000,5000CORF 435368,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435368,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435368,A000000,05300,0000,5300INTEREST EXPENSE 435368,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435368,A000000,05500,0000,5500HOSPICE 435368,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435368,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435368,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435368,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435368,A000000,06100,0000,6100NONPAID WORKERS 435368,A000000,06200,0000,6200PATIENTS LAUNDRY 435368,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435368,A81000A,00100,0100,Y 435368,A81000B,00100,0300,PAYROLL TAX 435368,A81000B,00200,0300,PENSION 435368,A81000B,00300,0300,SALARIES 435368,A81000B,00400,0300,OVERHEAD 435368,A81000C,00100,0100,G 435368,A81000C,00100,0400,LEE BIVINS FOUNDATION 435368,A81000C,00100,0600,NON PROFIT FOUNDATION 435368,A81000C,03100,0000,FOUNDATION 435368,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435368,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - 19 435368,B100000,00000,0102,0102SQUARE FEET :CAP REL COSTS - BL 435368,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435368,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435368,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435368,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435368,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 435368,B100000,00000,0700,0750COST :HOUSEKEEPING 435368,B100000,00000,0800,0800MEALS SERVED :DIETARY 435368,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 435368,B100000,00000,1000,1050SUPPLY EXPENSE :CENTRAL SERVICE 435368,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435368,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 435368,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 435368,E10A180,00301,0100,06/09/11 435368,E10A180,00350,0100,05/22/12 435368,E10A180,00501,0300,05/25/12 435368,E10A180,00550,0100,05/25/12 435368,G300000,02500,0000,BEAUTY SHOP REVENUE 435368,G300000,02501,0000,MISCELLANEOUS INCOME 435368,G300000,02502,0000,GIFT CARD INCOME 435368,G300000,02503,0000,GAIN ON ASSET DISPOSAL 435368,S000000,00100,0200,03/01/12 435368,S200000,00100,0100,1001 WALLACE BLVD. 435368,S200000,00200,0100,AMARILLO 435368,S200000,00200,0200,TX 435368,S200000,00200,0300,79106 435368,S200000,00300,0100,POTTER 435368,S200000,00300,0200,0320 435368,S200000,00300,0201,11100 435368,S200000,00300,0300,U 435368,S200000,00400,0100,BIVINS MEMORIAL NURSING HOME 435368,S200000,00400,0200,455456 435368,S200000,00400,0300,01/01/80 435368,S200000,00400,0500,P 435368,S200000,01500,0100,N 435368,S200000,01501,0200,Y 435368,S200000,01600,0100,Y 435368,S200000,01700,0100,N 435368,S200000,01800,0100,N 435368,S200000,02200,0100,N 435368,S200000,02800,0100,N 435368,S200000,02900,0100,N 435368,S200000,03000,0100,N 435368,S200000,03100,0100,N 435368,S200000,03200,0100,N 435368,S200000,03300,0100,N 435368,S200000,03300,0200,N 435368,S200000,03600,0100,N 435368,S200000,03600,0200,N 435368,S200000,04100,0100,N 435368,S200000,04200,0100,N 435368,S200000,04300,0100,N 435368,S200000,04600,0100,N 435368,S200000,04700,0100,N 435368,S200000,04700,0200,N 435368,S200000,04900,0100,N 435368,S200000,05000,0100,N 435368,S200000,05100,0100,N 435368,S200000,05200,0100,N 435377,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435377,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435377,A000000,00300,0000,0300EMPLOYEE BENEFITS 435377,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435377,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435377,A000000,00700,0000,0700HOUSEKEEPING 435377,A000000,00800,0000,0800DIETARY 435377,A000000,00900,0000,0900NURSING ADMINISTRATION 435377,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435377,A000000,01300,0000,1300SOCIAL SERVICE 435377,A000000,01600,0000,1600SKILLED NURSING FACILITY 435377,A000000,01800,0000,1800NURSING FACILITY 435377,A000000,01810,0000,1810ICF/MR 435377,A000000,01900,0000,1900OTHER LONG TERM CARE 435377,A000000,02100,0000,2100RADIOLOGY 435377,A000000,02200,0000,2200LABORATORY 435377,A000000,02300,0000,2300INTRAVENOUS THERAPY 435377,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435377,A000000,02500,0000,2500PHYSICAL THERAPY 435377,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435377,A000000,02700,0000,2700SPEECH PATHOLOGY 435377,A000000,02800,0000,2800ELECTROCARDIOLOGY 435377,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435377,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435377,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435377,A000000,03200,0000,3200SUPPORT SURFACES 435377,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435377,A000000,03400,0000,3400CLINIC 435377,A000000,03500,0000,3500RURAL HEALTH CLINIC 435377,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 435377,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435377,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435377,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435377,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435377,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435377,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435377,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435377,A000000,04400,0000,4400DME RENTED - HHA 435377,A000000,04500,0000,4500DME SOLD - HHA 435377,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435377,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435377,A000000,04710,0000,4710TELEMEDICINE 435377,A000000,04800,0000,4800AMBULANCE 435377,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435377,A000000,05000,0000,5000CORF 435377,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435377,A000000,05300,0000,5300INTEREST EXPENSE 435377,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435377,A000000,05500,0000,5500HOSPICE 435377,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435377,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435377,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435377,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435377,A000000,06100,0000,6100NONPAID WORKERS 435377,A000000,06200,0000,6200PATIENTS LAUNDRY 435377,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 435377,A81000A,00100,0100,N 435377,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435377,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435377,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435377,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435377,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435377,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 435377,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435377,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435377,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435377,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435377,S000000,00100,0200,12/07/12 435377,S200000,00100,0100,8555 S LEWIS AVE 435377,S200000,00200,0100,TULSA 435377,S200000,00200,0200,OK 435377,S200000,00200,0300,74137 435377,S200000,00300,0100,TULSA 435377,S200000,00300,0200,8560 435377,S200000,00300,0300,U 435377,S200000,00400,0100,UNIVERSITY VILLAGE HEALTHCARE 435377,S200000,00400,0200,375531 435377,S200000,00400,0300,06/05/09 435377,S200000,00400,0500,P 435377,S200000,01500,0100,N 435377,S200000,01600,0100,N 435377,S200000,01700,0100,N 435377,S200000,01800,0100,N 435377,S200000,02200,0100,N 435377,S200000,02800,0100,N 435377,S200000,02900,0100,N 435377,S200000,03000,0100,N 435377,S200000,03100,0100,N 435377,S200000,03200,0100,N 435377,S200000,03300,0100,N 435377,S200000,03300,0200,N 435377,S200000,03600,0100,N 435377,S200000,03600,0200,N 435377,S200000,04100,0100,N 435377,S200000,04200,0100,N 435377,S200000,04300,0100,N 435377,S200000,04600,0100,N 435377,S200000,04700,0100,N 435377,S200000,04700,0200,N 435377,S200000,04900,0100,N 435377,S200000,05000,0100,N 435377,S200000,05100,0100,N 435377,S200000,05200,0100,N 435378,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435378,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435378,A000000,00300,0000,0300EMPLOYEE BENEFITS 435378,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435378,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435378,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435378,A000000,00700,0000,0700HOUSEKEEPING 435378,A000000,00800,0000,0800DIETARY 435378,A000000,00900,0000,0900NURSING ADMINISTRATION 435378,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435378,A000000,01100,0000,1100PHARMACY 435378,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435378,A000000,01300,0000,1300SOCIAL SERVICE 435378,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435378,A000000,01500,0000,1350OTHER GENERAL SERVICES 435378,A000000,01600,0000,1600SKILLED NURSING FACILITY 435378,A000000,01800,0000,1800NURSING FACILITY 435378,A000000,01810,0000,1810ICF/MR 435378,A000000,01900,0000,1900OTHER LONG TERM CARE 435378,A000000,02100,0000,2100RADIOLOGY 435378,A000000,02200,0000,2200LABORATORY 435378,A000000,02300,0000,2300INTRAVENOUS THERAPY 435378,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435378,A000000,02500,0000,2500PHYSICAL THERAPY 435378,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435378,A000000,02700,0000,2700SPEECH PATHOLOGY 435378,A000000,02800,0000,2800ELECTROCARDIOLOGY 435378,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435378,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435378,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435378,A000000,03200,0000,3200SUPPORT SURFACES 435378,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435378,A000000,03400,0000,3400CLINIC 435378,A000000,03500,0000,3500RURAL HEALTH CLINIC 435378,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435378,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435378,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435378,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435378,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435378,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435378,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435378,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435378,A000000,04400,0000,4400DME RENTED - HHA 435378,A000000,04500,0000,4500DME SOLD - HHA 435378,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435378,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435378,A000000,04710,0000,4710TELEMEDICINE 435378,A000000,04800,0000,4800AMBULANCE 435378,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435378,A000000,05000,0000,5000CORF 435378,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435378,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435378,A000000,05300,0000,5300INTEREST EXPENSE 435378,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435378,A000000,05500,0000,5500HOSPICE 435378,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435378,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435378,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435378,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435378,A000000,06100,0000,6100NONPAID WORKERS 435378,A000000,06200,0000,6200PATIENTS LAUNDRY 435378,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435378,A81000A,00100,0100,Y 435378,A81000B,00100,0300,MANAGEMENT FEES 435378,A81000C,00100,0100,A 435378,A81000C,00100,0200,BOBBY ARNOLD/JOHN BLACK 435378,A81000C,00100,0400,HCM INC 435378,A81000C,00100,0600,MANAGEMENT 435378,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435378,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435378,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435378,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435378,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435378,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435378,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435378,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435378,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435378,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435378,E10A180,00501,0100,05/21/12 435378,E10A180,00501,0300,05/21/12 435378,G300000,02500,0000,PERSONAL PURCHASES 435378,S000000,00100,0200,02/29/12 435378,S200000,00100,0100,309 RAILROAD 435378,S200000,00200,0100,HULL 435378,S200000,00200,0200,IA 435378,S200000,00200,0300,51239 435378,S200000,00300,0100,SIOUX 435378,S200000,00300,0200,16 435378,S200000,00300,0201,99916 435378,S200000,00300,0300,R 435378,S200000,00400,0100,PLEASANT ACRES CARE CENTER 435378,S200000,00400,0200,165248 435378,S200000,00400,0300,01/01/95 435378,S200000,00400,0500,P 435378,S200000,01500,0100,Y 435378,S200000,01501,0200,N 435378,S200000,01502,0200,N 435378,S200000,01503,0200,Y 435378,S200000,01504,0200,N 435378,S200000,01600,0100,N 435378,S200000,01700,0100,N 435378,S200000,01800,0100,N 435378,S200000,02200,0100,N 435378,S200000,02800,0100,N 435378,S200000,02900,0100,N 435378,S200000,03000,0100,N 435378,S200000,03100,0100,N 435378,S200000,03200,0100,N 435378,S200000,03300,0100,N 435378,S200000,03300,0200,N 435378,S200000,04100,0100,N 435378,S200000,04200,0100,N 435378,S200000,04300,0100,N 435378,S200000,04600,0100,N 435378,S200000,04700,0100,N 435378,S200000,04700,0200,N 435378,S200000,04900,0100,N 435378,S200000,05000,0100,N 435378,S200000,05100,0100,N 435378,S200000,05200,0100,N 435378,S200000,05300,0100,Y 435378,S200000,05300,0200,H05700 435378,S200000,05400,0100,HCM INC 435378,S200000,05400,0200,PINNACLE BUSINESS SOULUTIONS INC 435378,S200000,05400,0300,00233 435378,S200000,05500,0100,460 BRIARWOOD DR SUITE 410 435378,S200000,05600,0100,JACKSON 435378,S200000,05600,0200,MS 435378,S200000,05600,0300,39206 435380,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435380,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435380,A000000,00300,0000,0300EMPLOYEE BENEFITS 435380,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435380,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435380,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435380,A000000,00700,0000,0700HOUSEKEEPING 435380,A000000,00800,0000,0800DIETARY 435380,A000000,00900,0000,0900NURSING ADMINISTRATION 435380,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435380,A000000,01100,0000,1100PHARMACY 435380,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435380,A000000,01300,0000,1300SOCIAL SERVICE 435380,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435380,A000000,01500,0000,1350OTHER GENERAL SERVICES 435380,A000000,01600,0000,1600SKILLED NURSING FACILITY 435380,A000000,01800,0000,1800NURSING FACILITY 435380,A000000,01810,0000,1810ICF/MR 435380,A000000,01900,0000,1900OTHER LONG TERM CARE 435380,A000000,02100,0000,2100RADIOLOGY 435380,A000000,02200,0000,2200LABORATORY 435380,A000000,02300,0000,2300INTRAVENOUS THERAPY 435380,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435380,A000000,02500,0000,2500PHYSICAL THERAPY 435380,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435380,A000000,02700,0000,2700SPEECH PATHOLOGY 435380,A000000,02800,0000,2800ELECTROCARDIOLOGY 435380,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435380,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435380,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435380,A000000,03200,0000,3200SUPPORT SURFACES 435380,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435380,A000000,03400,0000,3400CLINIC 435380,A000000,03500,0000,3500RURAL HEALTH CLINIC 435380,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435380,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435380,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435380,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435380,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435380,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435380,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435380,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435380,A000000,04400,0000,4400DME RENTED - HHA 435380,A000000,04500,0000,4500DME SOLD - HHA 435380,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435380,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435380,A000000,04710,0000,4710TELEMEDICINE 435380,A000000,04800,0000,4800AMBULANCE 435380,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435380,A000000,05000,0000,5000CORF 435380,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435380,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435380,A000000,05300,0000,5300INTEREST EXPENSE 435380,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435380,A000000,05500,0000,5500HOSPICE 435380,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435380,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435380,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435380,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435380,A000000,06100,0000,6100NONPAID WORKERS 435380,A000000,06200,0000,6200PATIENTS LAUNDRY 435380,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435380,A81000A,00100,0100,Y 435380,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435380,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435380,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435380,A81000B,00400,0300,HO ALLOCATION 435380,A81000B,00500,0300,HO ALLOCATION 435380,A81000B,00600,0300,HO ALLOCATION 435380,A81000B,00700,0300,HMS GPO FEES 435380,A81000B,00800,0300,HMS GPO FEES 435380,A81000B,00900,0300,HMS GPO FEES 435380,A81000B,01000,0300,HMS GPO FEES 435380,A81000B,01100,0300,HMS GPO FEES 435380,A81000B,01200,0300,HMS GPO FEES 435380,A81000B,01300,0300,HMS GPO FEES 435380,A81000B,01400,0300,HMS GPO FEES 435380,A81000B,01500,0300,HMS GPO FEES 435380,A81000B,01600,0300,HMS GPO FEES 435380,A81000C,00100,0100,B 435380,A81000C,00100,0400,HALCYON REHAB. LLC 435380,A81000C,00100,0600,REHAB. SERVICES 435380,A81000C,00200,0100,B 435380,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435380,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 435380,A81000C,00300,0100,F 435380,A81000C,00300,0200,RELATED FAMILY TRUSTS 435380,A81000C,00300,0400,HMS PURCHASING LLC 435380,A81000C,00300,0600,GROUP PURCHASING ORG. 435380,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435380,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435380,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435380,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435380,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435380,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435380,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435380,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435380,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435380,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435380,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435380,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435380,G300000,02500,0000,OTHER REVENUE 435380,S000000,00100,0200,12/16/11 435380,S200000,00100,0100,4005 NORTH BLVD 435380,S200000,00200,0100,BATON ROUGE 435380,S200000,00200,0200,LA 435380,S200000,00200,0300,70806-3830 435380,S200000,00300,0100,E. BATON ROUGE 435380,S200000,00300,0200,0760 435380,S200000,00300,0201,12940 435380,S200000,00300,0300,U 435380,S200000,00400,0100,ACADIAN NSG & REHAB CTR 435380,S200000,00400,0200,195505 435380,S200000,00400,0300,11/16/00 435380,S200000,00400,0500,P 435380,S200000,01500,0100,Y 435380,S200000,01501,0200,Y 435380,S200000,01502,0200,Y 435380,S200000,01600,0100,N 435380,S200000,01700,0100,N 435380,S200000,01800,0100,N 435380,S200000,02200,0100,N 435380,S200000,02800,0100,N 435380,S200000,02900,0100,N 435380,S200000,03000,0100,N 435380,S200000,03100,0100,N 435380,S200000,03200,0100,N 435380,S200000,03300,0100,N 435380,S200000,03300,0200,N 435380,S200000,04100,0100,N 435380,S200000,04200,0100,N 435380,S200000,04300,0100,N 435380,S200000,04600,0100,N 435380,S200000,04700,0100,N 435380,S200000,04700,0200,N 435380,S200000,04900,0100,N 435380,S200000,05000,0100,N 435380,S200000,05100,0100,N 435380,S200000,05200,0100,N 435380,S200000,05300,0100,Y 435380,S200000,05300,0200,339003 435380,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435380,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435380,S200000,05400,0300,05401 435380,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435380,S200000,05600,0100,WHITE PLAINS 435380,S200000,05600,0200,NY 435380,S200000,05600,0300,10604 435382,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435382,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435382,A000000,00300,0000,0300EMPLOYEE BENEFITS 435382,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435382,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435382,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435382,A000000,00700,0000,0700HOUSEKEEPING 435382,A000000,00800,0000,0800DIETARY 435382,A000000,00900,0000,0900NURSING ADMINISTRATION 435382,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435382,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435382,A000000,01300,0000,1300SOCIAL SERVICE 435382,A000000,01301,0000,1301ACTIVITES 435382,A000000,01500,0000,1350REHABILITATION 435382,A000000,01600,0000,1600SKILLED NURSING FACILITY 435382,A000000,01800,0000,1800NURSING FACILITY 435382,A000000,01900,0000,1900OTHER LONG TERM CARE 435382,A000000,02100,0000,2100RADIOLOGY 435382,A000000,02200,0000,2200LABORATORY 435382,A000000,02300,0000,2300INTRAVENOUS THERAPY 435382,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435382,A000000,02500,0000,2500PHYSICAL THERAPY 435382,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435382,A000000,02700,0000,2700SPEECH PATHOLOGY 435382,A000000,02800,0000,2800ELECTROCARDIOLOGY 435382,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435382,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435382,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435382,A000000,03200,0000,3200SUPPORT SURFACES 435382,A000000,03300,0000,3050EQUIPMENT RENTAL 435382,A000000,03301,0000,3051PEN THERAPY 435382,A000000,04800,0000,4800AMBULANCE 435382,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435382,A000000,05300,0000,5300INTEREST EXPENSE 435382,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435382,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435382,A000000,06200,0000,6200PATIENTS LAUNDRY 435382,A000000,06300,0000,6150VENDING 435382,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435382,A81000A,00100,0100,Y 435382,A81000B,00100,0300,HOME OFFICE COST 435382,A81000C,00100,0100,B 435382,A81000C,00100,0200,BOULDER MANOR 435382,A81000C,00100,0400,SSC EQUITY HOLD 435382,A81000C,00100,0600,NSG HOMES 435382,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435382,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435382,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435382,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435382,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435382,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435382,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435382,B100000,00000,0800,0800MEALS SERVED :DIETARY 435382,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435382,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435382,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435382,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435382,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435382,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435382,E10A180,00351,0100,05/18/11 435382,E10A180,00501,0100,05/04/12 435382,E10A180,00550,0300,05/04/12 435382,G300000,02500,0000, OTHER (SPECIFY) 435382,S000000,00100,0200,02/10/12 435382,S200000,00100,0100,4685 E. BASELINE RD 435382,S200000,00200,0100,BOULDER 435382,S200000,00200,0200,CO 435382,S200000,00200,0300,80303 435382,S200000,00300,0100,BOULDER 435382,S200000,00300,0300,U 435382,S200000,00400,0100,BOULDER MANOR 435382,S200000,00400,0200,065222 435382,S200000,00400,0300,10/01/85 435382,S200000,00400,0500,P 435382,S200000,01500,0100,Y 435382,S200000,01501,0200,N 435382,S200000,01502,0200,N 435382,S200000,01504,0200,N 435382,S200000,01600,0100,N 435382,S200000,01700,0100,N 435382,S200000,01800,0100,N 435382,S200000,02200,0100,Y 435382,S200000,02800,0100,N 435382,S200000,02900,0100,N 435382,S200000,03000,0100,N 435382,S200000,03100,0100,N 435382,S200000,03200,0100,N 435382,S200000,03300,0100,N 435382,S200000,03300,0200,N 435382,S200000,04100,0100,N 435382,S200000,04200,0100,N 435382,S200000,04300,0100,N 435382,S200000,04600,0100,N 435382,S200000,04700,0100,N 435382,S200000,04700,0200,N 435382,S200000,04900,0100,N 435382,S200000,05000,0100,N 435382,S200000,05100,0100,N 435382,S200000,05200,0100,N 435382,S200000,05300,0100,Y 435382,S200000,05300,0200,219023 435382,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435382,S200000,05400,0200,TRAILBLAZER 435382,S200000,05400,0300,04901 435382,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435382,S200000,05600,0100,HOUSTON 435382,S200000,05600,0200,TX 435382,S200000,05600,0300,77041 435384,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435384,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435384,A000000,00300,0000,0300EMPLOYEE BENEFITS 435384,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435384,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435384,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435384,A000000,00700,0000,0700HOUSEKEEPING 435384,A000000,00800,0000,0800DIETARY 435384,A000000,00900,0000,0900NURSING ADMINISTRATION 435384,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435384,A000000,01100,0000,1100PHARMACY 435384,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435384,A000000,01300,0000,1300SOCIAL SERVICE 435384,A000000,01301,0000,1301ACTIVITIES ICE 435384,A000000,01600,0000,1600SKILLED NURSING FACILITY 435384,A000000,01800,0000,1800NURSING FACILITY 435384,A000000,02100,0000,2100RADIOLOGY 435384,A000000,02200,0000,2200LABORATORY 435384,A000000,02300,0000,2300INTRAVENOUS THERAPY 435384,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435384,A000000,02500,0000,2500PHYSICAL THERAPY 435384,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435384,A000000,02700,0000,2700SPEECH PATHOLOGY 435384,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435384,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435384,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435384,A000000,03301,0000,3051MEDICAL EQUIPMENT RVICE COST CEN 435384,A000000,04800,0000,4800AMBULANCE 435384,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435384,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435384,A81000A,00100,0100,Y 435384,A81000B,00100,0300,HOME OFFICE CAPITAL 435384,A81000B,00200,0300,HOME OFFICE NONCAPITAL 435384,A81000B,00300,0300,PHYSICAL THERAPY 435384,A81000B,00400,0300,OCCUPATIONAL THERAPY 435384,A81000B,00500,0300,SPEECH THERAPY 435384,A81000C,00100,0100,A 435384,A81000C,00100,0200,DAYBREAK PARTNERS LLC 435384,A81000C,00100,0400,DAYBREAK VENTURE LLC 435384,A81000C,00100,0600,HOME OFFICE 435384,A81000C,00200,0100,B 435384,A81000C,00200,0200,DAYBREAK THERAPY INC 435384,A81000C,00200,0400,DAYBREAK PARTNERS LLC 435384,A81000C,00200,0600,THERAPY COMPANY 435384,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435384,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435384,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435384,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435384,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435384,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435384,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435384,B100000,00000,0800,0800MEALS SERVED :DIETARY 435384,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 435384,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435384,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435384,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435384,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435384,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES ICE 435384,S000000,00100,0200,03/27/12 435384,S200000,00100,0100,101 SOUTH 34TH STREET 435384,S200000,00200,0100,GATESVILLE 435384,S200000,00200,0200,TX 435384,S200000,00200,0300,76528-2699 435384,S200000,00300,0100,CORYELL 435384,S200000,00300,0200,3810 435384,S200000,00300,0201,28660 435384,S200000,00300,0300,U 435384,S200000,00400,0100,HILLSIDE MANOR NURSING & REHABILITAT 435384,S200000,00400,0200,675201 435384,S200000,00400,0300,11/16/93 435384,S200000,00400,0500,P 435384,S200000,01500,0100,Y 435384,S200000,01501,0200,N 435384,S200000,01503,0200,N 435384,S200000,01504,0200,N 435384,S200000,01600,0100,N 435384,S200000,01700,0100,N 435384,S200000,01800,0100,N 435384,S200000,02200,0100,Y 435384,S200000,02800,0100,N 435384,S200000,02900,0100,N 435384,S200000,03000,0100,N 435384,S200000,03100,0100,N 435384,S200000,03200,0100,N 435384,S200000,03300,0100,N 435384,S200000,03300,0200,N 435384,S200000,04100,0100,N 435384,S200000,04200,0100,N 435384,S200000,04300,0100,Y 435384,S200000,04600,0100,N 435384,S200000,04700,0100,N 435384,S200000,04700,0200,N 435384,S200000,04900,0100,N 435384,S200000,05000,0100,N 435384,S200000,05100,0100,N 435384,S200000,05200,0100,N 435385,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435385,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435385,A000000,00300,0000,0300EMPLOYEE BENEFITS 435385,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435385,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435385,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435385,A000000,00700,0000,0700HOUSEKEEPING 435385,A000000,00800,0000,0800DIETARY 435385,A000000,00900,0000,0900NURSING ADMINISTRATION 435385,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435385,A000000,01100,0000,1100PHARMACY 435385,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435385,A000000,01300,0000,1300SOCIAL SERVICE 435385,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435385,A000000,01500,0000,1350OTHER GENERAL SERVICES 435385,A000000,01600,0000,1600SKILLED NURSING FACILITY 435385,A000000,01800,0000,1800NURSING FACILITY 435385,A000000,01900,0000,1900OTHER LONG TERM CARE 435385,A000000,02100,0000,2100RADIOLOGY 435385,A000000,02200,0000,2200LABORATORY 435385,A000000,02300,0000,2300INTRAVENOUS THERAPY 435385,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435385,A000000,02500,0000,2500PHYSICAL THERAPY 435385,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435385,A000000,02700,0000,2700SPEECH PATHOLOGY 435385,A000000,02800,0000,2800ELECTROCARDIOLOGY 435385,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435385,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435385,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435385,A000000,03200,0000,3200SUPPORT SURFACES 435385,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435385,A000000,03400,0000,3400CLINIC 435385,A000000,03500,0000,3500RURAL HEALTH CLINIC 435385,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435385,A000000,04800,0000,4800AMBULANCE 435385,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435385,A000000,05000,0000,5000CORF 435385,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435385,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435385,A000000,05300,0000,5300INTEREST EXPENSE 435385,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435385,A000000,05500,0000,5500HOSPICE 435385,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435385,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435385,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435385,A000000,06200,0000,6200PATIENTS LAUNDRY 435385,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435385,A81000A,00100,0100,Y 435385,A81000B,00100,0300,HOME OFFICE ALLOCATION 435385,A81000B,00200,0300,HOME OFFICE ALLOCATION 435385,A81000B,00300,0300,EMPLOYEE FLU SHOTS 435385,A81000B,00400,0300,MEDICAL SUPPLIES CHARGEABLE 435385,A81000B,00500,0300,NURSING SUPPLY 435385,A81000B,00600,0300,IV PHARMACY FLU SHOTS 435385,A81000B,00700,0300,REHAB 435385,A81000B,00800,0300,REHAB 435385,A81000B,00900,0300,REHAB 435385,A81000B,01000,0300,INTERNAL CONTRACT LABOR 435385,A81000B,01100,0300,INTERNAL CONTRACT LABOR 435385,A81000C,00100,0100,B 435385,A81000C,00100,0400,DD&F 435385,A81000C,00100,0600,OWNS PROVIDER 435385,A81000C,00200,0100,B 435385,A81000C,00200,0400,PRESTIGE CARE INC 435385,A81000C,00200,0600,OWNS DD&F 435385,A81000C,00300,0100,A 435385,A81000C,00300,0200,RICK DELAMARTER 435385,A81000C,00300,0400,PRESTIGE CARE INC 435385,A81000C,00300,0600,HOME OFFICE 435385,A81000C,00400,0100,A 435385,A81000C,00400,0200,HAROLD DELAMARTER 435385,A81000C,00400,0400,PRESTIGE CARE INC 435385,A81000C,00400,0600,HOME OFFICE 435385,A81000C,00500,0100,A 435385,A81000C,00500,0200,GREG VISLOCKY 435385,A81000C,00500,0400,PRESTIGE CARE INC 435385,A81000C,00500,0600,HOME OFFICE 435385,A81000C,00600,0100,A 435385,A81000C,00600,0200,RICK DELAMARTER 435385,A81000C,00600,0400,CYPRESS VENTURES 435385,A81000C,00600,0600,PROPAC PHARMACY 435385,A81000C,00700,0100,A 435385,A81000C,00700,0200,HAROLD DELAMARTER 435385,A81000C,00700,0400,CYPRESS VENTURES 435385,A81000C,00700,0600,PROPAC PHARMACY 435385,A81000C,00800,0100,A 435385,A81000C,00800,0200,GREG VISLOCKY 435385,A81000C,00800,0400,CYPRESS VENTURES 435385,A81000C,00800,0600,PROPAC PHARMACY 435385,A81000C,00900,0100,A 435385,A81000C,00900,0200,RICK DELAMARTER 435385,A81000C,00900,0400,SPOKANE CARE VENTURES I 435385,A81000C,00900,0600,LANDLORD 435385,A81000C,01000,0100,A 435385,A81000C,01000,0200,HAROLD DELAMARTER 435385,A81000C,01000,0400,SPOKANE CARE VENTURES I 435385,A81000C,01000,0600,LANDLORD 435385,A81000C,01001,0100,A 435385,A81000C,01001,0200,GREG VISLOCKY 435385,A81000C,01001,0400,SPOKANE CARE VENTURES I 435385,A81000C,01001,0600,LANDLORD 435385,A81000C,01002,0100,G 435385,A81000C,01002,0400,AUGUSTA VENTURES 435385,A81000C,01002,0600,PREMERE REHAB COMPANY 435385,A81000C,01004,0200,NOTE: RICK HAROLD & GREG 435385,A81000C,01004,0400,NOTE: PREMERE REHAB MEETS 435385,A81000C,01004,0600,SEE ATTACHED RELATED 435385,A81000C,01005,0200,HAVE OWNERSHIP INTEREST 435385,A81000C,01005,0400,THE 10.10 EXCEPTION 435385,A81000C,01005,0600,PARTY RELATIONSHIPS 435385,A81000C,01006,0200,IN THE PROVIDER BY WAY OF 435385,A81000C,01006,0400,CRITERIA 435385,A81000C,01007,0200,PRESTIGE CARE & DD&F 435385,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435385,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435385,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435385,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435385,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435385,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435385,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435385,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435385,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435385,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435385,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435385,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435385,E10A180,00550,0100,03/26/12 435385,G300000,02500,0000,OTHER INCOME 435385,S000000,00100,0200,03/01/12 435385,S200000,00100,0100,14820 EAST FOURTH 435385,S200000,00200,0100,SPOKANE 435385,S200000,00200,0200,WA 435385,S200000,00200,0300,99216 435385,S200000,00300,0100,SPOKANE 435385,S200000,00300,0200,7840 435385,S200000,00300,0201,44060 435385,S200000,00300,0300,U 435385,S200000,00400,0100,SULLIVAN PARK CARE CENTER 435385,S200000,00400,0200,505383 435385,S200000,00400,0300,06/01/91 435385,S200000,00400,0500,P 435385,S200000,01500,0100,Y 435385,S200000,01501,0200,Y 435385,S200000,01502,0200,N 435385,S200000,01600,0100,N 435385,S200000,01700,0100,N 435385,S200000,01800,0100,N 435385,S200000,02200,0100,N 435385,S200000,02800,0100,Y 435385,S200000,02900,0100,N 435385,S200000,03000,0100,N 435385,S200000,03100,0100,N 435385,S200000,03200,0100,N 435385,S200000,03300,0100,N 435385,S200000,03300,0200,N 435385,S200000,04100,0100,N 435385,S200000,04200,0100,N 435385,S200000,04300,0100,N 435385,S200000,04600,0100,N 435385,S200000,04700,0100,N 435385,S200000,04700,0200,N 435385,S200000,04900,0100,N 435385,S200000,05000,0100,N 435385,S200000,05100,0100,N 435385,S200000,05200,0100,N 435385,S200000,05300,0100,Y 435385,S200000,05300,0200,HB0440 435385,S200000,05400,0100,PRESTIGE CARE INC 435385,S200000,05400,0200,NORDIAN 435385,S200000,05400,0300,00325 435385,S200000,05500,0100,7700 NE PARKWAY DRIVE 435385,S200000,05600,0100,VANCOUVER 435385,S200000,05600,0200,WA 435385,S200000,05600,0300,98662 435386,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435386,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435386,A000000,00300,0000,0300EMPLOYEE BENEFITS 435386,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435386,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435386,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435386,A000000,00700,0000,0700HOUSEKEEPING 435386,A000000,00800,0000,0800DIETARY 435386,A000000,00900,0000,0900NURSING ADMINISTRATION 435386,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435386,A000000,01100,0000,1100PHARMACY 435386,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435386,A000000,01300,0000,1300SOCIAL SERVICE 435386,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435386,A000000,01500,0000,1350OTHER GENERAL SERVICES 435386,A000000,01600,0000,1600SKILLED NURSING FACILITY 435386,A000000,01800,0000,1800NURSING FACILITY 435386,A000000,01810,0000,1810ICF/MR 435386,A000000,01900,0000,1900OTHER LONG TERM CARE 435386,A000000,02100,0000,2100RADIOLOGY 435386,A000000,02200,0000,2200LABORATORY 435386,A000000,02300,0000,2300INTRAVENOUS THERAPY 435386,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435386,A000000,02500,0000,2500PHYSICAL THERAPY 435386,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435386,A000000,02700,0000,2700SPEECH PATHOLOGY 435386,A000000,02800,0000,2800ELECTROCARDIOLOGY 435386,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435386,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435386,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435386,A000000,03200,0000,3200SUPPORT SURFACES 435386,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435386,A000000,03400,0000,3400CLINIC 435386,A000000,03500,0000,3500RURAL HEALTH CLINIC 435386,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435386,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435386,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435386,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435386,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435386,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435386,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435386,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435386,A000000,04400,0000,4400DME RENTED - HHA 435386,A000000,04500,0000,4500DME SOLD - HHA 435386,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435386,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435386,A000000,04710,0000,4710TELEMEDICINE 435386,A000000,04800,0000,4800AMBULANCE 435386,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435386,A000000,05000,0000,5000CORF 435386,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435386,A000000,05101,0000,4751BED TAX 435386,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435386,A000000,05300,0000,5300INTEREST EXPENSE 435386,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435386,A000000,05500,0000,5500HOSPICE 435386,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435386,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435386,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435386,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435386,A000000,06100,0000,6100NONPAID WORKERS 435386,A000000,06200,0000,6200PATIENTS LAUNDRY 435386,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435386,A81000A,00100,0100,Y 435386,A81000B,00100,0300,HOSPITAL LAUNDRY 435386,A81000B,00200,0300,HOSPITAL DIETARY 435386,A81000B,00300,0300,HOSPITAL CAFETERIA 435386,A81000B,00400,0300,HOSP BLDG DEP FOR NH THERAPY 435386,A81000B,00500,0300,EQUIMT DEP FOR NH THERAPY 435386,A81000B,00600,0300,MAINT TO NH THERAPY 435386,A81000B,00700,0300,UTLITIES TO NH THERAPY 435386,A81000B,00800,0300,HOUSEKEEPING TO NH THERAPY 435386,A81000B,00900,0300,INTEREST TO NH 435386,A81000B,01000,0300,CS SALARIES 435386,A81000B,01100,0300,BENEFITS 435386,A81000B,01200,0300,ADMIN SALARY TO NH 435386,A81000B,01300,0300,ADMIN CONTRACTS 435386,A81000B,01400,0300,TRANSPORTATION SALARIES 435386,A81000B,01500,0300,TRANSPORTATION COSTS 435386,A81000B,01600,0300,ADD L PROP INSUR ALLOC TO NH 435386,A81000B,01700,0300,ADMIN ACCOUNTING CONTRACTS 435386,A81000B,01800,0300, TRANSPORTATION BENEFITS 435386,A81000B,01900,0300,LAUNDRY 435386,A81000C,00100,0100,B 435386,A81000C,00100,0200,ST HELENA PARISH HOSPITAL 435386,A81000C,00100,0400,ST.HELENA PARISH 435386,A81000C,00100,0600,POLICE JURY OWNED 435386,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435386,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435386,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435386,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435386,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435386,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435386,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435386,B100000,00000,0800,0800MEALS SERVED :DIETARY 435386,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435386,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435386,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435386,E10A180,00550,0100,05/01/12 435386,G300000,02506,0000,HOSPITAL INCOME 435386,S000000,00100,0200,03/27/12 435386,S200000,00100,0100,100 KENDRICK 435386,S200000,00200,0100,GREENSBURG 435386,S200000,00200,0200,LA 435386,S200000,00200,0300,70441 435386,S200000,00300,0100,ST HELENA 435386,S200000,00300,0200,19 435386,S200000,00300,0201,12940 435386,S200000,00300,0300,R 435386,S200000,00400,0100,ST HELENA PARISH NURSING HOME 435386,S200000,00400,0200,195610 435386,S200000,00400,0300,10/22/04 435386,S200000,00400,0500,P 435386,S200000,00400,0600,P 435386,S200000,01500,0100,Y 435386,S200000,01600,0100,N 435386,S200000,01700,0100,Y 435386,S200000,01800,0100,N 435386,S200000,02200,0100,N 435386,S200000,02800,0100,N 435386,S200000,02900,0100,N 435386,S200000,03000,0100,N 435386,S200000,03100,0100,N 435386,S200000,03200,0100,N 435386,S200000,03300,0100,N 435386,S200000,03300,0200,N 435386,S200000,03600,0100,N 435386,S200000,03600,0200,N 435386,S200000,04100,0100,N 435386,S200000,04200,0100,N 435386,S200000,04300,0100,N 435386,S200000,04600,0100,N 435386,S200000,04700,0100,N 435386,S200000,04700,0200,N 435386,S200000,04900,0100,N 435386,S200000,05000,0100,N 435386,S200000,05100,0100,N 435386,S200000,05200,0100,N 435387,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435387,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435387,A000000,00300,0000,0300EMPLOYEE BENEFITS 435387,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435387,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435387,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435387,A000000,00700,0000,0700HOUSEKEEPING 435387,A000000,00800,0000,0800DIETARY 435387,A000000,00900,0000,0900NURSING ADMINISTRATION 435387,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435387,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435387,A000000,01300,0000,1300SOCIAL SERVICE 435387,A000000,01500,0000,1350ACTIVITIES 435387,A000000,01600,0000,1600SKILLED NURSING FACILITY 435387,A000000,01800,0000,1800NURSING FACILITY 435387,A000000,02100,0000,2100RADIOLOGY 435387,A000000,02200,0000,2200LABORATORY 435387,A000000,02300,0000,2300INTRAVENOUS THERAPY 435387,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435387,A000000,02500,0000,2500PHYSICAL THERAPY 435387,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435387,A000000,02700,0000,2700SPEECH PATHOLOGY 435387,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435387,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435387,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435387,A000000,04800,0000,4800AMBULANCE 435387,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435387,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435387,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435387,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435387,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435387,A81000A,00100,0100,Y 435387,A81000B,00100,0300,SNF POOLED ALLOCATION 435387,A81000C,00100,0100,E 435387,A81000C,00100,0200,DEE BANGERTER 435387,A81000C,00100,0400,OWNER 435387,A81000C,00100,0600,MANAGEMENT OFFICE 435387,A81000C,00200,0100,E 435387,A81000C,00300,0100,E 435387,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435387,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435387,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435387,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435387,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435387,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435387,B100000,00000,0800,0800MEALS SERVED :DIETARY 435387,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 435387,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435387,B100000,00000,1200,1250REVENUE :MEDICAL RECORDS & LIB 435387,B100000,00000,1300,1330REVENUE :SOCIAL SERVICE 435387,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435387,E10A180,00501,0100,05/03/12 435387,G300000,02500,0000,OTHER OPERATING REVENUE 435387,G300000,02501,0000,OTHER NON OPERATING REVENUE 435387,G300000,02502,0000,COPIES 435387,S000000,00100,0200,03/02/12 435387,S200000,00100,0100,140 EAST 200 SOUTH 435387,S200000,00200,0100,TOOELE 435387,S200000,00200,0200,UT 435387,S200000,00200,0300,84032 435387,S200000,00300,0100,TOOELE 435387,S200000,00300,0200,0046 435387,S200000,00300,0201,41620 435387,S200000,00300,0300,U 435387,S200000,00400,0100,ROCKY MOUNTAIN CARE-TOOELE 435387,S200000,00400,0200,465089 435387,S200000,00400,0300,01/01/89 435387,S200000,00400,0500,P 435387,S200000,01500,0100,Y 435387,S200000,01501,0200,Y 435387,S200000,01502,0200,Y 435387,S200000,01503,0200,Y 435387,S200000,01504,0200,Y 435387,S200000,01600,0100,N 435387,S200000,01700,0100,N 435387,S200000,01800,0100,N 435387,S200000,02200,0100,N 435387,S200000,02800,0100,N 435387,S200000,02900,0100,N 435387,S200000,03000,0100,N 435387,S200000,03100,0100,N 435387,S200000,03200,0100,N 435387,S200000,03300,0100,N 435387,S200000,03300,0200,N 435387,S200000,04100,0100,N 435387,S200000,04200,0100,N 435387,S200000,04300,0100,N 435387,S200000,04600,0100,N 435387,S200000,04700,0100,N 435387,S200000,04700,0200,N 435387,S200000,04900,0100,N 435387,S200000,05000,0100,N 435387,S200000,05100,0100,N 435387,S200000,05200,0100,N 435390,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435390,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435390,A000000,00300,0000,0300EMPLOYEE BENEFITS 435390,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435390,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435390,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435390,A000000,00700,0000,0700HOUSEKEEPING 435390,A000000,00800,0000,0800DIETARY 435390,A000000,00900,0000,0900NURSING ADMINISTRATION 435390,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435390,A000000,01100,0000,1100PHARMACY 435390,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435390,A000000,01300,0000,1300SOCIAL SERVICE 435390,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435390,A000000,01500,0000,1350ACTIVITIES 435390,A000000,01600,0000,1600SKILLED NURSING FACILITY 435390,A000000,01800,0000,1800NURSING FACILITY 435390,A000000,01810,0000,1810ICF/MR 435390,A000000,02100,0000,2100RADIOLOGY 435390,A000000,02200,0000,2200LABORATORY 435390,A000000,02300,0000,2300INTRAVENOUS THERAPY 435390,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435390,A000000,02500,0000,2500PHYSICAL THERAPY 435390,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435390,A000000,02700,0000,2700SPEECH PATHOLOGY 435390,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435390,A000000,02901,0000,2901PART B SUPPLIES 435390,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435390,A000000,03300,0000,3050OTHER ANCILLARY COSTS 435390,A000000,03301,0000,3051OTHER ANCILLARY 435390,A000000,03550,0000,3550FQHC 435390,A000000,04801,0000,4801AMBULANCE 435390,A000000,04802,0000,4802AMBULANCE 435390,A000000,04803,0000,4803AMBULANCE 435390,A000000,05000,0000,5000CORF 435390,A000000,05010,0000,5010CMHC 435390,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435390,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435390,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435390,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435390,A000000,06300,0000,6150COMMUNICATIONS 435390,A81000A,00100,0100,Y 435390,A81000B,00100,0300,MGMT FEES/CNTRL OFF 435390,A81000B,00200,0300,ALLOCATED COSTS 435390,A81000B,00300,0300,ALLOCATED COSTS 435390,A81000B,00400,0300,ALLOCATED COSTS 435390,A81000B,00500,0300,REL PARTY INTEREST 435390,A81000B,00600,0300,REL PARTY INTEREST 435390,A81000B,00700,0300,LIFE CARE DESIGNS 435390,A81000B,00800,0300,ABT GROUP INSURANCE 435390,A81000B,00900,0300,LEADERCARE WORK COMP 435390,A81000B,01000,0300,LEADERCARE LIAB INS. 435390,A81000B,01100,0300,LEADERCARE AUTO INS 435390,A81000C,00100,0100,A 435390,A81000C,00100,0200,FORREST PRESTON 435390,A81000C,00100,0400,LIFE CARE CENTE 435390,A81000C,00100,0600,NURSING HOME MG 435390,A81000C,00200,0100,A 435390,A81000C,00200,0200,FORREST PRESTON 435390,A81000C,00200,0400,LEADER CARE 435390,A81000C,00200,0600,W/G LIAB AUTO I 435390,A81000C,00300,0100,A 435390,A81000C,00300,0200,FORREST PRESTON 435390,A81000C,00300,0400,ABT 435390,A81000C,00300,0600,GRP HEALTH/LIFE 435390,A81000C,00400,0100,A 435390,A81000C,00400,0200,FORREST PRESTON 435390,A81000C,00400,0400,LIFE CARE DESIG 435390,A81000C,00400,0600,INTERIOR DESIGN 435390,A81000C,00500,0100,A 435390,A81000C,00500,0200,FORREST PRESTON 435390,A81000C,00500,0400,LIFE CARE AFFIL 435390,A81000C,00500,0600,RELATED LENDER 435390,B100000,00000,0100,0100SQUARE FEET 435390,B100000,00000,0200,0200SQUARE FEET 435390,B100000,00000,0300,0300GROSS SALARIES 435390,B100000,00000,0400,0400ACCUM COST 435390,B100000,00000,0500,0500SQUARE FEET 435390,B100000,00000,0600,0600PATIENT DAYS 435390,B100000,00000,0700,0700SQUARE FEET 435390,B100000,00000,0800,0800MEALS SERVED 435390,B100000,00000,0900,0900DIRECT HRS SUPERVISED 435390,B100000,00000,1000,1000COSTED REQUIS 435390,B100000,00000,1100,1100COSTED REQUIS 435390,B100000,00000,1200,1200GROSS REVENUES 435390,B100000,00000,1300,1300PATIENT DAYS 435390,B100000,00000,1400,1400ASSIGNED TIME 435390,B100000,00000,1500,1350PATIENT DAYS 435390,E10A180,00301,0100,08/31/11 435390,E10A180,00550,0100,01/19/12 435390,G300000,02500,0000,MISC. INCOME 435390,G300000,02502,0000,POSTIVE CONTRACTUAL ALLOW - SHOW HER 435390,G300000,02503,0000,AVOID FATAL ERRORS ON C/R 435390,S000000,00100,0200,12/09/11 435390,S200000,00100,0100,3339 NORTH DRINKWATER BLVD 435390,S200000,00200,0100,SCOTTSDALE 435390,S200000,00200,0200,AZ 435390,S200000,00200,0300,85251 435390,S200000,00300,0100,MARICOPA 435390,S200000,00300,0201,38060 435390,S200000,00300,0300,U 435390,S200000,00400,0100,SCOTTSDALE HERITAGE COURT 435390,S200000,00400,0200,035083 435390,S200000,00400,0300,10/01/92 435390,S200000,00400,0500,P 435390,S200000,01500,0100,Y 435390,S200000,01501,0200,Y 435390,S200000,01502,0200,N 435390,S200000,01503,0200,N 435390,S200000,01504,0200,Y 435390,S200000,01505,0000,OTHER 435390,S200000,01505,0200,N 435390,S200000,01600,0100,N 435390,S200000,01700,0100,N 435390,S200000,01800,0100,N 435390,S200000,02200,0100,Y 435390,S200000,02800,0100,Y 435390,S200000,02900,0100,N 435390,S200000,03000,0100,N 435390,S200000,03100,0100,N 435390,S200000,03200,0100,N 435390,S200000,03300,0100,N 435390,S200000,03300,0200,N 435390,S200000,04200,0100,N 435390,S200000,04300,0100,N 435390,S200000,04600,0100,N 435390,S200000,04700,0100,N 435390,S200000,04900,0100,N 435390,S200000,05200,0100,N 435390,S200000,05300,0100,Y 435390,S200000,05300,0200,44H017 435390,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 435390,S200000,05400,0200,CAHABA GOV T BENEFITS ADMINISTR. 435390,S200000,05400,0300,10301 435390,S200000,05500,0100,3570 KEITH STREET NW 435390,S200000,05500,0200,3480 435390,S200000,05600,0100,CLEVELAND 435390,S200000,05600,0200,TN 435390,S200000,05600,0300,37320 435391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435391,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435391,A000000,00300,0000,0300EMPLOYEE BENEFITS 435391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435391,A000000,00700,0000,0700HOUSEKEEPING 435391,A000000,00800,0000,0800DIETARY 435391,A000000,00900,0000,0900NURSING ADMINISTRATION 435391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435391,A000000,01300,0000,1300SOCIAL SERVICE 435391,A000000,01301,0000,1301ACTIVITES 435391,A000000,01500,0000,1350REHABILITATION 435391,A000000,01600,0000,1600SKILLED NURSING FACILITY 435391,A000000,01800,0000,1800NURSING FACILITY 435391,A000000,01900,0000,1900OTHER LONG TERM CARE 435391,A000000,02100,0000,2100RADIOLOGY 435391,A000000,02200,0000,2200LABORATORY 435391,A000000,02300,0000,2300INTRAVENOUS THERAPY 435391,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435391,A000000,02500,0000,2500PHYSICAL THERAPY 435391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435391,A000000,02700,0000,2700SPEECH PATHOLOGY 435391,A000000,02800,0000,2800ELECTROCARDIOLOGY 435391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435391,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435391,A000000,03200,0000,3200SUPPORT SURFACES 435391,A000000,03300,0000,3050EQUIPMENT RENTAL 435391,A000000,03301,0000,3051PEN THERAPY 435391,A000000,04800,0000,4800AMBULANCE 435391,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435391,A000000,05300,0000,5300INTEREST EXPENSE 435391,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435391,A000000,06200,0000,6200PATIENTS LAUNDRY 435391,A000000,06300,0000,6150VENDING 435391,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435391,A81000A,00100,0100,Y 435391,A81000B,00100,0300,HOME OFFICE COST 435391,A81000C,00100,0100,B 435391,A81000C,00100,0200,CENTENNIAL HCC 435391,A81000C,00100,0400,SSC EQUITY HOLD 435391,A81000C,00100,0600,NSG HOMES 435391,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435391,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435391,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435391,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435391,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435391,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435391,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435391,B100000,00000,0800,0800MEALS SERVED :DIETARY 435391,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435391,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435391,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435391,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435391,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435391,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435391,E10A180,00352,0100,05/06/11 435391,E10A180,00501,0100,05/04/12 435391,E10A180,00501,0300,05/04/12 435391,S000000,00100,0200,02/10/12 435391,S200000,00100,0100,1637 29TH AVE PLACE 435391,S200000,00200,0100,GREELEY 435391,S200000,00200,0200,CO 435391,S200000,00200,0300,80631 435391,S200000,00300,0100,WELD 435391,S200000,00300,0300,U 435391,S200000,00400,0100,CENTENNIAL HEALTHCARE CENTER 435391,S200000,00400,0200,065212 435391,S200000,00400,0300,07/01/85 435391,S200000,00400,0500,P 435391,S200000,01500,0100,Y 435391,S200000,01501,0200,Y 435391,S200000,01502,0200,Y 435391,S200000,01504,0200,Y 435391,S200000,01600,0100,N 435391,S200000,01700,0100,N 435391,S200000,01800,0100,N 435391,S200000,02200,0100,Y 435391,S200000,02800,0100,N 435391,S200000,02900,0100,N 435391,S200000,03000,0100,N 435391,S200000,03100,0100,N 435391,S200000,03200,0100,N 435391,S200000,03300,0100,N 435391,S200000,03300,0200,N 435391,S200000,04100,0100,N 435391,S200000,04200,0100,N 435391,S200000,04300,0100,N 435391,S200000,04600,0100,N 435391,S200000,04700,0100,N 435391,S200000,04700,0200,N 435391,S200000,04900,0100,N 435391,S200000,05000,0100,N 435391,S200000,05100,0100,N 435391,S200000,05200,0100,N 435391,S200000,05300,0100,Y 435391,S200000,05300,0200,219023 435391,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435391,S200000,05400,0200,TRAILBLAZER 435391,S200000,05400,0300,04901 435391,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435391,S200000,05600,0100,HOUSTON 435391,S200000,05600,0200,TX 435391,S200000,05600,0300,77041 435394,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435394,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435394,A000000,00300,0000,0300EMPLOYEE BENEFITS 435394,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435394,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435394,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435394,A000000,00700,0000,0700HOUSEKEEPING 435394,A000000,00800,0000,0800DIETARY 435394,A000000,00900,0000,0900NURSING ADMINISTRATION 435394,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435394,A000000,01300,0000,1300SOCIAL SERVICE 435394,A000000,01600,0000,1600SKILLED NURSING FACILITY 435394,A000000,02100,0000,2100RADIOLOGY 435394,A000000,02200,0000,2200LABORATORY 435394,A000000,02300,0000,2300INTRAVENOUS THERAPY 435394,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435394,A000000,02500,0000,2500PHYSICAL THERAPY 435394,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435394,A000000,02700,0000,2700SPEECH PATHOLOGY 435394,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435394,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435394,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435394,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435394,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435394,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435394,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435394,A000000,06100,0000,6100NONPAID WORKERS 435394,A000000,06200,0000,6200PATIENTS LAUNDRY 435394,A000000,06300,0000,6150OTHER NON REIMBURSEABLE 435394,A000000,06301,0000,6151DELIVED MEALS 435394,A000000,06302,0000,6152ASSISTED LIVING - RRE 435394,A000000,06303,0000,6153APARTMENTS 435394,A000000,06304,0000,6154HOME CARE SERVICES 435394,A000000,06305,0000,6155VAN SERVICES 435394,A000000,06306,0000,6156GARDEN COTTAGES 435394,A81000A,00100,0100,Y 435394,A81000B,00100,0300,RRE OPERATING EXPENSES 435394,A81000B,00200,0300,STEWARTVILLA OPERATING EXPENSES 435394,A81000B,00300,0300,HOME CARE OPERATING EXP 435394,A81000B,00400,0300,VAN OPERATING EXPENSES 435394,A81000B,00500,0300,COTTAGES OPERARTING EXPENSES 435394,A81000B,00600,0300,ADMIN EXPENSES 435394,A81000B,00700,0300,BENEFITS EXPENSE 435394,A81000B,00800,0300,DIETARY EXPENSES 435394,A81000C,00100,0100,B 435394,A81000C,00100,0400,ROOT RIVER ESTATES 435394,A81000C,00100,0600,ASSISTED LIVING 435394,A81000C,00200,0100,B 435394,A81000C,00200,0400,STEWARTVILLA APARTMENTS 435394,A81000C,00200,0600,SENIOR HOUSING 435394,A81000C,00300,0100,B 435394,A81000C,00300,0400,HOME CARE 435394,A81000C,00300,0600,AL SERVICES 435394,A81000C,00400,0100,B 435394,A81000C,00400,0400,TRANSPORTATION 435394,A81000C,00400,0600,SENIOR TRANSPORTATION 435394,A81000C,00500,0100,B 435394,A81000C,00500,0400,GARDEN COTTAGES 435394,A81000C,00500,0600,SENIOR HOUSING 435394,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435394,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435394,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435394,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435394,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435394,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435394,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435394,B100000,00000,0800,0800MEALS SERVED :DIETARY 435394,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435394,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435394,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435394,E10A180,00550,0100,04/04/12 435394,G300000,02500,0000,OTHER - SEE GROUPINGS 435394,S000000,00100,0200,03/26/12 435394,S200000,00100,0100,120 4TH STREET SE 435394,S200000,00200,0100,STEWARTVILLE 435394,S200000,00200,0200,MN 435394,S200000,00200,0300,55976 435394,S200000,00300,0100,OLMSTED 435394,S200000,00300,0200,6820 435394,S200000,00300,0201,40340 435394,S200000,00300,0300,U 435394,S200000,00400,0100,STEWARTVILLE CARE CENTER 435394,S200000,00400,0200,245349 435394,S200000,00400,0300,09/01/86 435394,S200000,00400,0500,P 435394,S200000,00400,0600,P 435394,S200000,01500,0100,Y 435394,S200000,01501,0200,N 435394,S200000,01502,0200,Y 435394,S200000,01504,0200,N 435394,S200000,01600,0100,N 435394,S200000,01700,0100,N 435394,S200000,01800,0100,N 435394,S200000,02200,0100,N 435394,S200000,02800,0100,N 435394,S200000,02900,0100,N 435394,S200000,03000,0100,N 435394,S200000,03100,0100,N 435394,S200000,03200,0100,N 435394,S200000,03300,0100,N 435394,S200000,03300,0200,N 435394,S200000,04100,0100,N 435394,S200000,04200,0100,N 435394,S200000,04300,0100,N 435394,S200000,04600,0100,N 435394,S200000,04700,0100,N 435394,S200000,04700,0200,N 435394,S200000,04900,0100,N 435394,S200000,05000,0100,N 435394,S200000,05100,0100,N 435394,S200000,05200,0100,N 435394,S200000,05300,0100,N 435395,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435395,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435395,A000000,00300,0000,0300EMPLOYEE BENEFITS 435395,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435395,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435395,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435395,A000000,00700,0000,0700HOUSEKEEPING 435395,A000000,00800,0000,0800DIETARY 435395,A000000,00900,0000,0900NURSING ADMINISTRATION 435395,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435395,A000000,01100,0000,1100PHARMACY 435395,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435395,A000000,01300,0000,1300SOCIAL SERVICE 435395,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435395,A000000,01500,0000,1350ACTIVITIES 435395,A000000,01600,0000,1600SKILLED NURSING FACILITY 435395,A000000,01800,0000,1800NURSING FACILITY 435395,A000000,01810,0000,1810ICF/MR 435395,A000000,02100,0000,2100RADIOLOGY 435395,A000000,02200,0000,2200LABORATORY 435395,A000000,02300,0000,2300INTRAVENOUS THERAPY 435395,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435395,A000000,02500,0000,2500PHYSICAL THERAPY 435395,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435395,A000000,02700,0000,2700SPEECH PATHOLOGY 435395,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435395,A000000,02901,0000,2901PEN THERAPY 435395,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435395,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 435395,A000000,03301,0000,3051AMBULANCE 435395,A000000,03550,0000,3550FQHC 435395,A000000,04801,0000,4801AMBULANCE 435395,A000000,04802,0000,4802AMBULANCE 435395,A000000,04803,0000,4803AMBULANCE 435395,A000000,05000,0000,5000CORF 435395,A000000,05010,0000,5010CMHC 435395,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435395,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435395,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435395,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 435395,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435395,A000000,06300,0000,6150COMMUNICATIONS SALARY 435395,A81000A,00100,0100,Y 435395,A81000B,00100,0300,LCCA MANAGEMENT FEES 435395,A81000B,00200,0300,CONSTRUCTION ENT 435395,A81000B,00300,0300,DEVELOPMENT ENT 435395,A81000B,00400,0300,LIFE CARE DESIGNS 435395,A81000B,00500,0300,ALLOCATED FEES PT 435395,A81000B,00600,0300,ALLOCATED FEES OT 435395,A81000B,00700,0300,ALLOCATED FEES ST 435395,A81000B,00800,0300,LCCA INTEREST 435395,A81000B,00900,0300,LEADER CARE W/C 435395,A81000B,01000,0300,LEADER CARE LIAB INS 435395,A81000B,01100,0300,LEADER CARE AUTO INS 435395,A81000B,01200,0300,ABT 435395,A81000B,01300,0300,BRYANT IRV R/E INV 435395,A81000C,00100,0100,A 435395,A81000C,00100,0200,FORREST PRESTON 435395,A81000C,00100,0400,LIFE CARE CENTE 435395,A81000C,00100,0600,NURSING HOME MG 435395,A81000C,00200,0100,A 435395,A81000C,00200,0200,FORREST PRESTON 435395,A81000C,00200,0400,CONSTRUCTION EN 435395,A81000C,00200,0600,CONSTRUCTION 435395,A81000C,00300,0100,A 435395,A81000C,00300,0200,FORREST PRESTON 435395,A81000C,00300,0400,DEVELOPMENT ENT 435395,A81000C,00300,0600,DEVELOPMENT 435395,A81000C,00400,0100,A 435395,A81000C,00400,0200,FORREST PRESTON 435395,A81000C,00400,0400,LIFE CARE DESIG 435395,A81000C,00400,0600,INTERIOR DESIGN 435395,A81000C,00500,0100,A 435395,A81000C,00500,0200,FORREST PRESTON 435395,A81000C,00500,0400,LEADER CARE 435395,A81000C,00500,0600,W/C GEN/PRO LIA 435395,A81000C,00600,0100,A 435395,A81000C,00600,0200,FORREST PRESTON 435395,A81000C,00600,0400,ABT 435395,A81000C,00600,0600,GRP LIFE/HEALTH 435395,A81000C,00700,0100,A 435395,A81000C,00700,0200,FORREST PRESTON 435395,A81000C,00700,0400,BRYANT IRV R/E 435395,A81000C,00700,0600,BUILDING LEASE 435395,B100000,00000,0100,0100(SQUARE FEET) 435395,B100000,00000,0200,0200(SQUARE FEET) 435395,B100000,00000,0300,0300(GROSS SALARIES) 435395,B100000,00000,0400,0400ACCUM COST 435395,B100000,00000,0500,0500(SQUARE FEET) 435395,B100000,00000,0600,0600PATIENT DAYS 435395,B100000,00000,0700,0700(SQUARE FEET) 435395,B100000,00000,0800,0800(MEALS SERVED) 435395,B100000,00000,0900,0900DIRECT HRS SUPERVISED 435395,B100000,00000,1000,1000(COSTED REQUIS) 435395,B100000,00000,1100,1100(COSTED REQUIS) 435395,B100000,00000,1200,1200GROSS REVENUES 435395,B100000,00000,1300,1300PATIENT DAYS 435395,B100000,00000,1400,1400(ASSIGNED TIME) 435395,B100000,00000,1500,1350PATIENT DAYS 435395,E10A180,00301,0100,09/07/11 435395,E10A180,00501,0100,04/27/12 435395,G300000,02500,0000,BEAUTY & BARBER 435395,G300000,02501,0000,MISCELLANEOUS 435395,S000000,00100,0200,02/21/12 435395,S200000,00100,0100,7500 OAKMONT BOULEVARD 435395,S200000,00200,0100,FORT WORTH 435395,S200000,00200,0200,TX 435395,S200000,00200,0300,76132 435395,S200000,00300,0100,TARRANT 435395,S200000,00300,0201,26420 435395,S200000,00300,0300,U 435395,S200000,00400,0100,GARDEN TERRACE ALZHEIMER S CENTER 435395,S200000,00400,0200,675650 435395,S200000,00400,0300,12/06/96 435395,S200000,00400,0500,P 435395,S200000,00600,0200,675650 435395,S200000,00600,0300,12/06/96 435395,S200000,00600,0600,O 435395,S200000,01500,0100,Y 435395,S200000,01501,0200,Y 435395,S200000,01502,0200,N 435395,S200000,01503,0200,N 435395,S200000,01504,0200,N 435395,S200000,01505,0000,OTHER 435395,S200000,01505,0200,Y 435395,S200000,01600,0100,N 435395,S200000,01700,0100,N 435395,S200000,01800,0100,N 435395,S200000,02200,0100,Y 435395,S200000,02800,0100,Y 435395,S200000,02900,0100,N 435395,S200000,03000,0100,N 435395,S200000,03100,0100,N 435395,S200000,03200,0100,N 435395,S200000,03300,0100,N 435395,S200000,03300,0200,N 435395,S200000,04200,0100,N 435395,S200000,04300,0100,N 435395,S200000,04600,0100,N 435395,S200000,04700,0100,N 435395,S200000,04900,0100,N 435395,S200000,05200,0100,N 435395,S200000,05300,0100,Y 435395,S200000,05300,0200,44H017 435395,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 435395,S200000,05400,0200,CAHABA GOVERNMENT BENEFIT ADMIN 435395,S200000,05400,0300,10301 435395,S200000,05500,0100,3570 KEITH STREET NW 435395,S200000,05600,0100,CLEVELAND 435395,S200000,05600,0200,TN 435395,S200000,05600,0300,37312 435398,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435398,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435398,A000000,00300,0000,0300EMPLOYEE BENEFITS 435398,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435398,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435398,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435398,A000000,00700,0000,0700HOUSEKEEPING 435398,A000000,00800,0000,0800DIETARY 435398,A000000,00900,0000,0900NURSING ADMINISTRATION 435398,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435398,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435398,A000000,01300,0000,1300SOCIAL SERVICE 435398,A000000,01301,0000,1301ACTIVITES 435398,A000000,01500,0000,1350REHABILITATION 435398,A000000,01600,0000,1600SKILLED NURSING FACILITY 435398,A000000,01800,0000,1800NURSING FACILITY 435398,A000000,01900,0000,1900OTHER LONG TERM CARE 435398,A000000,02100,0000,2100RADIOLOGY 435398,A000000,02200,0000,2200LABORATORY 435398,A000000,02300,0000,2300INTRAVENOUS THERAPY 435398,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435398,A000000,02500,0000,2500PHYSICAL THERAPY 435398,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435398,A000000,02700,0000,2700SPEECH PATHOLOGY 435398,A000000,02800,0000,2800ELECTROCARDIOLOGY 435398,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435398,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435398,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435398,A000000,03200,0000,3200SUPPORT SURFACES 435398,A000000,03300,0000,3050EQUIPMENT RENTAL 435398,A000000,03301,0000,3051PEN THERAPY 435398,A000000,04800,0000,4800AMBULANCE 435398,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435398,A000000,05300,0000,5300INTEREST EXPENSE 435398,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435398,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435398,A000000,06200,0000,6200PATIENTS LAUNDRY 435398,A000000,06300,0000,6150VENDING 435398,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435398,A81000A,00100,0100,Y 435398,A81000B,00100,0300,HOME OFFICE COST 435398,A81000C,00100,0100,B 435398,A81000C,00100,0200,LAKESHORE VILLA 435398,A81000C,00100,0400,SSC EQUITY HOLD 435398,A81000C,00100,0600,NSG HOMES 435398,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435398,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435398,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435398,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435398,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435398,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435398,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435398,B100000,00000,0800,0800MEALS SERVED :DIETARY 435398,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435398,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435398,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435398,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435398,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435398,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435398,E10A180,00302,0100,03/17/11 435398,E10A180,00303,0100,09/30/11 435398,E10A180,00304,0100,09/30/11 435398,E10A180,00501,0100,05/04/12 435398,E10A180,00550,0100,09/05/13 435398,S000000,00100,0200,02/10/12 435398,S200000,00100,0100,2320 LAKESHORE DR 435398,S200000,00200,0100,WACO 435398,S200000,00200,0200,TX 435398,S200000,00200,0300,76708 435398,S200000,00300,0100,MCLENNON 435398,S200000,00300,0300,U 435398,S200000,00400,0100,LAKESHORE VILLAGE HEALTHCARE CENTER 435398,S200000,00400,0200,675438 435398,S200000,00400,0300,12/12/94 435398,S200000,00400,0500,P 435398,S200000,01500,0100,Y 435398,S200000,01501,0200,Y 435398,S200000,01502,0200,Y 435398,S200000,01504,0200,Y 435398,S200000,01600,0100,N 435398,S200000,01700,0100,N 435398,S200000,01800,0100,N 435398,S200000,02200,0100,Y 435398,S200000,02800,0100,N 435398,S200000,02900,0100,N 435398,S200000,03000,0100,N 435398,S200000,03100,0100,N 435398,S200000,03200,0100,N 435398,S200000,03300,0100,N 435398,S200000,03300,0200,N 435398,S200000,03600,0100,N 435398,S200000,03600,0200,N 435398,S200000,04100,0100,N 435398,S200000,04200,0100,N 435398,S200000,04300,0100,N 435398,S200000,04600,0100,N 435398,S200000,04700,0100,N 435398,S200000,04700,0200,N 435398,S200000,04900,0100,N 435398,S200000,05000,0100,N 435398,S200000,05100,0100,N 435398,S200000,05200,0100,N 435398,S200000,05300,0100,Y 435398,S200000,05300,0200,219023 435398,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435398,S200000,05400,0200,NOVITAS SOLUTIONS 435398,S200000,05400,0300,04011 435398,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435398,S200000,05600,0100,HOUSTON 435398,S200000,05600,0200,TX 435398,S200000,05600,0300,77041 435399,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435399,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435399,A000000,00300,0000,0300EMPLOYEE BENEFITS 435399,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435399,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435399,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435399,A000000,00700,0000,0700HOUSEKEEPING 435399,A000000,00800,0000,0800DIETARY 435399,A000000,00900,0000,0900NURSING ADMINISTRATION 435399,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435399,A000000,01100,0000,1100PHARMACY 435399,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435399,A000000,01300,0000,1300SOCIAL SERVICE 435399,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435399,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 435399,A000000,01600,0000,1600SKILLED NURSING FACILITY 435399,A000000,01810,0000,1810ICF/MR 435399,A000000,02100,0000,2100RADIOLOGY 435399,A000000,02200,0000,2200LABORATORY 435399,A000000,02300,0000,2300INTRAVENOUS THERAPY 435399,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435399,A000000,02500,0000,2500PHYSICAL THERAPY 435399,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435399,A000000,02700,0000,2700SPEECH PATHOLOGY 435399,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435399,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435399,A000000,03300,0000,3050EQUIPMENT RENTAL 435399,A000000,03550,0000,3550FQHC 435399,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435399,A000000,04710,0000,4710TELEMEDICINE HHA 435399,A000000,04801,0000,4801AMBULANCE 435399,A000000,04802,0000,4802AMBULANCE 435399,A000000,04803,0000,4803AMBULANCE 435399,A000000,05000,0000,5000CORF 435399,A000000,05010,0000,5010CMHC 435399,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435399,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435399,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435399,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435399,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435399,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435399,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435399,A81000A,00100,0100,Y 435399,A81000B,00100,0300,HOME OFFICE ADMIN 435399,A81000B,00200,0300,HOME OFFICE CAPITAL 435399,A81000B,00300,0300,HOME OFFICE CLINICAL 435399,A81000C,00100,0100,B 435399,A81000C,00100,0200,FIVESTAR QUALITY CARE INC 435399,A81000C,00100,0600,NURSING HOMES 435399,B100000,00000,0100,0100SQUARE FEET 435399,B100000,00000,0200,0200SQUARE FEET 435399,B100000,00000,0300,0300GROSS SALARIES 435399,B100000,00000,0400,0400ACCUM COST 435399,B100000,00000,0500,0500SQUARE FEET 435399,B100000,00000,0600,0600PATIENT DAYS 435399,B100000,00000,0700,0700SQUARE FEET 435399,B100000,00000,0800,0800PATIENT DAYS 435399,B100000,00000,0900,0900NURSING SAL 435399,B100000,00000,1000,1000COSTED REQUIS. 435399,B100000,00000,1100,1100COSTED REQUIS. 435399,B100000,00000,1200,1200PATIENT DAYS 435399,B100000,00000,1300,1300PATIENT DAYS 435399,B100000,00000,1400,1400ASSIGNED TIME 435399,B100000,00000,1500,1350PATIENT DAYS 435399,E10A180,00301,0100,12/31/09 435399,G300000,02500,0000,MISC INCOME 435399,S000000,00100,0200,12/21/11 435399,S200000,00100,0100,1765 TEMPLE AVE 435399,S200000,00200,0100,COLLEGE PARK 435399,S200000,00200,0200,GA 435399,S200000,00200,0300,30337 435399,S200000,00300,0100,FULTON 435399,S200000,00300,0300,U 435399,S200000,00400,0100,COLLEGE PARK HEALTH CARE CENTER 435399,S200000,00400,0200,115579 435399,S200000,00400,0300,10/01/00 435399,S200000,00400,0500,P 435399,S200000,00600,0200,115579 435399,S200000,00600,0300,10/01/00 435399,S200000,00600,0600,O 435399,S200000,01500,0100,Y 435399,S200000,01501,0200,Y 435399,S200000,01502,0200,Y 435399,S200000,01503,0200,Y 435399,S200000,01504,0200,Y 435399,S200000,01600,0100,N 435399,S200000,01700,0100,N 435399,S200000,01800,0100,N 435399,S200000,02200,0100,N 435399,S200000,02800,0100,N 435399,S200000,02900,0100,N 435399,S200000,03000,0100,N 435399,S200000,03100,0100,N 435399,S200000,03200,0100,N 435399,S200000,03300,0100,N 435399,S200000,03300,0200,N 435399,S200000,04200,0100,N 435399,S200000,04300,0100,N 435399,S200000,04600,0100,N 435399,S200000,04700,0100,N 435399,S200000,04900,0100,N 435399,S200000,05200,0100,N 435403,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435403,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435403,A000000,00300,0000,0300EMPLOYEE BENEFITS 435403,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435403,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435403,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435403,A000000,00700,0000,0700HOUSEKEEPING 435403,A000000,00800,0000,0800DIETARY 435403,A000000,00900,0000,0900NURSING ADMINISTRATION 435403,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435403,A000000,01100,0000,1100PHARMACY 435403,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435403,A000000,01300,0000,1300SOCIAL SERVICE 435403,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435403,A000000,01600,0000,1600SKILLED NURSING FACILITY 435403,A000000,01800,0000,1800NURSING FACILITY 435403,A000000,01810,0000,1810ICF/MR 435403,A000000,01900,0000,1900OTHER LONG TERM CARE 435403,A000000,02100,0000,2100RADIOLOGY 435403,A000000,02200,0000,2200LABORATORY 435403,A000000,02300,0000,2300INTRAVENOUS THERAPY 435403,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435403,A000000,02500,0000,2500PHYSICAL THERAPY 435403,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435403,A000000,02700,0000,2700SPEECH PATHOLOGY 435403,A000000,02800,0000,2800ELECTROCARDIOLOGY 435403,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435403,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435403,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435403,A000000,03200,0000,3200SUPPORT SURFACES 435403,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435403,A000000,03301,0000,3051AIR FLUID THERAPY 435403,A000000,03302,0000,3052AMBULANCE 435403,A000000,03303,0000,3053PEN THERAPY 435403,A000000,03304,0000,3054ONCOLOGY 435403,A000000,03305,0000,3055CARDIOLOGY 435403,A000000,03306,0000,3056ULTRASOUND/OTHER IMAGING 435403,A000000,03307,0000,3057AUDIOLOGY 435403,A000000,03308,0000,3058OTHER ANCILLARY SERVICE COST CEN 435403,A000000,03400,0000,3400CLINIC 435403,A000000,03500,0000,3500RURAL HEALTH CLINIC 435403,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435403,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435403,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435403,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435403,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435403,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435403,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435403,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435403,A000000,04400,0000,4400DME RENTED - HHA 435403,A000000,04500,0000,4500DME SOLD - HHA 435403,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435403,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435403,A000000,04710,0000,4710TELEMEDICINE 435403,A000000,04800,0000,4800AMBULANCE 435403,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435403,A000000,05000,0000,5000CORF 435403,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435403,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435403,A000000,05300,0000,5300INTEREST EXPENSE 435403,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435403,A000000,05500,0000,5500HOSPICE 435403,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435403,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435403,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435403,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435403,A000000,06100,0000,6100NONPAID WORKERS 435403,A000000,06200,0000,6200PATIENTS LAUNDRY 435403,A000000,06300,0000,6150ADULT DAY HEALTH 435403,A000000,06301,0000,6151ASSISTED LIVING 435403,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 435403,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 435403,A81000A,00100,0100,N 435403,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435403,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435403,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435403,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435403,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435403,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435403,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435403,B100000,00000,0800,0800MEALS SERVED :DIETARY 435403,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435403,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435403,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435403,E10A180,00501,0100,05/30/12 435403,G300000,02500,0000,OTHER REVENUE 435403,S000000,00100,0200,04/04/12 435403,S200000,00100,0100,923 HALE LAKE POINTE 435403,S200000,00200,0100,GRAND RAPIDS 435403,S200000,00200,0200,MN 435403,S200000,00200,0300,55744 435403,S200000,00300,0100,ITASCA 435403,S200000,00300,0200,24 435403,S200000,00300,0201,99924 435403,S200000,00300,0300,R 435403,S200000,00400,0100,GRAND VILLAGE NURSING HOME 435403,S200000,00400,0200,245368 435403,S200000,00400,0300,11/01/86 435403,S200000,00400,0500,P 435403,S200000,00400,0600,P 435403,S200000,01500,0100,Y 435403,S200000,01501,0200,N 435403,S200000,01503,0200,Y 435403,S200000,01600,0100,N 435403,S200000,01700,0100,N 435403,S200000,01800,0100,N 435403,S200000,02200,0100,N 435403,S200000,02800,0100,N 435403,S200000,02900,0100,N 435403,S200000,03000,0100,N 435403,S200000,03100,0100,N 435403,S200000,03200,0100,N 435403,S200000,03300,0100,N 435403,S200000,03300,0200,N 435403,S200000,04100,0100,N 435403,S200000,04200,0100,N 435403,S200000,04300,0100,N 435403,S200000,04600,0100,N 435403,S200000,04700,0100,N 435403,S200000,04700,0200,N 435403,S200000,04900,0100,N 435403,S200000,05000,0100,N 435403,S200000,05100,0100,N 435403,S200000,05200,0100,N 435403,S200000,05300,0100,N 435411,S000000,00100,0200,04/09/12 435411,S200000,00100,0100,724 19TH AVENUE NORTH 435411,S200000,00200,0100,SOUTH ST. PAUL 435411,S200000,00200,0200,MN 435411,S200000,00200,0300,55075 435411,S200000,00300,0100,DAKOTA 435411,S200000,00400,0100,BETHESDA OF SOUTH ST. PAUL 435411,S200000,00400,0300,11/19/71 435412,S000000,00100,0200,04/09/12 435412,S200000,00100,0100,753 EAST 7TH STREET 435412,S200000,00200,0100,ST. PAUL 435412,S200000,00200,0200,MN 435412,S200000,00200,0300,55106 435412,S200000,00300,0100,RAMSEY 435412,S200000,00400,0100,CERENITY CARE CENTER DELLWOOD PLACE 435412,S200000,00400,0300,05/11/87 435414,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435414,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435414,A000000,00300,0000,0300EMPLOYEE BENEFITS 435414,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435414,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435414,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435414,A000000,00700,0000,0700HOUSEKEEPING 435414,A000000,00800,0000,0800DIETARY 435414,A000000,00900,0000,0900NURSING ADMINISTRATION 435414,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435414,A000000,01100,0000,1100PHARMACY 435414,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435414,A000000,01300,0000,1300SOCIAL SERVICE 435414,A000000,01301,0000,1301ACTIVITIES 435414,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435414,A000000,01500,0000,1350OTHER GENERAL SERVICES 435414,A000000,01600,0000,1600SKILLED NURSING FACILITY 435414,A000000,01800,0000,1800NURSING FACILITY 435414,A000000,01810,0000,1810ICF/MR 435414,A000000,01900,0000,1900OTHER LONG TERM CARE 435414,A000000,02100,0000,2100RADIOLOGY 435414,A000000,02200,0000,2200LABORATORY 435414,A000000,02300,0000,2300INTRAVENOUS THERAPY 435414,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435414,A000000,02500,0000,2500PHYSICAL THERAPY 435414,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435414,A000000,02700,0000,2700SPEECH PATHOLOGY 435414,A000000,02800,0000,2800ELECTROCARDIOLOGY 435414,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435414,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435414,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435414,A000000,03200,0000,3200SUPPORT SURFACES 435414,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435414,A000000,03400,0000,3400CLINIC 435414,A000000,03500,0000,3500RURAL HEALTH CLINIC 435414,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435414,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435414,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435414,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435414,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435414,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435414,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435414,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435414,A000000,04400,0000,4400DME RENTED - HHA 435414,A000000,04500,0000,4500DME SOLD - HHA 435414,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435414,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435414,A000000,04710,0000,4710TELEMEDICINE 435414,A000000,04800,0000,4800AMBULANCE 435414,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435414,A000000,05000,0000,5000CORF 435414,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435414,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435414,A000000,05300,0000,5300INTEREST EXPENSE 435414,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435414,A000000,05500,0000,5500HOSPICE 435414,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435414,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435414,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435414,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435414,A000000,06100,0000,6100NONPAID WORKERS 435414,A000000,06200,0000,6200PATIENTS LAUNDRY 435414,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435414,A81000A,00100,0100,N 435414,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435414,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435414,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435414,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435414,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435414,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435414,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435414,B100000,00000,0800,0800MEALS SERVED :DIETARY 435414,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435414,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435414,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435414,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435414,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435414,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 435414,G300000,02500,0000,OTHER I NCOME 435414,S000000,00100,0200,04/03/12 435414,S200000,00100,0100,4820 MEDICAL DRIVE 435414,S200000,00200,0100,BOSSIER CITY 435414,S200000,00200,0200,LA 435414,S200000,00200,0300,71112 435414,S200000,00300,0100,BOSSIER 435414,S200000,00300,0200,7680 435414,S200000,00300,0201,43340 435414,S200000,00300,0300,U 435414,S200000,00400,0100,RIVERVIEW CARE CENTER 435414,S200000,00400,0200,195497 435414,S200000,00400,0300,09/15/00 435414,S200000,00400,0500,P 435414,S200000,00400,0600,O 435414,S200000,01500,0100,Y 435414,S200000,01501,0200,Y 435414,S200000,01503,0200,Y 435414,S200000,01504,0200,Y 435414,S200000,01600,0100,N 435414,S200000,01700,0100,N 435414,S200000,01800,0100,N 435414,S200000,02200,0100,N 435414,S200000,02800,0100,N 435414,S200000,02900,0100,N 435414,S200000,03000,0100,N 435414,S200000,03100,0100,N 435414,S200000,03200,0100,N 435414,S200000,03300,0100,N 435414,S200000,03300,0200,N 435414,S200000,04100,0100,N 435414,S200000,04200,0100,N 435414,S200000,04300,0100,N 435414,S200000,04600,0100,N 435414,S200000,04700,0100,N 435414,S200000,04700,0200,N 435414,S200000,04900,0100,N 435414,S200000,05000,0100,N 435414,S200000,05100,0100,N 435414,S200000,05200,0100,N 435415,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435415,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435415,A000000,00300,0000,0300EMPLOYEE BENEFITS 435415,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435415,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435415,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435415,A000000,00700,0000,0700HOUSEKEEPING 435415,A000000,00800,0000,0800DIETARY 435415,A000000,00900,0000,0900NURSING ADMINISTRATION 435415,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435415,A000000,01100,0000,1100PHARMACY 435415,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435415,A000000,01300,0000,1300SOCIAL SERVICE 435415,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435415,A000000,01500,0000,1350ACTIVITIES 435415,A000000,01600,0000,1600SKILLED NURSING FACILITY 435415,A000000,01800,0000,1800NURSING FACILITY 435415,A000000,01810,0000,1810ICF/MR 435415,A000000,01900,0000,1900OTHER LONG TERM CARE 435415,A000000,02100,0000,2100RADIOLOGY 435415,A000000,02200,0000,2200LABORATORY 435415,A000000,02300,0000,2300INTRAVENOUS THERAPY 435415,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435415,A000000,02500,0000,2500PHYSICAL THERAPY 435415,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435415,A000000,02700,0000,2700SPEECH PATHOLOGY 435415,A000000,02800,0000,2800ELECTROCARDIOLOGY 435415,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435415,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435415,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435415,A000000,03200,0000,3200SUPPORT SURFACES 435415,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435415,A000000,03400,0000,3400CLINIC 435415,A000000,03500,0000,3500RURAL HEALTH CLINIC 435415,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435415,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435415,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435415,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435415,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435415,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435415,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435415,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435415,A000000,04400,0000,4400DME RENTED - HHA 435415,A000000,04500,0000,4500DME SOLD - HHA 435415,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435415,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435415,A000000,04710,0000,4710TELEMEDICINE 435415,A000000,04800,0000,4800AMBULANCE 435415,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435415,A000000,05000,0000,5000CORF 435415,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435415,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435415,A000000,05300,0000,5300INTEREST EXPENSE 435415,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435415,A000000,05500,0000,5500HOSPICE 435415,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435415,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435415,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435415,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435415,A000000,06100,0000,6100NONPAID WORKERS 435415,A000000,06200,0000,6200PATIENTS LAUNDRY 435415,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435415,A81000A,00100,0100,Y 435415,A81000B,00100,0300,OFFICER SALARIES 435415,A81000C,00100,0100,G 435415,A81000C,00100,0200,BETTIANN WELLS 435415,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435415,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435415,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435415,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435415,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435415,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435415,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435415,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435415,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435415,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435415,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435415,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435415,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435415,S000000,00100,0200,07/23/13 435415,S200000,00100,0100,202 MAIN STREET 435415,S200000,00200,0100,WAKEFIELD 435415,S200000,00200,0200,MA 435415,S200000,00200,0300,01880 435415,S200000,00300,0100,MIDDLESEX 435415,S200000,00300,0201,01123 435415,S200000,00300,0300,U 435415,S200000,00400,0100,KIRKWOOD NURSING HOME 435415,S200000,00400,0200,225754 435415,S200000,00400,0300,05/16/00 435415,S200000,00400,0500,P 435415,S200000,00400,0600,P 435415,S200000,01500,0100,Y 435415,S200000,01501,0200,Y 435415,S200000,01502,0200,Y 435415,S200000,01600,0100,N 435415,S200000,01700,0100,N 435415,S200000,01800,0100,N 435415,S200000,02200,0100,N 435415,S200000,02800,0100,N 435415,S200000,02900,0100,N 435415,S200000,03000,0100,N 435415,S200000,03100,0100,N 435415,S200000,03200,0100,N 435415,S200000,03300,0100,N 435415,S200000,03300,0200,N 435415,S200000,04100,0100,N 435415,S200000,04200,0100,N 435415,S200000,04300,0100,N 435415,S200000,04600,0100,N 435415,S200000,04700,0100,N 435415,S200000,04700,0200,N 435415,S200000,04900,0100,N 435415,S200000,05000,0100,N 435415,S200000,05100,0100,N 435415,S200000,05200,0100,N 435418,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435418,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435418,A000000,00300,0000,0300EMPLOYEE BENEFITS 435418,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435418,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435418,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435418,A000000,00700,0000,0700HOUSEKEEPING 435418,A000000,00800,0000,0800DIETARY 435418,A000000,00900,0000,0900NURSING ADMINISTRATION 435418,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435418,A000000,01100,0000,1100PHARMACY 435418,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435418,A000000,01300,0000,1300SOCIAL SERVICE 435418,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435418,A000000,01500,0000,1350OTHER GENERAL SERVICES 435418,A000000,01600,0000,1600SKILLED NURSING FACILITY 435418,A000000,01800,0000,1800NURSING FACILITY 435418,A000000,01810,0000,1810ICF/MR 435418,A000000,01900,0000,1900OTHER LONG TERM CARE 435418,A000000,02100,0000,2100RADIOLOGY 435418,A000000,02200,0000,2200LABORATORY 435418,A000000,02300,0000,2300INTRAVENOUS THERAPY 435418,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435418,A000000,02500,0000,2500PHYSICAL THERAPY 435418,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435418,A000000,02700,0000,2700SPEECH PATHOLOGY 435418,A000000,02800,0000,2800ELECTROCARDIOLOGY 435418,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435418,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435418,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435418,A000000,03200,0000,3200SUPPORT SURFACES 435418,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435418,A000000,03400,0000,3400CLINIC 435418,A000000,03500,0000,3500RURAL HEALTH CLINIC 435418,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435418,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435418,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435418,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435418,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435418,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435418,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435418,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435418,A000000,04400,0000,4400DME RENTED - HHA 435418,A000000,04500,0000,4500DME SOLD - HHA 435418,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435418,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435418,A000000,04710,0000,4710TELEMEDICINE 435418,A000000,04800,0000,4800AMBULANCE 435418,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435418,A000000,05000,0000,5000CORF 435418,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435418,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435418,A000000,05300,0000,5300INTEREST EXPENSE 435418,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435418,A000000,05500,0000,5500HOSPICE 435418,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435418,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435418,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435418,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435418,A000000,06100,0000,6100NONPAID WORKERS 435418,A000000,06200,0000,6200PATIENTS LAUNDRY 435418,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435418,A81000A,00100,0100,N 435418,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435418,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435418,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435418,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435418,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435418,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435418,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435418,B100000,00000,0800,0800MEALS SERVED :DIETARY 435418,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435418,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435418,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435418,E10A180,00550,0100,05/17/12 435418,G300000,02500,0000,VENDING MACHINE REVENUE 435418,G300000,02501,0000,MISCELLANEOUS INCOME 435418,S000000,00100,0200,04/03/12 435418,S200000,00100,0100,809 SOUTH MAIN STREET 435418,S200000,00200,0100,FAYETTE 435418,S200000,00200,0200,MS 435418,S200000,00200,0300,39069 435418,S200000,00300,0100,JEFFERSON 435418,S200000,00300,0200,25 435418,S200000,00300,0201,99925 435418,S200000,00300,0300,R 435418,S200000,00400,0100,JEFFERSON COUNTY NURSING HOME 435418,S200000,00400,0200,255164 435418,S200000,00400,0300,10/01/98 435418,S200000,00400,0500,P 435418,S200000,01500,0100,Y 435418,S200000,01501,0200,Y 435418,S200000,01504,0200,Y 435418,S200000,01600,0100,N 435418,S200000,01700,0100,N 435418,S200000,01800,0100,N 435418,S200000,02200,0100,N 435418,S200000,02800,0100,N 435418,S200000,02900,0100,N 435418,S200000,03000,0100,N 435418,S200000,03100,0100,N 435418,S200000,03200,0100,N 435418,S200000,03300,0100,N 435418,S200000,03300,0200,N 435418,S200000,04100,0100,N 435418,S200000,04200,0100,N 435418,S200000,04300,0100,N 435418,S200000,04600,0100,N 435418,S200000,04700,0100,N 435418,S200000,04700,0200,N 435418,S200000,04900,0100,N 435418,S200000,05000,0100,N 435418,S200000,05100,0100,N 435418,S200000,05200,0100,N 435420,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435420,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435420,A000000,00300,0000,0300EMPLOYEE BENEFITS 435420,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435420,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435420,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435420,A000000,00700,0000,0700HOUSEKEEPING 435420,A000000,00800,0000,0800DIETARY 435420,A000000,00900,0000,0900NURSING ADMINISTRATION 435420,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435420,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435420,A000000,01300,0000,1300SOCIAL SERVICE 435420,A000000,01301,0000,1301ACTIVITES 435420,A000000,01500,0000,1350REHABILITATION 435420,A000000,01600,0000,1600SKILLED NURSING FACILITY 435420,A000000,01800,0000,1800NURSING FACILITY 435420,A000000,01900,0000,1900OTHER LONG TERM CARE 435420,A000000,02100,0000,2100RADIOLOGY 435420,A000000,02200,0000,2200LABORATORY 435420,A000000,02300,0000,2300INTRAVENOUS THERAPY 435420,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435420,A000000,02500,0000,2500PHYSICAL THERAPY 435420,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435420,A000000,02700,0000,2700SPEECH PATHOLOGY 435420,A000000,02800,0000,2800ELECTROCARDIOLOGY 435420,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435420,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435420,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435420,A000000,03200,0000,3200SUPPORT SURFACES 435420,A000000,03300,0000,3050EQUIPMENT RENTAL 435420,A000000,03301,0000,3051PEN THERAPY 435420,A000000,04800,0000,4800AMBULANCE 435420,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435420,A000000,05300,0000,5300INTEREST EXPENSE 435420,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435420,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435420,A000000,06200,0000,6200PATIENTS LAUNDRY 435420,A000000,06300,0000,6150VENDING 435420,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435420,A81000A,00100,0100,Y 435420,A81000B,00100,0300,HOME OFFICE COST 435420,A81000C,00100,0100,B 435420,A81000C,00100,0200,BELMONT LODGE H 435420,A81000C,00100,0400,SSC SPECIAL HOL 435420,A81000C,00100,0600,NSG HOMES 435420,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435420,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435420,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435420,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435420,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435420,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435420,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435420,B100000,00000,0800,0800MEALS SERVED :DIETARY 435420,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435420,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435420,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435420,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435420,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435420,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435420,E10A180,00351,0100,03/16/11 435420,E10A180,00352,0100,09/30/11 435420,S000000,00100,0200,02/24/12 435420,S200000,00100,0100,1601 CONSTITUTION 435420,S200000,00200,0100,PUEBLO 435420,S200000,00200,0200,CO 435420,S200000,00200,0300,81004 435420,S200000,00300,0100,PUEBLO 435420,S200000,00300,0300,U 435420,S200000,00400,0100,BELMONT LODGE HEALTH CARE CENTER 435420,S200000,00400,0200,065169 435420,S200000,00400,0300,07/01/82 435420,S200000,00400,0500,P 435420,S200000,01500,0100,Y 435420,S200000,01501,0200,Y 435420,S200000,01502,0200,Y 435420,S200000,01504,0200,Y 435420,S200000,01600,0100,N 435420,S200000,01700,0100,N 435420,S200000,01800,0100,N 435420,S200000,02200,0100,Y 435420,S200000,02800,0100,N 435420,S200000,02900,0100,N 435420,S200000,03000,0100,N 435420,S200000,03100,0100,N 435420,S200000,03200,0100,N 435420,S200000,03300,0100,N 435420,S200000,03300,0200,N 435420,S200000,04100,0100,N 435420,S200000,04200,0100,N 435420,S200000,04300,0100,N 435420,S200000,04600,0100,N 435420,S200000,04700,0100,N 435420,S200000,04700,0200,N 435420,S200000,04900,0100,N 435420,S200000,05000,0100,N 435420,S200000,05100,0100,N 435420,S200000,05200,0100,N 435420,S200000,05300,0100,Y 435420,S200000,05300,0200,219023 435420,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435420,S200000,05400,0200,TRAILBLAZER 435420,S200000,05400,0300,04901 435420,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435420,S200000,05600,0100,HOUSTON 435420,S200000,05600,0200,TX 435420,S200000,05600,0300,77041 435421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435421,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435421,A000000,00300,0000,0300EMPLOYEE BENEFITS 435421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435421,A000000,00700,0000,0700HOUSEKEEPING 435421,A000000,00800,0000,0800DIETARY 435421,A000000,00900,0000,0900NURSING ADMINISTRATION 435421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435421,A000000,01100,0000,1100PHARMACY 435421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435421,A000000,01300,0000,1300SOCIAL SERVICE 435421,A000000,01600,0000,1600SKILLED NURSING FACILITY 435421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435421,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435421,A000000,03200,0000,3200SUPPORT SURFACES 435421,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435421,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435421,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435421,A000000,04400,0000,4400DME RENTED - HHA 435421,A000000,04500,0000,4500DME SOLD - HHA 435421,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435421,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435421,A000000,04800,0000,4800AMBULANCE 435421,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435421,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435421,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435421,A000000,06200,0000,6200PATIENTS LAUNDRY 435421,A81000A,00100,0100,N 435421,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435421,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435421,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435421,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435421,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435421,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435421,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435421,B100000,00000,0800,0800MEALS SERVED :DIETARY 435421,B100000,00000,0900,0950DIRECT NRSING :NURSING ADMINIST 435421,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435421,B100000,00000,1100,1100COSTED REQ UISITIONS :PHARMACY 435421,B100000,00000,1200,1250GROSS CHAR GES :MEDICAL RECORDS 435421,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435421,E10A180,00550,0100,10/10/13 435421,S000000,00100,0200,04/12/12 435421,S200000,00100,0100,800 BROOKSIDE DR 435421,S200000,00200,0100,LITTLE ROCK 435421,S200000,00200,0200,AR 435421,S200000,00200,0300,72205 435421,S200000,00300,0100,PULASKI 435421,S200000,00300,0201,30780 435421,S200000,00300,0300,U 435421,S200000,00400,0100,BROOKSIDE HEALTH AND REHAB CENTER 435421,S200000,00400,0200,045400 435421,S200000,00400,0300,11/10/08 435421,S200000,00400,0500,P 435421,S200000,01500,0100,N 435421,S200000,01600,0100,N 435421,S200000,01700,0100,N 435421,S200000,01800,0100,N 435421,S200000,02200,0100,N 435421,S200000,02800,0100,N 435421,S200000,02900,0100,N 435421,S200000,03000,0100,N 435421,S200000,03100,0100,N 435421,S200000,03200,0100,N 435421,S200000,03300,0100,N 435421,S200000,03300,0200,N 435421,S200000,03600,0100,N 435421,S200000,03600,0200,N 435421,S200000,04100,0100,N 435421,S200000,04200,0100,N 435421,S200000,04300,0100,N 435421,S200000,04600,0100,N 435421,S200000,04700,0100,N 435421,S200000,04700,0200,N 435421,S200000,04900,0100,N 435421,S200000,05000,0100,N 435421,S200000,05100,0100,N 435421,S200000,05200,0100,N 435424,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435424,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435424,A000000,00300,0000,0300EMPLOYEE BENEFITS 435424,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435424,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435424,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435424,A000000,00700,0000,0700HOUSEKEEPING 435424,A000000,00800,0000,0800DIETARY 435424,A000000,00900,0000,0900NURSING ADMINISTRATION 435424,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435424,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435424,A000000,01300,0000,1300SOCIAL SERVICE 435424,A000000,01301,0000,1301ACTIVITES 435424,A000000,01500,0000,1350REHABILITATION 435424,A000000,01600,0000,1600SKILLED NURSING FACILITY 435424,A000000,01800,0000,1800NURSING FACILITY 435424,A000000,01900,0000,1900OTHER LONG TERM CARE 435424,A000000,02100,0000,2100RADIOLOGY 435424,A000000,02200,0000,2200LABORATORY 435424,A000000,02300,0000,2300INTRAVENOUS THERAPY 435424,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435424,A000000,02500,0000,2500PHYSICAL THERAPY 435424,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435424,A000000,02700,0000,2700SPEECH PATHOLOGY 435424,A000000,02800,0000,2800ELECTROCARDIOLOGY 435424,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435424,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435424,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435424,A000000,03200,0000,3200SUPPORT SURFACES 435424,A000000,03300,0000,3050EQUIPMENT RENTAL 435424,A000000,03301,0000,3051PEN THERAPY 435424,A000000,04800,0000,4800AMBULANCE 435424,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435424,A000000,05300,0000,5300INTEREST EXPENSE 435424,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435424,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435424,A000000,06200,0000,6200PATIENTS LAUNDRY 435424,A000000,06300,0000,6150VENDING 435424,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435424,A81000A,00100,0100,Y 435424,A81000B,00100,0300,HOME OFFICE COST 435424,A81000C,00100,0100,B 435424,A81000C,00100,0200,OVERLEA H&R CTR 435424,A81000C,00100,0400,SSC EQUITY HOLD 435424,A81000C,00100,0600,NSG HOMES 435424,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435424,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435424,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435424,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435424,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435424,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435424,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435424,B100000,00000,0800,0800MEALS SERVED :DIETARY 435424,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435424,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435424,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435424,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435424,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435424,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435424,E10A180,00352,0100,05/03/11 435424,E10A180,00550,0100,05/22/12 435424,S000000,00100,0200,02/24/12 435424,S200000,00100,0100,6116 BELAIR ROAD 435424,S200000,00200,0100,BALTIMORE 435424,S200000,00200,0200,MD 435424,S200000,00200,0300,21206 435424,S200000,00300,0100,BALTIMORE 435424,S200000,00300,0300,U 435424,S200000,00400,0100,OVERLEA HEALTH & REHAB CENTER 435424,S200000,00400,0200,215209 435424,S200000,00400,0300,01/01/05 435424,S200000,00400,0500,P 435424,S200000,01500,0100,Y 435424,S200000,01501,0200,N 435424,S200000,01502,0200,N 435424,S200000,01504,0200,Y 435424,S200000,01600,0100,N 435424,S200000,01700,0100,N 435424,S200000,01800,0100,N 435424,S200000,02200,0100,Y 435424,S200000,02800,0100,N 435424,S200000,02900,0100,N 435424,S200000,03000,0100,N 435424,S200000,03100,0100,N 435424,S200000,03200,0100,N 435424,S200000,03300,0100,N 435424,S200000,03300,0200,N 435424,S200000,03600,0100,N 435424,S200000,03600,0200,N 435424,S200000,04100,0100,N 435424,S200000,04200,0100,N 435424,S200000,04300,0100,N 435424,S200000,04600,0100,N 435424,S200000,04700,0100,N 435424,S200000,04700,0200,N 435424,S200000,04900,0100,N 435424,S200000,05000,0100,N 435424,S200000,05100,0100,N 435424,S200000,05200,0100,N 435424,S200000,05300,0100,Y 435424,S200000,05300,0200,219023 435424,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435424,S200000,05400,0200,NOVITAS SOLUTIONS 435424,S200000,05400,0300,04011 435424,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435424,S200000,05600,0100,HOUSTON 435424,S200000,05600,0200,TX 435424,S200000,05600,0300,77041 435428,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435428,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435428,A000000,00300,0000,0300EMPLOYEE BENEFITS 435428,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435428,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435428,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435428,A000000,00700,0000,0700HOUSEKEEPING 435428,A000000,00800,0000,0800DIETARY 435428,A000000,00900,0000,0900NURSING ADMINISTRATION 435428,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435428,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435428,A000000,01300,0000,1300SOCIAL SERVICE 435428,A000000,01301,0000,1301ACTIVITES 435428,A000000,01500,0000,1350REHABILITATION 435428,A000000,01600,0000,1600SKILLED NURSING FACILITY 435428,A000000,01800,0000,1800NURSING FACILITY 435428,A000000,01900,0000,1900OTHER LONG TERM CARE 435428,A000000,02100,0000,2100RADIOLOGY 435428,A000000,02200,0000,2200LABORATORY 435428,A000000,02300,0000,2300INTRAVENOUS THERAPY 435428,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435428,A000000,02500,0000,2500PHYSICAL THERAPY 435428,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435428,A000000,02700,0000,2700SPEECH PATHOLOGY 435428,A000000,02800,0000,2800ELECTROCARDIOLOGY 435428,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435428,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435428,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435428,A000000,03200,0000,3200SUPPORT SURFACES 435428,A000000,03300,0000,3050EQUIPMENT RENTAL 435428,A000000,03301,0000,3051PEN THERAPY 435428,A000000,04800,0000,4800AMBULANCE 435428,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435428,A000000,05300,0000,5300INTEREST EXPENSE 435428,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435428,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435428,A000000,06200,0000,6200PATIENTS LAUNDRY 435428,A000000,06300,0000,6150VENDING 435428,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435428,A81000A,00100,0100,Y 435428,A81000B,00100,0300,HOME OFFICE COST 435428,A81000C,00100,0100,B 435428,A81000C,00100,0200,BEL AIR H&R CTR 435428,A81000C,00100,0400,SSC EQUITY HOLD 435428,A81000C,00100,0600,NSG HOMES 435428,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435428,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435428,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435428,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435428,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435428,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435428,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435428,B100000,00000,0800,0800MEALS SERVED :DIETARY 435428,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435428,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435428,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435428,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435428,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435428,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435428,E10A180,00302,0100,05/18/11 435428,E10A180,00550,0100,05/22/12 435428,S000000,00100,0200,02/24/12 435428,S200000,00100,0100,410 EAST MCAPHAIL ROAD 435428,S200000,00200,0100,BEL AIR 435428,S200000,00200,0200,MD 435428,S200000,00200,0300,21014 435428,S200000,00300,0100,HARFORD 435428,S200000,00300,0300,U 435428,S200000,00400,0100,BEL AIR HEALTH & REHAB CENTER 435428,S200000,00400,0200,215312 435428,S200000,00400,0300,02/01/96 435428,S200000,00400,0500,P 435428,S200000,01500,0100,Y 435428,S200000,01501,0200,N 435428,S200000,01502,0200,N 435428,S200000,01504,0200,N 435428,S200000,01600,0100,N 435428,S200000,01700,0100,N 435428,S200000,01800,0100,N 435428,S200000,02200,0100,Y 435428,S200000,02800,0100,N 435428,S200000,02900,0100,N 435428,S200000,03000,0100,N 435428,S200000,03100,0100,N 435428,S200000,03200,0100,N 435428,S200000,03300,0100,N 435428,S200000,03300,0200,N 435428,S200000,04100,0100,N 435428,S200000,04200,0100,N 435428,S200000,04300,0100,N 435428,S200000,04600,0100,N 435428,S200000,04700,0100,N 435428,S200000,04700,0200,N 435428,S200000,04900,0100,N 435428,S200000,05000,0100,N 435428,S200000,05100,0100,N 435428,S200000,05200,0100,N 435428,S200000,05300,0100,Y 435428,S200000,05300,0200,219023 435428,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435428,S200000,05400,0200,TRAILBLAZER 435428,S200000,05400,0300,04901 435428,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435428,S200000,05600,0100,HOUSTON 435428,S200000,05600,0200,TX 435428,S200000,05600,0300,77041 435430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435430,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435430,A000000,00300,0000,0300EMPLOYEE BENEFITS 435430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435430,A000000,00700,0000,0700HOUSEKEEPING 435430,A000000,00800,0000,0800DIETARY 435430,A000000,00900,0000,0900NURSING ADMINISTRATION 435430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435430,A000000,01300,0000,1300SOCIAL SERVICE 435430,A000000,01301,0000,1301ACTIVITES 435430,A000000,01500,0000,1350REHABILITATION 435430,A000000,01600,0000,1600SKILLED NURSING FACILITY 435430,A000000,01800,0000,1800NURSING FACILITY 435430,A000000,01900,0000,1900OTHER LONG TERM CARE 435430,A000000,02100,0000,2100RADIOLOGY 435430,A000000,02200,0000,2200LABORATORY 435430,A000000,02300,0000,2300INTRAVENOUS THERAPY 435430,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435430,A000000,02500,0000,2500PHYSICAL THERAPY 435430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435430,A000000,02700,0000,2700SPEECH PATHOLOGY 435430,A000000,02800,0000,2800ELECTROCARDIOLOGY 435430,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435430,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435430,A000000,03200,0000,3200SUPPORT SURFACES 435430,A000000,03300,0000,3050EQUIPMENT RENTAL 435430,A000000,03301,0000,3051PEN THERAPY 435430,A000000,04800,0000,4800AMBULANCE 435430,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435430,A000000,05300,0000,5300INTEREST EXPENSE 435430,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435430,A000000,06200,0000,6200PATIENTS LAUNDRY 435430,A000000,06300,0000,6150VENDING 435430,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435430,A81000A,00100,0100,Y 435430,A81000B,00100,0300,HOME OFFICE COST 435430,A81000C,00100,0100,B 435430,A81000C,00100,0200,PATUXENT RIVER 435430,A81000C,00100,0400,SSC EQUITY HOLD 435430,A81000C,00100,0600,NSG HOMES 435430,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435430,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435430,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435430,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435430,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435430,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435430,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435430,B100000,00000,0800,0800MEALS SERVED :DIETARY 435430,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435430,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435430,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435430,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435430,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435430,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435430,E10A180,00302,0100,03/16/11 435430,E10A180,00303,0100,05/03/11 435430,E10A180,00304,0100,09/30/11 435430,E10A180,00550,0100,05/21/12 435430,E10A180,00550,0300,05/21/12 435430,G300000,02500,0000, OTHER (SPECIFY) 435430,S000000,00100,0200,02/24/12 435430,S200000,00100,0100,14200 LAUREL PARK DRIVE 435430,S200000,00200,0100,LAUREL 435430,S200000,00200,0200,MD 435430,S200000,00200,0300,20707 435430,S200000,00300,0100,PRINCE GEROGE 435430,S200000,00300,0300,U 435430,S200000,00400,0100,PATUXENT RIVER HEALTH & REHAB CENTER 435430,S200000,00400,0200,215141 435430,S200000,00400,0300,10/01/93 435430,S200000,00400,0500,P 435430,S200000,01500,0100,Y 435430,S200000,01501,0200,Y 435430,S200000,01502,0200,N 435430,S200000,01504,0200,N 435430,S200000,01600,0100,N 435430,S200000,01700,0100,N 435430,S200000,01800,0100,N 435430,S200000,02200,0100,Y 435430,S200000,02800,0100,N 435430,S200000,02900,0100,N 435430,S200000,03000,0100,N 435430,S200000,03100,0100,N 435430,S200000,03200,0100,N 435430,S200000,03300,0100,N 435430,S200000,03300,0200,N 435430,S200000,04100,0100,N 435430,S200000,04200,0100,N 435430,S200000,04300,0100,N 435430,S200000,04600,0100,N 435430,S200000,04700,0100,N 435430,S200000,04700,0200,N 435430,S200000,04900,0100,N 435430,S200000,05000,0100,N 435430,S200000,05100,0100,N 435430,S200000,05200,0100,N 435430,S200000,05300,0100,Y 435430,S200000,05300,0200,219023 435430,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435430,S200000,05400,0200,TRAILBLAZER 435430,S200000,05400,0300,04901 435430,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435430,S200000,05600,0100,HOUSTON 435430,S200000,05600,0200,TX 435430,S200000,05600,0300,77041 435432,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435432,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435432,A000000,00300,0000,0300EMPLOYEE BENEFITS 435432,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435432,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435432,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435432,A000000,00700,0000,0700HOUSEKEEPING 435432,A000000,00800,0000,0800DIETARY 435432,A000000,00900,0000,0900NURSING ADMINISTRATION 435432,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435432,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435432,A000000,01300,0000,1300SOCIAL SERVICE 435432,A000000,01301,0000,1301ACTIVITES 435432,A000000,01500,0000,1350REHABILITATION 435432,A000000,01600,0000,1600SKILLED NURSING FACILITY 435432,A000000,01800,0000,1800NURSING FACILITY 435432,A000000,01900,0000,1900OTHER LONG TERM CARE 435432,A000000,02100,0000,2100RADIOLOGY 435432,A000000,02200,0000,2200LABORATORY 435432,A000000,02300,0000,2300INTRAVENOUS THERAPY 435432,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435432,A000000,02500,0000,2500PHYSICAL THERAPY 435432,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435432,A000000,02700,0000,2700SPEECH PATHOLOGY 435432,A000000,02800,0000,2800ELECTROCARDIOLOGY 435432,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435432,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435432,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435432,A000000,03200,0000,3200SUPPORT SURFACES 435432,A000000,03300,0000,3050EQUIPMENT RENTAL 435432,A000000,03301,0000,3051PEN THERAPY 435432,A000000,04800,0000,4800AMBULANCE 435432,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435432,A000000,05300,0000,5300INTEREST EXPENSE 435432,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435432,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435432,A000000,06200,0000,6200PATIENTS LAUNDRY 435432,A000000,06300,0000,6150VENDING 435432,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435432,A81000A,00100,0100,Y 435432,A81000B,00100,0300,HOME OFFICE COST 435432,A81000C,00100,0100,B 435432,A81000C,00100,0200,FOREST HILL H&R 435432,A81000C,00100,0400,SSC EQUITY HOLD 435432,A81000C,00100,0600,NSG HOMES 435432,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435432,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435432,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435432,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435432,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435432,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435432,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435432,B100000,00000,0800,0800MEALS SERVED :DIETARY 435432,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435432,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435432,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435432,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435432,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435432,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435432,E10A180,00302,0100,04/21/11 435432,E10A180,00550,0100,05/21/12 435432,G300000,02500,0000, OTHER (SPECIFY) 435432,S000000,00100,0200,02/24/12 435432,S200000,00100,0100,109 FOREST VALLEY DRIVE 435432,S200000,00200,0100,FOREST HILL 435432,S200000,00200,0200,MD 435432,S200000,00200,0300,21050 435432,S200000,00300,0100,HARFORD 435432,S200000,00300,0300,U 435432,S200000,00400,0100,FOREST HILL HEALTH AND REHAB CENTER 435432,S200000,00400,0200,215194 435432,S200000,00400,0300,02/01/96 435432,S200000,00400,0500,P 435432,S200000,01500,0100,Y 435432,S200000,01501,0200,Y 435432,S200000,01502,0200,N 435432,S200000,01504,0200,Y 435432,S200000,01600,0100,N 435432,S200000,01700,0100,N 435432,S200000,01800,0100,N 435432,S200000,02200,0100,Y 435432,S200000,02800,0100,N 435432,S200000,02900,0100,N 435432,S200000,03000,0100,N 435432,S200000,03100,0100,N 435432,S200000,03200,0100,N 435432,S200000,03300,0100,N 435432,S200000,03300,0200,N 435432,S200000,03600,0100,N 435432,S200000,03600,0200,N 435432,S200000,04100,0100,N 435432,S200000,04200,0100,N 435432,S200000,04300,0100,N 435432,S200000,04600,0100,N 435432,S200000,04700,0100,N 435432,S200000,04700,0200,N 435432,S200000,04900,0100,N 435432,S200000,05000,0100,N 435432,S200000,05100,0100,N 435432,S200000,05200,0100,N 435432,S200000,05300,0100,Y 435432,S200000,05300,0200,219023 435432,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435432,S200000,05400,0200,NOVITAS SOLUTIONS 435432,S200000,05400,0300,04011 435432,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435432,S200000,05600,0100,HOUSTON 435432,S200000,05600,0200,TX 435432,S200000,05600,0300,77041 435434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435434,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435434,A000000,00300,0000,0300EMPLOYEE BENEFITS 435434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435434,A000000,00700,0000,0700HOUSEKEEPING 435434,A000000,00800,0000,0800DIETARY 435434,A000000,00900,0000,0900NURSING ADMINISTRATION 435434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435434,A000000,01100,0000,1100PHARMACY 435434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435434,A000000,01300,0000,1300SOCIAL SERVICE 435434,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435434,A000000,01500,0000,1350RECREATION SERVICES 435434,A000000,01600,0000,1600SKILLED NURSING FACILITY 435434,A000000,01800,0000,1800NURSING FACILITY 435434,A000000,01810,0000,1810ICF/MR 435434,A000000,01900,0000,1900OTHER LONG TERM CARE 435434,A000000,02100,0000,2100RADIOLOGY 435434,A000000,02200,0000,2200LABORATORY 435434,A000000,02300,0000,2300INTRAVENOUS THERAPY 435434,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435434,A000000,02500,0000,2500PHYSICAL THERAPY 435434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435434,A000000,02700,0000,2700SPEECH PATHOLOGY 435434,A000000,02800,0000,2800ELECTROCARDIOLOGY 435434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435434,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435434,A000000,03200,0000,3200SUPPORT SURFACES 435434,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435434,A000000,03400,0000,3400CLINIC 435434,A000000,03500,0000,3500RURAL HEALTH CLINIC 435434,A000000,03550,0000,3550FQHC 435434,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435434,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435434,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435434,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435434,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435434,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435434,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435434,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435434,A000000,04400,0000,4400DME RENTED - HHA 435434,A000000,04500,0000,4500DME SOLD - HHA 435434,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435434,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435434,A000000,04710,0000,4710TELEMEDICINE 435434,A000000,04800,0000,4800AMBULANCE 435434,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435434,A000000,05000,0000,5000CORF 435434,A000000,05010,0000,5010CMHC 435434,A000000,05020,0000,5020PATIENT PHYSICAL THERAPY 5 435434,A000000,05030,0000,5030PATIENT OCCUPATIONAL THERAPY 5 435434,A000000,05040,0000,5040PATIENT SPEECH THERAPY 5 435434,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435434,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435434,A000000,05300,0000,5300INTEREST EXPENSE 435434,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435434,A000000,05500,0000,5500HOSPICE 435434,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435434,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435434,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435434,A000000,06100,0000,6100NONPAID WORKERS 435434,A000000,06200,0000,6200PATIENTS LAUNDRY 435434,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435434,A81000A,00100,0100,Y 435434,A81000B,00100,0300,FACILITY RENT 435434,A81000B,00200,0300,MANAGEMENT FEES 435434,A81000B,00300,0300,CONTRACT PT 435434,A81000B,00400,0300,CONTRACT OT 435434,A81000B,00500,0300,CONTRACT ST 435434,A81000C,00100,0100,B 435434,A81000C,00100,0400,LAGNIAPPE PROPERTIES 435434,A81000C,00100,0600,REAL ESTATE COMPANY 435434,A81000C,00200,0100,C 435434,A81000C,00200,0400,THERAPY SOLUTIONS 435434,A81000C,00200,0600,THERAPY COMPANY 435434,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435434,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435434,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435434,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435434,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435434,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435434,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435434,B100000,00000,0800,0800MEALS SERVED :DIETARY 435434,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435434,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435434,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435434,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435434,B100000,00000,1500,1350TIME SPENT :RECREATION SERVICES 435434,E10A180,00501,0100,07/06/12 435434,E10A180,00501,0300,07/06/12 435434,S000000,00100,0200,07/20/12 435434,S200000,00100,0100,370 WEST HICKORY AVENUE 435434,S200000,00200,0100,BASTROP 435434,S200000,00200,0200,LA 435434,S200000,00200,0300,71220 435434,S200000,00300,0100,MOREHOUSE 435434,S200000,00300,0201,99919 435434,S200000,00300,0300,R 435434,S200000,00400,0100,HICKORY MANOR SKILLED NURSING FAC 435434,S200000,00400,0200,195461 435434,S200000,00400,0300,04/01/98 435434,S200000,00400,0500,P 435434,S200000,01500,0100,Y 435434,S200000,01501,0200,Y 435434,S200000,01502,0200,Y 435434,S200000,01503,0200,Y 435434,S200000,01504,0200,Y 435434,S200000,01600,0100,N 435434,S200000,01700,0100,N 435434,S200000,01800,0100,N 435434,S200000,02200,0100,N 435434,S200000,02800,0100,N 435434,S200000,02900,0100,N 435434,S200000,03000,0100,N 435434,S200000,03100,0100,N 435434,S200000,03200,0100,N 435434,S200000,03300,0100,N 435434,S200000,03300,0200,N 435434,S200000,04100,0100,N 435434,S200000,04200,0100,N 435434,S200000,04300,0100,N 435434,S200000,04600,0100,N 435434,S200000,04700,0100,N 435434,S200000,04700,0200,N 435434,S200000,04900,0100,N 435434,S200000,05000,0100,N 435434,S200000,05100,0100,N 435434,S200000,05200,0100,N 435434,S200000,05300,0100,Y 435434,S61C000,02000,0100,N 435437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435437,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435437,A000000,00300,0000,0300EMPLOYEE BENEFITS 435437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435437,A000000,00700,0000,0700HOUSEKEEPING 435437,A000000,00800,0000,0800DIETARY 435437,A000000,00900,0000,0900NURSING ADMINISTRATION 435437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435437,A000000,01300,0000,1300SOCIAL SERVICE 435437,A000000,01301,0000,1301ACTIVITES 435437,A000000,01500,0000,1350REHABILITATION 435437,A000000,01600,0000,1600SKILLED NURSING FACILITY 435437,A000000,01800,0000,1800NURSING FACILITY 435437,A000000,01900,0000,1900OTHER LONG TERM CARE 435437,A000000,02100,0000,2100RADIOLOGY 435437,A000000,02200,0000,2200LABORATORY 435437,A000000,02300,0000,2300INTRAVENOUS THERAPY 435437,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435437,A000000,02500,0000,2500PHYSICAL THERAPY 435437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435437,A000000,02700,0000,2700SPEECH PATHOLOGY 435437,A000000,02800,0000,2800ELECTROCARDIOLOGY 435437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435437,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435437,A000000,03200,0000,3200SUPPORT SURFACES 435437,A000000,03300,0000,3050EQUIPMENT RENTAL 435437,A000000,03301,0000,3051PEN THERAPY 435437,A000000,04800,0000,4800AMBULANCE 435437,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435437,A000000,05300,0000,5300INTEREST EXPENSE 435437,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435437,A000000,06200,0000,6200PATIENTS LAUNDRY 435437,A000000,06300,0000,6150VENDING 435437,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435437,A81000A,00100,0100,Y 435437,A81000B,00100,0300,HOME OFFICE COST 435437,A81000C,00100,0100,B 435437,A81000C,00100,0200,LAS PALMAS HCC 435437,A81000C,00100,0400,SSC EQUITY HOLD 435437,A81000C,00100,0600,NSG HOMES 435437,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435437,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435437,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435437,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435437,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435437,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435437,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435437,B100000,00000,0800,0800MEALS SERVED :DIETARY 435437,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435437,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435437,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435437,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435437,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435437,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435437,E10A180,00302,0100,02/10/11 435437,E10A180,00303,0100,05/09/11 435437,E10A180,00550,0100,05/08/12 435437,G300000,02500,0000, OTHER (SPECIFY) 435437,S000000,00100,0200,02/24/12 435437,S200000,00100,0100,1301 EAST QUEBEC 435437,S200000,00200,0100,MCALLEN 435437,S200000,00200,0200,TX 435437,S200000,00200,0300,78501 435437,S200000,00300,0100,HIDALGO 435437,S200000,00300,0300,U 435437,S200000,00400,0100,LAS PALMAS HEALTHCARE CENTER 435437,S200000,00400,0200,675415 435437,S200000,00400,0300,11/02/94 435437,S200000,00400,0500,P 435437,S200000,01500,0100,Y 435437,S200000,01501,0200,Y 435437,S200000,01502,0200,Y 435437,S200000,01504,0200,Y 435437,S200000,01600,0100,N 435437,S200000,01700,0100,N 435437,S200000,01800,0100,N 435437,S200000,02200,0100,Y 435437,S200000,02800,0100,N 435437,S200000,02900,0100,N 435437,S200000,03000,0100,N 435437,S200000,03100,0100,N 435437,S200000,03200,0100,N 435437,S200000,03300,0100,N 435437,S200000,03300,0200,N 435437,S200000,04100,0100,N 435437,S200000,04200,0100,N 435437,S200000,04300,0100,N 435437,S200000,04600,0100,N 435437,S200000,04700,0100,N 435437,S200000,04700,0200,N 435437,S200000,04900,0100,N 435437,S200000,05000,0100,N 435437,S200000,05100,0100,N 435437,S200000,05200,0100,N 435437,S200000,05300,0100,Y 435437,S200000,05300,0200,219023 435437,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435437,S200000,05400,0200,TRAILBLAZER 435437,S200000,05400,0300,04901 435437,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435437,S200000,05600,0100,HOUSTON 435437,S200000,05600,0200,TX 435437,S200000,05600,0300,77041 435444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435444,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435444,A000000,00300,0000,0300EMPLOYEE BENEFITS 435444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435444,A000000,00700,0000,0700HOUSEKEEPING 435444,A000000,00800,0000,0800DIETARY 435444,A000000,00900,0000,0900NURSING ADMINISTRATION 435444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435444,A000000,01300,0000,1300SOCIAL SERVICE 435444,A000000,01301,0000,1301ACTIVITES 435444,A000000,01500,0000,1350REHABILITATION 435444,A000000,01600,0000,1600SKILLED NURSING FACILITY 435444,A000000,01800,0000,1800NURSING FACILITY 435444,A000000,01900,0000,1900OTHER LONG TERM CARE 435444,A000000,02100,0000,2100RADIOLOGY 435444,A000000,02200,0000,2200LABORATORY 435444,A000000,02300,0000,2300INTRAVENOUS THERAPY 435444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435444,A000000,02500,0000,2500PHYSICAL THERAPY 435444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435444,A000000,02700,0000,2700SPEECH PATHOLOGY 435444,A000000,02800,0000,2800ELECTROCARDIOLOGY 435444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435444,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435444,A000000,03200,0000,3200SUPPORT SURFACES 435444,A000000,03300,0000,3050EQUIPMENT RENTAL 435444,A000000,03301,0000,3051PEN THERAPY 435444,A000000,04800,0000,4800AMBULANCE 435444,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435444,A000000,05300,0000,5300INTEREST EXPENSE 435444,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435444,A000000,06200,0000,6200PATIENTS LAUNDRY 435444,A000000,06300,0000,6150VENDING 435444,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435444,A81000A,00100,0100,Y 435444,A81000B,00100,0300,HOME OFFICE COST 435444,A81000C,00100,0100,B 435444,A81000C,00100,0200,SUMMIT PARK H&R 435444,A81000C,00100,0400,SSC EQUITY HOLD 435444,A81000C,00100,0600,NSG HOMES 435444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435444,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435444,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435444,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435444,B100000,00000,0800,0800MEALS SERVED :DIETARY 435444,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435444,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435444,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435444,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435444,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435444,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435444,E00A183,01620,0000,OTHER ADJUSTMENTS (ROUNDING ERROR) 435444,E10A180,00352,0100,04/21/11 435444,E10A180,00550,0100,05/18/12 435444,E10A180,00550,0300,05/18/12 435444,S000000,00100,0200,02/24/12 435444,S200000,00100,0100,1502 FREDERICK ROAD 435444,S200000,00200,0100,CATONSVILLE 435444,S200000,00200,0200,MD 435444,S200000,00200,0300,20104 435444,S200000,00300,0100,BALTIMORE 435444,S200000,00300,0300,U 435444,S200000,00400,0100,SUMMIT PARK HEALTH & REHAB CENTER 435444,S200000,00400,0200,215326 435444,S200000,00400,0300,02/01/96 435444,S200000,00400,0500,P 435444,S200000,01500,0100,Y 435444,S200000,01501,0200,Y 435444,S200000,01502,0200,N 435444,S200000,01504,0200,N 435444,S200000,01600,0100,N 435444,S200000,01700,0100,N 435444,S200000,01800,0100,N 435444,S200000,02200,0100,Y 435444,S200000,02800,0100,N 435444,S200000,02900,0100,N 435444,S200000,03000,0100,N 435444,S200000,03100,0100,N 435444,S200000,03200,0100,N 435444,S200000,03300,0100,N 435444,S200000,03300,0200,N 435444,S200000,04100,0100,N 435444,S200000,04200,0100,N 435444,S200000,04300,0100,N 435444,S200000,04600,0100,N 435444,S200000,04700,0100,N 435444,S200000,04700,0200,N 435444,S200000,04900,0100,N 435444,S200000,05000,0100,N 435444,S200000,05100,0100,N 435444,S200000,05200,0100,N 435444,S200000,05300,0100,Y 435444,S200000,05300,0200,219023 435444,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435444,S200000,05400,0200,TRAILBLAZER 435444,S200000,05400,0300,04901 435444,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435444,S200000,05600,0100,HOUSTON 435444,S200000,05600,0200,TX 435444,S200000,05600,0300,77041 435446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435446,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435446,A000000,00300,0000,0300EMPLOYEE BENEFITS 435446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435446,A000000,00700,0000,0700HOUSEKEEPING 435446,A000000,00800,0000,0800DIETARY 435446,A000000,00900,0000,0900NURSING ADMINISTRATION 435446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435446,A000000,01300,0000,1300SOCIAL SERVICE 435446,A000000,01301,0000,1301ACTIVITES 435446,A000000,01500,0000,1350REHABILITATION 435446,A000000,01600,0000,1600SKILLED NURSING FACILITY 435446,A000000,01800,0000,1800NURSING FACILITY 435446,A000000,01900,0000,1900OTHER LONG TERM CARE 435446,A000000,02100,0000,2100RADIOLOGY 435446,A000000,02200,0000,2200LABORATORY 435446,A000000,02300,0000,2300INTRAVENOUS THERAPY 435446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435446,A000000,02500,0000,2500PHYSICAL THERAPY 435446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435446,A000000,02700,0000,2700SPEECH PATHOLOGY 435446,A000000,02800,0000,2800ELECTROCARDIOLOGY 435446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435446,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435446,A000000,03200,0000,3200SUPPORT SURFACES 435446,A000000,03300,0000,3050EQUIPMENT RENTAL 435446,A000000,03301,0000,3051PEN THERAPY 435446,A000000,04800,0000,4800AMBULANCE 435446,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435446,A000000,05300,0000,5300INTEREST EXPENSE 435446,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435446,A000000,06200,0000,6200PATIENTS LAUNDRY 435446,A000000,06300,0000,6150VENDING 435446,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435446,A81000A,00100,0100,Y 435446,A81000B,00100,0300,HOME OFFICE COST 435446,A81000C,00100,0100,B 435446,A81000C,00100,0200,HERITAGE HARBOU 435446,A81000C,00100,0400,SSC EQUITY HOLD 435446,A81000C,00100,0600,NSG HOMES 435446,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435446,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435446,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435446,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435446,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435446,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435446,B100000,00000,0800,0800MEALS SERVED :DIETARY 435446,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435446,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435446,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435446,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435446,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435446,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435446,E10A180,00302,0100,04/20/11 435446,E10A180,00550,0100,05/18/12 435446,G300000,02500,0000, OTHER (SPECIFY) 435446,S000000,00100,0200,02/24/12 435446,S200000,00100,0100,2700 SOUTH HAVEN ROAD 435446,S200000,00200,0100,ANNAPOLIS 435446,S200000,00200,0200,MD 435446,S200000,00200,0300,21401 435446,S200000,00300,0100,ANNE ARUNDEL 435446,S200000,00300,0300,U 435446,S200000,00400,0100,HERITAGE HARBOUR HEALTH & REHAB CTR 435446,S200000,00400,0200,215325 435446,S200000,00400,0300,10/06/99 435446,S200000,00400,0500,P 435446,S200000,01500,0100,Y 435446,S200000,01501,0200,N 435446,S200000,01502,0200,N 435446,S200000,01504,0200,Y 435446,S200000,01600,0100,N 435446,S200000,01700,0100,N 435446,S200000,01800,0100,N 435446,S200000,02200,0100,Y 435446,S200000,02800,0100,N 435446,S200000,02900,0100,N 435446,S200000,03000,0100,N 435446,S200000,03100,0100,N 435446,S200000,03200,0100,N 435446,S200000,03300,0100,N 435446,S200000,03300,0200,N 435446,S200000,04100,0100,N 435446,S200000,04200,0100,N 435446,S200000,04300,0100,N 435446,S200000,04600,0100,N 435446,S200000,04700,0100,N 435446,S200000,04700,0200,N 435446,S200000,04900,0100,N 435446,S200000,05000,0100,N 435446,S200000,05100,0100,N 435446,S200000,05200,0100,N 435446,S200000,05300,0100,Y 435446,S200000,05300,0200,219023 435446,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435446,S200000,05400,0200,TRAILBLAZER 435446,S200000,05400,0300,04901 435446,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435446,S200000,05600,0100,HOUSTON 435446,S200000,05600,0200,TX 435446,S200000,05600,0300,77041 435448,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435448,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435448,A000000,00300,0000,0300EMPLOYEE BENEFITS 435448,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435448,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435448,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435448,A000000,00700,0000,0700HOUSEKEEPING 435448,A000000,00800,0000,0800DIETARY 435448,A000000,00900,0000,0900NURSING ADMINISTRATION 435448,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435448,A000000,01100,0000,1100PHARMACY 435448,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435448,A000000,01300,0000,1300SOCIAL SERVICE 435448,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435448,A000000,01500,0000,1350RECREATION ACTIVITIES 435448,A000000,01600,0000,1600SKILLED NURSING FACILITY 435448,A000000,01810,0000,1810ICF/MR 435448,A000000,02100,0000,2100RADIOLOGY 435448,A000000,02200,0000,2200LABORATORY 435448,A000000,02500,0000,2500PHYSICAL THERAPY 435448,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435448,A000000,02700,0000,2700SPEECH PATHOLOGY 435448,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435448,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435448,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435448,A000000,03301,0000,3051ENTERAL FEEDING 435448,A000000,03550,0000,3550FQHC 435448,A000000,05000,0000,5000CORF 435448,A000000,05010,0000,5010CMHC 435448,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435448,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435448,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435448,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435448,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435448,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435448,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435448,A000000,06312,0000,6153DIALYSIS 435448,A000000,06320,0000,6154APARTMENTS 435448,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435448,A000000,06340,0000,6156CLOSED PATIENT AREAS 435448,A000000,06350,0000,6157O/P ADULT DAYCARE 435448,A000000,06360,0000,6158MARKETING 435448,A81000A,00100,0100,Y 435448,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435448,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435448,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435448,A81000C,00100,0100,A 435448,A81000C,00100,0200,FUNDAMENTAL HOL 435448,A81000C,00100,0400,FAS FCC FCOS 435448,A81000C,00100,0600,SUPPORT SERVICE 435448,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435448,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435448,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435448,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435448,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435448,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435448,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 435448,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435448,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435448,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435448,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435448,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435448,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435448,S000000,00100,0200,12/29/11 435448,S200000,00100,0100,2029 SAGECREST CT 435448,S200000,00200,0100,LAS CRUCES 435448,S200000,00200,0200,NM 435448,S200000,00200,0300,88001 435448,S200000,00300,0100,DONA ANA 435448,S200000,00300,0201,29740 435448,S200000,00300,0300,U 435448,S200000,00400,0100,LAS CRUCES NURSING CTR 435448,S200000,00400,0200,325039 435448,S200000,00400,0300,04/15/91 435448,S200000,00400,0500,P 435448,S200000,00400,0600,O 435448,S200000,01500,0100,Y 435448,S200000,01501,0200,Y 435448,S200000,01502,0200,Y 435448,S200000,01503,0200,Y 435448,S200000,01600,0100,N 435448,S200000,01700,0100,N 435448,S200000,01800,0100,N 435448,S200000,01900,0100,LLC 435448,S200000,02200,0100,N 435448,S200000,02800,0100,N 435448,S200000,02900,0100,N 435448,S200000,03000,0100,N 435448,S200000,03100,0100,N 435448,S200000,03200,0100,N 435448,S200000,03300,0100,N 435448,S200000,03300,0200,N 435448,S200000,04100,0100,N 435448,S200000,04200,0100,N 435448,S200000,04300,0100,N 435448,S200000,04600,0100,N 435448,S200000,04700,0100,N 435448,S200000,04700,0200,N 435448,S200000,04900,0100,N 435448,S200000,05000,0100,N 435448,S200000,05100,0100,N 435448,S200000,05200,0100,N 435448,S200000,05300,0100,Y 435451,S000000,00100,0200,04/09/12 435451,S200000,00100,0100,404 EAST GARFIELD STREET 435451,S200000,00200,0100,ZEARING 435451,S200000,00200,0200,IA 435451,S200000,00200,0300,50278-8625 435451,S200000,00300,0100,STORY 435451,S200000,00400,0100,ZEARING HEALTH CARE 435451,S200000,00400,0300,02/07/97 435453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435453,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435453,A000000,00300,0000,0300EMPLOYEE BENEFITS 435453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435453,A000000,00700,0000,0700HOUSEKEEPING 435453,A000000,00800,0000,0800DIETARY 435453,A000000,00900,0000,0900NURSING ADMINISTRATION 435453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435453,A000000,01100,0000,1100PHARMACY 435453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435453,A000000,01300,0000,1300SOCIAL SERVICE 435453,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435453,A000000,01500,0000,1350ACTIVITIES 435453,A000000,01600,0000,1600SKILLED NURSING FACILITY 435453,A000000,01810,0000,1810ICF/MR 435453,A000000,02100,0000,2100RADIOLOGY 435453,A000000,02200,0000,2200LABORATORY 435453,A000000,02300,0000,2300INTRAVENOUS THERAPY 435453,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435453,A000000,02500,0000,2500PHYSICAL THERAPY 435453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435453,A000000,02700,0000,2700SPEECH PATHOLOGY 435453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435453,A000000,03200,0000,3200SUPPORT SURFACES 435453,A000000,03300,0000,3050AMBULANCE 435453,A000000,03550,0000,3550FQHC 435453,A000000,04801,0000,4801AMBULANCE 435453,A000000,04802,0000,4802AMBULANCE 435453,A000000,04803,0000,4803AMBULANCE 435453,A000000,05000,0000,5000CORF 435453,A000000,05010,0000,5010CMHC 435453,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435453,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435453,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435453,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 435453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435453,A000000,06300,0000,6150MARKETING 435453,A000000,06301,0000,6151LIFESTYLES COORDINATOR 435453,A81000A,00100,0100,Y 435453,A81000B,00100,0300,HOME OFFICE COSTS 435453,A81000B,00200,0300,RANGELINE FEES 435453,A81000B,00300,0300,INTERIOR DESIGN - 06 435453,A81000B,00400,0300,PT ALLOCATION 435453,A81000B,00500,0300,OT ALLOCATION 435453,A81000B,00600,0300,ST ALLOCATION 435453,A81000B,00700,0300,INTEREST 435453,A81000B,00800,0300,AUTO INSURANCE 435453,A81000B,00900,0300,ED COMP 435453,A81000B,01000,0300,INTERIOR DESIGN - 10 435453,A81000B,01100,0300,ABT 435453,A81000B,01200,0300,LIAB INS 435453,A81000B,01300,0300,INTERIOR DESIGN - 04 435453,A81000B,01400,0300,BUILDING LEASE 435453,A81000B,01500,0300,INTERIOR DESIGN - 07 435453,A81000C,00100,0100,A 435453,A81000C,00100,0200,FORREST PRESTON 435453,A81000C,00100,0400,LIFE CARE CENTE 435453,A81000C,00100,0600,MANAGEMENT FEES 435453,A81000C,00200,0100,A 435453,A81000C,00200,0200,FORREST PRESTON 435453,A81000C,00200,0400,RANGELINE 435453,A81000C,00200,0600,FINANCE 435453,A81000C,00300,0100,A 435453,A81000C,00300,0200,FORREST PRESTON 435453,A81000C,00300,0400,RICHLAND REAL E 435453,A81000C,00300,0600,BUILDING LESSOR 435453,A81000C,00400,0100,A 435453,A81000C,00400,0200,FORREST PRESTON 435453,A81000C,00400,0400,FLASH TEL 435453,A81000C,00400,0600,PHONE SYSTEMS 435453,A81000C,00500,0100,A 435453,A81000C,00500,0200,FORREST PRESTON 435453,A81000C,00500,0400,LIFE CARE DESIG 435453,A81000C,00500,0600,INTERIOR DESIGN 435453,A81000C,00600,0100,A 435453,A81000C,00600,0200,FORREST PRESTON 435453,A81000C,00600,0400,ABT 435453,A81000C,00600,0600,GROUP HEALTH 435453,A81000C,00700,0100,A 435453,A81000C,00700,0200,FORREST PRESTON 435453,A81000C,00700,0400,LEADER CARE 435453,A81000C,00700,0600,LIAB INS 435453,B100000,00000,0100,0100SQUARE FEET 435453,B100000,00000,0200,0200SQUARE FEET 435453,B100000,00000,0300,0300GROSS SALARIES 435453,B100000,00000,0400,0400ACCUM COST 435453,B100000,00000,0500,0500SQUARE FEET 435453,B100000,00000,0600,0600PATIENT DAYS 435453,B100000,00000,0700,0700PATIENT DAYS 435453,B100000,00000,0800,0800MEALS SERVED 435453,B100000,00000,0900,0900DIRECT NRSG HRS 435453,B100000,00000,1000,1000COSTED REQUIS 435453,B100000,00000,1100,1100COSTED REQUIS 435453,B100000,00000,1200,1200PATIENT DAYS 435453,B100000,00000,1300,1300PATIENT DAYS 435453,B100000,00000,1400,1400ASSIGNED TIME 435453,B100000,00000,1500,1350PATIENT DAYS 435453,E10A180,00301,0100,01/31/11 435453,E10A180,00302,0100,08/22/11 435453,E10A180,00501,0100,04/27/12 435453,G300000,02500,0000,MISC 435453,G300000,02501,0000,BEAUTY & BARBER 435453,G300000,02502,0000,EQUIPMENT RENTAL 435453,S000000,00100,0200,02/21/12 435453,S200000,00100,0100,44 GOETHALS DRIVE 435453,S200000,00200,0100,RICHLAND 435453,S200000,00200,0200,WA 435453,S200000,00200,0300,99352 435453,S200000,00300,0100,BENTON 435453,S200000,00300,0201,28420 435453,S200000,00300,0300,U 435453,S200000,00400,0100,LIFE CARE CENTER OF RICHLAND 435453,S200000,00400,0200,505070 435453,S200000,00400,0300,10/01/79 435453,S200000,00400,0500,P 435453,S200000,01500,0100,Y 435453,S200000,01501,0200,Y 435453,S200000,01502,0200,Y 435453,S200000,01503,0200,Y 435453,S200000,01504,0200,N 435453,S200000,01505,0000,OTHER 435453,S200000,01505,0200,N 435453,S200000,01600,0100,N 435453,S200000,01700,0100,N 435453,S200000,01800,0100,N 435453,S200000,01900,0100,LIMITED LIABILITY COMPANY 435453,S200000,02200,0100,Y 435453,S200000,02800,0100,N 435453,S200000,02900,0100,N 435453,S200000,03000,0100,N 435453,S200000,03100,0100,N 435453,S200000,03200,0100,N 435453,S200000,03300,0100,N 435453,S200000,03300,0200,N 435453,S200000,04200,0100,N 435453,S200000,04300,0100,Y 435453,S200000,04600,0100,N 435453,S200000,04700,0100,N 435453,S200000,04900,0100,N 435453,S200000,05200,0100,N 435453,S200000,05300,0100,Y 435453,S200000,05300,0200,44H017 435453,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 435453,S200000,05400,0200,CAHABA GOVERNMENT BENEFITS ADMIN 435453,S200000,05400,0300,10301 435453,S200000,05500,0100,3570 KEITH STREET NW 435453,S200000,05500,0200,3480 435453,S200000,05600,0100,CLEVELAND 435453,S200000,05600,0200,TN 435453,S200000,05600,0300,37320 435457,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435457,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435457,A000000,00300,0000,0300EMPLOYEE BENEFITS 435457,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435457,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435457,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435457,A000000,00700,0000,0700HOUSEKEEPING 435457,A000000,00800,0000,0800DIETARY 435457,A000000,00900,0000,0900NURSING ADMINISTRATION 435457,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435457,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435457,A000000,01300,0000,1300SOCIAL SERVICE 435457,A000000,01301,0000,1301ACTIVITES 435457,A000000,01500,0000,1350REHABILITATION 435457,A000000,01600,0000,1600SKILLED NURSING FACILITY 435457,A000000,01800,0000,1800NURSING FACILITY 435457,A000000,01900,0000,1900OTHER LONG TERM CARE 435457,A000000,02100,0000,2100RADIOLOGY 435457,A000000,02200,0000,2200LABORATORY 435457,A000000,02300,0000,2300INTRAVENOUS THERAPY 435457,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435457,A000000,02500,0000,2500PHYSICAL THERAPY 435457,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435457,A000000,02700,0000,2700SPEECH PATHOLOGY 435457,A000000,02800,0000,2800ELECTROCARDIOLOGY 435457,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435457,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435457,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435457,A000000,03200,0000,3200SUPPORT SURFACES 435457,A000000,03300,0000,3050EQUIPMENT RENTAL 435457,A000000,03301,0000,3051PEN THERAPY 435457,A000000,04800,0000,4800AMBULANCE 435457,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435457,A000000,05300,0000,5300INTEREST EXPENSE 435457,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435457,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435457,A000000,06200,0000,6200PATIENTS LAUNDRY 435457,A000000,06300,0000,6150VENDING 435457,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435457,A81000A,00100,0100,Y 435457,A81000B,00100,0300,HOME OFFICE COST 435457,A81000C,00100,0100,B 435457,A81000C,00100,0200,NORTH ARUNDEL H 435457,A81000C,00100,0400,SSC EQUITY HOLD 435457,A81000C,00100,0600,NSG HOMES 435457,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435457,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435457,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435457,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435457,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435457,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435457,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435457,B100000,00000,0800,0800MEALS SERVED :DIETARY 435457,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435457,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435457,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435457,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435457,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435457,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435457,E10A180,00302,0100,04/28/11 435457,E10A180,00550,0100,05/21/12 435457,E10A180,00550,0300,05/21/12 435457,G300000,02500,0000, OTHER (SPECIFY) 435457,S000000,00100,0200,02/24/12 435457,S200000,00100,0100,313 HOSPITAL 435457,S200000,00200,0100,GLEN BURNIE 435457,S200000,00200,0200,MD 435457,S200000,00200,0300,31061 435457,S200000,00300,0100,ANNE ARUNDEL 435457,S200000,00300,0300,U 435457,S200000,00400,0100,NORTH ARUNDEL HEALTH & REHAB CENTER 435457,S200000,00400,0200,215316 435457,S200000,00400,0300,02/01/96 435457,S200000,00400,0500,P 435457,S200000,01500,0100,Y 435457,S200000,01501,0200,Y 435457,S200000,01502,0200,N 435457,S200000,01504,0200,Y 435457,S200000,01600,0100,N 435457,S200000,01700,0100,N 435457,S200000,01800,0100,N 435457,S200000,02200,0100,Y 435457,S200000,02800,0100,N 435457,S200000,02900,0100,N 435457,S200000,03000,0100,N 435457,S200000,03100,0100,N 435457,S200000,03200,0100,N 435457,S200000,03300,0100,N 435457,S200000,03300,0200,N 435457,S200000,03600,0100,N 435457,S200000,03600,0200,N 435457,S200000,04100,0100,N 435457,S200000,04200,0100,N 435457,S200000,04300,0100,N 435457,S200000,04600,0100,N 435457,S200000,04700,0100,N 435457,S200000,04700,0200,N 435457,S200000,04900,0100,N 435457,S200000,05000,0100,N 435457,S200000,05100,0100,N 435457,S200000,05200,0100,N 435457,S200000,05300,0100,Y 435457,S200000,05300,0200,219023 435457,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435457,S200000,05400,0200,NOVITAS SOLUTIONS 435457,S200000,05400,0300,04011 435457,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435457,S200000,05600,0100,HOUSTON 435457,S200000,05600,0200,TX 435457,S200000,05600,0300,77041 435460,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435460,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435460,A000000,00300,0000,0300EMPLOYEE BENEFITS 435460,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435460,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435460,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435460,A000000,00700,0000,0700HOUSEKEEPING 435460,A000000,00800,0000,0800DIETARY 435460,A000000,00900,0000,0900NURSING ADMINISTRATION 435460,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435460,A000000,01100,0000,1100PHARMACY 435460,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435460,A000000,01300,0000,1300SOCIAL SERVICE 435460,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435460,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 435460,A000000,01600,0000,1600SKILLED NURSING FACILITY 435460,A000000,01800,0000,1800NURSING FACILITY 435460,A000000,01810,0000,1810ICF/MR 435460,A000000,01900,0000,1900OTHER LONG TERM CARE 435460,A000000,02100,0000,2100RADIOLOGY 435460,A000000,02200,0000,2200LABORATORY 435460,A000000,02300,0000,2300INTRAVENOUS THERAPY 435460,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435460,A000000,02500,0000,2500PHYSICAL THERAPY 435460,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435460,A000000,02700,0000,2700SPEECH PATHOLOGY 435460,A000000,02800,0000,2800ELECTROCARDIOLOGY 435460,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435460,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435460,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435460,A000000,03200,0000,3200SUPPORT SURFACES 435460,A000000,03300,0000,3050EQUIPMENT RENTAL 435460,A000000,03400,0000,3400CLINIC 435460,A000000,03500,0000,3500RURAL HEALTH CLINIC 435460,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435460,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435460,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435460,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435460,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435460,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435460,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435460,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435460,A000000,04400,0000,4400DME RENTED - HHA 435460,A000000,04500,0000,4500DME SOLD - HHA 435460,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435460,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435460,A000000,04710,0000,4710TELEMEDICINE HHA 435460,A000000,04800,0000,4800AMBULANCE 435460,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435460,A000000,05000,0000,5000CORF 435460,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435460,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435460,A000000,05300,0000,5300INTEREST EXPENSE 435460,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435460,A000000,05500,0000,5500HOSPICE 435460,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435460,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435460,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435460,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435460,A000000,06100,0000,6100NONPAID WORKERS 435460,A000000,06200,0000,6200PATIENTS LAUNDRY 435460,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435460,A81000A,00100,0100,Y 435460,A81000B,00100,0300,HOME OFFICE ADMIN 435460,A81000B,00200,0300,HOMEOFFICE CAPITAL 435460,A81000B,00300,0300,HOME OFFICE CLINICAL 435460,A81000C,00100,0100,B 435460,A81000C,00100,0200,FIVESTAR QUALITY CARE INC 435460,A81000C,00100,0600,NURSING HOMES 435460,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435460,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435460,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435460,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435460,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435460,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435460,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435460,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435460,B100000,00000,0900,0950NURSING SAL :NURSING ADMINISTRA 435460,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435460,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435460,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435460,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL ACTI 435460,E00A183,01620,0000,PIP PAYMENTS/TENATIVE ADJUSTMENTS 435460,E10A180,00501,0100,03/12/13 435460,G300000,02500,0000,MISC INCOME 435460,S000000,00100,0200,11/27/12 435460,S200000,00100,0100,606 SIMMONS ST. 435460,S200000,00200,0100,DUBLIN 435460,S200000,00200,0200,GA 435460,S200000,00200,0300,31021 435460,S200000,00300,0100,LAURENS 435460,S200000,00300,0200,11 435460,S200000,00300,0300,R 435460,S200000,00400,0100,SOUTHLAND CARE CENTER 435460,S200000,00400,0200,115376 435460,S200000,00400,0300,10/01/00 435460,S200000,00400,0500,P 435460,S200000,00600,0200,115376 435460,S200000,00600,0300,10/01/00 435460,S200000,00600,0600,O 435460,S200000,01500,0100,Y 435460,S200000,01501,0200,Y 435460,S200000,01502,0200,Y 435460,S200000,01503,0200,Y 435460,S200000,01504,0200,Y 435460,S200000,01600,0100,N 435460,S200000,01700,0100,N 435460,S200000,01800,0100,N 435460,S200000,02200,0100,N 435460,S200000,02800,0100,N 435460,S200000,02900,0100,N 435460,S200000,03000,0100,N 435460,S200000,03100,0100,N 435460,S200000,03200,0100,N 435460,S200000,03300,0100,N 435460,S200000,03300,0200,N 435460,S200000,03500,0300,N 435460,S200000,04100,0100,N 435460,S200000,04200,0100,N 435460,S200000,04300,0100,N 435460,S200000,04600,0100,N 435460,S200000,04700,0100,N 435460,S200000,04700,0200,N 435460,S200000,04900,0100,N 435460,S200000,05000,0100,N 435460,S200000,05100,0100,N 435460,S200000,05200,0100,N 435462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435462,A000000,00300,0000,0300EMPLOYEE BENEFITS 435462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435462,A000000,00700,0000,0700HOUSEKEEPING 435462,A000000,00800,0000,0800DIETARY 435462,A000000,00900,0000,0900NURSING ADMINISTRATION 435462,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435462,A000000,01100,0000,1100PHARMACY 435462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435462,A000000,01300,0000,1300SOCIAL SERVICE 435462,A000000,01500,0000,1350PATIENT ACTIVITES 435462,A000000,01600,0000,1600SKILLED NURSING FACILITY 435462,A000000,01800,0000,1800NURSING FACILITY 435462,A000000,01810,0000,1810ICF/MR 435462,A000000,01900,0000,1900OTHER LONG TERM CARE 435462,A000000,02100,0000,2100RADIOLOGY 435462,A000000,02200,0000,2200LABORATORY 435462,A000000,02300,0000,2300INTRAVENOUS THERAPY 435462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435462,A000000,02500,0000,2500PHYSICAL THERAPY 435462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435462,A000000,02700,0000,2700SPEECH PATHOLOGY 435462,A000000,02800,0000,2800ELECTROCARDIOLOGY 435462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435462,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435462,A000000,03200,0000,3200SUPPORT SURFACES 435462,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435462,A000000,03400,0000,3400CLINIC 435462,A000000,03500,0000,3500RURAL HEALTH CLINIC 435462,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435462,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435462,A000000,04710,0000,4710TELEMEDICINE 435462,A000000,04800,0000,4800AMBULANCE 435462,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435462,A000000,05000,0000,5000CORF 435462,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435462,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435462,A000000,05300,0000,5300INTEREST EXPENSE 435462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435462,A000000,05500,0000,5500HOSPICE 435462,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435462,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435462,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435462,A000000,06100,0000,6100NONPAID WORKERS 435462,A000000,06200,0000,6200PATIENTS LAUNDRY 435462,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435462,A81000A,00100,0100,Y 435462,A81000B,00100,0300,MGMT FEES 435462,A81000B,00200,0300,HOME OFFICE COST 435462,A81000B,00300,0300,HOUSEKEEPING 435462,A81000B,00400,0300,LAUNDRY 435462,A81000B,00500,0300,LEGAL FEES 435462,A81000C,00100,0100,A 435462,A81000C,00100,0200,RICHARD BENNETT 435462,A81000C,00100,0400,CANYON MGT CONS 435462,A81000C,00100,0600,MGT SVCS 435462,A81000C,00200,0100,A 435462,A81000C,00200,0200,RICHARD BENNETT 435462,A81000C,00200,0400,CANYON MGT CONS 435462,A81000C,00200,0600,HO 435462,A81000C,00300,0100,B 435462,A81000C,00300,0200,MELISSA LAWVER 435462,A81000C,00300,0400,CUTTER SERVICES 435462,A81000C,00300,0600,HSKPG 435462,A81000C,00400,0100,B 435462,A81000C,00400,0200,MELISSA LAWVER 435462,A81000C,00400,0400,CUTTER SERVICES 435462,A81000C,00400,0600,LAUNDRY 435462,A81000C,00500,0100,A 435462,A81000C,00500,0200,JENNIFER BENNETT 435462,A81000C,00500,0400,JENNIFER BENNETT 435462,A81000C,00500,0600,ATTORNEY 435462,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435462,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435462,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435462,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435462,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435462,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435462,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435462,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435462,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435462,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435462,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435462,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435462,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITES 435462,E10A180,00501,0100,05/25/12 435462,G300000,02500,0000,OTHER (SPECIFY) 435462,S000000,00100,0200,02/29/12 435462,S200000,00100,0100,2005 SHANNON GRAY COURT 435462,S200000,00200,0100,JAMESTOWN 435462,S200000,00200,0200,NC 435462,S200000,00200,0300,27282 435462,S200000,00300,0100,GUILFORD 435462,S200000,00300,0200,3120 435462,S200000,00300,0201,24660 435462,S200000,00300,0300,U 435462,S200000,00400,0100,SHANNON GRAY REHABILITATION & RECOVE 435462,S200000,00400,0200,345552 435462,S200000,00400,0300,07/09/10 435462,S200000,00400,0500,P 435462,S200000,01500,0100,N 435462,S200000,01501,0200,Y 435462,S200000,01503,0200,Y 435462,S200000,01600,0100,Y 435462,S200000,01700,0100,N 435462,S200000,01800,0100,N 435462,S200000,02200,0100,N 435462,S200000,02800,0100,N 435462,S200000,02900,0100,N 435462,S200000,03000,0100,N 435462,S200000,03100,0100,N 435462,S200000,03200,0100,N 435462,S200000,03300,0100,N 435462,S200000,03300,0200,N 435462,S200000,04100,0100,N 435462,S200000,04200,0100,N 435462,S200000,04300,0100,N 435462,S200000,04600,0100,N 435462,S200000,04700,0100,N 435462,S200000,04700,0200,N 435462,S200000,04900,0100,N 435462,S200000,05000,0100,N 435462,S200000,05100,0100,N 435462,S200000,05200,0100,N 435462,S200000,05300,0100,Y 435462,S200000,05300,0200,349076 435462,S200000,05400,0100,CANYON MGT CONSULTANTS INC. 435462,S200000,05400,0200,PALMETTO GBA 435462,S200000,05400,0300,11001 435462,S200000,05500,0100,4615 RANDOLPH CHURCH RD. 435462,S200000,05600,0100,LIBERTY 435462,S200000,05600,0200,NC 435462,S200000,05600,0300,27298 435469,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435469,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435469,A000000,00300,0000,0300EMPLOYEE BENEFITS 435469,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435469,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435469,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435469,A000000,00700,0000,0700HOUSEKEEPING 435469,A000000,00800,0000,0800DIETARY 435469,A000000,00900,0000,0900NURSING ADMINISTRATION 435469,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435469,A000000,01100,0000,1100PHARMACY 435469,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435469,A000000,01300,0000,1300SOCIAL SERVICE 435469,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435469,A000000,01500,0000,1350OTHER GENERAL SERVICES 435469,A000000,01600,0000,1600SKILLED NURSING FACILITY 435469,A000000,01800,0000,1800NURSING FACILITY 435469,A000000,01810,0000,1810ICF/MR 435469,A000000,01900,0000,1900OTHER LONG TERM CARE 435469,A000000,02100,0000,2100RADIOLOGY 435469,A000000,02200,0000,2200LABORATORY 435469,A000000,02300,0000,2300INTRAVENOUS THERAPY 435469,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435469,A000000,02500,0000,2500PHYSICAL THERAPY 435469,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435469,A000000,02700,0000,2700SPEECH PATHOLOGY 435469,A000000,02800,0000,2800ELECTROCARDIOLOGY 435469,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435469,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435469,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435469,A000000,03200,0000,3200SUPPORT SURFACES 435469,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435469,A000000,03400,0000,3400CLINIC 435469,A000000,03500,0000,3500RURAL HEALTH CLINIC 435469,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435469,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435469,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435469,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435469,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435469,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435469,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435469,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435469,A000000,04400,0000,4400DME RENTED - HHA 435469,A000000,04500,0000,4500DME SOLD - HHA 435469,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435469,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435469,A000000,04710,0000,4710TELEMEDICINE 435469,A000000,04800,0000,4800AMBULANCE 435469,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435469,A000000,05000,0000,5000CORF 435469,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435469,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435469,A000000,05300,0000,5300INTEREST EXPENSE 435469,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435469,A000000,05500,0000,5500HOSPICE 435469,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435469,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435469,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435469,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435469,A000000,06100,0000,6100NONPAID WORKERS 435469,A000000,06200,0000,6200PATIENTS LAUNDRY 435469,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435469,A81000A,00100,0100,N 435469,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435469,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435469,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435469,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435469,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435469,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435469,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435469,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435469,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435469,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435469,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435469,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435469,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435469,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 435469,S000000,00100,0200,01/27/12 435469,S200000,00100,0100,300 HAVEN STREET 435469,S200000,00200,0100,WEST 435469,S200000,00200,0200,TX 435469,S200000,00200,0300,76691-1011 435469,S200000,00300,0100,MCLENNAN 435469,S200000,00300,0200,8800 435469,S200000,00300,0201,47380 435469,S200000,00300,0300,U 435469,S200000,00400,0100,WEST REST HAVEN 435469,S200000,00400,0200,455622 435469,S200000,00400,0300,01/24/86 435469,S200000,00400,0500,P 435469,S200000,01500,0100,Y 435469,S200000,01600,0100,N 435469,S200000,01700,0100,N 435469,S200000,01800,0100,N 435469,S200000,02200,0100,N 435469,S200000,02800,0100,N 435469,S200000,02900,0100,N 435469,S200000,03000,0100,N 435469,S200000,03100,0100,N 435469,S200000,03200,0100,N 435469,S200000,03300,0100,N 435469,S200000,03300,0200,N 435469,S200000,04100,0100,N 435469,S200000,04200,0100,N 435469,S200000,04300,0100,N 435469,S200000,04600,0100,N 435469,S200000,04700,0100,N 435469,S200000,04700,0200,N 435469,S200000,04900,0100,N 435469,S200000,05000,0100,N 435469,S200000,05100,0100,N 435469,S200000,05200,0100,N 435479,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435479,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435479,A000000,00300,0000,0300EMPLOYEE BENEFITS 435479,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435479,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435479,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435479,A000000,00700,0000,0700HOUSEKEEPING 435479,A000000,00800,0000,0800DIETARY 435479,A000000,00900,0000,0900NURSING ADMINISTRATION 435479,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435479,A000000,01100,0000,1100PHARMACY 435479,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435479,A000000,01300,0000,1300SOCIAL SERVICE 435479,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435479,A000000,01500,0000,1350PATIENT ACTIVITIES 435479,A000000,01600,0000,1600SKILLED NURSING FACILITY 435479,A000000,01800,0000,1800NURSING FACILITY 435479,A000000,01810,0000,1810ICF/MR 435479,A000000,01900,0000,1900OTHER LONG TERM CARE 435479,A000000,02100,0000,2100RADIOLOGY 435479,A000000,02200,0000,2200LABORATORY 435479,A000000,02300,0000,2300INTRAVENOUS THERAPY 435479,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435479,A000000,02500,0000,2500PHYSICAL THERAPY 435479,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435479,A000000,02700,0000,2700SPEECH PATHOLOGY 435479,A000000,02800,0000,2800ELECTROCARDIOLOGY 435479,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435479,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435479,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435479,A000000,03200,0000,3200SUPPORT SURFACES 435479,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435479,A000000,03400,0000,3400CLINIC 435479,A000000,03500,0000,3500RURAL HEALTH CLINIC 435479,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435479,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435479,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435479,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435479,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435479,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435479,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435479,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435479,A000000,04400,0000,4400DME RENTED - HHA 435479,A000000,04500,0000,4500DME SOLD - HHA 435479,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435479,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435479,A000000,04710,0000,4710TELEMEDICINE 435479,A000000,04800,0000,4800AMBULANCE 435479,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435479,A000000,05000,0000,5000CORF 435479,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435479,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435479,A000000,05300,0000,5300INTEREST EXPENSE 435479,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435479,A000000,05500,0000,5500HOSPICE 435479,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435479,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435479,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435479,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435479,A000000,06100,0000,6100NONPAID WORKERS 435479,A000000,06200,0000,6200PATIENTS LAUNDRY 435479,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435479,A81000A,00100,0100,N 435479,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435479,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435479,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435479,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435479,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435479,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435479,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435479,B100000,00000,0800,0800MEALS SERVED :DIETARY 435479,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435479,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435479,E10A180,00350,0100,12/20/13 435479,E10A180,00501,0100,09/26/12 435479,E10A180,00502,0300,01/24/13 435479,E10A180,00550,0100,04/27/12 435479,G300000,02500,0000,BARBER AND BEAUTY 435479,G300000,02501,0000,MISCELLANEOUS 435479,S000000,00100,0200,02/29/12 435479,S200000,00100,0100,2502 SOUTH NC 119 435479,S200000,00200,0100,MEBANE 435479,S200000,00200,0200,NC 435479,S200000,00200,0300,27302 435479,S200000,00300,0100,ALAMANCE 435479,S200000,00300,0200,3120 435479,S200000,00300,0201,15500 435479,S200000,00300,0300,U 435479,S200000,00400,0100,PRESBYTERIAN HOME OF HAWFIELDS INC. 435479,S200000,00400,0200,345363 435479,S200000,00400,0300,02/01/91 435479,S200000,00400,0500,P 435479,S200000,01500,0100,Y 435479,S200000,01501,0200,Y 435479,S200000,01600,0100,N 435479,S200000,01700,0100,N 435479,S200000,01800,0100,N 435479,S200000,02200,0100,N 435479,S200000,02800,0100,Y 435479,S200000,02900,0100,N 435479,S200000,03000,0100,N 435479,S200000,03100,0100,N 435479,S200000,03200,0100,N 435479,S200000,03300,0100,N 435479,S200000,03300,0200,N 435479,S200000,04100,0100,N 435479,S200000,04200,0100,N 435479,S200000,04300,0100,N 435479,S200000,04600,0100,N 435479,S200000,04700,0100,N 435479,S200000,04700,0200,N 435479,S200000,04900,0100,N 435479,S200000,05000,0100,N 435479,S200000,05100,0100,N 435479,S200000,05200,0100,N 435479,S200000,05300,0100,N 435484,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435484,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435484,A000000,00300,0000,0300EMPLOYEE BENEFITS 435484,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435484,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435484,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435484,A000000,00700,0000,0700HOUSEKEEPING 435484,A000000,00800,0000,0800DIETARY 435484,A000000,00900,0000,0900NURSING ADMINISTRATION 435484,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435484,A000000,01100,0000,1100PHARMACY 435484,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435484,A000000,01300,0000,1300SOCIAL SERVICE 435484,A000000,01600,0000,1600SKILLED NURSING FACILITY 435484,A000000,01800,0000,1800NURSING FACILITY 435484,A000000,02100,0000,2100RADIOLOGY 435484,A000000,02200,0000,2200LABORATORY 435484,A000000,02300,0000,2300INTRAVENOUS THERAPY 435484,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435484,A000000,02500,0000,2500PHYSICAL THERAPY 435484,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435484,A000000,02700,0000,2700SPEECH PATHOLOGY 435484,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435484,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435484,A000000,03200,0000,3200SUPPORT SURFACES 435484,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435484,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 435484,A81000A,00100,0100,Y 435484,A81000B,00100,0300,HOME OFFICE EXPENSES 435484,A81000C,00100,0100,B 435484,A81000C,00100,0400,BLUE DOLPHIN 435484,A81000C,00100,0600,HEALTH CARE 435484,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435484,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435484,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435484,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435484,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435484,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435484,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435484,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435484,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435484,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435484,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435484,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435484,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435484,E10A180,00301,0100,10/14/11 435484,E10A180,00302,0100,10/14/11 435484,E10A180,00501,0100,07/27/12 435484,E10A180,00501,0300,07/27/12 435484,G300000,02500,0000, OTHER (SPECIFY) 435484,S000000,00100,0200,05/11/12 435484,S200000,00100,0100,410 NORTH 30TH 435484,S200000,00200,0100,ENID 435484,S200000,00200,0200,OK 435484,S200000,00200,0300,73701 435484,S200000,00300,0100,GARFIELD 435484,S200000,00300,0200,037 435484,S200000,00300,0201,99937 435484,S200000,00300,0300,R 435484,S200000,00400,0100,ENID SENIOR CARE LLC 435484,S200000,00400,0200,375182 435484,S200000,00400,0300,01/01/95 435484,S200000,00400,0500,P 435484,S200000,01500,0100,N 435484,S200000,01600,0100,Y 435484,S200000,01700,0100,N 435484,S200000,01800,0100,N 435484,S200000,02200,0100,N 435484,S200000,02800,0100,N 435484,S200000,02900,0100,N 435484,S200000,03000,0100,N 435484,S200000,03100,0100,N 435484,S200000,03200,0100,N 435484,S200000,03300,0100,N 435484,S200000,03300,0200,N 435484,S200000,04100,0100,N 435484,S200000,04200,0100,N 435484,S200000,04300,0100,N 435484,S200000,04600,0100,N 435484,S200000,04700,0100,N 435484,S200000,04700,0200,N 435484,S200000,04900,0100,N 435484,S200000,05000,0100,N 435484,S200000,05100,0100,N 435484,S200000,05200,0100,N 435484,S200000,05300,0100,Y 435484,S200000,05300,0200,179002 435484,S200000,05400,0100,BLUE DOLPHIN HEALTH MGMT 435484,S200000,05400,0200,TRAILBLAZER 435484,S200000,05400,0300,52280 435484,S200000,05500,0100,30 HOMEWOOD DRIVE 435484,S200000,05600,0100,MORRISTOWN 435484,S200000,05600,0200,NJ 435484,S200000,05600,0300,07960 435487,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435487,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435487,A000000,00300,0000,0300EMPLOYEE BENEFITS 435487,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435487,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435487,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435487,A000000,00700,0000,0700HOUSEKEEPING 435487,A000000,00800,0000,0800DIETARY 435487,A000000,00900,0000,0900NURSING ADMINISTRATION 435487,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435487,A000000,01100,0000,1100PHARMACY 435487,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435487,A000000,01300,0000,1300SOCIAL SERVICE 435487,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435487,A000000,01500,0000,1350PATIENT ACTIVITIES 435487,A000000,01600,0000,1600SKILLED NURSING FACILITY 435487,A000000,01810,0000,1810ICF/MR 435487,A000000,02100,0000,2100RADIOLOGY 435487,A000000,02200,0000,2200LABORATORY 435487,A000000,02300,0000,2300INTRAVENOUS THERAPY 435487,A000000,02500,0000,2500PHYSICAL THERAPY 435487,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435487,A000000,02700,0000,2700SPEECH PATHOLOGY 435487,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435487,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435487,A000000,03550,0000,3550FQHC 435487,A000000,05000,0000,5000CORF 435487,A000000,05010,0000,5010CMHC 435487,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435487,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435487,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435487,A81000A,00100,0100,Y 435487,A81000B,00100,0300,MGMNT FEES HOME OFC 435487,A81000B,00200,0300,CAP REL HOME OFFICE 435487,A81000B,00300,0300,PURCH SERV ADMIN 435487,A81000C,00100,0100,B 435487,A81000C,00100,0200,SENIORS HEALTHC 435487,A81000C,00100,0400,SENIORS MGMNT N 435487,A81000C,00100,0600,HOME OFFICE 435487,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435487,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435487,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435487,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435487,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435487,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435487,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435487,B100000,00000,0800,0800MEALS SERVED :DIETARY 435487,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435487,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 435487,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 435487,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435487,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435487,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 435487,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 435487,E10A180,00350,0100,06/06/11 435487,S000000,00100,0200,12/29/11 435487,S200000,00100,0100,1302 LAUREL OAK ROAD 435487,S200000,00200,0100,VOORHEES 435487,S200000,00200,0200,NJ 435487,S200000,00200,0300,08043 435487,S200000,00300,0100,CAMDEN 435487,S200000,00300,0300,U 435487,S200000,00400,0100,LAKEWOOD OF VOORHEES 435487,S200000,00400,0200,315187 435487,S200000,00400,0300,10/01/81 435487,S200000,00400,0500,P 435487,S200000,00400,0600,O 435487,S200000,01500,0100,Y 435487,S200000,01600,0100,N 435487,S200000,01700,0100,N 435487,S200000,01800,0100,N 435487,S200000,02200,0100,Y 435487,S200000,02800,0100,Y 435487,S200000,02900,0100,N 435487,S200000,03000,0100,N 435487,S200000,03100,0100,Y 435487,S200000,03200,0100,N 435487,S200000,03300,0100,N 435487,S200000,03300,0200,N 435487,S200000,03600,0100,N 435487,S200000,03600,0200,N 435487,S200000,04100,0100,N 435487,S200000,04200,0100,N 435487,S200000,04300,0100,N 435487,S200000,04600,0100,N 435487,S200000,04700,0100,N 435487,S200000,04700,0200,N 435487,S200000,04900,0100,N 435487,S200000,05000,0100,N 435487,S200000,05100,0100,N 435487,S200000,05200,0100,N 435487,S200000,05300,0100,Y 435487,S200000,05300,0200,H56800 435487,S200000,05400,0100,SENIORS MANAGEMENT NORTH 435487,S200000,05400,0200,NOVITAS SOLUTIONS INC. 435487,S200000,05400,0300,12001 435487,S200000,05500,0100,1114 WYNWOOD AVENUE 435487,S200000,05600,0100,CHERRY HILL 435487,S200000,05600,0200,NJ 435487,S200000,05600,0300,08002 435488,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435488,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435488,A000000,00300,0000,0300EMPLOYEE BENEFITS 435488,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435488,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435488,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435488,A000000,00700,0000,0700HOUSEKEEPING 435488,A000000,00800,0000,0800DIETARY 435488,A000000,00900,0000,0900NURSING ADMINISTRATION 435488,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435488,A000000,01100,0000,1100PHARMACY 435488,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435488,A000000,01300,0000,1300SOCIAL SERVICE 435488,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435488,A000000,01500,0000,1350OTHER GENERAL SERVICES 435488,A000000,01600,0000,1600SKILLED NURSING FACILITY 435488,A000000,01800,0000,1800NURSING FACILITY 435488,A000000,01810,0000,1810ICF/MR 435488,A000000,01900,0000,1900OTHER LONG TERM CARE 435488,A000000,02100,0000,2100RADIOLOGY 435488,A000000,02200,0000,2200LABORATORY 435488,A000000,02300,0000,2300INTRAVENOUS THERAPY 435488,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435488,A000000,02500,0000,2500PHYSICAL THERAPY 435488,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435488,A000000,02700,0000,2700SPEECH PATHOLOGY 435488,A000000,02800,0000,2800ELECTROCARDIOLOGY 435488,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435488,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435488,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435488,A000000,03200,0000,3200SUPPORT SURFACES 435488,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435488,A000000,03400,0000,3400CLINIC 435488,A000000,03500,0000,3500RURAL HEALTH CLINIC 435488,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435488,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435488,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435488,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435488,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435488,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435488,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435488,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435488,A000000,04400,0000,4400DME RENTED - HHA 435488,A000000,04500,0000,4500DME SOLD - HHA 435488,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435488,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435488,A000000,04710,0000,4710TELEMEDICINE 435488,A000000,04800,0000,4800AMBULANCE 435488,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435488,A000000,05000,0000,5000CORF 435488,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435488,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435488,A000000,05300,0000,5300INTEREST EXPENSE 435488,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435488,A000000,05500,0000,5500HOSPICE 435488,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435488,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435488,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435488,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435488,A000000,06100,0000,6100NONPAID WORKERS 435488,A000000,06200,0000,6200PATIENTS LAUNDRY 435488,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435488,A81000A,00100,0100,Y 435488,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435488,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435488,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435488,A81000B,00400,0300,HO ALLOCATION 435488,A81000B,00500,0300,HO ALLOCATION 435488,A81000B,00600,0300,HO ALLOCATION 435488,A81000B,00700,0300,HMS GPO FEES 435488,A81000B,00800,0300,HMS GPO FEES 435488,A81000B,00900,0300,HMS GPO FEES 435488,A81000B,01000,0300,HMS GPO FEES 435488,A81000B,01100,0300,HMS GPO FEES 435488,A81000B,01200,0300,HMS GPO FEES 435488,A81000B,01300,0300,HMS GPO FEES 435488,A81000B,01400,0300,HMS GPO FEES 435488,A81000B,01500,0300,HMS GPO FEES 435488,A81000B,01600,0300,HMS GPO FEES 435488,A81000C,00100,0100,B 435488,A81000C,00100,0400,HALCYON REHAB. LLC 435488,A81000C,00100,0600,REHAB. SERVICES 435488,A81000C,00200,0100,B 435488,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435488,A81000C,00200,0600,ADMIN. SUPPORT & MGMT. 435488,A81000C,00300,0100,F 435488,A81000C,00300,0200,RELATED FAMILY TRUSTS 435488,A81000C,00300,0400,HMS PURCHASING LLC 435488,A81000C,00300,0600,GROUP PURCHASING ORG. 435488,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435488,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435488,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435488,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435488,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435488,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435488,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435488,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435488,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435488,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435488,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435488,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435488,E10A180,00550,0100,02/21/12 435488,G300000,02500,0000,OTHER REVENUES 435488,S000000,00100,0200,12/16/11 435488,S200000,00100,0100,5301 TULLIS DRIVE 435488,S200000,00200,0100,NEW ORLEANS 435488,S200000,00200,0200,LA 435488,S200000,00200,0300,70131-8805 435488,S200000,00300,0100,ORLEANS 435488,S200000,00300,0200,5560 435488,S200000,00300,0201,35380 435488,S200000,00300,0300,U 435488,S200000,00400,0100,WOODLAND VILLAGE NSG & REHAB CTR 435488,S200000,00400,0200,195341 435488,S200000,00400,0300,08/01/01 435488,S200000,00400,0500,P 435488,S200000,01500,0100,Y 435488,S200000,01501,0200,Y 435488,S200000,01502,0200,Y 435488,S200000,01600,0100,N 435488,S200000,01700,0100,N 435488,S200000,01800,0100,N 435488,S200000,02200,0100,N 435488,S200000,02800,0100,N 435488,S200000,02900,0100,N 435488,S200000,03000,0100,N 435488,S200000,03100,0100,N 435488,S200000,03200,0100,N 435488,S200000,03300,0100,N 435488,S200000,03300,0200,N 435488,S200000,04100,0100,N 435488,S200000,04200,0100,N 435488,S200000,04300,0100,N 435488,S200000,04600,0100,N 435488,S200000,04700,0100,N 435488,S200000,04700,0200,N 435488,S200000,04900,0100,N 435488,S200000,05000,0100,N 435488,S200000,05100,0100,N 435488,S200000,05200,0100,N 435488,S200000,05300,0100,Y 435488,S200000,05300,0200,339003 435488,S200000,05400,0100,CYPRESS ADMIN. SERVICES LLC 435488,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435488,S200000,05400,0300,05401 435488,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435488,S200000,05600,0100,WHITE PLAINS 435488,S200000,05600,0200,NY 435488,S200000,05600,0300,10604 435490,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435490,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435490,A000000,00300,0000,0300EMPLOYEE BENEFITS 435490,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435490,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435490,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435490,A000000,00700,0000,0700HOUSEKEEPING 435490,A000000,00800,0000,0800DIETARY 435490,A000000,00900,0000,0900NURSING ADMINISTRATION 435490,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435490,A000000,01100,0000,1100PHARMACY 435490,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435490,A000000,01300,0000,1300SOCIAL SERVICE 435490,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435490,A000000,01600,0000,1600SKILLED NURSING FACILITY 435490,A000000,01810,0000,1810ICF/MR 435490,A000000,02200,0000,2200LABORATORY 435490,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435490,A000000,02500,0000,2500PHYSICAL THERAPY 435490,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435490,A000000,02700,0000,2700SPEECH PATHOLOGY 435490,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435490,A000000,03550,0000,3550FQHC 435490,A000000,05000,0000,5000CORF 435490,A000000,05010,0000,5010CMHC 435490,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435490,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435490,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435490,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435490,A81000A,00100,0100,Y 435490,A81000B,00100,0300,CAPITAL 435490,A81000B,00200,0300,EMPLOYEE BENEFITS 435490,A81000B,00300,0300,A&G 435490,A81000B,00400,0300,PLANT 435490,A81000B,00500,0300,HOUSEKEEPING 435490,A81000B,00600,0300,DIETARY 435490,A81000B,00700,0300,NURSING 435490,A81000B,00800,0300,RENT 435490,A81000B,00900,0300,CAPITAL 435490,A81000B,01000,0300,A&G 435490,A81000B,01100,0300,PLANT 435490,A81000C,00100,0100,A 435490,A81000C,00100,0400,LEGACY HC & FIN 435490,A81000C,00100,0600,MANAGEMENT COMP 435490,A81000C,00200,0100,A 435490,A81000C,00200,0400,LEGACY REAL PRO 435490,A81000C,00200,0600,BUILDING COMPAN 435490,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435490,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435490,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435490,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435490,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435490,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435490,B100000,00000,0800,0800MEALS SERVED :DIETARY 435490,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435490,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435490,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435490,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435490,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435490,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 435490,E10A180,00353,0100,12/03/10 435490,E10A180,00550,0100,08/30/12 435490,E10A180,00551,0100,07/03/12 435490,S000000,00100,0200,07/17/12 435490,S200000,00100,0100,2649 EAST 75TH STREET 435490,S200000,00200,0100,CHICAGO 435490,S200000,00200,0200,IL 435490,S200000,00200,0300,60649 435490,S200000,00300,0100,COOK 435490,S200000,00300,0201,16974 435490,S200000,00300,0300,U 435490,S200000,00400,0100,VILLA AT WINDSOR PARK 435490,S200000,00400,0200,145970 435490,S200000,00400,0300,06/16/98 435490,S200000,00400,0500,P 435490,S200000,01500,0100,Y 435490,S200000,01501,0200,Y 435490,S200000,01502,0200,Y 435490,S200000,01504,0200,Y 435490,S200000,01600,0100,N 435490,S200000,01700,0100,N 435490,S200000,01800,0100,N 435490,S200000,01900,0100,LLC 435490,S200000,02200,0100,N 435490,S200000,02800,0100,N 435490,S200000,02900,0100,N 435490,S200000,03000,0100,N 435490,S200000,03100,0100,N 435490,S200000,03200,0100,N 435490,S200000,03300,0100,N 435490,S200000,03300,0200,N 435490,S200000,04100,0100,N 435490,S200000,04200,0100,N 435490,S200000,04300,0100,N 435490,S200000,04600,0100,N 435490,S200000,04700,0100,N 435490,S200000,04700,0200,N 435490,S200000,04900,0100,N 435490,S200000,05000,0100,N 435490,S200000,05100,0100,N 435490,S200000,05200,0100,N 435490,S200000,05300,0100,N 435495,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435495,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435495,A000000,00300,0000,0300EMPLOYEE BENEFITS 435495,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435495,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435495,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435495,A000000,00700,0000,0700HOUSEKEEPING 435495,A000000,00800,0000,0800DIETARY 435495,A000000,00900,0000,0900NURSING ADMINISTRATION 435495,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435495,A000000,01100,0000,1100PHARMACY 435495,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435495,A000000,01300,0000,1300SOCIAL SERVICE 435495,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435495,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 435495,A000000,01600,0000,1600SKILLED NURSING FACILITY 435495,A000000,01810,0000,1810ICF/MR 435495,A000000,02100,0000,2100RADIOLOGY 435495,A000000,02200,0000,2200LABORATORY 435495,A000000,02300,0000,2300INTRAVENOUS THERAPY 435495,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435495,A000000,02500,0000,2500PHYSICAL THERAPY 435495,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435495,A000000,02700,0000,2700SPEECH PATHOLOGY 435495,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435495,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435495,A000000,03300,0000,3050EQUIPMENT RENTAL 435495,A000000,03550,0000,3550FQHC 435495,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435495,A000000,04710,0000,4710TELEMEDICINE HHA 435495,A000000,04800,0000,4800AMBULANCE 435495,A000000,04801,0000,4801AMBULANCE 435495,A000000,04802,0000,4802AMBULANCE 435495,A000000,04803,0000,4803AMBULANCE 435495,A000000,05000,0000,5000CORF 435495,A000000,05010,0000,5010CMHC 435495,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435495,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435495,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435495,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435495,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435495,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435495,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435495,A81000A,00100,0100,Y 435495,A81000B,00100,0300,HOME OFFICE ADMIN 435495,A81000B,00200,0300,HOME OFFICE CAPITAL 435495,A81000B,00300,0300,HOME OFFICE CLINICAL 435495,A81000C,00100,0100,B 435495,A81000C,00100,0200,FIVESTAR QUALITY CARE INC 435495,A81000C,00100,0600,NURSING HOMES 435495,B100000,00000,0100,0100SQUARE FEET 435495,B100000,00000,0200,0200SQUARE FEET 435495,B100000,00000,0300,0300GROSS SALARIES 435495,B100000,00000,0400,0400ACCUM COST 435495,B100000,00000,0500,0500SQUARE FEET 435495,B100000,00000,0600,0600PATIENT DAYS 435495,B100000,00000,0700,0700SQUARE FEET 435495,B100000,00000,0800,0800PATIENT DAYS 435495,B100000,00000,0900,0900NURSING SAL 435495,B100000,00000,1000,1000COSTED REQUIS. 435495,B100000,00000,1100,1100COSTED REQUIS. 435495,B100000,00000,1200,1200PATIENT DAYS 435495,B100000,00000,1300,1300PATIENT DAYS 435495,B100000,00000,1400,1400ASSIGNED TIME 435495,B100000,00000,1500,1350PATIENT DAYS 435495,S000000,00100,0200,12/21/11 435495,S200000,00100,0100,1480 SANDTOWN RD 435495,S200000,00200,0100,MARIETTA 435495,S200000,00200,0200,GA 435495,S200000,00200,0300,30060 435495,S200000,00300,0100,COBB 435495,S200000,00300,0300,U 435495,S200000,00400,0100,AUTUMN BREEZE HEATLH CARE CENTER 435495,S200000,00400,0200,115580 435495,S200000,00400,0300,10/01/00 435495,S200000,00400,0500,P 435495,S200000,00600,0200,115580 435495,S200000,00600,0300,10/01/00 435495,S200000,00600,0600,O 435495,S200000,01500,0100,Y 435495,S200000,01501,0200,Y 435495,S200000,01502,0200,Y 435495,S200000,01503,0200,Y 435495,S200000,01504,0200,Y 435495,S200000,01600,0100,N 435495,S200000,01700,0100,N 435495,S200000,01800,0100,N 435495,S200000,02200,0100,N 435495,S200000,02800,0100,N 435495,S200000,02900,0100,N 435495,S200000,03000,0100,N 435495,S200000,03100,0100,N 435495,S200000,03200,0100,N 435495,S200000,03300,0100,N 435495,S200000,03300,0200,N 435495,S200000,04200,0100,N 435495,S200000,04300,0100,N 435495,S200000,04600,0100,N 435495,S200000,04700,0100,N 435495,S200000,04900,0100,N 435495,S200000,05200,0100,N 435496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435496,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435496,A000000,00300,0000,0300EMPLOYEE BENEFITS 435496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435496,A000000,00700,0000,0700HOUSEKEEPING 435496,A000000,00800,0000,0800DIETARY 435496,A000000,00900,0000,0900NURSING ADMINISTRATION 435496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435496,A000000,01100,0000,1100PHARMACY 435496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435496,A000000,01300,0000,1300SOCIAL SERVICE 435496,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435496,A000000,01500,0000,1350OTHER GENERAL SERVICES 435496,A000000,01600,0000,1600SKILLED NURSING FACILITY 435496,A000000,01800,0000,1800NURSING FACILITY 435496,A000000,01810,0000,1810ICF/MR 435496,A000000,01900,0000,1900OTHER LONG TERM CARE 435496,A000000,02100,0000,2100RADIOLOGY 435496,A000000,02200,0000,2200LABORATORY 435496,A000000,02300,0000,2300INTRAVENOUS THERAPY 435496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435496,A000000,02500,0000,2500PHYSICAL THERAPY 435496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435496,A000000,02700,0000,2700SPEECH PATHOLOGY 435496,A000000,02800,0000,2800ELECTROCARDIOLOGY 435496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435496,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435496,A000000,03200,0000,3200SUPPORT SURFACES 435496,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435496,A000000,03400,0000,3400CLINIC 435496,A000000,03500,0000,3500RURAL HEALTH CLINIC 435496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435496,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435496,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435496,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435496,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435496,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435496,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435496,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435496,A000000,04400,0000,4400DME RENTED - HHA 435496,A000000,04500,0000,4500DME SOLD - HHA 435496,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435496,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435496,A000000,04710,0000,4710TELEMEDICINE 435496,A000000,04800,0000,4800AMBULANCE 435496,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435496,A000000,05000,0000,5000CORF 435496,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435496,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435496,A000000,05300,0000,5300INTEREST EXPENSE 435496,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435496,A000000,05500,0000,5500HOSPICE 435496,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435496,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435496,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435496,A000000,06100,0000,6100NONPAID WORKERS 435496,A000000,06200,0000,6200PATIENTS LAUNDRY 435496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435496,A81000A,00100,0100,Y 435496,A81000B,00100,0300,ELITE REHAB. PT CONTR. SERVCS. 435496,A81000B,00200,0300,ELITE REHAB. OT CONTR. SERVCS. 435496,A81000B,00300,0300,ELITE REHAB. ST CONTR. SERVCS. 435496,A81000B,00400,0300,HO ALLOCATION 435496,A81000B,00500,0300,HO ALLOCATION 435496,A81000B,00600,0300,HO ALLOCATION 435496,A81000B,00700,0300,HMS GPO FEES 435496,A81000B,00800,0300,HMS GPO FEES 435496,A81000B,00900,0300,HMS GPO FEES 435496,A81000B,01000,0300,HMS GPO FEES 435496,A81000B,01100,0300,HMS GPO FEES 435496,A81000B,01200,0300,HMS GPO FEES 435496,A81000B,01300,0300,HMS GPO FEES 435496,A81000B,01400,0300,HMS GPO FEES 435496,A81000B,01500,0300,HMS GPO FEES 435496,A81000B,01600,0300,HMS GPO FEES 435496,A81000C,00100,0100,B 435496,A81000C,00100,0400,HALCYON REHAB. LLC 435496,A81000C,00100,0600,REHAB. SERVICES 435496,A81000C,00200,0100,B 435496,A81000C,00200,0400,CYPRESS HEALTH GROUP LLC 435496,A81000C,00200,0600,ADMIN. SUPPORT & MGMT 435496,A81000C,00300,0100,F 435496,A81000C,00300,0200,RELATED FAMILY TRUSTS 435496,A81000C,00300,0400,HMS PURCHASING LLC 435496,A81000C,00300,0600,GROUP PURCHASING ORG. 435496,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435496,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435496,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435496,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435496,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435496,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435496,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435496,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435496,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435496,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435496,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435496,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435496,E10A180,00501,0100,10/17/12 435496,G300000,02500,0000,OTHER REVENUE 435496,S000000,00100,0200,08/22/12 435496,S200000,00100,0100,501 COTTAGE ROAD 435496,S200000,00200,0100,CARTHAGE 435496,S200000,00200,0200,TX 435496,S200000,00200,0300,75633-1467 435496,S200000,00300,0100,PANOLA 435496,S200000,00300,0200,45 435496,S200000,00300,0201,99945 435496,S200000,00300,0300,R 435496,S200000,00400,0100,PANOLA NSG & REHAB CTR 435496,S200000,00400,0200,675387 435496,S200000,00400,0300,12/01/97 435496,S200000,00400,0500,P 435496,S200000,01500,0100,Y 435496,S200000,01501,0200,Y 435496,S200000,01502,0200,Y 435496,S200000,01600,0100,N 435496,S200000,01700,0100,N 435496,S200000,01800,0100,N 435496,S200000,02200,0100,N 435496,S200000,02800,0100,N 435496,S200000,02900,0100,N 435496,S200000,03000,0100,N 435496,S200000,03100,0100,N 435496,S200000,03200,0100,N 435496,S200000,03300,0100,N 435496,S200000,03300,0200,N 435496,S200000,04100,0100,N 435496,S200000,04200,0100,N 435496,S200000,04300,0100,N 435496,S200000,04600,0100,N 435496,S200000,04700,0100,N 435496,S200000,04700,0200,N 435496,S200000,04900,0100,N 435496,S200000,05000,0100,N 435496,S200000,05100,0100,N 435496,S200000,05200,0100,N 435496,S200000,05300,0100,Y 435496,S200000,05300,0200,339003 435496,S200000,05400,0100,CYPRESS HEALTH GROUP LLC 435496,S200000,05400,0200,WISCONSIN PHYSICIAN S SERVICES 435496,S200000,05400,0300,05401 435496,S200000,05500,0100,4 WEST RED OAK LANE STE 201 435496,S200000,05600,0100,WHITE PLAINS 435496,S200000,05600,0200,NY 435496,S200000,05600,0300,10604 435497,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435497,A000000,00300,0000,0300EMPLOYEE BENEFITS 435497,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435497,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435497,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435497,A000000,00700,0000,0700HOUSEKEEPING 435497,A000000,00800,0000,0800DIETARY 435497,A000000,00900,0000,0900NURSING ADMINISTRATION 435497,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435497,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435497,A000000,01300,0000,1300SOCIAL SERVICE 435497,A000000,01600,0000,1600SKILLED NURSING FACILITY 435497,A000000,01800,0000,1800NURSING FACILITY 435497,A000000,02100,0000,2100RADIOLOGY 435497,A000000,02200,0000,2200LABORATORY 435497,A000000,02500,0000,2500PHYSICAL THERAPY 435497,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435497,A000000,02700,0000,2700SPEECH PATHOLOGY 435497,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435497,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435497,A000000,03200,0000,3200SUPPORT SURFACES 435497,A000000,03550,0000,3550FQHC 435497,A000000,05000,0000,5000CORF 435497,A000000,05010,0000,5010CMHC 435497,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435497,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435497,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435497,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435497,A000000,06300,0000,6150NON-REIMBURSEABLE 435497,A81000A,00100,0100,Y 435497,A81000B,00100,0300,OFFICE 435497,A81000B,00200,0300,EMPLOYEE BENEFITS 435497,A81000B,00300,0300,MANAGEMENT FEES 435497,A81000C,00100,0100,A 435497,A81000C,00100,0400,PRO HEALTH CARE 435497,A81000C,00100,0600,MANAGEMENT COMP 435497,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435497,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435497,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435497,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435497,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435497,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 435497,B100000,00000,0800,0800MEALS SERVED :DIETARY 435497,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435497,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435497,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435497,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435497,E10A180,00501,0100,05/21/12 435497,E10A180,00502,0100,02/17/14 435497,E10A180,00550,0100,05/21/12 435497,E10A180,00551,0100,05/21/12 435497,G300000,02500,0000,PRIOR PERIOD ADJUSTMENT 435497,G300000,02501,0000,MISCELLANEOUS INCOME 435497,G300000,02502,0000,VENDING INCOME 435497,S000000,00100,0200,06/01/12 435497,S200000,00100,0100,2534 ELIM AVENUE 435497,S200000,00200,0100,ZION 435497,S200000,00200,0200,IL 435497,S200000,00200,0300,60099 435497,S200000,00300,0100,LAKE 435497,S200000,00300,0201,29404 435497,S200000,00300,0300,U 435497,S200000,00400,0100,SHERIDAN HEALTHCARE CENTER 435497,S200000,00400,0200,145665 435497,S200000,00400,0300,12/01/89 435497,S200000,00400,0500,P 435497,S200000,00600,0200,145665 435497,S200000,00600,0300,12/01/89 435497,S200000,00600,0600,O 435497,S200000,01500,0100,Y 435497,S200000,01501,0200,Y 435497,S200000,01502,0200,Y 435497,S200000,01504,0200,Y 435497,S200000,01600,0100,N 435497,S200000,01700,0100,N 435497,S200000,01800,0100,N 435497,S200000,02200,0100,N 435497,S200000,02800,0100,N 435497,S200000,02900,0100,N 435497,S200000,03000,0100,N 435497,S200000,03100,0100,N 435497,S200000,03200,0100,N 435497,S200000,03300,0100,N 435497,S200000,03300,0200,N 435497,S200000,03500,0300,N 435497,S200000,04100,0100,N 435497,S200000,04200,0100,N 435497,S200000,04300,0100,N 435497,S200000,04600,0100,N 435497,S200000,04700,0100,N 435497,S200000,04700,0200,N 435497,S200000,04900,0100,N 435497,S200000,05000,0100,N 435497,S200000,05100,0100,N 435497,S200000,05200,0100,N 435497,S200000,05300,0100,N 435499,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 435499,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 435499,A000000,00300,0000,0300EMPLOYEE BENEFITS 435499,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435499,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 435499,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435499,A000000,00700,0000,0700HOUSEKEEPING 435499,A000000,00800,0000,0800DIETARY 435499,A000000,00900,0000,0900NURSING ADMINISTRATION 435499,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435499,A000000,01100,0000,1100PHARMACY 435499,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435499,A000000,01300,0000,1300SOCIAL SERVICE 435499,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 435499,A000000,01500,0000,1350ACTIVITES 435499,A000000,01600,0000,1600SKILLED NURSING FACILITY 435499,A000000,01800,0000,1800NURSING FACILITY 435499,A000000,01810,0000,1810ICF/MR 435499,A000000,02100,0000,2100RADIOLOGY 435499,A000000,02200,0000,2200LABORATORY 435499,A000000,02300,0000,2300INTRAVENOUS THERAPY 435499,A000000,02500,0000,2500PHYSICAL THERAPY 435499,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435499,A000000,02700,0000,2700SPEECH PATHOLOGY 435499,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 435499,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435499,A000000,03300,0000,3050OTHER ANCILLARY COST 435499,A000000,03301,0000,3051OTHER ANCILLARY 435499,A000000,03550,0000,3550FQHC 435499,A000000,04801,0000,4801AMBULANCE 435499,A000000,04802,0000,4802AMBULANCE 435499,A000000,04803,0000,4803AMBULANCE 435499,A000000,05000,0000,5000CORF 435499,A000000,05010,0000,5010CMHC 435499,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435499,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435499,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435499,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435499,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 435499,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435499,A000000,06300,0000,6150COMMUNICATIONS 435499,A81000A,00100,0100,Y 435499,A81000B,00100,0300,ALLOC. CENT OFF COST 435499,A81000B,00200,0300,ALLOCATED COSTS 435499,A81000B,00300,0300,ALLOCATED COSTS 435499,A81000B,00400,0300,ALLOCATED COSTS 435499,A81000B,00500,0300,RELATED PARTY INT. 435499,A81000B,00600,0300,REL. PARTY LEASE 435499,A81000B,00700,0300,LIFE CARE DESIGNS 435499,A81000B,00800,0300,ABT - GROUP INS. 435499,A81000B,00900,0300,LEADERCARE W/C INS. 435499,A81000B,01000,0300,LEADERCARE GEN LIAB. 435499,A81000B,01100,0300,LEADERCARE AUTO INS 435499,A81000B,01200,0300,COMP. EXEC. DIR. 435499,A81000C,00100,0100,A 435499,A81000C,00100,0200,FORREST PRESTON 435499,A81000C,00100,0400,LIFE CARE CENTE 435499,A81000C,00100,0600,MANAGEMENT CO. 435499,A81000C,00200,0100,A 435499,A81000C,00200,0200,FORREST PRESTON 435499,A81000C,00200,0400,ASSOC. BEN. TRU 435499,A81000C,00200,0600,EMPLYEE GROUP I 435499,A81000C,00300,0100,A 435499,A81000C,00300,0200,FORREST PRESTON 435499,A81000C,00300,0400,LEADERCARE 435499,A81000C,00300,0600,W/C & LIAB. INS 435499,A81000C,00400,0100,A 435499,A81000C,00400,0200,FORREST PRESTON 435499,A81000C,00400,0400,LIFE CARE DESIG 435499,A81000C,00400,0600,INTERIOR DESIGN 435499,A81000C,00500,0100,A 435499,A81000C,00500,0200,FORREST PRESTON 435499,A81000C,00500,0400,LAKE FOREST R/E 435499,A81000C,00500,0600,RELATED PARTY L 435499,A81000C,00600,0100,E 435499,A81000C,00600,0200,KIM LE 435499,A81000C,00600,0400,SAME 435499,A81000C,00600,0600,EXECUTIVE DIREC 435499,A81000C,03100,0000,NONFINANCIAL 435499,B100000,00000,0100,0100SQUARE FEET 435499,B100000,00000,0200,0200SQUARE FEET 435499,B100000,00000,0300,0300GROSS SALARIES 435499,B100000,00000,0400,0400ACCUM COST 435499,B100000,00000,0500,0500SQUARE FEET 435499,B100000,00000,0600,0600PATIENT DAYS 435499,B100000,00000,0700,0700SQUARE FEET 435499,B100000,00000,0800,0800MEALS SERVED 435499,B100000,00000,0900,0900HOURS SUPERVISED 435499,B100000,00000,1000,1000COSTED REQUIS 435499,B100000,00000,1100,1100COSTED REQUIS 435499,B100000,00000,1200,1200GROSS REVENUE 435499,B100000,00000,1300,1300PATIENT DAYS 435499,B100000,00000,1400,1400ASSIGNED TIME 435499,B100000,00000,1500,1350PATIENT DAYS 435499,E10A180,00301,0100,01/31/11 435499,E10A180,00302,0100,08/31/11 435499,E10A180,00501,0100,05/03/12 435499,G300000,02500,0000,BEAUTY & BARBER 435499,G300000,02501,0000,MISC. INCOME 435499,S000000,00100,0200,02/28/12 435499,S200000,00100,0100,25652 OLD TRABUCO ROAD 435499,S200000,00200,0100,LAKE FOREST 435499,S200000,00200,0200,CA 435499,S200000,00200,0300,92630 435499,S200000,00300,0100,ORANGE 435499,S200000,00300,0201,42044 435499,S200000,00300,0300,U 435499,S200000,00400,0100,LAKE FOREST NURSING CENTER 435499,S200000,00400,0200,555308 435499,S200000,00400,0300,06/28/88 435499,S200000,00400,0500,P 435499,S200000,01500,0100,Y 435499,S200000,01501,0200,Y 435499,S200000,01502,0200,Y 435499,S200000,01503,0200,N 435499,S200000,01504,0200,Y 435499,S200000,01505,0000,OTHER 435499,S200000,01505,0200,Y 435499,S200000,01600,0100,N 435499,S200000,01700,0100,N 435499,S200000,01800,0100,N 435499,S200000,01900,0100,LLC 435499,S200000,02200,0100,Y 435499,S200000,02800,0100,Y 435499,S200000,02900,0100,N 435499,S200000,03000,0100,N 435499,S200000,03100,0100,N 435499,S200000,03200,0100,N 435499,S200000,03300,0100,N 435499,S200000,03300,0200,N 435499,S200000,04200,0100,N 435499,S200000,04300,0100,N 435499,S200000,04600,0100,N 435499,S200000,04700,0100,N 435499,S200000,04900,0100,N 435499,S200000,05200,0100,N 435499,S200000,05300,0100,Y 435499,S200000,05300,0200,44H017 435499,S200000,05400,0100,LIFE CARE CENTERS OF AMERICA INC. 435499,S200000,05400,0200,CAHABA GOV T BENEFITS ADMINISTRATOR 435499,S200000,05400,0300,00390 435499,S200000,05500,0100,3570 KEITH STREET NW 435499,S200000,05500,0200,3480 435499,S200000,05600,0100,CLEVELAND 435499,S200000,05600,0200,TN 435499,S200000,05600,0300,37320 435505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435505,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435505,A000000,00300,0000,0300EMPLOYEE BENEFITS 435505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435505,A000000,00700,0000,0700HOUSEKEEPING 435505,A000000,00800,0000,0800DIETARY 435505,A000000,00900,0000,0900NURSING ADMINISTRATION 435505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435505,A000000,01100,0000,1100PHARMACY 435505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435505,A000000,01300,0000,1300SOCIAL SERVICE 435505,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435505,A000000,01500,0000,1350OTHER GENERAL SERVICES 435505,A000000,01600,0000,1600SKILLED NURSING FACILITY 435505,A000000,01800,0000,1800NURSING FACILITY 435505,A000000,01810,0000,1810ICF/MR 435505,A000000,01900,0000,1900OTHER LONG TERM CARE 435505,A000000,02100,0000,2100RADIOLOGY 435505,A000000,02200,0000,2200LABORATORY 435505,A000000,02300,0000,2300INTRAVENOUS THERAPY 435505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435505,A000000,02500,0000,2500PHYSICAL THERAPY 435505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435505,A000000,02700,0000,2700SPEECH PATHOLOGY 435505,A000000,02800,0000,2800ELECTROCARDIOLOGY 435505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435505,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435505,A000000,03200,0000,3200SUPPORT SURFACES 435505,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435505,A000000,03400,0000,3400CLINIC 435505,A000000,03500,0000,3500RURAL HEALTH CLINIC 435505,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435505,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435505,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435505,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435505,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435505,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435505,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435505,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435505,A000000,04400,0000,4400DME RENTED - HHA 435505,A000000,04500,0000,4500DME SOLD - HHA 435505,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435505,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435505,A000000,04710,0000,4710TELEMEDICINE 435505,A000000,04800,0000,4800AMBULANCE 435505,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435505,A000000,05000,0000,5000CORF 435505,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435505,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435505,A000000,05300,0000,5300INTEREST EXPENSE 435505,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435505,A000000,05500,0000,5500HOSPICE 435505,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435505,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435505,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435505,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435505,A000000,06100,0000,6100NONPAID WORKERS 435505,A000000,06200,0000,6200PATIENTS LAUNDRY 435505,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435505,A81000A,00100,0100,N 435505,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435505,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435505,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435505,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435505,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435505,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435505,B100000,00000,0800,0800MEALS SERVED :DIETARY 435505,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435505,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435505,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435505,E10A180,00501,0100,09/20/12 435505,G300000,02500,0000,MISCELLANEOUS REVENUE 435505,G300000,02501,0000,BAD DEBTS 435505,S000000,00100,0200,09/17/12 435505,S200000,00100,0100,735 W. DIVERSEY 435505,S200000,00200,0100,CHICAGO 435505,S200000,00200,0200,IL 435505,S200000,00200,0300,60614 435505,S200000,00300,0100,COOK 435505,S200000,00300,0201,16974 435505,S200000,00300,0300,U 435505,S200000,00400,0100,LAKEVIEW NURSING & REHAB CENTER 435505,S200000,00400,0200,145654 435505,S200000,00400,0300,01/01/87 435505,S200000,00400,0500,P 435505,S200000,01500,0100,Y 435505,S200000,01600,0100,N 435505,S200000,01700,0100,N 435505,S200000,01800,0100,N 435505,S200000,02200,0100,N 435505,S200000,02800,0100,N 435505,S200000,02900,0100,N 435505,S200000,03000,0100,N 435505,S200000,03100,0100,N 435505,S200000,03200,0100,N 435505,S200000,03300,0100,N 435505,S200000,03300,0200,N 435505,S200000,04100,0100,N 435505,S200000,04200,0100,N 435505,S200000,04300,0100,N 435505,S200000,04600,0100,N 435505,S200000,04700,0100,N 435505,S200000,04700,0200,N 435505,S200000,04900,0100,N 435505,S200000,05000,0100,N 435505,S200000,05100,0100,N 435505,S200000,05200,0100,N 435514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435514,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435514,A000000,00300,0000,0300EMPLOYEE BENEFITS 435514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435514,A000000,00700,0000,0700HOUSEKEEPING 435514,A000000,00800,0000,0800DIETARY 435514,A000000,00900,0000,0900NURSING ADMINISTRATION 435514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435514,A000000,01100,0000,1100PHARMACY 435514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435514,A000000,01300,0000,1300SOCIAL SERVICE 435514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435514,A000000,01600,0000,1600SKILLED NURSING FACILITY 435514,A000000,01800,0000,1800NURSING FACILITY 435514,A000000,01810,0000,1810ICF/MR 435514,A000000,01900,0000,1900OTHER LONG TERM CARE 435514,A000000,02100,0000,2100RADIOLOGY 435514,A000000,02200,0000,2200LABORATORY 435514,A000000,02300,0000,2300INTRAVENOUS THERAPY 435514,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435514,A000000,02500,0000,2500PHYSICAL THERAPY 435514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435514,A000000,02700,0000,2700SPEECH PATHOLOGY 435514,A000000,02800,0000,2800ELECTROCARDIOLOGY 435514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435514,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435514,A000000,03200,0000,3200SUPPORT SURFACES 435514,A000000,03400,0000,3400CLINIC 435514,A000000,03500,0000,3500RURAL HEALTH CLINIC 435514,A000000,03550,0000,3550FQHC 435514,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435514,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435514,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435514,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435514,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435514,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435514,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435514,A000000,04400,0000,4400DME RENTED - HHA 435514,A000000,04500,0000,4500DME SOLD - HHA 435514,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435514,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435514,A000000,04800,0000,4800AMBULANCE 435514,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435514,A000000,05000,0000,5000CORF 435514,A000000,05010,0000,5010CMHC 435514,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435514,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435514,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435514,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435514,A000000,05300,0000,5300INTEREST EXPENSE 435514,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435514,A000000,05500,0000,5500HOSPICE 435514,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435514,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435514,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435514,A000000,06100,0000,6100NONPAID WORKERS 435514,A000000,06200,0000,6200PATIENTS LAUNDRY 435514,A81000A,00100,0100,N 435514,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435514,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435514,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435514,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435514,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435514,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435514,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435514,B100000,00000,0800,0800MEALS SERVED :DIETARY 435514,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435514,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435514,E10A180,00501,0100,09/20/12 435514,G300000,02500,0000,INSURANCE REFUND 435514,G300000,02501,0000,GAIN ON SALE OF ASSETS 435514,S000000,00100,0200,07/20/12 435514,S200000,00100,0100,505 E 4TH ST 435514,S200000,00200,0100,HILLS 435514,S200000,00200,0200,MN 435514,S200000,00200,0300,56138 435514,S200000,00300,0100,ROCK 435514,S200000,00300,0300,R 435514,S200000,00400,0100,TUFF MEMORIAL HOME 435514,S200000,00400,0200,245548 435514,S200000,00400,0300,05/03/85 435514,S200000,00400,0500,P 435514,S200000,01500,0100,Y 435514,S200000,01600,0100,N 435514,S200000,01700,0100,N 435514,S200000,01800,0100,N 435514,S200000,02200,0100,N 435514,S200000,02800,0100,Y 435514,S200000,02900,0100,N 435514,S200000,03000,0100,N 435514,S200000,03100,0100,N 435514,S200000,03200,0100,N 435514,S200000,03300,0100,Y 435514,S200000,03300,0200,Y 435514,S200000,04100,0100,N 435514,S200000,04200,0100,N 435514,S200000,04300,0100,N 435514,S200000,04600,0100,N 435514,S200000,04700,0100,N 435514,S200000,04700,0200,N 435514,S200000,04900,0100,N 435514,S200000,05000,0100,N 435514,S200000,05100,0100,N 435514,S200000,05200,0100,N 435514,S61C000,02000,0100,N 435514,S61D000,02000,0100,N 435514,S61E000,02000,0100,N 435514,S61F000,02000,0100,N 435514,S61G000,02000,0100,N 435515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435515,A000000,00300,0000,0300EMPLOYEE BENEFITS 435515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435515,A000000,00700,0000,0700HOUSEKEEPING 435515,A000000,00800,0000,0800DIETARY 435515,A000000,00900,0000,0900NURSING ADMINISTRATION 435515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435515,A000000,01300,0000,1300SOCIAL SERVICE 435515,A000000,01301,0000,1301ACTIVITY 435515,A000000,01600,0000,1600SKILLED NURSING FACILITY 435515,A000000,01800,0000,1800NURSING FACILITY 435515,A000000,01900,0000,1900OTHER LONG TERM CARE 435515,A000000,02100,0000,2100RADIOLOGY 435515,A000000,02200,0000,2200LABORATORY 435515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435515,A000000,02500,0000,2500PHYSICAL THERAPY 435515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435515,A000000,02700,0000,2700SPEECH PATHOLOGY 435515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435515,A000000,03200,0000,3200SUPPORT SURFACES 435515,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435515,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435515,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435515,A81000A,00100,0100,N 435515,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435515,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435515,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435515,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435515,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435515,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435515,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435515,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435515,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435515,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435515,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435515,B100000,00000,1301,1331PATIENT DAYS :ACTIVITY 435515,E10A180,00302,0100,06/30/11 435515,G300000,02510,0000,OTHER INCOME 435515,S000000,00100,0200,12/16/11 435515,S200000,00100,0100,3203 SAGE STREET 435515,S200000,00200,0100,MIDLAND 435515,S200000,00200,0200,TX 435515,S200000,00200,0300,79705 435515,S200000,00300,0100,MIDLAND 435515,S200000,00300,0201,33260 435515,S200000,00300,0300,U 435515,S200000,00400,0100,TRINITY HAVEN HEALTHCARE CENTER 435515,S200000,00400,0200,675910 435515,S200000,00400,0300,01/01/99 435515,S200000,00400,0500,P 435515,S200000,01500,0100,Y 435515,S200000,01501,0200,Y 435515,S200000,01600,0100,N 435515,S200000,01700,0100,N 435515,S200000,01800,0100,N 435515,S200000,02200,0100,N 435515,S200000,02800,0100,N 435515,S200000,02900,0100,N 435515,S200000,03000,0100,N 435515,S200000,03100,0100,N 435515,S200000,03200,0100,N 435515,S200000,03300,0100,N 435515,S200000,03300,0200,N 435515,S200000,04100,0100,N 435515,S200000,04200,0100,N 435515,S200000,04300,0100,N 435515,S200000,04600,0100,N 435515,S200000,04700,0100,N 435515,S200000,04700,0200,N 435515,S200000,04900,0100,N 435515,S200000,05000,0100,N 435515,S200000,05100,0100,N 435515,S200000,05200,0100,N 435520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435520,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435520,A000000,00300,0000,0300EMPLOYEE BENEFITS 435520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435520,A000000,00700,0000,0700HOUSEKEEPING 435520,A000000,00800,0000,0800DIETARY 435520,A000000,00900,0000,0900NURSING ADMINISTRATION 435520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435520,A000000,01100,0000,1100PHARMACY 435520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435520,A000000,01300,0000,1300SOCIAL SERVICE 435520,A000000,01600,0000,1600SKILLED NURSING FACILITY 435520,A000000,01800,0000,1800NURSING FACILITY 435520,A000000,01900,0000,1900OTHER LONG TERM CARE 435520,A000000,02100,0000,2100RADIOLOGY 435520,A000000,02200,0000,2200LABORATORY 435520,A000000,02300,0000,2300INTRAVENOUS THERAPY 435520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435520,A000000,02500,0000,2500PHYSICAL THERAPY 435520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435520,A000000,02700,0000,2700SPEECH PATHOLOGY 435520,A000000,02800,0000,2800ELECTROCARDIOLOGY 435520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435520,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435520,A000000,03200,0000,3200SUPPORT SURFACES 435520,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 435520,A000000,03400,0000,3400CLINIC 435520,A000000,04800,0000,4800AMBULANCE 435520,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435520,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435520,A000000,05300,0000,5300INTEREST EXPENSE 435520,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435520,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435520,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435520,A000000,06100,0000,6100NONPAID WORKERS 435520,A000000,06200,0000,6200PATIENTS LAUNDRY 435520,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 435520,A81000A,00100,0100,Y 435520,A81000B,00100,0300,ADMIN & GEN 435520,A81000B,00200,0300,RELATED PARTY LEASES 435520,A81000B,00300,0300,THERAPY SERVICES 435520,A81000B,00400,0300,THERAPY SERVICES 435520,A81000B,00500,0300,THERAPY SERVICES 435520,A81000C,00100,0100,A 435520,A81000C,00100,0200,JENNY KING 435520,A81000C,00100,0400,DIVERSIFIED LTC 435520,A81000C,00100,0600,ACCOUNTING SERV 435520,A81000C,00200,0100,A 435520,A81000C,00200,0200,ROBERT GREENLAW 435520,A81000C,00200,0400,MEL ROSE TYLER 435520,A81000C,00200,0600,OWN & LEASE N P 435520,A81000C,00300,0100,A 435520,A81000C,00300,0200,JENNY KING 435520,A81000C,00300,0400,PHOENIX REHAB 435520,A81000C,00300,0600,THERAPY SERVICE 435520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435520,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435520,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435520,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435520,B100000,00000,0800,0800MEALS SERVED :DIETARY 435520,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435520,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435520,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435520,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435520,G300000,02500,0000, OTHER (SPECIFY) 435520,S000000,00100,0200,05/16/12 435520,S200000,00100,0100,1501 WEST 29TH STREET 435520,S200000,00200,0100,TYLER 435520,S200000,00200,0200,TX 435520,S200000,00200,0300,75702-1404 435520,S200000,00300,0100,SMITH 435520,S200000,00300,0201,46340 435520,S200000,00300,0300,U 435520,S200000,00400,0100,MEL-ROSE HEALTHCARE LLC 435520,S200000,00400,0200,675992 435520,S200000,00400,0300,10/31/03 435520,S200000,00400,0500,P 435520,S200000,01500,0100,N 435520,S200000,01600,0100,N 435520,S200000,01700,0100,N 435520,S200000,01800,0100,N 435520,S200000,02200,0100,N 435520,S200000,02800,0100,N 435520,S200000,02900,0100,N 435520,S200000,03000,0100,N 435520,S200000,03100,0100,N 435520,S200000,03200,0100,N 435520,S200000,03300,0100,N 435520,S200000,03300,0200,N 435520,S200000,04100,0100,N 435520,S200000,04200,0100,N 435520,S200000,04300,0100,N 435520,S200000,04600,0100,N 435520,S200000,04700,0100,N 435520,S200000,04700,0200,N 435520,S200000,04900,0100,N 435520,S200000,05000,0100,N 435520,S200000,05100,0100,N 435520,S200000,05200,0100,N 435520,S200000,05300,0100,N 435529,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435529,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435529,A000000,00300,0000,0300EMPLOYEE BENEFITS 435529,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435529,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435529,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435529,A000000,00700,0000,0700HOUSEKEEPING 435529,A000000,00800,0000,0800DIETARY 435529,A000000,00900,0000,0900NURSING ADMINISTRATION 435529,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435529,A000000,01100,0000,1100PHARMACY 435529,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435529,A000000,01300,0000,1300SOCIAL SERVICE 435529,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435529,A000000,01600,0000,1600SKILLED NURSING FACILITY 435529,A000000,01810,0000,1810ICF/MR 435529,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435529,A000000,02500,0000,2500PHYSICAL THERAPY 435529,A000000,02700,0000,2700SPEECH PATHOLOGY 435529,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435529,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435529,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435529,A000000,03550,0000,3550FQHC 435529,A000000,05000,0000,5000CORF 435529,A000000,05010,0000,5010CMHC 435529,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435529,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435529,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435529,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435529,A81000A,00100,0100,Y 435529,A81000B,00100,0300,RENT 435529,A81000B,00200,0300,DEPRECIATION 435529,A81000B,00300,0300,INTEREST 435529,A81000B,00400,0300,REAL ESTATE TAXES 435529,A81000B,00500,0300,MIP INSURANCE 435529,A81000B,00600,0300,AMORTIZATION 435529,A81000C,00100,0100,A 435529,A81000C,00100,0200,JOSEPH OSINA 435529,A81000C,00100,0400,SHERWIN MANOR R 435529,A81000C,00100,0600,REAL ESTATE HOL 435529,A81000C,00200,0100,A 435529,A81000C,00200,0200,ABE OSINA 435529,A81000C,00200,0400,SHERWIN MANOR R 435529,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435529,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435529,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435529,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435529,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435529,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435529,B100000,00000,0800,0800MEALS SERVED :DIETARY 435529,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435529,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435529,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435529,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435529,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435529,S000000,00100,0200,09/04/12 435529,S200000,00100,0100,7350 NORTH SHERIDAN ROAD 435529,S200000,00200,0100,CHICAGO 435529,S200000,00200,0200,IL 435529,S200000,00200,0300,60626 435529,S200000,00300,0100,COOK 435529,S200000,00300,0201,16974 435529,S200000,00300,0300,U 435529,S200000,00400,0100,SHERWIN MANOR 435529,S200000,00400,0200,145670 435529,S200000,00400,0300,01/01/90 435529,S200000,00400,0500,P 435529,S200000,00400,0600,O 435529,S200000,01500,0100,N 435529,S200000,01600,0100,N 435529,S200000,01700,0100,N 435529,S200000,01800,0100,N 435529,S200000,02200,0100,N 435529,S200000,02800,0100,N 435529,S200000,02900,0100,N 435529,S200000,03000,0100,N 435529,S200000,03100,0100,N 435529,S200000,03200,0100,N 435529,S200000,03300,0100,N 435529,S200000,03300,0200,N 435529,S200000,03600,0100,N 435529,S200000,03600,0200,N 435529,S200000,04100,0100,N 435529,S200000,04200,0100,N 435529,S200000,04300,0100,N 435529,S200000,04600,0100,N 435529,S200000,04700,0100,N 435529,S200000,04700,0200,N 435529,S200000,04900,0100,N 435529,S200000,05000,0100,N 435529,S200000,05100,0100,N 435529,S200000,05200,0100,N 435529,S200000,05300,0100,N 435537,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435537,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435537,A000000,00300,0000,0300EMPLOYEE BENEFITS 435537,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435537,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435537,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435537,A000000,00700,0000,0700HOUSEKEEPING 435537,A000000,00800,0000,0800DIETARY 435537,A000000,00900,0000,0900NURSING ADMINISTRATION 435537,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435537,A000000,01100,0000,1100PHARMACY 435537,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435537,A000000,01300,0000,1300SOCIAL SERVICE 435537,A000000,01600,0000,1600SKILLED NURSING FACILITY 435537,A000000,02500,0000,2500PHYSICAL THERAPY 435537,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435537,A000000,02700,0000,2700SPEECH PATHOLOGY 435537,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435537,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435537,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435537,A81000A,00100,0100,Y 435537,A81000B,00100,0300,HOME OFFICE EXPENSE 435537,A81000B,00200,0300,HOME OFFICE COSTS -BLDG 435537,A81000B,00300,0300,HOME OFFICE COSTS - MME 435537,A81000C,00100,0100,A 435537,A81000C,00100,0200,B. MITCHELL 435537,A81000C,00100,0400,LTC SERVICES 435537,A81000C,00100,0600,HOME OFFICE 435537,A81000C,00200,0100,A 435537,A81000C,00200,0200,G. GREEN 435537,A81000C,00200,0400,LTC SERVICES 435537,A81000C,00200,0600,HOME OFFICE 435537,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435537,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435537,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435537,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435537,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435537,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435537,B100000,00000,0700,0750SQUARE FFET :HOUSEKEEPING 435537,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435537,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435537,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 435537,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 435537,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435537,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435537,S000000,00100,0200,05/04/12 435537,S200000,00100,0100,1001 HERTIGO ROAD 435537,S200000,00200,0100,HUGO 435537,S200000,00200,0200,OK 435537,S200000,00200,0300,74743 435537,S200000,00300,0100,CHOCTAW 435537,S200000,00300,0200,37 435537,S200000,00300,0201,99937 435537,S200000,00300,0300,R 435537,S200000,00400,0100,HUGO HEALTH AND REHAB CENTER 435537,S200000,00400,0200,375492 435537,S200000,00400,0300,11/17/05 435537,S200000,00400,0500,P 435537,S200000,01500,0100,Y 435537,S200000,01501,0200,Y 435537,S200000,01502,0200,Y 435537,S200000,01504,0200,Y 435537,S200000,01600,0100,N 435537,S200000,01700,0100,N 435537,S200000,01800,0100,N 435537,S200000,02200,0100,N 435537,S200000,02800,0100,N 435537,S200000,02900,0100,N 435537,S200000,03000,0100,N 435537,S200000,03100,0100,N 435537,S200000,03200,0100,N 435537,S200000,03300,0100,N 435537,S200000,03300,0200,N 435537,S200000,04100,0100,N 435537,S200000,04200,0100,N 435537,S200000,04300,0100,N 435537,S200000,04600,0100,N 435537,S200000,04700,0100,N 435537,S200000,04700,0200,N 435537,S200000,04900,0100,N 435537,S200000,05000,0100,N 435537,S200000,05100,0100,N 435537,S200000,05200,0100,N 435537,S200000,05300,0100,Y 435537,S200000,05300,0200,379013 435537,S200000,05400,0100,LTC ACCOUNTING SERVICES LLC 435537,S200000,05400,0200,TRAILBLAZER HEALTH ENTERPRISES 435537,S200000,05400,0300,04101 435537,S200000,05500,0100,1505 W. CHICKASAW AVE. 435537,S200000,05600,0100,SALLISAW 435537,S200000,05600,0200,OK 435537,S200000,05600,0300,74955 435540,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435540,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435540,A000000,00300,0000,0300EMPLOYEE BENEFITS 435540,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435540,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435540,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435540,A000000,00700,0000,0700HOUSEKEEPING 435540,A000000,00800,0000,0800DIETARY 435540,A000000,00900,0000,0900NURSING ADMINISTRATION 435540,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435540,A000000,01100,0000,1100PHARMACY 435540,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435540,A000000,01300,0000,1300SOCIAL SERVICE 435540,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435540,A000000,01600,0000,1600SKILLED NURSING FACILITY 435540,A000000,01800,0000,1800NURSING FACILITY 435540,A000000,01810,0000,1810ICF/MR 435540,A000000,02200,0000,2200LABORATORY 435540,A000000,02500,0000,2500PHYSICAL THERAPY 435540,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435540,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435540,A000000,03550,0000,3550FQHC 435540,A000000,05000,0000,5000CORF 435540,A000000,05010,0000,5010CMHC 435540,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435540,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435540,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435540,A81000A,00100,0100,Y 435540,A81000B,00100,0300,INTEREST 435540,A81000B,00200,0300,DEPRECIATION 435540,A81000B,00300,0300,CENTRALIZED SERVICES 435540,A81000B,00400,0300,INTER CO. ALLOCATION 435540,A81000C,00100,0100,B 435540,A81000C,00100,0400,RESURRECTION HE 435540,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435540,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435540,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435540,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435540,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435540,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435540,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435540,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 435540,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435540,E10A180,00501,0100,09/12/12 435540,G300000,02500,0000,INTER COMPANY RENTAL INCOME 435540,G300000,02501,0000,OTHER NON OPERATING REVENUE 435540,G300000,02502,0000,NET ASSETS RELEASED FROM OPERATIONS 435540,S000000,00100,0200,08/31/12 435540,S200000,00100,0100,2380 EAST DEMPSTER 435540,S200000,00200,0100,DESPLAINES 435540,S200000,00200,0200,IL 435540,S200000,00200,0300,60016 435540,S200000,00300,0100,COOK 435540,S200000,00300,0201,16974 435540,S200000,00300,0300,U 435540,S200000,00400,0100,HOLY FAMILY NURSING & REHAB 435540,S200000,00400,0200,145112 435540,S200000,00400,0300,05/01/81 435540,S200000,00400,0500,P 435540,S200000,00600,0200,145112 435540,S200000,00600,0300,05/01/81 435540,S200000,00600,0600,O 435540,S200000,01500,0100,N 435540,S200000,01600,0100,Y 435540,S200000,01700,0100,N 435540,S200000,01800,0100,N 435540,S200000,01900,0100,CORPORATION 435540,S200000,02200,0100,N 435540,S200000,02800,0100,Y 435540,S200000,02900,0100,N 435540,S200000,03000,0100,N 435540,S200000,03100,0100,N 435540,S200000,03200,0100,N 435540,S200000,03300,0100,N 435540,S200000,03300,0200,N 435540,S200000,03500,0300,N 435540,S200000,03600,0100,N 435540,S200000,03600,0200,N 435540,S200000,04100,0100,N 435540,S200000,04200,0100,N 435540,S200000,04300,0100,N 435540,S200000,04600,0100,N 435540,S200000,04700,0100,N 435540,S200000,04700,0200,N 435540,S200000,04900,0100,N 435540,S200000,05000,0100,N 435540,S200000,05100,0100,N 435540,S200000,05200,0100,N 435540,S200000,05300,0100,Y 435540,S200000,05300,0200,14-808 435540,S200000,05400,0100,RESURRECTION HEALTH CARE 435540,S200000,05400,0200,NATIONAL GOVERNMENT SERVICE 435540,S200000,05400,0300,00131 435540,S200000,05500,0100,7435 WEST TALCOTT 435540,S200000,05600,0100,CHICAGO 435540,S200000,05600,0200,IL 435540,S200000,05600,0300,60631 435541,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435541,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435541,A000000,00300,0000,0300EMPLOYEE BENEFITS 435541,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435541,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435541,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435541,A000000,00700,0000,0700HOUSEKEEPING 435541,A000000,00800,0000,0800DIETARY 435541,A000000,00900,0000,0900NURSING ADMINISTRATION 435541,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435541,A000000,01100,0000,1100PHARMACY 435541,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435541,A000000,01300,0000,1300SOCIAL SERVICE 435541,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435541,A000000,01500,0000,1350RECREATION ACTIVITIES 435541,A000000,01600,0000,1600SKILLED NURSING FACILITY 435541,A000000,01810,0000,1810ICF/MR 435541,A000000,02100,0000,2100RADIOLOGY 435541,A000000,02200,0000,2200LABORATORY 435541,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435541,A000000,02500,0000,2500PHYSICAL THERAPY 435541,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435541,A000000,02700,0000,2700SPEECH PATHOLOGY 435541,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435541,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435541,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435541,A000000,03301,0000,3051ENTERAL FEEDING 435541,A000000,03550,0000,3550FQHC 435541,A000000,05000,0000,5000CORF 435541,A000000,05010,0000,5010CMHC 435541,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435541,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435541,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435541,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435541,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435541,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435541,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435541,A000000,06312,0000,6153DIALYSIS 435541,A000000,06320,0000,6154APARTMENTS 435541,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435541,A000000,06340,0000,6156CLOSED PATIENT AREAS 435541,A000000,06350,0000,6157O/P ADULT DAYCARE 435541,A000000,06360,0000,6158MARKETING 435541,A81000A,00100,0100,Y 435541,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435541,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435541,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435541,A81000C,00100,0100,B 435541,A81000C,00100,0200,FUNDAMENTAL HOL 435541,A81000C,00100,0400,FAS LLC 435541,A81000C,00100,0600,ADMIN SUPPORT 435541,A81000C,00200,0100,B 435541,A81000C,00200,0400,MARINER HEALTH 435541,A81000C,00200,0600,OPERATIONS SERV 435541,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435541,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 435541,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435541,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435541,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435541,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435541,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435541,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 435541,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435541,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435541,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435541,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435541,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435541,E10A180,00353,0100,10/07/11 435541,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435541,S000000,00100,0200,12/21/12 435541,S200000,00100,0100,19700 HESPERIAN BLVD 435541,S200000,00200,0100,HAYWARD 435541,S200000,00200,0200,CA 435541,S200000,00200,0300,94541 435541,S200000,00300,0100,ALAMEDA 435541,S200000,00300,0201,36084 435541,S200000,00300,0300,U 435541,S200000,00400,0100,DRIFTWOOD HEALTHCARE CTR - HAYWARD 435541,S200000,00400,0200,555533 435541,S200000,00400,0300,01/01/95 435541,S200000,00400,0500,P 435541,S200000,00400,0600,O 435541,S200000,01500,0100,Y 435541,S200000,01501,0200,Y 435541,S200000,01503,0200,Y 435541,S200000,01504,0200,Y 435541,S200000,01505,0000,OTHER 435541,S200000,01505,0200,Y 435541,S200000,01600,0100,N 435541,S200000,01700,0100,N 435541,S200000,01800,0100,N 435541,S200000,01900,0100,LLC 435541,S200000,02200,0100,Y 435541,S200000,02800,0100,N 435541,S200000,02900,0100,N 435541,S200000,03000,0100,N 435541,S200000,03100,0100,N 435541,S200000,03200,0100,N 435541,S200000,03300,0100,N 435541,S200000,03300,0200,N 435541,S200000,04100,0100,N 435541,S200000,04200,0100,N 435541,S200000,04300,0100,N 435541,S200000,04600,0100,N 435541,S200000,04700,0100,N 435541,S200000,04700,0200,N 435541,S200000,04900,0100,N 435541,S200000,05000,0100,N 435541,S200000,05100,0100,N 435541,S200000,05200,0100,N 435541,S200000,05300,0100,Y 435541,S200000,05300,0200,000000 435541,S200000,05400,0100,MARINER HEALTH CARE 435541,S200000,05400,0200,J1MAC_GBA 435541,S200000,05400,0300,#01001 435541,S200000,05500,0100,ONE RAVINIA DR STE 1 435541,S200000,05600,0100,ATLANTA 435541,S200000,05600,0200,GA 435541,S200000,05600,0300,30346 435545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435545,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435545,A000000,00300,0000,0300EMPLOYEE BENEFITS 435545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435545,A000000,00700,0000,0700HOUSEKEEPING 435545,A000000,00800,0000,0800DIETARY 435545,A000000,00900,0000,0900NURSING ADMINISTRATION 435545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435545,A000000,01100,0000,1100PHARMACY 435545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435545,A000000,01300,0000,1300SOCIAL SERVICE 435545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435545,A000000,01500,0000,1350RECREATION ACTIVITIES 435545,A000000,01600,0000,1600SKILLED NURSING FACILITY 435545,A000000,01810,0000,1810ICF/MR 435545,A000000,02100,0000,2100RADIOLOGY 435545,A000000,02200,0000,2200LABORATORY 435545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435545,A000000,02500,0000,2500PHYSICAL THERAPY 435545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435545,A000000,02700,0000,2700SPEECH PATHOLOGY 435545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435545,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435545,A000000,03301,0000,3051ENTERAL FEEDING 435545,A000000,03550,0000,3550FQHC 435545,A000000,05000,0000,5000CORF 435545,A000000,05010,0000,5010CMHC 435545,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435545,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435545,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435545,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435545,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435545,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435545,A000000,06312,0000,6153DIALYSIS 435545,A000000,06320,0000,6154APARTMENTS 435545,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435545,A000000,06340,0000,6156CLOSED PATIENT AREAS 435545,A000000,06350,0000,6157O/P ADULT DAYCARE 435545,A000000,06360,0000,6158MARKETING 435545,A81000A,00100,0100,Y 435545,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435545,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435545,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435545,A81000C,00100,0100,B 435545,A81000C,00100,0200,FUNDAMENTAL HOL 435545,A81000C,00100,0400,FAS LLC 435545,A81000C,00100,0600,ADMIN SUPPORT 435545,A81000C,00200,0100,B 435545,A81000C,00200,0400,MARINER HEALTH 435545,A81000C,00200,0600,OPERATIONS SERV 435545,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435545,B100000,00000,0200,0250(COSTED REQUIS) :CAP REL COSTS 435545,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435545,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435545,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435545,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435545,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435545,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 435545,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435545,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435545,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435545,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435545,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435545,E10A180,00301,0100,06/02/11 435545,E10A180,00353,0100,06/02/11 435545,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435545,S000000,00100,0200,09/09/13 435545,S200000,00100,0100,430 N GLENDALE AVE 435545,S200000,00200,0100,GLENDALE 435545,S200000,00200,0200,CA 435545,S200000,00200,0300,91206 435545,S200000,00300,0100,LOS ANGELES 435545,S200000,00300,0201,31084 435545,S200000,00300,0300,U 435545,S200000,00400,0100,AUTUMN HILLS HEALTH CARE CENTER 435545,S200000,00400,0200,055288 435545,S200000,00400,0300,10/01/81 435545,S200000,00400,0500,P 435545,S200000,00400,0600,O 435545,S200000,01500,0100,Y 435545,S200000,01501,0200,Y 435545,S200000,01503,0200,Y 435545,S200000,01504,0200,Y 435545,S200000,01600,0100,N 435545,S200000,01700,0100,N 435545,S200000,01800,0100,N 435545,S200000,01900,0100,LLC 435545,S200000,02200,0100,Y 435545,S200000,02800,0100,N 435545,S200000,02900,0100,N 435545,S200000,03000,0100,N 435545,S200000,03100,0100,N 435545,S200000,03200,0100,N 435545,S200000,03300,0100,N 435545,S200000,03300,0200,N 435545,S200000,04100,0100,N 435545,S200000,04200,0100,N 435545,S200000,04300,0100,N 435545,S200000,04600,0100,N 435545,S200000,04700,0100,N 435545,S200000,04700,0200,N 435545,S200000,04900,0100,N 435545,S200000,05000,0100,N 435545,S200000,05100,0100,N 435545,S200000,05200,0100,N 435545,S200000,05300,0100,Y 435545,S200000,05300,0200,000000 435545,S200000,05400,0100,MARINER HEALTH CARE 435545,S200000,05400,0200,J1MAC_GBA 435545,S200000,05400,0300,01001 435545,S200000,05500,0100,ONE RAVINIA DR. STE 1 435545,S200000,05600,0100,ATLANTA 435545,S200000,05600,0200,GA 435545,S200000,05600,0300,30346 435546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435546,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435546,A000000,00300,0000,0300EMPLOYEE BENEFITS 435546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435546,A000000,00700,0000,0700HOUSEKEEPING 435546,A000000,00800,0000,0800DIETARY 435546,A000000,00900,0000,0900NURSING ADMINISTRATION 435546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435546,A000000,01100,0000,1100PHARMACY 435546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435546,A000000,01300,0000,1300SOCIAL SERVICE 435546,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435546,A000000,01600,0000,1600SKILLED NURSING FACILITY 435546,A000000,01810,0000,1810ICF/MR 435546,A000000,03550,0000,3550FQHC 435546,A000000,05000,0000,5000CORF 435546,A000000,05010,0000,5010CMHC 435546,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435546,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435546,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435546,A81000A,00100,0100,N 435546,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435546,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435546,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435546,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435546,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435546,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435546,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435546,B100000,00000,0800,0800MEALS SERVED :DIETARY 435546,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435546,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435546,G300000,02500,0000,DEBT FORGIVENESS 435546,G300000,02501,0000,MISC 435546,S000000,00100,0200,03/04/14 435546,S200000,00100,0100,286 HOSPITAL DRIVE 435546,S200000,00100,0300,399 435546,S200000,00200,0100,RED LAKE 435546,S200000,00200,0200,MN 435546,S200000,00200,0300,56671 435546,S200000,00300,0100,BELTRAMI 435546,S200000,00300,0201,24 435546,S200000,00300,0300,R 435546,S200000,00400,0100,JOURDAIN PERPICH EXTENDED CARE FAC 435546,S200000,00400,0200,245535 435546,S200000,00400,0300,07/20/85 435546,S200000,00400,0500,P 435546,S200000,01500,0100,Y 435546,S200000,01600,0100,N 435546,S200000,01700,0100,N 435546,S200000,01800,0100,N 435546,S200000,01900,0100,TRIBAL GOVERNMENT 435546,S200000,02200,0100,N 435546,S200000,02800,0100,N 435546,S200000,02900,0100,N 435546,S200000,03000,0100,N 435546,S200000,03100,0100,N 435546,S200000,03200,0100,N 435546,S200000,03300,0100,N 435546,S200000,03300,0200,N 435546,S200000,03600,0100,N 435546,S200000,03600,0200,N 435546,S200000,04100,0100,N 435546,S200000,04200,0100,N 435546,S200000,04300,0100,N 435546,S200000,04600,0100,N 435546,S200000,04700,0100,N 435546,S200000,04700,0200,N 435546,S200000,04900,0100,N 435546,S200000,05000,0100,N 435546,S200000,05100,0100,N 435546,S200000,05200,0100,N 435564,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435564,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435564,A000000,00300,0000,0300EMPLOYEE BENEFITS 435564,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435564,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435564,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435564,A000000,00700,0000,0700HOUSEKEEPING 435564,A000000,00800,0000,0800DIETARY 435564,A000000,00900,0000,0900NURSING ADMINISTRATION 435564,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435564,A000000,01100,0000,1100PHARMACY 435564,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435564,A000000,01300,0000,1300SOCIAL SERVICE 435564,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435564,A000000,01500,0000,1350OTHER GENERAL SERVICES 435564,A000000,01600,0000,1600SKILLED NURSING FACILITY 435564,A000000,01800,0000,1800NURSING FACILITY 435564,A000000,01810,0000,1810ICF/MR 435564,A000000,01900,0000,1900OTHER LONG TERM CARE 435564,A000000,02100,0000,2100RADIOLOGY 435564,A000000,02200,0000,2200LABORATORY 435564,A000000,02300,0000,2300INTRAVENOUS THERAPY 435564,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435564,A000000,02500,0000,2500PHYSICAL THERAPY 435564,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435564,A000000,02700,0000,2700SPEECH PATHOLOGY 435564,A000000,02800,0000,2800ELECTROCARDIOLOGY 435564,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435564,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435564,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435564,A000000,03200,0000,3200SUPPORT SURFACES 435564,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435564,A000000,03400,0000,3400CLINIC 435564,A000000,03500,0000,3500RURAL HEALTH CLINIC 435564,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435564,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435564,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435564,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435564,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435564,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435564,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435564,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435564,A000000,04400,0000,4400DME RENTED - HHA 435564,A000000,04500,0000,4500DME SOLD - HHA 435564,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435564,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435564,A000000,04710,0000,4710TELEMEDICINE 435564,A000000,04800,0000,4800AMBULANCE 435564,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435564,A000000,05000,0000,5000CORF 435564,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435564,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435564,A000000,05300,0000,5300INTEREST EXPENSE 435564,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435564,A000000,05500,0000,5500HOSPICE 435564,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435564,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435564,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435564,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435564,A000000,06100,0000,6100NONPAID WORKERS 435564,A000000,06200,0000,6200PATIENTS LAUNDRY 435564,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435564,A81000A,00100,0100,Y 435564,A81000B,00100,0300,MANAGEMENT FEES 435564,A81000B,00200,0300,HOME OFFICE PROPERTY 435564,A81000B,00300,0300,HOME OFFICE CLINICAL 435564,A81000B,00400,0300,WORK COMP INSURANCE 435564,A81000B,00500,0300,PROPERTY INSURANCE 435564,A81000B,00600,0300,LIABILITY INSURANCE 435564,A81000B,00700,0300,HEALTH INSURANCE 435564,A81000B,00800,0300,PENSION PLAN 435564,A81000C,00100,0100,G 435564,A81000C,00100,0200,CATHOLIC HEALTH SERVICES 435564,A81000C,00100,0600,MANAGEMENT COMPANY 435564,A81000C,00200,0100,G 435564,A81000C,00200,0200,CATHOLIC HEALTH SERVICES 435564,A81000C,00200,0600,MANAGEMENT COMPANY 435564,A81000C,00300,0100,G 435564,A81000C,00300,0200,CATHOLIC HEALTH SERVICES 435564,A81000C,00300,0600,MANAGEMENT COMPANY 435564,A81000C,00400,0100,G 435564,A81000C,00400,0200,ARCHDIOCESE OF MIAMI 435564,A81000C,00400,0600,SELF INSURANCE 435564,A81000C,00500,0100,G 435564,A81000C,00500,0200,ARCHDIOCESE OF MIAMI 435564,A81000C,00500,0600,SELF INSURANCE 435564,A81000C,00600,0100,G 435564,A81000C,00600,0200,ARCHDIOCESE OF MIAMI 435564,A81000C,00600,0600,SELF INSURANCE 435564,A81000C,00700,0100,G 435564,A81000C,00700,0200,ARCHDIOCESE OF MIAMI 435564,A81000C,00700,0600,SELF INSURANCE 435564,A81000C,00800,0100,G 435564,A81000C,00800,0200,ARCHDIOCESE OF MIAMI 435564,A81000C,00800,0600,SELF INSURANCE 435564,A81000C,03100,0000,COMMON GOVERNANCE 435564,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435564,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435564,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435564,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435564,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435564,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435564,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435564,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435564,B100000,00000,0900,0950PATIENT DAYS SNF O:NURSING ADMIN 435564,B100000,00000,1000,1050PATIENT DAYS SNF O:CENTRAL SERVI 435564,B100000,00000,1200,1250PATIENT DAYS SNF O:MEDICAL RECOR 435564,B100000,00000,1300,1330PATIENT DAYS SNF O:SOCIAL SERVIC 435564,E10A180,00301,0100,08/22/11 435564,E10A180,00501,0100,04/23/12 435564,E10A180,00501,0300,04/23/12 435564,E10A180,00502,0100,09/06/13 435564,E10A180,00502,0300,09/06/13 435564,G300000,02500,0000,ALF AND ADULT DAY REVENUE 435564,G300000,02501,0000,BEAUTY AND BARBER REVENUE 435564,G300000,02502,0000,TRANSPORTATION REVENUE 435564,G300000,02503,0000,BOOKKEEPING REVENUE 435564,G300000,02504,0000,MISCELLANEOUS REVENUE 435564,G300000,02505,0000,PERSONAL ITEMS REVENUE 435564,S000000,00100,0200,02/29/12 435564,S200000,00100,0100,1185 QUAIL ROOST DR 435564,S200000,00200,0100,MIAMI 435564,S200000,00200,0200,FL 435564,S200000,00200,0300,33177 435564,S200000,00300,0100,MIAMI-DADE 435564,S200000,00300,0201,33124 435564,S200000,00300,0300,U 435564,S200000,00400,0100,ST. ANNE S NURSING CENTER 435564,S200000,00400,0200,105560 435564,S200000,00400,0300,05/15/87 435564,S200000,00400,0500,P 435564,S200000,01500,0100,Y 435564,S200000,01501,0200,Y 435564,S200000,01502,0200,Y 435564,S200000,01503,0200,Y 435564,S200000,01504,0200,Y 435564,S200000,01600,0100,N 435564,S200000,01700,0100,N 435564,S200000,01800,0100,N 435564,S200000,02200,0100,N 435564,S200000,02800,0100,N 435564,S200000,02900,0100,N 435564,S200000,03000,0100,N 435564,S200000,03100,0100,N 435564,S200000,03200,0100,N 435564,S200000,03300,0100,N 435564,S200000,03300,0200,N 435564,S200000,04100,0100,N 435564,S200000,04200,0100,N 435564,S200000,04300,0100,N 435564,S200000,04600,0100,N 435564,S200000,04700,0100,N 435564,S200000,04700,0200,N 435564,S200000,04900,0100,N 435564,S200000,05000,0100,N 435564,S200000,05100,0100,N 435564,S200000,05200,0100,N 435565,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435565,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435565,A000000,00300,0000,0300EMPLOYEE BENEFITS 435565,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435565,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435565,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435565,A000000,00700,0000,0700HOUSEKEEPING 435565,A000000,00800,0000,0800DIETARY 435565,A000000,00900,0000,0900NURSING ADMINISTRATION 435565,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435565,A000000,01100,0000,1100PHARMACY 435565,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435565,A000000,01300,0000,1300SOCIAL SERVICE 435565,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435565,A000000,01500,0000,1350ACTIVITIES 435565,A000000,01600,0000,1600SKILLED NURSING FACILITY 435565,A000000,01810,0000,1810ICF/MR 435565,A000000,02100,0000,2100RADIOLOGY 435565,A000000,02200,0000,2200LABORATORY 435565,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435565,A000000,02500,0000,2500PHYSICAL THERAPY 435565,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435565,A000000,02700,0000,2700SPEECH PATHOLOGY 435565,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435565,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435565,A000000,03550,0000,3550FQHC 435565,A000000,04800,0000,4800AMBULANCE 435565,A000000,05000,0000,5000CORF 435565,A000000,05010,0000,5010CMHC 435565,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435565,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435565,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435565,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435565,A000000,06300,0000,6150OTHER NONREIMBURSEABLE 435565,A81000A,00100,0100,Y 435565,A81000B,00100,0300,PHYSICAL THERAPY 435565,A81000B,00200,0300,OCCUPATIONAL THERAPY 435565,A81000B,00300,0300,SPEECH THERAPY 435565,A81000B,00400,0300,DIETARY 435565,A81000B,00500,0300,RESPIRATORY THERAPY 435565,A81000B,00600,0300,RESPIRATORY THERAPY 435565,A81000B,00700,0300,MEDICAL DIRECTOR 435565,A81000B,00800,0300,ADMINISTRATION - HO 435565,A81000B,00900,0300,INTEREST - HO 435565,A81000B,01000,0300,BUILDING - HO 435565,A81000C,00100,0100,B 435565,A81000C,00100,0200,GENESIS REHAB 435565,A81000C,00100,0400,GENESIS HEALTHC 435565,A81000C,00100,0600,REHAB SERVICES 435565,A81000C,00200,0100,B 435565,A81000C,00200,0200,GENESIS REHAB 435565,A81000C,00200,0400,GENESIS HEALTHC 435565,A81000C,00200,0600,REHAB SERVICES 435565,A81000C,00300,0100,B 435565,A81000C,00300,0200,GENESIS REHAB 435565,A81000C,00300,0400,GENESIS HEALTHC 435565,A81000C,00300,0600,REHAB SERVICES 435565,A81000C,00400,0100,B 435565,A81000C,00400,0200,GENESIS HOSPITA 435565,A81000C,00400,0400,GENESIS HEALTHC 435565,A81000C,00400,0600,CONSULTING SERV 435565,A81000C,00500,0100,B 435565,A81000C,00500,0200,RESPIRATORY HEA 435565,A81000C,00500,0400,GENESIS HEALTHC 435565,A81000C,00500,0600,RESPIRATORY SER 435565,A81000C,00600,0100,B 435565,A81000C,00600,0200,RESPIRATORY HEA 435565,A81000C,00600,0400,GENESIS HEALTHC 435565,A81000C,00600,0600,RESPIRATORY SER 435565,A81000C,00700,0100,B 435565,A81000C,00700,0200,GENESIS PHYSICI 435565,A81000C,00700,0400,GENESIS HEALTHC 435565,A81000C,00700,0600,MEDICAL DIRECTO 435565,A81000C,00800,0100,B 435565,A81000C,00800,0200,GENESIS HEALTHC 435565,A81000C,00800,0600,MANAGEMENT COMP 435565,A81000C,00900,0100,B 435565,A81000C,00900,0200,GENESIS HEALTHC 435565,A81000C,00900,0600,MANAGEMENT COMP 435565,A81000C,01000,0100,B 435565,A81000C,01000,0200,GENESIS HEALTHC 435565,A81000C,01000,0600,MANAGEMENT COMP 435565,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435565,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435565,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435565,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435565,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435565,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435565,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435565,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435565,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435565,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435565,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435565,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435565,E10A180,00501,0100,05/15/12 435565,E10A180,00550,0100,12/14/11 435565,G300000,02500,0000,MISCELLANEOUS REVENUE 435565,G300000,02501,0000,BARBER & BEAUTY REVENUE 435565,S000000,00100,0200,12/09/11 435565,S200000,00100,0100,1000 LINCOLN DRIVE 435565,S200000,00200,0100,SOUTH CHARLESTON 435565,S200000,00200,0200,WV 435565,S200000,00200,0300,25309 435565,S200000,00300,0100,KANAWHA 435565,S200000,00300,0201,16620 435565,S200000,00300,0300,U 435565,S200000,00400,0100,VALLEY CENTER 435565,S200000,00400,0200,515169 435565,S200000,00400,0300,05/24/99 435565,S200000,00400,0500,P 435565,S200000,01500,0100,Y 435565,S200000,01502,0200,N 435565,S200000,01504,0200,N 435565,S200000,01600,0100,N 435565,S200000,01700,0100,N 435565,S200000,01800,0100,N 435565,S200000,02200,0100,Y 435565,S200000,02800,0100,N 435565,S200000,02900,0100,N 435565,S200000,03000,0100,N 435565,S200000,03100,0100,N 435565,S200000,03200,0100,N 435565,S200000,03300,0100,N 435565,S200000,03300,0200,N 435565,S200000,03600,0100,N 435565,S200000,03600,0200,N 435565,S200000,04100,0100,N 435565,S200000,04200,0100,N 435565,S200000,04300,0100,N 435565,S200000,04600,0100,N 435565,S200000,04700,0100,N 435565,S200000,04700,0200,N 435565,S200000,04900,0100,N 435565,S200000,05000,0100,N 435565,S200000,05100,0100,N 435565,S200000,05200,0100,N 435565,S200000,05300,0100,Y 435565,S200000,05300,0200,HB0067 435565,S200000,05400,0100,GENESIS HEALTHCARE CORP 435565,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 435565,S200000,05400,0300,12001 435565,S200000,05500,0100,101 EAST STATE STREET 435565,S200000,05600,0100,KENNETT SQUARE 435565,S200000,05600,0200,PA 435565,S200000,05600,0300,19348 435568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435568,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435568,A000000,00300,0000,0300EMPLOYEE BENEFITS 435568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435568,A000000,00700,0000,0700HOUSEKEEPING 435568,A000000,00800,0000,0800DIETARY 435568,A000000,00900,0000,0900NURSING ADMINISTRATION 435568,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435568,A000000,01100,0000,1100PHARMACY 435568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435568,A000000,01300,0000,1300SOCIAL SERVICE 435568,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435568,A000000,01500,0000,1350RECREATION ACTIVITIES 435568,A000000,01600,0000,1600SKILLED NURSING FACILITY 435568,A000000,01810,0000,1810ICF/MR 435568,A000000,02100,0000,2100RADIOLOGY 435568,A000000,02200,0000,2200LABORATORY 435568,A000000,02500,0000,2500PHYSICAL THERAPY 435568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435568,A000000,02700,0000,2700SPEECH PATHOLOGY 435568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435568,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 435568,A000000,03301,0000,3051ENTERAL FEEDING 435568,A000000,03550,0000,3550FQHC 435568,A000000,05000,0000,5000CORF 435568,A000000,05010,0000,5010CMHC 435568,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435568,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435568,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435568,A000000,06300,0000,6150ENTERSTOMAL THERAPY 435568,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 435568,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 435568,A000000,06312,0000,6153DIALYSIS 435568,A000000,06320,0000,6154APARTMENTS 435568,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 435568,A000000,06340,0000,6156CLOSED PATIENT AREAS 435568,A000000,06350,0000,6157O/P ADULT DAYCARE 435568,A000000,06360,0000,6158MARKETING 435568,A81000A,00100,0100,Y 435568,A81000B,00100,0300,RELATED PARTY CAPITAL COST 435568,A81000B,00200,0300,RELATED PARTY ADMIN & GEN 435568,A81000B,00300,0300,RELATED PARTY CLINICAL ALLOCAT 435568,A81000C,00100,0100,B 435568,A81000C,00100,0200,FUNDAMENTAL HOL 435568,A81000C,00100,0400,FAS LLC 435568,A81000C,00100,0600,ADMIN SUPPORT 435568,A81000C,00200,0100,B 435568,A81000C,00200,0400,MARINER HEALTH 435568,A81000C,00200,0600,OPERATIONS SERV 435568,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 435568,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 435568,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 435568,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435568,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 435568,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 435568,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 435568,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 435568,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 435568,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 435568,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 435568,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 435568,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 435568,E10A180,00301,0100,06/02/11 435568,G300000,02506,0000,INTEREST INCOME PATIENT A/R 435568,S000000,00100,0200,12/03/12 435568,S200000,00100,0100,2065 FOREST AVE 435568,S200000,00200,0100,SAN JOSE 435568,S200000,00200,0200,CA 435568,S200000,00200,0300,95128 435568,S200000,00300,0100,SANTA CLARA 435568,S200000,00300,0201,41940 435568,S200000,00300,0300,U 435568,S200000,00400,0100,SKYLINE HEALTHCARE CTR-SAN JOSE 435568,S200000,00400,0200,055318 435568,S200000,00400,0300,10/01/80 435568,S200000,00400,0500,P 435568,S200000,00400,0600,O 435568,S200000,01500,0100,Y 435568,S200000,01501,0200,Y 435568,S200000,01503,0200,Y 435568,S200000,01504,0200,Y 435568,S200000,01600,0100,N 435568,S200000,01700,0100,N 435568,S200000,01800,0100,N 435568,S200000,01900,0100,LLC 435568,S200000,02200,0100,Y 435568,S200000,02800,0100,N 435568,S200000,02900,0100,N 435568,S200000,03000,0100,N 435568,S200000,03100,0100,N 435568,S200000,03200,0100,N 435568,S200000,03300,0100,N 435568,S200000,03300,0200,N 435568,S200000,04100,0100,N 435568,S200000,04200,0100,N 435568,S200000,04300,0100,N 435568,S200000,04600,0100,N 435568,S200000,04700,0100,N 435568,S200000,04700,0200,N 435568,S200000,04900,0100,N 435568,S200000,05000,0100,N 435568,S200000,05100,0100,N 435568,S200000,05200,0100,N 435568,S200000,05300,0100,Y 435568,S200000,05300,0200,000000 435568,S200000,05400,0100,MARINER HEALTH CARE 435568,S200000,05400,0200,J1MAC_GBA 435568,S200000,05400,0300,01001 435568,S200000,05500,0100,ONE RAVINIA DR STE 1 435568,S200000,05600,0100,ATLANTA 435568,S200000,05600,0200,GA 435568,S200000,05600,0300,30346 435571,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435571,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435571,A000000,00300,0000,0300EMPLOYEE BENEFITS 435571,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435571,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435571,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435571,A000000,00700,0000,0700HOUSEKEEPING 435571,A000000,00800,0000,0800DIETARY 435571,A000000,00900,0000,0900NURSING ADMINISTRATION 435571,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435571,A000000,01100,0000,1100PHARMACY 435571,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435571,A000000,01300,0000,1300SOCIAL SERVICE 435571,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435571,A000000,01500,0000,1350OTHER GENERAL SERVICES 435571,A000000,01600,0000,1600SKILLED NURSING FACILITY 435571,A000000,01800,0000,1800NURSING FACILITY 435571,A000000,01810,0000,1810ICF/MR 435571,A000000,01900,0000,1900OTHER LONG TERM CARE 435571,A000000,02100,0000,2100RADIOLOGY 435571,A000000,02200,0000,2200LABORATORY 435571,A000000,02300,0000,2300INTRAVENOUS THERAPY 435571,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435571,A000000,02500,0000,2500PHYSICAL THERAPY 435571,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435571,A000000,02700,0000,2700SPEECH PATHOLOGY 435571,A000000,02800,0000,2800ELECTROCARDIOLOGY 435571,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435571,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435571,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435571,A000000,03200,0000,3200SUPPORT SURFACES 435571,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435571,A000000,03400,0000,3400CLINIC 435571,A000000,03500,0000,3500RURAL HEALTH CLINIC 435571,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435571,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435571,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435571,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435571,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435571,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435571,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435571,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435571,A000000,04400,0000,4400DME RENTED - HHA 435571,A000000,04500,0000,4500DME SOLD - HHA 435571,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435571,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435571,A000000,04710,0000,4710TELEMEDICINE 435571,A000000,04800,0000,4800AMBULANCE 435571,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435571,A000000,05000,0000,5000CORF 435571,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435571,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435571,A000000,05300,0000,5300INTEREST EXPENSE 435571,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435571,A000000,05500,0000,5500HOSPICE 435571,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435571,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435571,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435571,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435571,A000000,06100,0000,6100NONPAID WORKERS 435571,A000000,06200,0000,6200PATIENTS LAUNDRY 435571,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435571,A81000A,00100,0100,Y 435571,A81000B,00100,0300,DRUGS 435571,A81000B,00200,0300,OTC DRUGS 435571,A81000C,00100,0100,A 435571,A81000C,00100,0200,RANDY L KRAMM 435571,A81000C,00100,0400,KRAMM SUPPORT SERVICES 435571,A81000C,00100,0600,PHARMACY 435571,A81000C,00200,0100,A 435571,A81000C,00200,0200,KEFF KRAMM 435571,A81000C,00300,0100,A 435571,A81000C,00300,0200,KRAMM GRANDCHILDREN (5) 435571,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435571,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435571,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435571,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435571,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435571,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435571,B100000,00000,0800,0800MEALS SERVED :DIETARY 435571,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 435571,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435571,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435571,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 435571,G300000,02500,0000,MISCELLANEOUS INCOME 435571,S000000,00100,0200,01/09/12 435571,S200000,00100,0100,245 EAST EIGHTH STREET 435571,S200000,00200,0100,WATSONTOWN 435571,S200000,00200,0200,PA 435571,S200000,00200,0300,17777 435571,S200000,00300,0100,NORTHUMBERLAND 435571,S200000,00300,0200,39 435571,S200000,00300,0201,99939 435571,S200000,00300,0300,R 435571,S200000,00400,0100,KRAMM NURSING HOME INC. 435571,S200000,00400,0200,395825 435571,S200000,00400,0300,03/07/99 435571,S200000,00400,0500,P 435571,S200000,01500,0100,Y 435571,S200000,01501,0200,Y 435571,S200000,01600,0100,N 435571,S200000,01700,0100,N 435571,S200000,01800,0100,N 435571,S200000,02200,0100,N 435571,S200000,02800,0100,N 435571,S200000,02900,0100,N 435571,S200000,03000,0100,N 435571,S200000,03100,0100,N 435571,S200000,03200,0100,N 435571,S200000,03300,0100,N 435571,S200000,03300,0200,N 435571,S200000,03600,0100,N 435571,S200000,03600,0200,N 435571,S200000,04100,0100,N 435571,S200000,04200,0100,N 435571,S200000,04300,0100,N 435571,S200000,04600,0100,N 435571,S200000,04700,0100,N 435571,S200000,04700,0200,N 435571,S200000,04900,0100,N 435571,S200000,05000,0100,N 435571,S200000,05100,0100,N 435571,S200000,05200,0100,N 435571,S200000,05300,0100,N 435573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435573,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 435573,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435573,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIP. 435573,A000000,00300,0000,0300EMPLOYEE BENEFITS 435573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435573,A000000,00700,0000,0700HOUSEKEEPING 435573,A000000,00800,0000,0800DIETARY 435573,A000000,00801,0000,0801CAFETERIA 435573,A000000,00900,0000,0900NURSING ADMINISTRATION 435573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435573,A000000,01100,0000,1100PHARMACY 435573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435573,A000000,01300,0000,1300SOCIAL SERVICE 435573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435573,A000000,01500,0000,1350ACTIVITIES 435573,A000000,01600,0000,1600SKILLED NURSING FACILITY 435573,A000000,01800,0000,1800NURSING FACILITY 435573,A000000,01900,0000,1900OTHER LONG TERM CARE 435573,A000000,02100,0000,2100RADIOLOGY 435573,A000000,02200,0000,2200LABORATORY 435573,A000000,02300,0000,2300INTRAVENOUS THERAPY 435573,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435573,A000000,02500,0000,2500PHYSICAL THERAPY 435573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435573,A000000,02700,0000,2700SPEECH PATHOLOGY 435573,A000000,02800,0000,2800ELECTROCARDIOLOGY 435573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435573,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435573,A000000,03200,0000,3200SUPPORT SURFACES 435573,A000000,03300,0000,3050ENTERALS 435573,A000000,03301,0000,3051OXYGEN 435573,A000000,03302,0000,3052OTHER ANCILLARY III 435573,A000000,03400,0000,3400CLINIC 435573,A000000,03500,0000,3500RURAL HEALTH CLINIC 435573,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 435573,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435573,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435573,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435573,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435573,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435573,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435573,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435573,A000000,04400,0000,4400DME RENTED - HHA 435573,A000000,04500,0000,4500DME SOLD - HHA 435573,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435573,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435573,A000000,04710,0000,4710TELEMEDICINE 435573,A000000,04800,0000,4800AMBULANCE 435573,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435573,A000000,05000,0000,5000CORF 435573,A000000,05001,0000,5001CMHC I 435573,A000000,05020,0000,5020OPT I 435573,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435573,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435573,A000000,05300,0000,5300INTEREST EXPENSE 435573,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435573,A000000,05500,0000,5500HOSPICE 435573,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 435573,A000000,05601,0000,5351OTHER SPECIAL PURPOSE II 435573,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435573,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435573,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435573,A000000,06100,0000,6100NONPAID WORKERS 435573,A000000,06200,0000,6200PATIENTS LAUNDRY 435573,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435573,A81000A,00100,0100,N 435573,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435573,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435573,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435573,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435573,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435573,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435573,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435573,B100000,00000,0800,0800MEALS SERVED :DIETARY 435573,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435573,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435573,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435573,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435573,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435573,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 435573,E10A180,00550,0100,02/22/13 435573,G300000,02500,0000,MISCELLANEOUS 435573,S000000,00100,0200,02/22/13 435573,S200000,00100,0100,2171 HARRISON AVENUE 435573,S200000,00200,0100,CINCINNATI 435573,S200000,00200,0200,OH 435573,S200000,00200,0300,45211 435573,S200000,00300,0100,HAMILTON 435573,S200000,00300,0201,17140 435573,S200000,00300,0300,U 435573,S200000,00400,0100,HARRISON PAVILION 435573,S200000,00400,0200,365065 435573,S200000,00400,0300,03/14/80 435573,S200000,00400,0500,P 435573,S200000,01500,0100,Y 435573,S200000,01600,0100,N 435573,S200000,01700,0100,N 435573,S200000,01800,0100,N 435573,S200000,02200,0100,N 435573,S200000,02800,0100,N 435573,S200000,02900,0100,N 435573,S200000,03000,0100,N 435573,S200000,03100,0100,N 435573,S200000,03200,0100,N 435573,S200000,03300,0100,N 435573,S200000,03300,0200,N 435573,S200000,04100,0100,N 435573,S200000,04200,0100,N 435573,S200000,04300,0100,N 435573,S200000,04600,0100,N 435573,S200000,04700,0100,N 435573,S200000,04700,0200,N 435573,S200000,04900,0100,N 435573,S200000,05000,0100,N 435573,S200000,05100,0100,N 435573,S200000,05200,0100,N 435573,S200000,05300,0100,N 435576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435576,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435576,A000000,00300,0000,0300EMPLOYEE BENEFITS 435576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435576,A000000,00700,0000,0700HOUSEKEEPING 435576,A000000,00800,0000,0800DIETARY 435576,A000000,00900,0000,0900NURSING ADMINISTRATION 435576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435576,A000000,01100,0000,1100PHARMACY 435576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435576,A000000,01300,0000,1300SOCIAL SERVICE 435576,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435576,A000000,01600,0000,1600SKILLED NURSING FACILITY 435576,A000000,01810,0000,1810ICF/MR 435576,A000000,02100,0000,2100RADIOLOGY 435576,A000000,02200,0000,2200LABORATORY 435576,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435576,A000000,02500,0000,2500PHYSICAL THERAPY 435576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435576,A000000,02700,0000,2700SPEECH PATHOLOGY 435576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435576,A000000,03300,0000,3050ENTERALS 435576,A000000,03550,0000,3550FQHC 435576,A000000,04800,0000,4800AMBULANCE 435576,A000000,05000,0000,5000CORF 435576,A000000,05010,0000,5010CMHC 435576,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435576,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435576,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435576,A000000,05300,0000,5300INTEREST EXPENSE 435576,A81000A,00100,0100,Y 435576,A81000B,00100,0300,MANAGEMENT FEES 435576,A81000B,00200,0300,HO NEW CAP REL COSTS 435576,A81000B,00300,0300,HO NEW CAP REL COSTS 435576,A81000B,00400,0300,HO MAINTENANCE ALLOC 435576,A81000B,00500,0300,ENTERALS FORMULA 435576,A81000B,00600,0300,ENTERALS SUPPLIES 435576,A81000B,00700,0300,OAKHAVEN DIETARY 435576,A81000B,00800,0300,LAUNDRY ALLOCATION 435576,A81000B,00900,0300,RENT 435576,A81000B,01000,0300,DRUGS 435576,A81000B,01100,0300,OSTOMY SUPPLIES 435576,A81000B,01200,0300,PHARMACY CONSULTANT 435576,A81000B,01300,0300,OTC DRUGS 435576,A81000B,01400,0300,CNA TRAINING COSTS 435576,A81000B,01500,0300,HO COSTS PROP CO 435576,A81000B,01600,0300,HO COSTS PROP CO 435576,A81000B,01700,0300,INTEREST INCOME 435576,A81000B,01800,0300,HO COSTS PROP CO 435576,A81000B,01900,0300,HO COSTS PROP CO 435576,A81000B,02000,0300,DEPREC ON LAUNDRY 435576,A81000B,02100,0300,FLU SHOT EXPENSE 435576,A81000B,02200,0300,EMPLOYEE VACCINES 435576,A81000B,02300,0300,MS SALARY & BENEFIT 435576,A81000B,02400,0300,MS SALARY & BENEFIT 435576,A81000B,02500,0300,CSA COSTS 435576,A81000B,02600,0300,LIFE ENHANCE COSTS 435576,A81000B,02700,0300,HSKP DIRECTOR ALLOC 435576,A81000B,02800,0300,QA/RISK MGMT COSTS 435576,A81000B,02900,0300,MINOR EQUIPMENT 435576,A81000C,00100,0100,B 435576,A81000C,00100,0200,WILSON SENIOR C 435576,A81000C,00100,0400,WILSON SENIOR C 435576,A81000C,00100,0600,MANAGEMENT H.O. 435576,A81000C,00200,0100,B 435576,A81000C,00200,0200,WILSON SENIOR C 435576,A81000C,00200,0400,WILSON SENIOR C 435576,A81000C,00200,0600,MANAGEMENT H.O. 435576,A81000C,00300,0100,B 435576,A81000C,00300,0200,WILSON SENIOR C 435576,A81000C,00300,0400,WILSON SENIOR C 435576,A81000C,00300,0600,MANAGEMENT H.O. 435576,A81000C,00400,0100,B 435576,A81000C,00400,0200,WILSON SENIOR C 435576,A81000C,00400,0400,WILSON SENIOR C 435576,A81000C,00400,0600,MANAGEMENT H.O. 435576,A81000C,00500,0100,B 435576,A81000C,00500,0200,WILSON SENIOR C 435576,A81000C,00500,0400,MED-CENTER 435576,A81000C,00500,0600,PHARMACY 435576,A81000C,00600,0100,B 435576,A81000C,00600,0200,WILSON SENIOR C 435576,A81000C,00600,0400,MED-CENTER 435576,A81000C,00600,0600,PHARMACY 435576,A81000C,00700,0100,B 435576,A81000C,00700,0200,WILSON SENIOR C 435576,A81000C,00700,0400,OAKHAVEN 435576,A81000C,00700,0600,FACILITY 435576,A81000C,00800,0100,B 435576,A81000C,00800,0200,WILSON SENIOR C 435576,A81000C,00800,0400,OAKHAVEN & MORR 435576,A81000C,00800,0600,FACILITIES 435576,A81000C,00900,0100,B 435576,A81000C,00900,0200,WILSON SENIOR C 435576,A81000C,00900,0400,MEDFORD PROPERT 435576,A81000C,00900,0600,PROPERTY COMPAN 435576,A81000C,01000,0100,B 435576,A81000C,01000,0200,WILSON SENIOR C 435576,A81000C,01000,0400,MED-CENTER 435576,A81000C,01000,0600,PHARMACY 435576,A81000C,01001,0100,B 435576,A81000C,01001,0200,WILSON SENIOR C 435576,A81000C,01001,0400,MED-CENTER 435576,A81000C,01001,0600,PHARMACY 435576,A81000C,01002,0100,B 435576,A81000C,01002,0200,WILSON SENIOR C 435576,A81000C,01002,0400,MED-CENTER 435576,A81000C,01002,0600,PHARMACY 435576,A81000C,01003,0100,B 435576,A81000C,01003,0200,WILSON SENIOR C 435576,A81000C,01003,0400,MED-CENTER 435576,A81000C,01003,0600,PHARMACY 435576,A81000C,01004,0100,B 435576,A81000C,01004,0200,WILSON SENIOR C 435576,A81000C,01004,0400,MORRELL 435576,A81000C,01004,0600,FACILITY 435576,A81000C,01005,0100,B 435576,A81000C,01005,0200,WILSON SENIOR C 435576,A81000C,01005,0400,MEDFORD PROPERT 435576,A81000C,01005,0600,PROPERTY COMPAN 435576,A81000C,01006,0100,B 435576,A81000C,01006,0200,WILSON SENIOR C 435576,A81000C,01006,0400,MEDFORD PROPERT 435576,A81000C,01006,0600,PROPERTY COMPAN 435576,A81000C,01007,0100,B 435576,A81000C,01007,0200,WILSON SENIOR C 435576,A81000C,01007,0400,WILSON SENIOR C 435576,A81000C,01007,0600,MANAGEMENT H.O. 435576,A81000C,01008,0100,B 435576,A81000C,01008,0200,WILSON SENIOR C 435576,A81000C,01008,0400,MEDFORD PROPERT 435576,A81000C,01008,0600,PROPERTY COMPAN 435576,A81000C,01009,0100,B 435576,A81000C,01009,0200,WILSON SENIOR C 435576,A81000C,01009,0400,MEDFORD PROPERT 435576,A81000C,01009,0600,PROPERTY COMPAN 435576,A81000C,01010,0100,B 435576,A81000C,01010,0200,WILSON SENIOR C 435576,A81000C,01010,0400,WILSON SENIOR C 435576,A81000C,01010,0600,MANAGEMENT H.O. 435576,A81000C,01011,0100,B 435576,A81000C,01011,0200,WILSON SENIOR C 435576,A81000C,01011,0400,MED-CENTER 435576,A81000C,01011,0600,PHARMACY 435576,A81000C,01012,0100,B 435576,A81000C,01012,0200,WILSON SENIOR C 435576,A81000C,01012,0400,MED-CENTER 435576,A81000C,01012,0600,PHARMACY 435576,A81000C,01013,0100,B 435576,A81000C,01013,0200,WILSON SENIOR C 435576,A81000C,01013,0400,MED-CENTER 435576,A81000C,01013,0600,PHARMACY 435576,A81000C,01014,0100,B 435576,A81000C,01014,0200,WILSON SENIOR C 435576,A81000C,01014,0400,WILSON SENIOR C 435576,A81000C,01014,0600,MANAGEMENT H.O. 435576,A81000C,01015,0100,B 435576,A81000C,01015,0200,WILSON SENIOR C 435576,A81000C,01015,0400,MORRELL 435576,A81000C,01015,0600,FACILITY 435576,A81000C,01016,0100,B 435576,A81000C,01016,0200,WILSON SENIOR C 435576,A81000C,01016,0400,MORRELL 435576,A81000C,01016,0600,FACILITY 435576,A81000C,01017,0100,B 435576,A81000C,01017,0200,WILSON SENIOR C 435576,A81000C,01017,0400,OAKHAVEN 435576,A81000C,01017,0600,FACILITY 435576,A81000C,01018,0100,B 435576,A81000C,01018,0200,WILSON SENIOR C 435576,A81000C,01018,0400,MORRELL 435576,A81000C,01018,0600,FACILITY 435576,A81000C,01019,0100,B 435576,A81000C,01019,0200,WILSON SENIOR C 435576,A81000C,01019,0400,MEDFORD PROPERT 435576,A81000C,01019,0600,PROPERTY COMPAN 435576,A81000C,01020,0100,B 435576,A81000C,01020,0200,WILSON SENIOR C 435576,A81000C,01020,0400,MORRELL 435576,A81000C,01020,0600,FACILITY 435576,A81000C,01021,0100,B 435576,A81000C,01021,0200,WILSON SENIOR C 435576,A81000C,01021,0400,OAKHAVEN 435576,A81000C,01021,0600,FACILITY 435576,A81000C,01022,0100,B 435576,A81000C,01022,0200,WILSON SENIOR C 435576,A81000C,01022,0400,WILSON SENIOR C 435576,A81000C,01022,0600,MANAGEMENT H.O. 435576,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435576,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435576,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435576,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435576,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 435576,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 435576,B100000,00000,0800,0800MEALS SERVED :DIETARY 435576,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 435576,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 435576,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 435576,E10A180,00501,0100,05/16/12 435576,S000000,00100,0200,02/29/12 435576,S200000,00100,0100,105 MEDFORD PLACE 435576,S200000,00200,0100,DARLINGTON 435576,S200000,00200,0200,SC 435576,S200000,00200,0300,29532 435576,S200000,00300,0100,DARLINGTON 435576,S200000,00300,0201,00000 435576,S200000,00300,0300,R 435576,S200000,00400,0100,MEDFORD NURSING CENTER LLC 435576,S200000,00400,0200,425176 435576,S200000,00400,0300,01/01/85 435576,S200000,00400,0500,P 435576,S200000,01500,0100,Y 435576,S200000,01501,0200,N 435576,S200000,01502,0200,N 435576,S200000,01503,0200,N 435576,S200000,01504,0200,N 435576,S200000,01600,0100,N 435576,S200000,01700,0100,N 435576,S200000,01800,0100,N 435576,S200000,02200,0100,Y 435576,S200000,02800,0100,N 435576,S200000,02900,0100,N 435576,S200000,03000,0100,N 435576,S200000,03100,0100,N 435576,S200000,03200,0100,N 435576,S200000,03300,0100,N 435576,S200000,03300,0200,N 435576,S200000,03600,0100,N 435576,S200000,03600,0200,N 435576,S200000,04100,0100,N 435576,S200000,04200,0100,N 435576,S200000,04300,0100,N 435576,S200000,04600,0100,N 435576,S200000,04700,0100,N 435576,S200000,04700,0200,N 435576,S200000,04900,0100,N 435576,S200000,05000,0100,N 435576,S200000,05100,0100,N 435576,S200000,05200,0100,N 435576,S200000,05300,0100,Y 435576,S200000,05300,0200,42H051 435576,S200000,05400,0100,WILSON SENIOR CARE INC. 435576,S200000,05400,0200,PALMETTO GBA 435576,S200000,05400,0300,00380 435576,S200000,05500,0100,116 CASHUA DRIVE 435576,S200000,05600,0100,DARLINGTON 435576,S200000,05600,0200,SC 435576,S200000,05600,0300,29532 435578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435578,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435578,A000000,00300,0000,0300EMPLOYEE BENEFITS 435578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435578,A000000,00700,0000,0700HOUSEKEEPING 435578,A000000,00800,0000,0800DIETARY 435578,A000000,00900,0000,0900NURSING ADMINISTRATION 435578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435578,A000000,01300,0000,1300SOCIAL SERVICE 435578,A000000,01301,0000,1301ACTIVITES 435578,A000000,01500,0000,1350REHABILITATION 435578,A000000,01600,0000,1600SKILLED NURSING FACILITY 435578,A000000,01800,0000,1800NURSING FACILITY 435578,A000000,01900,0000,1900OTHER LONG TERM CARE 435578,A000000,02100,0000,2100RADIOLOGY 435578,A000000,02200,0000,2200LABORATORY 435578,A000000,02300,0000,2300INTRAVENOUS THERAPY 435578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435578,A000000,02500,0000,2500PHYSICAL THERAPY 435578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435578,A000000,02700,0000,2700SPEECH PATHOLOGY 435578,A000000,02800,0000,2800ELECTROCARDIOLOGY 435578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435578,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435578,A000000,03200,0000,3200SUPPORT SURFACES 435578,A000000,03300,0000,3050EQUIPMENT RENTAL 435578,A000000,03301,0000,3051PEN THERAPY 435578,A000000,04800,0000,4800AMBULANCE 435578,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435578,A000000,05300,0000,5300INTEREST EXPENSE 435578,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435578,A000000,06200,0000,6200PATIENTS LAUNDRY 435578,A000000,06300,0000,6150VENDING 435578,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435578,A81000A,00100,0100,Y 435578,A81000B,00100,0300,HOME OFFICE COST 435578,A81000C,00100,0100,B 435578,A81000C,00100,0200,GREENVIEW MANOR 435578,A81000C,00100,0400,SSC EQUITY HOLD 435578,A81000C,00100,0600,NSG HOMES 435578,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435578,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435578,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435578,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435578,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435578,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435578,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435578,B100000,00000,0800,0800MEALS SERVED :DIETARY 435578,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435578,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435578,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435578,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435578,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435578,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435578,E10A180,00301,0100,03/17/11 435578,E10A180,00302,0100,05/19/11 435578,E10A180,00303,0100,09/28/11 435578,E10A180,00352,0100,09/28/11 435578,E10A180,00501,0100,05/04/12 435578,E10A180,00501,0300,05/04/12 435578,S000000,00100,0200,02/10/12 435578,S200000,00100,0100,401 OWEN LANE 435578,S200000,00200,0100,WACO 435578,S200000,00200,0200,TX 435578,S200000,00200,0300,76710 435578,S200000,00300,0100,MCLENNAN 435578,S200000,00300,0300,U 435578,S200000,00400,0100,GREENVIEW MANOR 435578,S200000,00400,0200,455638 435578,S200000,00400,0300,12/06/86 435578,S200000,00400,0500,P 435578,S200000,01500,0100,Y 435578,S200000,01501,0200,Y 435578,S200000,01502,0200,N 435578,S200000,01504,0200,N 435578,S200000,01600,0100,N 435578,S200000,01700,0100,N 435578,S200000,01800,0100,N 435578,S200000,02200,0100,Y 435578,S200000,02800,0100,N 435578,S200000,02900,0100,N 435578,S200000,03000,0100,N 435578,S200000,03100,0100,N 435578,S200000,03200,0100,N 435578,S200000,03300,0100,N 435578,S200000,03300,0200,N 435578,S200000,04100,0100,N 435578,S200000,04200,0100,N 435578,S200000,04300,0100,N 435578,S200000,04600,0100,N 435578,S200000,04700,0100,N 435578,S200000,04700,0200,N 435578,S200000,04900,0100,N 435578,S200000,05000,0100,N 435578,S200000,05100,0100,N 435578,S200000,05200,0100,N 435578,S200000,05300,0100,Y 435578,S200000,05300,0200,219023 435578,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435578,S200000,05400,0200,TRAILBLAZER 435578,S200000,05400,0300,04901 435578,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435578,S200000,05600,0100,HOUSTON 435578,S200000,05600,0200,TX 435578,S200000,05600,0300,77041 435596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435596,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435596,A000000,00300,0000,0300EMPLOYEE BENEFITS 435596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435596,A000000,00700,0000,0700HOUSEKEEPING 435596,A000000,00800,0000,0800DIETARY 435596,A000000,00900,0000,0900NURSING ADMINISTRATION 435596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435596,A000000,01300,0000,1300SOCIAL SERVICE 435596,A000000,01301,0000,1301ACTIVITES 435596,A000000,01500,0000,1350REHABILITATION 435596,A000000,01600,0000,1600SKILLED NURSING FACILITY 435596,A000000,01800,0000,1800NURSING FACILITY 435596,A000000,01900,0000,1900OTHER LONG TERM CARE 435596,A000000,02100,0000,2100RADIOLOGY 435596,A000000,02200,0000,2200LABORATORY 435596,A000000,02300,0000,2300INTRAVENOUS THERAPY 435596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435596,A000000,02500,0000,2500PHYSICAL THERAPY 435596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435596,A000000,02700,0000,2700SPEECH PATHOLOGY 435596,A000000,02800,0000,2800ELECTROCARDIOLOGY 435596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435596,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435596,A000000,03200,0000,3200SUPPORT SURFACES 435596,A000000,03300,0000,3050EQUIPMENT RENTAL 435596,A000000,03301,0000,3051PEN THERAPY 435596,A000000,04800,0000,4800AMBULANCE 435596,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435596,A000000,05300,0000,5300INTEREST EXPENSE 435596,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435596,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435596,A000000,06200,0000,6200PATIENTS LAUNDRY 435596,A000000,06300,0000,6150VENDING 435596,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435596,A81000A,00100,0100,Y 435596,A81000B,00100,0300,HOME OFFICE COST 435596,A81000C,00100,0100,B 435596,A81000C,00100,0200,JOUTDANTON RET 435596,A81000C,00100,0400,SSC EQUITY HOLD 435596,A81000C,00100,0600,NSG HOMES 435596,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435596,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435596,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435596,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435596,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435596,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435596,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435596,B100000,00000,0800,0800MEALS SERVED :DIETARY 435596,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435596,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435596,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435596,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435596,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435596,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435596,E10A180,00301,0100,03/17/11 435596,E10A180,00302,0100,05/31/11 435596,E10A180,00303,0100,09/30/11 435596,E10A180,00304,0100,03/15/12 435596,E10A180,00501,0100,08/22/13 435596,E10A180,00550,0100,05/18/12 435596,G300000,02500,0000, OTHER (SPECIFY) 435596,S000000,00100,0200,02/24/12 435596,S200000,00100,0100,1504 OAK STREET 435596,S200000,00200,0100,JOURDANTON 435596,S200000,00200,0200,TX 435596,S200000,00200,0300,78026 435596,S200000,00300,0100,ATASCOSA 435596,S200000,00300,0300,U 435596,S200000,00400,0100,JOURDANTON-RETAMA MANOR NURSING CTR 435596,S200000,00400,0200,455549 435596,S200000,00400,0300,08/26/85 435596,S200000,00400,0500,P 435596,S200000,01500,0100,Y 435596,S200000,01501,0200,Y 435596,S200000,01502,0200,N 435596,S200000,01504,0200,N 435596,S200000,01600,0100,N 435596,S200000,01700,0100,N 435596,S200000,01800,0100,N 435596,S200000,02200,0100,Y 435596,S200000,02800,0100,N 435596,S200000,02900,0100,N 435596,S200000,03000,0100,N 435596,S200000,03100,0100,N 435596,S200000,03200,0100,N 435596,S200000,03300,0100,N 435596,S200000,03300,0200,N 435596,S200000,04100,0100,N 435596,S200000,04200,0100,N 435596,S200000,04300,0100,N 435596,S200000,04600,0100,N 435596,S200000,04700,0100,N 435596,S200000,04700,0200,N 435596,S200000,04900,0100,N 435596,S200000,05000,0100,N 435596,S200000,05100,0100,N 435596,S200000,05200,0100,N 435596,S200000,05300,0100,Y 435596,S200000,05300,0200,219023 435596,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435596,S200000,05400,0200,TRAILBLAZER 435596,S200000,05400,0300,04901 435596,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435596,S200000,05600,0100,HOUSTON 435596,S200000,05600,0200,TX 435596,S200000,05600,0300,77041 435612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435612,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435612,A000000,00300,0000,0300EMPLOYEE BENEFITS 435612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435612,A000000,00700,0000,0700HOUSEKEEPING 435612,A000000,00800,0000,0800DIETARY 435612,A000000,00900,0000,0900NURSING ADMINISTRATION 435612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435612,A000000,01300,0000,1300SOCIAL SERVICE 435612,A000000,01301,0000,1301ACTIVITES 435612,A000000,01500,0000,1350REHABILITATION 435612,A000000,01600,0000,1600SKILLED NURSING FACILITY 435612,A000000,01800,0000,1800NURSING FACILITY 435612,A000000,01900,0000,1900OTHER LONG TERM CARE 435612,A000000,02100,0000,2100RADIOLOGY 435612,A000000,02200,0000,2200LABORATORY 435612,A000000,02300,0000,2300INTRAVENOUS THERAPY 435612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435612,A000000,02500,0000,2500PHYSICAL THERAPY 435612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435612,A000000,02700,0000,2700SPEECH PATHOLOGY 435612,A000000,02800,0000,2800ELECTROCARDIOLOGY 435612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435612,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435612,A000000,03200,0000,3200SUPPORT SURFACES 435612,A000000,03300,0000,3050EQUIPMENT RENTAL 435612,A000000,03301,0000,3051PEN THERAPY 435612,A000000,04800,0000,4800AMBULANCE 435612,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435612,A000000,05300,0000,5300INTEREST EXPENSE 435612,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435612,A000000,06200,0000,6200PATIENTS LAUNDRY 435612,A000000,06300,0000,6150VENDING 435612,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435612,A81000A,00100,0100,Y 435612,A81000B,00100,0300,HOME OFFICE COST 435612,A81000C,00100,0100,B 435612,A81000C,00100,0200,RIO GRANDE RET 435612,A81000C,00100,0400,SSC EQUITY HOLD 435612,A81000C,00100,0600,NSG HOMES 435612,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435612,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435612,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435612,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435612,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435612,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435612,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435612,B100000,00000,0800,0800MEALS SERVED :DIETARY 435612,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435612,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435612,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435612,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435612,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435612,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435612,E10A180,00302,0100,09/29/11 435612,E10A180,00351,0100,03/17/11 435612,E10A180,00501,0300,05/18/12 435612,E10A180,00550,0100,05/18/12 435612,G300000,02500,0000, OTHER (SPECIFY) 435612,S000000,00100,0200,02/24/12 435612,S200000,00100,0100,400 S. PETER DIAZ JR AVE 435612,S200000,00200,0100,RIO GRANDE CITY 435612,S200000,00200,0200,TX 435612,S200000,00200,0300,78582 435612,S200000,00300,0100,STARR 435612,S200000,00300,0300,U 435612,S200000,00400,0100,RIO GRANDE RETAMA MANOR 435612,S200000,00400,0200,675421 435612,S200000,00400,0300,11/10/94 435612,S200000,00400,0500,P 435612,S200000,01500,0100,Y 435612,S200000,01501,0200,N 435612,S200000,01502,0200,N 435612,S200000,01504,0200,Y 435612,S200000,01600,0100,N 435612,S200000,01700,0100,N 435612,S200000,01800,0100,N 435612,S200000,02200,0100,Y 435612,S200000,02800,0100,N 435612,S200000,02900,0100,N 435612,S200000,03000,0100,N 435612,S200000,03100,0100,N 435612,S200000,03200,0100,N 435612,S200000,03300,0100,N 435612,S200000,03300,0200,N 435612,S200000,04100,0100,N 435612,S200000,04200,0100,N 435612,S200000,04300,0100,N 435612,S200000,04600,0100,N 435612,S200000,04700,0100,N 435612,S200000,04700,0200,N 435612,S200000,04900,0100,N 435612,S200000,05000,0100,N 435612,S200000,05100,0100,N 435612,S200000,05200,0100,N 435612,S200000,05300,0100,Y 435612,S200000,05300,0200,219023 435612,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435612,S200000,05400,0200,TRAILBLAZER 435612,S200000,05400,0300,04901 435612,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435612,S200000,05600,0100,HOUSTON 435612,S200000,05600,0200,TX 435612,S200000,05600,0300,77041 435614,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435614,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435614,A000000,00300,0000,0300EMPLOYEE BENEFITS 435614,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435614,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435614,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435614,A000000,00700,0000,0700HOUSEKEEPING 435614,A000000,00800,0000,0800DIETARY 435614,A000000,00900,0000,0900NURSING ADMINISTRATION 435614,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435614,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435614,A000000,01300,0000,1300SOCIAL SERVICE 435614,A000000,01301,0000,1301ACTIVITES 435614,A000000,01500,0000,1350REHABILITATION 435614,A000000,01600,0000,1600SKILLED NURSING FACILITY 435614,A000000,01800,0000,1800NURSING FACILITY 435614,A000000,01900,0000,1900OTHER LONG TERM CARE 435614,A000000,02100,0000,2100RADIOLOGY 435614,A000000,02200,0000,2200LABORATORY 435614,A000000,02300,0000,2300INTRAVENOUS THERAPY 435614,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435614,A000000,02500,0000,2500PHYSICAL THERAPY 435614,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435614,A000000,02700,0000,2700SPEECH PATHOLOGY 435614,A000000,02800,0000,2800ELECTROCARDIOLOGY 435614,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435614,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435614,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435614,A000000,03200,0000,3200SUPPORT SURFACES 435614,A000000,03300,0000,3050EQUIPMENT RENTAL 435614,A000000,03301,0000,3051PEN THERAPY 435614,A000000,04800,0000,4800AMBULANCE 435614,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435614,A000000,05300,0000,5300INTEREST EXPENSE 435614,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435614,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435614,A000000,06200,0000,6200PATIENTS LAUNDRY 435614,A000000,06300,0000,6150VENDING 435614,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435614,A81000A,00100,0100,Y 435614,A81000B,00100,0300,HOME OFFICE COST 435614,A81000C,00100,0100,B 435614,A81000C,00100,0200,CRESTMONT HCC 435614,A81000C,00100,0400,SSC EQUITY HOLD 435614,A81000C,00100,0600,NSG HOMES 435614,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435614,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435614,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435614,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435614,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435614,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435614,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435614,B100000,00000,0800,0800MEALS SERVED :DIETARY 435614,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435614,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435614,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435614,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435614,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435614,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435614,E10A180,00301,0100,03/17/11 435614,E10A180,00302,0100,09/30/11 435614,E10A180,00303,0100,05/09/11 435614,E10A180,00501,0100,09/19/13 435614,E10A180,00550,0100,05/11/12 435614,E10A180,00550,0300,05/11/12 435614,E10A180,00551,0300,09/19/13 435614,E10A180,00552,0100,05/11/12 435614,G300000,02500,0000, OTHER (SPECIFY) 435614,S000000,00100,0200,02/24/12 435614,S200000,00100,0100,111 TREALOUT DR 435614,S200000,00200,0100,FENTON 435614,S200000,00200,0200,MI 435614,S200000,00200,0300,48430 435614,S200000,00300,0100,GENESEE 435614,S200000,00300,0300,U 435614,S200000,00400,0100,CRESTMONT NURSING CARE CENTER 435614,S200000,00400,0200,235348 435614,S200000,00400,0300,05/01/86 435614,S200000,00400,0500,P 435614,S200000,01500,0100,Y 435614,S200000,01501,0200,Y 435614,S200000,01502,0200,Y 435614,S200000,01504,0200,Y 435614,S200000,01600,0100,N 435614,S200000,01700,0100,N 435614,S200000,01800,0100,N 435614,S200000,02200,0100,Y 435614,S200000,02800,0100,N 435614,S200000,02900,0100,N 435614,S200000,03000,0100,N 435614,S200000,03100,0100,N 435614,S200000,03200,0100,N 435614,S200000,03300,0100,N 435614,S200000,03300,0200,N 435614,S200000,04100,0100,N 435614,S200000,04200,0100,N 435614,S200000,04300,0100,N 435614,S200000,04600,0100,N 435614,S200000,04700,0100,N 435614,S200000,04700,0200,N 435614,S200000,04900,0100,N 435614,S200000,05000,0100,N 435614,S200000,05100,0100,N 435614,S200000,05200,0100,N 435614,S200000,05300,0100,Y 435614,S200000,05300,0200,219023 435614,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435614,S200000,05400,0200,TRAILBLAZER 435614,S200000,05400,0300,04901 435614,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435614,S200000,05600,0100,HOUSTON 435614,S200000,05600,0200,TX 435614,S200000,05600,0300,77041 435615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435615,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435615,A000000,00300,0000,0300EMPLOYEE BENEFITS 435615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435615,A000000,00700,0000,0700HOUSEKEEPING 435615,A000000,00800,0000,0800DIETARY 435615,A000000,00900,0000,0900NURSING ADMINISTRATION 435615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435615,A000000,01300,0000,1300SOCIAL SERVICE 435615,A000000,01301,0000,1301ACTIVITES 435615,A000000,01500,0000,1350REHABILITATION 435615,A000000,01600,0000,1600SKILLED NURSING FACILITY 435615,A000000,01800,0000,1800NURSING FACILITY 435615,A000000,01900,0000,1900OTHER LONG TERM CARE 435615,A000000,02100,0000,2100RADIOLOGY 435615,A000000,02200,0000,2200LABORATORY 435615,A000000,02300,0000,2300INTRAVENOUS THERAPY 435615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435615,A000000,02500,0000,2500PHYSICAL THERAPY 435615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435615,A000000,02700,0000,2700SPEECH PATHOLOGY 435615,A000000,02800,0000,2800ELECTROCARDIOLOGY 435615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435615,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435615,A000000,03200,0000,3200SUPPORT SURFACES 435615,A000000,03300,0000,3050EQUIPMENT RENTAL 435615,A000000,03301,0000,3051PEN THERAPY 435615,A000000,04800,0000,4800AMBULANCE 435615,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435615,A000000,05300,0000,5300INTEREST EXPENSE 435615,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435615,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435615,A000000,06200,0000,6200PATIENTS LAUNDRY 435615,A000000,06300,0000,6150VENDING 435615,A000000,06301,0000,6151OTHER NONREIMBURSABLE 435615,A81000A,00100,0100,Y 435615,A81000B,00100,0300,HOME OFFICE COST 435615,A81000C,00100,0100,B 435615,A81000C,00100,0200,FOUR CORNERS HC 435615,A81000C,00100,0400,SSC EQUITY HOLD 435615,A81000C,00100,0600,NSG HOMES 435615,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435615,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435615,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435615,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435615,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435615,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435615,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435615,B100000,00000,0800,0800MEALS SERVED :DIETARY 435615,B100000,00000,0900,0950DIRECT NURSING :NURSING ADMINIS 435615,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435615,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435615,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435615,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 435615,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 435615,E10A180,00302,0100,05/18/11 435615,E10A180,00303,0100,09/28/11 435615,E10A180,00352,0100,02/10/11 435615,E10A180,00353,0100,03/17/11 435615,E10A180,00501,0100,05/04/12 435615,E10A180,00501,0300,05/04/12 435615,E10A180,00502,0100,08/29/13 435615,E10A180,00502,0300,08/29/13 435615,G300000,02500,0000, OTHER (SPECIFY) 435615,S000000,00100,0200,02/10/12 435615,S200000,00100,0100,2911 JUNCTION 435615,S200000,00200,0100,DURANGO 435615,S200000,00200,0200,CO 435615,S200000,00200,0300,81301 435615,S200000,00300,0100,LA PLATA 435615,S200000,00300,0300,R 435615,S200000,00400,0100,FOUR CORNERS HEALTH CARE CENTER 435615,S200000,00400,0200,065243 435615,S200000,00400,0300,05/17/88 435615,S200000,00400,0500,P 435615,S200000,01500,0100,Y 435615,S200000,01501,0200,N 435615,S200000,01502,0200,N 435615,S200000,01504,0200,N 435615,S200000,01600,0100,N 435615,S200000,01700,0100,N 435615,S200000,01800,0100,N 435615,S200000,02200,0100,Y 435615,S200000,02800,0100,N 435615,S200000,02900,0100,N 435615,S200000,03000,0100,N 435615,S200000,03100,0100,N 435615,S200000,03200,0100,N 435615,S200000,03300,0100,N 435615,S200000,03300,0200,N 435615,S200000,04100,0100,N 435615,S200000,04200,0100,N 435615,S200000,04300,0100,N 435615,S200000,04600,0100,N 435615,S200000,04700,0100,N 435615,S200000,04700,0200,N 435615,S200000,04900,0100,N 435615,S200000,05000,0100,N 435615,S200000,05100,0100,N 435615,S200000,05200,0100,N 435615,S200000,05300,0100,Y 435615,S200000,05300,0200,219023 435615,S200000,05400,0100,SAVA SENIOR CARE EQUITY HOLDINGS LL 435615,S200000,05400,0200,TRAILBLAZER 435615,S200000,05400,0300,04901 435615,S200000,05500,0100,5300 W. SAM HOUSTON PKWY STE 100 435615,S200000,05600,0100,HOUSTON 435615,S200000,05600,0200,TX 435615,S200000,05600,0300,77041 435616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435616,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435616,A000000,00300,0000,0300EMPLOYEE BENEFITS 435616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435616,A000000,00700,0000,0700HOUSEKEEPING 435616,A000000,00800,0000,0800DIETARY 435616,A000000,00900,0000,0900NURSING ADMINISTRATION 435616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435616,A000000,01100,0000,1100PHARMACY 435616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435616,A000000,01300,0000,1300SOCIAL SERVICE 435616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435616,A000000,01500,0000,1350OTHER GENERAL SERVICES 435616,A000000,01600,0000,1600SKILLED NURSING FACILITY 435616,A000000,01800,0000,1800NURSING FACILITY 435616,A000000,01810,0000,1810ICF/MR 435616,A000000,01900,0000,1900OTHER LONG TERM CARE 435616,A000000,02100,0000,2100RADIOLOGY 435616,A000000,02200,0000,2200LABORATORY 435616,A000000,02300,0000,2300INTRAVENOUS THERAPY 435616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435616,A000000,02500,0000,2500PHYSICAL THERAPY 435616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435616,A000000,02700,0000,2700SPEECH PATHOLOGY 435616,A000000,02800,0000,2800ELECTROCARDIOLOGY 435616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435616,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435616,A000000,03200,0000,3200SUPPORT SURFACES 435616,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 435616,A000000,03400,0000,3400CLINIC 435616,A000000,03500,0000,3500RURAL HEALTH CLINIC 435616,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 435616,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 435616,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 435616,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 435616,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 435616,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 435616,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 435616,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 435616,A000000,04400,0000,4400DME RENTED - HHA 435616,A000000,04500,0000,4500DME SOLD - HHA 435616,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 435616,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 435616,A000000,04710,0000,4710TELEMEDICINE 435616,A000000,04800,0000,4800AMBULANCE 435616,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 435616,A000000,05000,0000,5000CORF 435616,A000000,05100,0000,4750OTHER REIMBURSABLE COST 435616,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 435616,A000000,05300,0000,5300INTEREST EXPENSE 435616,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435616,A000000,05500,0000,5500HOSPICE 435616,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 435616,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435616,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435616,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 435616,A000000,06100,0000,6100NONPAID WORKERS 435616,A000000,06200,0000,6200PATIENTS LAUNDRY 435616,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435616,A81000A,00100,0100,N 435616,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435616,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435616,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435616,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435616,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435616,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435616,B100000,00000,0800,0800MEALS SERVED :DIETARY 435616,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 435616,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435616,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 435616,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435616,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435616,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 435616,G300000,02500,0000,OTHER (SPECIFY) 435616,S000000,00100,0200,07/10/14 435616,S200000,00100,0100,1008 EAST BROADWAY 435616,S200000,00200,0100,ASTORIA 435616,S200000,00200,0200,IL 435616,S200000,00200,0300,61501 435616,S200000,00300,0100,FULTON 435616,S200000,00300,0201,99914 435616,S200000,00300,0300,R 435616,S200000,00400,0100,ASTORIA GARDENS 435616,S200000,00400,0200,146024 435616,S200000,00400,0300,08/01/02 435616,S200000,00400,0500,P 435616,S200000,01500,0100,Y 435616,S200000,01501,0200,Y 435616,S200000,01600,0100,N 435616,S200000,01700,0100,N 435616,S200000,01800,0100,N 435616,S200000,02200,0100,N 435616,S200000,02800,0100,N 435616,S200000,02900,0100,N 435616,S200000,03000,0100,N 435616,S200000,03100,0100,N 435616,S200000,03200,0100,N 435616,S200000,03300,0100,N 435616,S200000,03300,0200,N 435616,S200000,04100,0100,N 435616,S200000,04200,0100,N 435616,S200000,04300,0100,N 435616,S200000,04600,0100,N 435616,S200000,04700,0100,N 435616,S200000,04700,0200,N 435616,S200000,04900,0100,N 435616,S200000,05000,0100,N 435616,S200000,05100,0100,N 435616,S200000,05200,0100,N 435639,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435639,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435639,A000000,00300,0000,0300EMPLOYEE BENEFITS 435639,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435639,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435639,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435639,A000000,00700,0000,0700HOUSEKEEPING 435639,A000000,00800,0000,0800DIETARY 435639,A000000,00900,0000,0900NURSING ADMINISTRATION 435639,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435639,A000000,01100,0000,1100PHARMACY 435639,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435639,A000000,01300,0000,1300SOCIAL SERVICE 435639,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 435639,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 435639,A000000,01600,0000,1600SKILLED NURSING FACILITY 435639,A000000,01800,0000,1800NURSING FACILITY 435639,A000000,01810,0000,1810ICF/MR 435639,A000000,02100,0000,2100RADIOLOGY 435639,A000000,02200,0000,2200LABORATORY 435639,A000000,02500,0000,2500PHYSICAL THERAPY 435639,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435639,A000000,02700,0000,2700SPEECH PATHOLOGY 435639,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435639,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435639,A000000,03550,0000,3550FQHC 435639,A000000,05000,0000,5000CORF 435639,A000000,05010,0000,5010CMHC 435639,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 435639,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 435639,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 435639,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 435639,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435639,A81000A,00100,0100,Y 435639,A81000B,00100,0300,DEPRECIATION-RENOVATION PROJ 435639,A81000B,00200,0300,INTEREST-RENOVATION PROJ 435639,A81000B,00300,0300,MANAGEMENT FEES 435639,A81000C,00100,0100,B 435639,A81000C,00100,0400,DISTRICT OF COLUMBIA 435639,A81000C,00100,0600,GOVERNMENTAL 435639,A81000C,00200,0100,B 435639,A81000C,00200,0400,VMT LTC 435639,A81000C,00200,0600,HOME OFFICE 435639,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435639,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435639,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435639,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435639,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435639,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 435639,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435639,B100000,00000,0800,0850PATIENT DAYS :DIETARY 435639,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 435639,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 435639,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 435639,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 435639,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL ACTI 435639,E10A180,00502,0100,02/29/12 435639,E10A180,00502,0300,02/29/12 435639,E10A180,00503,0100,07/08/14 435639,E10A180,00503,0300,07/08/14 435639,G300000,02500,0000,MISCELLANEOUS INCOME 435639,S000000,00100,0200,05/19/14 435639,S200000,00100,0100,901 FIRST STREET NW 435639,S200000,00200,0100,WASHINGTON D.C. 435639,S200000,00200,0200,DC 435639,S200000,00200,0300,20001 435639,S200000,00300,0100,DC 435639,S200000,00300,0201,47894 435639,S200000,00300,0300,U 435639,S200000,00400,0100,JB JOHNSON NURSING CENTER 435639,S200000,00400,0200,095036 435639,S200000,00400,0300,07/25/97 435639,S200000,00400,0500,P 435639,S200000,01500,0100,Y 435639,S200000,01501,0200,Y 435639,S200000,01600,0100,N 435639,S200000,01700,0100,N 435639,S200000,01800,0100,N 435639,S200000,02200,0100,N 435639,S200000,02800,0100,Y 435639,S200000,02900,0100,N 435639,S200000,03000,0100,N 435639,S200000,03100,0100,N 435639,S200000,03200,0100,N 435639,S200000,03300,0100,N 435639,S200000,03300,0200,N 435639,S200000,04100,0100,N 435639,S200000,04200,0100,N 435639,S200000,04300,0100,Y 435639,S200000,04600,0100,N 435639,S200000,04700,0100,N 435639,S200000,04700,0200,N 435639,S200000,04900,0100,N 435639,S200000,05000,0100,N 435639,S200000,05100,0100,N 435639,S200000,05200,0100,N 435639,S200000,05300,0100,Y 435639,S200000,05300,0200,00-000 435639,S200000,05400,0100,VMT MANAGEMENT 435639,S200000,05400,0200,HIGHMARK MEDICARE SERVICES 435639,S200000,05400,0300,12201 435639,S200000,05500,0100,4201 CONNECTICUT AVE NW 435639,S200000,05500,0200,STE 208 435639,S200000,05600,0100,WASHINGTON 435639,S200000,05600,0200,DC 435639,S200000,05600,0300,20008 435643,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 435643,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 435643,A000000,00300,0000,0300EMPLOYEE BENEFITS 435643,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 435643,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 435643,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 435643,A000000,00700,0000,0700HOUSEKEEPING 435643,A000000,00800,0000,0800DIETARY 435643,A000000,00900,0000,0900NURSING ADMINISTRATION 435643,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 435643,A000000,01100,0000,1100PHARMACY 435643,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 435643,A000000,01300,0000,1300SOCIAL SERVICE 435643,A000000,01600,0000,1600SKILLED NURSING FACILITY 435643,A000000,01800,0000,1800NURSING FACILITY 435643,A000000,01900,0000,1900OTHER LONG TERM CARE 435643,A000000,02100,0000,2100RADIOLOGY 435643,A000000,02200,0000,2200LABORATORY 435643,A000000,02300,0000,2300INTRAVENOUS THERAPY 435643,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 435643,A000000,02500,0000,2500PHYSICAL THERAPY 435643,A000000,02600,0000,2600OCCUPATIONAL THERAPY 435643,A000000,02700,0000,2700SPEECH PATHOLOGY 435643,A000000,02800,0000,2800ELECTROCARDIOLOGY 435643,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 435643,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 435643,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 435643,A000000,03200,0000,3200SUPPORT SURFACES 435643,A000000,03300,0000,3050OTHER ANCILLARY 435643,A000000,03301,0000,3051OTHER ANCILLARY II 435643,A000000,03302,0000,3052OTHER ANCILLARY III 435643,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 435643,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 435643,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 435643,A000000,05900,0000,5900BARBER & BEAUTY SHOP 435643,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 435643,A81000A,00100,0100,N 435643,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 435643,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 435643,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 435643,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 435643,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 435643,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 435643,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 435643,B100000,00000,0800,0800MEALS SERVED :DIETARY 435643,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 435643,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 435643,B100000,00000,1100,1150INPATIENT DAYS :PHARMACY 435643,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 435643,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 435643,E10A180,00550,0100,12/17/13 435643,S000000,00100,0200,12/17/13 435643,S200000,00100,0100,4307 BRIDGETOWN ROAD 435643,S200000,00200,0100,CINCINNATI 435643,S200000,00200,0200,OH 435643,S200000,00200,0300,45211 435643,S200000,00300,0100,HAMILTON 435643,S200000,00300,0200,1640 435643,S200000,00300,0201,17140 435643,S200000,00300,0300,U 435643,S200000,00400,0100,OAK HILLS PAVILION 435643,S200000,00400,0200,365462 435643,S200000,00400,0300,12/31/07 435643,S200000,00400,0500,P 435643,S200000,01500,0100,Y 435643,S200000,01501,0200,Y 435643,S200000,01600,0100,N 435643,S200000,01700,0100,N 435643,S200000,01800,0100,N 435643,S200000,02200,0100,N 435643,S200000,02800,0100,N 435643,S200000,02900,0100,N 435643,S200000,03000,0100,N 435643,S200000,03100,0100,N 435643,S200000,03200,0100,N 435643,S200000,03300,0100,N 435643,S200000,03300,0200,N 435643,S200000,04100,0100,N 435643,S200000,04200,0100,N 435643,S200000,04300,0100,Y 435643,S200000,04600,0100,N 435643,S200000,04700,0100,N 435643,S200000,04700,0200,N 435643,S200000,04900,0100,N 435643,S200000,05000,0100,N 435643,S200000,05100,0100,N 435643,S200000,05200,0100,N 435643,S200000,05300,0100,N